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022-1021-60-100
0 cn p v 0 O y C M O `r1 v ' v CD chi 2) o v ~n o C) ((O C) ;r, CD ° C :r • C N 7 N N ICI rYl CDD 7 O C N N n N z d (N (b N C7 co - W CD pn CO C w 00 O ^ N CL 3 O N N CD 7 ! \ cy) C CD n O v O W O O CO) 7 O O `r1 CA CD (n CD- d ( `i m m w a C N CA 3 CCD- o o -4 p :Z! 5:~-, @. i W N Z CD j o p p CO O 0 - Co 0 C Co N o O O O Cl ~yt+~l Sv N o w D `may v 3 w - o. c (D I m w _v O N w 3 00 CD m (D CD (D N A 4 n (n z ° o D D o v O o CD n ~ m w CL 3 O m cn s ~ N A z CD O A Pz F! Cn N CO (D (D m m CL z 0 3 O r: C/) 3 z CD N ~ 00 Z- > U) :1 CD p CD 7 n p CD N n n C C CL N_ -,-p G fn- A d n N y' CD 6' • n (D C (Inn: 3 m~O~vm z (D S' :3 p CD =r CD N a p (ll ~Cn (D O N O< W N CL n m _ 6- c~ v m (nom CD N 3 s N =r p \ R y 3 N S (j v ocng S a 00 N N - ? N CD ry A N 0, (D Co N(Dp O p v O N p Q C p N N m c"T cn CD a) A CL E CD O O q `L A O (D O s. ~ - 'Parcel 022-1021-60-100 12/21/2005 08:40 AM PAGE 1 OF 2 Alt. Parcel 8.28.18.124D-10 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map Sales Area Application # Permit # Permit Type 1 0 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner ~t/In O - DEISS, GARY J & KATHERINE M GARY J & KATHERINE M DEISS 1 V 1063 COULEE TR ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1063 COULEE TR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 15.813 Plat: N/A-NOT AVAILABLE SEC 8 T28N R18W PT SE SW, NE SW, NW SE & Block/Condo Bldg: SW SE BEING LOT 3 OF CSM 8/2375 ALSO COM S1/4 COR SEC 8;TH N 02 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 870.25'POB;TH N 02 DEG E ATTO N LN OF 08-28N-18W S 250' OF LOT 2 CSM 4/1159;TH N 86 DEG E212.65';TH N 08 DEG W 214.27';TH N 88 more... Notes: Parcel History: Date Doc # Vol/Page Type 03/05/2002 672688 1847/409 LC 03/01/2001 639519 1594/84 QC 2005 SUMMARY Bill Fair Market Value: Assessed with: 143185 Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.003 40,000 259,100 299,100 NO AGRICULTURAL G4 8.810 1,100 0 1,100 NO AGRICULTURAL FOREST G5M 5.000 12,500 0 12,500 NO Totals for 2005: General Property 15.813 53,600 259,100 312,700 Woodland 0.000 0 0 Totals for 2004: General Property 15.813 33,600 185,800 219,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 o f c , o v1 0 3 fD co n A A~ ice` C 3 CD a) CD 3 Z # 1 C) 0 o v 0 o ° m ~ I! ~ co N °C !r • N 3 3 O C CD N N 7 N N FBI CD CO CL CC) 0 W Lt N W N SU j ° Q O N CY) O N - p i) o O O Cl N_ N w j ° ° d f0 O v> < D m a co N N a m b rtt 3 a V ~ti ~R~ot p v. to t~S s ` z cD co 0- 0 r fn 1 I v o a N c .o t7 r O O O hoo g~ CD < w Z C') m c cn cn y N o D >A v 3 , ~a 0. o o co 3 N _ J c n N N o o t~ D D o v O ~ cti, iv ray ~ l~l oc) CD • Z c f~ TJ ~ w -1 oo fn n 3 (o OZ :3 p Z A cn A n Q C 9 A C Cb 0 cn ~ co 'tJ W v m to CL (D 00 t z o co N ~J m 'a N D v om a CD o O ~ o N 3 ~ c I m ~ CD oZ a ^'N 0 O ° m N ~ _W N D_ N - Q y N m cn C S ' ~ S A, N CD = w CD S A =1 Z. A O < N ^ A CO 4 •P O O d O CO ° No cfl N `3 a A o b m do 0 w o 0 ' `r a ° o Parcel 022-1021-60-100 01/05/2006 04:51 PM PAGE 1 OF 2 Alt. Parcel 8.28.18.124D-10 022 - TOWN OF KINNICKINN CC 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 GARY J & KATHERINE M DEISS O - DEISS, GARY J & KATHERINE M 1063 COULEE TR ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1063 COULEE TR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 15.813 Plat: N/A-NOT AVAILABLE SEC 8 T28N R18W PT SE SW, NE SW, NW SE & Block/Condo Bldg: SW SE BEING LOT 3 OF CSM 8/2375 ALSO COM S1/4 COR SEC 8;TH N 02 