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HomeMy WebLinkAbout020-1376-22-000 (2)Oil ad all Reenn RB PRIVATE SEWAGE SYSTEM Sp. Croix INSPECTION REPORT 'In 1iN GENERAL INFORMATION (ATTACH iO PERMIT) Pi.aoeo. 617722 v.gPm..r LOU.oa.IpMR 9weet9rassPmpeNles LLC �Rlchartlg am ..Pe TOWN OF HUDSON e.4xe; 029-14]&22-099 em e.. m 91E'lb a .rmPee. T TO ,..,...a.w•,"14.29192283 TANK INFORMATION t ELEVATION DATA MArvuFAmuPFR oPPAPTr SIA➢ory US HI FS ELEVScurc. hark -7-beilNl. 1 9�-s GI TI Aue_CkIt,al3r1 NrS Bldg veli HeNa, y TANK SETBACK INFORMATION iOune� 7.04 ai 8 TANK TO tiFISWELL BLDG Oninvm bt UnIg Hi g.3 96 n Drug PIN 8.3 9� IT, d Pin But FOOD, YN5 PIIMPISIPHON INFORMATION ISnae �rera�rer oema,m McNairGPM S.1 d/ E Pa we saaa:H INCH FI SOIL ABSORPTION SYSTEM SYSTEM TO PIL BLW WELL WkESP An E' Nposidualla n/9— UNIT s7 /asI I y s BOILCOVER /Z15 ee,�xn Mulched rzrcn Duane Tnoon Ee+O AN,Ju� NO ` COMMENTS: (Ieuuee Coco anaepei penamemaem.i ,eep o�Ea F I)Ai aM Nenh_ Ce.La.. z_)N %an- one . emoureae er. �I o.. Shu Saxe�eaddo,,. amee ° /d 414 IN seoe ,e ,xmm eI inpmnann ^ aLonX, /VP -col li- . '..s f-Lm,�S �)pv.-a0 G- 337 i inc! Buildings Dmi.ian camr 20 we wBu p-D. Dox'IIBt ^ WMedl(We)2 9l Chain isconsin 5 O 162 (m[e61Mmy G.1 M n De a fo(LOfllmefc¢ (6Jd1266d 63151 7 Sanitary Permit Application n.eNx2 o-. A.. ••'.w.a:n pb Am:mmanmenn0.da,e.� wmCue, np°e,rf,ISawA.n 1'903 Fraser Lane Appllealbv lvlvrn4un-pinx Pom All lefmwbv - Mmlp 2DI N. trimmsmm ooa1a1Bea @Oelds L-r ()20-137G-2-o00 yin, �'nul l4' Aq. Iq. 2233 1353 Ananias NE SW ,e. audm 10 DHutla¢n lM 54016 171554M731 T 29 N t Memel T1FnflyDu kMhall lbMePWYI L 11.Typ T.fayndhingwhowall:efa:d�e 6 e+t+>a 0 w.c a.b�.,dm..--Wh e,Ma.mbi ❑wb oalini- v SY/„I Gran Fan❑fm.� �,�Naleg,ma~tii,af 6�dea, twin awne, I. Typelfft lCbrtkaa Iim A. f,xi line R Unlikable) ZN�aC D ae.6y,e.� o Resealsne� yuncnunmdngTask amlea..emOnly 0Our minifil :vw e.:neweew^ R. D b.:: ope�,baM.�: Ge B.e Pm k9S//8— .�`.I mb., 72K o/ ., _ in emb 0M n: �❑AI w imi.d olV,ldlnTek Deal D.�m.»�ll.a 95.6 Keith Hearings IA e: WA1i A I Vol 1 zzaOP 1 715579-3856 105 East nippew'a str¢¢1 Cal wl 54727 Sepl'cday. N + .el ft npw aloayaman'IplInyNcme:. 2 Ma9�NMeYm. ten' ne. �Ya Hi ewaYl/faNAn" . e4 SBD-6398(R. 01/03) Richard Stout Lot 22 Sweet Grass Farm WE SW 14 29N 19W Township of Hudson St. Croix County Scale 1"=40' SE = 96.6 I�V user Lane p Benchmark is grade at PVC Pipe by , Designer El. 100' / \ V Diversion valve ASTM D3034 4" PVC 2000 Gallon Septic by Wiser w/ \ 903 Zabel A100 Filter 64 Q4W Infiltrators All Vents and observations to be ASTM F091 4" PVC All other piping to be ATM D3034 4" PVC Meets all BPS 383 r/COrr rid Private Onsite Wastewater Treatment System Title and Index Page Project Name. Stout 6 BR replacement Owner's Name: Richard Stout fTvner's Address 1353 Anatukee Trail Hudson, W 54016 715 549-6731 Legal Description: NE SW 1429N 19W Municipality: © Town, Ovillage,❑City of Hudson County St Cook Subdivision Name Sweet Gress Farm Lot Number 22 Block Number: _ Parcel I D. Number: 020-1376-22-000 Page 1 Title and Index Page 00!