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HomeMy WebLinkAbout022-1059-10-100 °o It 3 0 O ul. a o, o N N ~ 00 3 N L ~ U Q c CV ~ y ~ 0+ E+ c N m Y N co m c o T Z O mO j LL O C od O E O 3 ~ V' I! Z Ill co Z = O z a y 04 w a m r N F Z c 0 O Z d C v U O et O 1U Z m c N Z fA F- ~ S E a 1 m 'a 0) N co 3 I i a~ w '+J o d L s C U O U o o E Q w Z H z o O LO t0 E N N U) 10 O N _ E m L d 0 0 0 0 0 0 O O O O O O N O a .0 D1 N N N N N C> 0 C, C) 0 C) . H H H 3 (0 N N N N N Z d Z O O O O O •wa ' ' a a a R a cz m ~ N tq ~ U LL 0') a) rZ ~ } ~n n rn N cD 0) '0 N N N N ' X 0 CO j ~ ~ CO O O m m 0 0 0 co - - LO ~V N 'p N Q } t0 I *i ° > d 10 p ~j O 3 Z y c Ai o o c 00 U w O 0 o co o N o o o .S? 04 r (n U a- r N - N N 04 o CO C O w Y a 'O 0 0 0 0 0 0 V p ap c c c E a~ 4. 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C;? I T d ~ N-R_,6~_W, Town of %1/7~(' ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 3o Id0O IoDD q 0, 164k1 0 b~t a" t=orte ~Ma;r 1~lavAl~~ 5b'tre nc~ a tt ~5 p 9 b' Ia*' B~ INDICATE NORTH A OW o. Po le t ~vo v Provide setback and elevation information on reverse of this - ~orm. Provide 2 dimensions to center of septic tank manhole cover. t BENCHMARK: jfQ_ /~r~ l rpy~ S, E, ~o ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING.TANK INFORMATION Manufacturer:~~g1, ej 7- fte C4S ~ Liquid Capacity: 49M Setback from: Well X501 House Other Pump: Manufacturer au-M Model# 32L Size ~ y Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House 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 INSTALLATIQX: PLUMBER ON JOB: LICENSE NUMBER: 2 I INSPECTOR: 3/93:jt Oki S LQpAW,QTzi;t kjn4g* 1iNIC 21 _ *I1Affit A41:FyS tNJ20TH ST. County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division rRQTX ST- (ATTACH TO PERMIT) SanitaryPermitNo.: GENERAL INFORMATION 193417 Permit Holder's Name: ❑ City ❑ Village Nown of: State Plan ID No.: W_ BM IeV.: Insp. BM Elev.: BM Description: Parcel Tax No.: i -100 TANK INFORMATION ELEVATION DATA A9300096(29 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Z / Benchmark , Dosing 0 hy, ,Z /J9, Aeratio L Bldg. Sewer ' /0/, 67 Holding Stll~k Inlet /D/, 36 ' TANK SETBACK INFORMATION St/ FOutlet /p/ /~j Verit TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air ' _T 3.~ Septic NA Dt Bottom 9 760 Dosing NA Headerfl*=r /d3' ' Aeration NA Dist. Pipe 3 3' o~ Holding Bot. System 01"1 PUMP / -INFORMATION Final Grade os -17 Manufacturer Demand ?,2f C)&, 7~ Model Number GPM TDH Lift Friction Syestem TDH Ft 9 . Forcemain I I Length DIa.,-?H Dist.Towell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S D2 57 _;~z DIMEN I SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN Manufacturer: SETBACK CHAMBER INFORMATION Type O n Model er: System: rr,,C ` " /GL / 1 % CCU OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole size x Hole Spacing Vent To Air Intake Length Dia length Dia. 4/ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Overj Fa: Over xx Depth Of xx Seeded/ Sodded xx Mulched /Trench Center Trench Edges Topsoil [I Yes E] No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC 21.28.18,NE,NE, LOT 1, 120TH ST. E x (15 "'!'