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HomeMy WebLinkAbout034-1021-70-000Dandartalcar Be" and Bulding DemBe Rasmussen PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) TANK SETBACK INFORMATI SAY r - \ X AeaBrad ROAD let feel, easna SaT 7bp'Or er 17Ni is, Z$ oams 6a' 7e� Sr _ HeaGeeMan. Z.OG 19.5 wema sis51s'cem 3.67 spar. PUMPISHRON INFORMATION Idea Flnal Grans /,71p li Men ulxluree a ' Cement Sl Coaer `. 1 g 71 4S It J` Z57d 1 �1Jw¢fJr y.ve 97 1 INImx p 51 M.24an. H3,no.1 i3 ` 'OnPareal 4iD15LJ Dift Ideal SOIL ABSORPTION SYSTEM Wdth� a ae Bar addDied 15 \ sysM ro +. INPOm 4z >56 75ss' NX xvim. Ime ` DISTRIBUTION SYSTEM /b I� Vid MJln-- 3 °� ren1� %. s° omeJ.i nTel, { l xnl sd nne// SOILCOVER uLreua sever Cap Dpen deem Ided .�R'.. gran 7 It .sana.d I"I C4v lw �xo In COMMENTS: pnauarcmeasaeoanGe¢, cenen¢pe¢em,nu) inspaaba sl: 9 9 /.� Inspector. a ldi 1 a Al sM Deeea pllo =reT�'/'O �J�� CI+: Y� �ldv (Jay a) SUN Near anRln. a mn madder - i yL � I Oar Pill Use RNar one for mr A°m�aX�o al q Bad He /I s.d.aaral°"°" Ot�SIuJr i* 6� Old .�! N'"..Lr¢.ffol ;v� 15 ao-e ,{ s9191y9na RYIYJIns Division W. cevx f AUG 21 2019 201 W. W89Mrg1on Are., PO. 10 7182 mhmson, mn v7m-ns2 9xiury Ymmis Nl-t (w4 fi@Lin Uy Co.) eAmmun mitA)PI on ,M 1. 2.Wh. meem .ew rmm,a ue mx megm. ;, m h Tms =Nm o8/re/sy9-o P19W lel oreirt mm mnlinaem J %� �ZS W wroe.=unem s. iw1 Np 1,ohc all r«w.�mm eovn ne m, ns rc.llemmaw �nv.n Ns.rm,na r,nr.,.�m�.l s=m.�=s �.rc ;;nh�mmm�rm�pm.;x .rnmrc; m, �emnmr n: m -nehma..<.Lnm.papl. p..l. L A Iio Plisse Pnnl Alll Ifio IIINrremeiion prcpm,D.,ner.Nmne r o.., r_a._ / h/ � r ✓sere o 034-/dZZ- empu;rDm.,ewwinennaxs. I r/ J'/*A Agol/2$ vmwlrwmllim wh. Lis Nb �vv /1 umrm [ 0 cly,s m ervrmee aalG w/ .fY�rS T22_wR�sJ IL TypeofBuiltling lefiaak Al Mef.pplyl Y SWLIVSianNms 46 IGS QI wEFmily;TMline-NombofPeLrmms � ❑welieenmmercW-e«aM Urz ❑ cyo[ O Sul.om.L-wmim uxI A ❑Villegm Csw Nr W b x 75aya 9Tn a m.Typeor R.miC s (ch4 line A. Cnmphhline RifspNiuhle) ❑rvaysrslmi eplxe�l synlem Crc O];ainermkftlm ma y ❑wia MolifimonwF gSy lnplmol B. uPom ❑rmnuaciem ❑aeryeurrvlwnM OvmnrtTrenrvwNew mime vmnls NwIm Dve leW ERme &plgmmlim W. olm o(mW syssem/Ccm n chrcn m. ken ❑Md l.'mm 'mwmemil ❑Nmremmamam and omemmnmmcmrm OAS. < I.mw<E —CJ ❑HalnmB'MY ❑ONm OB0eslCa�nen (epWn1 An em�u(my15m1 I V. Dis mVfrc meAminla.m Dale'9 (gpa)i1 C¢Ipp 8o11Apprc mRnerep ObpmY.Ye AgmM(s0 D'"c Art p (ay Spwnhlnulm VL Tan4 mro C¢rary'm igel mo Mmufumc f✓ Pa /ak SZS e uo - ,w s•mw So VILR n®Llliry 5hhmens-I,NmeJmgn dllry Prinm oo Nlne POW YeemchN qeu flumEnSNme(Pnnp Ev'sS" mpo Rsn MIPRS Numhc BmimsFTme Hunt i_2�•/ g r uz985' rs-zcs-Yi/s �fl� iry �1 m 2I /20 "� .9n. /e.s..om✓� �u/ sYa/ vla n. m. ,rmemu.e onl vmnx Ex Dm a:ma hw sip u M. Cona eIW#A Dlseppw ,I 3) Len��He+.fl �.e r,«M, w P_ pvll :�emhm phn p+no ";"A mEer. 4�L sn W 2 N.rMshuni llhweI mml wr..mn:Y(! .g.Y.+mYwea(mm.,m... 4 61M 1 d'a abwb'm�T�' e� f� Ic kk . P SB398a11111) L� 1yy P— TQlowD �b TA '; PAGE 2 OF(p ❑ SOIL EVALUATION s ❑✓ SYSTEM ac SITE MAP PLOT PLAN PROJECT IUME 50 1.0 Paul Rasmussen .ee.1 r� amSEE(I cmmnmi ww ege mmI GGIess lost score Rd 128 GWIIWe% 04 WI P¢e N,I I I OP ISIlTaNee RM NSi a W ISJ) N � GINS,s") Pvc I ASTh1 O30M WI 4, 1000Po R F.I.c�ASTn axeSs moo.. Ben IN.W 'EI G s s ebw ..:.iae..urvae. u.mnw P....E.n. e. Seeio0leE0p�tion 33 .H'K � �b✓'� xON oo�,o�.oa. I/COpY yn gN91ga INOWIRY N RSTE 106 � ��I WnbNTMOWhMWse MI o adds aa9ov/gW�INsult las, men m- BnerolaT August NL 2019 CONDITIONAL APPROVAL PLAN APPROVAL EXP@FS'. 2021d11-20 Plan Review: PW IN O81901 W3.0 MICRAELIMVERS 29431301h Ave eienwmd City W15w13 SITE: Paul used mcen 1051 Smtc Rd 128 Town of 9pnn8field Saint Croix Cowry SW, NOW. 910, TIM R15W Total Amount: $25000 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE FOR: Description'. TM1reeBMmom MOIIM$yaieml$lopingaih Moots Component Mm=]— Va.2.0, SB0.10691-P M OINI, R 10/12), Renura Dhaibution Comronent Mental—Vo10, SB0.10ID6P(N01/Os R 10/12),450 omenwh'depihblimiting fmim 6om original @ada Malwenanw mquimd, 6111oent fll¢s, Replacemmmoneeuction The mhminal described above has been rtviewedfmaonfotmnrce wild applicable Wisconsin AdMnismat Codes and Wisconsin Sunday The Salmis] has been CONDITIONALLY APPROVED. This system is to be wands and located in amoNmiw whd OM mmlesed apprewd p]am and wlN arty component nunnil(s) nabod'"above. The stand, m tied tied in chapke 101. 01(10), Wisconsin Shumn, is spabsible or constitute w:], all rode rx",, ross No person mayenWit x ,,it mphadba, in the slate wise licensed to and an bytlw Depmmem per a 145.06, The following eondiao"shall be dust duties e'oneltac110amimtalla4on bad prior w wcupancyor use: Reminders • Aornery permit must be oboined Sont the county where this pueject is leealed in aaoMa ewild the requirements of Sep 145.19, WD, Sam. • Ptldna onset aim of the tl4perulartq check the moist ur, coo rent Of the me I to a depo of 8 inches. Smoering and com osclmfi of Oct mJ "II malt in seducing the m6lsMn set of the On. Proper ad an be dekminW by rolling a.miI youldc twOrt the handa.ILt Olt Imo a L4-such worst 61 sire Is mo we to Typed. [fit ,,,bkw site preparation am pa,i If the site is u, w,t to ptepene, dO Out orewed droll it can' • Nayection of the private sewage system mutilation R Festooned. Asmngements for inspection shell be Outside