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020-1450-09-000
Wisconsin Dep commerce PRIVATE SEWAGE SYSTEM Safety and Build on INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Grand Pro erties L.P. Hudson, Town of SST Btvl Elev: Insp. BM Elev: BM Description: 1Gb ~ ~Sd (?~ -Z WANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ 3 ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~~ / ~~ ~r , ~! ~. Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System TDH Ft Forcemain la. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: , 479251 p ~ a State Plan ID No: Parcel Tax No: 020-1450-09-000 Section/Town/Range/Map No: 22.29.19.2879 STATION BS HI FS ELEV. Benchmark . ~ /t5~7 ~ ~ ~~ Alt. BM r ~`~~ ~ , ~ '~,, Bldg. Sewer 5.~8 ~yZZ SUHt Inlet `1,a5 9 ~ ' ~C 7 St/Ht Outlet 7, 5a ~,~ , ~ Dt Inlet ~ Dt Bottom '~ ~ Header/Man. ~ ~ q 1 ~ , Z Dist. Pipe 9 • Z 9S Bot. System _ ~~. S ~ ;9~ ~ ' Final Grades $' ~ c~ ~ ~ ! St Cover 3 ~ C~ ~ 01 ~ ~o ~~ r ~-- ~~ ,~ 9l{. 3 l BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS y~ Z ~, i ~~ ~.. i ~. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~}~ ' ,~a ~ I ON CHAMBER OR I J /~i ~ INFORMATI Type O~ System: ~, CJO_ a ~ % ` ~/ y ~~ ~ ~ ~ /~ ~~/~~~ UNIT Model Number: O v I']ISTRIBl1T10N SYSTEM ~ .~1 ~~~ cad- ~G = IFS /a+~~L, Header/Manifold ~~ ~ Distribution v Pipe(s) ~ \ \ x Hole Size \ x Hole Spacing Vent to Air tak ~b i.J 3e' th y Dia / n L th Dia S acing Len _. ~ g e p g Rf'111 CnVFR ., o.e~~~~~e e.,~*e.,,~ n.,r.. ..,. Mnnn'1 nr A4_(~rarla Svctams ~nlv Depth Over ~ p Bed/Trench Center Depth Over Bed/Trench Edges ~ xx Depth of Topsoil ` xx Seeded/Sodded Yes f No xx Mulched Yes (-] No ~ ' ~ i COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /. Location: 644 Roberts Lane Hudson, WI 54016 (NE 1/4 SW 1/4 22 T29N R/~1~9~1W) Hudson Estates Lot 9 1.) Alt BM Description = `~~ ~ t~J2~- C~.~`+...5 ~.~ 2.) Bldg sewer length = 3~1 -amount of cover = ~ (1I v\,1i.~ ~ b; ~ f (~~I ~` rv'~ Z Ca~+eti. r 't'O i-2. Plan revision Required? ~ ~;i Yes o I ! d Use other side for additional informa ion. 1 ___ _ - Date Inse or's Signa SBD-6710 (R.3/97) Inspection #2: / /. Pnarcel No: 22.29.19.2879 5c,~.led~ 9~v ~ a~ eF ~fow~- o~ E ~7e. `_ . QI'a.i/w.~ CQtSC '~ ~~~~ - - - ---- Cert. No. ~ ~ Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County ~~ s ~~Y~ r~~~~S~n Madison, WI 53707 - 7 f 62 Sanitary Permit Number (to be fii{ed in try Co.) Qepartment of Commerce {608) 266-31 S T ~ 79z Sanitary Pel•mlt Ap 'c 'o State Plan [.D. Number fn accord with Comm 83.21, Wis. Adm. Co on on you provide may be used for secondary purposes w, s t 5.04 I li Project Address (if ditferert than maibng address j ~ ~ ~ . App cation Information -Please Print All Infor ~ ~L//L. ~~~~ ~ / Prope wner's Na to ,p ) , ; ~ v~ ~ ' f ~! Ya Farcel # Lot Block # fi ~~~ r ~ a X ~+ roperty Owner's Mailing Address ~' __~~G ~F~~E `~ /z ,~ S~ S'~ ~ 7` ~G /'C' ~~ Property Locarion ~ _ __ ___ _ ~ ---f //~ ,~., ~U/ ~i., Section ~ City, State Zip Code - Phone Number d ) r ~ ( C ~ ~ ~ ~02 ~~ ~~ ~~~~ 7~ ~ ~~( ~E Or~ T ~Q N: RL~ II. Type of Building (cfteck all that apply) ~ Stu „I • b ~~ .~ ~' ~j ~~ or 2 Family Dwelling -Number of Bedrooms Subdivision Name CSM Number - ___7 ^Public/Commercial-Describe Use /~~ _ T ~ ,~~~dSo~ ~s'~ ~1 ~/ ^ State Owned -- Describe Use ~ .3V- /-Z_ 2 ~ ^~'ttY,,,,,^Village ~oHmship ot_~~~.~L~ III. Type of Permit: (Check only one box on line A. Completr, line B if applicable) ZO ' l O ~ b • Z$ A. New S stem Y C Re tacement S stem ~ p Y g~. 07 } ^ Treatment!Holdin Tank R lacement Unl ~ ^ Other Modification to ):xistin S stem g~Y ~_ - B [; Permit Renewal f E B i i Pemrit Revision ~ ^ Change of Pl b ^ Permit Transfer to New O List Previous Permit Number and Date Issued ~ 7 ~Z ~ / e ore xp rat on --_ um er wner - 1V, T ^ __ ype of POWTS S;~tem~~Check alt that a~_ _ ~_~ Non -Pressnriud in-Ground ^ Mound >_ 2~ in of suitable soli ^ Mauird ~ 24 in. of suitable soil ^ At-Grade ^ Single Pass Stutd Fitter ^ Constrocted Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ;~ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter (,Leaching Chamber ^ Drip Lint ^ Gravel-lest ^ Other (explain) V. DispersaUFreatmentAraa In ormation: ~ G Q Design Flow (gpd) Design Soil Application Rate(gpdsf) _ Dispersal Area R:quired (st) Dispersal Area Proposed System Elevation VI. Tank info Capacity in Tataf Number Manufacharer refab Site Steel Fiber Plastic Gallons Gallons oflJnits ~ Concrete Coosuvcted Glass New Exic[ing ~ Tanks Tsnks a Wn>L.~ Septic or ]ialding Tank ~ L'.4 P ~ Aerobic Treattnctu L'nit _ Dosing Chernber ~ I ~ __1 .- VII. Responsibility Statement- I, the andersigaed, assume responsibility fur in anon of the PUFVTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature P PRS Nurnbet business Phone Number ~,h'C~~ot xc ,/~ w~e/s'et~' ~` ~_,~ ~R 7P `lll 7l~'~ ~ ~6-~lal Plumber's Address (Streot, City, State, Zip Code) d D ea ~G~.Q- ~. ~ st.