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Home My WebLink About020-638-07-5403-SAN-2020-159Industry Sciviccs Division1400 E Washington AvcP.O. Box 7162Madison, WT 53707-7162CountySanitary Permit Nitmhci {ni he filled in by Co.)'7<0rIaSanitary Permit ApplicationIn accordance tvitli SPS 383J1 (2), Wis. Adm. Code, submission of (his fuim to (he appropriate guvcjnnieiKal UnitIS required pnur to obtaining a sanitary pennil. Note: Application forrtLS for state-owned POWTS arc submitted tothe Dqiartmcet of Safety and Professional Services. Personal infoimaiion you provide may be used for secondaryinaccordaiicc withthcPris'acvLaw. s- 15-04(1 Hm). Stats.pmposta 1State Transaction NumberI. Application Tnfonnation - Pleaac Print AH InformationProject Address (if dilTcieni ihsn mailing address)96Jy ij jr. A 7^70Property Owner's NameJdAtrl CYa/Hi'A ^ Je/"Parcel «Property Owner's Mailing Address6J,C0 */or^»eJlCity, Sute/"a/Zi? hre»(. ai/J.Zip CodeII. Type of Building (check all (hat apply)[3 I or 2 Family Dtvelling - Number of Betirooms 30 Public/Commmrial - Describe Use,D State Owned - E>escribe UsePhone NumberLot#Property LocationGovt. ijjt yI/,, Section 7(citelcoii^N; F.oi<S^Subdivision NameBlocksO City of _CSM Number0 Village of' Town of O^/Aui^nr. Type of Permil: (Check only one box on line A. Complete line B if applicable)A.D New SystemQ Replacement SystemD Treatment/Holding Tank Rcpiaccnei'l OnlyD Other Modification to Existing System (explain)B.D Pennit RenewalBefore ExpirationD Permit RevisionD CliangcofPiumbeiD Permit Transfer to NewOwuci'List Previous Permit Number jiiii Date ksucd ^TV. Type of POWTS Syslem/Component/Devlcc: (Check all that apply[2 Non-Pressuftzed In-Giound D Pressurized lu-Gniund D At-Grade D Mound > 24 in. of suitable soil D Mound < 24 m. of suitable soilDlloldingTank D Other Dispersal Component (cKplain) : D Piefreatmcnt Device (explain)V. Dlspersain"reatmept ArealnformatloB:Design Flow (gpd)HsoDesign Soil Application Rate(gpdsO- 7Dispersal Area Required (sf)^93Dispersal Area Proposed (sf)£11System ElevationVT. Tank InfoCapacity inGallonA;Tola!GallortsS ofUnitsM.inuracturcrPrefabConcrete§ "O^ auuto£ O1&Now Tanlc*Kxisimg Ttink«Holding Tank—tPOO/SH auJxHodiftg Oufnbei$00 '—$oo/uXVII. Rciponslblltty Statement- I, (he nnderskined, utnmc responsibility for installation of the POWTS shown on the attached plans.(RpMPRS NumberPlunilicr's Name (Print)Plumlier's SignatiucBusin3ruer. i/XTcfA/a^ess Phone Number7/3'-fi/a'Aytri.I'iumbo's Adicss (.Street, City, Slate, Zip Code)VIII. Colent Use Only-mS-Appfuvrd TD Disapprovedin Owiicr Given Reason for DenialPermit Fee$; M/9 <>0qoo.Date IssuedIssuing Agent Signature■giiaturehLX. Conilllltmi nf Apprnval/Rcasnns fur DisapprovalNO REFUNDS AFTERISSUE OF PERMITf ■ B-a> avc-«a<3«4aB<a iORIGINALmhy)Anach (acamplctepUni for the syMiin and inbmlt totlie Ceonty oiity on piper not leu ibaa a irt l!'lj(bcn« inwJUL 2SBt)-6398 (R. 08/14) 8 2028SAWYER COUNTYaOWNQ ADMINISTRATiOW Jake Cadwaller9615W ST. HWY 27/7020638075403SawyerPRT. Govt Lot 438NProperty Owners NameProperty AddressTax Parcel NumberCountyLegal DescriptionSectionTownRangePage Index1 Property Information2 Data Entry3 Plot Plan4 Drainfield Cross-Section5 Tank information6 Maintenance Plan7 Contingency PlanBruce VitcendaM.P. 220498715-943-23827/23/20Plumber's NamePlumber's SignaturePlumber's License NumberPlumber's Phone NumberDatePage / of 7 In-Ground Soil Absorption Sbu-Iurub-H component Manual UsedfN ni/ni'» Version 23Number of Bedrooms20Percent Slope (%)87Depth to Soil Limiting Factor (in.)0.7In Situ soii application rate300Estimated Wastewater Flow (gpd)450Design Wastewater Flow (gpd)2Number of System Elevations93Proposed System Elevation #191Proposed System Elevation #2naProposed System Elevation #396.3Original Grade #196.3Finished Grade #194.2Original Grade #294.2Finished Grade #2naOriginal Grade #3naFinished Grade #3Skaw 1000/600ICombo tank or pump tankOrenco 8" BiotubeEffluent FilterBioDlffuser ARC 36 1 Chamber Type13Height of Chamber (in.)25sg.ft. per chamber(ESIA)4.5sq.ft. per pair of end caps (EISA)5laying length of chamber(ft.)1.17length of endcap(ft.)33.75Chamber width(in.)2Rows of Chambers6Distance Between Cells (ft.)14Number of chambers in first row12Number of chambers in second row0Number of chambers in third row26Proposed Number of Chambers Used642.9Minimum Distribution Cell Area Required (sq.ft.)659Distribution Cell Area Proposed (sq.ft.)Page 2 of 7 '^■ih f.•y^ hv y' fi) : ''■'01 ui.*"l!C t^/y ■!>IA^ /"f^JOAf OJy^ ■C Hl/f-ShpT/i) "!> fi VOlt), Cross Section of c Two Cell In Ground ComponentUsing Leeching ChombersObservaUon/Vent Pipes96.30Pinisbed GradeSlope 20%96.3094.08OriginiH Grade .Top of Chamber93.00System ElevationFinished GradeCellSeperallort94.20.^fighai Gradeof ChamberSystem Elevation94.2092.0891.00••'••a, *.Treotnjent* ind* Dispersof .Zorje . *.*4 a •Limiting FoctorObservotion/Vent pipes to be constucted ond copped with approved materials for the porticulcr use.Diagrams Not To Scale72.34 feetn6 feet between ce s62.34 feetObservation / Vent Pipes to be located at the ends of the distribution cells.Page 4 of 7 ApprovM M(3ono<e Covers witn iood LoCHing Device / <" Mir. Above r=*<Qt Grade4* Sch, 40 Vent> or • to 12* ^Above rinol GrodeOieconiOrenco 8* BiotubeSkaw1OO(VBO0Weotber Proof Junction Bo<Electric per NEC 300 4c COMM.16.2B WACAlternate Outlet Locotlont W/Approved 4" SleeveInletBoffle2 inch forcemain'eep Hole or Anti Option 0ei4ce12500.920.4612.46Vertical Difference Between Pump Off and Inlet to Chamber908.1598.1560016.4739Zoeller 98Length of Forcemainfft.)Forcemain Diameter (in.)Friction Factor per 100ft.Friction LossTotal Dynamic HeadTOTALNumber of Doses per DayGallons per Dose (Not to exceed 20% of Daily Design Flow)Volume of Forcemain BackflowTotal Dose VolumeIAPump Tank Capacity (Gallons)Pump Tank Volume (Gallons / Inch)Liquid Level (in)Pump Typenches Gallons19.0313.6B232.9C6.098.2D12.0197.639.0642.3SJE Rhombus - Tank Alert 1AlarmsIPUMP PERFORMANCE CURVEMODEL 98■»iOso1ISOFLCWPS^UM/TEMO Service EventService FrequencyInspect condition of tank(s)At least once every | 3|Year{s) |Pump out contents of tank(s)When combined sludqe and scum = 1 /3 of tank volumeInspect dispersal cellfs)At least once every3Year(s)Clean effluent filterAt least once every3Year(s)Inspect/test pump and alarmAt least once everyJake Cadwaller9615WST. HWY 27/70Soil Application Rate gai/day/ft^Influent I Effluent QualityTotal Suspended Solids (TSS)2.06E+10Number of BedroomsEstimated Flow (average) gallons / dayDesign Flow (peak), (Estimated x V5) gal/day3004500.7•ats, Oil & Grease (FOG)Biochemical Oxygen Demand (BOD5)Monthly Average30 mg/L220 mg/L150 mg/LCombo or Port Skaw IOOO/6OOEffluent Filter I Orenco 8" BiotubeIINOTEI!Servicing frequency of 12 months or less requires theManagement Plan be recorded with the Register of Deeds.Maintenance InstructionsInspections of tanks and dispersal cells shall be made by an individual carrying one of the following licensesor certificationsiMaster Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, Septage ServicingOperator. Tank inspection must include a visual inspection of the tank(s) to identify any missing or brokenhardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check forany backup or ponding of effluent on the ground surface. The dispersal ceN(s) shall be visually inspected tocheck the effluent levels in the observation pipes and to check for any ponding of effluent on the groundsurface. The ponding of effluent on the ground surface may indicate a