Loading...
HomeMy WebLinkAbout018-2019-58-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Budding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law. s 15 04 Permit Holder's Name City Village Township Jon & Kathy Berard TOWN OF HAMMOND CST BM Elev Insp SM Elev BM De script n • e U--left.v if lQ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic wIE /L 7— Dosi erasion Holdin TANK SETBACK INFORMATION PUMP/SIPHON INFORMATION Manufacturer Model Number to SOIL ABSORPTION SYSTEM Ft I STATION BS HI FS ELEV. Benchmark 50, 1 �•� Alt BM Bldg Sewer Y'• o SIIHI Inlet S os9.0/ SVHI Outlet 5rd o , Dt Inlet Dt Bottom Header/Man. Dist, Pipe Bol System Final Grade St Cover «4.t- 2•�L- Ofo2.2 BEDITRENCH DIMENSIONS Width Length No Of Trenches PIT DIMENSION I Pots Inside Dus Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG W ELL LAKE/STREAM LEACHI G CHA OR Manuf surer TypeOf System Mod um IJIJ I r[ICV I IVI'e aTA IC-1111 Header/Mandold x Hola Size x Hole Spacing Vent to Air Intake jP:;a(Inbution s) Length Dia Length Dia Spacing Depth Over Depth Over Depth of xx SeededrSodded xx Mulched Bad/Trench Center BedlTrench Edges FT,psoll :yes No Yes No g ENT V (ncl�de cod pencies. persons present. etc a on: 1627 75TH AVE 1.) Alt BM Description = 1 2.) Bldg sewer length = Z4 - amount of cover = Z sl Inspection #1. ���( Inspection 02� / LZ Plan revision Required I Yes No / Use other side for additional informatit� �/ �_ /�u— SBD-6710 (R 3197) Date Insepctor's Signature Can No ti ,*N - 2102,z - (343 Industry Scrvitxs Division County 4822 Madison Yards Way St. Croix Sanitary Permit Number(tobe filled in by Co.) MAY 02 2022 Madison. WI 53705 P.O. Box7162 Madison, WI 537 16 ` �� ��p ,.' •••• t. roix q:lni c jW'><>d" pplication e aecTnuuaction Number y / 9 In accordance with SPS is. Adm. Code, submission of this form to the appropn ental unit 90 / W--C-.,' -4r W is required prior to obtaining a sanitary permit. Note. Application forms for state-owned POINTS are surxnitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary 1627 75th Ave purposes in accordance with the Privacy Law, s. 15.t1 I Xm), Stats. L A plicatioa Information - Plow Print All Information Property Owner's Name Parcel # Jon & Kathy Berard 018-2019-58-000 Property Owner's Mailing Address Property Location 309 10th St. Govt. Lot City. State Zip Code Phone Number Hudson, Wi. 154016 715-386-6850 NW SE ,,. Section 29 f-29 N R 17 1: or W 11. "type of Building (check all that apply) ✓ Lot # Subdivision Na me zlor2 Family lhvelling- Number ofllfd��� 58 CC Rolling Hills Farm Block # �trbadCommercial - Describe Use ❑City of Tate (honed - Describe Use illage or CSM Number clown of Hammond 111. Type of POWTS Permit: (Cheek either "New" or "Replacement" mod other applicable on line A. Cheek one box on Got B. Comptkhe line C i a A ✓ ew Sy []Replacement System ❑Uthcr Modification to Existing System (explain) ✓ Additional enl Unit (explain) LJ ATU Hoot 600 B• DloldmgTankE]ln-Ground OAMiradc Mou LA n rvi ualSitelesign Other Type (explain) P (conventional) ) C• ❑ Renewal Before Revision 'hangs of Plumber IYanster to New (honer .ist Previous Permit Number and Date Issued Expiration / ' '� '��/ / -'2•Q Y (O l IV. Dis nal/freatmeet Area and Tank Information: � — Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (s() System