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INSPECTION REPORT
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GENERAL INFORMATION (ATTACH TO PERMIT) 615498
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In -Ground Gravity Plan
Index & Cover Sheet
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Index 8 Cover Sheet
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Plot Plan
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Dispersal Area Cross -Section & Plan View
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Management Plan
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PAGE 1 OF 4
In -Ground Gravity Plan
Index & Cover Sheet
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Management Plan
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PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The vanx d they"rpvd Sunni sry shadi pe revert inb for M1s Iprpetua oPorelKn and m nlenYKe ty151W11m
requirement& of BPS 302361 Wpm Anrnn Cow Pursuam Is BPS 38352(2) Wow Adman "a his wall sMll
W mnestal a human health narela If net maintained In occurrence With INS asp tided management plan
Furinempre, en iruwcate and maintenance microwave span me wdr "ey a Mwl POINTS Metabolism to
Accordance wom SPS 33352131 Wlsc Mnvn CCAn
Maximum Dispersal Awe OcoMina L mft
Daslgn Flow a 450 yPy, BOD, 5 2M mi TSS 5150 mpL'; FOG 5 30 up"
Inso on Chercip INSPECT EVERY 3 YEARS
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e iwor ilpi use
Vasa ngadveaManYal parmappunarlama er ire tll9rimuroon/trm myeel
M21ac1aimgoper re tie rsca6ana 0o Wo wawnma&.Itmnialee aavNn.elct
• etl&n M panarg In tlisnWfion inn pli« lir &bane
• ground lrl comarones-n if marslah a wnwrg promonmiswddhaps aaa oat
• electrical r al�rm nl& lateral
plugging Wrong con ns, a preir mm coasts to , agency,
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asmdaon lethal or lalerY diF plugging (measure Memel Baal preswra mmfaelo OeaBn eppfc¢pm)
o amnaw discharge aani,emmwwaea backupinto mniwra aerww
gMMnance Cheoxllat MAINTAIN EVERY 3 YEARS (or when necosa )
8eonc and dose Wnxlel Shall AS punpM by a owned septege vertical sprelm liwne under &28108 Wos
o Slats When the voume of sai In metanxlej Small Woodall (113) me Seem volume of this bMM)or
as rqutra]ryto lordmrirs Ds lofcontentsstallaepe ,tWNRt13,Wiw Aaron Coda.
EMuadRlb ll5hallOiWtOMdnrB 3css antlatio tlear¢]wMn ne4ggary tO remove Yry
mNmletl muds a¢oraig tO mmnN%tumisspttitkanons ANrvicrg pancr wall Mwey&be Bneler men l2
means
System melMenana mp NS Nall No suamM So the appear local government unit In auordmew wine
BPS 38355 WIsc "min Cade Report tiny corthop follunw rreNurrctlon to
Name ainaov4uala company MIKERODEVVALD Pnoa. 715-425-6200
I government unit SIT CROIX COUNTY COMMONITY DEVELOPMENT Phone 715-386-4680
Local gcvwrment ern wovew COURTHOUSE, HUDSON, WI Bob 54016
Any tlefectie part of Bay weem shall be moratreq replaced, W rorrmva] pursuant to BPS 33351(1). WIK Allah
CMe. Repairorreplacementtitfabledormallur mingm mn%healmmplywm SPS3 .Nov Mmin CWe
NO lxorket Ic craft or orwiscal ta3 bw W me PDWTS may by moved unless ygoww by me dayartrrbntn
acm me wnh BPS 384, Wpm when CMe
Criminal Plan
In the event Nan any form usua nl warren tit of mis POWIS owned bandmaster n dull No Shawd document to
e plan suburan to true apIXopraa agency for renew and approwel A(ailal inyround dispersal rnmmnenl may Ee
abandoned and raplaW by a We -complying capnul control in a pre determined area of suitable was
SMem AOBndonflwnt
It use of this PowTS w downward, n shall be amararkal in mccorrariw wNi BPS MIS 33, 1 Pdmn Cale.
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• Modular consLucton ahead conflgureLoro to march trench daranaarrs for mast system shapes end ores
• Engineered for optimal storage and absoryton ega,,ea
• Pbntly b cord"' mealy shinier situ and around deed m tu,d5,4,
• bghtweent system IS ceded for reCaus aM"2he sees
• Easily hand earned into IsosiLm redocng tore arrb labor
• 5or 10' lengths vnM ample snap, Internal couplers
• Easier :s anup at the sob site xM the elimination of stone
• Mamifadumd from mycled matenate rather than a mmM naNrat tesourra.
• A vide vane] of diameters are cohnguratons to mad am irstellallon pmteii s rieeda
• Pppreved In many tnnonshx-s mih an mveaaM cfbcier¢y Iatng. Iejall draintield sn,
• 13acxea %'tire Ieade, m the Chine wastewater. hill
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INSPECTION REPORT
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STEEL'S SOR. SERVICE
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4-34-56
ST. CROIX COUNTY ZONING OFFICE
CKRTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose teak
Presently saving the following residence:
(Streaaddsess) 535 KMO lOCated
at 5E Y., SW Y., Safion cJ Town zp N, Rmge / W,
Town of St. Croix County Wisconsin.
Upon inspection, I certify that I have found de mdc(s), m the beat of my
knowledge, will conform m the sequireoarm of SPS. 384.25, end it (they)
appear(s) to be function ng properly.
Did flow lack occur from absorpdm system? Yea No
(if no, skip noun; line.)
Approximate volmne or lmgW of time- gallons_ minutes
Tank Capacity IDCD
Construction: Prefab Concrete k Steel Other
M®rJacmer (iflaown). "Aursaw pl' Si
Aga err teak Qfktgwa):
Paca (if we) ;laFg
1 rE Rww o.�
ioe sed Plumber Signature) (print Name)
(Title) Q.iomae Numbeo wrmPRS
C7-zo. wq
(Date)
Form to be completed by license! plumber (Dept of Safety end prole ed and
Servmes Chapter 305 and s. 145.06, Wisconsin Statutes) or bcaued disposer
(NR 113 Wiscomin Administrative Code)
Rev.=012
ST. CROIX COUNTY TONING OFFICE
CERTIFICATION STATEMENT
FOR U nLIZ TION OF EXISMG SEPTIC TANKS)
Thu is in certify thin I have inspected the "ishng septic arid/or dose tank
presently saving the following residence:
(%iedaddreis) S35 (9tLg� zL located
at 5E v., �J v., Section cs , Town z4 N, Range H W,
Town of Tl(dV , St Cmix Cowry Wisconsin.
Lipon mapection, l cerbfY that I have found the unk(s), to the best of my
knowledge, wtll conform to the teauirmants of SPS. 384.25, aid it (they)
appears) to be funerioning properly.
Most man dale of inspection m service
Did flow back aceur from absorption system? Yes_ No
(if ter, skip next line.)
Approximate volume or length oftime:_gallona
minutes
Tank Capacity -0ca_
Construction: Prefab Concrete X
Steel Oyta
of knwri a—srg9
FYF sf
Age Tank
Age of Tank (if wn): py_
Perini v(if own) 3r54R8
?
tt c Ram A
icenaed Plumber Signwee)
(print Name)
FLALA&r2
95I3sy
it e)
(License Martial hf/MPRS
Mae)
form to be completed by licensed plumber (Dept of Safety and Professional
Servrcas Chapter 305 and s. 145 05, W swnam StaNtes) or licereed disposer
(NR 113 W aeonsm AMtinialmtive Code)
Rev. M012
ST CROIX COUNTY
SEPTIC fANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
owner/Buyer M514 It Yncett cebop&rd
Ma111nC Addrm - N m9 FY 1 S{Lan. s Dsit: May b
Propeny Addmm 533 G Ib .� folocia
lvvlrc.lral inform rim Pinola Dg neat tw now emw¢lmn)
1
Cly5lme N&iya l,� 5016 Parcel ldenuGcatwn Numbs D{'O-I g -�)O
L .NDJE!3CRIPTION
Propi Locanou L, 5w, A, See j_, Ta7iEl-N-R1�W, Town of 22e4
Sulnllvisnon jpN'b b wta4(
CertiBrd Snrvey Mao p,Volume — Pay[
Warranty Deed p l556A `32. vohnme M& plan 341
5p r M1onal O yes W' Lol byes rdeatGab4 Ergs ❑ an
SX5TEM MAINTENANCE
tou,u If mnrnperu umlm kelvin wldr if in stow lure ee it wo
sin Well lh Nmlfw of We �mvow si nk a baronnow ,• I rat nf� der lua tprmpe WM rw psi into ye.ye�
rrylr spBe�ld.e dlgmJ rysrcm
Ific prmerly nrwncr nareni to nrbnnl l0 51 Cmnv Lonna Deymw a r cemfcenw film, egmi by Ile your aid by a
un pinnnlrcrn111 ncy^nen robot re lent plonnb,me Lcenmdpmrryer ren(Pna tint C l Ile o, ne, emkrduldlryatw
n probe oM,nog'mdWbn.aww M e0o ib,Il aM bumOm6 Gf vzitiay), file Spite Yrkn be, Wu in full of stadia,
11" 11' "oellaned bile lead Ibe strove renmlmnlltl..d agrt to owner 4k prtv.rt tevye tivpowl ry min wbh Oe aabLrN
at fall al Is vl by the Deybnenl Of Om tiorme am the Depum¢m of Nlo ml Rowena Sol, of W nwvm Cenlfwnon
inlet Iba pw I'M"'Yam, by, hen notarial melt to mmplod ails yu nil to Ile 51. Cmu C y dainty Dlba enhuM
deal If the throe yen ¢pmWo any,
GNA A I n 6 dnr4A
M DATE
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••ease Any 4 at nl ttmietare�netl may tvhb m the simply final being pooled by the Zinnia RpeblRm......
'• insert[ was Ihb blind...ilan r rallied wbaoy dad fmm the Rainer M Deed[ Mice
e rnpr of bw looped swvel nap if refieoa a ,d, be no.wwy hm
'1 2353P 130
St. Croix County
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