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Home My WebLink About026-939-27-5414-SAN-2022-177 '`�� "'.�% Industry Sen�ices Division Counry •-`'� 4822 Madison Yards Way Sawyer �� = . =p ,- Madison.WI 53705 Sanitary Pem�it Number(to be filled in by Co.) � = P.O. Boz 7162 -- � �``�`' Madison. �VI 53707-7162 (�7 � � � � � �.��..�-�,, Sanitary Permit Application ��`�(`�` '��`��""�„"°"�°°ie`� �� PP P S ��I I�'" �� In accordance with SPS 383.211?),Wis.Adm.Code,submission of this fonn to the a ro riate uvertunental un�t �`^' �/�0� � is required priur to obtaining a sanitary pennit.Note:Applieation forms for statz-o�vned POWTS are submitted to Project:�dclres,�if�lilterent than mailine addres — the Department of Safety and Professional Services.Personal informa[ion you pruvide may be used for secondary �5310W Allendale —► purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. � I.Application Information-Please Print All Information Property Owner's Name Parcel;= Carolyn Huizenga 29087� ��-�o_q3q�_�?�Sy� Property Owner's'�lailing Address Property Location 2323 Silver Creek Ct NE Govt.Lot City.State "Lip Code Phone Number Rochester, MN 55906 '�. '/+. Section 2� [I.Type of Building(check all that apply) Loi r T39 N R 9W E or w ❑✓ 1 or Z Family Dwelline-Number ofBedrooms 2__ ___ 3 Subdi�ision Name [31o�k�' �ublic/Conunercial-Describe Use �Ciry of ❑State Owned-Describe Use CStiI Number illaee of 6/160#1201 �TO""�'� Sand Lake III.Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applicable on line A. Check one box on line B.Complete line C if a licable.) `� �New System �eplacement System ❑Othcr Moditicatiun to Exi;tinL System(explain) �Additional Pretreatment linit(explain) B� ❑Holdine Tank ❑In-Ground ��t-Grade ❑✓ Mound Indi�idual Site Dcsign Other Type(explain) (conrentional) C• ❑Renewal Befbre �Re�ision 'hange of Plumber �ran,fer tu Ne�v Uwner '�st Pre�ious Pennit Number and Datc tssurd Expiration OO_ �� q � ,��T l f-w�+ IV.Dispersal/Treatment Area and Tank Information: Besign Flow(gpd) De� n Soif Application Ratz(gpd!s� Dispe al Area Reyuired(stl Dispersal Area Pro�sed(;f) Sy ten :le�ation 300 _ � a� D� g c� � Capacity in Total 7=of Manufacturer Tank Infom�ation Gallons Galions Units ` c � u ,'�c� � v v — v v: �ew Tanks Existing Tanks ` � � � .� � _ � — G �n s v� s. .. n. Septic or Holding Tank X 7rj� 1 Skaw ✓ Dosing Chamber x �j0� 1 Skaw ✓ � 0 � V.RespOnSibilitV Statement- I,the undersigned,assume responsibility for instailation of the POWTS sho�m on the attached plans. P(umber's Name(Pnnt) Pluy�be ' Signature � MP/MPRS Nmnber Business Phone Number Ryan Strand � - -- �798301 715-558-1673 Plumber's Address(Street.City,State,Zip Code) 8959 N State Rd 27, Hayward, WI 54843 VI.Cou y/Department Use Only �Ap �•d ❑Disappm�ed �'�nnit Fee Date Issucd Issuine:Agent Signatur �./�,\ ou �1 3 �� Y� � � Q� ❑Owner Gi�en Rcason tbr Denial � [ w- 1 I /2%i.�+�CJ«- • Conditions of ApprovaliReasons for Disappro��al NO REFt1N �ate �� 3 .�� .�-... � � �� DS AFTEq � ' ' � � ��SUE OF PE�tMIT Chk# �� •--- J U L 2 8 2022 C c'7� �� t � � Rcpt#N� �^��'��`� �� SAWYER COUNTY J 1 � �� Z�NING ADMINISTRATfQM A�tach ro complete plans for the s�stem and submit to the C'ounh onk on paper not less than A 1/2 x 11 inches in size SBD-6398(R.03/21) `,�r��bi� DIVISION OF INDUSTRY SERVICES — 2850 MIDWEST DR STE 104 � �� ONALASKA WI 54650 ;y � �$ . ; Contact Through Relay � � P$ � http://dsps.wi.gov/programslDefaulLaspx i% �... ��" www.wisconsin.gov 'H,�. —x�,, �p�+u n�� Tony Evers-Govemor Dawn Crim-Secretary FPn��,�ry s, zozz CONDITIONAL APPROVAL PLAN /:PPP.QF'C L C1:^..