HomeMy WebLinkAbout032-540-35-4116-SAN-2020-246•.s^rTVivj..(Oc • '-yPs -><,;, I. a .■/-Safety and Buildings Division201 W. Washington Ave., P.O. Box 7162Madison. Wl 53707-7162CoonI}'S^(jVerSaniuu>' Pcniiit Number (lo be filled in b}- Co.}tSanitary Permit Applicationto eceardance>viih SPS 383.21(2), Wis. <\din. Code, anbmission of UiU fomi in ihg njyrryriniK jmyrnnnTiiiil unitia required prior to obtaining atanltaie-pennil. Note; Appliealion ronns for itntc-otvnedPOWTSarenibmilled totlie DcportmenlofSaiinyandProfeasioRal Servia. Penoniil informuion jtmpimlde maybcaied forsecondsiyputpCBes inaceoidaneewilh tho Privacy Law.«. li.QJflVm). Slats.Slate TiansoOion NmnberI. .AnnllcfltlQn Ihformatton—Please Print All InfonnationIVqject .-\ddres9 (if cEiGTcrent than maiting addieia)CA.^.O€r&,.| O/^.PProperly Owner's Name'J^Kn L)Propcny Owner's Moiling .'IddicasHS'^(o £ C<zlic ^<2.cinfUl<uarcel ito3a s^/o zs-IVopcfty LocatioaCity. StatepKoefNTx AZIL Ty-pe of Buiiding (dieck ali tfiat appir)1 or 3 Family Dwellins - Number ofBedroomsZip CodeIbjbiic'Coznmcicial -- Deseribc Use,Stole Owned - Describe UsePhono NumberLot#Qo\1. Lot'X Section SS*,, (dicle cmelT "O N: R 3^ EiXSnbdHisioa NameBlock#CSMNuraberCitj'ofVillage of,ss/w- *1^7^Town oflILTypeofPcnnit: (Checkoidvonchq^^ifgncA. ConipletcUneB if applicable)Nciv Svslem^^^^padteiU Syst^^Treatmenl'Holding Tank Replacement OnlyOther Modificofion to Basting System (erpbin)B.Pcmiit RenewalBefore BrpirationPermit ReiisionChaage ofPlumbern^^y|icofP01\TgSygtcin/CQmnonwit/Dciiee; (Checkall thntapplvPenall Transfer to New'OwnerList IVeisous Pennit Number and Date Issued^on-Prossurizcd In-Groun3^ ftessurircd In-Ground .\t-Orade Monnd>24 m.ofsnhableaoll Mound<24 in.ofsnltablesollMolding fanl: dither Dispersal Component (otplain) Prclrcalmenl Device fexolain)v. Dispersal/Treatment .Area InformaBontDesign F1ow'(s>d)Design Sml .Xpplicattoa Rale(gpdst)» (aDispersal .Area Required (sf)7S0Dispersal .Area Pnpcoed (si)Systen Elst'atJOT\T. Tank InfoCapacity inCnilotuNot TanksEnisiii^ Tai^TotalGallons"OfLtnitsManufacturerii21 1to n.8 8£ □t5a£Scplrc or Holdii^ TankJL,oooDoims Chamber-2^CsgQ I /\*II. Responsibility Statement- Ltlteunderslgnttl. assume responslfallllr for Instnlbilton ofthe POWTSshmrn on the attnehed plans.Plumber's Name (Print)Plumb^SlSignauirckLMP.'MPRS NumberBusiness RionoNmsberPlumber's Add^s (Street, City, ftatt Zip Code) /\ a / ' rSO^'f'N /An/npSdc, ^ UjllI VIILCoCnO'/pepaKment Use OnlyI ^I.V. Conilitions of ^DAisappnnedOwner Gwxn Reason for DenialPermit Fee' Kco;ooDale IssuedIssuing Agent Signaturepprovol/Rensona for DlsappiwalJ^ii0NO REFUNDS AFTERISSUE OF PERMITAnoeh te eamplcts plau tor tb« syxtsoi and lobmll to tbe Comny eab on peiwr not Im than S It X1 iSBD-(>398(R.U/11)SEP 2 8 2020SAWYER COUNTYZONING ADMINISTRATION
PAGE 1 OF 5In-Ground Dosed-Gravity Planindex & Cover SheetComponent Manual Design References:Version 2.0, SBD-10705-P (N.01/01. R. 10/12)Pg 1 of 5 Index & Cover SheetPg 2 of 5 Plot PlanPg 3 of 5 Dispersal Area Cross-Section & Plan ViewPg 4 of 5 Pump Tank SpecificationsPg 5 of 5 Management PlanAttachments:Enclosures:Pump CurvePOWTS Application for ReviewSoil Evaluation Report & Site MapProject Name I DescriptionOwner Name(s): Phone: -Owner Address: B CtUf", PKoerv^n frZ Zip: _Project Address: IHdZ'hX fAjv'.uig^a lGovt. Lot: ME 1/4 of Sg 1/4. Section 2>g" . T Ho N-R E Dor W ElTownship: L[)\(\Ajsr County:Project Parcel ID #: vS"Vo 2iS V//6>Designer InformationDesigner Name: Phone:'?/S^ -3.Ue>Designer Address: Zip:_^2iS2^cio(\H'J3rr'sfSan Ur ^ //l/z*.E-mail:This space reserved for approval sLicense Number:Remarks:tamp.Signature:Date:Originalire required on i)DCh submitted copy.
