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032-2109-80-000 (2)
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Barritt lnsp. BM Elev: C] ,BD TANK INFORMATION TOWN OF SOMERSET a T•w\ r, Lo v*e ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing \\ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 11 Dosing Aeration PUMP/SIPHON INFORMATION Demand STATION Ta 1� BS HI FS ELEV. O 5 Benchmark Lj ,I�t,� i,�7 100 /od Alt. BM Bldg. Sewer rat 8T o + 10b,Q5 aA�.1 7.) Dt Inlet Dt Bottom Header/Man. CI 7 T , IZ r 58 p L4,3o 47.14 But. System St Cover �gll �I f SOIL ABSORPTION SYSTEM 114-1t ., t\ J--%\ BED/TRENCH DIMENSIONS Width \ Length , No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO I PfL BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer Type Of System: anV nY1 o,m �� , L t ` 7 Model Number. et C%J�f L1� DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake , �'' Pipe(s) L;� Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Bed/Trench Center �� Depth Over BedrTrench Edges � IZ %k xx Depth of Topsoil xx Seeded/Sodded zx Mulched o COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: Inspection #2: J Location: 176946TH ST - (b„ U) VN0+ -`\t- RG►r,► sys�{ bra hiT 1.) Alt BM Description=�T\Si-, tr^v'� (O,VA'r ! 2.) Bldg sewer length= ��\S w., p�lC�`-/ ��C,,4-e, - amount of cover = �J r T'1'b L`+ T�'t�i v ` - — vtyh. c wn kv,44n E�•J — Voil v.*- i 0-5+4 1 W i-o ems. CDU`si �� SD i Plan revision Required? ❑ Yes No "f to I� � oa� Use other side for additional information. i. ( �L I { J SBD-6710 (R.3/97) Dale Insepctoes Signature Cert. No. o C SY: 1.8 di a 2.A a HC C E P W D JUL 06 202 bdu*y Service Dlvniow 1400 H Wae�a Ave �t�' C�jil X ■by Ca) F• �' P.O.Hwalle2 St. Croix Count A4aditwa. Vfl i3707 9lQYPDmitN��6er(b�X6yefieed pplication mwommr=wohSesmztm,Wi.Ada Coknb�deebutodw I pvawnrmtw r*pdAd& .(ate&-wn&V.aaae) is 44- priwboud:s•..iipamskNow Applliee.fb.ambomeWPOWIS.er=kwab the DePat■■t dsaft d HeFsmd Sawa Awed efwsom yee lawrile ■wy be rd aw s■dwy bsemhMw&ft Law-sl 1 ■ 9qa j -- -_AAI > @\ C< L AnAtmOn luftn=Yw—n1 Pdo AN Imbir NLw Awal)Orav'abi ` W I LLjAM NWussq F: °Rj ►a dI (7 3Z-2/0f%-61i -01)0 A"PwtY Ow.ar'sIll is SAd&m no"loedim 7 lll7 6WEEI — cwwt La _y- V,_, - V,scum 05- 01y,aw zip CO& php Mosby aly ET 5'iDz T 30 Pt s 1�1( R. Type eft#iiAS(Awk ei&" apply) tot# i sw6dr,dwoeliae t a 2 Feaaey DwaU*-N■ bw of lledeoo■s �5 (EzvMe ow-E y &-g ATE-S efort# ❑ Miiaommead-DecBeuw: — ❑ tlly at ❑ sYeOwsd- Doaibe flee ❑ vamp Of GsM M11115116 Towed SOMlaK—% c C IO.TypedFenok (Cbrrkw■ywwebrwriwe A. Caawplef imp B(faPPIl ble) A. ❑Nwe) aspirant sywew >0 Tlaewmw1tp13wa T&*%P6mnes0* ❑fWwbladbolbwb 6oduesp=n■ta�ism) IL ❑%m*Roew.l ❑ChwoofFb■bS 1114 - matrbNw diseasesjG sad lidobow Dews 353ZL1z i/-z3- [V C]edi Na-Heed ❑Pfrdir(i®d ❑AFmds ffya.d>3{indaiksd ❑bfwwd c7{ia dai6lpeoe tdddseTeak �O■vDkopestr,'dpo®t( � R.bc v. Assa lafwoNec - DmprFbw(w0 De *5WAPplitim A■bpefdsd(30 ffiwpadAMMMP ■d(� y wo (%.7 85714 .$� VLTa■klafe Cepwdlye Gums TOM (ill■w #d Ibei --�aa_�pw(��}- r . /'-1�• Ns Tads F�stYa Twte � � 0 4ePeip.eai..q,.k i zo i x Sfade■MMt-GLLe 12ram irf�pirip.dsY lO�wl'[SMw.�ale..ea.. Flwb■'s N■ap Pbebea'eS�ade N■atel eewe®pbmp Nau6w nJ6 5 z z�ros7 -715_ 579-z956 s Addm (sev{ Ci9'. sedr, Zip Code) " 5 E. M E C't}t7)7T 1015 5-L172 vm uee APPew.ed 14wi Few Difthowd sie.a.e ` �ErDdl ZO u. COMMM Appe.a.lAf....w it Wm*pr..d 95 EM OWNER: ptic tank, effluent filter and 3 Sa+ Ctt�� aR00— persal cell must be serviced / maintained ct4— 3.0' R�rr#Qe. � er management Ian provided by plumber. ,C e� 0 1 seloacit requirements V'aea}wweree�aiHar Pie■ ,u}a�r>app per applicable code/ordinances. Sys( w . v. ve t 61 GGC�CD�C D Plot Plan Page OXofy JUL 06 2020 PR(FE[€ , OWNER: Vjl (, CIA A1gL.1 :Z::nA ffl MITT Y = 40 FT. Community Development! 1 (except where noted) M 1dDescrhW n_ 4? VALLEYbadchoepd SAC. OS' "E-. tj K 19K1� ut�pt Ct= summ5er, z:m tgw isagL!T4-j,00-h `K�. Nato vG0? �+Vsr��Y. uoa-rnv.c Site location: )W4- ,c-�Copy R iuN S,> h s5w^� tOD.D9� D,, N°z�51 -glh55 PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet coawme r Manual Down References: Version 2.0, SBD-10705-P (N.01101, R. 10/12) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachmnts: Enclosures: r7 sees POVVTS Application for Review f L �+n isra2 �s Soil Evaluation Report & Site Ma ui cs -rAA1K 00LEAE T LQA Nr � iC1,65 hIDKIC Prqject Name / Description owner Namsts): W i i L-i a1,1 AA E4 sb.fl flK1z1T1" Phone: - OwnerAddrms: 170 410f� AVlf-�Nuc-+ Zip: 51f Project Address: (SS GOVL Lot — E u4 of n;E 1/4. Section es , T—ZN-R Ig EL..Jor Wn Township: county: ST L KOI X Project Parcel ID * Designer Information Designer Name: a16 AKV Phone: 1-7Z,1� Designer Address:0N?'1 f6d!6 AATHtqRs C+.FQ�t+T. tA.X Zip: 64%SD E-mall: k o l l i sf"J es utn C,' pjj l aoK .dorms This `1r�4'6lpl stamP. .+N k+. �Eo7:�. I. A License Number- ! 922 - aD 7 mo �+►� .S' Rearks: ) p * •HUP V JO •. S Q 1889 ) W1 ; rMrr Signature: Date: FM*W d on • tWniEed Copy. r Citi REDOWEDD Plot Plan JUL 06 2020 PROREt�TI(CMNER' wtt-IAA ' Aj-go::-nA BAR-sti-r Community Development l or cEl��t� v�uEY NE` rF Y4� 51w- 05�-r3DN�R t 1 rJr 'tvWtJ G� �o/b\�K t� Sf C"IK CDULI X. 1 afann.�a w\ _ r" t4e.-�h / D$.—JD9^;:t-- E.Vs71NG 12nOThMR Site location: pap ,x(*y 40Fr. (C where noted) n=Pit 3, 00-CK-Us F.1 y � - q; s4ut£ IN "rv-slg GRru.N D JOD.Do ThD r1etA� 4h" Pam: 3cFq JUL 06 2020 St. Croix County IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ttTrench (downslz credit) SOL Couef n nnve w cn�...,, "SwpicTarrq rs.ie.� w�2K5 a.wengNww.4i Izeo V+ _ed _ad _od RbD : �U ew Els . Fll w heai: G7 - 110 TYPrAITRENCH . _ •,..:ti GROSS SECTION VIEW • ` _ (No Scale) •.. jv, 451-Mv{ Pfwtleoiirm 32 Syin, es.�ls t ssprsbs esYsse YaMrc cvc�► ors( seum.e++r V EM ci (Shaw iodim of ►AR / mad pipe mmdfm m pion iow.) Se Lit, I 8=1�4 iA -3.02 V0. TYPICAL TRENCH PLAN VIEW (No Safe) _ INSTALL PER TRENCH: Ir►s>,rawy ��, Irl Oiticl96WA20 ff E6Alrl�emhrs �J� E' W��wr�.�.r�lyda a �Patrs dsnd osPsAsIP B.aE^ /pst� 2i lF` -PrapssdMAjM0WM- I2` x mired har+ron am: $S7,f %r zj 3 i trenates -Proposed Teid EISA- R"du,0 r 457 /f1 Z 20 E ISA)LW I-T -92 L(3 uNcrS L{3 btu ITS X V l_ 172- IIXq=144, It xL1' LILli IIx4 =Y`/p L43 VJF.S/IiZ. D t7 m w O n A <AN-dGao-1SS 91 G,� G�,Ir_,° Industry Services Division I400Ewae6myannve Candy J�.G}%J1J� _�� aJ(U P.O. Box 7162 Sanitary Plait ti®bex(tobefflamby Ca) N 22 2020 ���Sj707-7(62 S3 apr ry P t Applicati Stake Trim NUR be St. car fa 1t PA.4i®Rw r1�Maimddls fco m the apt epet m i n wed ssq. Hale Ap mdM film far POwls arc to The Depvtmmk of safety sad llafeomtl sear i imml wfum lbm ym pworwe h remod.ny Rapa Ad*=(f&&a& Ihm ad3i®) ' MVPM i acmdeee TA&do :IS I m Stms l,yt/11E� L I�rmaO®- Pde Print AR liraaaam �y Om's y�e Pared d wl��{ann M�ussA i v3z-,i�-g -ekoO Pnnpmy L?RNW's MKIN19 Aa2V M@.