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020-1450-05-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Glen Johnson Construction Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description : ( n/~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic F~- ~~ae.~ /~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7 ~ i ~ ~ ' ~, / Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number - TDH Friction Loss System Hea TDH Ft Force Length Di Dist. to Well Sf111 ARSC]RhTI(7N SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 479348 0 State Plan ID No: Parcel Tax No: 020-1450-05-000 Section/Town/Range/Map No: 22.29.19.2875 STATION BS HI FS ELEV. Benchmark 1 t (p /o I ~ lv JOz7 Alt. BM l.~a ~ ~ J ~-- Fo i a • Z5 Bldg. Sewer ~ 35 ~~, St/Ht Inlet • Z.. 9~, b5 SUHt Outlet ~.5 q3 . ~S Dt Inlet ~_ ~ Dt Bottom ~ ~ Header/Man. 10.05 /ao.as ~ • 7 ~~.,~ ' ~o ,z Dist. Pipe g . 75 // . 91 • S Bot. System 5 •75 l~. 0 90 •5 9 • Final Grade ~~ -~-, 5 7 S 9., / s St Cover~1 / ',, cl ~ aC BED/TRENCH DIMENSIONS Width 2 7 Length ~~C~~ No. Of Trenches ~ ~ dew PIT DIMENSIONS No. Of Pits ~- Inside Dia. -~ Liquid Depth ~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer. -1~ t,. 1 ,~Q7~, Type Of System:f Coin./2vt~Tt r) /~-o.~,, ~ j ~ , y5 ~(}>~/ ~[~ UNIT Model Number. I']ISTRIRl1TI~N SYSTEM N~(1l.. Z.'S ~ n. 1 , G Z : ~ t -~ Header/Manifold ~ ~ ~ Distribution Pies () x Hole Size x Hole Spacing ~ Vent to Air Inta d-~. 0~ i ~ P \ ~ ~ i th Di S L \ D a Length pac a ng eng .n, R(111 Cf1VFR Y o.e ~••.o c..~+oma n.,t~~ YY Mn~~nrl nr At_GradP SVStBMS OnIV Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched eed/Trench Center ~ Bed/Trench Edges Topsoil \ IJ Yes I`:] No ~~ Yes i~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 812 Germain L~aneI Hudson, WI 54f0~16 (SE 1/4 SW 1/4 22 T29NI_R1'9W) Hudson /Estates Lot 5 1.) Alt BM Description = W~ `~ ~ `~ ` ~~~^« o~~o~ C °""`• ` ~S `~ ~O~ S O ~~ Inspection #2: / /_ Parcel No: 22,29.19.2875 ~~ i ~ Sateay and Buildings D-vision County -~~~~ ' 201 w, washitt~rton Ave. ~l>~'l S ~Gy ~' >< ~~~~~,~~~ ~ Madiso '~ itttitAry Permit Number (to De fiNed in by Co Department of Commerce ~ ( } 2 T51 ~ Sanitary Permit Applica on ~~~ `~ P'a ? b 3 ~~ In accord with Comm 83.21, Wis. Aden. Code, personal inform lan you tr~~`XCOF,CE ~_ may be used for secondary purposes Privacy Law, stS. (t)(nr$'(• G QF oject Address (i~fcrent than n2ailing address) ~ _ _ _ ZO f Application Information - Please Prlnt All Information r. r~, ~ C1 ! z / ~,~~ [ ~ U / C~ 1 ~.(•t,~fe t Property Owner's Na me -_._.__._._...w_. Parcel p .-"..__~._ l.o[ t ..._._,...~,...__- I31ock b 5~~1 62(5 -1~0 - Q$-t70~ Property Qwner's M ailing Address ~~-~ -' ~ Property Location ~' c Cit > 5ta?t -' -~_ ---..`-. '4,__,__,_,`4,Sect;un s2 2 y ~ Zip Cade Phone Number ~k~5~..1~ lJ~~__..~- ~~y~l~ 3~G . X47 (circle c Z~~ IT, "l'ype of Building (check all that apply) , T~ N; R / p B ot~ • ak ~5 V r S~~ Sabdivisian Name ~ .._ C5>tt Number or 2 Pamily Dweilittg - Nt:mt)er ctf Bedrewms ~ ) ~ I .- Yublic!G>mmnrcial -Describe Use f ~~ ~ ~=.i State Owned -Describe lJse t~ ~~, ZZ ~-,7 ~,t CCtt ~ L7Villa e ~ownsktip ut ,r~~Q~~/ ~_~_~~~._--w ---- --- ---~ - - - >- s _ __ _ ~ IIIII. Type oi' Permit: (Check only one box on line A. Ctampiete line-Btf applicable) ~j ' ' ^~ ~ Vevr S stem i Q Re lac^nrent S stem u i reatmrnbH~Idin 'T';tnk Re lacernent Qnl -_ _ ' -_ -_-- ~~T~~` ~' Y ~ R y ~ g p y ~^ Otlter Modification to Bxuting System _ ~_~~.--'-- '~ _ ~ ~ ~~"- _-....~_,r_ ~. ~~ ~ Lisr Previous Permit Number and Da?e Issued B. ~ L~ Permit Renewal ~ L? Permit Revision (~ Change of ~ L~ Permit Transfer to New Before Expiry?inn i Plumber ~ gwner .i.r___._._..__...._ ~_~.__.~____._____-~-~ f ---- - ----------~ 1.V T of POWTS System: {Check al! that apply) _ _ __ __ _ yl~ ~__._.___-.. _-_----------- ~JVoty -Pressurised ln-Ground r Mound > 24 in. of saleable soil U Mound < 1.4 in of suitable soil ^ At-Ciradz ~-.~ Sinple Pass Sand Filter ' ~ ~ Carstructed Wetland ^ Pressurized In-Ground j`. Holding Tan;c +-J Peat Filter iJ Aerobic Treatment Unit U Recirculating Sat,d Filter _~ Rr:circulatirt$ Synthetic Media Filter .eachin~Chamber ~a,~Qrip Line U Grave!->Ass~Pipe C.; Other (explain) ~_M~ V, I3isoersallTre$tmenr Area Istfn~mafinn+ ~ ~/ ~,/C n. ~1. ~/~-j '"'~ ~4~ Flesign Flow ( l'~~r ' ~ ~ gpd) Design Soil Application Rate(gpdsf) ~~Dis •r Area equired (st} Di "--- ---~ rsa! Area Proposed (sf) S rem Elevation rtil. 'i`;uik Info Capacity in Tatat Nunrbt:r !vlanufscturbt ~_- Gallons Caltorts of Units I { Ne~+~jsitnq. Prefab Site Stzel ,Fiber I Ptastte ~ L`oncrete tunstructeai ,Glass j I , r _ _ _ _ _~~ ~~~ rr l __ anKS ~ ; arks ...__._..__- ------..__...~ ~epikc or HoMi: g Tank ~.. I /~~ j~ ~}~ `/c B,Y /\ ` .- _._.... _ __ - - I Aeraoic Treatrnens Unit -"'~~" ' I ~~„ hosing Chamber - ~""° -~`" - _._.~ VII. KesponsibiIity Statement- 1, thk tinderst ed, assume resputuibliity fur irtstallatior) of the POWTS shown on the attached plans, I T Nlutttber's Na nee (Fein[) ~Pitirnbzr"s Si gnature . t ;HdPRS Number Ausit[ess Phone Nuntt>rr i ' ~ Y% ` ~~, ,~.s~ ,~ ~ ~~~y _. may.