HomeMy WebLinkAbout022-738-12-4405-SAN-2023-004 " � '�� Iadushy Scn'i�es Division County �
����� � - 48'2 Madisnn Yards Way �G u/�P/� _ _ �
; f A9adison.��'[ >3705 Sanitary Pcrmit 1�umher(to he filled in b�.�Co � �
� '` �.S � P.O. 130.� 71C2
-- Madison,��'f 53707-7162 �/ ��� �`�"�
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� - � - Statc Trausactio�Numbcr
- — — -
Sanitary Permit Applicatiotl �,�_o��3oao��_� v�
In accordanr��«,�h S!'> ;x t 21(2),Wis.Adm.Code,submission of this furm to thr a�propriate govemmental unit
i.reyuirrd�n�� t�. ,bciinint ��k�nuary permit Notc Application forms ibr state-��wned POWTS aze submitted to Project Address UI ditl�crcnt Lh:ui maihnEt,�ddics�) �
tlic i�epartm rn',��f ti;i�cty and Yrofestiional Scrvices. Personal information you pro���dc mav be used for sccondary
��urpus�ti in:�rruiil.mcc�vith thc Privacy Law,s. 15.0�1(1)(m),Stats. �
-- - - _ __.. --- -- � .
1. Applicati��n Infonnation-Plcase PrintAli Information -,' � "' ' a�]� _ _. _
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I'roperty O��n�; ,Aainc Parccl#'
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I'rvpcn}�U�+�nc��-�ti9:ui ng.�Addrest Pro ert Locatton � � � -�-� -
_ _976o w �f%. I'1 w y _,�_?/�o co��.Lo�
�lry..�i;,i�� Zi�Code - - I'h�rc��umber
s� _���<. se�n�„ _/2
OJibw w2 Jr4/�6 ___ — - �
[L TYPe of iiuildin�;(check all�that apP}y) � � Lw'� T N R 7 E o W
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�lorJF�+n:i�,��lh�clling -VumberufBedr�wms_� _ SubdivisionName
131��b: `
'ubliciComnieriul - Describe Use
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Cityof--- - ----------- ---
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Statc�)�.�n�,l C'�A1�,'wnber illagcof --
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�Town oC��/,�p�/ _
1II."I'ype of PO�V"1'S Pcrmit��(Checkeither`"l�etv"'or•`�`Repiacement"and o[1ie�,appyt►,c2�b�P dn�Lue fS. G�H�eckone bo�o�i�line��I3�.Complete line C if
:�� i��An��.� : � y, . �:_ � z. --- -:
��Ncti �vsteni ��Replacement System �Other Modification tu Lxisting System(explain) �Addirional Prctrcam�ent Uiut(cxplain)
- _� -__ - � --- -- ----_ _ ._
13' +�1lul�fing�I�:�nk �In-Ground �At-Gradc �Mound Individual Si[e Desi�,�i Olher Type(ex��lain)
(conventional) _
< . ��Rcn;���.-r�l Iiclhre �Revision �Change of Plumber �1'raz�sferto New Owner
List I'revious Pem�it Number and Date lssued
'�� r������.:����,,� '�� �8^ �Oy ��,'2.3 7g
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1�'.Dispersall"1'rea[ment Area andTanklnformation_=�� � � �� " " �` � ��° � � � �
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I)es gn Ilu�. i����� � I�e��,i�..�oil ,A�plic�tiou Ra�c(gpd.'��I�Di p is:il �re;i R_.,uired(s� Dispersal AreaProposed(s� System Ele��a�ion
�oo .�, /, p 300 _-- �3nv 9y, 3 '.
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'i Capacity in ��otal of Manufacturer v
(iallons I I c �" �
l�unk Inibrn�:in„n � �iallons , Uni�s � � U a, 1
� ti'<�.���I�:inks � Existing Tanks --� � fl 9.' � � m A m �
� ��. a ;J in „ � ✓� u. C� 0..
