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HomeMy WebLinkAbout020-1269-70-000 (3)Rv PRIVATE SEWAGE SYSTEM S[ CIOIX svuhmaa.u°me owuo. INSPECTION REPORT nsxmuxe 81��55 GENERAL INFORMATION (ATTACH TO PERMIT) puniona used meyPma°v h' v is 04(1 TAT PeveJ hropeerlyS rvNCM,•LLC East One ar wms T.w°anro xTnx MBJ Property Servloes LLC East One TOWN OF HUDSON P 02P1253TP000 <x Ea. o."aPnr n•9L •79 Irk 009d— n�eMm.no" 21 29191331 TANK INFORMATION I ELEVATION DATA TYPE nwrvuiPCTURER CAPACITY STATION BS HI E BUSY m E<t lave 6,,1(y 7.45 96.7 AT AN "ING, GAS saner AN" MET FIGIIIIN SlMInlet TANK SETBACK INFORMATION WIFE Ouvot O fair 94 ,i5 TANKT01 A1� WELL L A VAN �xnink. If ROAD DYINA _ SePno 7 IF — %r1r� O,II- 7.s5 54 -SY OMAN n<TRe.a -7. INQ y .V net PIPe 7 % Al RS Haams _ ReI snl<m 6 III $.V 'JMP/SIPHON INFORMATION panel Gma, "°""" GPM'" afc . T 4 /m z TOH un on sye e:a ITCH TO SOILABSORPTION m �.e�� N°ZT n.h- n.. DIMENSIONS uwkupn DMINAMMONS 1010 Ne •ID, AMA 1.0 i.'({ir at All 5f -EM .WI AL.aNBI .m TW I&AIR sl a°o,n— Vil eWi CJGP COMMENTS: Fri ads Secrowwea, Phonon GAME, sea) Innerstio, si wwoPee PRaRiEw/ l�44, LeL�e..E.dJe....Ww,� 1)AT DID Deu-TC�-�ia. O,sA- i)Beew e ar°Wj a'II ArtUse other she for $50EDISyss PPIh Ib aM{or, PAY .a 5"-0\0II -375 �M�D � °:A 5-r cxolX I \�� MMu7IN Ransil0 N' my 617755 s>"itary el= t aW cation zNmIllml ah, oft MR ...�....—.._, .ems...._. AA Y96 Pcvr..� LAMS M$J ROPE S8i1'!c£s LLL ✓ FROW020- /40-70-000 Rh Tit it =K"lRal ~ 4UL)!AN Lt-a vol6 T. ? MR 6Tn.TOb hAll .wli u . w...o-r..-nr�e,..r 3 j 30 (to, 8b*.L»'sL.+xoix, ❑w.d..._a,,,�, lau.men ✓_- .5-ANL Os.ar-n.w. u. o 0/SiRi:?IilOn Cells rJ Ci1A01 TWW )Tu�i�— *^°+ � M.Rrr.re raa+ad�.l ❑�«.q.n Ar T.�%w.n.wumm.oa. Oaareera.suy. why �' ZP4 iLs o3-oi ry �% .ate p�.rwo.y r O�I.> �srn ✓ 69L dlo �rZ H.OD w.nrlr �.7 �cs-57v-usb s sv7z .. ti SOa. ec _ !! y T9 .. 1 Fu setback mpuirme,ile m oal��p mnh r ea per eppllcebb Poll monW¢. SHDUMRM.) BEAM OPE AIey@R /'Ei,we?o DYINER _ _ ADDRESS y'EG F.CF II[A5: Pn� 0 &nsr e1r.)E LANE Ne OSUN W 1 kv OSs✓ nL/r / SUBDIVISION / 6NE Jnr085 "XD /Ms IqT E ti B E�1T SBCfIOX�_T 19 N-R�MTown of BUolayv ST. CRDIX COUNTY, WISCONSIN 3 fflp:�s PLN YIP SHON fMIRYTHING WITHIN 100 F= P SfSMyNp I J C1> X T�• SOL �Z) 3 la Altit P[E� CA I ITER NW<E AMP - MA& ------- ----- mammm ts Yf , ,.• - pLLTEGrv.v a- � °� 9LTa' "� yr i • �t a: he N••sE W'E •• Waar EAar .