HomeMy WebLinkAbout018-1094-15-000 (4)GENERAL INFORMATION
PRIVATE SEWAGE SYSTEM
INSPECTION REPORT
(ATTACH TO PERMIT)
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SYSTEM PLOT
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October 12. 2020
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES 2022-10.12
Plan Re,mx PWTS.102002405-C
IOHN F SCHMITT
616 Onto Ave
Somerset Wl 54025
SITE. Klinger J bedroom lard mend Pressure
956 I67th Street
Town of HAMMOND
St ComxCoumv
Total Amount: $250 00
FOR,
Oecrinuoa. 6MI GET
Mamtenance Required
DIVISION Or INDUSTRY SERVICES
2331 SAN LUISK
GREEN MY 5lNe-5311
Canal TNmpn Relay
OR nmae.,ymrolob,.,wmaa.aY.„vR.a
.w..,ewms,fin,
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
r%usb R%e/
Pressure Dtsumuticn Compofmm Manual— Ver 20,
SBtr10706-P IN 0191, R 10112)
In-0round Soil Absorytlon Component Manual — Ver
20. SBD-10705-T IN O W I R 10 12)
I to submittal doorded above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes The submittal has been CONDITIONALLY APPROVED Th¢systemrs0be
constructed and located in act ,"i nnh the enclosed approved plans and xnb any tempi manwl(s)
referenced above no owner, as delined in chapter 10101(10), Wlscovnn Statutes u re pmomle for compliance
our all code requirements
No peon min engage m orlords at plumbing m the note moles boned to do so by the Depvmtem per s 145 06.
Me
The following coMnions shall he met durng construction or installation and proor to wwpancy or use
• Elxlrical connections shall comply with SPA 316 JUST and NEC J00
• All piping shall conform to SPS Table 38430d and SPS Ta61e JSi30-5
A copy nfthe approved plans, specifications and this letter shall be on -site during construction and open to
Inspection by aulhortxd representatives of the Oepmtmem, which may muluda local inspectors All permits
required by Ne state or No local munnipahry shall be obtained prior to commentaries of
conswnionlmmllaticnloperaunn
In granting this approval fee Division of Industry Sei reserves me right o sryuire charges or addrom should
cumut ors Now making them necenen for FNe compliance As Per Sam sass 101 12DA nomtttg in inn renew
Aall retie ve the designer of the resWnsibilrlj for designing a safe 6mldm& Amn'rvrt or wmpomm
mpmery Watering ibrs Correspondence may be made to me at the telephone number listed Into", or at the address
on this letterhead
The above left addressee shall provide a copy of Nis lever and the POWTS management plan to the owner and any
otmers who are responsible for the installation, operation or mountain" of the p WTS
Sincerely
w mgner
Travis Wagner
PO WTS Wastewater Specialist, Carouser of Industry Services
�W8f5980715
trays wagner0w,
IN�GFJOUND PRESSURE CONVENTIONAL COMPONENT DESIGN
3051aemim Appllcanoo
INDEX AND TITLE PAGE
Project Name. Klinger 34 Bedroom Replacement Oran Field
Owners Name
Rott B Indian Water
Conditionally
—APPROVED
Owners Address
kl6-O"h Street
Nammontl
TAND PROFESSIONAL
ERVICES
Legal Deacnptlun'.
SW1/A, NE3/4,517, T29N, R17W
DIVISION OF INDUSTRY SERVICES
Tovarm 1p
Hammond
eI/A-asai Rz7agan,
O
County.
