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020-1411-21-000
'~n~iscansiti Depr~ment of Commerce Safety.an~ Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Miller Homes of Hudson, LLC Hudson, Town of ~ST BM Elev: Insp. BM Elev: BM Description: _ iar+ V~jl'~ ~ Gov r TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~';`' l.J ~ U~,c.~,~ , 14,.. 5 Z SO Dosing ,,p r e'ra~C.tr J` I S Qd Fig `~o I•c., ~ LS Holding TANK SETBACK INFORMATION TANK TO P/L (,fie S'P~` WELL BLDG. Vent to Air Intake ROAD septic .3 ~ M j~,•, / ~ ~.I L.,•7 ~ ____ Dosing 7(~ ~ 7 , / /V/ ~ ~ '~ I ,~ ,~ I -- Aeration a Holding ~ __ - ~_ PUMP/SIPHON INFORMATION Manufacturer Z.`y (r~ Demand GPM Model Number ("7ti [[~ TDH Li Friction Lo s C~ System H d TDH Forcemain Leng~l~ ~ r Dia. ~" Dist. to Well ) Cull ORSnRPTICIN SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 506386 0 State Plan ID No: Parcel Tax No: 020-1411-21-000 Section/Town/Range/Map No: 13.29.19.2591 STATION BS HI FS ELEV. Benchmark ~~ ~ ~ /~ ~ Alt. B~", ~c+~ (31 ~e~r,divkio 5e t',, 35 99. SS Bldg. Sewer `/, ~ 1 t y7 s/ 7 St/Ht Inlet 13. zo 9.3 St/Ht Outlet ~3, ~Z.. /Z 5$ v Dt Inlet ,~, ZQ ~~ Dt Bottom I~ `O~0 Header/ an. ~, ~ ~ .~.... Z .e5 ~3. 55 Dist. ipe L¢`^' ~r"6C 99. 4 Bot. System ~ ~ ~ y . SfS 5-ta., e 2 ` Final Grade St Cov ~,. Go 4 . a y 7. 58' L e ~ .., ~ $ ~ ~ . , fl. ~T 4.70 99.E ~ '•t.7 ~ /11/. S IYr~h. J .a • "' iU~ BEDITRENCH Width f Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. `\ Liquid Depth \ DIMENSIONS ~ 5 I ~6.....G~.L~ ~_ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: T^ ~ .1 ~ ' CHAMBER OR ~ ~ J-+ ~ INFORMATION Tyjp `Of System: (; ~ f ~ Z2z _ 1 ~ N ~ . UNIT Modei Num Its !'11CTRIRIITIf1N SVCTFM 1 !_`.)..- 7_N kS -- ~ ZQ ~•'2~ci'b". Header/Manifold ~/ ~ ~ ~ Distribution Pipe(s) \ ~ \ x Hole Size ~~ x Hole Spacing ~,,,~ Vent to Air Intpake P ""/ Dia Lenyth Spacing Dia Length colt rn\IGR eSoo _ fl] : ,.C_~..,........,, c..~.,....~ n.,~.. vv AAn.~nr1 (lr D4-rraftP SVG}PIl1C OnIIV v ~4 Depth Over I Depth Over xx Depth f xx Seeded/Sodded xx Mulched Bed/Trench Center N !, ~ ~Z Bed/Trench Edges ~ Topsoil ~ Yes i 'I No 'Yes ~F, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /. Location: 855 Hillside Tr 11 Hudson, WI 54016 (NE 1/4 SW 1/4 13 T29N R19W) Ale ander Meadows Lot 21 ~.,....~ e.o.1r.~. Q." GFete~ +~°~..~.,.... PI a.,._, Parcel No: 13.29.19.2591 ~ ~ stk ,' b ~ d-~ ~0~.-1 1.) Alt BM Description = r ! 1'' ~ "" ~~ ~ G . (~ D Y ~ 2.) Bldg sewer length = - amount of cover = ( 1 , 5 ~ G~ o . GJ (3-~l g . y~ r, , ~~,,,a„ ; „~,~ 1-- ~. oc,~s.5 O ~ 9 (ob. 3 ~ ~ , .. 6" o ~C~n.~n.V~„~"~cr.. 1 2. `"1j:; i-~~+~. ' '~ls'~i.9 I'~t.7G /2.rs~s -- Plan revision Required? ' ~; Yes No I~ ~ 1 d f~ V ` ~ ,/„ w , Use other side for additional informati on. Date Inse tor's ature '- ~~.~+~-ti- Ced.No~ ~~ '6~~"" t~ SBD-6710 (R.3/97) °t44~~ ~ Safety and Buildings Division 2 County ~ ~ 01 W. Washington Ave., P:O. Box 7162 . L{/ O f /~ c~O~~~~ Madi5on, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)266-3151 _ ~(p Sanitary Permit Application stet` Plan I.D. N r In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s 15.04(1 xm) Project Address (if different than mailing address) SS N.lls;dr=Tra't 1 I. Application Information -Please Print All I tt • (-~ oK ~-Q~ r S ~~ ~ ~ Property Owner's Name W Block N vir--z, -eoo //~~ fed ~s L ~- ~~ ~ z Property Owner's Mailing Address Property Locatio C ~ ~© -~/ Nc?v o ~ 200-~ ~~ , 5~~ ~ 3 Section ~~ ~' Ciry, State Zip Code Phone N tuber , ~ r/~ ~~ q Uc~.SO v` ~'C./ / ~r ~I OUP :~T'~7 ~' ~~5= 3~'d~~~ circleo T ~ N~ R~E o ~' Type of Building (check all that apply II C Q~ . // 1 or 2 Family Dwelling - Number of Bedrooms CL~ TW/ M u /~ E Subdivision Name CSM umber ~ S 3 ~ ~r1 ~ ~~~ -~A~f~ ^ Public/Commercial -Describe Use ~^ T IV ~ I"I l~ Q'~ ~ `~`~ 0 ~ s L p ^ State Owned -Describe Use ~ 2 d QV,C F y s ~ f~ ! ~ ~ ~V ~~N~ S ~~- ^City_^Villag ownship of O III. Type of Permit: (Check only one box on line A. Complete line B if applicable) `~' New Svstem ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B • ^ Permit Rene;val ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S stem: Check all that a i '2-0 ~ J 'S 3 ~' v Ytn Non -Pressu - d ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil . . ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ~Ifer~ ^ Holding Tank ^ Peat Filter ^ Aerobie "lTeatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter Leaching Chamber QDrip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis etsaUTreatment Area Information: - b. S t ~~ ! fs w,f h Zti ~ Z y + z y + z "~ z i/ /moo °fR t ~'~ Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed Syste on 3.-/ODo Sa VI. Tank Info Capacity in Gallons Total Gallons Number of Units Manufacturer Prefab Concrete Site Conswcted Steel Fiber Glass Plastic New Existing ~D\~ I O~C rj r t J~ s Z~ Tanks Tanks O Septic or Holding Tank r_ "ZUOG7 ~~~ S C ~ ~/ /t mf _ Dosing Chamber ~[ ~ / W C t ~ / ~~ rur 5 V ~\ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown o the attached plans. Plumber's Name (Print) ` Plumber's Signature `~ MP/MPRS Number ~Z j-Q 3 ~ umber 7~s 7~~Z-i'L.