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HomeMy WebLinkAbout022-1020-10-000 0. 0 C m i cry A. O C I o _ I O r v N (6 O ,c y ~ N d R c c o 'y I i E Z (D Fr ac) O O \ O Z -rn ~6 O LL = N V O 6 N > o N Q c ry, 3 M v I ~ z 4i Z £ 00 O co W a m co I- Z I, g O Z u I w P N N Z C O (n F- r , N Z , E '2 ~h N M c '0 L O c U m =O Q Q w z z o N Z y E I co c: d co C) Zw! O N N N j O m LO y y T O H N ►O. N N O O O C O Sl m O a EI = m 04 N LO L,) 1 _ O U 0 U) V) U) > ~ to O O ~V 0 0 0 0 Z O -It O ~1 g ~~1 a o o N to .J U 3 rn rn } O O M 00 0) O O = 0 6) 0) 0 ct 0 - CO, N II~~ Q O O = 0) > E tD LO a m a co a) .21 .2 0O 0E. O O j M N c d 0) O O N 04 CL r- '6 O~ c E = 00 CNI 00 C N O E O O O 11 Z ' `m d 9# a d tt~~ L E C w `~1 A c°am 11 oU) k STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER&}h ADDRESS S'iCa~,1jj;L11 AY'V ell SUBDIVISION / CSM#LOT # SECTIONArF7 T -<-7S' N-R_ W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /*,o It ~G ,7SU j D~t, G .rvl ,,/INDICATE NORTH ARROW ® r ~s Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. I BENCHMARK: ,Sit/h-e Q S l f J I ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:.&iWuAe,_,5;,j'- Liquid Capacity: ¢Q,0Z> Setback from: Well S?l House /S Other Pump: Manufacturer Model# ?,F4; Size el~L Float seperation Gallons/cycle:4Z4y__ Alarm Location A~ A v-e_ SOIL ABSORPTION SYSTEM Width: Length e?Y Number of trenches Distance & Direction to nearest prop. line: /,I" Setback from: well: /?D House >6G Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: AI'VT 3/93 : jt FSafety DgpartmentofIndustry, PRIVATE SEWAGE SYSTEM County:ST. CROIX Muman Relations INSPECTION REPORT and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: ,.~1N FO RMATI ON 224680 GENERAL pt.Jt''r'MAN I~~pr ~INFORMATION Peri ,a`T')RET ❑ City . Village ,[R Town of: State Plan ID No.: iC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /,00, 1 d_1 S P'':.. A9400308 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - fns C~z, ,L Benchmark /0'-// JD~, Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic ya S %So' ! S' 7za ` NA Dt Bottom zS ~Jl, Dosing >Z e ' NA Header/ Man. 6 0~ Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number 5GPM TDH Lift Friction h_ System TDI-h,'q 1 Ft oss Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ± Length., No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION I DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O %!g7<_ CHAMBER ~ Model Number: System: r; 61' K /DG G 6 A) lA OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(9 ) f x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length a Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only j Depth Over Depth Over a xx Depth Of xxS ded ItmHf1;8 xx M Iched Bed /Trench Center ' D Bed /Trench Edges h \ " Topsoil (p [y Yes Noes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnirkinnic.8.28.18W, NE, NE, Lot 5, Sleepy Hollow Drive "YS ~~^y J (Z.,(~;-i Plan revision required? ❑ Yes ❑ No y :r Use other side for additional information. SBD-6710 (R 05/91) Date M p~ttor-s signature Cert No. 4 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i a SANITARY PERMIT APPLICATION ~r _ In accord with ILHR 83.05, Wis. Adm. Code Q~. STATEE SANITARY P RMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 'a O 9,'(j 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. ST ~LA I.D. WrBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 1 PROPERTY OWNER PROPERTY LOCATION e. a r S T , N, R/ E (or 140, p- PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # old 4,,47` CITY, STA E IP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ' CITY NEAREST ROAD II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE : r , l S) ❑ Public X11 or 2 Fam. Dwelling- # of bedrooms sZ PARCEL TAX NUMBER( 111. BUILDING USE: (If building type is public, check all that apply) A 22 l~'~ 8~ j~ 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF,PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2.E] Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an 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 12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSO, AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~el" ELEVAcT-ION AS O. 92 Feet dig, v Feet VII. TANK CAPACITY in allons Total # of Prefab. Site Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete structed Con- Steel glass Plastic App. Tanks Tanks &00 F7_ El I Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber r VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. C TY/DEPARTMENT USE ONLY ❑ Disapproved Sa ary Permit Fee (Includes Groundwater ate ssue Issuing A ent Signature (No mp ) Coll', Surcharge Fee) Approved ❑ Owner Given Initial lG~ yc/e 9/G p Adverse Determination ICJ / i 'loll X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: , SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber i , INSTRUCTIONS t 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 & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. 