HomeMy WebLinkAbout020-1466-21-025^�
PRIVATE SEWAGE SYSTEM
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INSPECTION REPORT
GENERAL INFORMATION
(ATTACH TO PERMIT)
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August23,2020
CONDITIONAL APPROVAL
PLAN APPROVAL IXPIRES 202248-23
Plan Reviewlimits -082001865t
Toad stoa
E56097011 Ave
Menomonie, Wl
SITE:
�s LIX
251 Sterbem Draw
Hudson, Wl
St roix county
Town of HWzon
NE %SW %522- TIN -RIM
FOR:
Description. 15 employees -1625 GPD In ground Component Manual -Va2O5gP
Estimated flow,- New- 110-to limning 10205 AIN 01/01,A 10/12)
factor- Effluent tigerMaintenance
required
The submi described above has been reversed for conformancewth applicable Wisconsin
AEmimatrave Codes and Wisconsin Statutes The submittal has been CONORIONALty APPROVED This
system is to be constructed and located in accordance with the enclosed approved plans and with any
component mani referenced above The owner, as defined in chapter 101 01i10d, Wisconsin
Statutes, is responsible for compliance with all code requirements
No person may engage in or work at plumbing in the state unless binned to do so by the
Department per SIRS 06, slats.
The following conditions shall be met during construction or installation and prior to Occupancy or use
Reminders
• A sanitary permit must be obtained from the county where this protect is located In accordance
with the requirements of Sec 14519. Ms. Sans.
• Inspection of the privatesewage system installation is required Arrangements for Inspection shall
be made with the designated county official in accordance with the provisions of Sec.
145.201 Wis. Slats.
• Astate approved effluent filter is required Maintenance information must be given to the owner
of the tank explaining that periodic cleaning of the filter is required
A copy of theand this enter shall be chrome during construction and
m b m dde III
�i
Owner Responsibilities
• The current owner, and each subsequentowner, shall receive a copy of this letter Owners shall also
coof the appropriate operation and maintenance manual) and be responsible for
py ensuring that PONTS is operated and maintained in accordance with this chapter and the approved
management plan under 5 SP53113 5W1),
In the event this sod absorption system or any of component parts malfuntlions so as to create a
health hazard, the property owner must follow the contingency plan as described in the approved
plans
The owner is responsible for submitting maintenance verification report acceptable to the county
for maintenance backing purposes Reports shall be submitted at ntervals appropriate for the
components) utilized in the ROWS.
In granting this approval the Orcmon of lnaust"Ina es reserves the right to require changes
r
additions should conditions apse making them necessary for code compliance As perstatestats
101 12(2). nothing In this review shall relieve the designer of the responsibility for deslgning a safe
building structure, or component
Inquiries concerning this correspondence may be made to me M the telephone number listed below, or
at the address on this letterhead.
The above left addressee shall provide a copy of this letter and the POINTS management plan to the
owner and any others who are responsible for the installation, operation or maintenance of the POssi
Sincerely,
.70JA r Rowkv
Joshua Rowley
Pi Plan Reviewer, Olmsmn of Industry Services
(715) 013-9111
PRIVATE ONSITE WASTEWATER TREATMENT SYSTEM
index aM TMe Page
PMl tName 1-LmS LLL /JFAI) LJLe.i
o.ners xame �f 5 LLL
Ownees
Addm: �S/ STE,l3re✓Z �i✓' vsr�i Lr/< Syo/b
Legal DesniPnnn
NL '1c
Municipality.