�� Peopetq LAcwm 7 4 * of jaE k — (Ylrt LJ� 'A. r�l E. 1Q Seraon C'M.8tate Zip Cofe Phone Hamby aCC,^� ---- M— ET T_ H: R M Type orDdiiR (tieek d thr apply) Id d I or2 Faouty Dwdkrg- a9eahmm swmiwmm I (SEQA e VALL2 6srra�s MD* ❑ ntlrcoaaaetaek - Desste 0.pty or — ❑ sra OwaW - Dnla$e uae ❑:ity:of Cslt awtr of ID Typo Of P41(C1 xJtLMLWkm One A. Complete lie 8 if A. ❑ Haw � ❑ 7ralmeMioNu g'I)ee orjy ••� �• _- .. ( ) S- ❑ptunARaeaak ❑RemitReviaim L7 Charwatmoub R 1 [m hued Befre� °air /! 3— prrowt's an Wt adko hKiomd ❑ Pmmffmd h& q:3t ❑ m of adw kWd.%Twat ROdar Dpprsd Ca�o®t( ®) V. Dispormaltrrommost Ara Infi rr>•Owc mJ Fbw(wd) Dwp Sal APPlcmbm (sl) RapineA (� VL Task loh cwamty in Todd of CmHrm (dkom lies his ramaT Srywcs.itlW!lTmt r r. VI •LL Sbbnmt- Lthe N! ral kr�RrRee of N Phmlbr's Hoe (Pee) - 1 Munift's Addles (Street, City. Shoe, Ztp Cade) OS r. Rr SST+�� lull 5t17Z V!II [Le only 0 Anol.M ❑ Pew Pee Date hoed or- s ❑ Ommoor R®& Dmid IX. CaOM I ofApprwaYAtaaaos for Dual - SBD-6398(R- M]4) 4 SrgrlmrYrrtlJtm erCambw.b.apspee carry a111eim tai c Plot Plan Pve akofy PROPERTY OWNER: % I- L i.A 's BA Karr-r Loom on: ice{ 5"!, G�I�AR- V,4LLEYlsTEs N6� Lk%t� a �4/ SFC, OS T DN 'K 17kl� ''-ppWA) or �r�nr�i�K .t� Sr cKaBf �otArJT Ui15/'nw14 L\ _ ram, Site location: ---.., „, 1" = 40 Fr. (except where noted) D = baddvoe pit 31007teAz7s 06g: 3Cy IN-GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-R Trench (down -sizing credit) ai tt))u&i�&4Maj4,5A j5ojW-tT7- agaergel�tlenelsk 17- 0 tel _a —tee maw AbD : tA. 9# TYPICAL ECTION viEw (No Scale) 9ps0ern Elevation =_ t MWv9 Provide rtiniman 3 R separation beeveen inend3 . QirJ4 Sk dar6.W ve End Cep (trp") (San hlo®tim Of r outlet pipe connection an pie, vJ j _ `� TYPICAL TRENCH PLAN V" -- .--2 �•-- ,�-I- J���.i nett B=I C ry01 1t -i 3 I INSTALL PER TRENCrt (Wka4 �_� vn (muA Y�revw. aU _ Gtldcl Std-W e201r EISNtlmaaern t' U,YfWrrvun�i�r.�_. _ + ==:=P8ls0(WWopa®6R'B6Npalr. 7' R' Prquaaed ElsnnZ.ylru,- Ivj t' remu4ed YtMha/m Ana. $S?, "%t* 3r / Mi anes - Proposed Total EISA- M� 1p ObtrtbuUDn meoxxt: 20 blSfiJkN 17 syz.86 UZ y3 kk"l25 i r �13 tiu t7s x `f � I �y )Ix41=44' Ilx4'_`/N' � 1 :<L1 = `Irl 10 K414f 45 43 VNrTS I?Z. D 0 m w O n •P 4-4qFELD PAGE 4 OF 4 In -ground Gravity Management Plan The owner of this "round gravity system shell be responsible for ifs perpetual operation and maintenance pursuant to reWirements of SPS 3e2384, Wisc. Adman. Code- Pursuant to SPS 383 52 (21 Wisc. Admin. Code, this system shall be corhsidored a human health tward if not maintained in accordance vAth this approved management playa. Furthermore, all 'inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 353.52 (3), Wisa Admin. Code. Maraknam Dispersal Area Operation LimMa: Design Flow- __�022_ gpd; BODE 5 220 mgC; TSS S 150 ingt-4; FOG <_ 30 rngO Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, arc.) o mechanical matfunction (Le-, pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatrnent tank(s) and any distribution appudenarxo(s) (Le., distribution / drop boxes) o neglect or improper use (i.e., exceeding design cepedties, prohibited acfivities, eft.) o extend of ponding in distribution Cell prior to dosing o dosing irregularities - if applicable (i a-, pump re -cycling. float switch settings, etc.) c electrical components - if applicable (Le-, wiring, connections. switches. controls, timers, alarms, eta.