~ 1~m- ~ or.~l ~ .. Plufmber's Address[(S~treet, C.i~tJy.,~~Stat~e, Zip/~CodeJ)//1 ~~ ~ ~~ / / t- / d 7 D !-r V n / "-~/ /~ ~Ll' ~- l7~ d'.~ 6 r~ ~L/ / J ~ ~1i0 VI Coun /De artment Use Onl Approved ^ Disa Sanitary Permit Fee includes Groundwater Date I sued Issuing ent Signature o ps) Surcharge Fee) ~~~ ~ // ^ iven Reason Denial IX. Conditions of Approval/Reasons for Disapproval ~1 ~~ ,` (i I n ~ J~~~ o ~r; d tJ~ SYSTEM OWNER: J , dC2~. ` n+ t C.tJ~ O ~/~~ M'a~ effluent filter and ~ ) ~ p C tic tank d t Se ~~ 1 ,,,` , . , p .. . . dispersal ceB must all be services /maintained ~ C:~~ ~ as per management plan provided byplumber. ~ Q ~ ~ 2. All setback requirements must be maintained as per applicable code /ordinances. ~ .. n ~ ~ a .' S fZ~.f~e~ grcacn comp~erc puns tro me eounry onry~ ror me fys~cm u~~ p.p~~ ~~~..U, ....~~1,~..., .... ...... .......... /~ C~~, 5\J 5~~,~ ,~(7r~_( I~Wl_J'_`t01~ •Id I_-„+(AC1~l1fLG~_ - SBD-6398 (R. 01/03) 2 c.~ F~(%~>~ f~.~L[i ~ ~~ ~~ ~~ ~ , "li ~~ x /1 /~0 /1/f~= `~ ~ C C C f ,, ~r,tir~. 7r? ~~ti~-~ 2 0~ !~ Y1/ _ ~ R `N I ~o L ~ Lo ~ ~l ~ 7 ~ ~ ----- - :z~- ~ L ~ z t` _ W/ 2~l/f2 9IV S3 `' ~ ~ v MP ~, \~ `~ cA` ``~n, ,, ~V it `~- g M '~a p ~ j~'~Pvc. ~?.~~ • ToP 1 ~ ~PVc, ~ I = r o~ , oa %---- -~ -----'r-- ----- ,~----- /~ /-Jrt~ /~~t ~ __ .~ -~-, yYEL~- ~ ~ ~ L~ X I ~E-- ----- S~ 'Y 'T`~~ /1l Nr~MF -~ 1..13. n.. 9~a,aa' _.~~~ ~ ~ " p U~. /~ C ~ /YIA/!~ i ,, ~~ i t ~ Nod D;~t~L3®x 1~ 5~' oDZ _ Q~ 5~ $ 3 2 ~~ ~' _.. _~_. _. ~-~ ---- -~- -- -- _.~-_{ y_~ _ __ _ x C'~.E / ~. /om. ~...,.- r~- Q-r~- ~ ~-r`---- Sv~- ~ x ~ ~-,.... ~i ~ TiZ ~N~M~~ z~- ~v~~(~ ys k~-~I~- ~ v - ~~ ~ ~i-~ ~ S 7~~~vG+~ ~.~: d=-~~,s' _ 98.s, _ /oa, s \`t _ iai. ~ ~ - ~~ ~~~,s ~o ~~. ~~ ~To~-tii ~ WATE-~ ~ (~ ~j ~&r~~T f o r I~Rf R r E 9 s(e N~ _ f { ~ ,__ _,-_ :~. ~7,'/l ~'/1, /~a/I/lam= 'S ~ C c r, , Cca /~ ~/ y ~ /v ~ z So ~ c. ~o~ ~N~ Y1/r NSF R sT- \N / too ~ ~ Lo ~ ~l ~ T ~ ~----- - ~° W/ 2a//r2 61V S'3 ~' y? ~ v M N `,`~ ". ~' ,v ~~ 7` L M~ 'rop ~ j~'~Pvc- 7~.r~ • ToP~~t~PVL ~io~t , ~~•~A ~2 ~~ s ~ ~ SG ~~, '~ 'T` ~ ~ ill N .~ M F... t L..~~ 1..13.0.: 9~a,so' ~~. { ~To 2 -ti'i r w~TER ~ (~~Tf~~~Tl o! t N,~,E ~9s~ ,, I ~~ ~ ~, i H l~- n; sfi ~B©x 'f i o lack-''""" ~J'~' ~' pp?i _ Q~ S~ $ 3 2 \ ~I ~Fl: 9~•s~ y' 9G ~ ~ "~! ~;}.~ I a /oo. z ~' ~2v~~f~ y s k,~~l~ ~ v - ~~ D t'/-~ ~ S `T~OF~G~ ~I, a ~, ~t~,~' _ 98.5 ~ _ /oa, s ~- , .. ~ ~ ~ J ~D ~~ . ~~ SOIL EVALUATION REPORT Wisconsin Department of Commerce r Division of Safety and Buildings in accordance with Comm 5, Wi~ ounty Attach complete site plan on paper not less than 8'/: x 11 inches in size. Pla must~~ O g 2 (~rcel I. . percent slope, scale or di vmemsions, north arrows, and location and distance neap p20- Please print all information. iewe By S Roix co r~'• Personal information you provide may be used for secondary Purposes (Privacy Law, s. 15.fM (1~Im~. L lion 2064 Page 1 of 3 Soil 8 Site Evaluations ?' ~. t'=: Date z~z/~~7 Property Owner Property oca 19 W Miller Homes Of Hudson, LLC Govt. Lot SW 114 NE 1/4 S 13 T 29 N R Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 21 Alexander Meadows P.O. Box 10 State Zip Code Phone Number ~ City J Village ~/ Town Nearest Road City Hillside Trait Hudson I WI 54016 (715) 531-0714 Hudson Code derived design flow rate 900 GPD ll~ New Construction Use: ~ Residential /Number of bedrooms 6 Replacement ~ Public or commercial -Describe: Flood plain elevation, if applicable na Parent material Glacial Drift General comments _ and recommendations: Evaluation completed to enlarge system area identified by D. Steel 8/03102. Dispersal Celts to e installed at <24" below existing grade -dosing req'd. to reach system area. ~ LL...-!! I Boring # J Boring v +!~ Pit Ground Surface elev. 98.50 ft. Depth to limiting factor 81" in. Boundary Roots i t Soil Application Rate GPDHt= Horizon Depth in. Dominant Color Mansell Redox Description Du. Sz. Cont. Color Texture Structure Gr. Sz. Sh. ence Cons s *Eff#1 6 "Eff#2 0 8 1 0-12 10yr3/2 none sil 2fsbk mvfr as 2fm,1 c 0. . 2 12-26 10yr4/4 none sl 2fsbk mvfr cvv 2f,1m 0.6 1.0 3 26-54 10yr5/6 none Is 0 sg dl gs 1fm 0.7 1.6 4 54-81 7.5yr4/6 none sUlfs 1msbk/0 sg mvfr/dl iw 1f 0.4 0.7 5 81-97 7.5yr4/6 f2d 7.5yr5/8 siUsl/Ifs 1msbk/0 sg mvfr/dl - - 0.4 0.6 Horizon #4 consists of an unsorted m ixture of sUlfs. Horizon #5 consis .e.d„rod ts of an unsorted mixture of sUlfs. Redox. concentrations associated with rhanna~c 2 J Boring ~ Boring # 60" in. Pit Ground Surface elev. 100.82 ft. Depth to limiting factor Sod A uxtion Rate ppl tence i C Boundary Roots P D~ Horizon Depth in. Dominant Color Mansell Redox Descriptor Qu. Sz. Cont. Color Texture Stricture Gr. Sz. Sh. s ons *Eff#~ Eff#2 1 0-8 10yr3/2 none sil 2fsbk mvfr as 2fm,1c 0.6 0.8 2 8-22 10yr4/4 none sl 2fsbk mvfr cw 2fmc 0.6 1.0 3 22-60 10yr5/6 none Is 0 sg dl gs 1fm 0.7 1.6 4 60-68 10yr4/4 f1d 7.5yr5/8 sil/sl 1msbk mvfr gw 1f 0.4 0.6 5 68-86 10yr4/4 f2d 7.5yr5/8 Ifs/Is/s 0 sg mvfr/dl - - 0.5 1.0 Horizon #4 consists of an unsorted