HomeMy WebLinkAbout022-1018-30-040
b•,§scorsm OCOa•t-en: c+0o•--erce PRIVATE SEWAGE SYSTEM
Safety wd B_ilamg Ds or St. Croix
INSPECTION REPORT sa-ilari Pc'rr,i:No
GENERAL INFORMATION (ATIACU TO r' !tib1lT) 605155
State Plar ID No'
e SO,1al h'e'rs N' •i0. JiC. V.tle Rlay t:? Used
perm lot seronea,y pUFO5e5 1Pmae Jy 1 3x, s.15 £N i I )in111 3151035,
Pit I•c de"s. Name Cify Village Tcwrs~lr' Pa w1 Tax No
John & Lindsey Korbel TOWN OF KINNICKINNIC 022-1018-30-040
C5T 5M t C:. I'sp. I Flev. BM Oescriptior 5.,.
e.,t vin Iru,+Range+fvtaa No.
TANK INFORMATION ELEVATION DATA 07.28.18.103A-18
FAerapon PAANUFACTUHHR CAPACITY STATION QS _ HI 2 -S L,EV
5, J.> 5'"J 11 D() l)
Henchmark
AIL QM
Bldg. Se•.vel
od:rg SVHI Veit
TANK SETBACK INFORMATION SUHt OLtlel
PrL WELL BLDG Vew to Ar In lake ROAD DI I let
q DIBo;!Gm
7 Zl. ~5 y.1
Eng
Header den.
L- `7/l.- 7 (aS I ~2..
~
D st. P p07- 2.75-
Bol . Sys:eT
35 2-
3. b
PUMP/SIPHON INFORMATION anal Grade
PAaru`actu•e Oemana
'7 e GPM S Cover Z
s
Wodel N.tnrbe, LU I ~ /yLj C)
TDH L ft F; IClior oss System Fuca I DH ~ Z
Fowemain I erUptly, , I Dia. Ors:. Ie o;eli
SOIL ABSORPTION SYSTEM
BED,Y`: J.,
DIMENSIONS h L~ re•Mes _ PIT DIMENSIONS ND O' Via Insine Ura Licuic Ucp:h
l-t ,(D~
SETBACK - SY3 IEP:I TO P:
INFORMATION L E LOG 1, WELL LAKEiSTREAM LEACHING
4 r,t.;n,:h: cturr.
r)` cI CHAMBER OR / ~ ! /
-YF.• jslC... 'L /
hrJ `5 IZ-o UNIT Mr-dei N~nbe•:
uwwo
DISTRIBUTION SYSTEM
14_arc~; `dan rob; Olseilb-Iqn
x IL %HOIe ° nnuq
,t Pi esl - ! >le SEe ~J b'e/naoArlnlnak/e~~
ytr-3_CzS_ Length 1 f.aJ 3J~ r /J(~/~ l_ /{~tM~/
Scaoiog_ SOIL COV 1 6✓ ~ x Pressure Systems only xx Mound Or At-Grade Systems Only p/
noPlh 0':e• 4 j, t Gep: 1F U'.c• %x Del CI rx Sc~luc+Se.derl xx M..IChetl
Reo;Trcrcn ferle, 1 Red'-ervh Eo eS I N
„I li ♦ 3 ~/Z Tc?<an \ IT 7- Yes Nc 'Yes n'c
)d Y711
COMMENTS: {Incl.lde c.ae d screpenaes, persons present clc) Inspev or#1 Ins or #2.
Location: 4;:7 90TH ST
1.;. AI: QM Descriptor = '°J I C U ~e
2 ; Bldg saner ~enalh =
- amoxit o` cover =
Plan revislor. Regui•ed? Yes No r
1
Use o:•ter side %or adde.ona inforrahc~
_ ~ I Ll
D^te '.nsencOrS S~gnatere v
56N-l -l
Iry ~ I I I I- ,fir. ~ roux I
Q~ II ~ li,l t(r I
Ps
. ~ X05 ls5
Sa~n~ ermit Applil S,13
T-Ml
, a
FMIN
a I Pun-, , iu pcm
L u,
I -,n I cu : 1 , I UJl lL 1 A-, ~ ~.py~.
\pphcnunn Udm mannn Phase Prim \Il Informall
Fit NITIII
7 Sr ICY
I
J"oNy t L.NQSEr /lo~6f~ 6 aa- ~oi8-3~-''
-r,r - ui., j, f i rc\,:vdxr
Sw_ ~w 7
Lill
~i'4DSo ✓ lJ r SY4/L dG.?I /,-o~So 9 7
I it Buddn~G ~chicl dl W:n appitl _ \;:=%v J ?8 R X~.'b
tin6,husian K:un.
ak , IT
J, OL
Val 7-4-:5jo2,:3
p, I rcrC , hell unla l b♦ u I -
- inc \ rt
( plvl It,, Q rf up p6aabiry
✓ -
~y .
