HomeMy WebLinkAbout020-1115-50-000w.Saf.N.handeoPimnooww....E PRIVATE SEWAGE SYSTEM °"N °St.Cmix
INSPECTION REPORT SoonPemml No.
GENERAL INFORMATION (ATTACH TO PERMIT) Rl PI•°lo No 61]]82
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PRobetleBAntonina Lee CIN vle Twmell Imx w TOWN OF HUDSON P ° 020-1115-50-000
eM ee• nw. a IEx.: erreuo BFIRTIONFRON o19.29.19.4]3
TANK INFORMATION FI PUATION DATA
TYPE
MANUFACTRER
WPACITY
STATION
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TANK SETBACK INFORMATION
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PUMPISIPHON INFORMATION
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SEPTIC TANK WNTSNAN(p AOREW"IDJT
ND
OWNERSfIB CERTIFICATION FORM
OwnmBvSrer yryl ii
Xd hng Address 3 1 6y? N
Pmpnty Address
(Vaifimm mpmed 6om Ple®nA Q ]4oine DNuonm� fry om mnvwaba)
gryrssx uHneN �- P lWmtilimaonNmbc Udb'IIIS-SO�Od�
LEG P Dom_ n
PYOPm.v. -. .,nN�v,NE v,5m.14 Tat NRI LWTO of �tdbJMJ
sub vmm Plat Lot% fl!'
Certified survey MaPP Volame par p =2
(before 200/)Valvma� Page q
Spm Xo'=n DYalgw In�ImaidmtifiWlep yegpm
o Weuvinmwt�ofyow+efOerynvnmuld �emX in itv pemtme feJwebnmelewmwa. pmFg
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qYe M1nkss m oeaou 112 reiv peereemd sciaueyAan_ qunmmeiNenwe
�ammiltilitles xypeifial in 4Comm, 833}(1) eln Chap�o 11-S[Cmu Co Y9wimryONvunr<
owe'mL triamyy Pbmlcn mmbrvimB 0av Gry Plemon6m TnLgCepe�mpX s mGS®fionfoem. 9gad by 1M
m+¢wvm mWoglrynwif In jog nm PIMIW, Iri yummy ofaIicenfMP^�ro'ifYingtnn(1)MeZn-
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foNy nveiq is wt"c D mt ofGmmare mW 9<
C"ni6uenn smCng µnpmspnll m hw Men mvnuirei=1 ne rvmP imyanefNennN Reyioue, Sure ofWixv Jn
Zoning Depwnem nmpm 3g drrs ofµeµree Year expiation dace rtnunedmtlreh Cmv. Covmy Plumin4A
��fY and J�m�®fe°o f5nn%e Temµe 6enofmY/owknowlyge l/weamlre8eoaoer(s)olNe 00
PmPebd6vr6a1 prypy tytl�renrtlrd m.Qsmymt ofDmis Odiee.
Nb
APPLICANT(9j in / u—� /—u
DAM
"'Any iubmnlionW is on, no, rtmlt m µe M,nof Pcmit being m oii bylAe PlMnine hZmiq hpvpnm[
refe.mce u maLe u NeyamnrydeM. e�nhdemfivm die Reg�"tDeeis Ogne yq n¢py of me5eiswrymµ if
R mamq
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR WILT SATIOR OF AN EXISTING SEPTIC TANK
This to certify that I -have inspected the Septic tank presently Ee in the _ Ran{t AGIO INA l ee reaiaan11na located at. NW x N xg Sec. II, T w9-N, R (9 W, To, of NPR
.County, Wisconsin. Upon i y 0 JLN . St. ix
nspeaion, I certif that I have found the to and
baffles to he in good cona1n, and it appears to be functionin
Last time Serviced Mil j9 9 properly.
Did flow back occur from absorption systems Yee_ NOV (if no, skip x[
line.
Approximate volume or length of time: gallons _
minutes
Comtrvction: Erefab Concrete Steel
Manufacturer (if known): __-Other
Age of ank (if known):
fs el JIM Rc6 MW'J Jfn
rnT ns (Ngme) Print
Mt )
(License Number)
aaI
Rom to be completed by lioenaed plumber (a. 145.06, Wisconsin Statutes) o
licensed disposer (WE 113 Wisconsin Administrative Code)
Plumber (applying for sanitary permit) Certification
In certifyaccepting the above statement regarding existing septic tank condition i
requirements
that the tank, to Che beet of my knowledge, ill nk condition
to he
filet baffle)
of ILHR E3, Wie. Ads. Code (ex t far 11�� outlet baffle )pp JJ pecticn opening O at
Name im pa' M PPS'H �_ MV
Signature
MPJMPRS 5j
RAW 21/T
e0l Y
COHA D'
NAMhKKb 24' I.D. %EEC T CCHCRM qqp
MADNi: N IA- DD.
IdDIR na .1/A? D.D.
f CAST-A-VAE 89M Ya• C.D.
Bft W MET. w qA
mmA IEYEL Q.
NF ". 11.1w IBM
W fi AW WM: .
r CRT-A-MX B T OR EWAI
W U. CRT -A -BELL MOT EM EEMA
MET AND Wn BAiR2 µ0 MMR:
(O1M1 STAMS #E CRAN7
ADDA CµAa2 . 18.81 DAEM (svm)
11.82 MlM (pyyp)
WMAO MOM W V UNy AIED 9M
TANK Cµ BE USED AM
evnc/srllc, BE%K:MAp
a EEvro/slsrloK pp1�
COORE . MOM
Sum iBER)
TAEp ux oEna
a18 O2EDW"ONs
TANKS CMTA WSER c*NCRETE
9EIE._WJY MR Iu�FOR API
�PAOVCEE➢ ASW C-1227 REWEAMEWl0%25 NEEDED By
Lee Replacenienl Residential POWTS
PROPOSAL:
Iffi exitingwnae@ septic w4wi111e Nft in pkcemd coovttro] fm rouge u apt chamM. E®uml will be doeetl
Inuvky wfimn ,&npmmhr and a now dieoud cell of Um
ummhes k6oWe usug Mhnwnr by
drevLLY coafiwu Nc.w.P�icmN uuoaMw diet *al cell cTMieiNwB oIW¢nmchc crosrtuc4d wia6 Nfiltrda "M••
ImeEioB cMmbm.
TcdldS ict il&'
Mm wPPIYF ®e: O.M.vermd Efl: 95P(Septic TmA mltt elev. = 96.50', Pmp off = 8].00')
Ylictlon Nm l2"Fmemom):2 IW(M7.00 d/I00fl)-2.10
Teleld5 is Fml: 11.60'
kctiao'
Mmu6rnver �C•
Mm dnl NM7
N26]
Mirt ishuge Werequired 962 em�ld 6e'TOH
Fluid
sd Mow
mIaismde/sd MpsI o*(. 55 Coon
�ss1248totalled m AIft
2Ruentwnh=(AOSX1962man) —2.011C o/sccidl (Bow meoHO.dco
b wlwa
WCpipsbN2-IO fthaJ
MaJified Doge Tank -CmmdN&,d m Done Sekia>a
P:M^ti co�l.aoo-sum:eak uw�(W� a)maam'n9oia�=zoss 0vo,cn
Dose Tank lnformatbn ra<Maew.�vmv.no
aW.daeMN eaa.w
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nv'tlivlm 16 NM ]m.N—ti
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a.11mo v
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re t 21n.
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Alarm MaiupOduar SJE fdmYva:
AWm Model Nunn JB PI >L
Puep MmMhclurer Iwller
Pvrp Model NinrOar N ffi]
Pg5an
Waste -Mate
shin mmilf family
of pumps is p avraewapeelemrt,
Mb ,pbvrt lemlly of puma is known fo,
ame nieblllty
amiability b built
fcastman with mai pumps eA inaetl?
prvven, raik ofcastman with 9minlmm easel nIs dnewe.
Treone million meal
nameMawiWwAissi memo
forcan
one mount mMemulemM The henish moviina
tan ruywin pewtercoebaepoxye man pmvides
me
m pumpi�p prtbMmu thee. me most extreme
dewiluthe gwne im"Iny.mmlep
as
lon momreMrwn man -dogging movune2 impen.r eta up
m. mne+.exmp, xmta.mee pmatm.
nrruuvakxa:
x.w,orewumpm.emm.m.i �.,.R..taam.mn�e
reaxcvlprs:
pa mm.l.mm.t...n.xm
• vHPmmn am RP Jim
vaila01e1n Mmato prmret4maWallu repmmmwkn.om. PUMP PERFO CURVE
ad2E8NR 8&210
MNtlaxPo, Xlen w,
Ml wllep. Hl3JRp� o
For omplete product doct o
infoFmMion, visit: m w w m xop im Icwars { d
www.zoelleccom uiFns o im mo wo wo bon
'. FLdv PERARIVIE
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OEC 0S IL EVALUATION
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