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HomeMy WebLinkAbout012-1025-80-000 (2)Wiscon sin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15,04 (1)(rr)l p Permit Holder's Name: City Village Townshi ELIZABETH M FALL TOWN OF ERIN PRAIRIE TANK INFORMATION TANK SETBACK INFORMATInu TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic Dosing Aeralion Holding PUMPISIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Litt Friction Loss System Head TDH Ft Forcemain Length Dia. Dist to Well SOIL ABSORPTION SYSTFIiA ELEVATION DATA Inlet Pipe FS BEDfTRENCH DIMENSIONS Width Length No Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer Type Of System CHAMBER OR UNIT Model Number 1'11CTO1�1 MI^L1 bvc.rru HeaderlManBWd Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipa(s) Length Dia Length pia Spacing Qnu rrnveo De Over -�_-_ - _...x Oapih Over .... ....... ... - w.ayaran.a Willy f3edlTrench Center Betl/Trench Edpes xx Depth of Topsoil xx Seedetl.'Sodded xx Mulched Yes `' No , _= Yes No -�� •rr•r�r• r v. tlncivae code alscrepencies. persons present, etc.) Inspection tt1: Location: 1612 CTY RD T 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? [Yes -- No Use other side for additional information. I_ _ _ _ _ SBO-6710 (R.3/97) Date Insepelors Signature Inspection #2: l Cen No DEC 12 St. Croix C 1400 JE om P.O. Banc Min. WI 537U7 7162 Sanitary Pb Numbc (lobe Ned in by Co.) 6�� 3 liCBhon 5i sureream.aiawbbsmbc m .000casc.rim sPs 3E321M art Adm. CedS svb.iss;= ocais smdlo be,PpeptlGl is regsmed Prim to o6lisie a sduiy permit Now Appfieatins forms Ex stase.owaed POW M we sobmiled lo We Depw. mmt of Safety and Pmfesimatl Services Pessmmi a6ratmioa youp . an ®ed to seaow - 1 Pral� Addles (,ifdsHeRm am>� addr w) PEPOM iD aeemdmci with the Law S.15Ai(1 SIt: L Allillikatiewlaiarmation- Please Print ANlafarmatiow 5/t}E. Peapeety O%imes Name Pwod i /� 01 - o as- o - o00 Milling Ad hm Party Lac.pm 161 a r- Gast Ld N A Cay, Same Zip code Phow Number SG V% 3 EYti Seaiew 0 N..ew Sya ) a as - y yi T 3 o N : R 7(`�� Type of Building (dteek all that apply) Lot e or2Fam1yDwdit-Nambcofeearooms - ❑Publ Com.naw-Dacriruse Blocky ❑ stage awed- Descrebe use cSM Number HL Type of Permit Chock done baI an Bona A. Ciamplaft Use B if ) A I ❑ New System S3 ❑ Tieftmtlliaidsp Tut Rephoameut ody ❑ Cay of ❑ VMW of fio Town of ❑ odic Mm oatie n to FAstitp S)siem (cvWn) B. 10� I 0 Pa mi Revising 1 0 of I 0 A®it Tnns&r eo W.List Aesim Per 27b r 1 . 06 Du � a.. aJN w a vw au u-Y . a.uagrun Ajwymum t%ANCGK au L ❑ Now-Ptessrrked is -Ground ❑ Presssiaed Lliwwd ❑ Asda& ❑ Milling Teat ❑ oAc Dispeaai Campo mt (cWim) C Mound > 24 is of savable ❑ Mound <24 in. ofsuioble sod n/ fl - --� - - .Q-, yip --->• ..,.- • •..-....... R+e( ..q.o� >rw 11-4w Ina) 41 uep® w n0130000 Lsr) 1 a)azm trersroa o HSv VL TO& We cwocwit Charms Tut i of bdaonfacpru U NMTab FsestemTa� Gallons Units E U :% n. t: - Septic or 11o1dmp Tack / o Fr. ;.- i -'- � I . /- . -- — — — - VIL St W*Mewt- iL the waiasto I aaumne respaa�s� for baMn"en stow mwrn *an as tie attached plugs" Pli s Name TU � plmm" ; 1 Byes Number Bnsiwes Phone �wmber // izzle--n-7 7/S• 71�A - oSS; Phwmbc's Athens (Sweet. Ci . U05, Zip Cade) e.�-eZ 5 yoo ,$ Ammwed 1 ❑ Pa Fee (Dore - Ap* oiseq for Dmir s Z nc cwaalel 5)C-�cr s � ptr-Ca fi. . Septic tank, effluent filter and Dispersal Cefl � DSP� _ n n � � must be serviced I maintained as per 4) iv►�teu*�d� lx(f r¢-� Blarlagement plan provided by plumber. aLuclv w;-- 3 -�—� ZA1 seh-6requirements fto"rmmW9dhlWwww I TMVA* -w�•ak ww••tas per applicable code / ordinances.P �^+^-� e� t 1 0 I N q �-oc-stb oy •{,ran o•aot W� ,� �N��Wraoy wq b ,ote� -173 , Wisconsin Dtprhnent of Safely and Hnfcssumal Saviors Division of Industry Services 4ti22 Madison Yards Way PO Box 7302 Madison, W153707 November 17, 2022 CUST ID NO.: 224832 MARY JO HUPPERT 25720 FIREFLY LANE WEBSTER, WI 54893 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/17/2024 MUNICIPALITY: TOWN OF ERIN PRAIRIE ST. CROIX COUNTY SITE: ELIZABETH M. FALL 1612 C.T.H. T NEW RICHMOND, WI 54017 SE 1/4 OF THE SE 1/4, SEC. 09, T30N, R17W FOR: Design Wastewater Flow Value: 450 GPD Bedrooms: 3 Limiting Factor(s): 31' Maintenance Required: Effluent Filter q 11fiunc. (A)&-266-2112 ' �� .,, y e W&: httceen 1'malf Is��,aifwlsWnsln.een' Tone Evers, Governor A Dan Hereth, Secre tion Identification Numbers Plan Review No.: PWTS-112202830-C Application No.: DIS-112256155 Site ID No.: SIT-109697 Please refer to all identification numbers in each correspondence with the Department. APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DMSION OF INDUSTRY SERVICES AST . 1 r SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022- 2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 146.19, Wis. Stets. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2xd), Wis. Stets. • A state approved effluent finer is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the fitter is required. • 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 Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Gerard M Swim POWfS Plan Reviewer W DSPS - Division of Industry Services Phone: (608)789-7892 4errv.swirnOwi.a0v Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application ROM AND TITLE PAGE Project Name: ELIZABETH M. FALL Owners Name (same) Owners Address: 1612 C.T.M. T NEW RICHMOND, WI 54017 Legal Descnption: SE1/4 of the SE1/4, Sec. 09, T30N, R17W Township ERIN PRAIRIE TANK HAS COLLAPSED County: St Croix SuhdivWon Name: NA Lot Number. NA CondlOOMW Block Number: V APPROVED DE" OF SAFEW AM PROFESSIONAL Parcel I.D. Number. SERVICES 012 - 1025 - 80 - 000 DIVISION OF WDUSSTRr'SEMMEESS Plan Transaction No.:��•~— Page 1 WE COMRSPOWENCE Index and title Pape 2 Daft oft Page 3 Mound drawigs • Page 4 Lateral and doss tank ;; Pape 5 System mairgenanoe specifications Paps 6 Management and oontingen y plan Page 7 Pump curve and specifications '• L.': : Pape 8 Plot plan '•., �!! .: ' ' Pape 9 Sail test '• ^••'' ,A +c` ''��' Page 10 Sod test ZriG • �` r ` Page 11 Sail lest Pape 12 Aerial Designer Mary Jo Hugprt License Number 1859 - D07 Date: 11/15 P Number: 715 - 426 - 1775 Signature.0 _ Dasipnd PlRsuarx to the(y�t 2X Li- 2-0z7 ) Mound C nponowt kAwuw for POWTS Verwinn SDW10801-P M 1 1 • and 6erh SSWIrP PubicWW 9.6 Design of Presws Dftft ion NstwaM for ST-W (01/e1) and Pr mn Disl bAon CcmpmW Mal W Vr. 7& SBD•1070" (N. DIIM) (N1A4 Z07-2.