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HomeMy WebLinkAbout030-737-03-5204-SAN-2020-148V}\ \ S ^—::;—rSSafety and Buildings Division201 W. Washington Ave., P.O. Box 7162Madison. Wl 53707-7162anitary Permit Apj^ication■C3T [3>-o'iL]County5imher (low filled iSaniun' fVnnil Klimher (low filled in h}' Co.)^jiao<bOSute Tntisaclion NumberIn accordance \Mlh SPS 383.21(2), Wi.q. Adm. Code. Bubmiuion of this fnrm to the typropriatc go\'«gTto>enUt1 unilis required pHorio obtaining a saniian' pcrmiL Note: Application forma for aUte-ot\'ncd PO\VTS arc submitted toLite Department ofSafety and Pn^fcaitonal Scr\'iea. PersonbI information you proiide mav be uacd forsccondaiypurposes in accordance wth the Privacy Lffiv. a. 15.04(1 Xtn). Stata.L .Application Informadon - Please Print All InformationIVoject Addras (Ifdifrcrcnt than maiiiiig addreu)Property Chincr's NamePrcpertyOiiticr's broiling .Vddress^ GrceAZiCitv. Stale^JeuJ U/TII. Type of Building (clieck all lha( apply)1 or2Fann]yDneiling-Nuinl)erofBedrooins 0^p Codepublic Commercial - Describe Use,State OuTicd - Describe UsePboae NumberllS-3^-9ga7Lot ^5Block «CSM NumberProperty LocationOovtUa <33*7 N: R.t-k Section.. (ciicle onet2_ Eoi^)Subdirision Name7tOijirflfi,0 LJcn^er^Citv ofVillage ofTown of__ CJe:ir^rIIL Type of Permit: (Check only <Hie box on line .A. Complete line B if applicable)New SwtonReplacemenl SxilonXTcatroenl Holding Tank Replaconent OnlyOther Modificalian to Evialing System (explain)B.Petmil RenewalBcfoic ExpirationPcmiitRevisionChange of PlumberPennit Transfer to NewOitnerList Previous ftcnnil Number and Doto Issuedpr'uiyr\'. Type fiLEQMTS Syslcm/Coinponan/Desicc: (Check all thai applyNoo-Presiurircd In-Ground.,Pressurhcd In-GroundHolding Tank Other Di.spcraal Component (cxplain)_.U-Orade Mound >24 in. ofsDilshlcsoil Mound <24 In. ofsuitdslesoilPretreatmcnll)cvice(esplain)V. Dispersal/Treatment .Area Information: <?-- So' Cc-HS /o G'Z. -"Vl'fcDDDisign riow(g^)esign Soil .Application Ralefgpdsl)spersal .Area Required (sOSooDispersal .'^rea Proposed (af)Svsteio ElevaiJonVI. Tank Info7-50/stOCapacity tnGalloniTotalGallonss ofUnits.N tanufQclurcr3$ i^'11FiberUitssiPosllcNeAr TucikiRsisliilg TanksScp(tcor 1(014(111^ Tank7S0fVDceiflg Chimbcr<>510/rKL t-AJL.XITI. Responsibility Statement- I, the undcisisi>ed..-uisunw mponsibilliy foriiutnllntlon ofthe POMTS slinwn on the aciaclted plans.Plumbcr>SignalurePlumber's Name(PrinO__ Plumbc^^ignamreC^rc^:^'T^City^pSZA \Plumber's AddiSl (Slrcel, City. Sialc, Zip (^ode) ' vMP'Ii IPRS Numlwr3.Sio^lc^Business Phone Number7^0/r\PS>d*\ LtMlVTIL CotintY/Denartmcnt Use Only%.X^onditionDisapprovedOwner Given Reason for DenialPennit FeeDate Issued7-^.TIssuing .Agent SignatureIX-Xondltions of .Approval/Reasons for DIsappnn'alNO flEFUNDS AFTERISSUE OF PERMITAltBCh 10 cooptclr plans forlbc fvslrin and sobratl to Ibe Couotj only on paper ool less than iifli ISBD.6398{R. 11/11)JUL 2 3 2020SAWYER CO-.