Town, VNaggBNyef o<
Oson
Paicel 10 NPmher. 192W —/Ci/.6 - Z/- ZlL(i
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Pages St�% i--•+K
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Page Ot✓Alzt k.Ji(-L/✓A� ^e cwn SERVICES
Page9 f7RA//%96/Nc'.✓T /�i'+✓ OIVq'IORLFIROUSfRP SERVICES
Page 10
Page 11
Page 11 `^ENCE
Page 13 �/M!o'L iNGantx'T .>7
Page lI
Page IS
Nameel OeaNn /o a iNv Ixenee xwnNer V/35yGY
sNM'lure: Dale ✓�/Z�2//t lJ
DESIGNED PUPSU4W TOLIE CONVENTIONAL SOIL ABSOBPxON,COMPONENT MANUAL FOR POW (SBD1OM-P
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Cleaning It
Filtration 1/8"
IT - 1 /16: 33!
Fittratimi 1/16
IT -1 /32: 30(
iftmost efficient, the lowest
maintenance, the most economical
effluent fitter!
• R=_arty Twice the FikP:ring Capacity
Estimated to 3 Tmtes
ion�cr betweeNtleanings
CfeA97!!$. Easy
Between Plates
Residential `
2700 Inches
is
INFILTRATOR' The QoiCk4®Plus
water, tetlmolybe Standard Chamber
iM good" Flue Seemed Lhamdv
Offers; mazimum strength through
he two canter strvnund cowmre
Thei charter can to transaction
a 36-IMr-cope Perch. Use ttre
dngmal lino of pucka chamfers,
it offers a pident mnwunng
v(adGty wen, no contour See"
cmnecron^ which grmhs turns
ip he tsEepreaa, right or ad his
War readable in twr-toot fingers to
d of opmnal mastodon dietary.
hw Wu ka Plus Mikn-0ne 12
EMcap. Nq itc Gyckd Pdpcops
as remst With MA cham[d,
pchropt ncreaeed tlaxibllny In
Maximum Surento
o
6Aa
WaV xsS L I12`n
(860 men x 1U6 man, dr
EMetlre Iswoi
ee'11219mm1
lgmrfew
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e 6^ am mend. lz>^ (azs mat
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Off Plus Sbneand Chamfer Betrdust
Ten center sammunal columns offer repeated eudlhy ands superin auergN
ndvarum mntourag cpr neclwrn
Iatcoungmemoriam albv2M scope lruWWdm
• Four-Iwt tlam[er largtna ark coy is NMM aM irmnal
• SuPDOM wheal loads or t6. WJ levaxle wnh 12-of cove
A&
Buf:aA Plus AllAn-Bow 12 Pdlokap
Benelfs:
May he used at me and of chamfer
cow for an Idwoutert or pen be
IbMued mid trench
• Mlbtrench connection feature allows
construction of chamfer drive meth
center bed, as an ehprutive to
mbffirg at ends of chamber rows
• centx-head correction aided; for
easy maintains of sent distribution
systems
• Pipe connection options Include
alders, ends or top
Bui Plus All -in -One Parleeaps
Bedaub:
Mid" for nand lmain lrulelarans
190• dimctlorel mleding
12- reaeslaved is Ideal for anal
Window"
4/13
cNned Who tntwnstowe
Awclhis men Plumnlry
pi wkna evenronin
Ouick4 Plus Series /
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wka am Yipmn vets mal W inme Ity m 4MiuNUM """a ena of of "Immey Imm, on omMi'm me'
MMer MI Mn RUTOW Semi ym, POINTS IwpMor; POINTS MMmffim0 5 o SaMcl p OperSru ThA
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eyeanywal the e of Immi m i m dyl aM Time and TO cM1eck for my Srx up or pmarm of w"Ime on M gmM vfm.
