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040-1005-50-000
o n o K T 0 _o~ m (D p a • ~ 3 - z z u: co N= o o 0 0 m w a° o w a i• 0 C)o O a O J O CD 0 O < (D CT, 0 -n m w 0 C O O CL Q 7 N Q1 O hs f/1 f/1 W d O N z o m 0 p o m \ O ° 0 r (A z o co CL N o c N ~ ~ ~ Al o o O P~1 • O O O ~p CD N N N Z N U v g o A CD M N N O d, O ~t G N ~ O CD 7 D D o 'G c 0 ~ a m ° Z M u` p Z tD v ~ O `p Z O C) Z N W 03 C m m co , z O 3 A o Z 3 m N Z (D w ~ 3 m 0 D = Co Q ° 0 w M c C 7 7 CD O (O 7 N 0 G O N m -0 o ° O' O N O x ~o s ZZ, ip It 4-1 CD k" o DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , ) DIVISION LABOR AND P.O. BOX 7969 PERCOLATION TESTS (115 HUMAN RELATIONS (H63.090) & Chapter 145.045) \ / MADISON, WI 53707 LOCATION: SECTION: TOWNSHIP/ NTE ) "1/4 MMITY: LOT NO.:BLK. NO.: SUBDIVISION NAM"1/4 IT23 NCR 14 (or) W Troy !45 n/a n/a COUNTY: OWNER'S( F M NAME: MAILING ADDRESS: St. Croi`> K.13. Priester 61" 2nd. St., i?udson, Ili. 54 1-6 USE NO. BEDRMS.: COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE esidence (PROFILE DESCRIPTIONS: PERCOLATION TESTS: rl/a ~CVew ❑Replace 6-1R-~2 Lan 6-2G._o2 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: 1 SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) El S H U H S ❑ U . El SU ❑ S DU ❑ S E~JV rlound If Percolation Tests are NOT required DESIGN RATE: under s.H63.09(5)(b), indicate: If any portion of the tested area is in the n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS Page 74 1.71-C2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH HICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 50 99.35 none 26 -10, 1.0yr4-/2, L. ; 10-26, 7.5yr-4/4, S1. ; 26-50,- 10 r5/!L root. cl_. (10Vr-5/3-5yr4/6) B 2 50 0~, 35 none >5n -11, 1-Cvr4/2, L.; 11-20, 1.O-,Tr4; 4., s~ l.. ; 10vr!,,/4, s.l. B- 3 54 96.35 none 36 -11,10yr!,12, L.; 1.1-15, 10yr4/4, sit.; 18-36,- 7.5vr4 sl. 36-E..r 7.5 r4/4 not. sl. (7.5tTr!a/6 B- 10yr6/2,); 4.n-51--, 2.5yr5/1;.-7.5yr6/8 ) not. cl. B- B- PERCOLATION TESTS NUMBER IDNCHES AFTERSWELOL NG INTERVAL~MIN. DROP IN WATER LEVEL-INCHES W224 PRIOD 1 PERIOD 2 PERIOD 3 RAPER (INCH ES none 30 11: 2,!s none 30 none_ 30 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 1 • 6. A- d } p 3 EC _ _ a`te` E zo , H i. 1, the undersigned, hereby certify that the soil tests ed `J (his fo~m,we~ de in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and catip~n Fke ; s arlerp'ect r► best of my knowledge and belief. o NAME (print): T .S m C-C~ TESTS WERE COMPLETED ON: Garv L. Steel ti ADDRESS: ti h- ,4-Q CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave. New nichiiond W?~. 2.~ 715- -46-6200 CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) 0 cn O 3 w d ~ m f i cw 0 ~e 3 3 n 3 ~ (D 3 - va ^ o y o .0 2 -1 0 0 "'s h o ? O W N CD 6) Q _G N - FBI U) V O ° co ° ° n co j W - ~ n o Cl) z D C a 0) o w a a can ° o 0 m o CD a o r cn !