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HomeMy WebLinkAbout018-1060-30-100 (2)".. PRIVATE SEWAGE SYSTEM St CFOIK snep me aoe ee.aa^ INSPECTION REPORT El omm No n7rr 606950 GENERAL INFORMATION IATTACHTOPERMIT) FAVil 11 ,,^e.ry.. IS a„nm,l 3166866 Bm WAIN nxx P e Lance & AnlssB Peterson TOWN OF HAMMOND 076-1060-30-100 M. Vol aM eK. .+�w�oe lemro« m w 6 26.29.17.4108-10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CPPPCNY STAMON BS FS StillsrolK krr{IiNI "" � B. ,n.m I�iyo pO,W An a w ­TE 9 .m Air- g BN Hommo ___ svM LOIN TANK SETBACK INFORMATION vw omlN TANK TO PM1 L BLDG. Ie Mnn ROAD Do mad — SKPK= AL in xn,n Oi•mi WaLrMan MneOn Dle, PIPo — •1 1�,�f Al Bo, bpbm L Ifb PUMPISIPHON INFORMATION AD lnalcmea {O! 4 Men mol Gormand GPM SICw, 13 uP- z TDK LA nNn Lms ,DR Fit mn L.rym In nil SOIL ARSORRTION SYSTEM "L I .O • ex0'.ONB Ili i n474I PIT dl F1 � x InW� Nil STSTFM iO Pn eLCG WEST\RESMJ ^ a SMx'^ uxlT x..x� 0151111BUTION SYSTEM wx SNeM _ N M SOIL LOVER irrimmiallydorl Mound or A.9naa Fvxanm Or aw ��rcneWn twin w nu umK /I ITol • oNo Io.M oNe COMMENTS. rill LOOK eanummoxx. Pxmlm omem No) mpummi loon P3 LaeWan 7302WTH ST �{ Bill v.N p(,t16w.A 11Lad➢Y, N> CLAl ,IMRMDaK Arldow ST(" mmuC+• 31 BNE JJ -wrAM VTYIJ LO I LPi owO mn RKemmeP O+ nni OO No r �118. 1q �� ,.o Kraw m,.ealvonm lmomwuon w l L. m.w,N•slwx, —L. ssD.ms N ma �--..;.mw, p� sarerya(w ema�na. Drvh.m cmmn S* Cre; eve.po ea. rfex smnn Pamhrvu tmxm�mmycn., 1 R a Madison Letn, W153]OI-1162 WL � ,rr n52018 k p W(P i50 1it, .�Sa i{ary er nit Application 4Rpre.aaA � om fwnmw.�.wa Ill m�;,mmmmn 36s86% f ... pump Pow s� tam m xr,m v rvn pmr� P0%l ins klkv o(orm.lbn ,.m �ormD..mlma.mlmRme,.at _ olanfwlm.hon- p _ Tr %t/Q P. xn�•Png wl{Salts Lo.M /'MfryPson o/$ .,�... mi M• ImAm Pmamw.wma ,1 !o l (ol (o 73aM Zoom Sr S£ onsml za toesuE�a .B�l dm, b GU.Z sZo T --- t 9 ry imm mnw R1S_ Bu�M i.B fcM1¢k ell tRu.PPIYI 3 Z mr,.m Xrlmnlo v wm v N . > P- .mMofx vwmee x mw, ❑ Pnnl„,..rm-D� kUa— — ❑c,nnt DSWIwl.a-Dmm.kbll ., ❑vom csMkm.n, V, / /gip 3/ 6 / a, vr Hmiis o., eb ,} m 1'rv.tewmx reewk omr ow ena .......k, eomvharu..ee•roham.! 1.❑s.. s, M„mR.mm m E..nnssm=(moll.) I I F,mo vx,mn ❑Pmnn Rermm ❑Cnmgmnumhr ❑Pmnnlmeh�mlkw m ima .mpvmW R OUMLAPIMIM °•^° 933(ax 5 z8 97 IY 1 Q?n2wI s'menr Com ...nwrvkf jUhtCk All that. a,mm.tm�mhm� ❑mmmrmalrc rnd ❑nlomm NMum ❑w.me<z.m ammkw ❑xniame,*N: ❑unmml,fc�m�pnn ml ¢mlmv_., __. ❑PRm lm.m a.�uawl.nt _ tPs fVlrcvhn lalntarmapm n. taVD w,wlRpp,w,nnxaq D„vmmi.m, Rmm�a r D mm xalrnpmmr smonekamn ¢so o. 4 s'G3 d1 96 o R?-� -1n.nu Info caw/oo ° .•"". Invert //Mm//n,...{m., ¢Y �� 5 Pn 3 {✓'iMRt.Sn� o /o eo �.L II.W6So 65'O Pv�� J` 411. awWwLnnrs4am.m-r.ae.•4nww. inWn�nnintwhu.w .uattlerowiS.ro..n u..®.am p.a riC wed�fe mw y/i(� y4,/u Aio6'7 725 —CF4/--?+2p mb a MJrtul6um.Cq.tl1uK (ap WMI vw rD[.y.�a o.�o.r �mlk x� IIx tonml.-s4mx�niatar o...pp...a 3 e e(1 hse.P, i�xn.