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HomeMy WebLinkAbout010-1082-90-050 5'dsrnnsin Deparl,enl of Connnorcc PRIVATE SEWAGE SYSTEM Corrry St. C.rOIX Salch• a-W Btnlcing D vivo-, INSPECTION REPORT Sanitary Permd No GENERAL INFORMATION (ATTACH TO PERMIT) State Pan ID No SAN-2018-403 Pwwnal Information yogi provde may he used fw Se=day P1.1-POWS lPdvaq• Ia'n'. Y t b 04 illpoi) 632658 Perm I Holder's Name Cily Village Towrsnip Parcel Tax No Mark Tyler TOWN OF EMERALD 010-1082-90-050 CST BM Flev Insp BM Llev. BM Desctlpiron Seclur: Luau: Range/rtap No. I /A Lif. '5 11 Pr, CoV 34.30.16.505A TANK INFORMATION ELEVATION DATA TYPO MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t frt lJs t'~ „A Benchmark Dosing 1,666 ~ Alt. BM Co ,,olo a Goratkro t / ; 01 ~I Bldg. Sewer G ' r aX r"+ 41X~ C b Holding p) SU'H1 Inlet TANK SETBACK INFORMATION suFn Outlet TANK TO PIL WE[ I RI_DG. enl o Air Intake ROAM IN IWet Septic 7 / r r Dt Rotlom O Dosing / / I f HeadcpMan. 6 Zo Aeration Dist. Pipe I lulding Rot System PUMP/SIPHON INFORMATION Final Grade Manufacturer t r Demand lover GPM Ge , z.5~ /o7,ot /ay. Model Number TDI I Lift ruction I oss System Head TDI I Ft Fof::emain I englh Dia. Dist to Vic I SOIL ABSORPTION SYSTEM BED:TRENCH 1V0- I myth No Or ne-r,:bcs PIT DIMENSIONS Nn Ot Pas Irsdde. Da I ioma oep!h DIMENSIONS L ~t r ti~ SETBACK SY STFM 10 P1L BLDG WELL LAKEISTREAM LEACHING Nian.uactufof I I / CHAMBER OR INFORMATION Tvr:e O`S'ys:ercr ( >1'1 UNIT MoJ6 NumCwr DISTRIBUTION SYSTEM HeacerAlanifcld DIShit"N" x Hnle Sve x lloF-Spaomg VeM to Air lnta length Una _ Lcnylr D,, 6' , pa no 4> SOIL COVER x Pressure Systems Only xx Mound Or At-Grado Systems Only Depth Over txpu' Dee' xx Ccp111of xx ScucuU'SocJed xx Mdlchc•J I1cG'HencC Gon'e' Betl'T•e^ch Etlyes TVVSC' fives Nu Vps NU COMMENTS: (Include code disrrepencies, persons present. etc.) Inspection qt nspection 02 - Location: 2448 CTY RD DD P/ -_-Y c A-A, C .~'V 3 1 ) Alt HM Descriphon = / 1 2.) Bldg sewer length = 4 Z eyi$~rtwCt 13 I~ amount of cover - yz ll ov. Plan revision Required? 1 Yes XNo e G ~r ? Use other side for additional information. _I IY J / ✓ SRD (ilia pt 1P y Date Insupcbi gnat Cert. No 51`1'N -ao 1% - D rt4j County Sanitary Permit Application S RDIZ O.INTV WISCONSIN Jr r wt. r,a n,, Jn -e a' n lydn-e P-ANNING 8 ZONING DEPARTMENT S.r ~dlfn}~•, y aln ^r uc m2 [r Jst s__a -_a ....ses •tJ ) -DJNT PNId h Eh-EP rn'a-, _art c K,_ a'-n nae k a tiJC3J( ',1 4a 5 39tw39: Fax 9 o.'P 4111 , .^.Jm k)te P.an5 is- me 5,'SiD'r r " 'nGnD1 6 s: Y T:;99 Sa nC.7~ ?nT II ~~P . ^ ^'PYI .IIB a.^pa'9"tr ~ I. 4oplicabor InfolohaUdn - Please P'In: at n ormatior _ocavar. ^a~cnc Ow-,e' Name P•or»'t) a✓ e's Minim; 40a•ess• _o: NJn:e' gip:, Num:w - 4- 14 ~ I 1 ~ . ~ , 'cj~0 /~c-fie-'S U pe of Building. laheci. one' .'dar ~owr v P 7 Pno M fC.S ' r _ `anm 7w~ll.rq . Nc ~ 5eoca^c F~ZTk1-i 7 ~L t._ ~:d[E-JwneC f Nearer: ?ca: P_ Type of Pe"it f: nepl J'lp One Dtn me L. '3ne~ DO or ',InP c r par3^'.~ _ V _ Saxe Ta, S:aie Sa-13°. ~S=l' Vk N Type of PDNT System'. 1 --heck all that apply Nan OMSSJr-OC Ir. =Jne /14fAO : .r. sbcapm spl: _ G.1:U'J > sl. ~;a:.e sc:i. _ M,Jnc >anc =flee- L _.onsttu-ec Vvetla',C _ mad' =iea- it-J'aae a4-~pr ',ea:mer r- 4a=ar.u:aLr: V. Dispemat'rreatment Area Inrormabon. DePJr' -IOM '.goi Dbn9'S3, 4?2 : sx'sd. 422 k so, 4pa A I,r Rate i ~ P :OtdtlY. Pat jvsteCi E~evabor -na 'o:ao! / IR.Jin ' n6caPO ;a,_ .ar's,f IIAn i vaanr N. Tank Information I ::apar!} Ir :,aho^; ' pta' t: a' Irtanua]t:.'e- :4`ac Sne nn-I Store: =fiber- PId S:rt Neu :rs!r -:ala^s Tams Gon_'ete stro--tc ;.ass IBC !U.t t C VII keeponslbility Swement t:'e unbevgnec assume -esponsiblllt, to' repa1r reCpneen-'oo °e'u'aenaFpnilcs:allatbr of nar-plJmbr,_ in, t" POt475 stiDwr or :ne aCa>nec Clans L '.;cCSF 'c np''e]JIreC ^,T t4callf leoal' J' b,e os:al at:0 T npn-pNmblP: slTSdi qr s'vste(V P:Jrnpe-s Name Ipnn: Pwmpe la'?r ur r: sta N P.M?ac N: 5osmess P „ne Nambel VII. County Use Ont _pva I,Sanitla~ °emr. °ee :,ate Issueb issmn .gent S!gr ure c ` 4pprovec mm,' vtist 41-mil! ~ /213 l ennlnahpi lf,~ C.J ;Y,. Conditions of ApprovaLtReasons for Disapproval , XY&TWOWNER: 3) T.I1.6~.!}~on f 'f'0 ✓EC,~ J. 1. ':6iD~'"-tank. trflUSm tMtor rnl 11 '',At'' 11 / uhykwr:•i<nl'-.'1. fl: bP Sa_IP>s 'r'`ti-_eC ~jel~u. lQr~ r ~1~ 46 PM.-.W3ye•MBf1: C12•,'Y. luel bV JIUmbe . 2 AS MOW* rtKL1larren:5 mint rt, is t M Par nPiau~~ ar.:'~ ! : M',rnv:r t J J~l F.1 10 c o r. C J v ~C Z s L J XC \ J 1 r~ T ~ J 3 s St'. CROIX COt,N'rN' SEPTIC !ANK N9AINTEN.a~i'E AUREEMENT AND OWNERSHIP CfRTIPICATION FORM Owner/Buyer a. t{ I't _ Mailing Address vU.