-, .ZONING ADMINISTRATION PAGE 1 OF 3in-ground D@s@d-@rgivlty PlanIndex & Cover SheetComponent Manual Design RefetenGes:Version ZO. SBD-IOTOS-P (N.01/01, R. 10/12)Pg 1 of 5 index & Cover SheetP§2ofS Plot PlanPg 3 of 3 Dispersal Area Gross-Section & Plan ViewPg4 of 5 Pump Tank SpecificationsPg 5 of S Management PlanAttachments:Enclosures:Pump CurvePOWTS Application for ReviewSoli Evaluation Report & Site MapProject S^sme / DescriptionII elOwner Mamefs): A ^ Da/I&'> U Eo€.rSt>t\ Phone: 7/5" - 33^ - 7Owner Address: Carreft Aug MaJ RicknnaJ iJX Zip: ^HcHProject Address: 23l1^'N $ey]gS^C.Sovt Lot: 3 1/4 of ^1/4, Section 3 . t37 N-R ^ Ernorwl?Township:Project Parcel iD #: ^J?r> 737 C^B.Coun^Designer InformationDesigner Name:.Designer Address: SOPf^H RD /L^hv/g/ao:E-mail: AonrvpSfta Ur^ Z/i/g, Co/r\Ucense Number: c0.^r>^/nRemarks:Signature:Date: ^^<3.0 "3.0subnrdttod copy. CKBCKBOXASAmiB^E.□ SOIL EVALUATIONSITEMAPPROJECT NAME:\ipaojpm-antwpas; SgAg&ftCBMSyndial:mBtwatet .. HTScale: 1'=40*40 eo(lOftflpq)CKeCKBOXASAPnJCASlS.SYSTEMLOT PLANDEaONR0INi_PAGE 2 OF.(ffOnAttach deslon flaw catoutaSons (or oomnnrcial plana.P^(ltetBila)/A8TM8!andanl(rBbtas3S42M&»4J0^/ POCSgrilEiySBmiLraOaEcripSan:Xme\ pipsIlagaiuiMmiydnntagnanaosBaippnpaaBa.FOCStUK.WeMQEmiiEamu ground dauafioncoidouisaledttttteMBnebiCk-,ppeu?c*>.ez^\^V'7^olS'X>Co<vlV©e>'iAQtys-'H J \•Senf».3>cLe IW-GROUND DOSED'GRAVITY DISPERSAL AREAUniform Elevation Tnenches with EZ1203HP Bundles3"fifc Trench (down-sizing cinedlt)t t ^ ^ ^IGealwdBaCowar800. COVER— ndti. 12*TVPICAL TRENCHCROSS SECTION VIEW(No Scale)System Sevatlon's{^(plcal)OBSERVATION PIPE DETAIL(Kb Scab)Scrow-Typo OfSOpCop^go)FlntEhProvide minimum 3 ftseparation between trenches.TYPICAL TRENCHPLAN VIEW(No Scale)(Show locrriion of Inlet / outlet pipe connection on plan view.}4-0PVCP|paTqia<pl|iotoienntiBls "4^'olarobavoflntdiodoiada ft}(4)1«4.ia'X8"8WaeiS opartAndrartngOovleBul Quota(imdchortaeosiiBd)wayInfiltBrtlDn4-0Perforated LateralObgaiwem plpo due to turidMBt>ine8m totmon hw unKa... , OlJ8«vallonP(».^ (typical) (^pteao(WcaO- B=(lypteal)INSTALL PER TRENCH:10-ft bundles ® 60 If EISA/unit« ^SO fp+ . ' '— 5-ft bundles @ 25 fPEBAAmtta ^ ip1A s 3.0 ft{typlcaOEZ1203H Bundle(typical)(mftl by InlBtrattf Systems, Ina)InslsB pureuemt to tnanutatiiseratnsbucilans.>omcaOcn= Proposed EISA per (twich = ft* Required Infiliratton Area « ft* Dbtrtoutfon Method:X trendies « Proposed Total EiSA=sS*on n* D^SOj^-I RESET J PAGE4 0F4In-ground Dosed-Gravity Management PlanThe owner (pursuaWtere<|u>»mml»of8PS38M8ikWlBC.AcWn.Coife"bsM, haz«tl« n« mdntalntxl to accortaroBsslanFtorae 2cO 9P4' BOBsSaMmgf'i TSSSISOmgL''; FOesSOmgL''InsPScMonChael^^ INSPECT EVSRY 3 YEARSo ^e cS uroo sgeofsyidemo nui^ce factors (/.e. odors, usw comi^aints, eftx)o medranJca! malfuncHon (ia, pumps, vsdves, svritdiss, floaty eta)o material fatigue (ia, leaks, bre^ oorrodon, ete)O dp^glrogularflie^lf^plfcable {/.a, pump iBH^ksflng, float switch settings, elfc)** j components - If applicable (/.a, wiring, connections, switdiss, controls timers alamn. ete.\BiWntgpanpeCfWffkltel MAINTAIN EVERY 3 YEARS (or vnften necessary)° gaiM!£'ra.rm^as retpjitsd by kxal orxfinanca [Kq)oral of contents shall be pursuantto NR113, Wlax Admin. Code.necessary to remove anymondia —««)«~...i,auuii«. «senncmg psnoo wii aways be greatorthan 12Name of Individual orcompany: Qn(r> V\i>r^p^ Ph»n..U)caigovemmentunlt ph..,,.. niS-(/h^-9Q9:^ixwalgovemmentunltaddress:/g<^/<9 /??^;a 5/^E«LEISaK!in'j[.iTiEn:aterKloned arnl r^laced by a code-complyftig di^ersd component In a pre-determlned area of suitable soiia^^ ^if use of this POWTS is disconttaued, ft Shan be abandoned in accordance with 8PS 883.33. VWsa Adrnln. Code. PAGE 5 OF 6SEPTIC / PUMP TANK SPECIFIGATIONS(No Scale)4*0 VentMOfltem1? (fin. w 2j0 ft atomEddiSdnd Flood BateBmdSPM)Af^muatMPORTOWn \ VemCBpAnttolaitS((8)a&nec8S6aiy \ ^<±9pursuant to 8P3 3B3j43(8)b)SeeUGB) mol oompV cOhSreSIBendNBCSOOAk :ikcAPAcrriEs @ H*23 gmEtednarttttoitarwtiBcwMiy.Appnvcd loddng (lanhols«ffli VlteiOig UM AUadnd(Wod)4'Min.ar2j01ta)MWDr-EsbUthBd noed BenSon/ WPM)D^}fii(In)Volume teal)Ais.sB2.0[C1^i.s-C.H.D4Dnot ff^sf^Pump Tank Liquid Level =Force Main Diameter =Force Main Length sForce Main Void Volume ^gal[G] Total Dose Volume fTDVt = gal/dose<— (5X total iatoal void votuns <TDV < O^Xde^gnflow)+ (ibrca main dn^rAack votuma)PUMP-OFF _ELEVA-nON= ftINSIDE BOTTOM ^ELEVATIONB ^3.0 ftVertical Head'^iN. PUMP DISCHARGE RATE =_gpm+ MIn. Supply Head ~+ FM Friction Loss^ + FHBng Lc»6" = ft(irfn.8umdyKaailxO^)'"'"" '■' TOTAL DYWAMinHPAn.r 7/0 ftVolume =PUMP TANK:Manutiacturen cssaM^^^aol^i^Bsa^^^^nPump Manuliadum:,Pump Mod^:,Controls/Alarm ManutiacturenGontrols/Alami Model:I (SsoaUschcdpuinjiauvQORoat awltchTO containing mwtajiv are DroMbBad.SEPTIC TANKTSV:Total Volume = 7-S^ relManufecturerfs): A'CFntm-ttflanufacturenPmerlModet /n - ^ ••''ih- i-:--I V" • ':" .1*•,>1t :'. 1''fi'WU«PUliP5' •.•; '•MODELAPtUCAnOWSSpedally designed for thefollowing uses;• Mound Systems• Qnuenlin)osing Systems' • Low pressure Rpe^stans•BasemertDraWng• Heavy Duty SuR^DewaterfogMEinsSPKIHCATKmSPump-General:• Discharge: IVi'NPTn Temperature: t04®F {4(TOmaximum, continuous whenfuBy submerged.• S(idsharKlDng:'di'manmums}rfim• Automatic models indude afloatsvrtdi.• Manual models available.• Pumping range: see .performana dtart or curve.PE31 Pump:n Msdmum (apa<^ 50 ^• Maidmum head: 25' TDHP»1Pump:• Maximum opatfor: 60 GHd• Msdmumhead:29'TDHPE51 Pump: .• Maximum opadty: 70^• Msdmumh^ST'lDHMOTORGeneid:• Sngte phase' filHeitz• ttSvolts• BiA'inthRnaioKitaad protection vrilhautomaticreset• QassB Insulation.• OiMmed de^n.• Hii^stieigtiirBibon steelshaitPE31 Motor.n 33HP.3000RPM• 12.0MaiAnumanps• Shade] pr^dKlgnPE4t Motor•.40HP,340DRPM• TShfonrmanamps• PSCdestgnPB1 Motor•.50HP,3400RPM• 93Maxfonimamps• PSCde^4-!- -i-i-H?i-i- -H-r-rfee nrt ^iFFMrlT 4Tr:t:: ;ri |:L'n±rtr zr^ ;TTTT ^--R- i" -r ! -j- r I' ! -1 •]±±i± ±:}4± ±tr.lT ?1T^ -j. —-1—fc- 4* 4* 141-1-+- -t-H-r- -lLlLh -i-T iCAPACITYe ZQ02 Goulds PumpsEfltttiv? November. 2002BPB1M1• 15 nrA/h-FEATURBB^nosionre^staRtconstRJctioaB Cast iron body.B Thermoplasticlmpeilei andcover.B Upper deeve and lovrerhe^ du^ baB beariiqoonstrutfon.B Motor Is pennanoitlylubriotedforortendedservice life.B Povreied for oontinuousoperation.B M ratings are vrittun theworidng Birdts of the motor.B Quick disamnert powercord, 20'siBartanllenglh,heavy duty1»3SnWwhhNEMAS-ISPrthreepmng,115 vrrit grounding plug.n CbmpietB unh b ne^ dute.portable and compaaB MechankBl sral b carboacerandc BUNA and salnlesssted.n Sbinless sleet fosteneis.AGENC7USTIN65Testedto UL778andCSA222t(SStefKlarrlsayCMadlBnSbndarts Atssdifionnefuoasaa6ettfitaaBlsB0900t R^jismd.t j-ii -i-' t f- Jjilxi. 1-Li0 50 60 70 6PM 80Gol^ PumpsITT Industries