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HomeMy WebLinkAbout040-1211-20-000 (2) PRIVATE SEWAGE SYSTEM E=r r. r Gw:Ln S.. L. OD; INSPECTION REPORT dm<y ernm me F.-Tq TS' ;'LRI:•11-', 8 .7 /CS GENERAL INFORMATION -1:m C' ac N^ Fr -5c, t lartn:r1 cf vOV DK'vAt rtrd, or Us." 'c 5 -CV]3'y F..:Rrc ILnvS-. ac :..-:1 i(1n 1, tr ~'Wrlit-'LlOnrc !:dn:c. ~ti .i6d~c 10,Y••.•r•r.•. -l I :n::n~.-d'IJO (T1;c rn.c -OWN 0= I!d o d -ELI 1- a_ Ere h5p. 3Id Lieu P1.11 DDS.'*tc / i,rn::rnn:7..m1k3npe.'R1d:: tJa 100 Ol 9-1. 7.9- S . 1°1 . /daf TANK INFORMATION ELEVATION DATA TYI_ `;14NU~nCT.iR.°R ^,i,?/tCll° TI•:T:,A P.S )`':I ~1y _ ::::PIK i ~Xi S,~tr✓{ t ~AM r5'~:~nl2n: O . ! W ~ I ~ gyp- 3Z6 All 371b JeA_ 0.9 ~ =1nr ~o,..~r 99.5 F a ak 5726 ''I:T i. IfIC'^ ISUH':!u•le' - TANK SETBACK INFORMATION (~,bS ~j•~f. PINY; R_:AC >I u'.::' 5-7 1 32o 66~ ~I Z / I q 7 / 7 /nd I i' Ican:::rtr 7l7 3. 9 z4 erauor -7, 7F 1 91 • c~l~ qy. PUMPlSIPHON INFORMATION t r' o /Je,J 56b ~a w 6.9 99' S I:d::JJ fV:IT:: cr - - - oak- I.:. ?male P- 1 SOIL ABSORPTION SYSTEM 7 - D7RCNCFi :oid•• mnP` N: :3. ~n• INIT DRdFNSIONS r,: v:: vr. C.fl ^aDr SLTBACK ~CYf. T o- - I~":. 3. :C-: , av___ '_4•,r LC T•(=+`.,IJ LLACHIN td:r:u:a:vnm- n ' IN^DR6IATION ? CHA."ADER ':'Jfi ~nr r ~ ('}0.~--'Z~ I A3 DISTRIBUTION SYSTEM 7.Z ~LZ = ~v5 .n:'q /J - mic' ~c¢'or_:¢,c S_a;'nc '.:rn•r .v l~:aRr / L ///j SOIL COVER x -re^: urc Systems Only xx Mound Or Ai Sraw Svc<tems Only COMMENTS: onciude tale drsacvr ws. r=mclne ofesem. e'c.', rspc•edor et. ,,rsp/r~hor _oraNOn: / -ew R b G6JeA, c 3inr. se•,ver lecau = Ext 8~'ll ~ldl GOJe.,, ~u rrl O1'_ +rj . am::un~ Di cc'vw = ~ ~ "'S Glb.. IuC.F~/ ~ta~ revis ron Recuucc' - .:es N;J 7b l 18 Jse otne' s~DC io' aad Ilona In`orn~anon ~~`3 / ~r' ST. CROIX COCNTI' ZONING OFFICE: CERTIFICA'T'ION STATLMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certii; that 1 have inspected the existing septic and or dose tank presently serving the fbllowi residence: (Stre t address) /6J located at: S'w'a, Section ` Town: N. Range W. f own of St. ( roix County Wisconsin. [ ipon inspection. I certify that I have I'iOurtd the tank( s). TO the hest of my knowledge, will conform to the requirements of SPS. and it (the\ I appear(s) to he functioning properly. Most recent date of inspection or service- J Did flow hack occur from absorption system:' Yes No=_ (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: t Q Construction: Prelab Concrete Steel Other r\IanufaCtUrer (if known): Age of Tank (if known): Per it number (if knovyn') ~ 1Xu `Z~to S `Gl (Licensed Plumber Sienakure) (Print Name) J ( Title) (License Numher) fv]P h'1PRS (Date) Form to he completed by licensed Plumhcr (Dept of Safety and Professional Services Chapter 305 and s. 14.06. Wisconsin Statutes) or licensed disposer (NR 1 I:' Wisconsin Administrative Codc) Rev. 2 ."_O 1 46W n Nib `Jl C C1/ ,i- ,.,w ' 2 018 - I400 E wmnitfgwn A.rc P.O. Box 7162 SalaryNwn (lobe kd in by Co_) Madison WI 1'1707-7162 Sanitary Permit Application State Trmsada tmba In acxedanne wnh SPS 18 3 21(2), Wrs. Adm- Code, nksunsion of dru loon w the appropriae gov of ntal w1 A~A- is ,.Wind porn to obtammg a sovsmry permit. Note: Applicmicm toms fu slaomsnod POWTS arc stdalfd M Project Address (if diffamt dials vnibag addrm) the Dgmtwnt of Sp ley and ProtmitCCd tiavio~. kriora l information yin. ptovde may be used kw semrday u.,,= s1narcevdsre,vdhtheWrrby Luw.s 15.WI)M ,.SUU C5,4M1=.