( Q, t•, , i,;> Property Address -i,-a ` C_r v i~t wu~ ; y p (VeriricaGon required from Plantung R Zoning Dcpartment tot new construcnor., I- CitytStatei';+. Parcel Identification Number 045 - LEGAL DESCRIPTION Propeny Location lei %r 5.. ` ~ 4, Sec. 1-,4 . T -Ab N Rte, W, Town of Subdivision Nj.,~ - Lot # ula . ~ I,G NE 'l-r a - T)tc. •iC. ai. V lw-j Certified Survey Map # C ~w _ Volume Page:: 1Vannnry Deed # 1 htRk 1'azte-A _ - Spec house es . no(.q lines identifiable! no SYSTEM MAINTENANCE AND OR•NER CERTIFICATION Improper use and naintcnance of vow septic system could result ni its prcuaturc failure to handle wastes. Proper maintenance consists ol'pumping out the septic tank ever) three years or sooner, if nccdcd, by a license(! pumper. What you put into the system can affect the function of the septic tank as a treami.nit stage in the waste disposal system. Owner rminreruince responsibilities are specified in eComm. s, 452(1) and in C'haptar 12 - St. Croix County Sanitary Ordinance. The property owner agrees to subnat to St. Croix Cnunn. PlaMurt S Zorung Department a ecrriricanon form signed by the owner and by a rnaster plumber. joumeyuun plumber, restricted plumber or a licensed pumper verif) nig that (1) the on-site wastewater disposal system is in proper operating condition and (it (2) after inspection and pumping (if necessary), the septic tank is lass than 1r3 full ofsfadgc. Nwc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by due Department or Conunc%c and die Department of Natural Resources. State of Wisconsin. C'crtification stniinn that your septic sysicin has been ni.•itnained must be completed and returned to the St. Croix County Planting R Zoning Department within 30 days of the three year expiration date. Vwe certify that all statements on this form arc Erne ;u tin best of my'out knowkdgc. I we am ate the owner(s) of the property described above, by virtue of a •.varranty deed recorded :n Register of Deeds t )!2icc. Number of bedrooms _ 451 J1~+t~ SIGNATURE O APPLICANT(S) DATE -**Any information that is misrepresented may resulT in the sanitary penult being revoked by the Planing fi Zoning Deparim ra. Include with this application a recorded warranty deed from the Rrvister of Deeds Office and a cup) of the certified survey map if reference is made in the warranty decd. (RED'. 08'04) ST. CROIX COCNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTICTANK(S) This is to certify that I have inspected the existing septic and or dose taiik presently serving the following residence: (Street address) located at: i, Section To ~'C'N. Ran2c N'. Towm of St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of mN knowledge. will conform to the requirements of SPS. 2384.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or SenriCC Did flow back occur from absorption system? Yes No X_ (if no, skip next line.) Approximate volume or length of time: vallons minutes Tank Capacity: A-U bc.z% Construction: Prefab Concrete Steel Other Manufacturer(ifknown): t ? Age of Tank (if known): Permit number (if known) (I.ipensed Plumber Signature) (Print Name) T (Tide) (License Number )(gR)'MPRS (Date) Form to be completed bN licensed plumber (Dept of SafetN and Professional Services Chapter 305 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 1 1 Wisconsin Administrative Code) Rev. 2.~ 2012 T i _ J .,~~~3eyllxe ~ Y I:11: C ~C 0 c u m y am m q B S ~ ~ 'I ~i ~ s i y g i 5 v ~d r A v I °1•Y°'~A°••• j BLPS LIOI A~1tMIWfl32Jd ~°rt § F 5 Mao.>3iaoH I ~k iw All 5 I ii 5C5C3p! I 3 if a " R ]Ij ~ t i r 8 a gaa~ at cn ~ ~ ~ 4 ~I 4.1 a i. C X~' ' • v I II ~ i I I E a-A L Ll,k~er3r.~n , 'I e ; li ~ a= I t • Y t hit L-.- 9l1 L~4 ,a I Y I I ~ i: i y. 3a I I l 35 i ~dt I i i 1 F . t i j 'I l p oif I _ e t I ?ix Y• I~ - I 1 { i F i s a cS ti t' • a - ~ 1 I I~ I II I ~Ii~ II~~~ I'~I I'J Document Number Dccument Title L- :44e".72 1074916 St. Croix County BETH PABST REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI RECEIVED FOR RECORD 11/30/201809:30 AM Name - (Owner) Typed or printed EXEMPT REC FEE 30.00 being duty sworn , states, under oath, that COPY FEE 2.00 PAGES: I He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume - Page - Document Number `/k#,j+~ St. Croix County Register of Deeds Office Reronlm Area A parcel of land locateif~ In the _1'36% of the of Section E, T P N - R /G Name and Return Address W. Town of &%fre-4 , St Croix County, Wisconsin, being duly described as follows (include lot no and subdivisionlCSM or detailed legal l JooDJt«L- cv5 S`i~za description): •A </0 f~t~5 I 0/v-i08"L-96-05c SP._ 321 T30 U Q 4- W r ~l n Parcel Idertitication Number (PIN) •~-lie. ~ (n Co 1'd-, a(~ 56 -.ScJ As owner of the above described property, I acknowledge that a Private On-site Wastewater fre:umenl System (POWTS) serving the primary residence is sized [or 3 bedrount(s) with a design/ wastewater flow of l allons!day (DWF is based on 150 gpd ibedioont ;a? 2 persons per bedroom). A maximum of k occupants arc permitted: if the number of occupants exceeds the maximum for POWJ S design, the system will be undersized to accommodate increased wastewater flows :md!or contaminant loads arid may he subject to premature failure. I also acknowledge that ( will make this information available to any future panics interested in purchasing this property. Dared INS .:,,O day Or . ~IDVL>I~E3C^r~_ 20\$ _ C f^.~ _ i AUTHENTICATION ACKNOWLEDGMENT Signature(s) SIATEOFWISCON IN ) t .t....'{ Croix County aulhenticatud this day of . <%:J ~~~eJSonaily came before me this •_%1.' _ dayof NO T4 FF the above named TITLE: MFMShH S I ATE BAR OF WISCONSIN / Ll G, G known to be the person(s) who executed the foregoing . _ > •~111ftrumert and acknowlodge the Same. j (If not. - CI authorized by § 706.06. Wes Stars) ?HIS INSTRUMEN I WAS ORAFTFD RV' X111 l It rrtttl~% y Community Development Department St. Croix County YL-K r - 41 Notary Pubbc Staterof Wisconsin (Sgnatuies may be autnenticated w acknowleeged. Roth we rol My Commis'"Or i pe rent If not. state exprrat cn date necessary.) Date- I'll 02 tW .2 ~f Ito r; Coe.tth;' 1:; ,'.79'5 -'aqc' i • Parcel 010-1082-90-050 Valid as of 11 x'30;2018 08.44 AM Alt. Parcel #:34.30.16.505A TOWN OF EMERAL D ST. CROIX COUNTY. WISCONSIN Owner and Mailing Address: Co-Owner(s): S MARK & JAC-LYNN H TYLER 2466 CTY RD DD Physical Property WOODVILLE WI 54028 Address(es): 2448 CTY RD DD Districts: DISto Description Parcel History: 0231 SCII D RALDWIN-WDVILLE Dale Doc0 VoUPage Type 1700 WITC 08x16r2013 'd Ia11 TI 8020 UPPER WILLOW REHAB DISI 08+162013 I I I WD 08.11!2003 i'A52r 2357x206 EZ Legal Description: Acres: 42.000 08262002 .."~..%5Ft 1959+105 EZ SEC 34 T30N R16W 40A NE SW FKA 010-1082-90 more.., (505) INC E 66FT OF SE SW Plat Tract (S-T-R 4054 160!. GL) Block+Condo Bldq N!A-NO- AVAILABLE 34 30N-16W NF SW 2018 Valuations: - Values Last Changed on 08:292016 Class and Description Acres Land Improvement Total G1-RESIDENTIAL 2.000 15,500.00 133,300.00 148.800.00 G4-AGRICULIURAL 24000 3.900, co 0.00 3,900.00 G') UNDI VFl OPFD 6.000 6.900.00 0.00 6,900.00 (35M-AGRICULTURAL FOREST 10.000 12,500.00 0.00 12,500.00 Totals for 2018 General Property 42.000 38,800.00 133,300.00 172,100.00 Woodland 0.000 0.00 0.00 0.00 Totals for 2017 General Property 42.000 38,800.00 133,300.00 172,100.00 Woodland 0.000 0.00 0.00 0.00 2018 Taxes Taxes have not yet been CalcUlated. Key Primary Z. ~4 ~ W ~ is > m .n O ,.I I - Cep • - ~ ~ ,ki A.}~Y - T l I~r V. A 4. 'Awl . q 'f Y v~+~ F ~i j~ a• ~ r T w ' t 'T.7T ~ I. f JJ~. N Y 1 R+ ~F L f Y, f u ~ .'1 ~ E• -r•f. 9y ~ ' E tic i +N r a vacone~n (xr.,dn-sa of Gi,~„~~~s PRIVATE SEWAGE SYSTEM , Safoly mW CWdings LN.,,,,n "St. Croix _ INSPECTION REPORT G•EINERAL INFORMATION (ATTACH TO PERMIT) ,ndapPa~ Wn r Pamon! infonn,,60n )W pvnNG vnay Oe 05(M Inv xtrandnvy Wvpcaoe IPnvacy O 15 G 11lllnlj r [NO~dN P' (ny- IJC w _ T ;U1e PISn 1U-NN ReVA-HOW 'V~' or ` ~nfer1ai1~1p~ ownship BMrlev vaspF flee° 8lv~Di,1( ion Pavc djV1082-90.040 / D rr 1r- O V•'1 TANK INFO_ _RMATION ELEVATION DATA _ _ (YPE MANUFACiURI'~i CAPACITY r SiA7tON B~ HI FS ELEV Septic T'i+-- U Benchmark /per t. / Dosing , - 0 - Aeration - - - Bldg. Sewer 9 , y H i;g _ _ t~s/~- Ht inlet. - . k6 9 S- TANK SETBACK INFORMATION enan TANK ~O P/L WELL BLDG- s„i,,,,Fe ROAD ~tFl--"-' Septic ' ~2,/ NA Dt Bottom 9 Dosing~~ i~ u jZ' NA HeadeN Man. 2,Yj / y Ae - - - NA Dist-Pipe ~GY/7 Holding - Bot. System ;Of _ /0 3. 5" Q PUMP / SIPHON INFORMATION Final Gta le _ ManufectLrer /X, fy~ _ Demand _ `1.U, _ _ --_,__,ZL ~~Y S / Model Number (,f,Kr Zr,;,OPM ~ R/10 l.S~ ~ .5 ~Q TOH Life 3/ Friction, Sstem, TDFr F,V Ft Forcemam length ~Sg Dia. z" Dnr towcu 1 SOIL ABSORPTION SYSTEM BED /TRENCH V+'Aro 1Lenglh No of Le tees PIT No.Of Paf vroide Ow. ❑ep~d DJDtt 2 / - -Slp ' KENSLQNS - it rn: SETBACK SYSTEMTO P/L BLDG WELL TAKE ISTRE LEAGHIt - INFORMATION vpeo - - i4~, ORAMB~R' nNu car.-- DISTRIBUTION SYSTEM _ v'e Nie I v Ho a SDa<.rg I Vein a An Into e Ileadcr lM,m of Dn- 11 vl~P. , r ten u, _ .3 u~a ? ten th Die. (~;JZ swt,ny 3 LYy~ SOILCOVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Bed/ lren<n(o,rinn rlrOCn<n Edyes to ~•n 0l "tie1••ied'Sodda: ra MVesneA COMMENTS' (include code d'screpance), Fe'sOns p~e)rnt, ete) ~l5 f, <i /G/0/ Location: 2448 County Road DD, Emerald, WI 54012 (NE 114 SW 1/4 34 T30N R16W) - 3430 6505 1.) Alt BM Description=I>l (JV%r '-~~!