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HomeMy WebLinkAbout020-1485-07-000 h,.r:.„-?e arc-,en!vc:,m,- •,.e PRIVATE SEWAGE SYSTEM St. fOIX Saflth ;":d Da ding Division INSPECTION REPORT San ra" Pe"I No GENERAL INFORMATION ;ATTACH TO Pf RMITy 600330 s•ai- Pl;rn m r,o Pa•s:;nai m'c-vatic- VCb F"o -'a, ha uso0 for :r_ron la., PwDoses h'nvecy l aA. r 15 pc ( I',',-r', FOrrnit Ho ders Na^re (;rly ane Township Vw,A Tus No Kernon Bast TOWN OF HUDSON 020-1485-07-000 CSI I:M Eiaa: asp EM E 77 7 Dow'iplr n SecLC ^!rewnAtange:Ma2 N . a- 1 p .29.19.3082 TANK INFORMATION ELEVATION DATA TYPE MANUFAC IUR R Ci,PAC TY STA71ON HS HI FS ELEV. Septic ~I Denchrnaik I 124-5e Ito- 5 ~~t Avl.LIM 'l 3 ID 5 oa Aeration - _ Dldy. Sevn:r :7.41 Gq G I-(4 Lt H^Iding - SUI it inlet no TANK SETBACK INFORMATION S1111 IAtA (jU TO. TANK TO P+. ,FELL F+..L?G. 'Je•t to.-.,( Intake ROAC G Irlet Septic S - 1)^siog Header+D.tar. - lo, or &5 19 7 Aeration _ Dist pipe Ok H_aitluHT- _ Rol System f Final (grade PUMPISIPHON INFORMATION Ou Manufa(I Penvilld St Cover JGPy .33 6Y.Uo Model Number TDh Lift F9r.IloD1_oss J T71I H 777 Forcemai9 _gngth S a Dist is v,eu - SOIL ABSORPTION SYSTEM _ BEWTRENCH 0dt4 I rr:e P- No. [f Imnehns ^ PIT DIMENSIONS G:. ^•i Pas Inside Cis. Uq.,; ('6pMt DIMENSIONS I dJ~ \ SETBACK SYST=1,1 TO Pll. DLU; _ N:FI I LAKUST Atv1 LEACHING I Onufact.,. INFORMATION CHAMBER OR Type OI t1ya-m: ; IQaT UNIT c9el Number DISTRIBUTION SYSTEM i na:;ur'11an.bd7 JisC'hu:iDn x lmlu S~zc rcle Spa, ^g 'venL'o Ac lnlake I „-air 1 ~iay SOIL COVER x Pressure Systoms Only xx Mound Or At-Grado Systems Only L'cyl' 'iebr j 'np'h 0 ,or ,z Leoo- c.! •nnc;y5adds/- - A4JChM - BOdrT ench Corner U He1r r - --dpcs Topy;>iL _ Yes No ye, Nc 6 COMMENTS: ;Include code oiscrepenries. persons present etc.} Irspecuon S1 Icspec6;r1 02 Location: 845 CcOARDERRY CT MIA, 2 7" t s-O Val' 4' LCF l t I Alt Rhd DescY.pUon- i RId9 sever length = 6 - arnounl of cover = 71 p M. O n, Plan revision Required? [Yes No Use other side for additional intomiaucn. i SBD8it0 tR.?H?) Date inseperor'sS3ne:ure Ccn N:, sY o- I a \J / C7 t l~1~_;" 4l~LJ fjN a0 18-010J Courtly Safety and i (dings Division (°t K '01 w. Washington Ave . P.O. Box 7182 Sim' be SIIcd in by Co.) ~u F EB 2 s 2018 Madicom Wl 53707-7162 vary Pe mm XNow a o 60336 Sanitary-Pet' it Af,F X~HHACOYyyND4~ s ~g'r mgr I In accnttttmpoor ce wdpSP$-3g32i 2). Wi, Adm Code , mbmission oftis total to the M /~tpp/y rs *cquited m obminn' PruPrixrc RuY,......... it i n Sa the D ~y Pr ryno. Nolr, Appicatinn forms for sUdcrw[IM POW'1-S arcmbmntW to ep:eunem of Salexy and Professional Servies Prrsonai irtfuim Pmjca Address (S ditfaott Ihtut mailing address) . won you of ay he used for ucondary ~,pWfroses m arrordanrc with the Privacy Ixw, s. i5.o -I )(m), Sens L A lication Information- - ~...-P~_.---_ Please Ptiat All Inform tion a - aY_ tf,r~P 1 Property Owner's Name KKarv `J r-~~jzTt- 6n~~ C11~-111~S-pG ocp 4 Property owner's Mailuto Add oga- Y~ ::T Lm yip o- honN. =bq , Section i dy) it Type of Building (check all that-apply) lot A Nt R -I a coal F- or w L~`l or 2 family Dwelling --Number of Bedrooms _ Subdivisin NaM- i.l PuhlidCommercial-T.)