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HomeMy WebLinkAbout010-941-34-3336-SAN-2020-236 c�r�� ��� �'�� ' Cour.ry � I� f �`� Industry Services Division SQW -e� I �,�OSP o�. `�` � 14C0 E Washin ton Ave � � I � �,,/� 9 Sar.itary Permit Vumcer(,o be f Iled i�tiy Co; � 1 g �� I� ��V•' P.O.Boz 71"02 . � 'i•�\�'�.c L� l /� Madison WI 53707-7162 . � . \�l��4��� l./ L�ST o20/Gj/ � (po279/�ot �, Sanitary Permit Application I'a"T�"��"°^"°�pef �' I i accordz�ce w�ch SPS 38 11(2),Wis.AdT.Code,svbm-ssb oc h-s fortn!o tne appropriate go�emme�a'u�i• �� � cquired pr or�o obuin' s ni�ary pe �[.No:e�.npp� �� s for sca[e o�med POWTS are s�b �a d ro�Projac�ndd-ess�;'�d-^eren�c�ar,uiling ad[ress) ihe DepznTenc of5afery and P ofcssionzl Srn cs. Pe:sora�;:n.omzucn yo�pro�-tle may be used for secondary �u.oses:n a<cortlance with�he Privac�Law�,s.I5.04'I m),Stz!s. 1 I.A IicationInformation-PleascPrintAilinCormation S��O✓��4554+�t,�fi Q-C � Propery Owr.cr's D1ame z;;�l: , Qcn . c C L� 64.rrC. Olb -qy(-3�{- '�Propzm�Owr.er's M iiing AJdmss ?aptm Locxr,on � � 1D561 Q� �irh ���� QLl �� �S3>b � I ca�i�.� �C.n,S,e.e Lp CoGe Pho�e Vumber �u ' � � SW v.. SW v..S<cGon T I �4 �r W� � S�18`I3 � bOz-�toz 634/ I c��:�izo.� � T�_�:V�. A-64 Eo [�[.Iypelof Bmiding(check all that apply) , Loc; , � I�I or 2 Fa;n,:y D��ell���g-tiumbe:ofBedrooms � ''�S�td�i�ision Name 91cck: I uPubliUCommercial-DescribeUse J�c�h ov ❑S�aieOwned-DescnyeUse i CSMrumber I�,_viliagzo' i , ���wnof YGX�V� ;il l.Type of Permit(Check only one box on line A.Complete line B if applitable) A� ew$s,zr !a y �J Rep ce.r.ent System 'I L7 TreztnenVHoiding Tank Repiacemen;ONy 1 pther Mod!�icatior.,e Ezlstir,g Sysee-:(expla;n) i B� ❑Permit Renewal ❑Pernrt Revision �_'Cha�ge o`Plumber ❑?e;mi;Transfer ta New �Lls�Previous Pemi;Number asd Dare Issued � '9e.`creEzpiraziov � �Owner � I �Iv.T� e of POWTS S stem/Com onenvDevice:I Check ell that a I :or-?ressurizW In-Ground L�PressurimC In-Ground ❑A�:Gratlz ❑Mound>24 in.ofsuitable sol ❑y�oe�d<24 ia ofsultable soil ��HOldicgTask u O;her Dlspersa!Cort.ppnent(expiain) �Pretreatrnen:Device(ezpial�) - � 'v.Dis ersal(TreatmentArea Information: '�, Desi;r.Flow(gpd) Design Soi'�..4p�1!ca:ic�Ra;e(gpdsQ Dapersal Area Required(s� D;spersa!Area?;oposed(sf, , ys:ec,=1eva�io^ ' ' �-t50 •�l �43 �SZ 95.s' I �,;Vl.Tank Info Capaciry in 7otz! u of Mar;u•"acmre� � Gallor.s i Gz;!ons , Un�s ' =i �_ . . � �i TcwTanks Existi�gTanks i I - `�� I - ' � — e��' or Hold:,�s Ta�. , u U n`.� ���d LJ�'eser I oo:�,�c�,�,e�. � ��'IL Respansibility Statement-I,tne untllersignea,assumc ruponsibiiiry for instxliation otthe POWTS showo on the attachetl plans. iPlumber's�ame(Prin[) .Plu 5 naq�e ,M_o/�,ypRS Number Business Phore Numper �06 L� �ccxce. I ��1 ��z i �.�ZIR —1�5 b�i9-��s3/ol 7lumbzr s Addrzss(S�reeC Gry,State,Zip Code) � l�}5 4 9 �..J 5-f-. R� —I-1 1-}Q. wQ�d t.c�� S 4 8�{3 ,Vll1. ounp�/De ar[mentCSeOnlv 'I�A. L D�:szpareved Perml;Fee 'Da«Issued !!ssuingAgeneS�.g�zmr� - C Owner G�,ven Rexso�for Deaial � (,�V,�� �-oZ.9 0200� � ,IX. onditiansofApproval/ReasonsforDiSapproval ' D � � � NO AtFUNDS AFTER � �'y� '�� ISSUE OF PERMIT ��� �„�'��� I eno<nm�om�iaePi.�:ro.m.:ys«m,�e:�em�omm.co��.o�i.o�P,P«ooii�,:m��s�r:=ii���n.:��.i -.� - � �'�.��.`��-`�� ����� SBD-6398(R03I3; \\� S� GO���\ J SP�y Po����5 ��N�N INDEXPAGEPagesApplication 1Plot Plan ^C ro.g5 - n 0\A. Wu3l^gv- [poo^l " " ^fVlajNc^g-g.vM.e'Arlr p^jciw (p3ob*. B-ew\ (—MP: Rot) L^;.Signature:MP License Number: X2_4g2^lp3Date: 9-'2-3-2^This plan was designed following guidelines from Department of Safety and ProfessionalServices, DSPS 83 and Design Manual Conventional Soil Absorption Manual, Version2.0. ;.£b if f; J.S ^ , Tiff ,^Sb L t i SL'8b '£ YT t^WfaT^ •My n/a« Uffk-o^tox^rt^ .icLSC . _._ SJoP^V*op <»|V ;os«j <l«,i iiTrtV« V Joj^ .j-^ -*»s»>(y\.^»5ooor^ * •'J. h^ Z 33^ e • p-y Sajip'v^iS'wjj Uo mb(?l/ cos/oos -z £££'- be - ?bfa "" O'O <lo^ '-ajj" -AixU(»rt»5> / ib£<^--2Oh-'207 CbS bs ) pn n ll-'-H .0 M nsol4|v^si^ '-vj^ -.jk-sVimo IN-GROUND GRAVITY DISPERSAL AREAStepped Elevation Trenches with Quick4 Standard-W Chambers3-ft Trench (down-sizing credit)Septic Tank(s)M!H*Jfaclurcr, IIDiX^ gnisou. COVIIR\rrnlr>. t'onchTYPICAL TRENCHCROSS SECTION VIEW(No Scale)Septic 1 ank(0 Volumn(s);l-Iltuoil Filler Manufnctiifer5 Ctlyplcal)hUfliietil FHliir MimIisI «:Provide tniitlmiim flsoparaiioit bnlwoon Irenchos,Highest TrenchSystem Elevallons= ^ ft;Lowest Trench (as applicable)Qijcli4 Stanrlnfd-WwfEnd Cap/— (iypical)(Show location of iniet I outlet pipe connection on plan view.)OOsoevnllonl'Ipn(typical)Insloll pof manutncHKors/ insltitcUnns.TYPICAL TRENCHPLAN VIEW(No Scale)LidikjiitA = 3.0 (I(Iypical)(tyjHcal)INSTALL PER TRENCH:\(ff Quick4 Sld-W @ 20 ff EISA/chamber = ft'' Pairs of end caps @ 6 ft' EISA/pair = ^ ft= Proposed EISA per trench ==\-Quick4 Slandard-W Chamber(Iypical)(m(d by Infllraloi Syslone, Inc.)Inslal pursuani to manulaclurai's Insliucttons. ft' Required Infiltration Area = . ft'X 2^ trenches = Proposed Total EISA = ft'Dislribulion Method; WLP1000-MRTANK SPECIFICATIONS4" CAST-A-SEALFILTER ORBAFFLECAST-A-SEALTOP VIEWP'£,(wUI<l 5-2-5-INLETOUTLETOPTIONAL FLAT COVERIS AVAILABLE FOR EXCHANGEFOR DOME COVER.DIMENSIONS:WALL: 2 1/2"BOTTOM: SEPTIC 3"HOLDING 5" (ADD 1,300 LB.)COVER: 4"MANHOLE: 24" 1.0. PRECAST CONCRETE RISERHQGHT: DOME COVER 61" O.D.FLAT COVER 53 1/4" O.D.LENGTH: 104" O.D.WIDTH: 86" O.D.BELOW INLET: 42" O.D.LIQUID LEVEL 36"WEIGHT: 6.790 LBS.INLET AND OUTLET:4" CAST-A-SEAL BOOT OR EQUALGASKET. CAST-A-SEAL BOOT OR EQUALINLET AND OUTLET