HomeMy WebLinkAbout040-1174-10-000 (2)w... em eolm�inp omabn TTem PRIVATE SEWAGE SYSTEMM�nw��N,
St.CFOIX
AwdINSPECTION REPORT1zOS
GENERAL INFORMATION (ATTACH TO PERMIT) dell 11i youmfe, Tey be Ow mr All pmee. Fndgf Lw, a r5.IN TSnAIToms L"'wT, ay V" T .. TOWN OF TROY-000
BMEIarm.l er.3wo e ,.nwen % d� w.uff BRT
TANK INFORMATION I ELEVATION DATA
TYPE
MANIIFACTO Rlf�m
CAPACRY
STATION
&S
HI
FS
ELEJ
sewe
Y..A F1rnJ�r o
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BencM1merk
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NI BM (nw.r
3.1D
9 9
Awl
KISS Sell
rCIS
Holding
sSRI TO
S 35
j'J LS
TANK SETBACK INFORMATION f [f SL o
SMONE
TANK
P/y
WELL
BLBG
Ven mAll flake
IN
semi.
Z%I�
33'
38'
Dial
Nnp
ReweoMen
ocn
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emg
Ed Syewm
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PUMP/SIPHON INFORMATION
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BIEDRISRI
DIMENSIONS
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SYSTEM
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COMMENTS: (Innmemee Elxrepenoke, cersmepeaeni
-01 288 COVE Ro
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enne(ee�r.—7/--F3ITxl
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seunreleaap NSA
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Jm�mam m abe memmmab p4w)r.F+</ as yerappllrc'b`oW°/oar°aaa; I ,�k� )wd � .as+!
7 �Ior[I' LIl�p{j )AAw`..d—m,,�J)-r"" +a�cV Mrb�- be eq .0 r.rm.r
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�,4 ADVANCED
ENVIRONMENTAL
PMideti ONDer Tom Lee
Site Address 288 Cove RD, Hudson, Vil g016
INDEX
Page: 2 Site Plan
Page:3 Management Plan
Page: 4 Management Plan
Page: 5 System Design Summary
Page: 6 In -Ground Conventional Trench Design
Pope: ] In -Ground Conventional Trench Design
Page: 3 In -Ground Conventional Trench Design
Page: 9 Tank Specifications
Page: 10 Solt Test
Page: 11 Soil Test wrloouumr
Page: 12 Soil Test CO
Page: Page: 13 "* RYAN (L
Page: 14 BECHEL
' D-2263-7
Page: 15 - - RED WING -`
MN
Page: 16
Page:0 it 17 y�ESIGHERo``
Component Manaats- SBD-mmS-P I" GmuRd bll gpmryaon 01.01101; R. 10112)
Denyrer ShInawre:
`J
Date:
111IM20
PDVANCea ENAROI RENTAL UC
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System Design Summary
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In -Ground Conventional Trench Design
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C Mulmlm WRI: W IMhn Mlywl Murlm.m �Dtn: X0 IMM
Sml Lmdnp Wte. 0A Wollil LIMaM1mdlnp Mete, 13.0 plift
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For dhM Wtlun rmlla muhM m C<:,mt WO a G,aa I Mn slit Main a W mm MIA ethwnt e1 In ab
Llpt uh wlh+6A m[Ir hAmnh. Indicate dk111WM1 mNbC: wt Ami
eCeunmun
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W m[kY name • SIGnY MCILIa. WO to COWL MR M mtbn Mx • CURL IM 127 • LNk Yank
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TRENCH CONP W UMIIDN:. V PROPED PRODUCTS
- CNNAISMS MD [SPLO W
4
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e. Rpb RMu[u Mai Cali M X1Wi
C.pt a Elm Rating m k
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D. DeLn WI[wn Am: MD RL
Eni Elm WIN per Pair B pit
E. MaYKt WWN' l R
Twtl Numpea of Eip[p Pain:
F. Pirl YMllt A R
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TANK SPECIFICATION
Mlplmum taken-6 inches, Maximum cover .9 feet (unless specified by rnanNettur")
At mountain Caesars shall extend 6 Inches above fine grade
III the tank is wltnln 2 filed OfIna I grade, inwlate the lid to an RMalue of 30
BuOAry sewer NO WS, keep 3 fett between 453, maintain S Inch In gfeer I]%I slope, Instill chonoutl at the building
nonnmmn and some IN pert at minimum
93.Bo
IOwNIOBertlyggdy�
rr�.r
�n. Was
eYti :ell, tr im q.ea
leakage
.rraY..�.YsseY
Ae�les4Yeee�Yre�.e
m�ewYrWY�w.11n« W e
YrYrYwe��<��et�Y
YierYeYYeYe�re�
rTMrSrre,Y xieeei
erre.rr.kr�ers
PMM��W
III
meap
ease
wlw
Aft,
p'F2
V
IM
an waves,
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I
r41!,.rnll
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w it
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Management Plan
Tasksm.nw.mwmm�aKm.em.r.m..an..raw.wM.,......e.,rw F.M4rmp o"It.mm„rwrc „nMr
MpAmmN" ft is wbq.M RlIY4Wmwpm arm
M14l mptlb pMrmsooyelKs.. oweepAc
mvnlarmrweervhvgeKW Mrwror, plalM.MvaAM n.pwtlpMybaruu.N44e{NmvnMwChalNrerymenown
Keep nhia Menep W Plsn w y r Sea le Syebm Gwners Gums.
w Keep Courts q MI pumping reyrds, material ecllveies and repair invplGes with Mit appeal
e Review this document with your Thermal pmMnienal at "on vied l EiNYN any cMrpX N product use
son,bes or water -use appranom.
baaepama0.t Freq uancy
Mr radial needs to be marled n .0 eyu.Tworwarr M mmae
even 36 months, sar✓menis GO are nepvtrascoke Marks b mmi
IINI nPenmgele
s abrn! ecmeetleM
NumDerq BMmpne
a
Sale Tents AlanComedy
__
n F
__ __
1.7
Sep(e Tank Comedy
- tab
ate
SO rg Ra al''_''id'�a
treatmentE Rene nyywk_
_ _ D.1
_
r
Filler MenulMYulM
Effl&m
TIm.Tb IP
SlendaN Effluent Guary
acnl
6Mcdl
9eTook-rnryer cwnw4lH _
]Amps__
NOmil1
P_-p Tank MenNxYulet
mw ee sw
met
primp Tank CepxM
Onae
FeeOnewI.COI
IF=
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]dam
Pump Menulxiuror
one
TieaM El Oum
_
trader
YowOrmmakes msu
—�—
Datima
GapMBI GIITrye Xw
Pnwmaae
_wreulameo So-N 03
_ �Proportionale�iy
Cpwegblul
FAM Me creaw IFMO
'mgf
Pre4wM Unit gbl
Xrs
Met Elfwmtl'aneb 5lm n
(0)
an
Qwok're Mwppmm ry
Rpulaq March W wl w sp al awl slung our sod
manmlrna Cm(r[laervrro pmvger✓nruef ems
Cmotl Du+rowry MrmBla (prMBrs. prourgl or
)
Ireepbreap lw✓eDm e. erwwmoe�sa.ro omamma on
"Mora n
✓. CoNael tart mi pae..err.rdany ✓amr
egmam
nzu
a appear. MAO follrnf bump Md Oman wni
messery if you do not here one add one that w&bo nd
mw
are "opt add
rr. p, ammo
Arvan � CNCF yuop✓acur✓ellluenl lerNa in atl apMn
RMo',"i rl hallSo MY miW
rr de mamma at a mmrmam
I rank MOB t Proud assetsntapp'welr)
dnrMem emYrm l... lr Of aWcaphs)
m arrreom if NMrrrba
vn�rmg by ✓cwrwralone horror (it .ppum.)
amMb arose 0l wasscmlp
three
MOO ry .ad mtam ww
marp� flow
dersir orypen too.Muenl amp✓NYt M MM
Iat"Mor np dMmue .hunt drpmpal.
pMnM stave.,. rapped andrman
a abho nee wrm her of man.pemam aawa and my
we MAINTENANCE INSTRUCTIONS
aPeUoutleaumuelamaPocaonof Ma bnk(stOm8 a"a Waey Pins m u uaw need en mp=ft
ty any missing w broken nemwsm,Iean* any ueGe aleaks,
must
measure Me seams of mmbll swage sod Boom, and m MecF ter any bactuP or pone mB Of annual om the around
9IACCmsggmobs used for wMm eon aeee$smem shell be waled w.mmgm upon cpnpL6on Pastel adNlAes
Any un$ouMraemGre annual openlrg B must be mplacetl =M W,aWy
The anal parts) shag be Naualylns c to rim Me effluent wuele In the caswafian Plate andmUeMforem
poneln8 of effluent on Me grwM$wfaw Pending efeMuemcn Ne ground suffice may IMlmb a MINE wnditon Spat
reculres aamed'uM tlb on by a hawse aaMc pro lon$I
Tanta must M PumpX when sludge mcumulatlon Is whinn iz Inolae of par bMga Ofthe cutlet eatfle, erwhenewir Spas
em layer Is¢ ichmn3lnINNeb=mctlhemuWbeMe Inmrow eM1ellmtal eIWBe entl awe roWme ocwpy paraMr Men zsx cf Me nnkn maid mpaary
Theellluemmmrehau ee awns ae nem$eary m en$u2 pmperapxaum no Far snouts not be narrowed unions
meta lbe Bear shall N wiTO &Nmy "he soon la emcaiNzme$wnenuo6y Ingmrfm�nthall gltp elermfs maylninClmaara suoe ncc" or
an FaperAme mranuoua alarm
Pwtreabnent mmpments $hall PH maintained and sernmed by a marked searm Professional awortllrg He the
mane c mn remmmendamns,
STARTUP B OPERATION
dimmes Met may xn�e theyttreatment ppau�e xnafOR a L.mumpnnks nepmwlYs pmmaap s"dete
new Me mnmme drMePinx remeum by. manse aepbc pmmealoeediawrel aim Ithwh mnmMmone ere aemuea.
pMf m use
$yMm stfilpower
o shall not pump
KsAen ayll$ are hyEwn at me infi omehemfam
Duaneowm�1.sy.pumptankemay MIefu normal highhsil Pat in$ne eysbmulir m itepuTyr When Power4
Named
sets It as reins InNwmbe eiumngeamN Of Me lamnionsl No aweon it Is uyreaumy lmc..n W
the sets Itmryslm result PinksOMIP meu1Rw diandbHlim ge Of SHOP
TO "it r No fte,It I>ofehry recwnmmMtlro
NO s me contents Of the pump Pink Rmouna by o smneM aplk r0 hislOMl p new a e6p& Professional manually dose
NO ayMam m ream Na pump SenF to normal owfeung leuele paws reemen0 Pourer
Da not deft Of pa Mw $yea over any mpbd ryatun amparen@ OO may anw, AN Over, Or afterwme amtum escanPont
the 6Aa VmIn 16 kM dommempe Of any mound or w gre]e srOr accdUr septic System site
TIMCONTINGENCYP"N
sepoc� w.nY amen¢ e e va etan o mmpment a rime amyrepai
replaced O sting m the mglnel sWI dralBn ewpeafter cr
ma hours Pink, pump, pump motes alarms or related wring become defemue. Mary Man be lmmw ,aWK resioaam
Wiry sets mmpomnm of the same Or equal perform some
If Ma Here eon annarem figs to GDOW wasmwaerorMontreal wa$tawwar ro am grouts auras it shall be
repaired Of repMmd by, increasing basal aree nr the 9eka0e Po usli rebuiUIN Ma wmpcmm at Me eaanaaa aysrem
aim, or firmal Bna ra leting Carob only clogged aemrybon and madam mean aM evmume piping
ABANDONMENT
farm Hall mystery%is names Pormanemtil out INeeaum, Me rysmm ehal mandoneeam mgmapgowd
abandon nt ral bona Theme anal
-All0I m banks shall W dncMnwCMtl and abaMeMtl pips cpom4py milled
-na shams Of ag banks shall be moo d and disposed Of by a loomed septa pf mwaal
-Tanks ahem be wwtea &filled, Ormmovad
-AMpflcsr mabsnMnmentnw?catlanmallbesubmltm]m08appmphabrim BOvemmenmlunt
4ARNINGII
SEpTIQ PUMP, well OTHER TREATMENT TA$ MAY GORDON (Emil Oul ANOWR INSUFFICIENT
OXYGEN. CO NOT EWER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY
CIRCUMSTANCES DEATH MAY RESULT. RESCUE OF PERSON FROM THE INTERIOR OF A TANK MAY BE
DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE WING ANY
WORK
Mr��ONenWmol BrteM1 VLiminrbMGrvbe PVPt I:
InaalNrsemW
SOIL EVALUATION REPORT
sa5365. Mb. bn Cr6
RYdmipXaM pW mq[aM YM Wnin14. rlWmpea n sia NnmerivlYM,
ar l�WS
wo-�itii+pAm
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ST. CROM COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
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SIGNATURE OF APPLICANTS) DATE
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Imulum with Wupplueoon a mom" "fully ME for, the Rveisw If Dam Olfic, and v way or the Spitted mi bap if
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(REV.Ml22)
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANKS)
This is to certify Net I have nupxted the existing septic and/or dose tank
presently serving t�](Ie following residence:
(Street address)_cj) R$ %O VF lacaei
at: �A, _ %, Section Town N, Range C W,
Town of 77ZC , St. Croix County Wisconsin.
Upon inspection, testify that I have found the tWk(s), to the bat of my
knowledge, will conform to the requirements of SPS. 384.25, and it (they)
appear(s) to be functioning properly.
Most recent da s of inspection or servsce la I I / ac)
Did Row back occur from absorption system? Yes No
(if no, skip next line.)
Approxiande volume or length of none: _ gallons minmes
Tank Capacity:
Corunucuon: Prefab Concrete Steel Other
Manufacturer (if known).
Age of Tank (if known):
Parrott number (if known) ' /
X�I�A 11i9aQiA/lS
(Li ed PI er Signature) (Print Name) ,
1637
(Tide) (Liame Number) MP/MPRS
/q/ 0U
(Data)
Form to be completed by licensed plumber (Dept of Safety and Professional
SCrV1eO Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2012
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E Chippewa sl
Gaon WI DEC 082ca.Ll:ty N,e
THOM
THOMAS LEE 288 Cow PJ
We submitted Nis for permin it Is a failing system end needs to be replaced right away a
Net "is nol f=60ning wmectly and ceases oxassorW backup inm Ne house There is
water in drain field. We are carrtntly Servlcmg tlds pmpany m prevent further
occurrences and ponding.
�2/9/30
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