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HomeMy WebLinkAbout018-2011-41-000 ,~1h~-1 "'~U~ 9Q 819 ~~ ~r~ s ~~- ~; e ~- W~- e ~~ ~•'~~~~-~GQ Sic ~ ~~ fi ~/l' ~i~~ vd /~ ~~~~s ~.cn~ .n~'~v ,~'/~~- I ~~, UG yQ d ~v ~l~ f 3oi ~ - ~3 ~ ^~ /N~ i66~6sd 5-~~'l`~ c f~u~~ 9i.1 ~^"~ c~ < ` ` Wi~:consin Departmerd of Commerce SOIL EVALUATION REPORT Paya _ ~ _ of _ 3 Division of Safety and BuHdrtrgs ` in a rd~ o-nm 85, wis. Actin. Cvde u county -C ~/- =rot _. Attadr conrplete'sJte plan on pape r / ~ r ' e. Plan must !~r^ 6rciude, hart not limited to: vertical r ho ten paint Paruel LU. ,/JOB,,, c/ percent r bpe, scale or d6nons(ons, norUr avow, and to Ion anti r _ ! ~ ~ ` __d __ _ Please print all Inform ion. ]]'' R©~ e 1 ~Uate Pm~onel Inrormellon yov prvdde mey be used for secondary npoeos~rrecy~tf s. ~ OA (i) Qn-). ~ I Property Owner ST CRQ/ Prop r Loc on ~~C ~-~- ZQNI X Ri/fytj-~,ut . -- I,v 111 N yv 1l4 S 3(~ T Z~I N R lZ E (or~ Property Owner's Melling Address ~~-- B k # Subd. Name ur CSMtf City Slate Zip Ccx)o Plwne Number ^ City ^ Villaye ~{J.uwn tJearesl Ruad -4~t ads, (1.~1 i~0-to i (~ll~~~-10~3 i - T New Construction Use: ~-iZesidenl'ral / Nwnber of bedrvonrs ~_~ Ccxlo derived desiyn Ilvw rate ___y 5U ~ ~O C7d -__GPU Replacement ^ Public or commercial -Describe: _~-_-.~ -- J/ F ------- ---- Parent materiel __~1 ~ _- _---.^--_- Flood Plain elevation it api>lic:able ____~ r~ - - ~ R. ~r eaclon~iriie r~dlatiars: 5y~1~ ~l'e v'~ .gyp f6Zr 3 ~ ~ 6w-t Y` , G~. q' ~ ~r/~'~d s ys-~(~/-fir c~"~2~~ -~ 8 3 Boring # ^ Borirty 1 ~.. Pit Ground swface elev. ,~~~' ~b lt. Depth lu Ilndliny (actor _ ~~-___ in. -- - `-- _ __ _ _ ___ Soii Applic;alion Rale Horizon UepUr Uorninanl Color Redox Uescriplion Texture SUuclure t.O11515t811Ce t;pUllriary Rcxrl: GPUfIP _ in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. 5h. __ __ 'Eff#1 'Eff#2 Z m.5bk rn~r _~ `~ 1 ~~ • 5 . ~ ~ ~ 2 ~ _ __ 3 ~p -~ 5 ~ 2,~s~k ~~ r -- . C~ ~ . o Boring # ~ Bonny pit Ground surface elev. I ~y.5a il. Depth to limi6ny taclor _ 51.x- in. - Sofl ApplicaUorr Rate Horizon UepUr Uaninarn Color Redpx Description Texture SUuduie Consistence Boundary Ftuols ~ GP Dlft: in. Munsell Qu. Sz. Cunt. Cobr Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ - 5 ( ~- ~- !~~ _ ~ 5 1 y~ ~_ . ~ Z. 3 5- ~ ~-~- ~ I S~ ~ c 5 _ -- - =~ ~ ~ . d E(Uuenl rM1 = 8OD > 30 < 220 nrg/L arrd TSS >30 < 1 aU my/L ' EOluent N2 = BOD < 30 my/L and TSS < 30 my/L ST Name (Please P ' t) Signature CST Nwnber Icklress Uale Evaluation Conducted Telephony Number C l ~.~ Properly Owner _~_- I ~, 1 I-1 Borino ., Patcel ID # ~</ ~ ~ --------- ~~ F'alge -- ~ of ;, , Bo Horizon ~ ring # ~-PII Grow Deptlr Dominant Color in. Mansell 4 ~U~ ~ 11 td surface elev. Redox Desc.