with the desnalm d county ORli in aocordanee with the Vrovlsibis of beep 14510OXII), Wu Slats. • Astate approved effluent filter is rtquieW. Monomeric information most be given to the oast premrik explaining that portion cleaning OF he tiger is required Owner Responsibilities • The current owner, and each subsequent owner, shell receive a copy of has Inner. ITvman shall also receive a copy of the appropriate operation and maintenance managing) and be responsible for contriving that POINTS is operated and maintained in reservoir" with this eloper and hie approved imnagetion plan under s. SPS 3M.5a(1L • In the event this soil absorytion system or any of in component pens etalPonetimxs so as to crestea health bavey no propMy ovmer most follow the contingency plan as described in the amounted Inner • The answer an responsible for ann ial a malnrcnaene verification report accepgble to the county fiar maintenance building forcing. Rumors;shall be guaranteed at intervals appropriate for the ompanrntsutilized inthe POWITS. ofMea mvMspecifications ifing this letter shall be on -sled to unsindfifigia b authorized moves ofth n which ma includ Ice tin f In gaming pan apMoval the Dr,clon of hamm" Sonoran useves the right to ounce 11111 additions Mo d W muttons mill making them nee weary for node aomphanay. Ae per was gas 101,1 E6L uncertain this aciew shallvelieve the designer of the responsibility for designiva a on, building, shu paro or incorrect Immiria cleaning this conesportduone mrybe aside to an, m Wecekption: number lined below, or at me Mcb," on aia lemrhred. The above rff balance shallpmvion a ropy of this letter and We POINTS cormorant plan to the owner and any ocros who are eapurtsilife for the Michael, upe action or mtintnurce of rho POWTS. G"al M. Sw:m. (immNMSwim PoWTS Plan Reviewer, Division oflnduary Services (608)]89-9892— voice A(608)]85-933o—fan Jan'KswImdtw not. PAGE 1 OF 6 Mound Plan Index & Cover Sheet component Manual DISCOID Reiemnces: Version 2.0, SBO-10891-P (IN 01101, R. Ioll2) & Version 2.0, 6BID-1 Wo6P IN.01101, R. 10112) Pg 1 of 6 Index & Cover Page Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross -Section & Plan View Pg 4 of 6 Distribution Network Specifications Pg 6 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attaghments7 Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Ma Project Name / Description Owner Name(s): Paul Rasmussen Phone: 715 -579 5141 owner Address: 1041 State Rd 128, Glenwood City, WI Mr, 54013 Project Address: 1051 State Rd 128, Glenwood City, WI 54013 Goat. Lot: _SW 1/4 of NW 114, Section 10 ,T29 N-R 15 E❑w W© Township: Springfield County: St Croix Project Parcel