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Home My WebLink About028-642-20-4203-SAN-2022-283 ' "' Industry Services Division County � , �_ 4822 Madison Yards Way SBwye� j - , _' - Madison,WI 5370� Sanitary Permit Number(to be tilled in by � = P.O.Box 7302 � Madison,WI 53707 � 3� ��p � � ` State Transaction Number � Sanitary Permit Application PWTS-102202471-C � In accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit 4) is required pnor to obtaining a sanitary permit Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing t UJ the Department of Safety and Professional Services.Personal information you provide may be used for secondary �3O7�JN OICj ISIatIC� Tf81I. H8 ard, W� purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. � I.Application Information-Please Print All Information Property Owner's Name Parcel# Joseph Martin Wo� �,,,�� N�c (�(.,c 028642204203 Property Owner's Mailing Address Property Location 2513 30th Ave N E Govt Lot City,State Zip Code Phone Number St Anthony, MN 55418 248-894-8168 "W '%,SE �, Se��;on 20 II.Type of Building(check all that apply) Lot# T 42 N R 06 E or w �I or 2 Family Dwelling-Number ofBedrooms 4 6&7 Subdivision Name Block# ❑Public/Commercial-Describe Use �City of �State Owned-Describe Use CSM Number Village of 3/163 #544 ❑✓ To``'"of Spider Lake IIL Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applicable on line A. Check one box on line B.Complete line C i a licable.) '�' ew S stem Re lacement S stem Other Modification to Existin S stem ex lain Additional Pretreatment Unit �x lain ✓�`� Y � P Y g Y ( p ) ❑ ('�p ) B' �Holding Tank ❑In-Ground �At-Grade � g yp ( p ) ✓ Mound Individual Site Desi n Other T e ex lain (conventional) C• ❑Renewal Before �Revision �Change of Plumber �Cransfer to New Owner List Previous Permit Number and Date Issued Expiration SAN80-161 CST 78-151 IV.Dispersal/Treatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(st) System Elevation 600 0.5 600 600 99.33 Capaciry in Total #of Manufacturer Tank Information Gallons Gallons Units � ` o 'a � '��ew T�nks F.�istim�Tankc '�° � � = v � � o °' '. O- U V7 .n :%] C+- C� G Septic or Holding Tank 800&500 1300 2 Rasmussen ✓ Dosing Chamber 750 750 1 WI2Sef �/ � Q � V.Responsibility Statement- 1,the undersigned,assume responsibili �for installation of the PO�VTS shown on the attached plans. Plumbers Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address(Street,City,State,Zip Code) PO Box 66 Cable, WI 54821 VI.County/Department Use Only � �o�I � Permit Fee Date Issued [ssuing Agent Signature Ap r e ❑Disapproved �,,,, $ �f°o� �° �" �a� �'1.��'��-�'��= ❑Owner Given Reason for Denial • Conditions of ApprovaVReasons for Disapproval � "'+ 10 � If ��a , +��, ^� 41 e -. -- —1-- �i n 11� � ��r�''c►� � �; l �,,�7�-�l . „ ,__ � � � `; c..�. __. _ � � � OCT 0 6 2022 ,.. - � �-C� 3 , . �JU��. Wo r (d 37 5 �_� CS � �� _ � ��.�:�� --____ _ __ SAWYEg �;�%'_�f �� 'f AL�'i1,9iP�!i��i�nf;°;�f:��;�•� Attach to complete plans for the system and submit to the Counry only on paper not less than 8 I/2 x 11 inches in size 3oary ss�-639g�x.o2iaz� NO R�FJNDS AFTER ISSU€OF P�''uM�' j��\��R I\��.`' Wisconsin Department of Safety and Professional Services ��;�" �'�� Phone: 608-266-2112 Division of Industry Services �%` ��_ Web: htta:;/dsps.N�o�� 4822 Madison Yards Way �1 ``0� '�i�� Email: ds s�ciwisconsin. o� PO Box 7302 ' —�� ----- � ` � P � l Madison, w� 53707 � S j//, Tony Evers, Governor ��J\ \-� .-_/ `\ \k,,,;��t Dan Hereth, Secretary October 5, 2022 JASON KUETTEL Identification Numbers 42940 US HIGHWAY 63 Plan Review No.: PWTS-102202471-C CABLE, WI 54821 Application No.: DIS-092247067 Site ID No.: SIT-107430 Please refer to all identification numbers in each CONDITIONAL APPROVAL correspondence with the Department. PLAN APPROVAL EXPIRES: 10/OS/2024 Condi6onally APPROVED MUNICIPALITY: oEP� OF SAFETY AND PROFESSIONAL SERVICES TOWN OF SPIDER LAKE DIVISION OF I STRY SERVICES SAWYER COUNTY SITE: __ _ _— _ MARTIN 4 BED MOLTND SEE CORRESPOND ce 13075N OLD ISLAND TRAIL HAYWARD, WI 54843 NW SE & NE SE LOTS 6 & 7 CSM 3/136 #544 S20T 42N R06 W FOR: Design Wastewater Flow Value: 600 Mound Component Manual - Version 2. 