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020-1447-09-000
Parcel #: 020-1447-09-000 Category Alt. Parcel #: 15.29.19.2840 020 -TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/27/2004 00 0 TaX Address: Owner(s): O =Current Owner, C =Current Co-Owner G -BAST, KERNON J & DONALDA SPEER KERNON J & DONALDA SPEER BAST 948 LABARGE RD HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description ' 678 PINE TIMBER LN SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.040 Plat: 10-017-COYOTE RIDGE 020-04 LOTS 1/29 SEC 15 T29N R19W PT NW SE BEING COYOTE Block/Condo Bldg: LOT 09 RID E ' 4 LO ( ) G 0 T 9 (2.04AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-29N-19W NW SE Notes: Parcel History: Date Doc # Vol/Page Type 10/06/2004 776362 2671/77 VRNC 07/27/2004 769938 10/17 PLAT 01/07/2004 750940 2487/120 WD 01/07/2004 750939 2487/118 WD more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.040 77,600 0 77,600 NO Totals for 2008: General Property 2.040 77,600 0 77,600 Woodland 0.000 0 0 Totals for 2007: General Property 2.040 77,600 0 77,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code 02/22/2008 03:42 PM PAGE10F1 Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsii~Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Bast, Kernon J. & Donalda Hudson, Town of CST BM Elev: Insp. BM ley: _i BM Description: TANK INFORMATION (), ~ S TYPE MANUFACTURER / CAPACITY Septic - o ~ p ~C. $Z 5 C~>ti Aeration Holding TANK SETBACK INFORMATION TANK TO P/L ~~~ WELL BLDG. Vent to Air Intake ROAD Septic ~~ ~ ~ ~~ /~L / Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head DH Ft Forcemain Length ist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CrOiX Sanitary Permit No: 514821 0 State Plan ID No'. Parcel Tax No'. 020-1447-09-000 SectionlTown/Range/Map No' 1 ~ .29.19.2840 STATION BS HI FS ELEV. Benchm Alt. BM ` ,~ / _ ~~^• ~P~l C..o ~.5 ~ • /d ~i . Bldg. Sewer Z ,(~ /d G, ~.3 SUHt Inlet ,//Q . 'TO /R j/ p < /u7r /J St/Ht Outlet s • ~S ~6y Z ~ ~ Dt Inlet ~ -~, Dt Bottom ~ Header/Man. ~• Q Dist. Pipe '7.9 z q .IS ~~j ~ Bot. system ~,~Z 9a, 3Z Final rade 1 re Z. 5 0 ~ 6 ~ 7 St Cover ~~~ C® Z, ~ /DG-. S $ BED/TRENCH DIMENSIONS Width / ?, Length / _ ~[ 1P T No. Of Trenches .n.. "~~~ Z ~ fe GI - _ J` PIT DIMENSIOtS ` No. Of Pits Inside Dia. ~_ Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ~ /~ ,C I INFORMATION CHAMBER OR / ~••~ f- Type f System G ~ D (] I G o / 6Z~ ~~ UNIT , Model Number: , / DISTRIBUTION SYSTEM ~ I„s,~ ~/. e %.~2 ~~ Header/Manifold i i~ '' // Length ~' ~ Dia T Distribution Pipe(s) ~ ~ ~ Length Dia Spacing x Hole Size ~ x Hole Spacing ~ Vent to Air tak Z ~!e EQ.e1~ .~... SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over ! Depth Over xx Depth of xx Seeded/Sodded xx Mulc ed BedlTrench Centers / ~ (~~ ~ 7 Bed/Trench Edges ` ` Topsorl ~ ` ~, ~~ es No - Yes tti'o COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /_ /_ Location: 678 Pine Timber Lane~Hudson, WI 54016 (NW 1/4 SVV i/4 14 T29N R1(~9W) Coyote Ridge Lot 9 1.) Alt BM Description = '~'~ ~~~ d ~ ~ / ~ r ~Q J1~. 6 h.. 2.) Bldg sewer length = 3O ~ 7 /- _ - amount of cover = ~ z Q ~. ~ Plan revision Required? n Yes No ( / (_ ~~ Use other side for additional information. { lQ SBD-6710 (R.3/97) Date Inspection #2: /_!_ Parcel No: 14.29.19.2840 ~~ (.$ 3'75; Cert. No commerce.wi.gov Safety and Duitdings l}ivision County l"-~~~ 201 W- R'ashingtan Ave., F.O. Box 7162 mi ~ ~ ~ s c O n s ~ n Madison, W 153707-7 i 62 Sanitary Permit Number (to be tiled to by Co•) Department of Comrnsrce 1 ~ ~ ~Z~_~ -~---~ ~ ~ ~ ~ Sanitary Perm>tt Appl-cation State Tra+tsaciiun Number I N ~ j In acca-dance with s. Comm. 83.21(2), Wis. Adnt. Code, submissio1t of this farm l0 tlx appropriate gover rental lication forms for start-owned are Note: A ermit it i i b i -{ Project Address (if different thanrcwilin~r dress) I . pp ary p n ta ng a san or ro o unit is required pr submiaed to the i7epaotment oC Commerce. Nersonal informatics uu rovide may be u for xiary ~ ' ,u roses in accordance wish rho Privary Law, s, 15.04(1)(m), S ats. I L Application Information -Please hr( 1 n rm lion ~ ' ~ ~Parcel M s Name i'roperty Owner ( s~ e ~ ~' ' ~ X20-Iy~47-tom-D .. a .e er,v~ ~ Property Owner's Mailing Address rty Ltxation / ~ ~~ T C V ~ 9f.~~ r[ a ~~ Y~~ ST. CROIX COUNTY 1 hy, State!!~/ Zip C i - Govt. Lot ~._ ~- ` .~=- ~/~, SGT '/., Section \`~~ ~J !circle orx \ ~~ ~ ord ~ ~ 7~~ _ Ea Y~ T ~ C/ N, r~/~ ' I I. "Type of Building (check ali that apply) ~, d k ~ Lut u ~ l o+• 2 family Dwelling - Numl+?r of Redroorcis Suhdivis+on Name 131cx:k 'S.~brw: ~.eJ~ssZ G Dy~~Ze /4~<• ~t% „ CJ Ptrblic~Commerctal Lhscribe Use ~, a~._~-. [~ City of _, ____. ~..-.