Hevation Existing Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units 15 o '$ u New "ranks I-aiamo Tanks o _' 2 ii a `� 6 U in m to ta. U 6. Septic or ftokling Tank 400/975 1 Wieser/ Hoot ✓ Dosing Chamber V. Responsibility statement- 1, the madersiltned, sultanate respoolitility for i Mad" of the POINTS shown on the attached plan. Plumber's Name (Print) Plu s Sig rc MP/MPRS Number Business Phone Number Keith Knudtson 648443 651-470-1737 Plumber's Address (Stroh• City, State, Zip Code) 927 150th St. Roberts Wi. 54023 VI. County/Department 11se Only Approved ❑ D Permit Fee s latc-e)ssucd s(yZOtz Issu g A`cnt Signalure ❑ ( Given Reason br Dental �� vVIMOZT� - ' 3) ! O S-r�ik-r� Inn er ter Septlo tank, effluent filter and dispersal oell must bi1erA0ftd lmalnlained V as per management plan provided by plumber. � (� All setback requirements must be mauitair`at! f �e 4 as per epplicat,:a code/ordinances. C'Ltttl 4"-� S Attach to compete plans for the system 2 S[3D-6398 (R. 03/21) + 9 4R�P13C ui yr - � �rt -01 . !ems 5-5--58 / PROPERTYADDRESS.' 1627 75TH AVENUE I/J HAMMOND, WI 54015 NORTH SCALE: IiEjVVE 0 40 80 B +j ELEVATIONS SHOWN ARE NAVD 1988 DATUM. 0215 r� 6.A' 12.0 1 ir.o - o I GARAGE I 19.0 HOUSE N I `RV �e A� 6" ke� wej%Gdu c.. EZ / nJ9 • ly/ >, LEGEND ® 60D NAIL SET AT 10' OFFSET OR ON BUILDING WALL EXTENSION © FOUND 314- IRON BAR - T.O.N. TOP OF NAIL ELEVATION T.O.B. TOP OF IRON BAR ELEVATION DRAINAGE & UTILITY EASEMENT — — DRAINAGE EASEMEW X 100.0 EXISTING SPOT ELEVATION BUILDING SETBACKS: 35 FRONT 10' SIDE 10' REAR Q*4 co CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Berard ATU Owners Name: Jon & Kathy Berard Owners Address: 309 loth St. Hudson, Wi. 54016 Legal Description: NW 1 /4 SE 1 /4 S 29 T 29 R 17 W Township: Hammond County: Subdivision Name: St.Croix Rolling Hills Farm Lot Number. 58 Parcel ID Number. 018-2019-58-000 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross -Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber. Keith Knudtson Date: 04/28/2022 License Number: Phone Number 648443 (651)470-1737 Signature Designed pursuant to the In -Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 PROPERTYADDRM.- 1627 75TH AVENUE HAMMOND, W154015 4 yk /�t�/d / G - SCALE: 0 40 80 ELEVATIONS SHOWN ARE NAVD 1988 DATUM. LEGEND ® 60D NAIL SET AT 10' OFFSET OR ON BUILDING WALL EXTENSION O FOUND 3/4" IRON BAR T.O.N. TOP OF NAIL ELEVATION T.O.B. TOP OF IRON BAR ELEVATION — — — — — — _ DRAINAGE d UTILITY EASEMENT — — DRAINAGE EASEMEN' X 100.0 EXISTING SPOT ELEVATION BUILDING SETBACKS: 35' FRONT 10' SIDE 10' REAR fl ✓ / aTq . syt POWTS INSPECTION AGREEMENT Wastewater Services The 0of►ect Operation of the below equipment significantly influences the life of the wastewater system. Periodic inspections will help extend the life of the system and prevent the need for costly repairs. This agreement authorizes access to your POWfS equipment by a trained and authorized Petersen technician during daylight hours to provide regular inspections and routine maintenance to help assure the equipment is working property. It is hereby agreed by and between Purchaser and Knudtson Plumbing and Contracting that In oonsideration of the payments provided for herein, Knudtson Plumbing and Contracting will provide the services of a factory - trained representative to perform periodic inspections of the equipment described below. Knudtson Plumbing and Contracting will Prepare a written report after each inspection and provide a copy of the report to the Purchaser. This report will contain recommendations for any operation and maintenance deemed appropriate by the inspector. This agreement does not assume any responsibilities or obligations that are normally, the responsibilities of Purchaser and does not extend to cover any costs that may be associated with any recommendations made under this agreement. In no event shag Knudtson Plumbing and Contracting be responsible for any special or consequential damages, includ" but not limited to, loss of tone, injury to person or property or incidental economic loss due to equipment fagure or for any other reason whatsoever. Knudtson Plumbing and Contracting may supply additional services, parts or labor only after authorization by Purchaser. / This agreement shall remain in force for a period of ( years, beginning r' 2QQ8rtd will automatically renew each year thereafter for one year unless canceled by either party with at least 30 days written n notice. This agreement may be canceled by the Purchaser only if replaced by a service agreement with an authorized service provider for the equipment listed below. Service Provider may delay or cancel future inspections ifpayment becomes at least 15 days past due. Periodic Inspections: The Purchaser agrees to pay Knudtson Plumbing and Contracting $ B per inspection for four (4) inspections for the first two years at six month intervals and one (1) inspection each year thereafter. Payment for the first two years of inspections is due at the time of installation; additional payments are due upon inspection. Any additional testing or services required by Purchaser will be billed based oMime and material amounts. Knudtson Plumbing & Contracting, SIgned �/&ate. '7 y Phone: 651-470-1737 Address.. 927 15M St., Roberts, WI 54023 E i �'0lotetred Under This A rewment Description Model No. Serial No. Instal Date Loc:atbn I ditw t from owrtef Svstr_m Clnwnw - Name: ,/� "_ Sigoattrre: /L'` 77/ Prim Names SOv. l�n.J . v Phone: 5-' - (v jlsS v $creek J / 5�� Fall: �- t� �7/ Clty. Stolle. 7AP: /�^ i'.w���i 1i 1 Email: V--6 e-v r_- r Homeowner Guidelines for homes equipped with Aerobic Treatment Units The septic system for your home depends on the proper functioning of the Aerobic Treatment Unit (ATU), which is designed to treat and degrade solids prior to discharge into the shared septic system. To avoid breakdowns and costly repairs; please observe the following guidelines: • Avoid allowing any inert materials such as plastic, rubber, scouring pads, dental floss, cigarette filters, bandages, hair, mop strings, lint, rags, cloth and towels to enter the system. These materials can build up in the tank, resulting in system malfunction, clogging and premature pump failure. • Do not flush or drain chemicals and toxins into the system, as they kill the microbes necessary for treatment. These include paint and paint thinners, solvents, drain cleaners, automotive fluids, fuels, pesticides, herbicides, fertilizers, metals, disinfectants and sanitizers. • Paper products including disposable diapers, paper towels, baby wipes, facial tissues and moist toilet paper are not designed to dissolve in your on -site treatment systems. Neither will excessive amounts of toilet tissue decompose. • Limit garbage disposal use to food waste that cannot be scooped and thrown in the trash. Do not put animal fats and bones, grease, coffee grounds, citrus and melon rinds, corn cobs, egg shells, etc. down the sink. Also avoid putting spoiled dairy products and yeasts from baking into the system. • Do not put medicinal materials, automatic disinfection tablets and similar items into the system. Also, septic tank additives generally do more harm than good. • If possible, spread laundry practices out over several days, rather than one "wash day," so the ATU can more efficiently process the water as it enters the system. Liquid detergents are recommended over powder; fabric softener sheets are preferred over liquid softeners. Use bleach sparingly, at half the recommended rate. • Clear water waste from dehumidifiers, HVAC units, gutters, whole house treatment systems and sump pumps can increase the flow to both your on -site system and the shared system, leading to shorter life. Both clear water and backwash from water softener regeneration should be discharged to an alternate outlet. Talk to your contractor. Do not disconnect power from the unit! Your ATU is equipped with an alarm that will notify you of a malfunction. If the alarm does sound, for diagnostics, service and repair call: Knudtson Plumbing and Contracting 651470-1737 o� 00 4" CAB SIDE MEW TANKS ARE MANUFAOTURED TO MEET OR EXCEED ASTM e CAS POLYLOK 12' ACCESS LID (TIM) SET RISER (TTP) �A REQUIREMENTS 000 OR 3RAMTU6"EBYM H-600 A TANK SPECIFICATIONS DIMENBONS- BOTfOLt 3' COVER! 4' MANHOLE: 1Y & 24` I.D. PLASTIC RISER HEIQW. 70' O.D. LENGTH 108' O.D. W1D7k 74 1 ' O.D. BELOW INLET., 87' O.D. LIQUID LEVEL: 81' WEIGHT: 11,138 LBS. INLET AID OUETI 4 TLCAST-A-SEAL (CAS) 8007 OR EQUAL COYM MIX DESIGN f NO�FIBER) ) TANK: MIX DESIGN SM BAR CUST0MZEO TANKS: FOR CUSTOM%TANKS CONTACT WESER CONCRETE FOR APPROVAL APPROM BYI APPROVAL DATE: PRODUCTS NEEDED IY: �� ~~ wwhootsystems.com w. ¢ �<t,hOlaNldi0�1'/lilY�v�,• H-Series Gravity Treatment System Green Choice Applications: Single and Multi -Family Dwellings, light commercial, Churches, and other similar Residential strength uses. Performance: 98% Reduction CBODs 99% Reduction TSS 99% Conversion of Ammonia (NH3) Fecal <1,^^J We 61—infection Range of Sizes: 500, 600, 750 & 1000 GPD High performance, low cost, energy efficient treatment system The H-Series Gravity Treatment System provides high performance at a price comparable to most entry level ATU's. Producing effluent of less than 3 mg/L on C8OD5 and 2 mg/L on TS5, it far exceeds the secondary standards of 25 mg/L on CBODs and 30 mg/L on TSS. With these results, many locations allow reductions in disposal areas between 25 and 40%. Because the H-Series completely transforms ammonia into nitrate, it is best suited for applications with rich organic soil content surface plant growth and depth to groundwater to prevent nitrogen pollution of the water table. Simple installation, reliable performance, low cost of ownership This level of performance is enhanced by its simple installation, energy efficient performance and low cost long term maintenance and ownership. The systems components are assembled at controlled manufacturing facilities, rather than in the field, to ensure reliable performance with local support Energy efficient, environmental protection Made of locally available and manufactured concrete, the H-Series features an energy efficient linear compressor that uses less power than an average light bulb. Its polyethylene clarifier hopper is made of recycled milk jugs. Choose Hoot and you make a sensible, decision to protect the environment as you protect our most precious resource, our water. Drainfleid and Vertical Separation Reductions With gravity flow discharge, the H-Series allows you to choose your disposal application from conventional lateral lines, leeching chambers, other alternative drainfield materials. In some areas direct discharge is an option as well. Reductions of vertical separations to groundwater and impermeable layers such as rock range from 1 to 2 feet Make the green choice for wastewater treatment Your wastewater system is the most expensive and important appliance you will ever purchase. Don't settle for just any system. Protect your family and the environment with a Hoot H-Series System. Wieser Concrete Products Inc. 1-800-325-8456 www.wieserconcrete.com ED X?Q 16 zo PW20(2 P~ 2DIWI34 -6 WAft to 1 wool Mat awfwn bm WEM425 WWmmded b balm&: W d tbF3 *MW Wirgil'! d" bib Bar* sea," s41 hart amraft of how Waft pad@* w p pw� wothro ppu*ohwww i4m rmw mv-0m Fm glem=wwwvAs*- APR 16 2020 St. Croix County { Co _jTj ip e1��� ;R�lint lJ�g1�MIM��Vlliipr sLC .. LA 7OW list HWT��T1� r �� Sx 20l;80�1�YWF fj�- ryptrtFie [ia[ AgW �e � �d►cr ptatls far pkx+�!eM � hd� i �,��� i ds WS 382 #ugh . gams. The Dew i � l to the trsln � the _ cone. This Wplmw 14 No or mw 2we• �#o�1�*. riffs apPravA 1s+� This lank void be ftdbmW kD WOOMM ffie PF to 0 a�i� iw �t141110� _ . �f nab na Dare i.� v • IAPJia� s tiodB&wf, A 10L Down* wsozNp ir�rr ofl9es � traggri p ti4 �A�.-i�6 #ief►>r �-�� and r-brd8ftaf cd199P1hh�A stiff' iorilie p/rxt a MW pmdjo mudbO + Ali AtIMV e. A&VL Bode. 40 Thib ppd�aE.ms�eti►lloe t s de"'e+��iw°r'eii s 4i Im*>tr aim erlar9w. soFA"IMMAM FOR BIDDING ONLY NOT FOR CON5TRUCTION 9 V. 1 - �1 •w ----------------- N. r...♦ T Yr r:: �s ♦ --u.�� r _ r � r r d• _ ww ¢vn rwi w• - r v - _ Contractor Guidelines for ATU Septic Homes The septic system for this home will depend on the proper functioning of the Aerobic Treatment Unit (ATU), which is designed to treat and degrade solids prior to discharge into the shared septic system. As contractor/builder, please observe the following construction guidelines: • As part of design and construction, arrange for water from sump pumps to go to an external discharge. Backwash from water softeners should also be discharged externally, as doing so will extend the life of the septic system. Note: Regulations prolu'bit funace condensate from being discharged externally. • Garbage disposals are not recommended. • Avoid allowing any inert construction materials such as plastic, rubber, cigarette filters, bandages, rags, cloth and towels to enter the system. Likewise, prevent construction chemicals and toxins such as paint and paint thinners, solvents, etc., from entering the system. • Contact Knudtson Plumbing and Contracting prior to siting house grade in order to confirm that adequate fall will exist to allow gravity flow between the house, the ATU and the shared septic line (which may be as shallow as 42 inches). Incorrect siting may require an additional pumping station and incur significantly higher costs. • The ATU manufacturer does not recommend tank installation in frozen ground, and it will be done only at the contractor/builder's request and risk. Installation under these conditions will likely also incur added costs related to requirements such as snow removal, frost ripping, etc. • Freeze warning: Water from furnace condensate lints or other sources including kinks and toilets, entering the systrm durine winter construction can cause the tank and components to fieeze and fail as there is no bacterial action at this stage to -generate heat. Use a salt sump to treat this water prior to entering drain lines. Contact Knudtson Plumbing and Contracting for a description. Builders Failing to observe this precaution may be liable for system repair and/or replacement due to freezing. Whenever possible, keep interior water lines turned off during winter until the time of occupancy. • Tanks must be pumped prior to homeowner occupancy. For questions regarding these construction guidelines, call: Knudtson Plumbing and Contracting 651-470-1737 Rolling Hills Lot # LaL . a wmw . EAST -1 H AVEN t FNI 1621 LOT 55 21.781 so FT Smaltsry,60iml- Pug, RaIW�Wt wwom" Apo . *9& m Tw4u7w '- n • vl1 ;a. eoo oad 4' 9oa 40 PVC mp .. Hoo wm �SePac � t t,. 66.2(7 �. 110037 es 18 4' Sdt 40 PVC a MOM D,3034 / �t _ t� ed A PVc Cow"W" Pipe. / vt• s Um Typod of each lot wr be 4' Sd1. 40 PVC lldp Saws P1Pe MANIIId PGF MTM SWIId UMbI.. 314.3U 3 6 384.30-6) 4mlAaae &Ak*V Sewn par SPS 382 30(11)(c) laid PrOW09 *00 PrOWD13V Per SPS 3W 4ZW (4K TOtDM Mound SNe Y an Open (inrs Sloped Plagued 9.0 1t 167 Mould DYpenm CO to a gong ft 101D 33 o[nl0u w/a Syeamn Elay. d 10W.W DWF of 2400 ggs /1 AO SAR — 1334 oq. II. /M. — IU7 R I no ss-M 1011.OV / , 1141/2 -Top edwater to nT*Wnrtw -1m4r. Mf OLMOT 2 42.71 ACRES 1.960.359 SO. FT. Page 2 u19 0D' 1 the t.V -Uf r■n:.ry 2587.29' e-- 131 M 75th Ave. Alyc 1•M (1 � t wth . tp n FNt/ 1623 FNf IWS FNI LOT g LOT LOT 56 57 cv 21,re1 So. 21.781 SO 21.761 SO. set FT. FT. vltt FT. JDWF . v1 i i 600g.1 j[Y�W-=- � BOO gpd� ( . n LL Sa. ao PVC DWF — Ida 3e w C ack 40 PVC 800 gPd am sew t red 114M ,^ HOW mm sot 40 ✓tl(: md9mpffic �V B104 9w.r Nod Ham L ttl..l, IL 8B.7D' � aerrrR laaap / PmOcMA vvwm Connw WLP12WMi w/ DiPbu w/ SYnach STF-100 FNma VM W Illplml 7' Sch. 40 PVC F We t E'M E 105918. cl) t C/m� ch z z m m � OT —4 I m m SANITARY SYSTEM File #: ST. C R O NTY. Office Use Only .'"""''"'0 OWNERSHIP/ADDRESS FORM Creoted212021 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. OWNER/BUYER INFORMATION Owner/Buyer Berard, Jon & Kathy Mailing Address 309 1 Oth Street City/State/zip Hudson, WI 54016 715-386-6850 Phone Number Email Address (required)Jkberard@gmail .corn Parcel Identification Number 018-2019-59-000 (found on the property tax bill) s NEW SYSTEM: LEGAL DESCRIPTION Property Location NW Y+ SE 'A , Sec. 29 . T 29 N R17 W, Town of Hammond Subdivision Plat: 11-019-Rolling Hills Farm 018-07 , Lot # 58 . Certified Survey Map # , Volume Page # Warranty Deed # 1 I q Tj (before 2006)Volume . Page # Number of bedrooms _ Spec house O yes % no Lot lines identifiable V yes O no New Property Address Staff Initials) OFFICE USE ONLY 142} �5' ` �E (Verification of new address required from �2 4DZ ( ate) Gc,s Department for new construction.) 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 mode in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St Croix County Government Center 715-245-4250 Fax cdclscckciov 1101 Carmichael Road, Hudson, WI 54016 wwwsccwi aov Now • 44 MA C3 `• 4D 0-9 L*g.0,= 1057.50 $ LOTbLOT 57 58 �1 1 21,781 S Os 21 J81 SO* t � FT, FTP t w �. as.70'-.--_. t MEWRE 100-8 u N86°� t PRIVATE SEWAGE SYST `CO��w S00I INSPECTION REPORT i 1 sane GENERAL INFORMATION (At TACH 10 PERMIT) yml, P�w VAWMMu ra nab rear b..n.0 f°-rev :" s It A •r.,,� Rolling Hills Farm Owners Assoclateorp :Sl BY El" "s; UV f r. 6V 7t>t• x ,.. 10100. W TOWN OF HAMM( R( Jo FI CVATWW nATA TANK INFORMATION TYPr MANUFACTr1HFH CAPA-ATY swi Dosing r Z a Aerabon b. SiYN CGS+_ x Z TANK SETBACK INFORMATION 1,./.r L s .E--t L"a wS Mrs MM " = ' rr M ®�W=� A AM i"u.FAAWA�= P"UPISIPHON INFORMATION Z ks, , el`wL" Manoaduer / ' f _ D.+mand O tq -7 Mode+ Number �T 2 TDN 1/11. I fr�ywt� �; Syaten ratL � TI„iu rt Forcemaln I. DIa2 , , o .1 n, area'/00 SOIL ABSORPTION SYSTEM DIMENSIONS n St Croix 17 018-2019-79-000 29 29 17 1279 is Hefowni k 3, 8 I On (4 I O. AITRM ��` to IH 3 oS3 strx ..vet tx v,iet H-61 1053. DI Ron n I D . fteaOenMan b, io6l. Dgst P,r a (p 5 etx s" Wm -7. I ! • Y `tea, Cade -- C,04� o 8 (0 1 (a V4 Vr 1-3I I04o. 33 L:P4 I;r log- 5 .3 lo53 rrnaa yjlpV j L�t OCJ� lao' u V N DISTRIBUTION SYSTEM HOACW. Ma A . 210trtut.vt ♦ �� sw,,-q vMrt t a �J Q'% 1 s :ag71_� Ua_1 .e p, `�"•_� r4a ! Z. Specm9 �, v04C. Anil v_AVFR _ . .. rk u......./ in. As-iek . C....a.... n..1w Y IL V. rC finq 8'* w erCaMn - 7 N rMpr i:N,, Ile6•Trem to I AqM O .IM _n Cl 1, T^Iro:�/ 12 •. ''NCM%'�+nirNV Nc /. MUICraM YM Ial� NO ..:. i COMMENTS- onoereuae oisaeoenues WSons present Pt[) nspeclun et elf" (W QInspeaon 11 LOcallon No Address AvaJable }�-� `L C7 �` t 1 An HM Desuotlon • _ SYs 1 �y17 j1nQY�"�' T T I �� � (= t S t "� Woi� �oUtt 1 r 1 q� � ?IHldp sews 1angln I 'f Urf1 W�v�pEti (.O is Y1(Av(. vu) � s .e -� - anquM o1 awer . % 4 No w'♦ I IS! C � r e f &4 I N , h� 10 u,-r� Plan Ielrt "Requaed7 ' wl Yes )(No ^7 2p ✓7 I // Use ot..er sOe ICA adJA onal 1MWmllnr+, ! [[ G JAW ' • '.yM•une $Bp s: 1orR a9r1 rG. t(o Lt 1�,;ii434e Iert NO q v /safety am Bindings Dlvlston St. Croix P201 W on Ave P O Box 7162 Ki itwN prim d Nunbn la Ae rdQ m it)co I ''EEL 31 2 -h�il�, vl 53707-7102 ;Ilo ,,---T., 7 _, it A lic t S �UIc I1. lkMNLO"Ee. In mcvdr c rleh %Ps IA I :It!$ N„ %Lh I .kk wM,�...M , fpm to yY..,,l,ryttc p'm ttnnt ur� 091901875••C n r"ered rr■a p. a,t,;I.ntl.r a san.tan MYmd %ok 4(•rJ,.,ltkn Gwm\ I.x llak ,•aa.,"J R IK 15 wl.nmcd N. PIo)ecI MAkr\\ III dlMwIll Ilan t1/a lwq tddlem) Ike ikywtmerd ..I �rlfcn tld p11NrY\herd sr'r,'IrS Iti1M,Llt Inll nrnd,M )nil r.l.n kk nu1 fX la1\I IW M♦r1lkklrY' 75� �� �Y IE nl am"4 1,c Milk Rn'1a11%Wl 14% t IS(1I(I01 mI %W% jp�l I A atisu bfmrm Ctaa - rirale mull AN Iwfwatalice --- _ N14-ct) llwm .Name Rolling Hills Farm Owners Association Inc tM,prm I.A.nrr , MWI�11)r AJOrtaY 3435 Labors Rd.STE 150 1113" stage /II 1 inl. Vmkms Heights Mn 11. 1 ypr of smaitat IAWWk aN Chao appl)1 I .r: Imm4 (lncllln� Numbcr t,l Ilyd... 16 I1 HINKA:Jt,i%W,a ,.d I k,. -fdW l i,c L M""W \umber 018-2019-79-000 lro\1 I'd _ NW SW snaM29 (�Na'k.Mrl T29 % R `= IoQ Rolling Hills Farm III l'Ih of U tiUICIM11cd Ilrr.nhcl </ —y1 1♦sl\Wnt." LJ%dlowpI Marrignorod J-1D Ica Itl t1�e I��eek on. Ewe 11a1 M lore A. ( nlwpirle had,R if applinaf ) n - .') kta sl clan 30 RcJ4mcnw•m %%. Mt ❑ Ilraln.cn , ilduip 144 Rcr mcmcm / Inh ❑ IMlrr M.J.I.cinn IIII a1dWW %%+Icm (cry•l•M) ■. ❑ pmrmd 11 a,a) ❑ Nrmw Rc, ,.r.n ❑ , K.W1 of IM.N, Pcrm11 irrrin I I.i hn.v lied Numl.c* and I hoc lwucd - ❑ k• \r+ Ikfxc 1.1prM.M I I Irrllr 1\'• 7')pe of rI/N TN tiyStation 'owpomw11 -kre• (/ hock ON Ihal 1 _ �r i11_- _1,64& 3 3 ❑ !•LM-PrcuWucJ In-/:nyld ❑ 11c.ca vcd In•tit.,+l..l ❑ AI-1 ®MaM.I �• :'1 ar u( wM.bk wn1 ❑ M..ud - : •1 m ar(.un�hle �.d ❑ 11•4dsno Im,Y 01)tlpt Vmper�l r .\r. m cr.l (e,trl,„w Nenc almcni I) %+ v lc.r.lun) dti — I Ic.IpI 1 h,% l ltryl l/ I ku p 2400 �// 1.79 VI. r..il all i - pr"n. RAnprkl.ti Ir, arsnal Art. v .4 1340.78 c arwla•m m toW /.diem lidLnn T (n ty I.d. 1250 Vll_Rts wsihNM1 %to(tMftl- I.Ibe ood.rQgved. . Intign \.rr.c I14nn 1 _ _ Keith Knudtson Q 927150th St. Robeft Wi 54023 / ' 4029.71 J Y .1 M�pI� 2- aSKn rec 1 r 1 .f1 S)1rcal Fk, rr•M 1080.83 1250 Willsei — I x NaYnWa of the PI M I S blew" adt lMd4r•N_ d _. _ I WPI.IPR.ti Vuml.n au11t1c.. 1'll.ax Nwtlkn . 648443 1-470-1737 tof i�.n I Pcrmu In ilr Sd .co ❑ 1 /r.,m Rcw. Iknul � 1 IX. for IHsappro\al 1 Sebllr, lanll eff uent rrt.,l .,1,' 3 dispersal eel must A,• ,,iv, .:I r rr ,r t n, ... as per rrmn,gt:nwnt p al- I•r, . j:: L. 1 1 2 All Se•lnark rcqu,frRle' i..,, . I Cr r I.,'n:�. d I• tr J. n.Irw ry w► "a.. d .r 11ad, r POW am Iwe air a 01 11 rcaw In t1n %lilwya lR 11411 EAST _ 1'?-• i Kir+isKi elow H AVENUE=a f FNI 1821 LOT ss 21.781 so FT [ WF IQ. 000 Wd r ask 40 avc aft maw nwa neon 801"a W fi fN# IM LOT 56 21,78160 • WE I Fr' Wit 1 DW 000 Q• 1 J ewv —we qwqw MEWWIN ���•�.�� P�=e 2 of v 2587.28;� — 131 Y S' 7M Ave. . 11 F#1!1625' LOT 67 N 21,781 SQ. FT. Off 60D ppd ackpPyc 1 jw swear r kIL 40 PVC Ill". Nano sldemp I BwA w k 86" 4;;; 85.16 � I taster 61 4'aak40PWc«aimDvm PVC CanV�rpr Ape ne wer u. 7WAM of each let wl be r &`h. 40 PVC eldp. 8wewr Pipe Mwllrlal per AM SW%Wd (TaDIw 3s4J" a 394.3") rrtrterw BuedYlp Sawn per sPs 312-INN i)(c) rd PKPMD roe ptoMcllon pwr 8Pe 3B&43M (4)c I Maud Sb Is on Open am& slope Peopowed e o x /er Mwuid Dkepwr cas IDMW MW O to 1OW 33 aal.atx WA Swam m Bev. of 10s0W - — 1=4 e4 r. !ere —187 r. Lott esm IOrIJW/ , rue -Twe M WmdeI IV PL I we In" -Io wAf - wit OLrrLOT 2 42.71 ACRES 1.800.30 So. FT. Pope 2 ole 4% • WELL FN* 1877 LOT 21�78v1 so - FT. • VF_LL 1 7 f Fq;dj ! 1 ram .DPW / I elae.INKM ! I Mwa Mem , ! emaror4 Plopreed Vrb catlarlr VVLP1M4AR W Dq*w wr Brlllar1181F 10o Felala 1 Pmawr0 "N oW T SCR 40 PVC F KIN / I / 12 °� � qI r 1 I < < z m i m O ! O m m m (I YC 0 U N TY NO. 641968 ST TE SAN A PE LAu. PREVIOUS NI J ess. �)� . • ��i PLUMBER 1� TOWN OF 11r►*k0o SEC_�,T N, R AND/OR LOT CR C# 448yu E/W BLOCK SUBDIVISION . Is 00P ►T-SI 10 CHAPTER 145.135 (2) WISC45NSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. to) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c.168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. A ED ISSUING OFFICER - DATE EXPIRES NLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (R11/20)