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HomeMy WebLinkAbout020-1185-10-000 (2)M come"'® PRIVATE SEWAGE SYSTEM S�e°exxeem ea swamp wawo INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT( TANK SETBACK INFORMATION Z be, Id-5 b�ItA lR TANK TO P/L NAULL Ii Vere Inside I ROAD goods U�X6- 3 o Nk 5 B xolEme PUMPISIPHON INFORMATION sorrel Desmand Kill moor Nx L'j;; swell J BOIL ABSORPTION SYSTEM } 0 }Q �°rn' St Croix n pemnxp 630308 me, Per ID No Poll .e,m 020-1185-10-000 sactoexndr ommeael Per 9.191163 IEWNRENCH DIM AIM , „ego, T.3 e n.A PIT aim PNRi mxTC 110 wKkro al P/L '7 "1Z WELL 5O LPKESTRFAMCori ....�mdi uMwry.N(I ` tz F! J oM1 ,ananJ2 0, �I1� pn ar Bpempsent M All Wood CI�NW�x[ real SOIL COVER Oil M ~34- � ,Not r uses >rz' axe COMMENTS prnyuee.ds GiecrepenaeApeoona pnu1m` sIly InepeP,w#1 Implicit, A LaeeYan' 811 LARt EN LN —H(I)BJ �1 Ob14 tivP OR`QXI}tr) W1`O,y Ohl 11Ax BM 000xnpxon-6xi;6y {..vll ttoxo^ 21 Bop Eewerrenain=,1•1 -emn,n am�„- ex:s+:v9 -DivIgi EI'W JA1YL `,YVa�eIMO -b ok, exl5iir3 dro r,Freld- Plen mnupne for ld V 0,n lNo Use Mxe, side N, ad<NmxH�mmeen Io �ZB ZO sxnd1e/A,�„ oar. �e_pemrspe.xr, Go xn EBwN ya olvll w W8S`lM1m Ave. PO.B]tfi Mk' m t ST?ROmX GEC C�CON/ OCT 08202 DSaftlav YN�mlmb Nbtmkr (A)S &3O308 at Applicd?rff� r...a..�_M:rsvtzxzl.wm nam �me..m., ormer�m ' uv law, um n.nim i,.m.m.n �nn.4. _ Sucre. 02010185100D0 i.n e,m��ul mm.emo. Bw°o rh,p .. leson madison N B1mww.v.Meum..m., 311 leaden lane u_ as 2tHutleon s�. irw T�rv. al_ev m. emw w vw, 5018 85133584 n TTxla(uw liImz`=IYwmw-Nm.daan®a 5 ❑Fms.<®.em-ovolmum Pride Nm 8b" ❑COM 0Smm0.stl, Lbome L4 am ❑VARer GTmN811A3W IM1T)BeRCe♦N.(C1Wsbrlm.�r♦���.....__...__._... � ❑T.�v.WpmTN xyl®uy (]Fhewvm NgwM ❑NUm{e ❑MouMaL mNwuLkwJ ❑MomJ<31 io.d WYpkmll ❑x.ma Tm) ❑ou�m„�„Iun��rm,r.m, „__ _ - DRIVE NEW RICHMOND WI ) ]15.Z.S2 SBU 398(k INN) z£hb "eY+gyp �vy°�ru "so";>>{ON�zl i3 ° is 4 5 zC86 h+'d I Le'L6 C+!d Z '86 +'d 2o�yb I kd I: 0 a a� red q.....o a4y L W r7 n u°s,paw u°s„l 'Zt +oyvn�tl ao sye t - au PS '.l�v+•a.,d LS'C6 2 ('F7 Olv S `"°�lP'® I i O ru - — q Rosc 7T7--- I�-I CONVENTIONAL COMPONENT DESIGN amaennal Aool'mban INDEX AND TITLE PAGE PMJW Nerve JASON MADISON Goner's Name JASON MADISON OanrsA : 911 LARSON LANE Legal Discroal SW1/4 SE 1/4 SEC 21 T 29N R19W Township, FIUDSON Cpnly ST CROW Sv6wwon Nam : PRASE VSSTA 1 ST ADDITION WNumfer 5 Parcel lD Number 020-1185-10.000 Papal bgpzep yye Page PIM Ran Paged System Giving IT CmueSestbn Page Fitter Soau Pope Maintenance Intonation Paget; Management Plan Page) St CM CN