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HomeMy WebLinkAbout020-1080-50-050 (2)GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) St. Croix On P.nMx. 630327 +..w 020-1080-50-050 29.29.19.329B YAM . ,moo, Se KW �B. BMMe MCIRMTOSYSTEM TO GrL BILL IAF hIxEAN eel /,J i•IJ Z ., G a.sa. �«�. w.,m ..zt 5 0�. i u.� metre VoSc 4u ffX "..C.H,�,3 NE..>tZ COMMENTS: Immee mee Glwepewee. pomonx pmwnt NU Inepwbn all- I''I b AJCI. —ZI.- IJnixectonn nl .'� '� fw)Iy, kAw c[ 7W CROSBY OR 11An eM Cxwlkn. 1/4I(H.jI ey\S M'v �/✓1Mle' /�(M1i (11t(/ iAI�„ OIB �unlcf�r- G}�5 "xj — All Vu143 Iof+ �H ay. Fnt1S V Yl Ov. NII ry)pj py Uw W6 b M " lb 30 eI 1� n .., •.• maunw `Scr itta oNlnPn Cooly �`(1 n1 �1 Sapp �A'IIU-OM(: PP �p ((�� pp�� NOOm Wv;�nptw Aw Sv1Y•YPonoJNumblllwbfiLLtlinbyfhJ Pf REC!ERIWEU V915 PO�B 71U Mackson Wi 531 7-7193 630324 . opts 8921 py pet nit Application yTMme°�Nun°m .mm®le wm„meerm�r mnnmme ypr,p,• wm i p — ZDo 2zss—C real P.orm ApNelon' Omn lw uMox JPom me the ma Pmleuewl 5ervim Pemad mMnMm you pwew. may Mpm, JaJemlAmmwiytlawl Nolm l r l5 pill m We, uOlno 7%Cmvby Sol 1, Am lelorm - Pleam Pert All lalere llon n.Ieei merr NMI coal III mr E o-5 3,ei PmpenY olI moped Affil Pwpem Lmun 1W Cout unve wn Lnl IS A. NE'4 Now, Af�,r! Gry, Suu Debate Mae NumM He Wl 5016 115351MN euml m N R19 E aQVJ 2 all al I( I®1 <uMnnwn Nune fill Dalkomak n-Memory Iw31 1 0.e mA Memory I m a NVA B,i ❑PUEoeciMe"m-IhmnM lee ❑Gry of " ❑Sun, WM-Wwi Iim ❑Vi11•Reol c8M NumNo(u.R ,Y ®Te III Type of Perm,l; Cheek only one hoa oo hoe A. Com lke line 6Re IinLle ❑hawefil Rep'venmlSY,um ❑ TrtumeMolaimSWkPeply IMay ❑ penMWnamn m Eprtiry A= leeplunl ❑PmnilRm'el ❑Pnmu Rerwm ❑Cowl El Must Roue, by New 1. PemJl Moen me Sam Boert Fnpiom Plumhm Omn, can. ryyps IV Tqae of POWTSSamNComonmVllena CM1eokell that al ❑No P,emn ❑nl ❑m n ❑mrvmc]n u.Wwmbml ep GeQRep ❑ZoNleek �rnnu ulryersil comloim,leepluel iLbim lenpluN V.Oie erviareaMenl Area l spnmtdonS6 VIE LN Di For, lgpal Dennis All Apwmm arµ,ml",e.Peryii kn Uomml Ame PrtwealA Sryan Elew mot SMwo sin TAX) IW35 oil VI. Took Into eym C61 1 P°�I4M low caner oof nor,z E P 6 ..n . •m. Sept.. 11 ultlmO Tmk Ilcp I]W Wl yCewrose WairyClum6o1 AN 1 No I 1 WmrCouem VII Im 9ntlbih Statement- 4 theuuaeNpnN mwlalbnoRwe POWlBehmrnwgemvY ru u6rem ManoriNem ll'ryml PI u MpMPPS Numb Iowa sPMrz Nwnhr Jeff Sohmm ,-J YL7J2(M a., 7I5 750M06 artl(e City. slue,Zlp Wel 117 506 Volley ham T,mL So cv WI5N8 VIIL Coun U, OOftly ��ent obm-�e.L `,S '"�"'sl1 i ,$fAP: amen k,oemN , zon ��°�/n� p 1%. Cnoalllooen pprov a1 j\ 5t-jup,mJ. IY u.,op �({ye VSTEM OWNER I 1 er . Septic look nlllme filler and / BCP#5��y mapeaai cep mem Le�cen lmayoweca.�IP'Aal�ya(w it by Pei as per feel plan closeted py2� ns JaraNne..,,.., yelfiesuW1W. me me mle \W\(n5na 1 CS.e Pe�.ift eme�aR' �)r ite S N 6V,jVE p �p SBO.6398 Rifira) In Final casuistical ,W` t7`IPr,et�e�Y�S SYSTEM PLOT PI N / o�evelilgaeeal�seooc syM.m ��®�° N .��m .e....�,..m a.... Wo.i.,� .��..�. smar•eo o w wm. ar..a.m mu GO Pr w I I I I I' Tl- !L I ism �w�rb�-&-Im.3a'�m h. 1 1 I I I al Hftn MI Yry. Elf 6 a „GOPV Seplember242020 PLAN APPROVAL EXPIRES 202209-28 Plan Rossi PWTS-09200225E C IOHN F SCHMITT 61619m Ave Somerset%15ao25 SITE DrevAnga &d,00m in-C.ennnd Presence 700 CrosbS'Drisc Town of HUDSON So CnmxCounry Total Amount: SBO 00 FOR Oe"Arrlun. 6W GP0 Mmrsomaca Required DIVISION OF INDUSTRY SERVICES 2331 SAN LUIS PC GREEN BAY WI 5430462II Contract Troops Relay him loops wl pwtpropnm ,Muottl-umim wmr someone pm Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES r%guu f.(1/jwa SEE CORRESPONDENCE Imgmund ('ompmem Manual - Ver 20. SBD-10705- P IN 0101 R 10 12) Pressure Distribution Component Manual — Vey 20 SBU III IN0101 RIGID The submittal described alias a has bxn res¢o ed for conformance unh applicable Wisconsin Achummmlive Codes and Wixonsm Statutes The submittal has been CONDITIONALLY APPROVED This system is wM consul and locoed in accordance so be enclosed approved plan, and a any component manudls) referenced arove liberator as do..it m chapter 101 01(10) MIA .... In Statute, is responsible for compliance uM all code requsements No person may mange in or dank at plumbing In me,tve unless licensed in do sr Jr. the Depanmmt per s 145 06. stals The folmwine conditions shall be met during construction or installation acid prior to ocmponcy or use • System deigned for bedroom home. Amdavu required. • Abandon the existing Station components per SPS 38333 • Electrical connections shall com ply aIN SPS 3163W and NE(UW • All piping shall conform to SPS Table 384d11.3 and SIN Table 384.30-5 A copy of the approved plans, specifications and this letter doll be(aI during coflomm s and open to inspection by authorized representatives of the retention, wmcn ii mi local mspeGors All permits required by be state or local municipality shal I IS obtained prior o commemorator of satisfactoryinstallation operation In Devine this approtaI the Division of Industp Sets ices ancrves the right to regmrc changes or edditions should conditions seat making them necessary for code comp 6anet M per state state 101. Ii(2), nothing an this review shall relieve the designer of the responsibility fie declining a safe budding, dmi or component Inquiries concerning this correspondence tray be made to me at the telephone number listed hoods or at address on this letterhead The shove left addressee flan prmtde a copy of inn letter and the POWrS management plan to the owner and any others who are resprmible for mstallaumn optimum or maintenance of the POW TS Sincerely Travis Wagner POINT Wastewater Specialist, Division of Industry servtas (608)598 0715 travrs wapnerdinw tads IN -GROUND PRESSURE CONVENTIONAL COMPONENT DESIGN u. .JA,rI are, INDEX AND TITLE PAGE Project Name Draveling a Bedroom Misplacement Drain Cwoers Name: lea Draveling Conditionally ROVED Chanters Address IDOCrosh Drive nPTOSApPTY AND PROFESSIONAL NYdson, WI M5 SERVICES DIVISION OF INDUSTRY SERVICES Legal Description 91/4, NEl/6, S29, T29N, R19W Township Hudson County Subtlrvivon Name St Croix SEE CORRESPONDENCE Lot Number 1 Block Number ParreI I D. Number 02040110-So 0 Plan Transaction No Page I Index and title Paget PIW Pain Page Septic Tank SpenOrauons Page Effluent Fiher Information Pages Chose Tank Cross section Page Pump Spennptwm 6 Curve Page Z System siting 0 Cron Section Page EZ Flaw information Page Pressure Contribution Network Page 10 Distribution event Specifications Diagram Page 11 Management and comlNenry plan Page 13 111 Tank Maintenance Agreement Page 13 Occupdmy Affidavit Page 16 Wamnty Dead Page 15 CSAt or Pon involvement Sall Evaluation Report Designer: John S[M1mltt pmeee Number MPR5223760 Date. 9/9/2020 � y) phone Number 735700686 Signature /r./(, In -Ground Soll Absorption Component Manual Version 2 0 SB610705-PIN O1/01) Pressure distribution Component Manual verslan 2.0500-10906-P IN 01/01) SYSTEM PLOT PI Dravelinp J SeE Septl Syp ° ,Wa, gym° N w,.e..m•012 SceN 1'.� i M Wm p ew m a am w Vrw.i'n� 10� NOM w TaTa-IM )`I0�FL�ib Il.lmv�mss Fwrq � U / nWry Pn.mr �xT I✓�l WLP1200/800—MR -- TANK SPECIFICATIONSWALa DYWALL, r DOTTonaM S. S' ue RA D. vREusT coxorEh Ysx .' cqs_.-au a T. a uxCTTN: D'-e KL r e o D D nn: R- uYR1EL¢ ce- CPMAw. BOTTOM IA.BW E&& '�- R x y WNA MELD LM T x S MLET AA0 WRET • CMT-A-v DOOT OR ECUAi cAvsT ; e Y4ET AM DETBAFFLEANDFT BI£E D FTTVk x. S o YSC-9B. SEE DPLAL no {Y x DOTEIM STATES SM CLMT) TOP MEW uouD CM ` Acr n.w GATT «Tc) s r zzEA GK/MW (PP) p[N LCADWG ME D'-o' UBSnTLRATFII ySOIL. p m TAW CM BE USED AS P� A N W T SEAMALMA➢M / 11J1pBG / YIOR 41F}1 e n 4. VENT COMIf.Y. YA LdM p (Iq f®f) i m uYx DE 0 (Sm i new) W ^ o a ^ - CUSTOM➢➢ TArws, TxLCCFn n g `s ^ vDMv PAD aLcr DATE o srs_Nm DRAWINGS SUBMITTED EORD APPROVAL A I TANS ME MAN FACM TO MET OR wC® TM ASC-13E7 KWYELENTD ItlYK15 REED lY. /p ' Si-n-Yql POL.: PL-525 Effluent Filter 11-52 Finer The PL-SM Filter is rated for 10,00I GPO (gallons per day) making It one of the Imgot (Yours in its clan. It has 525lineal feet of 1/16-filtration slots Like the Polylok PL-II20e Polylok Pil has an submarine shurolf hall installed with every Hire When the filter is removed for cleaning, the Will will Roat up and temporarily shut off the system m me diluent won't leave this tank _ Ir. .. Rated for 10,000 GPD (gallons per day) 5u but feet of 1/16-ld"di n Adepts 4.' znM (V• g(7F1D 40 pipe Built in gas detamr. Automatic o tot( hall when filler Is removed Alamo accessibility • Accepts PVC extrusion handle PI-535 Imbil,hon Ideal fin rmidenral aM commercial waste Ilowa up to iB.MU Ballots per day (GPO) I. I.acate me outlet of file septic tank 2 Remove me tad over and pump talk Y necessary ] Glue the filter housing W the or 6" outlet pipe II the filter is net centered under for ascen asserting me Polylok Extend 6 Lok or piece of pipe totimer Idler 4 Insert me PL-5P5 filter amid as housing. 5 Replace and seewe the metric tank rover IT 5ES Mamtcnnnae The PL-525 Effluent Fitton will operate efficiently for several years under nmmal conditions before requiring cleaning It recommended that the filter we cleaned every time IM bulk is pumped, or at lost every three years It me installed filter wnmre an natural alarm, the owner wit be notified by an Warm when the filter needs micfng Smicmg should be dote by a mmled septic tank pumper or installer t Locate the outM of the septic tank. 2 Remove tank cover and pump tank d necessary 3 Do not use plumbing when finer is removed 4 Pull Pt,525 cartridge out of the housing 5 Hose off filter over the septic lank Make sure all solid, fall wekmm seat: tank. 6 Imes the filter control thask our the Meting W),mg sum Its new u property abpN aid omekkty answered I Replae and secure septic lad over 1/I6" Rltrahnn Slots l stairs, }/'l}{� lim swlan 10:AD0 GPD mpal...Il nv slu r Per Real lom6. an cm saapia as n aid rvry Se U... it, tl /Iti Fimsuiam ® nvia:ai wrewaa a I is —�..` uwa... I....a.ni,i ai.m m..s a LA taw elW 2Lub�i As saw, Mani swdwhiss.w.M w Wm mFrly classes e.WayuJ Potyluk,lnc ]Fairfield Rhd. lVahngford.CT W92 W[Free 877165.95W but MLL .8514 sew pplyl9Y.aep PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS wtw (No Scale) eWill .'mllal"n:. w anks)IMPORTANT AnN,nr l.N�,n®necessary \TI l+•Wen msnsass•ysxal CAPACITIES@ 22.24 gel depth (in) Volume (a l) A 18 400 32 a 2.0 44.48 LC' 11 20 D 11 244.84 -'T *Pump Tank Liquid Level• 36 in Force Mein Diameter • 2 in Fame Main Length • 70 g Force Man Void Volume • 11.41 gal 1 �— ELEVATION = 85.85 n INSIDE BOTTOM ELEVATION= 94.83 e r rR.NV aWryus•vi Ywn*u• Vertical Head = so I + Min. Supply Head= 3.50 B IC]T VI Dose Val (TDV�• 10741 gallL Isx mw um,a.me roam. <tw zo vl e.uq�mq pone men amnpels raurel MIN. PUMP DISCHARGE HATE • gpm PUMP TANK Volume 800 gal Menuhcwrer Wieser Concrete Pump Manufacturer koemer Pump Model 98 le�,m�e wrvd�.l CoMmIsfAlarm Manufacturer SJE Rhombus ConeolelAlaml Model: AB Fbat switchas rnnteinino masmol are oronta + FM Friction Loss= -220. Zft +FINng Loss'• 1.05 8 'Imno,mD ieay. D.I =TOTALDYNAMICHEAD= 11.75 8 SEPTIC TANK(SI. Total Volume = 1200 gal Install approved Wuent Biter at the septic time outlet mad ately unalle sm of Ne Dumb tank Inlet. Filter Manufacturer. Existing Polylok Filter Model: 525 I l■����■■ ism 0Mw■Mw\■■ II ■ I k I I p m FtpNttiYwYTF yw TOTAL DYNAMIC XEOMLOW PEH MINUTE EEiLUEMOND OEWRTERINO MODE; n As, Last 72 a n1 is as A As MJMi CONSUTSF1.-rT„- 1. , I. ro ..-, .. ._.ns EIMXtel almmabn. for duple, symerms. An, swaek and salable Wrtl Mat ewlmee am evemek M wounding write all wM an nmm and Three phase systems Mechaolml anomalous. for donsell Ml are available Dable namyrack vanade level Mat eMlmes am syllable for wvh or dirM damn eu$hea varmis level long cycle comma Referb EMT 022 and FM0009for Temperatures above 130-F SELECTION GUIDE awry, no..lema a wd ma ran 2 For utm ors, invested anpwpl amedls level Mat MM o, doubte plpppeLL."am, 11"I Mal er toh Rerar W Nal moral al as, control and ♦ Sn Fm071E Ormay mpmass M Wqn coned pug' or not al or a Elonatcr Iw MZMAs Whaordat Ma a mq m FlgpN mass lM SOON, Fenn mart alma, MOW. WWriy NOW, Fal Rny loans Is" FWw, Say Rua smm. w.o case FM1Sm Also, awns, FW7N RESERVE POWERED DESIGN For unusual cWNms a reae sm salary tedw le enpmeemU Into mm design a went, Zoeller pump. trap ossooZ G ,� � (mFs aW and PUMP lO, a /wi",',iaa„ *QTIPHO D�..ames erxxs' any acw^rt SIT sort co NI sense m oral Pans IN -GROUND PRESSURE DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down -sizing credit) I ace TYPICAL TRENCH b01r ewen CROSS SECTION VIEW (No Scale) L Puri — . sysremneaamn- IOD.35 fl ' INplm) Pmon minimum 3fl Iaemllman ElavaYon=16Q6$p mammon between lrenclea INp,,,J) TYPICAL TRENCH (show force main, maniloltl, and f mm valve locations on plan new) PLAN VIEW (No Scale) 'OS&IJ140 —PVC Lateral wo maminp.� 10 fl INNcaO Ibpdt INnrelt INpM1 9= 60 fl 14Pree INSTALL PER TRENCH: EH2O3H Bundle INpmell 6 10.ft bunEtoI a 50 R EI5Nud=300 k (mtGWlNao-eer Sy "M) I "Mal ""Int 10 mauremvenimnen�u +0 Sfl buntlles�]SMEISA/urH=_M = PmpmeE Elsa W SHntlr=300 M Rmqulad lMtllaeun Anna =1500 ft. x 5 trenches = Proposed TOUI EISA = 1500 ft. Installation Instructions for EZflow Systems in Wisconsin wsonsn Department of commerce, safety and BmMlrgs Dwsion, Fos reviewed the speclll®tlons and/or plans for this Pool and determmed it to beer In compliance our chapters Comm K through BC, Wisconsin Adman Cede. and Clusters I45 and 15o. vAuawn statutes. At vies must meet the Sale 6Soll n esfarres as noted •r Sold re 'WWws The apprmal producer are 1233H (3-17 Mmdles win pipe in center Wntlk in 5 or 10lengths) and 121391-flP (3-1 T Wntlles with pipe in eatlr bundle In 5' or 10' bngths A single ppe bundle on a four in& cedoratad ppe sur- rounded by EPS aggregate and is mod together wrap pay- imlyene near A Doge Sign gale turtle caches aggregate mty and is odd together rued pa"etlrykre named MatMels eM Equipment Nndad • EZflcw Bundles • EZenv Oelostlle poll • EZMw Internal Rpm Couplers • Poe for Header and Inlet • BncNoce/Euawtor ' Installation Inds s The instructions for msWlehon of EZPpx products are town Mow This product must be installed in accordance with state es defined in chapters Comm BR through 84. Woodman Aq- unistatlw ve Code, and Chapters 1A5 and 160, Woneln Stat- tes, as well as the India health Stood s current design rismusl I Aber tic brat Moth department has detumined Dreg, configuration , and layout Iw The Usti morems, peke r mark with pant the boson of trenches and ones A careful to set corrM tank, roved shop, header One or dis- tahuuon box end trench diatom eievabons famous much - muon of pipe WMlea 1 Remove plastic EZflou shippng Zags Wow to pus g Works in the trenU(eM. Simmons any pal Mgs of the Thomson betas system is Nrcrl 3 This product most here gmteeuk tabz Met mesh re - comments of a Comm 8A W (5) U "I Arm Code, mslLled directly on top at the product and expending down Short; the more of the product to a pent a1 least six some from me bMnm of conduct A VAen nodded in a bench, the trmcs, avwb be dug to a worth of Winches The hot any saws boor in aware - to, W all proi Saba, bW-ceam9 n[ocM artr barkfifmg in domfrae M*EZf win 5 The Absorption area (SE) necessary for a giren site shall be sued based on maximum dal" hiage flow (GM) and me permeability far the site If cotton chose is met, the EISA slang can be used In Wisconsin, resulerg in "or annular drtv d. 6. pope EZPwa WmMs) in the EZlll wnfqural ash proved by system deign prompt speeifsJ for may Women - be site The top or cmleemoel WMks containing pay are Ironed end to end with of warmed pipe cooper Any shall aggregate only bundles that may be required. should be butled III the Whom aggreque-ony bun- dids and do rot passed any type of cdnneNon. TM Icq of eafr GEO diffuser conluns a Flit IMnc she manufactured n betwan the MAry and stgrgoer its faith is'nserted to peuMs sod mimsm The Installer steal mosm sure the tap GEO b paaNtmetl upmN end is dcontact wed the fabba contained an the adjacent qri er before hackfimng S. The EZAow Command Systems should 4 Inupoo p in a erel thrum in al dirccnu,a (both acmes and brag the bench botlom) and stwnd f of bvv me cantor r of the grouts sudaze elevator ummim Sol wrap at cudi adhol 16foct cylindrical rWb paced and to end. win central bundle dos ion ppe Interconnected, without any demo, stend.... or other when strips g The bench top pool bon graded such that water will not pans Backfilt should m needed or scaled tome ialCly ebe composition to reduce busion, 10, EZMw EPS tonight are Al and parr, fit in coward benches an may be necessary to seal most bouNers, or ether usefu lea 11 EPS aggmgate is lighter then water ther it might be expected that nail boyanq taws would lend to cause EZAaw apace es to all M of gouts when poMng occurs Fed membranes has sewn, newsman. that III is rot a pdem wean systems has a minimum of 6' of IN con as manmmdW W maMxlurer ...................... Pap a PRESSURE DISTRIBUTION NETWORK 1 CELLS T521 1. Distribution pipe sizing Soil Absorption Area 1 • Lateral par area: 5 • Lateral spacing: 6.00' • Lateral length: 6W • Lateral size: 1 Y." • Orifice size: 1316'• • Orifices per lateral: 10 • Lateral discharge rate: U IM • Distribution network discharge rate: 33.00 oom 5 laterals x 10 ori0cesllaterel x 0.66gallor0ce = 33.00 gpm 2. Manifold Location: End Length 34 Diameter 9! Friction Icae: 24' x 2.34W 100ft = 0.56 It 3. Force main: • Diameter: 2" • LengM: 70.00ft Flow rate: • Friction loss: 70'x2.3600011t= 64ft 4. Total dynamic head: Minimum supply pressure: 4.65 ft Vertical lift: 6 2R Friction lose (forcemain) 1.64 ft Friction lose (manifold) O.66 ftR Total dynamic head: 11.75 ft Page 9 DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) L.bM, NLe kM FMgDrob laD SchEI aD PVC renal 0= 125 m Pvc Fenno FLUSH VALVE DETAIL Iryqull *x Igem 1` Q`e 'mot"A Iw sale) orfice n — _ valva Be, �` Canter d"ewdW Lae IlnsupLon ogloral) kill dTgWg MwneB \ \ I \ eamlmarrrnauow Ia1e21Leng P 1P- 60 fl 1 lawwnaB i Q Nummrm Onfces p,r lerasl= 10 _� I Oxfim beer, Demorme Ra= .66 gqn II^al-1"sa1GNmtork, `� \ .�. nly-alvg e bN Number onererala= 5 clnao,e m rp.n 2 . a,.ymoNs mwa if AOenby5 Canard Damage Rare= 66 gem (MLaI-aaeeaaal req aNm Were, lxl= 72 in lrg IATERPL YNEgT ELEVATION= 100.855 MPr,O OBSERVATION PIPE DETAIL (No corer) Soerviprew Bac tb Oouel RNM]Ga1e lawcnaa 8 umegl Tri TW or pp, m tommare be, Imoil m oramm rdtl<a Bea la,1,.--,9 x m Baa a offer Y Armwig Cahn IMIMIbn TOTPL DISCHARGE RATE = 33 OPIA OrmKe Darmer= 3110 i Ibw®D Fm OM%e Irm®B f—x—{ END MANIFOLD Check O CONNECTION applicableboX. enema Her OmuxDI (gearppe opmrell D Nq a) DI X2—�—X —{ A Mgdl Mpull M mi CENTER MANIFOLD T1 Irt,er One Neawl ❑ CONNECTION C3 w mg PAGE 6 OF 6 In -Ground Pressure Management Plan IMPORTANT The avmer of this Mar un0 pressure system shall be caponpde far Its PreryeWel common ant maintenance Ionian to requirements o1 SPS 30l Will Admin. Code Pursuant to SPS 383 52 (2), Wiec Admin. Cotle, this system shall be considered a human health moral d not maintained In accordance Am this approved management than. Furthermore, all Inspection and maintenance activities shall W performed by a registered POURS Malicalnor in accordance MIh SPS 383.52 (3), Wlsc, Admin Cape. Maximum Dismissed AnnOperations u Design Flow, 600 gpd; SODs5220mi TSS5150mgL"; FOG 530 mgL^ Inspection Checklist INSPECT EVERY 3 YEARS o type a use o we of System • nuisance factors (l a odors. user complaints, &c ) • mechanical malfunction be, pumps, valves, swimhes, floats, etc ) • medal fabgue to a, leaks, weeks, wrmuon, etc ) mods vdume in combo lc assumed tank(a) and any distribution appurtenarecets)(i e, dlstmation I drop b"Am • neglectorlmproper uas h e, exceeding design capacties, prohlblled edrvNes, etc ) • extern of cending in distnbudon cell Poor to dome o tlosing lnegularities(Ie, pump mroyding, III switch settings. NO • electrical components (I e., wlnng, connections, switched, emi hmws, alarms, sob I o musical Idiom[ or lateral onfloe plugging(meesvre III dialal pressure- compare to design specification) c surfeit discharge of effluent or sewage back-up Into structure word Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tanks) shall be pumped by a pemfletl septage servicing operator licensed under 0 281.48 Wis. Stats. when she volume of solids In the cards) exceeds onedMrd (113) line liquid volume of Nis tanMs) a as required by local ordinance. Depeeel & contents shall be pureuenl to NR 113. Wind Admin Code o Effluent bilrer sl shall W Inspected every 3 yeahe and shall be doomed when necessary to remove any mul&eda idsaaotdingtomenufadurersspecRicabons Aservlcing period will always be greater than 12 months o DIStrlbutionateres shall be formed once every 3 years or when nacinery System maintenance repots shell be submitted UP the proper local government unit In accordance with SPS 383.55 Wec. Admin. Code. Raped arty component bell or eradication to: Name Of Individual or company Schmitt& Sons Excavating, Inc Phone 715-760-D486 Local government unit St. Croix County Community Developmental Phone. 715-386-4680 Local gwermnent unit mdM$s. 1101 Carmichael Road, Hudson, Wl zip. 54016 My defective pad of this system shall be repaired, replaced. or removed pursuant to SPS 38351 (1), Wec. Admin. Code Repair or replacement of failed or malfunctioning components shall comply Am SPS 383, Wiec Admin Code No product for chemical or physical accordion of the POWTS may be used unless approved by the department In accordance with SPS 384, Wlac Admin Code Congruency Plan In the event Nat any failed