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HomeMy WebLinkAbout040-1174-60-000 I Wisconsin Department of Commerce SEWAGE SYSTEM County: St. Croix Safety and Building Division PRIVATE INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 605042 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township Parcel Tax No: Tim & Kristen Rieser TOWN OF TROY 040-1174-60-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: S 24.28.20.672 TANK INFORMATION ELE TION DATA ~c TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` Benchmark Dosing It. BM a.Lq~ f 10. ~il L Aeration Bldg. Sewer k Holding J 46t/Ht Inlet / TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 4 r t Dt Bottom Dosing Header/Man. Aeration Dist. Pipe :7. Holding Bot. System PUMP/SIPHON INFORMATION Final Grade lla Manufactu er Demand St Cover M Model Number ~(!1. TDH Lift Fri oss System Head TDH Ft Forcem ength Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width 7ength t No. Of Trenched, PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS f SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of System: h f ~~I ~ I CHAMBER UNIT OR Model Numbe? t` n h C./ DISTRIBUTION SYSTEM (le t- I Le Header/Manifold Distribution Ix Hole Size x Hole Spacing ~.o Aire 1, + I H Pipe(s) jr-i Length Dia G Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~N t Bed/Trench Edges Tcncn_,~._-- - Yes o ~ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: D _Rd" 4d Inspection #2: lJ~.C C~~7~c1°` Location: 280 COVE RD Jr9 Y ~ ~ Wad 1.) Alt BM Description = t 2.) Bldg sewer length - amount of cover = ! LOS Plan revision Required? ❑ Yes ❑ No I 01 Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Satiety Mid sct>*ps DMSIM Ri 201 W.1Mili3itsibon Ave., P.O. Box 7162 Peat Neeabar be ~ ai Ca. MatlTmoit, WI 337CIT 718,2 9 tis by ) 2 201 (o~5b 7- J IX iy p P ysm 1 IWYt➢G In acr u '-SE9T83. I-- Wis. Adm Code, of CC!! ~t is mgwnd pslw to obtaia~g a atanttary permit Note: Agplicanam forans far suateyaamed Zt4 ere suitmi ta+d to Fraser Ad&M Cif affer" than maiiiag eddr~ ttie Dept of Safety and Professiearat Savies. Paswel Woamaaion you provide tney be used for secoxidary with Idle 1.ew s. 15. m Stets ZGQ 'o l1 I tiara Ieforowlion - Print All Imfarmstlo l ~ °QUE p Fropatp ChNnttr's Name ~ rK d~ 1- l ~ ~ ,ti. Ptah ~ 1-79 -60-MO Ptnpullyoeeaer'r M wM4 MAW ftvaly LM"'°a 5(m0 S A J - Cwt. Lot CI sore zip code P hose NIMId r y, V4. sue. M Type of Building (cbo& all dha appM OK_ e ,(N, Lot L Vi or2 Fanny Dwelftng-Number of 8edr. Subdivision Name In a.~p a ea,J Bl ~jl; ` ~n v D PubIk C==WQ ,l - Dcacn'be Use _ c ti 1.~ p - z~ i7 - fl city of 0 Stec Owned - Deadbe Use CSM a © Village of 1j$.'1 R* of Pwaft (C bo* oMy aim ba m line A. Compieto not s K appti=Wq o J A. 112- 0 NM sytlm xk*wuv rt 0 TMM"%& Ta* Itcp MMM 0* I3 O&W MM* MW to 0 Punk Renewal 0 Perms Revism 0 Chow of Plumber 0 Pmt Transfer to Now I Laat Pravioas P e mit Nina eed Dare i owd t3arlWEtipiratioa Owner IV. Tyw of P'( VM'TS $era narattll>Gviee: Check sit that apply) Non-Presavrized In,t3rottti<t ❑ Prr ttized ]ii-Grauad ❑ At-Grime ❑ Mound > 24 in. of ennoble soil 0 Mind < 24 im, of auitAk soli 0 Holift Topk Cl ether Dtspasal C.ompoeW (aplain) ❑ PrMuftealt Devise (explain} V. DingIgnrglotplat Are, Iaformadon• 1 iZ DUM Flow (gpd}~ Desna Sail .Application VhOxpdsf) Dispersal Area Dnparsal Atha Proposed (di I system MoveRiaa► Sc~ a ~t 3 VL Task Ye& Glrpecitp to TOW # of t9e kws New Tab > Tob ~ AAC 92 V2 Septic or Noids►g Teak C 2) ebb Vu E VIL R oaai Statem@at- r, the n assume rn edbiSty for lation of she POIYr'S abo" as the artached Plan& i Phumber's Nwo gfriW) _ 's Si MItEPM ber Husmees Pboae Naenba 't.AddrM (Strxt, CIIN State, hp Code) .0- ~o)C !5 ~s>c"~ vhf yC7® arm ant Use chtj~r Pbtarit fiec > S X85 • ~ 6 ~'9 /8 M at ~ P11 It •k,tfitY;n:,;Ito-t*n,! U ZD - 4 Q/~ 1. ip :'tar tii+;par:i+i cell r. u s t dll be s,i•_I r , ' nth ec / /l asper.nanxjemen! plan prooide.-1 by plumber. 2. AlaePMrMU# 41C.^ 6I 1 e,eE j S " ~ ~ Gv~Ijci as per rr ~ c;Or~= / : Mi,IA sA,'t,t:~. 6 AtfacY M aaarphq p tar 4Ya aai sabalt 1a Nw qty papw no lam tttaa a w 111 bad in alas SBD-6398 OL 11/11) IM -k4f Ate, J4 el _ i ILA ail, r~~~r y 4CLL fir`' f ( a '1 t~ L F r~ 7 i I` r CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: _ T f? r Owner's Name: Owner's Address: Legal Description: - 5 -L K) R Township: bounty: S~1' R Q 1 >ubdivision Name: j -ot Number: IS 'arcel ID Number: `Qt{ 0 -It_I _ (CO.- f?2)?) Page 1 Index and title Page 2 Plot Plan Page 3 _ System Sizing & Crass-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Mana ement Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page S CSM or Plat Attachm^ents: Soil Test & House Plans esigner/Plumber: - ~ r ~,i License Number: Mf 2, ate: Phone Number L, q ignature .i , C , :signed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01(01). Page 1 T//111 ~~~EZ c Ly T LF ti~ I K 11VC -f r' W-4V`1 L k tv iii K~ L Y1 IZ; ~IL'h~t~ F'L I~ a 3 1 ,-r A V 20 AbIRM22D Rom 2T-Oft MOM ~ $ 4-,~~ 40 Firtal aids Pfc Vent Pip V. & ft Wfth Vans Cap Chamber it f 29M MARGOO to= "Sea _ Cef EBRO= LOWAN r, S Or ~ I c Header °~nsnc► ins ~ too Mai m And Model Lo" ca6--t k n o e l< E1 sq ft per chambw Sod Application Raft <7 gWsq ft 2 roars of chambem each. Page of Cj r;.cn I r t u I He;jijz"'L)UtV OUtICt e my Septic Tank Filter You'll Ever Need JJ L1~[ ~Ut M DI :/Illi, etimefilterllc.com.,"sept c-tank-f~Iter_php 12115 - C) I c POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner a Tank Manufacturer: VJIC5 C K ❑ NA Permit # 'Septic ❑ Dose ❑ Holding Volume: LO) (gal) DESIGN PARAMETERS Tank Manufacturer: ❑ NA Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal) Number of Public Facility Units: gNA Vertical Distance Tank Bottom(s) to Service Pad:- (ft} Estimated (average) Flow: ~ (gal/day) Horizontal Distance Tank(s) to Service Pad: -10 (ft) Specific servicing mechanics must be provided if vertical is >15 feet or Design (peak) Flow = (estimated x 1.5): L.j5t) (gal/day) if horizontal is >150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: r (gauday/ft2) Effluent Filter Manufacturer: L j j=am i r/~ ❑ NA Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: ( Fats, Oil & Grease (FOG) _c30 mg/L Pump Manufacturer: Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA P(NA Total Suspended Solids (TSS) 5150 mg/L Pump Model: High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L Manufacturer: (BOD5) >220 mg/L S~NA rkNA (TSS) > 150 mg/L El Mechanical Aeration El Peat Filter 7'~ ❑ Disinfection ❑ Wetland Pretreated Effluent Monthly average ❑ Sand/Gravel Filter ❑ other: (BOD5) 530 mg/L Soil Absorption System (TSS) 5_30 mg/L NA Fecal Coliform (geometric mean) _5104 ^(n-Ground (gravity) ❑ In-Ground (pressure) ❑ NA ❑ At-Grade ❑ Mound Maximum Effluent Particle Size /a in dia. ❑ NA El Drip-Line El Other: Other: ❑ NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined sludge and scum equals one-third of tank volume Pump out contents of tank(s) ❑ hen the high water alarm is activated Inspect condition of tanks At least once eve ? ❑ month(s) ry3 ear(s) (Maximum 3 years) ❑ NA Inspect dispersal cells At least once every: ❑ month(s) (Maximum 3 years) ❑ NA [*year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA Year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) WNA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) Other: At least once every: ❑ month(s) [ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual y carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back k y ac up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (X) or more of the tank volume the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of _512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. 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If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions are frozen at the infiltrative surface. Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, and water softener brine discharge. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the followina steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. Comm 83,33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING 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 BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS INSTALLER POWTS MAINTAINER Name Roy Name Phone .-T 15'-q' co _ 34 6-9 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name o : , GacJ✓~ Phone Phone 71_ I fl, - 465, *C) This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~Vv~p ~~j t1{X 1~ Mailing Address 2.k(q,) Ave. Property Addres, 2?D WV ~ pVl Ill. 54. (Verification required from Planning & Zoning Department for new construction.) City/State _~v1Cn 3__Vv~____.__ Parcel Identification Number 1? _ L1~1 1- LEGAL DESCRIPTION Property Location _ 4 D '/4 , Lg.0'/4 , Sec. 2~, T N R 21D W, Town of Subdivision Plat: - \J- Lot # . Certified Survey Map # Volume Page # Warranty Deed # (before 2007)Volume Page # Spec house ❑yeslno Lot tines identifiable Dyes❑no SYS`I E'M MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect, the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in ASPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (l) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, [lie undersigned have read lire above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the tluree year expiration date. I/we certify that all statements /wrani`Ly form arc true to the best of Illy/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a deed recorded in Register of Deeds Office. Number o - b drooms , SIG 'RIR1,• OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by Clue Planning & Zoning Department. Include with this application a recorded warranty deed from flue Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04112) 0 oo N~ or -0) o► o 00 goo ool 5 404 or 4e 4a o N~ " 90. OF 0 ~ w 14, O'Q A ♦L 9 0 0 15 W t9 + 16 0 17 Nr\ ~ o 33 33 C.5 1410450 ► 1.05H, OIL 06 A ~i r 7accorda S`j -doI g, --U,~,L/ Wis. Dept. of Safety and Profess'or~lc~SOIL EVALUATION REPORT Page of Division of Safety al Bce with SPS 385, Wis. Adm. Code L I "rolx Ccunty County Attach complete sjte Ian t3rti'p ,q erC~E~fprt+~mt8 /2 x 11 inches in size. Plan must include, but not li!-A(te m orimn a re erence point (BM), direction and Parcel D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. t 17 Please print all informatio Re ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Prope y ocation 1 f `t-N K t ;j , f, Govt. Lot 1 /4 1 /4 S N R `W , E (or) W, Property Owner's Mailing Address Lot # Block # Subd. Name CSM# City State Zip Code Phone Number ❑ City ❑ Village OTown Nearest Road C)9 I ❑ New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate GPD ® Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments and recommendations: E Boring # Baring ® Pit Ground surface elev. 02- ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 10 10\ jf~ 21 2. Y) S 04 1 11 [_2 j~ Boring # ❑ Boring Pit Ground surface elev. O O ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 F 1 I n L 3 M 2 -7 ° 1, 5 R 4 4 5 r) 1)) G 3 U y 1.5 r; ~t S D c `V`~ III Effluent #1 = BOD 5 > 30 < 220 mg/L and T S >30 < 150 mg/L * Effluent #2 = D -1-SO-Wall- and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Address ' t Date Evalu ion n Telephone Number I C-. O a? L.: cl 1 ct 7 1 -I M L~ / l' SBD-8330 (Rl 1/11) Property Owner f I t Parcel ID # Page of Boring # E] Boring 1 ® Pit Ground surface elev. ` ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 21Vt,r. ~!M l Z. Ts Yy~r - b ❑ Boring ❑ Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ' ff#2 Boring ❑ Boring # F-] Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 -T- ' Effluent #1 = BOD , > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD s < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330 (R11/11) Property Owner ` v. Parcel ID # Page of ❑ Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 71 s (D' ~ t ii ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cant. Color Gr. Sz. Sh. ff#1 ff#2 I ~I ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. F1 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft Z in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2 ` Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BCD _ < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330 (RI 1/11) iL LO \ 1 5 Ct ;o 01-i- C©VL C 2 14 L N-1 l-,) t N Li - 3 r - 1 ID J 'Al 3 J r~ f Ll t CMONS PL,5251PL -625 T EMS Rated F ar0, GPL-525 M5 LhVM Fed Of Vifr FMrdon M Uriew Feed of *Amepw -c and fr . 40 Aw Pl. in GAS r e ev®ral ye under n al cmMons before it is rec:~ eat tfadthefiftwbe led evoy aibex Is pumped or at kast evY * t M n, be - by an efmn when the rag& v - SerAdng should be claw by e Red DeDft M* pwnper or koWer ' ,3 . 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C (T) (D 0- rn-r m X77 z 80 = PROJECT` ~ COMM OPPICB BYNI.7 OIPICB DRAWN Br: DCK J RI ESER 400 T',hnnl°p Drin Red 2920 EM, Street CHECKED BY, DJZ P Swt, A S.1t, 10t 280 COVE ROAD Yennmonle, it 51751 BnA-, I n,4013 DATE: 9/4/16 7. 1715-232-8490 TO 715-3,1-52n Fir IOWNOFTROY.ST 715-292-8492 F.c 715-991-5998 DMC FILE: 7529-001 CROIX C OUNTY, WISL C?NSIN msnx.nmron.mH°A.~om n~a.nne.~~ln~an.menA.~om J A ea el,, REF FILE: EXISTING BUILDING CONDITIONS DJZ e/8/18 EXISTING CONDITIONS Auth. Consulting/associates S&N Land Surveying JOB NUMBER: 7529 001 REIASION DESCRIPTION: NAME: DATE: