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020-1057-90-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION , (ATTACH TO PERMIT) Personal information you provid2 may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Nor Lake, Inc. Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: 1~L !~ o L ~ / ~~ d~ ( jx ~ b w TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 2 ~ /~; g ~~ '>F;- ~- r~~' ~ ~ Dosing~\ W ,~~ 6 , /COQ 'T F.'t Py ~a ~ SZ Holding TANK SETBACK INFORMATION TANK TO P!L WELL ~ /Vl ww~ I' BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ ~ loS / 3 s ~o t, ~ : ~,, Dosing ~ ~Jd . /~~ ~ L ~7uv~,K 1 , Aeration Holding __, PUMP/SIPHON INFORMATION ~~ Manufacturer (~ ~ ~ p a ~ e and GPM _) Model Number ~ 1 ~~ d~ ~ (`8 L) TDH Lift Friction Loss System Head TDHMI~F~, Forcemain Length 5 i Dia.3 ,/ Dist. to Well /~~~ SOIL ABSORPTION SYSTEM , ELEVATION DATA County: $t. CrOIX Sanitary Permit No: 488005 0 State Plan ID No: Parcel Tax No: 020-1057-90-000 Section/Town/Range/Map No: 22.29.19.2186 STATION BS HI FS ELEV. Benchmark 0,95 00.95 ~~ Alt. BM ~ ls~ !a~ Cad ~•~ `~~' Bldg. Sewer Ems, b~' St/Ht Inlet ~o St/Ht Outlet /~ ~ ! J c ~~ Dt Inlet • ~ // $°1.25 Dt Bottom ~ /S. 5 ~ 5 . `7- 3 Header/Man. Q ~. /~' , I• ~ `~ g ` • ~ j Dist. Pipe k.J4. ~ i Bot. System ~ ~ Final Grade Z~NZ ~Ff. 93 St Cover ~~ Goy ~, 9$ ~6 , 37 of 5¢0~-.~. a~~ Co.7 9 ,z5 T w~~~ Tnle. /• ~'9. SS Ta.nk.~t 0vr !1•Z 'D'l• Tc,,wl'i~ ~ Z o v ~- • B ~/, to Z '39. 33 D ( J ~ ~i D~f .S 9 i, $ BEDiTRENCH DIMENSIONS Width ~ ~ Length ~ /6~ No. Of Trenches I `' ~~~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L ' BLDG WELL ' LAKE/STREAM LEACHING CHAMBER OR Manufacturer.~'"_~- • .j.~(1 ~7oa.rl~_ Type Of System: ` ~eItJ6/1,~• o,~ ~ ] /bp Lt3 '? ~ : ~~ ~ ~ ~ UNIT Model Number: ~ I]ISTRIBIITION SYSTEM PI_ 1~ Msa(rat~~.-.I ~~j ~o,~~ y~ :- ~~ ~~-~ Header/Manifold ~ l ~j GQ~ ~ ~ • ~ tribution Pipe(s) ~ \ ` x Hole Size x Hole S cing Ve99t tQ Air Intake /d'Y~ . Length Dia ,, . Length Dia ` Spacing ' - GG r~~ CClll RCIVFR ., o.e~~...e C..~re..,~ nnl.. ,... Mnunrl (lr Ofr[~rada Svstemc OnIV /~n ~'~'' ,~.w Depth Over ~r 2/ Bed/Trench Center G Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded/Sodded N ' xx Mulched No Yes t '~ ~ ' _ \ \ o Yes , ; I COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~~ / 3 / ~~ Inspection #2: Z / /.3 / a jo Location: 891 Highway 1 Hu on, WI 540p16 (NE 1/4 NW 1/4 22 T29N R19W) NIA,, L'ot, / Parcel No: 22.299/2188 1.) Alt BM Description = ~Go.~- r ~~,,,,,,v~s~- ~ ~"""'`t'^' ~ '~ /~• G G ~`J 8 Y~ " • ~ `~"~( ~ . 2.) Bldg sewer length = ~c~o~'i v~-y '~¢V"`h ~ t b ~" ,~.~ (~-L ~ ~ i ~4-r `" l~ ' ~~ -amount of cover = ~, J ` I v ~ (~ P ~,~- eleJo.~-, b ~ r~ c.,~rv.~ g ~p ~ J v~.~(J °~'" d~tr'~~~ ---_, ___ ? i ~ - (,, Plan revision Required . ~ _, Yes o Z II '~ 6- ~ I - - - -_ ----- -- - `_ _ I~ Use other side for additional information. ~ _1"_ 1 ~_____ -i '~ -~ Date Insepctor' Signature Cert. No. SBD-6710 (R.3/97) ~~ ,; - ~~~1 ~ !L /b ~ L4.zL ~2 '1~'t6 ®~~a i ~~ 5L Z6 4~ • ~ L~,~ ~i~~ ~- Sa'~'~ ii ~~~ ~Z " ~ ~~b 5b ~ ~'.1 a ~6 ~z ' ~. ,.1 ~~ ~,~,' ~ ~~~ c~~Sb Z'O~ ~~'s~ 6 • s sa•s~ sus St~~-6 `z 'S `~~"~ ~ s • ~~' ~ L~ ~~ ~, ~.,.r~ ~` z~ '~- ~''3 Safety and Buildings Division County ~ 201 W. W 162 V /~ C~I~Si/,rl Madison, EQ Sanitary P it N~mbe r (to filled in by Co.) Department of Commerce ~ ~~ ~ ~ t ^ ~ O OO WW Sanitary Permit Appli ation State Plan I.D. Number ', ~ 7 ~4t1~ [n accord with Comm 83.21, Wis. Adm. Code, personal in rmatio ro~ide ~0 Z9 may be used for secondary purposes Privacy Law, 15.04(1 xm) Project Address (if different than mailing address) OUtJ7Y _ I. Application Information -Please Print All Information ZONING OFFICE ~ ~ / /~~ ` Property Owner's Name / Pazcel # Lot # Block # N d (L LA 1< - -J L oZa -/as7- d - ot~ ~ Property Owner's M a iling Address Property Location ~ ` ~ Section 2a 1~ W ~ ~~~ Zi ~ ' City, State p C ode P honeNumb e r 11 y~ ,, ( a . , ~`J ~ V 5 t7 ,v W ~ / C ' S 7 ~ ~ (O G - ° f ? ~ ! ~ S 3 O t'o aJC7"~ (circle~~) T ~~ N; R~~E aRr W 1 C s 2 w) J II. Type of Building (check all that apply) ~ ^ 1 or 2 Family Dwelling -Number of Bedrooms Subdivision Name CSM Number ^ Publi Commercial- escribeUse ~d C rJ,2 ^ State Owned -Describe Use /~ 1 t.J ~ D k'" Z J ~jgd,,,~ P~ ^City_^Village Township of III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) '4' ^ New System Replacement System ^ TreatmenbHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ 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 1 ^ Non -Pressurized In-Ground ^ Mound ? 