HomeMy WebLinkAbout026-1306-00-052lm PRNATE SEWAGE SYSTEM
wren and eumme olwnn INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
pmOteourNdi x IPA.quw WII11ml
°oJ°N St. Croix
YIf No. 606957
Sol,Pump xo
PPMITIM&Alan Fnendb
xM xM TOWNOF RICHMOND
026-1306-00-052
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TANK INFORMATION
ELEVATION DATA
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PUMPISIPHON INFORMATION
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SOIL EVALUATION REPORT
de, $PS mal hal bar, Via,Coumy
Attend 2 v 1 I Inot in size. Plan must island
point
but mqG 4 im nrewpe,
moµ
semie o.ammen a w miovrro, oem to nee%lMsa�
Pen by
Ce
%reRussell
pli Point all hire, elon l.
Pe9etry, Own'
Property ropery Local
fig
8T
In Elepw
Pcie As n y�rez
44
CSW
Ciy St le Lp Gale Phydne Number
❑Cly ❑VIYy
No,nt Roetl
D�.�Rmd , DMe ease®�gnPnwm i��Po
®Rewconawmonapp
❑ Replenishment ❑ P - aummemel-° beyond, —
Replenishmentmmo
,I jj- r/3_
rt
9-b&Potential
Flood pi-F✓a
by
Cartel a�mena�he. �,o �P},�'",1%I�,a,hr��
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//
FO PoMga 0BMn9 Q'
®P fil ennem bil-2. ft
Depth to nmlWl it :MA n,
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baby"
D`in°m Dn:ne Doom wwr ei Sol GuRal
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Depth to Writing mnir,
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Boring # °o=; °° Depth tolending her" _in
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Depth
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Ronne
Cow
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Sall lippicelown FIN
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EMuem«1= BOO,>30 1220 m°M1 end i55> 30B 1150mBM1 - Carr N3- BOO 30S220m°M1anh i46>3051WmgM1
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FIDuemAi=BOP, 30_ IIO ng_et 755> 905 tM mgh PAWant#2 BnD 1 305 i20 ,ni I W l iW mph
Wisconsin SOIL EVALUATION REPO
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Page 3 ofJ
Conducted thr
Conducted For:
'Schmitt Soil Testing Inc.
Name:
Sterna Corporation
Thomas 3. Schmht, CST 227429
Address:
4940 Viking Driw Suite 608
1595 92nd St. -
City, State, Zip:
Minneapolis, MN 55435
New RichmoM, W1. 54017
Phow: 715-247-2941
SuM.Name:
The Glens of Willow River
Lot No.:
S�
a, Tld 4�
Lagel Dmription:
MC1/4 SEIA S 18 T30N R18W
A Backhoe pit
Township, County.
RichnroM, St. Croix
A Bench Mark El. 1 en Top oft" pm pipe
A Altemete Bench Mark EL /rso-1� Top of
a" O� i i/
Sb�% Contour I.me EL
NH
Contour Linelergth /✓A
P,.p,:es,P�.1
Scale V-40'
1.Pto
LBo
3si l— c3g
LOT 51
2.776 ACRES
120,902 SQ. FT.
LBD�935.0
S
LOT 52
1.674 A
7Z9ld S4. FT,
LBO=937.0
1
LA ' 154T1
I.
1O
.Lsse
59,657
tsoq
ORAl1
TA
" ICCt' "Jv1S� Ingusto, Services Damon
. usta6YO.WashingtonA.H
cmrrcYeannllmmnr(m be wa on As)
p n "IfIH P.O. Box )182
[�i 2
qoH( Mean, W ]0] 716
is
a 606 7
Sanitary la"it Applicatio
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CONVENHONAL COMPONENT DESIGN
�r
BDpL/JIDTIIIEPM+E
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ca,�or ��2M
Paal�NmnWf.
Pale, M1�atl9e
pafe2 PktPb�.