mixture of sil/sl. Horizon # l1 5 consists of an unsorted mixture of Ifsllsls. Redox. concentrations in both horizons :..led .ui4h ~nvfurol cl'IannP_S _ * Effluent #1 = BODS> 30 < CST Name (Please Print) James K. ThomF Address A.C.E. Soil 8< Site 340 Paulson Lake and TS >30 < 150 mg/L `Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL - CST Number ignatur S 3602 ~s Date Evaluation Conducted Telephone Number ceola, WI 54020 1/30!2007 715-248-7767 020- 1411-21-000 Page 2 of 3 Miller Homes Of Hudson, LLC Pa rcel ID # Property Owner / -.j Boring 05 ft 104 Depth to limiting factor in. >99~~ Soil Application Rate Boring # Pit Ground Surface elev. . . ~clure Stn Consistence Boundary ROOD *Eff#1 "Eff#2 Horizon Depth Dominant Color Redox Description Texture . Sz. Sh. Gr in. Munsell Qu. Sz. Cont. Color . 2f 1 m 0 6 0 $ sil 2fsbk mvfr as 1 0-8 10yr3/2 none w 1m 2f 0.5 1.0 ' Ifs 0 sg dl c , 2 8-16 10yr4/4 none Is 0 sg di cw 2f,1 m 0.7 1.6 3 16-49 10yr5/4 none 0 1 4 49-99 10yr4/6 none strat.fs/s 0 sg dl - 1vf 0.5 . ^ Boring # Boring Depth to lim ft iting factor i n. Soil Application Rate . Pit Ground Surface elev. Bounda Roots Horizon Depth in Dominant Color Munsell Redox Description t1u. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence ry *Eff#1 *Eff#2 . * Effluent #1 = BOD 5> 30 < 220 mg/Land TSS >30 < 150 mg/L `Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-87 n c.e. sai & s~ EvaWaaons SBD-8330 (R.07/00) v. sfee. / 8/0 3~oz. --~~carn~san ~30~07 • ~~iS'Ei %~~ ~ /'CLo~ Gee v`. --~- Ewe ~: ~q ~~c e~:~ e O '/ ~e~'~2o~y ~at`,z/, P/a.E ofA~a., ~i ~ead~S, SwYl.ilElf'S"`ec. /3, /~c./. ~bzo-/y//-zltu%~ I I ~ ~ h ~I ~Pf ~~• PrPe. ~"lev. = ~7. So' j • ~ II ~ 98, o' a ~ • a z ~. .oa.o' ~ ~ v -----------------~ ~3 -------- ---------•-- - - ---• ~o . 3 0~3 ~... ,- ,~ N F- ~. W a \. ~ ~~ G1 .~ --_ ~ / _. ~ ., 'a, Y~ j~ V .-. ' ~ ' ! ~ ~t + ~. ~~ .. 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I , ralnm . , wNa t IglNraaaoNarrlNr + ua.wl I mN ~ P aw P nla'awoalnlLrmalr JTM MOA~ N!NaAMpl l~/A 'r ~ ~ G alwaNruualaarllma LNr j Aft ..~ I ...~....~ _Ml~lg~p .._.._. ~..J ' -. ~ ~ ..~..~..s \' 1 1 ....... ~ra~r~ a1 ~, ' rra0lNaNw _ - - 1 ~ t~ ~ \ ~~ rN0[YmNErM LOTS /'~~~\ ~ ---~- rNONr ~ ` \ ~ ~1 lwga \~ ! ~\ ~ IIOOrOK \ ~ IYM N01m ~'xwi•w ,l~ ! ~ ~ xw1 IpaMaMall ~ g Lai ~,,, ., ; , va WriaNaaY11N.Mmrl ~ ! ~ ~' '~,\ rlawamaeeNlol !~~ ~ •; nwwaaarrNll "" i ~p~ ~ly~p1y_~y~, R~r, ~ It ~ ~14~ ~ \ rll mowrawmawrasm !~ ~ wxaenne wnraarAUaalrwrx NNNUiawlw \wwaNlaw \\ \ ~,~r~ ~~ aalal \ ~ wwa,waamrarir gae I uAmmNlOMarmalrwl cauRrrTRtul~a~nMloAn TowRTRwIRrRCOnR+cAn N" ~i ~1N:1« ql ~~~ aarmalsNraa rawwaaraar sort a I1ma1M) srsrt a wX9Xal) ~° lawn a rr. amga iann a si a1mfAS w1iANInIN1lNrrmAN[ uulanYar 6 t,~. S~ laa 1NE Imr NNIII@ pIARD Nm .WING 41fNa ala, IANC we asv CRIm, C1NFY0 AMO ACNNC laa 11[AAaOA INEAlMA a IhL mUNIT a n. amot ~mN14 WInY all a; NEWWI N a wF loa a aCOC4 IuOr aam' aAl N At~mNNi wa M Rmml Yr aiKE IIOY NO CwIDmlm IAN JNtS NO Im maA9 IANp a RCN N Y Nw w urAO IIAS OR RaK itd9wml6 AS IOAII M R!T 1' w 100' Asswlaln u a.OS.~1,bmLk[aIW n[ LAm! walam N a~_(II ar a rK uwo NaLao a me %,11 a nN war a NsINIaJI Y[maf Nt1AmCl YtAOme. Ir a loo no ~ „>~r ~a~.oa Q a5 Da.. own a mli RA1Atlw 1llsi! 011 Illoq r lefumn calm or uvN Na a n ma-m am ahl/m1 NI'~ aN/toa ~j~~~lQ/ ~b /s~1m-s L, G L- ~~~'~4itc~'2~//~~-. "Lt~S' ~~~z--~ / , Polylok PL-525 Support Stand Should you feel it necessary to add addi~onal support to the PL-525 filter, use asix-inch .Schedule 40 or SDR 35 pipe to extend from the base of the filter to the bottom of the tank. The exte~ion pipe needs to be anchored to the filter housing with one or two #1 Q~X 112" SS screws. Anchor 1-2 Stainless steel screws through housing and into pipe. U se #10 X 112" -- ---- 6"Schedule 40 Pipe ~. Pipe rests on bottom of tank -- -- 7 rz~N~--~.~s Ouick4 Standard Chamber ,~inivunnu c.nniviocn aa° (EFFECTIVE LENGTH) r © ___ -- ~- e L- ~ - e_ _ _ ~ i-'~I I I i I~r=~~a=~Q~=I~~~-~1-~Ia eV~Q.-n~'~~ - SIDE VIEW MultiPort End Cap ~ ,____ 1 z" ~-~ -~ I ~ ~ L~\r ~ I ~ - 1-- l - 34" FRONT VIEW ~~~ ~ ~/ ~ ~~ 1 ~~~ I -- ~ ~ , < ~ i I ~ I TI ~ P ~ I `~ \I --1 ~ 1 -_--~~ .~ 1 _ SIDE VIEW TOP VIEW Quick4 Standard Chamber Nominal,Speclfications ~;, MultiPort Entl Cap Nominal Specifications ;~ Size(WxLxH) '' ~ `-~`~~~~r:..~34~x52"x12" a:;• Size(WxLxH) - 34'x16"x12' Effective Len th ~ - g ~ ~ ''"j~~ ~.~ 48" .r ~" Invert Height ~8' or 1:25'.° Invert Height ~~~,~~ 8,I [~~'~ ~" ti ';$ti~h. ,~ x 'i1'% t 4 ~' t ~ t'4.. ~:, d ~. .~ .'f INFILTRATOR SYSTEMS, INC. STANDARD LIMITED WARRANTY 1 Jra' in;eg -ty ?t each r_hamber, end plate, wedge and other accessory manufactured by Infltr:tto ' U~li[s'~, when nStalled and opnraled ^ ~ ~. r". 