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HomeMy WebLinkAbout020-1417-90-000sconsin Department of Commerce PRIVATE SEWAGE SYSTEM safety and Building Division INSPECTION REPORT GENERAL INF©RMA`'I•ION ` ~ (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Glen Johnson Construction Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: os•~5 ~3~z G TANK INFORMATION (): ~S TYPE MANUFACTURER ~ a~ CAPACITY Septic , C• ~ a ~c, BLS Aeration Holding TANK SETBACK INFORMATION en o Ir n a e L w~~-- ep Ic i 7 25 ~ 5v ~ ~ ~~ ~ osing era Ion o Ing PUMP/SIPHON INFORMATION anu ac urer eman GPM o e um er I nc Ion oss ys em orcemaln e g JVIL HC3.IVKF' 1 IVrV JTJ I CIVI ELEVATION DATA County: St. CrOIX Sanitary Permit No: 488150 0 State Plan ID No: Parcel Tax No: 020-1417-90-000 Sectionlrown/Range/Map No: 20.29.19.2647 STATION BS HI FS ELEV. Benchmark ~ •U ~'t. ~~ /~. ~S Alt. BM ~~.~. C 3 •`S ~d~ . i Bldg. ewer t/Ht nlet S• ~~ / ~ t t ut et 5, 75 ~d S . q J t net ~ ~ 0 om ea er an. Is . Ipe .o ~dZ.~-3 o . ys em ~a . at /a/- ~3 Ina ra a ~' ~ /OS •`S over F: ~~• 3.55 as • ! DIMENSIONS ? f `J •~'~'' Z• ~ ~E.w ( ~ t~y,~ _`" •` INFORMATION CHAMBER OR J~,~ ` ~ ~~y~, // ~ }Q vwrRrovrrvi~JIJIGrYI ~ ~~,., ZZ a- zZ _ `f~ d~ad-~S ~ /' r'! 4 Pipe(s) ~ ~ ` ~ ~ ~..ri k nr.~T Length ~6 Dia Dia Spacing Length 3t G(b rv~- JVIL V V V GR x rressure aystiems vmy xx rvlounu Vr NL-V rOUC J~/SJ1C111 S! VIIIy Bed/Trench Center ~• ~~ ~ Bed/Trench Edges ` Topsoil \ _ ~ yes 'i No ~es ?'; No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /_ Location: 454 Wren Lane~d~on, WI 54016 (~ 1/4 NE 1/4 20 T29N R15W) The Glen Lot 53L 1.) Alt BM Description = ~ •~_ ~~ ~•~~ ^'S ~ a~ 2.) Bldg sewer length = b -amount of cover = / ~ ~~ 7 Plan revision Required? ~ i Yes ,No 1 Use other side for additional information. ~ (~~' ~~ ~ -Date- ~ ' SBD-6710 (R.3/97) ~nspecuon Utz: i i `Parcel No: 20.29.19.2647 a ~.. ~~~ . No- ~ ti ---~~ Sttfiety and 9uildings Division 201 W. Wtlsbutgton Avo, I':O, Iiox 71bZ ~ ' County 1 ~~CY~~ t ` ~ j Ma u, Wi S37U7 - 7152 ag)2(f6.315I Dap rner ~ ~ Santtan Peatnit Number (w be filled in by Ca.)~ J /$~-~~~ ~. _ '~ ~S~ta Permit App ' a~~~ ,~-. ~ ~ State Plan LD~ Number _____ ~'~~`~ ~ c rr i to 83.2 ,Wis. Adm. Cade, persona! info ~ rovidG /v~- may br used for endary putposts Pnvacy Law, s 15.441 t Krn} - LINTY ~ Protect Address (if different than mail:n~ address) t ( I. A plic 1an n ortnation - PI riot Atl Informstion Pmperry Owner's Name ~ ~ Parcel k L Block H Fropetty C}wt;er's'.vlatlfrag Address ,~ -~~ p party Location ~ ~ < ~ i _~. ~ ~ St1tc Zip Code Phonc Number ~- w 'l., ,~L• Y., Se~:non o2 , ~ ~....~~,., ~O~`.___~~ _ j .-.~~y.~.~ ~5.:' ~~ ~.Z~Q IT 7 a circit yam) ~ ~~ l ~ T `l . yp 0 of Btrilding t;check s!1 that apply} ~ ° 3 Ix~Cv+,g ~~+_: C S N; k E or6}/ f ~i or 2 Family Dwettinq _ Nutnbrr ofBedrrurna / F ~__._._._.~ ~ b~ _ Subdivision Name CSN, Number 1 ~ Public/Commercial ~ Describe Use -y j / /~ ~ ~~ ~ ~ ~ _ _ ' 1 / U State Owned - I)escribe'll,e Z- ~ ~ bd^, l~,l\5 ~/ 2 Z~- Z3 ~S QCity-r~Vii{age~'Tov<'nship oi~.~~ 'j TII. Type of Permit: (Check only o>te box on line A. Complete liver. 6 if ap~Iical+tt) ~ - - -- A p Zb _ ~~// 6 D 6 7 ~2t~" . i ,New System L Replacement System ^ 1'reatmenUHolding Tank fteplacemant Onfy .._ ._.. __._ C] t7thtr Modification to Existing 5~fsten; i ~• %a Perrnir Renewal ^ Permit Revision Q Change of ^ Permit Transfer to Neu List Previous PetYrrit Number artd Date Issued i Qefore Exptration ~ ~ PiurnbE;r Owner - ['~'. T ep of PCIW"I'S SYSiem: (Chalk al! that app~ yj -- - _ _~" --- _ Non -Pressurised In-Ground Q Mound > :4 in of suitable soil Q Mo•.titd < X4 in of suitable soil ^ At-tirade ~~ ~~ ~ 1 - Q Stnglt Pess 5nnd Filter Q Construck;d Wetland (! Pressurized In•Graund r) Holding lank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter i? Recircuiaun S ntheuo AQedia Fitter f.Jeaching Chem6er ^ I)ri Lr I-less Pt Q Qther (tx lain) ~ - - - V. Dis ersaUTreatmentArealnformttian: ,'~; _ Ursign Flow (gp~'; Design Soii Application Rat~je,(gpdsf) Disperse rra e~uirecl (s~ la1E~EX9a1 AIG6 P;oposod (sf) System Elevation ~~' // a ti7. Tank Info Capacity in Total Number Manufacturtr y Prefab Sste Stetl Piber~ P)astic Clallons Gallons of tiniis Concrete Constrttcttd Glass + isaW ~3 ' ~ Septic or Holding Tank Tanks Tntks - w Za Q- hod _F, I / w-•---1 Aeobic Tteatrnent tlnit ----_...._.___.~.