HomeMy WebLinkAbout012-640-06-3407-SAN-2022-158 f
� Industry Services Division �O°°h' �
4822 Madison Yards Way Sawyer �
_ �� _ Madison,WI 53705 Sanitary Permit Number(to be filled in by Co.)
� P.O.Box 7302 . �
Madison,WI 53707 ��i � �� � � � �
- State Transaction Number �
� Sanitary Permit Application � --
In accordancc with SPS 3R3.21(2),Wis.Adm.Codc,submission ofthis form to the appropriatc govcmmcntal unit �
is required prior to obtaining a sanitary pertnit.Note:Application forms for state-owned POWTS are submitted to Project Address(if diflerent than mailing add�ess) �
the Department of Safety and Professional Services.Personal information you provide may be used for secondary N�A w �+ 4G�� ^ ` `
purposes in accorda�ce with the Privacy Law,s.15.04(1)(m).Stats. I��AV� (�ll (`q
I.Application Information-Please Print All Information
Property Owners Name Parcel#
P&J-C LLC 012640063407
Property Owner's Mailing Address Property Location �
N9047 E Shore Dr ��--�``"
City,State 7_ip Code Phone Number ��� s W 6
East Troy WI 53120 "� '''. s°°"°°
II.Type of Building(check all that appiy) Lot# T40 N R 6 E or W
Subdivision Name
�I or 2 Family Dwelling-Number ofBedrooms �i � i_
Block#
�ublic/Commercial-Describe Use �
❑Ciry of
❑State Owned-Describe Use CSM Number illage of
CSM 31/254 �TO"�'oe Hunter
IIL Type of POWTS Permit:(Check either"New"or"Replacement"and other applicabie on Iine A. Check one box on line B.Complete line C if
a licable.)
A.
�✓ New System �eplacement Sysrem ❑Other Modification to Existing System(explain) Additioual Pretreatment Unit(explau�)
B' �Holding Tank �In-Ground �t-Grade �Mound Individual Site Design Other Type(explain)
(conventional)
C. �Renewal Before �Revision hange of Plumber �Transfer to New Owner
List Previous Permit Number and Date Issued
Expira[ion
IV.Dispersal/Treatment Area and Tank Information:
Design Flo��(gpd) Design Soil Application Rate(gpd/sf� Dispersal Area Required(st) Dispersal Area Proposed(s� System Elevation
750 .7 1071.K 1098 92.9-95
Capaciry in 1'otal #of Manufacturer �
Gallons Gallons Units � o � � �°'
Ta�k InCortnation U
New Tanks Existing Tanks � o == � � A cd �°
a. U in ti rn t�.. C7 P.
Scptic or Holding Tank 16� �,�'� � Wieser
Dosing Chamber � �
V.Responsibility Statement-I,the undersigned,assume responsibi for install 'on of the POWTS shown on the attached plans.
Plumber's Name(Print) Plumber's Signature MPiMPRS Number Business Phone Number
Dan Burch 253808 715.416.1642
Plumber's Address(Street,City,State,Zip Code)
N5921 County Hwy K Spooner WI 54801
VI.Cou ty/Department Use Only
�R drb �d^ ❑Disapproved Permit Fee Date lssued Issuing Agent Signature
��J $C��(�,e� �-7�7-C ��-� `�, ��L�,,,�1���-��n-
❑Owner Given Reason for Denial
� 't[,�, C� C� � \ r ���'' ,
Conditions of Approval/Reasons for Disapproval !:�� �y ��,i� E' �; � �
� :'`i'._-.J'�`1 r�_�l t.i ` �
; ; Date -7��I ��a i - -----=- -��
� � J U L 1 5 202� �
�� s
� �� '� 3
�hk# nr�i7 �
C� �a - 1 ��� }�GpL#�o�,�l In7nr (c� �'�^�`-I SAWYER C�UPdTY
, 1 N ` ��1NG 1�MIt�iS i�A�'104V
Attach ro complete plans tor the system and submit m the Counh'�nly on paper not less than R vx x 11 inches in size
� �� 1 r 6.�l�lr•• o�-
���� �;":'7' G°v.''(�eti� �'C.'K�+���� v�....5�Y���Oe ��-�.