---""_ .~ ~ ~2:~? ~~9 Plumber's Addr,; ss (5trcet, City, State. Zip Code). D __.__ ~~ ~~`' 3...1?~~' 3s ~/ _ ..~...-.-~.~Se~~ ~~lX y///J !/ /~/ ~ w. F VIII. Coant /De artment else Odil~ `yip-, (/ {O _ ~il proved L' tsapproti Sanitsiry Perinit Fee (includes Grautufwater r.~_ TSurcharge Fee) ~ T~ r'~. C3 wne en R ~ n for Denial A 3 _ _ _ _ ~ Da Es fd ~ iss Agent St arrC No Stamps) ,q ~ O!~ ~ ', ~~..-- - - ---~ J .~..~. ....wauaaaua~s ua ~+NtdfV Var/xeasOns rUS LltSapprt)Vat i3Y~TEM CNNNER: 1. Septic tb~t, effluent finer and dispersal GeN must alt ervic /maintain es per management plan provided by plumber. 2. AN setback requirements must be maintained >ys per applicable tcde /ordinances. (- 3J -v ~~ (,~~.c' nn~s~' s ~ l at.~~l ww.~ ~~. Da,~~- d-a r~e~ l~-o,~aw~-ems- . 1 ~~ ~~o~~~ ~td;~a_,~-5 ~ vti S~-c~.~e. pro~~.Q, le~.~, ~('u ;~ ~~~ 1 - -- -- Attaets t:ou-plete plans Ito else County only) fur the system on paper not tens than Stl2 x It inches l» site .~ a r ~ , 1) ~ e ti i' .~1 r -ate ~~ G' 9~ t ~` ~ ~~~~ ~Q~~ ~~ 9~,~' .,., Y V ~ ,~ ~ ~ Q .~ ~ fi ~ zb ~~'~ • _ o a~~ /~ f°'~~ ~~~1` ~,~- `"~ c~ ~( -off ~~ ~ ~ ~~~ ~ ~~~~ 1 ~~1~ ~a~ 4 1 1 V -~~, ~ ~ ~•7 ~! b ...J ~\ a °~ ~. ~'~m, aT ~ S ~ ~-~So~1 {~774~5 ~ol~~ oinnu~c ~ ~. ~ SOIL AND SITE EVALUATION 1205 Page 3 of ~ PARCEL I.D.# 'fan Schmitt 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 silt holds onto the water stronger than the surcounding 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 sRlt inclusion is completely saturated and cannot hold 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 outwash sand that the silt inclusion is deposited into showed no signs of seasonal saturation or high groundwater. ** INSTALLERS** When a itt inclusio (silt ball} is encountered, the chambers that are installed in the sift 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 enla/r~d as needed. _ _ ~ (~ . , i n ~ ~ 1 N~1"~-S Flee-wt CST I s.~•~.~ ~c.l~.~-. y o-~. ~ cI ~~ ~~ ~- `S~a . o ~, -~ S . ~ -~- I°~ ~ C ~c~.f7 s~ ~s7~4-1`~S _.___-~ Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in arsa'dant~tuuifh C:rmm Rai Wic Ar1m r:rvip 1199 page 1 of 3 Tom Schmitt Attach complete site plan on paper not less than 8%: x 11 inches in s¢e. Plan mist COUnty Croor St include lxrt not limited to: vertical and horizor~ referen int BM di ti d . , ce po ( ), rec on an percent slope, scale or dimemsiors, rarth anow, and locatron and distance to nearest road. Parcel I.D. 6 ZU '- ~ - ~ cJ Please print all information. Reviewed By Date Personal information you provide maybe used for secondary W~ (Pm'~y Law, s. 15.04 (1) (m)). $ / a Properly Owner Property Location Grand Properties, LP Govt. Lot SE 1/4 SW 1kL S 22 T 19 N R 19 W Property Owners Mailing Address ; Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 A ~ ~ 2 ~ 2 ~ p 4 5 Hudson Estates City S e Zip Code Phone Number J City ~ Vllage ~J town Nearest Road Somerset ~ I f- m ~^ ^''"' ~ X47-590 Hudson Badlands Road )~ New Construction Use: ~ Residential ! Number of bedrooms 3 Code derived design flow rate 450 GPD J Replacement ;J Public or commercial -Describe: Parent material OUivvash Plain Flood plain elevation, if applicable nor General c~mrnents and recommendations: Area is suitable for a conventional system. Possible system elevation for Area 1 is (high trench) 96.2' (low `- trench) 94.7'. Slope is 14°~. ® ~ ~ /~ ~ ~~~ ~ ~~ # ~ Boring P 97+ 1 it Ground Surface elev. 99. in. 9 ft. h to larriti fades Dept n9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bourxfary Roots GP D/ft~ 'Eff#1 'Eff#2 1 0-9 10yr3/2 none sl 2mgr mvfr as 2f .6 1.0 2 9-22 10yr4/4 none sil 2fsbk mfr gw 1f .6 .8 3 22-01 7.5yr4/4 none Is Osg ml gw - .7 1.6 4 41-97 10yr5/6 none s Osg ml - - .7 1.6 Boring # Boring 1+' Pit Ground Surface elev. 99.19 ft. pepth to limiting factor ~+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/flz 'Eff#1 'EtT#2 1 0-7 10yr3/3 none I 2mgr mvfT as 3f .6 .8 2 7-13 10yr4/4 none sil 2fsbk mvfr gw 2f .6 .8 3 13-24 7.5yr4/4 none Is 1msbk mvfr gw 1f .7 1.6 4 24-96 10yr5~ none s Osg ml - - .7 1.6 * Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mglL 'Effluent #2 = BODS <30 mg/L and TSS <,~0 mg/L CST Name (Pl~se Print) Signature: CST Number Thomas J. Schmitt c~c~~~ '~ 227429 A~ress Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/12/04 715-247-2941 ~, ~ ~ Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 a Boringi~ ~~ !>~ Pit Ground Surface elev. 95.19 ft. Depth to limiting factor 96+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots "Eff#1 `Etf#2 1 0-9 10yr32 none sl 2mgr mvfr as 3f .6 1.0 2 9-21 10yr3/4 none sl 2msbk mvfr gw 2m,1f .6 1.0 3 21-36 10yr4/4 none sl 2fsbk mvfr gw 1m .6 1.0 4 36-96 10yr5/6 none s Osg ml - - .7 1.6 Bing # !Boring ~ Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roois *Eff#1 `Eff#2 Boring # Boring 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 'Et7#2 'Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/l. 