HomeMy WebLinkAboutPlumbing File-245-0407-P
v
~
OJHKOJH
City of Oshkosh
Inspection Services
215 Church Ave., PO Box 1130
Oshkosh, WI 54902-1130
(920) 236-5052 (920) 236-5184 FAX
ON THE WATER
Forrest Plumbing LLC
5210 N. Loop Rd.
Larsen, WI 54947
April 26, 2007
Ref: Plumbing Plan Approval:
Beck's Meats (interior grease trap)
1003 N. Main St., Oshkosh, WI
Plan ID# File-245-0407-P
Dear Sirs,
Examination of the plumbing plans and specifications for this project has been completed. In
accord with Chapter 145, Wisconsin Statute, and COMM 81 through 85, Wisconsin
Administrative Code, the plumbing plans and specifications are approved contingent upon
compliance with the stipulation(s) noted below.
1. Interior grease trap design is based on one wash compartment of the scullery sink per
COMM 82.34(5)
In the event installation of this plumbing system has not commenced within two years from this
date, this approval shall become void. A new application accompanied by full examination
fees shall be filed and an updated approval received before work may commence.
In granting this approval, the City of Oshkosh or its representative 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. The City of Oshkosh reserves the right to
order changes or additions should conditions arise making this necessary.
It shall be necessary for the installing plumber to obtain a plumbing permit from the City of
Oshkosh before proceeding with actual installation of this plumbing system or any of its parts.
Respectfu IIy,
Richard Wood,
Plumbing Inspector
ir 2: 07 07598
FORREST PLUMBING
920-836-3986
p.1
Forrest Plumbing LLC
5210 North Loop Rd.
Larsen. WI 54947
Fax: (920) 836-3986
Office: (920) 836-3986
WOOC,
\ l.\r\ WOO
Office location:
Send tOn. .
~\r\
Attention:
From:
Chad Forrest/Forresf Plumbing LLC
Fax Number: 6< 3 - 5 J Olo
Ol
Phone Number: (920) 836-3986 or 858-4020
; ( U;-.:::f~2-;1'~
f~:er--:':Y- /\~.;;,\P
:] ;-:-:.r~':::'..::,:.:::..::- (~C.'i-rl~".11~(';'~
::i :-"':fE~C":~~;'8' F:6\il(2\/,/
C:1 F()i' '~/c'Jt)r in'~:():~'r:c1~lc)j'1
Total pages. including cover. 3
Comments:
-0 ec..-~ \fYI e 0-:\;-$ ~ 0 ~
P&.J liNG PLANS REVIEWED
PlU' IYclrv Of' OSHKOSIj
t" 'OR COMPLIANCE WITH
. r"i). cOMM 82-84-<
~PLUMBING CODE
(SEe CORRESPONOENCE)
(SEE , _ ,,----J
feLe - .2Jfj-CJ<(OlY?
Apr 26 07 07:59a FORREST PLUMBING
a~/2a/26e7 12:42 19269299536
920-836-3986
MID STATE SUPPLY
p.2
PAGE 82/02
:':'
:";:' .
'r'
~~..
~. .
..'
" .
PATG-Series
BEI.OW GRADE · PARTIALLY-RECESSED
SPKIfy ~Li~ w.c..tIon
LeflJRlghlOtrlIlll:lIIUB!IInBd
NOTE: Dimensional Changes have been made so thai PDlyethylene Units are ",placements for Steel Units
" FLOW CAPACtlY DIMENSIONS,INCHE:S Weight
SCHIER ftATE 8ottom of Unit to Cent.er of in LBS,
;e MODEL G.P.M. Llqukl GreasGl Length w/Sleel
in GAL Ir LBS. Outlet 2" Venl Cover
P",.G-1412 12 5.3 18 16 :\/4 14 1/2 13 Z 103/4 45
PA'T0-1815 16 'tQ 60 223/4 14 1/2 16 1/4 2 ~1 13314 SO
PATG-'B20 20 17 70 24 \/2 18112 17112 2 ~2 15 72
~,
Ia -PATG-2420 30 31 SO 28 1/2 22 1/4 21 3 14 1/2 177/6 111
~ PA.TG-2.635 35 40 120 28 3/4- 22 112 27 ~ 16 1/2 ~1 '-3314- 1110
1:
<- PATG-2624 40 54 180 30 112 24 314 31 " 21 1/2 25 314 27 170
~
~.