01 .:n ~nS 1 -2('IiC SySIP..iI in ar.GOrdanCP. with n(itratOr'S instfuCtiOns i5 warranlP I) Ih(: Ory p pl: ChaSEr (H,idE:r) itg3 1 d-.f(=,c;l~f. ~- ~ III anL' vrorkma'1Ship to one ye.v Irom the dale that lhP. Sepllc permit is issued Idr the 58ptlc system amlainutp the Uni4s. Urovided, however. ' ~~ a ;eplic I'°~md is no'. required by applicable law, the wananly period will begin upon the date that installation of the soplic system commence ;- use ~t= v. ~ ~rry -ighls. Holder mull notiry Infltmtor In writing at Its Corporate Headquaners m Old Saybrook, Connec6ail within fifteen (151 ~:~h- ' Infillmtpr wdl supply replacement Units for Units detertninetl by Infiltrator In be covered by !his Lmled Wanant'. ' _. ~.'y e:xrludes '.he cost of removal and/or installation of the Units. *~~ ~: i '"."ITFD WARRAn~TY AND REMEDIES IN SUBPARAGRAPH (al ARE EXCLUSNE. THERE ARE NO OTHER WARRANTIES WITH RESPH;T -. iHE';'. >-INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE ;Warranty shall he void If any part of the chamber system is manufactured by anyone othor than Inlillrator. The Limited Warranty dogs ~~d ~- incidental, consequential. special or intllrect damages. Infltretor shall not be liable for penaWos or liqudeted damages, Including loss of d profits. labor and materials. overhead costs, or other losses or expenses Incurred uy the Holder or any third party. Sprcifically - ~ Ir I_nmted Warrant' coverage are damage [o the Units due to ordinary wear and tear, alteration, accident, misuse, abuso or neglect of ;ne t t_ the Unns being sub{acted to vehlola traffic or other oondltlons which are not permitted by the Inslallafion instructions, failure to malntaln the ~m gro--Ind covers sot forth in the installation instructions; the placement of improper materials into the system con~ininq the Unrts, failure of '~ '.inlt:; nr ;he septic System due to Irnproprr siting or improper sizing, excessive water usage, Improper grease disposal. or improper opemlion, rn othn- m~~nt nnl oauced by Infltrelot- This L~.mlted Warranty shell be void If the Holder falls to comply with all of the ff3rms set fonh m this Dmrter: ',Narrant. urther, m no event shall Infiltrator be reslx>nsible for any loss or tlamage to the Holder, the Units. or any Third party resulting from rstallation or ship n~nt. or from any product liabillry claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance ,~ 'all sre cendi!Ipns required by stain anrf local cosies, all other applicable laws: and Infiltmtor's installation instructions a'. vu rooresentative~ of Infiltrator has the authority to mange or extend this Llmlted Warranty- No warranty 2ppfies to any party olhor than the ongi- .ra; ulcer = above ~enresen4s the Standartl ^milod Warranty oNemd by Infiltrator, A limited number of stales end count es have dlflamnt wananty rt:quira- ~.-:~nL.. Any purcr•.ase~ of Units should conta<;t Inftltratdr's Corporate Headquarters in Oltl Saybrook, GOnnCCtiCUI, prior to such purchase, to obtain a -: o^~ ~! the appl~canle warranty. and should carefully read That warranty prior to the purchase of Units. • 0 SYSTEMS I N C Environmental Onsite Wastewater Solutions~° 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 • FAX 860-577-7001 800-221-4436 .e^ t t 9 66 ~ ~t 7 04 5,156.488. 5,336,017; 5,401,116, 5.401,459 5 X11 903 %16,163: 5.568.778, 5,639,844 1-t~ nE ' 3 9.9 9. 2.~C4 064 Other patents pending. f or, p~,al F and SI(1P,WPldef a. e registered trademarks of Infiltrator System Inc Ini71 rat ~r Is a registered trademark In France. Infiltrator Systems Inc. _oislr r ~ trademark m Mexico. Contour, Contour Swivel Connection, MicroLeachinfl, PolyTufr, Snapl_ock, ChamberSpac~;r, PosiLock, QuickCut. QuickPlay aecrceeo vaveA Ind Oulcka era trademarks of Infdtrato~ Systems Inc. ©2003 Infltmtor Systems Inc. Printed in U.S.A. OOt 120.3HP-0 SECTION VIEW F ~ -,. ,. . ~ - ~ -- - P . 0 1 ~.~ CU ~ v /'~ Dose Tank Infon~natlon ,,,~,~,~,,,~,,,~~ Tw ~.-., lebd exw ~ooldnp derbe end ~,.G[.~ ..r.a wM~lx ENotr9oel NEC 300 end ~ 0.28 WAC ~~ ~ 4 M. min. ~- -~~ Tank component N vented •' F- Al6ertute outlet locetlon 1Meser Concrote Manufaoturer ~DBO Ca allons Volume 20.?~ pal~ncfi pimensicn Inches Qallons A 19.98 406.23 B 2.00 40.56 C 4.52 91.83 D 11.00 Z23.oa Total 37.50 760.50 A B C D Alamo Manuataoturer LaMebM~'n zm! Im r Alarm Model Number Dril/ Pump Manufacturer Zoeller .~ Pump Model Number S 1 -r.. Dump Must Deliver ~gpm at ~R TDH Ptojed: Sam Miller 4 t~edroom Dose Conventional Fon~main Dreintaack (gaQ 5x Void Volume (gap Minimum Dose Voiume (gaq ystem Demand (gpnn} Foroemeln dlemeter ~ 2 in. weep hole or enl~ QO.~ S ~~Ic ale4ellon g`t. ~S 3 Page 4 of 9 ,~. ~ ~~ ~~ PUMP PERFORMANCE CURVE LL PUMPPERFORMANOECURVE PUMP PERFORMANCE CURVE SUMP 1 EFFLUENT MODELS i EFFLUENT MODELS ' 3/8',112' 8 314' SOLID PASSING CAPACITY 13 1 . X18", 1I2" & 314" SOLIDS PASSING CAPACITY t91 MODEL 48 53/55 57%Sg 72 76 98 1371139 14W4140 161 152 153 Feel Meters al. Litars a. Liters al. Liters al. Liters Gel. Liters el Liters al. LRers Gal. Liters al. Liters Gal. Ll:ers ' '^~J t1 5 1.5 29 110 43 16 38 144 5C 189 72 273 3 35 3 50 189 69 261 77 291 ~, , I 1 .1 2 34 129 30 114 r0 d 1 61 71 9 BO 45 170 61 71 70 265 1 ~ t1 15 1.6 10 19 7 14 5 30' 114 45 17 81 4 3 6 38 1a1 53 O1 61 23t ~-I 186 20 .1 1 25 9 1 6 2 B tt 44 167 52 t97 i n 41~ 25 7. - - - 59 2 16 61 34 129 12 ', 159 1 4 ~ 9~1 _ 4 185 27 8T I 33 t25 1 ' ;t 40 1 2 !OB tt 12 I 50 15.2 - - - - - 321 t0 60 18,3 - 70 21.3 - - - - - - - - - 1 80 24.4 _ - _ - 3 90 27,4 _ 95 100 30.5 - _ _ 2 110 33.5 - - - -- - - i - ~ 1 0 36. - 2 B5 Sh m-otl H ead: 1B R. S.S m 19.2 5 R. 5 .9m 18 R. SSm 25 R. 7.6m 23 R. 7.Om 26 R. 7.9m 50 R. 15.2m 30 R. 9.tm 38 R. 11.6m 4: h 1 3.am ~ '~ ~ 2< 165 3 7 4165 z '~ 22 a 70 ~ 163 4167 16114161 16314163 16514165 18514185 186!4186 188]4188 169/4189 t9'~, 65 Gal. lilen Gal. Liters Gal. Lifers Gal. LNan Gal. Litars Gal. Glers Gal. Liers I I oars I Ga. 100 779 81 231 61 231 58 120 145 519 145 549 . 45 1 170 97 352 el 231 B1 231 - - 58 220 ta0 530 140 530 a5 173 1 161 1161 1B /189 85 )22 80 227 B1 231 - - SB 220 17a 507 175 SI: 15 170 55 79 299 59 223 80 227 SB 220 128 /&1 t7t 496 /S I70 1 140 70 265 57 216 69 227 SB 220 122 a62 125 177 1i R9 ~ 41 62 275 55 206 58 110 85 321 58 220 I18 179 120 35t JS ' /BB BB 45 170 48 172 55 108 70 285 58 210 104 394 109 117 45 t7J t1 15 1 20 I6 33 125 50 189 51 197 58 220 90 )41 97 767 15 ~.t0 - 15 57 J9 148 71 121 58 110 71 189 85 722 45 I t7C t2 10 27 87 9 >t 51 197 57 197 69 26t 45 t7 152 153 10 78 - - /S t70 18 106 Bt 197 45 170 35 - 71 117 2 B 74 129 45 ~- ti0 ''~ 1 - - 18 80 17 64 40 151-1 ~ 151 - 1 15 70 ~~' 185 - _ _ _ _ _ _ _ _ 20 76 25 1185 - to J6 '. ~ 56 R.(t i .tm 66 6. 10.1 m) 89 X. 2 6,dm 77 tt 2 2.Jm 111 ti )4.7m1 91 R.(2 7.7m1 Ito q.(17.Sm t17 K 4a: drrL 20 ~ 1 0099226 7 2 D CAUTION Model 185/4185 should not be subjected OB 7 5 . 177 - to less than 30 feet TDH. ~ ) 139 - NOTE: For Pump Performance on Model 112, Industrial col- Gh LLON6 l0 2 0 3 e a o s o 6 0 7 o eo 9 0 1 00 1t 0 12 0'13 0 u o 1 so ~ umn ex losion roof um ,see FM0219. LIT ERS D 8 0 t 240 320 400 480 560 FLOW PER M INUTE 0099 2YA S E WAG E AN D MODE. 211 264 266 267 268 270/4270 282/4262 284/4234 292/a292j293/a29JlZV / ,,, r 1 . yL5 c.. n.., ca ., c,l. ~., co v... m1. 6n.r. w1. I,Lr . w1. m.r. c. u.. - -_ co 1{-w ~~` • 5 ]IO 90 711 I]B 18; I]8 181 I]8 181 IJt Sc0 I3) 181 V9 OI I,O~p I I Gr D EWATE RI N G ~ 10 J.0 SJ ]01 60 11> B9 ])1 89 )J1 89 ]]) t01 M1 96 J6) 51 59r 1. .6i - 6 e8: 6G IS 1.6 ]] 111 1J 85 Sp lag b 189 50 189 1t 191 b ].] 1)) 50] tOa-T~ IW i Ir8 .] '65 - 63: a - '. ' 10 6.1 __ __ __ 10 Ja 10 N 10 ]8 58 111 N 119 106 1a1 9r J.. IOB i .p9 I I): : 546 ~. 'J _- ~, ~ 1 I 15 t.6 - - -- - -- - -~ -- __ __ -- 19 110 6 1J iJ 1)6 1) }8~ 96 167 'N - ^- i5 )0 9.1 __ __ __ __ _ _ __ __ __ _ __ __ .] 159 56 ~ }1: 8j ?~JI: Y ]5 1e] __ __ __ _ __ __ _ __ _ __ __ __ __ __ ]J 1]5 65 t.6 ~ pp ,1.`i__ 5 _ w u.1 -- -- - -- - -' - -- -- -- ~- -- -- - - - ' i C ---- . -Y w Is.> -- ~ - _ _ r _ _ --~._-.-_ -- -- -- - -- --- - - _ I t Soul-o ll WaO: 19.511. 5.9m IB II. S.Sm 11.5 II. 6.6m ]1.5 11. 6,6m ]I.S 1 1. 8,bm 19 11. 8.Bm t611. 1.9m ]S It 10.]m1111. 1].fim1 w t151~~7 _ } 1, ~ - __ e0 - -__ I ~ ~ 1 I I ~ I ', 009g0sE i 1 I <~ -~- ~ i 293 i - - ~ j ~--? -'--{- -i--~-~- t---~ -.~_- i . ° i ~ T I ~ i ° - , ~ ; -~- - ~ ~ -~---~--~-~- - -- ---,-- ~--~ --! -- PUMP PERFORMANCE CURVE 5 ~ - ~rt~-~t ~l I - I SEWAGE MODELS ~~ --rt- - _ 25 i - - ,--- ~._ 1 , 2 SOLIDS PASSING CAPACITY 266 282 1270 1 1 ~ c-~ 20 267, ~ 15- ~ a... ~ j 1G' ~- ~ 2 5 `~ --r--- D CAUTION Model 293/4293 sheultl not ba .-__ _ ~' I 211 264 1292 284 1294 295 subjected to less than 15 lest TDH. 10 2C }G a0 50 6 0 70 80 9 0 1 00 110 120 130 140 150 160 170 180 190 2 00 21 0 220 230 ONE ^ -~ -----~-.-T- . R~ ~ - _ 8G 160 ~ 2a0 320 -r-'-~---.- 40G 480 560 640 720 80 0 009904ABLK ELOW PER MINUTE • © Copyright 2003 Zoeller Co. All rights reserved. ~31N0 ~ 'ON ~3a VI O Q O U N '~W.. N Y aw-ooozdv~~3~1~ 98{,g-cZ~-008 t00Z AaVf1NVf ~31W0 OSLbS N1 'N0021 N301VW 'OI.IMH Sfl 9lLfM 1MS~.18 NMtlaO 3138~110~ ~~S~~m ,l=„b t ~3lVOS N m J O O N O O Q v c~ J Z ~ o O W Cj O Z = vi m N ~ O O ~" ~- m J o F- O O NO \ O m U ~ ~ 1 _ O O e '-OD J Ww -00~?`fMOK rw N NOst OF-J1~---~ I M iA M ~: W ~ 00 ~ Q e : ~n--aJ mU tOW O~ZJ w I H~ N JD ~Z(.~ZE=-O~~ OU pQ0 Nam OawWOwa'w c~~=J~mJ3 Z~ Z W ~ ~ J _ O ? \\ ~ "~ J W IL J W In J W oOV v_Om a¢a o~ ' /~~~ ~ 1 I ~ ._.., „96 J Z O z 2 a w O H O J ~ ~ J ~ Q ~ O O Z ~ ~ a Q !n U N ~ z ~ J W ~ ^ N ~ H d U N Q Z Q m ~ (O ~ ~ W Q J Q O J ~ H W _J ~a ~ Z O U ~ O ~ ~- ~~ Q C7 (N Y F -~ aWQ w m U H a o ~-~~ O Q z U w N Q N U U ? Z W ~ O Q O Y J Z J O J = ~ W II S~ aw OJ ~ a U N F- b00Z 'Ndf '~32i lb'f1Nt/W OIld3S ~w-ooozdlnn W h W K U Z O U W N w 3 F U Q r Z 0 (~ O W N O r V1 U W (%) m as ~U O N wY N_ Z ~ ~ O ~- N U „£ S 3 II 5I~ wl w o Q ~ N O 0 ~ \ N Z W f W ~_ O W d' n N N I U N a O w W U X W O F W W 0 O W d' U Q W Z a W Q' Q N Y Z Q F- ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer /(~~ /(~.t/ ~~~~-s LG G Mailing Address ~_ /~~~So ~~ /./J/.