HomeMy WebLinkAbout018-1039-60-000 (2)1
OI^INER
AS BUILT SANITARY SYSTEM REPORT
TOWNSHTP //vlA tA o
ST. CROIX COUNTY, WISCONSII{.
/sEC l$_r!lx-R,fi
LOT S IZE t ?'x 7 0'
rt
t
ADDRE S S . ncl L,l/tl,tYl *l
SUBDIVIS ION LOT 1
PLAN VIEI^I
Distances and dimensions to meet requirements of H63
BENCHMARK: (Pe-rmanent ref erence Point )
Elevarion of verEical reference point:
ING WITHIN lOO FEET OF SY STE},I
I dl
i
LB
Describe:
/ oot Slope at site:
vat lon
a .J Tank OutIet ElevaEion
Number of gallons
gallons ;rotal caPac
t<
SC
a o 1,'
It
rro
+
P
t.
I
I:..]r
SEPTIC TANK: I"lanufacturer :
Number of rings on cover :
Tank Inlet Elevation:
PTJ},IP CHAI.,IBER
l'lanuf ac turer :
/ 'E t t= tL'i . Liquid CaPacitY :
anhole cover ele
oo L.
,t
a of
I'lumber of gal . pump set or a cycte
dis tribution lines allon , siie of PumP head;
; hor sepowet _-.-;brand name o f' p unlp
Number of gallons
ity of
gallon Per minute
and mode I nr:mber
HOLDING TANK: t'lanuf acturer
Elevation of manhole cover
Tvp
SEEPAG
e of warning device
E PIT SIZE:[funiber of pits fee
e-e
grh
ert diame t
I eva t ion
SC"ile
fee t tiquid db prh
bottom of seeP ag,e Pit
SEEPAGE BED SIZE: nulnber
SEEPAGE TRENCH: width
PERCOI-ATION RATE
seepage pit in IEE-pfp
feet.
w t leir
l eng tir
elevat t-on
INSPECTOR
PLUMBER O
O l,al )zLgot^
B
Ir I L.,
l',tIo 111
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DATED -]7 ?e
of lines
U
LICENSE NU}'IBER
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DEPARTMENT OF INDUSTRY,
LABOR &' HUMAN RELATIONS
P.O. BOX 7969
MADISON, WI 53707 .
INSPECTION REPORT FOR' PHIVATE SEWAGE SYSTEMS
L--a-AcoruvENTroNAL E nlrERNATrvE
E Holaing Tank E ln-Ground Pressure E Mound
-
SAFETY & BUrr-brrucs
DIVISION
BUREAU OF PLUMBING
a
State Plan l.D. Number
(lf assrgned)
NAME OF PE MIT HOLDEFI . /1,Ub-,1 .f,zd ADORESS OF PERMIT HOLDER
X/.*,-rr-,flhJ Alt t ^e.- / Y zsPEcrroN
DArE
REF. PT. ELEV I REF PT ELEV
Narne of Plumber V u MP/MPBSW No rr/s/ /{,"""rrft
, Crrr;*
Sanrlary Pe,mrt Numbers 4o3{-3
SEPTIC TAN OLDING TANK:
MANUFACTURERl) ,is ",r;
LIOUIO CAPACITY
I duo
TANK INLET ELEV TANK OUTLET ELEV BNI
IDE D PROV I DE D
YES Eruo E ves NO
BEDOI NG
EvEs Eruo
VENT DIA
4 "'"Wd-ALARM
E ves
ROAO ROPERTY
lo0t ,r"r,7 s
WE LL IBUILOING
laoSot VEM TO FRESH
AIR INLETLt
DOSING CHAMBER:
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing
or excavation. (lf soil can be rolled into a wire, construction shall cease until
the soil is dry enough to continue.)
E ves NOE ves E r.ro
LOCKING COVER
ROVIDED
WARNING LABEL
PROVIDED:
MANUFACTURER 8E DD ING
EvEs Eruo
LIOUID CAPACITY PUM
,/
ACT t'R E R
Yrstpxoru
runr'ur
WELL BU I LDI NG VENT TO FBESH
AIR INLETPROPER TY
LINE(DIFFERENCE BETWEEN
MPA
MP N AND OFF
LLONS PER CYCLE
DIAME TE R MATERIAL AND MARKINGE NGTHFoRCE l'\4AIN
I
ENTIONAL
MOUND SYSTEM:
STR PIPE
ELEV INLET LE\/ END
M:
P IPE R IAL
J' PITS LIOUID
DEPTH:
INSIDE DIALE NGTHsbWIDTHtb
o F
lo'"*
'':6o''*oE"
NO
TRE
WELL
Sot
BUILOINGk7f VENT TO FRESH
AIR INLETL'+I
-*l
PROPERTY
LINE#BE LOW PIPE S C
NO
P IPE
Mound site plowed perpendicular to slope
and furrows thrown upslope:
Check the texture of the fill material for
mound systems to make certain that it
meets the criteria for medium sand.
PROVIDE A DIAGRAM OFSYSTEM
ON REVERSE SIDE. SHOW ELEVA-
TIONS MEASURED.
Evrs Druo
TEXTURE H KE ATION WE LLS
E ves Eves Eruo
DEPTH OVER TRENCH BED
CE N TER
OEPTH OVER TRENCH,'BED
EDGES
DEPTH OF TOPSOIL OOE D EDED
E Yes E r,ro Evr
MULCHEO
E ves E rrro
PRESSURIZED DISTR !BUTION SYSTEM :
FILL DEPTH ABOVE COVERLENGTHNO. OF
TRENCHES
LATERAL SPACING GRAVEL DEPTH EELOW PIPFWIDTH
DISTR, PIPE
DIA :
DISTRIBUTION PIPE MATERIAL & MAHKINGDISTR PIPE
E LEV,PIPES
O DISTRMANIFOLO
ELEV,
PUMP
ELEV
MAN I FOLD
DIA,
ORILLED CORRECTLY
EYes Eruo
COVER MATERIAL L LIF TO APPROVED
PLANS
E ves f]r,ro
THOLE SIZE HOLE SPACING
BUILDING
J
PROPERTY
LINE:
WE LLPERMANENT MARKERS
EYes Eruo
OBSERVATION WELLS
E ves E r.ro
COMMENTS:
G,o
C.os
6,1 D
,, oJtf3 1,L' '/ '
+sbl
7,1
t * .Q.^.,;f.r^-, rrr^:*,e*.!
. ?. t^^s gnr&-n r\rJ .,.-t..Q
a. 4" flr^* ;!"
* hrJ b e0.-
[2 of 1,. -I $*l^/-7
loo Q. $,S J
wffr W*"b%t
lradF
crzr.-Yl.J .
Sketch System on
Reverse Side.
unty file for audit.