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of etlluent or sewage back-up into shu turee served N{aMtanance Checklist MAINTAIN EVERY 3 YEARS for when necessary) "o Septic and dose tankfsl shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stall when the volume of sow in the tanlda) exeearft onHhkd (1JS) the liquid vohane of the tardc(s) or as recpmed try local ordnance..Disposal of contents shad be pursuant to NR 113. Wise Admire Code. o Effluent flliegsj shall be inspected every 3 years and stead be cleaned who; necessary to remove any accumulated solids according to manufacturers speeTications. A servxxm period wig always be greater than 12 months. System m aintsi Lance reports shell be atdrrdttad to tits proper local government unit in accordorq with SAS 3ti3.56 Wisc. Admin. Code. Report any component facture or malfunction to: a Name of individual or company: �` 'J/'/1 �'_��' f•��. �i , > '�'G! /0/1' Rom 7/- — iO3 - K F3 Localgovemmentamit .5T.0 t)C CDAkMo-)Jlj)� DeQELDP✓v1EN-r phone: 716-3Z-44W local govemment unit address: H u DSO U W ! ZIP: Any defective part of this system shall be repaired, replaced. or removed pursuant to SPS 383.61 (1), Wisr. Armin. Cale. Repair or replacement of Wed or mN wcbor ft components shah comply with SPS 383. Wlsc. Admit. Code. No product for chemical or physical restoration of the PoWTS may be used unless approved by the department in accordance with SPS 384, Wises Admin. Cade. Continency Plan In the event that any failed treatment component of this POWTS cannot be repaired, a stall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A iw7ed -ec-ground dispersal component may be abandoned and replaced by a rode -Complying dispersal component in a pee-delarmaned area of suitable sWs H use of this POWTS is discontinued. It shall be abandoned in accordance with SPS 383.33, Why. Admin. Code. INFILTRATOR The Quick4 Plus Standard Chamber offers maximum strength through its two center structural columns. This chamber can be installed in a 36-inch-wide trench. Like the original line of Quick4 chambers, it offers advanced contouring capability with its Contour Swivel Connection- which permits turns up to 15-degrees, right or left. It is also available in four -foot lengths to provide optimal installation flexibility. The Quick4 Plus All -in -One 12 Endcap, and the Quick4 Periscope are available with this chamber, providing increased flexibility in system configurations. Maximum Strength size 34"W x 53"L x 12"H (864 mm x 1346 mm x 305 Effective Length 48" (1219 mm) Louver H91W 8" (203 mm) Storage Capacity 47 gal (178 Q ! Invert Height 0.6" (15 mm), 5.3" (135 mm), : 8.0" (203 mm). 12.7" (323 mm) APPROVED in e a4 :3 ✓a` The Quick4Plus Standard Cnarnber ii:llirt4 '':<6 J.cd7.:6ti< :iiia.iII:'i _✓.� .�...:. Two center structural columns offer increased stability and superior strength Advanced contouring connections • Latching mechanism allows for quick installation • Four -foot chamber lengths are easy to handle and install • Supports wheel loads of 16.000 Ibs/axle with 12" of cover i uick4 Plus M-ii:-One 12 -Er.dca�, ':, %uir,.k4 Pius Ai'--in-,Gne periscope eneffts: 5ar:Efts: May be used at the end of chamber row for an inlet/outlet or can be installed mid -trench Mid -trench connection feature allows construction of chamber rows with center feed, as an alternative to Inletting at the ends of chamber rows • Center -feed connection allows for easy installation of serial distribution systems • Pipe connection options include sides, ends or top Allows for raised invert installations • 180° directional inletting 12" raised invert is ideal for serial applications Certified by the Interrational Association of Plumbing and Mechanical Officials (IAPMO) j Quick4 Plus Standard Chamber it !