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HomeMy WebLinkAbout028-742-27-5301-SAN-2023-011 --- _ �n � Department of Safety c°°^ty C � �s , &Professional Services, "� �� � , ' Samtary Pertnit Num er Ito be flled in by C i . Industry Services Division �s:',�i ?3� g� Sanitary Permit Application 5`a"T`s"'a`"°""°"'be� W In accordance u�th SPS 333.?I(2),W�s.Adm Code,submission ofth¢form to the appropriate governmental unit �'�'7S' �ZZ3UU/6''�'L Q is required pnor ro obtaimng a sanitary pertnit.Note�Applicacion forms for sWteowned POWTS are submitred to Project ACdress(if different than mailing ad. the Department ofSaCery and Professional Services.Personal infortnauon you provde may be used for secondary — purposes in accordance w�th the Privacy Law,s.I>OS(1)(m),Sta�s. %C�J�� ,.l (,ZF.S� Q.,7. LApplicatiooloformation-PleasePrintAllIn(ormation W u� � L9 Property Oumer's Yame Parcel M l�a,�� ��� ol���'s ���- 8zg-'742-Z7-S3aj Property Owne . ailing Address Property Location Zz2� W eail� �ve. Ciry,Stare Govc Lot� ZipCode ' PhoneNumber G�Cit.� I1 IL- �0(i, y� 7�'SS�'37.32 `/. Y..Section at-7 II.Type of Bu ding(check all that apply) Lo�k T L N R ❑1 or 2 Famity Dwellin¢-Number of Bedrooms Subdivision Narne Blak# �Public/Commercial-DescribeUse �iCZ�k��1t5� ❑City of ❑StatzOwned-DescribeUse CSMNumber ❑Villageof IN�4P� ;3; � �ro�oe �.S'�lCe [IL Type of PO�VTS Permit(Check either'.Yew"or"Replacement"and other applicable on line A. Check one boz on line B.Compkte line C i a licable.) A r�1 Kv New Sysrem Replacement System ❑O�her Modifcation to Existin�System(e,eplain) ❑Additional Pretreatment Unit lexplain) B' ❑Holdine Tank �n-Ground L`(,-�,� ❑Ao-Grade ❑Mound ❑Individual Site Design ❑Other Type(explain) (conventional) �• ❑Renewal Before ❑Revision ❑Change of Plumber ❑Transfer ro New Owner �st Pree�ious Permit Number and Date[ssued Expiration Z_��3 / �41'}Qf - �.ci Z [V.DispersaUi'reatment Area and Tank Ioformation: Design Flow(gpol Desien Soil Application Rate(epd/s� Dispersal Area Required(s� Dispersal Area Pmposed(s� Sqysrem Elevation ��c�G�.S .� /3S1 75c 1°'1*�rn.�G, /C�.S Capaciry in Total q of , anuFacturer��un<��i Tank Inf'ortnation Gallons Gallons Units h'ew"laal-s �.r�sing�fanks - _ C`.U 'h ' - q SepticerfleldwgTarik j��� ` Z �CCi � �lGSCI�. oos��8 cna�„�� .ZS� i ZS C: � u V.Responsibility Statemenb I,the undersign<d,assume responsibility for inetallafion of the POWTS shown on the affach<d plans. Plumber's Name(Prinp Plumber's Sienamre _ MP/WRRS Number Business Phone humber �uSa„ �i.�L{-��� _� (o"7S`1SI 7is 7y�-33SS� Plumbcr's Address(Street,City,State,Zip Code) � P�, �:� �� C���,�:� �k�� VL C un /Department Use Onlv �Ap 3 ❑Disappraved Pe mint Ft-e�e Datz Issued fssuin�Agent Sisnawre ❑Owner Gie�en Reason for Denial �r`w'� ��(�1 I'�3 �"I�u�'u'��'-�""'"""'T Conditions oFAppruval�Reasons For Disapprocal .: �� � � ��\,.i ��--!�l otl'r����.ra►� ;.� .. 3�``��"1 h . .._-- FEB 1 0 2023 I � ,,�, 1�12.w Warld�3R�-k ' 1 '1 � �� SAWYER COUNTY C� � �ac � �" T---�J ZONINGADMINISTNATIQN arcvch m c mpleie plan.v for the sysrc and sobmit ro the founn onh'on yap.•r nnt less than 8�._s I I inches in sitt j J��� NO REFUNDS AFTER se�-b�9s�R.o��zz� ISSUE OF PERVI7 \�`\Kf1��. 1' Wisconsin Department of Safety and Professional Services ��/ �?, ` Phone: 608-266-2112 Division of Industry Services �� � \i Web: http:i�dsps.wi.�ov 4822 Madison Yards Way �� � � � �i� � Email: dsps(nwisconsin.eo� PO Box 7302 �� pS 1 Madison, WI 53707 ��. � � Tony Evers, Governor �J'ki,,,�� ������~ Dan Hereth, Secretary ,.�,��..� February 8, 2023 CUST ID NO.: 1476757 Identification Numbers TIMOTHY J CLARK Plan Review No.: PWTS-022300164-C 42940 US HIGHWAY 63 Application No.: DIS-022305408 CABLE, WI 54821 � Site ID �Io.: SIT- 111986 Please refer to all identification numbers in each correspondence with the Department. CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/08/2025 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSION4L MUNICIPALITY: SERVICES TOWN OF SPIDER LAKE DIVISION OF INDUSTRY SERVICES SAWYER COUNTY � �a..,.,c�.z ��t SITE: -- -- ------ --- — _ SEECORRESPONDENCE BOYS CAMP WORKSHOP 10970W BOYS CAMP RD. HAYWARD, WI 54843 S27 T42N R07W FOR: Design Wastewater Flow Value: 966.5 In-Ground Soil Absorption Component Manual - Version Camp 2. 1 (May 2022-2027) Limiting Factor(s): ll 6" 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 authori�ed represcntatiecs of thc Department, w�hich may includc local inspcctors. A Department cicctronic 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: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products sliall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on-site or off site. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 38230 (11)(c) • Tank Installation to folLow all manufaeture's recommendations. • Verify property line(s) prior to installation. 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 far the POWTS described in this approval 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. 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 municipaliry shall be obtained prior to commencement of construction/installation/operation. In granting this approval,the Division of Industry Services reserves the right to require changes ar additions,should conditions arise making them necessary for code compliance. As per state stats 101.12(Z),nothing in this review shall relieve the designer of the responsibiliry 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 -� �l � Fee Received: $250.00 ./ria (/�i�ir�9 �C'f?�',i� Balance Due: $0.00 Tim Vander Leest � Refund Expected: $0.00 POWTS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleest@wisconsin.gov � ^i�^ �L!-= -- , � - - - �- • - -- ----- -- � �vC-W S�+ ?��N/ `��v�,.cl��.�tiR-tz.-z� �,�_:�I�cT �,... «_�,UC�-Vle a� �o(c�c� 5 ��C ,,; z4(no� �—�—-- ` � — -- �j`•`,���p� Ctulec � �l,�C}1 5 (�C —�--- - ;.�����ss zZ�vv u1, �Med i(I F�ve. ���d;�;��a,�Y _ APPROVED G�;^^ �/ DEPT.OF SAFETY AND PROFESSIONAL SERVICES L��'�'� ��.