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HomeMy WebLinkAbout008-2015-16-000sneryene eumlrq olrelm mmewe PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) y sI Croix SandaryPax No 631208 Ann to No pmrleemayeeuam wressn6rry W P mm eelPrna w(1)(r,II PoxxxtT manyw City Cottages LLC Hickory Homes CTyyL Ilpe TOWN OF EAU GALLE Parcel TaxN P n 008-2015-16-000 eM ere.lanqn eM s.. ,annamon pnaro.nM.M.M�1928.16.592 In. TANK INFORMATION ELEVATION DATA TWE MANUFACTURER CAPACOY STATION BB HI FS ELEV Septic B,,h x gAtl AM ]elelMn BIM Swwr Htleirq SNIT InIM TANK SETBACK INFORMATION Siml Oul.i TANK TO PA WELL BLBO. nAn, load, In S wk DtSoMm IXmy rMen Lot P" Hepre ex Snr+T PUMPJWPHON INFORMATION mreae Mo'no,o x Daddario GRIM slCwer m syntax Reoe TON n .wa SOIL UNIT I OISTSIBMTN)N SYSTEM SOIL COVER msotems OnM n Mouna 01AG1eae snlame Onlr pmN uer .,Lu..i.nvd, d1 ON, .nmEe,e, ��N. nr.Nn COMMENTS. Hamm meeimrewone.. reaona pnaeol, anal Location 2124 215TAVE 1)M BM Oempllm= 2)BMp ce of door - apanclor, I InegWn 02 Pan Indian Use oiex amp Required? eeellmnx nkimetim No epaNmwanI 0e1i �) 7,a6 —Uun B ' � a omam sarob anion u _ e/K SmvyPeuixmtvlmeefiDamgfel [g.L020 Aw °x 7162 pIW WaLvpmnA OS75 MoriW DJIW-,IBi L31 zo8 " as amtary Permit Ap Icatwn I Bm0 m In ma..xm[h IN In 9fll. wu �n Cva2 b.1m mm nr wW III,anunm ate„ m.,mmom.aw .„p�m.a .. Z ov p,wNiu l m� wBIN WmaI �maxmma.mmw W pim® of5.6ryW hukaionilSmv. PmorL info,moron Yau pcvWevaYM"nI r^r,awtlery m. Z/zy Z/E wF Pill Prior All 11FIrrooff" pG'l c10,11- X/c c'egx '0rE ©e8_ze _ec p,.P 1. �•�i Pmxm °Twn�(2B 16. Sq2 z+� w_ �i.LJ.,<^� smaw cn.sm. "Cm. x,mx, D tN U r SYo/ T 4? N aA�E n. >pwBommeln•n.n,en.pply) ° / -I-� �I m$lmiy Mamry-XwDva(Beamv,� �w/a�_px_ u/6-I✓/jGRF3 1c r M1 ❑smm nma-�,Hb. u,. ❑ VoOp = gromarFdc Sae C x,mbe zpu� IILType of PermM1 1 Deekavly ove b°i o°Ibe A. C°mplev LveBReppLUDIQ �Nn SI ❑B.pbro"S,,um ❑ TmnmuxdYry i•nk pvp4mav li ❑Oh, M.4! 'mmfwNogW°m(.BIW) �m.F,pbmm ❑Pmmupnum ❑Q.n.w%ma. ❑p.mn».mnmN.w 4.d °e-15 °i" 5 L Iv. rae orPOWiss IIWCum n w.aa cama.n nor. •S" 'pr - ..%mma„sa~wma p,m,wma m-�wa ❑ Awma. ❑ Mnw_ wmw. ❑ x.❑ Mmnuewnw IXrm(vRIJn)]• o0ub U6Wml CenpwugvmlM) ❑NWamapW o p VD.I.I117. 6,AnJ.nm." F'o(O'd) eup. s.YAronmmp�,W�,D ✓ D„aW Nmpequv U'wmrvn ,O s uen FM.um 5` �j ,5Do i7 �z71 ee ,7�' vl.rw,lw CSunm rw a.om. I It�1 ge5')' (a F o r; f x 5 $ rw pa.n*.a. c93gy sD K' Vfl Pep.evWLry Buleme.l-4,Muv°enlp,A.vvr rnryWNYtl T•I JOWIa,WwvauaunuMJ •(Mlnl %umW14' MI,MIMNmLm Wrm lLa Xolc ZzL 97 7/.Sz7 ,Y m rsma a.sm..ap�I - •-J t VIu cn.n AD . Only Appnral ❑OuppwN fl F11 S65o.p° W,,SA q amma.m am,mn,Dmw 1'C Z1 IX CovNJou ofAprOnMaw°rtor OWpprova3 1 .ywr Ce11 p. Jkc q 11"IIb1a1VM all Si'SiEMOANFx -y/malmal�a PS�f Lvtis s46. 5+..L+J a•.d �'Lyj ei pp osil�. �{O` aEritlsA Dvpwmbu 'k.+. Ina ) 2 All ae P'0 P°h °F s�f'Im+ gl�Dw•d in droina3< rTSnw.n,�D) SBPbl98 (R 11/11) cor � x Z� «/\ \�=�� mmm Octubm Iq 2020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES 201 Pan Revues: PWTS-1020024794 RYg6 GARY BECI IEL 779 Sprint' Creek RD S 0.M Wing MN Ams SITE: Hickory Homn(Bill lemon) 2I2121 AT AN Be1dxm, µI qF 102 Tour of EAU GAL LE St Come County Total Amount $25000 FOR: bituminous, 600 (;Pa ManlMmn RpryuM NIV1910N OF NBPSERVICES 2331 SANLLUIS PL GREEN Mul Through Relay No hingur Hm plot mroMnMse.ol x wax Meamm Any Tony Ewn-Oowmor Dean Dead -BaerW Conditionally APPROVED DEPT, OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mwnd Cumpunet Menutl - in 2 A SBD.I W91-P (Ndol RINI2) Pressure Uslnbulton(MNMHIMM" All 20, SBD-10e0l try 01101, R I012) The udmmal dmGrmd slime has Men owns ed for cmformance num applicable WIsconsln Admlment(Nes AM WrIll.in Nutunk, Thembmimlhmbnn CONDI)IONALLYAPPROVII) TMeryflemutoM wuclW told ]or macwNanu wuhthe "cleared mprnvd Plans and with Any cumfork minumas) refinenCW abme Iheowner ss defimcm mount 10101110). Wnwwn tonal a mite me Or mmphmae whin all cWe reconvenes No person may engage In or work at plumbmilm the •rare rani... L mm of to do su by the Depanmem pre s Ia5 06 Ends The 611awmg conditions shall honct dnngu .or.... m Innalloll..n.md pnI I Io a mpnn a oI me t rn, n.",Ihire uniu it .. n. he 1. . prv,nrw. rr...n rem b. d.r.b iud inu.Ih4 b in.. d..eru oIIt b.Inr I n.In ..u.n....an..Iun L uLLmue ruuu O, I No wn iiuI.n.rl rballbrl•m P.nh it npnv do l nl..I I r n l u II, . 4' • Any tall gnssn. leaves and shortly shall be mt short endremoved poor to ruling The surface for endialon to prevokint making under the hall nee. Pies, to com4ucion of the dnpenal array check the mohin" content of the set to a depth of 8 inches Smearing and compe Cods of wet soil will result In reducing the mlBtratton opacity of the All Pmper loll mmslurt.omen can he determined by rolling a w11 nmpue batmen the hands If It nulls Into a Ia- mob wtro, GmpeM Owner Wckory Homes (Bill Jensen) Site Address 212421ST AVE, Sallied WI 54002 7:1974 A Conditionally Pape: 2 Site Man APPREWEED Page 3 Management Plan SSIONAL PGge 4 Management Plan SFRVICFS Page' S System Design Summary DIVISION OF INDUSTRY SERVICES one. 6 Mound Design Worksheet Page: 7 Mound Design Workshee[ A44"I pi 8 Mound Design Worksheet Pa4e' 9 Pressure Distribution Design Page: 10 Pressure Distribution Design SEE CORRE PONDENCE Page: 11 Pump Design 1mulwegr kSCON�.,, Page: 12 Dose Tank �. Pa4e: 13 Tank Specifications * RYAN B 2L Page' 14 Mound Material Estimates 63- D-23fi3-0 2 REB W NG Pape 15 Sod Test ' MN Page: 16 Soil Test 51CNE�c°"`` Page. 17 Soil Test IrIN111110110 Component Manuals. 580 IN91 P Meund (N 01/01, R 10112) SBD-10706-P Nessure Distillation of 01 /01. R le/ III Designer signature- -� Date 10IV2020 sMw. o a.+, F44 ADVANCED I ae�ree. 'tee-.tee-o- Management Plan Tno managameygen sea memrecanaac'sI.......sky masi'Cry yen, pwmr rocky test IsCid be naday� ltronwneraawenbd,d P 'cache trelepnea c, we socry, see "apiIt,,ickIymark, a Keep this Ma'lapemant Plan wlln your Septic system Officals code a Keep moms of all pumping records maintenance activities and repair Involves wnn this document a Ravi" this document with your mancerenw professional at each wsn, discuss any changes In product use, acirvbes, or water -use appliances Management Fmquency My all needs to be aeMuea Destroy uyunea Ftwe cy Check every 36 molth, every 36 rocal sections' l 6wY my hives gCheck every 36 Mords, De61 n Pwa et B slam B eGaiGmm,a Number Of Bedrooms a Septic Tank Manufacturer wlew Design FlOw(91 _ %U Seped Tank Capacity 1200 Soil Lodi Rate lgpdgt°) _ Da EMuent Filter Manufacturer Standard Efllirenl QuaLy, ETc ent 1 B Model east GFAO -9daMrn orypen known liwol i30 mea Pump Tack flnufacturx _ w Tcan«an l suw.a sands loss) m IN p'1 Pump Tank Contacts O en soar 30 myl Pump Manufactures Treakd Effluent Duality &Model Par lnatalke 8,1k al Ornen 0.menn ledp) mi DulpeRBICBIIType Tied limestone eam(T5m me Mound Fen OIM calve, (FOG) - MV Pretreatment Una Description xP Maz Effluent Paficla 5¢e my 1m - Repsn leaks pmmpMy Regularly Check for all or sce,gy, sal amuck your soul tmaamnlema Contact fervrcepmvMaref issues anse Connrl bmmwlry myself(gophers. Innovates, w) p N*s I. hechas .immvmoaMsaMOIM.rmTicnn f�tmm also Pbmu -Corlett your semce goAssonml X any slam spMls Lml Frlbn Chock brlrntbulbupaMdoan when connection, ayordGalnaveme .eena.MrwasnlM macMM Emuesl re".laswce ens Dean by to ar'so Iat a Cape -Make aua IMI ell Caps BMWs en mmttalMln pba smayn brmmegW Mqa often Fox or mpleoe ArcticChecksbape6oambmuenl hime m all system Recommend If threat s6oub be conic' Pump OR memo; every 36 months at mmmum t Mink cast and oullel comes he appeabbl (Il applicable) event munrerhbpsea Nine maker and evaluate water nh succvmea to system a fin saw elemental orpen and emwrl b mP min M1M Inepcaon polls art npp aMtheacl. e IwlaowMr with list of mithow ant aasrcf and any saw MAINTENANCE INSTRUCTIONS Inspercons of tans and didderandexz shall tor made by an epplopnner licensed individual or business TankInapeahns muct include a visual mailer of the ankls)lo identify any runway or broken hardware identify any cracks or lkay, lire the volume of Combined all and awanye and to check for abackup or parmto of offs lon the Ground on Access openings used for smnm and assessment shell be sealed "IeNBM upon component of xmu atlmlles Any unaou rkrdefxLve evade openings meal be repl.ptl immediately The tlupental wu6) shall be vnuauy inspected to cracks The effluent Lvw in the observation plea and 10 cheu Tar any pdndln0 of emuent on Me Blound surface PondmO of emuenl on The around suns¢ may Indicate a failing complain mM radfunk immediate enenbon der a licensed aepllc plufesonvl Tanks must be pumped when sludge accumulator Ia m0m R inches Of the bo0wn of the outlet beak,orw ever IM mnleyens mlhm Turned of the bottom of the outlet as In no delta Shall hall sludge and scum volume owpy greater man 25%onhe tanks liquid capacity The effluent May Mall be cleaned as necessary to eromm proper mmbon The inter should not be mmowo union ptovmmns are made to main aobea er the tank mat may slough on the filter during min vet It Me date Ice pupped who an ahem, Nat finer mall be aemxd dine alarms ante al rd mnunudush Immnerem filter alarms may indluro Sunni Malt or an announcing continuous arm Ito tment ampanamltshall be maintained and aam4d by aficened "pi Professional vaoNing to the manufacturers hommmewaepna START-UP B OPERATION Fdneamnsw wdoortosrstem acer.mn toetF epbUpump Tanks for too pexnm of counting products or other channels That mar Impede IM Mal process andror damps to dnwrxl 1 g high mnmn"bons am MIWed. have roam Wig MNa unit remove by a licensed and, prMan,ml Pon, to un $WmMst shefi flat occur Men I am Mason at tMmfillM wdae Bidding prower ma pump Tanks may Or above marmal high"ter levels for system All pump When porsk la reslped, me sate "Hle"rer nu be WSUerged to tiro asperulu one loge doe plemtalry reaulunB In ovenemrg Ileells IImayalw Meuhmbatltupa by alxfage oleauent To ewd Nude, atno n co Thee me mnanta M cue pprompump lank emoasa by a benxa asp o r to onsMs w hied a lteplle pmhelonel manua'h dux M system to alum Me pump IenX to romhl operaling bvNa poor W nstonrq fixer W as sae or Park veMye eve, any xpuC system wmounsnh Or rot drive"It Ole, 11 liflorrown, bnrmn or compact ope the are and' 15 Met comao1 any ri or at grade SY5N orSemlgary epuc sodium tire CONTINGENCYPLAN ITMesepbc Tank or artl of No mmponene become defificarre the Tankor comporwnteall be lmmedhhh reWeaw replaced aanraeq to IM original system design practical If a doom tons, pump pump coati alarms or relale fining incomes aeT ," May I be immedately rep.nq o, oplau t ouch mmpments of Me Tams o, pual wdmmanx If Me soil treatment mmponnl Moist accept "stmIer prai¢narge "ate"ter to the gmuna surface. I shall a repaired or replaced by, Increasing basal area fit toe leakage occurs), report the component at to secondary system sm a, remoslp and regaang molpuent Cogged absorption and anpmaal midi. and Imported piping ABANDONMENT If Me rime, system feria anchor n pemrmonnv Taken out of seine, Me arson shag a abandoned according to approved abandonment regulations me" include All piping to Tanks shall be dncomede and abandoned pipe openings xtlea The mmenb mall tanks shag Me removed and disposed of by a licensed septic profemonvl. Tanks shall e wined a Fdlee, or ramoved -A septic system abanaonmmt notification shall be submitted to the appropriate mad goxmmanto unit WARN/NGII SEPTIC, PUMP, AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AN WOR INSUFFICIENT OXYGEN W NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER ANY CIRCUMSTANCES Di MAY RESULT RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ALWAYS CONSULT A LICENSED SEPTIC PROFESSIONAL BEFORE WING ANY WORK Mound Design Worksheet SYSTEM SIZING Parcel 10 0082015-I64V Design Flow !W GPO Sort Leading Rage 0 tl GPD/R' M1gM to traditiontraditionI B k � Percent land! 51 ©e 0 Design MMU Leading Rite 1.0 GPOlie DISPERS.LL MEDIA SIZING Pipervl Be] Area (A a 01- Oasrgn flow a pm4n N¢qa luadn9 Rafe BOB GPO 1 0 GPD/fe - BOB It? If a larger dlspervl media area is Eesiree, enter Rze: fe A Select Dispeoal Red Wmtn (A) to D n 4nf ertmd rof"I Wrear Wading Rate = Bed Width X Design earth Wading Rate 10 it 1.0 GPD/rP 100 gape ¢nrnreedrvvsr B. Minimum Mspersal Bed Length (B) • 0isperia( Bed nfea I Bad Width SAID fP t 100 it 6G0 R DISTRIBUTION MEDIA ROCK Rock NMa Depth Bebw OlsinMlm Plce 0W It I¢MmRdmot nth Madrid•wwr 01STRIIXRNNI MEDIA APPROVED TREATMENT Phi CHAMBERS AND EZELOW l 1, select caspersal Media IL En1n the Component iengin R Width R CepN R iii Number o1 Campxients Pn Row- Bed length t CwnprenL IerpN (Rwq rql it ft wnparen4M mw W Attualbed Length. Number of Canpvrenp Per npr x Compmnt Length perrow x R - ft r Number a Rows. Bed Width - Component Width Ra It- n0,,$ .WKr.Mmmmehler as N Tatal Numbs 0Cempmerrts- Compments Per Raw X Number of Rows - Cwnpments Pape D fill RryM Below UIssINe EEge (D) - 3 feet Depth b Iimlerry CoMOm I6 Mn 1 30 it 1 B it - 13 n CeugliaRJHrtlWaoroIC In E Fit[ Depth Below PovmLoDe Edge (E) - [Bea WIEN x Land Lope, 100] .'0' 100 it 80 '%.100. 15M In- 24.6 In F DlstrilwUon Cell Depth (F)-8". Mrsinal pipe size of EI:MWUm lateral (r3'Myymwepmeo) 8,00 in .125 in- 925 n IeYxnial llRSuequWmreMMa Jae11 G Cover Maunal RyN at CNl HIM(G). 6C0 in lea nnl H Comer Natenal Depq at CNl Cei(H) 1200 in Iaa Wn3 I Wwnslope Width (1)-(EIF.G)x(M1onzontal gracient) is Downsloa Ccmection Factor 3 32 It x 3 CO x 1 32 - 13 11 it Or 15 it J Uisaxim Width (3)-(DIF.G)x(IWnzantal graOent) x Upslcpe Correctness Fau 2 52 It a 3 CO It x 081 It - 610 It DOwnslope Cwrectwn Fxtp 1 32 Upslope Ccrttttwn Factor: 081 En lsepe 1pnuntal GraElent 3 00 lwalN 3 owa 0) H Endslape Width (H)`[IO•E)- 21' F H x Endi%nzontal Gradient 39 fa n.2• 925 In 12.[O . 12x 30 it 103 It L. AWnitl LergMlL) ° EMdcce Berm'MdN • &d leng[II . EMYOR Berm WIdtM1 103 It M.0 It 103 R SO It W AWnd Width (W)-De+'robpeBanner Wldtn. Bed Wift Upslgse Berm WIdM 15.0 It • 100 R. 6.1 R - 311 it Vcthanth n of Mlnlmun "Wind! Basal Ani n51 Ns=Bxf<•I) WHWUM= 1500 his WA, •vO rtuLq Wel WD it 100 1t I50 it) I ry' "Lawl SIW$-5xW MIN MOM Its xln -cvoanmq du) - It x it 1i2 Piz Pump Selection (otn na•�a�ro vn+nm�a u.wm a. n.1r .,10n u.GPM (10rsn..i "DO GPM MTJJL wM.wc HELLO RCM) Ent Nant 14 it Latmain FLIL La,` FMMn I=in ninM hIm,m ILL If ratmWn not Tani ei x Foonert Lt.9m .m fonNo .m tot .into III I It W It dda...i aai daiiw.. W rant to t In rmu p snag 3 sx u augiY P R Maf U la tnnq be �I M 9M it soianVn Rrpm n35�Fµ�wlm[Fpe ungY� u< Ewtnm manned. w.tnertn itaa bu n tockht Maid Lw. ror.wmn rrIt w. iwl otmnit xxa ROXI it TM W W SELERpM 40.0 GIG It I 1,011row, 26.8 TDI Got Canoe onto It Mott to to, "I Moi ILI to TANK SPECIFICATIONS • Mum-5Inches, maximum Is feet lunlei ptt'Ified by manufacturer) •All man ADD m ,hilleaend4nches a Dole II No l greEes • If tank o within 2 feet of Onal pride, mar l aN the find to an PNalue a 10 • soli Elxonnect(Gm Lock) reachable from final trade(24 inches max) required for pump installations • If mr,II wdl haw aHook' asaembi drill a weep Into In the hock' • wdiiry sswer No 90'i, keep 3 feet betI45's, mamom t Inch on efm (l%) abce. wroll rl amuu at building connesprom and even IN feet I , minimum • Insulate III New erdtoss man 2 feet from final grade and under all Drill francs a rear driveways elcl I DIII 96 DO q �w� .a::.m.� o..e:'/a�r. _ �u ff00 WLp1200/900—Ma TANK SPECFCAPONS orrms t Poor, r:.01 ..a INAMI• c.s1 cmusn a. Imem 'woo Pal M DID c.al-. xm awl Par •p �ro HALT AND CI &�. Zza _ cw a D III ?s No u2 enw �af.. cr.a _ l�.N .rww aaa e n r.uv.mn WIN g All wal it I aoLam arm parts Par lilm 11 hwo �I ru auw rw AN DurItm Pmwrt opAFgeks sugNlnen 5 � oa AvvpowL R i v.pe a Mound Materials Estimate u�ml 1 12X o It x pwtr2p nu1H`mu mewaa n 20 4Hn ve vex pr.an•mxmelory 204 H'x 11 Zfi 5p' en.aw wmm [u.yu,med,tem.oeawmns vwu+e.nlmcleove, Seeded 4wa•arwsl rd[NntvaN¢,aenu rv. u.Inni .n �m...e.-e. Side e.agl relun wn wuw awyv .v.fuHh . No Wedth xtra Length. Cox INS uwye wlmrc IW+4p ord NIgnt .lp.y...um. eeetmgml. 2.oluele0 •v IP Mrnta vwmve m hmtn}nY a. mvlM If 1.1 A1Yge wWm mxvuv .va"I t I S I W MNhNero tut^ 13 0 fk x 10IS x Ica It V, 0 µO roelf cbmbm SWIM ✓NV, M.,e. WwNlge vdum. EtlWpe WI r No SIP. 2. e,= Drove, plr fl,6dr Ne 1 n .p` x mlh.mnwmmryINS Ix W c To d v 1YII1L Danemlm&A Cover volume lggngm ealaryN%WNxneneTcerwllM erl Dn.mhgea.m[vrc.voune mmNupbrml hxDgN llej mo I 1`,rm[mrvd.r,e Ippe Mm.Imghx Mlhs Rpu111 o ttx Dmoge NM Cove. VINIS, rSdI6,; —LLml ver lli"Il xlryxmol uroett e E rLp la n¢mumevm•Z1,34 2 go 1 n 1049ye` ICS q Or. 4 3 1150H' -ru.ms m.etarpvwuemg.r•Iml.et.n.l..m.e.. oaue•vatlweeapw Wv>emnmlly^ Pale 14 ,h W1n.Nnavm.ea SO(LFALWTION PORT P I y z *0 D"t, N.etw � •�m�um w5e m..tb.enemr�N� a�YM .ib ..aN+m.Samsu�.e.ttaueA...Ne iO0E.5F IM.npMIWM� o� �PeVM1 5« Colo art d "l -ML' ^•�14 �e5 PtRnM1he tTm KuuMY 16 IM SW N SE N 19 i zB N R P P P�apy(I.rNnMYpwfm NP619 �I6� Hn. a gcVVA M.vaq mm,mmmmmwo,M Nm P.lh WI 5pp]} '/n4 No.. owla 1pggyup Q Nwtalltl`n I.ba Psb0al MnmOntmr. 1M4 yyynpSynbM /50b600 ryq b� n ❑ a FOM�rmt.wyw •xOEmN✓L.lf>Nl. 5y.Y81mY M'.Y t�.'iF -- � d �> azAl,< lAt �i 0em,. O..•a K p .. GwvWww 1000M1 . hate FiVw :I n N.5 a h . v n=M .mtm. ft � e,.e.5 TOM I hs 1oyw5 h1 ]mml at m zt a .e ] Vll a nl ImAk mfi Ir 4 5 21M 7S 4 woM mfl 1 ab•V. <� 6i•V 100M pVeewV �• y � Hoom hM r aft m are. h.. o .v.d., N� m1 1 ov 1055Ki w 1m1e5 m zr e l 924 75pM4 1 On I w ] IM1 l ]4N1 ]SnW1 OmSnf h 16 •FlAran <050 >b<�„aE�ieeaR<tr •E'evSR=BM •LnpLatl RB<b IYte M1r�n•tl WN. CTNnb IIm.SC Nehm ETYI A9� Or EmI. H10-5tl R LyYeeH Y IlpE 50aa1. Nav RNImmL WI 10.5b 115�1b2416L Vp. 15 Pq ryd:. $ V"A "16 Ye1N pq, 3 d l ■ am���me©eo a��a®moo©moa o��aa���aam 08��®�ooO o P. is to a+ Star View Acres II 9M1 tm d •m cW +m oe 511HOGQ Lot o-mMPaouo I o' 16 821M�w m .>a xro.Ma MMaom 2 MM7 Pave n R II I_ L, gyPIIp4NIIINNUNl1 I• I r� ;d i aj0 1 �'Il I 1 1111 L,„I. i5f i �II"11�;�11111 �II1r'� @yi I VBVBpI�Ii I�lil�i; �3� NII11111111,1' t IIIUIININI; i ! ; niiaiiiu�' lil•1'lll6 liilluilil�l!JI pM � I�) i�u �uuslil��C N � H IC KOK) .._._.. *+ NOUSEFOUNDATION - it I _- _ ��� GARAGE FOUNDATION ----------------------------- -. FOUNDATION PUN 1 E --------------- = - G-- CZ) a T cc1 r f Z N yak ` - LOWER LEVEL FLOOR PLAN 1 - E IXONY _ L. L LL .x e^e LIK'� LEVEL FLOOR VIAN „MAIN .J sMEWS ST. CROIX COUN I'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OHTERSHIP CERTIFICATION FORM OaanerlRuyer Hickory Hom_ es Ma,lengnddrei 521 - 2nd Street - Hudson, W1 54016 Property Address ed - 0 r' , ✓t, y� (Ven(¢auon rtgmrNfmm Plamlln6 as III ling DePnmrcm for rcu mmo- on GlylSlmg _ III Identifiasnon Number _ (X28 - do/5 - /lo- ti LEGAL DESCRIPTION Properly Location XJd4f �iig-''.. Sec III T 7,-NmR�W. To" of Subdivision Plat. :3frcR- Llle A' Say � yy CerllDed Survey Map N AAte�..� �A Volume ,Paged__ Warranty Deeda AAALOC4-d Z4Q09` v(before 200))Volunic ,Paged___ $pecho mood®n I.or Lrss ltlmnfrable�gcaOno SYSTEM MAINTENANCE AND OWNER CERTIFICATION =IntcImprvperu aPumpittutt ya open [,raid rtaubmruartnumre byurtmhed levssrr tope yeah rap omen Jwpuuaa card,otomanars amn disMbsyste Gmc,;m, Whe `opal ,hcaya¢m n, l..,d a of la19352( wpt, auk ernreel ottoman stage oin the r Could disposal system Pn'a Inru mapnr,mb:ln¢ame apai6etlm35P5 _B]R(Ilund mCbapc lA3 CroaCu �myS Sonora O<d�m c Staten 'I he pmpeMlesper dances to xob:nn w A Omu Cbunry Planning Or Zmmiy Ilcpanride a mnlLcam, form, signed by the o and by a Street Plumber.loumeyman plumber Stammered pcror lumba licensed pumper ucrfymy that I I Site opens ram oA1,ys,e mpi and Anaenndmm oe and am pe[n end Pumping (If rcacssmyl. the Come tank is has hurt l' l full of,miti a IP¢ the wdephpned he" Mm the rbove rtgmrtmmra vN agree to mnnuhn do Prune sexage empri system %no the suni I fond, herein, ass, by the Ladmi of Safe[, AN Pvlessmnal See m[s MI Nc U[penri Of Vawnl Rrnurtµ Stauofelanrm fcntbtuo agtml^ar tkcyatemhr.b::nm. nmnPlasmas As lhpememmht 10d of rhred_ expiration date nMmmpletM vtJ men yWNe $t Chat P Iw snot that all o et upan thrs form art to tu[besmlm nor Anowbtlee 1'we amaretMowr¢rlsl afrhe mesy dc¢nb.N Move byvrtuge�ofsa wwi Jacd m,,rdlJm Reytner of ICOM; oRe Numbers of bedrooms q a v-XEOF SIG PURE V�it-OF APPLICANTS) DATE •• Any mfrmajohn dal Is m,areme¢ntM MY result m theafury human bong,CIA] by Ike Planning d parent Ihpa i •• Include with for appinre on a asud hN th wri from e Regis[, ofLM4a Office am a copy of the Coi m ui map f tu rtfa C a nudeIn the"SnAm, dad OXV (14IIE) nm c ggea�z STAR VIEW ACRES II _ IA {r.r o...�m..,..w,.w,.oww..wo.,.e..r.00w......=a.,M I� I. 0 2 AM _ EWE - s € - - l I'I 1 r t Tl y Am ito p OF THE 50111N 1/2 G1P \ \ of LOT 15 \ 1259 ACRES \G Iq,97,978 S0. 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