SBD-639A(R.02/22) � ` NO AEFLlPtp3 A� G���,�.�. �w��u(� ��-
13SUE OF P��iMIT
�l O��f�
State of Wisconsin
DEPARTMENT OF NATURAL RESOURCES Tony Evers, Governor
101 S. Webster Street Preston D. Cole, Secretary
Box 7921 Telephone 608-266-2621
Madison WI 53707-7921 Toll Free 1-888-936-7463 wISCONSIN
TTY Access via relay - 711 DEPT.OF NATURAL RESOURCES
July 20, 2022 �/� -��
C�� �
�
Eric Wellauer �/�` �� ,��;,�
County Sanitarian ?O `-;-if1
Sa�ryei County Zoning and Conse►vatin 2p `��41y ?� `f �
10610 Main Street Suite 49 N��/(�, �FiQ �� l�
Hayward WI 54843 ��M�j��O(t/�
T
oTRqT�
Dear Eric:
[ have reviewed the building permit application submitted by Paul Smyczek to construct a septic system adjacent
to and directly noith of 9380N Beaver Creek Road in the Town of Hunter, Sawyer County, Wisconsin. The
property is fw-ther idcntitied as having Sawyer County Tax iD # 40943.
This property is encumbered by covenants that have been rccorded in the Sawryer County Register of Decds office
in Volume 707 Deeds, Page ] 54-160 and is suUject to the restrictions therein. As such, these covenants provide
that there is no filling, grading, or placement of stiuctures allowed within a 100-foot horizontal distance landward
from the shoreline above ele��ation 1 ,313 MSL.
tt is unclear from the slipplied sketch included within the applicatio�� plan if the proposed structures will be placed
beyond 100' from the shareline to the east of the parcel, as it does not include the distance to the lake. Structtu�es
include: porches/decks/patios, septic components, well, garage, and the residence. The applicant will be allowed
to continue with thc specificd building projcct so lc»�g as co��struction, ihcludiflg any filling arrd gradiiig, does
not occur within 100'. Additional restrictions extend 1 ,000 fect landwarcl from the I ,3 I 3 contour line requiring
that the exterior color of thc building Ue natural wood and earth tone color, and Icss than 35 feet in height.
All other counry and state codes and permits apply to t�he subject property and must be applied for and adhered to.
Please contact me if you have any questions.
Sincerely,
.=%�� ���
Roy Kenast
Chippewa Flowage Property Manager
715-634-7433
dnr.wi.gov NQtt1YRIIy WISCONSIN �����
wisconsin.gov °,;EA�"°`E`
• PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References;.^
�refs:o� �. ( �� �'�- � 0 a �
Pg 1 of 4 Index&Cover Sheet
pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section &Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Ap lication for Review
Soil Evaluation Report&Site Map
Project Name 1 Description
� , � _ � � / L Phone' - -
Owner Name(s): -y�,�p
Owner Address: `�0'�'j � s N � 1..�.z �irs;-�ao� 1,JS Zip: �
� � �Ek �Z�
Project Address: h
� 1/4 of 114,Section ,T N-R E 0 or W
�t Lot: wYc�.
Townshi �f��rG� _County: '�h
P�
Project Parcel ID#: I 6 `���'" ��7
Designer Informafion
Phone: 715 _416 _1642
Designer Name: Dan Burch 54801
Designer Address: N5921 Cty Hwy K Spooner Wl ZiP:
E-mail: Burchplumbinginc@gmail.com
This space reser��zd for approva�s[amp.
License Number: 253808
Remarks:
� . � Iy- ��
Date.
Signature•
priginel si ature�equired on eadi submttted coPY•
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE.
[✓] SOIL EVALUATION
Scale: 1" = 30� Q SYSTEM PAGE 2 OF
SITE MAP ° 34 45 s� PLOT PLAN
PROJECT NAME: � 5Z DESIGN FLOW: 7�JO GPD
P&J-C LLC Attach design flow calculations for commercial plans.
PRo�ecr Ao�REss: N/A Beaver Creek Rd Pipe Material / ASTM Standard (Tables 384.30� 8 384.30-5)
N Sanitary Sewer: SCh 40 PVC �
BM Symbol: � BM Elevation: ��� FT
Force Main: /
BM Description: Ilall IIl ZO�� Spruce
Indicate nortn by IMPORTANT:
Slope Gradient(°�) Well Symbol (if applicabley � drawing an arrow Show ground elevation contours at suitable intervals.
of TeSted fVea: on the approprite line.
