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HomeMy WebLinkAbout020-1450-02-000 (3)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safetyand Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes IPrivacv Law, s.15.04 (1)(m) Permit Holder's Name: Ci Village X Township Hudson, Town of CST BM Elev: Insp. BM Elev: BM cription: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic /20~ Dosing OD Aeration Holding TANK SETBACK INFORMATION TANK TO ~ W~ BLDG. Vent to 'Intake ROAD Se ~ ~ (~ j Dosing Aeration Holding PUMP/SIPHON INFORMATION ~. Manufac rer Demand GPM Model Number TDH Lift Friction Los ystem Head TDH Ft Forcemain L Dia. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width • Length ~ No. Of Trenches DIMENSIONS j SETBACK SYSTEM TO ! P/L LDG WELL INFORMATION Type f System: ~ f 32` ~; DISZRIBUTION SYSTEM -~ t.fJ,i9, ELEVATION DATA STATION BS HI FS ELEV. Benchmark 1 ~ Alt. BM ST . Ca Bldg. Sewer SUH~t let (a. b fo SUHt Outlet yam. ~ Dt Inlet _~„ ~--- Dt Bottom ~--- ,~- Header/Man. _-___-- ~ ~y7 ~ Dist. Pipe Bot. System ~ s Final Grade _ ~ 2 7' St Cover 3~ ~t o.~s q9 ~b lr't County: St. Croix Sanitary Permit No: 479365 0 State Plan ID No: Parcel Tax No: 020-1450-02-000 Section/Town/Range/Map No: 22.29.19.2872 Dia. (liquid Depth CHAMBER (Model NumberS~ ~~ 1~ eader/ nifold Distribution r x Hole Size x Hole Spacing Vent to Air Intake (5 / It ~ Pipe(s) y ~ S _ ~ „/' ~/'~- Z Dia Length Dia pacing .t SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Only {~11'7.<-a~~ Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [] No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~ ~~Inspection #2: / / Location: 809 Germain Lane Hudson, WI 54016 (SE 1/4 SW 1/4 22 T29N R19W) Hudson Estates Lot 2 Parcel No: 22.29.19.2872 1.) Alt BM Description = j oP ~ ~ AiL~ ~ ~/ 3 ` n3e lrS ~ po,~„~ ~~ ~ ~ p~ lam/ Sf~ 2.) Bldg sewer length ='S ' `""'Q',, ~ ,y.. J ~ 1 -amount of cover = ~ 3 r `~C.~l/t(LOt (,Z,.(~^GA- ~~3 1 Plan revision Required? ~ Yes [~Vo ~/ u ~ ~ ~Q~ Use other side for additional information. b L / ~ ~ ~ I ~ . SBD-6710 (R.3/97) Date - Insepc or' ignature Cert. No. fO Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County ~ ~T (, /2'j ~ .X Madison, WI 53707 - 7162 in II ` i Sanitary Perm~t Number (to be filled in by Co.) Q scons V~~ ~ ~~ 4 f Commerce t o Departmen Sanitary Perini ation State Plan I.D. Numb r ~ T in rmatio ro rid~• ~QQS d d C ~ e, a m. o In accord with Comm 83.21, Wis. A may be used for secondary purposes Privacy Law 15.04(~~ ' Project Address f different than mailing address) I. Application Information -Please Print All Information ST• CRpI pFFICE pNING ~ ~U,,..Q/ ~~D Z Property Owner's Name ~ /~ u~ Parcel # Lot Block # ' Property Owner's Mailing Address Property Locatio ) ~ ~( ~ ~ ~~ . /<, Section '/., 1 Z. /`..I / T !~ '~-~~"~ City, State Zip Code Phone Number l e) . ~' d'' j~ir S ~ C7 Z) 2 or / N, v I~ T S II. ype of Building (check all that apply) _ ~ ` ~~ Subdivision N C M Number or 2 Family Dwelling - Number of Bedrooms ~ ~~ - ~Jj _ ~l/c~J ^ Public/Commercial -Describe Use ^City ^Villa ship ^ State Owned -Describe Use III. Type o Permit: (Check only one box on line A. Complete line B if applicable) A' • ystem ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System List evious Permit Number and Date Issued B. ^ Permit Renewal ^ Permit Revision Change of Permit Transfer to New C /~ Owner l _ , f u er Before Expiration P IV. a of POWTS S stem: Check all that a I -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass ~ r ^ Constructed Wetland ^ Pressurized In- and ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recircul~ng Sand Fitter ^ ~ L Recirculating Synthetic Media Filter eaching tuber ^ Dri Line ^ Gravel-less Pipe xp in) U V. Dis ersallTreatment Are formats n: ~ Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispers rea r osed (sf) System Elevation ~ ~ . ~ O -~ j ~ ~ S, o VI. Tank Info Capacity in Total Number Manufacturer Prefab Site eel Fiber Plastic Concrete Constructed Glass Gallons Gallons of Units New Existing Tanks Tanks Septic or Holding Tank 7i ~ I ~ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersign ume responsibility for installation of the POWTS shown on the attached plans. MP/MPRS Number Business Phone Number / Plumber's Name (Print) Plumber' ature / ~ ~ ~ ~ ~ ~ ~/J ~~ ~ ~/ / l G`j ~~tiL G v~. ~ ` , J ~ / Plumber's/Address (Street, City, State1Zip ode _ / J , , / ~/A / /n ~ / ~ C / V / l ~Ci /(/V ~ ~/~ / VIII. oun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Dat Issu d suing Agen Signa s) Approved ^ Disapproved Surcharge Fee) ~ O U O ~ /( S '-' U ^ Owner Given Reason for Denial / ~~ L~~~ ~GZ~~~~l/iv~Y~ f~ IX. Conditions of ApprovaUReasons for I~sapproval _ ~C.~~ ~° ~d~d. ~ 6,4,L~a-Q ffluent filter and ~ ~~ k , e eptlc tan dispersal cell must all be serviced ! maintaihPd ~~ y~~ _„~ v~~ ~ ~ ~~ , ~~ ~ ~ P, c as er management plan pruvtuvu .,y r'~•~~--- ~~ - ~ ,- • - •- r.. --- - --' ~f~(~(_Q ,(//~j - 2. All setbac regwremen s o the County gpty) for the system on paper not less than/~ ~~J' /~~' _ " ~~2~~~~~'Y ~ as per applicable code/ordinances. /X/// ~,~~ / ` ~/ a dc.