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. Red ~ 1t4~ ~s Page 3 of 3 Conducted by: Schmitt Soil & Site Evaluations Thomas J. Schmitt, CST 227429 1595 72nd St. New Richmond, WI 54017 Ph~ 715.247.2 41 , ~o BM El. 100.00' Alternate BM El. I Scale: 1" = 40' ~6 ~~~ ~,, ~y' Loa ~ ~~ Conducted for: Name: Grand Properties, LP Address: 712 Rivard St. Suite 100 City, State, Zip: Somerset, WI 54025 Subd. Name Hudson Estates Lot No. .S S'~ 1/4, S~/ 1/4, S: 22 , T 29 N, R 19 W Township ofi Hudson 7f/ Tom' rr ~ a " f`'l/cs ®~!"~ Slope = ~% Contour Line EL ~~ i f~ ~~ ~ ~~ ~,ar ~ a ~~ ~~ ~ E~ '~ 3 a~a' ~ ~ ~ ~ ,. ads' ~ ~ pn~ \ \ G~ `~ G`~ ~'~ oa~ `~~ ~DS " ' . p ~o M r^W ~~ This soil report was done to fulfill a Zaning 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 conducted. ST CROTX COUNTY SEPTIC 'T'ANK N.,AINTEIti°ANCE AGREEMENT ANI7 OWNERSHIP CERTIFICATION FORM Owner~Buycr ~~~,~ ,~~h..~/ScP ~' Mailing Address ,pd' ~cr ;~ ~d p ~tt. G~ .,tJ !~L 3~G1~ Property Address ,v -e_•- (Verification req,utred front planning Department for new construction City~State _~S'a~~ ____ Pare) Identification Number b~ - ~~J' 0 - 45 ~ ~~ Iy/wp'.~AL DESCRIPTION a~- ~7738"~ l /~~ZS Property Location ' ~ t/~, .S~ ~/~, Sec, i~'2 , T~N-R/5' W, Town of ~a~So~ Suhclivision ~~u-~.~ a.rJ ,~~~` ,Lot # `- , CertiTied Survey Map # , Val~tme ,Page # Warranty Deed # ~~~7'y~ ,Volume ~G3"G ,Page # ~~ Spec hausc ~ yes ~ no Lat lines idcsttifiabEc,~ yes O no SYSTF,M MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper matntenar,ct consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper, What you put into the systrrr can affect the function of the septic tank as a ucamocnt stage in the waste disposal systcrn. The prafctTy owner agrees to submit to St. Croix Zoning Deparmtent a certification form, signed by the owner and i, a master pl;;mber,journeyman plumber, restr.cteti plurr~hcr or a licensed pumper verifying that (l) the on•site waste water disposal sys~cc^ is to proper operating Condition; anct/ar (2) aficr ~ns~ection and pumping (if necessary), the septic tank is less than l/3 full of sludg: Uwe, the undersigned have read the above requtrcmcnts and agree to maintain the private sewage disposal system wtth the standars set forth, heron, as set by the Department of t'ommcrce and the Department of Natural Resources, State of Wisconsin. Certtf,cat,or, stating 'ha ur se to system s brcn niainr.,inc;! n;ust be c;rnnpictcd and returned to the St. Croix County Zoning Glfice witrrr, days of nee car xpnrat n date, r~ i0.~ SIGNATURE 0 , PLICANT DATE OWNt~;R CERTIFICATION 1 (we} ce tha 11 statements tin !!eis fora; arc tn:c to the best of my (our} knowledge the pro desc ibc ab c, by v~ttuc of a warranty deed accorded in Register of Deeds Office. SIGNATURE 0 PPLICANT 1 (we) am (are) the owncr;s) cr 7 ,t~7~~ DATE """ nny information that as mts•rcprescntcd may result in the sanitary permit being revoked by the Zoning Department. "'•'• •` Include with this application: a stan;ped warranty deed from ilte Register of Deeds office a copy of t};c certified survey map if reference is made in the warranty deed U. 2656P ~l84 i STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number I WARRANTY DEED This Deed, made between Grand Pronerties. LP Grantor, and Glen Johnson Construction. Inc. 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): Lots 5, 6 and 7, Plat of Hudson Estates in the Town of Hudson, St. Croix County, Wisconsin 77443 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED F'OR RECORD 09/15!2004 10:20AM MARRANTY DEED EXElPT # REC FEE: 11.00 TRAIiS FEE: 986.10 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address oao-los9-oo-000: 02o-loss-to-ooo; oao-loss-9o-o00 Parcel Idendficarion Number (PIN) This is aot homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this (~ ~ day of September , 2004 Gr11and Propert' LP --_. __ -- ___ T__ * * Micha J. Germain, artner * AUTHENTICATION Signatures} Grand Properties, LP by: Michael J. Germain, Partner authenticated this ~~y of September , 2004 * Kristine Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) _ _ _ __ * ACKNOWLEDGMENT STATE OF ) ss. County ) Personally came before me this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. * Notary Public, State of _ _ _ _ _ My Commission is permanent. (If not, state expiration date: .) tt * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, wl STATE BAR OF WISCONSIN 800-655-2021 WARRANTY DEED FORM No. 2 - 1999 + uv:. v • SFFTIC: TANK E PUMP CHANBE:t CRvS$ SECTIUN P.ND S?£CIFiC~~.TIOh'S 4" CI VENT PIPE i2" MIN. ABOVE GRADE ~ wEATNERPROOF 25' FROM D40R, ~W~ NDOW OR JUNCTION $OX APPROVED FRESH AIR INTAKE ----~----- WITH CONDUIT MANHOLE CC~Z'ER W! PADLOCK ~ FINISHED GRADE WARNING LABE?, 4" CI RISER j i ~ -.-~--.. 4 „ M? rt . 18 " S N . 6 " MAX . ~ ,~,,;~=~ ~'t ~ .. ,l i rlvi,ET 1 _- ~ i `, ~+ WATER TIGHT SEALS GAS- ; `, TIGHT + ~,, ~,IAAPROVEO A SEAL ~oINTS wires ~..... ' ~PPROUED ~ ; ALM APPROVED PIPE 'iPE 3' $ ~ ' ON 3' ONTO INTO S(}LI4 ~ ~ ~ SOLID SOIL TOIL UMP OFF ELE1. FT. --~-- ; P ~ OFF' ~`~ RISER EXIT D PERMITTED ONLY IF TANK '~1.4NUFACTURER HAS APPROVAL 3" APPROVED $£DDING UNDER TANK CONCRETE PAD SPECIFICATIONS S£PT~L / DOSE TANK MANUFACTURER : ~ tE.SF.R LANK SIGE5: SEPTIC 1'J~j ~} GAL. -'~ D4SE ~,_, GAL. ALARM MAN'JF'ACTURER: ~.