HomeMy WebLinkAbout032-1060-95-000 (2)It I'd Ohl Older,eu PRIVATE SEWAGE SYSTEM cpp0x St. Croix
INSPECTION REPORT 1„1915 nvmnx o, SAN-2018-392
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SR-do18-39d
County Sanitary Permit Application
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ST. CROIX COU9TY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following res!4nce
(Street address) an77 (oo - .57- located
at N 4c l , tip, Section , Town 3 ( N, Range W,
Token of 5aw-kA&Le , St. Croix County Wtsco ssia
Upon inspection, I certify that I have noted tae tank(s), to the best of my
knowledge, will conform to the requirements of Comm. 84.25, and it (they)
appear(s) to be functioning properly
-
Most recent date of inspection or service G - 16 - ,;70/
Did flow back occur from absorption system? Yes_ Now
(if no, skip next line)
Approximate volume or length of time: gallons minutes
Turk Capacity, /0o0
Corestruct oa: Prefab Concrete X Steel Other
Manufactmer(if known) IDC u,
Age of Tank (if known): 9 7 $
"'e - num er (if kno 70/
dR�o y u/G�RD,
(Licerrabd PlumberSi ature) (Print Name)
M /0 aao - ?
(Title) (License Number /MPRS
/o-a—/B
Date)
Form to be completed by licensed plumber (Dept of Commerce Chapter 5
and s. 145.06, Wisconsin StaUtes) or hcaused disposer (NR 113 Wisconsin
Administrative Code)
Rev.0/2008
ST. C 0corP..'R'
seenTANTVA � CFAa-, L 7
AND
p OWNERSHIP CER'I'>ESC4IION FORM
Ownm/dvym Sn.• i�e . /.��,a,.
MaaiL Address A00 % % `(o O
Prupertr' Address Re) 7 i
(4'vi�ficsumeyuvN from PimumS&�^^BD;armea £anew runm¢ctloa)
eiq/Smfe.0N�a�a+� &e-Z: pycelldmtfimuon Ni bm 632 —/o G0-9s-poo
LEGAL DEscxsxlory
PropmN Leceuon uuA %; Nta /.Sec. ,T2jLNR_aW,Toomof .50A.On&r-o
Subdi, iaCa Plat ,Loth_
Ce edSweyMap # Volume Page#
Warranty Deed. SS- 7R (before 2007/)Volme /gDa7 page4 4197
Spx hm CyesJffno lalm-sitlmCSeblel¢yespm
SYSTEM NLk NTENOVi E AND OWNER CERTIFICATION
�vtntrtopa ns:fpmm own seY,seolc rysyv comare5Wmi6 prmmrt fadme -bindle werue,= Yc
asia6 ofp m➢mg om 0 eeme rink ev_ymrsyearsa sows,i'nxNq %alicroseapmpe. R'nm youy,nmw
.he rvY uv aBex the fo,�m ofNe sVd=mhuctrea�ew g-b:mtbe wesu dup ml+ysfem Oanrsaam¢aance
respwub�iti-s are spxiveim §P5.3B352(I)mdID ChapL t2-St Cos Cowry Saaidry prdcav,.e.
ILe prope.Yyowna zgeesm sffimrtm St Qom Cm Plemiag& Zaomg DePaeamt acarlifimwfwm, s bd by [he
owns ®d%amssta Plumber, IOwneymm PI®b¢, mutes plumbs m aaw bd Pmnpx venfyl�:hg (l) Em M_ M
art ds05lrysem a m cone¢Dpe gcmamon wdla (2)sdw emecnm ma pwna+og (S�swsatY), the septicmkis
Ito thin i0 fN of lnage.
Vwe. the mtl¢sigoui have reatl[be ebaerzryce m¢mdem-smeuiwz¢Ihe ms2te sewage oupesx ryS wth Ne
smudads sebM heain, n SS Sy the Deparmmt OfSa YAed Aofesmoml Sauces and the Depa'mmt oOOa iesomces,
Scott ofW cmm. Cete6cepw vs]ng:baz Yowsryec sYnea bazbeamamdoeameR be comPie¢a avd tepm:dm@e $e Qo¢
ComtyPlmmg & Zoning DeparAev wlttm 30 days offue3v:e y:a myre9w title.
cetaH that a45a'eayb on tys fsm meeue mihe b:m otmvlowlaowlwge. Uwe emlme@e ownv(5) of de
propmy damneder e,b; vilue ofawLanty dee2ro;oriedm Rcfm ofDeMs Omer.
Number ofibooo
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SIONA OFAPPLIG�'(5) DATB
MY ofomPoiDn Char a mimemss�ed¢ay^^ y mte Sannay➢=b.Ong reooked by Ye Planniq & ZO, Dgat®em •.'
IvclWe with this app'.ssavon avwNd Wa Ftleed fins the RemDfDeeds pHcantawpY o;ae csa5ea swvrymaort
re uOuoe is Wade m tlewm:anry,ieM
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2006 SUMMARY enu:
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Valuations:
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WSYSTERAPPLAN DEPARTMENT OF HEALTH AND PENCIAL SCRERCES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL TABLES
PER Box NE)
�DIWN,WIX�N BEEN
REroxrox MIL POUNDS nxu PExco,nnuxnsn
I. nw.(V ,.,.,,
a3
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NO III A`WNAA
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TAPE DF . .
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HABITANT
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NEW A _ ,.NNU.�o,, ..o,,,:E..x._h__._ _
o<.E:oasEa�„�o,i MADE
OBSERVATIONS
SUILBORINGS ,E,CoL,.Lor..:
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SELL YOUNG TESTS
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FIFTYAS
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Ad STILLA ,LT 5
a. t nhroliq AT ITNotablIrp
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m RATES .1 GI. eiyan yGiamu�ar uem� S'C ANA, OUT, ��unem.�m
ANSI
maT wu
6l ANY.wn
AS AULT SANITAET SYSTEM REPORT
WEEH�Q� yu. TONNSHIP SEC�3 T31N. R�N
. ST. Mai, CONNTY, VISCONSIN
LOT LOT SIZE
VIEW
Distances L dimensions t0 meet re uire
quir¢men[s of tl62.30
SEPTIC TARR(Sv)_HL. �
TR@ICBBS OofrB° cover_ . _ Death
B® m, olleVi �1CONC`RETT' DRY WELL
—
ad th_L
lenggth CJ � area
depth to top °f f
AGGREGATE'G' P Pe
Pw gA
Ts ,AggA REQUIRED AMA AS BUILT ��l
Risciaimer: The inspection of this system by St. Croix County does not Imply complete
compliance With State Administrative Codes. There a other areas that it Is not Possible
CO inspect at this point of construction. St. Croix rCounty a w liabllity for
"Alan neoperation. o Efailure if fall ure is noted the County will mate every effort t determine c °f failure. °
CRISASPS AND OILS SROUL) NOT BE DISPOSM CESSOCY THIS SYST
`INSPECTOR-11J�
PLUIotER ON JOB
Ltcexse xuemex �,Si � —•
PLB67 6,.,.,�
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'DENOTES STATE APPROVAL REWIRED
AOWNER OF
Martin
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muoo, no, or FAILxo.,
hall_>aa,da,—..
_._ Repo:,ne:. all Prefab ford, .. k
c EFFLUENT DISPROAD SYSTEM a
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Nine Addition larval
Full
SvAAA 1. Lin Fort Wall,
m:rschervaW
Coal T I. Driall No
ARABIA Bed u
myy-� TAY Depth ELI' BY
Barnett, pit rove efo.:n
depth Tile S, Le
Prom, uoa m A.n3g2 G
_ Carl t,� 000ml
the unearthed do Probe rentoo 'Lot the
dual I have ARRIAT , A Are rectran "i
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PLAN VIEW rlana< or •e6em
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St, Croix County Planning and Zoning
Uebll sanitary Inform ation AL'neon ,rPNI 24r 1006 m l:reol rV
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