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HomeMy WebLinkAbout040-1045-30-050 (3)PRIVATE SEWAGE SYSTEM cant $I CAOI% Sell among oinn.. INSPECTION REPORT leq enuea 631206 GENERAL INFORMATION (ATTACH TO PERMIT( =ei.mNn P,,,nohnsoul re. Movies l se siVessel qol ryna. N 'Vinq Matthew&I Gerlach RIVAL PeOe% Pines °try MilitiaN .1 n,ry Township OF TROV P 0401 eMe.. i.e. ...rya. No 10 28 19 1 SOC-50 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACMY STATION AS IS IS ELF/ Signed e.num.r. Boeing All. am Bel S..e Holding 11111101 TANK SETBACK INFORMATION SuttlOml TANKTO FIT Sl visinq Is, AM ROAD 11 It wi Diet now HcpVg See sy en PUMPBSIPHON INFORMATION Insist C Jn Man"And OmuM i Mot stt TOH Lm Fn[wnla. dnem, H.nd TOR LINO Ou 1,N, nWa SYSTEM ure ferst Only colon ei.emos NM innittwidi eNeed,n Enw. iI 101 .. I• No (� A" COMMENTSUnnuee we alacrependes pevone pram. e¢I Intel nl ImpLnlon y2 Loulbn' On CAULEE TRL I IAU RM Nnanti= 21Bldg sew length - mupdW.Slpnnwe On No I -� PI on Repolmtli IM Yea J No Use other Or Pool KormpWn Seu6710(Roni °°" An_11.I cnnl- �,1 � UU/ u owLHefI s DEC 18 2020 e +woew..nmRlnn Ar srll.rw,,,eH.me.wmnlxal.q�l _ �1::11 k.u.ly lary midla wP",� „Rz 631Zo6 ermit Application sIH•nwrremm. m..mm.m.mIn sys m.zlna w. nem xm�Hem�.mminHr.m.w nrvrv�® :rlrm:.:. m,rlea.m `mml..w.ral•n smgrv:mr:w s..:rwl m �,kmm:mrrmo.a m mm vAl/..uxrnrum.mu.:..ln..m.� LA Ibl4elol..mtlhe-Plnu ptlel AllhYrmpw 'tO� COC(/f� '/ A^MY P.m1Hun M1W I L er.. z evo _/a vr- a-o Iga„Ir.le: 3IF Oci&(ec s•+'..AH',k R.d io em.Rme poem. Rrl.n...mG 4 !T/ �" ova/ 71s1, L'404 lam4 yl N ff.R Prq It T p.f III(ehwk III lE,IOF*) A? WINTb2 WIN Z ENE m Ms�dL 114 i..::a 7Rb% Ilk .rv.,mit' crn. n.. A. c.m w.11reu ❑H.. srr. ❑T:.�::,wHm:m*.+RmkriraM1 ❑amkmllm.:ms®rss+rla+a ❑w:.. u.�.r ❑a:4m ❑Irm Rr:rmru. - m.wrmRxr.r R�.a:R"T.o;:� IV. at POMTS Com nJOeviee' CIIeh.11 W.• I Z DJ wM ❑P.m: 4:e.a Qu ❑Mutla Nin Numy pmu®.. QMvtl.Nu vfeilYel wma..nl..l w.el.a.*Ilk n9o• �rcwc v. Rr MI IAm l.lum.He.: owP mw minod:rm ol.rm nrRwml 0 z; Gas 900TIO�1 q"Ls VLTW LR o«��. ml - ski I fi vr.. H m a A ! vlk Im Ruuan.4u.rm ....._... numlrtHunlRHm, ,�:.;:�•erk• r. Hn. 141 3 s. w n.v.m:rolrcn,smAzlvcmn 029s [,2- vmc.rl "18v9/E AMNWmi° wr. e. uml IuumfAFlalpinwe omm s 4B$:oo 12 2 20 IX.Crd0668T AYYmmVB.r..®RMMRRiXRN3 iYU'i. " �"K z Ane "irlM 11, eNta;dltpms..l pryy.�.µ • ,-Pt.blof vest e„xaz. w CC. %UI k p„ olds " A,o�I /...Grp,.,,. lVs 6)Ih4y 8'�,N. tz�sl..k�.5f5ysk.H rl,.ORW IZPlowcnd 1xxx11M_t... 811 6398g0uIR1 i.ekaswt e..il•-k FL F�.� P'M,,4-�fm .n 0-7 yrd/F+ s.