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HomeMy WebLinkAbout012-1022-40-000 St. Croix County Planning and Zoning Thursday, September 07,2006 at 4:05.09 PM Detail Sanitary Information Page I of 1 Computer 012-1022-40-000 Sub/Plat: metes & bounds Section: 8 Parcel 08.30.17.119b Lot: TNIRNG: T30N R17W Municipality: Erin Prairie, Town of CSM: 114114: SW 114 SW 114 Owner: Sededund, Galen 1603 Cty. Rd. GG New Richmond, WI 54017 State Permit: 79159 Issued: 0512211986 POWTS Dispersal: Non-Pressurized In-ground Permit: Replacement County Permit: 0 Installed: 0512811986 POWTS Detail: Bed- Seepage Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuer/inspector As Built Plumber Other Requirements Additional Notes Money Owed Harold Barber Yes Powers, Calvin data from notecard only $0.00 Tom Nelson Signed Off: No Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 512812005 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SEDERLUND GALEN ~ SW SW, Sectiot-_$ Rt. Box 41_ T3 =R17W New Richmond, WI_ 54017 Town of-Erin- Prairie San.Permit#79159 5-22-86 C. Powers Conventional, REp cement NSTALLED - 5-28-86 • 'Parcel 012-1022-40-000 09/07/2006 03:36 PM PAGE I OF 1 Alt. Parcel 08.30.17.119B 012 - TOWN OF ERIN PRAIRIE Current )Xj ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - CURTIS, DALLAS E DALLAS E CURTIS C - PEITE, KATHY J KATHY J PEITE 1603 CTY RD GG NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1603 CTY RD GG SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.990 Plat: N/A-NOT AVAILABLE SEC 08 T30N R1 7W 1.99 AC PARCEL IN SW SW Block/Condo Bldg: S 269 FT OF W 321.74 FT 9 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) c . &W v n 08-30N-17W SW SW 73' (Its Notes: Parcel History: p~ L) Date Doc # Vol/Page Type / ~°yy-1 r 3 tr l y -73 08/26/2004 772637 2644/046 WD Vl / 06/28/2000 625524 1522/343 WD L t` 11/03/1999 613217 1468/190 WD 7 7 07/23/1997 980/61D 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/0712005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.990 29,900 111,300 141,200 NO Totals for 2006: General Property 1.990 29,900 111,300 141,200 Woodland 0.000 0 0 Totals for 2005: General Property 1.990 29,900 111,300 141,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 519 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. _ T~M N-R,~Z-W ADDRESS ST. CROIX COUNTY, WISCONSIN T SUBDIVISION X .14 LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IL.HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i Ion 9q' a' r ~ z INDICATE NORTH -ARRO BENCHMARK: Describe the vertical reference point used /A Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: za- Number of feet from nearest Road: (Q~ _ Qy '~O Front ,O Side Rear, V -LLf feet From nearest property line Front ,O Side,O Rear,@ feet Number of feet from: well = building: j~ (Include this information of the above - Plot plan)( 2 reference dimensions to septic tank) r - PUMP CHAMBER Manufacturer: C9 Liquid Capacity ?vA Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: ,rte Bottom of tank elevation: &,%!Z Pump off switch elevation: 8fa 7 Gallons per cycle: J3 Z Alarm Manufacturer: ~C, 5 Alarm Switch Type: i 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 a Leng kh: Number of Lines: Area Built:,& ~ Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side ide, Rear, it Number of feet from well: I-Z~ 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: a 477 Inspector: e , Dated : Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS SAFETY & BUILDINGS P.O. BOX 79,69 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING 7f~7CONVENTIONAL DALTERNATIVE n7:71 Holding Tank ❑ In-Ground Pressure Mound ❑ NAME OF PERMIT HOLDER: El Galen SederlUrid ADDRESS OF PERMIT HOLDER T'7 Rt . 