HomeMy WebLinkAbout028-642-36-4106-SAN-2023-012 � Department of Safety c°°°ty SAWYER �
� � & Professional Services, �
` �� - Sanitary Permit Number(to be filied in by
t Industry Services Division
,..,. � '� 3 ;��{ �.)
State Transaction Number �J
Sanitary Permit Application NA ;
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to 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 Q
the Department oY Satety and YroCessional Services.Personal information you provide may be used for secondary ""-'
pucposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. }�,7
I.Application Information-Please Print All Information
Property Owner's Name Parcel#
BOULDER PROPERTIES LLC 028•642�36•4106
Property Owner's Mailing Address Propert Location
7296W S.T.H. 77 �'� NA
City,State Zip Code Phone Number
HAYWARD, WI 54843 ��s-a6z-3ooz NE �i,, SE �iy, s��r;o„ 36
II.Type of Building(c6eck all that appiy) L���� T 42 N R 06 4Tor W
C�Q or Z Family Dwelling-Number ofBedrooms 2 NA Subdivision Name
8,�,�k# NA
❑ Public/Commercial-Describe Use NA
❑City of
❑State Owned—Describe Use CSM Number ❑Village of
NA ��o+ SPIDER LAKE
iIL Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if
a licable.)
A �New S stem
y ❑ Replacement 3ystem ❑ Other Modification to Gxisting System(explain) ❑ Additional Pretreatment Unit(explain)
B.
❑ Holding Tank �In-Ground GEOMAT ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventional)
C• ❑ Renewal Before ❑ Revision ❑ Chan e of Plumber ist Pre�ious Permit Number and Date Issued
g ❑ Transfer to New Owner
Expiration
IV.DispersaU'I'reatment Area and Tank Information:
Dcsig���(gpd) Design Soil�pplica ion Rate(gpci/s(1 Dispersal Area Rcq 'red(sf) Dispersal Area Proposed(sfl Systcm F;levation
� e � I5�
37� 162.50 ��, 98.62 FT.
Capacity in Total #of Manufacturer
'Cank Information Gallous Gallons Units L o 'ti o
New Tanks Existing Tanks � G y � � � � �
U y y
O
0. U c/� v; U w Ci p.
Septic or Holding Tank g40 840 1 WIESER COMB X
llosing Chamber 500 500
V.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans.
Plu ber's Name(Print) PI . Signature MP/MPRS Number Business Phone Nwnber
,� '""--�
� U/ 7l5 �S ' E��
Plumb 's Address(Street,City,State,Zip Code)
0 �l l� `��rn �� ��? � �� ���
I.County/Department Use Only
�l� �� � ❑Disappro��ed Permit Fee Date Issued Issuing Agent Signature
�%" ' �' (,� - �j,
�Owner Given Reason for Denial !�'� a" �� I a� ����'�' ''�"�`��
Conditions of Approval/Reasons for Disapproval
b•,� � lAf � - —- --��
.^
��'�� � �1�"�►� ;a � l�l ��_..�....�," C . `, _ t 1
,'
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LS� 23- � 1 � ,�{�►��; ;�.��,�� � 2���
�: , ,�_ �._�
SA1A/YE� COUNTY
Adach to complete plans for ihe system and submit to the County only on paper not less than i x 11 inches in size y 3�sg
SBD-6398(R.03l22) 1�fl REFJhDS AFTER
ISSUE OF PEF'V�IT
o AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TIT�E PAGE
Owner tnfo
Project Name: BOULDER PROPERTIES LLC
Owners Name: (SAME�
Owners Address: 7296W S.T.H.77
HAYWARD,W1 54843
Property lnfo
Properry Address: 7296W SJ H 77
legal Description: NE SE S 36 T 42 N R 6 W
Township Spider Lake County: Sawyer
Subdivision Name: NA
Lot Number NA Block Number: NA CSM#: NA
Parcet I.D.Number: 028-642-36-4106
Plan Transaction No.:
�Index ges
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry Page 10 Filter specifications
Page 3 GeoMat dtst cell drawings 8 calculations PagE I I
Page 4 Lateral and ceil cross sectan Page 12
Page 5 Management&contingency Page 13
Page 6 Maintenance&specifications Page 14 Aerial
Page 7 Tank cross sections �
Page 8 Distnbution media -
MARY JO HUPPERT License Number: 1859-007
__
Date� 0112923 Phone Number: 715-426-1775
�ignature:' llt � , � __
�[�signer S mp:
:�
's''�, ' �
DeSgneC Pursuant to the
; GeoMat In Ground Component Manual Ver.June 26.2018 Version�,��py �u_��y� �
Page 1 of�S
In Ground and Dosing Distribution Component Design
gyte Infortnation N ] �SD Required?