� T K.rE n INDICATE NOR" ARRON vide setback and elevation information on reverse of this Tore. Provide 2 dim•nmons to center of septic tank manhole cove cop r PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet caaP��08MW Rarawwas Vw 2A, a 10A (MMM, R 1N12) Pg t pf 4 Inoex & Cpver Sheet Pg i of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan AUwJvrmfb: Elolaafaes: Fpk sites POWTS Appikafim for Review (J x q its Shc E IWtion Report & Site Map SEPnc TA K aacEEMe.Vt m y PreJawt Name/ UaeCrIcriptlae OA Amnm: V76 'TK. jjR CAI I.uT alp: VOA( PToJ� Aa - 49b FgAiR E lu (�S ) fl"bSN I -I Ai � r Let=I��il _/Ad ARM 1M.Samm l T_�LNRJLE❑n W� Townew SIYh5O\1 cam*: sr.C/ x pmjJ PaR wa: pS0-11 ff-"X1_op(J DeNplarllaaMt /V�a�v �iiu%'E2f Rraaa: 7LS.�a,_IT Em U: hei Lk tear Renwn : Signature: M, ADDRESS via PaA/R� LAME Ha DZQS wl RooloM W/ryF/b j SUBDIVISION / CSMA 1A[a$5 4WD /Mb IoT , ti 8 " SECTIOND_Tt2?_N-R /Y W, ToOn of NODSnN ST. CROIX COUNTY, WISCONSIN 3 /N SNOW EVERYTHING WITHIN 100 PEST 0 At.SZW bN a-- PW QrPE FIN K . I.o ALTfiACOA Wi3 AW i.WeIMDP AREA I LTF.R NLCE AAE� OWfrer Poo a,r 4 ,fig d INDIGTe NORTH ANRON ovide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. r4E: 3a�y M15:7- ~z7cw N41, PFAIRA6 JAAG'- �h\4v . IN RWND GRAVITY DISPERSAL ARFA DnRaml Ebvalian Tmnclles WM QBirkb SbNaltl-W drembels 3f1TrenU�(tlowri-NzY�g eetlA) )�.y s_ �� e=iL� TYPIVJIPEH[:X W CROSS SECTMIX VIEV/ r�Jesfler lNT 1 RN�i IaemanawlampammanmpnwJ ��� T�Am IXo B4W) j—B=flJ V IRBrui rBAmaele �� amm G T I�OsumwOsrtEtYws. u) Y wnr=..+r�wr p I BbawepgeYBGyv. 3zb =w�osaawwe®T Y M+=+`r�r=v�vr.�Y [WGJbiNWm2 -lmCps=pR�eBBTUd C6P= 5ZY fil%LFVI yg�P1 0.7 IK> 64z 8lo R ZRRQwxeo OL96 - ZO as*/uvrt'= 3z./43 wYlis 07� 3Zxy lzs2- -FXEACtfr �5 = by sn In -ground Gravity Management Plan PAGE 4 OF 4 vm!981e 11- �.. d ]Y Fquu.,a r•M .i.Ym +r b nm.er s r e-w.+w-+m.a.rra� ewe. b F.nanne.i Fyay aq �d-�.F.d.1r.dV bP-bmeE b/-�YYb-n 1OM1i Yb�tiF e.mrM1.®-i��] ]61+Rn), KYc Mm. GON. Olsr..l G..rp�sY.. 450 GMa GG4sfao �� 1FB�': 1a46519 ^ql^: MUG s]Os�' Ne.ecr fl'tMra rE�Ms o y.dy+.e ^ msfab NF.ponG4 n-V...+s �r1-4 r.0.t . �9.dvFpfMF�yy�-�bV9.e �r a+o�m wF-ou(4 W.eradu�(aoo tma) � bb.d MarpF ebrin�ery b�yq�4Pdlfel dMba 9c.) mre F-a].�']sWeFll.. wo�s�x+auoYn o vbsv�.y.a+�..o�y�9mbrwirnar Min-�.ba.�y.�,) Oft WWIwN EV6[Y]YG1gG (v�11.�� g�yg�y `� �� °`wWY. a�.nbOtip�rtlawF�rb�e w..Zel.xwt inw 4Fuou.s onuordm�rrre� �fMrrw wr..rrrrryv P.�nb Mi 111 aaYc�er, Q'Q o �sYY�mdVb�ay btl W]bbFbY�b-n....�]b�bN.n! ]PJ]LYan4AiY �dr�"'1 ra'�ow�-.rnr-s �tVY��b� Mb�dbMFlvmipy�__ _ b � 'ems==ti.1_w�sr CIS-3tlo-� 1^d V+'eFnaYr.Gs� Hunsou S. r ]1N 66rAe wt d YY P� � 4 nPYnE. Igby Q wnoM W4 4tr�tlpn� b ~n py�itejndy'^"Fnd6uryiemmuo+r mi�iM Yr��axvsf (gw1.e � M as.wt.a-1. Fad-o.n1i GR$anl. Wet /d��ee. MUYrt9irab��n��.IPaMEYtlbhPYsaF �m.ma'b's„�q'•mn°°mrcM9�o-wi m.wmn.awr.