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HomeMy WebLinkAbout032-2030-10-110sam.m ui.e mn.a. a PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERal TANK SETBACK INFORMATION I F� eLDG mu,m pMo — OoeMg �I z I^TI Too"II lP050r I )MM (Ne al touea- CMW pv pIVM -- Nr AP � � � No ��� ePlan Requanallo,� raa OR0197) Dl G: pjr �talh r✓—OKo T�W pimpecFa! PIT fo to tank. Im 062019 ,'osps �_ s.r�r.maasW= )w ay.. s+Tw,.anC�co MAV r_n awT)ex ,;,. carrpm � (oO7O9Z tary Permit Appligatt _ � wmm�mm. a; umWm w rtymnma.tumnz,�nm®.mAm � o'1, 5rUb wnr=v a, 1�n� :.•SO5 rm.m1 / at. ,�. AwwrvaaF.nwmAm .S Ws-, .o Two u,c 7 °y- m.4Ne.r I��hW�w WwGwA ��e11•nxwov�gmekl mAzm ❑Naa�ilzon Gircumman na �v.,am...m.-n ¢�n ❑ab�ixwwwv w�-m:�a AveRmtn) mmne.utw = �.mw'o(r�r..:r'.�vru�Tnwvm�en nnN..r..rnrwmimmuaxa aem.naw.v-.at ❑xnw:m„m Gm.�a..mmar..-e G.�w,. _ mem,� .m. � m'Hamemdi ❑1iw aTme ❑wmlrmRm� sm1�w>m a/ vmvmw.�Pmr :..t«wen mxm mm n�� 1m o�'i5OTw s�yo nn nv-mm g /%Ot�. 6 .i�O li XSO 6� 41 Tmk46 <wsNm �W Mryyyyn .56 Vmss Wrc1RM1 ,•: m �»�rM� c?ia357 >/s=J600W wr�mrn.n�ca:.+em�) R cop INN W Iu AI1i nM!. IA Lw rye n�^ 2 M.Mlxk qv' '. �I anFN w➢t AF�M1 AVLv / uMrtvuu SHP69 m11/11) 1 Poll, oat > wq O 4xI su � —oF.—Or a �' �g 9S'A6 =1-4 ''7 -'vb SSo Sr AN p2 w -lt oh „! ooy S s tyeuM\ DWISION OF INDOSIM SERVICES 1 304 CREEKADEw 1 NOU u xvb s<sems it lnmugn R.Yl \l f L Mp//mp.rn.gnv/LmHamallere W.aa>x wtr E..a-corPma O..am+n-4enNary Mae 1, 2019 C'OHOITIONAL APPROVAL PIANAPPR0VALE"IRES: 2W1-05D1 Condidonal/y PwR ,PW15ll51 W 9I-` APPROVED BRADY I UTGARD DEPT. OF SAFETY AND PROFESSIONAL 0 FGARD PLUMBING@HEALING SERVICES AMERY, SdNI P4 0.BOE 15 DIVISION OF INDUSTRY SERVICES SITE: V v MATT BRESETT 50 Tro Sheet �(/(i�PiVW •�� Tout of Slmmrsm Saint cmi. county SEE CORRESPONDENCE NEI/4, NEI/4, SS, UON, R19W TONI Amount: $250 OR FOR: Dmcnption'. I bee Beimom MOmd synem \ Sloping saw Mai Conryamnt Mmrvol- Vol 201 $BD-1 0691 -P (N 01At, R I WI2j. Rowe DourBuron Cumpmcm Memel-Ve.2O,MD-10]06-PM OINI, R. IWI2), 450 GPD, M dWlb to limitn8 fadx from ontoirsl grad,, New 00narvcli0n, Maift r regwml, Effluent filler IM1c subminal danbb above hart reviewed for cnnfmme with amlicable Woco=n ldminis m,cC s uM Wivmsin Slmmes. lh,submitul Ms M1een CONDITIONALLYAPPROVYO Bissyslemistobe cmlmtrled and Iwmcf in mwrdanoo wish the rnGoed approval plans and with am tmrponant monodist IetetwW eMve. The awtrr, ar almnM in cbapta for 01(to), Wiswmm Sutuvs, is tcryttwible for comph=oe whh all cal, requirement. No petmn may en8e8e in orwnh et PltmlbinS iu the sate wleav IicenaN to d0 m ny th Ihpvpoem pa a145 Ck scold ITe f011owing amdilions stroll he met during mnstwwon or wsullatim aM pn0roon000per v nr uw: Reminders A.smtirnt, permit And be obtained from the cony whidins p j= is listed in accordance with she requiremrnts Of Sec. 145.19, Wis. Stets. Inspthan of the privme sonde synem insUrrion is required. Arm rgemems for inspection shall W made wrth the tlesi®umd wwty Official ai accordant wNt the provisions of Sec. 145.20(E)(db Wis Stars. la start approved g Big pfiber is required. Matfiftent infonnatirn mull be given to Nc ownerof the took explaining thaz periodic cleaning OfNe filmr is requiral. • A fNe mlane ifi=om lhi lmlersblbem dud clmmttction d ' by t o udre mmivtoftheD whi nciWelotl inspection. Owner Responsibilities • The conentowner, and each subOquem oxen, shall mreive