Sedic Tank Mammon ce Pon Pape 6 Warrants Dean Papa CSMaP4t Attachments: Soil Test A House Plans Dea1PtMNMmbr TIM DEYOUNG Uuese sunder 6W713 Dete �j 10/05/2020 Phone Number (715)246-2660 SgnMure -� Ongarpnuaam PaNOW BY NmgynMpMalyiy4tuv2wrmtOBeo-tamsalx marl. Pass weX ON Ja W6� Wicy 5 4. By,XFey.,, R H^VSL BTv Jaso.y M&4; son fim 1 Top 04+.d B,A l0 �^» ToocO. k Psj 9 76 PA 91.01 Fl+ g8,-)2 Pi+3 97$67 P1+ I q8,3l flktnny' cundXtrcpFr�f,nk 9 ),zz 503" fi 94+.0 %,00 Notc',sys+cm No�f�y'��gy,32 �oG. rou SOILABSIMPTgNMY MOETAILIGMWE SSLEACMNGMNR Pela� a� Project Name: MASON MADISON 3 W.mcells 8 Par Cell 3 a Gall gram 24 Tobl Nam l0 80 n aH Lamm 50 den EIBA Per cell 3 ncall spacing 1200 pan Tolel ElSn Ynumrnuv Wev in lei vRew ....._._ u sa260 ae Ez 1017 we Grevelles Leacbing Unit Manuleclum: INFILTRATOR Gnvellas Leeching Unit Maeal EZ120314-10FT 1 FlnWW Grade 99 f TYPI41 Cron secYm rave a Por \ proved' Ca vatl cap or vent vent •v.• a •� W s + ,1 , m � � yy„✓ soli Baceill • .r G xtile Fabrlc 12 in p � InfllVaxNe sudaw ---1 Loaning Factor slotted and Anchored vane - --------- m"nedion Pipe Mm cag ........... Plamb.rmpalgn. slgnamre: / //' Lronse r. 664713 Gas: OCT 9 2020 r — ". _4'(1016 w1 TENAL A A 411EIW-IpPE POLYLOK PL- 525.625 CUTAWAY - r HOUSING FILTER GL FILLED WIFNL4.PolW11WllExF MATERIALFILLEDPoavNov)ILeuE _T Faicrcerlraiairn SECTION A -A f wiEPoµ. FII PNLYP CWLENE ri- VWA FACTORY OFlcNAUEISNING INTW.1E191 RPE 0URE1 (F PTHIN WALL PIPE) WC PMiN0 X112A OR Q�IICWLFLMi5W1fCN — (FOR110MM MENE) PM NO ]011]ELR Y 0' CAST-A-SAVr! CAST-A-BGL . ffLtl[h W320-MR TANK SPECIFICATIONS CORNIXONS MALL r BOTmu. r COMER'. BY NM0.F r- I.O. Pfff S CONK TE RUBBER! M . w LENGTH A•-Y wmN: C-2- BELCO NET: n 1/Y WflOR: UNW IBS. M-ET AND WT , W'C-A-SBAL BWT M EWKG T IMM AND OU E BAFFLE AND rIL1Eh MSCCNSN, YE DETAIL nD (OI BTATES SEE (301117) LIWo CXBYO &W GALM LOAgNG DESIGN: W-0- VMSATURAWO SOL TAM! CAN BE USED AS ¢PDC / HR G / PUMP pf SPMpI WHEN. MIX CC9tl1 A (NO FlNB) TANK: Y% C 04 /ID (STMICNBAL EIEEN) WSTCMIZEO TANKS, FOR WSTW TANKS CONTACT MEYR CONCRETE APMM BY YOXTS NEEDED BY: ST. CROM CoDNTv SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIPICATION FORM D,.mmm yce JASON MADISON Meilivg Addreee 811 LARSON LANE Property Address811 LARSON LANE (vmrrwmrnmr Ionol twei eDmYmen Rr mwa®mmbml aty/Shatc HUDSON WI P1010e1leatificamNNumner020118510000 LEGAL DESCRWFION Properly location SW r,SE i.So, 221 T29 NR19 w.Tmaro,HUDSON S"Vlslm Phil. PRAIRE VISTA 1STADDITION w#5 cerunM surrey Map N .volume Page M WuruN DeetlN_ IC0.i�Z (bef 2W)Vollme _. Pysrt sPammeOnE'io In lm idmufWkB)se[]m STEM MAINTENANCE OWNER CERTIFICATION honoree�Iru and munrrnarcenrpv apm eynam could foul: in m pYmauve rnluem bW4 wwn memmtem eon efim the f�ma� orlour k "'Ply: hung or z The 111rmeaN. fusionsial Pumper N iyou Pn wo reswAilmes so pxifind m§SN 38355i(1)and c truth in nuurm: 5: Crou Cwnry 91niury ONmmeeeemermrm¢wia Cnrq li- no Pmpmyowner Barr to tobmn to Sr Conn County Plmmns B its" retirement a Confusion lmm, Ymei by de awnYe d by engine Plumber, loumcymen Plumbn, mocW plumM ar a laevW puiryer ren/ylN but 111 Ne matte but Wn lO hkg o(Judge z�n peopernpeeaung noMnmo Vor Rl afln ingem'm vq punill+(rlaeoyryl. the seµe wtY free rYo IM2, do uMuminel have mad the above rt9utrcmenY W agrte to mnYin:rye emote rewK damsrl ran gryfreestntlaNWlttao n Cm1ifeumo soon N nmenl or5arely Md hof Iouul Smim aM Ne Cepannenl Ornamel Raoufes, County store ofPoYwugk] g Mweepla system ya been mamaircd must be complhd and"OneW m do, Sr CTof Ilme pepwnem within l0 doe of the 0rte yeu eupuaum Nle Ihre amity tberall petememo'nthis rarmm Mombcb OrmYtoukwwiMV Vrf stove Ne owm(s)of Ue W^MtY dYetitN above, by vow Of wamnry deed Mounted in Ripener of Dumb, Office Num a Dearoroal El NATORHOPAPPLICANT(S) lDh+-)le1 r.CJ DATE ^^^My mrmmmon for is mnrtprtxnad may fault mNc unnrry Paton to"model by the Phoning its ]umng Oeputmm, ^u 11411de wM this appbutmn a morded wenanry deed tons the Regina O(Ceeds O(fiu ud a copy Or the curbod survey mop R reR Mlemerlemthew lydmd cit Will) Ill OWNER'S MANUAL Et MANAOEMENT PLAN peps 1 er Y Owner JASON MADISON Sal Tank CappAPp 1000 am Ora PermlrA Bab Trap Meulermaer WIESER pew DESIGN PA MEIEA$ EMuxrt Fi ter Mmufeerury POLY LOCK O NA Number of QaErooirm / O NA oN RW mod 5 O NA Numbw of Pubi polity Unit[ N NA Pump Tank Capacity 350 y O NA Estimated Pow Dvwm el 400 galtdow PunP Tank Mmufmmar WIESER 0NA DeeiBn pew (e ). IEMred a 1.61 800 NMSo Peep Manufacture )(NA, Soil Applimam Rita eNp yppr pump Model iI lU Sterni MNnt2Mexn OoekeY Fats, Oil 6 Gmse ROD) Slocramiaal Dayton Demand I60De1 Tap Emmenthal SOFs DS4fl Mond/ sveape• 530 ri 53311 mp/L itwm O NA flN t Unit ❑ Sandi Fltx O Macnmlcel Awmm OWNnfectun O No MR" O wp oorlr. O NA PMvaM Effluent Ouiparr BMM Dayton Demand IBODJ Total Sou w Spatial f}SS) peoel Como" 1➢epmmic man) Mcnmry average z O mgrL flO myL A1OecfunoDm1 o NA Mapped Crnlei O ln0 d I>nMl O At♦ietle ODri O NA Dentinal IraeePetraCl o me ❑oNx: MUFun EIIMvp PerEpla Stre Sirs die O NA Over: O NA Off'' 0NA pn ONA 'valuer wfor pin wuwww and rgtlr Pert efBun. Chow 0NA Berpn Event ServM P[pun% macro pmplim M tWW At bap coca every: 3 e 1l mod 3F l ONA Pump out contents of Gnklsl WMn combined elWgo vA pun equals onrMhtl I& of bank vokms O NA Aspect eLgW NII[l At pep mode sh^. 