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AS BUILT SANITARY SYSTEM REPORT-
OWNER ~/,J TOWNSHIP
SECTION.Z-J/ T N-R,_~-W
ADDRESS --;L 29-V _ST. CROIX COUNTY, WISCONSIN
SUBDIVISION sZsf LOT LOT SIZE
PLAN VIEW
SHOW VERYTHING WITHIN 100 FEET OF SYSTEM
W
INDICATE NORTH ARROW
BENCHMARK:Elevation and description:
Alternate benchmark SEPTIC TANK: Manufacturer: Ja)tcxt Liquid Cap.
Rings used:--ZManhole cover elev:-22,d:~-Final grade elev:
Tank inlet elev.: Tank outlet elev.:
No. of feet from nearest road:Front , Side , Rear x Ft.-,'-5-~
From nearest prop. line:Front , Side)~_, Rear Ft. f>-2rnn
No. of feet from: Well ,~//l ' , Building:
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: -Liquid Capacity:
Pump Model:- Pump/Siphon Manufact.: Pump Size/°
Elevation of inlet: Bottom of tank elevation 71, ~
Pump on elev.: f., - Pump off- elev.: 2!227 Gall/ons/cycle:
Alarm: Man. Switch Type: w' Location s n
,le dAC
Distance from nearest prop. line: Front_, Side X, Rear_Ft.
Distance from: Well ,-//z Building
SOIL ABSORPTION SYSTEM
Bed: A- Trench: Seepage Pit:
Width: , Length Vic- Number of Lines:-"2_Area Built-z,-.~
Exist. Grade Elev. -~~~.r -Proposed Final Grade Elev. _
Fill depth to top of pipe:
No. feet from nearest prop. line:Front , Side, Rear Ft.,
No. feet from well:,/~No. feet from building
HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front , Side , Rear Ft.
No. feet,from: Well building , nearest road
Alarm Manufacturer:
INSPECTOR:
DATE : Z-2- l- 9,--2 PLUMBER ON JOB : 1
LICENSE NUMBER:
7L~
6/90:cj
r
LOCATION: ST. JOSEPH 24.30.20.476D SE, SE LOT 2, CO. RD.
Wisconsin Depaitmentof Industry, PRIVATE 9EWAGVSYSTEM County:
Aalaor ar id Human Relations INSPECTION REPORT
Safev and Buildings Division ST. CRO X
' (ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL-INFORMATION 175635
Permit Holder's Name: ❑ FCity ❑ Village [Town of: State Plan ID No.:
BIGLOW, ALAN & PATRICIA A ST. JOSEPH
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
/08i 10~rr: t f 030-2036-30-306
TANK INFORMATION ELEVATION DATA A9200294
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark s ~D a '
Dosing s
Aeration Bldg. Sewer
Holding St/ Ht Inlet /7 gg,yy
TANK SETBACK INFORMATION St/ Ht Outlet /d 44 0,0
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake `f g8' i
Septic 7o700", Ito Poo" NA Dt Bottom
Dosing NA Header / Man. q3
Aeration NA Dist. Pipe
Holding Bot. System 7, 911 PUMP/ SIPHON INFORMATION Final Grade
Manufacturer c d ; Demand , ( /o,~ ~Q,B ?
Model Number GPM aw,,
Friction System TDH Ft
TDH Lift
I Loss Head
Forcemain Length kt5 Dia. ~l Dist. To Well
SOIL ABSORPTION SYSTEM
BED / TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
LEACHING Manu acturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM
INFORMATION TypeO CHAMBER Model Number:
System: °_~/o' /o~Ll 7(,D OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. 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
Bed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No - ❑ Yes ❑ No
? COMMENTS: (Include code discrepancies, persons present, etc.)
