HomeMy WebLinkAbout020-1062-30-016..n1, Do Bull�.p Tote. rt• PRIVATE SEWAGE 5T5iEM $1 cri
INSPECTION REPORT rvoro
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GENERALINFORMATION (ATTACH TO PERMIT) w+pw 617703
John McPhillips fi •�mTONM OF HUDSON " 020.1552-35-015
.me"•"/PO• �r�n�,. ruLl}e.� eC $; ,0,• N'2329.1N235D-15
TANK INFORMATION ELEVATION neie
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TANK SETBACK
INFORMATION
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PUMPISIPHOM INFORMATION
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/ Index and Title Page In
Project Natne, p' IG par PS 1r-Pf
Ownct's Name o a
Owner's Address 1Z-76 a6LLLI
1 -JC
OKL IdNLE ^�`lJ �S I28
1 Il,Sl
Legal Description. NLJ IN W I& S 23 TZ9 N 2 L\%
Municipality Vt11aB0. City of D56+'t
COWsry iT (tea
Subdivision Name
Lot Number Block Number.
Paeeel I Number
Page I
Page 2
Page 3
Page 4
Page s
Page 6
Page
Page g
Page
Name of Deatgne L 'IN'g Lmmise Number 13911bz
Signature _ Date
Plains of Dessign V 9 ri I
Destgped Pursumn t'ae Following POWTSComponent Vanual DSPS 3Et��8r
�6D-16-705-P CJ, Of/01; 9 10/1Z)
/o/ fl 99. za
p apt ap Fmel ereee
vr:" 9`F n
tesce, y
cn.mbr � 93 n
Syelem Elentlon
2.P n S fl Sfl
Son Absomnon Svatem Plan Vlaw
e' Cam.
Header
van or OMeve Pipe
lMPhina Chamber S_ alwtl rdm/�
ManA�cltm�orAM Model :AN Fi 14f" icJ= `F
EISA IiMInp oU Nnpermember Sm ApPlb'a'tl/o�n Rafe •7 ppNNfl�
ppd Coalpn Flowc� Soll Appllcebon Rate•�tEISA= 37"Chambers
3roveof !G cmnnb ad&
itKX 5 5y5T�•, /S o✓6� S/16o Tly /9Y /i ,p op7P c i7a-
Pepe y of
LEL
IBC `f S GllfiNsu., � yErru� i�vrrfit/a.� �c
DO BUT ENTER WITHOUT PROPER YENGLAT[
COLAB CAUSE DEATH DANGEROUS GAP
NOTE
GREA
FEE—.° INTERNATIONAL LABEL ... FOLLOWS °INTAKE INTERCEPTOR
JA
THIS
REPRESENTS A SEPTIC TY
HOOK i 15. t FOR [FURTHER I
N THE TUP o, . HOLDING TANK a.,E°
-- FOR GREASE INTERCO DR
e°=,
'QUID 104 GAS
A IN OFF
TAKA LABEL
FORMED LETTERS
SECTIM
(TANK BASE, TOP, L COVER)
mx[nnw EQUALS
1/3 LIQUID LEVEL
ENTIRE SIDE ELEVATION
�4P
q
(ONLY FOR GREIVE
(TANK BASE. TOP, 6 COVER)
-
INTERCEPTOR)
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INTRODUCTION
Quickll PlusTM Standard LP Chambers
The Omma Plus smndi TO, Pi (LP) w
x,z mr
Canard m allow
ni DIODE Ihnn other
Standard
PIS, aln, one nd the Ou.S9 Puor is s Eneac=pe are evla,IaLI=w iI
Old cnamne,pi note ee.d nasprm a mme,r= Poungloo
lilmi Ommmw SpeclP=tl,om
Sale ON,LxM 3f'xSan e9'
Enhaaw L�a9 SIT
Inver EkraM as_3T >a 97
Quick4 Plus Standard Chambers
The u=w.. PO N, Manmrd Sunni car he.9i m 3e..