a copy of this letter. Dwnem shall also -motive a copy of the appropriate operation mulmainNvnre ttlmt ll(s) and he responsible fw Conning hoot PDW is opetamd aM meintsined in auoNmce with this chapter and the approved mmagemem plan under s. SPR M351(0. ha the event this soil absorytion sf5i or mY of its component parts malftncdms m in W create a lealth Immrd the ponWest, owner must follow the mntineency plan as described in the approved Alms. • The owner is responsble for submining a mainWhollm notification report acceptable W the countyfor Component" ompolra clue purposes. Reports slmll h submitted m intervals appmprime frtbc componro[(s) utilized in thus PDWTS. In gamingItisµpmvJ the Dm,m, of Inches" Servic W$siecstM nghttO regmm change, nr alditionashlud cwtditiOnsuim making them nweswry W cndeeompliawe As pa ate 4nm 10112(2), rating in Nmmince ,bran relieve The of of the repo Lilityfm designing a safe bwldwg, sammnTre, or mniponan hunimesm ner ing thi,cwrespomk a maY k made m me YNe telephone numM1m liwM below, or m the ishiess on lhialtttetleM. The aMve het ahL nnte sbWI ProvNe a ,ye of this lettv and the POWrS hnitemM plm to the owna and my oWas wW are rcgoneilse far the in"Ittion, giauioo Or mm tmmce of the POWTS. smcemh Gvlwul M. $wz, Gerard M Swim PDWT9 PIANO Reviewer, Division OfbtdustrY Sen lees (608)989-9892—vacsA(608)185-9330—fine —d5n euv Owner Responsibilities • he murentowner, and each subsequere owner, shall nionve a copy of this letter. Oxners sball also receive awpy ofihe appmprive opsmtion and maintenenae mmu l(s) and be msoonsible for riming that PGWTS is operated and mainmwed in accordance with this chapter and the approv<d mmayemant plm umm s. SPS W354(1). Iu the event this soil abwrptiou sysem or runs of ils<ompment parts malfinenom so into meazea health Inboard. the properly owner in=follow the wutingeucv plan as rh smbed in the approved Plato. no owner is respoombl<fwwobbling a maiumsma v<mfication report acceptable no the coumv for maimmmce treeloug purpoms. Repot6 shall W submine [ at wervals appmpii me for the coruponenf(s) ibiilmd mane 3`0 T In ganting this of wwal the Division of NAsat Sevices reswa tbe right to require changes or adduiwa should conditions arise mating tM1em nwessary for code wimplievice. As par ease scats 101.12(2), mwng in this review shell relieve We designer of We noVousbJ for desigvwg a safe bi ilNvg session, W wn@wmt Mel wncst thiswnapovdmce may be made to me 9 We telWbwe swoon, listed below, or at the address on Wslmerheed The above left addressee wall pswide a ropy of this letter and the POWTS management plan m the own,, wd env oWva who ere reaporwble fan the maillaoon, opevadon or maewmance of the POWTS. Sinmely. Gm" M. 5 M Gerard Mswim POWTS Man Reviewer, Division of Indusq, Services (WS)T89-9892—voice \ (W8)785-9330—line MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Pgecl Name: MATT BRESETT OmmWs Name: MATT BRESETT OwnabaA�msa: 1592 NTH. ST, SOIAERSET WI. 5a025 50 TH, ST SOMERSET Legal Desorption: NEME M IT30IR19W Township: SOMERSET CauMy. ST. CRUX SuMeAsion Name: CSM 2WG1 Lot Num. 1 BIa*Number: CoAOltlona0er 10322-0200 APPI OWD- o32m5g-,g,90 DEPT. OF SAFETY AND PROFESAL Ixbx arse NN SERVICES e„„' enlywinga DIVISION OF 'T�f Mou INDUSTRY SER ddr Paged LA al and close lank APgy , n^J Syetem manland o Bwtl 5l IpDU d 1019 ��— ���` "``'��� nfln en lg Mxregemem Bntl mn9ngMWy plan S)?), VVVV Pump curve and epeofratlone MTCe� PLOT PLAN SEE CORRESPONDENCE!�g SOIL EVALUATION Deagnef %B�YM�RD Number 22035] Data PbxM Number ]15-]BDOBISSMmUuMount CRr PoMSVerean30BO&1L�1-P (K 01N1),eMSSWMP Pci Pnpun tiatr0¢br NelµxXaygTSgg I01Po11 Version 3.111R. OBI01) Pap l ar 9 Mound and Pressure Distribution Component Design site lnrpmNbn ryrp; Sxafl11D1 ukNeWe evnea R Redounded or Commermal Dal Per; SM.f Wn®N auN al 000.00 Eethaatl Factor 9.. 15 l 15 pd) mewnidGxyq®, 1b0 Cause Floor e.g.15=15096) 11,41) Deelgn Flex lgpd) ft.es Site Smpa(5o) a.00 Conuooapan WLineding Faiour JUDO Depth a d Application Fan Ruder 0.09 Inail Sail Appkalion Rae (gpJlllr) DaWbu n can IllfonrMtlen 75.00 DLspemN Call Length Abng COnauf(9) = 6.00 CHI WMM OC 1.00 Corporeal Can Design London Rea (Wound`) 1 In0u>d Wadexedar Oueny(i Or2) Are Me laame Me 111911est Pdnl In Ma dklnbu0on Y Pleasure mainframe lnromuaon retWont] L Larder, or End l 300 MN (ft) Luarel SpaLel If N afove. enter Me aeva5on do d Numfaroflaeraa HMeh hest point 9 03.00 0.25) Olifpe Diaace 9.%%lOkdxe 3.00 Spae9. Office Sr(fl)= 2a0 Fomemaln (in) fl0eed LMP(r(in) aln Lanatba Does Me fercenlein Branfakp Y 90a0 Pump Pump Trek ElavaSon (%) 3.25 system Had nn x 1.3 &NI Vooee LIKon 212 FWW Lose no 13.0] Ta DP fiend(M leMa Dlvlriaar SalacllOn in. da cMke 9]5 W zs % 1s9 2.00 x 300 TrafMnl Tank lnamwXOn I00D00 SurecTank Calemy(ge) walker Manufacturer Dose Tank inrmmined D00.00 Dose Tank Capeaty(gal 11.92 DoeeTak Velume(ga0n) Wainer Manufacturer 18.3I Forcemal Dreinack (gall 5Mxevitmautl gel) 0 mVolnmne 8 Sysem Bernard WPm)(ga) Manlletl Dlnamear9e ounce tlIns Nairn 1.25 1.fi0 x % due S00 GelbnsllncN Catenaror 60000 Total Teo Capacity(WO) so ]5 Total Wwkfg Liked Depth (In) 11V mrinn(enter fesu9 In call Ulu Effluent Fllfer lnbmMOOn POLYLOK Filler Mama mr 525 Hear Mods Number project MATT eRESETT Page2of 9 Mound and Pressure Distribution Component Design sw Imagination R Residential or Command Deadline Nae: summryl®eu.uon. awm.. 300.00 foamefeE elemental Flw(gpd) TAb0}M9 h¢d Weea6ne�nMlwl 1.60 Peaking Factor hdq. 1.5=15M) ¢laoimN`%�nWe 4W.00 Deagn Flow(gil 11Ao small Dean Contour Lim Eleekon(t) 30M Depth he l minting Factor (in) 0.0 In-sk soil Appliration Rate (Doll Distribution Call Information TSAO Dwereal Car Length Along Cement g)= 600 Cell Worrn(t) 1.00 Cupen afCall Dodge Leading Rafe (gpW) 1 Influent WaMewster Quality (1 or 2) Are one added the biglwst Point in the dirmicuton Y Pressure Cambodian Information neMxxkP C Canter or Eno dismal 3A0 Lateral Belong(h) If N above, enter me elevaton(R) a Numbs of Week of the hgend Idiom DAN Orifice Diemebr(in)(e.g. 0.25) 3.00 Orifice specng(it)= 9.36 flemured 2.00 Fordand n Diameter (in) 10tAO Fwremain Lerglh pt) Dom the forcamam dram track? r DOM Pump Tank Elevation(g) 325 Sptem Head (it) x 1.3 e.W Vertirel LM(0) 212 F= L 5 (R) 1387 Tapl Oylatnic Head (t) gnammr8e nadid .tlie. ends choice 0]5 too x 50 3.06 2 00 3.00 TreaInrwt Tank Information 1end .W septic Tank Capacly(gal) vrelser Manudedurar Dose Tank Infornation 600.00 Dose Tank Camoig(gag 11.62 Dose Tank VolumoCaOn) AmSm Manufacturer t6.31 Forwmeln Drvnbeck(gal) 08.90 Sx Vdd Vdume(gal) W21 Minimum Dore Vdua (gal) 3 M SSim Demand (gpm) ftM DWnHar Solvents . did. tlHro 1.25 160 If 3,0 300 salmagundi Calculator 600.00 Total Tank Capacity (gap 5015 Total Working L'Nul l Dept (in) 1102 Dean (timer reaultin cell Bm) Opium Fnbr Information POLYLOK Filler Manufactrer 525 Filler Model Number PneecL MATT WESM Pali l 9 Mound Plan View Mount Ouapuwnt Mnenibm in 1%D 00n G OWft d ft w Aft 450.W W) Dieµnel Gell mmi 128B.42(R) 9eeN Nei A"buft 8w(gp9n) Linear Loading Rue I 7.50 (ft) 11100 Obe. Rpe In a ent Mountl Croee SaoSon View Aggrepa(e ga9irial area Flni&reC Genie 1M 27(n) r ....:.i...::.