HomeMy WebLinkAbout002-142-01-0900-SAN-2020-251lmJiislr>- Services Division1400 1:^ Washiiigioii AvcP.O. Uo.\7l62Madison. Wl 53707-7162QSTCounty• setSanitary Permit Number (to be filled in by Co.)Sanitary Permit ApplicationIn accordance uiiii SI'S .18.1 21(2). Wis Adm Code, submission oriliis roriii to itie appropriate governmental unitis required prior to obtaining a .sanitary pemtil. Note. Application fonns for slute-ossned i'OW I S are submitted tothe Department of .Safely imJ Professional Services Personal inl'orraalion you provide may he used for secondarypurposes in aeeordancc with the Privacy Law, s. 15 04(1 )(ni). StatsStale Transaction NumberI. Apitlicaliiin Infonnalion - Please Print All InformationProject Address (if different than mailing address)Lj~Pro[)city Owner's NameJoA'v Tr^%TParcel #Oo^ HS-o ic ^ooProperty LocationGovl. Lot%. SectionProperty Owner's Mailing AddressCity, SlateUlo SZip Code[(. Type of liulldinti (check ull (hat apply)|I3^1 or2 l-amily Dwelling- NumberofBedrtx)ms_0 Public/Commercial - Describe UseD Slate Owned - Describe UsePhone Number(circle one)T N. R Qg' Eor^Lollf-+ /c.Subdivision NameBlock aJ^AincU:hyLLD CiCSM Numberty of□ Villaee ofS=Town ofIII. Type urPcnnit: (Check only one box on line A. Coitiplclc line li if uppllciibic), 4ew SystemD I'cnnii RenewalHel'ore F.xpiralionH^Replaccmcni SystemD Trealmenl/I loliling Ttink Replacement OnlyD Permit RevisionD Change ofPlumbcrD Permit Transfer to NewOwnerD Other Modification to Pxisiing Sy.siem (explain)List Previous Permit Number and Dale Issued-XiS'.[V, Type of I'OVVTS Sv.stciii/(?oiiinonenl/Devicc: (Check nil lliBl iiripivB Non-Prcssiiri/cd In-Ground D Prcssuriixd In-Ground D At-Grudc D Mound >24 m. of suitable soil D Mound < 24 m. of suitable soilD Holding I link D (Mier Di.sperstil Component (explain) D Pretreatment Device (e.xplain)Design Flow (gpd){oO'ODesign Soil Applicaiion Ritic(gpdsOo,9Dispersal Area Required (sO8^Dispersal Area Proposed (sOf/S^System ElevationA'l. Tiiiik infoCapacity inGallonsTotalGallons«orUnitsManufacturerPrefabConcretehM 2(/)1(AFiberGlassPlasticS'eiv Tankstixisling lanksSeptic or Holding I'lUil/;ir»/ly t CjeyvcDosing CluiTiheiOs-ooso1VII, Ucsponslbility Slateintnt- I, the unJcrsiBiicd, assume rcspniisiliilily fur Itnlallwlion of the POMTS shown on the atlaclicil plans.Plumhep^ignatuiePlumber's Ntiiiic (Print)Plumber's Address (Street, City. Stale. Zip Code)to iojlMP/MPRS NumberUusiiicss Phone NumberS'ly^VIIL ^'i[uiily/l)cpitrlnicnl Use OnlylApjlrWeD l)i5.approvcd□ Owner (iiven Reason for DenialPermit KecDate Issuedl.ssuing Agent SignaturehuiKJc^IX. Condilluiis of Approvul/Rea.sons for DlsnppruvalNOmsMiVEAttach io com{ile(e jilaiu for the ond ftubmlt lo iht Counl) anl> on |»ap«r nol less (Imn A l/2 )SnD-6398 (R, 08/14)OCT 0 \ 2020SAWYER COUNTYZONING ADMINISTRATION
PAGE 1 OF 5In-Ground Dosed-Gravity PlanIndex & Cover SheetComponent Manual Design References:Version 2.0, SBD-10705-P (N.01/01, R. 10/12)Pg1 of5 Index & Cover SheetPg2of5 Plot PlanPg 3 of 5 Dispersal Area Cross-Section & Plan ViewPg 4 of 5 Pump Tank SpecificationsPg 5 of 5 Management PlanAttachments:Enclosures:Pump CurvePOWTS Application for ReviewSoil Evaluation Report & Site MapProject Name / DescriptionOwner Name(s): JOHN MUMFORD TRUST Phone: -Owner Address: 4286 VIA MIRA MONTE.CALABASAS.CA zip: 91301Project Address: 14162 W POPULAR AVEGovt. Lot: 1/4 of 1/4, Section 20 , t40 n-r08 E IZlor W 0Township: BASS LAKECounty: SAWYERProject Parcel ID #: 002142010900Designer InformationDesigner Name: Travis Butterfield Phone: 715 -634 -8176Designer Address: 14346 w STATE RD 77E-maii: office@butterfielddrilling.eomLicense Number: 652879Remarks:Zip:.54843This space reserved for approval stamp.Signature:Date: - SioOriginal signature required on each submitted copy.