- Z047) 7- i Version 7 0 (R. 03/2012) Pap. 1 of 12 Mound and Pressure Distribution Component Design Design Worksheet (R or C) Site Information Residential or Commercial Design Estimated Wastewater Flow (gpd) Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor (in) In -situ Soil Application Rate (gpol ) R 300.00 1.50 450.00 4.50 94.67 31.00 0.40 Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) (C or E) Pressure Disribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing (ft) Forcemain Diameter (n) Forcemain Length (ft) Pump Tank Elevation (ft) a 3.00 2 0.188 3.75 2.00 100.001 85.00 3.25 System Head (ft) x 1.3 9.76 Vertical Lift (ft) 1.51 Friction Loss (ft) 0.06 In -line Fitter Loss (ft) 14.52 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.00 Se tic Tank Capacity (gal) Wieser Manufacturer Note. Sand fill (D) calculations assume a Table 383-44-3 in -situ soil treatment for fecal coliforrn of <= 36 Inches 6.00 Cell Width (ft) Are the laterals the highest I in the distribution network? Enter Y or N If N above, enter the elevation ft of the highest point. 11.25 ft2/orifice Does the forcemain drain back? 0 Enter Y or N 16.31 Forcemain Drainback (gal) 67.47 5x Void Volume (gal) 83.78 Minimum Dose Volume (gal) 26.21 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallonslinch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 650-001 Dose Tank Capacity (gal) PolyLok I Filter Manufacturer 17.00 Dose Tank Volume (gallfn) r525 IFitter Model Number Weiser Manufacturer Project: ELIZABETH M. FALL Page 2 of 12 Mound Plan and Cross Section Views u 1H0B .......... ... _. 1111— K . • J : : . . . . • 1:1:M1: •L•��\�{'�'j�yyf��jj4f1�\H 4�1.1/��1�\�\� • L�\ ti�h�ti�4�4r4�{�{r\rLr4f\flfti of\�\f•• PPP •• •M1M1• 1 M1•1.1•L•L•M1• L• L• 1.1• 1.1•M1•M1• l,r.r.r• A I•J}I./�R!•I.t !•I % !}! J}!•%}il%}J}i}i}i}i}i}J}i}f}i}i}i}i r•/} •\•M1•L•M1•L•L•L•L•1•L•L•L•L•1.1.1• L•1•\•1.1.1.1.1.1.1.1.1.1•M1•1•L•1.1.1• •J•I•f•f•f•J•J•J•hMhhr•/- J•Hr•r r•J•r•r•r•!•!•f•!•f•r•f•r• M1•M1•1•M1•M1• _t W........•..........•..... - - - --J•J•J•J•f•f :'•.. • r '.•. .•.•.•.•.•.•.•.•.•.•.•.•. •. •. •. •. •. •. .•. •. •. Mound Component Dimensions Down slop a toe extension made. A M6OO ft E 9.24in H"4.74 ft KA19.74 ft B ft F 9.50 in 1ft Lft D in G ..50 ft Jft WIt 450.00 (ft)Dispersal Cell Area 1 1125.00 (ft`) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 1 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 96.96 (ft) T H rrrrr.... ll .rr1 rrirrrrl7rrrririrr.. G rnrinr....... ninninii .. I F Dispersal tell : 95.67 (ft) Lateral 95.17 (ft)—► 7-7 Invert Dispersal Cell Elevation ::: ' ::::' ::::::::•. 94.67 (ft) Contour Elevation 4.5 % Site Slope t Geoteztile Fabric Cover Shading Key _$ I Dispersal Cell See lateral details on 1❑ _ Topsoil Cap a 1.5 ft Page 4 for number, size, r•!•r r•J I•J J-r r•r }•1•L•1.1.1.1.1•L•L•1•t'. 2 Subsoil Cap + O M1j .'"'„ ,};_:` and spacing of laterals. ® ,� q 1•M1•M1••M1 ti•1•M1 "•"' Laterals are equally ASTM C33 Sand ' ` ` ` ` ` •}•1.1_•L_•L•L• 4� �L �L �L•L•1•L•L v Z }'fi' ' ' ' `.L't`.t F spaced from the r•. r.r•r• Tilled Layer 0 0.5 R LI} T1r l L11*R. .,}•L.L M1 Y M •L•L.ti•M1•M1•1�1�M1�M1�M1Y1 L!1• R.— distribution ution cell's Elm Aggregate /•r•J.r•r•r•r•r...... ... •M1•1•L•L•M1•L•1.1•L•L•1•L•M1• Q � 1 •r•r•r•r•r•r.r•r•r•r•r.r•r centerline in the A distribution cell (AxB). Project: ELIZABETH M. FALL Page 3 of 12 ater s centered over tlr e— P End Connection Lateral Layout Diagram • - Turn -up of ba I I va hra or of oan out pl u g All laterals ate Womical I(- X--- ). I lades drilled an the bottom of the laW bi equaly spaced Face main correction via tee or cross to maniiold al aril twin. Laterals Aforcemain Sch 40 PVC per SPS Table 384.30-6 Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head 2 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral It Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Velocity 1.50 73.53 3.00 13.11 26.21 14.52 Dose Tank Information Electrical as per NEC 300 and SPS 316 300 WAC , Tank component is properly vented Weiser I Manufacturer Capacityl 650.001 Gallons Volume 17.00 gal/inch Dimension Inches Gallons A 20.41 346.92 B 2.00 34.00 C 4.93 83.78 D 10.90 185.30 Total 38.24 650.00 3" Alarm Manuafacturer I SJE Rhombus Alarm Model Number ITank Alert AB _t A B C Disconnect Pump Manufacturer IGOULD Pump Model Number IPE 41 Pump Must Deliver 26.21 gpm at 14.52 ft TDH 0.188 in 3.87 It 20 11.25 ft/orifice 3.00 ft 1.50 m 2.68 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min. I( Alternate outlet location Forcemain diameter 2 in. Weep hole or anti - siphon device P'4 ump off elevation (ft) 85.91 use tank elevation (fl) 85.00 Note: Switches containing mercury may not be used in this system. Project: ELIZABETH M. FALL Page 4 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name POWERS SEPTIC SERVICE Phone 715-246-5738 POWTS Regulator's Name St. Croix CountyZonin Phone 715-386-4680 System Flow and Load Parameters Design Flory - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 If Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Cofiform >10E4 cfu/100 mL Septic and Pump Tank Effluent Fitter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(1), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Dated Finished •.....M450 Grade6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve BoxPlug or Ball Valve Distributiong Sweep 90 or Two egree Bends Same Diameter as Lateral Project: ELIZABETH M. FALL Page 5 of 12 Wastewater METERS FEET 40 I PE51 35 10 30 PE41 i 25 \ u 20 T O J Q , u 0 7v�/ 10 5 0 00 1 0 PERFORMANCE RATINGS PF31 MODELS: PE31. PE41. PE51 HP:.33, .40, .50 10 20 30 40 50 60 70 GPM 80 5 10 15 m iit CAPACITY ToW Head (feet of water) GPM 5 52 10 42 15 29 20 16 2S 0 PIF&I Total Head (het of water) GPM 8 10 61 S7 5 46 20 33 25 16 PEs1 Total Head GPM Ifeat of water) 10 67 20 1 50 25 39 30 26 EUUSM fAr-1 L 4 --'L ?� / o � , 98 � Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code This system shall be operated in accordance with SPS 382-64� Code, and shall maintained in accordance with its' component manuals ISBD-10691-P (N.01)01), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P IN 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter aseptic or pump tank since dangerous gases maybe present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis, Adm. Code when the tanks are no longer used as POWTS components Septic or pump tank manhole risers, access nsers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281 48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartndge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the filler shall be serviced it the alarm is activated continuously. Intermittent filer alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pura Tank The pump (dosing) tank shall be inspected at least once every 3 years All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mourd's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction In the winter will promote host penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD., 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODs, 30 mg/L TSS,10 mgJL FOG, and 1 W cfu/100 mL for highy treated effluent. Influent flow may riot exceed maximum design flow specified in the permit for this installation. The pressure dishibubon system is provided with a flushing pant at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test Is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective oomponent(s) shall be immediately repaired or replaced with a component of the same or equal performance If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition See Page 5 of this plan for the name and telephone number of your kcal POWTS regulator and service provider Pretrealmad Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered pan of the overall management plan for this system. Project Page 6 of 12 Wrscormn (leparsnere of SaIMy a vraaa,mm Dnrsew of In*,WV SefvKeS SOIL El i�oCt�tT�rCi 111LS_�—�, ,d f A f#ION REPORT— In atxoroancr e m _"J�JSfI YNs Abn COW C`O*_%- Attant cosar plan an oaper not It" Wtao ! 112 ■ i I mat•rt set wan reel atoude. Paroe, 0 - -- - tw not rttaee an to verkc* d W%MnW MftmMm pant (W) erecson and preeM awoe. .• - c, c, scat of do me sows norm anon and be bw and datartce a neansl roan---�-- Rer etrad a I ow I'rsonar rnlprntalrpn p�OvCe Da usro for purpoias I�acP tan 6-1-504fixi"ll— - — Proprrtr Owlrr C o rJ+` u+ Go « X J C % S T ProprAy Owwa "1* Addrasa - Sb *409ea Of ad CSY Slat a RAT — -- — — Ch sme. LP W 2 3 4 e 17 PMrr Wor;w— ❑ Gry ❑ Vpage Tavel T nl2 w C.�— ❑ e1a�CorreSrtreson um 59 FAMO M01 10rrearoe0adooms ) — ------ Code dwftlw parq,tnow roe L, GPo RpbOdnw D Puck or a mrr eva - Darner t ator Punt •«aeon f aodCR Paw meWo La i cc ._ :t j S D ,; ' -t c j^f : :. ' -!� . _ x ; . S = n 7 GOWN com"w" s and Acorrawdeaora I y r ` \ 9atttp IF OP-1 PGraved fI/(epa astr 7 7. ►� R Oapet Io ue�rrn terror on/ asv II $00 AOPW W^ Rate 110rQOn OepH In Don color mames Radon01swoka Ow A: Cord Cab Teas" SYWIMr Gr S: Se Casalence 9awdS11 Roof GPOA'P -Erpt -ERp2 .< O 9mrq a ON CwVAd SWARM aw �R Drpel b MMrq Iec7lor - : m r eMtr R _ SOW AppWcAbon Rate pWWWd Can Redde 06my sm Traorra sauetun canvo as 9oratd" Rom GPd_— t(murt DIn oW A: Cary Calm rig ss sn _ *EFat *EM2 ri,_- L2— k ! d� --- — _-- - -- a W1 I csT.NWntn..__ - ----- �ST Nernr(P �P�YTQ r cJ Dow > ]0 s 220 frgfL arts TSS > ]0 s ISO r"ga EIDwrW 02 = 900 s 30 rnWt artd TSS s 3agWL EM�ent at : 900 s8D-0130IR01221 P(cc 9 eF 12— Pape of - [ Bo' ng s p BP ! C.roww sa'lace err y 3.31111 Depm 10 wr►b tadoin elev _ft Sao AM C~ R** Nonton DeathDom nand Co or ReWs Dew, phon Te■!jre Struct,rre Cons sle• .e Bow,Ory aRoosIn Hansel Gr Sz Sh r-- 'EMI -Eff@2 74E, L sw»,q a ❑� p!M Oraors arrLoe taev a Dept" to l,mww bdw r ery —a Sao Appamoci r Raft HORM DOM DansrwrI Cara f mftx Desavib a Taaaoe 9Ylrct M CW&GWM BmerauT Rana GPO�N _ In murao Ou Az Cant Cab Gr $t Sh 'EM1 'EM2 _ I lI Bon•rg Bo ^9 a ❑p. Grojnd w•lace ear _ _ A Doom 0, fectw �_ M r elev A I Saw Aap4cab0or Rate maraan Depth Dom nor Cow i Reoo>DeSupeon ie,twe SMtlwe Gwmslrrae eowwary Nana -- GPOIfN In Mire/ Oj Ar Con Coror Gr Sc Sn 'EMI 'EM2 • Epyenl a1 • SOD > 101220 mWt OWT$$ > 30 s 1 W nryc ' E m.+ar. a2 -BOO s 30 r'r4't sno i55 s ]amyl 'act : /0 it j /L h�a C3+ a';,1-14k, I I 41 ' J To ewltk Latt) t r\ 41 ' J To ewltk Latt) t r\ SANITARY SYSTEM File# $T. C R NTY Office Use Only —0 OWNERSHIP/ADDRESS FORM cr.aw2l"1 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Proorty Files Scanned weblink. OWNER/BUYER INFORMATION Owner/Buyer t L 17A 6L ZY 4✓L z �/`}/.✓ . Mailing Addre: City/State/Zip Phone Number (required) 7/-5- - as a — y `-/ f 7 Email Address (required) Parcel Identification Number /07 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location ,'/. ,5.E '/a , Se4)L, T30 N R��W, Town of Subdivision Plat: Lot # Certified Survey Map # Volume . Page # Warranty Deed # //' /�2 R _*3a (before 2006)Volume . Page # Number of bedrooms 3 Spec house O yesAno Lot lines identifiable 0-yes 0 no New Property Address - 4k_�_ (stad Initials) ) aV46 (Verification of new address IY /9 ZL (Da e) OFFICE USE ONLY from Community Development Department for new constriction.) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department - Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, WI 54016 www.sccwi.00v dfMIW f , ^ .I Attach cortplete site but not limited to ver scale or dimensions, LIDg Services-aaaa Services ti� �02� OIL EVALUATION REPORT ��� C,o��vYn ance with SPS 305, Wis. Adm. Code county Sf C on pep�r node m x 11 inches in size. Plan must include, 7 rhd rice point (BIN), direction and percents Parcel I.D. h location and distance to nearest O / Phase print all Informatlon. V R iewed by wide may be used for secondary purposes (Privacy Page 1 of-3— Property Owner 1 C o ►J +�C} : u Property Location r� E 1.: .�- h t f uC Govt Lot S E Y 5 %. S 9 T a p N R 1'7 E (or) �N `roperty Owner's Mailing Address Site Address or CSM and Lott. City, State, Zip wt S y b 17 Phone murnber ❑ city ❑ village ID Town Nearest Road Ni -,Or. (►S) —441 R p Mewcahstru Lion Use:09 Raaidential/NumberofbaAroorns_ �_ Coda derived deeignHowrete 710 GPD J R Replacement ❑ Public or commercial - Describe: Flood Plan elevation if applicable ft. I Perentmeterial let r,W-,P t'111 T,yvll a&64 a (e'v.75�j1S��11•„a'Mev�a Sad .ri 95-17 General comments and recommendations: X ) - �'r` JGS�ii Boring t ® Boring t1 I p I p Pit Ground surface elev. 17. 0 ft. Depth to limiting factor3a—in. I elev. n. Soil Aoolication Rate MOM ml l - �KWM�jffj . aBoring t ❑erg I pPit Ground surface e1ev.-&62n. Depth to limiting (actor 3 f in. I elev. R. Sail Amlioation Rate ®®um • •, .,. ®. ��®®� ST Name (Please Print Slapature CST Number a Address ack) aoQ : .54. Date Evaluation O Telephone Number S g Effluent 91 = BOD > 30 S 220 nWL and TSS > 30 s 150 mg/L ' Effluent 02 = BOD, S 30 mgfL and TSS S 30 rrg/L SBD-8330 (R03/22) LO- I Page a of o❑Boring 3 Boring a ❑Pit Ground surface elev 93,33 ft. Depth lo limiting factor�_in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont Color Texture Stricture Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Effitl •Eff*2 ( o-fP, S: L- a F 5 b k u 514 1, s b vL vv 11= 3 0- 3 Y ---- _ h k H C v,� I., , FTS y , rA — , 7. ❑ Boring If ❑ Boring ❑ Pit Ground surface elev. fl. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'EffiF1 'Eff1f2 ❑ Boring # ❑ Ong ❑ Pit Ground surface elev. ft. I Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont Color Texture Structure Gu Sz. Sh- Consistence Boundary Roots GPD/Ft2 'Effi1 'EffX2 Effluent f1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L ' Effluent 02 = BOD, s 30 mg/L and TSS s 30 mg/L E�'�6 CCA Ile �•.� 0.1 � -.��n � a�aol V,�4 r�� fA r' ,St t-6 ���d i !�"0 Q Ar S'� ,ats 7v11 ' Qh mill 04 i +) tl+-VV1"z 1 INV M ■■ ■Qir�r �■■ �■■� VAS& r�'�i�i■�■'�i■■�■-d ■■ Yr� ■■■ ■■■ ■ Y on ■ ■� I � Iowa■■■■■■■ I ■ t � .sill•' j� �_i30K COUNTY No. 645493 STAE SANIT RY PERMIT *z CN Re T OWNER PLUMBER TOWN OF SECP ,T_ AND/OR LOT PREVIOUS NO. nanpol SUBDIVISION 145.135 (2) WIS456NSIN STATUTES (a) The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The unitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not Impair the validity of a sanitary permit. (e) Renewal of the unitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may impede renewal. (f) The unitary permit is transferable. History: 1977 c.169;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. ISSUING OFFICER - DATE Z PERMIT EXPIRES MW9141041 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-W99 (RI 1120) St. Croix County Planning and Zoning We*usftFebruary01,2006at4.12:48PM Detail Sanitary Information Page 1 of 1 Computer 0: 012-1025-80-000 Sub/Plat: NA Section: 9 Parcel •: 09.30.17.140 Lot: TNfRNG: T30N R17W Municipality Erin Prairie. Town of CSM: 114114: SE 1/4 SE 1/4 Owner: Kirschbaum, Marvin 1612 County Road T New Rictrnond, WI 54017 State Permit: 119510 Issued: 06/12/1989 POWTS Dispersal: Mound Penift Replacement County Permit: 0 Installed: 07/21/1989 POWTS Detail: NA Bedrooms: 3 WI Fund: yes POWTS Pretreatment: NA Notes lssmdlrrAm As Built Plum Other Reauirements Addltionsl Nolss MoneLOymd Not determined NA Powers, Calvin $0•00 Tom Nelson Signed Off: Yes Maintenance Scheduled Pumo Dale Pumped 1st Notificaton 2nd Notification 3rd Notification 7/21/2004 04/01/2005 Parcel #: 012-1025-80-000 02/01/2006 04:06 PM PAGE 1 OF 1 Alt. Parcel #: 09.30.17.140 012 - TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner % WILHELM BORGSTROM ELEANORE M BORGSTROM O - BORGSTROM, ELEANORE M 5310 W 13TTH ST SAVAGE MN 55378 Districts: SC = School SP = Special Property Address(es): ' - Primary Type Dist # Description • 1612 CTY RD T SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acne: 40.000 Plat: N/A -NOT AVAILABLE SEC 09 T30N R17W SE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 160114) 09-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 886/141 07/23/1997 532/584 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 104732 Use Value Assessment Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 45,000 127.000 172,000 NO AGRICULTURAL G4 35.000 5,700 0 5,700 NO UNDEVELOPED G5 2.000 200 0 200 NO Totals for 2005: General Property 40.000 50,900 127,000 177,900 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 13.100 85.700 98,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 130 Specials: User Special Code Category Amount Special Assessments Special Cho as Delinquent Charges Total 0.00 0.00 0.00 �EDART FNT AF iNn1 ICTRV LABOR & HUMAN RELATIONS P.O. BOX 7969 MADISON, WI 53707 SEk,SEk,S9,T30N-R17W Town of Erin Prairie INSPECTION REPORT FOR SAFETY BBUILDING ON -SITE SEWAGE SYSTEMS DIVISION OFFICE OF DIVISION CODES 8 APPLICATION n Plan I.D. Nutneer. ��ONVENTIt]I11A1 El -Ground I"a'upn°°I ❑ Holding Tank ❑ In -Ground Pressure n Mound A Ot A71 TeOI L N I A Marvin Kirschlx m Route 3 Ne wRichmand WI 54017 1— BENCH MARK rmiiim I relerence POMI) DESCRIBE IF DIFFERENT N' Nam WPlumetar MPIMPRSW No.: Counly. San"ary Permit Number' Calvin Powers Jr. 1563 St Croix 119510 SEPTIC TANK/HOLDING TANK: MANUFACTrU�RER: 1 LIOUID CAPACITY: TANK INLET ELEV: TANK OUTLET ELEV." WARNING LABEL LOCKINGCOVER PROVIDED PROVIDED O Y YE N BEDOINo VENT VENT MAIL.: MGM WATER NUMBER Of ROAD: PROPERTY WELL' BUILDING VENT TO FRESH C ALARM FEET FROM 1W !%LLB f� AIR I ❑ YES ❑ NO FEAR[8T�► ? f LI ❑ YES ❑ NO `/ DOSING CHAMBER: MANUFACTURER BEDDING: LIOVIOCAPACITY• PUMPA100EL' PUMP/ PHON MAN ACTURER /rq � � WARM LABEL PROVIDED LOCKING COVER PROVIDED: &/Nf YES QNO G �a7D IUVES ❑ NO ❑YES CRNO GALLONS PER CYCLE' WEEN PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY I WELL: BNLOING'. VENT TO RESH PUMP ON AND OFF) ES ❑ NO FEET FillL NEAREST —� yEQO f AIR I ET /` $OIL ABSORPTION $YBTEM. Chock Boll moisture at the depth of plowing FORCE LENGTH. DIAMETER MATERIAL AND MARKING or excavation. (II Soil can be rolled Into a wire, construction shall cease until 3 the soil is dry enough to continue.) MAIN e1116n. rVIeAL a TOFCan: BED/TRENCN WIDTH: LENGTH: NO OF DIS PIPE SPACING: COVER INSIDEA_. SPIT$' LIQUID DIMENSIONS TRENCHES: MATERIAL PIT DEPTH GRAVEL DEPTH BELOW PIPES: FILL PTH ABOVE COVER: 015TR PIPE ELEV. INI-ET: 0ISTff_FM_DIS ELEV. END: MA IAL-. $ .NUMBER OF LL: UIL I H I PIPE$" FEET PROM LINE: AIR INLET uwrwn r.vw--��_ NEARE8T �► Mound Site plowed perpendicular slope and furrows thrown unslope: Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM mound systems to make certain that it ON REVERSE SIDE. SHOW pa YES ONO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER I TEXTURE: • PERMANENT MARKERS OBSERVATION WELLS: YES ❑ NO kYES ❑ NO DEPTH OVER TRENC/V D CENTER: /. E DEPTH OVER TRENCWBED EDGES: DEPTHS OF TOPSOIL: Ie' SODDED SEEDED- MULCHED Ay OYES NO ES ❑ NO ES ❑ NO PRESSURIZED DISTRIOUTION SYSTEM: BEDlTRENCN WIDTH LENGTH: NO OF LATERALSPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER' DIMEN810N8 977. 