~ PATG-30S0 50 60 220 34 24 3/4 31 4 Z1 112 25 314 27 1~S
,
f. PATG-3224 60 67 25C 37 1/2 :z4 314 31 4 ~1112 25 314 21 208
~
;-- PATG-3&75 7S 80 300 371/2 211/4 31 4 22 26 1/4 27 222
.
!: PATG-382.e 110 110 350 4~ 34 1/2 31 .; 22 281/4 'J,1 295
~ ftlgh Denaltt PCl~ene unIt~ ore pnovld oil wIVI Plain !nd CCM\",oc:dane end "'1I0l>t'Of\O<:OUptlllB8.
~~ 2~ veld IDca10Cl ol'llflUHWpIor *:allllwosile inl9t.
j, -A".lfeblll wftJ't 2" eol1nections.
-
OPTiONS - (~H pag~,; 101-15)
C-2EP)
( -1-ep)
(-AF)
(-CC)
(-OBK)
( -EXT)
..
2" Enzyme / Cleanout Port
4- Enzyme I Cleanout ~ort
Anchor Flange
Clamping eoner
Debris Basket
Extel'\sicm
(-eZR)
(-L~)
(-PS_")
( "RFC)
( -RT)
EZ--Lift: Ring
lefllRight Outlet
Other than Standard Pipe Size
Reinforced Steel Cover
Recessed for 11le Cover
(for Steel Cover)
(.s)
(-SBt<)
C.SC)
(oSC2 )
(-SF)
Straighl (Swivel) Outlet
Sedimeni Bucket
1/4" Sleel Non-Skid
Treadplate CQver
112" Thick Steel CO'l/er
Schier F!ilter
Specification Gu;de:
G~ ImerceptoT(s) shaP be S<:hlflT IIItP.rceJlUlr .!IS manvftactul'9d by S..hier Products Oomp<lny, New Berlin, WI. Fumltlh Ill'd l!'Stan Sehier
int.,rceptar Madel PA.TG-_ ratalionally mgldEld. lloamleS$ High Oenslty Polyethylene coP'\\\1Ncticn fol' f1uSh-with-ilcor or P3l1lsUy-reccs5ed
lnslatralion, _GPM flOW, _l.e S gr98Stl CQpaGity Bncl_GALliCluld holding lOapaeily. Unit to be !3uPl'lled with _' plain end con-
mletiOTlS. flust\ Palyett\)40ne lX:IYet (op10r'la\ 1/,s" steel treadplat2 t::oVer) secul'tld with stalnless S'leef bolts, vJslt)le double wall outaide trap seel,
cOl'l'oeion free interns I Polyt"hyl~ baf'leS,
S CH I J: R Far c:~~~~~. ~~~~ce, plBBS8 call: 800-827-7119 or fax (SOO) 827-8664
1: GChierproduc:ts com '. Catalog #104
rBOIlUCU eo.,,,."