__ I . Uoshnl Chamber i v /~.- {~ Off(, s` _ '~'9 6'8 a" ----- ' VII. Rcs onsibility Statement- f, the undcrslgned, stssame n:apoasibilitr for ins iarioa of the POV1"fS shown os the uttuthed pleas. _ Plumber's Narr+e {Print) Plumber's St nature -~~{pR3 Number >r SusineDS Phone Nambar PlumhePs Address (Street, City, State, 2'rp Ccde) w ! Ir--- ,-,` ~-1?~ _ 1~ ~Jr- ~iE!~~ly L~J r .~J YQ'l d / ,v Cotsn ~ID~attment L)se On~v _ Approved T+~ ~ M~~~~ er ~,•,,,~_~_ an far U ial ~ -Sanitary Permit Feo (incltu±es Groundwater Surcharge Ftt) ~ ob ~ y _~ I?att Issued ~Z7 D(p ~{ lssui Agent Si na (?Jn a s ~ i ~ ___ , 17~. (..ondthons of Approvu!/Rcesons for Disapproval SYSTEM dWNER: 1. Septic taMc, efMtlent fester and dispersal cell must all be services /maintained as per management plan provided by plumber. 2. AH setback requirements must be maintained as per appgcable code /ordinances. caroplek p[~na (to 4.,~1t~'-- ~.Y, ,nn le. ~.~ ~, o,n~ca t..~~c.,r~. !ur the eyetera gun paper nut kse Man 31/2 x 11 tachn in size r sBn-d~~s i~. o~io~~ ~~, l ~cd ~ .~ / `~ y~ ~ ~~ l ~o?~~.~ l6'4 ~ %.~ .~ ^ -~ l/~~,~o~~ 1r%~ ~a ~~'9D y~~Y~D6' ~ ~~ T~~ ~ ~s~~c./ ~`~Ca~~ ~ ~=Yd! .~ y/may/o~ ~ ~ L~ ~~3 N S Wiscaortsin.Department of i~ammerce ~ SOtL EVlo-LUAT1O~l REPORT Division of Safety and Buildings ~ accordancewith Comm 85; Wis. Rdm Cade. Attach ete site County canpl Mari on paper not less than 8%: x 11 inches in s¢e. Plan must include, 6uf not limited"fo: verticaland rrorizonfalieference point (BMj; direction and peFeent slope, sale-er-dimemsions; nedh-arm aAd lesaticu~apddistance tanearest road: Parcel ED. Please prrintalFinf+amraban: R ~ $y Personal information you provide may be used for secondary purprues (Privacy Law, s. 15.04 (1} (m}}. Property Qvmer , ~'•~' r - ~ Location. 1155 page 1 of 3 Steel Soil Service St Croix Date ~~ O Sienna . Corporation ° ° ~°" '~ Govt Lot NW 1l4 NE 1/4 S 20 T 29 N R 19 W Prepetty Cs~ttAdd[egs - Let; Block # - Sttbd:lVame ~ C~# ~~~ Ll;t C_ 494E} Vilking Dr. Suite S08 r ' ~ ~ ? ~ ~ ~ na The Glen City. State. Zip C e Phone Number _ ~ City Village ~ Town. Nearest Road ,t'ct'i%?GZ A1115t~ 554 S .. , ~ " , -F_ kladsert ~ Ca~nichael Rd. w +, ~ ~'P New Construction DSe= ~ Residential t Number of bedrooms- 4 Code derived design ftndr-rate 600 GPD ~lacemertt Public or commerciail-Describe: Parent material Pitted ouiwash Flood plain elevation, if applicable na General comments and recornmendatiorrs: System elevation 100.65ft, trenches spaced and depth to code 5,OOR bebw grade - ~ ~ ) 7 I Boring # _ Boring ~ + ~ (._ i r Pit Gratmd Surface elev. 105:65 ft. Depth to limiting factor ~• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ *Eff#1 `Eff#2 1 0-15 10yr3/3 none I 2msbk mfr cs 2f .5 .8 2 t~2- 10yr4t4 none sict 2msbk mfr cs tf .4 .6 3 320 7.5yr4/4 nno E ~ . (o' I rr osg rnvfr cs na ~ 1:6 4 60-96 7.5yr416 none ms osg ml na na .7 1.2 tJ y ~. Burin 2 Borrn9 ~ V` Pit- g GrorrrKt Surface elev. 105.65 ft. Depth to limiting factor ~ n-- Soil Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ 'Etl#1 "E1i#2 1 0-14 10yr3/4 none sil .2msbk mfr cs 2f .5 .8 2 14-96 7.5yr4/6 ~ CJ ms osg mt na rte ~ 12 ~ S` <~/~,0 <, ~OH~~(o" ' Eftluertt #1= BQD ~ 3Q < 23.0. mgtLand TSS >30 < 15Q mg/L • Effluent#2= HCDS< ~ mg/Land TSS <~0 mg/L CST I+F~rieEPlease Prim} Signature: CST Number David .~ Steele ~G`_'~~~~~~ c~ 248956 ~~~ 3teetSal Services Date EvaldatiarrCcxrdneted- Tek~hone Number 1564 CR GG, New Richmond, W 154017 9118/2002 715-246-5085 P r QHtner. Sienna Corporation ParceltD# Pending Page 2 of 3 ( ~''( ~ ~ N Boring # '_ ' ~~ . i~2:30 it: Depth to l factor imitin 120 i g 1 iI± Fit Ground Surface elev n. Sod Applicatron Rate hlorizorr Depth DaminentF.oler Redax Description Fexttxe Strnettxe (3onsistence Bermdery Roots GPD/ft2 "Eff#1 "Eff#2 T 0=28 'fUyr312 none sT 2`ms6k mfr gw 2f .5 .8 2 2$-4~ 'f9yr4t4 .--- none sicF 2msbk mfr cs 1f .4 .6 - 3 4~ 12fl ~.5yr414- none U osg n~vfr na- na ~ 1.6 1' 66 ~" n /~ ,,MM r-`~ ~ ~ Q:,~k.Y~'-vn~ !Boring # BOnng- .. .. ._. _ 'Effluent#r= Bf1D'~. ~<~rng/t andTSS>3Q c~~ "'Effluent #2= BOD$<_30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Borinsi # "Boring- _ _ _.. .. ... _ Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna Corporation New Richmond, WI 54017 Lic. # 248956 NWl/4,NE1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 The Glen lot # 53 This soil evaluation was conducted. to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established. at the time the soil. test was conducted.. Legend 1" = 40' • = Benchmark El. 1 OO.OOFt Top of 1" steel pipe . =Alt Benchmark E1.103.15Ft I ~7, Kb Top of/z" pvc pipe ' ~' ~`y o =Borings ~on y Boring Elevations f'~sr"'`" B1 = 105.65Ft B2 =105.65Ft '1' B3 =102.30Ft B4 = OO.OOFt F~ /oz~ yo~+ ~~. /03. L5f ~. ~ lpSGS~r .s~' S~ h o ~9 Jc~ s ~,~- ~2 ~ ~ ~,5~6 SI oPt N ~~ IUD ~~~,~„~ ~- -~v ~~3,3~ ~I .