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HomeMy WebLinkAbout040-1128-60-000 o tnO c 0!, 3w o d ~/1 c7 to o 5, f (D 3 ~,1• 0 C I 3 CD n M m V~ m 3 3 3" O 3 rr 3 f I z ° 00 m Z 3 z ° <'PZ o ai o ° c~D m I c' 3 N 00 0 (D m a m y rn o l a Z c y 0CA CD o m N p CD o QI °Q0 o m w o CD 5D I o coo D C) r. :3 ca CD c ° p tr CD n y o l 3 to (D c N rn w c co y co fir CD co I cn D 0 4( i C CO U) Z D CD ° o vD R. a m l m O W ° a `a o W a Q N cc N 3 a m CD c 0 S a 3 I 3 O w N O O` O o oo I i O cn r N m I > m Z w w O CA 00 00 CA 0 C 00 :3 o to o ° 0) 0) n 3 70 0. • p C~ -i -1 T =i M. c N N c N o c ca can ai - 3 co) rn N m w 0 Cr p O N a, rn I 01 CAD U) 90 Q m o y o~` m in m m m o t c'o = I ° d W a, c i1 (D U D CD 3 a (D m o N I y co N N to M O z co Z 0 D CD D D o Q D D o O lv~ 0 a m ° ? m CD m CD c CD CD c I = I m m 3 ° CD -I N A z cD co CD z o c A N p z 0 rn v n G.) I I Z w W W to 1 - Z W c a 3 a ° 3 ° 3 0 " 3 rn I ~ m m 3 m wv D 3 m oD m iv n c o a a m a ~ o O 7 7 T I n n N N C X d C fD 7 y. a Z 6 z a 35 z a 0- X O O o y O to CCDD CDN CL CD --'f O to cn 3 n CD cc, 0 0 C N A. S j co N C, A : _ m 3 e I n' 00 00 C, C N n 0 CD 7 I (D 7> N t C -'~o 0 n 005 atDO D w o O N sy 'c o a 00 w~ BCD o (o 0 00 j3 00 0 3 0 ON = CD o ro tv o C=D do ° CD N cs,0 I o0 I o0 ~ b a Form -STC - 104 / AS BUILT SANITARY SYSTEM REPORT OWNER ab 1/0 TOWNSHIP /v Oy SEC. T N-R W ADDRESS S4~ f7 ST. CROIX COUNTY, WISCONSIN SUBDIVISION - LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM L- .2D . = IN ~ I Pr ~ ~'~•/EVATiov /l3 Tv ~ i 75 4 ~ufr'rs ` Fo7TOM o; 'ti .411 3 TREAkk rs Me >kl rovtkL ' y;~5 y (ki5 fwok ,5~ caE.dkf' Tips o f F~Rsr 5d All 3 DiSIR13. R'1 ~ 1,A) = Rock 51 ~~fr f 13C4L:4 tG~ 6- i5tia \ ► 3 R Q ~Y~ ~ l~o~rE- -ror,4,_ -of 2q fT /d! S UG~7G l~ ~jAD ST /M01' 5C tiD• y~ Sc~D fo c/r,,A/ OJT INDICATE NORTH ARROW T3 tot.~ f~W~ R 7-0/ of T1:44jdLrOVE BENCHMARK: Describe the vertical reference point used 7✓r 7 ~ Elevation of vertical reference point: Proposed slope at site: 3 9O 601t~5 Cove • SEPTIC TANK: Manufacturer: wEwi(ti,,coyy Liquid Capacity: 2, w, r • 9~ Number of rings used: 1~10ww' Tank manhole cover elevation: Tank Inlet Elevation: ~6 ~ ' Tank Outlet Elevation: Number of feet from nearest Road: Front, Side feet ,O Rear, O From nearest property line Front,©Side,ORear,0 ~0 v feet / / Number of feet from: well building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid acity: Pump Model: Pump/Sip Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch eleva on: Gallons per cycle: Alarm Manufact r: Alarm Switch Type: Number of eet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM X ~ 3 l lt~ES _ ~1f GG~ S ;3~ R' _ R~_ B Bed: Trench: Width: ✓ Length: ✓ Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, ® Side, O Rear,O Pt.2 7 Number of feet from well: (?0 ~Z Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: tom of seepage pit elevation: Area Built: Has either a drop or distribution box b used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings us Elevation of bottom of tank: Elevation o nlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: ~.J Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: ~ ~ Inspector: ~u" 'o Plumber on job: Dated: . License Number: HOMESITE SEPTIC PLUMBING 00. RT. 30'NEIL RD.: HUDSON, WIS. 54016 ROBERT ULBR!CH4 WIS. MASTER PLUMBER Li'C. NO. 3307 M.P.R.S. 3/84:mj MINN. INSTALLER & DESIGNER LIC. NO. 00663 SANITARY PERMIT APPLICATION COUNTY u HI..HR In accord with ILHR 83.05, Wis. Adm. Code S T STATE SANITARY ERMIT # go? ....Qt}g~rmm~lnfn tlI^ #L+e ..+F.. wm.~ -1-1 fnr-#6- r......e......a 1...... ar......~.. DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS A'BOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION .O. BOX :969 BUREAU OF PLUMBING NADISOItt, WI 53707 CONVENTIONAL ❑ALTERNATIVE State Plan 1. D. Ntvrnt.,__'~~ (11 ss„pnMl ❑ Holding Tank O In-Ground Pressure O Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECT N U TE Geor e Nelson Rt. 5 Box 197, River Falls WI 54022 ,BENCH MARK (Permanent reference po,m) DESCRIBE IF DIFFERENT FROM PLAN RE PT. EV.~ CST HEF PT. ELEV NW SW Section 34, T28N-R19W Town of Troy Nam. of Plurntwr. MP/MPRSW No.. County Sanitary Permit Numt- Robert Ulbricht 3307 St. Croix 88388 >EPTIC TANK/HOLDING TANK: , MANUFACTURER LI UID CAPAC V TANK INLET ELEV. TANK OUTLET ELE V WARNINI; LABEI LOCKING COVER PROVIDED PROVIDED ®Q (p' 7 YES ❑NO ❑YES DNO 'BEDDING VENT DIA. VENT MATL. 1"-(;14 WATER NUMBER OF ROAD. PROPER TV WELL BUILDING VENT YES" ALARM FEET FROM LINE AIH IN! XYES ONO ❑YES ❑NO NEAREST / vt L V DOSING CHAMBER: MANUFACTURER JBEDDING LIQUID CAPACITY 1PUMP"01111- 1'..P SIPHON MANUI AC TDItEH WARNING LABEL LOCKING COVER PROVIDED PROVIDE. ❑YES ONO OYES LINO ❑YES LINO GALLONS PER CYCLE: T7ND CONTROLS OPERATIONAL. NUMBER OF PHnPI HIY 1V1 L1 1111,11 DIN(: vE NT TO To iii SD 'i(DIFFERENCE BETWEEN FEET FROM LINE Atli INI I PUMP ON AND OFF) ❑YES ONO NEAREST-0, SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing It E N0111 JOIAMI 11 II J%IAI1 HIAI AND MARKINI, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue) MAIN CONVENTIONAL SYSTEM: & ell WIDTH LENGTH NO Of UISTR PIPE SPACING COV R INSII rI 171A sv~ls UUDID BED/TRENCH ~y THEN' FS N1h##/MAU~ PIT Dtrnt DIMENSIONS V "f L> (Q (MAY LDF H FILL UEPTII IrlSlll rll'f UISTR PIPE DISTR.1 . MATERIAL NO 7T NUMBER OF PH(7PEHlY ~WELI. BUILDING VFNT 1/)flll•;11 1111 LOW PIPES ABOVE C VkH I 1 f V IN f 1 ELE V EN PIP LINF AIH INLE T ' y~f FEET FROM 7 NEAREST-.~1 ';'2 WOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it . ON REVERSE SIDE. SHOW ELEVA- ❑ YES ❑ meets the criteria for medium sand. TIONS MEASURED. NO SOIL COVER T1-x10Ht PFHKIANI NI MAHKI FES o1iSI IIVAIIoN Wl l l ti ❑YES ONO OYES LINO DtPO/OVFH THENCH Bfo DEPTH OVf H IHLNCH BEO OF VIN OF TOPSOIL SOD Of 1) ~tf OFI I Mul ( : nI U CFNIEN EUGES ❑ YES ONO OYES ❑NO ❑YES C_]NO (PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH Li NGTH TRENCHES LAIEHAL SPACING JIIAVCL Df PTH ITT LOW P119 I It L Of P111 AI4OVF COVI H DIMENSIONS MANIFOI.U PUMP MANY 01 1) UISTR PIPE MANN (ILU MATE HIAI No 7 OISIH__I:ISIH PIPE OISTIfIHO11ONPB-I NAIIHIAI ANIAHKIN(, ELEVATION AND ELEV ELEV DIA ELEV. I'IPfti DIA DISTRIBUTION INFORMATION //OLE SIZE HOLE SPACING DIULLLD Colittl (II Y COVfH MATERIAL VE IIOCAI 1 11 1 C014FSPOND5 TO APPFtUVI I) Pt nNs ❑YES ❑NO OYES ONO - UMBER OF PROPERTY WELL BUILDING COMMENTS: PERMANENT MARKER OBSERVATION WELLS tNEARES EET FROM LINE ❑YES ❑NO ❑YES ONO T Sketch System on Retain in county fife for audit. Reverse Side. SIG AT R TITLE DILHR SBD 6710 (R. 01182) R 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; All revisions to this permit must be approved by the - er^:;_ v a=.;tha ' , now ;5 :mit may ben if there is a change in your building plans, system locat'snn, ti^ ater wastewater flow (number L-`, bed- rooms, etc.), depth of system, or type of syst ern; kaiY PrrrY nyft r'%Y Ic 3tFk'.^I s t. r+ Jrte! rF } -ship ( i'itlbF r re. UIi o7 in i wrr...., Jr' 1 " ~1_i I 6 Say i, i submitted to the county prier to installafion; ,,ovate :1 'V4o c s,o rr"is ri'iu6 bi-: ptuptt_y rn intairied. i+ f r it:: ci, $J Jiuuld V j:i:aimpl _d z ~l ar'i, u Z., f installed`: 'vr c? ar,/ d' l rt,,;i,. _ : l: „l:f e9 ...,'C t+' •V- of Lisa e"? 10 re,it ana ',,,pr' ? cFS~i it in rismber o bedrooms if building is a rune. or two family dweFini; il. Purpose of application: Check, only one in #1, Complete #2 it permit is for tank replacement, reconnection or ; repair; ;r. 