111. 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 system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must: sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% 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; dose 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 i 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-6398 (R.11/88) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations Auqust 11, 1994 201 [Aa t Washington Avenue P. 0. Box 7W19 Madi, on WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O`Nk ILA ROAD HUDSON WT 54016 i RE: PLAN S9443125 FEE RFCFIVFD: 180.00 HOFFMA.N, BRET NE.,NE,8,28,18W TOWN OF KINNICKINNIC COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referonc:ed submittal. ' Conditional approval is hereby granted for the system plan submittal. All 1 noted items must: be c_orrec.k?d. The review and approval of the system is based I on chapter 145, Wisconsin Stafl)tes, and rhapt:ers ILHR 8:3 and 84, Wisconsin ~ Administrative Code", and is contingent upon complianrc- with any stipulations I shown or) the plans. Thi sy<,tem has not been reviews ci for the code in chapters ][HR 50--64, Wisconsin regrtirr?mclnt; set forth in c:haptr'r Ii_HR 82 or Administrative;C4de. This plan ~~ubmittal approval will expire two y?ars from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the irrit,ial sanitary permit expires. The licensed plumbe-r responsible for this Installation ,hall keep one 4 set of plans with the Department's stamp of approval at: the construction site.. The in~Jallor shall notify the appropriate inspector when in:,pection% can be made. All permits required by the city, village, township or county shale be obtainer' prior, to installat icrn. Inquiries should be directed to rne at the number li,,ted below. Please refer to the plan number shown above,. Si cerely, roes Quinlan Plan Reviewer Section of Private Sewage (608) 266-3937 ORIGINAL 8BD•6422 ( e. 01/91) toot i Y ~ f 4I I I 9 J A V LSRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, W1.54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # S`ly' 034z5- Date Owner /3t?&7- Phone 71-4-- 3406 ' Sp2• (,p 60 Address llvpsa"J S yo/ ~ Legal Descri ption hZ0l1Ow . '2' O ~S ,vE ry ~E %y sue. ~T ,e i~ w . Town of ie A' ) CC K ~'a ai County Sr• C P- O G4ey 5-teeL C-5 T-/-l 27- 98' Installer C.S.T. I?o3epr LitbR-ickr cs1-n Z.y91-. Local Authority/ Supervi si on T. G p t' 1( C O U.v T Y Z p J t' ~'Cr PROJECT DESCRIPTION So OS A z e- P I A*re y wo-t,-u... 14- Tor 14-" ati.~ 5 Iow L y p n h t3 [E- (.-3 -rkp- s , rE i 5 SU1-rA Q1E o aLy FoP- /4,, loz(r ~hl2l8ac~ -t-i2e,~c.G~_ ~rY J~ ou) -S y S Tr✓ M . Ppoposep ~~w co~STIE'ucTro►.~ - -foie A 3 Q DROp~ 5 rt' M ATF D D A PLC/ 5 y5 ~s . RECEIVED Pg.l PLOT PLAN VIEWS AUG 1 1 1994 Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAt" V JEWS, LDGS. DIV. Pg. 3 PIPE LATERAL LAYOUT laoeEarw. ~Y u EFVcKr Pg.4 DOSING CHAMBER CROSS SECTION, 01160 KWis. Pg.5 PUMP PERFORMANCE SPECS' fib l..t NOTE- ` P,`=-R Sa/G 7->~ 5 T~~PS ~~EPi9~PE" vii TE' Li4- eEr&//y 81V 4!~741SJFI V AEA 61 7'0 &,pE1f e / p /i 7 F7/ +.Pi Za V $ . I 1 l 1, l / rq (/.y ) k • I r ~ STS 101 aiv. 701-1 of & I.-- V 77eU X00. D ' SCALe : l 30 _ i9~Pk o C . - I , ~ ~ ~ Cos' 3G b0~ 134 cAe15fOG- DO Brea Y5 fl, below the dowoslo a gill of lh loll Aso001 System must remain uodislurbed, e r- 4, ~tft ,o a` 0 N .q n m L a L-o-r s 5LEi~7pY . 2, 0.0 + A cte, 5 tiE~ 7So P/c O sQ.P. P,PEC.rS T- ,S.T. • ~ _ ; t I~,~HES/TE /3t 1J(,- SEwE~I° 6U66E5TeD (TIP Qo Ct..- $94 J 25 1" OVA.)D Et 8V,4tto-0,c /00.70 13 / o o • 7 p ate TREAlGL /00. 20BZ 9~•Gs (3y /DD- Zb to ` ORIGINAL - - - - - Pe, ..Z. o-f 2. Tap o y Zf7,E/et/ /a/ Gz Zti UE-je T o F /O 4 ' T~ OF yfjVin~- 6--f- r-E-- ~ .f S y.5 rE'M Page?- Of 5 Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H -~G Topsoil J! " 3 % Slope Trench Of 2N- 21 Force Main Plowed e-L V- lTid,J 9 Layer Aggregate Undisturbed: D Ft. Soil E • Z Ft. Cross. Section Of A Mound System Using F Ft. A Trench. For The Absorption Area G ~ • a Ft. A y Ft. H Ft. B Ft. K ~o Ft. L Ft. + J S Ft. Position of Force Main I l4~ Ft. W .26 Ft. L K 71 PERMAasaT- StEC/ . ROD HhRKERS 4- 1 A>` Ekc.4 EAao.`. W Observation i? 1.4?ERAIS. A Pipes (I AT eAC1, EPD) , or tRe~,c-1,,, w,. 