1, Box 41, New Richmond, I INSPECTION DATE: /Y] BENCH T~7M]A'RK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN 5 ~ 4 P -Q 6 r ` SW's SWk, Section 81 T30N-R17W, Town of Erin Prairie REF. PT. ELEV.: CST REF. PT. ELEV Name of Plumber MP/MPRSW No.. County: Cal Powers, Jr. Samtarv Permit Number: 1563 St. Croix 79159 SEPTIC TANK/HOLDING TANK: MANUFACTURER: P LIOUID CAPACITY TANK INLET ELEV TANK ~LEV WARNING LABEL LOCKING COVER V PROVIDEDPROVIDED: BEDDING: VENTDIA.VENTMATt HIGH VYES ONO DYES NO ALARM NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH OYES NO L r I FEET FROM LINJ~ AIR INLET: DYES ONO NEAREST DOSING CHAMBER: MA FACTURER. BEDDING: LIOUIO CAPACI TY Pt1MP M()12EL PUMP; IPHON MANUF CTDHEH t\ ~n~ WARNING LABEL LOCKING COVER DYES NO PROVIDED. P OVI ED: GALLONS PER CYCLE: PUMP AND corvrRO s oPERgnoNAL YES ONO ES ONO (DIFFERENCE BETWEEN NUMBER OF PHOPERTV WELL BUILD NG VENT TO FRESH PUMP ON AND OFF) J FEET FROM LINE /7 l AIR INLET SOIL ABSORPTION SYSTEM. Check the soil moisture at the dep~h of plowinO NO NEAREST or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE DInMF rER MATE HIAL AND MARKING the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH N01 UISTR PIPE SPACING COVER DIMENSIONS THE NCrHFS MMf HIA L: PIT INSIDE UTA st PI TS DEPTH + \ DEPTH: I- LL UC i. FILL DEPTH DISTH. PIP S' BELOWPIPES ~ ABOV COVER E EV IN f f DLSTH F~ NPE DISTR. PIPE MA 7ERIAL NO DI ~j.t NUMBER OF PROPERTY WELL BUILDING: V NT TO FRESH ~ I 2 7 J G PIPES,t FEET FROM AIR INL ~ NEAREST--.~. MOUND SYSTEM LINE. : Mound site plowed perpendicular to slope and furrows thrown e upslope: rpe Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES O NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PEHMANI NT MARKFHS OBSERVATION WELLS DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED 'DYES ONO DYES ONO CENTER EDGES. DEPTH OF TOPSOIL SODDED SEE O1"F'-] MULCHED DYES. ONO YE S ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO. OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE TRENCHES. FILL DEPTH ABOVE COVER. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH DISTR. PIPE UISTHIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV.: ELEV.. DIA. ELEV. PIPES DIA: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT Lv COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS COMMENTS. DYES ONO _ DYES ONO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF I LINE: TV WELL: BUILDING: FEET FROM LINE: YES ONO DYES ONO NEAREST- Sketch System on Reverse Side. Retain in county file for audit. SIGNATURE. TITLE: DILHR SBD 6710 (R. 01/82) ®rr. wisconsin APPLICATION FOR SANITARY PERMIT ILHR OUNTY -•OE(PLB 67) InoUSTiW,LgBOq 6MUTgn gELFTIOnS UNIFORM SANITARY PERMIT # il9/S9 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PRO RTY OWNER MAI NG ADDRESS PROPERTY LOCATIO 'C +T-Y: V-;_: 1/ 1/4, S , , N, R (or TOWN OF: LOT N MBER BLOC NUMBER SUBDI ISIO NAME NEARES ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED 91 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): e/ 1,4 THIS PERMIT IS FOR A: ❑ New System fZ Tank Replacement ❑ Repair X Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Dd Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity O , Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): WATER SUPPLY: Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of ivate sewage system shown on the attached plans. Na f P umber (P"): Sign u MP/MPRSW No.: Phone Number: Plumb 's Address: Name of Desig r: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ❑ Owner Given initial A&Qv a 7 Approved Adverse Determination Reason for a rov Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. APPLICATION FOR SANITARY PERMIT 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 Location of Property _3y Section T-dk2-N-R 17 W Township s it^; Mailing Address Address of Site Subdivision Name Lot Number Previous Owner of Property -z.annzs- aY,,J arA Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes Is this property being developed for resale (spec house) ? Yes i~ No Volume and Page Number __I 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) eenti6y that att 6tatement6 on this 6onm aAe,.thue to the bet-t a my ) knowtedge; that 1 (we) am (ahe) the owneh(d) o6 the pnopehty desehibed "n this .in6onmation 6onm, by vi tue o6 a wahAanty deed neeonded in the 066ice o6 the County RegiAteA o6 Deeds a6 Document Na. ; and that I (We) pneaenzty own the pnopoded 4ite bon the ,sewage dispod .sys em (on I (we) have obtained an easement, to nun with the above de.6ct bed pnopeAty, Got the constcue.