ID N: Designer information Designer Name: Michael Myers Phone; 715 .265 4115 Designer Address: 2943130th Ave,Glenwood City, Wl Zip: 54013 E-mail: mcmyers@Cemurytel. net CandiffIlPly License Number: 267985 APPROVED Remarks: e[PT. OF SAFETY ANDeseios.u. DIVISION OF INDUSTRY SERVICES r SEE Signature: cxcs Datevnv[uls one °mne ❑ SOIL EVALUATION [7]SYSTEM PAGE20F(o SITE MAP PLOT PLAN vaaecT wane: Paul Rasmussen Iepbj 'Ppd aso l„ An.sa w.,mwwo-m �..eup.n.. o EGTAWa IWSabR12e GWwo UYW1 pYWi MTM 5umuvai7,r W1 &W1 ) eu Mmi l4"I WO IASW D3N TT am, vna'.2INe IkSI D2M auol� ondeaX XEeMwrn mb iYw 8 '"^n�+lewm.e O MimRTw e wLmn-n..iem ymy. RlbaVa` 1 0 yen SINGLE -CELL MOUND DISPERSAL AREA ns.ozs'wreREo nccRFcare Inn.q amreamasmwmn gPe�mn.za o= EnN. 133 q k90u6n Pyeaq meeeewn q.V OF�CpspL mYER E= 1.70 apywMSV MwM[1 q L n.�t Ofl Syabm Eknllm= 160.75 q El ASTM cv Sam FILL mn.asq i.Iaal raven E\nlbn= 101. 6 q P dSurtax WA5 q 6 xsl�e� (Sl fine man mango Al and flmM1 M1eb Ibn W I M -eswlao WClsm�g -------------------- I R= ]5 95 q PMdJWUIDanceaN VeM1WIV YagG MAA 15MIdL'xrebppb �Hxel V.W DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) 2 O CY.D 6 o FormN., FLUSH VALVE DETAIL (atww wmp ud (Nosatl 4ee.c6ee a.emNa.rAl Di?mm -- vain Eax IemrY6wrl9 awlNL ' ca,te,dmracee Gp Onsuktign optimap S- 3 n 1" for Heao TagrN (gal �ha —mswln Hat onrm(IOeatear�m I s"wina+ PVCMmIW eirl manaolal n Ball Valor vase. rxL®ll / 8 VaYt BEN (gwt\II scram aO vvc leLeaLe= iiQ t \ (lvhare 1 Lateral Length(R)= 74'0 fl Number Of Carl par Lateral = 45 Oai¢veguvM/apW. _ Iah,gal�M � A el-z�tlmamw.dmM afl prRcseOuelY s�aN Ore Wdrvge pte= a41 Bpn tnabgmpoNaknl eVYw� FAnent ebq Maand YleN .nx,y_nrde rell®I"al NumEerof LateLa6= 2 t1O1O e^" pgya Labtl Dtcaage qe&= 19_54 ppe (IOeate"(frllall Orrlka6pedug l%)= 20.181n LATERAL INVERT ELEVATION = tOt4fi rrrom aria g(calp ltw fMpap T0TiLDBCHARrtEFl 37_08 Gm Ina Dlemwr= 125 a (m'll Fee Orwre 1 qd®1 ---x—{ END MANIFOLD © Check CONNECTION app%rade box. kanne (Mrgp ogbrtlt F D oD wet il 0 F- x--{--xrz xrz-}-x -� m mn�al ma+�rl 4a CENTER MANIFOLD TO ❑ (n.0 Nlta CONNECTION m PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS .,, (No Scale) IM or• araur: Ar2Mr Maki•) as neneuy WWnI b SPS MAxpas n CAPACITIES 19 gaVn �a A —�T a 35A91.3 ICJD a TI IF Pump Tank UquId Laval= 36.2 in P11P Diameter Force Main Dlamater= 2 in Force Main Length = 150 8 ' Il Forte Main Vold Volume = 26.1 gal 1 ICI Tolal Dos VVolume TDV = 1NA gapdose 1`+a IdY IMertl wd rdur Q - 7W 10.2%ass, brv) +brs mM Pointed, vduma) MIN. PUMP DISCHARGE PAT E= 37.1 gpm PUMPTANK: Volume650 gal Pump Manaletwec Goulds Pump Model: PE51P1 ControBlAlarm Manufacturer SJE Rhombus m