Veaenen component dints POWTS cannot the repaired, it shall be replaced pursuant W a plan submined to the appropriate agency for III and approval All in -ground dlpereel component maybe abandoned and replaced by a code complying dispersal component in a pre-tletemnned area of suitab[a soils System Abandonment If use of this POWTS is discontinued It shall be abandoned in amcoManw with SPS 383 n Word, Admin Code. Pace 11 ST. CROM COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Rang Leo Draveling Maibng Address 700 Crosby Drive, Hudson, WI 54016 Properly Address 700 Crosby Drive IVenrewm rext best Plmmeg a Tt ning Depannem Sir rcw'wmnueliM.l my/sate Hudson, WI PaicelIdentification Number020-1080-50-050 LEGAL DESCRIPTION Property Location SE �J NE ,A Sec. 29,T 29 NR 79 W,Townof Hudson Subdivision Plat. ,Lot# Cerdded Survey Map# y393 Volume Pop # IM Warranty Deed If }3572a (before3007)Volume 291Y ,Page# �S Spec holes uyedQlo LOWnev memifebic Uynono SYSTEM MAINTENANCE AND OWNER CERTIFICATION Impmperu,I'd maimmene ofrou, scroll xnram could seems inns prt,m, M1dwe to bends wmm Pmpn noala of pumping Out ad epbc wJt evm five years or inn¢ ifmcded. by o beeueE pumper WF tyou put into m<ry=tame[an.Trypnmenmonofine3`y2T1ku.7yam,12 St uswntcmapowentem.owttn m.imn,mce rnpnnaibbnms art ap¢i0ed in 45P5. JgJ dl l l and m CTapmr l i � SI. Goer Ccunry Smttary ONnunce Lee ptopmy wmer agreed to eubmn to ad Cmn County Planning d coning Depanmcm a cmificetion form aigrcd by tM and by a mealier plurbee, Joumeyman Plumber, reamcdd ph mm, or a h,me,d Mim, vpisons fur (I) The myil[ waseewher dupoul system is to proper Operating conedwom wbw 111 aM maccubn and pmping bfnxeuuy), m setae ink is Ills thin 1,3 IW1 Titillate Vwe, The undeengned haveead 0, b,v,,cqwrvmmed mot IT mmumthe priv wage dopeway wm was fie tmdemwfsmi.Sam, scaler by The Department of Safety And Pmf "lour Sync.. and We Depddmnt of Natuw Resimcea, Smsoftfs,xownCenT(u Tntl That yburaepttc aysum lTex beenm ndmuat be liolneweol en retained to The St Cron County Planning asZomt Department mNin JO days of Js Wee year eapmtmn ¢ da Vice Tandy That Bit on this form are we to the beat of my'our knowledge I/weartare Nemmords)ofthe property described above. by vine of wemney&ad recorded in Register of Deeds Office Number of bedroom( 4 A 31 A" /zt) SIGNATUREOF APP ANT(S) DATE ss.MV mArmmon had is mnupciall my remit in the usury Pemm being mvaked by We Pla t as Zoning DepaMsnt s' Include with Nts application a recorded wemnty deed Loin me Regmer of bases Once sM a copy ofthe cemlM sun" Map if refertme is made in the warranty dad (REV. wnx) PPIYITE SEWNiE IYBTEM S.CNw �tib�vgb^'�v •RIaKCT1pN EFFORT �TBLZ 0 OEMEMK IMITORM1TbX xy ..8. wre•nrrv+.. �surv.e 1pbiaMM.IM rae.oit. rb.ttu ezaloeasooso rail. _ 1 �A lm &Tl 1 C3T ze.Te le vm TANK NFORMATpx EuveTnx OeTA TYPE BMIBFIL'IIRMI cwlvn n1TOW IS MEv. oxl 7.5o ror.m F. �- 3.og ro6.4 ,1 / F,I Fro Bvw~ urv.r p.op .5 TANK IETIl INFORMATION BAPS N ptV II.9S 7t 15 M _ 1*51 9il/(43 3 "bxE" .9D - Pitw g's 140113106 . 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