BAFFLE AND RLTER:WISCONSIN. SEE DETAIL #10(OTHER STATES SEE CHART)UQUID CAPACITY: 27.83 GAL/lNHOLDING TANK:OUTLET HOLE PLUGGEDACTUAL CAPAaTY: 1.085 GALLONSLOADING DESIGN; 8' 0" UNSATURATED SOILMN TANKS:WILL HAVE ONE VENT OVER OUTLETAMD WILL HAVE TWO VENTS IN CO\CR OVER INLETTANK CAN BE USED AS:SEPTIC/ HOLDING/ PUMP OR SIPHONCOVER: MIX DESIGN #8 (NO FIBER)TANK: MIX DESIGN #10 (STRUCTURAL FIBER)CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETEPUMP PAOSIDE VIEWTANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTSJOB INFORMATION:r~L<tAa.Yve-CUSTCMER]0B NAME:DATE NEEDED:APPROVED BY:APPROVAL date:>1:;-5o(OinooIinCMtoIooCO-» oq: 5Q, cO<S<-5 Q~ tilQ.ill ^tn 111w5a:SHEET NO.1 ^^OFX 1 PAGE^ Of4In-ground Gravity Management PlanIMPORTANT:The owner of this in-ground gravity system shall be responsible for its perpetual operation and n^intenancereouiirments of SPS 382-384. Wise Admin. Code. Pursuant to SPS 383.52 (2). Wise. Admin. Code this system shallbe considered a human health hazard if not maintained in accordance with this aPP^^ed man^ment plamFurthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Flow = 9P<li BOD,S 220 mgL'; TSSSISOmgL'; FOG<30mgL'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.)a material fatigue (i.e., leaks, breaks, corrosion, efc.)o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distnbution / drop boxes)o neglect or improper use {i.e., exceeding design capacities, prohibited activities, etc.)o extent of ponding in distribution cell prior to dosing . , \o dosing irregularities - if applicable (/.e., pump re-cycling, float switch settings, efc.)^o electrical components - if applicable {i.e., wiring, connections, switches, controls, timers, alarrns,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 SeMcanddosetanklsl 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.n Effluent filter/si 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 governrnent unit In accordance withSPS 383.55 Wise. Admin. Code. Report any component failure or malfunction to:Name of individual or company:. I ^ Phone: feO'Z.- - HOZ-—/Local government unit; ^ Phone: llS —Local government unit address; n ^4-"^=49—Any defective part of this system shall be repaired, replaced, or removed pursuant ^83.51 (p,Code Repair or replacement of failed or malfunctioning components shall comply with SPS 383. Wisa AdrmmNo product for chemical or physical restoration of the FOWTS may be used unless approved by the department inaccordance with SPS 384, Wise. Admin. Code.Cftntinaencv PlanIn the event that any failed treatment component of this POWTS cannot be repaired. It shall be f Placed pureuant toa plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal co."Tiponent 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.