HomeMy WebLinkAbout022-1099-70-000
o u,o 3Co d Lo1
> > 0" 3
(D 0 (D -O w N'
((D v c
~
9 I
I
CD
3 =
n
cn A r w O
n N N O N O (D = A N (
( 7 O l0 N ~ q n• co
j CYl
a O O O
W F M
O W W (n j co O O
(D w
Q) cn CD
- n
g w ~
CD CD v -4 o o
00
0) ID -I D o
l N N N 7 O O
Dj O
Q 0
v v7 z D m a
m n O w o. O
-o T CD
O Q O n
3 O
m ti
c\ A
CL a
(D (D n
CD 4 -4 cn r
o c
N M rn Z Q
Z
o =
v
w rye
m ai cn tin ti
C, v o o d
o O N o
d (D N (D
y' 0 N y
N
3 m
N ~
z
N
o D D T O
m O ° Z
o' (n lr •
~J 7
(D 7
c
I w
z (D 1 Cn
O p z CD
A z O
v G 3
o
?
m N
m
v m co
(o
3 A
0 z
o
CC)
y z <
C A
W
D
n
0
v c
z a
O
CD
N
s
U
a,
~ O
I °
a•
m
t
a
N
0
0
a
A
0 N
O
(D
N
O (D
0
cl-
Parcel 022-1099-70-000 10/18/2006 02:30 PM
PAGE 1 OF 1
Alt. Parcel 34.28.18.537A 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
STEWART A LENTZ O - LENTZ, STEWART A
32 SADDLE CLUB RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 32 SADDLE CLUB RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 39.000 Plat: N/A-NOT AVAILABLE
SEC 34 T28N R18W NE SW EXC 1A IN P537B Block/Condo Bldg:
EZ-UT-1499/313
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
34-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1190/169 TI
07/23/1997 511/317
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 37.000 4,700 0 4,700 NO
OTHER G7 2.000 40,000 203,000 243,000 NO
I
I
Totals for 2006:
General Property 39.000 44,700 203,000 247,700
Woodland 0.000 0 0
Totals for 2005:
General Property 39.000 44,700 203,000 247,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 210
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
0(0 o d
m m U
~ 3 - ~
w C)
0 CD
41 N V' A O 7 N N r
CC O O SIN (AD N n" Co
CL a- CL C 1O ~ W O
A W W (D 7 Ut 'S
Q n W J O
0 0 (CD (D cO 7~ -i D o a
O) O CO O O
3 co N N o p
co 'ft
0
m o m a Q
m S C
2 U
C C _ CO C
O 6
"-ftI
N (JO 7J C-) O G
m ~ 'a N
-Ti
O O O
0 2 D v
NIE NNy~ ~
m 3
CT 0 O cn v
o cD N A ~ t+.i
O Q y •p ON (D AM
cn CD
a) N
O..
2 0
O Z Z 2
0
D D rar
o(Cj !a
m ~
o
x
W ~
n CD N
Z O A Z n
O m ~J
p z O
C)
n~
Z W
W fT A
co C 3 A
o -
N z
(D A
W
~vr 1D
m
61 W ~ N f2 C
W N 7 C
O p N O O T
m
D 3
7
~z a
(D W (D C)
: I2,
N O O rn
n Q J
T Cl. co
n
7 N C 3
O 7 N
F O (D O n
(on 20 m c
O N
CL _ v
O
(ND
co v
J CD
rn m
O_ o
N a
O
IC C v
o I` V ~
0
,
R7DI ORT OF IITSPECTIOF'?--I MIVIDTJAL E 4AGE DISPOSAL SYSTEM
Sanitary Permit
State Septic '4A, TE TOT,,JNSHIP 7
St. Croix County
TIC TA."?K
w
e,.` gallons. "gumber of- Compartments
Distance From: T"1ell t. 12% or greater Slope f c
Building ft. Wetlands ft
'
s . _gh~,a,,,tar ft.
DISPOSAL SYST TH Tile Field or Seepage Pit(s)
Distance F~'rom: -dell ft. 12% or greater slope ft ~
Duildinp, ft. T;Tet1ands ft
1
FTFLI) <.LiS'iwcater ft.
