HomeMy WebLinkAbout002-939-06-4102-SAN-2022-215 :��"" Department of Safety cO°°ry �
-��\� = & Professional Services, S 4W e� �
= � _ - Sanitary Permit Number(to be filled in by C Z
,;; `\ �_ , Industry Services Division
,� �3� �c.,� �
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Sanitary Permit Application State"fransaction Number �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of[his form to the appropriate govemmental unit �`' �,J ~6$I��l�I u -� �
is required prior[o obtaining a sanilary permiL Note:Application fornts for state-owned POWTS are submitted to Project Address(if different than mailing a �
the Department of Safety and Professional Services.Penonal inYormation you provide may be used for secondary
purposes in accordance wiih the Privacy Law,s. I 5.04(I)(m),Stats_ ��5►�N ��E��(�e r R d
1.Application Information-Please Print All Information
Property Owners Name Pareel#
Na�. No s�ad C�O� � g 3�1 - OC. �110�
Property Owne 's Mailing ddress Property Location
d Dc ��.� �
City,Statc 7_ip Code Phone Number ���
�QS MO�n�S � S� So3a� NC '/e, � E '/4, Section v�
!I.Type of Building(check all that apply) Lot# T 3 9 N R OQ f�
�I or 2 Family Dwelling-Number ofBedrooms 3 -- Subdivision Name
Block# �
❑Public/Commercial-Uescribe Use
'— ❑City of
❑State Owned-Describe Use CSM Number ❑Village of
— �'ro.�or 13as5 LaKe--
tll.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.
�.
❑ New System �Replacement System ❑ Other Modification to Existing System(cxplain) ❑ Additional Pretreatrnent Unit(cxplain)
B' ❑ Holding Tank ❑ In-Ground ❑ At-Grade �Mound ❑ Individual Site Design yp ( p )
❑Other T e ex lain
(comentional) (,7 C6�i+��Q'�
�-• ❑ Renewal Before ❑ Revision ❑ Change of Plumber ist f'revious Permit Number and Date Issued
❑ Transfer to New Owner
Expiration (�(y�k ?
IV.DispersaUTreatment Area and Tank Information:
Design Flow(gpd) Design Soi Application ate(gpd/sfl Dispers I Area Required(s� Dispersal Area Proposed(s� System Elevation
y5� I.� a.o c� ,� $( a�s' �sa a�� .s 9(�.so e'�,,.
Capa ity in Total #of Manufacturer
�
T'ank Information Gallons Gallons Units D � U �, �
New Tanks Existing Tanks v o y � � � � �
C,b P13 0 n`. U 'v'� �, vz w c7 n,
Septic or Holding Tank 1 hO� 1�/10 � r �C� �
V J IJIJ
I)osing Chamber �� �— �D�
V.Responsibility Statement- 1,the undersigned,assume responsibility for installatioo of the POW1'S shown on the attached plans.
Plumber's Name(Print) Plumber's Signature MP/I�1PRS Numtxr Business Phone Number
D lan ScH� lt2 �src��a9 7��-s58 -S�O�I
Plumber's Address(Street,City,State,7_ip Code)
'7o'7toN S�o�c I�ati�, Rd 5�,� LaKc, wZ 5`f8'1 (p
VL Coun /Department Use Only
�A �e ❑ Disapproved Permit Fee Da[e Issued Issuing Agent Signature
$ ya�.d9 gr�a �a ti,,�Q�¢,�
�✓ 0 Owner Given Reason for Denial I � ���
Conditions of Approval/Reasons for Disapproval D ���;-;�k�1;�:�a r-�-�',;°-.,;1.A
�m t �;
� �'Jj ll.,y , r f; . �-:
_� t 4
�I G� �� . � ---- -. _
� � -� �:; __ �SI�a-lao?.. _ �
I I 3 c, �--.' �R�1G 1 � ���2 y_�
C� � � � — 1 1 O 1�Gw (,��r�d #30�13 SA1NY'�Fi COU1�lY
ti�} ,ZO�'ADMIhI�TRA�I(ah1
Attach to complete plans for the system and submit to the County only on paper not less than 8 ll2 x I1 inches in size
NO REFl1NDS AFTER ,��u�
sB�-639s�x.o3i22� ISSUE OF PEkMI�'
�\\C�N.I\I/�\�\
Wisconsin Department of Safety and Professional Services /� � � Phone 60R 266-2112
Divisiov Of Indubtty ServiCes i ��� �`r� Web:t up i n .�i.eo�
4822 Madison Yacds Way !=1 �� �'� 8mail:dsgy � i.In.�o�
ro so.�3oz ''' � P r
Madison,w�53707 A; � '� Tony Evera,Govermr
��—�� Dan Hereth,Secretary
