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PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest property line: Front, O Side, O Rear, Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: L2 Length: Number of Lines: C--�e Area Built:
��--�
Fill depth to top of pipe:
Number of feet from nearest property line: Fronta O Side, Rear,O Ft .
Number of feet from well: Q //mil
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
jj ated: Plumber on job:
License Number:
3/84:mJ
4✓ -,�y ' �� 1.G..-
''j Form - S T C - 104
AS BUILT SANITARR SYSTEM REPORT
OWNER o TOWNSHIP SEC. T ZLN-R W
ADDRESS A ! 2flt�S(q ST. CROIX COUNTY, WISCONSIN
S��
hk7
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•ZHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
y�
62�
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: Z40,4 Proposed slope at site:
SEPTIC TANK: Manufacturer: quid Capacity:
Number of rings used: �_ Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation: /
Number of feet from nearest Road: Front 10 Side, Rear, O,V�07- ,fee- �.
From nearest property line Front,O Side,O Rear,
eF�
Number of feet from: well , building: " � /
(Include this information of the above plot plan)( 2 reference dimensions to septi
SEE REVERSE SIDE
SAFETY&BUILDINGS
DEPARTMEgT OF INDUSTRY, INSPECTION REPORT FOR DIVISION
LAI OR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING
P.O.BOX 7969
MADISON,WI 53707 ❑ALTERNATIVE State Plan I.D.Number:
1 SE -R18W CONVENTIONAL )Ifa,.igned)
NEB, ❑Holding Tank ❑In-Ground Pressure ❑Mound
Town of Star Prairie
Town Road INSPECTION ATE:
ADDRESS OF PERMIT HOLDER.
NAME OF PERMIT HOLDER.
Walter Schommer Route 1, Box 239, Star Prairie, WI 54 2 REF.PT. LEV.:
CST REF PT.ELEV.
E
BENCH MARK IPerman-1 reference point)DESCRIBE IF DIFFERENT FROM PLAN'.
Sanitary Perron Number:
MP/MPRSW No.: County
Name of Plumber: 1 02794
Calvin Powers Jr. 1563 St. Croix 1 7
SEPTIC TANK/HOLDING TANK: PROM ED PROVIDED CI
MANUFACTURER. LIQUID AT T�fJ K NLL�LEV" TANK,OUTLET/ELEV. WARNING LABEL LOCKING COV ER
/%A!/�/ —/J (%, LP YES ❑NO ❑YES NO
RO HIGH AD: PROPERTY WELL. BUILDING. VE T TO FRESH
/� LINE AIR IN
BEDDING. VENT DIA.. VENT MAT L. HIGH WATER NUMBER OF FEET FROM
❑YES NO DYES NO NEAREST OS J
DOSING CHAMBER: PUMP/SIPHON MANUF ACTIIR ER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL DYES ❑NO
DYE S ❑NO
❑YES ❑NO NUMBER OF PROPERTY WELL BUILDING AER TOETRESH
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. LINE
FEET FROM
(DIFFERENCE BETWEEN ❑YES ❑NO NEAREST
PUMP ON AND OFF) LENGTH DIAMETER MATERIAL ANDMARKING
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE
or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN
the soil is dry enough to continue.) LIQUID
CONVENTIONAL SYSTEM: -PITS DEPTH
IN;IUE DIA DEPTH
BED/TRENCH WIDTH LENGTH NO OF DISTR PIPE SPACING ryATE�RiIA . PIT
S TNENCH=S � ?L
l.a' ''"�,DIMENSIONS PR OPEY WELL BUILDING V NT TO FRESH
GRAVEL DEPTH FILL DEPTH DISTR PIPE DISTR PIPE DISTR.PIPE MATERIAL. NO DISTR NUMBER OF LINE' AI�j I/N�Tom.PIPS FEET V N
BE LOW PIPES` AsovF.�covER. ELEV yNT ELY I N�� < NEAREST--%
MOUND SYSTEM: �Y /
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it ON
ZONE MEASURED.
DE.SHOW ELEVA-
meets the criteria for medium sand.
DYES ONO PERMANENT MARKERS OBSERVATION WE LLS
SOIL COVER ITE XTURE
❑YES El NO DYES El NO
DEPTH OVER TRENCH/BED D
EPTH DGES OVER TRENCH/ ED DEPTH OF TOPSOIL SODDED
SEEDED MULCHED
CENTER ❑YES ❑NO DYES ❑NO
DYES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER
WIDTH. LENGTH. TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW PIPF.