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland (Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ ~ '--~'-~ t Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/T'reatmentRrea Information: Design Flow (gpd) Design Soil Application Rate( dsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 3 S 9 `/, ~~Z d. 7 S73 ~- S~oO ,~ /, X3.6 - VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Tanks Existing Tanks ~ ~ ~ r' Sep[ic or Holding Tank O C ~ w ~ ~ j ~'2 Aerobic Treatment Uni[ Dosing Chamber X ~ (~ ~ E j +~2 VII. Responsibility Statement- I, the undersigned, a ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number w1[.Lr ~- d. Er~2cY C,J~.O. 3 v /S-yG7-9g6GI Plumber's Address (Street, City, State, Zip Code) ~ s ~~ c~ -,la ,~ ,~ ~.v ~' c,~e . ~~ VIII. Coun /De artment Use Onl Approved ^ D' approve Sanitary Penrtit Fee (includes Groundwater Dat Issued Issui gent Signat a (N tamp ) Surcharge Fee) ~~\\ Gd ~ ~ ~ d5 ^ O er en Reason or enial W IX. Conditions of Approval/Reasons for Disapproval ((~~ ~ ~ ~- 3~ ~ S ; ^ ~a~ `O t o n. v~AC.~ SYSTEM OWNER: effluent finer and `Septic tank 1 ~ ~ ~ ~r , , t~spersal cNl must all be c.nriees 1 maintained ~~~~ arm lemeM plan provided by plumber. ar mans s ~ ~ t ~ / 6 111 ] ( ~ ,~ p a ' mttst be maintainad P~r'^^~ ~G, AN.abadc ngtarelrlel>Ts 2 ~ ,,,, ~~V Yd~ m , 1 . ars pa-.ppMoabla code, or~natcas. Attach complete plans (to the County only) for the system on paper not less than 812 x r I Inches to siu SBD-6398 (R. 01/03) ;;~uq~ ~ t: ~ ..:a; ` F -y:~ ae Y 4,? "},`F._ H[~~+ : '-:!1r :; 9F47~~IFUS'aE hQ ~ D Cw b M N 'I j~~~.='~J v ,r i u~ -. S .~- s ;. e I ~ I~ '< a. ~- ~0 0. v J t 1, ~ { V \ b ,.? 1: ~ ~~ ~~.,. # ~ ~x o a ~~~ ~ ~ ' ~; ~3 b~ ~ `lam I z v ~ `f- b ~`x~ ~~ ~ ~ ~ ~ ~ ~ v u ~ ~ ~ ~ ~ Cd~a e~ Pvb.ht $... ,~ ~~ ~ r -a 1 \ _u '' v 1 ~. .1 :tt p,~ 1 r''~ .~ ii ~~ _~ ,~ - ~ ~ ~ 1 r ~ u ~1 j ~ 3 0 ~ ~ ~, ,u .r ~ ~ ~ ti ~ ~ ~ ~ °' r ,~ ~ ~ .ti ~: ~ J ~ J = i y ~ ~ O 4 V n p ~ ~, 1 ~. 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M 0 + _. .r...l et ~~..,-, d.J1~i6:wtioti fj~ _... 4 . ~ ~ a ~- ~ _ a d~tz,`/ d .~ ,: T .e _ ~ r 'bw-~/.H box ~ Br:~~ P ,~e ~ Ke d "~ ~ %n to tk~ hi~~iwoYC ~-he cen'frllpor-t M ~ j n ~~ C, rr,w/t.' -~aov7' i n /c'I' eN d ea p- ~ ~, L / ~ t~ Conne c~" ~l~'P O~ in~tt'C.,. dS .h qi C_!~l°/- ~ ° f ~ ~ Po~tl o~' eKd cdits:~}s' s~oc~.r., R' ,c -t-~:s do-td.'I •': sYp•~J / ~'oh a ~ / ~~- t~c•.ch'ih' le7!~vowpir-y~s' ds S~+owh. '~ , +~. b ~, M 1~ ~ ~ ,~~ 4 V 1 u1 1 ~ .~ 1 0. v 3 ~ a ~ ~ J ti V ~A y ~\ V ~ . ~~ T ~ U ~ a ~ ~ ~ ~ ~ v v ~ ~ ~ ;.~ `~ ~ '~ ~ f ~ ~~ 1 J ~~ b~ ct dM ~.~~ _ ~ ~ rr'.asal~'' ~ ~1~ 1 ~ z .. V- b ~~ V ~ ~ ~ v 'b v h L ~ro ~~, - - ~r O i q' , f''l 3 . ~, ~ ° z o .~~ ~~ ~` S w ~• z >, io 4 J ,~ ~ - r V s ~ c~ '~ 4 u ti J s v ~ _ ~ ~- 1 ~ ~ y ~ 3~~ ~a ~ ~ °: ia~+k~ cdja •~ pv~...t ~y Rd ~- ~---3 .., ~00 F~~ = 7f'O . ~ stlte lly-: ~.~.. ~., ,~ ,. .~ u '' ~ ~ ~' .. ~~ u -_ ~: ~' v ~ o t ~~,~ Soh 1 u i ~ ~ ;.t ~H. _U r ~ ~ ~ P ~ 5 ~ ~ ~ ,~ 4 ~. ': ~ ~ V J ~ t 0. t i i ti °+ ~ ~ = e, p ~ ~ o ~J ~, J ~ ~ ti ~~' O o ~i ~ ' ~~ ~~ Q\~S O O V ~J :.~ I 9 q,o ~ (] ~~>, ~` , Y~ r, aN .~ l fr t',` o ~: J .~ 1~ .i, ~ M ~ • 0 4so N - ~ q3.o. Early Plumbing & Heating Inc. 221 Broad Street Prescott, Wl 54021 . ~,~v"." ~ / ,~/~ ~ 2 ~~5' ~2 /~~ c! ~~3qu`~ q~.o ;~ / ~~ i ~_ S r ~ e ~~ ~~ ~ ~ ti" m / ~'b~ ~ s i b 4 ~. ~• a + ~' d g~" h o / `~ `~~ ~~ ,,. ~ ~~ •i ~~ `, ~ = o ~ ~ 3 o ~ ~ ,~ o 0 ~~ o ~ ~-~~ p~ ~~ ~o ~.