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HomeMy WebLinkAbout010-1084-50-000 (2) :::,onsio t:eoa:-11,e1r .=n rlroem- PRIVATE SEWAGE SYSTEM ° St-C.rw INSPECTION REPORT 5ai "ems" N. GENERAL INFORMATION iATiAJH IC PFRMI-. 607060, S:are r.lan iu No -1-naI in torn alur , G a ae may he n~Da for SEIXIUO:r)' PU'DDY: II'ov:f CV CrH 13 1 14:M':'. V,111 Iloinn-s Na^ti t:11y aga Township rarcel lal No Mark Tyler TOWN OF EMERALD 010-1084-50-000 ::'3T tiN icv nsrv. 3ht Elea RM Crscr?Ler r r „r_'a,em7owNkange Map Nu ~;r ~~'~"•Z,~ ~'11,~L, 34.30.16.511 TANK INFORMATION ELEVATION DATA F F,!ANU=ACTJRER , 5 ';APAia T" 6'AT1JN BS H -5 E,rV f no on Bag seviel !S ( 70 -1oldinQ ,,,N.i. Tw I, Inlet I- I il, -7. TANK SETBACK INFORMATION SU HI Outl et TANK-ri Pfl V:'LII 3LDG. vr,no nn ln,aKe R:7AC Dl Inlet v" SC;ttc: _ - I DI Hollow Desnlq _ I IeadeGAlar •9Miil1e0 Jls1. Pl1w i r ;uldrtt,q Bot Svsterr - PUMP/SIPHON INFORMATION Fria (,'ace tdanutacluler - _ Dernan- S! > ove 1,gnd, Number /L) 3 Ei-X77 TD- Llt Pnrdun Loss Syslem r,cOtt, Tay -1 - ror,^,emam . enclln D:a. E"t is then - SOIL ABSORPTION SYSTEM BEO'TRENCH Nsyt^ Lc-cY N.~ y Trencec. PIT DIMEN"S f. c Lw- D L'eW' DIMENSIONS 11 - 1 / \ SFTBACK _SY$TLM 15;i- -.T;/ B •/ELL !AKF/S7RFAlvt LEACHING 1.lanutanL.rar INFORMATION CHAMBER OR 77, `,l UNIT I,tc<: e' N. q^; . DISTRIBUTION SYSTEM '1E.f]..A ,•,:Vr ' .llf Il lnr I ~ v. h'Jle':~.. r. Mt`pr r':":1 J/enl tJ!rNr nl3kF. c^ntrr T Jr _ Le mr yr r'' / _ SOIL COVER x Pressure. Systems Only xx Mound Or At-Grade Systems Only cencl 1 _r.. .C:ri K.. ^cr o .ooaex S,aam xs l.lwcnotl 6ne7en.r. Genie: Y_ •ar COMMENTS: f lnc:lude cooc dw::lepenc,c, persons present. etc.i 1nsDe-ton kt. rr;u::::hun p5 Location: 2466 C RD DD ~'LI ICI `l i.. '`-~Y•""f{~"2~ i Al: 3M Desc D1f0r1 = I- t 7( / C / - ./y\ ~jq. • 'I?. {L 2.i 31Dq sewer lervalh = / -1 1 amount of cover = Plan revision Required' Yes No / ! r Use o[ner sroe lo• aaolhonal infonnaUUn. SBD-i(R 3:971 D. - -blxenelo' So.'sture I T .•e Nr S -a0k 9 _ o6a - L~uutt S~ric nuaion : B II 1400 0.ashni ton Ave -j T' L±eiX _I "...Sp 12 2P.O-Box716'+ - s APR ~ ,son_ -=1 f _ ~670 - ~r nnscr 'nmbc~ Sanity Zi. Lppl tc2 sacdacs, / to accordanis[tr'4PS35o > I f N Adm Code, wbmirsior• ill im#m t t is reyurad pilot to ob[ai:m,y a s unary p •mtn. Note Apnleauon forms for ddnu- (iC dilfacot than mailing a s taj - The Uepulmcal Of Sufcty and Professional Sc,yice<. Pesomal mfuntsstion }•ou pn:: ~,~i: m. be nsui i:.n pu PPs in acrnNance with the Ptiwaay Um%s, t i & 1 l4- Q~ LA licatinn .nformation-Piuasil: e Print ` mfmmatfun Prop"ty Ovme'z Na:nu P-rccl ` %1~.cc 7-r~Ea aid - boa y- s-r~ - ~a propcny Qwna's mailing Add,,-s, d V,14 Z,. K~, [t 00 _ Govt. Lo, ~-77 t. tv. Sole lip f-ode Pboac Number - WOODu/ALE l✓r 5Yoe78 6Sy- 539y ir`' i. 7;vpe of Building (c ed<h all that apply) T_ O N R n n: 2 Family Dwcllin -Number ofTednenni Subdivision Name ~J/• k'r J Pubfrc'CommaClal - Ducnbc Use OC_-- v _ CS,bt Numtx:r Su[c Oancd - Describe Use P-kliIarc of W'''-nn :i- T)'pc of Permit: (Cheek only one box wi ht , :v :omnlete tine' if npi;lH=b . l7 Nerw System i rr ❑ Aepiattm ne Systan is*lmenN lotdne 7anl. Acplat On ?o U h r':1nu n ion !o Lrisnny+Syslnn (explain) 1- ❑ Permit Rcnexal Penult Revision LI Ciran~c ofPlund,cr ❑ Pcnvit Tnm.fn uI Nco List I a. inaw PepQni, Wmtbcr and Datc Jssluxl 9 Bcldnc Es ualion fivrnvr /dSPfc rCO 7_(jb-]1~^ , .__p_ 'l'ane of POWTS SyslemiComponentlDevice: (C,heck all that uppiv) _ Non-Preatuar d to-Cmund ❑ Pressmizcd In-Ground 7 At Grade hln t^ ~t ~o`Wblc Al [I I I and _,1 m, ofwimble soil _I Iloldmi; Tod: ❑ Other Disp_ral Compom:m(czplarn)_ PoTrnam,cnr DC:icc(cwp(ab0 D[spcrsaVl'rcatment Area Information: _ - C!c:ign Flovv (god) D- inn Sod Azi lhcalinn Ratc(;pdso i Diipvsal Ann, Requited (i Dispersal Arai P ropossd tst) Svstem Elmdon - Tia Info P• y in Total ' of Manufacture Gallons Gallons U.s c $ I Na.TenE. E,chma,Tanks U raw' * ' ,760 Z,)/ CC 5IfA Lorc,ai>'E ✓ nt ci:a,mr. I. Responsibility Statement- 1, the undersigned, assume responsibitit) or installation of the POP.-!'S shown an the attached plans. _ I'.n:nba's tiamc Q'im) Plumlur•. r.r., MPlh2eS Numbe Sus rc~ Phone Number , d7-3 715 G7.7-.S.7LL I9umbcr's Address (Snit, Ci[y, Statc, Gp Codc) _ /1/ G.?Y2--_-',-. /~ir TS G r7Nl{ G1 % 5173& - ii.("uunplDcpanmcntCSCOnIy pn+ 1 r netmil Fee Dal` I load Wolin gau Siin2m c Z500 i z/11 I C:nnr ti ~pp(tkTah4 M~%yy,,WlFer.Afsxpprov a 3~ / _ _ - rr I-•..,t IIf'i.- le rite- LtixW\ ` Ves per ar r eme~ F r ta,e v l now.. /v 2 All R[ r pk ect .t an tm. A w rt I c : 4) 6L C_;~(p_0..WO~'J 4 " per pFlcrW+a>ri; ::.nll•.A,wiP• /1 7 r i plv:utnr rho srms axl aubmll to tae County ant, nn paper not less than 11 In is tmbn Ou 1 Y Z I i „ F 1` v iT ~ a ~ •a Y I C ~ ~ 'i ~ ~ w ~ W I I W ~ . i ~ M v~ ~ / c I~ y a~ Z J Q b d~ a T h ~ fl ~Z \Q e>` u O \ s - V Y V V e o r I ~ C i 0.Y v~ C W a Z ~ ~ ~ ~ ~ I MI t I Q a o - - J ~ ! a 7 C ~ It ~ ~ { L 3 W v~ i O lY y 1~ a\a O ~p u 4 ~ C ~ e 44 I~N 1 c° I ~ i art ~ i c Private Onsitc Wastewater Treatment Svstem Tmlux anti l';tlc PaLc P:-o;cct Nance: -A.ltK I YCE2- ,)-gA, I.tEArME.iY ~N e__ s~< BtACE~'F+tr ner's Name JoaAuiccE, ~I SYo.,S I -ail Uc~~:iuuoii: fGJ SEA J'/ 3041) le LI _ uaricirnality: Town, ' 44age, Gitr of ENE[Aa unto: - _J T ~iAoiX Number: Block Number: CSM Number: vision Name: T-) Number: 0/10 - 48f,- 5"0- 060 agc I Indcx anc l ttlc Pagc Page ? Plot Plan Wage 3 Septic Tank./ Pump Chamber Cross-Scction & Specifications Paige 4 Pump Performance Curve Fags > PO M'S Owncrs Manual & Management Plan ec Ci POINTS Ownct's Manual d Managcmcnc Plan Filter Infortnation •..r:i purer: _--161Y/ Op dexE License a7.3 3Y6-_-.