�:h,—.>``-
Auguatl7,2022
CONDITIONAL APPROVAL
PLAN APPROV AL EXPIRES:2024-08-17 .=,�P RO V ED
Plan Review: PWTS-082201918-C oe�� J' SnFETV AND PROPESSIONAL
SERVICES
'.��"'SION OF INDUSTRY SERVICES
Dyian Marshall Schultz
7076n stone lake rd
Stone lake WI 54876 � ���K ��
�.['FCORRESPON�ENCE
s�TE: Hogstad
Town of BASS LAKE
Sawyer County
Total Amount:$250.00
FOR:
Geomat Mound Component Manual-5/18/22
Descriodon:450 GPD(3 Bedrooms—Renlacement)
Maintenance Required
The submittal described above has been reviewed for confovnance with applicable Wisconsin Administrative Codes and Wisconsin
Stamtes. 7'he submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with
the enclosed approved plans and with any component manual(s)referenced above.The owner,as defined in chapter 101.01(t0),
Wiswnsin Statutes,is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in[he state unless licensed to do so by[he Department per s.145.06,stats.
The following conditions shall be met during cons�ruction or installation and prior to ocwpancy or use:
• Preserve dispersal area prior and during construction to avoid disturbance,compaction and use of[he site.
• Any tall grasses,leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting
under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area.
• Prior to coostruction of the disoersal area.check the moisture content of the soil to a deoth of 8 inches.Smearine and
comoac[in�of wet soil will result in reducine the infiltra[ion caoaci[v of the soil.Prooer soil moisture content can be detertnined
by rolling a soil sample between the hands If it mlls into a 1/4-i�ch wire the site is too wet to nreoare If i[crumbles si[e
preparation can oroceed.If the site is[oo we[to prepare.do not nroceed until it dries.
• Abandon Existing System per SPS 38333
• � . .�, : � �: ' :�.��;:.. . . �,:���,. ud (_P\I
• Divert surface wa[er from POWTS Area.
• All piping shall conform to SPS Table 38430-3 and SPS Table 38430-5
• Insulate building sewer beyond 30 feet per SPS 38230(11)(c)
• Tank lnstallation to follow all manufacture's recommendations.
• Verify property line(s)prior to ins[allation.
• Well setbacks to meet chs.NR 81 I &812.
• rock Pragments,tree roots,swmps and boulders reduce the amount oi+od avuiluble ior proper
�.iilable.trees in Ihe basal area of the POWTS Disoersal Area must be cut off at ground level. A
,.�.��i,�. ,'� ,�, ��nnditinn.urc cncnumi�rcd.�n�•ro�ide cufficicm fnfiltrwi��r nrea.
Owner Responsibilities
• The current owner,and each subsequent owoer,shall receive a copy of this le[ter including insWctions rela[ing to proper use
and maintenance o(the system. Ownecs shall receive a copy of the appropriate operation and main[enance marmal and/or owner's
manual for the POWTS described in this approval SPS 383.54(1).
• In the eveot this soil absorption 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.
A copy of[he approved plans,specifications and this letter shall be on-site during construction and open to inspec[ion by au[horized
representa[ives of the Deparhnent,which may include local inspectors. All pertni[s required by the state or the local municipality shall
be obtained prior to commencement of constructiodinstallation/operation.
In gran[ing this approval the Division of Industry Services reserves[he right to require changes or additions should wnditions arise
making them necessary for code compliance.As per sta[e stats 10 L 12(2),nothing in this review shall relieve the designer of the
responsibility for designing a safe building,strucmre,or component.