#,i,on o6 baid eyatem, and the same had been duty seconded in the 046iee o6 the County Regi6ten o6 Deeds, Document o. SIGNATURE OF OWNER SIGNATURE 0 CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED H z Cn H STC - 105 r r • a SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County zz d 9 OWNER/BUYER f--IU n ROUTE/BOX NUMBER Zf / I~Ok Fire Number CITY/STATE- ~/°_cv / i hn7 ~c~~ (,cJi SG> > ZIP J` ` 6 7 PROPERTY LOCATION:,, ,Ca7 ~L, Section___(~'TN, R~7 W, ` Town of E,-I.; St. Croix County, Subdivision Lot numbe 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, ti 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 three year expiration. H 0 I/WE, the undersigned, have read the above requirements and agree W z to maintain the private sewage disposal system in accordance with x 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 within 30 days of the three year expiration date. SIGNED DATE_~D St. Croix County Zoning Office P. 0. ' Box '981k' Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. SANITARY PERMIT ~-DILHR County ~.,a„GROUNDWATER SURCHARGE NA 0"' Sanitary Permit No. 99/59 On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com- monly 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 can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. 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- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. Ground ttt+er - Signature of leauin Ag 11 C Groundwater Fee: Date: WISco in'sr 7,7-;W buried irt~uiure DILNa SBD-7 0 J DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY„ DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS 1 / MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNS HIP/Mb'NtCTP'RM1TY: LOT NO.: BLK. O.: SUBDIV ON NAME: 1v 1/a /T N/Ri !r (o COUNTY: OWN S BUYER'S NAME: AILING-ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS: COMMERC AL DESCRIPTION: PROFI E DES RIPTIONS: E LA I N TESTS: ®Residence ? ❑New Replace ACI RATING: S= Site suitable for systeWN = Site unsuitable for system ONVENTIONAL: MOUND =GROUND-PR=ESSURE: SYSTEM-I -FILLHOLDIN A : REC MMEN s E❑s~u ❑s u [lf Pe rcolation Tests are NOT required DESIGN ATE: If an y portion of the tested area is in the der s.H63.09(51(b1, indicate: Floodplain, indicate Floodplain elevation: A /A10 PROFILE DESCRIPTIONS BORING TAL DEPTH TO GRMEST.IGHEST CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH W. ELEVATION OBSERVETO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) Q_ B- B s - 9- B- B_ PERCOLATION TESTS TEST NUMBER DElA16HeS FTERSWELOLING INTERVAL-MIN. MIN. DROP IN WATER LEVEL-INCHES RATE MINUTES PERIOD 1 PERIO 2 P R PER INCH P- I P- ~s. 13.4 4150 P- >J f P P_ LP- 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 9S 9 i a TT E r- `.s T__ /Ge ( I i _ - E f y 4 0 i ' 01 I J I, the undersigned, hereby certify that the soil tests reported on this form were made by me in a d Ah4e'ke)dd91!9,d 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 int TESTS WERE COMPLETED ON: ADD ~ DLL (O CERTIFICATION NUMBER: PHONE NUMBER (optional): C T GN TURE (DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. '0I1-HR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. 