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HomeMy WebLinkAbout020-1046-10-000m,omv xeemm:m, semen,.: PRIVATE SEWAGE SYSTEM ° S( cmix s,aN Inc 5J11 oia.:: INSPECTION REPORT GENERAL INFORMATION �- "T-'I =ar I _ �de�Z. Icw^CA Icw^1� .I ai^ a^w,,...-DVVN D- Ivo20-/0�14-/D_MO /eoQl. A6indevn dr $d[:...� aSE ,•NW•.,l9 29 ! TANK INFORMATION EISVATION CA.A MANJ a-. = uPA.,rr .- I IT- _v OOD yL )64. iao zBoIki"Zta M C 6' eo.z TANK SETBACK INFORMATION o.. s TQIKT7 'i 'I 4Jeyh�� w_ 3-J- 1 :, - x an p: V S.� -._ 7o 191 Z Is" 34 4+. Oe — 7.05 7.h 35 _"' 7.7195.5 -.e V�j e:I .7 9i, PUMFIBIPNON INFORMATION.°" :re Gpm s i Ca+ 5 'Fi.7 jrm m, sum", �,..,.... — y40 A —. Kc 2a• ME J, - w. u SD 3 "., - oISTRIauTION SYSTEM =ITa;z a/ $OIL COV ER 01ry ......o , reefs , 5 COMMENTS nmu - rsvecenms o-som oreeert, a:I me � s e .+. e- L ZS6 Caw— .G"," m".w�-6nt�Pv�q lde�tita lb +-- w m¢pion nw P 0 Box 7162 6 2�19 Madison, VJ 5 7074 au� 2 OnIL`j' (0l 545 7 ..:. ut n. �. — d. trw � saosssaw unp System PLOT PLAN PROTECT John Gomlek ADDRESS 868Tame2nklane Hudson WI 5M16 SE 1/4 MN 114S 19 /T 29 NIB 19 W TOWN Hodson COUNTY ST CROIX SYSTEM ELEVATION 93 7/93 6 5'below grade 8/22119 4 DATE BEDROOM CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TAKE MOUND SEPTIC TAKE SIZE 1000/280 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 3 ABSORPTION AREA 891 p of chambers 44 kk BENCHMARK V.R.P. Son= of siding ASSUME ELEVATION HW Finer Llfeurre Filter ❑ BOREHOLE 'O WELL -H.RD. reme a5 benchmark Scale is 1 = 40' unless otherwise noted Scale = 1/4" = 10' EMshng4 15 Well property Line Bedroom House M* 30' Tamarack Lane 12• 15' B-1 5' T ST 8' p 5 5' Fence Old bnHpropclly Drendield Fine Packed 25 B-3 J�ng nt Vent 5' QWek4 StandaM leedung Chambrr 2-3' X 90' Cells with 200 fit of Area and 3 In 5 6fNDpmr of eod caps Dade w SystemElevanon B-2 34' lcicop'v \� Found pence post All piping shall be ASTM SDR 30134, wn1 10' of tauR piping shall be ASTM F891 Cover Page Shaun Bird Bird Plumbing Inc. 1432 1201h St New Richniond Wi 54017 715-246-4516 Date6/2P/19 OwnerJohn Gornick Location' SE114 NW1/4 819 T29 N,R19W 868 Tamarack Lane Hudson Manuals Used In -ground absondion system (version 2 0) Page# 1. Cover Page 2 Plot Plan 3 Chamber Cross Section 4-6 Maintance and Contigency Plan Fiker Cross Section Signature License numb # 6900 System PLOT PLAN PROJECT John Gommk ADDRESS 868 Tamarack lane Hudson W151016 SE 114 MN II4S 19 /T 29 NIB 19 W TOWN Hudson COUNTY ST CROIX SYSTEM ELEVATION 93 7/93 6 5below matte 8122119 4 DATE BEDROOM CONVENTIONAL. %%% CONVENTIONAL LIFT HOLDING TANK SEPTIC TANK SIZE 1000/280 LIFT TANK SIZE DOSE TANK SIZE MOUND HOLDING TANK SIZE LOAD RATE T ABSORPTION AREA 891 R of chambers 44 BENCHMARK V RP Bottom of Siding ASSUME ELEVATION 100' Filter Lifetime Fllftf ❑BOREIIOLE (DWELL - H R. P. earn¢ as hism ark Scale is 1" = 40' unless otherwise noted Scale = 1/4" = 10' 15, well property Loss >50' JO Tamarack I -Tic 12' 15, B-1 5' T ST 8' 5' 5' 5' Fence Old line/property Drmnfield, Lre Frah d 2' B-3 Vent Vent 5' �6. Qusk4 Standard of Cover IPscDrop Chamber &3'X90'CelIs wnh4A 0 fig of Arse