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HomeMy WebLinkAbout040-1218-50-000 t . STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER( 1 Y1'r cl lU ADDRESS i-li 3 ~rl , F f S • 2~ . . l os SUBDIVISIOII / CSM# LOT # SECTION T_N-RTown of ST. CROIX COUNTY, WISCONSIN ~t F'F PLAN V W SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~09 Jv v Z 1 ~ . l I i ! INDICATE NORTH ARROW I i Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. PUMP CHAFER Manufacturer: L- Liquid Capacity: Pump Model:_pump/Siphon Manufact.: Pump Size Elevation of inlet•:~Bottom of tank elevation Pump on elev. a L' ump off elev. :Gallons/cycle:_~ LTw-- cJLc~ Alarm: Man.: 5 EL-ctea Switch Type: Location ~-lcx~S,P Distance from nearest prop. line: Front; Sidehv' Rear _Ft . Distance from: Well Building_ SOIL ABSORPTION SYSTEM Bed: Trench:Seepage Pit: r ~ Width: Length ~:7 Number of Lines: ':-K~Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fi 11 depth to top of u1" r9- w ` P pipe: s LC' ( oq"A _M jl Ile No. feet from nearest prop. line:Front; Side, Rea 'Ft. No. feet from well: No. feet from building 0c) HOLDING TANK Manufacturer: Capacity: G Co~,Jv No. of rings used: ;,_Elevation of bottom tank: IST'l Elevation of inlet: No. feet from'nearest prop. line:Front~0'01 SideL, Rear2gL.~Ft . No. feet from: Well ?S-building_L<~--nearest road ' Alarm Manufacturer: ej ~~c'rrz` INSPECTOR: V cyv-, DATE:_L~-~(-~?j PLUMBER ON JOB: ` k r LICENSE NUMBER : P 0 v ul 3 6/90:cj LtilCATPA; rtr'~F N Mn~4fi -19 (CTY F194ATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitar rmit GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village l 1 Town of. State PI Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300159 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Gl) Benchmark , e e ✓e ~1JZI G~ cd 11 Dosing Aeratioff- Bldg. Sewer Holding St/Inlet 9D~~ TANK SETBACK INFORMATION St/ Outlet ~9 7S TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom /Z' Dosing >-_,0' NA Ha4div Q~ 93 /9 Aeration NA Dist. Pipe Holding Bot. System 9 20j,/ 9a, 17 PUMP /,,%A INFORMATION Grade .S$ Manufacturer dell_ Demand 95,6J, F C ~r:'c S (oS Model Number _A` 53 GPM TDH Lift Friction System TDH Ft Forcemain Length VV, I Dia. Dist. To Well >S-0 SOIL ABSORPTION SYSTEM BED/TRENCH Width i Length No. Of wrenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS (G DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION TypeO nc,~ , CHAMBER Moe Number: System: P .S ~sd A4 OR UNIT DISTRIBUTION SYSTEM _tkeader /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length ~ Dia. Length __3_z 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 -6 /Trench Center Rad/Trench Edges 3~- ~07 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY.5.28.19 (CTY FF) - Plan revision required? ❑ Yes Yd'NO pt / _3 4 Use other side for additional information. SBD 6710 (R 05/91) A60_j 0 ,0 f Date Inspector's Signat a Cert. No. k ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY ~.d..,,.a.,.., STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to pre us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION 6-04-14~ /L} .z ,art 5 &,,'/a S <~'T,29~, N, R E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # / 3 kt lL' CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER El ] 11. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State OWn@d VILLAGE ❑ Public 1 or 2 Fam. Dwelling-# of bedrooma-?