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 870.25'POB;TH N 02 DEG E ATTO N LN OF 08-28N-18W S 250' OF LOT 2 CSM 4/1159;TH N 86 DEG E212.65';TH N 08 DEG W 214.27';TH N 88 more... Notes: Parcel History: Date Doc # Vol/Page Type 03/05/2002 672688 1847/409 LC 03/01/2001 639519 1594/84 QC 2005 SUMMARY Bill Fair Market Value: Assessed with: 143185 Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.003 40,000 259,100 299,100 NO AGRICULTURAL G4 8.810 1,100 0 1,100 NO AGRICULTURAL FOREST G5M 5.000 12,500 0 12,500 NO Totals for 2005: General Property 15.813 53,600 259,100 312,700 Woodland 0.000 0 0 Totals for 2004: General Property 15.813 33,600 185,800 219,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 x ST. C R O I X COUNTY WISC0NSI N ZONING OFFICE 796-2239 (HAMMOND) ` y 425-8363 (RIVER FALLS) HAMMOND, WI 54015 Jay 23, 1984 - State, o i W ib conA-Ln, DI LI-IR BtiAemi o ~ Ptumb Ong P. 0. Box 7969 Mad zon, Wi6conAin RE: Gahy and Menda DeiAs p)toput ty (The. ex-13Zd Smi th Ptan Appnova.- #8400689) DeaA Silt: ti An on site wab conducted on 7-20-84 on the Gahy Deizz pupeh ty toeated in the SG1% o K the SE-4 o ~ Section 8, T2 8N-R 18W, Town o ~ K-i,nnich_i,nn i.c, eon4iAm.tng the addit%onae bane hake #4 as being bu.i.tabte to a depth o6 3.0 f e.e-t. The addition o{ .taws hole., and .thobe having been appnoved by pnevioud apphova.b, dead me to neeommend that the amended mound .6-i to be appnove.d. Shou.-d you have any quests onb on ,thi,6 6ub1e.ct, pteabe beet 6nee to contact .th.i.d o ~ 6ice. SineeAety, Thoma,5 C. Neezon A<t. is Cant Zoning Admini z tttaton. TCN: mj SBD 6678 (9/81) (Plb 1b0a) , 'P Y - . Detach And Return Upper STATE OF WISCONSIN DILHR 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 f; C~C MADISON, WI 53707 608-266-3815 DATE:_ I®a~N~ 19 PROJECT- ~ff~rE 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. 0 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 11. Pressurize Distribution Systems (Mound or In Ground Pressure) manufacturer if precast. Complete construction details if site constructed. ❑ Application for use of an alternative system signed by owner and notarized. (1 copy) ❑ Holding tank agreement signed by owner and local unit of 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 test data. from county (1 copy). ❑ Plot plan showing location of holding tank with lateral dist- ❑ Cross section of system. ❑ Pipe lateral layout. ances to any building, wells, water service ❑ Plan view of system. ❑ Plot plan. y 9, piping, water 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. III. Private Sewage Disposal Systems V. Lift Pump ❑ Ground slope with 2' contours in entire area of soil absorp- tion system extending 25' on all sides. ❑ Calculations for total lift pump discharge, head and gallons pumped per cycle. ❑ Elevation of permanent reference point (benchmark). ❑ Size, length & depth of force main. ❑ Location of area suitable for replacement system - provide soil data. ❑ Detail & model of pump or automatic siphons including ❑ Plot plan showing lot size and all lateral distances from size, pump curves, drawdown and average flow rate GPM. sewage ❑ Cross section of lift pump tank showing pump(s) or 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 0 Copy). ❑ Copy of onsite report by county or district staff. 1 CQ C' SS or,c~n4 S~~ < P1~ n DO uf",~rr Iy Sw'),~ S+Cro ~ K t ,a coo n Lj l w, 5 c sz Q~ ~9 A O Rc) dente 40 I'lo ~i~~:e 9 P'Z~ 4r do i S Fr-rYv~ •f-u v~ 3 ✓ I a~~~ JJCI? ~ i 111 r e- ~ 6. ~F L So iv% -7 J' SSE C l l L J C G, / I `LcQg t I ~P('G VSC O(~ ?,n~Y ~i~..p C. )~.y ~!j') rV ~~?