Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-1050-10-075 (2)
sm"ane euelpo lelen m.x to PRIVATE SEWAGE SYSTEM Loal BI Croix INSPECTION REPORT evil Perhat"° 615389 GENERAL INFORMATION (ATTACH TO PERMIT) Set, PmmO No uuy°Sir zeaFoY 04thr l Cat GVille IinN Jim RouleaulRouleau Land Company u, TOWN OF WARREN Ideal 0 2-1050-10-075 do I eM EI„ low �yFce.a a •°rnm�°. �3 557- nrt 1829N18283A-07 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ,yj CAPACITY STATION BS Ii r m.M1 6-3 5.3 per¢ 9r, I N' A'i;ip r ce s 98.9 5i�J�<M.p.IJ`F'iL,L !FI P IE SJis B149 Serer Holding svm min TANK SETBACK INFORMATION Burn aueWj 9y'T xxm al I Cal I �� x. �M W:ahl f.5 93.4 arse""" rJ;c�-� aerrM.R !999 CIS PNe But snMm &si PUMWSIPHON INFORMATION Bt $:LL S.3 y MN°m"n°rer remena UPS so Moaelx°moar M b 5 Tort � R «. sy,l.m rv.a 1 0.4 88 son .nP96 Tl. fevdd MBr <N °°M Depth DIMENSIONS 3 � SYSTEM TO PM1 BT/o�c LL -ANHSTREAM Mr4!' RN. oN Ty2oln, 7E5' /LO ^ _ I UNIT Mw`�li°�"�6 oMBEROR S da SYSTEM A+ t Yyi —G( SOILLOVER mma Ol wNnmen hellovi Cancer S3 .-r"e° � — °ConN0 Irr, St No er]N° COMMENTS Horvath ... eaoospnda erw) mwuNRm Loath 891 ALE4WOER RU 1)AIIBM2) Bldg Sever m Sol LSII(+ ylswlt�— nro I'lls"SvIrsolm"Irl,irs? Yes O 0 .eOther Saleelinterval 1 19. $SO 6710 lR ores) oa4 in¢Pemon rs d,,B,:ti3 LG�s a� W �5 CPU Me ST_ CROIA COUNTY ZONING OPFICS FOR UTILIZCERTIFICATION ON OP AN E% STING SEpIIC TANK This ie to castfy the the t I have inspected the Septic tank presently ee ving S IZwu 11h1( Sec. �y �p residence located at. TJ_N. R�_W. To'xn of WAL County, Wisconsin. Upon i SC' ix napec[Snn, i certify that I have found the tan,and Last to be in good co i and it appears to be functioning pre case time aerwicea _ (,�q� 9 � w ly. Did flow back occur from absorption system? yes_ No� line. (if no, skip Lext NPDroxinu[e volume dgallons gr length of time: _ �en—pr�cy 0U0 yll / minutes tructioConcrete 1/ Mnufacturer (if known): « Steel _ Other ems[ lank 11f Xnown): )p g MPRf ••eawe ermt ---7— T [ e (LScanee Num er O (Dace )U Porn: to be completed by licensed plumber (s. 115.06, Wisconsin Statutes) o licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification In accepting the above statement regarding existing eaptic tank condition I certify that the tank, to the beet of my knowledge, will conform co he Outlet tebaffl ) ZLHR e3, Nis: Aden. Code (except for inspection opening o er ouclece..ywmtentll�e) Name Ua7•. uD�A14{ Signature MP/MPRB by TMR Wri9r�MR. P.O Bm I.R 1.r rr.ryr ib01 AUG 05 2019 All, b153`�9 a tAppriiaatio. rr i�i •� •• B � AlexnmJn f�l, L-Tle•PiYM .Aw„ e w! o-rosb-IU- 0?4 Iy.W—px�I4xam�JQ� as. r['or I.�Ir \ Q RIG.A IMOf1 54o�'I i�Kl�/�[ ¢Tm•r.+r[lrrra..q.yl u. ❑�.xr�nr..-Ir..r .Ir wl ok ow. ❑RYr�r-o.o.lr - Y ❑ria.r-re.ru. ov.... ®—+ q ..... . 3 u aLTryp.'Y` (O.t �l�r.A C�/Ywr.s Ya--51� ❑f.�rdl� ❑i✓_NIai.T.i.rt�Ob ❑�.W�... Y.{i� orr qu.....� ❑o�Yr.r o.e.n.r.r. b1 7 73 0 rv. .r. `��C ❑,«m.ir .,ram-r nl.�r... r�__l..,e • RTrir �>•i Ov Trl W� . Ilr K.�.r� Lk 525 y7 A a $ S v¢ arrtr � rr.r.rrrwrnr�r+.rl '/M u�4ov �IsltZl9ox0 0 jw ATr f� nvSeN dJ' S' U� Ah �"- aµ..,.,� rexs•. _. �K Lazo. � 2 MMOMRVI 'm MI rw4owi.»:/un..� WQ9 Mlul11 1 uj CP � z o rt I� F nM= S ,, -rp.r coves 9rj. i 9 /Q IQ � 6M=6dleM �S�,,7 IVLMe 51ri\ Rnu`eau T��R�tti�ll �Q'�M:f 891 Aleknx<�r�. Qd � GIG�6e �' N dF�.F..!ap hsnovd„�� �� J 00 S p.. wi� Lx,zf� S �Te�Y ou aA oA, / "3 % as C�LMWr EbJ. N�ti i} 40.00 I.1 �9 UU L lBPlplp Fxl M1CMePb PAVeLLGp -n H go.ao Biwm gram 9 1I I Nmu3�lm hM MoEel �illl�`APl'(M1i �141 '� (y7��gipgy,yaU w1taP'q�rtmer SoitnPPhalbP Rlk�ppM1yO^ L=_Bc^�w9^Flas..� 9N MP��i Rak.dQ Ei51=_�n��^^yq�Pry 3laKNP d19Phg8 moh. pP9P__of 9 i y D 1!"�lS3ilitl�lfl T'3'T 3 1lP1 A *�i `I f 95n R®ns a� se 3ar fsamp� Sol k_ -� •-� eaa `- m�Fxw-.� soiApw Rom. a0 ��_ anagart as � IYyd anrad` sue.