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HomeMy WebLinkAbout026-1306-00-055 PRIVATE SEWAGE SYSTEM y SL Croix Snlnry :r+:1 CuJd 0 0 :u:- Sani:ari Fcrmil P.o INSPECTION REPORT 600357 GENERAL INFORMATION (ATTACH TOPERMI1) Static Pan ID No Pr:onul I,.:-..1.0w vr:u p:rt,v :n ...av Im u.nd La seco-.dare puryl,cs IP,.,aPy Lave, s 15 od :11;11:1 permit lie dn-; Nana Cif, v sae township Famcl Tax Na Michael Morrissey TOWN OF RICHMOND 026-1306-00-055 CS' BM Elev 1 1 Insp. BM Ele.•. BM Descnpaon recto, TaemRantlc We Vc 18.30.18.1662 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY SI ATICN BS HI rS ELEV. Septic Ber.111!131( Dosing All 913 Aeration Bldg. Svwui Holding SL'HI Inlet SUHI Cutlet TANK SETBACK INFORMATION TANK TO PIL WELL BLC - nrd to A.i Intake ROAD DI In:e.1 Septic DI Bottom Dosing r!oaccul,7an. Aerxior Dist. Pipe Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover c;Pre Model Number TDH I h Edclion Loss System dead TDH Ft rcrcema-n I Length Dia List to A-ell SOIL ABSORPTION SYSTEM BEDITRENCII ;Adth Le^o_t- No. Cf Trenches PIT DIMENSIONS No. CI P15 Inside Dia. Lin...:f I:zplh DIMENSIONS SETBACK SYSTEPA 10 P:L BLDG ,wLL IAK^iSI REAM LEACHING Man.faclum•. INFORMATION T ,pc C4 Sr•.b 1 CHAMBER OR UNIT Motlc. No•nt:n~ DISTRIBUTION SYSTEM Heade^Ma-Ifd,; Dirnboficr -de Sm xTole SDacing 'vW tCA'make Pipn(s', Lendth- Da Length Dia SpaCm' I SOIL COVER it Pressure Systems Only xx Mound Or At-Grade systems only Death v,ef Depth O•.•er .:leptn N n. 5"'I"dr:;odded xx 1.1.. c-ed BodlT•enrh Cenuu ned[7.e-ch Ed3ns TCpol - 'RS ND Ve3 `JO COMMENTS: (include code discrepencies. persons present ex Inspection ui: Inspection M2. Location: 993 154TH AVE 1 1 Alt SM Oescriplion = 2-) Bldg sewer length = - amount nl cover = Plan revision Required? - - Yes No Use other side lot additional edorrnatlon. - Late In.epclors S.Sna!urc Crd No. SM6710IR 197) Safety and Buildings Division 201 W. Washington Ave.. P.O. Box 7162 i t Sanirnry Permn Number (to be filled in by':, .1 Madison, WI 53707-7162 (o60357 Sanrtary perrnit App I SuseTlatlsacpW\,VMher _ ii In acamdanrc with SPS33321(2). Wis. Adm. Code, submiLion of this Conn to the N uFo vernmcmul arut rc rryuired prior m obtaining a salmuoy prrmrL Moat: Application forms for PC1WI3 arc submitted ax Proirtt Address (if diffiCrent Than mailing address) der Dcparunenr of Safety and Professional Servfes. Personal information you provide may be used for sr-rnnJary macsinarrordiffO with the Privacylaw, s. 15.04{I)(m.Sorts.' I ~4'~ U /tV Please Print Atl InformaGo _ erty Owner's N. V)"V;nY0.ocP.1?VW . IicationInformatinn- Z - - _I rf - _ Pareei # ' 1 t;~ b - OC - O ling Add ncs GP'q'ctwl.ocatian Ciry. Stntc l -Q-- M1 Zip Cute Phonc Ni mtba ` v 1 r r\ C N Y" f 7 I r (circle one) II Type rf Building (cheek all that apply) t TN: R_ _Eo W IN or 2 family Dwelling Number of aLdmoms J S Subd vision Namr. - ok, liCKl ti f ty i U ( ! ❑ PublicICommerol8l-fkscribe U>e_ ❑ City of y Stmc Owned -.Ds<a]'/hc~ /U~se CSM Number 0 \'llae of : _ 7-0-1 ~ . ~ Z .1- ZZ aTo" of IC1 G ~ 11-C, III. Type of Per_f ]-mit (Check only n box on line A. Complete line B if apPliuhle) l - - -"~t¢ :New System I RefAacemem SYSttao I ra2tmrarJHoiding Tank Rcpiaeenaat Only ❑ Odlcr Nfixim anon to Existing Systrin (explain) Pcrnii Rrncmal ❑ Ppmit Revision C Qtamge of plumber U Pemlit Transfer nt Ncw List Previous Permit Number and Datc Issued ~ p Owner EV.'[ype of PO rWfS S (ystem/Com onent/petdcc Gheckall that apply) r Non-Presslm2ed In-Crtound ❑ Preceariurl LI-Ground [t' AI-Gmdr. Mound 24 in nfsuitahle soil ❑ Momud <74 im. of mixable soil :-i Hold'mg Tan Di:pera{ Cnmpntrnt (cap ❑ Pmtrenlmem Davies: (captain)_ _ V. Discersal/Trea Len' Arta Information: - - DcsIgn Flnw (gpd) D-c4^n Soi! Dispersal Appbcatinn 2n iAmn Required (s Dispersal Arra Ptopnsed Systnn &levation (Coo, VI_ Tauk Info Capdaty ut -r TOLV1-- # of - Miam i ctnrer _ _ Crdlons Crrffons Units = New Marks A Fiaung Tames ~ 'o U ~ u )y/J~ 1 ti =r C Yi r m _ s^.ptic err Holding T~rik j~ LJ.>-:tog Chamho V) I. Responsibility Statement- I, the 4nJersign ssume rs~porrsibiGty for installation of the POWiS shown on the attached I'lurnber's Nam tint) --TP 1 -s Si, MPIMPRS Number Business Phone Nttmher . c.vVV stys o-a II'I Plumber's Add= (Svrr{ City. State, Zip Code) - 010 0W' S r~ `1~ aCsa dl_ [via. 'oa-oty-/7D-epart mc Usc Onlv - .Appmved 1 L! . Prrmn pee Dal ics issuing iSrgna - - I iv,:m ltrastm'forlhTml / V IN. Condassfor-Disapproval 1 t_ ~1 J) ntl.ra^ftiJf Cw„ ry oAl ntrt d r V ~111t1#Stl.-h.V.IRti$ffi. L n .61 •'Mr~lw'trMtvt'pWlptoAd~rtWytu.nlx;. tj~ J a~ dr ~ r~ 2 AN tt I ntpl;irnwrn ettfat to rnw:L IF r r Mf oll ",tom, coot / rfrfU11 a), `~•_-Y,,_wY1- n ~mce m "Mpl~c pons for the syuem mid mbmit m leer Coaat; I,r o.t p+per roe lm tbaO p rr_ s 1l inNtb ja sa. 5131I-6 3'M (R 1 117 J ) MAP Cis>►:; ~~.11~4~ K~~;,. . ' - G f i i i-. Cx 0 r„ L _ 13 - l;[iJV!VP?vT~C~a~'L N'LN~( ~JcS(G,ftil iU!7EX A, ND 77LE PAE -IC p I, .,.nr.,r•s Name > > }---_.-I--_..~._. :'1411Gf'S ,h6C:esg L.~ P inrcfiX.anti afle n~ 2 J'lok Pion ?sge S` , m Sr!' 2 Cross-;r_c:GEir~n~ I amme arvcP Into; ma 'ot+ - Paae G hA-3 nM s;,te'ni r !an ~;ae 7 Sf Cron ~Y:ic Tank mai 5t--nRr Fort ~lsnj ' or nld: AC,grhmr~s`~,s Soi!'iss; 6 Htssa Claps i ~ iT^signet;!'iutnh'~r ) c.t ry ~tri.ee.~r l.ice•Jtse Nwm•aer: L•s're tbt.trnber ~ - ZQg4D Srgra :•rc Uesulned pnrsnTn!to fl.,r,-.,^,~o'nWW ectvlb:~rnlio ` - n i:arnpr.:,en; Alenue! rM LA Verson i.056D_1n7U3.P (W,RI/Otj. Psq¢ I I ! Akme p C.o~ 5S ~JRCN^!' Y 110 ~ a a.- f►2QNC~S DA ~hdm~eas f"n~ ~ ~ ~Rln (it i i i f 1 oc PUC o k v. 43 5 Soli Absorrs~;o~ I _ - T 9{1 f PVC Vent Pope ! final Greer Wdh Volt (;?p c"o r..ivamtx>; I J . rR _ 3 f k 8Ysmm 7ovatlon 11 At~s4rutl~rt s~€~s, rs ~ LHeching F ~ _ ~ 1 Ch t1 l .IIIt I. _ _ 12_ ~ 4" Dje. Very ~r OSsetvation Pipe Header 1~.t1 IL1~ r l " ELI ~ ' I 1 . ~ ' Trot,cn % (i 43 --1 0rwnutactuar Aw AtIodFi -E ~J'k 1 GlZ) I! CISA J Rating sq h peg charitret Soils OCation Rate a_ 9Pd Design f=low . L l- qpd/sq fl Soil ADFiicaiion ate , EI 1 I _ d brows of a T 3- Chambers _ctramhers...