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HomeMy WebLinkAbout032-2185-26-000Re PRIVATE SEWAGE SYSTEM �Er " St. Croix Bal, r, inalling all INSPECTION REPORT BiPl, u.. g1 $480 GENERAL INFORMATION (ATTACH TO PERMIT( wao N.. K mwlF,movun. newrplmr4 e N Bernell & Kathy Jansen TO=N F SOMERSET 032-2185-26-000 ,11 BM O.. •0100: / eN kkni �i L A,P l an 1rk 12.31.19.15]3 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ,yf CAPAIly MALION SS III FS or seem 1AJfe6 RI s sit Ben9m_z g,p /m.1 n P.B le 6 525 Au. Z. 34 al A1,111, Blae. se.,er All 98.3 Eoama svHrmler TANK SETBACK INFORMATION IGH Outlet t V 4,7 IL TALK TO AL PAPILL BLDG)lei VA s.l Bso r Ail 3q r — nnnm on.I,N aerNAen. 9p.9 is t IP, Dist Proe i BIG RP.km PUMP/SIPHON INFORMATION ran Once 37 g9 N.rl, VIP 91Cwev FLENN- L.3 /17 TD� III Final Lnk # Forrendi ri I ul, I'll I w,' JOETRBMAATIO s�CenruHuPill P36 eLOD WELL u%usrRBAM ./k N All UNIT _ 1^, I Burger 1J9 I IJ+ I I lkjx� A{ SYSTEM A 2Z 0.q"0.. all COMMENTS: ad) In,,,Ion91 Impemlon#2 u All aM o„AVE amkn 3.I BICP sewerI '1.a .rriguknrcover- Ir Plan "bn ReAre0n — Uee Brain Ada far gallnaralwn.R Y Ty(1 3906Tm IN xp ,. Vrmu i Mark N. M RIrFClE0wE0 'TAN - an 11- .29>_ wuors Di gi.ioa C7 t °a' 102019 MWEWbin 8 SnbYlwwl Imk6tlNinM01 �t162 MWI®0. `t`m co° ]I63 80 o-m o°" I ILhRv I 6154 g anitary Permit Application''--.x KK°4^Jn ®rb.rre.ssni®yrcrmi,. we. Apd�um Wm°Wrmmamm m nmenm.alrtml®mrwnwl^s.uol �m•�s...mMrtimnliNaeWvnmw�':t�m'b. me fi.� Cryami.nrowv.M rh x, 1. MS 1,n d"-FY Print At tom PgmyOuvd l°meI � M A/tr A5Ul Aya irm�l.,a CiryB zlpcb MveNumM . e!sNaYsIdu4 tl�lIYtoppry) ibli-xms W2 m mnilY ✓rlGv-xun eomm�o O��_...t ❑CinN ❑PdNGmnaitl-�rdeW _- •eY�'+P yma^ �Soo0mrol_Rx�YSW / ❑villaiN Numb 2 w m.I "Iym,m.. m,A. Com*t, li ea vwyxwe) rkeyxmmisymm �Cwia..sY✓+.^^ ❑nuwmNMJvlMkx4l.umm, 4YAr ❑orrrmm mr mm5vanaarymlmdun) ❑bItR Y ❑rema x..;zw ❑W,nwm,mem ❑Pm.armYmmxm. Im wmxxm�ee.dwwml M mxOe l: CO¢k JI1 to mw ❑.,z�m. ❑x°ma Lm. Jatimbmil ❑Yv.d< mYmmWmo6 w.sm��mWmd ,rxde�wmrmm,wdw,L--_ ❑.�.mmmm.a.�Imml.Wl__.— mr P.WMom: twwlw9 m � MrlaemwM 9 oigem.wxq�(�9 o�9='u.wxa«e( eyxmskren n. Pmn l.Wnm rYd meu nL 'dlirysY¢mmt-kLL.uJengoet,.° Wuy Wrivwl6tinYLLrPoW1'9.M.r Ye.mrrYE dmu. _ Nub/ b. ism=m.cv.smuaocbl vw. m m m uma .rmm"Y b isirsY�m CeeJit 31) 1�111^e4HC+.� M1M D1 nce� IT 2 .17PmlryYhiYm9xnrvMue.Ca A, r w ygepevb I:rd'rtazeG Eno 98KWM CONVEMIONAL COWONENT DESIGN Ha1Q MDirtLE Plb� PD1F CIrtix � -- T-/ 7 Tmny�p: S Cpw1K G1 (J�r IM MmuT �� pegCI 4d19Y! p 2 PHPY- P�3 spJ® V a m Py 4 Fi'9Gem iVMp3 �1Y�� Pp6 Ibp �Fi per] at�et[43RacTatWb�mFam Pp M'aiNfdd Pry q C91aP6! auea.owc6a'rega�amprc - n..b.wdvex uet 9—N—/9 oe+Y��o�r�a�+a�nrs�w•P:�esr�or�avr�vm�ewwo- f - i i a 8e wAixr- kr n l J u� MiNrtlty Jl%R QmEx _R ,/ ft—Bwpm - O�R�B�z71 JHPgtl�aWn -�-_9Pd�FbrF�Z9i ��n�Reby�g�R 2mnof tl�v�tlg¢e�i POWTS OWNER'S MANUAL& MANAGEMENT PLAN Pal Ovma Tank MenNaclurs: iESE[ �Sepgc O Ooca O XOIPng Volume: ❑NA ; 000 N=B DESIGN PARAMETERS Tank Manufacturer 0 Fargo O Dose O Hai Volume: 9N4 (gal) Number "Contains p NA Number he Pudic Facility Umb DNA inatliwl[yor Tank Bodam(sl to Service Pay. (it) Hit lmngl DlstanW Tank(S) W SeMR Pad. (M fipttill[¢ns[InB meNenb mu¢Ibe praNOM liwnlcal l¢nSNatar Estimated raveage) Flow: warory) Deragngrovel Ford =global x 1.5): (naunaY) M. spera[Ine be Moral �Efluent on hark. In Silu SolApplaulion Rate: (gal Star Manufacturer: 01 EMuem Fiber Model. 