HomeMy WebLinkAbout261-1349-00-000Awl
w ne emie ne �vae.°mom® PRIVATE SEWAGE SYSTEM Ol St
feet,INSPECTION REPORT Cl s• n'°+^+
GENERALINFORMATION (ATTACH TO PERMIT) a.nro SAN-2020-240
I^nema✓/unwwl.^ anNmll
Allen d Susan Olynmk Rev LrvinN Trullca Ol OF NEW RICHMONO T.e 261-134400-000
ow. o.rwn.vns rn
ICko
PUMPISIPHON INFORMATION
M 'm
unr pernaMCI
yy e�yr
Y f
e
L
Sym mH..a
fil
Ton n
roam n i.nol
ono
In
SOIL ABSORPTION SYSTEM
IV 4 111 ou
3,
,..�`,
T,.2
.do"
MTo
ate_
Lf
yr'
�a
81'rGo
N I;Lr
CH gue
IEM
u: iio, ti'
p. "
Zi 4UVEH x PeelSv.am.Onw
COMMENTS: pneweweddic, i sm,uo°. cr...m.ml inessof a
Lam•" -VcNAny or Ujul Ej
tea, ob Act B ; a, I � K,a, viL & swun Sysa�, ,
2) .n.eNn.—r5` "� "
°oia�..r•in5•� Wj4" Iv,S+la47 o`+ -Iv accoP+oora-if.
Pe,
neeoneformudev n. Nn 8 zq� L15 4. FS u..mn.r.i3 N�.eaimnm immlnaoo _
se,s.ro�a.flrl curt NO
11411E OrvFiost
tM1'Or
i<OOEWal
rPO Box 718N,
S.owySf
rvi
i�
Metal
q
x,
AewMm.nlmlc
nlryaapv.rInys�eu
Tro/3d,—GMra
Atlm CW, mamw...too wm
`sl96mY-We1-
aomrNeµmwz�nm>a
al6wl
milzmaa
uWeigumoywp..nmms..ErWrhywaSnaam.wiuNot, AWL.v.n6nW
walf
ir..rw�Nk,wwwe°vwm
mPeaan.l.[a o-N
, sutn
eurnsumatin
. Rsd,.nm0
LA Yutlon lx.rm.Mnn-Plot[eNMMlnlorwtloo
PmysnyOrmer alyyie_
axn.ln;r reac'�
Mai
RG/-/3N9-oo-Ooov
PrgayfNw,Me,Im,A
empmylmoa
w LW
NF n E A srrnm
tlY. sale ZfflCx1c
etmu Vundc
estdolt" W �'.fy1a
1/5=3/3-O 8o
r,3L�, aL.p
n »v. xe.Iw.a ue:empW.vpbl
"
m "'" . Nema
QI ai r.mihowetliM-Nan.xroremo.m,
1
I ♦
�Po44rF W-NUM4¢f'MN�/ff �1�i00.V
Blutk
G�Yaf
QSnu Omerem'nneflee
a
II—a.rn
�Sc,YKlgl
V IR rYsz3
In sypexrWwe Ieeak omy a.a e.e®u.eA e..pMre up Buyyx.eMl
Afee, syne,❑Rry
mmSynsm
Qllmmen.'X.WinA Tank Res" al PtlY
One, MMifiranw m f,,M; syaum I lrinl
s ❑err.,nMM;
'Elea.. Hmuv
��.rvwrm
�mnllTenacmN,sa
l..Ie ..amnN®.vanao�r.e
ry m.upe,we. Cwa,
`
Wuea,
ON,, nea',�v.�n1 �ena.l.mm�.Wa a.rnWr OM.ann.l.mxama�l
OM.m,.,.m.1.11nk,.n
IWJm{TW WCPrpnvl Qwpm,( Wn] OPmn®rUnxe fapWel
V. jousamnabnPossausent AM lx.rnal
Cap ibv l®nl
w. SalM 4oim Al J,0
pmtl MaHN.W faO
OnpenW
xl
SY+ thous
117
a
l p.
