HomeMy WebLinkAbout026-1294-29-000Nei
sudlEEvil oi�+m� PRIVATE SEWAGE SYSTEM � St. Croix
INSPECTION REPORT Penland
GENERAL INFORMATION (ATTACH TO PERMIT) Pt"um 5249T2
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MaryJoNnsonP cry .o
TOWN OF RICHMOND P.o» 026-1294-29-M
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TANK INFORMATION ELEVATION DATA
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System PLOT PLAN
PROJECT Mary Johmmn
ADDRESS 1S55 Willow Ave New RCM1mond Ed W17
SW 114 SE
114s 28
/T 30 N/R 1S W TARN Richmond
COUNTY ST CROI%
SYSTEM ELEVATION 100 6I100
Me Ttol glade 8125I20
4
DATE
BEDROOM
CONVENTIONAL
XA.
CONVENTIONAL LOU
HOLDING TANK
1255 gallons LIFT TANK SUE
DOSE TANK SIZE
MOUND
SEPTIC TANK
SIZE
HOLDING TANK
SIZE
LOAD 1 A ABSORPTION AREA 1500
R of EZ.FIowe3D
kk BENCHMARK
V.R.P. Top of
gavel pipe ASSUME ELEVATION
100' FRI¢f LfeDme HER
❑BOREHOLE
(DWELL
.O,R,p, 5 a5 bealChmaAl
= 1 /4" = 10' 1 we, 322' PaopDHy
Pan 4
Bedroom
Home
an t
All piping shall Be ASTM SDR 3014, wagon
10' of Tank, piping shall be ASTM F891
. B_2 JenaV% lio.. i d a+INo Sand)Aa,C ohs 4file. � L,f4,i 100' X 100' cells with NY spacing
102'4%Slope GO 219't4Dpeny Line
System PLOT PLAN
PROTECT Mery Jo11n9On ADDRESS 1355WIIIGWAVe New RCllmontl W15C017
SW Va SE VAN 20 IT 30 NUR 10 W TOWN Bloomed COUNTY ST GRIM
SYSTEM fPVATION 100.6/101 P/998 3'Eelow Oretle 0125120 BEDROOM A
DATE
CONVENTIONAL %KK CONVENTIONAL ],ITT HOLDING TAKE
MOUND SEPTIC TANK SIZE 1255 8810ns LIFT TANK SIZE. DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE 4 ABSORPTION AREA 1500 p of EZ-Flowe30
BENCHMARK V R P. Top e151eel pipe ASSUME ELEVATION 100' Filter Lifetime Hutt
❑ BOREHOLf: 'O WELL R R P sarni 2B CeIIGIRreM1
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Design Flow 6 60� e Loading Rate ( l = Required dispersal area � $q Ft
Required dispersal area i>' e50(EISA)=3J (number of unds)
GeoteNlte hole to meet Comm IM.30(6)(g) We. Adm Cooe
Minimum PI 12' of corer mr sop or but
SJpa..., Tw ComennlaNvent Pinesto 4m pnded Per lem
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POWTS OPENER'S MANUAL S MANAGEMENT PLAN pay._a_
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SECTION A -A
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWN11KITUP CERTIFICATION FORM
owns-Tuyer red ��li/li-r" yl � 9
Malling Address 11�L 3'. ll/P3�'Cli A Is 7/
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City/stateAq r/ 1/// Parcel mentificatmlt Number namrt
LEGAL DESCRIPTION
Formal Location GVn s. �,_Scc", T �N RZW, Taylor of �G✓1 Mary Ot
Subdl„van Plat /CC/I/H dsac yallei-9:' Lot ac9
Cans survey Maps ,Paltbme — Pages
Werrenry Dmeaa1O����y (befotc 2W7)vowme _. Page a _
ledi,imucal th, Wtiln, nuGebl<.on
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Ill use and mbntmanu of YOW bom niem child revolt yule premamm flubmm handle wmmo P
Consul O(pumP[Lor om the Sam, balk every three y
IL< dames an 'MCI the human' of tiles rcrtle in the Washe xdW, by ban, cdpumma m"ll" iput mlO
rnPOmtbiban am specified m Comm 83 5i book em n heeMem 2 -Is Only Commugnal o, 0,di Ownee memtenmu
P G Omld mCnvp4rO�91 Cma Cleary 9ennmy Orduuncc
The real o.r agree to submitto I ux County Phnmog&Zoning Detachmentev'mFlramn boom
tins by der Ounce.paunchy.... wmbn o ° <Iygtl by m<
mmortsYi,m rs inp.pp<mtm "<Im vwmbo al,n<m and b<r?rmgtnaplllrt nrvs.
ba scat l J fill collegehamgmndi to anNnnn tlurmryernoo tine pnmpmg «f eeoremtrl m<s<wC un4v
,.Rant mtgnm boat bred me cycle consumers, aM says be noses the bayed, tewge dt osala anti the
sonavb act le2m. act by me lkpmnent Of emnmmat sad lM Dewonem ofN lmel RmmCq s t, of wt�nmvmn
C rbfim n suang blot your talwt systemy[ ilea me mmnN must be VompinM am rerwrl to but 9m Cmm County Pit mmall &
Zoning Roadhouse wnnm Ia inn of the urte yw location date
Vwttmdy Wb Jlaulen2nu on ears (coin ert welo me Wlof mylom MowlWge PataMare madwomn) time
pmyerry tlescnbM a[ove, by virtu/e o(a assay tlmi rtroNe1 m 0.etltrlarof Dads oRu
Number at ro a—L
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IGt ATURE OF APPLICANTS) DATEAn
"'Any Inhbmntmrthat m mnrcpamn¢d mey"salt m Ise mnlory Pnmd resat looked by me PlammB&Zoning DOp nt a'a
rtkrcnewithihis arl l^batys nme�da aney dad from 0, Instant, of Oeeds OKa mf and a copy of the aed survey mrt, if
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need maunal in an elvmeu format, please contact the dcpam".n It 608466J151 or TTY 609Q648177
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