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HomeMy WebLinkAbout008-1038-80-000 (2) va_ors•rer>.rrrnrm,r::oro» rce PRIVATE SEWAGE SYSTEM C` ."t" SL Croix INSPECTION REPORT sardaryPewit No 605149 GENERAL INFORMATION (A I I NCH TO PFRKI IT) State P it, .D No Pcrepr I 6n nr.an>n :.j pros. de °ay oe used Im sc +no rq Ifn' s['y Lae, s I $ :4 i 1t 3013251 Perri' HnIcer s Na VI eye Ic'ensh D PafSel Tax No Craig & Kelly Albrightson TOWN OF EAU GALLE 008-1038-80-000 "ST BPI Pic, 1 Insp RM Etev W.1 Des. tpton Se^Ii.n Te.r-.Range+liap No 616 . 13.28.16.197 TANK INFORMATION ELEVATION DATA I YPC MANUFAC I URLR CAPACITY STATION S 'W HI FS ELEV. $ 0 Benchmark sepu L XI S )t . o cx> H Q. I Dosing Alt. RPAp 1 <l 1.~3 9,~. rS Aerali.^,r 8199. Sevier Holding SfiHI Inlet SUHt Outlet ,f•7 ej/.8 TANK SETBACK INFORMATION 2o(J 7 TANK 10 P:L VA-LL BLDG. cn oidr lna'.e ROAD Dr lalet .zS t;~ el 4Z49 53 Sep: c 1 DI Bottom fit, b9 ~a tS Dosir 117 213 Header+Nt n Z If 91 ' S 7 i -76 Aeration Dist Pipe DO!9iny Hut System I7 IL tv 76, 9Z Xl>T111C, ?7d,}JL Fatal Grade 3. 2~ 9Z-57 PUMP/$ RON INFORMATIOfJ GlarulivJ.ver Demand St Cover GPM C~ 7 I,lodel Number #J 1:5 1~ d TDH IT. Z Fr cCwn I oti, System ~ H 5S I UI I f ~ : . ri,"::ervari 1 Length I DIa 7 14 Z Z I 'J SOIL ABSORPTION SYSTEM RFDITRENCH d:h I.ergth No. )t en<,n s PIT DIMENSIONS Vn fI IS Ins de Dia. I qu.. Dep4' DIMENSIONS -7.6 &s I dactar¢•. ~ R TI SYSTENI TO Jlik IT/ P' BLDG 44iFLL LAKF1STREANI LEACHING Man. SETBACK INFORMATION CHAMBER OR I';-a . 6 w-ek"' 9Of 21 V UNIT l.btlel Nurn>er ~ 57, i F DISTRIBUTION SYSTEM Vc( wezt-ron-f 6-SbSteA~ Fe: dee t 1 f Distnbdttu of Hole S n• t x I TO, Span n9 r Ve Ae hC' e' Ppeiss S ✓ C _ LL Q' Q • LL 3Z c O Di= / ZJ S: ac ..,:12' 5 2 -o ( LenyP~ Ji.: ~ ZJ Lenyhr_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth 0'er Depth C.et L'cpln nl u Sccded:Scdded .x M t >7 3eG ir(.nrn GPrler /_L Bee.~Tremi- Edges opsc 1 ~ ~ Nn, Vps Nc COMMENTS: (Include code discreper ies. persons present etc i Inspection at Inspector #2. ^ ICI{e,~ 4~Tk rrn 4.,_.ro~~'&4 S- Ply.. Location: ?680 CTY RD N P / aM r-► LSE rN~.r Alt BM Description = C..d J1/-~l~lwi.. ~,Q ~•.(°pw+v,(2 ~r FW N- tuP~O~.^ ;1 i Bldg sewer length = 1 1 Glae.c. 1u. ,SnN+ f -y~ - amount of cover IL P'an revision Required? _ Yes X No t ` I r--~ ! S( v ~~3~ 7Y Use other side for additional inlonnalion. fff - 11 • Dale InseFact; i,nat_re Celt. No. - y l lull, _ Safety and Buildings Division SI Croix B Cc) r, 201 'v''J 'YJeShInglOn Ave_ P.O. Box 7182 Nunital,, Permil Nmnbcn: br be IiIIcJ in he Cn r Madison, b"JI 53rD/-/162 SI-siftC. t"I:Cllllt. nppllcdfuor4 %lalc l rau+anion\umlxr In ac unlanrc ss nh jpN t4"f II' P I :,J u. l u 1. ,nhnu, n of Ihi. form III ippr: n I .,,,nrnon•ned anin t I72c ii Iv r loo l pnn 1 hf un n1. I , nilm, ❑na Now 1ppLC tti I form.. Icl ,I n a, ea I . 1 ti nc ,ohmalcd m - - - the Ap nine nl I \ l I, uIJ Ih I , lit Na,l I .,oral 1 Imauon ) ru pl."nh: urn he u,cd ILr c'wnkm I r'h,t 4ddn:e, r d'Jitleraa (hall Mailing add/ 1!ul r„in accorJl ',ar hIlw I;,,, 114.. iiuu\Ia, A 1. Application Information 'Iraa• Prmt:All Infonnalhtn - Sarttt 4 v KKK..~~~ I'rr p il, r. N' nn - - _ Pneel !r Cr i & K,:IIv AIbllehtson u _ 008-10:8-80-000 -I'~npc1I;.II,. uer N1;dIhlp :\c!Jms'x _ _ - 1'nq>cnp Locahun. =680 Co. Rd. N too, 1. 1.01 1.11,. Nlak it, lbJe I oec Nrmhcl NI'. NI. N, aural I; 1VOOdville. AN 'I JZ 54038 ( 1>-)~ url:nnel ::b '»ly I ?A N. It Ib I_or n If. 1'ype of Building (check all 111.11 all[ 1 I.q e - - Of :rr.' i annlp D.elli p G.unh;1 of 3aaronma Nil S[I JAki,ioll yantc I1wIaCom:rclctd IA:x,nbclke '1!'Y Nit _I ('m of Male, nwcd Ih,. nhe l x N:I Plun,hcr I \ Jlax oI _ I ^n 7 5 7 1' / (~(J ®I nor Fall 6alk: Nit 111. 7 \pe of Permit: (Check ooh' one}rr nn line It. Complete line It if applicable) - - \ I \nc Nere Rct'laeoncvl N.-vleln I,•ealntrnt Ioldme lank Replaeemenl (loly OWer N1,ri1i1ienli0n m I'.\hbv_• N"tem le\pl:vni It. I I'ermr R,•eosa ® Veinal Kc\ionn I rat 1',i:% ion, Pemnl Number :md Date hsucd ('hunk ul I'IumM r Peunil IsanAir In See 199501 - 10 '1 01). S IC 0111 I - Iicfare I-♦pr:a inn On rtt Itl h I_,K61)5 1 19 9!6418 fepe of PON% I ti ti)siem Component Iles ice: IC heck all that appl, I r N, In Ihc,:,u nc,J -l.wond III .,,::nn~ 1d;wand .US kud. 1V1:.,w -4it of,nuable,f 0\1und- 'fill A,ooxlc,o0 I I I lni ~ I:alk ()Iher Di l r I t vnp: n rat ldvrlaini _ I'rct c.amenl lYV : -yp13+nI }/yy~ F. Dlsprr,:difrralment Area Infornorlion. Pol\Lok 111 . i_i cillacl :('her:,. NI aull:a.:.~ s 101111' JI o,t>al cell 14" u 1 I:npc Unym \ d \I,phan5"m It a pi,tl IT,pc, Il Alea KaµureJ.,l I l /Di, cn d \r ca I'. p+.cJ „li I I Irv,huu 1.0 Gpd ,q it, it, NI sand - J 3 p 9U, at 18' above .