'ype of system: hecit all appropr -iate boxes ,?epending on system type. Check experimental only if project is in conjunction with University of Wisconsir; V Absorption system information: Provide all information requested in #1-6; V. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be instaliec, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHF; VlS. Responsibility statement; Installing piumber is to fill in name, license number witl•, app✓op°iate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; Viii. Boil test information. Certified soli tester's name, certification number, address, and phone number, lX. County/Department Use Only; ornmem area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'< x 11 ;;riches must be submitted tc the ~ ty. hE; 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 fakes; dosing or pumping chambers; distribution boxes, soil absorption systems:, replacement system areas; and the location cf the buildin,, served; B) horizontal and vertical elevation refe-ence points; complete specifications for pumps and controis; dose volume; elevation differences; friction loss; pump performance curve; ;rump model and pump manufacturer; D) cross section of the soil abs•rarption system if required by the county; E.) soil test data on a 115 form. GROUNDWATER SURCHARGE i ds i i 'au" 1gn4, i983, Wisconsin Am 'iu vas signad a'ilai law. Thiv IeG,~,d ,7r1 0. r j' " = k,)-,)w- he. grc ndv ._,t ct on law This change in ~-tatuter w2: vE•_ yea o; stew hu _g atic > and pubi r: debate. Trr- gioisndwater - tG<f: ~F `'",r! ~,ya^ T'lf' aF Pft( ss net, ° 1~ t t_ ^tllr gr ,'nc' ;i L .an 1` cyst'^-i or the dispos:ai site use" oy ,yt)ur hold rl lG 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/contractpr,("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 PropertySection / T 1-0 N- R~ W Township Mailing Address f-- I Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel Cj . Date Parcel was Created Are all corners and lot lines identifiable? . Yes No Is this property being developed for resale (spec house) ? Yee No 3 Volume 0 2 and Page Number 32,0 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3.• Other recordings filed with the Register of Deeds Office 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 the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) ee4ti6y that att etatemente on this 6onm ane true to the best o6 my (oult) hnowtedge; that r (we) am (one) the owneh(a) o6 the ptopenty de cAibed in th.id in6o4mati.on 6onm, by viAtue o6 a wauanty deed eeLdded in the 066ice o6 the County Reg.ceteA o6 Deedb ab Document No. 30 and that r (we) p4aentty own the pn.opoded A to bon the eewage poe 6y4tem (on I (we) have obtained an easement, to hun with the above debehibed pkopenty, bon the constn.u . n o6 6ai.d system, and the eame has been duty neconded in the 066iee °6 the ° 06 Deeds, as Document No. SIG OF 0 R SIGNATURE OF CO-OWNER (IF APPLICABLE) ) DATE SIG ED DATE SIGNED H ~ z En H ' a STC - 105 r r a SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z Cl r a OWNER/BUYER ROUTE/BOX NUMBER Fire Number .CITY/STATE 21Vim. /rl~S WAS ZIP PROPERTY LOCATION: ;,Shy k, Section T 2- N, R ! W, Town of r 1_O St. Croix County, Subdivision , LOT- numb 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 three year expiration. y 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- It 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 DATE r St. Croix County Zoning Office P.0 Box 9&, Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT Ft ' REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 707 HUMAN RELATIONS MADISON, WI 537969 3707 (H63.090) & Chapter 145.045) LOCATION: SECT ON=. TOWNS HIP/T0t7MTCTPA-My: LOT NO.: BLK. NO.DIVISION NAME: tiu> y 3~ /TAf N/R ~ E ( ► W 1, roy COUNTY: OWNER'S :SUB S ~AME: MAILING ADDRESS: 57 6401X &0 . ,ve /so.. s go x If 7 ryp Z USE 11.r 401v NO. BEDRMS : COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE L Residence 3 ❑New Replace PROFILE DESCRIPTIONS: ER OLATION TESTS: RATING: S= Site suitable for system U= Site unsuitable for system eQUW-y &W F- ✓ -k6 401 7-C-.C,0,61,tQ4J CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANT~~ ENDED SYSTEM: (optional) ®s ou NS au ; as ou JE] s au o s au ~ s - .