-- ! - CSM Number ^ State Owned - Descrilx Use ^ Village of __ _____ _-- ` ~„$'O.~ ! 111. Type of hermit: (Check on y one box on line A. Complete line B if appitcable) _ Ai A' .New System •----- ^ Re lacement S stem p y ^ TreatmenVHolding Tank Replacement Unly ^ Other Mcrditication to Existing Systcn (explau,j ~ ~ List Previous perntit Number an:I Dak lsstaeci fs. ^ Ya-rltit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Tratufer to New n ~ Iiel'ore Expiration { ~ Owner ~IU"r ( v~ - - ~ ~ ~~~ ~~ -j F ! V, Type of POV1"fS SystemlComponendt)evice: (Check ail that at'ply) _ 24 in. ofsuitab{e soil ^ Mound < 24 irx of suitahlc soil I~Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ~ Mount/ ? _ ` ^ HoldPnl; Tank ^ Uther dispersal Component (explain) .,_,___•_ ^ Preu•caunent Device {explain)^_~._____... , ~_ !-~'. 13is ersallTreatment Areo Information: _... - --~ liesign Flow (Kpd) Design Soit Application Kate(gpdst) Dispersal Area Kequired (s Dispersal Area Pro (sQ System Elevation _ Vl. Tank Info Capacity in Total ~ of Manufacturer i 1 `= c v ~ ~ .n :? ;y Gallons Gallons Units /^~ New Tanks Existing Tanks ' ` ~ / /_ ~+ ~ a J ~' 2 /+ ~ w L7 ~" 1 5eptk or Holdurg Tank -~ ~~T ~ 'fie y > __ i /~N'~! ~'~`,2,J`v y. ~ _ ~ 'DosingClramber ~ VI1. Responsibility Statement- I, the undersigned, assume responalbillty for htstaltatloa ofthe PO~'VTS wn on the attached plans. ius ntss Phone Number MP; PRS Number ` B s Signature 1'fumber's Name (Pant) Plumber ~ i ;~ '~l,'~~ ~~~z~~ rr Ifs `' - ~~ o?a ~ ~~d i ~~s :~~6-.~i~/ _ Ptumber'~ Address (Sweet, Crty, Slate, Zip Code) ~ ~ ~ ~ ~ VI! Gount ! De aruueut Use Onl T -------~----j Date Is ued lssuir~g Ag iYnature f i Permit fee d ^ . Approve ~ ~z r 5~0 ~~ D _ , j Ow tven Reason o trial IX. Conditig~estsons for Disapl.rovttl 3 J g ~, ~ • pet.Lio~ t /~,G.J J I t ~,, , 1. Septic tank, effluent lifter rand dispersal cell must alt 4e services /maintained >/ i ~'~-- ~ ~~ ~'~`•' ~ ~ as per rnanagemeM plan provided by plumber. 1 2. /lll'ttt?t~ack l'equiretnents mtxt be mamtairwd f,~l Q~, ae~ sn1G~A~ ~~ M u25 rL ~~ r~' ~ ;~-wRr~omaa~r.~ ~---- .+------ Attrch to compkte plmrs rU: nre system au+l wbmtt to the Coo ty onS?• nu paper out fuss than 8 v= x t t inches in slzc SBD-G398 (a• 01107) Valid thty 01/09 ~ ~ . • RECEIVED Wisoonein ospar~ment o-conrnenoe d E G ~~ ~'S~t:;EVALUATION REPORT i iai~on otand Bum _..~,,.~.~~, .,_,..,.........,.....a..-..........~ J- ~- sr. c,eorx_ . ~ ~ ~: ~ re>~ar~, and ,~. s~~ !a ~v ~ Please print al! Ir+forrr~at'fon. R ~ i~ /L /7 Pbworni iarom~tion ran o~~te m.or w used torteoaaar vnrP~s (F+~r caw. a +so4 (+~ (~} N o S£ SEGT• l F'~tY/~ 1C~/eiV~df ~~5~ PropeRylocaCon Q ~J C,ort.4at /VW U4"S~N4~$~T'~/ N R ~/ ~i(orjw Y Ox's Addres's ~D !At # 8fodc # Subd. Name a E.v JN ~ codo Phone Number hFUOSo ~ w/• S yatlo ?15 } 3 8h •~t?5 [7 (;~y ^ va~ge ®Tovm N Raar, /f v©so.~.~ /3~t,C~E•c~ ~'~ - ~~+ use:lR~ ~ Number of bedrooms 3 •' code dew design t~- rate. ySQ - 4•t? cPa !~ ~ ~ Pcfi6c a oarwneroret - Oes~ibe: m8~~D~/ oy Taub-f~ ~,a e ~ ~ ~. ~er~er~ oornn+ents ~a •~•r~- J~ 'T~T~ Sly i TJ'~i~3C.Q...~'~7~ /~~I! ~rU ~'~QO lJ.v~ SON UF-~ TIO,c>>4L `~, D • C~J , 'j: „~ ~ ~ , ~~ - soil Rare Ptorimtx~ ~ Llordnattt liadoot Desatplion Texltsia Slns;Ma~e cara~enoe Boundary Rook in. il+hx~sel nu. Sz. Coat. Color (3r S'z. Sh. 'd~1 'F.l~2 / o • ~~. /o y G. ~fsb W 3 f • s • is • o y/z 3 s! c. <f s cs Z. • Z S 5 ~ •~ /v R 5 ~ GS /nom d~ c S - - ? ~ • Z. ro 7 -- s D ~ ~.~- ~ • 2 # pp~ e«~,g o ~, . Zo B°'`ig ta! Pit c she ~-.~ fl Ceps, b rat~n9 ter y //~ ~ ~ - , Shc !fate ~ i jn. t ra,. sz. Cont. ~ G7 Sz sh. -9f#4 -~z 0.1 roy 3 __-__ SiG z SbK w 3 . 5 / 7 --" S (~ 1 v n Eillaerd #'I = B~ > .'~ < ~jp f1101L and 7'SS > ! ~ ~ mall ' E~lerlt #2 = B(~D_ < 30 rrloll. 811d TSS { ~ moll. ~ /~ 3 ~vp v • ~y . 02 00 7rs•~~a•3~l~~.. Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 ~iN •s ,~i~2 ToT,q.L of 80 !~ Z O • l0 2."7 . Z o • Da`o o • 1O,~.7. 34 - ~ ~-° • ioz7 . y0 • a-a~ '~ . „~yo T~ ~>~~ j, ,~~Rtio,~ ~,~7--- ~ o t- 9 ~~ z 3 a> 0 8°""g # wit Ground surface elev. ~3 • yg ft ~,,, ~ r tac6or > ~~ ~,. soil ~ RetB Hannon Oepih Dominant Redaa Oesrxi~on Texture Structure Consistence Boundary Roots GPOIfa< in. Mtx~seR Qu. Sz Conk Color Gr. Sz Sh. 'Ett#1 'Eft#2 •!S 7•s --- L S / cS - (• Z /o s ~ s D ..- , D ^ Pit Grotmd surface elev. ft- ~ 9 for ' ~• Soil Rate # ° ~ ' Horizon Depih Dominant Redox i:)escriplion Texture Stnidure C.orroe Botxxlar)r Roots GP DRP in. Munsett tlu. Sz. Cont. Color Gr. Sz Sh. 'E1~1 'Eff#2 ^ ^ Pit Grorxrd strfeoe elev. >w iD i i<,. ~ ° `~ Sob Rate Horizon Depth Dormant Redox Desaipbon. T S'bu~xe Consistence eound~y Roots GPI bPF in. MirrseN Qu. Sz. Cont. Cobr Gr: Sz Sh. 