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HomeMy WebLinkAbout040-1272-20-000 (2)PRIVATE SEWAGE SYSTEM cou,n St CTOIx smn.nn x.+eme d..wr INSPECTION REPORT s.rwr..ew 615406 GENERAL INFORMATION (ATTACH TO PERMIT) wnroro PNSmdft My ad AM AN NI N�Ix afy w'+1sw gMI Mika PI Serra � do wuu. * nm �T11 �'TOWW OF TROY o ro. 0410-1272-20-000 wn si., ✓ s«D n,. SanosrN. m.p�eie. 17 28 19 1509 TANK INFORMATION ELEVATION DATA ®W®® �WEW t���►ll�\►LC7� MUMM •F =mcm1m �►�i— �Im6i4'm C ==mL•Dm i Mmmlm soil ..� Tr.MM, 3[IMENSIONO IN, SO P" fil Lqud COPS I ' 3 Ia wx sysTFM To P1L� �140, uuESTRFNM °P0'0 h r<IH NFO.u. ,� m s,nem a1 , I 7 FO uxn x.ma. ro� sue / 7 Lazm m_q_ w� x z-� SOIL COVER xrm One I "�.zn ' x SaN e.a a.dr e.4 1 ii V "Ix .� an. COMMENTS')inmuae maeeucrewece., wrtan¢prewm eul mapegron. O_I, Ip rmwgipnn Lmtlon. e31 LOST Rl IN( (J 1 1IMBM Cuvorm-�Y6�T 2l6 Plan roneonw.nda, ov.e �n `a@ o, SO,11 _� W] �� Los Ummner.le. mm , emexa mmrm.wn " peens SOD e rp m='.n saMY,na BJbM, �^�' V�hmn ll fly,' n M1 9 1 w 1� j„ -- M fl' J) pj,4 . ro �1� Pr.&� I PROJECT Oft&dry System - PLOT P 5=va S= rles h a za AupRESSQI l� RMk SYSTEM EuvA N/R 19 lanR Hu ilo\ 9a 4997N TOWN Tmy OAMW U016 COYYEN'TIONAL= 940 4'CR�OW OredR-COCNTy ST OROIR GATE U2e/19 MOONp _CON1'ENTIONAL LI REUROO � SEpi1C TAPE 41(p I�9RIIOn9 _ tlOL NCH TANK 52E -LIJT TA\E %174 MVLOIN4 TANK RE]CNMAU 1'.R.P To LOAD RATE ) A450 OROREtlOLE PoNRr NNY RPTION ARI.'A 6 WKE TANK SRg uT rham6eO 33 O N'fLL •N, ASC R.P mme as pantl m OME CLE\ATIOY 10 Filter ijibp= Lost Rack Lv1c Scale = 1/40 = 701 plpm 0 lu g shallbe of lon_4S731 SDR 3N1 A mPmg sha111M.4S'IN 1pyl Rhln } B%f 3-1 X 46' cells N JO>3's v IC 30 B.I Awcka Sla4Mbehmg F1, mf r i3m 01h=fi0fi_o!6fi^'JPmrnlenG nry�Gndc at S%smm Elaaunn 40 B_31 I � v'ate EMsungI Bedroom House fiMi�l11 NCpPV Cover Page Shaun B[W Birtl Plumbing Inc 1432 120th St New Richmond W i 54017 715-246-4516 Date.]/2&19 OanerMichael En nch Location SWIM SW114 S1]T2B N,R19W 431 Lost Rock Lane Troy Manuals Used! In ground absorbtion system (version 2 0) Peg" 1-Cover Page 2 Plot Plan 3 Chamber Cross Section 4E Malmj#0 Ian Signature License n System PLOT PLAN PROJECT Mike ErdrKh ADDRESS 431 Lost Rack Lane Hudson Wi 5401E SW 144 $W 1/4S P /T 28 N/R 19 W TOWN Troy COUNTY ST CROIX SYSTEM ELEVATION 984/98 7A9904' below grade 7/28/19 BEDROOM 3 DATE CONVENTIONAL SYS CONVENTIONAL LIFT HOLDING TANK MOUND_ SEPTIC TANK SIZE 1000 gallons LINT TANK SIZE DOE TANK SIZE HOLDING TANK SIZE LOAD RATE T ABSORPTION AREA 676 If of chambers 33 BENCHMARK VALE TOP Of power box ASSUME ELEVATION IN, Filler LlfeOme FII@r ❑BOREHOLE (DWELL 'H.RP Same Sea benCM1malk Lost Rack Lane Scale = 1/4" = 10' All piping shall be ASTM SDR 30/ , within 10' of tank, piping shall be ASTM F891 Vent 3-3' X 16' cells