~A"Ac o -102P ~tx~ ~ zE' s w it/ sT.eVc7UdP&, If Percolation Tests are NOT required DESIGN RATE under s.H63.09(51(b1, indicate: GL f EFdplain, portion of the tested area is in theindicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 9C,7 1%7 ~,f' 11 y.,r. , /,o ' .J I% ~c~ ' ~.P. v,,/ y .P~t s/ widen u~x ~v, °,Pniv Y J~'+u,vs / 2_~ C ~•M+OS /li~E ~ ~db0 t y- ,S " L o.J b ~ B- 2- 9 0' 76 -P/c,// )4j- 9 Q /.0' l = ,Big J' S -y Ji -5 AV - B- OR ISN • S w 101-_ 6R . WEST ,r/;A ,c ~/IND G sib MD~lG6D (~•p fr B-3 0' 9 S/.,(! S'i . 6- 'W'~,o . GJp! f1-1 s 67 L W O ' C7 Al • f' W.e [ t, - .6 ' f,04D 93010 lh~ cue . Wlee, .vANy B w,DE i8 44-11P5 ('0W IOOlF $p. S•, E::T PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. RATE MINUTES PERIOD 1 PERIOD2 PERIO PER INCH Jr- P- i P_ y 3. a PA0 __z P- 2 Z 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 93. O iT • E k) se, 70, 7 ~7 3 Z f4 t • E i - _ , 3 i 131 0~' .e.... Q._._ .v.. i -~.L~ 31QI 3 3 z 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. NAME (print): OME1E SEPTIC PLURINGCQ TESTS WERE COMPLETED ON- ADDRESS: 54019 9- < MCP ROBERT ULBRIGH4 CERTIFICATION NUMBER: PHONE NUMBE (optional): R LIC. NO. 3307 M.P.6 M NN,. iNSIALLER & DESIGN CST SIGNATUR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - FOR ALL ko x; IE l gal - € q _ Ia. i T -I REPORT ON SOIL BORINGS & PERCOLATION TESTS 115 U1' 1L Project I . D . Ppyva--e. r L CG ::TtD HOMESIFE SEPTIC PLUMBING m AT. i VNEIL RD., HUDSON: v4& Spy ROBERT ULBRICHT • = Ba c kh o e T' i t s WIS. MASTER PLUMBER LIC. N0.3307 KPItJ Perc Locations MINN. 4NSIAUER i DESIGNER LIC. W. No X = Q = 'existing Well C.S.T. 2482 Vertical Reference Point 1-4 -01 7y^7 E.'_evation of Vertical Reference Point r7" -Lot Line N SCALE: ' ZO 133 6401 X 3 l~~iv~ 'P i3 9o aZ 6a pw)gl d4 t~ ti y 3P~'M . i G - - _ B3 Ems` 7ip~'ucG` op~'~ .8 F-1 60A, V 10 c~h5 Oa WA# Ph7 y,,~ F Tpp 75 /00. /00 SN1tLQ ^Q 1 Fx.snaG- '8'~~°M~ C I ~v Fresh Air Inlets And Observation Pipe ~ h 0 fo/Z Approved Vent Cap pb.Ur(c4- Minimum 12" Above 3 F i n a l Grade Y_ o aF V2, Above Pipe - 4" Cost Iron To Final Grade Vent Pipe Synthetic Covering Min. 2It Aggregate Over Pipe Distribution Tee Pipe 0 0 0 0 0 (I° Aggregate o Perforated Pipe Below Beneath Pipe o Coupling Terminating At Bottom Of System DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS SAFETY & BUILDINGS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING ❑ CONVENTIONAL YA LTE R NATI V E stele Plan LD, Holding Tank D In-Ground Pressure (l00 Mound 86007NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDEq: INSPECTION DATE'. Gpo o Rt. S, Box 197, River Falls, WI BENCH MA ,1`4 n reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PL ELEV. CST qEF. PT. ELEV NW SW, Section 34, T28N-R19W, Town of Troy -1 -1 Plumber: MP/MPRSW No County Sanitary Permit Number: Robert Ulbricht 3307 St. Croix 79166 SEPTIC TANK/HOLDING TANK: MANUFACTURER'. _ LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PRf( OVIDED. PROVIDED: BEDDING: VENT DIA.: VENT MAT[ HIGH WATER - 0YES ONO DYES ONO -TF ALARM NUMBER OF ROAD: PROPS HTV WELL. BUILDING: VENT TO FRESH FEET FROM L . I AIR INLET'. DYES ONO DYES ONO NEAREST _ DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACI TV PUMP MODEL PUMP ; SIPHON MANUF AC iUHER WARNING LABEL LOCKING COVER DYES ONO PROVIDED' PROVIDED: GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL DYES ONO DYES ONO (DIFFERENCE BETWEEN NUMBER OF PROPE IIrv WELL