~riplion Qu. Sz. Cortt Cobr _~ O Texlwe 5 ~ eplh W Gn-iling tactur ~ `- Structure Consistence Gr. Sz. Sh. _2 in. Boundary -~-- Roots - Sod ~ ica6at Rate 'EI81GPDifFEg#2 _._~_ - . d _- -- U Boring Boring # - ^ Pil Ground swface elev. ~_ ft. Depth to limiting factor _-___ in. gull Application Rate I Iorizat Ueplh in. Dominant Cuk7r Munsell Redox Desaipl'ron Qu. Sz. Corrt Cobr Texlwe SUudure Gr. Sz. Slt. Consistence Boundary Rovts - GPDIfF 'Eff#1 'ETTN2 U Boring Boring # Ground surface elev. ____- it. Depth to limiting factor __._.______ in. - ^ Pit _ _ Sorb A lica6on Rate Horizon DepUr DomirtantCoior RedoxDescripliun Texture SUudure Consrstonce Boundary Rcwts GPD/fF in. Munsell Qu. Sz. Cont Cobr Gr. Sz Sh. 'Eff#i 'E((#2 • Efllarent #1 = F30D5 > 30 < 220 mglL and TSS >3U < 15U my1L ' Eiltuent #'L =BOOS < 30 my1L and TSS < 30 my1L 7 6e UCparttnent of Commerce is an equal opportunity service provider acrd en-plvyer. tf you aced assistance to access services or need material in aft alternate fomtat, please contact tLe depatt-ncnt at G08-2G(r-31St or '1'1'Y G08-2(r4-8777. SRD-xri01R.07lOrlr . (' /1(i G'.$- -i) I' NAIVIL•: 5~~.?~_____._i-l)l'1! ~~_._I.I:(ii'~l.I)I:SC'K11'"I'I~)tJ:A/wl/-luwli~l,`;3o"1'Zq.N,It,I~I:(ur f -. _. _. -_ ___ SCALE: i"--- --~~.--- -- - -- . - ------ -- ~ ~ gm( ELEVATION:_-- (©O .O - _ -.. - -~- - [3ht t UL'•SCRIf' [~IOh1:~ c~~_ ~_~ _ ~?~!'~- ~`~~ -- --- [3M 2 ELEVA"IIUN: - ---~ ~~~ ~- ------ ----- - ~ ~ ---------- -.5-ec~_3 d__ E3N1 2 DL'•SCRII'"PION:-b~ _cr~~__l `~_puc-_$,`~~,._-_-- LL " -ro P - ~o ~ ..- SYS'l'EM LLGVA'I'l~!Il: jOZ.3d lvi~go ' SYS"1'L•M"1'1'I'I?:- -j^UJ1~wL}."~no~,( - _ __- - - .. v - - Q~ ~~,\ ,ot. S ~d -- g-3 / j° 3~ ~° ~oK.s >Q 0 .~___.., ~~ - , ~ u 1 SV.S4~v~ ~ ~~ _ _ _ , _` J ~_ _ - - , o -- ~6_z 6 i UA'fl:: ''l"~''~ ti .~~ ~ G. SS% TANK ~ °i,~MP C.};A1".3~R CR05~ S~C:iU~r AND SP£CIFICAT.I'v!~5 ~" CI' VENT. PIPE ~ 12" ~1~N". `ABOVE GRADE ~ WEATNERPROO~ ? 25' FRESH FROM DOOR, WINDC~iJ~ OR~' ' ` ~ ~ ~~' AIR INTAKE ----~-- --.. JUNCTION HOX APpRQVEE ~ ~ WITH CONDUIT MANHaLE GCVER FINISHED GRADE W/ PADLOCK ~ ~" CI RISER -- ~--WARNING LABEL ~~ --~~..,.~ 4 " MIN . S~" IN. 6" MAX. :; 'l ~~ N LET ~ ,~ { ~ WATER TIGHT SEALS , GAS• ~ ; ' A TIGHT + ~+ APPROVEp SEAL ~ ~ , ~ JOINTS WItH PPROVEp ~ ALM APPROVED PIPF IPA 3' ~ ` ~ ~ ~ pN s' or~so nro say IQ ~ ~ ~ sa~.iQ saic~ OIL PUMP OFF ELEV . FT. --~C--- ~ ~ OFF *~ RISER EXIT D PERMITTED ONLY I F TAN K MANUFACTURER HAS APPROVAL 3" APPROV ED_ BEDDING L'NDER TANK 1 CONCRE'T'E PAD SPECIFICATIONS SEPTiG / DOSE TANK MANUFACTURER : ~~, `~s~~- ~ NUMBER i; OsE5 PER DAX : _„_,,.~. ....,.. TANK SIZES; SEPTIC ~,.~,,,_. GAL. DOSE „~4 GAL. ALARM MANUFACTURER: ______._ MODEL NUMBER SWITCH TYPE. PUMP MANUFACTURER MODEL NUMSERs SWITCH TYPE: REQUIRED DISCHARGE L~~~P.:.~~,_ h9 ~ r c. "~... ~s~ ' 'moo ' j ' ' ]v ' ~ ti ' ~. ~ y /. ~ . . . . /~~ts^~ RP.TE ~_ GPM DOSE VOLUME INCLUDING F LOWHAC K : .lam ~~,~„ GAL . CAFACIiIES: A = ~~ INCHES = ~„~ GAT.. H = .,,,~ INCHES =_r +~____ GAL . C = ~_ SNCHES = ~~GAL. D = ~ INCHES = _.