TM akpwxel na Ilal NNI To aWeM NgcrW m III me °Xlum[ mie an the ohemefbn My5 M to mem he my pwtlNe
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emme are nary ¢etwn the ncM rgWary auGwmy
mean The ammemarl ec rewn OF OMpa and mm, in any ImY gosle mf-v lm 151 omore of ma Tank uokmm, me ammo
I TMmunk Iffial m W mutl W a Swep te Sm'smmm e OvmAm offemw of n ewmEenp with Ohmm, xP 113
enrn mealt'lWe Come
AM It" aervrme, imilchrq III Xmmid to me m,,mg of chum hems mwnmetl in peamemel vonemem, ammonmem
nos, vd my wrvminO el MurvNe d511 mmb, °IrYlM pslwmtl tr/swrpMp PoWTS MYmelnw Q
A marm, report OntoAT pmuNMto mp e ameumm, eummiryimm NaM wlO dam W cwpOf my awMe eynL O//s
START Up AND OPEMTION. For May p]ney ,Ipn, pmlorM use OINa POlM5GYY lreelmvYpnkle)br lYe preeenyd pgmin8 Fracture oromer Gamk.N m.l m.vimpeag matreaoMnr pm[eag.nC/nraama9e me mapea9l celNgl Irn6n
hau that hl astir Whenosiontoll are n ep1 Mn WNdit[ sere OpeWUW n lhe et like nfiNdlve vsu box septagegerv?]nB operant parker to use SYaIMn abrl
Doing power outages pump lane may IF above normalhigmatOrlevela Wnen llawgr ie reebM qe eweeaxaelwnlM will be discharges to the ebperMl postal In one MUM dose, Overlosdin the cellist am may result in me backup or sulfate discharge Of afiumL To Mi ON sturi have to contents of the pump tank lermved by a Se a Servldng Operator
one, for toting pcwN- TO the erylaent Perm or small a Plumber or POsol MelMal my to seems In manually npe a FOR the
Pump not btimbre named I N wllhln To pump lank
Do not days w rah vehldeawer some and despmal ceps. Do not dens or park over or cftM disturb Or mmq[I, the
area wlMln 15f down Sbpa Of my mound or a4glaae mil abaorytlon area
m ammor Of ellmbGon N the lollmal from Ind wassailer stream may Improve the perbrmanw and remki the No of May, PoNTS: mbbb ,baby all p mite bull, Windom =col Speeds, degeaaere, dental ul diapme; abMfedenU: MS
M+Mi lain Dummy Wmpl water: fruit am ve Mwe µellrgs. amid ... ; eraew; hemloca; court troops, mMinSone, Oil;
Nhq pas :well[Ybe,"angry narking; lampme, and water sfal nice
AMNDONEMEM'When tle PONRS falls anNor N pemmawittly enter our of eervme the ficu tog steps s hall be likenb Imu4 Mal Mp EW=Is Part end "My abandoned in cemphanW With or Carom 83 33. WhAvermn AdminiglntWe Code
• al plping to MUM aM pike e1,111 be disconnected and me ebanNnm pips openings Would
• ThecommAq all banks antl phis What be removal and properly dlepeue d ey a 5ep1Ai Servil Operebr.
• offer PUMP" Ni and pile snail be excavated and mmoved or tha]r mom removal and the void@pace biked
Wm Mill, grevelerz"er InmisMld maWrlal
CONTINGENCY PLAN: If me POVMM fees end cannot MreWlred the UIMIN meuurm haw Cesn, ormmlde 4kan
he Proms ]e wmphom mph Mrlt ayatem
adill A suitable a Oa md area ha been a venal also may M Menses For me bs of a mmea'nent sdl atsov
ystemredusa. ray replaMmnd area GhT.ld ne prdedul fiwn ewmrbenwand wmpeemr am EnpYM not be mnMgel YPon by
re eintpm reco rks ecover overlap
new wNand'�moaaov p m3bmana Usenceyplazemen�aMe the m"a reaw�P
omply Arse Me Mies m ethics at Met time pNce snt.ml.ms mY.1
a AaYltapb replacemanlaea hnot.v.uabb eu. M.elba4 antllm Wou lmhnannna Damneaovaneeeln POWISIe ogv
e holdlbg lank may le Indaled as a lest rayon to aplam OR Send POWIS
0 The son has not been ewlua to Moody Baptist mPlammenteme UPonlellum of Me PONT9eeollam elN
may
moEl bs a lastM on up
replace
c Wthe SU , POINT nlerea Ilno replPcnmenl BRe b avalbbb a M1OMlnp lenF mayb hoe MI ales last amorlbreplica Is may M mms
O MouMssmWddde soil abaorytlon ayegms may be mcpnaboeLLtl In Place lneowing romoval of Me bbmal at Me
InMtratbe eul/ew RemnaM1Yctlona of atcM1 syelmna nualmmplywlM the ruin In ¢Red al mslbma.