►i N 2 c c 000 3 y fl N O D ~f Cil o~ a ("D Ui v v j o n0 m 'a rn zz~ N D D o O s n c CD N N p z a A z O z --i w co m N (D (D co Q z 0 3 o - z m y z CD A i W 3 3 A 0 3 o N c (CD z y ~ a ~ a I N r~ N N p `G o° a N cn o P ~ Q b O x oa ~ n. N S N 0 0 A (D O fn 0 o ~ ~ p o° 0a ti b ~ ~ r, ~ ~ ~ - ,v ~ ~ ~ C` a sv fir, ~ ~ ~ ~ ~ ~ Parcel 040-1005-50-000 12/27/2005 12:52 PM PAGE 1 OF 1 Alt. Parcel 03.28.19.33F 040 - TOWN OF TROY 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 - BAKER, RICHARD & MARTHA KLAAS- RICHARD & MARTHA KLAAS- BAKER 11280 RIVERVIEW RD EDEN PRAIRIE MN 55343 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.020 Plat: N/A-NOT AVAILABLE SEC 3 T28N R19W 5.02 AC IN NE NE LOT 45 Block/Condo Bldg: OF CSM IN VOL I PAGE 101 ORD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1073/109 TD 07/23/1997 1073/108 WD 07/23/1997 962/579 2005 SUMMARY Bill Fair Market Value: Assessed with: 102030 74,300 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 71,500 0 71,500 NO / Totals for 2005: General Property 5.000 71,500 0 71,500 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 71,500 0 71,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 040-1005-40-000 12/27/2005 12:55 PM PAGE 1 OF 1 Alt. Parcel 03.28.19.33E 040 - TOWN OF TROY 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 DENNIS M & DENICE K ANDERSON O - ANDERSON, DENNIS M & DENICE K 661 DEERWOOD DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 661 DEERWOOD DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.020 Plat: N/A-NOT AVAILABLE SEC 3 T28N R19W PT N 1/2 NE 1/4 PARCEL Block/Condo Bldg: DESIGNATED AS #44 ON SURVEY & DESC I VOL 496 PAGE 493 ORD Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) J~ 03-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill Fair Market Value: Assessed with: 102029 244,700 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 71,500 164,000 235,500 NO Totals for 2005: General Property 5.000 71,500 164,000 235,500 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 71,500 164,000 235,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 131 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • Parcel 040-1005-60-000 12/27/2005 12:55 PM Alt. Parcel 03.28.19.33E PAGE 1 OF 1 Current X 040 -TOWN OF TROY ST. C Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type COUNTY, WISCONSIN 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner PHILIP R & JODI L SKOOG O - SKOOG, PHILIP R & JODI L 667 DEERWOOD DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * =Primary Type Dist # Description * 667 DEERWOOD DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres- ' .010 Plat: N/A-NOT AVAILABLE SEC 3 T28N R1 9W 5.01 AC IN NE NE LO 4 J Block/Condo Bldg: OF CSM IN VOL I PAGE 101 /J Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 03/03/1999 598734 1407/595 WD 07/23/1997 1073/110 TD 07/23/1997 1073/108 WD 07/23/1997 973/297 2005 SUMMARY Bill Fair Market Value: Assessed with: 102031 368,900 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve ) Total State Reason RESIDENTIAL G1 5.000 71,500 283,600 355,100 NO Totals for 2005: General Property 5.000 71,500 283,600 355,100 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 71,500 283,600 355,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Total Special Assessments Special Charges Delinquent Charges 0.00 0.00 0.00 5 ACRES EACH - RT #1, DEER WOOD DRIVE, HUDSON $12,000.00 EACH (ST. CROIX DOWNS) 388 P T7V Lot 37 Z-o 5 acres ~N n r. -Deer Lott Lot 46 