® ` ~ ~ ;, 3 3 `, cam. b M .~ z ~o ~`• 1 a 3 ti ~ ~ ~ d r s ~ ~ ~~ i. ~ ~ ~ ~ ~ ~ (J ~ 1 O ~ ~ v V ~ d ~ . _^ V y V ~ '~ ~3 ~O~ ~~ ?~ ~, ~ o : ~~ r 1 ~~~ ~~ MR~ ' ~,,T•: r 1 `1 ~ (` z V- b ~~ v~ ~ ~ v 'b v ~ c~ ~~+ ~~ u _ ~ 0 ~'~ ~1, ~l '~ ~ -- ,J ~~~,\~ O v ~ ~ x ~~~s O O ~~ V i fi J I4d t ~I 3 ~ 0 U ti ~ ~~ ~ wt 2 .~. 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F h . e '~ A .~ :.. ~. s ~ =~~n ~ ~ T :" •{ ~ ~t s ~ ~ 0. a t~ . ~ ~ ~ j .~ p ';l er ° (~ "t, 10 ~ o y- F t am ~ "' ~~'v `. ~~ ~ ~ ~ A-~~ .rt. ~ ~ f { ~ ~ rM C hG~-t rre~ ~ti 3 r,-e~~ti Z f° 4 J. t~ K I data ~ ~ 6 e.a-.ec.~ ~~./~% po..7-' ~.,alcd pr . ~' t~~ c~ rs ~> !~'l;y~c<,~ti I,Z `y 4.~~~Y pats ~~" eNd cd~.r d s s'ho,u.n. _. ~ H n ~ ~ w ~ o /i -~ se ~ dets; ~ ~ ~~~~ d .'s 7'r; bkt,«-bok ~w; cso~ c~,,crclh~ ~w _- -- -- -- - _ . - ---- M 0 Q(j + ~_. d.Jri~d.u,+io,~ 6~ ... 4 . < ~ a ~_ r a d~tl~`~ d ~; T into t~~ h:~lwo~' ~-he ceKtrl /poFt' w ~ u ~` j v1 f-! a rnr~-lh~` -~povy" i n Ic.t eNC~edp- ~ r ~ Coh.,~~7-~iPpat:rlate.,ds.h~,l~lie,- ., ~ ~ Po~rr o~ e.,d cd~s ~s' r~owti. P ~ ~ T~i:s dc-t~,'/ ,'s sY/°i~J / Poh d l ~ {~'rel- t~cnch'~n~le~~vowp;n~s ds S'tioc~.k h ~. e ~ O 6fCL ~L-C%Ol. wC H ~~ ~ ~ ~w ~ ~- - rts,K ~~ _q~oo~..~1. k.;tSA-ia~ i.~x39~. ) ~ ~ 9 u. d ~q. wP r. '~.S'GO~ r dI M commerce. gov ^ ^ ~s~ons~n Department of Commerce Safety and Buildings. PO BOX 7162 MADISON WI 53707-7162 TDD #: (608j 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary January 03, 2005 OUST ID No.220673 CHARLES L WEBSTER WEBSTER EXCAVATING, INC. N5815 770TH ST ELLSWORTH WI 54011 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/03/2007 SITE: Nor-Lake Inc 891 Hwy 12 Town of Hudson, 54016 St Croix County NW1/4, NW1/4, S22, T29N, R19W FOR: Identification Numbers Transaction ID No. 1096297 Site ID No. 199807 Please refer to both identification numbers, above, in all cones ondence with the a enc . Description: Replacement Non-Pressurized In-Ground System / 4012 gpd Object Type: POWTS Component Manual Regulated Object ID No.: 998653 Maintenance required; Replacement system; 4,012 GPD Flow rate; 120 in Soil minimum depth to limiting factor from original grade; System(s): Conventional POWTS Component Manual, SBD-10567-P (R.6/99); Commercial System, Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This system is to be constructed and located in accordance with the approved plans and with the component manuals listed above. 2. On page 3, the existing septic tank must be inspected for structural soundness and baffles, and brought into conformance with the requirements of chapter Comm 83 and 84, Wis.-Adm. Code. If it does not comply, it shall be properly abandoned as specified in s. Comm 83.33., Wis. Adm. Code. 3. On page 3, effluent/building sewer that crosses the two water service lines shall conform to s. Comm 82.40(8)(b)3., Wis. Adm. Code. 4. On pages 4 and 5, both of these plot plans appear to be drawn to the same scale yet two different scales are shown. This approval assumes that both drawings are shown in a scale of 1 inch = 50 feet. 5. On page 5, the system plot plan must show two-foot contours or other appropriate contour interval within the system area as specified in the approved component manual. 6. On page 5, as specified in the approved component manual, the system plot plan must show the direction and percent of the slope in the system area. C~; ~~ DEp DIVISI F~ / CU/: CHARLES L WEBSTER Page 2 1/3/2005 7. On page 5, an observation pipe detail was not provided. The observation pipes installed on leaching chambers shall have the following characteristics as specified in the approved component manual: a. Have an open bottom. b. Have a nominal pipe size of 4 inches. c. Anchored to the leaching chamber in a manner that will prevent the pipe from being pulled out. d. Extend from a distance greater than 4 inches above the infiltrative surface through the top of the leaching chamber up to or above finish grade. e. Terminate with a removable watertight cap, or f. Terminate with a vent cap if greater than 12 inches above finish grade. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely ~ ~ Peter E Pagel Private Sewage Plan viewer ,Integrated Services (608)266-2889 , M - , 0630 - 1500 Hrs pepagel@commerce. state.wi.us Fee Required $ 275.00 Fee Received $ 275.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 4 . WEBSTER EXCAVATING, INC. ~--- - N5815 770th St. '~~ y Ellsworth, WI 54011 (715) 273-3430 ~ x .~..-~- ~~~ ~~~ ~ ~ 200 ~~ D ~~~, '~ ~`~,u~,c'S POWTS Indez Sheet Page 1 of i2* ~~~, In-Ground Soil Absorption Svstem for Nor-Lake, Inc. Property Owner/Proiect Name: Nor-Lake, Inc. NW 1/4 NW 1/4, S22 T29 N, R19W Town of Hudson, St. Croix County, WI Contents Page 1 of 12 Index Sheet REC~~ON NEE~~'~E COR ORRESQpNpEN SEE ~ C O IV ~ w ~+ CHARLES L '~ ~ ~ / E WEBSTER ~ ~ '~ E-18803 ~ '~ " W ~ O ~' WIS. .r ~ ~ ~' ~+. .~ S,s •••...••• ~ ~l Com onent manual used: ~~~'~ ~ ~ FTr Name: In-Ground Component Manual for POWTS Version: 2.0 J~I~i~ Date: January 30, 2001 Page 6 of 12 Svstem Elevations Page 7 of 12 Detail-Septic Tank #~ Page 8 of 12 Detail-Septic Tank #2 Page 9 of 12 Pump Chamber Layout Page 10 of 12 Pump Performance Curve /1~oj-- -Ld~e y.~tic_ ~o..,~ J.J. 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A ~D C D VEIJT CAP WCATHERPROOF JU-JCTIOIJ BOX 2'MIU. ~, ~Ng6•s Cq,~rGA GRADE /r CO-JDUIT GOIJCRETE DLOCK yM MIAJ. . ,`~ I~f; // ~ I ALARM ' Dh: ~~ ~ %tic~t 1 I ' 4.c e~ ~-d/e /~' ~~ • ~ eld~w t u~ I c~r~~•h bJ~~ OFF ~SpEGIFi•GATIOI`1S ~o/2s~647-3~~ POSE • (~!/~'cScr~'O~.Ct•C/~:.-~ ~'adGc•CIT/7~~% IJUMBER OF DOSES: ~~ PER DA.! T/~IJKS MA-JUFACTURER: TAlJK SIZE : ¢~O d GALLO-JS DOSE VOLUME 6'¢ 7 GA~1.pNS A-eve/d /IY+-~ INCLUDII.ICa 6AGKFLOW~ AI.ARN'1 'MA-1UFAGTUR,CR: pU~ MODEL IJUMBER: ~ L V CAPACITIES: A= 'r IUCNCS OR 3 GAl.LO-J5 Sfe ~/ B, ~ B = ~ 1),JCHES OR ~~•~ GJ.LL01J5 SWITCH TyPL: b ~ 7 GALL01J5 `S, ~('~ C ~ ~u~ IAlCHES OR ~J, `7~ PUMP MAWUFAGTURCR: ~ L` Q ~FC,~1~ D ~ v INCHES QR •_J-1-s- GALLOIJS MODEL )JUMDER: { S->Qe/ ~a ~/ IJOTE: PUMP A-JD ALARM ARC TO DC SWITCH TYPE: „ ~ INSTALLED 01.1 SEPARATE CIRCUITS pISCHA,RGE RATE`S-GPM r ~ VERTICAL. DIFFEREIJCE DETWEEU PUMP OFF AuD A~~dw f~ y O - N ~ ~~~~ ~- MIIJIMUM IJETWORK SU Pl.y P~R~ES~SURE~. ~ ~ /. / FEET - _ +. IaO FEET OFCFORCE ~t~IN X =ice.--F~oo -LFRICTIOIJ FACTOR...~:s-- Cd ~u ~'y =J 0 ~ .1 /~ /.~' oZ FEET ~ ~ ! ~ i TOTAL Oy1JAMiC HEAD = _ 96i h- 7oZ, i n . ~~` ~ti' ;WIDTH -;LIQUID DEPTH IIJTERIJAL OIMEIJSIOIJL OF TAIJK: LE-~1G7H ~ dale y'dh~ ~ a~/°sfr.~'bwt/~~ GdN ~ K.' .~ es~` ~'/u. /, yc e ~e1~ ~ f, ~~ ~ ~ ~~e 6ctc~e cti /f /S~p e~ /oelht .~' 6aw7 /a Ft ~as?J~' a~~sr~.•6i• ~'"iOK 64k w~7C~-C 3~/~h.T'oYethl~rh CohhBG~S fiv 4 ike~i ~~ar.'ty Feed fo d ~ sri: bwfi•'~ti b.~r g /. 9S- zS Cs ~ p~~ S, rnr..r •~ c;~ /~ ~o~ o~~oYC°r YD f7rsv.u/C' d-cGCSS ~'o P APFROVED LOCKING MAIJHOLE COVER I I \ I `__ V ~' PROVIDE AIRTIGHT SEAL ~ ~:' i .I I PUMP -~,[~J r *APPROVED JOINTS. WITH APPROVED PIPE 3' ONTO SOLID SOIL .~ - l~Gh - ~~1 /~e~ .~ti c ~ Product Performance Chart CAPACITY LITERS PER MINUTE 40 3b 30 ~ 25 z x 15 ;. 10 5 0 Page/Oof ~~ 12 10 ,,:; 8 z 6 s 4 ~ Q 2 0 0 10 20 30 40 50 60 70 i3o 90 100 CAPACITY GALLONS PER MINUTE s ,$ ~l b ~~w _ ~ tla: `cltG• r .y~~ Y ~ ,k~s~ ~ iii +~ ~M i~ ~ ~ ~ +d wb 'p `rrr •Adj~fr ;t,...z • ~ K FE Mysrs Is a certlfted ISO 9001 registered quality system. Copyright ®The Pentair Pump Group All Rights Reserved Priyggy Polkv -Terms and Conditlons of Use •• • By using this site, or by accessing any information on this site, you are agreeing to the Terms and Conditlons. http://www.femyers.com/products/sse/sse_me40. html 5/20/2004 Vlfisconsin Department of Commerce i Division of Safety and Buildings SOIL EVALUATION REPORT in o ,,..~~..~e ,..oti r`......., oc ~nr~ n.