___ OIVISIONOFINOUSTRYSERVICES ��y 7 — � Ud.�,a.�. .L..t P�'J t`�E: �I 5 -51 k- 373 L SEE CORRESPONDENGE PF.pJECT ADD�SS: _I �Q'l0 W ���5 c�,,,,�, „ �p��_ ,�f�_�_. — � ;t�"C�!-�'� S`f�� i F�s�_[.�Fsc_�[�rf�r[ot�r� Sa.��T�fz r✓� 27w G.�. 3 �4;�� o�'SP�C�ev L�(<e — - �Qw eJ� �•��----- —_ �-- - !'�;PCEL iIUA;[BEE;:��,�_ C�2�'�_-142 -Z7-S3G � I. fi'iDc;:S[(�E1 _. ['L01�PLAi�d SEPI�[C/I'Ui,.p I.',.,.�t='(',��i_;.;.;E,_���{,., -' Pf1i.IP Cf.IR_�,�I_i �. �,GLL L:'�`�OUT �_C[;0�5-SECT[0�`�f ��. SC>I(.L�;��LU;A"C[Cii�d ;. SO[L 1�E5"f'E;R PLr��C PL�',t�l � �`�"S1�Gi';i GL�=•.4'_ A'�I,I���'�:"I'I�)i;I��lF��.( '��. -;G.('l�lr _1":�I�I-�.;.I i�. �.i! ,_,�_� !Gi;T f'L ,., �/r� ` i ,, , � � . � �I�,�_. ,_,[� ���.'� I � ',�I ; �i ' (�7s75� �3�z3 l o�os p cNEc�eox n�aopucaa�e cnEch eox as naPuu,��= � SOIL EVALUATION o Scaie: �Qo 40 so eo ❑ SYSTEM PAGE 2 OF SITE MAP PLOT PLAN PROJECTNAME: oesicNF�ow ��%C��' - � cPo c,onq��ai io= �,j� > > �,t r,,,i' �._',; e < ����o��� Attach design Flow calculations for commercial plans. PROJEGT AD�RESS �' ��� �< <'-� �-" 'r ' �'` �� '� ���-� Pipe Material!ASTM Standard(Tables 384.30-3 8 384.30-5) NSamtary Sewer �� �< « Y� / : BM Symboi � BM Eievation r'i�.�^� FT Pace Main. z � W�''L / BM Descnpliorc � ,` �..'.. t �^'/' ,' ,� Slope Gredienl(%) ma�ca�e nonn ey I MPORTANT: weu Symboi pf appi�caoiep � d.��..mp a�arro,. 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OBSERVATION PIPE DETAIL depth L 'w• . (No Scale) (typical) —7� — — �� ,-..��•.'. Screw-Typeor — .�,� Finished Grade Slip Cap(loose) W "" • (mWched&seeded) /90.5 � >.., . System Elevation= ft. � ' • , a"0 PVC Pipe +' ` � Topsoil Cover ' PI'OViC�@ IIIIIlIfllUfl'1 3 ft Top ot pipe to terminate ��'` ,��,� (min.t foot> (typical) ' � alorabovefinishedgrade . ' separation between trenches. �a�,in•�-,r�.�x s��sb�5 @ 90 apart TYP!CAL TRENCH (Show location of inlet/o«tlet pipe connection on plan view.) Anchoring Device Infiltration PLAN VlEW Surface (No Seale) 4„� Observationpipeshallbeinstalled at junclion botwaen two units. Perforated Later�l Observation Pipe ft (typical) (typical) (typical) - - - - --- - r - - - --- �,� -- -- - - -- --- ---- - - - - � ______ __=____ - --- � — -- — — — —— ____=__= � A= 3.0 ft � - ---- - - - - - -- ---�rL - - -- - ^ L _ --- - ----- �h'Pical) VJ B = !�S i' ft -._, �il (typical) (� INSTALL PER TRENCH: EZ1203H Bundle � (typical) -n �s 10-ft bundles @ 50 fi� EISA/unit=��' ft� (mfd by Infiltrator Systems, Inc.) � Install pursuant to manufacturer's instructions. `+� 5-ft bundles @ 25 f� EISAlunit= �SC'' ftz = Proposed EISA per trench = �� - ftZ Required Infiltration Area= �3�� �S ft2 Distribution Method: x � trenches = Proposed Total EISA= ?S� ftZ branched manifold ��. RESET„r � PAGE50F6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale} 4"0 Vent Pipe >10 ft from 8uilding Bectrical musl comply with f 2"Min,or 2.Q fl above SPS 316 and NEC 300 Esta6lished Flood Elevation Weatherproof Extend manhole riser as necessary. <<yp���� Junction Box Approved Approved�ocking Manhole IMPORTANT: Vent CIap wi(h Warning Label Attached Anchor tank(s)as necessary 1 �tyP���� --Conduil pursuant to SPS 383.43(8)(g) a��PAin,or 2.0 ft above Established Flood Elevation (tYPical) �Airtight Seal � � �I� Finished Grade t Quick Disconnect � � , 18"Min. CAPACITIES @ 34.81 gal/in `:- � . , ._�� • � � � ctyP��i> �� a i Depth(in} Volume (gal) 1 > �` y� * �, � A I / ,t � ��° �"� 1 Weep •�Approved Joints with � Hole Approved Pipe 3 ft onto B 2.0 69.62 A I . so��d��o�nd � (tYPical) ��;� L� - [Cl fc�`� �Z�i�; i ! ! i; ' ,��,�,y -5 ��Alarm � �� 348.10 B ` I��pn * .�6 � ��� ��Oif e E�.,.EU���N = ��-�r1 f� Pump Pump Tank Liquid �evei = in - � _�.�. ° INSIDE BOTT(JM Force Main Diameter= 2 in Concrele _ �„�o � Bi°°k ELEVATION = ��� � � ft -� . � : . �� Force Main Len th = �7S ft 3"Approve�f Bedding Malerial Beneath Tank g -� �t�i2�t^�,�.'3-C k-.j .�t:. ��;c? ' i.?a�-i� i=-.� Force Main Void Volume = y�t• � a� Vertical Head = %1� �' ft g � ����:i�7��}� �.�. �` + Iviin. Supply Head = NA ft [C] Total Dose Volume (TDV) = 2,.��•I gal/dose ��� + FM Friction Loss = Z� =E ft (5X total lateral void volume<TDV<0.2X design florv) �� +(force main drainback volume) + Fitting Loss"� = NA ff *(min.supply head x 0.3)--�' MIN. PUMP DISCNARGE RATE _ `�u gpm = TOTAL DYNAMIC HEAD = ����ft PUMP TANK: SEPTIC TANK(S): Volume = 1250 gal Total Volume = 2500 gal Manufacturer: Wieser Manufacturer(s): Wieser Pump Manufacturer: Champion Instafl approved effluent filter at the septic tank outlet Pump ModeL �--�'�::= �'�� immediatel u stream of the (See at�acned pump curve.) Y P �ump tank inlet Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Orenco Controls/Alarm Model: HW 101 Filter Model: FT-0822 Float switches containing mercury are prohibited. � , �, � >�� , , „ �y� �� � � � �: - , . .� � �� �=� � 4�10 �-� 1121�P� �� � � ., , . .._ . �� � �amp��n� �� . � � � ��� � : � �. � EFFLUENT - � , Everypunrp t�s�d ia water to ensure pumd . _ meets peformance curve., ' y : �� �_ ,a e . � .��� �� a � .�: .a, � : ,_ o„_� __,� __-_ _ . _ . - --_.:.�' Y,�� '� "" - � , � . . . .• • ' .• . . . . . . � �. -. . - . -. .•: • . . . . . :. � � • •. ,� �,� �; . � . � � . .. . . -. �.� . ... . ..- . . - . •. ' . .. .-. � . . . = ,:. � . . -.. * i • ''- • • • � . _.� • • • .__, - . •� ' � • - •.� � • • � �, �. � ��. � �' • -• • .�- • '� • • ��_ • � �- •- � • �. s� • • � �. . � -� • • 1 •+ • •' • • • .. �. • � L -F,R l � ,' •� � � ,' .� - •' -.;;;� r_'�.�; � • �^ �' �� � � � � � • � • • � �. � •. • � • � � � • , � , . � � • • • • � � �► � t � _ �����������s��■■������� ` �A�■�� '�������� �/��� ����/� ....... .0................�:::::::::::::�.�;;::: �-•...................... ., ■........................................... ....�...�::::'.':::'.:::::::::�:::::::::::::::'.::� �n���►� ������/►�/���� ������������� �����/O��`��i' �������������������������������������� ����t� ' :�����������•r\���������0������������������������ �r�!