HomeMy WebLinkAbout020-1450-01-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GElV~ERA 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
Grand Pro erties L.P. Hudson, Town of
CST BM Elev: Insp. BM Elev: BM Description: R.lw,lk, OJd^
(
~ l C`~
/OZ~ I
J
F~aaT
TANK INFORMATION
TYPE MANUFACTURER ~•r.~5 CAPACITY
Septic s'"' Z / ZSC~
F'- Po r'arJ ~~j
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/ WELL BLDG. Vent to Air Intake ROAD
Septic ~~ ~ Ski 5
Dosing
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Leng Dist. to Well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
county: St. Croix
Sanitary Permit No: , ~
487982 ~/, 6Q
State PIamID No:
Parcel Tax No:
020-1450-01-000
Section/Town/Range/Map No:
22.29.19.2871
STATION BS HI FS ELEV.
Benchmark
~~lp
lt5`(~~p
/oe
Alt. BM
F. ~~ Gore,-,
2.9~j
/~c ~ • 6 s
Bldg. Sewer ~ ~ ~ Y
SUHt Inlet
~p ,~ ~.~ ~ g
St/Ht Outlet
7. Z
~7•`f
Dt Inlet
~1
'~
Dt Bottom -1 ~
Header/Man.
Dist. Pipe ~ 95
/
Bot. System ' ~ 9 ~F . ~
Final Grade ~ ~~ .
St Cover/' 1~' Z 9S /D ~~ b5
BED/TRENCH Width ~ Length , No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. liquid Depth
DIMENSIONS ~ ~/_ ~ etli
tG V""ii `` __ ,,
Z, ~(Gv~.t~9~ -._ "_'
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer~~!
INFORMATION CHAMBER OR
Type Of System:
t
C
~
~- ~
~ ~
Zt ~~ / ~ p/
IkJ UNIT ModelNumber:A
C
~
~
r o
a vt,~e,/t. ,
Jt
DISTRIBUTION SYSTEM
Header/Manifold If Distribution x Hole Size x Hole Spacin
~ ~ ~
~ Pipe(s)
i
th Di
` S
\
L
\
Length Dia eng
pac
ng
a
SOIL COVER
Y Proeenro Rvc+oma Only YY Mnund Or At-Grade $VStemS Only
Xt
~tZ.l= ~5
g Vent~p Air take 1
C~ ~ C Y~ 1 V'
~ Y-J
~Sw..L-~'1S
Depth Over
Bed/Trench Center
2
~} Depth Over
Bed/Trench Edges xx Depth of
Topsoil
~ xx Seeded/Sodded xx Mulched
N
~ ~ s ~ ,_,;~ No o
es i^I
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /.
Location: 803 Germain Lane Hudson, WI 54016 (SE 1/4 SW 1/4 22 T29~NrR19W) Hudson Estat Lot 1
1.) Alt BM Description = ~~` ~ C.6J~' ~-~hG",I~S ~' ~o~
2.) Bldg sewer length =
- amount of cover = ~ ,t
Plan revision Required? [ . j Yes oo l b _ 01 I
Use other side for additional informati I_ ~1
Date
SBD-6710 (R.3/97)
Inspection #2: / /
Parcel No: 22.29.19.2871
b /~
~-L-I_ __~II
Cert. No.
' 2t)I W. Washington Ave., P.O.
~~`r~'p~s~~ Madison, Wl 53107 - 71
Department of Cammert;e (b08)266-~i5t~
Sanitary Permit Application
]n accord with Comm 83,21, Wis. Adrtt. Code, personal information you provide
may be used for secondary purposes privacy w 15.
1, ApplJcatlon Information -Please Print Alf lnfermati
Properri wnrr's Name ® s~ ~p O~
`~
62
CitS~, State - - 7,ip Code Phone Nutnbrx .~
[I. Tr o ofBuildin -~'_._ ---.--'- ------- ------ ___
- P g {check • that apply} 6~ 1k Q-3 Sinn i ~-~
or 2 fiamily Ltwelling-Number ofl3edrooma ~~_ /T~~~ ~e.,ti
^ Public/Commercia} -Describe [3se _
State OHmed-I>escribe Use ~ ~~3~-` t;.J Z ~'Z~ e..~
tit. Type of Permit; (Check only one box on line A. Comalete Ilne B if anoltcablel
r,~
in by co
~~
ct Address {if different than mailing address)
~ X03 (~e~+~.~~. L>n ,
~arcei # r of N Block #
~ ion / ~
SC 'b, ~~~i., 5ection
T~`t N: Q(a~ Ic 1 Z$~~
-, ,~
Subdivlaion Namr CSM Number
OCity~sQVillage~('ownship of~~f~~
n -~ ti, i . isiti - is i ~.. ~ - _...
A
`New Systertt
~
0 Replacemern Systani ._
L7 Treatrnent/Holdin8 Tank Replacemeru Onty .~ ~ ~ .r.~ v i - "v 4..r.
~; Other Mo6ification to lrxisting 5ystrm ,
S• ~ L; Permit Renewal Permit Revision ~ Change of ^ Porrrtit'i'ranster to Ncw List Previous Permit Numt,er and Data I.seuud
` ~ f3ef'ore Expiration
IV. Type of POWTS Svs Plumber Owner ~ .r
tem: (Check all that aoolvl _ ~_ _____ __ _ Wit, ' l Q.d-et`S
_ ~
Non -Pressurized In-Ground Q Mounts ? 14 in. of suitable sot! ^ Mound <14 in, of suitable soil ^ At-Grade ~ Single Pass Sand Filter ~
Constructed Wetland ^ Pressurized In•Grouod ^ fiokling Tank (] Peat Filter Q Aerobic Treatment Unit ^ Recirculating Sand Filter ^ j
Recirculating Synthetic Media Filter ~oaching Chamber G Dcip Litre ^ Gravel-less Pice ^ Other (exalainl I
acs//gn riow tgpa~ utsagn Soit Applrcat~o ~Rate(gpdsl) ~ Disp~rsra~l A-r-e~a7Raquinad {sf) Disperser A~/re~ya Proposed (sf) I S~y/stem Elevation ~~~~
Vl[. Tank Info Capacity in Tara! Numi~er ~ Manufacturer Prefab Site Stee~Fiber Plastic
Gallons Gallons of Units Concrete Constructal Cilass
New Etrittittg
_ ratan Tanks _ W 24(~Q ~-<DG ~ ~-u. ,'
Septic or Holding Tank n!~ - r~ ~ + /,/ ,' •e.;~ ~c ~' __ -
As~obie 'TYoa~r,unt Unit Vi ~""'~? !''~-
Docing Chern6or ._..,, _r-~~..~._..~,.,,~-^- ~..~_ _ --- --~-
~--5
V[I. Reaponsibilit Statement- 1, the undersigned, aaaruntr responslbillty for lee atiun of the 1'OWTS shown ae Cite attached plans. _~i
Plumber's Name (Print) ~ Plumber's Signature P PRS Number 13usirtess Phone Number
~~`/,`et~2 ,~G: - ~ !rJ r'r1.27~`1'~JIS-3~l`-3~Q P
Piumiser's Address (Street, City, State, Zip Code) "- ~
~-Approved ~ ^ D~ pprtJt:2 Sanitary Permit Fec (includes Graundwatcr pate Issu Iasuin ent Signs re o Stamt )
_ _ ~ ^ en Reason for Denial Surcharge Fee) ##
fY 75 ~ oa
~0 ~ b (p
IX. Conditions of Apppr~o~~v~a~~lJlteasons for Disapproval
SYSI'EMt7WNER: n
3~ IOJ~~~
d^~ S~P~
ow~.Q-~- a••~
1. Septic tank, eMuent tiger and
ersal cell must all be servit:es / maintahttld
dis
~-
~
p e ~,w ,ow..ee „~ ~,,`
as per management plan provided by plumber. ~
2 All setback requirernertts must be maintained
di
`~
nartc~.
