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HomeMy WebLinkAbout040-1003-10-000 (2)Sebp and eagerpim ianoP1re GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) M St. Croix Sri,624927 sled, pion 10 NO -1000-10-000 O11 H28,79 77A TANK SETBACK INFORMATION i TANK TO PL VVELLSLOG VIM ry All Inia, ROAD of Inlet sepe= otemmm •An9 a HeaeenMan ist Pipe pot Bdmme G"t�.��a PUMPISIPHON INFORMATION anal Grade Z IW ulapurer 2a GPM," St o I r 2.S �BAYZS * ibYYYYYYYYYYYYYYYYYYY TB„ L _ nvo mar �gi1 pique re 00 rovpu "� SOIL ABSORPTION SYSTEM d. iL.... . Xe DIM3' 7"a'd lb — na Inside pan Lane (plath INFOpMA SYSIEMTO /L V Poo' BLINi 93' LL W1 15 LAKESTHEAM Nor.MIAM 4�P a DISTRIBUTION SYSTEM HeYerd M I H " — d Dill 1. Hi D', Ix Hole Spacing Ctw,+.-, vc SOIL COVERa Cetm der r angm. 5 5 prom 0... ezn 111 71411 voaprna _.._ ou a., Mr, Had COMMENTS. (nation alone docrapanceF persona pri etc) 111wpenpp 11 11 Ineperlion% Lncarlon. LN Ory RG p—E-NLNVYi'Y� pra:vLa ILO cl?4I jvvcJ I)AVEMpnenpean=flv.y bra 2) Bldg zwerlength- y LFar oVt 5eJ4-1,N EgIN -11011taw.er- 5)53t) Plan revision Required? Yen Via Gad area nee fored�eon. M' andratodNn 10 % 2 _ � II canNoeepnmpsnl d lintBnMrw Division &Can, ,;toot/ 'I =Nt� u00ayak vo ealztezAwroRAw 6 z y9z� Sanitary Permit Applicatirt In amNnr viN [Y1 )A) Eliot, InCoal rvMxx uw,.l n,n ramm J• trWttmar", Ntw.,tn.wan x ,wr �p� ropEr.,.,,r v.."t�x.fssry.N m w.rta ml"mumxw o�ma N.rm mmm,r®w. baw Age..xofanrwxm.ttmutyleY�l .mE.v �iN Je lfir xl5 LA Ippbn lnfom.Ib.rpinv prmr All lnbrman. 9rtmmo,.tx.=N.trt �v xme9 wo-la5-loaao Iww Hb."rr. M.uW Aerw., pmyvrYmocm e a aI ZIP", 9nm. Nrta rvES.e E ra.roes wfuE v. Hanle, IamYnml i SB N19 RwEmW u. rype ornmiean unmR •n mn vpphl sw nsw. ®I al rantry drtllml-Nwtd.orpromm. 3 stamruan i laR m®ta ❑wdtxcrttttt.r.a-unne v: em• ❑s�ot.a-ierrttm m ❑e*rnf csM NtvM ❑ fialkyls,a ® ro.aor smr Ini orlsall eMa4 onl ine nu. un line A. eom lH. n.. a US N dyke ❑N.w❑=,rd/lwettu Tinx.p.mtrtnuy ❑cetrt ie,mare tin E.enw Sin®bmm) B, ❑R ❑Rmmrxevtann ❑LTnveaf ❑h unrNe rirem w rmn NUH r.NCpr I.nW hnrt Evp Mnnanearly Hfrerhml NaUWI IV of POWISS smmfcam mVpevice. eFx4aIINu I e Numlxmtmm Numn ❑ptrsswtmmcmtna ❑Aeama ❑nmwe>xrm "nnuen mu ❑MwntlrMtn "rmiunamil tnp rn dhr otpeveeumpmemmpime ❑9tMamt- rtwolun) V.OYFall M.® m n Ainbmn. ..M IT t".raa e.a u`°°'rtv� wd„Y All R.wtrte Ln woma m. an Par. c(„ A -I eo y g .we ." .�, vm yTumIMM i.i x im Wtevr -- �necn.nM x Pan Vn. nr..den sumo o-A far .w,>k.re.. alM mrmt.11.w1ex eenr.lo-ke w.. m"b'r A.T,mFn Inner, I'll unm m.XnervuM �r fmP Ru:vsiuz Mark, Aaartv 51,1 Cry, 6n%zto Cmel FAe57 Hwy IE Mm"mnnle. Wl 54751 VIILCoun Aal rm enl bat Pol �ppperee ❑ R Yrt ee r pPpeWSpi rt ryyl 5��— 2oz MCo.edbuo pnr anenN.e9l..gr.ra}' Pllm..- M - n YStEMSeptic ank Abell� w� 0-}GPD�Rc"j asPraynaonurll psenxzelman lartte P SPS "A;r t2.s�yi�e41 a: ce,mana3ntart plan prurmetl by w�tNm 4�P(yp( l.n„+-1- y.� b�Prp asperCZ � �. hi, It �lc� f {n 6c a4..ds.aQ m Pcr cedz yM I neECR@71nT1_/. r•. l__�..w.