Total length of lines ft. s1u:ber of lines_ Length of
each line _ft. Distance between lines ft. Width of the
trench _ft. Total absorption area sq. ft. Depth
of rock below the in. Depth of rock over tile in. Cover
over rock Depth of tile below grade in. Slope of
trenc% in ner 170 ft. Depth to Bedrock ft. DeDth to
ground water ft.
nITLO.
Iumber of pits Outside dianeter ft. Depth below inlet
ft. Gravel around nit: yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
Square feet of see'pag.e ni"rea required
T_nspected by Title
Approved , Date 197Z.
Rejected , Date 197
3
n
'v
~ L /
Plb 67 State and County State Permit #
Permit Application County Permit
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: Section T N, R£ (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms
Automatic Washer --X_YES NO Other (specify)
E 2I~~ TANK CAPACIT- Total gallons No. of tanks
*Holding tank capacity-,A 060 6
gallons No. of tanks
New Installation Addition Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
NAME l T! a l> C.S.T. #
and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# -Y/I ~ Phone #
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
1 r
}
t
E
l
i
e
3
iw
I
E
~yC-1
Do Not Write in Space Bel w FOR DEPARTMENT USE ONLY G
Date of Application Fees Paid: State' : Co nt 00 Date > J 74
Permit Issued/Rejected (date) -Issuing Agent Name i
Inspection Yes No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4. plumber (canary copy)
Revised Date 3/1/75
. ~ YY
}
(n
E ~a
7,976
Y,
f
MAO
~J v•
~ ~ T T
L Q 0 -0 n - 1
3 D
t. r O t1 m r
t
U, 0 90 r)
A ~ ov n
-
~
-4~ t ~ ~ -
~
J~rL ~
.
~ r
~y~. r
'
t
a1
S .ti
~
~ [ ~ _ ~ - _ ~S `L
= a r
: _ ~
~ _1- ~
L.~
I
w-.
c7 ro
' ttt
t' G
L
~ w i
er roll"
No A. A
47,
14
ry ':g Ll~ r
t
C r t" C -n 1
v ~1 7
P
r~ t ~M
~ • mot. ~ " tai
:3 0
:J :.t„Ct„~ w •~3 ~ S.
4 :a
N
I
i
's
(1
Pr
r1 f
} if ^ !I y P l
D [ c MD
s+ p rn b
U L 2 176
J
m rD rn ® f
PLAV
fe" 2 ro 0
mil
d
P
-
e
;n
}
•i ~ ~ r ~
t° ( = w
~
_ t7 _ r=
t;i ,
~ ~
- • ~ r ~
.C ..L.
4! `
~ C ~ i
tJ ' ~
` ~
r. - - ~ ;
r.
~
JUL. 2 1976
r
P L U
i
D L 0 -o rn
ril (D r CV9 v In {
t O r~
g
j "--N (D
1 7 T-
6 - N O
t 1 m
-'fi (9 -tom co .
i1
(U
` 1 v C O w
re r
L .t .i b O t
. ,off
f ^j
1.1~ 1 P •~.7 ti
AM=
9.1
h A (lJ`y~
j
Al
r
2, Box
~L
to cons'-ruc tc C (),j i C3 i
;rt A, Lentz - Resident..
xami nat i or, p l a,i,13 :;.w
,,roject has been complete.:
in accord with Chapter 145, Wisconsin 5t:3tutes, and i`ci
dministrative Code, the plumbing plans and specifications are approved
ontingent upon compliance with the stipulations indicated on the plan'
tl
t L \':1!r ,~f)f ~j)r' t~l•? _ nil S
tbze following code sectic-
etch code section note:
"cur review of the holding tangy,
.rral stability, only for compliance to design req,.-
~r .20 (1) of the Wisconsin Administrative Codf-
ru icing tank shall be maintained and the conten-, required under Section
Code.
This approval is not a blanket app;-ovai; rs api, u
nk to be constructed for the above-mentioned installation only. D,s`-
the tank shall conform with the cu
shown on the approved design plans.