(1 (ipd 0.4 ('.Pit Ny It. nal)\s wit 1.87 >.00 sy. II. 2,4R 1.4' St1 _Ft. ..5• Contour h'I. lank Info C;+pa rtt m I,.,d uoi MarulaUoco Uall a cr.lllon, 1!nu, y ~ L N, olk, 741 7 cyrn III I y is n+ \a 1.200!800 .11000 I \)a lesc' Cf ncrete 1{ I).•,II a 1.400- 0 1,000 I \A'iesei Concrete X V II. Responsibility Statement- I, I. the undrniuned, aewmr rc,pon,ibilily fotlast:Jlalion of the 1'0\\' IS hmvn on the attached plans. I'L:mh i V I. s ;I loll 1,111 o'h S ' au \I \t 'RN \,:uthn liu,m f h'ne \nmh;r .tarn,+K Ihompsoa " e q X~ s NIIIRN (0071 (71512.18-7 767 I'lululcr,. AJJ:< Vrct. t11, NI I _:4_0 1':ruhon Lake Lame, Owcola. WI 5402.0 VIII. Cou"WDeparlinenr Ise Only 1 Permit Pee Dale I wed I, in,) gcnl stgnatul :\ppnn:J nn • N ~ C/6 OD IAO IX. < nndidXfi:Y MiarRE (suns for Disapproval 1. 5epti~ rk, Ert1tcn: iWr e'rtii 3, (~l1O/i rf'IIOV~ID iti E/G,{(~ uiepe!: cell null all bes ns'tr. rig( as per ,management plzn p ap-l by ,:Unbe:. 2, eE~IYlrA( fKEiY° Rn 5 mil! l LE ,l'-M: ILE : r~wL /r(-_ n' to per oppd bliclr' ;:rdi alYr• 7v 174 \ (n :\u b n mpletn I d (w the .y,lem and •nhmir rn the (bu , nob on paper nal Ica Ih I ri 12 , 11 mcha, in ,iu• r Nlil)-6 ;9N IR. I L' I I I 1 1/ ■ 512,7 e,11210 at4 0-161,Z f /Pad",z5/e OCro'Sevy, 5e~ % r.1a~., +F iew R'coL 1038-Xo-AA0 1 '6~i7 yo a,-,C,3 ,&,v ^ 1 1,11 `~m~~. f of Ll,a.,~awt-- pi opo sad w^;eStr Cm•«ott ; q)'' EXiSfin~ ~ ~.)LP/uG-mQ Puw1,OG.a.~ ~ 1 ' i p ~u V Nycl~4, e-;Ca/y 4ecl,J roo d f/N-,4 /gas L<tn g '~vc -°d«56 pr,ys;c.(/r rGns✓[a~ i Aroposce/.!.~-.dot ~ ~ Y l 3L3fr.72.YV•w/ a /,t. rte: y •~Vr /e l lei ~cc// s.+<..baf'•~t' fi S G/e✓ r /vo.ca.' > ' 1 r;~~ ;`~y B9. ZSty-,eo-r . I~x 62- 641 ,dj tz+bcinsls (/to ~d / st Q Bo~~+ S c~ pWt/.w. Eke! u t fy0 / ba'bedw;ce ~enef., F/ RzS1, o{ oe•..tlt E = Yb ~7. K. 0. to f ,ed. ;4 1 rare +a, r O 'v Paao~9 Residential Mound PONVIS Index & Title Sheet - Rcvised Design Prr+jeel Alhighl;nn Iiedu?om Replacement \lound Olcnurs Kame: Craig & Kelly Alhriahtson Owncr's addrvtis: 1,30 Co. Rd. V, A1'oodville, Wi 530'S Silr addre~N: S;mte Pruieet Location: Subdivision: Na I cv;d Ilescriplion: V I.RSLSL Sec I 128N.. R. I(Ak , l okln olTau (mile. St Ciois Co.. \1'I. Parcel ID 003 I(llS-86-000 Page I Indcx and bide Slice[ Page ? State Approved Mound Desi_n - Revised Nhicr Plumber Remnacd Service: James K. Thompson. DSPS Credential k ~UII'? I Sigmture: I )atr. Page I of5 lk%Wn p"Numm in In limn❑t YNI Ah..apsmo t mpon m Alam. l en pl.%% 1 - u i n' b ~3D ?'P:-I'!A n t'r. i DIVISION OF INDUSTRY SFRVICES 10b41 N RANCH RD HAYVMRD WI 54843-6462 D p - Corti-t I n•a,g•i Relay `l J P S, a!tp':dsps.v:i.goviprogrart~s: mdus c-srnices Scott Walker Governor Laura Gutierrez, Secretary October 11. 2018 CHSTIDNo. +0021 AITV:1'(Itl'ISlnspector JAWS K I HOMPSON ZONING 0111CL A(T SOIL & Sl 11: LVALUATIONS ST CROIX COON I Y' SPIA 340 PAI SFN LAKF I.N 1101 C.AKMICHAFJ. RD OSCLOL:A WI 5 4 020-5-1 13 HUDSON WI 54016-7708 CONDITIONAL APPROVAL PLAN APPROVA1. F:XPIRLSt 10111!2020 Identification Numbers I Transaction 11) No. 31 -2955 51'l l.[ Site ID No. 63'999 Crai;:. k Kell. ,llbrielttson Residence Please refer to both idenliticauon numbers, '680 Counh 1ltcv N above. in all correspondence with the agency. Town of lido Gallc, 54028 St Croi.c County NF 1 `4, SF 1!4, S13, 1-28N. R 16W POR: Object 1 ype: I'(_)WTS Component Nlanud Rceulatcd 01,,.jcc9 11) No.: 1801173' Maintenance rcquiied: Kcplacc•ment system; 750 (;PD I'lova rate. System(s): Mound Component Manual - Ver. 2.0, SBD-10691 P(N.01!01,R.1012): F.fllucntFilwr I-he submittal described above has beer reviev\ed f;x conlornunc'e with applicable Wisconsin Administrative CndeS CONDIT and \l rsumsin Sl aluws. Il:c s,nbmit[al ha. hccn ('U\DIl1O:\:11.L\' API'ROVGD. l his Sy>lctn Is to be cunsu'uctcd ApPP and located in anordnnec with the enclo>.d approved plans and with any component manual(s) referenced above. I tic uwtrer, as defined ill clog ter 101 .01(10), Wisconsin Stamlcs, is responsible for compliance with all code OF SAFETYAND F requirements. It DEPT DIVISION OF IN A copy of the approved plans, specilications and this letter shall be on-Site during construction and en [u inspection by acnhorircd representatives of the Department, v\hich may include local insrechrrs. All ernnils required by the state o'tile local nunicipulity shall be ohmined prior to eommcnceinenl of _ construction installation 01malion. In emntinr_ this approval the Iivision of Indu;ay Services reserves the right to require changes or ad lions shout OOR conditions arise makin_e them necessary for code compliance. As pcr slaw slats 101.12(2), nothing, in Cis review shall relieve the designer of the r sponsibilil\ for desinninh a safe building, structure, or component. •t Inquiries concerning this correspondence nay be n ode to meat the telephone trundler listed below, or at the address oil this letterhead. 