HomeMy WebLinkAbout192-1030-50-100caurry
"e PRIVATE SEWAGE SYSTEM S1. CI01%
Nf'"Ns euoamaem nnnn
INREPORT ry repel xo. $AN2019-1I9
GENERAL INFORMATION (ATTACHATTACH TO TOPERMIT) per No
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Andy LinEus n VILLAGE OF WOODVILLE .nHP less' �eX.o. 1921030-30-1II10
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TANKINFORMATION `I ELEVATION DATA
TYPE
MANUFACTURER
CARACRV
STATION
BE
I III
I FS
BUSY.
septic
uN
FJ
V60
nmeM
oon°y
Alt IN
FUJI Co
2. 2'
.In 1
TANK SETBACK INFORMATION
1WM
TANK TO
P,�
1
FNELL
SLID
Venter Ak
ROAD
I
Up Intrit
_
_
N.,B.,,M,n
Holding
ss-��
m srecem
PDMPISIPHON INFORMATION Art
First St
8.55
INpma z/z
se
�qF
e�Llnho i "ZfF
V5LmWlsr q ,
SOIL
SETBACK
Ny$TEnTQ
enumume
DA Iden.n
time.
is,III
Vent . Air I
SOILCOVER ure5puma 0ny A mna 0ny
„n..<.m. ,..en a°,.. a —_ e, oxo °°°Dell oRo
COMMENTS: pnnueeemeelhirnes ...n. ptirsciy Impem11ron Pr. // peabn'.tE' ✓/
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am,pmm� " tG lel 3b y 7 /8 i1 0 (sf 3b 17�
uiser, — /v 6 3
„n a' side foradd,Nn.Irrom.B and G.N_
rl, Ol.l -I• I , r
o o my 6mta worn
.,^` a $1 CIO Counly 6e ce
nremrvlmy
V CCapx COUIPPIksCClIM
P 168ZpIIX6 gPppNIYEM
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IAS I(N
wluagl„..a
8 lZ
or Cmnlma.Igp.A
HueeSon
PIP F 715 86
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Tank lnbrmeNn C.plcry In Gakn. 11IJ A lMaw m pm gne mCprNN,
Fev. phallo
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imks
I
a o 0 0
0 0 0 0 0
wlMmremam Xros
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5 P.nnn Fe e M ISpn SUN,
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mwo VJPPEM CWNEl1®am.M alupprwal.
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pt
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u
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BEuv
eLf/S PLAN page -1-Of
scale
5y56� w b / �,+,
�y
Sw
49JQli Yle,-, < V
R 9vo
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o` rHooE 6_ '
w av'mq
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nDMY OF
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a
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if=JCppy
NOTES:
1. Elevations stovn are existing ground elevations unless otherwise noted.
3. IDstall permanent markers at end of each lateral. (_Z required)
3. install 4- observation pipes with approved caps. ( t required)
4. 'septic tank to be\2W (g00gallon capacity manufactured by
n e
5. Bench Mark SE_ "We
6. Oivert surface eater az n sYe[ev to. prevent ponding at G,e npbill side.
PLOT PLAN Page 2_Of
Scale 1-=4V
or
sa_a 2-019. I
°1 tzzep. .,..
as�a
4 BDrgwge 1-et.loo_o'av swne
move c
w 2,0 GH �R�y
.,e.. Z wr. cmnc v�ww
S� Aac ire.w ewe
vr� rea woel
nee
49 7
\ 00 uo< PonpRc< W
m%an�ao �N�a npu-
J c4 Co0
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�I
NOTES:
1—Elevations shown a existing ground elevations unless otherwise noted.
z. Install permanent markers at end of each lateral. required)
3. Install 4- observation pipes with approved caps. ( Z required)
4. 'Septic tank to be\ J$60 gallon capacity manufactured by
Y \ \ 1 V g
5. Bench Hark sg* q _
6. Divert surface water around system to prevent pondUng at the uph side.
tj tr4 .