I
c ta 7 °ll►S~
Z or
PI n ev' on required? ❑ Yes ❑ No
Use other side for additional information. a- :'J
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH r
.r
SANITARY PERMIT NUMBER: t
9
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
p a N n a a ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
June 11, 1999
Dave McMahon
1412 County Road V
Houlton, WI 54082
RE: Finishing fourth bedroom in basement, Town of St. Joseph, St. Croix County
Pin # 24.30.20.476D, Computer # 030-2036-30-300
Dear Mr. McMahon:
You have requested the Zoning Office to review your remodeling project for compliance with the state sanitary code (COMM
83). When remodeling or adding onto a dwelling you are required to examine whether or not the construction involves an
increase of wastewater.
As I understand the project, you presently have a three-bedroom residence and would like to finish the basement, which would
include a fourth bedroom. After reviewing your original sanitary file, it revealed that the septic system was designed and
installed for a four-bedroom residence. Therefore, you are not undersizing the existing sanitary system by adding a bedroom in
the basement.
Section 83.055 (3)(b)(2) states: Increased wastewater load in dwellings results from an increase in the number of
bedrooms or from construction of any addition or remodeling which exceeds 25% of the total gross area of the existing
dwelling unit.
Kim O'Connell installed the sanitary system serving this structure on December 12, 1992. There is a 1,200-gallon septic tank
and 800 gallon pump chamber discharging to a 12' by 105' drain-field. The system was inspected by staff from this department
and was installed as a code compliant system.
To prolong the life of the system, remember to have the septic tank pumped once every three years or when the tank becomes _
full of sludge and scum Other efforts to prolong the life of the system could be as simple as fixing or replacing plumbing
fixtures with water conserving fixtures, reducing shower time, washing dishes when the dish washer is full, avoid using a
garbage disposal, using a wash machine with a suds saver feature, etc. Therefore, the prolonged life of this system may be
dependent upon proper maintenance of the system.
All applicable setback standards shall be met during the construction of the addition. Contact the township to obtain a
building permit.
Should you have any questions, please contact this office.
S' rely,
AIV 66~ O'XI_
Rod Eshnger
Zoning Specialist
Cc: Dwight Farmham, Deputy Zoning Administrator, Town of St. Joseph
17,7 SANITARY PERMIT APPLICATION
E~.~~ In accord with ILHR 83.05, Wis. Adm. Code couNTY (LloL~
STATE SANITAR ERMIT#
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ /
8% X 11 inches in size. h 2111~ visio t evious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPE OWNER PROPERTY LOCATION
22 E (O
S %a %a, , N,
PR PER OWNER'S AILIf~G DDRESS LOT # BLOCK #
7TT-E ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
11. TYPE OF BUILDING: Check one CITY NEARE ROAD
( ) ❑ State Owned VILLAGE :
❑ Public ICJ 1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL TAX NUMBER(S) -j 7
111. BUILDING USE: (If building type is public, check all that apply) -~dro
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
30 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. ❑ 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/ ay//sq. ft.) ( n./inch) ELEVATION
e ~Co Q fits Feet Feet
VII. TANK CAPACITY Site
in alions Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION New xistin Gallons Tanks Concrete glass App.
Tanks Tanks structed
Septic Tank or Holdin Tank
Lift Pump Tank/Si hon Chamber X
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for instal n of the onsite sews a system shown on the attached plans.
Plu e s Nam (Prin - Plumbs s nature: ( StKp) ' MP`/MP~RSW No.: Business Phone Number:
,
. JA) P urn a Address eel, ®Stat , Zip Code)*
_
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater rate Issued Issu'ng Agent Sign lure o Stamps)
Approved ❑ Owner Given Initial Surcharge Fee)
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
c
-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 on site 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.
A. '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
repai r.
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.1l5,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 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)
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER J~ l Ok h g- ~oti~J a I
ROUTE/ BOX* NUMBER FIRE NO.
CITY/STATE ~~,.--C~ MV1 . ZIP S" 124-
PROPERTY LOCATION: L r.-_1/4 1/4, Section` T_D N, R3ZW,
Town of S~• 50Jep , St. Croix County,
Subdivision V10yi-• , 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 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.