~v t Pfa`n revision required? E] Yeso ' p Use other side for additional information. F~) I( SBD-6710(R 05/91) J Date Inspector's Signature Cert. No. r ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i SANITARY PERMIT APPLICATION DILHR ' In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY_ PERiit T # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. 1:1 lapplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PRO RTY OWN R PROPERTY LOCATION e Ann j"i6ZAk _ '/a E'/a, S d T,9g, N, R f~ E (OiG PROPERTY WNER'S ILING ADDR SS LOT# BLOCK # ' *3 (14,f CI STATE zip CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER n ~d01 Twp y3~-S ~l X53 CITY NEARE T~ O~ II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE : i rM OF: ❑ Public [M 1 or 2 Fam. Dwelling--# of bedrooms ~ PARCEL AX NUMBER(S) /t D D III. BUILDING USE: (If building type is public, check all that apply) O d /045 1 ❑ Apt/Condo l/ 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. N New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 /-J,00' 22 ❑ In-Ground 42 ❑ Pit Privy 13 Seepage Pit 1-56' 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.) PROPrO~Sr,E-D (sq. ft.) (Gals/da /sq. ft.) (Min../inch) 1,4 ELEVATION f ~b a l d r 0e 11C 1,01. 5e Feet /0</,G Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New ~Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank D Ives! e $ Lift Pump Tank/Siphon Chamber k ff VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum ' Signature: (No Stamps) MP/ ff +gs Business Phone Number: a s kA h 3 as Sid Plumber's Address (Street, City S te,) ip Code): 1C qi6 9 ) I V 1~_ rf 1"o A IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) l Approved ❑ Owner Given Initial Surcharge Fee) ~j Adverse Determination 7 X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. ?,X-4 - njtaV.permit is valid for two (2) years. • t 2. our s' dnftatry 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 courttysprior td installation. tl w. 5. Onsite sewage systems must be properly maintained: The septic fank(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 cr 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. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this 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 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which caq 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) STC-100 This application form is to be completed in full and signed by the oc-;ner(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 /t Fl/4 AIE 1/4, Section c* , T./ 0 N-R /FW Township 10 Mailing address t f Address of site ado Ill nI- /<tL)e✓0 1-4- A Subdivision name- it al Lot no. Other homes on property? yes_ No Previous owner of property _ fr1'h LJ e Total size of parcel f, Date parcel was created Gl d Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes _,2( No Volume, M and Page Number as recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRA14TY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE. REGIST> R 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 1~ ice 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 records office of County Register of deeds as Document No. Signa ur of •ap¢ cant Co-applicant a~ r Date o Qgn~ature-~~ Date of Signature II II i I ; I DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 499'744 ~ - 1011 5 77 REGISTER'S OFFTE ST. CROIX CO'' VW _ 'F _ -Thomas, D.