- _ vnautrc - Date lw I O. i $ L 1 s K h 't ~Yj v O W ` p hMj ^ \ t 1 M 143 W W T J h v M p ' W C 14 .o M '2 = I • ~ O v~~ ~ W O? i b 2 o IQ b Q I h x h ~Q o e I r ~ V W \i j b M ? a v 1~. i~ R I ^1 I v ~ v 0 W 4 b it Y a M { h $"v W M1Q 7 Page of -)MBINATION SEPTIC/DOSE TANK CROSS-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & CC%'EP LJ kr.l 11.. fpef $P$18<2`.Ola (B;. aR?: c':_- - _ grconQ eWlacQ av`a)'from Ipr}.iFrt3 devFC,L Weming labeilc c -=efc) for FroPor tlrelluge} dtacncle ^ser xa nnwesar', ' - a' h ELFCTRICAL r i1B~[ - 4- lam scn 40 PVC Tank vent JUNCTION BOX 4 above F BUILDING SEINER located 12-above rage a-24- I 300) r {per $P$ 38230(11)) above Region: Frond Elmmtlon / (vi npl "In 5 316 I ar OF , i~SCQ'Mf II 1 { >18' 13 r~ i I I 1` 1/<VHOI-c ` I I Ir.. .I - Bar, ovof tact ialvm eevMm+I f r I -=v t 4 I } Fyyav P.hnm.S.Xla ~e1T n'w 0 Rpaurrr104? On Cual ~ I---- ~Oe=lrai 11 A tlm = c: 3AUM OF T OF SUI TABLL 9LODING BENEATH TANK 3 MAXIMUM BURY DEPTH OF 55" Anrnonng n( lank may be regulred per SPS 383.43(8)(8) P,:ar', cwrer _ /~/ES ER 6 l4 As AV' _ Daily Wastewater Flow (DWF): GPD c/Pump Size /x7So /JSo gallons Number of daily doses. 5 9 C /8 - :n Manufacturer: T, E 14gon dad - Number rq uK /FLE t r / F ce main vo ume: 530 R x . /L 3 gavft = 84,Y gat %iodel Switch Type /YEC.+/,t,u/e.r4 dual dose volume: _ /C9.3 gal - 84 gal gal total dose volume - volume of force main i ranufacturer. Zoe-uE%c _ ,)del Number /G3 i DOSE TANK CAPACITIES: Reserve above alarm X7.5 in = yy3.3gal (D) rscnarge Rate- a?S o8 GPM Alarm float above on float sZ in = 3`7-? gal (C) ONOH float measurement /O.5 in = 149.3 gal (B) =rt,cai lift (pump off to lateral invert}.. ft Oft above tank bottom in = gal (A) _ sn;m head (distal pressure x55 ? x 1.3 ft). _ 3. `t 530 ff Force main x / y /100 friction factor. 7 Y ft DOSE TANK DIMENSIONS: 'r 's on loss ft Length _ /SS _ in Width 616 In -iota: Dynamic Head (TDt 1). 5/. O ft Out'.ei height n Gailcnsimch /41./2 /tiOrE Z/-<c zdlgrzaA. Alf y py ~xcFlas 5110/ Zoeller Pump Company Page y o F 7 m 1! y PUMP PERFORMANCE CURVE s ~ i MODELS 161/4161-16314163-16514165 I I 24 80- ~ I:aA1G_ 20 13. 4'r. r' go- 16- J I 12- 40 -t- 30- I - - f p I 4 rl:4Ia 4 t0 s ~ I 0 r0 7-3 30 40 50 60 70 80 90 103 1!0 GALLONS T-- ----T -F---------- LITERS 0 - 80 tea zoo 320 400 FLOW PER MINUTE Pump Performance Curve Models 161/4161, 163/4163, 165/4165 I MODELS 161/4161 1 163/4163 1 165/4165 6,deia-s f Ga ^ Liters I Ga i Liters Ga { Liters '.5 100 379 61 23' 61 22" 0 3 G 93 352 61 23 61 211- 4 3 65 322 60 227 61 23' %C. 6 1 79 297 59 225 60 - - 227 70 265 5' 216 _ y I 22_ 0 3G 6.1 6-2-233 1 55 206 I 59 I 220 40 1'-2 45 170 ~48 '72 55 238 50 152 20 76 33 125 50 189 15 57 39 48 60 18-3 70 1: r I t;7 60 24.4 _ _ - - - _ - " y _ H i Shth of Heap - -Se ft. i t n 66 f-, 123m j 86.5 ft. 125m Fora! f)Vnarmc Hi,wvp'low Por MInMh_, 5 7 PU1b'IS Ul~'1S,i 12'ti p'1:1 `J i!At, AND iv'IANAG E'Nt EN T' LAN - SYSTEM SPECIFICATIONS : ~rc,r ~T K TY[E2 ' Septic Tani. Ca acih. - N'A ~nul ri - - • aS0 gal O Sc he Tank Manufacturer -C f ati Circa _ O I S(N P \R\\CI ERS N Lfflucnt Filter Manufacturer we r r) NA. t ubu of Bcdlooms (100 ydIbeltlo 1) ❑ NA' - - 5ltlucnt Filter Model ^_'.unbe_r of Commercial Units - Pump'funk Capacity 750 gal O NA aimatcd flow Iavcragc) 1 .~O6 neUda _ _ . Pum tp Tai k Manutacturer !✓1g tn. LO NA ilc;ign tlow i DWF)=estimatedx 1.5 n i 'y___j la day Pump\lanufactumr _ZoecLCC4 ONA it Application Rate - ga Uday_4' P_um1 Modrl O NA rPrctrcatmcnt Unit (old NA) Quat rtp(7AA) IMonthlyAvcragc ~::m/ElIlucnt er O I Intl Sand1iruvO Filt C3 d Fats. Od & unease (I•'OG) 30 m O ndra ical Aeration Welland U;oohemical Osrgen Demand (BOD;) 220 mgFL MdrO Weetland Total Suspended Solids (1S5) < O Disinfection ❑ Other: 150 mail. Manufacturer: Model P,cuoated Effluent Quality (O NA) =011hlyAverase Soil Absorption Component (O NA) i Biochemical g< . O In-ground (gravity) O In-ground(pressurizcdt, Fecal O At-gads 0 Mound Ct X/Srvr e 'Iota] Suspended Solids ITSS) <30 myi t. Fecal Colil'orm Igcometnc recent 1 0 c1'W i 00m l. O Drip-line O Other. \'crtical Distance lank Bottum to Service Pad: It \4aximum Effluent Panicle Sin I%ft inch diameter Horizontal Distance Tanks toSenicePud: It Dispersal Unit Mfg.Alodel Number: O NA Calculations: Soil Dispersal End Cap (Dispersal Unit EISA) DWI- Appli_catiom Rate Area Required - IilSt - or 77ench Width) zUnits or :rota( _enuth of Trenchlsl DESIGN CRITERIA __f-~-_ _ t1 "Design of Pressure Distribution Networks for ScYaic T'ank-SmI Absorption Systems" Publication 9.6 (SSWbIP Manual) O "ICC I'lowteeh Mound Component Manual" Version 12 O "EZ Flow Mound Component Manual' Vcaion 8.202007 O SBD - 1085=1 (R.1112) "At-Grade Component .Manual Using Pressure Distribution" Version 2.0 O SBD- 10705-P(N.0001)"In Ground Soil Absorption Component Manual' Vcrsion10 O SBD - 10691-P (N.01/01) "btound Conpooem Manual" Version 2.0 I O SBD - 10657-11 (R.6N91 "Drip-line Lffiuent Disposal Component Ntatmai" 71 SBD - 10706-P (N.1)1l)1) "Pressurc Distribution Component Manual" Version 2.0 7 ()flier ! MAINTENANCE MONITORING SCHEDULE - NIAINTFN 1NC1 AND MANAGEML• NT Seri, ire F,, ent nice f~rcy_u<nt~ _ Pumnrimp c dwpersal cell(s), clean filter At icast once even: 9113 months 9 3 years ❑ Othct: N.4 hnsnect pump & pump controls. alarm- prclreatmcnl