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HomeMy WebLinkAbout032-540-28-3406-SAN-2022-053 . � � " "' Industry Services Division County `� , �_ �1822 Madison Yards W'a} SBwye� - - - S� - Madison,WI 5370J Sanitary Pcrmit Number(to be filled in by Co) e� A f P.O.Box 7302 ,���,.�, - Madison,WI�3707 �3�� � �` Sanitary Permit Application State Transaction Number O � �In acwrdance with SPS 38321(2),Wis.Adm Code,submission ofthis form to the appropriate govemmental unit is reyuired prior to obtaining a sanitary permit Note Application forms for state-owned POWTS are submitted to Project Address(if different than mailing addre � the Department of Safety and Professional Services Personal information you provide may be used for secondary g50N Crieket Ln. Winter V V� purposes in accordance with the Privacy Law.s_ I S Oa(1)(m),Sta[s � I.Application Information-Please Print All Information Property Owner s Name Parcel# Mark Hanneman 032540283406 Property Owner�s Mailing Address Property Location 3210 80th St. South P��_ Ciry,State Zip Code Phone Number Wisconsin Rapids, WI 54494 715-579-3297 SE '�.,SW '�, se�t�o� 28 II.Type of Building(check all that apply) Lot# r 40 N R 05 E or4� �l or 2 Family Dwelling-Number ofBedrooms 2 45 Subdivision Name Block# ` �ublic/Commercial-Describe Use �City of �State Owned-Describe Use CSht Number illage of 8/72 #1609 ❑✓ TO1�'�t�Winter III.Type of POWTS Permit: (Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if a licable.) ��� �eplacement System �Other Moditication to Existing System(explain) �Additional Pretreatment Unit(explain) B� ❑Efoldina Tank Il�ltn-Ground �At-Grade �Mound Individual Site Desien Other Type(explain) ` IC.Y�conventional) C• ❑Renewal Before �Revision �Chanoe of Plumbcr �ransfer to Ne�<Owner �st Previous Permit Number and Date Issued Expiration Py� d3-��S� (��i�Y/�3 IV.DispersaVTreatment�rea and Tank Information: Design Flow�(gpd) Design Soil Application Rate(,pd/s� Dispersal Area Required(s� Dispersal Area Proposed(sf� System Elevation 300 0.5 600 600 95.12 Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units � � �o � ; New Tanks Fxisting Tanl:s � o � � � � � � a U v: �, v� i.=, U a. Septic or Holding Tank ��p� �Q�� 1 Wieser � � Dosing Chamber 6�� 600 1 WIeS@� �/ � � � V.Responsibilit)'Statement- I,the undersigned,assume responsib'' for inst lation of the POWTS shown on the attached plans. Plumber's Name fPrint) Plumber's � �,o ,_ MP/1�1PRS Number Business Phone Number Jason Kuettel �`�'�� 675751 715-798-3355 Plumber's Address(Street,City,State,Zip Code) PO Box 66 Cable, WI 54821 VI.C u ri/Department Use Only � I Permit Fee Date Issued Issuin,Aeent Si�nature A pro ed ❑Disapproved �( I , - ', �J ,- � ❑O�cner Gi�zn Reason for Denial � I QD•JD `� ZV Z� � .I�L.Lt�,C,C.t., Conditions of Approval/Reasons for Disapproval �r � �r r'-^. � 6!`,1 r'�Ln��C } l 1 � ' ',I v r �, I,P � ,���!I�::;��C ,.►1, v..�_-. � F.- .J �` i Cs� �� _ �6� 1 � E _ ,.. �� I N� 4�:� �=?� �� � J �_�:; ��� 1 � �� � .�tmch to complete plans for the system and submi[to the County only on paper not less than$J!2 x.t t��inthes in-size� sBD-639s�x.o2i2z> NO ACFUNDS AFTER ISSUE OF PERMR � PAGE 1 OF 5 In-Ground Dosed-Gravity Plan � Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10705-P (N.01/01, R. 10/12) . . . Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross-Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Hanneman - 2 Bed Lift Owner Name(s): Mark Hanneman Phone: 715 _579 _3297 Owner Address: 3210 80th St South Wisconsin Rapids, WI Zip; 54494 Project Address: 7950N Cricket Ln. Winter, WI Govt. Lot: SE _1/4 of SW 1/4, Section 28 , T 40 N-R05 E ❑or W ✓❑ Township: Winter County: Sawyer Project Parcel ID #: 032540283406 Designer Information Designer Name: Jason Kuettel Phone: 715 _798 _3355 Designer Address: PO Box 66 Cable, WI Zip; 54821 E-mail: Jeff@andryras.com License Number: 675751 Remarks: Signature: , Date: � ,� z��-R Origi I s nature required on each submitted copy. Pa,� �e�- �s � u�' � ��i���t c�.il . 3ato ��h s�, SDu� � . �t �,75 � 5 , - ,� 1,�,��,ZZ �i s (��PicQS, �(�T s`r��l y SE S4i S'a£� T��D�ly �'S� - # �lS Cr�c.Kef �n C ��iSo�N �� )�-���/l'� f3 � 1�6,10 oa� ��, � a ��.aY d C�`�� �' � <->2 � 7�,S� ° �<< �`� o �\ � �� o �s`, o� � (,� (� a 2•�ScN`1JR.. • Z �S�J '3n� - ,��.� _ �� - n..A-,,v ,f C..c�� �'� q�v � '� �-��rc.z �� y�dC H 4� _�y�^'` W�Vbt-.�Go�: n �` �ai��ti.'c� r-.�� � O` SCc�le�l �-�10� Q�rn, (oP o� (.Je.l� ��5. l,�S� �-f-� /�/, 4�'�' Sy S�� �le�<<z�tv� �� �ts l� � �� �� IZ eX��r��Q, P��- 3 IN-GROUND DOSED-GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3-ft Trench (down-sizing credit) Imin.12" Geotextile I (typical) TYPICAL TRENCH Cover SOIL COVER CROSS SECTION VIEW �z• , �� (No Scale) OBSERVATION PIPE DETAIL min.trench e • depth L '��' • (No Scale) �tYPical) —r — —.' :.:,'•'`• Screw-Type or • . / 'W• Finished Grada Slip Cap(loose) W ''�' • (mulched 8 seeded) • n..