Inquiries concerning this coerespondence may be made to me at the telephone number listed below,or at the address on this lettefiead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are
responsible for the installation,operntion or maintenance of the POWTS.
Thanksp, � �i
U.ur U.an,�.I d=era,f
POWTS Plan Reviewer—Waslewater Specialist
Department of Safery&Professional Services�Division of[ndustry Services
Emaih tim -ndcrl•eat. i�+i.con;iu-eo�
Cell: 608-516-6134
_ �,.
noccs��rm rnmrm�nn�
� ��
INDEI(AND TITLE PAGE
. . . . . ,. �,__ . . . _ . _.. - � APPROV"
�ED
H S�aE-Kel4verRd ..—__�a�sacerr��oraoreas�w��
PrOleCl Name . �_. . . . _.__.__ -. seavices
Nant H S�d. _ M`/�SIONOFINOUSTRY9ERVICE9
Owners Name _Y °9 --
Ownefs Address 2329 Glenwood Dr. . ,__, � Lu� ��
—� -- - ----�—
DCS�MdneS IA 50327 . ___________—.------�EcoaeesvouoeHce
Property Atldress 7057N Kellner.RG____--,_---____---- —
- --_.__.—_—_—
--—"---
Legal Descnption NE SE _ S 6 T_39 N R 9 W
Townshlp Bass Lake . _____ Counry�. Saw er
�Subdmsron Name ----------------'—
Lol Number. Block Number. _. _ .__ CSM#. .
ParcellD. Number 0�2-939-064102 __--_--.��-
IPlan TransacUon No.� __ _
Page 1 Index and title Pa9e 9 Tank cross sections
Page 2 Data entry Page 70 Srte Diagram ... .___,_
Page 3 GeoMat mound drawings _.—��------
Page 4 Lateral and dose tank _._---
Page 5 D�stnbuhon media ------
Page 6 System maintenance specficatwns ____
Page 7 Management and conUngency plan _
Page 8 Pump curve and specifications .__
Dylan Schultr__ License NumDer 1516129
---
- -----�-"� - �-� P�one Number: 715 S5B-5904
Date 07/3022 �. --��.-----
Signature
Designer State of Wisconsm Approval SWmp-
pmpneE Punuent lo IOe
Synergy Systems L L C.GeoMat Mound Component Manual(Editwn i,2017).(N 4/in.
SSWMP PuW¢alion 9 6 Desgn ol Pressure Dislnbulwn NeNrorks for ST-SAS(01/81)a�tl
Prcssure D�stnCutioo CumVo^enl Manual Ver 2 0 SBD-10708-P(N 01/01,R 10/72)
� GeoMa[Mound Edd�on 1. 2017 Page 1 ot 10
Design Workeheet
R Residential or Gommercial Design �N ISD Required?
500.00 Estimeted Wastevrater Flow(gpd)
1.60 Peaking Factor(e.g. 1.5=150%)
450.00 �esign Flow(gpd)
3.60 Site Slope(%)
88.60 Instella6on Contour Line Elevalion(ft)
21.00 Depth to Limiting Factor(in)
0.80 In-sRu Soil Applicetion Rate(gpolft�)
1 Z0.00 Contour Length Availabta(ft)
3.?b Cell Width(ft)325.6.5 or 9.75 Oniv 70.00 Designer Input Cell Lergth(ft)