~~e r~ a~C C~i~2L~~/ u~~ /~~'~~ SBD-6398 (R. 01/03) . PLOT PLAN ' PROJECT Grand Properties DD ESS 712 Rivard St. Somerset Wi 54025 SE 1/4 SW 1/4S 22 /T 29 / 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE8/3/05 BEDROOM 4 CONVENTIONAL XXX IN-GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZ 1255 gallons LIFT TANK SIZE DOSE TA IZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambe s 28 ,BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark Germain Well is to meet all Lane / setbacks required by WDNR ~Q 40' SYSTEM ELEVATION 95.0/94.5 4' below grade Plans Designed Using Conventional Powts Manual Version 2.0 Vents 2-3' X 88' Cells with >3' Spacing B-3 ~ r, B-4 152 ~0' B-1 ~, ~~~ t,B, ,Top of 2" ipe @ 101 11' 100 20' 0' 20' 20' Pro 4 edrq,~~~ 20' se ___---~~ ~/+a~G 1 O Vent >6" of Cover 6' Long,~rl 1,> Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation Property Line 110 PLOT PLAN PROJECT Grand Properties DD ESS 712 Rivard St. Somerset Wi 54025 SE 1/a SW 1/4S 22 /T 29 / 19 W TOWN Hudson COUNTY ST.CROIX i MPRS Shaun Bird 226900 DATER/3/05 BEDROOM 4 CONVENTIONAL XXX IN-GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZ 1255 gallons LIFT TANK SIZE DOSE TA IZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambe s 28 ,BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^BOREHOLE O WELL *H.R.P. Same as Benchmark Germain Well is to meet all Lane / setbacks required by WDNR SYSTEM EI.F.VATiON 95.0/94.5 4' below orade Plans Designed Using Conventional Powts Manual Version 2.0 Vents 2-3' X 88' Cells with >3' Spacing B-3 ~ ,-, B-4 152 ~ 10' B-1 40' 20' AIt,B, ,Top of 2" ipe pro 4 @ 101 11' Bedroom 120' House 100 20' 1 1 1 11~~ 20' Vent >6„ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 11" 6' Long Grade at System Elevation ~„ Property Line 110 Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Conting ncy Plan Option #1. If ystem fails, determine cause of failure, use alternate area and install new system in test d replacement area. system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 L4T 3 ,~'# ~-~ ACRES ~'f,4T6 SQ. FT. t=~•O. ~ 906.10 pAi ao N 0 ~o ~o CUB curare Numb CI C2 C3 i ~ ~" __'_111.80' ~. ~ ~89 29 09 W 80' TEMPORARY .1Q CUL-DE-SAC EASEMENT, ~; TO BE EXTINGUISHED • / ~ ~$ N UPON ROAD EXTENSION `~ ~~ •., " • I N 9'29 09 E • ~ ~ i ~ CENTER OF ~ j 4 ~ -CUL-DE-SAC • O I 1 ~ I~ W ~ I~ . LOT2 ~ w I~ . ~ 2.003 ACRES ~ `i I ~ ~ '. ~,2q~ so. F r. ~ I ' '' ICJ J • I . Z ~ • ' ~ '2 d c d N / N ~ •.~ o ~ f • N ~ ~ N 240.68' a' ~' ~ $+ N89'29'09"E ••' ~+: ~ ~ ~ ~ V O ~, w . ~ Z ~ '. ~ ~. LOT 1 • q 2.004 ACRES • e~,2e2 s4. F r. • ~ ' ~• cr g 130' . r ~, ~ ~ ~ 4 ~, R~ ~ I I~ ' ~ I • ~ ~ ..~ I~ c+; ~ so Q I ~ I 33' 33' " ~~ • i N - y. v ~+ CS C6 C4 c~ ca C9 cio cii C12 C13 ESI~ C14 ESM C15 ESN C16 ESM LEGF FOUND ALl SECTION Ci ® FOUND PK ~ FOUND 2` OI ~ FOUND t" Ol ~ SET 2-3/8` OI WEIGHING 3 p SET 1 ` OUTSI WEIGHING 1 HWL HIGH WATER L.B.O. LOW BUILDIN( . • WINDOW ELE1 ~ ~ ROADWAY SEl ~r wIDE urlLn ~ ~ RECORDED BE b 0 .. C 00 rn O 2 m O D v O Z Z G7 m r O v c z C7 Z -~ C J ~_ O Z O Z r D Z m m Y, z m rn m v m 0 m a m -~ 0 N v ~n C c ~ Z o O - ~ ~ ~' O rn Z zrnC vn~ o 70 C ~- O r _~ ~ ~ ~ a ~~ rn ~~ ~~ 04 ~ ~ ,, b ~~ p° ~ ~ ~ ~n ~1 ~~ oa w A a v °. ~ ~ ~ ~ ? 0 z rn as ~ ~ ~~~ ~ r~~3 3 ~' ~ a~ ~ ~ ~ ~~s ~ ~~ o ~ o ~~ ~ ~ ~ ~g~ > > 0 Z y Z c~a y fi ~5 ~~ X c~ O C Z Z O w 07 f~ ., PROPERTYOwtMER: d~ .ALP SOIL AND S{TE EVALUAT{ON ~2p~ page ~ of 4 PARCEL I.D.# '~~n SchmiU REPORT MEMO Discontinuous silt inclusions were observed in B1 with redox features. The redox features in the silt are presenf because the smaller particle size of silt 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 hotel 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. t4" INSTALLERS** When a ilt inclusio (silt ball} 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/sgft 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. 1 ~~S ~~, ~ s~~T ~ ~~ ~~ ~-~..tS s~~~,~r s~ , ~~ ~ ~ s L ~ "'~""T i r~a~F9 ~"~ S t k,c S ~tQ. Gl f b-u.~` ~. ~< `S~. ~~, mss. ~tS ~S ~ r ~ `tom- ~~s ~ C ~~ Sal ~-~s i ~' Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete she plan on paper not less than 8'/: x 11 inches in sae. Plan must inGude, but not limited to: vertical and hor¢ontal reference point (BM), direction and percent sops, scale or dimemsiors, north arrow, and bcation and distance to nearest road. Parcel LD. Please print all infon»ation. Reviewed By Persons informatan you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Properly Owner ~ ~ ('' ~,(~ (~ ~, Property Location St. CfOUC 1201 Page 1 of 3 Tom Schmih 0~ Date i ~ Grand Properties, LP Govt. Lot SE 1/4 SW 1M S ' 22 T 29 N R 19 W Property Owner's Mailing Address ' ~ ~ A~ ~ ~ ~ ~ ~ ~~ Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 2 Hudson Estates City S e Zip CoQe,1'h4~,Nkmber J City _J