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HomeMy WebLinkAbout032-2062-40-200PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) GENEML INFORMATION (ATTACH a.ne�..IP^�.er,�+ nmP uxmll n.nm-nuem.w wm,am.ruuuf NWv St Crow POP" "WA", 624E55 ID xe. Thomea Meryl Carlson 'r V 1 ei WN OF SOMERSET P in. - L- .. M.. . oj,O U .mx.x..wMw 18 3G 19745C TANK INFORMATION I ELEVATION DATA G➢Km STATOR IF FS TOO, tl NOT glpatw±O e'm"'"n IL 117 DO Oealnv /� LL���� WFA'LM l`Aot I JLi AIVM�m OEM• l� ���. Mnaon Dma Sewn � 11 TANK SETBACK MFORILL �I F PM1S E I M I pppp gl�._ SeNle 3L �'u BVITT, 9 o S .In° 3S' Q Li g, S6, _ nx„M." Oenu Dm PIN xMwN av syw� _ PGMP5IPNON INFORMATION—" Nip - M,s nueau INumxx' 1�6q 4 tA.a.,.r TDH L FXy n Syl Hgtl i[y ^ R xa V2' oo SYSTEM iO INFORMATIONM odt P26' DLOG 1571 5TP SOIL COVER - .J..✓ 7 COMMENTS: prcmee cme akoewxXea ona I PµxIInWWVW*I Flw 7m/L" m.wnlonn AN 'R �}.w.±e.. 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Prc�hDC .iY51eM Ma�.hwMrylMxi TEM onk o VV IICUnk small "al ehna men,r�g4 0�2 .11tl1 C� pemuelbe ee Mnmep pementDlen 0 °v,]eE EY R�umCe. pro, �lv`4UceF rat oi oOlt" v. 0 WrN, System PLOT PLAN PROJECT G1eNI Cartoon ADDRESS 3W Anderson Scout CamO PaEtl SameBel W154025 MN 114 NJ! 1115 10 IT 30 SIR 18 W TOWN Somelael COUNTY ST CROIX SPETEM ELEVATION 1130' DATE BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK 1356 gallons L FT TANK SIZE D06B TANK SPLE 705 MOUND_ SEPTIC TANK S1ZR HOLDING TANK SIZE LOAD RATE 6 ABSORPTION AREA 1000 0 of ahamher5 pre kk CHMARK VKY. To ASSUME ELEVATION 100' miler LIk1NY FlIW BORE01�arVeyCLO HOLE p / WELL •H.R.P. same W bancRmark 1 T' Acre Parcel W`ekrd to meet all W DNR setbacks SDH St. Pro 4 Badcore 8' send I13' Gentling is to be done N tlrvan 112 `\$�' run-off away from system Area 1 ai below system m Ar remain used 20% Slope X \\ yI'i—'W HuXou t Counted Tank Scale = 1/4" =10' Cover Page CONDITIONALLY APPROVED DEPT OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES BIN Plumaing Im s, r agars I 2120th St Now Rlohmond WI 54017 715-246-4516 Dete'.SIRMO Owner Cheryl Gerson Location. NW114 NW1 M S18 T30 N.R/9W 1591 Nth St. Somerset Manuals UsedAt-Grade Component Manuel version 2.0 SBD 10B54 (N. 03(07) Pressure Distribution Manuel version 20 SBD 10701SP(N 01/01 R. 10112) Page# 1 Cover Page 2, At -Golds Plot Plan 3 At -Grade Cross Section 4 pipe Cross SectloNPlpe Layout 5 Pump Chamber Cross Section 6. Pump Curve '!. R#er Specifications 8,-9. Melmance and Contingency Plan Apachmei SCII TesI Shaun BIN Signature License numboI Page 1 of 9 System PLOT PLAN PROJECT CDaM Ce1YCn ADDRESS W7 MUBRM SmN Career Road SOIMIWI V13CO25 NN ILA MV 114S 16 IT 30 ME IB W TOWN SORMAM COUNTY $T UNUDA SYSTEM ELEVATION 113ADATE BEDROOM CONVENTIONAL AT -GRADE ZEN CONVENTIONAL LDIT BUIILDING TANK MOUND_ SEPTIC TANK SIZE 1255 gallOnS Lii TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 6 ABSORPTION AREA 1000 k at ck,,, en nCM 16BENCHMARK V BY TOO IS wMVYM ASSUME ELEVATION 100' FItW L1fNn! Ella BOREHOLE (DM •H.R.P WRAW W ICORED �%his N meal all WDNR amLecka 301k 51 Pm 4 HMIOom IIB' 113' Grading Is to be done 0 divan 1\\yQ-q1' run-off away from system 108 ' J/v\ 1 >' Acre PaGod Area 