1 (May 2022-2027) Bedrooms: 4 Pressure Distribution Component Manual - Version 2.1 Limiting Factor(s): 26 inches (May 2022-2027) Maintenance Required: Effluent Filter SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on-site during construction and open to inspection by authorized representatives of the DePartinent, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • A sanitary permit must be obtained from the county where this project is located per Sec.145.19, Wis. Stats. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Final inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1). • In the event 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. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The 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(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of c onstruction/instal lation/operation. In granting this approval,the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below,or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 y��'i� ��'�� Balance Due: $0.00 Refund Ex ected: $0.00 POWTS Plan Reviewer—Field Department of Safety&Professional Services Division of Industry Services EmaiL• Katie.Pctzel(cuwisconsin.gov Cell: 608-574-1189 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TIT�E PAGE Project Name: WOODWARD NORTH LLC(MARTIN) Owner's Name: WOODWARD NORTH LLC Owner's Address: 2513 30TH AVE.NE ST.ANTHONY,MN 55418 248-894-8168 Legal Description: S 20,T 42 N,R 6 W CSM 3/163#544 Township: SPIDER IAKE County: SAWYER Subdivision Name: 13075N OLD ISLAND TRAIL Lot Number: 6&7 Block Number: Parcel I.D.Number: 028-642-20-4203 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings co,�o,r,o,.a��, Page 4 Lateral and dose tank APPROVED Page 5 System maintenance specifications oEP,oF snFeTr nr,o PROFess�oNn� Page 6 Management and contingency plan SERVICES o��s�o�,oF� srRv seR��ces Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Evaluation -- Page 10 Soil Tester Plot Plan $EECORRESPOND CE Designer: JASON KUETTEL License Number: 675�51 Date: 09/20/22 Phone Number: 715-798-3355 Signature: Designed Pursuant to the Mound Component Manua�for POWTS Version 2.0 SDB-10691-P(N.01/01),and bo[h SSW MP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01181)and Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01/01) Version 7.0(R.03/2012) Page 1 of 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fll(D)calculations assume a 400.00 Estimated Wastewater Flow(gpd) Table 383-443 in-situ soil Veatment for 1.50 Peaking FaCtof(e.g, 1.5 = 150%) (ecal coliform of<_36 inches 600.00 Design Flow(gpd) 2.00 Site Slope (%) 98.50 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor(in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour(ft) = 10.00 Cell W idth (ft) 1.00 Oispersal Cell Oesign Loading Rate(gpd/ftZ) 1 influent Wastewater Quality(1 or 2) Are the laterals the high�est-�oint-� in the distribution �� Pressure Disributlon Information nelwork? Enter Y or N (C or E) C Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation ft 6 Number of Laterals of the highest point. 