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026-1058-10-300
�wn PRIVATE SEWAGE SYSTEM " St, Crow �tierdra..a INSPECTION REPORT °^"�'m GENEML INFORNFTHON NTTACR TO PERMIT Sees,cmmro 61500] 1f w I.x.il Steven S ICalMeen Berger b -� o TOWN OF RICHMOND 1.Ne 0261058 emu.. ..OD.0 ea mm= ""m"`�19a3018290K TANK INFOR TION E ATION DATA © MOWN � ®--L11�QI,EM�7Y�R,�Ifwl1� �Uuv MI !ua Giiiill�►�11pN\b��fl� ����i[�1 UE T�mliRtlo.w� FT 8, R so Ta 1 it "' 1 ar.,0' vlsmaU ON SYSTEM mvlal SOILCOVER COMMENTS imaurcweertoepnm pertenx ileum nol on Y1 iepxuonR %mil ww. AVnn xiu.eu o..°oes.- 1d ww.....m.- Ii add le bti¢6nc, y�dy. su-cr ee�r,em,? �.... G°,U rD p A i ll o to�9 I ;Z/z ' ��.. 6 WasM�gWI 113 POaax ]16R WM.mn W Sl]0] ]16R Sanitary Permit Application . a , fC lit w.r Js 7 Gsi- var-,sov6 a rrn.::cm.66.m c01,4,11V. I-Fyj 3 w SnVV—aaiy _a16 &/ 5407 U WIN" mm..orrDe �-- .^.��i �P5'SO .7 b 9s.zs ?Jill I snma.(rnunp 9) <6.x_ <a)4- 06 PAk Co� S de 6e- ,� ro� f0 1�0 �_ �_ 1's '✓J rvn9 4w ti �,,oy X/� J —S _ rVNIVJ 5/� G�'euM+/til CY�11' anov1 141a as O u CONVENTIONAL. COMPONENT DESIGN BesldaMml anplmmlon INDEX AND TITI L PAGE Prcjecl Name S'I<vK FJKrS.J/ Owners Name.. l.T yl VV4 UK✓y4e _. Owner's Address CIN2 �4JTS Nrra_ __ Legal Darnel llon Se SW S_/9 T70 N_R I t w _ SuMllwsionLot O_ 1 Town FK%we e/ -_ _--- Parcel ID# O 2 6 - / U _S' $ _--40 Designer/Plumber 0411 S Qi //C _ l o ense lfZ Z' "" Signature'.. -�-f_ _ _ _ Pale 7-25-n efle^ee plant m all, m-Gomm Sall noinn rain Gnnpanant MaauA rol arai S vonlnn z o im...nkra.. virtu„ W5 § c�)� )•vaaY0. ,ry e.•n9 • q-+o✓w�r�—a ws(I�'CL 3rLv +)•Ohs r/,6 r'B�Y-!✓ oe1 6i s �Fl^s Aix -.___ __.,.---v-,o%'��' SY�tS rYouv�cr �+*�orrv� rMQ Soil Absorption Slistem Canada Seadjoin �% b Learg y Chamber 6!i � _ � 9GSsZy,sf{tF,e{nmnf eEl Glfle ,veatlbem Soil Absorption System Plan View (0y Illlllslllllllllllllllllllll II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII„IIIIIII- IGITrwn,d�IIIIIII L Pageol t: am3AT +'a is¢ibmion cdl Typc Scpvc Tank p 'Ab; cynu❑ Lod o4nnbu�� lfm 5cpm 11n4 Vol. ,. /�� _gJ Scpvc T+.,H val.finc /OOQ__bil "Lnrcd ❑nueIad ❑ q ifannhcmru._L,G//'*"18+//_+,y'^( u,16c. a(➢oa400mzIr 3 Einucnu Fdtu csIznL A'I'ng Ifrc(.LR) '% F:mmfrnuce (ea(' wwn SvlAnMum Aa¢) "_.. AbdA_ n l:c--1 mvsmanmc .Nwnbe.ofbcdroom. 3 P:Imp Tv g,Y, dep/bc,Loom xUT M,nnfisiwcv,_ n.,...........�._ n,.,,, n,.�,:a _ YYn INSTALLATION INSTRUCTION � �•�- PL-525/PL-625 FILTER INSTALLATION INSTRUCTIONS jwils A I -k �•t Step 1. _ slept (A) Leads me ouuemrlM1p apple pink a: nk (A) Be/wninstlHpan, lYam the (A) clue Im filler harping nothe (B)Remove lank rover wM ry pu,lank finer Mmsian to the Orion(On( plan water Von 'f n�' y- (B) Naku sure that the Ijampm (a) )"Berl Nc filter ra,lrgpu In the 'a pmNwxq Bu ll,e fines van ne remark, makhg wm mO filMr approved ktln lkn took lw qukltlgakprayerly rlbrRil erq rnenmw and mrvkw c"arkM..ly k iwnro in the having MAINTENANCE INSTRUCTIONS F )IUg 4 uI r lei, � still J� "�'^-•^wry �. 1 n npmol 1 vor1I (Al Step k 1 n ifmocepsary fIv"nnE pump (A)I IIM1OGIIe Inagebak mnr Ilia main madam area IB)Punn IIL „I orma eouslny. Oe liter to props shared USE RUBOERGLOVES r (C)N oil killer over hat mytlr took and completely mended WHEN CLEANING FILTER' Make ^e all s'olhle fa111tnrM1 into ma (Bl NeplOweyllc lank rover pn Ionic dr ART UP AND OPERATION I'." Of _ For allow Nanstru Alois us' of the PINTS check Shall tcuador for P1111111 o/ pai Proi or abler cM1emkW Nat Try ImpEe Me beeNwrtyroewe and/or tl anal Ye dilp •el units) If h,gh ooncenUMWm are der Mc pM Me co mnu It He Will removed by • subUrom serec,oia vrtw Poor to use, Sptan aloe UP abed not •cuu when sml m Wig are Foam at No shoal surface. I During power wt•pee pump tanks may fig above nmmel 6pbwater levels WM1m Power is rwAr the vcwa wastewater will be dixM1•ryM to Eye disposal cellbl m one Into, dose, oveloadmp the c Aoal and may remit an File backup or mace bischupe •1 n flua To "Old this situation have the of the ark Panel by a sell Semnnng Opeor poorto Power to Vh* effluent pump o ,Paul ar POWTS Maintainer to assist inmanually operating Nit piano coa la to ..sere named levla err m the PIMP tank Do of ono ark vI clan over ooks and d,,p eel c e erwDa of dnv r park Pool or othise disturb or compel pre area want, 15 test dawn agape of any namn l or at grade Sad absorption DICK Reduction or alimrmtbn of the following from the wastewater stream may Impmv tam performance and pmbnp the Idle at the POWTS. •nn6lpOce, baby wipes, deareng butts; ... dome , cotton swabs; degromers, dental hose; norma , olarninstants; tat, foundation arson (Sump pump) seam", (Nit and vegetable Pasoan; om•bo•i grease, homlwdeo meet :crops, modlmtmne, oil, painting Product,, p,UIQAdw, resonant napkins; tampl and water master brine %BANDONMENT Who. the POWTS fella Spoken Is permanently taken out of •ervdee the following step, shall be taken to S none Nat the system la properly and safely abandoned In compliance with chapter Cohen 83 33, Wisconsin Administntwe Code • All Pipingtotook, and set, Shall 6e disconnected sad trio mandonetl PINE bOeAing4Seal•b -' • The dmen , of ell links and pns shall be removed and supi disposed OF by a Saptage Swlcing Operator Affair pumping, air tricks W pns oh ll M exuveted and removed or their coves matt and Nit VOW epee filled wool sod. gravel or another Won solid mmmJ JONTINGENCY PLAN If He POWTS into en cane be opened Ne following me•aur•e hove been, or most he rake., or provide a cone compliant rapt acemmt system 0 A a tehle 11P1111prame or,, has berm volumed and may be woul br the lac of replacementail absorption ® ur system The replacement area anchhe Pmtmmd from disturbance and mmpW n d &cold not be IMdiated upon by reyulrad setbacks from existing and pmpvsed structure, lot retire and wells Planar, to proper No replacement area wil result To tin need for a new SIT me site avalnatlo. to