0 • Distribution Trench Of 2 2 Pipe Aggregate $94-0125 Mound Using I Trench For Absorption Area ,4 re it 1wfs7E//6w 13,N6A L = D~•~y REC~~I ~E.D 4- afst/ 4jee# 13 X (,4 V- ti Page 3 Of V 0/ 0 V 0 /UM E ,,~oe /Sp FT % Z RUC FoR~F I /45 r lE Perforated Pipe Detoll zv,ei 6A r Fo,~ vlil v,4E e vAC v4 P'oA-) End Viaw )Perforated End Cop) • t~Ob\` PVC Pipe Holes Located On Bottom, Are Equally Spaced PVC Forca Main 1 Q Distribution Pipe L0$r' H01e Should Be Next To End Cop End Cop Distribution Pipe Layout P 7.J' Ft. 4,(IJAW . X 70 Inches Y 12- Inches v Hole Diameter y~ Inch Lateral Inch(es) ~~~N OF sMUY t~~It~'I;6 y.~:~:. Force Main " Z Incl:as 'C # of: hales/pipe 13 ifi~6°►~P`ti`= Invert Elevation of Laterals/10/5Ft. DCSTRilBurioN :DISc H^.RGE 9,ATE FOR CAC R. LATER A%L PAr ©TiS 2.-7 Z TOTAL. --DiS-rR%QPurio,i ViScmAPG E RnrE FOR Ne Two R ,.K 30, yZ JvI i , J 2 . J~ f'Au f' M UM y i '1 I PUMP CHAMBER CROSS SECTIQM AR}D SPECIFICATIONS p,414- OF S VENT CAP PE APPROVED LOCKING 4"C.I. VENT PI WEATHER PROOF JUNCTION BOX MANHOLE COVER 25' FROM DOOR, 12"MIN. w/lvAtA)lo(!/ASE1 * _W 0,W._O.R, FRESH I MD AIR IAITAKE C.RA DE I 'i" MIIJ. G~ I IB"MIA1. 100.~ i COWDUIT L-- o INLET PROVIDE I - AIRTIGHT SEAL 011JTS i'~/•~AOPPROVED JOINT A INy,I(~rJ1~ ( III VPPE W/C.2. PIPE . I ~'e-~o W/C I I EXTENDING 3' 0% 0 I I I ALARM EXTENDING 3' ONTO SOLID SOIL ONTO SOLID SOIL I II c ow gy ELEV. ~ FT. ~ PUMP OFF r D t.2 40 H BLOCK tcvA /o i RISER EXIT PERMITTED OWL4 IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E S P E C I F I CAT I OU S DOSE TAIJKS MANUFACTURER: J111DlJE$T~IPN ale£CAST- IJUMBER OF DOSES: PER DAS ►11- TAIJK SIZE : -750 GALLONS DOSE VOLUME AS 13 Y ALARM MANUFACTURER: S.7• = LiCT RU INCLUDING BACKFLOW: GALLONS MODEL HUMBER: Ti}A;k A l6Rr 16111w CAPACITIES: A = l (o INCHES OR 3b 0 GALLONS 2- IN HE 3 go • /~1~ S 0R GALLONS SWITCH TYPE. Gv/~y J~~O r- Bc C S PUMP MANUFACTURER: ~hV L D C = 7 INCHES OR 118 GALLOWS MODEL NUMBER: 3~a ya' 14 P. C D ly' S INCHES OR 22 GALLONS SWITCH TYPE: P155V /3h-'k NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 3~Jr GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. /Z• / FEET -I'Aok SP~G . + MIIJIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.5 FEET EAGGI, Oir -jot P l~I. 50 FEET OF'FORCE MAIN X ,2 '0- ~E' 3" L ON FACTOR.. FEET + / loo ~FRICTI E-40r I s 5 ~ - TOTAL Dy1JAMIC HEAD, 17 7 = FEET ; INTERNAL DIMENSIONS OF TAWK: LEKI&TH ;WIDTH CO ;LIQUID DEPTH I . L _ l4 , . I B 0 t 1 t r 1 ~l " X11 F 3886 j 4rwn Yw1 f I AVAILABLE CERnFlCAnoNS ETLLISTED SOBMERSIBLEPUMP CLASS 1 AND 11 DN.2 AND - w _ CLASS III DIV. 1 AND 2 ~ - ETL TESTING LABORATORIES, INC. CORTLAND, NEW YORK 13045 G1086131480 CANADIAN STANDARD ASSOCIATION APPLICATIONS • Casing: Cast iron volute Designed for Continuous z' Bearings: Ball bearings, T. 0 upper and lower. type for maximum efficiency. Operation: Pump ratings are ,vecifically designed for the • Power cord: 15 foot 2" NPT discharge adaptable within the motor manufacturer's l~ tollowing uses: standard length (optional for ALS10-20 slide rail recommended working limits, • Homes lengths available). systems. can be operated continuously • Far,,.s Single phase: 16/3 STO Mechanical Seal: Ceramic without damage. • Trailer courts with 3-prong plug. vs. carbon sealing faces, Bearings: Upper and • Motels Three hase: 14/4 STO • Schools p stainless steel metal parts, lower heavy duty ball bearing • Hosptitals with bare leads. On GSA BUNA-N elastomers. construction. listed models, 20 foot • Industry Shaft: Corrosion-resistant Power Cable: Severe duty length SJTW and STW stainless steel. Threaded rated, oil and water resistant. SPECIFICATIONS are standard. design. Locknut on three Epoxy seal on motor end Pump: FEATURES phase models to guard provides secondary moisture against component damage barrier in case of outer jacket • Solids handling capabilities: Impeller: Cast iron, semi- on accidental reverse rotation. damage and to prevent 1'/z" maximum. open, non-clog with pump out Motor: Fully submerged in oil wicking. • Discharge size: 2" NPT. vanes for mechanical seal high grade turbine oil for 0-Ring: Assures positive. • Capacities: up to 140 GPM. protection. Balanced for lubrication and efficient heat sealing against contaminants • Total heads: up to 26 smooth operation. Bronze transfer. and oil leakage. feet TDH. impeller available as an option. j • Mechanical seal: carbon- IV rotary/ceramic-stationary 18-8 stainless steel metal parts, BUNA-N elastomers. METERS FEET •Temperature: 160OF(71°C) MODEL 3886 maximum. 