Lot 47 5 acres 5Sas 5 acres M N _ M 00 347' "351' ° 406' Dimensions are approximate COMMANDING VIEW OF COUNTRYSIDE LEGAL: LOTS 37,45, 46 & 47 ST. CROIX DOWNS, NE 1/4 OF NE 1/4 SECTION 28N, R19W, TROY TWP. ST. CROIX COUNTY, WIS. DIRECTIONS: FROM BRIDGE, TAKE 94 EAST (4 MILES) TO EXIT 4, GO SOUTH 1.4 MILES, LEFT ON DEER WOOD DRIVE. LISTING AGENT: BETTY HERBERT 612-433-2086 0 Ce-ftvo PENDLETON COMPANY 612-777-1307 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR _SAFETY & BUILDINGS LABOR &'HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 El CONVENTIONAL EALTERNA IVE state Planl.D.Number. 11f assi ) E Holding Tank ❑ In-Ground Pressure Mound gned NAME ERMIT HO LDER ADDRESS OF P MIT OLDER: INSPECTION DATE. B NCH MARK (Perm refer a point) DESCRIBE IF DIFFERENT Fq0 PLAN. REF. PT. ELEV.: CST REF PT. ELEV Nam- oPlumber. MP/MPRSW No.. Coumy. Sanitary Permit Number. ti Y 40/0 7- TI K/HOLDING TANK: AN OF ACT RER. LIQUID CAPACITY =V, : TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. EYES NO EYES ENO BEDDING. VENT DIA.. VENT MAT L. HIGH WATER NUMBER OF ROAD: PROPERTY WELL: IBUILDING. VENT TO FRESH ALARM FEET, FROM LINE: AIR INLET. EYES ENO EYES ENO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACI FV PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: EYES ENO EYES ENO EYES ENO GALLONS PER CYCLE: PUMP AND coNTROLS OPERATIONAL NUMBER OF PROPERTY JVVELL IBUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing N~rH n~<F TER MATERIAL 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 01 DISTR. PIPE SPACING. Co'EH JINSIDE DIA. -PITS. LIQUID TRENCHES MATERIAL'. PIT DEPTH DIMENSIONS GH1VEL DEPTH FILL DEPTH UISTH. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTH NUMBER OF PR OPERTV WELL BUILDING VENT TO FRESH BF I()':V PIPES ABOVE COVER EI EV. INLET ELEV. END PIPES (LINE. FEET FROM AIR INLET. NEAREST--r. 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- EYES NO meets the criteria for medium sand. TIONS MEASURED. E SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ENO EYES ENO OFPTH OVER TRENCH RED DEPTH OVER TRENCH BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES EYES ENO EYES ONO EYES NO PRESSURIZED DISTRIBUTION SYSTEM: WID7F+ LENGTH NO. OF BED/TRENCH LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES: DIMENSIONS MANIFOLD Pl1MP MANIFOLD DISTR PIPE MANIFOLD MATERIAL NO. DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV. FI EV. DIA. ELEV. PIPES. DIA.'. ELEVATION AND DISTRIBUTION INFORMATION ol_E SIZE HOLE SPACING GRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS EYES ONO _ EYES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE DYES ENO EYES ENO NEAREST- Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE DILHR SBD 6710 (R. 01/82) DEPARTMENT OF APPLICATION INDUSTRY, FOR SANITARY SAFETY & BUILDINGS LABOR AND PERMIT DIVISION HUMAN RELATIONS P.O. BOX 7969 (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than BY, x 11 inches in size. Include a plot.plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Pro erty Owner: Mailing Address: ~E-Tty /%y ~ S~>;//c,~ ~4fv~ ~/v~-~ . l-~g~~•c ~.v,v Property Location: /JE MPlip!4*44ge or Township: County: /IS. ,T 4 NCR 1-900 W ~iPCJJr 5~1. Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: 7 State Plan I.D. Number: (If assigned)-0~ TYPE OF BUILDING oc ❑ Public* ❑ Variance* Other (specify)*_ Numbers: 1 or 2 Family *State Approval Required. Bedrooms: I TOTAL NUMBER PREFAB POURED-IN GALLONS OF TANKS CONCRETE PLACE STEEL FIBERGLASS INSTALNEW EPLAC LATION R MENT E_ (SSpecER SEPTIC TANK CAPACITYZt j HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: ©u EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New ❑ Replacement Experimental ❑ Seepage Bed ❑ Seepage Pit d J g, ❑ Alternative (specify) f j/,~ f~ ❑ Seepage Trench j Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): ! Private ~Jo t❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature: MP/MPRSW o.: Phone Number: Plumber's Address: (7LPG- Name of Designer: COUNTY/DEPARTMENT USE ONLY Sig toe f Issuing Agent: Fee: Date: Sanitary Permit Number: ' /"I ~ APPROVED _ 1 ❑ DISAPPROVED Re son r Disa oval ppr I Alternate course(s) of Action Available: i~ I Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Golden rod-PI urnber DILHR-SBD-6398 (N.03/81) EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: ! ''/g, L!:'/a, Section I`a _j f TxY N, R 2 E (or) W,)'Township or Municipality Lot No. ck o. ► y r County Subdivision Nam Owner's Name: - r i Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X - ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS/ PERCOLATION TESTS - SOIL MAP SHEET_---_----- SOIL TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES I NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL RAT'. j BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/I i IP- I i 'P- i i-. r P- - SOIL BORING TESTS F TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES - NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- L:x i " , ' ~ r ~ t= Ck is tr N . ..1: I.1 F... - c 4*0O ~ 'r, B- (•I.(C...I, B- P LAN VIEW (Locate percolation tests,soiI bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. _TL Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. r ( I tN I ~ . E 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 location test holes are correct to the best of my knowledge and belief. Name (print) / Certification No. Address ' Name of installer if known CST Signature ~7.1 s .X10 ~,vv S ySi E~1 p~S~ ~~v ~'G 11[7iV - GAS 72- Z ~YID,f/.~oE ~r ~l/oQ MUA&V ~iS Sya y. D/Vi Si O,cJ Lc ~~4L 4 T p~gi/ /o~f}~i/ ALoT rOG~,~/ OtI~~'Uic ki v~ ti1oU~vp ,v 5-1 6 71V /22r ~er-oelf 1 WORKSHEET - MOUND SYSTEM DESIGN I ~ PROBLEM: /5 Z-0i vs - Design a mound system for a 4evvlT~ 3 QED D.yE 13 tTTf/ The site characteristics are: ~[M y NC;'a£e T i . Depth to groundwater or bedrock ~ Landslope in. Percolation rate yd min./in. Distance from dose chamber to distribution system 5-0 ~ ft. Eleyation difference between pump and distribution system Step 1.. WASTEWATER LOAD ■ 'J U gal. Step 2. SIZE THE ABSORPTION AREA Fs r fms7r 16AP A) Area required 37 ~cs~N "AD Fik rv2 sq. ft. - J B) Bed or trench length (B) • ft. C) Bed or trench width (A) ft. D.) Trench spacing (C Wastewater load ' .24 gal/ft2 /da trenches y B ft. Step 3. ~I~O/~l • MOUND HEIGHT I - A) Fill depth (D) . + n_ ft. B) Fill