as per applicable code / or , ~
~~
v j
Attach eotnpkte plate (to the County only) fur the :'7km on paper not less tbao 8112 x I l irtchef is aitt
SB~~f39~ ~R. filfO3)
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1
Wisconsin Department of Commerce
Division of Safety and Buildings
SOIL~/A• ION REPORT
44
Page ~ of
m acwrcance wnn ~.omm ao, Ho
County
Attach com
lete sfte
er not less than 8 1 /2 x 11 inches in size
P
lan on
a mu ~
.
p
p
p
p
include, but not limited to: vertical and horizontal reference point (BM), direction d parcel I.O.
percentstope, scaleordimensions, north w, an 6tgF+ceton road. p Zp -+ /~$~ -. ~ /-. ~~
Please print a information. ~ LJ Revie by Date
Personal information you provide maybe used fo nd Pri w, s. 15 4 (t) (m)). /d ~ Q
Property Owner Pro rty Location
1 ST. CROIX COUNT Go Lot 1/4Srv1/4 S T Z~ N R E (or) W
Property Owner's Mailing Address Lot Block # Subd. Name or CSM#
~~~5
c n .
City State Zip Code Phone Number ity ~~Ilage own Nearest Road
New Construction Use Residential / Number of bedrooms 3 > ~ Code derived design flow rate y.~ ~lf~~ GPD I
Replacement f Public or commeraal -Describe:
. .
Parent material UrJ•V-t~.ru 5 (/1 Flood Pls~n elevationrf applicable /Ull~ ft.
General comments ~/.$f 1i,,~ ~''~U • G,~ ~ ~ /~1 ~ ~Ow ~O r1 ~ u r'
and recommendations: r /'~
Boring # ^ Boring 2 p-
Pit Ground surface elev. Q ~ ~~ ft. Depth to limiting factor ~4 U in.
Soil A 'on Rate
Horizon Depth Dominant Color Redox Description Texture Structure Conuistence Boundary Roots ~ GP D/fg
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 -I( jG 3/ '- S~ ~ CJ'
Z I~ 3c~ ~o s - S ~ m~~- ~
rr ~ fl
~i
® Boring # ^ Boring
~ pi( Ground surface elev. ~~~ ft. Depth to limiting factor ~~.~ in.
Soil A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
r
* Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BOD ~ 30 mgrL and TSS < 30 mglL
CST Name (Please Print) ature CST Number
Y~ .~c- Ct, 2~ O
Address a Evaluation Conducted Telephone Number
Property Owner
~;
~~ J .~
P',
i '/
a~arcel # ~~ ~ / fh~Soi` 1~S PS
Page ~ of `~
Boring # '~-~ Boring - ,~,+"`
®Pit Ground surface elev. ~G~, ff. Depth to limiting factor ~~ in.
Soil A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
o -i' Z 5 as 1 - _ ~ ~--
Boring # ^ Boring
Pit Ground surface elev. ft. Depth to limting factor in. Soil A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/tt?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#ri *Eff#E2
Boring
Boring # Ground surface elev. ff. Depth to limiting factor in.
Pit Sal A ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dff~
in. Munsell Qu. Sz. Coat. Color Gr. Sz. Sh. *Eff#r1 *Eff#2
* Effluent #1 = BOD$ > 30 < 220 mglL and TSS >30 < 150 mgll. * Effluent #2 = BODS < 30 rrg1L 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 608-2.6Cr3151 or TTY 608-2:648777.
SBIlffi30Test. (R.0%/00)
Property Owner
,~
.~
„~' ~,~'`
1~ ,.
w~
S PS' Page ~ of
Bciring # '~ Boring U ~„~ -
ptt Ground surface elev. i~ ft. Depth to limiting factor 17 ~
in
,
. Soil ic~tion Rate
Horizon Depth Dominant Color Redoz Description Texture Structure Consistence Boundary Roots GP D/tf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff+12
a Boring ~ ~ Boring
pit Ground surface elev. ft. Depth to limiting factor in. Sal A ic:ation Rate
Horizon Depth Dominant Color Redox Description Textun; Structure Consistence Boundary Roots GP D/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff~1 *Eff#'2
Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
Pit
Sal icadon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/F~
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff~1 *Eff#2
* Effluent #1 =HODS > 30 < 220 mg/L and TSS >30 < 150 rng/L * Effluent #E2 =GODS < 30 mglL and TSS ~ 30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-87'7'7.
ssas3sarac ~a mtoo>
~ PAGE ~O F
NAME Jd~Y~SC~/~ LOT# ~ LEGAL DESCRIPTION SEA/aS~1~/a,SZZ TZ`~,N,R ~`l E(OR) e~
SCALE: t " _ ~Q ~
BM 1 ELEVATION ~~(). O
BM t DESCRIPTION laD n~ ~~,~~-~~~e~ ~} ja:res-F ~,e~J.e,(
BM 2 ELEVATION
BM 2 DESCRIPTION /l p /~ If
SYSTEM ELEVATION %o~ pP~c3C.~ (mft"~~'~
SYSTEM TYPE ~GfI.U~-/l~F~U w°~~
~~ ~ ~r
~~~
I ~'``
~~s ~
L ;~
I
SIGNATURE
~or,o~
~- ~ -
~•a"` ao. ~ ~ ~~
r
M
~-3
DATE ~"/~'~
` - -Safety and Buil
2U
Washin
ton '
~ ~~~
e
P~
j~~
~ .
g .,
,. -
iY7?
s,~C~~~'i~ M 'son, WI 7Q7 - 7162 Sattita Petrnit Number (to be tilled ir. by Ca.)
` Department of Commerce ~ l 8) 26 3151 ,~ $ -7c~ g Z
Sanitary Permit A is
'
CROIX COUN State
!fY !an LD. Number
~~ ~~ I
In accord with Comm $3.21, Wis. Adm. Code, personal ormau u pr~rT~ ~
ZONING OFFIC -
ma be used for seconder roses Privac Law, s p4 1'
y y Pt- P Y (i Address (if different than mailtng address)
I. Application Ltformation -Please Print All Information ~_~.e._~. ~~~3 ~er~~ ~ L~
J
Property Owner's a Parcel N Lot p Block JJ I
Property Owner's M ailing A Bess Property I,oc~tKn _
'
S
City, State ~
Zi
Cade Ph
N
b °_
/ ,.
ly 'k,Sectionj
,
p
one
er
um
1•..
'
'
~"
Sd
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`"
~
'
/
$
~
~ y
s
G
J
- _ ,.
_,:___ _ i ,3 y~.~ ~
~ 6 ~
a? y7- .3
II. Type of BWIdeng (chet;k ati that apply a/~ a5 p p~ .Sub,K,~ art
~ ~ Z
T " n ~ N; R J 4 cE o e o e)
i
7
s`-L-._ _ .~_ ~ (~
~l or 2 Family Dwelling -Number of Bedrootns'~___~_ I ~~t vim, T Subdivision Name CSM Number
i-~ PubliclCammercial -Describe Use ~,~~,J ~9~
j ~~ 5tate Owned ~~ Describe Use Z j ~~2Z-I-Z3__~~~~f~
~~ ~ LJCity_^Village~Township of,,t~
III. Type of Permit: (Check only one box on line A. 'Goanpiete line 13 if applica-hle) O~ - / $~ - D I - ~?~
-.
~~
A
.