10 SIZE 1'/z SOLIDS • Fasteners: 300 series 30_.wa_ RPM 1750 stainless steel. ! , " TO GPM IMP. DIA. 5/2 r - • Capable of running dry , 1 i . A 2sFT. without damage to 25 components. S F Motor zu~ . . i S • Single phase: 'h HP, 115 or F 230 V, 60 Hz, 1750 RPM o 5 15[ - Built-in overload with m.._.._,. L....._ . n Built-in I automatic reset 3 s1 • Three phase: ''h HP 10 z re 208/230 V 460 V, 60 Hz, - M s1 I, 1750 RPM. s} ai Class B insulation, overload U protection must be provided i 0 S in starter unit. S 20 40 60 80 100 120 140 GPM e, • Shaft: Threaded, 400 series I I I I I I I le stainless steel. 0 5 10 15 20 25 30 M31h CAPACITY A q A t 0 yJ l` • ~ V 12 t; ~DENPOW 7o 5oi / ~~100X 7- o/-- SO- 5 = r 3. C-5 l'-f Z 2 p~ Wisconsin Departrnent of Industry, SOIL AND SITE EVALUATION REPORT Page of z Labor and Human Relations _ Division of Safety a Buildings in accord wi dm. Code (D A'. COUNTY a' Attach complete site plan on paper not less than 81/2 hes in n m ude, but not limited to vertical and horizontal reference point ( edhrection an`lope, ' r PARCEL I.D. # dimensioned, north arrow, and location and distance to-nearest'road• APPLICANT INFORMATION-PLEASE PRINT ALUINFORMAi10'N: M ' REVIEWED BY DATE PROPERTY OWNER: PROPS ATION ~3~c'ET f~1r¢~t/' GOVT`L T 6 1/4 NE" 1/4,S TLS N,R i8 E(r W PROPERTY OWNER':S MAILING ADDRESS BLOCK # SUED. NAME OR CS # CITY, STATE ZIP CODE PHONE NUMBER CITY (]VILLAGE &OWN NEAREST ROAD /~G upSo,✓ 49/. Silo/lo (7/5) 3.06 -P2G8 k-, ;uvie~i;v.~r G- slAwy //w/oev [oew Construction Use [ eResidential / Number of bedrooms [ J Addition to existing building J Replacement [ J Public or commercial describe Code derived daily How gpd Recommended design loading rate bed, glxw • 3 trench, gld*2 Absorption area required 375 bed, ft2 37-5 trench, ft2 Maximum design loading rate bed, gpd/ft2 • 3 trench, gpolft2 Recommended infiltration surface elevation(s) SEE P 5 2- ft (as referred to site plan benchmark) Additional design/ site co ations VS6" 7X!FuGw T%pE 11Y0y vp S y S'7`2tF--4-r D.v l-y . Payent s material 5C5 (15)- S/},v)-i ;f.(r, O - T %i'G = Flood plain elevation, if applicable o h 20e-;* I= 10 S = Suitable for system CONVENTIONAL. MOU IN-GROUND PR~ssURE AT-GRADE- / SYSTEM IN FILE, O SII~ T U= Unsuitable for system O S W 121f p U 11 S C~17 O S LU 11 S [W' SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed fact A 0-41 io ye 31.7-- - 5./ 2 w f,*& ees it s 3 f .5 /0 /0 Yet' 3 511 2- f d5 at 5 I of 3 Ground /32 t" k'9.20 /Q 0 ~167 S~ / SGG~ Gl /j CGC] . . $ /oo 2- ft 164 0•36 YSYR Y~4e 51 If sdie dUti N Depth to 7 S yip I1' ?.S~ h 5 SC~ 'M,4S.0_ d V h A' limiting ~ 36 S 55' Remarks: Pllf T 1*1 .2- 13-2-f Ael!74V 71"al;0 - /.clfD A G Boring # Ground elev. It Depth to limiting factor Remarks: CST Name: Please Print 'ROB ER 241 b R I' C ITT- Phone: 715 J S'S Address: (05-S O' ,)et' L PP- N L) osoAJ g•5-f c'5 7-Af .2- yeZ. Signature: Date: CST Number: Q W t 5 . 5g0l (o _ ORIGINAL. r ~ PROPERTY OWNER SOIL DESCRIPTION REPORT Page__of_ PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends Ground elev. ft. Depth t0 limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting ' factor Remarks: Boring # x Ground elev. ft Depth to , limiting factor Remarks: COn 009^10 fwwn JAWM IN f L 7010 of 7Ci ~:v • w~►l/~D ioD.O ' SCALE : l 30 APP,p ox , 3 • G d ~ C I ~ 7 P TS I o v~ h B3 ~ q4• RN . qq. 9 By 4 LET 5 5Le7epY 2.0.0+ Ir7~DME5/TE ~ L d S~Y,vEt° ~ ~z.ser 0 moo- SU~~EsTe[~ T~~~ct~ u1 Mvv,JO E1EvAN0.0.s eIevATfoas - 11" SaaD I /o/. ' (3 /00.70 13 ~oo• 7p N 0 pa ~ ~ T Rein 3 2 ~GS y %o. Zo /0D. 20 O Wisconsin Dep n"Rent o~ 15~' SOIL AND SITE EVALUATION REPORT Page 1 of 3 Division of Safety Buildings in accord with ILHR 83.05, Wis. Adm. Code ' COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 8t. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope,.scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Bret & Connie Hoffman GO 8 28 18 VT. LOT Z.E 1/4 1/4,S T N,R xLK(a) W PROPERTY OWNER':S MAILING ADDRESS T # BLOCCK # SUED. NAME OR CSM # 364 Bradley Dr. n/a Sleepy Hollow CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD Hudson Vjl. 54006 (715) 386-8268 Kinniclrinnic Coulee Rd. . New Construction Use [x} Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe / Code derived daily now 450 3 ~ gpd Recommended design loading rate nP bed, gpolft2 . trench, gpolft2 Absorption area required n/p bed, ft2 375 trench, ft2 Maximum design loading rate bed, gpd/ft2 , trench, gpd/ft2 Recommended infiltration surface elevations 101.7 It as referred to site plan benchmark i ( P ) Additional design / site considerations mound to :.be chisel lowed to a c'e , th of 12" minimilm Parent material pitted, elacial drift Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S f2U as ❑ U ❑ S ~BU ❑ S ER U ❑ S A3U ❑ S au SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxfary Roots GPD/ft I in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rertdh 1 -5 10yr3/2 none L. 1/c/pl mvfr c/s 2/m .0 .3IU 2 -12- 1(17r5/4 none sil. 1/f/p1 mfr n/w 1/ri Y1 .3 Ground 3 2-22 10yr5/4 none sil. 2/m/sbk mfr g/w 1/f_ .5 .6 elev. 1n0 -7 IC 4 22-33 7.5yr4/6 none s1_. 