HomeMy WebLinkAbout028-742-23-5416-SAN-2022-221 �;��=��,",;�., Industry Services Division County �
�� , 4822 Madison Yards Wa� SaWyef �
� aP - Madison,WI 5370J Sanitary Permit Nwnber(to be tilled in by C �
�. S P.O.Box 7302
�''�; �— Madison, W[53707 C.�3 q a f � �
"r=;�-.:�"-�'=':
Sanitary Permit Application State Transaction Number �
� �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this fonn to the appropriate govemmental unit
is required prior to obtaining a sanitary permit Note: Application fonns for state-owned POWTS are submitted to Project Address(if different than mailine a
the Department ot�Safety and Professional Services Pcrsonal information you provide may be used for sccondary �293�� �aSt Ba pd —�
purposcs in accordance���ith the Pri�acy La�v,s. 1�.04(I)(m),Stats. y R
I.Application Information-Please Print All Information
Property Owner's Name Parcel#
WILBERFORCE LLC 028-742-23-5416
Property Owner's Mailing Address Property Location
70 MELBOURNE AVE SE c;�,�� ��t Prt4
City.State Iip Codc Phone Number
MINNEAPOLIS, MN 55414 '�a, �q. seC11On �3 _
11."1'ype of i3uilding(check aIl that apply�) I.ot# T 42 N R �� E or W
�1 or 2 Famil� D�cellino-tiumbzr o1 Bedrooms 4 2
Subdivision Name
131ock#
�Public/Commercial-Describe Use
�City of
�State Owned-Describe Use CSM Number �Village of
31/115 # 7698 0�'�°����°'�sp'der�ake
IIL Type of POWTS Permit:(Check either"New"or"ReplaccmenY'and other applicable on line�1. Check one boa on line�3.Completc line C if
a licablc.)
`�� ew S stem Ke lacement S stem Othcr Modification to Existin S stem ex lain Additional Pretreatment Unit ex lain
✓�`� � Y � P Y ❑ B Y ( P" ) ❑ ( P )
B' �Holding Tank �In-Ground �At-Grade �Mound �[ndividual Site Desien Other 1�ype(explain)
(conventional)
C• ❑Rcnc��'al Bcfore �Revision �Chanec of Plwnber �Iransfer to Ve�c O���ner�"st Previous Pennit Number and Datc Issued
lixpiration
IV.Dispersal/Treatment Area and Tank Information:
Design I�lo�ti�(,pd) Design Soil Application Rate(gpd/st) Dispersal Area Required(st) Dispersal Area Proposed(s(j System Elevation
600 0.7 858 892 95.00 `
Capacity in Total #of Manufacturer
�
"I'ank Information Gallons Gallons Units � � U ,"O, �
U y � �
New Tanks Existing Tanks � o a� � � � ro �
a` U v� � cn c: C7 a.
Septic or Holding Tank 1250 1250 1 WIESER CONCRETE ✓ �
Dosinp('hamber � � �
V.RespOnsibility Statement- I,the undersigned,assume responsibility for installatioa of the POWTS shown on the attached plans.
Plumber's Name(Print) Plu 's Signatur MP/MPRS Number E3usiness Phone Nwnber
Travis Butterfield 652879 715-634-8176
Plumber�s Address(Svect_Cit}�.State,Zip Code)
14346W St. Rd. 77, Haywa , I 54843
VI.County Department Use Only
�A ��c � Disappro��ed Pennit Fee Date Issued Issuing Agent Sienature
❑O��ner Given Reason for Denial $ "'� '� ���! ��`� �Ga�(,t,�„1(�A-�'�"�'✓�--
Conditions of Approval/Reasons for Disapproval
`, �� �� \J � ��
�� � [�� �:�3��. $1�� J�-� �� -----� �
� AUG 2 6 2022
1 i��y
GS� � 1 ^ Q � , � I$q SAWYER COUNTY
--IJ F�l`�SSe�.I'4,-� . � Mli�IiSTRATt4N
:4t[ach to complete plans for th s��stem and submit to the Counh�onh�on paper no[ ess than 8 1/2 x 11 inches in size
se�-��yx�K.ozi?z� NO RCFUNDS AFTER
ISSUE OF PE�tMtT
PAGE 1 OF 4
in-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
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 Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
WILBERFORCE LLC
owner Name(s): WILBERFORCE LLC Phone: - -
oW„er Address: 70 Melbourne Ave SE Minneapolis,Ml� Zip; 55414
Project ,4ddress: 12932N EAST BAY RD
Govt. Lot: 1/4 of 1/4, Section 23 , T 42 N-R O7 E ❑or W ❑✓
Township: SPIDER LAKE County: SAWYER
Project Parce� �� #: 028-742-23-5416
Designer Information
�esigner Name: TRAVIS BUTTERFIELD Phone: 715 _634 _8176
�esigner �4ddress: 14346W ST. RD 77, HAYWARD, WI zip: 54843
E-mai�: OFFICE2BUTTERFIELDDRILLING.COM �i�i,�;����,�rr�ser���a��t ar�>>������i ���:�:,:E�.
�icense Number: 652879
Remarks:
Lf --� Date: �S 2� ZZ-
Signature:
iginal signature required on each submitted copy.
PAGE 2 OF �{
WILBERFORCE LLC
570282420723505Q0400016{�
TOWN OF SPIDER LAKE
S�3 T42N R07W
PRT GOVT LOT 4 LOT 2 CSM 3ll115 #7698 SPIDER LAKE
SIIARED EASEMENT ROAD OFF OF EAST BAY RD 75.50' +/-
WTLBER�'URCE LLC
7p MELBOIJRNE AVE SE � �v,;rG�= `} {��US
NIINNE�IPOLIS, N1N 55414 � Gna,wtib2+�S
651-263-83$6
��GST IZL I C�--
BM NAIL NORTI-I SII�E A�I' BASE OF
� I S,,s�-�v� ��.v. ��.,
WHITE PINE TREE 16" DBH � PROPERTY LINE
I 2�0 Wz�s�2
SYSTEM ELEVATION RANGE �`�~'���
95.32' TO 94.15' T���
SIZED AT Q.7 �� PROPOSED 't BEI7RM
� 5�.,4o SLAB
0 0 �o W4.1.�.
•
�
a� +�0.c L v.n�,,.+
Q pbS
I3
6.82'
B2
99.14'�
BM
1 Q�.O' D
—PROP4SED DRIVEWAY
�
���s
PR�POSED
GAKACiE
SLAB N
�CAi,E 1"=�0'
4 r av i s ��-�-�i��c�
rn�Qs� 5a��(°�
�
Septic Tank(s) Manufacturer:
IN-GROUND GRAVITY DISPERSAL AREA wieser Concrete
Uniform Elevation Trenches with Quick4 Standard-W Chambers SepticTank(s)Volume(s):
3-ft Trench (down-sizing credit) 1250 gal gal gal gal
Effluent Filter Manufacturer:
BESt
I
Erfi�er,t F�ice�Modei#: GF10-8
min.12"
(lypical)
SOIL COVER
12„
min.trench
depth
«p��a�� '� • � TYPICAL TRENCH
� � - . �� �� �� ��°�.a��•. CROSS SECTION VIEW
� 34�� �` �°� �� � � (No Scale)
(typical) •.a , • .
n d ••
. • ° Provide minimum 3 ft
System Elevation — 95 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
instructions.
(No Scale)
i-- - - - - - - - - - - �� - - - - - - - �� - - - - - - - — �
� � �_ �• ' , I �q= 3.Oft
� � � � �tYPical) �
�- - - - - - - - - - - - �� - - - - - - - �� - - - - - - - - - � �
�— B = gg ft - I m
(typical) Quick4 Standard-W Chamber W
INSTALL PER TRENCH: (typical) �
(mfd by Infiltrator Systems,Inc.) �
Install pursuant to manufacturer's instructions.
22 Quick4 Std-W @ 20 f� EISA/chamber= 440 ftz �
+ � Pairs of end caps @ 6 ftz EISA/pair= 6 ftz
= Proposed EISA per trench = 446 {tz Required Infiltration Area = 858 ftz Distribution Method:
x 2 trenches = Proposed Total EISA = 892 ftZ branched manifold
�
PAGE40F4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384,Wisa 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<_220 mgL-'; TSS<_150 mgL-'; FOG<_30 mgL-'
Inspection Checkiist INSPECT EVERY 3 YEARS
o type of use
c age of system
c 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,wrrosion,etc.)
o solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s)(i.e.,distnbution/drop boxes)
o neglect or improper use(i.e.,exceeding design capacities,prohibited activities,etc.)
o extent of ponding in distribution cell priorto dosing
o dosing irregularities-if applicable(i.e.,pump re-cycling,float switch settings,etc.)
electrical components-if applicable(i.e.,wiring,connections,switches,controls,timers,alarms,etc.)
distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification)
c surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
o Septic and dose tank(s)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 filterls)shall be inspected every 3 years and shall be deaned 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: BUttel"fIeICI IIIC Phone: 7�5-634-8176
�o�ai go�er�me����;t: Sawyer County Zoning &Conservation phone: 715-634-8288
Localgovernmentunitaddress: �06�0 Malll St, Suite 49, Hayward, WI_Z�p 54843
Any defective part ot this system shall be repaired,replaced,or removed pursuant to SPS 383.51 (1),Wisa 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.
Continqencv 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 Abandonment
If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisa Admin.Code.