village ~ Town Nearest Road Somerset I I 5d ~ "`~ `~~ ~~ u ~ V ~-590 Hudson Badlands Road New Constnrction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate J Replacement r, j Public or comrrrercial -Describe: Parent material Outvvash Plain Flood plain elevation, if applicable General comments and recommendations: Area is suitable for~a1conventional system. Possible system elevation for Area 1 is 94.50'. ~~'F'T Z i'~..Gt.'fi 450 na Slope is 6°~. GPD Boring # ~ Baing Pit Ground Surface elev. 98.88 fl. Depth to limiting factor ~ U0+ in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Shucture Consistence Boundary Roois GP D/ft= 'Eff#1 'Eff#2 1 0-13 10yr32 none I 2mgr mvfr as 3f .6 .8 2 13-20 10yr4/3 none I 2msbk mvfr gw 2f .6 .8 3 20-32 10yr5/3 none sl 2msbk mfr gw 1f .6 1.0 4 32-100 10yr5/6 none s Osg ml - .7 1.6 ~2. Boring # ~ Boring 1/j Pit Ground Surface elev. 98.88 ft. Depth to limiting factor ~+ in• Soil Application Rate Horizon Depth Dominant Color Redox Descripton Texture Stn~cture Consistence Boundary Roots GP DlftY 'Eff#1 'Eff#2 1 0-8 10yr32 none I 2mgr mvfr as 3f .6 .8 2 8-16 10yr3/4 none I 2msbk mvfr gw 2f .6 .8 3 16-29 10yr4/4 none sl 2msbk mfr gw 1f .6 1.0 4 29-96 10yr4/6 none s Osg ml - - .7 1.6 "J 'Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS< 30 mg/L and TSS <~0 mg/L CST Name (Pl~se Print) Signature: CST Number Thomas J. Schmitt ~,.,,,.~ 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4!12/04 715-247-2941 . r. property Owner Grand Properties, LP Parcel ID # Page 2 of 3 goring # ~ Baring ~ Pit Ground Surface elev. 96.98 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Et1#2 1 0-9 10yr3/3 none I 2mgr mvfr as 3f .6 .8 2 9-17 10yr3/4 none sil 2msbk mfr gw 2f .6 .8 3 17-29 10yr4/4 none sl 2msbk mfr gw 1f .6 1.0 4 29-96 10yr5/6 none s Osg ml - .7 1.6 ~i2,~~ _ ~.Z h q3• ~~ a Boring # ~~ Pit Ground Surface elev. 96.98 ft. Depth to limiting factor 96+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#1 *EtT#2 1 0-6 10yr32 none I 2mgr mvfr as 3f .6 .8 2 6-15 10yr4/4 none 1 2msbk mvfr gw 2f .6 .8 3 15-22 7.5yr4/4 none Is Osg ml gw 1f .7 1.6 4 22-96 10yr5/6 none s Osg ml - .7 1.6 ^ Boring # _..! Boring J Pit Ground Surface elev. ft. Depth to limiting fador in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Raots 'Eff#t 'Eff#t2 " Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mgJL * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L The Departrnent 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 deparUnent at 608-266-3151 or TTY 608-264-8777. .., _ ~1 Page 3 of 3 Conducted by: Conducted for: Schmitt Soil & Site Evaluations Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WI 54017 Phone• 715.247.2941 - Subd. Name Hudson Estates ~,.~/, Lot No. ~ 1/4 SG/ 1/4, S: 22 , T 29 N, R 19 W BM El. 100.00' ~~ a 7~ Alternate BM El./p/, ~ Slope = Scale: 1" = 40' ~~ ~~°'~ ~' ~~r C ,~„~~ a~ 9B= i ~6~ Township of: Hudson Contour Line El. /~//4 _ 6~5~~.~ a3 -` _ _ g~ _ ~~ ~~F~ `~ -- L ~ - - -9~ /Say ~~~©~1 ~a©` ~~ -- ~ ~~ 6~° /y7 ~~ az ~OLtIG~ ~/ P~sS~'6ly h e %h Kca.~ ~,~~ o t l~a~, / 7 Gv~LS CtQ~PG~. / ~~°/'~ /3 120' 4 ~/~tb~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 mazkers were in place when the test was car-ducted. ` ST CROIX COUNTY SEPTlC "TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Ownerl8uyer l~.,~r,~ _~i6p ~,~ ~- ~~~,~e Mailing Address ~/~ ~Gcs-~'i~GG<'7Ae- pt ~~ ~1~2 ~y 1'ropcrty Address ~S"~' {Vcnficatlon required from planning Department for new construction} City/Bract ~~~~ W~ Parcel Identification Number [D ZO - /~fSCS - aZ - ao~ AL DIESGRII'TION Property Location '~~ '/., SGJ '/., Sec, .~~- , T~N•R f ~ W, Town of ~~~rl~ Suhclivision f~~~d /~ ~ ~ ,Lot # ~ Certified Survey Map # Volume ,Page # warranty Deed # 7v~O~`.r~~ ~, Volume ~`"~~~ , Aagc # !lam Spec Douse ~• yes Q no Lot lines identifiabie~ yes D no SYSTEM MAI^1TFNANCF Improper use and maintenance of your scntic system could result in its premature failure to handle wastes. Proper mrrtena^cc 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 dispose! system, The property owner agrres to submit to St. Croix Zoning Department a ce~lfication form, signtd by the owner and b;: a master piumber,lourneyman plumber, restricted p!umhtr or a licensed pumper verifyinb that (I) the on•siee wastewa[erdisposa! sys~rm is in proper operating conditiorl and/or (~}after ~nspcction and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwc, the undersigned have read the above requirements and agree to maintain the ptivalc sewage disposal system with tht standards set fonh, heron, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cert[ficat~or. stating the ur se U system s been maint:~uirc! inuet be Cnrnhleted pnd returned to cite St. t.