2/m/sb?c nf_r n/w 1/f .5 .6 Depth to 5 3-60 7.5yr4/6 c2p 7.5yr5/8 sl. 2/r1/sh1- rlfi na/ n/a .5 .6 limiting factor 33" I Remarks: ff 911 31 Boring # 1 0-5 10yr5/4 none L. 1/c/pl mvfr /s r4y. 2 2 5-11 10yr5/4 none sil. 1/f/pl mfr /w 8, .3 3 11-20 103=r5/4 none sil. 2/m/srt: nfr /f0-'` ' `r~.6 Ground elev. 4 20-32 7.5yr4/6 none sl. 2/ms/b) mfr f .5. 6, .65 it Depth to 5 32-55 7.5yr4/6 c2p 7.5yr5/3 sl. 2/ms/hl: mfr .6 limiting factor 32." Remarks: CST Name:-Please Print Gary L. steel 715-246-A ,pone: Address: 1554 0th.. Ave. , Nevr nichmond, WI. 54017 Signature: Date: CST Number: 3-5-~3 cstm 223 PARCELI.D.#t Fret Hoffman %o" I Page 2 of 3 Boring # Horizon Depth Dominant Color Mottles in. Munsell pu Color Texture Structure E-3 Gr. Sz. Sh. Buxld3y Roots G P D/ft 1 0-5 1Ovr3/2 none Bed 2 5-I1 10yr5/4 none L• 1/c/.1 mvfr c/s 2/f .0 .3 sil. 11f/pl mfr g/w 1/f .0 .3 Ground 3 11-16 10yr5/4 none sil. 2/m/sblc mfr ~tev. g/w 1/f. .5 .6 100. ft 4 16-2. 7.5yr4/6 none sl. 2/m/sbk raft g/w 1/f .5 .6 Depth to 5 29-45 7.5yr4/6 c2p 7.5yr5/8 dl. 2/m/sbk mfr limiting na/ na/ .5 .6 factor 29" Remarks: Boring # V-)AI Ground elev. tL Depth to limiting factor Remarks: Boring # Ground elev. ft ; Depth to _ limiting factor Remarks: .Boring # ,kw Ground elev. tt 9 Depth to limiting factor Remarks: 'BD-8330(R.05/'92) STEEL'S SOIL SERVICE 1554 200th-.-Me. Gary L. Steel Bret & Connie Hoffman C.S.T. 2298 r]ViW1, S3-T98N-RI8W New Richmond, WI 54017 MPRSW-3254 town of Kinnickinnic (715) 246-6200 lot #5-Sleepy Hollow . 10 X17 /0 l7 l2 ~ p ,So' 2 5 , 5' o 0 3ti 0 Gary L. Steel 8-5-93 S T C - 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 .,eve 17'-,,z 4 Location of property_,4 r 1/4 1/4, Section _ ,TAN-R_.,~F- W Townships Mailing address IDD7 2°7i~ ~~;s.~~ Address of site S C-- g v o a •e eyo f"S Subdivision name L"vrv( i/C-~ pq. D 3 3 3 Lot no. S Other homes on property? Yesk No Previous owner of property e-k 7" A,"e bt off" Total size of property Total size of parcel ?aaec^d5~ Date parcel was created cam? Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes X_No Volume 10351 and Page Number q7 3 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the ffice of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. f A 5TC° - /60 ( /'G1~e- 9d7 Signature of Applicant Co-Applicant Date of Signature Date of Signature { Form - S T C 100 Owner of Property_ ce Co Y% r%re, Ma MnA!nk ,Location of Property Section D T (9 R f~ W Township K1 kyrVL cC _ Mailing Address Qt 1 Iy~•,, yr ` ~Z 412,3 Subdivision Name_ 5/e ep-F !r6 ~~041 Lot Number Previous Owner of Property Total Size of Parcel ~O 1`Creg Date Parcel Was Created Are all corners identifiable? Yes_ No Include with this application one of the following: .Certified Survey Map .Deed .Land Contract, or .Other Legal Document which describes the property I PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that 1 (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed record in the Office of the County Register of Deeds as Document ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an casement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. SIGNATURE OF OV4f&R SIGNATURE OF NER (IF APPLICABLE) 9- ~--V g-,-- `I DATE SIGNED DATE SIGNED STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERBUYER~ MAILING ADDRESS i& q q qqk S ' L)6e 4s tj t s q Q l { i 6z PROPERTY ADDRESS U11 r t~ 4_1 r (location of septic system) lease obtain from the Planning Dept. ~y 4 CITY/STATE t- t t PROPERTY LOCATION 1/4, N 1/4, Section , T_"R_4_W TOWN OF K t .-N ti t L ki N iNi ST. CROIX COUNTY, WI SUBDIVISION l11(J LOT NUMBER * 5 CERTIFIED SURVEY MAP `fro 7f7z, VOLUME F , PAGE 3 33 OT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by 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 60%. 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 Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. 