~QS ~ ho ~~~~ N I ' _-- I ______ !~ 1 _ _ _ __ ,. - I ~~ ~ :~~ ~i _' ~ ~~ ,,. ,.. 55~-h _._-- ~... ~ f + ; ,.., _ ,.. ... . ~.• . _ -- _~: _, ... ' .- ! ,` . ,. .. _. _ ~ ~yJ •" . - g Gc ~,.r.: __ .... ... ,~+~. ~ ,. ~. ~.- ~' r .., q ~7 ~.~ ,,. r ... _._ . _ i -- - i ' . „.. ,_ _ _ '_ -_ ~ O ~~ ~~~ ~. f .a ,-~~ •~; t / -- --`-`c/1 417.' ~ ~ .>:~,:- ill t r _ • \,,• ~ ~ t ,III., ~ ~~.'~~/ x ~ t }It ` `, 1\ ~~ •r,r J ~ ^ ~ //;' a _ - ~'''" -- ~ ~ is ~ ' ~~~ ~ ~-'= -------- ! ,: : , ' ~ - 841 - _,~ ~ f ~ .m • f - y Y~ t r~ t~-.' - ~~ - J .. `.. ~` , ±~. t. 8~ : ~ ~~ 1 _. I r ~ ~ ~ . - a ~ ~ ~. , i ~_ 146 , . .. ~ 7 - `.~~ t: ,_ 1 .. f- - Y . ~ ... ... - 1 + .. t _ .. ... 1 _19 ~ 1 ` at .. . /r~ ~------~~ ~.,, ~~^ ~ ,r r•. . I .-, ~, it '~ _a - ~ .' ffr `./ / ~~r 1 ... .~ .~i%' 'a - ...~ ~w i ; ~. ~ 1 ,,' i '~ '° %• ' ~' \. - - `345 ..~ m _ ' r / - 5 , „' '' , 1- < s~ + s 1 . - S~ \ `. ~ 6 1 _ _ ,_ f 1 \ ,. _ _ __ ___ f 1 6'Z ` r y . ~. - I .. + ~ i' 1 „ ~, a ~\:• r 3~ - 696 ,, a - y, ~ 4 ~ .. _ - ''? ~ _ . f .. ~ •~ y, ..~ L t 1 ' .1 (, , .MJyJ• r 1 1 ~\ , 11 i t,i1 •aa !iJ 1. .. + - - N tr t " .. 1 ,. ; -• / / J • / 6 : 1~ , 39 ~ ~ f a x t - , rt~ ~. ".. .. - '.VVVV ~ r a ~ ' } #V VY .- • ~ ~ / + y ` N ._ ~~.--_ a , .a~~ . - ~: .. _ .., . ... _ ' c r + t i 1 i ~+ 5~. ~ •i a'. 243 t/ -.138 "332 `lam 1 ..~~ ~9 • ~.. ~ I ~rl 1 r tr ~ ~IIII~1 ~1 : 1 ti. ~ ~', f - `* 'G' f ~ 1 ',' i I f f! as ~. ~ ~ + ^ . / .. . ..~ , f ` ` t .. ~ +rt. •, ~_ ~ ~ I ~ Ir ~• ~:, , ~t .f , r y 1 tas I ill ,. ', i 1: -''~, ~- f .\ ~, +<, ~ r it ~ '' L-------------j~ r, .r• ~. rti.Ftl .~, f '~` ~ Iw11 1; +\ ~+ +' iir i t .,~rf. `~,~ N,', r i;ilt ~.1;\. JiI :t!11 i \ t+•' - +/i_;1;11 •~` ~ 1 1 t ~• \ , 'fit / fl.. 1. 1\ \ __-_ ! illl I1 ' i __ .;, ,~, ~, , . a ~ I _ _J~ ~ ~ tt tt. ~~ b 13 ~ f ~,' ,' ,~ t~ +1 ..~ .ili ~ , x,141 ,; , 1 \, \ • 1 ', t 1 , ;'~ i / 1 ' \ ~.,1 X111 ~f ~i 1 ; / ~. ~gg yamy` i l ~ 1 1 1 1.1111 ,III .1 11 / ItI ll .. wscpnsin DepartmentnfGnmrrrerre' SOtL EVALUATtO1+>1- REPORT Division of Safety and buildings in accorcfance v~ith Comm 85 vVis err Gode Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must Gourtty include, but not I'imdedfo: vertical andlioriiontalieference point (Bfi?J, erection and pereentslepe, scale-er dimensions; noAl}arrew; aad k~catioaandd"~stanse tanearest n~ad .Parcel I.D. Please printaltirrt+arrnalyorr. Reviewed By Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) {m)). Property.Owner i'r~erty location 1155 Page 1 of 3 Steel Soil Service St. Croot P~ Date Sienna. CorRoration Govt_Lot N1~1t114 NE'L[4 S "20 T 29 N R 19 W Prop~erty.Owr~'s Meiling A~ress ~ stoetc ~ Subd. Name ~ aster .4940 Vilking Dr. Suite 608 53 na The Girt City State Zip Cade Phone Number City Village. Tovm Nearest Road ~~~i=ru Ai1M~t 55435 952-835-2808 Hudson Eanrtichael Rd. /: New Construction Use: i/ Resicierrtial /Number of bedrooms 4 Cade deri~i design flow rate 600 GPD Replaserne~nt Publiaor corrurrerciat-Describe: Parent material Pitted outwash Fkxxt plain elevation, fi applicable na General r~rnments and recmrrmendations : System Elevation 100.f>5it, trenches spaced and depth to code 5,OOft bebw grade t3onng ~ Bo[rng ?/ Pit ground Surface elev: 405:f15 ft: Dew to limiting factor ~ in. ~ qp Rate Horizon Depth Dominant Color Redox Descriptian Texture Stnscture Consistence Boundary Roots GPD/ft= *Eff#1 *Eff#2 1 0-15 1 Oyr3/3 -none 1 2msbk mfr cs 2f .5 .8 2 15=32 t0yr4/4 none sict 2msbk mir cs 1f .4 .6 3 32-60. 