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Home My WebLink About030-2066-95-000 (2) '~.CIIn:V PRIVATE SEWAGE SYSTEM St. Croix arc 3..iidmn Euston INSPECTION REPORT san a Pwmlt NQ GENERAL INFORMATION iA-TACH TO PFRMIT;' slat( %'lan C NC SAN-2019-055 F'rc: ..-L"v 'l.;:a 11:n n;y'rcari DurPC.RS 1-n•.a:', Laws AiI.,I .1.t rid1N:1Tr '.:rll:rr -rrn-:nit ''arGRl ax INC Daniel Bettenburg TOWN OF SAINT JOSEPH 030-2066-95-000 ST PM Flan m>p NN Erc 9Ll L,,,-, Dlo:. _€-tc^ TcwNF'.annaVal Nc 35.30.20.609E.609F TANK INFORMATION ELEVATION DATA IYPE NIANUFAC I URER C:APAJITY ST 4% 1:01N Hi FZI SePNC Benchmark IS;rsau7 Alt. BM %.eraiion 31o9. Sewer HOI:hnO :ai1t Inter Sr~l Outle: TANK SETBACK INFORMATION I ANK I(i P7L Val-.. 31.76 Ve,l In An ln:ake R)AC DI InWI 6cpllc Lit HnllDnl 7U3111Q I-leadeflMaft. 4wa11(RI D:s1 plp° -,oidrftq Rol System Fria c-'rade. PUMP/SIPHON INFORMATION Manu:aclura- Demand St Cover GF'M Meoel NUmner TD- I iN Fnr..ian or,s Svslem -lira( T7H rl F:VCWORUT uNOth I :ha Ju[ t5 We _ _ SOIL ABSORPTION SYSTEM RFORRFNCH :'v d9l r^I" No Of -•ennnns PIT DIMENSIONS VII Pir lln oe U a -uwo Duptn DIMENSIONS SETBACK 'S ILM IC:'P:I HI 17:7 Nlrlt AC=!`.<1 RFAM LEACHING IJanu•ncc.mr INFORMATION - CHAMBER OR Tax~~ /=-wm UNIT pt>yrl r.umms DISTRIBUTION SYSTEM Heaver Va,%- JISCIGUaon -,cle iL e x bore 'oFas n' tr i. rtnakr 1-. SOIL COVER x Pressure Systems Only xx Mound Or At Grade Systems Only Ceptr 'T.c: 1"Ah - - - Fr:c7rcmrh Cnnrm levLT nner F:fnr 'npsai- Yes Nc 'v rte 1r. COMMENTS: ;Include cede dlscrepencie< peel prc'Sen1. r.,. Inc.pecllon C1 ns:r 11 r1 4d Location' tES RV VI=V, A;7RL'-+ RG' 1 1 Alt HN IYSrnpS:;n = 2 i 31dq sewer le."ty = - amonlll U' c:rvcr = Plar revision Requhed' Yes No Use Who side 101 addlhOnal uvon:lanon :~.ar nsepctor'. i:.mxure Cer. Nc GBU-F,71C iH.. 3,5; s-hN - a 6 19 --oss } o4d j Oounty Sanitary Permit Application S Rolx n wls NSw r r utt na .er .Ir.t Y r a f IaNNING 3 ZONING DEcPARTM-?A GsVI`~ I'rt~a c i.ax ° U C^. a rt r raU R33C r,~ r; O 1 2019 ~ tieo~~ r t -p- ` 5138e a Bp W :'t 51185-:ESE. Atta. r ;;r'pwte pans I❑ Neiti.tem , ie_ --an F-1.' x rr~ac5 ..re. OJnt 4-.WW 9 Pr-mri SSA-zbrq_QS5 4 oh abcn tm rma bn nlrasc F I. IniUrmnllo° '_ucati r. t ne Nrtr. S I) tlrf IX it Ir i 7 , -,o. in~ rtr wn.]'e IAatira na9re-s ~ _ Lr !hLn:.9r BiU(1 NUmCEr-- l d,~ - r) c~ Cop r~ Lcf I tv r 1?. r r::._ _:.a Nam- u: CSI L .t wumo°_r y of Building One a I mm r iesrrt i ` .,A the r it ri i s ie e A -.znJ~• J\' - ~ 0 3 ao ° - 4G-9s -oar, r.