`a,.,led at.A•tiu T•af~rr. „ve aY. 2.) Bldg sewer length = }4J t r -amount of cover = "/'pL.A~ k- - SP 3.) contour= 3 6,5= to j. ~p Y,) m ivd df e/ Plan revision required' ❑ Yet ~ NO J Uw,ther4deforadditionel informaLOn. ('o 1~J 1` i~.. =.u-te a" _ oe~~ - mti,aatu~ 1bQnJare ten bn SW el lu iHAu;) w ~ T~ 07737.`1 Smcty & llui,di lys Diai: ion: M tianttat'\'Pt rtnit I. lAdo, C 20 ode W. Wasb.l ton Avc. in ixi.CCo N'lcung is sp pG Box 7302 )n 1 r va tlons nic for coati+IeLo this a I:cazlon 1\ See Haze side S ~ .73G2 ~.SirionSin Ycrsonai :cYt rmainon ym prow Jc Ink' LN oxa or orlon' patyox> Madison. WI 53707 (SuSmit completed form to county it not lYmuy Lsw 15441 IIIm11 sum owsscd.) a - +nach mmu~l 6 tc Iar 'u MC '+6nt> atx)y only) for tne>7a nl ai Ixtper not ieev dten 8.1•'2 x i 1 inches m size. Smm S-,: , P111 Nu.rnrn Coca if¢vaiontoprOv Pr~iution N=PnaI D \vmber !t 11; S. 11) d 631b>2! br .~~sCW7IR inll Information Lacatlop: + _ r IApplication luformttma-PleaB 'Ill A 1L': ant: II.SGh 1iC ]Yltrp a, I -•L 1 1/4,4. 'I 'f _JN,R t4t)W I :{'rna CM I'<.• s \lbllllf AC'!cn 3 ] K I Cr' STRcE'1', 4C I IiLE, %IN Y711, - 221v ' N/ A N/A ' _u f,P C'e-~;t - - PFNnr Vwnber Udniiwn t:'ame Xri;a-" 'A/.A r'1i .1 '2 :1 Clry Typc of Building: (e)teck onel ✓ - 1 -E- 5- 5 r. / ❑ Vdigc ? for Fn:cily Dwcllmg - No of BeCroom> ! raysn,L~`vf, _ WT-of rpeCn]d public: romlarr:ial Wrsmbe ux). 10 C NtR~is RU. J 1 rk Srlt'1►srn~ a o= ~•(a ~19Zu anz a.san sJ1U-;.OA2-9U-Chu': 111. Type of Permit: (Check on:y one box on line A Check box oa line B if applicable) 3 30, ; So S . e - 6 Addihonb I aNca 2. ~Rrplb:'erxni- J. Rep a,anenl -.f4 Sv>:rq Svstrm Tank On:y ExLg_v Syuem it) Frrn~t\.Fq7- ❑ A Saniwrv P.on was prcvloe<iv E"+! IV. Ty pe ofPOW' 1' System:IChrzc all the apply) - IPD I N,n.lvr+snnme Ir-gr,n.I¢1 l~ \t:nlnd O Sand Faun O Constructed Welland u . Lot:mg Ten'=. ❑ Single Yass D Unp Lire 1 1 At gnulc e 7 Aucb, Treamlent UaJ U Reei.lano; U Other: V. Dtspenak•Trcatme at Area Information: e'-ri iz- !IUignFlcwUVJi 2Dopc.~e Arch 1:>upenal Mu s.$uiI APVlletlwn 5. Per<oeuon Eau SysumEr WVn FJLVYIOn .I RCVJLT( P""red Rxctuxh Jaytsq ft) I (Alat"xich) 4,U 4W I Ii7A 105.3 VII. Tank C'apncly is To'I A of Maaafarnver Prefab Site Steel FibaTOGehuu _ Gul:oas Tanks Can- Can- NC'n. Loos ng cme cantered Calks w_ sre c.GV k rr•. O L3 L ca 600 \'lll. Responsibility Statement IF . nderslgntJ. assum<re<pominiliw for Inc tlt.uon of the POWTl shown on he ottxhed plans. ) F< Na erPnnt) un s Ignetwe~~-~T'IP7F'IPig~--~ I41nev 3E.1._:. hGl.;.EZON ~/ZIiZ9G 715/772 32%a Icmlieis A r~Tmr u«t Ciq•, SYa. Zip 1, / t•!1770 ;r[rrfl 'n; ALL 3. °>4RISG 4ALLNY ',;7 5476-i X. CuuntPL)cpartment Lse Only rX-y--- - 7Di.npprove S.nA,y ix,o, Pre (IIwIu-.ca 4rol~w+trr tae lcsuc ssma 9' IN rt ogovW J~:1; provCJ CI Owac, Given Initial Advax Sm< g<Fbe) dD Jcnntninator. T>2S 2 zm( X. C nditions of Appr vat fR w s for Dis Rprnva"1~-' /ns -G.N n/~SLYI.+~L Ste 6+(yw'sn S i&~' ke^ a - Maalli h C t K~. t" 4 ~ ~ `wit t /ceaPe . I q-6593 QC LI'lLrJl i \ O~~r' V, kf.,. Y~ moues Li I__, ✓C. rw Pro aSc.Q - P \ I7~1 ~,..•,6cr' .r Je rr y~~< flt ow 3 Sod hn„e_ opow d ` \ lei-.~,..._•, ic'~.~j/ ..1~ o~9a t..,/D~ac 70~ k \ +gj. \ w \ lop of i' Q{;C \~j ~t i ~s1 ` \ ~9ky Co, 4" V.I II r.6i~.. :oc;'v e.CCrr~ge. "r Lk~+IG1, 9 100.4 r 0e oP r" ~uC ppc i t i 4IXJ i~ 13.70' To 0 0, P ap.~~ c~ j lass' op f As .7 how.:\ I To lYq•t' _~f y.ap. c1.,< Ir /Vrn.r..l Q po f~ Lw.c 3 ly [ycl,Jlr.,. 4[431. KINNFY COUlth KO IA CROSSE W 54601-1031 TDO A: (VZ, 264 6777 Wisconsin +ww wmmerwsufe vn us.•sb www.wisc9nsin,gw Department of Commlerc(,. _ Scott McCollum, Bovamor Benda J. Blanchard, Sacmta April 19, 20U1 COST 11) No.268093 ,ITI:NNU07N inspector BET: HELGESON ZON:NG 0'FFICF HELGFSON EXCAVATION INC ST CROIX COI rN'IY SPIA W 1229 770TH AVL 111.11 CARMICHAEL RD SPRING VALLEY W! 5416? IIUOSON WI 54016 RE: CONDITIONAL APPROVAL I-- Idrnt:iceton Number _ PLAN APPROVAL EXPIRES: 0411912003 Transaction ID No. 632658 Nate 11) No. 627968 Please refer IQ both identification numbers. SITE: l above, in all correspondmce with the agenM-_ SITE, ID. 627968, Vhktor & 1,iubov Lebnova SL Croix Counrv, To" of L=mld NFU4, SW Ir4, S34. T30N, RI6W FOR: Dcscripnon: I hice Bedroom Mound System Ublccl',ypc POWTSSysrem Regulated Object Yo.:7RO720 Tao .nbnrittal described ahove Ihas been reviewed for e,11formancc wish applicable Wisconsin Adrninisrratwe Coda Ssatu(cs.'the suhrm:w: has bccn CONDITIONALLY APPROVf1). i Ins hdlowmg conditions shall