9f TRENCHES: r• J_ MANIFOLD ELEV.' PUMP ELEV: MANIFOLD CIA.^ DI$TR. PPE MANIFOLD MATERIAL NO OISTR ggTP. PIPE gSTRIBUTION PIPE MATERIAL a MARKING ELEVATION AND ELEV. I PIPE:.? DIA A 5""J DISTRIBUTION J( INFORMATION HOME E: SPA IMG DRILLED CORRECTLY. COVER MATERIAL' - VERTICAL LIFT CORRESPONDS YES ❑ NO APPROVEOPLAN9 25YES ❑ NO COMMENTS: PERMANENT MARKER$'. OBSERVATION WELLS• NUMBER OF PRO RTY ll- BUILDING YES ❑ NO ® YES ❑ NO FEET NEAREST'�0 FROM uNEy _ •Y� �' _.G ' Sketch System on Reverse Side. Retain in county file for audit. SBD-6710(R 05/88) ��"'` I Zming Adtninistrator SANITARY PERMIT APPLICATION COUNTY Dj DILHR DILH In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT N -Attach complete plans (to the county copy only) for the system, on paper not less than 119510 ❑ Check If revision to previous application B''A x 11 inches in size. STATE PLAN I.D. NUMBER -See reverse side for instructions for completing this application. I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. $ S —O go PROP TYOWNER PROPERTY LOCATION ''/. W $ 1/4, S N. R or P TY OWNER'S AILING ADDRESS LOT M BLOCK N C , STAT ZIP C E PHONE NUMBER SUBDIVISI N NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) I NEAREST AD -T ❑ State Owned . VILLAGE ❑ Public � 1 or 2 Fam. Dwelling-# of bedrooms 1) Q�o2 _ _ 5r7ro � III. BUILDING USE: (If building type Is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hell B ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ RestauranUBar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 Service Station/C Wa 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 Other: Specify IV. TYPE OF PERMIT: (Check only one In line A. Check line B If applicable) El Now 2. X Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an A) 1. System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # — Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 42 ❑ Pit Privy 12 ❑ Seepage Trench 22 ❑ In -Ground 43 ❑ Vault Privy 13 ❑ Seepage Pit Pressure 14 ❑ System-In-FIII VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12.ABSORP.AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE I&SYSTEM ELEV. 7. FINAL GRADE (Min./inch) ELEVATION REQUIRED (sq. h.) PROPOSED (sq. tt.) (Gels/day/sq. ft.) rO Feet z7 Feet Y11. TANK CAPACITY in gallons Total # of Manufacturer's Name Prefab Site Steel glass Plastic App. New etln INFORMATION Gallons Tanks ConcreteCon- atructed Tanks Tanks S We T nk or Holding Tank Lift Puma Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for Installation of the onaite sewage system shown on the attached plans. Plumber'sName (Prl Plu rs Slgnatu Impel MPIMPRSW No.: Business Phone Number: ATI I 1- Plu a Addrset (Sires Clty, State Ip e) t IX. to Y I Ing Agent Signature (No Ste s) Disapproved lary Permit se (Includes Of: a all au surcharge udes O Fse) ❑ Owner Given Approved Adverse Dole rmiaf X. CONOITWNS OF APPROVAL/REASONS FOR DISAPPROVAL: aBD-aM (formerly Plb-i (R. 11/88) DISTRIBUTION: Original to trounry, une wpr 1 o. o sky ^-• w ---_._... _ _.. _ . INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 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 sewage system, contact your local code administrator or the State of Wisconsin, Safety d Buildings Division, 608-266-3815. 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 in 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 in #1-7. VII. Tank information. Fill in the capacity of every new and/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 systom. Check experimental approval only if tanks received experimental product approval from DILHR. Vill. 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'% x 11 inches must be 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; close volume; elevation differences; friction loss; pump performance curve; pump model and 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 practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-63M IR.11roe) 1'O, -*�/3 �, r APPLICATION FOR SANITARY PERMIT STC- 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any Inadequacies will only result in delays of the permit Issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------ ----------------------------------------- Owner of property ,/�� ,a _eai'- /�Sa.-, Location of property %JX_1/4 -sZ 1/4, Section , T,z�N-R Y Township Melling address Address of Subdivision Lot number Previous ow Total size oat* parcel Are all cot Is this pro volume -5, A WARRANTY the BBAL available, the deed de Map shall a IIYe) Corti knowledge; this infoi the County presently obtained a constructi( of the Coui Signature i la / ..2 Oate of Bli INDUSTRY, OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS ' INDUSTfl V, DIVISION HLABOR AND P.O. BOX UMAN RELATIONS PERCOLATION TESTS (115) MADISON. WI 537969707 I1-163.090) d Chapter 145.0451 for I/ PMCOlalion TNR ara NOT rpuirq� D SIGN RATE: If any Pon,on of the tMed aru h in Ihe under e.1B3.091 foal", indicate: A1Ak&WA _ - FloadPlain, indicate Floodp oin tlevation: PROFILE DESCRIPTIONS �9JO/ (SEE ASEIRV. ON BACK.) MM-'�11 -� m-=_- PFRMI ATION TESIN MAW" /i1l�1���5�' PLOT PLAN: Show lOgtions of percolation WIs, mil boring, and the dimensions of suitable call ere". Indicate were or distances. Oawnba caret sae tre non wntal and ysatirical gimtion refarenw Wma and show their location on the Plot plan. Show the wrfece alayation at all footings and the direction and Percent of land slope. SYSTEM ELEVATION _/I1ct�aw .� t LJ •.Aelf.-YAScTs. -- J •, t•_..JL•8A/7L'. ,>1�iL1 _.' � .{--.. �_..' � r .:. 1 � S7}..:-.-r- _--t--.._.... -- � -- •--�--- 1, the underdgrwel. harebY oertifY that the Wit ram reported onkhis form yrene made by me in accord with the PocadUi Adminietratire Cade, and that the data recorded and the location of the Um ere Lund to the beat of my knowledea and A DIHTRIBUTION: Original end one COPY to Local Authority. Proowty Owner and Soil T• irr. DILHWS11104395 IR. 02182) - OVER - _ - __ INSTRUCTIONS FOR COMPLETING FORM 115- SBD - 6395 To be a complete aryl accurate soil test. your i etor t must mclutte: 1. Complete legal desmiriamn, 2. The use secuon must clearly indir:ate whother this is a :esidrnce or cornnlelc.nl project. 3. MAXIMUM number of bedrooms or commercial use planned; d. IS this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; G. PLEASE use.. the abmevialians shown het.