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HomeMy WebLinkAbout038-1150-90-001nce PRIVATE SEWAGE SYSTEM sl.ry a.e Laid no DAW1 INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Gaunrr $l Orol% mamulpearitak 624909 puma ma Rlveq WUN^11 Joh Lawon BneDenise R Slggens am TOWN OF STAR PRAIRIE �e x 038-1150-90-001 all .di wWawlwm indapcsTw 30.31.18.882A TANK INFORMATION ELEVATION DATA TYPE MVIVFACNRER UPptnY STATION BS H1 IS ELEV. Sgoc nM Drelg An BM affl B" 5»w' Hl InM TANK SETBACK INFORMATION smn Dial TANK TO P& WELL LO rnur a ROAD Mlnbl Oming Hill Mani Pill Hamng a syaun PUMPAIPHON INFORMATION Final GDd hBTNiDlNH,' Dei GPM stave. uun Loge SyNm HM Fvuvm L✓gP qa III, nws did DIMENSIONS I I SYSTEM I Length SOIL COVER vPml Snleme anw aMmwAdial CIr no" had,.n.m nu.a v all rmen Eft. u e h Nv COMMENTS: Ll PoSa elacraPenoa+ Pamaae Plaaem, tal Ioaptt0an 41 moral 42 La Gail 1927SICAROw 1 jM EM Omadi 1m= 2 1 Remwolmvm= PNnrevabn Real ilVd, r N o VseaPxsga Ina MONonal inaarme4on Bill B Wadi Wle muMda Saran 4n W ne� •tiq% Of \ 1iW E WeNPva pD Bn)11I@ Samnyrvmnxmba lmk mkamgca l l3 2M w,mr ,vn svroT_naz 62 Lf qo9 nit Appli((''22taion '&f�/ontonNiei°n axordhoSaT! oe YJeWaA3Wlk o6e. m6mn.m lNn �m Ihq 7nnlen5d unit) \I {r- nmeVni winlm pmm We AAppoom000 lainunu•-uxnee e[wl3 ne m. oepmmminrsmm me Nok.nmel snin. mammonrmmn.Je mN �.w a.y �wlweoNnv 'ICAv.DNk mmwemrma Ne vn.m. L,n m Son, eu t Iw)'rellk�n,Nm J9z5 5•u��an4. 038- psE_vo-ful kneln. l.bform.LL._ryeuepJ.l All lnfm.W. p JAN. Fd ,.: R 5; ., 3R bt,19. Goa Emp.ry Ln�i ",peoy(no ui wAdan„ ,t 1m HIE AS"s,nlm sD am.som nv Code none Nlmm SOME0.E6T. W1 M5 715V81-1651 onNeme) T51N R18EnW LL Type of Mi6ly (ekuk all Dal I"HO) tulS/ FY-A weamn�x.n ®1mvr.ey lNaenme Nmme,orBeNmnn, Y— LD+IIeI ❑whhrxommemlJun OIL Vf/ !. Am Ft �IfiwkX CPfnfk hoAt / ❑Now, cen -I no, olnn ❑ Wine of ® Tom STAlt flUWE� VOL MPo 65/ or 11 CEwkon ofletereloollme& Com lelel !E%H,.,n ®Nen SYnnn I Cl [)I'mmuuNblbryiNkspinmanl Cblr ❑(M+, Fbb6..• lnW.p °n"nen ❑pemnRmHIM ❑Them or I❑pnnln.,eN,mNen L PnrmmFmmnxumbo5Pm1.W xpkY�on Vlumk, Oxm, IV T ofPo mCom nentlDemceCheck all Natapply) ®xw W �0A,, nY ln-0mmE QAILoe ❑ 1hWOJlom eu(me ko <Ilpo(ni0penl on trxr SJlo.J c�.w^'^q�^1 ❑an nnm,4n: tnq V.Dlv enehTruvaenl Aminformetln.IeO ,Np ned Leer sod Apphum on w�roM � nn a D rea �r n "` mLmnP 6oDm / .I.pemblln.l✓ Au TbtOE.5 T EGeIM,n_L. VL Took Into inJ Xof 6^77RR�,,g��Nmrt^��, Teen N, e n aJam vw W f!