be nlol during contmiction or installation and prior to occupancy or use • This syslcm is to he constructed and located in accomlarce with the enclosed approved plans and with the "Mound Com4tuneal Manual for Septic Tank Effluent for Private Orasix Wnstewmcr Systems" SBD-10572-P (R.6'99) and Ilia "Pressure Distribution Cotnpnneat Manual for Private Onsite Wastewater'] MAMsent System" SBD-10573-P (R 6,1M • In the event :his soil absorption syslern n: any of:ls co npinsent pans malfuncuors so as w create a health baaard, [lie p roperty• owxr must follow she contingency plan as described in the approved plans. lit additioq the u~mrr rnu.; oa.w that the operation, tic::n.rn..,n and m•+niloi nog tuna , des<rthed :n secfion VIB of the mound at, eh•l section V I of the prccwm disnhbu:iwh ;:augnumns uuu'.ui me cuc.><hcd airh. A,'py ,,C this mtorrtwlion unfair be given to the owner "n completion of the project. • A Sanitary Pernvt must be obtained from the tonsils, where this pro;ecl is located in accordance with the icyuiremenls of Sec 145,135 and 145.19, Wis. Stan. • Inspection of the private sewage system instillation is required. Anangemcnss for inspection shall be nude with the designated county official in accordance with the provtshom of Sec. 145 20(2)(d), W is, Stab. A copy of the approved plans, specifications and this letter shall be on ice during construction and open to n:;pee:ror.?va:nh:nrecd icµcs<ntihvp of llw Depurumol, which nuy nuJud; n>. x1. mspccu>*s. AlIrm"cc required by the state or Use local municipality shall be summed prim h, comJtt•nximni of censtracuun r installation operation. In graining this approval the Division of Safety & Buildings reserves the righ m requuc changesor additions should conditions arse making them necessary for code compho ccc As per state stars 101.12(2), nothing in this review shall relieve the designer of ;he responsibility for desigrang. a sale building, structure, or componan; INDEX SHEET • PROPERTY OWNER: VIKTOR YEFYMOV AND LILBOV YLFYMOVA 2971 RICE STREET KOSF'.\'II.LF. MN 5< 1 13-2_' 10 PROJECT NAME: VIKTOR YEFYMOV AND LIUBOV YEFYMOVA PROJECT LOCAI'ION: NE U4, SW 1A. S 34, T30 N, R, 16 W MUNICIPALITY. TOWNSHIP OF EMERALD COUNTY. S I" CROI X )N'($• '.:tonally DESIGN PRESSI'RE DISI'RIBUI'ION MANUAL SBp` a'tPd ID MOUND COiVIPON1iN''I'MANI'AI. SBD-IG'•7Z t of r'oM µg00 D CON'LENTS {w~ Y • ptvrl` ~SWMOf ~yGE Page 1: Plot Plan fyES coK 54-~ Page 2. Goss SCULiml anU Plan Vices 01MOU;1d Page 3: Distribution Pipe Layout Page 4. Septic Tank .@. Pump Chamber Cross Section K Specifications Page 5. Pump Specifications i Page 6. W 1000`600-bit Tank Specifications Page 7 Mound System Management Plan r Name. Be nie llelgeson Sign-' i Address. W1229 770Th Avenue Spring Vaary, Wl 54761 Credential number. 220292 Date: March 28, 2001 RECEIVED MAR 2 9 ZOOI SA" & aLJocS DIV • pp Q ✓kf ygf )TIO~•L/4bW rr Fv-, IOVA nrOposcq 7~U Der' IJe nvl< NCI eSO r~ Eke. ron 8? \ \ sy \ ( Aft B. M- 94.9 `y "t dsR+a PO.QS I P< [[[333 / ~-V r-Eku Con ~eur ` IOa.H FI ~IF~1<. Inn.Y \~fOn~di~ r bias Icl.q Ipo.A i CC11 ~_~To~ of I^ foc P.Po J ~ 130' To Nor{tye. , ~ro~yr / Lln{ - i=-Y.Ca~} fis Jnole).~ I Q,.~e'%I`llna LiuGOr ic_.ryi~r~✓~_ _ - Symhet;c Coveringll Dislrlbulion Plpe ASTM 3 o.~; Medium Snnd --r~ Topsoil--• '~'r~•' o ' r c a. F 4 Ic1.4 - % S.ope / `Force Main Plowed 2 From Pump Layer Aggregate G i• ~ : t. E/?b Ft. Crass Section Ot A Mound r , 80 Ft. Ft. q b Ft. Ft. 5 gned: Ft. Ft. L,.ense Number: - - t. Ft. Gacr.~ - J Ft. [/C.r Ft. W J4.+~ Ft. Observo'ian Pape-- r ~~~ddd A I - - •~r P, I ~r ~iiistriGalion - ~\~:.4L Gt ~-Z zJ IP pe Aggregcte ~Observc"on Pipe ' iC~ Yr h rl' ~ ✓ ',ii:::'. l ^ ~ R - fie{ ✓ a ~ i c.r / Cnd Yla ' I it ~r.rro,.~o ' ~ ~ vr_ v.>, E~.l Pram Sol rj w; Holes Located On 5"coo ere Cque11Y Syecec v N Y l , Hole Diameter ff_ Inch Lateral Inch (es) Meni tole ° .1 Lnc'•e .r - Porte Main ° Inchas 1n UF- P,I' E~ 4e0. /0"-()o ;x rtolys Y'~ I~a~~,-~I Performa ;,Ao'rma ' nce w&v--Submersible Effluent Curves Pumps METERS FEET 90 MODEL 3885 r - - SIZE W' Solids 80 ]0 -1 A; WEIGH o WEWH IS 50 WEOSH I L. 1 - •p- ~WE03M ~ ^ WEOA "-T 5- 10 -t- 0 10 A 30 40 50 BO 70 BO BO 100 110 110 GPM 30 m'AI CAPACITY LGOULIf?S PUMPS INC. FSw IILLS r£+i lOR[ OMB METERS FEET MODEL 3885 - SIZE 1/4" Solids 35- 10 .tEISHH- C. too )0 60 WEOSHH S~ ~ , - - - I'~I 30 1 f I I - I 10 I 5I '0 0I_ 0 0 'U 30 30 b SC 60 IO BD >p 100 I'0 11C GPM 330 m'm CAPACITY 6M .My. IM P, .t,, I 4 g sit` m 16- = 1 r M1 r S S T f r obi iii o ~j,Aozu D y C Sze.. m♦ I A Z 4 YLm (>~m Nrl ^14 ~N N a ~ > 1 cZ ➢A'M 6 0 ? u 0 n; L C y /J~ `'y V'~'Csl ° Ay Y F m 9 a AO ; ~ G m Ll A; L-„-1 ? c r C- 1 ' r' .