��:'��r��,�����\�����/�������/���/�����������%�A� ������/ ����\\�����/���� ������������������� �����/�.��/��ii�.�- - , ��������r�'������i����1►-������/��t�������������/��A� � L�������/�����i....������. ��i"�����������C�������..��„����������/���������������� ' ./��:��`���r��•�r�'ll•a�'�.�4.r��J��i\��%����������������������� /��� , ....C....r......��.:::::::�::'::::::::::::::::::: :. .............� �iii�iiiiiiiiiiii�iiiii.ii►�i ir�iiiiCiiiiiiii�ii ii ii����i������������ ��r■���-�■�na��►��� �������������� ' iiiiiiiii iiiiiii�i■�ii�irr�iii���iii►,aiii��ii�i■�iiiiii C':::::::�:::::::�:::::::::��::::::::�::�:::'�::: �..■■..■... .■..■ ::�::::::: :.:::::::�'�:::�:::: �...........�■.■..0 ' ::::�::::: �::�C:�:::::::::t�:::C�3�::'::!�.':::�� ■ ... .■.�_■. ... .............. .. .. ....... ......:���...�:..... , :�:::�..�C...�a.......��........ , , , , :, , ., , ., ,, „ • � • :. : : � • , , :� PAGE40F4 In-ground Dosed-Gravity Management Pian IMPORTANT: The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384,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 POWTS Maintainer in accordance with SPS 383.52(3),Wisc.Admin.Code. Maximum Dispersal Area Operatinq Limits: Design Flow= 966.5 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 mechanical malfunction(i.e.,pumps,valves,switches,floats,etc.) o material fatigue(i.e.,leaks,breaks,corrosion,etc.) o solids volume in anaerobic treatment 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 tlischarge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary) o Septic and dose tankfs)shall be pumped by a ce�tified septage servicing operator licensed under s.281,48 Wis. Stats.when the volume of solids in the tank(s)exceeds one-third(113)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 filter(s)shall be inspected every 3 years and shal�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 oP individual or company:Alldry R8SI11USSert &SOIIS Phone: 715-79H-3355 Local government unit: SaWyef CO. ZOnillg Phone: 715-634-2822 �oca�government unit address: 10610 Mein St. #49, Hayward, WI Z�p 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 383,Wisc.Admin.Code. No product for chemical or physical restoration of fhe 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 PONlTS 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 soi�s. System Abandonment If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisc.Admin.Code. � :-, _ :� s _ J R.. •v Y�ti y. �I � It, ��'@ . 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J ._. ` .__ _ c ��s �r' i k �, ,,,.� ,� k ( l_ � � _ I��a � � /.�Snu�tsf (... \I I 11 �i�il I IIII til ll nanl I.IL�� 1 J..i. � i.il 11 I r in�l:ill I nn��f IL�I 111\I♦ I n 11 II.�tLrJ�1 . . ��� � �,. �.I I II�,.,: ...) _. . ' .. .. .. / 17 IYI!.. _ I� . ...I�i:�� ♦ 1,.� I I�L �� ��{SS�_ � ���.�5 I��� ��..� ��l i.�_�t—.-- �L�S IC 7iJ� )5 F »J�J ii��...��. �6�,..�.�,�,nr;. o,,�:/�p��,.�;i . .. . . _ .. _. �� � ��C�K L'C ��� �1�'�� l�'1 S4S<� _ _- --- -- -- — �n i.�„����„n,,•�:�.����.���t„•o��i, _ .._� ----_. _ _ _ _.— IX i� i., u,,i.,�:,i I r., �� __ _ — ��ip���,�,i � � .,,�.,,,��.i ntii:�'�n/��.• � -. Ji:i„„�•<<�„��ia..�„���i� u���:�i �325.00 2/2/12 �._!' �tc, V � i�.������i���,���,��i �i,i����.:�vit,•:�,����,r�,u�,:�i�i����,:�i — , --__ IMYORTANI' NOTICIi: Wisconsin SCate Statute, hapCer 145.745 (3), states you are required to have your septic tank I pumped/inspected aC least once every 3 years_ � , � I .._._ ...-�n:�.��������„u�. (.�.�,��n��,,.��� ��i.,, ,��i�;�i, ��,,,i. „�i,�„�i�.,w,���:,n...�,i��.�:�,�._ '. �ItU-n���stH II Ili � '\ . . ; � OS, i 'L 9a`ety antl Builtlin5s P N FJ.NCH ROAD , S` l - H.iY'l'nRD L"/I j.�,pt� �__ � - CCn:'eC'TnrOb^.h P,� . '�'"c.:inv��'�.� ' ;:r.�. =�mm=r_evn....,�,saY '.___ ..,.,. .::sca�sin , ---_____ __ Stott Walker,Govemor Pchr,i�n�01,2p�? ---�----_.___ Dave Ross,Secretary CU57'll)Nu. ??1�16 :!%7:1'.� /'(lll'1.S bup.�lor Df?\\'I.C:1 R:`S\II:SSGN ZONI.\'G AU\II\'ISTk:1TfOV :»�u2t i� ii:�s��tt sse�.� s��.�ti i�c snu i�er, c��i� � Pu RU.A 66 �ll'SI 1:1 In�10.\1:11\ SfItPFI C:1RLP P."I �1,�'I PU(3(�\ bib F(.ql'lt':\RD \41 ?.tX.17.pr,-�, CU\U1770V':1L qpPR01'AL PLA.Y -�PPR01'.qL F.SPIRGS: 0?'pii?pN — -- idan[ification Xumber; - SfI�F:: Tr:�nsaclinn ID Nn. 20.l3J0- -� \'or,h Stzr Boc�CyT� . Si�c IU:\'u. Yo3J; I IO�%�l�'[3oys Camp (t�� Pltasc mfer to both identificatio---��umh«S--I Tu���n uf Spider lakr abo��e. in;dl ca�enJcnce�eith th�a_encv. Sa��1�r Counn �-- _. Gnvcmment I.otlS)3. S?7, T�12N. R71V POR: Dcscription: \on p�zssurizeJ in,�round, qp 1'.(�.V (�bj�et T�pe: PO\l"fS Cortiponent Al;inu:�l �R�su�� �a01F. 90 shot��ers pzr dav,n„I,i�ch�n�ti�zste�iater ulued objeci ID\e: I;;i ISn ����n��t f Alainirnancc rcyuircd: RcpLiccrncnt s�sicm: _',70�i<;PD�lo,� ra�r: 1 IS in Suil minimum JcpU� to limiting factur firm ori_inal tRade: S� �..� �T �:� ,s�em(;1: In•ground PO\1'"fC Cnn;pnncnt\tanu�l. S6p- � f k ' � EhluentFilter ���?u5-1'�5.OI01�; CnmmereialSys[em.���- 7-hr ;ubmitt�l�iescnbad abor�•ha, hren re�ieu eJ fLr�,n;�,nn�nc. «i:u a� � / ;ifid �l�s �nsin Stnmtes. lhe s�bmittal h�s bcrn CO\DITIO\qLL}' qpp�pl'f-p. I ` and loi itcd in accordance�cith ihr rnclu•�.i:�;,��;���e�,i���;and u itii ,m rli�:�hle ll„con,in AJmini;t,-ati�c C'odr, -.._.._ .. __ . The oaner. a,d�tined in cli.ipt:r Iol.11l�IUI. ll�i,consin St:tutes. is r;,ponsiblr I��rcoin�,lisuair u-ithtall a�c�tru te.l compnnani m:umal�a�rc(erenced abece. requircmcros. Nu�enon m:�r cuea,�e in or��vrk ;u pluinbin_ in �he :htr unlcss licen.ed io dn su h�� die Ucp;uiment per s.Id;.U6. sf:ilti. Thc fnlimrin_condi[i0�75 shall hi nlcl dui'in�aq�.t�uction or in:callation anJ�.rior t��orny,;�ric�.c,r tuc: I<cr ilcmis) • In the e��ent this s, ti �il a��or,�tiur, s;um��r am of it;corannn:nt a,;rn� h� �� � Ihr prop n m�nc�nut,t inllm� thr cn � f .�Itunwor:, >o ��,to crcxte a hc�l;h c,�< < nn •r mc, m,urc t6ut thc n nti,� �n�, plan , crihrd m tl c.ip�rn��d�I ms In addition. Suil �n�or+tion A Prrahon. mamt:nanc c�d mom, nnc r lanual S•.;t:rn"arc complic,i uith. :1 •1ot10'�s��•;�ribcd io �hr upon romrl�:ion nf dir projcct. ��P}�oi[his infonna;io�tmu� be ciern to..���Ciruun� . the�uner If groatcr[han 300' ofthe forec main ��ill dram bacl, into �hrpump tan�. ihc d,,,: �olumc must hc udjus::d to i��clude the additional ��olumr of��;���r. • Ihis�ipprnc:J docti nul incluJc pl:m, li�r thr �rnrral plumhia_ sc�tcin,or�r�rcv pi�inc I�;�din,� ���lhc ccptic 1wldin,�anl:tl��i ina} be myuircJ 16r this projecC Sec sertion C����I:�I S? 2U, ll�is. Adm. Cudc, io d�•icrtnine ifplan suhmival;m�l approcal i.rcquired • �1 "n°Puncnt spccifird in ihis P(l15'IS Jesi_n rcyuirrs scrvicing u�; s. C�,mm S_.?I(�)�c)5, lVis. .1dm. Codt. if am n intcn�:il ul� 11 m��ntlr, nr Icss Pursuam i„ intrn al of I? momhs or lesc. a noticc of tHe necd ii�r cuch cen�icin��or m�inten:�nce must bc rrrordrd ti��iih �h� pan ofa POl\'TS requims sen-iciny or n��in4nance at an `�c�'� ���r thc proticrt� Ifdtc m,iinicn�ni�•��r ci�nicr notia� hac n��t h;. �•:u��,i h� the.anitan prrnii� issuin_ag:nt �n n�cnr,)rd. a s;iniia�.� �,�rmii can no� hr [3E`:-:IS :� i.,�ti\;C'StiC}: i'a_� '- - � -���- � � • � �i�` 3.'i'::LY��t`S� >`+SttIP. C`.c�il?j7Ui,:'.ili� f�iUj( L7� Ii'.�C1��4� iil �CCOC.�::lC�' lcti}i t�'.� R�:�1Ui ��I:1f?' S (':`lill.'C: IpSCCIiCCfO(iS, -, ,�':i and CO�f\l 8� S�s,�cr silir:�� 1 T bei the pl•an :p; r� _ _ criteri�}. ICtilere is a cor� �� ne�n u�e r,�n ia tLr..r � ' � � ec�uirer. ��i':1 ta�:e �r•zcedc:nce C ' ., instr,�cti�ans and d�e F,lan a�pro�-aL t�te �lun a pro��al anu c�d� ; �ent� • Sup,�ly �!�iple� pumps ���it}i duplex cont;�is. • The flaat s��'iteh st�a(I be a t�pe t1�at doe� not coutain me;cun . ?f�J9 t�'isconsin :�ct�� ��ohioits the install:tian of float s���itnc�s or rela��s tll�t contain rnercun�. . The desi��n�r proposes to li�stall an outlet filt��r to achie��c the r�quirement of ti4'aste«'ater particle size. Access to the t�itcr for cicaninY! must be provided per ss. C�mm S�I.3� (7) and (S),��1is. f�dm. Code product approval condition�. �1ainlenance infannation ttt�ist be ��i��en to the o��•ner of the t7nk e�plainin�� that periodic cicanin; of the iilt�r is requirea. The ouclet filter shall Ue installed per product appro��al stipulations. Rctnindrr � � liance, appurcenance, . \i:eterials shall confonn to the requirements o[C0�4�1 S-:. C:umm S-1.1Q. '�o fi�ture, �pp materia(, device �r prc�duct m�y be sold for u�e in a rlumbin=, s}'stem or ma}' be installed in a plumbin� s}stem, � unless it is �f a t}'pe cQnforniin� to the s;.:nciarJ; Qr specifieatio�zs o[c1��s. Gotnm 3'- an��i S3 and this ch.ipter and ch. 1•!5, S:.ts. �i'.�.i�'.i drainaTe ��'i.".�� DG C�I�Yii'2C� 'd�t'.Y �TJ2i1 I::� S\'St:'IR :1Ci:::. • SUi I:l�� � . 1 nc cxistin=� POl'v''C5 mu>[ ba gr�perl�� aE���n�ion::tl p�r s. C'onun S:,�3 t�'is. :�dm. Cod�. . Insuiatc Eiuildine se«��r per CO\�S��t S'_.�01.t l)i;c). • Pr���icle irost pr��ecti�n p�r CU�Itii S3.�;(Sj��cj. ;1 cc�F,}� c�t tf�:: ap�ro��r°d plans, specifications and tl�is letter shall be oti-site duri��, eon�[ruction and apen ta ins>>ccti�m lay� ��itl�oriz�d r�preser.tati�•�s ��f thc I7cp�srtment, ���i7i�h m:�u inclu�� I��cal insp4ctors. All ptrn�itti ree�uired b}� tl�� St.ue or tlf� locai municipality s(�.ill be obt.ii�ietfi Earic�r to cUm�neiice<<�eitt oE cons�ructioru installation�'opzratidn. In �zr,�t�tin;; tEiis approva( tl�e �ivi�iun �f S:if'�ty ��: E>uildin«s r�ser4�cs �he ri��lit t� require chan�_cs or �ddi�ions shou(d cc�nditi�ns �irise makii��� dien� necessary for code compli:�nce. t1s per ;tu�� skats 101.12(�)� notl�ing in this revie�v shall reliev�. the desinner of d�e rz�ponsibilic}= for desi«nin�_ a s.if� b�iildin��, strurture, or companent. (s�c�uirie� concei-�iine tliis co�rLspondence mav bt �.�ad� t�� m� at th� tclephotle number lis,ec� belo�.ti, or :t die addre5s on [n�> l�ucr;i���ti. i'ht al�uve i::f�t a.1d:�s;e� shall pro�•icle a co�;� orthis I�tt�r �:nd ti�e PO\�'T� man�.:��eme;it plan t� ihe o�cncr and :�n.:� ��t�lCi> ��fl�) :C� CCti;(?i]SI�'�4 fi)i' i5: li;-i::�;::[Oi:. t?Y CT:fUUil i�f I11:U11t:'tl:l(l�� U� t11C T7U`��1 5. _ 1 C'4 �.�.4��tli� J ^�OQ.IJQ �tllC��ct�.'� �'", J�:�C.I�'i::� � -��)f�.�)t) I � , I3:l.:nce ll�e S t?.�ii � 4- �Y , . .. .. . , i^. . I f'���rici;i I. Sh:nci��rf ' I't��1'�I�S !'I::n f:������v�r , litte��r:i:ed Sen�ic::s \t'i5\L-�I:`I` co�<<: 7Ga� l i 1 �) 03-3-75 l(J, Fax: (71�) 6=;-�1�0 , ��f - f S:OQ ��.m. - ;:�!> p.t��. �at.sf:.:n�i��rl��r?'���i�c�n�iti���o�� ce: �iattlic��• r11(�u J�inzen. �t'a•te��•ater S�?eci:�(ist, (71 ;j �•1Q-(� lUi Note: Effective January 1 , 2012, all eo�les un�i<< th•:j�n'iscli�ti��n ��f tli [��i�-ision of� 5af.ty << I3utldi�7�s «•i!I b� titU��!i?u��. l����c Rt•.Ri1C�'; �.'::[h 7t'•C.l�, Si3it11��� 11't��l ��'t1111{il" \;'I�� �?:' I'C�3� t�c'C� l� Ilh ���FS�� t6 fCCO"ill�� 1�1� f��V�:lil��ii ��� (�It. �)iA 1'�f!?Ci UI 1'!��i� : �illli�ll� �i IiUtl! I�IC f�lt`ItiCf �����i. V� �� llull "�C� lCl (�l� �)t(��. f�f ��'tCIA� tl �"fu!::,:I��ii.:� `::'\ 11.�5. :�i:�'i:l�1l:::�ij , :t�� S��:E� l.t4ij:.'> `.11�� !,Z � .��!1! lilU��j .l:l.j '�����- - �ti��ii l�l i3 � _�?��� yr�ilc5, rCl;' ll;[Ft�d t� a , ; , 'li , , � ,_ ..;.;� ���. 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Map�2 -�"'_`'17Go� Zj� r�vc �,a,Tp � -r~Cri.�Inai:l Lodye \ f \'� a ��oT '�U sc k�2 o� qc��Ja t -j8?'�- -0 g�ower 81d�-�► Z'o B�{ • 84 �r ��sc1�.4o , � � = (,�ieser 3�oa �P a� _��� �'° �j � W t e ser 3 ao o �� � y, sc.ate WSf/Or'QV1C.p FT 1z�1$-3/� x � 8u•,k c�b�., b N � = KQ Srri1,�.S5e.�� I Z(�o �,o�se � p, -t-��k w( Dup1�x PumPs `�.� ��' Q = �0.sm k 55 er� �t�o ._._.�' -_` f o k°`� Ta.�.k C b��r. i�o�c.� �-,�'(c sp,de�- t�ke ~�' � a 83, 'N w ?q N M, � z a� �a INl)El SE-II1�"I' FOI2 I'O'4�VTS I'ROJECT N:111�IL �. 5-�-tZr' �j� ('�i����� �— Showe.� {-���use 1�,t0.`7 t�r�� O���NER ��,el y__ S h I��>>s k�1 �DDRESS: _ �d�10 N< 1.�.�f� ,�l � � _,,,.������ _i � -�{: S c-c i S c���: � - , _ C��a� l,l5c.. �� IL`G' C�C�t'; ' ��� � PIiONE: ��{1-��y3-�ss�� r1�c.�� - �}�,�usr PROJECT :IDDRI�SS: I��ti�7U 4U 3c�v,5 Cct�,tia f�cl, -z- N��,v�r: , n �-�L�_�..�s LEGAL DESCI�tI'TIOl�i: S a-� , 7'y.��r. � � c� 1 t� G'+ �,�..� 7i ��1�:(� 1, I�T � �'y � J��„���7 TO��41_c) �� ��o, G�E�� Lc•-�=C, "�, �� � �— � ��t�A I_1�;�.11��:�i�-���--�..........� ±::f� �,..� __..-1 1��1IZeLr lV�I1��Tf3EI'�.. t�2�- '7�-1 z�` 53C) 1 _�.� `.r, ,,. _ , �� _ 'r, l� � f l . I\rDLX SI ICET � :.;,.r,__"-. ?. PLQT I'1:,�N _�z, ���_ ,� � � 3. S�PTIC TANK /PUiv1P I'�1�IT� CROSS-STC'�I'ION 3� � � � � �, PUI�IP �URV� CI-IAI�.T . �. �'F.f,1, (,AYOTIT ��. CRi>>S-SI���..I'Initi� 6. SOIL I�;Vt1LU.<1"I�IC)N 7. SOIL T�S`I�'LR PLO I' PLt1N �. SYST���1� ELEV. A%�RIrIC�I"1-(ON TOR��I 9. SEP"I�IC` SI'STEVI i��I��i��r�1G1�A�ILi�TT PL.<�N 1 O. S`�Si���1 Si�zING Ci��Cu�,�-� i ic:�n�� ` ) PLUNIBLR'S SIGN�ITURL��.._�,�.�:�__�;�;"-•�.._,_.�:. .�_�__vNll' f� 2Z l sl(� D:�1TE: ' � ._ �S('��'� 2.� � �:�� ��t.�i � : I�U��'�1�S �.���'���O1���.;!V` �� �`I.'�!\j_�:'��_, „ � �.1�L:J ` (� � rt1MP CHnME"R CRoss sCc-io�� a � u� -?ECIFi[arrOuS � - PVC vEUT PtPC VEUT CAP . �I 40} � ^ ' � 10'=aon 000a. w�^�kERPROOF "^- 11JDOW JUUCTlQI,1 g�x � APPRpVEO � IR lA1TAKEF�CSH 11'MIU. MAUHOLE �OCKiNG ' aPProved�overlwith � GRAOE ' ��g�1 I I � 'r'nru. - ia•niu. cououir �__ , . _�E ie•niu. . ���� -_ _====-f-`� r+u��r , �` � � PRDvtD_ I ,, __ �lR-1GNT S�,L �'"� � � ( I�� —_ � �jl �R/ I ii� ° � i j I ALAAM . i , � ,j C APPROYED i f l.Ev 8z. -�T,� { JOIF(TS NITH � au --T APPROVED PIPE . DuQI£X ► � � 3' ONTO PuMpc,,� __� • ° SOLID 50IL � oFr COUGRE�� :�OGK � RlSER EXIT PERr117fE0 OUIy IF � � Tqux MAUUFAC"(JR�R HA5 SUCH APPROV4L�� BE�'� �� SpEGIF► 0 5 E ,�...�:�.T.�.o��� �F1t TA[�. 'AUKS MAIJUFACT�J{[ER: SYY� , rAUK srzE: I Z(op Q�---- �JW't6ER OF pp3 S; /Q ,�P.Q, p1� GAL�OUS D Sa�OL ME �hc�`n���DAy pCtlYi'J �A�_H �'1Nll1FACTURCR; IRllbmbl�s / �ooCl AlUMbEK:�Z 21 W J jt�y � �tiCLUO�AlG 6ACKFLOW: 32.Q — �ALEY�,� '�-----..-.���LONs �wrrCN ryPc: �L UP�CIT�ES:�t=2/.S M,P MAUUFqCTURCR: �UCHCS OR �'1z�5� --_G�L�ous �k le z$.N9 $_? IUCNES OR sG.98 uu 1 Jr- -----._c�u,cus ooEL �: C_ II n [Ou I ek 6Ps --_._iUCHES OR�7 G� SWITCH TyPF:OII2Y ll�}C(. 0� /Q ""�--�^'�LLOUS hl1�,I1MIJ 6'� ---_._INCHES OR���GAlLOU$ r1 DISCHI,RGE R�TL� u� � PUrtA qy0 �.TICqL GivF- G�M � ALnRr� AR[To 6C c REIJC ' F bE7'WfCL PLtMp p C���w NSTALLED OIJ gEp�R�iE CIRCUITS MI/�llh�uM uETWO 0 F Au0 Of5TRI6UT�0U p�p /� RK SUPPLy pRESSIJRE , , E.'----��FEET NO'�"B; �SSumihS a �FEET OF FORCC MAl1J x I�Fy • • • • . • • . ' �_ FE�T �Y0.inb0.Ck p{ +300 � ioo ILFKICTIOu F,kTat /�,�8 TOT4 "'�—� FEET o� 2" S�l��FO (�Ul., L Oy1,�AMIG HEAD � !- FEtr RUAL OfMEU510A1C pF TAt�K: DL�hTj'`'R:�u7��`7_`i 1 in�i�,. --- �Ir�� �0. lQU'd ���Uy � . .s�'� � �,--��„ �-� ��.`�-�' :��. - ��l'1'!1 S .�r B s =- ��� � � �b�r � � . � l� ,r � �:. .. . ._ : �:. .. � . . rr • �r�a.�•,r. �.,,;, v,r..,a.�.a• f r � � ' � ! . . y • � LITERS PER SECOND 0 0.5 � 1.S 2 2.5 3 3.� 70 20 GO 15 50 N � � � 40 � W 0 /''��`� x 10 x � .,_, 1 0 _. , J ` � I x.< < � _� �� � � � _ „�.__ � Q 3a ° r 0 � zo 5 � ;� G P t�l - ,o NOT RECOMMENDED FQR HEADS BEL 15' y , ( I / 1 D D � p0 N01' USE PUMP IN 7HIS AREA • USE SMA lER PUMP . �ri L'��' �r'-�' 0 �(�o ' -�rc�. r(�Q ,� ° o ,0 20 so �- so ao GALL4NS F'BR MINIfTE (,.� � c� , � t x7dD = � $, � "1 .� r 3 z. � 7 �i' G � • �� �' � �;�,,,� ���w,s��„�� o sr�os � r��ssnwsy� �aQxb ez �o� zioz-os-aa� rnnijo0 ' d Ob�E 86L �iL i � � » ,�. , . a-„ _ � � , , . -_ �, � . � S I?t Y1'q (:Gl�C i,t�CL�-�p� � �•1 S � GO �ersons � Sho�,.�e•r-s • . C�-+rp Day (,tse�No meQls� �o �P� �P�rso�� x I.s ' 1" ub�IL S�10 k�b = 135� c�f�. wer -�ac�I r'-� } Y ��s�w��-� —1-�t'C�.� f ���SAacve;k�,S X90= 135'0��ad Gc(�6(15 C"er �0.ti/ _ i a7oo �pc T0.nk Siz.�nG ; `, a�oo G,P, o. x z.os� = 5�a�. � �Ila-,s � UsinJ Ca) W 1eSer 300o L P c,,�..h'c —1-�.,�k s ('.�el) Sizin9 . ��pp �,� ._ �7 : 3�57. !Y s�, ,�'� �e � �'li�re� � (.@ S(n C� F��o w-`(-e�(� (,�n i�-5 G� 5� �{ 2 ��ni�f •-'78 u„�ts re$•d. �ns�`a.1��+1q �(o� 3' xlSp' �u,5 w�lS uni+s �C�ec� `J �o cel�5 yc �S uni�5 = �p (,jri�fs (4Soo -�'-� L� Pum�a_k ; 1�15cV�9 I�asmt�ss.�n I2�o �aeller N�s3 �u.rn 5 � P�"�p�('cZa..I� vv� I���IeK P 5��E- �hornbus �22I ��-�ern�.-E-ihJ �t�"�p pcZv�e I � �6 e�' /(l � , . 5�2TI� TaVi� C� �55 SEGTIQN !{N1t S���= ;l�s':JNS' - � �� p'fC IVSP . o_��, o " tf�N . .430V :: G�.;J� WHEIV INL�T MANHOLE IS HURIED A MAXTMUM OE 6 " BELOW �RADE . .4PPROVi.� 2iANH0 LE Cc i:N=SH�D GR.�D� W/ PADLOCI WARNING L! - - - 4 " MINIMUM 18 " I71N . ' V~rAgOVE GRADE 3.NL�� � � . � . _ OUTLET PIPE -------A P P RO V E D 8 3I Ff!. � ---- QR "FIGTER • �P���JY�O MF� .,.Qre��,c,o � ��P� 3 � madel � F��1�.�g �3G ��P, � 0�25 $2-� OW �KiO S�LID �r� � r ' � +� ����OG � 3'�7= Nv UNDER TANK w`�7=r_�- :r � ^~ �. �i• ry � V• � 1 �I�� � >CPTTC � , R � rt�N K M�t2.lF��P�� � �,,� t G S�-(`� r�,t� x s � z�5 : s��Tic 3de�O c�.t . �� -t-�NKs� . '},JOT ES : � � s+ -�-a.�.t�. �+n s��-� � s � Ina,v �. � ro v ed �v� �-� � o �.�-�.-� 13 a��'l�s � �� a Nn ,, ,, „ p, „ �� �� le � �a��' fe cz.�, d� C�PPrOV� C� C�t�2h �-O ��'C - I �`�'3� ��" F t t,te.n-�" �i 1 -�2 �' v I ; � , i � G-� i b POVVTS OWNER'S MANUAL�MANAGEMENT PLqH Q FILE lNFORp�qT10N D�M18f J � Page 7 0!��, - 01 S f- SYS7'EryF gpECIFICqT10NS . Pe���# �Wr CQn. TenkManufac(urer. (.11125e.�- .� ' OESIGN PqRAM�Rs I�Sepffo p Dose Q Ho��� �`v9 . Tank Manufaqu2r. �Sm Volume:Q)3� �e� Numberof8edrooms: �� �Seo'1 ❑NA NumberotpublfcFa ❑SepUc�Dose p Holdin ' plhy Unffs; �/p �„s�s Q� �e���O��ence Tank Bottom(s)o Servtce pad: EsUmated(evetege)Flow: (�O (Aa7 Design(peak)F�ow= � (&aVdey) Horizontai Dtstance 7enk(s)fo Service Pad: g (n7 (es0�natedxl.6): �70 (sat/da ProWdespedlicservitln m 3O (fll 111 SIfU Soll d � horkontal fs>750 feet. a ��a rc�N��>15 feel orif APP���ffon Rafe: , '7 (gaUd fl Standard(DomesUc)InOuenf/Eflluent �� E�uent Fli fer Manufacturer;Q�- Fata,Oit 8 Greasa(FOGI po��r a��ge Efiuern Fl(ler Model: �� 6lochemtcal O�p,gBn oamero!