0 par, Standard (Domeft)InfluwllEfAumt Monthly average FM, or Grea.m x30 mpl % Pump Manufacturer 61 Proven ((� ❑NA A Time S,aplindhor Ina R66 Pump Model: High Strength 10"YEMum Monthly average Prebotmeat Dort omyL Manufacturer peel I(fSej =yBe mML a1 01oadecel All 0Peal Filler Pregral Effluent Monthly av&age ]S'rayal PIW ❑Otheena ground) s9coem9A Boil A0.urphon System (r661 5 pt NA mar r 9book, (graMy) DIM burd(graeauel b❑ oolOgbe pNA MadmunFFSfluent Pal She kin Ja ❑NA Of:e:. oFM other: pr(yq Service Event Service Frequency Pump out contents M lank(s) When rumored sludge and scum Oronimm ad(R) of blank volume o When the Ugh Paler arm is adNatM InspaY mMAlon Mlenlys) ALleast oodeeveM 0yeah¢js) (Maximum 3years) 0NA Installed dcparcal holy At labor ones Wave 7 Omonm(s) (Mulmum 9yeats) ❑NA yenRsl Clan aM1luenl NOT At f�M once every: gYesh( eal 0N4 nspedpump, Wmpwnals&elerm Al lead unce may 0mamh6l O wm¢ )S NA Plush latwals and pressure Not At leant ends all omemF(¢) on=Nn CUNA ff At once every- p rc �(¢1 o NA e' ❑ rue MAINTENANCE INSTRUCTIONS Inspections of tanks and soil though n systerds shell be made by an raiders! carrying one of the follovnng firma a or eMificatiens'. Master Plumber, Master Plumber Reined Sarver, P yl Intender. POWIS Maintainer or Septage Servicng Coa lw (pumps). Tank irs varmone muff inclutle a viand Nodded W the hands) M Identify any mlssmg or taken handful itlengfy any cracks M IPaka measureffle volume of combined sludge and scum and a chedJer any bed up or panding oftlfiuent on the ground surface. Tnesol absorption rydem shall be visually reported to Ued, the ¢Muse levelc In the observation pipes and to Deck for any pCMing of eHlubll on the ground fall The svndmg of elfiue t on the ground surface may Hall a falling cmdifion and requires the hormonal reification athelorel regulatory authenty When the Madrid accumulation of sludge and scum In any treatment tank equals bull (i>)' or more Ytbe tank orders the endive wntelLs dthe tank shall be removed by a Septage Servicing Opmaar (pumps) and dlspesed of In accordance wIm chapter NR 113, Wlsmner Adnlntrallve, Code All ender services, including big net rtmill to the sarvldng of effluent fitter; mechenl®I or pressurized components, provisional units, and ON yerviang A inlervad of 513 months, shall be performed of a entitled POWTC Maitioinal A service reppd shop be pmvtletl W the likel regulatory authortly "thin 30 daysofdanprow Many servlideved GM-005grwm START UP AND OPERATION vpe/ N_ For now construction, prior W use of Me POWTG check trader tanks) for the pros pas of painting protlutla, wNents or Mbx bul le or tfedimeh that may impal the Forward praceee al damage the wil absorption Wren. If Mgtl conar ons are demand have the cements d the tarods) removed by a Seems SeMGng Operator (pumper) sued to use. Pump tanks may fill above normal hlghwekr levels pear to Alined or due to pump failures. Satl up Of reB(detlon of panm under there mMNon81s not recommended as tlwexcess wasimvater will beOdrened to the sal absorption system In one large Ide reusing an wWoes that may result in the batlmp a surface discharge of effluent and damage to the system. To And this stuatim have the Contents NtlIB primpdenk renmretl by a SeptegeSmcirg Operator(pumper) phrase owning cover totthe pump A IX as Plumber or PWJTS Member to artist In manually operating the pump commie UMII nomiel eHlumt levels din Rzwdd wilM1ln V9 pamptank. System