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HomeMy WebLinkAbout030-2070-30-130 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS,--07-2 G11~~ I rl - SUBDIVISION / CSM#_®/` LOT # SECTION N-]W, Town of ST. CROIX COUNTY, WISCONSIN wl~ PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~µSF ~a I I INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. Y BENCHMARK: I ALTERNATE BM SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION SEPTIC Manufacturer:- Liquid Capacity: Setback from: Well yS / House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches > Distance & Direction to nearest prop. line: Sa~,~! Setback from: well: House Other ELEVATIONS Building Sewer 9<-/) 7 - ST Inlet yel ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system ? rgq E Existing Grade Final grade DATE OF INSTALLATION: S' L PLUMBER ON JOB: ✓ ' LICENSE NUMBER: INSPECTOR: 3/93:jt La part►~il rs h. 36.30. y/AIWISM ►GMSIEM County: Labor and Human Relations INSPECTION REPORT Safety ar(d Buildings Division ST_ CgnTx (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: lev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9400046 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer -7 Holding St/ Ht Inlet q1 qc/,. up TANK SETBACK INFORMATION St/ Ht Outlet QL/, iS Vent irito ntake ROAD Dt Inlet TANK TO P/ L WELL BLDG. A Ar Septic NA Dt Bottom Dosing NA Header / Man. (j3,1 Aeration NA Dist. Pipe A166 41 61 Holding Bot. System 11,45 cg:) 1 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM - TDH Lift Friction Syesatem TDH Ft Forcemain Length Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS - DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of Model Number: System: 6 ~R OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. I Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over } Depth Over xx Depth Of . xx Seeded/ Sodded xx Mulched R? Bed /Trench Center` Bed /Trench Edges < Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: St. Joseph.36.30.24W, SW, NE, Lot 3 e1/'; x Plan revision required? ❑ Yes ❑ No IC/ Use other side for additional information. y q I ~klpm SBD-6710 (R 05/91) Date L nspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION OIL~4R In accord with ILHR 83.05, Wis. Adm. Code COUNTY ' STATE SANITARY PER IT # -Attach complete plans (to the county copy only) for the system, on paper not less than QOgq2 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP OWNER PROPERTY LOCATION !/4 Y4, S , N, (or PROPERTY OWNER'S MAILING DRESS 1Q1 LOT # BLOCK # CITY, TA ZIP CODE PHONE NUMBER SUBDIVISI N NAME OR CSM NUMBER . TYPE OF BUILDING: Check one CITY NEAREST ROAD 11 ( ) ❑ State Owned VILLAGE ~ , ❑ Public 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX B R( ) III. BUILDING USE: (if building type is public, check all that apply) 0\~~j <TCJ 1r 1 El Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) ( in./inch) , ELEVATION Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 16~_ n n Fj Ll I El Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install tion of the onsite sew system shown on the attached plans. PIumbe s Name (Print : Plum er's !gnat p MP/MPRSW No.: Business Phone Number: PI mb 's A dress tree , City, State, ip Cod ft IX. COUNTY/DEPARTMENT USE ONLY mps) ❑ Disapproved Sani ry Permit Fee (Includes Groundwater Date sue I uing Agent S' to a (NOS Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety ~ Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renevl;7i any new criteria in the Wiccnsin Administrative Code will be applicable. 