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HomeMy WebLinkAbout004-1077-70-000 4 o a�i pOva Nt i 2 o '4, U N O a) c o •c °�v m a) � I 0r E 2- ca y C, C� x0`' p'-inv Y- Z N C C Y N O O N C C Z NLLo• LL C O O O C C O_ _ e O 3 Eo Q 2)O n U 3 M .- Z y E M O Z 11 € O` V Z N (D co rNi IN- z a m I o_ za V) F- •- 7 w r O O O CD � p ii. != N p ZZ 0zo LO N � y. 0 �j v a O G a o a a � I 00,14 o c a m a as 0 o N m N J U o rn °o _ } N O V N Q ? - O O N 00 0 00 +•' O Q � c, N O O 7 0 a C 'p CO c N N N O .0 Q A CO OS 4 ea Oi Q O O N 3 M O M ID O O C C9 0) N c U 4. O O O l € n � C tR C (n W N N N H Lo M fA 7 C O COQ b O c6 T O O N - W m w 'C O CO i tf) d C N O M.1 O M U Q O Z N O' C9 .mod U) m € a ' 2' L: (L i + E 2 'c c rw � r A c°� a2 0 (nu Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM C ounty: Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit IX Personal information you provice may be used for secondary purposes [Privacy La s.15.04 (1)(m)]. 34459 3 F Permjt -8 Ider'i W : GORDON ❑ City_ ❑ Town of: State Plan ID No.: r CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: l00 l �� 004 - 1077 -5Q -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ���W�S� P l oaa Benchmark 13 Dosing 5& w rPC S'> g :3 / q ? 6P 77 y A Bldg. Sewer ( 1 - 2 Holding I C't Ht Inlet , Z-D TANK SETBACK INFORMATION &./ Ht Outlet Jy, 31 cs; - -T TANK TO P/ L WELL BLDG. Air I to ROAD Dt Inlet Air I ntake • 7 t�s. S Septic r 1 2a - 7 1 50' f 5 NA Dt Bottom Dosing f Zo t 7 /SO t { l� S� NA Header / Man. A Dist. Pipe 3.2-� Holding Bot. System 3- 90 PUMP/ SIPHON INFORMATION Final Grade y,( (� 8'-' Manufacturer ,� Dgmapd S E6 cI p Model Numbe O Z'� M �.I, 3. 3s / jav -o T H Lift 0 Friction 1 �p Syste � TDH j.' Ft Forcemain Length {Z�'r l Dia. Fi a u Dist. To Well > ZCrD I i SOIL ABSORPTION SYSTEM BED/TRENCH Width , Len JI No. Of Trenches PIT I N No. Of Pits Inside Dia. liquid Depth DIMENSION '--' SYSTEM TO P/ L BLDG WELL LAKE / STREA ACHING Manu er: SETBACK CHA INFORMATION Type O del Number: r �t ��2 > Sao /VA O R UNq System: b 'f' DISTRIBUTION SYSTEM 5� 5 Header/Mano Distribution Pipes x Hole Size x Hole Spacing ^ Vent To Air l take Length S4 Dia. Length �_ Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges I Topsoil ❑Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) t7 t, ZDU 11 f, 'f s/ s LOC CADY 32.28.15.502,NE,NW 2829 10TH AVENU 2, 6(4r 5(fwrr 1 °� lQ s °� do ✓Y v r` s i y s �Pl�,.t'7 6►.. s /W /�©Z) 9 3 7PLID -I' A�� Plan revision required? ❑ Yes ANo , Use other side for additional information. � T �o SBD -6710 (R.3/97) Z ' Cert. No. y I spedor's / � �/ kewsl 0,u Safety and Buildings Division SANITARY PERMIT I :.'1I'1 ®I 201 W. Washington Avenue Viscons P O Box 7302 Department of Commerce In accord with Comm 8 Ad i&� "� f��n, Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the not s Cou ty C O than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this app . on tat Sanitary Permit Number , '� y 5 r 3 Personal information you provide may be used for secondary purposes heck if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. ate Plan I.D. Number xV&W I. APPLICATION INFORMATION - PLEASE PRINTALLIII 311 klel 5- 3 - 2_01TZ, Property Owner Name /J o� tion �,vQ ")l•,s'o.J B,rd!'B1� Gt71 /4, S 3 2 - T Zp , N, R 15 Mor) W Property Owner's Mai Iin ddress Lot Numbel Block Number /4 City, State Zi Code Phone Number Subdivisio Name or CSM Number y74 ( /s) 26S .7 N 1 II. P 3 F BUILDING: (check one) ❑ State Owned ❑ O V i l t lage Cr1'p y � Neares Public 1 or 2 Family Dwelling - No. of bedrooms own OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) Sa 1 E] Apartment/ Condo 00 y. 10 7, 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System_____________ Tank Only______________ Existing System ________ Existing System B) A Sanitary Permit was previously issued. Permit Number 3 7 "9 1 5 - 1 3 Date Issued 7 2.7- �f' V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21,t Mound 0 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure / f 42 � 42 ❑ Pit Privy 13 E] Seepage Pit r S X T!l.. 43 ❑ Vault Privy 14 ❑System -In -Fill C 9 VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade /�D Required (sq. ft.) Propose (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) 9� 10 Elevation Capacity 