Loading...
HomeMy WebLinkAbout020-1376-20-000 (2)R• PRIVATE SEWAGE SYSTEM �.nM1. St. Q01% sn•e and all vm••n INSPECTION REPORT •o Perms No 617721 GENERAL INFORMATION (ATTACH TO PERMIT( 11 Plan io No Owed wormawn A, plan, red be food for nInhall LIMN 9weelArassePDOpeMes LLC(R Ichard a `M n���s TOWN OF HUDSON mTA 020-13I8-20-000 ern eie. .e'1$ n.. Sal �n mm+RedPne.,"1429.19.2281 uN INFORMATION A ELEVATION DATA MANUFACII UPPGn RATION e5 iEv. SoMpt, irmeftunq eanonmarc 7 SZ1 !ai• 99. ✓ I All em (till« -Le 3.j gol �� CIE s m., Oil of TANK SETBACK INFORMATION At sal Quiet • 7d 7q'.D Kro III mraA of A s.Pfm 9D 1,AD /$ 3u _ of ammm ,` ossmg .aeenMan. 4g,-750 974 Dist son, /46 a7 97.z m s,alam di 9L. z PUMPRIPHON INFORMATION par"IDnce 1 A naafu,., eman $l Coast b.— /a!`9 .maLorton oM rdwa' Wiff or I Tmn.� PABINSIONS Or wn�y2FP` josah In w� Too a� wEu_rsTREAM IMFR,.I'd I � 7� ��, r,.�, 5: DISTRIBUTION SYSTEM uki fiZi J.=G ! ..M.nnge , umn_ o •se �esP. v.nyl,nx ern. annem N on !i Uno _� � 6 901L COVER ma Only o:adn'u �R'� e mnue.nbr �{.95 .� L,, COMMENTS: (Indiana code ni.aepenomanon.. goal McDOESECRE: MoasonProf o s`" 1)An GIi,� Co✓t.� z l a:amadr' f odow Plan remewn RM,reaa ©Yee N one otma , �d Infurnala d /a ZQ 19 j sePa„e,Aare„ n impi Al real 4j4ej RI p:1l rfa� ✓u1oc., �R.u�9 a, m o man a01 G- 33L S I,LA end nmminps nasicn ' ng w. wumbn nrc., PO. &.. n52 umn St Count iiVVnsin MWW IttA M153,-7162 a a ax Mf,Ilel Cl) W10 IeM 1 t4Ba1z5sns' (i 1772.1 oaartmant of Commerce Sanitary Permit Ap, plicatio�p "" e1n1nixx,u� x.0 m.. m,ne1M¢.oby wmxuvx.n.. 11: m1 ZK q� An Alm. 01&ffomwin.1.19 WMI) sK 911 Fraser Lane L Applleana lmla In¢Pnel All lelor au 'sure{ am, ° f os 2ois aKKk• "^"" a'ma smin --I 0Z0-137b o axamyla¢wnl 1 .1z8 Tail NE,1, 51^ 14 - �.— eYxCIA, A=nalukee sun zlpewc PM1oe enmm. HUEmn WI 54016 71554M731 29 1�Immxoel T N k epplylr D /1 SUW ma;mxwe C4MNumlee aTy nn.lymul.p-NomunM111 O1 em ox lxsuan I"J Sweel Grass Farm -B,lnn U11 p bi em-mus, u,r.. .. a.e-alio, 1110-nporBwwl sun,whin sun -1w.n III.Typ i,fPmnit (Cohn IIIA. Compkk wtBifnAicibk) o Nna Dahl• 1 BTn1m..04n11111d mr Y,I..>n.mom aa„an B m.11 ❑...nnae,mm� ❑tmmnl e G.a mmN H,3 �am,nd nmx. BN M1.pm1 a 5 a /M1 o1 IV.I CkaknlllM1m Boob d o Mmpw_14 t. xf..LllIWI oMmml.a „m1 0A,rmee 0smam enesawnul n no A.m oml o o - kanBnmaYd p;M10 Ian »m>w m Dul n oena; aoY;p �pwervinpcn�m �Om �m mea�nme M b Im m Hello r i 1 /) 4 m M�1 v. BB n."in bn ,B o�m Am v.Ye�� o BLgom ta5yi1m l ra+9 'o 1 g 9001 1285'/ 12916 12'It) 95.6 VLLn4lafn epoin In Mmurwm plwic u,full mow, onar mN pdbiliry9Y1mee1-IJM1eulgin ® Wllryl,inu ME m wn m KeIt11 Hai22403]N� 71551P2B58 lm rywq CLAY, Sae, sp e I 105Eaat Chilpan SWaal CatlWt WI 547Z VIMCoen m n V¢Oel Tmflwledn Apmx.xl AlR mo 4 aG wm 11 1%.Cm amaApp,craVPmmI,far Bi¢pprvnl 6Ya1FMOWNEA' 1. awepn..m....,eopm P ..p 2 I^. ,. nmBm4 .Le to I SBA6398 (R.01/03) Fr r Lane \ Scale 911 BE = 95.6' G Benchmark is grade at PVC pipe set by designer El. 100' O 4" ASTM D3034 Diversion 64 Q4W Infiltrators All Vents and Obsevvatio s to be ASTM 4" F891 PVC All other piping to be 4" DIM D3034 \ \ \ Meets all SPS 383 Setbacks \ fi BR Oc x Q1 \ G 2000 Gallon Septic by Wieser Zabel A100 Filter /la 2 Private Onsite Wastewater Treatment System Title and Index Page Project Name: Stout 6 SR replacem OwnedsNamc Richard Stout Owner's Address: 1353 Anatukee Trail Hudson, W 54016 715 549-6731 Legal Description: NE SW 1429N 19W Municipality: 0 Town, []Village, ❑ City of Hudson County. St. Crolx Subdivision Name: Sweet Grass Farm Lot Number: 20 Block Number: Parcel L D. Number: 020-1376-20-000 gab 1. Page I Title and Index Page Lµ Page 2 Site Plan Page 3 Septic Tank Cross Section 1 Page 4 Zabel A100 Filter Page 5 Infi nator O4W 00 Page 6 Infiltrator 04W Specifications Page ] Crass Section, Plan View 8 Chamber Specifications Page Management Plan Page Management Plan Name of Designer: Lynn MMisfeHt Telephone Number: ]15]20.6352 License Number. D1133 pear. 1062019 Designed Funereal To The Following POWTS Component Manuals And SPS 383 In -Ground Soil Absorption Component Manual SBC-10567-le (R 6199) NIA Page 1 of 9 Z40' Scale 1" SE = 95.6' G Benchmark is grade at PVC pipe set by designer El. 100' 4" ASTM D3034 Diversion 64 Q4W Infiltrators All Vents and Observatic s to be ASTM 4" F891 PVC All other piping to be 4" STM D3034 Meets all SPS 383 Setbacks 2000 Gallon Septic by Wieser Zabel A100 Filter N4 $ler- 911 +600' Fr 2 AS FMP VP4 W TANK MEN BE NEED AB I II PUMP OR "I PI IL Zabel Filtene y AIUO pupa A100 wuerine" Filtration a" and 12" niamoter _ ]his fdteei89eal forlarger feel molfiemly homes or light verse al cdimess, where increased Ilows or higher quality did ..i Ia regrind. The AFICOA Sous is sized to handle Pow me, firm 200to 51W GM and ,,,Hobbs in above different Ideal The AIM 12 Sines, matalled in more lttatiuns than any other filtee 11 she market, is sired m handleflowmaea fmm 57W m t W W GPD_The A1W12Smies can be used in ,under any appxeahon. Independent mcanh has rumor, the Allat room dxevive, Did by5693%and�D86y.TheAl4stSol m¢adoa.dssNroBS, 28' filter ss ahul I n 16', 26" and 32" lengrhs.lbe A10T12 Senor �rcr is available In 2D", 20" and Y/' ImgNv M 1 (A)RIiI A300 Fare, 1/32" FltraPom Band II" Paml .r.yp+. The Fare 1/32"level offilvatlonarlileved wind the A3WA fiber makes der he total ftl� I sort filter for small grease I applies Fear, dog kennels, laondmmin and other appfi,el wi add suspended wilder am level The AbN sems offers How ores of 1700-7900 GM The A300,12 Series provides 1/32" lint add has been shown to Jute FOG by as nu[haaiLL%%. Ifie A3W125enesoHrn How rYvs of 30.l]60JJGI'D. The A3N12 u also uud(or ortrire wastewatersystemswhichk Fdd a Goer level l3 T55 remova1.16e ali,20p,28 NmsAIS'a0ablem 26"and3Y'ImyjFs.'11te A20112 Scales filerla walWblein 20". 