9 .0
vLrm we
mw..�
usl Ld;
6
�, I
2
�
e.an.rur.rn
vmm
i
x
�d
x
Vu. Roaffluminflay shmal L th, Illowr .aeuar x. mm.nxrwwwrs w,...o wa„aa.eOL
PLmb',Nm,e(]nnll % b m,w"NmEx Buu®,14maNmLv
All Baghnnan
2312N 7155445bA
f (Susan Ory. So¢, 4 Ge4]
eMn
2508B ewy 27 aalcamlal wI 50105
n
vm. col. me.nextuae uW
�AwA. ,C
e��rn p. wane
.m,tota
-
'❑ mru Coral
sue- I/ Zn21
IYcuMINa .."vm
3
SYSTEM CVVMR
'I�\
SBpoemou �)P,MTMno ��yMMq;,.p�%�V(p.,,.-
{.
eWll.. .Lf
o.emlan,esa
ere urvrvsvrma";"ae //�a
Par numnmmina
PI 1"'�ly-d.l'MGr�
Sa per maoagemnnl Plan pmvNea by plumber 1 a` �1
a ..............._,,.,.....,..,...._.. _'.__
as ce, appnm b Rcodearm
�Oh uti •/
BBUbJ98 (POJ U)
x���—91Pos,a
3a ao;,.k
4w..rdrr5 i
1
I
rear 9nl �l fC„l{ }� 6Lar t✓cP/
_R BaIA room A✓dV. - Proposed
9S
my I. 9Nd
s�rezti'u� Arras 1
�3a—
�\GoPy
lady 16, 3030
CONOITIONALAPPROVRL
PUN APPROVAL EXPIRES 2022-0716
Plan Revlaw. PW6-072001096-C
RITCHIE BAUGHMAN
WNDMONl r
250995TH E1
APPROVED
HOICOMBE WISOaS
w oaam rOFINousmTY eenlco; wITs
SITE
Mien ONnek
/
CC(ell rv.c6
1036 Highway 65
all
St Croix Counts
CM OI New barrel
PER -9 %-S24-T31N-R18W
Descnpnon Im6round Sw Abwrptem Component Manwl,
Public non r..final serving an entire SgOdO)05 P(N.01/01, R 10/12)
bathroom for 6 emplOVeez-117 GPO (up to
050GPDI-New CenstmROn 108-W
umnln8 factor- Effluent finer -
Vertical required
The submittal demanded areas has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes The submittal has been CONDITIONALLY APPROVED The
system is to he constructed and located In a¢OManre with the enclosed approved planal with arty
component manuallzl refeedrenca Wweq ve The onas deeminkmzm defined chapter 101 MIMI, wn
Statutes, is responsible rorcompbance wish all code retunements.
No PeronmayenVKinnworkatplumbing Inthe Aareankss IHenz to MWWthe
Depar4nem par c 145 W. Aatz
Me following condlnonsshall be met during cons0uroon or Installation and prior to ocaupancy or use
Remittals
• This yltem Is designed to same only the uses Indicated On the plan and only domestic
wa t ater.Ifthe use of the building changes new approvals will need W be done are additional
components may need to be lnttalled. The DeWtment MNatural Resources must be contacted
regarding the treatment and disposal of all non domestic wastes, including bose combined with
domestic wastes
• A sanitary permit must be obtained form the Coll my where this project is located In accordance
with the repmremenu of Sake. 1",19, Wb, Stab.
Inseecomn of the private severely system mStallason i5 required Arrangements for mp nn shall
be made wish the designated county pXkial In accordance with the prwisans of Sec
IASAi VinaS. Stlb.
