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Home My WebLink About032-2069-40-000 (3)Sell Local W Conance Safely nd BASIN oiaa.n rte PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT ,. call nonfatal Yen Sallee fly eaTel B4mMu 6 County $l Coax o'Penn NO 624963 San, Plan ID Nd Bryan end Mary Rivard. Say T°.na NiM TOWN OF $OMER$ET iT"x P ° 032-2069-40-000 .Mee. LI BM ell. ....Plan nrto.MRanoem+12N3020768D TANK INFORMATION ELEVATION DATA TfPSE MAN CFACTORER CAPACITY STATION BB Hi FS ELEV °aing AI) BM Amalmn SId9 Seww HolninpSNTP Inlet TANK SETBACK INFORMATION all owlet TANK TO WL WELL LD l°urlal Dtmlet Time Dt B°n°m eln9 Heedelim" Ae.at on pee HDldnp sot System PUMP/SIPHON INFORMATION Flnel One, Menwapunr Dema ad (Ruder Man, No Lm FxcLon Lw, System Head TDH Ft ma Length mtwl INFORMATION P, of alone, CHAMBEROR m1all Surge, UNIT EM HTSIVInfold Dlltl,Wtln He, sill HIP Sunday; Vale to Alt INI pe eeded,3odd] ahINS . Pennr 1= Ed:.. M., o No Maa aid NI COMMENTS. IInmmnoeediwepenaee, penOmpn,am no) Iropecepi. Inspected 02 Location 292 OLD SCOUT CAMP RD I )All SM OesvlpL 2)Bldg Tow length - Intel cemet = Plan real ReaMn, [ Yes UF No LPL— I I � LLJ Use 6710(R$ for eNonal mlormaB BBC snBIR eIBp � oap Inxpvml¢6gnalun Can No — del F os.C��C�M�D IMeEY SMvMU1� enCm6 INB 1.W EyLb@onpx p Bm nm s.aDre.v llxe.mmew.eycon AUG E6 2020 wamn.va 7-71M (o2 III 9G3 ii[Applicatio4 ClI"PlIVw„ sx rxmolNn x�ma. m r�mminumm be miss md.,srTn, Pema mw mmebrie ", f' efmnIIf1rn nnu Nmn.mrw` nrc'11 odmmltr u<�, aril ..i:.� b.{vA6bu 0rtllFes Oin ullWxl a LA sccaranY �` I I�9 cli Lu.be hbmmbe�PbN Pnp All lnb,.ao. /I% PamM INxux M1IXIY kin 'rJ mz-xosPeoum 545 Press Li Risen we lx sBwsBat, swemu car bass Leclerc Prwm Nxd. w,l wry nm arrael II. Type If Building leaves all that ® Ln n.mlr G.nnlx-rvtmx,mxrm,tm, - --�114 smdm.mn Near ❑WNrolomnert�J-talu, Oss - .. xn dock A ❑anm O sine unless-nxtem C. -- ❑ winds, ✓ YM xmLm V. .919 ® feel, m,mxx nix 0 set. Oeakenl oueau. 1111 A. Coss I i It B If line has ❑NI, 9Yuem Rate namil W,❑irt.mmNlol01np1xY PeplvemmrxnN ❑ Geer MWlflxbnm Eeln�x9yxn 0mlunl ❑fIntent Rxe,exvJ'❑RmurPl Ejcn,II xnbu N.v Law Ini ra o ;r ry r ter Powrss x®rcw mUUe.be cNen.11 aum i pew®I ❑nmm,,.emcaw ❑Awm ❑New- w ❑wme.0 m.trwuemo tinder xoMmeTM oulaW comp❑Aelrzutem ix0.puq PIA. tor wlluolmnl ("Oh") r m.dnn VDImIRnIment APm.w •nB D.vgpa pm.texr PIP ml.dbrx Pwuse.+' Ism va T..B raw runway 11FIyLk w eer NnTw ,x 4JIm, n, Mxwm.w� AI A� se ImmBmam T tzw Inn wme ettcxoemm line »o w�me,=, 5l.MxM 1,4.eb xl blWbbn}�b/e P11w1nebv.r Je.evM VIINxeeIill, Fih nl nJneJoe vmb ll.nN '1—%/ Iatn YImL! MMW Gve(: illy tw ZIP Cdel '".... New Tml..lnmrn4 wl HOA Vlll. Cwt ent Use C AOP.red In ❑Ilvv<I`em py./e P� IIDW I4 Ix.cxdwee> Press,13) P+.. 