Base Tank Cross Section And Pump Perforfnance Specifications
Tank ManuGmmer
Tank Model Number
6
'Intel Tank Capacity
3D
Max. Hurylkpdr
Manufecnner
Prn Model Number
2/Z
Alarm MamJbramer
U y
Alarm Model Number
rLr/
Switch Type
•r
Maimum Patrol? orlorniance Rdry
2< GPM
D Toad Dynamic HeVgJDIH�)-,F�EF�M=P�monjoma
L099on
Manhole Min. a"Above own
Vent Min. 12" With 1, clang lMvice
Above cattle pen wnon of Ju1�
Wive Cep JnwMan Box y
PhdshedGinde
T`
DepthofCover Ft �pismrmec[
I Maw
wgs and AeserveC citylume=
GPIInches
Volume Gal.z
WT�
3i2.
3
DwsaufTank Elev.
O, OR G p;
gsoy i[
GF'si A INSTALLATION: The dose tank is bedded and back filled in accordance with the
arearmu is Product approval aprefoosions. Maximum depth of bury at sperifled by the
ynotbeexce wn0utpriorvmval. McMole covers expose0ro ®ode have an effertive looking device (padlock) instilled, piping at the inlet and outlet is of appmveci
material, emereenal to to teak with watertight fittings, and laid on stable soil to prevent settling or
seggia& The force main is sleeved with G" Set 40 PVC to bridge the excavation and is sealed
watertight. Electrical service complies with NEC 300 and Comm 16.28 Wis. Adm. Code.
03105 Ig
Page —of—
Builder Series
The Model 1Z oHersacassible Crocheter the cost mnetloue.
This sob me USE pump is designed for use in reside nt at or
bgbt Commercial sewage appoaanons and can be used to
rannergro�ndwatedi luentorsenage.Thepumpundudo
enmmmounngwithaonrmsinn.esistantbaFedan
romRiandisdesignedmpmdegutheami"on
m
the Moore emu ring a hung service Los.
wage
* Water enter and dmacenng
aE"I HPt Pao e�ge
2
1'Im mml ip ncal solidssaWcM wltn namcb�i.g
Wondered Peters cartel 11i sarArm m)armanoq see leNmml On'Snm FM2e50.
PUMP PERFORMANCE CURVE
MODEL 212
For complete product
information, Wait
zoellerpomps.com
FLOW PERM NUiE
® nll'Em' reserved.
ZOELLER PUMP TO
1 502 ne 25511800
A25 Five 1 scallop umps.cam
11
ST. CROIK COUNTY
SEPTIC TANK MAINIMg CB AGREMMENT
AND
OWNERS"I" CBRTMCATIONPORM
OwnedBnyer �
Meiling Addreec %Za 6--
Property Address 5
(Vvdaomml eat Pls®ne&laBDwusemr lmvcw omwmon)
City/State Pmcelld®GEravon Numbm_ I%2--JO30—�6 a
142&RESCRr ION
Property Weaeod✓4JJ v. r , s�3 .� T z9 N�R6 w ``/'BamPot cr.UrXXJI
Sobdivisiw '--
at #
J �
Ce�Da°d SureeY M+P# Vubmer� 1_ Page#
w.mvry nad# Volume d�ri VPaga#a1`4 -
Spec brow Y'� Lot Kom iamaab16i
no
SYSTEMM N KCE Nn OWNEA ER= ATION
®m Imcmpaueemtlmmhma2 ofpw wpticayadm umaamfpplulyyt®mrt 6ihvembMle wxa4a. Poo=
wmi¢b MAmWm6 wt%eaWticdNweryfMm Ymem wwv.YxWed Mv4imxd Pm^Pu. wlutY P mm
the epmmwuaHepthe (mctiny ofae erytic uoku v bum�mteage uilm wve2 dupmelrya�. Owue mviprevzuee
eropooam�tihm me rveaem m 6C� s's.skl).m a aaPa<12-se cwaeoemys®myaa;mme.