~Ne_ w Sys ^ Replacement Systern L! Treatmert'Hoidang 'Conk l~e('l~accment Only i ^ Other Madification to Existing System
_ ~
--~ ~~ n ~ ~ r m List Previous Permit Number and Date Issued
B. (~ ^ Permit Renewal ~ L Permit Revision Change of ~ ,_l~~ermit . ransfer to t~'ew
Before Expiration ~ Plumber ffitvner
_ t i I ~~
~
r IV. Type of POWTS
S~stem: (Check all that apply)
'
-
~
_
~_ __~
_ _
Non -Pressurized fn-Ground ^ Mtwrrd > 24 in. of suitable Boil ~~ Mound `[ 24 in. cif suitable soil ^ At-Grade ^ Single Pass Sand Filter
'
+
^ Constructed Wetland ^ Pressurized In-Ground ^ Holding k ^ Yeat Filter ^ Aerobic Treatment Unit [.J Recirculating Sand Filter
L] Recirculating Synthetic Media Filter caching Chamber F3rip Lino ^ Gravzl-I~ ess P~ ^ Other (explain} ~
V. Dis ersai/Treatment Area Infortnatiou: ~
~ S
~
1
J
\
_
Design Flow (qp~i) Design Soil Application Rate(gpdst) ispersa? Area Requu (sf)
L~iSpersal Area Propos System Elevation ^
~
/ ~
t
~ `~
J
~
o,
4
o u
~6d
- 7_ / I ~S ~
~ `~3- ~ Sri . 5 ~-
VI. Tank Info
~ Capacity in
Gallons
New Existing
~ Tanks Tc„! Total
Galloni tuber
of L"nits Manufacturer
";~
~/ ~~ ~~ \ Prefab
Concrete
'` Site
Consttucted 5teef FiL~er
Glass Plastic
~
i
~
Septic or Holding Tank .s
---
I
J.~ __ _ _
~ ~ M
i
~ ~~~ .. ~~-
~__
_~,.~
~ I
Aerobic Treatrtx:n[ Unit ~
~ -~`
-
n
` 1
T
Dosing Chamber ' ~
•. --
~
Q I
' Q
~
~~.____
VII. Responsibility Statement- I, the dersigrted, assume responsibitity for allation of the POWYS shown' n the attached plans. E
Plumber's Na me (PrLint) y /umber's Si gnature
~~ ~1l +6L NL SGi,I KYL"~~Y ~ /~ f~ib~~~~ P s~PRSnNu/~mb/~er
vc ~ ! 7 7 ~ Business Ppho~^ne Numt,er
l~ JQ ~ ~~~~ f/
i Plumber's Addre ss (Street, City, State, 'Lip Code)
,
y~
i see ~" ,, P~~.~~',rJ ~. ` ~~1~
VIII ount !De artment Use Only
pproved ^ Disa Sartitary Permit Fee !includes Groundwater Dat Issu Issuiu gent Signa a /, Sm
Surcharge Fee} D~
1 ^ O
~
`~ 7
~
~~
wne n Reason r Denial
~
-_
_
_.
_
j IX. Conditions of Approval/Reasons for Disapproval ~
SY~:
1. Septita~ah, NAwgt ~X autd
' del must all jte / am ird
.~ P_1P m,gment Plan proVlded by pltnnbr.
2. Aq Mi rk requirements must be mauit~~e~°'
~ls per pApbie code i orllktafioeg. .
__
r+trach complete plans (to we County only; Tor the system, on paper not less Wan atiZ x 11 inches 3n size
^~~yv., ~~ .: .
~?~.. ;.-.~ it ,,
y< ~ attic. t ~ ~ ;,
n:: ,'r
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4 /1'~ 3
~-~4 ?~ ~.
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1
RECEIVED
~ ~ 1165
~, Wisconsin DepartmentotComme FEB 2 3 20t~oi~ VALUATION REPORT p~ 1 of 3
Division of Safrrty and Buildings in accord n ~}h C m 85, Wis. Adm. Code Tom Schmitt
ST, CROIX C~L~T}- County
Attach complete site plan on r rwt Ig~($3&)FfA metres in ' .Plan must St. Croix
include, but not limited to: ve pa BM), direction and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.
OZO- / O- (~/-
P/ease print all information. Reviewed By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /~ 7 ~5
Property Ovvner Property Location
Grand Properties, LP Govt. Lot SE 1/4 SW 1/4 S 2 T 29 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ~ ~~o-r. ~ QS
712 Rivard Streeet, Suite 300 (+~ 2 CSM Pending Approve
City State Zip Code Phone Number J City _~ village ~J Town Nearest Road
Somerset ~ WI 54025 715-247-5900 Hudson Badlands Road
New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement ~ Public or commercial -Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area I is
93.0' ~~ ~~ J D
`7~ / ~P/~o r~ U ~~a
Boring # Boring ~~
7
37
~
Pit Ground Surface elev. 9
.
ft in.
. Depth to limiting factor Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft=
'Eff#1 'Eff#2
1 0-9 10yr3/1 none I 2mgr mfr as 2f .5 .8
2 9-21 10yr4/4 none I 2msbk mfr gw 1f .5 .8
3 21-37 10yr5/3 none sl 2msbk mfr gw .5 .9
4 37-96 10yr5/6 none ms Osg ml --- --- .7 1.2
Z ,
/~ 2
~~.
Boring # ~ Boring
/+ Pit Ground Surface elev. 97.07 ft. Depth to limiting factor 96 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GP D/ft'
'Eff#1 'Eff#2
1 0-12 10yr3/1 none I 2mgr mfr as 2f .5 .8
2 12-21 10yr4/3 none I 2msbk mfr gw 2f .5 .8
3 21-33 10yr4/6 none sl 2msbk mfr gw 2f .5 .9
4 33-96 10yr5/6 none ms Osg ml - - .7 1.2
of
II ~,'
y~.
Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L ' Efflcent #2 = BODS< 30 mg/L and TSS <-,90 mg/L
SST Name (Please Print) Signature: CST Number
Thomas J. Schmitt ~~~~~~'.v'L'.a~ 227429
4ddress Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 12130/03 715-247-2941
~roperty Owner Grand Properties, LP
Parcel ID #
Page 2 of 3
Boring # ..:~ Boring .~
Pit Ground Surface elev. 97.27 ft. Depth to IimRing factor 96 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
1 0-10 10yr3/1 none I 2mgr mvfr as 2f .5 .8
2 10-16 10yr4/4 none sl 2msbk mfr gw 1f .5 .9
3 16-35 10yr4/6 none sl 2msbk mfr gw 1f .5 .9
4 35-96 10yr5/6 none ms Osg ml - .7 1.2
rl
,t
^ Boring # J Boring
J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
^ Boring # J Boring
J PR Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
*Eff#1 *Eff#2
* Effluent #1 = BOD 5> 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS<30 mg/L and TSS <~0 mg/L
The Department of Commerce is an equal opportunity service provider and employer. Tf you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY b08-264-8777.
~~
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PROPERTY OWNER: Grand Proncares. LF SOIL AND SITE EYALUAT{ON 12t?5 Page ~ of 4
PARCEL I.d.#
'tom Sc6tnitt
REPORT MEMO
Discontinuous silt inclusions were observed in B1 with redox features. The redox features in the silt are present
because the smaller particle size of sift holds onto the water stronger than the surrounding sand, it even has a
stronger hold than the force of gravity trying to pull the water down. The water that flows into the silt inclusion will not
seep out until the silt inclusion is completely saturated and cannot hotd any more, then the force of gravity can start to
make the excess water start to flow. This is why redox features (mottles) are present in the inclusion. The ouiwash
sand that the silt inclusion is deposited into showed no signs of seasonal saturation or high groundwater.