~... r-.,a.. Page ~ of Attach cAmplete site plan on paper not less than 8 1/2 x 11 i ches R¢ ~~rqlp County ' ~~' a~1 indude, but not limited to: vertical and horizontal reference int (B1~~Id~ percent slope, scale or dimensions, north arrow, and locati and distance to nearest road. Parcel I.D. ~~ "~~ ~-Zd 'Q.S~ Please print all informati D~ ~ ~ 0 200¢ R Dace Personal information you provide may be used for secondary purp ses (Privacy Law, s. 15.04 (1) (m)). j''~~'_-I s O I~--' ( `7 Property Owner ` ZONIN ~\ _ ~~ LlScatio OFFICE ~ ~ COL 1/4 ~1/4 S a.~ T a N R ~~ f-fer W Property Owner's Mailing Address -J; ~ e._ C.~1e. h Lot # Block # Subd. Name a CSl.1# City State Zip Code Phone Number ~ ~ ~ ^ City ^ Village ~Tov:~ Nearest Road '' ~ Sor.1 cc.)l 5 1ott~ (715) ~ - a 3 F~th~ la I~~dganl = U~+ ^ New Construction Use: ^ Residential / Number of bedrooms /y~ Code derived design flow rate /V7~' GPD (Replacement Public or commercial -Describe: see c u~....en ~" 6C~oW Parent material peJfcrXe. F ~ Flood Plain elevation if applicable N ~ ft. General comments ry,r ,'s d rridrkfJcfcu.,~ ,o/JKt t/,~t fi/~'es w//k.ih cad/CrS_ rl.c~e ir~µl~~,N,,,, d an recommendations: s ~,-f ts. .L~o ew,p/.yecs ,:,c/ed.i~ ~!/ P/daf ri/.~,7~tiJae@ eM,~/f.a ~ ~ePw~)` 7E'~id7~ h " o p~•eesl writer- ~c der 7`0 ~ sewer u,dste di'.f/vor.f / ' (/.a-? _ U~h < 3~ j6 G~r~a~ie~ -~La ~~~s ~ ~'~~~ ~/~co Boring # ^ Boring ~~ ~ ~L ~ / U L" U ~ ~Q .S 'V~E~`V~ ~! ® Pit Ground surface elev. 9S- I ft. Depth to limiting factor_~ in. 1~iLE Soil A licetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bc•.:ncary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 ' 'Eff#2 I D-!O /b 2 5~ G b•~ ` O-~ a-~0 s y - cvJ ~ • ~ - I aD 6 - S i - G- ~ ~L` lDZ`. ~,' ~. I z - cb n ~ ,~: ~-p I .., f o - rods ~~. rnrn - ~ I i I ® Boring # ~ Boring q ^ pit Ground surface elev. / ~• 7 ft. Depth to limiting factor (~D in. Soil A IipGon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bwndary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I o `l ioYR ~ s l m~~ cs l~ a ~ a~ ~ a -30 o y - s ~ of ~- cs --- c~ I6 ~ -' S os rn c-s d. 7 . ~ y-I~ 7.5 s/ -- S --- G- • ~ `~2" Z'' J.__..N..~r.i~Ct'a'h ovi tZUH Crti7~~~^J' +~ ~ d Leh f~•~3' "~ ~,r°Js Luc I~ ~f.rl h HI".c''~- aT ' Effluent #1 = BOD > 30 < 220 my/L and TSS >30 < 150 mg/L 'Effluent #2 - BOD _< 30 mg/L and TSS < 30 rrtg/L CST N me (Please Print) r~S~~ Si lure CS~ (ber l N~ W Address Date Evaluation Conducted Telephone Number ~I s~ ls- 7 0 ~`h Sfi r o 1 ~-I -O s a~ 3 - 3y 3~ c v, Property Owner 1 VC~C -I~o~p ,' ~t_,,.. Parcel ID # Page ~ of _~ a Boring # ^ Borin9 ~1 . ^ Pit Ground surface elev. 9 7 ft. Depth to limiting factor ~ ~~ in. Soil A lication Rate Horizon Oepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 l o- o R 3 a a -~ t- l i b-~ o- f~ a - oy `~~ - C5 - O• p. sYR'~~ - ~ os cW - D•7 ~ ~ jai ~ - s b S - _ - o, ~. ,,~, ~ oGisTv..~ C.v~r td,/w .~ 40 ~ ~d ek ~,.df M e~ ~1' _ N.,.: ate, '~ Co w tJ.wr r, ~S7' Crook {~vd~ NrOMt.Sti Boring # ^ Boring p Pit Ground surface elev. / ~ ~ ft. Depth to limiting factor ~ ~ ~ in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh . 'Eff#1 'Eff#2 ~ D-, i D 3 a `--- 5~ ~ y " ~ a k th r GS l~ G'~ ~ ~- ~ 0 H si r,~O rY.ft-- GS d- O. /~o r: $~y `t < o ., Fr.,.,, .~ ~.r~ ~o eK ~i• H, ea't's Boring ~ ~ ~ ~ ~- Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil lication Rate Horizon Oepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#~ 'Effluent #1 = GODS > 30 < 220 mg/L and TSS >30'< 150 mg/L 'Effluent #2= BODS < 30 rrxyL 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 need material in an alternate format; please contact the department at b08-266'-3151 or TTY 608-264-8777. ~' ~i- 0 M i Z~~-~--- 2 ~ I I 0 0. ~ 3 ~~ ~• ~ v r ~ r ~ {{{h~° -e u ~ U ~ ~ ~2. ~ { ~ V Q ~AA ~ T \ ` ~'' b Q t •o y • f. ti 1. ~ # U ~ ~ ~ o .~ ~i ~ u ~ ~ °i 3 ~ ~ ~ ; ~ ~ > ~t C ~: ~ . p ~ .3 ~ • F ~ ~ ~ ~ ~ l^ ~~ b ~ ' ~ ~ ~ ~ ~ i ~ V ~ ~. i ~ , ® `Ih r ~8' ~, ` t ~ ~ - ~ ~ o V 4 j p C ~ ~ ,Q . ~~~ "°f M~~ ~ t,s..arad' 0 ~, ~ ~ O Q, V 1 ~ 1 ~ v h -~ ~ `lam x ~~ ; • h ~ V- b ~~ J t ~ ~ V ti ~ ~U'b ~ ~ S O v 2 3 _ ,\ '` " 0 o ~ C~ e~ M d ~U CL ~ 2 t. ` ~ 4 r ~ ~ X , ~~ fi t J 'b v l`'t N 1 S ti~ _ ~ V ~ `+ y 3~~ 3 ~ cl ~ ~ Z ~ ~y ~~ r,~s ~ o~ ~f~s~ 8 °~ .