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HomeMy WebLinkAbout028-1032-10-000... PRIVATE SEWAGE SYSTEM �""� St Croix smr.ie e.uaq awlw INSPECTION REPORT 615438 GENERAL INFORMATION (ATTACH *O PERMIT) plop a.mgvy pnp.n I�^~v �+. n b w P IMII Lynda Geurkmk :Pr,�� TOM OF RUSH RIVER o 028-1032-10-000 eu er pry ..1,r.n n^� •^e•M25r281]200B TANKINFORMATION ELEVATION MTA ®omliblimm■®kk�.��I�i® ® Y�r i1l�l7f1d4i�yT.��L .�'TL��--H7�[1 •1 �--kIA�7n1 :k �• �//�ll� W"AAM ®F' FR�EM���� aYvVLVAMEkMkF�llME ©��l �tt��P!� ®mmfl ioffm �res/v�I11�>��/71 ®mmmlm77 BEN �-mI� S77, wimm ®lwlvl ---�_ SOILABSORPTION „a, (0.$1 " p1" .2buaPff DNEN,Ql$P"callumamns 2 n1.13 a.M UNIT IISTRIBUTION SYSTEM m�bA .e.gEo o.��y.1591 w1� 3'251 SOILCOVER .Pm,o. Stan, Onry us..on„Ono / np^n� .e W7".w L COMMENTS II"x"cuMd weece~onb�em nelI�pemanaQl�l1� Irvpemenn 111.71iq 11PIIBM b,Mption. Y~ml" co.Kr rlP 1 l/'Mi�dlrf Il 31 Bldg bw.e�b�pin. /IqW��t a'.WKc� O�Y 2,1 I 5 (yyyl opncINLeiG! '/rinia e.Kekd}I n `301 bid r24z1(oFF LSi. pWMTMr 1* rropot{ATTy.Pn IM4nd. .,nRpmoltional.fowaut ° 01 vb1'�oJ j u ry .Y{hL�51 ,6Oa0(e 3197) A W nmA(A W be 1,sWI rcA Ryan Yarrington From : Sedwy,lacobl DNRalacob SMiry@wisconsingov> Sent: Tuesday, January 28, 2020 g 29 AM To: Ryan Yaniyton Sub)eR sei issue at 202718tb ave. Ryan, We will go buy the measurement to the cell of the mound system as long as it is known It is our practice to measure to the slope edge because that what Is visible If a letter to the lender will clear this up either one of us can write it Thanks. We are comments! to Hence excellence Visit our survey at Mtn Uanr at eovlcustomersurvev t0 evaluate how I did lacob Sedryy Wants Supply Specialist Northern Regmn -Spooner Once Drinking Water/Groundwater Wisconsin Department of Natural Rewurces (2)phone (715)635-4027 (2)call (715)416-3331 (0)email acob sedmC@msconsm.00y Cwmict IN work the Wisconsin DNR inkO IT•. 11111 0 LYXw y, ca w.KrtiK � YNOW�V LLTTI4Yi41.4\tl W MI 9 Wnne a"J"RWW S4rv- a019-ay8 3 -�p`J >wr�SrT :Mv at o �.)oza-7 i 0 Jt-m-cq� Mnnrim.. vuy •�....Auw RJFrt_ .�:a6 Plot Plan Page loaf de I � PROPER OWNEk La UDA ✓ 6EUR)CIN/� _ 1.=40FT W ��I` I�P� nee .notenl uW oemW�e Y2L. N 4�Y cF 2ttE NWH Teti g i.' W=berm,. art T d Rivttt9 Ra C TX F S.M f1ekE3 RSS�q i; North E�i 3� �b.unr ce ecFi gm KM O � ee�ieq C. 77 I / 50' 510 IrQC ftsr uee Site location: IS We t�CO K" . w ' P wa : , August 6, 2019 CONDITIONAL APPROVAL PLAN APPROVAL EMPIRES 2021U8-06 Plan Review: PARS-081901331-C CONDITIONi MARY lO NOPPERT APPROVED 28497 Ring" hues Chi DEPT OF SAFETY AND PROFESSIONAL SERVICES Danbury WI5ARM ONISION OF INDUSTRY SERVICES SPIT LYIIda Ge k 2027 IV' Avenue SEE CO PDHpp10E SI Cmu County Town W Rush goer SE%-Ni S25-T28N-R12W MR: CesenPtwn GroMrt Mound Canponenl Manual - gables 3 Bedmom sublevel-450 GPD- 1, 2017 Replacement'S"tolimitmgfa[[or- Pressure Distribution(amronen<Menual-Vet. Effluent Filter- Maintenance required 2o, SM10I06-0IN 01/01,fl 10/III_ The submittal described a Wve has been revrtwed for conformance with a ovehle Wisconsin As mmistrai Codes and Wisconsin Sutures The submnul has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any