CHECK BOX AS APPUCABLE.□ SOIL EVALUATIONSITE MAPPROJECT NAME:Penris La.Y^PROJECT ADDRESS:BM Symbol: BM Elevation: . _ FTBM Description: ToP «■» PlOXWellSynil>ol(ffappllcabla}: 0CHECK BOX AS APPUCABLEScale: 1" = 50"V/12.5'12 SYSTEM 2 OFPLOT PLANHS-QDESIGN FLOW:GPDAttach de^gn flow calculalions for commercial plans.Pipe Material / ASTM Standard (Tatries 384.^^384.30^)Sanitary Sewenifc;.Force Maln:_-PVCIncUcata north bydrowtnganarriNron tho opproprtts Em.IMPORTANT:Show ground elevation contours at suitable Intervals.1Hig£L'V-Oc».r\;uers<cl t^r.
IN-GROUND DOSED-GRAVITY DISPERSAL AREAUniform Elevation Trenches with EZ1203HP Bundles3-ft Trench (down-sizing credit)SOIL COVERTYPICAL TRENCHPLAN VIEW(No Scale)wGeotextHeCover —irinln. trenchdepth(^/plcal)• min. 12*(typkal)System Elevation =(typical)TYPICAL TRENCHCROSS SECTION VIEW(No Scale)Provide minimum 3 ftseparation between trenches.(Show location of inlet / outlet pipe connexion ot plan view.) 4" 0 Otaervaton pi» mail be fistalBd ,at junction between iHO uniB. xPerforated Lateral observation Pipe ^ ^— (typical) (typical) ^ ^ (typcal) ^r I \~7'a ^ ¥~~\(typical)OBSERVATION PIPE DETAIL(No Scale)Screw-Type or -Slip Cap (iipose)*-0 PVC PoaTop of pipe to larmrialaat or above fnisheri grade(4)1W-1(2*X6-SW8 ,igw apart /Ancnorlng Oavieai E=L_ jy ,crmH B= 7>S" ft \ H■A = 3.0 ft(typical)(typical)INSTALL PER TRENCH:"7 10-ft bundles (ffi 5f10-ft bundles @ 50 fP EISA/unit =5-ft bundles ® 25 ff EISA/unit =^ EZ1203H Bundle(typical)(mfd by Infiltrator Systems, Inc.)Install pursuant to manufacturer's Insliuctkxis.— Finlahed GieOe(muldied & seeded)Topsoil Cover(rrdn. 1 fool)- InfiltrationSurface= Proposed EISA per trench = ft^ Required Infiltration Area = ft^ Distribution Method:X ^ trenches = Proposed Total EISA = 7-5t) ft'
PAGE4 0F4In-ground Dosed-Gravity Management PlanIMPORTANT;The owner of this in-ground dosed-gravity system shali 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 Malntainer inaccordance with SPS 383.52 (3), Wise. Admin. Code.Maxinfium Dispersal Area Operating Limits:Design Flows and: BODs2 220mgL^ TSS^ISOmgL'^ FOG^SOmgL'^Inspection Checklist INSPECT EVERY 3 YEARSo type of useo age of systemo nuisance factors {I.e. odors, user complaints, efc.)o mechanical malfunction {i.e., pumps, valves, switches, floats, efc.)o material fatigue {i.e., leaks, breaks, corro^on, etc.)o solids volume In anaerobic treatment tank(s) and any distribution appurtenance(s) (I.e., distribution I drop boxes)o neglect or improper use {i.e., exceeding design capacities, prohibited activities, efc.)o extent of ponding in distribution cell prior to dosingo dosing irregularities - if applicable {i.e., pump re-cyding, 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 senredMaintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)o Septic and dose tankfsi 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 NR113, Wise. Admin. Code.o Effluent fliterfsi shall be inspected every 3 years and shall be deaned when necessary to remove anyaccumulated solids according to manufacturer's specifications. A servidng period wiil 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: Oort ol- ^8AS Phone: - 3lLocal government unit '^Dr\\r^ Phone:Local government unit address: /oUes /TlCt^a Sii. Ir^kUkftX 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 produd for chemical or physical restoration of the POWTS may be used unless approved by the department Inaccordance with SPS 384, Wise. Admin. Code.Contingency 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.Svstem AbandonmentIf use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code.