- ch. 7_ _ Page - of POW TS ©WWE&1'S i4>?&hfUA & MANAQE=ts E%T r"-:fd Pettr. ~_at ^y a sPMFWMY5M& Ji12FEiRifl,3 1.5L ,~161if(1 SS-1 _ j gcd'* tSot: ca ety IBS 0 -pmt 1 Permit j aepto Tank BManutoa>a M '.P 1Q C', tSA ?:+vegolmr 01` I U. :1 WA aE5?~e_ P.? I 1 + j4=t,-.r a' au r=r.9 Ai.4 'ltnnt F.it• ma" -y &1 Nce,!bar of F:.'i'ISc FaaZ^af i.i(C~ ! MNA 9 Fu p 7 vrk Capcshy HA r _ 1 gvr;tPTEmkmmuia=jrsr NIA,1 ~sScr^~ ^:>Tx f'va•az-a1 ~ (j 1. .T~~sr @ ( t d!¢7R M9Rt=f3C`~-•'C&' Nl I {)as::Qn :iavi IaE?k)r ,r"•s'a :,t-a3d x 1 , ~p V G ai16 D t` .rx t Pump fi$G•~Ai as OA F'i^&'}Qi1 ° I u81i3'tb+,~~t NA a ~{y Sbtcn^!y av_^reg, i Pr+--='tem LAcr ~,andad Ir4ittettt/ETlus!. Cvs% [ ^I~- (1 Ps.A. F11tsr f 4, Oil f: E[Egs 1E10 ngll II 3 - IE BioCrs ,tiogl AWi9en isrm5 E3aD i ^r*~t rn-7FS 6 ?'A M M-V"n'.ca! A.^~cctn G Lfai( 3a'w'aF -eta Ss srd'd zerlde fiat! ( SI cu „arc ❑ NA `ZoAthtr average ' Jist=er=_! Ga1((s} , sssta'1eetl1 3 P er Errt eEafi I *,Ir^cround EQ v PJ) ©ln Gtu tltd EPr 2222 5(oahsmia J &)nVpn t"IS zne MQD,) ssG r c;! f ❑ yls fid r i , vA ANC-78da Tceai %v pm~dad Sa%s ti5SI I G Gnhe': f c :C: 3riP-iins iNA ('i SIt1 `%fV~1'Y~fn1 Cca,:aK tga~metria ~ I p::,9r. son ;Paafrjm r-,ffllusot Par:icla Sza 1 R ref M NA ^M~ ' 'ar O~.itsr: -'z!uta cg-',.=•d'z' <,rsg..''..` en>3ca~F'a ~:d ~,r.~ sk ~ - _ E 44 al~cfi DNA, qt (+`.%gC c^.ca sv=`,_ Y"'~ ai tank vraiumE M NA ;pact aan4---~-~- a; ta:tkiRl 1Vhaa ..ort_~tEd sixd5p 0-rd scar= sxvs =:re-lafrri 71VR S 'u rP art con.a7t4~) 9 fig( ,vt Melt area avary; Gi NA at diS`L!Ers~i rs11Es) _ t 7 -.,??_St.T'31 EJsrv- 1 }i=3i + M 15. am* ';:latt EY':136nt i~lrar { (1 i:'~=1 (d8rz C:tCe !.N^.'/ MA s,;ec pamp, AuTP wA:Ynl3 & titan -ura ~sz At rzz~t CAM eery: Fa pray. s,- real : t fd wP.S: ansa wSTY: j D".Ildr. IMA fpilaav171q tt7raa~ sx oa7Sl4lcab19 +y+\ ?Ria_$`M sa-?'??L' ':1DPf9 T py zR trr.'; hd:il zem.4,= can 0 ft , snd d~a's shall Ca !rspcetions of 2.Rics _ ReRtriCa^ -v+ra•; ?D`d8"i 5 insP= 2 ~ G - - ` ' t". Y r teo*, Rpm% , 19~! Pimban (V ag-= on-ni f3E (s. y to ;tMM any rl' tn5 c[ taksn Worsts nQta+ tl 91F £,4"~- "srewlIIRS ~_swr iRal~de a'; F`-~;''• af?ae 9-ft.-A, P caivrs oha yp!mno Of co¢S~In4•s~c?a and srt? sad is ^_h='s far snS' ~~r up or P t Sa.R'`~J' [ m m L't' ( in '*r6'SIiS6RR7d~n 9 rt Alfd t&QID1'e6 em ~G`.eLt w r rt~~ aid : f6VO13 ~71F3 dis(JarSE: L'a",1(Si 5, Ca ; Vt$9IS>~' tr£t3- f e!; M 1ae+aa:a E'.~&1L"•'~ !'41RE(!