~ ,. e r -c u ,~ ,` •. C{. o ~f- "~~ :,, - °`b ,, ,~ 9 ~~~ 1 '~ 9 ~° ~o ~- u .~ • ~O r. Q 0 0 I o~ ~ 9 3.0 9~~ o6se~~J f.:,~, u, ! e~ 3 V 3~ ~ M n 'd- ~ '~' p` C ~o ~ ti ~ d- ~- ~ o. _ S V ~ ~ ~ t n1 ~o ~ ' O ~ V ''~ a m ~ h~, `~ o-- i `, ~ ~ ~ o N ~ ~ ~ ~ • o ~ £ ~ '~ o, +O 0 ~~ • ~~ ~ ` _ 7 ° ~ _ J~ ~ 1~ ~ 4! .. v ~ ~ ~ ~ ~O ~ ~ -. u q~ o` o ~ ~ ~. ~! 0 0 Q' „j ~ ~ u~ u h F ~ ~ 3 ST. CROIX C~ LINTY II AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~L~~~+c iG ~ / N L Mailing Address Cj - ~J ~t7 ~ ~ a Property Address ~'y u1 N G-~' ~ U USOVI/ S`10 ~ b (Verification required from Planning & Zoning Department for new construction.) City/State ~--~ u~Sd IJ (,tJ I Parcel Identification Number LEGAL DESCRIPTION Property Location ~~'/4 , ~'/a ,Sec. aa. , T _~N R~_W, Town of /.-~,//.~'Ov/ Subdivision Certified Survey Map # Warranty Deed # Spec house yes no Volume ,Page # Volume ,Page # Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lot # 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 5t. 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. I/we 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 SIGNATURE OF APPLICANT(S) 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) ~~~ ~~~'+3 ~~~ ~e, Page !/ of FILE INFORMATION Owner ~/~~,'- ,~- d/~c. , s, C . Permit #'. DESIGN PARAMETERS Number of Bedrooms ~ NA Number of Commercial Units NA Estimated flow (average) ~ 6 7.S' aUda Design flow (peak), (Estimated x 1.5) O / ~„ aVda Soil Application Rate O- 7 aUda /ft~ lntluent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BODS) 420 mg/L Total Suspended Solids (TSS) 5150 m /L Pretreated Effluent Quality ~ ANA Monthly average" Biochemical Oxygen Demand (BODS) 530 mg/L Total Suspended Solids (TSS) 530 mg/L Fecal Coliform (geometric mean) S10' cfu/100m1 Maximum Effluent Particle Size Y inchdiameter SYSTEM SPECIFICATIONS Septic Tank Capacity O~ al ^ N~ Septic Tank Manufacturer w; ~~ C~, «~,y-e ^ Nf~ Effluent Filter Manufacturer `~ d 1 ~ / ^ NA Effluent Filter Model ,4 /ao -12 X ~D ^ NA Pump Tank Capacity ¢.ZU V al ^ NA Pump Tank Manufacturer Cv,~c,, CQ,i1e~,/~ ^ NA .Pump Manufacturer J1/ ` ~ ^ NA Pump Model M~ 4j~ ^ NA Pretreatment Unit ^ Sand/C~ravel Filter ^ Mechanical Aeration ^ Disinfection Manufacturer ~: ^ Peat Filter ^ Wetland ^ Other. ~;~eNA Dispersal Cell(s)~~~..~,rr~: ~t%o~ ox ~?.In-ground (gravity) ^ In-ground (pressurized) ^ At-grade ^ Mound ^ Dri -line ^ Other • Values typical for domestic (non-commercla~ wastewater and septic tank effluent. •• Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ~ ^ months year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y) of tank volume Inspect dispersal cell(s) At least once every ~ ^ months ~Qyear(s) (Maximum 3 yrs.) Clean effluent filter At least once every ~Z .i^ months .year(s) Inspect pump, pump controls 8~ alarm At least once every Z ^ months ,~year(sY ^ NA Flush laterals and pressure test At least once every ^ months ^ year(s) ,'B(NA Other. At least once every ^ months ^ year(s) 'ANA other. At least once every ^-months ^ year(s) 'ANA 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 (Y,) 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 ch. NR 113, Wisconsin Administrative Code. , The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatrfinent components; and any .other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. 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 chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are defected have the contents of the tank(s) removed by a septage servicing operator prior to use. N~~ - ~ d Ky.~ti C. _ .~a alP,~~ oT /~d<,l f~acn~'/%h System start up shall not occur when soil conditions are frozen at the infiltrative surface. Page ~ Z of~ Ruring power ou.t~ges pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the ceU(s) and may result in the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assistin manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction orelimination 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 floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; 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 is properly and safely abandoned in compliance with ch. 