with di spacing 5 6ftc2/pan of end caps 4 Wn g l2" Grade air System Elevation B-2 Found fence post F All piping shall he ASTM SDR 30/34, w0 10' of lank, piping shall be ASTM F891 Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cress section for 2 of 2 calls Quick 4 Standard Leaching Chamber with 200 112 of Area per Chamber To be>i' above grade 5.6ftA2 pair of end plates 9 / Finish grade elevation Tweet Installation \ �( 96.T Vent Grade y Vent 3 �30/34 Septic Tank 3 5' Long t 6' S' Long t Orade at System Elevation 3 Gadc at Sy xm Elevation Spacing 5' 23X90' halls Same on other end observation tubeNent At end of call A 22 chambers per call B System elevations' A 93 ]' e 93.6' POINTS OWNER'S MANUAL & MANAGEMENT PLAN Pra_d_ Ga a � BepO[TaM CapFtl1YI PgmXP EepEc Tvk MenubSue IG PARA]EIEl16 Effluent Fibw r.4lWaLrlU Emumt FlWMCdINA Pump Tank GprryyENmeted Apw e 1 WRgB) gubday Pump TenF MYrvlrNnrDae1TI IMa'(pmk)c Wm Pump frambeWmSW Apptimtlon Rte apMe �far pumpMmelMorMNerere' Dtl ] Greene (FOG) WpUlmnd Da [demand PM) Tad surrra.e sad RPM ]p 430 my1 oNA nwmyl PreLe zit UnaFeb. o snklGeM FMr oMatlianiy Arapn oW oDlmnlacbat Danner Pdaddemed parade OWMy Bvlandy Orefield MmaM((Wt Total euepnM]SOIM R]G) Frew GlXodm (ymneblcmer) MmMy raiders "M MI 9G myL StOanFu Wml D Icarts) OIU M(9r ) olnGmem lrwmb.n 0At.Gn]a 0AbuM 0DdI OWler Matlmum Effluent Fa4ob SYa p r ylntlla ONA w'°' o,w DMr ❑1N Yaurppallwmreduovuwamam rµE urd arum Mea' ohot BaMor E^nt 8°nkv Frruodry dnye7 NnvbrIXMk(n N4estm®awry' do d]We) oh9 Pumpmdlnkls) ai� doedcombined edues onatblol lM oflnikyyATN ONA Ymmtl depalxl orlon INtreat odor awry oeaenh)09 (lygdnum]ywn) ❑NA Glen stllusnt our At IaM Want ewtl orM(s) o her np Pedro. 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Ilno rtpemmmt ua ueveYYW B IWM®cork mry Lb IMNIea a e YY �eeMm2pmre 0w bW PW.TS o MARO aA elgletle auJ abwry0m sY+M�u m.r tie iaTnanbea Y. Pla'x foYVMre �env^sl M uu Nama181 nu IMke1Ne wnxe. Rawroln�woa m Wmcy.mmamannmpy..maa wb.mmYamrr core. «W4 NINP» Sini HYPAOOENNWY CNONBISARDORNFCNT.p1 EWERASIRPIlC,PUIaPORMIERAWENTTAJJ MUNRRCRMTACMDANYYRLT.RNEOA PER%ON FROM HE HOTRUOpT O0.1YP11981BLE APpnoxa.caPlNcxps _ POM81RmALLFR PUWISI.WNTAwOt ��' Plar S - Wane 71 SlPTAOE INRVIgNP OPERATOR PU P LOCAL RWUI-A R AUINORRY Name None !f PF �0 —YPl Me llas wawereM InawiNwa•aaBG6 Y]zy'll(Ef(II(a`pb con Y3 altl, R1A21.WvaanAgnNletlw Pna V-b NOIIJ3SAdis / I \ F Ir 1 I m y SY OO7lOZ S'I' CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK '!his is to certify that pI have PP cted the septic tank presently servmg the Z)O Af Go 1.Jkl UL residence located at. Sin U a A") n, Section (�TL6_N, R_L_LW, Town cf )� Upon inspection, I certify that I have fc,el tF.e tank and baffles to be in good condition, and it appears to be functioning Properly _act time serviced: )'lei 20(% _.d flow back occur from absorption system'' Yes L No (If no, skip next wine) doproximate volume or length of time: gallons in,tes _ acity. /&r o Construction: Prefab Concrete Steel _ Other _ ..aou[acturer: (If known)10L*'liZ AGa sv�✓ ae of Tank f known): l5 'at We(,avlease print -112p2f zz6 (T tie) (License Number) �a �e Corm to be completed by licensed plumber (s.ias 06, Hiscons,n Statutes) Or Licensed 0isposer (MR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: rL accepting the above statement regarding existing septic tank onditlon, I certify that the tank to thq best of my knowledge will conform to the requirementI of ILHR 83, is. Adm. Code (except for inspec`tj opening r outlet baffle Name ✓/In �'.