3. All revisions to t hi s permit must be approved by the permit issuifig authority. 4. Changes in €.tw~?:.~r hip or plumber requires a Sanitary Permit Transfer/Renewal Fc-ni ,:ZFi 6399) to be .submitted to _h.e _,-)urt; prior to installation. 5. -0nsite -e systefyis n!ust-be props.r -,r:aintained. The tanks) mr.:3t be-1:...rI I cens°d pumpe vhri:enever necessary, usually every 2 to 3 years. 6. If you has,: questions concerning youronsite sewage systen ~_:e tact your local cods _Wt istralor or the State a' 'Wlsr;onsin, Safety & Buildings Division, 603-266-3875. To be compicae and accurate this sanitary permit applicaion must nclude: 1. Property ov-ner's name and mailing address. Provide the legal description and paircf:i nbinber(s) of where th ~:ystem is to be installed. II. Type of t.wAing being served. Check only one and complete of bedrooms if 1 or 2 Furrti:y . Neiling. 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, r-tconnection, 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 inf(-.,rmation. Fill in the capacity of every new and/or existing ?tank, 'ist the total gallcns, number of tanks and r anufacturer's name. Indicate prefab or site constructed and tank material. Comp; t~te for all septic, pUnip/siphon and holding tanks for this system. Check experimental approval only if ranks received experimental product approval from DILHR. VIM. 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 13% 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 tan<s; building sewers, wells; water mains/ofater service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; repla(;,ment system areas; and the location of the building served; B) horizontal and vertical elevation referencF _;pints; C) complete specifications for pumps and controls; dose volume; elevation differences: fricticri 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 surcharces (fees) for a number of regulated practices which can effect groundwater. oro-n.dwater, g The rocnies collected through these st.:rcharges are cFserl for ~nonifei- in,,, water contamination investigateons-a estab'i4kiref~; of sta dArds SBD-6398 (R.11/88) FILED JUN 2 01990► 9 JAMES O'CONNELL Register of Deeds 'L St. Croix CO., WI 459724 CERTIFIED SURVEY MAP LOCATED IN THE SW 1/4 OF THE NE 1/4 OF SECTION 36, T30N, R2OW, TOWN OF ST. JOSEPH, ST. CROIX CO., WI. OWNED BY: LLOYD DAHLKE RT. 2 HWY. 35 HUDSON, WI 54016 NOTE: BEARINGS ARE REFERENCED TO THEE-WOUARTERSECTION LINE. (RECORDED BEARING). '.UNRECORDED SURVEY (OWNED BY OTHERS) *SEE CURVE DATA ON UNPLATTED LANDS sHEEr2 oF2. 33, 3311 N 89°07'55"E 505.89' 472.68 33.21' I Z O} W 1 > ~r 2 uo I O H I Lu J I Z } 0 W E co _a 3 LOT vl _ - Loy S o 3.94 ACRES _ M 3 0~~ (171,685 S0. FT.) NI rn I =t~ 3.69AC.EXC. R.O.W. a la1 = Qwu (160,771 SQ. FT.) I I coca N I 4. It u-' I 0 a - I pz In 0 N LL' N. z0W 01 0) S89.07'56"W 533.51 U, W~ N 500.45 33.061' _ J p Q, Q'y mm 00 tl .J W 0~ roI I. W W O > 1 o I 1,~ O Ip _ } 0 I 1 m W O Wo LOT 2 0:z I W. W °w M 3.74 ACRES O~ N F..,0 Z I_ (162,955 SO. FT.) 03 p 3.51 AC. EXC. R.O.W. NI ~ ~"•v l 153, 047 SQ. FT.) I Q• Q 0 J' z 1 w N. G.' a' S89.07'56"W 551.24 'co Z' Z' 518.22 ' 33.021 - 0• ,z 0' I 9T z 2 1 r'• .0 N .o cn N, MF 0 U. 0 1 z K1 F aI W W W LOT 3 N1 OV'I p m I wo 4. 23 ACRES 1 z~ zf o'f (184,x!28 SO. FT.) M of rn 00 3.39AC. EXC. R.O. W. 1 u ul MN (147, 633 SO. FT.) 5 V~ z • ♦ OUTLOT 'A' o v~ `o = r, 0.01 AC. wu (2,24. S0. FT.) S8B'34'38' W 484_39' I' 2 6 T N89.04'24E n _ aa~ - 389'04' 1314 3336. 6- n 389 04 24 W 367. 