Loading...
HomeMy WebLinkAbout020-1395-58-000 (2)fell And fruldinip DAYSIOn GENERAL INFORMATION TANK SETBACK INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT ATTACH TO PERMIT) ANKTO f WELL BLED. V`to rn ROAN s<Prt Gn /'FAY ZV Dming/Is Z PUMPISIPHON INFORMATION re" Manre" afund WeINumLhr r ioe Lon Adi Hd T At Forrarman Li GAP, Us, I sell SOIL:A" IVn JTaIem TOIB[xsloxe aa` Ined.w L.mm wT e MMEAM sys3 To P� e.&4 w.FiB."`'"" NFOa.. I INFO f oBl+ i'n9 ILAI —r — z DISTRIBUTION SYSTEM µ . . ,. "" s =I a\cef—C p IM ^q4 / an \ ` ` 3 —V 1TAndCO Unify— o SOIL ER Prw y �rri ee Sysumae0eh= 6 do .��e=w, ,� 73LNJ onLeo [o�na .�n,sL COMMENTS:(Al code euvepedn's 0e15011 PremM, em1 Imp[umn Am Iwpemon n'. HIOHIANBER�fT.f ce,,� F�VMe� p ul BM oeavryllan= I) Aft An: 011 31 Blag oererlAfA G%aop� LeelemerldR`PaEdlYenel impm `W III In ,eN al fee (22 MM Dma�' l\9 �.S�v 5 ID1 W.WaM:. GW�N�rd'mN®1 Pw., P.O.Bm]1R ` �M�]�� mq]� 19 AUG 052919 rB/%fZ7 �. �t APP �] e,w �'w�w�°` aMII.:. ft.00..ewms®..w:'. .w...mrrr.mma. m+vr.w .� . L A Inle:®.Ilan-pf.us ,-759 Ns�lq 6rr�,�Y PrintAY Woemaly. Pnpen. � �mnm�a �eNjGx o�a•139S-S$-ago 'l5 i aw r CWw�' •' 4sL ' Sy Sj rt r]c. ores+ •efJ.m:,u eu.ePbl T�.�keJ�_E w 1Cl.M[ ��� ��� �••" -Mielh L el L ❑LYlor ❑99e0uN-l)mblh 6fdM®Ea ❑Yi4.Prt z A`af of 1 fly Cla..,b a*>+ af.osuN m. rTP.ae.mx fo.e m.:e cemn(a �.ea.Pra�em> ❑Wv91m ItS.® Tmavnwtioe Tntxgm�®:pd ❑OW. W.RfimmFmm¢S�mlgrl 6. ❑Pa®:P.a.m �m�P.6m ❑6mgal9oaSv OP.mi:TnScbNn Q')&u®IimbdRe 36 9 gp�,..�m...®. ❑P��y6rae o.Y�.. o�m_ mom..,.., ❑P�aTM ❑oW'4yPm Capin( -L m o..®..,.o� /� 1_' LTPp.lyv �pwesmds TiLel Y. ♦euTW.vefu O roIP SdP�.� pme.�' y�qJ � �MNW 11an IV,,, (� Jyy�yYy vc 3. 0 rmanm ro .m 4S 5 r h v¢ as®..n u. ®.A..vWef 4lmYW.JO.POMBYw.IY.IYW e �v.a r,M uMrUUrr1 ]�a9b 9LS?ir,9q A NioM4aJis 44W 6h. Tin c•61 SS]A�2 Aursati i s'Vvlb � L- 4d:IWKi1nM1>WlPprwA Wyw:..aR�mw.Ibrr'Ve.adn�_ e„ W'nraie^w.qm proamyy Pe,nee:�. .omss+oa. n,nv:m:ax..e. �w(e.rvur ,�1 __c !SM3 WmPn�DP Denll�t(L .Jt #�3iR�Ba3i6� M 159 Aiyl, ANn M CoqA� j Lot s g N , �3• / �x�tt�by f000�(, 7 dl. G J� G �klSl�b1 �IY nG�'} oea 6' 3-x k 1l ('�0EhVR( �`lCppy 7� FlJ r 934b CONVEWPONAL COUEONENT DESIGN Ra dtl @lAPbi^elkm %y��FR MA T1RLE Gp4'E P,aItlYNaRie: rr1 NMpN4P N%R owners Name: 7 S ���I h OA, K CI�Lk o.u®a nae'ie®: A �1 TO�w+ {�Ub$oN �°^^ry Si. clzvvc ga�M,�,Name San;i� IJill W NwNa � Term to NurtM1yr: hh .Ol. b'�3 S"iD"Ub�J Pal�9Y P 2 % %m Pe 3—.ssaean ..a cmaa.9e4 Pa 4 pA'sf Pages Pa 6 N=na¢�nmX Pin Pager stG Ch Stpg kppk� WT Pages cww y � � Aft �kaAYCc 3oiTm6Hmse ply �e%gnerNWMnr oam 8 ��aNa� aaasey P^aye Mmryat ��s c-y , �gnale,a Nieuii45®4, -.MMp�I. � ALf __ - tT� � .'; - - mofODA th ian 159 fl+A410 cw,b G.t�ire .