~ .,,~g~M ~' MODEL NUMBER: ~p t~~/ SWITCH TYPE : t`c~~.~c _ _ ?'L3MP MANUFACTURER : G •~e MODEL NUMBER : (~ c3 swlTCH TYPE: _ eR~ R£t~UIRED DISCI~iARGE RATE ~l7 GPM NUMBER DOSES PER DAY: ____~ DOSE VOLUME INC LUD NG F LOWBAC K : I ~ 9 GAL . CAPACITIES: ~A = oJl~ INCHES ~ ~I~7~ GAL. B ~ 2 INCHES = 4~ GAL. C = 0 INCHES = ~$ GAL. D = ~p TNCHES = ,~ c~,~o_ GAL• PUMP ~ ALARM WIRING AS PER ILHk 16.23 WAC '.VERTICAL DIFFERENCE BETWEEN PUMP OFF A~iD DISTRI&UTION PIPE ~~.. FEET ~ MINIMUM NETWORK SUPPLY PRESSURE ~ 2.5 FEET + ~ FEET FORCEMAiN X a,~bFT/100 FT. FRICTION FACTOR =~rEET Tt3TAL DYNAMIC HEAD = FEET INTERNAL DIMENSIONS OF PUMP 'TANK: LENGTH ~,~- ; WIDTH •-~' DIAMETER ~+IC~uID i5£P"Y'~'" ~ ~ " ~ ~ G-~L pe2 1 SIGND: .~ c::~.~.z~.~-~~_ LICENSE Id~JMBER: ~,,e~,~ Qq ~ DATE': _ 1/8B V ~~ GOU LDS PUMPS APPi1CAT10NS Spe~capy designed for the fo!low;ng uses: • Effluent systems • NOn1e5 • Farms • Meavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 3!4° maximum. • Capacities: up to 60 GPM. • Total heads: up tc 31 feet. • Discharge size: 1'/z° NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N eiastomers. • Temperature: l04°F (40°C) continuous l40°F (50°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, t 15 or 230 V, 60 Hz, 1550 RPM, built In overload with automatic reset. • f:P05 Singgle phase: 0.5 HP, t t 5 V, 60 Hz, 1550 RPM, +auilt in overload with automatic reset. • Power cord: l 0 foot standard length, 16/3 SJTOW with three prong grounding plug. Optional 20 foot length, tW3 S17W with three prong grounding plug (standard on EPOS). ~ I000 Goulds Pumps Effective February, 2000 B38T1 • fuNy submerged in high grade turbine oil ftJ[ lubrication and efficient heat transfer. Available for automatic and manual operati+pn, tluto• meth models ind~ck Medwnical i7oat Swhch as:4rrtbled and preset at the factory, FEATURE5 • EP04 Impeller: Thermoplas• tit Semi-open design with pump out vanes for mert+anical seal protection. Submersible Efflue~ Pump 3871 E 05 A EP05 impeller Themioplas- tic encbsed design for improved performance. M Casing and ease: Ru99~ thermoplastic design provides superior strength and corros'wn fesi5farlc~e, • Motor Hausinq: Cast iron for eiflclent heat transfer, ~, anti du:al>~cy. i Mot~ar hover. Thermoplastic cover vridt irrtegrel handle end floi+t switch attachment points. Powwrer Cable: Severe duty rated oM and water resktant. ^ Bearings: Upper and lower heavy duty bail beariny construction. AGENCY LISTING ~' Gnadien StarrieMs Assoahtion (C5A listed mode! numbers end in "f" ar "C".) Goulds pumps is t;o 9oor aegisbnd. 0 2 d 6 8 10 t 2 m'/h CAPAGnY Goulds Pumps !TT Industries ' ~ ~ POWTS OWNE~i'& N!A-f1lLJA~~. & MANAGEMENT Pi.AN Pane ~ ci ` Fiil.E 1~ RMA'i`iQN ~-•~ ~ ~ ~So~ ~ ~~ SY T SPECiFIGATIONS DESIGN PARAMETERS Number of Bedrooms y' G ~q Number of Public Facility Unite... p NA Estimsted fbw taverage} ~ d'd ~ Design flaw {pack}. {Estimated x 1.5) ~~ Q al/da 'SaN Appliestion Rate ai/da tft~ Standard lnftusntlEffluent aueiity Manthiy avsrapo' Fsts, Oi! & Grease {FOCI 530 my}t, Biochemical Oxygen Demand tBODa) 5220 rnp/L Q NA Total Suspended Solids lTSS} 5160 mgtl. Pretreated Effluent Q,uaiity Monthly averse Biochemical Oxygen Demand {BODd} 5.30 mg/l Total Suspended Sofa {TSS) 530 mg/L q NA Fecal Caliform {geometric mean} 510` ofu/10 Qrnl Maximum Effluent Particle Size Y® in die. 4 NA Other: q NA °iVstuss typical for domestic wastewater anti septic tank ~ffluar~t• lto Tank,Capao)ty ,7 p' ai Q NA ~ilptta lank Manufacturer ~, O NA Effluent Fliter Manufacturer ' G .,o Q NA Effluent Fliter Mode{ d0' d NA Rump Tank Capacity ~ ai O NA Purinp Tank Manufacturer ~r`o-, ~, ^ NA Pump Manufscturer ~,,~,~/ O NA ; Pump Madst ~ C7 NA Pret~satment Unit i;lsnd/Gravel Fliter t~ Mluchanicai Aeration C1 t~tinfeetion O Peat Fliter ^ wetland ^ Other: DNA i?isplwsal Ceilts) 4 M-Ground (gravityl Q At-C,rade A P!ip-Una DNA Q In-Ground {pressurized) O Mound D Other: ~~ DNA ^ NA OthN; ~ NA MAiN BCFiEDtJLE S~erviae Event Service Frewrenoy irsspeM condition of tankfs} At laatFt once wary: 3 s s tMaxlnwrn 3 yearsl O NA Pump cut oontsnts of tanktsl When combined atWdge and scum equals one-thkd fYyt of tank vaiume ©NA inspect dtsperaal cents) At leawat once evay; 3 man ~tsi {Maximum 9 years} 17 NA Clean affluent #Hter At least anoe ev~cy: ~ e (, ~ ,~' {d O NA inspect pump, pump controls & alarm At Idatt ong0 every: rnon~tsl r--- g s! p NA Flush laterals and pressure test At iesrit once every: .