��u ce� /1 �ekW 1•ti .s�sk+ !1 �� �w.aaoa..w�l mm�,mms. / .memnmpmeYul.nnepemvlvmm�m(heo®rymympp•.nl.m/�(Y[. Bimll Q4-; r dzci .11..,..6(R II In USA f rieNAxI 4n," i / ("I'll, D," ui uomyWlp' PRIVATE SEWAGE SYSTEM Sw<yaNRuMprPxu[n INSPECTION REPORT GENERALINFORMATION (ATTACH TO PERMIT) P8perm ItIrI.Na" lANCR B.1IRIORD RFEmSG: xP Ri8—:ww. w ST. MIX x0 399336 018-1060-30-100 ' TYPE MANUFARURER (APAd STATION BS NI IS ELEV 111 ��0. .F BarMmarr , ;r7 lu),f/i Dwin9 ws✓. p. d3Y 3.73' Axa4 BItl9 Saw Nnwfng SI/Yy NK /3.J'/" L2.i9' T SETBACK INFORMATION St/w Ou0et I' TANKTO P/L WELL I BLW =w MI DL inlet Sept¢ NA Ut Bottom y,4` v 13.<n -wlrfrer DOlin9 NA HMdw/MBn AK NA 9pu NOMng BOL SFuem .a 9s:3r' PU P/SWNONINFORMATION onGrMe MenuFROurer DemxrM GPM r-P 9f' i/G7' MpCII Nno' Q/ Sg' TDN Uh Fnft:on S t TON q F B fwKemain I LagN Die. TUN'M SOIL ABSORPTION SYSTEM 9ED/TREXOL txqu IMINUI my w.gnts wlbu. tqW GM SfTBAIX SYSTEM TO P/L BIOD WFLL TAKE/STREAM 0 um INFOINFORMATIONINFORMATION LNA rt DISTRIBUTION SYSTEM iK'" 18 aka %,qIcXEI w fP.aM— SOILCOVER R Prenum Syomm" only III MOUM Or AEGMM Sy6bInF OMy DaPwDa� o.0uow, .D.g1:01 nLtltlISaAYf =WIMJ :.:.Rams :x.6yas BPI I on, OW I OW, 0n. COMMENTS: Ilntlutle<atletllurepeMtes.IMrfoMKaunt, K[ 1 I ]![pFI SMDpND 36.29.17,RBrSB 730 300M STR86T ICT 1 9 � NMIrMYMrpuirMi ❑Yw ❑Xo U = I M1eruM( 6tlEitiamlinbrmKlm. Sao6710P III Data bwnurt4lmwn Gn for v P::� e, 5�� .. f, ".. c P., —.... n-. -"� js� �,o.v =_,� _ _ c -,bE0-3�-ic._ _ .. N ��b3`�,.�' ----. Ew sfi.� sja1..- y�glwd y.o5' � � -=��^l --- -__ 4 .. — ,� /4_/ r Sl 4 k 3i 1 October 09, 2019 CUSTID No. 220673 DIVISION OF INDUSTRY SERVICES UMI N RANDY RD H4VWAR0'M 51BISSI6I GmW TTmpn Wm n W oMtN n 9mM W mafidm�w+nNua n mgar ATM YORRS/imet;a Soon"wr. Gwama lour; GNMme SoeMary CHARLES L%EBSTLR ZONING OFFICF WERSTER SOIL TESTING&DLS16S ST CROIX COUNTY SPIA N58I5 ]]0TH ST I 101 CARMICHALL RD LLLSWORTH W154011 J708 HUDSON WI 540167709 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES. 10N94020 Idmn(mnon Numbers innutnoo ID NO.1165866 SITE: Sne ID Na BNI50 lame PNersan Pln¢rcfer to FormIdambwu0n numbeR, ]30]WTH St aNve. rn all dmuwlN the agency Town of HammoM !NI CromCounry NE 14, SE 14,&26, 129N, RI lW FOR: (daecr Type POWIS Component Manual Romhoed ObleetlDNo 1800008 Mamtenance required. Replacement syscem, 45D GPD Plow tells Systems) Other. EflloeuTifter the subramal JeverpI above has been renewed fin,ormur vice wr0. applicable W wonsm Administrative Codes and N'ruono,Statutes Thesabmatel has been CONDI FIONALLY APPROVED Thrssyslem ismbe tortaWcted am located in accordance with the endorsed apprI rim, m]with any Component mans"ID) referenced move C0101 The owner as derned in chapter 101 olooL vi,mmm Slamtes IN reslwvble for cormilanae xim an code AN requirement: ANC A copy of the approved plena specifications Card this letter shall hcon-sue during Carmarthenand apr toDEPT OF IS OF msrentonby aurM1onssJrtprexnmtrves ofrM1e Oepanment. which may include local masseurs Allimams OM SION required layme state riche local uncivil shall be obtained trial commencement of consnurnrNmsmllionn'operatirn. Inmannng my approval the Dtvrs..n of lndrerr5Services reserves the nos should conditions arse mAmg two