<sraibc Usc_~ Q~" Blocky - - - - ❑ City of _ ❑ SIM Orvncd - Describe Use GSM Number - - ❑ 4illaRc of ~1;Sa G.ro ZZTownofWILA-Il [II. Type of Permii; Check, ouox on tine A. Complete line B if applicable. 'n M. System ! ❑Rtplaecnlent System Itcamlrnt.'rio!ding T:mk Replacement ON i~1 ( Rep y ❑ Other Modification to Existing System (expiaiu) n. 177 77 - Pemir Rtmrwal i ❑ _ 'T---_.._-- Permit Fcvision ❑ Chaogc of Plumber ❑ Permit Transfer to New t Previous ]Permit Numbs and Daze Laved Before Expiratitm Orm« ' / D✓ j _.lV. 7--:of POWTS AMMI/Comaone"Devicc all Check that apply) --Pressurized bKrtound ❑ P,,,,e zed In- t. GtottM ❑ At Grade U MUmM> 24 m- of suitable aril ❑ Mound <24 is of 5uitabk soil' J Holding Tank ❑ (ithrt Dispcrsw Compnncm (cxpiain)_-„ ❑ Aehrstmcnl Drvicc (vzplaur) V. Drstrersal(I'rca c_nt Area llc. gn Flow (glal) D igit Soil Application R d n (gp Dispersal r ~uira! (sf) DisP Area posed (Sf) Syvrm Elevatiro~n VLTank info Capacity to Gaill y n( Memurectumr -v Nay Tanks Galions Gdllnns Unto ~_T S'sMl. Tack, C U Z scpdc or Holding Task _lo1ina Gwnbv L_ 1~"II. Responsibility Statement- the - - L 4ndersigned, assume res Urribilily for installation of me POWYS shown on the attached plans Piumhet's Name rind) TPI i 's Still _ MPRS Nwntur BuSinas Pbone Nmmber -I ?Lunh'a'll'c Ad'dress (Strw, City. State. zip Code V V \~~•\J \ 1 ,1 ouan/De arfmcrrf iise 0uly_ -V~ ~~~--L- ~ V-vi APpmvcd Ui~mnpi n, Petnit Prt D kmed Usain etm Sip>all ]i un fof s _51$ IY. Cmul y_S Nca ns A-isapp)nvai o lYM :-I Cell U;;;; ' Kep~+11.>ate- r Prier all be p4tt : n 2c 3 11 "MCA ya par ~7ar agemen! plan p•0aed Ly Vlulu,nhe:, r0 /f'" v 2. A!t(rtbsrltn 0v.-nnnMUOLLOt.r,antr7rc-f M pr fppicnbh rttdl I :rdluaatet. -roach w comitlflc p1aa. far drt rynrm end submit 0 rbr Cannh Holy as Npe+aot i~ dm. fi vn > ] t inNts in sm ---"J sa~,,~rs(1± n'1)) 4-~-L)l . A, 21P 1~~~ KQr.~wrv aJpsoN ~a~~;, ~i Sy~Y-(M kv o \ u v VWnGxt ~ r CC)W; (~?!DNAL P;iiY'L)ft~Fi.ii GE_SiGN ~iesider<ial AI~,)lira!ior, INDEX AKD TIT PAZ;E Project Name: --.KN CN v O'wner's Na,mn: tr \l - Owner's Addeass: -----j•------ . J.._ c4)_ Legal Township Cc:my S} ~ h ; 5::. f!iv,~i,., r. t`i ~:^~r; - C•e V AYE ~~I'~ll Warcol ID Number O_~ V ` I Y r% " U bOl 1 Page i Ind" and title Pa-ja 2 _ P)ot Plar Pager ; _ SAS em giac Cross-Secn i Face 4 P F?Wi S ecs - lge 5 - I~lairtenarrce h4orrnat_ia_ i Pane 6 Nf«ra^GPTnk'l1f ini2 •i Page 7 St. craix c1, `septic Tank lwlia_'r,)trnanz_ Form Page H Page P -_CSh rrPlat _ Amachnints' Sai! Test & Haase Mans i Ues'yrierlPHrmber: lir,E•nse Number, Dam. ~,)IQ!: el:lrr, Uns~nred :ursuAnt to fli W-,;nano ,c6 Aoso]n!inn Compnrnn; ~4artua~ .nr POWTS vnrsinn i.b saT.>_f r17U5-P (rJ,ClIntl PAST 1 I I f 1 Jim L c, r? ) 3x 20 l (AON wn S TN ~ c h yeti ~h ' olz~ u iev ; lov•v \ ~ I~~ v gnu ~ gmKUbN Ou~V? Gpn is e ',olu C~~ S~ Q 30!! Abso _ _ rtlort Srr,__- s6eCr~y~ g .~ton I . 9' S.Jtttttule np f N- 4- O'"_`."._•- I cio fl FIX Vent Pipe ! J Final Grada firm vent rap J- - fi leaching ct>rimher J 91^ 9 A . H 3 r i System Elevation all Ab30fpftQli urSr3fB211 ~X?~S VIOV F~ - 2 ~ L[ ! 1.1! ~i.i ! ` f [i.