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HomeMy WebLinkAbout002-142-01-1100-SAN-2020-252'.T/l''\S'r,S\Industry Services Division1400 E Washington AveP.O. Box 7162Madison, Wl 53707-7162CounlySAWYERSaniiaiy Permit Niunbct (to be filled in by Co.)Sanitary Permit ApplicationIn accordance with SPS 38.1.21(2). Wis. Adm. Code, submission of this form to the opjirqiriate govemnienlal unitis required prior to obtaining & sanitary permit. Note; Application forms for slate-owned POWTS are submitted tothe Department of Safety and Professional Scrvica. Personal information you provide maybe used for secondarypurposes in accordance with the Privacy Law, s. 15.04(1 )(m). StatsState Transaction Number1. AppllcaHon Information - Please Pript All InformationProject Address (if diflerent than mailing address)^14156W Poplar AveProperly Oxvner's NameKAREN MUMFORDParcel #002142011100Property Omicr's Mailing Address2708 TRIMBLE STProperty LocationGovl. LotCity. StaleEAU CLAIRE, WlZip Code5470111. Type of Duililinc (chock nil thnt apply)^ I or 2 I'amily Dwelling Number of Uedroomt _□Public/Commercial - Describe UseI I Stale Owned - Describe UsePhone NumberW.%. Section 20lx>i"11 &12T ^0 N: R_8_WSiibditision Nameniock#1C'SM Numbern City ofl~l Village ofTowmof BASSIAKEIII. Type of Permit: (Check only one box on line A. Complete line (i if applicable)13 New Syst e□ Replacement System^3Troatmenl/Ilolding Tank Replacement OnlynOlher Modification to Existing System (explain)B.I i Permit RenewalHefore Expirationr~l Permit RevisionI IChanBe of Plumberl~|peiTnit Transfer to NewOwnerList Prexious Permit Number and Dale IssuedIV. Type of I'OWTS Svstcm/CiiinnDnent/Dcx'icc: (Check nil thnt apply^Non-Prexsuri^cd In-Ground Qprcssurixed In-Ground nAt-flnide QMoiind>24 in. ofsuitable soil Q Mound <24 in. of suitable soil] Holding l ank ^Dothcr Dispersal Component (explain) [ZlPrelrealmeDl Device (er^tlain)V. Dispersal/Treatment Area Information:Design Mow (gpd)600Design Soil Application Ra1c(gpdsf)0.7Dispeisai Area Required (si)658Dispersal Area Proposed (sf)918System Elevation93.0VI. Tank InfoCapacity in(ialioniNew lanitsI'xisliflg TanksTotalGallonsHofUnitsManufncluicr£ u^ O2 a£ OSeptic or Holding Tank1250/1251521WIESESR CONCRETEXtXHing Chamber750750Vll. Responsibility Statement- I, the undenlgneJ. assume responsibility' fur Installation of the POWTS shown on the attached plans.Plumber's Nome (Print)TRAVIS BUTTERFIELDPlumber's Address (Street, City. State. Zip Code)14346W ST. RD 77. HAYWARD, Wl 54MP/Ml'RS Number652879Business Phone Number715-634-8176VIll. County/Department Use OnlypproveilQ Disapprovciln tihsnerGixcn Reason for DenialPermit Feeypo.a>Date IssuedIssuing Agent SiMotureAIX. Conililions of Approval/Reasons for DisapprovalNO REFUNDS AFTERISSUE OF PERMIT" ^ i 1 it..Attach to complete pliairortlie lyitcmiBd submit to the County only oa paper Bollrat IbsnBSBD-6398 (R0313)CJOCT 0 6 2020SAY/YER COUNTYZONING ADMINISTRATION PAGE 1 OF 5In-Ground Dosed-Gravlty PlanIndex & Cover SheetComponent Manual Design References:Version 2.0, SBD-10705-P (N.01/01, R. 10/12)Pg 1 of 5 Index & Cover SheetPg 2 of 5 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 I DescriptionOwner Nanie(s): Karen MumfordPhone:Zip:Owner Address: 2708 Tribmie St, Eau Claire, WlProject Address: 14156W Poplar AveGovt. Lot: .1/4 of 1/4, Section ^0 t40 N-rQ.54701E[~1or W0Township: Bass LakeCounty: SawyerProject Parcel ID #: 002142011100Designer InformationDesigner Name: Travis Butterfield Phone: .634 .8176Designer Address: 14346W State Rd 77, Hayward, WlE-maii: office@butterfielddrilling.eomLicense Number: 652879Remarks:Zip:. 54843This space reserved for approval stamp.Signature:Date:Original signature required on each submitted copy. CHECK BOX AS APPLICABLE.□ SOIL EVALUATIONSITE MAPCHECK BOX AS APPUCABLE. .0 SYSTEM page 2 OF 7PLOT PLAN600DESIGN FLOW;GPDPROJECT NAME:Karen MumfordScale: 1" =40'40 6080V/////////.V/10'%PROJECT ADDRESS:BM Symbol:BM Description:14156W Poplar AveBM Elevation:100.00FTAttach design flow calculations for commercial plans,Pipe Material / ASTM Standard (Tables 384.30^ & 384.30-5)4" . //Sonltaiy Sew8n_Force Maln:_Slope Gradient {%)cfTostedArca:Well Symbol (If applicable): 0Indicato north bydrawing an arnwon the apptopille Una.IMPORTANT:Show ground elevation contours at suitable intervals.^ . VV\vA.wi"^or(i(H i r\ rvA bl-t 5A-.£.avA UJH 1^101003-1^11100Toiorv 0^ GaSSSec SO THOM KOSVOl^^i^VvVs LorVs \\A^k 6>Vv/\ - 'o() 9^'^P)/3esf P//cr-6<rU«-f ?.olb©'popkr IN-GROUND DOSED-GRAVITY DISPERSAL AREAUniform Elevation Trenches with Quick4 Standard-W Chambers3-ft Trench (down-sizing credit)SOIL COVER12'mir.tfwchdeptn(typical). mm. ir(typical!