�_._ � � R Residenlial or Commercial Design � -
200.00 Estimated Wastewate�Flow(gpd)
7.50 Peaking Fador(e.g. 1.5= 150%)
300.00 Design Flow(gpd)
a.00 Site Slope(%)
98.62 Prop. System Elevation(fl)
38.00 Depth to Limiting Fador(in)
0.80 In-situ Soi�Application Rate(9polf�l
99.70 Lowest Onginal Grade Ele. In System Area(ft)
99.80 Highest Onginal Grede Ele. In System Area(ft)
96.53 Limiting Factor Elevafion(ft)
_032 Depth Below Grade
DistribudOn CBIi lrtiormation - . 1 Number of Cells
325 Cell Width(fl) --�
z.00 oispersa�cel��esign I.oaairy Race(ypdHt�)
� 2 Influent Wastewater�uality(1 or 2)
p l�ormaflon
__._�
E� Center or End Manrfold, Dist. Box or Drop ox System dosed�._____. �
--
1 Number of Laterals ..--..-.�-...�
0.00 Lateral Spacing(tt)
13.05 Forcemain Drainback(gal) Does the forcemain drain back?�Y-�
___
� 0.50 Forcemain FiRer Loss(ft)
��- �2.00 Forcemain Diameter(in)
----g0.00 Forcernain Length(ft) 80 ft. x 1.39/100= 1.11 fidion factor
94.00 Inside Pump Tank Elevation(ft)
3.50 System Head(ft)x 1.3 SO R x 163= 13.04 gallons flowback+25 gallons=38.04
6.72 Vertical Lrf[(ft)
t,�1 Fnction Loss(ft) 300 GPD I 38.04=7.9 doses per day
-- 11 83 Total Dynamic Head(R) ' . - . . . � . . .. . '�.,�..�
43.05 Minimum Dose Volume(ga�)
l 25.00 System Demand(9Pm)
Manufacturer Informadon
Trea4nent Tank Infomwtlon Effluent Fiker Informadon
_--
840.00 Sepdc Tank_Capac�_Sgal) SEE PUMP TANK fitter Manufacturer
'�iW1ESER ,ManuFachirer SEE PUMP TANK �'�Filter Model Number
Dose Tank Infonnation Gatlo�linch CalcuWtor � �
� 500.00'� Oose Tank Capacity(gaq Total Tank Capacity(gal)
����� - 1 81 2� Dose Tank Volume(gal/in) Total Working liquid Depth(in)
-.______.._
WIESER '�Ma�ufacturer gatlin(errter resutt in cell DoseTankVdume)
��
( 1"-�". ,.�
� �
Project: BOULDER PROPERTIES LLC �,^��`�����y � ' ��1 Page 2 of/5
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` Mechanicelly ; 1/2 HP,120V �� 13A,120V BSA, 120V
� �. � SJE VumpMastaf WPS ' Activated � 1 HP. 230V 13A. 230V ` 85A. 230V J �'H `'� ��' �
■ : 36 in �
' Mechanically t/2 HP,120V 73A,'120V 85A,120V
� SJE VumpMesteY' Activated 1 HP.230V 13A.230V 85A,230V � !18� 91 cm)
y �i. ,
� Merh:�nically 3�4 HP, 120V 15A, 120V 85A,120V
SJE PumpMaster'Wus ��'�" ''
Activated '1 HP. 230V 15A, 230V 85A, 230V
a
SJE wmpMaste�SPD7 Mechanically 1/2 HP,120V 13A,120V 85A,'120V � '-36 in
1&nqle Pnln,Ooublc Thww) ACtiveted l HP,230V 13A.230V SSA.230V � (IB-91 Cni)
'' __.. . . ..._.,.�. . . . . .. ... . . ...r.>.