~ 1. lm Infornu_ tiou Please Pn■t All Information U Property (Twin s Now 1 II- 1AEL 4 N)RI°bAtl11 <r(,1~v\A 1 ~CI•C- lZ-11-2G'-CGC: Roperty(),yew Mmitng Add= fttnrxfy I.ocmim 07,3y, 19, 1001 can. city, stak~ `i tnl • ~-~yE 5j to TAP Cade Phinc Numbs v. Smion..~'Z- 14 un-Si1~ Wi '~yLTI)e GSi. ~3g-Z731 - (einkme„ T Z,~- N. R_,kjF,_F.-1.v 11 . Type of BaikJLW9 (Cheek aB that apply) l.ol r ~)~(Iu2Favdy Dwdhng-Numbs ofCUak_ouos_-_L✓J-1 / 2Z- Suhliv6ion Name _ CSCb 0(`CLl . U Blockt _ ii ~ JE CS74ft El PddiNC. w,rial - Describe Use I' I ❑ city of ❑ Stan Chimd - Uesenbe Use 77 J CSM Nmnher ❑ vilkv of _ L _ III. Type of PenoW (C6CCiliudy 0ae boa oa Ilse A, complete list B dapplimble) 'K Yslav («p A ❑ New Systan Rcpluzmak System ❑ Tnalnrem/Nodmg Talk Rcphn..M Only ❑ Odw Modification M Existing. lain) R. 0 Permn Ratewal ❑ Naval Rtvsion 1.1 CMnge m'Atmher ❑ Permit Tnmdo w New LAO Ihevimst Paver Nunba ad rate Isuid OeLse lixpiraim Owaa 9 ~D GU ' e!5-27- S7 "Type of P0yyT% tiyslem/compoacef/Devicc LC►eek all that apWy) ~'.r5l;~Q r Oprvo•3'•u ad'°-r°Vu L]Prrcow3io,ln.Crtwnd ❑At-Crtde ❑Maad>2Cinni'vin kaoil 11M0tad<24in~Q)fayfiTn~blresoil~~ U liowsw Talc (Mv D¢p¢ a ('tvnl xwu (cc o) _ 0 P evrrmmnl txv (nPla n)7_1 1Q S L_` V. Dis Irfrut Mrall Am atioc Ueapp Flew (8td) ,gn Soil Applte dcu, RbapphQ -fhgtessl Area Regmred (st) Ikgrrsal Alm Proposal (st) J-1 yam, Flcratiov VL'I'aek Info Capacity in '10,10 U0 a t4Wuhnna Cwk(11.11 e u Na.r ua - Eomaci>d., y~ _~y - e s y J- 4 'I C/"JI) C~ ~l,(E;L7rJ 0.V N fn 4.V 0. kyicu 4tlfc MOO ' L ILI In% f E ELK Iwiegobsmbc - VII. 8nxuminiily St■IesAt- 4 Ha udcr>tpcA magma ivr maaiiatio■ or We POWTS show. ■a the attached pima IM.Ow's Now (Prim) Pt s SiAMM"M' PANNIMS Number Btafwsa Plane Ntmber TRQ4\AS A. vtiANr-, ll i~ , ~z-ru~q 7J;_412- --r r' - Plumbs •s Add= (SUa( City. Stek• Gip Code) "12 7Z 44l AYt• JZ)v' «(LS 5yC`zz_ VIII. caa.ty_Ak"T(meat use Cab _ _ - _ P"a Fee Die ksmd Issuing f SipJawrc ,~Ns,aed tvaPPrsn'a / S ~ pp p) aY~wfa (i+ywR®s0nal O~~- I(J Ix C ro for Diepfprovd 3) ` tom l Al 1. Sept<tar•.k, eYlucn: ilke-tY5~1 Ott C-f/ eat rQ (~iC - °~aCi 5d, ti Asp.! raar.3,,mert plan 1y0 -,ii "i .:Znbe:. 1 2. All Whi-'(rec., I'CMLSrMXA lc.. rt:lt(: i / ,[KAC.. 1, I:rrliLl Y:ir Arseh rocetapMw Plms 4Ci4e syaeo leis~rro■r nabmoner eabbaeisnsll uehn ie+4s SBD-6398 (K 08114) In-Ground Gravity Plan PAGE 1 OF 4 Index $ Cover Sheet C Uw ,pReo~re R. Version Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross-Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: IMF I LTKA T-C R sr C~<s POWTS APPlication for Review r ~T _ Soil Evaluation Report & Site Ma ~~tiK S~~" S~PI,c TAn:,C !4~~uEnr nEV,CU> 1>h--F~'~C;KK :F-I1.E Dt~~ Project Name / Description owner Name(s): Ti I C HAF F. h v-_, ~ ~ ~ Ccfl •KAiV Owner Address. Phone:-51 _ z 3 _ ~7 3 Project Addrww • -3 i ~ W . G rtc~t 7tl u p < c ~ Zip: Govt Lot,E 1/4 of W 1/4, Section c7 , T x N-R 1`1 EQor WM Township: -T,^ p County: ST. C FUX Project Parcel ID # Ol c - IT_ i I - z o - con Designer Information Designer Name: A 1 y ~o f ~u P~'trtT Phone: ?)5 '-L7 D@flQnerAdtlRE8: 2~S.LI97 K,N6,a~iHU-L`f l~Nl2~~le~/ LJ~• eanau: N~ ap s</s--m Olt- sf- ercles,~tZ~ou~I~K can This 5p ~~.