�1F::::... p * M E oai.mow + BB.00 0U laterel 90.50 (fl)� — invert Giasal CNl 3 1 Elwatlon .� E.'.: .' D �— W-W(ft) Concur Elenelmn 11A %Eke Slop ¢� �C IefiIs Fa Nualiy er Shmi gKey Fg DiePftvl CNl Sm lateral"ails an oo Tapioil Cep ? e 15fl Popelp nunvw, spa, p / o and sprang o!IOWW86 ASIM C33 Sent / _ B ieuelaere ayuelry ®�TIM Layer '� O� Twlmlace pemdhom Ma © � ABBre9aW p I malneubon wvs --A'_El mnbrYne in the dsb<Nmmll lAs9i. PmjM MATT BRESETT Pigs 3 of 9 Cenrt r Conn"tlon L ml Layool DoWnun �mm.aee..rrwr a �. S �-x—r� ++� o.mwe?ruw w.w nw�we.xwra aw NumOaraf laMMx 1 =Diane OMmSpa mCA) 12 La Lcgm (P) 98.W M1 wwml Spacing (S) A00 R 3=1 Fww Rafe T.�gPeIAeMfdtl LeLawml LengOiSycwm OenieierTMal Fknl= Dymm� lleeE 31A0 13.BT gmn ft MmirpW FwwmeinVewtllyaec Don Tank Mformaeon Lmiw,o-.,,m m wm.NnexNa..xa.m naimemrgclppa—+ �.rn mr. wan+amwftc uw..a __ F— u...wamn TeKKmnWeN�PmaMroW aatlu� A MManuawc w rEVEL W Maid Nxm MV Pump Menxwuex r G ULM Pump NxmM E Pwnpwdwm 91.40 gm t 13.BT ftT Pmje WM BRMW Pege4d 9 Center Connection Lateral Layout Dagnam nra. P Norma«rAtetelek lateralLateral LenBN (P)LdRaneenal spaFbnw ll� fl Rae La@ra'FbvRate cornSyslwn Flmu tea! gpm TWal Dyrernk Heat' 1 13.87 fl CrN¢Dionew 0.188N Drir i(XI 3. OParza 12 1 OanlinDady 9.3e Ra/aihe MalUteld LagN 3.W R Manifold Danaher 12M in Falmnan Ve" 321 Poseo Done Tank Information head aW bfABMwn and neatel®PwNEC"aaN� wMteN amm lam WAa�en«N�— T.ixmnPa.a.Pmnwi«d F-AmrnaudH Mmma Wi callale geanct w etB.og VdUmj 11 tll Dimenaw lnetea 2 A 31.41 49223 B 2m 23& C D Tate) 535 am So78 M21 m92 800.00 FmmneNgnaYe aen�newre Alarm Man®teaWter LEVEL Nam Mnael Number DLV Pump Menufammr ODULDB Pure Mae Number EP08 Pump MUM Deliver 3l qe gpm al 13.8]ftMH Project MATT BR sm Page4of 9 Mound System Maintenance and Owbabod, Spanfficaflord, Samde Prn k Name OTGARD Phare T15-70M 6 POWTS Regulalol Name ST. CROIX Phone 71"W4fa0 SvaYmF LnaE Design Fhw-Peak 0.5D gptl Mazhnum In Mxrit Pagck Ske VB EMMaled Fkw-Awr�e 3O0 gpd Minimum BO05 220 gIL Sep5c Tank Camtlty 10W gM Medmum TSS 150 mglL SDIMS Campommt B¢e 450 Mmmnum FOG SO gIL Typeal Waalexalar Dumeslic Maximum Fecal Cddwm >10E4 dWlWmL So"ke Fmmnw Sam and Pump Tank In anew sem =3�m Effluent FIMra r ShOtd AM andckanalleasl Pomp and CorNuls Tact once eve 3 Ala snood test manor Pressure SYs Larsen Muul0 be flushedaM ressu Mound Impact pr ponding and Seepage INSPECT FILTER ONCE A YF M11014101190 COMAINton andM pl h da 1. Obaematdn Pipes are soarletl and mabrla5 canon M Table Cara M.3 1, Have a W darlight cap, and are secured in as moil In ble mount wmp(nent manual. 2. Chaparral wll aggregMe oaMmms W Comm U 30 MXI) WIa. MM Coda. 3. All gravk and presrure WON malalals corrtormpOle regal 1 1 in Gomm M. Wk. Adm. Code. d. TJlage alga basal area Is arcwnlMN H xNg a mON boaN or MkN Ploe, 5. The mound aMnAure and Mar defamed areas" be seeded and mulched to prevent w9 erosion and help reduce host banamemn, Labrtl Tam -Op Daku Fmisned ............... Grace �p 68' Dremater taxi __y Threaded Clearout Sginkkr Valve Box Ploy n Bell Valve r-810ntml eal \ �1 Lmg Degree Rands Cam ds Degree Benda Same Diameter as Lateral PMJaM; MATT BRESETT Page5M9 Mound System Management Plan PumuotWCumm 81541, Who Man, COME Tnkmabmabl ao1�OBm P ME I tyros Woo& Punlmahmo, 6 R12;1�'mad 'ham OF eM ME%"a nwb bermin memo..a mmmazl e memo renmaad mamMream mpmlmg.aderm mrmema gram may a made that wpm mad Who He den Whoad e bank meeeplkm FEE in mnm WE an Cm mm the Mnp and m brpm ueM an RepOc arm Wmp M1nX eLenamnlaNaneY Halo evnNanmvAln Cmnmalll, Seplkm Wmp MF mennob Meth,ea+sr®mi anaivwlexMuq asinepetlM bruakelbnMueeM¢indmr Ppau pl'.mnngauea Mxemb eMMwhummen tlEeaeelee webs¢MUWn11'e amPbtlp^dwrv2. Myopmilp axmee unaauM, mamem bong wplor In pieuaN moramel aruneulM1arbdJ mum and talkmtt dourah nl�n in aameManaX Eeeaama Wen SBWs_Lmh TM eegblenFMeIIMmaoe Eymindrvmwreation Co Mm aeptic P^IuunMtaRH1AB, Slab. ib UMeMidlnexepMa MM:Hell Edge gpttM Nin r 3PamM wn NR tl>, Wb.Mn. Code. iMopeMYp wMlfion dlMaediclankene wtlNeW enMlna �.d m�bwmnm awry a amain m/ mepmMm fiNerxnel Ee rLarseaimmamry benaunprtNrnlertlbn Ina Mar mrnblp anpuM ndMmmmM unbmplartiona ee meMbmbinmVlfMtlnbNtlul meyelouan Mbe Mbr wmnmmomnoml1 en aiM hater atMndra; the WE 111 be Mr a lM vlmm b wMmba mrinuwtly. Inlem,itleMfibralermamrylMYsdtinge Ppnaoren YnpeMlnp ma1Mm tork EUM ME,, N comm; Remmod mem IM wlume plAn" aM mum I^ me tank ama to Ma IlpuM1 wbrre at the ranen the rvbnmabkM WapmM mp dnWnn Man mu1ehrmm apumeM a4ap a[wn lelbn eql aWlsslM orvner pl momme wire deead teeylogiin Wmea�pam�B had thanms by the oewnmmme m Coammearce Gromembf na rwplrea. Hwmval, rcapon Paw,S®nh apeThe lon"(nma�ue)nthat, SER beeM,p Ma. nnkummlet 3 mars, AN metemtlaurcwnnWmW SEEM be mum to ether pmpar mmmswmm n. nmpei .Seam mmm St Ed No tmaw Mrm.enmleee wealmmme mapna.mnehae m.ymm.m.mpm pemmeu among rmeMeatammuervund Me not am "p d hat I'Momerdairm nlmmlba W of a. r"Monambmea Farm' a me among" me'a mmoS, ^f^nlrNrr WE PanamaMom panMF nw cow nMw mF NNll.11m.tC�� FfieLmmery) alarm that Ins mand bele..WHmaama 11 ma un norm fre W ink m(money orb I bound xMw may^N mdF YA mdk 1150 1 Tss. me IM OF for eWM unk anourem On mI BCD, BB mot.Tss, to mgrL FOG am to' dotty or tar mgnly hetmd eflMmM. InnpeMb may not umM mulmum Seam Iw amufimm are pema tm IM mAaMe n. The pms,m dedmatbn museum is pmebt Wln a Mum" pat .the eM 0Mum Iaml, and �ie ra ermeneaa that not bmbl be omen meirabmM..•mmmetoa�mr®�lorm®BmmaeM���•em.m lrmptrm a..^hremmpmum mmra.inam wpa�alem�epmr mom In, ahwml mu. WEE, elm wsldent m anharmnairq a m inatklim, reum he mN^a ntl4Womd.mom lr�wntmomMmeIt ebm. twer.aM.ro In, ewe IWWE dIrem Imme demur momew are mint w mrapwwan�i b. mmF"1 ore llama b EI me mom OF pmem mount canton if I acme thaw Mum. Pam mNbh, move or muted Whim mwm mkdm W&ek mmponm"ane' IrnrrbaYMH mpmlred be mplema wiln a wino rent 0 IM name or put peamwrm. ftMMauna wmponaNeM1 b dmewWmmm or beaks 0 abmelge rsSm @lr to the MopM Wr EWE be M'm m noo me In 0. PMOOM kwam W lllsm boom me if Im leaw,arum or mmnamq bwbalmnY dRam meant weal difir meamN pa WmbofMan, ie,het t and MmM1pnmae nummbbermm War mrmel TEOWIs wuIam IMI wmb emarp mammon. Project: MATT BFESETT Papa 6 of 9 Mound System Management Plan PYt Noe eo N.M. Woe. .