HomeMy WebLinkAbout014-942-35-4306-SAN-2020-215iiiUuMn -NtrviL'o iJiMsKin-1822 Miulison Yards W av 537(15!'()Uo\7l62MiiiliMin, \\1 53705-7162 ^(^S-r ao-(ST)(.'ounl\Sanitary Permit Applicationla iKcariiaaw wllK SI'S 383.2H2). Aiiai. t'liilL'. MthniisMon olShis Ibnil in ilw appniprialc gincrnmcmal iinilrciiiiiri'd pxnir Ki Dblaiiiiiii; a sitnilar> pcrmii. Nolc Applicminri liiiiiis Ibr sliilc-oiMicd I'OVV I S arc suhmillcd lo(lie Dt'|iailiiiciil nt Siilciv iiiiil ]'r^ltc^^innal Savies. Persoiiiil iiit'ninuilidii >nii pinvidc iiiav be used Ibr seaindaisi |'iir|Si>e-. Ill aceoidaiiee \miIi llic I'inaa l.xm. >. 15 ()-l( I Hin). Siahi I, .AiiplicHiiiiti liiformiUioii - Please Print All Inforniat'oiiij i'rnperl) Ounci'--NameI'rnpcrb Sbulina .SiIiIil-v-,Mlt in MaleI II. Tvir' of Building (check nil that apply)I c; 2 1,11111 !> Dnellmy - \iiiiiber n! Uedrooms. I'liblic t iiiitiiicicial - Descfibo I «crj Siaitf Owned - Dcseribe ISe/ip Codef'hone Niinihcrl.iusDliiek aC'SM NumberSaiiiiary Peniiil Niiiiibet (lo be rilled iii b\ Co.)Slate Plan Renew NiiniberI'WIS-tn itIVpieei Addre>s(il'diHereni ihiiii mailing address)C»r.Parcel -iI'roperiN I.oeatioi;Clovi 1.01■5W . SF Seelion(eireleoiie)K^_l.or^Siibdi\isionNamein. Type of Pcrmif. (Check only one box on line A. Complete line B if appllciibic)D Citv ofD Village ol'^ Town ofLi New S\sleiii0 I'ermil RenewalIJeJbrc lApiralinn^Keplaeeniem Svsieni□ I'ermil Re\ isionLI (teaiiiieni/llolding lank ReplaeemenH)nl\□ Cbaiige ol'l'liimber13'. T'vdc of P03VTS System/Component/Dcvice: (Check nil that apniv^D I'cmiil Trnnsler to NewOwnerD Other Modiliealioii to L\isiiiig S>sicm (csplain)l.ist Preeiotis Permit Number imd Dale IssuedunxV:. 7Non-l'rc'.siin/ed lii-tirouiid □ Pressiirlwl ln-(itoiiiid □ Ai-tiiade □ Mound > 24 m. ol siiiiahic soil □ Motind < 24 in. ofxuiioble imil■ I ioidiiiu 1 aiik .i Other Dispersal Coiiiponem (e\|il»in) □ Preireatmeni UcMee (esplnin)\'. Dispcrsiil/Treatnient .Area InformaiiontDcsjciij^ow lapdi , Design Soil -tipplieatton Raietupiisn | Dispersal Area Required (sf)aC) S^ODispersal Area Proposed (sf)-Sssicm I'iexatioii\'l. lank infoCapaeilx in(lalloiislolalCiiilloiis- ofl.llllsMRiuifaeliiieriiL/ s—llJ5 7.VNew i .mks 1 sj-iHii; [ .inks5II7.sScplie Ol 1 lofdine t.iiik18Diwiiie t liiiinliei1VII. Respiinsibility Statement- I. the iindersiitncd. assiimc respnnsibility for instullalion ofllir POWI'S shown on the attached nians.131 kI•>si.. • . Vt .•kss.. ~ - \ ISL-- --L- • < ' - . - - - - ' ■'! 1' 11 1 1 111 IMP'idinfiers Address (Street. Cil\. Slate. Zip Code) ^ ' 'f 9^? AJ S-fccr^ 2^7 S~yp^/TV Hi. C ounly/Departnienl I sc Onlv / "\ 111. C oyntv/Departnienl I sc Onlvluiiiiiiirs,^ .tMPRS Number flusiiiess Phone NiimbeiXAW.'<?^*'^l)isippro,ed-i I iwiier tiisen Rel\. Cundiiiuns of Approval/ReatRes of Approval/Reasason Ibr DenialPennii f eeons for DisapprovalDate Issued I Issiiniu .Agent Si-gnatiiteORIGINALNO flEFUNDS AFTERISSUE OF PERMITAtuch Inciimplele plans tor the sssicni and submil t'l the ( uunis onlv on iiupcrnni less than K i: x 7wmSI)I).63'JX (R. 04/19)SEP11 mSAVc'i .• •:' ' ■/ZONING ADMliV'ti t; .^'.nON
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 5Pg2of5Pg3of5Pg 4 of 5Pg 5 of 5Index & Cover SheetPlot PlanDispersal Area Cross-Section & Plan ViewPump Tank SpecificationsManagement PlanAttachments:Enclosures:Pump CurvePOWTS Application for ReviewSoil Evaluation Report & Site MapProject Name I DescriptionPeterson Dosed In-GroundOwner Name(s): Gregory P & Jill C PetersonPhone:Owner Address: 11397 N Company Lake Rd, Hayward Wl zip; 54843Project Address: 12189 N Wagner CirGovt. Lot: SW Qj 1/4 of 5?_Ql/4, Section 35 , t4^n-r9 E Oor W 0Township: LenrootCounty: SawyerProject Parcel ID #: 014-942-35-4306Designer Name:InformationS959N State Road 27HmKirdmm43Phone:. U7Designer Address:E-mail:Zip:This space reserved for approval stamp.License Number: ^7 ^ fRemarks:Signature:DateOriginal signature required on each submitted copy.J
