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"` PRIVATE SEWAGE SYSTEM Bounty St.CFOIX
INSPECTION REPORT Madany""""W 815441
GENERAL INFORMATION (ATTACH TO PERMIT) saw,daid, lB No
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TANK INFORMATION ELEVATION DATA
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System PLOT PLAN
PROJECT CCCI
ADDRESS 1505 Hay, 65 New Richmond WI W17
SE 114 NW II45
17 IT 26 AIR 19 N'TON'N Troy
COUNTY ST. CROIX
SYSTEM ELEVATION
95.254BX4.6 4below grade 8115/19
BEDROOM 5
DATE
CO]TLNTIOsi JOX
CONVENTIONAL LIFT
HOLDING TANK
1000/690 L1Ff TANK SIZE
DOSE TANK 812E
MOUND _ SEPTIC
TANK SIZE
HOLDING TANK SIZE
LOAD RATE ] ABSORPTION AREA 1096
N of chambers 54
BENCHMARK V.R.P.
Top of Concrete replant ASSUME ELEVATION
100' (Tiller LIfourni FIlme
❑BOREHOLE ) WELL +B. R. P. same as mandrel
120' Scale = 1/4" = 10'
>6" empIhambu
of Cover wi 20,0 fit of Area
5.6 t^2lpair 0f end caps
4'1,0ng 12"
de at System PAevatlon
63' na 34'
23' 3 Y X'16' ceYs ��M1 d3' spacing
Vents
12,
12'
B-2
25' 4%Slope
180' Huffcun 2 compartmenlST
20'
Pro 5
Bedroom
House
B M.*
B-1
All pip g shall be ASTY1 SDR 30134, 111
10' of k, piping shall be ASTM F891
Cover Page
Shaun Bid
Bid Plumbing Inc.
1432 1201h St.
New Richmond Wi 54017
715-246-4516
Date: 8/15/19
Owner.DCCI
Location: SE1/4 NW1/4 S17T28 N,R19W 355 Meadow Valley Trail Troy
Manuals Used: In -ground absorbticn system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3.Chamber Cross Section
46. Maintance and Contigency Plan
]. Filter Cross Senn
Signaturg�
Licens ber#226900
System PLOT PLAN
PROJECT CCCI ADDRESS 1505 Hm 65 New RIOM1mO0tl Wi 54017
SE 1/4 NW 114S P /T 26 N/R 19 IN TOWN Troy COUNTY ST. CROIX
SYSTEM ELEVATION 95. Mot 9/94.6 W below trade 8115/19 BEDROOM 5
DATE
CONVENTIONAL ENK CONVENTIONAL LIFT HOLDING TANK
MOUND_ SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE 7 ABSORPTION AREA 1096 p of chambers 54
I, BENCHMARK V.A.P. Top of Concrete culvert ASSLME ELEVATION IN' Filter Lifetime FIRM
❑BOREHOLE (DWELL •H.R.P. sarNas ImnCmark
120' Scale = 1/4" = 10'
Vent
's", Quit Standard
of Cover Laching CM1ambnr
wit 20.0 ft2 of Area
12„ 5.6ftA2/pair of end caps
4' Long Grade at System Elevation
63' B3 34.,
23'1 3-3'X'16'cells with>3' spacing
M!t
-1
12ISO,
All piping shall be ASTM SDR 301A, within
10' of tank, piping shall be ASTM F891
Pro 5
Bedrno
House
B.M.' lk Meadow Valley Trial
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 5.6f02 pair of end plates To be >tabove grade
/ Finish grade elevation
Typical Installation �( 992'
Vent Grade
4 r3G/34 Septic Tank 4
4' Lang t 5' 4' Long t
34" Grade at
System
Elevation 34" Grade at System Elevation
Spacing 5'
3-3' X 74' Cells
Observation WassVent
Sameonother end To ass located on end of Cells
18 chambers per call %
A
OB
System elevations: C
A 95.2'
B_94.9'
C 94.8'
POWTS OWNER'S MANUAL S MANAGEMENT PLAN Pava_m_
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statude a vkutl In¢petim W Ma tan kod m Me yr any mining or broken hardware Imfty any aeob or We" Mommi the Murrayofai
vlouall�in rubber and aym and W Crook bar any pad up or pmtling of ff wil on Me ground Surface. The dlapervl mate) area be
The radm"p Mand ell! Um onfhe greWood level¢ In theM
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CONTINOEXCY PLAN
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«WARxl
SEPRL,M PIIW /JIOOTNER TREATMENT TRXNS KU CONTAIN LETNAL GPSBE$ RNWOR IXSUFRCIEM LT. REX. UE NOT
ENTER A 8EPX4P P OR OTHER TREATMEM TAXWUMpER ANYGRCNk4TPHCEH. DEPTH LKT RESULT. RESCUE OiA
PERSON FROM ME INTERIOR OFA TANK WYBE N CULTORIMPOSSIKE.
Po INSTM POWIBM/JNTAIXER
Nam Name S
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20140048A
SECTION A -A
UMPLArrED LANDS
40
'E 11J8' NORTH LINE OF THE SE114 OF THE NW114
�n v 2
D9' nN .� -- 12'UTILITY M
` EASEMENT 4
1lzs Baa QOg
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4
N ?51 I 25 ^ 1g 04' 588040'30"E 196.32' F
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R l (1.012AC.) 3 1 LO 27 I (1.004AC.) /
/L.8.0.=8920� I4e978 S . 7.1 I L.B.0.=892.Og
215..8.0.=892.00
II
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s1,45� I n \ � �/ \ /\ l•
ADpw�AC za^k2zo.zz.'z�
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L071 `�
ST. C a COUNTY
SE]MC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Meiling Addnm •
Pmpertr Adds ass me t�J v Oka"
NmfRmov rtqume from Ph®� Otpelnvmttmvery armCon)
CWSm Pa Idevfiticatton Number � 00— /.3?2- 27-000
Lx? DESCR"ON n
Pmwp"Lomg-1/ Vu:J .^,nSz�7 T ZfJ NRjY W. Town of 1
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Subdivinum //[� VCA n / dLA— Lot#o2�. _� —
CerEDedSvrvryMaPk _ Volume Page#
War tyDeed# page# SS/
Spahwx � w Lo[lime idmufivbk ya o®
SYSTEM MCPNTv NCP' NDO RCERTMCATION
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Number o(bedawmaS /
SIGNATURE OF APPLICANT(S) ffuaDATE
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