�15. sK pj� * 1 1 631 Coo-lae Tiatl 0"o I,)yr-36-65c 56A Nwlp 5/0 T+sNKigd Twr of may N 1 e �o' )aa 6�ulee t/riz ORSy I�Gc�nML3 /a 7 rQ� use` < 71x c3 ufR ia3.a/a/�q/�..:� .Sea/x rnata.Ji� 9r.q �3 oa i io Pie ald EZFLOW IN -GROUND SOIL ABSORPTION COMPONENT DESIGN FORA FOUR BEDROOM RESIDENCE Owner's Name Ma thew & Erin Gerlach 639 Coulee Trail Hudson, WI 54016 Located in the SW'hof the NW'A of Section 10, T28N, R19W. TOWN OF TROY ST CROIX COUNTY WI Parcel 4 040-I045-30-050 Lot gd INDEX Page 1 Index & Title Page Samtsry Permit ow L�^lu• Page Plot Plan Page Soil Absorption System Detail Pages Workshem existing Quick 4 trenches Page Worksheet Ez-Dow system elevation Page 74 Manual& Management plan Page Septic Tank Maintenance agreement Page 10 Exis0ng Septic Tank Certi0c0lon Attachments: Soil tat Warranty dead, CSM Prepared By Michael Rodewold 285 County Road SS River Falls W L 54022 715421-6229 MP S 9313g4 Signature Design Pursuant to In -Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P(N.01/M; R. 10/12) /19.fi t r G.P.l a 639 eaif 7.:/ OYO-/d ys-3e -050 SWAT NwYy 5/0 TZW/R/fd Tww of 71Py N 1 ye Soil 465orphda 6yskn E[ J'iW O�2 r2a3N -Jo if L_�k��!( ro' �isf PAl 7 JO : 70 ' c 3sn --_ la 16 1 —12m of _ 9 -- ----. - ----_i I i - - r A,z__- Determining Lowest Allowable Still Elevation Boring#1 Ground Elevatio#9W 99,8 ft Limiting Factor = hes Limiting Fattor= t fincM1eswnvMetlto l<eqGrountl flev LF Ift) 9.00 90.80 Linking Factor elevation Ilmhmg Fattor EL 90.g0+3ft• 93.g0 Lowest system elel at this boring Boring N3 Ground Elevation#23 12.1h. LimitlryFattor • chesLimiting Fattor= et finches wnverted to Feet) GrauM Ekv Lilh) 1150 = 90.fio LimhlnB Factor elevation Linal Factor EL 90.60 ♦aft= 93.6o Lowest system elevation at this boring Baring g3 Ground Elevation SO3.Sh limiting Factor 3W2 hes Limit FaRw= 11 CB kel (ircheseonvehed to hell Gross Elev 101.5 ft-LE (ft) 11.00 • 90.50 Unnall Factor elevation Limiting Factor EL 905p ♦3h• g33010vest Were elevation at this WIN Lowest Allowable System Elevation Mween all 3 Barinp• 93.80 ft. Designers Proposed System Elevation. 964 It Imust be higher than Lowest allowable) V B/aal Z. Ground elevation Ft Promoutl System Elevation system depth to borjude lading rate at deptF Bodry 998 964 41 0.6 ]l string 103.1 96.4 fib 0.1 Boring 101.5 964 61 OJ Maximum lading Me of 3 borings= 0 6 lowest of 3 13M prase sz = /094 8a'HOM d- Syskm Aly M.S540 a.7 `— - NEIV fa F/oj 77Pnc4e-s Determining barest Allowable System Elevation Baring El Ground Elevation 99.8h Limiting Factor= 108 IneM1es Limiting Factor= 9.Oo feet hncbes converted so feet) Grountl Elev 998 ft-LF (R) 900 = 90.8o Limiting Factor elevation Limiting Factor FL 9o.go+3R= 93.80 Lowest system elevation at this boring Baring 82 Ground Elevation IO2.Ik Limiting Factor = US In<M1as Limiting Factor = IS.So fee[ (1nches Grountl Elev 102.1 ft -LF(h) converted to feet) 11.50 Limiting Factor elevation Limiting Factor EL 90.60+3k= 93.60 Lowest system elevation at this boring Son N3 Ground Elevation 101.SR Limiting Factor = 1321nches Omking Factor= 13 o0 feet finches converted to feet) Grountl Elev 1015 h-LF fR) I1.00 = 90.50 Limiting Factor elevation Limiting Factor El 9p.50+3k= 93.50 Lowest vedem elevation at this baring Lowest Allowable System Elevation between all 3 Boringa= 93.80It designers Proposed System Elevation = ,5®k(must be higher than Lowest allowable) Ground elevation Ft Proposed System Elevation when depth@ boring in loading rate at depth Boringl 1 99.81 95.5 52 0.7 Boring 102.1 955 79 0.7 Boring 10151 95.5 72 UJ /E.♦,;.r- EL Flee.+ iv p " i'r EZ Flow W-s IZ•' Sec P} 1171 . Maximum loading rate of 36ofings= 0.11owest of P0.s4- 6ef 10 POWTS OWNER'S MANUAL & MANAGEMENT PLAN vN.v FIIE INPoNMATgN SYSTEM Owner Aaot ♦CW Ad Cgtov 61G4 Septic Tank Cepenhy Q o 0NA fanner a Septic Tank MmuM1eWM WI pti 0 NA O GN PARAMETERS EMwnt FlMr M.IMppWrr OI 0NA Number o19Wowru 0 NA EMunt FlMr Maps! yy 0 NA Number of PubBi FmWry UnM ° NA Pump Tnk Ca 4 M 0 NA FrtMm] flow leverepsl Gea 9511day Nanp TankM fa r a" Oram flow (peak). lEmimntl v 151 60O gotten Nnp Mnufnuar 0A Noll Applamm Prte c. 7 caffornmit Rxnp moo 0 NA S<MOW Infl,we/Effluent Quarry SON, 011 E Grew IW01 BaAemkal Geffen Dwnvd (wort Teal Nummol SOme(TIM Motor Mpe' IGO Mi =0 mph 0 NA 51M mph RgNbnnt Unit 0NA ❑$ iaavN ROSS 0NN Rhor 0 MCMenIM Arnbn owe 00awfmme, 0DMr: Roomer! EMum or Basmnrkel oxygen 0merm twod Total SrpeMtl Sable ITSEI ANSI CuTpmn lemlenb n l Amply mmse AN erg& 90 mpM1 DNA SIC e1W1 WnY ONpmal COO(s) ° NA 0 M:4and IgrevM) O In Nomd IpieverNtll O At4tle ° young Oprpllne OOMn and Efeerrt PrppM She 4in ds. DNA 0 NA DNA VmustwF npwmwsswvre sue m'A srMr. OYIn °M SnMU Ewsr BwM FnpWxl omen <mam Of tnk1N At Am chat.yry: 3 mmNlm IMawrasn S ye.nl ° MA Runp wr commm a romm) Wlwn cnMFed "go rm.u.n "l mMpJp tV a unk vuMn 0 NA Inspect prpweu ml At SmoNdrsvW: enNln etr.l 3 r ones IMWm.s 0NA Oman mtluem non At does mw wmI / ° Mtsjtl am dumb, pump car l.S mr, At but moo evert': 0 omnthanar 0NA xrml aw we.slN tar At bat onto may J MOMM° 0 Searle) 0 Nor At leas onw«xy °0 manm0 ONA 0 NA MNNTENANCE INSTRUCTONS 1, a of Moor serf plepwr i MIS and do mass by hen ManraW evryee me of me following Amm or onmlceW Meets FWmbn: Morn number Nr W Swm Pol Insofar W VRS mantalnn. Gambia frohm er Owrmor. Tank Inmmtions must InoWoe a aeuL mnmbn of Me ankW to WOMM, any mANFp Or moun nrpww, all any vcko, or or", mosure Me volume of cmlblrW mags eat loom and to mark for we bask up n pmtllry of off tarn on the Orcund surta. The Shaul cMllel shell be Naelly hOPas to those Me Moslem IwN F Me Oborvaum plNe and 0 check its any ponpmg of eMumt on Ns prourd mdf . The planning of aMwm on Me gmwtl mnme may IntlkM a being coMltlon and requires Me mmasua norMknlm of Me label regulatory a mmw. NTm Me combined ammulMon of sludge am hero in Any tons equals me ll Of1 or more of Me Tank vokene. Me entlN contends of Mire enk MOR M nmovtl by a So age Snvbll Opermr and clemeed of In mordmw was Maser NR 113, Wisconsin Admi,Ihms NO Cole. AN other rrvlwe, moll but not soldier to mere asrvldnp M sXlumt flat. mmNANNd or pauurltas components, pausonent wMA and my eWMing AS Interests of 51 i month, shall be NmOyAd O/ a onMW PONTS MNIMBhw. A all report shell be pmvMas to Ne local regulatory wThaM within 10 de" of omnpinkn of my aalw went Pfr,9dF to START UP AND OPM"DN For new Print to ilea Of POVI check treacherous ii for thepmenpe M painting pros Main. onmp.h Two Tank 0the UNM t Process ON/" damage the thwereN mural If Npb wvenb.tkne we owned mass w=nMm of the wklal,moved by a assets tervldnp opwamr prior to u«. SY start UP III It ones w n soil Conditions in, frozen so IN, mfime4n surface. Dump powerpen pump tank, may Rno u above mul tommyrot, levels Winn poe ap lavawas A ems thaswet Wo was To e wkkp w1 tat tab aiepwen with in one large boas Overloading me kelps) and met rewn In M III AT dnece elrarys of emuwiv To avoid sure ahummn have the comentx ill me pump tank removed by a Beprpe Southern op.Mor plot to nMwnt paws TO The Ifil PIN or contact a Plumber or POA-I Mamtare to am W mmua openLLn 1" tamp aT b to Hewn nmm a she within r e Pump tank. oe ant I Or nark renew over talks and dswitul cap On rem I or park coda', Or olMwVe d,MM or compete He one ern s 15 fear down sin, of aw mal by n ,,d, sop 4eerpavi and r shw ehon of we Warning from Theanewav Hewp e wn may Ima He WM W" uM pobng du IXe of Me POWTSon W oolaacs baby wort; dowel, burs known; condo awal dgr ; data Boer; dwpars dM1inf n , Has foundation stun Isump tumor water, Na and vegetable probal pamllne; praxes Taipei mYt eWepC medlurlma: nib Terri products; pn<ba.e; Barrery napkins towels a1 wow whams brine MMDONMENT Man the POWTS fells Arabs, Is pmnanantM taken ON of p se the following steps aM1N W taken b Fan that die "an a Percent and salary abandoned In Dwg nce well chapter Comm 83 33. WwonYn Adminlwa Code. • All piping s tanks end pXe MBY be dlawmMM and the abandoned pipe pPonlye sealed • T1n WntMtM1 el •II tm4e end pM Ne1 be removed red prpgmly dlNoeea pf by a 8eptep• Wvlalnp OpM1M. Able pumping, all tans end III shell he symmeM and n mW or Their couw removed and The tour KIM, Rlw whh III, prMl W 4noMou lnort solid material. CDNTINOENCY PLAN If the PoWTS feds and cannot N ,looked the following meaares have been. Intel be taken, to provide a ands comp ern mommM Warren.. 0 A WMWe realmwent area has been evaluated and may be abroad for the location of a replacement Ball abew n sandal me rwlcounem a... should be troubled from disturbance and cwnpamm IN •hnsb not he Immnpea upon by moll •erbatke from ealennp and w000BN BtmcNre. ant Inter and wage Fenun to protect me rwlecemmt arm wall oIn N: need M. •Oh ON a evaluation m enabluh a eunable replacement area. Rwl.cement systems out with me wisp In mtl n me tim. 0 A rquaw,w uwle now m seine= nmhadone. Rnnp Mvrc in POWFS nnc ,nettling tin ryN'related ass Ieemt m rNlwCw inM POWTS. All e a ijtpNl8liF2 FIRM Lb.VSFFU�3tW+ ❑ Mound and nyrads si aowupt,on systems mry, b ,mans W an Mr l ovof he bWnst n the NIawt10 surfWA Rwonsiblef of such rynm MITI compry wish me nuW In shown MY at time. cWY wO» SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAM UITXAL QAU= ANOIOR INSVFFICIFM O%YOBI. 00 MIT ENTER A SEPTIC, RUMP OR OTHER TREATMENT TANK UNOFR Ad" CIRLVMSTMCES. DEATH MAY RESULT. M ME OF A PERSON FROM THE INTERIOR OF A TAPE MAY SE DIFFCVR OR IMPOSSIBLE, MN BlN AL POWTB MAINTAINEN Name .f,D Name bill Phone SEPTAOE SP ONO OPERATOR VMPEPI LOCAL REOULAT011Y AVTIpMTY Noma r New ST, kAI1 (DUr�T'i 2Wl Finale Phone '"'/I S- 3B(p- fOifD The dncunem eras maMd m ecmpueme wed c Dom B3 umMluldldln ON BJ.Ban. lid B IBI. W chi, Material at. (Own. . p IRl $ ale inA .l (XOII(OIIKl1 SI N IL 11NK M/JM I W\N(I ACKI I NI NI AID (\I n,IIIrJ xunt InnauxM ,r,,,,"Il Enn & Matthew Gerlach .mai„..e,hv 839 Coulee TO ,ml AMI Same Hudson - WI Ib,.lw,mN numk, 040-1045-30-050 I„m. I,.,.rvr SW� Nw, .,, 10 128.x 19. A a, Troy 4. (I I'M (ill 093278_6_ _... _ N.rmno-w,975542. _. ,LI,R.a.n,.L.• r .. I•, Ilk AN I I IN P. ANAL ALI, .,. ,... „................, 4111, m... kNAININNINI 4 IRE% "Ill Opr IOk ST. CROIX COUNTY TONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that 1 have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) /03% / / t '/ located at: 4I '/., -#A)'/.,Section _ W Town 29 N, Range__Lj_W, Town of rI'j . St. Croix County Wisconsin Upon inspection, (certify that l have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Pyw t 0 / Did flow back occur from absorption system? Yes_ No (if no, skip next line.) Approximate volume or length of time. gallons minutes Tank Capacity. ISSO Construction Prefab Concrete K Steel Other Manufacturer (ifknown): /est.� Age of Tank (if known):5 Pemtitnumber(iflum n)�f, $777 ,its ! l' IFfx 6cn icensed umber Signature) (Print Name) NI 93/38y (Title) IS Number) MPIMPRS za (Da e) / Form to be completed by licensed plumber (Dept of Safety said Professional Services Chapter 305 and s. 145.06, Wisconsin Sources) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 p. JG SOIL EVALUATION R RT sago 1a 3 memwe...wmwm as, wh.uau �Imndes.apinm pv.0 uuumax. 11 ewwmom MM,%m �RL Croix .l 1 ukWmlluhueln r.dw axnow,mm am oa1lmvwlm Rmeewl2..=^kwelmmviwl.muumr. meart plp! Wlon� 1 b.W hlwwmW aJBAe61� on r h� .e 1 w 11NO Wwr, Ilia 0 haqubs David Bv®°°I 010 oMu IeJNW x 1 10 1 28 x a 19 w 1633 rmmmuam 633 Coulee ilvil 31 cwd. wonielcS ue x�.aw p j . ltl � '�77* Hudmv WI 54016 )15J8a590) c1q vntim Tow xan, pone T COWae TA. ®xawc®mlmim um ®a.mmwllxm:em orBetia®._�_cpm a.M4 m;P noh mw 6nn apo O MW1omx OPBlkmcemlreW-pmmp>; Pom Mmebl LoravTN pmop PhY abwfm Chpplbpb WA 6 l.rnhl wmsb uC ememw4tlou: 1 BmmBY 0pn firoml Station 6lemxm 99.8 M1 pphmLimi:elBauw >I08 4 _I •'j gs,8o .h.moa.10YR211SL 2m m6tOYR]H 6a 2m)6YRY1 URBL 3mdF mfrp 11 0A 10).8Y 1451� 3l4 fj ORB 0a9 1g64% oRe Bwa amine Sara. eb woe 102.1 B mUMZ >I39 in 1 e Tfi L -,:aa-a jft ooze®�©emm ©o�emm©r.amr ©E.^d��f i170m©�E4[i�rJ� O��Li1�ifS�Om©E70�� �- - - m.wL m-xaw,xmm.e,mlmmn xmavl® Monk lamina w.[ 46672 as P.0.Hox155 WI W15 Nov. 11. 2010 715-T9a5664 vmlwyowr Davie Bmmmhl ruW 1pl —2—o DBotitta"Wit 0gmE 9whaEmvtli® 102.E A ppLb LMhieR 9omrb6.b_1ORb WRGI ppN MY.tbM MwGv/OlM ioYA WYmn 1/w GwnmM1 b4 1 Ob tOYRNR FBl t<o0M nW OF 1/NlaO TJM OR I li as R <0W f0YRM8 f8L tmdk mll 11 02 0.6 3 tOYRL/I F8 Op no OF OS 10 mRtltlm 8 0 ]SYROP M Oin nMl n e0 10 fb tOYRUi 10YMM2 F8 Om nM 0.6 1.0 UR 10YR4b 8 Op n" 0.1 Is O Buft ` Gmd9vMe e,_ 1013 ._ _ oc_.�ew©�©ommm mr �mm.�©m©em�m o©��rares�mo®om�m oca�ms�u�mo©oa�am Q�m�o©asm�� mwsmwsn..anesmyv M hym Nw,f �nwahmWUJURnNwltl �imwwmw®Rm,e,. rz,a w<e®oonmma.wmma Nr1wbIY hw Ybim 6mV. Vhw wnIMNe EePm•T�tl NLMillfl wTfY ln)64AP. val emartm.reiu PRIVATE SEWAGE SYSTEM caw" S( CrCrowready sra NuiidYng Divisions INSPECTION REPORT h Ix '"utl emI ° ESB]]] GENERAL INFORMATION (ATTACH TO PERMIT) suu aenoxn TANK SETBACK INFORMATION prrpeuxa 1 a, v IMENSI ew Tied Death rox SY lEm To �, wsYeum. Pa BLB B I uErr, STRF.a.I L4A111111 r7l✓ laurel Nnmme r2mijfl MmArl vip•I:I�OQ +%1dS Kasai n. All 11 rage,sal p.elmal, SOIL COVER reprisal runMr wqn �� uoepnw S S.b u mnl COMMENTS. IInauae aoeemewpma.a personspresem.elal Inspetllonil grZ r/� mmeawn az _r_r Loal 639 Cause Trail Hudson WE W16 BW114 WE 11410 T30N R1PWI NAty '4 Pal No 103819 11 Alt ON Description � A'I w trial 441, LP a., l�{yMN ab I.µpt�/L1C1 Yid n,(?liM 3) BIEP serer MrpP•q O QZ / .ens Recover=1r+ Plan milnn Request/ CCYea .r — y� (j uw other, side for aaaipnnsl inromynon Zg �Y N '✓'_ ���r�/ seomen lxx]) i, inmpunn slon, not mr, SGmic i, sYa ` ,B tn2 kt.� /Od SAY/mac �t�0 pi AN, MP �774vo . t _ m, a 54l K R/P( sad /G *. arm, B/qf cmms E:37 w Y�sW C 4m W BII, n�_ ❑nywo�yyyi. ❑[TRRNP ❑M1rw 0111) aPl a