�; __. ,M,{� IR na }',•� �o..r t�'AI �TddeM krM2@LEVATION ❑M 1 DESCWIMON :VSTEM ELEVATION ALTERNATE ELEVATION CONTOURELBVATION CONVENTIONAL COMPONENT DESIGN Refaenbal Applrallon INDEX AND TITLE PAGE Pnnect Name Daren Robey owners Name lames Daren Robey Owners Address: 580 CTY U Hudson M. 54016 Legal Dnuiplgn NE 1/4, NE 114, S2, T28, N19, RW Township Tmy Count' SI Cmlx SuMmeon Nam NA Lot Number NA Parcel lD Number 040-1003-10-000 Page 1 Illdi aM tlee Page 2 Plot Plan Page Spam Sizing B Cross-Secaon Page Plar SCBCa WQ r /� ,SY'y m/eo Page 5 Malnlenand Inbrmalwn Page Maagemenl Pan Pagel St Crow Cte Sepac Tank Manlenand Ponn aA 14M4WJj . Page Wanent Dees oldper/eu{- Wo� Page CSM or Plat aba syaye .)bAfj 4,{' Aftearmel4e Soil Teat& House Pala xr/Ts674 DgnerlPlulnber er Mlke Rogers Lcense Number 225094 C4we4 Date OVO4I2020 Phone Number (713)235-1132 e Dv4Aw� eee! OenwM b the Irtd W N Sell Mo,pfm CamPoeele Manuel for PG W i9 V enbn t 0 SaP, m� M 01 Nn Ppe, ttM 7DEECR,IPSION eM2 MIEVAnO0 BM 2 DESCRIPTION �..VNMM ELEVAnON tri 9r� A1. MNATE ELEVATION ifwcGa., I CONTOUR ELEVAInON +� ti ���� I' I � �U ��Y"" • � I M � PP AceMee prn� Cold � Yy!"^i Bm ioa xfr i'� I �.+y 3 2pyo f +m ry_ r o730, I- f--Y i> 3. �o'cze.P=+ 210' �ec4�r�.s ow ,Lu.dv . �xwm r».s Chamber SAS SYSTEM ELEVATION AND SIZING CALCULATIONS Below Grade Son alnmption Systems OGw,e's Name a20'10 Roaew We ®Y or HglhN pretreated Effluent tt Sortable Sol Below System r 14 mCM1amberlUm[HegM. B ttMaxlmum Bury OepM. mmeme ehon Rate BC4 SB 31 ID 9s QO 33 tb Sots Eamon Sol Swva Amgtl Burry G,We UmiWm SASENr.tlm Syatan Numal Daniel ot) Npan on) lw.aN I tN]Iwet Elmo 0 No 0.gn o,eunaM edr ip will x M.rrfd,evn.ul.a. lwhoprrw( 3 ta.irwgrnW WmW fair mi ]. MVlyd If Luryfeynn wain and cawal Top n a..eoncmn.y.mm wemmn..ne m.mh., rr.ym. Top gm.nh.r. w+n.wnmmomnara.mTw1di num, mw.uw r.arawrra nnNn.d a,.a. urn m ,arm m me., min mrrm o, mwnrrm rpee m.rra.m. K ChamberNnh Aura EISF RT IUni N Of ChambervUnft Boom AreaW I Und 103 60 b rem.euaw F; OIaea v.�M ve�m cg 5.00_1 ' t I I IIIIIII:,IIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIILillll II IIIII..�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII� IITm;W2 Wnpfwwrar Alp M llnfltmnor 04tsla EISA Rang 0 20 W M per aamb 80 Applicaon Rab 0 70 Yob n 45000 Spd Dealgn Flow+0]0 80 ApplkNhn Rats 20 EISA 33'00 Mmbm rwn of I] cbembem each � rew y Ib . o rllww hv$ t� 6 ST CROIX COUNTY PLANNING & ZONING Dear Homeowner. If you own property that is served by a private on -site wastewater treatment system you are required to provide proper maintenance on this system as par 145.245(3) Wisconsin State Statutes and Chapter 12.7 of the St. Croix County Ordinance. Proper maintenance will help to ensure the longevity of your private sewage system and avoid premature failure. This maintenance program requires inspection of or pumping of the private sewage vdeAdv1i"Ov system l t least once every three Years at the owner's expense. Inspections may be °� 8e conducted by a licensed master plumber, licensed journeyman plumber, licensed �,a reslncted plumber, licensed POWTS maintainer or licensed septic tank pumper. The inspection shall certify that the system is in proper operaling condition and the vuxs-w74 septic tank is less than 113 full of sludge and scum. If the inspection reveals sludge and scum volume to be greater Man 1/3 volume of the tank, a licensed septic tank pumper shall service the tank The St Croix County Planning and Zoning n n Department is required to track maintenance recording so your cooperation is greatly appreciated. Please return the information below to. St Croix County Planning 8 Zoning Department, 1101 Carmichael Road. Hudson, W 154 116 .............. ..... ST. CROIX COUNTY SANITARY MAINTENANCE CERTIFICATION FORM System was installed in _ r The private sewage disposal system is in proper operating condition. c The septic tank was recently pumped by a licensed septic tank pumper, or it was inspected and is less than 1/3 full of sludge and scum. • The effluent filter has been inspected and/or cleaned. All septic systems approved after July 1, 2000 were required to have an effluent filler installed in the septic tank. If your system was approved before this date, you are not required to install a filter, but it is usually recommended, o Describe any other maintenance that may have been performed /— Signed by / Title 11�w^.� " im License Number: /9' Date/if— 1'o)��i1�0 Signed by Owns= -Date J15 �.7 /G07,f1 Parcel ID Number: Otto - iW3�16_.vot oZ 2,15,0,17A Property Address or any changes s.cw+cownco��+cfl.,r� r rarc..w.rcr.a noa �wuov xn 3ao�e �rsaeeacacv� POW OWNp!'8M UALMANAGPOwf?PWN P a umw A Hsmv ervye PV&Y :1. Ply Sa A pg ml QwWy(NAO Y0 OilR (hero (FDp) 5 30MWL BiwbmOg6mD (BODr) &tTi Twsl SyrymhA 9oIW (I3,4) 5y0mYL 5250 mgIL Preieesl � Qu p Nirc jwoa D u,d ON) 5 30m (Ts5) recTmJWm agm wSurlier (geomeeic mam 903cauloonal Mazimw� P 10 ve 1 W'^eawm w my on ((Aber Wm= � ievi) . V aYP ul fur m ome®mavJ wukwm f eRamt VW r, ceeyynmhnk+Ifep�mmm0vnYweb. 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T malearim of earmg applim[u Wellimuu Joae viM p,mrAr per of Inkart]mea the wuhwYmwhmn Also the brut, M eraser ham mmm mOmvq im rmarm units, eNu sins wmv armament prices ma hometon, creme AwJa be disclear ib me eternal aerate wbeevv pttilb.None'. Jiu am cot include Wmiy wome, mowey a corer. am Thu ayma ve htlmad to hmlk domestic etreogm wwrnmm, however to mmos l of food bob geetu and old, vegeW4/fioi[ peep am randy bon, amd food wlNs sum as maoe pducvl by agrbaee ditpeil ilnold be mimniml Taut, tinua is the only papa net mould be Nuhmyef mb me sysur.Omm aoa-biohetndeble rams rood or baby W ummm, emiary, ruptios [aaarmge8evu hale,mv,mWn.whoaahaoldommm mamtem.ChemicYs.rvdmpmlvmprWay pmt, dkmteamy pakiege 3reti ictlu. wl"lveoq a, mauldam be Emmett coal merystaumgmeviwily duoege YoiaPoW15 and cooruouua Ya mwklN xYer rvpply. Muouw arquly aatly cow by spaeaing lawity wmhiog tNoughat to wsea, Awns vela le hYfic overall ayta component. Cmnpglm arrow over to 41spersal maic my mere