~k ~ l) , 1 D ) ' Nye - Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medlum Sand Topsoil G F 3 E D link P IP Force Main Plowed ~J2 P fr" t P, E~b~►Q ote From Pump Lo er ~tr1ENYtv c 'xrL:-'`' j'aiju y gE~ GOE / - S Cross Section Of A Mound System Using A Bed For The Absorption Area F 7s • G / o A F t . H Signed: (3 y6 F t. License Number: 3 ( I y Ft. Date: J ~3 Ft. K /0 Ft. Alternate Position F Ft. of Force Main W Z'~ Ft- L Observation Pipe t A - - Force Main I - ~7D From Pump stribution Bad Of 2 - 2 2 Pipe Aggregate f Observation Pipe P ! ermanent Markers f Plan View Of Mound Using A Bed For The Absorption Area Page W P~:!~rntrd Pipe Detull - / I-nd._Vmw Per loralea ~ End Cop y~. Pvc Pipe ~a ce Holes Located On Bottom, \ S\ Are E4uolly Spuced PVC Force Main From Pump i v PVC Manifold Pipe ~Uir,lribulion Alle.nate Position Of Pipe Force Main From Pump Lacl Hole Shoulq 8e Neat To End Cop r End Cop x,button P14 .a3`~ o t~LA?IONS P 2 Z KKe~yy i ` , ' /7 5E~~ BES4'ONDENCE S X Y Signed: Hole Diameter Inch License Number: Lateral Inch(e,, Manifold Inches Date: Force Main Inch(,,, v PA1,t OF PL1MN (HAM~LK (~KUS~ 11ON Akita `J'l 11 It Al j( / All VLN( CA1'J~~ 4"E.1 VL N I YIJ'L W(AI Hl K PK(JOF AYI'KOVVp L-Ul KI JL .JIJN(- I ION bc))( MAKMULL CoVt- K l WINDOW uK k KL SH I2 MIU. I AlK IN 1 AKL KALi k_ - - - I `1• MIN. ~ Ib" MIQ. I cou Du IT--/ Ib"MIN. - - - - 1. - V R C&)~JD L - P :a5`~ib4~ ~ S L A L Ar NkUYk I~ JGIAII A rJ~C.1. I1Pk .1. ri ~ a ik v° I III AI'PKDVLU jbiti Llrl LNUINV ww` w/C. i. I'IF L ii. l .WID ~T' I I I W LNDIUC. J' AP C)NTU SOLID .(.Il_ - I I ALAKM e dsPAhlM I jI II utiro souu so J~j SEA _ I PUMP - l J oFF D CONCRETE bLOLK- -X- KISLK EXIT PLKMIlILU CitJl-y IF JAtJK MAJJUFACTLJK6K HAS UCH AVI'KUVAL I'I ~:II I(_AI I(A-1S I' 1 I ANU \ TANK' MANUFALTLiKI-K (JU/AbLK 01 DWiLS: _---A PLK UAL lA►JK JLL C>AL-LOKJ1 , DUSL VOLUME: ___~.=1- I,ALLUAIS AL AKM MA►IUFACTUIl6 K: CAPACITILS: OR C,AL~ ON MGULL KJUMbLK: 7- L _IAII_HLJ Uk AL_ GALLOrJS ~WITGH •_~5IAILHES ON G A L L O N I'llllllV MANIItA( 1LJRLK: V - U - ---_l_-.?I INL-HE:. C)K I..ALL LiN MUt1L L NUMbLK. NCB I L. I'UMI- ANL) ALAKM AM. F ILL Z)WIICH TYPE: (lt I c_ IWAALLLU ON 5LI'AKATE (-IKCUITS PUMP Dl,)LHAKI-L KATE, -.5~0-5~5 C. yM 11 J h c VE-KI ICAL UlkFLKE►,►LE bL-I WLLN PUMP uFl ANU UISIkibUTION I'lPL.. 1-Lk_ I / t MINIMUM lQC-rWOKK SUPPLY VKLt)SUKL LLT k L L -I CA k U K C L MAIN X -Y r - - uILFKIC1101,11ACYUK..-._-~~)FLE-1 TG-rAL Ut JAMIL: HLAU J q-'.~1 F LL I 1 L a. M. G t t fl- IWTL.KAlAL DIMILWStOkJ£ OF TA►JK: LL-tJL, I H ~r ;WIDTH ; LIWUIU DLf' r H _ ~2 1 Bulletin CL2.1A • July 8, 1983 For Homes Farms Trailer courts hModel 3885 Motels (supersedes Modal 3870) ,o 11 vx~ Schools t , ; Submersible • Hospitals Effluent Pump Effluent Pumps r f + )a ' y • Industry Effluent Systems anywhere effluent M or drainage must be 4^ ,ar;v{~r c nwerm''e+etWlbrlWRm,f,r,r disposed of quickly, rr,,~ quietly and efficiently.' , rt4 Heavy-Duty Solids Handling Dependable (Capability to 3/4" 'h, Ili H.P. 60 Hz Simile Phase 115, 230 Volt. 'h, lf, 1, 1'11 H.P.60 Hz Single Phase 230 Volt. Three Phase 208-230, 460 Volt. IRU r 70 MODEL 3685 " w WE1lJN _ _ RPM 1750/3450 LL 60 - - WEU7Fi 's LU Y 50 - - - - - L~,,:i 40 WEOJM / I- 20 • . .1-- - r\`;.~„-, 1. 