DrLHR SBD 67',r0 (R. 01/82)
4leu le
EENCH MARK (PermilEnt refereXce pornrl DESCRIEE lF DIFFERENT FROM PLAN: tl n I( lp ( Car".r', 4 P w8'd2v^' P"\
ET FROM
N
R
FEET FROM
BED/TRENCH
DIMENSIONS
RIAL:PIT
FEET FROM
I NEA
BED/TRENCH
DIMENSIONS
NUMBER OF
FEET FROM
NEAR
ELEVATION AN
DISTRIBUTION
INFORMATION
DEPARTMENT OF
I N DUSTRY,
LABOR AND
HUMAN RELATIONS
Attach plans for the system o
and vertical elevation refer ence po
APPLICATION
FOR SANITARY
PERMIT
(PLB 67}
SAFETY & BU!LDTNGS
DIVISION
P.O. BOX 7969
MADISON, WI 53717
shown.
x 11 inches in size. lnclude a plot plan that is dimensioned or drawn to scale. Horizontal
All appropriate separating distances and physical characteristics as specified in chapter
H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. lf designed by a Master
Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be
included,
D n Fv L F,zn,4 K
Property Owner Mailing Address:
7ot tr'EsT EL*, gT &e_Lc*G__Ut-
Property Location:
t//,/) Y.ilE Y4S l3 tT 77 NrR / 7 t (or) W
Ci!+'r{+EF-€r Townsh i p
Hg u-t ,ul o .n o/9T Cr-uix
County
Lot Number4 Blk No.State Plan l.D. Number(lf assigned)
Subdivision Name:Nearest Road, Lake or Landmark
TYPE OF BUILDING
E Puutic* n Variance* E Otfrer (specify)*
EX 1 or 2 Family *State Approval Required. //o
Number of
Bedrooms:3
TOTAL
GALLONS
NUMBER
OF TANKS PREFAB
CONCRETE
POURED.IN
PLACE STEEL F I BERG LASS NEW
INSTALLATION
REPLACE.
MENT
OTHER(Specify)
SEPTIC TANK CAPACITY i aao I x Y
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER
E F F LU ENT DISPOSAL SYSTEM
PERCOLATION RATE
(Minutes per inch):
J., 2, 2. U
ABSORPTION AREA
PROPOSED (Square feet)
{/9
EI N.* E Replacement E Experimental
fJ Alternative (specify)
EI S.rpage Bed E Seepage Pit
E Seepage Trench
Water Supply:
El Prir.te E Joint fl Pubtic
Owner's Name as Listed on Soil Test Report (lf other than present owner)
{*c. K paflnn
l, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber
9Trphpn L fr,gl't
Signature:%/Z*&MP/MPRSW No.:_r/8/Phone Number:
t7/S t6 ?F-.4a Z
Plumbe/s Address:
/ 2 L/ fu717r tt
,
S f 4(Ja-/t il Lti fut {?aS (Name of Designer:
S7s,e4sa L-,4p6-/
Date:
3 -?-trL E appnoveo
E orseppRovED
Sanitary Permit Number
e r/a?/
@at 3
Alternate course(s) of Action Available:
COUNW/DEPARTMENT USE ONLY
Change of ownerchip, building use or plumber requires I Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in-
stallation. Failure to comply will void t're sanitsry psrmit.
DISTRIBUTION: Whit€-County, Cenary-8ur6au of Plumbing, Pink-Owner, Goldenrod-Plumber
DILHR€BD{'98 (N.O38T }
DEPARTMTNT or
IN DUSTRY,
LABOR AND
HUMAN RELATIONS
USE
XlResidence
REPORT. ON SOIL BORINGS ANDr'r -\ PERCOLATION TESTS (115)
U I LDINGS
IV!SION
x 7969
53707
a
DATES OBSERVATI
,2F D E 4 3_/-ta ,/
5 E[ru.* EReptace
IWA
i
P3
LOCATION:
.(at t/{rtL SECTION/g /Ta./N/Wilro,)W
TOWNSH I P/MUNICI PALITY
Havn*tahe/
UBDIV
COUNTY
ff (Aot'x
OWNER'S/BUYER'S NAME
fn " t< Fa g-frz x-H 1,.14 PIO n/
5-5 -77 - 5- ?Z
RATING: S= Site suitable for systom U= Site unsuitable for system
lf Percolation Tests are NOT required
under s.H63.09(5) (b), indicate:
DESIGN RATE SYSTEM ELEV.lf any portion of the lot is in the
Floodplain, indicate Floodplain elevation
p {a L l1(
PROFILE DESCRIPTIONS
V
s U
MOUND:
trS DU
IN -GROUNDPRtrSSURE:
trs tru
LDI N TANK
Utrs ECOMMENDED SYSTEM : (optional)
BORING
NUMBER
TOTAL
DEPTH IN,EEV4IToN T CHARACTER OF SOIL WITH THICKNESS, COLOB, TEXTURE, AND DEPTH
TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)OBSERVED EST. HIGHEST
e-7 ?a
7> 5"#la ,/Va ru f.7.5.8L.1, /O" scL, /2" f S 7q'
B-l ?6 7 1!1"l,/e ttt E LS,BL.I, l0" gLL. l)" )'S 7-/"
B-r q6 ?3',7"tUcufc fS. i!(.i./o, s<LnlA" f-S 7/"
B.??4 7J16,,lr/o N )Z T.S. R(,/. /o" SCL. lJ-" FS ? "1::
B.s:q6 7/!/ "NoNE TS- R/.t. /d" scL, /)" rs 7q"
B-
PERCOLATION TESTS
TEST
NUMBER
DEPTH
I NCH ES
WATER IN HOLE
AFTER SWELLING
TEST TIME
lNTERVAL.MIN.
DROP IN WATER LEVEL-INCHES RATE MINUTES
PER INCHPERIOD 1 PERIOD 2 PERIOD 3
P./71"A,/ a id s _{(4*.
p-2 5 6"tVn /a r {{1
p-3 /8"tV rt /o q q ry 3. s
P-
P-
P-
PLAN VIEW: Show locetiona of porcolation tasta, roil boringa and the dimen,ions of suitable aoil areaa. lndicate scale or distancrs. Describ. rvhat ars the hori-
zont5l and vertic.l elevation refor€nc' pointt snd 3how thoir locrtion on the plot plan, Show the auff.ce elevstion at.ll boringr snd the dir.ction 6nd percent
of land 5lop.
SYSTEM ELEVATION T 1l
o fEpc //"cn-
I Bo"E H.'tc
ila {c.pLe
7a sT
9rc.
* , '70t-ttr
Ii
I
J-
5 I
{l
I I
I
7o
T
I
r1 fe ,.-/' 2il,t2 /<- f-7 c F
-t4Er/ Co,L4Etu f-tTI /aotthe procsdures methods specified in the Wisconsin
I
l, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief .
I'
I
!
+
o7
3t.
I ot
I
ST,ay/Ett L F,ab-/
NAME (print)TESTS WERE COMPLETED ON
7-g-?7 uuDiTp/ 9/-8A
,L {f oJrr/,L n U,' t?/'442I
ERTI FI TION N BERaa6 o opt2qoN
RE:
./
S GNA
DISTRIBUTION: Original-Local Authority,2nd page-Bureau of Plumbing,3rd pageProperty Owner,4th page€oil Tester.