~rolX CDUnty Zoning OCfICe wllhin 3 days of rec car xp=rat n da;c. S[GNATLRE 0 PLICANT DATE QWNFR CERTIFICATION 1 (we) ce ~ the i! statements an ibis form arc trt[c to the best of my (our) knowledge the pro desc ibe ab c, by vtrtuc of a ~~arranty dead recorded in Rtgistcr of Deeds Offtce. S1GN~TURE Q PPLICANT I (we) am (are) the owner{sj of l% r GS`~ DATE """ nny information that is mis•rcpresrntcdmey result in the sanitary permit being revoked by the Zoning Dcpartmer.t "" " •' include with th!s application: a stamped w•arranry decd from the Register of Deeds office a 'copy of the cenified survey map iC reference is made in the warran[y deed POWTS t)WNE~i'~ MANU~~. $ MANAGEMENT Pi.AN FILE INPt3RMA710N Owner l-.1~ w Permits DES~N PARAMETERS Number of &edrocma ~ p NA Number of Public Facility Unite, p NA Estimated flow !average) ~Q'Q ar/da Design Now speak), (Estimated x 1.5) ~'~ ~ all Soil Appiicatkuti Rate slide /1t1e Standard inftuenttEfffuent auabty Monthly aver#pd" Fats, Oil b Grease {FOGj S30 mglL Bioohemicad Oxygen Demand iBODa) 5220 mg/L O NA Total Suspended Solids iTSSI 5160 mg/L Pretreated Effluent {luality Monthly average Biochem"soal Oxygen Demand tBQDsi ~0 mg/t. Total Suspended Solids {TSSi ;~30 mg/1. Q NA Fecal Conform (geometric mean) S10` cful400rn1 Maximum Effluent Particle Sire yi in die. Q NA Other. ^ NA "Values typical for domestic wastewater and septic tonic effluent. MAINT'EIIIANCE St:H~ULE SYSTf.M $PECIfICAT10N8 Page of 3liRtb Tank Capacity .~ d al 0 NA 6eptic lank Manufacturer 1 ~ ~ O NA Effluent Filter Manufacturer ~ ~ i7 NA Eff#uent Filter Modal ~~' 0 NA Pump Tank Capacity d° ai DNA Pump Tank Manufacturer r~,s ~, d NA Pump Manufacturer ~,,~~/ Q NA Pilritp Model O NA Prrtrpatment Unit 0 S~1std/Gravel Fitter 0 Maehaniesl Aeration D Ulainfection p Paai Filter O Wetland D Other: 0 NA Dispersal Ceti(s) Q tn-Ground !gravity) Q At~Grade La Qrip-Line DNA Q In-Ground {pressurized! 17 Mound ^ Other: Other O NA ~`~ DNA ~: ^ NA 8erviae Event Service Fretplency inspect condition of tanklsl At least once werlr: ~ ale tMa7d~m 3 years! O NA Pump out oontenq of tank{s} Whan combired sludge and scum equals one-third (Ys) of tank vciums O NA inspect dispersal ceNtal At least once every: ~ montl ~{sl {M~udmultl 3 yeas! O NA Clean efftusM faker At least onoa ovary: l r r~ lronth{sl I~ earl0~ Q NA Inspect pump, pump controls & alarm At least once every: .r- monthlsl d sal DNA Flush laterals end pressure test At !asst once every; '-"' mon lei O earls) ^ NA Other: At lealst ones ovary: _,.^- O month{sf O earls} Q NA Other: ^ NA MANIiTENANCE MISTRUCTlONS inspections of tanks and dispersal calls shall be made by an individual carrying one of the foibwing licenses or certifications: Master Plumber; Master Plumber Ftestrictad Sewer; POWTS inspector; POW'I'S Maintainer; Septsge Servicing Operator. Tank inspections must include a visual inspection of the tankie) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum a+1d to check for any back up or ponding of effluent on the ground surface. Tha dispersal collie) shall be visually inspected to check the effluent revels in the observation pipes and to check for any ponding of effk~ent on the ground surface. The pondMg of effluent on thq ground surface may indicate a falling condhion and requires the immediate notffication of the local regufatory authorhy. When the combined accumulation of sludge and scum in any tank squsla one-third lY~l or more of the tank vofums, the entire contents of the tank shell be removed by a Septage Servicing Operator and dispoaad of in accordance with chapter NR 113, Wisconsin Adminlatretive Code. Aii Other services, including but not limited to the servicing of effluent filters, mechanical or pressurized Components, pretreatment units, and any servicing at intervals of 57 2 months, shalt bd psrt4rmed by a certified PQVYTS Maintainer. A servioo report shall be provided to the local regufatory authority within 10 days of completion of any service event. •apoa vn!ianslu!utpy ulsuoaslM '!E} B iL? 'tl}bS'BB pus t}l~tpl(tligllZlZt'Sff wwo~,eidsya yynn aouanldwoa ul.peil,Qip`,avM }uawnaoA s--11 ~~-,- - S/G auoyd auay~ v ~ PZ i' ; of •tusly pu,aN JLLI110H111V 1l>dOiM'i11DSt! ror~0~ laadwndl taol.Va3do oNl~ln~s ~ovid~s e~~ud ~N a9Nil/iNIVW $iMpd r. ~ ~ - .c - .~ e a~ ~ a a ~.,, ~.'1i",'r7 eweN tlS'1'1d1SNf S1MOd S1N$WW~O '1VNOt.~tiOUV '31gi$$ddWl >d~ 1'ifl~idd~ $g AMW ~NVl d d0 d0lIi31Nl 3Hi WO~ld NOSaSd tl dt} 3f19S3a 'i'1f1S3a AVW Hlv$a '833NViSWftOlJl~ AN'ih !l~QMn kNdi 1N8Wl~di t13Hi0 !!O dwnd 'OI1dSS V »1N3 lON OCI 'N3DJlX0 iN3101ddf1SN1 >dO/d'NV $3SSH0 'I~/~fi~'I NIMINOJ AVW $71NVi iN3W11132ii li~H10 4N { cON N!lvM~s> •ewli isyi 3g iav;}a ut soln, ayi yilM ~ldWao 19M1u sureia~ts yaps }o cuOtlanalsUOae~ •sae},ns enlis,il~us ayi le xewo!q ay} ~o lsnou,aa Bulnnollosti eaeld ul paiatui'uoo0y sq Aeua suaaisds uo~id,osge ilas aps~9-ie pue punoy~ ^ .. ~ • ~USi ~~ 1 o d ~~~!$ P • 'S.1.MOd p®'itg; ayi weldo, of i,ocel;ssl s ste palleisw aq A•tu ~usi du!ploy a Adolouyosi S1MOd u! saousnp~ Bu!