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020-1450-16-000
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 Grand Pro erties L.P. Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: ~~~ ,~y~ ~ / i 1 / (1~J~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic cyQ~,~ l Z ~~ F~ ~ ~-'r~.eQ~ 1~-- l Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7 ZS ~ J ~ /) _ / ~ / / _ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model er TDH Lift Friction Loss System Head TDH ~Ft Forcemain Dia. o Well SCfll ~RS(~RPTInN SYSTEM county: St. Croix Sanitary Permit No: 487918 0 State Plan ID No: Parcel Tax No: 020-1450-16-000 Section/Town/Range/Map No: 22.29.19.2886 ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~~(( Alt. BM /' ~ l..o J Z . S / 15 / J Bldg. Sewer 5 ~ 5 9 ~ S St/Ht Inlet ~o 9 St/Ht Outlet ~~~ ~7~ Dt Inlet Dt Bottom ~ ~ Header/Man. ~,. 35 ~JS , ~ S Dist. Pipe 9~~ /a.yZ ~'y5~ 15 q . 9g' Bot. System 1,..) Final Grade // q b.1 9.7 ~ CJ St Cover ~`~~ .Z . S ~D~, c} -j- ib~3 ~~{~ z !Ir 5 5Z,°t /.. /w.i /~1! ~Jri^s~2, e.~ Ln~.]~.~_ ~~ rowl.~. f/(!/~ 1/ 9/D o ~O BED/TRENCH Width / Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. liquid Depth DIMENSIONS 3 Og '~'" I L (( z ~fC ~GJ~ ~ _1 ~ \ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ~ ~ rl `~ INFORMATION CHAMBER OR ~ ~ ~ e~, ~ TYp~ / ,/ ~ T 9q / _ f , ) /1- ~1J /~ ~ (/~ r"T" UNIT Model Number i c/ U ~ T (~ OrA.~ Ok I'11CTRIRIITI[1N S;YCTFM ~_ ,~_ z~3 ,~ia~tfavv-_ ZZ ~-oyJ Header/Manifold Length g ./ i/ Dia T Distribution Pipe(s) \ Length /v` Cia \ Spacing \ x Hole Size ` x Hole Spacing \ Vent to~~/rr Intake 3~~" ¢ w IO C/111 ~`P1\/FR .. e~-........-., c....a....... n..~.. .... ~e.,.~...i n. a*-Gr~rla Rvstams t7nly Depth Over r r Depth Over xx Depth of xx Seeded/So ed xx Mulched Bed/Trench Center3 ~ ,(,. ~. ~ BedlTrench Edges ~ Topsoil \ ,' Yes [_~ No `'~ Yes ° 1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /. Location: 641 Roberts Lane Hudson, WI 54016 (NE 1/4 SW 1/4 22 T29N R19W) Hudson Es~tat`es Lot 16 1.) Alt BM Description = ~'~' ~~ C°~~'"~' ~ ~°~~t~ ~ ~~'''~"~' ~'~~ 2.) Bldg sewer length = r'cf -amount of cover = ~ / ~'~°°"` s°rF"`~- `"}-' Plan revision Required? ' ',J Yes I 1 No ' ~i ~ 65 Use other side for additional information. _. ___ _ _-___ - ____ ____ - -- _ Date Insepctor's Si nature SBD~710 (R.3/97) Inspection #2: / / Parcel No: 22.29.19.2886 ~. ~.~.. 9 i o. t~ l ~ O r ~'ea-;~ yw E q a g • t:>~ ~Dc~:,~, - - -- -- -__~ ~.c~,.- -- Cert. No. Safety an County is~o i 201 W. Washi tan ~~ ' ~ S~Cya r` X JVI n Madiso 7 = 7162 ns Department of Cor>~merce ( 8) 26b 3151 _ ~' ) "G.; Sartitary Petmit Number (to be filled in by Co,) t{S7 ~ ~ $ Sanitary Permit Applie 1 state Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Cade, personal infor ti u ~ ~ N may be used for d secon ary purposes Privacy LBw, sl .04(1 Project Address (if different than mailing address) 11. Application Information -Please Print A!I Information Property wner's Na me ~ ~ Parcel N Lot tV Block y 1'- ~~, e s ,~. ~ P ' E3 11 roperty Owner s M ailing Address Property Location ~~"Z B lJ ~ S ~ j sue) City State - Section a -2 '.4 ~ 'k. , t Zip Coda Phone Number . --.- -~ ~ ~ ~ ~~~ ~ ~ ~~'G- a29~5'" p (circle ~ ~ ~ II. Type of Building (check all that apply} ~ ao (' ! N; R/ E o~ T ~~ ~ o ~1 or 2 Fatnii Dwelli N b Subdivision Name CS'vl Number y ng - um er of Bedrooms --~----`-~ m ~ • ~~- h Public/Commercial -Describe Use ~,~ y~ ~ ~,~6 ~/ ~S _ _ -i` _ ~ I L State Owned -Describe Use Z `~^ [~t~S G~J ZZ z3 Gh~~S C(..ity_^Village~ownship of v~ ~ ~ III. Type of Permit: (Check only one box on line A. Cotnplete 11ne $ if applicable) (o 2520 - I ~ 60b • Z ~ A' New System ~---- ^ Replacement System ^ Treatment/Holding Tank Replacement Only _ ^ Other Modification to Existing System B• ^ Permit Renewal Permit Revision ^ Change of ^ Permit Transftr to New List Previous Permit Number and Date Issued I Before Expiration Plumber Owner ` ~~ 7 ! ~ O I pe of POWTS System: (Check all that ap ~ _ " _ ply} ~ _ _ _ _ '"~ on -Pressurized [n-Ground ^ Maund > 24 in. of suitable soil i~ Mound < 24 in. of suitable soil ^ At-Grads ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized Fn-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ':^ Reci l S i h i di F rcu ng at ynt c. Me et a ilter eaching Chamber ^ Drip Line_^ Gravel-less Pipe ^ Other (explain) ~.~1~ V D s allT A / / t ers reatment rea Information: _ ~ _ _ Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Pro sed (sfl System Elevation I VI. Tank Info Capacity in Total Number Manufacturer ~ Profab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass Ncv+ Existing Tanks Tanks ~ ~ ~ Zq, ~ r (, ~ i Septic or Hokding Tank ~~.~ ~ 1 ~ ~ ~' ~ Aerobic Trea~ment Unit I Uosing Chamber - ~ - }- VIL Responsibility Statement- I, the uaderslgned, asstune responsibility for ' lion of the PO_WTS shown on the attached plans. _ j l Plumber's Na me (Print; Plumber's Si gnature .PRS Nurnber Business Phone Number Plumbe ' Add S r s re ss ( treet. City, State, Zip©Code) / ~ ,~ ~ ~ ~ / II ~ VIII. Count /De artment Use On1 __ ~ Approved ^ D' ap a Sattitary Permit Fee (includes C,rour~dwater Date Issued Issuing ent Sig (No S • ps) Surcharge Fee) ~} ^ ~ en Reason for Denial I.~ ~ • ~ ~Z~7/~rj~ u.. ~,omm~ons or ApprovauxeasotLS far llisapproval SYSTEM OWNER: t. septic tank, effk,ertt INter and dhpersal cNl must all be services / makttsined ss per management plan provided by plumber. 