HomeMy WebLinkAbout020-1441-86-000 (2)In
� PRIVATE SEWAGE SYSTEM 5:. QOIs
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BRENT HEEDING
020.1441-88-000
rm[ QMAT[Mx1iq Ale
826WILCOXSON DRIVECaystar
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COTTON RIDGE IST ADDITION
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PAUL R KOEHLER %®�jG 25410 x�� TkiS2062fiB0�
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321 WI CONSIN DRIVE NEW RICHMOND WI
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SCALE N
6bptlmom 3iRENCH11ES TRENCHES
PPE0SEC BELOW
Home SURFACE WO OM OF TRENCH
FOLLOW CONTOUR
WELL b HE FIT SWWS36T39RL9W
LOT86
Week, 1260tank with tablet fillee
bstlng
O
Current drain Held. Failed tlobgopheis
No FILM in trying in reuse R when the
(Op hers filled it W¢h=iL
3 1Pq foothrensryas s1iIgAloatling
ef0i of system 3u" below
grade.
CONVENTIONAL COMPONENT DESIGN
RMldantMlAWIcahon
IND" AND TRUE PAGE
Project Name:
BUNT HEDDWG REPLACMENT
Dwn es Name:
DRENT HEDDING
Owners Address:
823 WILCOXSON DRIVE
HUDSON WI
Legal Descen: NE1/4 SW 1/4 S 36 T 29 R 19W
Township:
HODSON
county:
ST CROIX
Subdimlon Name:
COTTON RIDGE IST ADDITION
Lot Number
86
Petal ID Number, 020-1"1-86400
Pape 1
IMexaM tlYe
page
PM Plan
Paget
Snlem Slrina 6 Ctms-Semon
Page
_
page
Maintenance lnmtmetlm
Page
Management Plan
Pape r
5[ Cmu CN Septic Tank Mar m m Farm
Peg8
Wamanty Deed
Payee
CSMar Plat
{X jb Ro;' �gn(FOfw.
AVedlmeMa:
$pilTmtB Hovae Plana
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Designer/Plumber: PAUL R KOEHLER Limse Number,
W225410
Dais 10/02/2019
Phone Number
(715)246-2660
Signature
of �p"WIMM to Na la ur Bo Boll Maple" CwrMMint ManwI M PC S VOMW 2.0 SSDIWV6 ln.01MI)
Paw 1
SCALE L ^ _ 40 Fr
4 bedrooms 3 TRENCHF3 STEPPED 3V BELOW
0(rv¢way Home SURFACE BOUOM OF TRENCH NI
FOOAW CONTOUR
WELL O HE V4$Wk%S36T19R19W
.DT86
Weeks Red tank with rabid filter
Current drain field. Falletl do to gopher's
NO point in trying to reuse It when the
(Op hem filed it with sell,
31M fool fomenter sizing Oleading
re. Bottom of system 3V below
grade.
SOILANSORPTION SYSTEM OETAILIGNpVELLESBLEACHING UNIT Pga_m_
Prgecthams: BRENTHEDOING
3
No. of Calk
10
Per CNI
3
ICell oft
30
TUMINadEZ12031
100
ftCan Length
500
ya EISA Per Call
3 ICod spe[InP
MO
an it Total EISA
GrevNlev Leaching OnItManulacturnI INFILTRATOR
Graveness Leaching unit MoaN: 1203H -10FT
Typkal Cmea Second
FlnISME Grade_fl
Observation PipeentH
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PprovPmvaEotop ortent
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L �Gpmpyile
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n umWng Factor
j T
/LI^
SbNE and Anchored Vene
y ____
_______
OhcenNon Plps MN Cap
.........................................................................