(gpp�) �o� p NA ❑� 7olalSus andadbopds gg PumpManufadurer. ZOe(�QF- Hlgh Strength IMuent/Eh1ueM � nsom n. ��y, Manihty averape Pump Aqodel: N 1 S3 ❑HA ��a) >30mg1L Pre�a�entUni! (a00e) >22amgR �� Manu(acturer. PretrealedEfl9uent �S '�g��c2 ❑hkchantca� Monthly average ❑DWnfeqton�raflon ❑Peat Rf1er �NA @��o) �10 mglL ❑S�dlGrovel Fllfer ❑We�and (�S) �fOmgA. �� SoilqySo�pponSystem OOlher. FeealCotllortn eamelAemean Maximum Efiiuent Part(cIe Size �� ❑��ra� DbSed Other. 14 in dia. ❑NA L7 AtGrade (e�Wry� ��tlund(p�� ❑NA Q D�na ❑Otber: �NA Olher. MAIN'I'EN/W�E SCHEDULE �A Servlca Evant Pump out canlents of tarUc(s) �'When���ed sludge and seum eq`Is one th�b cy ❑When the high water alartn Is acllveled (�')of�k voluma o� �+.'� 2 y,�5 �^gPeet condt0on of tank(sy Af leasl ance evary: � monlh(s) Insped dfspersal ce11(s) ee e (Maxtmum 3 years) At least once every: ( ❑monlh(s7 �NA Clean efliuen!filler �'yeaqs) (Maximum 3 y¢aB) At least once every: � ❑month(s) O IJA (nspect pumP.Pump corlwis E afartn �rea�e) ❑NA AI teast on;z eve;y: � f]momh�s) Flush lalorals and prassme tesl �"r�aqs� O�� At teest once every: ❑momh�s) f-1�+.� At feast once every: Q manm s Other. n �F!A Rf CpMMRV1 �y� O ��,,,J,, ❑vea sj� !�NA f "`1"'c'�I�.�:S� Ql4n�"�`{!d djSJ':BO MAINTENqNCE INSTRUCTIONS k e�'e 2 Inspecttor�,q of���and dispersal cells shall be made by an Individual q �� �•�NA Plumber, Master Plumber ResUided Sex�er,pOWTg��peqQ�PQ �'�' 9 ane of the/apa��0 r�nses or ceNficapons: Masler ��aPectians musl(nGude a vfsuai fns WTS Malnta(ner, Seplage Serv(dn O measure the voiume of mmbG�ed siudgee and scum t nd�a�to fdenll an disparsal ce��(s)shall be vlsuaily inspected(o check the effluent levels In IFie observation pfpea nd lo check for any po�n ng of eRluent on lhe ��tor any back u ^�re�tdentffy any p��,q or leake, 4round surface, The pondfng of afi(uenl on the ground auAaca mey Indtca�Pe tl�fg of efiluent an ihe ground surface, The noGfication of the loca�re�julatory authodty, When the combined axumuieffon of sludge and scum In an 9 COndlUon and requlres fhe Immedla(e contents of fhe tenk sha0 be remaved by a Septage Servtc(n Y Lea6ttent tank equais one-third(k�)or more of tha tank volume,the enGre Adminlstrative Code. 9�peretor and disposed of fn aocordance yvith chapler NR 173,�S�nsfn AII oiher serv�c��Indudu�g but not flmlted�p�BeMp� and any serWdng at intervals of s12 months,shell bo g of e/Auent filters,mechaniq�a�P�ssur'rzed componen(s,preUey�ent untls, A aervice repo�Bha11 be provlded fo the Ioca1 regufalory��orn by a certifled PpWrg Matntainer. y wilhln 30 days of compfelion of any SeN�r�e�ent GA�IW-0OS(ovpq) . , Page oF STARY UP AND OPERATION For netiv cdnstructlon,`priar to use aF the POWf'S chedc treatmeM tank(s) for the presen�e ci painpng producls, solvents or other • ch�mlca{s or sediment that may impede the treatment process and/a� damage ihe soii dispersal cell(s). If high concentraUons are detected have the contents of ihe tank(sj removed by a septage serviang operator prior to use. System slact up shall not occur when soll condlUons ere frozen at the inflltrative surface. During extended power outages pump tanks may fill above nortnal highwater levels. When pawer (s restored ihe e�ccess wastewaler will be discharged to ihe dispetsal celf(s) in one large dose and may ove�ioad them resufting fn the badcup or surface d(sc;harge of efiluenl To avoid this situaUon have the contents of lhe pump tank removed by a Septaga Servicing Operator prtor to restoring power to the efiluent pump or contact a Plumber or POW7S Mainlatner to assist in manually operating !he pump controls to restora normai levels within the pump tank. the area withln Do not drive or park vehlctes over tanks and dispersaf celis. Do not d�ive or park over, or othervrise disturb or compact, 15 feet down slope of any mound or at-grada soii absorpilon area. � Reduciion or ellm(nation of the fol(owing from the wastewater siream may improve lhe pe�formance and prolong tha I(fe of tha POVYiS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; denta{ iloss; diapers; disinfectants; fa� foundation drain (sump pump) discharge; truit and vegetable peelinga; gasoGne; grease; herbiddes; meat scraps; medicallons; od; painting products; pesUcfdes; sanibry napkins; tampons; and water softener brine. ABANpONMEHT a desa eiy abaVndoned In compi an e �nn'thech�pler C mm 83.33,�Wisconsln�Adm ntstati eaCode:aken to insure that the system fs proper y • Ail piping to tanks, pits and olher soil absorption syslems shall be disconaected and ihe abandoned pipe openings sealed. . The contants,of all tanks and pits shait be removed and properly disposed of by a Septage Servicing Operalor. • AEter pumping, all tanks and pits shall be excavated and removed ar their co�ers removed and the void space iflled with soil, grave! or another inert salid matedal. CONTiNGENCY PLAN If the POWTS fafls and cannot be repaired ihe fofiawing measures have been, or musl be taken, lo provide a code compfian replacement system: . � A suitable replacement area has been evaluated and may be utflizsd for the IocaUon of a reptacament soq absorption system. The reptacemen! area shoutd ba proiected from disturbance and compaction �nd shouid not be inldnged upon by �equired setbacks frorn ewsting ar�d proposed structure, tot IEnes and wells. Fa1ure to profect the replacement area will resuft (n the need far a new soil and site eva[uat3on to estabiish a suifable repla�ment area. Replacernent systems must compfy with the rules !n ef(ect at ihe qme ot lheir petmit (ssuance. � ❑ A suitable replacement area is not availabie due to satback and/or soil limltatfong. if the soi! absorption syslem cannot bs rehabititated and 6arring advances in POWTS tecfinotagy, a holding tank may be instailed as a last resort ❑ The site has not been evaluated io identify a suitable ceplacement area. Upon failure ot the POWTS e soi! and slte evaivation must be pertormed to locate a suftable replacement area. If na �eplacement area is available a holding iank may be installed as a (as? resorf to replace the falled POWTS, j, �Y�DUfId and 8I-nf8�� 501� 8175(lf(11i0� SY51B�T1S may h� tFConsi�ur,led �� (�IaCP, 1411nw�n�i +;-n�pv.+i ni (h�; InV:��i�t :'l �`�,. r.�!��!r�i:-:.� "JJ��a:..�.. ��CLV:I�t:�:�r��V��J V� �UV�1 :����C��iil ���uii� w��i��f �ii���� ���li �{��Qd ��� �.�=L�r' t�� ��1M� L�I��L• WARNING TREATMENT TANKS AND HOI.DlNG TANFCS MAY CONTAIN Pb1SON0US GASSES AND LACK SUFFICIENT QXYGEN DEATH MAY RESULT,EESCAP OR RESCUE�ROM THE IN ER QR OF A ANK tS VERY DfF lCULT.STANCE. . ADDITiONAL iNSTRUCTIONS: pOWTS tt�STALLER POWtS PdAlNTAtNER Name , � S Name j(J /� Phone `7 �S- �q � �3 " � Phone SEPTAGE SERVICING OPERATOR (PUMPER LOCAL REGliLATORY AUTMORITY Name °� �� s L �'�r�' V t C.e Nama �' LLI,U � t�' � '�O YL c.�i� Phone �l S � � � O � � 7 / y f��(i$ �� J "�lYJ 7 r O � 6 � 7hls document was drafted by the stat(s ot the Greon Lake, MarGuette a�d Waushara County POW75 rerulatoy agencies In camptlance wllh chapler Comm B3.22(2j(h)(1)(d)&(� and 83.54(1), (2) & (3},�sconsln Adminis(ralive Ccde. PRIVATE ONSITE WASTE TREATMENT ���ty `�SCOI�S//1 SYSTEMS Department ot Commerce � ��e�n�e,�, t Powrs Sawyer INSPECi'ION REPORT GENERAI_INFORMATION �A�TACH TO PERMITJ Se^��ary Pertnit No: PpSOtl9�Itl(OlmlOj00 u rovide be used far secood Pem,n Howers M�; �v �W.�.�s.oa i m 1 a—Oo 3 ' �nY W�6e rownaE Noh�n S�a�C��, s��e Pie�r��e�uo�ina: �"'P eA"�1eY e o�Pu,. i�¢.r 1,�,Ice, aoY 8Y o7 � �0�, hQ�� i''�y„y .s�S1� o f a�,q ParcelTaxNo: TANK INFORMATION M e �Zg'�Y�-27_S3a t NPE MANUFACTt1RER' CAPACITY ELEVATION DATA Septic W��p� STAiION BS Qostng �2) 3acb CP Benchmark H�� FS ELEV Aerauon i a6o ��' ioi.a ,00,, Holding Bidg.Sewer � TANKSETBACK INFORMATION � st/Htl�let • 696' TANKTO P/(, yyE�� B�� f StlHtOutlet �6•78` BS.at' SepUc {,�� + , , ^'�T� ROAD Dtlnlet l •04� $y•�(' ��s 8 *g � DtBodom �q'�q ga.sr' Dosing +(oo` i�7S` +8' .}g' N,q IxsfeHetlom. 02 3.Y �g,3G' AeraUon � 6enteyr.OP,X �.S�i Qa� Hofding +ieader I Man. G�cEWP9Q�o.e •7� .�.� � PUMPlSIPHONINFORMATION Infifhativg � •YY' 8�36' ManufacNrer • Surface I l.3� Q'D.S� Demand ���Grade ModelNumber �l TDFL�Y LIft Friction Loss S s Head �PM 2 Sf T^� t7,(q' $y,6f� Y TDH Ft � 5 f' o b7 Forcemain L 3725� Dla " {'7.3$' gy,Ya� DISPERSAL CELL INFORM,4TION e11 {�m DIMENSIONS W � r #olCefls Typeafgyste� pab�ponMeEla Manufacturer. SETBqCK INFORMATION P�� B�9 Well �H�of Nav � Conv o Aeeregate �I�.�,�� Walera o IGP o Chamber CELL TO ,}�pp +�, � � ❑ AG pt EZP�ow Model Number. DtSTRIBUTION SYSTEM oa ❑ Mound M ot�er Headeri Manifofd DisWbutlon Plpe(s} x P�essure Systems Only Le�B�_ Dia____ ���_ Dia X Hole Slze X Hole SOIL COYER — Spac_ Observa8on Pipes pepy�pY� SP�o9 O Yes O No Cell Cenler DeP��er Depth ot CellEd es To soil ��/�� Mulched COMMENTS; (Indude ccde dlserepanqes,persons present,elc.) �Yes ❑No 0 Yes ❑No . ��S�at�e,! oy/zs-�>/�a Plan reNsion required7O Yes O No � — �y a6 i� . � _ Use ofher side for additienal Informatlon Date 6$.��� Bureau ot Fleld Opera�lons,PO Box 730Z,Madlson,WI 53701-7302 P��S Inspectprg Slgnalure Certiflcation Number SBD-g7�0(R,3/O7) AQ�ITIONAL GOMMENTS AND SKETCH SANITARY PERMIT NU418ER: I a - 0 �3 , ' t � 3 �{ �' 6 (,6)3'��' � �`��� � . . � , . . � � � . . , � � �s a„ . . . . a � �bo � � : �M �� . �• �\ Lo'�°x�. .� . t,�� . _ . . _ .. . �r�, 3� go. _ � � , .. r . . i ����,'. . . . . � ► . . . . • . � , v tvti�p�, � �ab0 11�, . . � , � . ' . . . . a �►��t' 3 � � �y1� �. . w3o�;�� �.� ,a�g-3b . W� ���`J° . � � � . 't '� .f.:�r` 4' � `�-�----"""'�' � i ���QXCL N �� �� . ���, � � --_.._. . �.._ _ ,� � er�� _ � ----- � ��I���� ��� . � i;�^��; ;3�0��: i•1 sp •,F; Private Onsite Wastewater Treatment �°"°" �����% Systems P ���::�:� � OWTS)Inspection Report saWre� �ab ana evudinBs orvreron (Attach to Permit) sa�i Genaral Informatfon �'Y Perm�t No: Puvonal infomwtion u Wdt ma yp�y�,y forxco PeimltHotaersName: ses Pmac law.xls.oa(�#ml �a-0o3 wa n an��d i., �LC �ry wuayB r�,or. CST BM Eler. LJ i d C.r�,�, Slate Plan Tranya�on IOp� �� IngP 8M Ftev: BM pgg�Otlon: � ao y 8Yv? �CO� Parcel Tax No: Tartk InFormation n°'���w S•s��L,f �y��,N TYPE MANUFACTURER e oa8 7y�,2�'�0� �APA��.�,� Elevation Data S�� �) w;�.,,,r STATION gg H� p�rtg � S 300o tp 8enchmark �� 8, FS ELEV Aeration 60 00.0� Hotdinp Bldg.Sewer Tank Setback InFarmation St/Ht In[et 1 �'y� .4' TANKTO PIL WELL BLD� '�rro St�HtOutlet S � 9 .K ' � � aaiHc+� ROAD Dtlnlet T br� 6.cS' P�� +�oo +�sc' g' +8' ru • s' 93. s� Dosi ���� "� +�co',��sa' j3o t3o' Nk ��•�� S .s' Aeratfon �o„T Holdfng NA HeaderlMan. g�� 43•8� Pumpl3iphon�nformation ��t��g'XS .V$ 45:32' fnfiftrative Manuhacturer L� Surface 1t.3' �jo.$"� Model Number �mand F��1�e fr'C 6(Yi� �io IIS', �H� ' FrfcUon Loss GPM ST j Try � � System Head TOIi Ft ST �otiY- S.�S� 94s 6S Fo�emain Length� Dia�" Dist.To Weli -�.f 5'0' S qY Ois ersai Cetl Information p'S �x okT 9S.86' �IMENSIONS Width �66� qS:� � 3� Length�sp� koace�ts SEiBACK Type of System Manufactu2r. INfORINATIpN p�� Bldg W� o�mreaMav LEACHING warers CHAMBER CELLTO +toc' �n V• MadelNumber. DisUibutionS steml +�� r°° }SDO� �7,w7«I� Header!Manifold Distributlon Pipe(s) x P�ssure Systems Oniy Lenglh__ pia �ength_ p�a X Hole Size X Hole S011 COVe� — Spac_ SpaG� �bservation Pipes Depth pver 9 �Yes O No Ceu Center �ep�Over DeP�o� CellEd es To soil SeededlSodded Mulched COMMENTS:(Indude code discrepancies,persons �Yes O No Present,etc.) ❑Yes ❑No �� ��S�ane.( �v/slra Plan revislon required7O Yes O No p I 3� I 7 . � ` •— Use olher side(or addiUonal N(p�afion 3 l"'�" -e"�`�""� 6 q S 6 ( � Date POWTS Inspector's Signature Cert No SBD-8710(R.i 1/11) xDiITiQ�'dr��: (��J��'P,�� i�1 � h�au ��� fi1`� � , - _��,, - �, .�,�ar � _ 1�-0�03� ��. ��,�1� ��. �. . � .