Loading...
HomeMy WebLinkAbout032-539-10-5118-SAN-2020-200;.s'sSafety and Buildings Division201 W. Washington Ave., P.O. Box 7162Madison. WI 53707-7182County6^nber (loSanitary Pcrait Numbef (lo be filled in b}'Co.)Sanitary Permit ApplicationIn accordance with SPS 383.21(2), Wit. Adm. Codc.submiuion orihb Tonn to the appropriate sot'emmcnlal uoilis recpjired prior lo obtaining aaanilaiy pcmiiL Note; Application rorma tor slatconited POUTS areaubraillediollic Dcpaitificnt orSarety end Profcuional Scrvica. Penonal informalirm you provide may be used (or lecondatyoutliMes in accordance with the Privacy Law. ». 15,04(IXinV Stats.Slate Tianss^on Number1. .AppUcatfon Information - Please Print All InfonuationIVojccl Addrcu (ITdifiercnt than muling address)Property Ovvticr's NamelAaL ^ OtoAf? ir\cL^Aj;rty Out)cr's \ iling .Address 'Property OuDcr's \Jailing/40/ 'Ttu.fi^uA At/gParcel#Property i.ocalimt PRT.Ootl. LotCity, StaleTom^K. LUTIL Type of Building (dieck all that apply)1 or 2 Family Dttslling - Number ofBcdroonuZip Code5Public'Commciuial - Describe Use,SiDtc Owned - Describe UsePhone Number'j. Section /GLot#-5'T 32_HSubdivision NameBlock#CSM NumberAku?. =^38?City ofViil^eofTown of_in. Type of Permit: (CheckoiilyoncbosonlineA. Complete line B if appUcablc)New S)-stcmReplacement System^^TVeatm^^llsldiBg^^AReplnceinenlQn^Other Modiflcalion to Exislmg Syilem (explain)Permit RcnetvalBefore EvrpirationPermit RevisionChange of PlumberPermit Transfer to NewOwnerList Previous Permit Number and Dale Isiu^I\'. Type of POA)'TC System/Compontnt/Devicc: (Check all that apply)I^Nen-Picssurizcd In-Ground Pressurized InA>ound .\t-Crrade Mound >24 in. ofsuitable soil Mound <24 in. ofsuH^le soilIIoidmgTank Other Dispersal Component (explain) PrctrealmcntDevicc(esplaln)v. Dispersal/Treatment .Area Information:Design F]ow(gpd)3coDesign Sal .Appliealion Rate(gpd>().7Dispersal Area Required (sf)Dispenal .AreaS\'slan EJcv^on)T. Tnnk Info750/CapaciiymGallontNew TanksITExtsimg TanksTotalGallons# ofUnitsManulhelurcr5l:atJ Hk.^ 'dfie O■51lii: oSeptic or Ifoltliitg Tartl*7SODosif^Oumbcr^ \ Prtr I •><\'II. Responsibility Statement- 1. the undmlgned. assume responsibility forlrtstnllnllon oflbePOMTS shown on Ihcnttnehed plans.Plumber's Name (Print)6^sPlumbcr'^gnaturcMP-MPRS NumberaZLD^loBusiness Phone Number11S-2U-3l^H3Plumber's .Adrfrss (Sirea, City. Siai& Zip Code)fiJl CiXP- ^''1^9 (pVni. Cotinty/Dcpartment Use OnlyDisai^tuv'cdOwner Given Reason for DenialPermit FeeYotC70Date Issued9^ 3-^^Issuing 'VgenI SignatureIX. Cnnilltiiiii.s of .-Vpprot'al/Rcason.a for DisapprovalORIGINALnsHSEP 0 2 2020^SA1/VYER COUNTYZONING ADMINISTRATIONAttaeh lo ooaplrlr lor the stslcn and ssbnil lo ibe Coeoty only on paper not Uu than 8 \flSBD-6398 (R. 11/11) PAGE 1 OF 5Pgli ofS2 of 5PgSofSPg 4 of SPg § of Sl!n-©r©ynd D©s®d-©ra¥% Planindex & C@v@r SheetComponent Manual Design Re^rences:Version 2.0. SBD-10705-P (N.01/01, R. 10/12)index & Cover SheetPlot PlanDispersal Area Cross-Section & Plan ViewPump Tank SpecificationsManagement PlanAt^actiments:Enciosures:Pump CurvePOWTS Application for ReviewSoil Evaluation Report & Site MapProjeof / OescripfionOwnerNams(s): HuL ^ Oictne Phone: -Owner Address: l^tlrutooA 7or»\AK UaX zip: ^7660Project Address: >S74»*if-Cj KofA.aQvLLot; X 1/4 of ^1/4. Section /V N-R ^5"^ EriorWTownship: 6j't<\rLer County:Project ParcelSD#: 0^-5*3^OesEgner informaHoriDesigner Neme: ^y^O/v\PSADesigner Address: SO ^TAD/n/^rt |S/VE-mail: idlLnr\4ivorty&?01 icP /1" ue^ Cd /ALicense ^Sumber: _ :^3lo9:ioRemarks:Phons:^/S" -3^ -Zip:i ii;:- -i iV-'V;" i )' "■•v .Signatyre:OriiDate: 3['^cSDinaturo requlm^on each subndltod copy. CHECK BOX AS APPUCABlfi.□ SOIL EVALUATIONSITEMAPPROJECT NAME:Scale: 1"=4ff40 6080/yyyy/VA(10 It gild)10'%IHaCBDXASAPPUCAaiE.SYSTEMLOT PLANCUHaCBtT1PAGE 2 OFDBSIONFLOW: .2iQa.QPOPROJECT ADDRESS: 'S-76><i' UJ /ComBMSymbd:-^ BUBevsian: / PTBMOescflpEoicCoCA/tr Cang/ete.SlmsOtBdIsnt(%) Well8ynlbal(iropp1lcaUs}: QOfTftOtSd Af681Attach deslon flow calculations for commEntel plans.PlpeMatai1al/ASTMaandffid(ra))t6s384.3l>a&m3l>€)SsnaeiySswscForniMaiig / &C.H HOiKiiEsisnoiaibsrdrswhseniunwen ll» a^rainlia Inaimportant^Show ground elsvaflon contouro at sultablo bdeivab.«MWLdi^<3r5«»/ne/\i6 QrWCi PAGE 4 OF 4In-ground Dosed-Gravity Management PlanIMPORTAMT:The ovtmer of this in-graund dosed-gravity system shall be responsible for its perpetual operation and mainlensmcepursuant to requirements of SPS 382-384, Wise. Admin. Ck)ds. Pursuant to SPS 383.52 (2), Wise. Admin. Code, thissystem shall be conddered a human health hazard if not maintained In accordance wHh this approved managementplan. Furthemnore, all Inspection and maintenance activities ^aO be performed by a rei^stei«l POWTS Bteini^i^ inaccordance with SPS 383.52 (3), Wise. Adm'm. Code.Design Rows gpd; BODs^220nigL'^; TSS S150 mgL'^; FOG530nigL'^InsnecBon Checklist INSPECT EVERY 3 YEARSo type of useo ^e of systemo nui^uice factors (/.e. odors, user cx)mplalnts, etc.)o mechardcal malfunction {/.a, pumps, valves, switches, floats, ete.)o material fatigue (/.e., leate, breaks, corrosion, etc)o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s} O-a, distribution / drop boxes)o n^ect or Impn^ffl-use (/.a, exceeding design capMStles,iMDhlbitedactivlfies, etc.)o extent of ponding In distribution ceD prior to do^ngo dosing Irregularitiss - if applicable (/.a, pump re-cqrc!lng. float swltrit settings, etc.)® applicable (/.a. wiring, connections, switches, controls, timers, alarms, etc.)« dl^butlon l^ral or lateral orifice plugging (measure lateral distal pressure - compare to design spadfication)surface discharge of effluent or sewE^e bacri(-up Into strudure servedooateintenancQCharfcIist aHAINTAIN EVERY 3 YEARS (or tfuhen necessary)o ge^e^^detpsefantrfa) shall be pumped by a certified septage servicing operator licensed under a 281 48 WisStats.vtfltMth6volumec>fsDlld8lrititeiank(s)erffie8d8one-thlrd(1/3)thellqulcivDlumeoftheto^as rec)ulred by local ordinance. DIsporal of contents shall be pursuant to NR113, WIsa Admin. Code.o Efftuffltfllterfg) shall be injected every 3 years and shall be cleaned when necessary to remove anyaccumulated sofids according to manufacturer's spedficaHona A servldng period will always be greater than 12liionuis*ae oiicul wo ouuiiiuttsta lo uie prupsr loc&i govsmniGnt UfSPS 383.55 wise. Admin. Coda R^ort any component failure or malfunction to:Name of Individual or company: OoO SeAS ^7^ phone: 7/5"-Local government unit.Local government unit address: /06/O/??»'