��� •. \' S � I; CF'.111��'� '1 � t �C" � I 1 EFFEC'M LENGTH Quick4 Pius All -in -One 12 Endcap PRESSURIZED PIPE DRILL (— POINTS LOCATIONS (7 PLACES) 'e- A�i �I,i . I �I 116' INVERT FRONT VIEW SIDE VIEW Quick4 Plus Ail -in -One Periscope DU'txa PLUS INFILTRATOR WATER TECNNOLOGIFS, LLC MNFILTRATOR-) lie rotor Water Te elm ogies, LLC STANDARD LIMITED Draitteld WARRANTY (a) Tha structural megmy of each awne ll Massa, EZ m' a Mhded Poivstyrera arWla mho =ass" manufactured by In nigh t-Unas9, When mstaY¢d and OlusnMee in aleathfield of an arsine se0lic system In accordance wlm Infi:Oala's ins W chat; a wa.anled to Ott crig'Ira put - caresser rHolder")agared delrWa ma s sad waknansiup fur one year it= the data that the septic demnt e; issued for me Panic system containing the Units; provided, Jormm, :hat if a sem, Pinar is not mouthed by aPPgcade law, ate wananty Pabd -at begin upon the dale that range I'm a1 the septic system r mar:res. To exercise m; Wanaty nghts, Holder mrbT rroMy ldhmata in wrldng ea Is Caporal's Heedquadge m Old Sxylaook, C.onnixtiiart swthm sheep It 5) da" ol the alleged defectlagrata vdl'. supply re0iKoshrnl Units for Units determined by INIXrwar to be covered by this Limited Warranty. InfAratoes hatless• spscri„ah'y excludes the cost of Ien,,o, and, P WIVERT or mateMlion dime Unts. rb) THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE EXCLUSIVE. THERE e. ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS, 94CWDING ND IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE ' IG This Limited Womanly Shall I, mid a any Pad of me ,hambe, systaM H normoulu,ed ay any, other liver OdiMara. The Lrndad Warranly does nd exend W vddenlal, canaegi:enlial, spree,; or ' 6. indirect Canapes. let UM shall not be liable la penahies or inundated danages, indoding loss of production and PmTRs. IaLn and material: cVbhtld adios. w enter feel w'sonata's by h Holder or any mid Party. $pealiaay ex•• oo,I Iran L.mned `Nanarty Mintage are damage to me Units clue to ordinary y I year and fear, allwew, saidert. misuse. abuse or negi%I of IN Units, -` ' the Unds bang suhlected to vehicle traffic or o:tar conditkaa vdech are not prmllted by the iral _ •. y 6r law al4mlebpn5; faaure to mainlan ma mnimum Bound mvars eel forth in ihv nshAaapn 6nslruc hma: 9, i the Placamem oI inrlpoper malenal9 into the ayaia,, containing the Units; fa6uire of One Units or the septic system due m improper siong a Improper sWnq, ekeeceive.oter wage, inpeopeo grease disoollel, or rnPtdPer operation, or any other event not Mused by Infiltrator. This Lowed Warranty shall be void t the Holder lens to amply Witt all of hat teems Set forth in this Limped Warranty. Furmsr, an rid ererp "I mlatreta pre re500husible, for env Io55 a damage to the Holder, the Units, or any mad parry resulting from InslallM.vn a shrylrorll, a Yam any pdduct liabliity 8sm4 of Holder Or any third party. For Ins Lan -dad tVaranty to spry, the Uvls mwi as Installed r accordNIC9 vdlh ae sea owdria ,, rwhr,ed by stale atd'drdl codC9; all other applicable laws and InATrator's inshead n 11511,10 M1c (d).40 Swineae Rah Road tePrseeniah'a Of Inlihrata has the aunety to change or extend his United! Warranty. No PO. Pvx 766 ivaanarlte' applies to any party other than the dngaal Holder. The Move represents Me Standard Qd Srpbodk. CT a61T6 Limed WM=ty dhered by Irlat.