Controb/Narm Model: PSP120V6H150P17A roams 1 ELEVATION87.8 e INSIDE BOTTOM VeRlcal Head, =� 13.60 R • Min. Supply Head •� 5.0 8 + FM Friction Loss =� 4.3 aft + Fitting Loss'= 1.5 tr 'pnln.amµnxaroed� =1DIA1,12111AMIC HEM- 24.28 8 SEPTIC TANKS): Total Volume = 1000 gal Install approved, effluent filter at me hamadualidly upstream of me pump bank nist Filler Manufactured Poyok Filter Model: 525 PAGE 6 OF 6 Mound Management Plan IMPORTANT: The mercer Of Me mound "am atWl be responaibN for Ile MWtml operation ant maimmamro summand to requlremenls Of SPS 3821 NAsc. Admin. Code. pursuant M SPS 38352(2), Wac Admin. Code this system shall ba considered a human health heard A rM manlaine! In arcormane with this appi maru0emant Man. FuMermore, 811 mepedion and malrttenance sponsor Mall be eepr by a reglstOw FOWrS WiMiner in Acmrmance with SPS 3e352(3) Wi;. Mown Code. MUiMUM DispentalAt" Ou Design Flow- 450 pop; 90Ds 5 220 Mi TSS 5150 mgL'; FOG 530 or Inaoedlon CheCkIl INSPECT EVERY 3 YEARS • type of use • age M system • faaors ¢nte, e. auser Pamplaill Mc.I • e mechanical manuncron (te. pumps, vaNea welcnes. Mall, ell • material fell (oe., labor peaks, WINEon, etc) o Witls volume In shampoo treatment tank(g and any distribWon a ppWenapoll(i.e., didnnu4m/birth Manx) nNimt orimpreper use (I.s., ftw lllg Metal Consul puhlMltod activlllx, ek.) extent of pol in distribution cell pior to iffesing o Mting irregulanEx (re., family lerydirg, Amt walGt xNnga, eR.) o asombe wnponenp (le., wring, ecnecions, exnchee, porthole, timers, alennq pR) distribution iMo sewbe peu o Wheys of eMueite barkupinto structureserved to deei0n speclAxoonl Mal Checklist MAINTAIN EVERY 3 YEARS (or when nxxxry) 0 Seotic and dose tanker Meet he pumpetl by a atlifitm xplage thanyonO aerator licensed under s 281.0 We. Staff when the volume of W ids In Me tank(.) exceeds OneMIN (113) Me liquid volume of Me tope) a as required by Itcwl abience. MSpww W mobi shall Ee Moral of MR 113, year. Admin. Cdia. awuentn t.rc. shall My InShxed every 3 years and shall par axnM wham necessary to remove any watedsorbsaccomingWmanu=a sea fimtione.axmGnO period Wn&wan Me greater Man 12 months. OMHWtiOn haderals Shan bai once exry, assist shall mesons. System malnanance Mf Mall x SubmM to the preper lose( government thrift In axomane with SPS 383.551 Admin. I M ds"wmWnentfallumormallunedon W: Name Of inemldual or company Northland Plumbing Inc Impose. 