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IN-GROUND DOSED-GRAVITY DISPERSAL AREAUniform Elevation Trenches with Quick4 Standard-W Chambers3-ft Trench (down-sizing credit)SOIL COVER(typicalQuick4 Slandard-Ww/ End Cap/— ((ypical)System Elevation =(typical)(Show location of inlet / outlet pipe connection on plan view.)TYPICAL TRENCHCROSS SECTION VIEW(No Scale)Provide minimum 3 ftseparation between trenches.Observation Pipe(typical)Install per manufacturer's/ Instructions.A = 3.0 ft(typical)TYPICAL TRENCHPLAN VIEW(No Scale)(typical)INSTALL PER TRENCH:13 Quick4 Std-W @ 20 ff EISA/chamber = 2602 Pairs of end caps @ 6ft'EISA/pair = ^2= Proposed EISA per trench = 272^Quick4 Standard-W Chamber(typcal)(mfrl by Infillralor Systems, irtc.)install pursuant to manufacturer's instruOions.ft^ Reouired Infiltration Area = 300 ft'trenches = Proposed Total EISA = 344Distribution Method:branched manifold
PAGE 4 OF 5GRAVITY-DOSEDSEPTIC / PUMP TANK SPECIFICATIONS(No Scale)4*0 Ven( Pipe>10 ft fromBuilding12* Min. or 2.0 ft aboveEstablished Flood ElevaUon(typcal)ApprovedIMPORTANT:Anchor tank(s) as necessarypursuant to SPS 383.43(8)(g)^Finished GradeElectrical musi comply wllhSPS 316 and NEC 300Wealharproof—Junction BoxExtend manhole riser as necessary.Approved Locking Manholewith Warning Label Attached(tyi^cal)4' Min. or 2.0 ft above/— Established Flood Elevation'/ (typical)CAPACITIES @ 11.82Depth (in)Volume (gal)A30.8345B2.023.6[C]6.273D12142■RumpTank Liquid Level =Force Main Diameter = 2ConduitAirtight SealQuick Disconnect18" Min.(typical)nApproved Joints withApproved Rpe 3 ft ontoSoEd Ground(typica!)PUMP-OFFELEVATION =92.33 ftForce Main Length =80ftConcrete3* Approved Bedding Material Beneath TankINSIDE BOTTOMELEVATION = 90-5ftForce Main Void Volume =13[Clioal Dose Volume (TDV) =gal73 gal/dose— (< 0.2X design (low force main void volume)6.17Vftertical Lift =PUMP TANK:Volume = 600 galSEPTIC TANKfS^:Total Volume = 1000 galManufacturer: WieserManufacturers): WieserPump Manufacturer: ZoellerInstall aooroved effluent filter at the septic tank outletImmedlatelv uostream of the Pumo tank Inlet.Pumo Model: 98 n r- .Controls/Alarm Manufacturer; SJERhombusFilter Manufacturer: OrencoControls/Alarm Model:Filter Model: BlotubeFloat switches contalnino mercurv are orohlblted.
4" CAST-A-SEAL\ FILTER OR^ BAFFLE•jut:—'4" CAST-A-SEALTOP VIEW4" VENTINLETOUTLETI m Q,PUMP PADSIPE VIEWTANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTSW1000/600-MRTANK SPECIFICATIONSDIMENSIONS:WALL: 2 1/2"BOTTOM: 3"COVER: 5"MANHOLE: 24* I.D. PRECAST CONCRETE RISERHEIGHT: 69 1/2*LENGTH: 9-6 7/8*WIDTH: 7-9*BELOW INLET: 57"UQUID LEVEL 51*WEIGHT: 12,380 LBS.INLET AND OUTLET:4" CAST-A-SEAL BOOT OR E®JAL GASKETINLET AND OUTLET BAFFLE AND RLTER:WISCONSIN, SEE DETAIL #10(OTHER STATES SEE CHART)UQUID CAPACITY: 19.61 GAL/IN (SEPTIC)11.82 GAL^N (PUMP)LOADING DESIGN: 8-0* UNSATURATED SOILTANK CAN BE USED AS:SEPTIC/SEPTIC, ^PTIC/PUMP,OR SEPTIC/SIPHONCOVER: MIX DE904 #8 (NO FIBER)TANK: MIX DESIGN #10 (STRUCTURAL FIBER)CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETEREVIEWED BY.REVIEW DATE .DRAWINGS SUBMITTEDFOR APPROVALAPPROVED by:APPROVAL DATE:PRODUCTS NEEDED BY:oa.ino0(O1ossU3cc ^I§ iT)a CN2 IS oI ooinq:zIoo(OIooo<Z)z<Z£up0.LUV)SHEET NO.1OF
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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 Maintainer inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Flow = 300 qpd; BOD5S 220mgL^ TSSSISOmgL ^ FOGiaOmgL"*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, etc.)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, 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 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 fliterfsl 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: Sawyer County Zoning 715-634-8288Local government unit address: 10610 Main StreetSulte 49, Hayward, Wl zip. 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.Contingencv 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.