HomeMy WebLinkAbout032-540-31-5201-SAN-2020-129Induslry Services Division1400 E Washington AvcP.O. Box 7162Madison. W1 53707-7162OSr - //4C'ouniy)<iu)ij-crSanitary Pemiil Number (to be llilud in by Co.)Sanitary Permit ApplicationIn accordance wnb SPS .133.21(2), Wi\ Ailiii. Cixlc, siibinission of this limn to the appropriate governmental unitis required prior to obtaining a sanitary [lennil. Note: Application Conns for slate-ovmcd POW'TS arc submitted tothe Dep.irtnient ol'S.il'ety am! Prol'essumal Services. Personal mformation you provide may be usetl for secondarypurposes in accordance with tlie I'nvacy law, s. 15.1)411 Km). Slats.State Transaction NumberProjc-cl <\ildress (if dill'erem (li.in inailtng address)1. Application Inrormaliun - Please Print All InfortnatlonProperty Owner's Name . i / r' i I fPro|ierty Owner's Mailing AddrParcel #Oil - syc -31-S20/ess'RuiknxcrtCity, StatevWijAi^n. u;tZip CodeS37/Iil. Type of Building (check all (hiil apply)^ 1 or2 Fainily Dwelling - Number of UcxlroomsD Public/Conimcreial Describe Usen Stale Owned - Describe UsePhone Number(fi6&-Sl3~ 7S13Proivcrty l.ocnlionOSvri.ot ^Stxlion 5 ILot#,, (circle on^T HP N; RSubdivision NameBlock#CSM Number□ City ofD Village offfl>Town of.III. Type of Permit: (Check only one box on line A. Complete line B K npplicahle)A.D New SystemB'lteplaeeiiieni SystemD TrealmenfUolilinglank Replacement OnlyD Otllcr Modification to Existing System (explain)B.D Permit RenewalBefoie ExpirationD Penmt RevisionD Change of PlumberD Pennit Transfer to NewOwnerList Previous Permit Number and Date Issued7i-^n5rtIV. Type of POWTS Svslcni/ConiponcnC/Pcvicc: (Check all that applyB'Non-Pressuri/ed In-Ciround D Pressun/eil In-Oround D At-Onide D Mound > 24 in. of suitable soil D Mound < 24 in. of suitable soilD Holding l ank D Uiher Disi)ers.iK'mn|>oiiem (explain) D Pretrealmenl Device {explain)V. Dispersal/Treatment Area Information:Design Flow (gpd)3 60Design Soil Application Ratefgpdsf)e 7Dispersal Area Required (sf)Dispersal Area Proposed (sOST^OSystem ElevationVI. Tank InfoCapacity inOalluiisNew T.rnksFxisling I'liiiksTotal(iailons«ofUnitsMamil'actiirer0^av I•2 ^a ea. U<31M St/) ^5 g-B Su. OCmSeptic gr Holding Tanklocoteoo-KDosinj; ClwinbcrVII. Rcspoiislhility Statcnicnl- 1. the undersigned, nssiimc rcspnpsjhilil.v fpr insliillalion of llic POWTS siiowii on the allncliciJ plans.[Plumber's SJIumbgi's Name (Pmit)MP/MWW Numlier(olS-TTIBusiness Phone Niniibcr'7fS--n'fff~33srPlumber's Address (Slrecl. C ity, State, Zip Cotle)• CLiVkfVVlll. County/Department Use Onlyn Owner(iiveii Reason foi DenialPermit Fee$^00.Date IssuedIssuing Agent Signaluix;IX. Conditions of Approvai/Keasons for DisapprovalORIGINALNO flEFUNDS AFTERISSUE OF PERMIT.Mtnch ti> Cdinpltlv jiliias (iir ihv tysiein niul suliinir to tho County only on paper nut Icsv than 8 til i 1 ^ dehv'Hh tlw ISBD-6398{R. 08/14)■iV!: JUL 0 9 2020. ..SAWYER COUNTYZOWtNG ADMINISTRATION