[I[! t (l 1!111. [ J l . - f 3-A leaching - : fvnriiber9 J L re 3ch 9~ , Will / vent OF Observation Pipe (Trench 2-~ Header / y ti1i ul~ tlf Jul. !11' i TrenChi 1 MztnXaClIezrAnd Modet ~14, I ~1C( Cll. (~1h~ c l EISA Rating L sn f per - charnber Soil Application Rate //4 LU_ ON benign t=loµi _r7 --2- gpd/so, ft -Soil ,1Plzlication Pafe ~ ~)-L EISA ~ 4 --4roovs Chambers ~ of Chambers of I -ar,c..-•:r, - Pcbw?5 :F1f ~F'£ n$P.IY1L L MAWAGS14 K-fw F F -'AN Fl•__ r=parfi.r,?JQN 'Y°'{EFt .z.? FH.r'•!^Z1Nt& _ n,,., ><tv v rv v SD S UN 1~ o) SIP c snk C~?aePq 7 U G Ito Pe:rrSt - is ~apLfc T k A/lmcWt AknY:1 ~v 1 f ft is WA _~?IL2-;F8+tarr?#ria3ac>s7tA7' Q ~u( ~ ~1zUA G e ChS T'4kb'~?S - _ fdi2ah2r c` 9e[' ~c-s i G iv.4 1 I E~~?nt ~.Itx' ht844~ S ~ S__, MA Ct ='Nts •^_o;Ctgt iiift= G ~2A. s PurrnE Tank Gnpe^.hY td81 HA I PIL;tS s~r.'a"'T'etlc-ktau-niac.~rsr 1 YEA ' KSwT,~*.Eya ':iaY' fal•MaC16} _ ~J V caid~r - • ~~si n :1av, Cceskl, i.~ -.etIMgelz i•=% G G ti3i15 I i Pun? F1:an=sY~GY:'t ,c NA g i -7 Pw-p M6110i - 5A 6_i!.AGFtI:a^lwlF 1 cir2$Y'f_~'•'-Ii in Standard Ir4.tentlEr~lurss:° LD.c-pty I Marmig L^t£r8Q'aa r:e~aattnent unit a•-x, u l F~ Grei i! u l c a~Q T an, C Selid/Gmal FE?: i P= flfS Bicrnem oal 6 e,g2n D~°~a*d Sg~~ n=T G 111 G Dn=th Iza {tea z G c G Lfafn`O;. fc GCs r _ t 7o,'ai _°,erd:'>; ?•c':Ids ri 5t-i I S! cu "^~ii- O NA ` Momhtf avarac_ } uisears! Czll(si !'rerramd 5714=w- Ckl1f'Y? 4 . i r iR Jn c -und 16MV10) G Ih-Grou~!d ti tbs:;Wri7.E~1 E;oO`lemical L"aY~ Jefli~,,ci ta'07e1 I •.93 MVI, A *G`~ds u v}t ~ d f C Ll rnL ^ gic_ d.4 g Tntz: S:_^cCsc;cad Esfids Gaft meart(sip +W"ls - - - ` rsal C.-iregtt 1SE c Guar. - G r4 1 ,nfrr~nSlue[R partcfa S(rs YpL^ _ ❑ Yy ca cr: C! UA G x ; - - i u5ftit' EFxW6•• S>rtVl~shZT''Y . S81~ ~e Evan; {r yseeal Ll NA + I At ie'W:St a^ca svany: of s"1. Y•2rts me?an oandt3a t B rn'k YWi ❑ AA Rho" ramt.j9 sludge c fd st:as, ents _nvwrd lalS 1 ?a Rp 10;r catt".e;;r g; tanklsl r c ✓7 E gserg! t3 NA EVErY: E~'4 s7reat dr*dr~ nag(&1 ,ao1G. Q NA (At lass otue s sry: 1 ctsa:^ef. - cfn ~i^ut;nt files.- a:'s t a dla:m ~•,,ry'.,w; i:,spuc. pvrrc, cs;ao car.: els NA At iezat ants arurvc i., f Ft:;sh':ase-rda and'Tas.,-ure i as: ante svsry~r{ debar: ~ A.:a 144 I t AY dn' ~3 ]L 1tks oaf Sa - ~y an fad fir` ear, t ••ne of shs fditwtpg It ongim at caY7z k z,qVmp MY " 07 ncoecttans of WO and dispa a san+srf pejt4I S irsDga'~T' aaghrr 1!ti?l y-a3l¢s or teaks. mama p!vmb FEAs:ar Phi isilet F i '`cwa? or hrekan h&~'J^•aecc, i9ar in s^~ arts T' um", t^clv~e E V,^V .1 insp3 Wc: c4 ~'ae ;!sl to i6sn fy wn y ,:.Sssing ~'ttaat §R UN g'asi ~4''• -cas.:rs :.4a vc-Lma es acA,olh4d modr-- and suesd tt dirk for say hEnk UP of Fazlit3_o tre fl.'°,° c-e -1.._4* lsV°ia !n '.h» ryas srri to ok ,.r kay Fmtdtn_ Ys•'.~ t Z ,c,--anaa't der. !!tsl sh5i b'- i3t_~"~y ;,-"li aCd ER U: Ine+: era a faTyg anr, Fran and rs4arlas tea The dipars a e,;uen? an AE gmu'ad gvtzaa; Trre zcr4mg efNrt ca tP.a gromrd s+.~aca nay lmmed`aw ruin"den a; ahs tccal ragdv. r/ r~-d'c-i:J• When the ocnoned sec rirdtstt= of sludge End szUrr, R o7y tank agwz!b cis-IN er i of ciaa>a,* VOILM% the m0ira aarmm of t*e ink axeg De r ,aved by a S_ptagn 3er✓i^_ing QAer?ta!' ?.