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 with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWT3 fails and cannot be repaired the following measures have been, or must be taken, to provide a code 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 be infringed upon by required setbacks from existing aid proposed structure, lot Imes and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil Ilmitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ~ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area Is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POVIRS INSTALLER ~u~ki+~,.h -Gr,,,..r,- fu f'~/l -b Name tf~2LY C.U rYl r3 ~ U Phone ~l c, ~ ~ POWTS MAlNTA1NER Name ,D ~ ~ t /~S' S'c ~' C Phone 7/,S'- f.~- - / b ~ SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name d i ~~ ~,~ Sr fj c Phone 7 /,S"'- Q~.S` - /G1.~ Agency f t ~'vo,' feu. ~ o~ ~ i• Phone 7ls -3~iS - ~~ O T'hia;document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitatlon agenGes. This document meets themWmum requirements of ch. Comm 83.22(2)(b)(1)(d)8(f) and 83.54(1), (2) 8 (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. GMW (2101) ~' "__ ~ ~ ~. RfG15TER5:~'~~fiCf' ~ . .. sY Tt~-~ nFrD. Rudolph J~ ' Blakeman _ ° °"~',~--~'~, M° ST. CROIX C4n`~S. ~ R _ - >- _ - _.-___.__....__. _~ R.c'd for Rewru eft 17th ~~ ._.__,..~._ -- - - ----- y of Eec. a. s. 39TH ~~ " __ ----- __. .. ~ :a (~rant:,r ~.:n~.,.~.:.,r,., arrr.,nt •, t.., .~1or-Lskc~, Into rpo-rated ~ at 1:~5 P~_, hA.: .. iarrS G'lnri~~~ _ _ -- _ Re3iet~w of p.edr ~ - r,eRuty - _ --- (vr .. valu.,blr r~>nvd:•ral,~~n _. .- _- RETURN TO _. -___. __ ____.._____;11LBI v and C1r1A Qxin '' ' the followinK ~.fescni,ed real eslatr ,n St • CroiX ('.>unty, State [,G',~c-.:nsin: ~ 1.A parcel of land located in the N~ of NV~~ of Section 22, --- ____._ _________ ______.~_._ Township 29 North, Range 19 West, Town of Hudson, further rax Key _ _ _._.__ ___- ..-_ described as follows: Commencing at the NW corner of said This is _rot homrslead property. Sec. 22, also the point of beginninq of this description; taence- 89°55'42" E along the North line of said Sec. 22, 2609.23 Feet to the N; corner of said Sec. 22; thence S 00°06' 35" W, 915.41. feet (rxt intendE:d tc be on 1/4 line of said Sec.) to the Nor' -~ ri~t- of-way line of the C.St.P.M.F.O. Railroad; thence S 87°45'0" W along the North line of said railroad, 720.54 feet; thence `forth a~"uallel with the West line of said Sec.. 22, 423.82 feet (rec. as 423.1 feet); thence ti 89°55'42" W parallel with the Nort'~ ne of said Sec. 22, 1888.00 feet to the West lire of said Sec. 22; thence North along the :vest line of said Sec. 22, 520.59 feet (rec. as 514.0 feet) to the point of beginning. Said parcel contai.~is 37.95 acres. Subject to roadway easements of record. Bearings are asstaned North ~:t ,*he West line of said Sec. 22. 2.A parcel of land located in the Ntv; of ~~V~; of Section 22, Townshil 29 ~itarth, Pange 19 P7est, Town of Hudson, further described as follows: Corm'Iencing at the Nw cernx of said Sec. 22, thence South along the west line of said Sec. 22, 1120.67 feet to the point of beginning of this description; thence continuing South along the West line of said Sec. 22, 163.37 feet; thence S 89°33'07" E, 820.00 feet; thence ~brth parallel with the West line of said Sec. 22, 201.84 feet tea the South right-of aay line of the C.St.P.M.&O. railroad; thence S 87°45'40" W along the South line of said railroad, 820.60 feet to the point of beginnu7g. Said parcel contains 3.44 acres. Subject *..o road:,ay easement of record. Bearings are assUZ:Ied South of the West line of said Sec. 22. ,, . ~ ~" Executed at ,HlldSOn, Wisconsin _. :hts ~,/. - ~_.