3-9 op SYSTEMburst B! 04AP brQ1 Want bank euenl xe"und _barrelful 'U b=�W ftV+M1[EN .LCul icell must be � as Per menpemem Pl.nvrovwea by ommx.r PBE.Aiaeer'�M 2"{Ml aa- uty"srwf � anspe...._...- - roan wcr::a""' Ist% e-__-. celnceuneolel n 4T�mT rew -�ie�.y,I�,�`1Y1 B. pBr s.Oz g) b!d w b VA b sBo,y�u itf"wlilYfa�i pit - is p.w+Je SyS ^Wa"P'nMfA 'uNVS. SYSTEM PLOT PUN Aiwa a aeawwn 5epac syvem °`°^�.—wpwm wffi ,.�.. N awl �a a scow I.-sv a ��wl p. w w ixo Tftm� �..rm.e.,�. .. wwosaeux i5 wa gwxi C pa 51..»19 luc �YL�U dwVb�l � CONVENTIONAL COMPONENT DESIGN INDEX AND TITLE PAGE Protect Name award a 8etlmom Replacement Septic System Owners Name Bryan &Mary Rizzi Owners Address 546 Round lake Road Concepts, WI 54020 Legal Description SUM. SE1/4, 512, T30N, Ii Township Somerset County St Croix SubtlHismn Name NA Lot Number: 1 Block Number Parcel I Number 032-206440.0110 Plan Transaction No Pagel miles and title Paget Plot Plan Page Septic specifications Page Effluent Filter Information Page Dose Tank Specifications Page DDse Tank Cross settwn Page) Pump Curve & Specifications Page System Sizing &Cron Sectmn Page E2 Flow Information Page 30 Management and contingents plan Page 11 Septic Tank Maintenance Agreement Page 12 warranty Deed Page 13 CSM or Plat Attachment) Soll Evaluation Report Designer labs 5cbmitt Dmese Number MPR5223160 Date 8/25/2020 Phone Number. 715-16DO486 Signature /2 In-Sround Soll Absorption Component Manual Version 2 0 SBD-10205-P IN 01/01) Page 2 SYSTEM PLOT PUN RN" 4 REirwm Septs SyNM r mAm SpnQ e ION OqIO NI. Cl w �+ o. roper Sw.e _: �2 rams r , ..4Ix k MS�6QDP WLP1250-MR TANK SPECIFICATIONS DIMENSIONS. WV ]1/]' Ol J. K' CAST A SEAL MIN 5 10 sT CGN01E2 NS N HEIGHT SOEIA- Plxu IFNGTH IW-01/A' Rom r-v SLOW KKET 41' UGIID IEM1 W. NENIIT a81U uiZ MITI AND cvA r CAtil-A-4I1 OMr ON ESN D/.9(ET INIET AND CUnET RYiIE AND HOER MYA191. SPE DETAIL nD $W (OTHER sur[S SEE CHARD uwD CAPACIm NO1 GA AN W M MEW IIL\ANG TANK. WTIET Ho1E PLUGGED V ACTUAt. CMAON 1.323 GA ONS O i O WANING DE41N 0'-G' UNSAl11RPTEo Spl - TANK CAN SE USID AS: S MC / NOGNG / PUMP ON OPHW W . W WKfR MIX DES 0 (No FISM) H l¢ TANK Yq mucm AID (STRUCNRA HRfA) iiiamor __ -- -___ - Ew asra Tsu« scwrAGr resA VNwErE G- 9LK[ ORAWINGS� 5118MI� � FOR AerAmru BY, PL-525 Effluent Filter PL-525 Filter The PL-525 Filler Is rated for 10,001 GPO (gallons per day) making it one of the largest fillers In its class If how 525linear Ice of 1/16- filtn0on slop Lke the Polylok PL-Ia the Polylok PL-535 use an automatic shutoff ball Insured with every filter rather The filter is removed for cleaning five WI will Boat up and lempwanly shut off By system so the effluent win t leave use bank leated. t/16" IJlralnm Slots • • Rated for 10,W0Gpp (Bollatss per day) u amds.em • 70,000 GPD sss rnearraf of 1/16" mLaden toward) Accept. r.c • AcrepfeV and 6" YHD 90 pipe F+mmee Handle • Burt in gas deflector • Autottuuuh cuff WII when filler