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HomeMy WebLinkAbout022-1038-40-000 n N p 9 v n r o W o d `n 0 O = N z p a p O A N ~C !i n W O W N O_ co N O 3 O c CD W y_ E N N 0. ` CL z d (Z y v j 6. oo 7 W W> W W rO~ n O N) N) 'P Q W y W y = A R m N 3 N p N O O 3 y ~ N p C Co v O !V a W U) D CD N y a = N 3 CJ m p p CD CD co c W p CD oo O y co < N (n .O-' C !r 41 -;l N z C 0CC 0CC C0C ~CC W. !~I • ° W 3 =3 N y N m a v -N CYI U:l C> O= w y N 0 (n O W' <D N Q N ~ a I Z c D D c o O_ !V Z CD I W m II z p z m 0 A cz C/) 00 CL z 0 3 I o z ~ 3 m y ~ D A W {y CC N O_ ~ G 7 W O a 4=i C Ln Z n O O p ~ d 0 y ~ A W x .Z Oo A 0 a N 0 O O a A O = Op O A p (D 0 ti Parcel 022-1038-40-000 01/09/2006 08:44 AM PAGE 1 OF 1 Alt. Parcel 14.28.18.212A 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WILSON, THOMAS J & JEANINE THOMAS J & JEANINE WILSON 1378 CTY RD J RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1378 CTY RD J SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.320 Plat: N/A-NOT AVAILABLE SEC 14 T28N R18W 2.31A IN S 1/2 NE1/4 Block/Condo Bldg: COM CL HWY 1478.2'W OF E1/4 COR, TH N 298.8', E 96'S 34.5'E 298.5'S 253.4 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FT TO CL RD, TH W 385.5' TO POB 14-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 511/616 2005 SUMMARY Bill Fair Market Value: Assessed with: 143348 128,700 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.320 40,000 90,100 130,100 NO Totals for 2005: General Property 2.320 40,000 90,100 130,100 Woodland 0.000 0 0 Totals for 2004: General Property 2.320 20,000 62,400 82,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 305 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT TOWNSHIP SEC. TZ-R~W - - - - - - tA°)Rl 5S ST. CROIX COUNTY, WISCONSIN. ~I!H.1) 1V I IUN LOT LOT SIZE PLAN VIEW to meet requirements of 1163 ~;IIOW EVERYTHING WITHIN 100 FEET OF SYSTEM 0110. i 1. lV- - - - No= - - i j I die at N r h rrc w i r Ii1,:NCIIMARK: (Permanent re I (l L'nck~ Pu 1 iit) Ue~~-ic r Lbe 1?Ie.vation of vertic:_iI rei(,I nc(,° point: Slope at site: 51J'J'LC TANK: Manufacturer: ~ -iquid CapacityJ0 0 Nurnber of r. int;:, on Coveranhole cover elevation: 'l'ank InLet 1:1_evati-on: lank Outlet Elevation: PUMP CHAMBER ManufaC -I tu I-I may, r(-r-; ~ Nuuit)er of gallons Nurilher of al.- pump ~i ('t Ic,r v< le gallons; Total capacity of d 1_sL ributi.on I nes f"a L Lon 1 of pump head; r, it-lon per viii, ; horsepower ;brand name of pump ind model number ~ ~opn Type of warniI-Ig device 'roe HOLDING TANK: Manufacturer Number of gallons L:le- vation of manhole cover Type of warning device - S E L: [AG E PIT SI.ZH; Nu-m--b--s,r - of-pits - feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE IiID S LL1 number o 1 I Ines width length tile depth SLI PA(.1? TR'II:NCH: width length-- . PERCOLAT LON P,A`L'E AREA R' HOU I RED AREA AS BUILT INSPECTOR 1) AT1'D PI.UMBI;R ON J01i L L(:ENS1,: NUM1iER~~~~~_~7 d- DEPAR'rMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING 'CONVENTIONAL ❑ALTERNATI E State Plan I.D. Number (lf assigned) ❑ Holding Tank ❑ In-Ground Pressure Mound Q 13 ~v NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER'. INSPECTION DATE: ____J- Thomas (Dugan) Wilson RR~6 2. Hwy. J, River Falls, WI ~q g~ BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: CST REF. PT. ELEV SW NE, Section 14, T28N-R18W, Town of Kinnickinnic Name of Plumber MP/MPRSW No. Coun[y Sanitary Permit Number: Thomas A. Wang 3231 St. Croix 49437 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER / p P,R~OyV~IDED PROVIDED ets/~vv ~~.70 9p 11JYES LINO ❑YES YNO BEDDING'. =XNO IA.. VENT MAT IC fGH WATER NUMBER OF ROAD'. PROPERTY WELL. BUILDING'. VENT TO FRESH C t LARM FEET FROM LINE AIR INLET' ❑YES 1 ❑YESLINO NEAREST ©2 7S5 f !U DOSING CHAMBER: MANUFACTURER BEDDING. LIOUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LCOVER / ` P OVII NG D❑YES LINO 7 SD ~nJCb~(n O J~s YES LINO YES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL IIIUILDING (VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR"LET' PUMP ON AND OFF) YES LINO NEAREST 7Si SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing JLENGTH 1111AM111H J111RIAL 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 Jo 3 y V CONVENTIONAL SYSTEM: WIDTH. E[)'STE GTH NO. OF DISTR. PIPE SPACING COVER BED/TRENCH TRENCHES MATERIAL. "SIDE DIA. #PITS DIMENSIONS PIT DEPTH GRAVEL DEPTH FILL DEPTH R. PIPE DISTR. PIPE MATERIAL. NO. DISTR NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH BFLOW PIPFS ABOVE COVER. V. END. PIPES LINE. A IR INLET. FEET FROM NEAREST--,I MOUND SYSTEM: 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 REVERSE SIDE. SHOW ELEVA- ~v meets the criteria for medium sand. TIONS MEASURED. E S ❑NO SOIL COVER E,XTURE PERMANENT MARKERS OBSERVATION WELLS ES LINO 1-;'ES LINO DEPTH OVER TRENCH .'BED DEPTH OVER TRENCH BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED. CENTER EDGES y ❑YES NO YES LINO YES LINO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH 7N0-,OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER - - TRENCHES: DIMENSIONS + 1, S MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL'. LE V E NO. DISTR. jD:STRPIPE pIS FRIBUTION PIPE MAiERIAI & MAHKNG DIAELEV PIPESDA.: ELEVATION AND 0 ~'}19 cJ ~~FJt G J l/P DISTRIBUI ION ..7 . INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED ®YES LINO PLANS ❑YES NO COMMENTS: I PERMANENT MARKERS 777TION WELLS NUMBER OF PROPERTY IV, ELL BUILDING. FEET FROM LIN YES 1:1 NO YES LINO NEAREST t Sketch System on my file for audit. Reverse Side. AT E. TITLE: DILHR SBD 6710 (R. 01/82) wlsconsln APPLICATION FOR SANITARY PERMIT DILHR~~~ COUNTY OEPRRTTEnT OF (PLB 67) UNIFORM SANITARY PERMIT # In DUSTRY, LROOR 6 HUMRn RELRTIOnS 1i`y~ 3 7 -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 PROPERTY OWNER /I MAILING ADDRESS C PROPERTY LOCATION CITY: 5 1/4 E1/4, S , Ta~N, R /FE (ors VILLA . ~1I/? IC , LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms. 