28" roil 3(f IeagHer Qlp A6001'ilten A600 limed/69" Filnaeo, 9"and l2" 11mml The AWo is ideal for spalolty applications whercvc9 fil Deal to wral andlow Hodes are expected. Due b fine]/69" level filtrations evmy A60Hmml opi,et with o SmmtFiltcl switch and alarm The SmartPltmO el Derides maintained of required Nttx urvicing duwagh the at of both an audible and dead alarm A minimum '�. of a3'drop a refused in the tank for burden 3mmf IverH operator,. The All Shies filter a available in 18', as and 32- leaned, .'the Al 12 Series is available in 20", Ne anti 3fi" IengMa. The AWHnfen How rate befwem 10."UA500 (il'D. J l� il(¢ steel Sur alarm I� ) 4 t..,anl 1-R::A65-9565 Ar INFILTRATOR It EI Standard with Multil Endl The Ouii Standard Chamber tits in a 36" wide trench and is ideal for curved or thought systems. If features the Mont pending Contour SWivel Connection'- which pamlits turns up to 15', right or lee. The Mull- endcap allows multiple piping options and eliminate pipe fittings. The creatural four foot length propose optimal Installation flexibility. Chamber Benefits • Advanced parts unns mnnMions swivel up to 15', rght or he • Tetchln9 mechanism aides for quick Inatallains • Taaofoot Chambers are easy to handle and Install • The 01 Standard Chamber supports wbreJ loads of 16,000Iba aide with only 12"M wwr • Cerllned by the International expantmn /j,�� of Plumbing and Mechanical Otflciab (IAPMO( `- Multillort Eni Benefits: • par wt seals on Inlet ports provide alight fit to the pipe • Eight marked In lnatsbutuds, all for maximum piping flexibility • Brothers pipe fittings • Fits on either and of the Quick4 Standard Chamber "PROVED in 4INCk4 The Quick4'r Standard Chamber QuicAr4 UuI SMI ChamW — n 1 t L ��IIIIII���II��'IIIIII��II��I MUMPaeIEnECnp -. -- ` r ly7 FROM NEW SIDE VIEW TOP VIEW Typical TeenMYen - ' m Hend AT ` m eemen Sin MEW x53"Lx 12-H (BBA mm x 1346 mm x 305 mm) we RlmpN AB' (1218 mm) bmsiMpm a"RM TOM) Sbrye Gpaolry 43 Of 063y Im'weught We(203 HOT) nI No The mMeme..Andem IT, �v s memo of d red found A Aneommwuiw that m. mnrm. vxaurverceeat new s of ThA m Mee emom wwie.i m.m.m q m If I IN aton om eatw=<i�.m w ea W Add ismae. v Iewxm e.AN I .atimmry:eema ++em sav menu".. RAN. funded In_ im ws.mrmwO.�m OfagdMul efon .ainnmatn..,em.nmimrnm. nmwemumzn .mpiOff v CAN Won 11 AN' INFILTRATOR' "'1e1 ONNote. oat "ANN.eneem HfI..aa E. ...mm�I,....NE..,� Am ofdeemw�thm..�NIIIINoumm"aNeed fi Soil Absorption System Cross Section &7e: earrathea Plna0re anlhh96 Lemonng 956 Chamber fl ~ Syalem closeted 3 tt It Soil Albscirittlon Siddhigir Plan View IIIIIIirIIIIIIIIIII�IIIIIIIIIIIII��IIII�III�IIII�'III�IIIIIIIIIIIIIIIIIIIII�'IIIIiIIIIII� Vent \ Or Doemcdon Pipe Leaching .. IIII�I.:IIIIIIIIIIIIIII'IIIIIIIIII�I��I�I�I"IIIII��II����'�����IIIIIII����IIIII®Header �I Leaching Chamber Spec ficatlon s Manufacturer And Model Infiltrator 04W EISARadng 20 sgftperchamber Soil Application Rate .] gpdtsgft 900 gpacesign Flows .] Sal Application Rater 20 EISA= 64 Chambers 2 tours at 32 chambers each. Page 7 of 9 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pay, R d 9 Posner Richard stout Tank Mmufanurer Wei MWW UB pWnmg Weiser ❑NA be rmilq YESIGNPM1l EPS Tank ManlfMw DNA ms 6 ANA ❑ Septla 0 Gary 0 Scroll coy. Ai PublicFacilTy ONE DNA EMuenl Fiber Manufacturer EMuem FiMMWel Zabel A100 0NA e)am 600 al -ENAmmy, 15) 900 pb Pump Manufacturer DNA 7BIldykni lim gett MMON) .