„~ag •suolivilw!I I!oc ,o/pue alaegies of enp olgelisne iou sl ea,s iuawaoeidil, elgsilns d p 'owls seyi is 3~N• ul s•ln, •yi yilM Aldwaa zsnw swais~s iuou~asldaa •ev,e iuaw•aeld•~ algeilns a +asligaxala o3 uolis~ptno oils pus l-os Msu a ,off p••u at{i ul ;lnse, 11!M ea,e iuewsaaldas siyl 1~e10ld o} amlled •sllaM pue aeulj iol 'a}tllani>s po=oda,d pus Dulielxa wo,~ sxlasgl6s Pe~lr-bea ,cq uodn pe8ul~lu~ eq iou plnoys pue uoliaedwoa pue eolaegmaslp wok; pe~oaload aq plnoys Baas iuewaaslda~ ayi •u,alsAs uolidaosge llos weu~eaelda~ a ~o uonsaol ayi ,o{ Pexlllin aq ~c~w pus pei~n{ene u0eq say seas iuaws~aaldes algsilns V p :wsisM iueweoslda, xuegdwoa epoo a ®p!no,d of 'u®~lsx eq zsnw ~ ~o wasp eney sa,ns~eeu~ dul+NOllo} byi pa,leda, aq iouuea pus ells} $1MOd syi }i NV'Id AONSONIlN00 ~leuolsw p!los i~ul ,+®yloue io l•ne38 glos yi!M Pal!!} weds plop syi pus panowa.- s,enoa ,leyi io pdnotuAi pus poiitnsax4 aq pays sill pus s~lusl Ile '9uldwnd ,o;}y • jnie,edq Bulaln,o, aBeideg a ~tq }o pasadslp Altado~d pus penaul~~ sq !lays sild pue s~luei ile }o siueiuoa eyl • •palaas sBuluedo adld peuopUegM a41 pue pe2oauuoas!p eq ~leys sild pus s~}uei o; BuMld pt- :epos ®nlle,xs!ulu,py ulsuooslM '~~•~g uawo0laxdatp y3lM souelldwoo ul psuopuege AI®}es pus ~tl,eda,d s! weis~ts ayx xeyx a,nsue ox ue~lei •q flays adexa 8u!Mtt~lo} dyi eoln,as }o ind ue~lei ~tlxu•usw,ed sl ,o~pue s!le} S.LMOd p43 UeyM iN3WNOaNdBa •aul,q louai}os i~iann pua` tsaadwQi :sut~ldeu ~t,e}hies :saplallsad :aianpo,d Bwiuled :Ilo ;suoi;ealpauj :sde~as isaua :sap~alq~ay :assa~d :sau~losgb :s~6utlaad a~ge~aban pue ling :,e1@M (dwnd dwns) ulejp uo~3spunol. :ie~ :siueiae}ulalp :s,adelp :ssol} leiusp :s.+esoa3Qep :IiL~LtN4 udiida 'sunxpuoa :tunq axie,eBla :sgdlM ~qeq 'sal;alglwe :S.LMOd eux ;o a}!! eyx Buola,d pue vauew,o},ad syi eno,dua ~tsua wae,i~ e~1eM~issaM oyx wo,} Bu!MOllo} ayi }o uolxeulwp• ,o ua;anpod •ea,s uarid,osge llos app,8-xe ,o punow ~tue }o adols unnop iaa} g 6 ulyl!M ee,8 ay1 'iaedwoa ,o q,nislp ss!M,ayxo ,o ',eno al,ed ~b bn!1p iotl O(] •slloa lts,edslp pue s~luei ,®no sAlalyan ~l,sd ,o anl,p iou off} •~luex dwnd ayi ulyllM slanel Iswaou atoies, of slo~;uoa dwnd ayi 9ulie~•do tillsnuvw ul islsse b3 }aulBlu4gW S.LMbd io ,sgwnid a 3aRluoa ,o dwnd iuanl}}a syi ai ,aMOd Buuoise, of ,olad ,oie,edp eula!n,eg ageids$ a Aq pendwsi >~u~= t3uind ayi ;o siuaxuaa syx envy uotignils glyi grans of •xu•n!}}e }a ed,eyaslp eae~ns ~o dn~l9eq syi ul lineal stew pus fslllaa ayi ~ulpmb~~dna 'Deep ab,e~ suo ul {s)Ilaa ~esjedslp ey} of paDieyoslp 6q !!IM ,838M8xsBM SSBaxe syi peJOxsBJ 81 JAMOd UayM •slgi~ei! ,43eMydly leus,ou anoge I!!} Asw s~usx dwnd saBeina ,aMOd $uunp •aae;mc eniirul!;u1 •431p uoxos d,a ~tlol3lpuoa l-as uayM ,nano xou Ileys do i,exs waxs~lS •den of }dl,d ,d;o,edo 9uto!n,es •8eidac a ~lq ponow•a ;c)~usi syi }o s3uaiuoa ayi aney pviae;ep a,e suorie,iueauoa y6ly }i •te}gsa j>3sidd$~p dyi udti!ursp ,o~pue ssaoo,d iuowieaai syi epadun slew ley3 slew+weya ,r~yio to sianpo,d Bu!iu!ed }o eauasa,d ayi ,o fsyilusk yueui~adt~ Xbdyo S1Mpd ayi }a asa of iol~d 'uoliaai.+leuaa Mau ,off N0111!l13d0 ONtI an ~>~ ~ c ~o eBQd Parcel #: 026-1450-~2-00~ 05/13/2005 04:49 PM PAGE 1 OF 1 Alt. Parcel #: 22.29.19.2872 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): * =Current Owner '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 ` 809 GERMAIN WAY OR SC 2611 SCH D OF HUDSON 821 GERMAIN WAY SP 1700 WITC Legal Description: Acres: 2.003 Plat: 10/25-HUDSON ESTATES 020/04 LOTS 1/18 SEC 22 T29N R19W PT SE SW BEING HUDSON Block/Condo Bldg: LOT 02 ' ESTATES ( 04) LOT 2 (2.003AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-29N-19W SE SW Notes: Parcel History: Date Doc # Vol/Page Type 09/09/2004 773861 10/25 PLAT 7nn~ CI IMMeRV Bill #: Fair Market Value: Assessed with: Valuations: Description Totals for 2005: General Property Woodland 0 Last Changed: 03/07/2005 Acres Land Improve Total State Reason Class 0.000 0 0 0 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 . U 2y87P 113 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number 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 t. roix County, State of Wisconsin (if more space is needed, please attach addendum): See Attached Exhibit "A". ~5~~37 KATHLEEK H. MALSH REGISTER OF DEEDS ST. CROIX CO. , wI RECEIVED FOR RECORD 01/07/2004 11:15Al1 WARRANTY DEED EXEMPT M REC FEE: 13.00 TRANS FEE: 3240.00 COPY FEE: CC FEE: PAGES: 2 Recording Area Name and Return Address ,~` ~3- 02A-1058-80-000 020-1059-00-000 020-1059-10-000.020-1058-90-000, Parcel Ide ~Sa~ giber (PIN) This (~G~ homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights~f-way of record, if any. Dated this _~~?~.~ day of ~ U , . * -- -- --- * Willis D. Savadg Ai"I'HENTICATION i ' CKNOWLEDGMENT Signature(s) ____ _ __ STATE OF w~ _ ) ss. --~- ~.~i County ) authenticated this _ day of _ Personally came before me this day of ~ the above named --- _ _.. - ``~~ttntiii~t,~ (Willis D. Sayadge, _ TITLE: MEMBER STA I'E BAR OF WISCONSIN ~~~~ ~ • `! = ____ (If not, _ _ ~ ti . • • ~" ~j td ~ ~'lsnown to be the person(s) who executed the foregoing authorized by § 70c.06, Wis. Stats.) 3~; .