is removed! • Alvin aa2sihIity oomc n • Acceps PVC extension handle PT o23 Immn. Ideal for resttemhal and commercial waste flows up to 52 i1eea, I 10.00) Phone pee day WE) Forawneam 1 Locate the oudn of dw wptic tank 2. Remove the taN cover and pump taN 11 necessary 3. Glue the hirer housing to no 4" or 6- outlet pipe If the filter u' not centered bitter die anpu nesting ice a Polylok Extend 6 I.mk or piece of pipe to center filter 4 Inert the PL-525 filter into rtshommg 5 Replace and severe the septa lank cover Fre 2: xLrmunu tit The rat ess Ffnnem Friers sentiment,clear, dhamndy for severe) ynrs titian normal recommended that t e bebrc rtquined eery ti nhtakispumthat at least ehe very every horsthetankis pumped,m olentevery there years If r i installed he na rater by an an whe nt alarm, the owner will be notified by an alarm when the Lever coeds Grvurng der or be dime by acemfied septic lank pumperar irWaller 1 Iea'ne the outlet of the write fact, 2 Remove Work cover and pump tank d nnressary 3 Do not use plumbing when fdrer n removed 4. Fell PL.525 carMdge out of the housing 5 Have off hl ter over the septic tank Make sure all solids fall back into were Wttk 6. Eased the titer artndge Uxk mW tM Muveg making we me filb upgede aligned rest mmiriourRy'rmad Replace and score argue road, rover tKoWaw,wrya-1 0" a0'sua,ev ' rsb I., Icarus is soadvesaak th FunFnrtre veaseMlMnM andaWm usnexecangianks Polylok.[to iFv?eta Blvd Waamgeord, CT 05492 Till Free. 87770,9565 Fu. 203 M In 14 waves palyln,mm Page4 WLP750—MR TANK SPECIFICATIONS DxxswXa if L 2 IA- BORp S R G9-e-4N CAST-e-Y4 CO\£A. 5 MXnIDE. 4' ID PREG L NEEE NI INN Wrm CRU E1FR T-O' ' WOW MET u _ EM1p U" IFrEL. aT I M9Wi 6.15D L9S IWFi MO NUTLET F n WBL-P-g 9Wi OR EW4 GL9(Ei FILTER 1pt LF d1£i AND CUTLETRJULL-EAND FILTER : MYWN. SDETMLFIE (0Ti1M S£ CHART) L Q CMCST' M 28 G N MCIF MEW W TCY[ MEET ROLE RUG® •CN.LL Wp TT. M GILLpS LOIAMG MWNN C-V pYTLWAEED YIL TOWN cw a DIED ws _ ssvm / RwnxG / ww p 5•+wX WMA MIX GE➢A R (No EDER) INK. MIX [ m 00 (STRLCTURAL IBFA) WSTCAM D Tuns FOR MSTpI TOWNS MNTXi WEBER CONCAEI INLET WTLET t �f__ RSWEYED BY PUMP PM M1ETI WEE DRAWINGS SU"ITTU FOR APPROVAL I TE .a ..... r..... a......�.. .... ....� .__. _ .�_ �_ __ _ _ MMXCTS mum n PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS aw go- (No Scale) na IMPOI \T l� ww Wray 1 g®wy pueunt b53 NJ.]IBN9) CAPACRIES® 20.28 pamn Depm (ml Vdum. (wit A 20 405 60 B 2 0 40.58 [Cf 6 727 6B D 9 18252 _'T *Pump Tank Liquid Level • 37 In Force Main Diameter = 2 In Force Mein Length= 120 a SA,,.+•SWryw a Ta PUMP-0FF ELEVATION • 78.80 If INSIDE BOTTOM ELEVATION= 7855 tt Force Mein Vool Volume • 19.56 gal Verecal Head • 17m2 n +Min Supply Head, totalDme Vdume TDV = 12166 gagdws 0 St[Cj + FM Friction LOSS= 167 tt tek Me Maas mn wnm.<TEN SO 2x a•rp, aa..l +uorc. men de.wea vaiurei +Fitting Loss'• 5 n .