with spacing gh>3' s >6" Qumk4 Standard B.M " of Lrachtng Chamber f with 200 fit of Area B-t 5bft^2/pau of en0 asps 30' 4 B-4 ' Long 12" 60� 34" IS Gradeaz5yslem ElevaDon B-31l "h Valve 50, Property Line Existing 3 Bedroom House Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5 6ft^2 pair of end plates To be >1' above grade Finish grade elevation / Typical Installation 102 4' dent i Gratle yens 4 i 30/34 Septc Tank 4 4'Iung 1,. 5 4Wng 1 Grade at System Elevation 34' Grndc at System Elevation .4 Spacing 5' Observation tubeNem Sameonother end \To be\located on end of Cells 11 chambers per cell \\ \\v A OB System elevations C A 99.0' B_98.T C 98.4' POINTS OWNER'S MANUAL & MANAGEMENT PLAN P.Y._M_ RIIP Ow•a L _ Hot Tark CApsery He pNp Ps eY Sepec Tan4 Menulatlu ONp 816X PNiM1mn Elfluam Fmrr Manna lea, pRp number of 9mblem He Forum, Fmw Mora ora nanw,dPwaFMryum- NA wmp yeah cewary am oxs EetlnaIW MA Uvppl jVa P,a,Ip TanAMmufrmm Oµ. 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Iw ,ten m �ap.w nY m✓M Powys �Tr re Im M L'•w wwwarl m aerMy a ubtla rtplaYme.>ai uPw M1We a Ew POM9. W wY ene arBYse{Y' wrcePwpwnambwwea+mY�epewwn we.. uw�edwwd w.nnrYerouo uaawrwm.rraa. • Ya11 W /1 b Y{b Ew YM'1 PONI$ O Ab/a1 N.a9Me W s4n- Pnw' Mlwu ml le rmwabl F dew tMq AmM d tl'e Ynid d me NNa�M ub nwoYmmm. a.M awwnemm v.�Prywmmmw.mYawer ww «wMM m• SEPTIC, RNIP AND OMER TRFAIIEN. TM MAY CpRAYI ttIWLGI89E8 M6GR lINUfFUEMT O%TOEX. MNOT PPRSOY fAdI THEIMERIOROPMATAM(W TANKKUNMO CIIR$Cy ANCE DEATH"YMULT. RESCUEOPA AOd1XMMLCOIYIMI! f POMlIImwN rO R Rw W%e" T --I _ NSnw S/ } �PMM it C — LY 6� � I J — smP wRVICIRROPEl4mR UYP! LOCH. RIDIMMRYAUTNORTIT MaeewYdr MhE n mnplwwxwdlepY� BPoM}:3R%e%1%flLMaM ir.6M1), O)6T. WV��emAwYYaIb CMe' ST CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC ..'s is to ,�ryry fjfy t�hCat I�havp nnspected the septic tank present:y mg thei, z. L /rP�C. dN�, yg residence located at. Section �� , TLON, R_a W, •o.n of Upon inspection, I certify that 1 have foand the tan nd baffles to be in good condition, and it appears to be functioning properly. .ast time serviced: :,id flow back occur from absorption system' rue No (if no, skip next line) approximate volume or length of time: gallons inures -apacity: /Opy) Construction: Prefab ConcreC4L— Steel Other Manufacturer (If known) Allzdlen of k (If known) nature) (Name) Please pn� z- (Title) (License Number) z Form to be completed by licensed plumber (s.145.06, Wiscor.s.n Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) _________________________________ Plumber (applying for sanitary permit) Certification: IF accepting the above statement rega ding existing septic tank condition, I certify that the tank t0 t est of my knowledge will conform to the requi ements of ILNR e W s. Adm. Code (except for inspection opening or baff Name Sign at MP/MPRS Z 6 ev ST CROM COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNEBSH@ CERTIFlCATION FORM ownQ�EpyfE M IG!