. \ � �' �
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Septic Tank(s)Manufacturer:
IN-GROUND GRAVITY DISPERSAL AREA wieser
Uniform Elevation Trenches with Quick4 Standard-W Chambers SepticTank(s)Volume(s):
3-ft Trench (down-sizing credit) 1645 9a, gal gal gal
Effluent Filter Manufacturer:
Polvlok
�
Effluent Filter Model#: 525
—min.12"
(bPical)
SOIL COVER
12.'
min.trench
deP�, �� TYPICAL TRENCH
(tYPical) '• °
—� •--- -- �� .� "�.4��<. CROSS SECTION VIEW
34" �' . 'e' � �
F"�typic�) .;•�• . , NO SCaI@
w . a,. . �.
< Provide minimum 3 ft
System Elevation —94 ft separation between trenches.
(typical)
Quick4 Standard-W
w/End Cap Observation Pipe TYPICAL TRENCH
(typical) (Show location of inlet/outlet pipe connection on plan view.) (typical)
Install per manufacturer's PLAN VIEW
insUuctlons. �NO SCB�e�
— ��- — — — — — —�.—.—o.— �..,,,,_-�
� — ,�� � - - - ��-- -- - - - - � r,'� �A= 3.Oft
. , , �s � � r �° ��`� (h'PicaQ �
�---- - - - - - - - - - - ��- - - - - - - - ��-- - - - - — — �.�_ �
_ ^
B = 72 ft —� 1T1
(rypical) Quick4 Standard-W Chamber W
(tYPical) O
INSTALL PER TRENCH: (rnfd by��f�tratorsysterns,��c.) �
Install pursuant to manufacturer's instructions. �
�8 Quick4 Std-W @ 20 f� EISA/chamber= 360_ ftz
+ � Pairs of end caps @ 6 ft2 EISAlpair= 6 ft2 �p 7� ,�{
= Proposed EISA per trench= 366 ftZ Required Infiltration Area=� ftz Distribution Method:
x 3 trenches = Proposed Total EISA = �a98 �2 branched manifold �
P�� ���M'°`. PL-525 Effluent Filter
Innovations in Precast,Drainage °' Zabel�'
&Wasiewater Producis � A Division of Polylok Inc.
PI.-525 Filter
The PL-525 Filter is rated for 10,000 GPD (gallons per day) making it one of the largest filters in its class. It has
525 linear feet of 1/16" filtration slots. Like the Polylok PL-122,the Polylok PL-525 has an automatic shut-off bali
installed with every filter.When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent wori t leave the tank.
Features: ���� 1�16" Filtration Slots �
Alarm Switch
• Rated for 10,000 GPD(gallons per day). �O OOO GPD ¢ (oPtional)
• 5251inear feet of 1/16"filtration. �� � �.�----� accepts 1" PVC
• Accepts 4" and 6"SCHD 40 pipe. �` Extension Handle
• Built in gas deflector.
• Automatic shut-off ball when filter is removed. '
Rated for
• Alarm accessibility. 10,00o GPD
• Accepts PVC extension handle.
PL-525 Installation:
Ideal for residential and coinmercial waste flows up to 5z5 t,�near Ft.
of 1/16"
10,000 gallons per day(GPD). Filtration slots
1.Locate the outlet of the septic tank.
2 Remove the tank cover and pump tank if necessary. . Ac�epcs 4"&6"��t
3.Glue the filter housing to the 4" or 6" outlet pipe.It � scH�4o pipe
the filter is not centered under the access opening use a :
�,�;��r�.��:,,-,�,
Polylok Extend&Lok or piece of pipe to center filter. �
�....y-�..�,��
4.Insert the PL-525 filter into its housing.
Certified to
5.Replace and secure the septic tank cover. Ns�(ANSI Standard 46
PL-525 Maintenance:
The PL-525 Effluent Filters will operate efficiently for
several years under narmal conditions before requiring `
cleaning. It is recommended that the filter be cleaned
every time the tank is pumped,or at least every three
years. If the installed filter contains an optional alarm,
the owner will be notified by an alarm when the filter ! � Gas Deflector
needs servicing.Servicing should be done by a certified ;'
septic tank pumper or installer. Automatic
Shut-Off Ball
1.Locate the outlet of the septic tank.
2.Remove tank cover and pump tank if necessary.
3.Do not use plumbing when filter is removed.
