HomeMy WebLinkAbout032-539-01-4304-SAN-2022-092 �
_��•-�" "'� Industry Services Division Ca�tY
= 4822 Madison Yards Way �Ct [i f �y� �
- ,,=P - Madison,WI 53705 Sanitary Permit Number(to be filled in by Co.)
: P.O.Box 7162 �
__ Madison,WI 53707-7162 �'l� C� �� � �
State Transaction Number
Sanitary Permit Application �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis form to the appropriate govemmental unit ��-r��- o�t aaoo�o�-�
is required prior to obtaining a sanitary permit.Note:Application forms for state-0wned POWTS aze submitted to Project Address(if different than mailing address. �
the Department of Safery and Professional Services.Personal information you provide may bc used for secondary
purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. 2 —7
1.Application[nforroallon-Please Print All Infor aao S�J� - � S � ��j' (�
Property Owner's Name �r (�w Parcel#
S�e � ����ls��� �� a�, 03�,-5.3� -c� t -L! �a
Property Owner's Mailing Address � � ��� �� � PropeOrty�Loca�Yion�P
j �4�
� Ci
City,State /7R�/�yL � Zip Code Phone Number C `
Gl `,W y., .�t %<, Section -1-
l`�oV�c.� i �� S�L S ?ls-5��7- 00"3 t
II.Type of Building(check all that apply) � Lot# T N R � E o w
�I or 2 Family Dwelling-Number ofBedrooms � Subdivision Name
Block#
�ublic/Commercial-Describe Use �-
❑City of
aState Owned-Describe Use CSM Number � illage of
�Town of � ���✓�
IIL 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.
A' ew S stem e lacement S stem er Modification to Existin S stem ex lain Addirional Pretreatment Unit ex lain
� Y P Y � 8 Y � P ) ❑ � P )
B' ❑tiolding Tank ❑In-Ground �AAt-Grade �Mound [ndividual Site Design Other Type(explain)
(conventional)
C• ❑Renewal Before �Revision ❑Change of Plumber �['ransfer to New Owner �st Previous Pcrnvt Number d Datc Issucd
Expiration �H� � p���•
IV.DispersaVTreatment Area and Tank Informallon:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Reyuired(s� Dispersal Area Proposed(sfl System Elevation
,a ,jUC� 3vt7 /�-U�lv;�
Capacity in Total #of Manufacturer
Tank(nformation Gallons Gallons Units � � o ',d, �
-lsv/SC�I New Tanks Facisting Tanks � o � � y p � �
� a U �n v, v� w C7 w
�,�h�
Septic or Holding Tank
?� 7S� 5�4w' :L �'-��-E
Dosing Chambcr 'I, �r �„
X W �-�h-4w' �'C �c.`3� �
V.Responsibility Statement-1,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans.
Ptumber's Name(Print) Plumb 's Signature MP/MPRS Number Business Phone Number
cr4� ���. � � �� a����u ��sa�� -a�-1a
Plumber's Address(Street,City,Statc,Zip Code)
�
S G�S!- N o � �� � i r��r .� ��`l�`Z(o
VI.Co n /Department Use Only
�A �ov ❑Disapproved Permit Fee Date[ssued Issuing Agent Signature ,
O Owner Given Reason for Denial $ l O"` � � � �I `�'`� �lti��'��-�'()✓�✓'��
on iti ns of ApprovaUReasons for Disapproval �.., � _ �,�1,.---� \
3 �� --• � ,
F � -'/y ��/\�- � �J .S 1 '� t' /' �
� � i � L � ! t
� 4 �
W i� � ,___ ! '��� � �/
� 1 .9 �.
C� �-o� � � � �__,� A�� � Z �o�� ;
t ______�
':,,�.�,1,f,r,-S, r,�s!,�_;y.
, ;, -�
L.l���ilt�U hL%ili��tkJ`i?r�����
Attach to complete plans for the system and submk to the County only oo paper not less than 8 1/2 x 11 inches in size
SBD-6398(R.03/21) i�C�REFUNDS AFTER
ISSUE OF PERMIT
�.��'`�`'`�f�� DIVISION OF INDUSTRY SERVICES
-` "� 2331 SAN LUIS PL
;;l� D �; GREEN BAY WI 54304-5211
; S Contact Through Relay
\� P S http://dsps.wi.gov/programs/industry-services
't� � www.wisconsin.gov
�. �_-
������ �..