-alor. A ,irMed'orhoar of Rap and Moines him different - W577-10• Far a5%l-:00, INFILTRATOR anty requirments Aty purchaser al Units should cones Madames Corpwale HeadquamemtViNn Ua Saybrook, Cameclai prla to such porehese, to power, a eery of the appiest or mrN, end vww.inFiNratorwatar.wm Ylaad urelully reatl that wganh prig w Ina purWse d lMrta. U.S. Paamts,4159.661: 5.017,M,; 5.iSSA ;5,a3gotT;S,Jm,rna::•AO1M4; S,SIt,eW;5.716.IaG; .56a.T1a:5.6�.eu Canad,an natMW t,32a,g5L: Zpp3w one yoery psne'vq, Irdllbeia, 6duYRs. OPtlr•.ary,^x1eW5,Idp art rejtl¢reOlradpnpMatl4KF.kit Wang TtlyvglcgiG F,gegaq earapitl•r•d lydanaly in FrvKa F�mgfar Wirer •Cle�ebrj�bar•9Vgpd lledemdlltm AbtiC: CaYgF.lAboeeacFYp. vehTM. QI•nMw6LV('b. Mllna'vr, PWndd. Qle,gn, DykAAb•. engrayry a,id 5-ay�aLocn a. e.MpT.arly erlMNatg WaRi r rca+Noys PdyLok era aadgnarkbl PolyLok,Irc.TUF-TITE¢arq]6tlxed lndenlerk aTUF-rRE.INC. Umra-P3 a+aole hoer wegrst.nbgn, LLC. MrlgNs reserved RRedn LLS.r. isauademah el aaEk ln. PLU605 001E •flirFl• • • e - - • . • - : 1 1 �__ 0 25.00 f A SECTION A -A PERMANENT FOAMED -IN POLYURETHANE GASKET THIS AREA MAY BE FILLED WITH CONCRETE FOR ADDITIONAL WEIGI A 3.10 4.50 Drainage and Septic Products Tut -Tito, Inc. TELEPHONE: 847.550.1011 1200 Flax Court TOLL FREE: 600.352.7009 Material: Copolymer Polypropylene Color: Green PART NAME: 24°' RISER LID 24 - RISL - GREEN 24.70 i 12.00 0 24.20 - 0 25.70 f A SECTION A -A —.1 A 13.00 Drainage and Septic Products Tuf-Tile, Inc. TELEPHONE: 647.560.1011 1200 Flex Court --- - TOLL FREE: 600.382.7009 0 Material: Copolymer Polypropylene Color: Green PART NAME: 24 X 12 RISER 24 X 12. RIS - GREEN 2o1a(aasA 9 SECTION A -A I R Windy Acres Enterprises 651-436-3343 11/10/1995 (D3:02 PM ❑ 1 /1 ST Clt(XX COW" 88MC `CANIC 1VAMMWX8 I.(D EMSM AND OWNMIMP CM tkNi�.'ii471+1 FORM t 1`i>° l 4 SSGL �G rt�i f:E Maivarg Addtm6 i is°GAG �;rLl `; t P i:ab2� ° MN _ on&= mmgm.ea eou Mamai+s nqm* w (m now ovftlfad en1 _ ( Sarney-2 � 4% t Puma lda+odtica ce Nmbtr 037 2 09- $ O (warty Locw= N- u. bAL 44, Sea -Q. T W, 3129e of SSbdtviiaa Ft��ltr 1}Cit �t'I�� .�i OIEw . Lot#. Spw bam 0 yw A DO Lai lima itblatis" {A yes ❑ no sreasd a�ue`mex+iyoz+eytm a>� aeddmek is it pMifa[at�i[me a >ma�c..�kc Aroper> vom&w orpmoom otacm1&kkkawythaayam orw Kilt eeiebyatbm�edpmaopa. Whuywp� �ola� a nadl a dW Sa maw of dw cpY+c ami as a 1vvw m Ndmb a fa4a vMO dbpoml gasaa 10 mbou Oa 9k Gla6t Zqft Dquim®a a oaitiftatlao; lamr Ord by An mom and W a ai[papaeeP wonaodta{�sllabspeolimandprs (�fotoaosRy)daassp4ebmYiIW6d14 rr.S oO oda�IeAYawatyd � abate sq�daemaoaaad esau �e �>� P� did •Y�e � ale a`adltb as belt, Y�os, u aabr Ns pepee� oiebmmoae,ed M aep.meaar d'Naeteat&aeaeeea,$aMa d xeeomfs : Q�idtfna 7ifold )om "P& a7rm bmbbm most be eampdded sadteerxd tb be 0L CiamaGelalli Zo>lr>t! OIlieb aa�a 39 dlye N ®sl�rx Tar e�tCttloe dabk CbOtihim OF Affxw"r DATB 1(ww) a cdW 4R all autmna m dds fay n has a lk bed of my (ate+) Inowla - l (wet am (mm) le OWMI(e) of 16 dee-Am aboft by of ■ *l+taol deed txa ceded m Yyiaa of't1Rab 4u1W NaRLUM (W apf] p�-- . DATI6 .rasa Any idac alwt is adssspneamd rnq r;ndt u tba webuy peons being ravelted bf the 2M=* Dom• ""' ^ bfitia wind "tpplkamm ■ awnpcd wamruy deed 9om lm met of Deem affce a Gapy of doe eeni6ed eurvey ttup flrafaaoae p ode o 9te wammtY deed . I1-10-98 15:03 RECEIVED FROM:R Windt/ Acres P.02 N ¢ a / • Grp `},�"1 ry 31 I MATCH V di 3cv sS 3.91 ACRES 1� aa. o:as %f�F lrn, secs so, Fr.N Ki'�r ! aiF4y > �! 