15' below ayelem IB @� to remain undisturbed 20% Sbpe HUMc011 OCmDe Tank y B2 1 355' Progeny Llna Scale = 114" =10' 0' 40' 60' I I I 2 t9-11`9 At -grade System Sloping Site Cross Section and Plan View tl ��' 'F ...lyi`Sl72Stit,'r� 4't,*t est%tiS%v+r4%�`a�. bBL l, 116B- i t L 1-1 -Plowed Clear aggregate O -4m sch 40pvc basal area ® Y a 2 % in d,a observation Pipe Lateral with 2" Topsoil Cap <, aggregate ova pipe Observation GFabricle G With Cep Fabric Ft Lateral lnvut ' Topsoil Cap :FI eF t, Ft Contatur D Plowed Surface Slope Dvxnon � GENERAL INSTALLATION: The at -grade area is nuked out status the deeps comma Ewstirg vegetation is mowed and raked off the site The basal area (L x W) as traded out and Plowed with a moldboard or clusel Plow Plowing may not Proceed Sthe soil w wet enough m the Plow depth w tome a inch sod wire when a sample is rolled berwcen the Palms of the bands. The A x B area es covered by clan aggregate deposited overhead by a backhoe Spurted case must be used whim placeng Ne aggegsa to mmmux compacuon ofthe plowed surface Aftg the t°Ps�csP uplaced ate entire at-gorde is Theob3esrvded and anon PtPe care Perforeted theouwttVb muihe mdsecured andprotect from Ueev a 03105Is Page S ofL Septic -Dom Tank Cross Sgction And Pump Performance Specifications 'r IS M-MM �►F�lY17�i �fT^•1!!�s� Mio®wo Pwlp Pafam�on aw�med GPM Ft]DH 1 b `� . /qm Mehdp.«' . s" wbowawm wm <6" Belo_chede 9edd WmaMdu � � ...1 — FmWnd IOWm Piber r� Wa Be®e CA wf� MmEoN Mb. a^Ab�v Orpdv S ly Ma WIN Iockitp� WaNe-pool 1 Vet Min 13" picmu¢ WA V AVm CAP Mee A y" WW a E. Nob �OREImMiov C D < r_�^vtini GSNE niaTM. UON: T upiddut b b lob and b Mld in mmd.nu wnx ow mnnufm0vaapm tFpovdgpoi Wo . 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RwpuN�iwv plwSeYeWne rrup mebry e.MNe nlee FeEp vTV Nx eaWAIIMMWs UT EArt SEPTIC. OR OFEER NLMM TM" WY UNDER LNCILGASSES YedOea YMI My EBEQIYOEIL 00 RA EMEAII TRWSMOTIER TRl11YEMETURK OFUNDERRTMPOCIM9TWC!!.OGIN YRY IIIIULT, IIOCU!OP KRIOM PROM TN! I XRRIM OF A L1XN YAY BE gPMU IT OR IYPMBIBLG PO//IIIIUT4lll1 PO`MtIMIMNXIII elrtAO! IRMEIx wEIMIOR ruxP n Name I1E011✓ODRYIMD RT' NerXe ne PM1hre %Mee imeaeanxxwdrM In mroeena em Oq MeavalxNelrrIIMmeM ME I I.PIxIT.knownMe+^e'eMnO= X (i vnmr-.wo-n..dcemme SOIL EVALUATION REPORT III + .-.... III IJ.�... I . .... n .. oe����000 m nTnFBNN WAFIA�CTRGC�"�l�fr�l MMidfWAOKIW WMWAMCli��l9�� f�r3T�F/I�OF�If��l�iF/ J7l�I67 "MJAW_mrA Z!@Wii�a Pffl� i OB�oOO o ►�rsacs�MA1raRM r��F.r,�ric�r���ffe�+r•��ri�si ©��ii�r�►wr.��:4i - rl�rri�i�l V Tom IY � gyp' 4 ST. CROIX COUNTY SEPTIC TANKM WTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORMAT owner/Buyer gl'1Eg"�1 G n—Tl�IlWIA QS 1) l (xv- h Sterling Address iDZ Ola Scow* Rit lint 14oy)I WZ SY-6n Property Address 1591 5(l-tA 'Sr (IVerr von rtquvM Wm Pbwing 8]unmg Department for new covwevoa) City/Smte{b r ITO ✓1 (Jed Pertel Identification Number OtbiZ-201%1_95Z_nerr LEGAL DESCRIPTION Property I-oearnedi\U-1 /.,'o, See t$ T Z0_N R_j CLW, Town of f�0)YI rSef Subdivolon Plat Lot N CediRed Survey Map a `co, eA�L -7 4 Volume �QPage#1,�j 61 K. Warranty Deed 410%?IY (before 3000)VOlume 14s. Page# 10% Sped Immee 0yesR3to Lm lmnt&enflUIDAY"Dwo SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper useand mmmerende ofymirrade system wuldrtmll in in premature fadwe ae Mode wastes Probes v ofpumpin8avnhe peptic tukevery Dice Yarsorwonn, dnzdM, bYe bcertud P^^Wer WNtyou Pmtnw We syndrome unmthe(w[von cede septic uN me and"Inl Ngetn Wewane dispmabymem Ownermmntetunce responsibNneatespadedin OSPS 38352(1)wdm Chapter¢-SLRau Cowtyg in ONnunee TEe propeMowaragaes to subnu plum Crou County Podsor$Zmnsedpu vnnent edu Waru1) Meomsim, by Yin wva and bya meslerplumbn,loumeyman plumber, rzsmnW plumbn or a loomed pumpervmfytog that (I) Me w-mu Ieulerdnginl sYatem n x PraMr opentmgmMnionand/or QI aMe iwpectwn entl pumpin8 Ufna<iary), Ne uPtie YN u Nm In rail nr.lnege I/we, the models hoveread me above reymremenuaM ogee to nuwam the pm asewagedtspawsWemmOme aanMmde sal for, Maq Is set by 0e DepNmms of Safety Md Proportional Sw ran and the Department of dentist Ruourtes. Sumdy"Isousm Cendcenon sating that yomapua system has hen malnuloM must be completed and returned to on St, Cmrz Cowry Phmtingffi ynine Deponmenl wivun JO d.Ys ofNe Nree yeet nWssuondute Vwe Unify that tll autemenu and Ws(atmare we m the best o(my/om4mwlWge UweaMve Oe ownegs)o(Ihe ptopesrydmribedabovgbyvttmeofawunntydeNa ordedmaeguts DfDON OIfia Number of bedrooms_ Q� C a iGNAIll ICpNIT(S) E ... Any information that is recommended may result in the.wlury worst bear revoked by the Flawing at Zonmg Npuotxm.'^ immune is Made in she EnM wamnry tleed fiom Ne Reglsurof0eeia 01faendampY ofNe cemled surnymapd reference a me@ In Ne wunnry tleed (MV. all lial s 21 PM R15CIE ED RE: Carlson soil test and permit JUN 292920 From Kenn small)keem.grebau®soul gov) dt onz county To, ebvtl®hontremetnet Community 0erelo mint DateMonday, June 29, 2020, 0403 PM CDT Here is a map Would you please Iodate the house and crosses, on the map? i1TTi1" Kevin Cmbeu I Community Des clop ll - ST. S! VIJINTY From Kenn Graben <Kenn.Grabauirsaws gol Si Monday, June 29, 2020 3 47 PM To: shed®fronbrmaranel nm.11mad nmo mMWhadar anavawumena rewterz PAM �e.. OIL E-VALUATION4EPORT r. �t I' �Ii�1iJh�1�.7Lrnf9lb'�LAJ�..�E�►'1'.�JG�®� LW Fiers�a®sue r�i�7r��r��� •slwnn•soo.n.ammat.etss.n<�m �a �sa..an-soo.<m mat�Tss <b.m csT Nems (vMer vnm� sre CST Num , Brte PlumOng. Inc Snaun RIM 2 69W .maw64516 1d321201N 51, Naa RicNnrontl WI Sd6fl �wne—a ]t5-2d6�d516 ftp Ove, P'nal B« Page _W_ fc��E3]ilk1L�F�111;!IdI�GL�F11.fJI(E9®�, Mont 1lWAWWWLaf=��MM ' M" MEMMEMIMM MMMIM I DWN ❑ Pn nn6 a.w�B B mpma� d « 'ER #ln BM, a W-pA "TS4>Yla t50nryt 'EmuNR= BOOjbJng4.,,dMi X, The Oepnmrtnt ofComme,anan equal appmtuWi service prortht and employe, Ifyou rceEameunameaen eervmnm nmd manna] m an altam¢ fonnat please mnact N department 4 08-266-3151 or = W8QN.8777. Soil Test Plot Pla Project Name Cheri Carlson $ VurhBud Address 307 Anderson Scout Camp Road Somerset WI 54025 STM #226900 Lot 2 Subdivision Diuli 6/4/20 NW 1/4 NW 114S 18T 30 N/R19 W Township Somerset Bonne O Well PL Propenl Line County ST CROIX �orVRP Assume Elevation 100 B, Tap o1 survey Iron System Elevation 113.0' 'NRPSame as Berwhmark 1 ] Acre Parcel 30th St fi' 112' B-\ \\V 108. \ O B 3 20__Slope doll \0 \ B-2 385' Property Une Scale = 1/4" =10' M.