% slid Ma Pump Mkel iMumIWMily incantational Pretreaanenlllnll ENA b, W 6 Grmae(FOG) 90 maM1 0BgMlGmvel Flbr upMPIW xraen Oemand(BON) 4]O mart ❑NA ❑Mgmnal Aemam ❑WOwd uapeded BokW (TSS) s130 it ❑aeknecion ManNa-Aurer ❑Oran:Pmbeal CAMM MmlM1lraremga aannniml Orygn Oemand(BOi IM mal Damminal Call ❑rvA Tons aspended Sales I -I 53o mgh DNA In Grountl(yavily) 0 in Ground(pesadaed) awl canmm(geomep rrean) SB'cnNloOml ❑AlswWe ❑Odptme ❑Mwmd ❑GIMr. Magmum Emwmpad A AIn its oNA Cars, ■NA Mm, ■NA values 0 be kr crareaaa MWin li kappa cry prawn Cars, NA S ce Ewnl Service Fa ,w keeps amomm of Onk(a) Al least mce evay do (Maeimum 3y M) ❑NA 3 1yla Pump M cans¢M dnken ■ When combined sludge and Siam suals onNail($) d nick name �� ❑ Men the high r mer alarms mWamd "Al Oaten All At lad once every'. 3 ❑m.Amy)_jrssy (Mmimum]Mass) DNA can shunt After At let once every 3 Ore s() ❑NA IncoM dual Fuel wnbda A Man Al Men clean every dconin if .w Flush calk also masnce bfl Al Initial most every: OrwM(s) DNA Switch Diversion Valv At once mM, 3 jmor ) ❑NA e ■ NA MAIMENANCE INSTRUCTIONS Inapeylns of ranks and dimer i l tells shall be made by an Indmilual wmfng one of lee MloWng Ilrenaa or c cations; Mader Plumber; Master Plumber NeMsed asnep POWTB Inawctnl POWTS subtropical. Sepbae Members Gravel (pumper), Tank Inspesbm mud Irqude a r,,,I Inspal s lee tanksk in IdssM any misamg a broken redeem. iMmyW my vada d leeks, IMMUM and volume d royal slubga and dome and a check for any bad up or shall N eMuent on the ground surface. The dleperms hall shall be usually I,specled to Mad Me effluent laves in the chservadon pipes and to cl M any coning Mama.. on the ground suRace The Pending An effluent on lee Mound surfs, may IMlwle a stare common and moms Me immmine iconder be Me lady l regulatory "Md When Me calbe eb awmuktim Ar All and scum in any treabnmt one Awls one 1Mrtl(s) or mom of Me one vdu me, yq entire contents at mad Pink Get oe mmoveb by a aepoga Scorning Opedw and consul or In acroodd a MN chapter NR 113. ye mnsin minishadve Cdle. All dher aervtma, intluding but not limited to tin MMcina of dyu et fillce meMall or pressu M dmomente pretre m ,as, that rryulre servidng Mahal of f3 means or less reguire docummoen recdded an me dud regarding mdnt,mIr uireneno. A seam open Got he pmmWd m any owl oguisemer astal v iInln X days of d amPlatbn of any tervire ¢rent. GMwnzl zt Mae 9 dry St ForNN gNOmadi prior , s ,he mar mat may St ever b me m the POWIS check damage the At di l Iu Me essence o1 paroling p¢ducb, sdvmb ha eother wntmS¢rose may mu s 8e by anmlpoms¢ang S lInnthesoil dispersal rell(sl IIM1gn miyMe4ans ere tlNetle]have Ne emhmNnmal set Noun waiy an amprimps Sol mmMattte buss. sydam vawe aNl ndammamen sou aomtlm¢ areayen at ma mnMadw. yenta. Dour yte W pourer Naga Wmp tanks may Or above noose nigh water kal at weeff is Iab to excess waa&.Wrvait IN aisadargea to Me aiWmal rears) in one Page data and may overland loam reaning In the b,tl p or subse niu @m of ¢mums. To avola its Nuaaom have me mm4m5 of Me pump any man d by a Selvage SerNdng Chevron prier to resbmng N , to Me effluentpum o mrid b ,sabre normaleesIs n a Pbmper mr POWTS Mainlarar USma assist m nuWly operating Me pump "Vote l 'althepump rank Oo nd ama s p Of sli memo Oranka ale dhyrs updan. M nor dove or pen wx, er cgerv.Yse tllsbA ormmpacl. Ue area veNln 151eeltlum 5bpaolenymw,A or ab9rede mA aMognm area. Reauam A elimina4on of Ue following hone the xadevater stream may Impgre Me Wr mrre and madong the INS ad He PCWFS: eneibioMs; baby Moo. dgarete buy; wM w n mean,; dyrmsers: a W flow diapers', tllanfival my ROU"Non drain (Sump PIMP) achom.es t mN Wo mu a mIiWn,:„am ei Manes¢, he belson meet dude¢ mbimbcn¢ Oil ; pe ring pmduda Nlb m n O :A pa no war dam ABANDONMENT Man the POWTS sails andlp Is permanently, Noun am d service Me lolbvang seeps awl be liken b Iwre Mae Me ¢ydam Is pommy and sill ao,dmM In mmpliantt Nth Shem,(Amed 8333. WVNnsn A uni¢aaee Code: • All PIPlrp to brby and ells anal W ahmmmadea and IN manaoved No opRrMm all • The omen of an banks and pits mall N removed and pmpaly d,BWS d by a$"a 3emane Opal • Aft" mmPlrp, an mIkm and pee anau W ewwaled and removal a, Meir covers remold and has wltl some Also a.NP aril, gravel or anther man slid ma@dal. CONTINGENCYPLSIN it HOO MOM falls am mnmd be repeoed Me followingmeasures have hem by ¢t N Chum. se pond¢ a ode varoven reel sysem'. mu e ❑ AswN ,ewammnt area has been momeoad ON any he mlimb Sol mynm da raPlaMMMwl ImArrom system . The redawment MOM sowed N prole Wdam distu&, m and awnmdiom and owed Ad N inldnged upon by Requireda aka M1un widen and pgantad dmduq, Id inesano sell¢. Fall b embed Me rep4ummn and MII result In IN novel for a new Set and site eyluaom b e4abliah a SUMA, mMmmwM s area. RgAamrrert ystem ea WM the WIN m eye In man ran, Smust ❑ A suitable Wlammme area is nt wadable due b smonal ander sell limitations. 8ardng mlvmmam P%NTS Rtlaetegy holding ben, may N in9alled as a test moral b,¢dace Me fated PdAl The are has mebmn svaluated to imail a wimbm mplaWMd3a .Umn (ailureal McPoWTSa¢odaM alR waluaoonmud Wpeaorrmdblocdeasu bkredoi'ementarea. IlnoePlam mtareaisavilblaanddingbankmay be in¢blleiyalad resoM1breplace Me baIM POWTS. O MouM IN Aprade III bW"llw sex ms may be mansWded'm plane fdlmting renewal d the I"at ad Me mfilbsave SURace. RecmSndual of Sam Systems must mmgywah the men in¢ at Maetime. IIWARXING» SEPTIC, PUMP AND OTHER TREATMENT VdIMS MAY CONTAIN LETTIMUSIL G SES ANOIOR INSUFNCIEXT O"S EN. DO NOT ENTERASEPTIC, PUMP MOTHER TREATMENTTAXN UNDER ANY CIRCUMRTMCES. DF THMAYRESULT. RESCUEOFA PERSON MOM TIE INTERIOR OFATANX MAYBE WfDCULTOR IMPOSSIBLE. POWTG INSTALLER POWTS MAIXTNXER LNON Keith Harin Steve M r rF Phme 715 579-2856e phone T15 T03-833T SEPTAGE SERVICING OPERATOR (PUMPER) LOCALREGULATORYMMORh1Y Name plb[ight isAssoeiatea Name St.Cioix CountyZonin Phone 715 7 03 833T Floe 715-386-4680 vnrvnlnmm�mwnare ceee me Gµgwe Cwnry zmeq dgmnem m mnplbnre nth mmry yn,a e8npybXtNdyll me aass(11, rtl a pl MW LOT 64 k �.. LOT 63 .._— LOT 19 ..o..A ro LOT 21 . E L,a TLO. LOT 22 a LOT3r e / ,=c!g n / w,< WN ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving r" following residence: (Street address) %�) A f.� �A� located et w- Y., Y<, Section �/ Town,�2�N, Rangel�W, Town of Sne� , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of SPS. 384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service /Z9 Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: Construction: Prefab Concrete Steel Other Manufacturer (if known): Age of Tank (if known): Permit number (if known) ,C%/(u gAae—fw6S (L' watt Ph tuber Sign re) (Print Name) ltiIFlSfeR�i�us�tbeL c`a(/637 (Title) (License Number) MPMIPRS (Date) Form to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer WE 113 Wisconsin Administrative Code) Rev.2/2012 ST. CROM COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM owner/Buyer Mailing Address nn�3/,5 Property Addreesi/1 F-fisfe. L//�r /� J/ (Ventication FOGIOM from Planning&IDving DaparMenl for mweersrvttlon) aly/State YY d5OZIJ AiS Parcellaendfieadnn Namber a0-/37ea -,X -Oo0 LEGAL DESCRIPTION Property Location tiE, % Subdivision Plat, Swccs6 ie'j--55 Loth Certified Survey Map Volume Page Warranty Deed be (before 2007TVolume, Page A Spec forms Dyespm Iso lines identifiable Dyei SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper we and attempnence of your septic system add moult in its premmre 6ilum to handle cost,,. Proper Of pumping out the septic tank every threeyears or sooner if needed, by a licensed sumpo_ When you put had the systemcconsists bad affect the function If the septic teak Is e treatment stage in the ,it, disposal Issues. Owner muhatenance topona31htu5 am speelficdm§SPY 393.52(p and In Gapter 12 St, Can, County density Cainaned The cussedly owner agrees to submits but Croix County Planning @ Zoning Department a verification farm, signed by the and by I metier plumber, journeyman plumber mounded plumber or a licensed p,MW coming met(p om me sse cancer Eulawdanger system is ppar Operates cadmium and/or(2) after workroom end pampas(if inemory), Me scup dark is Iosutwu use I fit ofshdgu has, the wdeninaed have mad me salve requirements end agree to maim in she private sewage disposal system wi d the YndaNs sea forth, horein, as set by the Department of Safety And Professional Services and the Department of NeNral Resources, Stay of Wimomin. Cerdficmion sorting that your septic ryaem has your maimel most be mmpldmi and mewmed m me St Cache County Planning Is ]aping Department wiemn 300 days Of the area year espieahon date, liwe salary that all