'Etf#1 'Eff#2 • C~1luent ax'I = BODs > 30 < 220 trg~L and TSS >~ _ 150 mplL ' C-~luerrt #2 = BODs <_ 30 rrrgfl. and TSS _< 30 rngtl. The Department of Commerce is an equal opportunity service provider and employer. If you aced assistance w access services or neod material in an alternate format, please catt~t die depaitnrcr-t at 608-266-3151 or TTY 608-264-8777. x , ~~ ~ ya TE- ,~lJ~(y-~ ~, ~~RNa~ 13~q-5 T' ,~~.. Pa~i to ~ L 0 ~ Z ~ Page of a Boring # ~ 8oerrg ~it Ground surface elev. ~~ • ~~ ft Oepth to tailor 7 ~~ in. SoN Rate Florlaort Oepth Don>Iramt Redox Desaiptiort Texture Strtxiure Consistence Bocedary Roots GF' D/(f in. MunseN Ou. Sz Cont. Color Gr. Sz Sh. 'Etf#! 'Etf#2 ~•s _~ S D d!l- cs - ~•Z /D S S t6 ~ ~ ~ ` ^ Pit Ground elev. ft. Dep(!, b factor ~ fit. sea Rate Fforaaon Depth Dominant Redox Description Texture Stnidiue Consisi~oe Boundary Roots GP DIif h. Munsep G1u. Sz Cont. Cdor Gr. Sz Sh. 'Etflfl 'Eif#2 Pit r'~, surface elev. ft. Dep4t1 m factor in. Sod Rate Morison Depth DartYnant Redox Oesaiption. T Stn~tre Consistence Boundary Rooffi GPD/ff in. MurreeN Qu. Sz Cant. Cobr Gr. Sz Sh. 'Etf#1 ~ 'Eif#2 ~--F ~ ~. ` Eflku3M !f1 =BODE > 3t3 < 220 ngR and TSS >30 <_ 150 mgA. • C-fiu~t #2 = BOD, <_ 30 mglL and TSS 5 ~ mgll 4 'fhe 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 608-264-8777. sr~-tnocadoo> ~-- No~ ~~ Li-/V.R~ ~ ~~ ~ ~ ~ ~ ~ For issuance of permits and designing v~~ `~(~ Contact: Ufbricht & Associates Registered private wastewater consultant ark plumbers ~J ~ / 2812 10th Ave. Spring Valley, WI 54767 ~ 715-772-3442 ~ , 4 SC~~ ' ~'/' ~© ~ ~ ~ ~i9~~ ~/ TS ~ ~ ~ . cgvfove5 fig, ~b o _____ a ~ ~~ ,--~' ~ ~,~0 , ~o q9 . o 70 ~• yi" ---_ o .~ a V ~ ~.a, /~D' ~ / ----_' ~u 3 /D BZ ~ Z ,_ A~s ~,rt~ ~ y~'~ ~~ 5~~ ~~ ~~ ~ ~ a• $' .~-'~- ~.. ~ 9 D a o --~_ ~~~ Q ~ ~~ ~j ~~ `i . v-~._ 2 g. "' c 2 .~ ~~ ~- w i I{ Q W p„ J a~ -~.- ~' ~ gJ~ ~::%' ~. , Ci ;,. x ~ ~Y. f ti. .: ~b8'8LE'M„E L,9trot~OS .. ~ ~, w ~ ~ Q ~ ll ~~ ~ o m N ao .J I ~ i ~, _ ___. r ' r j i r ~ ! f ~ ,a. ~ ~' ~ t f ~. , . ~ ~ j u $ ~ ~.~ i r w,.°R i i t .. ~ r r~ i .i .~ f f`I ci- N~ r 1 ~- t r i. i r r i N0~~19'4 i r 1 t :..'~,~1 COUNTY FIAT OF: COYOTE RIDGE IOCATEO rN PMT OF THE Nl1H OF TM! BE7/4 ANO IN TH[ NW1M OF THE 6!1 /1 OF B[GT10N 18 AND IN PAIfT OF THE NWII4 OF THE 6W1/4 OF BECTfON 14, ALL IN T99N. R19W, TOWN OF HUDSON. BT. CROIX COUNTY, WIBCON6IN: INCWDIN6 LOT 39 OF THE GLAT OF SWEET OwAEB FMM. `pr` ~~~,: ~, I I ~~ ~~: `: I ~~ _1__l__ T=9N, R1EW 76 9 93P 1#.LPE910~09 ~Lla wCnFS 0.aR 1- ~/ vlgie -2exrOEwJwF lli~'I~Z Q~IlL7~ T 1r6eAr Oe~npM IAMrtPGr.. ¢en, COmRw-1~L, ~y,y~~w 4'~ r P~wNE•MT , AIE ~0...,~A L ~ svAe awaaninueeruer w~aHrn wginru~rn~e ./~,~~~ mU~i~~cu~s;o ww~i ~x ~~.sr~wr~sro ^`~ msan ~ ~ ~ ,~~; ~~•:. QuGOD~6dATN'TAId ~IDdU1B®'D7 ENT`UIW6 hk~. ~ ' r er •~/ IOTt~ LOT 10 ~~\. /~ ~i / ~ OT• C ~a 1 LOTi ` ~ ~T, ?' ' y _-~ ~ C~ .umso, er ~~ ~ ~e.a a ~ ' 2 f9 mra la rt _ " I ~ ~ ~ g 4 i LOT f! ® ~ ~a.o. •.em .9NY0 ~ ~ .r nn. ® ~ s~*:~,...... LOT fi .._- ~ __ . ._ o. 4 I ~ z ~' ~ ~~ ~ ~ i ~~~rexi~ J .o. u .._.~ _ / wirao~ ~ v naw n. ® 4 ~ ., . !f '..o :wa Lw + „,a ,..omen. ~A' r 2 6. ',6 ~ j ° ~ ° ~n r , ~ `~ ~ `• LOT i. A~ ~ ~ y JS :b , > ne ~ r Lor ,T s Iar w ~ '~ ~-~ _ i ~ __ ® s nca empin~ . ~ ~ e ® pia. LOT.cxa ~ < ~--- - __ _ , m na.nr ,. - -- 1Lm to ~ tarom m~n•„Tw~ //', ~ ~' g Lori! mra® ~W ® ~ n. ~ OoT i~ ~ eexw as ",~~ t~ ~~~. Fo. R. r ~~ Lor ii ~ . ~ ~. ~~ es.w ~ b v®m.e. - `~ ~ e~ t ~ I ~, W~ ... I ~m ~~en .w aa9'fszt"L/_.-xii.*z ,n,,,,,.ne.ne.~.~~~n.,,n..~. __._.._._. _.-_--.. --.- 100.'45hAL'Rf7J A.}ll^@':114'iM00!Ni~:eJ T1M (B1i'Cx'.P.69 _ __.._. I ~i I°" -I I. B ieciwr~~s ` _ ~-~ N _ ~._F.~L.~,,~~T.L __._...__. WT1. LOfII _.T. _-.__.. _~I(I(I I I ;> ~ ,a L L aE z ~ _ v I p ~ `~ w„ ~ __ i // ~ a I ? 4~ , _ -~J ~~3 ~~~., ~ - Z ~ - _ t ~ - ~ - -~ '` ~. ,- ~~gG NSti , . * ~ went ~ + t..~ ~ pan ( , . 1 - _ ~ I ~.me..rm w~m.n~a.n.enro n«~niwr.Lmnwmm~wn«v.. .r.naanw..way.aoun"awe+ean~...n+,~om.r~>..w,..+Wn.+ un~nOCron~uevwcn ®.,"or w~w~°` ow.wms ~rrmn~ Y *: 4'~soa ~ S.I{~ ~ " ~ ' i° Lr. +m;. _ _ ~ eo ~~- ' _ . - ,. ~.~ ~: ~ ~ ' ._ _... a_. r., ~I va nna nerwuw~..aunnnna+iow.re, mMn,wn,.s~urw.ro u~weo.o.w:w'~ia.vu.o"w"'ron.~cr~n~~an~weo a.w ~nu+r 9CJLLi IN FlEf 1'.100 _ __ - _ ..._._._. - - .. _. _._.__ .... . _ -._ ........ ._ ..~ __...t _ .._.1 1°-. «• .._ fNllf~Wi WlR9 .-~- Quick4 Standard Chamber MultiPort End Cap ,- ~ ,~ h /+. 12" ~ I ~~ ~ _-. _ __ l:_. IL f __. _~ -- -- 34„ FRONT VIEW ~fi..1 ---~'1 !