star up shall detemrated Call conditions are frozen Mthe infilt a lvesurfere. M not drove or park veha m over tanks orthe mil abwrptlm system Do not owe or park over, or prepared disturb or aanpai Her area wend 15 fast drown slope ofacemound or shortfall sal adsorption area. Finn an efimretlan of the fdlawingfrom the wastev2ter well may Impmethe perferma0ce and pining Me Ilk Chose Vestment tanks aid sal awarded system: adds doubtless baby paps, operate butts, Condoms, atlas saaws, degree zv dental has ddape s, dldnf M% I fmndatlon dram (sump par discharge , fruit and vegetable peelings, Raceme, greatest, heardtla, mass wraps, m rdiratione, oils, painting produck. Moods$ sanitary napkins, solvents, tempara and waterwllma brine Centel ABANDONMENT When the POWBfallsandhoris pomanoNy taken out of serviWthefolloWng Steps shell betaken to lnwRthet resseton is Nobody and safely abandoned in abnormal Comm 5333, Wisconsin Administrative Coale'. • All ppdgtotanks, pre and other Call absorption Weapons Shall be bicameral aid the abandoneb ape openinge soled. • IDewnkntsWNltenksaMglaanallberbn andproplydisposlofbyeSmpages aq OMrator(pumpa). After fuming, all tanks aid p r shall be excavated and removed of their covers ramMetl and the void Space Hard wdh sail, - gravel or annual Inert who material. CONTINGENCY PUN If the POWTS tams and cannot be repaired the pribu g measures have Cam, or mud betaken, to poNde a Cade Compliant replacementsysteP. A surface replacement area has Cam evaluated and may be whose for the sock n of a neplaomerst aw absorption system. The replacement area should be protected from tlidurbance aid compaction and Mound not be Infirmi upon by amuired setbacks hop events and sparked shudare, lot lines and walk. Failure to pre the replacement sea vall result In the need kr a nays soil and site Walrsaw to 6d ikh a suitable replacement area Replacement system mud campy nth the rules In start at me rime of their permit Issuance. o A sumble replacement area It, not available due to setback ardor soil ombdions. It the for absorption System Cannot be rdablllal entl evening advances In POINIRIerltnoLLgy, a holdingtank may be Insklll as a diet resat. p The site has net been evoluated to identify a suitable replacement area. Upon Allure of the PIXNB a ail and site evaluation mudWperto to loateasuaNemoscemmtarea. IfmreplaNn areaiWavailadeanddingrankmaybeiMtWlllasa lest resohto replace Nit failed Fayi p Mound and when soil absorption systems may be methane l In plxe coherent; hall of the hannot as the diffuse same Renwnonsofwcnryst&smmtmmgywnn Pemlesineft Wthateme. WARNING TREATMENT TANKS. PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. New Name Fund: phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY ALFIRDRITY Name This has .... t Far dri by the � of be Cars uk' Miami and Vismi (Fear Pserefil pandettor ag ... is , mp,aW you beffid, START UP AND OPERATION Page� a For nese confusion prior to use of the POWrS cases treatment import air the presence of manam proboul mush% or other chemicals or mempla t that may Impose the Thwar l process anthill damage the soiabsopton system. If Rgb mndentrantans are heteletl More the coMc of the tandup removed by a 3eptage San Operator oprompan prior t0 crew_ Pump tanks may fill above normal hitmealerInage prior to Aatllq or am A pump faAmes. Eart up or measured of pow Im or these wMldans is not recommended as Had