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INSPECTION REPORT 0T
GENERAL INFORMATION (ATTACH Il M'InhlTO PERMIT)
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(ONDITIONALAPPROVAL
PLAN VITRO, AL EXPIRES IDE$-0g-1'
Plan Rmew. PITS-cg]CO V9i{
MARY IO HOPPFRT
2PIM Kmg Avhurs 1 I
Danbury WI5dg10
SITE: RANDALL P. & YVONNE R. CUDD
CTH0
Tmrnol KlNAI(KINNK
St CroixCawn
TORT Amaum%_'Otis'
FOR
Gramm Mound Component Mar-111
Presmm Distribution Component Mimal— Ver 20,
SPD-I DOE-P IA 01101 R I0112)
m.a.+:m1 d ncrn oad,
fol"t'so aRetured
The smamml described Wine has bee wed for nnfem with III allotmentAdm eve Codes
and ancotmuter osm SThe Immutal hasboomCOiNDITIONALL1 APPROVED Thu sysrsm rslo be
constructed and located onaecmdaoco ,to [Ile enclexN articled plans and with any component manual(s)
refetmced III The owlmr or defined In chapter 101 01H0I, al Shuts, is responsible for compliance
wish all end, mwnememF
No Person on, engage In or work a1 pinmbmg in the stare unless licensed to do su by the Uepurmem per a 145 06,
start
The Dilowing conditions shall be and dunngmnwsnlm or Installation and or no toMapanq muse.
S. O Poo Pump Goulds PE 51
Poll m,pi aril prior and during construction to avmd disturbance, compaction and me arms site
With new e011ALI fife, It is rtwmmerchd I'll Io mtivalevhe pump In the dose lank unlit the tanks we
Dmped or... o "Parda"unif occupancy
e Wasters AN, g... rled rtnm emmnemmclemmng If equipment and all and or l en ,at concoction
products shall Plot be dNrnargedmm the drama d... motors to me pi hand, wastewater ueamant system
(POWTb) wvl ... rated shall be peoples, dowsed oforvane oralLne
Aay tan gnaaea. lever and shenM shall Is, cut saris aid runipro« to filing the surface forlrrsmimums to
pre. InonguMer Nednpemalmi Alllwsoryan mamr1a110 be rtmueed fmm P0WTSDrsperstl
Area.
Di surfaa •vain fmm an mM T% Areas
• Prior to of the dnpenA area,[hnk rite molmun mntem of the soli to a dep0 Of inches
Smearing and compeamg of ,I sod ,'Ill reach , "due] g the mfhmuon ourselves of the Furl Proper sell
an be w ll by mlling a vod mmPle hearten flue hands ]fit mils rob a 13 e. inch wo
the zits moistures too content e
t to prepare. If a nmmhles, site formu to a oen Proceed If the site Is too our in prepare do not
Tesoro Fuld it dries
An piping hall conform to Ml Table 18410.3 and SPS Table 984 lne
wnlate banding ,,at b[ywd 16 feat per SPS 18210 a l x[1
• Nell setbackvn meet chi 9R g 11&Al2
• True Imal I, folio, all manufacture s worms euonr
• value, m^ieno ha l poor to nelallatmm
• Pump FbaY la be sea ad venRM pera eel pYa All changes me) result in III real In meet
TOH and GPM Spnstreamn%
• At... that aw Occupied w ,In m[k react ceps and botdd,n reduce me account of soil
allablcf"P,scer lice ether olabl<� otM1CMnml area of Themalmvbe speed
at ground laud A inner LII aria I. nucsap ,hen an) Of he abuse wmlmum me mmuncered mPrI
sufncem mflnahvc area
Owner Respamibabtied
• The curt.. ,net and each subsequent ownn. shall receive a Our) ofthin letter including mutmcnons rel0mg
to proper use Ford maintenance of the system Owners shall receive a copy of she articular, openaou and
undo ual for the PON TS described m this appoval SPS]BJ.N(11
mamee cut 1nw Iallson sync am of na mporcnt pan mat6n aheatm
hoard the pro, n) u nn must poll the en anow, plan as desribed m W alum ed plains
A cop) of the Proceed plan,respiratorsaand this letter hall bee.le during en and open
tnspegmn by Banco need reprnematnae nepanmem ..him may include local rasp cton All series
requited by [be state or mcal mametpnts) snag be nbi prior to a,mmeneemenl of
construction install operation
In tlrwbog this approval the Dmiston of mdul Servmu reserves IM10 right to mgme changes or nddtMm mould
.. d,tL,ns are,malnog then crevices to, ,do unpbane Ar par star, 1611EfDasrev . nothing the el
shall nheve the destgnerof the rews,il airy fordestgnmg asafe buJ&n g aWUme, or component
In cone,mmg this annapondence me) be all to me at Me telephone number listed babe, or a the udder
nn this Infrared!
The abase Inch addressee Mall timctde, cap) of lone, red the poN 1A mmaeemenl plan he the 1111, and anti
,'hers he are responnble for the matlla ion, armmn or matmomna of the PUN TS
fltwke,
9%u✓ea�ied
PI Plan Rev . mouseSpetnit9
financialProfessionalufwfty&w n l DIoflni Servtaa
comeall
(,If 609-5iti
GaoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
RasWNtial Application
INDEX AND TITLE PAGE
Owner Info..
Protect Name
RANDALLP &YVONNER CUDD._
PROVED
Owoefs Name
(SAME)
�i "...al.m"=nv.FSA,DNA.
_..
-xmvcrn
Ownefs Address
9290UARRY ROAD
"i._-_'""" '_U.I.IDI"I E'
RIVER FALLS, WI 54022
Property lMo
Property Address CTH Is _
Legal Dersomeron SE NW 5
34 T 28
N R 18 M1
Township Knnecklnmc
Caunty
St Omer
Subderswn Name NA
Lot Number 4 Black Number NA CSW 1246
PIlD Number 022-1088-50-000
Plan Tamaceon No
_e ,..
pegeI IndexanUOge
Page
Tankcrossseopors
Paget Data entry
Page 10
Plot plan
Page GeoMat mound drawings
No 11
Son teat
Page Laleal and dose tank
Page 12
Page 5 DneribNwn career
Page 13
Page 6 System maintenance specifications
Page 14
Map
Page] Management and comigenR plan
Page Pump curve and specR¢atens
MARY DO HUPPERT License Number 185"07
Date „R�Ifl9r0,„.. , PI Number 715425-1715
Roger of Wisconsin Approva151amp,
Same
MP¢uPreuy 19DNgNW 1end Ccp7m Mnnu(EMIm 1, 2017.(N 4M7).
SSW
IV ofrumsajor Netwmka for ST-SAS(01181) and
mare cornets,
�InueVn, or
20 SB0-0OSH&P R 01N1, R 10112)
Escape Is EOltmn 1, 201 III Pape 1 of 14
PewMnam---WCugpIPYt CNII lm (N
r gePrulcw oka4i welmanl'1 mro CYpanYCY lapin nem+laalU
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Manufacturer Information
TroaumltTlilo.;
emuem rur.rlmor.�.nnn
ll
4�Mmulemuler
PolYlax
Wake, C PrWua��. n;a'Y
a
5x
FIMr MapMNunNt
Ww Talklrimmakii Call anennm Cali l ommnell
W NU Tank(kii torn oul Tank Cw.nh torn
zz ze Dina Tank vmm. nn1 worry Wm Caganai
wmrfunak:mkkx.lrc_,_, a Pon of loft n W WeTnJnAAmel
RgeS 14NMLL V 6 WCiiR CUM inkfa 1.
Mound Plan View
1110
K
g
0"
Mound Component Dimensions
Iona ,. p
e.renaldn mach
A 660H E 9121n I f00H K 862%
8 fi000in F 1450 in 101]% L ]]03ft
D 6001n G 050H J SB2fl W Y150it
30000 (H�Ospersel Gellhrea 100000 (ft)Paeel Rree Nvalable
1000(gptl/%) Lnear Loadmij Rate 6001%i 11108 Obs Plpp ancient
]E'ASiM Obser Eon Pipe C335antl as Geo a
rpretl for Gas Mal nislnbu[wn Cell
mmponenl 6 Caesars +12 tunas G:
10171
Rm&h Gntl
10059
Lateral m Elevation
Cl fil l
Fxz
8850
OscersIslas
al CNl :4
9ope 40
rzta
Contour Elewtwn 9900
IIed Nee
in ,77
maln
la I'll
In s in sail
Shading Key—"x
I
T oil Cap
30
Subsoil Cep
]
Al C 33 sand (F)
4
a d (a)
s 0
1 "yoa.ar
waa
6 0
Goa
See aHea¢ On page 4 for hums saie.
Mapacns mdi
PmleaC
RgNDHLLPBnONNER G11O0
Pape 3ofW
Gmwxon LaronlL ut 0� nm
xpmm,muM,Mp -jgp,
a".._. no,mmoakm.M, of»k
wmamm.slrLL
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Plane MWelNunm, PBTmKKEK
Pump ManuMLn, l�ds
MM
Pump MMtl Nu m R"
PumpMM0.Fr Op in ]O a1111W
Na4 Ss,Ntea Im"I ""mry'my nm M urf mMa ayakm
p,ap¢ pus N Pays y pacito Pgaa au
_ 66oMHgaMlblbn CeRMMNlayout
®Col wum l6l 0S Id..110 tm.d IN
Distribution Coll Crave apcbon Amanpemmtl
p.evvm ulnm L.._I
� up Entlwun ����� areaeun uuul
BapMFu mwmn win appwrq ggaaila la6nma um I6e Pais pMua approval
Dbitlbutlon Call Plan Vlsw Lryaut-Typical
BSOCan Vume �Aou WOpp G LanBP-B(A)
EW
w� n-wo-y-
Typical Disparsaleell
uvd
—36a6�aimn paTaa ""� 6'—S'ldlnu ate^'^+
LLL••••^� 10 Topsoil Cap
4
a"" ; Subsoil Cap
\0 ASTM
C 33 sand(s)
4C 33 sand (D)
+�Ja.iLi�If 3 TIIISNl1Vsr
ad
INma=cAu➢ wv
li4N LasllfJ.
pmw nal.D P ewwaca Cwni�esw•tla�atl� pesv5alI4
5wleeB
BnJ OndntldnSwciXraYds
ri
oni Phollskill Nam OAR RE LLS So TIC
POWTS Rp
plp,y
]t6dZi1ot5
MUM
- _
e1Ma Nam 5 C C , SPIA
Z g O1@e
_ ._J
PMna
Poagn Ed, - Peak
�gM Menmum lnlluenl PeN`2 Stre 30 n
Ei4makJibugo -
Ranged Talk Lpealy l py MetlmunlSS N mp'L
Sol Abwpinn Compen S® Sol ,Y MpfivaFO6 10 nql
Ty}pol Waflewah, Opryepc Mutual FOl(poll 104
cruet ML
�ra+aamri%�
Soon and Pump Tani
deal Fael
Pump end commas
here
P,eaw,a system
udh"
, Edervau'Plwe ere mnud and numblea wnM,m lO Table SPSSW]DL Iuoe 6 wadNanl drop and arc aecaled In as
appear In Ne Synergy Systems GeMlel Mound Component Manuel Vwslon1 W17
Z Oupersal call media tddMms to Cri pmduvYa employer to, use wlln the Synergy e}alema(yeal MWM COmtynear
Manual Vennn1, 0011 Media lS mwrtE Mn an approved 0o'+le[Ib loom
S Au glory aM pressure area merely, mnli IO the iapuirements in SPS ZN, We Oba CWe
A Trued of lea Merl area a axvmpdvneo wa a moo OoaN per tll phw
s T undsl,,mi and Omer dluhato areas wm be endedmepgd drnenl eM ad Me a'osmM mote added
dyed oFoal
wrkevM
Link m.up oMll
68 diameter makid Threaded Cledishout
.alunspri all Plus or Ban ver
B�.w.N.wldwl.a +ram
Lore Seeks N oR Two
e5 Degi Bends Yme
0lal aaanraI
'0.:�;�a.,";G,a + Lateral C1pMmo
ZSFred
Product MNWLLP &WONNEIT COON PqP 6 of 14
Mound Sloahm Management Plan
P Mww S" ]6]3a. WW. Cod,
u.,ee
am Rv��.rvvr sre«mm�eiL�Mam.:iMwb 6anw M�6elNn eoapm.n.n m.mo.namemwe.« Mn. am� m
910.101hY1H OIp1)eM 99Wl.IP PIplkelbn B61%21IIaM bcN pr Mb nW ryPeiMnpna eMemmelnleNnn eM mvinbnew
6epM W pumpmnFAnEonmenl wtlGm xmNewe Mn 6P9 ]B] ]] Wn Mm Ceee wMn 1M4nFaare no bryer
u Such, I, pass MR!, mn®ub ewn, aveea Mm and wwn NwW He wsMtl for Inner Whims eM wrbneu PveucgnLge
ueM brwM®aM esuvmenl enelluerlpvabnipM uponfMcpmpktlan olwrvlu Mye nkvewrreOumwM,4 mod
.wMo, smwen.� roen,mB�..brmwa:m,.. F,egm.br.MnMwwmevwMfwla. mnB
a.ew,n pn.«,Ima�nuio re.Inpruw.mry �no.bM..«mwwm
at Two
new any on He mrs of the
MR 113 use Ads, bM,. rM ap.m,wmmn,am..w�bM.q mm`".rw.wwM
The batch Or up dearoys as n�us" ensure mwr Ina m nrgBe dw ,.,ews.MwP
a.gdbpea.ehe
HerMall M«,e«d d F. came id.m ... d or .... r Informal nw, egm,e may e«e..d. four re m,w la usn"Mu,
me a sludge and scum In the OF e,e<rae TO the ba
mro..eattheOn.GOFronnameee.eneM, me,m.eeawwnann.l.n.ua olM o..>,I., to
bnFn toM4,u.mmm'�eadm„._.o ysee
InMnheal ofa mour or nm,no mmetoamNamanmvMeemramand bueBa.,,nwl true flare
m�wgm. nnl,wwme xa,rwr, xd..n pr«M
enUsed they : an be appmndfor .epprFour use evthe wi. >"mo.p�nm.m me.mmwn
They rem.mplbank _ ryp,onppor
O..a.bw".a",rr.�. wwr.aw«... e.wy. �.ew nan a
MwMaM Pnv.n du
Truffinothefur
�elp
W abb6a Pb'Me an gnM1pfmry
,roawrybpeem Me secured 4 net wmancer pwgedone
Mound a,vlm
f Pormusfmn LddxeNnvnot, III mm lCtleEee Feemaryldebate that me
e,My mukMahoul mHAI of
Na m0 fria.pbm or p,looM, may naeeum]IAmWL 1fW mglL i66 a FOR
lFOG yhas w mayor
M MITI flow
mryM1ed In,he ngM1T66 IOm9M1 FOG em 10`eNn00 ml lrc Mgnly,mnM emuenl m0unl li y eveef muLnumaeagn Aon
se'dre
parmind My the
The pyl
�nl mn.�.emKuueunmke.l.�,im no�nm�wg enn..W�,enpanamn.en' w:"unu ied 0 should be wrWMO Otwo :uioon
In, MIP
r.dbor :m°nnnee mN Me Wm May mrof any
Mab aeow4 mo,a,,ar w Mmwrs;Iwal uemriroe ffm mpban*p
CaW,en... wan
11 Han w ,l m„wnr.<e Mmme Mb Me fare or wmw+ Me ION rm.w a,wM«a m May me wewnn
ny..n
forenme pu
Iran MqM,. mmwwMbf dMe fly,
d..,mr�.n.a wp�ee«m
non. smtin: �Me...wn.a MBmeneec.,B..ndwel.r pfroBma*e.m«.e+nBxroa
npM'xnnen argn ve,ryuirycwavee ane.Minn ,
s«PM nkiee pofma,.w rwgaw wn«mpwem.,aMmea w«wnmdMo,n..rebm wm p,operweren,M panma n°'
ug.eamgq.nmr,M n.,.e.ne bbpM,,.name.,avasi.wi vowrs,wamnr.ne wnw pra�Mr
PMjW MNDNLLP &1NONNER CUDD Page I Of 14
WLP1200/800—MR
TANK SPECIFICATIONS
DwEx wAu r
P
BOTTOM r
COVER,B
MAWT ]Y' ID. WECRsi Cd1lAEiE WW
HEIGHT B.S.
1
p
.' CAST -A -SEAL I41 .' OAST-n-seu 9ELUw M i' BE, UGLID into .W
IIII II YtWi BOTTOM 1z0 nc Dins wXW ai» ins
WET CATEP 4'S
. g1 SCn EW.0
GASKETCAS $EALUL BNI W EWN
WET
WETER D° \ IIII II AND WnEi aAE Ax0 PYTEW a
I I DAfETE .AS SN. EWSEE WTAL no i
Hill( (DrNW STATES sn cmABn(
---__— uWIDCAPAOTNM."GALLAN(sETW) W�
LOADING DESON 0' 0' UNSANRATED m1 W D
�•
TOP mE1Y
Y
TANK CAN USED AS
% nTIc/YPTIC, SEPTC/PUYP m a
a sDESINsvNW WoR
� 8 `4VENT wWYi:K oma Ae SM Fle N: R
CESVIP(91.4L MW) 4+�v
-- — __ WS �T PFOATOW TA CONTACT WESER II
WnET
a II
M1F' vuw PAD DRAWING�STrSUBMITTED M1
ypE�EW FOR APPROVAL
ECT ro
MUS AAE Y.WUinGlUldp TO YEET a EXCEED Asn C-1 I / m IaPMSYWTs /°f I
Plot Plan rae ioa Y
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
O kWERSHIP CERTIFICATION FORM
Randall P. & Yvonne R. Cudd
Mailing Address 929 Quarry Rd (� ,../I
Proper Address 12 3$ G-, ] 1� D / r 1
rvmae.u^n regnrred R^m m,mnp,e�np Dewnm.:o, m. commuct
COD/Sue River Falls, WI Parcel Identification Nmmbe( Pending 022-1099-50-000
LEGAL DESCRIPTION
Property Location SE A NW A Sec 34 ,T 28 NR1a w. Town of Kinnickinnic
Subdivision Plat Lot &
Cemmea Survey Map x Pending III 7Z32. .volume 36 ,Paged 9966,
Warrant' Dcmx 613070 (be6ne Yool)volume NiLl ,Pager Ili
SPIL home OyeeaO Lot IInes remove It OyooRD
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use M=,m[n..cc of on r,or,, yoc, mote Troth mnr premmure larbre to handle wu,es Amer
moot WmpinB eah Wesspl¢nnR evep hbee¢anrcsoonec,(neMed. bye LctmtE rymp[r WIM)OLL"iill
tile III nom affW the funmm ofmc sector MILat a teretment Mo m the maw, disposal soared Ownermannamw e
mWS'u lmesares LrledingSPS I9333tpandmChaterIYSI Cmia Cnunla Saniten ON ce
Tire mcpeny owntraprees TO urma to, St Cmu County Plannmp @ Zu^m0 Otpanmem a ctnifmaun farm, mottled by me
and q-ameserlent 1%r,lOun¢yman Locations
utter aonsviod And Pumping
hhnnt the
septic
Ono ¢13 At of
f sludge lmnPeropemuo8 mndninu and/or(.I ullcnnsPetuun old Pumping ll(immuazyl. tht aeptit tank is
Itet tben I IJ full o(sludgt
yme the undersigned have rend me above requirements and agree to moment the To sewage disposal system mhh the
mndards actlMh herein, it en by the Cepanment of Softly And PmRsoo oal 5ervmn mid the DOmm meat o'Nmural Resourta
Surenfwtuonem Cmmntim, swung WgOvsgtt enter has Men mamiamed mat N ta,tplam mid returned to The St ern
Cowry Phmm&A L•rrhrng DePanme^h wMrn i0 cats o(hM Jrree )ev etprrvron da¢
I've¢mfy mat ell chamlenu tin tM1u fart are rrvt on tit, best fmom, kmwRdga I. wvamrereNt...nal of the
propose confided above, q vmue Ora %mmanly deed rKI in Register of Deeds Office
Nina 4
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SIGNATURE OF APPL CANT(S) DA'FF,
... Any n umauon that Is MdwPmwVMr am) milik in the annoan permn Mmg reviled by the Planning 6 2anmg Department •••
IntluM nub this ifficanm a reeaded IWTWr deed from the Reams, of CnWe OPite.nd a copy of the contract solve. map rf
mmmce I$ made in the Warnmy, dead.
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House information -1325 East Division Street
All m mumments are opproa+mme. �(� ppl�
1325 Fast Division Street, about 9ge square feet luring space over basement RLgtViEMED
lame main Anne limEmoms(all amm cinseb, londwooa noon: OCT 092020
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• 3W square loot attacheel garage
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PLOT PLAN Page 3 of 3
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10-18-01
715-425-0165
220254
01.z6F 8QC
CST
Signature
Bete
Telephone We.
CST ga.
Job 90.