'k* INSTALLERS"'''
When a itt inclusia (silt bail) is encountered, the chambers that are installed in the silt should not be counted. More
chambers shout a added to the end of the trench in sand to make up for the lower gpd/s ft rate of the silt. This way
the 0.7gpd/sgft rate of the sand can be used and the system is only enlarged as needed. N~d .~,,~ GST ~` Scr~+~{'
o~st_ i S
-~ c.~.c~.(2ers- ~ ..-~.,,. --1-P~,,s~ t' ~ .s C o-~.K.s~' 'lam
c~sa.. ~~
`S~ . o~~ 2~5.
S ~
~S ~ r ~'
C ~.p s~ ~Sr~-1`~S
_____-.~
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11/01/2005 08:57 17152473622 PAGE 01
10/31/2005 10:50
71536ba979
GLEN J~HNSbN
PAGE 02
Si3i''i'iC TA~1K MAfi1T8NANC~ AQ1M~NT
A~
own~sRSr~t~ x~cA~rort goers
OwnerlBuy~er
Maifing Adtiresa
Property Ad~irese~
$" 03
(Vap TLQUlhd tl"gfi ~iftltiltl~ ~ xi0f~$ Adpeltirtttit ~ l1e~
i
Cityl5tato _ ...... + ~~ Pa~ca1 taat,tit~tion Number .,~,,.,.,,.~.- rM
Progxrty LQCation ~ "l~ , Ste'/. ,Sac. ~,, T ,a„~,~,N R ~q 1N, Town of ~~~~~
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Wsrrawty Deed # _~~'G~ q.3 7 ,, V41umv ,,,~,,'z'~„? ,,Page # _ / /~_.
spec 6a~e ~) i~
I..ot liner id~ti~abie ~~ fAo
lntpraper use aiad nmintto~ace of your sysum c~tld t~esult i» it: prematurs itilm~ to inn rr~s. proper
~ tsotisists of pwnpgag oat tba septic sank every flirts years or sooner, if treedod, b}- s iloaotod putrpet. ~Vbti You pint i~o
the ty3oem ea~a erect tbs. Aftrcti~ of the septic ank es t treatrtfen! stage i~ the waste ~iepoaal eyskrtf. Owner ~
biiidea ua apeci~Cd iu Comm. 63,52(1) ~ in C.lwptsr 1 Z - 3r. C~ix G'~itq S~aait;ty QstXgt+retco.
'~be px~rperty owrwr spxvo. uo submit ba St. Croix Cw~nty Fhmaaing dt ?finusg Aa~aent ~ cetglloetroa tv~m, si~euYl try the
t?WUGC axe bX a tlaa~uur pkumbet, Jpuravy~n plambor, ressrictod phamber or a Lleeaaed puap}~t verify+ng that (y) the onaresa
+ra~ru~Dee jai 6Y~t~ is toa per' operating condetiua and,br (Z) aRcr inspo~atiaa tmd pua~iaa (if nocotsarY?• the septic mmk b
1ls+ ttugt I/3 Put] oi"x3udgo,
Uwe, ~,e ttnc~eroig~aeed bave seed du atxrvs regciresnenta and ague to tlrti prlwre ee~wage diapoasl ryetem wlt~ fire
staadatds set Earth, haz~n,. sa set by the Ikpattmarrt of Carnmeace ~ ~e Depattmeat of Ns~ai xoaotaeee, 3~te of Wieovtu>ia.
Cto~iowtioa Mating that your ivplio sy~a- Ims beep aodob~.i~ned mutt be aotdplate~d imd letlstldod ~" 9te et Ceotx C.am"ty PU~ehfg dt
ZoAi~g Dapartrn=rn witb~a 30 days eha three year expirAti~ date.
llwr ecrtify Chet all stetomers~pi eh this ~tm ere r,[ue tq rife bars Of ofyltfati kaowladge. Yrwe amhte the owner(s) offie
pCOp~rt)f dCi4Cl~ At7UVC, E)V V11#{iC ~ ~ W~tLiftS- dCCd rCC4L'dCd itt RO$16tbi Ui" ~Ot'(I~ Q~tlE'.
Ntunber ~ bedt'aOllt.!
~zC~'N TURK OF Al'PLIC ~5) ~ . HATE
seiAu3, information tbst Is meted fey ~retult in ~ een~tery ptrtidt bamg revolted by ib4 Pfeaboattg ~'Lt>libig Depa~metu. "*
~IUdE w[si1 this aypiicatian a reo4rded malty deed fiotb ttu Rre~r of Leads Of~[ce ~d a cane of tiM eertifirri anwnv ~Mn, it
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IADLAiIDS ieoAD - . - . - . - . -- . - . - . - . -. • -
~ BADLANDS ROA _ 60~"
~,~ ~ ~" ~.- _- -~_ -D UTILITY EASEMENTS
*K ; . ~, UNPLATTED LANDB No rau: aR tug u9us ~ m s nACC3 tiUClt TINT t
• F~J
~ {, f _ ~~~~~~_~_~~~ DISRR! ANf' WRKY STMT. O! OKTIMICT VK~1 A1DI0 A11
~~ ~~` ~. E s ~~ OFOttiH UN{ Or i}R N1M : T!E DISTtIROANCE 3F A tIRVEr 9TAt~ ri ANYOIE a A vIR
^F '9E DT VISCOIa31 9TATUTEL 1116tTY EASOOITS A9 N071E01 7CT
1x~' ; ~.. ~ N00'01YTtl3f7AC PltOI.DC 90DIEf ANO PRIVATE PIALIC URIT4;1 1111VNR M
SHEET 1 OF Z Sill
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• _
SEPTI~~ TANK € PUMP CHAMS~R Cat %~S SEC`~IOrJ AiJD SPECIF~~F:TI~:vS
...... _ -,.. -,.. ., ., _ , .,_u,,w, ..
i '
4" C~' 'V`ENT" PIPE' I2°"" ~tIN: AAO~E GRADS
? 25' FRbM DbOR, tJTNAflW OR
FRESH AIR INTAKE
FSNISHED GRADE
4" CI RISER
18 TN, ~~~
" 6" MAX .
I N L\i ~ ; ~ ~~~~ ~~
WATER TIGHT SEALS
~~
A
~PPROVEO --~---
'iPE 3'
INTO 5!lL I 0 ~
SOIL C
PUMP bFF ELE~' . FT. ~ --~--
a£ATN~RPR00~'
~IUNCTIflN Bt3~C
WzTH CONDUST
"~
r~
~ ti
I `
GAS- ~ '
' GHT ~ `,
SEAL
~ h
i ~
3" AP?ROVED EEDDZNG UNDER fiA~iK
SPIrCTFICATIONS
SEPT / LOS:. ,
TANK MANUFACTURER : '~,~ ~~.~E.P~
'ANK SI~,ES: SEtiTIC I`'a.,.~Q ~:AL.
~~~~ DO5E ,g bb GAL.
Ai,,ARM MANUFACTURER: ~ ~.~~~ $~_
MODEL NUMBER:
SWa TCH TYPE : t'n~0.~
P~J'~P MANUFACTURER; Gv ~ ~`
MODEL NUMBER : ~ d
SWITCH TYPE : ~.e,y~C
REQUIRED DISCHARGE RATE ~ ~ GPM
APPRCV EL
MANHOLE COVF,R
W / PAD LaC K ~
WARNING LABEL
4" "1IN.
~~ ~
VRPPR411ED
1
CONCRETE PhD
JOINTS ~tiTH
ALM APPROVED PIPE
QN 3' ONTO
SOLID SOIL
OFF' ~'` RISER EXIT
PERMITTED q?dLY
I F TANK
MANUFACTURER
HAS APPROVAL
NUMBER -bSES PER DA°?: ~`
JgSE VpLUME ZT:CLUD1vG
' ,
~rJ ~
LOWBACK:
~ ~ GAL.