+ I ' t II iI ~- i h ~'I rf ~I~ E. _, ~ I I ..i u ~___ i-~~___-.1.' SIDE VIEW SIDE VIEW - TOP VIEW INFILTRATOR SYSTEMS. INC. STANDARD LIMITED WARRANTY 'al The '!'uciJrd' inlegrib ^I each r_haml>er, sett plate, wedge, and other accessory mantltacUlred by InlAtrabr ("Units ), when installed and ;+peraled . -- "`FIEId of an ensile SeFt+c -tyslem m a(uxdence with Infiliralor'S instruCiionS, i5 wartanletl to the Anginal p,ncha5er ("H++Ider") against dninciive ~:::e~ials anC v.~~rknk:nsbin lo~ Ana ye:u Irom the date that the sepUC perrnil is issued br the sepLC. syslcin c9nlainnv{ Ihn Un+l.c: provided. I+pweve~. . is a 5ep',~ ;x•m+t is not regiured by applicable law, the warranty period will bogie upon the dale Ihai ,nslallal+at OI the seplx::;ystem contmonces. -.. .. ' ~ :P, t~ w:,•'ramy rights. Holder must notify Infiltrator in writing at its CorpOrdle FieadquadArs ut Old SaybrWk, OonnecliGUl within (Ita+m (1 SJ t'f 7CI I. l lit ator wll Supply rapaf:ement Urtits for Units determined by Infilral Or to be 0pverad by this Linlil?d Warr:fnly, .. l i v scxa+~:f.?Ily i_ eludes th(..os't of removal and/or inslallat,on of the Units. ?`rE tin,ll ~ EC WARRANII' ANp REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSNE. THERE ARE NO OTHER WARRANTIES WIFN RESPECT ! ?+1F ',1N!T S. INCI UDING NO IMPL'ED WARIa4NT1ES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. -~ i +r ; m,neci Warranty shall he void it any part of the chamber system is manufactured by anyate other than Infiltrator. The Limited Warranty daas ~'+c' exle~lC to ,nadental. consequonFiaL special rx indirect damages. Infiltrator shall noI be liable for penalties or liquidaletl damages. mclutling loss of vr-+ducu:?n a~~d profits. labor and materials. overhead costs, or other losses or expenses incurred Uy the Holder or any third pony. Specifically rc^.uderl Iron- Limited Warranty cgveraga are damage to the Units due to ordinary wear and Isar, alteraliat accident. misuse, abuse or neplgnl of ;'~ U'+it=: the Units being subjected to vehicle tratnc w other contlitions which are not permitted by the installation instructions: failure to maintain the mun~. gro~,,nd covers set forth vt the installation mslructions: the placement of improper materials into the syslem coot rnmg the Units. failure N , ,w llntls nr ;ne Septic system due to improper siting or improper sizing, excessive water usage, improper grease d+Spe9al or imprope, operaGpn, of n~ Alhn• event not caused by InfJtratgr. This Limited Warranty shall be void M the Holder tails IA comply with all of Ihn }firms sr!1 lonh m Ihis Limilec: ~Narranr. norther, m no e.2nt shah Inflirator be mspons,ble br any loss or damage to the Holder the Units. or any ;hirtl parry resulting Imm installation or ship nrrtt. or hem arty product IiabiNy claims of Holder or any third paM. For this Limited Warranty 7b appry, ihn Units must be installed in accordance ++.' all site cendnrons required by stain and Inpnl ccNieS; all other applicable laws; and Infiltralor's installation instructions. ^~ Np r~~premiitdlve. oI In(illralAr has the authonly 10 change or extend this Limited Warranty. No warranty applies to any party otllar Ihan the org~~ .,a:. R..IC~r x~ ~rtX+-'e 'efxeSenrS Ihr; Sfandartl thnilMf YVarranty ORerad by 7nldtralor. A Nrttited number of states and c'or:nliec have diHrirrxl[ warranty require- '~ c .9rn ourcnaser of Units shoultl contact InlAtralor'S Corporate Headquaners in Old Saybrook, Conne+ciicul. prior to such purcha':e, to oblam a ~~.A; y' ,~! •he anplicabin. wartaniy. and Should cart!flilly read that warranty priof 10 the pUmhase nl Uni1s. ' • SYSTEMS 1 N C Environmental Onsite Wastewater Solutions5" 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 • FAX 860-577-7001 800-221-4436 ie' tc ' RC6 ~ it r 041 5.156.488: 5,336,017:5,401.1 16: 5.401.459 5 5t 1 903: :,716.163 5 588 778: ,,839.844 i. '..3 43 ~?: 2.004 564 Other patents pending. 1 a. ' ouch. ,- and JdeWu?dt are mgslered trademarks of Infiltrator Systems Inc. InngralJ is a regislereri traclem ;rk in Rance. Intiltraior Systems Inr,. a'st: ;rede•rark In Mexico Contour. Gonlour S'.vlvel Connection, Microl_uaclting. PolyTuH. ~!IapLaCk. GhamberSpacer. Pos~ock. pulckCut, CiUICKF'lay ,7ECYCGEO PAPEP "~' ;'„~~ ~~ rrs °'ade+»arks of Infiltrator Syct4ms Inc- ©2003 Infiltrator Systems Inc. Prlnied in U-S.A QC11201H~-; :. SE(; I IUN VIEW Polylok PL-525 Support Stand Should you feel itnecessary to add additional 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 exterFtion pipe needs to be anchored to the filterhousing with one or two #~Q~X112" SS screws. -- Anchor 7 -2 Stainless steel screws through housing and into pipe. U se #10 X 112" _ ---------- 6"Schedule 40 Pipe Pipe rests on bottom of tank --- sr c>aoix coNCE ~cxt~E~~ri~t Stci''f1C ~'/~riK rlfAiN~ ~~ r~wNCR5Htr CERTiftC~-TtON FORM r o .,~ ~,8~,~-z'" Mtsilinz Address 1'rtsperty Rddt•rsa (p7~ .