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HomeMy WebLinkAbout020-1062-30-016..n1, Do Bull�.p Tote. rt• PRIVATE SEWAGE 5T5iEM $1 cri INSPECTION REPORT rvoro ouch 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 TYPE mANUFACronw CAPACTY srnilON Fs ELF/ the qj F'I At am 2. /a/,// Rm w SM In.l TANK SETBACK INFORMATION unl .Sb 93.v z D wsL Da � L ROAD Red is \ s.mP > 13 Sl 2G "II"m _ h \ 93.J o Je,r. 93 -3 hot sw1.Pn PUMPISIPHOM INFORMATION Icrm l,Ij t helinuladdedwer Joliet sl Col thoulto He'd TDH IT .m.m DID 0 31 to mell .ne, 1 1. U Irencel IT DINIII )N. .. Intel —_ II w6 aLo uzvs,REAm m.00a�C. wp / . Z3 76 D p.1 y OSTRIBUTION SYSTEM SOIL COVEN ns.am Arlol.ee syst 0, �. 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Task Faro Cori 44 yy Top Golan loss I�+�� 6Lm /� Q�• 6 L R g Twormaks[usnieu ki'nay Y.l °P-' Dam Doungai.i mbar VILBo oubd sYhment-4he ¢¢ .IhrbM par,um(Pvs9 k�9 BmimrFYme Numhr oat Nz Gz' e (Soak so Bsaw, m ,do ESLo4 ` P'nWor//E Ws dr`F7r 09 VB n me rmrenr Ur : 3t0 � ifi No Sair �r lkm • M 1 M.condl •�Ra 3_proval V� S�yIb} o� euLefA, as p. m..a5emm! aim I I MWdbnDr rloss-`....I 2 mx l.Dlm:ran:. mull rx 1.e44.a 1 I- Yprka.- comiFluaci 4 � 6m4Pl.A"T 5_4QE� noy K 12 FOP- w i o Sc Oe V:9, ) I° /✓W/r.54 • $2 vr_48.1 airN Ixp�X�s Sysfw ,s _ a {ICOp % Private Onsite Wastewater Treatment System / 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) Qva z w v' ee� ---------------------------- l�^Ega SO 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 /a L ( PrMsry OwMF \ 1 1�' property Lozuon ❑ V a'h T`1 GSM US W, NyJ Y. 3 n T 9 N R E (ayj m WTSab ,a Me, �IA�; LwR III Sub Nmn o,CSMS ZIp GCe Phxw NUMer ❑ ❑W �vxn Naerxl Ron LE e8 �e5-zC<'-SI� ❑Nw LonalnvMn lke �RaelOmMd/NumpwdLe]mana` Cwk EmNWdealpnn.M.Y�GPG 11SReplegmant IXpXTT rtyl-NswM bit��m� PenNmleelel DaacTUY FIOM Pknegnlbn X apalmle a Omml wmm�b n veaeaTr.J� ea..oa-.ha.4--irerr>b, ,. 6o 7n•r 4ae.zdil �r.& aeb-aR G.ISOI „e. S 1 ^ 93.0 �r ❑Boring r 119onnax aPn around urine day Jt_n NO almmna Mama �! � Lmgr�i�IA�•�Ri�C�7�"J�f�iC��ea�Iy� I -!,I _ nm..- nA/,. W..L Ba"IS, h.lw9s �emmpwAPIN _. a2uneaprM1neIII ti\W. oepnNMnYnP GrMr�In sou IIWon R.b N[Non o In In GmMml Cob MunWl Rn�oaa Lp Com ap PZ CgnL r Q TMura III Or scan Cmwdenn S6pMan RwW opvlw 'ERlll_ O-� Y 3 L 3-3 l2 a%5 3 6 te6 rn., r 41 bcl 16-7 z,q 9 Ba { Y Y w 60 Y 4 K ZAP B, H6uernaf -Boo >9]sxwm STbpee PAM) CNe"P s> g svm 'HquW d]=e SlpnaYN SI / CSt Numnr2p 78'/yL- m Ana _ _. 9�b oaW aMdkn CflqudzD ^QI C TInap Xumbr�^ �O J -6I �C"� ho(/ �DZ}.$