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 DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three ear expiration ate. zt /4;, SIGNED: C' C tom- DATE: r, T (c 7 ^ St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 yK 4x p a t c- u 8 , { f TNIS BPACE R£9CRY£D TOR 11£cORD'NO DATA DOCUMENT No. STATE BAIT OF WISCONSIN FORM 1--1982 '.I ~ WARRANTY DEED IT) VOL i 1034ME 4 . This Deers. male betueen Robert K. Richter a/k/a Robert Richter i Recd firRepDrd i rantor, i Vag Sf P 6 193 - n-•• ni - e - LaP o---•--••-- - - --Hof fm 15 - P•te an and I r Co and ~,I: i and husband O aIA-01 oman, w fe •n,- I 1~p+er;,l ► 'I - Grantee, . • - Witnesseth, That the said Grantor, for a valuable consideration...... . . _ RETURN TO St.... Croix conveys to Grantee the following described real estate in it County, State of Wisconsin : I ~ Tat Parcel No- , 1 f Part of NE1/4 of NE1/4 and Part of SE1/4 of NE1/4 of Section 8, Township B NhasRfollows:WeLot Croix County, Wisconsin described Survey Map filed March 2.7, 1991 in Vol. 8, Page 2333, Doc. !i No. 467472. TOGETHER WITH AND SUBJECT TO the right of ingress and egress over I~ the road right-of-way 1991 in Oulot DCer octiNo d467468y Map filed March 22, , i. This iS---T-1O.t homestead property. (is) (is not) j. appurtenances thereunto belonging: Together with all and singular the hereditaments and app And------ RobertR_-Richter.-a/k/a -Robert- Ric -ter warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except any. easements, restrictions and rights-of-way of record, ii 1 i and will warrant and defend the same. 1 gust 19_93 ' Dated this -~------..1~--•----.._..---°------•-------. day of Au- (SEAL) (SEAL) it ~ • Robert K. Richter a/k a ~ - ' - - (SEAL) ------------(SEAL) I ACSNOWLEDGMBNT I~ AIITSENTICATION i STATE OF WISCONSIN II Signature(a) sa St. Croix County i - 19 Personally came before me W3 day of authenticated this .-------day ot._.---___--• August----•---------------- ----r 19 the above named Robert K. Richter a/k/a Robert_ TITLE -----Richter----•--------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN ~-f-t-..~ - authorized by 1 706.06. Wis. State.) to me known to be the perso[3aiarF-•'IQY iChMgled the egging instr ent and I ' - THIS INSTRUMENT WAS DRAFTED BY Aj.eel I Kristina Ogland lice Jo Co ors 9t •C C)Tx AtVorney--a_t. Lav------- 'I Notary Public County, Wis. a o i My Commission is permanent. If not, state expi> ti (Signatures may be authenticated or acknowledged. Both 1 a on I are not necessary.) date: - - - sIQamea of persons signing in any capacity ah uld be tSPed or Printed below their a Qnat-ur s. WARRAN~rY DEED F Wisconsin t--v.1 Blank Co. Ina aTATFORM BAR N- OF 1-1981 WISCONSIN Milwaukee, Wis. FLED, 1 MAR 2 21991 JAMES O'CONNELL , 9 Register of peels SL Crots Cb. wt 4:6'74'72 CERTIFIED SURVEY MAP -L~ LOCATED IN THE NE1/4 OF THE NE1/4 AND THE SE1/4 OF THE NE1/4 OF SECTION 8, T28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN LEGEND ST. CROIX COUNTY SECTION CORNER MONUMENT, FOUND. 0 1"x24" IRON PIPE WEIGHING SCALE IN FEET 1.684/LINEAL FOOT, SET. • 1" IRON PIPE, FOUND. of 200' 400' U N P L A T T E D LAND S NE CORNER NORTH LINE OF THE NE1/4 ~eSECTION 8 N87°10°43"E 2545.63' T28N, R18W 167.26' 2378.37 w O iV N1/4 CORNER POINT OF SECTION 8 BEGINNING A a T28N, R18W o Z \ o OWNER AND SUBDIVIDER w z w Robert Richter w W 1152 Riverside Dr. N. ~ w Hudson, Wisconsin 54016 hq~ cn H as U r14 z C) H W Hx pa00 Q'j A H 4)i h1' z LOT 5 w H 20.011 ACRESt H AV 871,687 S.F.t i ,vcb0 ° I:r z I p~ M H A C14 E-4 O ~o w d I .-i C4 r=1 a I H W M ~ W .-1 W rl W I W O E-41 as °a H \ o E-41 I~L+ w CD dl HHw > P4 P4 -4 041 OI H O A 2 ~ w cV H OI \ '41% P-4 aI I No~~~ S8401112411W 7851112.34' v' °n vl ' 1 344.61 ° 01 328.23 z o H CSM -LOT-4- 6611 I r-q El/4 CORNER SECTION 8 T28N, R18W THIS INSTRUMENT DRAFTED BY MICHAEL E. BURKE Vol. 8 Page 2333 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 11, 1994 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 i ,ry 'v, ULBRICHT & ASSOCIATES' ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S94-03125 ~FEE RECEIVED: 180.00 HOFFMAN, BRET NE,NE,8,28,18W TOWN OF KINNICKINNIC COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items 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 ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will 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 shall notify the appropriate inspector when inspections can be made. All permits 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. Si cerely, mes Quinlan Plan Reviewer Section of Private Sewage (608) 266-3937 SHM6483 (R. 01/91) i a ULBRICHT & ASSOCIATES CO. 655 O'Neil Road ` Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants w' PROJECT INDEX DILHR Plan I.D. # sy7' ~3/1✓` Date 406' Owner T CD, V4E- 116ff1A1,f,V Phone 71--f-- 3 2, (0 8 Address t// {~~p~}J>LEy hGUOSo.J L s yo/ G Legal Description L.p t - S/~Ep~/ ~o/l0/v . -Z ~S Town of K~•,•,,,~i C- County $T'• C (2 o j K, C.S.T. 6-4ey 5*eeL csT, 2z q 8-- Installer Ro3E1217' 1ybRickT" cst'n ZyS'2._ Local Authority/ Supervision ~T c~nrx cov,~rY PROJECT DESCRIPTION Soils A e E- P I AT& Y w i t~.c;,,,, -IA. -top I J- slow Ly PIERO AiA ' ~E C 3 G-IPD T-~ s rTE s ~,'T~IS I E- o L Y Fay ~0A36r- ko 0~, -t-le&0 CIL ~'Y ICE /4 ou,~~ s y s Tc M . P~opos~~ - mew co~,sr~ev~rro~ - -Foie 3 T3 oQoo~ t{z~~E7 . Es T'i M ATE- D D A (4-Y WAS-rf-F ~ C 5 716 ~s . RECEIVED Pg.1 PLOT PLAN VIEWS AW 1 Pg.2 SYSTEM CROSS SECTIONS & SYSTEM,, WAVEWS) %S. DIV S`,~ - Pg . 