unit At IeYt onea even: O month; _ 4 : years M NA L lush anti IrreCCUre ieg latemis Itst Oncc_cvcn: 7 months ®.t ycurs O NA START UP AND OPERATION: For new construction, prior to using the POIVIS check twauncm tank(s) for the presence of painting products or other chemicals that may impede the treatment Paces, and/or damage the disp:nal cell(s). If h:: Ii concentrations am detected have the wntems of the tank(s) mmo%ed by a septage servicing operator prior to use. System start upshall notoccur when soil conditions are frozen at the infiltrative surface. The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and iongevity of your POW' I'S. The installation of water-saving appliances and fixtures along with prompt repair of leaks rcdoccs the wastewater volume. Also the brine or (trite fnan (water softeners, iron removal units. other clear water treaunent devices and foundation drains should be diwhar~cd w the ground surface whenever possible. Note: this does nm mciodc laundn waste. shown. dishwater <nc This system is designed to handle domestic strength wastewater; however. the disposal of food based greases. oils, vctctablelfruit peers. seeds, hones, and fool solids, such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper thin should he dkrhnrged into nhe .y men+. Other inn-hi«Icgrodable item-, such na hahy wipe-, rampon-, sanitary nnpk;ns condarns, cigurene burta. dental floss, and cotton swabs, should not enter the system. Chemicals, such as petroleum products. paint. disinfectants, pesticides. antibiotics, solvents, etc., should not be flushed into the system b0M=thcy can seriously damage your PO WTS and contaminate your v / a1.stenl Components. CorII pit( LO;t ni snnv: over the dispersal unit may cause it to lie eze up. iti9PECTIONS ..@ MAINTENANCE: Inspection shall he made by at,, individual carrying one of the following licenses or --gin itications: Master Plumber. Master Plumhcr Restricted Sewer, POWTS Maintainer, or Scptagc Servicing Operator (per the attached iutenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware. _ _nGly any cracks or Icaks. measure the volume of combined sludge and stunt and check for any backup or ponding of effluent to the .and surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings eutcu• than 8 inches in diameter shall be secured with effective locking devices to prevent accidental or unauthorized entry the tanks, hum the comhination ofsludge and scum in any tank exceeds one-third (113) ormore of the tank volume, the entire contents of the eok shall he removed by a Septage Servicing Operator and disposed of in accordance with Ch. NR 11;. Wisconsin Admin. Code. .rcific servicing mechanics must be provided if vcrdcai is> 15 feet or if