� Paget Site Plan ssa Page Septic Tank Cross Sectionr 6 Page4 Zabel At00 Filter Page 5 Infiltrator D4W Page 6 Infiltrator Data Specifications Page ] Cross Section, Plan View 8 Chamber Specifications Page Management Plan Page Management Plan Name of Crosson LynnMMiskMt Telephone Number: 715720-6362 License Number'. 0.1133 Date. 10In2019 Designed Pursuant To The Following POWTS Component Manuals And SP5183,.33 In -Ground Soil Absorption Component Manual SBD-10567-P (R.Pil99) NIA Pagel of 9 Richard Stout Lot 22 Sweet Grass Farm NE SW 14 29N 19W Township of Hudson St. Croix County Scale P'=40' SE = 95.6 rase Lane G Benchmark 1s grade at PVC Pipe by �\ Designer El. 100' / \ Diversion ValVe ASTM D3034 4" PVC 2000 Gallon Septic by Wi act w/ 903 Zabel A100 Filter 64 44W Infiltrators All Vents and observatio 5 to be ASTM F891 4" PVC All other piping to be A TM D3034 4" PVC Meets all BPS 383 Settee s .J 6 RR Duplex 08 +500 O;.D a,�Pwn,,a ° a.:°`:�a:� PROYAL ACE Zabel ('I,fllS 1,10111'iN,] AIM Fifim1/lY retained Doer Ir Demmo, -s2 a where higher quality nlamlly nopmed Fire eommmciic settings where increased flows or Fighu quality dlnem is requirtd. The A1NA 5cria is sized to handle Cow beer from TWO to 51M GM and B available 11 bond different handle The Al�l 2 Serve, installed do more [donations than any am" filter on the market, is ,red to handle Crew m we Cars 57M to I "D (IFE), The At W-12 Sm,, ,, so ... ties almost any application. Coromandel research Car shown IM A106-12 som, ameates The �wg$ by 5090% aW CSOM by let s, wen, 1/16"false the A101e 5e' fll lsawlmble -" mlrr,2fi" md3Y kmy16a The AldTlz Sena niter' vaJaWein2U"?X send! W length,. ,:onl"dr,I A3W Filter 1/32" Filtration 8"and 12" T ormolu r The(mer 1/32"level oftllverlonarFievedwiM the A3WAf@u mokcs lM1k tls perf¢t elfkmt filter he small gravel Cap ap:1111m,me dog kermd; [amendment and other l7rO 7HonswM1emfine 00.12 Salmldsare ,1/32. The A3W ales Mers shown of ,daw, W Gby, the A306125eries providee l/32" (ilo-anon and has been shown to aNua FDGby as mocha,,i1L%%.TheA301125eX¢oPmflow rota of30."U6W]GPD. The A3 W -li u ilw nxd Im uwre wasrtrvvartm aysteme whu'h requ in a liner Icvcl o! T85 rvae..LThemam X',1es wd36 lengthn lT', ]b"and32"IeapfM1s. TheA3Nl24d® filre[isavadnbleia ill", 2B"md36"lengthy HAU Fillet Aire Films 1/6g" Filtration and 12" Character (he AWO is ideal fotzpeeialty mplimdrm, where very have hinse onis be tumed and low flows are "noc ed. We to fine, 1/6M1" level filtration, every AE0) comes equipped with a FinaMllteA) switch and a1,,m_The Sim,dFilter® aw,trh ptwidesn,F6rat,,n o1 aerosol filler bonding brought the ux of both an audible and visual alarm. A mwmnm ' ofa3"dtopisrequlred lnlhe art4fm propu5awlpllrervvopeutlon. The A601185miea filin, fs available in 18", 26" and 32" Iengiva The Miele 5vit,m