~ -r s~~'ttst~ent and acknowledged a same. THIS INSTRUMENT WAS DRAFTED B~ ~• C'/~ Attorney Ii{ristina Ogl::nd _ =,p~~1' • . • • * Hudson, WI 54016 '~~,,,,, _ SIN ~ tary Public, State of /$C /~ __ My Cotrtmission is perm/anent. (If not, state expiration date: (Signatures may be authen~,cated or acimowiedged. Both are not necessary.) ~j Q,/7 , ~7 G%~ ') i~ * Names of persons signing ir. any capacity must be typed or printed below their signature. Information Professionals Co., Ford du Lac, WI STATB BAR OF WLSCONSIN ~'~5-~~ WARRANTY DEED FORM No. 2 - 1999 1 ~~ 2y87 P 11y EXHIBIT A That part of the SW /. of Section 22, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin dE scribed as follows: Commencing at the SW corner of said SW '/. of Section 22; thence N89°51'27"E, ~3ssumed 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 distance of 493.73 feet to the NE corner of said Certified Survey Map; thence S89°48'23"W, along :he 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 SV1 '/. 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 SG ~°29'07"E, along said North-South quarter line, a distance of 1318.71 feet to the SE corner of said NE '/. c SW '/.; thence S89°44'41 "W, along said South line, a distance of 649.90 feet to its intersection with the ~ lest line of the E '/s 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 s;3id South line, a distance of 649.27 feet to the point of beginning. c scensin Departmeht of Corpmerce PRIVATE SEWAGE SYSTEM afeiy and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Pdvacy Law, s.15.04 (1)(m)]. County: St. 'x nitary Permit No: 463474 0 State Plan ID No Parcel Tax No: 020-1450-02-000 Section/Town/Range/Map No: 22.29.19.2872 Permit Holder's Name: Grand Pro erties L.P. City Village X Township Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUF TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake AD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengl DIMENSIONS SETBACK SYSTEM TO INFORMATION Type Of System: DISTR16l1TION SYSTEM BS OR Inside Dia. 3crurer: Number: Header/Manifold Distribution x Hote Size x Ho Spacing Vent to Airlntake Pipe(s) Length Dia Length Dia Spacing Snl~ CO~/ER v Drncm~rn Cvc4om~ (lnlu vv +Innnrl nr ~+.rir'a('IP SVSfETS OnIV Depth Over Depth Over xx epth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Ye ~i] No ~ I ]Yes L 11 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 809 Germain lane Hudson, WI 54016 (SE 1/4 SW 1/4 22 T29N R19W) Hudson Estates Lot 2 Parcel No: 22.29.19.2872 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = ELEVATION 0 STATION Benchmark Alt. BM~ St/Ht O Dt Inlet Dt Botb IDISt. Plan revision Required? I Yes , ~ 1 No ~ ~ i ~~ Use other side for additional information. _ _ 1 _ _ 1 ~ ~ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ~ safety and Buildin Division Count}' - "~ 201 W. Washington Av ox 7162 S7"CYa ~ X ,~~~~~~~ M di W a son, I 3 07 -~ De artment of Commerce t~8) 2 3151 ~~~~ Sanitary Permit Number (to be filled in by Co.) Sanitary Permit A p~ catio ~~~ , ,late an Y.D. Number - In accord with Comm 83.21, Wis. Adm. Code, perso ipformati you vide r ,d `~~j map be used for secondary pur oses Pri L ef ' p vacy aw, s13.0 t ) t1J/,~ 4 Oi Pro' ct Address (if different than mailing address) I. Applicatton Information -Please Print All Information , ~~~ ., l Property Owner's Na me / 1 ~ 2 parcel >a Lot J! Block ;Y P ' i~2it!t) `"~ '2 7 Z roperty Owner s M ailing Address (~ ~ ~ ~~~'~~ ~ ~-~~ ~~ ~d~ Property Location Cityy, Sta Zip Code ~ PhoneNumber =-~-'y`~~'~,Secuon ~~ ~. SCr1'r! ~ Y ~ ~ Gr.~ ~ ,j'4/8~' ~l J!'_ ~ 7 - ~~ ---~ II. Type of Building (check all that a l (circle o ) T L ~ N; Rf~ E or~ pp y L ~ or 2 Family Dwelling -Number of Bedrooms d`~. Ct,S~ t~_ ~et ~~~ Subdivision Name CSIVi Number ^ Public/Commercial -Describe Use ~ ~"~---- ^ State Owned -Describe Use ` ~, ~ ~ Z~ d- Z Z.. ~,,~ ^City~CiVitlage,~i'ownship of~~ ~.,t/ III. Type of Permit: (Check only one box on tin A. Complete tine B i applicrible) ~ ~ _ `-'~ i A. ~.New System ^ Replacement System - TreatmendHolding' ank Replacement Only ^ Other Modification to Exist' System j ~ B. ^ Permit Renewal ^ Permit Revision ^ ange of ~ Permit "Transfer [o New ~ List Pr sous P nd Date Issued i i Before Expiration Plum r Owner IV,___T ype of POWTS System: (Check all that apPl~} _ ,'Son -Pressurized In-Ground ^ Mound > 2~ in. of suitable so Mound < 24 in. of suitable soil .~ A[-Grade ^ S gle ass Sand Fitter i~ Constructed Wetland ^ Pressurized In-Ground ^ Holding Ta iJ Peat Fiher ~! Aerobic Trrdtment Unit a Recirc sating Sand Fitter ^ Recirculating Synthetic Media Filter eachin ^ p L,ne ^ Gravel-less Pipe ^ Other (explain) ~ V. Dispersal/Treatment Area Inforrnatl ~ t ~~ Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispers Ar Required (sf) Dispersal Area Proposed (sf) System Elevation ~ ' ,, l j- VI. Tank Info Capacity in Gallons Total Gallons ~ tiurttber nufacrurer of Units ' n Prefab Concrete Site Constructed Steel fFiber Plastic Glass New Existin G '~ ~,~ !!! IpesL_. f g . i Tanks Tanks Septic or Holding Tank .x a~ `-'- .