. � MPchanicall�� 15 RA 90l RA 1SA, 120V 90A. 120V � 3�48 in
Double FlwP Maeter �ctivated 120 cr 24GV i5f�, 240V 90A,240V U6 122=ni
. _�.
�MUST use if dose <7" unless using VerticalMaster be ow - -
� � Mechanically 11/2 HP,125V 20A,125V 720A.�25V '1- 2�.in
SJE AmpMaster' Activated 3 HP,250V 20A, 250V 120A,250V � (23-67 cm)
�� SJE VertiealMaster' Mechanically 1i2 HP. 120V 13A, 120V 60A.120V JS � 6.5 in
-•^�w����•� Actrvated iHP, 230V 12A230V 60A. 230V (2-17cm)
�
Use pump 100.12VDC 100A,12VDC ' A-36 in
� Mechanically run and 10A.12VOC 60A,125V
SJE Mi�roMaatar'AC(�C q�tivated (2U-91 Cm)
start curtent SA, 250VAC 60A, 250V
Use pump
Mechanically 13A.�25V 78A, 125�' d 3G c;
SJE MicroMaster' Plus WS n,n aro �
AGINi1IC(� �tA. ZSOV �i� L"JOV - ' �
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Mer�Ury prohibitea
by,W�S Srat. § ?gg 49(2
)(e)
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SJE HiTempMaster' �on a��
ActivatNd 12A 250V 72A, 250V ��"t� � J�i.r� � �
blart current �
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/ 888-DI/LL-SJE (888-342-5753)
� customer.service@sjeinc.com
�� www.sjerhombus.com
SJE RHOMBUS _ ss�»� mno
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In Ground Plan View
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a cu a ons
I 2.15 ft A 3.25 ft Basal Area Required 375 �
K 1 ft B 50 ft Basal Area Pro osed 377.5 ft2
S O.00ft L 52ft
W 7.55 ft
Basal Area Calculation GeoMat Dis ersal Cell Basa�Area Calculation
GPD Loadin Rate GPD Loadin Rate
300 O.S gallsq wday 300 2.00 gallsq fuday
Total 375 fl2 Total 150 ft2
Proposed 162.5 ft
Number of Cells 1 GeoMat Width 325 ft
Cell Length 50.00 ft Lineal Feet of GeoMat Required 46.2
Min. Cell Len th 46.2 ft Lineat Feet of GeoMat Pro osed 50
Cell S acin 0.00 ft NOTE:Min S dimension = 1'
S stem Elevation 98.62 ft
Limitin Factor 96.53 ft
Se aration 2.09 ft 2•Min
Directions:
Play with cell length to get desired cell spacing, length and width. Remember system SHOULD be longer than it is
wide. It must also Satis basal loadin rate and GeoMat cell loadin rate.
Project: BOULDER PROPERTIES LLC Page 3 of 15
End Conned(on Latoral Layout Diagrem
. . . . �.. a:.u. .