(bqy 6roM This SNbm me he c{sYN N eu m wN cmm@df ON, Mat. Gyu, and abet=Y nw Naz nwwM he wMMa mandate lGm-tests M Y1 on and SaNg" Nblotlon Sea 1mbil l and lwl m Wm make pnayning m rya6m nYMbnmm uq maNbnenw mpNq. Modegrand Me' ate a aeplk or Panp bN once E ngMI6 game may be plawm mat¢cod wm death. Name add PIMP man' aMnwm may he In uoN Nth PIMP M33,AN. Mm. Cp]e Oman the made are no blearuMN POWla ormmnge, amm M pump rank mandae rMa, aawex rhea entl covert Image de unpa@d M alter Mph and .... do"&eve mings deed Msemm mAauevmam got oe.emtl xmomptat nn mmplmlpn owvlz. dyotmmg deemM umtud, eNONe, or antennae to lRlhe mud M mplaml. Homed mcom no.... myManor then Nrvficmtlianger sMl m wmad by an eXemiveb ung doom m peal McNdarell m V1mVwkea erery ram R load ttcmnpwniY Sam TOM The PIMP dank" No amendment by an mdNbm' m d m eaAm mom mob uWr a yet M all 1Re mmenh Of the eeplY lank heal bedYp .fin vmrWam Nla Ne 113. V4 Code, man Wm ¢nElbn doe wpncbMaM uaMAper Nelih erery9)eertb)dupx4ort erha1rho eoW filter still be cb amuv W mum eo"ropemlbn. TreflW aeMdge erode M terenrawL uveae moation¢ nmMe m remin sorm¢ In Me M1nkmvlmaYoouyb Mob Rnerwben mmduW ben p sP}yde, Xtle WYrLLgW{p1 WM en LLrm, Ibe AIMM IN aervl"d XMeekrmYpMoed oerMwvWy ImennMemflW Yamla cosy MkN aivgu Mlaaren Yrgnrip w lmuw Tee,mniOak Of the bank am "an M a a11611111 dy, OWN inmedn amaggemot I%Mellgntlowamem Pat Mu Mk Mllemamma Mae,ikare RmnmoWm1M ORM an MedeveemmM1 magemoomue"nd entlnd, W&veer. when Me netl nrvke neeh to be pedolmeam malgmn Ma man mevmum uvm vq amt¢aWunuMM InIM1aNt ,ne wmu.n m bmmglmm.r memwl manias. m.mm�m NWm dam p.rmlm.na. Y gemrmy attendee. Im..a.r, rc edm ,anedm.re des M wy ran.. w mppwa bar aMla dam ram e. Ire Gaper..,em1 bar c"w.m.. P oppril rM Punp 1dwn9) mark phW bar " mWo onm aery3) m, lW maddl alums,m pmnry Hell b bad be wAy pope .peMbn. Nan elRuentflme Y indtlW NWn tle4&p MeA binaryWYaM wrvtretl"wuwy �r No uee or.nmd¢ enouN he PlanW on Xe mole. P4Aaq¢mrylb m.hemuqu. mwnCa parvneM, eMlromwnd"a aewee lm mdmeae"me.pmpewn N.:m.nempma..mepmmmon fmnbaamnmmm. rmmplrmatu.n t., mate m m. m.da Y nm mmranmeee dove wl mmP.al.n m"mne.r.aanoa d m. dne.uve elm Nnan n. nd ant mov mmpemuda In W MndrNlgwnde M1wlmeMmibrt Cep OyMrbWteRcne ICddm-FMrwry)0kW IMma Mound be M1eeNt/ lled ea pN✓1bi M1um lieezzly, lnnumpualAylnmlM mauM ayabmmy ndurmea ZM mglL BOOB, ISmneyL 153, qq 3p ngLPoGhaedkbnkeMaenlor9 005,]l,theM k1 Mk FW,ell tmroWtmm mLtd nyTlypeoetl eMuaK IRRuemAwmry mNmetl meunum Mvlpn flow apufiea m tde pelm9 (w Nb FubMlpn. ore tllslabullon vysbmhporieed wlm afldsdinq celmtlme mdmeacM1 kmro, vtl 9k "wnmeMetltlNwm labld h ndamd maw. mmameamie.m ea chat mama to m.mme wllen.pma¢dre mnkpelromm l.npgabemnlppeedbr lmmalbm when me elmbmwM ram nmmam.mnn rcpram magmaIra.m,mewMmmm.Yumaam"mmemmdamN"d.Idmmmexa Iden Obimbehpen.laxl. obwman n p'pM Wmmtlb adanmmpahup bell bar Rmwmpmaire. bwb enmmbeming mtn. mme.ne era maw.mmm icon" mmmmd""Ymerlang nWmmm Mat, mnmXre amWYw, mugA"mmmmnlmmre 220000mPi If Ill vend& Name m dry mIda mummeMh beam, dtlehpe by bank or amp"em mang be lg Or wpmyJ to hap the eyammm paper amxenre Pool of the Comm; mu. prate, pump abroad. alarm or bbbd At MtlebtlJw Xe MRdke m OMMS) and M drough / IMI Or et Wm n ramp&". W the same Or"um anrlpnwaa n tlw magma ampmemfih to v®nl wmYrremr, or Ngkm a m eWp w m IN Woum am¢, M IN d mpammdw rtpbmd In me prm,m kvMn by mcnaLng bMal Ibe nme keknaeModel or mmovma blmegkmv 11,99W abemplon and d1mmQIl medB, and mkba Pella ell mphcmglend mmpcneme IS mamma me¢ery to all the madam Mc paper may"mMpkn. Eve Page 5 of this Wan for Me name and Woman, number o Near exam Pb mmumor mtl ml Oregon, Project MW RRESETT Page 6 of 9 � -foa9 )cot : wF10 * = e-g SS'A6 -11-9 m I ey-7vr 590Sp 0/7 l —lyaory S g ITT GUULUS PUMPS Wastewater PEPfONMRIK Nm COMPONENTS 'ITT GOULDS PUMPS Wastewater PE�IM NW C�� SF. CROIX COONTY SEMC TANK MAWTENANCE AGREEN11Mf AND OWNERSEEIP CERTIFICATION FORM Owna/Ruyer Mailing Address Properly Address SO r= 57— (vwmenmmymmr ;P•��Zmmg tkpm�W®�yryoew cmmam®.) City/Sfate->»�,p /s_zrPamel Identification NumverVp3a-aD3o-/O-//irI LEGAL DESCRIPTYON Properly Locatiov /J2E'/., Alm/,Sx.�T,N R_Z_�W, Town of J Subdivision Plat LMH_ !,cuWbodSurvey Map# Z6 rt4 /07D35`i Volume ar( Isom 6D5-Y 3. Warranty Deedk A)2�74/ (before 2007)Vol=e Page# Spx6wse n Mk IMlme idmei5m dynono SYSTEM MUsfFENANCE AND OWNER CERTIFICATION \\ Imprcpaux and oWntwaoce ofYonrsephcsrsttmwWd resupiv i[y Prtmamte fajbne mFmdl<waCa. Propv ainrmame<oasicY vfpivnpiog om Me septic qW; every Nrte ymrz arsovner, ifneNM, byali uA pumper. Whmyoupminm We rys¢m cao aged the fuoction ofthe Septic tim an a mmment smso iv the west¢ oismsal system. Owo,, is ioosoce reypnstDbibes ve gacifiiE In §SPS. 383.5111) mtl iv Chapter 12-Sc Go&Comty Saoimry O,boosce. the pomXy owom agree m submitto a Qvu Coumy Plmoivgk Zoning Oepmvumt a cetdficatim foma, opetl by the wocmtlhYocool Vssmbm,Jmm UPoolog WokiOn auMplumbmmmspemN pnmperwifriogecs,,s Weicsapi oaacstler di.R alryaem ismpropv opsatin&wodirion avd/a(2)aRu mspeclioo mdpimpmB Cfvecessary), Nenepdciank is less W®1/3 fWl ofsludge. Vwe,the ovdemigml beve swd We above oifurommts and age m mamhm the private sewage do Wrysl®wjeh oo abvNN.e mr fmW lss m sn by the J%pnmamt ofSaRry And Pml 'moos Swicss and the Depvmmt ofNmnal bemmce, Sbh of Wisswem. Cpeifimiov smemg eha[yoi¢ septic rymm hm ha oainramedmuN be c®plemd mtl remold m Ae Sl Crorc Comry Plmoiog& L omg DryatmevlwNdo 30 tlap ofepe 16tee Yearpyvadm tlaa. Uwe certify ehaz all sLemmhm f areouem Ne Mn o[my/inn kvowletlge. Vwe ®/areehe mwu(s)o[Ihe propatY hs bMaMve. by vupte old dcetlrewdetl io pe®ahr olDeedS plfice. Nuoss SIGN oom, ,� SI/O/NANRE OF APPLICAN]'(S) DATE •••nny mr mmm;a miaepmemmd m.rmwt iameamimay pmmitcdng,mnbn Mine Paining¢ zmmgDwm�c••• btclude wild tltis apPlimtim erecordN wmnntY deN fiom We ReBisem olLeetls Office aotl a copy of[be ceeGSM swveymap If refmvm is matle m We wutmty deey MV. WJ2) RECEIVED sr ayo—out JAN04'- 'wem,Yn B6ilbmeuMy SO._ _...__ ownmaE�idM.DEyELOF __. oouman�»n^�m as, Wes. gym. tee. a°emmm.reYi.p.n�, veP.,nmw.�nans 1a. 11 inNnmY... Pi c 5f imYe..wnm ih aW In.�i.ne nat.anai nn � raN�. aa.a^n P. 1G. u wbni.ry.,. lew �m.n.�nn..�mn.mm...nemawnwei.uxe m ne.ree��, O:5 Z�iU-ic-iq; FlOaSOp nt Yn mm,m.lrae. aM .am Dltl ,...Pw. JoXo—m roo n9-�... W - v. Ein . 3pN a e( W PNHMorer'.NµMeYYes BwX sb'.. 6 X— iw v zP I osn l sw zP ca. PN�. nma« ❑c` ❑ways N..�eoe VneReYEenoYl NunMWEM'mru�_Culebnweeslyn Gcw,eN 4 PG Por.nimflerW_ �U/e%i flmf %an&rv•¢nllePglraNe jvT'.f _. GsaYmmNr�a // �.mnirvbYsjv:z L — ❑� �,� , f3M G ne. 1�, 949. I— - 19 Rt omneamo.w.]LL'-L)n. Gwmmi`'e.N s / Y. 5)Yh :aw_. 