HomeMy WebLinkAbout010-841-27-5512-SAN-2022-190 "`�% Department of Safety c°°"n' �
`o ` - & Professional Services, ���e'r �
$ � Sanitary Permit Number(to be tilled in by Co.) �
r= , Industry Services Division
.:,..
c� 3qig3 R,
Sanitary Permit Application State Transaction lvumber Q�
�
In accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit �
is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address �
the DepaRment of Safety and Professional Services.Personal information you provide may be used for sewndary
purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. t�� w�,} ��np�e/�c� �� ��
I.Application Information—Please Print All Information '
Property Owner's Name Parcel#
��e�a�"}�' �.r�.�c��e� �r�.st Ot08y I� �S512
Property Owner's Mailing Address Property Location
19�5 ��es �lr'2� �v1 e Govt.Lot
City,State Zip Code Phone Number
C S�C.�� � � .�.� �Dd�/ ��'.S�9-.2'7�y �/a, '/<, Section�
II.Type of Building(check all that apply) �o�# T y� N R � E or�
�I or 2 Family Dwelling—Number ofBedrooms g Subdivision Name
Block#
❑Public/Commercial—Describe Use
❑City of
❑State Owned—Describe Use CSM Number ❑Village of
I Gp O �Town of � V�iu__f�i_!�(
T
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 i
a licable.
A �New System
❑ Replacement System ❑ Other Modificat�on to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank f�In-Ground ❑ At-Grade g ❑Other Type(explain)
❑ Mound ❑ Individual Site Desi n
� �(conventional)
C. ❑ Renewal Refore ❑ Revision ❑ Change of Plumber ist Previous Permit Number and Date Issued
❑ Transfer to New Owner
Expiration
IV.DispersaU7'reatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation �
�oo o. � ss�. ,y Ss$ 93.3�
Capacity in Total #of Manufacturer
�
Gallons Gallons Units � o 'O„ �
Tank lnformation a� � U
New Tanks Exis[ing Tanks ` o v � y � ro �
a. U rn y rn i,. C7 Ci.
Septic or Holding Tank l „D D /�O J � �, G�, C
/
Dosing Chamber �D O ruv J
CJ
V.Responsibility Statement- I,the undersigoed,assu poosib'ity for installation of t6e POW'1'S shown on the attached plans.
P mber's Name(Print) Plumbe s Si nature MP/MPRS Number Business Phone Number
ou �as I la���e 230?�2 7is-`7�"-1-�f3��
Plumber's Address(Street,City,State,Zip Code)
'f � Ijo I�'1 �P �rr.im r►'� �n GC, (.�� .Sy�3 Z
VI.C u ty/Department Use Onty
$-" Permit Fee Date lssued Issuing Agent Signature
Ap ro ❑Disapproved
�j✓ ❑Owner Given Reason for Denial $���� �I ��� /i, � ��—
Conditions of Approval/Reasons for Disapproval r.....___,.� � �--�l
r. � Y
,�t J ����� �
:�� . g����_ � �,;
�e I ��. �
N,�
L ;
�55�; �.:�� AUG 0 5 2022 ---
C 5�--. � 1 _ ��1 cl�;� � -_----� a�q
I I ���� W o r\a � �AWYER COu�1T�'
�'� � "� (1/l�N I�NING ADMfNiSTRAi iC>�i
Attach W complete plans for the system and submit to the County only on paper not less than 8 1/2 x ll inches in size
NO REFJNDS AFTER
sB�-639g�x.o3i22� ISSUE�F PEF�MIT
II�-13�
PAGE 1 OF 5
In-Ground Dosed-Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 5 Index & Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross-Section & Plan View
Pg 4 of 5 Pump Tank Specifications
Pg 5 of 5 Management Plan
Attachments: Enclosures:
Pump Curve POWTS Application for Review
Tank Manufacturer Specs Soil Evaluation Report & Site Map
Project Name / Description
Kretchmer Conventional w/Lift
Owner Name(s): Hewitt Kretchmer Trust Phone: 815 _519 2924
owner Address: 655 Cress Creek Lane Crystal Lake, IL Z�p; 60014
Project Aaaress: 13002 West Anderson Rd Hayward
Govt. Lot: 1/4 of 1/4, Section 27 , T41 N-R�$ E ❑or W Q✓
Township: Hayward County: Sawyer
Project Parcel ID #: 010841275512
Designer Information
Designer Name: Douglas Manthey Phone: �15 _739 _6868
DesignerAddress: PO Box 196 Drummond, WI Zip; 54832
E-mail: norpines@cheqnet.net ,"�. ��. �,�� . . �� � �:�_ ��.>.