~ ~ , . ....: . (vtritkstian ergttired troth Plsnttinj Depsrimertt Wr s-i~x Cityl5tatt _._,,,~+~'~"'"~'!~''~~''~'~ - ~'~''ce! Id~cntiFcatioe 1~iumbts ~~. S'rd tie, sac. ,.1,~., Ta-9_N.R_~,vV, 'I"v+~a o! ~~ Prapcrty tacstion . _~___ Certiii~d Surrey 1~tsp p ~,, volwne , Ps~ec !~ W>trrsnry DrM M , Volunic . PaSe M ....,,.r-.._,-..._. Spce house ~ ycs C~ no L,ot 1inrs +dsnafitDie (yes Q ao SYSTEM MA1NT NAN~E trnp:opa! ws enJ t~es,inttaenatteeo~ > elttr sc pttc:rstee>?t coni0 tetsutt to ets pteettatws /atiwe t4 hsndfs w*fles parapet rris cnreenn:c cotesists o[ puetrp~st~ our the septic iselt e:~re7 three rests or soomr, :E »et:etai !fy a tsraatstd Pt++~ tAP6at ~ put into the raysetm cin a1Y'aet rite unction of tote iepne tent sa 3 trcatettCgt stake in the wane: dNpssa! aryatrtat. The prt>lcrry eswttre s~tess ttt subnur ttt St. Crois Zoliitt~ Dep~rntleYrt s.ctmfitstiort farlrt, tt{sfe+d 1-y the o•t+net :nd b~ ~ ntasse~ rtttmbcr, jtwnteymsn plw~gbcr.. tcstrip.d pivnnltrt or tlitrtgoed pumper.trfPriil~ alwt (!) tftr tisi-IMC wst~ewsserdixpossf svstcrn es in ~rr~r t~etitin~ cortdNioa atttt/rw 12) attr- tttaltecttos+ utd ptut~ap `if ttecsssary), alts teptit tuilt is lext i~ it3 !u)1 v~ s~uti~e. (1we, then uederstsnsd bays rssd tht aboYC rergttuerrtetus and rtRrst to attairttam the priasts sews=t; diapossl sYstam wuh the stan,duas set fw't~+. bsr t: xe br rite Oe:partntenr of Cu,nnts:ss ast0 tits ~tpatttrta~ut of Natetts! itasawn't:st, Slats of VJistawnx~n Cemi,Katsu++ stator wsJ,psttr'tysteen lean brth .*a,ntarn.d t>~ttit rte eetrnpieted snef resumed to rhr St. t•-viw Couw+y ~m.i+ta ®l4~ee w:tk~n 30 tlati` afsr~ vest eaatrs~tnru d+x. fo~~~bo~ OAYE O'1N'NF.R ~~~,~'!CA Qj~f ee!rti that sll lt3tetntnex net eta~> rcrt,n .re true w the best r-t my tote-) itttowtGti~,o t (ws} ern {are) the o.rrte:Ns) t:t the >•r, b +trttee teC ~ ~+,rrrAAay ekstl rsCOtxlsd in Rri;txar of Oastis Qllies. ~e~r.~a err r •we tr is • tyt re+~ ter pt~~ Any inGrwttation tMt is tees-tcpresrnaed stay result te+ the tslNtsty prcstner being revoked by i11e foam= pepsrnncnt. ••'• • • •• letrit.dt wish this teppiitatten: a t,tatriQCA wi.rratety tleeet Ytoro the RaeFistt:. tell Dserds affse s ttettw of that r:erttfk6 tAtevR7 map it tc4`cre:ttte is taatA in the wstssner 4sad POWTS OWNER`S MANUAL & MANAC3EI11{ENT PLAN Page of FILE INFORMATION Owner ~~ ~,,, ~ d Permit ~ DESIGN PARAMETERS Number of Bedrooms 3 ^ NA Number of Public Facility Units ^ NA Estimated flow {average! ~f S"4 of/da Desig,t flow (peak), (Estimated x 1.5i ~"Q al/da Soi! Application Rate allda /ft~ Standard Influent/Effluent Quality Monthly average' Fats, Oif & Grease IFOGI 530 mg/L Biochemical Oxygen Demand (t30Ds1 s220 mg/L ^ NA Total Suspended Solids {TSSi Si 50 mglL Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (60041 530 mg/l Tote! Suspended Solids {TSSi 530 mg/L ^ NA Fecal Coliform {geometric mean? 5104 cfut100mi Maximum Effluent Particle Size YB in dia. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIPICA'TIONS Septic Tank Capacity Q'©,C~ al ^ NA Septic Tank Manufacturer ~ ~- d' ^ NA Effluent Filter Manufscturer ,~~cl(' ^ NA Effluent Fiher Mode{ Pump Tank Capacity ~':Z$` al ^ NA ^ NA Pump Tank Manufacturer O NA Pump Manu#acturer f~-dA ^ NA Pump Model ~ ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Cell{sl ^ In-Graund {gravity) ^ At-Grade ^ Drip-Line ^ NA ^ !n-Ground {pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Service Event Servios Frequency Inspect condition of tank(s) At least once every; ~ e~ 8 s) (MaxMrwm 3 yeas! ^ NA Pump out contents of tank(s) When combined sludge and scum squats one-third tYsl of tank volume ^ NA inspect dispersal coil{si At least once every: ^ month(s) {Maximum 3 years) „~ ~' esrlgl ^ NA Clean effluent fiker At least once every: ~rr>onthls) /_ ~ yearlai y' ~! ^ NA Inspect pump,. pump controls & alarm At least once every: - U~month{a1 r ---.- ^ year{sl ^ NA Flush laterals and pressure teat At least once every: ' ^ month{sl ~-- ^ year{al ^ NA Other: At feast once every: ^ month{sl ------ ^ yearts) ^ NA other: ^ Na MAINTENANCE INSTRUCTIONS [nspections of tanks and dispersal calls shall be merle by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWYS inspector; POWYS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank{s! to identify a»y messing ar broken hardware, identify any cracks or Peaks, measure the volume of combined sludge and scum and to check for any back up or pondMg of effluont on the ground surface, The dispersal tail(s) shalt be visuaNy inspected to cheek the effluent levels in the observation pipes and to check for any ponding of affluent an the ground surface. The ponding of efftuent 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 (Y,i