~`' Aerobic'Freaunent Unit -T - a Dosing Chamber ~ .O ~ , ~ 'CJ VII. Kesponsibility Statement- I, the undersigned, ass a responsibility for tallation o tlee PO WTS shown on the attached plates. _ Ptutnber's Na me (Print) Plumber's Si gnatur ~ /MPKS Nom r Business Phone Number Plumber's Addre ss (Street, Ciry, State:, Zip Code) ~ .. G,.tI ~ .' .5~~/l VIII ount IDe artment Use Onl Approved ^ D'sa~ ~~u~~~ Sanitar Permit Fee (includes Groundwater Y Surcharge Fee) Dat Issu Issuin gent Sign r s)~ ^ caner en Reas or Denial ~~ bt7 ~ / R U IX. Conditions of Approval/Reasons for Disapproval 2 ~ ,~~ , J ~ ~ 1'V~JS~ ~j v~~ O tJ~n-~~ G+- ~ t/~.'~-Q.tJ~, YSTEM OWNER: dts~r'N~ a~aervk:es r tftatthMt.d /~ /~ as per managemen p ny~ed by trtbat~ ,~j~ 1 r ` ~ J b~ ~ _ i i GN~,tM,~Gl.s GF,d~d~ ~ 2 lilt setback requlrerrlerits must be mairttait>.d ("~ /~~c~ , as per applicable code / txdinances. v~ I /~ ~y, Attach complete plans (tu the Cotutty only) for the system on paper not less than Sl/2 x 11 inches in size SBD-6398 (R. O1/03) . ' ~, M a ~ k M. M ' t ~ ~ `"'~. i ,~ r ~ * ~ ~. r } t., .. _ . ~ia..ya"~` ~'~y ~? x~ ~,.~~'.e.~J' ~"ad .~sd,~ ~ ~~~ ~s~~''d.,rJ~s?`-" ~~0~ .~ COPY ;t Quick4 Standard Chamber FRONT VIEW .ssp. ~t, ~ Quick4 Standard~Chamtier'; Nominal S ecifications ,,'~. , Size{Wx1:xH} 34'x52'xi2` Effective Length pg• Invert Height g" INFILTRATOR SYSTEMS INS',. STANDARD LIMITED WARRANTY (a he .;truclural 'r Itxl 'ty of each chamber, pod Plata, wedge and other aa:essurv manulacmrpd .rv hYtlt"era ("Urifs"r, when installed and opgralgd B", r IeaUUield ~ an nvVe urphC system in accOrtlanal with Intilbator's :nseur.pnn; Is wanantrxi to Ihp oryueat pa,rtasa I"htdtlar") agarrut delecaiya m grr,rls anti wo kn a shill ICr one year tom the date ihal Uta spptN: perm4 rs issaay for top sppliC sYSleor nxrtantiny the Ururs; Urpvidad. hOWa4Hr, !flat if a .'+Bptr' pern'It 'ti nn. IegUirad by aDPfoCabb law, the warranty genpd will bgryrn lryJUn Ina dztN tl d~ inslpllalipn of the aeplir, s, stem CCIrM'ianpes. Ti, enlra5e its ward *y riglNS. Holder must notify :nfigratnr n w icing a1 i!s Gprpaa!e Flea J I tore in U•r.! Saytrook, Connect cut wirnxt rneen (t5} da75 pf the a11E'<]ed d ittc:l_ Inli'tralor will flUpDIS' roplaCpment Unrte for Units de:hrrrninecl Fy I F haver In be pnvereo by I+us Lxnxgp `Mvranty. inlrltrela ti lianarry bPeatiraay excludes thn Cn81 Cf rempval andlor ins1a11a1Fx', V: thrJ tarots. U~l THt_ LIMIT[: [I WARF3ANTY' ANU RcMf_U!L".S iN SLX3PARAGRAt't~ (a) Art[ LKirLIJSIVE, 14-N=~<F AHL Nt) GIriFn'wAARAN'ICS W+T rI RESPEf:T T;l YHF l1NffS. li'1C„„ULarJr3 Np IMPUEU WAnRANTIES 0f MERf;HAJvYAL11LnY Of; f~; INFS;i rUt:. A RAli~ICLAAN HURPOSL. !'-) Alis { imiled Warr,inty srlall be vc:~id it any pad pl the Chamber byslanY rs mar,utaClurpd by anynnn h1tN3r tfi~fl InNliratpr. Toe LlmHed WarranlY Woos n;~l. o%18+W Io InCldnntal, sCnSectUgMial, s(recial Or erdire,;l damagg5. InGlUdlor Shall not ba li,sblp aX Uanalti4p cN ~quipaled tlarndyes, inCkrding less of Rrprfuciion rnrd protlls, labor and materials, overhead rxsis, er otlxJr losses a pxppnse5 incurmrl L>y~ fhq HN<fp~r Cr any Inir1 eddy Sptrcr(caity excltxfed Iron Limited Warranty cnveragq are damage to the Unus due to ordinary war and teat alteratloq +~cciilent. misuse. at,se a neglect M Ihq !Jolts; lhn Units being sub x;led to venide traffic Or other cOndilions vAtiC;h era not permi(led by the insiallatbn inslnrcttons; failure to maintain ma minimum grouno Covers sat tonh in the instauali0n instrudicns: the placement of improper materials Into Lha syslero ponlaining iYx: iJni15; faqure of rho IJnrts a the SuPtiC syslern due to irtrpropar Silirtg or imprpper siiirg, axcpssve water usage, unprpper grt>,7sp ctisAOSaI, rn improper pparaYron, a any other evens n; t Causes by !nttlirata This Limited Wartanly sho11 hq void r7 the Hcddor tails to comply with JI of Iha terms set lath In thrs Urnited waranty Further; in nc evt"tt ;ball Inlillratpr bo ra5pnnpAdB lpr aM loss or damage to tlrq ,yOlaar; Ilq Unas. a any lh;rd party resUll:ng fran IUSlatlalipn Or Srxp~ InP.n(, GI' !rpm any Rroduci IlaLlllly C479n8 pl HplCer pI any (hlyd rtadV. FOr ihls Lin Ii1M YJananly LO aptAy, ir,e Unlls nx: at be Installed Fl aprprrSartr.:p with aA sire epndieon6 rpqulred by state and local coder; ail other applicable Lrwg.. and IneArato+s mstaNatlon ir:efrirCticns. ~d} No mpreSerNairp ui Mrf:aralpr i,a:, I'np authority to chanyb ur axleittl n•.,s Limited Wananly Np wan:uNy a{KIIieS !o any Rary vihtlr Mean Ihp Urigi~ rW Hpk}ar Thp ebony reRresenle the Standard Limited Wananty ottemd by trftltreta. A li.lyltu number M states BrW GanniUS Haug tl',aerenl warranty rpquire- nlents. Wry pcrpeasFS p! Urris should contact fnitltrata's GOrpOrafe Headquar!arS in Old Saybnwk, Gpnnectiuul, prKir l0 such purchase, to nbra,n a capY at the eppliee6le warranty, and stuwttl carefully road coal warranty pica to iha purchase a Units. ~% ~ ~;__~ -~l' ~- ~~ SIDE VIEW sloE vlEw TOP VIEW MulttPort~Etid Cam Nominal Sp err ~,~,.