�����`` Tony Evers-Governor
Dawn Crim-Secretary
April 11,2022
i:unditionall y
CONDITIONAL APPROVAL APPROVED
i Y AND PROFESSIONAL
PLAN APPROVAL EXPIRES: 2024-04-11 r>ERvices
Plan Review: PWTS-042200608-C �>F�rv^ �:;T�=��>�_�vicFs
CRAIG S THOMPSON
5089N N Thompson Rd
Winter WI 54896
S�E, .._..�<!-2ESP:iNC`r _.
SITE:
Steve Julson Mound
5030W State Hwy 70
Town of WINTER
Sawyer County
Total Amount: $250.00
FOR:
Description: Two Bedroom Mound system\Sloped Site
Mound Component Manual—Ver.2.0,SBD-10691-P, (N.01/01, R 10/12), Pressure Distribution
Component Manual—Ver. 2.0, SBD-10706-p(N.01/01, R 10/12), 300 GPD, 22 inches to limiting factor
from original grade, Maintenance required, Effluent filter
The submittal descxibed above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED.
This system is to be constructed and located in acoordance with the endosed a�roved plans and with
any component manual(s)referenced above.The owner, as defined in chapter 101.01(10),Wisconsin
Statutes, is responsible for compliance with all code requirements.
No person may engage in or woric at plumbing in the state unle.ss licensed to do so by the Department
per s.145.06, stats.
The following conditions shall be met during construction or instatfation and pric�r to occupancy or use:
Reminders
. A sanitary permit must be obtained from the county where this project is located in accordance with
the requirements of Sec. 145.19,�s. Stats.
• Prior to construction of the dispersal area,check the masture content of the sal to a depth of 8
inches. Proper soit moisture content can be determined by rotling a soil sample between the hands. If
it rolls into a 1/4 ir�h wine,the site is too wex to prepare. ff it crumb�s,site�eparation can proceed.
If the site is too wet to prepare,do not proceed until it dries.
• Inspection of the private sewage s�stem�siailatian is required.ArrangemenLs for ir�n shall be
made with the designated cour►ty official in accondance with the provisions af Sec.145.20(2)(d),�s.
Stats.
• A state approved effluent filter is required.Maintenance information mu,st be given to the owner of the
tank explaining that periodic cleaning of the filter is required.
Owner Responsibilities
• The current owner,and each subsequent owner,shall receive a copy of this letter. Owners shall also
receive a copy of the appropriate operation and maintenance manual(s)and be responsible for
ensuring that POWTS is operated and maintained in accordance with this chapter and the approved
management plan under s. SPS 383.54(1).
• In the event this soil absorptron system or any of its component parts malfunctions so as to create a
health hazard,the property owner must follow the contingency plan as described in the approved
plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the
component{s)utilized in the POWTS.
A copv of the ao�roved olans,s�ecifications and this letter shall be on-site durinq construction and ooen
to insoection bv authorized represerrtatives of the Deoartrnent,which mav indude tocal insoectors.
In granting this approval the Division of Industry Services reserves tt►e right to require c�anges or
additions should conditions arise making them nece.ssary for c�de campliance.As per state stats
101.12(2),nothing in this r�;v�v shaH�elieve tt�e d�ssigner of the responsibility for designing a safe
building,structure,or component.
Inquiries conceming this correspondence rr�y be made to me at the tielephone number tis6ed below,or at
the address on this letterhead.
The above left ad�e.ssee shaN�movide a copy of this letter and the POWTS management plan to the
owner and any others who are responsible for the installation,operation or maintenance of the POWTS.
Sincerely,
1Ca�-e:� l'��'�ee
POWTS Plan Reviewer—Wast�vater Specialist
Department of Safety&Professional Services� Division of Industry Services
emaiL Katie.PetzelLc�vvisconsir�.pe�
Cell: 608-574-1189
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Project Name Hwy 70 East
Owner's Name: Steve Julson
Owner's Address: W 7580 Langdell Rd
Mondovi Wi 54755
Legal Description: Prt SWSE S-1 T-39-N R-5-W
Township: Winter
Counry: Sawyer
Subdivision Name.