~~AL. Ft1MP E ALARM WIRING AS PER ILHR I6.~3' WAC VERTICAL DIFFERENCE BETWEEN PUMP GFF AND DISTRI9UTION PIPE ,,,~~,,, F£ET + MINIMUM NETWaRK SUPPLY PRESSURE . -+~r'FEET + ~i,~,l,., FEET FORCEMAIN X ,, ,G~FTI100 FT. FRICTION FACTOR ~ FEET TOTAL DYNAMIC HEAD = 1,~,,,~,,,~'££T INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDT~1,~„~; D"I~AMETER ~,_, LIQUID 15EP~TA' _,,,..,. lG',d~'~ /,~/~,~ ~ „ STGNEA: !~/~1~~.~-'~ LICENSE NUMBER: ,?.??~~Lf DATE: -,~~~~~~~.~ ..,- ........ ~. _.. ~. . ~..... w. _.... ~. 1/88 ~.._._ ~- ui~k4rAr w STANDARD CHAMBER Quick4 Standard Chamber slae vlFw MultiPort End Cap FRONT VIEW ,.y y+ ,# ~ k "r ~ Quick4~5tandard~Cf~ambe~`No~in~f~Specifications~'`,~,,~~~,~Multi Size (W x L x H) 34' x 52, x i2" ^ °: Size ' Effective Length 48" Invert Invert Height 8,, SIDE VIEW TOP VIEW . w~ .-~a;~~r.,ra- ;nom- ~, _~ ~ , :- arf End CaRrNomi~al Specifications ~ ~" ' r r j `xLxH ~`~, .,.. ,~ -~-, ,;. 34"x16"x12" eight 8" ar 1.25" INFILTRAT~g~ T M , iNC. S~AN(~,~iD L1MIT~ WARRANTY a) Th' Si u total miry] i1V or aaUt %tld/r1he1, and pieta, wade: a11d dlltur ar tl.SJry manbll;'WW b In0tm A ~ "Jnds ~. when Inslallpxl ~Id rtl a bactiekl nl an r n to stp?K sYSiem in accordance with Intl' y apaatad n al»r a x a, tl woe' nurr.Jvp to am year kum Iho date a7at fete sCAli; pernNt r9TLSglwd torah ruse{) r~ system curaani na he Ul~lder') rrda~sl detective that it a Seplc Garrott is rot myc:vo[! i)Y applicable Ww, the warrant . ~ 5 Drovkied, howevr~r, T~ t' erase rt5 wv!nanl r7• tts, H Y poriud will hxpr7 upon ff,er ~fe lfLrl ~.nsta8allon of are septir. 5ystern ;:ommenceS. Y 4 rllrrltx must natily Infliratw in writing al its C:aphrate Head'.µ.~vlers m 7;U Sayt7rook, Gvrnrx.9wut witl7u) fifteen (751 clay of Ilea aNegad deler:t. iMUtralcr wui supple replaremanl Units for Uni,c :Jarcmtirrad by Inriltratru to br covered by axs Limited Warranter. /nf lfraror's lahiYy s,JaGi!ICafly a%C!lldea Iha COB( OS npnrpyal and/Or InslaYdl,wr Oi Ina Ur11t5. ir' I iE IMiir r) WAHriANTI' ANn REMEDIES IN St1UPARACiRAPt-i (,ri AAf f-xGLl:SVL. 1 =RL nl,r" NC1 JTIiE'R WARRANTtF.S WITH FIESPECT 1'l TIC rv. t3. IN INJNV(r Di0 IMPLIED WARlL4MIkS O! MFgCHANTABt f'V rJR FITNl -;; FUI: A I'NaTiGULAH PURPCffiE. 1~-~' Th '.Ed Wan ~ntv sdrq b0 vn,cf it any 4 ,rr r tl O -.ten. rhur sy5tcm - ranul„r,luru,] by :lrryon2 Oilrar than InNIL~IW. Thy IJn,rle;7 Wananly dies r:>f e ! nd U nnk7 al, ca7suquanrml, sF ~,nl x lndir~:t dameg~s. !M'gr.7lor _hail no; be li.lhb Iqr Ornall~rrs or liyuidalexl elan-~age5, inrlutling less y u'afu .t u'. and Grbr,.s, .dour anU ,n,7lerials, overhea:7 Wsts, a~ ol/rer lpsses w ox{'~ra75as incuRed by Iha Hok'ler nr any Hriml pant/ Srracaica7y ex~txfed Ircvn Lirnltncf +Plarmnry coverage as damage trr the Units due b wranMy wear and tear. a;leratkx7., ar:cidarrl, misuse, atxrse a neglocr of tier. Unns; the Urrils cxeing stY3;artarl t0 vehicle trai'iG a