}ee5mtil'Ikr d im1 BN nW I SKAW q(gk�a // Y O :% Dnm CNm4r �k VIL Rman4h111 SbpmNl- I. Ne uuMn mlelll Ar ImtlWWa of Ne VOWTS ekan Con the aNehee Member, Neme (Hn) MWMVPY Cumh, ROBERT NMDINA i IIeQS t„okr'I Ae6ro,(S uem. one, zN Code) %i l>pm A ONE TUR IL L LAKE 11154989 VIIL Caeo rbul Dee0. I�Apmret n ,u Pno"' Onm xwm ,CmN v /� ZRO _ ....... to, ml...mrm..1 C hnElrtioDs In �n k Nm e ,nnor 3 - ,--, NJ -rh;s pvm1M;1 1 5D' m oNwN '4�.4J0s��Rl ren Shall hNPIj�J�„ A, Vw,,yIpkl+n - oy - m cm,b Noy.. wunel Im all u In. n ame mm 1 C'a 5)S4S4w ShAil Wfild prkkf;;a. t�t�xhn * sk IaDn e 3,V3\ ?� T k61ILK dot pd p h neR 1 6�QePWee.,w+ ureP. it dD 6e. prttand! yqn er Bhffnj I Sk+Il MkprA PIellttl En. "at er Ha Mj 'T d' rl ML EVALUATION +" SYSTEM PAGE 2 OF YY �� SITE MAP ° B0 B0 00 PLOT PLAN c�v PPQIEGT NME: no e. ocauxnox- 30b _aro r9� My mbihene Id Gnne�3Y plry. PMECiKtl61c_ Slee_A[l L/ PPi AY6hl/A6iMSSM9p(ieW 9E1,9N! 1{y14j rM.eee we.rv. roryy ioL�ma OL•J LSV. �'" ' y' M '7IMMRTA 2 w '""enrmuwm•tO m�M &anda ftnn mlwmatasel•n�elr. -W f'll-TO3E WSPtu:1 . . Lil�PUoa pcePce �1 40h DE me Cunit 0 ve V tt �1 \ 1 � •I n 1 I I 4 k N f A ¢a y TO -' �y � � -� •(�� — is ' - _ _ ;_. ,' _ .� -' �' �A+o ec&a 6rl pescPS r -r4./ k..'..-' �• � . ��N O SOIL EVALUATION ° [ZSYSTEM PAGE 2OP SITE MAP N as B0 PLOT PLAN PPOJECTWUW.E: aop °, °eewxs�ar �a6 am .'i16s49C _ Pvetlrn..v: mx wiwuwowml.wnJN°p.. VgK°fYl¢118! S LJ Yq AYY:gIl�8lNwrxwtl (vNY 8B4fldl tllJl/J w, + wl JDn N y` I aem ewww.. r[o„J v m s v oru=m •e MN M:w PMwWt O m� can &owPwMtlw Na1WSFypry, wwew 3E JNsTALL" oi/ pvepe¢ sF3nCKt - st ooweoomy tv o . wt wt ,^ i kil r : loe to j _ Atli ia'n a d^J dWK Y. ilrr„" WTAAt O SOIL EVALUATION ®SYSTEM PAOE20P SITE MAP ° Q a' B° PLOT PLAN PROJECT WUIE. mro �ra,� mn. ��'• b Ce A & NPq. M. 1.4, ASTM am.mm R.a. a a.» a a Wr ) E. JA• n w4 r Sew w o...nyem CCon\yW,_y. .r cagy TTT w'�"•^ �°'pro� wwamEnuw,m.n c _a�w•'"..". am.ww«mWQR7n�ew.u.r� _ oa yy 36 ®-rdoo vo-&n 4x pesrwSr "rn.JK +lr D�'-ai. ranee. qcf Mzau ay idri 2olsR IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-)KChambers 3-N Trench (down -sizing credit) m='. _ =1ltm ' IIL�)[-1111� Firl!—..�.._ 9epac ineU) xbmectlaw SKAW smle.wtnvmmy.r 800 w —ee —vo _vl EIMwe FM Mini LIFETIME Emwm,,& m LT1/8 ItiP _� TYPICAL TRENCH CROSS Scale) VIEW (NoNo Scale) Pmvile minimum 0 fl Station Elevation =96 0 it seperatbn netvappin electns (Hotel) wex4 sa�a�e.w WI End cap (SMwloeellon of Inlet l outlet Mon,wnnecuon on Man new) t"lwnd)� TYPICAL TRENCH 4YIN apple w"us M PLAN VIEW (No Scale) A=son Mgdl > B= 46 a m Ibpepil) Quickl StetMatbW Ctvn[a W nvMul) O INSTALL PER TRENCH. 0x4nnbmn.sn.