__ Low k(a..Thomas--Lowe..and_.Beyerly--A.-Lowe, - - - Recd for Record a/k/a Beverly- Lowe,.- Husband-.a_n_ d Wife - - - MAY 2 7 1993 conveys and warrants to ..Gr-ego-r_y--W.._Zak.-and --Rona--L•---Zak at 8: 3C~Ar"""- JC7C M Iiu-sband--and-Wife,---holding-•as--Survivorship-...Marital tea., l% Proper-ty-------------•-----------•---- ReglsterofDeeds RETURN TO - the following described real estate in t.._Croix--•-_-------.--------- County, State of Wisconsin: II Tax Parcel No: II Lot One (1) of Certified Survey Map in Volume Nine (9) of Certified Survey Maps, Page 2501, as Document No.485377, ii filed in St. Croix County Register of Deeds' office on July 1, 1992, being located in part of the Northeast Quarter of the Northeast Quarter (NEJNEJ) of Section Twenty-One (21), Township Twenty-eight (28) North, Range Eighteen (18) West Town of Kinnickinnic. I! ii ~i I ~i This is...not------------- homestead property. (is) (is not) I Exception to warranties: Easements, restrictions, and rights-of-way of record, if any I ~(/_1..- ~ 9 3 Dated this ~ - - day of - - .May - - - 19--- - - - - - - (SEAL) - ------(SEAL) II - * . Thom ..-.D._..Lowe ,..-a/k/a..Thomas Lowe I ------(SEAL) - -----(SEAL) * * Beverly. A...Lowe, -a/k/a Beverly Lowe AUTHENTICATION ACKNOWLEDGMENT I, Signature (s) - STATE OF WISCONSIN ss. ST.CROIX------------------ County. a~ Tf- , authenticated this day of___________________________ 19 Personally came before me this day of ---May___-_-______------------ 19-_93._ the above named homa-s--D_---.owe,,--a/-k/-a--Thomas--Lowe *--and- --B.everly--A...i.owe,,---alkla__Reverly--Lowe------- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person RRw ex ed the foregoing instrument and ackno e"th THIS INSTRUMENT WAS DRAFTED BY Leo A. Beskar, Attorney " E Rodli, Beskar & Boles, S.C.------------------------- H-9---Nom --Main ..St: - -River--Falls-,--WT--54022 Notary Public --------------County, Wis. I~ (Signatures may be authenticated or acknowledged. Both My Commission is per ma (If not, state expiration are not necessary.) f A date- 19..97.) Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. ! FORM No. 2 - 1982 Milwaukee, Wisconsin SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Q( 644-Aig 74r4K ADDRESS: FIRE NO: LOCATION:- 1/4, 1/4, SEC. TON-R_ff~'_ W, k1 TOWN ST. CROIX COUNTY k SUBDIVISION:- e, G.G"/,J L° ! d'e'Lo' LOT NO. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed 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 to help with the cost of the 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 the St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating 'condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system-in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: Y5 I. DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 485377 m~rl>FZDO SURVEY MAP THOMAS LOWE Part of the Northeast 114 of the Northeast 1/4 of Section ?I, Township ?8 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. - 14 Indicates Fence RE COR. SEC. 2/, rz6 N, R /0 W. O Indicates 1" x ?4 " iron pipe iCOUNrr SURVEYOR'S NONJ weighing 1.11 lbs./lin. Ft. set. APPROVED 36.96 ~ N90 • 00.00"E 60.27• July y h° ~ a FILED ~O / ,yb YY.67 X11 % W 9 JUL 01199Z► . CRM-- / 37.6 ~~~~~e:pl8111~ing• p~~~ ►M i \I 5 Ragr;t3: Q ti b I m SL Gr t Co., WI viowbrpnltteA v • I J~ / ~ W I I r 1 b y, HtnZ}t t►ICWdod 01 ^ . 21 3 1M~Q'daYs of 4;~' v 1 O 3 ~e0116~'detQ' y° E ~ 1~ °o ~ w b a p~VY~ 1611'd1~ 7tfQ 09 1 O I I N 2 r, IM1~djyplit: ~ 4 9 • ~ . a4 a' ~ I b O O 2 t 31 ql ZI oW =1 b ~ ~ LOT • 9.99Y ACRES 3 Z 3 ZI a ♦31, 825 So. Fr. ( QI O O 0 v Q ~ Q r S. 927 ACRES EXC. ROAD I .O. W. ~ Q 0 389, B50 So. Fr. 1 h ; 0 2 3 b IN a ~ p l N r 1. I a i o a~ Q b 2 t ~~~III11111/11j, ` 929, CONTOUR i W ~%,\BC O /VS/ / I'I .4 4.1 V- Z O 2 ,AP S 'LAURENCE + s of • 15. 001W 615.92 W m W M PH jOC 00 ViS 13 11NPLA rrEO LANDS 4LLS,. *k , WISC. .J* V r114 COR. SEC. z/, r2BN, R/BW b ,'E2I~O••LAND S~~•~~~, it I /ROM PIPE FOURO/ f SCA L E i " = 200 • Laurence W. Murphy o loo. Yoo• 300• 400' Soo* istered Land Surveyor Dated: May S, 1992 This instrument drafted by Laurence W. Murphy Owner's Address: 290 Highway I'M" North River Falls, WI 54022 Phone No. 1-715-425-5510 Vol. 9 Page 2501 Certified Survey Maps G D T Abe -,v c ct) r-o Aj S T ,P c) a T/ O ti! Wisconsin Avpartmentof Industry, SOIL DESLKIPTION REPORT Safety b Buhuings Division Labor and Human Relations P. 0. Box 7969 (Attach it Profile Location Map - To Scale - On A Separate, Signed Sheet) Madison, WI 53707 3e5 rn) 1141V16P 1f-S S,477;0E /61i1M S~¢ vD SU/j S . Page / of Z ustomer Name $oil va uatton ate urrent Lan Ua or vegetative over Parent Materials .9- Soyg~,yN5 57,pcf.f 7~rP~ -'orrriuh pM Lbr;t7z~ S' - rfZ c,Pop/.tv1 Customer tea Estimated shallowest rou ater atn evauon z yo hwy. Gy' Aivex 'f!/S luIS S yO 2 2- > lo© Ir N, . ounty ax arcs No. System Loading tom a om Pee Q. Ft. Per a s r, Cjp 0 I•x To~~ of -S, foie. T~PFu s Lot Legal Description ystern eometry an Dept ope an Aspen Al,-- NE , S.e c , 2-1 T n> 18 W S~ P , 2- z ~o S, f E Ginn S Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2 0-8 io ye 313 104,44 O 004, r2 -hl ji~e / of e s i°/aw S Ye 9/y ,e lw-ie,e /pf- c s ~ - s is-2~ 10Y4 7/& - /s O,C, %e C-5- F y /oo /o Yt S/00 - s D s s ' - 1/,-t 7-, /D6, 7--- Horizon Depth Dominant Cola Mottles Structure Remarks: clayskins Loading In. Mu II u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda ores H and other GPD/ft.2 vf,2 /vf ~s ~~6w r o-/)-- /OYR 3/3 lofrl o 441 YR 3/ j; Z /o rye y s/ a ,e e, s , .s~" c, G- y6 / o YR s . s - v /oy-~_~ This test site APPRO-V ^ for a conventional s, ptlc System Horizon Depth Dominant Cola Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores Hand other GPD/ft.2 i9-1V 16 YR 313 D,n yR nt~ 11tX l cs cr,-Ae( 5- /y /o yR 3/y 5/ o see i v /32- 3-30 /o IR ~y 4 S/ 2, 5ie Sri v~2 i 5 - , y,.e v-- ye .s/Y - S , ^r, s .wr S s ,t,D AVr ' 00 8'J vVs /0 ,efl 13 A 3, 