- .L---- r 3o o .'pa of PDN l Sl,lom: IChT M ap that apph" _ 4un ur°e stir: r•.. :a n] "I "J"', 1 -A i rm s , d^u .r. - _4 :n .u... _ s ❑ r anC ri ter - _ r~Ga. i.10e: Ia Line if, d h - 1 am .`,rnple >ess J Yh. {c al,rcatmen Arco lniormafion. 'r 8 '.]p4 quu-] I DCbet '-.ale _ar rMr Ir.cF,i 1.mk Inlormatior. _ :51 rr Ito :b: t a Id'.^u`a:;twe• P' a n- ;;..r `::-e I[n.- _ N,A ' 1 (Iny^ am 7arvc. JI. Responsibility Statement - - Ir; iJl. :]n°C ICGU'irC L:Sb.. S:hdit - r_ dIJtP ❑.I~n'tIU or 4 J.':aUUa"1 '.Sta'a:'Dr nOr pIUTUIn.^, (y tM F: v:~~ s'iOWtl thE .lra C9C pm'r. r-enSf c 1>..rU„'tC tU 1 :ahr e m ; ih l dl of r1 o J:N: Sar:atT iVbt_'C Jhlhe Nar an. r ,r' 1 1 TC Irv s[amp.' IdP 11PF;5 Nr IBu.:nrss Fh^rle nu'r:,, ~ Aaaress sre _ at r .:(rr_ ~ ^ - - 3.11 ZO VIL C:eu rlt, Vse unll .at $~Z5o roo .X Conditions o' Aporoval R(:wens to, Dmapp•nvnl. Cen~a,'wvs In G.UP - ZC)QT- o(~- K~ :j,, AS IC;C.'I •ANI-AWY cISftM RF.PC:T :%:Sh'K -V wTiSI IP ;?Y A-1PK[:$y I Falg:'.'p. n:'t~ Wl;n. d; N ITHIII VISION 'li vt do ru•t 1.:-.'..tin::: t4 Ce2t qQl lfeR 21lC6 .tl. :III( b. I I nr„ I'MY11I K; W;:A A Wt. FF:CI U3' :.:FIIN I I I w i ItiPIGATF AG DTI= Ftvn..' HIINf EKARK W ris. the r[l_al F.1 rent Lm cf Yrl t:ral reirn•nce F..,..t: toJ :.I a;. vac: SFvl1C TASK: 9.uurlnc t...... Llgald CaFac' 11 Y: _ N:.:ubor of riRgM uacJ: _ - _ lan4 t.en L:.l~~ .••::~r .'.~vnl Sun: Tenk inlet L'l coat lun: Tank N,tlet F.1 r•vat VUr: N~ILnr of fn..-: IrUt• ncarw:; IG:ed: Frnnr•~ - i Slde^J Hear, 0_. 'at trcv ne JYr•:I ;roprI'v •{go ^nr:A ~Sldc,~Ii..nr•O (t.,.t \:avh.-r t. rl frn-ty vrl i _ .n' Ir•ir.%: (L:. tJ• ~.4 dell rtd.•rt•u:. d. to eeFtl. r.;n..) Sot ?fRFFSC'Si IF i' I1AMhi,+: I ru.P Ma- •1: Yumf+'•Si h 19: nn`ret .rur. Elo..a ln.l ••I .n.•I haltcn It Idnk . Ir.. ..'.1 +.j;. lr :v.lt 1.•no .nll.:: u: pcr ~..uu 9.tou rav to rI-I >WIrrD Tvpr: r: i irot froc wntv:I P"`petty lane: Y me, C/titiAr.Oke::r•O W SCn L,•I • feet from Wcl 1: •Dunh:.- el II'•'t fro, huital llc. b.IJc :1: sl ~n.cs ou plot pLm) o. ARSpKP/PiN i1'SItM i gth: .v r trr.t •roa nr,:rr.r ?L..pc:ty _LI ll rarl, ! 11SJc.l 1.1i11_ COI .I droc Dax l il._LL i L11 ~n In,:. toa of V:.Tt'Cr Itl Ttll nFra: :..•-v:lt l`)tl lfl.rt: Diu-1 iLL.~[..: -.1 fiver n...l a+C Gnq•rrly Li"•~: It:nrt. O'1d.