PaJe3 Sys6nf�i0p&
P[ge4 F@$svc
PARS �@eb0¢4Rm��oh
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iiIIIIG:IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ;lllllli-
IIIIIGiiliflllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIi� .�
mar nae.nau.w�SC'���, iP✓ �
osnR a'Lenrtawaaaee. s Appwr,Ra Z gWV49re
ladrtwa Ua%iM Ra.s�Ls App�, _Elsn= Givnhea
� S a—
e o ° Fitters
PL325 EFnUENT RLTER (CL'MWEPUALI
vmylK,lz rsq�mmaaaro
m�b M o(affluartfil�sTM1e
v�3aar�arororerromg
*a large* m�ma� fillers N ifl: i •�'— 'asaa'�ar
does tt�ssss�rmaeottltr� € -
filtrationsmb.tfl¢RePnly"
anzLgn�'>rffWfl n.e
n aermr lur. mu: wulm epap.
wtlM1 ere�yfilmr. When g�eia� s _ rt1FP
rertwvxl mrtl®reuB.Ma KIl witl !!! sw.ae! Iluarww
flmtwsm4nwererlHsFutaa. � +4�W
the seN mme egl�¢KwnY
luvetlntink. NontlwAVm
t�ered>q�mffixrhYrdsnf l°!lFl ra
ulwenweosa
verso
PL-525 lrrsullation_
Mealm nxu&N eMm
nerved * mneuom
MAW Gaoms Per Gay(GM
1. negr=mnSaWnUn aelet MrM
c
2 garrrow tlw LK rover nna
w+rromrtrtr�n®n_
3 Gluefire fiXer Iasirg m the
Y wC oulir PP. gtla
filmrrs rRmrrmretl �adergce
apmN6�alLtybk
E»entl ffi LK ar pe2 of ppa
to ®fir fiVar
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POINTS OWNER'S MANUAL& MANAGEMENT PLAN Paged
Owner
Tank Manuredura-: u"t
septicpDos¢0HoWnA Volume 't;SD
❑NA
(am
Permhs
DESIGN PAMIfiETERS
Tank Manufacturer:
0 Septic 0 Dose 0 Holding Volume:
:Wm—
(pap
rharmthercNedhoms bl ❑ NA
Numberof Publk Fxillty unds
ANA
Vertical Distance Tank Botlom(a)to Sm&e Pad
HcrlEonial Distance Tankja)to Service Pad:
IN
an
Estimated (avereg¢) Flow'. Friday)
Back, alDesign
(peak)Flow=(estimaletlx l.5)r
(paYeay)
XMIzonN 6r15c ketn6padllormumt h FEeproNtlM So back,
In San Net A�tcatlon Rats
`f
stureaayal
Effluent Filter Manual POPI417y
Effluent Flltar Model'.
ONA
Ste^tlartl (Oom¢Nlc)InAuent/EFuent Mmlbry average
Pump Manufadal
DNA
reeeelaFGG) O%
fiixnemlealOg
Gsj
4iso
ONA
w15 ¢aentletl6ptes
POT
Pump Mol
High Strenglb lrlfiueiTiffl nt
MOMM1l average
Prayerful Unit
BOW)
amyl
DNA
Manuhdmec
PFNA
IG41
OPMtFre
mp
O Dlarandmneratlec s fal
❑ gumboil Filter ❑OMec
Formal Effluent MaMhy average
Sall A�b/mrySar SYs1¢m
handay)
(eOogan) cmaL
si�mn "NA
mess)
❑Cremona@reaaunl
❑NA
caiim, w m
ad
yyln9wn
D al
Moral Effluent Parade Side
rein tlla.
❑NA
Opplme Other
Poll
0 NA
O9'er:
❑ NA
SCHEDULE
Service Event
Service Freguansy
When combined Budge and scum epuslsonel(yil aftenkvolume
Pumpoutcm@nLe Fall
O wren the high water alarm is adNMa]
I repel condom of arma)
At Month once every:
VaMe)a) (Marlmum S years) 0NA
WpedDefeat c Jl(a)
Pllreslounce every: 3
9 �U1N (Matlmum 3Were) 0NA
Caen demand For
Atle=once every.
�mir ❑NA
read
trader pump, pump coMma& alarm
ce
a least once Every:
Omommis) 31HA
0 yards
Flush lslerelsana praulreteat
Atlee>i core averv:
Omwmpt ;(NA❑ ar
°.
Nlenalmce avert.
