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HomeMy WebLinkAbout002-1023-40-000 (2)+• PRIVATE SEWAGE SYSTEMM s �xr•.m e.�ie eo•i.ue omne INSPECTION REPORT51538] GENERALINFORMATK)N (ATIACNiDIXVDI ��I^m+av L. mn oglNm➢Glenn St. Croix vala " Beat OW TOWN OF BALOWIN23<0-000 MSICBIn BxE.. u.Em .; w, IV 2918164 TANKINFORMATION r LoV CTAMELEVATION DATA WAUFACrvxEx �SQCAPIkI I STATION f �Z'of z IS t GO? 00,541 BaPK �akr w M, I B.eeBmg,AlA7 lob. 6 100. °°..° ..._P I. Val An BM ee. F.1 V bI� %ZS BiaBs� q.�� 9b.8 xe„m TANK SETBACK INFORMATION MalIaxn TINK TO vM1 I WELL BLW POPO gxeN \ .seat= ll _ _ GBHIem /S.i 9/•{. Ge:gym 111 A/4- 4 /ee' _ mxu:. 3. /W.3 all Hse 7 29 / l . 3 nevulN at avern _ PUMPISIPHON INFORMATION Fein Ciw Lall A1P-S mn ", a,�D Dome we y z .16 im ,z 1 M,j,I NumberN 32.E »FAtlluzo Blemxep�, T°i o� 95 x L� az AW- SOIL ABSORPTION SYSTEM 4U AAe 3 u u` e a Goxx ol` u\ MMCNa or SRFAMO W ^' xaL"� "F• * UNIT xumu. �Iib 0161 ,I D.1b.111S 72 B all s� msKKi.p SOIL COVER un5yamn.Qe. vWugaud.W eymn+ 7a P ..Hc.,l. 1.41 ..m E•e. ` ri, Y•.._Iw Fy—L. r.w COMMENTS. Ilmrm mbmae[aoe.. mrsaapa.elu ttl I)A°e m:':"t~ rA�, >92. I1 en all eNwexe A-WM1mIN nlmNbn" ` eu 19 L,.xola lllb�lal e .waxla PL.DW�..Il IErFxLS Ci1- ' cPa,:1S es Bo` L bl clfu -.Jrt14 173 EC�[MGD �.bxwWx. e a 301W NTalnlglcn Pw rO l 7103 u.ama..w vTov-01W 5.uvy vnmvNumvluhfilltlmy<.1 �,�r JtIN 28 2019 Applic 'nwrt ® w orclrmm. x.nvin.mml �.n•..sw1..N.mw.dw wpm.. N�.l�..��m.��rrm m.m o.®°.em0 w 1 A IWlle.lpp.malo.-Plqu Print All NRrnlalw 1 Ap -10?6... /1sx/wn drew dtwa eas — La9 16.16 a to �,t 9E ysme, // crosr i. c.e. re�xwv Wra�ul ((c lul Syo28 1 vv..l!.. Tom_ . a/4_[�u a TNw alx.Nbtl.YVY.a un.pryl . Sw^®Nm'a �I v 1fa„v o...11.v-N,vmwmY®e ❑c,yw ❑sm,.w,W-W,m�u. / as Uvllaa w N.,.W /68JE x 75 ICA 6dL i6l L9 A 1.b5(e 1u TrM (c\.Awh orho.wll.eA co.rl.0 ln.9e.wlWble ❑MW®.Ar. ❑Twu. Ioldma:..t@pa.6h ❑owwd6mmA.vc3rrl.p4m1 d ❑Po..xmml WN apm ❑Fumvu.m. ❑mFwwwm Obmn T,.WnW. um.m wuex rvT .IroWISS .vDnlu. CIUYtl W1• h ❑N.lem. T.. r. v T, 1oPo1 ,w smTnw,.v�onw.1 m>p,wP�.�mmoo o.w.aP,.r sr 00 . {° /,Soap /seep /oe�V/' T..Y bb Cgawm u.,Pmwn u °Owll sM vlt xn emu-4u� � � �. r ,cam, +9. su,.. T+n 1ael Z9✓3� /90" vsu. c... m.. .mwo. a.cwel e.on-.t.��n.omn�..wA..l .sM wYe"W N^4eMnW OF` in ERVT ✓�<T.�� 1 NunnY,ivu. , �RYmeroblaLasl ssD "m 11111) 0 SOIL EVALUATION w ©SYSTEM PAGE 2OF SITE MAP ID PLOT PLAN Malec. Ma Iwo Malcein/Mason nmac�Msa+ %em stan.'n+iwo.tt Gmm 6MF4.m'rsua��ts���sa� Iwo a% w4vnm+st o e svyv�tlr �mn�i ...rs�r A I I I ok u Oro Q aeievPv par\\ avmloxoP lxlwhr1 SAN LUIea t i\\ 'i Ib0/Mmw WabWa^mamrvY'sm /4 T� n� ay F I -ram., Won (Nor -hnnmm APn124, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES. MIM24 PW Rev'Inr: P971LOf1900O9C MICHAEL J limli 2W)13M Ave OlenwwM CIry WI 54013 )/may, jWt SITE: Cknn MRluWD" MREDu 'oath Street wo,dulle