� � : ! �fs' / "�fSQ' �D 5 M " �� e�6 �,� � �, � � � '' To 3 o a�P 2 �P�s� i,� �_� #��� F in5 � w;a��.P 1 3 � L ��(t�;o ? veH1 �p � j� 1Z� VCnI � � ak•7�� 1 -- /�.. � � S � pt���b~ f � � �' TK_V. �� �6� ' i 2 y 1 f �� �� , � /`��jd. 4 ^` 1? �j � f� ,i , ,r�/�� +�`J I� � r / . ��/ / f/l � f f 1 j d� j f / �, �j� j ff� f , %; � , r �� ' / l, � J i i ���1/� � ��� � " " 6 ��� f _ _---- Ottice of Q� Sawyer County Zoning and �� Conservation Administration q�/� � 1061O Rqain Sh•eet. Suite-t�) p � � Hayward,)(WI�54843 ���'N�q�cR 6�OZ3 �;� ` Fax: (7I5)G33-3277 �tiljN/�(�� URL:http://sawyercountygov.org ST,��Y EmaiL•zoning.sec(c�sawyercountygov.org �G'� Toll Free:Courthouse�General lnfonnation 1-877-G99-4110 Saw,yer County Zoning and Sanitation "As - Built" Form Property O�vner's Name �'�����,}-Qi'l ��O�C�L srt�� �� L" Fire Number and Road Name ( ���L�f ��"(S �a�� ��' :i�ZS�N Phimber'sName �.��tSiriu.S,,Sziv `' �c'r�S /� {'-�..CE.7T�L Date of Installation �/ � ���-.3 Countv Sanitary Pern�it Number �-_�� C f [ 12 Di�it Parcel NumUer (�Z�— ��Z , ��' S�Cr r"—t'� ��< � De�cri tion and Ele��atioti of Benchmark � �'� ��Nex.i � �M 2' L,. �:, 5 S;� ��`F� C�1) p � ' Y � /� tG�,E T6''t� ' � L Tank Manufacttrrer and Capacity !,�-'��Sr(Z :—�Z'C' S. T. `� %:.zSZ' Pct,c.� TA� Setback-Tank to Nearest Lot Line 3 S�'C' ' Setback-Tank to Nearest Well � �S ' Setb�i�k- l ank t�� [3uildint� .�. 5 � � , Cell Widdi "� ,: � ' Cell Lengtl� Number of Cells r Setback-Cell to Nearest Lot Line � ' s � Setback-Cell to Nearest Well '� ���� � Setback-Cell to Building �� z'SZ'' ' Setback-Cell to Navi�able �Vatei- _ � �"' ivtake and Model of Dispersal Unit E� 2- �' ��"`` Make and Modcl of Filter l�?C`E,'G1�-C� ��'� ,'>' �':� Make and Mode(of Pump C--v�Gt.bU�LLY< <. P�•S .t� - Please complete other side - 66 ,A �-�u��t Plot F1�n99 1� Elevation Data � �. ����.� �,; . �- ;;�. � ; , , , , ;; Benchmark ,: ; Please include the followin�: Building Sewer h�<<„ r Tank ln � . • Location of observation and vent pipes , }��J��� ,;� Tank t�ut • Feet of risers used on tank(s) � � Dose Tank In ', .r • Location of benchmark and North arrow �� Dose Tank Bottom, � ;?- ' • Location of all components • -i; �--; , ;Header or Manifold '"1 i. - • Length of pipe between components r�C z�L, ��-Distribution Pipe r,c ' � � : • Number of ch a m b e r u n i t s i n e a c h c e ll � ,�' S ystem Elevation ic �' • Location of well, lot lines and road -- ��;���. �( ��: � �_ � ; ' �� t L_ GC'_�� L;H=CK SGX AS AaP! ti,:Act`_ a;5h AS A?X'LlCA:-L= SOIL EVALUATION �G�t�: �,Q-�Q � SYSTEM PAGE 2 0F SITE MAP � _ _ PLOT PLAN PROJECT NAME- tt4;t�ndi i9' �' DESiGNFLGb'd ,C-. � GPO t3i- � .3 � r}..�.-•tom t,w 4 '� Y.-`>.T'i"" ,-- - - s 3 i P Attach elasian ; ow calculations For comn)eecia tans - - PROJECT ADDRESS -c' �c, v ( 4 r C_ ! t �_ .f . tCtJ Pipe: Material t ASTM Standard (Tables 384.30-3 & 384 34-5) NSan,tarySewer SIM SymUof wo Elevabon FT L% Farce Main, ? .. j ,w •tit~ 8ht Descnpt:on , .. L € tnoi a2 nonh by Slope Gradient i'S1 W61 Symbol (d ofplicable) drasing an arrct of Tested Area. an tl,u apP;updta t,ae. IMPORTANT:, Show around elevation conlours at suitable intervals "tir t55 t 2e e t�tittatwf':.i� { lilts}Crt,: t_. 4 C'&^ i`J 23 --611 ..-t-czar >Ls .�'v►s( Ci. (I eL� s � � iEs� Z 5•Zr c S��t' to t�s,�2 f z32� {-� �'Tc k�. ". t i r i 5 L64 Drou)" -� NuufT6ukk l Ei e. Do 7. . T. u-f l4-{ =ate{ Mtn f �. PLUM CH, 8I r I pump Pad of 1 r tr f ` I t Oftice of �� • Sawyer County Zoning and �'� / ` Conservation Administration �j j� 10610�tain Srrect, Suitc-39 ���j �%�� Haywa7d5)(WI�54843 �Qr��N�vj„� �620?� , � � Fax: (715)633-3277 ��M C�(� URL: http://sawvercountygov.org ��ST��Y �maiL•zonin .sec i�sawvercountv�ov.org �(� Toll Free:Courthouse/General Infonnation 1-877-G99-4110 Sawyer County Zoning and Sanitation "As - Built" Form Property O�vner's Name ����C�y� •��(C�G11�-S LL�--- --CT t Fire Number and Road Name � �`��� �� f�. ��`j S ��2�� ��!( � f �.�',,?I�.�.�J Plumber's Name �'.���tS�n4S,52.ni `' ��c�t� ;' ,.::�.��'77£L- Date of Installation �,/ f ���.� Countv Sanitary Pennit Number 2-_�� C { � 1? Dieit Parccl Number �JZ�— �`�� ` �� �' S��� r"—r'� :�< / Deticription and Elevation of Benctunark ���'� ��N��.i � tt1 Z�w /n�.:�7rl� z:t S S'd� t ��4 C�p j�� 1— bNtX'.;� � Tank 1�lanufacttirer and Capacity l•L���Se(Z ���%G 5. T. `'� %-l��Z� Pct,:.� T�� Setback-Tank to Nearest Lot Line 7 SG�' ' Setback-Tank to Nearest Well •� �S ' Setback-�l�ank t�� [3uildin�, �`�' � � , ; Cell Width �"7 Cell Length Number of Cells Setback- Cell to Nearest Lot Line ="' S � Setback-Cell to Nearest Well � ��Z� , Setback- Cell to Building � Z"�� � Setback- Cell to Navigable Water '' S` Make and Model of Dispersal Unit __ �-�' Z {-��--= �`' IVtake and Model of Filter ��'���0 � f `�� �°� I�9ake and Model of Pump ��Vp(.�Yt �����S �� ��. . - - Ptease complete other side- 66�������� �H�� ��`6��99 Elevation Data � �. �i �� : � � . , . , r �� . _ _ Benchmark Please include the followin�: ` Building Sewer ����� � Tank In • Location of observation and vent pipes ,t���f5 i Tank Uut • Feet of risers used on tank(s) � 1 Dose Tank In , i: , • Location of benchmark and North arrow '� Dose Tank Bottom,� r�.�;� �i�-�i ' • Location of all components ' _;Header or Manifold '1 �.=: • Length of pipe between components / r����. `,Distribution Pi pe �,i � , : _ • Number of c h a m b e r u n i t s i n e a c h c e l l i S y s t e m E l eva tion -1c '_: • Location o f we l l, lot lines and road � , ; ---- _ � � r,�t.:,t_ �j �: ,� �- d 1 � t Z. G� �� i ---- -______ ---__ —�_ __ __ -- . --� � �OIL EVALUATIOty s�a'f , - �J [� Sl�'�TEM P�GE 2 �F � SITE MAP `, �° �'� �,- . ��lT� P�C�T PLAN PRC�JE`.i C•JA��?E -- no tt,zr,s; �,. Dc�.G^t FLG�,r � •;�;n �'� , � � . Htta��h r1�:,aqn flow�c:alrulatians (or commerr.�a�plans PF�O.lEG7 ApDR�55 i' ' _ � P��,�P.4ater,al AST1,?St�ndard(7ahles 384 3�-3 8 384 3�-ti� Bh�SymGo1 � Bht !e �_�.�.._ F� � �i:,rta�;Se�,vo� � � E vatien � � F::..-..�+a�.-, � '�! ' . ! 81v'Ue5Cr3G��.p'1 .. _ ' . �- -- Sinpe Gradient(',:v �"'�`�w'�"��r b; IMPORTANT bVe�t SyrT�G01(d�pPPCdb��3i � d�a,�m an errtx+ �' ot TesteA Arga � ���p�p �a �� �how yr��und elevation r.onlours a!swtable inter.al, � , . � �� _ _ c �. . _ . 1. ib.� r� c ! . _ �� , ; ` �' � t' _. . ' , i i _ - ��� � � . Jt:�, � � - _�, .. � . 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