31
Apr 26 07 07:59a FORREST PLUMBING
a4/2e/2a~7 12:42 19209299530
,
920-836-3986
p.3
PAGE elle2
MID STATE SUPPL V
MID.II.,...,I
IU':'LY
Division of Yellow Thunder Co.r.po:mtion
DislrifJ,,'ors of
PlIunbillg, Heating. Electrical Sttpp~f 4l: Kilc1r.en CabCnet1)'
* Wautoma
* DePere
W7810 Slate a'IV)' 21
1282 Mid Valle:, Drive
Local Toll Free Fax Orders to
920-781-3331 800-236-6700 920-787-3565 888.7R9-3555
920-964-0444- 800-2.16-0022 920-336-6381 871-336-6381
920-929-9540 800-236-5839 920-929-9530 j 800-344-9530
*' Fond Du Lac 1222Industti.a1 Parkway
Old-a- Date
If-dO ~ 7
cw ~t#>T
lj~ ..J . O/~-f'
Shipping Date
Job Qaote +- circle "ne ~ MateriAl Order
Delivery lmlr"\lcfions
P.O./Job Name
Salesman
Quantit
Ca :alog No. and Descri tion
r
Unit Price
E.x,teosiQn
AU Price; Subject to Wisconsin State and County Sales Ta>;es
I' 2~ 07 1,1,,10a
"",J
FORREST PLUMBING
920-836-3986
p.1
Forrest Plumbing LLC
5210 North Loop Rd.
Larsen, WI 54947
Fax: (920) 836-3986
Office: (920) 836-3986
'/5 - o'!ol-r
---I /.}. i
rl <
From:
Chad Forrest/Forrest Plumbing llC
Fax Number: fJ3
Phone Number: (920) 836-3986 or 858-4020
w. U r-gert"r
r::r i~~~~lJlv ;\;5/'"P
1.::: :Pleas~a cor"r-u"nerli'
......,'~ Fleas.e F~evie'v'l
CJ j=!'Jr \/otr( ir(fr;rrna~'i-:-}n
Total pages, including cover:>> S
Comments:
-r::: '1 I'lL \ u~d Q CO?'j of +1'\ :-- ~\u...\V\.lo(" Ill? fYYl i t-
~ "Iou. haue.. d- -IOv- 'fDL-tI^ (~(or dS. WI. olr}o..aLy piulluJ
-tlu \x' r rYT Ii +-.
Apr 26 07 11 :10a
FORREST PLUMBING
920-836-3986
p.2
~ commsr.ee..wt.gov
. ':' oIsconsf1n
Dcpar1mcnt 011 eonm-aa,
Safety & BuUdings Division
Bureau of Integrated SeMces
APPLICATION FOR PLUMBING REVIEW
AND CROSS CONNECTION ASSEMBLY
REGISTRATION
-complete all pag_
NOTE; Personal information you provide may be used for secondary
purposes (Privacy Law s. 15.04(1)(m). Slats.]
GENERAL PLUMBING
This fonn may be utilized for fax ~ntments.. Indicate date plans wm lie in our oIftce:
ClIde l/l>Ifr ctIl11ce '" oIlk:e: exu,...Iiiiiiiie8.... III ""'(!!fI..P> 2. or- Bq 3.. HIIywwd 4. ~ 5. Mad'- e. ShawMo 7. ~
NCJTE: We I1IS8n/8 the right to stribute p1a1lS to another office if needed to reasonably balance turnaround times.
Eman ..d_for...." """odul.... fa: P.....Schedu ..wt.... ToD .......,. nu_l&771 ~172
1. Cornpletefor confirmed appointments*:
T I'lll'l8aCtion 10: Fclr more efficient seN/ce, you are encouraged to pre-
Previous Related Trans. 10: sdledule your plan via our web site at
htto:!!cammerce.state. wl.usiSBISS-
Assigned Rev~ DivP!anRevSchedLaunch.hln11.
Assigned OfIice: See our webslte for next available appoln1ment at
RevlBW Start Oal6": hl>p;l!comm erce....,Lo<:Jv:SB/SB-DiIJDai IvDac.rtm [
orfor plan slatus check httpj/r.cmmerce.s~:'lte.wLllsISB!SB.
'"PIa.... muat b~ received In 1I'Ie omee of dill appointment no later than DivRev,ewStatusSearch .hlml
2 workIna clavs before tile COI'lnn-d aDDOlnllDent. .