consomme mannualliff referenced above The owner,as refined chapter 101.01110), Wisconsin SUNUs, isresponsiloe for wmdbarde with all cc& In regmumems. No person may engage in or wmk at plumMntm the Rate areas licensed to No so by the Department per s 145 06, Rats, The following conditions shall be met during construction or msullarman and wear to o¢awnq or on Ramindere • This approval is subject to the conditions of the Interpretive Determination approved for this site on Jari 6. 21019. The mound site shall be properly prepared prior to lnstallatlm. Any fall grassel leaves and shrubs shall be cut short and removed prior to tilling the surface In order to prevent matting under the Napeold area. Ad home organic material must be removed from the POWTS Dispersal are 2raof sand shall be installed between the Contour and the bottom of the Doublet product. • Two eMlseni filters are required to be invelled. e Asanitary Permit must cerebrated from the county where this Prolectis located in accordance withthe requirements of Sec, gas 19, Ws. Si Inspection of the Private usage system mstaRanon is required Arrangements for Inspection $lell be made with the designated county official in accordance with the provision 01' W. las zglNdA Wls Stan Astate approved effluent filler is require, Maintenance information music be ever to the owner of the tank e.plainny that pencri clearing of finer errymrtd. A cony of the aoemved Plan sH du, mtru[tipffd_n Risen stinger n bvautbnted re0resird lthe De rt wh[F may odude local ns coots Owner Responsibilities The cn ent owner, and each subsequent owner, shall receive a copy of this letter paners shelf also receive a copy of the appropriate operation and maintenance manuapni and tre responsible for ensuring that p0'MS is operated and maintained an accordance with this chapter and the approved management plan under s SPS 3831 In the event this sad absorption system or anyof ,iscomomnent parts malfunctions air as to create a health hazard, the property owner must follow the contingency Plans described in the approved plans e The owner is responsible for subrishng a maintenance venfication report acceptable to the county for maintenance tracking purposes Reports shall be submitted at intervals appraprlete for the component(sl utlllud In the POWR. In granting this approval the Division of Industry services reserves the right to require changes r additions should conditions arise making them necessary for rode compliance As Per state state 101. 13111, nothing m this review shall renew the designer Wife responsibility for reasoning safe building, structure, or component. Inquiries concerning this corrtsponRnce may be made to me at the telephone number LAM below, or at the aldresson this letterhead The above left addressee shall provide a copy of this letterand the Pki management plan tome owner and any others who are responsible forme installation, operation or maintenance of the POWIS. Sincerely, CCC& Rudhal ,,k Ceh a IDgalor Rucnick, Wastewater speaaLst/POWfS Plan Renewer, Division of InduAry Services (608)el 31" tebet_ mmck,eelw