License Number: MP230722
Rema�ks:
Signature: Date: 08/05/22
Original ignature required on each submitted copy.
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��'ound E<. !�'r /-'ro/� S1.' g82`l 3% sloi�l
C ST- � i c!t �a_u �
� s �o!-2ivvoot B3
-.- Sca�/e : /`= 30� qs'.2t �
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- Com�12.n� rn0.v�uw.1 �`�%•
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IN-GROUND DOSED-GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
�
""" t2�• TYpICAL TRENCH
SOIL COVER �ryP���
CROSS SECTION VIEW
,z�.
min.nench (No Scale)
depM
(bPlcaq .
•
e .
� ��. �'� .. ,
�ryP�`a�> Provide minimum 3 ft
.
e • . ' separation between trenches.
System Elevation = 93•37 ft
(typical)
Quick4 Standard-W
W/Ef1d C8P Observatbn Plpe
- - Show location of inlet I outlet pipe connection on plan view.) —�ryP���> TYpICAL TRENCH
[ IC81 — — — — — — — — — � irns(rmanufacNrefs
� �YP � Install er
uctions. P�N V�EW
- - - - - - - -
(No Scale)
.+�rr4+��le.e��Mt���,)�r 7/� — k+��afrs�.�.tt�h�x"k �
L - - , ,� A= 3.Oft
� a�-
0 g
��YYY�Wi.YIWYYVVY�1�� 1� MY�YYYY�Y1�y1%Y�FY��M� (NPIC21)
— — — — _ _ _ _ — �J� — — _ — _ — _ �� _ — — — — — — — _ T
/
V
f B = 58 ft ~I �
(typical) Quick4 Standard-W Chamber m
INSTALL PER TRENCH: (�yp���� �'`�
(mfd by Infiltrator Systems,Inc.) O
Install pursuant to manufacturers instmctions.
�4 Quick4 Std-W @ 20 ft� EISA/chamber= 280 ft' �1
+ � Pairs of end caps @ 6 ft'EISA/pair= 6 ft' �
= Proposed EISA per trench = 286 ft' Required Infiltration Area= $57.14 ft= Distribution Method:
x 3 trenches = Proposed Total EISA = 858.00 ft� branched manifold �
PAGE 4 OF 5
GRAVITY-DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
4"m Vent Pipe
>10flfmm
Building ElecMcal must mmply wilh
12"Min.or 20 ft above SPS 316 and NEC 300
Established Flood Elevation Wealheryroof 6clend manhole nser as necessary.
«YP���) Junctian Box
Approved qpp��¢d locking Manhole
VenlCap wiih Wamin LabelAttached
IMPORTANT: � s
Anchor tank(s)as necessary (tyPi�l�
pursuant to SPS 383.43(8)(g) �co�d��� 4��M;,,.o�z.o rc abo�e
Established Flood Eleva�ion
(rypiral)
�AltllghtSeal '.
Pinished Gratle 1
' �uick�isconnect I
18"Min.