exams wageuMer will be dllsWTW ro the sdl aWmphon Sartori In one large Ems causing an Moetl then may result In the bx up or sulfas discharge of offload and damage to he system. To aurvtl Me situabm have the contents of the pump rank removed by a 6eptage Servloing Operator (pumper) prior to motoring povry its the pump or coned a Plumbs or POVQ6 Melntalner to aslst In manually Formal the pump Shared umll normal added leads are reatoretl withinthe pump blank. Bystsn said up shall rim 0avr Aden and wnations we hwan a1 the initiated sulfas. Do not orrve or pal vHritl¢ over tanks or the not absorption system. Do not drive or park oval a adsvns disturb or mmpaG, the lea drum 15 feet Amen slope of any mound or angade $al annual area Reduced or Nimine50n of follOving from due wasimate steam may Improve the pg ss al prolong the life of the treatment tanks am stir absorption systion Sol antibiotic, beby writ¢, dimmer butts, condoms coutowebs, between; dental flow. diapae, tlislrrtectatds. fats, Numbers open (sump pump) discharge, hull and vegelaEle psdrngs gaolNe, graases, happo w, meal scraps ma]I®tlon5 we m in ng nearbypntlddeesanitary namans solvents, tampons, and super Scheme brine income ABANM MENT Wien the P )l falls andhor is peanamardy taken out of maybe the minions steps shall betaken to insure Inn the system la properly and safely abandoned In compliance vnN s Comrt 8333, Wrgwn in Administrative Oom • All aping to Sony pay and other soli advanced famous Shall Ls samurai and the abandoned pan common sealed. • Me mmebts of all lands am pits shell be removed and propose disposed of by a Swml Seri Operator (pumper) Afi pumping all tanks and pits shall of excavated and removed or their covers ranwe5 and the and spew filled Sam w$ a: oue of an ems Inet solid anybody. CONTINGENCY PLAN If me POWTS fails and wnnof of repairer the m lcorea g measures have bear, or fund be takes, to povibe a wide compliant regammmt system: A Suitable Roar ant arm has been evaluated and may be Nln er for the Iardam m a imperial soil absorption system. Me rmlesmen' area shoran be protstei Ram disturbance and commdion and should not did showed union day randulred setbacks Tom existing and Proposed structure, lot lln¢an]wells. Failure to pane{ the taproom ant eras 1RSult In he new far a new soil add Site evaluation to establish a suitable raplawme: area Rc lee ant systems must comply with the rules In e a merims of their palms issuance ❑ A subme placement arm is rim available due to setback anaror soil limitation. If the sou apparel system ¢nnos be narwhal and bacons appeal In PoWTS tsharthe a holding tank ma) be'rn gaged a6 a rest boon ❑ The arts has not ban evyumetl its ideath a pu lade replacement area. Upon failure of the "CANTS a soil am site evawmlon its be pMormeo to bate a aunaole rapaimneT area. Is rmlecanercerae;a evaleme a holding lankmay oe "staked due lad resod to replete the fallen POWTS ❑ Mound and at g2de soil abmrhat systems ma➢ be boconstruaw In plane fdlwnng Latin of the bidnal d the In ltradve smilax misconstructions of such Systems must comply with the rules In eNnat at thin rime WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANI MAY CONTAIN P06DNOUS GASSES OR LACK isRl SUFFICIENT OXYGEN TO SUSTAIN LIFE NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE DEATH MAY ft RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. PoWTS IHBi R POWTS MAINTAINER PhoneF,O/IPrime SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Name Phone Phone — 70/ Grill by thy zM1 by me Green Lake, mandate and adersam, name mom rputluy apenuaa In aompsanee sip aeAon Carom 832SPed(bodooB old MCl (2) ef0. vvummin namrmnrvrre Lade. PH X`(N(N� �II �� M CROIX COUNV M OVINERSHP. RYI LEGAL 12 c¢e4.roaZz3 �D r ALUMINUM MONUMENT AN LET 30 IT EAST IN AT TO ONE 30, 311 A' �z — gpi n "9 µ LOT 3l ~' nets / I`f� NET, wT Vi / I lTA AM LOT 20 T t NOT Z? LOT 29 I ON AT k l A, "I Noll >z.t EL pf LOT 33 LOT 36TEAM A, 1 rw.,zm.o. . .r11 . LOT 3a ° Y o $ lm .[. UNPLATTED LANDS �° S U3✓d/V�,(dltlu 9ll3 U1J3G Z V_ G Z F V N Z 49 V Z V 0 K 0 m K H IL Z , Op e,a 6,"'d Sir V13✓IJN�,(k14N v-ngwiV' R�131✓113G y GurnWd siwol �. 'F [i E�EN Z i V O O 40 Oz 6° 0. 1 Jl 7, -------------- ------------- --------------- 610L wooy 6�me���s eiv.i ('.. �` �- v�fuvf,caivv9�iavnae ooa bui.,o)a.,Uwi O RECEIV a wum®e D•wmmmmcmnwve L E LUATION REPORT reae OIMwnmeal,ry x-0Bullavge inkwlbe }111NI Iry^ 6MM. cMe .PN1 Aftahwv WUde mmel,dlaxttww,' bsI ny 111 woe..emmlemnmm-amwi, xa�9rkM a Pease pint so Inhann n, M Cem w aam..m Mm«r Inns o.wm(i .17 y imww,�w 11s/ H WStJ1ws E(w . wiereaaamm e w sw. ? • f7 nm.rvmaM ❑DM ❑wse. as cmmm'an usq H.mee�aalrv�me.,de.amm, coxan..ea.,y, �.. nu B po C) warece,: maaM-Emm i�mmmneMi if -s, l rmaawmew,i �j BwgY Sang CeMmIeNa9PGv �In 1�- �— P�I Gwnaaale®Mev SI DMur w TnNa Sf1¢M WrcWmm Ba+Nnl Pmb G 'EM1 4MY! a MaW ui cawlk;XCnnn a.s>_m+. cam c�. s,_sn. 6 ]a z Cz.VYr D � ® o.om In Fnere mHm�LZ"- it W1 r. n Haan Ned,commandGw sei dwiwai BauMaiy Pm4 In Mi OUST CwtCwX fn.9z. Sh �GiD'RE� Ao" -D ' e nand 41 .800 � 30<gA MI mq T4>9] E 1W w X EA'u,m@. WD- W MAL mn C51-Ninza CSl tM^s lM+zFap 22600 9 Bird Plumbing, do. Shaun eve - , ma avuat nCond cma +: a e^a rv�moe� 1008z1920d Ave, New Richmond, WI 5401] ]1e5 246-a516 � 24 foot —0— ur��rta��u�;u�uu®� ©�,rr�ar�®r.6���urrdss�.rr� uuri�■u�uu�uuuu uu��uu�uui�uuu �uu����uuuuu uur„ut�r��aes!��uuu ��uiru■�uuru uu�uuuu�u■uu�uuu uuui��uuuuuuu uu�u�uuuuuuu uu�uuu�u�■uuuiu�u uu■u�uiu�iuuu u u���uu�uu�uuu u uu��uuu��iuuuu uuiuuuuu�u�uuuui 'EIMnIM-WD,+W) M'Wrat 'EAluatl2=eC0,3]O myL aLT53�30 n9d to arcal, named of Cont a an ant"i in an aloe dor doodah, p1pleasmou [rt da, d[p[[euoemployer. m award assurance eervi[e[ar 3E0.8]])enWO-266]I51or M 669, Soil Test Plot Plan ProjectName P.C. Collova Birds. Inc. sha ki Address P.O. Box 489 Somerset Wi 54025 Cr900 Lot 26 Subdivision Wiltl Turkey Retreat l l Date 1/18/04 N W 114 S W 1/4S 12 T 31 N/Rl9 W Township Somerset Boring 0 Well PL Property Line County ST. CROIX , BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 96.1/96.0 •HRPSameas Benchmark Alternate Benchmark Too of 1/T' pipe uP 1003' Scale is 1" = 40' unless otherwise noted Please now Lot lines were not adequately staked at the time of testing. Installer must verify all lot time and setbacks before installation! RE AR ALTMANN MORATUMEHT MAN TO OF FEE AT BE -� ,02, 1..1 'A,'6 THE HARBOR aoa .,A V13n.17 I TEE'y,.''=6 MLOr 26 5 n 1a� .� / /i /G::m 59W d C LATE 29 / �� �� EREATERE, HEARME �� iimse . n. EN Ow. EFEBEH 2 rHEl HERE. ARABl 46pPE��� O�>� / IF LOT a i��mv 25- EI S m �i i 1,0 .0 BAN ens _______—� ,.,, I��z m .a RE Sax rep ..I�o/ — -- aFRE f %l � \� LOT I / /-c191311 0 HE /'y A __— OF__-- jj Em S.j OF jajLOiI 4.EAA FA IT 3 A _ a.c mm IF8 0 4 LOT 35 pOT 36 IR i 33` rm n.. +ee¢ .o wT 3 13M3z RA IT s g _ 4LATTD L_V]vs' O��II.