3 y r ` Horizon Depth Dominant Cola Mottles Structure Remarks: clayskins Loading N In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2 tv~Q - S €I D - 9 /o r,~ 3/3 Day 4., /vf c s P14 /32- is c ,e cs C, 1-/00 /o 0 lp -5 O .C, S .wt_V_ S ny- Horizon Depth Dominant Cola Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2 O-// /O YC 3/3 S / D, v f~ /v f c s 1'316 40 _ S /3 o //2 31111 S/ r, Ihi {2 /uf s 9,f A,r✓ e_4-"Z_ , .S- ~z 'Z 51 y,mse S . z s s d e s S s' . - 00 to nun.. O 2 9C HOMESITE SEPTIC PLUMBING CO. ~M 655 O'NEIL RD., HUDSON, WIS. 54016 1 ROBERT ULBRIGHT C s r # L y~z ;MS. MASTER PLUMBER LIC. NO. 3307 A1AU j - I .,,1N. INSTALLEI & DESIGNER LIC.140.0088i UC~ e1C:41tlOnal icemarK$; r f- 5~7E- iS we// G~iPRiv~--~ - cvi~- ~ /~~~E'~r~if/3i"c ~'!y • Other Site Features: Limiting Factors/Depth: CST SignaMe Date Signed Telephone No. CST # $00 6330(N o»o) C'LCUAT(CA-)-S ,EplICPLUMBING CO. f NEIL RD., HUDSON, WIS.5401 Z z yp 72 ' ROBERT ULBRt(,hIT `:j ~Uh1BER LIC. N0.3307 M-P.R.S- nr_SIGNER LIC. NO. 000 ~ y / 0 3 , 3 y ' = ~3q~KhcE P,rs TL" 1=N Ct,, /O 2 . SD ~nw TRt A-) N o r I syST~.~ i If ~ ~g Ito s . Bs Y~r 8yr PO p00/ 0 33 +A A .Z ftT S.E. ~v7r CO~P^>~'~' • T To Po~~ C II/V 3~ 3 3a3T f ro ~o s ed 1'oD m 14 hLe_ - ya' taoD A t Se~~'i~ 114,00 ga 1 raof p 6-kq,&v 6e r F6 1, gt a, ba B~ A; It C3 Powtr 33 p d 9Ar 140.D ro p r~S.E. ~efi ~ornevip, II 17 r~ .1 41 _ 11 I 'j - it • i~ 1 i4 _ 3 i~ i4 ji If 1 . 1, ~!1 !I 'I i j! PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE APPROVED LOCKING WEATHER PROOF JUNCTION BOX MANHOLE COVER W/ 25' FROM DOOR, ~r n'# WINDOW OR FRESH IYMIU. AIR INTAKE I GRADE I 4 MIN. 19" Mlbl. CONDUIT 18"MIN. PROVIDE I - IA1LE T AIRTIGHT SEAL I I i I I 1 I v APPROVED JOINT A I III APPROVED JOINTS W/C.I. PIPE I III W/C.I. PIPE EXTENDING 3' I II ALARM EXTENDING 3' ONTO SOLID SOIL B ONTO SOLID SOIL I I ON C I I ELEV. FT. PUMP- OFF D CONCRETE BLOCKg q 5 ~0 TaF.00iNril APPROVRISER EXIT PERMITTED , F TANK MANUFACTURER HAS SUCH APPROVALSEPTIC SPEC-IFICATIOUS DOSE TANKS , MANUFACTURER: NUMBER OF DOSES: -PER DAy TANK 51ZE : GALLONS DOSE VOLUME GALLONS ALARM MANUFACTURER: 'fin ~(/t°1✓ l~ INCLUDING BACKFLOW: (yJ 3~/S MODEL NUMBER: CAPACITIES: A= INCHES OR GALLONS 1 1.1 Y SWITCH TSPE: AejC B = c INCHES OR 1 1__ GALLONS PUMP MANUFACTURER: cou d C= fo' INCHES ORI GALLOWS MODEL NUMBER: 3 Pl7/ D= del / INCHES ALLYI GALLONS SWITCH TYPE: -eye kr~ NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE iRATEGPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET ♦ MIIUIMUM NETWORK SUPPLY PRESSURE . . . . . . . 2.5 FEET -I- 6L `l EET OF FORCE MAIN X U F oFT.FRICTION FACTOR.. "o, FEET TOTAL DIJWAMIC HEAD = FFEET Q / l/ f It If INTERNAL DIMLWSIONS OF TANK: LENGTH U a;WIDTH ;LIQUID DEPTH SIGNED: LICEMSE NUMBER: DATE: . MODEL: 3871 ~"rl►I'' SIZE: 3/4 SOLIDS Effluent Pump RPM: 1550 METERS FEET 8 25 7 - 6 20 5- z 15 4 O - J 0 3 10 H 2- 5 1 - 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 M3/h CAPACITY (Q GOULDS PUMPS. INC. SBIECA FALLS NEW YORK 13148 Effective October, 1988 O 1988 Goulds Pumps, Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.SA. C3871