CAPACITIES @ 22•24 gaVin � . . ' ctyP'�'�
Depth (in) Vo I) • a I
A 19 422.56 — 'r�
Weep -�ApprovedJoinlswith
Hale Appmved Pipe 3 ft onto
B 2.0 44.48 A sora c���a
� Mv��p
[C] 5 111.20 +
_Alarm
D 10 222.24 B _o�
� [c] PUMP-OFF
* 36 � P°mP —a+ ELEVATION = 83•83 ft
Pump Tank Liquid Level = in
° INSIDE BOTTOM
Force Main Diameter = 2 in c°"Ce'e
ei°°k ELEVATION = 83•0 ft
Force Main Length = $� ft 3^npp�oved seddin9�na�enal Beneam Tank
Force Main Void Volume = 13 gal
[C] Total Dose Volume TDV gal/dose
�
(<02X design Flow+force main void volume)
Vertical Lift = 10.5 ft
PUMP TANK: SEPTIC TANK(S):
Volume = 8�gal Total Volume = �� 2�gal
Manufacturer: Wieser Concrete Manufacturer(s): Wieser Concrete
Pump Manufacturer: Goulds
EP0411 Install approved effluent filter at the septic tank outlet
Pump Model: immediately �pstream of the pump tank inlet
(See altached pump curve.)
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Orenco
Controls/Alarm Model: SJE1025830
Filter Model: 14B
Fioat switches containing mercury are orohibited
PAGES OFS
In-ground Dosed-Gravity Management Plan
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= 600 gpd; BODS 5 220 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 Seotic 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 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: NOf Plfl@S PlUfllblllg Phone: 715-739-6868
Local government unit: S8W)/2C COUtlty ZOCliflg Pno�e: 715-634-8288
�oca� government unit address: 10610 Mai11 St Ste 49 HBywa�d, WI Z�p 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.
Continctencv 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 approvai. 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 shail be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
�� GOULDS PUMPS Submersible
r �
�.r .� Effluent Pump
�
. � � �
,
�
�,� � � _ EP04
3871 EP05
APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower
grade turbine oil for tic enclosed design for heavy duty ball bearing
Specifically designed for the lubrication and efficient improved performance. construction.
following uses: heat transfer.
• Effluent systems ■ Casing and Base: Rugged
• Homes Available for automatic and thermoplastic design provides AGENCY LISTING
superior strength and corrosion
• Farms manual operation. Auto- resistance. SP" canadian standards Associa�ion
• Heavy duty sump matic models include
• Water transfer Mechanical Float Switch ■ �otor Housing: Cast iron
• Dewatering assembled and preset at the for efficient heat transfer, Goulds Pumps is ISO 9001 Registered.
fadory. strength, and durability.
SPECIFICATIONS ■ Motor Cover: Thermoplastic
FEATURES cover with integral handle and
• Solids handling capability: float switch attachment points.
3/a" maximum. ■ EP04 Impeller: Thermoplas- � power Cable: Severe duty
^ • Capacities: up to 60 GPM. tic Semi-open design with rated oil and water resistant.
• Total heads: up to 31 feet. pump out vanes for mechanical
• Discharge size: 1'/z" NPT. seal protection.
• Mechanical seaL carbon-
rota ry/ce ra m i c-stati o na ry,
BUNA-N e�astomers.
• Temperature:
104°F (40°C) continuous
140°F (60°C) intermittent, nn�ERs FEET ,_ _ _______ _.,,_.. .. _ ._._____ _ ___.__ _._. _._--.- --,- _._ _____ . .,__. _,____
� ; ; ; ;
io � � �
• Fasteners: 300 series - _ _ _ _ _.. � _ _ _.. .. .
stainless steel. '. �
9 30;— - __, , r _, _ _ __ i -_. --Y— —i�,�-5 GPM _,.ry .�.,.,._�
• Capable of running ; �
dry without damage to $ ;-- _._._ �.._ _ _ _._ -- -� . - _ _
' � 2.5 Ff
, j � ' _�1_ ---a -
components. 25: ,_._._______.__ �_ _ , __�_i
, ;
Q ~�, ' - __ - ---
� . ' . '
� � ' -- ' ;
-- _ . ._ ...... _ _____-
Motor: = i i ; !
