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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 - -7 ps, Mar, -0, . 'All 53TGr 1.59 I Q-// MAY 02 2011 - 't_1..-- ~ 410. Crrsacnm\um>.1 ST. CN 11)a b0UWTVCT1111 I T'1nn 11 r I n tl L wyy(~t~V{1U1 L LNCIY.{Sy{yryyr~'~IVii-)a Ui 1'1I 11rIlI ~{/'1~~~ i. yoiSed prin• ;~,.In•nrtr, n . n. a.+ { 'rml N..tc 1Ppbcal l,. , + I . zrc._bmNCJ w I role[ :+JJrr>+u a:'S'~:cn! th,in ma..: euthc>:I I ir, p mtn .ni I I I_, I i t l al 5• acnal u14'. •!1..:111 n Irt ov id: u1 y h Ijs : It.1 2.:I::dell 1 pup,c111mcm 111 'Ithv, L I y vLnvt 1 10tmd 1111' ~ L6 :Ilc~ -~f I7 ~I L .application information Pleats Print \11 Informwim, K ! 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I I -mu i.ul n f l na1il I Renct'al - i- ( lh,uu of Pin nhpp i cnuil9'-anshlls Naw I~I1pcliuf FLb\II'SiSyst m<:om~n eintiontentiDevive: (C heck all that L ] d,h '.m l- I : Nbc: f) c.:J l :•mnm•n:,:csp:ai I - L~ P1c¢cuon. ut 11 V lccpiainl _ Ditpcrsll l leai)»cnt _ iea informs wn _ - - _ _ - - - p : •u I 1 •u I ~,di I )wie,n l .ppt c;;Iut.n P:d-:.g 41: Dizlmrr I •a Recomeu to p.:.J Ar.a Vol, csrd is Sv'ttcm f9 r.:nol fl I I~a Q V c ✓ jt,----~_ II(~,` `\it4tiLt -'au'halV~ V L~1' ICrI-•`-r~IG ~0 c) _L4fl•\, lank Info ' lrJn°.---`' x - \ tafeox ul 1.111" m trr 1 nrJ, a nnu n. lnnvtnlily for inN11111 w ut the r O\5' I5 cni mn m tl a all a brrl pant. R<sIl1l11110blhtSit- .,t. T n.inc slm,nc >.i- ! 1 ~'unbe. \.:m t I j~ x 1.1 i 11 h \uni,rl Clunh°r :hu[ i '..\d:irt S rmt (lnit, - - J 11 It V111. County/Depar"etil 1 u (AIh' iy~ypp: nt+d ~~-ts 1p~.1,. Onto Ce at I I*+u.«•r~ nF' Iiv i+rl~... ~0 ~_D6 - / / I Ix. Cond$1Si fR{~/QII~IR.(e l..nns fof Dirapprovgl s y t. ipipiia )rl.r ~ 3) ~ ~4~e.:•u~,r,.~- /~'!~a- P ~ sit pv i7prag~. plan pi ii~ by plumber. 2..~ tttelhark IyLCL%7r:WK'S naut w nait>t: ire •i r per tlpNiatble uodif / :rrf rec. - - --_I l nark m IoniVlrlr plan, :m (.ir :yvrm anC vlhmir u. the <'nunl) only nn pn Nrr out Ic>s iLun c v~ + I i imhrn in vier. ~13F)--6i9SiR. tl'il) 4*~P Map j ILI Lu~%~ i 340 E) 10 1 i ..,:~1 ra ~rar_r~ r f3r_S!uN IR'OFX AND T7-!.c - - -~f~{210r~1 hnw f - - 4- R _ 9 - - "il'tVl'CIOn '1~?IY1A,' iniinxanci jt:- a Ip. - _ts ttlrmlenanrE'n_'rr,~YiaT--- SL'LI 1 anK Idc'It' °Pc. i -f;r 1 ,iO1Ir. r ~ ~ ~'`'It •r'yoi bi Ft17!J~l° ~I<.OS 11 il?if,~~ r~ ~ j;' "-Qum-eL' ~1 I ir;c~vc rJum~ar map X Q~ ab ,a. 10 IaSO 5n ~ X11 J~S),,~,;w ~a t3s t y~~,) P~ Q ~,14v ; boa. ~kU0 1 j r d cJil_t~3`_aSC~Pf:'FtT?i~c~~!32 L~LISS~aC1~fkt ~ f) V IV~ v` PVC Vert pipe l i `J_^^--+_` r Finel Gre{Je~ Will) Vdnt rdp Chamber 111 - ~ lBvaflon I ~1 - ff fIIl~Ii I li~(~1.11(Ilii(f f1Mll I ~ ~I F l6fAc ng (arrt e n_nCh i 11 711! i 4- Die 1/PJIi Or pbseivafign Pine -I ienrh 2 I Header lll_il ,Illy ul I l1;!?,],IT ► ~IITQ'~IfIJr11 li.,,~ - - - Trench I Lead cthasttlsea' °~Aeeiilsdtiott-~' - - - i~lancriartsar And b~odel HtS/i iZaiinr~ sq ft ger chamber Soil A AAlic anon Rate - gpd/sq ft 'Soil AppiicAtion ftAta aU17 r.(SA - G - 0 - Chambers - - ~ - - _ _ chamAPrs each. 3e - -of Technical Specifications PL-525 EFFLUENT FILTER (COMMER,CIAL) 03 ,5~DC i ~ lYllvl Lr,Hn3l f ~ II ~ iUf ' -I ~ ~ Allk 1vK[,lbio ~ _ :S:Y Dl4L>~4 ~ l'1 x-ss F~ rfl, x)9n, I ,1~, I 'ART NO 3A42525 I' 1• MATERIAL fOJSNC.PfuPNO'+Y.ENE L.__ I ~ I i O.li flU$ING _ P✓• l 1 ~1 o~ sdlf `~ige~.. -rte~vs t - a'AKI ~r~: A )Al0.Q Mli JF 7 i D 91 F'I •I ' ij - ~C MIDI bi '.XY.0(PL.525FILTEHCXi! IDGE PA NO 36911.525 1' - :AYPifI'"ILLVL y mA'FPiN ^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). 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