1432 1201h SI, New Richmond, WI 5 017 )Pass, ce- u®m��v�■rus�st�r�a�mru umznu�i �u��i■f�Muuuuu� inIWMFM sr■ra u6r�d� uuu■uu■�u��uuu uu��uu���uuu u�u■■uu���iu��uu uu��u���uuu ...... m� m uu�u��� uuu��u��uuuu ����uuuuuiuu EMUN Of 0 D,']95Ytl ^42ud.SS,N5 lean W ERuuMp]. Inwc IygL adi55.b mM The Dopaystient need ma¢nal in an'al¢ma equal fmmat,, Please c nu<tPthc hpnmem al 608Q66d151 C,=f O82H-P1p aerviaa m Prtpily Ow<cee PeipllDp Pe e ❑% ErauM.xW.l.r2 Deq�bSmiMPcedw �. 'SR #I.6W,ID<m �"i IK<150 rryM1 'EAYmER.9Cae530 ^6<. sd]55<SeryM1 The Oepagnenl olCammerce is eeeA malenel in an ilceanmµa4wtOamP t Pli x umnw l P6c guiAenml V 08$I631 5n1 ewt TvvvivY0nu-EbK8777. vic5a Soil Test Plot Project Name Dale Croons un Bud Address 169250th St. Somerset Wi 54025 TM k226900 Lot 3 Subtlivislon ------- Dat 12/26/16 NE 1/0 NE 1/4S 8 7 30 N/q19 W Townshl Somerset Boring Qvveil PL Property Line County ST. CROI% , BM or VRP Assume Elevation 100 ft. Top of 2- pipe System Elevation TBD 'HPPSameas Benchmark M. 18%slope 613' Property Line Scale is P= 40' unless otherwise noted B-I\ 100• I sa• tc 50th ST i 1318' Property Line 1356' Property Line rm!�, �n�SGaol9—°a] iz�y ,501E O Paea11m�. eacFmmpla •� errz flM, ka¢a Plan mnr `[eJnN '1 erefeomfl polm Bi Mimi lnd elopde parmllG PoraIX uleor more ne, ne a Iae4or d wild m veemal wad. a�Pi PNn[ allitprvnmion. 1O ev Perq marcmmMee ne me.—or��mp..evaq ee"PiopePmMrIV 5k ny 0eiyin Looaten M TI p�c im Pz MokP eddie ". N s g , M Iny �m,rI "lbd pry a e tm) # OIs, Si. Lnwand s,m Neme csw N O1n Penn, N.meer ,. ❑ +N ONu.q. n0 SOmN W 5 cgs" *QL-R.e:r4�N rt Rn emtrwln Vie P,a,mmnlNamcearm r em. z �_IaIm tlefue ea nnNme 50 ❑PeplaemIm nemaeeanee GPrte Pei k Gec��04r Fend Mail eyMeputk i, mmneneS445yes+aL'47er's llo+'w Do-09 SIP +.+9LSD' tie" 00"94.00r� _ BOMpN �BOIInP a+i9 o u eu aide,. -I"lA I, Denth toi 9n Mu¢on i BaPle R -lo IQ-S 0111nam cdv M aveu o > SY 9I ao on ;d n Slm Grf s>,sn nnertrenm mG( n / ",IN ca0 Pnole 'nwi ]M / PM Bill Ion PMe •ma ri lannnew fvl If er, a. --I-. 44 PRO _ .-- R r,aremare, Ylu}i' 8 5L1F >=,uIIpT ' 3❑ fl°,maa aEl ItGmnneeueemaev "dwo Depthillinuingli,ri In si annulling it Ea rth enl Cabr unseN pu. d, a pr66a Sh uie C GPMI -10 L a Sbv- ev Y1 L u 3 �5• SY Y L u bk r. w -- aP eonesa 0 a °' Gmn no Son"' eln._n Ilmmngaao, m. oun wifti Hindi peplx in Darrid ma Mi Red"Didonmlon Go 6z Con, dolor nr 4re Grr S, S, ,,a GPCM ' Mil ftK2 I ❑BermgT Oplt round Wrace elev. R pe0l ....ng frCru In q Ilcafti III nadir C...Nien $ pUa. L nr. COLF T'i id'i G¢6¢6M1 mslarenre untlery GP Mt M 'ErymuM1Ti=BOCK ,2a0r4Lentli4>3d<r60ngt EfGaM 42 - BGD 43o RgM1 and i66<.M III meDo r 3 L r 'tl nlr'.IC'�od read .e as rn.Wna r olon vssvhcJ mrnrm 08 Mr! 311.'T"Fm,AB RJeyW. c< G gm4++1� , % pe�Of � L-1s am _ �_ �' 9a_ n O¢p1A -1D ReCor0eaor 6n q II on 5 Sl,mm Ilan Sx.4A neat Ga,„ IoI RA GONe eYRyI 1, L 9 k � 4 G ]rryw � y`I w or Lj Boonq% fl a .n ..•.w HIM" RqN D,..... Can, Cesclpnon zCwtOld, TNI SID,Id" Sash wren e ry Rw¢ old rfYL FO/M1 Rm din Band; # ❑ Pnring 0 n on G,,ne cwe.e elev f. aa.n m aminndfai � 'BIRrenYY— BOO p 3G<?m 19L no INS+ ,150rtq_ LII Iry z3 •_O mi andiS _ 3E mi T4eDcpt DfOaNN and PofoosnoiialSe rt ya 1opaor pD 11adernid employe.av _ L`von",d&revw a,No feomsotntcR avHaI in anmw aAee Mi at lolwllhe de. Imm•m OD&$6 i151 ofT Didito gA Raley. Mai E eC�4 r75,o8 P9ae3o�3 NEr NE�sm.9, T3oN�(ylgw gcrr. fot Donal Z-,Stark N Sc•Ic: 2'`40' _ 1'�.`-. G$i- d71'1410 ,. nl4.cay �i_pp . oo1G Tie[Q it �o ByU of rQ„4� mranh•wl Im 18 ' wertt6or.n\ � i BM loo,00 _)) rr..ocp!- QA 14. se' Ba 9`&.00' 63 gS.00' NE I o5peair =(7b