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020-1474-05-000
I ^� PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENEMLINFORMATION (ATTACH TO PERMIT( m mo++P LIEIusnOXINI TAuMr 51 i San,GI 592243 H.H. iy km AEGGGIµ Wh4 Pamela Geii T NOF HUDSON TIN 020.147b05A00 iii "... e.u-vem. �6IJ ���'�"� 1329193002 TANK INFORMATION LIEVATIOM DATA TYPE wwurncn.E N Tr STATION AS HI Ys Lei Si dusk,, It 1300 W,,hi Co pU. MGM IL Y Homr too. TANK SETBACK INFORMATION C. TANK.o GGELL .w,i. mI�IP SwM 1 u !sjoPqWD3 TGGI3 98.3 s a POMPISIPHON INFORMATION Iona 49 M .� DID NJ a. VTONGLOIS IT FtI 7 8 c TWIGGY Lenpin11111m.. T SOIL ABSORPTION SYSTEM / J T/y t!o ..mom mw, a'Fa.. .1 a tlmd I COMMENTS'(InunecN, pboalrerclea Gi peeml Ni z„lolro.N..�.n.i.�mol O:�2f 5�Q7as�T M0.InnWspIlE�t �mNaJ\\�1`0 IT oln .EM879YELLOw{Te"En"ubis N AltH .jO� v or` allI Yes ICING, SISMI �. �recnpyn DIVISION of INDUSTRY SERVICES A Iso erRes 0_P$ Inm/map....m.-roba�.m.re nrNNI ,.+=o- ' fn.i ov fOas,i,•a.. srwinkVernon"r. av /Ml Bove �l ,IN0 noon Nombrm QbW 08, 2015 (� Trem.[tioo lO No $692116 Bile IO Na wiiMarm rde mMythh Bolin, albve mtll ports Mum wNNe CVBTm No 13134,12 STEVE DAVIS AN UST SINC PLAPMUTH IN 46563 1 „ njbJD PLAN AN APPROVAL B%PIKES I01I/20$6 �S Re Offoulign SEWAGE TANKS, POLYETHYLENE 1 JP) ) Manufacturer AN INDUSTRIES, INC Pha tName SEPTIC TANK grans Id 2602116) Model Numbers) 1500 (59 51N L L, 361N MAX DEPTH OF RUBY, 720 G P D. WHEN USED AS A SEPTIC TANK BASED ON A 3 YR SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER, TANK DIMENSIONS (OD) -113 7/161N L X 591N. W %59IN, H) Product rile No 20150228 The Specifications and/or plans for this plumbing Product have been Delaware and determined to be in Compliance with chapters BPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes The Department hereby issues an approval based on Wisconsin statures and the Wisconsin Adminlstrative Code This approval is valid until the end M Dabber 2040. This approval supersedes the appoval issued on 1/202011 under product file number 201100 B This approval is contingent upon rgmphance with the bllowmg sbW lahon(s) • Thin tank must be designed to withstand the pressures to whmh a will bus subjected • The manufacturer must keep at the manubchumm plant a sal of flans and spedfronons bearing the desummenrs stamp of approval The plans and spec01w0ons must be open to ropednn by an aNhoree representative of the department bMallMbn and ssrvldng of product must be in accordance with the manufacturers instrudlona A copy of the manufacturers msiallahon and scrwcmg instrucAons must be given to the owner of the system • The inlet outlet and tees must be schedule 40 PVC performing to ASTM standard 0 ll or 0I785 • The toes must be located between the and wall of the tank and canter line of the mmi on the same end of the tank The tees must be installed so that they extend a minimum six Irches above the Imud level, nine inches below the liquid level but not more than 1G odbw the III level M the tank and have at least two inches of cWwwa between the top M the tee atl the tank M2116 rnvL I)i not IWYA6 • The less must be pWlad l»Mreen the and wall and the center line of the mentwle on one end M IN tank and between the end wall and the center lure of 10 inch Mservaron pipe on IN Other end come lank • This product may not be installed more than 36 inches below final grade When this pre uct receives wastewater men dwallings end is used as a sep4c tank, it wX second an affluent briefly won a maximum monthly average value for W05 greater than 30 mglL Out less than or equal t0 nD of TSS greater than 30 Of but lass than w equal to 1 W credit, and F 00 lass than or equal to 30 mi • BACNFlU Course sake or NO arrive plot of'h in or smaller meet be used and wmplN¢y surround I mrer me tank wall onefeet or evss 0 he grwM sudacv BEDDING. Cvm enuml a90regare confirming W tank Nsa at depth and clams enstallatwn enstnrr ome, dewater moral prior to installation LIDSANDRI3ER5 Rvmar morallgs and covers securities In vadeble heights The department is in no way endorsing this product or any scheme q, and Is not reasonable for any situation which may result from its use 9ncmely, Glen Jones. M 3 MINTS Product Reuiexer phone (W8) 267 6265 firs f608) 267 9723 email glen for akii gov The DSPS scommmed to servknmmelieew tesnoursurveyat wvw, sur ommonkey comblEressiscastommsanstacoon CAV _n,ln_oao +ti ' , MAR 107P7 V00PO.�eibi h sT CPoa COUNT �'^ err Krw • . ~SamYary Permit Awu.m a++....r rry sis��i '.�i..mti ri rr��onasrs.. r+ ✓room Mr.�rarr wwY room.-.r e.w 8�9 Y61lOW5107RAIL F GEis1FE/-� � room Oc0- Nl4-as-ce0 F 97 9 51, ri� 11 Pea rru — SLJ KBE Karr13 W.S U GSCIJ UT 14pr !940 IL,1ar� Ate.. ¢ilRr.rrtlsrrYwll u. Mggg M!t ar.,r...i 7+1 T r ry..rr..r �r�wKc�,wwrr�,rawl ere Herr —.+fir n+r_+rerregkesoy Owrraremyaeb..0u a ❑rarr ob..ww ✓worm .. oolr.r. ere o.,�...... b.r rv. r.rne r owb�r..r_. owrr.m.. o..rr o.br �r r o.r. rr..rCl+..led or.r<,.. orra,rob.rrru „ orerwa rr 0.� 64z 8b /090 95. SDI ek Homo✓ • err rr err .r ur ors �+ 8 h "�' og"W'og i )MID moo. �+. rr.rrrr."rrrrgo _a!9rrrtr llrNf fM c gooftodo /e. w r, �bLrY r.rro. R 3 IK.r, won,n.rn.,,.rtuw&.n-•„�� � of 3(n Plot Plan Page 2 of Properly Own_ PaME GEAWFELD i 1"=4oJt Legal DCW"nPdon L.r a. Vcua.rs n,°s VAL r Y. (except wke nosed) S 1/4 I1F TMF 5E/4 5E . 13 TzgA A 91.E l Vu l W=Baekkmpit S [AOIF 2�w A4 Cis Zo-1474-6s000 North a ° w e v" g/�' a•; ate, CM•v-£ mot' ) I "�q y a<o�n'=OR & r a f ,COPY 7._, PAGE OF In -Ground Gravity Plan Index & Cover Sheet VVersionMnI2u, S aDffi10 SIN union, R, 101 12) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: TAAIX 5pE POWTS liwtbn for Review TAMKA =e L Soil Evaluation Re ort & Site Ma Fr FILTER C Project Name / Description Lot sV_ErvwsrcelE VALi6y Owner Name(s): PAMELA Phone:=_ OwrerAtldisss: 24I7 Ault OAK eueuc� Huh Al 21p: 54 a IL Project Address: 8'19 YEu.ow soxa: Tut L 44un cn �A' Govt.Lot:=�yl_114 of SEE 114, Section M T i9NR_F'_EQnr VVFk Toemship: Hup504 County: Sr, cgw, Projetl Pamd lDC 02o-1•i>4-DS�ODD Designer Information Designer Name: MA9V -TO i4VPPE6U Phone: 7t5 - IL -� Designer Aldmss: Z849l Kt. ARTn Ci Qwg_RY L.0 zip: SYR.3L' E-mail Df('sfrr'c�es�n Pot�{looK L40+ Tw*.eaa •mriwvu,ji w7: LicenseNnmbw: 18sy- 007 CONg�N y1:�S, Remarks: ' MARYJO Dleal '*e HDPPERT RIV ER FAL19r1 ,,/np/� / / m ,• r Signature: / " �� `Ju �l u�a Data mw.i-�mauow Plot Plot Page mil`/ Property Owxer Pi —At GEA6t FEED 1 l^=40ft Legal pesoipioeIsT 5. vs ,,..,«.. v r (eseept where Raft♦) StA w 5 113. TZU R1gW2VW =BaCil mpil 2 orl ACRES S CRpIF P +w W kScmS .l OZO IH74-Cs-Oro Noon* RNYI=3IKf r4-4[••r,i# F cl POI 11 P ,.,u=o Im De ado L{lal�nR1, �3r eR �k y o I k �zs, �cn NSF - � o4Ve� N C'�isr,i y � i 4 The prcx<fi5mntlare CbemYa firs fir a I wNa french ane islbw for convertor m,.lyn Systems It iaanafia the ao burns -ptMly canon swirxf f Mur i f of m W ro 15°, o w Ind Tire Mama ape finings altos •1 Gthav p funfig fWFMicrovA dbnxuissobonfinrn9s.lM cl¢mba'e iwrMY M9M wo+✓bs WM1n•+I nst%hm flevibtlny. —N9 Pdai mrmaY9 mfisWmsw'nel W b IW.. roM a len . l9tlwg Tviom tlbwelo Q.and"and" . Thof Cl dwnMwuayb ba'Nbv'9m1aY Ol •Tre00 sWCvtl Gunter auw ru wtwllmltior 16.000 re.ieare.,m mW fp' of wvw •CVNUO EI' the rnlem8fuul Aa9caelm yMp `a� d RrunbtrS ua Niapp ala is JiVili -mv Trimal sei on9Mpvb proneaefxyx Ri or too Poo 6gM md • be6b rnlgYNM oS grow_ n ma.rmam pleb fbamn . Eliminates pipe l ings Efts on ernrw fine of the prexa Slai Cbnmbm ,iliijJii of �{l�jtiii•,ttl t tl°' il��}li ;I�i�l���i,ittl�{�ii ��Ir „� � I'ltijf„I� ��j111,11,tl�►l�;lit�ij�i ® I111t{y1i {I;,�;Il���'i�illi(}' ® gl�i�tlit'' Igliitt'},�ylljt°r;.: 11it�''f ° .��''Hill � iillt.� I�lli.tll,t:�I:AiiiiIal: 1; il..Aiiii 3� 1X1 JAI +JJ,+� Y � � 6 Q 6 ��� 'rW4 Pam' 6nU$IFCb PAa: 30-p') 144GRO » GMVf1Y DWERSFLA `Tae".'ic_src^T` uarcaaaaaanmT� Qtdk S�Chs�tam .R.-«...» 3J1 TaM(Gawr otdM aeEl) 1nu_J s �?Nro :Sln JK 3" ® �� S � TYPICAIIRENCII caossaEcnonvc ror.n o...r.sw �wpy Iwsrw�a W�ewwMadage✓.) � TYA{'X 116g1 nv.�w __ aaaml m a.�.— m T i1 r�.rrr a.wawvw.....r= 34D v a z Oa. gyupy TLLYB4 - Y MMIF 64Z. Kb zo Elsa = 9Z�IV3 aIC Ss uwlls 3�{ "IT .s Ibb}Z= (zi 3�x bq�-TaF�eN ES w HIM! w (oEISTFGQ.l MORWESCO Underground Tank Installation Instructions t. E%cAYAnoN — AfaJ M"p ma Afa. a6.a anuv dw - amavnl!¢YpauedM. flee .,i aolm4�atl weaYMvl a la IaWLq aM61e Irma. fi.AMv 18'lo 1C'mWith 10 a am Ill this m the la a wield calw mon'nm aMvamk ial C. Thea Wool Wilk uhmed11 talk m.wall umod 4 Ale At Weediaamorm id- Ill me took fain et on m'I an be az'a1 A i s IMYY, cortYvclaO'c. took llce, aV on m*+de Lalm Gil yypylniM rKeSM rL ST31 MYIk OYtlmIW3W Aa9. 3. WATER TANK CONNECTIONS A IllWho woomail marl In eltler elk a malrav or mA m as Maw 6. Q iir whal piwi c w wnL-tigll sm, m von 1 6� mvleAMa slmm w+w �� I mrlles ma mrn.mrae.a: W 5. BACKFILLINO ERIEa1OR 1GW111W WlmYtxYN wAessW: mYll bP9 wale Intl nm htn c NMd Mtl a wu gr to vrum 0.8aali Not amm�ry sua ®'ll @'rd p1Wp1LWAYSS fAMPAf,I IIAS MT e Who aamrpae aauu ahead aid and All ncea 0. ft We W pwm#YIYavle dIntlaape 4nkplfl' 6W 2. SEPTIC & BRUISER TANK INIEVOUTLET CONNECTIONS �111 Yd AAt, am me 9i]yl9ala¢uN lsy 1 la Wk oro aurdieA mm WC emery lens lun aNlAuo al WITH TI ike lWN-am'alc Idea 40pa luA I)dd,prA' xlleAm mt klpa n T ti A In i aNA kWlal pi�Ing 9nitl dlskNknl x6tlB) It to ffipink LaidNot Fa JCmmml F TM WMNwedN 61 QN.N] aM WJ kp'am atl Sp] sq¢) Im Pare W 61165 pffiN I0. 4. MANNoIE craw uRs A 6s+aX manMk epnsm MMe pl Man a mmmle kdmalk wa era®rme MP gasa0s e:d mews PoIux 11nkid d Oct tl N We �Iwoaaltich exim lam ff C. We Ma dream aM 1IgmNE rgaaw ale keen 6. BACKFILL MATERIALS To Vowed) Tool l¢ wmm varoundi" mgFJ me aa'a a.mlwya,a mnmaaza®am mn wam 9aFFA0Ysetl Mae aeon rvhs.IW.eol n.ym mN Irt wNA 3d P4L Wis nW 4 Nl m[h MSk LMTlllg hollow a'T1 taral; 1 ell W, IIll Hn edator main is RWIIBtmina9laMS mal rc mka mm walar dunlg the b dm eIMMss hill Il llmxaakn aanaa lan155Mal bl mkdmHwMlall aaarlavnllmlpl: p.The1A Sh altr2tId a'dAd6eamMamol9aeal gmmn 1W%sold e"IK.midalpJl ada al Pen Y! 6.All lie VWtl m "a at Ley WV. naaWpWork sll o aa} For septic installations, it is important to contact your local or state sanitarian regarding approved installation procedures. CAUTION FA" to ~ waf a. PKIIM below Vetch MMHIY A Danalirs0llanylankmmWr2WmodclayamahighmWrtale rheW*MycolloPseames=M will escape B. Tara are no hm real Do rot Mae them near an open flame or heat in excess of 180T C. Do not Install any tank under the path of vehicles or heavy equipment D. If a yellow or black sours tank Is pumped its normal maintenance, 9 Mould be refilled Immediately If a blue BNdSEBtank as whets aeWm Tank ispumpaempN, Rsaud be refilled tonne -fourth of cereaN SPhereal 200. 300 and 500 gallon tanks may be left empty, E. Norwesco yellow and black more tanks, due BRUISER ovess,aa cslem tanks we designed only for use as underground tanks. F. fbcnesco welow a dad sects pane¢, won be eiceplen of the 2e0, 300 as 50D gaaat spheral thi amm be used as holding caulks or pump bulks because the tad may collapse if It Is left empty underground Blue BRUISER onlm, white caorn taaa, and 200, 3D0 or 500 gallon spherical taro an be used tar holding or pumping applica0ons where primrMed by beat codes. 0. White astern ones as blue BRUISER Tanks are made of rent Nat meet FDA specifications for the storage of finking water and can as used for mat application yellow share tanks and black septic tanks must not a used b ddnking water N. Proterel the tank fresh sharp opeco Mich could Prepare It and case leakage. Nawesce advises ideal dce use one Panel underground seek Mmy oNaruses! SUMuseswouldvoidany Nawescopfo fwmrgei!hers tWd implre.. MrmeventiheN Noral be need liable Many mnrepuerdd damages. WARRANTY The Nawe¢o amerel tars, wan Installed in accordance Is manufacumes nshmso s, are warranted against deteclwe materiels arWor workmanship to a full three (3) years hom dot of manufacture Should a Defect appear within the warranty period Normal will supply a new, equrnalent tank In replacement mertnf Norr25co's Ilabilly is ImiW W the value of the onk (self and special excludes Ire past of Inarloron appear rommal as consequential damages. ©HORWESCO 0. shwff5Ncet I e0 30(139 a. Homo w, an 55375L139 M 180q 3211 WIBOD10712371 ..® www.rvwm.mn �;'il ,.M«., aNF,y a1L Na1DNBapNalwf T4tlNNN4e.w. �1 \c vm a�a All w aN° �$�:�� �..i defense, July m. m18 NCIRWESCO. MC ANASTASIAR OHARA POBOX K39 3T RONIFACIUS MIN i!i37 9 Re. Lbvykon SEWAGE TANKS, POLYETHYLENE Yanulat9ser NORNESCO.INO PMucl None (ram 02]41335) SEPTIC, PUMP, HOLDING 0R SEPTIG5EPTIC heaka Numbens) 1000SSR (b MIN LL,to'd PYR ErM9I BU 79 G.PD. WHEN USED ASASEPIIC TANK BASED CN A 3 YR_ SER41C"c INTE FOR RE510ENTIFL WASTEWATER, TANK OIMENSUDNS • f021N L %OO IN W X 5B IN H) PmUu t FIB No 201601M The epetilcdpne anal pna Or M4 pumbky gWed Mine bean miexN and MI«mined to be In complyrme wee dangers 1382 Mroeen 384. Wemnsen J4mn®r CON. 4b Clamona 10 and IBO. IN elemental SMNae The Oaparlment Mnby owes on NNnade apannal m a SPS Mar 25(7)(b) dead '.Ma.25(T)(a) 2. b on Me WwLmin SaMM and Ida W®[omen Mmm und" Co]e This ypeval Be ra1M um tha wM Of July 2021. no apenalvp«zNes the a{goral Issued ran 6'1Y 13 under pMW No manber Mt 10171 no dawned a0pmal in contingent upon wmpiance wM the blbwag stpuNtionlsl • T All muN be despod to wilMMtand the dressiness m which it wal ba srgw:ad res manulanur« must keep at hat manNacluin0 pant a set of plan and sp«aliUlmd bawp Me dNNNnmra seamy ut ygmvw rM plan aMs 19m musceCgen ens n6pBL9M br anYNwiYJ �Kwmawe d da awnmem • Installation and semotre of this pNm must be n acWrdanca won the manufacel soonest ACepyd Me manufacturer s installation and survorg mdr tans mania be Ri to Me Warner of of saaem • Pnbre Me po]t'ishad ed a warning lstal meaMB the requirement d SIPS a. 3Bs.25(8) (b), Was Pool CNe must he securely moushod to r9 manlab corer • TNa pmtlta[e%d liens dlcherlNtwmaim tte ldlwnfpinlwma4m-IOCO G•el0N.lOW 2BSfl yorq wish door imormmnn. • When Me cptimal dinkier wall4 insisted and Me tank is Used aS a deal mm(aflmeM egtk lmk(ST) ST. MereMIlWawparalorwallewth4",nChhda Mr hMMBSBWwmmmnment TMSMDM scoopful shall allow the metallotmn of an emuemulWr rnie nptoonoot me nee masrrPc 1pump mamdil Wool E Mane Fb w' lWlMl One 4�;b15TFgLD aonwE .wo Paw 2 A4M.2a1e P F W miwlw 1 EawNnaM,e in no'aW nMpvNMc PIXlrtw arty a]naKq, anJ m no nmiom;le Worry mamin rTM mgrwWk Muss SWCF* GMn Joniiii.M.S PGV/TS Pm Ilinlnvw Phone (9 )M7- 2 amM glen xia aw PAGE40F• In -ground Gravity Management Plan m.a.rarbawbwbb+an rrYbwrnrwmpmw lw.+YSao awr..sw b .n.r.raosaaw,FrcMi. cae. w..eb�s anspp,wbMlr coee,ryanbb aw.ia.r.nur nrexoar�r�n+ri.eF.rme.ernFrbww.um.�ye.r ow. ivbw.dF rFbvam.Mb.nylrtl 40111b IYlYrF �oMN Mw(91,vbe Mirtoes arec WMIMMOO; balslw OW; messral" �arecrererrardw ww 1. .. u nWrrsr.Fe.Ila arLa r•m�.YYq eb) a.i�eeibrurab4w, nweslow.bl o a.YYF4rw.Frr.+a m.+b 11 u airvYsb.n•altYin✓rilyNslibYeYFavY�liai.ebrirf leaOY� . �.OnarFamrl�W.r.ra`V�ro�soFliresaY�F.a!) MONIMMEMMM a rFra.biyFabYiba•ae.babFa Gu1Yb4Yib-r1sFJ1.11w, pbyba}IpdbiFwip,.bl o abaF.�utrr-rM�w4.. WammwaarYwml�rabFs..rl a T/4fan YaoivbYiabp�0lar..rreFii�.-aywbr�yarbrvy s ..aoara.wa.rawa.sq.rn.b wreaasaaabe w MreY9AS• jw�e. I atdGarMrelYsrraab.eb.e�r•bra.tra.�awb�sa.aarw ab.�Fr a aw�r.arasrrrry�rara�rrsrygr�r..rarr.Mry R..eMbuloM1bs pbe•IMaaYYMb Yp.r.bM11a1bb Mir dea c mbaYb Yr~+�ObbFabwli.erYv ..biibPY1'r vlbb Y/bYabi It ayr.H.1�. wPb.Yl Y. V.ib. br.w.vbvlgb.�bblr bmis.i aVa�YricM�Ca..FP1�—btFr.O e'� 0 ��+N bbbQlWb.ly �ir" Mgt-y-,-•psr_ie/�2r%�i-96]-4/.5� �aapw.mr.xi ST�CROIA f ULL r CD'MM w�rtV OFYI((''7I5-366-46Sd lavloaem+l"aee.ew -HubsOU I,S m 54011P 04a Fb0*'w d/ wFVr.4'ib4aFbObEPeb�rb>IDSffi61 (1�NYc�liYs Wb.iGtrtlwiyvp ptrlerl bPOWI E.� ui�WpwE lwMa eFI .®!.e'a ii 8P8 f M. Nbt Mih Co6t F F.etitFibN WCOarsb maao�etlrrOWl8uatr YagrilalFlYwYruC WY.b eMb.iniW br MPR.b4%4wIY.vYvaWbL lbFe FOvaNiAab�Pvia%Y b.leFbr.m.mu M. Fa�aMb ao.� ®w++F. o1.ib.nirl bs v.ssb a llaYw20rW�ret r vb d r r ama Y imLLaF6l albs Y ruieF.e F smro.F B V8 ]®,Ja Nbc M1b. faEa Page 3 of 3 •P..YOWnPJ YAMELrt GEASTFELD--� Legal Description (T s. Y6/ltW3'NNe VAu . 504 n T 6 sE/4 5, 13 TzgA xgW T Iaw 4Wo�u s. cuoix MuArrV wk9[ 6AI+ Oz0�i474- os-ow iJ¢ZC") nY�pas+ KC I�a.ea rM �Moy�p� v i^=40 t (ea[cepi Whe notedy Q=Backhoepit 2.oil Ac &s North I F� v ' ; t� ^tom A y EE 1 2 y ST. CROIX COUNTY SEPTIC TANS MAINTENANCE AGREEMENT AND Owner/Buyer OWNE/RSHI1P CERTIFICATION FORM �w�.e-�. Mailing Address 92Z Property Address YY (Vanlnuon inquired Boni Planning& Zoning Demand For now summonses) Cltyisambe wJ Parcelldenaficanorl Number CI Ze-/HJry _its -sans LEGAL DESCRIPTION Property Location 5. in, 5C %,Sec 13 ,T 27 NR /7 W,Tovmof O dsa— Subdivision Plat Pllsd ,5� I/4 J� ,Lot#_ Certified Survey Map # , Volume Warranty Deed # (before 2007)Volmne , Page # Spechouse yeti CIRR Lollmrs,denmfiebin yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use add maintenance ofym,ebmc ryawn omAdreaulim as premature fadum to handlewa9er Roper maintenance consists ofpumpmB ore the scene and, earythree yeas mswner. RrmMN, byalnmeai pumper WMtymartudn the system fanattest ad, fimrnw of me womc bonds ina treament some in the wane segment system Owner mammnmtce mapnn,,bdwna am spwpN in 4SPS 3835$q and in Chapter 12 of We Se C:mu Comfy Sautaay ONwasoe The pmpeq owna away to submit no St Cma Coumey Pluming &Zoning Department a summation fomf, signed by the and by a maaM plumM, joumeyman plumber,mnmled plodder or a licensed pumps studying that(I) A, m-e,N wastewater deposit system 1a in prefer operating aaMmon castor (2) after mapmnm and pumping (if neesssry), me same but: as less than lO full ofsludgc Ewe, the uMersoned base madtbe abase mammonism and agree W freinbm me fete damage disposal system with the aandads set faith, harem, as se: by the Department ofSamy AM Professional Samara mW the Depamment ofIsamnl Resources, Sate of Wisconsin Cem6mnon imbue that your same; syste,n has Man manioc¢] must be completed mad assumed to lire St Cmfa Couny Planing & Z nmg Depament wood 3 days of me Buse yea apmbm da¢ EWe sang tho all sea man men are We in and best ofmylourbuwledge UweeMve dwowner(s)oflha prepay dembal Rase, by va sfe ty deed rebound] on Regisb ofDrtds OKx N;Zr of Fundranal 3 Os uo (sory SIGN RE OF ICANT(S) DATE "'Any timmatnon ibat is misrepresented may meult in the sanmary nation Isms; booked by the blmnmg se Zoning DaparMrnt Include is at me application a recorded wvmmty deed Gem bad Recruit at babble Once mat ampy of the candied survey seep of retained a made m me wamey dccd (REV. 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