(~!)i rid I volt V/4 Pc toy G - h1ound System Management Plan Pursuant to Cornm 83.54, Wis. Aldan. Corte 5ol;t,c Tark T`LC sept, :8rd sna I be nta,wained by ar '1C.1 Jos :enihec IC >ewde septic fan NS undo's 284.48. Slats. 7B0 con:e".ts 0I the e,- .ant iaa to diS;aaCJ of :n az=ilanca with Nil 113. Ails. AUm. CJC&. The operating odnciLon of Ina Sep II tank and cjti, Luol :nx:, 0e assessec at alai area e':ery i ouLI 'Oy '-SpeCJCn I'he Cattle: idler shall be cleaned as necessary to -+uL•u p- pe' operalon. -,he filter earl sr-au •fl: oa •emc.'ad un.ess prov:s,ons are made to ruWln Sol its in me tank that I - n ra t Itcr ,al •1 M' R t' s.-I I PO f'D' i CCI'doed with an alarm, :he lole'small be 3eroiCeo:1 r - LL' cu'5n o elm Ili, It I I ::Id s , nd C Ic Iqe Lens Cf an impending CrnCnus alarm.. Tire cf c tanksna lave Is eciterl5 removed caner' :he vc.ume of sledge and scom in the lank exceeds 113 No I mciurnu Or 'i-n tank I me ✓JOtenls of the WOk a'0 nil removec al the :Inge 01 a :nenClal assessment, maintenance personnel shall advise ICU Owner of canoe :he nee. service needs to be pem:rTed la ma ^talr! less than maximum Scum and sludge aCUUmLl8aOr in :ve tan< The addittb:l of OIOAgical or croomiual 8ceh1'ies to ennan:e septic tank performance is gererii rot requited. HCwo•r01, J such products are used they shall be appavo;'o: septic tank use by the Department of Commerce, Salary at .-nl dirgs DI viff on Pump Tank 'e p. a, lc sir gl fork SO Wi be inspected al least once even 3 years. Ali Switches, alarms, and pumps shall be tested to .eh^, wcpe: epe,lii I alt enluenl filer is IrSW: Cut w.mo Ire WIIM1 it small to inspected and servtcec as necessary. L10_Ui,d ano P,essmjr Duuip~liull $vslyn, V.; r;es 01 Sb:'uts st'aL'd de planter on the :"q Ln: PI30tir g5 I, a-, be made around the m0U a perimeter, and 81e Roane rte scecec anc rulc:'0e as r'ecessdp• IC crl'+eot d"niCn drd le 01Cmoe some pmtecaOn Isom frost penetration. Traffic e :man lot r'U$11.%,e raarfe0amcoi on tort nN_nc s I -ecu:nimencod farce soil ComJoclbf may hinder aefaWn of me i.'t. I'l il'ie ilulace , I Lila 1-'11111C all' s-ow C<ml.a::::elt If :me x.'ilor N'lu promote host penemapon. Cold weather r::a 1XIdns ICC:U' 0'. Felt-Sari C Cale :oat Ina v:OCJ Je 7co. ly ?Llenao Im flist droloe6en 1 '.ue1r. culli rt me mcLi system. cad net uxcoed 220 T-21 BOGS 5C agi: 'SS. and 30 mgiu BUG- influent flow may 'let alceQ0 niawm.Jm Cosa-'low SILI it :he Jurmn loans love lXk;n The ,-Jressuu d strei. on system is provided with a t.psh, ng point at No antler each lateral, and If .s recommended initiation n oat t. ne t voiles : t ea nee e. e 1hL^t'S .cn a pfirm ute testis parf+rmed it sheald be 'SarCC U lnC nt lal lest when the System was Tla('m vd to eeta,ft if oaf ca clOgglcg has C".rfec anc ' pririce clearrIng S ' f n', rcC to maintain Cqual dIS1f.!I within lne dispUl.a. Celt. u;el'a 34vn p.pes'wnh.n Iha Clsparsdl CB. s'W ba [necaatl IOr Un Uenl PJndlllg. Pending levels small be reported to the owner, .r.n evels above a itches Jonsderod as 3',:mpand ng hyctau+c Dili rccuting additional, more frequent monitorong- ,A r, of L. •In Sy ste^ sna:: be cperaleo n accordance woo Comm 82-84 M, Adm Code. and shall maintain" in accord anco with :Is' 111:,a1ni manual IS©D IC572 P :R. 6:59)) one 'coal or state r.1va pertiin.ng to system malntonunce and maintenance re_orirg • ;nc ::•,l: a ever or-to, asap:::: of pump tar, suite er.::;arcus gases 'ru:y be presom Gnat Could cause dead,. Septic and -nun;: lank abandonment seal: be in a:cc oapOV with Cam.- 83.33. v:,a. Amn. Coda when Vie tanks are no wnguf used as :,U'evT S componlrn4 -pat '.1' a.Jmp :il n1ArnC.a hSers L:LLas Islas aril covers stroji; LJu inspected for water aghlnoss and Soundness- Access ccurnig5 s Sob :Jr serrlCe and assess-erl matt be sealed xaterigm cpu°, the completion of service. Any opening deemed w•s:L-d, da'ecava. or siCucl;o 1auu:e must be replaced Exposed access openings greater than 8-incites in diameter shall r'.