SIGNE
DATE `(2
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
grj tit 4. yr k .n ~
E
New1I1111 To
' " iiMrMtt~Ml eNMI1 M _ St . '~p~
1Ml~wnnlt: ~Tax A111111111 Ne:
Mgt Of the SS 1/4 of the SE 1/4 of Section 24, Tomship 30 north,
20-Vest. TOUR of St. Joseph, St. Croix County, Wisconsin
ftwrlbod era follows Lot 2 of Certified Survey Map filed July 11. 19SS:
'10 Vol. *r. pate 199x, Document No. 439327.
ifis ieed is given to fulfill the Land Contract filed November 211, 1990
In Doak Sib Pap 6161 as Document No.464333.
tom}
A AM
A j
low
This 8 not aoparty. ;
0 so raw)
r `EaooPNsr~ IeVllrnaMia: ~
pdy 21st October
91
• - (SEAL)
Molly W ling
(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
~ weM)__ - STATE OF WISCONSIN
se.
St. Croix -county. '
- -
aeMleralfialsd Ihfs. day of - 19 Personally carne betore me this 21st day of
---October _ - 1e 91 Theabove
nernN
Moll Warning
TITMAWEMBER STATE BAR OF WISCONSIN _ - - ` :
1Irts1- to me known to be the person-. w x
eM
Asriteg by s,T06 Ob. W~.,Stats ► - - _ - Io.egoh>,q insl t and acknow qe 1
TNIe tNfTra11MEN T WAS ORAf 1 E h By
f Ins L amnat LtSls. - -
nis A. Fritz
Notary Pubbe St. Cro
1CAW or, acknowterj~ my Comawssfon Is 'pa►wlantmf,. µf raQ/, tnlNe
y dste: 8/29 93:
e"'h9!^au/ caprcwp~rurrkin.IVP" Of yo•mrdtwig M IMnr ltat,ourq -
~eef9 ti
a 6TAT `mAolop M!NComw NMco Tom Form, P*. edr left GNse "
a 7!?
4
STC -loo
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 _A
Location of property SC 1/4 S E 1/4, Section T•„10 N-R.a W
.Township
Hailing address 'DI-a cl 2 "7 '"-L 4vc-- n0 kL\ JI . ~sa 1
Address of site _N['2, Co _ (Zc~., V
Subdivision name y'\Ov\ , Lot no.
Other homes on property? ves._ v--"--No
Previous owner of property _lf 0114 o`"- I',n q
Total size of parcel _ N Y'L ctc-v%Date parcel was created _ J c., } (°l $ S
Are all corners and lot lines identifiable? a Yes No
Is this property being developed for (spec= house)? Yes „ZNo
Volume _7 and Page Number T° as recorded. with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE rOLLOWING:
A WARttA ITY DEED which includes a DOCUMENT NUtIDER, VOLUME AND PAGE.
nunDI R & THE SEAL Or THE ILEGISTLI 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 Hap
shall also be required.
PROPERTY OWNER CERTIFICATION
I0ec) 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 Ho. _ y a.-.`j , 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._`i 3°l 32.7
Signature 'applicant co-applicant
~o .
Date of Signature - a~
Date of signature
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tsv. } Myr 30 PAGE 07u
3~ 'IYaTB 10/88
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
1NDUSI:RY, DIVISION
,LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N W 53707
HUMAN RELATIONS
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/W_XXDCITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
SE 1/4 SE 1/4 24 /T30 N/WOXE (or) w St. Joseph n/a n/a n/a
COUNTY: OWNER'S B ME: MAILING ADDRESS:
St. Croix Molly Warling 1416 Co. Rd. #E, Houltam , Wi. 54082
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER ATION TESTS:
Residence 3 n/a 5hew ❑Replace I 11-12-90 n/a
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
®S ❑U ®S ❑U CAS ❑U ❑ S ®U ❑ S EU conventional
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: class 2 Floodplain, indicate Floodplain elevation:. n/a
decimal' PROFILE DESCRIPTIONS page 33 OnC2
BORING TOTA DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED EST. I HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B_1 6.83 96.10 none >6.83 .83bl.1. 1.08bn.sil. 4.92bn.l.s.&gr.