depth (E) ■ D Sl Slone (l!; C) Bed or trench depth (F) zo R ft. D) Cap and topsoil depth (G) ft. E) Cap and topsoil depth (H) As ft. z. Step 4. MOUND LENGTH ~Ab I E Z~ A) End slope (K) _ D + E1+ F + H x 3 ft. ~ 2 B) Total mound length (L) = B + 2(K) _ a ' ~7 ft. Step 5. MOUND WIDTH 1-Aq IC I?. Al) Upslope correction factor = 77 A2) Upslope width (J) _ (D + F + G)(3)',(factor) ft. B1} Downslope correction factor ■ 163 ~ ft. B2) Downslope width (I) _ (E + F + G)(3)(factor) _ / C1) Total mound width (W) for bed = J + A + I = 3 7 ft. C2) Total mound width (W) for trenches = J (no. trenches -1)(c) + ~AI = . ft. b Step 6. BASAL AREA A) Infiltrative capacity of natural soil gal./ft2/da B) Basal area re uired - wastewater flow : natural soil infiltrative capacity sq. ft. 7V Cl) Basal area available for bed for sloping sites = + B x (A + I) _ sq* ft. C2) Basal area available for trench for sloping sites ■ _ sq. ft. B W ; J + Y i C3) Basal area available for trench or bed for level lyyZ sites =BxW ~sq. ft. d i ~ i Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM E 1) Hole size ■ in. 30 jig in. 3) Distribution pipe length= 2:3 ft; 49 27 7 in. 4). Distribution pipe diameter = in. 5) Spacing between distribution pipes ■ -32- in. 6) Distance from sidewall to distribution pipe ■ ~7, 7 in. 78) DISTRIBUTION PIPE DISCHARGE RATE ft. 1)• Number of holes per pipe 2) Flow per pipe - 12 GPM 7C) SIZE MANIFOLD i 1) Manifold is central/ ` end 2) Manifold length ft. 3) Number of distribution lines } 4) Manifold diameter - Z in. i 7D) SIZE FORCE MAIN 8 2 14 1) Minimum dosing rate - 7.z GPM 2) 'Force main diameter in, 3). Friction loss ■ y t.~y ftXvo f+. S, 7 1E) TOTAL DYNAMIC HEAD 1) Vertical lift - ft. 2) Friction loss A//1v ft. r //Od , f 3) System head 2.5 ft. ~-S ft. 4) Total dynamic head ft. 7F) PUMP SELECTION .r; 1) Pump selected will discharge GPM at /0 total dynamic head. ft. Q 2) Pump model and manufacturer 0 si, wP0 3 Ja ULD Y yJa z~ is z 76) DOSE VOLUME z OC. Z1) 10 times void volume of distribution 1 ■ Ines gal./cycle 2) Daily wastewater volume . 4 doses/24 hrs. Law, gal./cycle 3) Minimum dose volume ■ ~l ;5 t = ' gal./cycle 7 H) DOSE CHAMBER S st f- ~e/o co n' LLI 1) Minimum capacity required gal. -19 V6 1, A'5 77if3 L) 00 V PIPC voip Y 82-0o,176 ~o ~~t ~ o , ~ L ~v Fs ~ X . ~ - S, Y~~S. ~a ~•f- L t u R ~ J) pt ld,,t4 6. ti.m -TO 111-141A, /5?~W G~ ~ J ~ E~E,PUL 0'cf' `-vy C-> O Nell W U~ 7 TT 51 ~7o~1!✓dW +Tf 9 S~ ' Ijl I, !II I I II'I I 1!1~ ~ II~.. v.- yn3~ III II, :III ~1 E: I.J E7 IT• T:E I 3 M CO I!r°il iI ' I•~ I' 3rf~ ti-- lll~i „ ~ • ~ Q ail! I I! IJ C II - ~ 1• l I! I;I III„i. .I .;li I ~ ~ n - --Ir Il Iry . dHn ~ o ~ • • I I, III i,l I I ;I;,. ~I:P~G ~ I a►►,! pC } ~1 ,r ry ~ ,i, I:'ll rill ! I Q Co I Ii~h ~I P 4 m I ,I Cn Q ' la I Il + I 1e , :l Ir , MI ' ti v = f'Ic jup-11 v ~ T- tip' ' II~ ~il , - I' ! , I: ; ' ill . I'~t.,l►,4 ~ PLUMBING I ~a Sod ll~ s <411 F T htP„i rtrE1T t' , ~,1 h~,v~ I,. I ^ ST LA8OR eMr, !li ~uitttd c!_AT!C°., ~~3~0~ L)it iJ ) v rv °JE„ ETY AN,D I S T~ 7ioA) f 5 ,'s q-- T2 ~ t -/ES s g,P~.