or,nWi a eueabk replacement are, Ford ... Point systems must mplV with the miss In affect at that I 0 A suitable replecamem or,,al due to setback and/or Sell limitations Barring advances In POVI technology. held no fork may he not as a last result to replace the railed POWTS 0 The It, has not been evaluated to dendly a suitable replacement area Upon failure of Na PollTS a ,If and Site evaluator, must be performed to locate ashler replacement area, If In replacement rem la wa ligi • heMing tank may be Installed as a tort mean to replace Na frilled Pool ❑ Mal and an grade and abaomnon systems may be nconarmcrtl in place lolhwmg removal of Me Nomat at the infiltrative "does, Rmowweer of each syseema must comply with the mine an off 0NM tone <Wr imG» SEPTN. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUMCMT OXYGIgM. 00 NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTPNCF6 DE4 MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY RE OIEFICULT OR IMPOSSIBLE I 10OITIONAL COMMENTS lows INSTALLER POWTS MAINTAINER Noma /(.f TArla rvame A� Phone 7ai-2G7•G(37 Phone doold E SERVICING OPERATOR IPOMPERI LOCAL REGULATORY AU OHLTY S�T.e LLe Name $T Cra.K tT 2mn' Phan• 7W. 2cXLC37 Ph=n• �Lf-7YG VG Sa w aacvnm err aenM N crepe... wM Cheer Ceram 63va11aONmNn •Y 63 upon In 6131. M®IWn,abNliveN+tno• POWTS OWNER'S MANUAL & RL INFOrMA INON Of rm�x I I Number of B adecoms e Pill Tank Mountaineer n lar Go W If ! A fail low rM upon flow medic Eltmated 51 4arru a'], p kel"Alm"Ir S Sol efuldn'the note ol Application note 17' read., piano moral hOA Fats. On lo Grace [FOG) c30 mp/L o S,mVCravel Flier 0 Peet Frher Brachemmal OxlOan Demand BOO,) 522O meld. 0NA O Mechanical Aeration 0wal"d goal Suspended Soups ITSBI 1150 mg/L DOmaofecoon 0Guys ostrumadj1HpenLOu hli� ACkene ell C _ _ _ Bmghlbr lOa+Igen Demand Bi 90 meld. 0InGround pmmtVl IF Ito Ground 1preasprison mar Suspended Solid, ITBBI Z3O mplL 0 NA O At Guide 0 Mounn Fecal perhaps transient mean) S1 Oc vfull OOm1 0trip -One DOther. Montreal effluent gatorpou b,,, , In Jm EINA main 0 NA nn .n,yp.n e,er to . tryI o AINTCNANCE SCHITILlE" Split,l[vent BeMco Fregilency copperi or talkie) lO n,, _ 3 �mdNa lsl vlMavlmnm ayears ) UNA reBA'af te`nklst WI mbinpJ y - tlaamgeQu l ah�}hrN lK oY to rk volumeIF NA sil celllsl l a very J Bhs) IMadmum 3 years) D NA filler qt less( once eve ry' .72r1 Omoptlrlsl O NA pump controls so alarm qt least once every 0 montblelNA O yeatlaland pressure test At least once every 0 mini 0 erosion O NA Or1vr. At hear once every' 0 monthle) 0 year)al o NA Dane 0 NA v t me I how cubic impartially Of tanks club correct calls shell be made by a undercoat carp o of the follawmg bca cmnfim a claim,claim,Plumber, Manat Plumber deputies] Sewn, POWTB IhapPctcarryingcarryingPOINTS Maintainer, Si Servcmg Officer tTank iegaetmns must Indutle u visual Inspection of the ands) to Identify any Miami or broken bartlware, identify any cracks or leak,, measure