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�_ 500 } ' svd ' [� C� C�
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u s�„�c i,.�R,n�;
V Respon�ibil�tti�St:�temCnt- I,th�undcrsi�ned,.�assumc retiponsibility for intitall:�tionof the�PUWTS shown on fhe attachCd plans. � �� � �
I �i,n.bc� A'�i:�•,.� I�ini�� -�—�--�1'lumbei'�Sftn i.0 e � n4 �SIPIZS Numhcr �Business Phu�u '�Iumber
.�fj(JGe v�'f�e.v�l� _ ---�1 Q�_ o� �3_qy�',?38� _—_
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I�l7 N i w � 0 L� l W T
�"I.C'uunh�!llcpartment Use Only - ;, �,,� •,i� ---
��7���',�� � � Pennit Fce I),i�� lssiicd Isswng Ag�nt Stgnature
Apptn�e<I � I)i�apin���cd i { /��] r� �-
V" � `b 1.����c7� � ��-� IvZ � ' "(G:�{it.Lr..l-�.�'�1/t'`�•'�
i i u�,tiner��n�cn itcsson for Denial �
i��,nditiun���.�t�������r�,�al��Rcasons for Disapproval "
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A�tach to cumple[e plans(or the system and snbmit to the�'ounty onty on paper not less than 8 1!2 z 11 inches{n size �<����
sB�-�39a(�i o3iz>> Nb�i�FUhDS AFTER
158UC OF FaEANIT '�''
�\1'I.�, ...
W isconsin Department of Safety and Professional Services ' ��' Phonc:60R-266-2112
Division of]ndustry Sen�ices � � ��, Web:I i� �{_..�,�� ���,.
4822 Madison Yards V6'ay = ! = Email ,��,___ � �nn;i_i����.
PO Box 7302 ' �'! ' --
Madison,WI 53707 ��J i Tony Evers,Governor
, _;�'�` Dan Hereth,Secretary
;�,„.,
January 19,2023 Conditionally
APPROVED
CONDITIONAL APPROVAL DEPT. OF SAFETY AND PROFESSIONAL
PLAN APPROVAL EXPIRES: 2025-1-19 SERVICES
DIVISION OF INDUSTRY SERVICES
Pian Review: PWTS-012300090-C
Bruce Vitcenda ��� �����
1450N St Road 40 _ _
Exeland, WI SEE CORRESPONDENCE
SITE:
Kinsley
9760 State Hwy 27/70
Town of Radisson
Sawyer County
SE'/<SE%S12-T38N-R7W
FOR:
�
Description:2 bedroom-300 GPD mound-14" �
to limiting factor-Effluent Filter- , Mound Component Manual—Ver. 2.1, SBD-
10691-P(5/22-5/27)
Maintenance required. Pressure Distribution Component Manual—Ver.
2.1(May 2022-2027)
� I �
__ - - - , _____ _ _ __ _
Verify proper dose is achieved and system is not being over dosed.
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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• The site shall be properly prepared prior to plowing.Any grasses longer than 6"shall be cut short and
removed.To avoid matting,any leaves or loose organic matter shall be raked up and removed.Cut trees
and shrubs flush to the ground and leave stumps.Avoid operating equipment on the
Mound site. If necessary,use only tracked equipment,during dry conditions,with minimal passes,to avoid
compaction.
• Components and sail removed from an existing drain fieid shall be properly disposed of so that there is no
risk to public or environmental health.
• 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.
• 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.
• A state approved effluent filter is required.Maintenance information must be given to the owner of the tank
explaining thai periodic cleaning of the filter is required.
• A copv of the aooroved plans,specifications and this letter shall be on-site durine construction and open to
inspection bv authorized representatives of the Deqartment,which mav include lowl inspectors.
Owner Responsibilities
• The current owner,and each subsequent owner,shall receive a copy of this letter.Owners sha�l 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 management plan under s.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 owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes.Reports shal)be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
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.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the
address on this letterhead.
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,operation or maintenance of the POWTS.
Sincerely,
fa��r����o�uZ�y
Joshua Rowley
POWTS Plan Reviewer,Division of Industry Services
(715)634-5124
Joshua.rowlev@wisconsin.�ov
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Pro�ect Name: Kinsle Mound Conditionally
Owners Name Ronatd Kinsley DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
Owner's Address 9760 ST HWY 27170 DIVISION OF INDUSTRY SERVICES
Ojibwa. WI. 54862 9e�„s ��,�j
-�
Legal Description. SE-SE-S.12-T.38N-R 7W SEE CORRESPONDENCE
Township Radisson
Counry Sawyer
Subdivision Name
Lot Number Block Number
Parcel I D Number: 22738124405
Plan Transaction No.