=� ' 6oe+z9 G I'� it QC �`F ^JYsa cc t694!I�"v avR\� GPSGtsd< '"'�°� f ��+�.vvar�Is�e+,Wet �auan,� cam. I ew.' �tr+®ma ❑ 1 m.i ov' ��'� nee. W +s_ m-Fh'z'i' avY�w1Y.'® aP 9XAee 2JF'>�i� a mr =.... --- Fms wsv.� ..•..._. a:a-ati-.a�'�c£53 Mf533e Ie F'�"9` - 2 avzsalfs. s.m9zGa A Lee eW+t�Y E/.�Yi7 wYS. io aas a = �a3ets � � nw rsr ol��,l� o 9. 3--_�_--_— —_ f _—'--� O f � i —E+- e o � L J _ e{_ B —_ �� Z _ q a id b ST. CROM COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ON'INERSRb CERTIFICATION FORM Owrabbi r . /. n-e ICG.a+., Mailing Acidness 7-73 /Yo>5 ?v .e/�'-.- Property Address e -7 � .4/ 1, 'Ad4,, to qq Ymn®boo,glfloe Plumes A;ON,a OP.nmcvl(or nrw cm Nf,ov) City/State 12✓d .fir GJ- Parcel Identification Numbs O Y3 -lend -!ov LEGAL DESCWPTION Property Location Gbc, Na'e , Sc. i ?, T I ✓R R // W, Town of 4�0 r'e tI Subdnrston Plat , Lot tl _ Certified Survq Map# 7V0-.r.iY ,Volume 17by,le Wamary Deed N yL 9YLY (before 2M7)volume I Page p Spe[Mu¢Ovee($o Lo111MINebfieble9ympae SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper oee and m earmax o(vourst me m could u,%m lrt pnmemrt (ollure to bmil we,., I.. Nm so(punpm8 omlbe eepv[uM everyµme ny:no onu, lfoeMN, lYe Lcemebmoper Wha1[ou Pullmo [be syatemcIn albeit tn[(un ov of mu1111 e wit as F beemlem ese 1nhe wunc thmem aymm.o emenen concer times ee fundedmIRS 39352(panEmClup¢r12- St Crvu Gwry Sanlwy ONwom Occur Th[prgrnyawneragrte5lo sabmlvo Sl Cain Coon Plmvl ngh 2mm8 RodoorI [19 Out see by lM1e entl by muuv Plwnber,lowleyman plmnbv. rtmlcul plumbs ore hmtry purger vmMe Pr' (11 Wehe slle erdlgmel epleln ¢In pmpgopmon8 m^d'von enNor(]1 aMrmpcaleo v4 pmllpmF 6[vaessuyl IM upne uM 1s lee Wit Ind PoII o(elWge. I IN mi,,i mat ,a led aNw ragernemuaMaglx to meenm tee pmne swage aigaal eynem In IN atemi 4 kM Mite e M by the Rpammet a Safe M.1 grifou ail 5avia, add ON Dependart of Nenml Reeommx sure,( xnaging dd, Zeroing tan mor$Arade 30 sspnef adderuedmmetnwtef etas Ce coltglum am mttrnCmthe St Cmia Coven Planning k ZonmB (><p^a^'e'v rvUin 3pyyro(Ine tluee yev erpnbon died Lwe cem(l a fS ute ttuc m lM of mytouknoWNgn Vwe atrvve me ewnetlfl o(tM1e pmpery aembea awvc by ,N Of, wa o;*Nea rtoNea m R,Znttrof Doai Office Numberofbedrecoms�_D �ONg OPAPPIdCANT(S) DATE Aov mfo/t)Fanov 0et to murtymcoud my rtmll In 0c uolun pemml Lang ma4e1 by Ibe Plavmn6 ffi ZomnB Oepanmem ' 2dslWe aed1hs adyl,al o a rtmtaM vOmnry I fiend IN Regotvof DWS Dflt sod a wq Of the cemfiei arvry OW if ittrce it mMe a the vxmnn &,d (REV III 6a 4916 Q19 Offlixm CERTIFIED SURVEY AI3 �� serB�� RDTC " _"" ra,,T= RECEIVED x .°nnw s, ..w QIINr KS W� Of 15 .Rm .A�..+ �2 olruemn w CURVE DATA TABLE A@5 5 m ct is �N1p R � a�•4���l x_ — f � ssm 3 i .e, 19 e... 4916 IPW g I LLL Iff p,3�d��l,OaG°�357 �i 4 16 p. AN L ADVFIITR� JIM ROW.EAII : 9 IIIA ay°ip aes°ya4 SOIL AND SITE EVALUATION �, _a-1 Pue�aeapea se.ye in ecmNnpat a. IWR IMM, WO Mm. COL �tM 4mNne�ae�ne..w+.nnee h°yn G""N P�.a+nrm.. a..ammmae�.o-ln�new �aeW,�veea.a v.<nini/. •nnluxTwwx6unox. n....mnr.urmn.na. "' A - w a P,va,ao„n: LMIPIKI SF< O>nb dyi. nesyl 14619 '39 NA EIMQ '^eR"Oen✓e Neva - >ne wme et9w 9 d o +M1 An :ef M1ne Mnd "lG i. Ne9e Tee Nee Rat 11,d5c1 n: �Mnh Ins etyp rn7� arw. fe..m use �RbiW�e eeaiv�+�i_rvep+umV'�ni ca.N.,eas. ra.lc�me Reen.a.eneaaM. aem.«'..Y ,ae.eaN* .seven,.. mote ri oval Tro ,e„n N oaap.me' nos .waxagaaewnvn ace ,N;l.r 8a.ia LOWer &9 ro ••! eNa.aa it AAL� it o un' ®6 0v O�s ❑u W6 ❑u� ®6 aY ❑6 ®N �u o���s©�rs►�re�e�e�a ©�emtsm�amtrs�v� o®�a� odasa�®m® Dew In e,m,g Re"ral; ry I?ge+^Petryy fNplvn No rS<. Y So Neer 14ii f'$'cG,f �L- ClSJ3o PmPEnry Cwxen SOIL DESCRIPTION REPORT Peo._Ld PARCH. Loe _ 9onng p 3 6�nns« s m omm wu sa Gm Can e s .e"n 0, S, 5" ua rce e"wgey p e i +Z , rvtl Y' .2 Z a- Remene Remy awi��iri®ems �IN" r4 �W -'n Rmns,xs fi nN s wpnm —" Re M1e rewimn ors Sb'hery wa DF RIanoN a[row1 auw m+ J Y y_n ovmm r�ns Bannq r �e Ilk .