99 r N~et1ld,b --W O.UARTER LINE 25•TH• AVE. A# ~SGO UNPLATTED LANDS O c SET I"X 24" IRON PIPE WEIGHING 1.13 LBS. PER LINEAL FOOT. • JAMES JK aI"IRON PIPE FOUND. = WIEBOR AVROVED 8 • = 3/4" RE-BAR FOUND. ~ sMtNG VA VAUJEY SCALE 1 150 JUN 20 1990 ~9 vets. O~ 0' 75 150 300' yFpCgl(DOTY pNjANNING .S u SHEET I AN G eC'nnMiYt seaeeeftM .a~ . o_ JAMES M. WEBER S- 1804 GATED 90- 34 THI S INSTRUMENT DRAFTED BY +~F~• ~-~9:~ VOLUME 8 PAGE 2224 )l .DOCUMENT NO, i STATE BAR OF WISCONSIN FORM 1-1M ' "Is OPAcs assn "s0 FOR aKO"O11#6 DATA WARRANTY DEED RESISTER'S OFFICE ST. CMIX CO.. WI _ This Deed, made between oyd H.__ Dahlke RWd for ftm DEC 13 1993 _ _ . , Grantor, at V=, •so ,PAM am.:_-Ricbard•J..-Jackson••and..U- en••L.••Jacksga, - ~ rdo«aa husbalxi._all~.lvife.. ' , arsnte% t Witnesseth, That tka said Grantor, for a valuable consideration .A • . _ $t Croix IIaTUR" To a conveys to Grantee the following described real estate in County, State of Wisconsin: _ Ta: Pared No: _ Part of SW1/4 of NRl/4 of. Section 36, Township 30 North, Range 20 West, St. Croix County, Wisconsin, described as follows:' Lot 3 of Certified Survey Map filed June 20, 1990, in Vol. 8, Page 2224, as Doc. No 459724. r ' tFUNNSE 1 This I10t... homestead property: am (is Day Together with all and singular the hereditaments and appurtenances thereunto belonging. And... . M4X51.H. Dahlke --Is' Vii- warrants that the title is good, indefeasible is fee sim nd free end elear of encumbrances ~m t easements, restriethns and rights-of-way of record, if my;' and will warrant and defend the same. r Dated this -day of • -(SEAL) .....(SEAL) _ I1o H. Dahlke - • _ _ (SEALY .....(SEAL) - - • • AIITSSNTICAZIOAi ACENOW LEDGURN? STATE OP WISCONSIN aB. r St. Croix County. authenticated this .......day it-- Personally same before me ~--der of 19.93 - the above named - - • TITLE: MEMBER STATE BAR OF WISCONSIN - (It not..:.- - - - - - - aphorized by 748.06, Wis. State) to me (mown to be the persan who eaeented the f ins ins ent and ~lOwledge the same. THIS INSTRUMINT WAS ORAtrT[D BY Kristine Ogland NVq Alice Jo Attorney at law . ° Notary Public St - --------------Connty. Wis. (Signatures may be authenticated or acknowledged. Both My Commission Is permanent. If tat, state -expiration are not necessary.) date- - i, - - •Nsm.a 1 .halls is anT ayaeit, ,h*Od b. b..d , ,,...d b8omr tbdr teaatur. WAERANTIr DEED STATE BAR OF WISCONSM Wh,eomha Lsai Blank Co Ine. FORM No. I -1982 YOwankw. Wki STC-•100 This application form is to be completed in furl and signed by the ocilict(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 Location of property:S kJl/4 XAF1/4, Section' /46 , Tad N-R- O W - .Township j Nailing address Address of site 1 r~ 6zd'oel Subdivision name X701 Lot no. other homes on property? yes No Previous owner of property -&C /~J Total size of parcel C1cr' Date parcel was created Are all corners and lot lines identifiable? as No Is this property being developed for (spec house)? Yes XNo Volume It? and Page Number a y as recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A S4ARIUViTY DEED which includes a DOCUMENT HU`HDER, VOLUME AND PAGP. IIURDI R & THE SEAL Or THE ILEGISTkil 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 Nap sliall also be required. PROPERTY OWNER CERTIFICATION I(wc) certify that all statements on this form are true to the best of ny (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 office 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 County Register of deeds as Document No. r Signature o f 1' ant Co-appl cant -2 -7 /1t i Date of sighature Date of s nature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERBUYER -r v d , d a lc o MAILING ADDRESS o o~v z ~O PROPERTY ADDRESS ! c (location of septic system) Please obtain from the Planning Dept. 08"2 CITY/STATE ryo er llnt Ll1'i , a S PROPERTY LO `C /ATION S U 1/4, L~ 1/4, Section 3 T 3 0 N-R~W TOWN OF _ AICu ~~ouJ ST. CROIK COUNTY, WI SUBDIVISION LOT NUMBER 4u,., a U CERTIFIEDSURVEY WAP _4;2Q_, VOLUME , PAGE a a~2 YLOTNUMBER. 