GAPACITIE~: A = ~ INCHES =, GAL.
B ~ INCHES = ~~. GAL.
C M 0 INCHES = Ip~ GAL.
D = (p INCHES - ~ a~ GAL.
PE1MP ~ ALARM WIRING AS P?"R ILr?R I4.23~ 'wAC
`1 FRTaCAL -IFFERENCE BET1nWEEN PUMP OFF AID DISTRIBUTION PIPE J~.. Fi:ET
s MINIMUM NET'WURK vUPFLY PRESSURE . 2.5 FL"E'T
+ _~,~ FEET F ORCEMAIN X ~,bOFT/100 FT. FRICTZaN FACTOR y~~y ~.EET
T.QTAL DY1tikMIC HEAD = ~aL~a -, ~ E.T
INTERNAL DIMENa?"ONS OF PttMP TANK: LENGTH ~.,,.- W?DTH •---~' ; DIAMEI."ER ---"
L"rQL°I1~ ~~ v1~~' " ~ 1 C~•,~l ~°ER J v
`~TG1vED: .~'„c--~~~i~y.~'''`,-,--r.__ LICENSE NUMBER: .~ee~.~ Qq l~3 DATE: -
1±'88
GOULD5 PUMPS
APPLttATIQNS
SpedScaliy designed fa the
following uses:
• Effluent systems
• HQmeS
• Farms
• Heavy duty sump
• Water transfer
• Dewaterfng
SREtIfICATIONS
• Solyds handling Capability:
'/4" maximum.
• Capacities: up to 60 GPM.
• Total heads: up to 31 feet.
• Discharge size: 1'/i' NPr,
• Mechanical seal: carban-
rotary/ceramic-stationary,
BiJNA-N eiastomers.
• Temperature:
104°F (40°C}continuous
14O°F (5p~ Intermittent,
• Fasteners: 300 series
StdlnleSS Steel.
• Capable of running
dry without damage to
components.
Motor:
• EP04 Singgle phase: 0,4 HP,
115 or Z30 V, UO iiz, 1550
RPM, built in overload with
automatic reset,
• EP05 Singgle phase: 0.5 HP,
1 ! 5 V, 60 Hz, i 55O RPM,
built in overload with
automatic reset,
• Power cord:l0 foot
standard length, 16/3
4JTQW with three prong
grounding plug. optional 30
foot length, 16/3 SlTW with
three prong grounding plug
(Standard on EPOS}.
• Fully submerged In high
grade turbine Qii for
lubrication and e#itient
heat transfer. .
AtnrNabae for auEOmetic;and
mantes nperatlort, Apts.;
marls models irecltNie
Mechanical Halt Sw~ch
assembled and preset at the
factory,
FEATURES
^ EP04 impeUei Thermop~as-
tic Semi-open design wkh
pump out vanes fat rnethanlcal
seat prottYtion.
Submersible
Efflue~rt Pump
~~~
3871 E OS
rIN EP05 tmpeUer: Thermoplas-
tic enrrlo~d design for
Improved performance.
~ ~i and arse: Rugged
tb~~~ design provides
liupilCior ttrti'pgth and corroswn
retrace,
^ IVIeKpP f }QN,SIII~: Cast Eton
fOr eft (teat transfer,
~ and durability.
~otrer: Thermoplastic
caves with i~egral handle and
f!r>at swltcll°attachrnent prints.
Ptt>wer Cable: Severe duty
rated ol1 and water resistant.
METErtS f FEET , . _ _ ... _ ,
td ~
9 30i ..: _ , . ~ ., ....,.
;.
a
zs
EP05 '~
50 GPM
L.. -_ G .-L ~ .L .~. _L- ._
0 Z 4 6 8 10 7 2 ens/h
uP~crTv
Goulds Pumps
^ f;iearings: Upper and Ivwer
heavy duty ball bearing
construction.
AGENCY LISTING
~• canad~ stettdards Aaaaiation
iC5A listed/.mode! numbers end
rn Nf'~ ur urr•.~
cou>dt Pump~c h ISO Soot med.
_ . r---------- ---- ~. .
.-ir f--5GPM I . ..
....
'~` is ~r - -
wzoaUGOU~dsPumps ~/'~/ !TTlndustries
Eff•ciive February, 20QG WW
B387t
~r~~
~~ ui~Jk4~
STANDARD CHAMBER
Qufck4 Standard Chamber
MultfPort End Cap
T ~~ ~.
,; ~ ) -
~~
~---~--r_'_.~___~.
sloE viEw
sloE vl~w
roP wEw
FAOIJT VIEW
~;, „rrr~'~ ~l ~~ ~ _ ,
I , ~ . ~
Qutck4 Standard Chamber Nominal Speciticaf~ons ~ ~}fir ,~q~J,6fVluif~Port;~nd Cap Nominal S~ecificafions . }° F
S,ze ;W x l x H} 34 x 52"-x 12` Size~W x L" x H) 34" x 16" x 12"
Effective Len~ih 48" invert Height 8" or 1.25"
Invert Height g°
INFII~TRAT9R$Y~^TEMS,JNC STANDA~ LI -(T~WQgtRANTY
(3 . h( S. IJ dr Ir IECJ 't' l! r± 1 hfln4Ylr, OrYy KllatO, wHrk]E Jf`(1 ~iina;r a,>BS6lYY nral I, "it'Iwliy by 11 ' 1ralOr t ~l)nll ~i. iN1Bn .;'15IallOn i1; N) (1,'x{falB(1
; 3 f aCtltlYl'I OI Irl nnGlie SOpnr yy5lam 'n a(.Cpfdaf}Ln WNn inNltfalq'S If1S1rU4;I.fNIS, 45 WalrailkJd lu n 3 OrglRal plll~ilafYBr (`l~Oldor'~ agalns• delectlvy
n'r 1 ills and WUrhmansiNP rot OrIP, year ItUm lhC poly (nai tila SyPIC pynllil is I5SUBd for Ilxe ecpllo system Uv NallYng [i»r Unp$; prpviEled, hOWdNaC
lr,at t a setatq Perrrlt Is not requNaq •y atllaticabla law, tha warranty Pm•W wih' txagu; upon tha dale IMt u-rSlAllalron of !tu, sePlr.. system CommerxJS,
Tu exert rya its wanarry rights, Holder mus! l•.otly InGltrala rn wrNYig at ds Ccxpnrate Heady enters in p!u Saybrnak, (.,n~+ry_•t cut --.ailhill fifteen (t5)
da or Ira ~uwyect rSSIUCt. irulNratcv wGl supply ropaeammit Units fa t1nRS deJYaminttl try hldL atru to bs ctnnxed by this Umflon Warranty.
11 ~I N slurs Ilabl7dy spy!'dlGarly ex~9u0ys tixi uost of rantoyal afKVOr rq<talla„hCn of thp. ',Jails.
{ut "I rrl UM1UTFO WARRANTY' ~ANp REME1)rl=S IN SUHPARAORAPri ja) AHE EXOLl15NF. 16NcRE Mt@ PJO OI Vi.ER WAANAIJTIE$ WITH RESPECT
TO f NF VN; tES, iNCU.JD!NG NO tMi~LiliD WARRAN7tES OF MERCHAMAEtI~I rY OR FITNF.S;; r=iN2 A ! AiJTICULAR i'VJRPOSE.