0.156 Orifice Diameter(in) 2.50 Estimated Orifice Spacing(ft) = 8.33 ft�/orifice 2.00 Forcemain Diameter(in) 60.00 Forcemain Length (ft) Does the forcemain drain back? � 92.00 Pump Tank Elevation (ft) Enler Y or N 4.55 System Head (ft) x 1.3 979 Forcemain Drainback(gal) 7.00 Vertical Lift(ft) 80.40 5x Void Volume (gal) 1.87 Friction Loss (ft) 90.19 Minimum Dose Volume (gal) 0.50 In-line Filter Loss (ft) 38.77 System Demand (gpm) 13.92 Total Dynamic Head (ft) Laterel Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 - - _ ___. _ 1.00 x 1.50 x 1.25 x 2.00 x X 1.50 x x 3.00 2.00 x 3.00 x Gallonsllnch Calculator(optional) Treatment Tank Information � Total Tank Capacity(gal) 1300.00 Septic Tank Capacity(gal) _ Total Working Liquid Depth (in) RASMUSSEN jManufacturer gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information 750 00� Dose Tank Capacity(gal) iSIMTECH �Filter Manufacturer 20.28 Dose Tank Volume (gal/in) 100A2 Filter Model Number �WIESER �Manufacturer Project: WOODWARD NORTH LLC (MARTIN) Page 2 of 10 Mound Plan and Cross Section Views —t ��* . Observation Rpe . � J K -�--o- o �--� —� W � � —fi B o I -�-- t-- � L Mound Component Dimensions Down slope roe extension made. A 10.00 ft E 12.40 in H 1.00 ft K 8.18 ft B 60.00 ft F 9.50 in i 10.00 ft L 76.35 ft D 10.00 in G 0.50 ft J 6.01 ft W 26.01 ft 600.00 (ftZ) Dispersal Cell Area 1200.00 (ftZ) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.13 (ft) � l— H , ., .. .. Q ;, ,: , � I _ ___ - F oispersal ceu 99.83 (ft) Lateral 99.33 (ft)—► — �� Invert Dispersal Cell � � ' i Elevation E D � i i . ❑4 � � 98.50 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key d a � Dispersal Cell See lateral details on ❑1 � Topsoil Cap o a 1.5 ft Page 4 for number, size, ❑2 i Subsoil Cap � 4 0 � ��Q � and spacing of laterals. Q � ASTM C33 Sand `—° 10 � / Laterals are equally � 0 Tilled La er � d 0 5 ft Typical Lateral F spaced from the Y m distribution cell's ' a Q 0 Aggregate a o � � centerline in the �— A —� distnbu[ion cell(Ax8). Project: WOODWARD NORTH LLC (MARTIN) Page 3 of 10 Center Connection Lateral Layout Diagram Forc?m�nconnectionviatxeo�cwssWm.nrtoldatanypoirm La�eralsarelEentical � 5 a � p s 1 •=Turn-up�Hballvalvao� I<x��-<�? � +�Z�I Lateral.,&furcemainSch40PVC c�aenuutpluq per SPS Tal:dz 384 305 Holes drillxd on�he Ootrom of the lat.>ral Number of Laterals 6 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.54 ft Lateral Length (P) 29.21 ft Orifices per Lateral 12 Lateral Spacing (S) 3.33 ft Orifice Density 8.33 ftZ/orifice Lateral Flow Rate 6.46 gpm Manifold Length 6.67 ft System Flow Rate 38.77 gpm Manifold Diameter 2.00 in Total Dynamic Head 13.92 ft Forcemain Velocity 3.96 fUsec Dose Tank Information Locking cover with waming label and locking device and � sealed watertighl Electncal as per NEC 300 and � SPS 316.300 WAC �4 in.min. Disconnect --�-- �_ � Tank component is properly vented � E— Alternate outlel location Forcemain diameler WIESER Manufacturer �_ 2 in. Capaci 750.00 Gallons Volume 20.28 gal/inch A Weep hole or anli- Dimension Inches Gallons B siphon device A 20.53 416.45 C B 2.00 40.56 � P� umP off eleva[ion(k) C 4.45 90.19 92.83 D 10.00 202.80 p Total 36.98 750.00 � Dose tank eleva[ion(fl) 3" Bedding un er tank. 92.00 Alarm Manuafacturer ''SJE RHOMBUS � Note Switches Alarm Model Number HW101 I containing mercury _ __ _ _ may not be used in Pump Manufacturer ICHAMPION I this system _ _ __ _ Pump Model Number .CPE3 � Pump Must Deliver 38.77 gpm at 13.92 f1 TDH Project: WOODWARD NORTH LLC (MARTIN) Page 4 of 10 Mound Svstem Maintenance and Oneration Saecifications Service Provider's Name ANDRY RASMUSSEN & SONS Phone 715-7983355 POWTS Regulator's Name SAWYER COUNTY ZONING__ Phone 715-634-8288 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Average 400 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1300 gal Maximum TSS t 50 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/� Type of Wastewater pomestic Maximum Fecal Coliform >10E4 cful100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should ins ect 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 ressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years - - . -_- Otr�h�L _ __ Miscelianeous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as