3 i� / Feet Feet VII. TANK in allo g Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App New Existin structed Tanksl Tanks Septic Tank or Holding Tank /&vv /0 �(„C C ,f ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 175 7 S 5 - 1 1 tgNt 2 ❑ 1 01 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number: 120 6�c-r 2 7 z z C 31 - 715 Plumber's Address (Street, City, State, Zip Code): SS D I L /J _/ _ _ ��D� 4 S"7" ,0 IX. COUNTY / DEPARTMENT USE ONLY �`�( � ❑ Disapproved Sa y Permit Fee (Includes Groundwater ate I ssued Issuing Agent Signa re (No Stamps) ',Approved E] Owner Given Initial r� Surcharge Fee) Adverse Determination r (V 6 _ X. CONDITIONS OF APPROVAL / REA NS FOR DISAPPROVAL: SBD -6398 (R. 4199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit,is valid_for_two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative.Code*j ll be applitAble. 3.-, Ay fevisions tc this permit must be approved by1he permit issuing authority. 4. Changes fn ovi r e'rship or plUmt?er, requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. . 6. If you have questions concerning your onsite seyyage system, contact.your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address: Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII.' fank information. Fill in the capacity of evetV new /or existing tank, list the total gallons, number of tanks and' manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County'/ Department Use Only. •a • L Complete plans and specifications not smaller than 8 112 x 11 inches M-Utt be submitted county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference p 1its;•C)'.i.omplete specifications for pumps and controls; dose volume; elevation differences; friction floss; pump perforrnance'ctjve; pump model and pump manvfacturer; D) cross section of the soil absorption system if required by the county; E) `soil test data on -a 115 form; and.Fj all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a-,number of regulated practices which can effect groundwater' The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. r * Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 03, 2000 CUST ID No.226375 ATTN.- POWTS INSPECTOR ZONING OFFICE ROBERT W ULBRICHT ST CROIX COUNTY SPIA 655 O'NEIL RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 05/03/2002 Transaction ID No. 311814 Site ID No. 157942 SITE• Please refer to both identification numbers,' ST CROIX County, Town of CADY above, in all correspondence with the agency. NEI /4, NW1 /4, S32, T28N, R15W Facility: SID ANDERSON - RESIDENCE FOR: Description: MOUND SYSTEM / REVISION TO TIN 136807 Object Type: POWT System Regulated Object ID No.: 418032 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code xe uirements. I p P P q A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address I on this letterhead. Sincerely,, DATE RECEIVED 04/21/2000 FEE REQUIRED $ 60.00 � FEE RECEIVED $ 60.00 T R E PAGE , P S AN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - , 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WLUS Wi��'eode, 763! cc: SID ANDERSON PY 0 I `r ULBRICHT & ASSOCIATES CO. ` A 655 O'Neil Road • Hudson, WI 54016 O Reg. Designers o /Engineering Systems �A f • ' r wage Consultants 715- 386 -81$5 1 S RE ONt 0 0 0 C FA4 Fro, � PR PRO siF� AFETY & 81,063. DIV. � e� R A R E Vi S/o v ' O 3iis�oti DILNR Plan I.D. # /36eo 7 � ate Owner S/D �N iPSDJ Phone 713 2(oS — 7y6 7 Address 1193 r . RV 1D 6�1 ,kot w oDD e Legal Description . /pa 4 /5q,?►v 41W %y, s,� . 3 Z 1 rlF•v, X /-5 w Town of c�pr County $% CA C.S.T. Installer Local Authority/ Supervision PROJFCT DESCRIPTION /'0 AV l It IM!f - Urovse ' 41Pi40U4 - P P 3ef07 tJ tz to coo s rRo <<(`ol,� , ''ok A w opoF-ek io 3 1 � . nom . jPI wlfs?Z�-Iaw 4-I s, Soy /s �� ���- r•A� /� ��; s�,�so,,�,���y s���.�.