3 PIPE LATERAL LAYOUT .44 ~?►f,...''""~w~~ 4* WSERT W. Pg.4 DOSING CHAMBER CROSS SECTION 1 UD ff 1160 A ~wsoW. Pg.5 PUMP PERFORMANCE SPECS WIS. 4D It- 04 1 G S. ND TE- • is r iq L'ST S l3~1. /STEEL ~r~jE ~EuG~ ElE!/~9-T7o~ SCALk X3O 17 r ~ \ L S3 Q fb • r • r~ 'Y` \ r r r ~tbe area Z5 fl. below the dow~sio a gill of the Soil ho till SISIOM musl rem l y r • ~ a a undislurbed. L31 .o Q1 0 m LETS 5 LEEpy L o I-}otlbw . 2.o. d + r~CAZ 5 r 3 ,5 ti~w /odo 'Sir /3t 1J(f SE'wEst V ~ 6t) 66E5 rE (T ~ le Q'o c 894-0312 O- Iti. us w ~ M o vA-)D E t E v~ rc o~ fc (3 /"J O. 7 p _ I /0/- p 1 100-70 po t"f ~ T ~E~c~, ibc~ TR~~Gt%~ /bD• zO ~2 9~•~5 13 00. zo y `f PG .Z 0 Zti -k 7- o F /i9- 7 C;e j .d ~s OF /t + r y~ S ySTEM /EV~T vv 161.0 Page i Of 5 Straw, Marsh Hay, Or Synthetic Covering Medium Sand Distribution Pipe H G Topsoil F "=t= 3 ' E 9 i u Uull~__ M % Slope Trench Of t - 2%2 Force Main Plowed Layer l9. ! O Aggregate Undisturbed' D /•0 Ft. Soil E . Ft. Cross Section Of A Mound System Using F Ft. I Trench. For The Absorption Area G /-0 Ft. A Ft. H !•S Ft. B Ft. K ~o Ft. L /!y Ft. ` J S Ft. Position of Force Main I I f! Ft. - W Z 6 Ft. L Pill 8 K PERHANsNr Stec/ ROD HhRIcERs W Observation ~f= 1~41J=RilI~ r".'Atiaa-° Pipes (I AT tAC , is 1aD) ~r TRe:,u CAf , M_M ...E~ Distribution Trench Of '2 - 2 Pipe Aggregate S4 Mound Using I Trench For Absorption Area RECD V I' ~ ED D~Fi'~ w~tS~E /6w ~ . y~D w ' _ /J~'"d O -S¢• RASA AretA Y x f - 16 xz S~ P~'o~aoS~D si / fit' 13 9d' X I Page 3 Of ~i U o /vM E ~o~ /Jr-0 ~r o14: Z pus Fo,ecF- Perforated Pipe Detall up Ri'6A r `o e VAI v-AiE P, vAC u/I i l'o,v 0 End Vi.- Perforaled End Cop) a ~\e y. PVC Pipe tm. Jo~~o once asp Holes Located On Bottom, Are Equally Spaced loll? * PVC Force Main Q II Distribution Pipe LosrHole Should Be Next To End Cop End Cap /l %f Distribution Pipe Layout P 7,f Ft. 2- , 5-QAWf115 x 70 Inches Y 12_ Inches Hole Ifiameter y5/ Inch Lateral _ Inch es) Force Main " Z Indes # of: holes/pipe 13 i Elevation of Laterals /o/5 Ft. ~iSTRiQuT~tO~ ~ISGHR.RGE RATE FvR LATER ^tL pAr OTis 2 -7 / - 2. i , TOTAL- --DiSTRi BUr1o,#,1 DISC HAP6 E RATE FO Ni` Twp R k 3tv. yZ _ 0( 1-11 2 PUMP CHAMBER CROSS SECTION AMD SPECIFICATIOMS P,4 YE g of S VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUMCTION BOX MANHOLE COVER 25~ FROM DOOR, ill4V,4, A#IA>&- 9/gE~ „,~,:1~INDOMI.OR,.FRESH 12"MIU. I AIR INTAKE y,4T/ON GRADE I 4"Mill.." I Q i COWDUIT IEv~n 0 ti INLET PROVIDE I AIRTIGHT SEAL ( III D ' ` I I I Il' I~G 1 11 I APPROVED JOINTS tJiC.=. PIAPPROVEDPE JOINT A 106 Ar) K d,a SYSTEM I III I W/C.I. PIPE EXTENDING 3' 0, <~n - ® I II ALARM EXTENDING 3' ONTO SOLID SOIL B Q~. 2.0 ; -aitionall1 i I . ONTO SOLID SOIL DD i !1,> Om - Alr~,PPROVED I ELEV. FT. DE T. F INDUSTRY, LABOR a HUMAN ::R [ (VISION OF SAFETY Aid OFF I ~ ~~fevA /D i RISER EXIT PERMIIPED OIJL4 IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFI*CATIOKJS DOSE j4I•pwE,STtRQ ReCAST TANKS MANUFACTURER: (DUMBER OF DOSES: PER DAS -750 Il l- TAWK SIZE: GALLOAIS DOSE VOLUME=S p S.T. =L1CT-R0 INCLUDING BACKFLOW: 13 o GALLONS ALARM MAMUFACTURER: 3,00 b GALLONS AIUMBER: f,4me A1ERr CAPACITIES: A = ISO IMC14ES OR MODEL SWITCH TYPE: lf"evxy F1.0.4 B = 2- INCHES OR 3 go GALLONS PUMP MANUFACTURER: OV L C= 7 7 INCHES OR 1 3 o o GALLOWS MODEL NUMBER: 3?ha L/, Y, H P D Iq'S INCHES OR Z 7 GALLONS SWITCH TYPE: P155y 1346K 1y&&jW11A /OAT NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 35 GPM INSTALLED ON SEPARATE CIRCUITS /2.1 -rAAJk SPECS . VERTICAL DIFFERENCE BETWEEAI PUMP OFF AMD DISTRIBUTION PIPE.. FEET MILIIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET (CAC.(A, Oar' .Y~ p I t-}- LSo FEET OF' FORCE MAIN Y, !'dLF%,,FRICTIOIJ FACTOR-j. Z7 FEET t-40A ) S l ~•1 5 TOTAL D9WAMIG HEAD. = 12' 7 FEET IMTERNAL. DIMEMSIOMS OF TAWK: LENGTH ;WIDTH (0 --;LIQUID DEPTH Ii A ~f i• i, 'I OW I 3 i 3886 AVAILABLE CERTIFICATIONS i ETL LISTED SUBMERSIBLE PUMP CLASS I AND 11 DIV. 2 AND I, CLASS III DIV.1 AND2 E~I s lam`-•,~'ETL TESTING LABORATORIES, INC. ~ CORTLAND, NEW YORK 13045 G1086131480 CANADIAN STANDARD ASSOCIATION SP APPLICD310N.q • Bearings: Ball bearings, Casing: Cast iron volute Designed for Continuous } 0 upper and lower. type for maximum efficiency. Operation: Pump ratings are ;NZcifically designed for the • Power cord: 15 foot 2" NPT discharge adaptable within the motor manufacturer's lp