This tank shall be clearly marked to
;nufactrrr and address. The markings shall be ins1rib-
~gse i
r t t r62.20 (7) (L) 4. Warning devi
2..2G (b) S• Holding tani,
-1.20 (7) (b) 7. Holding tank venticl
The architect, professional engineer, reyistercd
mhing contractor shall keep at the construction sit
firing the stamp of approval of the department.
In the event installation of the plumbing improveooen,,, u,F^;
commenced within. two years from this date, th rc„
id and new application shall be made for appro,
;:-k may commence.
granting this approval, the Division of Health &)es iiol >
;able for any defects in plans or specifications, plan omissio
".amination oversight, construction or any damage that may resu
, after installation and reserves the right t.
;could conditions arise making this necessary:
'I i s approval i s based on Chapter H 62, Wi score,. i
equirements. It shall be necessary to obtain and fulfill the this'
.equirements of the city, village, township or county in which
stall,- tion i s to be constructer
iy void this acceptant
George H, Handy, M.
yin rely►
iosur.
Bert Berthold, DC'S
„-old C. Barbel 7, 'q -y
EH 115 (11-74)
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
' P.O. BOX 309
MADISON, WeSCONSIN 53701
y
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: -'/4, Section , T_..-N, R ' E (or) W, Township or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW 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 RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B-
B-
PLAN VIEW (Locate percolation tests,soil 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. Indicate scale
or distances. Give reference point. Indicate slope.
t N
4
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 location of test holes are correct
to the best of my knowledge and belief.
Name (print) Signature
Certification No.
Name of installer if known
Copy C - Local Authority
July 23, 1976
Mr. Stuart A. Lentz
Rt. 2, Box 43
River Falls, W1 54022
Plan Identification 'Nc. 7`--t'-i`77
Dear Mr. Lentz
Re: Site constructed holding tank - 33,090.75 gallons
Stuart A. Lentz - Residence
Kinnickinnic Township, St. Croix County
examination of plumbing plans and specifications for the above-mentioned
project has been completed.
in accord with Chapter 145, Wisconsin Statutes, and Chapter H 62, Wisconsin
Administrative Code, the plumbing plans and specifications are approved
contingent upon compliance with the stipulations indicated on the plans and
whe following code sections. Please review your code for the requirements
of each code section noted.
1. Our review of the holding tank plan has not been evaluated for
structural stability, only for compliance to design requirements of
Section H 62.20 (1) of the Wisconsin Administrative Code.
2. The holding tank shall be maintained and the contents disposed of as
required under Section H 62.20 (6) (b) of the Wisconsin Administrative
Code.
3. This approval is not a blanket approval; this approval is for the one
tank to be constructed for the above-mentioned installation only. Design
of the tank shall conform with the conditions specified and be constructed
as shown on the approved design plans.
4. This tank shall be clearly marked to show liquid capacity and the
manufacturer's name and address. The markings shall be inscribed into or
cmbossed on the outside wall of the tank immediately above the inlet opening.
4 Mr. Stuart A. Lentz
rage' 2'
,Piny 23, 1976
. H 62.04 (4) (b). Building sewers - depth.
6. H 62.20 (4) (c) 4. Specified material - inlet and outlet of sewage tank.
H 62.20 (4) (a) 2. c. Construction points.
H 62.20 (4) (a) 2. b. Construction specifications.
H 62.20 (7) (b) 4. Warning device.
10. H 62.20 (7) (b) 5. Holding tank manhole.
11. H 62.20 (7) (b) 7. Holding tank venting.
12. The architect, professional engineer, registered designer, owner or
plumbing contractor shall keep at the construction site one set of plans
bearing the stamp of approval of the department.
13. In the event installation of the plumbing improvements or system has
not commenced within two years from this date, this approval shalt become
void and new application shall be made for approval of these plans before
work may commence.
In granting this approval, the Division of Health 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 Chapter H 62, 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 constructed. Failure to obtain local permits will
automatically void this acceptance.
By order of George H. Handy, M.D., State Health Officer.