3 ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ New System ❑ Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ❑ 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 Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity 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 Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Q Q Lift Pump/Siphon Chamber 5'Q J Manufacturer: d O PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installs ion of the private sewage system shown on the attached plans. Name f Plumber (Print): Signat e MP/MPRSW No.: Phone Number: Plumber's Address: ~ Name igner: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Dattee: ❑ Disapproved ,~C1 Approved ❑ Owner Given Initial Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber PPP' INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 ti 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. DFPARTM.ENTOF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS N I,NUUSTF2Y, G DIVISION LABOR AD P.O. BOX 76 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (H63.09(1) & Chapter 145.045) LOCA1IO SECTION: T LO TOWNSIiI MUNICIPA TTY: TN .:OBU NO.: SUB DIVISIONNAME: (COUNTY WN I'C' 13UYEli'S NAME DDR SS USF D11 ES OBSERVATIONS MADE NO. BED N1S COMMERCIAL DESCRIPTION: P OFI LE ESCRIPTIONS PEK-RL e New Replace ~ BATING: S= Site suitable for system U= Site unsuitable for system J CONVLNTIONAL MOUND IN-GHOUN[1-PRESSURE: SYSTEM IN-f ILL BOLDING TANK. RECOMMENDED SY TEM:loptional) -l F _U s u1 ~ s u s- u s Nu uc~ s c~u II Percolatiun Tests are NOT required DESIGN RATE: If any portion of the traced area is in the -x I under s.1-163.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS 11OHING TOTAL ) P H TO GROUNDWATER INCHES CHARACTER OF SOIL WITH THICKIVISS, COLOR, TEXTURE, AND DEPTH NUMISFJi {,i1+xFHIJU, ELEVATION OBSERV-L=D- TO ILEDROCK IF ObSLRVED (SEEABBHV.ON BACK.) IIGHES B-- A~ "V;T S /a B-- - - C` of ° r l B 1'1 S 0- 61) B- > b, 06 8=-- C 4 ~L 6~ ~~S___~(_ Cr rd TL- r Ff PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER *f44-4ES AFIERSWELLING INTERVAL-MIN. PERIOD 1 P_OFt 0o PER PER INCH ,h - P. j- ~ LI' 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- 'rmtal 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 ,I land dupe- , :SYSTEM ELEVATION q 9 9,~ - P L. ~ r t ~ r'I) G ay t- ) c'1- per' )VO/L r~ = to C Presrn7 ~ay~. ~1t 3 bed. bra a `37.9 g Ne~„e Pl es r n~ `s o -o ' T N Rip- V7, 33 "Sept-'o- Y-Dr well t" c ~ C a ra~r ~ , , 4; i ~ S Rc r~ ~ ~ r- ► ,Y I , ~x ° I a t ► Nw :r ' qj "b E d ~ Gr. Ha-) I, the nndeisiyned, hereby ee Illy that the soil tests reported on this twin were made by me in accord ith the proced es and methods specified in the Wisconsin Admimstianve Code, and than the data recorded and the location of the rests are correct to the best. of my knowledge and belief. NAME ( Liar TESTS WERE COMPLFIED 01V ADUftFSS CEHTI -I 11cg~N NUINBEH. PHONE NUMBEFtloptional) : ~1 cf y ~ Axvie , Jc'r ks X)'-a ~ U CST JATURE: - ly, -4 v C 14. on Oh r IC ~b L 1) 1`a 1p e C•~~k~~~~~ ~ Sow 1 11 nl _ vo )Ar v) 4 ; \ a )0 i A5 I S v I ACV ;ZA Oft ON' i~l 17 i"p I LJ C'1 re slev S~7~ke ~n 12"~ne,. ? 