*•W....) wlrvainns.wsen.r.tws... 200 A 10 I]e W,4 SttrW 0 20 H EleNtlmmEn = fle b + t Pairs ofeM tapal�'EISP/pen=.�510b fl' =Ptowaed Elsa l>a aenN• 206.1u fl' Remelt larlimpon Ate. 600 a' Distribution Medtod • 3 trenches = Proposed Total EISA= 610.2 fl' benched mandold PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The comer of this Ingrounn gravity system shall be responsible for ds PeMMal adsorbed and maintenance mooted to requirements of SPS 382-384, Wisc Admin. Cade particular to SPS 383 52 (2), Wu Admin Code, this system shall he considered a human been bound d not marnhrned in occurrence calm Mis appmvice management plan Furthermore , all rispacbon and maintenance adivitres shall be peAormed by a regia I POINTS Mainbiror In accordance wM SPS 383 52 (3). Wlsc Admin Coda Magglandand plifflinegilil dipal Querall Url Design Flow a 300 gpd; SODS S 220 mi TSS 5150 nrfli FOG S 30 mi Inspection Checklist INSPECT EVERY 3 YEARS o type of use • age of system o rithicance factors If a. dome. under complaints, etc) o mechanical malfunction (re I pumps, valves, ser chew, floats, etc.) o matebal fatigue It a., leaks, breaks, corrosion, etc) sdrds volume in anaerobic treatirem tanks) and any distribution eppertenance(s) (ia, distnbW W I drop bores) neglect or Improper use If is, exceeding design (cpadthin prombited ad nm, etc I extem a wndng in distribution cell Pnw to easing dosing mmagulanbas-n applicable (ia pump recydmng, float swuU seWng$, sic) eleadal components- n appufable (re wrong, conneaidns, swncnea, morose, omen. alemw, arc ) o dislnbution lateral or lateral chooe plugglig (M"WM lateral distal pressure - comment to design sped®ton) o wtlece discharge of emuenl or aevrege backup into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) thal and dose dinner shall be pumped by a testified s orage servicing abandon bcensad under a 2(1148 W Is Slate, when Me volume of solids In ma tenk(a) exceeds one4hlM (113) the liquid volume of Me hnk(s) or as requIred by local ardmence. Disposal m contents shall be pursuant to NR 113, Wisc Admin Code. Effluent dlterfs) shall be inspected every 3 in an and Mail be seeded when necessary to remove any accumulated solids according tomanafecturehepicelcetlons Awrvlangpede Mllalweysbegrealerthanl2 months. System maintenance reports shall be submitted to the proper local government unit In accordance *an SPS U3.W Wsc. Admin. Code. Report aey com""M failure or maguncgon to: Named tna'widual or company ROBERT HARDINA per. 715-491-5039 Local govemmem unit