- PAR Ill. BUILDING USE: (If building type is public, check all that apply) 1 ❑ 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) 4zi New 2. ❑ Replacement 3.E] Replacement of 4.0 Reconnection of 5. ❑ Repair of an A) 1. F 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 3o ❑ Specify Type 41 ❑ Holding Tank 12 M 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 1 / r REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ! _7 e-3 -7D s 13,,~3Feet eet VII. TANK CAPACITY Site in alIons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank yr Lift Pump Tank/Si hon Chamber / 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 mps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY zw_ ❑ Disapproved Sa ry Permit Fee (Includes Surcharge Fee) Groundwater Date Issued Issuing A en nature o S s) / Approved El 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 4: 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. 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 r(:placement, 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, purnp/siphon and holding tanks for this system. Check experimental approval oafly 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 81/2 x 11 inches roust be su )mitted to the county. The plans roust include the following: A) plot plan, drawn to scale or with complete dimensions, ~ocaticn of holding tank(s), septic: tank(s) or other treatment tacks; budding sewers; weiis; 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 diffe -ences; friction toss; 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 A5 form; and F) all sizing informa' ion. GROUNDWATER. SURCHARGE 1933 Wisconsir Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The rnonies toll ec;tFd through these surcharges are used fcp+ rrioni€oring grounciv>ater, 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 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 &Gry p. Location of property Sw 1/4 Sw 1/4, Section, T~N-R /9 W Township oq Mailing address f13 NLdsa'..-L,); ` bI ~g~ "+a.kr S~cP !'ti-~;. ~ ~ yud. 1.~~1 Srr.,~ 1 1993 Address of site '113 /-J• y'~ ~J; Syv~rs Subdivision name Ck~,C,a Lot no. q. Other homes on property? yes No Previous owner of property Qgu e F kr, ;c t~dr Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes NO Is this property being developed for (spec house)? Yes --,/-NO Volume/007 and Page Number S`/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 & 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 office of the County Register of Deeds as Document No.9g-]3~ , 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. KIVA 5ignat~ of applicant dzo-applicaAt 43 Date of Signature Date f ig ature DOCUMENT NO. THIS SPACE RESERVED FOR RECOFONG DATA Ike WARRANTY DEED 90~a3 STATE BAR OF WISCONSIN FORM 2 -1982 vqt 1007PAGE 54 REGISTER'S OFFICE David R. Knighton Roc°d for Record MAY 101993 convey3 and warrants to Q= D. Heimann arrl . n it i p L.- .i MMer, f 9:40 A • M { ushand and wife Shi si A'+rahi marital pr-G party Of~i RETURN TO the billowing described real estate in St. Croix County. State of Wisconsin: Tax Parcel Na Lot No. 9, Clearview Addition Subject to Declaration Establishing Protective Covenants and other easements of record. sin FEE Tw is not homestead (is) (is not! Properly 6 Exception lo warranties: Doled this 7th day Of Kl 19 93 (SEAL) (SEAL) David R. night (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGEMENT k Signature(s) STATE OF 0600I3 N Minneso ss. Hennepin _ County. Personally came bafore me dit 7th day of authenticated this day of ,19 May ,19 93 the above named - David R. Knigh= r TRLE M. R STATE BAR OF WISCONSIN (K not to me knovm to be the person who executed the authorized by ! 