horizontal is >150 feel and instructions to be, provided below. I outlet filter (s) shall be inspected and cleaned w remove any accumulated solids according to manufacturer's specifications. Solids ,hcd from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the Li ntenance schedule to keep the system operating. ..::.tins should he tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POW1S. Iis mvmally a I day reserve under regular operating conditions, however water should be conserved until any problems with the rem are corrected um prevent back-up of sewage into the dwelling or surfacing. :;;tNDONMENT: When the POWTS fails and'or is permanently taken out nfservicc the lidlowing steps .i-' . ~ tr cpstem is properly and salOy abandoned in compliance with Ch. SPS 383.33. Wisconsin Admin. Code', All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents ,fall tanks and pits shall be rcmuvrd and properly disposed of by a Scptagc Servicing On- After pumping, all tanks and pits shall be excavated and removed or their covers removed and the eravcl, or other inert solid material, (>N'fINCENCY PLAN: If the POWTS fails and cammot be repaired the following measures have been. or must be taken, to provfd:- ,de compliant replacement system: ❑ A suitable replacement area has been evaluated and may lie utilized for die location of a replacement soil absorpt ion system. 't I.; replacement area should be protected :corn disturbance and compaction and should not be infringed upon by required setba. from existinc and proposed structure, lot lines and wells. Failure to protect the replacement area renders it unusable. Replacen), systems must comply with the rules in effect at the time of replacement. i, suitable replacement area i, not available due to setback and,'or soil limitations. Barring advances in POWTS technolok holding tank may be installed as a last reson to replace the failed POWTS. ;yY 'I he site has not been onluatcd to idcnti ly a suitable replacement arca. Upon failure of the POW I'S a soil and site evaluation ini. be performed to locate a suitable replacement area. If no replacement area is available a holding lank may be installed as a I.: ti-sort to replace the tailed 1'ON+IS. ;ti( Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrativ- surface. Reconstructionsofsuch systems must comply with the cities in effectat that time. ;RNINGf:f: SEPTIC, Pt NIP, AND OTILER Hit. \TMENI T:%NKS MAY CONAIAN LL-1.11AL CAtiSF.S AND/OR I.N'SUFFI('l1C\T ;\YGEN. DO NOT ENTER A SFI'I IC, PUMP, OR OTHER TRL•ATML:NI- TANK CYDER ANY CIRCU]ISI ANCFS. DF.v 11-! "HAYRESUL1.RFSCUF.OFA PERSON FROM THE INTERIOR OFA"TANK MAY BE DIFFICUL 1014 I.AI I^..~~) L'1.'