ematbi, mM', Ma and ao 1,midts. The A6W ITI flow naive Mw,w, 10OAK50(d) GM 1 In's hi 1 �/ Se M. #WCA,4 INFILTRATOR TheQuick4� Standard Chamber euk:kGa Sena Quick4 Standard with Multilbort Eni Re omcka®SYanaard Chamber the in a 36- wide trench and is ideal for curved or straight systems. it features the patent -pending Contour Swivel Connaation"which permAs turns up to 15 , right or art. The MultiPort- andcap allow multiple piping options and chamatre pipe finings. The chamder's four -foot length provides optimal ioandladon ea.maity. Chamber Benefits PCrancetl contouring connections awiuel up ca 15. nghtorlan hatching naahanism al for quick installation Four -trot chambers ern easy to handle and Install Me pukka Standard Chamber supports wheel cede of 16,OD) msaavk with only 12' of cover Cerafied by the International Association ! \ M Plumbing and! Mechanical Officals(viPMO) ` l MultiPort EndcaP Benefits: `_ "c, • Xti w tearoN abols on inner tacutbank Made atiaht frtmtl'e i>ipe • Eight march - - iatvounats aicw - her monarch raping llmin �Eetee qpa finings • Fins an either end of IN Quick4 Standee Chamber t 111T.kjII Quick4 mmxa sMaaara Crammer --- —.._ ._ '- i IErremnE.ex�rm WIWI ErI FHOM VIEW SIDE VIEW TOPVIEW TYPiuI hmeM1 View --- a. XMIly } q x L—t t ASSAGINGIFERGODIwyeILLI 9m i0i'W s50"Lx 1T'H ieW ram x 13C6 ram x 305 ram) FIIaMeITPM p0'(IZle ram) bwerx.gm a'i2o3 mml sweeecyedly as gal Bray NwtlIWPM B"1203 ram) V111LIMUKIL an ALL. Syconeenermomin LIMA Man the SAM w 1 M"MANDIWAIDANALINSAY.Ifind.of Is @Inw" I'D1 pp Mxl)'IxD 'Et IN maxuuxwex Oyu[ EXCUL me¢ kPe ALL&FLUDINDLANDaytlpm„ M. nournoyhythrHatearamMISDAMspwwpNALLA �wmnUAINA„M..mrwm.wove Leona P Me Tons AD le NAMAL, If aM Many ANAMILL ANNIM I Sen. I MASSAI Doff n "'Me w we II, maye, pi„ xa TMm..ma.mm.smmn ;mera, 11 ALL. M Mall ynrmw. Aharydrummooleassolcomanchaylloof INFILTRATOR` .ppoesayea „x ,m.Ime„xmsDa ...rmw.„....... W SAN �a� muv„mrym. ea.„„nne.1lot' Soil Absorption Sirstem Cross Settlon t00 k:du� iao Pmalcraaa cep 96. 6R bG1 yam/ Leacbin9 y 95.6 Chamber q �- - SysRm Elevatlan R 3 R Soil Absorption Sibabern Plan View IIIIII�.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II�II�I� Vent Cr Chi Pipe L Leachin, Chambers I�III� ����������IIIIIIIII�����IIIIIIIIIIIIII����II����IIIIIIIIIIIIIIIIIIIII���®�I Header Leachina Chamber Spec ficafpn Manufacturer And Model Infiltrator Q4W EISA Rating 20 sq Rper chamber Soil gpplicatlon Rate '7 gptllsq R 900 gptl Dealgn Flows .) Soil Application Rate• 20 EISA= 64 Chambers Irowsof 32 chambers each. Page 7 of 9 POWB OWNER'S MANUAL & MANAGEMENT PLAN Page 9 a 9 Duna Richard Stout Tank Itamewal Weiser 9Emdc OGcx ❑Hdding w12040 0NA gal DESIGN PARAk1ETERS Tank Menurecmm ❑ Sep4c D Dnro Q Had g Up. DNA gal Number W BMwme 6 ❑ NA Number M Public Faculty Oita DNA Effluent Days Manukcbuer Eduml Few Modal Zabel Al 00 ❑NA Esseraveraga) now 600 ¢lad Dadra Pritow =(Emmaed. l.$) 900 equal Pump Manufadmr FunD MMd DNA In Sid Sol Py[diwm ReM .T efflVEe M' SUMI lOuwVE@ua00uaITy Fah, DI Gmw FCG) cicdamlol DOW Mmentl(BODc) TOM Suspended &I FSSI MomMyeveal IN mnlL Rao mgIL n50MUL DNA Prem"Im nt but ❑S'AIGrevd FIIM ❑IMchanhad Aeration 0DonaMlan ManWactal ❑sam Minor ❑Wetland ❑Other'. 0Np PMrm EMuemCN4 6lrcherl Orygen Demand SOD,) TolSua ed Stood, (GET Feel Gddmn ffluml meant IAMHY equal QO mgIL offirl Sto'clulmoml Olap WCella) ❑NA IrrGmura t SMIlry) D lmGwnd (pepudxetll ❑AlGntle ❑Mound ❑OnIKMe ❑OIMr Maximum Effluent For Sao Zindla. ❑Not RNA 0MA owed Annual for domeNowenmle sew isepal hnk equal 0NA SeMce Equal SerWn Frequeary I'MIwntlltlm of tanktel At dealt wluMy: 3 umtel (MV um nyaenl 0NA Pump Me mnhma of Model • Wlen cdntlrad Mage and scum equals meAMI du N tank wlume ❑ Man Me Man me, demo aNv DNA InspepeoushoWashc Al leadmmewn: 3 �Vmonfi la) MaeMM3E.eral DNA Cleanellluentfilter q(laedanttesxry'. 3 :mmm el DNA loececl pump, Dump mnhds A dam At lead once dairy JI IM(S) •NA Flush labmis ad me mhst Aq I,Wonmewry'. jMMG) RNA a' Switch Diversion Valv At leaNmdevey 3 �IM"Itl) yal ❑NA ■ NA NNTEHANCE INSTRUCTIONS me p lanXa antl tlhpen'al etlh shag [e made bV en Intlividual cerrying dd d Me Ipllewng Iiwrlms dr ceNnrsdoris: Master nlumborl Mader Plumber ResWtletl Sewer. POWTS mePosb'I POWTS Maintainer: Seahge Sae'rdrq (maata (pumper). Tank ,ordinary tl include a Naual ImpMion Of pa mnk(s) to Mandy any Medicare hn ha'dmre, deal any areal Or Mo sumthe Mime of equal quars and sum and a check as any daclr up or DuMing of eFusnl m the gmuM surface. The tlhpemd MI(s) Nell be usually Inspe4tl bthey Me Nglem Me41n the obsmatbn plpca and b qxX for any for of equal m the ground sated. The pontling d dudes on no ground wdace may Indicate a failing cmdltlm and teguitw the immemem Mfifiddm d Me regulatan GNnnty When the combined amrmuldm or slatlpe and mom in any udtmem tank equal, MI B) a mva of the bank allmma. Me emXe roationly rate Wrk aban be mml by a Septa a Sereldne Opetadt and dhpmed din a MMl non tlwmar rvR I13, WisdnMn mmcmh bMcwe. All dher dmpn, Indl bN not heard a the semmine demaent China meal a Pascal components pmlrsaunam um6, that Mal 'Mions at awards out Iz months or hex names NaMmbram Mmadea on the debe tegmtling mainenand requirement. AMI reptM equal be provbW d the I me, lately audwty door 30 days of mmddo, d any Mi sewn!. DMW ucw) STARTUP AND OPERATION . s 9 d9 For naw mnsWay in, mple a use of me POWIB I d ma e N IIXdou br We presence M orrom dden, am, m ed m ,Nor Nemimlo Nap may impe ncNe Wadiam prars om p damage We %IVI4kparsal cellla). X M1yM1 mncentragms are oelxleE have Na 6 ofthedual mweooya seplagei ✓a frozen on i,,ffjm. Sylem cryR up all nod part nfien pip mntlR ns are frozen al Me Infil¢alive surlam. Ounngexle Poemoubxspump MnXsmayfill,Wvecmmalbighvale IeM6 Wlren ryver Ic redo NNe umea waMwahr rill be did 8Ned Ie the appeared malls) In one large Eme antl mry owl Men raellpng In Urt backup or Surface EbGme, M effluent To