2- Project Information - Fm in all known Information
PraJectJSlIe l\Iame t>@ ( X.c;" \fY) t'Q -\-
Number&Street IC'J03 N. VY'\n.\ n 'S+y-.e e. i-
County W', [\ V1Q 'v:P. ~
vJ)CJt'j () VlBga [)TCMnof . t"hKbsh
3. Mailing Information AftBr plans are reviewed, please; (check all that apply)
.-J( Call CuatomIl(!lz. 3 (dlde one 1l1lr11bI!Ir)" _Mall ~ 113 CIlIl1Dmer 1, 2. 3, (dl1lle CICle number)" _ Requeellng pany wit pick up.
.Refer; toeua_ Dilled bebw
4. Complete the following customer Information in 1he boxes below.
DnlgllCI' 1IIIDrmlltlaJa (CII_ I) (PenoIII who _peel tIItplllll) 0dI...,"- Spcdf1 CQlIImDCI' J}
c.\'\o.d I-or .r (7~+- /lL/~ l.f 54
Pint Nanz: La.ot N_ C""",,=-OmomerNWJJbcr P-_Nanoc LaIt NMmc ~c-.cr~
~'~!!~~\~~~)p L~~ 0,.......)" NiUlIIO
Addn:Oll AMn:u
\...0.( ~.e f\ wI: S41YJ
City Slate zq+ 4 (9 msJ") 0Iy ~ Zip + 4 (9 digits)
C\ZO ?S'3Jo- 3q~ lo ZO 33(Q- 3'1 ~~
(Area Cadc) PIloac NlIDIbcF FadllUllllu (Arco Code) PI10Iac Number Fa Nuri>c:r
~~~t()\U.V'r-..\.;J Q ce\'\t-ur'li-e\. \f)er
ea>a.iI addR:u
liawe )lOll abmiUcd pllllllbi"l! plam. lD SakIy " B\tlldimso in the!all)lCC'l X Va ( )No
Owaer IDf'onaIto. (C""..,..1) Make checks payable to Dept.. of Commerce, Attach ~heck here.
-r e:('\ '6ec. \L -ra k' e.. 0 <.Ai- of a.C("ou.,.1i+
F'uaN:unc [.BSt Name Cc>lnmcRlc c...romc..NIlD\ba'
Be' C '{ ~ ~'Y1Pfl+ s
ComponyN....
AJ2'"'.t~ ~\ m I~~" 1(\ ~"':>+ '(pp -\-
~)5\iitoS'v\ l..03: ,S 4C1 OLf Total amouat due (Frem Page 3) 5 70, DO
Zip + 4 C' digill)
~ ~c MiDimulD Fee $(;0.00
. 'I _ y,lQ If 5
Cod. I'Itoolc NIllI1l>a FJD< Number
Revenue Code 7657
cmait oddrosr.
nus FORM IS VAllO THROUGH In"''''''' 2008
SB0-8154. (R. 01f2007)
I
Apr 2~ 07 11,:11a
FORREST PLUMBING
920-836-3986
p.3
SUBMIT ADDITIONAL PAGEl FOR EACH NON-IDENTICAL BlJILDING OR TENANT SPACE
j 5. ' ,:,BtinJ)ING~~CIFi~,INFORNIATlON'
() New () AdditionfAlter.dion ( ) Revision fa Previously Approved plan where approved construction baa not been eompleted
( ) Suucturc: is greater or eqWll to 3 stories in height ( ) Project is ApartmemtfCondo OIIly () ~Itbcare Related Facility
( ) Multinlc identical bllilcfing& Number ofidcntK:al buiJdimrs beinuubmitted €NOTE: Must be OIl same sm:)
Indicate BulldlJltJfJ'_ant De8lana1Jon for each BuRdlng lUIdJor Tertant Stlace IAttach Addltkmal Paaas If
i?'+IlngIFadllty NalrJeJDes9nallcn F'r'lMllU8 Tenant Name Bulldln!J.'f'adll! Add_ _ I _ ~ ~ '
"'t)(lrY~ VY1 ~L~ /0lJ2> N. n'l'-'J; fI '---f-r~P+-
-
Itein Description ~ Indi9"'teltGmslncluded ~th thlssub~iUai '
,fo'rthls lJulkllDg' ,," " ',' ',", ' '
,. " " '.." ' .. , '
lndicate here lit. total number of Interiar fiIltures, Including roor
dTalllS ;md hose bibs being submltted for this building.
