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HomeMy WebLinkAbout020-1452-01-000 (2)si.N.nawNON.� PRWATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) POMPRIIPHON INFORMATION - S.BS I "" "° G ds =" cs iD3.os TDX IL myFyfiIonL aae-Z TOX F SOL ABSORPTION SYSTEM �3DIMENSIONS, 90, �.. M D� SETBACK INFOR.n sreTEM To w�.N � sLDc 5v weLL >so uIF(sTREAM — w.,.,.� Th N°atjsad. DN,., 1, N,.IDIOM e e "" OnN N. COMMENTS. (lwlw roae a.o.pmaes, Nm. P.aam. ) ll__ I"weoncIn 91 i"cpewmax- ,a.� UlM TCHEON RD —�P�S' 0L. W. es5 [` � , 1="jo�#,�s}w.�nl- dr,;wjty�werim z(DWarvn,le"Pn`£WSry 9 mw,-s s�j PPs:,51� v RK` EYES N, vwr,a(w.»n — !EI,�Yg of COMMENTS. (lwlw roae a.o.pmaes, Nm. P.aam. ) ll__ I"weoncIn 91 i"cpewmax- ,a.� UlM TCHEON RD —�P�S' 0L. W. es5 [` � , 1="jo�#,�s}w.�nl- dr,;wjty�werim z(DWarvn,le"Pn`£WSry 9 mw,-s s�j PPs:,51� v RK` EYES N, vwr,a(w.»n — !EI,�Yg of ga((� uv <40,3,Ia_ ;:)RC:; iePOrr. twr, ab 1 /P72 COMM"o.pe.e�ovm�l Sanitary Permit App ication 9e°•"'Na1' Fmpcx.Ni99 ]UIIRI. We Mm Ab. 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M Nm Rl4$tj y.pr iumA41-(-�, —vm—I—m UQ 6� BBD6IYY(R py / ~ 1i rill RECOVEDD / zev�sj 1 SEP 16 2020 PlotPlan-- pap eds s< <,o, i commul o..eooment R_ X+n i .Lc'fr Xi eN6 1'� 90 Ff 1•�weMa•mmel tpnmge=L i B @SIRDAIE w 9J p^EedloeW 9 .6IA Rgy4 1AJAI 51' "e_ 3/YO Al FR �JIS(g'yy1N. CtiD-1452-DI-OOD/421 Ne(��� p�,� R�fiD or 1� Site location: to vucO?V PAGE I OF 5 In -Ground Dosed -Gravity Plan Index & Cover Sheet VarwmL�zmp�l Dss OtA1 R 10112) Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Anse Cross-section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: EnUos I EL- P=P Curve POWTS pllcation for Review TB1kI Soil Evaluabon Re on & Site Map- -Project Name / Dexnption Owner Nama(s): XAn ill k Zion& Phaat: Iz-Ag �L/I Owner Adtlnas: ap: SYO/(s Project A4tlmss: (�amp� GovL Lot: — �W 14 of__pl�_IM, Segpn Tmmahlp: 1l encn.l : C C'RdFx W© County: ST. ! ProlM Pareatmff:� Iw"1—dl-Ood 001I Wom"Itk n Desig,wr Name: MARV.IOHUPPERT pay: 715 _ 426_ 1775 D Igner Aaarsu: 284e1 KING ARTHURS CT., DANBURY WI LF: 54&9p Email: hull istsrdeygn®gpppp,cpn . Licenu Number. _ 1859-007 .�_CONm. Remarka RECENED Qev s� 1 SEP 16 n2o Plo Pve Luf 5 St Crpv Couny Commum t. oe,e aPment R: Xf9S �E xi EN6 1=�rt�diet•�1 lyd0 l4Rw: L 13 ESIRD A1FR W sw // A =Gdhoe Al �. 67Iw R w 1d S 3/HO ACnF `:. �9 �W. �P-145z-01-OCO/f2 Nc(' �ryEpy �qp I No�r[h Site location: r GRAVITY4)OSED SEPTIC / PUMPTANK ' URCATlONS wnmw• ZC. ib .rb oo� o�aa� *Pb T. Uwmr a 37 in fvm�bb pl••!!a 2 b Evq MYWgM..... ati� � rr am r r.rr.rr a n+ooY Waa•b161•Lf1�1M0, WAG 93T o1 tyo arb. v Wft�oD.5T• +nN - PUIFTAME V w 750 a1 •BCE BOTWU 20', I& a fdbmr I ll.= 32436AA /M.yp-3 - fg.cq e, m/iz WT- 004, Glz a. sl day- ZO A I S9 J4 �vc #' Exinn� SEPM sY Tarwr.- iuc y+ ra.rbrs.r HJt vmK P' 1; e 0 . l'wi : v, { WLP750—MR TANK SPEGRCATIONS DAINSaNS, WN.- i In EDITION a• Wm r uMxpE ]r 10 MISCAST CONNOTE FIBER REIOR DONE COHR 81' p MT PoNA 53 1/A4 0.0 1 OUTSIDE O.WETER. &' OD BROW MET {t'CO A CAST-A-MAL CAST-A-2AL LIQUID LEVEL JT WEIGHT 5.150 LB9 OW ]MET AND W➢FT. • Ty r CAST -A -SEAL GRBOOTT �U1 � EWu GASKET. -A-BEµ 9LIER OR MIST NI0 WRET BAITU AND FILTER SAME BEEN". DOE OETAIL /]O (OTHER STATES SEE CHART) UWE CoAOTT 30.25 V1Ml HKUNE TANK P�AD0 IILLO5 TICE ME ITILT AS RE03 tOAgNG [(9BEf Y 0• IMLRRAIFO 9Y BOB TAM2 BILL NAYS OC SUIT ONA WTET Mq'M1 NATE M N]K S IN MOOR OVER I! OPTIONAL RAT COTER TM1( CAN BE GEED Ai IS AVAIUBIE EM IXwAWt SEPTC/ NMKO/ WIP OR ERNCH ECN ONE coKR TANK w"o5aa 4SMUCTRu FIBER) T CUSTOMIZED TAAWE M WSIN TANKS CONTACT WESER CONCRETE 21 § JOB ^ rRv Rw nTCUEEDLBNFORMATION' FIDE MEIN VrpFO m: ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) XAo 4 DEE xloNa This is to certify that I have inspected the existing septic and/or dose tank presently serving the following mideree: (Street adim) Szi Me C u+ette=oN �D located at: S 'b, n: W yl Se m 1—, . Town N, Range TY W, Tawn of Hup,.nnSt. Croix County Wisconsin. Upon msymtim, l certify that I have found the tank(s), to the best of my knowledge, will conform to the regnhemenm of SPS. 3SU5, and it (they) appear(s) W be fsoctiming propetly. Most town[ data of impeedon m service Did flow back occur from absmpoon systems? Yes No (if no, skip next line.) Approximate volume m legal of tune: plies_minmes Tali Capacity. la.w_ Coosbuction: Ptefab Concimue Steel_Otber mmufahmer(it xnaivn). wym Age ofTank (if known): z 5 Pqfqn,tnmbcr(ifkwvvn) 47g2g4 �% rNaabrs a wAN� (Licmaed Plumbm Sigoeme) (Prim Name) PCturSelf cc 2.7r{(o (Title) (License Nutv�ber)A{P/MPRS Dane) O Form to be completed by licensed plumbs (Dept of Safety eM Profeasioral Services Chapter 305 and s. 145.06, Wiamsin Stables) or licensed disposer (NR 113 WI9000aln Adminisnetive Code) Rev. 22012 Wastewater METERS FISET to ]0 8 25 Q Q 20 6 2 D a _ Q D C4PACRY MODEL INFORMATION M Ill Ow0 Mmd YW�mm� NIl Minimum Wuimum 9Jlglnp m b M+M4 Amin