The URL can be used to link to this page

Home My WebLink About032-2046-20-300 (2)A yr n. aeroie'soi.nloCnm"� PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) vurpmwerrarhuxbb mefsv P+wrae Rnwyw Ilmll O01ery SI. CroIK 6enwy P.mmxb SAN-2020.309 gaW iD Ryan NleMm l TOWN OF SOMERSET P ax` 032-2046-20-300 xrr x. eo.D` �I^Y.o' wo..emr „.me"Pe«roxo 13.30.19.662E TANK INFORIMTION ELEVATION DA 4alltilt"tIL TYPE MANVFACNRER CAPACITY STA9CN 05 HT Is ELEV seadc _ m•M1 aP n eM A renon eI tr 251 Hoame s ,,ad — TANK SETBACK INFORMATION ISOM Outlet TAINKTO Ph WELL BLW Ie Avu NWD OIIWt Get KeMerMen UIPw aide ea sr.Nm PUMPISIPHON INFORMATION Pnel Grade Menoact mend row At Cwer Mll Number Ian Lose steel Heed TDH Ft For,,main Lenwn Die vill,ww.11 SYSTEM INFORMATION i Al Im zPwIMS"b $Onry Are all Or AlOn'w SveYms Or P�rx"•flees W� cI d.d9n `nISY. ,.Depth "n 6.Mar OY. [N [!X COMMENTS: pnume toes alecmwnde•. pel bctlbn STB IWTH AVE 4) All OM DsvlpNen- y1 16ae MAI, wmh•\Full ul be` xtllon pl B✓]:/�-�yn INPefYP^•�-` tAl moll {.r..e- 4P..L�'b..i k - ' CAN-aoa0-30C1 =w �ounry nary ent peel on s entax wont wl5wmle in a On 0461pays County S•aa.Meewpm PLNIMNO f IIMIM00EPI EW eeppprrrpppOnananryny S[peM�AlAbMn snoop warrants I150Wllmll IL•ry �ITlu Coal CX I%COO1CHalw in allcl Y.I Barmy IRn -(I¢I F/ ]15�.5.aao IIS,MN.xx� '-main mmw not wa erme momrs..ury Pays Chat ural.o � ADDING BATH FROM SHED bmYbn�Plnn NInIYI Momullon esn L P2wav o..w state le RYAN METERS Liellycel 114 IA SM13 {I1o0EN R6Lbl T 30 N A 19 a o, w Patients Cat YYll,y amrna ri ,n naear Msx all 879160TH AVE 4 Orep stale Zip Grate, Peon. Ni S,loargy, Name or creel Number NEW RICHMOND Al 51 612-599-6746 C5q! an .3Z8 a. ,m el o, Dvu.os mioanY amno,w a m r Os=,uo,..l SOMERSET 0 Essential wNn1 P<.e bsanPanaN Icwu."IV m. to. but ..e. r.�-. w .. e.lq y mR.R.• a.�n Em ... 032-201&20-300 eI ai o+e P512 am -1 90 268 &] rv..ro•w PNwrsyw IGn•ox slaw aOYY 0 sensors . it11 AllDwro:n�0 .•,+.eN.w x Arm o sn o isemm mwnia,ny D 9111 FIT, o uvE.+ o a 9mmm D smaing Tank D rmlrna,, E Can, D 01,911 a baboyaa, so yw, -. —. waam wo�ep mGl=et, l -. - o :o aia 643 848 ] 8se ss SC 91 1 .m lw,.a.m awen ��cnon:at Y.nolrt.rw amz 1711 I lobo 0 o D D D o o D 1 o se mrva w.1 I aheurpersigneal Wait at on battery; I, to POWTs moan on in, Real all Commenoun_ nParr� elemaLnll PAUL RaKTjHjLERnY 2254tONs 715-246-2660 ISean Car sum. zy Cm•I 321 WISCONSIN DRIVE NEW RICHMOND WI w un 0.1 5. ary P.,ma iee Data lsuw o am Soul mo se"i AbsentedxAbsented- JeG4 na.+..aeePP,,,.. byurRIHIM. MPA own �l } 15 sC lsnnec ica, {v M45 a�ne SVSLEMOWNeR CO/ Ville 15ap4Cunn, muent ms, ar antl S lAl y4. mull 9' (�\�YwUp� p tan pit601m•In1•lumb x= polmen asemements provmaabrplwn0er )S a, per y requirementsranRineO ¢. N-Ol IV R. P1La"C� 1 an r as p applicaa6 S) 1'<rInua EQ aii1...1fi:,, Ad 71z ,Leaoult Pill . 