Page 1 Index and tide
Page 2 Data entry
Page 3 Mound drawings
Page 4 Lateral and dose tank
Page 5 System maintenance specifications
Page 6 Management and contingency plan
Page 7 Pump curve and specifications
Page 8 Tank Drawing
Page 9 Plot Plan
Designer: Bruce Vitcenda License Number: M.P. 220498
Date 01/16723 Phone Number 715-577�698
Signature: ,�'
Designed Pursuan4t�l�o the 5/22-5/27
Mound Component Manuai for POWTS Version�.H SDB-10691-P (N. 01/01), and both
SSWMP Publication 9.6 Design o(Pressure DisVlbu[ion NeMrorks for ST-SAS(01l81)and
Pressure DisMbutfon Component Manual Ver. �B SBD-10706-P(N. 01l01)
_ � 5l22-5/27
Version 7.0(R. 03/2012) Page 1 of 9
Mound and Pressure Distribution Component Design
Site Infortnation
R Residential or Commercial Design Note SanC till(D)calcula6ons assume a
200.00' Estimated Wastewater Flow(gpd) Table 383�4-3 imsitu soil treatment for
'- fecal wlifortn of<_ �inches
1.50 Peaking Factor(e.g. 1.5 = 150%)
300 00 Design Flow(gpd)
�_
6.00 Site Slope(%)
i 92.50 Contour Line Elevation (ft)
~ 14.00 Depth to Limfting Factor(in)
0.60 In-situ Soil Application Rate (gpd/ftz)
Distribution Cell Information
75.00', Dispersal Cell Length Along Contour(ft) = 4 00 Cell Wfdih (ft) '
1.00' Dispersal Cell Design Loading Rate (gpd/ft')
� 1 Influent Wastewater Quality(1 or 2) Are the laterals the hlghest point
in the distribution Y �
Pressure Disribution Information nelwork7 .
i� - E1 Center or End Mamfold
0.00 Lateral Spacing (k) If N above. enter the elevation (ft)
1 i Number of Laterals of the highest point- �
---' --- --
0.1561 Orifice Diameter(in)
1.50 On6ce Spacing (ft) = 6 00 ft2/orifice
2.00 Forcemain Diameter(in)
140.00 Forcemain Length (R) Dces the forcemain drain back? Y �
87.00j Pump Tank Elevation (ft)
4 55 System Head (ft) x 1 3 22.84 Forcemain Drainback (gal)
6.83 Vertical Lift(ft) 59 95 5x Void Volume (gaq
222 Friction Loss (ft) 8278 Minimum Dose Volume (gal)
0.00 In-line Filter Loss (ft) 26 93 System Demand (gpm)
13.60 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
m. dia options choice in dia ophons choice
_ _
0J5 i 125 !
! __. __ —_
1.00 1 50
125 2.00 i --
1 50 3 00 I
2 00 x x
3 00 x
Gallons/lnch Calculator .
Treatment Tank Information —�; Total Tank Capacity(gal)
r--- —___ _ _ .
750 00 Septic Tank Capacity (gal) ' Total Workmg Llquid Depth (in)
�Skaw —�Manufacturer �� gal/in (enter result m cell 649)
Dose Tank Information Effluent Filter Information
500 00 Dose Tank Capacity(gal) Orenco Filter Manufacturer
1423 Dose Tank Volume (gallin) 8" Biotube Filter Model Number
�Skaw —!Manufacturer J
Project: Kinsley Mound Page 2 of 9
Mound Plan and Cross Section Views
—?
v�* 0 �
Observa[wn P�pe . . —�
K
� � A
W � t �
e g _
� i
� �-
1 .
L -
Mound Component Dimensions
A 4.00 ft E 24.88 m H 1 00 ft K 11 36 ft
B 75 04 ft F 10.00 in 12 46 ft L 97 72 ft
D 22 00 in G 0 50 ft J 8 05 ft W 24 51 ft
300 00 (ftz) Dispersal Cell Area 1234 76 (ftz) Basal Area Available
4.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 8 Obs Plpe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 96-17 (ft) —� —
�Ji �� Nr' _ \ __ G * H
TF � � OiSpersalCell�� ��'\, � 94.83 (ft) Lateral
94 33 (ft)--►• — �— Invert
Dispersal Cell � � ' �
Elevation � U
� ; ': ❑..
❑ � 4
4
92.50 (ft) Contour Elevation
6 0 % Site Slope
�Geotextile Fabric Cover
Shading Key m a � Dispersal Cell See lateral details on
01 0 Topsoi�Cap o a 1.5 ft � Page 4 tor number,size.
[2� �'-'��"'�� Subsoil Cap � � � � �� � F and spacing ot laterals.
� � ASTM C33 Sand '-° 10 Laterals are equally
[q� [_] Tilled Layer � y 0 5 ft 7vm�ai�aterai spaced from the
distribu6on cell's
�] 0 Aggregate v o �__ � centedine in the
�---- A ----* disiribution celi(AxB).
Project Kinsiey Mound Page 3 of 9
End Connection Lateral Layout Diagram
L'arp�glS�:er�rn�c��:yp�rh..4..64�meni•r_r� • = *urn- MGall.. l..
- up a eorcl.�ano�tplug
I F' — �
La:rnr�b�lydleanex,r.,.mf:a[• I` x—�I LHyr.91C3rprrr±rnMn 'i.Cl'i4OF'�:�_
�len'Jullad on�he G��rr.�m r��r6e I.rz�31 ��c� :P` Table t$4 31J�.
e0'���I��:[.ar��1
Number of Laterals 1 Orifice Diameter 0 156 in
Lateral Dfameter 2 00 fn Orifice Spacing (X) 1 50 ft
Lateral Length (P) 73 50 ft Orifices per Laterai 50 �
Laterel Spacing (S) 0 00 R Orifice Densiry 6 00 ft'/orifice
Lateral Flow Rate 26 93 gpm Manffold Length 0 00 ft
System Flow Rate 26 93 gpm Manifold Diameter OAO in
Total Dynamic Head 13 60 ft Forcemam Veloclty 275 fVsec
Dose Tank Information
Locking cover with waming
� iabel and locking device and
sealed watertght
Eledncal as per NEC 300 and --►
SPS 316-300 WAC Dlsconnecl � �4 m min.
�
Tank component is properly vented �� F— Altemate outlet
location
Forcemam Aiameter
Skaw Manufacturer �_ 2 in.
Ca aci 500.00 Gallons
Volume 1423 gaVinch A
Weep hole or anfi-
Dimension Inches Gallons B siphon device
A 15 32 218 00
B 2 00 28 46 C P� ump oH e�evatan(fq
C 5 82 8278 � 88.00
D --- 12 00'' 17076 p
Total 35 14 500 00 �
�Dose tank eleva6on(tt�
� 3" Bedding un er tank 87.00
_ ___
Alarm Manuafacturer SJE 'dote S�ri�[.�nes
Alarm Model Number 01-H ontainmq �neic :r;
___ _
�av rn;.r �,�: ,,:�.:�� �,
Pump Manufacturer Zcellar �r
Pump Model Number ,98
_ _- --
Pump Must Deliver 26 93 gpm at 13.60 ft TDH
ProjecC Kinsley Mound Page 4 of 9
Mound Svstem Maintenance and Oaeration Specifications
Service Providers Name Northwest Sanitary Phonej 715-943-2650 l,
POWTS Regutator's Name � Sawyer County Zoning Phonei 715-634-8288 i
Svstem 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 ft' Maximum FOG 30 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Frequencv
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 fiushed and ressure tested eve 1 5 ears
Mound Inspect for ponding and seepage once every 3 years
;,�,��� I
�------- ----- ____
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Tabie 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 3&4 30 (6)(i), Wis Adm. Code
3. All gravity and pressure piping materiais conform to the reqwrements in SPS 384. Wis Adm Code
4. Tiilage 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 penetra0on.
Lateral Turn-up Detail
Finished ..... ..............
Grade ��
6-8" Diameter Lawn � Threaded Cieanout
Spnnkler Vaive Box Plug or Ball Valve
Distribution
� ----__ Long Sweep 90 or Two
45 Degree Bends Same
Dlameter as Lateral
Project- Kinsley Mound Page 5 of 9
Mound System Management Plan
Pursuarrt to SPS 383.54,Wis.Adm.Code
General
7his system shall be operated m accordance wtth SPS 382-84 W is Adm.Code.and shall maintained m accorAance wiM as'component
manuals(58610691-P(N.01/Ot�.SSVYMP Publicalion 9.6(Ot/81). and Pressure D�siribution CanporeM Manual Ver.29 58610706-P(N
Ot/01)]anA bcal or state rules perta�mng�o system mamtenance and mamtenance repoNng
No one should ever enter a septic or pump tank since dargerous gases may be present that could wuse deaM.
SeD�w an0 pump tank abandonment shall be m accordance wM SPS 383 33.Wis.Adm.Code when the tanks are no bnger useA as
POWTS components
Sepl�c or pump tank manhole rrsers,access nsers and wvers should be mspected tw water Ightness and soundness Access openmgs
usetl for service and assessment shall be sealed watertgM upon the completion ol senice Any opeNrg deemeA unsound.defedive,or
sub�ec[to fallure must be replaced Enposed access openmgs greater than 8-mches m diameter shall be secured by an eRective lodcing
devlce to prevent accKlental or unautnonzed entry into a tank or wmponent
SeoBc Tank
The septic tank shail be mamlamed by an mdrvitlual�rtd�ed to service sep6c tanks under s 281 A8, Stats. The con�ents of�he sepUc
lank shall be Aisposed ot in accordance with NR t 13.Wis.Adm Code The operating coMilqn ot the septK tank a(W outlet fifle�shall be
assesse0 at least once every 3 years by inspection.
The outlet fitter s�all De cleaneA as necessary to ensure proper operaM1oa The filler cartrbge shouM not De removed uniess provKlons
are made to retam solds m lhe tank that may sbugh oH the fitter when removed from its enGosure. If the fitter is equ$ped wilh an alarm.the
fihei shall be serviced dthe alartn is ac[ivated continuousy. Intermittent fiRer aWrms may indicate surge flows or an impendmg wn6nuous ,
alartn
7he sephc tank shall�ave rts contents removed when the volume of sludge and scum in the tank exceeds 1/3 the Ipuid volume of the
tank. If the contents of the tank are not removeA at[he time of a tnenrnal assessment.maintenance personnel shall adwse the owner of
when the next service neeAs to be peAormed to mamtam less than mawmum scum and sludge accumulation m the lank.
The addrtan of bwlog�cal or chemical add�lrves to enhance septw tank perfortnance is generaly not required. However.if such produds
are used they shall be approved for septic tank use Dy the Department o(Commerce.
Pumo Tank
The pump(dosing)lank shall De inspeUed al least once every 3 years All switches,aiarms,and pumps shall be tested to verAy proper
operatlon. If an effluent filter is mstalied w�hm the tank R shall be mspecled and Serv�ced as necessary.
Mound and Pressure DisVibution System
No Uees or s�mbs should be planted on the mound. Planhngs may be made around the mound's perimeter,and the mound shall be
seeded antl mulchetl as necessary to prevent erosron and to provide some protection from frost penetrahon. Tratfic(other than for
vegeta[rve malntenance�on ihe mound is not recommenEed smce wil compadion may hmder aeratron of the infikratrve surtace wrthln the
mound arW snow compaction m the xnnter will promote host penetratwn. CoM weather installations(Odober-February)dictate that the
mourb be heavily mulched as protectwn from heezing
Influent quallry Into the mounG system may not ezceeA 220 mg/L BOD„ 150 mg/L TSS,and 30 mg/L FOG for septic tank ettluent or 30
mq/L BODs,30 mg/L TSS, 10 mg/L FOG,and 70'dW 100 mL for hghy treatetl efflueM. Influent flow may nol ezceed ma.imum design flow
specified in the pe�mit fw Ihis in5�a��alion
The pressure distribulwn system�s provided wM1h a Ilus�ing point at the end of each lateral.and d�s recommentled that eaU Wterai be
flushed ot accumulaled solds at least once every 18 months. When a pressure test is performetl d should be compared to the inrcial test
when Me system was installed to detertnlne rf ordice cioggmg has occur�ed and if orifice cleani�g Is mquired to mamtain equal distribution
within the dispersal cell.
Observatbn p�pes wrthin the d�spersal ceN shall be cheGced ta effluenl ponding. Ponding levels shall be reported to Ihe owner.arW any
levels above 6 mches wnsidered as an Impending hydraulic faiWre reqwnng additronal,more frequent mondonog.