�� 47 y f� IOV (- FORM 1' -v.12 'g is iP�vi si`o�✓ S lwc'e y Fv/p A& f f wi4rt/ ��I' 7� \\`\,`\ \ \ \ \ \ \ \ \ 11 \It111f I f 111 f ►Ill /ynh Pg.l PLOT PLAN VIEWS 5C01y 0 Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS `\' ': ROBEiI ma D ULBR IXr Pg.3 PIPE LATERAL LAYOUT 0 HUOg Pg.4 DOSING CFIAMI3FR CROSS SECTION \ ';" d�;S� ---� -+ �\ ' " %. X Gtr Pg .5 PUMP PERFORMANCE SPECS ���� " " "' nnala► Ibis design for installation is based entirely on measurements la6dscape conditions (slopes etc.) and soil suitabilit , elevations 7110 accuracy of his specs, as re Y provided by CSTM of the CS'I'M. ported, shall remain the sole responsibility Any use of this POWTS design ty any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the workmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumt-er that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (wet /frozen soils) by any such parties or persons. I ar V) Cl- I W \ V a " - v �- W� ° Icy— o t • 2L t 9t a o I ews r.� W °' I R- to \ ` � 6 o _ Z W ccl � k b " G CROSS SECTIO/v O Mo Uk) D to rte T3 ED B F % r 7� STRi(3uT�c�,V I .y A3jec-5ATE P p cy- OF T °P S Of L. sysrEM !~ (EVA rioo r ()O i Fop M To E E RnT�O `I MsV• PIcwE T o P So ' a u N FO RM fo % SIoPE rORoE Elr=oAT%O U�sVER MA T3ED 9� .SD J) Fr. -- ELEVAT'io►J S �r lNVE,RT of 2 JATE RA(S /0 FT • To R o�>k / 0, 3 �v P o F d FT. , H - FT. - /,5 -- • TOP o � _ IA T ER AIS PLAN VIEW OF MOUIJD ~ wi rH 13E C li 0 FoRcE MAW A .�' FT. 13 Fr r �• a I w ---- -_____ - - -- - - -j' 1 - FT k _ - - a - F T 3 o Y w 30 r F Be O F yz'� PVC cAPPav T° 1 �I)- of35ERVhrio,u A 53Pr5 AT E Pipes PERMAP, ENT M hR KER.5 REC?ViREP BA5AL it RQeA = 'D Ait•y whSrE'Fl = SOIL- f rJ`f'i rRATW E C AfAci Ty / sa. Fr, PRoposev BASA-I AReN = B ( A fi z C l S q. FT, "A"I Fouo D1sTRi GOT I0kJ PIPE ►UETwoR k TOT L- v (gLu"e o f= LAT T Cv/�vEp p15 LATERAI• EN SAP ,�-'" 1ST //? 14 NEx% TG I I — Y �VG F LASl t �o lE s N (3E "E�T 1'd ENb CAP II Vo1D Vv1uM>r FoR �:N VERT` >r rE Vgr , d� 2-' Fo RGE MAC" p ' PERFoFNVED PIPE DEVO L No Es c�cATED 13 OTrOm SH All Be 1 - - I VAP A(5L. y G gONIIy 5PAC. [)- Y U 1 T - At (� 7 r Hol Di qht-: TE R L ATERA t- '' z �Q MA FOLD X �oRcE HA�N Y I of 14005 ; � � s / P P.E�• DISTRi tau rlvv D%SCVlARv E RATE PER LATE Z' 2 GPI /Mi��. _1_oTAL, D15C 1AR vE PAYE / "erv)OR 1,;� 2- Z. 2 — CrAI- ME40 SERIES 4/10 HP Effluent and Drain Water Pumps POWER & FLOAT CORDS PLUG DDAENSIONS Quick- connect, watertight Replaces switch assembly fittings are interchange- for manual operation, -- able, replaceable from I a. pump exterior. �� p SWITCH MECHA NICAL FLOAT 7 Mercury -free, 90 angle - operation. ,wit -- - -- 5.66 144mm 11.68 - (296.5mm) -� MOTOR HOUSING Cast iron for efficient f, heat transfer. �- 1 OVERLOAD SWITCH Built -in to protect against overload conditions. 4/10 HP MOTOR a$ o.. 8S 1600 rpm, 60 Hz, 115 or 1 N v 230V single ngle phase. Oil- cooled and lubricated. I ROTARY SHAFT SEAL Carbon, ceramic faces. PERFORMANCE CURVE CAPACITY LITERS PER MINUTE I O 50 100 150 200 250 300 350 40 VOLUTE/IMPELLER SEAL 35 t z RING 10 Maintains high efficiency 30 and reduces recirculation, replaceable. 425 G ; z ENCLOSED TWO VANE 20 6 IMPELLER High efficiency, passes HIGH EFFICIENCY ABS 15 3 44" spherical solids, with VOLUTE ° 4 0 stainless steel wear ring. Corrosion resistant. Passes 10 1 3 /4" spherical solids. 1 W 5 „ 2 THRUST WASHER, SLEEVE NPT discharge. BEARINGS &*jm1Ce 3nOOth operation O 10 20 30 40 50 60 70 80 90 100 0 and extend pump life. CAPACITY GALLONS P6R MINUTE I Prints 5 192 +� F. E. Myers, A Pentair Company 1101 Printed in U.S.A. Myers Parkway Ash land, Ohio 44805 -1923 419/289 -1144 FAX: 419/289 -6658, TLX: 98 -7443 RE - r�E s T of NE w 4 ?,Ef o v PlIPai°. — &Wkv A tv,.v7 AfOV vo s TE MavcD ` Wisconsin Department of Industry Q�PE Page of 3 SOIL AND SITE EVALUATION Labor and Human Relations 5 i re . /4 / Division of Safety and Buildings i in accordance with S. ILHR 83.09, Wis. 20 2 9 /D 0 - 414t. SpW 6 V4 I Ie Y w /S. 51/ 7G7 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S T. C [20 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). —9_ 2MD Property Owner _ jf�. ' Property Location /. - ) ,S /D J,% AU $A/ Govt. Lot N f 1/4 /VW 1/4,S T2 N,R 16; E (or)( Property Owners Mailing Address Lot # Block# Subd. Name or CSM# //83 !o . 2,0. .7�) City State Zip Code Phone Number - Nearest Road U wco/� Ci% l�l /..5 y0! 