7 5yr4/4 -none -cos osg mutt cs na .7 1.6 4 60-96 7.5yr4/6 none ms osg mi na na .7 1.2 2 Borrng # Bor ~ ~ - ' ~ Pit Ground. Surface elev. Ft?5~65 ft. Depth to limiting facto in- Sod Appt~atron Rate Horizon Depth DoninantCdor RectoxDescription Texture Structure Consistence Boundary Roots- GPD/ft2 *EtT#1 *Eff#2 1 0-14 10yr3/4 none sil 2msbk mfr cs 2f :5 .8 2 t4 96 7:5yr4i6 none ~ asg mt na na .7 1.2 tittuent ~1= t3w ~ 3u < ZZO mglLand TSS>30 < 150 mg/l_ * Effluent ~2= flQDs< g0 mg/L and TSS < 3p mg/L GS'~ Name{Ple'ase Prirl4} Sige~ure: GST Number David 3: SteeF ~~ 248956 Address Sleet"Suit SeNit~ Date EvahtatiorrConducted Telephone Number 1564 CR GG, NewRichmond, W1540 7 9/18/2002 715-246-5085 • pry Q Sienna Corporation paz~ ID # pending Page 2 of 3 • ~ Boring # • -__ ~~ . ~j ~!j Pit Ground Surf~e ele~r. lOZ.3U ft: Depth to limfingfactor 120 in- ~ gPpi~~n Rate h Horrzon ept Dennnent Eslor Reflex-Desenptrorr texture Straettire Censistenee Bedndarlr Roots "Eff# GPD/ft 1 *Eft#2 r Q-2s royr3rr none sT 2msbk mfr gw 2f .5 .8 2 25-47 'tE)gr4/~ none sici- 2msbk mfr- cs 1 f .4 .6 3 47=f2Q 7.5yr4/4 nee eos osg mv# tta na .7 D 1 1.6 Boring # Borng _ - ' Effluent #1 = BOD 5? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS<_30 mg/L and TSS.<330 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or „Boring # Pit 6rottnd Sarfaeeefev: fL Depth to limitingfactor irL Sod Ap~ication Rate Fforizon Depth Qominant Cator Redox Description 7exfure Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 Page 3 of 3 s ~ r ' STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna Corporation New Richmond, WI 54017 Lic. # 248956 NWl/4,NE1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 The Glen lot # 53 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' • =Benchmark El. 100.00Ft Tap of l" steel pipe • =Alt Benchmark E1.103.15Ft 1 y7, yd Top of/:" pvc pipe o = Beings ~° NOQ` ~ l L Boring Elevations f,~sr-`"' Bl = 105.65Ft B2 =105.65Ft 1' S3 =102.30Ft B4= OO.OOFt ~~~ N8' J ~ s ~'~ f t- /02..~r ~"` 2 ~ t't ,o' ~, ~ /o~~~~ v ~ (,,~ 6 Pt ~' ~-~ ' ~ o~ Gs ~r I ~3.3~' ~~ ~a .y~ ~ as ~ ~~ ~~ ~- ~~ ho ~ 1~' rnui~i .~u-IUrwKCrc r~ui~ItillVU rrut Nu. : (1JJtibJlGl aep. '`-- ST. GRoItX COUNT' SEPTIC TANK MAYN'I'LNANCE AGREEMENT AND OWNI3RSHTP CERTIFICATION FORM /~ ~ 4 Owntr/Buyt:r . y ~~.n --~y~1~-~.("1~~/_7~Y1 ~~1~1 c.~-i l C Mailing Address ~ 3 y ' ('~__ (~~, -~,t[~e~"~ t~~ ~~lS`~1 ~p -_ Property Address ~~S `;~ ,~r~..rJ ~N~ ...~~.- -- (VeriTicationrequired frnm Piantitig & Zoning Depareaaai for sew ooasiruction.) CitylState (~,~ ~ ULT. Parcel Identification Number D Zd - /y 17 w.`~U_~ ~ LEGAL DESCRIP'Y'ION Property Location NyJ'/. , ~'/. , Sec, ~,, T ~9 N R I~W,'fowu of ~,~~~~~ Subdivision ~-~ ~'1 ..~ ~ , I,ot # . Ccrtliicd Survey Map ~ Volume . ......^...~ Page # warranty Deed # !~' c3 2 !3 ~ , Voluma ~~5-~ ,Page # 33 ~ Spot house yt:s Lot lines idtntifiablt' ~ no SYSTEM MAYNTENANCE AND Q,~'~'~~R C~~T,~F,~~AT~ Ituproper use and trtiaintr+arurce of your septic system could result in its prcrnature faittiro to handle wasua. Proper maintenance consists of pttmpiag out the septic tank every three years or sooner, if neadad, by a ltcensod pumper. What you put imo the system cui affect the function of the septic tank as a oreatmeni stage ~ the waste disposal system. Owner maintenance responsibilities arc specified in §Conim. 83,52(1} arn1 in Chapter 12 • St. GYoix County Sanitary Ordinanca. 'F'hc ptvpcrty uw~wr a~roes~r to submit to St. Croix County l~lantiitig & 7ot-ltig I)eparirnerit a c:erClf9aation form, signe~(t t,y the owner and by a mrater phuiober, jotttlioyman Ylumbe:r, restricted plumber or • liconsed pumper vetrirying that (l) the nn-site wuxtewatcr disposal system i3 it1 propel operating coriditiva and{'or (2) after inspactictiti and putttping (if noeossary}, then septic task is less thstn 1/3 full of s}udge. Uwe, the und~ersigoad have read the about requirctneats and agree to maintain the private sewage disposal system with the s~ndards set forth, herein, as set by the Depamnant of Commerce and the Dapamnent of Nattual Roaotucos, Stata of Wisconsin. Certification statiu~g that your septic ryseem hss been maintained must be cotnplated acid rcttuaed to the St. Croix t^owlty Planning & Zoning Dcpactmant within 30 days of the three yoar expiratic~t date. l/wr certify that all statements nn this form axe true tv the beat of my/our lcnowiedge. tiwe ardare the owner(s) of the property describod above, by virtue of a warranty deed recorded in Register of DnedR pfliee. Number of bedrooms .3-- y ~- SATE SiGNA OF LICANT(S} i"Any information that is misrepreseatad may result in the sanitary pcnnit being revoled by iite Planning &L,oning Department. "' Include with this application a recorded waaanry deed from the Register of Uaeds Office arul a copy of the certified stuvey rrmp if rcferonce is trade in tin: warranty deed. (REV, 08!