{'.C ^,4 ai412a1r, 0 the grouji ll surf=-68: i:1E PrldTr1~ 3. ~u°-f : cn to6 QrPenl~ SS'%e+~ tmrrtsdtar~ roti-eaxson of the :ccai a.: At MtF .u^Ttlf6 vsiu~°ita, 'ihn ausr2re WIS 9i;1r3t the ocnhfned 5GGltnu3lfi~fi[S 0^i sludge and swm ui any ar-k I and diiwA & in 31Stard3R0° wpt l * NR 113, :arranu of t5e aFlk sAa6 ~c rerm. + d ty a savings 58rJlrl m oParm rs~sRCYtBM s5rscnar fi drnfils'o'ativn Codes 8d'9i12r'.R@mm: P ar sa c m~6iflss) iael ar r . f Coif r$ [>f~'Rt@ter, Ali of ai Services, ~"-n'~buz W, rvak a 2 trwnthe t ,s, sf~atlrhe P ---aO nad by ia a any J sa lr.L'~s g 1 F Ia"zi r--'a:~i^LLry p;,rtf•'o;rry vi„h^ 'IC drys a' cmr!FI2rSR df f" SHOW --VWtt• :br new -naruc 7mn, prior to tre of -i-e FObV-s crtaCg tree , j : 4sa c,^_ 'hr may imPSde tirtr-.v a2'416FrPwes23 s,+fd/or dam5,s tt& DBYS2~e'E(Its1• If high onn reinNng.rmdzets er ethe'.^.her+3cas r n5 tank(s) amovad LS e.xctago sa vtoing opararnr r!or use. cstiratlDas are d ts6 have he eatzte, ~Srsi7r.; Star: LP SFtaa not, DCCL: When- soil Cl.7ldiaans 22 77o?-n at tiro iY1'AL.'3'_IVa 3L'i 42^_9. : =ha Par~ar cu~ge_-'y;;r1p ;(II above rn2t "iginvatar isvclx Wean omwer ie ramarocj a iacbsrcad to the disR°-z2 cditta) in ramnved o«:ene [acorts-ib`2 C;rsosao,fcv_ssrtoadingpurp:hz ~~Vts) end may cesLrlt !h tF:s the saCa99 cvap'tsvr~tatr unID bD ;':.i^ '3rtF ' or sur=aza..diset,2roe of s'>hvent.. T¢ avoid sta.-'JsD hove a Ssk'•~?P Sex;tcLtc Dpara&;r na;ser <ite ar=faa,~. p:.-Ta or o¢fi:aCt ntumMe. o s _ oy zo ,e.,c er ^o!he revolt fd-[n rho PUMP era, r cr . 6l'~'S l:,a! -Inar to ass*,-- ~ rm'122$g t2`.J^g the punp 09,'lTr prior tC :astorLyy tD I•r D: not drive or park vafdeias over tans-- end dispersal eels. Do not _ chin 15 fast dowm. sLpc of e.ny mound or drive c park bye, or otharw[~ d, art-grade ant) a'tsroticn was. 'stsrh or r~rtrp= Y the area F uC,tm cr e:i.^[r?_ca of <ha fa:Icwinc from tnc, w3:ev.4^ straa_rr. ray improva the Ina ;n;'112110z i_ ~.~oro2,cs; r-cY wtpas; cioaasts sorts; tendons;, cottmn i'wsbs dam aasers d '1 gm.am.:Fa Me of the ta::reeeiCD draL1 (ewrp p:.•rap) ware: fruit and t , errJ ' 's: d:2pars; tl •'=%nLn6 far. 'fL'dnC•S.' peSZiCi39o. „~".-.,n;'a2r': ;.Elil3: Tampons; cTdaa,! •mz; 92sciliw" crearm !:g iCfiS: 7*Q:2 :CrBpg! I¢s.+nry. o, :'h sr. r: S POWTS rats and;ar [s pernunerttY taken out of service ti^e aUraw ng steps shall Ea taken is _~-ca~-~;.: ?nd s ty aba;idoned In eamplianoa nt?; c5-r Cwrn ESM, ',L'iscninstra :ns'; the s.;sem 19 _ n.- ::d 1h[stra5va Ccde: is cici,•i8 to t2n1s and P`ts :hall bar dsccrractsd_-ta t?* aGSrld¢ned p'ca 0 ,ii ^9s saalsd. . ia.T ffi1. Z u pits Sitar be ; am_L?d c^.G ,'SDC'!y d16CJ?3d Cr 'J•Ic°.~i:y~2 ~gNL^- -•a-_.•. -,?tar :.ul?g::_: pis `r= Or_- s. -4m coil, grv~; or w.ctn= Inarr =!.'S metarlell. or -,-,air •r_v~s :ar,:er : aid ;s vo-d sbsoe tTfled wtth FLAN =-VTE =tt~ and aarC- be spatted -ha oflowh-'. - :Ams•-:2• m: nsascr. as itsve a*<r:, nr m he + p v~z' to pmvidz3 ~a =ma.~rx _ c h(= ry iacz err area nos basn evahJstsd End may bs utiiuad for the !omsdo of rap,:--Ft,at t. W atamrsNrtn ysram. The repienammant Arez. =_hur H ha Pre.sa•ad frsn n!iSImbare= an-- corrrpec Tan and shoo =?uL-ad satbaft from b)S 3.tng and pmposad struclurs rot 2110 l3 rent be Infpingaif r,,pa, b Y -u1t :'B r:a='t -r 3 neW sci! and site ev_(s~tan to t ab lisish h a su u;tzc: tva rar l aace =r em it r a, F Ana rpta area rvT eanarr -"ph, w the rr•I_ to 9:=act at :~a. L•-r. ' p m_ .t;raa Fs-naaf sys',,~rrs:rt~rst sr:itahls rap!an-a gran; brae is not ava(l&s a.a tc setback and/or stir Pmitr_•tiorts, g ae . '_CF^olapy a hcvabto Tank m3,1 ua instaffed es a 'cast mesa t i, ra lace erring ° in P71lti~S i . na sic has nC: been sr`",-tid ° u . P lit f~_ap• FOS+,•r S. The: T-. on mos. bar sr idenz..y 2 =-j,abr rap!sC2msr:t area. upon fa7urd c: the PO,ArM a soil an: e'ha p armed to tam a suhabla repiecemnt area If no replacement Brae is svel,ehiv a hetdlrn tang ra_y be instatod ea a test mso r to rapfaca the f ellad POWTa'. -i P,iound and st-gmda SDO abaorptipa syss,'ns ray tr- szcns!rrOtid it pia^2 =c)ia )r:,r re.,,aral o; the blaMat Zr ,hd ` i;vilt tee sur.'ans. Rsecns'rueticns of S =h aw'sms mu^ empty with tiw tuldR In. effa= at that time . tc ..Rr4lN6?> SEPTIC, PUMP AND 3?}zR IT-ATAIch? TANKS MAY COWAIN LFTd L GASSES lS'N4 DR dnf8; v PUMP OR OTP.cR TREATMENTTANI U41DEA ANd C'RCLtTvga"[•A•NO-* DEh,TI? PERSCFt Ram T?;c [N'!~SOk_ O= T:i'JK.•49Af °f 3E Di F[C - -r 1• 'FF(L'?•?_ll>F L~__Y~d ✓C3 ND' LL, ern FO&SIELE. 1F,AY SLtLT. RYSLUe AF k ADDrT?t{F,SL COtwmlEttT i POI/d7'SIfIST:kti.EE mama PO4U75 h4A[NTRlt$ ona EE- 0 (I 1 pn¢n SEPTfi.t3'_--' S^_RdT:i;,^hC 6PCD.{+.'*^' _ r r. ;r'~.tT31F~Tt;• iiSrrc I -.::A- d^.IL;-3, 0 av :.,aT:'.D?.tom F`Caa 1 r _ l _ Fs,-r~e i 4~S d S CK-0- 'Ze111) ' 2Y,ere 3 , pia daCc•,tE, 1~~..i;.ls_ 4 ( ~ 1.. and G3._e6i.:7.} w rah 4rla:arnC ' s= or nel:' V'n_x~-CG.t1: PT'r cck ff= • - T.a!' itraacs _.v: :arw- ec^~c - mcn::an (sj ;Or tie muff-m r_ r F an~ter a r c ~y_ di "1 csdr.z cat , 3anica e aT iF73 ~tlhtS) :a1YlUV-'".i G}' E =?n'- e ,cr high " So~^~r71'~Otro Sv 1-m-ted hays l? con. ~8. &~vg opEr•"!cr7Ciar+L snrt;?srs. c Oiat, if aa LIP W7EOnuT Sop -t3.lC(i(Cnc er. ;Tae). 3::172 in90t^JVe Du-i:.F p'+'~a: FI •p~- peL~p :snzr 7: ' :Ili .J' OV9 camF: nie:rwets ieveL•t, dischzrwd TO . Z. aisror_~ c2(!is1 iA Ors i•„ Wr.=_r, oOwe is :mss=...rek'dzz<sena~ ;Ni3 tnr ,a: wa! be ~"itia.'ft• 7c aVaf urE S_il,'-L"Ei7 :talk ma «-`-s~• HIR i6 C '.h2 ,!!iF.i bna C.FV r?E'.11' 1~, the b~~j-;~0 T.' 31~3&0.'1•U'C},`Q2J.r ?C'JJ!r W the 3LT~ or Oca-vaL a FiUr ~7 l' L,- FG 3ri.. maJ2a bl 2 cmaaes ire !-Lqg ~ E' ?a5`aCN^~ ~sare r~rr.=? ,av2~ t~S 1:^:o:r-='rn=_r is _ss;c= e! i-~•s!'u C=Yat ^Pic?•'Lo . Jf'Ch!r ° •pL,=" at. w'U.- trts uTa igampp C°^'iL~o: " i}C nCt cfl2a c- run vsrdc.',gs i2rl::s• ~.1G tiiSCe: ee: co.. J:. na- vJ:r? in 15 sEZ dc~ r: ~P_ a en r :noJr~ O - drive ?arh Over, or othnrvnn d s<, or Tarrv^Y a~ 4 r_. e,ade loll sbsuTtiar, ar=m R-d^WO;i^n ar ei~~r_~ 0;: <OAnWi ,c *-a tke- vaaiev;a=^ • see=_rc - I;;jra,r ;~Iz c e -aJy I; ;cs_; ciLr_r> b~r`^-r • Fv^e~^:z;:ce aid ,n:ct!a.._ f--2r,=:.iOr dr;n 2" L. ~iTdatns: cots : swai:r` .,=_~s2,..r ?5n..:.1 fiat of the c«... 'mA 7 . pl In ...-r fruii Cr-c vsg~ p-i'r,OZ o ! , tc2a; rrr asrrtn•5:tw; ;a:; - ' yn~L~'•Irw ..^n Yi' e p ...JG r ~.-..•CFti -3-[r•^-G_ISi nL.-'•r-.1•~.I17~ C~r'..