lot Number: Block Number:
Parcel I.D. Number: 032 539 01 4302
Plan Transaction No.:
Page 1 Index a�d title
co„d;�;o,,,,�Y Page 2 Data entry
APPROVED Page 3 Mound drawings
DEPT.OF SAFETV AND PROFESSIONIpage 4 Lateral and dose tank
SERVICES
DiVISION OF I STRY S[RVIC.ES Page�J System maintenance specifications
='age 6 Management and contirgency plan
?age 7 Pump curve and speafications
s�., ,�u�s�:•. : ?age 8 Plot Plan _
Page 9 So�l Evaluation Report _
Designer: Craig Thompson L�cense Number: 220810
Date_ 04l05/ 2 Phone Number: 715-266-2842
r
Signature: ;�'�-L �`���`�/�
,T "T
Qesig�ed Pursuant to the
Mound Component Manual for POWTS Verswn 2.0 SBD-10691-P(N.01/01.R. 10/12),and both
SSWMP Publication 9.6 Design of Pressure Distributio�Networks for ST-SAS(0181)and
Pressure DrstnbuUon Component Manual Ver.2.0 SBD-10706-P(N.01/0�,R. 10/12)
Version 7.0(R. 11/12) Page 1 of 9
Mound and Pressure Distribution Component Design
�JE'S;�, irl ,. . _� -��..
Site Information
(R or ; R Residential or Commercial Design Note: Sand fill(D)calculations assume a
200.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for
1.50 Peaking Factor(e.g. 1.5= 150%) fecal coliform of<=36 inches.
300.00 Design Flow(gpd)
3.00 Site Slope(%)
99.45 Contour Line Elevation (ft)
22.00 Depth to Limiting Factor(in)
0.60 In-situ Soil Application Rate(gpd/ftZ)
Distribution Cell Information
50.00 Dispersal Cell Length Along Contour(ft) = 6.00 Cell Width (ft)
� 1.00 Dispersal Cell Design Loading Rate(gpd/ft)
1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network? ._ .
E Center or End Manifold
3.00 Lateral Spacing (ft) If N above, enter the elevation (ft)
2 Number of Laterals of the highest point.
0.156 Orifice Diameter(in)
2.50 ,�_:�=teJ Orifice Spacing (ft) = 7.50 ft2/orifice
1.50 Forcemain Diameter(in)
100.00 Forcemain Length (ft) Does the forcemain drain back? Y
90.00 Pump Tank Elevation (ft) =
4.55 System Head (ft)x 1.3 9.18 Forcemain Drainback (gal)
10.37 Vertical Lift(ft) 30.87 5x Void Volume (gal)
4.26 Friction Loss (ft) 40.05 Minimum Dose Volume (gal)
In-line Filter Loss (ft) 21.54 System Demand (gpm)
19.17 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. o tions choice in. dia. o tions choice
0.75 1.25 x x
1.00 1.50
1.25 x x 2.00 �
1.50 x 3.00
2.00 x
3.00 x i
Gallons/Inch Calculator rc-;.,'ior,a��
Treatment Tank Information Total Tank Capacity(gal)
750.00 Septic Tank Capacity(gal) Total Working Liquid Depth (in)
Skaw Pre Cast Manufacturer u gal/in (enter result in cell 649)
Dose Tank Information Effluent Filter Information
500.00 Dose Tank Capacity(gal) Best Filter Manufacturer
14.23 Dose Tank Volume (gal/in) GF 10-8 Filter Model Number
Skaw Pre Cast Manufacturer
Project: Hwy 70 East Page 2 of 9
Mound Plan and Cross Section Views
?
1/10 B � J
�� Observation Pipe _ I
K �
O ❑5 A
W .� � —
• g •
� 2
� �
L —�
Mound Component Dimensions
A 6.00 ft E 16.16 in H 1.00 ft K 9.08 ft
B 50.00 ft F 9.25 in z 8.63 ft L 68.17 ft
D 14.00 in G 0.50 ft J 6.71 ft W 21.34 ft
300.00 (ft) Dispersal Cell Area 731.46 (ft) Basal Area Available
6.00 (gpd/ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 102.39 (ft) —i —
... �. ..: ,... � I H
F Dispersa��ce�� — 101.12 (ft) Lateral
100.62 (ft)—► — Invert
Dispersal Cell �
Elevation : � 0
. � , l
o -��. '� o
99.45 (ft) Contour Elevation
3.0 % Site Slope
Geotextile Fabric Cover
Shading Key � fl. �- Dispersal Cell See lateral details on
10 _ Topsoil Cap o � 1.5 ft Page 4 for number,size,
Q2 0 Subsoil Cap N o � Q /'''�(� � and spacing of laterals.
� 0 ASTM C33 Sand `� `° � / — Laterals are equally
� 0 Tilled Layer � y 0.5 ft Typical Lateral F spaced from the
distribution cell's
Q � Ag gre gate � o � � c e n t e r l i n e i n t h e
�---- A --♦ distribution cell(AxB).
Project: Hv►ry 70 East P,age 3 of 9
End Connection Lateral Layout Diagram
Latera s centered over the & imension �=Turn-up vN'bali valve or cleanoutpiug
p .�
All laterais are iCenticai �E-y��I Holes driiled on the bottom oi the lateral
equally spaced S
�
Force main connection via tee or cross to manifold at anu Doint.
Laterals&fvrcemain Sch 40 PVC per SPS Table 384.30-b
Number of Laterals 2 Orifice Diameter 0.156 in
Lateral Diameter 1.25 in Orifice Spacing (X) 2.55 ft
Lateral Length (P) 48.45 ft Orifices per Lateral 20
Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice
Lateral Flow Rate 10.77 gpm Manifold Length 3.00 ft
System Flow Rate 21.54 gpm Manifold Diameter 1.25 in
Total Dynamic Head 19.17 ft Forcemain Velocity 3.91 ft/sec
Dose Tank Information Locking cover with warning
label and locking device and
� sealed watertight
1�
Electrical as per NEC 300 and —►
SPS 316.300 WAC �4 in.min.
Disconnect
�
Tank component is properly vented �— Alternate outlet
location
F'orcemain diameter
Skaw Pre Cast Manufacturer �_ � 1.5 in.
Capaci 500.00 Gallons
Volume 14.23 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B s+phon device
A 21.32 303.42
B 2.00 28.46 C �IPump off elevation(ft)
C 2.81 40.05 � 90.75
D 9.00 128.07 p
Total 35.14 500.00
�Dose tank elevation(ft)
3" Bedding un er tank. 90.00
Alarm Manuafacturer SJS Rombus Note: Switches
Alarm Model Number 101 containing mercury
�_ may not be used in
Pump Manufacturer Goulds this system.
Pump Model Number PE 41 ��—
Pump Must Deliver 21.54 gpm at 19.17 ft TDH
Project: Hwy 70 East Page 4 of 9
Mound Svstem Maintenance and Operation Specifications
Service Provider's Name Don Thompson & Sons Exc LLC Phone 715-266-2842
POWTS Regulator's Name Sawyer County Zoning Phone 715-634-8288
System Flow and Load Parameters
Design Flow- Peak 300 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow-Average 200 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 750 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 300 ft2 Maximum FO�G 30 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Frequencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Filter Should ins ect and clean at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test monthl
Pressure System Laterals should be flushed and pressure tested eve 3 ears
Mound Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Tabte SPS 384.30-1, trave a watertight cap,
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis.Adm. Code.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn-up Detail
Finished ••........••.. ...............
Grade v1
6-8" Diameter Lawn - Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
~ 45nDe eeeBe dsrSame
Diame�er as Lateral
Project: Hwy 70 East Page 5 of 9
Mound System Management Plan
Pursuant to SPS 383.54,Wis.Adm.Code
General
This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with its'component
manuals[SBD-10691-P(N.01/01,R. 10/12),SSWMP Publication 9.6(01/81),and Pressure Distribution Component Manual Ver.2.0 SBD-
10706-P(N.01/01, R. 10/12)j and local or state rules pertaining to system maintenance and maintenance reporting.
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank abandonment shail be in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings
used for service and assessment shail be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or
subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking
device to prevent accidental or unauthorized entry into a tank or component.
Seotic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s.281.a8,Stats. The contents of the septic
tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be
assessed at least once every 3 years by inspection.
The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the
filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous
alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a trienniaf assessment,maintenance personnel shall advise the owner of
when the next service needs to be perfortned to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank perFormance is generally not required. However, if such products
are used they shall be approved for septic tank use by the Department of Commerce.