CHECK BOX AS APPUCABLE.□ SOIL EVALUATIONSITE MAP °Scale: r = 40'40 6080PROJECT NAME:PROJECT ADDRESS: _BMSymbol: BMElevation: /BM Description: l'^V////V/10'CHECK BOX AS APPLICABLE.13 SYSTEMPLOT PLANDESIGN FLOW; C ^ QPAGE 2 OF ^GPDFTAttach design flow calculations for commercial plans.Slope Gradient (%)of Tested Area:Well Symbol (If appllcablo); QIndicate north bydrawli^anatinwon the approprlte llm.Pipe Material / ASTM Standard (Tables 384.30^ & 384.30^)Sanitary Sewer /Force Main: /IMPORTANT:Show ground elevation contours at suitable inteivals.(CriL(/ooUfo^oy 0O3^\H^lo1oo"T" d'" 55^ec P-o /=<o8ujQrtUsl--. UH fi-/D Mt(J/KI - /«>.oYY V
IN-GROUND DOSED-GRAVITY DISPERSAL AREAUniform Elevation Trenches with Quick4 Standard-W Chambers3-ft Trench (down-sizing credit)SOIL COVERQijick4 Slandard-Ww/ End Cap/— (typical)System Elevation = ft(typical)(Show location of inlet / outlet pipe connection on plan view.)TYPICAL TRENCHCROSS SECTION VIEW(No Scale)Provide minimum 3 ftseparation between trenches.Observation PipeTYPICAL TRENCH/instructions. PLAN VIEWI A = 3.0 ft(typicai)(No Scale)(typical)INSTALL PER TRENCH:Qulck4 Std-W@ 20 ff EISA/chamber = 300_ Pairs of end caps @ 6 ft^ EISA/pair = 0= Proposed EISA per trench = 306^Quick4 Standard-W Chamber(typical)(mfd by Infiltrator Systems, Ittc.)Install pursuant to manufacturer's Instructions.ft' Required Infiltration Area = 338 ^2 Distribution Method;trenches = Proposed Total EISA = 0^3 branched manifold
PAGE 4 OF 5GRAVITY-DOSEDSEPTIC / PUMP TANK SPECIFICATIONS(No Scale)413VIMPORTANT:Anchor tank(s) as necessarypursuant to SPS 383.43(8)(g)enlPlpo>10 W fromBjlldlng12* MIn. or 2.0 fl aboveEstabllshod Flood Elevation(typical)ApprovedEloclrical must comply withSPS 316 and NEC 300Wealherpmof-Junction BoxaIz ^Extend manltole riser as necessary.Approved Locking Manholewith Warning Label Allachad(typical)4* MIn. or 2.0 ft aboveEstablisiied Flood Elavatton(typical)y— CM!Flni^ed GradeCAPACITIES @ /4>. gal/inDepth (In)Volume (gal)AHUB2.0[C]%D1/VS-.oS"Pump Tank Liquid Level = SoForce Main Diameter =ConduitAirtight Sea)Quick Disconnect18-Kfin.(typical)Approved Jrxnls wilhApproved Pipe 3 fl ontoSolid Ground(typcal)PUMP-OFFELEVATION =Force Main Length =3.0OftI/) Cjrmrmln,. y?7W/A' ' '' '3" Approved Bedding Material Bonealh TankINSIDE BOTTOMELEVATION =y? 1ftForce Main Void Volume = ^^i(o gal[Clioal Dose Volume (TDV) = /(th gal/dose— (< 0.2X design flow + force main void volume)Vertical Lift =ftPUMP TANK:Volume = galSEPTIC TANKfS):Total Volume = galManufacturer:Manufacturerfs): Oj'€s-<r (L»r^cr<£c,Pump Manufacturer:Install aoproved effluent filter at the seotic tank outletImmediately upstream of the oumo tank Inlet.Controls/Alarm Manufacturer: <S3"E.Filter Manufacturer: ^Controls/Alarm Model: ® ^Filter Model: /o~%Float switches containino mercurv are orohibited.