or more of the tank volume, the entire contents of the tank shah be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR 713, Wisconsin Administrative Cod®. Ali other services, including but not limited to the servicing of effiuant Piker§, mechanical or pressurized ~amponents, pretreatment units, and any servicing at intervals of S12 months, shall be performed by a certified POWYS Maintainer. A service report shelf be provided to the local regulatory authority within 10 days of completion of any servke event. •epo~ eni;esls-utwpy wsuoosiM '{E) ~ fZ) '{l-bB'S8 pue ff191P-tlligliZ)ZZ'£8 wuso~ se3deya yl!nn eaueildwao ut pa~esp aen~;ueumaop s~yl euoyd ewes{ 1 @uoyd ------- .. eureN (a3dWfid) aOlt/a3d0 E3NIOIAa3S 3~Jd1d3S il.LlaOfrllflV AlIO1V7f1D3l1 'TVOO euoyd eweN -... p~ry~v11~1YI! ailr~Va Y ~S' - ,G ' _ .! G euoyd ..r o-•~~~.'`r ~.'/!,'~ eweN ll311V18N1 81MOd S1N3WW00 iVNOIiIOUV '319i8SOdW1 a0 1'iflOiddlQ 38 AVW HN1~1 b d0 lIOia31N1 3H1 WOlId NOStl3d ~ ~0 311053>d '1'1~153>d AbW H1V30 'S30M/13Wflal110 JINV r934Nf1 ~Ndl 1N3W1V3>:Il l13H10 !!0 dWfld 'Ol,id33 b ~1N3 i0A! (fir 'N3J1-XO J.N3talddfiSNl !lOIaNV S33Stl0 1VH13'! NIb1N00 ~l1iW SHN1~1 1N3W1V31y1 a3H10 ONt/ dWf1d 'Ql1d3S < <pNIN~IVM> > •ewp ley3 le lea;;e ui sins ay3 y3iN- ~(idwoa lsnw swaisds yens ;o suoi3anslsuooea •aae~ns aniles;lllul ay; ;e ;ewoiq 8y3 ;a la^owes t3uinnoiio; scald ui pa3ansisuoae,t eq Aew swe3sds uoi3dsosgs pos epesB-;e pue punoll~ 0 • is ~lue3 s ~f ,~ ells p 8;15 1 ^ `~ •g jpppd pelts; eyi sae{des al 3sosas leaf a se pel{elsui aq stew slus3 Buipioy a df3olauyoe3 S1Mad ui saouenpe 6uuseg •suolisllusll floe so(pue ~loeg3as of enp algel!ene iou si ease luewaosldes algeilns d D •owli 3ey3 3s lama ul seiru eyi y3lnn didwaa 3snw ewe;sAs weweasidea •ease 3ueweaeldes efge3ins a ysyge;sa o~ uo~xeniene a;rs pue iros Meu a so; paeu ay1 ui linsas p!nn ease iueweasldes eyi loelosd of esnlied •s}ienn pue seug loi 'esn;ans3s pesodosd pue Bul;slxa was; s~iaeg3as pesinbes dq uodn peBu!s;ui ey Sou pinoys pus uol;aedwoo pus aauegsn3s~p woe; psalaeiosd eq pinoys ease ;uet.ueaeidas syl •wa3sds uw;dsosge qos ;uawaosides a ;o uoiieool eyl so; pezy!3n aq dew pue pelenlene uaeq say ease lueuseasldas aigelln5 d ^ :welsl~s lueweo4ldas 3ue!Idwoo epos a aplnasd o3 'ue~lel aq lsnw ~ so 'uaeq aney sesnseeus Buinnopo; eyi panedas aq louuso pus ells} S1MOd eyl ;1 N1d'!d AON3DNI1NOa •feiseiew piios 3.ieui sey3oue so lenes9 'iios y;inn path; coeds pion ay; pue penouse~ ssenoa nay; so penowas pue paleneaxe eq pays s;id pue slue; pe 'Bwdwnd se3;d • solesedp Bwoinseg eBs3deg s hq }o pesodsip dlsadosd pus panowes aq pays sl-d pue s~lusl Its;o s3ualuoo eyl •pelevs sBuluedo edld pauapuege ay3 pus pa3oeuuoosip aq flays s31d pue s~lue3 03 8u!d!d lid e :apop eniles3slulwpy wsuoos!M 'SE•gg wwap sa;deyo yunn aouelidwoa ui peuopuege Ella;es pus dlsedasd ~~ cue;sAs ayl iey3 esnsw o; ue~lQ; eq flays sda;s Buinnofio; ay3 aatnses ;o lno ue~iel ~lilueuewsed si so/pue siie; $~pd 9yl ueyM 1N3WN0ONt/8V •su!sq saue3;os salenn pue :suodwe3 :sul~ideu dse;iues :sap!onsed :s;onposd 6ul3uied ain auo!;eaipew adssas leatu aaptoigsey :asees6 :au!lose8 at3uf1aed aigeleBen pus llns; :se3enn (dwnd dwns) utesp uoilepuno; :3e; alueloe;u!s!p asede!p asol; lsiuep aseseasBap agenns uolloa awopuoo allnq el3eseBla aedinn Ageq aai3olgi3ue :S.LMOd ayl ;o a;g eyi Buolasd pue soustuso;sad eyi enasdwl dew weeds sa;enna;seen ay3 woe; f3uinnollo; ay3 ;o uoileuiw!ia so ual3anpa~i •ease uolldsosge pos epesB-le so punow due ;o edols unnop Sae; g l uiylinn ease ayl '3oedwoa so gsnisip estnnsey3o so 'seno ~lsed sa snap ;ou orl •sllea iessedsip pue s~luei seno salaiyen ~lsed so en!sp lou aq •~lue; dwnd ay; u!y;inn s~enal iawsou esa;see 03 slas3uoo dwnd ey; Bu!;esedo Aiisnuew ul ;sisse o; scale;ureyq g~,/ytpd so segwnid a foe;uoa so dwnd 3ueni;;a ay3 03 sennod Bu±so3ses o3 soisd solesedp Buiolnssg eBe;deg s dq panowes ~lue3 dwnd eyi ;o s;uaiuoa sy; aney uoi;en;!s siyl plane o1 •3uani;;a ;o eBseyaslp eoe;sns so dn•>loeq ay3 u! 3lnses dew pus {s}pao ay3 Buipeoiseno 'asop easel auo ul (slpao lessedsip eyi of pa9seyas!p eq l{Inn sa3ennalsenn sseaxe ay3 pesoises si sennod uayM •slenai seleMyB~y lewsou enage 1113 dew s~luel dwnd se8eino sennod Bwsnt, •soe;sns enilesili;w eyi 3e uezas; ass. suail!puoa floe ueynn snaoo ;ou Ileys do lee;s useisdg •esn o3 soisd so3t3sedo Buioinsas eSe;des a siq penowes Isl~lue3 eyi ;o slue3uao eyi aney pe3oalap ass suol3es3uao~o y6iy )I 'is>Ilea iessedsrp aye eBeusep so/pue sseoosd 3uewleas; ay; 8pedwi dew isy3 sleaiweya sey3o so slanposd Ous;vied ;o aouesesd et{; so; {sl~luel iuew;t:eli aloa4o S1MOd Q43 ;o esn o1 soisd 'uoi;aru;suoa nneu sod NOfiV313dO aNV dtl 111d1S ;o tread Pspo ___~ of START UP