it to frees at. O Ono VYvw ehYl b apaYM m tlm dllewmg mamv bbAlarms Alums abgJtl be Ged an a'tutu Ktls by ere home awv If an Ymm sa ome commit an mNvidtsl lkmtl in emNee PoWTS. Thane be normally 1 dey mow under sgulm opeem eg mmdma, bmvever won annual bcmuavW uotil may, pobla+wMmeaYaa ue[maud mpevmbe[k.tW ofanaage men JndweWogvnufe[iog INF[ 014 Nquum shellWmtle binmdivimelwrymgme ofine(olloawgeriew im[vdfiaehvl Malty Flabmabe) PLmte PueipW Sewv.PoM5Melmloc mSeWgeSsicingOWum W the eoechM Meivamn 5cbnrk). �1(8eptic Train; C prnmt Talk huprrems mutt mclwle a'twill wyecuon of me cot m idmdfy mil miuv¢vlakm budwue, Nntih mil vahs or links, marine, me volae of cmabmW sludgc and scum ito[dvk for my bmkq or paling of,11mmt to me pouvl smtre, Auem aPmug vW forsmi[<or resecsmm[ mail be smlei mum bkN opv mmPiedn olawi¢. Aoy hfxa sham M o remoter cameot or ma or ml:' ®nty rmn a vvMa md®ev xdll b. umaW NIh n eRative o'kmg carnal b pmme ueiemw m w.umuimf cony mb m<uvt %hea to mmbwdoo If[Wdke uq'tour m mil anal exams mat m,L(W) comae afore took volume, W m em, moment, of to ma shill to rtvuvM by a hWuge servicing OPuseu amd dirpwd of to whh gryb Ml 13. wixasm AdmmbnWveC The rate fJW([) ehYl be Impend and [ImW br®ova mym[tmuleW mlN+evmdin8bmnefimuv'a specifications. Paruivm me bh mtlebrebmntldv mm[emile- ammia8mry bve[�y m mere Import havrYs men cold bona memaomae bhe]We b keep me eyalm opmemg. [Pap GLmde[/Inemnt en W cl Capwme The le Wbea beat. becomes. enet g, momlaalW [qulpmmteafL upap, Yuma md9ma to cont ahuY malt b madeb[anal;beca make"! corningm Makmueof ydenwand ahemhmdww evd to container ol'meflier Aqv service nMe m repaYe e W I be ptmPlly akin us of. ( The loOfOrevlry Camlwmtdrpnml CeW 'Ibe imp.Nm YWI include [ordisoogm[ Anybanks ductmtlu tomgwme WmmvmbbnieminY minimal to to ormeay mlmbeofwing dopmaimplago grdarthwo 5% oiemmgeb mepamauinat menhapm overytgwraaromeemma; emhuiry Fwdla{adegbgmam conuctmem[hcigm oflhe[wipmmimsY ia4cab ovvlwdLrgalmpmd'm8 nya W m rwma r[[memm,g coma aermne mmlmrli. wgeZm� o 71�= ,O�o,oM 0Yosuro mmmcam recurs,awelewofpova,ng.;f.ormme oti.mvuim axe m,d..lwlwwcrl®t enr cc vexte f Urm, moms, wtliaduae, Any dimmue todw gwW sur6eemuy he pconmy wwomf W Ne roguleWry ry. funding arena Ned 75%of W helghl am cmppomrm ym ands, ovuboyog m rumored, hydraulic Nlure B mine hmerst monilmwg. The gasses mtrpwlm rya® b poNdN wit an (spacing mtlp and of l lto Its u for NWmg no famous mum he "I'm a man ore sway dat 0)yeq qutme cyxy urryame wilt roulEple luaeds Arnold be dune to was now corned distribdistridistributionofammita oomrmgm toandfe mo imdsyry sotto system. R=tumebl000 Ivolganm and moment sh momee be murmured d a eawdw art 1315 wscwsm Atdio4dMn cram. GTn.^.^)x$ 1 Who to Po1Vl9 tit inns to mumuvNy uko u¢ofawkete tOowmBeu{eeyllMpyeo rooms tp tv owners, u ROPalr and assay bodoef for wmpfeoce wit M COMM 8133 Wyman Ad ewar uve CMe. "WmmBb owner mtl line ilJl be element wit to amount p9e Woings salad Theemro4 Of W Results and pne erneR be Votoved aM properly daunted Irby a gopmgo smMema stmebt. AM pimpng. al 6vb and 180 erhall be aovaml and amnvN or fort ones removal add to wed ,peen elktl wed an% Mind w some net mad mYrtlal. or pow, a code Mundane -drug and popsNevmbs, lot liuec and wells. Filter of famous rtplvumem area will s- ---et -me wait for ovew soil Rom uWogotl popoai spucme, ]a too rod mean. FoJuro b pinker the roplocemmt am wit vuhn to neW for a now sell and tlm vwhuYcv to coalition a sdphk replacement ram Redwerv®t rysuma must comply wit to man w effect at to too. ❑ Asoiubk replacement ass u net tradable due m wit suite. and moisture. Besm",evcm iv MO ocnedogya holdma w@ sry W 1mnIIW as a fen rrsoam rcpeve to 6dNPoWB o the m was mein erelupW b identify a connote replacement am, upon faiLw Irene Mo a roil and me [wham, arms let, perfumed an loot, anduble mllmalor sea if Voltmeters ep as andante a testing wk may teal e,Iled s a an rtma m replace to fdextFD IS. p Mom and a-gW word mauptim r5amx may let rewarmeM mplsz following announced oft, biomes at to iifilumine aorta. AamavucOma ofvvd ryaem.f must rmPH with to mis m effatoto t®e. «N'ARNINpa a� 4�PZf!?,vv e2gplll KiWlDAT1�IIdOWIYgYNpYMYIWLree 2 't AgeLmf2- ST.CROMCOUNIY SEPTIC TANK MAPJIENAryCF. AGRNEMEM' \T O%'NERSIUp�P CF.AIIF[GTION PORM JwuubuYc: ,,�„U.YV M' _rt 'Kil��✓f__ /_{{,,,�I'_ _ Mulmy AdNtla _.�klYF hhfL.List�%- ( w� w1t JdLt21s[G.y�_ __ AOPtro AdWup_ 2) (vWne.[w t�,r:a-rwr Mw Gryisuw CC,r_. ,Patel lamuuneon Number _.OV'D-1003'IV-p00 _, } EQ4IL O6SCHIITR0N emperty lcceuo¢ fz i., LVC_Y., Sx a T%3 NRJ,� W. Tows of I/e_4�__ $IIbEl081ptl A)ilY-I/i 4. C.A�f�llil ClJ /1.�_._.. __ IA[N CNrault Survey M16P5—_^'W_ .Volume, Pap4 Spec 4ou,e yu �, WIuw IC®Ilfi•bk /ys/uo SY nMMAwTEN'A.NCE Igagv ve•d mam4wrce o(Y�, W C,M t..v:.wkw, ..0 Prmw.we bJurtbYeYewuu. Y,upr ¢alP�Pc'4'n¢we eeq:a Wk aer) tiv:.i['I e[aen u nleY by •,I0pine. 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OWNER CRRTIPICATION uw•c lba.a ow wu bw,owM•I crmlraur W.l..1y.. awe eao.e w. bwoertq orme pmpertytlnrnw a, by o • Mwbv is Reguiu olbe.W Dula SIGNA '-- OATL ••_•• ,;m.e�¢.owa,[k^"-epnuoW m•rmm�w,b..,m,.rr p<.ml bew¢,..wW Mo¢n,Wa up¢gma .••••• bGWe wwmk.PPww�n. e¢ep.a »"wn aw tome[ n.eu,u [rues om.e w. wpr wwe.zeae awenw. ,a¢se b m.ae kw. wam.y err 10`8Y 20 2eplier Pump Oompny I ISO Sul Effluent mu mpg PUMP PERFORMANCE MODEL 151/152/153 MEMNON 1MEMNON ,,.■■■■■■ Ilk 1 20 30 41 50 .1 70 :1 91 10, LITERS 0 40 80 120 160 200 240 280 320 360 19SPA794:1,111 vsn.Nop�h..PCPrvrno SOIL EVALUATION REPORT v LaL b.Yb•tlY1wIm6tlP r ,e °nswesra' oo.ermmaw>�u m.� wrmmwwh.mr.p we•+so..sPwi..a.�.w.�P., mNmi ne.w A.w�rmAPxr. ai �N�nw.," aerpneplr�r CNe� —,y - °"er1Q / DOD 00 3- o_ w oeP �I 1 pq�w Yej We , )61H�P 0, dN `Ape iwn NmtlRW YO lJ P w.cvma.n uwptia.sarrrwaN�. - tee. ew.ea.yerP.m aw ❑� ❑ raaePmiei.w-oe.vW. __ e.wenrw nui.�o Gh �PeepP,mrn �.PaPNe GiW r. lkt o ydp`/Fi `/+�- ❑ ewe, ®Nx aP.ewm o4 a,nnwrp�'JV h nr wry om h sewn WV rsspeola 0.4 (blCmr TY Mw O. 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