(15 U, 2856P 336 Document No. ~ II STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED SIENNA CORPORATION, a Minnesota corporation, conveys and warrai GLEN JOHNSON CONSTRUCTION, INC, a Minnesota corporation, the following described real estate in St. Croix County, State of Wisconsin. 6~ 2 1 3 9 KATHLEEN H. tlALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 08/03/2005 10:00AM WARRANTY DEED EXElPT # REC FEfi: 11.00 TRANS FEE: 285.00 COPY FEES CC FEE: PAGES: 1 NAME & RETURN ADDRESS SCENIC TITLE AND ABSTRACT, INC. 220 LOCUST STREET, STE. 1 HiJDSON, WT 54016 FILE # ~~ Tax Parcel No: 020-1417-90-000 r Lot 53, Block 6, Plat of The Glen itti the Town of Hudson, St. Croix County, Wiscpnsin This is not homestead property. Exceptions to Warranties: Easements, reservations, and restrictions of record. Dated this ~ day of ~'v N E , 2005. (SEAL) SIENNA CORPORATIO Minnesota corporation (SEAL) Marsha A. Pierce Assistant Secretary AUTHENTICATION Signature(s) authenticated this day of 20_ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06 Wis. Stats.) This instrument was drafted by: Sienna Corporation ACKNOWLEDGMENT STATE OF MINNESOTA } }ss. Hennepin County } Personally came before me this X30 day of BTU tJ E , 2005, the above named Marsha A. Pierce, the Assistant Secretary of Sienna Corporation, a Minnesota corporation, on behalf of the corporation, to me known to be the person who executed the foregoing instrument and acknowledge the same. Catherine M. Thornhill, Notary public 4940 Viking Drive, Suite 608 Notary Public of Hennepin County, Minnesota. Edina, MN 55435 My Commission expires January 31, 2010 Signatures may be authenticated or acknowledged. Both are not ® CAIHERNrEta.THOt~HILL necessary. WOTAI4Y iPUBt,K+- IAINNESOTA 1Ar Oaan~lnbn ~ Jn 91.2010 Names of persons signing in any capacity should be typed or printed below their signatures. 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'' , • , • ,I~ ^~ ~• ~ • ` ,' • ` • ~ , ~' ~ ~ ~ ~~ ~ ` • ~ • ~~ •~ , ~ ~ i~ ~ ~ i •, ~ ~ 1 .~'' . *~ j ~. . , ~ . ~'~ ~ ~.~,~, POWTS OWNER'S 1VIANUAL Et MANAGEMENT PLAN wage of ~I~N------.-._~ ~ ~ ~ ~ SYSTEM SO!`r1~Ir!errnue Number of Bedrooms ^ NA Number of Public Fanility Units .~^ NA Estimated flaw {average) ~ ~ ~ gal/day Design flow speak}, (Estimated x 1.$} ~~^ d Q i - a /day 5oi1 Application Rate -- Standard Influent/Effluent Quality u gal/daylft2 ,Monthly average" Fats, Oil & Grease tFOCsi ~ 530 mg/L Biochemical Oxygen Demand (BODri ~ 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average 9iorhemicaf Oxygen Demand IBOD~- S30 mg/L Total Suspended Solids ITSSI 530 mg/E ^ NA Fecal Coliform igeometric mean) 510° cfuJ1t}Oml Maximum Effluent Particle Size YB in die. ^ NA other: "- o NA "'Jahres typical for dumrtetic wastewater and septic tank effluent. Septic Tgnk Capacity ~ ~„~S-~j al ^ NA Septic Tank Manufacturer _ W ti ~~ ~~_ ^ NA Effluenx Filter Manufacturer Z~b ~~ ^ NA Effluent filter Mode! ~ (~D ^ NA Pump Tank Capacity g Q ~ ~ ^ NA Pump Tank Manufacturer >~ ;~ S~ ~ ^ NA Pump Manufacturer G ~ u.~ ~ y ^ NA Pump Made! DNA Pretreatment Unit ~~ DNA D Sand/tiravel Filter ^ Peat Filter U Mechanical Aeration ^ Wetland ^ Disinfection -- D Other; Dispersal CaU{a) ~ ^ NA O In-Ground tgravity) ^ In-Ground Ipressurizad) C7 At-Grade D Mound ^ Drip-Line ~~~ ^ Other: Other. ^ NA Othsr: "- _~_ ©NA Other; Q NA Service Event Sarvlca Frequency Inspect condition of tank(s) At least once every: month{8) ~( years) {Maximum 3 years- DNA Pump out contents of tank(s) When combined sludge and scum equals ane-third (r;) of tank volume Y DNA Inspect dispersal cellls} _ At least once every: D monthls) ~_T" ~ yearisi {Maximum 3 years) "`~ "` DNA Clean effluent filter '~ At least once every, _ _ ~ ~ O monthisl ~ n NA Inspect pump, pump controls & alarm At !east once every: . _ ~ vearls} w ^ manthlsl ~~-~ ,~ - , ^ year{s) ^ NA 'Flush laterals and pressure test At least once every: _ ^ month(sl , Other: T" ~_. ` ~.. ^ Year(s) d NA _ Other: ~' At least once every: ..