PlumbeadDplgner Signature:
Licenser: 225410 pip; OCT 22019
POWTS OWNER'S MANUAL & MANAGEMENT PLAN
Donn BRENT HEDDING
ask canary, 1260 0M
PemAI
M
ank MwA mrW WEEKS GNA
Mussm PAMME s
RIW Mmrmacru�w ZABEL O NA
[f Eetmome
4 0 NA
firer Mosel p NA
M Fail Fclity, Uniin
MNA
ank Capacity 9xu
al
flow l"v Q
400 Wd,
ank Mmutc" [NA
Funk
ow Ipeekk f@ me a I.fi)
600 am
an&Mm )ii µe
cam, Rare
.4 .W /M
WM AN4
lnfluenVEMmmy Query
Mo my uvwepe-
unkir �11 NAFew,
Oil at Greaw IFDGI
WDHMH�JDOD�,j
90 mi
G wd Hhf D fam Rhermkal
Orwpml Demand IBOD�l
a220 mprL 0 NA
iul Ae' m 0 wMiand
Track! SuepmtM Stun ITSM
of Wml
0DWMwtien 0Other:
Effluent Oualhy
MOmtry arvape
DlgerW Celllal p Nq
mical Oxygen DHMHtl JDOOd
AC mp4
minUrwnt lnravltyl 0m3mnd lWnwu WlTOW
MalmtlW Solbe 1TSM
QO mph ONA
0A[GrMe 0Mmnd
mal C Msmlimmemc mean
zt0'OfW1DOnl
DMri 0Otrer
Eff{ partab Saw
)e Mtla. DNA
WY' DNA
floor
D NA
MAm DNA
VeWeetypkY lm tlomntie waewwmrantl sepia win eMuart.
emu' DNA
SuNee Ewm
SVWm Fepumar
map= wralmm of nnkbl
At NN ono rvry:
$ masblal IMu]mlm9 pRj
Pump ON comenw ul Lnklal
WMn conni sludge mtl [mn mi rammed lift M tank voMmaImago
diswMI Oaks)
At beet onm wer,
3 DNmW Iel IMetlmum S"1Cken
sadism lihs
At cart Pots evvy:
SIi1Nvet
Inawal pump. Pump nmmia S alum
At ben onm every:
.. _ _ D munfihP _ _D .windRum
Wends wo we a [Oat
At sm anoe every
0 mono' al
At)ews onm savry:
DmwMslD awe)
I"3p lens of ones and !departed calla Nell N made by an-mddandi turning One M Me following occur or Mrtlllmllone'.
Memu PlumPm Matti Plumber Reatnmed Sewv: PWai Inspector, PoWTS M inamm : worse 3eysia, tpe o,, Tank
mw,,wna m,M include a vsul Impewarn mMe tai to Identfy any Mang or waken hardware, Mernily arty cracks or laws,
measure Me volume of commi slums, and mum and to chi for any back up Of goading m aMlumt on Me pmunw cuUm,.
TM ditpsal cellist mall be vsuelly inMoMW M check me indium[ joule n Me o mewflu n ppn and to knock for any pondmp
If effluent on Me pound oursm. TM standing of affi t on Me prwM surface may Intldcma a fallen MnM'mm and repuim the
imm m, nu am" a the awn rpWmiy, aMpny,
LlNren the mamma acwnmmal M saudpe and cum In any tmk be, oreMdk in) Or rams of Me tank aolums, tad erode
4Ms of me tank wall be removed by a $adage harrowing Opow, end dlpM Of In vivrtlanM whit obpwr NOR 113,
wown6n Admdn'urreww Cnde.
All Polar eervmeb inclumen bN not Gaited to Me wr icdnO Of of l flhers, m chmmel or pnmuvew romponeMo, commitment
umw, and any Mrvknp m iaervme If all Mamhq Nell be PMmmad M a c W POWTS Malntalnc.
A eervse nal stall be Povkletl to Me bud wpudvory ambordty, Oman 10 days of compiWan M my x-whe event
START UP AND OPB VDN Palo, Zn v
Far now mnaOucMon. prior m uw of me POWTS check VeaOnern Fill for Ne Kamm of painting proem os or other AeNcew
they may impede be "eon Mum" motor ¢mope W Ashland widal. N hmh wcartmore are eeeoma ban Me ccmmb
arlye ankm deal by a mpteee wNcmg operator poor or on.
Symn rt m up Man not Occur when Sou amenlm , an /mane M Use IMrmadv. wrlp.
Duane Pow" consul pump tank, may fill above normal Nghw,m From. When Nw, u recanted the "cue wattmeter will W
ekcMgm to Me elaperaal cM0) In one Ions deep, oveeoming Use cents) and ma/ rwR In Ma mend, or surface el Me of
effluem. To word er'w ahuNim more the emtmb W the pump tank ummol by a 6eptrom SsvkPp op mm poor W Ma
Power to the offil pump or much a %umber w POWTS Manteinw to opera an manually, opmeng lye pump controls m
meme, normal mall within one pump took
Do non drive or Pork whim, now mks whe Awl near Do net ell o•pork ow, IF orlwrwm dNtuR or nmpes, Use Now
wNNn 15 font down aloe of my moon or attract, eoa asympean done
Rku Wm Or duninul of she ful from the wastewater men now improve the performance and prolong the fife ed US
POINTS; abnormal s: baby Wor climate butt; mMomq cotNn SLAWS: undo : demtl Rove: butim; dwMental UT
foundation own hump pump) wale: huh and vepefedle Po )firm. pdolim; pmme: toroidal : inert Olympic meeimamm 0;
wimirp preaucra: comment: anyone napkNa: Neutrons; and wince whegr Sam.
ABANDONMENT
When one POWs falls metro Is pwmmental taken our If m," W following Seeps Wall M Idiom to some Mar me ayaVn Is
comedy and samN award ... a'n compmmm win uprom Comm 83.33, Wixmen Adomistmo, Coe;
AN Piping W tanks" pits"] Me disconnectM and one abandoned postmarks may.
me.Dneet. mf .II tank, ma plm.nwn b. rmm.k ma noperN mwwwd or by a smtape s..i.mg OPwan,.
After pumping, m tank, and dons shall be .....mml .tea removed cr their covers remmk and me mM tr mer Blow with
poll, grovel or another sun acted melket
CON GMM PIAN
If me PORATS fill, and cannon be FOrmil me falowmg man a ham dawn, or mum be take, to Prudes a code wmpuan
rmlm;nmt totem:
❑ A &Wmble ramenanM area has bean Orman ea Sena only be ualek for the I...ton W , rmm®nan mil kmrpbm
ryeam. The replacemet was Should M promctk from aiAUNnce and model and should net M Inmmged upon by
required mm,k, from uleme and promak aoucmn. let now and wells. Pallun to pmtm Ma plum , ern win
Msdt In the head for a new roll and Ske evoul m nt,Vsh a story, replacement was. PedwemeM symmu moat
windy with the rubs M Meet at qe done.
❑ A suitable npl.mmant we, "Shmb do, to Setback mbior red Sortingm
s
advances 'WANTSS
to cbpy. holding tan mincurredhe incurred ea a Sort mum toIxlyWa e e mrPOVITS ' ry
abe"nobear I RD4NIH 11E1� 9"D Q-/✓ LSNSRKst Jt VIA
❑ Mound and engross am1 Wwrp[lan ryaema may be r... nrOuetk In place followog remove' W me bimmat et Ne
infhral surtam. Rwmam;nionS of Such saltines must comply with ma min'm.fbR n Net time.
<<WARMNG>>
SEPTIC, PUMP AND DITHER TREATMENT TANKS MAY LONTAIN IFTNAL N U ANWOR INSUFRCQ DX 0M. DO NOT
ENTER A SEPTIC, PUMP OR OT TIRMR TANK UNDER lWY CNCUMSTARCM. DEATH MAY REFULT. RESCUE OF
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFlCULT OR IMPoSSIBLE.
MW INSTALLER
POWs MY MNER
Name
COUNTRYSIDE PLUMBING AND H
lNb Nam.
I PAUL R KOEHLER
Phone
715-2M-2660
I Phone
715-2A6-2680
SEPTApE WOI1NG OPERATDR IPUMPEW
LOCAL MWNTORYA DRITY
N�.w'��
Nam.
ST. C Za!/U
Mona
7754281025
Pmm�e
-7/S-38rp- CORD
The Fwunwm vow domed in Dmnywe was chance wmm SS.umlbinnN6m nd P urkl 1, (2) A 01, Wed ... I Aamnnrn'rrS Carlo
".CROMCOUNTV
SEPTIC TANK MADRRNANCR AGREEMENT
AND
' OWNERSIUP CHRTD+ICATION FORM
aY um BRENT HEDDING
M&JJftAdaR,a823 WILCOXSON DRIVE
PropeMAdd= SAME
Fillillul linrwvnm nuts ektmyMze—mDepomtemkrommmmmfios.)