� .., . 95.12 �• • 4"0 PVC Pipe �.:. Topsail Cover S stem Elevation= ft. • . •�;. . � � y ' Provide minimum 3 ft Top oi pipe to terminate ,�:�• min.1 foot �ryPICB�� at or above finished grade . separation between trenches. (4)1/4"-1/�"X 6"Sbls @ 90 apart TYP I CAL TRENCH (Show location of inlet/outlet pipe connection on plan view.) Anchoring Device Infiltration Surface PLAN VIEW (No Scale) 4��� Observation pipe shall be installed at jundion between two unils. 1 Q ft Perforated Lateral Observation Pipe (typical) (typi�al) (typica�) -- - -- -- �f--- - - - - - - - -- - --- -- - - �--- - - -- - � � ______ _______ _-___ __ ___ =_____= ________ � A= 3.0 ft D �---- - -- - - ----- -��-------- - - - - - -- - --- - J �tYPical) UJ B = so ft �; m (typical) W INSTALL PER TRENCH: EZ1203H Bundle � (typical) � 6 10-ft bundles @ 50 fi� EISA/unit= 300 ftz (mfd by Infiltrator Systems, Inc.) � Install pursuant to manufacturers instructions. + 5-ft bundles @ 25 fl� EISA/unit= ftZ = Proposed EISA per trench = 300 ftZ Required Infiltration Area= 600 ftz Distribution Method: x 2 trenches = Proposed Total EISA= 600 ftz branched manifold RESET PAGE40F5 GRA�/ITY-DOSED SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 4"0 Venl Pipe >10 ft from Building Electrical must comply with 12"Min.or 2.0 ft above SPS 316 and NEC 300 Established Flood Elevation Exlend manhole riser as necessary. (typical) �Neatherproof Approved Junction Box Vent Cap Approved Locking Manhole IMPORTANT: I with Waming Label Attached � (typical) Anchor tank(s)as necessary �—Conduit pursuant to SPS 383.43(8)(g) a��Min.or 2.0 ft above Established Flood Elevation (typical) �Airtight Seal ' Finished Grade � '- Quick Disconnecl a 18"Min. CAPACITIES @ ���� gal/in `: a . < (typical) a. � Depth (in) Volume (gal) A � �� 3�g� ` * f I Weep �Approved Joints with � I Hole Approved Pipe 3 ft onto B 2,0 � A Solid Ground (typical) [C] 3�O �o.�-'8 � � _Alarm D � �� •�� B �—On f ��� PUMP-OFF c Pump ELEVATION = l o ft *Pump Tank Liquid Level = �� in ; �—off ° � ° INSIDE BOTTOM Force Main Diameter = � in Concrete C�, I ft � B'°°k ELEVATION = � 4 6' ♦ . Force Main Length = �� ft 3"Approved Bedding Material Beneath Tank Force Main Void Volume = � ( � gal [C] Total Dose Volume TDV = Sg• K � gal/dose (<0.2X design flow+force main void volume) Vertical Lift = , ` �� ft PUMP TANK: SEPTIC TANK(S): Volume = ��� gal Total Volume = ���� gai Manufacturer: �"s� �"S�r Manufacturer(s): �'`'��"S�_ Pump Manufacturer: (,�A�-.p,�..� Install approved effluent filter at the septic tank outlet Pump Model: Cp� (See attached pump curve.) immediately upstream of the pump tank inlet. Controls/Alarm Manufacturer: ,S�" 12�0�.,�,�J Filter Manufacturer: �re.�c� Controls/Alarm Model: }-{�-J Ld � FilterModel: ��1 —0�� � Float switches containing mercury are prohibited. PAG E�-9�� In-ground Dosed-Gravity Management Plan s�`�� IMPORTANT: The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52(2),Wisc. Admin. Code, this system shall be 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 Maintainer in accordance with SPS 383.52 (3),Wisc. Admin. Code. Maximum Dispersal Area Operatinq Limits: Design Flow= 300 gpd; BODS<_ 220 mgL''; TSS <_ 150 mgL"'; FOG <_30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors(i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue(i.e., leaks, breaks, corrosion, etc.) o 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 dosing o 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, 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 served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s)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)or as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code. o Effluent filter(s)shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Afldl'�/ RaSfT1USS@11 8c SOI1S, �t1C Phone: 715-798-3355 Local government unit: SaWyet' COUCIty ZOflltlg Phone: 715-634-8288 �oca� government unit address: 10610 Main St. #49 Haywat'd, WI Z1P: 54843 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1),Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384,Wisc. Admin. Code. Continqency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. Svstem Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. fiam ion � 1/3-1/2 HP " - �o' � �--- —�— ` ---� —� EFFLU ENT/SUM P �ium pEvery pump tested in water!o ensure pump , meets peformance curve. '' � ,,.....-- w.. �,f' � . . 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