OmumMs) 0NA
D who)
a
❑ NA
MAIMENANCEINSTRUCTIONS
In rp rkof of tanks and you absorption systems shall be made by an Individual oerM^9 one of the kllowag Ilmi or cxtfi®dons
Master Plumber Master Plumber ReaNaed Serer, POINTS InspeMr POIMS MVMalnx w 3eekage Prepare Operated (pumper).
Tank iralrealons much imlWa a visual Ipspebtion of0e tanks) to identify any missing or broken normal tlenilfy 4ry uauks ttIwkA
uatha,di me of mmGnetl iddae end sawn contractual any waydruportermore ofettuent on the ground sudam, Thesdl
absorption sydan shall be vlsualg marooned todeath the aMuem levels In the observation pipes and to cheek for any pending moment
on the ground annual The pending of effluent on the ground surface may normal a failing condition and equal the immediate
noblest offflil real autMdry.
When the mmal accumulated of sludge and scum In any ireflment tank equals ona0rd (kJ or more of Pool volume , the onti
contents Mme tank short be removed by a Sahara Si ... 9 Operator (Wmpep and dsposked 0In acarmarce when chapter PAR 113,
Wisconsin Anami atWe Code
Mother servlas,IrcAutling but rich limped To fine arvfoing of Anent fillers, mechanical or seaurnsl persona is, pretreatment unite.
and any sawitlnA at Intervals of sty months shall be penormetl by a rxrfified POWFS Malmo mm
A smvce r¢pwi shall be prdtledd the looal regulabory authority wllFn dU days of wmplHlon Many ary ar event
GM1M/oo5 (cold
START UP AND OPERATION Fpe—sLaf_
For new wmerica q poor to use of the POINTS check treatment tanks) far the presence of pelMing pmtlutls, wNents or olds
Memi®Is a s Nlmen: Net may Impose the treatment process and/or damage the soil absorption WA If high concentrations are
readale havothe contents oMetank(s) removed by a Septatie SerNanA Operetor(pumper) worto use.
Pump tanks may fill above normal Mghweter l eves prior M slanup store to pump failures. SAL up ortaztaatlon ofpowar under Naze
conditions Is not remmmensed, as the excess vrestewates gull be NSMages to Ire Sal absorption system'.. one larye dale causing an
overloas that may result in the backup rc surface mscharge of erhoat and damage to the System To avow this snuaeon !have the
comeits W be puny bank removed by a Cartage remaining Operator moment prior to restaug po'am to the pump a protecta Plumber
or PO4l?3 Mairdainer ro boost In manually opersting the Pump wMols until normal etXuentIWets are rertored col the pump tent.
System Man up shall not ocwrwben coil wndbons are huger at the infiltrarve surface
Do flat dine or park velacks over area or Net wit absorption System. Co not back or park Over, of othemisa disturb of mmmed the
area Mom 15 feet ticwn slope of arty mound or at-gral soil adsorption area.
Retlualon or elfh untied of me Diamond from the w erSearter stream may improve the performance ant probi the IRa of the hazbnent
area and soil absorption system acitls, ande co s, baby wipes, cigarette Has sondows, curve swabs, Rimeasers, dental Aoss,
diapers, disinfectants, leap foundation awn (sump pump) discharge, huff and measurable Pasomm s, Aesollme, grmseq herblbses, meal
scraps, dedicatee are painting products, goal shared napkins, solvents,tampers, and water wflaner bdnetlbdrome.
ABANDONMENT
Wren the POINTS fells amour Is permanently tread out of service the fo lowng steps shell be taken to mare that the system is properly
and sably abandoned in mmbr once each s. Comm 8333, Wiswnsln Administrative Cade,
• All piping to banks, pots and offer sort absorption systems shall be disconnected and t to abandoned pipe openings sealed
• The contents M all tanks add pits shall be tenured and properly disposed of by a SporeseS ring Daemon (pumper)
After pumell all lanes and pita shall be vcavated and removed or their rovers Rnovetl and me veld spare filled With soli, -
greveloranother lnatsolid numers
COMINGENCYPLAN
If the POWiS cells and wmmot he nodded the fdlowinA measured have been, or mold be taken, to provide a ante compliant
ra�r,lacementsyaan:
r(A sutade replamment area has been evaluated and may be W Retl far he rocks of a repeaoenend soil absopton system
The replawmers area should be presented from dlsturbanw out compaction and should net be blamed upon by reguirl
setbacksfom Sal and proposed simdure, lot Imes and wells Farce to protect me replamment area all mull in to need
he a may Sall and site evaluardon to establish a sultaed replacement area Replacement systems was comply arm the may In
efed at the time of their permit issuance
❑ A double replacement area Is nor available duo to setback mayor sop rtmXatlons. X me cal absorption system cannot he
rehabilitated and mrma address in POWTS technology, a heeling tank may be lnstallad os a last 2mrt
❑ The site ban not been welcome to identify a suitable bottommad area. Upon salute of the POINTS a Boll ant sate nalustlon
moot be pefkrml to Igatea sulteWe replerenent etas. If no replaeanonf arts is evallable a M1oltling tankmey be Insblletl az e
Mound
resodb regal McIll be POWT5.