• :c::.nee of ar el i'ro ockicg de, :a to proven a:"-jo--tat It, Ln"tmuraed envy into a tank or component. COnbnct Plan It Line Ii conk or any of its components cd,UOre ril ive the tack Or Mmponem shod be repair" Of fapli W keep Ina •,st-m n prcpel operatng con6lbJn. lie oast:.; ran,, p.mp, p.Jmp controls, olafm or rao o w,•mq oecomes ou!uc:lva ma dirolLve u,;cipuiant shat: Lu emu eo atety ODLIL'80 of feplacec with a ccmpcnerd c'tna same Jf ii;.enorm'unce. It :ne Sound polnponect faa :e accept wastewater c- begins to discharge "st"aler to he ground surface, it will be repaired " 1ep acec i" its present location by increasing basal -area If toe leakage occurs or by removing biologically clogged adsorption a -J dsbersa -rucla, and reared piping, and repla: rg said components as deemed necessary to bring the system into proper --eras ~J cdrdifion -oast Dr's u ' Ir if cpmraLJr or ma. nlerar:LO or Tres i slCrrsIDb it be cae::ec to your county zoning or health inspector. l - ewtee-~;,a„~n~earr„InRw„rM'dovy. SOIL AND SITE EVALUATION REPORT Page I DI 3 0r+ICanrnl s6fery A Blut6rgs - in accord with ~LHR 93 .05. Wis. Adm. Coda CM Attoch compete dte plan on oaper rat less than 6 1:2 x 11 ethos n size Plan must imlul but St. Croix roi limllod to vertical and Horizontal relererce porrt (BM}, drrMon and %ol slope, scale or PARCE'. _C e a wmeneioned. roIharow a^dlocminnanddcfar -a areal •oad. 010-%082_90-000 APPLICANT INFORMATION-PLEA . :IiLt rl; MATION R VIEWED T DATE ZW 1 PgOPERrv OWNE3. PR101-R110CATION Faul ;uuot: -'r;l nr rat _ SIX 14S34 T in NR to *1d:W raDPERrraI sNWiw:,A,~.+tss l iar.a.s vA1k oncsr.u 400 S. second st. - + na n.,] 40 acres C Hu TAT = S pp~CyyEE n:' Htt son, k7. 54016 IP CCG P .t (1Crtr -LAGF fC-,VN 11IROAD iGa:~ -:125 i 1•hmralc Lti Rd. "lll:'1 I J New Constudbn Use I xq Resldeu'aI I Number c1 bedro:ms 4 1 Addtion to existing buildng al RaPlal)?(I I ) PLVI of tnmmerdal desx be _ Code dertved daily flow See, gpd RecmrrerWed desgn 4W,P; rate ...S bed. .ench. gFd'w2 Ahsnrlrm;voregI 500 bed. h2 500 rend,. 12 rAI des-l loadinP rate .5 bed 9Dd+b2 .6 -:rends. pI uwmrn'endM III N2r,n sul`a:.N e':Ban's l 103.IC Rhs r2leved la sae plat tRidmldl..1 AddiOOnal design, sac considerI system el. based on contour line of el.. 101.901 Peren:mataial-__._ glaciaLdr i ft. Flood Nam Beyatol A apglcable It, It $~$Vlldbd tdf SySlem C"NVE)~ ONRI Aq.IV IN Gi.^lMD>RFSSL.RF YGRA:= ">"EN IN R,- WXDW, _AW v.UnsraDeforsstem S kU as ❑U O$ ®u L$ sU S ®U ❑S ~lU SOIL DESCRIPTION REPORT ~i f w~l. ;E4p- 1 Bo•ir'g N Ho•izon Depth 'Dom,nan!Coior Mollios ~exlure Structure GOrSie N%~ ~z~, Roots GPD.It - in M,nsel Ou. Sz.GmI. Cob' Gr. Sz. Sh. Bed TM& 1 ( Dy14/'tone st .nfI I CS t 2 ~d-17 10yr5/4 none sil 2msbk mfr 9w if .5 1 .6 .1- Grovrd 324 7.5yr4/4 fif 7 5yr5/6 sl 2rnsbk mfr yv na .51 .6 Hey. - t 102.2n 4 24-50 5yr4/6 c2d 7.5yr5/8 scl M. na na na np .2 Depth to lrr*ng t Remarks Boring N 0-8 10yr4/s I none ail 2ms bk mfr 9W 2f .5 .6 •S 2 2 18-16 10yr4/4 none sil 2msbk mfr dw if .5 .6 , r 3 :6-26 7.5yr4/4 none scl 2msbk ! mfr 'yv if _.4 .5 Ground - - - ~ - - - edy. 9 26,50 5yr4/4 {:2p 7.5yr5/8 scl 2nI5bK mfr II na f .4 .5 DePb 10 III lacla - - - - , - Remarks: car Hama.-_Pknsr M'. Gnrv L. SIM Ph.,nc 715-246-6200 1~: \ N-.Ivor lrl, R~ilfll7 4 28-20vu 1ST N.mler 102'" PROPERTYOWNER uaut R. Np;son SOIL DESCRIPTION REPORT Page 2 c!_ PARCEL Lp.8010- 1082-90-000 tructure 'COrniskxma B011r}~ry ~ -ed -[f Bed GPft4 Boring 11 Horizon Depth Dominant Color A4otfes Texture S' Iercn in. Murseil Qr. Sz- coot Color Or Sz. Sh. 1 0-9 '.10 r4/3 none sil 2msbk mfr ;yw 2f .5 .6 ,f 3 r 2 -20 '10yr5/4 none sil 2r,L* mfr '9w if .5 .6 S_ Ground 3 0>35 7.5yr4/9 2d 7.5yr5/6 scll 2ns6k mfr 9w na .4 15 eler. - - ' - - - 9 5-55 7.5yr4/6 2p 7.5yr5/8 siclI M ra na na np .2 DepN fo 6mieng borer 7 Remarks:- Boring M Grouts - - - e'ev _k. Depth to limiting - Iaclo• - - - Remarks: Boring Ground - Wev. i I it Deem to I m*rrg IxIor Remarks: _ Boring M I c4w+ Depti 10 f P.emara. SaU-A3301R ^s n)r STEEL'S SOIL SERVICE Gat, L. Steel Peel R. Nelson 1554 200th Ave. ► CSW2298 N&aSd~ S34-T30NR16W New Richmond, WI 54017 MPRSW-3254 toum of bineratd (715) 246.6200 I~, ~'^,^tf, Hof111E ,C@ =top of L" pvc pipe r el. 100.00' Joe -Alt. f3M.= top of 1" pvc pipe C e:. 99.90' so ~ C'o^kd qO Z~ y 77 z' r~ a~rv L. . steel 4-28-2000 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM a / Owner+"[3uyer Vi KrVMfJV Q11d 'u &-v /EtYM_D✓~ k5~~n/al O D IVrfC ?4 lung Address 2g P Ce SC. 52rq tzcl (L,5et , "2/L' koct lProperty Address F . rs z S /lip [ 5 fP4 61q,6 (Verifation required from Planning Department for new co tructi Cify!State~_dveSGO~!Stil ParcelldentificationNurnber0/0-/ 432!)000010-/0&-Is-CIU LEGAL DESCRIPTION Property Loo¢iun N'r L,cj !5, Src..