(� wwry ee a.e) MIN PUMP DISCHARGE RATE • 20 gpm =TOTAL DYNAMIC HEAD • 19.37 s PUMP TANK SEPTIC TANKeI. Volume = 750 gel Total Volume = 1250 gal Manufacturer Wieser Concrete ManufecWrer(sl: Wieser Concrete Pump Manufacturer: Zoeller 98 Install approved effluentfilt at to fi pink outlet meeimwly ugnreem W Me tank Pump Model M a mo nM Conbol&Alarm Manufacturer, SJE Rhombus Filter Manufacturer. Polylok CanbolicAlerm Modal. AS Float switchans containing mercury am andhisofted, Filter Model 626 RE s C PUMP PERFORMANCE OUWE MODEL98 x is bE y r0 �p 5 LITERSNN q x0 FLONPRIMINOR TOTAL ottUMIC HEnPRL%Y PER MINUTE EFFLUENTµ00EWATERING I. y- 1.11 MODEL 98 I'- o wiE b I ni 8 ,all 1 CON S O LT IACTOR, FOR SpE CIAL APPLICATIONS Eastman aXemalcq br dupbx ayabme ere evellal and VviaEb level boar snrclmf am mal for mntrolYng aryls aoppiMwdbenalarm and three pl systems McNOnini sAemamr; for super sysems, are aysllme DouNopggy &vaeable level Aperawllrllmemsveilableb wMarwllNtNratormsverhas vanablelmoranioneeconal Rs r So FM1922 and FMO806 for tempemWrry abve 130°F 47 SELECTION GUIDE .alll are ommre mmoelllule . no,nnne maim myl z Pm.pmmeun see MNIe wear>rm+�eerS levm mg.wnm nr swam rvaareaa.en.We l.wnmramw Rgerm FMwn tbmm mmn Wnel < m FM0712M m,,OmOduP4mmpN m FMimmr e reewmxa.nem.mr ev,iem Fw lMmrepn in arena zvW mi'm or m mlrg m Plpµee, ral LEE, ERNI Rw EYpeW Joest FRI NMoked Asevor INSAM bond al Mry FW 7, Inge Mee, Arrs, I amid, Mt bas Non S m many SammbF AY w OPTIONAL PUMP STAND PIN 10d411 Ra]une R.s1Xel do BIN Mdmh Re area or Way; peer bas Wlr9 MC.eoldulyY,nowngxq&S Rams WmWas y Aa'n d Wear Function, Gas Mi11y b nM IMeNe by a1tlN mao'w or I N' m2PJC o AlbpM1se veanlymFred, dw Mammeflmlm I, ARE, NleNtOm�e em+ol.ppcL.ml. xare x.x. Wi.nna xr. x.n ono.. RESERVE POWERED DESIGN For uman al conditions a reserver ealaty Tactor is engine mb Me tlealBn M every Zoeller pomp REST See . Z arm Zfd ;m� w PUMP !O. ��1'�"' o' �"'Tw" / 2Lr.,. ym...fier bRS 50 Nl 0 Cal m 2012 LWW on OL III maenad Pve7 IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with EZ1203HP Bundles 3-N Trench (down -sizing credit) _ I "Oi I� Imm� TYPICAL TRENCH Pmvlae minimum 3x CROSS SECTION VIEW (No Scale) sepamocn eatween trenches 4L — Wpm'1 Highest TRnch L pis) 095EPVAiI�ON PIPE MTAIL System Ebretus= 9580 tr 9530 a. W30 6 91 ID 90.30 a n TYPICAL TRENCH Ism.Rwmsero.m ps,,.. ) PLAN VIEW (No Scale) a.B a,.m. Pafford Latend mpp 10 H (typical) Itpal Ihtpll — ) A=3g fl m — — — — — — — — — — — — — — — — — — — — — — — --J Inoue m B= vanes fi W Ngrel Ml INSTALL PER TRENCH. EZ120314 Bundle 61514,T,; tad partial III weEtawuyt•14M K h�xngen�,s,.a.,s, let 1n Iuwa�+c.rxn®..r.mm. +Z_ Sfi lamalm®25R EISWUW=SD fl =P,npsm ElSA grlrerNl=vanes M Re9urea lnfilhelWn A,w=t500 W Distribution Weim: x 5 VencMs = Proposed Total EISA = 1 W0 s: distribution pox 0 Installation Instructions for EZAgu Systems in Wisconsin .......................................... NM1scman oepvtmem of Commerce. Satey and Buildings Omslon has reviewed the spcldcaAo a and/or pans for this Product and determined it to bar in compliance whim maples Comm 02 through Ea, Wisconsin Admin Code, and Chapters 145 and 1W Wisconsin 5ttudeas All ides must meet the$ & Soil abortion • B off• •roll dstylces as baled m Kcal reguUGons Be apprmed po]utls are 1'A3H (3-12- handles war use in ranter bundle m 5' or 10' lengths) end 1g03HP (312' W rules oath pipe in each bunde In 5or 10' ani A single pipe bundle numbers a fox mCt perforated rape act - unfrozen by EPS aggregate and is new together with pey. edtylerre neMrig A single aggregate funds conlan.s eggers ale 0xy and is here tdgehhe' wtn pwyemykne rotting Madenels and Fqulpmnd Needed EZfiuw 3un0ee • Coke, Cambodia Fai • F2Aar interred Pce Coupes • Pon let Heiler and Intel Berkhme/E.ca+aer InsfMSUarr InWuc4dds The mxWtlms for inxdaltafon of EZflar Means we glass" shadow This Product must b mstaged in acwaarrce arts slate rates defrred in tlapters Comm K Month all Ws•crosn Al mmArao a Cut, ma Crashes 145 and t W. Wsccnxin stab ales, as twill u the ueal NSM dquNnents current deign marvel 1 After the col heath department has determiner sarng. mhrgarauon, and layout for the EZnor syxleme, stare mars mth panne locad0r of renrnn and eras. Be useful to ud:OnM tank, smed ppe, heatlen rim or 61 gageon bn and tnercn buoyed elehabrns before mmal- abrlofgBebundles 2 Reverse pazM Uflow shppng bags Mar to pral bntles in the torch 1 Recoils any paste bagsm Me 1reMl before system is curered 3 This product must nave because tyre that mass se- cuuements of s Comm 84 30 (6) (g), As Aden Cnae, installed aaMly on top of the product and extending down abrg me sdee of the product to a Pont A least sir inches from the bottom of product 4 Of instpuM in a trench, the March should W dug t0 a width of 36 inches Tnis not ony saves tabor n excess flour but Was Monday betlo a d-exi ng Proof after backfilling is compete, 6SEZflowre M. see ............................................. 5 me AMOPum area (59 necessary for a aiwo site snm be sized bash do maermum duly sewage Pow (GM) and Me Parrett iy Ira the site If amain :Mena Is met the Elsa suing can he used in successor msulnne in e 40% smaller aram9ela. 6 Place E2Aow Wndks) in the E2Aox canfiguma in, proved by system design permit spa b the pai W she led IT or centernextburgles contanmg qpe re iomed end to "whim an iinternal Are cooped Arty a%Nowl aggregate only bundles Ibt may be resulted, should be bpHm against the chat aggregatemy bun - des and do not re rs a any Isye M annttfim '! The top of sized GEo chnder errors a filter tarn,: ere, ewlectured in beeeen the mWg" aggrtQak The fade Is marled 10 prtreM sol i annsm The irraWer shall make sure the Me GEO a rya MN rgeerd ",a in :mle:t win Ile III confused in the a]pmal Mm der lelpe M:klairg 0 The EZPar Cotangent Sy ozzi shi M nsfiaM in a artl March an MI dnttims (bed sums ad al the trench the 1 ard shwa May, May call 0 Ire ground sumacs Month, (urvrpm depth), Mh a central oynneg II It :ylrMrrW GVEIex paw end to ant owed :miry bMle JaVersm kqe rnderccnmct aMnd any aeon, nersomens or filler was, slow 9 Ties trexA IT sloe be graded such that water sell rot path Eligal sKua M seeded n sMded immedmttly atm:ampnbon to reduce emsmr.. 10 Uflut EPS bundles are lender and Man M in NNea trend es as may he necessary to awm Place thraen, o blue Modacles 11 EPS aggregate is lighter than water, thereloo, it Mot be eapMed that naura rubber forcm xaa tend to use EZAoa assemblies to ficat M of ground when bounding hi Fred erpenerce has sMmr, nwmer. that his Is rot a process when bell hoe a mmlmum of 6• of oil Goer as recommended by manufacturer Page 9 In -ground Dosed -Gravity Management Plan PAGE 4 OF 4 IMPORTANT: The owner of this it gmun0 403e0 gmvr9 system shall be respmsde for he peopki cperknon and maintenance pursuant to requirements of SPS 382380 Wiso Admi Code Pursuant to SPS 3M 52(2), Vail Adman Cape. this system shall W considered a human health stood I not maintained in accordance coil Ne approved management n Funharsore, all Imperfect and maintenance aNwoes shall be Performed by a reglelarM POINTS Madral in accordance wN SPS 363 52(3). Wiac. AOm,n Code Maximum Dlsoeml Ana Onflarbifires Und"al Design Flow s 600 gpd; BODs S 22o Ml TSS S 150 mgL 1. FOG 5 30 mgL" Inaoecdon Checklist INSPECT EVERY 3 YEARS ors tr e. owrs, a connotations etc l o mechanical maMuntmon ifa. pumpms. valves, awncnee, nests, etc) malwal fatigue p e. looks, breaks, cmosion, etc.) wli0e coal in snaembic treatment lards) and any dlpn Wtlm appummenw(s) Ilse, dlelhbuum / drop tical neplxt w'Impropm uw p.e, exwWing design wpaotes, prohibited adWides, oc,) oextent of Wrong In distribution cell odor to dosing dosing megularltles- if applicable if e, pump reayding, flea switch semnge, arc,) electrical components. of applicable p e wring connections. switches, coni trarl alarms. etc) istrlbubon lateral or lateral notice plugging (measure lateral mural pressure— compere to design speemeeum) o sudece decnarge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) Samle and OOu bank el shall be pumped by a wNfial xpmege servidng operator licensed under o 281 Q Wq Stets. when Me vall of settle In Me banks) exceeds mei (1/3) Me Ilquld volume of Me banh(el n es real by keel rodmi DIfewal of contents snail be pursuant le NR 113, Wlx. Admen Code. ENluenl fllndsl anal) be Inspected every 3 yxn and mail be cleaned when Malawi to remove any mulated W,dsac ingtomanNadmeyss ie tiens Axry ong penM rnllaMtye [e greater loan l2 months. System maintenance npoN shell be submitted W the proper local abn mal urea In ecwMenu wM SPS M 55 Mae "min Cede Report ary component Pull or maNunNon b: Name d individual or connotes John Schmitt pie 715-760-0486 Local government ant St Croix County Community Development Phone. 