Pump Tank
The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps sha�l be tested to verify proper
operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution Svstem
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be
seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for
vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surFace within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations(Oc:tober-February)dictate that the
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS,and 30 mg/L.FOG for septic tank efFluent or 30
mg/L BODS,30 mg/L TSS,10 mg/L FOG,and 10°cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommended that each lateral be
flushed of accumulated solids at least once every 18 months. When a pressure test is perFormed it should be compared to the initial test
when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution
within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,and any
levels above 6 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring.
Contins�encv Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or
replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media,and related piping,and reptacing said components as deemed necessary to bring the system into proper operating condition.
See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Pretreatment Units
The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection
units are attached as separate documents and are considered part of the overall management plan for this system.
Project: Page 6 of 9
��GOULDS PUMPS Submersible
. Effluent Pump �
' i �
� � E
P
�r w,�P
a.�
SPEqFiCAT10N5 MOTOR FEATURES
Pump—General: General: ■Corros'wn resistaM
• Discharge:l'/�°NFT • �ngte phase mm�ruction.
• Temperature:104°F(40°q • 60 Nettz - ■Cast iron body.
maximum,mntinuous when • 11 S volts ■Thermoplastic impeller and
iu subme ed. • B�-in tt�al overload{�o- cover.
• Sot�ds handli�:'/�" ���� ■Upper sleeve and lower
. ma�omum sphere. • Ciass B insuladon. � heavy duty bail bearing
• Auibnmatic models indude a • Oil-filled design. mnstructia�.
APPLICATlONS fl���, • High stre�th arbon steef ■Motor is permane�lyr
Sped�ty designed for the • �nuai models avaifable. st►aft. lubricated for eutended
following uses: • Pumping range:see PE31 Motor. servite life.
� Mound Systerru P�ormance cfiart or ame. • .33 HP,300D RPM ■Prnn►ered for mntinuous
• EffluerrVDosing Systems PQ� �mP� • 12.0 Maximum amps = operadon.
• low Pressure�pe Systems • �mum capadty:SO GPM • �aded po{e design ■All ratings are within the
..__'.Basemerrt Drairting • �mum head:25`TDH PE41 Motor: .�^t0�°�9 umits of the motur.
• .40 NP�3400 RPM Quidc d"�nect p�wer
• Heavy Quty Sump/ PE41 Pump: cord,20'�tandard fengd�,
Dewatering � • Ma�dmum capadry:fi0 GPM • 7.5 Maximum amps heavy duty 16/3 SJTW witfi
• Maximum head:29'TDH • �design � NENU15-15P.-three prong,
PE51 Pump: PE51 Motor. 115 voR grounding plug.
' • Maximum capaaty:70 GPM • .50 HP,3400 RPM ■Complete unit is heavy duty, .
• Maximum head:37'TDH • 9•5 Maximum amps portable and compact.
• PSC design ■Mechanical seal is carbon,
M�� ��T cerami�,BUNA and stainless
`a : :_,� _ .;._{...;_;- •.f.-:...:..-:- -`- �_�--_ - n�ou�:��,rea�.r�, steel.
-PES�_ ..;'. : _;._ :,�:;
_ .,'_ .;: - ---.•,- '�` t - _��.�..co..so � a Sbin{ess steel fasteners.
35 ' . ; -:..;. ; , ; .�._.._. _1
_.y_...ri...:-- _. : ,�,_._.. .....a-............I—I �^>•c- �-- j
�� ,�_-i. _ ..t._,. .._3..:.. =. _ :�. _ i �
_ �:�_','"':_ '� 2 C'iPNI T'_'_"" '�'" � ACENC41.15't'INGS
r 30 __;_F_ ..'.-i-�...°•---� :--;--•�- i. 1 Ff _ ..- ,.i . -� .
— : --�...�z_.i- --i..3`_��� •...5- • -�•- - �"'e"1 '.`:�. -
� ^+-- --�-- --+---' -=-�-- -s•-� •--+--:''_ - - ._�...1---?�z. � S�
� � ' "�'_ _:---5'" 'y...� ' ' •'`-:..F : ._. i 1 0
ZS , � � k-�—_�'�
v ---,--+— - - i - T_�- - _ Vi•� j . j C U$
..;._.. .,.. . . :-
. . . .