2.00 Dispersal Cell Design Loedirg Rate(gpolfl�) Dispersal Cell Length Required(R)
2 Influent Wastewater Qual"ily(t or 2)
E CeMer or End Manrfold Are the Iffierela the highast iM
1 Number of Laterals in the disfibution �
0.00 Lateral Spadng(ft) �BMrork7
2121 Foreemain Drainbadc(gap If N ebove,eMer the elevation ft
0.60 Forxmain Fitter loss(ft) of 1he highest poiM.
2.00 Forcemain Diameter(in)
730.00 Forcemain Length(tt) Does the forcamain drain badc?�Y �
80.00 Inside Pump Tank Elevation(ft)
0.188 Orifice Diameter(in)(e.g.025)
2.00 Estimated Onfice Spacing(ft)= 6.50 ftlorifice
3.25 System Mead(tt)x 1.3
8.58 Vertical Lift(fl)
7.53 Friction Loss(ft)
11.86 Total Dynamic Head(ft)
55.46 5x Void Volume(gal)
76.66 Minimum Dose Volume(gal)
22-94 System Demand(gpm)
Lateral Diameter Selection Manffold Diameter Selecfion
in.dia. o tions choice in.dia. o lions choice
0.75 1.25
1.00 1 �
1.25 Z-�
1.50 3.00
2.00 x x
3.00 x
Treatment Tank�Mormatlon Hflwot FlIEe►��ormatlon
1000 00 Se tic Tank Ca al) Lifetime Flter LLC Filter Manufacturer
Wieser Concrete Producls,Inc. Manufadurer LT 1/8 Fitter Model Number
Dose Tank IrNortnatlon Gallonsllnch Calculator(optional)
602.82 Dose Tank CeDacity(gap 602.82 Total Tank Capecity(Qal)
11.82 Dose Tank Volume aUn) 51.00 ToYai Working L"quid Depth(in)
Wieser Concrete Producte,Inc. Manufecturer 71.82 gaVin(enter reauR in cell DoaeTankVolume)
Projeot: Hogsted-Kellner Rd Page 2 of 10
- -t
_
J
.. .'.1/��. . . � . . ObservahonPipe. .� � � _1
K
T
5 A
W � � _�
B
❑
3
�-
�
�l
Down slo tce extension made.
D 70.00 n G 10 50 ft H 4.� ft W 85.47 ft
227.50 (ft)Dispersal Cell Area 750.00 (ft�)Basal Area Available
6.43 (gpolft) Linear Loading Rate 7.00 (ft) 1/10 B Obs. Pipe Placement
GeoMat Dispersal Area
Observation Pipe
12"ASTM C 33 sand as 6eoMat
required for Geo Mat Distribution Cell
component 6 GeoMat+12"ASTM C33 sand
� I
� / 2 i i
98.75 Finish Grade ���j. Cover Material
97.58 LaterallnvertElevatlon i ! • • � '•'�'• �'•'• � !j.
96.50 DispersalCeil • • : 4:. ,�� � Slope 3.5
Elevation � ' '
� , � �, .� Contour Elevation 96.50
\��. 4 � � Tilled Area
Forcemain
� In situ soil �
In situ soil
� � Topsoil Cap
2 C� 5ubsoil Cap
3 L-3 pSTM C 33 sand (F)
4 � ASTM C 33 sand (D)
5 0 7liled Layer
6 � Geo Mat
See tletails on page 4 for number,size,and spaa�g of laterals.
Project: Hogstad-Kellner Rd Page 3 of 10
•=Twn-upw/ballvaiveorcfeanout �
All�or�ces point down
I v I lst orifice located at Z
N—k
._.-----�-�P
_ �
�La[erals&force main of PVC Sch 40 cer SPS Table
Number of Laterals � Orifice Diameler 0.'IBB in
Lateral Diemeter 2.00 in Orifice Spacirg(X) 2.00 ft
La�eral LengM(P) 89.00 ft Orifices per Laterel 35
Lateral End(Z) 1.00 ft Oriflce Denslry 8.50 tl�Io�
Lateral Spetlng(S) 0.00 ft ManiFoW Lengt� 0.00 R
Leterel Flow Rate 22.94 gpm Manifold Diameter 2.00 in
System Fbw Rate 22.94 gpm Forcemain Vebcity 2.34 ft/sec
LockinS�r�NN�wmi�kbci.
bcking Cevitt ontl weu+tigM xnl
J'V�IIW COvtt •
[I.cIriW bm
ss�r NEC)00
mtl5PS316.�WAC
FmisheJ GMe
^Cleen oul Pipe Optbnel WI
Wire�FmmElMriczourtc mm�M. of
�m��na m..e
crywim.� nn Forceme�n aiemMx
�•mm � " 2 in.
IBosanm rnrnn� qp�
� and wnmr ""�� '"O1"'
/�. IiBh�B�� selW6rvud FlmFo
u•mr�.>ax
Sim/Tech Flker �'sdn1z
$TF 100 1/i6 BMig�wetcralu�m =
.i PumPOnPiaet t
e` �--PumPORebveEon(R)
� PompOf(Ploet �mP F 91.00
i
�si,.� �_Owa Wk devatia�(fl)
�.�
"Heddin undertan
Dimension Inches Gallorre WieserConerele Producta,Inc.