• for wiling profile descriptions and completing the plotplan; 7. MAKE A LEGIBLE diagram sa:tuatr:W Incaiir,g your test localinns. Drawing to srale is pn•ferred. A separate sheet may be used d desired; 8. Makr cute your bewchmaa. and veinal elevatin-i refe:.-uce Twin! an• i learly Shown, and arc nannancou, 9. Complete ad approotwe txoxes as to dares, narirs, a0dtesses, flood p.am data. ticrcolabou test r•xemp Lion, if ijureppuate. 10. It the 0110rma!101: l:uch as Ilood plain, nlev.ntunI does not apply, place N.A. in the appiojn,ufe box; 11. Sign role form and I!larx your current address a•d your certifieaiinn number: 12. Makr I'xpble mpu and rbstnbu;e as mfluitr 1. ALL SOIL TESTS MUST BE FILED WITH THE t OCAL AUTHORITY WI I MIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sod Separates and Tretures Onc.!r Svmhok •I - Sl ,, ,o.rr 10•"1 fl fl -. O..dnn:k roc Cobbb' 13 10") IS - SanCaurr q' - G'asel luoder i") LS -- L-ow"nnc • Sluul s.fvY H.gh G•owrowaw, LS -Oww Sand P-'c PO"O.1l101 Rah• Itself s - M.xlium Sand 1y ,. •d 1, Floc Stud Bid'; B „tar."i Is -' Lllaluir Sln(l , Gwallr Th.., '%I S;,ndy Loam ! ire Trim( •I — Loan' Br. Fi •. s I S. I Loan• BI !dart SI S. I try - ti-i.y 'cl _ Cly, Loam y y..lior. sci — Surety Clay Loon R — H-.,: "Cl- S'•ty Clov Loan not - !aa•.rr: a' - S';1oy Clay "i V..' , s.c — F:"Fv Cas' fit I;rw, tin.• •ain• r Glrr rr. - rtlimm �r, r 0ari n: Pn,d rim Merry. nrunlunr n� Mur k d -- 'h,bm.: p - pcnnrrm art HWL Hrth aah:t :'`eel, Six rWmet:d soil texlt"s 'Au lace v/alel to, liquid wdste dlSposal BM - Berch Mark VI111 Vrrbaal Reten•nrt PO.ni TO THE OWNER: I'his soil lest report is the In 5t +rep ul securing a sanitary pi-, uut. The county ut the Department -,lay request verificaiion of this soil test io the field print to perinil iauance. A complete 9:1 of plans for the private sioNage system and a oelmil aupli Cali-,n most be submitted to the aplsl Upuate local authority .. Order to ohtain a permit. The sanitary p+rmn must fee obtained and tasted prior to the Start of any construction. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ! l6�_IjAoal.,, ROUTE/BOX NUMBER S FIRE NO. CITY/STATE ZIP PROPERTY LOCATION: •Se'l/4 _Sr 1/4' Section , T.14_N R_oj�7_W, ToOF of ��211I it , St. Croix County, ai'sion Lot No.. Impr use and ma-Inteance of —your septic system could result in its premature fa! . q tanIlle wastes. Proper maintenance consists of pumping out the septic tank••eve three years or sooner, If needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their ..system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (Z) after Inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system In accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. Q l SIGNED DATE (v - St. Croix County Zoning Office St. Croix County Courthouse 911 1th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address State of Wisconsin Department of Industry, Labor and Human Relations V171 V1111 r. 1 1. .^.M Z61 RF: Plan number: SOR-04001 SAFETY & BUILDINGS DIVISION SBD-6423 (R. 08188) iState of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION h w -_1 !" rl� •.ro i!V I i SOD4423 (R. 08/88) State November 7, of Wisconsin \ 1988 he, flarvin Kirschbaum Route 1, Box 641S New Richmond, WI 54017 Dear fir. Kirschbaum: Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 59707 Petition No. S88-04601-P Re: flarviln Kirschbaum - Residence Onsite Sewage System SE,SE99,36917W Town of Erin Prairie, St. Croix County, WI Section 145.24 (1), Wisconsin Statutes, and s. ILIiR 83.U9 (2—)--(b), Wisconsin Administrative Code, allow the owner to petition the department for a variance to the installation for a onsite sewage system to replace an existing onsite sewage system at a site which is not in full conpliance with the siting standards in the administrative rule. The systen design proposed should protect the waters of the state from contamination. If this system becomes a failing system or contaminates the waters of the state, this variance shall be rescinded. The petition for a variance requested to s. ILIIR 83.13 (1) (d) of the Wis. Adm. Code was considered on November 1, 196b. The petition has been conditionally approved. The condition being that in the event of failure, the mound system shall be replaced with a holding tank or other otf-lot system. The rule requires that a mound system have a miniraum cf 24 inches of suitable natural soil. The variance requested was to install a replacement mound system on a site with 21 inches of suitable natural soil. All of the data and statements submitted on behalf of the petition sere considered. This variance is specific to the subject pete used for any additional modifications. Sincerely, c i�itbr�d t4--y�dArer, chitect 2C^ Director, Office of DivIAion Codes and Application (6U8) 266-3080 RM:PEP:U970g cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Calvin Powers, Jr., Plumber n ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, W154016 (715)386.4680 October 21, 1988 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, wi 53707 Dear Sir: An on site investigation for the Marvin Kirschbaum property located in the SE 1/4 of the SE 1/4 Of Section 9, T30N-R17W, Town of Erin Prairie, St. Croix County, revealed suitable soils at a depth of 1.75 feet, below which high groundwat er was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, rjJual, I rs Thomas C. Nelson Zoning Administrator TCN:rms 11,00 e,u,ew N O vQ.m b e.r2 171 S 88- 04801 s l ov. S Fall ; CL RECEIVE© liov 11988 CFr CE OF OiViSION Its-aye_s13s i F'1ARw'r inaa"Mment of Industry, ONSITE SEWAGE SYSTEMS Office of Division Codes end Apokistken 3 Labp and t(uman Relaborls Clnsitf Sewage Sacowr�, .: Sel�y end l�taldings Division I E. yWflttingtont�ve r *-141l F 1., PLAN APPROVAL APPLICATION O eoa)M66S� - �T r• WYNCT10N7: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed unW.aRfats art received. The tT tavern slide of this form describes most ottee required plan information Further requirements maybe coiltamed in "Wisconsin Plumbing r Code, which can be purchased from the Department of Adi*nistratlon. Document Sales and Distribution. 102 South Thornton Ave.,-P 0. Box 760, Madison, VVI S3707, Telephone (608)266-33SB. , Plan Number Previously Assigned A. PRIpACT INFORMATIO*(Type or print dearly) S inm arty(Plans urned same) Project ame ;1 s, SWbdt#ddr*%,I,O. Box P or Rural Route Project Addrms or Le al Description k.