nttessny for code mmplmara. Aa Per and sots 10112Q1. nolM1mgmth review Fan reheve the dengner of the respoinjons for deargnmg a Cafe Will snurnue oromponent rEEG mgnmConcerning Concring Ma Correspondence may be male to me m the telephone number III below. mnthe addreav an thes leverhead I The above left aJGessea shall pmnde a mpy oftol lever and the PO WTS mamar mom plan to the owner Why any others who are respwnsmle for the installation, operation or m unremnce of me POWTS Noos y, Fee RogorredA 25000 Fee RowrvedS 25000 Blame Due 000 FAwmA warexaler SF emlrst. DrnsrOn of Industry Services Wt5M.1RTtode: 7633 ( I5p34-34M, Mon Sir 8.00 a on -4 30 p.m towns uiylot@wrgov Pg_ot Private O"ite Wastewater Treatment System(POWYS) Cl ev Index and Title Sheet REDy OCl 012018 Tvv —wum� MDUS wiect Nome and System Type Mo. r a/ Jt e tr � p ,)anion 730 -/oo,A SY . Ba /dw. cvS S4.00.2 14a�r of Nf �sF.� S.L6T�9N R/7r�/ d 7-�,p /S r r.e x Cr✓ Pa wuAµvCawry � onmms Page i— T l T it Pe&c 1 Page) Page 4'. hi.....d P/a„ View Page 5' Page 6 Page 7 Page g Page 4 4rtacM1mentc. �mxrue.�gnu t'4...4S twist, SLe„w Il� t . .denuat rvmaw. MP ��,06'7-5 wte 7/1712 9 RLPLACEMLNI MOUND FOR LANCEPHIERSON HAMMOND'I O W NSHIP/S`f CROIX COUNTY 9I I ❑A f ION RF.POR I Ihu mowd mxer sysn'm xis+inaialled in INN w l was designed Cora three bedroom home aceoNmg to the code that xs in ell'>i at that onto The system has, forted a clogging hmmat at the interlace of the dnpemai cell and the sand fin, which is the Hawn for this replacement I he system had a 1' inch sand lift for a -D" factor in the design The limiting lactor on the soil test was atadepthof28mchcs this plan will Loch Normal design OI HER ULSIGN CI SNMDIAA I IONS filter needs to he added In meet current lode reywrements. Tlus will & dune by adding a Simtech V F Model 100 to the pump discharge I he elevations as shown were taken from the Inspection report of the original installation and the As -limit for the entered trupllahon. Ile accuracy of these elevations will need to he verified during construction I, ONS I ROCIION CONSIDI:'RA I IONS Remove excess/overgmxn vegetation from mound, mow and remove clippings Pump out any standing wastewater through observation pipes Peru dispersal area to dry our Remove and stockpile mpao l from mowd system Kemove aggmgav from absorption area and dispose of in approved mannerh cannot M reused Remove distribution piper and ob venation pipes and dispose afpmporly Kemove dogged said plus an addiaomU inches ofelran sandand dispose of properly Insawd 'annot he reused. Inhpect remaining tend lot panwic sae to we ifit meets ASTM Speefiwuon t -1 l Install replacement mowd system using procedure outlined in this plan and in the appropriate. approved mound component manual � L Mound D ' O In G o. ftn S A 3 1S A VJ * ]6 A 3 D ryl'�DMDM3MGAme 60 Ail B3W AMe Aveiatle IBVM1'A) LilMer Luvbq Rnb C»oWl D13pwaY MY r rlp. 12 ..na..J1 IrI Dmnwe ncell reyu�iretl M3Geo Mel Lt�e G Wt♦12'XiTM C-33 una m MaTMI 'I;,4Z flw+wn fDU l CeY 5b4e : 3 e Be.3lMn Canbur Eleveam- !> nllad Nee .. In sKu &nI re,rem.