^d 41spgrA a': h Z=ydtons mfth C4gda NR h 12, Wrcmnain Agm nIgTmfivs Cadz. Ail • ' ,U'[iL flu's, mssAs'iaxl of Ftg r 8d 8L?k4DPF'.Y'~^: 7;'Qti°..9YIYIeT1Y e, end services. l*a aE atins spar ier of e-1 2 mrsnt!, me n tzs, --ha j! ti3 if, w.ita, a en any sawri5in n~n+a' of 5Y Le c2r;-estna3 by e.esztiti r'' wAdad to :he !acai raOaSsWry e,Rhortry within 76 dEys of ca;rpiigas of gm M940 ~t• ,y cmu Mle•f) N s:fvlce :aytn sbs.. o pr. START 'JP w?dy OR_,q;tTrGi~! Fags .:r rew ~--:iq;;;c;jcr,, pr)vr to =.e e? zero MN S chock -aaErnart ianktaf for tho ==an ca nta"ir5 FrO=mss. w Char chenSce[9 n_ry impsde sik!vEM ;aa: Pwcss2 aWMr;remags the disp6r3ai cell(e), if high c*W6ns lcas sra da~et hevs he ants of t.'1a Tank(s) ram Wed by a aeozge servicing opara or p::or to usa. eam ~lstam 5Tar: up sha-v nit a=cu wh=., soil cerrdMor.; ;:-r. rCzen s: the;rtVayva s;~tc,,. Cu::rs aor: a: cutcc_ er,,.;;P tn'xa n!ty :UI otc,.a rac:.sf hiehweter 1-vet' 'AFr . power is diacharged to The disp-al, cants) in one le me a reutafeti the. am wastevra~r w1L bo afiiuert. Ta etc th!.; +;trmto;t %;eve dose, overtoadfng :he ttls) znd r..ay raeut^ In *s a ti•t_ contents a," tr a pu^- tzr..k ramnvsd by a Septape ~-111n; p r tt &c--discharae of pac:er the a-leer n-rc or r,,ntEr,t PI.mO-a cr ROrr:TS ?:iala-i;ro-r W assi- is p Gea r ux,nor to YastotL^g r. 1. :+Ifi1liR 4'e pump t-a Irc-'uoti I*a121,1T9 :Ply punnis Galva zo Dc net drr:g or perk ve:-ra'es o;r and dLnFarsa[ cons. Do no` eS;va c petit over, or afh2rwial d<atrb or co w'^ in 15 feet dm.-..n sicpa a' any mound or Mgrado Solt abncr pticn area, rrtasr Tire a?a Reduclizn. or eCT'ti:7a~o,~ of, the i0114)wIng from,, the Ve?s*Lola-' s'G*a3tt- may rnmrova the aerfn';7altce Crem- .'r`ibic'dcx1 baby V1113"', cieerette bum; ccnda r d 24d D:• yths ma of -.15 foundefirn d aia {aumF pt:tn) •~v ms; -otYe i Swabs s_rsasers: dm;+,.e-ftrs: die era, d% OUnd g r d::c ; t!MP d s p : rue and vc5st=b'.a aae7noe" Saacifna; are2sa b_ P }fide ts; feet 3tnls rY ^ar--•'..~?.:cl:';pn••ci S~ ;ciEs: s3f-iS.R~ c lCes; ri7:, ScrF': ~'7~tca~::T, cit. Ac~r$?D6i[ipq- bri V:"ra❑ :=y ?OLVTS fails andre!• l3 2. pem._r_...i'!?Can cut of service a ~Ilaviirg steps shall 6a'raRarrw iratr_ e} the srystarl p'cperlV =_rd sou?y aBatdoned U campliaics xdt?; char: Cc.^m Ez~ b+lis--nr :n i d.-„aCstr , Cada: c AS: Nipina ;e tanks ar:d p`zs anal be disconnected snd the abandcnsd.zips Ocarinugs sealed. c Tna GC:ltc[JL. of 2t: tP.ri.^u,C F"t,~. S'fa ba reTi'JV2d c n c plop fir..~s?as.° c by a . ~ea'!'v;Gnw O~ra~. . ft-r zi; ~-%s =zd ,u ~?yci be axc= rnzvad ^_r ai •x:✓e^,- raTra+,ad and iha void Sp3DE f led wltb Soil, gn=, or a*,cfi- ETar, sri;d rna".ariE- *N-INCi:'=Y ?LAN L'it ?OiP✓z ='1Z Cara: be re:aS!39 :ha ;apra. !(awLr__ naasures have Been, cr nom: c ~h. +r A. sa. mb:e :r. =a;~^1EVt area has bran ovaluatad and may to uSSzed ',Or The k0 raja system. Me rap(aear„e.:: area ehc:j1J be ProtECted from dist<:berrna .w d h of a Td no~pT.,~ absnm by requirad satbaeiz Warn z)gat,,T:T and etppGSad 5'~'t. ,:IIJi3; 0' 111129 and e, Wa'~19_ ls. F'3Fac+len to and pYshould not pl .-si i M.* area. by a r :16!