��+.a aw+b �"�'nbe nmdwalbwrs Febmob.be. ] Yiea b.pmeonoe F.omU.im.n ]P] 9B93a, Napes MnF. toes. Qoick4 IN F I LT RATO R The UuickV Pius Standard Chamber The omcha Pus Standard Cnambar o1Ms mapmum strength through The mamba can be installed in a 36rrch-WI a trench. Litre the n offers advanced anchormen towabilitY wM IN Comour swivel Connection^ which permits lucre uo to 15-Preface. rlgnt or loft It is as) available in tour -root lagdre to provide [primal it stalls an 11ezbihly, The OUPW Rin At 1112 Enticap, and the pI NI Pause we avalaae "n mess clwnEu, pmvidina)NP wflesldlity In system commequratwns. Plus StabUdrd Chamber Wicks Plus Standard Chamber Benefits. • Twer center structural morons offer mueaseP stealth and s unnor amenth • Advanced comotIccnrecnom 'talUng mectunrsm allows lot pwch Insis hm • Four-Ieot Chamber "IN are eery to morew aN rate)) • SUPPals allay )Pals of In," WUle with 12' of coves s1a Buick4 Plus All -In -Bile 12 Er" BulckA Plus All -in One Periscope 30wa 6112-H '.. Benefits: Benefits: III Nor 13a6 "Urnx'a5 mm) , May be few at Me and of cad w Move far raise] Inver)lretallations Initiative rapes row for ao nimmo Mt a can he .180° directional IC3'(1219 mm) Intand mid-trmen - Mid -trench cmiedkm Needs adman 12 leaded Inved vs Ideal for renal Iwrsa tattles Co ne mmon of chamberwwil roves e °1YAICahone 6' (203 mrs cmmr few, as m1 anerrlatioe to means at the ends W chamber ro'M Saapa6aWltY -Cater-feed connection elbm for OI see(178 L) MYinMWIMIon at WIM dlsMbroon systems Mathew If 58'(183 mml. 'Pipe connotationcptlmeIrtGutle Called bvsie unlearned06"(15 8O" (203 one, 12 ]' (323 mars 9da, ends or icp Armorer, of Isure"] W Mchareal OnHJmMCMO) C � LPPPOVFDM _ WM Rug MH MIz ft1W I FliOHf VIEW SIDE NEW gi4l Rus Ml-In-Om Pon®R rTMu.ayauwwmpn...�rr.m MI+ ��wmrt�.l eeeerwvr. mrrmazr=nx�mnnwioa w..yw w . rw rd M�yr mu.mc �i awrw ,, e,w Meee iei,.,.,..nm. INFILTRATOR ......r.�r�..�m .m..`^., .�o.,....,.,Om Mr.r en.4 .r... Ix...........m..,e TUFwTITE 24.80 --7 02&20 SECTION A -A (, Molerlal: Copolymer Polypropylene Color: Green TITE 2 0 1 4 C 0 4 a A P--77;:r „ � I +1 �.� ffiTIC TANS MAiNfffiIANC9 AOBMD.ffiNf A!ID OwN�`CHtT1PIGlT(UI FORM <x�m.�r M.�� frmyrr� xRVIC�s L[� Ftilioa Ad:ro 875 H/6W t7HahtiR-0Z-Fi.0�5CVJ 1.� F�wrr.aLm 49G rl4aiwE I�NE �FitiT� N�Td br11�{dTw�[Nbwbww.rlal cur/su¢ +4liD5oN 1xL. PYadLs[6d'sriw�r 020� IZM-7'd- 000 H4crtYl -&b �-1 �S�L'.K.am Z1 T NB�w,Tor.d +F1L> smmv®m ebr �mLuhS LANCvo. 3mi7Obwl (b4lW Serv.TMgd vdb w,..wp oeas /as Ssyz (y 29WMba c PWe rgw.wtl�rwrdxwwrrar�r:a^.r �[i'n`"n `x.r�. w.- vLre�rdr![wrw:rmxr.x�r�.rrr4a.i�wa� [er�sA![.