� r+emerxc _ _ t-oo yr3j- — /M I Lr I e 11 3 i I i I Nem �n �e 4 nnA 0 e rq aermrrs. /ed�ld M1 I Im SVC OY a � L _� ,I_ 18 Z0l9 I m 3 �l'�1M UA.G � �4OI'1 ��` 1'IW K NLJ K9swa� all 0 AdOOr.,b QQ'b9 � cc 68 W Oc C¢ }I v,y�y�a� rxagway� 5I AJ b Li'L6 P noJ / h0V>�ra�j Pro ,r cn�1j 168 Um astauV!'1!C r,ond War CONVENTIONAL COMPONENT DESIGN Re,WSW /ppF �b�: IPOpE]! NIO TT.E v/AE Yrg9�NaiR �T nONIQ4 Ei _ ommra Nvn�M Q�I.ItP N,3,A S 1910 Rig W Tw..nnm WPKZC ca�uy St - (Y SIX SIINn„ull Nary In Hu�pr P.dp,.,,�,„ oya-IOSo•lo•07ti P4, YY "m P+ 2 PMPBm P{ 3 9pin 8YAryt Cm P"4 P4f 91m Pa 5 BYYywc�I�bnWT Pa a Wneynren Mn Pay? St Cry Sy Te BYlWpfgm P 8 W�� P�8 C WP MYeR@W TM AIbY qv¢ AMU mg — I Pnab wme 71/3�?_ b-qt wnalP mft ewuPMcm,.„�n u.,wrYwmcW�,xosarme.�anm� .` �P/o / 74p /Yjft .Sm Rou`egy 71*h �&Mvktas+ar -doc&4" 991 &C4" At UI kktlIM1y a2D.fI�I9 {� nP ump�d,NPd 1 Go• I{r,P �pIJ'f i,N � l6uu yo Y /�-pPT'� WItH Nly I.U�( 5d5 l'.+�cY�y Sap(1cTyNY I'u he Pumpp.`d a- / FFcul ed oyj` J cuva a,a� loo. 3-TauNLNr 3�'la I{ 40.00 M 89�� L 6 oU H 90.00 -- sya.m eewiw IUI��:IIIII�ilSiit"P rfea vee«aevwim� rtentl�2 Heear E�sngrpq aV zCWce+mertDe soitnPPManonR��9PM1�Wfl �Sbaant»unriw.,.'7 swnoagr�no�'.Pfe.aQEtsn=_rjt((j,,,,�y 3 f1(]_ 1aMere eadi. ?�_of_ POW TB0~8MAM a NAWABaiR @ LaTa_ �_�'. i4 ��F�miuumxmos �scx ra yam. (' ❑M I �:•:- aHA oAR{ M — Gw mantm,r v SASe 4M thrtivi.r'�-0eRIlY:�f GNA 2c?Tm[rgmeal.Y am :Earc-t"a•.-e+ve1 Y+4o — w,v ret>anftn m EJ(J Ps?Mw.'mm M0. e v_np[T-,i.vp P,�S rf Rr..p Mtlei M a ta6l�ueNa^nNsll�b Yma@'mmN' :Fs...me.^IiM NP .:x'.A3@a o� ml Lio-.,Elr�- owner sTacnalmgl cxe1°+vJ Sffil ae( Otaa C tts ->-xqx GR'�3 "c•M 3aztl:ss9 !—� si i0 ^.9( LllIn1Y`R. GpY�: umtlu=Vsl cua GW{ -.53Mf: 9Grr-5A G9'§il'.�RSh. 3 ❑InL-�4 ✓p�EtiA :m:kmiczi:sKip Isw`caTiOPM iGL 1Eft aaw4 �Ma� FG$ ❑M MM p 11A M nrEAerms nR� %uaaa Afe _':ndel asnew 4•m. r9'3Ii$ rtupYaT' POW- e. m Fe.'I 2m mYl :NT �� "wikWwe.. aEtlY .�soei=. s, yae�a vf. SI �P^tl hstrst � �aW_Y M _tlE�in -_iwy=�sl 'x.L �o-w'..h .'urns Yva_ £®•Ppka.'sm R.�4x o nar.m?sza yrc�.-paw=s=emir >m�.c:a-�r._.Iv'4`E a._.� s>a aep.�re Mmetllem.-.PRrvc:6en c: Ss laeElxG'Spra.Coi'f J. m _ 4tira :le p.pMnzp_ .wlrt1®c9W4p no.yrt3.1 m.-�+m mes .eCnsm t All mat pmv$�mvNCvremrtirecfmft64 foal euWle3=rpuerz'n3rs�e`&i�?OWSS86;me.+T4. .,papE.�:Q 621NE� wmyara sti sa�tiaa a'•a+vvah.- tl cam�z sW z4a+wu Hea Attu �_M'v v_;.ailvfvYt'sd'ra.YCr/ aaT`I - - is 5e5 c.mp.3`�. -'.sy ER"+P� •. uuw �1 SARF WiaY9 �Pa1WN � x yaac W 0. YM m � M za _'�aMAS u,<.�timno<vrac m4.p` �'Tav-s.Ws2e Ne��°Fesa sL°/are �e "y-�*'¢i+�xede-^h�--'elklelnyv:f uvemyg��xne=�A OA,. Ii NSM1 ayesv*_syu-a «C�Xan yra.artr,®e �aC me w' V •%:iWla'av(rt¢�s e>9o�va auT ^e6v: ¢{.I �S=.m vLm' hg Te rmJ �°'°':':Tas��amu'vaawW Fa )w (w���. a�vTe�er `ThNS M�..-rm-rnan ���e��5 xr.zfu9am J1[Vtix %Y.M'. :.te �+�E.s-[ElmAr+4bnm Fe.5�mlNdl9y T1P ew're ficnnq R2'3fv se tliapxeel Belly 5doneaazMacoeM Ta. as mtmu�Me am flaix.ii we6+a'izlov vCMY.eV 'anA erala e¢W Wm. cz dsTth.v RM� z_'yv' ^aW Mvrs;a'E5cn to wartna�spa3e �TTett _ro Pv'nmraM23 mt9nw %nx [vn.J9ms 'fbtrb Fm9e Y�umM4lalb :n[rvrtas 4Yar n¢nvmm:='^}y4 rccv vJ bmbrs qma:-xgz�ez =T®YaL sklV ummmGbpe.�onY. aSega b.:m tea'{, tVmr�. S1np{gp aCMs: s'APaamaW.mga+d'dadsonvx2aM�a ab=mss an �s�sve� =-emeeCs'ar�4 cr Wa et: ¢.-gneuY nfi xep%'ryL �ei'mVavgt�ar.�Mba'.'i�1^ e 1d.P��vBUYich�s¢�-'�t�lµ 3G°+aA'. of a:-,.ns.'—c_:E =t ua ca viiRm.Ti.J wile :Jq ?YJR y al mn- p.� � r1+wh.enmm nea �„ c ?am+1<2°iA atlPFm: mvnee.:.py,a�li?•, Fpl:fevars.'eaN �36�d"PmW a"..Pla v.ma.ala,r. s¢e a±c uevcu2»mxtlge"..saveis .eN,i-axT.n�. .iVarumee La T�F Y�M1IM1MBWkyY�Y dYsem. et mm. Mft ra — 6mBA aeeI taa n PoM� n sn�.IDuvmt®e¢FONv sPtuw-x. tea .imm "•mu-e�eyy�Yy.� � v 'a �Ra tLItKN'S_, a aivrc a�e5e6♦re Mt N C me Yn_.9r®'e�# aim a pey3 rf «NRrSTAE?> - '- n••_Y x ...W SW SuepabC+xC�a.