Sincerely,
James A. Sargent
Chief
JAS:JH:cmc
Enclosures
cc:Erbert Berthold, DPS - District 6 - Eau Claire.
Harold C. Barber, Zoning Administrator
Otis Huset, plumber
State of Wisconsin \ DEP:-HEALTH AND SOCIAL SERVICES
A~} DIVISION OF HEALTH
MAIL ADDRESS: P. O. BOX 309
July t 1 MADISON, WISCONSIN 53701
1 A t ` +V
IN REPLY PLEASE REFER T0:
3 gam. 1.-.-
X SECTION OF PLUMBING
AND FIRE PROTECTION SYSTEMS
Stuart A. Lentz
Jver Falls, WT 5402? an Identification No. 7fit?1577
Dear Sir:
Re: Stuart A. Lentz - Rtoxidence
Ki€xnickinnic Township (St. Croix County)
<rolding Tank
This is to acknowledge receipt of your plans and specifications for the above-
indicated project. When referring to this plan in the future, it will be absolutely
necessary to utilize the plan identification number assigned to the project. The
spaces below indicate if proper fees have been submitted or if more information is
required. Providing plan review is not completed within thirty (30) days, a permit
to start construction may be issued if requested. See Section H 62.25, Wisconsin
Administrative Code, for limitations in reference to permits to start construction.
Preliminary plan review for determination of fees does not hold the department
liable in the event additional fees may be required upon complete plan review.
Preliminary review indicates the plan review
Fee required is $O
Fee received is $ a Plan accepted for review.
Fee is being returned because of II Overpayment E] underpayment.
Providing one of the two catagories above is checked, please remit correct
total fee in one payment. Indicate plan identification number on remittance.
No fee has been remitted. Plans submitted with no fees will be held in
abeyance until remittance is received. Indicate plan identification
number on remittance.
Q Additional information required. See attached Plb. 100. The permit to
start construction will not be issued until 30 days after requested
information is received and accepted.
Plans being returned. See attached Plb. 100.
Sincerely,
Z ames A. Sarg
Chief
JAS:fjs
i
r y,
•r.
y°~4 ` i STS. 4"
~ ~ l 4
s
M
,x
r
INCORPORATED 1857
CITY OF HUDSON
RICHARD J. HANLEY 505 Third Street MICHAEL J. WALL ACE
Assessor-Budding insc-c o-
Cif; Ce"k -Tre: wee
H u c" s o n, W i s c o n s i n 5 4 0 1 6 Is-Sea-zezz
715-385-3833
R ti
V e
JULY 9p 1976 cQ
e,; E. P. ROCKS CHAIRMAN ;
~3 ti O
ST, CROIX CO. PLANNINGI ZONINGS & PARKS COMM, to
202 So. 7TH ST,
HUDSON, WIS. 54016
DEAR MR. ROCKp
AS YOU KNOWS THERE HAVE BEEN NUMEROUS MINOR SUBDIVISIONS PRO-
POSEO WITHIN THE EXTRATERRITORIAL AREA OF THE CITY OF HUDSON IN RECENT
MONTHS. IN AN EFFORT TO ADEQUATELY REVIEW THESE SUBDIVISIONS# OUR CITY
PLANNER WAS AUTHORIZED TO TO DRAFT THE AMENDMENTS NECESSARY TO ALLOW
MINOR SUBDIVISIONS WITHOUT FOLLOWING THE ENTIRE PLATTING PROCEDURE.
AFTER MUCH DISCUSSION OF THE PROPOSED AMENDMENTS IT WAS THE OPINION
OF OUR PLAN COMMISSION THAT MINOR SUBDIVISIONS ARE NOT A SUITABLE TYPE
OF DEVELOPMENT FOR THE EXTRATERRITORIAL AREAS FOR A NUMBER OF REASONS.