3 OM=O RWYsu3y OUp Clean effluent film At Net Cape rvxy: 1 1 om ei forawpect D NA Porp. Wm convob b sYm At once acted: OrrvnM¢I I�XP Mush people rd pre we can At ben once eWry: p emlelel disk (pmv At leM coo- real 00=11 X OIW O wr: )(NA MWMa91Na�IN61RUDlgN6 Mepxeoa of Wtr wp limber ernri anal be mNe by an inamorata cxrybp of to are Mlwwiea games or mNRetl Tank mpectMercer Plumber: Mesw Plumber nenncvtl Sewn: POwoS station, any POWTS r pioelnep hardware, ontlySeaming cracks r.o Tank memcrie she mud[ me0 a moon Impdge a of sae tenkpl to ihase f any mapping or or copeve, n g; of erg imMWn any mNka x IMkF ere Ne vdume or c W scar altar and ewm and m [efM for vry In a up bs p 161, of goes, and t n the fanny ape. The umors n their awrduply InapenM to checkmeeffluent ground bedsur are obery2himod to crack for any ter efor to of amumt on the amend [arcane. The purring m effluent on the aroune.pn.[e may romancer. feline pmarenn anal regpke. Ne woman nNNanion al sod Ixn regulatoryludge N come wlwr contend; f the ban mmbe rem of el Wee xM scum A my rnk ands mwevd Ili) or mms or qe rnk inapt Me wN[ of sm bank Nell be removal eye $ep[ape $ervinnp OpxMar and Owpn¢M If in [ocartlenp Mien on[p[x NP 113, Wpcon[b Aeminlmepve Code AS otlrer my con Nees at oa nod lemI2 node f, V alp M eMuns lAwe. necnnicsl m wwvpal mn¢anerrv, prepe[MFlI unhv, me my exvkMp et interval[ of z13 mmXn. ¢M1ell be performed W e [reload PONTS Meinsemx. A eervke repM each be provided to Me bul regulatory act) r'ny wM'n lD years M complmmn of any service area START UP AND OPERATION aye Zo12 For new coneNM[ion, prim to use of Ma FONRS shook Vee "tnklal fa Me pre m M painting prodosm Or oMa chembV May may nrrpepe Me ineunmit pmme "Mr damage tlw MagnN "Ills) If high wncm OtPma we dOe have Me coma¢ of Me tanklel remove] by a "pope servants; opxmor prior to use. SY+ Stan ap inal not occur when mM conehlcns or Moan a Me I"mm a wall buMg power ou[p" PUMP may" may fiu above named Saturator gram. Man Powx,a rearward Me excess weM.wna and be anchrpetl to Me aieparaal Dallis) in ore large Was, overloa9ng Me Dole) Stop may "eat In Me Soil Or surface diamonds Of aNhwnt To Sol Mfg ehueton have Me Dwft of May Wrap tank removM by a Saptale Smiting Op or prim to reamrl" Ml M Me eNluwn pump or mOtM a Plumbv in PDV/TS Maintains To Dort Or mora lh omr W Me Wmp