` City V,Iwge S ate Zip Cade City ❑ County U Village ❑ of 'IS Town TeFiaphong, No. (include area code) p Name lownet ..7 phone No (include area code) Telephone No. 0nclu e s ea code , Mheatilli0dilexis, P O. Box 0 or RutialJtoute Street Mdresi, P.O. Box M or Rural Route �. r y Or PQO State Lp Code City vi lag state tip Code r ;7R. APPt�L''I�C'�ATION FOR: ❑.paw Construction f ` 51oplecament 4 ait/ntsi0n b. C. rRt [( Expennllntal [� Large Slktem Q At,Grad� ❑ Pressurtted System (Mound System ; ❑ Holding Tank a Conventional Gravity System ` ❑ foundwpter Morwlibnng ❑ System in Fill Pritton For VMiMn ❑ System in Flood Plain (attach SBD-6698) ❑ t1EMr AtternaOves .'1 1a _ b3T DNIPLITATIONS (Indude existing tanks) . AN•CHECKS ►AVAaLE TO SAFELY a KHLOIINGS OMSION. T50- 1,500 gallonsepticHnk S 5040 I"501- 2.500 gallorsseptictenk $ 60.00 2;501- 5,000 gallOnsepttclent $ $0.00 5,001. 9,000 gallon septic tank $100.00 9.001 • 15.000 gallon septic tink S I SO.00 Over 15.000 gallon septic tank S250.60 FEE SUBMITTED FOR OFPKE usj r g. i 3 j. k. I. t .. S00- 1,000 gallon dose chamber 2,000 gallon dose clr)ambar T'r2XOi- 4,000 gallon dosecllamber 4,001- 8.000 gallon dosrchamber 8,001 - 12.000 gallon dose chamber Over 12,000 gallon dose camber $ 10.00 $ SO -DO S 7000 S 90.00 $110.00 — $150.00 t r► , — 6 r in. 500 - 5.000 gallon holding tank S 30D0 _ n. 5,001 - 10.000 gallon holding tank S $5.00 0.'; Over 10,000 gallon holding tgnk $100,00 Revisions S 20.00 y4 . ti. Groundwater Monttormig- Pat Site S 3200 (other than a proposed subdtvisso�) « s� r. Petrtion For Variance: Setback $ 25.90 .. L. Site Evaluation $ SO.40 r lay Subtotal: :.. s Priorky Plan Review: Enter saint amourn ss subtotal Total Fee:_ SBD-67484R.04 dB) NOTE.Fet• , e purs:,ant to Wv. Adm Code. Chapter Ind 9, ar:d OVER + are act to : hange an, ually ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET a HUDSON, WI 54016 (715)386-4680 October 21, 1988 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Marvin Kirschbaum property located in the SE 1/4 of the SE 1/4 of Section 9, T30N-Rl7W, Town of Erin Prairie, St. Croix County, revealed suitable soils at a depth of 1.75 feet, below which high groundwat er was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, "k C'. ►J �i. , rs Thomas C. Nelson Zoning Administrator TCN:rms S 88- 04801 1�0`1 1 196a pP?lGt, Or wOp;�S10��4 c.n' s �`• PETITION FOR VARIANCE OF A RULE IN THE WISCONSIN ADMINISTRATIVE CODE WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY b BUILDINGS P.O. BOX 7969, MADISON, WI 63707 OFFICE USE ONLY Petition No. E-Number I_y_ No KIrSCi�au Building Occupancy or Use A -Company 7Ye,T,L s Street St No. Tenant Name, if any ruone o StJ&JLA No. XQE�rm Budding Loceiio Street No. i ,fix 1; Katy Slate 6 Zip r 5 61 City state & zip City County Phone 55,01) citmond --15/6-S/.�S' Phone f Plan Number(sl Name of Contact Nson -v)1`14- - y IF KNOWN 1. Rule /.L# %2 G, 3• .3el)f the Wist msin Adminstrative code cannot be entirely satisfied becAuse: b-°„ =�5 ------------------- ---- --- c ------ -------------------------��}--���-- 0p ----------- -- pltlSlONn ----------------------------------------VZIL�'U Cnpvt 2. In lieu of complying exactly with the rule, the following alternative is proposed as a means of providing an equivalent degree of safety: v.sr /' S " 64 S¢ t S{•-.a 04 __ ba1ty�4 ---t Bo-9e„ _D7r1Lr __j;tnaLr1—ft_e�d_4 n 4 ----------------------------- 3. Supporting arguments are: —_---_lake — D��ei• ---tial-Ld--as--mor•it- VERIFICATION BY OWNER - PETITION IS VALID ONLY IF NOTARIZED For Fee Information See ILHR 69.15 or Contact The Department at (608).267-7843 NOTE: Petitioner must be building owner. Tenants, agents, designers, contractors, attorneys, etc. may not sign petition unless a Power of Attorney is submitted with the Petition. V1t1 k \ Y� SCI\ b4u, (NAME of PETITIONER Please t Ype/print) being duly sworn, 1 state as petitioner; that I have read the foregoing petition, that I believe it to be true and I have significant ownership rights in the subject building. S8H-048U1 OFFICE USE ONLY 498turs, of Own" ,Ir Date Received Amount Paid Receipt No Subscribed and &w' oorrn to me this date: /0 T County, Wisconsin. Department Action fY� Notary Public Office of The Secretar Date My commission expiins:- 38-8 IR 12184) r IPEIPARTMENT NDUSTRY,OF REPORT ON SOIL BORINGS AND LABOR AND HUMAN RELATIONS PERCOLATION TESTS (115) HUMAN IHB3.09111 BI Chapter 145.0451 SAFETY 6 BUILDINGS DIVISION P.O. BOX 7969 MADISON, WI 6371IF 1 '� �N/A/711e 7- TOWNSHIP Ind yNLGppLITY SU Mvl NAME: UNTY 'alovy�rgg'SAAL7It: AZI MiSraulf OZka,� 7,d7vr,�vw. I �3 .,d i,)r s�i7 VM [s voa[ nOvw t 1Nea mw Va mRetibnb ❑New ®RaYlp ^J RATING: b'� SKa selllaell /b eMsen U� Silo trcaultebb fa evalam 11 P*.coten an Taku ere NntlOT raW"251 DEN RAT 11 env portion of the tested uu n m the under s,,16].OBIBI IeI, Iieue- 4TU/ Floodpw., Indicate Floodplam Nwa,on: PROFILE DESCRIPTIONS GGIRiNG UM NBER TOTAL ELEVATION T AT -INCH WITH THICKNESSCOLOR, TEXTURE. AND DEPTH TO R�ROCK IF ORSERVEO ISEE ABBRV SON BACK I R _ B• B• s > FO & F �tVt;tGN,nw PERCOLATION TESTS'''" rc• . a �7�� 9L�s7�6ii��».r,ra,�. B6731ii19Teif�����Q� �r7:Ir7J1)C7\Fi_fST/allAel Cla.� l �a�aa.¢a.>tnit�,��a.p•Ha•� ►LOT PLAN: Stow IOcebona of parootstion togs, wit borinim and the dimension, of Witable wll @Le, Ind,wa scale or dislanca,. Describe What W the hori rental and varHuf ateyation mfwono points and in" that, loMion On the plot plan, Show the kurlac0 eI.wti.n at dI borinyt and the direction sent lteent of •red slop*. SYSTEM ELEVATION fal s' .: fir. tsavu, ,N,rw 1 — -1-- ..i_+_,. —j Tr rkh I, Ind undersy,Wl, hereby wrhly that the and tests'emned On farm "re Tack by ms m &=rd with the powifdYi Administrative Cob, and that the deu recarbd and the location of the NM* *I* Comp to the best of my kno,rMdaa and 4- TT . i T° i dos, IdIlad .n the Wl m w, i DISTRIBUTION: O•tpirol amf 1" Copt, to Ln[eI Aulholny, p.noerty Owner and Sots Tester. ' DILHR S0043PS 114. 02,d21 -OVFR , ' ONEET - MIDubo SYPE DESIGN v °) _:F. ,�. '�.:i rf%,1E,E'Jw� lCrf�e4i»� �1•. 12 � ' Dl�:19n a wound systek for t TWO `;fte characteristics Aft: a +( ,. ; , • '�' Depth to' meter or be*!OCR 1 undslop : •• q � • 4.4. 4v. Percolation ra%1k `?� • 'v.' 01stance distribution systaa Elevation 'I�ff ,4 �P bnd ?41stMbyt}On sysL+� + f' } I t MASTAI ATE LOAD '• / %��� '.3 `c' . ,. �. SIZE tiTNESORPTION i � r.: w.I ,i 44 *; } og trench lento (9) *fu REGE���� �• j: orttrench width (A) • �� �s�t {. ..r g�V� rsG• ,V r , ,� S ... : 7 ��* ', :.'� •�r�',GE,OF r— ;9`4�I M; r '' �14 . Wing 0 rc • .E. �'µ;. ip#c q Ili 1 , .24 gal/ft2/day . B • ft7► ]yf. ¢tp 3. JwMHO HEIGHT t ;c ft. k A) Fill depth (D) • r g) Fill depth (E) ■ D +4 slope(ArT)_ "•-rl+.'.. C) bed 0" trench depth (F) • �¢:. r' i O . fib• P Af top"i 1 d�pth (G) • E) CAp topsoil diptp-� (Ny • - :•: r'',,�. 3� ' A. Q Q �5 ' /yEN X C.yaxN4 YV �1�iD17 '" ' Fr S 4. MOUND LENGTH A) End slorx (K) rDE ) + F + Hl x 3 ft. B) Total B + 2(K) mound`len9 th L ■ ( ) : 11,5 7,,5- Stop S. MOUND WIDTH Al) Upslope correction factor ■ _� A2) Upslope width (J)) (D + F + G)(3)(fector) ft. ° 61) Downslope correction factor • ,L L� f, 52) DownslOpe width (I) (E + F + G)(3)(factor) • rr /t. /8 (D(///,Y) 1_ CI) Total round width (W) for bed J + A + I y ft& i. �r r ' C2) Total mound width (W) for trenches ■ J * + (no. trenches -1)(c) + t f ■ - EL. 30,3 / Y Step 6. BASAL AREA dr . A) Infiltrative capacity of natural soil •or^;c of o" 15��^y 4a1/ttrr. r y, '• 6) Basal rea re7nfiltr;t"16Vstew&teritY mired flownature soil s ft. 9 C1) Basal area available for bed for sloping sites ■ ;,. B x (A + I) 11G: sq. ft. o C2) BaN,srL are avail le for trench for sloping sites • �8 75 S \ ; �J + 2� sq. ft. -� ySr 4P.3. ( i C Basal area available for trench or bed for level si s ■ B x W ■ sq. ft. Sion: S 4q c g Liconsu: f 8" U4 8i O 1 Date: pj- i , 931 7S;r, .30..3 3 �� kys Step 7. DISTRIBUTION SYSTEM STo/7 7A) SIZE DISTRIBUTION SYSTEM 1) hole size ■ E 2) Hole spacing in. ,C/L r Der �T 3) Distribution pipe length � 4) Distribution pipe diameter ■ �.� in. 5) Spacing between distribution pipes _Q^ in. 6) Distance from sldewall to distribution pipe in. 7B), DISTRIBUTION PIPE DISCHARGE RATE 1) Number of holes per pipe ■ 2) Flow per pipe ■ 7C) SIZE MANIFOLD 1) Manifold is_ central/ end 2) Manifold length ■ 3) - Number of distribution lines ■ 4) Manifold diameter ■ 7D) SIZE FORCE MAIN 1) Minimum dosing rate ■ 2) force main diameter ■ 3) Friction loss ■ • 7E) TOTAL DYNAMIC HEAD 1) Vertical lift ■ 2) Friction loss ■ 3) System head 2.5 ft. ■ 4) Total dynamic head ■ Li co rise: 100 RECENED Nov 1 1988 p,=F:GE„GF p1ViS10N�V 'ft. GPM . . ft. �� ft. ft. a- ft.` q/ ft. S 88- 04891 AO � 41 3! NAG 7F) PUMP SLLECTION 1) Pump selected will discharge *(� GPM at ml_ ft. total dynamic head. 2) Pump rad�el and manufacturer 17Brd.�rX.S. „ aEI _ ff7A A /P113y_IP _ 7G) DOSE'YOLUME t 1) 40 times 1.I vol of di7doses/24 ibution lines �',,�y�gal./cycle �M 2) Daily was ewater volumes ='/ hrs. I('L=279a1./cye0 3) Minimum dose volume' �/1Y/��=ice �rjj!@L--gal./eyeU • , - 7H) DOSE _CHAMBER '�•` 1) Minimum capacity required gal.-14 t • ''' site's ------ - �' . :...�; Late: '''• RECEIVED NOV 1 1988 OFFICE OF OWISION E� Iosto -SSS 0 / yew 33 --- lop o-"Ilf a�'G �n�NaW141dAla r fftWtG -2 1 S mw,�y�y� 4- t T oiV �gyrb'+'"'� t�SS 3ilSNO vial$ I VIM 2/ vvv/ yam- ;� _�y* r �•�N re % / ,N��q r. - �z/s arvdtr el /'►ZL/�'No��'� ass �-'s �/�, _->S �`� � � V for Straw, Marsh May, Or Synthetic Co*vrIng Ile: Medium Sand. ,rft &All F- nA P ,eDi it$ % Bad Of 2�j- -tForce Main 'E, Cjrp&& Section' Of A Mound System U21% A'9**For. The Absorption Aria A Ft K L.&Z I.XFt. xo Ft Alternate Position Ft. r. Of W Ft. Force! Ma P 17— IF S, • Disoibullogov 112 Pipe Observation PikMWIEV Permanent Morkers A A rr . S8804801 Plan View Of Found Using A Bed For The AbsorPtion Arco v G .. iv D : Ft EL F, Ft.'..� Ft '0 Perforated Pipe 0e1e11 Logo Hsu saowii 8o — 4"1 TO FM Goo 0 Ali"I -f-yvi7 NOW Leteied On Barran, Me tawur soec.d YJ �� m a �'(1► yy( ga 0ECEIVED - �Wi!GE OF DiVIS10N 01r1ribution Pipe Layout q b c P W�ft Signed. License Number: Z117 SYSTEM pN51 ago Date: lo��l'Ti�i`i OF k'RD O� 14�t X 2�/ Inches Ic Hole Diameter Inch Lateral " ,' �lnch(:3s) Free Main Inches / of holes/pipc� Invert Elevation of LateralsyFt. S88- 04801 00 cross section of pressure system ql�f{ 1 1 0C SfF /Volk �%,te5s Jec ha„ I Final grade /✓,t w r EW^W,,O WI 1� 1 0� 1 1 , ;1 vent CII� li , 1 Difference in Elevation Lift 4" cast �----Drain back to tank 4",c.i. Nj / , OO O. O. 1 1 L V G. 1 1}d o r 11 w Ca i J septic tank 1 IL �` Oi 1 1 �- pump 1 station 11 73 1 %fQMN .,�\ �.� 1 It 'I'C.I. VENT PIPE 20' FROM DOOR WINDOW OR FRESH AIR INTAKE IB'AIM. n IAIi..CT A►PROVLO JOINT WIC.-L. ►1►F. EXTLNDIN6 3' ONTO $01.10 SC'i PUMP . CHAMBER CROSS SECTION ANO SPECIFICATIONS 7 A 0 e VCNT CAP WEATHER PROI JUNCTION BOX It'MILJ. I I GRAOC I coNDulT `-- -A I t'y SyS I %,. Nos PROVIDE &NT SCAL aolesev, •'1 ,. P. 1�1.it�.;/•i, _I ;..btu` -T 4f. PAGE -9— OF J-1L 111 ,e4A/ �.� s�4■.. 3 ,J,I,r N /'." N1 F APPROVED LOCKING S'/DJ� MANHOLE COVER M° MIN. ----------, I I ICI I ICI I 11, I III I I 1 ALARM I I I 1 I ON ILA I PUMP• OFF 'ONCKETE BLOCK R SCR EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL � L ffiZ. 49 c 15 �'� P C. I F I T I 5 S 8 8- U 4 8 U 1 %OPTIC AND w. TANKS MANUFACTURER: S NUMBER OF DOSES: PCR DAy TANK SIZE: 4 � GALLONS DOSE VOLUME _ 1-71 ALARM MANUFACTURLR: ��f f/c�/�}ty. �i ,r IMCLUVIP" :AC"FLOW:4�C 6ALLiml MODEL NUMBER: CAPACITIE A- OR .— GALLOUS SWITCk Ty►L: '� I U]I/114CALS 11CHES OR �/PUMP MANUFACTURER: i C ■77UCHES OR GAL1OUS�. MODEL NUMBER: 3 N DINCHES OR,i GALLDNL SWITCH TYPE: OTE: PUMP AND ALARM ARE TO DE PUMP OISCHAR6C RATE e 5 GPM INSTALLED ON SEPARAT IRCUITS VERTICAL DIffLREAICE pY9bW9LIJ PUMP OFF AND OI�TRIpUTION PIPE.. FEET pp RCF1 �t + MINIMUM NETWORK SUPPLY PKESSURTE✓, , , , . , , , , , . 2•5 FEET `�Q\J 19UJ + FEET OF FORCE MAIN X _�FiooPtFRICTIOU FACTOR.. FEET OF [l !i-lot:,,, 1� TOTAL OyNAMIC. HEAD FEET 40 PUTERIJAL QIMEIJOIONS Of AAIK: LENCPTM ;WIDTH / ;LIQUID DEPTH /'' ��J LICENSE NUMBER: ,L�jF 3 DATE:Ai(L� Jr7pl, -b3 -117- ;7_=_ _. 1 APPROVED JOINTS WIC.I. PIPE EXTENDING 3' ONrO SOLID %OIL odes 7;q Submersible Effluent. Pumps iAAA, i2o • '•' ' Alf, c ✓ ra . �+�7!i� icy • � .. T .N 1• � rM, '75it1 • wf wM'°°�. WPM07, vt M.P. c 0 r W 03, % M.P. i 40 If 1 J 1 40 00 w CMe,my — Ohs pa/mum n - � �ECF1t�F1'; - I�OV 1 193� " - p; riGE. GF,D:�Pil4�?�M 1% y\ ` 100 120 ~ W 1 I ' WWI E tt6 •• rylp',1t 1�_ t 1!0 IP�N1lE �p �♦ . � , iPMait7_--- VPMrittk VPHM,12F 17n EO �o,rr�uE 70V�- �1 w"OWY 30 3AW •