� --°- _;.��i�-- --- - - :;..�_ - � - - - -`� Tesbed to UL 778 and
z Zo _-.,.-, -,. � .r.;__ ;._~.; .;._�._ _.{. _ _ : - j CSA22.2t08Statulards
o =:.�.._..M ..;.::.:�.i— ----i-- ----�__-�..'•._ •`•-`•--:'_ - - -': _�:• ;.:
� -�-•'•'-- _ _ _ . _� By Ca�an S�ds Asao�a�on
j_�L�' '�'.�j-..:—l— '...�-.:..� _.(""" '•'..�—' 't-":
� �S �s ♦ _ _ T�� �!l�.�9
O `� - ' ^~r- -' - - -?•- - - - {
� .? �-i. _�._i.-- ^ --z•- -- :..: ' - --_ i t
..-i�-e-- ��-i' - •ir- '-�- - -��•_c• '- !. •-i �70l�SPWIIRS�S����.
. . _
.... .;
. .
...: .. . �
�Q � • � :~ ' �- �' . .
�.-
.
' ' s : ' .
. •
:.,..;._:.. .'-i'-"'.._•.. .i - .
..
. _
..
_ : ,
. .
. , �
. . ......
, . . , . . . , .
_ .
. . . - . . . .�
.
..�_r.�..�- ";-..�..': -: _.. _ ;.; .�._� _ . .
. . • . . • . . .
. . . . � . , .
.
:
._r..,_.__. . ....'_-_" '.. .._' "y' •=.,; .
_ . .
;... .
.
.
.
. •
- • -
... .. -
-
.'
t , � � i
. . • • ' �
• . . . .
_i....�__-. .. ._.-%.�- - -- -
.
.
. . .. _i.
5 • • • . . . . � .-' _ —
•--:--
. . . .
: :.=
. _ . • . • . . . . : :
. '-
. . • . • . - -
.:..
.
.
. :
. -
.._s--�--�•- -----+---+--.�. •r.__._ . . : � - - -- - 'a
,.. _ _
- � �.--
• . . . . . . - --�- - :
:
-�...••;--_• ' - -�- - -• � - � �
• ..�-".�'�j�.�_ .�..rt ..g A _ � ' '
. .
• . . • . • . . . • . _ _
. •
�_ .
...�...�._.�
...�
._.C-.7 < T" • i ' +� _ - - __ _ '
� • :
.�.....'
. ,
_.� .�� e r.....-i. • �
• �.�._-.__. ' •
. • •
. . . . . . . • • . _ .
. . . ..
.:
......_i..��..w. ��...+�..�..:_. .'..."`�.t. .... .1...: - �{ -
~...�..i..-f-._:.. . ,5 _
� �U 10 2 3U •qp• 'S0----L`-60-:.;-�:�U'6PM 80
o s �o � �s �m Goulds Pumps
CAPACRY
@ 2002 Goulda Pumps � ,.t
EffectiveNovember,2002 ��� � (�� I� �iluUStFIL•'$
BPE3t/41
,� •
— -----------__�._�.�f ��.�il _._--- - -
�� 5i,��;r
�-1 T 3`1-�� k-s�-w
19.34 acres per Sawyer Counry GIS
�
�^,J
�
O
--�1
�
� i
' I.A! J
�J
J h i
� 1�(-
or ,`� y. ��j,; f
'.,nv y R��10 ( �
�� , '
I �
�� �' '��r .
.�r3.-�
��._ i
�,� -r fter i
3, �
I �
I.S�S`M 4G
( �__��,.,�
I E'a�
� �
,G 1 j
1 i
::r"�� , 1'=t!G
w �� �
-`>1, t�li�;� 7�`�,
t�rr}= �.�,r, ,?��/-� %n n����F, S:.le � *' �.,�.- 's�ie a� 2 y� �IS /a �
�. /S"
All piping materials,firiings,
and'oints must com I with
SPS 384.30-84.40
standards. ~
----- -------- — ►�`. e��_ u�' �__—___._
�
Wisconsin Department of Safety and Professional Services Page� of�
Division of industry Services
SOlL EVALUATION REPORT
n
����'j� In accordanee with SPS 385.Wis.Adm_ Code County .
Attach camplete site plan on paper not less than 8 1/2 x 11 inches in s2e.Plan must include, �� '� � r
but not limited to:vertical and horizontai reference point(BM},direction and perCent slope, �e��•�- c� �7
sple or dimensions,north art+ow,and location and distance to nearest road. L?�� J . l U �� ��l
Piease prtnt alf information. Reviewed by Date
Personat infortnation rovide ma be used for seconda ses Pri Law,s.15.04 1 m .
