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HomeMy WebLinkAbout040-1213-60-000 (2)WTI Depoemen Kr lee.nn .w PRIVATE SEWAGE SYSTEM o°"N St Cmix It . a mINSPECTION REPORT Germany Part no GENERAL INFORMATION (ATTACH TO PERMIT) Pun to Ho wgwi w01GNl Cry uKE T TO Jill M Gorecki o. TOWN OF TROY xn 040-12 ENee, In y7Ew mow. 4- T nk..l oe21831919022 TANK INFORI.UTION ELEVATION DATA TYPE MANUFACTURER CAPACITY SIT &5 my Fs EIEV SwIx—E ` z1I ari -3 3ANN ML!5 97.3 Howin SMI Nal TANK SETBACK INFORMATION BNIIOUM TANK TO MP/� ACT Vel 4 ROAD ,O p( No "Nod '77 ]j I DI M S.9 9i.OJ Dm . > re 3 HeeleHMen14 Amtlmn Dist Type L Ts as Sydney 71 q3l V. PDMWSIPHON INFORMATION F�nRIGr.Ge s V 97.3 WnuM1atu,er GPM Nom ro4 Let Flaon lwF Synem �Trat •. wTt�wEu _ INFORMATION IHFORMATIPRT srs D w.p.., Pa 7b B9� ILy F� .Ore as w DISTRIBOTION SYSTEM G / Ip pt,=DI wul on n P.� Roiisve ` oe spurt \ 1N 'Dr•" U; =ar SOIL COVER .Prearal I only as Nwna Or u-Glance syenlne Only Obb �dll MMI IeMn c.nNl .3..5 ,nr EePe. � w°I"M H u Rn , o in, COMMENTS: Iloaoeecodulmdepenue, Penonspreeent etc) "pardon x/tr� Ineoeannaz LPUIIan eeI BRICK CIR ` Gh „Ae firer r"f1,. 2) Bug sewer bmglth I CXr4�I�t'L ,e J Penn Usece nRePeel° q z3ii uo�eae for ousy.eanonn inlNrm.t :.Deno IT n.TI Dow UP a0o L9 c.,ls, bNn�fi 5A%J-4wq - 3o0 mar. .+.a .e Ohl 1015983 Sanitary Pc`mit nppliceoon •••� a MiJffilMMmJvwm tial�[sYpE.�. �ME/iI Y�il 6r. u aaECXI 04o-IA3-vo-oao Ulm q . �y �Yrw+"�yf�� lurao otb bsl- N9-wL3 TJ_R CAnt.iY iY�yt ❑wrr_'.-qs.r ..l.Me RCiI a f1CWtJ• OqI _ QYO�1-giY1Y pva�J 01Y= Z Cnl 1 E r-I � nor 'M—�---- An/ti.w Efi A Y..wYy oY.,.. s� n.r�utiYap�.oa. Ym. OY�wr OY.Y+. Oq�ear Ora.r.Y Iz8807 li-ID-90 .qi awY. o.r>sr+wrr Orrar�rrr q. � /t n otIFLLa.�.rar :lN v N o.7 2.8b 95.[tl' .1 8 vLrrw Y .l4EJ - ZL4 7 ]6-5 .Z656 7M- 743 —Sri5 E !Y BAi7fi t4r Sy7a u. r - t5pp.m ylH lS .w�wwrw�aiiw. exacta RtwV C rIIL 7 Z o�� FuT ftd� a,nm .0 lift M <�rmvrl ,�, s�10xr�N-e *�� I rm. onv mxxPv, xlswNs:n sumrvxsaox�„ .1. 4 ur_��r sxaa Z%$.aGtGs PLAX Vip SXJ'.i EvRymIm wx"IN 10� m 11vv.nw n-. he P L.x� Fi eR a: INo1uSe M rpx0 .a®uxa:al....n®, ..a ..�1euo•._1A°a'Y6ar Asywx� i sePrxr raxN:w„xr.� atwta me..��_ •lnq¢ u¢M.