---- Mort ta) © ear{s1 ©NA Other: At faaat once every: r monthisl O earls} ^ NA Ottwr: Q NA MAINTENANCE MISTRUCTiONS inspections of tanks and dispersal calla shall be made by en individual oarrying one of the fallowing licenses or aertffieatiorss: Master Plumber; Maseer Plumber Restricted Sewer; PQWT~ inspector; P'QW7'5 Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tenkle} to identify ally mhainp or broken hsrdwara, identify any cracks or leaks, measure the volume of combined sludge and scum stud 'to chdck for any back up or ponding of effluent on the ground surface. The dispersal celile! shall be visually inspected to check the ®fftuent levels in the observation pipes and to check for any ponding of effluent on the Around surface. The ponding of effluent on the prourxi surface may indicate a failing cex>!dition and requires the immediate notification of the local regulatory sutho-ity, When the aornbined accumulation of sludge and srtufn in any tank equaais one-thad Lys} or more vt the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Adminlstrative Cods. Ali other services, including but not Limited to the servicing of effluent filters, mechanical or pressurized components, Cretreatment units, and arty aervic~ st intervals of 512 moms, shall bs pprto~tr:ed by a certified P01/VT8 Maintainer. A service report shall be provided to the local regulatory authority withM 10 days of completion of any service event. _ ,. •ape~ anil4alslul+LPV ul9uoQSlM 'IE) ~ iZ) 'I l)49•E8 ~a (~}~tp}.ttNq)ILILZ'S8 WWO~ 1aid9yD yilM aauslldwoa ut pa~YJp 1gRRM tuvux-aaD 81~11 - $ - I ouos~ ®yoyd J11la0HlliV AaC1V1i103>;i -11!'QO'1 t>33dWttd} aO1Vlf3d0 ON101A113S 3E}V1d~S suo ~N a~Nnr~.Nrow aLU+od »311V18N1 81MOd S1N3WW00 'lVNp111001f '~"1g18liGiNll a011flQlddw 88 Jl1/W 8NV1 d dD 110!ll31Ni lH1 WOad N08aad d d0 ~t1~S~kl '11fIS3a AVW H1V3G 'S~DNV18WflOk11"J Ahl~-1l~pNtl ~INM,k 1N8W1V3a1 H3H10 ao dWt1d 'QI1d3S d a31N3 lON DQ 'N~OAXO iN~iQlddf13N1 t1011]NV S3SS1/D 'lVH1~1 NItilNOQ At/W $~N1/1 1N~W1~lIl il3H1U QN < <pNIN!!VM>8> 'S,},MOd pafls~ ayi eosldo~ ei iaossa ;eel a au Pollaiew eq Aaw ~lusi Bulploy a Asolouyaoi S1MC?d u! saousnps 6ulatgg •suolie3}wq Ilos ~o~pus ~{dogXas or enp olge~(en$ iou s} says iuawaaeldaa algsi!ns d •813 ley ie 3ae~}e ui seina oyi y3lnn A~dwao xsnw swa3sAs iuaweaslda>~ •so~s ;uouuoosldoa olgeilns t ysll+l~~e of uo!?~nlono oils pus floe mou a 10~ poeu 8y3 ul ilnso~ 11lm ee~e iueweosldaa oyi iooioad of oanlla~ 'sllom ~ seuh iol 's~nyanals posodaad pue eulielxo woa; s~laegias poalnba~ icq uodn paSu}a;ui aq Sou plnoys pue uoliosdwoa pus eousglhistp uta+; peiooio~d aq pinoys ears ius+usosldaa ay,~ •wo3sAs vo~idaosga llO6 zuoweosldoa s ;o uorisaol ayi ao; pezi{l3n oq tiew puto pe;ores*ns usgq say sage iuowaosldoi algsilns d D ~ ~r O ' :u~sAs lueweoeldol iuslldwaa opoa a aplno~d of 'uo~lsi aq isnw~~o 'uesq aney semsttaw DuiMO~lo; syi pa~lsda~ oq iouusa P NVId AQN~ONI1NtJ0 •leualew pllos ir'sul ~o~;ioue io lsns.~8 Bros y}lm palil; easels plop oyi pue panowo~ saonvo alayi ao psnowe~ pus peitnsoxo oq flays sill pus srlusi }le `Suldwnd aoNd • •aoieaadp Kura{Haas aBeidaS s ~tq ;o pesods{p ~t~~odo~d puo ponawna eq pays s1{d pus s~{us3 lts ;o slueluoo eyl • •polaos s9tnuado adld pouopuege ayi pue pe~bauvooslp oq Ileys sild pue s~luai o1 buldld pd :opoQ sncls~islulwpy ulsuo~IM'EE'£8 wuaoQ aaiaiiay~ yi~M aouel~dwoa ul psuapuega Ale;vs pue Al~eda~d sl wers~s ay; ley'# amsul of ue~al eq flays sdais 8ulnnollo~ st;3 d5lnies ~b 3no ua~lai Alzuauawaod sl ~o~pue slle; S.1.MQd o43 ~iM 1N3WNOaNVBd •oulaq aauoi;ot ~bidnn pus :suodwv~ :sul~{dau Aaellues :saplallsad :alanpo~d $Wiuled ;Ilo :sual3eolpaw :sdeaas iEBw :saplalq~ay :osee~8 :aultooab raedllaod e~gelobrsn pue ilna; :leiem tdwnd dams} uisap uollepuno; :1e; :siueioe;ulslp :saedslp :seal; {eiuap :s~asaoi8ap :sga~ns Uoiioa :ewopuoo :s33nq auvapt3la :sedlnn Ageq :soliolq{ius :S1MOd ay; ;a a;ll ayi Suolojd puo eousuuo~od ayi anoad~ur Aeua ujesais ~aisMta~sBm oyi woa; eulmo}lo; ayi ;o uolisulwge ao uol;anpaa '@t~,{@ v0ljdatJBq~ iloB eppJt3-lp ab pUnOw AU@ ;O Odols UMOp iaa; g ( UlyllM es~s aya 'iasdwoo ao gmislp eslm,e~{;o ~o '.>ono ~aQd ~o entiap lot) o~ `~tloa ltsaedslp pus a~luei Deno selolyen ~lntd ~o ani~p iou oQ •~luai dwad oyi uly3!m slonol lswaou ajoisal o; slouuoa dwnd ayi Sulisaeda Apsnusw u! islsss of saulQ~u~oylj S1MOd ~c aegwnid a 30siuoo ao dwnd wont;;& oyi of ~eMOd Buraoxoea of aolad aoieaadp Bulolnaog aSsideS s Aq ponowoa ~vai ;dWnd syi ;o $iueiuoo ay; aney uolieniis s{yi plane of •iuen{ua ;o abaeyaslp eaf}ans ~A dn~{oeq ayi ul ilnse~ Asw pus tstlloo pyi Ifu)pgo~iono 'd~4p et3asl auo ul ts}paa les~edslp ey1 03 pa0>Qyoslp aq II!M ~838Meisem ssaaxa ayl Pe~olsei sl ~eMOd ueyM 'slvnei iv~e~nydly ieWaou enoge ill; Aew s~luai dwnd saga;no iomod sulanp 'aos;ms enlis~~fl~ut a4a is uexo~~ trap suailpuoo floe uoym anaao 1ou hays do iasis we3sAg ~gsn Oi stl4~d ~~ae~edo t}u-alnses ebaid~ a Aq ponowea Sa},luol ayi ;a s~uaiuoo ayi aney peio6lep aJe suolle»uoauoo y6ly ;i 'ts111do lo~~r3dti4p +a4~ o~ewep io~pue ssaoo~d iuswleell sy; apedul- Aew ley slealwayo aayio ao siortpoad Buliuled;o eauesoad ayi ao; js}xusi iueuairioli ~di>fo S1MtJd ayi;o asn of aolld 'u0lionaisuoa Mou ioj NO}J.Vl~3d0 QAE~ dfl lltlt/1S -0 ~^ e6ed •eutil ~eyl is loose ut selru oyi. y;!M A~dWOe ~f7W swOlsAs vans;o cuol;ocuisuoae~ •oos;ms en43s~31~u! au, ,e zeu~oia aUi to {snowoa ButMOIlO~ aaeld ul pslanl3suoo~~ t>q Aew swossAs ucnd~osgs floe epe~6-ie pue punolry Psge of BTART UPAND OPERATION For new oenatrtwtian, prior to use of the, POWT5 check tfefitman~ tank{;) ffar the presence of palming products or other chemicals that may irnpade the treatment process and/or da+na~p iha ~lapeC#e-1 a91it41. !f high c°ncantrations arfi: detected have the contents of the tank(si removed by a septage servia(nq operBtGtr prip~;O ufi:f~r ` System start up shah not occur when soil condition$ are irAz4r~ At the infiltrative surface.