~~N~ 'L Zzyftnn ..irktll{F2v: ~r 91Ir~ -i7T r .T.II i} pra ariv d sn,=-1y ie: a<< i ~rJice :6s "uuwtn9 =Mas Jvsfi ye t<_k~ a i^aa a u. t sy m s Ab3 rrJon k ~rtpG~_s ci7_-,^- Mat7:,7 ES = ~.S, '«:'iscOtil: An`ni~ ~s;;•=:i+rF. «"JSs: F Ali pici ~6 ee ;fro and Jr- Ss O1scnnrzc 5 er_' ti:c: 2'andened pp_ e;~,;;tlLic-Sed11". e Try =n-:ert~ _i< d-•t zits rte. , - - _ - "-n=''-_" ^-r3?~~IV G(SCDS'C e' Sy 'c ~n ~s elm E-,0&1 57 :n=r. gnrd r<,cmri_ "raa:t~r- 00;7, _ ' ! 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Ft."hct tii2r;ms. SEP r1C, Xj'.. AND FMAO' cii orifIP's R4 Y CJfFAX LET3,'S? CASSEe d'A DME" Tri(tTUr rfCr•~i: y WS i? ?:^S MC OM n CTt r TRE1-T1ViE6!'TrLieR (:;ED'' vv ^Y°I i.l ANY nu.3+4Iv ~::Y~ ~-T: ;viF•:Y'~y-!-~L-r-1'iE ft7DIT5~[ti `saL ~ufl5(~~iR'3 • Pal-IrAS INSTALLER N-m-n ! ~i 1Tti-t 1So~; l to IL 'oturs ih".&rAr~I"E? - Rho s I k i f !Cara P k iu S ' ^ !4F,~z , an l f2i & ,r,,y l't75cm ~;n H--7;-~3~'~VE I Technical Specifications PL-525 EFFLUENT FILTER (COMMERCIAL) j ~ rcAw,LTExriNI1M un I~ allu•xwa~rcETt I, ~ 11 A N L IQdb i iLt 1 PLQUICERHWAG PMT NO -30162525 MAIMA: . HWSNG PCI MOPNENE OJR[1FM)%,JNG 9W 65641 -VE 1 ' - _ f.IL~tal'.~jlW ~ ~ M _ I I ICAI Itl1iM1lF FII1fH0e. I fl J V L ' 1 r ~ B ~ B r. yq.xq l I ' j i ~ 2e :D ~ej ~I ~o~ PLEACK F4525 Rt FR GJlW#Yl Phil FD. 1014525 MATERIA POLIPROPYLUA V~ - sr. c Roux CoL; NTI Sr-M IC rANK MAiN'TENAaKCF AGREEMENT ANL) OWNERSHIP CF.RTIFICA.nON FORM O-ksner`Buycr - A Y-~okpclSSC~. MafBne Address Propcl;yAddress - ~ - ~,~~L - - +crincanon required from Nwining R Z:mirg Department for • construction.) Cir}'_.tate Parcel identifiewion Nmnber LFGJ, DESCRiP ON Prouty Locatinn N tit . S E t/< Scc. , 'r 30 N R' W. Town of tO W Subdivision Plat; -rkC G I N S Lot u J S. Certified Survey Map Volume - Page' Warranty Acrd # _ (b-,fore 2007'Nolume Page Sp-c house C yes C-. na Lot lint; idau ahle;; yes no SYSTEM NIATNTENANCF A_ND OCArNER' Erb- ICATiO~ Improper nse. and maintenance nfyour septic sysicir could result in its premature feili rc to handie wastes- Proper mainirnancs consists of pumping otx the selitic tank every Cnrec. years or snnncr. if needed, by a licensed pumper. What yon put inm the system can affect the fiuicaon of the septic tank as a nez,.MvI t stare in the waste disposal system. On.!ier mairtenance respoasbilitics are snccitie: in $Comm. 47.52(1) and in Chapter 12 - St. Croix County Sanitay Ordinance. The nropiaty ow`aer AgrMS to subn;ii to St. Croix County planning & 7nning Department a certification form, signed by die uwmc- and by a master piueil-,er, jouuicyman plumber, restirtrd plumber or a licensed pumper verifying thin (1) the on-site wastewater disposal system is ir, proper operating condition and.~nr (2) after inspection and pumping (if necessary;, the septic tank s less than 1,11 full of siud~,e- i we. the undnrsiffned have =,d the above rcquircmcre; aid agree to maintain the private sewage dispnsal system with the slandavc set forh, herein, as set l v the Dtpa;tment of C itamerce and the Dcpaninrnt of Nararal Resatrres, `;?ate of Wise.onsin. Ceri(iration stating that :+out septic. systern has item mainained must be rr~m d:&od and ;mimed to the S-. C'r.