t'dher cgnr7ititznS W!a~h are no[ parmiltad M' Ina insial!a?ion irlslnrfidns; !allure to mainlahr the mir;un~,"r grountl doers sal torn in the rtrstaBat6on irutrudtitNlS; :hs placement c+ improper materials ~nln the system con7airdrkl the Units; faikue of the Un,4 or the 5:.ptic sys<em tlt.. W in7prcper sil'',ng w 4npropar sizing, excessree water usago,'rrx3rat1r7r gmase disposal, a improper riparariw;; ar vey rarer event not cau:sd by Infiarata. This Umitetl Warranty shall be void i1 the Hoktsr tats ?o comply with at/ of 1118 terms sat k,Hh in Uis LinulW Warranty. ~~~rthac ur rro event stall Infatratrx t)e ,esprnsitNa for airy iGSS or damage to the Helder, fhe Units, LY any thin-} party resulimg kom 1ns!allydbn a shrp- Nresnl. or teen. any l:nod'.,n;t IlahiMty ClarmS p( Hoidof w eery thvrf Rnrty. Fcr this Linulad Warranty to apply, are lJNts must ue installed in aCNr,-ianre • il; I alt yte ca7dilior7s mat!rray by slam anU local v.,tlps; ail othm apluioab,'e laws; antl 1nnltralrxS installatlar, mstruciians. ICY) NO rer:rPSenLatWe Of ullldralol ha$ Lhe aulArily to GINnt)e :yr eklend IhIS u01Aatl Warranty. NO Warrt"lIy aprAaa ID any party Othaf Ihmn Ilw ongr nail-IOh1vr, TIrYr aaovr+represenl:: fife Slandord Umiinrf Wa,ranhy oaaro0 Oy hrrtllyd'. ~ A UiTilrxf ntYnlrer of slate=_ and Ldmfiy„ beta dilterenl warra„ly rugU~re- .n15. a'Y r+Urr)ies~- o/ Un^y &'rould contact InlYireta"s GOipVrAle Mpadr~ua,'lefs hr Olrt SaytNOOk. (q!117601idU1, prier 10 such pUlchasD, l0 olHain a tops of the appGCable wananty, and should cayhllly read Thal wananly poor to N7e Wrdr;ase of trots. • t• SYSTEMS I NC ~ Ernlrclnntanta! Oaslte Wastewater Sdutfons'" 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860-577-b700p r•~nnFAX~8p6~0c577-7001 t;.:i. i'a!anis: 4,755',661; 5,017,041; 5.15&,488; 5,336,017; 5,401,118; 5.401,459; 5,511,~J03; 5,715,1G3; 5,5E18,778; 5,839,844 Canadian Patents: 7,39,959; 2,004,564 Cthar patents pending. h7Glirator, Equiaiizer and SideWiniler afa registered trademarks tN Intil6ator uystems Inc. intilUatUr is a registered trademark in Franca. Infiltrator Systems k7c. is a registered trariernark in Mexico, CCV110Ur, Cordour ow~vet Connection, MicroCeacturtr~, PotyTUft, S~7aALock, Chamber':pacer. PosiLa:k, GutckCul, 4luickPlav AecviceEn vAren All(1 Onicks nro fr:rrYnmarLe n/ 1,.Wtr~r... c...r,.•,.., i„.. a noon ,_.-,,. _. _.. .. .. ... .. _ va.vrtvrv vittrv ~GOULDS PUMPS 30~~ EP04 o EP05 APPLICATIONS SpedficaUy designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 314" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge sae: 1'/~" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers, • Temperature: 104°F (40K} continuous 140°F (6090) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: •EP04 Single phase; 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, buih in overload with automatic reset. •EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length, tti/3 SJ70W with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard an EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models Include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP041mpeiier: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. METERS FEET to~ 9 r 30 ---~, s 7 t~ 6 5 0 ~ a 0 ~ 3 z 0 Submersible Efflueut Pump ~~ ^ EPOS Impeller. Thermoplas- tic enclosed design for improved performance, ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron far efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. -T~ ~i L _' ;~ l ... ; GPM 0 2 4 6 8 1 o t 2 m~/h CAPACITY Goulds Pumps ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY USTiNG ~' Canadian Standards Assodation (CSA listed model numbers end in "F" or "C".) Goulds Prrrrps b ISO Soot Registered. ®209a Goulds Pumgs ~ {TT Industries Effective February, 2900 83871 - ~ _. , ~ ~t 1 V~J/ i '~l~~t..i.I~; I~h,~~;i~, ~~,A.~~ti, C~~'A ~i~.'~, ~~~~~i ~)~,~J~~~(?~'`, C'~.,~ i~~I?~' ~~X;,:~t'C~I~' i (' 1~.~1' C ~; `~~P:! .i ; C:!'r1~~~17 ~'~ ~.._... --- !,VA r.~. I. ~~.,~ .!?.L.~, r~i~J i14:~ W._.,,..,_) ` ._....._.~.~../+..u'^"""V""r`._,`.u~ 1~._.).-.~_....~+.-Jauu. ....u.n•...-rru~u.. ,__. .. ~~.FI ... ,. ., h7t,f?Cil.,y~ ~~ ~' ~~~~~~,~~iair,~t~r,~~ t~;C~Gnrt~~ f~or~. I"l~s~~~h~ ~'1~~5sY'CC~~ttztf i{;r r ._. 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Ll i,(?~5r,t Ct~ ~~ P ~CT~~„i1~.0 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of2 TION MAINTENANCE SCHEDULE Effluent Filter Manufacturer fj ~ ^ NA Effluent Filter Model ~ ~© ^ NA Pump Tank Capacity el ^ NA Pump Tank Manufact rer ^ NA y Pump Manufacturer t'ab ^ NA Pump Model E ~ O NA Pretreatment Unit ^ Sand/Gravel Filter O Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Disperse! Cell{s} ^ NA n-Ground (gravity} ^ In-Ground {pressurized} ^ At-Grade ^ Mound ^ Drip-Line ^ Other: Other: ^ NA Other. ^ NA Other: ^ NA SYSTEM ShECIFICA'flONS Septic Tank Capacity Q'©Q al [] NA Septic Tank Manufacturer ~rC ~, ^ NA Senrlce Event Service Frequency Inspect condition of tank(s) At least once every: ~ month(s) {Maxlmwn 3 yearsf earls} ^ NA Pump out contents of tank(sl When combined sludge and scum equals one-third iY3! of tank volume ^ NA inspect dispersal cell{sl At least once eve ry' ^ month(s) (Maximum 3 ears} .~ ~'year(s} y O NA Clean effluent filter At feast once every: month{sl eaNsl ^ NA Inspect pump, pump controls & alarm At least once every: ..r ^ month(s} ^ ear{s1 ^ NA Flush laterals and pressure test At least once every: ,-_._ ~ ^ monthts} ^ earls) O NA other: At least once every: ^ month(s) ^ yearlsl ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells steal! be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; PQWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanklsf to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells} steal! be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3} or more of the tank volume, the entire contents of the tank shaft be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Coda. All ether services, including but not limited to the servicing of affluent filters, mechanical or pressurized pomponents, pretreatment units, and any servicing ai intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 1 O days of completion of any service event. "Values typical for domestic wastewater and septic tank effluent. Page Z of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankts) for the presence of painting products or other Chemicals that may impede the treatment process and/or damage the dispersal ce{Its). 1f high concentrations are detected have the contents of the tankts) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at th'e infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the ce(lls) and may result in the backup or surface discharge of effluent. To avoid this,. situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life or' the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump! water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; nil; paint€ng products; pesticides; sanitary napkins; tampons; and water softener brine. ABANQONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system i:.• property and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly d'esposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space fitted with soil, gravel or another inert solid material. coNTllvoENCY PLAN if the POWTS fails and cannot ba repaired the following measures have been, or,must be taken, to provide a code compliant replacemen ystem: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. f=ailure to protect the replacement area will result in the need for a new sail end site evaluation to establish a suitable replacement area. Roplacement systems must comply with the rules in effect at that time. A suitable replacement area is not available due to setback and/or sot! limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ~~ ^ T site h d site e tank ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~l ~ ~ f1, ~ u .~.-~ y,• ~ @ L~ Phone 7 l -~ ~. _ ~ POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR {PUMPER} LOCAL REGULATORY AUTHORITY Name Phone Name s'r C' /~!/~ Phone -- ~ This document was draftedsn compliance with chapter Comm 83.22(21(b)(1)(d)&(f) and 83.54111, (2) & 131, Wisconsin Administrative Code. . .U 2~9?P 300 • " ' ~ STATE BAR OF WISCONSIN FORM 2 - 1999 ikicument Number WTY DEED This Deed, made between Gillis Farms. Inc. Grantor, and Kernon J Bast an~R chard O Stout tenants-}n common as to '/z n e t g~ch Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin {if more space is needed, please attach addendum): NW '/~NW '/,, Except Certified Survey MaQ Vol. 14, page 3829 and also except Certified Survey Mag Vot. 14, page 3829 and also except Certifies Survey Map Vol. 14, page 3967; NWx/~NEt/~, lYE'/. NR"/., All in Sec. 30-T29N R17W. St. Croiac County, Wisconsin. RETURN 1'0: MEtRO LEGAL SERYICE4, INC. _ MINNFJIPOLIS, MN 55401-3217 S8 ,/ Gi 's Farms Inc. By: * fn6 ' .,~ /Tip ~ ^- ---- Metro Legal Services ~ Tr -+ 1 % '~'"" r EDIl2F:'I' 4339? 