Property Owner Property Location ��IZT ❑ �
J��'C��? 1 :SC�n Govt.lot � i'/ � C '/. S.� T �j( N RS E (or) W
Property OwnePs Mailing Address � lot# Btocic# Subd.Name or CSM#
' , i� ��v�cc E'1
City � State Z�p Code Phone Number a C�y �V��aye �T� Nearest Road 5�c:5c�-4:
n � ' S 75S �� -� Lc��;�c-�-�:� �� Hk; 7
❑New Construc6on Use:�Residential/tVumberof bedrooms�Code derived design flow rate�)GPD
�Replacement ❑Rublic or commercial—Describe:
Parent materiai ;�,^�i� ['�U�'� c:�e/lY��,�.k� �.�� T�l I Flood Plan elevation'rf applicabte�ft.
General commeMs and recommendations: ��a �
I `"1 1 Bering# ❑Boring ��',�S
� �-J (�Pit Ground surFace elev. ft. Depth to limiting factor�. in.
5oil lication Rate
F{orizon Depth Dominant Color Redox Description Te�dure Structure Consistence Bourniary Roats GPD/Ft�
In. Munsell Qu.Az.Cont_Color Gr.5z Sh. •Eff#1 'Eff#2
�... � '�3 �,S7K3 ;z �� L �5>> r � lrr��-i �(�
� 5-a �.s y�s 3 5� L ,���b/C rr±=�r C:.S -�rt
3 3.5 7 S � � f' �.s�n�c: � `�;cl l;�h�� ���� C5 --� tY .� 3
L, �;-� �, �,syfz y � � z� '� r� —,` — — N P �y.°
�, � �
�!r �'/' � v 7 1.:� { L Lr G
QBoring# �g��9 c�
� �.Pit Grouod sttrface elev. �!r�5 tt. Depth M Ifrrtftirtg fac�r�`� in.
Soil A tication Rate
Horizon Depth Dominant Color Redox Description 7exture Structure Consistence Boundary Roots GPD/Ft�
In. Munsell Qu.Az.Cont Color Gr.Sz Sh. �E{{�� •Eff#2
� � �,.
(� -� �,57� 3 ' S ,- M�rl'r �
,
-� �.S��K�5 3 --- �;� �~ .�,� � �: ,�.;� � .
_3 -3� �,SyK.s.3 ��` �..5��' �� � � -�b� �'� ��✓ �- t-�P• �iP•�
1" ?�i���- D •�7�S �> �c-� S��� -� �5 — C� +' - 1�l . ( .
°Effluent#1 =BOD,>30<220 m L and TSS>30 5150 m 'Effluent#2=BOD,>3D 5 220 mg/L and TSS>30 5150 mdL
CST Name(Please Print) Signature� � " � CST Number
c- �, .. �,� s�� -.�-�l �.���1�
Address Date Evaluation Conducted
, �-�� I �J ,n�, l� � �'�„�A., 4' Telephone Number` / _ _
/< <L. ��,{�C _ 1 , .--� 1 _C�(P l_ ��
SBD-833U(R04/15)
. � -
9 ❑Boring
,1 Borin # [�p�t Ground surtace efev� Depth to llmidng factor•�in.
Soil IicaUon Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/FtZ
In. Munsell Qu.Az Cont Color Gr Sz Sh. ,�� .��2
2. (U-� �,5�,� 3/� - 5.L �-TShK rn v-�=,- C'_5 /in��T
a 3 7,SYc'S" 3 - �� :'�sG,K �n,-= i,�.�✓ i���'r
�
3 . 57r'� � ` 7 5-Y,�4 ` `cl. �-h�C i�T' ��►� '-: NP,� IyP,3
Sk-� s �C ") F:��f' �.���F4/y � Z t���!1 Y►1; � -- -- N p.� J� �,(o
� �-S�uZ�/�?
❑ Boring# ❑Boring
❑Pit Ground surtace elev_ ft. Depth io IimiUng factor in.