~ p Cifications Size(WxL'xH) a. `34"x16"x12" Invert Height 8" or 1.25" r 0 SYSTEMS I NC Envirenmenta/ Or~sife Wastewater Su/utrons~" 6 Business Park Road • P.O. Box 768 Did Saybrook, CT 06475 860-577-7000 • FAX 860-577-7001 800-221-4436 L7.S. Pa!enis:4,759.667; 5,017,041, 5,156,488; 5,3;16,017;:;,401,116; 5,401.459:5,511,903; 5,716,163; S,SE38,778; 5,839,844 Canadian patents: 1,328,859; 2,004,564 Otrtvrr ceteris pend+ng. :nfi)tratol, @quaiizer and SirJelNinUar are reg'slered trademarks cf lnfiltratcr SySLtn<S Inc. infil[ratOr is a lagisteretl Iraryernark in PranL:e. tntiHrator Systems loc. +s a regis?eyed traden~~ark m Mexico. Contour. Contour Swivel Gnmecta~l, MicoLeachiny. PolyTuN, Snapl.ock, CharnbOrSpacer, PoaiLock, QuickCut, f)uickf~Eay A£CYp(FOPAP£A ,~~ ~ _"x•...r...rx uick4~ STANDARD CHAMBER u~x. rrvrv VICVV MultiPort End Cap , uv~ v ~ .. -.-r..... k SEPTIC TANK E PUN? CriAMBER CRCSS SECT'IUN P.ivD SP£CIFICf:TIQN5 18" N LET 4" CI VENT PIPE 1~" MIN. ABC'v'E GRADE ~ 25' FROM DQOR, WINDOW OR FRESH AIR INTAKE FINISHED GRADE 4" C T R i S ER -~--~ I h'~ 6•" MAX . --rr--~ WATER TIGHT' SEALS -PPROVEO 'iP£ 3' aNTO St}L I 0 i4IL PUMP OFF ELEV . FT . ~tEATHERPROOF ~J'JPICTTON BOX APPROVED WITH CONDUIT MANHQLE CC~,'ER '~v'/ PADLOCK E WARNING LABEL ~*------ ~--~--- --14 tt MIN . ' ~'r s4 .• ` r ~~ + , ~ ~' ~A5- , ' 'FIGHT ~ ', A ~ ~.fap~aov~a sEAr~ JOINTS WITH __f__ ALM S RPPROVEO PIPE ON ~ ~ 3' ONTO ,+ SO110 SOIL ~ + ~ OFp ~~ RISER £XIT D PERMITTED ONLY I F TA.N K MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEFTIC f DCS£ , 'ANK MANUFACTURER: ~t~,,,~~..~- sAN!C SIZES : SEPTIC ~ ~~ p GAL . ~~ DOSE g bb~ GAL. ALARM MANUFACTURER : ~~~.~ ~V~~$,~! _____rr. MODEL NUMBER SWITCH TYPE: M~0.~ PUMP MANtJFACTUR£R : G ~ ~ MODEL NUMBER : ~ d SWITCH TYPE: ~eRc REQUIRED DI5CI~ARGE RATE ~ ~ GPM NUMBER DOSES PER DAY: ~` DCSE VOLUME INCLUD~:NG F LOWBHC K : ~ ~ ~ GA:. . CAPACITIES: A = ~ INCHES = CI~GAL. B = 2 INCHES = ~ a GAL. C = ~ INCHES = _~_~,,$ GAL. D b INCHES = ~~O GAL. PUMP 8 ALARM WIRING A5 PER ILHR 16.23 WAC VERTICAL DIFFERENCE BET4r'EEN PUMP OFF AND DISTRIBUTION PIPE ~~.. FEET + MINIMUM NETWORK SUPPLY PRESSURE . 2.5 FEET + (~D FEET FO~tCEMAIN X :.Z~40FT/7.00 FT. FRICTION FACTOR , ~~ FEET TOTAL DYNAMIC HEAD = -~~~`.FEET INTERNAL DIMEIr'SIONS pF PUMP TANK.: LENGTH ~ ; WIDTH •---~' 1~IAMETER ---` LIQUID 15E ~3 ~ ~~ ~ j G.~( P~.R 1 '~ SIGNED : _/.J ` ~~,~_r--~-~ LICENSE NUMBER : ~,~~q_~ DATE 1/88 ~GOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • farms • Heavy duty sump • Water transfer • Dewaiering SPECIFICATIONS • Solids handling capability: 3/.° maximum. • tapadties: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z" NPT: • Mechanical seal: carbon• rotary/ceramic-stationary, btJNA•N elastomers. • Temperature: t04°F (40gC) continuous 14Q°F (60'Cy intermittent. • Fasteners; 30tJ series StainIE55 Steel. • Capable of running dry without damage to components, Motor: • EPtl4 Singie phase' 0.4 HP, 115 or 230 V, 60 Hz, t 550 RPM, built in overload with automatk reset. • EPOS Singgle phase: 0.5 HP, 115 V, b0 Hz, i 550 RPM, built in overload with automatic reset. • Power cord: t0 foot standard length, tti/3 S1TOW with three prong grounding plug. Optional 20 foot length,16/3 S1TW with three prong grounding plug 4standard on EP05}. • Fully submerged in high grade turbine oil for lubrication and ef6derrt heat transfer. AvailabN for sutamatk and rnaewaJ operatlart. Auto• math models include Mech~lca! Float Switch assembled and preset at the factory. FEATURES ^ EP04 tmpMirrr: Thermopias- tk Semi-open design with pump out vanes for mechanical seal protection. !METERS FEET su~ 9 8 7 ~_ fi s 0 ~ a 2 y 0 Submersible Effluent Pump 3871 EP05 / EP05 Impeller, Thermoplas- tic etlclaseddesign for improved performance. ^ Ca3ing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. /Motor Housing: Cast iron for effidettit heat transfer, strength, and durability. ^ Molar Covet: Thermoplastic cover wkh Integral handle and float switch attachment points. • Powrer table: Severe duty rated oil and water resistant. • bearings; Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' CanadlarrStandards Assodation {CSA listed model numbers end in "F° or "C".} Goaid: PurnDs b KO eoo~ w9st•area. ..... . ```` , . __ ' , -~ rSGPFA ~ .. 7SCt EP05 '~ GPM o a a s a t o rz mJlh cAPncm Goulds Pumps ®IOOOGouldsWmps ~ ITTlndusLries Effective February. 2{IQO 83871 i Y I I ~. 1 I ~ ;'n ~- ~ _ 1 3 .~ ~,L ®~ ~~ ~~ ~~ ~'~ ~ ~ ~ ~~ r ~ _ . ,~ ~~ ~~~+ ~.,...... o~ ~ ~ `~ ` ~ ~ ~ ~. ~ ~ ~ ~ -~ ~ ~ ~~ /~ ~, \. ,,. -a :'.~ .. ~~ ~ :=t a~z~~.r~axn ~ F$~$ ~~~ Q C~ ~~~~~~x is R X::RX x Jrcfi ~~T ~L~1 , ~,~M'tf'-1 L t tilAOD ~~~ .` ' -~ ~'~. ~ ' - .~ s ~, ~. - ~~ ~~ ~ _ . ~ ' ~ i ~ ' ~. ~ ~~~ 8 i /,~ ~; I i ~~~ ,. '~ ~ ~.~ ~0 ~ Kr0000M a a oo ~ oao~P @"@!@!@@@c~EE@@@!:! f F P p99Spp9739 p3! E i~i,diiii~i~iiiaiiid~~~~ !l i3943!!7li99l9§f9~o; ~.. ~, i~ 1 I I~ I~ ~j I ' .I4 .,: , ~~ ~ 4 ~ ~. .Q ~ ~