3 ( 245) 7 y4 7 ❑city ❑ Village L�Town L_7 New Construction Use: esidential / Number of bedrooms ' 3 Addition to existing building ❑ Replacement // ❑ Public or commercial - Describe: Code derived daily flow �JO gpd Recommended design loading rate bed, gpdfft s trench, gpd/tt Absorption area required 37 T, _ bed, 11 ? J� trench, ft Maximum design loading rate — bed, gpd/ft _ ' 57 trench, gpd /ft Recommended infiltration surface elevation(s) .5 .ee_ P q • 3 ft (as referred to site plan benchmark) a lo 6_ , yA0eeJ roo�p — cv,Py &t7 - � &47 5/o�', co xnw s Additional design/site considerations , Parent material /oFSS VU &R- j9 Flood plain elevation, if applicable NI& It S = Suitable for system Conventional Mound In- Ground Press AT- Grade System i_n.. Fill Holding Tank U = Unsuitable for system ❑ S (�U 2"S 11 U ❑ S L7 U ❑ S R El I-u ❑ S ��j SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 13 / 0.7 /o Y1 L ifshK 4-, t ie w / . 5 ; • !o 2. �• IZ /o YR 3 / 4( 5/L z f S'Nc ,,,,, fe c 5 ! f s ; • L Ground 3 •29 /o f/R y/y :5 2 *1 hk 4" A W c 5 - . 5 ; • 6 elev. It ev ft. �0 yR r/& o 51c4 / shk nw - Y'/' -- — .2- 3 s yYr s/� Depth to limiting Y, factor 0,jn. S's' • Remarks: Boring # I p• 10 YR V L 1f ' kJ / • `l ; • 5 z 'A'.15 10YR 2 f shot M foe cs / . s ; • � 3 /5-2.5 /oYR y /Cr SiL 2 Ground /� ✓� 2 elev. S G I ( Depth to ' 0 limiting factor Remarks: CST Name (Please Print) 120(3ERT WL(3R �Gti T Signature Telephone No. late$ ' 7/5 386 • 918 5 Address Private Sewage Consultants Date CST Number 665 VNeR Rd. �y, yp y 2 G 3 75 PROPERTY OWNER $/p , 4mAro t Page of ) SOIL DESCRIPTION REPORT Z 3 PARCEL I.D.# Boon # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 _ o •8 �o y 3 L ifs k �,-�,q cw /f s . 1 - iq /o YR ._--_ 51 1- Z f S ccv _ . 5 ' • G Ground 3 /Q yg 51L 2-,." / Ole e5 ._ S , • ?� io V4 ('/z Depth to limiting factor . . Remarks: Boring # Ilk 3Uh , Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # C3 Ground IL elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. i Depth to limiting factor ' "' Remarks: SBDW -8330 (R. 08/95) Y V V) to � \ V a`Z S \ O - v ` o at Lf) � a p cal W 0 V 0° GL v a- Pj - -- �a Q5 * ;�onsi ' n Safety and'Buildings Division SANITARY PERMIT APPLICATION 201 Box Washington Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County S rL - A o f— than 8 v2 x 11 inches in size. `7' /, • See reverse side for instructions for completing this application State Sanitary Per it Number yP S Personal information you provide may be used for secondary , urposes ❑ Check it revision to previous application [Privacy Law, s. 15.04(1) (m)]. �Q') O 4 C T y State Plan I.D. Number I. APPLICATION INF RMATI N - PLEASE PR NT ALL INF RMATION O -7 Pr gert y w e Name ��_ - A r � ropert ocation �j Q aV Std �M�C3�f 1 1i4 YVIV114, S 3Z T 2- , N, R /i r Property Owner's Mail Address Lot Number Block Num 0 3ZD v 0 Cit St Url �� /, ZiL,Cod Phone Number Subdivision Name or CSM Number � c- o oaf II. TYPE DING: (check one) ❑ State Owned I] it Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ° v ow9 of e� v� , III. BUILDING USE (If building type is public, check all that apply 13 P rc x Number 1 E] Apartment/ Condo ? ? ^So 2 ❑ Assembly Hall 6 ❑ Medical Facil' ursing" 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandis ; es /pairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Ho rk 1 i 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/ Fact 5T 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on lin line B, ' licable) 0 A) 1, Nlew 2 ❑ Replacement 3 men��6'� Reconnection of 5_ ❑ Repair of an ------ system ________System___________ _ 'Z► ..... Existing System ________ ExistingSystem B) ❑ A Sanitary Permit was previously issued. P it - Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurize istribution Experimental Other 11 ❑ Seepage Bed 2 nd 30 ❑ Specify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ I Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 E] System-In-Fill qs',� r VI. ABSORPTION SYSTEM INFORM ION: 1_ Gallons Per Day 2. Absorp. Are 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Re 4ed (sq. . Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i ^ s' Elevation IF • 'L ` � T Feet Feet a VII TANK in Ca ga s Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New xistin structed Tank Ta nksf Tanks w.�.