N'I Town ofBeldwin Saint hour Caumv TOM Among: 5]50 W FOR: Word Cnrt4tanent Mmual -Va 20. SBD�10691.P IN 01 O1, R I 12) mitimm Dinnbmm, Component blamed V r 20, SU0.107 WP(N 01/01,R Iher 2) drama Regonm The informal dev'nbm aWve but ben mnewm for confirmation with Whiodale W iseomm Adimmmmive Cmef end Wummm Stmow, Th,%bm:tul babe" CONDITIONALLY APPROVED Tlda fyelem nm be wairmiald nm moat" m MonNeMe mm In, enolum Moroi plans end wth wy,nmpmrnt manmy(e) mR med above. The owner, As deMedr, haphr 10101 L 0), Wixom in Summev n mPomtMe to, mriplmrce with all came tymmrcnle No pent may engage to or work at plumbing to the sum ordio natant to m an by the DIr mnent per s 145 M, Man rbe Nlloc'tng ooNniow aW II be not mount mmW[nonw imtalletm am pow in onulwwy w uu e Amnon, dinpenelarc, Pnm and mnogo^^mm'ton toevoid drstmbn[C compaction and on of the um With Men wmMtNam n is raommemm mm tonoWde me wmp m the at Wk amd Ne uNs on pumped pnm to hammwwr ocaapanry • wmewm er Rner,ted (Tom contractors eteam IS of on amount Ind mole AWar led... pot shun out Seth[hang"ma the dome diuimaging In dm reveal, one" amountw uuuMent system (Par ) Wasm MM" shrll Improperly dweima oIon-me"off sIt, • Any tall goon l,nn.,it ,hmm aMn be cut Lou and rtmeem Porto 0lhng the fort¢[ for "atom man a pmM mamag amer We mapetw arrx AS laam "gems Lateral to be out Wm coon" un e [Want wat solo limn POWTS Area Prior to vootlrvtlbn of thedl,pM IMl dwid; the mouNreeoueent ofit, von to a Eepthof 8 inch,, Smwne aM] cmrgncong nfwa wn wll Mullin rtducmg the Infilnmon vaputry ofne till Proll Sri Sol an b, dnnmmM by oil 1,ng a call mmple betwm the el If it mlh into a 1l6 ircM1 wart. Ihe[i a prtpartif it cwnblee. to gerytanoauo prtmd lfth, al, IS MoWlN pteprt, to tot ptrc[M anti 11 dow, • Auplpl{ SPS Table Jgg 30.3WSPS30.5 •• Imw bWin Ill w3uM13ota sps 38130 p11Xch WAretMeWMmrtMITI • Tnk low,"dw To bllaw all mmufnwrt i mommevdaoom SPS W.SII I fly Th, muting,mrnt plan far, POWTS dWI ry¢ fishily address the «trlcmg mecNnio of an ,mL¢or Sri Irtam,m unk too holding Wk wMeeider of Nlloxv.&,w ono Gain I In, Wnam or IT, took a Irish,] wM nw 15 find bel de elevation whi do m'icmy No a lwl[d 3 no Wttumcar do, look n local Sort can, 150 fat bmmWly fi^m wher, IT, M,itop pad a Incident • Volfy pmperry, Hardy) prior lnatallanan. Pump FMaM1 to be rtl top rerlRN per vpprorN plan, Anyehaugm may "mull In pump Mizlnplomeel TDH end GPM Sp„OnNnm, • An'ry 11 ... l a m aunty dal u.lhmd Oupmrnu retrials himrodbi....bG amovu..I Ifni or her sin, Isala, lab Ic bob m is, trial min IT momdd tool bead vli na vrtaoncuavdrywhrnan5al0uubuvcmoddndmcwcavuum,nth wprvvWo Owner ReeponhlLlllXee The mmnl owner, and evh n tMequem What, shall ral ampy of this letlenrcludmy inNNctmm minting Io color um vM mununure of lM mound Owners shell recce, a copy of de wpmri lowhoun and trial and ,Wr, mmwl for de PoWTS dc,l m can approval SPS 31133N 11. In the eventthisand absorption wont orally ofM mugoncat puts molfmcnons w into curate a health bead. Ne pMj M cola cowl MI low or, mnfir ... y plan as d,vndil in IN approvM plan, A copy ofdc approved pilots , rri full and car ]bear swil W amine dmmg c MW,I,,, ad] open la an Fy nulhmvN rmreaenuuvn ofde t%pwang wh¢h wyuelude local mrpecmrs Allpmmu w w w by, c style o do dual mwdnpaldry ilWl beoblmroi pnwN commcn¢mal of mnnrvcuonrmullaldodtioµmuon Io gnnony thia.pp10, Od., of lMm S,r a 0r n& I,nge[« m wl chaduom ahomd ,cwho it shakos More wM,Mwr, for W, ,wp1i t per suN soon 101 did), mull rn Ibis Milt, ehni uWv, do, dndym of lM mW,l dr,lognmg, Mr, bmldng mwtw,. or Gmprrcm. Income, conccmmg ibis uart[prJcrc, My T, awc N m, at the lelmxne Somber hanal III or d, Wyru an th, 1rn11WJ Tb a1M, lefl Sddsol a hall twide a May of this IetCr W de Thai managndem plan to the owre, amid any others wW nm rtspart for lM dwWlatWn, aftnatiao wm io me of the all srw rely, ✓er�nrl Tom 1hum Lmtl Ptivare Sewage Plan Revmwer. Orvnian oflMueo-y Mr,ces 1920992-2La, Mum 16 00 a in -0 50 re m tw a.ml I L all PAGE 1 OF 6 Mound Plan Index & Cover Sheet Canewanr Manuel ipa Reavinwae Venlon 20. SBD10691-P(N 01MI R IW12)a V"m 20, S8 1070a9(Ro1a1,R IW12) Pg 1 of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cros"ection 6 Plan View Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Pump Curare POWTSAbdication for Review Soil Evaluation Report & She Ma Project Name I Deserptlon Owmr Nam(,): Glenn Mato hnlDrew Mason Mom: 715 214 3800 Owner Address 1050 County Rd D, Woodwlle, NA ap: 54028 Project Address: 26M St, WaOdwlle, Wl GoA. Lot: _SE 1/4 of SE 114, Seclbn ll ,T29 N-R16 E❑arW© Township: Baldwin County: St Cmu Project Parch ID t Designer Imorrnatlo h Designer Name: Michael Myers Plane: 715 -265 -4115 Daslgner Address: 294313081 Ave, Glenwood City,yal 21D: W13 Eanall: net fk,,o..d l,,,.rcivil.i„l. License Number. MP/CST 267985 Remarks: I,1 L, 7/� L Signature: /I_�� oo y (.. .�,t� Date: i�Y-Se!' ❑ SOIL EVALUATION `4' Q SYSTEM PAGE 2 OF SITE MAP " PLOT PLAN PROJECT wuwE wo Mala WMason av marwe ®io,w�. m,w.mwxp.m. wuFerMdE% RUtli Blaeb.Mn Tw 100 Cp SPOe MnMI/SiM Pbn R.aom _ ]ldl w &*+� wexsnn iw0 n W wCI SlMM gyp„ wedOa'+"+�ipPo Ti "' n. w �xl 4% wevq mlr.ama.Z O i my—P iLn P 1 >R I I I e � I N Oro y rose'waswFnaWarEwiF gm�o'mawmmedimi WX-ni�e' h/2ii6ai L♦b eM mveM v.N .XPowaeyomamreh¢1 El asrawaswoFlu LI awwe slmw _ SINGLE -CELL MOUND DISPERSAL AREA D= 167 n MM. 8.8'OF IDP9OIL WVER E= 191 fl m�.i Dfl SVaemeewflon= 10041 rt Lahml inven Ehiatlon= IM91 X CROSS SECTION VIEW —/= 8 N--I (NDS Ie) 4 Eswab�: 9874 q (Slwwlam meh. menhN BM fluaM1wM ktlWucn cYnvMvl FVC Le�ay IrvP��1 I w. 20.0 q a. 75 eenamn«e>aervromw��r DowNSLaPEraE L= 968 fl R MatluMreeaMwXWYrO M h15Be1NEvv "W.. fleM Ppe 1- 120 fl PIAN VIEW (No Scale) E5 X >—a --I K= 109 fl ro� 9 m w O T N DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) FLUSH VALVE DETAIL w smbl OM I^ — Veha Bo[ �� Cmla dTlveMM Cep (YalYlbn apWrall MXmC Tatlnp IoNLntl) � \ BeII VaM I \\ Ie•a.l welbb•1 —� \ n�.mx wv.abrx rTd�v.n. nn+,amabre A�Tb LATE IN TEIEVATM- 100,9 II R.wmll OBSERVATION PIPE DETAIL Iwemel a+lwa.a. apTLp.v op0oml (mueaenebel TZmdgw'a Y�mhm Mi+ml nvmv.nwn.a v.e. (4)1 . �xw Mevna use �• alllu sp�d�glxl• 38 F 1 // 4esrbesl.M sanwwcl.wde• 1_5 Y 0? 11 NumM�d OMw pnlml• 25 y arm DWNmRaY= .558 ev xmm.rd L..i.b• 2 t.esa wm.m xm= 16_60 mm TOTM-DeoywWmm. 32_95 w.+ om. a.m.br• (U 88 Y Invlvll H+aM IOTM END MANIF= CHetic © CONNECTION appliwde box. LYaW w.anY• tti rro•a+o.11 D mil max—}— x —I y ❑CENTER MANIFOLD 0 uW ob�apudl CONNECTION w PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS ._ _ (No Scale) aw.q.l.r P••.+. sroam..shepl CAPACITIES ® 17A5 alln naaa(h) I vduma hall A 2L. B 2.0 3s.3 [Cl 5 0 87.3 D 100 213.2 'Pump Tank MyuM Level0 In force Mein Diameter • 2.0 In 0 888 R BT5 q Force Mein Langth 800 q T^�vMPJ+a`^�^* 16 YT Vertical Meep• 1530 11 Foxe Main Vold Volume • 131 Sal a Man. BuppFy Head • 2.5 q MT evdume • 873 gaKtoss +FM Fdctlpn Loss= 185 q I�.Ia lewd.dewsne f TW.p dvaan Mi . hs•mrM a+e.o-.wi.l .Filing Lose = 075 q •h..,>ww bw.na MIN. PUMP OISCHAROE RATE = 32.95 gpm •TOTAL DYNAMIC HEAD = 20.10 M1 PUMP TANK Volume = Boo Sal Pump ManufecMnr Gould" Pump Mcdd: PE51P1 is..uraw.oa ConvolMAlann Manufacumm WE Rhombus Contmalmenn Modal: PSP120V6Hl5DPl7A Fost snatches contanino mmuiv ani aoNNled SEPTIC TANKS) Total Volume = 1,200 Sal PAGE 6OF6 Mound Management Plan IMOWAW: .ireo,.Bra m4 mB,ne Bynum ws be raPUCnUafu YpapN ©nalbnaNmarYaranspu.ovum emplanmlB Of SPS W.]Sf, Wec. PAnm Coca PuwNrl W SPS 35352(2). full Pblnn Cale. tlas mint woW MvbNanuma,lylln luaaNXMmanlanee In asaen-e nln Nls agewM maltlarlM (Ion FUMwmue, ell lr,px5pr Nk mavenanm ali final be polwmw by arepYbN PJWf4 WNbaxr In eupM»Mn SPS M 52(3), Wise Pbnln Code Waxnum DWwmi Area Owrstlne Unable: Design Flow, 600 gold; BOD.5220fill TSSS180mgLl; FORD 530 hall Ingm UQD CM1sckllet INSPECT EVERY 3 YEARS ryw a use age a system nulwnme best (I a alma user ainfu b, are) mirshav (malfunction Pi a, Peal varies, rural read em) malmal maguey h ¢, leaks, bmeee, conrelon. my) in wilds volume in waacbc beaenere tanks) and and unusual (I e, OMSWtlm/drop Laval) • reelect or "prmper use (lien axmmirg dezgn sameness. rearrested salient, at) nealam Of Wrong In di&ri Wm Mu tI Pnto awns sell l negolamse n 6..pump— Yams floN anion Or ei .. eleance mnpmemsIre. Wore mmnacli,ms. swnonesraluae there, Namr4 all o mm lNme a lmwe mfiCea (mtleure duel pmmwe—mnraemeazpn tleanmNml o system disposal aeffluent axovide»Lorn tlnea Wlnbwnce ChNkIYI "Wall EVERY 3 YFARS(or wXBn wcassery) Mound and tlwe toll shall ce PanpBd M aar1iIIN address emoting owralor lkanxd under s. MI a We Stara "on Me volume of wilds In Me panels) ticwds wembd (113) me Meal volume ands stands) Or as ruin by local adman¢ Comes 0ccntenla shall be pursuant to NR 113, Wix. AJnm Cws. EMumn MM1nN shall be Inspeclod every 3 years and shall the shall vmM mCveery W remove any mcumulated B; accbmandMUWa specificationsPwrviang pedal Mll aln-ayswgraelm than l2 onthsaldadlrq e DINrlwtlon lNenle Loll ndflYel9]OBCBBvery]ytlrs BrwXw neCMEary System melmBnm<B raporpa enYr pB eudnXled bale pnpx bur gawmmmt unX In ecsortlerlawlM SPS 35155 WMu Mmlrt CBG. Rebut any comwnant M1llunu meXunNlon b Name Of imriaual a... Northland Plumbing Inc impost 715-2654115 LURI goverment unit St. Croix County Plum 7153864680 �oml government aril Bm,,,s.. 1101 Carmichael Rd, 1lodson, WI : 54016 Any d0fili Pan BI ti Soi Moll No l llren ruNuas, or IerMe] sounal to SPS ]03.5t (1), value Mmm. Coe. Repair or prootiona l a bred on malturerbnlry opmrwe BNII mmgy wan SPS M, vNaC sudden cover No proord tw Immodest Or pnyBlul rearora5cn at the Pcauns may b used unsure approved ty Ma deermwnl in acwmanu with SPS 384, Nbc. Adman Coe CBmlrmnnay Plan in the event MN any failed lreehnemmmpmmtot he PONT6 vIM be rewlreq it clan W IgNud purswm W B plan eUluniM m lire eppFpdele BpMgM MIBW and applv.'el Areued mound abpINW CGnpmem m.y be rBwnstruaed wahm the orglrany Mgru+ed vm and ramwN a an feued wmporame Svabm A4andonmenl If use Or ON PON?Sm dumn5nuea, X Son bB a ndo in smvN MM SPS W,33,4Nc Mmm. Cold F (4M!ai Speid igrcd brlhe blbwlne uses •Marred $Mans • 911ueml0osing 55'nems • raw ReassurePipe Sy 5 Basemem Paining • Hi Wq sumq Dewaini S HFIIC ILIIXIS Nmp—Geri • Dladri 1'FNIT • himpeoure: 1041 ICPO marine, Prams swhen hIGsi,bi • 50111 haMlmg 'N manmum sphere • wili cmotlefInable, AOrtswNA • ManuY mweemYeble •Pumping range. see perbimame chanwcurn, 31Perne Madmen • m O53 GPM •Megmum Mud eJ 25$5'NN Rat Nmp: • Maumumupaaly at GPM • 1 PhiMal`E9'iGH P Mind • Maximum a3 70 MH Ma •ximum and i 3)'NN GOULDS PUMPS Residential Water Systems -- M R General. •Sngie Pierre 01 • 115 aw 230 edC •Buih-m lamed Pwraid pmhMon wllh wlamanc reset • aewehmdww. •Pl.Ned di • High sberpth Mean lshaft MI Mover • 33HRNw" • 115 nb • ShaiN Pde chni P&1 MN • Wfli RPM • 115 and 230 w16 • Pi dmign Pon M •.5) HP, 390 RPM •115 am 230 whs • RC saw RGENCYUSiINGS coks imetl W UL 778 aM M 22.2108 Shnd'rNs h cw+ flIeMWAM�i� 39 5 ronn n Y io N m M so R 70 am In 10 vnW 0.mPoaa'mi 0.ymea SOIL EVALUATION REPORT 0114 T `66P (Ipyigild69MYa9PUMtin96nAat P" 1 or 3 5 �._!/ wmmd6.wtne6Jkq. Nm wm IN, I c P�wePlrbrwe.�wP.rbru., eu,nw..em. Pk, m,m keb r«dm wmkl�w,.e Po92mn aurae, P�'s+'a°N=P."".al..am..e.. m.n.m..wkmw.aeeo4m� PMwM6RMMwMtlOn. � wrau •..wroermek..oe•m.ne.,. rawn�iw C°'"6' saen —_—_.. Pmlto 1kMwJ T' UerP Pioo.kai.in MWi'r, dwn mbP�wYbiklbYne me cwn]9ao nw.bl.