2 Ali selbeck requirements must be maintained ~ par bie code / ardirtartces. lr 3) ~o P~~ ~~ s~~ ~ ~ ri~wv~f.cce i ( n• a., nom. . 5 GoC~. ~ 5 ~ rn o~C' S Z~I.25 ~ . ~l~ ,, Attach complete plaas (to the County only) for the sys"te~ oa paper aot less than 8112 x I1}nches in SBD-6398 (R. O1~'03) ~~ S`'~1~`r ~° ~'a~.d~, t /Ylar/ldz.w~r,~, ~~ree" ¢z, ner.J /tfo~- a~,~-~- tu. •w~ v4 ~~ qa , (ab e s/'7`• i ~~ r~~ ~.~1;c~~ ,Den y~ s~'ll/a4 /, \\V c V a~ ~~ ~~~;~~' ti ~'`~` 4. r.~iJ ~.h ~~ ~,.r ~`~ ~4` C -e• G, , T ~~ ~~ s 0 fas~~e~~c ~,' y'/y 2a ~~ `G ~7~~0 Oepartrnent of Commerce ONaion ofSefetyend Bu ~ .d~.~..•-~.. ~'~'~~, Attach complete sfte pl on paper not less than 81/2 x include, but not Nrrdted : verftc~~nd 1{~~ ~feven Percent slope, scale or Imensions, narthamovd~; fdnid loc P~~~~t~~~~A'~"a Pfarsoml Intomiatlon providta may Da u~d ta,.~„y ~ i .~.. SOIL EVALUATION REPORT ~. Code point (BM), direction and Paroel I.D. t road. OA. Reviewed (PriveaY ~. s. 15.0 (1) (mp. .S Properly l.ocat Gate !Z Property Owner's Mail(ng Address S U ~ ~' ~ ~~ 1!4 ~1/4 S ~~ T .j~y N R ~ E (o~i Lot # Block # Subd Name or CSM# State Zp Code Phone Nu~mQbe/r ^ Cfly ^ village ~ Town Nearest Road •+G~7 S'C ~~ ~ ~ ~ BOG .C~ ~7 ~ 4r ~SG ~ ~' ~~~- Use: '(~$ Residential / Number of bedrooms -~ Code derived design flow rate _ y~/~ o O GPD ^ Replacement ^ Pubflc or commercial -Describe: ___ Parent material c /5 (,~ Flood Plain elevation if appligble _.___~/ i / ~_-.__., fc General comments s'ys-f ~,~ -~ /C v ~ ,(~ efld reGOnlmendationS: / ~ ~ ~ P 1 /O W ~. f c~ c~ ~~ # ^ Boring / ® Pit Ground surface elev. ~° ~ ft. Depth to limiting factor ~ in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bound in. Mansell pu. Sz. Cont. Color Gr. Sz Sh. Z - ~ r - '- t/ ~- S 3 ~ -pis ~ ~ _ ~ Yj-l / - c~ ~~ # ^ Boring ® 3. g ~S / Pit Ground surface elev. , 30 tt. pept-i to limiting factor / Z-1 " in, Horizon Depth in. Dominant Munsefl Redox Description Du. Sz Cont. Color Texture Structure Gr. Sz Sh. Consistence Bound. I Z ~-fir ~i-39' 3`~-rLl o 3/3 jG ~-~y /v , ~ - -- - S ~ ~~ 5 ~, - / y.yrSL/c SSG ~~ ~ r < C ~ - `~ 11~ ro ~ Effluent #1 = BODs > 30 < 220 mglL and TSS >30 < 150 (Please Pmt) _ ~~, Page ~ of 3 Roots GPD/fP - •Etf#1 •Eff#2 ,~ - - ~ l~ Roots GPOVfF •Eff#1 •EfliIR2 ss . ~ ~y - ~~~~ Effluent #2 : BQD< < 30 rt>gIL and TSS < 30 mg cST Number - Z~S 3 - ~y~f I/-3o ~~- 7is:~o-oz~ Property t~wrrer ~ n sU n ^ ~-~ 3. g -xj~ /! Page _~ of ~_ ~ I ~ # ~d it. I / i ~ Pit Ground surtace elev. to lirt~tin factor J/ U m. D~ 9 Soil ication Rate Horimn Depth Dominant Redox Description Texture Stnrcture Consistence Boundary Roots GPD/li? •Eff#'1 •Efl#2 in. MunseU Qu. Sz. Cont. Color Gr. Sz. Sh. ~i . Co ~g ~ U Boring - ^ Pit Ground surface elev. R Depth to limiting factor ~• Soil iption Rate Horizon Depth Dominant Color Redox Oescfiption Texture SUuchue Consistence Boundary Roots •E~GPD •Eff#2 in. Mansell Qu. Sz Cont. Color Gr. Sz. Sh. Q Boring # U Boring Ground surface elev. ft. Depth to limiting factor in• ^ Pit Soil Rate t T Structure Consistence Boundary Roots GP Dlft' Horizon Depth in. Dominant Cobr Mansell Redox Desrription. Qu. Sz. Cont. Cdor ure ex Gr. Sz. Sh. •E~ E~ • EfikreM 1f1 = BOD, > 30 _220 mglL and TSS >30 <_ 150 mglL • Effluent #2 = BOD, _< 30 mgll and TSS ` 30 rnglL The Department of Commerce is an equal opportunity service provider and employer. If yon need assistance to access services or need material in an alternate format, please contact the department at 60&266-3151 or TTY 608-264-8777. aaws3oncsioo> y owner s~Y ` n ..5cy n Pacoel.iD ~ }(~, ~Sor. ~= s~~ ~- Page .~,_ of Bonng Pit Ground surface elev..~.~_ tt.. '~ Depth to limiting factor /~ in• Soil ication Rate da B Roots GPDIIt? Horizon f Depth M. o-~ Dominant MunseA / r3/C Redox Description Qu: Sz. Cont. Cdor Texture S~" Stnucture Gr. Sz. Sh. Consistence ,r oun ry C S v'-~ •E~ , E~ /~ is = i~ .~~ e ~ ( v"t-fir- c c~ ~. ^ Pit Ground surface elev. R Depth to limiting factor i^• Soil iption Rate t T StruGure Consistence Boundary Roots GPD Horizon Depth in. Dominant Color Mansell Redox Description Qu. Sz. Cont. Cdor ex ure Gr. Sz. Sh. •E~ ~~ Q ~~ ~ ^ Bonng Ground surface elev. ft. Depth to gmiting factor in. ^ Pit - Soil ~ Rate xt e T Structure Consistence Boundary Roots GP D/f!t Horizon Depth in. Dominant Munsed Redox Description. Qu. Sz. Cont. Cdor ur e Gr. Sz Sh. •EffK1 •EfF#2 Effluent !f1 = BODE > 30 < 7Z0 mglL and TSS >30 _ 150 mglL • Effluent tY2 =BODE _< 30 mglL and TSS S 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 as alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. »wsrot~t PAGE ~OF~ NAME ~C~In n SO `~ LOT# LEGAL DESCRIPTION '/a ~/a,S T ,N,R E(OR)W t SCALE: 1" _ ~(~ BM 1 ELEVATION ,bU' 6 BM 1 DESCRIPTION -{~~ ~i ~~,;,~~~„~~j ~~~~ BM 2 ELEVATION --~ BM 2 DESCRIPTION SYSTEM ELEVATION N ~ S~ `'Y~\ L'-~~-~. 3 ~~~ ~jL~~ ~c~ SYSTEM TYPE l C~ ~ J ~'Z-Il~~'L~z; ~~t,~ U ~~ C~ W ~ q F ~ S ~ do4 ~ C~o~o(~lo oa ~ r l/1 ~3 rJ'' ; Gx ~ W $ ~ 0 bOO 60 9 9 PC~3o ~a~_ ~_ Ys a, o ~ ~ (/~ 0.ai ~ n' i U zeaa.oe ~ ~ Soo°za~ore i 8' ~ Z ~ W. 178.2 ~ !- o~~~ ~ ~ ~ ~~ '~ ~ ZZ 17 ~~W'~ G j N a ~pF $ a~ ~ ~ LL ~ ~ ~~B ~ ~ u_ .Z~{{N ~pViNS O W ~~ FUG ~ ~ %~ 8 I Q t ~ • ~ + ~` C N m ( < ~ ~ ~ ~ h 0~ y p J ~ q Q ¢ 'ky _ 61 Li' ~ W j ` C $ y - i i~ F Q 'Zf ~ [~ N tf ~ ~ ~ ~ ~ 1 ~J V` ~y a ~ N O~~O '. / ~ ~1 F ~ ~ ` N aO J ~ ~ C I bI O I g ppm Y i ~ i ~ ~ o ~ ~~ $' ~ I I °. ` viR ~ of ~ ~ ~~ $ l ~'/^~ rVl ~ T~ ,~, Ri ~ ~ I ~ I ^ sas.es ~ Y~ S80'z2'eae o YES o 1 ~ F V dl ~ I p I F ~~ o q LL ~j ~+ `^~R 9i m ~ ~~ ~ s O ~~~ .p ~ ~ w r.. s E SS z A ~~ ~ ..1 g ~ ~ z °'~ ~~ ~ ~ a ~ CVH ~ Y ¢¢¢ Np '~ \ S i u T \~ V ~ 2 1^: ~ y ~ ~ .. ~. 