A 30.51 300.88 Ca aci 802.82
B 2.00 23.64 Volurtre 11.82 9eVnch
C 6.49 76.88
D 12.00 141.84
Totel 51.00 602.82
Fiker Manufadurer Sim�Tach Fiker __�
Filter Modal Number STF 100 tlt6 I
Alarm Manufaciurer SJE Rhombun
Nartn Model Number AB
Pump MenufacWrer LJbe Pum
Pump Motlel NumDer 283
Pump Must Deliver 22.94 gpn at 11.88 ft TDH
Note:Switches containing mercury may rrol be used in this system.
ProJect Hogetad-Keilner Rd Page 4 ot 10
325 cen wiam I+U �.ea swewan w�arer�i I+q
Distributlon Cell Cross-secdon Arrangements
�� ,� �„� �g ,.. v� � �7 C�,,v�
�-�-'�:`',.`'..���r:J,-�,.�.,�,;��`J�.�,.�,.�%,�„G�� O�jJ����
� Distn'bulion Pipa WM Pfesaure Leteral L.J O�ce S�leltl
� Tumup EnUowra ————— P�e%su2 Leteral
GeoMat ie covero0 wiN eppioveC geulextile fabrfc as pet ihe ihair Producl aPDroval.
Dlatrtbutlon Cell Plan View Layout-Typical
325 Cell YVIEth-A(R) 70.00 Cell Lanqth'B(iq
ErM Conrrection Lafe�al Layuu[Diapram
�OOOOOOOOOOOOOOOOOD 000'(�O���aV 000�6t�G000
���C��o�CF�d�b�o�����"00���)�d�in��� o
o � o00000000000000_00000000�_��2.�?��" �`� ' �
DlstAbution lateral
Send FO Recommentletl p�ce Shidd
_ 1� �1
Pipe Dia. AGP���^Fnret've Fabric
�. , �
Ab7T137� •�.'•'•'• GeoMat
1 Component
� .��.a�.'.•.
� F'._�I - . Irifiltrative Surface/Plow laYe�
g ti.�ssa
. ..: � . . . . . .
WaR�TYM
� L� Topsoil Cap
raeen.� � �'M�� �� � 2 C] Subsoil Cap
� �� 3 � ASTM G 33 Safltl (F)
q � AS7M C 33 sand (D)
i•Mm � i,wurt = i mN 5 ��� Tllled Laye�
nd� 6 Qy;�T;� Geo Mat
6 —
i�•emu;.
�� + 3
3'A8111GDride' + + + +
.S�BB A8191�6 M plBB d/IX f11AlIC9I.828�BIW b�1�9 G(�81Bf8�8.
projCct: Hagstad-K211ner Rd PegB 5 Of 10
Service Providers Name n Schultr Phone 715 558.5904
POWTSRegulatorsName Cou SPIA-Zoni Adminishstion Phone 15 634-8288
S�stem Flow and Load Parameten
Design Fbw-Peak 450 gpd Ma�dmum I�fluent Pertide Size 1/8 in
EstimatedFlow-Averege 300 gpd Ma�tlmumBODS 30 rtgll
Septic Tank Capadty 1000 gal Ma�dmum TSS 30 mg/L
Soil Absorption Component S¢e 227.5 flz Ma�dmum FOG 10 mgll.
Type of Wastewater pomestic Ma�dmum Fecal Colifortn t0E4 cTW100 mL
Service Freauencv
Septic arW Pump Tank Ins andlor service once eve 3 ars
EfflueM Fitter In and dean as necessa at least once ev 3 ars
Pump and Controls Test once eve 3 ars
Alerm ShouW test eriodical
Pressure System Laterals shoultl be flushed and reasure teated eve 3 rs
MouM Ins for In and sea e once eve 3 ars
Other
Miseellaneous Constructlon and Materiab Standards
t. Observabon pipes are sbtted and materials confortn to Table SPS 384.30.7,hava a watertight cap and are secured in as
shown in the Synergy Systems GeoMat Mound ComponeM Manual Version i,2017.