+ N j f N I 3 Bvdeou QWfI� JE , ley louolv;o ua� m 3x Il olnn�uri Ena� rNtio� S�� �ler.93,4b ��`/�mtC�m .--ft Fa�pieye LaBerg —P CMmev i--IJ TV �'f�flf�ll� Ve OtOp5gy ,Pp Tr4 l 'serana Anaael �µ{{ �`1M Q y� a� 7 U E19A Reti.gg9 P.9e: dNmpet-4r�— IlSVaoa3°a6PrmoRm < —I. 9pys9R r�mJA. yE as P�_�of t�vti mrtd � KaF�F'�'m s2o ut'xYJM nT3P z�e'p=Vzaptiatl �h�Ya's."rvetl r�uassaa+�- n�F -avaW_wovbteFq�F"?'��ixv �zuuw��zs��:mu ss'asF�aro xY xu�sw.,.ra •sa:c�wairems-" `.'.e_w- ate+ `E.4 tlN 10PSW 2W 93ikY' Wi R:98a3➢=: .Srs8J0. xti2 C `6i2 IA vevv@�"�a� aV � IA z'.S^➢ep'cNT.®n4=a- ➢�' P?lCaYe vadry 'rc:way��A�af m`�u9 VFn MO Vw0.3 i§3� R�vmeMr91§z' W�9' 1tss OTi R�I�J4P.]� —"Av— ad 9M Z 44.^/ VT FtM S� umd �rtVA4t%Wli3' r"¢vaE'C'la.AA'Y �9Y.'31i1a._. yt'uY6::':¢'�_yyy�i.�'i: ��af 4deYNb'y3a3E avv Sebk s4'.mk'w�-�3.P�9gnsew 4Rn:He+m «9NWt_M�7 e -NmgFti �5 a F-animm.' a9 i 11 ctaaA l•• 'saina'ueeC qM 48 a�1F'F Y.ie WSRus vea ^'t-'xrn-L�vYim to gym' G4WM CvgWRmFt ml'M, mgav ,LL EI,15Cd4v:.can i]yEg a§¢u1 5aVlpye�gM mhaa4a '•txeaea!a.�_uvl`m'd �.1.+rtiII aT'l Ca spa v wPsry e Sv 5 Y^e .'„-fix sM1 Yuss 'acs-ry¢: xcsym a' 9esanuwv?s+a -pp - UaM aw Wei'?2' .q FFPPa155�u We R=n:`ia eeg4 nm sa¢aIImlat.' .. _s tl •s a� 3t ftr PiG, . =^J ¢"•1•"�M1I1iS �=c]_2"x.�aa±eAe:'aF '+i Am-EC?a• ��t'•ea�R s'F° a. a `li2Y��'sryC pwo9a?saxP�r-�.v�mawea iL'4=>'au mm caNZE¢in lut e ®ugHa aS:�ad;sY x� lIP0.aEG Eygvq�.'c �F:m�m� w~^.ltlW-+�A I»u°B¢PPB A��aP:E yvhtl i's�Maua�-.caaenao/w_^qe: vA+ni E' l :�'�`i'T S�aaP¢d 'es✓tamw�'npa�i�=y4vS =.=psaa s�gu25YJua -u}w-g3A a;s=xeeo-s•-tms,-Wm=<rwaa4'M^1M2aa AM >._px ^�.�5x ao 0.St.Fm:mamP¢ae'HCW meas4 -su iz 7P �s¢aalw M�-e._y--WA�m6vpseu EYE �Ml� agajv�d�5AAi6':o 2p1'nN x1 'IDese¢.ti _4xRvuau m��tile'-�caadM?:9mr WW i��®4±c sa-¢.m a1 �_�4W%'oi INm �Sa'o�v+&2anvCIaHlz•'a! 6ypvyeb'awp=y, ^IIv4ZR ca Payan '�Yrm'anp¢apyF a1esusxel3eevp54VL'ti PA"symwaosy n_t [os0ea�/� ET-a'+miaaatma ��2O Hm MPmabiW2i-©�aWR59T¢ssi. ,�gy=w]sBI mm %�W+f `aT'65_av�a b a0Y �MGa a-xm amx `4:�^'a nouagr 4itaS 2kry N±iM3 sv-w..ac u-s'r.