HomeMy WebLinkAbout002-840-28-5219-SAN-2023-008 _ "' Department of Safety c°°°ty SAWYER �
� � - & Professional Services, - �
_ - Sanitary Permit Number(to be fifled in by �
�_ _ Industry Services Division ,
.: . - (� 3°► �3�� �
Sanita Permit A lication s`a`e T�°�°`'°°N°`"ber `;'
�' pp NA
In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis form tu the appropriate governmental 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 a d
the Departmem oC Safety and Professional Services.Personal information you provide may be used for secondary '�')�� L�
purposes in accordancc with thc Privacy Law,s. 15.04(1)(m),Stats. ��N �i 7����'..,� R���
I.Application Information-Piease Print All Information vv
Property Owner's Name Parcel#
KEVIN & ELIZABETH CROAL 002-8402 85 219
Property Owoer's Mailing Address Property Location
1911 11TH STREET SW Go���� 2
Ciry,State Zip Code Phone Number
ROCHESTER, MN 55902 —� __�,s���+on 28 _
II.Type of Building(check all that apply) Lot# T 4� N R �g L��r W
C�or 2 Family Dwelling-Number of Bedrooms 3 NA Subdivision Name
�l��k# NA
❑Public/Commereial-Describe Use NA
❑City of
❑State Owned-Describe Use CSM Number ❑Village of
NA ����� BASS LAKE
iii.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on Gne A. Check one box on line B.Complete line C if
a licable.)
A.
❑ New System �Replacement System ❑ Other Modification to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B.
❑ Holding Tank �In-Ground ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventionap
C• ❑ Renewal Before ❑ Revision ❑ Change of Plumber ist Previous Permit Number and Date lssued
❑ Transfer to New Owner
Expiration NK
IV.DispersaUTreatment Area and Tank Information:
Desig ^`O(gpd) Design Soil Opplication Rate(gpd st1 Dispersal Arca Required(s� Dispersal Area Proposed(s� System Elevation
`t� �� 642.86 658 99.00 FT.
Capacity in Total #of Manufacture�
v
Tank Information Gallons Gallons Units � L �o '�„ � �
New Tanks Existing Tanks � p y � � p ^ �
a. U �n � v� ii. C7 a.
Septic or Holding Tank 10�0 1000 1 WIESER COMB X
Dosing Chamber (�� 600
V.Responsibility Statement-1,the undersigned,assume responsibility ibr installaHon of the POWTS shown on the attached pians.
PI er's Name(Print) PI gnat MP/MPRS Number Dusiness Phone Number
� �� ..3�� ��s-��-/6:�
Plumber's Address(Street,City,State,Zip Code)
0��7! /� ulYl �� ���/ - � � ce��s�
VI.Coun /Department Use Only
� App v ❑Disapproved Permit Fec Date Issued Issuing Agent Signature
$ r,,_
�, ❑Owner Given Reason for Denial ���'6D � �- � � �� ��t,���.�'L2ia--
Conditions of ApprovallReasons for Disapproval
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Attac6 to complete plans for the system and submit to the County only on paper not less tAao S 1!2 x ll' e�:in size, �: . �;,�
NO c ����r„x._ .._;,�: � ., ,-,,: . ��3 S
SBD-6398(R.03/22) R�FJRDS AFTER
IS,,UE OF PEFtY�r
PAGE 1 OF 5
In-Ground Dosed-Gravity Plan
Index 8� Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 5 Index 8�Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross-Section 8� Plan View
Pg 4 of 5 Pump Tank Specifications
Pg 5 of 5 Management Plan
Attachments: Enclosures: __
Pump Curve POWTS Application for Review _
T,wk Saracs Soil Evaluation Report 8 Site Map __
Project Name/Description
Owner Name(s): KEVIN 8�ELIZABETH CROAL Phone: - -
Owner Address: �91� >>TH S fREET SW,ROCHES�ER,MN Zip: 55902
Project Address: �22�N WILKIE ROAD
Go�R.Lot: 2 _114 of______1/4,Section 28 ,T 40 N-R 08 E❑or W Q
Township: BASS LAKE County: SAWYER
Project Parcel ID#: 002 8402 85 219
D�sigrs�c Irsfactnatian
Designer Name: MARY JO HUPPERT Phone: ��5 _426 _ 1775
Designer Address: 25720 FIREFLY LANE,WEBSTER,WI Z;P; 54893
E-mai1: hollisterdesign@outlook.com ,;,��'�?"'"����"�``''' •
1859-007 �`'` � .
Lice�se Number• �>� ' �
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Remarks: �*' •F: �. .. �• •=
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Signature: J�"`�l Date: 01 -26, 2023
� nature requ�reA on e wbmined copy.
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PROPERTY QWNER: 1�EVlJ� � �•L1Z�_H CRDAL - -- — 1': _= 4-� FT.
(e�cept+Nhere noted)
legal Description: �T OF �1�T' LDT Z 5�' Z� Ty0�1�ROB�� T0� � � _= backhoe pit
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IN-GROUND DOSED-GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
----�---�� �
'"'" 1z TYPICAL TRENCH
SOIL COVER (NP�wp
CROSS SECTION VIEW
,z.
min.Vench (No Scale)
tlepth
MPicai) .
�" '
f 34„
a .
�rypicai� Provide minimum 3 ft
.
• • � separation between trenches.
System Elevation = 99•00 ft
(typical)
Quick4 Standard-W
w/ End Cap 06servatlon Pipe
t ical (Show location of inlet I outlet pipe connection on plan view.) (�'P���� TYPICAL TRENCH
� ( YP � Install per manufaclurefs
instructlons. PLA�f V�EW
r— o - - - �� - - - - - - - �� - - - �- - - � �: � �� (NoScale)
��i'�.�I���rerrr4��y'#�� �k� rr..'r��.���eti�y
yi9Crr�.�o+.r�r�rtf�Ef::/ _ _ _ _ _ _ _ _ _ ,�R�� N4YWY.YYirt�..ao,�vv�� � A= 3.Oft
I . �I ltYPical)
� — — — — — _ �� �� J �
� g = 42 & 46 ft —I D
(rypical) 450 GPD / 0.7 LR = 642.86 FT. Quick4 Standard-W Chamber �11
INSTALL PER TRENCH: 642.86 /20 EISA/UNIT = 32 UNITS xd��, �typ���� W
(r8f InfiltratarSystems,lnc.) O
1 Z8 FT. / 3 = Install pursuant ro manufacturers instructions.
32 Quick4 Std-W @ 20 fP EISA/chamber= 640 ft'�2) 3' X 44' & (1) 3' X 40' 'Tl
+�_J�__� Pairs of end caps @ 6 ft�EISA/pair= b � ft' �
��
3(a?��$}(�d4?elb2SdC� �'S8 ft' Required InfiltrationArea= �4z.86 ft� Distribution Method:
x�x 3 trenches = Proposed Total EISA = 658 ft, branched manifold �
� KEITH & ELIZABETH CROAL
PAGE40F5
GRAVITY-DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
a•e ve��a��
>io e r�om
Buildirg Eleclnral musl mmply with
1YMin.or2.0flabove SPS316andNEC300
Eslablished Flood Elevation Wealherproof Eniend manhole nser as necessary.
(typifal) APP�� Junc�ion Boz
Venl Cap APP�����ing Manhole
IMPORTANT: wiln warnmg Label Auached
Anchor tank(s)as necessary ��YP����
Conduit
pur5uant to SPS 383.43(8)(g) 4'Min.or 2.0 fl ahove
Established Flood Elevation
(rypiral)
�Aitlight Seal
Finished Grade �
' Ouick DisconneG
18"Min.
CAPACITIES @ 16.83 gal/in , , cyo��o
Depth (in) Vo I) . a !
A 19.0 319.77 — '�`� `
W�P ' `APprwedJoinlswith
B 2.� 33.66 Hole Apprw¢d pipe 3 fl onto
q Solid Gmurid
(C] 5.0 84.15 ' I �ryP����
J_� Alartn
D 10.0 168.30 B m_o„
� [� PUMP-OFF
*Pump Tank Liquid Level = 36 i� � P""'P �_orr ELEVATION = 88•$3 ft
Force Main Diameter = 2 in D �ncrele INSIDE BOTTOM
� B�°� ELEVATION = 88•00 ft
�
Force Main Length = 83 ft 3"Appmved Bedtling Matenal Benealh Tank
83 FT. X 0.163 FT. = 13.53 GALLOWS FLOWBACK
Force Main Void Volume = 13.53 9a�
E'4.15 GALLONS - 13.53 =70.62 GALLONS/DOSE
[C] Total Dose Volume TDV = 84.15 gal/dose g3 FT. X 1.39 FT/100 FT. = 1.15 FRICTION FACTOR
(L <o.2x design Flow+force main void vol g8 00 - 88.83 PUM P OFF = 9.17 FT + 1.15 = 10.32
TDH
Vertical Lift = �� ft
PUMP TANK: SEPTIC TANK(S):
Volume = 6��gal Total Volume = 1000 gal
Manufacturer: WIESER
Manufacturer(s): WIESER
Pump Manufacturer: ZOELLER
98 Install approved effluent filter at the septic tank outlet
Pump Model: immediatel u stream of the �umo tank inlet
(See altached pump curve.) y p
Controls/Alarm Manufacturer: SJE RHOMBUS Filter Manufacturer: ORENCO
Controls/Alarm Model: AB TANK ALERT
Fiiter Model: 26
Float switches containina mercury are orohibited
PAGE 5 of 5
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 382-3&4, 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 POVYTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Opereting Limits:
Design Flow= 450 ypd; BODS <_ 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 mechanicai malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treaVnent 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 Seutic and dose tank(sl shall be pumped by a ceRified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s)exceeds one-third (1l3)the liquid volume of the tank�s) w
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:�l�� Phone: �/����� `��J
�ocai government unit: SAWYER COUNTY ZONING Phone: 715 - 634 - 8288
Local government unit address: HAYWARD, WI ZiP 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 353, Wisc. Admin. Code.
No product for chemical or physicaf restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
ContingencV Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shali 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, Wisc. Admin. Code.
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CONSULT F;=�.CTORY FOR SPECIAL APPLICATIO�G
• F�ectrirel aMer�brc.iar d�yMx systams.are nraiable and • variaeie leral eoet swidies a�e avaieble(or cori0i9�igle
suppiad will�an aleim. and Y�ee dieee sysbrtis
• Mad�ical a�rdus.for dupfex syslert�s.are avaiable • Daible piggybadc varia6te lerd Ilaat swNches are avaiaCle
w�M a wlMioiA alarm swild�es_ for variable level brg�yde oontds.
aaec�ion cwoe
Standard all modals -Wei ht 39 ibs. - '�H.P. t. �rqrb�e°a2°°r�ri�`.�tlirowamtimrdwqrwd.
2 9YV�oiOmOri�I�e Iwd d a�id�u dw�Y POY7�vaidih Iwl
l�9�Is Ca�YdlWdfw �o�tilltAfihlbF101T7.
YOV MO�A `� • i Yldl�idir111�I/0{�r20f/Q�75. �
�rs �u � hb an �a.+a� — s. swwrw�zb.m�.�+i.owae.orrrrNO.v.
!IM 115 1 2 v 2 6 3 ar 18 b 5' �������s a oor�!adwtr.yarJh�Aw�cc p)o H)
��n
or m � �ro u �Q�ai — e. rmp>beira.M�e�.ra�..wO+mw.r�mQ.�w+�
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7. rwQ)MrlPaktr.rr�qrm.e�fonuso�a.
:AUTI(NI
fiYia�a�a�i��oW'/ai�l�fYUYMvf�LL�WUIw�l�. APmslaLLilianofcoMmlz.aro�ectlontic.icesand�iringshwtl0edooeMa9sYYYd
�o�m.awd�rr.wrrkra.:��r.rr.w�sc�.�aw�.e+.w�r+: �+,�s.awa��u.�v�.i�aakc;�oaK.roWaeerwwoeaasrdewde�
�/eRae+riv�oor4 w1S�R�s�s.Ae►a rsen NaUonal EkcMc Code(MELy and the OcuiP+�ianl5a(e1Y aM Hea4h i1G(09UI.
i'a��:��,�,"�� �'lj3IVE�`'�L 1r-.��;L�y'i
Fa um�sual cuidtions a reserve safe3ly fac.ior is ergneered in6o ihe design af every ZnaNer pump.
� rum v.a eac ww ---
r ��ID�/U ""'r��r.muaa yr�cr..
' s a.w�a..w.�r
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WLP1000/600-P � �
TANK SPECIFICATtON� � '
,z._„Z.
- DIMENSONS`
WALL: 3'
� BOTTOM: 3' �
4' CAST-A-SEAL � , r4' CAST-A-$EAL COVER: 8� o
MANHOLE: 24' I.D. PRECAST CONCRE�E RI$FA
'�-==--==-=--=====fi1�==_==__-� HEIGHT: 53' O.D. �
i i i�i i i � i r LENGTH: 12�-17 1/2' O.D.
j� i i i i � �i NIDh1: 0'-B S/8' O.D.
�i m14 _� ����� -� i i BELOW INLET: 41' O.D. o u
7.� � �'-\ ,('�p. /' •� ����1 /' � •� � UOUID LEVEi: 36' � � �
�' i ; j i\ O NEIGHT: 17.200 LBS � � �
� . '.� _,. , " '„'T , ",', � m �
� „ r iru.Er ,u+o ounFr. g
i' �u� �i
�i FILiER OH itli ii 4' CAST-A-SEAL B00T OR EOUAL CASKET � � y
i� B�� '!i; �i INtET AND OUTLET BAFFLE AND FlL1ER: `� � ' G
1 l�____�______--_�_.-i[It__===___---=�I NiSCON9N. SEE DETAIL /�U W $
(07HER STAIES SEE qiMn !� �
W
�� uouio c�a�a�r: 2�.ae c3u./�N �seanc) � `
i6.a.3 GAL/IN (PUNP) � � �
LOADING DESIGN: �'-0' UNSATURAIEp SOI� � q
� Y i
� TANK CAN BE USED A5: � N
<� SEP11C/SEPTIC, gPTIC/PUMP � �
w� �4" VENT OR SEPTIC/SIPHOfJ � o
COVER: IAIX DESICN �B (NO FlBER) N Q
`O TANK: MIX DESCN /10 (51ttUCNRAL FlBER) �� m
---- � � � ---- 'J" CUSTOMIZED TANKS � '�
� _� _ _ �OUiLET POR CUSTOM TANKS CONTACT 1MESER CONCRETE
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RENENED BY v
M REVIEW DAIE � �
s�oe v�w ----- -------- DRAWINGS SUBMITTED
�APPROVED FOR APPROVAL
APPROVED BY: 5/1EET NO
I By Glen Schlueter at 4:19 pm, Jan 28, 2021 pppRW4L DATE; � /
PRODUCT$ NfFDEp BY: �
TANKS ARE MANUFACNRED TO MEET OR IXCEED ASTM C-1227 REQUIREMENTS � 1