DI LHR€BD€395 (N. 03/81 )
NO. tstsDHn ;.:
7
I
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*/8',
1
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Hza
H
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t-.FH
Hoz
(,
PH
tr,OWNER/BUYER
RourE / Box NUMB ER 'W,l tox ltl3B
C ITY/ STATE llornrnnrl lr)T
SEPTIC TANK MAINTENANCE AGREEMENT
SE. Croix County
NE ,r, sectior lY ,
Hnrn rnond ,
Fire Numb.r 3(lQC,
ZIP
PROPERTY LOCATION: NUJ ,.,
Town o f
r ?,Q u, * lT ,,(
\r
Lo t
Improper use and maintenance of your septic system could result in
its premaEure f ailure to handle wastes. Proper mai-ntenance con-
sisEs of pumplng out the septic tank every three years or sooner'
1f needed, by a licensed sepcic tank pumper. What you Put into
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
subdlvision JAe k Y s{er
St. Croix CounEy resl.dents may be eligible to
a maxlmum of 6OiL of the cost of- replacement of
which was in operation prior to July l, 1978.
accepted Ehls program 1n August of 1980, with
owners of alI new systeqs agree to keep their
St.Crolx
number
CounEy,
receive a grant for
a failing system,
St. Croix County
the requi-remenE that
systems properly
malntalned.
The property owner agrees to submit'fo St. Croix County Zoning a
certificatlon form, slgned by the owner and by a master plumber,
journeyman plumber, restrlcted plumber or a licensed PumPer veri-
fying that (1) the on-slte wastewaEer disposal system is in proper
operatlng condltlon and (2) after inspection and pumping (if nec-
essary), the septic tank is less than L/3 fu11 of sludge and scum.
Certtficatlon form will be senE approximately 30 days prior to
Ehree year explration.
I/WE, the underslgned, have read the above requirements and agree
to malntai.n the prlvaEe sehrage disposal system in accordance with
the standards set f orEh, herei-n, 3s seE by Ehe Wisconsin Depart-
menE of Natural Resources. Certiflcation form must be comPleted
and returned to the St . Cro i-x County Zo g Of f ic-e within 30 days
of Ehe Ehree year explration date.
SIGNED
DAT E
St. Crolx County Zoaing Office
P.O. Box 227
Hammond, WI 54015
7 L5-7 96-2239
Flo
za
'z(,
;tr
Hfu
=I<.v
il,rJ*
Sign, date and return to above address.
?7,
sTc 10 {
AS BUTLT SANITARY SYSTEM REPORT
OWNER tl
ADDRESS 515 oor-t^- Are.
/)t *wnrnaw0
suBDrvrs roN / cslr#Ztc r,or # /4a
sEcrroN tt r ?A u-n l'J_w, Town of
,21\ttsT. cRorx couNTY, wIScoNsrN
Provide setback and elevation information on reverse of this form-
Provide 2 dimensions to center of septic tank manhole cover-
/o rt -€1
PLA}I VIEW
SHOW EVERYTHING WITHTN 1OO FEET OF SYSTEM.J
L
/
/ert
f stfc
,'{"t ,,'.I!rr'i) /ff:'p"Ffy ^r,,?:: , ), i pl,t4r"h ilat*
TNDICATE NORTH ARROW
1V*u*
tl
AI,TERNATE BU:
6EP1TIC ITANK PU!{P CEATIBER ,/ EOITDING TA!{K INFOR}iATION€r
tlanufacturer:
Float seper ation
/oo a /aa a
Liquid Capacity:
Setback fron: weLL <-O P House
PumP : l1anuf actur er 2 ai /-e,-uode]-# ?f slze 5
callons/cyctez /4/
/ other
Alarm I-ocation ?---, a z
of trenches
Distance & Direction to nearest prop. line:
iSOIIJ ABSORPTION AYaTEU
widrh:N ot,rrd a-9 €7atc-
setback from: weLL: ICO+ Housa /2/t' o1y,er ,l/a-=<*
DIrliVltr|fOtSJ
Building Sewer ST Inlet; ST outlet
Punp off
Header/Mani fold_ Botton of system_
Pc inlet
Ex ist ing Grade
DATE OF INSTALI"ATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/e3 z)t
Final gr ade
PC botton
.LQCAELQUT;.IH&*8[QN&'.44 . 2e . 17 . Tffl0err
'EWAG
E sysTE M.' Labor and Human:."k:,,:l'" ' "'l-nisbiaiio'liiepOnf
Safety and Burldrngs Drvisron
GENERAL INFORMATION (ATTACH TO PERMIT)
*r
TANK INFORMATION
TYPE MAN U FACTU RE R CAPACITY
Septi A- Dies"r C*rc.
Dosing r/ d,r,"zS/ndn CASt 7€A9-/,
Aeratioll-
v
Holding t-\
TANK SETBACK INFORMATION
TANK TO PIL WE LL BLDG Vent to
Air lntake ROAD
Septic >g -c5 /r'],4*NA
Dosing >50 ,*7s *g p NA
Aeration.-\_--v\
Holding
)
PUMP tE@&+NFORMATTON
Manufacturer Demand. +.
loGevModel Number +77 I
TDH Friction +l::a t9 rDHr 7fl1 rt
Forcemain l-ensth 1b6
t\Dia. aq
I
Dist. To Welt ^-'?5
SOIL ABSORPTION SYSTEM
ELEVATION DATA A9300259 t r?v-(lg'u'; nq
Permit Holder's Name:
ilI?ANL DAP\IT. t^7 .C qTIqlN C
tr City I Village
}IIMM(.}NN
Q rown of
CST BM Elev
/[d. r)
lnsp. BM Elev.: ,
/d). /0
BM Descriptio n p6# pL)a---a ? dS
ou nty
rtna
State P an
tokp/z.zPa rce ax
ELEVB5HIF5STATION
///0.a',/3/iBenchmark
Bldg. Sewer
'dH<d*ryrt lnlet A,l, u,
//'e4"?3.0YSttfuOutlet
///4 ?o?,?y''Dt lnlet
// or;?d,57,P oL Y" 1-(KDt'Bottom
/0/,63 IAKHeader / Man.
/O/,5 y' ,J'f4 ,g //2Dist. Pipe
3'7 /d.7/'Bot. System
Final Grade
''' /l),O7tr'
) u-Cfi-/./q' al I {,r/lt . n 5.7/.=
A U< , y', (, ac-,r-O,L
BED / TRENCH
DIMENSIONS
width -<.-)
Lenoth /'%No. Of T hes PIT
DTMENSIOt+S-
No. Of Prts lnsrde Dra Liquid Depth
SETBACK
INFORMATION
SYSTEM TO PIL BLDG WE LL LAKE / STREAM
=iE}cln+lc-
CHAMBER.,..
OR UUT
anu
Type of /<e4.
System: r4a*rtd -53,.?0
I
> /dd /*ToilEIl'Jumber
DISTRIBUTION SYSTEM
ffi-"-"hAa l''"'i.'^11i''ifr'o,u -&- spacns k x Hore t,riU,,
I
x Hole Spacinga("Vent To Air lntake>5o'
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over
&frtTrench Center
I
tg
Depth Over
*lTrench Edges /2"- ($
xx Depth Of
Topsorl G
xx Seeded /
I Yes
Sodde{21w6-
xx Mulched(?)
D Yes @.16
COMMENTS: (lnclude code discrepancies, persons present, etc.)
LOCATION:Oa*t-
@
I ..rl.ea'e-r r*"
-rruzt*Tga-c
r-t9 *i&*;e/4 {
,#a-tq
d6,K al-nl n-rl4r/O-Y't 4/,/rkte 6 ow,to
,c zrw
(/
/'tQ-
an revrsro n required? fJ Yes
/Ar 2Use other side for add
sBD-6710 (R 05Ar)
xAs
@
itional i "4.(il"
r
lnspector's Srgnat Cert No
---'-
furJIur
tilt 16,fr'
g trIILHFI SANITARY PERMIT APPLICATION' !n accord with ILHR 83.05, Wis. Adm. Code
-Attach complete plans (to the county copy only) for the system, on paper not less than
8%x 11 inches in size.
-See reverse side for instructions for completing this application.
I. APPLICAIIIT II{FORIIATION - PLEASE PRII{T ALL INFORIIATION.
COUNTY
srerEseN-lraRv penMr #
a"Arq9,*5ff-^pp*ation
STATE PLAN I.D. NUMBER
De4vt tu*KPROPERW OWNER PROPERW LOCATION
//A/ Y,.t/E Y1,s / f T A4, N, R 17 E (oiO
PRoPERw dwNER's MAILING ADDRESS
t5-" E /6d14 4y'+LOT #BLOCK #
CITY, STATE
ko*t tartzrr/ l)t:'
ZIPCODE,/d{PHONE NUMBER
UrSlfld€{fi
SUBDIVISION NAME OR CSM NUMBER
,.U&
NEAREST ROAD
1
2
3
4
5
6
7
I
I
trtrtrtrtr
1O E Outdoor Recreational Facil ity
11
'12
13
or 2Fam. Dwellingr.fl of bedroorr (
f* /dg?-6Clll. BUlLDll{G USE: (lf building Upe is public, checkgllthat apply)
Other: Specity
l!. TYPE OF BUILDING: (Check one)State Owned
Public
Medical Facility/Nursing Home
Merchandise: Sales/Repairs
Mobile Home Park
Off ice/Factory
ApUCondo
Assembly Hal!
Campground
Church/School
Hotel/Motel
RestauranUBar/Dining
Service Station/Car Wash
lV. TYPE OF PERMIT: (Check only one in line A. Check line B if appticable)
A) 1. E ru"* 2. WReplacement 3. E Reptacement ofSystem System Tank Only
B) E n Sanitary Permit was previously issued. Permit #
4.5E
Date lssued
Repair of an
Existing System
Reconnection of
Existing System
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Other
41 E noroi ng Tank
trtr
trtr 42
43
Experimental
30 D Specity Type21 EI uouno
22 Z tn-Ground
Pressure
11
12
13
14
Seepage Bed
Seepage Trench
Seepage Pit
System-ln-Fill
Pit Privy
Vault Privy
2. ABSORP. AREA
nEoutneo trq.tt.i9/ trs
3. ABSORP. AREA
PROPOSED (sq. ft.)
2t t?
4. LOADING RATE
(Gals/day/sq. ft.)
'()G
5. PERC. RATE
(Min./inch)
/*
le. svsreM ELEV. lz. rrrueu cRADEI I euvaroN
Itat, f r""t liO-i.'i"f"",
VI. ABSORPTION SYSTEM INFORMATION:
CAPACITY
in oallons PrefabVII. TANK
INFORTIATIOil New
Tanks
Total
Gallons
#ot
Tanks Manufacturer's Name
Site
Con-
structed
Steel Fiber-
glass Plastic Exper
App.
Seotic Tank or Holdino Tank /od 0 I hlr'cg:er
Lift Pumo TanUSiohon Chamber X Id.7.Sd /bt,: ,l arc f
V!II. RESPONSIBILITY STATEMENT
!, the undersigned, assume responsibility for installation of the onsite sewage system shoq on the attached plans.
Plumber's Name (Print):
/J r' / /,'a r*t Sc/an t44y
Plumber's Signature: (No Stamps)
€
No.:Business Phone Number:
vt{t3 ?1 - ?/p/
Plumber's Address (Street, City, State, Zip Code):
14Za Sca tr,e./ ,(.-/g,/ zJt
IX. COUNW'DEPARTMENT USE ONL ,'--
frperou"a
Adverse Determinalion
f] olsapproved
l-l Owner Given lnitial
(lncludes Groundwater
Surcharge Fee)2
lssu ng
FOR DISAPPROVAL:I?r-
,
x. coNDrTroils oF
5rA..(z
SBD-6398 (formerly Plb€7) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
II ttt(l n
1
3
4
6
INSTRUCTIONS
A sanitary permit is valid for two (2) years.
You( sanilary permit may be renewed betore the expiration date, and at the time of renewal any new
crlteria in the Wisconsin Administrative Code will be epplicable.
All revisions io this permit must be approveC try the per|l,ir is-"uing authority
Changes in ownership or plumber requires a Sanitary Perrrrit Transler/Fenewd: Forrn (SBD 63-o9i to be
subrritted to the r";ounty prior lo installation.
Or,:;lte sewage syslems rnust bc properiy rnai,,tairrec. The s"pti(: tank{s) rnu.i Lre l ur.rrped b;1e lic..:nsed
pumper whenever necessary, usually every 2 to 3 years.
lf you have questions ccncerning your onsite selvage system, cortact your locai code administrator or the
State of Wisconsin, Safety & Buildings Oivision, 608-266-3815.
To be complete and accurate this sanitary permil aPplication must include:
l. Property owner's name and mailing address. Provide the legal description and parcel tax numbe;(s) of
where the system is to be installed.
ll. Type of building being served. Check only one and complete # of bedroorns it 1 or 2 Famrly Dwelling
lll. Building use. It building type is Public, check all appropriate boxes that apply.
lV. Type ol permit. Check only one in line A. Complete line B if permit is'Jr tank replacement, reconnection. or
repair.
V. Type of system. Check appropriate box depenciing on systern type
Vl Absorptior system inrormation. Provide all inrormaiion requestEd i'r #'1-l
Vl! Ta,.rr ii,l0n.ijali(tn Fil! in tllt ilapa'-itv of ever,J xelr ;,,ijl'nr e):;jii iJ i.,: .r : r: i' . '::'.: .;t tt t,t. ;rn,l , ,r
t.irlks anli r-i,:rl lfaclu re' 'S r]an-e. IndtcAte prelal; ,-r; srte uofl:;tat a:"J i,r:i.i ianl..,.ili:r,iol. (joFl:,{-t,.k)i 1,',
Septrc. pump,isiphi)r and.holding tanks lor tl,rs :,rlem. Check q.1;;6rii,1 i.ri:,r ,"f trdvai s,r,', i'i,riri,rl f .iceivrril
e)iperinie taj producl ripp,oval fronr DiLHB
VIMie-\pons rl-"!,rty slatemerlt i.rstallir,J piumber is to lili rr rerne. !rr'.,r,se ^,"',be' e/rtt1 aI,pr..,, ,d ,:'aii! ie g
MP. etc ). aCdrfss and t)hcpe nun]ber. Plum'Jer i-lrusr:;!gn apl:,iic.-rlian {(t n
lX. County/'Department Use Oniy.
X Counly/CeDarlrnenl lJse Or,ly.
l',nrlf,let(, i:.rAnS and SOe.lfl:.]lrDF: r if Snlalrcf ;i,llr 31- , ii rr,,'i ...''