Soil lication Rffie
Horizon Depth Dominant Color Redox Description Te�ure SWcture Consistence Boundary Roots GPDIFi�
tn. Munsell Qu_Az Cant Color • Gr.Sz Sh_ •Etfi#1 •Eff#2
❑ 8oring# ❑Boring
❑Pit Ground sudace elev. R Depth to limiting factor in_
Soi1 A {ication Rate
Hor¢on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ff�
In. Munseli Qu.Az.Cont Cotor Gr_Sz Sh. •Eff#1 � 'Eff#2
`Efiluent#1=BOD,>30 5 220 mgJL and TSS>30 s 150 mglL `Effiuent#2=BOD,>30 s 220 mg/L and TSS>30 s 150 mglL
Lr�� � ��a�m�s�n ���J� S�LS��
N ��'lr� l C� �� � w -?��v Z.����e�I 12c.�
!� i ����r� (.v.� S�iS`t<o )'�'1�,�c�c���� l.c.J� 5�1755"
(�� SiJ5 E
Ls7�# ����1� s-�1 -T3�i-N R-s- w
�
. �
�
�
��
�
� ��zy �
Q
�2�
C�V
`���j5 L`� '��a
Ps�
3yo ��.e��.-,�;�0�.5
--�
��� �? ��t.•�!s
° �a �t�[--`lS
U 3 ��,ta
b�
����-- ��� � ��,
Sn}0._�
�-
C',�t-n = �.�� ��-E i� ��o��-�-h 5��e 1� �0��12r l��l� �S,a.�-1S � 1o�,�1S ,.
t""—'`'"` PRIVATE ONSITE WASTE TREATMENT county
, >
��- � � �,
-� �oS �;; SYSTEMS Sawyer
':��� PS .:�. ( POWTS)
�-k;f�—=-e=%
�s'°��%-� INSPECTION REPORT sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION a� ^ ��
Personal infonnation you provide may be used for secondary purposes[Privacy Iaw,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village (�Town of: State Plan Transaction ID#:
��`So� �' eSo� (..l��, ����Y12Go6o8�C-
Insp BM Elev: BM D scription: Parcel Tax No:
l`�'•�` la �\�- ;� �'4`sce�.. ���o.� o1s�-- v3�-�`3� —01 - �13a�
TANK IN MATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic 5 1n1— 7S'(� Benchmark loO,o�
Dosing —c�.lao ��
Aeration Bldg. Sewer q'�,Y �
Holding St I Ht Inlet q7 p r
TANK SETBACK INFORMATION St/Ht Outlet q6,-7'
TANK TO P/L WELL BLDG vENTro ROAD Dt Iniet
AIRINTAKE
Septic t�� {-�' .��o` �-�p' NA Dt Bottom Q3.6 r
Dosing N + NA Instaliation
" " Contour
Aeration NA Header/Man. (p�,3�
Holding Dist. Pipe �o��3 �
PUMP I 51PHON INFORMATION �nfiltrati�e �
Surface ��°�6
Manufacturer (�,te� Demand Final Grade
Model Number �t� � GPM
TDI-17 Lift Friction Loss Sys Head TDH Ft
Forcemain L t(��` Dia � � Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W (�� L ' #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv � Aggregate
INFORMATION P�L Bidg Well Waters o G ❑ Chamber Model Number:
❑ EZFIow
CELL TO � �` �" 8ij (�/�_ � Mound o �ther
DISTRIBUTION SYSTEM X Pressure Systems Only
Hea�der l Ma�ifold ,— i Distgbution Pipe�s) „ p � �X�IeI i� << i X 9� O�bsYervation Pipes J
Len th 3 Dia � �S Len th�YS Dia 1•2S S ac 3 S acin �es ❑ No
SOIL COVER
--
Cell Center � 9 Depth of y Seeded/Sodded Mulched
Depth Over �2�' Cel�l tEd esr k I! Topsoil � � �(1'es ❑ No �Yes ❑ No
� ---- —
COMMENTS: (Include code discrepancies, persons present,etc.)
�F�,s�►Il� � ���-/a-�
Plan revision required?�Yes ❑ No �� � ( —�' �����6
��a3 a3 ��_ � �- ----� —
Use other side for additional information Date POWTS inspector's Signature Certification Number
SBD-6710(R.3/01)
AOOITIONAL COMMENTS ANO SKETCH
SANITAAY PERMIT NUMBER: --09�_____
��
��� t( �
7 � �^ �� �o
.,� ;
�
� . , .
�\�. �
��� � � �� ��
, � ��
,�,r�
e .� /
s . ��j/
� ��
� �
f
��
r
� ����
��
�� v �
� �D
� �
5����Y�
« �
��
� "� "�� �
cr,�e,,m�_ �