St Chit
Subdivision Name: Prairie Run
Lot Number 15 Block Number
Portal l.O. Number 01&10 l5-0
Plan Transitional No
Page 1
Index and title
Paget
Plot Rhin
Page
Sepbc Tank Specifications
Pages
Effluent Filter lnlormatbn
Page
Dose Tank Specifications
Plate
Dose tank Cron Senbn
Paget
Pump Spcifcatlans A, Curve
Page
Syatem 5laing B Cron Section
Page
EZ Flaw lnlormatlon
Page 10
Pressure Distribution Network
Page 11
Distributor, Network SpeclOcatlons Dlagram
Page 12
Management and ContingenCy plan
Page 13
Strut Tank Maintenance Agreement
Poe 19
Warranty Deed
Page 15
CSM or Plat
Attachment)
Soll Evaluation Report
Designer: Jahn Schmitt Jenne Number: MPR52237W
Date 9/23/2020 phone Number 715700486
Signature f
In- round soil Absorptlon Component Manual Version 2 05BD-1W05-PIN 02/01)
Pressure distribution Component Manual Verslan 2 a 590-10ID&P IN 01/01)
SYSTEM PLOT PLAN
Kllipar3 Bedroom Septic System
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MWe1 LwMi9a: MuwnY
February 10, 2010
WEEKS CONCRETE PRODUCTS
RAYWEEKS
I W2215TH STREET
NEW RICHMOND WI Sal
Re Description SEWAGE TANKS, CONCRETE
Manufacturer WEEKS CONCRETE PRODUCTS
Product Name, SEPTIC, HOLDING, OR PUMP
Model summit IM
(091N L L. 2176 GR/IN,& IN all DEPTH OF BURY 511 G.RD WHEN USED AS
SEPTIC TANK BASED ON A 3 YM SERVICE INTERVAL FOR RESIDENTIAL
WASTEWATER. TANK DIMENSIONS. 061N, L X IN W X e91N. H )
Product File NO 20INUO
The specif Utons erki plena for INS plumbing product have been reviewed and determined to be in cOmT/ience with
Chapters Comm 821hrough Be, Wisconsin Administrative Cade, and CM1aptera 145 and I W, W aconvn Stalulea.
The Delodur l hereby issued an seasonal passel On the Wisconsin Statutes and the Wisconsin Administrative Code. This
apPMVBI Is valid until the end of JUNE 2015.
This approval Is contingent upon Pompllanoe with Me following sopWetlon(s)'
This lank must be designed 10 wheal the Pressures to wnmh It will ba aubpcbd.
The manufacturer must keep at the manufacturing Phil a ear of plane ant sp g"tbrw hearing the department
SUmpolepp'ovel The plane and apMillcahons must be open to inspection by en aumi rgxesenaive of the
d rap t
When this ud recewes wastewater from dwellings ands barrel as afleWs tank," will poduu an effluent quality
Min a maximum monthly average v01ue for BOD5 of greater than 30 ri and Idea than Or puel to 220 mg)L TEE, Or
greater than 30 mg& Or less than Or actual to 150 mg4 TEE, and F.O.0. of leas than 30 moll
Approval le issued Jar this product as being agulvalenl to a floor Oullal water closet when the fixture drain is meialled
in the vertical Position The design menthe the intent N a Comm 8232 (5) (d"& 20 (5) (n), We A vn CWe, Meh
Mal waterrolwme In discharge through a minimum yemaer T drain pint or spring and Me WM to xMwm to ANSI
SraMad At 12 19 2M The imam m In* Ords is Mal alma this publucl pmvi Me same Junctional pedmmense as water
MOsea Mat meet ANSI Standard At 12,192M
BEDDING: Gadding material shall be used to provides a unXemr bMtlnp suds0s. A min. W Hitch base of
@and her granular bed on top of a form and uniform base Is recommended. The tank should fool beer On mucks. Sites
with high ground water tables should have specially designed bedding. Salts should to compacted under her lank.
This approval aupeaebes the approval leaved on N2OMOS untie product The number 20050106, This approval Wrier shall
he ircgryassied with your previously approved sua s a0d'or specifications approved under product file numbs 200501 US
As of May 15, 2000, a copy of a sucp l water tightness ten report far this product must the AVAILABLE FOR
INSPECTION AT THE MANUFACTURER'S PLANT prior to this product being used as a POWTS holding or tranment
lank In Wisconsin.
The consumers In m n0 way OMomng this product or any anywhere. and is nor responsible Ion any situation wnbh may
result tram as use.
Sincerely,
Jean M MwCubin. CST
Engineering Consulldnt—PWmbing Product Reviewer
Commerce, SONY A &'WIN$ Div., PO Box 2650. 201 W Washington Ave. Medion all 53T03-26%
Phere BOBS 035.5; Fig: 003303-T0.50. E map- Jeen.MecGudarl@wlimmm.goo
aa0.105ME iN 1017i Ransil t000000a OOC
Pigs 3
WOEIW]
The interval la umarp as Is
tanks Is cal by spite and faced code. ThrougMul the Unbal Peaks them is a wife difference of
ognlon an "at arm interval shwk be. but mwlrpulalay agenewe suggest M'o� the unM'pi nwmalLbel filer. wM1lCiOxa not
se me frequency of sending for fee tank. ahould be cleaned when be se inspected and pumped.
(However, our fitter is wnually saff2 my The confinuetl actor of No anaetebic organisms an Me Zabel filter causes edged
earfitlee to disintegrate and fell to Ne WHan of 1M tank. If your falter contain a Smetll'Al else, you will be makes by an
tare whenW fitter needs xrnarp.
\ f.
S
Step 1:
Locate the outlet of the Salida lank
and remove me tank paper
'A
Step 2.
Remove the pink rover and pump me
pink If rwmsasy to parted any soils
from escaping to the me drain Geld
whan fine filter is removed
wnlle M1ommg the w date aver the Stop
sert the inter certrilg beck in the
access paring, dine oil the wdrldge pie, making sum the filter terminal
both weep Ching careful to dnw la properly aligned and completely
all Nimelsel back Into the pink. internal In Me . RalAaw the aspic
pink cower
b
s p 2.
Firmly pull the filter handle and slide
"wMdga act of the case.
Secwmn yZebel Slier
wmpMdnlybe sbyacMirel
septc tank pamperer lwf ,
u
exrsrwwaer ce+�-95651 whoa �rwowwv
xa1-S]]-]fi5-95fi5l www.polylok.com oww
pate
WLP750-MR
TANK SPECIFICATIONS
aMENSRWS
WALL: 2 1/T
007M r
CAST-A-K
4.CAST -A-SEAL
COLER. 5'
AwpE: 2A' 10 FAECIST IXYIOSIE MSM
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W15Sf pAC Y-0'
I- waE f:W
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uauo IETE2:
ffi
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MIEi .Wp OUTLET
CASs-A-SA-S EAL BWi OR EWAL 0I9(ET
^� FILTER
u
MET AND OUTLET BA'TU MO MTER'
HAF
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N151'OIW 4£ CETNL 00
(DYER STATES S aART)
Liam L Aal Tam uLM
TO, AM
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OUTLET XGF tt04u'FD
ACNK C AOTY7W W S
LOApH4 LESION 0'-0' UNSATURATED SOL
TAM CAR BE USED AS
WTIC / NppNC / R p Q SP
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FOR CUSTOM TAWS CONTACT WE CW7ElE
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PUMP
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REMEv DATE
SUBMITTED
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qrc
FOR APPROVAL
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PAGE 5 OF 6
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
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ebwtem ru 43k8Av
pW\If
uenlbSPePS MA j
CAPACITIES® 20.2E green
DepM (hI
vwum. (w9
A
20
405.80
a
2.0
40.68
[C7
5
70140
D
12
243.38
*Pump Tank Liquid Level = 37 In
Force Main Dlametar• 2 In
Force Mein Length • 25 fi
Force Main Vold Volume = 4 10 gel
1
PUMP-0FF
ELEVATION • 97.4 fl
INSIDE BOTTOM
ELEVATION • 96.4 fl
rmiry M.•,w e....n. T w
Verocel Heed= 5.2 fl
e MinS IN d- 2.5 fl
ICITmil Dose Volume T V 869 9elleoee
upPY u
77102X
�FM Frlcl on Loea• .37 fl
1iW reel liters role umma mwkn howl
Ibb min amine. wumel
�Fitlinp Lase'• .75 fl
IMn rwW �Osi
MIN. PUMP DISCHARGE RATE; = 2244 gpm
.TOTAL DYNAMIC HFAO= 8.82 fl
PUMP TANK.
Volume = 750 pal
Manufacturer.
SEPTIC TANK(S)
Total Volume = 1000 gel
Pump Manufacture:
Zoeller
Install Approved affluent fiher
at Me s refic tank Quill
Pump Model: 53
Immeelarely upeheem of
Me Dump tank ole
ie. wnsa�mdea
ControlelAlann Manufacturer.
SJE Rhombus
Filter Manufacturer.
Zabel
CpneolMNaon Model:
AS
Float switches obtaining mercury
are nmh haetl
Riker Model:
A-100
I
PUMP PERFORMANCE CURVE
MODELS SW55157159
RMEEASHm
IN
CONSULT FACTORY
FOR SPECIAL APPLICATIONS
NAew level fast ft evaNble
Nal level II cl sye4me available
Available EVEN speuml wNlnplpe Of 15', 15. 35,(5)' 2XVmly
Name sy9leme availade
Duplex systems available
i SLECTION GUIDE
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Ew+a.arwlllo PlYnMwn
TOTAL DYNAMIC HEADIFLOW
PER MINUTE
EFFLUENTAND DEWATERING
MODEL
SY55157/59
EeM
Mbe
Gs
Ills
s
u
u
IM
t0
30
N
1X
15
.8
fl
Ip
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OPTIONAL PUMP STAND PM 143421
Pmu®porerAalm3paq bvenN
ryEea pow or Nwm wr M. PmP
IIe]eel Euntle.raalrtNw /85
- Wieea W^w Y mT Wlmm W W&n
Pm.m�mme aea�NmwelmAa.bv aaomp Nsovnlu•
arY w awwK arecu mmlymWay
ure..eti..mw� ro ... eW.P.eaeb.m.nIamlm.l
RESERVE POWERED DESIGN
Fa unuuY mNbe a Haase 6tleIY Y!u N a9awel Eb tle � tl A4Y IMM M V
O Cq/igm A111MEVCo Nrdaa �.
IN -GROUND GRAVITY DISPERSAL AREA �°°"""19"" w
Uniform Elevation Trenches with 203HP Bundles a�W
3-ftTrench(down-sizing cWeeks Concrete Products
(down -sizing credit) loon Ta G) V�.1
Zabel
im. roar A-100
TYPICAL TRENCH
CROSS SECTION VIEW
(No Sm1e)
/ 095ERVNTION PIPE DETAIL
sPrcm Plaeauon=974
lypgl) Pra de minimum 3P
seoa cn between IrencM1
ad.u..me.» tMn
SlvM lc®ficn&"etf t nJ W'1 a
TYPICAL TRENCH 1 wPa �on�raonmolmm�,.I
PLAN VIEW
(No Scale) 4.0 10
Pertomted LaWml eyw, ym fl
m
(tvgrop ImaImIl roam
—:_—
fi= 90 fl
"Mi)
INSTALL PER TRENCH: U1203H ILrMIe
apai0
une@ WX ISunn=ryqy
re.yy
• � Sfl WMea �35X EISWunit=D qa Imul pveuem m nuiulxewabspuab®.
=Pm� ElSP whelM=454 fl' RNWre 857 fl' DIShlblltlOn MBMOd
x 2 trenches = Proposed Total EISA = 900 n' bmncbed mandold Q
,.RESET
Installation Instructions for
MfirotifSystems in Wisconsin
..........................................
Necons, NapMrent of Commerce. Salary and brediings
C'ision. h" ,enured the Specifications a /r pans for tan
product and peisonnel d to be in cpnslarcc wth stretchers
Comm ai Trough But We Sys Mmm. Co'k, and Damages
145 and 1K Wxmsin greater. Nl sans most meet di $@
6 Sari Conceded d Local n leaccurchn destancec as nnkd m
hart regulations
The eppored products are IrM3H (3-12' bindles Me pee In
amen bundle in 5'tar 10' IengOe) and IM3HP (3-12- bundles
w1M grain each bubble In 5' or 10' Wgma
A single pipe bundle mMmns a four ind perforekd and sury
rounded by EPS retardate and IS held together WM poy.
eMene reading A angle aggregate bundle contains Mai le
only ends hand together min polyethylene retest
Marginal ahead ulpnant NaWatl
UllowBumses
• borrow Cameras Fear
• EZAow lnkrrel Forge Couplers
per for Header amid Intel
• 3ecknoe/EwvalOr
Imperial InaW[Ildna
The Instructions for (nuthatch of E2flow products are given
from, This product must be mskued in e¢oraance WM state
les defined in chapters Comm 92 through 84, Morris Ad -
Intel CWe, and Chapters 145 and 1W. Poswnsn SkL
utes, as well as the local hall departments anent design
manual
1 After the local field, aeparlmenl has delarmhred spre
congresses. and layout ter the Uflaw systems, alive
or mesa will That the l2abm M trerr[hes YN brae Be
careful to set comedy Wk, Imed Ppe, heats Ire a ds-
nbult lea aM bash longer ekwabrs Wlme aeW-
Now of page Works
g Remoe vat E2fluv smppnp begs The to phasing
bundles in Me schemes) Remove any plasfic Wgs in the
bench xfae system s covered
3 The product must have geoteNie fabhc Mat made m-
quirem lams of s Comm 34 X (6) (g), We Adm Code,
Installed direly on top of the product and erdmant
down along the side of the product to a many al least slx
Inches from the bottom of product
4 Men Instated in a deal the trench sMUN be dug to
a was of W miner This not any ea sa labor In mcnal
a br. but also comedy better Inaa-heal cap.oy after
bacMgmg Is mmdee.
MI►EZmass
.low-
......................................
5. The Absorption, seta (Si necessary for a gI vb slid
be sate based on moral day eewage five (GPO) and
Me Forma lAy for The sae n real chn is met. the
EI54 snug ran be used rr. Mconal msuMrg in a I
smafer criminal
5. Place Udow burdl in Me Ulm on nfiguesson ap-
proved by system logs permit spatlAed for the pal
r site The top a rentvmoal WMI.s containing Pipe
art land end to end wit an mkmel pipe coupler. Any
aaditlanel aggregate only buntlks Mat may be recall
should be burned stand the other aggregate-ony bw-
aks and W not require any We o1 comeMlon.
9. The top of each GEO gtmde, cmkms a filter lebnc me -
The
eodc is InRrkd to cove's awn rnumskn The meaner
slat make sure the the GEO a patimM upward and is
in correct wan the tabrc computing an tle adtacenl myth
der more Waring
3 The EZMw prair eb Systems oleuk be Insklkd in a
ksel bent in all dreams; (both ethos and a" the
trench Whom) ate should hallo the commral the ground
sul human (unilmm depth). "m all continuous
Whoring 1ry1Mt rylr ormal bundles Paced and to end
wdh antra Wrdk distribution pips mlmcmnMed,
wMON any dams, skewers or other water stops.
9 The trench top shall be graced such that water wal not
Pma barrel snood be seems or sodded Immediately
after compladm to reduce erosion
10. El EPS cables are nevble and un fit in curved
herder as may be rseasers to exld ire. Wbeers, per
apes oy{etley
I t.EPS aggregate a"then wales tlaetous, d might
M e¢afed Mal shoal dwyancy faces vwb tend to
crunch EZAww asSsrSfes to float wl of ground wen
poorrrg oars Fmk eapenence hers .sedan. hrvcrn.
that this ra but a problem when hems have a mhhunum
of I of eW arxur recommended by mmufadl
........................................
Page 9
1. Distribution pipe sizing
• Soil Absorption Area 2.3'x90' FS FLOW Trenches
• Lateral per area:
3
• Lateral spacing:
7.00'
• Lateral length:
• Lateral size:
• Orifice size:
3116"
• Orifices per lateral:
19
• Lateral discharge rate:
11.22 aom
• Distribution network discharge rate: 22.44 awn
2 laterals x 17 orifices/lateral x 0.66gal/orf ce= 22.44aom
2. Manifold
• Location: End
Length 7.�0'
Diameter 2"
• Friction lose: 7' x 1.15fg100f1 = 0.08 ft
3. Force main:
• Diameter: 2"
• Length: 25.00it
Flow rate: 22.44 awn
• Friction loss: 2V x 1.15W100ft= 0.29 It
4. Total dynamic head:
• Minimum supply pressure: 3.25 it
• Vertical lift: 6.20 ftft
• Friction loss(forcemain) 0294
• Friction lose (manifold) 0.08 g
• Total dynamic head: 8.82 ft
Page 10
DISTRIBUTION NETWORK SPECIFICATIONS
(No Scale)
FLUSH VALVE DETAIL
(m smn)
Dmmb —_ vane am
Carrara flake
xl `� IemYoon apeamll
MIW T0) \
fmbri\ \
\\
BMIVexe \
IaplYnell / \
\ i
alnlav+gage�^�ntrx
rb9 �� �
elIIrp yaw
a 5 ,ti
ra,eemn
LATERAL IM'ERT ELEVATION= 97.9
hmic") —
I=
ravx.nea nml rEa alre 2 .D�w
srin aO PVC tens O= 11/2 n Rsloll ,�:� wefvm eWi
Irvgrep leevobe/IeLTv nweom
+ M1
eq�e) raannaexp
L
�wev tr
iMUAam / Le@rellBigN lPl' � 0
Q
NunLer of Orl! mrlsnry= 17
OBSERVATION PIPE DETAIL
Iw emel
9us.�Tyyev
FibMG trMe
e4 upgoosa)
4�axmeameaee)
ire wcvp.
rgstcas
Tm Mgemwmirvn
Iriir rMl
mvaEme MYiea We
(a)r
®xyen�
ardaee Deem
- •.,..,
lemeam
swam
OrMm OkrAape pare= .w 9w
xumw,d LanreY= 2
te(mx DYanage pen- 11_22 gran
TOTPLDISG (31EWE. 22.44 Gm
cenoe spar.nq (x)= 60 in
WNW
ormwommeler= X16
IrYq�'+II f1nO6
IYvimll
4—x--{ END MANIFOLD
Cheri 2• O CONNECTION
applicable bar. usexa
F1tl PXYe nevpteagbwl
I )
~IO'x I �rM A m�—X—I
❑ CENTER MANIFOLD ��
Lana ppe �,,,xl CONNECTION
PAGE 6 OF 6
In -Ground Pressure Management Plan
IMPORTANT -
The owner of this mground pressure eyatem shall be responsible for its perpetual operaaon and maintenance pursuant to
requirements 0 SPS 3U. VN, When Admin Code Pursuant to BPS 383 52 (2), W is All Cotle, Me "am shah be
considered a human beelth naWN if nos mantalnea in accordance Wth this approval management plan Funhennare,
all Inspection and maintenance ache l shall be performed by a happened POINTS Melntalner in accordance Nth BPS
383 52 (3), Wisc Admin. Code
Maximum Dispersal AnOperation Limits:
Design Flaw= 600 gpd; BODsS220nr TSSS150mgL4, F06 S30 mgCt
Insoedion Checklist INSPECT EVERY 3 YEARS
type 0 use
alga of system
m factors (r.a caws, user carriers. etc,)
mechemwl penholon (i s, pump, valves, sartdna, floats, am)
matenal fall (r e., leaks, breaks, cunoson, etc.)
wilds volume in anaerobic treatment tanks) and any distribution appurtenances)ge distribution I drop appeal
her lecl or improper use (le., exceeding deal postpones, prohibited i cNpes, em.)
extent of ponding In dlelnbunan cell mar W dosing
o postal 'regulations (Ia., pump ro-rydmg, float swatch sabings, etc.)
• electoral componens (Le., varing, connections, will controls, rimer warms, etc.)
o disldbunon lateral orlateral apical cul Imaeaure 1pereldcel preswre-compereto tlmign ceBon)
o temple discharge of effluent or sewage backup into produce served
Maintenance Churchill sl MAINTAIN EVERY 3 YEARS (or when necessary)
o Searle and dose tankel shell be pumped by a Palms d septege servicing opereta licensed under a 281,48 Wis.
Stale when the volume of wilds In the rankle) exceetle oneAM1lrl (tp) Me liquid volume of Ms hankie) or
as required by case ordinance Dlwwel of contents shall be pursuant to NR 113. Wisc Admin Cade.
o [(fluent almost a Mall be Inspected every 3 years and shall ba tleenea when neenury to remove any
mulated IrdeecmrdingtomanNacre ursspecifietims A famoug peN riod ll always be greater than 12
months
o Distribution Irtera s shall be flushed once every 3 years or when necessary
System maintenance reports shall be submitted to Me proper local government unit In accordance with
BPS 38355 Wisc. Admin. Code. Report any component failure or Manue llon lo:
Name w mdrvmual or company Schmitt & Sons Excavating, Inc Phone 715-760-0486
Local government unit SL Croix County Community Developement Peace'715-386-4680
LocalgovemmentuMtaddress 1101 Carmichael Road, Hudson, Wl zip. 54016
Any defacllve part of this system shall be repsrea, replaced, or removed pursuant to BPS 383 51(1), Wisc. Admin.
Coca. Repair or replacement of felled or malfunctioning components amf comply with BPS 383, Wisc, Admin, Cape
No product for demanded or physical restombon of the POINTS may be Used unless approved by the depapnent In
accordance with BPS 384, Wlao, Admin. Coda
Continency Plan
In the event that any failed Vestment component &the POWTS cannot be appeared. It shall be recall Wrroul
a plan submitted to Me appropriate agency for review and approval Mailed In -ground disposal component maybe
abandoned and replaced by a coda-comrlNng dispersal component in a pre-0eMrminaa area of suitable soils
$potent Abandonment
If use of Ws POINTS Is dlecondnued, It shall be abandoned In accordance who BPS 30 33, Wlac. Admin. Cape.
ET aWM COUNTY
SEPTIC TANK MADHENANCE ACREEIll
AND
OWNERSHIP CERTRIIGTfON POIeM
failing Addme
vapory Addee
�/ Nulnallm uyma am Pl.®Ia o.P.nm..l re n.u[ +Im '
Sty/Etaw H .l N/t Pluml ldenllEwllon Number �
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P[opaay Laoatlon �h) % .AY—Y�e, S ,[Z, To7YN-K/.ZW, Tare ofzu,,,JA„
Subdivision
C lod Survey Map Y Volume �Pase 6
waraaoty Deed N /2T2 Volume /qN . Pµe N /B%
spec mum O Yee Z no Lot line fdavifiabinp You O no
DANCE
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St Croix County, WI
Conducted for Scolt S Tiffany Klinger
9561671n Street
Hammond. W 54015
Legend
Lot 15 Paine Run
PID 01&109 15-000
SW1/4NE1/4Si7T29NRlP
—_
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St Croix County, Wl
Conducted for Soutl B Tiffany Klinger
956167th Street
Hammond, WI 54015
Lepand
Lot 15 Prairie Run
....., a,..
PIC 018-1094-15-000
SW1/4NE1/4S17T29NRl AV
—,..
Town of Hammond
---
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