Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
026-1306-00-055 (4)
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) PersonaI information you provide may be used for secondary purposes [Privacy Law, s.'15.04 (1)(m)]. Permit Holder's Name: City Village Township CST BM Elev: Insp. BM Elev : BM Description: &--S cj(a-o dfi)ae,g TANK INF RMATION FLFVATION DATA TYPE MANUFACT RIER CAPACITY wee ` �t�i Septic �l9 (CSE(L 4- b` � % S¢1S e,nC 0�►-� 1 l,.r�% Aerat' i S lD 4-e aQ , Holdi TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic D 1 3 1 � 1 z Dosi Aerati Holdi PUMP/SIPHON INFORMATION Manufacturer Thknand GP Model Ndhber TDH Lift riction Loss System Head TD Ft Fore main I Length 'a. IDist. to Well SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 651353 State Plan ID No: Parcel Tax No: 026-1306-00-055 Section/Town/Range/Map No: 18.30.18.1662 STATION BS HI FS ELEV. Benchmar 'D rd Z Alt. BM Bldg. Sewer St/Ht Inlet D St1Ht Outlet Dt Inlet Dt Bottom Header/Man. �[ Dist. Pipe Bot. System s A( 10 rzo 9 • TO '73- 20 g 3- 70' Final Grade 3 r 9�.10 St Cover 2.2 D o I.2 0' 6� 8z. (103-qD) r TR CH Width Length I No. Of Trenches PIT DIMENSIONS No. Of Pits Inside ❑ia. Liquid Depth DIMENSIONS :3 C2) SETBACK SYSTEM TO PIL BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR UNIT Type Of stem: yp System: _ 1 L O 1 Model Num er: ' r Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Pipe{s Length I ❑ia Spacing SU L L;-UV EK x Pressure S►►sfems OnI►► xx Morind Or At-GrariP Rv-qtA_mq On1►► 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 discrepancies, persons present, etc.) Inspection #1: 11/1 IZ oZ3 Inspection #2: 6- �&A�e 5 -2 ��- Location: 1 595 32ND ST � I- P � ma`s pc'� u� .s-aA-ecQ -ID � e c d.S�S s � .}Aft BM Description = i � ��c � � � � 2. Bldg sewer length = �', �&Aj)Sj- �XII � q 4'� 3 9 9 zg � � ww� amount of cover `f 3) V er j"r Plan revision Required? [] Yes No 1'302 6 Use other side for additional information. SB Date Insepctor's Signature Cert. No. -67 � 0 { R 319 7 j J c�c,Cc u.n, a•`� c.u�o R�U-i n C� s w%, JS �k � c Ma -e fl �12 k 'i Industi-V ")CMICCS UIVIS1011 %-utility ?- Y. 5AN-2023-286 (r, 4822 Madison Yai-ds Way Madison, W1 53705 2 be fi I led In by Cc 1 Perm it Number �1� V 27 , Sanitar� (to - ,0- 1-1.0. Box 7162 651353 Madison� W1 53707-7162 Bennetw Permit Applicatioll State Trallisachon Ntiniber I n accordance w I th S I IS 3 8 3,2 1 (2). W I s. A d m. Code, S U 1) 1111 SS 10 1) o f t h I s form to w 3 pprop r i: ate go v i- 11111,-, r i I ,i I L i i -j I Pr Addr�,-s,) (II'differellit thall inalling address) 0'eL;t j is required 1) r1l or to obta i i i i tit- J smlaary permit. Note: Applicaticii furilis ror stateo%%,110�j POWTS are Nubmitted to 5 the Deparimellit of Safety and Pi-ofessloiial Services. flersfLmal informatioti yoti provide may be osed for secondao ry 7 11 purposesI -L) c c o r d,,� Pi ce �v I I I i [lit 1'r 1 v Lic y L ay.-, " 15 04 (1 )(1 a), Stets. I. Applic;,&tlion Infuniation - Please 11"i-int All Infori-wotion Property Ownerls Name Parcel 0 Property 0 wne r 's Mfi I j n g Ad d re' ss Property Location NY Gow. Lot 1/4 101 /Z eta a zip Code MION NUmber Top N It F OW SUI)dlv[sion N4irnc' I `Fype o f B u i I d i n g (ch ec k a I I t Im t a P 1) 1 1'ol # 5 I Or 2 F M1111 y F)%C11 ill L', 1"141.111 hUTO 1 r Block 9 110�4 4 D "Itibi lo/Cominercial - Describe Use [Tity of L-Y trit. 0,,A,,d - Describe Use El v i 19 age: u f CSM Number TmV I I of aL �::A- Zone X A� Ill. Type ofPOWTS 1'ei-m It, (Check eithet- "New" or "'Replacenient" and other applicable on line A. Clieck one box an line B. Complete line C it applicHb1p) A. 61"EjNm Systelln Replacement Systeni Aher Modification to Exisfing System (explain) IEAdditional Pretreatment Uni((explalil) B. -Grokind F-1 t - G radc t ElMound E] Holding Tank Ej I tidividual Site Design Odi(7r Type (explain) E] Retie al Before Revision N-111 hange of [ Lliiiber L—Yraillsfer to New Owner List Previous Permit Number jind Dal' [SlAied C. F_-� p i r,-i n' 0 ri 1� I I I k 1) k- T- �-a I /Tz- ea t ri -e n t Area ,, i , ci 'rn i i,� i n ro - 111.3 t io n - 2) 3'x90'trenches ==>W4) _QUi_Gk4,Ded(s (sl) Sy,,l:cal Elcv,�[[�111 ,� 1"5W(P Des%n Sul[ �\pphk:,1111ori kate(gpd/si)Area Require 1 600 0.7 858 893.2 94.75 (See #7 below) Calmcity in I - Gull # of MaftfaCtUrer au Tao;-. kilt,111,11400111 L1 tills G.L111ol)s i i I 1,_� j Z j New Tanks Existing Tanks Se-ptic, or Holding Tallik 71) c Dosing Chambff IN%t*1_111;�,j"Jbl11(% '�Itlik:IJILA11- 1.11letIlIderSigned,as tj I J1 i, Y, c -s i j o i i i lbr- installation (11"IlleflOw I S .1inwill oil (lie Mulched jflall!�. Plot.N 'Ll III C (V I I I it) P1 u MV/MPR� Number Htislnc�i� Phone N C-T 10 P1 Lim be tale, �si A re s (Strect, Clir.19tal Code qZ7_11) 4L Gxj Z Optinty/1)epartment Use Only 11 Di roved. 11crillit Fee mate I q'i l.e LI Agjint Sigil,'ItUre cl 0 e given Re'Llson for Diw1al $95-- 11/29/2023 00, 3. Replacement area must be preserved. SYSTEM OWNER, 4. Installer must provide system maintenance information to property owner. 1. &P'(ic tar, effluent filter Pnd cell 5. No part of system shall be located within Drainage Easement. F rust be serviced: mainlained as 6. Drainage Easement must be staked /flagged prior to system installation. �per 7. If trenches installed near pits 131 and 132, then infiltrative surface /system elevation myst be M aq a g e m p 124 ri r i.-j vil d C, p I ii tn L%r;, r. installed deeper to be within 0.7 GPD/ft2 soils. 2�-- I,' -ri.-st be maintained , All setback Fefllin! 8. If there is greater than 35% coarse fragments in horizon 5 of Pit 133, then must have 60 a s IF ap .lip ble code / ordiwces, inches of suitable soils below the system elevation! PC ;NILK11 11) 01111 plete phim; roi- tliL, ssystem anti sulmili r.., rlik, i oLIHIV 1F,Ljy t)jj pillitj rw[ ivs,, iii;w � vi x I I inches in size SLID-0398 (it. 03/21) 3 v LOT 54 rr r r r r rrr�� ~M i LOT ti 1.Q-T 56 Ln or All I u wnon� t ......... . . .9 _Akd03 S-r4 Cft)I)C COUNTY N08..s6 1 3�3 ........ ... .. . . ... . .. ..... .. ........ . . . ..... .... . ..... ... ..... . . .... ...... .. .... . . . . . . . . . . . . . . . . . . . ........ . . .. .... .. ' 1- NO. 6303qq nRE- V qj U N 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, please contact the county authority. - DATE ) (b9 [2, 23 . .. . .. ......... . . ....... ..................... ..... ...... ..... ..... . ... ... .. ... ..... ...... ...... .. . .. ... ... . .. .. . ... ... .. ......... ..... .. SBD-06499 (RI 1/20) Waconsin DL�partrnert 0 Somrrer�e and Eupld,ng Uivi5ic�n PRIVATE SEWAGE SYSTEM St, Croix S&I" INSPECTION REPORT S;j ;ar-,., Perm I rj(. GENERAL �NFORMATION (A' - ', - I TO PE RMJ) 645480 Personal information you provide may be u i for secwdary purposes (Pinvacy Law, S 15 04 i, 1),ry I Permit Holder s Name Cmy Villil"e Township Po r . e, T,; e N Hickory Homes City Cottages LLC TOWN OF RICHMOND 026-1306-00-055 CST 9M Eligiv Inge BkI Elev B&I cr'k1ap No I I 1 18.30.18.1662 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPA`_'STY Septic Dosing Aeration folding TANK SETBACK INFORMATION ROAD PUMPISIPHON INFORMATION Manufacturer Dernand GPLI Model Numl.t FT r-- 7,7 F, (I Friction Loss System Head TDH 171- E T SGIL ABSORPTION SYSTEM STAT0N B S Iil VS ELLI.: Benchmark Ali 8M Bldg Sewer S1 i it Outle, Dt 'nlet DI Bottom Heade(Man [)Isl Pipe PC,! F i,ial Grade St