•a* *■A «.Qulck4 Slaniiard-Ww/ Enid Capy— (typical)System Elevation = 93^00^ ^(typical)(Show location of inlet I outlet pipe connection on plan view.)TYPICAL TRENCHCROSS SECTION VIEW(No Scale)Provide minimum 3 ftseparation between trenches.Observation Pipe(typical)Install per martufocturer's/ InstnJcHons.A = 3.0 ft(typical)TYPICAL TRENCHPLAN VIEW(No Scale)(typical)INSTALL PER TRENCH:Quick4 Std-W @ 20 ff EISA/chamber = ^00_ Pairs of end caps @ 6 EISA/pair = ^= Proposed EISA per trench -^Quick4 Standard-W Chamber(typical)(mfd by Infiltrator Systems, Inc.)install pursuant to manufacturei's Instructions.Required Infiltration Area =Distribution Method:trenches = Proposed Total EISA = 218 branched manifold PAGE 4 OF 5GRAVITY-DOSEDSEPTIC / PUMP TANK SPECIFICATIONS(No Scale)4"0 VIMPORTANT:enI Pipe>10 fl fromBuilding12" Min. or 2.0 tl aboveEstablishod Flood Elevation(typical)ApprovedElectrical must comply withBPS 316 and NEC 300Wealherproof—Junction BoxAnchor tank(s) as necessarypursuant to SPS 383.43(8)(g)aIzFinished GradeExtend manhole riser as nocossary.Approved Locking Manholewith Waming Label Attached(typical)4" Min. or 2.0 ft abovoj— Established Flood Elevationr/ (typical)^CAPACITIES @ 16.12Depth (in)Volume (gai)A27.5443B2.032.24[d8128.96D9145.08*Pump Tank Liquid Levei =Force Main Diameter = ^ConduilAinight SealQuick Disconnect18" Mm.(typical)v AlarmConcreteApproved Joints withApproved Pipe 3 ft ontoSolid Ground(typical)PUMP-OFFELEVATION =Force Main Length =200ft3" Approved Bedding Material Beneath TankForce Main Void Voiume = 32.6 gai[dieai Dose Volume (TDV) = 161.56 gai/dose— (< 0.2X design flow + force main void volume)45Vft48.0 ftINSIDE BOTTOMELEVATION = 47.3ftertical Lift =PUMP TANK:Volume = 750 galfUanulacturer: WIESER CONCRETESEPTIC TANKfS):Total Volume = 1250 galManufacturerfs): WIESER CONCRETEPump Manufacturer; CHAMPIONPumo Model: CPE H5 ,Install approved effluent filter at the seotic tank outletimmediatelv uostream of the oumo tank Inlet.Controls/Alarm Manufacturer SJE RHOMBUSFilter Manufacturer: BESTControls/Alarm Model: TANK ALERT EZFloat switches containino mercurv are orohibited.Filter Model: GF 10-8 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 Malntainer inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Flow = gpd; BOD5 S 220 mgLTSS S ISO mgLFOG S 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, 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, etc.)o electrical components - if applicable {i.e., wiring, connections, switches, controls, timers, alarms, efc.)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 tankfst 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 NR113, Wise. Admin. Code.o Effluent filterfsl 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: 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, Wsc. Admin. Code.Continaencv 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-determlned 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. PAGE:rOF^In-ground Gravity Management PlanIMPORTANT:The owner of this in-ground gravity system shaii be responsibie for its perpetuai operation and maintenance pursuant torequirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. Code, this system shaiibe considered a human heaith hazard if not maintained in accordance with this approved management plan.Furthermore, ail inspection and maintenance activities shall be performed by a registered POWTS Maintalner inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Flow = gpd; BOD5 S 220 mgL ^ TSS S150 mgLFOG S 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, efc.)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, etc.)o extent of ponding in distribution ceil 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 se\A/age back-up into structure servedMaintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)o Septic and dose tankfsl 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 shaii 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: INC. Phone: 715-634-8176Local government unit: Sawyer County Zoning & Conservation phone: 715-634-8288Local government unit address: 1Q610 Main St, SuitS 49, Hayward, Wl 2|P: 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.Continaencv 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. lionimp4/10 - 1/2HPEFFLUENTfvery pump tested in water to ensure pumpmeets peformance curve.FEATURES/BENEFITSPERFORMANCEHeads up to 55' TDHFlows up to 86 GPMMOTORHigh efficient, 115v 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 cavityIMPELLER DESIGNNon-clog style, cast-iron vortex impeller{CPEH Thermoplastic Vortex)- Designed to help reduce clogging by foreignmaterialPOWER CORDSealed entry quick disconnect power cords• Prevents water from entering the motorhousing through a cut cord- Easy to replace in the field- Available in lengths up to 100'SWITCHPiggy-back switch design- Defecbve 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, residenb'aland commercial developments, elevatorpits and STEP systemsVertical FloatWIde-Angle Float4/10-1/2 HP submersible pumps that handle up to3/4" solids with 2" dischargePERFORMANCE CURVECPEH570 60Gallons per Minute, GPMChampion Pump Company, Inc • P.O. Box 528 • Ashiand, OH 44805Phone 419-281-4500 • Fax 419-616-1100 • www.championpLimp.comREV 1017