~rJ , r y VIII. oun Ilya artment Use Onl Approved ^ ve Sanitary Per,~nit Fee {i dudes Ctroundwater Da lssued Issuing ant Signs re St Surcharge Fee) ~ ~l /~ Z5 ~~ ^ wne rveti Reason Cur Denial ; V ! _. TX. Conditions of Appruval/Reasons for Disapproval ~ ~~ n Q~ ~~~ ~ , I/ l SY8TEM 01NNER: n 1. `Septic tank effluent tiller and / I ~ ~' , f e~~ dispersal cell must all be services /maintained 111000 ~~ /~-q, as per management plan provided by plumber. 2. AA stttback requirements must lx maintained ~,1 n , ~ ~ ~Qc~., ~~ as per appNcable code ! txdinances. f ! V c Attach complete phtns (to the County onW) for the system on paper nor teas man nt;t x t l trachea to atu ~d~ SBD-b398 (R. Ol/03) ~~~,v~ ~ ofd ~ G~ ~aT ~~~~~ C ~~_ ~lG ~'o.-cJ ,~,~ ~ l G 7( ~~ ~~ /- !7°us.~ ~'~ h ~o .. ~' /~a; ~ ~- r ~~ ~~ ~~~ a (~ ~ ~3 ,~ //' ~ ~ s/s P,,t.d'^'' ~~ , '~'.~ `~ ~~~~j Z ~~ ~~~ ~~`~~ ~- ~,~~-- z -,~ ~~ 3 ~_ ~~.., ~ \ `~ '"' ~~' ,.~ ~~~~~ C «_ ~~ ~ ~ ~us -~ ~t ~~, p~ ~~~ r -J y ~` j s ~~ ice. Q~ ~~~ ~~ ~ ~ fir/ ~. ~ l/ ~,, ,.~ `~G 7~ ~~ ~~ 5h 2~~ l ~ ~~ ~~e ~ ~ ~ ~---~~ as ~~9~ /D~~ `.~~ o.~ Wistxmsin Department of Comme _~r~) Dlviaion of Safety and Buildings ~,./'~ REPORT Page ~ of in accordance with mm 85, mss: Rdtf~ ~'C ounty s'~ ~~ i Attach complete site plan on paper not less than 8 1/2 x 11 i ches i ~r Pl~r[ ust include, but not limited to: vertical and horizontal reference int (BI~'dir`ecti6n'3n~~(~~j arcel I.D. percent slope, scale or dimensions, north arrow, and locatio and distance to nearest road. (~ Z d -~~! ~j „ lj rj .. apD ST. CROIX CO Review by Date Please print all informati ZOMNO UN71 Personal information you provide may be used for secondary purposes (Pnvac F t m)). ~, (~ i f~ ~25J~5 Property Owner Property Location -^ ~ ~` ~' `". Govt. Lot rt//~, 1/4 jrZ/(/4 S ZZ T 2~' N R ~ E (or~ Property Owne s M ing ddres s / Lo Block # Subd. Napp or CSM# ~ City State Zip Code Phone Number City ^ ~Ilage (~J Town ..Nearest Road ~y ® New Construction Use: ® Residential I Number of bedrooms Code derived design flow rate _ ~~~~~ O ~ GPD ' ^ Replacement ^ Public or commercial -Describe: ' __ __ _ __~ ~> __ _ Parent material _1~SL~a '3 ~ Flood Plain elevation if applicable ti /!~ ft. General comments ~J `' and recommendations: ~~~~~~ ~l Zy' < ~~ G%/ ~Gvl T'°~ f n Boring # ~ Boring / ,P rn ..,,....... ~....~,.` ~,~ tea[,.,, ~.. ,,,,,,u„y ,a~,~, .~ ~~ ~. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in, sell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Z a ~ -- .4~ U yV~. ~~ C _ z!-- ~Y - as l ~ - , 1. 11 a Boring # r~a Boring / lCl Pit Ground surtace elev. ~~Jft. Depth to limiting factor ~~ / /in. Soil ticaflon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 -I Z d 3/2 -- S~ rr. r C~ i u f , ~" ~'IZ.( -C~ .. - ~ ti ~ ~ a r ~ [ Eftlttent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mglL • Effluent #2 = BOD < 30 mglL and TSS < 30 rr[gIL CST (Please Prin S' re - CST Number - _ F a c Address Date Evaluation Conducted Telephone Number ~fi Property Owner ,.~ Parcel ID # ~ G4 _5 ` ~ ' ~'~~'~' ",~~ Page ~ of ~ng # ^ Boring ~~~ x i ' / Pit Ground surface elev. ~ ft. Depth to limiting factor ~ ~`? in. Soil lication Hate 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 I ~ ~ p~- , r ~ c~~~ l ~~ 3~v Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Etf#2 U Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil fication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence .Boundary Roots GP D/fl~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 'Effluent #1 =GODS > 30 < 220 mglL and TSS >30 < 150 mglL '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. ssn~saw ~~i Property Owner ~L _. ~M{3p..... +P Parcel ID # ~ ~l -S ` '' ~'~~~~~~ Page ~ of ~~ # ^ Boring ` / Pit Ground surface elev.~~-~~-~-L ft. Depth to limiting factor ,~d ~'!? in. Soil lication Rate Horizon' Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in . Munselt Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 f " Z t©r ~- vh r- c t~- > r ,~ - cis t ~. - ~ /, • ~~ 3~ a Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Q Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to IimiGng factor in. " Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence .Boundary Roots GP D/ff- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 `Effluent #1 =GODS > 30 < 220 mgll and TSS >30 <_ 150 mglL '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. sBas~o ~e.sroo> PA13E ~OF_~ NAME (?-~""~~ P/L~-7v'~ ~ LO7# ~ LEC3AL DESCRIPTION~G'~= ~/asW ~/a,S,~/~TZ~,N,R j~ E(OR)~i SCALE: 1 " _ ~ ~/1 BM 1 ELEVATION ~~~, (~) ~ ~. BM 1 DESCRIPTION ~~ ~ I~ ~U~ Q~ -~ ~~_~~ BM 2 ELEVATION ~-- BM 2 DESCRIPTION - SYSTEM ELEVATION ~~ ~ ~ ~G~.{/ /~c~r~~.. r SYSTEM TYPE ~G.~ ff~,,~~j,~-~L ..~ ae/ i F l `~~,,~' r--~_ ~, ------ _-- ---- _ ~ R~~ ~~ Sa \~ .. ~ ~ _ _ - r i 201 W, Washi~ ontAvQ~ P.tv Sion Coun De ~sc~~~~n Madison;, , ~ B2x 91~Q(J ~ s"', y partment of Comrneree (648} 266- ST. ~R~I a d~E'ermi umber (to !~ filled in by Co.) Sanzta P ~ k `~~`~~S1 i'y errn~t Ap Iieat3on ~ tan ~• • Number In accord w' tdt Comm 83.21, Wis. Adm. Code, tray bt used fur secottda >~s0~ information you provide ry purposes Privac Law s _ Y IS. 04(l)(m • ) Project Address (if dsfferertt than tnailinE address) I• AppUcatio Information - Please Prisitt Ali Information ~ ~- l / Praperty Owner's Na \~ tO ~~ ~~PJ ~S ~~~ Parcet_N' . ~ Lot !/ Block p ~ ~ q Prnperry Owner's M ailing A ess ---.-.. < "Pro Locatior. ___,_..~~ ~---~ °? ~~ Ste' ~~ f--c...~0~ -- City, Stag Zi Cade '~+, s~'A,Sectiat P ~ Phone Number ~ .~.2 S'om ~ y'S ,e ~ ~~ ~ II. T----•------,--- `-~ ~ , ~'4~oa ~" ~.5 '? Y7_' y~e (circle o ype of Building (check all that ap ) ~ S ~`t T a 9 N; R_ j~E o,~v ~1 or 2 Family Dwelling -Number of Bedroom Subdivision Name CSM Number ' ^ PubliciCommercia] -Describe Use _- _.-_'_... ` ^ State Ownexi -Describe Use ~~-- --~-----__~~- s _~ ~S ~ ~'~ ,_.__.~~_ rr - q~ ---- • __~ Y tlla eA ownsht ~ 'C/1 -r~ ,_ S G~i p ~ f //4~ f ~-sd~t~ d III, T _ ype of Permit: - Ch C _t e k only one box on tine A, otnplete liar; if applicable) ~ D _ trLm` e 2~,~~' '.V' ew SYstetn j l~ Replacement System ^ Tre ent/Hold~t Tank Ro la:•i I ! 8 p e::cent only C Qthtr Modification to Existing System ~ i ___ i i B• ~ Permit Renewal ^ Permit Revisior. ~ ^ Change a ^ Permit'i'ransfer w New i Lisr Previous Permit Number acrd Date Issued i3efore Expiration Plumber awuer I ~_ ~'• "I'Y of POWTS S stem: (Check all that ate) * -~~_'#"~m~;~~- N ~~ _-_f ~i on -Pressurized In••Ciround ^ Mound > 24 in. of sui c suit ~ '- "~ -'^ -~1 - Mout < 2d in. of sellable suit ~~ At•t3radt: 'Yl Single Pass Sand Filter ~ ~_ Cottstrucred Wetland ^ pressurized ln-Ground ^~olding Taal. Cl Peat r V' Aerobic Treatment unit ^ Recirculating Sand Filter ~ ~ L Recirculating Sytultetic Media Filter ~'Leachittg Ober i~ Dnp Line ~J G val.iess Pi V. Dis rsal/Treatment Area laforittnation• _.Pe ^ Ocher (captain) ~ ~ Design Flow (gpti}~~1)esi n Soil A. licacion Ra[e ~ -` ""~ g PP (gp~sf) ~pispersai Area Required (sf) ipersal Area Pro ~~Sysrem 1<levation t__._... G"4d , 7 f fy ~ ~~ ~_ , ~a ~,~ C ~ VI. Tank Info Capacity in - 'I'otai~-Number ~~~~--~_ ~-~ , Manufacturer Prefab Site ~Steef Fibez piaSiiC Gallons Gallons of Uni ~ New Existing I ~~ ~~/~ • OnCtete Canstructed 1 Glass r t _ Tanks i Tanks -~1 Septic oz Holding Tank ~ II ~ ` Atroblc Treatment Unit ~-~ r~'S~ Y Uosin~ Chamber DD / ~~ e VI . - .1_._ _...._i_ __ I _ __ ~ ---- - Res nsibil' _ ~ __. po ity Statement- _ 1, , understgnect, asswtte res tuib' `Plumber's Na me (Pnntj ~` ,~ - --•~° . tUty for' atton of the PU'Vb'TS show n the attached plaits. _ Plu .__ __ tuber's Si YtatUCC -•- i ~ MP PRS Number Business Phone Number I '~< 1,a ~ ~~ ~,~, ~ as ~9~~ ~~- ~~~ 3~~ ~ s ~ Plumber's Addre ss (Street, City, S '' e, 7.ip Code) j ~L~D s~ off- ~so~.~ 11~' ~y~~~ _, VIII. Count /De artntent Us nl ~ •--- - i Approved ~ Disapproves Sanitary Permit Foe (in~ udes Groundwater Date Issued Isslti ant Si net e i ~'~ I g ur Na m - ~ i Beecher a Fee} _ g Ste ps) ' C./1 I S O nee G;v (t/_ ~~ 1--- eason Denial _~~,~ _._..._-_ ~ ~~ ~ ,~ T" 1X. Conditions of A ovahReasons for Disapproval ~ ~ ~ nn 1 _ - --- ----- SYSTEM OWNER: 3 ~ ~J~-1~ - c~XL 1 D C ~~-~t ~II ~' 1 Septic tank, effluent filter and ~ ~ "~'~ I dispersal cell must alt be serviced / meinteint3d S J G.~a i p..,,~ `~~ as per management plan provided by plumber. ~ J 2. All setback requirements must be maintained ~ ~p ( ~~~ ~5-t-- tS as per applicable code/ordinances. ~ _ ~~ i ~ C>.~,$ ,S ~~.~ c~~~~' ~ ~ Atlacll caaykte pla»a (b the County unry) roe the ystear on paper nut t S1P2 x i 1 inches in size ~~ U ~ • 4,/ - .S~,C,~ ~ ' ~ S%e ~. ~e% ~~~g ~uJ~ °~ ~ a~'L f ~~`~ ~'.~ ~~- °~ 4 c i ;~ -~ d~ zJ ~~c C~P~ -~ ~rf ~ - ~~ az~-,~~ v ~~ . P ~~ pl ~-.l n.~c-a.C.~~. l ~ ;ice A/~<~ /X ~~111~ f~d d ~~'~ a ~~ ~~ i ~l r ~~ ~°~- S. ?~.,6.C S~,vr ' . -~ c~ ~la/i~ .~~ ~,~ ~~ ~~~ ~,~~ ~~ 3 y ~ °~ J'~ ~~~ -~ -.. fir/ r '' c~~-~- ~~ ~ z ~~~~ ~~~~~~.~~ ~ ~ ~- ~ - ~~~ ~s~s PROPERTY OWNrER: Gratrd properties. LP SOIL AND SITE EVALUATION 1205 page 3 of ~ PARCEL I.D.# Tin Sclanitt REPQRT 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 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 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 ilt inclusia (silt ball) is encountered, the chambers fhat 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/~ only enlarged as needed. l i~~ ~~I~t, C,~ Sc-tt~ rT~'~ `~t S~ ~- ~~ k~.~ t oWt.s.~. ~c~~Q c3-v~ ~ S t~-~ cQ r V i ,$ ~ 8'1~t , ~~ p,,~SL i S .Q.,^C.. ,~~.tvl.9 c~.~.,b-ers l ~-c S ~.a ~-- .1 ~~ ~~ ~S ~5 ~ r w9~ ~=- ~ -~ l~-s ~ C ~-~ S~ ~--~5 __--~ ~` Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8'/= x 11 inches in s¢e. Plan must include, but not limited to: veRical artd horizontal reference point (BM), direction and percerrt slope, scale or dimemsions, north anouu, and location and distance to nearest mad. Parcel I.D. P/easy print all infonnattona,, Reviewed By 1204 Page 1 of 3 Tom Schmitt $t. Crooc Date Persons information you provid~ may be y ~ fey ( ~ l.aw, s. 15.04 (1) (m))• Property Owner ~ Property Location Grand Properties, LP , Govt. Lot NE 1/4 SW 1/4 S 22 T 29 N R 19 W Property Owner's Mailing Addr Lot # Block # Sutxt. Name or CSM# 712 Rivard Streeet, Suite 30 ~_°; ;;r~~;;.,:~;~~~~,~ ,-: 9 Hudson Estates City fate Z' (lYumber ~ City ~ Vllage ~ Town Nearest Road Somerset (WI 54025 715-247-5900 Hudson Roberts Lane M" New Construction 0~~ I+r" Residential ! Number of bedrooms 3 Code derived design flow rate 350 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. Possible system elevation for Area 1 is {high trench) 83.6' (low trench) 82.7' . Slope is 7°rb. ~- ~ ~/,~''~-7 ~~,lh Boring # Boring iY Pit Ground Surface elev. 87.72 ft. pith to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Descriptimr Texture Structure Consistence Boundary Roots GP D/ft~ 'Eff#1 *Eff#2 1 0-9 10yr32 none I 2mgr mvfr as 1f .6 .8 2 9-20 10yr3/4 none sil 2fsbk mvfr gw 1f .6 .8 3 20-38 10yr4/6 c2d 1 /2/8 I 2fsbk mvfr gw 1f .6 .8 4 38-96 10yr5/6 none s Osg ml - .7 1.6 a Boring # J Boring 1R Pit Ground Surface elev. 87.72 ft. Depth to limiting factor 98+ in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft~ 'Eff#1 "Eff#2 1 0-13 10yr3/2 none I Zfsbk mvfr as 1f .6 .8 2 13-24 10yr4/3 none I 2fsbk mvfr gw 1f .6 .8 3 24-38 10yr4l6 t2d 1 /2/8 sl 2msbk mvfr gw 1f .6 1.0 4 38-98 10yr5l6 none s Osg ml - .7 1.6 * Effluent #1 = BOD ~ 30 < 220 ma/L and TSS >30 < 150 ma/L * Effluent #2 = BOl] < 30 ma/L and TSS < 30 mall o ., - -- - -- .~- --- - - - -Q-- - ~ -~- 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 4/13/04 715-247-2941 ,, . ' Property Owner' Grand Properties, LP Parcel ID # Page 2 of 3 Borng # J ~~ ~ Pit Ground Surface elev. 85.62 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 *Eff#2 1 0-9 10yr32 none I 2fsbk mvFr as 1f .6 .8 2 9-26 10yr4/3 none sil 2msbk mvfr gw 1f .6 .8 3 26-40 10yr4/6 c2d 10yr6/8 10y~/2 sil 2msbk mfr cw 1f .6 .8 4 40-96 10yr5~ none s Osg ml - .7 1.6 ^ goring # 'Boring ~ Pk Ground Surtace 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 Borng # ~ ~~ _J Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2 • Effluent #1 = BOD 5> 30 < 220 mg(L and T~~S >30 < 150 ttlg/L ' Effluent`s= BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material !~ an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Re~~la~y ~~ • Conducted by: Schmitt Soil & Site Evaluations Thomas J. Schmitt, CST 227429 1595 72nd St. New Richmond, WI 54017 Page 3 of 3 Conducted for: Name: Crrand Properties, LP Address: 712 Rivard St. Suite 100 City, State, Zip: Somerset, WI 54025 Phone• 715.247.2941 ~ Subd. Name Hudson Estates ~~-aw/,~ Lot Na. ~_ N~ 1/4,,~L~ 1/4, S: 22 , T 29 N, R 19 W Township of: Hudson BM El. 100.00' ~o.a o ~ ~'~ ~~L ~'~~~' __ Alternate BM EL , ! ~ ~ o ~ .a `~ f ~~ ~/~G~ ..¢ Slope = ~% Contour Line EL 1 Scale: 1" = 40' /a~~ ~ ~ ~! /8~ ~ ` I a3f ~~ ~~, ~` ~ II 4z ~` 1 ~~ ~ 8y~ \ ~ ~3 ~ QED ~ ~ ~ eE~4 l7L ~ ~,~'© 1~'~8~ p-I~ a~ ~\ e~~ °°~~ ~ 8~/ ~~~~~ This soil report was done to ful~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. - - [~~ou~os PunnPs AAPLICATII)NS Specifically designed for the following uses: • Effluent systems • HOmeS • Farms • Heavy duty sump • Water transfer • dewaiering SPECIFIfATIONS • Solids handling wpa~lity: '/,° maximum. • Capacities: up to 60 GPM. • Total heads. up to 31 feet, • Distharge size: t'/a" NPT. • Mechanical seal: carbon. rotarylceramic•slationary, BUNA-N elastomea. • Temperature: 104°F (40~C? continuous 140°F (60•C} intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components, Motor: • t:P44 Singgle phase: 4.4 HP, 115 or 730 Y, 60 hIz,1550 RPM, built in overload whir automatic reset. • EP05 Singyle phase: Q,5 HP, 115 V, 6r) Hz, i 554 RPM, built in overload with automatic resc~. • Power cord; 10 foot standard length,16(3 SJTOW with three prong grourding plug. Optional t0 font length, 16/3 S1TW with three prong grounding plug (standard on fPQS). ~ 2U00 Goulds Pumps Effective Flbruary. 2000 83871 • Fully submerged in high grade turbine oil for lubricatan and efficient heat transfer. Available for automatic and manual operation. A~,to- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EPW Impeller: Thermoplas- tic Semi-open design with pump out vanes for meehanical seal protection. METERS PEF' 10 9 a 6 s~ ~ aF n -. ~ z 0 Submersible Effluent Pump 3 V ~ 1 EPOS ~ EP05 impeller. Thermoplas- tic enclosed design for improved performance. ~ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion n'siStdrrCl. ^ Motor Housing' Cast iron for eNklent heat transfer, strength, and darrability. ^ fry Cover thermoplastic cover with iri#egral handle artd float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. GPM 0 1 4 6 8 10 : z mrlh caaacmr Goulds Pumps r Bearings: Upper and lower heavy duty ball bearing construction, AGENCY LISTING ~• tmsdiatt Standards bitodation (CSA listed model numbers end in "I•" Of "C".~ Is no goal r~yinarad. tiJ' ITT Industries _. '~~ . ~ "'~'~~""'""+"`~"'-- ' ~ j---w...~.,~ ~ ~. i\ Lr...~..~.~'7~ ~..~1.. ri ~ 2 li : ~I : l ,i r., ~ .~' ~ ^ ~ r, a ~r ~ ~ : "./ :Y ~ r.....~ ~1~ ~.x -.pR M~ DdOR _1? re HIN . ~ A-B~V~E G~eDE 8 ~l~Al'NEitpRQC~f FRESH AIR INTAKE ~~N;~QW 4R ~TL'NCTIC:v' DGx FIh'ISMEC r '~STH CCND~II? ~RAI` E ~i~ CI ~~~F~ ~ i a~-i ~ ~~ #1~S% N . ~, ~e r X• ~ ~9 ~ I ]{ ±r'i~ET / i `~ 1 ~"' ) ' f ~ , WATER I`IGHT 5£kLS ~ "'' GA5• - ; ~' ~.' 'y'~."` TIGHT' ~ `, r~ A PPRO'! ED `SA.1Pf!OiE CG'J Er W! PAT~LOC,K ~ WANING :.ABED, 4 ~~ {i!-7~ , !( ~PROVS~ ' j ~ ) ,.,,,,~ SEAL ~f i / ti/APPROVE~ JOINTS ~CiT~i ~IP~ S _. _. ALM r B ' ~ ApP~pVE~ gtFS y~ ~ ~' :l ~ 3 PJ MP ~Pl" ELEV , x T ~ ~` ` C ~~ ~ 1 ~ SO~,Ib, SOIL ~~ , ~ -~'-~ '-~'"`OFr"". I ~* RxSER EXIT D PERMY i 2ED ONLY ---- -__..____,. ' ~ ?F TANK MANUFACTURER ~" APFRvVE'L $£DDING U\DER TA?~TK HAS APPROVAL ~0lv'CRETE PA,~ 1~ECI~":CA.•wNS ~=:'7SC r' DOSE 1 A~1K MAi~P,~FACTJR~R : _e~L ~.~.!'Y Z~-~!'~$ER D' OSES ?ER DAB . /,r "~fK SI ~«iS: SE'P~'SC . ..~.'.-----~~- Da~~ ~ ..,~ GAL . r ~ . , FOSS, V C 1J.,E IAC uJDING .--=z- ~" -~.~. o~ gyp.:.. F~o~sACx: r GAS, ~~ . MOAEL NJMSER: ~:.A.. CArgtiiilES: A : '_ I.'vC3?ES ~ GA1.. SW2fiCi~ TYPE: ~ _ '„~, I~.ANUFACT"~IRER; ,~,-..~~.~.~...~.~.~ 9 ~ ..~,2.. TN'CHES * ....Y~....~...GAL. MOREL Nt.1MHER: SwI T ~ ~ ~ r INCHES "` r„~aAa•,, CH TYPE ; ~'-~-~ :»Q~iiREA DISCHARGE P .a.T ~' ~ P ~ ~L!~,-,-..GAS,. ER?:CAL QiFf'ZR.CNc"..L^, ~ ~ „ , .. P~fiMP S l7L,A~~ WIRXNG AS l'ER I SF ` LKR 2G.23' '.~'~+C ,. GF ~ AItiL~ EISTP,a BUTIpN PiP ~!INIMUM NE'I'WORX SUPPLY PRE55LYRE E ~ ~ !~' rEET ~,..« FEE2' FQRCEMASN ~ • ~ . a; ;t,~ r.~ .: FEET i1 F T/340 F"" -w----. .. PR....I'.QN FACTQR .m °.~NAL nIl~~":~'~It?ti5 T~C^.:~L D~'NAMIC ~IE4D x , FELT ~ FE~~^ CF P~,~~ya ~* ,~. -~4.vh: y£tiG~ -, L-G:%ID 4 ~ , ~ ~ ,, ER ._..~_._,~_ ^A~-, ; -'" ~ ~ . ~ y ~_ u~c~r4~ STANDARD CHAMBER 52" -- i SEG710N VIEW MultiPort End Cap FRONT VIEW ufUE VIEW SIDE vlEw TOP VIEW x - ,, . ,~, _ , r ,~ itik} . a~ , , Qulck4 Standard Chamber Nominal Specificafinns ~,. ~ ` ~NIuIt~Port End Cap Nomfnall Speeificatfons ,~._u - Size,WxixH} 34 x52"xi2' SizeiWzL`xN}' - 34'x16"x12" Effective Length - 48" Invert Height $" or 1.25" Nwert Height ~" 8" INFILTRATOR SY~TEM~,,JZG, STANDARD LIMITED WARRANTY (r1 71x!. sl rlu ar Iup}1 -.y of a car cnamba+ and I>4at -, wrdga arxi cNlk^r a ,r ~ yry ma+utn u W by lulrprela )'lJrutS"I, whtl~t i,S1aIIfXI A.IId nnP.rdlcrd n 3 art Held oI an , - it ,opt ~ syslnm m ec - tkx,ca with rnlillralnr s rn, x! Ns s warn tmY 7 , tn. ong nal {w~chaser ('linldar 1 .rTahcl der9;tive n ,ter a a ,tl ,+r k I y la x, }oar burr Iho 'gala Itral Iha srl,~k, W s ~~ uwJ frn ttre M.I [x: <}slwn Wr1!au,iry Ilx Lpurs; provided tgwaver, ;hat I , septk: per i . n rt, eyu rc!Ri by aopba:abla law, the warr,xn} prrrl,1 A ' acyr. c,µ tr o la e tr at ' .sYnlfaliCn . i nta SePUC SYStem convnarr,.¢s. ?r a a G ~e 115 wd :J t ryf I^, Hchiar must nnlrty InTiktala it wri(ny a+ QS C,rrrpdrate HHa k1 .!eK ul Uid Stlylxook, :,nnrledVCU1 WifhXl fifteen ;!$j dit or tlra allarge i da.tecl. Inr Irslor will supply roplacemern Units br Unas dalarminatl Uy Inhihaia to be eovored bSr Ih~s Lir>alh3tl-warranty. Inr tr Jtur., liabildy ~pacrf+calfy exaiuaes the cost of ramnvai anrYor installation of lha Units. 7a I { I IM'TEp VV`Af2RANTY ANp FtEMfpiES W uJdPAF1ACRA`r'y rat ArtF eXCLt DIVE. ~ iN~f-iE ARL" NO O'I'hIER WARRANTIES WITH RESPECT Tr I t r UP 1 F;, W G Ul;aaG Nr~ IMPLIED WAHRAN f IES OF fdCRCHAN7R6 ~ ITl' r-R r Nr -,;; FOIL A PAFI1CUVtR F'URPt)SE (d l r ~ IaC Wur only shah be void it anY Part of the rna i rar syste~ n aru ni,r~oo ov myone other then a}fiacUnr. Tha Umifrxt Wananly Boas rn t ell r u to V!x, de 571. Consc47u~n1'ral, •:peCial or irWiract dal ages, htr', as slkJp nc1 be. liaCh kr prxraltir,c or (iquulatert dauoayes, in,:luding loss of ur ducfon and proofs. 4,d?r arN1 malenals. overhead Costs, o' other bsses Cr ex;x,nses i rcpnacf by thy Hddar or ar>4 Ihirr.! party. Snrr,:iiIWIW a:. t irn. from L mdra[I Warranty rovarage are damage tc the dnas due to frcmy wear anC fear, aeeraeon, accidont, misu50, ab! at or rta4Tlar,! bf h-e Jni s'. lim'JttitS !x>,rry sutyta:Iatl to vphiCls lrnt6c or oth GglditiUns wli ch ara nrr Agrrnitlrxl by [he mslahal nn i;,sT,-uplionS: teA,re :ir mdlMAal the nr rr rnUm gfound covers sat `Pith in the'matallalion IngtruU pna; Iha i;ia(a'Inonf, p! improper motorists inW the S/'Stem Ua'davting llln lJnds; Idllure of 1ne Units or the seplrc syslrxn Uua to improper siting or iny,mper siririq, aacessn+a waasr usage, improper gnfase disposal, or enproper yy9ration; a ~1nY Other averli nCt Caused try Ih4lrrsSOr. This Limited Warranty Sh:dl Ue vrJ it the HpliWr tails tC comply witn au of tfre tarI11S Sal forth fn this Llnulratf Warant}. P„ihr~r, in rlo aasnt she9lnfillrelcr Ue respcnsihb fur any loss or Uamage to rho Flddar, p)a Unrta, or any Ibild party retsuMinp from inslaNainrt cr ship- ment, or from any product I•abiWy ck7inrs Of Holder W any third party. For this Limited Wanaot}' to appy, (ne llnils must b9 in51eIIBd in d..corrlawo wdh all sde oondiie;ns raq:,ired by slate and loco; codes; ati other appfwule taws. anC Inti'!re;!F's mstaHatim inSUUClk,ns. Idl No representath~ 01 0.)511ra1a has tho atdhurlly ki chanye nr extend this Gnaaa WaWranly No wavNlty app'~las to arN pady other Than Ina a,rji- r,al HCrder Tho ahcve repie ants the 5landarrl Limited Warranty uflored br Infiltrator A ' nsal number ,t states anu Col niras Iwvo oifleranl warrardy raquiry- u..ts. Arty port r or lrnns h quid contact alaarator's Corpu. ale Headquan5rs m Okl Saybrook UnrM]CrGUI, prklr to sUCh pun:hase, to dbla!n a CuM1V ni the appBCabla warranty, end shrwW carafu:y react ttrat wananty poor to the pun;hase rot Unps. .),S. Patents: 4.75R.r3fii ~ S.n1 7 oat ~ ~ v,F eua~ x mrr. n, ~. a -- -- • SYSTEMS I NC Envlronmerna! Orrslte Wastewater So-utions"' 6 Business Park Road • P.O. Box 76$ Old Saybrook, CT 06475 860-577-7000•FAX 860-577-7001 800-221-4436 .. _. _.._ .._.,~,,,,,, ,,,,,,,,, v,~.~,,W .. .n, o; o,aaa,tlgv Canadian Pafenls: 1,329,959; 2,Ci04,564 Other patents pentNny Infi'~iralor Equalizer and SideWlnder are registered lr.;der~,arks o' Inrl3tr for Sysferris IPA. iriFludtor is a registerErl Iradornark in Frar~;e. Infllfrator System Inc. Is a rPgi9tured f~ademark in Mex'co. Contalr, Contour Swivel Conne 9 on M, roLeuc.h',ng PolyTuft, SnapLcx:k, Chambel5pacer, PasiLcck, OuickCut, OuickPlay nFCrcLeavAVFA ,. r?r, !l, u..rd .zrn tra.-Inm~.vc n1 I.,}ilt.atr,r C.,..1.,.,.,. I,,.. ,p+. non, ,..,.r,.,. ,.~ ~ ..., ,_ _ n__ -, - .. . ~uick4 Standard Chamber .r PQWTS ~WNER'& MANUA~~. & NlANA(3EMENT PLAN OEStON PAt;AMt:TERS Numbfu of Bedrooms ~/ Q NA Number of Public Fac(}ity Units, ~] NA Estimated lbw (average? ~ }'Q r of da Deatgn flaw (peak), !Estimated x i . b! f' B l i G ai/dit Soil Applieatbn Rate ai/d Jft'i Standard InffuenttEffiuent Quality Monthly avera{gn" Fats, Oil & Grease IFOGD 530 mgll. Biochemical Oxygen nemand ti30Da1 5220 mglL p Nq Tatal Suspended Solids iTSS} Srt 60 rng/i. Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOi3"! 530 mg/L Total Suspended Salida iTSS} S30 mg/L q NA Fecal Coliform ;geometric mean} Si 0` efu1104rn1 Max}mum Effluent Patricia Size ~ in ells, DNA tither: Q NA vauss typisai far dorneatio wastewater and septic tank effiuartt. Pew ___~_ o, sy :Viii sPt=.cl~~AnoNis Sgptlo Tank Capacity Z d ai O NA Soptic Tank Manufacturer p Nq r t:ffluerst Filter Manufacturer ~ ,~ O NA Effluent. Filter Model d~ p NA Rump Tank Capac}ty Q° ei Q NA Pump Tank Manutacturer r~ , DNA ~ ~ Pump Manufacturer ~,e,~ ~~ p NA Pump Model ~ ~ Q NA pretreatment Unit l7 NA Q ~wldKiravel Fllter d peat Fllter G] Mechanical Aeration O Wetland O pisinfsction D Other: t?ispM'sal Csii(s) ~ NA Q Jn-Ground (gravity) Q !n•Oround lprasaurizsd) ®,At-Grade CJ Moamd Q ptip•Line Q Other: Ot1i~t ©NA Othsc ^ NA ~~: DNA MAIN ANCE SCFiEiDtfLE Service Ewnt 8e rviae Proquerloy inagect eanditiort of tankis! At !sect once every; ~ ear s ° iMaximurn 3 ysataf DNA Pump out contents of rankle! When cambinnd sigdge and' scum equals one-third {Y"! of tank volume O NA Inspect dispersal califs} At fe+sst anoe every: ~ ~~tsl plAaxbtwm 3 yeas} O NA Clean effluent filter At hest ance every; ~ montitte} earls} DNA inspect pump, pump controls & alarm At }east anco ovary: ..-- mo»ehi=} d aria! t7 NA Flush laterals and pressure test At least arwe every: ~--~ mon ls) © astral DNA Qther: At leapt once every: -- mortthls! O arts} ^ NA Other: ~ Na MAINTENANCE INSTRUCTIONS inspections of tanks and dispersal cells shall be made by an individual carrying one of the following {ieenses or certifications: Master Plumber; Master Plumber Restricted Sewer; f?0'ilVTS lr+cpector; POVVTS Msinta}nsr~ Septege Servicing Operator. Tank inapeatlons must include a visual inspectian of the tsnk(s} to identify any missing or braksn hsrdware, identffy any cracks or leaks, measure the vo{ume of cambMed sludge and scum and to cheek for any back up or paneling of effluent on the ground aurfac®. 1'he dispersal cart(s) shall be visually inspectod to ahpck the sffls~ent levels }n the observation pipes and to check for any ponding of effluent an the ground surface. The ponding of effluent an the grQUnd surface may Indicate a failing condition and requires the immediate notffication of the {ocai regulatory authority. When the combined accumulation of sludge and scum In any tank equals one-third lY,! ar more of the tsnk volume, the entire contents of the tank shah be removed by a Septags Servicing Operator and disposed of in accordance with chapter NR 113, Wiaoonain Admin}atrative Cade. Ai! other services, including but not limited to the sorvloinp of pffluont filters, r:taehsnical or pressurized components, pretreatment units, and any servicing at intervals of s12 months, shall be perforitnad by a cortif'ied POWTS Maintainer. A service report shall be provided to the local regulatory aiuthority within 40 days of comptetbn of any service event. pegs _..~'~ START UP AND OPERATION ~- For now construction, prior to use of the POWTS cheek trsatrr-ent tankls- for the presence of painting products or otHer chemicals that may impede the treatment proceaa and/or dama®e tht~ d%tperpal oslllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prier to use. ~' Syatam start up shall not occur when soil canditio~s ere f~gxen et the infiltrative surface. i?uring power outages pump tanks may till above normal highwater lavela. When power is restored the excess wastewater will be discharged to the dispersal cell{sl ~ one large does, overlaeding the oalNs) and may result in the backup or surface discharge cf effluent. To avoid this situation have the contents 4f the pimp ;ank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumb®r or PQWTS (Maintainer to assist in manually operating the pump eont-ols to restore narmai levels within the pump tank. Oo not drive or park vehicles over tanks and dispersal calls. Dc not drive qr park over, or otherwise disturb or compact, the area within t 5 feet down slope of any mound or at-grade soil elasarption area. Reduction or elimination of the faNowing from the wastewater stream may improve the performance and prolong the life of the PQWTS: antibiotics; baby wipes; cigarette butts;, Gtindstma, cotrsrn swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain isump pump/ water, fruit and vegeiab(e peeling&; gasoline; grease; herbicides; meat scraps; rredications; oil; painting products; pesticides; sanitary napkins; tampons; and water softeher brine. ABANDONMENT When the POW'I'S fella and/or is permanently taken out of service the following steps shall be taken to insure that the system s properly and safety abandoned in compliance with chapter Comm 8.33, Wiaconain Administrative Code: ! Ail piping to tanks and pits shall be discontsected grid the abandoned pipe openings sealed. • The contents of afl tanks and pits shall be removed and .properly disposed of by a Septage Servicing Operator. • After pumping, ail tanks and pits shall be excavated and removed or their covers removed and the void space fitted with aoi1, gravel or anothe- inert solid material, CONTtNQENCY PLAN If the POWTS fans and cannot be repaired the tgllpwinp measures /save been, or-must be taken, to provide a code compliant replacement system: ~//a D A suitable replacement area has been evaluated end may ba utilized for the location of a replacement soil absorption system. The replacement area should be protected trorn disturbance and compaction and should not be infringed upon by reGuirsd setbacks from existing and propaseq e~ructure, tot lines and w®lis. Failure to protect the replacement area will result in the Head for a new soil and sits evsluetlon to eaiahlish a suitable replacement area. Replacement systems must eamply with the rules in effect at that time. Q A suitable replacement area is not available due to setback and/or soil limitations technatogy a holding tank may be inetailed as a lash resort tc replace the failed POWTS. a 6arr'tng advances in POWTS D Mound and at-grade sail absorption ayatems may be reconstructed in piece following removal of the biomat at th© infiltrative surface. Recanstructiana of such systems must comply with the rules in effect at that time, < <WARNINd> > SEPTIC, PUMP AND OTHER TREATMENT TAt~K$ iVIAY G4NTAtlY LETHAI (SASSES ANDIOR 1N&UFFtCIENT OXYt3EN. DO NOT ENTER A SEPTIC, PUMP OR OTl~IER TREATMENT TANK UND~Ii ANY CIRCUMSTANCES. OEATH MAY RESUtT. RESCUE OF A PER80N FROM THE INTERIOR OF A TANK MAY Sf~ dtFFtaU1.T OR tMta(1$$tBL.E. ADDITIONAL COMMteNTS P01fYT'$ INSTALLER POiiNTS MAKVTAlNER Name ~ 61r d( ~•-~ ~ C ~ Phone ? ~.~ _ ~,• _ .4'r. Name Phone S AGE SERVlCINti OPERATOR (PUMPER) LQCAL GfUTATORY AUTHORITY Name Natrro phone Phone tiffs document was drafted in compliance with chapter Comm 83.2~i21lbilt ptdlb#I and 83.54111, 121 & 13l, Wlsconain Adminisaative Code. ~36f1~, ` 035 ~~' ~.. 71~~~a,:_,b' FRC7M : 5CHlJT1A~R PLLiM51 NG =RX NQ. : ~'153E~~1~2 Jun. 14 205 1@:~23RM Pi '"1"1C" 1'AA7tr'ffi~1~C.E AC33RP,.t3t~N~" A~iD ~-'GVitiiEt~$ C~t'~tFi~-"~'JdN FOR1~ CtN+q~tJ$+uy~vt ~~ ~Tr'1L ~ ~~~ ~u~d 9~em t~ D~pu~uat ~ aeov ~t~l~h Parc~al ~dt~+dtlcmti~n ttha~bmr Oz°" _o~i _c~ar,G 2~-9) ~ ~ y~, Sv~J ~,, sic. ~ 9 r~.R) 9 ~ r~ o~ s ~ .. ~ . ~ .~ mad fiarv~ li-~a~ ~ '~ Vaivapue '- - ~ ~p p~ ~ ~Pec 13otu~ q y~ d na C.ot `wee idatti~;~~e~ yee d ao ~17~T61~l~.~~7:~ ~~ ~ +~ woe of ~r reptic a~us~a wutd=.+wit is its y~re~tuts Ait~ m ivpdie rveatot. Aroper ~ ~ ~e ~ a~Y ~t~de ylaayr a ruaael~ i! s,d' by ~ lammed 11C~ Wl>!tt ~ putt ipto Q~e H~ dak ~ ~ ~t ~„~~ in ~e ante dltipnal ~ 1'he ptup~cty arwter y~rerr ro awb~ic ~, St. ~oix Qapt ~ orthm Comm, :isnad byr thr cMrna aad b s t~It8c1K~lq~ 9 i~ ~ ~ ~rr~r6etea~mbbr as a t~rrettadpse~ Mea~-i~ drat ~l) dN ou.elps wrM~sMrdlapaaa~+y~ae-.a °P'~'l~4[ ~COdtdA1L ~~OR (i~ a1tlt 1S/ fdptiat a+1ll ~ (~ RbdllW~aw'Y3~ ~w ~ptt~ N1q~G ~/ lily ~1i 1~3 1~tlf cf s1Yd~e. ~A ~ 1~ te~tf !ht ~bov~ ts~ti~puti ~ ~ to [ia fht privets ~ ~ with ttiie :tsttdl~+da .we long, letdn, w w~ ay ~ nq>i occoroe wd ~ Drpettmeot ~'x~11l~o~tcer, due or'~4=. c~af~otio~ ~ ~ ~;~ ~ >~~a ~ ~ camolat~ta~l~tod~e st +~cax~y ~ , 3a ~ ai dti tl~t ye+~r ex~rrdai dire. ~ 111~>PLtC ~ '~ US... y DAT$ ~iLj ~ ~~~ ~~ ~ ~ ~t~i0ets oft 1~lI ft'11T~ qtr wile tr1 tbE bbtt u~' qty f{~~ k~a~rier~, ~ ~1NG) tJit ~~l'e) (~ C-11-nOl(1) of ~' P d+or~t{bed tbova, ~tiy of t witty dced rrr~dod is Refit ot° De~d~ Ol~ioe. bA"~'J~ "•••• ~a~+ irufems~oa thrR ie ~~ spry ri~ill is i~ I~Oi~i}r ~tmi3 bds~ r+evblGOd ~ t111 Tpp~ ~~t. «"~~'~~ •• Y~qd~ 1Y11h this :pplfetttee;~ ~ ~ ~~' dad from tbw of [ dd~Ce R'aM'Y ~' ~ a~tii~ed ruswsY ~p it're ~ ~, ~ ~ b- claed ~1....~ LO.rc~ .~.s ~. m t1~c, ~ c~ 1? ~ n ~ A~ i ss ~/4 a~ r~s s~-~/s, puRr o~ ~~ r$S S I ! ~~ SILL IX Sl CrION A~ISC01VS1 ,~,~ „~ ~,~,, nr~,~.w `., ~ ~ .~~ ~? ~ ~~~s D L~AND6 ~,,~T ~~ uws 3 '~ .--- ~, _ .. LOT 10 s.~s ~~ow~s ~s.s~• so..-r. ~.~ ~ LOrT • 4.i.0. • ~10.~0 ,! ' ~ 1 t~ _ . ~_ '• . ~ _ _.~.. .. ~ sir ~ ... ~ ~~ 'T': LANs ~ . , ~ , ~ ~ ~, . ~~ ~._ .a .~ ~ ~ ~ ~ -; ~ ~ ,. .~ ~ ~ ~. .~ ~ . ~ • ~ ~k.oM ~. 10 ~ ~ ~ ~ . A, t i~ R. r!' oMr~wt ~, ~ . ~t ` LoT ~s ~ ~ .~ • ,/ ~•. '. ~ . :.oo~ . ~ ~ ~.. . ~ ~~ ~ ~ .,, . ~`` ."" ., ~ /"" u.a • h ~.~o ~! ~, ~ S ~, - i i ~~ !~4 i? i$ U 2'i87P 113 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number f WARRANTY DEED This Deed, made between Willis D. Savad~e. Grantor, and Grand Procerties. LP Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in r ix County, State of Wisconsin (if more space is needed, please attach addendum): See Attached Exhibit "A". Recording Area ""~ 75937 KATHLEEN H. KALSH REGISTER OF DEEDS 5T. CROIX CO. , MI RECEIVED FOR RECORD 01/07/2004 11:15Al1 MARRAFITY DEED EXEMPT M REC FEE: 13.00 TRANS FEE: 3240.00 COPY FEE: CC FEE: PAGES: 2 _ I Name and Return Address I ~~~~-I ! ~9c~ ~'2l?-IOS8-80-000 ozo-los9-oo-000. oaaios9-is-ooo. ozo-loss-9o-o00, Parcel Ide ~S ~~ber (PIN) This homestead property (is) (is rat) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this _~ day of ~ Gz!_ . * -_- -- _ _ ` * Willis D. Savadg - - ---- AUTHENTICATION t ~ ACKNOWLEDGMENT Signature(s) _- STATE OF `~'V _ ) -~~ ~/(d. County ) authenticated this _ day of _ Personally came before me this day of -_-- - --- -- ~ ~ the above named * ``ttttntuut~r~~Willis D. Savadge, - -- -- --- TITLE: MEMBER STATE BAR OF WISCONSIN ~~~` ~ • / 1 (If not, : ti . ~ • ~ ~j td ~ ~~nown to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) _~; .~ -~ ~rtstt~ent and acknowledged a same. 0 . ~4i `~ - THIS INSTRUMENT WAS DRAFTED B~ ~• ~ <'/~ Attorney Kristine Ogland % `3f ' * - __ Hudson, WI 54016 '~q, • S!N • ~~ tary Public, State of /,SC /~J ~ ~ ~ ~ ~,` My Corttmission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ~Q.I~ , ~ 9 G% •) ~3 'Names of persons signing in arty capacity must be typed or printed below their signature. Information Professionals Co., FoM du t.ac, WI SPATE BAR OF WISCONSIN 801M55-2021 WARRANTY DEED FORM No. 2 - 1999 ~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 distance of 493.73 feet to the NE corner of saidyCer'tified 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 '/z 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. io ~. o ~ N W pLL W c Xo V X ~ oZ 11 Y >- ~ ~ z . o ~ a ~~, ~ ~ ~ ' j I Pf~Gsl^.1~3G~n14 G3MG'1 f~((IG3~34 G1DDD X4000 b I I somtenrES¢n.lo ~zOrr~oe a®=ulc~3 ~ ~°29' 1318.71' ~. ~ ~~`~ ~ 1 i ~ ~ ~ .3 ,. y~ ~ ,rll ~ ® 0 `~~ h ~~ ~ ~`.~ J / ~ ~ seat 1 f , ~, a.~ p J,O ~ ~ C ,f~ . ~ ®e !! ® N^c, l ly /.e $ 0 ®N ' ~ f ; a„• ~ ~ ~ 1 r I `. d k j O. ~ ~ I. 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CROlX COUNTY, IISCONSr ,o.rv,axsr L 7A71i urawwr m• ~~ v a~[r I •. 19L2 w"s. UNPLA77ED iANDf ~ ~~~'!? Iar• ~ wr+[Inr 1/e [at j PC.197S [ as rrrralnr Iswa.«•N [ ~ ~ mar ~ ms `c war ~ LOT 1f LOT 11 LOT 1~ ~ ~, ~ Y ~' per, n u rr~ q n, ~ ~aaw ~ • .'~ LO'T f wr [J.O. • MIaO * aria aa~ oars w R. 7a1v v 7aa 1> ~ 4 ................... ................ . La.p . aorr _ Y., yy n~ir ~,~~~ ~wa.a..••'.•s ., ---IIOOlIITf LANI--~ ~ •. ~ ~ r.,. •'C~' ? ~ ~ + rur l [ [.... i~ ~ ~ Ls7 P .; LOT 1a ~ 'i •' v ~/ LJ.O. • Nlaa ' v KN I ~ ~ lr.•rr 1 / wa.ar ~•\ .pdMK RR. .~ Warr .~ rwrnn.. ~ / ~ all ~~ \t .~'• ~ ~ >a u.o. • MIN: ~~, w/ arAA ~'~. 1 [ n..r s` i 76ia~a y "~ ,~ ~ 7MMr7. \ \\~\...._.. 'raovsarr '~•~, t_~ [ wa• ~ ,a_Iy •, I awr c a. . d . ar ~, , ar tr ~ I ~ k ar~i/arw i r~ir - - - r7x~ w r p ~wr. LOT 17 ' ' .. I ~~ ~~ r1aNN~r. '~ ~. I m~ ~ K , arrl C~ ;~ i rs ~~ LOT i~ ~ ,r.Ir« ~ sar r0.1a7A911~ / +au ~ a.n.~> maa ro. 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