HomeMy WebLinkAbout004-1006-10-101GeAw%
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Slide Address: 611 N-q 1+9 KwrtT vHe 60,1
Petersen Management lob Number'.
❑ty:kii WI Number of CONNECTIONS Planned 1
County: Number of CONNECTIONS Online: 1
INSPECTOR' CA u/' DATE: S
{^/•�~� Rwik Trip
G J1A';`L%S
Install Date:
r0GravIry!!tMunicipalWWTP
❑ Municipal Lift Station Gump to WWTP
❑Lift Station
❑Valve Vault
ElComminutor
Control panel
OTHER
❑Onsite Wastewater Treatment/Dispersal
®Hng Tanks 9" oldi
[]Septic Tanks)
❑Advanced Treatment Device
Subsurface Disposal
❑Dispersal Dosing Tank
�D infield Cells
"
^ —SEWER TO MUNICIPAL
Co on'RaHng OS 04 03 02 OY
WATER METER PRESENT
Yes
No
Wakr Meer Penults Recorded
Yes
No
ents:
eingid"ImPldi
Sewer Pipe lnswict'd.
Yes
NO
Comments'.
Sewer Plore Teweld:
Yes
NO
Comments
Rack Up, Recorded:
No
Comments:
elne/szw r Plans Available:
Yes
No
REST AREA sTAFF/Inswumn comments
MIN ICIPAIUFF STATION -
ConL nRating 05 04 03 62 01
Mucci ... d
Yes
No
Nl Saari Waked
Yes
No
GALLONS PER INCH:
mp Call more mplered: YES NO
Water neptM1:
MmmNtl ssoNetl Op
Sedge oepta:
Inches
corrosion
Sludge wideni
Inches
Ppmpxf Her
Mlse
aVell x.
GPM:
AMPS
PM: CNT:
umPpl Np
GPM'.
man,:I
ho
loen.vow", n:
ETPon CNT'
pump Rolls and Harwaretxea d.
Yes
No
Commence:
I Checked:
Yes
No
Co mme is:
Al arm Panel Checked
Yes
No
comments
P ESTAREASTAFF/I re on Cammente'.
Kwik Trip
VALVE VAULT '
Cantlition Dating OS
04 03 02
01
VIAIFRN-- ,I IF I
Yes
Na
o:oeo.
eonanzonm
Yes
Na
Corti
vo
Sellel Pipe lnspettetl:
Yes
No
Sewer Plpe Televls[d:
Yee
No
aek Opp Pewrtled
Yes
NO
Com
Plumbmg/SewI, Deep Available:
Yes
No
R EST AREA STAFERIS eetlnn Comment,
COMMINOTOR
Contlitio ating 05
04 03 02
01
C➢MMIN0TOR
Yes
No
or
MOTO a'. xP:
Nis
/Moeelx:
REST AREA SEAFE/Impenion wmments
CONTROL SYSTEM
Condition Rating 05
04 03 02
OS
ARE A55
INTER STEEL
STAIN LESS STEEL
. fsAure,
Ser, p
Phase:
AMPEMG IING'.
REMOTE CONTROL'.
Yee
No
UTFORM:
Comment,
PE OF COMMOWCAT
Commems:
FST g0.FA STAFF/In on Commen[p:
B R IEF SYSTEM ASCRIPTION'.
TREATMENT
FACILITY
Inepe[ a
Yei
HOLDING TANK
Condition Rating 05
04 03 02 70aloq3
otl mnd
ECASS
No
AUAmepses mnen
Yes
GO, cosT tow col
o 5
Depth:
9 /
Inch ez
Commen6:
ssolvetl OpN
Judge Depth,
Inches
Commems: Qa.t e"
pa/i
Slutlge GPa[Iry:
Inches 1CREmmij
PG.t�ah
IEYEL FLOATS CHEERED:
Yez
NO
Cammemt:: /LO
UpEAcCAHE tAA C
IERSCReoked Nv
Yes
No
Comment$
SEPATAGE HAULING COMPANY'.
Comments
Ad
03.Z6r�J Kwik Trip '� ���("
e V. .�
Site Address: 93J H-y rN KwL- A, 1+ R
Petersen Managemem ob Number:
City: wassnn WI Number of CONNECTIONS Planned: 1
County: N umber f CONNECTIONS Online: 1
INSPECTOR CAlsou DATE: S/1
r�0ravita, Sewer to Municipal WWTP [JOnsite Wastewater Treatment/Dispersal
Municipal Llft Station Pump to WANTS ®Hooding TankS Alr.o, Imi
Lift Station OSeptiC Tank(sl
Dyalve vault QAdvanced Treatment Device
ElComminutnr ElSulasurfacre Disposal
Control Panel DOlspersal Dosing Tank
OTHER ElDrainfeld Cells
MNI
04 03 02 01VSEWERTOGRA
MEER:R
Yes
No
Semmentr.
order. Ea
Yes
No
comment::
nog Munlcoado.
e Pipe inspected
YPS
No
Te see:
Yes
No
"'
Bacrvice
k Ups Re..Lots
No
Plumbllne/sewer Plans Available.
Yes
No
comments
BEST AREA 4AFFAInspection Comment:
MDNICI PAL LIFT STATION
N, ]CondoanRating
05 04 03 02 O1
OnaNe In ooe wrid
YES
No
ss LoKee
Yes
No
6AuorvE PER INCH
ump [af aenon Compl elect YES NO
Manor tiepin:
I
battles
l(In"AUSssnM1ee o,:
smdaa plant:
Inches
commen
vice, Cap"",
In cbes
rs
pump Nl Np'.
allMocel Y.
6PM:
AMPS
: CNT:
um Pci His
Man
1SIwAralmll:
GPM
AMPS
I
parso NT:
Pump Rails and Hansom Chao e:
il
Yes
No
Wmmems:
Floats Chided:
Yes
No
Certain:
Alarm Panel CrackeG
Yes
No
Comment.
REAABEASTAFFII peefon Comments'.