BUILDING VENT TO FRESH FEET FROM LINE AIR INLET: PUMP ON AND OFF) DYES ❑NO_ NEAREST-0. SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing H 'I ME TE R MATEHIAE AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF DISTH PIPE SPACIN(I COVER a- TRENCHES MATERIAL: NSIDE DIA pt i5 LIQUID DIMENSIONS- PIT DEPTH .4VEL DEPTH FILL DEPTH DISTR. PIPF UISTR PIPE DISTR. PIPF. MATERIAL NO DISTH BELOW PIPES -N' ABOVECOVER EIEV. INLFf ELEV END FEET NUMBER PROPERTY WELL. BUILDING'. VENT TO FRESH pIPES FEET FROM LINE. AIR INLET NEAREST--------%- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES O NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PFHMANF N7 MAHKF HS OBSERVATION WELLS DEPTH OVER TRENCH BED DEPTH OVER TRENCH RED - DYES ONO DYES ONO CENTER I)EP iH OE 7/)PSOIL SOODFI7 [EllFD EDGES JMULCHED DYES. ONO DYES DNO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH 'vIOTH. LENGTH NO. OF LATERAL SPAcI NG GRAVEL DEPTH HE LOW PIPE TRENCHES'. FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH DISTH. PIPE UISTHIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV DIA ELEV PIPES DA DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT LV COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS OYES NO DYES ONO COMMENTS: PERMANENT MARKERS: OBS ER VATI ON ELLS' NUMBER OF ~JPRLL w OP FEET FROM INE. DYES ONO DYES ❑NO_ NEAREST Sketch System on Retain in county file for audit. Reverse Side. STITLE. DILHR SBD 6710 (R. 01/82) NELSON, GEORGE S ~iS NW SW, Section 34 Rt. 5, Box 197 T28N-R19W, 5 ~7/¢ River Falls, WI 54022 Town of Troy -San.Permit#88388 9-30-86 R. Ulbricht Conventional,Replacement INSTALLED - 11-10-86 NELSON, GEORGE NW SW, Section 34 Rt. 5, Box 197 T28N-R19W River Falls, WI 54022 Town of Troy San.Permit#79166 5-28-86 R. Ulbricht Mound, Replacement { viOUiI'D SYS` FOR. A 3 BEDRCC:`,1 RESIJENCE LOCATED IN THE Nw'/Y OF THE SW )Icy OF SECTION 3y , T ZIS N, 4-1-91,11 TCTAIN OF 'rR.yY , sT• c.ROtx COUNTY, TN_lSCGNSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE E of 6 PUMP PERFORMANCE CURVE PREPARED FOR RECENF-D GE©C2GE G, ~ClsoN - ~ ~~~6 . 5 8Q~x 19-1 ov- % TR 1V ~=A Lt-S, w ► sWI~zz pLU E14 a EUREAU 8600744 PREPARED BY 0 O~QP~~~ GO BOX 74R, '4 2 r"1. MAIN STREET , posc o/v RIVE FALLS, ':vI "1.01,1 SI i 54022 a ,r• ARTHUR L. i W D-9150 P ELIS. P FlTH, ~ i WIS. S Tole SIGI POO ioc 86_06_ PLOT PLAN Scale 1"=/-/ p' N T~ = ti r 7TZUP ~TZ T`1 L.!:'.1 E ~o2TE1 t 350 ~ 95 5 $y ~I 939' ~ oo~ 'l~F-Sl'7 ~E.G - To 8 E. ~ P CuT ftl' GFo~u~ LEVEL , i 82 1~i41ALl a~o \ 'DID Nac 175 b`KM. A \ r BFI PRCT 741S H?'c q wELt- © O~`f - f ~ 1 `+NS~A~.L WELL 1f SEP'71 C 9V? jtj n 3 ' ~7 V Qj ?lou s . E ' ~PgOP 0 gv~~~~ a F ~ COVED 3 3 r n F ~e P~~MtiN~ ~S\4Nr~ - ~Sp ' o~10E ° U'" ooRR PL Ed,, BUREAU sEE NOTES 8f3v 0 44 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install cast iron pipe P onto undisturbed soil both sides of each tank. 3• Install permanent markers at end of each lateral. (L/ required) 4• Install 4" observation pipe with approved cap. ( z required) 5. Septic tank to be gallon capacity as manufactured by b. Eench Mark- Elevation - 7, AS L ~4 t 8. LocaTi E b 6zS'w. $ZS~' S. OF 1~1EN~ cARw 12 oF l~t~ Sw~iy of SEC, IY - r r Su w6; c~ UN CzY1PfiCT'Z Sirow, 1.1-orsh Hoy, Or -»rzpv Synthetic Covering Distribution Pipe Medium Sand - Topsoil F 3 E " 1 t Slope ' Bed Of 2 Force Moin Plowed 2 z Aggreoote" From Pump Loyer D 1• o ~T. E 1 • Z ~'T. Cross Section Of A Mound System Using A B, For The Absorption Area G Ft. H g 47 Ft. \0 Ft. . ~~0 0 SPF~ ENG~ S Ft RASP E, 1 O Ft - EeP~M~N~ o s\o oNo R SSE GO L to l Ft. W Z 6 Ft. -FOR~E~~}s1 N f L I 1 Observation Pipe--," K RECEIVEb W _ PLUS] "•r REpl1 Distribution Bed Of z - 2 2 Pipe Aggregate 1 Observotion Pipe Permoneni Morkers 8600744 Pion View Of Mound Using A Bed For The