715-386-4660 Local government unit address 1101 Carmichael Road, Hudson, WI zip 54025 Any defective pan of this system shell be reposed, repll or removed pumuanl to SPS 383,51 (1). Wled Adman Code Repair or replacement of fall or malfunctioning compensate shall comply wish SPS 383, WI¢. Admen Code No product for chemical or physlwl restorml of Me POWlS may be used unless approved by Me depemnent In accordance with SPS 384, All Adman Code Contingency Plan In the event that any failed treatment component of this PONTS cannot be re erred it shall be replaced Powers to a plan submitted to the approplate agency for review and approval Afailed In -ground distal component may be abandoned and replaced by a code complying dispersal component In a pre-detemaaned area of suitable eels System Abandonment If use crime PONTS Is mswn6nued, it shall be abandoned In acmdance with SPS 38133, Wlsc Adman. Coces ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM O,„ler/Buyer Bryan & Mary Rivard Mailing Addmss 546 Round Lake Lane, Osceola, WI 54020 Property Address 292 Old Scout Camp Road IVmfirauon rtgmrre room Planning is Zoning reason her newwmn tiro) Cay/Sole Somerset, WI Parcel Identification Nrlmber032-2069-40-000 LEGAL DESCRIPTION Property Location SE ,11 SE ,A $e< 12 T 30 NR 20 w, Town of Somerset Sub hNimmn Plat Lot x Certified Surv<> Map N 35`tL9f Volume 3 ,Pegep 4/9 Warranty Deed x_533''1bf (before 2oat)volume IS3 ,Pogex N1 Spec home 0onab Lot lmn,amutable Dye,Ono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Impri me am mmnt...na ulvnue sepnu enem<omW rtsuluniu vr<maturt fulwe to n.nale w.n<. Pruree uof pumping our the septic mN every tNa ycnte or some, tfnceaea. by a li«oetl pumper Whetyoupunmo manufacturer e rysnmm, mm'r be funwon Ifawsa c time u a treatment auger in the was¢ meomal.ytem. Owner m.mtmwn ¢apom dime, are specified no ISPs lal f 201 and in Chapter 12. St env County hi m dry founded, The pgcm owes &a m to wbmt in Sr Croix Cindy Planning R Zoning 1Xpanme d a mufintion form, signed by be confer wed by aabout Is plumbeyoumeyman po m i resmeW plumber or a licensed pumper mmfpng not III me I ,railroads dupoel ollein Is In bome, peraung conaluoo water (2)our mspecuon and pumping (if accuracy), be septic and is less than 1 3 ran of about Ilve. Ye uNmrgnN hrvc rtW mM above equveomu add agree to=,,win mhc a .... ie associate disposal spur wth be sommudr sus mm brem, a, act by Ne Odiousness of 5a(<ry And Pmfcu ml S, and be Department of Natural Resources, Sane "union Cmifiution