the volume of enriched sludge and mom and to check for any back up or pending of aRluent on the ground surlaco. The tlhpemel callhl shall be casually inspected to check Me effluent levels m IM1e polynomial pipes and to check for any parallel of effluent on the ground suffoo Thu pending of affluent in the ground surface may .,deal, a filling undger, and reall the immediate notification of the mbm reematmy aumomv Who' me ebmbilld accumulation of sludge and ,auto In ally tank equals one-third IKI or more of the tank volume, tM1e soiree contents of Ore tank shall be remavaa by a Bops, Cermcmg Operator and disposed of an acemtlanee wnh abandon NO 113, Wisconsin Am imstrative Code unit, other 3nry ncide but net funded to te. mein un Onus torte az eel or influentials e t i6ne,i q Dour¢, pretreat men rq and any srevrenp atop intervals 1S12 and thsosM1all be odbrmetl 6Yea artaOetlnPOWTO Maantelner Drop A service many shall be may NO to the IBcel regulatory authority within 10 days of completion of any service event. GMW firm) 8TC-IN BQITCTA YAHVgpUNCB� . 8h C Gib owfmuelrc®f �'T-f lc' li :ntE.0 // - h G woaatg �f'Y1 /Vo'f''s A..EI A�r...l .I..rdn I�AS 6*7 mog w A FWW �rnt (100g00 aloptkgt )Pr o WmI roe PIwft Qp. CIl'YIaTATH �%���� 71Gtiw OAJD PROPERn IAsC>�Af10N��L4..]IgL IM. BMb�T��aB /fi w Townor /Ct c,w.nnND I B<. CROA COUMY. wI gHHDIMIM AJA I. I.oTrgo M t/A Imps vmdm.mtddbOf)m rpocgMmmulElYldt io luP�.mrt fii4OobhYOc aaeld Mope mamomemoaiebafpwpmgwlhe bpbhmkwhyrom hares wme,dmageg by lwaud mkpwpe. why po Pu ublke ay�maBM thefimc4m of the 4tn tmk u • mmwmt mye b w wape Eiapmjl a Cma Cowry MA mry 0e agi6 to a 6 ofW of oplammt of a Nlim ry . wh" wr u Wm Pri w J* 1, IM. St Cmu Cw mpm Are pm®®o Aegvrt of 19g0. vhh the mquimomt the awms of all rcw ryiomeaps m kw 0w Mom NogdY meuouvL the PORAY owmapm bybmEb St Oohs Tm�oe.mtifrAio( ,dgvd LYde woe maMamye ghwke,imwym.a gmmee, mmiyd W®eeeafio®4(2) wify'vg uyp) pu w.ib .u¢wEe eiepal .yym I. o vmw M of s maitim a m arb i.wedm aae w�ba (u amm.ai me wa mt u `ab In 6JI er ehAge Mg �. VWe, me midmigM have ma meebe a nw o d a mmamoio the Pnab aew0 Eupo rydea m acmdmrs wMk be enoasdr a r kaem, b m by 0b Vi ONa. Canfmum m[ingthy pm mqm hnhem maintaud must heamlrl andw mt $t Oou Comb 7miog 0 whhm 30 d T of We tluve Yme - tiara E m...��/�'��/ OATH: /1- e[-%' 9"I� A Cmu Cemb Ta gtiR 1101 rat Cmle Ilo1 Cum'bael Rod Hudwn, WI Sw16 ;LA is �ixe:e Haeo.a��n' PRIVATE SEWAGE SYSTEM �Wy Ild Baeeme.m^aa. INSPECTION REPORT GENERALINFORMATION (ATTACH TO PERMIT) �BMLGERr0.y'LEVBN M 6 RA1ND,@@N o��D�villW T 1 P imP e�eQ v o cSrmP 45�H0*- pt/a T TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI R ELEV S pbc �t✓'n BentFinahp Dni Aeration Bldg Sewer Y dt Heltlm St/pl Inlet TANK SETBACK INFORMATION sulR WOet 7 yr' TANKTO P/L WfLL RLW. q e fnmN R D Dt lnIO Sp4[ )� 3 NA m Bottom D HeatlxFA� v 9(. Aeration mg. Pipe 7,6)p Haei eot Sy m 8,s' PUMP/SIPHONINPORMATION El lGr !!nu DemaM f A o<S.. 3n N Modtl NumMr - TpN tih F^ Farceur �g1M1 I Die ABSORPTION SYSTEM seofu NCN MWNUONC NM S LP/ bW NKF/ST llW tipuJceTn SYSTEMTO L FL LFAdIN6 SEPbt CNAM INHFRMATNFN �/� OR UNI um ,. 