following uses: Homes standard length (optional for ALS10-20 slide rail recommended working limits, • • Homes lengths available). systems. can be operated continuously Single phase: 16/3 STO Mechanical Seal: Ceramic without damage. • Trailer courts with 3-prong plug. vs. carbon sealing faces, Bearings: Upper and • Motels Three phase: 14/4 STO stainless steel metal parts, w lower heavy duty ball bearing • Schools with bare leads. On CSA BUNA-N elastomers. construction: • Hosptitals listed models, 20 foot • Industry Shaft: Corrosion-resistant Power Cable: Severe duty length SJTW and STW stainless steel. Threaded rated, oil and water resistant. are standard. SPECIFICATIONS design Locknut on three Epoxy seal on motor end i phase models to guard provides secondary moisture Pump: FEATURES against component damage barrier in case of outer jacket • Solids handling capabilities: Impeller: Cast iron, semi-- on accidental reverse rotation. damage and to prevent 1 /2" maximum. open, non-clog with pump out Motor: Fully submerged in oil wicking. • Discharge size: 2" NPT. vanes for mechanical seal high grade turbine oil for 0-Ring: Assures positive, • Capacities: up to 140 GPM. protection. Balanced for lubrication and efficient heat sealing against contaminants I • Total heads: up to 26 feet TDH. smooth operation. Bronze transfer. and oil leakage. • Mechanical seal: carbon- impeller available as an option. i rotary/ceramic-stationary 18-8 stainless steel metal parts, BUNA-N elastomers. METERS FEET • Temperature: 160°F (710C) fi-.__. . _ r...._.-_ _ ` MODEL 3886 maximum. 10 S • IZE 1'/2 SOLIDS Fasteners: 300 series 30 r _ _ RPM 1750 stainless steel. _ IMP. DIA. 5 _ ~ 1ocPM '/x" • Capable of running dry without damage to 25 2.5 FT components. _ a Motor: W • Single phase: 1/2 HP, 115 or o' 230 V, 60 Hz, 1750 RPM ~4- s 15} . M Built-in overload with automatic reset s` • Three phase: Y2 HP ,o, rE z 1_ ~ SI 208/230 V, 460 V, 60 Hz, E 1750 RPM. 5:.. j Class B insulation, overload protection must be provided U in starter unit. O o;_._1___W._1-1 S • Shaft: Threaded, 400 series ° zo ao so so 100 ,20 ,aocPM I I I I I I I le stainless steel. 0 5 ,o 15 20 25 30 m3lh t~ CAPACITY A of A S ' P 12 It ~DEvDU.~t ~'o Soi / ~~/~Or~'7-' o~ 5 = f3. Csi.t-~ Z p'~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT' P' Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY 57. cleaX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. 8 dimensioned, north arrow, and location and distance to nearest road. } REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION I : d PROPERTY LOCATION [PRI(PERTY OPERTY OWNER: GOVT. LOT~V5- 1/4 N6 1/4,S TZ4 N.R I8 E(r W OWNER':S MAILING ADDRESS L~fl BLOCK # SSOR CS- 2 ~ Y, STATE ZIP CODE PHONE NUMBER []CITY [3VILLAGE EJFMN NEAREST ROAD ~vt~So,✓ 00 [t•J'flew Construction Use [ Residential / Number of bedrooms .3 [ J Addition to existing building I Replacement Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpolh2 . 3 wench, gpolft2 Absorption area required 375, ft2 375 trench, It2 Maximum design loading rate bed, gpd/ft2 trench, gpcVft2 Recommended infiltration surface elevation(s) 5e-' P 2- ft (as referred to site plan benchmark) k Additional design / site co ations _V:Fe- T o,4c:y.6 , T%pEE ,`1o y vD S% S'7A-.y D.v ~ . PaVt material 5G$ - 54AJ?-1:4j(-0 Flood plain elevation, if applicable It $ _ Suitable for System CONVENTIONAL, MOU IN-GROUND PRESSURE AT GRADE- / SYSTEM IN Fit O SWG T U= Unsuitable for stem ❑ S Cr7 0 IBS O U p S 13T O S L~ t1 D S [fib' SOIL DESCRIPTION REPORT { Depth Dominant Color Mottles Structure GPD/ft Staring # Horizon in Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Bourd3y Roots Bed rer>dt Q o- 41 A0 V e 312_ 2- yr $hk 445 It S 3 f . S .w y- io io V/p 13 z t ~2- dS Q 5 / of . 3 cav . S is elev. and /32 p •20 /p y to 5, / / f sdk d po • It. 2 ~3z~" p.36 sA< d vti Depth Z6 li- y 7 S he y/ C_ 7.52- Vh s SG/ 4n4Sf/vE d Ulf N smiting s ss ~ Remarks: o/° ~zg-2_-t" /f ~n/e/pwv 2yai%y 6- IwAD A G ale 112.0t~1 Boring # Gro und elev. IL Depth to limiting ixtor E : Remarks: T Name.-Please Print 'ROB F-R r- 241 b R CC k I- Phone: -1t$, 3'%_ 8 ~ e S Add`911- 625.5 C 1J f L T.?~ • U P Sow Q• f C STi~12-y~2~ Signature: Date: Gt.~ l 5 5 t}' 0 l (o _ CST Number: `diV ` ~1 ,o es nt ?D~J Of 7~i • 4~i1//E`D S•fEEG /i/&ds fjlov(~- ~~C/GL FIEVA-TTov X00.0 ' SCAM: 1 30 • = /34 CkIMF - !~5 - - 3G 17 5.0 1~ 1' TS I o vle 83 H . ti Y~•~ ~a LoT S 5 LEE('Y I-}a~lbw . 2.0. 0 + AC~t 5 r /7~OHE5/7'E /3L G(> SE'wE~° 3 9i.so' O O 6066E5TeD CT12E&3CLA- M 0OA.) D 618VArl&Z fc ~ ClEV.4TiQ~S /0/-0 [3, loo -7o (33 16o. 7o 14i 7R wcL 1a~ T RE~~Gt. /00 . Z 0 B2- 9 ~.GS y /00. zO ► P~ , Z of ~