�n .f IQ 3wVwa uceewlon zp :O /feM STM C 33 (f) ♦0 AiiMc 33 wM (0) q Q iIIMa u3M u Q 4w Mee see o.til3m eec• is rMrbN. m.MM y.MIpMMMMM pn r Cue: v.mrr.az YaBslaBla® r 'ivrBn.a.a.�)crarB.mnB vt �ow� absptnalsl �y.n ura �.qm ryl n ana wl�ba ,io �uelA n oamo..N [ail _5S RI n it SYW^R/PtY 2/i � BludgaifF WlBRwutIWrY � ii^W Ndaa _ Reo.�elepW fralltl a maM �P 4Pa� B� W M I W k � T t� B.v wNUY a14� EYbbtlon LY PYn VYW �lggB-lTyBiry Erq Cmneum. _sole �ewu Ggrvm i p ♦.nwi M 0 3YBSYCY J� Y C33BBM(q ♦© Y C33Wq(0) 0 TNNa Yym Q Go nNt ]OfaLLLL dd— ' kdnin�rr� I — Ior, ic a.- P r r, r e,x COMBINATION SEPTIC TANK/PUMP CHAMBER (No scale) Approved Locking Manhole Cover With Warning Label Attached\ Weatherproof m �I :arng Label junction Box T— IP Final Grades 1 61 Minimum rt LI Ala^tn APPROVED I Off IDIOTS MITx APPROVED PIPE 3 oxTo SDUD smL 3" of Beddmq Under Page iy OF-2 I" o R/"rre eev v.v e.>mir Approved 01 _reerdn t cap 12- Mi 4" Minimum n, j Quick disconnect 1/4' weep Mole A I 1r In G�AF:Ire � iiscaModel 7f oo F/= 79- 6 D moo.— s Con,. ec fie. H Pe. Air Br. ry .u.,p and Alan, Arc On separate Circuits Number of Doses. S.JPer Day Gallons Per Day/if B6-S Gallo, Volume of BVolumeu:e(li. •3 f. al ic, acturer. N'deru r � y Z�— local Dose Volume •�/�Ga'lc eufacturer uoiP / ns —T—a nufacSurer , Sf rr� Humber 7 Ca pacm es. A<l niches Or31awGa Ii, . "roe. 0 inches or 3�Ga11: . .nLer 9 ass; inches o inches or�GdII dTDan.NY i3rl .^ D, scracEduWitare 1G6 ormTotal. I nches r 6SpGa� . ji .ifferente Between Pump Off and Dls ��ution Pipe / Feet (9p_7o 79 C) deecirea Supply Pressure . . qqS5Feet v. _et of Force Mair a,C�Fn ¢ion Factor/1CO Feet: eet u2 _n D!ameter Force Main To .a :Your t .. aa Feet _. Tang Dimension. Lergth 6 Widtn E E r errrrr Liquia Depth�/,.c �+ H_a3en craa,dr -11,6 rf'LI, fi HEAD CAPACITY CURVE MODEL In -in SERIES TOM DYNAMICHEADDFli CAPACITY DAumi Ns no Aw4l)c d/6 �`Q' n Lo xEaO 4WLTv IM3] tM •S � 0 I3E 101 3W j 10 }Da ]x S00 :9 IS a5] fia' EYa x0 610 M IM x3 xaz a as za Tse o D Is 10 5 ON 10 20 p a •q a0 y0 Ito rural O wnOw rep pulure said 3" 400 CONSULT FACTORY FOR SPECIAL APPLICATIONS - ,i lase pumps are available In 20J/ V or n • Mercury float switches are available for Conturnng single and three phase Systems. �..v'I altenators for duplex systems, are • Double piggyback mercury float s atoras ai acc and SupObed with an alarm are avail able for variable twel long cycle controls. - • Mecnarmal alternators, for duelat systems, are • Long cords are available m lengths of 15 - 25- 'valli pm with or without alarm Switches 36 - 50 feet • Comdmabon starters are available • Simplex and duplex opens are avadaole. SINGLE AND THREE PHASE UNITS 40, 3 5 19] $Mea ty �v w r ~• L� 104 On a stT� emen•a si rR 31 ar laAn '� MM mou" Sr r5i ;S47 N. vim aNpn•Ge 5; 2 f0k. N +Nuw Elm Z31i in 5Y AYA4;Pn as Him model !bM 5i 16 :fdMOgPa a email fR as _ .mew w.w ww•+w. w.www=w •w• vleaw r.ww w• _ •ewwaaeft, fees �y�wu�w�yy fIw •u wiwiw�a_e 10IDWwwn CYMLIwnOvwwu•� IANu�i��~el •wwa •1•we x Iwrt�i � faw4 M4. nwisy RESERVE POWERED DESIGN .w7unusual (demands a resew mmy fadme b an mglnanaartE®9n Port of Every Iwlb pump ZOEZLER /'- / nor rrat.. afww.m•eRa p Lo vo.aiaun �;=1"Awas sails ©suss �irw/v.}v iizv POWTS OWNER'S MANkMl- i MANAGEMENT PLAN Pro, �' > Owner .- AN £T =R f ON Tank CapadN b o O O NA Films al ; Tank Manufacturer /� ,. C NA DESIGN PARAMETERS nI Filer MMtufOmurSNorpygAM STI' lO0 ❑NAp FBderMNaNumoerWCanmWal Unlit Tank Qpxily � ,' O ONPEsumaW Mow lavarpe) 3n0 p ienk ManuM1c4uer! NA�Sai 9rl MxIWkL(6bnBW al.fi) .S (� p NanuholulV'A fU�5 F�r:* Appbpmgatl ppaer ONAinnuwvEminm auxin MVRYy swrfaw broM UM AM Fab. Q1 A Geese (FOG) pp mt rA%Oj Filar G Put FmrOxygen Damrd(BODJ 4]Odbnkw Abaston ❑WxbrmTaw suaprMea so'xa R531 1aA Herdm ❑ OMbr AaePraae/x]EmumNGuany ❑RAMMWyawgO^W Gl(a)Mgobmcx OsylXn OamvM (BODJ f1M mpM1 Moro IGaatyl o IrvyromO 1purrmetjTqx Suaparged fsA aRss) SU myl nwa �MouMFeaI CCWam rometrq minor) 510'dW1Wml OOMar. Momentum Effluent Prtic4 S e 1(MraYmMer vywrgprl4mmue0mmmrey eauxnrw vYar p{aYYA�m�o�aY MANTENANCE BCNEGULE Sarylae Event SMNpe FaORlwl ly innped mMltlondtlnk(s) adw arcs very 3 omonto 1cy0Or1.) (Naalmum]Yn.l I Pump lMmntanb of bnklB) wTn mnWroa akxpeaM seem a anMa(Q of Wk Wume °rvpo=aecarsadpealx Nl�laro mry ❑mori 'Nrla) (WaYnun]yn) .:ban emunnlmw# aY�laMaewrY .� ❑rrvMa xrar(a)':. nr e.k.c 'r (mapped Wmp, pump mneda& auml aWain mn wary ❑ mmft Dreams)ONA A/.iaery f Husn bMrb and pn M Win a wq ma evrY O malls O yeasts) O NA '_ utlaa mw.wy ❑mmms oywlx GNA , N«N=.r� u ilex rr. wary ❑eweaa oyarls) pNAArly .—; MAINTENANCE INSTRUCTIONS'k :ror,. `.y.w.p... nspwwna of brief and Ol]perael wW efuk EeFmtlo MyronLgivpual mrryYp om IX Mae fdbxaq' Ikeruea or uNfiobb Maxx Pumaer NaaW Plu bar Ragk1W 9eyar PONTS Irupxbr P(MN?s Meknaner, SByge ]ervavq Opuatry Tear Ybpe,'dmP mull YaJalea NNtlI Ylgradvr of Vie mrik(e) b tlentlry anY rnasuW ur CVOkan o Of blitant On rWka.INCIP Torb wkwe don) small wgpedM eamxE bon MbranY aer=up nr pumlrp of empend m me grwM wmpe Tore aMpr.x peN0) anx pa.auxN aapenea m rliwk d. emwnl Iwea inmepaarmor maypesialro Jurltrorrrynanto des ft imurcrowty wrbU Tore peas regulatory 9iuurq swlem may Inaezb a IWIp anaWan all rqueaa Mb Mme]Mb rrolXbaan of me bend rapxxory eumMN Alien Me [wnNne] emunulWwi of audits and aRan N any Wit aeuxs meNea (Is) or mo a of the Work Mume, me nlmbWait W of tlNnw " W raa M/ a Sopli Smvvg [O.reramr arm dim N In sccrcaance man M. NR en] emNumnsm Abmm�uwe Cade TM urvcy Of emuml flIM. nwluniul m gwuibs] POMTS cOmwnents, pabwlymend mnparrmh, all MY curnermsnfavrp or monitoring at nfenels of lx mmuu in Was sNtl w pNlmmM by a permit POWIS AUWMPyr A Merv" report shall 0e provided b any bcel nagulabry au"r aaMvn 10 days of completion of any service event tit ART UP AND OPERATION construction, toner b use of Me POw S obi treatment Wkso M me presence of IumurlP P O umS Of dM emme rem meY unomrs Ne tr faNam Pompeii a y a a dumps ore msparul for prow It usemmntraams are �nmxea lave ma mmenu or me bndad removal q e seprage semong opralor Iakv ro use m mart up shall not O¢¢ur when sou conObons