5 nJ,E 6'•G DISTRIBUTIONSYSTEM Lmea�mn 1t _rI SL/ le 5 . ,q SOILCOVER xR UmsyMm Iy Mour oem�Owr 0.gaewr ��r� v0.Pl�f ^t+'�'e3� Boilirezli LaPw �'ul L�1 COMMENTS:AImlu"mledls ntiM, 9NmnPr ,m)y 1ZOB' RI �.19. J0.18.290%,B8,8N,LOT 1 �Ky �F'p AtoA bP..a X��/� Sa mMrnaetaeJOiVon.11Mamatian a P snp our Lam �• wwr omal 'm SOIL AND SITE EVALUATION REPORT FW1 d 3 Felwx('e•slrryewup d At ILNR BOOS We Mm CWP in BCp w SC. Croix Amfxd. Wrcwl.nwNmw yumdlPmlArIw. Rw/..m[Nramn.M. xd Yp.cJba Iemb,vmXMmtl in P06-1 dMmFwIImiI wNnvd mranlwW.m4n -40 APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION W.I ¶ %WEflrvgVlfR. PRCPFRIVLOwnON Steve Berger Iwt LOT Se vA SIN INA19 730 A10 EV1w PPYENrvpyNckbI1VLIWA10RF9 WF "Im" SIBO XIIEMCSMF 4]2 140N. Ave. !! / qrv. STA DPC6f PWE Anam W N Nev Rictvmdr NI. 540IT I151246-2314 Riclmnd 140N. Ave. I lNee cmmmmn imam RIRbmW/MRpmdmmm IlAmnbmbIRgOMq IX RAdeMIOIRA I I PpkmmmmdIRNNob caa. m..a eANa 4% rye RmmMm 4Flm bpNm .-7-mP6+P .N IImas mmm2 AMmpenmympmFP 693 mF 563 FIRMAR2 RIRpAoW rymmeyeeAYM}IFmlCnypypml 95.25 nl<INnFeb FIRFMbmM1aIM MIbbESTrde medma PyTimymp stream terrace FlmepmimmIRbLiMpiYYN F u.�wY°I'swed m'� I ®r sou � �3 Du ass Ou O5']u OS c5 mu SOIL DESCRIPTION REPORT BmbSP Noman Deph DamwlCabr Alm Tam° SPUPIn Opohlid ANrmm CuSN.CarLC4p G4. Sn�� RNe 1 0-10 IOyrZ/2 1 20sm mfr 9e 2f .s .6 1 2 10-30 Igr4/4 rreeks eeks all How mfr gv Ir .z .3 3 30-35 T.5yr4/6 lm OW mv[r T .T .8 y I It 4 35-83 7.5yr4/6 Oe9 ml .T I .8 INmrb NOy r83" p1 A BOArON 015 10yr2/2 OMe 1 2mab[ mfr 9v 1[ .5 1 .6 2 2 15-20 IR/14/4 lease ell Ifa6R miff W If .2 1 .3 3 28-36 7.5yr4/9 same Is OxJ mvfr V ra .T .8 Good 9.25R 4 36-00 7.5yr4/6 laws W a OW mil 1 2 .3 .8 OIROm DGW Irl - Ra m*L O°"a�am Cary L. Steel 1559 th. Ava., Aictwed, M. 54017 One I1-17-94 cow W998 pIC1611TOM1lS SCNe PG[gee SOIL DESCRIPTION REPORT >^_ PWC610.T 026-I058-90 ' dt R STEEL'S SOIL SERVICE Gary Steel Steve Berger 15542Mh Ave CSTM229 SE}SA}S19-U3 R1Sx IJevi RitMwGE,W15W17 MMSW3254 tovn of Riclmnnd (715) 2468 W N \ W.= top R\f\ cYsent Wse of c otlaine ,pole at el. lW- V Gary L. Steal 11-12-g CERTIFIED SURVEY MAP LOCATED IN THE SE 2/4 OF THE SW 214, AND IN THE SW 1/4 OF THE SE 1/4 OF SECTION 29, TSRN, RIBW, TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN IVELSLFE oj y5 9 321 LOT 2 W-sE 3�a"A �5'; R. =o, CCRESS EASEMENT OT 2 .% LOT 1 _CLM V_2y Pall 3,;4 LOT 3 R1° ,h/q�/ rz PP Wti AN�Ga66�; 3 , SIN CORMRa SECTION 19 / SON, RIBW / STEM IN2"PIPE OF BEMNING LEGEND (XX'XX'W) RECORD DATA $, SECT V4 CORNER MON XT LABELED I" I U. STEEL PIPE FOUND WX I" QD STEEL PIPE O WEIGHING M5 LBS PER FOOT, PLACED —^ LOT LINE OF RECORD MEANDER LIRE — /4 SECTION LINE y—ty Z y APPROXIMATE SHORE LINE N 5/25/2019 EXISTNG BLUFF LINE -- ACCESS EASEMENT BOUNDARY