Um PW Eu61J 1�M 4nmClm C", W wuW SWMr W embr SM, Dg W SW MAY EPo611 10 min"I Mmwl 20/91 NOSiw1r1L EPoS11A / 10' 12' 6' D/45 15 12 O EPo611F M' W+wl MnJ M/91 Na Swltch EPo611AC Pi ybckI 20' 12' 6' 21195 I WiGu,ArgW IS' 15' W ERA12 Plug t 10' Wwl Mewl 20191 230 6 10 Na SMtA EPWI2F Plug/ 20 Muwel moral N/91 Nn Sw h F1611f� 20' Wvl MwyY 22/10 115 13 b ERSIIAE 5 g qb 1$' 6' 23/104 wi6Pp EM512F 2W 65 10 20' Wnwl MumW 22 /10 WSward N was • 377, 75 RI • �.2.�3 ,Ysat O�z Xiw/o/'' WH-,✓uX'- mit-cn,✓fival (dS3 .1Fu� dye �nW SAP /rX,✓ stod . -����!�% 4"s�.�y63 �� IF— IMw ��.�_ _.�y�r --s w _ \ _� \ � ` Y/. \ �.I� _. _.. - SLr r __ \\ J .. � ___�7 tilt .M �. �� .R.e,�i n..r.,. „A,� pa,�.� �,,owd�.. �,,, �, r-�, y./ o> r d s.osae PRIVATE SB ESVS WSPECTgNRGPIX(i GENENKWFORMATION InIAp TOFERMII in*+. me vnnr P,T',� TYn $L Gqv v,•w 6iBIt2 O Mem ��trn Ga NW toAntl �i VZO.,IR O,MO 1 tae 3m 1 Gs � LMIN WFORYATKKa EIFVPTMW DATA rver wW]KNpery wFcry .TniW es n FC [ i 8 M 8 era vrr It 41 W Jl KB N WFOWIPTIOH B.,C E_ _ eu,O u.ue ihm _ dun l4 9A �/ 11.95 95 /5 _ ,4 /5 3 545 1a PVYPyq,ON INFORMATION _ Tn11LN ttttttt k 9,i lAR 1 A � TEM SM.P38GR� - �3 "�1-.P..•.5�, a,; L3' NNA- A)A- osiReuiwx sysiEY — 2 8f 3 .nVua•��F v. \i \—YFau.a �6+n+Ouq � �� ez Gvorg �'vc BLUEBIRD MEADOW LOCATED IN THE aw Va OF THE xw+H Or EECTI "13,T2". RICH, TOWN OF HUDwx, ST. CROIX COUxTrl v"Y tea: z ss• __ _ — --- — — ..•:gin _ Igl l I i 41 WFNp R v—+qyRMR. Idl gel Ibl€ AcCutcheon Road "°"'"LO"O"" pn�Or...O..w .-- __ __ __ y_ __ __ __ 1 LOT 2 1 3.624G 12168.881 BO. R. rc uylq ...1.•m Iw I 136,825 Be. LOT 9 3.14 AC. 136,620 50. FT. LOT 10 248 nc. 112.2e6 eQ FT. ggig 9§ 12 t � i muo PRIVATE SEWAGE SYSTEM s.�r.y.me o'm'm INSPECTION REPORT N GENERAL INFORMATION (ATTACH TO PERMIT( ROMW ww�a�w WWW n.WmW pua PmvY+. 1eal IXmll n4792420 MHudson, XoTg Ke>OBB TMm OFa0 �In I Sy TANKINFORMATION ELEVATION DATA NAXUFA=REP GPAtlTY STATI l BS H IRS EIEV m L 1 %M.P �., ctv 2.6 47.a Wilmol BiOp RZI Iz 41 9T 31 TANK SETBACK INFORMATION 14.4 -N OM TO 61W "m BmY 51' (09, 9' — °""° 14.95 95.45 ""•N B°`BP'^1 1/5315,4.5 P FEW 11 1FOR YATNMI 6Y 9'� �`/ s�l q.Z TDH SgLAM80MTOX 8YSTEY Dominion u\ ywu BY81ENi0 o S�+enJ-.o•..-Sl. PA 3(. BLOC ELL (P3 1 NA- SivFwM A)f1- •\ OBTMSUTEN SYSTEM 2 eA 8' a 801LEWER nm Jw I Q'e COMMENTS ' IMYuee meenepgwmeu gmnapieevM1e¢.1 uawppm 01 UMOW R�.e IB(MI?4MN11A13TNNR1VH)B0.rNCMmb LgI PRrtNM I}N10.N9F 1)MBUINW1 N� mk— GooSWc.,. EL Go�t1'S :(Buo.,. ,I- TS �: p�:: "%,:�al�pp NY,m"V 9 05, '�I�(�/-�,—J _J �CIA N, Ww 6' W11711MM ��Isconsin m.,r v<..Lem ,l,.wmr a ILNI+a+. 47Q 'J LLJ Sanitary Permit Appticad EIV ''O ^ °' x.«am.mcm�mun,w. ww ux,,..,a�1";i m_..�,.e,l.,;: JON I °..ar w.°.n__srcaaxcourv�5 xµ �f$ZI �r� 4een des i:Wre J.,..a �p x, —rx Pcw—_I .; I rr.., �.� wd',�x, Reua,1i _. yTT6aG_._ __ r.p• I di n, eel oramlalep.e...m ...l we t okm s ;.,�NI � ❑vmIn ❑mn Cell,wemn �,�m� If—tx_ msr.�,., , i .wpm.p«+r o°n..n�rea.�wsmm rrp0.gB5n.m ckxR.11un.um. Ymr Di buileme Edell kx _ un., i.anwv ❑Rweeseed, Vew❑ .ice• ,e .Mel .pa w mow.- �m m�p..l .�wc.n °k a del vi. r..xmw �a".r I.bm.. p'` Ram c:11x. �S eeI —�'-- V�rl, RSuue..anpueav L m I Y011 4�mmt- nneMa�M1IDm vLru l Ip Ob/.J�Iue.LyR�/�, Vl,....v °❑ i�in3�' ,. ,ee W �G OS I%c�.axnoa �M ArNRel mro npprvr SnD-e39b (& el XAo,� xawc /Gsa 1Es+�e A+ N S,c�ii./AY.✓ ssioc ar/a ytt7t3 � l «�eol, 3ra• /�,� asa COPY Zod,o«xlaw .s,,;�-,ye'�/z/s-�.,+9N-,gyp,✓ /6s3 .eX�WdA �&.iia�o./:. kia �.L se/dvr sm. �r ,exoy.7�ea 3m' COPY Lte / -/,9 ?�,�s 140 lJs-kML V cis- A,✓-Xi9u1 .sl NL✓ srw /J/,Rt1,, �/ 1&e ,Ww/ �.11itF� ftiaoe' a S/ Co 6-3-ostl e Kevin Grabau From: Mary to Happen < holoterdeskgntioutlookoom> fbl2(r�. 2OltOjZD Sent: Wednesday, September 16,2020349 PM INL�C VE TO Ki Grabau SEP 16 2020 Subject RE 821 M[Cutcbeon Road SI Crwr County Follow Up Flag: follow up Commune perebommt Flag status: ranged dem, Ryan and Tom Wang were on site together when location and elevations were established Tom had the area staked ona He evil go out there tomorrow to stake it Please call Tom if you have any questions Thanksiii Sent from Mall br Windows 10 From. Won Grabau Sent: Wednesday, September 16, 2020 2 33 PM TO: Mary to Happen' Subject RE 821 McCutcheon Road Since this is Immediately adjacent to the HW UDrmar age Easement area, the boundary will need to be staked prior to distem installation to ensure that the system is installed outirde of the boundary This is too close to take chances Who will be staking this off? Kenn GraWu I Community Development -land Use&Conservation Specialist ST.CKO LJNIY Mary to Hupped <mIllsoodes mayboutlook mm+ Sent Wednesday, September 16, 202012 32 PM To Kevin Grabau Kevin Gmba unsc wi gov, Subject: RE 821 M:Cut: hrnn (load Hi Kevin, attached is the added ll Wl M, dmener because the original trenches are In the highwaei.m. Sent from Mail %r Windows 10 From: Kevin Grabau Sent: Tuesday, September 15, 2020 9 35 PM e Y: „r y . e.