❑ Mound and et -grade soli of sorption emsm systems may be reconstruction In plow at that
time
removal of the biome M the mfIX21ve
surface Ramnatruamma oraum avnana moat comply with Narmeamaffaa Mtnaulma
WARNING TRFATMENT TANKS, PUMP TANKS, AND MOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE, DEATH MAY
RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT HE Per ibi E.
P SINS A R POIYTSMAINTAINER
N m
Phone Phone
SEPTAGE SERMCING OPERATOR PAMPER LOCAL REGN TORY AUTHORITY �
.Name Nama ��li(� 4c/.ie l
Ph onee Phme �jJS ZRY -rU/A
Thin A, ea by the a Counts favors recta rap Sal m mmglanm wlm ser
Comm es 22calu ryaa)a(O and so n &(ak salvors... Aammlmabre mar,
Phu —La
START UP AND OPERATION
For need mnstrumon, prior to use of the PWJ(S cheap heahnant tanks) der the oneence of palming promem soNems or abbe
chant Wes or merit It may Impatle the implment pros eM/w damage Me sort abeembon dose If high concentrations are
lorded havethe contents of tirebnk(s) removed by a Septage Smslam Operalor(p impow) prorlo use
Pump tries may till above nomal highwatw levees prism sarlup or due to pumpfailura. Stan up or notoation of power under these
wndi Is nM recommender, as Me chase hommodater will be tllxM1argetl N Me sal absorption system In one large tloae causing an
balanced that Main result in the bluing or tortes discharge of effluent and damage to Me At To amid this sltri have Me
warfare Y. to pump tank removed M a $epiage Smoking Operator (pumps) pier to resladrg spread Us the pump or cola Plumber
or PGWTS Mahttalner to assist to Mornay operated Me pump mrdmls uMl normal effluent Wels are repwred wMln the pump bank
Syrian Add up shall not occurwhen soil c ntlifieps are head at the infiXraEve surface.
Dr and drive or park mades over tanks or Me soil absorption system_ Do not dine or park oven w oNewsa disturb or mime, Me
ea began 16 not done slope of arm, mound or atgratla sal absorption area.
Reduction or eft m naBon ne Me following from the was[awater stream may Iirla the performance and prolong the fife of the Treatment
tanks and fell ebwryllm system'. acids, antibiotics, baby slags dgarele bu y. mndwmg wttm swabs tlegreasers, duel floss,
diiapers, tlisinfedarRs, lets, foundation Men (sump pump) permit hwt and vegetable peelings, gasoline, grosses, Imposed most
crap, madrich olm ails, parking products, oestiabes, sanitary napdns, solvents, tampons and water m9erer brine discharge.
ABANDONMENT
Wean the POWlB tells anchor is pannanenly taken out of house the Missing crops shall betaken to Insure that the system Is properly
and safely otermonatl to wmglancevnM a. Comm S3 33, Voseve n Adminiabatfve Cuba
• Nlpigngtotanks, am and oMerscll abwrpdon toehold hMJll be disconnected and Ne abandoned pipe damage sealed.
• The contents Nall tanks ark ph dial ba removed and pmpglydspma30fby a Seplage SeMdng Opmatw(pumped
After pumping, all banks ark pis shall be emavakd and removed or her invert renwad and the void space filled wM Fall,
gravel or another Tneat solid matual.
CONTINGENCY PLAN
If PONIC tails and cannot be phoi the following measures have been or must be bakes to proNd, a rude mmMant
replacement ryden.