�j �yh 1V �A. PA 1OF4 In -Ground Gravity Plan Index & Cover Sheet Vaaun 2a. S�tafrGP piatgt, R 1M2) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot plan Pg 3 of 4 Dispersal Area Cross -Section 8 Plan Viaa Pg 4 of 4 Management Plan OWIar lMrrietet: _ JILL /1. 1. 10012 Ei°Y.1 PaMY. yry-a�„yg� Oinwr4JEreee: �.rr Mix: PrgW A4EraK ��/rn1F GOK Lot=_ 619 ef'''1 �1M. Seclon 01 T Zr Wk 9 E❑W Wtt��44IILy To hlp: -IP�V comft: 5i CRv]C Propel P. Ws: OSO' IZ314-0Cb OeslgmratereY:lg4gl KWt Ad .d e+ p Em U. licll'a+d ( }I KC Lkesae Nurn e.. I8?3-op7 I:i^T.211 Signature: /(4 na..e )CG' Z of P� RAJ T Doren .�lll R%I.('Fl¢S [J xo:sex _ au-e ax_�r +max-x .Don w. xs v n. W VI., �Ix Wl Dam.xr, xo Ix xTx HuDsn 1 NDODIVISIDx�„ w_ d �'121/><'slsa ?ZBJub� n x VIEW SHM EVenv'lxIM WITHIN Ild oYP gw A e ' A%� MM Lw(A aE.c oe� Wxx�: V'"atlm w eaaviatlox:� OF YEiU'I Asswp� /00.00 ta.mte e.•Kn..rN_ w GWaw. R F,.VWur . Vo • k,O,C 5A ;2 u4elu k n9s a W� LiWld Cap. IIL�IIR.! RIIIII38 Pm•vona Wo®�pem•m�mMVml H e f/�� _ %AX VIEW Mu0 �-OW o•r r Q MffifYLPFIt1PBYYt T '1' y�OYnBawQ9rtBNens. ffCY rrwerrr•�a e J_as. • mOBYEYy.�Y p �+�a�rn. �[Y �ywe�rtnxm. a LMtrY!WpG a �bwxl®.Acp®YTW B4xa �Lp MJwIFOff� yam .(-A7 bN2• iMwIM1AM dµz.5b = ao EL�l Mm = 32. �'13 oz 3Z 3z= 2= tvu rts C2�*51K 0, YKENai&5 n In-9mund Gravity Management Plan PAGE 4 OF 4 MEDUM 4emrlwp��ltt�p�itebc iOai�C°On HtYib Tb Ei8 CG N5sG /rwtf:°Y.Kry+m dd r..rti.o..r Y�rb.rer.ib.me.be r,irmwe�.+er�. t�tlbo.l�4PS��I. M�bc /Wrr.� r�tlevbtetl 4. �.l iOMlsiYbY�F onyt2b.. _ys0 an4 mo.sm�"� nsstse �": vaesae„�, tnvvrct e�nvsrtwns . yta.yt�o ° nY.0 Ysit 0.. oEuq us.mWw al " "">•'by "'r"`sm 1•a nbbt uwm..YtlR ro.4.c� ° nrsr WeUe_b+m n+w ovmA.,, r:t ° m � t•wt�t4.bwaeern�ptavrhl M.u�ntrmfeopmst ° .tltea tem.uba�.w.Ay ersre O�taw.ecl o tr�Vvyv�bt-I��vIP4b mYry o AtA1YnitYy vVYtrd vib (u t.Yp �fbAbY'i4 ��tb.dY�R eb) a vlom'.TdWvev rSPV I��tt Y1.A AYlp®et_�b�a9�' °ate. Yrw m rm. �r tiinrr flrent)11FIn4larsnotgl ° saY�t � �b� ir•m�.a.uYrt w.riew.+b.b.�a wr. zavrwa 'w.aYbvlvA.yyg °i1il O.rsNattAlwtiVlM.rsrrtbyya mputl rmiYYybept WYib Nt 111 Wb[ Mirt (Ns ° .YW++ b11 �vt1 sbrr A.vwAv9Pio0WAWO MWnV dtb webry n.�b®. T.rvbs galc Et, .i.M 12 it2lt�iW'Oi�pPvlal�ivtiM1b. v'W ! Y®Ybe� rrw atutrre�y L)9Pi _ �s-' /�n� 71S N3-6- tml2wbmriut�CRULMA ry e lye '715-3y-gb0 Imlpbb�te�i vli NYUSOIJ w - m cuOiC� IbYitwYta CerltliigyneRibewp�eq �wYm4 v�wpitl. Cde W.evr�aidt�ea P.b�lb'pB Rabt ftAMc �. IbpbAr Ytlbmtyvpytly R♦bralbs POW��Gs�Y �OrN ��Siy MYCMb.