show� 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 soii erosion and help reduce frost penetration. Lateral Turn-up Detail Finished ,,,... .............. Grade �� 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: WOODWARD NORTH LLC (MARTIN) Page 5 of 10 Mound System Management Plan Pursua�t to SPS 383.54,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[SBD-10691-P(N.01/01),SSWMP Publication 9.6(01/81),and Pressure Oistnbution Component Manual Ver.2D SBD-10706-P(N. 01/01)]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.Adm.Code when the tanks are no longer used as POVJTS components. Septic or pump tank manhole risers,access nsers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shail be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Ezposed 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. Seotic Tank The septic tank shall be maintained by an individual certifed to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 173,Wis.Adm.Code. The operating condition of the septic tank and ouUet flter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operatioa The flter cartridge should not 6e removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the flter is equipped with an alarm,the flter shall be serviced if the alarm is activated continuously. Intermittent flter 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 al the time of a triennial assessment,maintenance personnel shall advise the owner of when ihe next service needs to be performed to maintain less than maximum scum and sludge accumulation in lhe tank. The addition of biological or chemicai additives to enhance septic tank performance is generally not required. However, if such products are used they shall 6e approved for septic tank use by the Department of Commerce. PumoTank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shail be tested ro verify proper operation. If an effluent flter is installed within the lank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shru6s 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 fmm frost penetration. Traffc(other than for vegetative maintenance)on the mound is not recommended since soii compaction may hinder aeration of the infltretive surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(OctoberFebruary)dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mglL 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 effluenL InFluent Flow may not exceed maximum design Flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommentled 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 initiai test when the system was installed to determine if orifice clogging has occurred and if onfce cleaning is required to maintain equai distri6ution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to Ihe owner, and any lavels 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 repiaced 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 immediately repaired or replaced with a component of the same or equal performance. If the mound component faiis 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 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 Ihe 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 par�of the overall management plan for this system. Project Page 6 of �0 �l)OGL�WCIrC� i�, � , -�� --- - - � 13 �C +J E-�� N .� � �4-. �1�,+ 6�c��y �.,�N � .y i � ��t� - �=q4 — �1 �k' , {� � �VY G. �Y1 � (�C_ .-��' � � I307SN c�� -�=sICc;Y� �'�c�� Csr '� �� -is I i l_aT5 6 '�'7, C Srr� 3�I�3 � 5'� S �C, T�LN , �'- C� W 7ci�� c �' S��c��v ��Ke �� Vn��on5 :, e �au..�� -Q�. � LJT C'iI = �1� ,"7I �l,s� 02�; -(�'�2 - Zi -`f2.G3 F� Ts�v1ti J 2.32 acres per Sawyer County GIS 7 Z � 4�C , �� hl� � PfI� ' IC'O1� LC��C:VYI GT �-'��YliY� 6 � - �{�i. �3i �1 % � LLct e� N-.w' . 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