CiyistateHUDSON WI pmudMeatiEomiouNambm020-1441-86-000
rGAL D N
Pmverly LDeadou NE v., 9W v.,sa.36 T29 NR19 w, Tomnor HUDSON
swan-;aioa�az: �p86
CertNed Survty Mapq Volume papep
Warranty Deetlp (Il .2007)Voloum_ ..,
Bpxhmee Dyx[bv Iollkveidmuyble DYmpm
SVSTEMMA ENANCE A" OWNER CERTOT TION
�a��r mamadvWakame Wyom mpticaYesaw atald 1,,Ma N peamwrt Miles, w bWle east
Pam➢we om Me se➢& Iaek a slue, Ywe yr wvovt. Saee]M. M vlkmred MV Mmw avn aEMWPorcdon oflEe+ePbcdnkveo-eememvl. PIm4�^ieWnm WaPmmro
rtapov¢Lilitic,areepecifiN la g$P6.38353(1),atl iv ChePIttIR- $fqv (qn daFeW eplmr. gwerm¢ieleuv[e
ay Jerypdinewe.
me WWenYowwaDemwaubmilw St Cwi Raory Pkaalae&zo,"y Mv�meaamCfia4m Nm, elVAl Dess"anmmod by a aOlumba.lamrcYman elamhes. �mpigN Plimhr we limwi Pumler wiryiag Ihy (1) 0e bYl6c own, m�rteP'emn �gpmlaay� icin�.Opp OpmapytwmiEDnandNr(3)nMMapedimaMpumpiag.0[a6eeeery). Me eepNC Wkie
IMe. Nvvadempedbee'armLll,eabay,egpyemay endap/eemm®ytin Me privets sm a, MapD®I ryes,,"M Me
ePndarN att kNs, kar ia, a ad by Me Deperllpmt a5akly MdPmksvioml Smiae"Me DepuOmnt of awes RpommS
amp DlWiawnai¢ Cm4fiMiaD aptly Ipal Yaaraeptlery[4m Wa Wva mvmewM muBlbo mmplNeEvad MumW ro0w 9[ 6ov CowsY Plemine R Twdy Depaesome MWw 30 GYe Of We IMm na up�dm GR
LMn cmiy mat an eum We wrm ae, 4lww WOben OlmYYominowBdae. vwveWme Meowam(e)olMa waPPtl1' MaRIMni at by vlme wwamY deM l,=k,J Is pallet", ofPoeN Office.
Nu of bedrooma4
1002 as
SIGNATURE OPAPP 1CANT(S) DATE
euMY wMtwwion Wmis mim.Pwceomd slay seen to Me ratimrypaam heft&rtvoked by Me PlevvMl& 7w peperlmeaL
Nelda wCb Was intion a QWM xm W deed 9om Me Mq;i[mr DfOveda OfT and a ropy state ase,bad aaaey na,
avhemx is mWe In tle aam deed.
tpev.00181
ST. CROIX COUNTY TONING OFFICE
CERTIFICATION STATEMENT /
FOR UTILIZATION OF EXISTING SEPTIC TANK(S) J/
This is m certify that I have inspected the existing septic and/or dose tank
Presently serving the following residence:
(Street address)823 WRC0%SON DRIVE located
at: NE ya. Sw Y., Section 36 Town29 N, Range19 W,
Town of Rumsory , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the taok(s), m the best of my
knowledge, will conform TO the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service 10 xW019
Did flow back occur fmm absorption system? Yesx No
(if no, skip next line.)
Approximate volume or length of time:
Tank Capacity: 1260
gallons minutes
Construction: Prefab Concrete x
Manufacturer (if known). WEEKS
Steel Other
Age of Tank(ifknown): to YE s
Pernumber (ifknown)
PAOL R KOEHLER - - - - -- -
(Licensed Plumber Signature)
(Rini Name)
MMTERPWMBER 225410
(Title) (License Numbm) MP/MPRS
OCTOBER 02 M19
(Date)
Form to be completed by licensed plumber (Dept of Safety and Professional
Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Coda)
Rev. 2/2012
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GENERAL INFORMATION
v / PRIVATE SEWAGE SYSTEM
V13 INSPECTION REPORT
(AT ACNTO PERMIT)
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