- During Rower outages pump tanks may fNf abov® Hernial hi~hy~at41' lavelx. When power is restored the excess wastewater will be discharged to the dispersal cell(s) iR one large dost~, overioaslin9 thf! cellist and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of thq pump ~ttk removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or PQN1-'T& MbMtainsr to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drivo ar park vehicles aver tanks and dispersal cei~s. Dfi net drive ar park over, or otherwise disturb or compact, the area within 15 feet down s{ope of any mound ar at-grade eQii agsorptitm aarda. Reduction or elimination of the following from the wa&tflwater stream may approve the porformance and prolong the fife of the PdW75: antibiotics; baby wipes; cigarette butte; acndfams; catcon swabs; degreasers; dental (lass; diapers; disinfectants; far,. foundation drain isump pump) water; fruit and vegetable goslings; ga~eoline; grease; herbicides: meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; :and waigr softener brine. ABANDONMENT When the AOWTS fails and/or is permanently taken put t)f seryit;e the following steps she{! be taken to insure that the system is properly and safely abandoned to compliance with ch~ptfic Comm t~3.33, Wisconsin AdmMistrative Code: • Ail piping to tanks and pits shall be disconrifacted and ifs abandoned pipe openings sealed. • The contents of all tanks and pits shall be r+omovesi and properly disposed of by a Septage Servicing Operator. • After pumping, ail tanks and pits shall be excavated and r®irnoved dr their covers removed and the void space filled with sail, grsvef or anotFler inert solid material. CONTINGENCY PLAN if the POVllTS faits and cannot be repaired thq foitpwing measures have bean, or • must be taken, to provide a code compliant replacement syfaem: D A suitable replacement area has been evaluated atnd may be utilized far the location of a replacement soil absorption system. The replacement area should be protected from disttafbarlae and compaction and should rtat be infringed upon by required setbacks from existing and proposed strupture, lot lines and wens, Failure to protect the replacement area will result in the need for a new soli and site evdiuetif~n to elf;~blish a suitable replacement area. Replacerrteni systems must comply with the rules in effect at that time. IA D A suitable replacement area is not available due to setback and/or soli kmitatione. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. D Mound and at-grade soil absorption systfAms may be Cersonatructad in place tanowufg remvva~ v~ ~~~o ~w~„a. o. <~~~ infiltrative surface. Reconstructions of such ayst$rt-s tTiy~t clontpiy with the rubs in effect at that time. < <WARNINO> > SEPTIC, PUMP AND OTHER TREATMENT TAAtKB MAY CQNTA~Iy f.t3THAt, QASSF.S AND/OR 1N8UFFiGiERIT OXYdL3N. DO NCT ENTER A SEPTIC, PUMP OR OTHER TREATMENT YANK UNty~R AMY CIItCiJMSTANCE8. DEATH MAY RESULT. RESCUE OF A PERSON FROM TFIE MffEfttOR OF A TANK MAY 13K pIFFICi:If.T OR IhAPI*lafSiRI.E. ADDITIONAL. COMMENTS -- POWTB_tNSTAL.LER Name j'~/j,'u ~,-• ~h~dzL^ Phone ~ r - a ~- .~' ,a' SEPTAGE 8ERVICIN(3 OPERATOR EPt1MPER) Name .. , . _ Phone This docunisn! was drafted in Comeiiance with chaotar Comm 89.2+1ix1 y .°`.t pOWT14 _NtAINTAUVEN Name DAL REGUfIATORY AUTHORITY Name Ci''a ~ ~,.,~.. phone 715 - 3$(0 - ~b(o b __- Ibif l l"tdig(f1 and 53.54it 1, fZl b i31, Wisconsin Adminlsuativd Code. ' , , ._~ ___ uick4~ STANDARD CHAMBER SIDE VIEW a CL..nVN VICW MuitiPort End Cap _; _` ;_ .~ _-_ i ~~ i ~ I ~ - f I f r~ I ~ 1 ~_ ~._~_ F~ ~ ,,~, ~; ,' _~_ ,~, ~~, ' !-•--------,`- 34" r -----'------mil SIDE VIEW FRONT VIEW TOP VIEW ~~'`aii. .'f.:, Size (W x L x H~. , . _ 34 x 52" x i2' Size (W~x'L x H~' .,;_. :, . ,;:, , , ; ~',x 16r1.x 12° Effective Length 48" invert Height 8" or 1.25" Invert Height 8° L~.lETSiATQ_~YS~MS ii~S STANDARD LIMITEp 4yARRANTY !a Tr se r I t r Y of a" t rambar, nr d pk]ta, wfxigo a [d other -c- .wy nanukicturW Uy f +'Nirala t "t lyds'1• vA?e0 inatallarl msJ o!-~eraletl ,n a I ~ Iv au o' an r f ~ snpfir 5/5isn in accortlat ":e wdh Inditrat0f 5 it 1 ucl a , is wananlar7 W tiro original pu[d a5er ! t Inldcx") agansl def°alrve ~r {era nnU we kma t -I p k: one year Iqun the oala Rtal the gr:p7;c pa rntt fs Issued Itx Uu+ wptk; SYSIem cardaining 'he tJOks, prQbtrJed. howe.ar; fhdl k a septic. pP m t n t'eg11i'(1 by' appNCable law, thP..va uM4 i~iod wll UBC;ifl lt)Hnl !hf)+ja'o that InelrN4argfl p1 Lla $@pliC: S'lSlEm OOrl~mani,aS. `i xor iSe I s'wi rT ,tv ghls, Helder must notify Irr6tlralcx In writing at its Gcn;xxate Headyn,ela; in U'ci uaybrook CrnrtaibrA witfwt Gryeen (1^j aay 7lha aarya,i aelac!. m6P,ratnr will Supply replacement Units for Units do!emrced tW nfllralrir to be axrortxi by Ihis Lfmited Warranty inrttralor s