titan gov, GOp Ut MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE ONRef Info Pmlad Name IYNDAV GEUR_KINK Owners Name ISANE) Owners Address p2718TH AVENUE QDNOITIO.NAELT MILDWIN, WI MOO " APPROVED OERY OF SUM FEE PROFESSIONAL Sleal S - DIVISION OF INDUSTRY SERVICES Property Info Passel Andress 202718TH AVENUE Clef K450.n.4i. SEE WAKUMMO U Legal Deecnpepn SE " NW S 25 T 20 N R 17 W Toansmp RUnl River COunly ELL CRO_LC_ " SuGMvzan Name NA Lq NumM _ _N_A Obsts NUmper NA CSW NA Francis I Numser 028 �tOR. 10-000 Plan Tmnsacpun No Index Pep" Page 1 Index and are Page 9 Tank ROas sesllons Page 2 Dad entry Page 10 Plot plan Pale l GttNtal around drawings Page 11 Shc teat Paged Lateral and dose tank Page 12 " Pogo 5 Olslnbgan media Page 13 " Pages System momentum specdcamens, Page 14 Aerel Page ] Management and xnlegerey µme Pale 15 IntergebeCel¢fmmalk page Pump Curve add Operational Page 16 Repeat_ t " MARY IO_NURPERT L[eree NwnM. 185g 7 Data aPy more Numder ]15J26 ITy5 071M169�/�, Signature '�,Ly/�/ 51 'o'd4r�ss' _� Desgrer 5tam ____. �"EMlyyryysTMsen Approval Sbmp smaeY SYnems LL C Dedwal Ma,Bs+, I{1ek¢`arere I Mtn. M aln SS~ Puba"t" 96 Eal p1 Pieyaue I1Neyallm NNnpaa b ST"SAS 101An W Prior, D.nrLUM CanssFom Nawal Ver 20 SOD IWD&P IN son R ItlRI GeOMet Mourtl E00.n 1 2017 Page 1 a 18 CV Hound and Pressure, omfrihotion Cpnpnnanl CmaiD W / P RmtlmlW pC ,Netgl Deese 15n P.yuyi ]WW EnvmlM Wnlnebr Fbw (pry) JO GM.q F.en leg 15. 150%1 Ne9n few Ig%1 AND De SKq(%) 26.66 ImYbtm C0Y61u Lee Eak exon Ip 8,40'.. fags to lmn+q Fe (1) gaol Irvv a Soil Ppgeslm RN, (gixt _ as" C " Length 6vnhc4 lal Diabiloutlon GII Infolmabon 660 Ce11Wl011MI 1 W M. Ballet Olgl Cell lelple(a) x Wl nmMnal Call oeegn loePhs Pale Stat pepleel Deal Lmgln PquM 161 2 nflw,eW k,ale.oml�n(ia,n Fneeun oLo-lEutlon mFomuibn E Cenlel m Em Wn&ld M the lAMIN""host pdM " 5C5 La :1�INnfftl nmkvinwum _ _. iC.SWT om'La ell .w e.. on Is) �1M) al �n tar LPo ®mvn Camygrn) Imm Fumuntwoln lnl Deal m,lwvma. dxn md+ Y s w 6loM,a ol.,Mm, sa.ndPn IN 2!=SWSTb[M WnNatl CYnuY, 41e 1bn 075 DO 2 lm x gm am Men111scWro Plformatlon i110MOD an111Mgm.lbn -rcom EMu.nIF11MMw_maWi seMa iaw Lgxiry (gen PdSw_ IM ZM FMIYUIe[6uer RW..w lrc Hanubcluml 1'Y[fiM FM.dY Krtb1 Ow. Tank Mb,manon p.IlrcNncn 0.lcuMb, 6w m. Wx Tank CaoacM l 9&1 obl t.rd. L.pxny lBYl ,,Dephxme Teel WoMM Llp.a 4pN (in) Cat MMv,aMoi., F J sh,(mW seen n Ml CmcTWvdun.l ✓,et LYnonv GEuremnn Page 2d 16 Mound Pun View Mound Component DKnellslons 11 D woo G 10 SOm J to 18n �� St.eJn 390001n'3GnPeleel Lell Nee IC65Y ife) r Nee/rvM01^ SOl9PyI111yns Loading Parl I a ml IN) IN080b no Playmenl Mound Cmas Section View GePMat Dbpimmal Ana cbm"Ationece IV A5TM C 33 fans a, (mi ouolEunonctll required for Gou Mdt GtnMa41J"ASiM C 33 rand H 10010 nE4� Cover MalMa1 10in, l=itCIMI1M F p990 ri CNl —1 ner 40 CMIW,EMaIm Si filled Area �In Nu mA.......... [aavnun m forShading Nay O T o ai i o ,,,d In, o o eae, See d di m Woe, a or ur ew we and weI if ruff PmNtl LYNDAV GEURKINK Page 3of 16 Er4 ConmcYanY na L«ymR MWron / ui wean w�.RaiM: v.Mm W rnn.X.asr� ,si«.Me9,1 �fvn® OIMn JM� R. kZ) uMUSpaglMsl n MVROWDa10SysmFM. XFu F�o va,uv 3xrtr. Dme Tank lMYmr.XVX £„r f� FrM,MM«X , /.IW ivnFrr h W Norm Mm MMXMr µiµKFAOER S �F YrvnM FUXa Lruu.v G URXO.I v.o..als OwYat MWeinbn Call MW UYoul ®aayanpn ®9M..+mlr.almm osumanpn cap cross« w.ane.nnm p p Componam Lpaoa r�Ma. AN barren ananw MAX as na," um, wm,m acpwW mamCUMn Call Mn Via , Layout � Typical *IN 4Y lama GIN Typical OMpanal CM OEaarraYonpMa YWm9 aay oS11,10II Cap ,oASTMT»..p (a) Tilka Laver ASTMC3311"d (DIGOO MIL a,ep.. L..o..V GCRKR, aVp.am,a Mound snbrn MtlrIM111811G OM operation speclficatlNrV EaNe Proameas Nark, WRELLS SEPTIC SERVICE Pool 7154&1025 P(W/15 RpWNNt NSM. Sg r Canny SPIP $ork,y GllMe gage 715J56bM. Mbm F" am Letl PemWan Coakll PW a50 eFE Aloof lnAara PYWe S¢e 2 n EumlM lLw-Pvape Yq pP1 Mamun Ed' YI ff M1 SmIc Tank Calwlry Itt0 qM um 155 ]0 myt 5nk Ank,ap u 10 ngrt Type of Wasonvaler Nrneanc WulxenFmICMM1n ICN dW1NRIL Saq¢ and Pmnp Tan, Fmuem Filler Pump am Control: Pgwe a sy.b IMMKI Among aervu Mu Connor ] Mamauq dean aA r,,,M at Nawm Mirk ] ar onw e.en ] wa+ mMMN 1aN ge NMAw ] naLab, Ip', ea br par}.p vrd wWge orve rviery ]rva r sholin yr ppuan Ybea,M marnw,wawmpow., ISve IDIN walMpM mp aN as v+/adnw eM1wrnM$wasy SVuana CgYAa1Wvy,,,1W,m 1, Ida, ]n z owr.alwl201?,lamem Ewwn www„pwnwdlu v,A ann vo srKrev sy tlm. rraoLl+Wa.a curmk,w Ma'eW Vaam 1 301I Lbd® ra merM wm an;goed perleauk Iebe M gaveyhe Pmtae plPvp rryaub all IalIKord or OlgA n SPS laA Nb. Mil LWe a Too 11 of the OAtl au b emaska6ma, , mWl wordora M pM 5 TTo rnovMA vWure aN dM LSIIAOeE Bran vY Be seeded eM mWNe1 b gewY ba eroewr and Mb re3se BN pnrvlrMarr L.Wd iumrgpp411 ae' PBreadeVa Plug of Ballall Vain? w.rad, auv \1Mysaeep song Tw uyree BNatsame ,. aI Oar, let a5 01<oI nraglwnon clad 5 Fan Pro aN LVNMV GEIIRKINB Pp Bol 16 Mound System Management Plan Pr„a"It try SPS mn v. Ira Ai cme v "I My M .,_ . ins duro �.,.m,Mns..n%IN w«. wd. .. .Homan Srynn. LLO Gmm rvrc co ewenr uvnv,..na 1 i VON) prom R ,N nrm'r.M$%p Poobwn 96,o.a r<"I...r.ra,.e, ansua ro:�nt nra^anye and n.ard.n.,,w pat ndand.i..rl w I..aua.w...,I I,out nW. And, t.m..rr.r Pon ,.O.a,.,n *.wr fall NO anduuiq M.,n Gummrm N.rineew,eep aneMf,n vl,y P rn¢oe uounuivrrme�ry me u.m. olfsa[in yl Tod you c as d $u-11 tray you rm Mau,Ml uI umvmv vVON PINK i and' A9 1 M 9Kl Mayal III . wnm bm.rid 1a M�aagw Yw aN wnMMw MuaM sof by Opt �l r mniy.'or9n ax I wlr assay d'" w¢nrw 4"aurae api m.mm,.ry munvm.m It Put flyNaaauge lba of In aressalf vnm diN.4d w m+..wom�+lY bar.. ro III and and "i 111 and, wardar .IovOf " year TOO andi daeo.q� m +.ydanded,rpMyb µsideNe aON, PM.n. .n M mn your of or It ara por by ups Wn un�ldlemvu 9Nua � at i" HavrMpust n11 uiPlan smamu .xyn u —xPwwaMrr a.w"W.aama or di Nock di wnpvwg wa.am Nwr wr ewa euuaa wu � I No and wmmmn iµ.aaloof cw..nre mwveyar LLIMn.. nuuo 1, 1111 ln. Or te Outorwio uroa III paIwmLhad asp:e.n ati.nl Pmr fifIay orIOdyFn,..n„,rand. of nall way unit uu mw,.nn,w a Is..w.gyp nv arunu.rmyn prow y y N of Psi w uNrinn.Pwr e.n.wn.n dead Plan inprou" of .r drat your wfur pi mnpalw toor pant, "any assay Mound 4 wea em..0 as anonduar at Pozen rvmudust days Iran of n..w,..p Q�v plan .P,andi nnMnene rcw.etrtant III sup; ..a.,roonem naa aIs m .n a r.pvm IN,I, Of NO . P+Manpu or" ill 11Y Of . rrm..m,.,,,nyPI u.n w....+...N d �11 pull Pat r� r�nw daaad l-ra n mP�tl�sa~tyrtp.ns� r.r good aunam a.a.M rga.m or o-aaarary augfa und slap. o dlMd In lM�narn.0 e�� mmM, If Vista por tM' Sruji.m'und o r mmrman li LYNUAV GEURKINK pi 1of 16 ,(OI000LUS PUMPS AII{1(/.iWy a.nFlesglwebW Mtp^4 un • M'lJ� ShIIN •F�rMID„g tryum Nnwn V'pp igwm • Yumem Aarnng ' x..w alv s.mp VMrnlmrry Me.Ln rz+r'.mnlwar.l.� ^•A ubmgee • va F4ewy 5. ' AUM.ry rolelt rvyfi •m'tae(r ' Wnw rrvkYFYYi ' NnyT3 nMt w GeMmvve ['un v.uw R31 Ylnrp'. • tM )5' I N41 ON AI NM •Maximum vp ? I WM • Nr41JN HI nNp mp • usar+m�wury low • Y+m.. Y.e.lr mu Y � 1Sr'T�•�_Il 'I. r=.*•k: -:.-ltls:'.1 T" y y0 -- Submersible Effluent Pump PE •so x.v ,wkn mp •IlsaM tmwlY •Ile'voJYY[•nw4•.M • B��WIN„Wp, n.e. r..a •uw.'Jw....s,r•.. •c.er.a�a w erru3am. •+wen =+�.+v •MJYeengn •xgM1mslpAu:mva4 ,L3w.fM.wrq WIL YbYaN6 eMre3 .OI Y41f MrvVlh • 13 w,1M1 qM •Macau btwv�on I IfM pprnrw. 'SYYd pek Nyn •Nra,ry4r Mw•W PL41 MGG!'. Eru •40 xr.3iW NM 01 •a.3'. M1rw• ^ M�uK✓C ONO •IlseMnerm, pYvI QRjIdJ 511W YAA .N"n IIS p)lO tNt9rouhq PUI M . yly sebr 'se xF,YW my ,�I,rgm �wlurHrrvan. . 11s W11�voN yyy va wrcv'. •rss YAp ,wma.uwxr.,mr. �'X 9LLI. a.HGkx _ r rye. P� . V�i.. uM 451M5 1 _ 14dLr UST116 ram= SPn E SrYumr iM1'1 �• 7 L)u[M GWxY'41l x1x b C 0 O ' TI DR BYaLF ENT rA' INI£TC- _ _ _ _ _ _ _ 7 OUTLE '$ 0.W PAD SIDE NEW WLP1000 650-MR TANK SPECIFICATIONS DIMENvaS. _ BOrtW] 3- COVER ] mN0.E 26' ID PRECAST CCINCRETE xyx xCldT 54 1/0' 00 Ld0T4 uB' OD. NOTH a 111" INLET s]' O.D COLD TEVEL a AornT SOrtOM 14,943 _BS mIET AND S -A- y�SCOT OR UAL EASKET CLSSEALT ON EQUAL INLET CUTLET OAND FILIEA VAS SEE CTAAT)(OTER STATES SET w.R LIQUID Cw.O,. ,6€kANiSSEFIW OADAN6 K&GNI B D UNSATURATED IDl SON TANNS ALU HAVE ONE SET ONES CUTLET AND wLL HAVE PAD VENTS AN (.OVER OVER INLET TANK CAN BE USW AS WITT/ 401TINO/ PUMP OR AwM q SEPTC/SmHIW CUSTwiuD TALKS TRANS CAN BE C STWiSD CONTACT VACANT CMU.£IE TANKS ARE MANUFACTURED TO MEET OR EXCEED ASIN C-IU7 REWIREUENRS Plot Plan Page /Oaf //< PROPER OWNER1-"D4 V C&UAX,Q<, 1•==40 FT �a.�oex„p�n„ het. w s'/u i4 ti,. zs r N R �.J, 4l=wum. erc TDWA R Sn E, y GRO /' TY SaASJM. AdxR ' �i 3� � awn uwsnsn North�' yd"4 �n 3 xk ra �••T xr1 a JJ d F6 9yp1 [ uwteR �ar'� J y[4�. 11jjjj Wig,. eV34 ty v [ wof e. Site location: a a.n .� gc.:s S e ATA � 5�'IIC TAN[ ATQ1ANCF I.GRO W laaf ID owNm�s� cTueTmunoN vown o�re.rr_ LYN�1 U c. F•wer+l4 tir. ar a.r.. r w r.rl I;nnme fn.p,..; +, .�. ecaumhm Nsla Ozr-2u- c-oJ� 1�^w Ylam 5e �.._%.Sc x. T zi NA 1� w. Tway Rua Fiw. _ ]01.9 v�um Na M _—�VJw.-�^�Y�e M W.n�9 WI• dll$� ,�_(Mve Rgl)V.�e 4n �ryfe ..Lr �rr4A. �..r Yr.YYAr.O. �MM r�erAR.. nr. m.Nn✓.�. n....YIr.�.Y�. M. Y..nY.�w.r�.I aY. �w•�wsrl�.s.a er+l M.d.1.1•. aL �..r '1'r�b.rsYrYpA> �qll�� _raI.Y�Srlar Orbs. r.r.�M.+..A�Mr..+aWe� .`cr.r.rr.r.ra�rvvr 111YK �v NYYYb PI Tbr.T(er�lY�rYY r M I�r-�`rMYMrr+YY...e M1arrl r� r Ya..rrrlrr rrr.—.MY.�r.r�r�rrtvr...r. ar�o'r �.IY�. v�va.rr.rr/�wrrrvrrr RM1 Y.�y..rr. r1.rYYe�rr4.00.i. �.�...rNlrr Xs1V Mbryr_= %,.ter 1 F __.......,�..an.a..w�l wTa i..v.wul .mDwurxmd LAlyanarMn.cnY6rvm dlw,mD SOIL EVALUATION REPORT ry. {areN.ga... areddemmm runn.r.ry ar.p.uwwgonm¢brwdel PIxR. Pml alr lnlwm.tim m✓wa. uw a.+uwav r�ln�d6i f 9 CRUI% 7HWID •�IO�tlYI N^`d Or Od• RawX�w 11VU1\Id11 RAIVN O yµlp--\I WNW NO :IT=X NR 11 �v0Y1 A'-0dM10.rW.rd.Y9b4arrt,AN O N I SM NnedfAY 1416vm. 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Ou L C Ctl G, L 6N f ERIf�*EMi Op IVYR'_2 JWB.NY inrlr ]clan YN - N'I} IOYR4t mW 11YRS"10YR6 xd Illh,l m4 IrLm Yk 110 la ]= IUY Rt] mtS 1 YR4MIUYRb Qn Im0 011 00 0.GN. Wmry Cobh e.wwm,m ..e fev Cm G yu5n ,n m BmMry Ib[b EIRI 4!R ER .....I E� _��E,W,u,>o.I,.�l .m..a.R�.�•mE.m,�.��, Plot Plan Page 3of`/ PROPERT OWNER: LYu.71 1"== 40 ET le.mpr when ua.IwK,,m,e» :'zL s'�v �r ,»E tN'-v ser xYrzcN girwl, q- =back"en SPW�22^�' Sys F",'t•<<<upiv u:pxcva N. .SW AeXES _�[] 5"4VEupE OJ3-lOit-/0-DCD f S- 3� a� y�» Sd n lib a Cucnhl env a ,7! North X�,MA, 5zvj L}�� %aop6t FJ�iO�Fn�&�Sea. > Vu m _— - Site location: - II a h.62,,,{ UiZ, k' „1 a GYvilN C�GNK /�Y �Luw��� ZGt+ l5 Aeo-, Gt�-/c �� is _ray Fwd Geurkmk Interpretive and Mound Approval Mary Jo Huppert <ho1hsterdeslgn@out1ook.com> Tue 8/6/1019 / 01 PM To Dawn Wang clawnywang®M1ohnecom, v 2 et ecinentS . a61 Gemk nk Approved Mound Des grupM Mail Gem Mink ID Aso roved Pickens Jeff hfml, Get Outlook for Android From. Elizabeth Rudn¢kl ahxabeth ruJmck@svind nsm gov> Sent Tuesday, August 6, 2019 510A0 pM To: dollisterheslgn@out ook aim <holleternesign@outlook comp; ryany@co saint crow w us «yang@possun pi. wl us, SubJect'. Geurkmk Interpretive and Mound Approval Attached Is a copy of the reviewed Interpretive Determination, POWTS plan and approval letters It Is the only copy you will receive No paper copses will be mailed The county is also receiving a copy of this information If the attachment is missing please contact me as soon as possible Thank you Sincerely, Wa9lewaler SpeGOIISUPOWYS Plan Reviewer WI Depatlmem of Smaty and Professional Serveres Phone (60ew0i}]18S Eman alone lh rudnMiggwacunsn gov anpP behoaal xb� C'ST-Jai9 _ ISl a.so.al.ePurysaN p •SOIL ART pie ! a 5 - u:.,..,..:. xa no nvm .we Mlach wm PNSI&pan on pawrrW kaslYemB 92 r 11 rrM n Me plan muel Ou sN I, rloeMYalaN M1ry ," mdrcn I ra Ongancw1 _ *nW PerwmeloPgno orpvre no narro. an wxma a nwmnumel Phase pint all m/oamabon m.Po.a.�.,...�.r..e d, - ST CROI% 8 102-10-OW % 0i1i E ai /9 ma Cnftr LYNOAb OLURKINK woamL�n Gmy LotHEIm IM 25T 28 xR 17E(aOw p Pgnny Oxnh Matln9Mbeu 21RtI m Ibtl wvl:Y 9M Naw FSMtl 'Inx, Zq pMne 'Ip IIIW1 54002 1 ]ISl 6Xd-1970 Mpe Newvl Rotl 18O A<ew¢ IMUnauvam MwE]W i CMM:W Eva9n M1mbM 450 GPD Q. 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CSf N:nar MARY IO MJPPFRT Hollulapa SM Twtm WDui / 22a632 ME Ctt20111 T ywrY:b 'W9>KivRAeholi Cnun, pvnbury, Wl 54P10 U6.2V, 2010 115dffiI)t$ 4f URKINK IyMav 029-1032-I0 M 2 p 4 ■ ` o . .. :., . .... Rom,,._,..,._„ OB����oOOrd .1 ILL FTav t�=BW.sy <Ytpiµ Ni55 ay<�R iqn EMR•9La,<y�yl vY 1S5<ynpt riot Ylan PROPERIYOWNER: LYYpV V. 6ENRXINK �^ry �IYMne�L'L N 4� �ME MY�/ Js T2M R ]., _ � 6 RLL9X c@ 9 SQq Y S Pqe 3dy I 1'=40 FT lesq Men mmtll W o c.eaw. q� 5. M iICRfS S { 6n+n�a uwwwea A P > yea e} �tln O � 3 LF `i @ AWN Q O Sp mi I� +eM.rN 4. I.ef L� site location: fe J�w A�wAe Lvl �pp �, YJ ° 4r qte Av-wwk.' . AUG 15 --- -- . lyxw U C-ewcxiuK � l�AV&4dC _L7 Mw $nb9kN uTi 9�roz "O;;Z _mow i.� woo. z5 LL ifn.t�i��W.ars,.•Mrl 7/5-(,S4-59,y r II ....ems ova wv..�n �.mw�, 3.•._ ry 1) LSD,"%` :/, s 2 4==%0 mu wn yn 'I�rMe 1 , 1 I seomeaaenn Plot Plan Pw /aof,4, PROPEmmNm L)Aj k V r=4o F. L.dDew*a- i71. N MA TZAW R17ul, W—mama on "rowCE Mu . dwix G Uyry. �S�SkN, S.WAuGs R� North 4�,';, nn Site location: It x-a.. yFc.z� 1`�CQP Y tj ney now: M August q 2019 CONDINONALAPPROVAL PIANAPPROVALEKPIRES 2021-08-06 Nan aware: PMS081901331-C comismoki MARYIO RUPPERT APPROVED 28497 King Arthur's Court DEPI OF SR£IY AND PROFESSIONAL SERVICES Danbury WI S4 EW DIVISION OF INDUSTRY SERVICES S LeaLCI K.UQ./I+C� Ynda e nk 10273h°AvenSt. Grove ue SEE CA PoXOFIICE Town Rush S25- SEX - NW X-525-R8N-PITY FOR: C svan on. SmMas Mound Component Manual - Edam 3 Bed mom (roMrt Mound -450 GPD- 1,2017 Replacement- Off o limiting Kemp,- pressure WtnbNlon Commonest Manuel - par Effluent Filter- Maintenance regmrtd 2.q 500-1006-P IN 01/01,R 10/12) The siI described above has been reviewed forconformence with a po icable WittonsN Administrative Codes and Wisconsin Sutures The submittal has been CONDITIONALLY APPROVED 1NI9 common is 0emnstrvcted and located in a¢ordarue wish the enclosed approved ponsaMvnm am component mama referenced above The ow as demand in chapter 10101110), n Statutes, o responsible for compliance with an code rmanWlzma requirements No Pannin may engage in or work at plumbing in the Rate unless licensed to do so Wthe Department per a 14505, stats The following consistent shall be met dumd constmemon or installation and preprW occugnry or use Reminhn • TXls approval is subject to the conditions of the Interpretive Determination approved for hls she on August 6, 2019. • The mound site shall be Properly prepared prior to Installation. Any tall grasses, leaves and shrubs shall be cut short and removed Prior to lulling the surface In order to prevent matting under the dNpersal area. All more organic material most be rtnoved from the PO WIS Dispeml • 28" of send shall be Installed between the contour and the bottom of the DelMat product. • Two effluent Filters are required to he Installed e Asandary Permit must be obtained from the county wherethrs project is located an accordance with the requirements of W. 145.29, Wls. Sbn Inspection of the private sewage system installation is required Arrangements for rnsPMron shall be made with the designated county official in accordance with the previsions of Sec. 145.2011Nd1, Ms. step. ,l state approved effluent filter is required Maintenance information must be Even to the owner of the tank explaining that Periodic cleaning of the filter is required A copy of the approved clans specifications and this letter shall be on site during and open c bauthorized r x De which dude lmin ens tors Change Papaplbljmes The current owner, and each