~ Property Address /G (( (Verification required from Planning & Zoning Department for new construction.) City/State ~{~ ds o f.V ( Parcel Identification Number DZ~' ~ y~~- ~ ~_ p°d LEGAL DESCRIPTION Property Location%~~ '/4 , S~ `/a , Sec. 13 , T ~N R~~ Town of 17~d~sa h Subdivision Certified Survey Map # ~D~ Z fo Z to Lot # ~z'~ Volume ~ ,Page # -3 8 Warranty Deed # ~9 ~/ 3 ~ , Volume ~ 7 7~_, Page # Spec hous ~ yes no Lot lines identifiab ye no SYSTEM MAINTENANCE AND OWNER CERTIFICATION _, ~ ~a Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three .years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a'treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St, Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms G T OF APPLICANT(S) l / ~~ ~-~- DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) U. 2776P 020 State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number II Document Name THIS DEED, made between BMW Residential, LLC ("Grantor," whether one or more), and Miller Homes of Hudson. LLC, A Wisconsin Limited Liability Comaanv ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 21, Plat of Alexander Meadows in the Town of Hudson, St. Croix County, Wisconsin. 79 1 1 34 KATHLEEN H. MALSH REGISTER GF UEEDS ST. CROIX CU.. MI RECEIVED FOR RECORD 09/01/2005 12:30P?I WARRANTY DEED El(EMGi REC FEE: 11.00 TRANS FEE: 255.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Retum Address o2atal I-2l-o00 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 _ L~?7 ~ TJ' 1 G ~ BMW Residential LLC (SEAL) ~ ~ ~ , (SEAL) * * By: Brian Whitemarsh (SEAL) (SEAL) ~ s AUTHENTICATION Signature(s) BMW Residential, LLC Bv: Brian Whitemarsh authenticated on/ ~ Yit G S ~G *Kristina O land TITLE: MEMBER STAT BAR OF WISCONSIN ([f not, authorized by Wis. Stat. § 706.06) ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on , the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Notary Public, State of Attorn~ Kristina Ogland My Commission (is permanent) (expires: ) Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 ,~ * Type name below signatures. INFO-PROTM Legal Forms 800-855-2021 www.infoproforms.com . • 6`I ~~ Spa K<~I~ /' et~®cv~ L~7'`_~ y ~ I ' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 2 FILE INFORMATION Owner /L~•~~Q/ }.~D c~to-5 ~ ~ G ~~ ~Y/r ~ Permit # DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units ,ANA Estimated flow (average) Q al/da Design flow (peakl, (Estimated x 1.5) DO al/da Soil Application Rate O ~ al/da /ft2 Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODE) 5220 mg/L ^ NA Total Suspended Solids (TSSI 5150 mg/L Pretreated Effluent Quality Monthly ave rage Biochemical Oxygen Demand (BODb) 530 mg/L Total Suspended Solids (TSS) 530 mg/L '~NA Fecal Coliform (geometric mean) 510' cfu/100m1 Maximum Effluent Particle Size Ye in dia. ^ NA Other: ^ NA "V$lues typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity Z cx~ © al ^ NA Septic Tank Manufacturer LY~,s a-~ ^ NA Effluent Filter Manufacturer ~c~`( (o ~c ^ NA Effluent Filter Model ~ L ~ $ L S ^ NA Pump Tank Capacity 75c~ al ^ NA Pump Tank Manufacturer LV~ ~ s ~,~ ^ NA Pump Manufacturer 'Zp ~~p ~ ^ NA Pump Model ~ 7 3 ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection O Other: ^ NA Dispersal Cell(s) ^ NA ~D`(n-Ground (gravity) ~ In-Ground (pressurized) ^ At-Grade ^ Mound ^ Drip-Line ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ~ ~ ~ ^ month(s) (Maximum 3 years) O ear(s) ^ NA Pump out contents of tank(s) When combined sludge and scum equals one-third IY3) of tank volume ^ NA Inspect dispersal cell(s) At least once every: 3 ~ yea~(s(s) (Maximum 3 years) ^ NA Clean effluent filter At least once every: ~ , ` ^ yearl 1(s) ^ NA Inspect pump, pump controls & alarm At least once every: ^ month(s) ^ earls) ^ NA Flush laterals and pressure test At least once eve ry~ ~ ^ month(s) ^ year(s) ^ NA Other: At least once every: ^O y88f~s~(s) ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) 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 cell(s) shall 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 IY,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Alf other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the IoCal regulatory authority within 10 days of completion of any service event. a ~ ~ ~ ~ ~ Page y of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical that may impede the treatment process and/or damage the dispersal cellls). If high concentrations are detected have the content of the tanklsl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b discharged to the dispersal cellls) in one large dose, overloading the cellls) and may result in the backup or surface discharge c effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorin power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls t 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 are 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 of th POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fa' foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; of painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system i properly and safely 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 disposed 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 filled wit soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliar replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorptio system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wi result in the need .for a new soil and site evaluation to establish a suitable replacement area. Replacement systems mu<. comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWT technology a holding tank may be installed as a last resort to replace the failed POWTS. alua ' o Ong an 1'~ ~ T b e ai a ~Ro+~18 nEn ~c2. N~/ Canrs'77er1~ o ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at th 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 NO' ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~~kQ ~C 17ono.- i~ Phone '7 I s - 7(o t~' Zy Z ~ POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S G ( ZO~I ~(.1' Phone Phone "'~/s- 3g(o_ (p This document was drafted in compliance with chapter Comm 83.22(2-(b)111(d)&(f) and 83.6411), (2) & (3), Wisconsin Administrative Code. O ,, ~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 834 x 11 irxl-es in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsrons, north arrow, and location and distance to neatest road. p Please print all in tion. Re . Personal information you prove may be used for a~(~~ k9~. 15.04 (1) m)). ~ Property Owner Pr Location Date ~--// b LaCasse Devebpment , Inc. ti r ~ n Govt. t NE 1 /4 SW 1 /4 S 13 T 29 N R 19 W ~ `~ ~ 4 2~/~ Lot # Block # Subd. Name or CSM# Property Owner's Mailing Address 573 Cty Rd " A" 5T. CROI~ na Alexander Meadows City State Zip pt ~''1P~a T Y ~ C ~' Vill e F (,E dY ~ ag ~ Town Nearest Road Hudson WI 54016 715-381- Hudson Alexander Rd. ~' New Construction Use: ~' Residential /Number of bedrooms e sign flaw r at 4 Code derived d e 600 GPD Replacement ! Public or commercial -Describe: / ~ ~ ~ ~ ~ " " % ~(X~vi ~0 m~ w`'~' Parent material Glacial Drift Flood plain elevation, if applicable na General comments ~`/`~ and recommendations: Mound design, system elevation 98.30 ft based on contour line 97.30 ft z"`~ ~tZt ~~.--- 7,.r~ eoC2d - ` 5 - ~~- ©~ du.e. ~o ~ 3G ~ . .~w-~~: ~vfa-c a~ d Z ~ C'~t.~2c.~-a-~ _ 3~'~ Y . 1 Boring# Boring fI" Pit Ground Surface elev. 97.90 ft. Depth to limiting factor ~ in- Sod Application Rate Horizon Depth Dominant Color Redox Description Textun: Structure Consisterx:e Boundary Roots GPD/ft' *Eff#1 'Eff#2 1 0-20 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 20-36 10yr4/4 none sl 2msbk mfr gw 1f .5 .9 3 368 10yr4/4 none scl 2msbk mfr gw na .4 .6 4 48-96 7.5yr4/4 none sUls 2msbk mfr na na .5 .9 Horizon # 4 has stratified layers Boring # Boring ' ~ / Pit Ground Surface elev. 97.90 ft. Depth to limiting factor in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Roots GPD/ft= 'Eff#1 'Eff#2 1 Q-20 10yr3/2 none sil 2msbk mfr gw 1f .5 .8 2 20-38 10yr4/4 none sl 1csbk mvfr gw 1f .5 .9 3 384 7.5yr4/4 none Is osg mvfr gw na .7 12 4 64~- fifi 7-5yr4/6 ` c2d 7.5yr5/6 sicl om na na na .0 .0 s' ~ f 2~`/ ~~~, - tmuem ~~ = esuu 5> :su < zzu mg/L and t SS >30 < 150 mglL 'Effluent OF2 = BODS< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel ~~~`~~~ ~^ 248956 Address Steel Sal Service ~f "`~ Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 8/3/2002 175-246-5085 1059 Page 1 of 3 Steel Soil Service St. Crooc -//S~/-~ i ~ Property owner I.eCasse Development , Inc. pares ID # Pending Page 2 of 3 Boring # _-_ Boring 96 00 Depth to ft limiting factor 96 i Pit Ground Surtace elev. . . n. ~ application Rate Horizon Depth Dominant Color Redox pescription Texture Structure Consbteru;e Boundary Roots GPD/ftY *Etf#1 *Eff#2 1 0.11 10yr3l2 none sil 2msbk mfr gw 1f .5 .8 2 11-22 10yr4/4 none sl 1 csbk mfr gw 1 of .4 .6 3 22-96 10yr4/4 none sUls 2msbk mfr na na .5 .9 Horizon # 3 has stratified layers Borna # Boring * Effluent #1 = BOD 5' 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 =GODS <30 mg/L and TSS <~0 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Barina # _..._i Boring ` , STEEL'S SOIL SERVICE N Page 3 of 3 David J. Steel i 564 -Cry Rd G~ CST-PdWTS1VI LaCasse Dev., Inc. New Ric~unond, WI 54017 Lic. # 248956 NEl/4,SWl/4,S13,T29,R19W j715) 246-6200 Town of I-I~dson, St. Croix Co. {7 i 5~ 246=5085 Alexander Meadows, Lot 21 This sail evaluatien was cenducted to satisfy a wing requirement, it may or may net be suitable fsr ycnir -use. The lacatien of -the test may er may mot be as shown as permanent let tines were mft established at the time the test vas conducted. ~ ~~ / ~=' ~Q ~ „~w-~~fc ~'~•~s°~~ ®= Ali 13 ~ j o~ o~ ~~Z~~ ~v~ ~ i ~~ b . (3orrnt~ 5 S~or`w~ (2 3or~~ ~~evatiQh$ ~ w ,~„ 7,5a~+- ~~. (33= ot6~ao~r ~~i~`'~ w~ S ~- h°~ l ~~ / /2' ?~ /7z~ 0~/1 S ~~ ~., r~~ B• ~ ~~ ~z ~ R~ ;- ~-a~~ ~ £~~,' 9S~ ~~* ~~~ J 8fr ~~ ~' N 3° /~ __. 9 2002 ._ ~ ~ _ _. _._~ ~~ '~ """ ~ ,r T• IX COUNTY O .. ~ Z NI G OFFICE X 958.4 _ _ . _ _ _ _ .. ~ 4 9 X IIL1f!J . 9 .5 't IAT ~ .. •X 9@5:3 ' ~ i ~ At~N X '~ 1 ~ ~ x 963.2 -~-•. 1 963.5 C x x ~ AQ ~ ~ 956.7 958.1 . x ~ .7 '. ~ . 965.2 X ,• 2 957.9 X . 954.5 - - ¢/ , ~ X , ~ ~~ ,ru... 68.7 966.2 ~ ~ " ~ o •g3 ~ gi . . . • _ B 2 ~s ~,,: L+OrT • it „ _ t O ~~ X ~ - --- - _ -- -- .. _ . .. . .. . X 1007.2 IIU .. . . \ ~.. t ~ _.. 1 OR 4~ ~ ~ - St. Croix County Final Property Report ,..