$ %nfl n$Elt in,, L73 na=, _or 2 new Scil and 9lte °VallatTan tD c - CT2CY i 12 re'plj,lt Slur{; Cammt w v,-':h t 0 -statlisn c St.•iTEC:E iop12GL^.1CnE area. P~yacam&:~StaYnok ? 4 .T,e= he YUI~ i^Of*BC at th2. ti.T.C. 5t 0 A s!rtabla rapt-mar•.ert area 1a rat !1a0able dse tc sadl3ck -.d/or sell 6rtitsdan9. Saul a a a,rc~ ^ , tachlolcpy a hokang ~k :tay be installed es a last rm;; m replace The fr=ad d in PG4 J'g P64t r S, TSts Site has n a.r ova s 9 SdonBSy a suitah;a -apJacamom srez. Upon ;au a of e eve:uation must ba pwrmm>•! to htraa a Ei`abla reglaosmant Us If ro replausmarit aee is eveRahle a A.e d nnciank m'y be ins radd as n lest resat to raplecs the `aflad AC•W?5. rt Nlzuad and 2t-grade sop abaorptiori Systems ma ;:a irfiltr^ivn sur;2cs, Hsco y .aECnsttactsd In P;mac i¢iicarl:1g raG'ccra( c; the bialtsi a a'+.c n9 ut:ts cf suah sYe ins must co aiy tech t z roles In Moat aE SEPTIC, PIMP AND OT?H-t-14 T?GATMENT 7ANKS i0>3Y MN TAW LETHAL LASSES A14EIlOR ifJS Fe PLaNi QX'YWN?, Do NOT g 'Ti s- r "I Pp.0m PER R S 0, PUMP OR 6TH R TREATMENT TANK EINDOR ANY C',RC V71fa"!'F:hlCc~. ?35Fi:'i% MAY FtiS-V- CF k B .4Pr, ICGLT op iM?®SEOLE. AODIT:ONA CCMIlV3 h=ma P6WTS VA- INUU s ` Rhona ,Mane Phen=_ SEFTA'g= aEp,4TECItdG DP5AA.TDr'. !r'sSMPEkf i I .~-;ii aCJ' av t ~ r • is ~ 18+ f _ t~ Sf Groff r Pi~ .rz. !y &G„ ,:i.<:mr.;c+ktrr.;!`~;rLdVE C`Jda. 'Dr nO'•~urD~CLZ.'!Dflya"T-.~. :.:°T':GB •ir'~ ~ ' r.7ads ti~6:,, =-i.=L?'•G%-GG'e3 yy . cre::s ia~ iDr 2na ?rESo .GC ~ aei.,.. of :p3 t}:{s} :'aP.iGVS ` =J1~/GT I a the £Isoa: Ss C?II --~'s FraC "C~^5 Cr ,^,.'a_'' ,~'RdPS:d:3 E =-ma = a is . I high cas..arm3rom ar, tt-- have S- 7 G2ag a n C S?oT 7m i'Sv_ e c :s^rs 5}IE"?rL L`_R t1P L(1'd lv': Epp: iVC!3L Zuji C= !fzi8no d'c -jr.= er, Hr ~_'p,•., i-'~=Cc=b to ;ha a ?D...P :_rir° mty fil! sbDVS i.^r<) ;,iehw,•rar 1..=~. Nraan av.•Z Fa rss„„rdg `-rlr's:'tca=_alV?dar b2 rEV it are ffa'ge Gets, ,?ij Cver(eaSlnc ,he o2ff(S,! -<!Sa w uSr h:v2 C,fay T?suf± aLI~a. t Sf: CI?iS Ti '_i7_ Zri;~ ~~P aT L? e.' JI9 S+ll'=EL D`= Era P.~ = c :3rW ramp-v=~. ' L''•+~.'rat"3a Gf 'cs:ar=. nr Gnn:;, ? 'I:ra_.~r Gr ?0~'! q cy 3 ?_,a~ps. s=>„rlrs ~P~£. • -''mr ;a ^te ?i~^.=n"r ; raa+_~Gctw ' r> s*yr7 r. P;rcz cn.Y. Dt ;xg :nc ar.!r:a as.,'a?s Ec a~ .ar. arras c- mzk vS:?aws OVEr .r;•J,ls s!td dlspare;,i cafes. it 'r P ia^ G r ire ct a rs c rn: d:N nEr over. r a. ,zda sJ F . ozn~v ` rye 2 Y mar., T Fade 1 Tp:iGr1 se: ~'aF7rr PT G 'v1 c; F7r e dl?C"!= cr the id:Iavrl'I~' :T ^.r:: Iil?~ I i'ay2 %i2 Sc-,^^,°~ A27:C? CiR ielrti~an di<n (aiLr' I a='_ha b:r' cancamst =nY,cr, swaS dr_^-a=~=.-~ aPE i'cr.5. V-rs ff,"8 r," the F?%n'?,^,= zadua pas'iaas; -'ar - Mc 3EEnr; 9asalir' as.-=a; ire ri~aa:x ~'r d ?73; rti ...?'1713: isWes; Yu~•._w .-,f' Et' r'-C;. i:J~L•lC'IICa i i .'I1. - aI:Gl Li L Pt =r> r -I"~_ I~ Ala a!i°_ GT 0: J w- _`te C~ GG15Trg E^£ S;''E:y Ak9,i3•F1J in 1- ;oOJV.R.•)y Sr5P5 EPI3i Dt :E1L?tt -:Y+a1= lC_ ft-+i G(!2,' Drl,I G.~`.~ `::!.S :0 irZ -::m C'.Till~u<urJc ywa: AT Ji^.irir i~ L3aks and . f~:'=.`'.::: ,.e ci~arreci_d a:t inc. Ee.21ecr>3c 'D= a~ ;:I~sEur'd. c.;-n+c`L^u' G` u'L c`L G.'? Sew: ar- EC:!. yr"+ i 3. n:n': 7d: +;oilC li.a=.tE:. -.I or __i'ec_ .r. vez am: ..6 VP.-^z - sJ:•aG3 r;['ed tMM 'mod cE:~u... 66' t -.F m!I-^-w:I ` T_s ms c_k- c al_3Si^ amarr mac .s;fo3rr, ~;Tals? a a bcJ71 .°.4erL.t4yj and r:ai• ft I.tCiS3NL Dr TFIe ~t:I A 12eur-~. f =~^.a._ ~T:= SeGJ 6 r E,,•a, n diskrsn, _ 'deatt 4f "=FA m a=c:ian or-'r, Tna' npa o=-, by se'ib3a +:cP1 EX;-.rc~e 2~d r - rata = id> co w, F aad- _z= Gr tsar 3; - _ h il s =r as !kn _ i. ~.aa sit: ee:.l ear, _`rbii6i•, c =1i :nia ~•antaeeaare a=... rP!accrrt?nt zrs, vvj";I _-.,FI.. :J)^s ir. d•,:3.w a _:-a:-4.-u rec. :+alli2."-amar. sit`L'.•^-^ sL:T£h!E F3P:?••' :73R: 3;-=G ?3 P,.;, dvcL-G15 a.= or - u T s it6i~r,_ Tart; g:33• ba inscalie5 a= G !F-. Te=or[ = r=cr?dcadiF;e ice`=d P `?Grs. 93t!1rv ~a-arass is .DOif,%`B The si.c bag r^T s?d?_~_d YO P .SRab:a ?P !DatnErr are. Lop--: -mjt" vain ;ion must ba psri~r tz ;olatu E 9a.'M S 'ciaceT=ry; aria TFV he i, miatt as a sril srrc 37:e Jest Max: 4c rar(sc3 TCB `2Dsd ?n4VT3• If nP ~PiaGa>-halt crag is a!n_1!3vilE E hi dine J RrImum aue es-grade SPiI v!v t;`~:Ti:is evgii,:= i±...c . ( JJ" r i e ly=sursc3, Fsa*;s.iucti ,s in J' -c!os C0::..dy wfil, frp is a`'fe_ n~ E. t a P :haYfj jl `1= hiO~tEt s, ;re <<rtznra;eae>> r d. rrT: A Mfr? T vPdYw 1',.4Y ~~N'Fli c •_t~:.. b' G, PUMP ~F `-LT!l=l 1TT > ~1~.Q G:i$)SC.C. F~'J 1f.QC 5J`[+'^~'q D ~ I .i..t w?=11i `'ru.:?Y-. 9F 14t~. ~.Sc`M. [t`_ L.,MP ":r r kR.l ANY G,?~':91Fir if.>"P n-~-x?_+r,r s ~FN_G= J.~.T=!4i ~J:.e. r..~G-L=3'r n rt~7t`K[ka[. li~rVll~JiiICR~ 11'(=~___ - ` 1R'tC(J~i=. - - y Mi i I.~iU ALUE - ~_+=s1? I °aV!'1-4 [54~!Ili'TAIxCF? _I lons `4T3__ a.Ev? i H orjZ. k7nto l@ s- _ 17 ?hc._ _ IVEMa f G ~ Phaaa E o, h, i cdt. Technical Specifications PL-525 EFFLUENT FILTER (COMMERCIAL) i1'INA. L-F1 ~ .i~l_$G-'tits I + [tiiY15P9OQ / s'~ i ~ iQf IiFI:~N➢T .~y ~ rlllb 1~ all0t(y191(FLYY:b A 6~ I 131tl{ SIN4 SN I i r f} I l ~ i I 7 iT -Ij I' III I C{' II TI• lJl~.1 (f7/- -.I-- I allm~ 1 I PL-WILFRHUA44G PARTNO-J0142,a (I MATERIAL r 1~ xatstvc-PawRCpnPAt LITtETRUSH14C-P%(, i58k; -HOPI ~I. tl$fa'SIi1V j q I I~ I ' ¢y~~ - 17iaTAf rAlMll> pp tCY f4. \ ~I~T `I _I fAI III ~ka a - aTU+vraml - ' I I dYt PtyiVU ITFl.N. I . • B I .I I i r 6 stun. _I~ i; i i " i jxin t I I I ~ ~ I I~ ~ 1 If A ~al i• ~a PC1ttOK P1-515 FILT'R GARTRIOGE PARTNO M41,515 4ATMk POLYPROMEN' I °'t~Y 1 ANTD OWNERSHIP CERTIFICATION FORM OwnexrBuyer • 4aiang Address ~f>? G¢ ~Yt(cE ~4D - WE 5l P - °toperty Address $~(S a-COUZ, - Wo~ - WL Snob _ tierification required from Plartr ang & Zoe Department for new oonstrimuorA, Cit-wSmie ~Wbstop Parcel Idaitifi.ation Number 0Z9'/q95_-07-6W LEGAL DESCRIMON opel y Location Sw NE '4- , Sec. Z I "r Z9 N R_14 W. Town of Subs[ iNision - CEW uA<c_£.y Lot r 7 Certified Survey Map # Volume.-.----- Page # Warrantiv Deed, ~ Volume - Page # Spec house yes (3t) Lot i-us identifiable yes no SYSTEM MAINTENANCE AND OWNLR CERTIMCATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper nai mmace consists of warning out me septic tank every three years or sooner. if needed, by a licensed pamper. V+ na: you put into • the system can affect the fencton of the septic tank as a treatment stage m the waste disposal system Owner maintenance responsibilities are sped t; ,d iii §Cor im. 83.52(1) and to Chapter 12 - St. Croix County Sanitary Ordinance. 'I'ne property owner agrees to szbnut to St Croix County PIawnig & treeing Depwmoent a certification fora-, sTrrd by the owner and by a master plumber, journeyman plambc-, restricted phmnber or a licensed pumper verifying that ( I ) the on-sue wastewater dislxual system iS in proper operau- con3i:ion andlor (2) after iasaection and pturrping (if necessary), the steer- rank IM than 113 full of sludge. Vwe, the undersigned have read de above -requirements and agree to maintain the private sewage- disposal system with the standards set forts, herein, as set by the Department of Commerce and the Department of Natural Resources. State of Wisconsin. Certification stating that your sep= system has been navitamed naw be conmletcd and renimed to the ST_ Croix County Planning Zomrag Department within 30 days of the three year iration date. Lwc ccrtify'tt all statements on this - rm are true to the best of myiour tmo,vledge. Fwe am`are the ou^er;s; of -^c property desc?lbedatiave, b virtue of a watt ty deed recorded in Regtster of Deeds twice. iNber o€ bedroo _ 7 '.70 ; ZnIB - `-ATLTRE OF APPLICANT(S) DATE x"Aay mformation that is misrepresented may result in the sanitary permit being re,,roxed by the Planning & Zoning Departmen. " luciude with this application a rrcerded arrrariv ca'ed rain the Register of Deeds Office and a copy of the certified sure e ;rap reference is made in the m=aat_v deed. • r' u.~ d a. r -1lNfONd c F ~ CIAOU0Y.M.IOS711SUYCf7lIN wn[ N.i. o.r .vLrxeaa.-N aunty ; I Y o I ,p Nf-F-1 l =s e o M E Q :Ell i O m z 0 w ci 7 ❑ © ❑ !C CJ ACJ L'I - x a e ~ I I .I V -..LrNIYgl.l jw ~ v~. N /I./11-.MIN/)13I MNN L/:IJA ~i fL .il. 1. - ; F O d' low) :d:)m losilll Fl/:dWHAH guu l.lxys.o_r L Ya asaa a aa'uax t 1 is V r/' - i C. i ii .1 tcb I a c _ ac 4i• _ ref~< - EI r'. ffi 3 - M9I.8 i.1t X-.1 .X:[I'.u' J:'CpI x9I-.Y .P.Y i Nl.n• 11 0' - 'to'0' 11 2' rmW z,•n~e veil ~ v..:w is - I 'I c I- y 3 a j i - 11 ;3 ~i I: ~ i i z I HUM DER SYBF.H-B"I'l ONN~ RVrnm IIl ,.Irr.: KU!/.UERS RESOURCE GROUP 0 a Q ~ ~ - !.V I / N! / / NIN' N ! N A r 4 "1 l~ VHD.I i'1'l' H1F\/n It •/u/ 4r {NxNI(rlll/1'MI. - ~T I MwN y ~ A At7 _ c F I C i ti i 3 i it • i 7 ~ i 3: ¢ m C a If1 ~ ~ d ._t....l~ J - _ yr ~f 4.AKI4R . ~ I ~ ~qF-oT Imo. ~ C A z 'C n z I ---cam-- _ - xLIII.UNx: eVLLx WWr ()NS I'M noH Kl:Yl+II,r. Ui ILDL KS KL SUi. Ni 1 i R(K-1' " 0 : ` urr lv n r ve c - ~"~1a Yxud F.CT: •n rl ¢r vrna' rm\ Iw lnvn r,m, ~~-n• it ~ r., u. r 'vy F / A \1 i ~ / ~ ' ~ III j r e I_ : I y I I b I 7 I 4 u x t I I v v t v r.e. at a.. ~ ..1 L _ ~u•n y 1_ c . - :InnTm x.srl'. ra<lw::rcunsrnucrwx RUILUERSRESOURCF. GROLY - t. - - ! T H 4 I.t' I 'I'1. 11'! I 1' '.1NN A 1 I'I\'I'.f 1 M - - ~A4 SOIL EVALUATION REPORT Page-_ or Wisconvn Department of Cnmme'ce Drvisron of Safety and Buildu ,s in accordance wyh Comm 85. Wis. Adm Code Cary . ~ ~'1 IF- Artach complete site plan on paper not less than 6 112 x r 1 inches in size. Plan must avdude. but not limited to verlwi and honzontal reference point (BM), direction and Parcel I.D. Dry - O percent slope, scale or dmensions. north avow, and location and distance to noarest roatl Reviewed by LV / Date Please print all information. ~S. cant non .t/ p~ ' GanOnN MOrtMtgn yuv Om'r ft r o¢ e I tew a y ywoo* s l'• y Law. Property Owner Property Locr,!~On i Govt. Lot i S Iva S T I Nd E Q Al Lot Property Owner s Mailing Address 1 p Blear C S,dd. Name or CSAU City state LV ode f Phone Number E. Cry Cl village Town Nearest Ro+ad L T, Code derived design flow rato GPD New Conswchon Use Residential 1 Number of bedrooms ❑Replarnment Public or commercial - Describe. Flood Plain "vation if aPPliabie Z. ,-F X - IParent rnaton3; -J; General comments and recommendations: Sy'tom Typ;. System Elevation_ P~L/Ch/r" Pg2LGL 02p /o 5z{ bJ Ole soil lication Rate a Bong fl ® E] editing Pit Ground surface elev..Il r 611. Depth to limfting facto --unda inry Roots GPDtW Consistence Bo Flonlzorl Depth Dominarlt Color Redox Description Texture Structure •Eff#1 'Effit2 in Munse. sell Du. Sz. Conl Cdw Gr. Sz. Sri r 11 I I El Boiling If Bonng . Depth to broiling factor in. Soil a,catwn Rate Ground surface elev R Pit ~ Horizon Depth Dominant Colo Redox Descnpbon Texture Structure Consislenm- Boundary Roots GPD."P Gr. Sz Sh. •EBpt •Effn2 in. Munsell Du. Sz. Cent Color Effluent #2 = Boo.. 30 rTgl- and TSS < 30 m4rL • Effluent #1 = BDo. > 30 < 220 m WL and TSS >30 rrxvL _ - - - - - - Signature CST Number CST Name (Please Print) 226900 Bird Plumbing. Inc. Shaun Bird Da!c EYaI1lap Cn Cundu;tod (elophuno NunNer Ad,lress _ - 715-246-4516 1437 120th St. New Richmond_ WI 5 17 _ r'arcn!ID tt Page _ - d Property Owner / BrnnG L~ Bonrg tt ~p;t Ground surface elev it Deptt to lim16rg 'aa« LJ in. Soil I,:~uon Rate rt( «jZOn rDepth DWOr Redoz D+:scnD6«' Texture Strvclure Corncisionce &wndary Roots GPOIrf . Con' Color I Gr S: Sh. 'Eff#1 ! 'EM#2 nt so! Or.. Si It z y. (~7 U Banrvy ' 8anng . Soil M phcaaon Rate .Jl ❑ Fit Ground surraceelev r• Npth to initing Ture structure Consistence Boundary Roots *Eff# GPD~Yt Eff#2 Ho on Depth Dominant Color Rodox Descrieflon ext - - in, tdunscll Ou S2 CALM. Coy Gr. Sz. Sh i B00"9 # Bonng Ground surta:.e elev. h. Depth to timihrx3 factor U Pit Soil icaH«t Rate Hnnzon "lepth Dominant Col« Rednx Du.CnPtim_Textu c Structure C«isistence Boundary Roots GPD#f •EHp1 •Effk2 Gr Sz. SK l m. hlunseB Qu. S2. Cott. Color I r ~ - f Effluent = BOD, > 30 < 220 mgr, and TSS >30 < 150 mgL • Effluent Q _ BOD, < 30 rr9t- and T SS 130 mgt F.o Department of Commerce is an equal opportunity scr%iceprovider and employer. If you need assistance to access services or need material in an alternate format, pleasc contact the department at 608-266-3151 or 'fry 608-164.87;'- }LI% A~l: i0. 61Y1 Soil Test Plot Plan Project Name Kernon Bast Shaun l~i /d Address 948 LaBarge Road Hudson Wi 54016 Q5T`M //226900 Lot 7 Subdivision Date 4/15/15 S W 1/4 NE 1/4S 21 T 29 N/R 19 W Township Hudson Storing (:D Well PI. Propert. Line County ST. CROIX B.N1 or N Rp Assume Elevation 100 ft. &; on/top of 3/4" pvc pipe System Elevation TBD *HRpSameasBenchmark Road Scale IS F = 40' unless otherwise noted B I 45' 250' Slope 30 45' B-3 50' r)0' B-2 B.M.x 100.51 560' Property Line