subsequent owner, shall remove a copy of this letter Owners shall also copy of the appropriate operation and maintenance manuals:) and be responsible for ensuring that POINTS S is operated and maintained in accordantlywith this chapter and the approved management plan under s SPS30i In the event this soil absorption system or any of its component parts malfum mums so as to create a health hand, the Property owner must fallow the contingency plan as QunbM in the approved pans The owner is responsible for submitting a maintenance ven0atwn report acceptable to the county for maintenance tracking purposes Reports shall be submitted at Intervals appropriate for the componentld utilized in the POWR In granting this approval the Division of Industry services reserves the right to require changes or additions should conditions arise making them necessary for code compliance As per statestats 10113(3f, nothing rn this review shall relieve the designer of the nommolll for designing a safe budding structure, or component Inquires concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead The above left addressee shall provide a copy of letter and the POW TS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWrs Sincerely, CeCel )?adf7Gav ceCe(Elizabeth) Pudmckr Wastewater Specialist/POK?5 Plan Reviewer, Division of Industry services RSM)4W-3186 of nalre rudnrdiF WQConsln g Go~ MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN M ANOTRIEPAGE Owns Info Flolxl Nenn LYNLMV GEURgNX Gvnwls Nero (SAME)_ GwreIy AESw 20P10THAVEMIE - _ - W 0.VN. 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LYNAR CcMAA0K 2oz, 1fr"tl�Avc' BA{bkfAi OZg-103t-10-cW Fwd: Geurkink Interpretive and Mound Approval Mary to Huppen <hollisterdesign@outlook.coms m,-01e701 PM Tu D,"W"g<dawngwang®hmMancom> Y as amenr -kBi 6eurk nk Appmv d Mountl Desgn_pM hint, Geurkmk ID Approved Paebge.t U him', Get ONlook for Android Rom: Elizabeth Pudmckl <ebzabeth rudmcki@wiaorrain gosh Sent Tuesday, August 6, 2019 51E Ad PM To: holllsterdesignu¢outlook min hollistercesignlIboutlook counts, ryanyIlhwsail w us <ryanvleco vmt<rmx wi us, Subject Geurkink Interpretive and Mound Approval Attached is a copy of the reviewed Interpretive Determination, PONfB plan and approval letters It is the only copy you will receive No paper copies will be mailed The county is also receiving a copy of this Information If the attachment is missing please eontacl me as soon as possible Thank you Sincerely, l au&" Waetwaier SPauabswoNTS Plan aevlan r W Depa ni M Sal and Professional Sarvlcas Phone (YAH033186 Email alumbaN mcnr*iQnsiswnsln gov N�Ma�„,aPmb�n,Is�. 1�F i CSr�oiy_ Isl ' SOIL E FIT Py.! a! !.- ..mmu�m a'a w.rrs wnm M A mgjf1e54 µm m pYV M,b�4m6�s18 frz.11 htl®bsm WimY rvJ dsk1l) ra4b tMc}:�erN arron,aMbulnivbf�lOelaim�'m2aN mm b Plaice ptift al in/mmallw CauW ST CRDIX 8-101i-10-000 p DaY Pm d,Dm,, LYNDA V GEURKINK 6yT A Iq — SF im W fq 25 28 N R 14 E ❑W PigYryOwlaMaig M 3027E]IBN Avenue Itlf Bkdt Sd Nbe .4Y BJ6rm. 39N1 Vb Mull, Fibid IBIh A.me arCeY�mn IYQl4mr 3 f 6iwnabVf6afaU 40 lP0 . 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