715-265-4115 Local government unit St. Croix County pros: 715-386-4680 Laaigwemmem urn amreaa 1101 Carmichael Rd, Hudson, WI zips 54016 Any defective part Of Me system amen the rxairN, eplxM, or reserved pursuant W Silly 383.51(1), Afsp. Admin. Ccde. Repair or baseball of fedora w malfunctioning components shall comply wM SPS 383, Al Admin. Code. No product M Memimi or physical real on of the POWS may by used unless approved by the department in .ambiance with SPS 3W, Wuc. Admin. Code. Cohttlamencv Plan In the event that any failed treatment Wrammnt 0this POINTS car be repaired it shall pa replaced pureuam b alaen submitlW lO tM appropriate axnW t r review eM apgmval. q failx mount tlispersal amponent may be nstrucled within the originally appmverd art after emoval of aligned component. Seamy AEandorforl If use 0 this PORTS Is discontinued, If Sol be abandoned In accwoareewith SPS 383.W Wse. Admin. Code. ITT FP1YCAnOHf xoally desAgnad So, de 3ollowirg se MoiS e • [MuenVPosi Systems • w" Pressure Pipe Nevems • Baeemml Damng • evil an Sump Diese ng SPSCIFlCATI(NS Pump —Gal • DISNa i e.If, NPi •ha peal 104-F i nammam mmmuous when m iysubm[ryM, •SoWSNMIing: N"mmimumspheie • ANamali[ mM¢IsiMiude a(Iwl wadds • Manual mMey available. • Pumping anger see plIormanu Nan w arve. ml Pump, •Maaimum depecal 53 GPM •Madmumheed: 35'TDX K41 Pump: • Maximum uyury:61 GPM •Maxmum head: 29'TDP PEM Pume: • MaximumuM[rty: 706PNI •Mavimumdm0:3TIDX 16 is Div o m (o GOULDS PUMPS Residential Water Systems MGM General: •Single phase • 60 Hand •115 and 330 VON • &A in mNmal ennead ormemon wind auroman[ as, •Cass Blnice • GO Rise design. • Hi Pal deal 52pi shah ml MNm • 33HP30)0RW1 115 vests • Shaded pole design K41 MOM: • 40 HP 3400 BPW • I15and330vohs • ad desigr real MOlOr. •.5GHR3400 RPM • 15 ane 330 vWs SC hsryn AGFNCYLKINKS Oki SesW he UL))B and Q4lII IOB SbddaM p (m4 fl so.avms.�nn �. r„.NIP I bad Met m® %.k SOIL EVALUATION REPORT oils V `,�.k �' LV^a. tretlNSalery vd Rgyumal5ervlwe Pew 1 a 3 �>,w, Yam`unelonnssYY.naeouenw omm e5 wle me Cove NoeeYZ Rw.uy.l.e. mmwuero plan wwrnmmenAndI n Idea In e®. Plan Trial m"me.Nl wllaxew, rcx'er® l end nowmel re2 renm wlm lea. dialnddY p.mmeww..ml.prY�m.n.wn.. npdn.,�„..ne lemnen.nednnnm m dinner St Crude n.G. R.uexnne.xroroemexeY. R.+w.w ey Gw w.roeoa,m.�w�nemereemeemee�.rm�weavm«r w.a�mlmb� mp.moewr Paul Rasmussen impedYLopmkd GwL La SWIM, WI/e.3WT29N RIM vrwema iM15Me Rd 128 28 Lmv ludi Name or CSMe cM sun 2b Cox PIANONumes ' per MaineNOOe Reed GknaMd can I Al 6W13 Sainted Slime Rd 128 x CmeMtlbn lM'.'.