Olr.jnS rr,!l i/!(lUCil'.i:e ioli,,14:',9: i) piot oiat- ij,,, -J'ii 1:. sia;,. , r qill ^ .
hald,rig i,lnk(S) Sei'::. :X,:i..i5) gr { :l:eir ireitliir.,r. lir,!" 'r: i 1 ."; .:- '
Stlei^,< an( lak"s lJ,-!'r,p r.r siph,',i taFks. rjis1, ihrr r,,,.t ll, r,..:s. ii,i ..r.r. ,
area:.; and t,r,l lccaliorr ofrhe Lrui:a ijg server.r 4) i'ri,.: -,r13r i-..i. !.i1..'-,
C) cornplete specilications ror pumps and confio:s: {rc-<e 'i:,,urne, .l(1\,:,r; r'. ii;r;ert:,.les: fi ctioir ioss: pull !:.
perlormance curve; pump model and purnp manutacturer; fJ) cioss seclron ot the soil atlsorptioii system il
required by the county; E) soil test data on a 115 lorm; and F) all sizing information.
GROUNDWATER SUNCHARGE
1983 Wisconsiri Act,110 included the crelrtion ol surci,.1r0rs (,e.,si fo' a n(rrnr':rr ,')l
Iegrll?le.: pr3CliCeS rvhich iair i.{ect g.Jundwat..:r
:,. ,;.i ._,i 41\, rh.r
,. .. ,o, , . ..1 ,li
i,, ..,:trtt .i.:'a
t.
Ihe :rr,r'r,es collecteu tl'irD-ivi, th(.se .. ci)aroe. ;,r! risrea ',/ ,,'t ),
waier .;ontan]ination invesrirlariarns an/) eslab!ish|T,et i i,i s;aniiar(ic
sBD{a}g8 (R.11/88)
, .:,\r
. W-sconsin Deparfnent ol lndustry,{abor and Human Relatiors
TOiririon of Safety & Buildings
SOIL AND SITE EVALUATION REPORT
in accord with ILHR 83.05, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1l2x 11 inches in size. Plan must irrclude, but
not limited to vertical and horizontal reference point (BM), direction and % ol slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
SOIL DESC IPTION REPORT
Boring #
Page \ ol 3
i.
Ground
elev.
lDz. S 1
Deph to
limiting
tllactor3S
Remarks
sT. cR^tx
PARCEL I.D. #
or8 - lD39- 60
REVIEWED BY DATE
PROPEHTY OWNER:Eh'tdY L I2tahNh
PROPERTY LOCATION
GoW.LoT Nlrd ri+ r-re il4,S IBT ?,g ,N,R \-l E(o@
PROPERW OWNER'S MAILING ADDRESS
TS1 S \UO TH hug.
LOT #BLOCK#SUBD. NAME OR CSM #
CITY, STATE\ttrtrhor$D , hJl
ZIP CODE
SVOTS
PI{ONE NUItsER(?,5)-t?[-sVs3 trCnY EVILLAGE EIrov!,N\\ Nhlno^JD
NEAREST ROAD
\b\ Y}T FI\)E
I I New Corsfudim Use X Residetial/tfumberofbedroorns 3 I I AddtiXr h exbtirg hrildingr.\-
fi Replacernafi t I PuUic or comnercjd
Code d€rived dafy low t{SO gd RecdryrEded des$ lodir{ rats - b€d, Spdd d-rendt, gpd,nz
Alsdilhn ilm rcq,ired 31S mc,d j:]5 fenor, d tarmun dsigi todng rats o.V bed, Oatd_S:S_ftr$ Spdd
Reonrnended infi tfation surhce daratim(s)
Addtond desrgn /SiteOmideralisns ltaou\,,b W/ S )L-\ S TILS\rcbt-t
(as refened h site phn bendrnark)
14lNltt?uH l'oF Sltrvs FtuL,
Parent mderial SfVN\ ST\xl Rood Sin elaratbn, if apilcable N.A. N
S =Suitaile f'u
U =Unsdtable
sl,stem
bisystem
ccNl/B.IIIOMLtrS EIU
UCLilO
EIS DU
N.GROLNDPRESSUREDS EtrU
AT€RADEDS ETU
SYSTE' N FIItrS EIU
Ifl.DNG TAI.T(trS UU
GPD/ftzHorizonDep$r
rn.
Dominant Color
Munsell
lvloffes
QJ. Sz. CofiL Color
Texfure Sfucture
Gr. Sz. Sh.
CorsisEnce Boxdry RooE
Bed Ir€fitr
l o- [o rb.-t ra 3/ y \{:Ynrl {r^(,us o. S O,L\vn s bh
Z \o -?.b )bY\23/6 \{s h. u*l e-J\ c o-\x s.S o. b
3 z(-3s IoYP_)/V {:\ c-s \rr.routl c,s o. S q.t
LI 3s- Vb LsYLlly fr{I.S YE s/8 St a\/\\nu *xoRe-s ISTS \crut re Pe\,€TF4 Tlolr
t(HT }S
Boring #
Gound
dw.
\sz.o 11
Depfr to
limitrq
K.,
Remarks
a\o -lo \snrz 3/y \{:\rn s \L \"n u {h eL\r s.s io- L
z r$ -30 [sYE \16 S.\\ rr:bh )Yl U 'tl-4-s,S v 0 S
3 3u-sL t\YP 1lV f-,f$ ,.t?. s/t $t Sn Vt1u$
c-s^-t'[-f<t r.l S r" S I P-\ly oh t\\nr$ S - x_€J [s':S FEr\J t t €F€UST?,
:
tDo
^L
CST Name:-Please Print Phone:Arthur L.I.le ge re r 7 L5 - 425 -0L65
Address:ti ege rer Soil Testing & Design Service-P.0. Box 74 River Falls,I,If 54OZZ
Date:CST Number:
M00576
sonaweMl*/n'z,r^
93 - 6a 1-s -?3
rldrYih6
pnopEgry ow{ER latfilJ h
PARCEL I.D.6t o3.9- 60
SOIL DESCRIPTION REPORT Page ol' Bt-z
I I
Borlng #
Ground
olev.
\ss. o ft.
oeph h
limiting
tac,lor ,.33"
Remarks:
Horlzon Depth
in.
Domlnant Color
Munsoll
iro66
AJ. Sa Cont Color Text re Sfuctrra
Gr. Sz. Sh ConsisEnce Bq.IrEy Roots GP O/ftz
Bod Trsdt
I o-?\AYB.3,Y $:l \ ra. : bvt h u*r 4S 6 Y o.5
?g-zl Is Y.r. )/L (sl \esLt wr,..rfl 4-1 o.V o. S
\z3-33 lsYE lly +"Ie:\t h ufF 4-s o.S (,t
I 33-S3 l.syp "/y
e.\ d.1.SYE s,lg t=s\nufh
Gl R.gS tsl3 t$rtF Fe\tqTTatrT,o^, D'l \ 1.,
Borlng #
ffi
Ground
elev.
ft.
oeph to
limiting
laohr
Romarks:
IIrIIIrI IIIIIE
II
IIIE
IIII
Boring #
g*H
M
Ground
elev.
ft.