ANO OPERATfON For new construction, prior io use of the PGWTS check rr®atment tank{si far the presence of painting products or other chemicals that may impede the treatment process and/or damage tho dispersal cetl{sl. If high concentrations era detected have the contents of the tank{sl removed by a septage servicing operator prior to use. System start up sha91 not occur when soil conditions era frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwatar levels. When power is restored the excess wastewater will be discharged to the dispersal cellls) in one large dose, overloading the celllsi and may result in the backup or surface discharge of aff{uant. 7o avoid this situation have the contents of the pump tank removed by a Septaga Servicing Operator prior to restoring power to the effluent pump ar contact a Plumber or POWTS Maintainer to assist in manually operating the pumg 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 of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental doss; diapers; disinfectants; fat; foundation drain {sump pump! water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; ail; painting products; pesticides; sanitary napk}ns; tampons, and water softener brine. ABANDONMENT When the POWTS faits andJor is permanently taken out of service the following steps shah be taken to insure that the system is 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 ail tanks and pits shalt be removed and properly disposed of by a Septaga Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space fined with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the fallowing measures have been, or. must be taken, to provide a cads compliant replacement system: ^ 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 he infringed upon by required setbacks from existing. and proposed structure, lot lines and wens. Failure to protect the replacement eras will result in the Head for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in affect at that time. ^ A suitable replacement area is Hat 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 d site j~~ tank D 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 ruses in effect at that time. < <wARNING> > SEPTIC, PUMP ANO OTHER TREATMENT TANKS MAY CONTAIN i.ETHAI GASSES ANDIOR iNSUFFfCIENT OXYGEN. u:1 iVOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CtRCUMSTANCF-~5. DEATH MAY RESULT. RESCUt; OF A PERSON FROM THE tNTER10R OF A TANK MAY 8E DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Phone 7 / - _ ~ _ ~ POwTS MAINTAINER Noma Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REQULATORY AUTHORITY Name (dame ~'. C~v;x Cow,` Za ~ e Phone ~ Phone 7~5 - 3 $ (v - ~{ ~, ~'O This document was drafted in complisrrce with chapter Comm 83.22i2)ib){tiidi6tf) and 83.54(1}, f2i & (3}, 7Nsconsin Administrative Code. r ` SEPTIC TANK E PUMP CHAMBiR CRASS SI:C'I'iUN AND SPr`.IFICAT:CPSS u" C:.` V ENT PIPE 12 "~ MIN. A8t7V$ GRADE ~ ?' 25 ` FROM DOOR, WINDOW OR FRESH AIR INTAKE FIi~ISHED GRADE u" GI RISER Zg" IN. 6" MAX. ~. w. ~.. r. r.......+.. NLET _,.r..__._....~._~- ~..._,r•-, WATER TIGHT SEALS PPROVED IPE 3' ~ NTO SOLID b1l PUMP OFF ELEV . ____,FT . a~az~ERP~oof JUNCTION BOX APPROVED WITH CONDUIT MANHOLE COVER ;, ..,W/.;PADLOCK ~ -•.-.-~--WARNING LABEL ~ """'"•"""""`~..._.~,.,,.... 4 " MIN . ~~ `' ~ L 1 { { ~~ ~ GA5• ~ ,' ~` TI' GN T ~ ~~ PPRQVEU A SEAL JOINTS WI1'N _.1.,.. ; ALM APPROVED PIPE H ~ ON 3' ONTO T ~ ~ SOL10 SOIL ~ ~ *+~ RISER EXIT 1 OFf D PERMITTED ONLY if TANK MANUFACTURER HAS APPROVAL - 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER.: f,~'e.s~~„i ., NUN'.BER DOSES PER DAY: TANK SIZES : SEPTIC ,1~ t GAL. DOSE ,~ G S`a_ __ GAL . ALARM MANUFACTURER: ~l~,_ "'"'""" MUDEL NUMBER: ~ t- y __ SWITCH TYPE: mf r~ „ PCIMP MANUFACTURER : Ga /,~,,,_, _._._ ~"`"~ MODEL NUMBER : c ~/~,,,r,_, SWITCH TYPE: ,_ ~~r~ R EQU iRED pI SCHARGE RATE .,,_~,,,, GPM ROSE VOLUME INCLUDING GAL. F LOWBAC K : 1~ ~,,,,,,,, CAPAC III ES; a A = „~ INCHES = ,,;~~ GAL . H = ~ INCHES =,~„ GAL C = ~ INCHES = ~~GAL• D ~ INCHES = _ GAL . PUMP ~ ALARM WIRING P,5 PER ILHR 16.23 WAC VERTICAL AIFF£RENCE BETWEEN PUMP GFF AND T3ISTRI$UTION PIPE z FEET . . ~ _..__r__ FEET + MINIMUM NETWORK SUPPLY PRESSURE ~ FEET f ~ FEET FORCEMAIN X ~. FT~1LQ FTOTALIDYHAMXCAHEAD ~=~ ~FE£T INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH~______i D=AME".`ER ~,_,,,, LIQUID 15~~ 't~D '~ . ~G ,~ /~'l r 1 , ~ ~-_~! 1~.~[-..~--'' LTC£KSE NUMBER : ,=?~79~d DATE: ~~~ ~'+•~ SIGNED : ~y;•,- ~..w- "'~""""""'r.,"'" 1/88 [~. GOULOS PUMPS APPLICATIONS SpedficaNy designed for the foEowirrg uses: • Eilruent systems • Narrres * Farms • Heavy duty sump • Water transfer • ikwatering SPECIFIU1TroNs • Solids handling capaWiiry; '!