- ti olTl OtJAl. COMMENTS: OtVTS INSTALLER POWI'S MAINTAINF,R ame_ ..ToN✓ /Z /+1P- rl31 yL _ Name: lk4xe 'Lone: 715-__,G 5'.744 Phone: 7~G 7d-3.2 LL Y sla'TACE SERVICING OPERATOR (Pumper) • LOCAL. RF.CUL_ATORI' AI/ITHORITI' `(arn t'. - ~ \'ame' ~Y. l<eiX `aiviyy Nr/~ '/EUEC 44 ~ o c " p .ti 0 iC Q Q h u _0 CLI L Y+ a w W } O OG t o F -'rt z j L Y m y' o - i _ M ~ m ~ LU b a; W - ' p.l E ~t 4.v e0a `-'O V' CC LY' C V'' Q y ~ L O D Z _ 7 c ~ ~ t l G C C •J y ® 6 C QC y ~ J G _ U - C Y T. ~ n< p ~ d ry T ~ 4 Y t V N 3> C W n p T L r G 4 V b v~ nz5`- fj - N ~ E u iJ o ~ e b a c i j 1 U- © R 4'S`.~~ r\a f }.y.wCenMIVYNYM~t-.. O 1' Nm4aWYW~~1~W 5 ate Z o l~F ~2t - - wic 'nDepimnect of Commium PRIVATE SEWAGE SYSTEM saleiyn•xi D...r.. INSPECTION REPORT GENERAL INFORMATION (A7TACHT0PERMII) ta^rtaryYCrrr.nNO'-51' CR(IX 738992 Pmsu^al rnrom.irczn yw yoNCO rnny 0e used w secoodIN Pu r;wscx IPrivmy Law, 3.15.04 Of.) L . ee rrml ilrarlch Namer Cn Ylne a tryw0n~ ete Ylan l0NU TYLER, S. MARK 6 JAC-LYNN "EMERALD C51QMCer 'mPBM CICV flM Dex•rPb"n urtei lax N6: l 3 , `r s 010-1084-50-000 1 5 A99IIQ242- TANK INFORMATION _ NATION DATA_ _ TYPE MANUFACTEI RER C4VACITY~ SIAHON RS HI _ FS ELEV. 4on _,.~-(y, I 12w Bench k c 113-5- - 'I br+("$~ Bldg Seer Yr. St/Ht Inlt 4CK INFORM Suitt Outlet _ TANK 70 PI L WELL BWG n°'o eLel ROAD of inlet 'd F_ I septic > 1e0 > S-0 > Lo - NA Of Bottom Sf• 4ro ills. Dosing >(a,o ?$o >fo ?10~ NA Header/Man. .7•a{ 6} ~~'k A ion Dist Pipe * 2.; lffl.5~1~` Holding Bot.system -jig, - (rY PUMP! SIPHON INFORMATION Final Grade r flay t+•~ Manufacturer Demand 9.2 -'70 r _ - V's Model Number -1r b 3 _ 9CAGPM TDH Lift ofa 3 Frictiory.4q S'Ittema.( TOH41.4t 66 For(emain length 5.}e 1Dia Z" mr ir, we.i SOIL ABSORPTION SYSTEM BED/TRENCH w-dlh f Lrngtn I No Of lw,hn PIT ~i=orra mooe Dra -L pure 1w0 DIMENSION -DIMINSL0N5 u swro. SE IBACK I1 SYSTEM TO PILL BLDG WELL LAKE/Si REAM LEA G m I y - HAM ,NvmGrr- - INFORMATION I Tylw J cyair >l~~ "fdD> Z.W OR UNIT ~s~dl-- BwT DISTRIBUTION SYSTEM (nunq Vrnt lJl.v.ngkr~ Ilex er er9rh 4Mac1l_nd Dre Uryalhuha+NP_ rh~+'fo"~'/ , Pe nq xh41c}nr 1 xNpNr$Z .2 r nCyq. .Z3_ ura ~ 5 0 ~,O I ~y ~ I SOIL COVER x Pressure Systems Only xx mound Of At-Grade Systems Only U p+h Omr UeyUr over q_ I x•n)~rrh 61 s -1r•n: /,dace Mo4neo K 1'I n.h. LC"ner llCa rPerah[d ea In ~7Y( (INU 1 xn Ym./ UNn COMMENTS: (include code discieponcies, Persons present, etc.) ~•T N'r~, ty ~G 1. tA) LOCATION: EMERALD 34. 30.16.511, SW SE 2466 COUNTY bA L`r ...0,1~ po-o Ul !,►..'~OLSr p- 3. Z (q 6) ®G.•--~ yW'c °f .y (-1.448. w:f.t" leo.o ~ S~,•d 'h.'eya"` (t,{t~ ~ R~. OL.r., `v i). IZ 1..M.R 'eif-L.u'tl V-- 3p c_1 2- VI 7~regmr S ❑ Vet No oT xs. IIL. Kfy/tea.-:.. y'•..ea r'L iUt~{°elother side for additional information r 1 BC l 586-67 .Na71 -'^4~{ 4i'PIiZ lrgnawre Cen N:.