HomeMy WebLinkAbout020-1376-24-000 (2)-
PRIVATES WAGE SYSTEM
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TANK INFORMATION
ELEVATION DATA
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m �.,JAMCarlrm.a�Met IS L. AMPMSM
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e.reA• e BASIN
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NScale 1" = 401
Diversion Valve 4" ASTM D'
0 PVC
V Benc ark is Grade at PVQ,
Pipe ae[ by Desi goer 1. 1
SE = 95"6'1$
nn V( Jq1
Meats al SPS Seibac4ia
64 p4W 1i filtr tIf #pialba
t
All Vent ODID1�I
to be S" PVC
C FB �l
6 BR
All othe pipin
ASTM DJo 4 PVC a ��
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Richard Stout Lot 24 Sweet Grass Farm
SW SW 14 29N 19W Hudson Township
St. Croix County
aer Lane
2ul too) dxunwe
000 Gallon Septic
Wieser w/Zabel AID
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Private Onsite Wastewater Treatment System
Title and Index Page
Project Name. Stout 6 SR replacement
Owner's Name. Richard Stout
Owner's Address: 1353 Anatukee Trail
Hudson, WI 54016
715549-6731
Legal Description: SW SW 1429N 19W
Municipality: ®Town ,❑ Village, ❑City of Hudson
County: St Cron
Subdivision Name: Sweet Grass Farm
Lot Number 24 Block Number:
Pared LD. Number020-1376-24-000
Page 1 Title and Index Page
Page 2 Site Plan
Page Septic Tank Cross Section
Page Zabel A100 Filter
Page Infiltrator 04W
Page Infiltrator QaPN Specifications
Page 7 Comes Samoan. Plan View & Chamber Specifications
Page 8 Management Plan
Page 9 Management Plan
Name of Designer: Lynn M Misfet" Telephone Number: 715 ]20l
License Number D1133 Date 10-5-2019
Designed Pursuant To The Following FONTS Component Manuals And. 9P6 353:33
In -Ground Soil Absorption Component Manual SBD-10567-P (R.6/99)
N/A
Page I of 9
Richard stout Lot 24 Sweet crass Farm
ASW SW 14 29M 19W Hudson Township
St. Croix County
N Scale i" = 4 �
ant
Diversion Valve 4" ASTM D3034
PVC
p Banc mark is Grade at P995
Pipe set by Designer 1. 100'
SE - 95. 6'Rj,
{'.0�q
Meets al SPS Setbacks
SN4
69 04W 1 filtr W
All vent f Ob irjn s
to be 4" PVC F8
6 BR Duel x
All othe pipin
ASTM D30 4 PVC fmo�ee-0 Eluilu6
1 9 iS 2000 Gallon Septic y
�15 Wlger w/Zabel A100 Filter
" A9D AIVfasnK
Lw 08
6-�
MW �./
0' z
t600'
151
iTop
!k
t
ABA
TANK DAN BE DAD AS
SOMC/ xowxG/ DEAD m saxes
TAB AN KENN PI
r MAMA VA ns CONTA �A[sz ewwert
FOR APPROVAL
PDLgIC
y Zxbd FillersG_
V(If tIiILr
AlW1LMt/16 PAmniw6-mdl2 Founder
Tnk filler is Ideal ml large, home,, red-famlly homes or tight ecumenical s,mw,
wM... m i d gown or higher quality dfiuemis manual- 11,e AiNA Series is sizeel
to handle Raw came, room 2500 an 5100 GFD m] available lnfilm, different Imgho
File At 12 Scroll, installed to more locuum, man morathm filter M1 kl
ized to handle flaw rates from 57M to 10NO CM, The AT00-12 series can be used in
yapplicad,m.lnaependmt.Beard, bad al,nwathe ntN.lz. - a eaa�TSS
bg 509J%and CP.00.6y 2VGON.. WI1M1 1/16 fit tiny tlu AlWB&' PII a..force,
- lg^26^aM 32•Imgtly. The AlNUSmies filterIs alnushie inz 'A dM lengths.
\300 r'iltc,
A300 Filter l/32" Filtration 8"and 12' Damn m
The form 1/32 level of fiffirstion achieved with theA3Wgharbor makes; this the perfect
efflionat
en f small grease, p m,,m dog ke Isl vdrnmats, Slid hreeru, at
ppl' H DThe .gentled. provide forams, Me mo and n, offhas
been
of
1 ud..T700.703 FSDX3m_lheh,, 124e- provides 1/321'I dbas Men shown to
d 12a used
3699le wastewater
as A3Wl2 - Hers Flowmea N�UWN ]of TEI
TMA30barfals smw, - dablebSystemsanddAmWre ahesf finer Wcl tares
d. TheAWBEm -0 [ aleagga 12',]b nna32^toy,Ms. TheA3N12 Sxlus
filtuvrvallnb1e5a 20 2B avd 36'le,tgtbs
A6001illm
Add) Than 11W Filtration mind 12^ Diamem
The An"is idea for speculty applications wM1erevee, fine filtration is normal Bud low
flowearcereacted, Due m fine, 1/6' Well (helium, evsy A600romesequlpp9 with
S FI e) whch and alarm The ma P'Itr!) switch Prefabs notification of
worried dwarning Wuagh the raw WN an audibleand viwil alarm Am
` of a 3 chop is requuM in themN for proper Smarbel tMoperatiMeA6N85aies
2 hurt, vailabletn lg 26 and 321 gfl, The AnUTI 2 foun, a innate, in W, 29^
SAM Insights. The A600offeas flow onlrb 10009501
s.^ l
4
l A 5mutF lrt�aw rchaNaam,.
polldolac0m I S77-?GI9365
Soil Absorption System Cross Section
101 H
f
100ft&SuVe0d
ue 40 Final GhooCIPPe96.6
0 Venr cep p
Leaching 95.6
Charger
fl
~ Syslem Elevation
3 fl 3 ff 3 fl
Soil Absoration System Plan View
90 ft
�IIIII���IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII�IIIIII
4- On
Header
oneewidon Pipe
"agehina Chamber Specifications q J
Manufacturer And Modal Infiltrator Q4W ( 5}e D�Jh
EISARrong 20 sq f[per chamber Soil Applicaton Rate 7 gpolsgift
900 gpd Design Flow+ -7 Soil Application Rale+ 20 EISA= 64 Chambers
3 rows of --22 21 Fbembers each. 21
Page 7 of 9
Vill
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FROMVIEYJ SIDEVIEYJ TOP VIEW
TWil TIMaa Yew -
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sa v`�x lz^v
(E6C mm x 1308 mm x 305 mm(
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laywallelpM
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n
m
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Irpmum)
m
INFILTRATOR
..�,..�a.�...�.ml.
Nl �rveNa,a.m 1
wm11 od�A l`m.maI'd,d" "Nod"d Noll =bM
KILL ol
RR ttoul
muuumvcFm uwry OR ldrNETELren A xummua eimxos[
NNow NN Wwwmiv )�.nmwmowrce ey.o-
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,ONE RR,m. :W bd :`�: o �. ON.A
mm.nmemniw.,RI=do,
Rooll
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Into
.�ne.m..�.iwacna�.=..m.wo.ou.wcx mu^m m•+m' �w'+e^N
Quick4
INFILTRATORThe Quill Standard Chamber
Quil Standard
with MUItil EndCap
The Chinese Standard Chamber his In a W' wide tannin
and is ideal for unrest or straight systems. It pounds the
patentfeaturingContour Swivel Connection- which permits
rums up to 15°, right or left. The Multipart- undeap allows
multiple piping options antl eliminates pipe fittings. The
chambers four -fort length prowess central installation
flexibility.
Chamber Benefits:
Advanced contouring connections swivel hp to 15°.
right or laft
Lnching machanam all for quick irrigation
FourfeeleMmhars are scam to handle you iF
The omces Standard Chamaar supports where wal of
fspoo IEYace who only lr of crown
Codirwd try the international Aswciatlon
of Plumbing and Mechanical Comes (IAFi
Ilifig rt Endcap Benefits:
• her out wage W linkst Pope proved a tight fit to the guee
• Eight Moklishin inittakinutips; allow
her moral piping hostelry
Elimii raps Mfmae
Fits on either end of the Culcel Spread Charter
APPHovEom
POINTS OWNER'S MANUAL & MANAGEMENT PLAN Page S e 9
Aichand Stout
M M
Tank NanunurarreSeid
No
PermBN
�Sepllc 00rce pXdtling
m1.2000
gel
DESIGN PARAMETERS
Tank Manuytlurer
Ds c0Doea ❑Npdrg
vd.
DNA
gin
NumberalBMrwxna
6 ❑NA
NumiWmP,du;Facility Vmh
DNA
EIPumI FNkr Menulecpnar
Emuem Fihar Model
Sahel
A100
❑NA
Esumeba(average) flow
600 des
Deal hawk) flaw=1E¢Yma1Mx151
900
Pd
PumP MawbcWrer
Pump Model
DNA
In and Sell Apploom, Rao
.T allele lR°
stmdMlnfluenVElrtwo Ouedy
MmWyavemge'
pretreapnenl Onir
DNA
Fete, OY&Greed,(FOG)
AD mI
❑SmAGrzwl Near
peed Fpy
Sydemiel chaged=and dwOd
4PO mgtt
❑NA
❑MxMNcy Aere4m
❑Wetland
Too Suacended sacra 958)
drop M9lt
❑Oirnme n
ManNael
❑Other
PrNpby Emu" Oudpy
MwMly'mane
eiooWWJ(theme, Demand(Goq)
9D Meet
OI¢MmI Gains)
❑NA
Tdsl SuepaMed South trSS)
AE met
DNA
®InGmu JGAAAdA
❑ InGrOW(Preeaud )
Fxel Carlmm(gmmddc mean)
Omar 6u110Gn1
❑At Gran,
❑OdPtine
0Meund
❑Open
M,nmum EMl Pa9 8e
%11 do. ❑NA
Olhr
NA
DNA
r"' nlvv'w'emern wa¢uval and down
she de ark
.NA
Service EwM
Sdvke Freguenry
diodam, Of lo nkls)
ve ery:
o'd'a) (Mealmum3y
o
3
M)
ONA
FOOD W mmenro crunyy
■offied dnad aiudge am
awm¢gull' WFmim(kl or mnk vaome
❑ W)len the Man wdm aiatm
is echelad
❑NA
Inwap dapemloell(sl
mle.punm every 3
means) (Mnlmum3MM)
❑NA
¢ban argument New
Al leedoce every 3
:M"M
ONA
leaned pump Now came" some
Al We m¢evvy
Umonm e)
13
DNA
Flush bMak add pr mAd
Al least sm, Why:
❑muM(s)
■NA
Core
o words)
Switch Diversion
vale
Atlaeamnw¢vend 3
)
DNA
■ NA
MAINTENANCE INSTRUCTIONS
InapeNma of brake and di¢petaal card ever As made by an IMANMal m"ng One Of Mee Mluwing IXenssa or wMuellona: Madtt
%umberi Manor Plumber Reeltlded Secs, POINTS proadden pyrdi MaindiW Seplege Srvlpng Omndr (Wmcer) Tank
mepalim¢ War inon& A Nsual (regarded d de oMGa) d"Anlly arty mNslhe Al brMm IdNrvae, money I raGu or leek¢,
anni Me Sam Add a
Wa, bar
dietrervl Odiod (MAN be viwelly�inape mdtlack the¢Monad(eve, in thny eM¢e aura ones add ill peck 1d Any propnk up or owning a efflunint 0, Me egOfe The
On Me ground carom. The ryMina d o�uent on me guru d eudam may mdlate a fell caldron aM spoke¢ in, narksho,
ndFoallOn d me land l regulatory aumomay
Wren do mnWvtl'=more" Of ¢lodge and sum In any A,Whot oak ¢dual¢ meAi l (3) or more or me bulk Antow, to entire
"InimR of Me tank anpl be remould by a annual Sed,wi Ommlor and nNoI or In a¢acari¢ eM 011I NR 113, Wumneln
Adm nsprove Code.
All dher xrvlcee, Induana Ad net IImIUL W the ¢erviwg W eMuent @ors, m ,fiamal Or praencmd temponmd, pmam ent own.
tannery" almond at lntvvye o112 monlm mlea¢ repNre dwmenotim reCeMad An the dead meaning malnonan,, reaukemed¢.
A nervous raven¢ball An goNded to McIrcal regulabry au shady wllbin 30 does of mmpb4m deny srnw event.
itNb2bq
START UP AND OPEMTIOH ape 9 or9
For haw emsWGon, poor to use of the POWtS check treatment lank(s) for Me pressure o1 painting gal s whim k or other
remould deal may impede the drapers p ss aMlpr damage the Soil dianyme relhe Itnghmnwnrztionsareaeledetlbwe Ne
contents of me admi p cved bya¢yraa8Contrary; oprommr par to me.
Samin all up shall nab omv Mon and MM'anna are traam at the inmba4en andi
Dummy; ealenEM pi OUOe s pump ranks may III above nomad nigh sMnlevely When pros is readarea uie excaaa wa¢RwaMF or
be aiymargea b the must web) in one large have and may ovenom Hem moral in Me burden n apdare a4 OW M effluent.
To avoid By sbue o, have the wlteda of the pump 2nk removed by a Sepbgn Serv"N Operator poor W reslony power to Me
effluent pump or world a Plumber or POWITS Mainminer W maise m manually werhol Me Pump mnuola To mtlore normal levels
win, Pe pump lank.
Do nq dove or park kernels ever lanky and di,m rwl cells. Co eel cm, or Ask over, or otherome aisom w cdnpect the area wflem
15 fare m i aldpe of any mmnd or enforce AT abaomhyon area.
Reduction or eJinkretlm of me MWmng from the w islevsg@r Or may improve Ill performance and prolong Me lie nMe POWIS.
nfiNMm baby walesdga dabs', mMwt ri swabs', degreasers; dmlal dons, ai sup 0iy off del batWcrat ', fwMan e
(aump pump) cixhagq load and vegeome w&Host Mmoned gorse hers ides, most sems, mabiwtions; oil; Painting never)
utidbesm nary napkins, tampons, and valersMarian Mon.
ARMOONMENT
When tlro POWTS has andeor ie Po^nenerdN taken out Nurvim me universe saps SM1MI ba taken someone mast Ma system is propedy
G daftly abandoned in w rsamni pM chager Ceram e3 Al, Wlacrosm Adminiababw Chad.
• bill Wiping to banks and Pi shall be dimnmoee and Me abandoned pipe oPonings sutra
• The onenh N all ranks and pis, shall be removes and pmPoM dispose N by a Seri Serwing Operator• .
Afterpimple all mil and Cry almll be em,mard and removed narrator prewar and me rood spa« Herb vein was,
gravN or another Ivan said mu 1,
CONTINGENCY Poi
If the POVJIS fails and wnmt he repaired me Mlovdng measures have peep or must be taken, to should a ode wmplianl
replaremenl system:
❑ Asuitable n i'a end mu has been evalalM aM may be mi for Me Mayor M a replammenl wit a banned
inneem. me Mat umma area should be prnbded tram aialuTaree and careful and Shull out be (Merged upon by
WgUy`mmsoub�s film tensing and prcLm s elet linespumhdtee replmc
wmwv wMe need
for annew5slo an uxtion urestablish wMmeldeplarment a R Ph® ensue systems must
at oatdUse.a
❑ Aaailble replawmentapearsnolavaaaaeape nor aemack amm�raoinimcabm¢. p mnglM 'n sin PO StMnolnay
a holding bank may bempaded as a last nano to mmI the hiked p] s.
U�OfMP
• Twaluadonamudbe Pedomead Wlowdgasulmb reNMareamena¢a.Ifno replaceuentIm O�ime a holding bank may
be InSllel as a last mson b mdms the IIIM POWT6.
❑ Round and m9mde oil abampedhwn ayaderms may be reconafrudM In plow lellwnn8 ropval pride blowl At the
innlRmvespnere. R.mnswr nadandr renew m¢tmmPNvnM Me wasmenma far mmdime.
,�MNIRG»
SEPTIC, PUMP µ0 OTHER TREATMENT TµKS MAY COWAN LETHAL GASSES µ WOR INSUFFICIENT OXYGEN. 00 NOT
ENTER ASEPTIC, PUMP OR OTHER TREATMENT TµK UNDER µY CMCUMSTMcCE DEATH MAY RESULT. RESCUE OF
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBI ,
POWTB INSTALLER
PORTS MNNTMNER
Name ](Ri LCH I1iO 5_
Nam, rF
more J15 5]9-2856
Pmv J3 ]15 0�833]
SEPTAGE SERVICING OPEMTOR PUMPER
LOCAL REGULATORY µTHMIry
Name Albright It Associates
Name St. Croix CCOnt Zonin
(more J15 JO3 8337
MixedJ15-386-4680
Ns q dh 0mnuv. CTnmv r°�mp
wamnam Amw,Nlraeve code.
0epa'umnrn conPl6v¢ win Wow co'nm BSzzallbtldnaµm and saAnL IVI a m,
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) SqJr 5 . P) located
at,leJ_ Y., Section �� Town-c29 N, Rauga W,
Town oP i/Sa n� , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning property.
Most recent date of inspection or service ze)
Did flow back occur from absorption system? Yes_ No
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity:
Construction: Prefab Concrete Steel Other
Manufacturer (if known):
Age of Tank (if known):
Permit number (if known)
tF1)h �1w2rw�s
(Lio �nsed lumber Signan e) (Privt Name)
ft5 2��wm.b62 ��40'37
(Title) (License Number) MP/MPRS
w/3/19
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
ST. CROW CODMEY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
GWnamEtlytt SGV662L r'e.Hss '?I-ve-1r'es 1krrti l' SL7
Wiling Address i
qI q� F e/ f-�--
Progeny Address 7 U IS 'd-YCRQ- HJ
// (Verification ee'q'�u�ilredlrom Plamme&2^Sn BIXpwwmostnfor ucunsnm'wn)
CitylSmte 1fiA//LV SCPJ =ParcelldentificationNumber
LEGAL DESCI=ON
property Louetion SR)'/., SUJ /., Sed_� T,�2q N R1 OLW, Tmvn of � uu(so ✓-)
Subdivision Plat ,�SC'EE Gkv S 1'43tH—
Certified Survey MapM ,Volume ,PageX
Warfanty DOOM # (before 2007)VolumePage%
Specheusel]Us6 uotlinesidemifiablepyaDw
SYSTEM MAINTENANCE AND OWNER CFJCTMCABON
Improper we end mainu,unce of YOU eeplic aysNmmald rcaup in il¢prcmvNrc feiluremFaWle wwta. Proper
nofpumpingom NOWOCmnkeve[y yesnoeaoonecif,e ed byalimu 1pumper. WNryouputinm
the aysu+n can aRect Mefum[ion oftbe septic tankuattwmenrsmge in [M1e wore Gapwal system. Oxmernmo mus
rtsponebilities ve specified in§gPB.]8352(D and in CM1epcer l2-SLCrv,x Wunry Benitary ONinanu.
Th¢pmpm plumbu.jo,m =npl bcr,m GaudyiumWmatice tgpumweefibindfimt(l) om, itO bythe
caw eMbynmssmpint isi, oumeymereama begition or(2)Ot,impeneed pal summit
Scott
wuh e, 1/3 iill of loom. is io properopnaling condition "or(2) ahr inspxtien eud pumping (ifnecessvry), the veptic mk is
Im tlw V3 hill of sludge.
VoOsthe m,dnaigned More tod the salve requirements and apse to maintain the pnows sewage dispwal system with the
amoods eat faM,humn, as set by the 0.ryarbnmt of Safety AM Plonsomed S oes and We Depamnetn of Named Rmmus,
Smteof Wiuonsin. Confoutim, mmeg shot you optic system has Lem mmumn d must ha umplued and remand mthe St Croix
County Plmuing&Zoning Deputmentwio 30daysofthe0,eeyearexpimmmmee.
pmpssry� bW above, all
vmut/ue�of¢ rydwE remudedmg not RRe onof ), 0fluge. I/we em/methe ownertal ofdx
e ro
NumberofbWraoms N
SIGNATURE OF APPLICANTS) DATE
ee.My summWon met is minapreamul may teultin the seniury permit being revoked by the Planning k being DepaNmne ^e
Include with this applutiGn a recoold wa vdead from the Regimer of Dead Office am a Copy of the cenifiW sooty many if
ref rse in mMemthe wannnrydeed.
(REV.(4112)
p..
LOT 64 R LOT 18
141i LOT 63
Ir 4 I xl� nx
LOT 21
OT 22
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LOT 23
fr• i / / ne
/ 5 e * Po
ma
40
w,m"a'°ya'a'r"uwcan""ee
PRIVATE SEWAGE SYSTEM
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INSPECTION REPORT
GENERAL INFORMATION
(ATTACH TO PERMIT)
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y 'w was.
, Richard!ma
outtlx
Hudson Township
TANKINFORMATION
ELEVATION DATA
St Crolx
ft
384240 x
020-137(1
TYPE
MANUFACURER
CAPACITY
STATION
BS
M
IS
ELEV.
Septic
120/ em
Benchmark
2 2
It. BM
anon
Bldg.Sewer
Holding
IHt lnl¢t
TANK SETBACK INFORMATION
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9-
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WFLL I
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ANA
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A
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PUMP I SIPHON INFORMATION
final Grade m
S,
jadreduceourer I
IDemaal
Cover
Model Number
PM
TDN
idetion
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NT
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-43.
SYSTEM TO PIL SLOG WELL
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INFORMATION
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DISTRIBUTION SYSTEM
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eta
SOILCOVER A Preraure SyMms Only as Mound Or At -Grade Systems Only
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COMMENTS:(imiudeaadedisaapancm,persOnsprawnt.NNeeetion Mllel/ 101 Inspertion92' I
Location: 895 Fraser Lane, Hudson, WI
54018 (SW 114 SW) 1/414 TF9N R19W)-14291B2285 Sweet
Grass Farm -Lot 24
1.)AIt BMDescdption=�"e S"
(T+o>aI 4
v7Bti arm
2.) Bldg sewer length=
S)y4aSe✓kite 4mce( Sy8'(cH- "Ak� i0
-amount pl cdYar=>la••
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Nanrevisionrepuidri ❑Yes es LINOUxothersitle
l0r atltlitiarulinlarmatian.
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WIL EVa MnM REPORT oc+! «
orwn,aup «ds+sm- ��„«.aira«eaw. ra. as
�.+ zYifcm N<o. 90.00
0
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ease 3
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NAME
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BM I ELEVAnO /bJ IJ
BM I DE4C ON d f �� 1.
BM3ELEVAUM /NO
WMMELEVATION YO.O0
ACICP WELEVATION �,p_L.sl
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CONfWR VATI 1354Nao
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