, , ,F.eeComputatlons (doubled for l~stallaUcm without ,
,appnwal)(chedi.~boxltlld 8nterfee) C1Ilculateth
fee& tiep8l'8t8Jy:tor~bUJkllng.. , '
, Required
Fee,
TOTALil
6. BUILDtNGSPEClR,C SANITARY: " '., ' , ,.', '.,' , ,',':', '
Select'ONEoftbil folloWlna ilJx'ouiloliSand iimerthe COrTe$l2Ondlnliclemetwor DralilBaeFb:bIre Units IDFU~:and 8ntarfH
7~. BUILDING SPECIFIC 'WATER: '. '. .. . . ::. '. . . .. .... . .
Select ONE Brthe foIlo1\'l_* oDtlGilSailll euter~eCa~D.~.b;,dIlime.eror GanG'" ~ MlDatdGPM\ ~D4'eRter rce,
Diameter of exterior water seMce In inchll8, Cl1" if serving 8
comblna8on damaslie and fire aprinkIer S)IS18rn. dIameIer of
interior waler distribution immlllCllately after the melerOI' at !he
bulklina contrul vaIv8 In inches... x S40
Dlamelar of Interior water df8lribtJllon Immedlat8ly after the meter
or at !he builclina conlrol valve in inches. x $40
Diame!er of e11erior water $llrvice b1 inches_ II. $25
1. ( ) Interior SaIlltary DraIn & Vent Systam and Extarfor Sallltary BulfdlllSl
Sewer
2. ( ) Inl8rior Sanbry Drain and Vent sy&tem only.
3. ( ) Exterior Slilnltary BuDdIng Sewer{s) only.
4. ( 1 Interior SanItary Drain and Vent system Wllhln an addlllan or
remodeled building.
5. , ) Multiple exterior Sanitary Building Sewers 68I'Iling the single
building, and Ole interior Sanitary Drain and Vent system
6. ( ) Interior Sanitary Drain and Vent System Wi... m~tiple- buDding dnllns
exiting the building. no exlerior sanllaly blIl1ding sewers
1. ( ) JntariQr Water Distribution system and exterior Water Sel'llce
2. < ) lnhlrior Water Distribution system, no exterior water service
3. ( ) Exterior Water SeIvIc:ll(s). no interior Water OI&tn"bution $)'$tern
4. ( ) Interior Water DlstTibution system within an addition or remodeled
building, no exterIcrWalerSeMce
5. ( ) l\krlllple exterior Water Servlces serving the slngle building, and the
interior Water D1Btrtbutlon system
6. ( ) Interior Water Dtstrtbtltkln system IIdth mulliple SeMces exiting the
building, no exterlCll"Water Services
B; ,IndiCate in. numb&r OJ Items. beloW bJcl'iided lVIth thIs'Subi'BItiaL'
, t ) ~88 tnklR:eplor
( ) Garage Catch Basin
( ) Oillnterceplor
( ) CarWash Interoepior
( ) Sanitary Dump Station
{ ) Chemical System (Not Eyewashes)
( ) Cross Connection Conlrol Ass8lTlb1ies In Health Care Related
FacUltIes to be reviewed ILlBt on Paae S)
{ ) Requ~,to Register Cross Connec::tion Control Assemblies in Non-
Health Care cUst on P_ 5)
( }Waler Rau.. ~-stormwaterror tnlerlorlJse
( ) Water Re.,.. Syatem . I ( ) Water RIIwte SylUm - 9UbsU1fIIce