•,QNrn ` \Yr. 9u:uh.•; eL feet tnwu w^.I: ' .r r.:.r :It trrl !n11 Du i!d I-.1% F:, 1 .a IRw I:e4r1t.. r.•aL. - _ J,:r:; L. 6.•r.!,., ~...i. L. Hiv: C'di.`•w .\'n• .i, I.ti<•u. prn:n•in SrilmLt; - I rllr '.1Nr. nOl ~!nl. 'r. f. a AIM; CNAMw 1 ;CIHVi+rlh r,t IONA. r r•- rVII r NLH .r N5V)N% YS, . •d [L`V Al IIIN 4NU U6r41HI:11ON INf OHMA710N I D I L H R APPLICATION FOR SANITARY PERMIT _ L ASF PHIN f 'H r'I I 1:41F 114.5 y1 c - ~ rv ral 11 - T_3!, N Fi mss; t (nr vi - - .utf W Nf (N D,4 .F l4fyll~r~-I--T V WA Ltlj~ YPF OF BUILDING OH IIhL SERVED Z-,: f rh.l i Tr11S VER ✓IT IS illlin rl.'I•I ~...~'Inc.'S-n•glr. .rl.n,r~tiy rr I.ri Rr•, ...rI r.IJ r{. yl.. Y 111r .anlllr , IT- I r TIiIS IS A (04vVNTI0NA1 WSTCLi ('r)VrPL(TF ?HIS HLOCK - - - - - I AT r Inl "r I I V'Irrv• a i I se T _.T - - -T. 1~ I ' jLjL•V ~I I:il] IS - 7~ J L_ AN ALTI-RNA71VE \YS'E r" f:W-IPI.ETL (1115 BI LICK. yll Al:-Nf rf nl.: .HI'il 1.1-; l .l II V ,Illlr 1 II d - I rS Uned Ik!i ul.y J nnr .GI~Gn Il r ~ l•u - r. l COUNTYiDEPARTMENT USE ONLY - aow..•aJ l - I _ _A. • q U0t rmn aPJU it r. ...Ir rr. I I or q Lr .b:. • iFa.- - - - - - _ - - - L _ ..i rl_~li..~• iu.i q. n 1_ Hn uVrlu-Lr lru_ I_~i - _ - - RUWMG POWrS EVALUAM RF"Fa lll sx aa;t~ Meru - F, N 'CSV .f4.~s lTdq --T I F V. $5 E ! ` -SW--.- - _~cw k'O E~ PIN& bme d(ro 4way.. Geasan Ar erad.atieC ~ n..___ . O1:Ywaediroflntptry ©chamapi wamwaeer Saws r lao8 ®t«zr~.~e-~afeethooes 3 O 00ando ~ womm6amwcstracgac-Ild vmkroWB-- "OV"&w - ~~a9~a(rat~mec6r4etm ONo aaGoS aeema rovers Win. ete_ i AMdLaMI.., Was a antbsypeank pa,joodykmw IN fbis ifvl3%CMWJIDK_~ ~ ~ t~D.eafOyes tftne,a O_No !yes 3. &kftLjmkw O sephe lad (a) b y oWmw Wok(s) M ta&clpecity. l,~.e; se.' ~c„t c~'a>B 3c+.> i'tmtbm'ofu im MOXIM1 OSitd OCawcw 00dic, Caatfitlaaafamhsahamas ~o•.--~'-- kdca Areasfirma,rive.-vas,labels. .vcamg alm" iastaaW atdin good "Aft odml Oyes Otto Ta ws) O Were I I I on tat.) by_ taaa®e oDwnat,egomepamp- beeaeoombwAdacmanddodgeamoy<soteafbnk..bmoa. 4 Peon- - tYAot,Qp&,mv berg CWKity Nmoba oft mkE Matad is Osteet Ocowdse Oomer coodhEmoftlahal ►eec Aresaf u%rimcovers. WmA%rocks,reamaatme, imWtbdandmgoodw d*%on%? Oym Orte 3 ens: Ou4m®d Om-cm OMamd oumappucdjk Was any wagesMaorcMu a demos d. «pw& on, the wound stvfam? (add, r"d ok) Oven ONO WascMm,ttobw iatbedittnba6anodPt OYm ONO IfYMdepth 04biboaoo Cell Size Depth orCea Syrtem