INDEX SHEETS FOR POWTSPROJECT NAME:4n4z^pa4ri^ NO. 1/073OWNER: Cr<Xffl-€5 \\. V VVf\t^-£-44€ -R42.pf^.4riC.U- , JoADDRESS: HS& Ruil\rtUV€ liU^-Ctors'smPHONE: 008' Sti- 7S~f3PROJECT ADDRESS: MdujrLEGAL DESCRIPTION: S , T'f/jfJ, ^SCilTbu,m 0 ^ cOtA-fcrSdjUJ^-£.r" f t-O"^PARCEL NUMBER: OB2,-SHd-3i -S'2^/1. INDEX SHEET2. PLOT PLAN3. SEPTIC TANK CROSS-SECTION4. CELL LAYOUT & CROSS-SECTION5. SOIL EVALUATION6. SOIL TESTER PLOT PLAN7. SYSTEM ELEV. VERIFICATION FORM8. SEPTIC SYSTEM MANAGEMENT PLANPLUMBERS SIGNATUREDATE: '7/4/2^^0 POWTS COMPONENT MANUAL # jb^C^^'f
^S-hb L'
,bb ■€
,Lz'Ab
,Sh'8b '\'S]'l3f^-;)'"^'i'^001 ■*
/ ;T?jf sjvu^"
^(rzjbjL
ISi.SL^^d'Vfl
1^^?^ n
'V^y-' 7n*noifi\
oyr\ r*?5?>YVM"n^
a-wi—)nod rr ^0-^ -sjs; c>) p'9-z. +
0£-f,l '^1'*^
l'a-3-^^ci /'i-T
fvisc?7l r<GhJ-i£^
1 o-zs~}£-ohS--z'tO
ll Lfc5 1 pn '
: —v^vimo
3ZPTZC T.-Jiy.H'' Sctl.fOPVC INSP. PTDT 5 'I W7f; ipnv- r3'->- / \/I 11 *r"r . r.o'j/^ G?_-.D^ (OPT)Cujher\ inle.T 'fr\(U\\\c\s. Ir \oav-ie.d^ '•/'/-FINISKID GRADEI NLETAPPROVEDPIPE 3'OMTO SOLIDSOILSEPTIC p.TfiMK PIAh/UFACTURER:TANK SIZES; SEPTIC loOQ GAL.-APPROVED &<«f#EEEORt'flLTE^MFC. OKucnmodel S fT0^2r2.3" APPRa^BD BZDDIrtG UfLDER TANKSPECIFICATrOHSapprovedma^/holew/ Lccklcf.HIH.■OUTLETMOTES:
Cross Section of a two cell E2 Flow In-Ground Dispersal ComponentCell SeparaltcinFinai GradeGeotextile FabricmmmCeDesign Flow / Loading Rate n = Required dispersal area 9^9Required dispersal area ^ / 50 (EISA) = 9 (number of units)Geotextile fabric to meet Comm84.30f6)(ql (^3 ^ XGeotextile fabric to meet Comm 84.30(6)(g)Minimum of 12' of cover over top of cellTwo Observation/vent pipes to be provided per cellNot to scaleacL^Cell #1System Elevation:Final Grade:Cell #2System Elevation: 94'S^Final Grade; 99'^^
PAGE 4 OF 4In-ground Gravity Management PlanIMPORTANT:The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant torequirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 38l52 (2), Wise. Admin. Code, this system shallbe considered a human health hazard if not maintained in accordance with this approved management plan.Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintalner inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maximum Dispersal Area Operating Limits:Design Fiow = 300 gpd; BOD5 S 220 mgL"^ TSS <150 mgL"^ FOG S 30 mgL'^Inspection Checkiist iNSPECT EVERY 3 YEARSo type of useo age of systemo nuisance factors (i.e. odors, user complaints, etc.)o mechanical malfunction (f.e., pumps, valves, switches, floats, etc.)o material fatigue (/.e., leaks, breaks, corrosion, efc.)c 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, eto.)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 tankfs) 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 MR 113, Wise. Admin. Code.o Effluent filterfsl 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: Andry RasmUSSGn & SonS, Inc Phone: 715-798-3355Local government unit: Co- Phone:Local government unit address: _ZIP:Any 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.Continqencv 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.