- uI1'..k 1a ,v,l ,h ! II ~ ~ I. , ~~I:ml
Tin:
IaPc IUR f$SagrfmCmIffrunrnf'UrCice: ICheck all iliac .tpplv)~~- ~
~r,.Nreaw i;d H.~min I';e; r.I L.rr,~r.,;.l ❑p: (rtadc ~'.I.n,. .I .r:. hl~~...I X'.m.i.." I
Ic ~
li.pa.rxnb 1 fWHIT U I a Inlormn AL
unn - lO
n; I I ~7c 1 , I p I i). pc-v L I:.,. ,I r.a. l' _ La'A-Pl4l
Goo- /.o D,_ 6ae //~1/~ Goo
- I /O.? 1)
(unh inln Are
rt f V 3
1 IT ill J, IT T,
T r
/o7 SQ I './.750.! l L,//ESE.c Lo,~ttttE
7So_i - _ 1s0 / ion I the ~l l ~ shmart n u We J 1 y
II lit5(mMlbdiit Cfnlenlc- IT theanda-iHad un lb'hjjj~ )-I)%% iua des -
fahwi lures
I IIuN raA,,, f,,-II,mL ~ / tli^d4!'N\hum.~cr TgrmlcSS x. KUmhcr
J 6'l S~619E
np Ur P,n'Imrnl Vyr 17n1
kiu pfw awrapemerl! plan pro nderl trvtrv Vlwnbe:.Z. Nub+l1A WO /~CYT
M por 101"' D1! case / •YdLM.N.
0
v \ c
I' ~ ~ e a. ,iR ~ c Ii
e v
,I cv O0 QJ~
II u Y. \ O, \ Q I h 1 I
' \ ~ 7 ui J
1 n o~ R\ o ~ ~a e
p
t` ~ ( C 2 t i
~o i - I Y V ~ ~ W
4~ \i I ~ , Q i
i
b
c
DIVISION OF INDUSTRY SERVICES
0541 N RANCH RD
IIAYWARD WI 54843-6462
DS =1 Contact Through Relay
S Htp iicsps.wi.goWprograrnsnrdustry-services
Is mm •w-sconsm. gov
Scott Walker, Governor
Laura Gutierrez, Secretary
August 24, '018
COST ID No. 231 346 A77;\ POU7:Sltrgwkwr
JOHN I IIf MLIRI PLJ.KI' /(-)\IN(; 0I:[ WE
PLLKI. PLUMBING Sl CROIX COUN 'Y SPIA
N6298 ST HWY 25 1101 CARMICHAFL RD
DURAND \1'I 517036 HUDSON \\'1 51016-7708
CONDITIONAL APPROVAL -
PLAN APPROVAL EXPIRES: 08;24x21120 Identification Numbers
Transaction 11) No-:1151035
SITL: Site ID No. 853296
John & Lindsey Korbel Please refer to both identification numbers,
46:i 90TI I St above, in all correspondence ,hh the agency.
10,11 of Kinnickinnic - -
St Crois County
MV 1 ~4, NW l: 4. S7, '128N. R 18\4'
FOR:
Oijecl IA~pe: POW'1'S Component Manual Regulated Object ID No.: I?9.1296
Maintenance required; 600 GPI) Flm,rate; Syslem(s): F7tlow Mound Component Manual, (R. Z`12), Pressure
Distribution Component A9anual - Ver. 2.11, SBD-10706-P (N.0 Ix01, R. 10!12); Fflluwt Filter
The submittal described ahoy-, has been reviewed firr conformance with applicable Wisconsin Adrl fdslrative Codes CQ~
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. lllis system isto be constructed
and located in accordance with the enclosed approved plans and with am component manual(s) rel7C.ren}jpt~~y~ APP
The owner,as defined in chapter 101.01(10). Wisconsin Statutes, is responsible for compliance wiI alcode' vF SAFMY AND
requirements. D1VMON OF IN
A copy of the approved plans. specilicalions and this letter shall be on-site during constnlction an, open to
inspection by awhori/ed representatives of the Department, Which may include local inspectors. All pernmi[s
required by the state or the local municipality shall be obtained prior to commencement of
construction; installation operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should SEE
conditions arise making them necessary for code complimmce. As per state stars 101.12(2), nothio4 in this review
shall relieve the designer of the responsibility fur designing it sale building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
'fhe above left addressee shall provide it copy of this letter and the 110A4' I S management plan to the owner and any
others who arc responsible for the installation, operation or maintenance of the POW FS.
Sincerely, Fee Required S 250-00
- I ee Received 3 'S0.00
Balal:cc Due 0.1111
Z
Edwin A'I avlor
Wastewater Specialist , Division orInduslrv Services \ViSNIAKT code: ?G;
I5)611-348:. Mon-fri, 8:00 am. - 4:30 p.m.
ed,in.lavlora%h i.sov
RECEIVED
AUG 2 3 20':8
WDUSTRY SERMES Sri
%~rivaic Ollsitc ti'~'astcwater'frcatinCIlt System
Index and Title Pagc
.ye10_ ~ua/t'Y C iJE4r~
Sr
~ I ,g's'alG _
42
b:;nicipality: TOWn, -
of
~
Lot Number:
Mock Number: ('ti19 Number
?t~.!tiit aiuu \amc. _
- - - _5' 3 - - po n5r
- -
TONALLY
aec I Index and Title P&,_c - :OVEb- - -
a<_ 2 pto; Plan ROFESSIONAL SERVICES
)USTRY SERVICES
Icr,nc
I'agc 4
Pipe 1 atu'al Latour
Pale i Septic Tank ' Pump Charnber('toss-Section & .specification.,
i
Page G Pump Perfimnancc lofortnatiom
P.,itc 7 ~POM NCE
POl1 VS Owner's :\fanua(,S Managcmcm Plan
u ~
Pag7c9 Filtdrlnfi~rmati<t:=
O- - C _ License i9
1r nIlln.e J~~ - - -
enct.! .,u s,~r_i-tu llr ;irilutt!:~ PO~~_iti C
rL Flow 'Qr[unen 3Ia_tual and DIPS iAi_-iki -
~ltrundComponent %1 mual•• \'cr.:on l 10 o70i:' P:adac-- 20nD--
~t;D-iQ7U(P(N.01%01I-'Pres ti r hisu, ihu'„❑ (,rrnnnnc..,l li:un.::l' V2:vun
A_1:achmcnt S, ii Ev du.( ion R~J)!,n
s o2
h 8 w
e ~
I~ ~ ~ d = ~ I a
I) ~ u~ I C u I
O N M I t. @~ ^ 1
l M i ~
~ I W I ~ in
J
00
l ~e o.. n
ti
4 g etc .x x I
\V)
°
H I I; ~
Y ~
O
l'
v ~
2 V
~ h 2
MI ~ ~
u~ w w r
0
a _
ai w \I ro ~ ~ ~ ~ O v ~ I
= I I
LO,
U `t ~p W
7
15 \'`a'C w ~C
in t2 , C
U~'fi-. ✓ c I t rte'. t\I Ti t ! c I` X.