9 P RFmrEfl 6TC - 104 1UN t 2 697 — AS BUILT SANITARY SYSTEM REPORT DWxeR � J to AS ADORfi55 .P/�4 E SUBDIVISION / CSMF - PO,1, f SECTION1y�T _N-R W, ToMn Of ST. MIX COUNTY, WI CONSI ,a l is lk SNOW EV ING ITXIX 100 FEET OF SYSTEM OQV id S4 G SO va�r A, woo s� fp� ` I I�` I s-LL(D fvrf;pcY PM x' i Ls�klw� 2 I 62' ^' / sr /a SOs k INDICATe NORTH ARROW Provide setback and elevation information on reverse of this is Frovlde x dime.sons to center of Septic tam mane ,- --.-- REAEAD STc - 104 JUN 12 1997 AS BUILT SANITARY SYSTEM REPORT OWNER �Sidea 01FlCE v � E ADDRESS Z2 /,( "��) ar:W7 SUBDIVISION / CSNO - W➢, 6 SECTION_2,y -R1�W, Town of ST. CROI% CUUNTY, WI EONSIi SHOW EV THING ITHIN 100 FEET OF SYSTEM M'1",U � IJLv54 7 .w)c,,bscrp u n Ji S t I "\I x�Yo PWeP�pc'1' Ins.,kpa� y >e' I INDICATE NORTH ARROW I" Provide setback and elevation information on reverse of this form Provide 2 dimensions to center of septic tan): manb,'- --.... TO WHOM IT CONCERNS, The septic system at 87916O" ave New Richmond All was Inspected on August IA 2020, At the time it did not show evidence of open discharge nor EM It show evidence of backing up into the home There for under Wisconsin mtle the optic system is considered a code compliant working system Master plumber 335430 ✓�i� n�(�C�MGD Paul R Koehler OCT i a zoza veiovMc Co m G��C�f�OMI�Do ST. CROIX COUNTY ZONING OFFICE OCi 14 2020 CERTIFICATION STATEMENT co a` °io" °°mv mmwrtv oe�noome°e FOR UTILIZATION OF EXISTING SEPTIC TANKS) This is W comfy that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street addresS)ave Isom ave located at: rvw y RE Y., Secfion 13 , Towo30 N, Rangete W, Town of SOMERSET , St Cron County Wisconsin Upon inspection, I certify that I have found the lank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, Bud it (they) appear(s) to be functioning properly Most recent date of inspection or service Did Flow back occur from absorption system? Yes No' (if no, skip next line ) Approximate volume or length of time 0 gallons minutes Tank Capacity: 1000 Construction Prefab Concrete x Steel Other Manufacturer (if known). WEEKS Age of Tank (if known)ato Perna number (if known) 268572 PAUL R KOEHLER (Licensed Plumber Signature) (Print Name) MASTER PLUMBER 225,110 225410 (Title) (License Number) MP/MPRS 101131= (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s 145 06, Wisconsin Statutes) or Incensed disposer (NR 113 Wisconsin Achimustrative Code) Rev 2/2012 ST. CROI%COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM O.mnm/Duym RYAN NIETERS OFT 14 msa Marling Aiddress 879 160TH AVE _ st E.m._Ln,my Property Address 879 160TH AVE rv=nr�t„m regmma from Plarming & alumna uepamnem for new wuwnlm) City/State NEW RICHMOND Par l IAmtmcatlonNombm 032-2046-20-300 LEGAL DESCRIPTION Proms L«mon NW ,1 NE 1 see 13 T 30 N R 19 W, Town of SOMERSET Sabdfvfvon Plat: �q .Int#4 Cerrified Survey Map If ( .Volume_/ Pagefl 3295- Warrasfy DeMM (before 2009)Vulume � paged -- $ra Mlsu Clyel Law liters ihNifubkpyel Improper use and mnmmmum,of your now system could of mats ptematnre 4dum to hurdle wester Pmper malowermance consists ofPumping our Me the stoic must every tyears a maner. if needed. by a licensed pumper VI you plat into me systemcan affect the function ofthe septic taN as a nestmem cage in the waste disposal sysem Ownermauat e report are SpeaGed in 3Sn 393 Rill and in Cbaper 12 -SI Come County Sanatory Ordnance The property o 1 liamm, to ,halt w St Cmn County Planning & Zoning [fragment a muffimbers form mined by the wassewawnea uAbY a mastic system in siumeymm Plumber mmc of p1umM er a licensed pumper v ins (if Ne (Il the o septa ter bill of sludge improper genrm8 coMnim color 121after inspection and pumping (if meewryl.1M septic tWu less Jun I/3 bill of sludge Uwe, the wtlersigned have may me above requirements and mon to mom men me private sewage disposal system wit Else undef sat foM ormE as air[ by me Depanmenl of Safety And Pmhsmanal Sets on and @e IXp Int 111'Natunl0.eaourte; Stan of amounted Cemfca wgWtYouYOU' system On 4en maintained must heom cpkwd and rewmeStar d to me Ca Co unty y Plammg & Zanmg Department soon 30 days of the tome You "Portion dare Uwe comfy met allsmtemenn on this form all tmcw rho best of my on, 1/we am we the museum) m(oe property desmbed above, by vusue of a werremy dad mmrd d an nai of Deeds Once Number of bedrooms 3 10/13/ w N TURE OF APPLICANT(S) DATE "Any nhrmauon that misrepresented may result in the sanitary mrmu being mvaked by the Planning& Zoning Department "I Include with this application a recorded warranty deed from the Register of Deeds Office and a copy Of the Certified emey map if reference a made In thewaauny dad (REV.0d/I2) St. Croiz Couuty ul, 5 "'1 1114038 Affidavit fora eiagle POWT6 �mSt o,+cowry PPRsr servicing Two Straelm is P{mte lnterceptpr ° oe�em m ICRER OE OEEOG RYAN Ncrxi-�M l/1yq(,embL/ERECEIVED FOR RECORD WE Name—(lhroer)Tyaeaoprint l nTtvl loita/zozo t::x Pn being JGl,Ewmw..�m.untlNa3�. &melt EXEMPT# IdOwjs Neowmm/Coownaof Le ralb Ima �Io ED 6St Cm,e RECP 3000 manly. wlnomm lxXme mvolumeti INrrmM PPGES:1 M rd Ryan.. N�tierj AEFT11KNTICATION AC OV&8 MENT Slyreoube) STATE OF MSCONSIN ) auNennrevtlaus St Crop Connh ) my ar Fersmelq nerm(m)teay_tler or (ywr) Saoo-.,.ec ap.>p rvxawe.myenYmw ia„ e N emra TITLE (1MEp01 EER/STATEBAROFMSCONSIN bmelaowomMslre �l//r✓I I�IP.�"OfG PeliuolS�MgmllW Me krtgebe iNtrumemmtl sslmowl eNesamw VR: 9 TUS PAGE 19 PART DIMS LEGN. RIXJJMEMf_ W NOR REMOVL" �_W�mmnee:'a^vMNMaWMnv �BVIdr4®sds �atl Gtl /YwaYW WMmbn+nm MmMam^V ammrn�mv� mNYPe+a�JN.mamn.rn.m^n'kvlmYmmanrcwaw MNrmammu. rv�, ua oJNY wan O ",u4� .n xx Aft Washington e1 P.'.w'im,m, SANITARY PERMIT APPLICATION °' '" a a RB303 son Me cover ail $3707.7m Attach somata Plats (to the county View only) for are sptem, on Weer rot less munry Ihan R o2 r 1I mrFn m xxe r Sre.eve,se ties lnrimtrucuwnlor<nmdexrro Nisapaoauan t ^Inr Wrmexu W (ASSYo'Lm �o o"wa�dam.r w.w ar�w,ca.,"m.m,xze a"x•m owhoweenow .m."ro x�w, F ORATION 7WT9ra rn,1 T ,N.R we Si i.mea 'mmN„ xu"ee. u �/ V nnwx,mew CluxumY. 1 lum ICNa N one) ❑ Hite Owntl ryry wiu9 Pueec lorl Poma owann -No. of nearooms or IN. BUILDING USE: um".n 9nw x wwt. CMc. norm) °' ea'm 03A-a0NG-90 1❑roerm tent/Condo 20Assemhy HNI 6❑Metliol Faalny/Nurxng Home 10 ❑ OuWoor Recreational rai 3 ❑ Campground ] ❑ Merchandise: Sales/Ream 11 CI Restaurant/ Bar /Dining 4 0CM1urch/School 80 MoEJe Home Park 120 Semite Saoon l Car Wash 5 ❑ Holes/Motel 9 ❑ Office/Factory 13 ❑ Offset. Wanly IV. TYPE OF PERMIT: (Check only one lox on line A Crack how on lusts B, r(ampboGle) New Replacement 1s acementof 4 Reconnec40n of 5 ❑Ragn of aft A) 1.�SpIft, l � . Sinners________ 3_.. TaNOnly _ ExnhngSpam____ __FnBinQSram B) ❑ ASamtary Permit was prenouslyiuued PemmtNumber Date Issued V. TYPE OF SYSTEM: IChmk onlyone) Non PtesunzW Dis4@ulmn mwmMOrsrnhfm Esmenmenlal Goal IIBSee eBM 210Mound 30❑Sportily Type 41 Cl Hdding Tars 1201eepage Trench 22❑Ino-Ground Pressure 42O AT Privy 1305easawai t 430 Vault Pray 14 0System In Fill VI. ABSORPTION SYSTEM INFORMATION: 1 Gallons Per DaY 2 Apsme Area 3 Aaap Area 4 Loading Rale 5 Pert. Net 6 Sptem Elar. ] FmN Grtle flWahm RgmrM IW h) Nopaad lW hl (GalLtla hq hl (Min y1[q I FM 4?IA Feet V1I TANKINFORMATION "gal�ror"sY Gelbnls Tanks MmufacimeJsxame rp, 1 oye AN New E1ish elusive in Vllly RESPONSIBILITY STATEMENT 1. thipsenchenigned, assume resymidb\vf 1 11 'ryn lonornewrovage system shown on the attached Man rvPa x Me av sra, men �.et HE. rusEcINLY ❑Disapproved s nyiv. ao ao 1 C �, pprovea ❑Ow Gwen Initial Wtl IVIV Adverse Determination 173-CONDIIHIONS OF APPROVAL/ REASONS FOR DISAPPROVAL' ".Wdvo"'^""^°"n PRIVATE SEWAGE SYSTEM Lill nR mi "ie�:a u... INSPECTION REPORT (ATTACH TO PERMIT) GENERALINFORMATION T BOARD , KEITH WMMET � inon cwnty STV CROIX TomEmpel xis j' 1 ill tta m aaaSTATON w ^Bf V TYPE MANUFARURER GPAOry NI FS EIEV Sepua (�%ye 5 �'ca a0 Bm hnMHk ,S 160 W Odde6l Oo f3 " feel vm BIE9 Sar .30' q3 Hel St/yEINtt /D" .85 TANK SETBACK INFORMATION Stlb Ooutt 8/P %2..66 TANKTO P I L WELL I OLCG 4 ROAD Ore lnlal Sl e26 "�i 1( NA IXBetlan Oourg xA X ,/G" 9a•'^9' Ae.al xA Oist ww /0. y/, O H m eat Sprem BP 50 PUMP I SIPHON INFORMATION Fml GrMe Manulxturer DenwN GPM Tp� ' e.G3 .:rT M N IDX PoNM tem TOH ft Lee Gefre SOIL MGImExcx a. Lill Ho Of e.M, INT ire, O. wo.Pm ]yI ON INN IAKF/STRE SYSTEM TO PIL RLOG WELL LEA SETBACK CNAMBEP Ill p .Iu qn — —70' ''F OR ON em bc! h DISTRIBUTION SYSTEM xen9m w _2L� n wns�l a � swore SOILCOVER a Porsure Sestems Only for level Atdra prams COMMENTS: BnGugeameaiurePamive. Pttwm pesant,ttUy(N C'- 1 �AOCATION: BWIENES9.j�0.1914HIS , WE, 160 AV i` r a y^� .co, Oflu�dan aewl�e2 ,,��+.1AX'Easte..i.run q.Gl.1Y Plan ravmoeElJ ❑Yn p'NO Ueoside defor atlEihonal information seodl100re9� uswnohigntlure Own NO