~ne~t rua~pgrs~y~ uam License Number. _ I g 59 - op 7 7~ Remarks: .RIVER F4i ts,,;' c~ $IgnBtur@: 11i~~( - +~I1un,MB\WNl Date: a v i 8 Plot Plan Pbw 2.0f y PROPERTY OWNER: M►efigEL p ~R~qp~ 1" = 40 FT. Legal Description:- r1: L? Is1~S c- Okle (eMept where noted) r ~.3T~1T ES SE ~ca r~ 7HF it1q SEC 7 TZ$N RI4 4) '7r r 1 -baddioepit M= MEN 5r, Cftl;K 0 0-/~/1- - Dop S W, -PcVS Sr Z...5'7 AO°Kez North Istit -mP OF 7P v u_ YI.`aS.tM E:J ~ Cr.uF one . o~ ' 1 F LL 1 P4 r' i 3 ? ~ CnvEK fOO. 06~ - l~ /Soab 64 C W C f-~Ipp > 4u ~ v w~O `"eeo,i L_ YOB Orv -TL~T~ w~B't I N ~ E~ET d ~ _ ~ I h F ,a I ~ ~ I Nr ~ Y Site location: 1 ' e i SEA' v w - y 5 sT . r - Cic~tnnN I1~1tcHf1EL E3arcE'h12:~ Sept: rat(s) Mwwb • IN-GROUND GRAVITY DISPERSAL AREA EAt:AMa- wCEQ Uniform Elevation Trenches with Wck4 Standard-W Chambers Nt ti ^ ~zr Septc Tads)VHeee(sk 3-ft Trench (down-sizing credit) Cc' t,t -2~LL w - tr _ ON Fmwrd F@er PC" Fa..e ra. neadc 1 _Zrr cam 500. COVER MA .w r.a i TYPICAL TRENCH CROSS SECTION VIEW p (No Scale) Runde niniman 3 R System Etevatlon = /L• LL'R 5ePWdhOn bet ^ ~ dom. (typka0 CKdCk4 Staretsd-W vd End Cap (Show Leon of exN I outlet pipe cotnetlbo w plan view.) nvoes~ TYPICAL TRENCH - drpk,* PLAN VIEW (No Scale) • i - T e A=3.0t F e= fti m (aMan a laa sta.w®aw Ch.m W INSTALL PER TRENCH: (Opfml) O Imagasrav spwsW T 1rcYt P..~ b eo.eOCtaeh Ff 1.tJbs WkJN Slow ®20 K ESt•Jdhanhrr= R' A + t Rfhs CO end CVS a 6 N EISA)pe-'r. R' = Ruposed EISA per hench • ~1L R' Regidred InMadon Au - 7.15 R' DistrUdlon Method- x F trenches = Proposed Total EISA = `r~ } G to L\- AN 1 F C LO &Cc cf~e2 Q. 7 Cr, - 557. / 7f Itit4 .r F I~ v g57.15FI•2 2 LD E(Sfk = C712•&v LINf75 /YAINIMIAM yq = z = Z.z x ti' _ 0 7r~ctl (Z) 3rd 8S~ TJ ~tiC'tlj J Plus ATO V im` t"1gI' The Quick4 Plus Standard Chamber offers maximum strength through its two center structural columns. ti This chamber can be installed in ~ a 36-inch-wide trench. Like the original line of Quick4 chambers, 1 it offers advanced contouring ` capability with its Contour Swivel Connection- which permits turns up to 15-degrees, right or left. It is also available in tour-foot lengths to provide optimal installation flexibility. The Quick4 Plus All-in One 12 (laic: Endcap, and the Quick4 Periscope Two center structural columns offer increased stability and superior strength are available with this chamber, Advanced contouring connections providing increased flexibility in system configurations. Latching mechanism allows for quick installation Four-foot chamber lengths are easy to handle and install Supports wheel loads of 16,000 Ibs/axle with 12" of cover 1 L 4AW -'~F I-, Star Quick4 Phts All-in-One 12 Endcap IQuick4 Plus All-in-One Periscope 34"Wx53"Lx 12"H ei (864 mm x 1346 mm x 305 mm) May be used at the end of chamber Allows for raised invert installations Effective Length row for an inlet/outlet or can be 180° directional inletting 48" (1219 mm) installed mid-trench 12" raised invert is ideal for serial Mid-trench connection feature allows applications Lauver Height construction of chamber rows with 8" (203 mm) center feed, as an alternative to inletting at the ends of chamber rows Strage Capacity Center-teed connection allows for 47 gal (118 Q easy installation of serial distribution _ _ systems Invert Height Certified by the Intemational 0.6" (15 mm), 5.3" (135 mm), Pipe connection options include Association of %mbing 8.0" (203 mm), 12.7" (323 mm) sides, ends or top and Mechanical officials (IAPMO) APPROVED in ' luicl;APlus StFoRre, chamber _ rv-~_ \ ~ r'' r I1{7f erFecnv[ uNUnl ifis All. In !