are but at at themfiNOUve surlah. na „dg Power outages pump folks may fill amve nanny nphwahr levels WMn pouwr h rmmrae Nis eqe; olswaar wJl Cis discharged a tsum lhe dureal S&Rsl n caAni does overinlousi Ms)v4 may result n Me autup Yr surace Umdrage oleM ner TO avW Na awash have me mnlenb t Nis Wmp ark remove. oya Sepdge Bar uWy Opaatw prepu IestiaNg swop b rM umahOffluenta pump or Arthur Me P a P dark or PONTS Malntiner I¢ asisl .n manWYy ope2btg Ne pump wnVds w restore nonnai levels me quip ark. OY not envewpark vehpes wet anM and empeRal falls. Donot Ynveorp&mw..YrYNarwse YmWNW"W the sea wlNln f 5 Mt Emvn sbPo Vf any mount w aryrzne all abspp0on area. NadulYon or ellrhNetlon of Me Ife wing Iran M wYlexepr vYBBrrI may Imgwa Na parNmmnce and Toni hand of lie POINTS antlblptlm, teby aides, OOMM bunt, caMoms, cation seaba: degroesam, derail fines, dopers, dlbNl¢cants, fa( Icundade t that (sump PUMP) wear, Lull and vageaible peelings, gacaYna, goat, her siddes, miss sa' Fs, medkatlMa, W. Phil produN, pesUcges, sonfory napkna. Empire', and ani soMner brine ABANDONMENT When Me POnt Mn andror u pumanently taken out of sernre ma wbwtw ebq Yam be taken fo Insure Mat the sysmm,S propM and safes abanWned in amp yeah W. Comm eJ W, WbwnYn PGminisaabve Cade • AN ppeq m ranks and pies snail M diwMrect yq Nis wardonee di rpMmgs sealed • Tne mnranto of all finks and WE Wham be Mn ere pmperfy dampness! dl by a sepraga SeMgrlg Oparabr. Abs,• pumping, au tank. And Plb When AS avvreW and removed ow bar Seat removed and Me your sacs hllerl wAr Ads gravel or arromer Inert sold material -UNTINGENCY PLAN P Me P01115 bale and cannot be responses Na following measures have been, or must be When. W pmvke a code amwhdit eplacement syY m I A suitable replacement area has been evaluated ant may W uthred for Ne )cannon of a replacement and aomrpeon ma The mpacemem aru should be pro6cbd Mom dewrbann ant cwnwryon a Moud not of mffli upon Or r uv seMxMe horn edsrvq and pmlesed eMrterre. O1 Wore al wells Famum W protect the mislaovnant area aim molt in the neN M a it mil and Any ewlualm to ft wu a suMNe eplexamentarea. Repo enta temamumtwmgYwM m"lnafl«tal Natome suitable repiacemen: area is not avallaee sue m seneu anNor sotiirri Bating aovanms In PO NTS tonnnodgy a holding tank may he meelhd as a last resort to replace We Now POINTS phis sib hay rql DC¢n ¢valYated w penYly a smtabh replewment um Upon leisure of Ne POINT$ a sdd and site evwuaMn must deperformed! W bcae a austebk repMmment w. Ilrro roDtacement area Is ewaible e Rated lank may M msened as a last read To replace me failed POINTS >( Mound and a4gade boil absorption systems may be rewnaWded In plax following removal of Me biomat at mesnfilrretiv¢surtace Reconstructions ofbuch systems must comply vnN no rules in effect at Nat time • WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES MINOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER AHY CIRCUMSTANCES. DEATH MAY RESULT RESCUE OF A PERSON FROM THE INTEWOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE cDOITIONAL