•��. 2:;�� 2�� Plan Review: PWTS-022200116-C ,.t:,1;.T�^�ND 10571N Town Industrial Park Rd Hayward WI 54843 ��' APPROVED ':E:` G- "-.;Fi.^� ANDPROFESSIONAL SITE: _ -:e�v�ces . . _.._.,_!F�.nDUS�4v5'_RVICES Carolyn Huizenga 15310W Allendale Ln �j„��( _ � __ Town of Sand Lake •t.��-`� ��-�•- -� Sawyer County �;e=.c:,autsPcr,o=-ace P.O. Gov.'t lot 4, S27, T39N, R9W T�'=!.'.._'=_::i: °'�50.00 FOR: Oescription: Two Bedroom Mound Re-core Mound Component M2nual-Ver. 2.0, SBD-10691-P (N.01/01, R 10/12), 300 GPD, 18" depth to iimiting factor, Maintenance required, Effluent filter, Replacement construction The submit?a�d�Srrihcil ghn�in h�c honn r�niicaa'{nLil fr�r�nnfnrm�nrLo pii�h annliroh/ln Nlicrn`nIain ^ Ad�� ..,.,...,... .,�....�a��:.Y��a�V��as��IJlu�u��.�. IIIV ,uu��w� 1Yu�sU�V�� IiO��111tI��L1'I\1�1,1\�l,��Ll. This system is to be constnicted and located in accordance with the enclosed approved plans and with any component manual(s) referenred above. The owner, as defined in chapter 101.01(10), Wisconsin cb.h�b.c .-:4�1..i,. ..I;....r�...��h -�II .-n.ln P(�Ii :� .,......... , f r...,. . . .. .. f. _i(@!Tl@fl S. No person may engage in or work at plumbino in the state unless licensed to do so by the Department per s.1^.5.0�, ^•^'^ The following conditions shall be met during construction or installation and prior to occupancy or use: 4.^.....^S�C($ • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19,Wis. Stats. . Pric+r to cnncrr��rt�r,n of tha (iiCnofcai .,.`.^ �.k..��,µ.� �..t.,ti.�=. �r,_�.....cs��,,. �..:i �.. � .+,.�.�. �s n inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it mlls into a 1/4-inr,h wire, the site is too wet to �re�are. If it crumbles, site preparation can proceed. a��.,. ..:il .-...n. ..t�.. .. a.. ..�... ,..� . .,.�� .+..,.s `..i..� ..__ .___.^.� .'_ �_. . ._�..,�rtlnflS Ofl " "" "_ "" " r` ' _ ""'"^_ attachment 3). • Inspection of the private sewa�P system installation is rea,uired. Arranaements for inspection shaA be marta with the de�;� .d...)C��r..ti. �K...i..l i.. ..^_rnrc�.. ,_.n`...u. /h_ �.n:..�i�..� Oi 4_'_. '�A4 9N7�1.�� U:'_. $tatS. • • • A state approved effluent filter is required. Maintenance information must he piven to the owner of the tank ex�laining that perindic cleaning of the filter is required. Owner Responsibilities • The current owner, and each suhcequent owner, shall receive a co�y 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 man�gement plan !inder s. SPS 3R3.54(1). . In the event this soil absorption system or any of its component parts malfunctions so as to create a heaRh hazard, the property owner must follow the contingency plan as descnbed in the approved plan^. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals apprnpriate for the rpm�C?]Ci:�t(��::ei1jZM i!1!!'.O r'CUVTS. A CODyo uf the approved pla�_s s�ecifications and this letter shall be on-site during construction and oper� t0 Ift^'�^"P'�'t h' ��hn�jpn�l mn.n ..nt. f ,r� �s th.. �nn�rim o� Y'b"'h m^;•Irl.^Ir ei.. �.yal �n•..r•••{rr•� In granting this approval the Division of Industry Services reserves the right to require changes or aJditlons should conJitiuns a�ise rnaking lhem necessary For cnde rom��liance.As per state stats ��.�0,7' .-�i.:...� ..�a.:S ',. .,:7..�...1� ._�.,.:8 fFn t,+`�:y.�..r nf al. . _�r n ha�hf f{��f�...;iy�in y �7 Gafe building, structure, or component. ;t:: n ,_-. ' .. h:.. n ;^ n^ . r d_ .. .. ..s h.. �.�...,�.._.. ��rr...�..,� �..�..a ..�_... � Inq_:.r_cc_r;_�_^;^�t.._ r___ -�_-a�-- m�� bc •r.:u_ _ t, m_ 4_t. t_._,_.._.._ . !.____. L�_._.., o. �' the address on this letterhead. T�,� ..ti....,� �.. .+� �. i _ ..�,� �, i.,u.. nr1 u.� n��s ,-. ^ . —:r-t ..i_n �O i}12 :.' --_. ._*t , ___.. . .:1 �.a•. � --�Y -f . : _ _.:_r^_ , � ; . ;..,.., . owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincc-c;. v� �� Gerard M Swim POWTS Plan Reviewer, Division of Industry Services ic�o��o,n 4, . 'r 1 (R(1Rl R QZ �__,_,, _ 7_`3p :.... � ,.__,7_5-., — ax �e� rry_swim(a�wi.qov PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manual Design References: Version�0, SBD-10691-P (N.01/01, R. 10/12) &Version 2;� SBD-10706-P (N.01/01, R. 10l12) Pg 1 of 6 Index & Cover Page 1 Pg 2 of 6 Plot Plan Pg 3 of 6 Mound Cross-Section & Plan View Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Enclosures: �)Pump Curve POWTS Application for Review 2; Mound Design Worksheet Soil Evaluation Report & Site Map 31 Mound Re-core Procedure _ Project Name / Description Mound Re-core Owner Name(s): Carolyn Huizenga Phone: - - owner address: 2323 Silver Creek Ct NE Rochester, MN Z;p: 55906 Project Address: 15310W Allendale Stone Lake, WI 54876 Govt. Lot: 1/4 of 1/4, Section27 , T 39 N-R 9 E❑or W❑✓ Township: Sand Lake County: Sawyer Project Parcel ID #: 29087 Designer Information Designer Name: Ryan Strand Phone: 715 _558 _1673 DesignerAddress: �0571N Town Industrial Park Rd Hayward, WI Z�P: 54843 E-mail: ,,,:::,t•, o�,��i,no,�.,iiv - License Number: 798301 APPROVED DEPT.OF SAFETY AND PROFESSIONAL Rema�kS: SERVICES J V'�SION OF INDUSTRY SERVICES ✓ �� _ _Ur:a ,�?:Ct Signature: Date: Original signaWre required on each subrttitted copy. . - ,•_ ___ _. �- -- :-, � ._. . -90.0' OHWM __- - -. . . . ._ P -�C j-- 6 _,. � � r _. � �: � per installer �r � �;Q� p�, � rr'Jr , _ , :� � rr��r�, / � . � � . _ _. - - - -------.- - _ - �r.- � � � S C A L: E _ ! :-6:p.. _ : , f . . , - - _.. / t5310W Hde�n.l.olte.Rd•. : .•: / Sed. ,7. T34N J R9l,J": - / .. _ Tewe�► o�' - _.. Sw.+d _L:Kt'- / � • _ 5awyec... Co.ati�l.i�.-:_':'-- : : GSM#. 1301 r vol.(. ; F.:I::c.f. _: . . .."t,o�r # yA_----- Pc1.- :.y;-ty.._... .. . _ �} a►�= rop � a'.' �ro:+_P;pe _ a I'00.00` aclt�dh:o�+ .- — �[l�� . . . . .�� .� EL6'VA7IDNS .-.:. .�.. � �ea�, ati- 95. �5 :. _ .. _._..:.� - --. __ ._ __._.� '^'c4� : i3�• - 95..7.5 i.:�: ----� -- -�--� . --------- --, '� y"Pv[ c.�..3o/sM . ... . .I33- 9�l. 33.` . CT y � --- _ : - - GT. ?59.d?/5/a.a894�� co::ii8;.nat;o:i�_ _ -_ v�,.+a y Septttl.pun�P. *ttnKrr>a�t-of—.:_ c�ry�,� sy�+.,.. _ . . Prcfab tancre�E- by: :_ __-�_ .� .- r�� vG M^ n1 SKPW Areco.�# Go. _ - Fo`'E � -- _ _ , __. . .._ _.. ..... ._. . ......... ....-�- ----------_. ---- --- 95.5' . . . . _._.:..._.__ _..__.� ', � s°ro s�o� � All contaminated POWTS materials .�:: _'--- __ '"��__ � and components shall be abandon � . _ � ( per SPS 383.33, WAC and also all - . _- - .:. _ _ ' , applicable Sawyer County sanitary _'__.:._:.__ : .- .: � ordinances. ------- - - � -----.... - --- � -�-- _ _ . _ ....._ � _.._._.. _... . . . . .. — ---- - , - -- - - . ...__:._�:-----�- ---- -�- , ,� . _ _. . . ._. _ .. _:_:---- ---- _-...� � _ � .� _ . • .... ... . . _. _.. _--... . . __ � _ __ _ .._ .. .. .._.._....-------. ....----- --- - �, � _ . ._.._ . � �A�� E�.r ...... ._..._.. ...__ .._----• --- �-- _ � _ _ . �DPo _ . �.- ---_:-----._-._..:-� - 8MS -Allendale Rd. : ..... . . . :�. - ' . _. _ _...- ----�- _ _. _ _ _ . ... -- _. _--- ------------� . . .. . . _...._..._-----�--------._.