Hole spacing is every 1Y, V2 hole al4&8 O'cicek. starting 4 O'ciock 6'from end and
8 O'clock Holes at 12'from end.
Lateral5pacirg O.00fl PipeDiameter � 4.001in
s on e ross e on `yTMV `,(,x1/
.r 99.8 N � Finishrd GnAc �'Y `��"V W Y
. . Dimib�'m
pM�"`` I Ccra�aeommmaed
i2 a8" o ���
v � I . � ` T..,,
4in —� pipCthL..'''. � '�i%w FIGfi�hrt
h�
. ,A v�a ��.,�,
Top of geomat to be at o - � � GEO MAT
below original grade • I I I 2 AS'IM 33°� I i I , 1 � I i I �
1 I I . I � ��S�
- —�-NATIVE SOIL-==__�
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38�y ____�__'_
SCN Ofi PCS . . . . . . . . .. . .
.m.na�ce
99.8 fl '�"•atlOi°°
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98.62 N
ProjecC BOULDER PROPERTIES LLC Page 4 of 15
Notes/ Maintenance Requirements
MANAGEMENT PLAN
This pnvate onsite wastewater(POWTS)has been designed,and is to be installed and maintained in accordance with SPS 383,W is.Admin.
Code,the in-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0 SPS-10705-P
(N.07/07). GeoMat in ground Component manual Version 1.
1.This POWTS has been designed to accommodate a maximum daily flow of 30�9Runs of wastewater per day. The quality of
influent discharge into the POWTS treatment or dispersal component shall be equal to or less than all of the tollowing.
A monthly average of 30 mg/L fats,oil and grease
A monthly average oi 22U mg/L BODS
A monthly average of 150 mg/L TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement
standards and preventative action limits specifed in ch. NR 140Tables 1 &2 at a point of standards application,except as provided in DSPS
383.03(4),W is Admin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or malfunctions identified during maintenance described above shall be repaired in cnnformance with SPS383 Wis.Admin.Code,
and the pertaining county Pnvate Sewage Sys�ems Ordinance. The user's manual,provided to the owner of the POWTS includes the names
and telephone numbers of the propeAy licensed individuals to contact for such repairs.
5.No product for chemical or physical restoretion or chemical or physical procedures for POWTS may be used unless approved by the Dept.
of Commerce in accordance with SPS.384,Wis.Admin.Code.
6. If the POWTS is replaced,or its use diswntinued,it shall be abandoned in accordance with SPS 383.33,Wis.Admin.Code.
NOTES
Tvro Effluent Filters to be installed where possible 1 to be installed in ST,and or 1 in pump tank in
orde�to insure particle size less than or equal l0 1/8". Filters should be cleaned once in spring,and once in fall. Also,strainers in sinks in
the building shall be maintained,so that solids and fats are minimized to Flow into system.
A minimum of 2 observation pipes per cell shall be installed. These pipes shall be located approximately at the end of each cell.
The plumber,or counry shall see to it that a copy of these plans including this page, maintenance folder,and maintenance agreement is
given to the homeowner.
This system may contain a dose chamber. If a pump,float,eledrical outage causes the dose tank to fill,the homeowner should see to it that
Ihe effluent level in the tank is brought down gradually and not all dosed to the system at once. One large dose could cause damage.
Contact a pumper or your installer if this problem occurs.
The homeowner is responsible for formulating a water conservation plan that will ensure Ihe system is rarely ovedoaded. I.E.spread laundry
out over time,not 6 loads in 2 hours,while everybody showers,and uses the toilet,ETC.
CONTINGENCY PLAN FOR COMPONENT FAILURE
A Septic Tank.Any strucNral failure resulting in cracks or leaks in the tank must be corcected by replacement of the septic tank component.
�eaks in the joints between manhole nsers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B.Outlet Filter.The outlet filter shall be replaced or repaired when it is either no longer capable of preventing the discharge ot particles larger
than 7/8 inch or when it has become pertnanently degraded by clog9ing so as to interfere with the design Flow out of the septic tank.
C.Dosing chamber and pump.The dosing chamber shall be replaced if any structural failure is found.Leaks in joints between manhole
nsers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-tight.The pump and controls shall be
replaced when they are no longer capable of functioning according to the design plan.