'I he above left addressee shall provide a copy ollhis letter and the 110Wl'S management plan to the owner and an\ others who are responsible for the installation, operation or maiwenaacc of the POW I S. Sincerely, Fee Required S 85.00 C~1 I ce Received S 85.00 l/ Balance Duc $ 0.00 F.dwril A "I'nvlor \Vaslewater Specialist , Division of industry Scrtices WiSMART code: 7633 (715)634-3484 , Mon-fri, 5:00 a.m. - 1:30 P.nl. edwiniavloi?iwi.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN ResAentia. App cation INDEX AND TITLE PAGE Protect Name: Albrightson 5 bedroom residentiai mound _ Owner's Name: Crag & Kelly Albrightson ~~nl1CT Owner's Address 2680 Co Rd N, Woodville, WI 54028 Same Legal Description NE114 SF114 Sec 13, T 28N , R 16W. Township Eau Gallo County St Croix Subdivision Namc. Na Lot Number Na Block Number. Na Parcel LD Number 008-1038-80-000 Plan Transaction No 3013251 Page 1 Index and title C`rS IONAL SERVICES Page 2 Data entry jUSTRY SERVICES Page 3 Mound drawings Page 4 Lateral and dose tank j' Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site Plan `SkUNDENCE Page 9 Attached Sod Lvaluation Report ) Designer , James K Thompson License Number: 30021 Dale 1003.18 Phone Number 17")248-7767 S gnature i Designed Pursuant to the Mo,ind Component rAinual for PUWTS Version 2 0 SD13-10691-P (N 0101), and both SS P Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01101) Version 5 ' (R 06 06) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worc;heet Site Information R o CI R Residential or commercial Design Note Sard co :Ds caicwk!dons ass fe a 500.00 Estimated Wastewater Flow fgpdj Iable 8.3-44-3 n-srtv soil r m ment or 1.50 Peaking Factor (e.g 1 5 = 150°/ j focal coirform of :!ts rn~hes 750.00 Design Flow (gpd) 12.50 Site Slope 89.25 Contour Line Flevation (ft) 18.00: Depth to Limiting factor (in) 0A~0 In-situ Soil App!ication Rate (gpolfl') Distribution Cell Information 100.00 Dispersal Cell Length Along Contour ifti 7 50 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate Igpd,Ill 1, Influent Wastewater Quality It or 2) Are the laterals the highest point in the distribution Y~ Pressure Disribution Information network? Lnter Y o, N ;Y: o. E) C Center or End Manifold 2.50 Lateral Spacing fft) If N above, enter the elevation (ft) 6 Number of Laterals of the highest point 0.156 Orifice Diameter (in) 2.75; Lstimnled Orifice Spacing It = 6.94 f ionfice 'L 2.00 Forcemain Diameter tin) X if 40.00 f orcemain Length Iftj Does the forcernain drain back? - Y 'f 84.00 Pump lank Elevation (fG Fnter Y o• N 1.44 Systern Head (ft) x 1 3 6 2 Forcemain Drainback (gal; Vertical Lift (ft) 94.00 5x Void Volume (gal) Friction Loss 100.52 Minimum Dose Volume (gall In-line Filter Loss (ft) 58 16 System Demand (gpm) Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in d <n options choice in dia options choice OJ5 25 .50 1.25 x x 2.00 x _ x 1 50 x ,00 2 00 x { 3 00 x 1 Gallons/inch Calculator ioptonafy Treatment Tank Information 10__8_,1T,737 Total Tank Capacity (gal! 1800 001 Septic Tank Capacity (gal) 39 00 Total Working Liquid Depth ,in'; Nieser Concrete Manufacturer 2! 83 galfin Tenter result in cell Bay'; Dose Tank Information Effluent Filter Information X085 3I, Dose Tank Capacity (gal) Folyl ok PL-525 Filter Manufacturer 21 83 Dose Tank Volume (gal4n) PL-525 Filter Model Number Wieser Concrete Manufacturer Project Albnghtson 5 bedroom residential mound Page 2 of 10 Mound Plan and Cross Section Views 1~ . J Observation Pipo K O [ A W Isl.:... I Mound Component Dimensions A 50 It E 29 25 ir I I 1 00 ft K 11 22 ft B 100 00 ft F 9 25 in 11.80 ft L 122.44 ft D 18 00 in G 0 50 fl J 6 05 ft W 31 35 ft 750.00 (ftDispersal Cell Area 2M1000 (ft`) Basal Area Available .50 (gpd.ft) L (near Loading Rate (ft) 1:10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersai Area Finished Grade 92.52 (ft) --P ;L I IH F FD rsalCri 91 25 (ft) Lateral 90.75 Invert Dispersal Cell Elevation F D r_ 11 ♦i 89 25 (ft; Contour Elevation 12-5 % Site Slope Geotextile Fabric Cover Shading Key v a Dis ersal Cell See lateral details on a V L1 ] Topsoil Cap o z CL r , 1 5 it page 4 for number, size. Subsoil Cap o F5 ) and spacing of laterals ©0 ASTM C33 Sand 9 Z / F Laterals are equally m spaced from the a] C] Tilled Layer m ? ft - Aggregate a o ♦I dislributioncell's r.._ conterlinc in the A - distribution cell (AxB) Project Albrightson 5 bedroom residential mound Page 3 of 10 Center Connection Lateral Layout Diagram Force man conwt.c.n w: tae or cross to rna ,ifoW at airy Kim . LYerals ate idenrn al 4_-____.