•,:x C _ i - .omiry Plannine d• Zonr.,g Dena-uneN wi5»n 70 dues of the thrc.r year rxpiiation date. I'we ratify !hat aN statements on • is for-,n are -,"Ic to the best of myiour knowledge. Owe amiare the oweer(s) of the ptrpr:m descrihcc' move. by virnlc ..f a • runty deed recorded in Ri~Gistet• of Deeds Office. Nom cr of bedrooms -i i)ATE "`.Any itlonration Ata; is nisrepresenterl mar result in the sznitan• pernit being revoked by the Planning & v.: Zoning DeparAnent. caude w9tb this a}TIpba tion a recorded w•arrkwy deed from (rte Rcgisref of Dreds Office and a copy cf the certified survey map if T cferenee is made in the wa,ranm de::.d. lRC-N'- C9rft^~ N89-35'400E E a'- CO 113.83' C3 N66g896 , ' SIGN EASEMENT - SEE EASEMENT TABLE "S" FOR DIMENSIONS LOT '56 1.747 ACRES z 76.111 SO. FT. 1 0 180=943.5 LOT 54 LOT 55 m cn i 1.522 ACRES r / • 1.550 ACRES 66.277 SO. FT. 67.523 SO. FT. m LBO=943.5 LBO=940.0 w / s / . DRAINAGE £ASEA N23~ - SEE EAS£ME N24 TABLE "H` FO DIMENSIONS 189.99' 176.12' 207.95' 127.5' 448.47 30' TRAIL 9.38.5' _ -Nan 80460E 916.86'- - EASEMENT %vorAF. SOIL EVALUATION REPORT #1539 Department of Commerce in accordance with Comm 85, Wis. Adm Code Page 1 of 3 Division of Safely and Buildings Schmitt Sod Testing, Inc. Attach complete site plan on not less than 8'%x 11 inches in size. Plan must County P paper St. Croix include, but not limited to. vertical and horizontal reference point (BM), direction and - - - percent slope, scale or dimensions. north arrow, and and location and distance to nearest road Parcel I.D. 55 Please print all informoom--,; Rev's By Date Personal inlamaaon you provide rnay be u~odbr s (Privacy s. 15.04 (1) (m)). / - /p Properly Owner roperty Location { E` Sienna Corporation ) h ` ovl Lot NE1N4. SE1/4, 518, T30N, R18W Property Owner's Mailing Address t - - L t # Block # Subd. Name or CSM# 4940 Viking Drive Suite 608 155 The Glens Of Willow River City Slate Zi Code' Phone tJFU>•lbar City Village Town Nearest Road Minneapolis MN 5 Richmond 100Th St. New Construction Use Residential I Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe Parent material Oulw_ ash Flood plain elevation, if applicable na ft General comments and recommendations Area is suitable for a conventional system with a 0.7 gpd/ sgft rating. Possible system elevation for Area 1 is 94.0'. ❑ Boring # Boring` Pit Ground surface elev. 96.7 ft. Depth to limiting factor 1051 m_ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Ou. Sz. Cont. Color Gr Sz. Sh. 'E##1 - 'EB#2 1 0-13 10yr3/1 none I 2fsbk mfr as 2vf .6 .8 2 13-24 10yr3/4 none sl 2msbk mfr gw if .6 1.0 3 24-36 10yr4/4 none sl 2msbk mfr gw if .6 i 1.0 ! I 4 36-45 10yr5/6 none Is lcsbk mvIr i cs 7 1.6 5 45-93 10yr5/6 none grcos Osg ml I as - .7 1.6 6 193-105 10yr6/4 none s I Osg ml .7 1.6 i ❑ Boring # Boring - Pit Ground surface elev 96.7 ft. Depth to limiting factor 100+ in. Soil Applicabon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP_DW _ in. Munsell Ou. Sz. Cont. Color Cr Sz Sh. 'Eft, 'EU#2 1 0-7 10yr3/3 none sl 2fsbk mfr as 2vf .6 1.0 2 7-14 10yr4/4 none sl 2msbk mfr cs if .6 1.0 - I 3 14-34 10yr4/6 none girls lcsbk mvfr cs .7 1.6 4 34-76 10yr5/6 none vgrs Osq mi as .7 1.6 5 76-1001 10yr6/4 none s Osg ml .7 1.6 Effluent #1 = BOD,.,> 30 < 220 mgA and TSS >30 < 150 mg/L ' Effluent #2 = BOD< s30 mg/L and TSS s30 mq L CST Name (Please Print) Signature CST Number Thomas J Schmitt 227429 Address Schmitt Sod Testing, Inc- Date Evaluation Conducted Telephone Number 1595 12nd Street New Richmond, WI 54017 9/21/2006 715-247-2941 SJU 355L` rN 1 ^,~+n Property Owner sienna Corporation Parcel ID If 55 Page -2_ - of 3 ❑ Boring # Boring Pit Ground surface elev 98.20 fl. Depth to limiting factor 1044 in. Soil Appliw6on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence) Boundary Roots GPDV in Munsell Ou. Sz Cont. Color Gr Sz. Sh 'Ethel •E"2 1 0-13 10yr3/2 none sl 2fsbk mvfr as 2m,2vf I .6 1.0 2 13-26 10yr4/3 none 1 sl 2fsbk mfr gw lvf .6 1.0 I 3 26-34 10yr4/4 none sl I 2msbk mvfr gw !I .6 I 1.0 4 34-47 10yr5/6 none Is Osg ml cs .7 1.6 5 47-86 10yr5/4 none vgrms Osg ml as .7 1.6 6 86-104 10yr6/4 none / s Osg ml ! .7 1.6 4 ❑ Boring # Boring Pit Ground surface elev it Depth to hmilg fa or in. Sod Application Rate, Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDift' in. Munsell Ou- Sz. Cont Color Gr. Sz. Sh. 'Etter •Efl42 i r ❑ Bonng # Boring Pit Ground surface elev- 8. Depth to limiting factor in. - Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GPDHt' in. Munsell Ou Sz. Conn Color Gr. Sz. Sh. - •E"I •EIfc2 i i ' Effluent #1 = SOD 30 < 220 mg,'L and TSS >30 < 150 mgrL ' Effluent #2 = BODs < 30 mgrL and TSS <.30 mg+L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance w access services or need material in an alternate fimna6 please contact the depanman at 608-266-3151 or TTY 608-261-8777. Saltxt?O (R U)KO) Schmitt W Teibj tnc. - Pace of Conducted by COftdtlctcll For: ScIrimitt Soil Testing Inc. Nanfc: Sicnna Corporation I homas J. Schmitt. CS I' :?274)9 Address: 4940 Viking I )rive Suite 608 1595 72nd tit. City. State. zip: Minneapolis, MN 5>437 New Richmond. WI. 54017 Phonc: 715-247-2941 ` SUbd.Name: I'licc Gleas of Willow Rivci _J, Lot No.: f%ala• j__ / , C' I.cgal Description: lt/C 114 SG1/4 S18 T30N RI 8W Ikickhoe pit Township. County: Richmond. St. Croix Bcuch Mark F.I. I00.00' Top of pvc pipe Alternate Bench ?Mark 1:I. l op oF_ z~ t c<in e c, Slope- V~ Contour Linc F.I. Contour I .inc Lcngth A/11 Scab 1" 40' 1 I ft~ 1 ep Ou 3 f 9'~ fit' 4 ~ Fii r C' r X k X x k x x Ce,.Srn r,.~' tl yS'` k X I q ~/i9" IL Phis Snil and Sitc t valoahon eas cungdaHcd nr IWOiII a ]onlna_ miuac,mw it mN or nuv nnl bs ma trkannn>uitabla• fm yna I`rt1aa