D.Pressure Distribution Piping.Partial clogging of the disMbution network may resWt in unduly long dosing cydes.The ends of the
disMbution laterals may be exposed and the threaded end caps removed.The piping can be disconnected on the outlet end of the pump.
The distribution piping may ihen be back Flushed to cleanse any accumulated matter from the piping.It is recommended that the dosing
chamber[hen be pumped by a licensed plumber.
E.Soil Absorption Cell.The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human healih hazard
created by the effluenL All failures created by surface discharge shall immediately be reported to the appropriate county.The pump shall
then be immediately disconnected to prevent further discharge to the ground surface via the soil absorption cell.The ezisting septic tank and
dosing chamber shall be used as a temporary holding tank until the necessary repairs to the soil absorption cell can be achieved.The
replacement shall be initiated only after any necessary plan approvals have been obtained from the
appropnate plan review authority and the required sanitary permit is obtained from the county.
Project: BOULDER PROPERTIES LLC Page 5 of 15
In Ground System Mai�rtenance and Operation Specifications
---_
Service Provider's Name RED'S SEPTIC SERVICE � � ' Phone 715 7983033
--- ._ .. _. . _.___ .
POWTS Regulator's Name Brown Count SPIA-Zoning Offce _ __ ____ Phone 920 448-4490
Svstem Flow and Load Parameters
Design Flow- Peak 300 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow-Average 200 gpd Maximum BODS 30 mg/L
Septic Tank Capaci[y 840 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 162.5 ftz Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Inspect and/or service once eve 3 ears
Effluent Filter ins ect and dean as necessa at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test periodically
Pressure System Laterals should be Flushed and ressure tested eve 3 ears
In Ground Ins ect for ondin and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials coniorm to Table SPS 384.30-1, have a watertight cap
and are secured in as shown in the GeoMat In Ground Component Manual Ver. March 20, 2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMal In Ground Component
Manual Ver. March 20, 2017. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384,W is.Adm. Code.
4. Scarification of basal area is accomplished with a rake or other tool.
5. All disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration.
Lateral Turn-up Detail
6-8"oiameter Finished Threaded Cleanout
Lawn Sprinkler Grade \ Plug or Ball Valve
Box �
�
� Laterai Ends at last Orifice W here
� Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
' ?
� ►F r
Distribution Lateral Lateral Cleanout
98.62 Feet
Project: BOULDER PROPERTIES LLC Page 6 of 15
Dose Tank Infotmatlon
I awAim_crn:r��i�h aaminu h�Ml. _ '
IncAinc dr�ice:md�c�lcr liphl v:d � . -
�?:
� �..VcnirJt�mcr � � � ��C� ^r
Ilc'Irical M� t i�\ �\�
o.pc.��:c;w � 0
and\Pti i IG_'%\\i`'� I L�A
Pinisha-0firaJc .;ti :i.: :{.;' �..1 1.� �Q ' O
.,, �u, _ ;� �„��,u�«<1 � ; �QZ3
"ClcanoulPi� i U�Nionalhal�,.i,.� 20Nlq�Y R
N'irc�Fmmlileclric<nurcc � /�� ��'�'�'nlml>p.KJnf �(jAD C�UN
. � cllturmlwingJ��U Mrti•;sr �
� op�lona�omla RAT/��
+^o,i.�� �'������°� - Forcemain Oiartreter
Ili�lk I '. :
' Do.���op �� � / i'.�snlmtlPipcm� Q Ifl.
Alll�\\81 T ... � <:h•Ibrtal�lin onlo
� IiChlEa>�.C� vdNFn,nnd Punn'o
I \\aTIxJ.,u:un
.�rn.,��a+�.,
�Eh��acer�l�nn�•i n
.. 3.
�'ump()n 19u:wt z�
4C �� '. ^,
i�mn�onrio�i• I : r � � �-PumPORelevationlfl)
O _ 94.63
iii..t
. � . . . �:'j" Dosa tank elevation(R)
� "BcdJin�unJcr�anl:i.{ .[; ` t3��,f� ~— J4.00
....4
; �� ' if
..�............. ,.
Dimension inches Gailons WIESER
A zq.ZB 3Hb.og Ca ac 500.00
B 2.00 23.64 Volume 11.82 gaVinch
C 3.z.z. 'v�,�� 6E 4 25.c0 GtAu-cti3 Y 13.C'I �ow Lcrn ' 3�.�� I1.(SZ=
D . —7.50 88.65 3,Z t��4"�
Total 42.E0 500.00
FiRer Manufactu2r NEW SEPTIC SOLUTIONS I
Fifter Model Number 324 j
Alarm Manufacturer SJE Rhombus _�
- - —
Alarm Model Number AB TANK ALERT_ j
--- _._._
Pump Manufacturer Zceller Company
__ __ __ --
Pump Model Number 98
. _. .. .... _ ..
Pump Must Deliver 25.00 gpm at 12-17 R T�H
^J _�_ _ . i � � � .
Project: BOULDER PROPER7IES LLC Page 7 of 15
�u.U{5;;�/ : OZ-ID,LOL3
.
f2�/�l�
l�
CaeoMat DlsMbuNon Cell Media Wyout
325 GeII Width(k) 263 Sitlewail to lateral(ft)
Distribution Cell Cross-section Arrangements
�
omponent�Legend � � � � - � � � � �
O Distribution Pipe
GeoMat is covered wi[h approved geoteulile fabric as per the iheir produc�approval.
Distribution Cell Pla�View Layout-Typical
325 Cell Width-A((t) 50.00 Cell Length-B(ft)
End Connt�lion LaleralLayoutDiagram
1..� � � � � � � � � � � � ��� � ��.
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QI�W
I Ga�eeo�maed-�.
12 48' ��` ewyf4 � I.�taall.evd
4 ^ �, '� �
pipeDi� � - �h�+ \ Fab'ie
. .._� PiVr 1`_
. . . . . .. .. ..'� �—.' _—CI'�}N1T
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� - __-NA1"IVE SOIL-_=Jy�
� (-- - --- - -------=-- ;��F,�
See tlelails on page 4 for numbor,size,arq spacirg o/laterals.
Project: BOULDER PROPERTIES LLC Page e ot 15
P{�t Pi�n Page G� ef��
�
PROPERl?' QWNER: � oul.�c� t��a:'� �s LL-� 1�� -- � FT.
(except where noted�
Legat Description: ��. OF "T+K PJE�{ o= rnE ,���V� S�i, 35l ?4Ze1, �obvJ � _= backhoe Pii
'fOtnt� Cr S'��Y_S?, I.�FKE� SAw`{�9, Cov.+s^�' W��DAs�rJ � '>,7r�!J �CRF�,S
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��NEW SEPTIC Address: N6643 Blue Lagoon iane
S o � u T i o N S City, State, 2ip: Casco, Wi 54250
Telephone: 608-333-3610
C LEA R F LO W Email:info@newsepticsystems.com
Website:www.newsepticsolutions.com
F"ILTER
INSTALLLATION AND SERVICE INSTRUCTIONS (�-�_��
3
MODEL NO. NSSCFF324 `��!—___iC
FIETRATION 1/16"(.062"diameter holes)
FLOW RATE 83_8 gallons per minute @ ipsi. �
TDH Increase the total dynamic head loss by.OS feet
of head to wercome friction loss from the fifter �s
1NSfAUATION
The NSSCFF324 ClearFlow is made to fit on the discharge port of any pump with
a 2-inch NPT discharge. 7he filter can be adapted to fit pumps with a smaller �
diameter dixharge. Install the filter in a position where it will be easy to service. i�"�_
� . -'1
• Place a 2-inch Schedule 40 PVC male adapter(MIPT x socket) on the end of filter. � -
� �
• Measure the amount ot Schedule 40 PVC(tail section)needed between the filter � `�s.,� �„�
and pump. Cut the pipe to the desired length and insert into the pump&filtec �+, r�
• The filter housing has a 2-inch Camlock coupling connection to the force main. �
SERVICE DO NOT REMOVE FILTER � WATER LEVEL IS ABOVE FILTER CANISTER
� � .. �..... �...�w_
The length of time required between service intervals is unique to every application.