~_jt T,2%,_N-R !L, W, Town of ! me. ICJ Subdivision . Lot # Certified Survey Map # ✓lY /06 , Volume 3 page # 3 Warranty Deed # 628 3X4 Volume ~.S.3S Page # _ 3 Ste:, Louse !7 yes 0 no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and mainleanccof your septic system could result in its premature failure to handle wsstes. Proper mainuemnce onsists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treanmem stage in the waste disposal system Tim property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, /ourueyman plumber, mtric!edplumbe or a licensed pumper verifying that (1) the o¢-site w•aslewata diepou! System is in proper operating condition andtor (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. b we. the undersigned have read the above requirements and agree to mamwm the private sewage disposal system with the standards set forth, he: cin, as set by the Department of Commerce and the Depamnent of Natural Resourcm State of Wisconsin. Certifieati¢m scitinag that your septic system has been maintained must be completed and returned to the St. Croix County Zoniog Office within 30 Ga)'s f :I:C , CC year ration dated AL'L 0S U/ SIGN Rli OF APPL ANT DATE OWNER CER'11FICATION 10. r! crnd'y hat ail statements on this form are m. c to the best of my (our) knowledge. I (we) am (are) the owner(s) of ibe property 1111111APPL vc, by virtue o a warranty deed recorded in Register of Deeds Office. r ~SIGN• URE OF ANT' DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department •O••• Include with this applieallon: a stamped wamnty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed rp. Mar. 1` t l os:(q-Pt sc 1 _ t~~~~,A LT!L ~ 4--4'rr yyW - ~ lIT LY ~ i ~T^-~. Arl MRi ~ICC7I MIS ILI, 1 ems: fY S?OP ~~\.ny~ II 8 i IO Y ~Ci lO'Y fO'S. `'x~°s G" L F= MAIN F~ooa PLAN HELGES N EXCAVATI N, Inc. SEWER AND WATER SPECIALISTS Vlumbv/CST UrT S330>OI M-N H_1 GESON n9ico (715) 772-3278 W. 1229 7701,1 Ave. Home (715) 772-3127 Spring VaPey, WI 54767 ' 4~tt15) 772-3387 September 14,M SL CROIX COUNTY ZONING A'IIN.JOH\ 1101 CARNIICHAEL ROAD HUDSON, WI 54016 RE VIKTOR YEFYNIOV TOWNSHIP OF EMERALD 14 50 f _SoS Dear John. Endascd is the rc•rised worm Link and pump chamber cross section and s1 ecttications for the tans that was installed for Viktor Yefymov. This change was necessary, because we were unable to get delivery on the Wieser tank that was specified in the plans. Sincerely, Bennie Ilelgeson President RH cb ere 3 y' 40,1410 p,~ ern ~o ' '°t'84 " [ Y1 70Y n(~ Page _Of _ y~ Qypvn✓ I'ILiCl'ICAS . _LFTIC :'A:NK t ° N I'.i•.'tol 'r:-- CMT PIFt: ii' MIN. ABU'v'E GKAGE L wFATHERPROOF _ FRD". PDUR, WIIJUO'W CF JUNCTiGN BOX APPROVED WITS CONDUIT MANHOLE COVER FRESH AIR INTAKE 1 W/ PADLOCK E F:NISHEU GRAJC WARNING LABEL t MIN. t - 1 4% PIPE IB maw. INLET WATER TIGH'C SEATS GGASi:T~ VA PPROYED 'fl -~F-~`-•~ T S WITH Flt.TLK SEAL \ , l III l JOINT I ,.•ac,L< i_:ti I ~:I1ALM APPROVED PIPE APPROVED I I_ ,DtJ 3' OFTO PIPE 3' SCL1U SOIL ONTO SOLIDI II SOIL I P'JMF OFF ELL":. _..-}`1'' OFF 3" APPROVED BEUDIKG UNDER TANK i:DNCRETE PAD F,PT L: % DOSE - _ 1•. i-u It'n.ls - ANK MANUFAC':V RER: TANX SIZES: SEPTIC O JAL. Di.3C 'eCJ3MF. :::C LUUI SG UCS_-. CAL. FLOWBACK: ! GAL. A - do INCHES = 70 % GAL. F/~c ALARM. MANUFAC::IREH I: nODEL MJHBER: /-f1E~ `d O 1 INCHES = SW'I''.CH TYPE: ~~e.•._~Y«.~ _ q~ p JRh s J t A'.;'.:1R INCHES MODE: NUMBF.H: .3- 6 - W aS# J U INCHES = J Aa• v_GAL. SWITCH TYPE: Fl- REQIi:YED DISCHARGE RATE - GE'M / PUM9 ALARM WTRIN;: AS PER ILHR 16.23 WAC i S '4 ERTICA I. D;FF ERENCL :i t;TWEEP: FUMP GFI' AND L!S'CH: S.:TI OIJ PIPE FEET FEET MINIMUM NEaORK SUPPLY FEET 3. FECT FORCLMA IN x,~_S-~i":~lUJ }'•p. Et:CT:ON FACfOH 3FEET DYNAMCC HEAD -.2v. 7 NTLRI:A(. a DATE: tlo 30' I2' I 30• - wr t m 4 I M. 9 M I I 7 ~ T ik CjW pF 4p ~ b LJtAGi - • "NE~tt~ i is 20000T 81 pN- 3° ]r~. 9i Ott g _ RECEIVED 1 ..J-.,i w. MAY 2 4 2000 sEE -R SAFETY d SLOGS. DIV. ~ f „z c t TAW: B]0ss0 HJ, 1C- r ]J] HCRBERi STRCCI nCNpCRS Of~.., k' k FCUTT CONCRcTE <»,...w..,.r. ~~.,.t.. ...~...Kr~t (~K.+`u»'•"a~;. I' R n, (800) 924-1516 °~Oi1w rac4+' cON:•[I .v, y, p0y(wp UUw (715) 723-7446 • fA% (715) 7234N (U x•~IC rv~ ixiv rwvt >«r( .cr N: tsu(r v~~Nlr~co io ou4+v v1)N)u) ( l v Twt Q«Y.r r....-------------- I I ~ I 1 I ~ I I D/. B. . I 1 I P IA. ry ♦ n V u W.'$' y y 1 I N■ I - Illf - ■i I f~ ~ ~ 4 I u m I I ~ 1 zo. , L v 11PI I \ r oa ~ cc v u I Y 1 u 7 L a i - -44 € i 5 to ! fn 6 44 Dik 't M { q• lo• p. 0 0 0 0 7 8 1 P coo~~°yu P tUEN ~ } i 5• DID. O`\TS.ON - SPONO~N B - ~ B N i TANK- B/0630 177 IICRBERT STRCCT RCDt1ERf Dr. HUFFCUTT CONCRETE W.T~•iNl Vl >r rmw.avi* 7 n~ '.umitw :b O13: 123-14jwj6 • Tn% <713) 7Z3-71:1 (BTD 924-1116. v!¢al{w IBT4if coIRKK. I y N {f/IIC u1D MM i4K ypL RMLL p K RY' PO•V 00114{ VITQ.i 6{GUI K Iw! W' I n ~ N F ~ r O N _ N y t (J QO ° N p •i~~ F,~,~&?t~ 1~~~y S,~ ZFt fa F"] i! m x q R O uNi ~ ~ ~Q% s m o N low m` o to ~ n t. r. t b~'~_--.. Vin... +r oa y.••w v*as f 3 N 3 r Cb . IVI 3 Fri 3 _ s s w CD o n o o M v p ye+ S. C o c m a "7 i n WA CD z w`' < v N tp G F O ~ ♦ t 70 12 O p 1 s ~ U v. TyV : m) a q n ~ C