(rd 1 Y r Lnralpd Warranty chap be veld if any pert of the afxlmbar ;y;trar s manuiaclured b- snyure: otl+er titan ailntraWr. Tl+a l.inlNad Warranty aces
act .R,end t0 incldarual Y;n ~MJ pntlai special nr Ntdkecl damage' nUltul+n shall no! oa IiaUls kn pr:rNdtkis Gr tiyWdaleci dnnagw;. 'ruaudiry loss of
pr. tlu-tion and { oft I ~ - ~r and materials, overhaad cods, w oche. lossys or yxp[~sY nv;urrod by Ilw Hcklar or any third pony. SrxrcificaNy
t^xt,Nulad frs»n l.u »I W W rran!y c:werage are damaga fn !tom Uruts due to wtGrtary wear and fear, alteraGOn, aardan,, rnisusa, abuse or neglec! a
li[r Units: Iho Unlls [ pir,G 5ubyertycr ro vehx;;e traiGC w oltwr CPndiliats whruh are rxtl permillt»] try 1'le inslaliatan inslructiuns: tail4re kt rnaNYain the
o-xnrmum grwnd .Doss set fi;rln v. the insia4akon instrucNans; ttw pbcarnent of improper materials ImC the syste!ni cPnlailirg Ih0 l1nii5; lakve of
ll~lu LNIIS rn me SePi sy59em duo to Improper 58ing or inq)ropar sizing, excesskAl wafer usago. Improper grease aspnsei, or rmpropar aperalion; or
arty oU~~er a eat nut .,auszd by UNNtralcr irNS Urcuted Warranty st>ap be void if the Hplrle fats to gcJmdv witfi :>p nl the tenrts set +urth in lrris IJryllted
War ratty.
Bulbar, rn nC Evan! shat! Inp;lralor OC rasfxvlsinlu 7a any IDES Or damage to the MNtler, 7»i l)ruis, a any Itrai Party ra,^,uN;ng Irpn in3lailation ar ship
rnenl, or Nom en}• proaur' !lability rlainl5 0l klgclar or any Hum Pant 'or this Limitrrd Vfan only to :apply, tM flails must be hslapnd in aao+darn:n
with aN 5ity crnddlons requuyd fay st31b arrd kxal f7oaes. aIt atner aPplic:iore laws: arcs Ir»klralor `S InslalLalltx'r iMtrLCliuns-
(tl) Nfo rP.i.,rffecntaNVe Of InWlralor has Shy authority ro Change or exralYY this Lirnliyii Wary try- Vu wanmt;y apPligs W sty ready Whr than Ine apt
real IJnldor
Ttr abovri rypressnl3 the S;anduM LinaNad Warranty pttyryd b/ inGlir-na A !imi1W rxlmbar [Y. s:tnles and cowYias IVJVO EU!fareN warranty regrrire~
merits, Any purchaser of Uoes should contact INYtrata's Corpwety l ;eadquarters in Uld &iyv~,>ut;, ConrtACliwt, Mia' to su.:H purrha;e, to obtain a
copy bl the applica!>is warraanty, and s`Nxrki +;creiuly read tYrat warranty i;nor to the pvurhase Iii i;nile.
~ . • ~
SYSTEMS i N C
Emirotrmet~tat Onsite Wastewater SoiuNorrs`"
6 Business Park Road • P.O. Box 768
Old Saybrook, CT 06475
860-577-7000 • FAX 860-577-7001
80~-221-4436
U.S. PGt2';ts: 4,759,661; 5,017,041; 5,156,488; 5,336,017; 5,40?,1'16; 5,4;;1,469; 5,51 I JOJ; 5,716,ifi9; 5.583,778; 5.839,544
Cana~'.:an PaterNs: 1,324,959; 2,004,564 Othor patants pending.
Inliitrllor F_GUakzer and SideVVinder are re_yislured ir:!orrxarks of InfiArainr Sy^terns Inc;. InfBiralor is a ra!}istored Ladorrvark :n France. Inliliraicv Systems Inc.
is a rerUistereiY trademark in Mexico. Ccniuu6 Contour Swivyl Connection, MicroLaach'Ing, faolyTUff, 5rtapt_ock, Char'nt>er5pacsr, F'VSiLGek, (7UICkCiUi, 1]tyr;kGlay gCCYC1E4PAPER
e:nd ru)wckl are tradenarks of InfJirato: Syslenas Inc ~ 2003 In1J9rator Syslens htc. Prrltecf in 11.5 A. C1011a0;#JP•n
pct, l lvty vltw
I~ESIfSN PARAME'1~rtrr
Number at Bedrooms ~ p NA
Number of t~tlblic Facility Unite, ANA
Estimated flow {average} l d4
Design flow {peakl, {Estimated x 1,5} /~ Q
~
sl/
Soil AppUcatbn Rate
Standard IntfuentlEffiuent Duality Ititd l4tt
Monthiy av~atpll
Fats, Oi! ~ grease {FOG} S30 mg~1.
Biochemiosl Oxygen Demand {BODs) s.220 mp/L 0 NAI
Torsi Suspended Solids {T8S) s180 rngll.
Pretreated Effluent GuaiitY Monthly ~evsrsge
t3iochemioal Oxygen Demand (gOp6} t30 mp/(.
Total Suspended Solids (TS5) 5.30 my/L q
Fecal Conform {geometric mean) 6104 afu/]OOrnI
Maximum Effluent Partiofs Sits J~ in dis. Q (VA
tkhsr:
r..
G NA
....
vawes typio~u tot domestic wastewater and septic tank sfftuene.
Pafle of „~
S1~ T M 8PlrCfPICATI0N8
`~iARtlc Tank Capacity ,~ ~ al Q N<
5apflc Tank 11Aanufscturer Q N~
~ff~v+rnt f°itte- Manufacturer ~~ $ p NA
~f~luant Fester Model ~0' d NA
Ryry~ Tank Capacity al DNA
Rump Tank ilAsnufaaturer r S~ (7 NA
Puf~p Manufacturer ~„~,4/ J~ NA
~ Model ~ a NA
Prtt-eatment Unit
A f~11ndlt~rsvel Filter
0 M~ahanical Aeration
Q pisinfeotion
D pest Fltter
^ wetland
Q Other: d NA
Q~p~rsal Csfl(s)
Q In,Ground (gravity}
Q At•Grade
q pefp-Line ^ NA
C3 in-Ground (pressurized}
^ Mound
^ Other:
~` DNA
DNA
~
MR{IiR. ^ l!A
P4WTS f~WN~~R'~ I~ANUA-~. ~ ~A~ANAGEMENT PLAN
MAIAIT1EIItANCE BCIiEtWLE
i!ierlrl0e Event Sanrioe Frsquanoy
Jnspect condhion of tsnkfs)
At least Once s~very: ,.
~ {s
s ;MsxGnun~ S Years)
^ NA
Pump out Contents of tsnkist Whan combined sfydge and scum equals one-third ;N~} of tank volume ^ NA
inspect dfspsnal celt(sl At BASK onaa~ wary; ~ (~ iMaxtmuln 3 years) O NA
Clean effluent filter At least fanoe evAry; 1 frwn e)
;~' U} DNA
inspect pump, pump oontrols & alarm At i~lllst grtoe awry;
~~ month{sl
l] at ^ NA
Plush laterals and pressure fast At least anal every: ~-- ^ aerial s) O NA
other:
At ls~lst Qrwa ~ev~ry:
.~- monthis)
C] lU
0 NA
Other:
D NA
MAINTENANCE INSTRUCTIONS
inspectlorss of tanks and dispersal calla shall be made by sn individual oerrving one of the following ucsnees or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTp Inltpogtar; RQWTS Maintainer; Septage Servicing Operator. Tank
inspections must incJudo a visual inspection of the #ank{,gip to idlrntjfy any mis:ing or broken hardware, idsntffy any cracks or leaks,
measure the volume of combined sludge and scelm ~ to oiteQk far any back up or ponding of effluent on the Around surface.
The disperse! ceilis} shag be visually inspected to ch~k the ~tftu~nt lavtns In the observation pipes and to check for any ponding
of effluent or, the ground swface. The ponding of of}iuertt oq the proufu# wrtacs may indicate a failing condition and requires the
immediate notffiaattan of the local regulatory authorJty.