------ 1 P = Turn-upntbellvahsor IFX~Ie N? I ill: 4tawi58 fttce lnnn Of PVC Scn 4U olasnout p• up per COMM TaDk 84 Xi 5 HrNa: MrNad on the Dottcvn c! ttK later,d I Number of Laterals 6 Orifice Diameter 0'56 in Lateral Diameter 125 in Orifice Spacing iXl 2 81 ft lateral Length (P) 49-18 ft Orifices per Lateral 18 Lateral Spacing (S) 2 50 It Orifice Density 6 94 112/orlflce Lateral Flow Rate 9 69 gpm Manifold Length 5 00 ft System Flow Rate 58.16 gpm Manifold Diameter 2 00 in Total Dynamic Head 13.44 ft Forcemain Velocity 5 94 fUsec Dose Tank Information LCCking cove' with vtannr.g abe'. anal locking device and 1r// scale:: walcroghc Flearica as pe• NFG 3C- and Comm 15.28 WAC - 4in min Discornect \,y I F - Alternate outlet Tank Component is p•ope•ly vented ocallon Forcemain diameter Wieser Concrete Manufacturer 2 in. Capacity 1085.37 Gallons Volume 27.83 gal:Inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 21.39 59523 B 2.00 55.66 CCt Q Pwrp off clevat or. l u C 3.61 100 52 I 85 00 D 12 00 333 96 total 39.00 1085 37 Iy Dose lank elevation (ft.t J 3' Bedding under tank 84 00 Alarm Manuafaclurer SJF Rhombus Alarm Model NumbefiJR Plugger XL / Pump Manufacturer Zabel J ! 151 - 3 Pump Model Number I1:3 Pump Must Deliver 58 16 gpm at 13 44 It TDH Project Albrighlson 5 bedroom residential mound Page 4 of 10 Mound System Maintenance and Operation Specifications Service P,ovder's Name _ James K Thompson Phone (7151 248 7767 POWTS Regulator's Name St Croix Co. Zoning Dep't~ Phone( ;715)386-4680 System Flow and Load Parameters Design Flow - Peak M75 gpd Maximum Influent Particle Size 118 in Estimatea Flow Average gpd Maximum BOD5 220 mglL Septic Tank Capacity gal Maxirnurn TSS 150 mg1L Soil Absorption Component Size R` Maximum FOG 30 Tyoe of Wastewater Maximum Fecal Col toml '-10F4 ell l Service Frequency Septic and Pump Tark Inspect and/or service once every 3 years Fffluent Filter Should inspect and clean at least once every 3 ears Pump and Controls 1 est once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1 5 years Mound Inspect for pondin j and seepage once every 3 years Miscellaneous Construction and Materials Standards 1 Observation pipes are slotted and materials conform to Table Comm 84 :30-1 have a watertight cap, and are secured in as shown in the mound component manual. 2 Dispersal cell aggregate conforms to Comm 84 30 (6j(i). Wis. Adm Code 3 All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm Code 4. Tillage of the halal area is accomplished w;t) a mold board or chisel plow 5 The mound structure and other disturbed areas will be seeued and mulched to prevent soil erosion and heir reduce frost penetratior Lateral Turn-up Detail Finshed Grade c- - Threaded Cleanout 6-8" Diameter Lawn - - Sprinkler Valve Box Plug or Ball Valve DistrbuLOr• / y Long Sweep 9C or Two 45 Degree Benas Same Diameter as Lateral Project Albrightson 5 bedroom residential mound Page 5 of 10 Mound System Management Plan Pursuant to Comrn 83.54, Wis. Adln. Code General This system shall be operated in a::cordarce ,,lrh Cer•mm 82 84 Wis Adin Code, and shall manta red m a: cordarce wi its' coeponent manuals [SBD-10651-P rN O'+ot'i. SS'uJh4P Pubbcatioh 5n clT Hll;r and Pressur Disridubon Cornponen; fvlanual Vnr. 20 SRD '0706-P !N OVOI:) and oval o-slate rules pe9a.n"g tc system ma nlenaire and malitenance reporting. Nu one shou'c ever color a septic or pump lark since dangerous (lases may be present that could cause death. Septic and pump tank abardonirert shall born ac: c,cance will C. rrlr 83 33. Wis. Acm Code •wnen the tanks are no longer used as r'OWTS components Septic or pump tank rranmole risers, access r sets arc covers should be inspeclee for water tightness and soundness Access Openings used for service. and assessment shat be sewed vnllcrbght crion :he cOn ruction of service. Any opening deemed unscunu ce'ee6ve, or sublil to failure must Ile replaced. Lxpose-d access openings greater than 8-inches in diameter shall be secured py an effective looking device to prevent accidental or unauthorized entry into a tank [r comporent Septic Tank Tic sep!ic: tank shall be mcnlaimec by an indw::ual cent tied to service septictanks under s. 261 48, Slats The portents of the sept r: tan< shah be d~spesed of in accordarce w Ill NR 113. Wis. Aden Code The operating condition of the Septc tank aid oullet tiler shat be assessed ateast once every 3 years by inspection. Tire gullet Inter shall be c earied is necessary to ensure proper nperatroh. The filer cartridge should not be removed unless pro,, sions arc made tp retain solids in the tank that rray slough off the filter when removed from its enclosure If the b1!er is egdlpped will an alarm, the filter shall be serviced d the alarm is aclivaled corlinoorsly. Intermittent