fraUiply spet.lr_atn, axckrdas tra oust C. removal arU/Jr Inslalfatton of the l.M1t5. (b} f NF llMli ECr WARRAM?'r' ANr7 REMF6IES W 5l1yPARAGRAPH 101 Af;E IXCLU3P.ti. ?Itkbi't ARE NO QI'HEfi'r`JAHRANTIE9 VVRN RESPECT ii i THE UN1 f3, INGLUUING NO IMPU.ED WARRANTIES Jf MERCHANfABPJT'Y OR PITWE`,~ Fr1N A i AHIIGUW'i PURPDSE- (`=1 lTf s i.inited W r ~r~y .;hpN dP i.id ii any part t fhc c!:nrnua y iem :+ nanulaclUrE 7 br -.rr:y ~b Ottwr trlan YHNlr.ll W. '(he LNnilar/ WanantY d085 rCt e.xtnnd to inr tlt_nlnl onso< M'w~l, suac.Val or Yell cl da •wgos 'nfil[rytpr yYtaA nor ~0 kaLH frx tx;naltkrs or IiGVldalrxt damages, Miuftdrg lass Of p;!XIUCIIUn antl prnh:e, lat)Or anq maler'rais. OV9rheatl cn5(5, O' OIh/Y k)ssea or aKIXxISaS :ncurt@lJ by tMr udder Ul arty 1MK{ I?anV bpaciGcalA' a"chant Iron, L trxl w ard,y t rwomge are damage to ana unds aua to ortiil~ary wear antl tsar, akeration, m:cldant, misrtso, abuse a nltglert of the U fits: thn Un is lW ty ,rbiccted to vetxrle tratRc or parer conWtipre; wh+cn a.rn not :wrmiitM by the installalrpn II SIrUCtlong: raAUfe t0 meudain Ine m 'mum gr,~und covers s..t rcw!h rn the Installation Irstrust:uns: the pacunrant pr imprc~per materials vdo the system wntautwrg tho links; failure of tr,P. Units ur the septic systc+m due to improper sitrttg or rmproper sizirra, nxwss;ve waear usage. ImprCq)eI gmase d5posal, rX improper operation; a arty other even! not r:ausetl by lnf!Itrat[x, Ths UmkrxJ Wananry Si'+5'! bo void if the Helder mils to tangy with all a the terrru Set fntlh kl itrs Limited Warrenty. Furihor, In no Brent shall Intilyatpr be res(arKitNrJ la ary Ipss a demage to the Hoklar, the Units, or arty third party rasuking fran Inslaikkion er ship n'rant. or frdn any product liablldy claims nY Hoktar w any thud party. Fbr This Lirnilad WanaMy to apply, trfB LlruYs muss bri Installed in accordance with a17 vile crMdilions mUtfired by state and local iMaa; all dhd apptiWble laws; arM infitlralort irlstaNaticm lnssrhptlans Idl No reprasantaUvn of bNltRabr has ux. authunly to Charge: or rialand This Lu~nkm °Narranty. No wananty applies Ib airy per1Y olho: gwn the oriyr~ .fay f{older. Tha a[xrvo rapreraNS the Sranc4nrd Limdrd Warrarty okarud by Infikralor. A un 1I[ea number nl iPlu~ and unnvies rave diCerelq warranty rouulre~ mains. Arty purcr,asnr of Units arautd rnrxac! InNltratur's CfJIPrxHIP, Hrradr=uar!erS a, OIC1 SayUrrxxt, (onrfectilut, prier to such purohaee. to ol>lair, a copy of Jrv~e applicabb warranty, end :huuld camluNy read Thar wan:mry prwr ;c ;nu rumtase W Udts. Q SYSTEMS ! N C ~rwJ-onmentar onslre wastewater sotuNons'" 6 Business Park Road • P.O. Box 768 Old Saybrook, CT 06475 86U-577-700U • FAX 860-577-; OU1 sao-zai -~a3s voo, u,auvcn r; o,wr.l IC; n,4V 4 )a, D,JI I .1VJ'. v,?lti,7tl:i; b,btl6,77S; U,~9,844 t anadtan Patents 1 329 9:;9 2 OC4,564 Other pate?is pending. il',;Uato cgpalize and aideVoinrJer ate registered lrad~Tarks o' Infiltrator Sys[ rns Inr;. Infiltrator is a reyislerad irarJDmarK ;n France. inikiralor Syst©ms Inc. Is a rrgistar,~ iradama k in AAexirq Oar;etu, Contour Swive! Oenneclion, MicroLta-rnny °olyTuff, SrtJpLoCk, ChixnberSpacah PosiLnck, RuickCuf, UuickPlay gECYCLED PAPEq .~.nri fit n, kC rna IrarlPorarLc :,f Inlriiro. ns C..crumo Inr a°• ~rY1Z Inidl.~e.,. C,,. In........„ o.:,.r...! .„ , c n Quick4 Standard Chamber ~~. ~~~ ~% ~ar~ , ~~ ~i.~ • ~ ~ . • ~ ~ ~ , • • ,. ., ~ ~~ ;. • .~ ~ . ~+ • • „" ~ - - _ , rs ~t ....... ~ r ~.~ ~~ ~~~~ a~ "'' T ~~ aura.. •.f~ ' i i <, Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1199 Page I of _ 3 Tom Schmitt Attach complete sAe plan on paper not less than 8%: x 11 inches in s¢e. Plan must County S CroiX include, but not limited to: vertical and horizontal reference point (BM), direction and t ___ __ - percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel LD. Please rint all i f ti p n orma on. Personal information you provide may be used fpr secondary purposes (Privacy law, s. 15.04 (1) (m)j. Reviewed By Date Property Ovvner Property Location Grand Properties, LP _ _ Govt. Lot SE 1/4 SW 1/4 S 22 T 19 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 5 Hudson Estates City State Zip Code Phone Number J City J Village IJ/ Town Nearest Road Somerset ~ WI 154025 ~ 715-247-5900 Hudson Badlands Road /; New Construction use: / 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 recommendations: Area is suitable for a conventional system. Possible system elevation for Area 1 is (high trench) 96.2' (low trench) 94.7'. Slope is 14%. L (/ , ~ a CI /(~f "2 yC •'~,T/sic ^ Boring # J Boring Pit Ground Surface elev. 99.19 ft. Depth to limiting factor 97+ in. Soil Application Rate Horzon i Depth i Dominant Color Redox Description Texture Structure Consistence Boundary i Roots GPD/ft' i 'Eft#1 'Eff#2 1 I 0-9 ~i 10yr32 none sl 2mgr mvfr as 2f ~ 6 1.0 2 9-22 I 10yr4/4 none sit 2fsbk mfr gw j 1f 6 8 3 !, 22-41 i 7.5yr4/4 none Is Osg ml ~ gw - ~ 7 1 6 4 ~ 41-97 10yr5/6 none s Osg ml II -- -- ~ 7 ~ 1.6 I ii ~ ---i -- I 1 -- i - ------ ~ i i , ^ Boring # ~ Boring Pit Ground Surface elev. 99.19 ft. Depth to limiting factor 96+ in. Soil Application Rave Horizon ~ Depth ~ Dominant Color i ~~ Redox Description Texture Structure Consistence Boundary I Roots ~ GPD/ft' ~ 'Eff#1 'Eff#2 1 0-7 ~; 10yr3l3 - none I 2mgr mvfr as 3f ' 6 8 i 2 i 7-13 + 10yr4/4 none sit 2fsbk mvfr gw ~ 2f ~ 6 ; 8 3 ~ 13-24 j 7.5yr4/4 none Is 1msbk mvfr i I r gw 1f i 7 ~' 1.6 _ 4 _ i 24-96 - 10yr5/6 none s Osg ml ~ - ~ - ~ 7 1.g _ ~ i -- - - ~ ~ 7 ~ -^- --- r-- I ~ ~ ~ i ---- - - j ~ 'Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS< 30 mg/L and TSS <_30 mg/L CST flame (Please Pnnt) Signature: ~ /' CST Number Thomas J. Schmitt _ ec>~.-u~ ~~~~~----`-/~' 227429 Address Tom Schmitt ~ Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/12/04 715-247-2941 s Property pwner Grand Properties, LP Parcel ID # _ Boring # J Boring Pit Ground Surface elev. 95.19 ft Page 2 of 3 _ Depth to limiting factor 96+ in. Soil Apphcahon Rate Horizon Depth Dominant Colds Redox Description Texture Structure Consistence ! Boundary i Roots GPDlft' I I 'Eff#1 'Eff#2 1 0-9 10yr32 none sl 2mgr mvfr as ~~i 3f 6 j 1.0 :--~ 2 9-21 10yr3/4 none sl 2msbk mvfr ~ gw 12m,1f 6 I'I 1.0 ---±- 3 1 21-36 ~ 10yr414 none sl 2fsbk mvfr it gw ~, 1m ', 6 ~~ 1.0 -.__ 4 36-96 10yr5/6 none s Osg ml ~ --- ~ - .7 1.6 _ i i f ' ( ~ I ~ i , I '~ I Boring # - Boring Pd Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon i Depth DominanlColor RedoxDescription Texture Structure Consistence' Boundary Roots i .Ef~tGPO/ =E~ ~ i } i I i i i I i ~ ~ I ~ I i Boring # ~ Boring I I Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate H i D th nt C l D i tion Redox Descri Texture Structure Consistence Boundary Roofs or zon ep or om na o p 'Eff#1 'Eff#2 i i I J ~ I i I I i ~ ~ I ~ l `Effluent #1 = BOD s' 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS< 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service providerand 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 608-26~-8777. Page 3 of 3 Conducted by: Conducted for: ' ~ Schmitt Soil & Site Evaluations Name: Grand Properties, LP Thomas 3. Schmitt, CST 227429 - Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WI 54017 Phone: 715.247.2 41 Subd. Name Hudson Estates -~~~ Lot No. .S S~ 1/4, S~ 1/4, S: 22 , T 29 N, R 19 W Township of: Hudson BM El. 100.00' a ,.?" ~G ~~ Alternate BM El. /a/. )S/ Tom' o f' ~ " ~~G ~'~ ~' Slope = ~% Contour Line EL /Y/) i ~ l~° ~~ Scale: 1" = 40' a ~ _ ~ ~ ~~ __._ 3 ~\~ a1a' - - ~ ~ ~, ~ ~ ~ ~ ,. a ys' ~U' ~ 2~ . 6~ ~\ ~~ G~ `~ ~ ~ ~ ~3 ` G~ ~a 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 conducted. oa~ ~~ 05 ~~ ~t`~ ~~" ~~~ I ~~ ~! aL11rq{AIEa~T f ~~~~~~~~~~~~~~~#~~~~~~~~~i6 z ~ ~. ~ ~ ~ ~i ii~3~ii~~~~i~i~~~~~i~~sliii~s a~ i~~iii~~~~~~~i~iiai~i~~is~i~~a~i ~ it ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ° d ~ ~; ~ at a4ia~~~~~~~~i~i~~~~~n~a~~i~~na~~ ~ ~i ~ # ' ~ ~ ~ ~ ~I ~ a; aaa s oa o aas 8b 838i tY ~ ~ ~ `~ q~ (~~ ~ ~ ~~ ~' ~ ~~ ~~ ~i qy ~ I j '~ ~ a W ~yi Q F . `~ ~ ~R V y ~ • + ~ m F ~ . ~ ~ ~ N y q F ~ y \ O . y ~ ~y R ~ ~ s ~ aim" 51 i`' i M~ o\o ` \ y ~y- ~ w ;~~ ~. ~~r11 F ~ ^Oq ~ \Z i~. 2 F s ~ ~ ""` , ~.,. at gp ~~~~ ~~~ ~~~~ g~3~ a ~R% ~ s~ ~ €~ ~~a ~ ~ ~rx~~~~ ~~ ~~~~~ .r~ ~ a a ~a~ ~ r ~:~ ~~ i ~r ~,a~S ~~ ~~~~ ~~~ ~a ~ ~ ~ ~~ a~r~ r m ~ • O i ..._... . 19LLGA~1Di ---- VOL If PC. H9t ~~ ~; ~~ ~ ~~ ~ ~~ [' a a~ ~; r if ~ ~~ ~ ~ ~i ~ __ ~~ r~ ~ . ;~i i~ar~i SORVBTOR[ TlStAkSDf 0011aai =N{a1 aAla I11aQ1Y M « `°""""'T' HUDSON ESTATES : ~~' LocAreD !N raa Na!/~ or rai sr!/4, rARr or ras ss!/~ os ras sr!/~, raRr or ` ~ T9a /VI//~ Ol ras SI//<, AND PART Ol rad S1!/~ Ol ras Srl/s, ALL /N SICrION t2, TtDN, RlDI, TOIN Ot BUDSON, ST. CROLr COUNTY, gSCONS eaarrasse scans 1~*a' arc • aar.a 'v r~ir ~ t. 1~4'Li >~ ~ ~ ~ ~. :' f yrmurrsn iamns .an..r.R /N w ; ;`ls,s [ .sir .a.aaa.r arr. -- --- eur ~; a,>, r ~,t 3 n ~ wr a ~.oT» ra'"a ~ y w ~w~. n. q n,w~w. ^• ~ u.a Ms '~ LOT t «ar G [.aw . ~n.~o Q a~w «orr~ f /I.O~ M R. y ~' a a/~F IJY.M~.N ~ ~ NM • .... ............. ........... .... 1tY $.• ~ p [ u•r r ~ ~. .'•s . ~ ~ aq aw aa• nlr ~~ ~ ~ `e--w•. • ~ - -eotsRl's LAM!-~ .. ~ ~ \~ j m.. • ~' rrlr7fal ` aw ~ I v` / aa. ..gal' I "~.,"~ / ........ ... ...... ;... ..... ~ ' ~ ~ ""'` 14rea ;~ o aw i~ ~ ~ L..: •.! ~ ~ Lor u ~ •1 ' ~~ .. "."" LOTa aa• , ' .,.. ,a.,e. 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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 * GLEN JOHNSON CONSTRUCTION INC GLEN JOHNSON CONSTRUCTION INC PO BOX 809 HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 812 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 ESTATES ' OT Block/Condo Bldg: LOT 05 ( 04) L 5 (2.004AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-29N-19W SE SW Notes: Parcet History: Date Doc # Vol/Page Type 09/15/2004 774403 2656/484 WD 09/09/2004 773861 10/25 PLAT 9(1t1~ CI IMM~RY Bill #: Fair Market Value: Assessed with: Valuations: Description Class Acres 0 Land Improve Totals for 2005: General Property 0.000 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 0 0 0 Last Changed: 03/07/2005 Total State Reason 0 0 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00