401 Lii re"k rI ~~on 10v W i,Je.i c~ e- ` Page.? Of S Straw, Marsh Hay, Or • c"..thorlr, Cnverinq~ Distribution Pipe Medium Sand ~G Topsoil -yN= F 3 -rE U Force Main Plowed r L :L~Q - e d Of 2- 2 Agate From Pump Layer D E ~-S Cross Section Of A Mound System Using • F %S i• A Bed For The Absorption Area G A - Ft. H A 5 Si1fed. G4 B 6 Ft License Number: ~~~•3 I _1 Ft. Date: J --`~-`~Ft. K 1 Ft. Alternate Position L ~r> Ft. of - - 4-.,, C Force Main W Ft. L Observation Pipe-,,,\ A ~I Force Main yy From Pump Distribution Bed Of 2 - 2 Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area I. MOUND ':YSII:M IL III'-G ROUND PRLSSUkLSYS ILMCuntiriuctl 1. WASICwAact LOAd, IOtrl DAlly Flues= L J YAI. 10. Fur Lc MAIn. Use section if 63.15 (3) (L), WIS. MI11lrnunl DusinJ kale _ Ypnl. Adrn. Code Atilt PROVIUL A UL I AILLU l_IS I OF SILING ON PLANS. 11. l ulrl Dyrl.tMlL Head. 2. Uoptli to LInllling FALtut'~ Systcrn Head = S It. j_ Landslupe - y( Vertical I III It. 4. Dlslan00 110111 00W I IIAMbur lu I riLllun t_uss 11. Ulstilbutiun Sy.ICm - fl. I DiI - KY- ft 5. LIoVAllon D111Ct0nce HCIWCCIi 12. Pump SCICI llUll: _ Pump And Dlstilbutlon Systolrl h. Put Ip will LIIsLherYc At Icas! YVrn 6. Absuiptlou AtcA SIaInJ. At rl'2 4 It. lulal dyna.wL IICAd t Aror RCgUI/Clt ! sq. It. Pump mudel And IIIArlul Lt tcl~. _lLLlX),- tJod of fronLh Lied ui 1101101 Width (A)_ Il. 13. Dosc Vuluruo: 11Ch(A) SPA(JnJ (C) IU I Imcs Vold Vulumc of Mound I1cigh1: DIWIbuliun Lines- JAI. till Depth (D) 11" DAlly Wmtcwntet Vulumc , FIII UCpth Duwnslupo (L) fl. 4 Dusos In 24 his. T~ fill llcd-ur Ironch Doplil (I) fs ft. IIAL.kllow JAI. CAP and 7upsull DopUl (G) MlnlmuM Dosc = JAI. CAP And 10pw11 Dopt1 (It) 14. Do" lhembor: J. Muund Lcnyth: Volume JAI. nd Slhwc (K) 10tAI Muund Lcnyth (L) 4 (l. 111. CONVLN I IONAL PR A I L SEWAGE SYS EM `J. Muund Width. 1. WA1tCWJlel 1-uA , I tAl DAlly Fluw 0110-pc 1 011tU1011 FALIUr Use se[-lion 1 6.1 U (.1) (L), Wls. Upslupc Width (I) - h. Adm. Cody; told P OVIDE DL IA LLD Uuwnslupc l_:urrcctlun FALIOf = L117 Of AILING ON PLANS. Uuwnslupc W WUt (1) = L ft. 2. Required ScpuL 1 art CApALIty - JAI. tidal Muund Width (W) ft. 3. PcrcolAuun_ ketc = mill'/161. IU HASAI AIcA. 4. Absuiplluq Aic t Slit IS. IIIf IIIIAtlW0 CApALIty of RCICI }U I Abie 2 I 1 thaplCr II 3 / N.ilui.tl it - JAI./sq.lt./day And PROVIDL A LI AILLI LI51 OF Basal AICA Rcquucd = 1L1. fl. 51! I G UN PLANS. Basil Aica AVAIIJbIC z sq. It. Re/Niitk)t:i fled A1CA = sq. It. 11_ If SIAndAlll 1 Ablos Irum CIIAPICt th II 6.1 sec Used, I1Id10Alc I Ablo NO, / h It. 12101 the Dlsulbutlun Nolwurk, Usc Numboti, 5-14 In SCLllon II. of IrenLf s s t SPALI Ij 11INGROUND PRLSSUHL_ SYS I LM 5. Dllun System: I. Depth to LlmitlnY factor U ft. AI 1_onJlh ft. ber of LAtOnls i, PoitulAUUn Rrle 111111./111. ral SpALInJ 111. 