-e . . . . . ... . .. ..........._.._.._..._.._....... .. .._ . . _.._.___. ._..-_.—'-'� . ' ._ . _.--'-�•':--•--...� �. .. . .------"---^-^".� Mound Plan and Cross Section Views . . . . � 1/10B : : : : : : : : : : : i�-I � � . . . . . . Observation Pipe . t:iJ. . — � K : O � A W . ; � :. . . . . . . : : : — � : B . . . . . . . . . . . . . . . . . . . . . . .�. .� .� . . . . .�. .�. .... .... . . . . . . I � : . � � : :� :: :�: : : : ::::: : : : : : :� : :� : : : : :� :�: :�: :�:� :�:� :.: :�: : � -i-- L Mound Component Dimensions A 5.00 ft E 21 .60 in H 1 .00 ft K 10.33 ft B 60.00 ft F 9.50 in � 11 .31 ft L 80.65 ft D 18.00 in G 0.50 ft J 7.10 ft W 23.41 ft 300.00 (ft2) Dispersal Cell Area 978.66 (ft2) Basai Area Available 5.00 (gpd/ft) Linear Loading Rate 6.00 (ft} 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 98.79 (ft) --► . � I H ::� : ,� : . :::, .. .. . \. 97.00 (ft) —+ � Dispersal Cell 97.50 (ft) Lateral : : . :::: : : .:: : : : : : Invert Dispersal Cell �] � Elevation D � � � �� : : : � : . �. : _ ❑ � � 4 95.50 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover °' I Dis ersal Cell Shading Key � Q, p See lateral details on Q � Topsoil Cap o � 1 .5 ft � Page 4 for number, 2 Subsoil Ca � � size, and s acin of ❑ � P �' ° �"� p 9 � �� ASTM C33 Sand :a Z � / F laterals. Laterals are Typical Lateral equally spaced from the � � Tilled Layer c y �� distribution cell's � � Aggregate � 0 0 � centerline in the �---- A -} distribution cell (Ax6). Project: Page 3 of 6 L3teralscenterF�i;,:�erthF x dim�nsior " P •=Turn-up m'Gall��al��a_�r r_Iaanc,utplu!� � ,�.II lecerals.yrw identi��l �.-x—.� Hales dri�led 4n th"r GO�tpR�_,f thr 13t"rt sl e��ually sp.3i Fd Foree main ccmnecti�n�1ia t-re or cros5[o rnannnid at an��puin� L�trt.yb> `:t�rrcemain �Ch 1U P1�C F�et '=F'_Tyble 3c;4 3l�_�� Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.90 ft Lateral Length (P) 58.50 ft Orifices per Lateral 16 Lateral Spacing (S) 2.50 ft Orifice Density 9.38 ftZ/orifice Lateral Flow Rate 10.49 gpm Manifold Length 2.50 ft System Flow Rate 20.97 gpm Manifold Diameter 1.25 in Total Dynamic Head 33.84 ft Forcemain Velociry 3.81 ft/sec Dose Tank information Locking cover with warning � label and locking device and sealed watertight Electricai as per NEC 300 and—� ' SPS 316.300 WAC �4 in. min. Disconnect � Tank component is properly vented �— Alternate outlet location Forcemain diameter Manufacturer 1.5 in. Capacity 500.00 Gallons � Volume 14.23 gal/inch A Weep hole or anti- Dimensio Inches Gallons g siphon device A 16.48 234.44 B 2.00 28 46 C � Pump off elevation(ft) C 4.66 66.34 � � 72.50 D 12.00 170.76 Total 35.14 500.00 � Dose tank elevation(ft) 3" Bedding un er tank. ~- 71.50 A►arm Manuafacturer SJE Rhombus ,.�. _.�,�... Alarm Model Number Tank alert(or equal) :��;;ai^in� E;�ercuy =�j ��a� use� i� Pump Manufacturer Zoeller .-, ��;�s��;n. Pump Model Number 153 Pump Must Deliver 20.97 gpm at 33.84 ft TDH Project: Page 4 of 6 Mound Svstem Maintenance and Operation Saecifications Service Provider's Name Strand's Midwest Plumbin &Heatin Phone 7�5-558-1673 POWTS Regulator's Name Sa er Coun Zonin 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 ftZ Maximum FOG 30 mg/L Type of Wastewater pomestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Ins ect and/or service once eve 3 ears Effluent Filter Should inspect 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 Ins ect for ondin and see a e once eve 3 ears Other Miscellaneous Construction and Materials Standards t. Observation pipes are slotted and materials conform to Table SPS 384.30-1,have 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 Detaif Finished ,,,,,, ,,,,, ,,, Grade � ,i� �� / 6-8"Diameter Lawn-� . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution � Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Page 5 of 6 Mound System Management Plan Pursuant to SPS 383.54,Wis. Adm. Code General This system shall be operated in accordance with SPS 362-84 Wis.Adm.Code, and shall maintained in accordance with its' component manuals[SBD-10691-P(N.01/Ot, R. 10/12). SSWMP Publication 9.6(01/81), and Pressure Distribution Component Manual Ver.2D SBD-10706-P(N. 01/Ot, R. 10/12)]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 shall be in accordance with SPS 383.33,Wis.Atlm.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�or service and assessment shall be sealed watertight upon the completion of service. Any opening tleemed unsound, defective.or subjec[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. Seo[ic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281 48,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 fitter shall be assessed at least once every 3 years by inspeclion. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartritlge 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 Ihe fil[er is equipped with an alarm,the filter shalt be serviced if the alarm is activated continuously. Intertnittent 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 triennial assessment,maintenance personnel shall advise the owner of when the ne�ct service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biologicai 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. Pumo Tank The pump(dosing)tank shail be inspected at least once every 3 years. All switches,alartns,and pumps shall 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 seetled 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 recommentled since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetratioa Cold weather installations(October-February)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mountl sys[em 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 efftuent. InBuent Flow may not exceed mazimum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point al the end of each laterel,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 rf orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within ihe 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. Continaencv 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 opereting condition. If lhe dosing tank, pump,pump controls,alarm or ielated wiring bewmes defective the defective component(s)shall be immediately repaired or replaced wRh a component of the same or equal perfortnance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surtace, 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 replacing 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 g 150 Series ATTACHMENT 1 tn � 6 7J2 � a � w PUMP PERFORMANCE CURVE "� `�8 - 6;:3z - MODEL 151/152/153 � � � ;,z _ __ ,se - � � 3�8 74 4 153 ��'V ' � t ��' , 1 1 i< 1 .,.,w . 3�:e ,�7� w > 12 40 \ � /j� 3�g `�� ' 1 � % ��. %�� 1 >` .__" � � . 'I 0 35 7�:c � �� 152 ��..� 1 V 3O t!q'NPT � a 0 8 25 751 1 j- j o �� ..:. . . 1 ! ��, � g 20 _._ � 15 � n^�s ..--�..�--,�.� . � iz,:e _. 10 ' l �� , T.. ., , Z � .FIAPI_B • �.� - I'6 . . - . 5 "1 1.