Deph to
limiting
lacbr
Remarl€:
I
Borlng #ffiM
Ground
olev._ lt.
Deplh to
limitlng
lacbr
IIIII
IE
Remarks:
ss0.8330(8.0s/02)
r PLOT PLA}T
SCALE 1" = LJD I
Page 3 of 3
g- Los B UL}
o.2S v.)l a
\\ s Ytf Sr.
-Et-Isq1.\'or..r
2')L z,
v3B'
qn- rsz 1
E.l
s
N
a
II B-L\.^-))
D.
;
r.l_8h(-a_
6ftt^68 qlt$Trtl.r6 .r x
SST\ ( -
\1\J1rt
^te-o\)gtLgTE
/ eoo.\stb
\h\"3"/o
{
s r: r'rf\FLE- pfILS
Rn r?orr..6 B.z€l-rsz1
2J'
I
l1/(-
IIx \rENr
f.IPE
v3E'
j s.lo6
q3-62
MQ.QI-Z-6-
csT #
s
S'ratp
II
)-,8- ?3
\\$ NoT aor*-Dftc.T oR
o\'31rna -(}H S tRrs\.
R€slDEluc€
3 BDR},,
gnature
/.
Date Signed
(lts ) at.s-o16s
Telephone No.
S T C 105
SEPTIC TANK },IAINTENANCE AGREEMENTSt. Croix County
owN ERlBUY ER
ADDRES S
?)
l
PROPERTY
TOWN OF II o,,,m0Yrrl
c,rrvlsrArr [cu, yrr ond t '"r ,IP (ry
TrocATroN: NE L/4,NL t/q,
t5
SECTION rLQ N-n lT w
St. Croix County,
above requirements andaI system in accordancet by the Wisconsin DNR.
been maintained must be. Zoning officer within
,,i
SUBDIVISION
I
I
LOT NUMBE
Improper use and maintenance of your septic system couldresult in its premature failure to handle wastei. proper
maintenance consists of pumping out the septic tank every threeyears of sooner, if needed by a licensed septic tank pumper. Whatyou put into the system can affect the function of the septic tankas a treatment stage in the waste disposar system.St. Croix County residents may be eligible to receive a grantfor a maximum of 6O% of the cost of replacement of a failingsystem, which was in operation prior to ,fuf y \ , 1978 . St. CroixCounly accepted this program in August of 1980, with therequirement that ownel:s of aII new systems agree to keep their
?ystem prorperly maintained.
The property owner agrees to submit to St. Croix Zoni.g acertification form, signed by the owner and by a mater plumb-er,j ourneynan plumber , restricteC pluniber or a I icensed pumperyeri fying that ( 1 ) the on-site wastewater disposal system - is - inproper operating condition and (2) after inspection and pumping (ifnecessarY ) , the septic tank is less than L/3 fuII of sludge andscum. '
I /Ite , ' the unders igned have read theagree tp maintain the private'sewage dispos
iwith thb standards seL f orth, herein, as seCertifijcation stati.,g that your septic hascompletled'and returned to the St. Croix Co30 days, of: the three year expiration date.
SIGNED:
St. Croix po. Zoning Office
1911 4 th St .
Hudson, WI 54016
DATE:
I rF?[ l0@ Avp' FrRE NUT,TBER ,t[kf
,
t r c 1oo
This application form is to be.compreted in fulr and signed bythe owner ( s ) of the property being aeveloped. Any inadequacieswi 1 I onry result in deliy= tr the " p"r*it issuance . should this0evelopment be intended for 19:ai. by 9wn er /contractor, ( spechouse ) , then a second form should be r.tuined ana compreted whenthe propertlr is sord ancl submitted to this office with theappropriate deed recording. - -
I
hOwner o property,i
ILocation of property NE r/4 NE L/4, section l8 , T Lq u-n iJ w
rYrD n dlln rnTownship
;
Mailing address 15 lD0xt
il
Address of site
ISubdivision name
li
],Other homes on property?
i,
e Q-
of no.+
yes X No
Previous ,owner of property
i
Tgtal size of parcel Otrp.r
Date parcel was created
Are aII corners and lot
tr
l-ines identifiable?X Yes
Iq this property being developed f or ( spec house ) ?_yes X *o
X;'B::j$+and pase Number u4 as recorded with rhe Resisrer
o
INCLUDE WITH THIS APPLTCATION THE FOLLOWING:A hlArtRAN'rY DEED wlrich includes a DocuI.IENT NuHBER, voLUIr{E AND PAGENUUBEII & TrIE SEAL oF THE REGISTER oF DEEDS. In addition, acertified survey, if available, wouLd be herpful so as to avoiddelays of the revi.".q1r,q process. rf th; deed description:;:il":i:: b'; ,iq:i::iriei 3,r,"v Map, rhe cerriried-_ s;;;;i Map
PROPERTY OWNER CERTTFICATION
I ( we ) certify that alI state ments on this form are tru e to thebest of my ( our ) knowled ge that f (we)am (are) the owner(s) ofthe property described i n this informat 10n form, by virtue of awarranty deed recorded i r-r the o ffice of th e County Re gister ofDeeds as Document No., and that f ( we ) presentlyown the proposed site for t he sewage disposal s ystern or f ( we )obtained an easement to ru n the above describ ed property, forthe construction of said s ystem, and the samrecorded in the office of CNo.
-
ounty Register of e has been dul vdeeds as Documen t
S i gna tur f applicant
q a
Co-appl i can
QcSi
I
I
I
i
I
I
Date of ature Date o Sign ture
4,,, ,
N
DOCUMENT NO WARRANTY DEED
stATE BAR OF WTSCONSTN FOEIIT 2 - te82
THIS SPACE RESERVEO FOR RECOROINO OATA
so1148 1017'0,',11 1'4'
John J. Dalton and Ce.Iglyn.9:
Jno wi ie Dalton, husband
conveys and warrants to -. .-Qar-y.l W.r ..E.r-aft.lS. .?.89.Susan G.
E r a.uls, .. h.u. s b- a n d- a n d. . .ni.f. e.. .. .tr e f .d i. ng . . .a S
s u.r.v .1 y.a rs.h lp. .[! a.r. i- ! a. ]= . p. r.o. p e-r. u
RETURN TO
the following described real estate in -.----.-St...--Cf-oix---- County,
State of Wisconsin:
Tar Parcel No:
Part of the NorthcaBt Orarter of the Northeast Ouarter (Mlt of NEt) of Section
Eighteen (18), Torrnship Tventy-nine llorth (T29N), Range Seventeen west (R17W),
more particularly CescrltEd as follorrs: ComtEncing at the southeast corner of I-ot
Four (4) of CertifieC Srnrey tfaps fi; thente s- 8903
]-ed May 25 , L977 in Volr:me 2 of @rtif ied
Sunrey ldaps,page 379 ?,25"E on ion of the south line of
said T-ot Four (4) a distance of L74.24 feet;
an extens
thence lCIo LeI to the
east line of said Lot Four (4) a <listanee of 25O
06'30"E parql
thence N 89"3 2,25"111 along an 10r
of the north line of said Certified Suney l,Iap a dis
feet;
tance of L74.24 feet to a point
0"06 ' 3o"w along33 feet north of the Northeast eorner of said Lot Four U thence S
east line of said Lot Four (4) a distanee of 25O feet to the point of
beginni.ng, containing one aerer rrDE€ oE less.
Effi
This .-..-.i.S..n9!.------.-.. homestead property.
:dtx (ir not)
Erception to warrutics: Easenents and restriCt,iOns Of reeord.
Dated this ..day or {uuL
(sEAL)x
:i,
-., 19 93
9arpln .G. .P?ltqn
ACENOvyLEDGMENT
STATE OF WISCONSIN
St. Croix ss.
ohn
( SEAL)
. (SEAL)(SEAL)
+
t
dhfr,
*
A'UTEENTICATION
Signature (g)
authenticat€d this --------doy of 19...---
---County.
y came before me this
tv/t.day of
19-93 the above namedJohn J. Dalton and . .-c.? rg.ryT. ..9. :.. . .Dalton
,tt4!t
,!'-'-"'--"':'t'.
TITLE: MEMBER STATE BAR OF WISCONSIN
(rf
a bv S ?06.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
Thomas A. t'{eConnaek
Baldwin, WT 54OO2
(Sigrratures may be authenticated or acknowledged. Bothare not necesrary.)
!r"'
;hl,""."" e-.i.i-....,*,f t"
Personall
. dy.y*.......
a
.,. (,
foregoing ins
to me known to the
aekn
f/to .ryl((,(,14 4Qltt^t
, cl :,
. J..../\
f e.
::119.""d*rff,l l[ir.
nte expiretiorr
. tD. ..1
Notary Public ----frfe dMy Commission is permanent. ( tf not , St'
date
'Nrme of persoD! signhg ln eny crpcclty rhould be typed or printed below their aiirnaturee.
STATR BAR OF \X'ISCONSINrr)ttM No 1l I .'
REGISTER'S OFFICE
sr. cRolx co., m
Rec'd br Record
JUN 23 1ee3
Wa"t,at
WAERAr TY DEED Wrf o,afn ta#
!!
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
August 3, 1993 2226 Rose Street
La Crosse WI 54603
WEGERER SOIL TESTING & DESIGN
PO BOX 74
RIVER FALLS WI 54022
RE: PLAN s93-40693 FEE RECEIVED:180.00
FRANK, DARYL
NW, NE, 18, 29 ,t7W
TOWN OF HAMMOND
MOUND SYSTEM
COUNTY OF ST CROIX
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby grantedtfo" the system plan submittal. AIl
noted itens must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHB 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years fron the approval dater or
if a sanitary permit is obtained, plan approval wiII expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shal} notify the appropriate
inspector when inspections can be made.
AIl pernits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Sincerely,
i
ard Swim
an Beviewer
Section of Private Sewage
(608) 785-e348
Auo 1 0 19s3
G
ST CI
COU'
ZONING
iolx
NTY
brrrce
nrfrto
StlD.6423 (R.0l/9t,T \
Page \ of 5
s9340693MOUND SYSTEM
FORA 3 BEDROOI{ RESIDENCE
LOCATED IN THE NO T/A OF tUE N E
TowN oF \+NhH oND ,
L/ 4 OF SECTTON t8 ,T Z9N, R tl w,
sT. c4R/)tx couNTY,WISCONSIN.
PA C,B
PAC'E
PA GD
PA@
PA C,E
PA GE
6
6
6
6
6
6
of
of
of
of
of
of
1
2
3
l+
5
6
INDEX
TITLE SEEET
PLOT PI.,AN
PI,AN VTEI'I-CROSS SECTI ON
DISTRT BUTION PIPE I,AYOUT
PUIYTPING CHAMBER
PUMP PENT'ORMAN CE CUR\TE
PREPARED FOR
S\ RY L FR. \ T..J \\
\S--lS ID\1.u+ AUg:.
HnrHotttD,u ) svuls
SREPARED BY
I^IEG}EFIER SLII l_ TES-F r NG
ANDDES I GN SEFt\, I EE
P.0. mr 7{ {21 I. ilAlt( ST-
RI'JEP FfiLLS. II 5{OT7
715-125-0165
1-t D r?3
F rt,
E<-LgWOHI H,
v/is.
ARl'HUq L.wE.3tr.sR
D 9;: P
JoB No- qf- 6Z
I
PLOT PLAN
Scale 1"= LJO'Page Z of 6
s9 3406e3g- L oq T)-f B u(i
l-o.ZS *tlo \o
-
\\s nt $T'.
v3B'
B-L\..-))E
PBIVATE SEWAGE SYSTETT
ConditionallY
ffiffiEd
rPt:il
(.'.\
!,.j
- EL Ioe.\' oru2'F z,
LABOR &HUT'.AN REI.ATIOI{S
4!
DENCE
3"/o
9s^
SEE co
;
Fl-8h(-a_
6FEJ\68 a(tsT,lrq_,
SSTI (
\(ruyl
/*o
'\-oN strETE
\:rrb
er/a
F zt' Pv
p51'r-cG h tTtr-J
lrlt-\, \l
Ir
a,
Ll
'l't PvQ
B. ?-ogL\SL -
s
?3
,'i B.
X \r$'.tl
t'\gE
r3_
9 f,-400
's'r'rtlo.
v3g ,
ESII e-rts Tlro q tssb Gryr-Lo^, sqr:Il < :rrta.ilr
LS \s R\-nq,^, lru truftcq \F \t rSc$\ e esr.r eugtA/ 6. 1F xr\T, trEFLfr(&-t^)\YI ru$rs $ftrr_oru h r br.\/ gsTEiEJ\J
Ptt-q' c-+S T Trtlr-itc-
l\-\
\\'l NOT
b\3'\rJ\-\B
>/C-'\H!ftc.T OR
-f^rtl S i\rlt-\f\.
II
NOTES:
f-. slevations shown are existing ground elevations unl-ess otherwise noted.
2. Install permanent markers at end of each lateral . ( Z required)
3 . hstall 4 " observati,on pipes with approved caps. (_ 3-required)
4- septic tank to be loto gaIlon capacity. rnanutac*.u+ea-Uy
S eE-. ArsTE BAOUq5. Bench Mark 3g.t- Frtouu-
ofvert suEE water around mound to pfevent ponding at the uphill side.
fuorf 'faerr - "5O 4AL. MtDwe.6aERN PR€ -O(Sf
6,l
REstDgtrc€
3 BDRH
.,
s9 340693Approved Synthetic Covering
Medium Sond
3 z Slope
Distribul ion Pipe
G
EIev'- LOt. S
Bed Of l'- Z
Aggregote
Force Moin
From Pump
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
Ft.
P lowe d
Loyer
D r.o
E \.\S
F o.g
G \.o
H I.S
l'
2
Undisturbed
Soil
Linear Load.in
Des ig., Load in
g Rate= 6.'c GPD /I"\l FTg Rate= o.r/ GpD/Se FT
Cross Section Of A Mound System Using
I Trench For The AbsorPtion Areo
5
-1s
\o
B
lo
q5
z3
Ft.
Ft.
Ft.
Ft.