4. Propua;d SyttoM LICVALlOn - It. Allce Irum SldCwall to Pipe = n. 5. WA>LCWAte1 Lo.d, loin DAIIy Flow. C) JAI. Systolll LloidAaon = ft. a. Uw 1C011011 it 63.15 (I) (c), Wts. Adm. Cudc And PHUVIDI_ A DI_ I All-LO l_IS 1 OI SILING ON PLANS / FIII In All Items 11ultl Scctiun III RuqullCd SCPtiL I Atik CAPALIty JAL 6. Allwtpit",iAICASizing. V. SLVIILL IANK UGC PCILnIAIWII RAIL Min./in. I. CapaOlty = v , r ' 5 4Jal. RICA kcyWrcd - sy. 11. 2. MalluiALluict: System LorlYLti 3. Show Site Constructed I rnk DclAlls Oil Plan Systcrn Widlli ° 4.1 fl. V Distribution little SItInY: V1. DOSING DANK flute Slic = s iw i. CAp.ILity - 1~ u L~ KAI. IlulcSpALloµ +f_. _ 2. Manuaaiiuict: R it Lalctrl Lunµill I1. 4. Pwnp ManuL10Wtcrt 'T O J S I_alur.Il Sl/u _ In. 4. Pump Mudcl. _ I_nnr.Il Sp.ILluµ t. j- i ~L 1. Opc1.,Ii..•• r:d= _ / II. Ili.lauLU luiui Slduw.Illiu I'11rc In. low Rate- sr~ JVrtI• N. Ulsiilhutlun Pipu DIaLh.uµu H.IIU: 7. Shuw till(; C(lnslfULW;d 1 Ank UCIAJI► un PlArts N unlllul ill IJujus 1'tv I'Ipc O Iluwflu, l'Ipu µlnu. VII. HOLDING IANK v. Mandullt Slalnµ: ~t I. CApaLlly JAI. 1yp0 (LUrlici or send) 2. Ma11U1JL1Ulel• DIAM0tuut 111 3. Show Sllu Cnrlstluclcd :Ink DclAlls set PlAns lunu ° In. MOM k SBD e161 (RA3)'H?) -SHOW ALL INi=OItMAl ION ON PLANS-- y Pees 3d2l V, Page Of C~ . r j \ J Per for uIed_Pipe Dowd 4 s \s'' `~~y ~ Perlu°olna Eno Cup PVC I'ipe U/ u "(,C e a~ Hulea locu°ed On Hullom, ~ \ S\ Are Equolly Spocnd x PVC Force Man ~ From Pump /PVc , % mut"fuld Pipe U,alr il)uI~Uf1 ~'i~ _ Allernole PUSH1011 Of Prpe i Force Muln Flom Pump Loci Hole mould He Nexl 70 End Cup tnd (.up ~ Dikfrloullon -Pipe Loyoul / R S X Signed: Hole Diameter Inch License Number: Lateral it J Inch(es) it k 31i Manifold Z Inches Date: Force Main Inches A )r? 4 P AA_ E 5 OF PL1MP CHAMBLR CROSS SECTIOI.1 A►JD SPECIEICAI IONS Q P~ E 3 03/ - - vE L.1T CAP - `l CA. VENT PIPE WEATIiLK PROOF' API'ROV. D L.UCKIN(> 2 h' F R C M U K, JUnJC1-I()" bOX MANHOLE CUVLIK IG ILMIIJ. WINDOW OK F KL 5H Atli IkH AKE GKADL - I I y'MItJ. ~ IH"MIAI. GOLJDUIT - Ib"MIN. S? --------_J - 'do p^-- I -I - ~ TIGHT EAL I I I ~ API'KO`JLD JGIAIT A i~J I III APPROVED JOIL,ITS 4J/ C.1. PIPE: `t I III W/C.T. PIPE E rT LNDING S' _ ' .fir I I I ALARM EXTEAIDItJG 3' O►JTO .,UL L) IL. ` t~yt I I I ONTO SOLID SOIL t.J I I O N PUMP --_J OFF ti O 1 uV7 i3 COAICRETE BLOCK { KISEK EXIT PERMITFED C-)QLLJ IF TAQK MAUUFACTURER HAS SUCH APPROVAL SPCCIFICATlOKJS __PTIC AMU 1 )`_.E TANK`.: MAQUFACTUREK. 14~ r 11( 1^C'~~ IJUMBEK OF DOSES: - PER DAU TAAJK '.,IZE _ J 0 _ GAL.LO►JS DOSE VOLUME: Cl ~9 GALLOKIS ALARM Mn►IUFACrUKEU: CAPACITIES: Ate- U' LIJCHES OK GALLOIJS MOULL ►JUMBEK: B= Z._IIJCHLS OK - GALLOAIS. SWITCN TYNE: C= WCHES OR GALLOkIS ~ f I'LIMI' MAIJLIFAC.I UKk K: , S D= _L-Gd_ IKA HES OR GALLOUJ , MOOCL NUMBEK: <~_t~ _ NOTE: PUMP D AN ALARM ARE TO BE SWITCH TYPE: C~0 Il IAiSYALLLD C)M SEPARATE 011 C, T,S PUMP DISCHARGE KATE GPM n ~L VL.KTICAL. DIFFcKE1JLE 0ETWLEAJ PUMP OFF AKA) ' DI