1 . I. SF'ECIFICA'jtONS AHL 'AILiJt_CT I V CI1ANGt • 10 - - WIIt-()UI NOII(A 0 0 10 20 30 40 so 60 74 80 90 100 110 120 GOU LDS PU M PS, I N C. GALLONS PER MINU rE ~.Nr~~ nJ.l~, Jw_w ~tu1t_ and T p 7c IC~J~a7J e ivo , I d fd e 6r. t i I, Uie undw siynud, Ile, cartify thus the soli Icsls reported Uri 11114 form were made by file in :accord with the,xocedu,es and InCihuds Si)eclflCd Ili the VVI, Aduunistidi rve Curie rind 111Ot file ('did recu,ded and Ifle lucdtiun Of the u'sU Ore LUIIULt tO the hest of my knowledge and belief. si II.SISWLHF L) ON i GtH I If i( Al ON rv<JA1dLIA I l1UNL NUMLi Ll4 CSI _,1~ ; JiE - UISTIIIISUl10N 0,q1.11-11 ,nd 0''U tulIV u, l or,,l Aulhui,ty, 1,1u(arity (Jwne, rind Soil Tesle, ,I, Jill (WI 11 IN I)FPARTM-Fll , OF' REPORT ON SOIL BORINGS AND SAFETY & BUI__DINL~~`. DUSTRY 11 DIVISION LABOR AND PERCOLATION TESTS P.O. BOX 19/ HUMAN RELATIONS \115J MADISON, WI 5310O/ 63.0911) & Chapter 145.045) (LOCATION SECTION - - - LI-- W(\SIII MU ICIP AL I 1 Y: LOT NO.: BLI<. NO. SUBDIVISION NAME: -1 jt~ COUNTY OWNER'S BUYER'S NAME I I AD~RFSS. USE F J r - /Ul~~- --j.-J----- DATES OBSERVATIONS MADE NO. BEDRNIS. COMMERCIAL DESCRIPTION: - - - - PROFILE i)FSCHIf FION,>: f ER~`~l TI( (yI l FSTS: ~~Residence Skew ❑Replace 7 cll,~Np l ►y~ J RATING: S= Site suitable for system U= Site unsuitable for system ICONVENTIONAi MOUN D tN-GROUNIIPRESSOnE SYSTEM IN FILL HOLDING TANK: R12, ENDFD SYSTEM:(opvon,l) u Qs❑u asA IESru asxUjIf Percolation Tests are NOT required DESIGN RATE - - - Ipor tion of the ristt.d arr-3 is in the under s.H63 09(51(hl, indicate: dplain, indicate F Ioodplain elevation: PROFILE DESCRIPTIONS BORING rtjTAL p PTH TO GROUNDWATER-INCHES CHA Nl1MRER DEF'1 RACTFR OF SOIL WITH THICKNESS COLOR, TEXTURE, AND DEF TH H IN. ELEVATION OBSERVED EST_71GHEST TO BEDROCK IF OBSERVED (SF F_ ABBHV. ON BACK ) - - B 6 S. c~r'u S 1-c~oi~°, /o rc~ t~ B - L-1- S i Nu S 7_11 B- _L_ -I-_QL~-3~- p ~S✓~~~~ s t'h Q~ r'a~ O~ ~a r t c~ C-H 11S PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER T_EVFL-INCHES RATE MINUTFS NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P(_RIOg1 PEriOD2 P PFRINCH P N- -U P- P_ P_ JC> P l PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale o distances. Describe what are the l,- 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 p(,rm.. of land slope. SYSTEM ELEVATION 16) Itr(', /)O/c d b vo to tku. top a n ne 1 tw c p hurt e ~nX ftt.-) 'h ea A4 No >2>,,nr 4 ? P~ 4 Far- Qt'd G'•<D A~; I I N ~ ' Ll V 419 . Pt ti°z,4 v -Tel ~ho~~c FQQ~ Grn,Jr 4QCeSS I, the nnrlersignerl, ho-hy Jmrtify that the soil Pests reported on this form were l by me in accord will, II- 1-wodures and melhrd, ;I r rili~,il w Ilm L~!Adimimirative Code, and that the data recorded and the location of the tests are correct to the best of my knowln(frte and hehef. NAM( t[: if,lJd Itl: r;f) I'I I-If I)I)(\i - 1v1mlo - - CFR i ll tl.)N NI IMlil I! `I' ii'i~ GII in' t.5-1 A'nl tilI o'er'-J~~~J P1~n 8 y oo (08 ~vr~~~r ~c reS Z.5 I-ce')Cf J J N T n C \ v 1 a r~` s~ 4 io' e- 60 F ti<h cis[, I e~ b~ J bG~' ~o 9 Y_ 4F ( i L~ 7 ~So t,7 b 3 rs' C Rep 4 (1 1 OPTIONAL WORKSHEET 1. MOUND SYSTEM 11. Ili-GROUND PRESSURE SYSTEM-Continued- 1. Wastewater Load, Total Daily Flow = L'L J gal. 10. Force Main: Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = gpm, Adm. Code and PROVIDE A DETAILED Diameter = in. LIST OF SIZING ON PLANS. 11. Total Dynamic Head: 2. Depth to Limiting Factor = ft. ) i System Head ~ ~2.5 it. 3. Landslope = °/E Vertical Lift = '_S ~ ft. -F'~- 4. Distance from Dose Chamber to Friction Loss = ft. Distribution System = ft. TDil = f(. 