Iffipfopmyowoa vgrtuwmhm¢m St you CowyPlemmg6 ]nnmg Daq�tr rvuvtiGvaEunlmm aipW bYmv
owmevdbYaeuvACPlmdw.le'meN+a Ph 4u. mnrve�Plmtliaara4cmeMPm�`mR)+et mu(1)f�oo�ia
w�v2�n@AaiePw+v1Y� uuPmMCPvaliog ewdtiw aoNm<3)el¢v iuPeva®mIP^m�Bllrvev'auaR'). roe veP4e bvtu
rme, am,md.®�.a n.....same .w.e �w�s�mmm.m +� w �mimm we w:.em a nlwa.l •mwm..im me emmmem :a m.m, a=sa e. an nr mo ttwm+em orcomme.� .m me Dol..mem otN.ew seemow smm or w�mwem
ce�ee moo dame dw rom amde amem hea hero meiommm ®ar be mmalema.m romped m me se � cmmrr Plmma a l°m^6 DePmmmr wi5m 30 drys of the taro Yoe e%Pe+mv C@.
^^faff hue m ehc heap of mylmu 4mw1 W ge. I/we amhre We owvest'e) of the
Pmavty Mu@Mabove, bYeuh�ee reyNeam Aegie,m ofDm408
Number of be � �y
- uIGN OF S) �DATE
•••peY mfmmavm mumm.wP,,,maamay mmamme smipry Po®Ihtin6rcwkedbY the P4mm8k] 'oppryvmey. •••
rcfnmeeumWe w�the uveamydmi. �ry�a�We Yegum ofDeedsG6xesmla uprof Le mstifid mvYsy ®pif
(REV. WS)
JUL 01 2019
St. CMI% C
Accessory Structure Affidavit
Name —(Owner) Typed or printed
being duly swan , seems, undemath, that
He/she is the legal owner of the following part I of land l occodin St.
Croix County, Wisconsin, In Volume Page Q[y
Document /Summer - sres S[. Croix County Register of Owns
office,
mu mt�.anaa..,,
being duly described as follows (include lot no and anhamiamnresm or �q1 �I
detailed legal description): i °7—L—'2 06,yl,
iee Ad�ic 4.e Pywtt m�e, n.,ntw
I9]a-m/DSO-
As owner of the above described pmpory, I acknowledge that there am two Private Onsite Wastewater Treatment
Systems (POWTS). One serves the existing principal dwelling and one will serve an accessory building on this
let. This acessory building may not be used as a second residence on this parcel. 1 also acknowledge that 1 will
disclose this information and stipulation to any future panics invested In ads chasing this property
w:mwn I amer Teh?ol9
Q z
no>'nemtCATIOn
lamirs.100f
zVz Rye
R
ST- CROIX COUNTY ZONING DEPARTM)IiNiT
AS BUILT SANITARY MpORT ' . FA.�
wt h L a.
Addmes 9,Lo Ded.al n 5' -S /3T 8 `W -1
r
Ciry/erme h.aw+ +pry"��
Leptl DtorlpHoo:
Lot— Block SubdivisioNCSM g bi l4 e. o
'/. n='/. ", Sx. jL, T,N-RLW. Tow, of PIN p 141-102 0 (lI
SEPTIC TANK — DONE era � 7f, 7A'`7b/4
11MING TANK �___ —__
Tack mmahonaa m&affila oo-.•. Size ST/ IbD / to Selled fwm: Houm _ Well ylL P/L �Q
PunP manufertmer r Model 13
Alan lom m
(ROLDWG TANKS oNLY)
Selbtka: SaMce mad Vmr w flesh ar inmke Wert Liu
Meter bcaio,
Almm krzCo,
SOD, ARSORPTTON SYSTEM:
Type of system: rvnrrrm ,$�Wift S LenO AV' Nimbtof Tnaaohra I
Setberk fiom: House do wen 292 P/L IfF_ Vem[ w fiah an mbke
ELEVATIONS:
Deeeripamofbeoobm SPxe x0' mevedonwo
Desc hoer of altanaw banannea
Bleverio,
Buikgng Sewa ST/HT Wd 4B? ST OUuPC Ww
PC Bottom 970 9 HudwMaO1, afoW � Top of ST/PC Maohok Cover 9il &9
Distabudm Liven ( ) 71.12 () ( )
Bommof Sy:wm() 97.as () ( )
Final cmde O �9a,,,9,,,,,,(((,���sS Date of ImamBaUen � wlit cum
Plumber`, ber -3 / m mw plan ,�a/mMr � f pavQ�
umber`, signatureumb
\�_(/ er e 09yY Daft
lospttar
�dos+<reh