underpin On thiy2rm am true to the best of my/mmknowlNMa ge. Ilwe aa the owneds) ofae propertyelevated above, Is, virtue/ofe wa✓g6nIs deetl recorded in seginem ofoeWs Office. Number of bMrootns DATE SIONATURB OF APPLICANT(S) DATE "'Any information that, mimpmented may tery It in the sanirry permit being w,kwi by the Pie nning@Zoning Cepartent" Include with this application a recorded warranty deed tram me Register of Deeds OILa and amps of m mount survey map If .eforeace is made in the warranty, deed. (REV. 04112) �""n St. Crop PRNATETION 8ptl°^ "°- 30160 REORTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) P wp "0. UM br I, r BMs.YL e.rz.w lnlmB Clry wse X TG.mop Tnx bl I Ild Hudson TOWnah 0Y03T630-000 NITSu1ESMEb 191 1nn M1 TANK INFORMATION T ELEVATIO DATA O 4. TYPE MM'UFACNREfl CAPACRV STATION as HI FB ELEV. BeVAe .1 SenNmvk ,l M4xA AS am M elW.sw., NYeInA SmUdet 4L 9P.ev TANK SETBACK INFORMATION soul ouud .x 96 �r POMPISIPHON INFORMATION MVMe ry OmmJ M SIB 3G0 jol.iOr , Fc LM Us WLau SVabm mea If ON H L f `" SOIL ABSORPTION SYSTEM 99. F _.1. Largm aT iMexei Flm ou. waoan L Zmr�r xxs SYSTEM TO PrL G WELL W(F/STNFAM x S.a AV. P6ywn UXrt MWWN p' q w nX M. os� COMMENTS: pxaw.mmaumpana+w.pemnepwm.e¢.1 Inapeceon pt. JDrrd In.peaamn_v=r= Lcutlon: WlABBFnlwbin HHUdI;0n..WI Sl i ll(NEIPSW1tl AT%NRIWIIS Gx mF Paul No: 1AA.IB.m1 IIMBM engMn.��aa� MMUJ[u+w e.A'ifJM1�. E) Sb}wrwbnAN= I o mama,- 31 gl.'sl.;Zv rme w6 66•% WPd%.i Pbx,ewlm wAmv I(r)m . 5� SOIL AND SITE EVALUATION m..uglmrBweswxw. ina=ndance wi111 Comm 83.08, Ws, Mm, C de AIYMfwrp'Neelb {bnmt,Br wlglw mIRa1l lxlsNYss. Fbn muq Irm CtIn MImXM W: wrYu. nian,nWrrniwt Bdndd in nlrafbw n Pattml eb{e, s'sle w JiMn W na..a'N emmv, wq bstlnn vL EIffiMe b rwM Mtl. 7TTI ®New Cangrwlm Um: lgr /N101l "-TO M91pnbWMp di]Yp ❑PepbrvnnM /y///� ❑pudk otlwwmmertiel-Omb: Co]e mamma any AW �BP] PaunMrWtlEe&pnlwOrgM�C, (p1Te .9 bnrNlm eem ieWrM /Z &L GM.nO//ZS wMr.Nt M1YLLrum 6wgnlwJnYM�ceE.BpBT��_Mrgr.6�10 emmnen m onwnew gexmlel 45.9O ilea wbrr.eb aid qm d.vAneml aeowwae:wr'en.wnelew.uone A<>. 9S Yd Pereq mewed ��fwQ.)h mmeklnx..-.Ike. il+Ppkda iv /9 n B BUlbdebrepNm 'kn IRONYM PIAeure AT OmM S mIn al k u wmgd ,mnvm I s ❑u Ids ❑u �s Ou f$e ❑u ❑s pu ❑S Oi emnnex ■I■ �ft Si 7Ah Ibnrwr onih In. mmmbwnmgor A ��L Mond" C,.S[. Cnq. I I 1O 4S 9m/ T nNmara amine n U m.gnb om� Wm S.m.M: /�.,• 0 Qy / P �� + /z" 1' r<. z ., z CSTNma I prM SIWNie � � TMpve W. Alu& m Sc-hu.rcker ,ue.e s -3 kS �-ll� 8"SOSY.. Somer,$e� WI 7- 7S MMM BMWM© Mlmmml ml m Imm�e�Ms� Mm� rBOPBRry yarEB 6� SOIL DESCRIPTION REPORT T -3 � v.q.Za PARCEL Las WORM — =M=MMW, OQl@l�©OM ..._. !,�OMM ©G3'ji�L��pC�Gl.!7!� .E mmR Remarks: =MIMA'161M plmWu_mm' A ©M-IM ,. Mew =pin Remarks: o�m�©om■ .... r,.�ea�m� Remarks: SBP83W (R M) PAGE-,J-OF 3 NAME MCC + LOT# 20 LWAL DEWMPTIONSa 14MA.S iY " 49% SCALE: V" /OV ELEVATION 9SM1q BM 1 OESCNYTIONbedl"a^, J.rkjwH" BM ELEVATION 100 0 BM 20ESC$UMONkLk4owJ SYSTEMELEVATION ALTERNATE ELUVATIONII ' q