5. Elevation Difference Between 12. Pump Selection: Pump and Distribution System = ft. Pump will discharge at least gpm 6. Absorption Area Sizing: at ft. total dynamic head. r Area Required = sq. ft. Pump model and rpynufacturer: /I. Q L" 'L, Bed or Trench Length (B) _ 6 ft. t~ `l I . V ~ + .1 A Bed or Trench Width (A) ft. 13. Dose Volume: Trench Spacing (C) = ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines = gal. Fill Depth (D) ft. Dally Wastewater Volume -iFill Depth Downslope (E) = r. ft. 4 Doses in 24 hrs. = gal. Bed or Trench Depth (F) ft. Backflow = gal. Cap and Topsoil Depth (G) = O ft. Minimum Dose = gal. Cap and Topsoil Depth (H) = ft. 14. Dose Chamber: 8. Mound Length: Volume = gal. End Slope (K) _ /Q ft. Total Mound Length (L) _ ft. 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: 1. Wastewater Load, Total Daily Flow gal. Upslope Correction Factor = Use section H 63.15 (3) (c), Wis. Upslope Width (J) = L? ft. ~y f G / Adm. Code and PROVIDE DETAILED Downslope Correction Factor LIST OF SIZING ON PLANS. Downslope Width (1) = ft. 2. Required Septic Tank Capacity = gal. Total Mound Width (W) = ft. 3. Percolation Rate = min./m 10. Basal Area; 4. Absorption Area Sizing: Infiltrative Capacity of Refer to Table 2 in chapter H 63 Natural Soil = gal./sq.ft./day and PROVIDE: A DETAILED LIST OF Basal Area Required = sq. ft. SIZING ON PLANS. Basal Area Available = sq. ft. Required Area = sq. It. 11. If Standard Tables from Chapter Length = ft. H 63 are Used, Indicate Table No. Width ft. 12. For the Distribution Network, Use Numbers 5-14 in Section II. Number of Trenches = Trench Spacing = ft. II. IN-GROUND PRESSURE SYSTEM 5. Distribution System: 1. Depth to Limiting Factor = ft. Lateral Length = ft. 2. Landslope = % Number of Laterals = 3. Percolation Rate = min./in. Lateral Spacing = in. 4. Proposed System Elevation = ft. Distance from Sidewall to Pipe = in. 5. Wastewater Load, Total Daily Flow: gal. System Elevation = ft. Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL LIST OF SIZING ON PLANS. Fill in All Items from Section III Required Septic Tank Capacity = gal. 6. Absorption Area Sizing: V. SEPTIC TANK Percolation Rate = min./in. 1. Capacity = gal. Area Required = sq. ft. 2. Manufacturer: System Length = ft. 3. Show Site Constructed Tank Details on Plan System Width = ft 7. Distribution Pipe Sizing: / V1. DOSING TANK Hole Site = in. I. Capacity = gal. Hole Spacing = '0 ft. 2. Manufacturer: Laleral Length RI. t. Purnp Manulaclurer: Laler.tl Slic r in. 4. Pump Model: Lalerdi Spacing fL 5. Operating Head= ft. DISId11U' Irvin "Idew.tll'tu Pipc la~ in. I low Rate= gpn1. 8. DWIlhulion Plpu Dlschatge R.tly: ~y 7. Show Site Constructed Tank Details on Plans Number ul I lulus Pei Pipe 1 low Pei Pipe ~ gpnl. VII. HOLDING I ANK 4. M.milold Siting: 11 Capacity = _ gal. ypo (cunlot ui end) z t. 2. Matwldc(urer. Length _ I I. 3. Show Site Constructed Tank Details on Plan. Diameter in. "iI(, ~?nt e I ION ON PLANS t• O~ - Page _ Of - Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand _ G Topsoil F E D % Slope Bed Of 2.