� CU Septic Tank or Holding Tank ��! " El El ❑ 1:1 1:1 Lift Pump Tank /Siphon Chamber I f !r� 1 IL I ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY ST EMENT I, the undersigned, ass responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's N- a}m►e: (Print) Plumber's Signature: (No Stamps) ? PR SS W � No.: . -Q6 usiness Phone Number: Plumber's Address (Street, City, te, Zip Code): /1 ,• 5 O w C IX. COUNTY / nFPARIWENT USE ONLY (C ❑ Disapproved Sanitary Permit Fee (Includes Groundw Issu Issu g g Signature (No Stamps) ° A roved Surcharge Fee) pp ❑Owner Given Initial `� aD � Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Btiuclings Division, Owner, Plumber INSTRUCTIONS 1- A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal:any new criteria in the Wisconsin Administrative Code will be applicable. 3_ All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or-plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the c6unty,prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years- 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 -266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete Fine 8 if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than `8 1/2 x 11 inches mustbe submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump modetand pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practi`4es which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. r - - Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 ,SCOnSI n Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary September 06, 1998 CUST ID No.226375 ROBERT W ULBRICHT 655 O'NEIL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 09/06/2000 Ide�cat�onl�bexs Transaction ID No. 136807 Site ID No. 157942 SITE. Please refer,to both identificationvnunbers, ST CROIX County, Town of CADY above, in all conespondence with tl►e a en y' NE1 /4, NW1 /4, S32, T28N, R15W GORDON & RENE ANDERSON FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 418032 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. A co of the approved plans, specifications and this letter shall be on -site during construction and open to PY PP P p g P inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 09/02/1998 FEE REQUIRED $ 180.00 PETER E PAGE, POWTS PLAN REVIEWER II FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE. STATE. WI.US i U'LBRICH T & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 neg. Designers of Engineering Systems 715- 386 -8185 Private Sewage Consultants p 21998 SEp PROJECT INDEX SAFETY BOSS' _ C DILHR Plan I.D. # 1361 - 7 Date Owner 6�wp d ? �,c9 ��Cl��'p,(J Phone 7/5 601�8"2Z -�� M #[ Address ��d ! /�iU,SD�tJ �DOj�Gil,Le /� SA Z Legal Description /077 - yo, 7 f�fj�d�y 4/9 VV :�26 - 32-, 7 0, R15; lv Town of County S fo r SG C.S.T. Installer Local Authority/ Supervision PROJECT DESCRIPTION tiv �ovs -- �� . Y P.O.W.T.S. C onditionally \ `o` ,, q ,,,,,,ns�, ►�, ---.. � App"PROVED 4 _ DEPA MENT OF COM ERCE ` RQ�IfERTMII, D{VISt0 F AFET� AND ILDI ULBRICHT � � D1160 OSON, SEE CORRESPON NCE Pg .1 PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS This design for installation is based entirely on measurements, elevations, landscape conditi d ons (slopes etc.) an soil suitability provided (/ of he CS of his specs, as reported, shall remain the sole by CSTM re � of the C5, sPonsibility Any use of this POWTS design by any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the workmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement If working under adverse damaging weather conditions (wet /frozen = soils) by any such parties or persons. loo t Aces "t�. W ro 4 (-J\� IF - -� or o� it Z 4F o w 1-4 C. I � I I I I t . I(A w 1 � 4 kA 1 I '�r .,,: A. Wisconsin Department of Industry SOIL AND SITE EVALUATION Page l of 3 Labor and Human Relations Division of Safety and Buildings in accordance With s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must County but not limited to: vertical and horizontal reference point BM , direction and 7'� Include, Po ( ) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # GD �/ /0 7 7-- 5'0 APPLICANT INFORMATION - Please print all information. Re ' by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7 Property Owner Property Location �j 6-01? 