•ra `„LAry(ED rmE nIaLL :2 r~,cPW c LO(Jill[Ip rp II~/~~ ~iL~ ICI NIli iiI~ r~G ( _ It e•a~I:hRi I HONT VIFVV RII)F VIFW I:ai!'itta'1.-i:- :.V•t, {'GC`Si.O~Q U!nLTRATOR WATER TECHNOLOGIES. LLC rM MYRATORl Irrfillrala Wale Tadalologles, LLC STAWDARD LIWTED Draildkld WASRAWfY the alnKtural alegoy d QCi Canto. !ndcap, Ullow empanled pClyslyr.vvi anchor OR" OUIC 4 PLUS wArasSOry 1ldakrla(d by Nrbala (-I ank"1. w'vvl I:bN11A1 std q,walui n a "'kin 01 an MLl4Pp1]etf PFMLI I_ IIIGIM sew "on n a Ortallce Nis: brAwalor' i1yMICIpIR wbIJYRI 10 nl6 aq:. W pur - I.yvA' ::WIVCII aveae rHolderl ayavc, r1dBCINB rroW4t am w,brw elf Ia ota ym Is, me dale NW me sWAa: IwnN is a mbill vA the 5epliC zy.'Inn ::vvyrr,g 114 Ura-, ❑Oae1tl1 laYa m. I that M a "1Tdr ( 1 pant t.1-19m d by aplilcable low. me waralYy, pmoo Wall hiss ,Pars me dyh, Ilal nyafa- _ f _ I I liv: r10R xvllc -Mm Comm: rs TO "WO u As wanbMy :gM4. Hab. want A,I FWkalx r - - - 11 11 m mN, 1:1. CwlvBale Llc:ngmnas n OM1 ni IV (k.m 0aa 41. Il S) days d i t S-Isst"bisl' w1 I !,T Uw a$yetl Irn L td W wAVati rdY>Larrw:ay lf:ih Hor U,ih detiairdlad by fWilba:a m , I GOltletl by IIK mited Wa m:y dltlab5 LatiLey, agBCY /n 11I I :vM' ew.las Ne eel d rmmal ar:Y a ni9alotiCVi vi Ww llnaa (b) THE LIWUD WORRNIIY AND AILMIL FS W SURPABAGWNH W ARE Fxum;vE. THbI:I. ARE ND 01148 WARRA MS WITH RESPECT iD Tl[ UNITS, RaCLllL~di M> 16vL1ED WARPJ.NI1 S Or AILIV:I VWAWrTY OR nTWSS FORA PARTICULAR IlMW%E {G This tab lal WanarYy,Nal be and d airy pr1 Oft aten wA eyaiam o nvofa?,ivMd by aryore dhCl Run 4+$itp Ito I irread Werranly <lOCS not estlri0 l0 nadeaal Ca6lggWal ;y:yal o bffiect ftmtr*. hWOabr"na be ktYe Ia penalties or ipiWled darnages nraumlg lass of t I \ IKIdILIUon aid poWS boor aM malet 1. owatcW COSI* a olher losses a otoost5 maned Cy o• IM 1yYdw a airy hod "H. -4-Aa* ss`- z, it"' Lhnftll WarwMY Cw`t`aW are to the Units dm to onrmsry, wee aril leer. allHadon. xcidal0, nvl a ao:ee a :AtJacl N the IJ,w, ^I 1 I _ ec 11uh b_aj whj OW b vd:ck Valk a ottvy caWtpr6 NjTh we not prrtled by IM it val. LYnm sn,".4ob, Flilim ip 1`0ad. me nwattan gnvrd <UWrs b lays as me aistallabori +ISlnx hcst4 . s~1 o' V IM Ito _ SYO bat sl inpopa avdaials ado IM Pyo WCOVavwy tlr Unb: IaYum it the Vnt: eaptii: system d:e fn (owabm m a nPOPw "envy ayCe :)at-'p walnr saas .rgvoP„ {hpryel or . Ow" Waali' a &ry W Wr welly not Cbaed ed by Cy bllbMta. IIK bmhl: Wananly Ntall W void Y me Hoknv Fill b cams with 11 If ft Tatra set IoM in IN8 L "Isd Wwbaly. d e llratx. 0, x MY env n mWd no penal iEalYw,llang g my " 5 lgaiol De Ia ayy Less n dartgF+ys IM Iklidr. Imo usHafafm a sl,pMent, a barn arty poelld aebtly deem 14 HOW a wry Mil Daily. ra Lba La,tiod Warranty d apply, me LMNB I,a9 be IllyJed m w.evinlava Wh A Pslo c0itlitio, nRwW by bale aid local11*1 11 aaar appFnW fms two wMh la'zvWaalaa,iilgntaoin 4 bis x Pat scud (A No Weso.1,dw a HilnYa has me vilh tty to on~ a extad ties I.valed Waranly. W PO. 0ou Ma wblwny appfG In anal Pony altar Man ad oriyivl Holder. IM abosa reDiESmys Mla Shidwd cad SwawPA. I: 1061 AS Ivrkswd Wwrbily ospied by atilt AarldW mate aUalgsardaa:iMieshamaittacrdww- 81 o-57-AVID - FAa 010.57-100, baby "AtwladS. Any PlSCINNS i Of URIM AMN COMI II' Mrafpfs COrOnrah: Haadav,h- i- i-M 221-4436 GO Saytvai, Carty:Ike. Prla lu Rich p,PCllalc to obtain a copy d IM st b.; MC nwrzaiy. ,r.l -nnr,InldVnaanIlH.Wn stvafd rM:dupy fly Ow wORavy pia In tte pudyase at Units US Pawl A5Dq{l5,017NJ.5.154408.t.XVUir.5.101,,0:t,.use\SILaw 5,716, 1W, 5 W.M. 5.0]9,64 rrwm, aayrpv,, .wia;fr51:a. Dale. MaweF pwd.y wslift. En.tn. Ou::Iia. rd SwwWds w:- 1Y vbl..n:.~a wFle:aa Walw rerhaNOpnx. artyc a.agUw,,esannswM;nrrav:.M•wwo Was Trtw/pgsaeny,Iar, (brbu. 4°OIrsiol-S P*TtO. ¢aw•Y,V SPIO , Issh n L Pi>d rAV. Uamd% 1, 010ftyy, SIMI adi wd Sww~eLPCA tie wdwn lix 0 al;' Wass' TMrioaig¢y. balsam a a Irwlww•wa of PoyLrAA. tic RAF-TRr rs a io kltl Iiadm,nY:A TUF _Tlrr, IND. Uhro M K A wadwnwra ti IPC%wv: D 2016 Wwaa Wjw Todrdogisr LLC Nng .ti, ,rtdF nt SA %1laSdi 05 'b i 01VISION OF PMUSTRY SERVICES / \ PO DON 716? a .\:1 MADISON WI 57707-7162 f 31 CdiMet Throutjh Relay 1y7\ S ar fn~9Rhps.s4. \'b\~- - ~~7 ~wr.-w1'~wrres~9wr Soott wa/ilf, OOtemor Do" Rosa, Sewa ry May 08, 20! S COST ID No. 1316456 DAVID ITNTZ GOVT AFFAIRS DEff INFILTRATOR SYSTEMS INC 4 BUSINESS PARK RD PO n ox 768 OLDSAYBROOK CI' 06475 - Idm6frcatnm Numbers Trnehsrtlkr ID No. 2534224 Pike Ill Na Re: Deception: LEACHING CHAMBER I'fease refer 40 both ideMificalitn mmlAcrs, ManufactiKer INFILTRATOR SYSTEMS INC. above:, in If wkh the Product Name ' QU1CK4 PLUS STANDARD, QUICK4 PLUS STANDARD LOW PROFILE (LP) a~enz- I. EACHING CHAMBERS AND END CAPS (trans. id 2534224) Model Number(s): QU1CK4 PLUS STANDARD (INCLUDING QUICK4 PLUS ALL-IN-ONE 12 ENDCAP W RH TOP, END, OR SIDE PIPE INLET CONNECTIONS USED SINGLY OR IN PAIRS AT ENDS OF CHAMBER LINE, OR AS A MID-CHAMBER LINE CONNECTOR) AND QUICK4 PLUS STANDARD LOW PROFILE (LP), (INCLUDING QUICK4 PLUS 8 ENDCAP WRII END PIPE INLET CONNECTION USED SINGLY OR IN PAIRS AT ENDS OF LINE; AND OUICK4 PLUS ALL IN-ONE 8 ENDCAP WITH TOP, END, OR SIDE PIPE INLET CONNECTIONS USED SINGLY OR IN PAIRS AT ENDS OF CHAMBER LINE, OR AS MID CHAMBER LINE CONNECTOR) QUICK 4 PLUS S rANDARD, DIMENSIONS; 53.0 IN L. X 34.0 IN. W X 12.0 IN H, MAX. DEPTH OF BURY= 8 ft. (EISA 'or chambers With or without fabric = 20.0 sq. fUchamber, EISA for Quick4 Phis A krrOrhe 12 Endcap installed at the ends of a chamber row = 2.6 sq ft ./end cap, EISA for Qukk4 Plus All wrOrte 12 Endcap installed in-line within a chamber row - .6 sq. RJend cap; Laying lengtll of chamber = 4.0 ft., La Plus Alr-irr One 12 E~ Ye+g fe^91h Laying installed at the end of a chamber row < 1.5 ft., La aying length of Quk*4 Plus All-in-One 12 Endcap installed 1n-line within a chamber row = 0.9 ft., OUICK4 Plus Standard Open Bottom area = 9.72 sq. ftJchamber, Quick4 Plus Al -hh-Orfe 12 Erxfcap installed at the end of a chamber row - 3.1 6r7 ft./end cap. CkAck4 Ph n All-in-Orw 12 Open Bottom area chamber row Open Bottom area 2-2 sq- IL/and cap; SE lap; SEE n At staJb SO ed whine HME a ATTACHMENTS). QUICK 4 PLUS STANDARD LOW PROFILE (I P), DIMENSIONS: 52.0 IN L X 34.0 IN. W X 8.0 IN H; MAX. DEPTH OF BURY= 8 IL (F ISA for chambers with of without fabric _ 20.0 sq- #*Iwnber; EISA tot Qulck4 Phis Alin-Une 6 Frldcap gretaled at the end of a chamber row 2.3 sq IIJ1Nd cap; EISA for Quick4 Pkrs All-in-One 8 Erdcap instated in efts within a chamber row - 2-0 sq, fIJend Cap: EISA for CKA*4 Plea 8 Endcap installed at Ere end of a chamber row = 0.7 sq, ftJend cap; Laying length at chambers - 4.0 ft.; Laying length of Ck=k4 Pkrs AI-in-One 8 Endcap irtsteled at ft end of a chamber row 1.1 R; Laying kwVM of Quick4 Phis AI-scene 8 Endcap installed fn-yne within a char row < 0.9 fL; Laying !ennui of Qukk4 Phn 8 Endcap wtstaaad at the end of a chamber row = 0.4 ft.; Ouidt4 Pitts Standard Low Pro% Open Bottom area 9.71 sq. ftfchamber, Quick4 Pkrs Alf-in-One 8 Endcap Installed at the end of a chamber row Opo.-h Bottom area = 1.4 sq. ItJend cap; Quids 4 Plus A04"k* a Erdcap instated In be witteh a chamber row Open BoUotn Area = 1.2 sq. ftJorhd cap; Quids SEV ALSO ATTACHMFNTSj chamber row Open Bottom Area ` 0.4 sq. ftJend ocP ProductFile No: 201501 T I 2534224 DAVID 1.GMZ PW2 5/8!21119 The specrtrcabons and/or plans for Nus ptur"V product alive been reviewed and determined to be in CQmpkance with chapters SP:' 382 through 384, Wiscansi t Administrative Code, and Chaplets 145 and 160. Wisconsin Stalwo.N The Departmierd hereby issues an approval based on the Wisconsin statincs and the Wiscons41 Adm ntistrative Code. TWO ApDro+re1 Is valid untib the end of May MM This approval supersedes the 8Pprevel issued on 11ll1l20t4 under product file number 20120137. This approval is contingent upon compfianca with the folowirg stiqufa"5,): • This product must be installed in accordance with the menufactrner's printed instructions, product approval, and plan approval If there is a conflict belaheen the maraAart r instructions and the product approval and/or plan approval, the product approval and/or plan approval we take precedence. • When this product is instal'`ed in a dispersal cell tr'at is sized based on the BSA rating stated in the regarding block of the product approval letter. this product must receive wastewater having a 9OD5 value less than u equal to 220 rrgn- a TSS value less than or equal to 150 mgrL and a FOG value less than or equal to 30 mglt on a monthly average. • When Ihls proclt :t is installed in a distribution cot that is sized based on the LISA rating stated in the regatding block of the product approval letter, this product must be installed in individual excavations that create a row of chambers tyat are horizontally separated from other rows in other excavations by at least 3 feel The 3-fool measumrnent is measured between the closest outside edges of the leas hng chambers. • When this product is installid in a distribution cell that is sized based on the EISA rating stated in the regarding block of tie Product approval letter, the c6*t fun cell design must allow at least six inches of guiding in die chambers Wiliout backflow of hhastewelm lido the drainpipe that rH- cmrgt i into the chambers. When this products installed in a distribution call Met is sited based on the EISA rating stated in the regarding block of the product approval letter, ths product must be iflsle/ed in a distribution system, which has the top of the dis rbution cell at or below Mortal Wade. • When this product is installed WM geoWtie fabric on the sides of his product in a dis ri6lAm call that is sized based on the LISA tatthg stated fn the nVard ng black of the product a pprovel letter, the EfSA rating with fabric must be u red to size the system. • When this product is intake! next to each other in a distribution cell that is NOT :tied based on the EISA rating stated n the regardnM block of the prodny approval letter, the effluent distribt4on area is equal to the length shies the width of the chambered area The use of garitexhle tab ric in ttis type of installation is optional. • When this product is installed with gootextte fabric on tie sides of this product n a dstrbr>tion cep that is sized based on the EISA rating slated in the regarding block of the product approval tatter, the geotexhW fabric must meet all of the k0owing specifications: Gectextda shall be nob-woven Weight shat be 0.35 ozrsq yd to 1.5 ozisq yd Apparent oporlirhg sae AOS) shall be 20.30 U.S. Sic ve (ASTM D-4751). For mound desigrha, sec the manulactlJoWs propriety mound component manual for tfus product Nine. For mound designs, see the manufacfwer's propriety mound component manual for this product lino. Z534224 VlUIt:M'L Popp 5AM15 The depazVnent is in no way cmdarwV this product or any advertising, and is not responstie for any seuation which may result from ite use. Sitr.»roly, Glen Jones, M.S. POWtTS ProaW Reviewer phone: (608)267-5265 fax: (GM 267-9723 enufl: gten.lottet@wi.gov The DSPS Is committed to se"W excellence. Vstt our survey at wwwsurveymodcey. TM :.m acne:: R• a iNS RUC riONS 1 r c 43j- N D D mu myy n0 mZ> v5 DD agvl rnz> 9z J2 0 ID j" N V N y D 37 0 6 W z m ~ P Dn ~D 0 8" MIN. ~ A e \ v D ~ o f r r 1 37" z gi z J~ z~" z a c~ r/'/ m A 2 RI ♦ S o z m N s D D z TI A N m D A N W m Z m 0 X o ~i z - _D o Dm W1- ,^l C fT7 frj ~ D r(i W F: -rl (A Um v D -1 r D D r- Z CA U~ 7 J cn \ m FILTER CANISTER DETAIL IUIESER concaErE m ORANN BY.. SWf SCALE:3 4' . 1'-0 PRE-POUR: o SEPTIC MANUAL W3716 US HWY 10 MADEN ROCK, N1 54750 V DALE; JANUARY 2010 DA IE: POST-POUR: o REV. JAN. 2010 800-325-8456 F; E: 9ELT 13 Wisconsin Department of Safety and Professional Services Division of Industry Services SOIL EVALUATION REPORT Page_ I of in accordance with SPS 383. Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in We. Plan must County S 1 CROIX include, but not limited to. vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. L. O 040 - 121 I - 2t) -000 Please Print all information. Reviewed by Date Personal information you prmride nay be used for snrondary purpnses(Privacy Law, s. IS tra;l m, Property Owner Property Location MICIIAI L P. K BARBARA S. GOODNIAN Govt. Lot SE 1/4 SAY 114 S 07 T 2Y N R 19 E (or) N,, Property Ovmer's Mailing Address Lot # Blocx # Sarbd. N ime or CSM# 345 W. Cirovc Street 2 CM State Lp Coale Phone Number West Grove Estates Hudson, WI 5,1016 ity [:]Vllage • Town Nearest Road ( ) W. Grow Street New Corslruction Use[j] Residential I Nurnher of bedrooms_ 5 Code derived design flow rate 750 ~ O Replacement Public or commercial - Describe- GPD Parent material _ sandy Flood Plain elevation if applicable General comments - N ft. and recommendations. Conventional In-ground Trenches 0.7 loading rate one boring required per Counrv. E ' ' Boring # Boring LLL___...JJJII Pit Ground surface elev. 94.85 ff, Depth to limiting fades I00 in. Horizon Depth Dominant Color Redox Description soil lication Rate in Texture Structure Consistence Boundary Roots GPD/ff , Mu 1 0-12 10Y R3 r2 ou, Sz. Cont. Color Gr. Sz. Sh. 'EH#1 'EH#2 3fabk ds Cs 2vf m 0.(i I.0 ? 