r
q T l i { ~S f i ; v, ~ i
s U N
zl-
~ } ? ~ t 1 f d I
IJI
y o t~ i e J
r
IH i_~ ~H ty
R-1 C, tN Hi t4: ~ uu,,
10
;I If !1 II 11
II Il Il fl II 11 11 'v '0° 'eq eiP 81£~O'~e!jo
5 Paiia18 '7!N molt Zy
0
W
r s- u
LU
\ a L S
en
fl)
~ G G G II ~
Kl N
X4.1 1 pli
~ a r ~ 'p ~ II a~i
c ~d ~t7 N I
~ o' 9~ i a Ir -°t ~
X
J Wu J~ ~1 ' i0 a Z
u o d~.l %'v 'v-X\ ti I m °uf p
u L iP e, `Q-
L. c ~ i~ ~m \ X X " r II N ~
uu' I V ~ , p
1 N
J i F
:U € r
T. y W 1 J -
_ 0'• C' b__ \ 1
0. y Y~ Q
C C C Z
O F LL O
~ ? ~ "r O O L X
V ~ I 2 0 m
Z f- r
W K L H 1
fi it p ll O J O N J
w w n n O
d aai o w w w U U U M _a
;a (n° Qz x o E
M~
d O I '
a w ru -
F z a u n t~ u _
O
T ~ a m x a.
Page ,S" ay 9
:DFtA1bING rdOI TO SCAIFj
p;;~ MANHOLE RISF2 I~ cuVEp
/ ~=9+:~ ~ n3 ce.v3 mn (ne cPS 38<2 16,. apaoven
shaltO ~ Prop*! dralrlaaC "Int✓ 1an~r G t 39.np laar. !,t
zlwld II
r Rf a t' er 6 EC S£an! I !
i 1 1 a Mtn Sin. 40 PVC' r /e^+
t n. mac.: n a T ELECT?,tCAL + Ioa:ed t? at+aro r" +e n. ?a
CL'tlDth'bSEV;'EF.
I iPa~ C.
BOX bPZ Jb<.:vn tji I•
j • aOOa Rc,^,icaal Fl ad i teva:im, ) kcmPly aIP~ SPS tb
r / and IVF.C 700)' ! I
it
I i :n34t
J M lN~. _V
.•,.v+, ra e I s
I:.. Pw=au esG due: ) 'I~
i:•ifNI,"AUki OF 3' OF SUfi ABLE 8IEM0! •:G SEU-ATH -,AW t MAXiirolUm BUr:Y OEPTH OF 9e,
Anchoring of tan; maybe repuired per SPS 385.43(8)(9)
Tams wlawfaciUr~r_
DaiivWastew.aterrlovv tDkI _ (,.oc~
S-N C(Pumr, Size:
- - -G TSd _galiuns tt!umber of daily doses
Alai,-~ iViail UfaCl
~~l❑,JeIis!umber: Force mainvo,:rl.-1~.y' ,/C3 oaV"-
S•::tch Type: /fGGri:i //C RG AClual dCee VOIOITIa. a-74 gat - (..9 ^,U
~Lrr~p i!danUiac[w2! 1oJ-4 EA _
~!-i::da! \umbal. E -!ii~:i
Resenic above alarm _,....I S _ in = _ 57S~ gal r
nurn Dscitarge Rare: 3 y 3d _ ^P;;q Alarm float above on float in =
OWOff float measurement g. in = gat (ii}
sI lilt (pump Off to lateral invert), So `t
O; above tank bot om in = /79_ gal rA
l~S ft Force main x e__S 1100 friction factory. ? pS~ r~iy ~ Jin7EztiSi0iV_:
Fitterfriction loss 9. - Length
_ /S to ti9idth 8(.~
Total DunamlC Head (TDH): .20?. S tiUilc, ir. i~r~!nn>l.nc.
W%t/awe: /c TO// C-XCe,',ds dY..~/ usE
)C tat 152 3 P RMiNilE f tee. aF y
EFFLUENT AND DEWATERING
- MODEL 151
t53
YI
1 I- b a r v :rl
Model 151 Models 1521153
~ ! I I
r 1 0t.
