HomeMy WebLinkAbout030-2012-90-000 (2)snaynrnaeoini
PRIVATE SEWAGE SYSTEM
Peornuum�'n,
INSPECTION REPORT
GENERAL INFORMATION
(ATTACH TO PERMIT)
BROWN
90. o
manmamrar
GPM
stct74 -(O c
$.D
7.
Model Nu
er
er
TOM un
Fnulm
sy=t
r1
of
�l
SOIL AS
ORPTION SYSTEM zp }Lzo
}'/_p LLrum ,,.y
3
$z .
3.,
w.Nw
uuaNa
5V5TEs i0
n�:.Kllc.L�
�3a
BLDG
Zl'
WELLidarrul'
)5
°nn"n'^'°,GO
pn IIri f
TTv;cC
SYSTEM
l�nglh=.,' bra
Y"
Print
Es4 Air Girt,
SOIL COVER APr=.,nn sy ms Ony Mound Or AtGma systems Only
mrdi 3.5-H 3MT ,PEdged, rt
COMMENTS pni Acidic,Euarepencles persona pri eta) I�nspeolon Bt I>! map,e,,nns
lom GO )9A cry ROE —�yk OrN all LH9�
t1ARGADSOmpt ,nlek [otrtr -vi w lullPl Je r2 exhi Jrv� ,e[d
ztalaenounto er-1ile,: aCieM' �?tr;e! aF t-cs+
ierl J}m Art
q-R 5r Airs ,drl�
Plan reoainn Require]? FYe, 4No Ii2 r? W
Use other side for amubnshnRIll
3131lu xlml wu ImegeaM1 Still al
�Atl-zozo-��I
INO
WIk,,Nm
�i
�Tl
•+o..+tt.+wrowo,e bol
02�10m.vlm
&3o33s
Sam Permi4t sagas
srirwwn.r
mamW. c.w. •rrYY..om:
`wrYes:.w Yy.r.e .o.rwY�n� �.:
..m:..�a♦w.rrn.rs�
4Ys �•e'.M4a+�1 .I 9s�MPw.� hWFarl
/. V
L Ylwy�-.�•.wluw.r�
o.+aG
vynea.r.rr
630l,
MY•p.e'. W.¢.�
tt.wYl� 6v�ia>
_
MDSiNT
It W a�_r w
❑Iwx .gyp-w.w..�__
I
....w�
L
e.aaY_5 ote
0o�•. 3g458o
m.>IS}l•sYG (d/L ma's M.. i.A (e44xeBz9tt.ppfeh4)
❑w.e�
❑'n.m.nnumai.•8mma.b
❑ae.wsemnYmwlagrlwlwl
Y ❑Rrlm.l ❑Rvr•nlo ❑ll aa,,rc u•n.s F�YtAYietOYY�I
plmr'rsseww
rv. vrown +aW
woer ❑x��..a,. ❑u ❑ulllli. Yr.0
❑I..w.... ❑a..a.el��-�
IS
S Idbo dbu :n. U.
I;Ibo
YL,LL4. �rx. ar .�
yy
w,w..Wwi..
1
Aso
i
1 uc
v¢ eYr.r Lr
rlmnar..�r+...
.¢att.ax..e.
�u ae
Ir.Y.rw
�afov �Irba�•fw
Ib U w rN
�wnSati S Ul
Dial
SYSTEM OWN
i Seats tank eOWanl Nler and (tom( x
ILapen'al mll mrel be eem J/inalnWald .1
as management ov 16 �A/_$�
per ptan pinvaeE plomte.
-mld 6Ur10�( 1
N.VM,_p� yg or, a,pc(
sea.x.awl.) h
7&4ca Rd l.Pr. �t,lM
V T
Co �- l3e lwlef
�eioi.i. Wbll Q{'
EKi}i n516gYD PMn+u Bled Y_I.v<loo.b
�s<d
N<w IaSo9bl ki..
y TaNk wr'�'� P�y2oX Sas I{' 6h1onK
�kr; I o1.43
4
o W.Ir II
'L��
Now
R3
3T�H�lvs Extk;.f s,�kr�
3xbbTeutt. p,
a0abm4lI Pu�pd+Rtmcwdl
rud,,r6NL� I�[adE� �rwdl r5
sy`9<o ov
.COPY
w
CbuN y d A' v
f61o1 -.
�uaw9
01 A
n 13o6'�s
y�NN�`�yi
qq
Nay. prdwhd rv��gy� of
ck
SeS �^7SMd Yk^^ �"ay
M)N
01)N81 �fq:A
)A M"A Ul
IJl NOO
,of
'N
�► �•� � � 7� °J f` 3 L tlOt�,p�
Ea�ss�Y►�.�w am�n4"b,� -�QtndQ
pa" Of
PDN'1S OWNERS MANUAL AND M AGElaIENT ELAN
m
OmlPvmi1X
ofSI4N rAxAMrnvs
HudvorBOAv-mOW
Nwnncr n(('mnmaccW lLb
E )
ro
Wire nov lOWF1-e0mtlmt1.5
,g,fl iDW
OV
$oil Arylxaum p•
bvfl mEMua QulYyrONA)
-m. oilar:two)
Elwnobl m>7Smu®afeoq)
TdJ SmwWW9ohb (I55)
b A[vyv
�wmpl.
5150m[/L
P�mmM Efl tO,WnY (f]NA)
NULvuuwygmo®oe(�)
Taw SvgmJmsme.f )
Fw COOkm(pm, avmm)
Wu blr Arnege
530mgn.
lmngvE
<IOcwi0
Mulm®ErB,MP.�OtM Sis
INuhO
Tooke -
o
Tmk Maoufvmc
`il L
O NA
E91um.Film Maoufimevr
O
FAM1m�Film Moa._I
o
W G_
Twk wav
M,Mfi
M u(N v
PM
M0
NA
Peonmmm It Von (DNA)
04mQ FlI¢. OMFib
Ul
o Ma'xmral ApNm o wadandl
0 o.[Inro-� o am.:
M M11Ans ev
Soil NA))
-(oCmopmml(0
�M-gomE(SmAy) Ohrvpwutllp�®9
D AIq.M O Mahn
D Uq'II¢ Ophv:
Vuonl D�eYoee TmkRmu.m SemwPtl.
R
Nwuww Nw.eo<i c bSwlaPtl,
fl
Dhrerul UW M"WA No UNA
G RLLe:
9aU Pq ul FUJ Cm (Uquul Vm1 E13A)
POE * A®�WWR1SPSt' AmE9916Pj E1S® * ITmch WiaMl
LOU �_ _ I:oO
O to CWTERIA
O•Oap,o mcc VeYiumliCwA.f Vmyn IYkSNAboNmSy®•PWh.4u96NSwl@M�N
0W, o.kvdMmE(9,gom Mvmvl•V oe I1
O'EL Rav Mwtl Gqm. Mvmtl' Veawn g2NdOW
O9BO-111gN-YIP Ill31'N{:.ab G.npxmJNdV.emY,®eO Lam•VmmEO
OSWI-10A5-PIRMpp9a Uoutl Sml AbopLm 'V�f Vavl$0
SBV - 106ALP IN OIAV,d'MooCmgan. MV VnvmXO20
❑ $BO-1065]-P (0.699) •DOpl,mEMom Wpoml Cam®Mml•
O sBV - IO106PMbIX111 Tom^ VebdW CaqudMol• vaa 10
o oar
bc'nRDUPs - MADIPYN.AIw'e wlm MAnnriEvnr
sa..lne rwRllw za.ImD�r
P`^iSYxq:+� al ado v�04 Mkatlm imm1Y Clap "mm
�vam N. tlwnv vm�m Mlntla�e.m-n_mmm. o3ym, oru
-. n mamxe nlynn ONA
START UP AND OPERATION: Fw mw rpAeunkn, omv m u[i og the N)t S aMk unlmm, unLlal I'll thv Inum of pFiM1y
R,xIva[wdxc tl,cmiu6 N4 mYmpie Ae oummlPmxsaWa.^'a-OC Jul`' I,sllfvY II wionvnbYiJYn
IY,e [nnom[aflM,enklvlmmeW xY.eghge mvavg weam.N�vmon. Siam tl.rlvptlW m�mne whn u0auml�eoh�
.f ue wlm.aRnn.n.
The pmpwry awme n mlvwde for the t mo aW mmmmm or ow MW and ®Moucma or mlmml nq,nv. Txe yuemy uE
nablr nr lna wm�m.am mmm wll.lr IxelpfmmmaW lmgeviO of iom wwls. Tlw iml.n.wm „r..ln-roving wEmmr
f nlurti WmB whx maM rvpn of laLvrelum Jv wulv'wM whore Alp lhvxenemwaYefinn wem a a0awe. iron mnwYwM
a0mc1, wv wk,.mnm.d1krollfm,nlvnm, Ram WwW be JVLvgW b01e pamE wfiv wxerve pmixk. Nine: Woam ml
mv'IUJc IvwSy vm¢, nM.wm, J,Mwmn, a1,:.
o e59m 11&I;ga[a m M,WIc 1v 1111 Mrvgk wrslewla. Mwewe. Me GRwal of f of baW ®u^u. oa..""bwfml p,,6,
and. baoe[, and red w1,6r.00.x 1% mass a u[m by a Sv gc ale{oaele bo � ToI Ouae, Weaay Om IhN ahcatl
be d,,U Nmu Ne gpem Omn,mwmaavene.mvama, awh u ,by mpe wmP ammya im mmkxa vgawm xom.
a tal na<[. W capon ewabw ahaala am corer m[ .Ynm. Clvmuly aucx n p Iomu raWmO, wml ay.afaum.. YeN ,i
am,bwtmz wlrmti. e¢.. A.o.la nor Ic nu.bea income anam ma cmumwnymv
...PMr M.mwn.rtwl.rwedr nory Page of
rom"Ormon
Rl .omen M•vr�aslmmmr morning mrougmul mewmPaA.mie.me D.memm
r mwmu.cm.m�=mm�rRw. o.olmdw�l�mno.r�nw6�nv.
INSPEf Tft)NMASM Imyfwn Null be mtle by m.M'mrN myeE nor If lby I� wmg nmim of
nolfcaoo e M PlmAm. M®m Plwnc+RM,clM ffni qW3$ himmmcr. or Sagage Swrcmx I)I.efNN (pn Ik momatj
Mai ll"N" reaMukl me ag 'form m eul i.yevm If da, tan m @flier .n vog or front Iwdv.rt,
my
crmkk or kYy Inflation Im vnlucmc If mmbi Intl¢ etl a® m cna.k ror my byk.p,. pm flit of,M,,a come
yonmtkm i4 rM Irn Of dafI rryipmnIu-nowt k,norm ANY pm, rluufe P^ or w,mn¢IvL Piy.ra, rTmiO
pcemrum x imnv m d,.r.nc.M1.11 h rec m..l v,m cnai.c Ixkiog h..p mP^.enr.r,„k.,ul or mmuu,r,,..l rnYr IIrI Irk,
WLen We mmbirmm... I I [IdR, endfavor in my mnk¢fat, mnfrd (Io)ormnm of IT, b,,klion, me mutt, mnmm of me
Lok lWllM mnwd by. RT kOreelor and auwua or in mcordncc I. th on. NR 111, wi.amlin Advi code.
sva+m ... fore mt�n,n..m,o bcnmvmm d.ymfal;,>I 1 rmI nrdllmlm,rd Ilnlso on, rM im.,Pllinnl w It Pm.,eM edr..
111C(onklfil1) Ifni by, nupcnN and tlund rorvumve myn,mubW alermvnduy to mmrv! omhryilGmOmSdidl
mdml fiomm floor vnvll h,m oolf!m Nc tankldW timing my TO, o immy m mot, fiepuml Wmok, am, mmml On me
msml®ce xGJulc w \rcp Inc.Y�m^ ownnng.
Mm" IMwN No reIW ,n I icgrwr ball M flh' KIII, Imm, If Wmm ma by r No iodividum Normal or mrr POw15.
now I. nammh. l der ti wN, mgolm openMg mmmom im ml vm, WoWd k conmrved uma my vmpleml wim me
ryunm areA m r! wplow Walknoof mme, law me dvemog« ammmg.
ABANW)NOI]ififf won me MlwrS ron..nNn. a penwlmnrtak® ^Innrm¢e We mlbwlne IlMedll be 14m w wort wI
m boreal I, pormly aW WAY eb.mknvG m mmPnMce mar Q. SM 33333, Wimovu Affair. (uh
All PlPleg On mole and like dui I rk dimmmcnd and merpendo fre, ema, NIM
• Tic mNmY of ml Not, end pi in dml lh mmmni and property dmpwd of by a 5gmgc Emvmiry Ormpr"
After imemig, all wok, mW Poly Olool Ce mmylmd m rtnmvM m mM mom mmavM m me laid qw, MINI mm loll,
Pavel, or rmermen ,I,d mdcrel.
COMINGLIN Y PLAN, If INIWTS f illm mnnol W mpnM me folwmog mmure Ww army " mm i em, mpovi0ea
over mpl w
® Amwnle cpI.r�.menl+vllu ban ewwalei.M mY�lmllxm tar Ylelrol.m nr. rtplulmlml Wluwon rytlem. The
mP6amcn wv vbdd by moral from d.,omNI W ¢mpaum m sMVIa far LP Wnrom rpm by rtrwM .,dove,
"onlyTom mMoPooloneooF IN I-m,m von,. rvlme In mmecr IN, rtNay,n,r m,,I,d",nrmabk Ripe I
mlv wiul lie rvb m aQmt rlho of rePOCom
O Pvoueblcm M1W, no, fill'
Old sal Lmufory dnmN: d,m,, t o POW I\lawoloore
holding uNcwry tr ImuIIN it a, am roof m If... N, film PO WTS.
03 nrrwlu. ml Sri rvmr.IN n. iBlmhe Iy rtylmemcolvm llpw railue otlh Nl W1\. mom
Nolonforycl
lubk rtPlmemrrl.m. If— rePkxarmn mo .,Jmre. hol irk my ne mmIIN u y I N
mrtP6.y W. leJnl n ie
O Mnwtl eal ar-gr.4 mibnmrPunn ePleml ro, by, Rcomm+um M Plazr fllrw,rg lmI of Nc nromul lR mfiifmC c
mvfx<. Rmuo.ov'tirrur(s<bplems mnacmmPlY vnM1 ulervinmeHieul dui Irmo.
ab R_ IN l 3EFTgC. MMP, AND OINER TREAIMPM TANKS MAY CONTLIY LETHAL GAS\kV A
OSYGIM- DO NOT IXI'ER A gCPfIC, MIMP, OR OLNER TREATMENT TANK IINMR ANY CIRCOMSPANI G all
MAYRPSDI.T.RL9CORMAPCRSONMRO EI,RIOROPATANKMAYEEOIMCVETORIMPOSSIY.L
AUMIIONAL C'OMNWIIS'
POwI81NSTA1L4 PoWISMADITADiBI
Nam' HaQ.
Phme. 'j� �� Phme
38rtAG666R 1) 4ibrIll New, R[CN.ATORY AIITIN)6IIY
Nerve N®R - eidlO( 21A.
pbare � Rnoon: 76� 3R6� VISO J —1
n�mw��usos
i
I
I
I
I
,"ate Qcick4.
OWI Plus StanpaN Cnamex
Dulce<Plus NHn-One 12 EnEcep
it � r�Ci m muc �n�
`V WVIEW SIDE NEW
OlikkA Phis Nl4n-0ne Periscope rr7+exrs.� Imo
_ ..rovtmuvx w. ru�iura ec�sn..
wexme er rsermm�u.or~wuvdau wav nar..as
mnevwedamww.a m��..�miv e�aa: pnrrmrn.ara..�rw.��.w
.wm �.rom.e.i.me.*�. w.reriroxa..
�urw� w�nw mm��r.�.runourminindi�mmmmr.
V � n.de..o xra.+abmu.eaa..n..m
�1 �rroun®xwrrrrv.rom.�xsawwwwi��mxe.®e�s
m.rmr�xv wµi.meo-,men� mm�v�ra�„i.a.sauwm�
xx•o'a>.vremrmvmwa wo
drmrmvrmmirmmnigeru�o..uwgs.
m vamr.rrm.m.man�mavavu®swv®.anew
4mrmu eem «� ume wnrr �v+w a. �m m
e.mne.r.�.er. avm� ma m.�.mrnmq+vanu�
.a •umi..x�v�.nr.nmo�+���.me���
—� � nw�ra• Nw�s�rr�im r�•��
+®erxmnum�nmmsxe�.w� aw irnewux�e
fur rw. n.orrxwe�rn�ae..esve.�vee.rr
m�xrar�s.w�aysvnun"avx� e
mxewr.e�'m '•m.rwrr.e
�� mm�evr�mewev.ovr.wurw�.gro
urmY'ronwewudry perm Iola m�wr mete
INFILTRATOR'
Mbcondiuicimgl
Dan6gDvw,Dres`c—ngR:asa,�reMSIC
022020 SOIL EVALUATION REPOR
n nm ulm SPSM WS Al cool
Attach entrance Pd wa.aw e. an M.
.olebo�e�n:Ipa^ol n11 aeA5m4anw an nMles i �:on rent
Planes Planes Sees 1II humauon
cSrail - 2q7
pasel
rv+l o,xrar
PMftqN on
❑
u
GM SEs
M LA
A T W N R rB
EIoW
D
PcPoM Wrnr a Mabry
SUNemf or CSlM
N G. Rd
01
:09
CM SMVd 5Po
3
CM
sM
bi
Rrvn Ifti
❑cal ❑Vilna
®Twm
NwaN RW
Hudson
she
all
O151 J1pSYb
SI JnM
Co. ReE
❑Ib.Go-uVVMn LIS, r4Y/Nimpsolby fq Gob Oart charege fiftem MGPD
®RVI6[errcn ❑PUNm dommmmal- Rac,Ae
reicmoeouMunI Ice Plan coalition 11 lishil Jn
IIIIIahal one rmnreMTw sorb an suable m, non renrun. l pOms ftmup nilerylacon raft of 05 papa rtmmeign
uR it aaaN.anda,. aeeen Yrr��r� yy I
a„n.m� 9apr/ �Ifre atrNs/ 51 X/
1❑ Col Is ❑DdM / `C/�L
® cumawbmaw g.l9n uMln NrtiMlaYd�n
wen
ReOv 0.mVW/,
w A<. ram cow.
ruWa
s4uWn
Gr s<. sn
fwmww
Pou,NY
l
Infil—
IEM
IgfYrUM7*��
ft,
rrl
M
00�
i
chiselIN
rN
D}
J
JX
7544A
DD1pJdn
0
ImLY
mM
0.
ce
5
>4Nnm
aD
os1greeaD
aft
10
❑Rona ex.xMi
Has GmuMauNu ebu§5,0p0 apinWlmryup naor>ug,n
Ho¢pn
pqn
In
WmNMCpbr
Munfea
gMosawlpWn
Gu R Conr Golpr
iatlun Svumun
G St Sn
}
has p
rIeb,
9, _ _
bh
— Ice
nuNan,
on
ii
ml
161p1
10y(JA
17-27
10 all
YIM
75YM6—L—wrm
1 na] rMB
5S1W_
15YNle
note _
107
Its
� � CSi Numbe,
1 3 1 • Dow GwM wxa.M Bf MM1 0.p0b F8giN'b N
nm
Oe^N
WrYn.nl Gla
Mune•II
NYv ptllm
Qu Pz C ,d Lob,
Tomm
sKdum
Or S BO
Comm®
B"Mm
RmM1
GP
£M1
_
.0M
1
14
Iq(N3
A r
mOr
PM1z
00
00
3
Iqw.
NI
MM
mM
00
IgeM
W
EreN
IN e"
0I
06
x.s
lspae
n
�
otn
IW
00
uo
s
.ssl
Igiw
xlsNs2
ul
1m
mm
Ive
0a
0e
s
sl2p
Iq,M
0n
0W
m
01
C_
Igwa
wag,
qe
n Benno Cl BP
One Gm W i. r•S ..� _ 0 �n 4[Nm Ynory Mn,
;
BMoex ❑BSnnv PR 6rouoPmlol ❑M X euxti eMv mAry ktlo,_In
w
®®o
wm�=
'Effluent $1= W0> 30 z 220 m L end MS> 30 z 150 m L EWu.nlx]-B .3013IDnph.no55>M510rt
• FX•9 d'�� deJ
Rug•:�
>ev c.. a✓c
/F.6fw-5 Wl .fie�6
$nSIL�YC, 3C T. dOfy
k/>wfT.Kes. Jasq.4
QSf 4nV G.✓N.
pa/. "oao-v�z4awn
bn� R names
qs^' a-iw.w'
.. bebm.GS;d�
JC � ry
�95Y' Qldi,ie(.
'•fw' S� I
Syr----
w
.G.& AiE.
6� 3W3
e �iAS BUILT SANITARY SYSTEM REPORT
r
`m tsr /I N ttBINSNID SI SEC. T�N, 6 %� N
0. ADDRESS Y 2 ST. CROLA CO TY. NISCONSIN
ov
BBIVISION N LOT LOP SIZE
PLUS VIM
Distances A dimensions to meat requirements of H62.20
F
40
-TIC TANK(S) Went. Nil "" ` CONCRETES STEEL
NO. of rings on DRY WELL
'HCNES NO. of width length area
. of linen L width= length area _
depth [o top of pipe
RATE
l
Y. aHEA 11EQ0[RED ARFA AS BUILT
claimer: The inspection of this system by St. Croix County does not imply complete
plience with State Administrative Codes. TTere are
other a that it Is not possible /
Inspect at this paint of construction. St. Croix County assumes
no liability for
tem operation. However, if failure Is noted the County will case every effort to
.ermine cause
of failure.
_ASES AND OILS SHOUID NOT BE DISPOSED THROUGH THIS SYSTEM.
_ �"INSQBCRIe� C ��
MTLD ?LUMBER ON JOB _ "1'1
LICENSE NUMBER i G Y
r'
SC i4
�s
/ REPORT Or mSPECTIo]--1 mr'✓ZDINL Starve DISroSN, sv^n Tcll
Pel[
Vs
staletate Septic
'DED—.. TOUNS11Ir r/
/z Tountj
Size i Callon. .caber of Compartxnco
Distance Fran. poll fC. 12% or greater elope =ft
r building ; J ft. Wetlands
ft
I:SClnmcer ft.
DISPOSAL SYSTZA _2C_Stle Field or _ Seepage Pit(s)
Distance From 'Tell ft. 12% or greater elope
_ft
pa< a Duiliinp, S `�ft Wetlands
f;
FI=1.9 << ISphvatei ft.
!t°
Total H, of lines //I ft. Number of lines g Length of
each line y92 ft Distance betveen lines /i it. Width of the
trench .71_ft. Total absorption ere_q/O eq, ft. Depth
Of rock below tile // in Depth of rock over tile -z. in, cover
iV (Lc� O
over rock opth of the bile, grade —ezL in. Slope of
trench —'in nor 10n ft. Depth to Bedmek ft. Depth to
ground water — ft.
number of nits ter
µ/ _ft. Dapch below inlet
_h. erevoi nro..la(t(v C_ cat absorption area
sq. ft
Square feet of seepape trench bottom area required
-quart feet of see p l er*ae quired
pedd title
Approved
7_
nnprovm..d JCY Site i 7 199y.
Rejected Dace 197