THE MINOR 3UBOIVtS1<ONA8 BASICALLY A RURAL TYPE DEVELOPMENTS WHICH CON-
TRASTS WITH THE CONCEPT OF THE EXTRATERRITORIAL AREA BEING THE FUTURE
GROWTH AREA FOR AN URBAN CENTER, MANY ITEMS OF VITAL INTEREST TO THE
CITY ( EASEMENTS FOR FUTURE UTILITY INSTALLATIONS# RIGHT OF WAYS FOR
STREETS FOR BOTH INTERIOR CIRCULATION AND CONNECTION WITH ADJOINIING
PROPERTIES AREAS DESIGNATED AS POSSIBLE FUTURE PARK & OPEN SPACES ETC,
burr NOT 1 NJi QAfEU ON •YHE t ERT 11' 1 ED SURVEY MAPS USED WIN i i 1 NUR SUBU t VY SI O*6*
WITH THESE THOUGHTS IN MINDO THE PLAN COMMISSION TABLED THE PROPOSED
AMENDMENTS.
THEREFOREO ANY DIVISION OF OF LAND RESULTING IN 2 OR MORE PARCELS
WHERE ANY PARCEL IS LESS THAN 5 ACRES IS A SUBDIVISION AND MUST COMPLY
WITH THE REQUIREMENTS OF THE CITY OF HUDSON SUBDIVISION ORDINANCE (PRELIM-
INARY PLATO FINAL PLATO STATE APPROVALS ETC,, IAN EFFECTS ANY DIVISION OF
LAND BY MINOR SUBDIVISION WITHIN THE EXTRATERRITORIAL AREA OF THE CITY OF
HUDSON IS IN VIOLATION OF THE MUNICIPAL CODE AND IS SUBJECT TO THE PENALTIES
THEREIN,
1 HOPE THIS LETTER HAS HELPED CLARIFY SOME OF THE QUESTIONS YOUR
COMMITTEE FACES IN REVIEWING DEVELOPMENTS WITHIN THE EXTRATERRITORIAL AREA
OF THE CITY OF HUDSON, OUR PLAN COMMISSION WOULD WELCOME THE OPPORTUNITY
TO MEET WITH YOU AND DISCUSS THIS MATTER FURTHER.
ERELY YOU
S
MICHAEL WALL E~ECRETAE3Y
CITY OF HUD N PLAN C OMMISS/ON
State of Wisconsin \ DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH
MAIL ADDRESS' P. O. BOX 309
y MADISON, WISCONSIN 83701
June 23, 1976 IN REPLY PLEASE REFER TO:
SECTION OF PLUMBING
AND FIRE PROTECTION SYSTEMS
Stuart A. Lentz
Route 2 Box 43 Plan Identification No. 7601877
River Falls, WT 5,4022
~
Dear Sir:
Re : Stuart A. Llents - Residence IV A V",
Rinnickinnic Teveship (St. Croix Comty)
Holding Tank
This is to acknowledge receipt of your plans and specificarti~s-for the above-
indicated project. When referring to this plan in the future, it will be absolutely
necessary to utilize the plan identification number assigned to the project. The
spaces below indicate if proper fees have been submitted or if more information is
required. Providing plan review is not completed within thirty (30) days, a permit
to start construction may be issued if requested. See Section H 62.25, Wisconsin
Administrative Code, for limitations in reference to permits to start construction.
Preliminary plan review for determination of fees does not hold the department
liable in the event additional fees may be required upon complete plan review.
Preliminary review indicates the plan review
Fee required is $ ~20
Fee received is $ A9 M Plan accepted for review.
Fee is being returned because of II Overpayment Q underpayment.
Providing one of the two catagories above is checked, please remit correct
total fee in one payment. Indicate plan identification number on remittance.
No fee has been remitted. Plans submitted with no fees will be held in
abeyance until remittance is received. Indicate plan identification
number on remittance.
Additional information required. See attached Plb. 100. The permit to
start construction will not be issued until 30 days after requested
information is received and accepted.
Plans being returned. See attached Plb. 100.
Sincerely,
ames A. Sarg
Chief
JAS:fjs
P1b. JOO Rev. 11/75
Department of Health & Social Services
'division of Health
Section oo "umbing and Fire Protection Systems
In reply, please refer to
Plan Identification Number, 0
Re:
The puns indicated above have been given a preliminary review and the following data is
either missing or needs clarification. Please submit the additional information as indicated
an-' checked below. Upon receipt of this additional data, plan review will be continued.