STRItSUI tOIJ PIPE.. ~ FEEl -1- MIAIIMUM METWORK SUPPLY F'KE))SSUKE , , , , , , , , , 2.5 FEET -1- FEET OF FORCE MAIN X _~L~F •ry{ ~ppi_FKlCiloKl FACTOR_ FEET TOTAL_ DJFJAMIL HEAD = I j '2`1 FEET `'D _7q- s , t, r- 4e IMTLKhAAL_ DIM._KJSIOIJ~ OF TAQK: LEIJG•TH ;WIDTH ,LIQUID DEPTH 42, .A, I Bulletin CL2.1A July 8, 1983 For Homes Farms r ; J 4 Trailer courts' Model 388 Motels f~,upersedes Model 3870) 11 Schools ` Submersible Hospitals Effluent Pumps Effluent PUMP Industry Effluent Systems Pun )E) >l.>~ilications anywhere effluent or drainage must be; - x~~~.. disposed of quickly, quietly and efficiently. .uill, a ii of„ It- 1 1", hill)( IU pI-,'~il i,l a,ul~a uil u:h,;ld , oI it ul i.u I,~„I,rrll~>n.,I lu,•cIl:iln..;fl r:u;fl f,l,, I,;i ul,r:uuuni ~.dln-IUlwy ,---ti t,LUnl~„ `ilc ,a tanlenr,5 Heavy-Duty Solids Handling Dependable Capability to 3/4" IV) ~ilaiiic,fl Seal it ,I hair, I`J I,, 'l, fl w l t, PJl,o,cnln.,n1 IurrflxH .,lu YC Q '/3, 1/2 H.P. 60 Hz r U l (7 4 a d.;.,I,al,lc of H,.uuun,l Ury i - 0 3 4 8 Single Phase 115, 230 Volt. moto 1, '11, 3/4, 1, 11/2 H. P. 60 Hz rw„Iot I ,fly "ll"I i,,Cd n. lu~fli ji.I,l~~ Ii+ILun~ ~nl Iw In~nn~rlu:nl lutni,..r Single Phase 230 Volt. Three r ~n l I ul Phiise 208-230, 460 Volt. I I I., .rl ,II II L,,.I Nluli rl Q --II „Iilil ~~il Iry Iu_,~I,sl , l';I II UII .I i,I~r,uU~ _ ~ _ff1 c Jlu,f~ ~I r I Jill gill 1 111 InSUIf ir_ 'Alf :,hilt Iit AI I I .r,nrde~ ,>I,.cl blr..,II ~,iylc I'f i,~nu Owl-, i '.II ~i II~~ ,l i. r..' ul~ll'Ii,NU Lulu ni Il nrl nliii 90 80 I I I I I n~~.rl I~i,~t~,I~o~I lu:>I,uICI dlnll ~'Utt .'it)w WE15 - MODEL 3885 ull u~,nluil :.l i,ill t~U II: olrcr~n n,il 10 RPM 1750/3450 uwcr (:old ~ ->c.il ifl~ nn I~,i cliJ . GO I uy in,ii till,; lhUllUl ,I l - r.._... Lu.hiluxa l..uu u:,iun li c,l:u ll w WE07H - - - - .li.ui~l uul. T 50 U _ - _ ,l 40 WE05H uryler 'h.,> UuU:. lt wifll 1 ' ill Il,':1 L _I I_..,..__ . IU Willi ; I, ,I ,Innrn,.lunl I,lu I I, I. 11 I' > WE03M O 30 II Willi t:. ..I I•L:> /Fl~.;li~3,r Q ~ t'i~l~l 0 20 WEQ3L,:. - - - SPECIFICATIONS AHE SUBJECT TO Cr IANGE 10 WIIHOUI NOTICE 0 0 10 20 30 40 50 00 70 80 90 100 110 120 GOU LDS PUMPS, INC. GALLONS PER MINUTE SI M i_n I A~[_, Nl-w (A4, I_i14H SBD 6678 (9/81) (Plb 100a) STATE OF WISCONSIN DILHR Detach And Return Upper DIVISION OF SAFETY & BUILDINGS Portion Of This Form With BUREAU OF PLUMBING 201 E. WASHINGTON AVE. RM 178 Any Return Correspondence P.O. BOX 7969 MADISON, WI 53707 608-266-3815 DATE: C_ PROJECT: ~ qpq C~~~F _,NE, 14,28e n Y. PLAN ID. # DETACH HERE PROJECT NAME PLAN ID. # This is to acknowledge receipt of your plans and specifications for the above-indicated project. Preliminary review indicates the required fee is $ Fee Received is $ ❑ Underpayment - Please submit the additional fee. ❑ Overpayment - Refund forthcoming. ❑ Plan accepted for review. ❑ Plans being returned. ❑ No fee has been remitted. Plans submitted with no fees will be ❑ Additional information required. SEE BELOW. held in abeyance. 