LL
7l r. i.'.I , ,.:6 ( 41irFo 11 }I ;~CVgr'in0
~u?qVJ a14nSe sySlemb, r - : v
' C'-'l-:hre P,ggyback vanaive leee `toat svnlches are avaliaGe - > _
. c2natre lever long ana sl cn c, Cie carhas ,
^a'eC dvn i-8g1: avallah'c for ou;dconl see
- ;17120, .
ver 130`F(fi4`Clspecl2lqu6ialiofuequireg
ieia sznss nlnotts "--comwi5eloulon _ -
I r1 1 Vvils Plr fdOde mps Si.,,.
evPles
5 ~
I 715 - r•
115 1 v!n l.r 1 n { _I I Easy assembly"
&5 ""IC
41 r
d l 11$ I L O 5 cq 1 L) J ,
NOD
I1 -
Oy'ft]ubk 4d aC(l' IPV?I 9aal awIIG^ Uf Q'~UDe P,747bac.. tal iml t -
i, );u+. Re e,f Fu;J77 I Reduce, Gojelftial clogging by ueh:is
1071 r„': : ! -
.I _F.;, ';^_f'oa. Urp Jf!.{ ll-f_ ~rll6'°
{ L'- 1P.1 1~1r015 ''k." 1ri Q r$J3+.Q e) a n41.:i.iLV:'e ur. aFxi,. G.~} I Mace cf daraNe..lull6urosnl ASS.
r a! rl.lnl i tna P.aises P.Imp 2" cA Lolom of baoic.
Plovid=•s the abililp to tale intake by ztldirtg sections nl 1'.
F~= A iT116r j or 2" PVC oipicg
A:tacnr., secufelp to pump. i
Acc^ :mn:dates camp. cgvaW.nnS anti eftl~:a,l apF-ica1'.crs.
NOTE: ldake sure float is frog from owtuction. J
For unusual Wndiliors a reserve Sall fa-tnr is e96ieered into tre ytP;'CIl rlf !'va y -11;.'1,5 nrr
=a~E ~f 9
FILE, 1Nt UR11 r :irN
--T Si 2e• CATIONS
C:r r uQ/lN r ~i /OSE Y o
Perna , =TIc Tank C p•ctnJLi l LB i 1,?56 gal L! NA
UEJIUN R E_CttS - i _ _
\m .IC_o-}; tL u+ms tl0ry nbctiroom_ FllluentaFiltler Urfa»ufacturcr❑'\A
I ht`lucnl F) I teVfor'el n NAf
! ilr : oI c.oinmcrclat Lu (s _I
rsmnved rl , (,tt r e I ` - -'ump Tank, Capacity 750 'al :'7! ~:A.
'/b!5 _ •.tl d rr F., , (t.ecntrcr GJ/a _ ; Lac. ll ?~i\
li !,il : Url r: ,u nueci LoG dal du1 ^wnp %lanulaclurcr Zo
Sod Applica ion Rat, ELtt-.c ❑ NA
NA
fni:ucnvG 17 iua Quail ,0 NA) (Month'e Aveincte I Preu'.:annem t)Ill( (la NA)
Fa(s. Oil t Crease (FOG) C ?0 ot, L r San(LGI•a'T' Fdtel. ❑ Peal Pilfer
Bfnchcmte:ri Oxygell Demand (}30115) 1 >3(1 m~'L : h'fcchanical \rraion Q Welland
Tonal Suspcudcd Sold, (TSSi DlsitScction C7 Other.
i ]SClmgrL 1 ( Manutacturcr. idodcl:
Pn•Irenmd 7 RIoenr Q Ill n !ik V t t b;nrt' I _ 1 end ~t..,tpt lr ^oml , wt (I r'r
i:i!C'' I 1:-i i,tl L Inall([tultL: I G i W"11, 'll It av)
n 1 t t 0 in ground (pressurized) i
Total Suspended Solids ITSS) I < ob 1. I ( 0 At grade CK Mound
Fecal Cohtbim ((ecnletric me m) a c,u, I o0m, i
tiiasimam Elllucnt Parric)c S C+ ?rip-hoe _ C Odicr.
. - I ti crfical Distaacc TaiikBuitoin to Service Pad: 1-21
tzc -
inc0 di«maer T;ontonlai lllstancr. Tank(sj to Snt•ice i'xri: c
. i~ifc.R.iuttel',uznilerc ~Z ~LO~AO3 N ,BueOtFS C!NA
Calculations: - -
Soii Dispersal End Cap (Disnersal Unit EISAi
')l?'P .poi%c[ci r i = t _
eon /.O - Goo - -
77 '1)es1g1l (,t rt'ivure Utsuibtnion Nciworks for Scpl:c Tad:-Suit Absorption Systems" Tubhcauon 9.6 (SS AIMP Manua;)
"hC Fitivicch %4oimd Ccnipencla r aritial" crsiol: f
01ILZ Flow Mound Componew :Wanuai" Vcrsiou S''0 'uU?
7 S8D- IoSS)-P(R. 412) "A(-Grade Component Manual lising Pressure Disa ibution" Version -7.0
r7 SBD- 10705-1` (N.01 i1)1)111a Ground Soil Aocorpuon Component lvianual" Vcision 3,o
! CSt3D-IOGyI-P r?+(.Ol;r,il ~ot:r„+!'nnr'-„;a',ii .i?bn•. '+f. I
7•1',~II -..-Eflwu-Dispu.--C> nunent Llanual"
X SRD 10W)6 P lA.01,Ol t "Pr, me Disulbut on Component !biamlar Verson .2.(I
Oth°::
'E %NCE 1TONI GRIN S .C11:)t. c a. N F\ AND
n2 ] r r:F.. fr
,ice Gccnr
5cnirc T'1 c4uenct
,n inspcU c Iq>et sal a Ill )Jeen fii cI ~y I rat once ever 13 montho S
f cc. w nP ' 3tt nLnl tI l s alanl orcununci uI r
;+'e Isl ono u C months-~$i } ins 1 \A
l h 1nC (ee SIII" IcA 1 .R)- , 1 v_1V nnv. _ 1.
usnm ! ~ON T,~ chc I- trezrn m rare i L I 11e presence or painting
)ifcis or other ch mica6 that may nnnede the trealnleni process ;.nd'oi damage il)e dlspersA ceddls; ➢ ugi) conuntrawns arc delecled have
' C'ntcnis or the lanklsl n:moved by a scptagc sera icing operator prior m use Sysicnistart upshalinotoccur when soil conditions arc ['rozen
:tic inrdu'ative surface.
l-.:!, property owner is responsible lot the opera0on and maintenance of the POINTS and submission of requited reports. The quantrty and
:-Itlik:y of rile tvnstewatu srream will affect the pcrformanrc and tongeviry "!,),out f0`d•'15. The insrailation of :varer-caving aPphancea and
isg«zs along wilh pron;pt repair of ieahs r,;duces the tt-asCLtcater enlume. Also the brine of wiiste Tom waicl solicnen. uun removal units,
Clem n her T'Caln. tt dc,ic,re :,:Id l,un 'i:, Ie! Ir ..n:.' c eSacl!o. _ : .n; i..av tntnta, uo,bl:. -Jrr - i; tiny: nni
-,,-tits system is designed to handle domestic strength wastewaler; however, the disposal of food hosed nreases, oils, ycgctal+ieftruu peels,
i nnc m+ -;d nc lid a'h ss tin i r.tiuu I h , gal ba c disposal should be minim ii-d. Toilet tisvue is dic only paper thr shou:d
t).5.'na `s+ 1 I bi 'G [.11 t''P, •t<I t., ,.tell as baby wipes. t.Impuns, ;au;ulry rapitnx condouty, clgurcuc boos.
d,alP-i ilna . I _ . nI%tti ,till ~Ii;.Iatl Irn Mlle I I ir..i. ('I CA .1neh as ,>ctloletm: rroduda. 1?;1LA. OLa'.}.giant:: pc;hoi dec.
_
1,,\SPE( T10\S 1,_ 11\fF\ 1S<I : hap-.cum shuC be made hq an indialdual carryir.e
I w-nca I iun on< of ILe fullou ire
-artiltceauonsnanec ' JcilCJu I vdla \I uer tbc, RcurMed Seuax, POW I S ;vlaintainer. or Seplav Srntcing UpCra!ur lPcr the attached
vll n iiccuscs or
1.Ink unl [.,,teats
Ic illust indudc algal ;nsp:c,uun ,•C the [Wilk to ilicnlily any missing or laoken hard\va,e.
\'-tJ nd any packs or Icaks. ve asuo. the vulunlc of u)nth"led dud e .old scum and ehcel, iix any backup ul pundirg nrcillucill lo tile
cI•:Iafe n6 surface
than K rface inches anddles h it, s! all ricc Jivnete+ u ,tiuha:alh u he lc uipment such asp 111pC ?Ind alarms, :1pe iliauah Shah Ile pn nnpdY (urwclCd. I':xpusal openings
a'aur:J Ieiih clleetna oekin" Ile%ices R) PI wail. aecidentai or unauthorized entry' the tanks.
"1'. Ill lh.l .(I 1 , 1-p b.a l~ l~ I•aa' III
~Irw hall Ile tum%C .Conv-thud %;I)ortnureol lank volume, the entire contents Of the
rttwrvcll be it Scloage Sal bjit Opc ralo,' nil Jis13oscd n! III ocCN CLIUc with Clt - NIL I I I. Wisconsin Admin. Code.
ultC Slll'r6in_ mCl hnILCC Ill a51 be t1C pl'pt Id,:CJ If 4e11xa: is
i i Ica[ ur ~i honto)ud is i iU feet and icsl rue ions to he Illuv idea belo)v.
uutltt MIcr[SI'had ba In-ICU c mddcmndto:vnloveuny er. unu. I,:cd cu'iu -
i:led fill). 01, 1, 'it", shall 'e rU'ila --~-"mot .:nn.lan ul'C:'S Spceia lCaliOn S. $011(15
in III, lank. ail;o:' clcanine ma) h.: net s • , al r.)'•re Iralucnt irlervals !hilt. staled in the
r mronance seltccode to l.erpthcayclvntnpcrnting-
1lemts should be laded of u regul:u balls h\ the mmuc ottn-:r I• an alarm snm>i corn'';! ,
I, is n .-n)al h• t I I nlar u•Iaal ; - - n h rdt.c. h , sad ,
..e u. - u.•. r t \ - i ...J i. a a•w\w Will, an> plnn.n•> \,Lh
,recd CO Prevent back-up of scaag 1111C. a Ilv line or ul In.
late nr::..
110NOONMENT: li'ha.-t Ju PGiI IS /tae:
Ind.. `r IS PCP 11 i li tlil\' la: a e1 ill s_rvice Ow Io11O%V' tw >wps y11,11
. ;-.,,;tat,. tarn
II-t system is properly and vdch abandoned ht Complienc: rcnb h. 5! ti ..},i. N' isenn5ln adntin. Cudc:
All Piping ill lauk> and Pits shat; he di;:cnrmec[ed and the abandoned Pipe upcnin s caieJ.
The eonteni> of all lanky and pits illail he remO`cd and properh disposed of he a .Scpla.
After r! all S atlai pits >h:dl etc escan;RCd and rem gc: Servicing l lpclmur.
'gravel. . or or uot d)c inch >"h d naatcriui, oved or their cuvcrs rem
removed and the void space hih:d \v i;L soil.
l :'i: •.i I i ;,u,> anu aunt !rc rCpililc<I lilC fidluwing nteasuras itace beer., or must be lakrn. n pro<i.ic
a cxn uh. rt. I-I...'. manic .,em
-1 I.lira ,catn Qu ,'htc. t -.veil i -R been a\altl lL;d and 111?)
i.i; nanAm ; be Ilt2llzed Ior the n)Cali-,n of it replacement sod eI,,o,pilun Neslcill. filC
a9!k uu d ,'0 p:.t'_tcd Irons i"olrba)cc anu C."Puc"Oll and 5111111W nul be utfringcJ upon by required >cllwcks
- a ills utg and pn p )x a cuter nlle, Int bra s a•ni v:all-. r durz Ic prouxi tits rcplacclncn( area raiders
_ ;F. ills host conf v o.Hit (Ile '114cs '.II effect at lilt lino o; repi accncnl. it unusable. Rq)iacanca;
"7 smubit r.olac Wien. arc;[ IC no available urc to salb uk and...r sod limitations. Barring advances in pOwl S lcchnulu~_•c
ImUn Ink :ml\ Ile II sl t lcd a, a !a-I! r::>u.t t- mp4nea the !ara'd i•(lUt1S.
I Ile Wile !)as not h all " dU Ll t IJClllill' J ♦Ul Urhle ry)I1. Cmenl :11'' I-I i.111r11'e ill !h. N(1\l:"Y\ P. `t I. gl .iL:
tI.I ,,i h l uSil:it :U,i?ail IU;: ;,I,'J_ II I. ~I:..-r It 'r. '•i t,
c rani rce the I ulcU i)UI s. idl,6 play br till. h<l a;
'•Y ibiound and al-rade'sntl ab zoml1ot, 5\:StCn15 to ay l?e' I%xonstracted it, Pliwc lbih,w;nr• temoval el the blonlai at file nil111
sat, I:lce.. Racunsu'ut'rionso such sa:>terns must ei"Ply \vith the: rules in cfleaa at (hill time.
q L\I\'6n r SEi'IIC. PI JEP, AW) O'IH F:R fRL.1'1'VG\f f.1 \'iCS VAY CO\'1'1.1\ ].fl'It-1L Gt.SSICS I\Sl'i 11( ll.'..
(lvIGEN. Up yO'1 ENFER .1 Sl PI1(:, 1,"ll'. ")11 0171F:R -i RIAgl'V'1' IANK UN'M-R kNN' Clit(J vjS,f [ ~ i)l Ill
]i lZES"'I RF:SL: (',OF'A PERSON FRO\i ill;IN-FLItIOR OFA TANK,MA V RG Ill FFr(.'(!I:1- OR 1~1(1'OSSInI.I..
_ 7-- - PCIWTS i61Ah\ fAINISR _
, c.. J_o.AL•J_.~' e 4LCC /7~O- X3/.1 Y4_ I Name
I ]c: - - - -
7i-5- G7.?- Sxcc ~ ~ I'h•ate -7is 5.7CG
SEPTACE SV.RVICENC 0PER:1'l'OR lPun,oerl ?
Vmn,o --S _i: F 11'i)e: `:_.t l'!_:1(ut rr.
I Phone:
} 4~ O lam. ~v ' 1 T y 'Y GJ ti ~ ~ d
',I Ail
~yl~ 114.' -
O ~ v y v
i
C L ~ _ U
Z3
- ¢
ISV
_ Y = N
m ~ X c o c d
'Caw
1 ~ G?
2: - MOM
v t _ _
G 4 4 N L t _
i d y G N-
~ loll\l!li \I1
i
ia.o~ a~a• 5+. ~~ff~''ds11o wr 5Lfol6
loll- 5~ ttVA SOn, w Suo~t,
14~d.Son, wl v da - f of B -2)()- allo
SvJ r a~ IB
~7 Q l C
lO wd %m"\ \Ialr ISaG > ~U
X ~
I kill 1( \11w,
m. ~ - it L._.clq.i .o. i~~~ lug u. u. l.,i i r.-..•w rla
d'lc: tlm .nCtu.r .I -hc ~_alu ~.nu e. o 'r i uint ayc~ m :hc .~a.4 ~I ~(•oiel 4'm U•nncr Ina
up ,pct ~IIrJ ,n ?~P~ t 10 it; I I..q+vr• v, ;q., ••ll ti'. ~.tl .Ile, t h•.llnar.. c
rt. the
a'I tnitlt
^.:m onr: .l i..nic: i>c1'.u'~n.. ~ ~ i it •hr~c ._e• :.pu aLun d.tt.