• Astate assumed effluent llter l5 required Maintenance information must be given to the owner
of the any mplammg that periodic cleaning of the Cher Is required
A Well f the abroved plans specification, Ind this letter shall be on file dUrina and
Inspectionb authorizedf ore Dyartment whim mayin de local
Insusstora
Owner Responslbgmes
• The current owner, and eachsubsequent owner. shall receive a Copy of this letter Owners shall also
receive a copy of appropriate ocerabnn and maintenance manure V:land be responsme bar
ensuring that PDwrs is operated and maintained n acmrdso a with this chapter and the appmued
management plan under SR 333 hi
In the event This soil absorption syne m or any of its m Processor pan mall a nctlons so as 0 create
health hazard, the propeM owner must follow the Conrail plan as desvlbnd In the approved
plans
The owner 5 responsible for submitting a man ename verification report acceptable to the county
for maintenance tracking purposes Reports shall be submitted at Intervals appropriate for the
componeniQ) utilized in the PO WTS
In ggntlry this approval the Division of Industry Serval reserves the right to requlre changes or
additions should conditions aloe making them necessary for based mmpllance AScerstatestat5
10113f2f, nothing In Mn renew shall relieve the dbugrer of the reiponsibdlry for devgning a safe
In Wing structure, or ¢mPonent
I muil concerning this come spondence may be made to me at the telephone number listed below, or
at the address on this letterhead
The above left ad dassee shal IIda a In Per of this In and the POWTS me n age me in plan to the
owner and any others Who are responsibly ter the Oda I I aria n, op In red ton or meats or rice of the POINTS
Sincerely,
C&Cel RudruekG
Cede fFfnabethf Rudnick
Wastewater Spenahst/POWTS Plan Reviewer, Division of lndust"reces
IgWl axi 31M
e uabe h mtlmckrtow,econs n any
Pa Lof
my .smmx+c Inmei Component Manual Used
t o P
1
Percent Slo (%(
iW
Deptn to SoilLmron Factor(,n)
T
mslNaoil
Wastewater
SateSler Flow( p!t
gt
oes� n waMewater Flow (pm
Numcer ors stem Elevations
91
Prowsed S stem Elevation p1
1
Proposed S tam Elevation N2
91
Proposed S stem Elevation MJ
94 1
Urging' Grad Nt
gull
rvstied Grade XI
tut
Qisine Grade N2
944
Fnisnm Gnae 42
pi mal trade N]
9!9
FnizMd Grade N3
Infil"ror Guisk l StaMand-W Clumbtt Tyw
1 to am r(m( i zu a perUtamber
Rows of namltera w pw w�ro wa rape
3 dstaM! BPM'ean L Its (n (
-rodosed monger bamdera Used
( ,1 Mlmmum pSvrouvw Oell ATa R wRd out fl
Jr GsInbution CNI Area Proposed (w )
lliulkuft 10W
Septo Tank
I EMutin rater ji
I,rnd-N
Sall Bong
Numder
Surface
Grade
Eleogro (fi)
Depth to
bmNrg
Fwtw (ln)
Lw.est
ElaveLon
Elevation
HignestkWALU
1
gull
1
881
931
2
1
110
8
931
3
9
11
883
939
l
WALL) I
MJALU 11WALUFn
NVAWn
Page). ar_
PA
— x
x
sz aa,ckvu�
C{i9roYbG"$
pad
I
how
+.Nk b xurlp66or.✓zil
'hsoGio PP��� p
644VOOM
BB' —
MtiILI� gINIA �
Page L of
94 10
s
nnu ome 9f ate
See,�neix,.m
w10
omCrahm
G,M,mate
92M
♦ m un++
_
dcnuro> 9200
9t
6yuem Pwe�b+
__ __
senvn Enawe 9t 00
Diagra ms Not o ale
pg
9 i
me
1
B
nnimt Vam Cpaio M bee¢0 t91ne ieyn atheersewwn tell merwee Fom nw "d0a"xik
Page yof_
E mlanW
GF
mp k
a 11
wm r p
N
weEsed
Sw
ry
Inspect conmuw orlanhta)
MMen MM every
punt o Rnbor YnFe
WTencemimmmou
a =liar rem voume
nsp«la�awpemr»i ce itel
aleaslw eyerySlynever
Clean effluentM
Nkmlm eWry
I
IYwr
Inseecl pump pump wnlM86 fral
faveradommusevery
1 11year
hums eM worker number,
Mu ce miue M an iMnkual carrying v of tlplgbmy