titer alarms may indicate surge flows or in ingx:ndurg continuous care The sepli:: tai< shal. have its contents removed when the volume of Sludge and Si in !Ire lank exceeds R3 the liquid volume of the lank. If the ::ohterts of the tank are not removed at the time of a It etnral assessment, maintenance personnel shall advise the owner itvien the next serv re neecs to be performed to ii n less:hart maximum scum aid sludge accanrulation m the lank The addition of biological or chemit:al additives to enhance septic tark performance is generally no: regains However rf such Iroducts are used they shall be approved for septic tank use by the Departil of Commerce . Pump Tank I he pump tdos:nei tank shall at Inspected at least once every 3 years All switches alarms. and pumps shat be tested 10 verify proper operation. If an effluent frier is installed within the lank it shat be ispected and servic i as recessary Mound and Pressure Distribution System No trees or shrubs should be planted or the mound I'lantrigs maybe made around tic mound's peorneter, and the mound shall be. seeded and mulchep as necessary to prevent erosion and to prov.no. sorle protection from frost cenelmtio.n Traffic ionef than for •.egetatve maihtinlancei on the mound is not recommended since soil comcel may hinder aeration of the infiltrative surface within the rnar.nd and show compaction in the writer •.v I promote frost penetration Co 'c weather Installations (October-rebmary) dictate that lto ii be heavily mu cued as protect or from freenng nftien: giatity mlo the mound system may hot exceed 226 mgiL DOD., 150 mg1L TSS. and 30 1 FOG for Sept c tank efflucm o• 30 Ill BOD., 30 m(l:I TSS. '0 mgiL FOG and 101 cfun 00 ml for highly treated effluent Influent flow may not exceed maximr,m desgn flow specified it the permit `or this installation, I le pressure distribution system s provided with a flushing point at the mid of each lateral. and it is recommended that each lateral be flushed o' annum.bated Sul ::s at least once every t8 months. tl a pressure test is performed it should be compared to the local test when :he system was rrst.-.hed to detereme it orifice c ogpmg has occurred and if onfrre cleaning is required to maintain equal dist•ioulion with" the dispersal cell Observation pipes within :he oispersal cel! Shall be checked for effluent poidmg Ponding levels shall be reported to the owner, and ary levels above 6 inches corsidered as an,nrpending hyeroult; fatire requiring addrhon& more frequent monitoring Contingency Plan It the Sept c tank or any of its components become defective the tank or corrn:nert shall be repaired or replaced to keep the system r proper operating ummtion If the dosing tank. pump, pump controls. alamm or related •ninng hecomes oe`eetive tole defective component(s't shall be i•rinediately repaired or •ep,aced vntn a component of the same o• equal perfo-man::e. If the mound Component fails to accept wastewater or begins to discharge w•aslewate• to the ground Sill it will be repaired or r a;daaed in ii present Ice:a: ion by increasing basal area if :00 Waaaye occurs or by reeov rig biotog tally c ogged absorption and :rcpwsal media and related piping. and replacing sold components as deemed necessary to bring the system into proper nperabig onctit on See Page h of this plan for the name and telephone n,mber of your local POWWTS regulator and sevice movider Pretreatment Units Tie in`ormation aid schedule of nraranagement and •ramderance for prctwatrr.en: devices such as aerori ; heati-ient units cr ills rtechon units are altacherf a separate cw:i.ments and arc considered naC of the overall rranagemen: Flan for tl•is syslrn Project Page 6 of 10 PUMP PERFORMANCE CURVE MODEL 15111521153 T01 AL DYNAMIC HEADIFLOW 50- PER MINUTE 14 u i - EFFLUENT AND DEWATERING r_ MODEL. 151 152 153 5 a _ _ .0 1g FY Ors Cl roes oaf LIn U~ Isw )p _ _ _ s t5 50~16Y es 261 291 to 30 u 129 61 7M1 20 M e i 15 tI \ _ 15 46 30 w 63 201 of hl 20 61 29 1a 4 is 52 1B2 r 5' m- _ 25 - -i1,-- 16 Bl 31 179 12 159 1 5 w 91 - - 23 8 33 125 36 nor - r..... n- u ,o - ah 122 n e2 ttlml ~ Ms(UIn1 2 I - 4 _ sh." >ad. 3011 (p.1m 360.1 e v,eue G t0 S tl 16 e1 pp t GM9aa llirfte m~-. aS 1!p - p 'dO >t0 •tl0 Model 151 Models 1521153 legal. CONSULT FACTORY FOR O SPECIAL APPLICATIONS -..m - • Timed doffing penek evaieble. • Ebc~.O~~t. OVmr$erots. f r dup{mc SYSIS s. are will b and app r - I bd wish an atom. ]'M1 9alAi • Vahebb level 0p116O191a(C110a Br8 aYdeble for COatrOl ® p 5 nn2 argle phase glhsacls. I - I - / • Double pgpybwk variable level That switches are oval" - for vatiettle Iasi hrlg and short cyde controls. • So" Oak-Box Mai" for ou0doar msatstrons. See _ i FM1420. } • Over 130'F. (WC.) special quotation required 1 i.1i152!'