+v�AaM1SEtlm e+T3 a9sTii^_, F.Tes YSa. F99LE rn^C.Sy iMa¢'i!TPr T4W I11aWR+.SW gPuFAe�AAL�;� ��BHR'3Np33. a04N' uT�rT.n�..m......�T-CBI-eG=n.�iiY YSYo�RiClLYG61B1PpgpSeE . A4Y ay$y�iT. F�e'tl1E4d 19N'ISy Xav �^ yP �1 De M1K P CKe '°S vsi�.Zs a+-wasn»¢Y.+ay ma4:n I9i W.'etmmnas Technical Specifications PL-525 EFFLUENT FILTER (COMMERCIAL) 1 PmW v mm b lot ST. CROTS COUNTY SEPTIC TANK MAMTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM GwnenRnyer Mallmil Addiress yZ-7J /Ycy ')l, !I( ///. Z, 4u I. Property Addfess FrP 9 / /ice r.L 4.e 4o; 6"0 Q. 7 IVmMM IMM! fiam PIwmB k Zumng Cepnnenl foe mw mYmulion.l City/SMte 2u r L✓1" Parcel ldrnnficanon Mal O 1/2 -L 0.r7i LEGAL DESCRIPTION Properly Loeanon Alo,'., /yr'/..Sex I f.T 1YNRILW.Towmof (N✓l'Y'T'L $ubdlvt9on Plat _ ,Lots_ Certlfied Survey Map Tyx-J',fr ,Volatile !P Page# f Warranty Deed# %29YGy @afoot 2007)Voloma_J I Page# /�yZc Since MaelNUdJ Wam Wmnfubba) OD) Ingenuous, 11, and meiIkMp, of you, mnnr.ynemmend moue in its pmmium fad,i b lun to AMR empn ofpumptng out the.er, unk even lbme yasna,.mm.dneeded. by eeusewed IMI wbnym wmtn the sYsteraat aaftap the f1r,1111ofthe sepne task nr ,wgmthe want, b di rymm owner m.lmetwgee mIfMdI weer vm gusnhed in $SPS 383 52p1 and In CImpler 11-St Crvu County summary OWwt¢ The pwiMp none, agraer loeubma no S. I u C,mS Om vmg om mO Zug IM,rom farm, Signal faSigned by tlrc ad by er pine vmvi plumMnrtart,W plumFa p+mper o, a bawd vmir's thin tll the an SIM appoint tc appo...s n m prpey Ma rgmenn8 rortlmon arWmIZ1+Pm ivtalwn and pmgm8 fllrccessary 1. the mpoctatl41s IusnuNn 10 but o(xlWge I/wus, the un@evil ed Noe read 0eabove rNoremense W bere, in ttmnOm the pnvg¢ none, despond system wM the Wdea nut herein, Mai by Me Oeml of Safety And PmfaaM ryunnt amnal Semaa due Om of board Rmutea, eNhone ue pnm mus ofw momin mote. t wmnu mI yw,eayYtem 6,IM, Mtainnat be mou tdated ,,lo amoted w de St Cook (.aunty Pllooln8 a Ztimine ONum"em witnrn la our. anhus Wm yevap^.M imd.0 Day mnly that tll murrcn¢mqu ken Me nue to me had of mylau, knowledge Vveamx meownta)oflhe progeny hrnbad aboot. by some of, waa�de'd mcei In Begslm ar0 ods(SIM, Numherofbedronsns J ON RE OF APPLICANTS) GATE is Any our Inn had it miveptemtW tmYrau4lo lie ynitatYpetmit Leiy rtvokW by We PlmomgAZenrng Oe,ronew•.. Me doanue mnu mwrbl uamnly dael fmm lEC Repvarof DntlaORia aMaagyafdr emtdW uuvry mend I n ale wl MwurvttYdmi (RLV.at/Ig) lL z -- ,..,e ,.. �� ,.�,i"�7l - J I• nil°°-0tln paW i`X�eu PRIVATESMAGESYSTEM INSPECTIONREPORT GENERAL INFORMATION (ATTACH TO PERMIT) Pawnulmmnom pupm+w n+vrelMare.uwyPugwnPilvav+e• +5a1+Hm11 toners, STepfim e o p 6*WEev Inp aNFlw erngnon w'0' 160.0, N.'I :. Bwz1 n,,larle«cs TANK INFORMATION ELEVATION DATA e"Bt Crou 52-2DOB0 TYPE MANUFACTURER CAPACITY STATION RS HI IS ELEV Senate: Benchmark 'y" .yi 02-q do 00 DouN Am term 0.4z 102 0 Aeration Bldg Senior .5 2�L 14 q2 Holding SUH hret .BB ;';" 44�aY' TANK SETBACK INFORMATION 511 HT Oele ;. }5 }'q" q4.B} TANKTO Pit WELL BLDG, q e ROAD IXINe SeOtla >I Zr NA OI Bre"om Dmag NA Header/Man Amemn NA DAT %Re N 31 1 3 41� I Holding BAIL Symem Ii.fA ILLY Faun, PUMP (SIPHON INFORMATION foul Grade g,I}' 's0 14. K' ManutaRuar Demand GPM tinter 5.26 "S 97 Rr Model Number TDX bh Fntt1 S t roN H Gor<emmn Lengtp D1a en {T) SOIL ABSORPTION SYSTEM 9 N.ba�S TRENCH v+krn urgm %T of Perdirge me mecepF r 3FA SYSTEM TO P/L BLDG WELL IAKEISTREA LEACHING _S SETBACK INFORMATION A" CHAMBER swam Gnv. >m0'/yr-' OR UNIT _ DISTRIBUTION SYSTEM 424-33=165 v ad wi eR n]ra . Y" "Car >Lso' SOILCOVER •Pressure5yabmFOnly n Mound Or ALbradB SyNamf Only oepno.er "re ho+ r O.�oan o..re on C%aMnX,E,�Tgbi d4°ae®`ee°fi`:2s,`R"d "1Pb/J`5 if 4M1Ps4Jw I/AIgRN 1&tV IyM IY94A 11 AIL BM Description =60 "1 1 tip ajtt` S61 ..u'1I-+ h«sY 2) BWg� length= 95.A' wA ofwva^ >Ys' S�ri"���vq�e�! ei•..ixnd � fSEi b ,ee.` yam"^' Bit. vnonrequl❑lYes talknt4_6Useotme.Hdeforeddinonatern L_L_LLJ Santorini m Dart La Mi G.Nj lmomr.sa»N.ra nor Ne SOIL AND SITE EVALUATION euerdfayew Bvmw marwrEerce MlF z,'IIIW B3.OB, wis fiEm CWe neMmrM�Mm r.enairz.x�vgeenrxe �. �'v �NYe rm..a�w�®.n e�A•m..W a.�w.�mn PWm io� CFFIICHHi 1HFpIMRTN)X-FlxxpMf NlFWrvmaXei[�yy� �� uewyefp ypma a.. e. m.e,o- vmurvmmMmmtnlOr p6n imn �l 4 nl l 5 FaFano..a < aW.� Ia5w rr.s /$TZ9 An Ewe Wm.no�W..X+v w..oc 11g Dmr n arr sw mover _ sltY ❑Gn ❑rua ®reW, wa.i Fa.a � fv� ir•y -SYH ] p arraei r rw.s a an.m..ii_ .mnn� W.. W r.X wav — w ❑WNaaran ❑eaanmWmu CW O eeupiWng Wie.7 b4a.Mi .Y nwn.9MP �Meunu Mmpai,m,arx rpWM 1�7._ to ]SO _uercn nx moor n na'.7 un.aWax_�amn. max mom Pcmm�Lanxumneumuar wa�bl H9,80. _ n ranWrm m me g'I", .nl o. n =�r cW..aWr n.yWe. sYmnn wugr.a m4�W ®s Ou ®s ❑o (ds ❑v ®s Ou ❑s ®X ❑s yiu w•m eonap x 1 amYX aL. pgirp Y L wmr Oren ra.ar.m m•WWr In r}a L AW f / L -s w 3/G LL n_ ma, -rsa aevN/b a / is - .7 Jr S RemarM Xam�aa. ®r Xem. Iwy.. rWn, T°We""•X0 rwiucJ WT. U L emmy.w eximmp. omeloX 'f �f i0t� e=, X1W WeNllplm PXe,PO B�ABR wX s or- w gar�p�NMFc (mbfiLLX b/Cu) MAV eMadigon 66 5at1 �XXLy com emit Applicati� sMg W'm°m w��m��ms.�,r�X ema.:wm..w wXmw,Xm�MlweXam) xeo-. ,,pdm�,www.m�rowrsRwe�m �wmm�asermmp p,.rm�miserve ee�,l w hmmrw eery wmm.eo - Pime Imt .0 �lmd" I,�pmpam.,b.l�g� Rv p�l� 7s vu "Xy.hm pG �,�sd Wm yr Les W: XEeb a rryeunn4Hug Wmkall Wt Vply) e rmmW®e ' TPK❑� ❑aa,�m.,ew-UwmUm ❑gm�m,-�M�, "" d, ❑ww�� � D).TypeoNmi,(Qxkmly ose boe oahoeA Complmlm,R ) ❑We.syme, ❑uplwiumsv+m ❑u..mm�lole xmhmm•®wr !4oum me�yA+mlmp'w) ❑p.mXeme�w ❑eem.w,mm ❑ ❑e�IL.mmwWm. maoslme 3 t3 /1Y ry .reoarzs r®/e.. m.we,;a •❑ B'IlamprtnunssXl.cmuw ❑n�m�.c�mm .ummmXmxoal ❑nema.u@ ❑xwa�grm.� o�c�w�owe.l 6..�rr Y Ad ❑per®e. m(wX.w'( del i� V.D eVymlmeotAmlolo l !Q Dm�) soX.whMfflmtt hew._�Z� 5.S Ulm, u= Mwrm e s g - ar.r Lve�kr `"°`mxolmerM pdcv 2 (.✓.'.�� �mcer me WX SMo—N e• V6 Rv mJn SM1lmeol-Ltleotlen XWryrrcYw meLM{Lu ,e.l pryryT1vzr77 (ennl un®(5mtalnsm.xNCOYI Vm. a Ne eul Vee Ovh PWu'm upP^rE '/� g �.m d¢ q % ig�gmm fte C /✓ 3\J m_In re ..,,tween:. m.wr,qen..we.�e0�10wap w9wXgSh.K- a J 11�14hw le/Nta l'az1MN ) MwYYgmell.f� g. �mmuwl�evbe. e>•�e..e®uu. .p.dawwwduuemau wes $B0.W98 (R 11/11) 4. 61 J po( /oz e✓ �7/ /��rx�.r— 2rl QefJ., oFf✓j M -2�d ,h I CONVENTIONAL COMPONENT DESIGN Pascal application INDEX AND TITLE PAGE PgJem Name /� od a Owmele Name /µ�. 1k ,/ M 4p Ow Ill Oenrs Ares; J9.3 /4fd'�✓ sY�oi� Legal Deal N� % Ma.%4 Sic 19 %19N /</io-✓ T"nsnlp WA rr en County .Jr ilr/'Y Suldw son Name La hamper Parcel ID Numbx 04 2 - ldrU -ld �In . Pagel I am Plot Pape3 Plol Plan Pape] Station going BCroso-SeNon Page 'Wer Specs Pages MemYaencphgbr�Wn Pages Management Plan Pagel S[ cma cn Sappc Tank Malnbnence Faun War arty Deep Page CSM Or Past AlbepmentsS Ta18Houhe Pkns Vr`t DaagnerlPlumear F ll�H �� 06, 1%c LIPera Number 21l r/Y Dale s-3J-/Y Phone Number Signature a✓i� D�nurMralM InfrwN SeYlbppgnGmprn Nnutlp MTYfa Vmm] pBBOrOnISP M OrAn aq L yz 6� 6 w9 PO "ZO/ .•ed.ar.o EmTm.ea wcwavp.� mnv.ncq �n NenufacBi mmME MaEN �✓�Cf� y �EIRPRa g 2-d NftWMember MRppllulbn Rtla 'C'� 'ngo pft �/ �1 Jppd Oannn Raw. WlpppReLonR , U EIRR.Cbamban Am 0 /6 MambmxM Installation and Maintenance Instructions steal Dry or from A,, onto the outlet PTe gong to the it,,,, xem Lmwe It Is centered en¢nry most Street open owlet Pipe is already in a Wed tool additional pipe may need to be forest Step 111 „ And additional dingle fide support and the two bottom supports while theme IS uu dry fit he relief pipe measure and cut I chew ule 40 par pace to the length needed to extend learn the hubs that Air omolded err, the caseothe side wall and the ,Side (1ro, of Talk 'closer weld pace into the nubnnatan molded onto the case Step l Sol, Id the tme to the outlet use Intent the for ta,tlegs.o to the case pressing down on The Ai w'. as into place at the better of case 1) Ren-. The col lid of lank Note To ensure undesirable 'ahm do not e.Iune lank and into the do done tank should be pr m pod out or,[the tide of effluent l' below the outlet level of the tank of To e the rme, can,wge from the planCa'e. Pull A) firmly on The handle of the caroall dl'lodbng It f e case 1 a,mna,y garden nose rinse the fine, aminbge ensuring all enable seplage material I,remowed 4) Pla- filter centuries back Into fie filler case pressing down on the calt"i unW It locks Into place 5) Pla, access led back onto the tank emunnp it is secure far I I Lc .111, 1 , t he if life .,If be If C .1 mose fall a 1.19 1 as nor I ans, C In In ill c t , do real n ar me I use for In C memo of it,, AT pul s r Owns I he P forest I I al me filter ont I se A r bannor A fi Its r in the Cout that I he he in A hire r *05 be 11 0 A A this sed small ner Case Cox or ma Per or no ran are flown The ah net owes I onto led, r petaled or main to inal pow I as is this sea r fin to Lumseens. To to r a ter, if no or wormanin far labor ( h At Re C he moral Chi fees I al Illation Is in Is Sol f squal loss POINTS OWNER'S MANUAL B MANAGEMENT PLAN Pagaill FILE INFONIMTION SYSTEM SPECIFICATIONS Oxntr IXday Oil pv0G .. Septic Tank Capacity /OOo n[f/4+ el ONA ParmnO SeptUCTBnk Manpypunrjd� / NA EMwM Fiber Manufacturer EMmM Faber Model Pump Marshal red Pump Model 0 S,,WGraval Fiber 0 Peal lifter 0 Mechanical Ae211w O WMNM D Diwmerlim oaMr DISMamal Calls) I Pun Grounh(gravM) o lmGmuM(paaar/Ind) D At Giade 0M O Drul 0 OIhM Yuues Oyol rw o-nem wnh i sore mix Ian or Sienese Event Service Frequency IrupM ¢rtlom 0tal Al lead One every �� Dej �s�( Maximum )shall o1 Pek Wane VM,, armored dodge and scum mil Pau Al leas)m¢every ICI pYear(e)s) IWWmm� )yMnl Al least ohm every i / �0'sY egged At least once every. Ls r rairp) l At heat ore¢every ornonmisl ymi At Mast once eery O moMth(s) 0H9 0MA OIN ow O NA ONq 0 NA 0 NA, Pump M amens, of tantlel Impact Inspect designated call Olwnelfiumrtfidbr Irespect pul p map ontro4 S Arm FlUN Ie1tlN and ge89un Ns1 not Insµctprs M tanks and dispersal calls shall W made by an eternal consul one of me lateral What or conlfimtvu MaAer Plumes, Maslar Plummer Financed! $"at POLAR$ coastal P0vi MalntaNaC Septne Servicing Oftener Tank Inerebra s must include a msual mapalon of the tangs) to denary any missing or broken ran ware, Parr any vacs Cr leaks, meaeue Me Wume Of withdrawal sludge and scum and to check for any back up a pending of or on the ground sudden The Modell nll(s) snail tea buafly mepeGed to check the afford levele in the obserwaon Pipes and to crack ter any caMine Al a111uent on the ground surface The pontlry of affluent on Me ground sudare may indicate a faldq condition and ragu des the Immetllate nWlkal Of Na Ideal regulatory autlos Want the wmdned accumulation of sludge and scum In any tank equals Proi (b) or more of the tank volume, the Santa contents M Me blank shell be rem Quad by a Amended Pori Operator and disposed of In accordanceaccordancearm chapter MR 113. Wisconsin Atlmdme0atrvs Code All Other wanes, Inducting but not limited to The iminvi g of dHkbnt fibers, m chanlGl or Promotiad components. assessment units. and any anyone atuntrvalsof91 months shall be performed by a wnMN POINTS Mein sort A mire drawn Met nd province to The (Past regulatory subentry wlNln 10 dap of completion of any sen'ka event ' Part of START UP AND OPERalki Film new consWNon paw as use M Ise PCwi t ed treatment Leads) for the presence or painting Pascalor other chemicals that may Imp the treatment process and/or damage the thadell rents) If high concentrabons are detected have the mmema or the tands) removed by a seplage semcmg operates poor to use System start up shall not occur "an son terminate; are broad at the nfiltratwe surface Dial power