t-ew, TMa m spar Mere a a gt, ago n
Winner ra,Q a ui re an GuIE
can in
Ener-�, a.aVania ,Ms ma,.ra, used no M.eaw ne.rm,v
n yvm,cw ii tare
OubY PIW SYItNE
NCminL ClanYv SpacXkallpu
S¢e lea L a Hj ]i'ab'x1Y
.xmet I anen e8'
.er tCTalm- 06"]d'l3'.90
Culck4 Standard Chambers
ew o e
owe&16ni a4u�Po-I-.l'na cm8nmeaer ad
were afflurving br'naamune pipng ll mMy True Ave a veer
Isys&m,nlemnB dii=Uwae lrcm ei
OuYFe Me Standard
Nominal Chommor SpeclPullone
dead (h,L,H) Par 45 , z
enei Lamm e'
Ireland eieespan ao
Af -
INFILTRATOR
feado
Y
Diego an
Mwon.e cwrea
uriffenal
Cuick4 High Capacity Chambers
me0oi=Mw9nCepi h ,hne „aWnea n a ro,M PENN
FEES caa has Ignt rini in ni9,, and I iMn,a —
to Nine, on piping mPenter=,exr Im ,u uple, hei
Om=W Flw High aw=ln
Nominal Chmn Specification
Shia W , L , H)
^ hot
EHeatire Length - 48"
ndad Eladeation 11 h'
c.µ 4 9
Ti lMinreremW emumel bwtnme e 1 B22144do Or asudden mrnnlcal and p M,,1 mmrmi
Paged
The Best Just Got Better
'OD
The most efficient, the lowest
maintenance, the most economical
effluent filter!
• Nearly Twice the Filtering Capacity
Estimated to go 3 Times
Longer Between Cleanings
• Cleaning Made Easy
• Does Not Retain Solids Between Plates
• Lowest Price
00m9romaammm
- Elmnhe collodion of solids inside the cartridge.
- Nearly twice the filtering capacity of any other filter.
oWM W9 --
- By eliminating solids between plates
drastically reduces the need to clean.
- Cleaning made simple and efficient. -
0 '
LT-1/e: 3500 GPD/Residential Strength
Filtration 1/B" �--
- LT-1/16: 33-W GPD/ Residential Strength
Filtration 1/16" -
- IT —1/32: 300�+ PD/Recommended for Commercial use with Residential
Strength - Filtra ft;l /32" s/q
- LT— 1/64: 2500 /Recommended for Commercial usage with Residential
Strength - Filtration 1 /64"
- 2700 Inches of Linear Filtration fNearla lwire the f mmnelitinn)
POINTS OWNER'S MANUAL & MANAGEMENT PLAN pace o
Fla
Oww riyou ljp
s
Septc Tank Capacity
Odd
ONA
"Malt a
.M
Sryec rah ManulwWrs "f
DNA
DESIGN PARAMETERS
Effluent Fitter Manufacturer d'/%ETw/E
Q NA
Numbw of Fund roome
0 NA
Hikrent FIMr Model
[-r P'S
G NA
Number of PANIC Fabuy Units
.$Rf
Wmp Tank Chanty
Eatmmw flow laveaml
D
eVaaFaturnic
Talk Mwmlamww
`9M11A
Dwarf flow (mi 1. 11momea•15)
Wda
Pump my fMu
�4NA
Sol Apokcefcn Rate
.ad
1 / al/dalo'
pump Model ^QAA
Standard Influ mill ant Quality
Monthy rveage'
heCsommt Una
r-'BIEX
Fats. Od & Grease IFOGI
130 MOL
O Shed/Gravel Flow
0 Peat Fitter
Swimming Oxygen Demand IBODJ
5330 ap/L
0 NA
0 Mechanical Amatbn
O Welland
Total Suspended Solids IT551
5150 mgM1
0 Dmnhown
0 curt
Pretreated brilliant
ent Cloudy
Monthly a ape
Di I Cattle l
Me
0 NA
BmcMmml Outlines Demad IWD'i
no mg/L