1. Plan Submission
jj Two sets of plans and one set of specifications required.
,~]Three sets of plans required of SEWAGE DISPOSAL SYSTEMS ONLY.
r_ Plans shall be sealed or stamped. See Section H 62.25 (2) (a), Wisconsin
Administrative Code.
Additional information requested shall be sealed, stamped or signed, as noted above.
All information requested below shall be submitted in-dupe-triplicate unless
specifically noted below.
Plans not clear, legible or permanent.
II. Private Sewage Disposal Systems
❑ Soils description not adequate. Reconduct soil test.
Plans indicating lateral distances from building, well, lot line, lake, stream.
watercourse or water distribution piping to the septic tank and to the drainfield.
in Lot size and ground slope.
M Construction detail of sept+t-ar holding tank if site constr including
dimensions and liquid capacity or the manufacturer of the tank to be used.
❑ Construction detail of the soil absorption system, including a cross-section of
the disposal field.
Profile of holding tank.
Legal description of property in which systems are installed and prominent landmarks.
❑ Agreement document signed by owner and local unit of government (holding tank).
l PSReason for installation of holding tank.
Cr?' 0® Soil boring and percolation test form EH 115 completed by a certified soil tester.
❑ Complete data relative to anticipated use of building Pib. 60 0 copies).
❑ Manufacturer of lift pump(s) or automatic siphon and manufacturer of lift pump
tank if not site constructed.
❑ Calculations for total lift pump discharge head, and gallons pumped (volume) and
pumping time per cycle.
❑ Detailed section of sump showing lift pump(s) or siphon, piping, valves,
electrical equipment, elevations, etc.
❑ Size of lift pump tank, draw down, and construction detail if site constructed.
❑ Calculations for siphon discharge, average flow rate (GPM).
❑ Size, length and depth of forced main.
III. Reduced Pressure Zone-Type Backflow Preventer
❑ Elevation and location of valve in building.
❑ Detailed piping diagrams.
❑ Flow rate.
❑ Valve size, model number and manufacturer.
❑ Signed inspection and service agreement between owner and testing representative.
SEE OTHER SIDE
IV. Private Interceptor Main Sewer (sanitary and storm) 1♦
Y `
[]Calculations (all pipe sections) (flow rate).
❑ Input (population).
(,Elevations of all piping and manholes.
Profiles of system or complete finished contours.
[_Number and type of plumbing fixtures for each building. (Include all floor drains
and equipment).
F7,Calculations for all drainage fixture units in each building.
,,Type of buildings (usage).
CCopy of maintenance agreement by owner.
[,Copy of easement for sewers on public or other private property.
E Letter of acceptance from proper authority indicating approval of the sanitary
system and connections to the public sewerage system.
V. Building Sewers - Building Drains - Drain Waste & Vent
❑ Floor plan showing building drain.
[]Statistics for sizing.
[]Sizing requirements of all piping, including risers and isometric diagrams.
C'.Grade, slope or pitch.
[]Elevation relative to connections along with terrain elevations.
[]Manhole locations.
L.-Sleanouts and locations.
Venting.
[]Traps.
F-IMaterials and specifications.
[]Ejector size and specifications.
[]Capacity of grease interceptor and size of sinks contributing thereto.
[]Plot plan showing building sewer and water service.
VI. Water Supply, Distribution and Service
[;Floor plan showing water distribution system.
LiSize of pipe and complete calculations. (See instruction for plan review).
❑ Material specifications to include fittings, pipe, fixtures, etc.
UComplete valving specifications.
[[]Pressure at public supply or supply tank.
[]Capacity of pump.
[]Capacity of storage tank.
[]Method of draining system when not in use.
❑ Provide risers, details, and isometric diagrams.
❑ Indicate method of backflow protection.
VII. Plastic Acid Waste
[]Three copies of piping diagram.
❑ Request for use by owner or architect.
[]Specifications of piping and fittings.
[]Acid neutralizing or dilution basin detail.
[]Piping plan layout and isometric drawings.