BED/TRENCH
DIMENSIONS
MANIFOLD DISTR.PIPE MANIFOLD MATERIAL PE
ODISTH D'SAT R.PIPE DISTRIBUTION PIPE MATERIAL.&NIA K
MANIFOLD PUMP
ELEV.. ELEV, DIA. ELEV.
ELEVATION AND
DISTRIBUTION COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
HOLE SIZE HOLE SPACING. DRILLED CORRECTLY PLANS
INFORMATION DYES El NO
❑YES DNO PROPERTY WELL: BUILDING
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF LINE.
COMMENTS: FEET FROM
DYES ❑NO ❑YES E:1 NO NEAREST
Sketch System on .� I"Refaln In county le for audit.
Reverse Side. ATU r„ LE j
Zoning Administrator
DILHR SBD6710(R.01/82)
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION
TO THE APPLICANT: .
1. This 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. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
Pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description where the system is to be
installed;
II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
Ill. Purpose of application: Check only one in #1. Complete#2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in #1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for a//septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from DILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
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; dosing or pumping chambers; 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.
GROUNDWATER SURCHARGE
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the
result of over 2 years of steady negotiation and public debate. The groundwater bill
included the creation of surcharges (fees) for a number of regulated practices which Ground atBr
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that Wisco
is used in your building is returned to the groundwater through your soil absorption buried TEs�5uP@
system or the disposal site used by your holding tank pumper. o
The monies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground-
it's worth protecting.water, groundwater contamination investigations and establishment of standards. Groundwater, t
SBD-6398(R.03/86)
SANITARY PERMIT APPLICATION °O1
aDILHR n paper not less than STATE PLAN I.D.NUMB
In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT#
—Attach complete plans(to the county copy only)for the system,oER
8%x 11 inches in size. application. PETITION
—See reverse side for instructions for completing this app FOR VARIANCE ❑YES� NO
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATPRO ERTY LOCATION
PROP FIT OWNER '/4 1/49S T N, R E (or)W
LOT NU BER BLOCK UMBER SUBDIVISI NAME
PRO RTY OWNER'S MAILING ADDRESS
CITY NEAREST ROAD,LAKE OR LANDMARK
CITY,STATE ZIP CO E PHONE NUMBER p VILLAGE :
a - Q-
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family
OR
Public(Specify): '41
III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable)
❑ Replacement of d.❑ Reconnection of e.❑ Repair of System an
1 a ❑ New b.� Replacement c. an Existing System Existing System
System System Septic Tank Only
Date Issued
2. ❑ A Sanitary Permit was previously issued. Permit#
een inspeted and soil conditions meet minimum requir
3. El An Existing System has bmore than cone owner/building Attach Common Ownership Agreement to County Copy.
4. El The System is,share y
IV.7a. j0FSYSTEM: (Check only one in#t and only one in#2)
Conventional b. ❑Alternative c•
❑ Experimental
System- b. ❑ Holding c.❑ Pit Privy dVault Privy e.❑ Mound f. ❑ IGP
. a.
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. 0 See pa e Bed b. ❑See a e Trench C. ❑See a e Pit
2. PERCOLATION RATE REQUIRED(Square Feet): PROPOSED(Square Feet): 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minute per inch): �l Feet Private ❑Joint ❑ Public
Site Ex per.
CAPACITY Prefab. Con- Steel glass Plastic App.
VI. TANK in allons Total #of Manufacturer's Name Concrete stru Con-
Tanks Tanks Gallons Tanks ❑
Se tic Tank or Holdin Tank l ❑
Lift Pum Tank/Si hon Chamber
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the ivate sewage system shown 1M nPR W attached plans.usiness Phone Number:
Plumber's ame(Pri ): Plu er's Signature: o amps)
Name of Designer:
Plumb is Addres (Street,City tate,Zip Code: S
3
VIII. SOIL TEST INFORMATION CST#
l
Certif' d S • Tester(C T)Name
Phone Number:
CST's ADDRESS(Stree,City,Stat Zip Code)
IX. COUNTYIDEPARTMENT USE ONLY Issuing Agent Signature(No Stamps)
❑ Disapproved Sanitary Permit Fee Groundwater ate
�^ S r
Approved ❑ Owner Given Initial charge Fee�^
Adverse Determination pt
X. COM/MENTS/REASO�N��DISAPPROVAL: V fns'
DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
SBD-6398(formerly Plb-67)(R.03/86) 9
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ST C - 105 r"
9
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SEPTIC TANK MAINTENANCE AGREEMENT o
St . Croix County z
0
9
OWNER/BUYERt.