Ihmf
GIn-Ground (paraboloidal
Toy Slap SoIMe ITSS)
901
0 NA
0 At Gode
0 MmM
F°ul cadorm(9a t:em M)
zit or fact 0.hnl
0dplm
0Other;
filummur, ENlumt Pmcle Sire
fell did
0 NA
Ohio
DNA
0Nor
ahe1
DNA
value M okel to, mar,i wemwner end a
OtI'°'
DNA
Semce Event
ServM+Frequency
mpect enndnm If tmklal
_
'It, hod IMe m3yewl
ONA
Rmpm tartwda of matter
wMn cwMMelWpe ad ttun local, Ane-MW II(1 of tankvWmm
DNA
Inspet dlepxW celllal
At heal once every
mon�e�l°I (Mayhem 3"me l
ONA
Clean effluent bhm
At least once every
/ 0 m ytlllel
NA
a
Inspect pump, pump controls & alarm
At least once every
D onthi°)
outh
A
Fash Indrale and pressure
At
0gon Ilel
A
r
At bast
0 menthlal
0yeare1
NA
'
_
D
MAINR MCE NSTNIICTNINS
end dnpanel c dut uall counting o e tolbwinp Icmeea o enitkWdn¢
Muter Plumbm; Mahler Plumber Testified (Sewer, PoWTS impemor, POWTS Mantain¢ Seplpe Semcing Operator. Tank
must
include oof thekt
anti to chardlysing ar broken hard , identify checks or leak¢.
mamule the volume of comMnednalodge and acuma,I to check floe any back up Of nothing of e111UEnt on the ground surface
The dispersal calls) shall be visually impeclN to clack the ofluenl levels n the obeervalOn plpee and to check for ang Poy'ng
of attack n me ground come Then pine of effluent on me ground surface may imm.n a fading fnNnlm and rMmree me
immeaia�e an
of me local regulatory a mane tian
When the mhmad wcumulatcon of ¢IWge vd x Mutual, amod tel a oft ink volume,
donallim Of may, took to ved by a Famine Serv„or na OperataM diweM of n aocwhmw won Chapter No 113,
onan Administrative(involved
Code
AM Olhor 50"leeS including rued con omants, bM reumem
odds, end my dery c ng at Inlmals of 513 round, owahell be pulormea by aacertified POWTS Mamtmw p
A swarms report mall be provided authority to me local regulators ehoy wlm10 hays of compWion of any comes even G -I
P4— on —
START UP AND OPEMTON
Fun ilex COM1lm , pfiw 10 use of ere pCWTS CAA to lmenl lank(a) m the prises¢ d Admig MuAMe, Sal la or nods'
tlMnw:ffi do % it NM My In a IRA beaUreM pru S SMbr Uan ye ere sunk dOpv cellar. It hO WrlsnNalkala arr
Metier askep Use WnknL5 o1 the to (s) remmee by a seplege B mang Operator Oct to use
System Stan alp Shad net occur wMn aril coNlbona are Ire@en at suffi lode surface.
WM1g®Ie p abpea W"l nay M abuse on l hM. di Manta Srel one n¢ss vws iml
M 4ed edro due ale 01 amain in One hrye Owe and my OWASK team reaunllgin me bachue or mences vessel Neflal
To Sound INS Angles hi the ensure of the pump tank removed by a sal Saul Operator prior to Tatoring pourer to mr
moment pump or cdNetl a Plumber or POWs aftniamer, In asset In manuely Operating the pump anode to retlare normal al
a nMe Wmp tank.
Oe mat ends or Palk sometimes Over lane elk heading recta Do not ddPo Or Palk Over, or MMMIse disturb or curry%1, me area IHPN
15 feet chum Slope of am mound or ahgrede son attempted area
Rees aelmlnah dUPS M Mborn me waoe adeam mry'ar trine Weans add prdorg Ike No of M PGWrS
bbicMs or vrCea. War W "a. mn'ArS, mtlm Swabs: aega9eers dentin floss. disposal eio nlmemm.. IRA: 1meNSMn ma"
(Sump pump) discharge halt and vcJemeae peelings easmla, grease, themcdeal meal scraps, mMma el all. abmlng products
peatiudea, Sol All lampons eM water augers tall
RNA MMENT
NTen the PoWTS falls anal for b pnendy lasso Ad of Perna me Model sups ahae he taken to Insure that the sWland IS gopeip
ark safely scandal in mmplloermence vah Chapter SITE 303 33, Wlsmns n Mmnlstratlw Col
• At Mprg to harks pis mat dues, SoaaaWpWrsyLarm Phi be Qnmvenel arks! "aWWk pLe War s58Ned.
e The contents M an ranks nd p A Shall he removed and property dlaWud of by a Wage SeManp Opsrelm.
Alb, pldrof all lanes and pas seen be erravdee add rem of Me wve5 reread aM ere vd] BWre fibd W, sod
growl an enormous varl asked matereal
CONTINGENCY PLAN
N ere PO✓JTS (MIS add cannon be iepalmb We follwMg A,AdM awn all or must ee bon. m Wallace In, OpWrhady to Owl" .�
aMvery k AS a We cautioned repwment SKbm
II aMa de replacement area has Been evaluated and may be ImpRe for the AS0011 Of a replacement S011 absorption Sell
The replacement area should m timmeeea From mambance and compaction and should not be Pill npwl by real
W aAm Sol and
long vtlW 10 mAAAd aWurea are vicem Fauue tun Wotan I11e rgiaanarllaeain revel in duesacs
bd0 me Ha BMat&evaaWwsuance NesuiUMe reMamrleid area. HeMaanad syslans muN tam[Ii cosh lie,Wes
elktl Mle nods of their permitmnot mor
❑ A Wltable am owent area is del POWs eat it gy , ands, ado Il armim . If dM soi re absorption system annot Iro
rMaadoha am novei,g advan¢t iPryNfatechMo leaMdere area Ube lrtshYo1aeIPO Sa
❑ 1M able has1MMen eats atsu toidentifya If
replacement
t are IaMRlama POWfsaSolayb able epaNasil
inletbe ean 10Slmeato lawn swlede replacement Me It no repleamenl area is eoalladeanolding lank may be inatellee ass
laN rePM to 81mal man china PO'Ms.
❑ Npac aR MgreR add absa.WNrb syslema t,co be vath Me dad an pea Wwng ranwd d the IipmM at dal mfibatn":
@pn.a Rendnemnbnna nrenrnarnema man comply vnm ma odes befled at rem lime
'NPR�M TRMTMENT TANKS AND HMWNG TANKS MAY CONTAIN MISONMS GASSES AND LACK SUFFICIENT
MYOFN TO SUpPMTa1FE. NEVER ENTER A Tr1FATMEM TANK OR I NG TANK UNDER ANY
{Ta CIRCUMSTANCE. OEATHMAYRESULT. ESCAPE OR REWUE FROM THE INTERIOR OF A TANK IS VERY
DIFFICULT
ADORNMALIMFORYANOX:
PoWISIMSTAL PONrISMMMAME —
Nome L Y W R Nem@
PMFc phae
9EPTAGE SERVICIMO OPERATOR PUMPER LOCAL REGULATORY AUTHOMTV
N.me Pr _ems R�2/
Phga —
lbdvnenleiryatledbneelnbaubvnnyLLerravtlU &PS ]M.IIf[NblltAdN(ryaM]&45y11. W dCO, 3Mrmaaraakrra Cot Um
Ilnawmenam ba@Iaaualrc lflrdmmwwsky Pours qt' (Rev areal
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
.,�n� OWNERSHIP CERTIFICATION FORM