_..�_ y
4.Pull PL-525 cartridge out of the housing. ����"�"` �, F�
0
5. Hose off filter over the septic tank. Make sure all , �{ ;�IR^
solids fall back into septic tank. ���� � � -��-a� �= r �
6.Insert the filter cartridge back into the housing making outdoor s��artt�;ite��A�arm Exten��t.otc�^�
sure the filter is properly aligned and completely inserted. ' p�tytok,zabel&Best filters accept Easily installs
7.RepldCe drid S2CUYe S2pt1C tarik COVer. the SmartFilter�switch and alarm. into existing tanks.
Polylok,Inc. 3 Fairfield Blvd. Wallingford,CT 06492 Toll Free: 877J65.9565 Fax:203.284.8514 www.polylok.com
WLP1645-MR
TANK SPECIFICATIONS �
� �
� O
d a
H
DIMENSIONS: � o
12'-2" WALL: 3" � �
BOTTOM: 3"
COVER: 5" w
MANHOLE: 24" I.D. PRECAST CONCRETE RISER o
� ----==--•=----�=-----_{, HEIGHT: 54 1/2"
--
- -------------- If
:t,,�==__------ �" LENGTH: 12'-2"
�T �
11 4" CAST-A-SEAL 4" CAST-A-SEAL �� WIDTH: 7�-0" �
i i i BELOW INLET: 43"
� _�\ 2�` r �—��� LIQUID LEVEL: 38" o
� �� ���Q� (� � WEIGHT: 14,000 LBS. � a o E
0
I � � �� 3 0 �
� �) � j � �� � I N L E T A N D O U T L ET: a r �
, `"� ` �t 4" CAST-A-SEAL BOOT OR EQUAL GASKET � m o `�
ii \ �� n
�� FILTER OR I I Z 3
BAFFLE �� INLET AND OUTLET BAFFLE AND FILTER: a a � w
i� _�� WISCONSIN, SEE DETAIL #10 N � � �
�}____=-=_T______________:--- (OTNER STATES SEE CHAR T) �, o
1� �
LIQUID CAPACITY: 43.32 GAL/fN yJ _
C 3
HOLDING TANK: C� � �
19P VIEW OUTLET HOLE PLUGGED Q o �
ACTUAL CAPACITY: 1,733 GALLONS
� Z I
LOADING DESIGN: 8'-0" UNSATURATED SOIL � � N
�
o TANK CAN BE U S E D A S: � I
�� SEPTiC / HOLDING / PUMP OR SIPHON W 3 0
a�
■rr = o�
� COVER: MIX DESIGN #8 (NO FIBER) `�
� TANK: MIX DESIGN #10 (STRUCTURAL FiBER) �� �
+ CUSTOMIZED TANKS: � 3
---- - � - � FOR CUSTOM TANKS CONTACT WIESER CONCRETE
---
INLET _ _ - OUTLET
:�„ �. � - � - - - - � - -� ; � Q �
�" � c� � Q
�t _ U I � ap I a � �
� � �� I r7 � �d. � � Z
I � � �
3 �.-,---------- ---�--- -�= -J
co
REVIEWED BY � �
�-, PUMP PAD REVIEW DATE �
w
�
DRAWINGS SUBMITTED
si°E�w FOR APPROVAL
APPROVED BY: SHEET N0.
APPROVAL DATE: � 0�/
PRODUCTS NEEDED BY: / �
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
PAGE 4 OF 4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shatl be responsibie for its perpetuaf 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 co�sidered 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 Ooeratins�Limfts:
Design Flow= �S V gpd; BODS 5 220 mgL"'; TSS 5150 mgL''; FOG 5 30 mgL''
Insoection 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 treatmerrt tank(s)and any distribution appurtenance(s)(i.e.,distribution/drop boxes)
o neglect or improper use(r.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 Iateral orifice plugging (measure lateral distal pressure—compare to design specification)
o surtace discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
o Septic and dose tank(sl 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 1lquid volume of the tank(s)or
as required by loca�ordinance. Disposal of conlents shall be pursuant to NR 113,Wisc.Admin.Code.
o Effiuent filterlsl shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturers specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local govemment unit in accordance with
SPS 383.55 Wisc.Admin.Code. Report any component failure or malfunction to:
Name of individual or company: D8f1 BUfCII Phone: 715.416.1642
Local government unit: S8wy2f COullty ZOfling Phone: 715.634.8288
Local govemment unit address: 1061 O Malft St. #49 ZiP: 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.
Continaencv 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 Abandonme�t
If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisc.Admin.Code.