Won MIS SM don have Me pmlenls M the pump lank manwatl 4 a Segage Sarvung Operator poor b rearping power m Me wort pump o Meq a Plumbe or PORTS Ma numner to asset inmanual cgereMg Me pump m "is b WUN, npmal keels Ne pa p n 0o me drive or park vebitlea free Nrib and acpa5al W6fro nod tlme or Plus mar, or anumbi a aewN or compact the ay WMm 15 feet EOwn Slope Many Sall or alplaae son absorption area. Redutllfrn or Nlmil W Ne IdloMng from MenWUNMR, seem may pmpmve the alre mmse and prolong Me life Mahe POSS memISAW, baby YVSPW tlpnaM buldI mld s; mom mi d g xrs; de a Have; rupees, diaiMetl , M; foundation dram (weep pump) tl cA gal dull old woet Wdlet gowlinea greare, neNlcNmean Wim,; me ims at; irpng Shall ladutl - my Shall; amproms,- and ,Wr softioner ABAXOONMENT el en Me POINTS MIS Immuie pamenmtly bken out adservlm Me bllomrg Shall Sllall be Your, someone If IN sys&m is pmpsdy and W" abmefrrea In npnpManvs wM all Carl es33, Samuel Fdmimmodr a code: Al arping 0 WAS and all all be placements and the abandoned Man mNnmas sealed. ma mmm6 mall Mdm ane plkanalWremmad and prfrpprye6pfraedmdvaseaage senang Opeawr. Flkr pampng. an Mnks and elk shall W e.evde l and remmed m Nor Oni remmM and tire Sena Smx III awl itil. Wrm,el pammariWart who moll. COXTIXGEXCY PUN If Me Paul MIS and wnnp be n:wLed Me talmnng measures We, been, or most W Won, m provide a mtle m ul Nd1Nzmem 5ysmar, o Rw'dabk ndarar a me no, dean mamaba all may be a liM far Me xWom of a repkmment son absp mn RMm. The replacemmlarea should W parnmed deem d,,tu aim and mmpapgn all Should not W,mmW upon by wulrel aNWdinom Realms and pmmxa mucedra, lodlnm and walls. FWLmt, pmten Me mpkmmentarea WM the media ewlll and Site eualwn sh m WMMa wdM6 opk%vment area. ReaamwWoundNmimue wwnm mPIY .oww ehetl t Inme. ❑ P usual rdmWMMt area is not evaiI,gS Me Up MWIS, weer mal li UMUNIN Barge advanced in POINT$ 6chpYogv I herring Name may W inAanetl as I mwn M rewand Me lance POltts. The on has ng beeneveluand to laemRy a ml4da replammmarea. Ueon osomol Ma POWTE MMI SM sitt evaluanw meet W pedarmud M loob a Sanal reMammmt area. If na replacement area Ssoil a holding tank may be inN 10 as a pall resod M replace the WOW POWFS. ❑ seund antl#9reda avl ablol madden may be remnSWaed mplace tdlwmg removal of tiq homal al We ih(aWLve SURace. RecmSmcbons ofauM aySlems must mmdywlh Me mlo In eNM allM1allime. SEgP➢C.O,X6» PUMP AND OTHER TREATMENT TREATMENT MAYCONTAINONVAGEN RIESUEXOT ENTER SEPTIC.PUMP RI OTOF ATRFAlMAYBTWIXICOERR IYC SIB BTWICE3. OE/SN MAY RESULT. 0.ESCUE OiA PERSON FRONTXE INTERIOR OF ATRIIN MAYBE OIFFICULTOR IMPOSSIBLE. POINTS MSTUd.ER Shall NTWMER Come Keith Har 3 Name $fcv firm, 715 579-2856Pbpre 715 703-8337k SEPTAGE SERNGIXG OPERATOR PUMPER LOCAL REODUTORY AUTHORITY Name Ulbright A ASaOCiate8 Name St. Croix Count 2onln Phohe 715 703 8337 Pme h715-386-4680 4vvmm m al IIRS draffil M ore Cnlplmeu County wire oup,ml m mlrpyne We map aeon sazpzlINIMAM all C bull, W a 0) zq i'w�:%=• LOT 64 LOT 19 li =11 LOT6 /�•• .