706.06, Wis. Stata.) foregoing • nt and ac a„ THIS INSTRUMENT WAS DRAFTED QY ITT= G David J. Butler, Attorney at Law 6625 T.=yrrl_alp nt1e cZn, -llltQ 526 s Richfield, M 55423 Notary Pubic Q i Ct.;rMy,llis: (Signatures may be authenticated or adcrowledged. Both My Commission is permanent. (If not state expiration are not necessary.) .19 _ ) { 13 •Nanlss a Persons aiw" in any Cap" shmM be "ed 0r pWhded hebw u~Mr t~lNttY WARRANTY DEED STATE ONSN+~ wwwo sow 4w SCONSaH REAL TORSO ASSOCIATION FOR 4901 Hayes Road. Madison, Wism in 537W 3TC 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER &a,.l D. 1:L-104r2on f ZLIW I• Z*YVA-e- ROUTE/BOX NUMBER 5/r3 FIRE NO. 4113 CITY/STATE ZIP SS10Ito PROPERTY LOCATION: S O-114 S LJ 1/4, Section , T,2, 2 N, R /9 W, Town of St. Croix County, Subdivision Lot No. Improper use and maintenance of your septic system could result in its premature failfire 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 for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE (D St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address Wisconsin Department Industry, Laborind Human Relations SOIL AND SITE EVALUATION REPORT Page of Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 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. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE P9!PE4 RTY OWNER: PROPERTY LOCATION r I'm 12 A) GOVT. LOT SW 1/4 540/4,S 5 T 2~ N,R lq -Wof PROPERTY / WNER':S MAILING ADDRESS LOT BLOCK # SUBD. NAME OR CSM # CITY STATE ZIP CODE PHONE NUMBER CITY []VILLAGE OWN NEAREST ROAD (71S) - N crH FF, >j New Construction Use P j Residential / Number of bedrooms [ ] Addition to existing building j ) Replacement [ ) Public or commercial describe Code derived daily flow !r© gpd Recommended design loading rate -,7-bed, gpd/ft2___. trench, gpd/ft2 Absorption area required u ,1 bed, ft2 trench, 11:2 Maximum design loading rate , I_bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) 3,33 ft (as referred to site plan benchmark) Additional design / site considerations Parent material -a M S 4' Flood plain elevation, if applicable ft rU = Suitable for system CONVENTIONAL OUND ICI-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK = U nsuitable fors stem SS❑ U S❑ U S❑ U ❑ S ®U S 11 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr Bed Trer& Z 21 in a/ l .5 $ z= i3 o yR y s,f4,1 ss,ee- c Al l 'Pi P Ground cp~ v"-31 4 o 5 /Sb~ '0, 4 14' Depth to limiting factgr Remarks: Q sd.. /✓ok/~ Kof Ar--,afro D~ E~~ f 3 IS (,~•s,3 M A0 Banc. ti~er~ Boring # _Y F y✓ H.... - K..Mx I4t Ali, } 2r q'-fit: 0 j S/ 1Asswy 2 h# Ground C', 24' 39 /0 K /S jsd~ N'► w / g Depth to limiting factgr w- Remarks: wn a ''rnrr Cv 7, Yx rs Ao- CST Name: eas Print Phone: G83 J Address: NO 7 O ~v 3~ Alf~ 4e, Signature: CSTNb 06.3 PROPERTY OWNER _Guhu A✓P,MaA) SOIL DESCRIPTION REPORT Page ~ of _ PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Borxlary Roots GPO/ft;- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 o Z > ~ 70 /3 1 7'~ A /0 Y11 91F Alf-, Ground 7 , ev p= 7 SS Depth to limiting fact Remarks: Boring # q1o `0 C ~ 0~~ S S~~ ov Ground dev. 77~ 5a ~Q 3~ p1 Depth to limiting factor Remarks: Boring # , 0--'/ -7 lo yk 2,// 77 r? to Y Srl ys~- r~ z C_. 