~" maximum. • Capadties: up to 6i) GPM. • Total heads: up to 31 feet • Discharge s+te:1'h" ~iP'T. • Meehan""ticai seal: wrbon- rutarylcerarrrie-statkrnary, 81JlVA-N elastome-s. • Temperature: 104°F (40°C} continuous 140°F (60gC} Intermittent. • Fasteners: 3d0 series stainless ste2i. • Capable of running dry without damage to components. Mott~r: • EP04 Si le phase: Q.4 NP, 115 or 230 V, 60 Hz, 1550 ItrPM, built in overload with automatic. reset. • EP05 Single piaase: 0.5 HP, 115 V, 50 Nz, t 550 RPM, buihrn avedoad with automatic reset. • Power cord: 14 foot standard length,1613 5JTOW with three prong grownding plug. Optional ra foept length, 1+,~ sJtw with three prang grounding plug (standard on EPOS). ®2ooa Goulds Puanps ENective february, 2000 19871 • Fully submerged in high grade turbine aE far lubrication and etficic~nt heat transfer. Avaitabk for mutamatic an3 nrenual aperatr'on. Auto- matic models intiude Medranicai Fbat Switch assembled and preset at the IFEATURIES ~ EP04 hlnpelier. Therrnoplas• tit Semi-oxen design with pump out vanes for mechanita! seal protectbn. Submersible Effluer-t Pump 3871 EPOS ^ EP05 impeller: Thermop~as- tic endoseddesign for improved performance. ^ Casiny and Base: iUu~ed thermuplastac design pro s superior strength and corrosion resistance. ^ MaAWr Housing: Cast Iron for efficient beet transfer, strength, and durabttint. ^ Motor laver Thernwplastk cover with irKegrat handle and float switch attachment pdrrts. ^ Power Cable: Severe dory rated all and water resistant, ^ Bearings: Upper and iawer heavy duty ball bearing cunstroNon, AGENCY L15TING ~' Carrrdrn 3tihdudr Muodttion (CSA listed model numbers end in "F" a `C".~ courds~a+rvr is iSO Boot ~. Metfas ~~ _ _ . _ .._. _., . ., .. _ __ tp _ ... ,....., _..... ""~ ,, . .. 9 30 ,-~.:,,, . , _..., r _. _ .... ; zs r~ e zs t; to.. _ _ ~ - . 5 .. A . ... ...-..... .. ~.... r »~........ .~.- ,. 4 _ _ ..;, _ Er~p5 ~. ~e... ~ . s, __ _ . _ .. _. p pL t G 2C 3li 40 50 GPM p 1 d 6 8 1 p 12 m'!h C/-ppttrv G,,~ou~ lds Pumps ~~;,~ I"f'T industries VZ~g~ ~P. IZa STATE BAR OF WISCONSIN FORM 2- 2000 WARRANTY DEED THIS DEED, made between Kernon J. Bast, a married person, Grantor, and Kernon J. Bast and Donalda J. Speer-Bast, husband and wife, as Survivorship Marital Property, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin: SEE ATTACHED EXHIBIT A Recording Area 750940 ~~ KATHLEEtI H. 41ALSH REGISTER OF DEEDS ST. CRQIX CO., iiI RECEIVED FOR RECORD 01/07/004 12:35P11 IiARRAHTY DEED EXEMPT # 8M REC FEE: 13.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 2 Name and Return Address: Edina Realty Title, inc. 400 S. 2nd St. -Suite 115 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights-of--way of record, if any. 412540 20-1027-40-000 & 30-000 8c20-00 Pazcel Identification Number (PIN) This is not homestead property. Dated this 6th day of January, 2004. * emon J. Bast AUTHENTICATI rOw(1 Signature(s) C+heC~ b~~C authenticated this 6th day of Jag TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Edina Realty Title -Doug Berg 400 South Second Street #i 15, Hudson, WI 54016 ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this January 6, 2004 the above named Kernon J. Bast, a married person to me Irnown to be the person(s) who executed the foregoing instrument and acknowled the same. ~ ~~~ *Cheri Brown Notary Public, State of Wisconsin My commission is permanent. (If not, state expiration date: 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) 'Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 ~ 2`I87P 121 EXHIBIT A The NE'/. of the SE'/, and the NW '/, of the SE'/., all in Section 15, Township 29 North, Range 13 West, St. Croix County, Wisconsin, EXCEPT a parcel described as: Beginning at the E'/, corner of said Section 15; thence South 00 degrees 47 minutes 33 seconds East, along the east line of the SE '/, of said Section, 407.27 feet; thence South 89 degrees 08 minutes 15 seconds West 535.46 feet; thence South 14 degrees 10 minutes 34 seconds West 93.31 feet to a point on a 80.00 radius curve, concave southwesterly, whose central angle measures 25 degrees 34 minutes 33 seconds, whose chord bears North 54 degrees 32 minutes 33.5 seconds West and measures 35.41 feet; thence northwesterly along the arc of said curve, 35.71 feet; thence North 14 degrees 10 minutes 34 seconds East 76.12 feet; thence North O l degrees 07 minutes 26 seconds West 400.07 feet to the monumented south line of Certified Survey Map recorded in Volume 1, page 217 at the St. Croix County Register of Deeds Office; thence North 88 degrees 51 minutes 13 seconds East, along said south line, 570.78 feet to the point of beginning.