0 90 J -4 �FiVLC ,q/v9 �N Govt. Lot b( _ 1/ IVW 1/4,S 3� T 2T� ,N,R �� E (or0 Property Owner's Mailing Address Lot # Btock# Subd. Name or CSM# 320 So,� c T • 7" of /Old f f� C // / State . Zip Code Phone Number Nearest Road 715 ) &I =- Y City V'I{a a ffTown P Construction Use: residential / Number of bedrooms 3 Addition to existing building ❑ Replacement // /'�v} F-1 Public or commercial - Describe: Code derived daily flow _ ' '� gpd Recommended design loading rate bed, gpd/ff — .5 trench, gpd /11 Absorption area required 3 15 bed, n2 375 trench, n Maximum design loading rate • -r bed, gpd/ft • 6 trench, gpd /ft Recommended Infiltration surface elevation(s) it (as referred to site plan benchmark) Additional design /site considerations "N*' 1VAAWW1 sr oT Parent material �Ss 60,Q,t. 4&-4 *I-L- Flood plain elevation, if applicable N ft S = Suitable for system Conventional �Mound —_ In-Ground �Pre�ssurre AT- Grade ,/ system�in Holding Tank U = Unsuitable for system ❑ S U L=1 5 U ❑ S L`'J U ❑ S L� U EIS t� u S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground O — J /G ZiYrt !f /1'�' CLU . S . 60 st 7 c- t7 Depth to limiting factor 3 �In. 35S Remarks: Boring # 1 10- 13 /0 Z • Z fSd� �cSLc• CS 3 7� • S Ground elev. Depth to limiting factor in. Remarks: T�elle hon N / CST Name (Please Print) � Signature �1�3 ' p �0 • ��'U -S tQ©6� � L- Address Date CST Numb Ulbrich! *ssoufates Private Sewage Consultants 665 O'Neil Rd. Hudson, Wis. 54016 ORIGINAL. G; �1 SOIL DESCRIPTION REPORT Z _ j PROPERTY OWNER M �° ~ Page of PARCEL I.D.# -2 `sD Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 s in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 3 t d /o S/ L a S hy 54 5 40 . S x � Z / Av JIL - f S hy If •s •� Ground 3 yZ ( �M 7 C . S 4 elev N c� It Depth to s limiting factor ' 29— 65 Remarks: Boring # „ Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD /fe Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # , Ground elev. ft. Depth to limiting factor ' "' Remarks: Boring # Ground elev. ft. , Depth to limiting factor In. Remark's: SBDW -8330 (R, 08/95) I � f /00 + A C-te s d w 1 o _ e` Zo Q o� I I I I � U-' `►' \ • � o n � Y I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 6 *P �/ S IP Mailing Address 3 20 ff�tiso� C �' ��� / ` ( � ��• sox 6 Property Address on; (Verification required from Planning Department for new construction) City /State 7 - 1 1' yT6� �� Parcel Identification Number e,0 �• 1 077-SO ,!' LEGAL DESCRIPTION l/ Property Location /V� '/4, NA ' /a, Sec. 32— , T 2 k R W, Town of C �l Subdivision P49 7 ' ,r— , Lot # Certified Survey Map # , Volume _ � Page # / Warranty Deed # , Volume , Page # Sp ec house ❑ Y es no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, joumeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification ' stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the th ree year expiration date. -~ ... —' 2— SIGNATURE OF APPLICANT DATE _. OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descriibe above, by virtue of a warranty deed recorded in Register of Deeds Office. r Ct SIGNATURE OF APPLICANT , 7- DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed vv:. wnt�t usso. —lr Ceuet? Qerk. MOMMI t« Autkae/radaa.) 4397510 ..�._ BOOK P This Indenture Made this... twen.t Indenture, - . y- second ......... day o(..._._. Inly_ . ............................... 19.8.Q....,. by and between the County of... ..... S.t..... Croix ... ............................... in the State of Nrsxomsin, party of the first part, and .............. o r don .. An d e r. s. on............................. Of ........ St.... C_- uix .... ................................. ........ . id. ..........County, and the State aforesa Part..............of the second part. Witnesseth, Thut: Wherins, at a legal meeting of the County Board of Supervisors of said_-..._ __.3_t_.,...C. ate r.o.jX......._... •_••,••.Co held on the..... lOh .. t..................day of ......... ..tday.. .. . .................. ....... . . 19 .88.-, said Coent Board delegated its � Y eg power to seii lands acquired by said County by tax deed, to a committee consisting of ..... F- 11d1lICe. ,...1}tt.l,d ng...bt........ ... Bond ... Per... Ordinance. ... # 20. 9. I .M- 4 .... and.,....J.une ... 10 ,... 198 8 ... Commi .t.tee....arc.tion ........... . . And, Whereas, said committee for the sale of such lands in the.. count ............... as sold the lands, hereinafter described, which are situated in said .... caL nty____awd were so acquired by tax deed, to said part .............. of the second part, and said part.................. of the second therefor by said committee. part has ..... paid the sale price fixed i Now, Theref ore, said ...............S..t. . Cr. ofx.. . ...... ......................... Coui)ty, for and in consideration of the eum of ..-Six ... thousand,... s. e. ven... hitndr. ed ... Se_v- en. ty... thr- ee...ard...61./.1QA=- .,�.,�,..w•., Do11aro, na,nr.w.w:nR w.sr to it in hand paid by the said part ..............of the second part, the receipt whereof is bereby confessed and 'acknowledged, has given, granted, bargained, sold, remised, released and quit - claimed, and by these prey, its does give, grant, bargain, self, remise, release and quit -claim unto the said part ..............o( the second part, and to.................... .............................. ;I heirs and assigns forever, the following described real estate, situated in the County of...... S- t: ....Ctnix ...................... State of Wisconsin, to j TOWN: Cady Gordon Anderson Parcel #502, Sec 32 T28N R15W, NE NW , Parcel #505, Sec 32 T28N R15W, SE NW I CERTIFICATE its: 11E, 118 REGISTER OFFICE ' YEAR OF SALE: 1983 ST. CROIX CO., WI Roc'd for Record j #- -sue --- AL 2 2 1988 fit 3; YS P M ��I , 1 Register of Oeed$ I To Have and to Hold the same, together with all and airs ular the t I m or in an g appurtenances .:�d privileges thereunto belong ' g g anywise thereunto appertaining, and all the estate, right, title. interest and claim whatsoever of the said party of the first part, either in law or in equity, either in possession or expectancy of, to the only proper use, benefit and behoof of the said part. ....... of the second part, _ .. __ heirs and assigns forever. In Witness Whereof, said ..... .......$..i.,...CXg_i_x. _ ...._._ -s _County has caue,d this deed to be executed in its behalf bY••• - .Jill .Ann Ber.ke..__ _... _., its County Clerk, and its otFic:ial CountyS a�kgb#;herefo affixed, I j this .... .... .22nd .............day of...- jul.y. 19 .... 8!3. - 1 ...... ... IN GSENCE OF Al S ' t /C r " n 4 OCPFiY ._ AAA ...._........__. County Viler 'Y �a State of Wisconsin, f _ ......5�......CR.QZX ss. .County ✓J �S Personally came , efore m this day of... �kC� • � .��• , �� j the above named _.. Wisconsin, to me known to be such officer arse! to f.c the person why . r a f L.. ..... County, q 4.v1'c the foregoing instrument and acknowl- edged that he "('ruted the same as thr_ act and deed of safs .�........ i and b} its authority. ~ / l County 4 k �P, County, Wis. r C M Cotnr£iisCr.� -s: I I I ��� j --� � { _ r 1 �_ .- � ; ,� f- ,- ` � � �Q� �y�� I , t���d��w ��� I � � � � � � � � 1 � � �:� � ' � i j � �a ';1 $� 5 � _ ,_ _ .. ..._.t �� � i ' '�. 1 � ,� ,1 -- ��._ -- -� .� � _ - *� 1 ,� ; _ I .,, Y i ! _. �_ e� 4 ,.. �. 1 i � I � - 1 r � __ _ . _ I � r3� � __ _ � - � � � � .,� 1 U � -.. .� . � _ � 1 __.__ s ' � _ , i ;. ,�� � }. f - -- _. ��� '�.���k � ,, ____ . �. _.; .. t s { � _ _i 1 1 _ � - 1 �- ___._ I rC, a � _ ____ _. � `I1 � �— � _ ... - -4- , .. _ ..,�. ,�^ .- � k� r i — — +— — � � a.._ � � �� S � ,' ._ ` ' 1 � 1 a 3-� _ _ � 1 y , x r � _ �,_ � ` cD -- , Q _: �,� - .. .., � _ _._.__ .. _. , w_.�___ ,, . - _ _._ � — _, _ ,. - ._ �; a .�-� 6 L C t ,�-- -- . _ 1 ._ �--� � � � } � �_. I 1 1 � � _ — — — ...,_ . _ f* � � �. . � i � � ,- � o _ _I _.. I i � J � � � _� y ` ti � � � �.+} . _ _ �_. 1..` 'j 1 1 I tl 1 �_`.. -- ._. ___ __ -- _�r ' 1 i V r �-c T. f I l vh I wA I � i P5 z Of 5 L : C : R : - 055 ' SEGTIOXJ OF l ouk " wi rte 13ED BtD O F % ro t z" Aggtec -SATE DiSTRi(�uT%o,� Gr' pip t o 'r of T dp SotL S ySTEM EIEVAI'io� R To E uu� Fo M E 3 F RAW ,l' ME17, 1 1 �► ; SAuD 111 llll 111 //l l l ToPSol' r uN � FORM 8 % SIoPE F ORCE - N t;(to noo UuOEi� f3EV /' a F 11 E /•�/ Fr. IMVF of 2 IAT£RA(S 167 3 F FT - G • TOP of ROGk /00• /, 0 F-r. It H /•,- F • `rip °F 2 IATER 73 PLAN VI Ew OF MOO -OD -- Wit" BE FORUZ MAIN A FT• 13 Fr F r r w ' ________�_ ___ ___� 1 F ow Y F T' � VV �' FT r3�� of Vi PVC. cgpp To df35eRVhr�oN A J3 pr ATE - 'P�pES PP - QMA,V Eu M A2 kEP5 RvgviRE BAS AL h REA _ .s0 ►,�f; IrrtnTwE C APAci ty PRopo5Ee BASM AReA ( A + z 7& x s + 1 s p t= T. r0L„ 1) 1 S TR113u 1- t) k) pipe UErwoR k TOTAL VOLu a F LArC /N L IV� � fflSa S - P -pISTRI(3uT1 LATERAI• lrN� C ` Y x I�X 1 pvc �oacE /5 r- A i tit N c i To 5/43o� ✓,, M L AST Vjo l E s N A 11 f3E ►Jt✓1�T� To ENb CAP VO ID Vo j w-k Fo R � 2 uuERr � IEVAr�o� dF FoRcE MA W 2 gA�s, /ao 35' PEI ?F'oRArED PIPE DETAi L � H01l 9 IOCATFU 6X3 � GOTT - Om SH AII BE VARiA(5LPF y c���ily S pAc� p. Y dcsr�NCE R NSA A L , MA O% FOLD " IN. X iN�ht s r-opm MAik) �� 2 yg _ IN. Y i►��t,� s or IjolE5/ DISTRi 13uTic�u DIgcHARv� RATE PER I- .ATERAL. 2�Z Gal�Miu. rd1A1 `DISckARbE HATE Iv 1~t WO 2'z.2 / R k GA 1, M �•,� . PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PIE OF 5 ' -VEKJT CAP 4" C.I. VENT PIPE , WEATHER PROOF APPROVED LOCKIIIIG JUNCTION BOX MANHOLE COVER - 25' FROM DOOR, WINDOW OR FRESH 12 MIIJ. AIR INTAKE I IE V ^ GRADE �r� a I 4 MIKI. �d �j le MIIJ. '✓ COAIDUIT -- 3.0 �\\\ Wn -24.1 INLET PROVIDE I - _.. —►- -- l - - - - -- - AIRTIGHT SEAL I ( I p I III APPROVED JOIKIT A INy /I NK I I APPROVED JOIUTS w /C.I. PIPE I U tA I I I W /C.I. PIPE EXTEMI)ING 3 '00 I I II ALARM �XTEAIDIWG 3 OKITO SOLID SOIL B C� �a I i I ONTO SOLID SOIL O N LLEV FT PUMP OFF Z1SC 3 Ore ,g� ,) � D (• � �10iPE 40 s� k DO/ I � BLOCK /E VA (iO + f Dl (i lr- RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS /� - y�� DOSE / "lP( //LQ�/f S T ^ TAKIKS MAM UFACTURER: Tp, UJMBER OF DOSES: PER DAS TANK SIZE : __ -7 GALLONS DOSE VOLUME 30 ALARM . 40 lf 4J INCLUDING BACKFLOW: �`� GALLONS MODEL DUMBER: 'bV L e CAPACITIES: A= ! (' INCHES OR GALLONS SWITCH TYPE: KeRcv F ION -` B= 2 :KICHF-S WCHESOR GALLONS PUMP MANUFACTURER: E �� ce • C = y' OR �''' GALLOIJS MODEL MUMBER: Yz // D= !�� INCHES OR GALLONS SWITCH TYPE: ���7fiO/7�1oC -7 �`. F MOTE: PUMP A"D ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEKI PUMP OFF AND DISTRIBUTION PIPE_. 1565 FEET fiAAJV- SIPI F MINIMUM NETWORK SUPPLY PRESSURE . , , , , , , , 2.5 T //���� // 2 FEET EAGGL. I Off` J p L. -I- - L[_Z_. FEET OF FORCE MAIN X `• /O F jp FT_FRICTIOU FACTOR.. FEET FEET tgOAjS 10 o 75 TOTAL DYNAMIC. HEAD = FEET `i INTERNAL DIMEIJSIONS OF TANK: LEKI&TH v ;WIDTH ;LIQUID DEPTH t i� r H EAD CAPACITY CURVE o MODEL "eir a 7/e I) 1/4 2s t t a s/8 M + + 4 to e � 3/la 2 �.. 5 , 1 1/2 -11 1/2 NPT c t U.S. S ONS Ip 20 :ALTERS 30 40 50 d0 70 60 . 160 210 0 FLOW PER MINUTE TOTAL CTNA"10 "EAMI Pig w trrtul"T AN0 0EWATIFA04 NEAO CAPACITY 12 UNITa/IA1N FEET METER% OALa Lrna v , % 1.52 72 273 to 0.05 el 221 s0 e.07 40 170 20 910 20 %s t.akv.tw J 5/It CONSULT FACTORY FOR SPECIAL APPLICATIONS 6 Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mercury float switches are available for controlling singl t. allernatore, for duplex syslems, are available with of • Double se S y st em s. e and without. alarm switches. Piggyback mercury float switches are available for variable level long cycle controls. Standard aI1 mode - W 391be - r/, N.P. 1 klteQrilnoato rale42 SELECTION GUIDE __ ft S da 2. 81n to Piggyback P� m ical echan switch, no oxtsrnai control required. Model Control Selec Ile — 0 P GCyback mercury 11001 switch of double Oagyback mercury, Hoot V be-Ph Made Am elm lax switch. R•ler b FM0177. M 118 1 Auto o t e Du 1e11 8. Mechankal alternator 10.0072 of 10.0078, 1. Bea fM0712. lot correct model ol Electrical Akernalor, "E•pak" e. Merc 230 i Arlo `rry sensor goal switch IQ-0Q28 d 1 or 1 R 7 — duplex 13) a (1) hoal System ~ a control activator .peclly foe 23-0 1 'Non e.3 2 SFr ,1 1 hple 2or /ie " i Pak ", or.R14 :_ e F r 1 y :Plex or duplex operation, function bO't lot Ni�tal11pf11 connection of wied -tn Sin• I. Two 12) hole "Jpak lot We, . , . "Ott conn's.__...rr %Puce. for M+lormadon on •dditlon•I 2ws•i , P hlor B MIME, F Predmts rE/Er to call" on yOA �« F�1/; CAUTION f,101W; k M*# w X177; E4ctrkst AM•1n•ta, W0486; Vvchar.kW lu4rnalp, AE buanal" el controls, wa.akn'p�b•. • wi FMo7az s, FMDe1J; Sumfygs..ses B"t1A F"?; End q. lad Mesnssd slsolrlol.n Inc •ho�W N dons ►r • {wN e e.Q1EA Gonad Bw, Ins Om W- C66#4 M E »� snd sa1.1y eod.s should ►� IosowN M.elud• Nsskh Ad (OENA) 6'a4 Cod. (NEC) snd 1M C ooup•llonsl E and RESERVE POWFPED DESIGN Fqr unusual conditions a reserve safety factor !v do ineered 9 into the design of oggfY Zoeller pump. E MAN Ta r , u. sox 16341 0 l oal!vi 10756 -0317 Manulaclurers of.. SNIP 10; 3 80 041 161101s; lane a o tor.�kv'h; KY 40. r ___ esoll 718-27 3 1 fA tr1-3621 Quui�r PS ,fivc! /939