.5:1 Se'!0S .•++rn ~ vu i 151Mff2M6a V cued itKbn _ t _ i afferl ltldwk ■50a A60 allele s e N151 ~ 115 60 1 ~ 1a3 ~ 1u ON15t 115 1 _ Nb 60 nckgl0 2a$ - _ - E151 1 2)0 1 Mao 32 _ 1 2a3 NEISi`2Jp 1 Ab 32 mama _2a3 y~yw :a2r N152 115 1 Nm e5 1 2a3 aNI V 'U 1 sub 8.5 InlMOE 2. 7 L152 230 1 Non 43 2a3 e1,! 52 230 - f Alb 13 Ircsq 7.3 N1S3 115 I Nen 105 1 -f aa3 et1'~3 its 1 pfa 105 nnae>d 2a3 FIST 230 1 Nat 5.7 1 _ 2v3 $GI,E'~T!!14 ~~IL~_ 111,153 30 1 A9b 53 BY2110re 2a3 1. Single pggybeck verabe level IN[ arkh ado" piggyWO vacabra level 4w ,7•_cntmoa 1 watch Refer to FMO177 8r.„r 2. See'W/12 faw ecl model or E9ecftW A rradar Epsk ,er>!C>rr a u.. _salep~ni, a:'9 ee reLrrpM nl ~ -i •ry_+rno. e:er:Nm:omi=mrtncCs tF'.: c,rn graves •o-9159yry mn, geNN nog^_<.q, 3 Yeneal,**I mora wsla.'A 104M used 4 a W00ol activator we*dn*W(3) or (4) soel 9ywenl RESERVE POWERED DESIGN For unusual conditions a reserve safely tacbr is engineered into the design of every Zoeller pump. _ rue. ro. vo FOX 1,134? WAU7 Ord /T A-~ 1w.>a Kv enseau2 p 3vw ro: 3a9 ca>s NI.r ra>rr :11&213 , vmn na2m - I / tr~'••~ SlAr M-7 a~Ay..w~odrean PUMP !O. a r5o2, ream mavuw PMM _ F+u f5m1 nvaex 0 Copyright 2004 Zoe "r Ca. AN tight, resorved. ~9, 10{9 ■.5o,/era/li=('o»/v,'~ S Eui:s inq pro de e/a J~ rti• Sca/~ ICLLC~C~LCJLJ A<ra SEVy, ,S/ec 13, r. 1B<t, Q <bur 0 T .O~EG4 Ile, Sd. Cro:xel., Lo, br,v yo oclco nt~r< k;s V z "sue. vo 1 P d.C. Fvrcr.«o:w cr0 0 Ey,:s~ ` t l ~ y8 o d aye LIFO ~OwtA~o~o sad ~..~;rS«Cor cr rfl 1 . ~rio/P '/'~Sc.L, va /?r t, in I «..t.or ~ / e 4W 1 era ~u Gtr; u<wrt - dU pr.ys;<.Uy rtirv✓«~ bC ~ / , 6 ~ , i plof,os<d ,r(~o-..cf of vv "x.eo.a'dspus.G / ~ ~ - ~ ~ ~ / ~y8t Rt 7SbEd"about E/e ✓ r /do. co,' ~ ~ i / r ~ ~ i.' / / ~ / !67/).,~,.t rm coin ti ~Lvoc<Sysl<w~fFrui jcUO~/ 1 / / , / g1 /O1L cco, Rho' . %o "s~u+ct 7<~ be i~s~td `'6 ~ ~ / Q Qa~,n sf<t~d of . Ot. /x b. E/<✓- a e fq0 / I / r~_' EItJ r QlS1. of ou.tlt~=W 77' ~x bw'6<dwirc~nct- P.a~l.c. =9G --~.o.k) 13.2d4 s ; r 41 1 v ~ r ~~1V IrV 'Vr P~Ba~9 psi aut8 -025-1 r r Vo4scer,ilC a.-(rhenytQcrf€ xf Professional Serwtvs Page 1 of 3 - IflnQLoneflydley tcy S' V66-Q.' ~rJ SOIL UATION REPORT f1 ~ t In accordance with SPS 385 11 Aom Code County S1 Croix Attach complete s ti, plar or p3 per 'lot ss Il:an 8 lit x ' 1 inches in size. Plan must hlclude. - - - -I but no limited for ve'tlcal and lib_rjzotal efe-rerce point (BM;i, drection and percent slope. Parce LD. scale or dimenswns, ndrtn: #r! 'ahem and distance tc nearest road 008-t ' t5-80-000 Ref #2518 Please print all information. Re i v d by. DYte Persona infortnacion yui purvirc nray be isud 10r secondary puiposcs IPnvaCV _aw 5 1S 0441 )(m)) _ _ _ Property Owner Properly I-oration i..i Craig & Kelly Albnghtsor Govt I of NF SE Z S 13 T 28 R 15 E ion; V4r Property Owners Mailing Address Lot # - Block # Subd ame or CSM# 2580 Co. Rd N Na I Na Na Cry State Z p Code Phore Null [ Cuy ❑ Village Town Nearest Roee V^JoodvIlo ~':JI _ S4C08 i715:Mt5-2219 Eau Galle 270"' St U New Conslractior Dse. ❑ Kesidvnaal+ Number ofbedrecres S Code do,ived desigr flow rate 750 GPO Replacement nPublie or commercial Descrbe. - Parent material Glacial till Hood Plan elevation if applicab.e ra ft Gonewl comments and recommendations Site sudable for mot.vd POW I S Recorurnooded infiltrative surface elev to be 90.75 at 18" above 89.25 contour }II L11 Boring # ❑ Boring u Pit Ground surface eiev. 85.44 h Depth :b limit rg factor 30" m Soi Application Rate l' I louzon Depm Dominant Color Redox Descript or Texture Strurt.ne (;an, Slcnae Boundary Rooa GPOFt' In fvhmsell Qu Ai Con: Color C• S4 Sh. 'Eff#1 'Etf#2 t C r4 1Cyr3t3 ncne sit 29, us c•.v 2vf1f 0.6 08 14-19 1:;yr3t6 none sit 2rsbk ds 9w• 1Vt.f 06 08 19-24 10y4:4 none sd 2nisbk as r..v 1vf 06 08 4 24-30 7.5yW(3 l none gr scl 'msbk nosh ca - 0.2 0.3 I 3052 7.5yl f2f 75yrC;B gr sl '.csut mfr c'w - 0.4 0.6 Boring # ❑ Boring ILA ❑ Pt Ground surface elev 83 04 11. Depth to ti'n'ting factor 18" in Sod Application Rate I Konzor Depth Dominant Color Redoa Description Texture Structure Consistence Boundary Roots - GPDiFt In. Munsell Q,i. Az. Cort. Co or Gr Sz Sh 'Eff#1 •Eff#2 1 0.11 iOyr313 none sil 2tgr ds cw 2vfj 0.6 0.8 2 11-18 'Oyr4!4 none sil 2fsbk ds 6'N IvV 0.6 08 3 18-33 10yr3i5 old 75yW6 sit 2rl 'Till gw tvt 0.6 0.8 4 33A5 7.5yW6 t2d 7 5yr5i8 s0 Icsbk mfr cw - 0.2 03 b 45-60 7.5yr4)6 f2ci Syr518 fst Om mvfr - 0.2 05 ' Effluent #1 = SOD. > 30 s 220 ring .1 and I SS 30 - 15O n¢ it _T Efflue5*2 - BOD. 30'- 220 ri and TSS 30s 150 mg!L - CST Neme (Please Print) SICIr c Z CST Number Jaynes K. Thompson --_--~.Q✓fJ.n. 30021 Address ate Pvaluation ComUcted Telephone Number 134C Paulson Lake -I ane Osceola 