[�rd6wYcrkraYr�+iY[e�f�r0� O��rm TiTiw p16/Y ql xtf.4p) i s Orr �x-Bt Om G.y yvx. p[® 'a.,A�1,�wr.V.Lrio�Olx�wY�[le�Y��.s�f[ri�Ygp+b b acerb•rr.rrsi�.r�crrlN.ra.o,�v�r,dri4r[0 [.s.� rs.��drrd� L:.q.+.4..se..wP/rYn.b.riwi:aRvxSr.�.L.: +rs�[�4� .�b��rww�sar' �r�rrrrp+�.rdrrsrr[r Off!/ra[��wxirf [I.db�xw+��d► Aerwrdrv�sr erw4.6..lr Nl:�Ye.Ayp. V�ar•i..�wiWH. rPrbai.�i.pb..wd. rx�wrr:.YedO.N OS¢ �UPAlMi[I mix ^A4:iura,i�L,q�ywl�Y:brefl�xmat iv�otrG 4f bMv4E T1[il.IrL� ��:wrrr �m�a'v"a�ac..r.�.rn�Lur®e.m.r:mm+eaa�r Ray..[m Sr. CROIX COUNTY ZONING OFFICE J CERTIFICATION STATEMENT FOR UTUAZATION OF EXISTING SEPTIC TANK(S) MS_T j2MMzTY SExvicss This is b terrify the I Lave inspected the essting septic ond/or dose tank presently serving the following readmce' (Sue«addem) eye FAVOE N (Ensr located aC/V k) Y., _61sL Y+. Section Town 2 N, Reoge_LW, Tosmof 4WD50AI , St. Croix County Wtscurocur Upon inspection, I certify that I have foond the omk(s), to 0e best of my kmwledge, will conform to the requirements ofSPS. 39425, and it (they) appear(s) to be fwdionwg properly. Most moeat date of inspection or service Did flow � own from absorption system? Yes NO (ifs, skip most Ise.) Approximme volume or longtb of mar; gallons _neimdra Tank Capacity: TO o Contraction: Prefab Concrete Steel_ Other Mamfactmer(ifkmvm): IMFs E' k(if AgeofTanknovm): � Pemranumber (rfkoown) 9.S4 ZLy ir. �e 1771 ��Kb1165 (L' ed timber S' e) (PrintN®e) �Lum 27yrs� (Tide) (License ) WARRS /o/a$ � (Dah) Form to be completed by licensed plumber MqA of Safety and Professional Services Chapter 305 and s. 145M, Wisconsin Starnes) or licomed disposer (NR 113 Wisao®nAdm researive Code) Rev. =012 pn.ew4r. PRIVATE SEWAGE SYSTEM ,sep s ee:mm.mmtnnr INSPECTION REPORT pobelan GENERAL INFORMATION (ATTACH TO PERMIT) M S NILLF]?rrHAN 6 nw HUDSON o-na m my. ST. CROIX M 62 11 —'10-000 I ANF INtUKMA11Vn TYPE MANUFACTURER CAPACITY STATION I as XI i5 Bull XW[ BeMllmi[k y Dosing Aeration Bldg Sewer Holding StlM Inlet 7,75' TANK SMACK INFORMATION A/Ht Outlet TANKTO PIL IWELLI BLDG a AirinteSal Redo Ot Inlet 8- NA DL Bottom boiling NA Header/Man p /f J•S.o' Aeration NA Dist Rpe S Holding Best System .9 E' PUMP/ SIPHON INFORMATION final Gratle ManufxWnr Demand GPM Model Number TDH I Uh F^[ti S tam TOM Ft F««mwn I LSMA Do an r>wNl SNIL BEOITRFtgI Ledm L.rTn worlremne. nT No Of w waagn !DIMENSIONS �[ SYSTEMTO P/L SLDG WELL LAKE/STRFA LFA0 nvM°��' SMACK INfORMATON MRR4FR OR UKT DISTRIBUTION SYSTEM .n n r n .e . wnra owrlm. nengle _ mµn _ DI, _ smile _ SOILCOVERo' a Pressure SydumL Only veMouM Or At -Grade Systems Only pin Orer WwII DeMeq uo Aelso RMEee ,OM kMd e.e lTr.n<n c.n[.r 0 rw 0 No O rw O Nn COMMENTS: (lndudemtle discrepancies. persons present,0. etc) LOCATION: HUDSON 21.29.19.1331, NNE Nn, PRAIRIEE LANE LOT 38 EAST Q 4tc Lip "}jam'' C) A)&) Xn Ca-Pn�ulGg4�n�.sI �00. , .iry Fly I`{✓r <P' Zi 1,.8 n.(ee�- l/{�� [ a.✓ Man revision required? ❑Yes yp No useoUvr ads for additional information sues 671000"1) Dm ra rsgmeme cent is, HB<1CHMARH: Too er z"P/PE yTMr�/ � tNCR E/-.f�? wY � = 47i ALTERNATE BM: rap et 63oeL FOwNa a7Y ew = Z,9Lt lotsf. SEPTIC TAX / TING CHAMBER / HOLDING TARE INTORMATION \Manufacturer: Wf/Sfi@ Liquid Capacity: /0P7 644 Setback from: Well%_' House 18 other To GIESi"r~ S9 Pump: Manufacturer I Modelf — Size � Float Separation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: S Length OO Number of trenches m2 Distance 5 Direction to nearest prop. line: "' Ia AIDA-TN Cla ' I-/N G Setback from: well: 100' House 31' Other ELEVATIONS Building Sewer ST Inlet760'17.1H-ST outlet: 29f f iFTT- PC inlet , PC bottom — pump Off /yyMy�y y.By 4A R�NJTRY9l �0.7wwrM c99ei Header/ManlfoldS.faVI&153 Bottom of system /07i saurW 93 97 Existing Grade ,b G9' G-*nal grade 6,T— 4Ft. 52. DATE OF INSTALLATION PLUMBER ON SOB "�VI fC�0 LICENSE NUMBER: A swots - 03SOO l/9l:Jt Wen ux! or Txe YWI/e Of It !1 p1REGROVE HEIGHTS SECOND ADOITIIgD =IT !LOTION 1u 3t- 9S SFNOIVIOI m L EAU Oa— Ixo.JO'1 NI' I I J16eJN±oL I 111661•1 I I IQI 96'1 IS 00'a!'42'E 19J .SW� -•e.aL— •— No �V f00.Ne — .... 1160.04 •..... I M I I i I Ioo' u lao• •� I o I � n..e!• t' � �'I I v fO.1OB I A ti Le:NNn.+RN.tlm.i. SOIL AND SITE EVALUATION REPORT P4_tl_ EONMevasaa Nbuv 5-r[Ra lx Am�nm�a.mr.q.�onew�ntru.ietrz.lt:r.n®.vri...l:mw..en rwxa.lni �wL.wec..umwlw®ri�w.�w+WLO.am�.azaew...m.> an..aw.mn.mw.wrum.eaa.mm�...an.a Lo APPLICANT INFORMATION -PLEASE PRINT ALL IRPORRATMN E POWINTYIL WT WqW w ILI T AN 19 EMW PAIi O.WHfE e IOMLSC�E W6RAjj� 8 HLL£It3�lM0 /IR N es tJ, 19I)IC RNNENII�I E NWIBTM IM trAb461 WP.i RSHitYlNvlatlMamm r.lY i l,aPNbWNL9 N.db IIRSPY IIRYEWPMNNNMWb Gbaa.HE�'AwNtl RRlnnatlYBWb'baiyob_M4RPaNE_JWNILRaRT M WO�MgiWl_MlI1T_N=42 R �EiP�YIffi(],�Mi PCWNaYtlHYnRWa Wt6lel Mt i4Of fGm T' f LWlaeveebespbenamlq ALNbra•1TIty1aM'lsamN PJmlmbY hd�MabligbW g�bm s �DU 0 u PILL L b ru OoitOR 0 SOIL DESCRIPTION REPORT ®®�©©© rlmr.�pffmsm� Mmmm rumORIlE70=WEm®0 POT M rmpvl�sMr.MMMERM _mm��=�Mmmm■ _ ___ _ ..■ mm--=__Mmmm z^iuw AftCH�<�<� Na�uL3� i mLn lcra. Q�e �a � W�" I'iMC : Tins !cn is � LuPlrw [ate. tH✓.+r ENaILH SOAIML\ WCRi OU4 TO 4c m&Lc 9rw4 C°hYLLlr 5Vt1&A1s. i E•� I� py. PLA4 5° 'g9 WLw A "1, 8 Ands Aar o r r Wssr Sec ec i t butm C•6,AwkC AtCAS Att Pal+ut F°ST SjNr ra TNr buPLry