Ft.A
B
I
J
K
L
hlftl ternaHe'i ti on ef Fore e Ma i rr'
w
PHIVATE S
L
Force
Mo in\
t
Au\E\"-S hT
sFPos rYE
ex,'S
Conditionally
APPROVED
DE?T. OF INDUSTRY,LABOR & HUITAN RELA ,$ftr3nd Using I Trench For Absorprion Areo
Drvtsr0il SAFETY A}ID B
t
J
B K
f,A
-2,Distribution
Pipe
Trench of Z'
Aggregote
Permonent
Morkers
Observolion
,*3,18f ssec,rrery
)
SEE COR DENCE
Pase J or L
. Topsoil
PUIAP CHA I\BE R CROSS SECTION AND SPECIFICATIONS . PAGE S OF b
a
VE UT CAP s984069Fi
'I,C.I. VENT PIFE
> 10 ' FROA OOOR.
WINOOW OR FRESH
AIR INTAKE
\^/EATHE( FX'OOr
JUUCTTOU AOX .
ORA OE
€l-q.]+'
la'Alu.
APPROVED LOCKING I'IANHOLE
COVER WTTH WARNING LABEL
.{'Atu.
la' AlN,
APPROYED JOINTS
l0'AlN,
3 feet ontosolid soi1.
Both sides of
'ullir,r,- z t, ,r.
APPR.OVED
'O'U'/with approved /
pipe extend.ing
X KrsER ExrT PERAnTED oNLr rF TAux'AIIuFAcTLJRER HAs SUCH APPROVAL
SPECIFICATIONS
1aANuFAcruR,ER. ,LlLDrJ ESTSA Pl?€atSf NSADER oF DosEs: 3. B pER DA.-t so
; a,.1p,pftovi
. Jeeoorxe
005E
TANKg
--TAUK stzs.i 6ALLO\I5
A.LSRtl ,IiANUFACTUREB:s.\. eLeq:Ro stsTvr s
AOOEL \IUAAbER:LSt HW
SWITCH 75P8,:Y"r €\a cJ.JltY
PUAP AANUFACTUREI,:Z;>€tIeR baP/ttJY
AODEL NUADEI,:q1
SWITCH TgPE:P1SReuPT
DoSE vorufiE
tlrcLuDtN6 oACKTLOW:
I
l\{"k- 3 CTALLONS
CAPACITIES: A= LL rucllEs g* SIZ'o GALL.N'
B = Z rNcHEs or q?pcS".
c-
=,1
lt\rJcHEs oR lt{6' 3 cArLoNs
o- I$ rucHEs onEoALLoNgt3 2s3,{NOTE: PUAP ANU ALARrrt anS fd OS
nlNlnun D|5CHAR6E Rrrg 16' 38 atrn lNsrALLEo ou SEPARATE clRculrs
vEtTrcAL Drrf.ElENGE oETwsE! punp orr Auo.orrrrourlou prtc.. \b 15 FEEr
+ AlrJtArJA NETWORK sUPPL! PRES5uRE.... . -a.5L reCr
1 165 taat oF FoRcE r\AtN x o'sLfYroo'.ltrcrtosre.ron- o.86 Fser
TOTAL O5NA,'1IC HEAD - ILI. U FEET
pIAI{ETER
luTEKNALDl|,lEN5lo*troFTAUK:LENorrr-lP;wloTgS'r]z..rop;LlqulDoEPTH
S gr,e. OrD. S,qu Bo)
BOTTOI,I AREA - ? 23I=,
AS PER MANUFACTURER =
GALIINCH
l
r
I
I
I
CONDUIT
PFIVA1 E SEWAG V PROVIOEINLET
'ii SllYr^flc'r sEALaatto
T ank b dt
A cons truc ti
ILHR 83.15
on sh
and
all comply
-Lfolern
with ILHR 83.20
raAs nEt'Aflolts
ALARtt
LIBOB &tic
,T.SNBS
.'CIF ND usTsY'Atl0 r\
,uls$N s ON
c
DENC E
J@PUAP --SEE \r ofF
o
alt- 96. O CONCRETE DLOCK
\ q. S GAL/ rNCH
.tl\otlz
-
t
\
HEAD/CAPACITY CURVE
MODEL 97
\\
\
\
\-
15',
\
ru tl 1 \
1o',-\ls.3B
\5
t
10 30
I
40
llm
I
6050
F
UJ
IJ,Jlr
rtuJ
Ftu
=
30'
25
6 20
4
2
0
GALLONS
LITERS
I
o
u.lE
9
E
z
o
FoF
0 80 160 240
FLOW PER MINUTE
TOT& OYNAIrc H€ O/FLOU 'Et
III.UTC
EFFLUETT A'IO O€IIATEIT'G
HEAO
CAMCTTY
UHTTS/HIN
FEET
5
10
15
20
IIETERS
1.52
305
4.57
6.r0
GAL
56
46
35
15
LIRS
212
171
133
57
Lock \hlve 23.7s',
o Electrical alternators, for duplex systems, are available
and supplied with an alarm.. Mechanical alternators, for duplex systems, are avail-
able with or without alarm switches.
Standard All Models - Weight 33 lbs. - 1/z HP
For information on additional Zcruller products refer to cata-log on Combination
Starter, FMO5'14; Piggyback Mercury Float Switches, FMO177; ElectricatAtternator,
FM{486; Mechanical Altemator. FMO{95; Alarm Package, FM0513: and Sump/-
Sewage Basins. FM(N87.
10tt/ro
3s/to
. Mercury float switches are available for controlling
single and three phase systems.. Double piggyback mercury float switches are available
for variable level long cycle controls.
SELECTION GUIT)E
1. lntegral lloat operated 2 pole mechanical switch, no external conlrol required.
2. Single piggyback wide angle mercury float switch or double piggyback mercury
,loat swilch. Refer to FM0477.
3. Mechanical alternator 10-0072 or 10{075.
4. See FM0712 for correct model ol Electrical Allernator, "E-Pak".
5. Mercury sensor lloat switch 10-0225 used as a control activator, specrfy duplex (3)
or (4) float system.
6. Four (4) hole "J-Pak", iunction box, for waterlight connection or wired-in stmplex or
2 pump operation. 10-0002.
7 Two (2) hole "J-Pak", lor watertight connection or splice, 10-0003
CAUTION
All installetion ol conlrolr, protection dcvices and wiring should be done by a
quelilled licenccd elcctrlclan. All electrical and salety codes should be lollowed
including thenost recenl Nalional Electric Code (NEC) snd the Occupational
Salety and Hedth Acl (OSHA)-
CONSULT FACTORY FOR SPECIAL APPLICATIONS
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump
Pft6E 6 oF L
4t/e
412 ---s-
45/z
1t/2 - 11% NPT
!3/:a
Uq
J
I
97 Scrlcr Control Selection
tlodcl Volt!-Ptr fode Ampr Slmplcr Duplex
M97 115 1 Auto 't2.0 1or1&7
NI}7 115 1 Non 12.O 2or2&6 3or4&5
D97 m1 Auto 6.0 1or1&7
Ee7 m1 Non 6.0 2or2E.6 3or4&5
3280 )ld Millers Lane
P.0. Box 16347 . Louisville, Kentucky 40216
Manufacturers of .@ /orurnfr (502)778-2731 . FAX (fi4n4-3624 '[*rrru Faups ,fno /!,?g "
se340693