__ day .>i-- -.DecelAbe~_._.___ _ 19-7~`_.. S(GYED AYD SEALED IV PRECE~CF, t'.'r •~•~Ltl,~~~,rL.f~` -~*f !t ti"~ /~' - "~- ~' _ - -_iSEhLi :i" ~ .~~ Rudolph J. Blakeman _ _ _. ---------------- __ 1 _ c.SEALy taEAL Sit;naturrs „r ___R!adolph J. Blakeman _ - _ . , -~ _ _ - - ----_ __ - - ~-~ r r~ _ _ _ _ --- - authenttcated this ___ -~.. l: _ `d.,v ,~C December..-_ -. _. t'?7~` y~;'. ".~~- ...... .r v / ~~_~, ~. Hugh ~' .:Gavin T,rie: ~h mha r Stave Bar :'f 'd rensin ~~` 'c'.^!'af^S STATE OF WISCOti?,ti _- --. - - - - _ ---- Cour. r; . i .-; Fo•r=~~,;ally lase. t~et- N nx. .::,_ - i..~ ~„ _--- - __ _ _. ____ the a6uvr named ___ --___.- - to me known to be fhe pers,'n zha c•x,".'uro.' the (~~re~~.rnt' en~tra:r:rr.t and arknw:;•.-deed the sa-'.e. This tn,tn,r,.ent was drafted F:v Hugii F. Gavin, -Atty. Hudson,_Wisconsin ~,...,:.; h .t,,,, c:. ,nty. Vii.: -.-- The new PolyLokT"" pumps are now available in ~/,o and ~/z HP sizes, including both effluent and sewage ejector models. These new pumps are designed from the ground up to deliver the dependable service and long life expected from any product bearing the PolyLokT^" name. They include features required for residential and light commercial applications, as well as several new fea- tures not normally found in pumps of this size. These new features include: all ball bearing construction, non-toxic oil, and an integrated clip to hold the float switch cable. All this;, plus`s competitive price puts the new PolyLokT"" pumps : in a class by themselves. °. ' 17 ~ I,a~i Vb f~;?;T' Materials of Construction, Housings 8 Volute y~_; ~~ Impeller GIBt External HaMware 304.. Motor Shaft 420 _ Mechanical Seal .Carl Bearings Ball.. Motor Windings Cop Power Cable is , . ' Thee O-Rings ,Bun ~, ~ ~ ~ ~, t ~9~,i~~~:, ~ $~ I PBT~= ~ I.S;, o •a Vii`>.1•~+~r •,; " ~5 ~~~~ ft .rn,~. . 8 0 30 ~ I- W 20 QZ W S Q • p 10 0 Model HP:, Phase RPM Voltage Discharge Solids Max ~Ilax Flpw~ ~ I V1J~j ~fi~~Jgight "'' ~ Size Head (ft) (gpm) (Ibs PL-EJ 04W a/~o 1 1750 115, 230 2" Vert NPT 2" 19 '- ' :~~ 100. , "?' ;~,; 31 aeh~~}~?/e" PL-EJ 05W 1/2 1 1750 115, 230 2" Vert NPT 2" 24.5 :140 35.2 ~ ' 15 ~/e" PL-EF 04W a/~o 1 3450 115, 230 2" Vert NPT 3/a" 41 80 28.6 12/4" PL-EF 05W 1/2 1 x''~+~ 3450 115, 230 2" Vert NPT 3/a" 51 88 30.1 131./a" Ejector Pumps, 1750 RPM LITERS PER SEC 2 4 6 8 0 60 50 Effluent Pumps, 3450 RPM yG tj :-)~ ~ ~' LITERS VGR ~t h~,,{~`~. a~l:r ~"'x. -0B t ~s 14 6~ ' w4 - 12~ w z O 70 z c Q 30 -- - - o 4 ~ w 2 _ 8 w x ~ • P6-Ef 0 -`:- p 20 - , 6 ,a r ~ F 2 L-E~ ; 10 -- I ~ 2 0 20 40 80 80 100 120 140 160 0 ,«" ,p ~~ ~ 0 10 20 30 40 50 60 70 ,60a 80 ;-100 USGPM USGPM :Jr~p.~~ °!~t,~4 a~~i .nab, , - ~' ; f~ii pi ~,~' fir. <I-. • `'~~ ~~ ~ t ~~~ ,~ ~:. ,~~ -~' ~~ ~, Vk , R? 4~~'< ~{, i:: i ,{ PL-EJ 05W PL-EJ 04W PL-EF 05W PL-EF 04WT~, ' ~ I'' , 60 Capital Drive, Wallingford, CT 06492 ,..., ,,,, 1-877-Polylok (765-9565) F~x:20~-28,~5~4. , , , ` E-Mail Address sues@polylok.com L L~~ Inc. ,. Web site: vvww.polylok.com .I Parcel #: 020-1057-90-000 11/18/2005 04:57 PM PAGE 1 OF 1 Alt. Parcel #: 22.29.19.2188 020 -TOWN OF HUDSON Current ~X' 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 -NOR-LAKE INC NOR-LAKE INC PO BOX 248 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): • =Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC ~/'~ I ~) /, , ~ r'ViN ~ Q Legal Description: Acres: 6.880 Plat: N/A-NOT AVAILABLE SEC 22 T29N R19W PT NE NW ALL THAT PT OF NE NW N OF RR RNV ASSESSMENT IN PARCEL Block/Condo Bldg: C 020-1058-00 ASSESSED BY DEPT OF REV-MFG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 546/531 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason MANUFACTURING G3 6.880 0 0 0 NO 00 Totals for 2005: General Property 6.880 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 28.710 30,900 0 30,900 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 'Y o M ~ o~ "•' a ' w 0 0 N O ~ ', i ( '', tl i C 'C 'O c 7 LL ! 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