�e. 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BwMary m (I'll Yuma W 4 CM Ccb G a 1 P1l ]. SYRy2 Of 3l all It If 6 8 2 11-18 ].SYR4/3 d isy Peter 4 6 3 ]62J J SYR4/3 J SYRGr811f I tl NbAk all q5 9 b I 2LL28 7.S)PW6 _._.._ N 25b mM1 ¢ 2 .J 5 28-59 J. SYRS/6 7!Yl added; N 2sN_ mM1 ¢ 2 3 sort bang _Pk Ground UP" Pat %74 f. DsmIII imnm91=0r_ 19 6y n gi rl Nuk�sGN! Wls 0.M n n wM Gn aun or Cvµn * M ¢Mun iCnnnmenn!,y mRx4 Ml >u L Covpt v Gn L ll.laden I TRIPP 1 0. J $13 12 ngl 35 M df; 1f .6 x 2 1319 75"It 3 d 2ff MA, if .b 3 1326 ] M40 ] 3YR6JBflf ycR E m 2h m gs 4 6 4 2 12 75YR516 2zM mh 2 3 S5 42-59 ] 5YP518 N NIN mh t Is 2 3 EIPue - Fel 30 _220m9M1 and i65>10�IN nph ' ETum 02- Ell a E0 mel aM T v-90 myL The DryIIIII If Sa and Inte nnl Sw LDISO n an NOW nppnmunnp lain ItlYmtlemplPvn Ifynu neN a54Wnneb al m¢SPrnmtl mmmul On an Jlt 6lmrt Ill It 0a 0K 2" 3131 w TlY Wool 0.ele ®nrnMmegmmm Lk. $QM.E G(aww {' we*a h B.Uuu. Twsp s6YY sof s11 rz4N Xito V/ sr Cr. y CC n4y 61 -44.4Y" 6z-94.1 Y' 54 - 94dY' ac 794 rRtuNIRAHY UHAWING9 ONLY - NOT FOR CONSTRUCTION USE SCALE IS 112 AS SHOWN IF PRINTED ON 11%17 PAPER IMINARY DRAWINGS ONLY- NOT FOR CONSTRUCTION USE" SCALE IS 1/2 AS SHOWN IF PRINTED ON I IX17 PAPER � ,,, �J tf of alDlx LODVFY JUL 082019 SEPTIC TANK MAINTENANCE AGREEMENT AND Sr Cmi. Couaq OWNERSHIP CERTIFICATION FORM lormoory Deaeloummt O,anet/9try 041 TUf C -fn �}ad•ew l(.(.ten Milliner Addles. (OS$_ ie'ibbrRI {i..� a/�p. W/ S�02j° _ Propem Wdn.a �(J%�'r%'E C—ii ST r IPenOulro and Irpm Vlumm�g&Zoning Cetral fornewmnnry nanl Clly'Sure weumparmi I/ Panel blTrillion Number LEGAL DESCRIPUON OJ of dd2-/6Z3_alO -Onp Propery Lavanan SG—v $E Yea 1/.. T 71NRlee W, Town of $r/OAYie Subdrvumn Plat Canfed Survey Map# Volume Z9 ,Page# 66'> Warranty Deed (before 20077Valume ,Pagep I boil.. ... 5/ Col Imes rdmefntai no SYSTEM MAIN FENAI AND OWNER CERTIFICATION Impmperu r mami of your eepnc syme oultl mi am. rt failure 0 handle year Proper nofpumpmgour lbe septic are aua yeasooner, liner by a licensed partner Wlraryoupul mo the see ,,I enter tile e La of d" not,, aan xum w nl acthele dupoNorman Own vuumi mommolmoi me Ypeofea m Womm R1521C mid m Chol 1 R-gl i County SmCary Order.... be pmpeny mvnee agrtn w.uainn w.Cl r mu Luun(y Plnmmg p Zamng Dgwnmrnr a oerlrluamu Conn, zrgnad by rim ir erWbvvmuser plumber loumerrnmr rLumakr Iraniplumberora licensed kmperveNymg that (1) the on -sit, vd-.p ... proper pv rinnm mild or Cl Ut¢r Isome an and mmmpngl ,e,r,,r, l tbe.ep¢csto lea ra an I Il"In .n liters, o lire urwenrgmeset by b, Error rrs W.e ana ex Eme nulewrr. yewege Sure fVa unNrNmfoM Mttrn, set by lM1e Rgnr lo(Comrz mtl We IXpwnml of NeNnlRu aSu¢of Wruv Or imgtWhin 30dy, mils Gerrma Yrndmute be mmpko-d antl rtnmM to led $t Onrz County Plummg6 Zonng Otgelm>rt mnbm )R drys o(lM IM1rx year expiration tle¢ vice error red or mummi on0n for... otbebeemfmyborknowledge I/weaMwtwi,emnooli poorly r v urbed vows by lit or, we,r/r It fennel n Register of DeNs OIGte per of edroomr ICI ATURL OF APP ICANDS] DATE DATL Any mfo Alfa tilt atr.lmEywr now boull rn IM1e anrury Mmvl betted(pasted by Ne Planning A Ztenrna fkpvlmem ra re&.,In this mWlrtauon a rememed w,ri need Irom IM1e Renault Or OHa add a I of me imli zurvey mep R me...... i. orders my,.,,I'll died IRE# aging ST. CROIA COUNTY SI. Pl IC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owne[Ow,ra GIwM1_M1+.-dui �t✓_/l(ars..T ___.. Malbne Addre,. ef_o.S8g �(by �dnbT o%uds,/4, W 5yei _ Propeny AJJre.aT 0 Coolalren Cloned from Planning is Zomng Dadmment for new comaucuon l city/Stain e0 ti / _ Parcel Identification Number fQ o1+ra� LEGAL DESCRIPTION Ymj—oF Q6 L/•/6L3�'10—m0 Property Location SLiR fGg}ec if. T�w NR/4 W, Ton of $a/O,tvi, SubdrvinCom Plat , Lot # Certified Survey Map# C, 4F3$(oS ,Volume Z4 ,Page# (065 Warranty Deed# (before 2007)Voluma ,Page a_ Spec lrowe ye, /nu/ Lot l,nm,dmur.bl s Inn SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and mlmun+nee or your septic system could result in as mmunurc(inum to "note waalee Proper x It pumping out septic he tank eh soon If very three yeaor sneeded, by a licensed pi What YOU Putnto m�system can affect the fnncnon othe septic tank as a treatment stage an the wave disposal system. Owner malmenanee mspansibdu es are specified m If noun 8152111 and in Chapter 12—St Croix Cuunty Sanitary Oceanus, The tampons no its agrees Italian 11 pi C rmr C au, Plus innice omng Drpnm mncyan for armed by the a.110d er plumbs for ii plrw be, ,bd plumbe,m, licrnsd pampa r+enymoy that l l l the on le„tnu Jnmw •npml ieW're _ nuhmfmmnd or l_ i alter mayauon and pit nip in_ l i f new,u rvl the. apse tint k i. iantI J lull ul sludge wo the undernial It... read me nit rcgmremenm and agree to maintain the private sewage dtspoxt system an the standards set form, harem, as set by in, promarress ufcommerce said me Departures of Normal Raaucn. Sure of W iewnsn Cemncamn among that your scale stator has been mamumW most be completed bad remmed to rM St Cmn County Planning & Zanma Deryrmtenl wnmm JO days ofmc three year erpua inn ma, Pon ,mty that all ratemems on this form are we to 0e hair of my/aurknowladge I/we Hi the Ownerls) of the prommy doodol Ame, by, imc of a w2"dy men rtmml m Regis of Deeds Office her of tlrooma �. ICI ATURE OP APPLICANT(E) DATE '•Any mfmmmmn thous mrsrtpmsnuNmnyroult in (lie mi I being invoked by the Planing h Zoning Dipmmem • Include with this apahnuen n recorded xarrunty deed her, the Register of Deeds Ogee and a copy of me certified Currey map d mf mote m etude m In, xarmmy JuuJ TREY al 14 fi' S{- Crmk(i I(al SE%y SE'/y S (I 'rz9� Rlbw f N