mnacN as carman ndmy lw s wind the Wmp Mk. Do not Erie w park vet¢(" over tanks and EnpmY adds. Do nM tlme or pan Wear Or oMavnm disturb or romped, Me •w whin 15 Owed down alum q any mouuM or xyraEe for ebsorytlon urea ReducOan or Mbnmanon of Me faXomng from Me wmnwaW aaeam raw improve Me pvfpmence and primp Me Ile of Me PDV✓T5 mtlblohm; baby wipe mgantte :m M; condoms, mtmn swabol; dogam s; dental Mae; Memrs, dialnb nre; M1p foundation Now faump pumpl wmr; hurt and vegromme peebng5 gasoline, prime; Mrbmens; most scraps, madicMime: M; tummy; Mdum, peniW"; snnery, nap". tamprm, and water "teener pdns. ABANDONMENT Wren Me POµTS fails mWla is pmmmmtly Mkm our of "Dom Me followng sheds SON W team to Inaun that Me Wd u property and May abandoned al mmPlw w wM chapter Comm 33.33, Ml mm Adminia CMe. • All piping M ranks and phf Nell be Memnnwttad and Me abmtlmeE pipe mmings sal • Thar mmmnts of all take and phe shell be nmovO and pnmroaympo of by a Sgrape Sarvicbq Operator. Affair Wmping, ell Mnke ant We ahaY W mcevebd aW rimmed in char maven "mwM and Me vmd apace fiIW with e011, gravel Or another Man Said mmenal OJNTINDENCY PLAN If Me PoNTS fe118 vN cmM be rgeied Me following mmaurar have bmq Or mutt be taken, to pnvke a code conplluR repl"emen[ ryttmn. ❑ A m marble replacmnent arm MS bean Mounted antl may W Whaed for Me Iormthm of a rWia ent and ab bon Wa m The replacement YM tlwuld be prrM1mM from disturbance and compacam end should nM be in nerd upm by mused attacks from exmma and Mon wd structure, IM (inn ant was France to protect Me r mmnent er" WE result in Me need for a new Boll and Me wummm to arMMWt a aurtable replacement was. Rglev'prmM rymene mutt amply wM Men mVlat MT VMS. ❑ A umove Mplweman[ area is not available due to "Mack and/or song Ilmft dms. &ring valiance¢ in PoWT$ nclvwm r a imaging rink may DO Hanover as a last report to mace May, Owned POWTS iVl i p Tar a ai , FROhirle 8U Z J COMU/G]tndJ k ❑ Mound and mymde act absordam SYMMS may be mmnsbucW in place fiAlawma nmovtl of Me bbmm m Me InfIM[rve wrtece pmmavueWms Of SUW eymema mrat mmpN wtt Me rvlm in eHeR et Mm tlmp S WAW WG» ENTER PUMP AND MP OR OTHIER ENi TANKB MAY CONTAIN IY CMC OMSTM M. DE INSUDH MAY OXYGEN. DO NOT HITEAASSer11C, PUMP DR OTHER TREATMENT TANK UNDER ANY CMCUMSTAXCES. DEAiH MAY p6ULT. RESCUE OF A PFASON RroM THE INTEMOp OF A TANK 1MY BE DIFFICULT OR iMPOBMBIE. PoWT6 WSTALLER PoWIS MAMAMFA NaNmw COUNTRYSIDE PLUMBING AND PAULR KOEHLER 715-246-265p Prom 715-24s-2s60 SEPTAOE SERVICING OPERATOR (PUMPER) LOCAL R UTATORY AUTHORRY Nome DARRLE P Name G G 71A\lfAl R'°^a 71s 4261025 E4,n• "7/5-34!