. A 5li- ZIP*Contlnoenew Plancomponent of this POWTS cannot be repaired, it shall be replaced pursuant to^ approval. A failed in-ground dispersal component may beabandoned and replaced by a codeK»mplying dl^ersal component In a pre-determlned area of ^itable soil&Svetem Abandonmentif use of this POWTS Is discontinued, it shall t)e abandoned in accordance with SPS 363.33, Wise. Admin. Code. PAGE 5 OF 6SEPTIC I PUMP TANK SPECIFICATIONS(No Scale)4*0 Vent Rps>lOflteni1?Mn. orZjOlldXHaFlood BmsfionOwtoDAfqmyedIMPOFTTAMr:Antto tank(8) necesratypurajant to SPS 383.43(8)^)Bectiiial must comrty wBh8P331B«idNEC300WeaStoipiotif■f—JumaJonBox\\y \1/Ftn^dSiadoBdand manholG lisaras nooassaiy.Appnved Locking ManhfllevtlBi Wamtns Label Attadndd'MbkorZjOttalKwey—EstaUshed Rood Bmsfien'y (lypMlCAPACITIES @ M.03 gal/inD^]th(in)Volume teaOAIS.9,55^.9:3B2.0[0]HAo-51.77DIH.O/It 95^^Pump Tank Liquid Level = inForce Main Diameter = InForce Main LengHi = ass^^mssJ^Force Main Void Volume = 3.3 C» galrcl Totial Dose Volume fTDVICondullleri^(■yptcaOf?,y pumpAppmvsd JclnlsnSiAptnayed 3 fl ontoSoEd Groundon^PUMP-OFF q- . _ELEVATION = Ift—* • * - 1■INSIDE BOTTOM - ^ELEVATION = ft■ (5X total latoFd vend volume < TDV <0^ de^gn flow)(force main diainliacic volume)t/llN. PUMP DISCHARGE RATE =_gpmVertical Head =gBj5^,^b^ft+ MIn. Supply Head =,B5_^^__ft+ FM FiicUon Loss = ft^ + FItHng Loss" =(mln. supply head x 0 J)ft■ TOTAL DYMAMIf^FAn= S'.S'O ftVolume =PUMP TANK:Manufiacturen.PccLPump ManufiacturenPump Model:Controls/Alarm ManufacturerControls/Alarm Model:Float switches contalnino mercury are prohlbHad,SEPTICTANKfSVTotal Volume = oalManufiacturer(s):Install aoproved effluent filter at the senfe fanlr ntrtia^Imrnqdiatelv unstream of the pump lank iniafRlter ManufacturerPIlerModel: GtX /O-*^ ^GOULDS PUMPSS'wwpuwrS'SPEQHCATIONSSubmersibleEffluent PumpPEAPPUCAT10W5Sped^dedgnedfortittfdbwtng user.• Mound Sysisms• Bftueid/Do^ Systemsn Uw Pressure Rpe Systems..T.&semeff0r8Wng• Heavy 0(%Sun^DewatsringPump-General:• Discharge; 1WNFT• Temperature; 104®FWQ^maximum, continuous whenfuOysiAmeiged.•SoBdshwdlt^Vi*maximum sphere.• Automatic motMsitKfude affoat switch.• Manual models available.• Pumping range; see .poformance chart or am.PB1 Pump:' Msdmum C3pa(%: 50 GPM• Maximum hc^: 25'TDHPE41 Pump:• Maximum capad^. 60 Gffd• Ma)dmumhead:29'TDHPE51 Pump:• Maidmum capacity: 70^• Ma)dmum head: 37'TDHMOTORGatoal:• Sngleirirase■GOHertz• 115 vote• ftdttn dend overload pto-tecdon with automaOcreset.■ OassBinsulaiiQa• (M-fflledde^• High stiBigdtcBtbon steelshaftPB1 Motor• 33HP.3000RPM• 12.0 Maidmum amps• Shaded prded^gnPE41 Motor:•.40HP.3400RPM•T^Manmumamps• PSCdesfgnPE51 Moton• .50 HP. 3400■ 93Maxirmimamps• PSCde»gnMETERS FEETI 40 rJ i■ "i Ti't" M0Dasis..re«.PE5i:l±b:xi:::.5^^: .iT-tT--1 rn'l-^'-rM•• i-r-pp >4: -t-i- • r tSs -f- I-;-T = •-.pLL..p^i-i-cli-J i !•rII±14$^i±-4-HT"Wl" -iR.i"tfrpf." X T t i-i j M \ t - liiLi-i. LLi .s..^10CAMOTye 2002 Goulds PumpsEffect NovcmlMr, 2002BP81M1- 0^FEATURES■ Cotnrsion resistantamstiucdoa■ Cast iron body.■ Thwmoplastic impdler andcover.■ Upper sleeve and lowerhe^ ch% bait bearing{DiBtiudSon.■ MotDr'speimanentlylidnkated for extendedsetrioeDfe.■ Powered for cnntinuausoperatiDn.■ AH ratings are withindievraridng BmHs ofthe motor.■ Quick ifiscDnnect powercord, 20'sandard length,heat^ duty 103 snWwMNEMA 5-tSP,-three prong.tISvoltgreunrfing plug.■ Com|dete unit b havy du^,portable and mmpad.■ Mechanhal sea) b aibon.ceramic, BUNA and sblnlesssteel.■ Stainless steel bstenes.AGENCTUSnNGSTestedto UL778 andCSA22210B StandardsByCmadin SlantedsAssodafionFBiMeCWGsrifePwiBbBDSOOl th^stnd.70 GPM BOGoiilis PumpsITT IndustFies