ROUTE/BOX NUMBER Fire Number S 3'17
CITY/STATE
ZIP 5y
PROPERTY LOCATION : L �• Section T�N , R / b W,
Town of ll �n �� St . Croix County ,
Subdivision Lot number_.
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes . Proper maintenance con-
sists 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 treat-
ment 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 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 veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary) , the septic 'tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to H
three year expiration . o
E
z
I/WE, the undersigned , have read the above requirements and agree
x
to maintain the private sewage disposal system in accordance with H
the standards set forth, herein , as set by the Wisconsin Depart- 'b
ment of Natural Resources . Certification form must be completed
and returned to the St . Croix County Zoning Office wit in 30 days
of the three year expiration date .
SIGNED J `
DATE (
St . Croix County Zoning Office
P .O . Box 98-
Hammond , WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address .
j
APPLICATION FOR SANITARY PERMIT
STC - 100
his 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 C �k Ct
7�rY -
Location of Property Al - Slk, Section a T3 j N-R
Township ,( 11.t,
Hailing Address c 3 ci
Address of Site � . 2 3
Subdivision Base 12
Lot Number
Previous Owner of Property
Total Size of Parcel _ -l U
Date Parcel was Created
Are all corners and lot lines identifiable? X Yes
No
Is this property being developed for resale (spec house) ? Yes
X_ No
Volume and Page Number `/(o ,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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - r
PROPERTY OWNER CERTIFICATION
1 (rye) ceAti 6y that aCC btatement/S on this oh►n ahe .tAue to the best o6 my (oun)
412, ftiIiii:11I.I111 1111,1 11,111.1,11!1111 4--.the 0WKEA(b f o the- nnopu ty du cAibed in .th"
n 6on,na Lion 60", by viA tue 06 a walvtan ty deed neconded in the 06 6.ice o6 the
Colmtyq RegiAteh 06 Deeds as Document No. 3 y p .3p y
aun the pnopoded site bon the -sewage digs os a ; and that I (We) phe�sentty
ead en+¢n t, to nun with to above de d eh lbed no y6 em (on I (we) have obtained an
e ystem, and the dame hae been duty neconded in the�066iceh06 the County nRe9i4teA 06
Vetch, ots Document No. 3 y D .3 a y ) .
W
YLtgrU7 ` • ;
SIGNATURE Op OWNER SIGNAT OF CO-OWNER (IF APPLICABLE) +
/
)9S7
DATE SIGNED DATE SIGNED
s
.gore oT W13C6iisih
County of St. Croix
I hereby certify that this instrurdMi is a Nd11
I
rue and correct copy of the document an fIli
and of record in my office and has boeh
compared by me.
fittest,. October,,1 a _. .. 19 87
James O'Connell
James A' ntteil Regbw of D�
71D.eputy
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INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6595
To be,a complete and accurate sail test, your report must include:
4. Complete legal description;
2, The use section must clearly indicate whether this is a residence or commercial project;
3, MAXIMUM number of bedrooms oi-commercial use planned;
4, is this a new or replacement systerr7;
a. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
(3. PLEASE use !he abbreviations shown here for writing profile descriptions anti completing the plot flan;
7, MAKE A LEGIBLE diagrarn accurately locating your test locations. Drawing to scale is preferred. A
separate sheet may be used if desired;
B. Make sure your benchmark and vertical elevation reference faint are clearly shown,arid are permanent;
S. Complete all appropriate boxes as to dates,names,addresses, flood ;Main data, percolation test exemp-
6or), if appropriate;
10. I 'he information (such as flood Oain, elevation)does not apply, place N,A,in file appropriate box;
11. SiE;n the forru and place your curl ent address and your certification number;
12, Make legible copies and distribute as required- ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLE TiON.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Sapaiat(s and Textures Other Symbols
i;t - Stone gover 10") BR Bedrock
cols -- Cobble- (;3- iS,',) SS — Sandstone
gr- — G avel (under:3") LS -- Limestone
`s — Sand HGVV — High Groundwater
cs C r srsa 0'a it Pfcrc _. Pa°rolat'ion Raw
m, d s rvlf,dium Sar1d VV _._ ',A,cI!:
Building
fs -_ €� r;�n Sand C31cfg — csui[ding
Is L<a my Sar;<i 1,s -- Grt,ater Than
Sandy Loarn < — Less T hao
sil Silt Learn i�ill r,�.,�c
�rk
ssi Silt Gy .';;ay
c! Clay Loam Y ... yeliovv
scl — Slnnd j Clay Lus,mi R _- Dail
sirs Silty Clay Loans mot — M ott1e's
sc _. Sarni Clay
Y � o;/ v.itFE
Silty flay fff `vv, hna. faint
C — Clay cc; — cornnion,c,oatse
— Peat nIM — Mar;y, medium
d — distinct
p — prcaininerit
HWL — Nigh wafter level,
Six general soil textures surface water
for liquid vvaste disposal Blip Bench Mark
VRP — Vertical Reference, Point
TO THE OWNER:
This soil test report is the first step iii securing a sanitary prarmit. The county or the Department may request
ve ification of this soil test in the field prior to permit issuance. A completes set of plans for the private
4%vage systerrl and a perri-iii application must he submitted to the appropriate local authority in order to
rabtain a IWrrnit, The sank ary Permit nsust be obtaitsed and pasted prior to the start:of any cor7struction.