- 2 %2 Force Main Plowed Aggregate From Pump Layer D Cross Section Of A Mound System Using E • A Bed For The Absorption Area F 75 G /,0 A Ft. H Signed: B Ft. License Number: I Ft. Date: J_ Ft. K /(7 Ft. Alternate Position L Ft. of Force Main W_ Ft. Observation Pipe A I----------------------- ----------------------•I ----------------------•I Force Main W - T-------- From Pump Distribution Bed Of z - 2 2 Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Page _ Of _ I Perforated Pipe Detail 1 / End View (Perforated End Cap)) \c~ PVG Pipe 1. J106'oo~ce Holes Located On Boi+o, Are f. uu~•, y ;uu; PVC Force Main • F + From Pump PVC Manifold Pipe Alternate Position Of Distribution pipe / Force Main From Pump Lost Hole Should Be Newt To End Gap End Gap Distribution Pipe Layout P R~ S X 34 Y 7.J`''` Signed: Hole Diameter 5 IW Inch Lateral t Inch(es) License Number: Manifold2 Inches Date: Force Main Inches ' PAGE . OF PUMP CHAMBEK CKOSS SECTION AAJD SNECIF IC'AI IO~JS VCHT CAP `i"C.l. VLNT YIYE WLAFNEK PROOF APPROVED LhCKIN(, 25 FKGM Uv(JK, JUKJCTIOIJ box MANHOLE CCIVE.K WIIJDUW OK FRL SH ILMIU. AIR IMI"AKE G K A D L - I - -r4ll I `f'MIN. 18" M I Ki . COIJDUIT 11 ~ - IHI_L_ r PROVIDE AIRTIGHT SEAL I I i I ` / AYPKOVL U JOINT A PIPE: W/ C. -1- VINE. I I APPROVEU JOitiT I II W/C.I. EICTENUIKJG 3, I _ I I I ALARM EXTEKIDIKIG U' O1WTO SUL_IU ` GI I.. fi I I I OIJTO SOLID 5OIL - I I i off C I I ~fG,~Z I PUMP - 1 I OFF D COKICKETE BLOCK- KISEK EXIT PEKMIlJLD OKJLy IF 1AQK MAMUFACTURE-K HAS SULH APPKOVAL SPCC.IFICATICAJS I TIC AML) SSE TA AI KS MA►JUFACTIJREK: 1c- Q~IJUMBEK OF DOSES: 4 PLK DAJ --1---- IAHK ,ILE S(7 GALL0 JS DOSE VOLUME: __j_qj_____(, 11 nn ALLOhJS ALARM MAKIUFACTUKkk: ST L(f-Jr> CAPACITIES: A__-ts-1-4_IQCHES OR 32 GALLOrJS MOULL ►JUMbEK: _ ll~ l ) IKICHESOK GALLONS SWITCH TYPE: . 0 C A, , 2SIKICHES OR I GAL L O I.i S I'LIMI' MAMM AC I L1RL It: SI D= __LC . WCHES OK r ^ GALLOIJS ML)1)L.L "UMbLK'. HOI L I,UMP AND ALAKM ARE TO BE SWITCH TYPE: _ ~°~(lt 1 r~ I"ST-ALLED OM SEYAKATE CIKCUITS PUMP DISCHARC,E KATE: alp GpM Z VEKi-ICAL- UfFFtKEfJCE fjETWEEK1 PUMP OFF AKJD UISTRIfSUTIUH YIPL._ _ l F LEl + MWIMUM NETWOKK SUPPLY PKESSLJKE . . . t.5 FEET + 2Q_ FEET OF FORCE MAIN X 33 F~ ~ur[FKlCTIOIJ FAC70K_.-__aID~FEET TOTAL_ DJIJAMIC HLAD = u .27 FEET I 75,r IIJTEKIJAL 0lMLWSIOKJS OF -1-A "K: LEIJ(~TH ,WIDI H ;LIGIUID DEPTH I I PA( ,k G F PUMP CHAMBER CKOSS SECTION AkjD SPIOf ICAI10 VL KI f CAP 4"C. I. vEn1-r PIPE WEAf HL K PKOOF I APVKOVL 1) LU(_KINIG 1 JUA1C rio" box MAIJHOLL CUVLK - L5' F RCM UL(~K, WIMDOW GK F`KL SH 12"Mlll. AM (WAKE I GRADE - I - - I y'MIIJ. °MIAI. COIJDWT- IA1LE7 PROVIDE - I i AIKTI(aHT SEAL I I i I API'KOYL i-) JGIN7 A I III APPROVED -ioiNT W/C.I. PIP6- I I I w/C.I. PIPE CXTENDIIJG S` - I III ALAKM EXTEIJDIU(, 3' QWTO SOLID GI L_ e I II ONTO soLID SOIL- PUMPj OF.F I D ~ ' JJ i I COAICKEI L bLOCK- I I KISEK EXIT PEKMI7TLD ()"L-`_j IF fAfJK MAKIUFACTURE.K HAS tiUCH APPKUVAI. `~PLCIF ICATIOf~1S _PTIC AND 1w, ~L TAIJK`.; MAMUFACTURE_R: C~SQr ' ICY ~ ~ MUMbEK OF DOSES: _ PEK DAy -I ALIK IZC : _?I _ GALLUI IS DOSE VOLUME: Jc-- _ t G.ALLOMS ALAKM MAWUFACTUKEf(. tr Io~TJ~L_ y/4CPNCI CAPACITIES: A_IMCHES OR / T~` ,-T• ~ ~L- GAL 1, 0 ►.I S MOUCL ►JUMbEK: ,fir 8IAICNES UK GALLONS SWITCH TYPE: _ `li C=2.5 INCHES OR~ GALLOIJS I LIMP MAIJ111AC1 URLK: 60 V I d L) -__14 INCHES OR GALLOIJS MuLiL L IJUMbEK'. M 9 R5 11 nZ M NU IL: PUMP AML) ALAKM ARE TO BE Z)wllCH WtAALLED OM SEPAKATE CIRCUITS ~ J PUMP DISCHARGL KATE s(l)GPM al, ~ , P d r.[PO / ! Get VLK~~ICAL. DIFFcK.EKICE bE-fWLLAI PUMP OFF AUD DISTKIOUTIOfJ PIPL.. 136 FILL I + MIIJIMUM NETWORK SUPPLY PKESSUKE . , _ 2•5 FEET FEEL OF FOKCE MAIN X 1d0 Fotr-FKICTlo11 FACTOR- FEE l 'r TOTAL DJiJAMIC_ HEAD II= FELT IMTEK AIAL QIML JS1OIJS OF TAIJK: L.L, a} I ;WM'DTii ;LI(.IL11D DEPTH t 1. MOUND SYSTEM it. II:-GROUND PRESSURE SYSTEM- Continued-l. Wastewater Load, Total Daily Flow= D gal. 10. Force Mam: Use section H 63.15 (3) (c), Wis. Minimum Dusing Rate Adm. Code and PROVIUE A DETAILED Diameter = In. LIST OF SIZING ON PLANS. Z 11. Total Dynamic Head: s 2. Depth to Limiting Factor= ft. System HCAd = , I l '2.5 It. = I f r 7 ft. 1. Land1,IOPC = % Vertical lift ) 4. Distance from Dose Chamber to Friction Loss = ft. Distribution System = 1 DiI = ( 2 ft. 5. Elevation Difference between 12. Pump Selection' Pump end Distribution System = ft. Pump will discharge at least 3 LO gpm 6. Absorption Area Shting: at ft. total dynamic head. Area Required sq. ft. Pump model and manufacturer. Bed or Trench Length (B) ft. °v ~5 l `ZE U Sf`v Bed or Trench Width (A) ft. 13. Dose Volume: French Spacing (C) fl. 10 Tlrnes Void Volume of 1. Mound Height: Distribution Lines = gal. I Ill Depth (D) _ /'0 ft. Dally Wastewater Volume Fill Depth Downslope (E) _ / . S ft. 4 Doses In 24 hrs. = gal. Backfiow = gal. Bed or Depth (F) 17 _ T, _0 ft. Minimum Dose gal. Cap and T opops soil Depth h ( (G.) _ ~ D f[. Mlnlrnurn Dose = gal. Cap and Topsoll Depth (H) - s ft. 14. Dose Chamber: 8. Mound Length: Volume gal. End Slope (K) TorAI Muund Length (L) III. CONVENTIONAL PRIVATE SEWAGE SYST Ervl Mound Width. 1. Wastewatei Load,lotal Dally HOW UpslOpe Correction Factor = Use sectlon H 63. 15 (3) (c), Wis. Upslopt Width (J) CL 3 S ft. Adm. Code and PROVIDE DE TAILED I - Down slo r Correction iFactor - LIS I OF SIZING ON PLANS. pe Width = f[. 2. Requited Septic I ank Capacity = g..! Total Mound Width (W) = -2-'. ft. 3. Percolation Rate = min./in. 10. Basal Arta. 4. Absorption Area Sizing: IntlhratlVC Capacity of Retei to Table 2 in chapter H 63 NarulAl Suit ~ ' gal./sq.ft./day Arid PROVIDE A DETAILED LIST OF Basal Area Required = .2 sq. ft. SIZING ON PLANS. Basal Area Available _ sq. tt. Required Area ° sq. It. 11. If Standard Tables from Chapter Length = ft. H 63 are Used, Indicate Table No. Width ft. 12. For the Distrlbution Network, Use Numbers 5.14 In Section Ii. Number of Trenches = 1-101101 Spacing = ft. it. IN-GROUND PRESSURE SYSI EM S. Dlstributlun System: I. Depth to Limiting Factor = ft. LACral Length = ft. 2. LAndsiope yL Number of Laterals = i. PCrcOlAllon RAtc = rnin./in. LAteral Spacing = in. 4. Proposed System Elevation = it. Distance from Sldewall to Pipe = in. S. Wastewater Load, Total Daily Flow: gal. System Elevation = ft. Use section H 63-1i (3) (c), Wts- Adrn. Code and PROVIDE A DF.I AILED IV. SYS fLM-IN-FILL LIST OF SIZING ON PLANS. Fill in All Items iron) Section III Required SCptlc Tank Capacity = HAT. 6. Absorption Area Sizing: V. SEPTIC LANK PCfCOIAtton RAM mm./1n. 1. Capacity = gal. Area Required = sq. If. 2. Manutacturer _ System Length ' ft. 3. Show Site Constructed Tank DCtaiis Oil Plan System Width ft. 1. Distribution Pipe Sizing: VI. DOSING TANK In. I. Capacity - gal. Hole Siic = Y 'I Ffolc Spicing = -5 it. 2. Manulaclurcr. I_AlcrAt Length II. i. Pump Mol.rclurcr: Larcr.ll Sill; r In. Pump Model; I Aler.il Spaeinµ IL S. Operating Head= it, Di,l,un;c Irony '.tduw.ui rrpo l.. I low Rai. gpm. W Dlnlflhutlon Plpu Dlscln.ogu 14.610: p '.how Site Constructed lank Details on Plans Nunlhoi qI I Iola. Pei Pipe 3 I low 1'01 1'Ipc q gpm. VII. IIOI.DING l ANK '1. Manllold Suing: I. Capacity = gal. 1 ypc (w111c1 rut Unit) 2 2. Ma1lulacLUrCI: Length 3. Show Site Constructed 1 ank Details on Plans Dlannuttir = In. -SHOW ALL INFORMATION ON PLANS-- 0ILHR SHO-6761 (R.03i82) r Page Of Straw, Marsh Hay, Or Synthetic Covering I Distribution Pipe Medium Sand Topsoil 3 E D b % Slope Bed Of 