Absorption Area Perforoted Pipe Detail' j f Eno Viev. / , Mr'r Jry~~ ^'''c^ rioles ~ocoree Or Be;corr., Are EcuoUy Soccec ~ f,SoST/~LL PERMt~NE~1T_NARic~ \S AT_ t:--_K3D oF EACH LATERAL ~ Q PVC > / Mionatoic FiDe r` ,I 1- us••;DOlior p. PVC Force Moir jrnr snuvit ;;e ^he:; is E nc Car Eno Cap DistriDUt,or: '',De ~_ovou* D 'ZZ~ "~T RECEIVED ►NG r S 5.b T ~p 171 L+ I ~wv D; y ELp,Z10Ns 1' Z b 1 h PLUS I✓L~REAl7 R 7%%j NUt~1PN ~ gOR g~1~D~NG Hole G i an-,e -L e r L/ inch 1NOUSl?'N' pND Lateral I Ili Inch(es) E 9~Qp~MEty~ °Se°~d °F ~R {~~-oRRESpGNpENGE Manifold 3 Inches Force Main 3 Inches SEE /Pi PS 1 _ 1 >\iv T Et~V~~ot Cr t. 7=~, t,~ ; 00. - Y~; s1 = i'J ? 1 Y'/ t-l?_ rj, ; 77 . ; J ! =t~ L tJ W i-Tl-{ S U C C ~ 1 N G 1'tU L C~ Z , I 8600 i_ "-~~-VL!_T CA. - I 4./t=AT {,'ER PROGF r.`rP,OVED LOCKING t, r - JUU(_TION BOX j N,L.fJHOLE COVER b:It:CCW C.R FPE5H IZ MILT. i GRADE COQDUIT INLET V. 89.5/2 ATiCTEdAL APPROVED JOINT/ A q6 APFRDV_D _J011JTS W/C.l. PIPE CC4 W/C.T. PIPE EXTENDING 3' N~~n~NRE I ALARM EXTEV.1DlUG 3' ONTO SOLID SOIL C U T O SOLID SOIL c MEND p S o pU~ SPF~~ ~~~E i i oti ~ NO ELEV Q7_S FT. D~pp,R GORR~SP O p OFF S D COUCRETE BLOCK X_ RISER EXIT PERMITTED GNL`3 IF TAUK MAUUFACTURER HAS SUCH APPROVAL -f- SPEC,IFIC_ ATIOMS ~ 7 DOSE TA,IJKS MAOUFACT URER:\-o "Ei2OR E'tE l~ltlJAvCTS IJUMBER OF DOSES: PER DAB TAKIK SIZE: GALLONS DOSE VOLUME IMCLUDIMG, BACKFLOW: 1Z'Z• Ll GALLONS ALARM MRNUFACT URER:S,S.~,EC'tR.O S`~STE►-►s MODEL HUMBER: # I O1 Hw CAPACITIES: A= \S IIJCHES OR 306 GALLO►JS SWITCH TYPE; B= Z INCHES OR CALLOUS PUMP MAUUFACTURER: FE. h 'l S CO . I; _ IIJCHES OR 12 2 y GALL OLIS ` MODEL MUMBER: SR L4 D= INCHES OR GALLOUS SWITCH TYPE: C=_FZCJURY DOTE: PUMP AMD ALARM ARE TO 5Z MINIMUM DISCHARGE RATE SO GPM IN5TALLED OFJ 5EPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEU PUMP OFF AKID D15TRIBUTIOIJ PIPE.. g•5 FEET RECEIVED MIIJIMUM "ETWORK SUPPLY PRESSURE . , , , , . , , , z 5 FEET MAR 2 4 1986 3-0.- FEET OF FORCE AIM X ° S~ FoF~FRICTIO►J FACTOR._ FEET t ppss ( TOTAL D~IJAMIC_ HEAD = } FEET 9JTF K?JAL DIIAEJSIONS OF TANK: LENGTH- ;WIDTH - ;LIQUID DEPTH T - 3. ! y ~c 3~.1 S z_ _y1 15 3 - - SU31EIW N1 ®V:3H IVIO I PAC, J ' m m ~ CD U-) N T- O O ct' N CD C) N co N CL p N aL UJ O LJ co - T I uj `x uj _j LLJ C) ~f S• T i.~ J (f) CC o Cil) LLj N 0 co F- CD J o :p T LO U N W ~ 0 o 0 ~ U N w T- 0 ~t o CC r R~+ Irv O n N LO O cD N- NOco(D~-NCD co(D~ c ()Q, C\J N N N T- r r T"' r n it -1 In" t WISC°r,Sln APPLICATION FOR SANITARY PERMIT ~ DILHR ~ COUNTY OEPgRTTrIEnT OF (PLB 67) MMW~ IrIOUSTRV, LRBOR 6 HUjjjr ELgTI0115 UNIFORM SANITARY PERMIT # • f7 9/ 6,6 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/,x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT iPERTY OWNER MAILING ADDRESS E6_ ~vE~r~.v 00?/ ~o x /17 ~#U~~e 150,s cis SY PROPERTY LOCATIO ~~,r,! 19 11'W114 s~1/4, S T1 Tow LOT NUMBER BL::i~ 1"RER SUBDIVISION NAME NEAROF: EST ROAD, L eT ~ STATE PLAN I.D. llNUMBER TYPE OF BUILDING OR USE SERVED ` K 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ New System Tank Replacement ❑ Repair Replacement ❑ Revision 1:1 Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Z Seepage Bed ❑ Seepage Trench 1-1 Seepage Pit El Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure E] Vault P El Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued An Existing System That Has Been Inspected And mpliant As Far As Soil Conditions. Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump Tank/Siphon Cham Holding Tank capacit Manufacture 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 ~a Lift Pump/Siphon Chamber Q / Manufacturer: t N ~2QG f PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): WATER SUPPLY: 30 315 3 74!!