'a `. w PalvATE e G 4Enic � £ASEMMI lS_YSTEM F R •��i�i�vk � r iid7TN U4 OF TIME m'±2 ,Of VHr - m wo, co r Ail I cn 10 fFQ,AM K* nor 0 M Own -4 . ....a., Lei 'Er laoc wwk LON ar, "m nor of Tm. mw;; JES At . r' IN r-A- ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT 4 7 \ Owner �/ �E t. I -,.-�A BaiR= � Property Address - ij V" IST City/State `�Um fZ SE-t OS Legal Description: Lot Block - Subdivision/CSM # O-GUPK VALLEY ES-IMNES Or=%. Sec. � TAN-R !9 W, Town of SOrn, KYT SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer 40EKS Size ST/PC IZWI — Setback from: House /(Q_ Well _ P/L , A Pump manufacturer Model — Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: aN; aTe!dTOkS Type of system:Tk MIH Width 3 Length SU Number of Trenches Setback from: House �r� Well P/L /9 Vent to fresh air intake ELEVATIONS: Description of benchmark Z ., 5TA0 (YO 50v r h PIG, Elevation 100 Description of alternate benchmark Elevation Building Sewer ST/HT Inlet / v7, Z ST Outlet I Ap • 9 S PC Inlet PC Bottom Header/Manifold 93,3 Top of ST/PC Manhole Cover lekS3 Distribution Lines () ( ) ( ) Bottom of system () 9/.76 () ( ) Final Grade () 921' (} ( ) Date of Installation )Z/ I /ia Permit number j� .T zT z State plan number Plumber's si ature _ tii License number 14 US 723Z'12 Date Inspector compkk plot pla X f-Wisconsin Depanment of Commerce ----- Safey and Buildings Division GENERAL INFORMATION N PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal information you provlce may De used to secondary purpoeea [Privacy Law. s.15.04 (1)(m)L Permit Ho der's Name: ❑ city 0 village owno: Barrin, Melissa Town of Somerset :ST 8M E ev.; Insp. BM Elev.: BM Descripti t on: ` • wZ Z r rAWlr INLr]RUATInNI U cs cvATlnws nA TYPE MANUFACTURER CAPACITY Septic yoo Dosing Aeration Holding TANK SETBACK INFORMATION TANKTO P/L -A.15` WELL BLDG. vent to Air Intake ROAD Septic s, JO.Or `"� NA Dosing / NA Aeration NA Holding PUMP / SIPHON INFORMATION Model Number TDH Lift Fricti S sten I, kid Forcemain ngth Dia. SOIL ABSORPTION SYSTEM 1RENC Width, Length , SETBACK INFORMATION TDH Ft County: St. Croix Sanitary Permit No.: 353242 State Plan ID No. - Parcel Tax No.: 032-2109-sa000 4 STATION BS HI FS ELEV. Benchmark 2 & r Alt. BM Bldg. Sewer 1p St/Ht Inlet a (oT,Zor St/Ht Outle A .30 -14145` Header/Man. 9.3 •30 Dist. Pipe 9.39 91Z4` Rot. System O. 4 Q/• �-4 r Final Grade St cover CQ b.m D8•S,3r !. yJ SYSTEM TO P/L BLDG I WELL LAKE/STREAP DISTRIBUTION SYSTEM Header`I Man -a ,/.4 I Dim 1®1M. M© itn.»aa LEACHING CHAMBER OR UNIT SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only 7 IODI Depth Over Depth Over xx Depth 01 xx Seeded ISodded xx Mulched Red/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) Inspection #1: 1Z/ Z if" Inspection #2: Location: 1769 46th Street, Somerset, WI (NEIA, NEl/4, Section 5 T30N-R19W) - 5.30.19.1026 y 1.) Alt BM Description = TI I S q 9e ' 2.) Bldg sewer length = Ill ' -amount of cover -t- C) ,q, ctn4a rs et. 1a9%� SrG PtG!i�# Plan revision required? ❑ Yes ®R No Use other side for additional information.n. SBD-6710 (R.397) Date Inspector's Signature Cert. No. NIELLMA SA►tRi1T H ICKDRq M &M,6xAmk . M A( 3505 ME � SEL' S -T 3n, v�,ne2sQ-_73WAISr41 P._ C.Er1AR ,TALI£`/ VSTAIES Lai 6 w,1,'( STRFFr H Rst�� P,ARAGE IZm GALSe!KS aPrlc 7A%O &—tX MARK ` i 76P LF 2'XL Srk\VT REV IDD' O 3Arjin%WK *LZ EASE br OTIL I N POLE av 99, iQL V SOIL EDPJW1.S SOME )" qb' <:: 344, d�- MPR.S =3zyz I�RACEMB/JT c5Y$iSM LOC.ATE.O ON SWItt SIDS Er Lom 7*10 5EE MtXHQ PAM y TREUGEs uswr� N NlLN �.n CAP. SrbsvknObER JAIPITAtAMM £fl. K 7 TAL SZ L_ e r�:lY%Fi.rr'� o � AF,6A ff(jusSe Wisconsint�'and rofessio 1 Services Division of � N 22 2020 SOIL EVALUATION REPORT (fST-,)oao — /3,6 Page 1 of 4 St, CrolX County mna raance wnn oro aoo, vvo. mum. s.wc Attach pI }}�QrRlpptM� 8 1@ x 11 inches in size. Plan must include, b e Ical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). County ST. CROIX Parcel LD. 032 - 2109 - 80 — c00 Rev ad by Date v 7 4A02.0 Property Owner WILLIAM & MELLISSA BARRITT Property Location Govt. Lot — NE 1/4 NE 114 S 05 T 30 N R 19 ©r)W Property Owners Mailing Address 1769 46TH STREET Lot # 8 Block # -- I Subd. Name or CSW CEDAR VALLEY ESTATES City State Zip Code Phone Number SOMERSET, W] ( .) fly 0 Village L!jTowri Nearest Road SOMERSET 46TH STREET © New Construction Used Residential / Number of bedrooms 4 Code derived design Row rate 600 GPD ElReplacement Public or commercial - Describe: Parent material sandy loam till Flood Plain elevation R applicable R. General comments to n-ground Trenches -- 0.7 loading rate and recommendations. 1❑ Boring # Boring Q Pit Ground surfaceelev. 99.20 ft. Depth to limning factor_>84 In. Soil Application Rate Horizon Depth ire Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Eflfl 'ER#2 1 0-16 IOYR3/3 -- sl 2f-ms1bk mvfr as 2vf-co 0.6 1.0 2 16-28 7.5YR3/4 sl Ifabk mfr as 2vf-m 0.4 0.7 3 28-84 7.5YR4/4 -- s Osg dl -- — 0.7 1.6 `74 • � a'f� S,fr1'i og� ❑2 Boring # Boring . 97-60 >80 Q pit Ground surface elev. R. Depth to linllting factor 11 in. Sol Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/IP 'Eff#1 I •ER#2 1 0-12 I0YR3/3 sl 2f-msbk mvfir as 2vfco 0.6 1.0 2 1 7.5YR3/4 -- SI 2fabk mfr ate' Ivfco 0.6 1.0 3 24-80 7.5YR4/4 -- s Osg dl — __ 0.7 1.6 Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < ISO rrglL (Please Print) Signatyr 48497'K'itfg'AttHtles-CAL1lt,`D&fttry.'Wi--54830 Effluent #2 = BOD < 30 mgfL and TSS < 30 nVL -4e� CST Number 224832 I Eval ucted Telephone Number 05-28,2020 715-426-1775 Property Ovrner BARRITT, William & Melissa Parcel ID# 032-2109-80 2 4 Page of _ 30 �„� Boring Boring # pit Ground surface elev. 98.20 ft. Depth to limiting factor �7 � �in. Soil Appilcation Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff 'Etf#1 I 'E1f#2 1 0-10 73YR2.5/2 -- sl 2f-msbk mvfr Cs 3vf-co 0.6 LO 2 10-25 7 5YR3/4 _ sl 2fabk mfr cs 2vf-co 0.6 1.0 3 25-79 7.5YR4/4 __ s Osg dl -- -- 0.7 1.6 too 0 6 . o F-IBoring # 1__I Boring plt Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD lfF -6ff#1 002 Boring F Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/IF 'Eff#1 i 'Eff#2 Effluent #1 = BODE > 30 1220 rng/L and TSS >30 < 150 mg/L serr.ano�RoInri Effluent #2 = BOD, < 30 mg& and TSS 130 mg - Plot Plan Page of r PROPERTY OWNER:__W I L W-AAA & iv)Q-A Z-, R BA-t Tr Legal Description: L.Ct ; GEIZAR VALLEy tz NEZ, rrr-"Z AJE/4 SEc,osf r7pN I `KI-lta), —IoW6 Cr<nn�bK� T� Vt C-";K �aUntfi�� 88'Kcbti � �h i eKISNA;, WC-rANK Site location: EX{ sryn/G hY.AW MELD i/ -WEAeWZ-f 1" _= 40 FT. (except where noted) j = backhoe pit North P� Qo 3�0 \ ScpME ;Ho D',D F9 Y�`� r „ Tom' 444 Al tN \ x y ♦ \ J � 1 r r a ,-