Laserfiche WebLink
` <br /> � ^ »anita,ypo'miiiFva||dh/ two /,�) yox'; <br /> ' <br /> � <br /> inlh� nat�.oex'/iuoavpUcublo. <br /> g' 'r/:!,io �� n /��xyyn^i� m*, �, uFpo.�ad �/ �h� ;r.wi| .osxin0o.�ho,x/ <br /> � :�ancip, /no*n^,.sh!po' p|cn�"rraquirp` xSacQC �o',n/� !'a�s/o./'o',owo| ro/�r (CG80��S� ,nbo <br /> submitted 10the. :nvntyprin, to .notu||a1ion. <br /> � »cdtpsewage systems mcytbop/vpor!ymaintained -he septic taoNo> moot3opo �podbyalicensed <br /> pumper whenever necessary, usually every 21v3years. <br /> 6, |/ you have questions concerning your onsite sewage system, contact your Idcal code administrator or the <br /> State oyWisconsin, Safety 8Buildings Division, 000'200'3015. <br /> _ , ^ <br /> Toh* complete and uccvratethis oeni1arypermit upp|icadonmust include <br /> � <br /> .^ ` <br /> | Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of <br /> where the system iotuboinstalled. <br /> || Type cdbuilding being served. Check only one and complete # odbedrooms if1 or2Family Dwelling, <br /> ||| Building use. Kbuilding type ioPublic, check all appropriate boxes that apply <br /> IV. Type ofpermit. Check only one inline A. Complete line 8ifpermit is for tank replacement, reconnection, nr <br /> repair. <br /> V. Type cdsystem. Check appropriate box depending onsystem type. <br /> V| Absorption system information. Provide all information requested in #1-7, <br /> VII. Tank information Fill inthe capacity of every new and/or existing tank, list the total gallons, number of <br /> tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all <br /> septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received <br /> experimental product approval from 0/HR. <br /> Vtll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. <br /> MP, eioj' address and phone number. Plumber must sign application form. <br /> |X. County/Department Use Only. <br /> X. County/Department Use Only. <br /> Complete plans and specifications not smaller than 01/2 x 11 inches must besubmitted k` the county. The <br /> plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of <br /> holding tunk(o)' septic \unk(s) orother treatment tanks; building sewers; wells; water mains/water service; <br /> streams and lakes; pump orsiphon tanks; distribution boxes; soil absorption systems <br /> , rop|anonnon1system <br /> areas; and the |ocahono/the building served; 8) horizontal and vo�iox| o|ovahon ,eforoncepoints; <br /> C) complete specifications for pumps and controls: dose volume; elevation differences friction loss; pump <br /> performance curve; pump model and pump manufacturer; D) cross section o/the soil uhoorphoosystem if `. <br /> required by the county; E) soil-test data on a 115 form; and F) all sizing information. <br /> -----''----'--'---' '—'----'--------------------------'----------------- <br /> GROUNDW0TER SURCHARGE <br /> 1903Wisconsin Act 41Oincluded the creation odsurcharges (feon) for unumber oY <br /> regulated practices which can effect groundwater. <br /> The monies collected through these surcharges are used for monitoring groundwater, ground- <br /> water contamionVnoinvoshgationsuridovtuNiohmon1o( ntundards. <br /> sop°oyo("/`w^ <br /> � <br />