(aas ovsY�mx�9p xr. tbec�c°e.. iPw E0ytM4epsrsYb £� M bIM.4rY°btl. gmpbp 01W9i MlY VOWtSm.p O.�ibeQiYM YAr..0 W.�.ib iv9rvmY.eM �°.)4 +e.�m.°��M.m°'mraMente.r �ibe� wrrs�pYtow nut orK Nwrsb�eby tAr b.remny b �o.w ans sav2a, bt,u,+v ca.. Installation: VaM 'mru amcr�mnaem a ee ter s the . n�en a�Polne, the en ethe le m penhe ent newII 1. r.,rmnht,ho TH w�ehwM arm •rvthe ft.orae,a a nwilwnm.ad.,....el.eae. e.ner.. WIN�an We..aw.aeoeexo-.�wtimwme hetO >-ce.lm IOnt nset b. ni..,ea.°wnmrem.0 p°m�e.b It at wn.,.v,le«w+ , x e.on�.�u","wvi.aa.me�m.lm.xauc � r>Lw�.nlo.o.d�...enma�.�nrem.,M,mknoo.,w�� he .. _.. as i Figure 1: Flame 2 unn mum ow,em,+iMelW sue hheM,nsheghh nMXw sMT*,BM. Ws prya. Tw,mIt lala MM,p4,N lomk. tell srS In hob o, The The Tuf-Tifee Riser System: Riser Lid he a. ems. b .rnw sSan- ^ r W� Blame 4 M Wn.wuxcmr ��"� 12, Is. M B RP Dis „„ 2074004a S CMN A -A ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTMJZATION OF EXISTING SEPTIC TANK(S) _TLL GO/z6CKl Ibis's m eerily that I have inSPcaM the existing septic m or dean tack Presently serving the following residence: (Streit sddreaa) 44/ RRttX CutN'— /LOT Io/ lasted at: Sf A, '/., Section �� Town Zr an, , 04 Town of TRP/ St Cmix County Wisconsin. Uponinspecron—rcvttfYyim ISavefon &tWWs),mdubestofmy knowledge, will conform to the requirements ofSPS. 384.25, and it (they) appear(s) to be functioning ptopetly. Most recent date of inspection or Did flow beck occur from absorption system? Yea NO (ifrw, skip next line.) Appmximw volume or length of those: _gallons minutes Tank Capacity: I Qlf�— Construction Pm� C"onO F_ A St«I OOler Manufacturer(iflmown): Wnr=5a2 Age ofTack (iflum ms): I I —m— 1491J Permit number (if known) lasso'] I -Frfi! ldr4RWbs (Lie ed Pl ber S" ) (PrmtN®e) (JLUMBF.P _ 22f/O3� (rwe) (f.iceose Numbc)►ff/MPRS �lln�f�j mac) Form to be completed by licensed plumber (Dept of Safety and pmfeasional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Adminishmive Cade) Rev.2 012 ow�/B.