12.34 75YR43 A Is Ose dl 34-10 10YR64 cs Ivf-f 0.? L6 5 Osg dl - 0.? L(i (some gr I a Boring # ❑ Bonng Pit Ground surface elev.. Depth to limiting factor in. Horizon Depth Dominant Color Re.dox Dscri Pbon Soil tication Rate Texture Structure Consistence Boundary Roots GPDfff is Munsell On Sz. Cont. Color Gr. Sz. Sh_ 'Etf#1 'Eff#2 Effluent #1 = SOD,, > 30 < 220 mglL and TSS +30 < 150 rrp/L • Effluent #2 = BOD, < 30 nIgIL and TSS < 30 mg/L CST Name (Please Prim) Sign MARY J011UPPER1'(Ilollister'sSuil lestin,&Desi n C6L r CST Number Address 224832 Dare Fva ual n Conducted Telephone Number 28,497 King Arthur', Curet, Danharv, i, 'I 54S]0 07-10,2018 715-426-17.15 riot Nian Par IROPERTY OWNER' ~ BARF}A q S C~~aUM~~ 1" 40 FT. gal Descr(PWn: (except where not / -~:L-.-LIE ~ ~ C VE t 5 'Alas V ' C4, TftE C 7 T7 8 N back hoe 72w~1 OFT .CRC! Z ..~5 y L1 Nti LCC ['0 r"r'!'Vc ar North j, or ~7 F 1 - ' r Ix, Fu w \ J J _'IOpLFTwHK----, ~ ~:(~VE7~ IDO.O(p ~ Il~e~ r.~y„ I , a r i 9~.sD l _ Site location. = 7 Lam. n Cs'_ 57; Pill Moe N ilk 0 4 r ~ R a 6 A r~ Ilk Ir. s ~ r i ' i . 1 V r a y e OODviAIV Nlj&'A-G~ PAa 41 C+ x .~i ° ~ n a ~ • m V a cr 7+Fa r C ? 2 z > z z d ~ Y y ~ 0 L u e ~ w m m C y r. M i~[t r s a ~ m ~ L T • 1 C 1~ Q ~s -w 1 m T S ~ •o- YS'I:. i~ LU 1 44, t b 1 $n ~y~ l 4 r r - Y I a ~ 4150^ - 4 _ ~'7' 1 yr J p r7 "Form- ST C- 104 AS BUILT TSYSTEM REPORT OWNER 1_I _7j(-)~Ek TOWNSIITP T01A SEC. T aLN-It W ADDRESS a LnCUSI SJJ I ST. CROIX COUNTY, ~WISCONSIN - SUBDIVISION LOT C\ LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM FIJaL c,:aant ~7z, 17 ~ -x-91- -I- S~ Ito' 156, 3 I'~ JiKOO(n, Kv N INDICATE NORTH ARR i BENCHMARK: Describe the vertical reference point used ',Pr- Elevation of vertical reference point: I ' o Yv. _ Proposed elope at situ: SEPTIC TANK: Manufacturer: --WEEKS __L 1 Squid Capacity: ~~✓UD I , Number of rings used:`,-- Tank manhole cover elevation: 100:6(. Tank Inlet Elevation:-7 LLQ Tank Outlet Elevation: 7S U Number of feet from nearest Road: Front,®Side,O Rear, 0-m I / J _ feet From nearest property line Front 0Side 0Rear, O 5a _ feet Number of feet from: well _15 huilding: _8 (include this information of the above plat plan)( 7 reference dimensions to septic Car. is SEE REVERSE. SIDE PUMP CHAMBER i Manufacturer: _ Liquid Capacity: Pimp Model: Pump/Siphon Manufacturer: 1',aap Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: , Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feel from nearest property line: Front, O Side, O Hear, O Ft._ Number of feet from well: Number of feet from building: (include distances on plot plan). NeAl,(K 93.? 3 91a 3 %'r ~.)d roa 13 £N G, 43.r1 93.11 SOIL ABSORPTION SYSTEM ~0 9s.,1 1d / 10.0 h: Bed: pp Trench: Width: JU Lengkh: 36 Number of Lines: Area Built: (O,,II99 s l Pill depth to top of pipe: Number of feet from nearest property line: Front, O Side. © Rear, Ott .30' Number of feet from well: 1051 Number of feet from building: SU (Include distances on plot klan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtlon sytems4 (Check one). HOLDING TANK - Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Blcvatlon of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OPt. Number of feet from well: Number of feet from building: _ Number of feet from nearest road: Alarm Manufacturer. _ Inspector:._ Dated: Plumber on job: ni^'^- R a License Number: 3/84:mf