L~ I
~ib,r nl hcdro~~tn~
~J
1o
T-
s
a~
- - - - - - - - - - - - - - - - - -
ti
vJ
'yJ
'G r
IU.' l
Y'
1 W
r~,l I ~ ri ~tl i 3i (D
I
~ r
r
Z
Parcel 022-1018-30-040
AIL Parcel 07 28.18-103A-18 C22 TO-e%'N CF KINNICK:IKN
Current X SI C;ROIX000NIY'AISCC%SIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Uruts
05!11;2009 00 0
Tax Address: - Owner(s): C = Cvrenl k~, - r~im,
- RAY, JAMES A JR 8 FLA.INE A
JAIMES A JR & El-AINE A RAY
471 90TI I ST
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es):
Type Dist # Description '467 901 H ST
SC 4893 SCI I DIST RIVER FALLS
SP 0100 CHIP VALLEY VOI I-CH
Legal Description: Acres: 2 625 Plat: 5"3-CSM 24-5623 022 20,9
SEC 7 128N R18W PT Sb:r NL^J 6E~NG CSM BlocklCondo Bldg: L0- 06
24 5623 LC" 6 (2.625AC)
Tract(s): 4C 1 h=., a1
07-28N 5'::'
Notes: Parcel History:
NEW FOR 2010: FKA 022-1018-30-032 Date Doc 0 Vol/Page Type
(103A-14) C5;11l2CC9 85226 .ia L
05~11l2CC9 895225 24;5!:2;
05r23l2008 8,15357 23;552° CSF;'
0513W2003 723661 22574?i7 FL
2012 SUMMARY Bill Fair Market Values Assessed with:
1977,56 400
Valuations: Last Changed: 09;07;201(:
Description Class Acres Land Improve total state Reason
UNDEVELOPLD G5 2-,325
Totals for 2012:
General Property 2 625 SCC 0 5:70
Woodland 0.000 0-'
Totals for 2011:
General Property 2.625 500 U Kt;
Woodland 0,000 0 C
Lottery Credit: Claim Count: 0 Certification Date. Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 2 .00 i; E (A:1
WMconsin Department of Commerce SOIL EV A ?A~T ONREPORT Page N 3
DNfsion of Safety and BWdings
in accordance with Comm
Attach Complete site plan on paper not less than B 1/2 x 11 inches in sae. s CouniY St. C R 01' y-
Indude, but not limited to: vertical and horizontal reticence point ( d Parcel I.D. Q L Z ' /p/ D '
Percent slope. scale or dimensions. north artow,Wdloeatloo andds~ce to a road. O _ 11'~
Please print at tinf0frMittlon. Reviewed Date J~Y~
PM l Mbmuluon you prprlds m pe used for purpow" ,s.t (1J (mil. l/ ~0
rty Location
Pm:TAI-wnas A. RAY Govt 5 W 1/4 AIW14 s 7 T 28 N R /0p E (or W
Rope owners Mailing Address l - w Block # Subd. Narntf a Csw
-bow `/7/ 90 tf-- 57' 134lOMO42 _ s
aY State Zip Loom PF1axr Number ❑ Cfly 0 ViWge ® Town Nearest Road 7 . 2-I,
U,OSoAJ W/. SY01& (715) 425 •!oW k-1*AW KlA1A11* C
New Construction flee: 04 Residential/ Number of bedrooms Code derived design flow rate 0 o~ GPD
❑ Replacement ❑ Public or cornmemdal - Desmbe:
Parent material 7~ 149e-I,737 e..¢n &46,- S/,91i.1•/ Flood Plain elevation ifAppacable
General comments FWE T !/s . ft
and recomtterWations: ~QQdiy s"{ -
Area ~ . Spc! _ mated swtat;l2 for a N _
mound (P.0T S.; system using (m~ - 4/
sand fill. v(~G((Q A 4- Z/ rr RS a ~Z%
~i
F/-1 Boring # Boring /6)0.0 1 -5" -
Pit Ground surface elev. R. Depth to limiting factor m.
W Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure camsistence BourdanyRoots GPDOF
in. Mlmsefl Ou. BY Card color Gr. Sz. Sh. •E01 'E11192
i e9'5' /o ye 31- -s/1- z sh/C I+" AR cs 3-P G
z / /o R s Z- -2 ibe nt, f~ cs z f
3 / i1 -7.5 We SF/ -Z- / 561 n.,f/e cs f y . G
17-364 A•s 4' C21 Hob; s/cL / sh Z .3
<S ,P r
Z Boring # ❑ Bering q q .l~ 8 ss
Q pit Ground surface elev. R. Depth to limiting factor
Soti tiorm Rate
Hodmn Depth Dan inant Colot Rmdox Desaiption Texare Structure ndary Roots GPOM
in. Munsell a. Sz Cad. Color Gr. Sz. Sh. 'Eg#1 '01112
V)9 o • S /,/0) y4 3 .S/G sbe f e cs 3f-
-2- 57 - .S R S/L 2 fsh4 /w,f cS 2-F .6
8
3 61 L of AK I^fp_ G / 4 F
-2-5 k c Noll S t ~14fi' Z
S V12 S
Effluent 01 - BOD > 30 < 220 mg& and TSS >30 < 150 mg& • Effluent #2 s SOD 130 mqL and TSS < 30 ff9t .