1I A suitable replacement area had been mcbr at d and may oe milted her the location M a Cmammem test absorption rydan.
The replacemerM1 area shows, be rddmmd from disturbance and mr and should not be infringed upon by rygured
Chamber from amserm and proposed structure, Tot fined antl wale Failure S proved me replacement area sell result be naive
for a new sod and slid saludon to wimodh a suitable remacemant area Replacement pawed, mad comply Win Me rues in
eKed at the time of their smart Issuance
❑ A suitable replamnm area la na available due to damp k order .wn lmhalmns If the atl abdwptian system cannot be
rebablitlaetl and poi advances In Per technology, a holding tend mey be Inwa id! as a last rgswt
❑ The site has net darn avaeuavetl to Identify a suhabke replacement eras Upun Tailor of the PO✓vS a sell eda site evaluation
mud be pWonned to locate esvlfabee replacementaor I: no replacement sae Ies avmladea holding tank maybe metalled as a
law ad feel replace Me galled assembled
n
❑ Mountl antl mngrade osoilns a suph syn ems ms may be rextthe m es In place foppery iud remo'vel N Me dfomal a Me Inlltrellve
�!'y surtace. Rawnstruwiens of sucA dydans must mmslywRh Me rules in efkdav Mab time.
WARNING
gilTREATMENT TANK$, PUMP TANKS, AND HOLDING TANKS MAY COMNN POISONOUS GASSES OR LACK
SUFFICIENT OXYGEN TO SUSTAIN LIPE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE DEATH MAY
t%slf%f�_^ RESULT. ESCAPE OR RESCUE FROM THE INTEMOROFA TANK MAY NOT BE POSSIBLE
PONCE Isl R
POWTS MAINTAINER
Nang tl)n�
Name
Phone
SSEPTAGE SERVICING OPERATOR (PUMPER)
LOCALREGU R/I RYAUWORITY
37
FProne
1 Name
Plane %1 S ZkYea/lfi'
rule a ins, core, take. M n Canty Pi ralvmof re"i Ia ewagianre aim section
corm a^,aslrz)@)r9l%sip=n ea sry.(g eta, wsman Aemmimamemne.
ST. CROIX COUNTY
STYLE TANK MAINTENANCE AGREEMENT
AND
/OWAN2RSHIP CERTIPICA'PION FORM
Ovircol ryer / 0-IYV Qmp/oE'i/R ✓I a12
Mailing Address j, lbsyfl fWE 'bleep �4s---�(�// l I- 0/7
PropertyAddress; Pn l 11 4z,6
�arvnentof�wnsl T SYa/7
(V /�'fl anon mq/erns)fro Pluming&Zoning Dep memOn)
City/State AVlL✓�LYMIOt.N� Parcel Identification Number.
LEGAL DESCRIPTION
Property Location A/z '/e," A, She, ,T .i ON,/R��W, Town of
Subdivision Plat al s „c ULZ.36il ,Loth .
Certified Survey Map A ,Volume Paged
Warranty Deed dZNne 2007)Volume , Page 4
spsnmuc 11¢mo(o Net ines ldentifladleXamOmo
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your mpficsyslem wWd result In its ammonia failure to handle wastes. Prime,
mf panel the septic tank wary thmeyasrssooner, if heeded, by a licensed pumps. WOMyOONA'a,
m re,yaeeanaffect the Nnasiun Ofihcmptic tank as a thadmimagelh the waste disposal system. tonermainal
...premiums are specifiedm§SPS. 39352(gand Ih(Aapkr12 St Crm,cmmysanYsry Oromance.
Thepmpstyownerayustambmaty St Qnl%Cnwty Planning& o....a Departments "America form, signed by the
owner mJ by amvler plumber, journeyman plumbs, restridW plumber or a (fairway pomp,, vedfyi ng that (y the on -site
mrdisposal systm per propshpamrvg condition and/or (2),flu impeodon and pumping (V necessary), the septic tank Is
Ices it... lA full phalange.
I/we, the ,d,,,g,,d festival the above requirements andngrce to maintain the arivn(a sewage duphvl system wit the
standards set forth, heron, by set by OmDpartment of Safety And Professorial services mid the permanent OfNmunl Resources,
stateof Wsswmi, empirical youth below, es"syoms has been commando must be complaint and removal to Ae SL some
Couory Plamtin0 & IDomg Deportment whin 30 days ofthe thmeyesr exaltation data
Ikre"my that Statements emm are we to the best f my/our knowledge. l/weamleateowoedd fthe
mamma cents bad above, by "it ofa ter card recorded,, Region of Deeds ORu.
Number of badronma
o /,36/ /
ATURE OP APPLICANTS) DAM
rrAny mmm,atmn that is misrepresented may ,mft in the sinless permit being revoked by the Planning& ] ring Department.
Include with this application a recorded wartuny, deed form to Reglaa of Deeds Olds, and a copy ofthccrAfied survey in* if
refers... is made In the warranty dean.
fill0a/I2)
STREET \l
LOT 9 1
1
LOT 47
1R10 AfeES
w.tu sa n.
ieo-eAxo
LOT 48
LESS Af%L9
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Lea-9a.o.
$
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Y� 759TN AVENUE
ENU
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LOT 52 'r I I 9 3 L
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REPO
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isco �g%A
DepemlremdCAmmHR
SOIL EVALUATION
in ewpaenwxieLmnn as. will fivae
Ppe 1 M 3
Sal Som Tw .Inc.
PawlampbbSba plan 01 nawr ntl ku glen SM a 1 l I'dad in eis. Plan ManLouns
sa Caul,
ama,wainawlnnmadmwm (AMR, eie lon aM
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pall "iaoniad bcHcn and dl 10 nwM MM.
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_
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PImnma al ONw _ F1rctlplSinebmm,.Xapplu6b- no 11,
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don, aagme'. gree is wile6kloretomemimelap@mwINa DJ gpal a9fl mtlnp. Powida eySlem eleue4m la Nee
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n
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n6 sJ (Score PnnO saneNm: LST
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geareat- swnmmsoil,mc,. I Dew E1000 canepad eTabpnw.Nandar
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-
Page 3 ofJ
(.Conducted by:
Conducted For:
'SchttuR Soil Testing Inc.
Nuance.
Sierra Corporation
Tiwras J. Schml¢, CST 222429
Address:
4940 Viking Drive Suite 608
1595 72nd St.
Ciry, Stare, zip:
Miraeapohs, MN 55435
New Ricbmend, WI. 54012
Phone:"/15-24]-2941
Subd.Name:
The Glens of Willow ttiver
s�,l-- _
9-�
Lot No.:
S�
t, —90 k
Legal Description:
NFI/4SE1/4 S18 T30N RI8W
■ Backlwe pit
'Township= County
RicMwM, St. Croix
A Bench Mark El. 100.00' Top oft" pvc pipe
zos Alternate Beach Mark ET /of+-LV' Top of
42"OK hjrcT
Slopr.III% Cantor Lirc El.
;y
Contour Lve Length /✓*
p,�por�Ra-s _
Scale 1" — 40' Sr
LBo yJ7,�e
/ 9M
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1
66501-7
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S crmit Application
� �' m � wevwms °@� °��,,a,mm..�.o,.meowrs.�®e.amac
rw Aeeimraaetm�mmawmmu+l
LA m IX (e.metien_Plaee PriMAIIUk.me'
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CDNVENTIDNAL COMPONENT DESIGN
RevOmpgl Opp( p:lon
Na
P'p y, wtlrX PoRA TRLYE PA@E I
NIac: me: rC l((L
owners Name. /r—
owners M jaae.
regal Dean'Ipcea
NW' SE/'LSIB T3bN A I4
W
Tawneap
rc nea
rnurn
Si. cam—
gadNIainnName
t "f e INr/ilgw �;pn
LaNamoer
—S?
Parnell 1°wcaNae,
—
0&L30 -Ub-05�
Pat^r fneE ao
Plea Plot Man
Peee3 .9 as cemiYompo w
Pag 4 FHA'JGera
Pape5Me�MEI{
Papes
m
Pagesi cm�
Pagea ?
4—Fan
-- —PTaDk
Mwa
yeMUT Deed
P eg
cW Plal
p:pC.e: 3A1Tgt8 Hmae One
oe.9peryRymbar
-
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/8 IB ucan.mrear. „4,3d 90M
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srena,r�,e
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r„Vowrs a.am,.znsesrmnw m olee.
no
i/ YttcRy WANA rQIFNd emom�*�t¢#'�!�
Lcx�XlA-Yh< 61eNs o4 W�Ilow R'i1M1 �.rGl� �i
6P+1"1 Flev=ioo.o .y
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1-d�, l,eMl�rzs 'ik 89
aI <ltiMV" 3k6v
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w� PdyL,k 7di.
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3 Grembars
Technical Specifications
Pp1H0.RYAIld3 �,� �'�
wiwY.mmiwvxrc �' J'I. .. it
,:u. a u k eue Fir t 1
pgnRt9
wsa u
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dMnlRawo CMe ��,��. me[hT.N9W W W?a_uedtl G9PZC^M?R: M��'t
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ST. CROIR COUNTY
SEPTIC TANK MA➢JTENANCE AGIiEBMENT
AND
00.TIERSSDP CERTIFICATION FORM
Oxme<Bayar � <n 1 W+a �
NtahingAaaese 9 ,ry
Pfnprny Address ltr 8/ /Syae /
(Vmfie ton muffea nom rimming v zoomig ¢mm�w6 for aewmwwction)
cfryisas '� Payout IdemoicatuD Ni oab� 366-00—
LEGAL DESCRIMON pp
Property Locenoo�W V,,5_ Y.,Sec l�L—,T-3-0—NRQW,Townof 0.1o�R14
Subdivision Plat. Log kyg
CertlOM Sam" Map ¢ Volame Paid
(before 2007)Volume� Pap P
spm hosed, O Yes NOC Wilinea lduNfieblegyapno
SYSTEM�CE AM0WNEQ CERTfP4C Uoyq
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-of the Mauna,
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The pmpmY Op nl apg¢g to rybrtdr to$ Cmiv Cnv.N Plmningm Z""& Depamnmr a nmificetbn kmy stated by me
awno- mtl bymamNv nmbeq imnneymen plumbm, rciMdti donne, , a bemvd Pumppvedf bynMen (1)A, on5lfe
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dvMea tdbM veiry ad In by lbe Department of Csmmam and We D¢m®mt of NeNN undsonmed $rye ofd ise,wi,.
offouddame ymm4 Wot taut gepncyma o had ben mainujned moat be W,,pleW ad renaned b Me sou &me Comry Planning y Turey Dryvgnem tti Wm 30 d0. of the Mood, you ,,Mon Cats.
oelit dot ell gOmm arc one m the onto£ my/ow knowledge. Vwe nMbm the dunwO of Me
prop ib, above, by vi mfa tivd eavrdrd In Aey sru of Deeds Office
A OP APPLICANT(9) S/�/�
DATE
infomudon NY is mismpr�W maY mNlt in IM.m(nary Pamit Mng revo,M bYrhe Planning m Lming➢ryapnmt. n*
IDgr,,m, Wig vi, Me ,w toy dead garanty dmd 5om We Rey. -gm of Grotlg Office end¢mry, of0e caxt6ed saveymq jf
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neetl meknal inan elmnnc f,miµ pl<as mnf¢,iine JePmuoenl al WS-366]Ifl ar TfY 603]61-Bt]i.
Pal 0 4
Conducted by: Cuueuctert Pun
Scnmit&Sons Excavating, Inc_ Name: Peter& Mons priced
Thomas J. Schl CST 227429 Ad]resa: 985151th Mz
SW Vary V1ew Tel Ci Stale zip" New RkPmand,WIRoll
So mre6LWI W25
Phone: ]15-] 0e: ]t5q 0-19e LPIDot 026U0600s52
Lot Na: 52 6-00 oflFe Willow Myer
-� 3-02QI Y Legal Description: Nwl/<SEI/<Sig TM BISW
•Backman Pit Tommship County Richmond, 5L C,ax Couury
♦ Beach Me* 1 S. IODM Top of r PVC pipe
A Bnrce Me* 2 EL HAS' Top of EtMMs1 Transferal 1115e
Siopr 2%
Scale I'= 50
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NOTE: For fall view of Lot ace Aerial Photo (Page d of 4)
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LOT 52
51 .�
N
5[ Croix County, WI
Legend
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