PAGE 4 OF 5GRAVITY-DOSEDSEPTIC / PUMP TANK SPECIFICATIONS(No Scale)4*0 VIMPORTANT:ent Pipe>10ftfiDniBuiliSng12* Min. or 2.0 ft aboveEstablished Flood Elevation(typical)AfqirovedVent CapElectrical must comply vrithSPS 316 and NEC 300Weatherproof—Junction BoxAnchor tank(s) as necessarypursuant to SPS 383.43(6)(g)^Finished GradeExtend manhole riser as necessary.Approved Locking Manholewith Warning Label Attached(typical)4* Min. or 2.0 ft above/— Established Flood Elevation'y (typical)CAPACITIES @ gal/InDepth (In)Volume (gal)A<59'SlS.oGB2.0[C]S/./0D(9.3ns.o*Pump Tank Liquid LevelForce Main DiameterForce Main Length =Force Main Void Volume =^^^^S^^gaiCondiittAirtghl SealQxikk Disconnact18* Min.(tyjwcal)nV OffApproved Joints withApproved Pipe 3 ft ontoSolid Ground(typical)PUMP-OFF QELEVATION = ftINSIDE BOTTOMELEVATION = ft3* Approved Bedding Material Beneath Tank[Clioal Dose Volume fTDVr -— (< 0.2X design flow + force main void volume)Vertical Lift =ftPUMP TANK:Volume = CsoTy galManufacturer:SEPTIC TANKfS):T otai Volume = ). ooO galManufactureifs):Pump Manufacturer C^ulIASControls/Alarm ManufacturerInstall approved effluent filter at the septic tank outletImmedlatelv uostream of the oumo tank Inlet.Filter ManufacturerControls/Alarm Model: / O /Float switches containino mercurv are orohibited.Filter Model: —Ff"
^GOULDS PUMPSSubmersibleEffluent PumpPEV-. '' '1MAPPUCATIQNSSpedaily designed forthefollowing uses:» Mourid Systems• Effluerd/Oo^g Systems" Low Pressure {^Systems..t.JBsentodrOraMng• Heavy Duty &iinpfDewateringSPEQHCATIONSPump-General:• Dischatge:1'/4'NPT• Temperature: 104°F(40'Omaximum, continuous whenfuj^siAmerged.n SoUstofldb^Vi*maximum spiim.• Automatic moddsindude afloat switdi.• Manual nxxidssvaflable.• Pumping range: see .pofomtance diait or curve.PB1 Pump:• Madmumcapad^SOGPM• Maximum head: 25' TDHPE41 Pump:• Maidinum opad^ 60 GPIfl• Madmumheadtlfl'TDHrest Pump:n Maximum capadty: 70 SMn Msdmum head: 37' TDKMOTORGensal:• Sngle(^rase-60HetU• 115 volts* BiA'inthemialcrffiloadpio-tetfanwBr automatic reset.* QassB Insulation.n OH-fllled design.* High stm^cnbon steelshaftPE31 Motor.n 33HP.3000RPM* 12.0 Mmdmum amps '•Shaded pole designPE41 Motor•.40HP.3400RPM•75Manmumamps•PSCdesignPESlMoton•30HP,3400RFM• SiMaidmumamps• PSCdesignn^ms FKTI 40rITm Mooes:«..mr.rer63?-^"4 R-FilH- - jH i'.-i..:^ti: ±tB: SE 3 i-nr for —HtE :rp-finn fif 'tit: nsdi-:- -i-U^ 4 hf-i- • • -r Hr - JiH- i!fai44ftttinliEhte ^ TfffflfiT fd:ridlf 33S # fMX -iMdl40:1:1 . > pr:■■^'rry- "; -147- -'-l-t-r 1 []" '[jj ^ 4±-Lstg fSx fH? f^i r ilii70 6PM 8010CAMOTYFEATURE■ Corrosion redstantconsbuction.■ Cast iron body.■ Thermopiastic impeller andcover.■ Upper sleeve and iovierh^du^bafl bearingconstnjdion.■ Motor is permanentlylubricated fw extendedservice life.■ Powered for continuousoperation.■ M ratings are whhin thewoii^ nndts ofthe motor.■ Quick disaxinect poweroMd.IO'sQRdardier^heavy du^ ICQ SnWw^N94A 5-15P,-three piotq,115 volt grounding |^g.■ Comfdete unh is Imvy duty,portable and ormpacL■ Mechanic^ seal Is carbon,ceramic. BUNA and staMesssteeL■ SreMess steel fastenefs.AGENCTUSnNGSTe5tEdtDlH.778andCSA222108StaodattlsBrCMBdbdStantedsAeodaStnntMoaseGBtfePiansbBOSOOr n^stmd.Gcdds Pumpse 2tHr2 CouTds PumpsEfhcOnNovvmber, 2002BPESIMtITT Inciustries