CST Name (Please PrM) - - Signaaee CST Number
Ro(3 2r 7•(L.BR Icj - 'P~i /GGr~ 2-7- Co 3 75
Address Date Evaluation Conducted Telephone Number
SAA- 9 - ZoQB 7i,S•77.2 3~lifZ
Private Sewage Consultants W/;rJRW co vDi7-ioi)s sr/tivy
2812 10th Ave. d /-2 s5 a,`
Spring Valley, WI 54767 3S F/ /c/Pos/--
uK 3 - y " svo w co c-t-e2
y
(~~vOiNG GS~'t GD 7 6
s A • RAY Parcel ID k 021- 104f'30- Das Page ? of 3
Property Owner
❑ Bodng ss-s
Boring # 3 ioo.3o i9
Pil Ground surface elev. ft. Depth to MVWV faUOr In.
Sod Rate
S6tx;Wre Consistence Boundary Rants GPDIIF
Hortat Depth parrirlad Redox Description Texture
In. Munsea Oo. Sz Cont. Cow Gr. Sz Sh. 'Etfgt 'Em
/ p • y /D ,P3 sic afsh.~ cs 3 ~ . ~
2 /1 7 5 SSG 2 f_sf~C n~ Q cs 2 f Co
3 ~•s _ ifs6.~ ~s ~f . y . ~
i•5 c1 Mr 51CL ifsbe na,fi 2 3
s R s/
0 ❑ Boring
❑ Pft Ground surface elov.__ R Depth to fervting factor H. oaAppkafm Rate
Hodm Depth Domtrarlt Redox Description Tepee Stnresxe Consistence Boundary Roofs GPDfIF
in. Mused Qu. Sz Cord- COW Gr. S7- Sh. 'C-Ifpt 'Ei7F2
Boring Boring
F] I ❑ Pit Gmud surface elev. R DePBr to 6ritrrv factor in.
Sad Apoka5m Rate
Hodmn Depth Dominant Color Redox Oescripliar. T Structure Boundary Root
in. Mosel Qu. Sz Corti. Color Gr. Sz Sh 'Effi/f 'EfFA'2
F-1 So" S PB n r5 Gmud surface elev. R Depth to lmNNg fir in.
Depth Dorninent Redox Texture Structure Corsistm+ce Boundary Rods GPDlR
'EfIMt `EAN2
In. Mused Ou. Sz • Color Gr. Sz Sh.
. PE, /P/. j 6-- C~SM GO 7- b
property Owner rr75 -A •__RAY Paroc I ID RO21- 101JO'30o2S Paga 01_ 3
3 Boring At El Ooriig -SSS
Pit Ground surface elev. 100.3t. Depth 10 limiting factor / in. Sal Rate
tiotiznn Depth Dorninard Color Redox Description Texture Structure Carsistenco Boundary Roots GPOM
in. Munsee pu. Sz Cont. Color Gr: Sz. Sh. 'ERgi 'Eg92
/ p•y /D~,P3 afsbt j cs 3r;
2. •I2 7-S!//-_ Z-FS4V- ;E k Cs Zf
3Q_-1y -7.5yoe Y
/ fs6 Ott_.._~S f . .
2_sy 3_. c2~t Mr s%>_ fsb1 . 3
❑ Boring n ❑ Ing
❑ Pit Ground surface elev. tt. Depth In rimilirg factor__„_._..._. in. Sod ica6a Rte
Horton Depth Dominant Coloi Redox Drsaiplirxn 'fextue Structure Conistenco Boundary Roots GPVM
in. Munsell Ou. Sz Coat Color Gr. Sz Sh. 'ER#1 •Efff*.
F] Ingg ❑ Boring
❑ Pit Grourdswfametev. g. [Tepih to Nmttirg factor in.
Sal ication Rule
Horizon Depth Domirwd Color Redox OesapAiar. i Structure Baudary Roots GPDAf
in. Mwseli On. SL Cont. Cola Gr. SL Shy 'E1fOl 'ER82
i
1
Boring O Boring ap 51
❑ Pi{ Gnwnd surface dev.-L...__-n Depll, to rmitirg 7pLAM. ir. Solt Rate
ifodaon Depth Dorrdnwd Color Red= EjAcription. Texaee Structure CQnsislence Boundary Roots GPOM
M. MunsW Ou. Sz 1t. Cdoi Gr. SL Sh. 'Effg7 -Eff#2
I
i
I
I
y
62
78
61 297.41
/ 21XJ~
51 60
C
w
0
2.6249ACRFS
N >>4340.032,SQ. Fr.
i;
TEsr ~~T6
48 46 407.49' 47
100
TEs7-
N N
N ~
r
2.1312ACRES
3 92837.142SQ. Fr.
i
71 ' 69 fL/4~'Z • e d U
79 67 ;68 406.88' 76
72 70 \
Ulbricht & Associates
Private Sewage Consultants
N rf-ST nor ro 2812 10th Ave.
I 2.o389ACRRS ~ Spring Valley, WI 54767 ~
88812.549SQ. Fr. r
/019' 30' °-2,S
75 406.30' 73 q71 ~o f,4 '
,mss T z-0 S
N N S ~C91(P
N
00 2.o0ioACRES
c 87164.0ooSQ. Fr. N_ 1 Z S
~E:. i ivui TOu!-t~
sw ry /VWY s. 7 T ati
_ 100 w
20 7~ 405.9' Pd 77 SS
1S
I~I
\lAI
~I
~ s \M
N M
~ S I o
i ON,
o r
z d c d
\ A
y ~o
O
'Ilk
e'
try o
O`' WI
C `C C u)ro~C
3
! (D S
' y \ (D
4
b Fj.
H o
O p 'h C A :0, (D
-4 ch to
C
0