1 A 370744 ~~'D ^9i~246 1&1066-60-000:18-1066-90.000:18-1067-00-000 ` Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties; Easements, restrictions and rights-of--way of record, if any. Dated this (~ day of June , 2004 * AUTHENTICATION Signatures} Gillis Farms, Inc. ___ authenticated this ~ ~ day of June , 2004 * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.Ob, Wis. Sta[s.) TEAS INSTRUMENT WAS DRAFTED BY Attorney Kriatina Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT srATE of County 76ESQs'92 KATHLEEN lk. IIALSH REGISTER OF DEEDS ST. CROI X CO.. Iii RECEIVED F'OR RECORD 06/16/2004 01:20P!! MARRANTY DEED EXExGT # REC FEE: 11.00 'CRAMS FEE: 3300,00 COPY FEE: CC FElr PAGES: 1 Recording Area Name and Return Artctress } } ss. } Personally came before me this _ day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. --- - ---~ Notary Public, State of _ __ __ ___ _______ _ My Commission is permanent. (If not, state expiration date: .) ~' ' la f * Names of persons signing in any capacity must be typed or printed below their signature. Iarormation Profcesio~ls Co., Fond du L,a , WI STATE BAR OP WLSCONSIN 800-655021 WARRANTY DEED PORM No. I -1999 Pi *" / /•~ «- ~ ~ ~ / LOT 43 ~ BENL'HMnRK ~ ~ ~ / 2,00 ACRES ~ ELfY. u 1031.65 ' ~ ~ /~. 87,3D4 SD. FT. LOT 44 ~ 848.01 , 2,01 ACRES ' 11a.3e' i ~- 2o1.6e' 31s.oT ~ _ 7 .3 ;-' ~ a--' N4 ~'2~,~, 87,385 SQ, FT. ~ L B = 1033 00 O 01 ;/~; DRAINAGE ~ EASEMENT ~ , , , /' _ _ _ _ _ L13 Q ~ 4u ~ ~ V 6 ~ 6 LOT 39 W ,1 gi N12°05'39'W 55 85' -~ 2,00 ACRES ~ 1 ' " ~ 87,133 SD. FT. ~ 3~ ~ ~ LOT 42 ~ ~ - ~ ~ e ~ 2.00 ACRES .. `' a ~ '- 44.76' 206,30' .2 ' 87,173 S~, FT, ~ ~\ N86°49'12"E 240.55' ~1~ ~ \ '. ~ ~ ' N66°33'371N 301,14' \ 1 ~ -- -T--- ~~ 0 \\ 9 ~i ii "~ ~ ~ ~\ ~~ ~ ~ ~- I i LOT 40 W + ~ 2.00 ACRES ~ LOT 41 ' i ~ 5a I ~ 87,126 S0, FT. ~ ~ 2,00 A S i ~ 87,134 SQ. FT. i ~ ~' i i W 6fe ~ I :....... i ~ i ~ I I ~! f i i i I --_ __ __ _J ~ ~ ~' i L_._- -- -- -- -- ~- - - -- -- - ~~= -- -- - ~ N69°45'02"E 1061.73' I ------- ----------__.~_.._-TOWN ROAD --_-___._.._..__._-_~_-_ !_-_-_-____. N89°45'02"E 1652.38' - _._ _- -- - -- -- -- -- __ -- -- X11..-.- -- __...~ I Tl _ __ __ _• - -- -- -- - - -- -- ~ -- -- -- -- -- ~ - ~~ ~ ~ ~ 1 , LOT 83 I ~ ~ ~ LOT 82 ~ LOT 81 $ ~ r 2 00 ACRES ~ '* $ 2.00 ACRES ~~ 2,00 ACRES ~ 125 SD. FT. ~ 87 2.00 ACRES N 87,125 SD. FT, ~ 87,125 SQ. FT. 87,125 SQ, FT. ~ , ~ ~ I~ I ~ ~ ~ $ ~~ I f 1.--15' i5'--+~1 l I - ~ = - " ~ ~ - 21 7.8Z 1.47 183,$8 211.47 _ _ 19.86' 191.56' _'-" ~ '~ - 21 f.4T ~ 211.47 168.41` 45.08' ~ _