When the combined sccurrsulstion of sludge and sslum in any ~taltk equals one-third {Yg) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage $ervininp Operator and disposed of In accordance with chapter NR 113,
Wisconsin Administrative Code.
Alt other servbes, Mcludinp but not limited to the ssrvio;rip ai eftlu+,nt fUters, mochanicat cr pressurized components, pretreatment
units, and any servicing at intervals ai s'f 2 manilas, shat! be perfartnsd by s certified POWTS Maintainer,
A service report shalt be provided to the local raga{story esltitc-ity t+vhhk+ 10 days of completion of sny service event.
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U 2y87P 113
STATE BAR OF WISCONSIN FORM 2 - 1999
Document Number I WARRANTY DEED
This Deed, made between Willis D. Savadge.
Grantor,
and Grand Procerties. LP
Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in St. Croix County, .State of Wisconsin
(if more space is needed, please attach addendum):
See Attached Exhibit "A".
7StZt~37
KATHLEEN H. MA1.SH
REGISTER OF DEEDS
ST. CROIX CO. , WI
RECEIVED FOR RECORD
01/07/2004 11:15AN
YARRANTY DEED
EXEPiPT #
REC FEE: 13.00
TRANS FEE: 3240.~t
COPY FEE:
CC FEE:
PAGES: 2
Recording Area
Name and Retum Address
~ ~~~03--~~~~~
020-1058-80-000
020-1059-00-000.020-1059-10-000.020-1058-90-000,
Parcel Ide ~~a/droJn Nu ber (PIN)
This ~ homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any.
Dated this ~~ day of `C /~ t/ , c~ .
* - ---- * Willis D. Savadg --
AUTHENTICATION i ' ACKNOWLEDGMENT
Signature(s) _~ STATE OF w - )
~~/ County )
authenticated this __ _ day of _ _
-- - Personally came before me this day of
- - ~~ the above named
,~~It~t~~„~~re Willis D. Savadge, _
-~~ . ~q - -- --
TITLE: MEMBER STATE BAR OF WISCONSIN ~~` / ~ _ __ __
(If not, ` Gi . ~ • ~" ~j t6 ' ~~Itown to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Stats.) _ ~; ~ ,.~ ~nst-t~ent and acknowledged a same.
L ~-
~Oe ~s
THIS INSTRUMENT WAS DRAFTED B~ ~ ~ t'j~ .'
Attorney Kristine Ogtand ~';'~,~ • • . • '
Hudson, WI 54016 '%~,,,, S!N • ~~ tary Public, State of /S~' /iV __
~"~~~~~~~ My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acktwwledged. Both are not necessary J , ~ 9 G%~ .)
c3
* Names of persons signing in any capacity must be typed or printed below their signature. tnfortnation Professionals Co., Fond du Lac, Wl
STATE BAR OF WISCONSIN 800.655-2021
WARRANTY DEED FORM No. Z - t~99
~u 2y8? P lly
EXHIBIT A
That part of the SW '/. of Section 22, Township 29 North, Range 19 West, Town of Hudson, St. Croix
County, Wisconsin described as follows: Commencing at the SW corner of said SW '/. of Section 22;
thence N89°51'27"E, assumed bearing, along the South line of said SW '/,, a distance of 1298.51 feet to
the point of beginning, being the SE corner of that certain Certified Survey Map recorded in Vol. 15, Page
4192; thence N00°32'31 "W, along the East line of said Certified Survey Map, being the East line of the SW
'/. of said SW '/a, a distance of 493.73 feet to the NE comer of said Certified Survey Map; thence
S89°48'23"W, along the North line of said Certified Survey Map, a distance of 31.25 feet; thence
N00°32'31 "W, a distance of 1447.58 feet; thence N89°41'03"E, a distance of 31.25 feet to the East line of
the NW '/. of said SW '/. of Section 22; thence N00°32'31 "W, along said West line, a distance of 690.94
feet to its intersection with the East-West quarter line of said Section 22; thence N89°37'56"E, along said
East-West quarter line a distance of 1301.09 feet to its intersection with the North-South quarter line of said
Section 22; thence S00°29'07"E, along said North-South quarter line, a distance of 1318.71 feet to the SE
corner of said NE '/. of SW '/.; thence S89°44'41 "W, along said South line, a distance of 649.90 feet to its
intersection with the West line of the E '/ of the SE '/, of said SW '/, of Section 22; thence S00°30'51"E,
along said West line, a distance of 1317.44 feet to said South line of the SW '/. of Section 22; thence
S89°51'27"W, along said South line, a distance of 649.27 feet to the point of beginning.
Parcel #: 020-1450-01-000
11/07/2005 03:57 PM
PAGE 1 OF 1
Alt. Parcel #: 22.29.19.2871 020 -TOWN OF HUDSON
Current ' X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
09/09/2004 00 0
Tax Address: Owner(s): O =Current Owner, C =Current CaOwner
O -GRAND PROPERTIES LP
GRAND PROPERTIES LP
712 RIVARD ST STE 300
SOMERSET WI 54025
Districts: SC =School SP =Special Property Address(es): " =Primary
Type Dist # Description " 803 GERMAIN LN
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 2.004 Plat: 10/25-HUDSON ESTATES 020/04 LOTS 1/18
SEC 22 T29N R19W PT SE SW BEING HUDSON Block/Condo Bldg: LOT 01
'
ESTATES (
04) LOT 1 (2.004AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-29N-19W SE SW
Notes: Parcel History:
Date Doc # Vol/Page Type
09/09/2004 773861 10/25 PLAT
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations:
Description Class
RESIDENTIAL G1
Totals for 2005:
General Property
Woodland
Last Changed: 10/25/2005
Acres Land Improve Total State Reason
2.004 75,000 0 75,000 NO 05
2.004 75,000 0 75,000
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
Wisconsin Department of Conxnerce
Division of Safety and Buildings
SOIL EVALUATION REPORT
in arrnnianrsa with C:rmm R5 Wic At1m f`rvla
1165
Page 1 of 3
Tom Schmitt
Attach complete site plan on paper not less than 8%: x 11 inches in sae. PIS must
include
txd not limit
l
d h
d t
ti
¢
t
l
f
nd
BM
di
i
d County
St. t:.rOUt
,
o: ver
an
e
ca
or
on
a
re
erence po
(
),
rect
on an
percerd slope, scale or dimemsrons, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all information.
Reviewed By Date
Persw~al information you provide may be aced for secondary fwd (Privac law, s. 15.04 (1) (m)).