�. Ve Signatur MP/MPRS z L ST. CROIR MINTY SEPTIC TANK MAINTENANCE AGREEMENT AND p OWNERSHIP CERTIFICAIICIN FORM DR'e4/BY}Pot _ �A � C9 M�Ada 4 Tq Pm mty Address S'a+.� Na�a.maaaPPef RomPb®es s �elrepwrmlmvewcommmw/n() Gb/Staa Pmcel ldwdfi hoo N=bm LEgAl DRS ON Pmpvty Locerion��Y.,f✓�'/.. Sw. �� T�NR�9 WTowu of_. CePRDad Suv Map# Vclme Pwo Wa ty De Vollme Pegep Spxlmwe raw 6a wthm,mmtifbm®m SYSTEM MADIEENANCEAND OWNER CERTIFICATION ® ImapaPeruwemtl®m¢u®ceofYm<aepocryaRmwWtlmWlw i6 pf�mhpe6m¢emhaedkwav� Rqc wmub ofp mpmg mnme vgmcvN evsyma yeas oreoms,P mdm,bralmamelPmLc Whm>wpmmm meo+mmm.aealm ramnaaarme wm<maessao-®mam.meemtbawa.m dope.a•m� oaffime�wme �Ou b3Gnme epsfiM �u 9f 8352(1)aW mChapm l2-Se �mzGmrySemWYOVEmuee, ILe WPPmhowua agemmgbm¢mSe you Caaah PLvwo6 m2aam81XWmmta mWGupmlmva IIift Yme wua avd by a meta Plmb¢. ]ommYm+u PI®tm. tmmemi pLvabm m a Lwaed PamR +m�fYm6 mal (1) the mai¢ wmfematu dmpmat eYalem u m P W �u oPaame wM14®enNn (2) afla wptetiw and Pm°Pae I1 mceuaYJ. ®e eeppc bvk le 4sw they llf fill ofebMgv Itx.Onuad¢nbmd 6e.'e.we meabore acgauemmamtl agm mmm^n.^ IMPnvate vcmge dupwelvyammwimme emavN mRem.lhllymutbYme�al+mmaat of GmmawaodWDapumeotof Ne". wibit m CcIIIIItypke C.AbIII;D 46de wzthrmQ&yI; fftm eya®mmtemedmunbew�lemd avEaehmedto We St (Yo¢Co®Iy Ple®mq& 7wmglkputmutwrthm30 days oflhe tivee ¢apuatiw (atc Vwecem[ymat all embm® (o®ye yaem Nebvvtof mYlom kmwkdge. Vweemk¢[haunna(a)ofWa pmpatytl l�NahoeS M1YvaWeala® deW nwNalmRe6irtu ofDmL OB . NRmber b I AfUlUt UFAPPLICANT(S) •••,a,rmr ummnu m�eaplamed marmuumme a Pa beiugm brma Pbmm6 azm,og Dayebnmc ••• imlode wM ttiwapph�wa rtcoNW wyt®tydaad fiom the Re�a[erof0eeds G�ceaeda mPYof LemhGedeaYrymy if rzfineme a mda m the wmaoh dwyi. (REV. ms) csr-aulq— 00 r� - SD \5(J •EVA1 ATION REPORT cw.o�as.roN 6 �O'RFIG 2 2019 `e'^ r r i>v „n,..) a.a ro '4 wler«'aa>,wnuem lo..(auco iuoo. .e7 0- Please P nl nll Inb.msllon ne 83a 19 _ aon ln5 5 *Z al a.r.wnasm•.. Ca�Y we sm+ see oaw ce — _ Nob ❑a.ZLM-fiwx�x..at aom C I I ❑Iw.cv.nm>, roe, e....a e.�w..,.. 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The Dep If Commemms 8""'1 opponualrymeme pmv,tl Ontlempbm Ifyau"m....eNntt Wae¢uttrv�aam mmm wml m en all t,fw t, pleas cmuctI de mnent et W82"6151 a, T 002CV77 Soil Test Plot Pla Project Name John GDmick $ n lkrd Address 668 Tamarack lane Hudson Wi 54016 STM #226900 Lot ----- Subdivision --------- Date B/22/19 SE 1/4 N W 114S 19 T 29 N/R19 W Township Hudson Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 1L Bottom of s ling System Elevation 93 7/93 6 •HRPSarneas Berehmad( Scale is F = 4� unless othemis noted 111MI _i mpeny Line 'ence me/propeny aoe end fence post 1—