~- . G,~,gss l'c~ v~ip T ~ T y'~P~Dc • • ~EMOdEf~. I/ ` (J~y (~telv~vWt_ ~AGG ~'3 oRCc Msl/~ ~iPaM f2 r, nowt ~ ~ Si T~ l S v t I W.5 %A//e P ~d IVANU de/ORE 4kL uti i fb Q.y f o c~4 R ~5 d~-t G~~t,~-rvG~ -~o Su~.e. fJ/?if /,J,B~i c/~ /I FTC /Q ! ~GbGvi~tl~ ~v7~iR2 /,4SitL f1~f'~/} p/oLJ~c p lc~i a .4o Z- Z-") An ~l)p ~ } Gbw Cgll~ 7~' L Y AFT E/2 ~I S/oQE . MEUi uM f /OW/NJ~ (,USE ~G0w-Fp D `00% ALZ- O C (OR / O1)E2 p,e~if~r7~ I&j©E/~ ~f~ j i`J~9 K.~E1~ t f cDv~2 fill a Pv C'OP~ S,AA)Dj S,Isi~ VATIC /~~P~PD~U~D s yv f ~ ~ G P° UtiP~-vg / " pv c. ~J ~ c ~ ~ MA AY Distribution Pipe AP PO OED FILL fr TOPSOIL oR~ o Fr ; 3 a,pg Fr 5 OP 6 50- 6-1 % SLOPE „ BED 4 OF 1/21#- 21•" PIPE FROM rz PLOWED ~ 9 COARSE AGGREGATE PUMP LAYER q u !je w A,9E Fo~PIE~-Jrt1~t/ :5"~E- rt/,ivv~ „ /t/3 DUB piPer Cross section of a mound using a bed for the absorption area. i. - X416 G~ 11 .~1~T~iq LS E,P%U."J 'T l 70,e6V 0 G,0 .S,9Np 5 /~Q eS l,e s S 7`~ I SD °/v ~w`P S) w N o "o 'e2 / 5 C GA ° 2 S ~'G T ~hEd%u-y GAv~ 6// w%ll ~'S2 "~L %~tf`iC o,Q E0{'V/~.~1~.Jj A//DLc7El~ /.c> ~e Er7`E,uIJ/<JS FT ~c~p,~v i OF V'"' Ly ~)A 3oM ( &CGQ : ~EU~L aSc-~ ,4T"/O,,~ -D fT 7/C-4 Ulf rio. U Ap 6 . DE,PARTiVIENT OF 1NL'tJSTRY, LA-OR ,AN7 D1ViSf0 'OF SAFETY AND 13i!!L3l1\G5 - S, 7~ ~ ~,P~9T/D•c~ ~~flitl S ~a,c.~ ~i .v v~ J !P/'57/2i&UTiOA) Al QS -blo .i4 s ,~,611- NANO f ;~a o , SE ; Ta 0 2 11'6p P/5 7? i/30Tio 6 - Pis TXI15071?4) Cov~,~i~f L~q,~ 7-bp Soil 7~~'~~ T-,-c T r/CIoAq (4,) 8200476 F.3 2~ 13E Try 7 rION UMn /CO.vr,O L \ y k~j ',A Z!Zl s /fit EQ~ 1)17 y 3 c~ C $ivif U~P S 1977A61AS ZL- fo C ti A%v S{~O u/Al G r--- Z I C~1 b ov I b s I R (IN IlA -ip 4 ° z H R~ <A Ca°1 cry ` o ^ ' n R, rn A Z o P+UMBING z -zz .1 mjitio o z y Z o f~ \ ICSS n\ a a n DE ATMUr:F ')I R A FS,,-it iu ANi:~ rvi i t~ATiOirry ~ G V35i0 0~ A,%:) BUit,DiNC `s \ n ~a CR05s 5G6T1*OA) ' 23 fT . w~ pj5TRl guljoN u ~1sT~F'i,8. ST£EL • f r ~`a 1~T~°. Rod ~ ~A R 5 cOee 149 Git iA2 o•v f,PA~E N 17 /3Eu ~t ct~y 1~ t^} Q 111 C3 ` ~z cam. ~ ~~E N ~ to ~ • r rn m co = c~ TI'S C Z O- T~ rim Q < .I7 1 rn - - 1\ 11 D Fri ~ rn -u -u ~v dam' ' Y_ mm i - = 1 -=m° V) x L' r~ I W < m t'. I i== o m GV m D y m o ~ ~ f ~m -z z Z S ,S * m m n m !e iCj ~ ••i z r ti ~0~ fv aoz c 7 < p O„m i w co Z p D U w - - 0 0 t" i GC)ULDS Model 3870 Submersible Effluent Pumps ~ SPECIFICATIONS Order No. HP Volts Phase RPM Solids Max. Wt Amps Order No. HP Volts phase RPM Solids Max. Wt 3 „ Amps WPH1012E 1 230 1 3450 11.0 70 WP0311 E 1 /3 115 1 1750 3/4" 9.4 56 W PH 1032E 1 208/230 3 3450 3/i" 7 70 PERFORMANCE RATING (GPM) WPH1034E 1 460 3 3450 3/." 3.5 70 60 WP03 ('/3 HP) TDH GPM _5--1_00-- M 50 IN, Total 10 85 3 Dynamic o Head 15 - 62 Feet to d 40 Water 20 36 LL 70 25 3 M ti = 30 M O WPH10 (1 HP) TDH GPM ~a i. 20 10 147 O m Total 20 124 10 Dynamic 30 98 ~ - - - - - Head Feetto 40 71 Water 50 45 0 20 40 60 80 100 120 140 160 Capacity-Gallons Per Minute 60 18 Model 3870 Packaged Capacities to 155 GPM Heads to 65 feet Effluent Ejector System 3/4" Solids Handling Capability 2" NPT Discharge Connelc 1 0 4 7 6 Goulds packaged effluent Package Includes: ejector system offers both ■ Submersible Sewage Pump ease of ordering and instal- (WP0311E)or (WPH1012E) lation. A single ordering ¢ plete € t ■ Mercury Level Control Switch