�r JIL.0 M. /a0R6CKl Mulipg pdtue 441 i:R�CK L Few Nopuly Adam LSgME IvwJe. �geea gapl�tlwnprrrr+®rla) Ci YMM 44LL SI.i 4s pwwmmdfim"� /i5f0'I L3'60-DOD nupe�yimpm�_X, NW %,Sm �O „TES N& Fi W,Twrbd ZKay stemai®oo Plx IZF-0 BW cK ASDU OS-o41 _t�gA ID _ l:erY&d SemTMgi �' VOAms — MFg w..n.ty org A73Y>7 wp2owl)vp Jpig F] UAOOM a..r )Pwols ��RN oarm�vx efaemxg4[gymyytl�rfYrpmr. YL.bbnrw�a lugv �.rc�emxa..ek,ma. w.w]r.]m=�.trlb.�]p�.. aa.a.wme �y.�®tiliumsv�pm6vlm9�P5. aea3y11rYO�r1]-h Gi[Or]9.i��Urna ITe VFW.tlowvW®nKme9tOvO�ll�gt)a[YT®�mofiwb�a sS lh'!e ervssrer•:: PRa9�6 ®su. rerRl rY]rY.rr.w� CS®sA r4.rt s Y.r.wetdrb• rw r.e.y.a r.. �rrr... mpY�r�urrrrpi.rbw]e tq®1 ym:mr rrarrh Y.o,.rbr ugerormp.:ar.rs� r.errnrr...]ar � fYb1Ps ��er..�rml..yv�re��r.a�ro�rurria.abrxt'm'. uoo nrtsa]rgn�bYr.� ]o+ndrr.]rwl+.ar w.srgrarYr..r rru.r�Y. r..Ygr v�r�r.�W.r pwbrar�wb.Yr.p. w�eN:OprofGeYO�a. Ipatrdidns� �TU MAPPLrANAS) mm �A�YtmferYsp�H'mat:rrp]�rs]�brnrytnvgy..r "� 4roe � Y whr.,sr a®me e.. r gam.u.Y omu.e. qr ar ue ans.a �.� 1 u r�pY�hYr�tr mw.W 2.64 ACRES ..1a1,9 .o. ff. 3.00 ACRES 9Y. fT Y.C6 ACRES 11 11T.tl5 SQ. FT. 2.01 ACRES 'BO COSQ4 i�Near 3741rE 860.09 e UNPLATTEO ___ LAND$_ NOTES INTO put d time wd.lu <a. N:Ida n4pnnd WWI ncN time It It Mnpd saenearq N udad:NoraK N urn W MANTOp Inprtt tr INS nat. At each time ddonatlilita for the wt of destruction at Na ME will Nalaaa N.tluludaw r1r hrnDN Ina said dad dtxrin. altar tie Ttn.afttdan aUalalaa Ind mm rill N FORM - SIC - 1pp '• AS SUIGT SANITARY SYSTEM REPORT gINCP—�G�" SGNNSXIP Trv... S ECTIOX��A�N-R . �p ADDRESS �ST- CRpIX COUNTY, WISCONSIN Sunoxvxslox G. �{_ —'IWI'1�19T Slse w/A PIAx VIEW SHOW EvSRYTEINC NIMIN 20trugf oP-Cadr'ex eERCPpARHe Blavetlon and aeconiption:> y„ rm Alternate p:khmrk_ Nn v. s Srfm TA::x:A.nvf.utunr: c Llama Cap.1gy�, Rings um.d:�_N.nhol. Covet .1.vvo1J>Pln.l grad. a.v: vl� Tank inlet slaver Tank outlet alev.: Ai ar(' no' of feet free nearest te.drFront ✓Slam x From nearest praP. un.:pmnt_, aide Noof felt from: Amu Pr , xulming, (Inmude this Infatuation in the aEow Plot Plan) (l reference dimensions to septic tank) SEE MISS SIRE PUMP DMAMM Manufacturer Liquid capacity: pump MMeI:�PomvnipMu wnufeot:—Puy v.a_ elewtion of lnl.tr_muttes of tank at ... aon Plan on elev.:—Pump off a.v.:_o.uwa/orol.: Alone, w wltM ryp:�ixatla Distance from ...rent prop. line: Front_. aide_, N..r_n.— Dlstanc. from: Bell mulleins see:�rrenm:_aeepape Pit: Vista: if" t nq" 5G MuaMr of Llnw: 3 Ara auilt&tvma� Exist trade Llav, /0, ya FropasFinal areas NJ". Fill depth to top of pipes Final� No. feet from nearest prop. 11M:Frpa_, Side_, Sur_ . top. Mo. fat from pall:ewe. fast free mulldl fC'SOLDING TANK Mo. of tinge usM:_alaa[im It bottom, tonal Elevation of inlet: Mo. feat from nearest Prop. line: Treat_, Slue_ _ No. feet from: well, mu11dlM­, nearest read_ Alan, wnufrot.. M1� ,� l IMEPK1VS: Y/IWMN INS DATE, W PLUKHM III L:cMSR NVMEEN:A"Ami '— eA20:o1 .Fw" A IS �c Dwa dw �cc�1220191f SOIL EVALUAT ON RE RT r.9.! d n in aewe§pan enppeenelre&' R¢ i wemm wn mums +4uagMMlmmmbbbaaa pmmelePoeollor s°�v9a aaev, eslMaMp�blam�m veamimb Phs a pnnf aM fn1M1181b/I. ST CROIX PemI LD OW- 31]-60-NO 9 "r PMPomo.Re. IILLM CARECKI Pmp.9 Lavin. Oyµ Lq—SE Id NW N s jT8 NR 19 [IO PrtpR)DmnlaMNq Mfinee CK BRICIRCL6 10 �nR¢DBRICKMDN § HfID50N. WI n56016 1 651� 249-6863 wq IRQV BRICKCIRCLE Nw GWnbn WE PVNen ur[gdtMmmn 3 P¢YYTe][my.MNe M50 MO . h{IvwnM W6k nano [enM n RvppAu¢Y Np 6 Dom^"' coe.=eeo�wm.g<mmarm,nln-Dil<.al�m.-.r[mm d9zm (E.anmg,n�=1999s5 ,kaeemmv mmemonl:m � Il{ a ❑ Bad eau _ a ❑ Ph Meurlxe Wv 9835 d MFik9lMv >88 y, Pai Pek Xwmn in OcmineMfoior qqa Dswpon Ou Se GnL ftiv Tepun flu]un D2Gbk fwWmu BnmM1ry Rmb fWTI a10 IOYB3rz 9 m 0.6 I.a 2 10.21 IOVR3A ed 2Nbk mD _ 3 2k32 IOYRGO ml If" mR 6 3L88 IOYRSIO - ml Hanwnd V �Bakga E]Pd _ 9g 55 p,PotnMmft Honamn µn in w on sz �Lc,mrTn1 nmaOewMano2Mkmft 09 IOYR3D - St 06 10 2 9'2e IOYRad e0 3 2CS4 IOYR5/d iwMRR=BA<30 and RS<19 myL Wne OTw irsmll c51 % R 22GB]2 NARY ]O HbPPERT HoI11Ssf5 Soil Tat ik emjpa)MW eR: w nbplun NvnWr 2M97KmgM &SCOW,Dmbmy,W1 X 30 09-05,2019 7154261775 �ftw co Cm, imm ow-�zu-w.000 z a�����®aammli a���a�®0ammi FA":.; off xAiYtlIF�— Sx�,ax_� �__ axxnx. .:3mxs:x Soxoxvntax r...2 d m�—Iax SIZE218Aues »ax axv am, �N 'rNM 9'Fu �:��� 4ypb. sv.we IA1 ed�3%:timtlon eM aeeertptien��pt �tT� xltaintte peryaVe[x�/t� [Fpy�_ %� �� y/ SePfIC Yxx[: Menuteeteee[: i. xy � t�rvta twp.�_ ,. »w , , e ..`\ \ ^ »� %x 4 , _70 .: ,: .«\ °> ��: OVA .lam \" ` .� © 7�f� fR s t. FT. ar tepee SOL➢ 9 el.1.l0fx. FT, Z.W Ru 5, R.w .MRt ST.M R R aq tepee HIJI, � yy, J rp4 . w\`'+:.., iia•ga M.R. •. 1r •/ JOI R. ano f e.ol Ste' 842. GS' tA UNPLATTEQ__ LANDS