v6 20t-' ! —� _.�_--,-- �._, -
• EP04 Single phase: 0.4 HP, - ; ; � I �- ;
115 or 230 V, 60 Hz, 1550 a �- . - -; -- -- I _. ---.- -_. � _.� __. �._ .. ._ . _. _., __ _ _ __._---
RPM, built in overload with > 5 ___.;_ __ � �i� �
_ _
automatic reset. ° 4 15� } ; ' � i I
a �_ __ -' - . -_ -- - -- -' -- - ; --- _ _� _ EP05 - - �
• EP05 Single phase: 0.5 HP, o i � ; i ' : � �
11 S V or 230V, 60 Hz, 1550 ~ 3 ioi -�-- - � �-`���� ��-�
RPM, built in overload with `. ' _.i �_ . .-�.._____ , . _�_-- EP � _ ._
,_.. -- - ----- - - -- �
automatic reset. z � '
; � G � _ ; ;
• Power cord: 10 foot s; — .—;-- ____ i_.._ ;
standard length, 16/3 � ; --- -� -- --__� . _ - - _� � � i
_ __. ____ _.
- � -_ __ .
SJTOW with three prong ; : : ' � ' '
-` -�_-_ ___----,-----_s___ �. �. ___ __,
grounding plug. Optional 20 � �o io zo 3o ao 5o GPM
,.-., foot length, 16/3 SJTW with
three prong grounding plug ' ' ' ' ' '
(standard on EP05). ° 2 a 6 s i o i z m3/h
caP,aciTr
Goulds Pumps
OO 2002 Goulds Pumps �''�/ ITT Industries
Effective September, 2002 �'�/
63877
WLP1200/800—MR
13'-8" TANK SPECIFICATIONS � o
o �
� ,
� �
OIMENSIONS: � a
WALL: 3" � a
BOTTOM: 3"
_ 'S===-=------------ 41 =--_____--�. � COVER: 6" � �
. �' � �� � � ` MANHOLE: 24' I.D. PRECAST CONCRETE RISER a
�j 4" CAST-A-SEAL � jj � a j� 4" CAST-A-SEAL HEIGHT: 53" �
i i i� � c> i i LENGTH: 13'-8" �
� �ti� -\ i ii i � - �i WIDTH: 8'-0" �
'� �` �('�Q� �'� `� �i � I '� �`� BELOW INLET: 41" -
� � � i j-1- � (+�y LIQUID LEVEL• 36" � �
� �� � �� �-7- �� � WEIGHT: BOTTOM 14,800 LBS. � a o �
. i �-_' • ' � li i T `- ' 4 COVER 8,170 LBS. �� 3 � o
� ii i _ o
�j FILTER OR � j� � j� INLET AND OUTLET: � m o a
i'iI BAFFLE i ij � iI j' 4" CAST-A-SEAL BOOT OR EQUAL GASKET � � � ;
r 11 ------- - ry
�_________________ - ..
Q � � w
' �� ----------�' INLET AND OUTI.ET BAFFLE AND FI�TER: v`�i o o �
WISCONSIN, SEE DETAIL #10 �' o
(OTHER STATES SEE CHART) � �
TOP VIEW LIQUID CAPACITY: 33.46 GAl/IN (SEPTIC) � �
22.24 GAL/IN (PUMP) � � �
LOADING DESIGN: 8'-0" UNSATURATED SOIL 0 � o�o
C� o I
TANK CAN BE USED AS: Q `n
� SEPTIC / HOLOING / PUMP OR SIPHON � � �
Q a 4" VENT COVER: MIX DESIGN #8 (NO FIBER) � � �
� TANK: MIX DESIGN �9 (SMALL FIBER) W
+ cO CUSTOMIZED TANKS: � �
____ ____ ____ � FOR CUSTOM TANKS CONTACT WIESER CONCRETE � �
---- ---- ' ---
INLET - OUTLET
� �
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�' ° a , � � i'.i � � , � � �, � Q
�r �� � "' i'�ia� i � � � � Z
3" � '� 0�0
��-----�--- -------�--1. .L�_---s-= -� a
I �
REVIEWED BY o c�
"� PUMP PAD REVIEW DATE a W
S�DE VIEW DRAWINGS SUBMITTED � N
FOR APPROVAL
APPROVED BY: SHEET N0.
APPROVAL DATE: � �
OF
PRODUCTS NEEDED BY: / �
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS