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HomeMy WebLinkAbout016-1037-10-100Wisconsin Department of Commerce County PRIVATE SEWAGE SYSTEM St. Croix Safetyand Building Division INSPECTION REPORT Sanitary Pennrt No GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No 633847 Personal information you provide may be used for secondary purposes [Privacy Law, s.15 04 (1)(m)I Permit Holders NameCity Village Township Parcel Tax No. Rihard Obermueller I TOWN OF GLENWOOD 1 016-1037-10-100 CST BM Elev. Insp. BM Elev BM Description Section/Town/Range/Map No: Inn I IINlf.: 1 > n iv- . /�I. , I 17.30.15.268B TANK INFORMATION I ' - ° ' r ELEVATION DATA TYPE MANUFACTURER S CAPACITY Septic Dosing F�ratl'n H ding TANK SETBACK INFORMATION ��nr1�c a iLn rls TANK TO P/L WELL BLDG. Vent to it Intake ROAD Septic 7 Lst IO 6 7106 ntt S Dosing 7 -2 1\ \ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer '- - - - Demand GPM Model Number TDH Lift L rnu Friction L ss Sy�t<^• u..-.+ Ft '61 e iII-.3 Forcemain LO Ih 1 Dia. A uist to \ We>( o SOIL ABSORP ION SYSTEM STATION BS .3 HI I FS ELEV. Ib Benchmark too Alt. BM A. ewer q •�3 / � 3S8 SLIM Inlet St/Ht Outlet Dt Inlet Dt Bottom (39 rr �J. 3S Header/Man 59� g7.3S Dist Pipe .°� C) Z a3 7 Bet System Final Grade St Cover r q 'LC 1 10 0 5' BEDTTRENCH DIMENSIONS Width Length 5k No. Of Tseaches ry Av O, V 1 PIT DIMENSIONS No OF Pits Inside Da Liquid Depth SETBACK INFORMATION SYSTEM TO P/LE JBLDt IWELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer T Of S tem' y 'I )(r Model Numberht DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size Ix Hole Spacing Vent to Air Intake 11 Pipets) % d I I I I It I Length Dia Length Dia Spacing D `5 SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only lhd M , tnftW✓ Depth Ove BedlTr Center A ' Depth Over xz Depth of �% n xx Seeded/Sodded xz Mulched ch q 'y BedrFrench Edges Topsotl 1 ]R' S ] No j Yes COMMENTS: (Include code discrepencles, persons present, etc.) Location: 2885 160TH AVE 1.) Alt BM Description =,' \I% 2.) Bldg sewer length - -amount of cover = 7111; Inspection #1: Inspection Q. �1�W $Ill�-A V* - (kMi� - ov OO Plan revision Required? Yes 1L /i No Use other side for additional Information. Date SBD-6710 (R 3197) rise ctors Signature Carl No CLAN A r% M Safety and Buildings Division County 14 �i(" `s�M e ��L 201 W. Washington Ave., P.O BOX 7162 Madison, WI Sanitary Permit Number (to be filled m by Co ) Ri 5370 1162='Zr 339`} ,\=r, p12o21 YS� fl llCat10 State Transaction Number L832�1(2r�\V,'�l In accordance with SPS�d®a mssion of thisform to th a ropnate govemmen unitU 2 %0 Project Address (if different than mailing address) is required prior to obtal n. Note Application forms for state-o bmitted to the Department of Safefessional Seines Personal information you prov a may be used r at) purposes in accordance with the Pnvacv Law, s 15 040)(m), Slats 1. Application Information -Please Print All Information Property Owner's Name (Fick, rd Parcel # 0/!a-0 37-(0 -/ 0 0 Property Owners Matting Address Property Location ? Fes A—i,— ,6-11— Govi Lot k( E' 1A, 1�i E gti Section 7 City, State Zip Code Phone Number s(v/ 3 ��`!,, (circleone T N; R E oW It. Type of Building (che all that apply) Lot # I or 2 Family Dwelling - Number of Bedrooms I Subdivision Name Block # ❑ Public/Commercial - Describe Use ❑ City of ❑ State Owned- Describe Use ❑ Village of CSM NumberrV. 30 / �qu 9 fown of §J�tftcuOvd III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Replacement System ❑ TreatmenUHoldmg Tank Replacement Only ❑Other Modification to Existing System (explain) R. ❑Perini[ Renewal ❑Permit Revision ❑ Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner f IV. Type of POWTS System/Component/Device: Check all that apply) r D Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade D Mound> 24 in of suitable sod Mound <24 N of sutable sod ❑ Holding Tank ❑ Other Dispersal Component (e lain) AN 11 Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Ap lication Race g sfj Dispersal Area Requir d (sf) Dispersal Area Pro sed (sf) System Elevation o0 0 .6 16" ups° VI. Tank Info Capactry in Total # of Manufacturer Gallons Gallons Units n U V `v New Tanks Es�snng Tanks O'�/(OL \• vi Septic or Holding Tank )ZCO (�iIF$e r- Dosing Chamber VII. Responsibility Statement- 1, the undersigne , assume responsibility for installation of the POWTS shown on the attached plain. Plumber's Now (Print) PI is Signa re MP/MPRS Number Business Phone Number rL_ 0 rS 2679�� Ifs 2�5-yii5 Plumber's Address (Street, City, State, Zip Code) 29y3 / CrL. OV.7,., Coun /De artment Use'Only sVIIII. �I. App roved - ❑ Disa d PermitFeeDate $ Issued 1 s g Agent Signatur ` ❑Owner en Reasor Denial V! i ✓��0 - IX. Conditions oVWprove nsfeBisepprova so-rl SYSTEM OWNS 1. Septic tank, effluent hoer and dispersal cell must be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained W t ' ittiS uy as Pe dppucduie cuuera;tWNktoHflApiete plans for the syste�nd su mit to the Coun U'h1) on paper not less than 81 c 11 inch® in sloe P CW6� e.t.a-�.►�w�.�,,.��. SBD-6398 (R. I1/11) CHECK BOX AS APPLICABLE CHECK BOX AS AOPUCABLE. ❑ SOIL EVALUATION D Scale: ao 40' BD ❑✓ SYSTEM PAGE 2 OF60 % SITE MAP PLOT PLAN PROJECT NAME: toB 600 ! ( 10' DESIGN FLOW: GPD 1�. LkAre) 0(urtn''f/tt✓ Attach design Bow calculations for commercial plans. PROJECT ADDRESS: Lqj $> tit 6 rkia I C, Grl.�cez�4'�y A' Pipe Matedal ! ASTM Standard (Tables 384.30-3 8 384.30-5) 100.0 I I Sanitary sewer. PVC j ASTM D3034 BM Symbol: BM Elevalbn: FT Force Main: PVC ASTM D2665 BM Desedpo n: Top of nail 30" pine tree 1.�a6ove grade Slope Gradlerrt % lndloatergMby IMPORTANT: ( ) 7 Well Symbol (BappYrable): Q drawlrt8 an anvx Show ground elevation contours at suitable intervals. of Tested Area: on the appropm. en. /a� o D s v 12Ef�soc 3 n I l� V V I ���'� ��1C0 V o wF,cnaTko, DIVISION OF INDUSTRY SERVICES �— \��•� 2331 SAN LUIS PL I� GREEN BAY WI 54304-5211 j II Contact Through Relay P http./ldsps.wi.gov/programsJmdustry-services r S www wsconsin.gov sp�o`'� Tony Evers -Governor Dawn Crim - Secretary June 16,2021 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2023-06-16 Plan Review: PWTS-062101302-C MICHAEL J MYERS 2943 130th Ave Glenwood City W154013 SITE: Richard Obermueller 2885 160th Ave Town of GLENWOOD St. Croix County Total Amount: $250.00 FOR: Description: 600 CPD (4 Bedrooms — Replacement) Maintenance Required Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual — Ver. 2.0, SBD-10691-P (N_01/01, R 10/12) Pressure Distribution Component Manual — Ver. 2.0, SBD-10706-P (N.01/01, R 10/12) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. proceed until it dries. Abandon Existing System per SPS 383.33 • Pump Floats to beset and verified per approved plan. Anv changes may result in pump resizin2 to meet TDH and GPM Specifications. Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Tank Installation to follow all manufacture's recommendations. Verify property line(s) prior to installation. • Well setbacks to meet chs. NR 811 & 812. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Trrhaanks,,�q / //�� � 1Z2 &,7a 67A o/11 POWTS Plan Reviewer— Wastewater Specialist Department of Safety & Professional Services I Division of Industry Services email: um van derleest(awisconvn.gov Cell: 608-516-6134 PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10691-P (N.01/01.. R. 10/12) & Version 2.0. SBD-10706-P (N.01/01. R. 10/12) Pg 1 of 6 Pg2of6 Pg3of6 Pg4of6 Pg5of6 Pg6of6 Index & Cover Page Plot Plan Mound Cross -Section & Plan View Distribution Network Specifications Pump Tank Specifications Management Plan Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): Richard Obermueller Owner Address: 2885 160th Ave, Glenwood City, WI Project Address: same Govt. Lot: NE 1/4 of NE Township: Town of Glenwood Project Parcel ID #: 016-1037-10-100 Phone: Zip: 54013 1 /4, Section 17 T 30 N-R 15 E ❑ or W ❑✓ County: St. Croix Designer Information Designer Name: Michael Myers Designer Address: 2943 130th Ave, Glenwood City, WI E-mail: mcmyers@centurytel.net License Number: 267985 Remarks: Phone: 715 _265 _4115 Zip: 54013 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Signature: Date: 5/5/2021 Original sign- re requirean each submitted copy CHECK SOX AS APPLICABLE. SOIL EVALUATION SITE MAP CHECK BOX AS APPLICABLE. V SYSTEM PLOT PLAN PAGE 2 OF (D PROJECT NAME: (toflgrW) 1D DESIGN FLOW 600 GPO �i t,lwrt) I I 0" -Attach design flow calculations for commercial plans. PROJECTADDRESS 'LSB J I(t o,-4A.e,C (t.++,ca)(:(y Pipe Material f ASTM Standard (Tables 384.303 & 384.30-5) N Sanitary Sewer PVC ) ASTM 03034 BM Synwd�O 00.0 BM Eievatga 1F7 Face Man. PVC ASTM D2665 BM Deao9Mlon, Top of nail 30" pine tree 1.9-3ove grade Shoe Gradient (h) % Well Symbol ;a apollcabk) 0 I^drape w11 >; d-awmI; an t'Z IMPORTANT: Show ground elev fion contours at suitable intervals. of Tested Area pn theaaMa"O. fins 0.5" TO 2.5" WASHED AGGREGATE (min. 6.0" beneath distribution pipe - min.2.0" over dktdbution pipe and covered with approved synthetic fabric) ASTM C-33 SAND FILL min. 0.5 it D Plowed Surface SINGLE -CELL MOUND DISPERSAL AREA 91 MIN. 6.0" OF TOPSOIL COVER Surface Contour Elevation = 95.00 ft min. 1.0 ft 1 7 % Slope D = 1.83 ft E = 2.88 ft System Elevation = 96.83 ft Lateral Invert Elevation = 97.33 ft CROSS SECTION VIEW (No Scale) (Show force main manifold and flush valve locations on plan view.) PLAN VIEW (No Scale) 1 1!2 " H Schdl 40 PVC Lateral = 6.8 it 12.5 ft (typical) I 0yplr,q r--------- — — — — — — -------------------------- observation - - - - - - - --- --- - - - - --- - -- -- - - - - O PI (lYPical) O L __-__-____-_.—.._.______—______pe __—_—__—_ - - - - - - - - - - - - - - - - w= 35.3- - - - - - - - t - ---------- e B = 75 ft I = 20.5 ft K = 12.5 ft INP"p Bend as necessary to follow contour DOWNSLOPETOE L = 100 It Prohibit disturbance and vehicular traffic within 15 feet of downslope toe. Reset Page D m W O T rn DISTRIBUTION NETWORK SPECIFICATIONS FLUSH VALVE DETAIL (No Scale) Orifice in — Valve Box Center of Threaded Cap' (insulation optional) for Head Testing (optional) \ I ) \ Ball Valve ) (optional) \ (No Scale) Lateral Spacing S= 4 Shield onfices for gravelless applications 2 "0 Schd140 PVC Force Main (slope to pump tank (riser pipes for drain -back), per 2 -o Schd140 First Orifice PVC Manifold (typical) llyl) Laterals to be level Schdl 40 PVC Lateral O = 1.5 in (typical) \ � Lateral Length (P) = / ) 74 ft Number of Orifices per Lateral = 60 _� On(ces equally spaced [check a) OR b) below] I \ a) 0 along bottom of lateral _ � Orifices equally spaced Orifice Discharge Rate = .41 9pm b) n along top of lateral Flush Valle Assembly i along bottom of lateral Number of Laterals = 2 with every _ th hole (typical - see detail facing down Last Orifice Lateral Discharge Rate = 24.72 gpm (typical) Orifice Spacing (X) = 15.05 in LATERAL INVERT ELEVATION = 97.33 it (typical) (typical) TOTAL DISCHARGE RATE = 49.43 GPM Orifice Diameter = .125 In OBSERVATION PIPE DETAIL (No Scale) Screw -Type or • Finished Grade Slip Cap (loose) + (mulched & seeded) 4'O PVC Pipe Topsoil Cover Top of pipe to terminate (min. 1 foot) at or above finished grade (4) 1/4--112- X 6- Slots (1a, 90 apart Anchoring Device Infiltration Surface (typical) First Orifice (typical) I- — X END MANIFOLD Check oypicap ✓ CONNECTION applicable box. Manlfad First Orifice (riser pipe optional) (typical) 1- x---E—xi2 x/2 }-x —� m (typical) (typical) CENTER MANIFOLD n Manifold CONNECTION rn (riser pipe optional) PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS 4'0 Vent Pipe (No Scale) > 10 9 from amlding Electrioel must o ply vein 12' Min. or 2 0 q above SPS 316 and NEC 300 Established Flood Elevation r Weathem, roof Extend ma,Ie nser as necessary. (typical) Junction Box Vent Ca Aoomved Li amg Manhole IMPORTANT: p wuh Waming Label Attained Anchor tank(s) as necessary Mw�p pursuant to SPS 383.43 8 —Conduit ( )(g) 4' Min, of 2.0 n above Established Food Elevation I I T(rowel) Frrnshed Grade CAPACITIES @ 17.45 galfin Depth (in) Volume (gal) A 23.0 401.4 B 2.0 34.9 [C] 5.0 87.3 D 16.0 279.2 'Pump Tank Liquid Level = 46.0 in Force Main Diameter = 2 in Airtight Seal Weep Fide t I`A _Alarm Pump Dunk Disconnetl its' Min, (typiul) - Approved Jants with Approved Pipe 31 onto SOW Ground (typical) PUMP -OFF ELEVATION = 88.60 ft INSIDE BOTTOM ELEVATION = 87.8 ft Force Main Length = 40 ft 3' Approved Bedding Material Benaat� Tank • Force Main Void Volume = 7.0 Vertical Head = 8.67 ft gal TDV = 85.2 +Min. Supply Head = ��ft [C] Total Dose Volume gal/dose \ Z.q + FM Friction Loss = 1.95 ft (5X total lateral void volume <TDV < 02X design flow) + (force main drainback volume) + Fitting Loss* = 1.95 ft 49.43 *(min. supply head x 0.3) � MIN. PUMP DISCHARGE RATE = =�gpm = TOTAL DYNAMIC HEAD = 1907ft PUMP TANK: SEPTIC TANK(S): Volume = 800 gal Total Volume = 1200 gal Manufacturer: Wieser Conctrete Manufacturer(s): Wieser Concrete Pump Manufacturer. Goulds Pump Model: PE51P1 ■, Install approved effluent filter at the septic tank outlet (Se enxheeM-parve.) immediately upstream of the Dump tank inlet Filter Manufacturer: Polylok Controls/Alarm Manufacturer: SJE Rhombus Controls/Alarm Model: PSP120V6H150P177 Filter Model: 525 Float switches containing mercury are prohibited PAGE 6OF6 Mound Management Plan IMPORTANT: The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3). Wisc. Admin. Code. Maximum Dispersal Area Operatina Limits: Design Flow = .11 gpd; BOD5 <_ 220 mgL"'; TSS <_ 150 mgL"; FOG <_ 30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution ! drop boxes) o neglect or improper use (i.e.. exceeding design capacities, prohibited activities, etc.) c extent of ponding in distribution cell prior to dosing c dosing irregularities (i.e., pump re -cycling, float switch settings, etc.) o electrical components (Le., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Seotic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1t3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filters) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. o Distribution laterals shall be flushed once every 3 years or when necessary. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Northland Plumbing Inc Phone: 715-2654115 Local government unit: St. Croix County Local government unit address: 1101 Carmichael Rd., Hudson, WI Phone: 715-386-4680 zip: 54016 Any defective part of this system shall be repaired. replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re -constructed within the originally approved area after removal of all failed components. System_ Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code Wisconsin Department of Safety and Professional Services Division of Industry Services Page 1 of 3 SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site Ian onpaperST pl p not less than 8 1/2 x 11 inches in size Plan must include, Croix but not limited to: vertical and horizontal reference point (BM). direction and percent slope, Parcel I D. scale or dimensions, north arrow, and location and distance to nearest road Ot6-1037-10.100 Please print all information. Reviewed by Date Property Owner Property Location' Corey Britton (Buyer) Govt Lot NE % NE `/. S 17 T 30 N R 15 W Ii Property Address Lot # Block # Subd. Name or CSM# 2885 160TH AVE 01 I CSM 30.6825 City State Zip Code Phone Number City ❑ Village 0 Town Nearest Road /Glenwood City ! WI 54013 1 I Glenwood 160TH AVE New Construction Use: Residential/ Numberof bedrooms 4 Code derived design flow rate 600 GPD ❑� Replacement ❑ Public or commercial — Describe' _ Parent material Loamy drift and/or loess over loamy till (Santiago sit) Floodplain elevation if applicable NA ft. General comments and recommendations Racornmend 22' sand-ey Powrs m0unc on 100 00 contour mth 0-6gpoltt2 oadin5 rare Recommend eX75' d,stneu:ion bad 1 LF = 14' (Reaou,mw h c features) 1 Boring # ❑ Boring ❑� Pit Ground surface elev. 95,60 ft. Depth to hmding factor 16 in Soil lication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont. Color,' Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-9 10YR 3/3 sil 3mgr mfr cs 3c-vf 0.6 0.8 2 9-16 10YR 514 sil 2fabk mfr gs 2c-vf 06 0.8 3 16-20 7.5YR 4/4 rid 7 5YR a6 a zSYR 5,2 si 1 msbk rri gw 1 c-Vf 0A 0.7 4 20-40 5YR 4/4 m2P 7 5YR 5,8 a 7 5YR 5r1 sl-sd 1 msbk-Om mfr-mf - 1 m-vf 0.0 0.0 2❑ Boring # ❑ Boring ❑� Pit Ground surface elev. 94 00 ft. Depth to limiting factor 14 in. Horizon Depth In. Dominant Color ! Redox Description Texture Structure Mansell Qu Az. Cont. Color li Gr Sz. Sh Consistence Boundary I Roots nuouvn new GPD/FC 'EfNi1 'Eff#2 1 0-8 10YR 3/3 sil 3f-mgr mfr cw 3c-vf 0.6 0.8 2 8-14 10YR 5/4 - sit 2fabk mfr gs 1c-vf 0.6 0.8 3 14-20 10YR 5/4 c1 d 7 5YR 4/6 s 10YR 5r1 sicl l mabk mfr cs 1f-vf 02 ' 0.3 4 20-36 7.5YR 4/4 m2p 5YR 4i6 8 7.5YR 5'1 Sol Om I mfr-mfi - - 0.0 I ' Effluent #1 = BOO, > 30 s 220 mc/L and TSS > 30!; 150 ma/L 'Effluent #2 = BOD > 30 s 220 m Land TSS > 30 s 150 mglL I U J i Name (Please Print) I Signature Ryan Bechel Address Date Evaluation Conducted 779 Spring Creek RD S, Red Wing, MN 55066 04/01/21 CST Number SP-111500001 Telephone Number (651)327-0074 3 Bonng # ❑ Boring ❑� Pit Ground surface elev. 93.90 h. Depth to ItmHmg factor 15 in. Soil Application Rate Horizon Depth In. Dominant Color Redox Description Munsell Qu. Az. Cant Color Texture Structure Gr. Sz. Sh. Consstence Boundary Roots 1 GPD7FP 'Etf#1 'Eff#2 1 0-7 10YR 3/3 - sil 2fgr mfr cw 3c-vf 0.6 0.8 2 7-15 10YR5/4 s1 2fabk mfr gs 1c-vf 0.6 0.8 3 15-25 10YR 5/4 c2d 7 5YR C6 8 7.5YR 6.1 slcl j 1 mabk mfr-mf gw 1 rri 0.2 0.3 4 25-38 7.5YR 414 m2d 7.5YR 4/6 a r svR 6n sl 1 csbk-Om mfr-mfi 1 m-vf 0.2 0.6 I I i 47 Boring # ❑ Boring © Pit Ground surface elev. 87.95 ft Depth to limiting factor 0 in. Soil Application Ra etet Honzon Depth In. ! Dominant Color Redox Descnption Munsell Ou Az Cont. Color Texture Structure Gr, Szz Sh. Consistence Boundary Roots GPD/Ft? 'Etf#1 'Eff#2 1 0-7 10YR 3/3 - sil 2mgr mfr cs 3f-vf 0.6 0.8 2 7-18 10YR4l4 c2d75YR4a6s1DYR5r2 Sid 1fpl mvfr gs 1f-vf 0.0 0.2 3 18-30 ' 1CYR 4/4 m3p 5YR 416875YR S 2 sicl-cl Cm mf - - 0.0 0.0 i 'Pit became sawated wr wa r at 23• Boring # ❑ Boring ❑ Pit Ground surface elev ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth In Dominant Color Munsell Redox Descnption Texture Structure Qu Az. Cont. Color ! Gr Sz, Sh Consistence Boundary Roots GPD/Ft° •Eff#1 'Eff#2 i I Effluent #1 = BOD, > 30 5 220 ri and TSS > 30 5 150 mglL ' Effluent #2 = BOD, > 305 220 ril and TSS > 30 5 150 mg/L esigner: Ryon BechN edified Tesler. SP-11150s: DI ,3k� LL�� 'All property lines not Benchmark .`� A DV ANC E V S', STEM NO ES of etigner of Engineering Systems: D 2263-7 4P drawn are �100f1 from 1 Soil Boring ye Ile "I,ok: . _ I system {,unary system to he abandoned w SPS 383 33' � I Tree line I I i I I - I I i ADDITIONAL ELEVATIONS: j House grade: = 96.70 I I I $ o� I � Bldg. sewer outlet: = 94.85 o S,, , 1 (at house) Pump Tvnk: 2 Ewsting tank grade: = 95.60 I NOTE: Cp Basement laundry Is currently tied Into footing dram and will m t need to be disconnected and STA: ow \ i i relocated or plumbed Into new Aemrmena minimum 22'sandlA POWTS maM m 1 I s I c POWT55 stem y 10000 mnW nM 06gpdd�hadnq role I i 1 o dieaarvnend D75•drorbuou, bed I 'di \ f 4)60 to rezbxean = td-(Redonmepinc eatumsl BM1 = 100.00 I - 1(•) �- Fence j Centaur=9500 sbe-7% ' Top nail in 30" pine I t: line j I.5'atave grade �zx—xzx—x—/rty I LP Tank 4 /'�- _ Outlets �i/ 7 j to ditch I I / / I I Distribution: I W j I -System vnd nqure pressure drimmon fCC, Existing System W (Cess-pool) Footing drain --J d j discharge line >� BM2 = 99.02 / 1 Bottom Siding LOCATION MAP (not to la house nw comer I I /�� 160TH AVE 48R Home I r� I I I I I Garage � i � 'F PREPARED FOR: _ I Shill Corey Bnttan (Buyer) Site Address: I I I 2885 160TH AVE 1 u At I- Glenwood, City, W1 54013 I I / 2Y PID: 016-1037-10-100 16.89 Acres 7 I 0' 50' Legal: Lot 01 CSM 30-6825 NE 1/4 NE 1/4 :.al,a stotwrrk col. w.t.n tin lw., d..Wec$ and wwol,e to oa'wdvin .Nn stw, and tocd coil.,. m, .op Ir.mo.oa ar,o n,.i mroN nam dlitat 517 T30N R15W to wwRwar Is woE nut cos sYSTedt wu cnNrinttc ro r1Ate110N INIDDV ¢r Sy,Iwn m.t laa4at.d are. and/or ixirm can Mon a,M dew a PraP.N naMRaNH. BM.r acrr w"1.n', mviao.nnt atop nor Hmmrt4n , —.,.. ,..r Town of Glenwood "1\ zOULDS PUMPS APPLICATIONS 5oec ai y des:'gned'or :he 40 iov:Irg uses: • Mound Systems • Effluent(Dosing Systems • Low Pressure Pipe Systems • Basement Draining • Heavy Duty Sumo,/ Dev:atering E'EaS FEET 40 -- ---- PE51 35 SPECIFICATIONS Pump — General: • Discharge: 1'/f NPT • Temperature: 1040P l40°Q maximum, continuous when fully submerged. • Solids handling: '''A" maximum sphere • Automatic models include a float switch. • Manual models available. • PLrping range. see per`orrrance chart or Curve PE31 Pump: • Maximum capacity. 53 GPM • Maximum head: 25: TDH PE41 Pump: • Maximum capadty: 61 GPM • .Maximum head29' TDH PE51 Pump: • Maximum capacity. 70 GPM • Maximum head' 37' TDH Submersible Effluent Pump PE MOTOR General: • 5' ^,e phase • 60 Gertz • 115 a^d 230 volts • 80t-:n t�ermal ovedoac pro- te0on v,'k automatic reset • Cass B I^sulaubn • p-!-fPeo design • '-'ch s: e^c: car00- s:ee shaft, PE31 Motor: • 33 "P 3000 RPM •'15vc's • Shadec coie Des gr PE41 Motor 40 HP, 3400 RPM • 115 and 230 volts • PSC design PE51 Motor: 50 -P, 3 4 C 0 RPM • 5 an, 23C vcls • PSC derg^ _ --YODELS PE3 PE41 'E51 ..0 33 43 -. 30 PE41r C D r - x 25 i < G z 2 i io I I 5 OL On �rn Pn on n 0 a 2004 I^. Water Technology, Inc. E"Mrve June, 2004 9Pa3.141 5 to CAPACI"Y 63 7C GDb1 SC 15 FEATURES ■ Conoslon res,start Corst'uCLCrl ■ Cast :ron Cody ■T^e•Too'ast'c mpel':erand cover ■ uboe, sleeve and lower 'leavy duty oa' bearng Co^S:nIC 0n. ■' on, is pe-rare-:'y jbrcated'o• exte-ded se'ke 'de ■ `owe-ec -o- cortnuous coeration. ■ All ratings are w ;"ir ti-e wcriing hm'tS 04:le rnoto• ■ Qu cic d,sconnect cower card, 20' standard length, `eavy duty t 6%3 S'TV/ with "5 or 230 vot gr0unc rig ■ C0^10 e:e urd s heav^� caul cortab'e a^C CCTCcQ ■ Mechar,cal sea, Is carbo7, ce,aTic, BJ%A and s:a,nless steel ■ Stainless steel �asteners AGENCY LISTINGS SP• C US Tested to UL 778 and CSA 22.2 108 Standards 4 Canadian Standards Associator Fie OLR38549 GOLids Pumos Is 150 9001 Registered Goulds Pumps ITT Industries w File #: ST. CKo.. UNTY SANITARY SYSTEM Office Use Only OWNERSHIP/ADDRESS FORM Created 212027 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer Mailing Address t* OWNER/BUYER INFORMATION City/State/Zip C-rlsru.-ee rl a�-fl f w r/ 1 S'o / 3 _ . JUL 03 2021 Phone Number (required) -7 1 5- Z 4e5- - '�T y4 Email Address Parcel Identification Number 6/4- (U3'7- /6 -- lo0 _ (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION _wix Co..rtry Property Location NE 1/4 , a'c 1/4 , Sec. J T 30 N R /S W, Town ofKw�� Subdivision Plat: — Lot # 4/— Certified Survey Map # 116 (e 3(eL Volume Page # /o,?2 j Warranty Deed #d 2 3 (before 2006)Volume Page # Number of bedrooms Spec house t] yes M no Lot lines identifiableAMyes O no New Property Address (Staff Initials) OFFICE USE ONLY (Verification of new address required from Community Development Department for new construction.) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center cdd@sccwi.qov 1101 Carmichael Road, Hudson, WI 54016 715-245-4250 Fax www.sccwi.aov ST. CROIX COL?NTY SEPTIC TANK?vLkINTENANICE AGREEME-N7 ADD OWNERSHIP CERTIFICATION FORM Owner/Buyer ci+a�•�Q�(r /n url�PY -N Iad" ing Address 2 Property Address requtrea r: om rlannmg m Lomng Ueparanent rot new construction.) City/State '21/ Parcelldentification?vumber LEGAL DESCRIPTIO'�t i Property Location AIr t/<, /U� '/4 , Sec. _!_7, T 3LNTR/5W, Town of lcn oj- J Subdivision Plat: Lot Certified Survey Map # I Volume Page t Warranty Deed # (before 2007)Voitune Page Spec house C yes '�o Lot lines identinablexyes C no SYSTEM Nt4QUEXA-NCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. 'What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383 2(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, sigaed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying :hat (1) the on -site wastewater disposal system is in proper operating condition and%or (2) after inspection•and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requiremens and agree to maintain the private sewage disposal system with the sandwds set forth, berein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin, Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department w9thin 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our Imowledge. I/we am'are the owmer(s) of the property described above, by virtue of a Awranry deed recorded in Register of Deeds Of-ce. Number o drooms S I CTNATLtffOF APPLICANT(S) -6- /2`?/ DATE " *Any info..mation that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * * * Include with this application a recorded wa.. anty deed from the Register of Deeds Office and a copy of the cerdned survey map if reference is made in the warranty deed. (REV. 04/12) k} Al `�1� Wisconsin Department of Sa'anCP- rofessional Division of Industry Services QR 2 i P SOIL EVALUATION REPORT Count Inaccprr� ` SPS 385, Wis Alton Code Y ST Croix Attach complete site plan on paper not less ths3_rj S V2 z 11 inches in size Plan must include, but not limited to vertical and horizontal-refeience point (BM), direction and percent slope. Parcel I D scale or dimensions north arrow. and location and distance to nearest road Of6-1037-10-100 Please print all information. Rev�Evredpy CST- ao a i — a 9 Page 1 of 2 Personal information you provide may be used for secondary purposes Pnvacy Law s 15 0411m mil LT 1f �- Property Owner Property Location Corey Britton (Buyer) Govt Lot NE '/. NE 7. S 17 T 30 N R 15 W Property Address Lot # Block # Subd Name or CSM# 2885 160TH AVE o1 CSM 30-6825 City State Zip Code Phone Number ❑ city ❑ village M Town Nearest Road Glenwood City I WI 154013 1 I I Glenwood 1160TH AVE ❑ New Construction Use ❑M Residential l Number of bedrooms 4 Code derived design flow rate 600 GPD M Replacement ❑ Public or commercial — Describe- _ Parent material Loamy drift and/or loess over loamy till (Santiago sit) Floodplain elevation if applicable NA ft General comments and recommendations Recommend minimum 22•:and-eft Powrs mound onlEeVdLontour with o 6epd/n2 loading rate p LF= 14'(Redoximorahic features) /nf) CBoring # ❑ Boring ❑M Pit Ground surface elev 95.60 ft ommepd a'X75' distribution lied Depth to limiting factor 16 Snit Annl'il r,hmm Rafe I Horizon Depth In Dominant Color Munsell Redox Description Ou Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' •Eff#1 I `Eff#2 1 0-9 1 OYR 313 - sil 3mgr mfr cs 3c-vf 0.6 08 2 9-16 1 OYR 514 - sit 2fabk mfr gs 2c-vf 0.6 0.8 3 16-20 7.5YR 4/4 ci d 75YR 416 s 7.5YR 512 sl 1msbk mvfr gw 1c-vf 04 0.7 4 20-40 5YR 4/4 m2p 75YR 518 a 7 5YR 511 sl-scl 1 msbk-Om mfr-mfi - 1 ri 0.0 0.0 2❑ Boring # ❑ Boring ❑� Pit Ground surface elev 94.00 ft. Depth to limiting factor 14 Soil Aoolic Rion Rate Horizon Depth In Dominant Color Munsell Redox Description Du Az. Cont. Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Ft' 'EH#1 'EH#2 1 0-8 1OYR 3/3 - sit 3f-mgr mfr cw 3c-vf 0.6 0.8 2 8-14 1OYR 5/4 - sit 2fabk mfr gs 1c-vf 0.6 0.8 3 14-20 1OYR 514 c1d 75YR 4/6 a 1 OYR 5/1 sicl tmabk mfr cs 1f-vf 0.2 0.3 4 20-36 7 5YR 4/4 m2p 5YR 416 a 7 5vR 511 scl Om mfr-mfi - - 00 00 CST Name (Please Print) Signature d D CST Number Ryan Bechel SP-111500001 Address Date Evaluation Conducted Telephone Number 779 Spring Creek RD S, Red Wing, MN 55066 0410121 (651) 327-0074 gnu-as�u (rcugr 10) i 1A Boring # —Q Boring..,...__ ❑m Pit Ground surface elev 93 90 ft Depth to limiting faclor4 15 - in and Annlil catinn Rate Honzon Depth In Dominant Color Munsell Redox Descnpfion Qu Az Cont Color Texture Structure Gr Sz Sh Consistence Boundary Roots GPD/Pt' `EH#1 I 'Eff#2 1 0-7 10YR 3/3 - sit 2fgr mfr cw 3c-vf 0.6 0.8 2 7-15 115/4 - sit 2fabk mfr gs 1c-vf 0.6 0.8 3 15- 5 10YR 5/4 c2d 7,5YR 4/6 & 7 5YR 6n sicl l mabk mfr-mfi gw I 0.2 0.3 4 25-38 7.5YR 414 m2d 76YR 4/6&7.5YR sit sl lcsbk-0m mfir-mfi - Inri 0.2 0.6 ❑q Bonng # ❑ Boring ❑� Pit Ground surface elev 87 95 It Depth to limiting factor 0 ._ in .,nil Annhnatlon Rate Honzon Depth In Dominant Color Munsell Redox Descnption Qu Az Cont Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/R' `Eff#1 I 'Eff#2 1 0-7 10YR 3/3 - sit 2mgr mfr Cis 3f-vf 0.6 0.8 2 7-18 10YR 4/4 c2d 7 5YR 4/6 & 1oYR 512 Sid 1fpl mvfr gs if-vf 0.0 0.2 3 18-30 10YR 4/4 m3p 5YR 416 & 7 5YR 5/2 sicl-cl Om mfi - - 0.0 0.0 'Pit became s4unded w/ w rat 23" ❑ Boring # ❑ Boring ❑ Pit Ground surface elev It Depth to limiting factor_ In Snit Annhcahnn Rat. Horizon Depth In Dominant Color Munsell Redox Descnphon Qu. Az Cont Color Texture Structure Gr Sz Sri Consistence Boundary Roots GPD/Pt' `Eff#1 I -Eff#2 Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 ni ' Effluent #2 = BOD, 1 30:5 220 mg/L and TSS > 30 s 150 ni I U, FI Boring # *— �..�v-.... ❑� Pit G93.90 round surface elev. ft. Depth to limiting factor 5 in Soil Aoolication Rate Horizon Depth In Dominant Color Munsell Redox Description Qu Az. Cont. Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Fl2 'EfW "Eff#2 1 0-7 10YR 313 - sil 2fgr mfr cw 3c-vf 0.6 0.8 2 7-15 10YR 514 - sil 2fabk mfr gs tc-vf 0.6 0.8 3 1 - 5 10YR514 c2d75YR416&7.5YR611 sid 1mabk mfr-mfi gw 1ni 0.2 0.3 4 25-38 7.5YR 4/4 m2d 7 5YR a6 & 7 5YR fin sl 1 csbk-Om mfr-mfi - 1 m-vf 0.2 0.6 ❑q Boring #. ❑ Boring ❑� Pit - Ground surface elev 87.95 fl Depth to limiting factor in. Soil Aoolication Rate Honzon Depth In. Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-7 10YR 313 - sit 2mgr mfr rs 3f-vf 0.6 0.8 2 7-18 10YR 4/4 c2d 7.5YR 4/6 & tOYR 512 sid 1fpl mvfr gs 1f-vf 0.0 0.2 3 18-30 10YR 414 m3p 5YR 416 & 7.5YR 52 Sid-Cl Om mfi - - 0.0 0.0 'Pit became sburated w/ wa r at 23' 5-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ff. Depth to limiting factor_ in Rnii Annlicahnn Rafe Honzon Depth In Dominant Color Munsell Redox Description Qu Az Cont Color Texture Structure Gr Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 I 'Eff#2 ' Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L ' Effluent #2 = BOD, > 30 5 220 mg/L and TSS > 30 5 150 mg/L Designer. Ryon Bechel Certified Soil Tester. SP-1115D0001 Designer of Engineering Sytslerne: D 2263-7 + Tree line + + +I 0 + �11 1'�' I I 1 \ r \ bolo BMl = 100 00 Top nail in 30" pine 1.5' above grade ADVANCED 'All property 0not o Benchmark drawn are ine 011 from system Soil Boring I � I ADDITIONAL ELEVATIONS: I j I House grade: = 96.70 I j Bldg. sewer outlet: c 94.85 I I 1 (at house) m I j Existing tank grade: a 95.60 NOTE: m 1 Basement laundry is currently Ij bed into footing drain and will A I need to be disconnected and jrelocated or plumbed Into new POIATS system a I I I I I ., Fence line \ m� xx—xx%—xx— /� I LP Tank y /i iy I Outlets h SY'S'I'ENI NOTES Existing system to be abandoned per SPS 383 33 Pump Tank S'I'A Recommend ni 22' an, V POWIS mound on I DO 00 coreoto Mh 0 6gpdt loafing rate Recommend B'X75ddnbWon bed Depthtoreandion ta'(kedoximorphcfeabires) Contour = 95 DO 9 ope=7% U) ito dltc Distribution U-1 / 7 -Sy tan will notion peaswe distrbutor LLB ry i I Existing System_ LLLJ (Cess-pool) z I \fix i Footing drainQj O I discharge line ~ i 4-4Qj BM2 = 9902 / I j LOCATION MAP (not to waW) Bottom siding `�- (v II house nw corner I j 48R Home 1 -41i Q 160TH AVE I I rage [Gi ParPUFD FOR. - I ----fit % I I� I Shgd Corey Britton (Buyer) Sete Address: j 1/ 288S 160TH AVE scN.F Glenwood, City, WI 54013 PID: 016-1037-10-100 16.89 Act 1 0' s0' Legal' Lot 01 CSM 30-6825 1/4 NE 1/4 _NE S17 T30N R15W Lt" Md Saamem: Tye ey.Wn Ira Gem cl a Ibed am ewIuatI In axardanae won sate aw l andan Dw wit viocArmt area must nmoin prateaad ham a sIbace and/or camp ,,flon boron and afar Town of Glenwood tr Um. NO w/RgNlly Is WDE TNT TMS S will C01mWE To RJI I IIfIE£WI X 9AWn rtu[ W prepay mal^alned. Roo. Lour ystwri'e momyemenl pan far Irdwmafb, m papr ran aM�. Scale. 1" 50' Date: 4/1/21 = ( &0 #We4Cr-'&y4f*4t) ..sr.COUNTY - STATE SANITARY PERMIT %104� PREVIOVS NO, OWNER� ACC Ow rCHA-FTERPTER 145.1 5(2) WISCONSIN STATUTES urpose of the sanitary permit is to allow installation te sewage system described in the permit proval of the sanitary permit is based on PLUMBER AEL-RfsIC #0 in force on the date of approval. nitary permit is valid and may be renewed for a • riod.TOWN OF saed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on SE Cj'-t�.'T_36 N' R regulations force at the time renewal is sought and that changed regulations may impede renewal (t) The sanitary permit is transferable. AND/ R L T BLOCK History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 T`% Note If you wish to renew the permit, or transfer ownership of the permit, please 1 • ��� m ' 1C436GBD1 ♦ ISION contact the county authority. PERMIT EXPIRES ISSUING OFFICER - DATE RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)