95.99 2.50' less .75bl.1. .92bn.sil. .83bn.l.s. .42bn.s.l.w/occ. t.
B-2 7.25 none than`1.00' 4.33 bn.l.s.& r.
B-3 7.01 96.59 none >7.01 .92bl. 1. 1.42bn.sil. 4.67bn.l.s.&gr.
4 6.91 97.39 none 1.83'..less .83bl.1. 1.00bn.sil. .75bn.sil. w/Occ. mot. 4.33b .
B- than 1.00' r.
B-
5 7.17 97.60 none 2.75' less .75bl.1. 2.00bn.sil . .67bn.s.sil. w/occ. mot.
B
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERT D PER INCH
P-
P-
P-see desi rate
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 bo tion and percent
of land slope.
SYSTEM ELEVATION 92.60
_ 3
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1 ti
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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.
i
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 11-12-90
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
1554 200th. Ave. New Richmond, Wi. 54017 22 715-246-6200
CST SI TURE:
i
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
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NXIMUM OEPTH,OF EXCAVATIOP FXoM 0K16WA.L 6XADF. WILL BE _ 1ucHCs
111 mm pEF111 OF EACAvATIoN FRoM 04~161NgL CIRnpF. WILL. eC -~Z INCHCb
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310000
LIGCu3C UUMBCII:
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PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ,,QQ
'/~~Ia
VEIJT CAP
ti"C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKIRIG
25' FRCM DOER, JUIJCTIOAI BOX MANHOLE COVER
~ .
WINDOW OR FRESH 12"MIU.
AIR INTAKE
GRADE
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IB" MIN.
COUDUIT -
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4PROVIDE I -
INLET AIRTIGHT SEAL
APPROVED JOINT A I I ( APPROVED JOINTS
W/C.I. PIPE I III W/C.I. PIPE
EXTENDIM& 3' I II ALARM EXTEIJDIUG
ONTO SOLID SOIL 8 I I I ONTO SOLID SOIL.
I I GU
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PUMP --J
OFF
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CONCRETE BLOC4(
RISER EXIT PERMITTED OIJL9 IF TANK MAAJLIVACTURER HAS SUCH APPROVAL
SPEGIFICATIOUS
EPTIC AMD
S TANKS MAIJUVACTURER: GL K~~ IW FABER OF DOSES: PER DA`J
s. TAWK _-dir : ADD /AALLOAIS DOSE VOLUME: GALLONS
ALARM MAAJUFACTURER: •,i~~_s~~.: ZZf CAPACITIES: A=1►JCHES OR GALLOto
MODEL HUMBER: B= IAICNES OR GALLO,
SWITCH TYPE: A/L C=INCHES OR GALLC
PUMP MANUFACTLIRE: R: D= INCHES OR GALL
MODEL MOTE. PUMP AND ALARM ARE TO BE
I AJSTALLED ON. SEPARATE CIRCUIT!
PUMP DIS(_HARVE RATE GPM
VERTICAL, DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTIOM PIPE.. FEET
+ MIUIMUM NETWORK SUPPLY PRESSURE . r~ FEET
+ FEET OF FORCE MAIN X _,_~31100 FLFRICT1OU FACTOR.. FEET
TOTAL D9 JAMIC HEAD = = FEET
IMTERiJAL DIME SIOMS OF TAIJK: LEAIGTH ;WIDTH - -;LIQUID DEPTH
n
SIGNE D: 6k_ 2, LICEMSE DUMBER: DATE: ~r r 7