1i '1 ~~ P. a F Q' ~ ~ m ~ Zg s2° ~' pM1. / ~ by A O q / \ H E' V a f~"1 ~~ p ¢ N 'b\ •C' v+fy ty ~o ~ Q r O W p sb,. ~"' < p N M n ti~~ N , p ~ O Tq 0 p m N O. i b' d 9 ~ N ~ 4 O) w 208.8V W ~J O ai NORTH-SOUTH 1/4 LI I ~ . l ~ ° ~~ ~~~ N f ~ 3 m3 F 8 ~rj7 j, ~ ? ~' i° Y'~u .7 P~ ~~~~ ~!~D TO THE i~ifG» x v^~ ~ ~ ' ss '29'OTW ~Y x~~ ~~ 77SSSS o $~iT A 2°2~~~~< •-- ----- __-- -.----. ____ sarety' ~~~ k3uildings~nlvlsiott 2U! W, W u[gton Ave., P.t7. Box 7162 ` t--------- > cowrty !_~_~~~y~~ ~ _ '~ i ~~~~' ~~~~ Madis W! 33707 -?t62 ~ Sanitary Permit Numbe~•(w be felted in by isa 1 , zss-slsl ( Department of Commerce ~~ g~~ / ' Sanitary Permit Appl` .'~io ~ ~~~~~~ ~ PttI1tLI) Number ' In accord with Comm 83,2!, (•t'is ,Adm. Code, personal infont ou __ ~ n+ay be used for s[xondan~ purposes Privacy Law, s15.~•1(1 ( Projec Address (tE dift~r:!nt i mailing :suttress) ~~. __ _ _ ___ __. _ ____~ ~ ~. a _ I. Application Information -1'Icase Print All Information Y:operty 0 's A'ame~~ ~_ ~~ ~N arcel Lot¢ ---- Block 8 ZONING OFFIC Property Owner's fling Address ~ Ptope ~ eaten i i~. ~ ~ ~~ ~~ ~/ 'h,~L_~_ ;'. Bettina ~~ Tiumber City, St Zip Cod I ~. .t lil[. ~ y - Sys:? i G ~ R`7 (circle o ) .r. ?~ N: R~Q~E or~ II.1'ype of Building (cheek a at apply) - „ ~~ " ~--~~ S pp~ ~1 or 2 Family D~vel frog - Num!+er o edrooms __~~ __ ~.f _ _ s~ _ CSM Nun+bor d ivision Nutnt Sub/ / ' !r-~SG.~ ~ PubliclCommercial --Describe Use - - 4 ._"_ _~ ~_ ~ ^ 5tata ()carted - Jes:ritx: E;x ._._..~__.._.. __ _ _ -- ~'Ciq~- 1Vi1[age~ewnsh:p ot~~~~ a A. Contpltte line B if appl' le) III. 'I•yPe of Permit: (Check unty one box on _.__- D"''ZO -~ SAD - Ib - oeo s Z A. ~ ~ (.New tiy;[2m lµi Replacrmeni System ~ ~ _~ "IreutnunVli:+tdu+g Tan fplace.nter+! Onty~ ~ Othrx M[tditiraoon ro F.xis[i»g System ~ ~ u M (~ r • age of r ~ Permit 'Ctansftr w New list Previous Permit Number and Bale Issue) I!. ,~ Permd Ranewai ! ~ . ermit Revision ' [3eforz 5xpiration ~ ~~ P{urn i Owner ~..„.~ IV, Tyne oi'PU_WTS System: LCheck all t4snt apply) _ _ _ ~,t~~~_.. ~ S- t~-~,5 ~ ~ tuna -Pressurized In-Ground ^ Mound _> 24 in of suitable soil _ round t 24 in nt'suitaGle soil L~ At-Grade ^ Sittglc Pass Sand Fittet C'onsuuc[ed Wetland U Presaurizeci In-4round ~ ti~+ldind 7' I/ P Fslter '-J Aerobic Treatment Unit ~ ueciwutatin8 Sand Fil[e+ C: Recirculettn~SynlheUC M~dta F+kt[x ~.ea,:htng Chamber Drip Lin.. L. rravet•less Pure L (ki[cr (explain) __, _ . _ X• Z~:' ~Z.<o _ V. Dis ersaUTreatment Area Inft:rnlation: _ _ Design Flow{gpdi 7esign Soii Application Ratt(gpdsl' Bispetsai Arta Re~ui (sil Dis~~tsol AtArea ?ropop. em blevau~~~ c -~ Capactry in fotai Number ~ Manufacture Prefab Site S:otl Fiher Plasti VI. Tank Info 1 Gslions Gana ~ of Units ' ~,'~~ ~,../~ {'onrresr Constructed i Glass New EixiHing ; '1'anl.s Tewlcs -----_.-..---_ ~ xep[ic or ft iwg Tank ( ,~ y, 1 ~ ^~ ._._T Aorobic T[esrmewt [tnir i bosin Cbamber ~ -~~ J ^ ~ j , ---1}---~----~ g j-- - ~ ~- ~(~C} i __ IG/t ~S'G L_~__..-...~. ~- - _ -_ - VII. RNs onsibility statement- i, a undersigned, assume responsibility for ins lation of the POW'TS 8tturr~ n the gtlrlclled plt-as. f Plumber's Name (Print} Plumber's Signature Pi PkS '.Yumbcr t3usintss Phone :VUmber lly~'lle'6 ~.<- .Sc~~ M r ~ G~~ x'27 d ~~... !.S'- 3 S'6 - 3l-~ 1. ' rPlurntrer s Address (S[reer, Ciry, [e, Zip L"odr) + ~ ' ~-1i1. Coun /De artme Use Qaly -- l Sanitary Pennit Fee li iudrs (it"uundwater Date Issued ~ Gisa roved oved A - : Signs ur {No Sumps Issuing ~ ppr ~ Surcharge Fee) ~~ ~~ ~ ~ L / .____ Lriver. Reason ar Duuel , _____ _ I:X. conditions pprov ~~ ~,,L,n 3 ~~ (~-- SYSTEM OWNER; - aJ~Qa.~ ~ ~~ 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained ~~ , as per management plan provided by plumber. 2. All setback requirements must be maintained as per aonlicahle r`nrialnr rnan~cc p4au (to the County on15'i fir the syet~[tw ur+ pwper cant leas tbitw 8112 x I1 incbet in size _ - SBD-6398 (K. G1/U:3} p~ ~7 - <~ s~ ~~'~ f -- yd C~r- ~~~=--~ ~--- ,~,~ ~a ~~~d col-~~~.~ /,~+, ~~-~ `:ti, c ~1~ ~ ~-- ~~ ~~ '~. `~,~ _"rT f~, y' PROPER' owNER: a rro ~ ~P 'SOIL AND SITE EVALUATION 120, Page ~ of ~ PARCEL LD.# 't'om 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 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 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 tom a 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 ly ~ lagged a eded. C ~ ~ 1 r c~~ S ~ ~fit-~ r / S i ~~ ~e~c.~,~A,e..o"~S ~ ~ ~-v~C~m-u.n~cQ ~'vl ~ ~ ~~ ~~ ~~S ~ ~~ k~.~ ; -~ cR.o.,.,~.(~rs ~~ ~~~ ~ t ~.u: < ,~~.Q~"'-~ ~,°.~^^~-I~-~-s ms`s ~Q ~~ ~~ __,_p ~~- `3~ . off, ~ S. ~`S ~5 ~ r ~~~ ~ ~p s~ ~S~-1`ES ~ ' ~' ~~ ,~ R~ i~a~5~ ` Wisconsin Department of Commerce ~ SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must County include, but not limited to: vertical arxi horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed By Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1205 page 1 of 4 Tan Schmitt St. Croix Date Grand Properties, LP Govt. Lot NE 1/4 SW 1/4 S 22 T 29 N R 19 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 16 Hudson Estates City State Zip Code Phone Number ~ City ~ Village ~ Town Nearest Road Somerset I WI i 54025 i 715-247-5900 Hudson i Roberts Lane Property Owner Property Location New Construction Use: ~/ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 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 systemwith a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is (high elevation) 93.70' (low elevation) 92.70' . Slope is 6%. / ~ ~ o e ~ ~ %. ac i e.: ~~ c Boring # ~ Boring 96+ ~/f Pit Ground Surface elev. 95.60 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz *Eff#1 *Eff#2 1 0-15 10yr3/3 none I 2fsbk mvfr as 1f .6 .8 2 8-15 10yr4/4 none sl 2fsbk mvfr gw 1f .6 1.0 3 15-24 10yr4l6 none sl 2fsbk mvfr gw 1f .6 1.0 4 24-34 10yr4/6 old 77_ sil 2msbk mvfr gw ---- .6 .8 5 34-74 10yr5/4 none grs Osg ml cw ------ .7 1.6 6 74-96 10yr5/6 none s Osg ml ---- ----- .7 1.6 ®Boring # .r~ Boring Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/flz *Eff#1 *Eff#2 1 0-12 10yr3/2 none I 2fsbk mvfr as 1f .6 .8 2 12-22 10yr3/4 none sil 2fsbk mvfr gw 1f .6 .8 3 22-36 10yr4~ none sl 2fsbk mvfr cw 1f .6 1.0 4 36-74 10yr5/4 none grs Osg ml cs ----- .7 1.6 5 74-96 10yr5/6 none s Osg ml --- --- .7 1.6 'Effluent #1 = BOD ~ 30 < 220 mglL and T55 >30 < 150 mg/L * Effluent #2 = BODS< 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: /" ,`_ CST Number Thomas J. Schmitt ~~-oy~-~.a~~ 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/13/04 715-247-2941 Property Qwner Grand Properties, LP Parcel ID # Page 2 of 4 Boring # ~ Boring Pit Ground Surface elev. 97.78 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 'Eff#2 1 0-9 10yr3/2 none I 2fsbk mfr as 1f .6 .8 2 9-18 10yr3/4 none sl 2msbk mvfr gw 1f .6 1.0 3 18-29 10yr4/4 none Is Osg ml gw 1f .7 1.6 4 29-96 10yr5/6 none s Osg ml --- -- .7 1.6 ~ 93~ ~~' Boring # Boring 1/ Pit Ground Surface elev. 96.10 ft. Depth to limiting factor 114+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 "Eff#2 1 0-12 10yr3l1 none sil Zfsbk mfr cs 1f .6 .8 2 12-28 10yr4/3 none sl 2msbk mfr gw 1f .6 1.0 3 28-33 7.5yr4/6 none Is 1csbk mvfr gw -- .7 1.6 4 33-81 10yr5/4 none cos Osg ml cs ---- .7 1.6 5 81-114 10yr5/6 none ms Osg ml -- --- .7 1.6 ^ 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 *Eff#2 'Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 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 in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. ~ .. PROPERTY OWNER: Grand Properties, LP PARCEL LD.# SOIL AND SITE EVALUAT{ON 1205 Page ~ of a REPORT MEMO Tom Schmitt Discontinuous silt inclusions were observed in B1 with redox e~ awes. 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 silt inclusion (silt ball} is encountered, the chambers that are installed in the silt should not be counted. More chambers should be 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. ~ ~ Page ~of ~/ i ' Conducted by: Conducted for: ~ Schmitt Soil & Site Evaluations Name: Grand Properties, LP Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1 S95 72nd St. City, State, Zip: Somerset, WI S402S New Richmond, WI 54017 Phone. 715.247.294 Subd. Name Hudson Estates 0 Lot No. ~~_ /YE 1/4, SG! 1/4, S: 22 , T 29 N, R 19 W Township of Hudson B loo ' z`L- a ~' ~ ~~ ,~r~~ ~ ternate BM El. ~'J /,~ ` ~ Q f' Q? " Pt/c- .o~ Gr'~ "3Cope = ~% Contour Line El. /y~ ~ ~1 ~ -- Scale: 1" = 40' -~ P Poi./ p~,;~cLy~ ~s~ Rey, ~~'~-~ - - - ~ ~~~ l ~ ~~ ~-- ~ ~.. /~a ~ ~~` ~ ~ ~ ~_- ~ ~~ ~ 5~~~ ~ / 6~/ i \ 3 9 a ~ _ 9G ~3rh 7` /~ ~ /~ B ,, ~ ~ ~~~ ~ V a?' ~ i +/ 37 as - __ _ __, g -_ _ - . _ req irement. It may or'may not be in a location that is This soil r was done to fulfill a Zonin u suitable for your use. No permanent lot markers were in place when the: test was conducted... r " ~ ~ ~ SOIL EVALUATION REPORT . ~ ' wscx?nsin Department of Comrr~rce Division of Safety and Buildings in accordance wkh Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must include, but rwt limited to: vertical and horaorrtal reference pant (BM), direction and percent slope, sc~e or dimemsions, north anorrr, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed By Personal inrormation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Properly Owner Property Location 1205 Page 1 of 3 Tom Schmitt St. Croix Date Grand Properties, LP Govt. Lot NE 1/4 SW 1/4 S 22 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 16 Hudson Estates City State Zip Code Phone Number J City ~Ilage !L~ Town Nearest Road Somerset ~ WI 54025 715-247-5900 Hudson Roberts Lane New Construction Use: Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ,~ Public or commercial -Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable fora onventional syste a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is (high elevatio .70' low elevation 2.70'. lope is 6%. Boring # ::~ Boring Ptt Ground Surface elev. 95.60 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIflz *EtT#1 'EtT#2 1 0-8 10yr3/3 none I 2fsbk mvfr as 1f .6 .8 2 8-15 10yr4/4 none sl 2fsbk mvfr gw 1f .6 1.0 3 15-24 10yr4/6 none sl 2fsbk mvfr gw 1f .6 1.0 4 24-34 10yr4/6 o2d,5'S ~2~8 sil 2msbk mvfr gw - .6 .8 5 34-74 10yr5/4 none grs Osg ml cw .7 1.6 6 74-96 10yr5/6 none s Osg ml -- ----_ .7 1.6 Boring # ~ Boring ~f Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz 'Eff#1 'Eff#2 1 0-12 10yr32 none I Zisbk mvfr as 1f .6 .8 2 12-22 10yr3/4 none sil 2fsbk mvfr gw 1f ,6 .8 3 22-36 10yr4/6 none sl 2fsbk mvfr cw 1f ,6 1.0 4 36-74 10yr5/4 none grs Osg ml cs ------ .7 1.6 5 74-96 10yr5/6 none s Osg ml - -- .7 1.6 ` EfflUem #1 = 800 ~ 30 < 2ZQ R-gfL and T55 >30 < 150 mg/L 'Effluent #2 = BODS< 30 mg/L and TSS < 30 mgfl CST Name (Please Print) Signature: -~~~ CST Number Thomas J. Schmitt ~~.~.s~ 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 Boring # ~ Boring !I'f Pit Ground Surface elev. 97.78 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-9 10yr3/2 none I 2fsbk mfr as 1f .6 .8 2 9-18 10yr3/4 none sl 2msbk mvfr gw 1f .6 1.0 3 18-29 10yr4/4 none Is Osg ml gw 1f .7 1.6 4 29-96 10yr5/6 none s Osg ml - --- .7 1.6 Boring # Boring 1/ Pit Ground Surface elev. 96.10 ft. Depth to limiting factor 114+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 `Eff#2 1 0-12 10yr3/1 none sil 2fsbk mfr cs 1f .6 .8 2 12-28 10yr4/3 none sl 2msbk mfr gw 1f .6 1.0 3 28-33 7.5yr4/6 none Is 1csbk mvfr gw ----- .7 1.6 4 33-81 10yr5/4 none cos Osg ml cs ----- .7 1.6 5 81-114 10yr5/6 none ms Osg ml - -- .7 1.6 ^ Boring # ~ Boring _j Pit Ground Surface env. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 3D < 22D 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 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. ..y , `~ . Conducted by: Schmitt Soil & Site Evaluations Thomas J. Schmitt, CST 227429 1595 72nd St. New Richmond, WI 54017 ~~ Fage 3 of 3 Conducted for: Name: Grand Properties, LP Address: 712 Rivazd St. Suite 100 City, State, Zip: Somerset, WI 54025 Phone: 715.247.294 Subd. Name Hudson Estates -" Lot No. ~~ /1IE 1/4, S~/ 1I4, 5: 22 , T 29 N, R 19 W Township o~ Hudson BM El. 100.00' ~a o ~ a?'° l~1/~ ° ~ Alternate BM El 47 /.? ° ~ a f ~ ~ " /~!/~- .o~ ~~` Slope = ~% Contour Line EL /Vii Scale: 1" = 40' << p~c,;nr-9~ ,t„Saf' ~ -~ /~ o' 37' a~~ ., c i_, a i P P°~i ~e ~ ~°o-c~ ,~-~~ l ~~ ~ ~~ ~ ~ ~ g ~~ ~ 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. , k W L V ~ S~"PTTC' '?'A:'r'K ~ PUMP CHA,MPElt CRQS~ `aFGTS(JN A+VD SFECIF'xC~`:TIO:r'S ~ "~'' . , t .. ~+" CI VENT PIPE 12" MIN. ABOVE GRADE ~ 25' FROM DC,OR, WINDOW OR FRE'5H AIR INTAKE FINISHED GRADE 4 " C I RISER --~-- 18" IN. ^fi" MAX. ~, WATER TIGHT SEALS T A er PR13VE0 ' I PE 3' ._.~.... ~~tTO Sf~L I D C ;~JIL PUMP OFF ELESI. FT. -~--- D WEATHERPROOF :TUNCTION BOX WITH CONDUIT :, ...~. ~~, ~ ~ .. 4, GAS- ~ ; 1' '~GHT ~ `, SEAL ~ ti i + 3" APPROVED BEDDING UNDER TANK APPROVED MANHGLE CavFR W / PADLOCK ~ WARNING LABEL 4" M"IN. ~~ ~ '~/APPROVEn JOINTS WITH A LM APPROVED PIPE QN SOLIDTSOIL OFF '~~ RISER EXIT PERMITTED O1JLY ?F TANK MANUFACTURER HAS APPROVAL CONCRETE PAD SPECIFICATI4N$ SEPTIC / DOSE TANK MANUFACTURER : ~ \~.~~-~,,, TANK S I2ES : SEPTIC 1 ~,~ ~? GAL. ..._._._ nasE $ db GAL. AirARM MANUFACTURER: L~,~.L~.._ MODEL NUMBER: ~1_V SWITCH TYPE: 'Me,t~~ PUMP MANUFACTURER : ~o c MODEL NUMBER: ~ O SWITCH TYPE: me~~, RE~L'IRED DI SCf~ARGE RATE y ~ GPM PILIMBER DOSES PER DAY: JOSE V aLU~i£ INC LUD_*NG F LawaAC x : 1 ~' 9 GAL . CAPACITIES: A = ~ INCHES = N~`GAL. 8 ~ ~ INCHES = ~a- GAL. C = ~ I NGI~ES = , ~$ GAL . D = ~ INCHES ~to GAL, PUMP ~ A',..ARM WIRING A5 PFR I LHk 1b.23 WAC `VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE lo~. FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET + ~~_ FEET FORCEMAIN X ~bOFTI1DQ F'T. FRIwT"TaN FACTOR ~~ FEET TOTAL AXNAMIC HEAD - -FEET INTERNAL I?IMENSTONS OF PUMP TANK: LENGTH .r WIDTH .,-~' I?IAMETER LIQUxD iS~"' ~3 ~ " ~ ~ G-,4L pee !" }IGIv"DD: ~l ~:~~~.. LICENSE NUMBER: ~..~ Qq '~ DATE: ____.______ 1/88 (~ GOULDS PUMPS Submersible Eff~uen# Pump 3Q~~ EP04 v EP05 APPLICATIONS Specfficaliy desrgrted for file following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering • Fully submerged fn high grade turbine pj~ for' lubrication and e~cfent heat transfer Available for au~rmatit; artd manual operatJprl, Atlt~-- metie models iettigde., Mechankai Float $tntt(itih assembled and pre:~e'~t the factorlr• ^ EPQ5 Impeller. Thermopias- dt arts{ospddesign for ittlpro~'i performance. Ca~nd Base: Lugged th4'mop stir design provides supilriar ~rength and corrosion r~1~1~1CQ. ~ Molar Iiausing: Cast iron fpr+~f)dent heat transfer, streitg't~, and durability. ~ M@tor Cover: Thermoplastic u+ivllK with lfitegral handle and 1'beit;wl#cft'attachmeM prints. t-awer C.4ble: Severe duty fated oN end water resistant, • Bearings: Upper and lower heavy ~ry bat! bearing construction. SPEC1PIfAT10NS • Solids handling capability: 314' maximum. • Capacities: up to b0 GPM. • Total heads: up to 3 t feet. • Discharge size: t'I:" NPT. • Mechanical seal: carbon- rotarylceramic-stationary, 81JNA-N elastomers. • Temperature: 104°F (40°C) continuous ! 40°F (60°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, {i0 Hz, t 550 RPM, built in overload with automatic reset. •EP05 Singgle phase: 4.5 HP, t l 5 V, (i0 ~1z, t 554 RPM, built in overload with automatic reset. • Power card: 10 foot standard length,l6/3 SJTQW with three prang grounding ping. t}ptionai 20 foot length, 16J3 SJTW with three prang grounding plug (standard on EP05). ~ 1000 G~utds Pampa 8H•ctiv February, 2000 83871 REATURE5 • EP04 Impeflel; ThennQplas- tlc Stmi-open der~lgn Wit}+ pump out vanes for me4hankal sea! protection. AGENCY LISTING ~_ " tirrri~ia Standards A1laoiition (CSA listed model numbers end In "F" or "C".) Gadds Pumps is ISO 9001 Registered. st~ ;. i L _i 0 U~ ILl ,2Q 30 d0 50 GPM a .~ ~ s_ ~ ._..~ - 0 ~ 4 6 8 10 1 L m~/h CAPACITY Goulds Pumps iTT' fndust:ries ~== uick4~ STANDARD CHAMBER 4uick4 Standard Chamber stoe view sECrnN vlE:w MultiPort End Cap FRONT VIEW Size(WxLxH) - 3A x52'xt2" , Effective Length X811 Invert Height g^ '~ _ __~ I ! r`~~ ~1 ~ C_..____' `_i.__ SLUE VIEW TOP VIEW Size (W XL ,t ri). " 34" x t8°'z 12^ Int+ert Height 8" or 1.25" ilVFILTRATOR Y TEMS,_,_INC• STANp~Rp LIM{1TFp WARRANTY !.-ti Thc .b:rclural u l tv n! each cnamtwr, end pWta, wedge and cliwr accsssV^y ma u4,chuexi by i IiN a ('UMW"{ wh6;t uts~,aY,od a Id (gz3reted In a ie ac.hliCltl of an nr fe ~.°.uptir, syMem 'zl acrcvtlanCa with Inllllra!ur's InalvCirons, 5 wmrantM to rt , er:glra; purc,'tasar 'i~iddw") 8rv7aiDEt defBpl'w6 nn,er his and ~wurflmansFtiU 1c. ma year trorn it>o Gate ;hat Pta septa Permit is iserhxJ Por the sq)lic system cwHanting rnC UnNa; pnTrutad, Ix)wEwrx, that i! a s6ptic Garni I rS n.~; rMluln3C! by apPFrabl6 law, the wana:Ry paried w^I{ Deyut upon the data ltr'ti ~nslalal'kxr of NW sP.Grk: ;yuem Wmnrertcea. Tn e Su Its warranty n,7 °d s, h - Itl:a- rt sl n~aly ktE3ira!or vrrin~ a' fts :~rpwale Flea!kt ) iCra in :JU Sdy!a00k, Onnrtaolr_tR withnt iiNeart 175f rfay I the ellrxyerJ defuCt- Inloi ~ L,r wdl o14)4ty mGlawrclenr UNL4 ror t1nRS dotcumhled by 4 tlFhaPx to oy co.ztrad by lhrs Otrliled Warranty Int,.trarc+s IraDility sler,Rrraiy CxGWd95 Ins roll of reritDval arkUor ms!al~al,on D{ !ha Units. luf I IJrJ'~ r FfJ YJARtsANTV gNCt REr~LUll251N SUHPARAGRARH (a{ nRF E:';IX.USiVE. 71~IF1? ANC NO 'v.}IrR WARRANTIES VViTH RESPEGr TC T.,L t NI rS, N(.LUUiNG NO m <PLrED WARRANTI~' GF MERCHANTAJIE TY OH FITN 5 <,I i A f'/<IiT1Cl111rFi HURPDSE. cl t : I ntaf 41~ v N shall cc au ~~I any Pan ,r Dr: chi. rtwr ,yslam s t m uiar'mbd Ly ~+, y /nfi olh6r titan U)hrbalVr. -thy unlite,J Warranty does w. xtc nd ?c. inc dcn ; , cunsrrlTUenlial apCra! or i Ir.Y~.t damayes. InigtruY r "hat not ha IiaDle tar p?ttagrcs er Iipu!dafed damages, orlnd n(a Ass n! Prcxiuction and proihs, learn' and malelir-_ia Dvart,ran c~ ~ats. a other asses or expynses incurrert by Jte Hader Dr any Uud party. Spc+ci'naFly er.. lud6d front L m ta,J lr'arraniy coverage am damage [o ;ha L'~r,its due to ord;r*ary weal and roar, altsr Mort, aIX:idenl, misuse, abuse pr nrtyleCt of the ,;nds. the UI da tw rg,abiected to ventcle traHlD or other co'td'uibns wn Ch are not FArmilled by the Rufalialirxt ktstruetions: fai4xa la rnaLltaln the mir rm n q,;ond cave a :}nl !Unh .n the installation ~nNructions; the Placbm[x)t of impn,pp ~ maenals into the b)slem cctnlainiryT !ho Units; failure of the Un Ic a the wr i6 cystant d ro t.. imlxcT}6r sons; or improper :Jz4tg, azce..c~~s water says. im;Xopar grease dispose,, or imorooer operation; or ;:ny other were not rsused by InlNrator, This Umited WanarNy snap be void it tr>e Hraklcv'ails to r;ompy wish aN of Il)e terms sat lonb ir, this UmRed '.NanunRt F~rR ie,, in r ~ avant sheA InhTealor bV raspctsiWa Ior any ass or damage to Ina Holaer, the Units, w any rtwd Ga:'y rebutting from irsta,la[irm or ship ,r., t ar from ay nmd .t '~~aDlfsv claims of Haaer or 2ny third parry. Foy lhly ,_;;ttilact Wananiv to apPh', the Jrtits mu51 be insta7an; in ~ccrdanrn with U 4,t6 CU-rd xv aqui,eii DY s1etE and focal ;;Vii65; dR VUgr aGlNh;able IaY/s, antl inlltlml(n :S yt5laltiAtlpn !nlnx:linns. ~J(No ropmsyntaLLt', of h`iiiP uw has IhC authUr41Y lu cnartgB or fzlerhJ Ibis LmilW V)'anani`r Nr, wnnanly apfJ~s Ic any parry utY,er rtwn ffre wlgi- nei hWklal. r~,f at\VU rEPfElSan{G IhE .lrlnitard L,rnll(:Y1 War~artiy UR6rtRl CY InfitlratOr• A Iimi1,~U '1nmhPr nl $IatC; ,'nl~i CFI~nINf~ 14'!ve Jlllbmnl Wanryl lty rQ({IIIrH- meeto A;ty Purcttasnr o' t~'.^,ils yteuld c, ntad tnlittrator's Ccrpomle HDad<JUansrs in Old SayWcui;, (:onrt6cliwt, priV: t0 suUt prtchase., tit obtain a r.py o(!he appliVabS} warranty, and stvidd earefuly read that warranty pricy ,u the parchasi~ of Jnils. r ~ ~ ~ SYSTEMS i IBC Envlronmenta! Onsite wastewater So(utlons"` 6 Etusirless r ark Road • P.O. E3ox 768 Old Saybraok, CT 06475 $60.577-70(?0 • FAX 860-577-7001 800-221-4436 J.S Patenis:4,75)6b1; 5,017,041; 5.156.488: 5,338,017, 5.401ai8; S,4G',450; 5,`v1 I ~(A3; 5,7161Fi3; 5,5E18,778; 5,Q39,844 Caradan Patents t 3 9,959, 2004,571 Other patents pandinrJ r'fAtra or, Equalizer ar U SIdeJV rider are registered tradernarks o' Inhllretor ;ystertrs Inc. Inflirutor r~ a leg'sEered lrad:3marrc in Rance. tnfltrator Systems Inc. :ear. oidlerad trademark in Ivlox~co. Gar'tlour, Contour Sw;vei ConnecUvn, Mir„nLuttehirvd, PcIyTuP SrrapL.ook, CFamG6rSpacer, ?osiLerr<, C.tr}gkCuL CkrickFlay RECVCCEb IAYfx .,, ,,.. ~ ..... a ..... .........,, ~,,,...,, .„ne..,r.,. ti,,...,,.,,_ .,., r~ nnrrz I„sae m... c.,,.ro.,,~ ,,,~ Prinrari .n ! I . c r~.,,..,,, .,,, ,r, ., PQWTS t}WNE~"& M~-111U~1. & ~WANAGEMENT Pi.AN P88e of Number of bedrooms ~ q NA Number of Public Facility Units, Estimated fbw {arveragel ~ Design flow [peakl, tEstlmated x 1.5} GCJ ® ~/dw Son Applicatbn Rate pilda lit# Standertl MNuent/Efftuent 4u~ty Monthly averse' Fats, Oil iii t3rease (FOG} , 530 mg/i, Biochemical Oxygen Demand {t30De1 .x220 ntgJL ^ NA Total Suspended Solids tT8$} 51 b0 mpll, Pretreated Effluent C1uaNty Monthly iavsrage Biochemioal Oxygen Oamand Ii30Ds} x.34 mg/1. Total Suspended Sogda 1TSS} ~3Q ma/4. Q NA Fecal Conform (geometric meant StO; cfy/10Qm1 Maximum Effluent Particle $ize Kin din. d NA ~°`: q NA '"Values typical for domestic wastewater and septic tank tffluprtt. 81F>iT81Vl BP~ECItFICAT10N8 8eptla Tsnk Capacity ,? p~ al ^ NA $,~ptic Tank Manufacturer li~~r,P_5..~~ ^ NA ~f}lµant Filter Manufacturer ~ ,~ ^ NA ~~fluelnt Filter Mode! d~ Ci NA Rurttp Tank CapaoltY Q' al O NA Pump Tank Manufacturer r~ S. U, ^ NA Pump Manufacturer ~,~.u/ ^ NA Pum>9 Model ~ ^ NA Priltreatmsnt unit ;;f#nd/gravel Fllter p l~actian>ca! AeratMn O Dkdr-feotion ^ t'eat Fllter ^ Wetlarxf ^ Other: ^ NA pispr.at cell(s) [~ tn-Ground 1$ravityf fr,I /1t•6rade q p-ip-Etna o Na ^ !n-Ground Ipressurizedl O Mound ^ Other: t O NA r ^ NA Qthar: ^ NA MaaT~taac>E sc~u~E i6srvice IEvent 8ervloe Frequeno't- lnspact condk""an of tank(s) At leAart once every; 3 s e {Ma~drttum 8 yaarai ^ NA Pump out contents o€ tankts) Whop oombined atfaadge and scum equals one-third {ys} of tank volume DNA inspect diaparaal celNs} At least onoa evtry+ ,~ monthle} tNla>'drr~m $ yeah} sarlt} ^ NA Clean effluent flker At least once every: ~ month a1 earls) ^ NA inspect pump. Pump controls li< alarm At least tinge every: ,r. ^ mortlt!-}tsl ^ NA Plush lateraia and pressure test At least onoe every: ''~` ~n {sl D earls? ^ NA Qther: At ~atlt p~iCe evAry: -- month{s} p earls} DNA Other. ^ NA MAMI'fENANCE INSTRUCTtQN8 Inspections of tanks grid dispersal cells shall be made by an i~divldual carryMg one of the following tioenaes or oertifications: Master Plumber; Master Piumbar Restricted Sewer; PQWT9 inspoctar; PQWTS Maintainer; Septage Servicing Operator. Tank lnspeationa must lnolud~r a visual inspection of the ta±~kis1 to #den~ifY any missing or broken hardware, identify any cracks or leaks, measure the volume of combMed sludge and soum and to check' for-any back up or pending of affluent on the ground surface. The dlapersai califs} ahs~li be visually inspected to check the cffiuent levels in the observation pipes and to check for any pending of effluent on the ground surface. The pending of effluent on the ~rourld surface may indicate a failMg conditbr~ and roquires the immediate notification cif the coca! regulatory sutltiorlty, When the combined accumulation of sludge and arum In any tar-k equals one-third IYsf or more v€ the tank volume, the entire contents of the tank sl-aN be removed by a Septaps Servicing Qperator and dlspased of in accordenaa with chapter NR 113, Wisconsin Administrative Code. Alt ottwr servloes, incku€ing but not Limited to the servio}fig of efflyrnt filters, mechanical ar pressurized components, pretreatment units, and any servking st ~tervals of S12 months, rrhall be Perfamied by a certified PQWT8 Maintainer. A service report shah ba provided to the local regulatory su~oritac withM 1Q days of completion of any service event. DESKiN f'ARAMf:TERB Page ct _~._. START UP AND OPERATION roducts or other chemic.•is For new construction, prior to use of the POWTS check treatment tank(s1 for the presence of painting p that may impede the treatment process and/nr damage t114 dispersal celilsl. !f high concentrations are detected have the contents of the tank(si removed by a septage servicing operator prior tp usa: System start up she(( not occur when soil oondition~ qrp frOxet~ at the infiltrative surface. ~ • Quring power outages pump tanks may fill above norms! hiphwatar levels. When power is restored the excess wastewater will be discharged to the dispars>tl cell~sl in one large daee, ovprjQa~inp the aellla) and may result in the backup or surface discharge of affluent. To avoid this situation have the contents of the putT1R lank removed by a Septage Servicing Operator prier to restoring power to the effluent pump or contact a Plumber or PdVH?S ~Asilntalnor to assist in manually operatins the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles aver tanks and dispgrsal cells. 4o not drive or park over, or otherwise disturb or compact, the area within 15 feet down slaps of any mound or at-grad0 adi! absorption ergs. Reduction or elimination of the following from the we~tgwater stream may improve the performance and pro(ang xhe life of tine POWTS: antibiotics; baby wipes; cigarotte buttai; Qppdorna; cotton evxaba; de$raasero; dental floss; diapers; disinfectants; fat; foundation drain Isump pump! water; fruit and veyeiap~e peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampon:; spd water spftener brine. ABANDONMENT When the POWTS fails and/or is permanently tak+an out Af service the following steps she(( be taken to insure that the system is properly and safely abandoned in compliance with ch>ilptef Corrtm $~.3~, Wisconsin Administrative Cade: Mound and at-grade soil absorption systems may be r•construGtsd in place fallowing removal of the biomat at the infiltrative surface. Reconstructions of sych systems myst aamply with the rubs in effect at that time. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits she!! be rarnoved .and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid meteria(, CONTINt31F.NCY PLAN If the POWTS falls and cannot be repaired the following me(tauras have been, or must be taken, to provide a node compliant replacernant system: A suitable replacement area has been evrily~pted and may be utilized tar the location of a replacement soil absorption SyEtBRI. The replacement are0 should be prOt4ct@d ffor~ disturb#nGe and compaction and should not be infringed upon by required setbacks from existing and prop4>sed structur+r, lpt lines and wells. !=allure to protect the replacement area will result in the need for a new Soil and site evplus~ipr! 'to eatedhsh a suitable replacement area. Replacement systems must comply with the rules in effect at that time. © A suitable replacement area Is not avallablo due to 8etbi:ok andbr soil limitations. Barring advances in Pi3WTS technology a holding tank may be instalhed us a lalRt resort to repleae the failed pOWTS. d site ~~ O T tank e a < < WARNINQ > > SEPTIC, PUMP AND OTHER TREATMENT TANIY$ bilAY CpA1TAtN ~1'HAL GASSES ANOlOR INSUfFIGIENT OXYGEN. OO NOT ENTER A SEPTIC. PUMP OR OTHER TREATMENT TA~iK UNft~R il1I~Y CIFiCUM&TANCI:S. DEATH Mp.Y RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE aiFFl~tfl.T OR INVIt~BStBLE• ADWTIONAt COMMENTS POWTS INSTAL4I"R POWTIS MAINTAINER Name /~~ ~jf.'rc ~~~~ ~h''G Phone ~ ~~ - ~ ~- .f'l«~' Name Phone SEPTAGE SERVICING OPERATOR (PUMPERI QC REGULATORY AUTHORITY Name 1~lome ST• C~ t+~ Cs-~t>~ ~ Phone Phone l S. '3$b • ~ 6r~ Thu clocumsM was drsfted !n compliance with chapter Comm $~,~~i2lla)ltlddi&fi3 and. 83.54{11, 121 dr 131, Wisconsin Admtn(strative Code. 09/29/2005 10:06 17152473622 uJf Lal LVCJ:1 ['I7: qp ~J.S~tib2979 PAGE 01 GLEN JOHVSI~I PAt~ 02 S'~' CRQIiJC COUNTY .. SEPTIC TANK A+iAINTENANC~ AaRE>rMBI~IT A,ND QWNERSHIP CERTIFICATI(7N FORMI Ownet~/Buyet• _ Pcbc~zr~,~ -. (_. P Mailing Address Property Address __ GP ~' ~^~_ (Verification required from Planning Dcpxnment for new consauctien) ~ City/Stata ~~ Parcel Identification Number X20- I`~SD_Ib-c9-ao(• 2.$$~) EGA U C T~ Properly i,ocation ~ '/,, y,, SeC, ~ T~~_~ '1,^Wf Town of . ~• Subdivision Lot # ~__~. Certlred Survt;y NLsp # ,Volume , Paga ~ , Warranty Abed # ~~~ ^_, Volume ' Page # '~,~,~„~• Spec pause d yes ~..1ao Lot lines identifiaba~ ~ yes Ct no ~'I'~11fi ~~,IYT F Iri'~proper use xttd maintenance of your scptic system could resell in its premature failure to hatldle wastes. Prapec mainteASrce egnsista of pumping out the septic tank every lhrce years of sooner, if needed by a licanrod pumper, Whxt you put into the system ew att'cct the Rlnetion OP the scptic tank ss a n~catmec,t stage in eho wpste disposal system. The PmPorty owner agrees tv submit to St. Croix Zoning Dcp:ttmcnt s cerrill~catiarl form, signed by the awntr and by ~ mastcrplutnber, joumcyman plumber, restricted pltember or a Iiet;rtSt:d pumper verifying that (I) the on-site wastewetet dl is in proper operating condition and/or (2) af1Cr inspection and pumping (i f necessary},the septic taNc is 1es9 thx~p I/3 fttl~of aludgam llwe, the uridcrsigtted bav~ read the above requirements and agret~ to maintain the private sewage dispose) system ~,f{~ the studArds sat forth, herein, as set by the Department Of Commerce aAd the De s atsting th:t your septic system hzs been rnaiotaitred r~,ust be p rtrzit~nt of Natursal RetoUrcas, State of Wfseouln, Cet'tificatiea days of zh a year xplrstien date, co~tlpleted and retumad to the St, Croix County Zoning Office within 30 S GN OF FLICANT 9 ds' DATE I (w+C) certify th,~t all statcr»ents on tt1i5 farm are fret: tp tote bC9t Of my (our) knowlcdga, .the pro described above, by virtue of a ~vananty deed rccordad in Rct;istet of pt;Gds t7ttice. C7Z'~A ~ QF PPLICANT .~.*ew 1 {we) xm ~tirc) the owners} of 9 0 S' I~A'tE Any tnfortnation that is ntis-reprosented may result in the sanitary ptrrtetit being revoked by the ZDA1n DC i!~•*~ R p:rtmarlt. •* ~nelude w{th this application; a stamped warranty deco from the Register' of peeda off ce a copy of flu: certified Survey map if rePerent:c is mt;da in the warronrv f~R /If~ .~~ ~7~Z7'4 ~4. fT. i..A.~. _ 0tQ.4Q . ~ se~s~Yss'w 3~4.~s' ~ ~ . ~ ~ti ~~ t~9'37'S6'E 334.58` ~ ~ ~ ~ ~ ~ ~ 99~ ~i L ~ 9 n+~~~ ' 'C ~• _ ~q rd DpAMU~~ ~, ~ ~ ~ 57.1 ~ ~' ~ / ~ ~~' ?.001 A~CAES 4- ~ . a ' d ~ ~~~ . hoc ~ s7r,zss so. ~r. ~ w-~,~,~ a ~~~ ~ C ~ ~ ' ~ ~" ' ~ 3 rte.. ~ aos.~ ' . ~ . -`"""" ~4•~- may,, +~ '~ 48.31' .~1 " ~ ~,,,~ ~'~ 8.8~ I ~ ~.~1' 17 ~ - .. ~ 3 'fir U 2`I87P 113 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number f WARRANTY DEED This Deed, trade between Willis D. Savadge. Grantor, and Grand Procerties. LP Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendttm): See Attached Exhibit "A". 7~LZ3~37 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , NI RECEIVED FOR RECORD 01/07/2004 11:15A1i NARRANTY DEED EXEMPT tl REC FEE: 13.@0 TRANS FEE: 3?40.00 COPY FEE: CC FEE: PAGES: 2 Recording Area Name and Return Address ,7-03- ozo-ios9-oo-000. oaaios9-io-ooo. ozo-loss-9o-0o0, Parcel Iderl~~a~ Nu ber (PIN) This ~ homestead property (is) (is not) Exceptions to warranties:"Easements, restrictions and rights-of--way of record, if any. Dated this ~+~ day of ` J~ ~ ~~. . * * Willis D. Savadg AUTHENTICATION i ' ACKNOWLEDGMENT Signature(s) STATE OF `'~ ) ~~/ County ) authenticated this __ day of _ Personally came before me this day of ----- `- - ~ ~ the above named * ``~~t~ttttll~,,,y Willis D. Savadge, i ---- --- `~~ Vic--. SAr~,~ ~•.~ --. __- _ TITLE: MEMBER STATE BAR OF WISCONSIN ~~~` ~I /. f _ ____ (If not, ~~c~ . ~ • a +~ t6 ~ ~~cnown to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) = ~ ; .~ n ~nst-t~ent and acknowledged a same. `` ~• •~ THIS INSTRUMEI~IT WAS DRAFTED B~ ~ `~i~j~, ,' Attorney Kristine Ogland %; ~,$'• • ' * __ Hudson, WI 54016 '~~~, • S!N • • ~ ta Public, State of /S~' /iV __ tl Ilttt~ My Commission is peor~manent. (If not, state expiration date: (Signatures may be authenticated or aclmowledged. Both are not necessary.) ~~ , Ot 9 G%~ •) ~~ * Names of persons signing in any capacity must be typed or printed below their signature. Information Profcssionals Co., Fond au Lac, Wl STATE BAR OF WLSCONSIN 800-655-2021 WARRANTY DEED FORM No. 2 -1999 „ , ~U 2y8? P 11`I 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 Vot. 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 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 '/s of SW '/.; thence S89°44'41 "W, along said South line, a distance of 649.90 feet to its intersection with the West line of the E '/: of the SE '/. of said SW '/, of Section 22; thence S00°30'51"E, along said West line, a distance of 1317.44 feet to said South line of the SW '/. of Section 22; thence S89°51'27"W, along said South line, a distance of &49.27 feet to the point of beginning.