am_ lrrittallon
Diameter of sanll!l1y blJifclln.g sewer(s) in ind1EtS._ x $40.00
Diameter of sanl1Bry builcfmg sewer, in irIchElS, required to serve
the bulldln"'. x $40
Diameter of sanitary bulldlng ~$) In Inc:h~ x $25.00
OFU'sn9l1r, added or relocated
Sea fee Table 1 on !)age 4 to convert DFU 10 a fee
DFU's new, added or reIocaled
See fee Table 1 on page 4 to oanvert OFU to a fl!le
DFU's new, added or teIocated
See fee Table 1 on page" to convert DR! to a fee
GPM added or relocated
See fee T8ble2 011 page 4 to CCln'IertGPM to a fee
GPM
See fee Table 2 on page" tQ convert GPM to a res
GPM
Seefe8 Table 2 CIIl page 4 to conv8lt GF'M toa fe8
c:::'":,, ;'-:'''':':''=:, ."
Number of Grease 1nt9n:eptors....~x 570.00, no acfdilional fee 1--1,\ 00
it submitted Yrth SanJtllrv Drain & Vent I I U
Number of Garage Catch 8aslnB..._X $7fl.OO, no additional
fee If stlbmiltetl wiBl SanlarY Drain & Vent
Nurnbef ofCillnl8rceptors..---x$70.00, no adc;lrllol1al fee if
submiltBd with Slilnilarv Dtain & Vam
Number of Car Wash Inlen:eplore..__x $70,00, no adtitionsl
fee if submilled wilh Sanitarv Drain & "ent
Number of Sanitary Cump Stalions.. -----x $70.00, no acIdilional
fee ifsubmitted..wiIh Sanit:nvDrain & Vent
Number of Chemical Systems,.._x $70.00, no addilional fse
Is SllbmUted 'Ill'" Sanilirv Drain & Vent
Number oJ CI'DS$ ConnllCticn Contrul Assembliss_ ----.X$125
Number of Cress Connection Control Assemblies... ~125
$120.00 minimum for each reuse system. (NOTE: Adclltional fees
will be cIlarged at $6OIhr if review lime exceeds 2 hours.) All
Reuse plans musl be submitted separately tQ the Madison effie>>.
ir\, DO
Page Fee Subtotal [J.L,
Number of ldenticaf buDdlnos X above Fee Subtolal, Fee Subtotal (carry 10 bottom of Pace 3\
2
Apr 26 07 11:11a
,
FORREST PLUMBING
920-836-3986
pA
-s. . StTESPECIACINFORMA::nON:
,. . ," ," .'
Fee Computations (doublecl for illstaUation wittlout
8pprovaa)
Check and complete diameter Int'onnation if Jncluded In this submittal (Check ate box and make fee camautation\
Required
F_
,STORM ~ Alt 'Slotm:p;ping isccinsld8red si~ speCifjC.lf Ih~ planliiCiudes.subsurface Infllttatior;. sUbmlt only 10Gr8en Bay, Shawano,or
Hayward.lfttle. submittal is only s~bsUna~ InfiJtratlon.~rria}l alSosu~it to '~adlson~ . . . " '
., ". "
Dminlloe area served by the stonn plumbing system is:
(Check one and enter corresponding Information)
SANITARY
( ) Submittal of Sanitary Private Interceptor Main Sewer
Indicate Ule number of Independent
collnections to the municIcBI sewer or POWTS
WATER ' . . .
( ) Private Water Main
Indicate the number of independent Sum of water main diamel:el$ in jnd\es.._ll: $251inch
connections to Ihe municioai water main 01' well DreSSLlre lank (Comnute for each Ind_ndent sYStem and totaii
10~ -If the submittal 1S for a Mobile Homes Park andlor CampgYOundl "u:..,
Recreational Vehicle Park. Jndlcatethe .number of sftes and enlerfee: " .,
Mobile/Manufactured Home Park allellor R..ulred MobilelMlmlJfac:tUred Home PlIfkandlor
C8mftaround/Reer.ational Vehicle Park' , Fee Cani~rOund1RecreidiOnal Vehicle Parte
( ) 1-25 Silas $300.00 () 51-125 Sites
I \ 26-50 Sites $350.00 () Greaterlhan 125
MObile Home Park and/or CampgroundlRecreational Vehicle' ,
Parte: submlttallneludes: " .
( ) Sanilary Dump Station ( ) Exterior Water Service
( ) EXl.eriar Sanitary Sewer ( ) Private Water Maln
( I Sanitary Private Interceptor Main Sewer
$100.00
$75.00 Required - NOTE: Must be scheduled with office
that previously reviewed the plans
Number of Experimental Plumbing Systems.u_ )(
$500.00
NUmber of Alternate Plumbing Systems...
$400.00
Subtotal From Paae 2 (Include subtotals from addltlonal Paae 2s If used)
Enter Total Fee Here and at Bottom of Finst Paae I~ V. O;J
Indicate total number of exterior fixtures such
as storm drain inlets submitted with thls appUcatIon
Check all that apply
( ) Interior stcnn drain system vnth a dearwaler drain &}'Stem
(If submitting Interior storm only. use the roof area to determine the
dl1linage area for fees.)
( ) Interior 510rm drain system without a cleafWaler drain system
(If submitting /l'IIerk)r storm Q!U. use the roof area to detennina the
drainage area for fees.)
( ) Storm Building Sewer
( ) Storm Private Interceptor Math Sewer
( ) stonn water and(or eteu waW S\lb6Urface tnfIltrBtion for Public
Building submitted wJtb orwithout a sklrm piping system
Storm System Infiltration 'VDIume (gal)
Select Green Bay, Hayward, or Shawano offices fur plans with infiltration
and ether plumbing systBms. If submitting InfiIlratIon saparal9ly you may &etec:t
1he Madison Office.
( ) Clearwater drain sylll1Hn without an interior storm drain system
,
11. OTHER FEES
I \ Plan ADoroval Extension (1 veSr maxlmum)
( ) Revision to previously approved plans -
) Ellperlmental Plumbing System (Submit CO Madison Office)
)Anmnme~mbmgSy,rtam
(Submit to Madison Office)
A. ( ) Less than 01' equal to 1 acre drainage tl) the
plumbing system with a sngle di;;charge polnt
, diameter at <ischBIge potnt in inches X
$1Ofnctl
B. ( ) Less than or equal to 1 acre drainage to the
plumbing s}lStem with multiple clischarge points
_Total GPM discharge. See Table 3 on next page.
to convert GPM 10 a fee
c. ( ) GreBterthan 1 acre dralnaga to the plumbing
system. Acres
SeeTable 4 on next page to convert acres to 8 fee.
NOTE: Malntenance I'llan subml1lal reouired
· If this submlltalls In1iI1Iation WITH lllonn, indicate
$100.00 in Che fee column.
· If submiltlng infiltration WITHOUT lIiorm. c:aIculaIB the
c:orresponcBng fee In A.. B, orC IlboYe as 1f)'DU wens
submitting lhoIIe elemanls and enter here
Add $100.00 and Bnter!he lDtal fee In the fee column.
$10.OOIinch diameter of each clearwater drain syslem
Indies X $fMncl1
Sum of largest PIMS d1amele1s In indies.. _ll: $25IInch
(Comnut...for each indecendent sYStem and total. i.
RaquIrv4_
Fee
$400.00
$500.00
-,--
x
3