failing condition and requires theimmediate notification of the local regulatory authority.When the combined accumulation of sludge and scum in any tank equals 1/3 or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of inaccordance with ch. NR 113, Wisconsin Administrative Code.A service report shall be provided to theof any service event.Sawyer County Zoning Deptwithin 30 daysStart-Up and OperationFor new construction, prior to use of the POWTS check treatment tank(s) for the presence of paintingproducts or other chemicals that may impede the treatment process and I or damage the dispersal cellfs).If high concentrations are detected have the contents of tfie tank removed by a licensed Septage Sen/iceOperator.System start-up shall not occur when soil conditions are fnizen at the inflltrative sur^ce.Page 6 of 7 Do not drive or par1< vehicles over tanks and dispersal cells.Reduction or elimination of the following from the wastewater stream may improve the performance and prolongthe life of the POWTS: antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dentalfloss, diapers, disinfectants, fat. foundation drain (sump pump) water, gasoline, grease, oil. painting products,pesticides, sanitary napkins, tampons, and water softener brine.AbandonmentWhen the POWTS fails and / or is permanently taken out of service the following steps shall be taken to insurethat the system is properly and safely abandoned in compliance with Wisconsin Administrative Code SPS383.33;- All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.- After pumping, all tanks and pits shall be excavated and removed or their covers removed and the voidspacefilled with soil, gravel or another inert solid material.Contlnaencv PlanIf the POWTS fails and cannot be repaired the following measurers have been, or must be taken to provide acode compliant r^lacement system: (Check One)[Zirhe site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soiland site evaluation shall be performed to locate a suitable replacement area. If no replacement area is availablea holding tank may be installed to replace the failed POWTS.Da suitable replacement area has been evaluated and may be utilized for the location of a replacement soilabsorption system. The replacement area should be protected from disturbance and compaction and should notbe infringed upon by required setbacks from existing and proposed structures, lot lines and wells. Failure toprotect the replacements area will result in the need for a new soil and site evaluation to establish a suitablereplacement area. Replacement systems must comply with the rules in effect at that time.P A suitable replacement area is not available due to setback and/or soil limKations. A holding tank may beinstalled to replace the failed POWTS.IIWARNINGIISeptic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not enter aseptic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person from theinterior of a tank may be difficult or impossible.POWTS InstallerNameBruce VitcendaPhone #715-943-2382POWTS MaintainerNameNorthwest SanitaryPhone #715-943-2650Septic PumperNameNorhtwest SanitaryPhone #715-943-2650Local Regulatory AuthorityAgencySawyer County ZoningPhone #715-634-82887of7 WARNING DEATH MAY OCCUR IF TANK IS ENTEREDWITHOUT PROPER EQUIPMENTNOTE: SEE INNER WALL PHOTO ON THE 'EXCLUSIVELYAT SKAWS" PAGE.7000n.SKAW 100(V6(X>27.0024.0027.0027.0024.0OINLET4 INCH39.00OUTLET END VIEW OF TANK4 INCH PRESSSEAL GASKETINSTALLEDWHEN POURED3 00-' SECTION VIEW OF TANK AND COVERModel Number 1000 / 600Weight13,050 lbs.Inlet Dim.Outlet Dim.Uq. DepthGal./In.44"42"39"16.47Norn. Cap.642.33 gal.SKAW PRE-CAST26255 105th Street, New AuburnWisconsin 54757www.skawprecast. comPhone: (715) 967-2277Toll Free: 1-800-924-8625Fax: (715) 967-2707