COMMENTS 'Utt INSTALLER POWs MWNNER ri• Nam _ _� � Nees Plane � lS 7 ' 3 � Phone =PTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORT' Agency - L� o •oct Irone PMde iitt 6w0 a aO qh Gmn equaMwn) miewwr Soap WSaaeWiNwtlw P,udwnotnww ser,l dne e numum aComm W.9RNa)IrNupmWNWILR)aCal�Wamnnn Aer�WYWe sins Uwatme Mymenluwr shai 9) A oor u ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANKS) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence (Street address) �'� located at �3 'tt, � ft Section ' (o ,TownZIN, Range 17 W, Town of St. Croix County Wisconsin Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS 384 25, and it (the)) appears) to be functioning properly Most recent date of inspection or service Did flow back occur from absorption system° Yes No bf no, skip next line ) /,� Approximate volume or length of time./V� gallons 'notes Tank Capacity /ot00 Construction Prefab Concrete Steel Other Manufacturer (if known) rAj, c J 9� Age of Tank (if known) [ggfy Permit, nu�befknown) (Licensed Plumber Signature) (Print Name) (Title) (License Number) MP/MPRS (Date) Form to he completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev 12012 STC-10 SEPTIC TANS MAWfRNANCE AGREEIAENT Sa Cri County 0WNPA/R11YER L4ssu .r� P /c r I/ MADLYG A1)DlMS 1110 r lGw1�hy(�R�_ (`I%REf-- BliUY;N WI-S SY00�12 PMMW nxtn s 1�j0 'd(Mrl Jt eCr Li �'s+'+ wfi i'lM A (lOmtm of mptn ayum) %max ahom iron the Plmmg DeA. ClINSTATE 84 Uwf, W/J t4 PROPERTY LOCATION UR 111, 114, Sec4oe Q 6 • T /L pI N-R�ZW TOWNOP 440101ultnol p ( n. mom COIINfir, WI SURDWISION wne (I LOT NUAIHER_ CERTD DSURVEVMAP _,VOLUg1El PAGE310 LOTNUh®ER� Improper use and manteunce of your assume syslnn could malt in its formation fulum to handle wnln Props meintenmae cmuisuofpuuPioe out the segrc MJeverythreeyrvaar soon.,rfrreedetl in h . mtc tank Pumper WLLL you Wt inw We system can effort the fimmian e(Jn optic nnk n entment m,m ahem in the ware arrpn.l system St Cron County residents may be eligible an rxnve a grim fro a mnoro a M of the rem of mymummt of a baling system, which was in claimants pour he July 1, 079 St Croix Counry, vMd this Program in August of 19M with the requirement Wm Owens of all new systems argon ro kap their system property maintained ltm progany awe" agrees to abmr in St Cmu Zanmg a mtifronnnr , signed by lee owner and by a nun Plumhe. journeyman plumber, remicteA plumber Or a licarsecl Pumps verifying that (1) the on -site wastewater disposal aysmn is to pope opening condition and (2) after migration aM Imaging (if omessary). the grain tank is Ire than In full of shuttle and scum Mc. the unMstgned Mee tail the shave rryuuamo ad agee to mammin the running, sewage disposal system in raoNon with the Warrant not forth, boon, in sin by me Wisonnn DNIL Condonation noting dust your nature has been maintained mustbe mmpleod eM month Wthe St Coma County Zoning Officer within 10 clan of ate tMm year aWtnYan SIGNED // : / •_yp li�/—J-,`��—� DATE. n 9/ ) S % Rm St Croix County Zoning O Government Carter 1101 Cumichiml Rutl Hudan, WI 5016 lim