Properly Owner , __..,, ..r._... ~ a Properly Location
Grand Properties, LP Govt. Lot SE 1/4 SW 1k1 S 22 T 29 N R 19 W
Property Owner's Mailing Address A ~ ~ ~ 3 z O O ~ Lot # Block # Subd. Na
712 Rivard Streeet, Suite 30 1 M ending Approval
City ,7.~tp.t,~o~,~p^.I~ber J City J ~Ilage ~ T rest Road
Somerset ~ I G Oglf9bff47-59 Hudson Badlands Road
New Constriction lJse: ~ Residerdial / Number of bedrooms 3 Code derived design flow rate 450 GPD
J Replacement ,J Public or commercial -Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is
93.0' ~,, 7 ~ d S ~~ Ie~ n ,
Boring # J Boring
MR' Pit Ground Surface elev. 97.37 ft.
pepth to limiting factor ~ in•
Sal Pipplication Rate
Horizon Depih Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/ftz
'Eff#1 'E
1 0-9 10yt3/1 none I 2mgr mfr as 2f .5 .8
2 9-21 10yr4/4 none I 2msbk mft gw 1f .5 .8
3 21-37 10yr5/3 none sl 2msbk mfr gw .5 .9
4 37-96 10yr5/6 none ms Osg ml - - .7 1.2
Boring # ~ Boring
Pit Ground Surface elev. 97.07 ft. Depth to limiting factor ~ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz
'Eff#r1 'Eff#2
1 0-12 10yr3/1 none I 2mgr mfr as 2f .5 .8
2 12-21 10yr4/3 none I 2msbk mfr gw 2f .5 .8
3 21-33 10yr4/6 none sl 2msbk mfr gw 2f .5 .9
4 33-96 10yr5l6 none. ms Osg ml --- - .7 1.2
-Effluent fF1 = BOD ~ 30 < ~p mgll antl T55 >30 < 150 mglL `Effluent #2 = BODS< 30 mg/L and TSS <~0 mglL
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 12/30/03 715-247-2941
Property Owner Grand Properties, LP Parre~ ID #
Page 2 of 3
Q Bering # ~ Boring
I~' Pit Ground Surface elev. 97.27 ft. Depth to limiting factor 96 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
'Eff#1 *Eff#2
1 0-10 10yr3/1 none I 2mgr mvfr as 2f .5 .8
2 10-16 10yr4/4 none sl 2msbk mft gw 1f .5 .9
3 16-35 10yr4/6 none sl 2msbk mfr gw 1f .5 .9
4 35-96 10yr5/6 none ms bsg ml - - .7 1.2
Borrng # ~ ~~
_f Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots
'Eff#1 'Eff#2
~~ # ~ Bonng
Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
'EH#1 •Eff#2
'Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS< 30 mglL and TSS <30 mglL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
r
• w
' - Conducted try:
Schmitt Soii & Site Evaluations
Thomas J. Schmitt, CST 227429
1595 72nd St.
New Richmond, WI 54017
Page 3 of 3
Conducted for:
Name: Grand Properties, LP
Address: 712 Rivard St. Suite 100
City, State, Zip: Somerset, WI 54025
Pho e: 715.247.294 Subd. Name Hudson Estates
Lot No. ~_
~E 1/4,~1/4,S:22,T29N,R19W
Township of: Hudson
BM El. l oo.oo~ ~p o f' ~" PG%. o%o~
Alternate BM El. ~ 7ao o ~ .? " ~'G%. p~~~=
Slope = ~% Contour Line El. Ned
N
State: 1" = 40'
_,
~I~ ~~~
( , ~ ~ ~~~
~. r ~ ,
l7
. \ ~~
2 _~
/~'~+ r
e~~~ 9y,
~' ~ ~
~. ~ ~ 9
---~ >Sd .
r
- I S~
~7'
's~
-g
S6 ~
a3~ '
This soil report was done to fulfill a Zoning requirement. It may or may not be in a location that is
suitable for your use. No permanent lot markers were in place when the test was c~nduded.
'~ ~ SOIL EVALUATION REPORT
VYlsconsin Department of Commerce
Division'of Safety and Buildings in accordance with Comm 85, W is. Adm. Code
Attach canpl~e site plan on paper rx>t less than 8%: x 11 inches in s¢e. Plan must County
include, txd not I'anited to: vertical and horizontal roference point (BM), direction and
percent slope, scale or d'mremsions, north anow, and locatan and distance to nearest road. Parcel I.D.
Please print all infonrration. Reviewed By
Personal information you provide maybe used for secondary DurPOSes (F'rlvacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
1165
Page 1 of 3
Tom Schmitt
St. Crobr
Date
Grand Properties, LP Govt. Lot SE 1/4 SW 1b S 22 T 29 N R 19 W
Property Owners Mailing Address Lot # Block # Subd. Name or CSM#
712 Rivard Streeet, Suite 300 1 CSM Pending Approval
City State Zip Code Phone Number _J City _J Yllage ~ Town Nearest Road
Somerset ~ WI 154025 i 715-247-5900 Hudson I Badlands Road
/J New Construction ~~~ // Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
J Replacement J Public or commercial -Describe:
Parent material Outwash Plain Flood plain elevation, if applicable na
General comments
and recommer-dations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area I is
93.0' ~_ 7 ~+ c( S ~~ P~ +~
~~ # J ~n9
1/ Pit Ground Surface elev. 97.37 ft.
pepth to limiting factor 96 In.
Sal Appiicatan Rate
Horizon Depth Dominant Color R
x Description Texture Structure Consistence Boundary Raols
, •Eff#1 ffll2
1 0-9 10yr3/1 none I 2mgr mfr as 2f .5 .8
2 9-21 10yr4/4 none I 2msbk mfr gw 1f .5 .8
3 21-37 10yr5/3 none sl 2msbk mfr gw - .5 .9
4 37-96 10yr5/6 none ms Osg ml - - .7 1.2
Boring # :~ Boring
i/ Pit Ground Surface elev. 97.07 ft. peptb to limiting factor 96 in. Soil Appligtion Rate
Hor¢on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
•EtAfr1 'Eff#2
1 0-12 10yr3/1 none I 2mgr mfr as 2f .5 .8
2 12-21 10yr4/3 none I 2msbk mfr gw 2f .5 .8
3 21-33 10yr4/6 none sl 2msbk mfr gw 2f .5 .9
4 33-96 10yr5/6 none ms Osg ml -~ - .7 1.2
tmuern ~~ = csvu ~ au < ~u mcyL ana t 55 >su < 75o mgiL 'Effluent #2 = BODS<30 mglL and TSS <~0 rrrg/L
CST Name (Please Print) Signature: CST Number
Thomas J. Schmitt 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 12/30/03 715-247-2941
Property Owner Grand Properties, lP Parcel ID #
a Boring # Boring
t/J Pit Ground Surface elev. 97.27
ft. Depth to limiting factor
96
-
in.
Horizon Depth Daninant Cola R
d
D
i
e
ox
escr
ption Texture Structure Consistence Boundary Rook
1 0-10 10yr3/1 none I 2mgr mvfr as 2f
2 10-16 10yr4/4 none sl 2msbk mfr gw 1f
3 ' 16-35 10yr4/6 none sl 2msbk mfr gw 1f
4 35-96 10yr5/6 none ms Osg ml _
a ~~# J~~
I Pit Grrx:n~f CiiA~rn de.. k rle.dl. ~.. 1:...»:..., s.......
-Page 2 of 3
Soil Application Rate
.5 .l3
.5 .9
.5 .9
.7 1.2
' Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <~0 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the departrnent at 608-266-3151 or TTY 608-264,8777.
U Boring # 'J tiortng
~ PR Grainrl S~:rt~re ero.. ~- r1u.,t-, ti.. r..,a:..,, s.,...,,.
r
Page 3 of 3
Conducted for:
Name: Grand Properties, LP
Address: 71,2 Rivard St. Suite 100 -
City, State, Zip: Somerset, WI 54025
Pho e: 715.247.294 Subd. Name Hudson Estates
~dc~a Lot No. ~_
~'G~ 1/4, SIB 1/4, S: 22 , T 29 N, R 19 W
n Township of Hudson
BM El. 100.00' ~,0 07~ ~~~ ~~/C 0~~~
Conducted by:
Schmitt Soil & Site Evaluations
Thomas J. Schmitt, CST 227429
1595 72nd St.
New Richmond, WI 54017
Alternate BM El. -3? 70,0 0 ~ .? " ~G~L ,os~~
Slope = _~% Contour Line El. N/~
b. `~
Scale: 1" = 40'
~'
f7
` `
\ ` ~~~
~_
~ 1, 9y,
~~
' ISd ~
~~~
r
/ /~
2
This soil report was done to fulfill a Zoning requirement. It may or may not be in a location that is
suitable for your use. No permanent lot markers were in place when the test was bonducted
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