outages pump tanks may fill above normal removal Ieveb When power restored the escape wastewater will be abando ed W the dispersal cells) in one large dose, overloading the milts) and may result in the backup q surlere dwchatie ofeMuend To avoid Has situation have the contents d the pump bank removed by a Seplage Seri Operator have to appeal fewer to the WA nt pomp par contact a Plumber or POWIS MamWner to asant m manually cpentlng the pump contrds to restore normal laved within the pump tank Do nor drive or pad vehicles Over tanks and dispersal cells Do not dale or pad Over or attended disturb or compact, the area within 15 tam down slope of any mound or at greed soil absorynan area Reduction or ellminabon of the following term the manpower stream may improve the abnormal and Prolong the fife M the POINTS antibiotics , baby ropes, cigarette butts, condoms began swabs, degreasers, dental floss, Japers, dvnre twee, tat, founcaion been (sump pump) wager, Rod and vegetable peeknga, gasoline, geese, herbicides, meat sumps, Mas¢ahond, at palnfing propose, remember mnbry napkinstampons, and water softener bone ABANDONMENT VMen the POWTS his andlons permanently taken old of service the federal steps shall be taken persuade That Me system is properly and wfrMy abandoned In chmplanne with chapter SPs 38333,W nsin Administrative Code • All piping to Links and pits shall bedisconnected and Me abandoned age openings pealed • The dements of hit anks and pits shall be removed and pubpeey disposed of by a Sapgages servicing Operator After Pumping, all area and pre shall ber examined add removed or their raven removed and Me mid space nRed with sod, Marked or another men solid matenal CONTNGENCY PLAN If Me FOVVTS gets add cannot be tendered the kernel measures have been, Or must be taken, to provide a case compliant replacement system ❑ TTe rreeplacerpnent areal mould has protected form and Sturbancce ante mmpecclmo and chainreplacement not ee aband n 0o n br regarded aeroso a tram Award and proposed strvdurs lot bneeand wens Failure to protect the replacement area will meat, the nays fro a new sot and site evaluation to establish a savable replacement area Congealment systems must comply wire the rules in a Red AMat time ❑ A suitable replacement area is rat nodded due to setback andor soil Lmtar om Banned advances In PCdAi moral a bolding tank may he installed as a last rests to regime the fared PO'Ms ❑ The side has not been larval W meaty a Made replacement area Upon haute of this POWrs a soil and flint evaluation must be Performed to loran a smtaNe replaremym area It replacement area is available a holding rank may lvmmtanya as last resorts replace Me tarred POW t ❑ Mound and athful sot absorption systems may be reconstmtlet in place pull removal of Me blamer at Me shal a maraca Rechnarualons ofsuct problems must mmprywgt the rules in effect at that time <4 MNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANWOR INSUFFICIENT O%YGEN OONOT ENTER ASEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT RESCUEOFA PERSON FROM THE INTERIOR OF ATANK MAYBE DIFFICULT OR IMPOSSIBLE PO INSTALLER POINTS MAINTNHER Name Name Playa 7fa -j ii - 17GY Phone SEPTAGE 5PEMTOR PUMPERE"CING O LOCALREGULATORYAUTHORITY Nees Phone Name /y}. (� R �• Phase 715-3P4 -Hb This dmrtant was dated 11 wmpllance wlbn codger SPs 383 22Rltd(1)(midd•nd 38354C),(2)&(3), Wiempn samara rve Case Retard Mani ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Ownm/Euy Jg/ Ka 1f Mulling Address 7T3 /!/o a /fy N+- 2vt..,,,E GB` Shay flOP�r wddregs 4rP iri A/ �.L- 4e (Vmfiunm roust fiom Plvomng®l^^me Department Fordw wnMctprt) Csry/State fui6.1'r /.uS Pa l Identification Nutrient 0V2-10 inn -!