2. Dispersal cell media confortns to GeoMaf produds apprwetl fw use wkh the Synergy Systems GeoMet Mound ComponeM
Manual Versio�t,2017. Medie is covered wiTh an approved geotex6le fabric.
3. Ail grav'ity antl pressure piping materials contarm to the requiremerrts in SPS 384,VY�s.Adm.Code.
. 4. Tillage of the basal area is acmmplishetl wtth a mo10 board or chisel pb�v.
5. The mound sWcture and other dlaturbed areas will be seeded end mulched W prevent soil eroabn and help reduce frost
penatrauon.
Laterel 7um-up Detall
,>6-8"otameter ;,���`��..�� ' ' ' +'�'� Threaded Geanout
. o o,o o.r c,�cFinished � . o->
�' � J'C`:��0 C C tJ J C
� .Lawn Sprinkler , o+,�o o Grade >'�°- Plug or Ball Valve
-'`Box o�c�°�<`o c . . ''. .
�'o�o�o��o o�u= °o°o�o�u��Oc+�"o° < ' 'i n "
go laterdi Ends at Last Orifice Where o��. � ,
� .'.cocc �:>� '�
pO�o�O � -:'� U o O >O'J .-(c �c r
o�o�o� � �. ��;�<uoon� '�'c�,� LOng$Weep 90 of TWo
��45 Degree Bends Same
0 o�pTT�TC�'C'e''��rtR'�Oo o ����o o�
E o o°i o o" .;o ;�'o`o�o o c;o�o� Diameter 25 Ldteral
n
�oo a _ _ c � c ��o
.�a �c�< <d,, � '-". ,}c 'i c �o"
o c c c. � � ��l4���1��i
� > >
U�l OV.li.[i(�
Distribution Wte21 W[eral Geanout
2.5 Feet
Projed: Hogstad-Kellner Rd Page 8 of 10
Mound System Management Plan
Pursuant to SPS 363.54,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[Synergy Systems LLC.,Geomat Mound Component Manual version 1,2017,Pressure Distribution Component Manual Ver.2.0
SBD-10706-P(N. 01I01)and SSWMP Publication 9.6(01/81)]and local or state rules pertaining to system maintenance and maintenance
reporting.
Septic and pump tank abandonment shall 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 nsers and covers should be inspeIXed for water tightness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or
subject to failure must be repiaced. Exposed access openfngs greater than 8-inches in diameter shall be secured by an effective locking
tlevice to prevent accidental or unauthorized entry fnto a tank or component.
Seotic Tank
The septic tank shall be maintained by an individual ceRifed 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 wndition 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 operatioa The filter cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the flter when removed fmm its endosure. If the filter is equipped with an alarm,the
filter shall be serviced if the alarm is activated continuously. Intermittentfilter alarms may indicate surge flows or an impending continuous
aiarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds i/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 as to
when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septictank performance is generally not required. However, if such products
are used they shall be approved for septictank use by the Wisconsin DepaRment of Commerce.
Pumo Tank
The dosing(pump)tank shall 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. If the force main has a weep hole, it
should be noted if it is functional during pump operation,and if not,it should be cleaned.
"•"No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.""
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. Traffc(other than for
vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration of the infltrative surface within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the
mound be heavily mWched 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
mglL BODs,30 mg/L TSS,10 mg/L FOG,and 10^cfu/100 mL for highly treated effluent. Influent flow may not exceed maxfmum design flow
specified in the permit for this installation.
The pressure distribution system is provided wRh a flushing point at the end of each lateral,and it is recommended that each laterel be
flushed of accumulated solitls at least once every 3 years. When a pressure test is performed it should be compared to the initial test when
the system was installed to detertnine if orifice clogging has occurretl and if orifice cleaning is required to maintain equal distnbutlon within
the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluenf ponding. Ponding levels shall be reported to the owner,and any
levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitonng.
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 operating condition.