}E2ki� fob¢+ !'Mi L t m I LON y Mamhng Aadraa 49'Iq GOL(7YLfl170 AVE DUN j MjJ y5py7j ��, Property AMrera ITDeN woo L ;3 / r / /17 IYofatwmwtwd from ehnnmgI" DOW�- ntyrsmce ('fie ' 4 Wki4 iNdu,nr Nlunxt Properly Location 4L m«5W V" Sea. Ll� T-Z-✓Jc-R 1"I W, from of stbei„amen 'r201' WOOD Lota� CerWied Survey Map A Volume � Page g Warranty Deed H _ � q}�- - _, Vollune _-f�y= ge N Spec house ❑ yea,t5� fry `� Lot Iwea identifiable O yea ❑ for SYSIEM BIAUMNANCE Interprets, and wlottmvreofpweeptleyttem eoyld newly W its fomemn[I to Wrdl<ma¢e. False whileoasom wiN orpmploa rot 1pe serec bok every throeymor owner, if welled by a Wilson Merger What yoo NO two thr ryrtem can affect We Nwtioo of Wr svW rank IS a transient SOS, n Ne warm dirµnl Sytem M000umwes oOlson In whwt Croy] repamm to St Croy Seeing Oent a cemhuArea, , eyoW re by the rare, and by a ayer p eymaorloeass,mNc¢dshelter wahwmedpmla, veNyinghot (1) the ooeih mC wal<rdupml Mason u as pipe, of mEop wodi0oo asevorm aM mpewoo and Pomp in; (Jwceawy), 0e septic took as Im Wen I Nt ofrlodee. Ux. We weerseiped have lead We above ugmrtmena ere Olt by wilily We pnway<, dugcy Moo HW Wr rutluds M forth Mohr, uttr by yhe lkyvmmtaCmmerte and We Sks WWr m ofNIOM Rem,,I State ofWim min. (Sae'6eadw byf that few rots s^eptic�ry� =h�as�bogwmaivhumd nw W eo"iLed wmnN to lh, St Cmu Cewtr Z iw OPm HWo kO 2 SIGNAT1R90F APPLICAM OA•fy OWNER CFRTIFICATIO 7/a a/iJ I (we) omey wawmmta on Wn Wm ea me W Ube bw nfmy (fM) Imrwiedp. 1(wl m (M,)We rwmt(p nr We Ppw .„/tr eerr�ed.mnse. w. by wtdw nf..m„ngexd reed,,, to Register arrow omee. SIONA1tR8 oF'kpp } DATE aaaa•• Anr lnrwnsou wyi, mu-nrmeameenar n�llm W, a.w 7/2d'/� Wype,ne bong mewnheby We bWog lYpmm m •••••• •• Include MW this apptoatmn a sumpct vamMr deed hom the Regtuer of Ixeds Office I outs of We «meee mover mAP If rtrertw,Is red, in We memory dead 41 42 LS \ 34 i 1; `1�.51 ACRES `) w I 1 1 1 \ 061717 90. FTJ T 36 1 35 1 \ 4.1=!M t.ea 7ACRES ✓:,s1' 71 10 BD. �. ",W3 eo. RJ M ,anpamnemnmu PRIVATE SEWS SYSTEM cenN 31 Gmlx IMSPECnM REMW N0 Rpppgd p GEMERALIMFCRMAM" , IATT TO PERMIT) vwrow s.0 ramsnamewrr was^wmi.me-ww.rvwm..Pnq �, a waXT w h,MI . ury vp i s va.wiwxe ENkM1. 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XMlaa V 00 gD13?m h 2 a ©mmeoo©eamo oomemo©eamo o��ea�osa�m o�ame�mooamm o��moam©va�m o-pp s�meoo©e�oo ©mmeoo©0000 oomeoo©vaoo oo�emooeaoo no�oa�©eamm oomo�m©eamm stc`�momm©eamm •a..n..,p; n.m..... n.an„m.a, •�...A.,,y„q..a,se �a.� mzr LEGEND ■ = BOIL BORINGS WITH BACKHOE BMi =B.EV IDOR -Top of eleMic Vaiufortref-alto HOP BMY=e£V.KV-Top a M"P� Page 3 of 3