-u.R.oca�i.,m�sa �as� rrz+aa.am�r �.'ez •e�y3m =<ffi+1 6—e__. ev.��i..zc_ .. As��a- -.xis vne� �� ` �•�� u.' T2s^-the G.��a3pv�sv' - �A �® �y'-_sc�sra d,- fs+�¢.4.� .�3„c±s9 v i��s?Ltl: oba.c dk-rc"vt=�v-ts�xa^�.z�z 9N h��R�._ ry>_4 -"x ^s �laea.-c�sl�.ca ��-•a-�¢� Oa'M.egcr._.,�e: �'�- _ Si'o-`-A r'�kii'- r@aL' x3is���,�i��'•�d<-.: � -- �'' g3G_C_=Tye: ryy�,� S uvmtl �f tln ks3�S=_ y C -5- as 'Sv,GY .e,'eik -s--e• ixop sr: -"a.. -_.cr- �" ��a3a AW,T33� «iV. '.M1J�CE» �• ..aNrtcm Ss:.kx4 �¢S�S�s x]onre.:c. R8Yf3 i �d —®S_}S�IO�x t t 4h. cXl�[ LN7n Technical $pecifications PL525 EFA EAUT RLTER ACOMMERCIALI /f •® \� GIs 0 r �I jry I I �' I I umn-edam niAi-mwwvnB[ I i i! 111 I e C C Ainatio Combination SepCTION ak nd - p{IMP CHAMBfft C0.055 Sf[TION AYO 5PE[IFIGTIOWWEATHER PROOF VC4T CM YYLTIOY BaX. ArpROYCO LOI MID If CA WvlrcOL wP0.xP14G COVER BELI FRESHWINDOW OR wT @IW P E p tILn1TAID S III FIE A _X W&M. LC AIRTAHT 5[ L III // M\PR/MW JOIN APPO[o JA C n FIFE,: A III W/LL PIPCaP W/CSJIPEOR Tank c trucOIOTI 111 AVAn hall comply with I I ILNR Ind 89.20 AI I am PunP __J ory O CO4[RLTE E2 CLOCK1 4{3M * 0.15 C0. EXIT PC 0.r1 R CO 04CY IF TALK IwuNf eCT YA[4 xA5 SucX pPRO LL 1gEy FA �Nl S PC C.IF ISAT[ DKIS SVTICF pOEC kl pNICRCTE uunbER PP DOSS: PLC M] TAu xs neaurAcru [R: / TALK END: �d[D—H'Yn OALLO4S I VOLEME /Z oAI ALAKF_ nwuTAETNRER:9 O+cLUDMO eAc.�ueV�: AI AluMacR: IOt HW CAPACITIES: A=7[A•I [sax 6ZWL.00 SWITCH TSac KalOCfy/ a=Z Iucxti oR �� OtJENCE u PUMP AvIVACTuac%: PJA YI C:6jLk xLS OR�Wu0u5 MO DEL uUPI /y/F RED DIINCNLSot /6 Z:AUOYL SWITCH TIPS: I��q UDTC PUMP AYOAI ME TO OIL DISCRARGC RATE �YLp EPA INSTALLED 0Y 5EPP0.ATC CIRCUITS VL0.P [AOl ff [ROCT WC[4 PUMP OFF eYD.DiSi Ry1TIO4 PIL.-/ bV�C� .FN �I s nlFILIM METWORR SUPPLPRESSURE ........P.JFELT } FACT OF FORCE MIJ% LZ1rY;AFFCTIO AFnTNA. TOTAL I W4AMIL READ - [JLG FEET As perm nUfaCturer J gal/in i Cry2R/Ash //a -cgs ME40 Series mvem 4110 HP Effluent and Drain Water Pumps Performance Curve M L W40 FFFLLFN! RW CMACITY LITF {£A MINI E O 50 100 I50 24X) 250 300 350 00 12 35 0 30 LL u 25 e 20 6 S IS j 0 to � 5 2 0 0 0 10 20 30 60 50 60 70 00 90 100 CAPACITY pALLIXS FEq MIMIIE F.E.Mp¢.APenult Commny• nq Mom pano,.MinuW. On, Hp 190 nWZ 11" FMiIB/� T.IU685N3 r le', PnnW 1n 4SA. ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMW FOR UTILIZATION OF AN EX STINGg SEPTIC TANK This is to certify p 11 that 1-h the �M yQmD Nry y1 Yr ve inspected the septic tank presently e, qq K gee. residence located at. ((�� aS T ai N, _L 2�NJCounty, wisconsin. .R I w, Town ofw. -�MbSUN Upon inspection, L c -� St. baffles to be in good c ertify that I have found [he tar c dition, and it appears to be functionin Last time serviced .Syl�� aL q t1 g prop Did flow back occur from absorption system, yes NO o line. (if n skip steel gallons __ minutes __ other Form to be completed by licens licensed disposer (MR 113 Wied plumber (a. 145.06, wieconsin Statutes) sconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing certify that the tank, to the beet of m septic tank condition requirements of ILNR 83, wie. Adm. Code y knoaledge, Will confezm to outlet baf Ele). (e ep[ f inepeetion opening o Name . I r.)�r MP45�fi Signature MP/MPR9. and or ST. moa cOON'TY SEPTIC TANK MA➢lP&NANCEgOpgMf±Mf AND OW NERSf� (92TIFfCATTON FORM OwnrtBuyet IMi MPN H N R Meilm4 Address 75 1 DN !4 OUR PIPAddrev Ir (Pv6sem irymei G°m PIe�nB fe � mma Dgwem[ Ar nm m¢W uebrt) CiIy Smtte NDidl I peter Idea Moon Number 07p- _do0 LEGAL Mg//� pp '' 11 Property La On55 Y., NUY.,11Sc.aJ T a) NRffW,Tuwnof N4DiW Suwivimcnrl Plat S<N'I C H M S certified Survey hlaP#I �toI Volute pme9 INm7wlgD�# Vl UV �4 (before 2007)Volume �L�a Pearce# BFv Emse DYeaOuo Im lma ieatlfiWln6yegOoa SXSTEM MseNtmNeNrm�Np OgrNpR gTTFfC9TTON em11 in be gun Aiwa m nmdm wpm :xarwm, oo.if�m,. m�oe��ord'�hcYm`a`�vu�rorsor.am�.if�.ta.M.liauvee�em. Wn�m roa wnimn The iopeIy r�Ponabuiane eR.P=Uca m § �. ea�nmotm.oem,m,aman m me wmmeVmnssl mart om„<, m.lm..:mw•e u )me in ch.wmlz-s. ooi.c ysavu,Yors�.-.e ve,mmtlbyameYm°,,,,�m mnine,Yk ,eii angel¢wins& Zoning nNeMebbamti5up'°nfrmysiped hy5e ° v nmmm plmnbv,mm;Cm vinmbm m.r"n"m wm,m.mirma mm(1) N<m.im i® teen hillllof shnie 1. inw9 Wntimina vmeN°nme/w(1)eRu mryseiw en rmmpmeffmsef]'1 MeeePen WYis sM1ntivdva behercj �iii eb uK mnamenrtgwmm,m,,am¢,nhe„min me Mine, xuage diepoml evslw vim rh Catifrrmnn.a� me row- Y ➢rya,mait olQ�mma,<mW in, Depmanme ofNmwm Reehme5,,i, wieyehnn. "a I amti[rypmihm beq mtimaind mom bemm le:ed md,enmrymmeh R°v: Comrc/Plamin3@ L.,,in®D4vYrcnt witlnn 30 dan of Wemrs Ynm myvaem tlme P ��Htl�WVObn M, em mehgofmYbm ggwl pmpznY deai6ee atovn ty Vi ofayml recoMM mAe®.PB °fDmtiv OBE. Vwe emla8e°ova(e)°frts Numb 6ed5e SIUTe 1L'RP OFAPPLICATTT(S) LJ'S f[T� DAZE •,•gM'infomuti°n Wuvmimyrmsrei mn rewnm Me=m P¢mithena mMm M,AePluminBkT nB!`4menene •. •. .efm'mmirmv" Wl,,mu vgtyiy tlpe. xnnenb sae Pmm me Re®ebof lXp406 mge¢py pf eM1emtiSrdvweympif mev. ovmPl r .+ Omn® p ATE SMW SYSTEM iu�+r Bt Cm i"Rbw INSPECTION REPORT Fo,m" d3agS 0 GENER INFORMATM wT CMDNI MR" soommowm Iy PeYNm v�uiYnYM^mu. X nnwXPnmr, " I= ia:t Inc.020-1395b82tO Ce •XdreeMNwnTMnel:l M.wen &ICa�gn' s�rnumNw*NNo p 25.29192652 25 TPNK MFOMMRTION ELEVATION MTR NUIIi�NPEP WgClry BAP IP' sw+= w. DmI,N aPN sS b Naa9 suN11NM S"I TN SETMRGK MFpRI MN iwMiO V 1! uYd / 9vp0c 1 gI MNN°' rd7 PeLd"`" 8°0 9 d7 tlm S2"sF 9dY9 NMPIBIPNON INFORMATION .33 M N S'r 2.B Er-RS oo. M eY6 S awmen t.reu 1 DSo SOILASSM"ONSYSTEM Itl d D. o XW BY NiD &OG UxF/SlNFM1 / S Ya 1mlw COMMENTS: Pw ml:--Etj((' J LaMlm: NA NIPMnY�fwPNiMtWI WlOOEIMW1426T R1YMl,RaNiklW�wR9 IIMe�I0.WyT•iT=�Q$17 GiT� ild-µp�y/�.rv�'✓.N(� .7 mupevhvfd ML E ALUATON PEVORr M_La� maF+X.XF�PX. XYtlietgYY![tlamtliPwB\R>11Ytl�hds Pvrmn FLhNtlPiilb:aXal�abMtl OOh ✓�X W�anw�lbsl ✓.�. �XIWA. � S ' / I-i PWyy� 7i[1 �1 J�•Y i' t[� 1p L1Ria 1X BZSTZ�{ X P / Fla//'�Q RgabBbyHWXAy� �. �... Tp4N i2o Si; �� sr • A4l1Yse0Y A O`A>•w To.n X..r ®b 11e®M1hYY/NnbahBmu 3- I 6nevMYJvlvbtll G GOO fA QPXI�I ❑ RtlevmmvOY-L\obx {YtlmliY Ou{Wo.Sh ItrIflBnYeinFXWb lo�Yo 0. tL�lmim�s fYficM G`eJai.tn -q 3n�In...w -M 93.S'yyryv� i+Lf "`.�^� n11mmTOb6 Ii Lti GI u44.b.� -.9550 1-R F..�>a. LAF>mAN� .5/.rk.. rc cbf<.-k 4GyF IF„er.J •'1-s.<-..d*�.<.-e �,n.r^".� ❑� mIXF 0°�°. ®m awX..Xsa.. 9� ion obnbFrXmLq_h m xer>. uXX h caX.+ WV ItlsbvllXn dR�W Trw 6Fsm O. ffi.P mtlrs a..iwr P+ � 9[ 0-1 $l; 2 m r ZP;j�$11 Z s -II 10 I -m5 f .1 1_2 Ras = 4 lg e /_ sD.Y' Y . tpl I ❑nw ©b~F 131Po �.9�0. PXgbhty Yfil>�/ h BJ 1YINi pM h Psiive4'ii IMtl Rm Pskb Oi B.. QiXCVm TWw iWs 0.8[A 6>xYYo PaYY IYrY No! 9X1 91 rocc CS IVP Z 9. 'ply 'I 2 S Cs - 8 3 - s z'1 41 ... rs o- I /I G 2 !� o. 7r - Sol ;bN •�In- >m<_�Iµ.aTaew._I®.K •a.Rn. <a.Xe..aTeF.m7t m b.mP�PIX fmb8v zr ZS33o9 �BIYNIYabYdO ANC TIPP>IVMH 2113 gp*^^ 1 1 5` ewce 3 w� A II 56 w� ox t5 xaN ast�eurvwnou ,m-o en.i oescaenor boot /'aR P—'G= encx®.evwnoH 99. YS BM3D65CRBIIWibO of/"Ovc 2'Q< syslem©.avwnO 93. 5° i K' � Sm.aS