1. Plan Submission ❑ Complete data relative to anticipated use of bldg. ❑ Additional information shall be submitted in duplicate un- ❑ 2 copies of PLB 60 enclosed. less specifically noted. ❑ Deed restriction required (1 copy). ❑ Plans not clear, legible or permanent. ❑ Condominium declaration. (1 copy) ❑ All information submitted shall be signed, dated and sealed or stamped in accord with Section H 63.08(2)(a) Wisconsin Administrative Code. ❑ Affidavit enclosed. IV. Holding Tanks ❑ Profile of holding tank showing vent, manhole alarm and manufacturer if precast. Complete construction details if 11. Pressurize Distribution Systems (Mound or In Ground Pressure) site constructed. ❑ Application for use of an alternative system signed by owner ❑ Holding tank agreement signed by owner and local unit of and notarized. (1 copy) government (sample enclosed). ❑ County onsite required (1 copy). ❑ Design calculations ❑ Reason for installing holding tank. Soil test or statement for pressurize distribution. ❑ Soil boring & percolation from county (1 copy). test data. ❑ Plot plan showing location of holding tank with lateral dist- ❑ Cross section of system. ❑ Pipe lateral layout. ances to any building, wells, water service piping, water ❑ Plan view of system. ❑ Plot plan. course, lot lines, swimming pools, all weather service road, ❑ Verification of Exception Status Form by County. (1 copy) Etc. Provide benchmark with elevation reference point. 111. Private Sewage Disposal Systems V. Lift Pump ❑ Ground slope with 2' contours in entire area of soil absorp- ❑ Calculations for total lift pump discharge, head and gallons tion system extending 25' on all sides. pumped per cycle. ❑ Elevation of permanent reference point (benchmark). ❑ Size, length & depth of force main. ❑ Location of area suitable for replacement system - provide ❑ Detail & model of pump or automatic siphons including soil data. size, pump curves, drawdown and average flow rate GPM. ❑ Plot plan showing lot size and all lateral distances from ❑ Cross section of lift pump tank showing pump(s) or sewage disposal system to buildings, lot lines, well, water siphon(s). course, swimming pools, water service piping, Etc. ❑ Construction detail of septic, holding or lift pump tank if site constructed or tank manufacturer if precast. VI. Systems In Fill (Fill must be placed prior to plan submission) ❑ Construction detail and cross-section of soil absorption ❑ Total area filled (fill to extend 20' beyond edge of trench system. before side slope begin). ❑ Soil boring and percolation test on 115 completed by cer- ❑ Depth and type of fill. tified soil tester (1 Copy). ❑ Copy of onsite report by county or district staff. Department of Industry, Labor and Human Relations ~wlsconsln 'vision of Safety & Buildings 8, Bureau of Plumbing r DILHR OERRRTRIEnT of 9 ~ P .O. Box 7969 - InOUSTRV,LRBOR 6 HUMRn RELRTIOnS A G. Madison, WI 53707 Tel. (608) 266-3815 98~ IN ALL CORRESPONDENCE i~ REFER TO PLAN