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; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current 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 COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10'") BR - Bedrock cob - Cobble (3 - 10") SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - High Groundwater cs - Coarse Sand Perc - Percolation Rate med s - Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loamy Sand - Greater Than sl - Sandy Loam < - Less Than *i - Loam Bn - Brown *sil - Silt Loam BI - Black si Silt Gy - Gray *cl - Clay Loam Y Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay wl - with sic - Silty Clay fff - few, fine, faint *c Clay cc - common, coarse pt Peat rnm - Many, medium m - Muck d - distinct p - prominent HWL - Nigh water level, Six general soil textures surface water for liquid waste disposal BM - Bench Mark VRP - Vertical Reference Point TO THE OWNER. This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a perrnit. The sanitary permit must be obtained and posted prior to the start of any construction. - Model 3870 Submersible Effluent Pumps 140 1 120 7LA S i 3100 0 0 80 v I 1yp u 7S E O ~Yp A ` 0 60 70 7 hl IYp J -40 wp 05 ' ' S~ NL--- WP 03, Y3 H P. 20 Zz:~ 0 20 40 60 Capadty - Gallons PerMlnutr 100 120 r l H.P. Order No. Volt Phi" <1PM ioNda (Ipo WP0311 E ~n WPM0311E 115 9.4 WP0312E 1750 56 WPM03/2E 230 10 4.7 :•w WPHO$11E 115 WPF10512E 230 6.0 WPM0532E 206/230 3.4 60 30 WPH0534E 160 1.7 WPH0712E 230 10 911 ii WPH0732E 2081230 5.4 30 WPH0734E 460 2.7 WPM012E 230 10 11.6 70• 3450 1 WPH1032E 208/230 6.4 30 WPH1034E 460 32 - WPH1512E LOU 10 13.3 Y- WPH1532E 206/230 92 30 WPH1534E 160 4.6 1K 60 WPHH1512E 230 10 13.3 A j WPHH1532E 208/230 30 92 l l ICJ WPHH1534E 48p 1.6 SPECIFICATIONS ARE SUBJECT TO CHAN<;E WITHOUT NOTICE 3 ~,~C~J~1 u✓);o PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE -frT 7 WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH 12"MIU. AIR INTAKE I GRADE I --T I y"MIN. 1®" MI IJ. COAJDUIT IeMMw. ~ V:T I&JI-E T PROVIDE I % AIRTIGHT SEAL I I ( ----f I I APPROVED JOINT A W/C.2. PIPf. APPROVED JOINTS EXTENOINt. 3' I III EXTEUOlNG 3' ONTO 501.10 SGt;, ALARM B I I ONTO SOLID SOIL I I C I oN I I I oil PUMP ' OFF D H CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC AND SPECIFICATIONS QDSE rAWKS MAWUFACTURER: ~J"rs~)F NUMBER OF DOSES' PER pAy TANK SIZE : GALLOWS DOSE VOLUME ALARM MANUFACTURER: INCLUV!~:C, ZAC4RLOW: GALLONS MODEL NUMBER: CAPACITIES: A_ INCNES OR GALLONS SWITCH TUPC: PUMP MANUFACT LIKE R: B= INCHES OR GALLONS C=__~[__-I'll HES OR 13 7 GALLONS MODEL NUMBER: d D -,L--INCHES OR __Ll-_ GALLONS SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE PUMP DISCHAR(.E RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BEEN PUMP OFF AND DISTRIBUTION PIPE.. -L-- FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . 2.5 FEET ♦ FEET OF FORCE MAIN X --FY0 fT.FRICTION FACTOR- FEET ' lit _ TOTAL DYNAMIC. HEAD = FEET INTERNAL. WMEWSIoMrs OF TANK: LENGTH ~6• ,WIDTH --ALO// ;LIQUID DEPTH SIGNED:,.--, LICEMSE WUMBER: A~I.3 -117- DAT E:x-~..~ s ~~UD >a 9y, f ay, ~ ~6~ wiz ar _ kx f~9 r 86' /0G 33 ~ ~ r, PAGE OF CroSS Seejlun o~ A Zco SYst•er" ~ 64Z/ sL / Fresh Air Inlels And Observation Pipe A4u 4Vo~,o Approved Wnt Cap 7 Minimum 12' Above Final Grads E 20 - 42' Above Pips _ 4' Cwt Iron I To Final Grode font Pips Marsh Hay Of vering regate OlstP0 0 - Teo ls Perforated Pips Below ps Covpliag Termi nating At Bottom Of System i i PropoStD Tlnkl 9rad4. lip- ~I~v•.~ ton ~~~CA~. t- SOIL FILL DISTRIBUTIOA] PIPE APPROVED $ijM E-TIC COVER 'MATERIM- OR 9" OF STRAW 2"oFAGGREGAIB--~ oR1hARSN NAy tLEV. OFF, FEET, OF %2 -2i/2 AGGREGATE ° -4- DISTRIBiUTIOW PIPE TO BE AT LEAST 20 INCHES BELOW ORIGIUAL GRADE AMU AT LEASTZ0 INCHES BUT MO MORE THAM H2 FICHES BELOW FINAL GRADE MAXMM DEPTH OF EXCAVAT160 FROM OPWMAI WK. WILL BE INCHES MINIMUM MM11 OF EACAvATI®N FRoM OkI(AW4L 694PE WILL BE INCHES l T SI&MED : d 'O + LIGEUSE DUMBER: DATE: ~~0