As such, we recommend the filter be checked within 12 months of installation to
determine future service intervals.Systems with known or suspected high volume �TEM No I Pnar NUMeeR
usage should be checked siz months after installation. � 'Fire�aodY
00 NOT USE PLUMBING VNHILE FILTER IS REMOYED z omtock
CLEANING THE XREEN DO NOT ALLOW SOLIDS TO FALL INTO FIITER CASE 3 a�R cop
1 u�e Gaskef
• Unscrew the 4-inch cap and remove the screen from the filter housing. - -----
�S�Screen fNer
• Taking proper protection, clean the screen using a hose with a spray connection.
• After cleaning,inspect the screen for damage or corrosion. (Replace if necessary.)
• Place the screen back into the filter housing and screw the cap back on,taking care � 3;
not to cross the threads. ';1 '
QUALItY i
The filter housing,cap and coupling are made of heavy-dury ABS injedion molded �
plastic.Injection molding insures the first part made and the ten thousandth part ' �
are virtually the same, inwring consistently high quality in every part.
The stainless steel screen is made of 316L(�lstands for Low- meaning low carbon)
316L stainless contains molybdenum, an alloy which increases strength&hardness ���
� z ,
and enhances resistance in areas high in salt air and chloride, giving it the nickname
'marine grade' stainless steel. iten�No. sw•F�ie Nome�F�le rran,e)
i screen
2 f cinge
3 wke hana�e
4 Lorge Hpnge
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„ W ..16.-��:,.:- �NE,w cna`ncm curivEy I
� � wooc� '9� i=- 4 5/8 �{ I
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5 a
yi u. 1 1/2-11 1/2 NPT
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5. G110M� �O p 30 b 50 W
(ERS � �p Ifi0 2�0
i pER WNUtE
1100EL 9B 6o CTCLE
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sc�,m �
COiVSlJLT �r:G i ORY FO� SPi�GIAL :�PPLICATIO���
Elearical aleemamrs. tor duale�c srstems. �e e�aaable ane • variae�e le�re+eoet swi6d�es are avaYeh+e for oontraW�g sirgle
supplied with an alartn. �����-
� p���prs.fo�duplex sys6ert�s, are availaple • �p�yyybat�variable le�,el Ibat switches are available
wiTh or witlqut al8rm switches. fOf vN12b18 18v21 IOfly CydB Contrds.
SELeCI'ION G1710c /�
7. I�M�¢d 00�1 apN�d 2 O�bllydYllR'J19wiMh.lq el�B(1�2 COIWd flQlYfGd. /' � 5
Standard ali models -Weiahi 39 !bs. - '/-_ H.P. Z_ g„y�pypypr�,wmb�e�toa�sw�x�«dautepqprnedc•s�eb�ekve6 �
w s.ac co�sa s.rcrow m�s�.ea�raerer b�an.
roew voa�, roa. a M.a�.+w.�„ro.,aoorz«�om7s.
M96 1 ts t Nrn a� t er t a 7 — c. see FM0712 a.ewna nadd ot EhWira�Alrnwa.
N9B 1t5 1 Non 9A 2 ar28 3 or�d 5 5. CAaa�'10-0�?5 uaW r e cw+Yd�e0wbr.ep«(y d�0�(3)w(J)
Iloal syc9orn.