Contitwencv Plan
If the sept�c tank or any o(its components become defedive the tank or component shall be reparted or replaced to keep the system m
proper operating condRion
If the dosmg tank.pump,pump conVolS,alarm or related winng becemes de(eclrve the defectrve component(s)shalt be Immediately
repaired or replaced wilh a component of the same or equal perfortnance
If the mound wmpo�nt fatls to accept wastewater or begms to discharge wastewater to the grountl suAace,it vnll be repaired or
replaced in rts'pre5eot locafion by increasing basal area if Ice leakage omurs or by removing biologiwlty clogged absorptron and d�spersal
medla,and related pipirg,and replacirg said components as deemed necessary to bring ihe system into proper operatirg wrWdron
See Page 5 of this plan for the name and telephone number of you�lowl POW7S regulator and semce provWer.
Pretreatment Units
TNe miormatwn and schedule of mananagement and maintenance for pretreatment devlces such as aeroDlc treatment units or disinfection
umts are attached as separa[e dowmenis and are consWereU part o(thz overall managemen�ptan for thls system
Project Page 6 of 9
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PUMP PERFORMANCE CURVE ��10DEL 98 �
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CONSULT FACTORY FOR SPECIAL APPLiCATIONS
• Eledrical alternators,for duplex systems. are available and � Vanable level Ooat switr,nes are available for convolling single
supplied with an alarm antl three phase systems
• Mechanical alternators,for duplex systems, are available � Double piggyback variable level float swrtches are avalable for
with or wilhout atarm switches variable level long cycle controls
� Re/er to FM1922 and FM0806 (or temperatures above 130°F
98 Series Contml Selection �
. Model Vo16-0h Mode Amps � Simplez--T Duplex . � )'+
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� M98 115 1 '.' Auto 9 i ! . ... 4 ..I � y�
N9B 715 1 ' Non t 9A 2 or 3 � 4
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osa zso i n�m , a� , �a—1 "Eas�assembly'
I E98 230 7 t:on � 17 '� 1 w 3 4 —� �� ��....�� ' '.="P:;^
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SELECTION GUIDE � j
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i. Integral float opereted mechamcal switch,no exlemal wntrol required. ' ��` ,.��..
2. For automatic use single piggyback variable level Ooat switCh or douDle ���;�L ��, i��- � �
piggyhack variable level Boat swilch. Relcr to FM0477. � � -��'`��_.
3.See FM7228 for correct motlel of simplex con�rol paneL �
4.See FMC712 for mrrea model of duplex control panel or FM1663 lor a OPTIONAL PUMP STANu Pli�, 1
residential alternator system. � '�-z4L
• Reduc.=.s potenti2l dogging by de6ns.
For mtortr:airo:i on adAnional Zceller produds rekr io catalog on Pggyhack Varia6R le>=_: ' Repiaces rocks or bncks under the pump
Swiiches,Ftd0477-, Eiect6cal Nlemata, FM0486; Alechan�cal Altemata, FM0495: Sume • Made of durable,noncovOSive ABS.
Srnage 9asins.Fh10�@7:Single P�ase Simplex Pump Contml,FhtU96:Narm Systea<. • Rzises pump 2'off boltom o�b2sin.
F6t0'3z • Provides the ability te 2ise intake by adaing secticns of 1;�"
n cnunoN or 2'PVC Piping.
• Altaches securely to pump
All installation ot can�rols. pmlection devires and wuiny should be aone by a • Accommodates sump,Cewzlenng acr.s!i��u•.�r�a�;;�,1:2':Or�S.
qualified licensetl electrician. All electrical and safety codes should be follov�ed NOTE:Make sure floal is free from obsimclion.
mUUUing !he most recent National Elecirical Cede�NECI and Ihe Occupalional
Snfnly and Health Ac1;0$HA�. -- �--
RESERVE POWERED DESIGN
For unusuai conditions a reserve safety (actor is enqineered into the design ot every Zoeller pump.
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7-9
WARNING DEATI�MAV OCCL'R IF 7ANK/S ENiERED SKAW]SW500 �
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Model Numbec 750 � 50o SKAW PRE-CAST (715) 967-2277
Phone:
App�oved Ioc SEPTIC/SEPT7GSEPTIC�PUMP.SEPTIC/SIPNON OR HOLDING Toll Free: 1-800-924-8625
We�ghf Inlet Dim. OuNef Dim. Liq. Depth Gal. /In. Nom. Cap z6255 105th Street. New Auburn
Wisconsin 54757 Fax: (715) 967-2707
11.G4016s 42" 40" 36" 14.23 512.28 gal. www skawprecast rom
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SAWYER COUNTY SANITATION D�PARTMENT
TEMPORARY EIVIERGENCX TANK INSTALLATION APPROVAL -
PROPERTY OWNERS NAME: _/{o,valcl l(i,v,f/e�
TOWN OF: Qadlssa.✓
ADDRESS: 976o w f fn f�r lfwY ,�7/7a
I, �QUte Vi{�r,uJa , a Wisconsin
Licensed Plumber, authorized by the owner, do hereby acknowledge that I am receiving
temporary approval to install a septic tank/holding tank without a soil and site evaluation,
or existing system evaluation, and private sewage system plan review due to inclement
weather and/or health and/or safety emergency.
Further, I acknowledge that a soil and site evaluation, or existing system evaluation, and
private sewage system plan review will be conducted by the deadline stipulated by the
_ permit issuing agent,or as soon as weather conditions or circumstances permit. If the
private sewage system is found to be failiz�g as defined in s. COMM 81.01 (92), Wisc.
Adm. Code, corrective measures will be taken as such that the private sewage system
complies with all applicable requirements of chapter COMM. 83, Wis. Adm. Code,
within 90 days of this agreement.
I further acknowledge that failure to comply by obtaining all necessary permits after die
deadline date may result in the issuing of a citation, under Section ] ].3 [2) Sanitary
Pei•mits], of the Sawyer County Citation Ordinance.
DEADLINE FOR THIS AGREEMENT SHALL BE: '' �C ��-�
I
Signed: �,,�,,,/
Date: 9'.�B-�� ----- - -- ;i,J.
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Accepted by: � _
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Date of temporazy emergency approvaL• � / � �� � �
SoiJ P�o�ile Sheet
Uwner:_ �!.✓K;�t/or Soil T�stcr: /3,��r✓Sfi<s�o,l
System Elcv�tion: _ Load Rxle: Syrtem Range: to
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;"`'"'-"E`r., PRIVATE ONSITE WASTE TREATMENT County
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�j � o�S '�, SYSTEMS SaWyer
� ( POWTS)
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INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �3 — (�C7�
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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Y1� "` � S12 Jll1S�v� �'a�UUC�O—
Insp BM Elev: B Description: Parcel Tax No:
t�.�' N,;� �(�.�ti �;� ;� � o�a -738- 12- YNor
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic ,5'�C�/- '7 sp Benchmark �bp.a�
Dosing ^.�,,,��,jv �D
Aeration Bldg. Sewer q�,6 �
Holding St/Ht Inlet ��,� �
TANK SETBACK INFORMATION St I Ht Outlet 4�, o'
TANK TO P/L WELL BLDG VENTTO ROAD Dt Inlet
AIR INTAKE
Septic ��S"� �.� � ±�' ��5� NA Dt Bottom ��•a `
Dosing `« « -� y NA Installation ,
Contour 53.S
Aeration NA Header/Man.
Hoiding Dist. Pipe �'j S, ( `
PUMP 151PHON INFORMATION Infiltrative �►Y•3,
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 �N L �S' #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv � Aggregate
INFORMATION P/L Bldg We�l Waters °� G ❑ Chamber Model Number:
❑ EZFIow
CELL TO -�(p (� �"� N p� Mound o Other
DISTRIBUTION SYSTEM X Pressure Systems Only
- ---
Header I Manifold � Distribution Pipe(s) , X Hole Size X Hole � Qbservation Pipes
Length��D_ia � Length�S Dia 1~ Spac _�,� Spacing ��S C►�Yes ❑ No
SOIL C VO ER
Depth Over „ Depth Over ,� Depth of / � Seeded/Sodded Mutched
Cell Center �� �ell Edges ��- Topsoil b � 0�"Yes ❑ No �Yes ❑ N�
COMMENTS: (Include code discrepancies, persons present,etc.) I
��i(,�( �l� ��
__ , _ _
Plan revision required?� Yes 0 No i ,
ti � � 2 _- � ���1�
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
A�OITIONAL COMMENTS AND SKETCH
SANITAAY PERMIT NUMBER: -�3-��
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