Assume and your able system ha, been maintained mum be completed and nummal to be Sr Crone County Placement & Zonna Dryervrcnt wMm 30 days ofbe Ned who, expiration &I, Uwc CCTI than III Ilibrocul 11this form en do be hofmw... knowledg<1/weaMart ibm ownnlal e(Ne prombI deunAd %core. by vatic. mc a w<mnly dndbrands con Rcguer ofOeW Office Number of bedrooms 4 TUBE OF APPLICANT(5) DATE ... Any nomination to t is misrepresented may result In the mimsy pmmt bemgevoked by We Pluming & Zonmg Delivered ••• Include with this appheabnn a recorded warmly dead form rile keguter of Deed, ORae eM n ropy of the an(ea survey man if refused IS made m the womanly deed (pull 0411E) a Depahmerl of SOIL EVALUATION REPORT nose IF Cap are I11,,r n¢«,-Purrs 65 An on Page 1 a L Polesswny Sil SPemP Sol Tel 1. 101 •n � Iwers ewe Par us, 61 Gr y wn vem"Wl i:aup as u ne n+mm eon ac,• el am yawl 1"area losear ea, w Yhau Prim all Onlwmatian m A,Al By OJ2.2M&a60'.p Caim Rural ROLE".'. r %,I 1. Rrverp Seems A all C,1 -W SEI4 SEIV 512 T2001 R20W Sant Oil a l.411na Sur• Sued Name W Ogles SIS 1i Late Lana SSM Vem J11U Cry Simi 20 Cem" P xlumre a C.y .eye pee Neva aye OresM WI 5a020 T728aA122 I Scmereel qp Sayul Cam al haw Cp,ulwal um P"empatim. wea of up , 4 _me de PLOY ,an rife 6100 GPT Pemoup PeVITC rmru Call Oprontinampappe Glacral Tollr rmli py Loeml - NA ry e e., .rev..-uv,Am_ }ra.. We Russ".l0011r a I I-.a121^_ 1 Bormga all LJ Ps aeono surrace mr. 11 11 mprn m un m rig rauor 9p 11 5011 APo6neon Pale zon Dath Dar nl Lorp ROO, Call Tilt we Slw _,r, Iris BovMary Prate GPDffl- Q, Sz : Cn Sir Sn 1 04 I0y414 none .I 2mgr mNr is 2,f21 06 ICz 2 222 MvA4 none Psi 21srk w1. 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L l nrl11l IT IN 6UIX St Croix County, WI Conducted for Bryan S Mary Rirard ""' 546 Round Lake Lane Osceola, WI M020 Lxaw�d 292 Old Swot Camp Road u••�+••••• PID: 032-2089-00-000 a•— SE114 SE114 S12 TNN R20W -- Town of Somerset Concluded by The asJmdl^•+•^—^ CST Zt7429 LOT 1 D23I2020 %n emPz.. N I BM i IN N' Bottom of siding on detached garage BM2 IN78 Topof Well Ensling Septic tank Outlet Pipe El 8785' Proposed bottom of Dose Tank 79 55' Distance from proposed dose lank to dramfiek190' _ "• =.. 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Comuhna muNery ODMY I 'EIIMn1i1=BCOya )p <130mpS aM iES>l0>15pmyL •EXMMa3•eOOe<a9npy aMT55 <SE npl The Nrhvlenr fCMlmc ow, Need Vrrortollty wIlloc pmNrtlald Mpluym IfYou neeJu i¢>or "I Mwenol ul We ultm t, pj"w wnrwJ lm depNmew M 6C 266-3151 or I IY WX360.3777 ss as 31 St Crola County, WI P e d u W= Conducted for. Bryan&Mary RivaM 546 Round Lake Lane Osceola, WI fiaozo 292 01d Scold Campp Roatl PID 032-2069-00-000 SE114 SE1/4 512 T30N R20W Town of Some Page 4 of . ��.'q ��[' L�• Y 44Au'4'. IrY t wyP,' "isr ,atrrs€ e yrC 1 1kle Hs c Al .73 • ` ^ e a air. :. \" ^.