Her mMn Pro MazM number ReaPCW Se e ba rer Tariff
unni
vware,
ne, SoTank many c rap slooksNe ere Me volume
of co MFd Sludge
WMily anon, asap
6,upau nycaGsm Mahsn,e uretllevalume of combined HUE9eand scum and
l ok thupwpatE mpolelMenfon pre aan6U Thecheck
Eefflemal oranyrnnin olefluall by naually
recce IM1e effluent levels m Me Mservetron pipes and b cM1ech for any PonOmg of eMumf on
Ween Me coned ewuntil of&utlgB and scummBM IenM ayutls ll]wmweol McInnk
volume Me cpmeSof Me bank area be remwN by aSeplpa Servldn80pdeloranEEiap4M]
pr m sloNance wle cM1 NR 113 Wemlan Mmm,st Me CMe
Oftena"ll Le Several Workers al to me 5l ilµ�palm Zol Cepl wn ya
A
aice re
r servim event
sushi en, freshet
For new wnHructurl use of the pOWysc lheamenl all In the Presence Of Olivetti
prmum oiw xaah m.I maY lmpetle metre.lmenlwoc<a33mlw amagelneeepersa
corks) Il M1gnmwncenlmikneMtleNral leave Ne wmlen6 pl TB Unk remwM Lya4cenW
art Operator
System sun -up atoll not cxw when soil moallons we frozen an Ine mfeeawe snnace
keel 5 W—
N mtamm w perk vMCNe OM banks W drsamed ghat
Reduction or elimination MNe label from the was waler$IRam may iwirmi the perMmence all
prolorp the life 0f it9 POWIS antAiobcs baby viders ckpretb Eulle. MIMMS, Cahn swell
Eepreawm, dental floss mapars Emnlectants flat mundabon and, lwmp pull im, gasoline,
Smash at amni Moral peeundea aamory napxma barriers, and water sonener done
apanahmn.ot
WMn the PPMS lets all I or is slep5 snail M later N
out n Service Me Nth
sane Mtaken
and berg
re mat th Simmons PUPoM ana sally adaMorcG in comvwrce win wieznein Pgminhindw
Code Ling 0]
se
Sun pang do ranksall all shall [e drswnsdM e and mabandoned ppe aled
Thee Malls of all tanks and oats snail heremoved all opropertydispave] Of OI by b/ a as
$epipe Sxvrep
Oldsmar
AdMr pumgrg an sand passhall net m ovedwinert corers small and Me vad
M,l rill wildexcavatedeO
apace filled wlln spn, gravel or another men wild material
ConlMaencv Plan
If me PONTS fast Man unml de repaual the miumrg meawrera haR Kean or must de taken 10
provide a code Moral replacement system ICMek Onal
The and Man not oaten evawmeo to Seated a suitable rupareme l ama upal failure of the PONTs a
ll and we evawmon shah x parliament N utate a m atme rePlO m ant area if no, repw.emenl ar
is ed vmde a hating bank may tahad to space me failed PO Al
A wllawe repayment area has Egan evaumed and may be utbMj forth broader of a replacement
sorption system The replacement area mould M pmmclad from daNNana am pompaatan ana
Should not Merrill upon by Su ned moraaxs from ehlaonS and prop Mmntlures at tiros and
PammmprMmt"mpbaaemennareawllmwlt,ntnanee eflew spasm mM h.awmwnm
.I
eHe
udlsnawRdde rp+MCement area RepU ntsoMmsmustcomply wql the rules In eXlCl at that
time
A sWa04 Tpazmem area ball avaiade due to wW%k FNrd Sol b ISMOSS AMI Mk ma/
ce iMMik to remarks me failed POWTS
IWARNING11
Sep&, Slump and other treatment ranks may contain lethal goems mehorlMuRrsent Oxygen Dent
enterasept6, pump orator treatment Unit under any cRurell Oeammayresuft RBecue Ola
person form Me Manor of a tank may Cat tli@WIt OnmpasYdls
Pi Ihstalb Septic Pumper
Poore r
POWTS MaintmMr "'" la Ie fwN
Sty Y
ennes
hanetl Pho_
of / of
IJOO� ., 1
�JUL EB gE20
wj4 w
Sr. sCAOIXCOaA
EPncrANxmAa+reNANCEaoRPEbta+r -- -'
nbm JUL 2A 2020
OWNERSf38 CFATD'lCAIION PORM
Owue uYer /7/an If a,A f 3er
MamaAddms _ /I F)v Sair,. N..v 27 G,J w, k ^ rVoI2
property Addtas _ ZaJb f6ar 21..Y �S N..- /f:<�sawr( wi ,fYO }
N¢rEwm nyavd iom P4mIN & tv®e DNnmma 8a mw emuuv®.)
CityStnm �w/I%�Fg>rL wr PemdIdme6cmiou Number ZA/ "J F-ee ,Oov
LEGAL DMCRTnON
Propmry Locuov '/., SE Y.,Sm Z'/ T If NR I9 W,Towof if✓fir rr.c
Certified SUMWMap# 7zz 9fl Volume /7 Pegea eli-O
WvrentyDredp '��Qa- (befo+e 200'nVolume �pegea
spaehmmoye.oa Inme,lmm.eetfys oa
SYSt'EM MAM'fENANCE AND OWNER CEATDnC TfON
.�. wemam.m�.a�xrom=wa<nxmaawarwxmma�am�<t.Dm<wh®ao-....n.e P�mq
fPemvee am tha.yeewe a<mPwmy<m=geaaem, ¢taaam M eb<mm P,®pm. a'hmrm Pmmm
the ryemm cm eHM Ne Hm<ti®o[5e vgpe mNmeveammt tlegem Ne wem dupoul rymm Ownmm=iv(eoeoce
gycwblm¢ ert epnfiuim §$PS 3A352Q)=pam Chepta IS-5<paa Gnmty Sewmry q[m®q
IMpcpmnowm=8ro<%b=v'hmYb h Qov Cwmry Pl®mgA t®mepyr�®e mpfiup®4vm v
ana e m &bp, W sy!ft'®muMv.)pomrcSmoammPmJybmwtuedCx9) �meb<mww'anP y.b` m(ff6ubeqm¢§y%)m3.egmau'Wgp <WbykWue
leu0au V3:cll ofeloEge.
UWq theummb% mklove rtmthaebow of
Wety nam egmw mSi mthe Pweme¢ewegedoo ryelw wahge
emmwvxtmq hoelqubm we Dyt Y,w o coysonut Homo= zmodM mamenapvmaol o:Nem t xwivicey
Smof v A, CVEfin000 mmg Om Lcm wgo ofbbe hu bcmmuoamaa muvf be complemi ®tlree®aab We SC Cm¢
Cuwn Plmmvg&]wme DWemumtwiWm30 Np oltheNm yeu upmv®aw
llxecmh(ytlW Jl mbmmh m0ia (vm me Eueb 0ela o(mYlw toowllto. Ilwe m'me We<^M=) of14
prtmry�-mi vEOR b/ehvr o[ewmmaydetlrtmb]m Re®<w ofp 1e0®q.
Number of bedrooms d"a" .e. =4 b<Ni...,,.,
O0 b���
SIONA OFAPPTUTU PUCANT(S) IDATES
•^normrgmman mm m muepommmn mme emleer b,n=botq ms.a Ma. Pry A trot fop ...
wlwaw mu µyho0m aembil wmmty errs u® me N fn omaee a mpy of ma amchea ewver mwa
term. u mle m m Ww=oy tam
(Rev. 04z
wi CST aaao—V-
0 o,p, yy semli.�! LLJI SOIL EVALUATION REPORT s.a._m_
JUL Z7 ith ewa rvv �wmm
tl
mn t n�MonMM�lwlmrel,.k Me an, 10�11 essi retie
u�aN '{ f
«fillnnl��Cl n�,C
w TVe,15E,,. 6 dVT 31 Nar8.tO®
ryo.m...w��.wa
w a
wnewcsw
7a� S � 038O
n �� N.�
Ne I. Aug ze�
®xrcm�. uxfl a. � cm.e.mm a,.wnw.„ wo
w '-rep coGVZr iWCC Aco
S'QFhe Lixzes LB EX
❑�
Pit re,m w.a,.w �_`I Ln c+emw F,mn� /0
D f
S,
m56
„/
f
�
s�
r v/
s �l
d
r
5 �✓
-
ry
S
�s
910
[gyre „iwWwrtOtt$ - , �� mre� /O „sa a
owe
�.
.�"Ied
I)iii
I
T,./
sin
sa
Ve.
���.
�M4K
7 or
t✓
M
a
-di
f 33
Si
J056
f
=✓
f
3
R5 3
/o f'+
5'
M bk
n9 �'f
•✓
91.0
yo.8 76.6
o
zm my.wnsm.,wm
n-eoo nmy.se.ss <m.p.
a✓'
aJ
�
a� aSI ag c v. i -3e fd-S -5 4i „
EI IX-. <'Nr ET Q-Wro .V rrylWR9e Wmyt
n, Rpi as,f Yy nd P,.fe,,,vn.I Se ........ Nwl-PNn,kfy rzmu m,&, W empll,y, If V1, nua mWw I,
K,a m.av,r MM mnlmJ m m.11emne t,, of omialW Jepm In W&2 1 151 m M fwuOR,1,Y
Ppe�W