� sas 1 � Model 151 � =-'� - --� � 10 20 3a a0 5a 80 70 80 90 t00 �*w��+ Models 152/153 GALLONS LRERS 0 40 80 120 180 200 240 280 320 360 014508 �OW PER MINUTE Model - -- - - ___ _----- Model Number Seal Mode Volts Phase Amps HP Hz Lbs Kg N151 Single Non 115 1 6.0 1l3 60 32 15 E151 Single Non 230 1 3.2 1/3 60 32 15 BN151 Single Auto 115 1 6.0 1/3 60 33 15 BE151 Single Auto 230 1 3.2 1/3 60 33 15 N152 Single Non 115 1 8.5 0.4 60 37 17 E152 Single Non 230 1 4.3 0.4 60 37 17 BN152 Single Auto tt5 1 8.5 0.4 60 39 18 BE152 Singie Non 230 1 4.3 0.4 60 39 18 N153 Single Non 115 1 10.5 1/2 60 37 17 BN153 Single Auto 115 1 10.5 1/2 60 39 18 E153 Non 230 1 5.3 60 37 17 BE153 Non 230 1 5.3 1/2 60 39 18 BN and BE models include a 20' (6 m) piggyback variable level pump switch. Additional cord lengths are available in 25' (8 m), 35' (11 m) and 50' (15 m). Your Peace of Mind is Our Top Priority� 3649 Cane Run Rd � Louisvilie, KY 40211 USA 1-800-928-7867 � Fax: +1 502-774-3624 www.zoeller.com Product in/ormation presented here reflects conditions at time of publication. Consult factory regarding discrepancies or inconsisfencies. Copynght 2013.All rights reserved. Attachment 2 Mound and Pressure Distribution Component Design Des��ar',;Jo�ksneet Site Information (R or C) 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 fecal coliform of<=36 inches. 1.50 Peaking Factor(e.g.1.5=150%) 300.00 Design Flow(gpd) 6.00 Site Slope(%) 95.50 Contour Line Elevation(ft) 18.00 Depth to Limiting Factor(in) 0.60 In-situ Soil Application Rate(gpd/ftZ) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour(ft) = 5.00 Cell Width(ft) 1.00 Dispersal Cell Design Loading Rate(gpd/ft2 1 Influent Wastewater Quality(1 or 2) Are the laterals the highest point in the distribution 0 Pressure Disribution Information network? Enter Y or N C or E) E Center or End Manifold 2 50 Lateral Spacing(ft) If N above,enter the elevation(ft) 2 Number of Laterals of the highest point. 0 0.188 Orifice Diameter(in) 3.90 Estimated Orifice Spacing(ft)= 9.38 ft2/orifice 1.50 Forcemain Diameter(in) 138.00 Forcemain Length(ft) Does the forcemain drain back? � 71.50 Pump Tank Elevation(ft) Enter Y or N 3.25 System Head(ft)x 1.3 12.66 Forcemain Drainback(gal) 25.00 Vertical Lift(ft) 53.68 5x Void Volume(gal) 5.59 Friction Loss(ft) 66.34 Minimum Dose Volume(gal) 0.00 In-line Filter Loss(ft) 20.97 System Demand(gpm) 33.84 Total Dynamic Head(ft) Lateral Diameter Selection Manifold Diameter Selection in.dia. options choice in.dia. options choice 0.75 125 x x 1.00 1.50 125 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/lnch Calculator;optional) Treatment Tank Information Total Tank Capacity(gaI) 750.00 Se tic Tank Capacity(gap Total Working Liquid Depth(in) Manufacturer gal/in(enter result in cell 649) Enter manufacturer's name Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity(gal) Orenco Filter Manufacturer 14.23 Dose Tank Volume(gal/in) Bio-tube Filter Model Number SKAW Manufacturer Enter manufacturer's name Enter manufacturer's name Project: ATTACHMENT3 Mound Reconstruction Soecifications ]. Remove excess/overgrown vegetation from mound, mow and remove clippings. 2. Pump o�t any standing wastewater tluough observation pipes. 3. Permit dispersal area to dry out. 4. Remove and stockpi(e topsoil from the mound system. 5. Remove cap dirt and stockpile. 6. Remove ay,�regate from absorption azea(s)and dispose of in approved manner. 7. Remove distribution pipes and observation pipes. 8. Remove end cap markers if present and dispose of properly 9. Remove clogged sand plus an additional 3" of clean sand and dispose of properly. 10. Szunplc remaining sand a[ several locations for proper particle size. I 1. lnstall replacement mou�d system using procedure outline in approved mound syslem component ma�ual. Keal tstate Sawyer County Property Property Status• Current Listing ' Today's Date: 10/12/2021 Created On: 2/6/2007 7:55:49 AM Description Updated: 9/27/2010 Ownership Updated: 8/2/2018 Tax ID: 29087 CAROLYN J ROCHESTER MN P�N: 57-026-2-39-09-27-5 05-004- HUIZENGA TRUST 000140 Legacy PIN: 026939275414 Billin�Address: Mailing Address: Map ID: :4.14 CAROLYN J CAROLYN J Municipality: (026) TOWN OF SAND LAKE HUIZENGA TRUST HUIZENGA TRUST STR: 527 T39N R09W 2323 SILVER CREEK 2323 SILVER CREEK CTNE CTNE Description: PRT GOVT LOT 4 LOT 4A CSM ROCHESTER MN ROCHESTER MN 6/160 #1201 55906-2211 55906-2211 Recorded Z.070 Acres: Site Address * indicates Private Road Lottery � 15310W ALLENDALE STONE LAKE Claims: LN 54876 First Dollar: Yes Waterbody: Ham Lake Zoning: (RR1) Residential/Recreational Property Updated: 9/28/2017 One Assessment ESN: 423 2021 Assessment Detai) Code Acres Land Imp. Tax Districts Updated: 2/6/2007 RESIDENTIAL 2•070 110,000 77,100 1 State of Wisconsin 57 Sawyer County Z_Year 026 Town of Sand Lake Comparison Z020 2021 Change 572478 Hayward Community Land: 110,000 110,000 0.0% School District �mproved: 77,100 77,100 0.0% 001700 Technical College Total: 187,100 187,100 0.0% Recorded Documents Updated: 9/23/2014 property History QUIT CLAIM DEED N/A Date 413644 Recorded: 8!1/2018 WARRANTY DEED Date Zg0887 691/360 Recorded: 11/16/1999 CERTIFIED SURVEY MAP Date 168160 Recorded: 12/28l1978 =��''=—"'��"E�^��>� PRIVATE ONSITE WAS�E TREATMENT county �� SYSTEMS ��S��s ��; Sawyer �;_' ( POWTS) �:��r�-„�/ ��'—��'��`='� INSPECTION REPORT sa�itary Perrnit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION p�a r- `� � Personal infonnaYion you provide may be used for secondary purposes[Privacy Law,s. I 5.04(1)(m)] Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#: C�� 4-��, c�-e.h Sqn CR��-- f'�i3 -o��Zc� ► l 6�' c_ Insp BM Elev: BM Descriptio : Parcel Tax No: tS,�.�` \ � �" �Y� c QoZ�o— '�'f J �—�- / " � 7 � TANK INFO MATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic Benchmark _ Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG VENT TO ROAD Dt fnlet AIR INTAKE Septic NA Dt Bottom 3l.S� � Dosing NA Installation Contour Aeration NA Header I Man. ,p ` Holding Dist. Pipe �( 3Y ` PUMP 1 SIPHON INFORMATION Infiltrative � Surface �•� Manufacturer Demand Final Grade Model Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist. To Well DISPERSAL CELL INFORMATION DIMENSIONS W 6 � a #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav ° Conv � Aggregate INFORMATION P I L Bidg Well Waters °� G ❑ Chamber Model Number: ❑ EZFIow CELL TO � Mound o Other — — --- - - --- ----- DISTRIBUTION SYSTEM x Pressure Systems Only Header I Manifold Distribution Pipe(s) i X Hole Size X Hole Observation Pipe� Length Dia Length Dia Spac I _ �! Spacing ❑Yes ❑ No � - - --- �--- -- _ ____ - SOIL COVER - - -- --- -- - -- — -- — fDepth Over Depth Over Depth of Seeded/Sodded Mulched Cell Center �ell Edges ( Topsoil_ _ � ❑Yes ❑ No ❑Yes ❑ 'Vo COMMENTS: (Include code discrepancies, persons present,etc.) � �s�l l�� (��(a.� � �, y �cd,c-e_ W10�,� o�� i � ---___� f�!� � _ �! � � , / Plan revision required?0 Yes❑ No I b3 � ��O I�a� I, ��b Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�OITIONAL COMMENTS ANO SKETCN SANITARY PERMIT NIJMAER___��._1�7_,_ e��l l ��, \ � , �, ��o ti a �� .,.G3�`''�„� ��s�s k ��`� �.'�`°`�' �-(c��I�.. �. �,--- ��.