Leo�re lN:m.,melnd.w. SOIL AND SITE EVALUATION REPORT. Pap d `L At4M1 CpndNu v4 d.n on pµ not k. men 0ln x II IMw In Ni9 RMORNIiMUM.4M: 1'0l PeRCEIIDF m111mnN to vMWaW M1omow rwemnes Ron RAS. dmvden 000 w of On o, dmereuneE. MM1urow.udbu4nnWdderceb muW ma] R iEAF4 W7E APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION r PPCPERIVGXNER � PR (t IiYk� 7 Ice DFr I,M .NA PRCPE SgxlRsem oR Can IvrF 'aEg. OR:aMM an.olAl Ian W. rt. 17/S168Y cm pvulnRE aml xExlNr 400arl }'/31 p{Nex cwe0utlm Sm� Rdi414dINArtadM1mis I OA1I°on bersf:9WMiy I mnl I RMkIXmnmEttlNkMib IAXN, ememmmawRm.i�S��wa BRud D.3�i�O.nmemmmgn wmirenm I,'- mx.NPdxI2 mMgpamE Amap6onaee RxPRa.µ� mm R'-_mRhnE Aammmrcaenwmlre�wJ'�-we.mmttE_uNtm.aoa+� vawnMrenme Muvma+eum p�.13>NR 9.f .N s'..9.6 almaAmwin pwmrcrmard �d naamnanwanlNdmtiaeLIXN t17wJ im ' L 4 5enA s: 9.�.. IDS An A" vie. PuentmalMal Lo.Ar Tr LlmA pandmlhn,tlyQlutle fl u:unsWt os iu �s os 0X°u 0S �D os !o os ❑u u Son nS o 13 r• Gland �S D" b MAPS NQrg SOIL DESCRIPTION REPORT Honxon DOM In. DOmineMGbr Mureell M1blk DLLSe.CO0.C°br TIMM Stru m Or. Si. S. Cc Sys, Roas OPC FwS nwol I -10 9s7R) A.si a 2 10.31 V.SYR46 5; akL4 n IF 0•5' a6 3 31-10 s'YRY 6 ; cI 2 A Fr c.5 IF ON dS y ro-so SrR Y 6 IF I F a.srRs18 Fr — I — — WRAP Remark' 28 P-riRY 16 !1 2 Pqme M Fr C. I r 0.6-'OL 3 201 SPRY 6 elf;-srRs/s AF41k —;— ., Aa i AN. SOIL DESCRIPTION REPORT ppg I a�A— . EMng# 3 �rE OepOb Saw q0 Rn+re P yGym�uN ri'/ tt DRIP b Imlp HIXhOn DqV' In Dominant Cobr Mumll MI Ou Sc OMOON TwWm Sftmm Or Sx ED flaBb�a �� mON OPD mtl wM O-$ 75YA 7 i ; I cs 9.9 0dr m 1 8%Ll 7,fYR vli t:l ? F0d r\%- 1E 6,f 64 3 Al-31 Y v6 — ;YI ! nFi--CL if ay 5- Cl Ar-aL4 rH F^ GS .F ba- 0.3 > v�6O SrRv/6 FIFJfrarls <I Rem" Q 10-17 7,rTR416 s/� t 1 of 66 3 z7-V S r3v16 s% I z L H s 6, os uO tr 5'Y946 1iYRSlp Cl �Fz,L n/✓ .— -LL —'— ftff N �mmm mm� ®MM Pamerk9 SBDema1P�9R proposed lot One proposed lot One to M7 a:ele %.7 B3 We = 915 2e-� S a I n 'vn o ron 1cot, BI 90.6 BO ele, 9214 I opproxemte bcndon of the g $outheest corner of the - roix Northanst ]/9 of4 OF the ctto of ,aSou"wn o�"itoend ste�roix �tY Ne.fa 200th Ave corner tee mo• � S 9 ST. CROIX COUNTY ZONING DEPAR R g AS BU LT SANITARY REPORT ^IP[O /_ Dwna Lg l,re_ PTfrfso„ ��=�e� _ Address za6 O) as Gw,r e Legal DeuBlo& : Z Vol Block SvbR Y. 1(E Y. �, Sa.2�. TP29 N-N-RJJJ-W, ZW, Toxv of PM k LYk 1e yi.:. 1 111 U, K 1ja..:.4sR �) (BOWMG TANKS ONLY) Setbacks Service mad Vent W B air imeke Waz Line Meter mcabcn Almm location Type of system: I i l �YWth—{]./Ll .,_Lrnglh V Number of Trmchea Scd fima: Haaae Wdl m /> Vent tofi w mmke ELEVATIONS: I� D nptionofbmcmnmk 1`P bloc4 an QQf , Blevm nns/u I Dmctiption of altemale 6eoehmmk fr mcvmiw *2 PN o .i Baddivg Sewefnrlttr TalT �b smkt?2.58 sT-eaBet �m � 0 �w PCB D' S Y HeadedManifoW Top of STPC Maolmle Cover f�% Ay Diambutiw live. () Bomm of sya (, 9��'P () () w Wooy Fmel cane () ` t/ () () akJZ$ 6PM o„ Rryla<ke„r O�^�s Dare of mMHa ov I Permit anmber State plan nvmber 47 —4 3S% Pmmber'r ei/ge�amrc� Lkevm.umberI a(/57 Dahs� Impactor I/ �wva-