--Po-an"i" NI'des W MMoo-ne HepleuenemFamns pWkprmmmegY-0.avM. 3 Cpar dnbn Ow Me Am all nel aleclel nu deal __ plml Wlnebve6tn.aypYapb n. and mmmmsed""pw. �1 me%X _el On GwundeudemeleM. %W e. OOT 11 Ann M9 MM 22 Spu PpplYatlai Reb rionew 0.ed., mm Gpmr RMn Mueroen Ou. Sc Can Cokr J ure enebnpsouMery All Ail n. ROOM_ CP0.1Y EM Same 1 O^9 IOYR3/2 N a* 2f .6 .8 2 922 10Y0.9/9 ad 3sbk mM cn G .6 3 22 30 10YR9/6 7.5VR5/8 tll sprhl xl _ 2sbk mfi us 9 6 4 3042 IOYR5/6 ISYRyB flf fwS ¢ Om me a 0.0 0.0 5 4260 10V0.6/B L. CAR rim a...._ .] IS F2eenro4 = prc9 Gmwsumne" 9868 in cepNwumelnp 30 l ansllylksbwR HARM, I RpN " Wdm Oeerµbn Ou. SO GonLC elpr Gyun lsn Or Rztl Gi 1 plt IOYN/2 l 31 ri H .6' 8 2 1120 1OM414 pd 356k mar a .4 .6 3. 20 54 10YR5/6 JSYR XI 25Ek mP 0 1 .4 6 4 31-39 d0YR5/5 JSYl flf Rtlb X Om I mfl p I 0.0 0.0 MA 6 .2 1.6 5 '.. 39 60 10YR618 5 0W Effluall Xl - e001,xao a - 0 mpn.TOM ISO . reed ini "all and w ]ss.'i m.lPn.n Rlm/ Gb MIUaYJ.MYers IT diameter 20]�6 vaene. AbnnnN PlurMlM.lmmmcF w151dif ] EreluY'wn Lreutlst ].Ypnam Num mr 11 GN115 ne[erry6.mee Paul Pasmuuol P mi los Fam 2 m �mxnor XwYmA'. In' —Pat .nnp amdcx wnsselw. MmineMunWl Ou.4. m Cdor lau.& Oempbn ConL LaM w.>a n reXnre Pomnmlimn.rp Moo- zo sllutlurt C013i Bxuneury nRi Gn Se. sA. snuypllWbnPW Cfai E.6 1 011 10YP3/2 91 3SA mM 2f .8 2 1120 ]OYR4/4 ]p 31 mM .4 .fi 3 2M4l IOYRS/6 I.sYP5R flf gains,I Om mfi 0.0 0.0 4 A 66 10YR6/8 m0 .] 1.6 �I I SEW Xertm g,ran0• GPIA - pump GmuNmrbmebr. Oo'ninvMCelxe PHVOgxngar Murrell Ou. San C W Cdxr �6. r Inman IlmNnp gi in gxuuure yl Quuryry fu, 4, 5A. IppulbnP Gi —T �Ev rlryr _Fia ebu IUPWne p PopN bIImXWfeWr In 9eJPpPq Ibrlmnl Can CwnIi MunWl 0.vaplbn Ou.4 Pant Lebo r Gr 48A. Conuxorq BxuMery P CiMIi CA'(W nation Iii Egi Xt a30 _]0111 i94>30<xg0 ryry Ei R. i 30li M.30 mph The IXpemrrer�ofSefen'mJ Pmlesioml SeMen ismpuel oppmmniry xrvke pmviEennJemployn. W1111i..rmnum noweovwmx Ixemmei mmentl in gal el¢ Aac fb m c0i din Japigi 0 R8-R66d I51wTfTti lRlrvnuluxnxsn lm © SOIL EVALUATION SYSTEM PAGES GF 3 SITE MAP ° `° m PLOT PLAN PROJECT NAME Paul Rasmussen a)imu°l� mm°��n fa=m llq s F mucvum 1M1561e RE IIB GMmma]Gb'M Pb WWAr MOOS djltl 3&IM amw) . + 1W0 n om'. %s F wW aan yA�a+pF� O suWeam mvnd�rrri. «a m.... <i 5�Af ST. CROIR COUNTY SEPnC TANK MAWTEMANCE AOREEME AND OWNERSHIP CERTUICATION FORM Mailing Add s o ( ,lam 27 Property Address_ /05/ Si</t Lo /23' (Vcp5ca0m rtgwW Svm P]e®wg&i®mg Le�ev[f vew covatroctiov) City/State 6(mwao�z✓ W/ PaccelldmtilicationNtmber 03¢-/OLz ZO—C� LE DESCRIPTION Propatyl.ocadon Su/ r,�/"/ V., Sm. L. T Z 9 NR/S W,Town or Sp rr„qg161 Subdivision Plat. Lot p Certified Se g Map Rhreavty Deed* (before 2007)Volume �Page 4 Specboue Dyes #(0 Lot hoes idm ble ofyes ono ' SYSTEM MAINTENANCE AND OWNER CER=CATION Impropvvce and mtivtaavm ofYom v{her eyrtm wWtlraW[iv its premazive faTsembmye waKs. Props mammavu worms ofpumpmg oi¢fbe septicfavk evuy Wrre Yeah of woos. ifveedW, by alicmmi pimps. 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