IDENTIFICATION NO. NAME OF PROJECT RIVATE SEWAGE ONLY - ❑ GENERAL PLUMBING PLANS ` Fee Received: LOCATION Priority Plan Review Only CITY OUTOWN eC NTY Examination of plumbing plans and specifications f'or this project has been completed. In accord witn Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the stipulations shown on the plans. Please review your code for the requirements of each code section noted. The licensed plumber responsible for this installation shall keep at the construction site one set of plans bearing the department's stamp of approval. The installer shall also notify the appropriate inspector of wner required inspections are to be made. La--tapr a ppr. o u al. --w-i-11 _..tae..--ue-i-"d ._new.-p Work may beg-in. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions or examination oversight, and reserves the right to order changes or additions if necessary. This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit requirements of the city, village, township or county in which this installation is to be made. Failure to obtain local permits will automatically void this approval. Sincerely, James Sargit_ Bureau Dire or ' PLANS REVIEWED BY: DATE: cc: DPS - OWS Owner & R & Rec. San. 4ction Local PI Plumber Bur. of Health Fac. & Services County Other DILHR SBD-6099 (R. 05/82) 1 r, ~ I~ GJ T50 10 ~ ~-c~-~ cad-u r~ ~ iii DP r__ EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX ON W 5739069 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHI MUNICIPA ITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: COUNTY: WN 'S/BUYER'S NAME: AI I DDR SS: IL lL as" ~6f` USE D ES OBSERVATIONS MADE NO. BED MS.: COMMERCIAL DESCRIP-ION: P OFILE ESCRIPTIONS: PER LATION TESTS: Residence ❑New Replace j RATING: S= Site suitable for system U= Site unsuitable for system O CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S`fSTEM-IN-FILLHOLDING TANK: RECOMMENDED SY TEM:(optional) ❑SYU 7S❑U ElSWU ❑SNU ❑$®U ~ If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: Ft PROFILE DESCRIPTIONS joi BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICK SS, COLOR, TEXTURE, AND DEPTH NUMBER pEp+H44, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 0 o . A )"at. I "B' n S c4f SS S'~ ! ~2 SS 1~ 6.; B- lJ 44S7CD arc'j 060 X1733 s~.oo ~04 / ay.. s wl r S c0 7 CA S B- 06 or D 6'' SS. p er a^~ fir PERCOLATION TESTS Ft TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBERV6kLES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- P_ . [U D , ~i~5 z P P- o L) 4 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. P SYSTEM ELEVATION - \ re Eliio sQr kc , „ 8J - /Q 1) a Rl E- o(-h re4 r;L bot. On it- C) tF' r°_ gale s _ 3 Led- k. a _.'!Se t~>~ 1)-Dr well > 7 3 3 t ale E E a ; 1 ~d,~~ k114') 7 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord ith the proced es 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 (pri TESTS WERE COMPLETED O ADDR SS: `.r CERT)I TION NUMBER: PHONE NUMBER (optional): CST __A~T ~R E