- Page 1 of 1 _. ~~ St_,_Croix_County__2006__Pro~erty__Report `-~ Print Report Generated: 1/30/2007 3:25:20 PM Data Updated: 1/30/2007 1:00:00 AM PARCEL COMPUTER NUMB PARCEL MAP NUMBER: 13.29.19.2591 2003 2004 2005 2006 <-- Click on the year to select the annual record. (* & dark red =delinquent ) Property Description Billing Information Municipality: 020 -TOWN OF HUDSON Name /Attn.: MILLER HOMES OF HUDSON LLC Document Number: ^9 Address: 868 KELLY RD Volume & Page: V2776, P20 UNIT A Public Land Survey: SECTION 13 T29N R19W City, State, Zip: HUDSON, WI 54016 Quarter: SW Country: USA QQ /Tract: NE Ownership Plat: ALEXANDER MEADOWS 1/22 020/02 primary Owner: MILLER HOMES OF HUDSON LLC Description: SEC 13 T29N R19W PT NE SW Secondary Owner: ALEXANDER MEADOWS t"M HOME LOT (3.000AC) Total Acres: 3.00 ACRES Site Address: 854 HILLSIDE TRL Assessed Value Other Valuation Date 10/25/2005 Fair Market Value: 76,600 Assessment Type Acres Land Improved Total Assessment Ratio: 0.9532 Value Value Value Net Assess. Val. Rate: 0.0 11617446 G1 -RESIDENTIAL 3.00 73,000 0 73,000 School District: 2611-HUDSON Totals --> 3.00 73,000 0 73,000 Tax Installment Dates Tax Detail Period Date Due Amount ~ ~g ry ~ o Tax Paid Balance 1 1/31/2007 424.04 Amounts Due 2 7/31/2007 424.03 Real Estate Tax Due 848.07 Total Taxes --> 848,07 Lottery Credit (-) 0.00 Tax Payment History Net Property Tax 848.07 0.00 848.07 Special Assessments 0.00 0.00 0.00 Date Paid Receipt Number Amount Special Charges 0.00 0.00 0.00 NONE Delinquent Charges 0.00 0.00 0.00 Specials Private Forest Crop 0.00 0.00 0.00 Category Amount Woodland Tax Law 0.00 0.00 0.00 NONE Managed Forest Lands 0.00 0.00 0.00 Penalties 0.00 0.00 Interest 0.00 0.00 Totals --> 848.07 0.00 848.07 http://72.21.230.178/website/LRPortal/totai~rocess.asp?IDValue=020-1411-21-000&new... 1 /3 0/2007 TDH Calculations TOTAL DYNAMIC HEAD CALCULATIONS Gravity or Pressure Dosed Systems ;:Owner's Name 2/4/2008 Review Date ..: {.,: ,:::. ::::::::::::.,,,,.., x ~ X' ~ ~ ~ ~ Gravity Dosed, or 900 rgpd Design Wastewater Flow X' x Pressure Dosed ft Total Combined Lateral Length .: Y or N y Forcemain Drainback ~ ~in Lateral Diameter ~~~~~~~~1~86~~~~ ~~~ft Forcemain Length ._._.~...2....~~. ~~in Forcemain Diameter ,,..<.>.,.,20..,... «~gpm System Flow Rate r~~~~0.~00~~~V l+ft Minimum Design Head NM'15.57 ~ ft Vertical Lift 1.70 ft Forcemain Friction Loss ~ 17.27 ft Total Dynamic Head .. _,.2.04... .,,ft/sec Forcemain Effluent Velocity Choose pump that discharges at least 20.00 gpm at 17.27 feet TDH 180.0 gal Maximum Dose 30.36 gal Forcemain Drainback 210.36 gal Minimum Dose Volume Setting Version 2.1 (05/01) CI1 I~T1 rn 54" 41" z r N m NIA ~ _ n II 2~" I I ' 45~ ~ 6" I ~ I C D I O , ~ X11 D z v7 D ;U m ~ o D C Z ~ C ~ ~ O n ~ ~ D c zm ~ N ~ m ~ nD O Z Z ~ m to m m ~ c ~ o m ~ X N n m m o m o ~ D O ~ z ~ ~ ~ ~ n ~ I ~ N m N N v ~ TJ O C Z ~ n m A ~ m m ~ z '~' 1+ • ;.~. ii u 39" ~ 0 c r m --i 64" n m ~ D m~~ a ~. II u D z 2 ~ r o r o Z Z r r o ~ -i ~ O o C ~ ~ Z Z n m D Z n o 0 z O o n ~z DMZ ~rmgr mp~o Z x~om~cn mDO O~~ CC ~ Z ~ c C r D o ~ nO ~nO =flO?O i ==A Or N r \ D ~~ ~ O~ ~~O _ ~m O X0 ~N ~ ~ D ~ ~ Zm Dm Z o~ 0 ~~'f ~ f Tl O ~~ ~O y ~ N ~DI-1 to N Or'iO~ O ~ fN O \ ^ nO g D o~ o 0o N mD ~ m rrno~po o- N ~ TI Q \~ ~~ o g O~D~ ~ f o o n I TI C c> p N c~ ~ ~ m cn m D p \ o nip v m D ~ j ~ \ D rZ r~ C) ~ ~ ~ W c z ~o Wo cDi~ ~ O ~ D y O ?t ~~ r ~ z N r ~ ~ ~ ~m m D n O 2 (n (n Zl D n O o mr m Z f- O c m D r ~_ N m WLP1000-FDL SCALE:1/4" = 1' REV N0. DATE: o ~ DRAWN BY:SWT ° m WIESER COOCAETE Z SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK, WI 54750 DATE: JANUARY 2007 ° ~° REV. JAN. 2007 800-325-8456 FILE:WLP1000-FDL r ~~~a < •~' ~c PUMP C 'i'~C.I. VENT PIPC ~ 25~ FROM DOOR, WINDOW OR FRESH AIR INTAKE \~ER ~OS~ S~CTIOIJ VEIJT CAP WEATHERPROOF JUNCTIOA7 BOX 12"M I U. GRADE 18"MIN. 1\ IIJLET I .! ELEV. FT. A 6 c 0 coWDUIT SPECIFICA'~ I I I I I `-- v PROVIDE AIRTIGHT SEAL ' PUMP -~ J *APPROVED JOINTS WITH APPROVED PIPE 3' ONTO SOLID SOIL -, COAJCRETE DLOCK ~nr.,t (; F APPROVED LOCKING MANHOLE COVER I I I I I --~ Y" MIIJ. ~ la"~lu, ilj ~*~ III I III ALARM Z ~ j I ~ / ?i OIJ ' I OFF a ~ ;~ 1 Z ~~ i 2~~ RrSER EXIT PERM17rED OfJLy IF TA-JK MAIJUFACTURER NAS .SUCH APPROVAL SEPTIC f SPEGIFIGATIOI~IS oosE TA-.1KS MA-JUFACTURER: ~ ~~o -~ -S~~ IJUMBER OF DOSES: ~'~ PER DAy TAWK SIZE : ~.SOO GALLOWS DOSE VOLUME ALARM MAIJUFACTURER: Z® I (~~ IIUCLUDIAlG 6ACKFLOW: ~ 1~ -- GALLONS MODEL WUMBER: CAPACITIES: A=~==11JCHE5'0 hl:LOUs SWITCH TYPE: g c ~' I-JCHES OR ~~ GALLO-JS PUMP MAAIUFACTURER: -2~ L~ ~~ C=___L__IIJCHES OR ~~ ~LL01J5 MODEL WUMDER: ~~ ~ N D=_._.5..~-INCHES OR~_~G._ GALLO-JS SWITCH TYPE: ~''y ~'L~ IJOTE: PUMP A1JD ALARM ARE TO DE MIWIMUM DISCHARGE RATE~_GPM ~A157AlLED OIJ SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWfEA! PUMP OFF AA10 015fR16UT101J PIS.. ~ F£Et' ~-~~. -}- MI-.tIMUM WET WORK SUPPLY PRESSURE.. .. .. '~ FEET I ~~~~ -}- ~ ~ ~ FEET OF FORCE MAIIJ X .clZF~p ~zFRlCTi01,1 FACTOR •«'FEET = TOTAL OyWAMIC HEAD - 1_L:_7 FEET ~ <~ ~/ / IUTERWAL DIME1JSlOWL OF TAWK: LENGTH;WIDTH ;LIQUID DEPTH ~~, , LICE1~1$E WUMBER: ~ ~ DATE: