HomeMy WebLinkAbout020-1017-10-200
rcx:on:an ❑apartrcelxcl Comrccr.q PRIVATE SEWAGE SYSTEM ..Oliny St. Croix
SabY trx: Julldm? U. vison
INSPECTION REPORT Sanriy Pernr N<
(ATTACH TO PLRIs91T1 c, 597307
GENERAL INFORMATION Skitc rv ID r.,
Personal mrormauc^ you provide may nu med to-.:ecnnarny ourposr.s _l'nvacy Law', s.'GF_vi f1 ilrnll
P,..-rnt Ill':fer'~ Na: rc. ;;;ly 'Village TOwuvrnp Paul Tax Nc
MDRION SHAW TRUST TOWN OF HUDSON 020-1017-10-200
T ~E1 rlrv insp 6N E cv Rrl Dt,rr, nlon Sccnon•Tnwn:2a°ge: Llap No:
G 13.29.19.778-02
TANK INFORMATION ELEVATION DATA
TYPE IMANDFAC IURCR Q,,^ S CA-7PACIT" STATION 65 HI LS CLI3'
Septic I,e ry /G.~Q rich hmalk /Z.Z... ,l•
01++15' T Alt H•9 , 1 7 . o
c a 1 SZS ~c t~-
Ac:aUOn Hldc. Scwr x/.54 /07 • I
~+oldmg - 31:1 II In.cl ~ •J/ /a~ , VO
SBHI Oullct
TANK SETBACK INFORMATION S ~O s
IANK TO Pe 1NE-1 I BLDG. '•~cnr. r rlaac ROAD I1t Inlla
f
Septic d /d Di Bottom \
Dosing I lcaderWan Z !,c 7
Aeration - _ - - - - Dist. Pipe ~b 'a, ~d
Holding but. System
f1.Z .va
final Grade
PUMPISIPHON INFORMATION
Manufacturer Demand SI ;over~ /r /L / • C)
Pbt r1 ~ J / 7 V
h',voel Number
TD I i Lndlun Less Systerc H -DH -I
7ereema'.n lerratll U,a_ rl"I rrr'A,fl
SOIL ABSORPTIO SYSTEM
RFD~TRFNCfI vtI Len,rh Nu !":I'.-r~n:r r.. PIT DIMENSIONS Na Or IhL nsid, -i" L.out0 Dep;n
DIMENSIONS 3 47 3
SETBACK( SYS-FM TCI L^ 114 HI US ~ 1:'LLL LAKEtS-Rl-Alvt LEACHING ttsnuts~luL~~ 'r
INFORMATION OIIAMBER OR i/~('/•~
~ypgCil GY'stem S J 1 Z~ UNIT Llo: Nutl:o ~
DISTRIBUTION SYSTEM zba-z6+-ZG =~G ~ed~
HeadeNldanh~J t1~-:mtiuLC^ r -,nte: , + ISO, sl:aan~ r-t IO M I^ta•.e
I r^g0 ~O__ Uld LenA>n Ji:r ';yaunr.
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
icpth r-mvr Depn D''er xx 5'7 o' svlrv. Juctled xr b7WCrra_
3c7rrencr ..cn1r. 3 .5 9ed-ren:r Elpes llalf.' l No Nn
COMMENTS: lIndode c✓ode duaepencres persons. pres=et etc i Inspection tt Inspectinn C2
Location: g.•R) P.1000'CH~~ J ~S 04
i ~Je/~- ~ G O~
1.i id! Htu1 Ues::nptlun =
'l) Ring sev.'er fcover 27
- amaunt of cover - /
7 `,E 7
'•ar revision Required? - Yes W Nc q Z-7 ' g / ig / s
..'se other side for additional intohnalme.. O - V
'Vats V scnctrTx Son 'e Cert. No.
Safety and Bviidin Is Onnslon
a~ ;RECEIVED Of VV Nlashmaton Ave Q Box 71112 S.lnhary F.1.: I \Imtha n II{ICaIn Co -
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MAY 02 2011
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L .application information Pleats Print \11 Informwim, K
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AAlic anon Rate - gpd/sq ft
'Soil AppiicAtion ftAta aU17 r.(SA - G
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3e - -of
Technical Specifications
PL-525 EFFLUENT FILTER (COMMER,CIAL)
03 ,5~DC
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x-ss F~ rfl, x)9n, I ,1~, I 'ART NO 3A42525 I'
1•
MATERIAL
fOJSNC.PfuPNO'+Y.ENE L.__ I ~ I i
O.li flU$ING _ P✓•
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'.XY.0(PL.525FILTEHCXi! IDGE
PA NO 36911.525 1' -
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^VJTS OVVNER'S MANUAL & MANAGEMENT RLAN ?eyn~nt_
^:Lc IMPOMIAT ION
--•^'^-d 6Y5 SPEC]plrbATl N8
mpIzi l',N Shoi,: ^ A\r-. Snpt:a Tank cepac y CINA
Fern{t" - - ! Qal---
l Saptic Tank Manuttaoturar ,1 i Q 1p K' r7 NA
aEwlfdN PkRAMi:T>wt,.4 _'fdl'?E~tritsar;v'en:J?cx.9:rar l: ~ ~ G NA
I~ ^JUmbar Of der'-cn:T:s R idP. J Vzluont Htar f tadet j • S O NA
j M1ILITbar at Pall,- Fac'Iily =Jnirh ~ Z iQA~ P,:ma . onk Capacity- . g81 ---NA
~9217^,F$E~ {10,(a (average) I G ~l ~DJIdyJr ?Ump Tenk Mlanutaoturar NA
e- a
.iota ipeekJ, 15siimafid x 1.a Pump Morwfactunr NA
, r.x Pump 7 &dA! NA
sail App:l^adan .,Dte fi?ffdosy/ .
,
Stnnlar rd Irfiuant/Effluent Cv 11 a JC•zr~ tY x.~orepev i PrsnKetrnet;: Lirit NA
Fats, oil a Grosse IFOGI 1 690 mo(1. E G Sertd/Grsval F!Iter Q Peat Filter
I lL QNA ❑ tAecP anteet Aeran R Vvelord
SiaOherttioal Dv,"onDemand (HOD--) u20 mg !
oral SuspendoO Stilds I T SS) 1 6'I Fir "IL C. wlDirr.'et^lon G.a s}Ier. _-.--i;. NA
e r?a cu f art Clueli;y ,irf D;sperz=_I Gelils}
a t • . , c y~ +,Ont:iR' avarag9
tw4Crcund (gravly C7 In-Ground (praarurtaedl
B!oaf;emical CxVGan Domand IsODtl da0 mgA Cl M36nd
Total 4uaperdsd Soi'.dn ITSS} 90 mgR. RNA ~ 0 At^G Ode
Facet Cu,fcnn fgEOmaN^ meen D p
} II Lntyar: G NA
IAeximur Effluent particle S'sa /e 'a a.z• - Q NA
4~.- ❑ aiP -
rkhar- M tilA
"Valu90 typicn! tar Jcmeatl:'~aatavmra: a,.H aapt!r. teck ef;luarr:. ,~,~,.e.
MAINTSNakL'fi 9D3fEDL'LE SerVlre F}e(ISPnLy
Cl NA
yety a Yvanf _!L_ - o t + (~galdmum Ysara)
r--"- - ,J~ ICa9t --!DR svxr';r J9NL-Irlsi
inccaat avndNuan of tank(=1
When cnmtLned s!udgs end scum rnvD,s -n-R' Ird r s) of dank volume Q NA
FumP out (mramnta a' tsn- ial _ r rtj?;riqVexre1 G PJP. i
_ - IaWmum 8
• A Isa9t Or1re ev9fy:
EDP-eat di9paraeJ ne!!te1 r q rtO.^.f:5(5) M NA
At le9ai anon A'4fy: 1 • %Y, aLJ+;',
claan affluent litter 01 r,a;ltKSj 4NA
~aaxt crag every: yaa'!5J
inspea Pump, sumo conifela & slam At
M. 101st once svarvr .15h MaTS1a nd preseur6 tea S~ v
pa, lanst Once avery: 4
7:'AiF;''TNANGE INSTRUC.tIGN3
-r.vacttcns of Lanka cad disppm-l! cap's sash bE ma%1_'ty an Irreividual Oerry'ng ore. of the fallOtofigQlOensas nr & pea 7 nk
1 P;LMhPr; GM14tr; PCS~tJ75 IrsspeatOT; F~Vti~TD h'rsU'~21Her; +,da~tacgD „er)ga1nQ Optar
i. n52ar M,;178T F!umber P.aRWIated S
insnexlons must include A visua! frJSper.:ion of -ha tank?gs tO Irigirtfy an'J rriesing Or Eraken hardtvDrn, IdeHfy anti crDaks cT Ieaks, surfaaa.
pandt 'A
-flr:auro tha v^tama of n0molned studFe Ali ac„m and f.; nhnrk far any Bank up ar pOndfrg of Ot?P!Jmt on th0 ground
Ina dispersal O CisJ shsl: Pe v;s.Ja:ly inepsctsd S check the aguenr levels in the ObDervattOn ptpe8 Ertl tO O!ta>rk iar 8ny pand!ng
,r c"want On the ground DutiHCe. The nnnd!ng at a°%uanT on ;ha ground sx.face may IndiOete a fairing dordttion and mqu!rae the
ModiaSa rats r-e trr, of the!pcal ragula .Ty a.,at^rrit)• Of She nenc voi'~Pn6, the eniiss
;I! an the emmbined srrrwraj on Of sluAge and Eau-m :n Any tA11r 9qusia x153^thifd %I or state
GOntents of the -ank shad i a rnmaved tv a SAD-,age Serv•ic-.0 Operator and d%spesad At In =0168MM With Chapter NR 111,
lnrarcnain P.dmtnlatrrtive Cndr).
All other Senr'avs, !no?egirg but roz iitt,i43d 1a it a 9C."J16' 1g Of of ,lAant ttltete, machanical or preeeuri1494 nOMn2ns^ta, prat7a9tm6ni
units, 2-,d say servlr,InO at ints-vals n.. t2 mr,^.ths, e2,11 a7 be _ ppr;ormed :y s eertNfad %'CVJTS kWftta!nwe
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,A car;;ra report sha:i be orc AtEef
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