F-over 13EDITRE.'47H gTh '�a '_I Tre-ches PIT DIMENSIONS N: in&ije Dig Drplh DIMENSICNS I I 1Liquid SETBACK STEM TO P21 BLDG WELL LAKE'STREArA LEACHING Maiij1,4CTijfer INFORMATION CHAMBER OR Moial Number stern UNIT DISTRIBUTION SYSTEM W Hole Size x Hcda Spacing 'Jani Io Air Intake P -,piacino_ SOIL COVER x Pressure Syvpms Only xx Mount] Or At -Grade Systems Only Depth Over Depth Over Bed Trench Ceri!er IB@cVTrenr-h Edw, COMMENTS- ;Include code discrepencies, persons present w�' nspecllc�n V 1 on 42 L,ocatiow 993,154TH AVE I ) All BM Description 2) Bldg sewer length - amount of cover Plan revision RequirejYes No Use other side far ad,diltonal information I ? R 2-9C-are r F I c'_ I L. 4! U r C3 Ceri No ') 's 6 Busui= PlackTr ►iaumbar 9WSTEM INOT&S *gnu. RYUM *:tw •*All sporty funs mt Benchr-ark :ertlflad Sol! Tester. SP-1"1500001 ADVANCE6 drawn are > OM from %eptic Tank_ 0 A Sod )@signer of ErginewIng Systems.D 2293-7 4 MT t system Being -------- SC .if.F-BW, GF- 10 Mv W AM z. Dc rd -AM �w War Kuvm rtc sq* to* AVE-- r A IL a 50' **Well to be bca >50ft k�o R14 I tift'D(n system,al.. Ln Ln N Ln 10 Carage 48K UP) 997 989 100.00 A:10(Y 4® Top of 2' sch 40 PVC SCh 40 PVC PVC pipe header EQ 1101100 9&20 0 M sch 40 PVC 91 (2) 9(Y Infibator 1%96.70 5� forcemai- 96.70 x quik-4+ STD trenches (22) Ca�nbcrsgrencWk 6 V x 'Xv X, X C / \ z \ x x• X X X X x x x X x OP-MW Utff � YM %pularr thaff bow 6w4rwd Olva veduc*sd bm onow*rce v" %Ax arA tunlcd --d- P4 " "vat .rrE croa ffwod nvyidn prut&TW frurn dWtFtwrm wWOr Owyoucbw WfOm 011d corwtuct6m. No WAMMOM 4 WOE T14T PIS TMUi "ILL OWrb&C TC FLO i 1.?4]MNFTU_Y. **Wr mud bw WmO" nmjnb*w. RrAm you *V*bwn'@ rrmvwmwrw-t pow fw I 16probn an wl*w 4mw aid Pum p J ank-- -PxT n@&* z 35grm @ 10. 5TDH 4kvv *k as neavmff, M. rftn iff wbKh 4UcdW* MM fill Lm w4 TDH WW MW -balm mr*. " mdar. Sir *W n*v m=mwK*d STA. an 'MMWWnO Powrs at upp? llad rare -M 971. dh vb wW- SM Mirdet -W 75 inUMv* DAm - rcalm mffy its i ndtt'vd W4hs at ftnch C*ecrps so ON es A Tt warn d 160 1-1WO Oed CO Irvict,s indaw wid sygem d9M ce, s rat 34' ftm grade &4 no rat Ow 54' Ma ter n 1 hM-g, YM and prop" b no ~1. talm = woo 'eu% 40 PYCet0q.35 hem& 0 I .;JN MAI (FW to sod*) 154Tri AVE 55LET LOT 5 PREPARED FOR: H P6*ry Homes (Bill l Jertsm) 54e M&C$S'. 993 154TH AVE New Rjdyrw4, W1 54017 'P"D; 026.1306.DD.D55 1," Acr" I iegal, Lot 55 The Glaris of Mlow River NE SE SIB T30N R18W Town of Richmcnd ryn W3consin Department of Commerce PRIVATE SEWAGE SYSTEM St. cpix Safety and Building Division INSPECTION REPORT Samar i Permit No GENERAL INFORMATION "AFJAC,-i 1 P E u I Slate Plan 10 No. Personal information you pr"de may be used for secondary purposes IPMVar_y 4 Permit Holder's Name Hickory Horner/City Cottages LLC TOWN OF RICHMOND 026-1306-00-055. CST SM L 9!,l Fln- BI%1 LL, escription 1 1 8 -, 3 0 18 1662 TANK INFORMATION ELEVATION DATA TYPF MA N i I AC TUPLP CAPACITY septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P L B I. DG Vent to Air Intake ROAD Sep,;,: Dosing PUMPISIPHON INFORMATION ManufarAurer G F%� Model Number T D� i I LlA Frction Loss S sem- I ie aj Dist to Well SOIL ABSORPTION SYSTEM B e n 1 '7'.--j r Alt 8 M Bldg. Sewer SUM Inlet SUM Outlet Dt Inlet Cx �10 tiom flea an. Grist. Nt Svstem final Grade C Iver BEDiTIRENCH No Of Trenches PIT DIMENSIONS N Of Plr� IrSde D:a Liquid Depth DIMENSIONS SETBACK S YS T E r.1 To PiL BLDG ,'.'E 11. L L-46 KEJ5TREA1%*, LEACHING Manufacturer INFORMATION CHAMBER OR klojel N umt*i UNIT DISTRIBUTION SYSTEM Vent to Art Ittlrike pipe' S'l n SOIL COVER x Pressure Systems Only xx hotrod Or Al. -Grade Systems Only Ov©r Depth Over Of I s No Y., Seede�.' Sc�Aded jxxMulched Center BedrTranch Ede I— I Yes 0 COMMENTS: (Include code discrepencies, persons present etc ) Inspection 01 Inspection #2 Locatim 993 154TH AVE I �,,I! 5M Descrvoon 2 1 Bkg sewer length . arn-cu-1, of cover Plan revision Required? k Yes -No Use other side for additional information, L Date Insepciors Signature Cori No S613-6 710 i R 3'971 J County Safety and SuJdings Djvision 201 W, Washington Ave., P C_ Sax 7162 Sanitary Permit Dumber (10 be failed to by Co.) Madison, 3707--7162 roe._ t C ��t 1-1p�}IZc G�fi S�i�c-ir�c»ctiorti ;Currtlbti7 J In accordanee with SP5 3831] (2). 1Wis, Alin, Code, submission oftltis form -to thl priatc gova t is rcquired prior to obtaining a xartitary permit. Note: Application forms for state-ok POW are gad to Protect Address (if daffcrcnt Aare mailing address) LU Departmcm of Safety and Prohmic rW Servics- Pemnal information you provide may be used for secondary f purpom. accordwxc with the Privoc w s. 15. 1 rn. SEat.s. - / A I..A `Mallon Information — Please Print All Information Property C Name , Parctsl # Property O 's Mailing, Ai4dtO Property Location 1Ia. 30.19 - -"J p ,° Gov7. Lot City, Scarce �"` Zip CacJe Phone Number C {Vo, A, Sccnon I II, Type of Building (check all that apply) _ %� Lots Subdivision Nartic Xel or 2 FLmily Dwelling -- Number of Bedrooms Block ❑ PubiicJgCassrntucisJ - Deserilac lase--� �- ❑ City of CSM Number ID 4'illasoc of ❑ State Owned - Describe Use ALlown of /, UP III. Type of Permit; (Check only ont,box on line A. Complete litre B if applicable) -4- A' NowIystcm ❑ Reptaccrrtcnt Sysicat ❑ Treatment/Holdrrig Tark Replacement Only ❑ Qthcr Modificwt on to Existing System (cxplam) D. List Prev;ous Permit Ntamber arw J7 a lssucd Permit Renews ❑ Permit Revision ❑ Chw4e of Plumber ❑ Permit Tromfer to New x Before l xpintioc Utvrtcr 6 3 �i �# '�" +tV )Cv. T let of PDwn S Com onent/Deviec. Check all tutor a r' U Non -Pressurized lit -Ground Q Pressurized In -Ground ❑ At -Grade 11 Motind a 24 in, ofsuitabla sail ❑ Mound < 24 in. of stuitablo soil 8416 VQ� ❑ HoldinS Tu dil ❑ Odwr Dispciw Componarii lain) ❑ Pre t 1?evice (explain} r� V. Dis ersaVrrtatiment A►rca Information: Y kas t" Design Flow ( j D sip Soil Application Ra (gSpdsf) Dispersal Area Required (sfj D spersal Area Propose sfj System Elevation 75- Ve9 T V1. Tank. Info Capacity in Total # of hianuflicturer Gallon Gallons Onrrs Ntw Tw&sLA �t - l=itiseirs� artks ` v Septic ar 8awina Tack 0.V rJosia� ...� f Gt / ' F Y'� ii� I- Resp0nsibiii Ststtemeni- I, tht tanderslgaed, astsume responsibility (Or lnst,llatson otIbc POVVTS shown on the attocbcd piaos. i Plumk rt{Print) Plumber's Signature iP lY�rtrk�cr 1 �sinrss Phone Number Plurnbcr's CM 0trcet, City, State, `Lip Cod:c) • r 3 'VII I. Cotter lie artmeni Use Only �k Permit Fee Dote issued issum , g ifry Appr�avcd ®Disaysprarsd S � r� crst S- erarre ihvrtcr given Reason for DcniaJ ! P>l i dl^Itl profaUReasons for ]Disapproval � 1�1�.�►�ts�� excf*. p`''v'6i cl'a.� � I- Septic tank, effluent filler andt ' dispersaP deli must be s�:}rvictld 1 maintained v �� Ctr- � � tI �` as ,pet management pla n prvvtded b plumber. '� i �"' � W 2. All setback r urrem Y. a heir Gt c-e: rr h' f� `,�-t`Cat.• `�vj 'J t"t-, � }l enls mull be mainl8ia�ed f 7 Tf rS h rar the sysusa ud submit to the C'o4atr only on ,paper not itm th s o 1 inches is sun O%c 6 [ O(4k �rd 4--V I. ADVANCEO E N V I R 0 N M E N T A L i liiCkory H-OMCS (Bill Jensen) T-, r e ss. 9,93 154 TH AVE, N ew Richmond, W 154017 INDEX Paq e,- 2 Site Plan PaSe: 3 Management Plan P a _q ip: 4 Management Plan Page: 5 System Design Summary Page: 6 In -Ground Conventional Trench DesiSn Page: 7 In -Ground Conventional Trench Design Page: 8 ire- 6 r-ound Conventional Trench Desi_qn pcl3e: 9 Pump Sped f icat ions Page: 10 Dose Took pcj3e: 17 Tank Specificotions C, 0 NS 1�1 Phi e 12 Scii Test 14; pc�3e 13 Z_ RYAN Sol'i Test R Y N EC HE BECHEL Page: 14 So ii Test DAG D-2263-7 RE WI C RED WING Page.- 15 Survey M N M Page: 16 Plot I G �k Page: it Compor7ent Manuals: Sbf) 10,705 P Jr; 6 ound So+ I Absorption rN. 0 0 1, R_ 10 12i f De,signer Signature, Date: iOJ23/2020 SVSTEM NOUS "All properly limas not Borchmark drawn are � 1,Wft ft rr, Septic Tmek: Sod BorlN system I After 12xv&t g3tn %*---r"("Wf W� arl -Se's 4'aa" ftrW V.I* -Nci CF-'C fillet W&Wm 2 1 5 a 0' so, 997 1---] 100.00 Top OF 2- PVC pipe MOO — --98.00 Dmirw. Ryco, Sechimi ADVANCE C,wtffmd Sol] Te.Aor. SP-1115C�',301 Designiv of Ergineerirg SyslemsL D 2263-7 -154TH AVE- -VA R/'v I " Well to be located >50ft from System" em componefits t ILI ,,age 989 M M 4- sch Q PVC SCh 410 PVC r header 93 4v ga20 0 ±1U 2" rich 40 PVC J 01 (2) 90` In P force in 'to 96,70 quik-4 '22 chant Cw'-,W !Pmtm,-mqt Tn* SydMn ho bmir dmWW-wd qrW 90dHOW bi mowdw--. Apr9AAS WW L010 QC.JM I'W MA t*GbWK O'M ffgjW rWnC&n PfObNOW hMM d%&tt9tKYM* OrW/OF Ccw1Fat*m bohm OW al'W uLxwt-LK-tKrt NO W*VW1Y 13 MOM n-PAT T-$ 4 TE.Li WU CWftX TO FL04L--" iWt--M-"—Y Syvlem --ua bd xdwm-,V fflmir*A� PwA4m mw ,-Wyaparr�'t 'P*' fly Waffrobw W Propw Oury W7d Pwn p Tank: 4km -eum - 35Wm @ I G 5TDH gidum -NkN* to* as rwxzwf me riv ill 6dbo7r, -Pt P-im ::rcoor Lon wW TW " r1r.ml -E-OW, Cr rim " mar Y wm *I rocorww4edl STA: - "Vojjd *WWWS.' PM S Wj�n 0 7w- kw fmo �2) 9D fili lb qu� 4- STD rwi�hm M754ftav Pj*v - rrAmw me, mtr iniviLo t", mj!rs Sewit"Y" so" as R-Irrnkp of Imim" led CO W-cr nawd S4 Symem aqwi IN img 34* `0, 7-&X X-.j nC rxy a L,'W, W' Mgdar W' bU"N rant r v X", are ACXO " - -3�* 10 FWNd r= =11t (advt d dxwvvlom� Sk;* = 4% wow m4b" it uh 40 PVC or MR-36 mwbr (not to Bodo L55 Arr*s - Legat; Lot 55 The Gene of WIlow >! Rlyer NE SE S1 8 T30N R18W Town of Rkhmond Management Plan This management plan identiffes operation and maintenance a1cftvtttes necessary to ensure long-term performance G' YOur 5ePtfc system Tasks that should be performad by the harneawner are identified Professional management tasks must be perfwrnL-d by a let ensed seDPC mam�,,nar or serv+re providaf, however it is the homeowner's responsibility to ensure all [asks got accomplished in a rymoly man0&,f' No. Keep this Management Plan with your Septic System Owner's Guide Keep copies of all pumping records, maintenance activities and repair invoices with this document lo, Review this document with your maintenance professional at each visit discuss any changes in prDduct use, activities, or water -use appliances. Management Frequency My system needs to be checked Designer Required Frequency. Check every 36 — months every 36 months. I State/Local Gov't Req Frequency: Check every 36 months Design Parameters Sntem Smifications Number of Bedrooms 4 Septic Tank Manufacturer Wieser Design Flow (gpd) 60,01 Septic Tank Capacity 1200 Soil Loading Rate (gPCVft2) 01 Effluent Filter Manufacturer Best GF-10 Standard Effluent Quality Effluent 1 & Model Biolo,qtcal Oxygen Demand (BOO) 2 20 r"9fi Pump Tank Manufacturer Wieser Total Suspended Solids (TSS) 150 mglf Pump Tank Capacity 800 Fats. Oils, Greases (FOG) 30 aw Pump Manufacturer Per Installer Treated Effluent QuaLq & Model Biological Oxygen Demand (BOO) - MV1 Dispersal Cell Type Non -Pressurized Total Suspended Solids (TSS) - M9/1 Conventional Fats, Oils, Greases (FOG) - M9/1 Pretreatment Unit Description NA Max Effluent Particle Size in Its Homeowner Management Tasks Check (iisten. to( ieaks in toil0s and dripping faucets, Repair leaks promptly. Regularly check for wet or spongy sorl around your sod treatment area Contact service provider if issues arise Control burrowing animals (gophers, groundhogs, etc) Keep bikes. vehicles, snowmobiles and other traffic off treatmont area Alarms - Contact your service professional if any alarm signals. Lint Filter - chock for lint buildup and clean when necessary_ If you do not have one, add one after washing machirte Ef!7jj ef it Fj iter - Inspect and clean twice per year at a, rNOWILML Caps - Make sure that all caps and lids are intact and in place. Inspect for damaged caps often. Fix or replace damaged caps. Professional Management Tasks Effluent Screen - Check and clean per manufacturer recommendations, Liquid levels - Check sludgelscurnleffluent levels in all system tanks. Recomrriend if tanks) should be pumped. Pump all compartments every 36 mouths at a n-unimurn Inspect tank inlet and outlet baffles (if applicable) Check drainfield effluen0evels (if applicable) Verify pump and alarm system funcbons (if applicable) Inspect wiring for corrosion and function {if applicable) Clean drainheid laterals (if applicable) Check event counterlelapsed time rneter and evaluate water usage rate compared to system des/go flow. Check dissolved oxygen and effluent temperature in tank Check for surfacing of effluent or other signs of problems Verify Inspection pipes are capped and intact Provide ho moo woer with list of n7a na gerne n t results a n d any action to be taken Septic system replacement area: Protect secondary system site from traffic, compaction, etc. Page 3 MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal netts shall be made by .an appropriately licensed individual or business Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum, and to check for any backup or ponding of effluent on the ground surface, Access openings used for service and assessment shall be sealed watertight upon completion of service activities Any unsound/defective access openings must be replaced immediately The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. Ponding of effluent on the ground surface may indicate a failing condition that requires immediate attention by a licensed septic professional. Tanks must be pumped when sludge accumulation is within 12 inches of the bottom of the outlet baffle, or whenever the scum Layer is within 3 inches of the bottom of the outlet baffle. In no case shall total sludge and scum volume occupy greater than 25% of the tanks liquid capacity. The effluent filter shall be cleaned as necessary to ensure proper operation. The filter should not be removed unless provisions are made to retain solids in the tank that may slough off the filter during removal. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously Intermittent filter alarms may indicate surge flaws or an impending continuous alarm Pre-treatment components shall be maintained and serviced by a licensed septic professional according to the manufacturer's recommendations START-UP $ OPERATION For new construction: prior to system operation, check septic'purnp tanks For the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cells If high concentrations are defected have the contents of the tank removed by a licensed septic professional favor to use System start-up shall not occur when soils are frozen at the infiltrabve surface. Durin power oulages. pump tanks may frill above normal high water levels for system utilizing pumps. When power is restored„ the excess wastewater will be discharged to the dispersal cell in one large dose potentially resulting in overtoading the cells. It may also result in backup or surface discharge of effluent. To avoid this situation, it is highly recommended to have the contents of the pump tank removed by a licensed septic professional or have a septic professional manually dose the system to return the pump tank to normal operating levels prior to restoring power Do not drive or park vehicles over any septic system components Do not drive. park over, or cthermse disturb or compact the area within 15 feet downslope of any mound or at grade system or secondary septic system site, CONTINGENCY PLAN If the septic tank, or any of it's components, become defective the tank or component shall be immediately repaired or replaced according to the original system design spedfications. If a dosing tank, pump, pump controls, alarms, or related wiring becomes defective, they shall be immediately repalred or replaced with components of the same or equal performance. If the soil treatment component fails to accept wastewater or discharges wastewater to the ground surface, it shall be repaired or replaced by, increasing basal area (if toe leakage occurs), rebuilding the component at the secondary system site, or removing and replacing biologically clogged absorption and dispersal media and associated piping ABANDONMENT If the septic system fails anchor is permanently takers out of service, the system shatl be abandoned according to approved abandonment regulations. These include- - All piping to tanks shall be disconnected and abandoned pipe openings sealed. - The contents of all tanks shall be removed and disposed of by a licensed septic professional. Tanks shall be crushed & Billed, or removed. - A septic system abandonment notification shall be submitted to the appropriate local governmental unit WARNING H SEPTIC, PUMP. AN0 07-HER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC TANK, PUMP TANK, OR OTHER TREATMENT COMPONENT UNDER A%Y CIRCUMSTANCES. DEATH MA'S'' RESULT. RESCUE. OF A PERSON FROM T'HE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ALWAYS CONSULT A LICENSED S'EPTTC PROFESSIONAL BEFORE DOING A.``JY WORK. System Design Summary Property OwnerIC I lont: H kc kory Fio mes 113 il I Jensse n 1 Parcel Ill): 026.1306,00.055 Site Address: 993 154TH AVE, h4evy Richmond, WI 54017 DESIGN FLOW. WASTE STRENGTH. TANKS A. Type of Wastewater- ReOdenWiil treatment Levek Effluent I Residential 0csiv Fjovd - a of Bedrooms A x 1006P17X ism - 600 GPD Commercial Design Flow (data lcalculauortsattached): wasurec GPl3 ETT1rqj',tC GPD Q11JAD FICZ, 600 CPO Comments: New 48IR homo; No home business: No sewage ejector/grinder 8. Septilc Tank(&y: mu)irnurri Capacity - Design Flow x 2.011111 Wastewater received by: Gravity Code Minirnum Septic Tang Capacity: 1253 Gallons, in I Tanks 1 Compartrnentis� Designer Recommended Tank AftKIle(I[s): VAOW WLP 1 20(V &DO -MR Effluent Miter III Alarm: FEW FlitIF 11118111111 Effluent Fitter mode), Best GF-10 C. Pump Tank Cod* Minirritim Capacity': 645 GaLloins Pump Tank ' lCode minirriurni: NA Gallons Destgner Recommended Min. Capaclty8W Gallons. Pump Tank 7 o Deipgner Req 1 : NA Gail-niris Pump 15.0 GPM Total Head 10.5 ft Pump 2 NA Cipm Total Head NA ft Holdinj Tank Onty: Minimurn Capacity: Residential - 2000 gall.ws, or 5x estimated daily wastewater novv; wvhKhever is greater Minimum Code Required Capacity: Gations, in Tanks Hold)n% Tank High Levi Alarm Type: Designer Re(onnmerwJed Capacity: Gattom. in Tanks D6T'RIOLMION AREA Soil Treatment Area Type, r4on-Pressurizer! Conventiciiiiiii DEstributoon Type: GraAty Distribution Benchmark 1 Eteyatiion: 10000 ft &-nc hma r ic L oc a I m: SEE SITE PLAN Component Manual 1-1 SBD-10705-P In- round Soil Absorption ;14.01 f011-- P. I Distribution Media, Dra,ilPliill Rock Appi7ved Pt;)ducl Component Manual 2: infiltrator QvIk,4 , ,7D SITE UYALLIATION DATA Depth to Linniting Layer: 100 in 8.3 ft Soil Tcxlure, Sand Contour Elevation: 9&00 &VtR: 0.70 GPDIft, Elevation of Lkirift" Layer: $9.67 Pere Raw MPI min$nriurn Required Sepantion: 36 1111 3.0 ft Solis witin •.60% Rock Fragments Pre�wt? No AMKIMUM Depth of System. 64 in If yes, d t-sc r tbe i r W. k anal 1 11 YXI Char ki tt?ss, depth cif soil I re-atme n t neeqw per SIBS 383.44-1 and any Additiorrdl r0cw[nation rot addressing the rock fragments wasured Land Slaps: 4,0 9j in this dr,,ign. SOIL ORGANIC LOADING RATE 1. Organic toodnig Ig STAIPretreatment Urdt - CieOgn f7aw X Esfiniated 600 in mijil in the effluent X 834 f 1,000,000 6W ad x 220 mg i L x S. 34 , 1.000.000 - 1. ID lbs BOD/day a. Pretreatment Unit Information (if appticaWe). Not APP41Ccible b- Organic Loadjrq ALrer Prefrecitmeriie 0f QWHcable,l - Design Pow X AW in ringil in the pretreated effluent X 8.34 4 1,000,0W gpd X Mg / L X a. 34 4 1, OOO.WO - ' lbs BOID/day Raff L a Wma M ft ME. P M, ON d. F 2- Orgamc Looding Rate ro So rI Treatment Area Iftis/day/ft ) I Sair Tmatmerir Bottom Area ft ths/day/ft' 110 ib3, BOO /day 892.0 ft3 0,00123 lbsidayllt' Comments: 0'r 9(r Infiltrator Quilk-4- STD trenches at 94.75 elevation 1 inhttratim surfacel. Gravity f1cow with Paratil LA gravity dtstrTbut ion. In-statter may alter ind Mdual trench lengths and trench elevations so 11" as a monwinum of 180 lineal feet of trench is installed and system depth is at least.34" frown grade arid no more than 64-, oMintairi &it building, weft, and property line setbacks. Do not install system within drainage ea-Sement area. Page 5 In -Ground Conventional Trench Design ! 12 DESIGN PARAMETERS: Parcel, ID: 026.1306,DO.055 Design Flow: 600 GPD Code Maximum Depth: 64 inches Designers MaxirnUm, Depth: 48.0 inches Soil Loading Rate: 0.70 GPD/ft 2 Linear Loading Rate: 12.0 gal/ft Code Required Minimum Bottom Area = Design Flow * Loading Rate 600 GPD - 0.70 GPD/ft' - 857 ft? Dispersal. media: Approved ProdUCt Distribution Method: Gravity- Parallel Distribution For distribution media installed in contact with a Grade 1 Platy Silt Loam or systems using effluent #1 in any Sandy suit with >60% rock fragments, indicate distribution method: Not App(icabke TRENCH CONFIGURATION: AGGREGATE Code Minimum Sidewaft Bottom Area Design Trench bottoni area Absorpt*on Reduction Bottom Area trench Multiplier (inches) Credit bottom area 6 Inches NA I I ndi v Site De-Agn 0. 5idewall Height: inches ft C. Designed Bottom Area: D. Trench Width: ft width E. Total Designed Feet of Trench - Bottern Area - Trench Width ft? + ft �; Lineal ft F- Minirnum systern length based on Linear Loading Rate = Design Flow LLR R J)d =gal/ft ft G, LLR %ixiry # of Trenches: Designed # of Trenches: H. Length Per Trench ToziI Trench Lineal. Ft -et NUMber of Trenches ft ft Rerommended to be F above J. Select Trench Spacing: ft (5 - 12 ft from center to center typical,) K. Lawn Area - Tren(h Length XTrench Spacing ft X ft - ft' Lawn area L. Select Depth Required to Cover Distribution Pipe: ft 10.33 ft for pressure. 0.5 ft for gravity? M. Rock VcWme = Sidewall Height + Depth to Cover Pipe X Bottom Area - cubic feet + 27 = cubic yards ft + ft ) X W . W - 27 = Yd Page 6 TRENCH CONFIGURATION: APPROVED PROWUS - CHAMBERS AND EZFLOW A. Code Mini -mum EISA Rating # Of Total # for Trench bottom area Product 2 Products Construction (ft') Needed 10- EZ Flow 50 17,1 18 5'EZ Flow 25 34.3 35 857 QUIK4 + STD 20 42.9 43 QUIK4 + LP'11) 42,9 43 ti B. Registered Product: Infiltrator QLAk-4 + STD width C. Product EISA Rating; 20 ft Additional Ab5orptfor? Area for Chamber Endcops D. Design Bottom Area: 957 ft Endca.p EISA Rating per Pair: 6 ft, E- Product Width- 3 ft Total Number of End -cap Pairs: 2 F. Product Length: 4 ft Chamber Design BottomArea - Bo Area - Endcap Botmm Area C. Product Height: 12 in 880 ft, + 12.0 ftl 892 & Number of Components Design Bottom Area divided by Component EISA Rating (Round tip) 857 ft, - 20 ft, = 44 components H. Minimum Design Trench Length = Minimum # Products x Product Length 44 x 4.0 ft = 176 ft J , MirlifTILAT) trerich length bawd on Linear Loading Rate = Design Flow i LLR 600.0 Rpd 12.o gal/ft 50.0 ft X. LLR Maximum # of T r erx- hes: 4 Designed # of Trenches: 2 1- L-ength Per Trench U tual Trench Len�th - Number of Trenches 176.0 ft 2 trem hcs - 90.0 ft Recommended to be , F above Select �eCL Trench Spacing: 6 ft 15 - 12 ft from, center to center typicaLl N Lawn Area = Trench Length X Trench Spacing 176 ft X 6 ft 1056 ft2 lawn area pagt 7 In -Ground Conventional Cross -Section Et Layout SYSTEM CROSS -SECT" 98.00 NAT1VF RACKFIf r 47.75 _ nawrrvF Rw,c:.KFu i. SE € L7 ffi SOD - ARC, r' is yr+taun iC h u* �law� 94.75 94.75 ._ i! S YS TEM LA YO I Observation PipeNent a ° 3' 90' OL o ° 3�- 9a mmm_' OBSERVATION PJPE DETAIL Screw -type or F uw.twd gr eoe $No Top" comer (t rrun A" SChi 40 PVC pipe Toffs of pipe to WmInate at Of above hmshed grade 4 - j : R" SAO% Spice} 90 dew*" apWt � �'rlfl�'t!�lpr1 Todel s ecs hWr ge Page 8 Pump Selection PUMP CAPACITY (GPM), Parcel ID: 026.13M.00.055 Distribution Method: Gravity If pumping to gravity enter the Satton per minute of the pump: 35.0 GPM (10 •45 Ipm) Minimum system flow rate: 35.0 GPM Dosing n-ethod: Denwind Dosing Soil Treatment TOTAL DYNAAMC HF-AD (TDH) Elevation Difference: 10 ft fbrhv"n pump and hoAaw &xhorge poirkO DtstnbuWn Head Loss: Additional Head Loss: ft Aw to Wr-c LA equipmem, fKc Forrefiriain [harneter: 2.0 In Forcefmin Length: 20 ft Forcemain Fnctlon Loss = Friction Loss in Nastic Pipe per FT of Forcemain (from Table 6:) X Forcemain Length Forcernain Friction Loss -- 0.52 (t Add Equivalent Pipe Length front puw dmchargr to soil ftpersal area discharge to account for fitting toss if needed. (Estimate by adding 25% to supply pipe length for fitting toss if desired, Forcemain Length X 1.25 -- Equivalent Pipe Lerp3th). USIA 1.0 fQr $torglard Systems. 0.52 rt x 1 T 0.52 ft Elevation Difference + Distribution Head Loss -, Additional Head Loss + Forcemain Friction Lots = Total Dynarrdc Head (TDH) 10.00 it + ft ft - 0.52 rt ft TDH PUMP SIELECTK)N A pump must be selected to deliver a rninITT-luill 35.0 cpm at a iTnninium 10.5 TDH Pump MocW Option 1: Gau I ch EP04 Pump Model Option 2. Goulds PE31 PrYormance Curve Performance Curve Goul d I s Wat . er Technology I Goulds Water Tochnology #Jllmlm OEM rp" poll &Pw CAIPAO" Page 9 Demand Dose Pump Tank TAINK CAPACITY AND DLMENS00145 Parcel ID: 026.1306.00.055 De sip Row- 600 GPD Gode Minirriurn Pump Tank Capacky- 645 Gal Desigrver's Minimum Capacity: 900 Gal Tank Manufacturer. M e-,c r Tank Mode L WLP 120018W.MR Capacity from manufacturer. Soo Gallons h1vorfunri: Dow drior Ca4rulafmV3 Orr based on (h)s gwqlr rarA "s0tvOrig a dIfferene tang riodef mcyoitcr thrpurnip flow Ctx, I oc r dr i)Srier it c harise s are nec e mor� Gallons per inch from manufacturer- 22.2 Gallons Per Inchsettings. Liquid d em h of tank froth manufactu re r-. 36.0 Inches DETERMINE DOSE VOLUME Calculate voturTv to Cover Pump aThe inlet of the pump must be at least 4-inches from the bottom of the pump tank 6[ 2 inches of water covennis the pump is recommended i Pump and block height , 2 vrichti x Tank Gallons Per Inch Imtx-s mrAArn jwff,ip i% .twt vev:! tpy k-t I I, oal 0 a hrrq 4x-i 40W 1 8 in + 2 inched x 22.2 Gallons Per inch N 727 Gallons Minimum Deti-,vred VoLurne - 5 X Volume of Dtitributwn Piiqing: ( From Pressure D ist ri but ion %o rksheet) = NA Gallons (milnirrourn dose) Maximum Pumpou t Volume - Design Flow x 2 0% 600 GPD, x 20% = 120 Gallons, imaxinvim dosel 5tri&t t a pufftsout vT.)Iun ie that meek both Min ifM fTk " hA4;dflWf 11. 108 GditExis Doses Per Day - Design Flow i Delivered Voluryw 6W gpd + I D8 i di 5 Dicnes Per Day Drainback: DiarroKer of F*meawin - 2 Inctles Length of Forcemain - 20 feet Volurne of Liquid Per Lineal, Foot of Pipe - 0.163 Gallons/ft Dramback . Fon:emaln Length X Volume of Liquid Per Lineal, Foot of Pipe 20 ft X O� 163 ?at/ft 3.3 Gallons Total Dosing volume - DeOvereid 'Volume - Drainback 108 gal + 3-3 gal Minimum Alarm Volume - Depth of alarm 12 or 3 inched x gallons per inch of tank 1 lKh "M deptilr fftWWrM?&.d to prewFW4 3 in X 221 gall In = 66,7 Gallons turbWence f P%Awq Lavieceiuvv pump rvrlwV FLOAT SETTINGS Float Separation DisWino- far Do", Total, 'Dosing Yclurrie t Gatlnns Per Inch ill gat + 77.7 pUlin - 5.0 :nches 0 3 Float Distanco Setitinip lea smwad from battm of WA) Distance to set Pump Off Float - Pump + block he*t - 2 hwhes ® in le 2 In 10.0 InCh(,i R~rve cap. 18.o In A 400.1 Distance to set Pump On Float - Distance to Set Pump -Off Float - Dose Separation Distarm--c Alwrn Distanre 3.0 in 10 in 5.0 In - 15.0 Inches Pump On DaarKe S.0 in C Ill 3 Distance to set Alarm Float - Distance to set Pump -On Float Atarrn Depth Pump Ott Distance 10-0 tri D 227 4 15 in 3.0 in - lB.0 Inches Pump Off He,, 90.1 ft Page 10 TANK SPECIFICATIONS • Minimum cover = 6 inches; Maximum cover - 8 feet (unless specified by r-nanufacturer) • All manhole covers shall extend 4 inches above final grade • If the tank is within 2 feet of final grade, insulate the lid to an 11-Value of 10 • Building sewer' No 90's, keep 3 feet between 45's, maintain 1 inch in 8 feet J%) slope, install cleanouts at the building connection and every 100 feet at a minimum WateFttght rontFOlbom wnti �,epkritv 104.00 pump and alarm dircuft 54eve 2* SCH 40 lorcemain in 4' SCH 40 t It to 411 98.00 pkpe across an excavation 94.00 92.75 ....... ... . _71 1 Corn Lock MUNI KnI SkV* 1'. j Mot Tarr: AW Install 1101ITS WpWalely frOM pump an a I' to 1.5' PW pipe WMM "01W 89.00 0 4' PURW Black WLP1 200/800 MR TANK 2LCIFIGATIONa 164' D*&"l "C*'5 *ALL: 3- BOTTOM. 3 COVER- a* WAhIHOLf 24' I,D PRECAST CCNCJtF'F f "EIGHT; 53' O.D_ LE'*G'Nr '64- 0 C VAIDTH, N' O-D 4" CAST -A -SEAL 1111 - 4CAST-A-SEAL KLOW PdLET 41' 0 D LKXAD LEAL: 36' P214C MIE1C2 MT: TTOM Los, COVER 0.170 LB& 04ILKT AND CKJ VLEI rw4 I 1 4* CAST -A -SEAL WOT OR EQUAL GASKET. CAST -^-SEAL 800? OR CQUAL FILTVA OR IWET A"D OUTLET BAFFLE AND FIL'rER' 11 BAFFLE VOISCIC"W SEE DETAIL VD (OTHER STATES SEE CHART, I Qe 2AL?l Ln VEN T 04LE T I -J VPUMP PAD SIDE MEW ITANKS AJRE M~ACTURM TO MEET OR "CEM A-STU C-1227 REGUI1111EMENTS 000D CAPACITY 3,3-466 GAL MN SEpllcll 2224 GAL, 1% �PIJWP, LOAC414G DES115-N 8' 0* UNSAWRATLE) '4)'L 61" .7 OD T^m4K AS: CAN BE USED SCPTIC/SEPM. SEPTIC/PUWP 'r" cYa OR SEPTIC/503,HC*4 1 COVER, MIX DES&Gft j" (NO FAR) TAW- MIX DEN #9 (SMALL FINSIER) W go CUSTOWZED 7ANXS: FOR CUSTOM TAWS CONTACT OESER COkORETE DRAWINGS 5UBMITTF0, i C_ FOR APPROVAI a P PIK1% I I Ir. I No JA Page 11 .40. 0 000, 00mov 9 0 CP N890'3549 E .00 113-83 SD- 000, 0 c4i %FA=ft. fo .0" " QWA0 .M..Pmw � G3 10000 - q&v f-ASEWW' MOM ago, .w 000, sf E- f -A SEMEN T TA BL E 'PS 0 f IOR Mwow c4cr ..woo LOT 56 1.747 ACRES 76oll1 SQ. FT. LBO=943.5 LOT 595 %9 LOT v 1.522 Ass 1.550 ACRES 66o277 SQ. FT. 67o SM FT, LBO=943.5 LBO=940.0 0 oe ooe 000 DRAINACE E'A-I;a 0 -,� SrE EA SCUE now, mw�Y2�4 ;_mom* MBLE 'PHAP FC qualva man's go"* DIAWENVW-'� t4h, 176.12 44 207,95D 000. 400op 1,27.5' 4or LM 'oFRAIL 93la 5 . 6 rA SLVEN T —NB8'18!460E 91 pi 3 3'.0. -Z. ffftERN. 4�.o� 4� Mom H34 .0-00 Page 15 m ST. CROIX COUNTV SF-PTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTEFICATION FORM OwnerrBuyer Hickory Homes MathrigAddres, 521 - 2nd Street - Hudson, W1 54016 Property Address_ 0)-irrification required from Planning & Zoning Dq=mcnl for new construction.) City/State 121Cr �� 'Parcel Identification Number —e,)( .- — / 3 e,( ,- LEJjAL DESCRIPTION Property Location /4 , Sec. T N R W.Torn of 01L"J P -- Subdivision Plat:- et 4, W'4�4,1-L; L,,c -t, Lot# Certified Survey M # Volume Page # �\I� \3 7 Warrantiv Dccd g (before 2007)Volume Page Spec hom Dyes Pka Lot lines identi fiah I c Elyc sFl no SYSTEM MALT EANANCE AND OWNER CERTIFTCATION Improper use and maintenance of Your septic system could result in its premature failure to handle wastes. Propel maintenance consists Of pumping OUI the SCPILC tank every three years or sooner. -if needed, by a liccn.-.,ed puillper. What you put into the systc[n cal) affect the function of the septic tank as a Er'earment stage in the waste disposal systern. Owner mainIcnance responslbflaie-- aresp-ecified in §SPS. 383,5211) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agTM, 10 SUbMil to St. Croix County Planning & Zoning Dep&rti-nent a certification form, signed by the owner and, by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal sy-sicir Is In PrOPCT operating condition an&or (2) after inspection and pumping (if jicccssary). the septic tank is lcs� Shan V3 rull of sludge. 1'we, the undersigned have read the above requirements and agree to nuint3in the private sewage disposal system with the standards set forth, licrein, as set by the Department cal Safety And Professional Serviccs and the Department of Natural Resources. State 01'Wisconsin. Ceslihcal'On stilting that your septic system has been maintained inust be completed and returned to the St. Croix County Planning & Zoning Department within 30 days ofthe three year expiration date. Vwc cenjfy that all -;1atemcnis on this form are ITILIC 10 the I)---SL of my/our knowledgc. liwc am/are the owner(s) of the property described ahovc, by virtue f a warranty deed recorded In Register of Deeds Office, Number of bedrooms - - - 4� �-, SIGN RE OF APPLICANT(S) DATE *'*Any inforination that is misreprescnied May result in the sanitary permit being revoked by the Planning & Zoning l3cparl1rient. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if 1,elerence is made in the warranty deed. (REV. 04/12) PrY7 Rhin BTIrt�Yi.11��A �' i HICKOKY ,1 FRONT ELEVATION Visa ., • i sd +iK koiy tiom#% • When You're Ready Fni getter K REAR ELEVATION SQ FMS kMftsm 1.. wo %@" 4 WAWA g 1t W. U rlr•6rrpl iHbM� �r lanY I- ri0 ti1M rhlr f .w rY+ TiY rYiiii �Y LEA wil h1 ,�, PLAN MFO �lwl/f+ pqr �n If i .:�srrero. r� Tp•. , wrT ram! rvrlM N� r'r sbod~ I AF.M i .. � 3 �I 5 Ltl W $ Q h .# W PACE tWO FFODUT i RJEAA ELfVAT10 6 1 - 5 i •i, iVV I I 1 i.�+" Rr'�`� ill ER REAR WALKOUT FOUNDATICK, SIDE TRANSITIONS PER GRADE I , ,b•.�' I• #.r - ebl.ffi 111 b11117 liilYli.M % I �-.--�'�. -.�- a .fr#•+.Ons.sa - i uftm -.11. F.~ i.l. a Aft- . 4 i I � b.-F sr�xe' .rtp w I I rar.W +eyae er.ice...r I I .' -00- . 4.44W warae 1..d a.+ i I _- I I � •l�.fi./aF�a4>r,hearw.M#.A InrWlY+"ertrrlar I I'...gra..-4-00.So1%�o.r,ea.{ol..a I .i"�.•rwawrareoe�rrlrwwl�[nlllri..s • I .i ty d7 } f] F .. --- c-------------- eea•----------- ------- t1s• A�—_---_—--- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I I I, a7i _J Sq FT45 er_r..r imes,r. u welreri Fa ew.r,a ., aie yh eerr lw 1 %M MA i ti Slilw lwi Wa, a earraa wq LFM p►a 4omw w.,�o,.,Irplte.a• g1 "------- ----------------- -� I HOUSE FOUNDATION70 } f---� I _ e__- rr.re.l�m.y.eiros.9. aar.r� .,....re.we. ! � I `•- Fro I# c..,rl.�may p i I 1 I I I t Fl.... Fes.. lt.. ,.. 1 I I I I i I � -_vr L J r.ee I Y � � r.�..a: ►.w H,r I I I r [eraw "ir.a. "w wak L - - - - o.we•+ x'' p.., +�++..+e @,mpg, - A +yv sw I 1 I I } m.apq.Aft e...r.eo..r tl i I I Y f • ow-d . ea.a .e.- qw&,l haw € I ie�C<l .. I k I ARAGF FOUNDATION f I I i I I '. I I I I 1 )y-, t' ebb 4. 144a.; a.RrWdL.A-"dwdo I I I 1 I I .� E• i.a a' 3..Ir. ,.ate Y _ er . v #' - ;1 U I f mpo— I at j+r a ►r r I I I I tlrx I I I it a• r o"p I aMOD o'.. I I I I rrlraix4m"w- c. WCdh d 12' 1d. r.b. 1 I I I FRONT PORCH FOUNDATION I — lxae...thaearwrJ. J _ Y I I -At 0-aEi1eK'"-!-� rr�-----------=c.a.v•eee>awFyar_....n� M i I * - I L----------- I -—----_ r• L__--_____------_ -j}-- _ dp taOell if .'..i e.maawil.aeat.h..saeba,.,, FOUNIDATION PLANT �4 Hkhory Hauls • Whan You•re go&& far €I'e 1 FILM IMF4 ■ n !sm parer ! rwm_lt a srp e7e. ho-O lu IaM- . e01a Imombt e.ee tax .u� eer.eM. .ai lbi i.i M e.ep,a wrl� MUD 1: di. OH i 0 0# 3 m CL LA yi q r ►A • v PAM MFO FoLoChAT" 't AN 3 5 W-6ft— PA SI= ; _`—� i + saFTGS ti f4. Kt?RY I " LL RII yy1• — — — I u+irii.n J I �w yva tilt I u f—� — t r.r.wwr 10% r -# - Ar .ta.. 'O: ai aim I w, e�:- �. I r ' - t- - I - v Ir - — W 1w- sM' 4 �O M • M' PLAEItiiI O o.. !fr M �ha161i Na•� f I f � • ; `tir '•enr9 slice --mier iilerw ru k - .. k • FAhSLY ISM rA.,y -T. etr y �'• --y d y r Sa — r r. .. - a ice` ----1--.- - -- ---- arI Ar �• �. � C } 4 - ` % IAR•�1 afllti M1F�/100M * d I �. I..r a} ►- cr f : L111 � — a'r s• — �1ii4iiLY •j t ya •� y w� yy= i ' R `rfYifVfM f • I ' •may' i T LOWU LEVII FIM934H .. I p LO LU LLJ L _ WA LU 114' , ID' Ix I 43 � LU � PAGE IN 0 L [�ryE � LEVEi 1 Hkkary Homrs - Fa.n yL+J'r,i k 3Y Y Irx FLr rTr• FL00 piAM 4 * J NO r6uF a 1W fall!•ME SEW 4F } �Q ►T3� 5 Ir } a s r , . r u ..r aJ 16-- J 11' yn Jliad. t a.:d • + * pMlIMG 19t70w1 IL y i iild f YiYh.I L#41 J.7jb a,lJ PLAN INFO 1 _ UYtFJC ROOK t � I PAASTE I a j _ jf f'M,JYia Jra,lwry nr eFrr- � iI I � • * .r.lar..r. 7Vf9 7a -ff--W M—cr i J,+ It51Y a.�� �F �a--v.c ' � ! * • tT '+S+.r arti I L_L.-. :�i-� to- 1—� _ ,! ,� v *Tr. is �, I �•f y Fi1 � Y � I 4 M I ....�� � i0e Y rnP.ai aFy I i I d F..s� r•. r IZ - � iYe M ■N u WTLIfFJa fMDWr rSliR.fl Jt MAIN LEM FLOO PLAN PArA WFO nr a• - + MAM IJIWIL �. yl Fla[kcJry FkJvrms - vPllrti Yc3u`R FIRady far Nrlfiiio. 53 Nvisconsin SOIL EVALUATION REPORT #19 Npartment of Cornmerce in accordance wdh Comm 85, ~lilts. Adm. Cade Par I of - - 3 Drv'tci isr of Safety and BuikJings Sol Testing, Inc. Attach complete site p.an on papernot less than 81.6 x inches in size Plan must County St. Croix include. but neat firniled to vertical and horizontal referenre Doint ,BM) direction and percent slope. sir.ale cr dimensions, north arrow, and Vocabon and ois . lancie to nearest road Parcel I.D. Please print all i"forma ' W.-I 55 Ix PerKwW "bmabm, ym piroyple may (P""c;y s. '15.04 (1) (m)) Property Owner Location Sienna CoWration Lot NE4. SF 114, 18, T30N, R 18 Lot Property Owner's MadiN Address o a Sk" # SubcL NW* of CSLU 4940 Viking Drive Surte 608 caoo� CIJ 55 The Glens Of Willow River P. % - — City Slate CO*P Phony C fty VMage Town Nearest Road Minneapofis MIDI Richmond 100Th S1 New CongtUcloc)n Use.- Ljj PA*W*r4M I Number of bedrooms 3 Code denved design flaw raft 450 GPD Replilliowlierit L-1 Pubbil: or commerciial - Describe: larent material Ot"twaSh F loW plain ehwiiition, if appipcable na erieral comments -id recommefidabons Area is suitable for a conventional systeirn with a 0-7 gp& sqft rating- PoSsible system elevation fw Area 0', Boring boring P;1 Ground 5urface elev. 96.7 ft Depth to NMAiriq factor 105+ in, IIZM Am%he•M6-.n P.to.[ Holzon Depth Dominant Color in -Munsell Redo, Description Texture Slrur-IL,re Consistef,,ce Boundary Roots GPDMe Ou. S; Cont Color G r rS . Sri. "ERX-1 'EM 1 0-13 10yr3/1 2 13-24 10yr3/4 3 24-36 10yr4/4 4 36-45 10yrSJ6 5 4 5-93 10yr5/6 6 93-105, 1OWN4 Mile none none [)one none none i ?f1:U 2MSbk mtr as 2Vf if if .6 .8 1-0 1.0 51 r1* Mfr aw 9W .6 .6 S1 2msbk Is IL C-SM ran* CS .7 1.6 qrcos 5 099 rri as .7 1.6 C" rM .7 1.6 Sonng Boiring # PA Ground surface elev. 96.7 R. D&Mh to Irnihna fackw Inn+ in Q-1 A—h—f— D-41- ,icri2or Depth Dominant Cobr Re'dox Dou"m � To*" Swobim rn Mkinsell QU, SZ C"t, Cotar Gr. SL Sh. Consistence Boundary Roots GPD ft' 'E"i -E"2 1, 2 3 4 5 0-1 10yrl/3 not to 7-14 10yr4/4 none 14-34 10yi-416 Mne SJ Zfsbk mfr as 2vf .6 If .6 .7 .7 1.0 1.0 1,6 1.6 sl 2fflft R* CS gris V9rS 1CSbk OtSg nwfr Mill CS as 34-76 1 DYr516 none 76 100 1 DyT6/4 none S OS9 nil .7 1.6 Effluent 4' -z HOD 5> 30 < ?' 2 C mgd T S 5 3 C I q,'L. Effluent #2 = 8005 s3O mq1L am TSS s-30 rng/L :ST Name (Please Prpnl) CST Number hornas J. SChniitt 227429 ddress Schmitt Soil Tasting. InC Date ;--:Va1LJaWn COT)(JUCted Telephone Nurrbw 1595 72nd Street New Richmond', Wl 54017 9/21/2CX)6 715-247-2941 SBLI4330 (K 07ADD) Property aver 5jenna Corporatian P a rcei ID # 55 pop 2 of 3 Borin,a 0 Boring Pd Ground sudace 6ev- 96.20 ft. Depth to Ismitivig factor 1()4+ in. Eml"wation Rate Horizon Depth Domonant Color Redox DesWPW Texture Structure v) Munsell Qu. sz- cont. COkX Gr, SZ. Sh. Consislence� Boundary RON5 GPM' 'EIIST *Effr2 1 0-13 10YOR none 2 13-26 1 Oyr4/3 none -3 26-34 1 Oyr4/4 none 4 3447 10yr5/6 rKM si 2fsbk mvfr n* as 9w 2m,2vf .,6 LO 1.0 1.6 $1 2fSbk IVIF .6 sl is 2msbk US9 "Wr ffd 9w cs 16 .7 5 47-86 10yr5/4 6 86-104 IWr-6/4 Cjl� -7 I KX 099 OS9 fra MI as .7 1,6 1.6 rx" iii s .7 50 Bur ing N Pit Ground surhmm e4ev. ft DspM top fQLgI Horizor Depth. in. DGminant ColiDir Munsell Redox Descripbon Chu. sZ Cont, Color Texture Structure lConsisberwel BoufwWy I Flo is Gr. SZ, Sh. GPOM-2 'E 11#2 Botirtp Boring N Ground surfam elev ft Depth to limling factor in. IC-J H o, ie o n Depth Dominant Color Re-dox Descnpton Texture StrUclure ,-,onststenft boindarf Ris G P Dft2 In Munsell Q� Sz cont C04ff Gr Sz, Sh. 'EM2 Lff!Lefl! --I = 61:)0' 5 > 30 et 220 "9t and TSS >30 <- 150 PVL ' Effluent 02 = BOD 5 < 30 rngL and TSS -_30 Mg/L The ll)cparlmei�l of Commerce is an equal oppor-tunity service proviJerand employer. 11.�otj need assi.qwce to acccss services or lwd inwic"ha in an alternate fOrl n at. plea%e contact The dicpartrric ni at OVIR-2 f1f, ; I L, I or'I'I -Y 608-264-8777, SWIL-9330 (R UM) &hffm Fa Teoft bX Lff!Lefl! --I = 61:)0' 5 > 30 et 220 "9t and TSS >30 <- 150 PVL ' Effluent 02 = BOD 5 < 30 rngL and TSS -_30 Mg/L The ll)cparlmei�l of Commerce is an equal oppor-tunity service proviJerand employer. 11.�otj need assi.qwce to acccss services or lwd inwic"ha in an alternate fOrl n at. plea%e contact The dicpartrric ni at OVIR-2 f1f, ; I L, I or'I'I -Y 608-264-8777, SWIL-9330 (R UM) &hffm Fa Teoft bX Conducicki 1)'. -. Conducted For: sefinlitt �o 11 [CS11w, ]im--, Name: Thomas A 1 1 '9 AddTess: }04 0 V ik ng 1) 1°C u - 'l 008 1595 72nd City, State, Zip. M'InneapotLis, NIN 55435 New Richmmid. %\ 1. `-1017 Phone- 715-247-2941 S; I I't. i. X al I Ic. The Glens of Willow River I ,, j i No.: 5s— sigmalum... Daie, I tigal Description. /—Vt-I 1/4 SE 1 A S 18 1'30N R I 8W Backhoe pit I WO, TISIIIP, County: Richmond, St. Croix A, llt,�Tlch Mark 1:1 1 00.00''T'op (42" pvc pipe f � I/ Zrf Alicric Mmch Nlttrk F]. FOP of Slope Contour Line LI A114 Contour Linc I,engll A I N Scale 1 40' a . MI �3 71 a 1-his Soil and Sitc Evaluation was completed to fulfill a zoning rcquirement wsconslp oepanr,"nt of Commerce PRIVATE SEWAGE SYSTEM -Safety and Elud,ding Cmson INSPECTION REPORT GENERAL INFORMATION W1 I AUH TO PERMIT) Peron a I wfoFrrat 7 . orcivxie may be jse� far se6brsdary Wirbaftita wdviiatv Law & 15 0A f I Vrn'ol Permit HoWee's Michael Morrissey City 7w. I TOWN OF RICH%IOND . 5 T BM Elev w is i e. BM Devcivitpon I ANK IWURNIA I JUN T'YPE ?AANUiACTURER CAPACITY Septic Dosing Aeration Holdinq I 0 w JEP TANK SFT11AAr_K INFOINMATION I PUMPIAWHON INFORMATION x '000OF 1,1anufacturer mand G Number TIT ILift FIM Forwmain I Length Eia vVeII I—EVATION DATA County St, Croix Sanitary Permit No 600357 State Plan 10 Na Parcri Tax Nu 026-1306-00-055 18.30.18-1662 7-- 77T enchmark I BM Idg. Sewief �3i,j it Inlet Sm outlet 01 Inlet Cat Boom Id,g _1" it 71el Headef/Man D>sl. Pfe ,oO ot. System Final Grade St Cover BEOrTRENCH Widtn th No trenches PIT DI Lill IDIMENSIONS )r I I SETBACK Sy��T[-_M T901 PIL BLDG VVEL L LAKE/STREAM MaUfA2!1jer INFORMATION TION NEACHING C BER OR IT IT ern Muciol Number U161 Klk3ullpm byb I LM 1.1ind uisinnL11Cn x Hole Sue Vent to Air Intake Pipej 51 - I Length, [,,,a - ,j :''; SOIL COVER X Pr, SSUre Systems 0oly xx M*Ilino Or AT -Grade Systems Only Depth Over cepin diver • Depth of IT 1 xx muO,c,j BedITremh Center Be4ffrenCh Edges Top" Yes NO Yes Nc COMMENTS- (include code disorepencies. persons present, etc.) Inspection $1. Inspection #2: Location: 993 154TH AVE 1) Alt BM Description 2.) Bldg sewer length - amount of cover Plan revision Required? Yes No Use other side far additional information. Dow I L Ida swature Cart.I Na. SBL?-am (k ;W� WY PCMJJ Numbor (to br, Ma in by Cc ► Cep O0367 L ARR!LC �tjj on I U fo rmati4l n - Please Print Au Ia+,arruatic PMpftq Owner's Nance -7F-- (\ M b ropeffy ()WixT s N2,Mi3tv Addini-ii Ury, SEMIC zip cide YPe Of Roildiner (char k ail that ap p1ty EN tw 2 Fam4y [)Wd)ing -Number Of au L PubIkjCm=wcw - Dcr=*e u,,5., UI_5�1 SUM CPAVIed - Des.,br Lk, r\ n- -Z—.k — v doom& am AA-6 OM P0460 Wothntoj. aj-- W iWIMM Vok hi . ti S. jr it 1 Xtnwch to SBD-63 _" (P, I I / i j ) o ty9perly LOCKUM GOVL T M, R ,*ff v IjLnzK Ut UT"M of 0 U Otha ModAwdon hD EMSUN SYSU!7n (EXplam) M A4m JTM Lot ON Lot Aff ( k Now • 63 l2w. wo CONVENT, IDNAL COMPONENT DFSIGN Residential Appljr,;.V1W': INDEX AND TM, E PA c_E Prnject Devners Np."ne Owner's ACdiemk legal Desuipunn. Township- Moo "'Quinty ......................... '5jb(nvlSl()r, Name W NurnbL-r Parr -a' ITD NLIM-ber. -----!rr perp 2 Plot 'tan Page 3 SYMm S' tXT &rr Page 4 ;:Lap - ----------- Fftmr S?eca Pl�i 'S ------------- Page 7 L - Tangy . lten8mfm Page 8 Vval-raro Deaa Page 9 1 Cyr P!e., SvO T6m & Des rgnejrfphjmbpr D;-, Licens a Number. I ilhane Number Sign SOV Abso7,,jjorj C,0 F'OWTS Wrsk)n 7 13 IRFI 10706,p page I Amos"% �e�C�� G1eus o� "low ���� • -- N , mow -NOW" 36 S3 T 0 v C Ou A) c-6 � awt cs,3�to� F-,Ikv. v- PVC Vent �pe Firm) Grado-, M11 Vent Cap LeaM_rlg Chaffftf VjaW ft —3- — ot -3-F4, 419 Isr r ilk Et sc; ff, per Applic@tion RSte %----!gpd Design 91 ft --i� SOP ApplicMion -4 3— charabem rows f �k I C'. Paqe of T aapta Tmt1f�, _ pint F&M0 Q XA KA i l `i� c ,A WePt �` ]sal NA �z a'.av�r f Ive l Pump Tk Mimig � � hdA Purat Frr-P Mwlci MA lnf n . C :,� A! csart i�r t P- 2=er� Link NA © NA } Axo� 0 6 H rR L�J iJ �7la !'P+ � } ` 92i .pie;€ Wilds , !"1at) C1 SA J:s4O n-9 1* 0 .tap- 0 NA CEfam Dfar. Y$ ii� NA P- V A trarp At IAWL and clew84 her, P� PUMP - y 1- QV . NA A%t t t T 6V9C�j= R €f� . Y . Frispactw% af WAM a r' cat 11 r' ie1 r ]da bs- MG9= -M t nisi to �I 9 + ' r2quiM the The d�pl � � �� ital � Iau .. , , � +� i�iri MY grwA -cr. bc9 w - tba MIm x T. ,IT* ig g Wh9n The c nP %A.rjs AdR*L&UI ►a r-a_ .1e O+aj � i.LftSa, y ta-i:%i11 '� �+ � c� � sue' Rt ;-ep � be arcuidad Z � # tcA rag•,r �Y at�'y t Fo 5 kv U C a; ri: =,n-A ; 8 ^---- ,-,--_. Jilt 5d ef�`le a ii-. GCi�r_f['TC"ITP� r� t�9!1F:,sj ;�- i v �r srilce r; C�z'"l�ri or crther v tB f W tatr ovsd by p ��e S*M4cZ7g or; �: r ,.,� �� �+13��t� �Fl�s�I If high c-4fin1t�'.�4]l`t�t � � � hem {�e ears ED fi�r�r JIB sa`1c11 F7fSr YYPW£y ,i...�}'.�i7,7 arr;�✓ �if .�'�R�C-���igra-�: Iwme-rt. Ynha6i0 the -z:lp:»�pc;wer it r ZI]ta)OrTe jC16 dL.r rYa/cedl r • ,1!•= PyiyTaA®y7ay, L} ! b To Wo.rd L[n kUparSL1s ry l f We e anrs q rr ,�.{{.,�� n ,-•--, "'"+"F!' {CPt.„'F!' zr =,i7=T 'e Plls r cr tFo4e�jrS "�"!,'! ± + 1: +'�..f�r e�'r•, $4 i:l y„�,..�#•,,., i C,S UJ �� �+�r••.�ir lG�r't Ld .✓tfl�d dlr 1di� ��-�1�=T; P a=.fr; �r y.�., y���� 'Y,,LiG pump cast ��fL°9 Ct i v� �C SS cplJ r ZSr an G r f:i"�?In f5 dcdrrl sia1y rrtc�nc9 c-a ysc�! �8G1❑ rx Crr,�1 r, or �'_ri;� +gl ct� 2r-32. =Mpawe , Itya am w,ra' C � '_��Cl ry i G ' ri � W P+�`�1,1'M;Wi a �GP o i�!!a � pv P1=3i 9.:il;:+3; ; >• 2�fi' 9m ry ❑:,I1's?C11�,M'*ar-s-P� ': r '6.i4=F1' '•r s '._ _[." `siis"` +�� weTT" .wit. C� rya:"..�M9 f�'}�J�y�r��Vy'��.'1�.. t�+wfll+�7}}}e�{i�/C..C�P�i,Q,Jr ]! ra,.lrE;dt�?�:iT+�1�+a!�{{'S �'' �+7 y1'Y.� �y �yy �14.l idliv W.1 a41 .:J'Sd'V l�r $ cri +IJI 'r�s Lam[ ..y+MJ-Pri2lc ti 1 i. ,�ry/�.f li SZ...�J'tM�, Wis 1L7. 7 SiJ {7 4i� hY �tl wr uii � v s r. All r+FPng ,; =kn and 7l.s V i 78 C3C Cfli { j `+ 89hdrti -A :f7 ICJ Irw r 5 = pJ r:"r - c i"5 JG T- e7j riIPTt".RI131 Cti� '+� L = Gzar.-- MM,4"!i +Erz:"3 the V0..;+`J ffA TpTcejLJtm soil, gr�r;woE~ :rim-, nni_ N �Z�a PC, V' ; 9 T4ila �T�PIJl1� j7i7 �.�-{�7"'�� S.J--.+�•.ti,. `e`t= 11' �i �s�6L: ii TIn r?' ���: it '*�" P.ir3SI"r' ,�,"1'�.uEt$�tT!•:aEYt µ rl aiC1 as bG�m �lfileii±� mit�'a 1�1x31' �.'i3 �]i�Gtf� TCEi e`r`�_ �] }� y� }� o � n f .y lY � : GL� �a V'!f �Yi r1i71 w+! G f`c'gLd, Id llaCka +'TOM a.X+j T.7. -2rj } � �:fff P!r-*J0n and S".Zir� a �lF�p�7�8L� �,.}�� �} RLT� �38 If7'1 a� CI i wl t:lR , Sr -n:, LL";C:10.G� ,'f� aL'R'- to y L c r-`ihe ;r °�"'@L" L" �E ; 'on to'a ..aC :;r i— Ef 4"al.l �;,. �r+.c�.�:,'iT�ei S'�r •'."`..fit Cl p.IC3v?ilSG i� l:c tap —pay bey .a Rn Pt� c 8t�tir �� i Q Tho sic - + r ElxfmP� :�e?�a'%y" ri �s9ris� � �a••_ QP,1aZW -"UST i3a par-,mmF-d To r. F r C W i ar,; wrJ�i �J ► arcz.. LIpG: faTui $! p[}� 8 �� �iiLS � xTry V�;1 !i r�;rto ra lta +- ere ! S. IZ �Inerxr+ i h>SdCng frP �.� Mavnd aria K-grade any gib. jjcn V T£. I 545�-*�� 9. "i�C�";" fv 1 Ofcf^ �� ++�� n, .1,v3 I .'I p; 2- ed�lp.iVYlllia r s�'W' v+1h o N� Ir f43m 'xf'.& E?71C, KAT AAM t� �s ^jEAftl r-N AILS iVi��' C�]f�''a Ai�� , �- f4A�_ �= f�.��=p 'r fT 1 � G f�„^l 1I lil,�+t iJ i` 1 �.r S VIA' ,:�,� jay . .py y �{���+ �r /� a V'L..f'I.f ' "f-�i f!' ± ^ rqq +� 'T y� 1 F+y�D1'ifl�F�� CI 4.�� L^'_"`,.p G �i.71�rS 1JYJD�As _ .1+1 .0 %": 4 ." l =.xl. 3' ,j i 1i�. 1J Lir � LIGrY. nSA74 .�iPfflif "a...i �If°" si ElDi i LaNAL COMMMT7S INSTALUR F Neat a j Name � Technical cations PL-525.EFFLFILTER (eOMMERG1ALj I_ f I 1 r EYiFT5r5TO#7 1 Ff� MP.E T c ttEA 11 ilL11 .5r1 Fi]Sd f. - .�` -JJTLIT9.F4MMGE%LIF3 I , too�1 4r5�#Ei.S(}I+S I � I 1 its I PART NO 301 #3� j' HOUSK PQL lm'R'OPYIJVE OUTLETt31I; SKW PVIC fi 5 BALL - "'E I�yy� w L1_ _ .,. rTeZ�fiSR�kfSrlf� �— � -� KQ �l+lLtE E7fBIFda _ r , p I I LN MW Me Ron . T E 1['1kF13 [il �Q "41 ld t aft PCx YL OK A -525 FIL TFR CAR TRM PART NO. - 34141-0 MATERAL - POL 1"F OPYLENE ST. CROLX COUNIT SEPTIC TANK MkJN7FNANCF ACTRERWNT AND OWNERSUM CERTTHCATIO-IN FORM Onwner/Buyer Mailing Address fo-� Property Address (VeTifica,n' on required from Planrzzig & Zoning Department for constmction) City/State Parcel Identification Number LEG.kL I)E,SCRR-IP ON Property L-��;atmn 'r N R' � W, Town of VI(Ih(,Iv 'I Subdivisionplav 1�5 Z K Lot Cer-tlf-IL,ti Y Map g - I- Volume P Page 4 Wa T, I. Ant DeeA ;ft (before 2007)Voiume Spec houst C. Ya L !:,, Lot lines identifiable C yes Z nor SY STE NJ, NIA-QN7 'CEAN-POW.. -R-CF-RTMCATTON lnapropcT ij,-,c an.-, "' Our septic sYgLem could rts-uh in iV9 prernaftre fa ILwe- to handle wastes. Prop.= mairae.nance consi!;Ls of pii-Lnping oLn the septic tank- L-very thret years crr sooner. if nt&ded-, by a pumpet. VAM you put iritt) the sy,,Iem ran affect the fonctio,-j of the, septic. _ tank -s a treatni=t stage in the waste d'SpOsal systcrn. Owner maintenance Tf--SPOn,S+J5tjCS ate '[1td in �Comn)- LR3.52(l ) and ' Chapter 12 - St- Croix Coun!y Sanitw, (WIlnar=. in The property oumtr agTee-q it) -zuhmit owner a -id bir a master pfurnher,j St Croix Cx�unty Planning & Zoning Departrntni a certification form, qioed by thr- ]OumeYman plurnbnr, rest:icicd plumber or h I cmr,cd purn T r verifying d (1) teon jLr %mnnvater dis;Y)W jvStcM Is in pr,,�properating bnd/rw (2) after irtspeaian and pumping (if ncOr-RSR:-,;", the Septic wk i.9 less 012-., PI ffitl of SI L)dgv-, jnd Have read the ahovc. rNuIrements and agTee !ztAn,iards set for-Lh, here- wmaintain the priv.Rte siege disposal system with the in, &s se.i: by Lhe E)epartmenj of (-()jj,rnc- and the Departriamt of Naz=l Rtsoutrccs, State of Wjs�nsin. Cf-;-65cafion sLating that you� S--;ITiCsyrLc,-n has be,--n maiTIL2T'.--4d muo be wmplcleA and mTumed to the St Croix Count} planing Z� nrng Departmeni within 30 days of thezh7ce year nxpu;r6on date. I/we certify that all swements on is form are tnIe LO the best of mY/Otr knowledge. Uwe arn/are the 0 er(!j),bf the propen), des<:Tihcd above, by vjT-rue ()f a ty deed recorded in Rq:jgtaof Dee& Office. wn 11 S rum r of bed roomS q /auTlan 'd ro r"S I S s IU "A TT- 0 AP lb�C3 C, (S) DATE Any inform don the is misrepresented may reSUI' M the Mitw-Y Pc=il being revoked bY the Planning & Zoning j.),.-Partment. inchjd:� with this, appliokban gk recorded vmrrantY deed fr-Om d)e Register of Deeds Office and a copy of M the warranly dzed. the cerdi5ed survey map if • 9r 4001E C4 C3 / • , &v EMI. EA WEN T -- •�' SEE i-A SEMEN � job 000 IdWl � � FOR �• ���, mob C40 � • + �/fir}yJ ii �"��f/ f l 0 � r ■ _ ■ . ■ .-r i LT 56 ■ . • • + ♦ Z 1.747" ACRES 7 i i l' l SO. ■ jyr P Ch 4 3 . i • � LOT 55 LOT 54 1.522 ACRES rn 1.550 ORES 66.277 67v523 SQ. FT, CD looe A IA CE SEA ,��•. ' '— SEE CASEME "Nmft a--m Wool DIMEN90NS s s 1 76i1 7RAIL 5 p • �4Y gollop • 0000, JX COU Wry No. 645480 STAT SAaTAARY PERMIT 1Tq /Wi I iK rzN�A C"IFWA PREVIOtIS NO, 630 32Y Arom"10 &.0 1k OWNERI�S/CRi�fl1�S�LLC;I If 10 WMI I W1 0 LIS ih TOWN F SEC_ I -qT_ AND/OR LOT L I C.# u1" SUBDIVISION C I I % V'r FT? 14 5. 05 (2) %`1 SCON S IN ST A T UrES (a) The purpose of the sanitary permit Is to allow InstaiRatim 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. id) Changed regulations will not impair the validity of lldnifar-N perrait- I k k Rentwal of the sanitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may impede renewal. (r) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,22 1; 1981 c. 314 Note: If you 1*7sh to renew the permit, or transfer ownership of the permit, please contact the county authority. ED ISSUING OFFICER - DATE 4 UNLESS RENEW-ED BEFORE THAT DATE POS IN P AIN VIE)M, VISIBLE FROM THE ROAD FRONTING THE LOT DURINCJ ("()NSTRt,-,'('T10N SBD-06499 (R 1 P20)