~. ^ monthlsl ~ ~___ ^~rear{sl ^ NA D NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following 6ioenses or c®rtitications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, 5eptage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or Ixokan hardware, identify any cracks ar leaks, measure the volume of combined sludge and scum and to check for any back up ar ponding of effluent an 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 cf the local regulatory authority. U'Jhen the combined accumulation of sludge and Baum in any tank equals one-third {Y3} or more of the tank volume, the entire contents of the tank she!! be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113. 1+4isconsin Administrative Code. AU other services, including but not limited to the servicing of ®ffluant filters, mechanical or pressurized components, pretr~,atment units, and any servicing at intervals of st2 menthe, shall be performed by a certified POWTS Maintainer. A service report shah be provid®d to the local regulatory authority within 10 days of eampidtion of any service event. apoJ en~,~J,s!uiwpy u~suoas}M 'I£- *~ {Zl `(l)b9'£8 puo I~l'S!P}{ Llf4i12}SZ'£8 wwo~ ~a3daya yalnn a~ue,+du,o~ u! peye~p seen ,uawnao>; s~yl QS ~h - ~ $~ ~ S/ auoyd ~~ ~` o~ ~' ' ° J ~ ' .~ ewe u ', euoyd ._ ~. • au~eN Alla0H1t111 Al~O1Vlf1~3a 1b001 Ia3dWfld} a01t1a3d0 JNIOlAa3S 3J111d3S euoyd ~_ ._. _` awaN a~NIV1NIdW S1MOd a3rrelsNl s1MOd S1 N 3 W W 09 11'! N OI.UOO V '3181S30dWl X10 1'11t01~~10 ~8 ACIW ?IN~Tt d ~O liO11i91N! 3H1 WOttd NOS!!3d d ~O 3(lOS3a 'llflS3!! AVW H1V3a 'S30NV13WllOal.7 AIVVI >i3QNtt HNVI 1N3W1V~ti1 d3H10 k!O dWild '~tia9s b a~1N9 lON 00 'N3JJlX0 1N310133f1SNi !lOlalVb S3SSVD ltIN13'1 Nid1N00 AbW S)IN1~1 1N3W1'd3ti1 a3H10 ONa dW(ld 'OI1d3S < <vNINavM> > '2w~1 ley! le lae}}a ui sa!n3 eyi yllnn ~tldwoa isnw swai5~ts vans;a suollan3lsuoaaa 'aae}.sns an}1e331!}ul ayi le iewo!q ayi ;o lenowa~ Bulnno!!a} aaeyd u! palonalsuoaa3 aq Aew sweis/~s uolld,osge llos ape,6•ie puQ punay~ p 'S1MOd PBlfe; ayl aaelde, 01 i,osa, isel e s a}lot q stew ~ue~ RulPloy a alq»((enc s! eels }uoweaelde~ ou ;! •ee~e iueweoe}de, a{geltns a a~130b1 03 paw~o;,od aq uol3eniena p~~" aX!s pue !!os a S1MUd ayi ;o a,nl!Qf ued(~ •ee,e luawaaelda, algel!ns a .c;l,uap} of pvlonlone ua iou se .ells eyl ``~ 'S1MOd Pella} ayl eaelde~ 03 l,osa~ isel a se paileisul eq ~lazw >luel 6ulploy a /~Bolauyaai S1AAOd u! saauenpe 6uwe~ •suo!iel!wwl !cos ao~pue >;aeglas o1 enp algel!ene iou sl seas luawaaeldas algel!ns y ~ •awli ley! la iae~e ul seln~ ayl yllnn Aldwoa 1snu1 swalshs iueweaeldad •ea.re iuawaoelde~ algellns a yepgelea of uolienlana e3ls pue llos nneu a ~o; peau eyl uS ilnsa, !li^n ea,e luawaaelde, syi lagload o1 a~nped •ellann pue soup iol 'aanl~n~#s pesodo.id pue bulls}xa wa,; skoegias pe~lnbe, Aq uodn pa6u!~;w aq iou pinoys pue uollaedwoa pue aauggmis!p u,o.i; paioeio,d taq plnous ea,e luaweoelda, syl •wa,sns uo!~d~osge !!os ~uawooelda, a ;o uolieael ®y1 ~o} pazrlhn aq Aew puQ paienlena ueeq sey eaae 1u8waoe!de, elgellns y ~] welsns luaweoelda, iuegdwoa apoo a eplno,d of `ue~lel aq lsnw ~o 'ueaq aney se,nsesw 6ulnnopo; eyi pe~!eda3 aq iouuea pue slle} S1MOd ayl }t Nbld AON30NIiN00 •let~aiew pllos iaaul ~ayioue ~o lene,fi '}los y}inn pe(yi seeds pion ayi pue penowa~ s.renao ~!ayl ~o penowa, pue peieneoxe aq ileys slid pue s~luel pe '6u{dwnd ,al}y ,oie,adp Bu!olnaag eBeidag a Aq ;o pesods!p Al~adoad pue penou,a, eq pays slld pue s~luei pe ;a slueluoo ay1 • palees sBuluado adld peuopuege ayi pue peloeuuoaslp aq pet's s;ld pue s~luel of @wd!d pd • ;apoo enlie~islulwpy utsuaaslM 'Eg'Eg wwoa ialdeya yunn eausyldwoa ul pauopuege tila}es pue Alaado,d si wais~(s eyi !eyi a,nsu! of ua~lel eq !lays sdAis Bulnnollo; ayl sainaes }0 3no ua~el n;luauewaed sl ,o)pue slle; S1MOd eyi uaylN 1N~WNOaN+dB~d •eul~q eaae!;os 1a1eM pue :suodwel :sup~{dau n~ei!ues :saplollsad :sionpo,d ouliu~ed :Era :suolleo!pew :sdeaos leave :sap!~~q,ey :esQeaf :au-loso8 :s8uyaad elge:~aBen pue ~m~} :~elenn Idwnd dwns} ule,p uollepunol :le} 'slue,as;u!s{p :s~adsrp :ssol; leluap :s~aseaa$ep :sgenns uo;loo :swopuoo :silnq silaleBla :sediM ngey :sal,o!gllue :S1MOd myl }o a}!! eyi Buala~d pue aouew.,o;gad ayi eno,dwl fie!„ weaals ,aiennalsenn eyi wo,} SulMOpo; ayi ;a ualleulwlla ~o uollonpe~! •eaae uolid3osge llos ape~6•ie ~o punow Aue ;a edols uMOp iae} g ~ wyilnn ea,e ayi `iaedu,oa ,o gmisip esinn3eyio ,o '.~eno ~lred ,o enr~p lau oa •spaa les~adslp pue s~luei ,ano salalyan Ted ao an}ap iou o0 •~luei dwnd eyi u}yi}nn slam! lew~ou a~olsaa o~ s!ali~oa dwnd Ayl Bwle~edo Apenuew u( ,s;sse of ,auleluley~l S1MOd ,o ~egwnid a laeluoo ,o dwnd luenl};a ayi of Jannod bur,ols9, of aooad ,ole~edp 6u(oln,eg aBelde$ a nq panowe~ ~uR; dwnd eyi }o slueiuoa ayl eney uo}1en31s s!yi p}ong o~ -luanl}}a }o eB,eyos!p aae}ans so dn~laeq ay1 ul llnse~ new pue Islllso eyl 6ulpeol~ano 'asop seas! auo ul islllaa les,adslP ayi of pas,eyas!p eq ptM Ja3e~elseM SSaaXa ayl pe1a138, SI ,BMOd uayM •slenal .taisnny6ly lew~ou enoge pl; dew s~luei dwnd seBeino ~aMOd Buianq 'aae}ms anlleul#;ul ayi le uaza3} ale suollipuoa llos usynn maoo lou;legs do Leis welsA~ •esn of ,olad ,ole,edo Bulalnaas eDsldes a !eq panawa~ {sl~luel ayl }o siuaiuoo ayi nnsy paloalep eJ8 sucxielluaauoa y$ly }l '(s}Uao lesaads}p eyl a8ewep ~o~pue sseoold iuewlea~i eyi apedwl slew ieyl slea!wayo ,eyio ,o slonpa,d 6u!luled 3o aauASeid eyl ,o; (sl~uei luew;eats ~laayo S1MOd eyi ;o esn of ao!,d 'uo!1on~lsuoa nnau ,off Ndlltfld3d0 QNt/ d/t 1lf1/1S -~ ~- jc, ---- aB~d Page _....- car . _...-- START UP ANO OPERATION !•or new construction, prior to uai of the POWTS oheek treatment tankfai for the presence of painting products or other chemise{s that may impede the treatment process and/or damage the dispersal cell{s}. If high concentrations are detected have the contents of the tanklsl removed by a sapless 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 wail be discharged to the. dispersal cellfsl in one large dose, overloading the celltsi 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 Sapless Servicing Operator prior to teetering power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore Hormel levels within the pump tank. Go not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb ar 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 f OWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floes; diapers; disinfe~:tants; fat; faundatien drain (sump pump) water; fruit and vase#abte peelings; gasoline; grease; herbicides; meat scraps; madications~ oil; painting products; pesticides; sanitary napkins; tampons; and w~tar 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 is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • AN piping to tanks and pits shall ba disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly dispos•d of by a Septag• Servicing Operator. • After pumping, a[I tanks and pits shall be excavated and removed or their covers removed and the void space filled with soli, gravel or another inert solid material. CONTINQENCY KLAN If the POWTS fails and cannot be repaired the foNowing measures have been, or must be taken, to provide a code compliant replacement system: p 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 setbaoks from existing and proposed structure, lot tines and walls. Failure to protect the replacement area will result in the Head for a new sail and site evaluation to establish a suitable replacement area. leeplacement systems must comply with the rotes in effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POVVTS technology a holding tank may be installed as a cast resort to replace the failed POWTS. N~R~ The ails snot en evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site iV evaluation be performed to locate a suitable replacement area. If no replacement area is available a I~olding tank may b toile s a last resort to replace the failed POWTS. ^ Mound and at~grade soli absorption systems may be reconstructed in place following removal of the biomat at the infitrative surtace. Reconstructions of such systems must comply with the rules in effect at that lime. < <waRNiNO> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN 4ETHAL QASSES AND/OR INSUFI~ICiENT OXYQEN. 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~~ ' t Phone 7 / S _ 3 8 ^~ / dL / POWTS MAINTAINEEi Noma ._... .~.... Phone SEPTAQE SERVICING OPERATOR (PUMPER- LOGAL REt3ULAT4RY AUTHORITY Name Phone l~ieme C ('p ~ ~ o u ~vv. Phone !5 - 3$ (A - S/(.~ $d This document was drafted in compliance with chapter Gomm 83.22t2)tb-l7 }{d)&(f) and 83.6{1 L !2i & f3i, Wiaeonsen Administrative Gada. SEPTIC. :AP+K ~ PUMP CHAM9~R C~tCSS 5£4T7f?N AND SPEGrF.CATIO'~=~ 4" CI VENT PIPE 12" MIN. ABOVE GRADE ~ WEATHERPRQOF > 25' FROM DOOR, WINDOW OR ~JCINCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT ~INPAl1LOCKV~R FINISHED GRADE --WARNING LABEL 4" CI RISER ~r~,,.~+~ MIN . 18" IN. 6" MAX. ;;` ~ r t1vLEi 1 ~~ ~ '', WATER TIGHT SEALS GAS- ~~ TIGHT ~ ~ VApPROVEfl a SEAL ,~ot~TS wiT~~ ;PPRQ~VED -~- ~ BALM APPROVED PIPE 'IPE 3' ...~,.... ~ ' 'ON 3 ONTO lN7O St}LID ' 1 SOLID SOIL SOIL ~ ~ PUMP OFF ELEV . ~'T. ~ •~•- OFF. ~`~ RISER EXIT D PERMITTED ONL" IF TANK ~,~.,,~._._...... MANU FAG TU R ER I~.AS APPROVAL 3'+ APPROVED BEI}A7 NG U NT~ER TANK CONCRETE PAD cpECIFICATIQNS SEPTIC / DOSE . TANK MANUFACTURER: ~~ t~.~~-T~ TANK uS~EC: SEPTIC I`a.~Q GAL. ~` DOSE ,~_ b b - GAL . ALARM MANUFACTURER: MODEL NUMBER : 'D I...V__ SWITCH TYPE: '1*c~~..0.c PUMP MANUFACTURER: ~„~ MODEL NUMBER : i~ t'~ 5WiTCH TYPE: meR~, REQUIRED DISCHARGE RATE y ~ GPM hnJMHER DOSES PER DAY: DOSS V OIIiME I~vC LUD:.NG F LOWBACK : I ~ ~ GAL . CAPACITIES: A = c~~, INCHES = CI~~, GAL. $ ~ 2 INCHES =, ~ ~.f GAL. C = 0 'INCFIES _ ~a~ GAL. D =`'INCHES _ a~ GAL. PUMP 8 ALARM k'IRI NG AS PER IrrLHR -16.23 WAC '~F;FiTiCAL DIFFERENCE FiETWEEN PUMP OFF AND DISTRIBUTION PIPE /~e~.. FEET + MINIMUM NETWORK SUPPLY PRESSURE _.___Z~ $ FEET + _~Qsz__ FEET F4RCEMAIN X ~FT1100 FT• FRTCTZON FACTOR ~~' FEET TOTAL AXNAMIC HEAD = _~~~„~~EET ihTEKNAL DIMENS?ONS OF PUMP TANK: LENGTH ~- ; WIDTH F--~''• D?AM.ETER ~_ r ~ ,~' ~ ~,~,~''..~-.-- LICENSE NUMBER : s~_,,,L7 ~+ _ DATE 1188 ~GQULDS SUMPS • Fully submerged In high grade turbine Qii fpr lubrication and efficient heat transfer. 3 Q ~ 1 EP04 o . EP05 APPLICATIONS Specifically designed far the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: El,u mdXlmUm. • tapacities: up to ti0 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/2" NPT. • Mechanical seal: tarbor!- rotary/ceramic-stationary, SUNA-N elastomers. • Temperature: 104°F (40°C) continuous 144•f {60~ intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to carnponerlts. Motor: •EP04 Single phase: 0.4 HP, i 15 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • i:P05 Singgle phase: 0,5 HP, 115 V, b0 Hz, 1550 RPM, buflt in overload with automatic reset. • Pv'uver cord: 10 foot standard length, iG/3 SJTOW with three prong grounding plug. Optional 20 foot length,l W3 S1TW with three prong grounding plug (standard nn EP05). Avallabls for augr,~!p~ entl manual operati+gfj, iA~1~ , mask models itl~llde Medutnirsl FloM nth assembled and J ~~ fadcry. FEATURES !• EP04 Impeller; ThermopiaS- tit Semi-open design twr{!tk+ " pump out vanes for mechanical seal protection. Subrn~rsibt~ Effluent Pump J~ EPDS Impeller: Tl~ermoplas- EiC ensfos~~l design for impr performance. ~a3(rr1~~ aulld Base: Rugged thermoplastic design provides 9uperbr strength and corrosion 1~6istante~ A Mo~pt (Hslpsing: Cast iron for eifldent heat transfer, stter~~'th, sitar durabd~y. hMotpr covet: Thermoplastic lover with integral lrardfe and flit swltth'attachment poi-rts. ~ Pewyer Cible: Severe duty ~tl bh and water resistant. ^ JBearings: Upper and lower heavy duty ball bearing construaion. AGENCY LISTING ~' C~tudhll Starr)arrh Assooation (CSA listed model numbers end in "F" or "C".) Goulds Pumps is rs0 90ot RegisrQred. f METERS FlfT . -. . 14 { ~--~----~----~ - I, ...... 9~ ~9~.`A"'a"°"'"_"-.-,. , ~ ....._, -a- 4-S GPM { _ . ... i t._ ; , ..., . 2.5fi e ; G W Q a s ~ ! ~; } o~ oo ~a __ zo _._ 30 40 EP05 '"~ 50 GPrat ~ a ~ ~~- 0 2 $ 6 B 10 12 m?~h u-PaaTr Goulds Pumps ey zooo ro~laa ~+mcs ~ !TT industries Effettlve February, 200U 83871 ~~_ urck4~ STANDAAIJ CNAMREA t~-- - ----- -__ _____.__~_~_._..._ _- 52" ------- _-~_...1 i 4uick4 Standard Chamber ! ~__~.__.__~~~_.__._-.------____-- sax .,__.___.~___- ---- ----- ______~ '~ 1 (EI<FEC7IVF LENG7Fi) i secTro-~ vtr=w MuitiPort End Cap 12` '' ~~ 1;~.~=~.ui' j---___ -..-... 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Parcel #: 20.29.19.2647 020 -TOWN OF HUDSON Current . XJ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -GLEN JOHNSON CONSTRUCTION INC GLEN JOHNSON CONSTRUCTION INC PO BOX 809 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description `454 WREN LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.079 Plat: 1983-GLEN, THE 02 SEC 20 T29N R19W NW NE LOT 53 BLK 6 THE Block/Condo Bldg: 6 LOT 53 GLEN Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-19W NW NE Notes: Parcel History: Date Doc # VollPage Type 08/03/2005 802139 2856/336 WD 12/21 /2001 666080 1797/613 W D 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.079 78,300 0 78,300 NO Totals for 2006: General Property 1.079 78,300 0 78,300 Woodland 0.000 0 0 Totals for 2005: General Property 1.079 78,300 0 78,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00