Wn NI,SE C, WWANO OTHER TREATMEM TµN MAY CONTNN LE MESS µMR IM6UFFICMM
MUMER 00NOTF MASEPTIC,PUMPOROTHERTNEp WTAHNUNOERY CIRCUS MCE, OFpTNMV RESULT IMSCUE6A PERSON FROM THE INTERIOR OFATANN WYSE DIPFlCULTOR IMPOSSIBLE_
PO SINSTALLER
POW MAINTAINER
Name
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Phone
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EPTAOESE MGOPEMMR: UMPJ
LOCAL REWLATORT AMXMRY
Name
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Will Heldt Soil Teong 94N Y'f-�-
W3503 Hemlock Roed
Mondovi• WI 54755 1
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ST. CROI%COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIPCERI I FKATION FORM
JEMS LLC
Melling Address 1378 Quinlan Ave. S. Lakeland, MN 55043
Proxrt) Amreaa 751 Sterbenz Dr.
(Vmflulpn nyaiml troy Planning S )nmmg fkprmqu for mt<onsputtmn 1
CaylSmte Hudson, WI Parcel Identification 020-1466-21-025
LEGAL DESCRIPTION
Pmpany Location 40 4. 160 V, ge< 27 . T 29 N R 19 W. Town or Hudson
Suna;PlstonPlat, Hudson Business Center eta 01
Ce%iReE Sanity Map 0 a 3S /SG .Volume _.pages sal c
Warranty Earned # _ / 0 2 / jct S? (Serom 201nvolume— Page s
Spec house Clyryao Lot lines ldmhevble oye.on,
'YSTEMMAINTENANCE DOWN R CERTIFICAIJOW
ne consists
onsi a,bmy tour h orsi =aC min nmuhmi pimuwrt yla bowtllexu Pmpn
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The pmWttyo rvVee wonto St Croix County PlantmgRZnnlne DOWme a connector from signed by the
III., nM di. o'co" to. Iuma,man number,onmonitory! uu t iceoNNtP ... no"gt ,(1)Neo
miscount IcsathvnV sposal
assIn proM Tcodlyg mMnlm&ur(21nafte,,orecu d toopag 4lecasvyl.Ihe on, joy, Is
curiofall of
1'yc,'he 'Merchant love It" he res" tgmrcmenu vM agtee la mumein tM pnuue o bape d,s' fymem with De
Suandarda,n both_ horm, as set by the IXpanmml'l Safety AM Pref so,cal Setvim and be Mountain If Vwvel Rmati
ue of a cu[nam eemr u,mrs".at run, code $,seem hat been my WralmW hee'mphud and Tumel tO th St Cmtx
wry Planning A Zo... S DFanment, nine 30 days of ILnhy, yea ea%am no,
1 bra c(t fin ad fucenunb On Oil form Are n¢ m the hear of my: our kneuledge I: we am the the'orand of the
Pmpeny dev'ribed aurae by tmue ofa "assay deal recorded in Regoorof Oerds ORIn
Number tooma
0R 11
1420
SIGNATOR OF APPLICANT(S) DATE
'•'Anymoromrion than nmurtpreaerned may resi no umtn)p as king rtvdM by no has ..ng& 7, onsg Utprtnrn
1ndWe uM 0us spplennin a arnrdW uvrtanp dad form ho Reuner Of fMda ORitt aM a copy of the cam&d foray ray, t•
rehrtnce is made m the wemnty died
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