If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component(s)shall be immediatety
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 ff toe leakage occurs or by removfng biologically clogged absorption and dispersal
media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating wndition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Hogstad - Kellner Rd Page 7 of 10
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� 14�.� TANK SPECIFICATIONS
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o DIMENSIONS: a a
( WALL: 2 1/2" '
� BOTTOM: 3" a �
d COVER: 5"
� _ MANHOLE: 24" I.D. PRECAST CONCRETE RISER �i
� � � HEIGHT: 69 1/2" O.D. '�i
^ LENGTH: 114 7/8" O.D.
li / \ WIDTH: 93" O.D. �
BELOW INLET: 57" O.D.
LIQUID LEVEL: 51" a W a
� �24" � � ��`� WEIGHT: 12,380 LBS. ���
°' TYP � �'a� INLET AND OUTLET: o
� � �\• 4" CAST-A-SEAL BOOT OR EQUAL � g
\ GASKET, CAST-A-SEAL B00T OR EQUAL
\FILTER OR (�` 9�- N � �
BAFFLE / J �`� INLET AND OUTLET BAFFLE AND FILTER: m �
� � �a• WISCONSIN, SEE DETAIL �10 � � �
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LIOUID CAPACITY: 19.61 GAL/IN (SEPTIC) � �
11.82 GAL/IN (PUMP) y,��
TOP VIEW
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LOADING DESIGN: 8' 0" UNSATURATED SOIL y,��
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MN TANKS: ���p
WILL HAVE ONE VENT OVER OUTLET C��
AND WILL HAVE TWO VENTS IN COVER OVER INLET 0 z �
N a 4" VENT TANK CAN BE USED AS: �¢�
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COVER: MIX DESIGN g8 (NO FIBER) �s�
WLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) =�
- OUTLET
CUSTOMIZED TANKS: ���
FOR CUSTOM TANKS CONTACT WIESER CONCRETE 3
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NSTOMER: �
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70B NAME: �
SIDE VIEW onTE NEEOEo:
SHEET N0.
APPROVED BY: �I /
� APPROVAL DATE: I OF
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS � �
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7076N Stone Lake Rd �4 � � !3�
Stone Lake, WI 54876 � `�
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INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �� —�1�'�
Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#:
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Insp BM Elev: Description: Parcel Tax No:
(c�o.o Na�\ -{— �bb�✓1 r �O�cS-� � + (X� ����—��0—�((oa
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic w;cyu- �' pbp Benchmark �oo.a'
Dosing ��,,,� 60�
Aeration Bldg. Sewer ���6'
Holding St I Ht Inlet c�s;�'
TANK SETBACK INFORMATION St I Ht Outlet 5S �3�
TANK TO P/L WELL BLDG vENr ro ROAD Dt inlet
AIR INTAKE
Septic �4-�p� +�S� (�� f-�, � NA Dt Bottom `ja(,$�
NA Installation � / i
Dosing � k « ” Contour �o•g
Aeration NA Header/Man.
Holding Dist. Pipe ,$�
PUMP 151PHON INFORMATION Infiltrative
Surface a6.S��
Manufacturer �s-- Demand Final Grade
Model Number � GPM �11v C33 �7�65�
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TDH� Lift Friction Loss Sys Head TDH Ft
Forcemain L ` Dia " Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W 3.,ZS� � b` #of Cells Type of System Distribution Media Manufacturer.
SETBACK OHWM of Nav ° Conv ❑ Aggregate G�ol�a I —
INFORMATION P/L Bldg Well Waters o GP o Chamber Model Number:
o EZFIow
CELL TO '�S� ��� -+�po� r/ � Mound � Other
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DISTRIBUTION SYSTEM X Pressure Systems Only
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Headerl Manifold Distribution Pipe(s) � ' X Hole Size X Hole D� Observation Pipes
Length � Dia 2�� Length��' Dia �� Spac "" �$� ; Spacing 2' �Yes ❑ No
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SOIL COVER
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Depth Over �� Depth Over � Depth of / „ Seeded/Sodded Mulched
Cell Center ��. Cell Edges (�-� j Topsoil _ b_ _ �f Yes ❑ No f�7Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
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Plan revision re uired?❑Yes❑ No ; ' '' �
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Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
AOOITI�NAL COMMENTS ANO SKETCH
SANITARY PERMIT Nf1MBER av2_r�I�__
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