/-07t LEGAL DESCRIPTION Property Lootton Wo�ft. Aej� A, Star , T 7 yN R1LW, Town of La/a/vY'1'L subdrvisitln Plat Certified Survey Map p 7y6-xxr ,Volume /P ,pegek 9 WamaRly Deedk %24yGY (hefine 200'!)Voluenum Pegepy9/G slrslnme ElYes"w W Itoo Nenblubk OtvOw SYSTEM MAINTENANCE AND OWNER CERTIFICATION Impmp[r uw aoJ mu rnvrce olpu ttptc entem wla rtavltt tlpt[mLurt (vilurtwbvWkv s Pnpn the a olpump'^e the eactedaNevery threey you ter, tvm eJN,byime, aputrym wNt You Inn mlo respenem [mnmeeslthernncuonof wes[ptetoeon lomwnv St enme Counta Im rrmnm owns memtrvwe tnpaysibilmes m sp¢5tJ m 35PS. ]tl),IIIII W m (Aupter 13 St Cron County Lnitary tMervmo Ty, property Tmm, to admab 5t Cron County Plannin8 A/Ammig Ikwnnrnl atm'fcNon formmgrnd by IM win it bye mane plumber, aumeyman plumber, rmr plumber ore LamM pumps vmbrmg met QI the orvmte ,coma minimal omen is L, form f,m mg caMmmn arWa fA after men,ttwu ant Pumping (ilnaessvy), be wele teak is for tlun 15 full of slWge feel the wJmignad Mvt rtW the above rtyuummenev but agrte b munuin IM primer sewage anpasal sntem wiN the sWauds set Pooh, it as set by tire D rimawn of 4fery Aeon Pmtm rvl$erv[m arm my Ea,i,mmet of National Reed Suite of N9sconsm. Cmrf enon trump met your scene eyocra Na teen mvmWnNmost be completed W mumea to be St Ctma Cowry Planning &]umng Dependent ithm10 may, of the three yevr itineration Jane Vwe[emy Wt ill autmeenn on Nulntm art o-uemthe best almydour4mwlMpe I/we sn✓ert Je ownertal oftM ptoleettYJesmbNaWv<, by timejo�la wrtvnrydteJ recorJW to RegerterolCmly Olfi[e. NRRDR Of DMf00mB W /� ]��p ON RE OF APPLICANT(S) DATE 'e AnY color 0 on Wes momprtaab] my rnuln In the evnnmy pemd t l,i dg rtm4d by in, Penning J, Lmmg Department ee' I CIWe ten aPPll Ionany" NN wananty deco from Ibe pallor of Dead, Onticc nM a copy uilk umefiN nwey cop if e cros maaem Ne le aeea (REV. W12) ST. CROIX COUNTY TONING OFFICE FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that 1 have inspected the existing septic and/or dose tank presently serving the following residence. (Snell address) �f/ A/eran/e_ JZJ Qesc^(s W-Clocated at: IJ✓ '/4, JVw'/., Section 19 , Town 1.1 N, Rsnge�W, Town of " r en , St. Croix County Wisconsin Upon inspection,/ certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS 394.25, and it (they) appear(s) in be functioning Properly. Most recent date of inspection or service May }f Did flow back occur from absorption system? Yes_ No K (if no, skip next line.) Appmximate volume or length of tithe: gallons L minutes Tank Capacity: I y/d0 Construction. Prefab Concrete K Steel Other Manufacturer (if known): IAV ee tr.I Age of Tank (if known)' k$I yei6 Permit number (ifknown) 3S3/7Y (Licensed Plumber Signature) (Print Name) yV/'021 21(2 T/ Y (Title) (License Number) MP/MPRS May 2-;PA .20/bv (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 2/2012 _ Rom/ti, uati pi I �� � � __, �. -- .- _ � _' „� .� ___ •— �i — Q --- _-- — �- ---= �_ � _ _~S�= -� Rpaet & .1c P/n. 2 eP1 a"b"'i0vpB1ienid C41in•"' SOIL AND SITE EVALUATION m«ws.renwemarya Gaya t p-1 euq,.roe smw in ewmSnc M z, ILHnH . wq. Min. Cme PN,f m��u .l4�pan ��Nl.«A.nn IR.II Im�.b W. eAn ic«v w��.bw.a•e neem. mr «a p.u.�.m' .bm41,41 lna .• yp.` - - APPUCNIT MF WTMN-YNeMp ,ww�mlptl�T In °- w a�« s .b a.nl.11 P ✓.wHC«.r < 4 CM &W IN5W IN.S TZ9 MAI Elul& Ymwny O«el.YaiN YW N«wv1:SW 5 an Su xame.l wbn. xe,ee ap aNp pTo« x..rno.a ❑ ❑v S l JVy IT•3 ISY �SYY ®® �Pnq«n.i, xumewmeslmre 3-y smsnnamnywiwq_ w f]nmeu+rx ❑awewm.maRa oa«n ma.w�.e«awwgnbwam«l. ae.e«.«e.w w. L9� gw Z�.e ma*' •Y ...al,mpll` ne«min,.re.,«wree Ls-r.. e.e.na�o_I«.n,nl nwi.«ree..�en *a,.I. Parxm«m.Ulminnm «nw N«Monlm _89.80 nl«�p«,ae«mmp«e«w«n1 Pml«.•�«.gmmla �4r 8a io L0.. 8Y.<C F•mI b Luc ovt,.J, MCp.n.bwM.Y.epl«p. _t S& WSZMb umbelm IMMsDU I;umJ w AT� SYaYn Yn I ng TSX ®g ❑y ®s [Nls ❑y ®❑ u ❑S ®U ❑s wu soil ma®METTIMA m mffl m mffl a om rmmm� Mw� �r Mm LL(Yib MmaMs' _m CBiwnal w1 aMl `.Som•e Tew'lnb lM is-1v7- oFl ..e.« � 5f- y rah � 3.TJ vOel. r"".,A,p K Y L re Fj