' SAFETY&BUILDINGS
DEPARTMENT OF REPORT ON SOIL BORINGS AND DIVISION
INDUSTRY, P.O. BOX 7969
LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707
HUMAN J3��TIONS
.� (H63.09(1)&Chapter 145.045)
�COUNTY:OCATION: , SECTION: TOWNSHIP/M QTY: LOT :BLK. 071511:0 SDI SION NAME:
'/a / N/R E (or)
OW 5 BU E(R-1'S AME: M I G ADDRESS: J
cJ DATES O SERVATIONS MADE
USE
NO.BEDRMS.: COMMERCI DESCRIPTION: (PROFILE DE SCRI TIONS: ER OLATION TESTS:
Residence ❑New Replace I �, „
RATING:S=Site suitable for system U=Site unsuitable for system
ms ENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTE -IN-FILCH LDING TAN :RECO MENDED YSTEM: optional)
DU [4s DU
[ZS �S [�U DS ®U
If Percolation Tests are NOT required DESI RATE: If any portion of the tested area is in the
under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH W, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B-
B-& 7, 3 B_
PERCOLATION TESTS
a
TEST DEPTH, WATER IN HOLE TEST TIME DROP N WATER LEVEL-INCHES RATE MINUTES
NUMBER INtttn AFTER SWELLING INTERVAL-MIN. PERIOD 9 PERT D 2 PERI PER PER INCH
P- l 3
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.
SYSTEM ELEVATION
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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.
NAM rin TESTS WERE COMPLETED ON:
ADDR S: CERTIF C TION N ER: PHONE NUMBER(optional):
CST N UR
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER
,&,a- /eo
J I
7`
PAGE OF
7f
CrUSS � `c � tOr� o C1� Sys
ysv--92? Fresh Air Inlets And Observation Pipe
/�Wjb �1�Approved vent Cap
,.n Sn Minimum 12"Above
�,Et( Final Grade
20-42"Above Pipe _4"Cost Iron
To Final Grade vent Pipe
Mossh Hay Or Synthetic Covering
Min 2"Aggregate
Over Pipe
Distribution —Tee
pipe —' 0 0 0 a 0
6"Aggregate o Perforated Pipe Below
Beneath Pipe
0 —Coupling Terminating At
Bottom Of SyUem
Pru pose
SOIL FILL
DISTRIBUT101'3 PIPE APPROVED g40PF-TIC COVER
O o N►ATERINI- OR 9" OF S?RAW
rOF AGGREGATE - c OR MARSH HAS
o
°00 1o'OF Z1/2 AGGREGATE
1CLEV. OF2 FEET
1
DISTRI?JTIOAI PIPE TO BE AT LEAST _ iUcHES BELOW ORIGIAIAL. GRADE
AIJU AT LEAST20 iUCHES BUT AIO MORE THAI) HZ IM114ES BELOW FIPJAL GP.ADE
MAXIMUM W N OF F-XCaVATIOP FKoM OKI INAL 6RAK WILL BE INCHES
MINIMUM ®5P TM OF EACAVATION fKOM 0iKIG1a4kL 6RAO€ WILL BE � INCHES
SIGAIEO:
LIGEIJSE AJUMBER:
DAT E : CC 1
110