„.a?r`%„''' LOT 21 LOT 20 ...s..o.. 3 •gyp F,. i O Eia ro % / LOT 23 LOT 24 ov wq 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 the following residence: (Street address) G%O3 G2 Frsb,e LI✓ located atl � Yy , Secfion J�� Town N, Range��W, Town of �/ i�f'/.zaw ) , 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) appears) to be functioning properly. Most recent date of inspection or service D / 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 Conewte Steel Other Manufacturer (if known): Age of Tank (if known): Permit number (if known) ai ,,;,t-br — rn�s Li eased Plum er Slgnatu ) (Print Name) Mw54� L�Iu Lc� OQ4637 (Title) (License Number) MP/MPRS 1013119 (Da ) Porn to be completed by licensed plumber (Dept of Safety and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR113 Wisconsin Administrative Code) Rev. 2/2012 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM DWner/Buym .St-i Groia'.S I p sh' /�i�{In.lcP Sin Mailing Address (�1,353 I —I -µJr+. YF TFl Property Address / o 3Z a SE !� �7 �7 /(Von i ion revuittdhmPlanning&Inning Depammmnt for new construction.) atyrstoor H,/e156ti 66�L Pascal dentification Number /J204576-a3-000 LEGAL DESCRIPTION 1900 q Property Location IL Y.,51)Y.,Sea.iy,T_LNR/9W,Townof t 650� Subdivision PlaC"Atnle t?St , Let # Codified Survey Ei # , Volume , Page 4 Warranty Deed (before 2009)Volume ,Page# Space house cyopo Lea lines identifiable Dyedi SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and mvntenance of),u mptic system could rteult In iC pmmLute failure to hendlc w tn. Pmper mmmt osorpump,n,,ttheseptiamnkesvDthreeyev gifneedM,byali... Neonatal Whan t' ame, tintrys¢mthat w Can adopt me function of the septic nk re, movement stage In the m Tm. O spcial systewnermamempore tesp Wale arespolfiedin§4P438J.R(I)avtlinCM1eptet l'1- St Cmu Gwty sources Ordinance. This p^ReM owner agrees to mbmit to St. Croix County Planning & Zoning Departments unification form, signed by the owner end by, master plumber, Pronoun plumber remitted plumberor a lie eved pumper vetilying that (1) the on Site mrdupnsWrystemie@pmpat optteliw... dalncover (2) commission wd pumping(strabismic), Resplimvdt is less than 1/3 ran of sludge. [Ile the red vsiwand M1av and the above recommend, and agreew mairstarnthe twa standardsgriv refused system with me set won M1ereln, as set by the sweetened of debt And Pm@ssiorel Services and me Department operated Resources, rear, of Wlsmmin. counters, sating that your septic system he, been mamemned must be completed aM rammed to the Sr chat Cohen Planning &Zoning Department while 30 days of the three yew expiration data free 'ithat all boomers o rm aretroewihe bm[ofmy/wrkmwledge 1/we amleretM1e owneNs)ofthe property do..bord above by vtnueafaw ydeedrxordedln Registerof Deeaoffce. Number of bedtwma dUC ^5 4 41G ATURE OF APPLICANTS) DATE ... Any ln6tmvdaatick misrepresenlM mayessul[Inthe smntarepermitbeingrevoked by the Plammi ...a Dopammamt e" Include with this application a ramtled wssmr.ry deed men the Register of Deed, 00" and a copy of the carried survey map R reference is made in the watcnb deed. (REV.04112) s..eeWiapwNw PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) wnry. St. Croce s.