2~- 2". Force Main Plowed Aggregate From Pump Loyer D Cross Section Of A Mound System Using E ~r A Bed For The Absorption Area F 75 • G /,0 A Ft. H (v Signed: B ~?6 Ft. License Number: I Ft. Date: J Ft. K /0 Ft. Alternate Position L Ft. -1~-- of Force Main W Z e Ft. L - - Observation Pipe---,, 6 - K A I----------------------- - - W to -------I Force Main From Pump -Distribution Bed Of - 2 2 2 Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area r Page - Of Perforated Plpe Detail / End View )Perforolea End Cop A PVC Pipe Holes Located On Bottom, el`o o~`• \ Are Equally Spuced / PVC Force Main \Jy / From Pump / P PVC Manifold Pipe Alternate Position Of UislnDution pipe Force Main From Pump Last Hole Should Be 1 Next To End Cop 1'y End Cop oy",j! R S X ~~rt Y 3v„ Signed: Hole Diameter Inch Lateral Inch(es) License Number: Manifold lh, Inches Date: Force Main 3 Inches WORKSHEET - PRESSURE DISTRIBUTION NETWORK DESIGN PROBLEM Design a pressure distribution network for a bedroom home. The site characterisitics are: Depth of groundwater or bedrock Landslope Percolation rate' min./in. Distance from dose chamber to distribution system ft. Elevation difference between pump and distribution system ft. Step 1. ESTIMATE WASTEWATER LOAD c C. Step 2.. SIZE THE ABSORPTION AREA. A) Area required s, B) Select length C) Width is D) I will use a manifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is in s B) Hole spacing I will use is z in. C) Lateral length is < ft. D) Lateral size in. Step 4. DISTRIBUTION PIPE DISCHARGE RATE i Step 5. SIZE MANIFOLD i A) Manifold length ft. B) Number of distribution pipes = 0 Manifold diameter - in. Step 6. SIZE THE FORCE MAIN A) System discharge rate B) Force main diameter C) Friction loss will be ft./100 ft. Step 7. TOTAL DYNAMIC HEAD A) Vertical lift ft. B) Friction loss ft. C) TDH = ft. Step R. SELECT A PUMP Step 9. DOSE CHAMBER SIZE Step 10. DOSE VOLUME INDUSTRY, DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDING; LABOR AND P.O. BOX 796! PERCOLATION TESTS (115 Dlvlslor HUMAN RELATIONS ~ 63.09(1) & Chapter 145.045) MADISON, WI 5370: LOCATION: SECTION: DW SHI MU ICIPALITY. LOT NO.: BLK. NO.: SUBDIVISION NAME: (~1 1 -1/a /To N/R E( 1 W _ COUNTY: OWNER'S BUYER'S NAME: I I AD RESS: , USE NO. BEDRMS : COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE Residence ®N ❑Re Replace PROFIL nE/S~CRIQPTIONS: ER T N `BESTS: evv RATING: S= Site suitable for sSite unsuitable for system ouraw ROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: REC M ENDED SYSTEM: (optional) DS ©u ❑s®u DS au - Lunder rcolation Tests are NOTrequired DESIGN RATE: s.H63.09(5) (b), indicate: If any portion of the tested area is in the _ `l Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH 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- to 1 0 60 112 nn r t?' rug y:?Je rb !v rK ~ C t'c p P 3 S 71 B- ~ B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PEWATERIROLEVEL-INCHRAT PER MINUTES PERIOD t DROP IN INCH P- p b 3U 3 P- P- P PLOT PLAN : Show locations of percolation tests,'soil borings and the dimensions of suitable soil areasIndicats. 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 7 3 i Ur i p I I _ - - - ~o -I - b ftrc fi abhyo toe I v c1c No 535 /a 1Ye w~~1° a 4 j- - tN , - i 11 C) -0 L16- i r - 3 F~ GJ irlo M tv a U 6p 74phohc t ~r GrQJ~I recess. 1, 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 TESTS WER CO PLETED ON: Z n i ADDRE CERTIF CATI N NUMBER: P ON NUMBER (00t'on"10 CSl Iy~J iURE:~~~ AdML