~ Private ❑ Joint ❑ Public I, thEundersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Namr (Print ig ature RT. 3O'NEIL RD., HUDSON: WIS. 1~ W/MPRSW No.: Phone Num~beerr: p p~ Plumber's Address 3 d~ (~1S )3Q(o`OIoJ WIS. MASTER PLUMBER LIC. NO. 3307 M.P.111 Name of Designer: MINN. INSTALLER & DESIGNER LIC. N0.00663 4066"6e sro c COUNTY/DEPARTMENT USE ONLY fee: Date: PReason ure of Issuing Agen =Adverse sapproved lrf(.vi~J ner Given Initial or Di pr al Approved Determination 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. r 1 r L L J [ / ( Safety .znd Buildings Di%kion ill-AN APP OVAL Bureau of Plumbing i 9 P.O Box 7969 General Plumbing Plans Madison, WI 53707 Private Sewage Plans Telephone: (608)266-3815 Plan Identification No 1 rfi,$ Gallons Per Day ~l e~F✓<r' ~L a 6Fr f ~SSOC~/.f~, :_a CJ~S f3 0x 71/ 1-121 IV,A1~~rti s C: r y L t ; PiRK)FITY PLAN REVIEW ONIl P:, in ,view Fee. Received r. Fur Variance Fer Ke Project Name Project Location Street No. or Legal Description County City i Village Town of. r TS4- L) r x flw plumhim~ ply ns and specid(,Xi <>ns fur thy, project hart been reviewed for compliamc v~O, ~ippln ahle code rr'yuirements. This apprtr-il i~ ba>rd un C I,alric°r 145, Vliscomiii`'atutr~, and tine ~1`is, unsii;1dn,ini trativeCoda. Th~pl.,rn <3<< :na .d 'conditionally approved This af,p,o~al i~ contingEnt upon a>mpliancc witiam ~tipulau,~~>> >ho::n oil the plans. +ii ;tc m51h,;: <ir~ n~~~c ~nu~t ,r, ~~~r<r,t d. All permits required b\ the city. village, iownship or( ounty shall be obtained prior to comtrurtion. The Incensed plumber respc,nsible for i lus irn,ta!iation shall keep one ,et of plans with the department's approval stamp at the construction cite-The iw~talier shall notify the appropriate ir~pcttor when inspections can be made. D FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g This approval will expire two years from the date approved below. If construction has not commenced before the expiration date. new plan approval must be obtained. X FOR PRIVATE SEWAGE PLANS: (1) (2) (3a) (3b) 44 (4b) (6) (7) c• Fhis approval will expire two years from the date approved below or if a sanitary perms' obtained, it will expire the day the initial sanitary permit expires. The Bureau of Plumbing has reviewed these plans for plumbing and/or private sewage code requirements only. All other system reviews must be submitted to the Bureau of Buildings and Structures. Comments: By: ' -~L j James Sargent Br,mau Director 11 Ouc',tions Plans Approved By: / Date Approved: C ,nla t X ~'l ? S- Z - ft cc: Private Sewage Consultant -1 Plumbing Consultant ! Environmental Health County 11 Local PI L7 Facilities Need .Analysis Section UW-SSWMP i Plumber i Department of Agriculture r>u i iti YO) 6099 (R of 811) Owner Ot her FOP A 3 BEDRCC:-I F3SiJENCE LOCATED IN THE NW'/y OF THS SVJ))Y OF SECTION 3y , T 'ZS N, R lq ;yT~ TCTA71V OF -Yliz.C~Y sT• `~olx CGUNTY, irLsCG;l.S t N . INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFOF24ANCE CURVE PREPARED FOR RE(;~1VED Rov S 5vY 19-1 TR1U BALI S, ~J1 S~~ZZ ,r,eve p pFI SPA QO~O~ PREPARED BY ~~F,~ `1 pFL J~'.l1? , `d~~ AND ASSOCIATE G ..t ~ ~(O !f C)KX 74 421 . HAIN' STREET c?.L~,~, t:.,1_. 54022 ft AMU" L. WEGER8R ea 4916 f' 6LLSWORTM. O wrs. J t 'A B ,11 : r ~'iy ~ .111 a?_ 1 V •i/ 1 w ; SIG1110 Z J 00 ~_G _o PLOT PLAN r - = Sca le 1"=y0' _ 1~o2T1~ 350 9S S , ay DI , 939' ~ 33 ~Ex~~ AEG -To B E , r Q ~ l I 1t~ST~'_L ~1~ A1 Do Ivor Oi 3 L T;ZUK aa" `-o,v wE~~ `,n~sicL~ wE[ 1I v~ PtivM6`c, ~jtj t-, )6 rQ / - ` Nog RCDNEO P 0p SgFE~ GE 3 t , ~eP~~M~N~ p\S\pN p R~SpoN~EN . SEA NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install cast iron pipe 3' onto undisturbed soil both sides of each tank. 3. Install perm-anent markers at end of each lateral. (V_ required) 4. Install 411 observation pipe with approved cap. (z required) 5. Septic tank to be