DBB 7J0 7 Nb 1.7 1 ar 1 b 7 — 6. Faw H)11a1s J-P�k.lirJini OmL fOr�I mY1ec90n Of M6W�in
E99 7J0 � 1 !bn �.7 2 Q 2 6 6 3 or s 6 3 sY�p1R a daYn oparafoq 10.00G2.
7. Two(2)hde 1Pak.lar MMrYpl�I u��sWKe.
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aMm�imaadiu�mi0a8sy�M/boYbOap�tiyayy�ud$�M�1p, AHinimtbl(onciroMrols.pro�eciiondevieezantivririnqciroulLbxdaoe!%aqtmllfieE
ID{T7:96fdAM�.fiB1�MH��1r]f.R�0�7C911�$q6�f.fiDM7: 6uneMNectrictan.w1leMclNcalantl�atd7cotlesahoWtihcldlunedintlWh�914emosl
i�e Plyey�ls qnqCo�d.fytsy�.��y�,qp� rec�,;Y..tbnal Eiectric Lode(�EC)anc Itu Occepatbiul5afeq and Health Act(OSNAI.
:'�_: _ .. _ _ .'k' ��.>VrL�"�.���. .��:��.v._ .
For ux►sual conditior�a reserve safeiy fador is ergc�eered into ihe design of every Zoeller pump.
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PUMP !O. �7°�"''��
ne6o:wwv��wces r,�x�s,�nsamv
� � —_ �1La1 � ic ..l !�
� '"'" tr;� PRIVATE ONSITE WASTE TREATMENT county
��'���o� � � 1 SYSTEMS SaWyer
�'�.�S��s � ( POWTS)
���_ .��—`%�'
INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �3-- �� �
Personal infonnarion you provide may be used for secondary puiposes[Privacy Law,s. 15.04(1)(m)J
Permit Holder's Name: ❑City ❑ Village [�Town of: State Plan Transaction ID#:
�o�.\�s- PN�.�s ��. 5 � 1���. —
Insp BM Elev: BM Description: Parcei Tax No:
��o. �' sp��. �� �— b�g-�Y�_36- �-r(a�
7ANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic �,�„ � - gY0 Benchmark �q�,o�
Dosing � �o,t,�� �-p
Aeration Bldg. Sewer --
Holding St/Ht Inlet �9,7'
TANK SETBACK INFORMATION St I Ht Outlet R 9.6 '
TANK TO P/L WELL BLDG vENr To ROAD Dt Inlet
AI R I NTAKE
Septic ' Jv NA Dt Bottom 9 S:`j' '
Dosing �• �� .< « NA Installation �oQ��,
Contour
Aeration NA Header/Man.
Holding Dist. Pipe
PUMP 1 SIPHON INFORMATION Infiltrative .
Surface `��•6
Manufacturer Demand Final Grade
Model Number �� GPM � C3?j �q(o �
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L ��` Dia �" Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W� S's L S� #of Cells Type of System Distribution Media Manufacturer:
� Conv ❑ Aggregate
SETBACK P/L Bldg Well OHWM of Nav � IGP ❑ Chamber ev�9�
INFORMATION Waters � AG ❑ EZFIow Model Number:
CELL TO =1-�_ N � ❑ Mound � Other
_ -- - ___— -- -—_ -- --
DISTRIBUTION SYSTEM X Pressure Systems Only
- --- —_ — - —--- — —
Header/Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes
Length Dia Length Dia Spac Spacing ,�Yes ❑ No �
---- --
SOIL COVER --- -
Depth Over Depth Over j Depth of_- ---�eeded/Sodded � Mulched �
Cell Center � Cell Edges ; To soil ❑Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
��,s�/�@� ���3��3
Plan revision required?❑ Yes ❑ No d�-���� � � � ���r�
I I I' �
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
AOOITI�NAL COMMENTS AN� SKETCH
SANITAAY PEAMIT NUMBER:��^_���_
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