>- TA D This emum rat was a•heo m cmmowrce wM atone, Comm 83 umlWnnNaln end 83 SAM. m p 131, v/Mmran AomMeoeMe Cob, •o'x<o' /� 1 I ' u 10.00 ' --� I COssra 11' CASEMENN T I6. iquare Feet m/ 130396 Square Feet tcres) (m (2.994 Acres) I I / �• 6 I s 107355 Squat 0 e � a 12.165 Acres) �r i 89051 5 e sect 192qb1 (2.044 Acresl m s e qm i n° a � y dy / _Cv31Afd Sux3•sy M p_ YvlgmsS��Pges 1�69_ / Tyi.S�PAGE rE¢_ _V91..6_ YAGLI17 Of 3 SOT_£ LOT_ 4 3V O F -1 I If It SE Corner Section 21 T29N. R19W G�EC��,�M WY o..Loj ()T-nlmdA -313 OPy. d 3V N1,7,...,. oaf I➢rf NnBlRelt.y�anm fYnmM gmllY Oi011831000D ndm°.tumlwwm wrcwvm wv�iMxmv pW ryO M1.LL vv W�oel.R....a4 E,n.ronn. m,m enOMYmmm6Ybo MM4w/ V.Wv Mnf NI MMmntlOn. M 4Y p o-..m.w9 r.ris.+P l... 1°�l.ITOZO Ie.m MWiwn Ga. eel II"s 21T 39PP IIF IeRm'• Agw'b CwiW.Iwiq AMw. W iMe 9Mt Pnnv®Y BI I Lurm We UI I6n6.r N�wI MeG HUNm W, 4016 I MW IINQ PeepntlN/Nu M/d4Cq}n. i fpM Mine MY9nbx M. EVp .11Nw,Comeutian 13 Nticnmimwal-Dwub el.cuI till fbn qem Newean leepFwl. IL Grwelmm.m. ✓eanbvutiwo(t antleaty ands.aeeta31mnnb w s. wnimNebm Sy 1h. ElcVatvon 16,e � 9Tiu4j conv.nfi'.n a1 � - 6 u Pn., Qi Pit G pqd mlp, W02 n Ce tftwrt 4cbr l0e y 9dl nR.b XOM1m Mw OnrYW4CW Rtlov MeaY.m TN.. SEIW. RNY 1 6 172-INN 10TRin I -- - I i I Dm I ML I CA I— 1 T 1 16 I U" ft 47 OVYiY. 9erz IN Da a,wmn.mo.l..R DmnwRrmmm aaR.arr.t� I mm I i Im�R. carol R.iv o..absm TUMn swmw �..w� mry Ream OPDR' 321 MI NSIN DRIVE NEW RICHMOND O STH 20M 715.2 32 0 wtppO.n 3ASONMADISON Amens Y 02011851000 Pm 2 N 3 V IW p �rngY El Pit Ground wrkn has. It ItppwwYmNM ltlor IN lead Pab XUWn Mull as p CWr wwr Rtlw DaaeFwn Cuss Cont Caor TUYs SOwN2 Gt s. an famousness M4 GPp+t' IIY+ Nils 1 D-16 IOYRJQ LS DSG DS G 2M ] 1.6 2 1636 10 4 f3 OSG DL G IF T 16 3 W60 IOY0.619 ._ _.._ COS OSO ML CA .. ,0 16 4 WHO IOYRd4 H OSO ML G J IA 5 WIN10YRbld COS OSO ML CA ] 16 ❑IwNYBBdYq RI GmuMwb Mw 9&J A 0.peibNiwglwLr IN 3011 Feb Heaven CpM IXmInvM Coax FeJwpNGip4m Oaffi G (:Okw Test Proctors G Sa SliImPt enaYleace IlaurEmy Rocb wml 1 d-12 IOye3R LS 2MABK DS CA 2 1 —__— DS G IF 5 10 J J2i0 IOIIPI GRCOS OW ML 4 0.86 IC YR 614 --- --- FS OSG ML CA 5 WIN IOYR44 COS OSG ML CA .] 1.6 1GAr ��II ❑ �,roY HBonne ❑PII w°u'M WNm YW ft dPPblmtip4Wr_in Sy R! tMdan Oin/n in pcMorgan MunaNl RW dav{pn pY Bx CeM, WIp Tmpae SMba Go III 66. V.Mn® ouMM Pieces ' MI IXO 'EIM1xMt1=BCO r>TSiIDnprLVM 155 a]p 51W mgA 'Elnumtnz BOD <6pmgLeMTSB emmyM1 TM Dep, afAf; aM Professional Swwa isw equal gPami service PrI and employer Ifyou nrN miswooew ¢Cew serviCes or need material tnan BlbmaleForest, Canuut the depamnent at 608-261,3151 or JTY thrauP4 Relay ic'Sb h+'d LB'L6 F+!d "L'96 a +'d LO,bb I V,d UA rba �?au.•'J a 1� 4a5 ipvw 4oSot tZ-'gb to o a«o5 CS'Gb c n a.. ('47 oio o F9 ed� w0 l�bb �0 Tan°N i eyg*S e>m • M^M I PD CBAI = ,f Manufacturer: H/' liquid Capacity: Pump Models--Pump/Siphon Manufact.: m..p Size. Elevation of inlet: Sort=.Of tank elevation Pump on elev.:_Puap off elev.:_Gellons/cycle: Alarm: Man.• Switch Type: Location Distance from nearest prop. line: Front_, Side_, Rear_Pt.__ Distance from: Mall Building ?N > N.,.r, 1v.f * WIL Aesraprxoa Byerso;d , nss' eed•!=. f�' rr«on:— Seepage Pit: — widtn:JE' lAngth--tQL--Numher of Lines:-3--.Area Built LO 7f Exist. Grade Elev. & 3 e-owsed final Grade Nlev. rA 2 Pill depth to top of pipe: 'g " No. feet from nearest prop. lins:hont_, Side., Rea rY Ft-L No. feet from well: S3 ue, feet from building 3 7 HOLDING TANK Hanufacturer:ZZ Capacity: No. of rings used: _glovatlon of bottom tank: Elevation of inlet: No. feet from nearest prop. 11ns:Front_, Side_, Rear — Ft. -NO. feet from: Well., building_, nearest road Alarm Manufacturaex INSPB R: DATE' PLUMBER ON JOB:��`�'":'�+ 'M JCATION: HOUSVN ntounI PRIVATE SEWAGE SYSTEM `s:ie,led x°,m, M O...` INSPECTION REPORT y.naaunanptonmm� GENERAL INFORMATION (ATTACH TO PERMIT) in xeHen rvam< Citynit P<BENOY VIt E 6 CATNERINE NUDSON Village 6I 1 11 4 in BMEw -,-n Ion Ft FVATION DATA only ST. CROIX av 14929288 suaPam o. 020118510000 TYPE MANUFACTURER CAPACITY STATION BS HI is ELEV Benchmar D /as a. of Aeration Bldg Sever Holding St/ Inlet TANK SETBACK INFORMATION St I Ht Out at o L TANKTO P/L WELL BLDG p < ROAD Ot Inlet 5ppti[ NA Dt Bottom NA Header/ Aeration NA Dist Pipe ;c Holding But System 2,V PUMP/ SIPHON INFORMATION Final Grade man uf Demand !< 101, r, 7.5z .55/ Model NumOer GPM TDH Lift Friction stem TDH Ft Forumain I Length Du CO11 BED/TRENCH WaM S. a ortrenoFes PIV— Of Pin sae Din Dula DUO' -AKE/STREAM SYSTEM TO P/L BLDG WELL —II LEACHIN < Ou a urr S1111 CHAMBER a ATON yw < 2 �% OR UNIT Synem .pi DISTRIBUTION SYSTEM aNal¢ne osPonn9 nrto nvime Length if e el'uh en a o�ny SOILCOVER x Pressure Systems Only xx Mound Or At -Gres ysteme; only Depth of a earsme<a .. Mwmm or< 0ye COMMENTS: (includecosedlurepanon es. peopre nssent. etc � 11 ok 6 M n6E C m,,' a I e' o l-llN. '4duL ©I /O,.i„a��t¢nr Plan r"eyllllloon regmreds Oyes lktbt" Irq pl /lyl Use other side for additional information 58 -67101R 0i If i'm,,t r'6s,;Mt a Rrt No