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 year expiration date. SIGNED: DATE: -7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, Wl 54016 11/93 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS iVDUSTAiiY Y, , DIVISION 14U °M, R AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS MADISON, WI 53707 3707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: FO WNSHI MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: sw~/ ME 36 Tao N/R~ E (o ST, Ss COUNTY: WNER'8/ UYER'S NAME: MAILING ADDRESS: ~Z-- Z ~O 7C Z S ST • C?"ZIK D O A!~ L_ cr_e h~u~ S oJv (.cJ s USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 N ®New ❑Replace t _ 0 e 4 ' RATING: S= Site suitable for system U= Site unsuitable for system l 0 CONVENTIONAL: MOUND: IN-GROUND-PRESSU SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) 1,;:;71S ❑U ZS ❑U XS ❑URE: ZS ❑U ❑S R1U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: L_ -:s S Z Floodplain, indicate Floodplain elevation: N. A PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INC-HOCCHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH 44. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 .1' C1 Ll - Z' Iv irsKi ? 6. Z ' o•a' 8n s TS !E~h GI- B- Z G- Zf °1 3 y' ? 6- Le B- 3 6. 6 11 91 9 6 , o' 6.6' C),9 ' ' ( ; 3.2' b YI' Z. S ' 13 S g G~. B- 1.3' q_),& 1. 1 G, S' ,l B- S y." 9 6. o' << , y' o.~' t• 16 1 141A S V Q. ' S 2'33h S w~~►-~+ s L-' GItT (:Zj. 6- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P- P- P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ~Z~DI"Tl 0-F- taesb 6 E S/ / C.eE~`Tb-1rC_ CviPIK) A SYSTEM ELEVATION e-e\J - 93 - o ' L'( 4.a _c TM 4 ZSE W oF`[lte__S G CoTuUtM`OF ~"~k2 ~p~r~ cam' , _ . . _ . _ _ ~oS E Yo QE hhT L- efST -e-S 1- bt! E , b M E Jx- SCkL~ 1 V= ~0' skc 36 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: I~2T?-I V2 L. lvEGL~~SZ ~'-l0- ADDRESS: TQT L/ aox ZZL CERTIFICATION NUMBER: PHONE NUMBER (optional): L w S"~ 6 7)S-yZS- 0/6 CST SIGNAL bL DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - 1CT" C' MP ETINC a 63K) To be a ~ tf :rt, y, 'I, Comple 2. The € a rMIe; C=.al projec~; 3. ?A ) ~-(-e r ~ 4, 1s tl itstem; ,x. A ` SU PTAB 6, ~t st A :i: 3, Co 10, pla€: ~ i do 11. Sin, i~i Y0t 12. Ma ~i. ALL 01 girl LG, A;_ <`a.., . i';ORIT) COMP E I T Es C RI T inn Textums nbois ' -ref T. } LS GVY t' 1-WL VR - TO THE OWNER: This soil t t a sanitary permit, The coy the Cie; r ky request verificatia~i s 5 rrmit issua«ce. of fe wivate sewage r,. id a Amitteki - ier to obtain of P The : y 1 avid ; e PAC, C 0 ► r y ° r CroI •t i 46W"44 V061 cap "*gft de ~ 111 IN r 0/ f •r'. ' . i ' r ► Mlk CNUIwr •r o.°l ►y1 OIoNI~,q~ • ' h►1 Too 1 ' i° •II111o1~ • , i*Mol& IIpo ' • Palwolo• Plfo YNHr i1111* 01 i1N•~l (1oscp P%n4.l 9r,,clt Pro' COIL FIW 0I3TRIDUT101.1 PIPE • APPRO`iEG S~l1fT11CTIC COW 2" OF l1G GRC6AiE /11►Tl:RI~1. OR t• OF STItAM OR MARsi. 1!/~y • OP~'t•tl~t AGGRCGN7C ~P ~I ELEV. oF2?z FEET• •nti~ .r`~. DISTRIpt1T1OW PIPE TO BC AT 4CA><'T INCHCS BCLOW ORIC11.lI►t. ;aAOE ~►UV AT. LC!►iT&O 10.lCHLL OUT MO MORC THNW 41 INCKCS DELOW FINAL G►MOC . 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