3o'Y2 0Y V 15 1 fA1 1-7 Ground „ e y -lo ' d 1f 3 y~ s Depth to limiting fac Remarks: .Boring # Ground elev. ft. Depth to limiting factor Remarks: f/e iNt4 ,v WIAP to 2- ✓ ~i„ Tory s~~ M 1 C ; /49,9, 0 5,'ks t /Yy - 0 y2 ~OJ g'( ~ 3 Bzc~ O yl gS !a y 00, ,s IV 1? 303.134 so. /t. a•, 1,y 10 _ fo..T. y A. 30 -CACS 4p 1* 8.10 ACAICS 13 )L 1. a's 8 Q. FT. 3.01 •C■Q1.. V 4 •W fv COwwG■ W r0 303. ►so so. /.T. "CTW" 1 u.0 •~.'h ''i1 2.30 ■C■91 14.93` ~ft. co.•.so a sic ON • 210.24 Ali{ MI, ffCmg , J• 589131'30'W rwv{ o wL wwia 0 stthow s w \ 0 b ! w n 7 ' ' w~ g'~ID J2S r !4I 9f misfgq !Y"Yt! ft! !7 V%YCg J. :ff( 11H N 171181W N15. 9'1 ' 40.W 45.06 _ Sal A71133, 9' N89. 31'30'E 417.96' ■ot-)I' • n o 39.07' 3w.oo t~t.ss=►.ss' T' ^ N O T:C^' IT'1 •Y1 r • 105.00' ► r+88• 43•E 47 x 3 t .00' s s ► it ss.l{i so. !t. 8 st.sos $o. FT. sS.N>I f0. IT. t,l{ ~t33ti s Z.It K~t3 c sill ~ If j,l! •G11Ci j 2 I-xi s a 1 o s►. ss~ to. n. $ Y t 2.00 ACHc• s rs4. pit, \ u• s a 2 lois.l► TO YHC PU81:IC 588.35'43'x PRE ~l L Ld Z!j4fZG,,M; 1 IP U~ I S[v~~ Ss CrAAY 114 r,~©~ 7-o co/7 i'l ~~~9~~ Ross .S~ c7`,.~ o f= 1% e nc h S ys re.rj Froth Air Intels And Observation Pipe ~~-Approved Vent Cap " Minimum 12" Above Final Grade 4" Cast Iron 20- 42" Above Pipe - Vent Pipe To Final Grade marsh Hoy Or SynlMlic Covering Min 2" Aggregate Over Pipe 3 Oletrlbuflon o o - Tae Pips 6' Aggregate a Perforated Pipe Belovr Beneath Pipe -Coolag Terminating At 0 Bolloin 01 System - _ _ _ P~o~osed 33 _ O ej- 3"_2 °F 93 _ Min DiS"l-RIBUT101) PiFE TO DE AT LEAST IAIGNES BELOW ORiGIAIAt_ G~AOE AAIU AT LEAST 20 tIJtHE,S 8UT AIO MORE THAI) 42 RICHES BELOW FINAL GRADE i PW'%MUM ®F-Pry OF F-XOCAVAnoij F'RoM o IN R Al 6RA0F. WILL BE~ INCHES MOM M gr-F OF EXCAVATION MOM 01KI4IbqL GRADE WILL. BE --3 j6, INCHES S I G U (//s LIGEWSE DUMBER: DATE: / • PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING > - P _T JUNCTION BOX MANHOLE COVER 25' FRCM DOOR, WINDOW OR FRESH 12 M"'~' I AIR INTAKE GRADE I 4"MIN. 15"MIU. CONDUIT ~ I®"MIN. \ f~11..F= 1 PROVIDE I I AIRTIGHT SEAL I III V ( I APPP.O`JEC JOINT A I III APPROVED JOINTS W/C.2. PIPF. I III W/C.I. PIPE EXTENDINC• 3' I II ALARM EXTENDING 3' ONTO SOLID SCt;, B I I ONTO SOLID SOIL ( I OKJ c I I PUMP OFF 0 v' CONCRETE BLOCK RISER EXIT PERMITTED UNL'J IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIONS SEPTIC AND DOSE TANKS MANUFACTURER: HUMBER OF DOSES: t/ PER DAY TANK :AZE : L ~ ~"A~LO S DOSE VOLUME r ALARM MANUFACTURER: s INCLUDING BACKFI.OW: / 2L e-9 GALLONS ~ ~ MODEL NUMBER: CAPACITIES: A=INCHES OR ~CIP GALLONS SWITCH TyPE: n~ B= INCHES OR /Jo GA'_LONS PUMP MANUFACTURER: C IWLHES OR / a GALLONS MODEL NUMBER: D=CINCHES OR 70 GALLONS SWITCH TYPE: uy~~L-G~"'~~¢J NOTE: PUMP AND ALARM ARE TO 9E. PUMP DISCHARCwE RATE - g~ GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKENC[ B :?WCCN PUMP OFF AND DISTRIBUTION PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . • . • ~ FEET + S ~J FEET OF FORCE MAIN X __L3_Z3j1oo FT.FRICTION FACTOR..' 2 FEET 'I = TOTAL DYNAMIC HEAD 4~-EET INTERNAL. DIMLWS10Als OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH SIGNED: LICEWSE HUMBER: DATE: -11~- 6'/4 r, W W HEAD CAPACITY CURVE. 47ie 43/s U_ 01 W "53-55" SERIES m1 25 TOTAL DYNAMIC HEAD/ .y FLOW PER .MINUTE EFFLUENT AND; DEWATERING b v, HEAD CAPACITY1112 - 2~ UNITS/MIN r "t' 11 Y2 NPT: FEET METERS GAL LTRS s 41/,s KJA~R, ' 5 1.52 43 163 34 r F~#>t s 10 '.3.05 ` 129 15 457X19 72, 19.2 5:87. 0 0 1 { 5 ? 4 zr t a > a J~ ltd ` f!, ifs. r a >„ifis•..,jJ ~ ;..^i% ~ 'a~.. Vie. O ' e 33/, US 10 20 30 40 50 GALLONS ti. L iTERS 0 80 160 FLOW PER MINUTE r CONSULT FACTORY FOR SPECIAL APPLICATIONS, • Piggyback Mercury Float Switches • Available with special cord lengths "of 151, available. 251, 351 and 50`. • Variable level long cycle systems • Alarm systems available. available. • Duplex systems available. Standard cord. length, - automatic 9 ft. Standard cord length non-automatic 15 ft., SF.LECT{GN;.:InCE, e ip - ' MSWSS SERIES " Control Selection 1. Integral float operated mechanical switch, no external control required Model_ Volts-Ph Mode Amps Sim Ipex Duplex 2. Single piggyback wide angle mercury float switch ordoubtePiggyback mercuryffoat LM53/55 115 1 Auto 8.0 1 or l &7 - switch. Reefer to FM0477. ' N53/55 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 3. Mechanical alternator 10407?or 10.0075:: 053/55 230 1 Auto 4.0 1 or 1 & 7 - 4. See FM-712 for correct model of Electrical Alternator; "E-00". Fa3/55 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-0225 used as acOMrolactivator, with E-Psk(3)or(4) float system.. 5 8. Four (4) hole "J-Pak",junctlortbox, for watertight connection or wired-in simplex or 3 Series - Wt. 23 lbs. -.3 H.P. 55 Series - Wt. 25 lbs. -.3 H.P. duplex operation. P/N 10-0002. 7. Two (2) hole "J-Pak", )unction box, for watertight connectlonor splice, P/N 10.0003. ,pOP information on additional Zoeller products referto catalog on Combination Starter, FM0514; . CAUTION Plggybeck Mercury Float Switches, FM0477; Electrical Alternator, FM0486; Mechanical Afterne- All Installation of controls, protection devices and wiring should be done by a quallfled, nator, FMO495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simptex Control licensed electrician. All electrical and safety codes should be followed In addition to the r.Box, F>40732. most recent National Electric Code (NEC) and tho Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN t z For unusual conditions a reserve safety factor is engineered into the design of every Zoellerpump.' 3280 Old Millers Lane t*~{Manufacturersof t, , z p OL~~L~ ®I P.O. Box 16347• Louisville;Kentucky:40216Y s . . (502) 778=2731 "FAX (502) 774 3624 ~fUAL/rr Un/P9 /NCJ /,93~ ~T SV~' ~,k JAY ~ ~ -1'K to 3 1 - } f Y~ t 1 1" ~yi~'a ' f ~S F' ~T i 1 T ?tt t x.. a _ t w X 3 ,~t .,1 ~.f+rt 33iY4~'' Y y R NFVRt -~yr 4 'DIMF r i ?rh ^•a i, n'",.;i. YYAft ~irL 80TTONF ll y [4 .45JfLy1~r R t 3333 .y e l' , T;'^ 71 C7, l-iEiGHT~ 7:°~VIt4HQEtr' hD: i INLET: AND, OUTLET, OR 4" BOR5WITH`5 T1i'SE~AL 4" V • w n'i~ 711 4k FERNIGG"GASICE x F °q 'INLET ANQTT~Bb►aw~ -rs y W4 yy++ v.~k °r j'). ~/i (may, 4~~.rr y 6 j yr i ~ S t Ft ~N~ P `17 }q 111.4' §i R ',tF> <G r Y YMS *4IfY'~'Ii4 x.'11( r. U ~ d R' 1nk LIQUID APAQI~t.~ a ,3 ~ ~ ~r y 4T 'iN66 HT" 12;400 P RI IBS- w yF ( r % VlXZ 71 'S , L WCT-1500 ~Y mmmlElER 3 . a00"Combination Tank CORCRETE. . _Rt 2 {Hy 0>,Mat~ rt ac,VVtt ~+yd 'Y CS/ . " T'~+?'lxl Hn4rY•.aw Rr'T~.'~9 WPxs9Yr~.:lnw• s.a~m„m+~c+• M~Nl.1+'91Crp1,,. i ~d.• lawn ifwC1 ~ \ I ! L D' + 12 . 19 4k t t aD,rso so. rr, < j t. D• KAcs ~ a •o 10 o af, rfu fo..r. + • o •a t. 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