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Home My WebLink About032-2055-50-100 (2)Ofess had Bulding OPiden GENERAL INFORMATION PRIVATE SEVIAGGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) TANK SETBACK INFORMATION TANK TO PIL WELL BLDG ROAD I On 1111t S'st, il �§ A Of B1L,1 7p-19 Ild"Im", dal holding v 'n" t Bet S UlA PUMPASIPHON INFORMATION Final T)a 1? 7. 38 M ... As.... I I Deml Gl y StWl Mae, I z zd� 10,52 MIS TDH A d `,11' DH Ft tarn, I hall —'awal - WEDNIMENCH DIMENSIONS adem 31 LtAnh N, Of DOOM PIT GMENAONl Of PO I'd �!�— "ll INFORMAINON e_ �101, easteevyl ILI, 1136N �,Ltse, I UNIT aranwr :r�Minrfmlesr m,41N,abIr.2 Talth., DISTRIBUTION SYSTEM fl,.d,,O.,fdd arsit, 1, OvIftel —mW') L.Ph hp-zf�� J.Hl 1. Hl Spf APIASIPLI, I 4*Eff ME soil O'l, .. Ml On AtAm.d. II.Agne. On W IDeal [WaTerval Was, Deal W,j7hamh Essal Twomp, h G InSeed,dA,aded Tyl, MAPR� �N, al I �- COMMENTS: SOUdieddlIdOwspenDhApe,onsproment age) ln,p,U,n #1 Intel 42 1.1,11011, W 1557T] AVE 4cadlb or All rod5 I)Alt BIA Weel -Uvt -JcAl jb4jo tD, FAd!;. 2 ) Bldg shaver length Awaf shadung 0 well Plan headed RadfunI Yes No �3(,,6 Us, gh,r d, D, Wdt,,,l,nf,l L) VID-6710dR347) Da. husnamensses'.. C., N. InclAdry Arviden; Manom —QPao -30 OCT 06 ZlIZO 140(1 E Whital A" PO ENA7162 ��. W M -71W 63o33? Crux Countv 11 1 pplication minabor In SAS 193 DOI, %a s of not: WfAn 1w Alan, I'M, U, I N", A f,mAon IL NOW ANSI K", S" f, Dann'sorl If da,' Aso f,NOsand n,m 0" A, P`dl� Anne an ft xisawasy PAVIA � (damnation moming P�-f t, y==AAA` An IMA Aw 1, Applumman IMIAMBOIN - PIAM MOO All Nationalist P"I", (",wr I Mars, Dia., A knism, "nation im,am, 598 5 1 -All Ask ax NEWNEss Sets, 16 ('sy saw SO,ni of zpdAA y4025 TAN lit9lEme It. Type Of Avoiding fOhKk all thel Apply) 2 hionlY EMOUng tf Tama W - Nwoor Of Hicalrompo I shball'i'm Miami asm,&,,mmw - A,,Ac um NUA M,dA E] day or toc (omid - took U, Shallow of cym mbon(v &VTa I W� 0 1 0 T,,nn Animandi H T corlaffirmit: Check AM on@ box on llmeA. �xx left lose Infin licable A EI NO, Samoan 7 7rTR7 1 0 To MIUI9 Tank Repmocamw ckay 0 whoroushfi,in"W boxfoolftim, ("Ph"t D Adom RnNA C1 Noma Rimmin [] fdAiNo,f I I Beflove day I p1mbi, I 1�3zzc7 m/L/u,nq IV TV Of PE)l LClacts 11 daw appj�) OA145inde my fd,d,wn,, �.. dsidn"I I f Also ln� ZINAM Fs. fiffoll Annon to A=� EmParmlarci M SAAAAAAAAS assax poxxxxxxxi (AAA Asti mal awaftandy AM Ads) mally 06 VI Took loft Samoa (Aillon, A—AX Towal a*( �IAMLO Z olowl no Z12W Uw4f 12M 11 1 SlapSYN IM 173 I[] I aft"o An W Matter I Sure (Pn.1) S N= � Nd`AIr PM John Schmin l NASA, S Addrad, (tonat Clao. SM. Zo Cono 386 Valley Vie, TWL Spatial W1 3 ---- Vill. COuAMINAl"UmObt AS Only AMM�4�w fi,namill a ZPA� IX.Condiden m "Al 0 1 3) VII "ehibi w5l[r� z4v ISTEM 0=�$P "mShts" ady cl�rdey Pu t I Spfc took effumt fil ei and I pct d'spusycaliff"y" s,wedimmmamed as par m,,ag,"'I'a n is pmd,d xisdoo I. Ll hilhimbito -ab 57A, 94�— All SYSTEM PLOT P� Baillarg� 4 RW�m SepVC Sy� �w A am�,Ww Sm& V W m"w A sm�, 102ir In Tl�"�� %�Q�4T��ft W� Q� I T.� �l N ft� LM 41, CONVENTIONAL COMPONENT DESIGN R,1� i, , , I Aj,�Irai ), INDEX AND TITLE PAGE Project Name Balliargeonal Bedroorn Replacement pticSystem Owners Name Daniel is Jennifer Dingell owner's Address 588 155th Avenue Somerset, WI 5402S Legal Description SEI/4, NEIA, SIG, T30N, R19W Township Somerset Crunch: St. Croix Subdivision Name NA Lot Numiker I Block Number Parcel I D. Number 032 2055-50-100 Man Transaction No. Page I Index and title Page 2 Plot Plan 160 Page 3 Plot Plan 1,100 Page 4 Existing Septic Tank Specifications Page 5 Existing Tank Cartifficaltion Page 6 Effluent Filter information Page 7 Valve Diagram Page 8 System S1zIng It Crods; Section Page 9 EZ Flow Information Page 10 Management and contingency plan Pale 11 SeptIc Tank Maintenance Agreement Page 12 Warranty Cased Page 13 CISM or Plot Attachment I Soll Evaluation Report Designer. John Schmitt Llcnese Number. PARIS 2237W DaW 10/5/2020 Phone Number: 71S-76GaC4W Signature 4��xs, Z�Uli n Ground Soil Absorption Component Manual Version 2 0 SBD-10705-P (N 01/01) PMI SYSTEM PLOT P�N BaillargEm 4 �mm Septic Systen plolil".. "I E�W A W Ell IWW BM ExellInnn I., I l Ill W BM26l L GM Ea,11., 102 IT 4 1— 0 s", Ill "o, fil.Implb, pw Pwl P'Illl(L" 11. EAmil ll WVtW Q.Ilk 4 T.nl E,I13 98 � Ell" 3l WbIW Q.ck4 T.nch �93 90 T� ll,ll Wff EZ Fl. � El mIo$ W TIk F011Oddil WOW FZ Ill tnorlh EP l416 W Hmm NE j 01,llilly SYSTEM PLOT PLAN Baillargeon 4 Bedmom Sepbc System �A�Ilw WI&MAW� woonFim twGRD pl� + awl �'" AL Bm D�w mw SM2�,M L SME�, 1021r P"1�111,111ASTIAftiVik Sul@ V - iw Im ASTM.W114 m� �Z�WZ�A BMI)w�o�n TGPM"nlfw� UouGMIMI(Tft��a M �sWbIll(ImmW 4u, ZF:� r SAI AND BUILDINGS CIVISIDN Alex =M�me.wl.gov 14"Ar"; Pi Ramew P a Nixon `4Z"Asconsin Madison, Affiffirs' 53701�21548 ITY cbmaketTil Relay AM Nov. (housing, RINKIN J. L@wANkMhA. �q At 8. 2010 WEEKS OONCRETE PRODUCTS RAYWEEKS I= 21571-1 STREET NEW IOCHNIOND At W17 Re Descirtron SEWAGE TANKS, CONCRETE Manufacturer WEEKS CONCRETE PRODUCTS Product Name SEPTIC HOLDING OR PUMP Modal Numtkoad 12N (58 IN, Ll.�, 21 76 GAILAN CVUNDER. AM IN MAX. DEPTH OF BURY. W G.PJ) WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER. TANK MMENW" xx Ad IN. INSIDE DMASETER A Be IN. H) Product File No 20100129 The sparclHomons andior Plans for me Plumbing product have Dean ("i am distemmosed to he in Compliance with chapters Comin 82 Iffrough Be Wisconsin Administrative Con. and Chapters 145 and 160, Wisconsin Smut", The Department hereby issues an Approval hand on the Waiddi Staluters and IN Wcoarkin Aminflitimeave Cme ThIS a�al Is wild until the end of AUGUST NIS. This approval is Contingent upon curnplance with the following stArrisi • This tank must INS camogned to withstand the pressures to which if wil has subjerml, • The mansmuchurs, Must keep At the manufacturing plant a am of plans am swernbcavons thearing the depolibneurfsslampofarpsoyal The plans and spardficaullins mi pre open to radiation byan Authorized repromental of the d0partment. • When He Product haboves wastewater from Dwellings and is used 93 a Septic tank. it wall produce an effluent QU q with 1 "Adinkro Monthly average value for BOD5 of greater men 30 mg/L and Is" than 0 equal to 220 ing, L TEE, or greater than 30 mgA- or less than or equal to 150 MQVL TSS and F 0 G of less than 30 nff/L. This Product is Appmved 10 use the following Tied inch SCi 40 PVC cast in r$or for slectrIcal wring. Pipe materials constructed in conformances with Tape 84 30-2 or 84.30-11. Wis Admin Code poured Into how Cover or access Cover DOpermem Approved effluent filter designed to be neffbab in a four inch diameter has with extension end installed In accoodamor with the product approval for the filter Including a properly Sind and ocalad access owning for Service and nustrienarce. Department approved EZ Set AM Phi INC, 24"fisor cast into the tank Cover. This approval supi the approval issued on "012005 under product III number 20051 Sao I )i IN Ivor) Rio me IQQI2Sqt DOC Pat 4 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to cerlify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) Us 155rh Avenue located at SE V, NE 1/4, Section 16 Town 30 N, Range 19 W, Tmom-0-f Sw;-Ww— St. Croix County Wisconsin Upon inspection, I certify that I have found the tank(s), in the lucia of my knowledge, will 0011101M to the nequirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service q- Did flow back occm- from absorption system? Yes— No — (if no, skip next line.) Approximate volumc or length Of time: _ gallons — muntues TankCapacity 1260 Construcuon: PreftbConcrete X Steel Other Manufacturer(iflanown): wee4—�Wonxi Ageol"Faurk(ittknown) 15yearis Pcnnit number (if known) 463M Jam �rutt (1,01hated Plumber Signature) (Pont Name) MPRS 223760 (Title) (License Number) MP/MPRS //- (Date) Fonn to be completed by licensed plumber (Dept of Safety and Proliessional Services Chapter 305 and g. 145.06, Wisconsin Sumnes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 Poop 2 a2 �apn��alformMoNmpbcWnkolisetbysMWand�l�e "moo0�UnflWSWtes,�"isamdediffer�wof opinion an what this interval should be but marl ra imposed the Frequency of hei for the tank. kgudyuyrf� agencies suggest two W five years Us about fifter. which does not However, our beer is virtually sefflaming The a muld be pleaded "an Me septic Unit Is normall �; Infiffiecled and purnmed commusel action of the andereard steamers ad me "I fitter causes hodged ideal to disintegrate and fail 10 Me bottom 0 Me tork it your filter combine a Smadi'Affirall) slam, you will be moral by an al wrivan me fifter dereas fifividng Locate the outlet of the septic tank and remove me park cover 'A Step 2 Remove the tank cover and pumps the tank it decimal to prevent any sell from pick, fing to the the drain field whounthe ornfrournevea She 4. St" 5: Whrile holding the cardid a over the Insert the bill cartridge back In the access Motors. met off It a badness case. making sure the I call a with Mash water, deng poll W ones is properly aligned and complefifily all whitage maleffial back Into be bank insured In the case liffiral Me septic tank cover sii Made 2: Firmly pull the filter handle and slide and cartimm out of the call ou Ong C u :NOM] civilly 1�77-765-9565 1 varl polylolk.corn Inallat 6 FHome r Aboaa F Sure I c"Inas al 1 P t t WAT3al Mal Art All ADAPTER FIBER TUBE YAJILVEDIRSHEMON The Bull Run Valve" Is designed to split flows to septic HANDLE I yields or Systems, In addition to the advantages of longer in OLTPOW life and easier Installation It IS the most public health safe ir OM Popl alternating device available for wastewater disposal applications. The use has absolutely no contact with Austevicater due to the valve's leak proof and excernal operating characteristics. Toe change over from one drainage Ifeld to another can be accomplished in less than C IN PORT a minute by simply turning the Valve without digging or contact with wastewater R e d N RKS KIN 2 No 2 i_ Val save US Postal had Iflatumbil tube I YINo al 2 decays 011 Yam Bill asked Even v�s Tark Took It. SIRRO SAM RUN VALVE 4 BRAIRULK BUM RUN VALVE & KEY ONLY BRVC[USER su"UN VALVE POSER W/ EAST COVER Royal 9 BUM RUN VALVE KEY 28. RRVOl RUM RUN VALVE lily 35 SAVall SUM " VALVE WVY AS - The Bull Run Valve Is available In 4- son 40 Par and Is suitable wherever septic disposal systems are used - In commercial, Industrial, and residential applications, OPERATING THE VALVE The chrectIon contral handle should be notated! pered[cally to direct effluent to one or the other of two septc Melds. After removing the sconew cap at me cap of the r1ser tube, the valve handle can be turned with the valve key furnished. BULL RUN VALVE Complete Valve Kit Contains 1 Bull Run Valve body 2. 28" Valve Key 3. Riser Cap fidapter 4. Waterbight Acceirs Up BRVCIR1SER - 4" �XSTAABLE TO 28" ]BIGH page 7 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1 203HP Bundles 3-ft Trench (down -sizing credit) F�Mwnwn 11.0 �_ '11, Ir 2AM L SmItho T�N) � Weeks CowmW Piroou� � T�(* I �0 12W " _P0 Z]bel Efflum*�Iilmm$t X100 SpMM Pmvide "mmum 3 ft separalon �eIIn Ven� TYPICAL TRENCH (Show �ean d iNm � muel 0� ��n w Pan PLAIN VIEW OBSEWATION PIK DETAIL T� I� Immix a am, � � (No scale) 4-0 P�tad �Wisl 10 (WIMI) ------------ =M , =Z= .— I A e 3 0 ft > E --------------- -------- --- Ilwk,i) G) am 100 ft IT INSTALL PER TRENCH MMH 0 WDICA) io 10-ft b.wdw @ W W E�- see W sImomme, M) � ft. =PeP0%&FISA pe�, _500 R�ired IMI�Me= 1000 W DisMbuWn W�oj: x 2 � = Propo� Tolal EISA = 1 M0 A, manMd mmmmm� Installation Instructions for EZfiow Systems in Wisconsin wr Department of Commerce, firafery add Btfildings Cession. has rembeend the Specifications "I pans for this smi and deformation it In be n compar een Human Cor 82 through I dracharbin Annin Crain and Charles 145 and W reoccur Branches AJ eled must meet fifire %; Skel Cora1typre & J.Dcadgmulluaglibiii as real in " regulators; The answered handsome life 1 203H (fil 17 bandeas ef al in center bundi 5 or 10 affingths) W 1 gfil fid. 17 fiessintras writ dral earch burni 5' or 10 6rKift A single Pipe banda compand; a free inch Performed pass sam. nuarnal by EPS aggregate sand a held together sath gody- morderse netting A single aggragate ounce confir sury add is hard together win parosethylarne hall Mrdl anal Equipmand Normal • May Bundles • Mass Geonedle Fabric Emlow Internal Pipe Couplers Firm HY Header and [me Backhoss/Encedifice Inaddelfardon instructions The instructions for installation of EVIve products are great derby This product must be installed an mrsedsonce er scale here defrialm crucial Comm all though 84 warmers Ad - in ... status, Clear and Charderes 145 " 1 W. Warrants get real, as sel ar fire i himor damparnment d them! coal mal I order ba not hibrom dapparmseart uses detemberseal morr remagwarom. arad pact for the EM" sychuns stake or dome win dam this reficabor of fireamnsic and mas Eas ori I set confirm Ii mush proas header man or de- Ifflumon I are trench breposm demands before mors- aflown of Prower burden 2. Remains reares: Uflow mapping of prior to Pai boul in ft thencel Rearom ary plastic pages, the trench before earned is several 3 This product must have gerstaystle fiforn me brands ni rourroments of s Comm gel 30 (8) (g), syn. Mm Core, installed dready on too of He product wid uddendsmg down along Has III of me product to a par at least ex inches form the proton of produrst 4 fiffiedy roundoeled in a trench, the trainch should bas dug to a recall of M Inches This net only shares labor in exist ton but ared bushels befter Bushnell capacity after befulming; is ossimete VAE,Zflowd, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Thin Absuplawn assess (59 necessary fee a game she shall ber saided! based an personnel deby radial fibe (GPD) and the prommeablifty for ft stal N corecturn candemans mat the El other coss or varrall an Wisconsin mother a firfrat � travel Pence Uff bervelf(s) in ft Uflow configurrocan W � I Systems design Pann't � for on, �- do of, more fich or coranter-mucist orange consumer Pays we garms! shot to rand sam an normal Pon couplar " Informed aggregate way Winners that may be moral shourf me ol against the does aggregal bourn base and do prot hart any dame of comemedin 7 phe top of mo, GED corader contains a filter fabric pre - transliteration members Her ni and %burger This heard a Inserted to prement sol intrusion The reform shaN made sure and to GEO us personnel upenal and a in contend Wth III fabric remained 11 Its adjacent cyln- us, becom backfifeng 8. The EZftw Dual Systems fil I Installed In a evall "rich in A medicine (Inctore across ared abing the theism broftorm and should rupees devatificat forlorn depor was at students royal 10,firrit criandmad founder Orsend end to and, ,en, central circle dbtribur pipe mercenariness, ,erhout any many. destroyed, or other arder a" 9, Too trench top shall me graded such and varder 41 ni send. Bartel should par aerosol Or royal Internal after commehown obscure erosion 10. ENIcee EPS burefiffir we fiente and can M m curves electrodes or 11 EPEr aggrei a tamer brain el finerefors, d edged bas rhombi that natural amoral posical would Ifinal for car EZ11m, ef,emi to Most crat 0 around system drying occurs Fred impe,rarce thur demen firseradet If has 6 not a problem imed, systems have a reirmurn of 6- of awal coder as recommended by manufacture, .................. 6.6..6 ................ Page 9 PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT The Owner of this Jn�round gravity system shall be himponsight fair As panel oporriphon and maintenance pursuant to warriments of SPS 38l Wisic Admin Core Pumuant M SPS U3,52 (2). al Adi Code, mo system shall be considered a human health moband if not maintained in acceptance man Mis Approved management pion, Furthempare all lonspection and maintenance Atari All be dermanned by a mgisw� POINTS Aperniftelmor In accordance with SPS 383 52 (3) Whic Admin Code Maximum Diewmi Area General unifts: Design Flow , 600 111 BODsS220mgL'; TSSSIMmgL'; FOG 9 30 mol Inspection Chonclills INSPECT VERY 3 YEARS • "a of Andorra • irvidence factors p 9 came. poor connOwnts etc) I mechanical thermal p a Pumps valves switches fouts etc) • material fatigue tile. looks Areal commil etc ) • ki Odurns in smordiric treatment All AM any ifistinhution ampurleranceps) (a , distributlon I drop boxers) • hall or Impageor on p &. "Ce�ing All Associate, condoned all etc I • extent of pending In clarroullan call prior to Moving in Ali Irregularities - If applicable (I a , pump re-cychag, Post switch settings. etc • Glachoug components - if applIcable (is . rating, comenchome swtichon comiralfin games afarnme etc.) • dispersion Ideal or Isherad Arabs bugging (measure lateral All prousure — compete to chrogn w��ton) • surfificas discharge 0 offluent or sewage back-up Into structure poried Maintenance Chockli MAINTAIN EVERY 3 YEARS (or when racenisparY) • Septic and dole Ligni shall be Awarded by a pedal septat;e servicing Operator licensed under A. 291 48 Wis Stan when Me volume of "lids in Me tands) exceeds (113) Me lould volume 0 Me larlds) a as remain by Imed ornmence Dispormal of contents shall be pursued A IOR 113 Wral Admin Corde • Effluent fli�s) �ll As repacted every 3 years and Mail W deumi when n�s"� to remove any months System maintenance Onproms shall he sub�� to Me proper local government pan In ac�n� SPS U3.55 Mat Admin. Cods. Roport any component fall An makfunction tol Name At Individual v complanny, Schnnill & Sons EXCIVabirt I il Phone 71r�761D-0486 luabal government ul St. Cri County Community Developernent on.. 715-386 4680 Local gomMment par Od� 1101 Carrall Road, Hudson zip. 54016 Any defective pan of this system Mail As repaired. reparced. or removed Pursuant to SPS 383.51 (1) Wisc. Admin Code Roper or repalbarentoffatord ormseffunpromag components shall complywith SPS 383.Wsc, Admin Code No prol for chernical or physical restionsmon of Me POWTS may be used unless Approved by the department in accordance wth SPS 3" Wisc. Admin Code In Me ew�nt that any failed treovent component Of Als POWTS cannot be rentrad. it shall be ropmeral pursuant An a plan submitted W the appropints agency for nivew and appinahmi Ahead ln�rwnd Montreal component maybe abandoned and replaced by a code-cornplying dispersal corniparent in a ImMearrimned area Of sultable soils. System Alpanclonarion If use of this POWTS is discontinued. It shall be abandoned In spoccontance Arm SPS 383M, Wisc. Admin, Code. ST CROIX COUNTY SEP I IC I ANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FOM r,I.Ohnis a)jr S4/7 Jropcny Address (verification required from Plammol for now coumo=).== :iryfswte� acial JT.57O54I lowmil Identification Ntumbor 4 Property LomtFuvF,.:Ed_ /a, Ay_ v, She jl,, Tzj.N.RvA4!Lw, Town of 1i at I. Rao Canned Suncy Map 0 volume Pug Is M arrairry Deed IF �71,01V�7 Voluding 17251.?/ haps 0 5 m: house E) yes �( no Lo( homes dentiflabot Ayes 0 no SYSTEM MAINTENANC I mpropor via and makiricaus,co, or Fear All system Foods Ana It in I a pro most failure to Nevada vemiss. furespair mairk,cn,,,c consists or pumping out the somt, Fork every three ars or sooner, if needed by a isolated Purrol What You Put lot* 0; Ull'an van street ins Nil Of 00 topic look as 4 OFF Asq$ In the Failed disposal system. Hit i Oliver U&NIS 11 Ol"I'll to SL A nal1q. piwiko,r, jourewylewl, plumbef. rcirrivcd pt,mlitr at I headed potatoes vainfring loss I I ) the on.stc wgstewalor4dpod�. iyacm OF kA Proper ViamaFne intuition answer (2 1 A rise inspection sees personnel (it mccmq;, AN cpso; AN; As Islas al 113 Nit of Alawls, I Vale, ma assail have al the Fares requaremons; sod @Sm to pauddishato VIA sessions alsover 4W"l I"WM ser ft st�f& An (�, NAW. is "t by m* Np�at of Comment arad " Np-m- t dN&�t Stalo Of W�W. 0111JOICIANO 'Firms that Year di sateen has � maknia,"d must bet completed also Nothel W the S' Croix Counity Uning 01I unless )Q do (Net y IF pasonem dale a; Z:Aa� /I .spiae; SKJNA�U Of APPLICANT DAN OWNER CERTIFICATION I ('00co"If?1N, 11 $to lei on Iola farm are "a to due best Or my (our) knowledge. I (") sum (are) the QW10) Or the rey described A s OY virtue of , ,,runly dead respect in aosi,ear or Dods 011I n dis ra� SIONAniQ Of A?IXICANT DATZ '"... Any inrcms(1091hll It ma-rhore3*,14dinlyrosull In IN taniness Np$�nt.olo'*' 1110up, with this ApP lation 0 aramped wanany data from lot RoSisloof of Deeds offamt a copy Of the W itafe�ta mado in an$ warramy, 044 se�,:t�o. SOIL EVALUATION REPORT Md. N R :z �M,nam ------------------------------ wwgRgm�mml ., � iia�w I �., WA Wilt VP WA M M 911 OU mlmw��m wm mm mm FIVEPV PRIVATE SEWAGE SYSTEM St. crom INSPECTION REPH)Fff 463229 0 GENERAL INFORMATION (ATTACH TO PERMIT) 44,MNY Pu� ll� 4.� I is � 'X,M ally V� x T pl� 01N, 76"—i�,ZI �mel 032 206�50-025 1 r m sa*w�� -- ----- GrA k r�� M163019711A I ANK INFORMAI ELEVATION DATA MANUFACTURER �,�N ON IS —Hi FS I-EV lzt�t) �MAN 9,65 ml 0 JIM Z�t"� A- ton 5 Z5 '4q /ajv, 3% 1.65 lo 19 vil '0 1 id at. 441 TANK SETSAZK INFORMATION 19.1% to f .46 f T� TOI P& I � I B= I VlI,m� m vel -7 //61 9,� INIMPAPPI INFORMATION Fi"l lb.t. sl� 5 32 vw�l I Lffl� Om im ft� NI , � I WINNE IWORW D� ru P to Ctwi lby�ltm �Ar DISTRIBUTION SYSTEM V� SOL COVER x Plimuft sy,mm, Oly um�Orm�s to 90FIN k-� IT,= COMMENT& tl� � �a olumt p,,,nI.,i, I I of �� lnlodmm�� .wfl0h SMISWAIG�S�ffil.ffl !4C25(6EIANEIt4I6T"NRIM) NAWI pl�Nwl M30%711A I ) M HIM Oam�pkm - �b �ICD 6z� � 6j, J"n 2)%J;mI izo 01 iG� I�pltr- -I slis Um �Nr SUN I� icidlaUl I DOW M, No ss�10II � sad BIMam;s ltkrOssoa V---T 201W,Wwffi.�A�PO B=7HR 1,44w& —7[ ::;��w4eLk Mad M by Qm) ne! 0 r.F:WF�D-4 4/6,5229 Swits p. lica n T—Apia&,wtue, — PIM, PrIt All ma�ad.. bi ZONINGOF ice ZT� �Mma� S,14 � 2 T N, k4P�*r UMM,mshw C404m,au, A vtsms�w, nftt�� R usaamu O�k� !��Ar�WNM dwim MMW llf.�Ifm%js� mcb�llftdl V) Xmmmm� []At� 0�� H,ml,gT� am um�b,�au,t ns,:W� cm�amps� D�(".) A.-C �V�mgpds VE T"k cy, alm� P,fib sm, st,l shunt, sulm, r �C� Pus, sl FEF'K —77J4 lm,ds,, pw W�EM MNER i �tassarsal cam Must am A au"a 2 MI sallaack nequirtannevs must us, mintalned as se,,ppmmba mdelo,luawas 9 SBD-6398 (FL OIA3) e/gk) Jr