ebvatim (NEeow)_ 6 S Caait~mryd~etawwa-magBwce aw deao1 abow): / ~•a-l: ®e k5 ri tK e No ~~-el~i is yam. 1 do hereby oeadl( eat do hWbroKion coutobsed on thk rwport amd aooaoopanying docowooy is accurate and, hawed on die ovahmides, do e:b6s4 pdvsb serge oyehm warvbig the ahroebse metbe above tlewera I botim OIS (DLs NOT a &amg syttse, w defined b,;i4S.W(Q jRFi da 3hVNdn („e.a xM* teat acme ~„aa - oa.e edam - ttam7maie. w►wty tlo altee sypga so.aast • Omm, rw*. O>hmarrbmbtraoiriftesa tun lbebdwmdrwNb[migrOff136via8waRt}atbEsdspwwkrenadwstwdswthedeWaftheeultrF, wy. TW onhr8w daa am vwd my "Wraat, eyawed or ko" ST. CROIX COUNTY SEP1'ir' 1 0 -7 . i n..m.i d=X- llannin_ d •?nns parmcn:.o. n- osnL-ioL-, LEGAL DEcCRIPTION Certified Surv'ey Map n W xrrantN Decd'- befo-e Z:IG`IVoie i'cge >p`c ✓1ust ves F to ~S lines 11e1-r.ab}_ ~.Cs - L:' SS'5TE'1i 'vLAjNTENAN CE, .NN-D O"-!~-FR CCERTIFICATIO ~ L. r,7L":e .Ca L rte:.: of y:i s~ sn +l; L. 1i n rm Ut 1-u T..i:.L.~L l... JOL-+;iL I tlt." l^LL X11 tr1E Cet?7C -mil} Z..hrL - a)< > L ] n] 1 - L' t II:II N 3. f pu: "r.5 iLPYaOn yr L] "'en-i- =.I.:` =".'S3. S- I'S rXZOC L"i_1L.-7:L1..: arc L E'SFS.:£' nl in CnaDl- 1'_ - St. Cro`_x GNUS Stn¢ary G-dira;lcc. v? ll Pig L Lg 7-in!= Dc?a En- - cc: ,ca~oa io ciWs t_; = an_ b', a mash 1l=t Thal gt=b . ~Cl D LTb': C'T 11 nx-nnL-r VC L'1'L^.L za: 1 110-slie 1S in DJC. OneM-1nE ..==,)0_ C'd t, ..I:w in:nc u.on an n11DL1t t.. 7_Ge.^. a I LR, svvlc lzz~: u 1BSE an tilc u,de-siMEd ha1•e :aa the LnC'N-. ezui7CIDeI1R 2_-lc ale:E -n Mash iL the pnvar.e seu•-_e dispos- s•stex Wrt ;LE Le-e:r_ z* se:'n -!it Dtaa Mea: o'Safrr: rld Pro:essia-- ier,ices a36 ;bt Ue-awn: o: ):a arr1 Resou es, "p :r :e7n: r, ^L°ID h_•c tlx.:,°L r alll::ti➢°d Ll'.`5..,: ~p'?lp. ::.~i aL~ =Ci.l'➢e~ i:;, u_ S= u7:?ITi s,1ur1 Pi .nlne o;:i::e '?Cpz'crlen: 1• irr n :.:i deys o: ale iv : Fear e>pi7nx a::.. a3: Ll. 3-3L^I➢mLS OL -n'S Jr'S Hit rj -'J! ncs'. I sxi I U7 .'W'E am a'e the :^Wae-;Sa o: 1?: op -p descr C_ a:OVe. m N7,= o` a K a 6~9 rcco.-ded is RC s : o` DC: Gfr ct. Number of bedrooms S1CiN _ V_ Ayr' LIC.A':-i S D T= e v _o a a~o> rya is xic egrCSCOwd nay res 1t tiE san- g 1 b°_ing rCC;lked v 'm:r Y r ne De-ardent in_ladt -%tt anp:ica:ior a C: :ied wv-tun• c:bt Rc_stx ai - C ' )ice arr t co2r _ c :Sec L •cc z2. rL'19'CCII~ 6 i5 Want k Vl:. 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