gallon capacity as manufactured by b. F-ncn Mark- Elevation ' ,rte S o= u1J ca~-I Pf,CT OR Sirow, Morsh Hoy, Or VLO~ Synthetic Covering Distribution Pipe Medium Sand I - Topsoil F D J 3 t ' Slope Bed O. 2 % Force NAa1n ~ °lowec Agoreooie. From Pump Lover D 1•o-~T• E • Z fir. Cross Section Of A Mound Sysiem Using F A B For The Absorption Area S Ft. H C(g - `ta ~~QN B 4 7 Ft. FN ~~o\ Y60 Np 60 _ ~ O - Ft. 1 OS~R~ FE F Ft. ENO F SP NG _ ~ ,~~OF ON 0 NpE otQPR~M~N S~ ,1~°' oRR~5P0 K 1 Z t _ 15~EE L l,`1- F IL . k' ~6 Ft. -FORCE~`1FrI N I 1 ~ I Observation Pipe $ - - f i RE0ElV E: iN,~AIJ ~Dlslribuiion Bed Of 2~- 2 2w Pipe A a g r e g a 1 e Observation Pipe Permonent Morkers " Of l"OUnd Using A Bed For Ttie Absorption Area Pm rfor oted Pipe Detail' cnc V,e• .:o,es ~ocoieC Or 3e'~orr:, I Are c cuouy Soc; ec ftf~ST)t~ PERnnRNE~&- KK . qT, '~D of EACH ~TERAL Q S i P. vC ri ='V~: Force Moir Nell -1c Enc _-C: End Cop / Dlst!iout,Or, 7-iDe _Ovou' C ZZ~~7 ~T RECEIVED ~~NG S 5.c7 r PLUS E' ~REAU li ► ~p(1ONS Y Z 6 t h ; i o I e D i a;l e r_ n c h "0F VA'NS R FN Lateral q Inch(es) p~4P(,1Et~~ S1aA p ~SpoNpENGE Manifold 3 Inches CORK Force Main 3 Inches SEti Hof /Pi PE: - 1 l~iv ` zT Ec ~V,~~otiJ CF ~ 6 z, 1`fiU L CST - O W 1 Tai -~1N G mi -Z --j 1~ WEAT{,'ER PROOF I - ,`'P,OVcD Lr-JCKI(JG JUUC T IOIJ 50X j i r^'.t,l._' TOLE COVER f R, C n! C!. FP.ESH 12°MIU. - -TAJ,E I - .DE I COIJDUIT i I-- - - `Y ho _ INLET PROVIDE J AlbT1%PT. ~EAL I I + I / APPROVED JOINT A A?P~,,VED ~C1NT5 W%C.~. PIPE V~~/G~ RED I w/c.T. PIPE EX I ENDING 3' 17. V j NVMP~ I I I ALARM EXTEVJDiUG CNTO SOLID SOIL o~ 5\<'' O 6S B `P80R F g~`~Q~N I I OnjTo SOLID SOIL ~t N Q~ \N~~O~ SAFES P GE I i ON R~MEN~ ~S~~N Q~pEN I I ELEV. FT. - ~EeA lY GQRR~SPUMP--_ OFF s D CONCRETE BLOCK - I RISER EXIT PERMITTED CjQLy IF TANK MAiJUFACTURER HAS SUCH APPROVAL T SPECIFICATIOUS DOSE V TA.IJKS MAQUFACTURER ~~DvCTS IJUMBER OF DOSES: PER DAy TAtJK SIZE: GALLOKIS DOSE VOLUME 1ZZ'Lf CALLOUS ALARM /IAMUFACTURER:S -J~ (E TRp S~lS1~ INCLUDING BACKFLOWt-Is MODEL IJUM,EER: CAPACITIES: A- \S IAlCHES OR 3b6 GaL~ c~ SWITCH TYPE: IMC-HcS OR G,LLOIJS Pul-~P MAI'JUFACTURI- R: r = NE 1-:=S OR tz 2 y LLCI 5 MODEL MUMBER: D= INCHES OR ,ALLOIJ; 5W ITCH TSPE: LC-_R 1~? Y IJOTE: PUMP AND ALARM ARE TO S= MIMIMUM DISCHARGE RATE Sp -GPM ItvSTALLED OU 5EPP.RATE CIRCUITS V-KTIC.AL DIFFEREIUCE 6r_ T WEED PUMP OFF AIJD D15T;Zl&UTIU►J PIPE., g_S FEET REGEi'✓ED All-!MUM tiJETVVORK SUPPLY PRESSURE . , , , , , , , 2.5 FEET MAR 2 4 1986 FEET OF FORCE f,AIM X - Y FLFRICTICIJ FACTOR. I FEET = TOTAL C ~'R!,MIG H=AD F7-ET - AL) IJ I E.:r~A. Gir1LFJ51a►JS OF TAUK: LEQGTH _ -_-_;WIDTN - ;LIQUID DEPTH -1) P I I - - - ~ c . I m Co t~ m Lo d" co N o o N C) t o N Co N p LO N D CD Q... C) LM A4- Z ° I "CIE U) 'S T L - C) =1 LU rr L . Lu C3 U) O co C N I o CD ~ co `o T~ N L CD GO CD C\j ~.o (D Ln c) r 0 r o 11 L CD CD ~tNCD CO CflvNCD 00CO vCN CV N N = r T-- r r LJ'. s! a n. .1-_1: - 'T:' i .n i O y r S to S ~ N ~p ' (^'D -I N 'D U1 cn N v !n w p m t O O V ~ fD a A A fD O S S w to c O p w w w - O 3' C fa (D 7C `G c ' C (D v a m cD ° o~CDCn m~o~~:0 -CL00 w p cD =3 co M m° cD CDDwwC 0 C CL -4 n cD m cn N cp N (D O O (D w o 3 Q. O m CD Co 0 CD cO W~ w - ? =r:3 > w CO < 3 3: p C ~ C C 9= A 7 pZj a C K p• O 0 w m cm w cn w rn o_....p a~ 7D CD w m c n fD O (n t0 Q O y D c CD O o = O A 0= w A A p w n w m CD O Q 0. M 0) C6 MO =r W a 0~ 0 O m N (D .a+1 Q1 N Z N w m w !-I nm _Z Cn CD M' WD Z CL CD A 0 a m ,m p to (D A M D ~ Q(niD c v;wa ac~ acoF Cl) m ~CDo v,00)m a m v 3 -CUD > > =r 7 cSD 0 a m 6 n 1 O a0 w m=t w w0~ CD OZCACO 37 3 CL G) a c O c f M'. m aw o m wow cD -pmcnp 0 9 0- CA cr =r N O 7 (a C tD (D 3 H n O A C ~ = O O A m o ? C CL 0 O O co a c@ N m Vm 2 -1 cD C D O a = - =r w = A A~7 a 7 _3 O_ m O O 'm w ap am p o i 3 (0 m m C\ ~ 0 41 c