4VI "020-54'3 September 2fi 2018 7I Si 246 776' - SBD-8330 (R04t1 f,-i Bwiv~ ❑ Pt Gnnn:d su•tac-.e elev 86_24 ft. Depth to limiting factor 29 in SO I Application Rate HCrzon Depth DOITtinart Colcr Recox Description Texture Strudura. Consistences Boundary Roots GPD/ft' Ir. fdunsell Ou. Az. Cont. Colo: Gr Sz. Sk. •Eff#1 'Cff#2 I • 0-9 iCyr3'3 none Sol 2'gr its Cw 2vff 06 08- 2 9-22 1Oyr3i5 ucne sicl 2'sbk ds ew 1vl` 04 06 3 22-25 'Cyre!4 none si 2mMA its C•.v INA 0.2 0.6 4 25-29 7 5yr4~ none scl Icsbk mfr gw - U 7 0.3 h 29-43 7 5yr4i4 f2f r 5yr5:8 pr at 1 csbk mvfr - 0.2 0.6 4 Boring If ❑ Boring ` pit Ground surface elev. 88 94 ft. Depth to limiting factor 18" in Soil Appkcation Rate Horizon Depth Dominant Colo, Redox Description Textwe Structure Consistence Bounoary Roots GPD:W In. _ Mansell Ou. At Cort Color Or Sz Sh I 'Eff#1 'Eff#2 1 0.11 10yr3i3 none sit 21gr ds Cs 2vff 0.6 08 2 11-18 10yr4r3 none sii 2fs::x ds Color 0.8 3 18.25 10yi4r4 none sicl 2fsbk mvfr cw 1v1 0.4 0.6 4 211 7 5yr4:4 f2f 2 5yr5r8 gr scl 1CSbk mvfr - 0.2 0.3 - - ❑ Borng Boring If U Pit Ground surface elev. 90_14 ft Dcpm to limiting factor 30" in ✓ Soil Application Rate Hor¢on Depth Dommart Color Redox Des-vition Texture Si'miure. Consistence Boundary i Roots GPDT!t In Munseli Or. Az Cont. Color Gr Sz Sh -Ef'#r 'Fff#2 1 0-+' 10yr3:3 none sit 2fgr Cs 2vf,if 0: 8 2 11.16 1:;yr3+6 none Sol 2'sbk ;:s uw ivff 06 08 3 16-25 10yr4:4 none sa 2msbk its - m tvf 06 ~ 08 4 25-30 7 5yr4i6 none gr sr:l imsbk Tvfr gw - 0.2 03 5 3047 ? Syr414 ! '2f 7.5y,5:8 gr sl Icsbk rnvfr - - 0.4 D.7 i Ffftuent #1 = BOD. 30 -:M mg:L and I SS 30 15-0 mg:L ' Ftfluent #2 - BOD. 30 < 220 mg:L and TSS 30 5 150 rng:L • ,S c,/ e✓o l4 a ~4 on/O, S ExisGn~ ire ✓e e%d - .4 -hx.3 E. ~1r1~~G bJ ca/e. / =d0,Pa/'"',ZS/8 I /eanou t --~i 21, Ce. /1d. /f l~rc~✓ri/k, c 7/. 5YO29 derasevy, See 13, r. ze.v., P/bu Q T•OF EGt!~IIC, Sf. LTxro,cJ! A-1 103 r- Lf0-,w 1fxiy .yo auto .Krrc ~-x l~lptV 1 1 d ,r( EX:s1,.~t Sr ✓ ' f A° / Ira wtj "t,V 4y 6~ / r k~ mo 7-0, S14 6.. EX:SrA'n W:(SV G.crolc i i/ / / ~ ! L✓ ~ ~ ! WLP y LeK . / / . ~bt:nSfi.~ad~d ~ / i d , Qofi>~,++6tra~dof . Or. /.e.~. E/t✓, . t !q0 ' / ba,ludwl~t FancC, 6/s✓, r StiS7. 0. k) r~ r., r (CO r rte, ~ Pg _ of s $T. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic an&or dose tank presently sensing the following residence: (Street address) 2680 Co. Rd. N, ,Noodvme,'ovl 54028 located at: NE 1%4SE 1,4. Section 13 _ Town 28 N. Range 16 ~N`. Town of Eau Galle St. Croix County Wisconsin. t_ pon inspection. I ccrtifti that 1 have found the tank(s). to the best of my knowledge, will conform to the requirements of SPS. 38=4.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service June 29, 2018 Did flow back occur from absorption system? Yes No x ('if no. skip next line.) Approximate volume or lenoth oftime: Na gallonS Na minutcS tank Capacity: 1,200mo gallon Construction: Prefab Concrete x Steel Other Manufacturer (if known): areser concrete A cof Tank(lf known): 16.5 years. installed 1122102 PCfnlit nUmber (if known_)_ 395501 James K Thompson (Licensed Plumber Signature) (Print Name) MPRS MPRS #30021 (Title) - (License Number) MPr'\4PRS July 21 2018 (Date) - - Forth to he completed by licensed plumber (Dept of Salcty and Professional Services Chapter 305 and s. 145.06. Wisconsin Statutes) or licensed disposer (NR 113 V isconsin Administrative Code) Rev. 212012 I(0g. 3 or7 ST. CROIX ('OI'N7Y SI(P'I IC TANK MAI.NI h:NANCT. AORPI.MENT AND OWNERSI IIP CER 111FIC'A I tON P(_)RM ,17e,.;,~tt~,e Craig & Kelly Albrightson Mailing Address 2680 Co. Rd. N, Woodville, WI 54028 Property Address 2680 Co. Rd. N, Woodville, WI 54028 (Verification required horn I'Lrrcit:t; d zojwl,- Dclmitnicm for tic\V ,:instruction.) C'.ity;Statc Parcel Identification Number C)08- is fie- 50 -C66 L1-:(:AL DESCRIPTION Property Location NE SE,,.. Sec. 13 . T 28 ss R 16 W,'rowliof Eau Galle Subdivision Plat: Na Lot it Na Certified Survey Map # Na Vulttsne Na Page a Na Warranty Deed # (before 200?)Volume _ Page II Slice louse Dyes dno lmt linen ldclwfiaNc 0ycs0n0 SYSTEM INIAIN'TF.NANCE AND OWNER CERTIF'IC'ATION Improper use and maintenance of your septic sy.acw could resuk in its preniattoc failure '.o handle wastes. Prop.:- maintenance consists of pt:nping out die septic rank every tnree years or sooner, ifnecded, by a.icensed pumper. What y, u. r. 1 It, -h, .>yslew canal feel the function of the septic tank as a beafineni stage in the waste disl isal system. Owner ninintenro cc rrc,,ponsibilitics arc specified ht SPS: 383.52(I) and it) Chapter 12 -St. Croix County S..nita y Ordinance. I lie property owner agrees Co sebnri[ to St. Croix counfr• Planninft H Zoning Delviunoot a ceilificadon form, si encd III, owner and by a nnasrer plumber; lo.uniynrar• plumber, restricted iiiundrnr ur a lieanszd pumper verifying that (I) the un site '.vas[cwater disposal system is in proper opcrati rK condition and+'or (2) afiet inspector and punipinti (il m•ccssary'l. the so:)nc nor:. less than 1 i3 full of shndgc. lixve, the undersigned have read the above req-aircmens and agree to maintain dte private sewage disposal syste:n with ;'r,~ s(wdaids set linlh, herein, asset by the Department. of Salb:y And 1'ru.i•ssicnal Services and ;he Dcpartsx:nl of Natural Re,wu, S;atc of 14`iseonsin. Certification slating that your septic system has been maintained must be completed and returned to the Sr. C'.oix ('aunty _'!:nming R 7.onhtg Ucpartntcm witl•.in 30 days, f rile d':rcc. year exputrtiou date. I;we celifv Ihal all statements on this for III are (ruc to :lie best of rnvdow knowdeJ>;e. Uwe anvhrz the owcc c} of the propctn':Iscribcdabove.byvirtueufawa~rantydcc•drecur,lrr'.:n R,4isler otlkri.illiice_ 4 ~ Number of bcdt:gP s SIGNATURI OFjXPI IKNI (S) D A 1I- "`Any information that is misrepresented may result in the samury 1`crmit being wi u,d b) the I'Iamun,_ X- Zoning Dcpartm,-r. . Incladc with toffs anplication a recorded warranty decd f om (lie Rzgisxr o:' Dccds Office an.: a cony of the coifed w vc. n.:u i f rcl'r.:::uce :s made in rile ss tt rrrarty deer.. - . (MV. UJi12) ~~q ~OFS nu t•-. _ Ct.unh Safety and Buildings Division SI Croix b, ~ f I 201 W. Washington Ave. P O Box 7162 SalrT Permit Number it- t,, d ,d I~S 1 Madison,V'A 53707-7162 10 5 N1 2 ' 201-- ~A . Sa Sanitary Itiei mit Appllcatlon~ ~ St na Irunanion Number In ay. rdant,a lh [c Ad... A lit li .men n t this ttrnt I I • app cc(~~AII tirA mul t01 t^51 i+rupu tJ ri~l M t umr. taut n pcrnut \ \pplr'.m n lu nl. da. I ILL oe naJ Pc l + I S arc uhn drtd n, I'r,IcaAJdressjdditlircniul.! nrn.'c ,JK~' la 11,p llllllt 7l d ~ It 'In.I I t. Hsu n I. \tR ~l L:m,a IIIL Tell Ih:a! vl!n IIIlS'Idi r113t I\ 'AUl Inc vyCl.❑J:!ly 1. NI - - - QLJ ~+r`Qy Application ca0uation Information l - Picaersr iaa. i I Print _ All l Information tSalllh' L 9.t(OOr~ /J~ . Pmpo It r en Nnny P I el I "p Oral \ hJly \lbri hlv.n 008-1038-80-000 1-1. p.rh I I\tn:r'y \Inil.n; A,ldresy - Pr.p.rts' I rti atom ~OSO Co. Rd. A t:oul. Lol_ - I', Sims Zip Cod 1I hone Nomher NF SE i, Tart nr' lkondvillu. 1V1 54028 151556-22 19 1 28 N- R. 16 1 At If. I ype of Building (check all that apply) - L'I " - SuMmi, to Nme ~I rt Ia::uh 7tvd l:n \`anibu 0 BcJrooms j.01 Na amq~~y Na /to At.^!s III hbulnnunauul llcscnLc USC A C ``"`p~ -J Na L ca y of C Shl WnJ:;r I \illaucot St ue OsrneJ I)rscuhe isc 01otyn ul' LiaU Galls III. I)pc of Prrmil: lChe a A. Complete line B if applicable) - N:w Sy+lan ~ Replacement Syskm Tieauncnt9l dJmr.+xnk R, 0-1 e (alt ®l nher Mtuhht,aunn It Lsrbr • v.,icm icytlau.I Rcplaccmenl of disp rsal f. I o J:t Ii. Ber I I'er iamtcr to Nets I rt I rcyws 1'ami: \unlhr an+ I 'nc :y.ucd _PamIl acncwal I'cmvt n on I nm•r o'. I'lunlher Bcka; lspcanon anal 399501 issued I(121 09 SI C0191 Issued 10+261 I\ ,lpa of PUN I S system Com nncnt 11 'ice: ICh kill at • \ n-I r .mnn I In (r' umi I us:u::nd In lit nJ V lounJ ,'l in ol'yun Ihk sort M1lound < bl in wilahlc y :il / I. 110,4111!, I:mk I i!Iher Ulypenal cornet nun i pi I _ cart levies tcvplamI / _ 4_c ~L DispersaPTrealmenlArea Information - x ycl :VIM Ollucnl litter -m SI wiCd _ _~g-~. tc o I e ',gPAI D"i"n S ;,fl kri li aion Kato > )ispa al 4rca Ragmr:d tsfl ' Ui p Mvat Area Pit posed (cPl, o ei,~u r 1 1.0 (Ind cq It As 161 (.3 . d / J / 6 , ,t alt,: 600 U~ M Cipd'cy It nat ea soil v/ I O( 00 s . ft. I 13.61 Sa. I t. (1' ccnlluur Fl. Tank [rift Cara m in lord tot walruoucr Cialln! lialhms [Tats Snv lanky r r r -.II - r a ti:~F I:rnk Na 1,200 ~ I =110 I / W)eccr Concrclc ' c.,h:r.tl:r Na 800 800 I Combination S I:PC X I I I. Responsibility Statement- I( trhe undersiCned. assume respon_5iWify-for irntallalion of the I'll\\1S yhnwn on Ihr attached plain. - Aa I'luu k r A::mc il'nm) Plund+ r v llgnaturt _ M( -_Nll`KS %umhcr BLI It Ill ii~ Cantu h. 1'hompwn „y. - . ~ NIPRS 30021 I' I.) ,t5 r6Y iomi*, AdJrc"I Sorer. i. i»' St rlt lbdKr :40 Paubon Lake Lane, (.)cceola. \k1 54020 \ 111 oun NtDt mr9ment I sa Only' 1 I,n tci Permit I cc Date 1ys(u{~JP Isump.: I V_nalmc u .n ul R; a:n.^. 11"W-nial GYM • t7r7 9/1' g 1\. Cand16N Reasons for Disapproval 1. - tank. eA1w1:19th t4jef C.C es e.A•b G ~We' > cell ry nt all be s+nkA by ik_ffi t gper aarayemen'. nlzn ^:onoen by plumtx:./~ «~Gy,*' ~✓I 2 IE IK!bark rK,I.N°!-en;S m!r3t ue or:t: u.i • per app6w..W+ Alturh L. nunplrn• plea. for Ito yyslem and yuhmd In Ilm (buns only on paper mil Ir.. !Ilrn a I:: y I I inches in .iii SRD-hi98 I R. I I I LI