owrer:euyer '"C.iN1L1.1Ya5 }lOwWn 6 LLL
Mmbng Address 1AA 4ou x Aa(c, rib,, OArcwfeg Moo SSfa,b'
Property Address 7a4 fJuyy 12 Egsr tl[.�e+.>f R1I SS�o/6
IVenfation rtym[M fiom PluvmeQ Bm�m(woew..vo-umtOnl
City/State i 0E,44 yl l WC Parcel Identification Number 010-IG16A-30 O10
LEGAL DESCRIPTION
Proportylucaon Nul v., IJUJt.,Sec A3,T 29 NR3W,Toxmof HuIcigoo)
Subdivision Plat ,Lot#_
Cerdped Survey MappA ,Volume ,Page#
Warranty Deed# q9l( rD before 20)7)Volume ,Paged
Sign hour oyo�gSo Lot Imesximnlable Oyee0no
Ingiroper use aM mamtevn[e or yowrzPuc rytlem coWd tons in In prewmre I'd= 10 Finale waste, Proper
mfpumpmg om Ne,rylrt uW every Yvtt Yean ovnooeu(oeWed, bYanaved pumps Rb1Yon POMW
We ry[um [en eRe[t foe function oftbe,epnc uN u e Vutment Nge tit the wvu Gfp,W 51,'1<m Oxnn msmusunce
rtspov,bthic, art epenfed,o fi5P5. )sJSEIp aM m CMpta Il � SI Cmu Cowry Sanity ONwve
ThepmpeMoxxteprtteio[ubtm mSL Crou CouOt)Plamog&L,omg Depfnmev mitt, on lostraftgned Ly the
'oetnM byema[Ia plumM,lourt2ynun1plumber eesm[sN pl,®beemahcevWP�pttvo�rY,ng liter llllhe oi�nle
v asspnW Sludge
,. m ptopo Opetanng [onaipov,nant Q) oflcmme[nOn aria Pip ^s Ofne[eantll. we avpp[ tw,.
less one 1 J fial of duage
I w, We uMm,p,M be,e ten 0e abo,o rt9wrements aoa op¢ m mainlvn a,e Pnva¢ uwege diagonal sgega ma, the
smduce mt (ice Man, v w b) the Depum,ml 0f Safery .Ma Pfoh„mvl Sen'rtes aW the DNvww, of baNnl Resonbo, .
Suu ofWiuOwm Cenficatmmtamg that yom aepoc snmm too beenmvommed mug be completed aid rcnumd to the Sl Croix
Cowry Pnovog R Zeroes Depemmem xMm JO dan/or the titers ):m eapwooe &a
vw ctnfy that allsutemmn on this form vl mu t,dabastormylowlenewledse Pi'e,mete the nwneslal irlFe
ivp described ebo", by 'in ofa wmanry ..rand in Register of Dennis 06ce
Rum r of bed/r�oo�m' —3
I%W
SIGNATURE OF APPL ANT(S) DATE
•^My ademuuon that „mvrryrnmsM may ¢soil in the vmmrypemit being rtvoked by the Plasmmg k Zoning Depemmm •••
IrcbWe wnh this giblicaotaeaw emydeed from the Reagent ofDeed, Office and a cop, ofth, ,o,ftd survey mapif
"flume rt nude in the wammy, deed
di wrsn)
unmionmlmu.n`mysn and Prarnalwpl s.moe. nn��P Ay 1y paee_4—
,,1� SOIL&FAMAla REPORT ,=4fIII
nmcmmnplem
r I I . InesoNare WM8P3335, WN Mm Cn♦a WYnly
inauenetrzxti
elregen onwernd li¢nn In awsram«mtllwwe,`roN-
LN noordlmwWonepwnn
amMW leftM NN�ne�tl paruNebPoamll0
auew andd(war, W&SII Q
PWee Inim all lnbmlatlon WWw
pq
PenonelldomNonmu mMem bun lw mmiffi o Ppn M, 1 16041 In
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PrMsry OwMF \
1 1�' property Lozuon
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❑Nw LonalnvMn lke �RaelOmMd/NumpwdLe]mana` Cwk EmNWdealpnn.M.Y�GPG
11SReplegmant
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bit��m�
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veaeaTr.J� ea..oa-.ha.4--irerr>b, ,. 6o 7n•r 4ae.zdil �r.&
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119onnax aPn around urine day Jt_n NO almmna Mama
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