+e.vw.rxxe. 595115 0 muw ENCH w A,31 urqul tlt e. IN, a� IMUNVOxe Ne. aP1, wae. Woia dean TEMT� BYSrn NL Bl LL LME5TRFAM e �uleNw. ew sywem: >So } 1 >ml UNIT N 5r� ' DISTRIBUTION SYSTEM 1 rM le Ia g T L.ron"\e(—e® �}� Pm:ni a McRw xeRsresre ,q�i SOIL e.mo... DeNho o.w.M n� I EB,w S.w �N, MY" 'WIN, COMMENTS: pnduee roeeaNvepmdwpavme Pawnt eM) irewNmn gii�_ imwctiwlvl� -MmtNm B]IA&B Fw�r�]1a,,HuW,I"MWB pE��11"9�M 1101e TPB RIM 10]NN]]B]fwx[ 4w Ferm Wn I)MBMO wlpk,=lYfA lSC1N'P��-y ]-1)'BMe wxxl lmM-3�I J B.pm.ov 19 sCNN OSTc seeds a Banal mremr Mum. ' H'4.ed S7A,,,7 763 Y-.W 7-d&A)014 .V .1 F,e Awe Sea�c/ sY6' F-7F I . Lo, IA"I do ss s- OWX&r e ✓ fAf bl< ei //., /A /<..,..,,� wMw7gn Gawwnwlm cdnmama SOIL AND SITE EVALUATION � {{' LMpwd allay end bailpnea Ppe_d�L case, of" preW bervaa. In accorlance with Comm 83.09, WS. ALm. COEe Alpdt amgele vb pan m pqw, M as an, 8 a r I I Inca In an. Pan sees alai? W nMIiMIdl Iu Isaad as MMmmL rWmann Ma IM, d'vacnm vq Owar � C Pwma sla,, v,11 or ismonams. mush was, end Meda, 9wdstai b rearal ma. P.rtM lo. /� � o20—rS>b�Za—eoo GNe APPLICANT INFORWTON-P/aeee PilllnlPry�etlon. 4 rypwlYmYduxnbum lflWt�IrY wml4 Q FaYM Mna� Ras twbn IC _JPVI - 1 C1��i� G%yt sE tNC JIIA6/Y TZ�.N,fl / Y EIM g% RcgTy Gwnefa MM'ulp lMrw NUN BIwM &oM NnanLBAN I Aw Ukukee Z k -ress Llb bwre Le Lda d .x):.l LXy ❑wlpa Tam xwrael lktl Y11� W\ 54p1 ( n Lrlxawcdwewaw Use ®flaelmMwr rvwnrorwmermnF oaaivw m.wvne mMwp ❑flapssimenl ❑Putlwwwmman,.l�Geada.: p/' nammwmeduwry�weanvram a""act gave? gave?eY�j a6bI. BPd1P cmedadvedetlHXaw0 epd 7 -� PDwgMn saes rpulrb( _pM. X3 rr2slrorcn, Xe MWmendappn bMlry rea �m,epMF�LXarNwei mm ebnaeumwrrlecawmwnOl 4S,J9 nW iaamawane qan pwva.newl Aenwnea�ipnmww�wlawwidla d/3 9S %9 P.IwnmeMY ou+F a 5/n laodp ilai nappocame /i 40;1 it 6elYW brapam Canwleknw 4buM kl'Gmvtl Ra®ure ATGIsda byaamin FIN iaN - NnMWW"m as 011 i ❑G Ebb 011 as on ❑6 [su ❑b;ru Whig 1 13 ft, GyN m eerr ann me s� "1�m. licgn9 In LgTb M1IIM1V MOM mEm=m0mm"0112 Nemer86: CBf Num (M P" / Twapne xd i{cam flu mr Irc' l L7157y 7-YCo9 Gee csw.me. lemroe Z113 $A'—"51 5 i- ry S'I�ti `F4-Uo aS33oS PARCEL I.o.r SOIL DESCRIPTION REPORT Rmv �m 13 EnE BannB N 3mm OT9R i� BonnS N o� im ®®�I MM=Om =MFZRM mm Ll P. O LE. �m� _L ®Mmo mm mm= mlwv mmm ffi�Mm- Rem ft ■e���s���a�®ems Remaft ®®I Remaft ®®I ===mrMA mm lla 0MMIMEN r' I._ I mm C� mmi m we"Mm SBPB]]O (R, HII) PAGE 3 OF-3- NAME G.4y u} LOT%a. LEGAL DESCRIPTIONS NS WTM NAIL E(9& SCALE: BM I ELEVATION (OO O BM I DESCRIETION Wei 1'Or 0'P{ 143 BM2ELEVAION 94.SR SYSTEM ELEVATION 9S.7I ALTERNATE ELEVATION CONTOURELEVATION til0i pl 3T 61 p1 P'fi6� H 1 } IK �IDATE UO