ST CROIX CO. ZONING Phone Local government unit address. ZIP. Any detective pan of this system shall be repaired replaced, or removed pursuant to SPS 383 51 (1), Worse. Admin. Code Repair or replacement of failed or malfunctioning components shell comply wdh SPS 383, Wisc. Admin Code No product for chemical or playacel homer on of the POWTS may be used unless approved by me department In accordance with SPS 384, Wlsc, Adman Cede Condr agncv Plan ll be ed ant W a the avent tat bmitted to me amp pease agenhadjament cy for reverrint w and aa0 mvalnnot be A failed sr -aground dispersall crmponenmaye a plan sit ebatwanae and replaced by a tics-mmplylnq dispersal componam in e pressehrmined area of eunelxe robs Sariftfurn Abandonment If use of Nis POWTS Is discontinued, it shall be abandoned In accordance all SPS 3e3 33. Wrec. Admin. Coda. Z0140048A Installation and Maintenance Instructions xawsnm� .. Mepi pyRMepMo-eme MwmNap'peOaymNebYnM1m.Onmrena IXM1bvtlgmOaaEhrW eso- Wmwir. M Wow qW am.avmpmempmYm.aaua.ei pwm.rm.e m neamw) aya uIXm.me.anmYmwYle.wresmlwnoeYmm.wwb .�.�eeo.®. 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Ed d .. \1 . odnbfa 1 Ed_i ode 9 t o ,. m ter : 1 L F WORM ILIK L JAI IZ M Ql 1. -� `.M a w II MOM COUNTY Gc SEPTIC TANK MAMTENANCE AGREEM AND JUL 15 2020 OWNERSHIP CERTIFICATION FORM Ovatersnyer JOHN SIGGENS Melling Address 1927 SICCARD LANE SOMERSET WI 54025 Property Addrme q25- S is.urd Lanz, (Vmfvervan III floe PlmmnB a zones tarpenment brnewwmabona ) City/state SOMERSETWI PmecIdentification Number 038-1150-95-001 LEGAL DESCRIPTION Prentice IAomton N E ,, SE , gee 30.T31 N R 18 W, Toev tf Star Prairie Subdvnlon Plot' Lot a 2 cealDed survey Map* ,volume 29 ,penta 5588 Wamavry Deeds (before 2W7)VoNme , page a SFc holeegvOut Ld bvu lErnlGeble D3uDoa SYSTEM NIALPITENANCE AND OWN RCERTIFICATION I mpr Oyer use and mmmnan" of 3ne soon, aytm.... maullmlY Vrtina[ure (etlurc nM1UWle wnSua Aoper uofpumpmg am lM1e sepnc tank everylhrte yeen oramnev anmJN,bya Leenealpumgr. ante o Mimo he synch can rPm na furcuon oMe sepne nine in e outmenl nun, the mate dnponbyvem. Own munulunce ,cap onaibJaia art syeciOM in mPS 38352tp and in CNput 12- 51. Cm,, Country m,uryO inmce. The pmpulyoleo arm to Menb St Cmn Cvunry running & home tammot a mmGnOn, one, in, by Ae w�e Ad by a aster plumav, inurement Plunder. retwotM Numhv on a banned puny vmf3nnl lfn III du amuse n to Ggaut'Yonne is PmrrcynNot wMana anNor(1)rM tmpauoo AM WmP1n8 lnnaeaaaryl. the Ww am,s In Lou Iq fall of Judr LN2, the undmgnad have tad the en,c rt9ueremmu and ape m mmum efe pnvau semin Jupoaal ry'Nn vnh the suMuda In ford, Mom, u'n by the DePmmnn of Softly AM PmRhauonal S,mm am he Onanmem orNonon emuuea. Suteofw1w n Cmelu [otinS to Sowceptic apum M1u been ma uieeed mwthcovyleud aM reMnMblhe St Cmta Cvunry, Plnntne d wino N mmonew MNm 30 days of the three year ";moon date Iexe cmily tM1at all au¢nmu m0eutum artmoMe Neaalofmylowb OTice IrWeaNart LL.e owwlel of 0u prvpmYJcaerihdabasc, by vinue ofP antYdM tnoNed en Repneruf pee40Rce Number of bedrooms 2 // 6 K� sl COF APPLICANTS) DATf— ... Any efomuuon that 13 manamIted may Raulun the turypemeitbomtl uwkM by the Plemmtl J, ZmwN rycWN,,v Imhtle mN the arFliavm a ramdet mtnnry new five 0u amount ofCeMe Orteu aM r copy of de rmeMd nam, map if mfetenm Is Maine in themmnryttsQ (REV, WI2) t I„ DEC 26 2018 o �s+urace..m OIL EVALUATION REPORT CSf -ae(8— 31� c N N. oll1l,. r Mimi, � ...ou m.leuid.aM.�a %N.e plot Ml ln{ermetlon � e.N to 03%-IISD-90-001 b N^• mpbwr ww.b.ounn e Ill 114 S30T Papro0.w.wNNNn.w � ,.� aiw. =ten �,�.scnN, ul +rocene ,E W OdilJ/l l /- J ❑cM ❑a.Nn ®T S - i ei No.n w.ra.wen us GtLii aal �ae.aeam,—__GPU ❑n.p.vnw. ❑ P -on.ow Pwwn.elwu O]<.Y-urLefti� a:.'ix:. n.al�m Nswnm Tm.leo ni .r n,.,_Je' .1-.• Sold. ,ea, ?./,o D e ,. ❑ emg ae , �,Pn rw.�ewmaew/n p{Nperag Naw P� a s ca. us s, s. sn 'EMI rtM R-3 C/ 9 .e] 64 - loo. ®nN^� El� � w lll../fino.ol li; m, 01 OryT LL.met VtlnC®,Yn O, 4 Cvl f S.uL. G S aR fo fi Ill 4NT bbn •EN, TM C-1 j p 'EA..e.B'b.,T<_IDingLatl TSS,D._, •ETVY4s %O. <3n^9�/a TsS�]n nqt CS! None (PINN PNM) gMIUM CST Ni BIN Plurrilm Inc Shaun BIN 226900 1432120(II SI. New RlcM1moM, WI 54017 ,2 ww 7115206-0516 Wm.a,oa p 04 �_m © •:.. OBfCOMM �rsnr�ov���rr���mres� i�EDl�fli OI�lI�12!!►(�lr1J�Jil9�IS� r�71A!!!:^ //O�I�Fi-1rS/lGTI�JL��IIA.7 M ■:. QB����QQQ o 'EIItNW•KOa>A<�iq{mX gq aA.l.OnK 'F�TmiG.XW.5Sm6=atl1553AvK iXe MpNrcm Mf M,n< ahau.PoW plmwuue pvnEvmEemM W31s]avoiNv[e Mw>Iwm nW vuunJ in m vXmu¢ lamut plm <mbn the deryeinn m 6M-i6a1151 a TN 6W16.�Xfl] Soil Test Plot Pla Project Name John Stigens Sh rrd Address 1927 SiwM Lane Somerset Wi 54025 TM #226900 Lot 2 Subdivision Data 12/21/18 NE IM SE 114S 30 T 31 N/R18 W Township Star Pram ❑ Boring Q Well PL Properly Llne County ST CROIX , BM or yRP Assume Elevation too R. Flood Plain Elevation B 858 5' System Elevation 96.0,96.1,962 •NRPSameas Benchmark - Un` Scale is l"=40' 227' Pmprrty Line unless otherwise noted Cry Rd C 82' 9M 058.5' Contour Lmealood Plan established and staked by surveyor) >15'