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INSPECTION REPORT
ANERAL INFORMATION (ATTACH TO PERMIT)
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OWnensRyerRivard Developer's
Madmg Addressg409 Coulee Trl. Hudson WI 54016
1607 92nd St., New Richmond WI 54017
(Vermmbw ragwed 6om floating h ffomng Rpemlem Im now wnur¢n[n)
New Richmond W
city/State_ _Pared Identification Number _
LEGAL DESCRIP'I'ION5./SW
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Warranty Deedx IIo S}I�. (before 2007)Voleme—r.e[x__
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SYSTEM MA NT ENANCE AND OW NER CERTIFICATION
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Vwq W mWmigrcd Mve reW the tbove rrymrcmrnrs and apee to mootmn Nc pnvoe sewage deposal system wed the
standards of fords, boom. not W by the Depenmem ofboby And Rofevamml 5ervnw and Jm Duounwit[f Natural fens er,
ClosenrWiteau& Ctmng Dep amrit Na your opinefIncto Aubeen mnnrnn[d mattMcmrylt4d and rtNmeCmfM $L Ooii
Cowry Plamsog k b[Ing Uepanm[nt wrllun 3U Nyr uflM1e Nrte ytu expuauun Lm.
Ilwe urnry Wr all na¢mmu an not from uc we to led bans of my/mu kmwlobe Lae am'are use o,,not,) of We
Profanity unsoiled show. by Iona If euranry denl rttardtd in Register of Deeds Office
Number of bedrooms4 _
9/21/m
SIGNATURE OF APPLICANTS) DATE
"'My mformtlron IWI i[ mmtyrtrrnted may nanull In IM vmtlry pemur being rtavkM by rt2 PWmog A ]gong IXgrm91.'t
Ircnvin a is Nu in
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PRIVATE SEWAGE SYSTEM
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INSPECTION REPORT
NrrR
GENERAL INFORMATION
(ATTACH TO PERMIT)st
312
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Rivard Developers
OF RICHMOND
02
04.17-000
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07.30 18 1606
TANK INFORMATION
ELEVATION DATA
TYPE
MWVFACTVRER
GPAOITY
STATION
BS
HI
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TANK SETBACK INFORMATION
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Naming
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PIIMWBIPNON INFORMATION
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Frfton LOSS
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COMMENTS: llnaw. m.aw.prro.. peon gexne alc) Impeclpn.l Inuunnu
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MOA Gene A4Nen Renal RmNtled Srns, III Inspector. GtlNt3 MelnyM on $epfege lM,,dng Opwafa Mumpe)
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on Me ground suReS, The patlnq M effluent an the pound surkw may brae e a lallry wooden and ratukm Me ImmpYMe
rnotMalon a Me lotel regwaory .canonry
Men the wmhnM accumulation of all and ewm'm any taatment will what m>Mlra(y) or ae of the Tank volume tin mare
contents N the lank sell W retinal My a 3apbge $tWwoo Operator MumpP) and ftPoW of In eowrdanw WM oneple-NR 113,
Woman Pomhnmretve Con,.
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and em focal a 10mals msif mesa, alWl be I`MamM M a wNnal I'OWRi Mcenmlrne
A Savlw ryowMet ce Model TO the If rrouldoly mtlMdry, WWM 30 days of wall of any hall wand
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Pagelof �
CoMucted by: Con,luctol For: Ref. No.j3; .3
Schmitt Soil Testing Inc. Name: errand Propentes, LP
Thomas 1. Schmitt, CST 229429 Address: 712 Rivard St SuHel00
1595 72m] St. City, State, Zip: Somerset, W. 54025
NewR ImeoM, W. 5M17
Phone: ]15-247-294) , SUW Name: Heyr RoUing Acres
/ Lot No.
to J2 roJ Lega Deacripnon 4,V_1f4-WI/4S7130NRI8W
Y Backhoc Pit Toamsly of Richmond, St Cams Comity
♦Benchh1�EL arIWWTopof %s'/n
Q Akenate Bench Mark EI /�7 Ye Top of o° "PVC r
Slope=_Lp- Comour Lme El 1W
Contour Lane Length /Yi4
SI " = 40'
7 E 6�
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pRea
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or
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miss lre ftrt donetofuMllazoningm ur nt TMro 1andparna Uma emy noinat Me
tme the tt wffi Wndwhe! The am in xfiM the t 1 was dmre may or may not be sunathe to your uae
e < ACREE
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