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HomeMy WebLinkAbout018-2019-37-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: Francis & Margaret Marson City Village Township TOWN OF HAMMOND CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY 1 Septic (CSC r�-- goo Dosing I Aeration t �� Holdi TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic q57 Dosing Aeration �� lc Holdin PUMP/SIPHON INFORMATION Manufacturer De .."Ind 10 PM Model Number I -------- TDH Lift Friction Loss Systeread TDH Ft Forcemain ILength JlDiDist. to Well ELEVATION DATA County: St. Croix Sanitary Permit No: 651278 State Plan ID No: Parcel Tax No: 018-2019-37-000 Section/Town/Range/Map No: 29.29.17.1237 STATION BS H I FS ELEV. Benchmark M4,401 ` J.c. Ca v D. Cofl 467a)) 0 Sq . 34 Alt. BM Bldg. Sewer,�,, -7 0 I 5kre Q� o v . St/Ht Inlet $ .z� /o�o. �f St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover e c4i w, 4D ca P1 0 � N I SOIL ABSORPTION SYSTEM BED/TRENCH Length No. Of Trenches PIT DIM ILi wuid Depth DIMENSIONS SETBACK SYSTEM TO I P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold I Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) _ Lr,ngth _ Dia Length_ �� Spacing I ISOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Inspection #2: zz �z3 Location: 734 163RD ST 1.) Alt BM Description = ui�,. eU, ov at I 2.) Bldg sewer length - - amount of cover = e cv R! Plan revision Required? ❑ Yes No 7/2, L/_202-3 7 21 / Use other side for additional information. L SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. .11 KWSTWM—." IN= I W I ,0N YA 4! \V/ Industry Services Division County St. Scoix f71 'All 4822 Madison Yards Way Sanitary Permit Number (to be filled in by Co.) AUG 2 1 2023 Madison, WI 53705 P.O. Box 7162 Madison, WI 53707-7162 b5 2 7-9 0Mmuit Application LSanitwnn&.m State Transaction Number 1289242 In accordance with SPS 383.21(2), Wis. Alm. Code, submission of this form to the appropriate governmental unit Project "dress (if different than mailing address) r0i is required prior to obtaining a sanitary permit. Note. Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary 734 `63rd St. purposes in accordance with the Privacy Law, s, 15.04(l Xm), Stats. 2 � % ' I. Application Information — Please Print All Information Property Owner's Name 4 Parcel 4 *:, I Francis & Margaret Marson 018-2019-37-000 Property Owner's Mailing Address Property Location 655 Pendhurst Dr. Govt. Lot City, State Zip Code Phone Number Ame ry, W i . 54001 715-307-2193 NE' �4 SW '/4, Section 29 m_ T29 N R 17 EorW 11. Type of Building (check all that appIN) 137 Lot # Subdivision Name I or 2 Fam 1 ly Dwell Ing - Number of Bedrooms •4 01� 16�J t `"°` Rolling Hills Farm Block # ablic/Commercial - Describe Use FIC ity of FIState Owned - Describe Use village of CSM Number / Town of Hammond 111. Type of POWTS Permit: (Check either '"New" or "Replacement"' and other applicable on line A. Check one box on line B. Complete line Cif applicable.) A REew =System []Replacement System �Additianal Pretreatment Unit (explain) V/ Elmer Modification to Existing System (explain) I Hoot 600 B. Diolding Tank In -Ground E3kt-Grade Mound ��ev\ � Individual Site Design :]Other Type (explain) (conventional) > 04) VV%.a C. F1 Renewal Before DRevision hange of Plumber aransfer to New Owner List Previous Permit Number and Date Issued Expiration 499134 8/24/06 V. I W. rDe—sgn Dispersal/Treatment Area and Tank Information: Design Flow (gpd) � Design Soil Application Rate(gpd/st) Dispersal Area Required (sf) Dispersal Area Proposed (sf) I System Elevation C: 1 0 EXISTING Capacity in 'rotai # Of Manufacturer '0 'rank Information Gallons Gallons Units -0 New Tanks Existing Tanks 0 0. U V LA Z V) U. Septic or Holding Tank 400/921 ieser LLJ Dosing Chamber 'h . Responsibility Statement- 1, the undersigned, assurng responsibili!4 for i ,gstyllation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum r' Signature MP/MPRS Number Business Phone Number Keith Knudtson 548443 651-470-1737 Plumber's Address (Street, City, State, Zip Code) I 927 150th St. Roberts,Wi. 54023 V1. Countill)epartment Use Only bd Approved isapprove Permit Fee Date Issued Issuing Agent Signature or eason r Conditions o(Appr9v&RetzuM tbr Dfsa�,� a 3toe I �cm SYSTEM OWNER: ;W,0 1. Selpfic tank, effluent filter and dispersal cell must be -serviced / maintcalined as per C, ff)managernent plan prNded by plumber. 2. All setback requirements must be, maintained as per appliGable QQde / ord�nances. .Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size k.c SBD-6398 (R. 033/21) 3� A��, OLo 615 e,�a'��T MINIMUM BUILDING SETBACKS: FRONT 35 FEET SIDE 10 FEET REAR 10 FEET DIMENSIONS ARE SHOWN FROM LOT LINE TO EXTERIOR FOUNDATION WALL 163RD E3"TREET LEGEND 0 FOUND IRON BAR PER PLAT OR AS NO CK WOOD HUB SET AT 10'OFFSET OR ON BUILDING LINE EXTENSION T.O.H. TOP OF HUB ELEVATION T.O.P. TOP OF IRON PIPE ELEVATION X 100.0 EXISTING SPOT ELEVATION — — - UTILITY & DRAINAGE EASEMENT DRAINAGE EASEMENT ALL EXTERIOR BUILDING CORNERS MARKED WITH PIN FLAGS CONVENTIONAL. COMPONENT DESIGN Residential Application INDEX A►ND TITLE PAGE Project Name: Marson lot 37 Owner's Name: Francis Marson Owner's Address: 655 Pondhurst Amery,Wi. 54001 Legal Description: NE 1/4 SW 1/4 S 29 T 29 R 17 W Township'. Hammond County St. Croix Subdivision Name: Rolling Hills Farm Lot Number: 37 Parcel ID Number: 018-2019-37-000 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 C!y Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments- Soil Test & House Plans Designer/Plumber: Keith Knudtson License Number: 648443 Date: 08/19/2023 Phone Number (651) 470-1737 Signature Designed pursuant to the In -Ground Soil Absorption Component Manual for POINTS Version 2.0 SBD-10705-P (N.01/01). Page 1 ST CR rn-Y SANTARYUTUIEM awsuraA OVMESO�PIADDRESS FORM ei••'�" can�e�nnr oa�wbpn»M oep�bn� w�N uR�e d� int�om+stion #� p�v� d" °"""`� inn n+fasbi� �eion sne! � of Yot n"or m�otepl � �. ir�omnador, w� be p��o�ided as pnt of our onoaaq � � proea p�b� %nn sna.a�.liotil and aowny r�spuroas. C��oe app�'oVed U� ao��pl��0id irrtonna bnwwiM O YOb9► email. if you ward Nloe to view yr�r NwMd Y P� °^�'- lw'cr^ do so by uf lore 5400 41115 ALI too %so:" to C5 0 En, -A A ro o dip mnNumbw Locedon At E 'A T aN W,RATOM.-01 r & Ir tQl :r ti� -� -ice r. �•1�,� )OgQl �•' j `:{ !`?� .�`j~{°`zy1:^'-;ram SPK NMa Y - - - �-' �••' �'.• "Y. _ �, •-.l -�y�� �.��.7x_ f Sri jS. •s_l air IF Ion ' .- �v-' -..-- _ '-y_s'T_ltsf_.-�.•� � _:: ;•,. :mow=i�,.x':S �•r� �? �•'_ - � - - � - � -. .tit ..- , �. = �.1� �• _+ .'..�.. , = _l�r,L��?- l -_..: �ti,E` - . - _ � � .�." i � -J' 3.<�' +.r �. { ti 1• `-r=7�••`. r•s�ry7�'� �r •��; : _ ; _ - - - � - .• � �- - .. � _ - �, `` y - � may. -� � �"' .``•� Y - � "�� 1 --tip: '��. ' ":---` - 4-i �_ `'�:� � r. fi�•.a: ;Et �'.•�"'. .. - _ _ •::-. :�'._ '�,.' •i --r= _ -iiW�• l'1_S� �r�-;t•� • IT t/� ws Oak A. .-'w .. _ _ .y - _ _`"�-.. _ - `i L -_�_ -�•. .i.�r. _.•err.' ,if.---;q•'-+;1''�..., . :. � -. ' -, _' �. - - . - - - - ' � � -- - --.-.�.ti� �•+� ��' � �' �ry'�` - - - � �. _ � . �� � `�: a - ~' x�� ,•r}�r: k - �` -.ram s��:.: ^s :•'' . - ��� _ � •'.1 q . ��" t.. 5 'ti.' -+1 ��- - ,: - � _ � � - -y -t ^ _ � ;" ter. s: • - - � y"=-� ,r rr �' � -ram �:� - - F - �,%._ - _ - '�`_ _ � F a_ r.•��. , - � a� -�,; �!�_�!. �_ tip• �• � - _ - - - - _� _ - - .. .-�. - - - - -- Document Number THIS DEED, made between LTI.Ai k6i -:?..I Z k Document Name City Cottages, LLC, a Minnesota limited liability company ("Grantor," whether one or more), and Margaret Marson and Francis Marson, wife and husband as survivorship marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the fixtures, profits, rents, and other appurtenant interests, in Saint Croix County, State of Wisconsin ("Property") (If more space is needed, please attach addendum): 1169464 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 07/31/2023 11:35 AM EXEMPT#: REC FEE 30.00 TRANS FEE 154.50 PAGES: I **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Name and Return Address: St. Croix County Abstract & Title Co., Inc. 575 N. Knowles Ave., Ste. B New Richmond, WI 54017 018-2019-37-000 Parcel Identification Number (PIN) This is not homestead property. Lot 37, Plat of Rolling Hills Farm in the Town of Hammond, St. Croix County, Wisconsin. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Dated: ?,V 2_3 City colagesILI-Cra Mjqnesota limited liability company 13Y.- tI wm�i J. jen#n, laki6ing Partner NI--/ AUTHENTICATION ACKNOWLEDGMENT Signature(s): City Cottages, LLC, a Minnesota limited liability STATE OF WISCONSIN company authenticated on COUNTY OF TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by Wis. Stat. § 706-06) TI-110, IMqTPHhAFNT nPAFTFr-1 BY. Amy L. Monson St. Croix County Abstract & Title Co., Inc. 575 N. KnovAes Ave., Ste. B NeW Richmond, WI 54017 Notary Public co*)y Wisconsin bw My Commission is permanent: (If not, state expiration date: %P (Signatures may be authenticated or acknowledged. Both are not necessary-.) 0 7$% S *Type name below signatures Personally came before me this 2-%'o day of July, 2023, the above named William J. Jensen, Managing Partner of City Cottages, LLC, a Minnesota limited liability company, to me known to be the persons who executed the foregoing instrument and acknowledge the same. St. Croix County 1169464 Page 1 of 1 H • � T TREATMENT SYSTEM INITIAL SERVICE POLICY HOOT Aerobic Systems, Inc. • Tom "ramse°"a s� � r°fm ell m od to t ' Ste, l�oc�reci tour 4—If - - C +� 'adI_.III ■ . ire viOa of HOOT Aar � 3� Tbk combact p pohcy Will bx*A& do 1. tow of ow twoyow It y p . act wd to � " or rg any �.e y, ' .r +vc ,,�p dorms 2. An q�tty o't croft A Est fw grad PH will be tdM wd �► • rc r�rt ca�ra ed at oaf' 69 co �, I If • t of et I � tt "Item 'Tltie cm 4• 'fwe respvnaib PoM't" - Upm 68 sum ON #rd choW tyre . If t�ra c ttrar s in ter to �rdd tie trb . *w Ana o Ordjr be U.. TakW s #' Or I�t of �0owmer &Lei. InAt�!L 5 ' or smwk ca�ec�s re e�id3c � �i + Any UA%JM A a M_ CM* tiro +oa •'►► t the ' '� of do sari polky►, the Swvioc "UTAder �r dh Al ' hml, an POW to CMW fW Ali w IMF ► Of dr I P=Fbg of shwop bra , for rm afar to Wma � we d ID . • _ to ow be at= By t tbmMflw ad fea aW off the march o toaF ow . frt�nci S �' Nj o.�aa «+ flR50N 5� Pondn�c�+�bc r.l Jrj MOM,,.' r`r ya 1f1� • s • i r • � a � m 4 }„ I I 1 I I I f I I I ! 1 I 1 I 1 I 1 I 1 ! 1 l I I I 1 1 f I EE I I I I I I rl t t ! } 1 1 1 I I I I I I I I I I I I 14 !, ! e I I I I I I 1 I I I I 1 I llLC• I I I I 1 I ♦ I I I ! 1 1 1 I 1 1 1 1 1 1 i `-. 1 1 1 1 1 1 I I EO I 1 1 I I I I I I I I I I I ! I 1 I I I f 1 I 1 1 IE3 1 1 I ©� S 1 I 1 { 4 I I I I 1 I I ❑ I I II 1 I I 1 I 1 I I 1 I I 1 I I 1 I I i I I V I 1 ! I I 1 1I 1 1 R \ f' I I I I i I 1 I I 1 I 1 1 — — - _ _ — — — _ y 4% 0 z m C&} BUILDERS i rVL D� NLLC Q g f10W S.Q. VILLA RAMHLER ►1iF swIFQ '11MULTI-FAMILY LIGHT RESIDENAL . 29M P—mot Sweet. Striae 101 - Hudrx w154016 COMMERCIAL 3 CAR-L/O 13SMNT-1,2%) ELEVAMNS PH, 715-391-9759 FX. 715-3914760 ,A, a,i. �. -0, '........................................................ . ............................................................. y • r rri -_�; - :. I, - k-t . _e ............. ............................. ...... �, . YI I t— 4I-------------it 71 1 �® n ■ 4 �I II • ................................................. I ----------. I I k ' I C&J BUILDERSLLC Q 8 Ife . l------.-.-----_--- -._--_ - ---------- w wo. .- - -__- RES1DENMAL MUL'R-FAMILY*LIGHT ? COMMERCIAL S.P.','IWA RAMBLER C' PLAN 2M F.nkx SuWL Suite 101 - Hod m WI .W16 3 CAR-40 $SII NT-1,2SQ PFL.713-3RIA7Sb F7L 715.3R1-97fi0 "d TIA x t.** §1 1 ... . ........... 4t 49 som 2 gig CSC BUILDERS WL.5T PwAfTNc Mt<N L.Lc RESTDENMAL * MULTI * 4 RW-' S.P. VILLA RAMBLER -FAMILY LIGHT 2920 Enim S~. Suite 101 - Hud*vL W1 34016 COMMERCIAL JL I 3 CARL/O BSMN'T-1.250 MAIN LEVEL PLAN Pt1.70-3914739 FX.711�391.97(50 ;NiscciV ir. Department of Commerce PRIVATE SEWAGE SYSTEM County-. St. Croix Safety and Building Division Permit NO: INSPECTION REPORT Sanitary 499134 U GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No - Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. ermit Holder's Name: city Village X Township Rolling Hills of Hammond LLC Hammond, Town of �ST BM Elev; Insp. BM Elev: BM Description: 16(,. '*f I is 1 7, TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing 6b Aeration 3T Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing 135 Aeration Holding Pt1MP/.91PHON INFORMATION Manufacturer Demand GPM Model Number .1 . oa 70 7 CA.) 7z- TDH Lift I ion Loss System Head TDH Ft /�- (�c F -7. 1 (e J, - -7-0 1 Forcemain Length Dia. 11 Dist. to Well I I 216 Z_ I ! ELEVATION DATA Parcel Tax No:�/ f,I ., . �? ���� � � I SectionfTown/Range/Map NO: . I Z, STATION Benchmark BS HI 16 FS ELEV. Alt, BM Bldg. Sewer S� Ht lnlet 0 JON St/Ht Outlet i07 _ 0 � » Dt Inlet Dt Bottom Header/Man. Z Dist. Pipe -Z 5 Bot, System 7 Final Grade ,St over 17 P4..,54— op C, 4 SOIL ABSORPTION SYSTEM r. 7 C) BED/TRENCH Width Length No. Of Trench PIT DIMENSIONS No. Of F:Fitr Li_,�uid Depth DIMENSIONS S; SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of ystem, 0 -7 Aj A— CHAMBER OR UNIT Model Number- 0 DISTRIBUTION SYSTEM a t �''4011 Ve to Air Intake Header/Manifoid if Distribution 4 Pipe( 5, 1W 44 x Hole Size I x Hole Spacing I Zt P "P Length_ 14 Dia Z Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 15!5 Bed, Trench Center - Depth Over Bed/Trench Edges xx Depth of Topsoil• xx Seeded,'Sodded ><Yes xx ❑ No Mulched < Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7& 1 pection #2:___�_l Location: 2. 163r(�Street Hammond, W1 54015 (NW 1/4 SE 1/4 29 T29N R oiling Hills of Ha nd Lot IZ9 38 Parcel No: .445 to I _t 1.) Alt BM Description 2.) Bldg sewer length -00411�,,. "-t. - amount of cover = 13 Plan revision Required? L. I Yes No Z I - 7 _T Use other side for additional information. Date Insepctoe Sign e Cert. No. SBD-6710 (R.3/97) 0 Safety, and BuiWinp Division I k fjA 201 W. Wmhington Ave,, P.O. Box 7J62 4 �����nMadison, W1 53707-7162 (608)266-3151 De2artment of Commerce Sanitary Permit Application In accord with Comm 83 211 Wis Adm CcJe.. personal information you proviJe may tv-- used for se condarN purposes Pirivacy Law.. sl 5 04(l)(m) F REIC 7 1. Application Information -- Plegst Print All Information c Permit Nor mbe (to:►e tined in by CO) 3 L State Plan 1.1) Numben Uwar lwnddressh Properry Owner's Name 0 r2r ST. CROIX COUNT"V Property OwmeKs Mailing Address Poo, Pro 7- an Parcel ' COUN T ro 14 Section 'A C' i ty, State 7tp Code Phone Number -• —4 circle r N R F 11. Type of Building (chick all that apply) SubdivoionNarne NU 044 or 2 Family Dwelling - Number of Bedrooms -el /Ogg- 410 PublICCommercial - Dmribe Use &It- - z- -oN� IJ State O%ned - DeSCT IbC U W FL:LitN--[]V jljjgd41 nship of //,vj ---2 Ill. Typt of Permit: (Check only one box on line A. Complete line 8 if applicable) A. to Existing I'viter-1 I New Svstem Replact�ment System 0 Treat menuVolding Tank Replacement Only Other Modification I List Pre% jous Permit Number and Dite, Issued B. L1 Permit Renewal Ll Pe4-rriit Re-,moij U Change of pearilt rransfer to New Before Expiration Plumber 0*-ner I IV. 1'yne of POWTS System: (Check all ri1 �-C�b fill ON 6 7-7� 1- Zf C3 Non -Pressurscred In-Oround4 1 At Single ?ass yard P111ter XMound > 7 ' 'n of suitable [71' Nllotmd < 24 in of suitable soil it At -(wade Constructed Wetland IJ Pressurised In -Ground D Holding Tank FjJ Pczt Filter AAerohl�7 Treatment Uni Recirculating Sand Filter Li Recircula*, Media Filter Leaching Ch3lMbff U-1 Drip Line -rrpw-less Pipe Other (ex V. Disa aaresitment Ares Infortnation; A )lred {sty Diipersal Arca Proposed (sfi % —St C,M— --le V'dT10n pp Ic )on RateQ, Dispersal Area Reqk Des i gn Flo%-,v (gpd) Des:gn Soil A Ii WS 7 VI. Tank Info Capacity ih-- Towl Number /MMUNCWTAT F -Nif-d b S,.te Steel Fiber Plastic I Gallons Gallons of Units Concrete Constructed Glass New EX13fing Titaks Tasks Scptic or Holding Tank AMT-1-umni 1.1"11 -5 13 1 106/ 7 V11. Responsibility Statement- 1, the u"dtrsigned, MUM rMpOn3ibility forit! �12(j�onof of pOWTS shown on the attacbcd plazas. Plumber's Name (Print) Plumber's Signature ffl(QRS Number Bustmess Phone Numhe-.- 5'c- Plumber's Address (Stwt. City, Statc, Zip Code) H. Cw(kyMeeartment Use Only Itasued Issuing Age Signa�wc I PS) Sanitary Pernia Fee (ipcludes Groundwater Date 1A0 proved Disappro%-cd I -1,*Surcharge Fee) q-sw-) &4t 60 . Owner Given Reason for Dental IX. Conditions of Approval/Reasons for ffisnpprovil�TS� 04 OeSYSTEM OWNER Septic tank, effluent filter and dispersal cell must all be serviced / maintained /+TU as per management plan provided by plumber. -71 4-f-W 2. All setback requirements must be maintained &W I , sogf--;� -X _n as per applicable code/ordinances f inances Attachcompket platy (lotht County oni, or the system on Paper not Itss thanT2 X 11 inchu in e r19) JIAOL4 tr e tc Ale- �4# ?R- j VIA, t 40 4 V 08/03/2006 09:32 FAX 715 233 0398 {Scale: 4011 Certified Soil Testing LaX Commerce 004 _JX j -7W x 2 POtential fume W 975-1425 B10 tank locations wl 0.75 FAST ATU units POTENTIAL FUTURE 1,782 �. FT. �v /' � } �\ �m aoz&z CN POTENTIAL FUTURE � � � pafenU wfutu, P �'� 13781 SO. F .. localv "S Iwo 7S 1057.50 FAST .10 POTENTIAL FUTURE �'� ! OT 8 1 SQ. FT. '0.=1057.50 �. f— .---- — 229' / Potential futwe lot lines Potential future 4" service to pump tank > 42" below grade to top of pipe I06" 31 74J" 7 4" CASOD 4" CAS � l n � \ POLYLOK 12m ACCESS LID (TYP) SET RISER (TYP) Lo MANUFACTURED TO MEET OR EXCEED ASTM C--1227 REQUIREMENTS llFw- --. — 71 800 GPD GRAIMS�HARC�E SYSTEM RR SPECIEICAIIQN5- R� r+ DIMENSONS: Q WALL- 3' BOTTOM: 3" COVER: 4 MANHOLE: 12" do 24" I.D. PLASTIC RISER 8 HEIGHT: 70 O.D. $ LENGTH 1 0B" O.D. $ WIDTH: 74 1 /2" O.D. BELOW INLET: 57r O.D. , LIQUID LEVEL: 51 o WEIGHT: 11 a 135 LBS. W ION= W � INLET AND OUTLET: 4" CAST— A— SEAL (CAS) BOOT DR EQUAL. 9 Lo COVER: MIX DESIGN #8 (NO FIBER) qq` aO TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT 1MESER CONCRETE rN v � �0 o r co co DRAWINGS SUBMITTED FOR APPROVAL = APPROVED BY: SNIOT NO. APPROVAL DATE: / PRODUCTS NEEDED BY: 1 � ,• , ., .rid,',•• .•�sl:�i�',.�1''41 'J ;��C'Itl •fs�/�r-, i•y. • ,.� ,r., ;.• '\�[[j11.••..•�Y' pP• ;�, i''.3rr•.S •� .�!'���:'t,'.r nr:µi.•�. _ •ie 1'��.j, 1 :y''t . {•• :lrl"•>!�''•rfi��jj�' :��� �' � �r lr �.` .•. is • ! 14. ''L'• • 'i 7j,• t; �;'Ly ,�• �11 \ 'hiii �a l'.S j - !. s�, �;: ,:'�,: .fit 'I.•. ','�,�.,,, n �•�,,r,��,'{� 'Ij: �!�; f�\•R' � I S '•.'� �,+ . '� � ' � ski If'� . +{•',� � �, ��•• ' �y,R . i{r\I'. ' } '.'i,: i � •�,' �'1 ;�1 Al r, .,f h��" •idi ice` - , r Oho f /5�:fF.Z �\1 `A��,3 Q, '61Q <2" .7 6' Ln to :0 . . .. -A> -' . 70, Ho USE,,., \Q� GARAGE A%4 h EDGE MINIMUM BUILDING SETBACKS: BITU INOUS LEGEND FRONT 35 FEET ROA SIDE 10 FEET FOUND IRON BAR PER PLAT OR AS NO REAR 10 FEET WOOD HUB SET AT 10'OFFSET OR ON BUILDING LINE EXTENSION LI DIMENSIONS ARE SHOWN FROM 6 0. 00, T.O.H. TOP OF HUB ELEVATION LOT NETO EXTERIOR FOUNDATION WALL L 6 2-96, T.O.P. TOP OF IRON PIPE ELEVATION x 100.0 EXISTING SPOT ELEVATION 163RD STpREET UTILITY & DRAINAGE EASEMENT 'doo-000, DRAINAGE EASEMENT ALL EXTERIOR BUILDING CORNERS MARKED WITH PIN FLAGS . . . ....... ,'1001 - Cft)]X COUNTY e610010, Mftsom L 17 V-Ly jkN-1 IML AUTnkiRIZED ISSUING Uf�FFICER f .. .... . . . .......... ............... tD t%) 6 /111\ CHAPTER 145.135 (2) WISCONSIN 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. (d) 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: 1f you wish to renew the permit, or transfer ownership of the permit, county authority. lease contact the cvun P DATE_ '�q L2*OZ3 ill" I V--i - T U -TE'd S S R E N E W E "" B"VE j - f " R E T -1 A- A T r-E j T111S 11 NL All . .. . .. ......... . . ...... : : .%:.: - . ... .. ............. .... ....... . ..... ..... SBD-06499 (RI 1/20)