number specifies a com- system designed for (ALS2-5 for 1/3 H.P. package) most residential and (ALS2-7 for 1 H.P. package) commercial sump and ■ Magnetic Contactor effluent pump applications. (ALS3-1 with 1 H.P. units only). The ease of installation is ■ Polyethylene Basin enhanced by plug-in power (ALS7-1801 P) cords for the pump and level control switch which ■ Basin Cover (ALS8-1822S) eliminates the need for ■ Check Valve (ALS9-2) additional wiring. (Except for 1 H.P. units which have Order No. SWP0311 E 115 Volts, bare leads for connection to 95 Lbs. magnetic contactor. Order No. SWPH1012E 230 Volts, 109 Lbs. MIGOULDS PUMPS, INC. SENECA FALLS. NEW YORK 13148 Form No. A-478A-WS SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. 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: PROJECT: Monroe Str- 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 II. 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. KI 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. Ill. 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. V1. 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. j tified soil tester 0 Copy). ❑ Copy of onsite report by county or district staff. SBD6678 (9/81) (Plb 100a) STATE OF WISCONSIN DILHR Detach And Return Upper DIVISION OF SAFETY & BUILDINGS Nif"10"n Of This Form With BUREAU OF PLUMBING -i 201 E. WASHINGTON AVE. RM 178 Any Return Correspondence P.O. BOX 7969 Y MADISON, WI 53707 608-266-3815 1) P r r, 17- DATE: Ii' MAr" 2' 1982 PROJECT: ZONING OFFICE 4, Tr~ 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 II. 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. I❑ 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. III. 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. V1. 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. Y State of Wisconsin \ Department of Industry, Labor and Human Relations Please Reply to: ! SAFETY & BUILDINGS DIVISION -1 Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Plan Identification Number F __l Re: PRIVATE SEWAGE SYSTEM ONLY- - f7~ E The Bureau of Plumbing has reviewed plans, site survey information and installation details for the construction of an alternative private sewage system to be installed at the above-mentioned location. The plans and specifications were prepared by and received for approval on The soil and site evaluation was conducted by The site meets the soil and site requirements specified in chapter H 63, Wisconsin Administrative Code, for the use of The proposed system is for a Wastes from the building will discharge to a -gallon capacity septic tank which will discharge to a -gallon capacit pump chamber from which a pump having a capacity of gallons per minute against a total dynamic head of feet will discharge through a -inch diameter pipe to the soil absorption system. It is of utmost importance that the system be installed in complete accord with the plans and installation details and the conditions of approval contained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. In accord with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. cc: OWS County By Other Enclosures 7t~ 7/81) mes Sargent, IC D B erector