riiampionr\impFEATURES/BENEFITSPERFORMANCEHeads up to 65'TDHFlows up to 86 GPMMOTORHigh efficient, llSv or 230v, oil filled,permanent split capacitor motor with upperand lower ball bearings and thermal overloadprotection- Constant bearing lubrication- Maximum motor cooling- Runs cooler and lasts longer- internal overload protection-Quiet operation- Fasteners and shaft made from rugged,corrosion resistant stainless steelSEAL DESIGNType 21 inboard seal design with secondaryexclusion seal- Rotating components of seal are in themotor housing, being lubricated by themotor oil preventing foreign matter fromwrapping around the seal components- Seal will last longer if the pump runs dry- Secondary exclusion seal keeps debris fromentering the seal cavityPERFORMANCE CURVECPE4/10 - 1/2HPEFFLUENTEvery pump tested m water to ensure pumpmeets peformance curve.IMPEUER DESIGNNon-clog style, cast-iron vortex Impeller(CP£H Thermoplastic Vortex)Designed to help reduce clogging by foreignmaterialPOWER CORDSealed entry quick disconnect power cords- Prevents water from entering the motorhousing through a cut cordEasy to replace in the fieldAvailable in lengths up to 100'SWITCHPiggy-back switch designDefective switches can be diagnosed overthe phone• Pump can be operated manually orsupplied with other piggy-back switches- Switch can be replaced without having toreplace the pumpAPPLICATIONSDewatering, septic systems, residentialand commercial developments, elevatorpits and STEP systems4Vertical FloatWide-Angle Float4/10-1/2 HP submersible pumps that handle up to3/4" solids with 2" dischargeBSBa§§ss55ii8g5H85issiEBBBBBBE555B8SE5555g555g5aE55ai5555a55ssa^5iSEasHaSiiiiniiiiiiiiii==i=i55sbbbSs!bSSbbbCPEH5CPES5Gallons par Minute, GPMChampion Pump Company, Inc • P.O. Box 528 • Ashland, OH 44805Phone 419-281-4500 • Fax 419-616-1100 • www.championpump.comREV 1017
PAGE OF ^In-ground Gravity Management PlanIMPORTANT:The owner of this in-ground gravity system shall be responsible for Its perpetual operation and maintenance pursuant torequirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. Code, this system shalibe considered a human health hazard if not maintained in accordance with this approved management plan.Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Malntalner inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Flow = gpd; BOD5 < 220 mgLTSS S150 mgLFOG < 30 mgL'^Inspection Checklist INSPECT EVERY 3 YEARSo type of useo age of systemo nuisance factors {i.e. odors, user complaints, efc.)o mechanical malfunction {i.e., pumps, vaives, switches, floats, etc.)o material fatigue {i.e., leaks, breaks, corrosion, etc.)o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)o neglect or improper use {i.e., exceeding design capacities, prohibited activities, e/c.)o extent of ponding in distribution cell prior to dosingo dosing irregularities - if applicable {i.e., pump re-cycling, float switch settings, efc.)o electrical components - if applicable {i.e., wiring, connections, switches, controls, timers, alarms, etc.)o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)o surface discharge of effluent or sewage back-up into structure servedMaintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)o Septic and dose tankfs) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.Stats, when the volume of solids In the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) oras required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code.o Effluent fllterfsl shall be inspected every 3 years and shall be cleaned when necessary to remove anyaccumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12months.System maintenance reports shall be submitted to the proper local government unit in accordance withSPS 383.55 Wise. Admin. Code. Report any component failure or malfunction to:Name of individual or company: ButterfiGid ItlC Phone: 715-634-8176Local government unit; SswyGT CoUflty ZoniflQ & ConSSrVGtion Rhone: 715-634-8288Local government unit address; 1Q610 Msin St, SuitG 49, HsyWGrd, Wl ^IP; 54843Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin.Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. Admin. Code.No product for chemical or physical restoration of the POWTS may be used unless approved by the department inaccordance with SPS 384, Wise. Admin. Code.Contingency Planin the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant toa plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may beabandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.System AbandonmentIf use of this POWTS is discontinued, it shali be abandoned in accordance with SPS 383.33, Wise. Admin. Code.
PAGE 4 OF 4In-ground Dosed-Gravity Management PlanIMPORTANT:The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenancepursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. Code, thissystem shall be considered a human health hazard if not maintained in accordance with this approved managementplan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Malntalner inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Flow = gpd; BOD5 S 220 mgL"^ TSS S150 mgLFOG < 30 mgL'^Inspection Checklist INSPECT EVERY 3 YEARSo type of useo age of systemo nuisance factors {i.e. odors, user complaints, etc.)o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)o material fatigue {I.e., leaks, breaks, corrosion, etc.)o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)o neglect or improper use {i.e., exceeding design capacities, prohibited activities, efc.)o extent of ponding in distribution cell prior to dosingo dosing irregularities - if applicable {i.e., pump re-cycling, float switch settings, efc.)o electrical components - if applicable {i.e., wiring, connections, switches, controls, timers, alarms, etc.)o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)o surface discharge of effluent or sewage back-up into structure servedMaintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)o Septic and dose tank(s> shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.Stats, when the volume of solids In the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) oras required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code.o Effluent filterfs) shall be inspected every 3 years and shall be cleaned when necessary to remove anyaccumulated solids according to manufacturer's specifications. A sen/icing period will always be greater than 12months.System maintenance reports shall be submitted to the proper local government unit In accordance withSPS 383.55 Wise. Admin. Code. Report any component failure or malfunction to:Name of individual or company: Phone:Local government unit: Phone:Local government unit address: ZIP:Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin.Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. Admin. Code.No product for chemical or physical restoration of the POWTS may be used unless approved by the department inaccordance with SPS 384, Wise. Admin. Code.Contingency PlanIn the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant toa plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may beabandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.System AbandonmentIf use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code.