HomeMy WebLinkAbout010-182-00-0800-SAN-2023-031 ' ' lndustry Services Division County �
4822 Madison Yards Way Sawyer �
; _,�_ - Madison.WI 53705 Sanitary Permit Number(to be filled in by Co.) �
'i P.O. Box 7302 /�
Madison, W 1 5302 l.o_��� 3 S� �;
State Transaction Number W
Sanitary Permit Application �
In acwrdance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit �
is required prior to obtaining a sanitary permit.Note:Application forms for state-0wned VOWTS are submitted to Project Address(if different than mailing addie �.?�
Ihe Department oY Safery and Professional Services.Personal information you provide may be used for secondary `tAr�1,ewooq —•
purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. N/A � ���
I.Application Information-Please Print All Information
Property Owners Name Parcel#
Eric and M Johannesen 010182000800
Property Owner's Mailing Address Property Location
750 W Barber Ave . .
City,State Zip Code Phone Number
Livingston WI 53554 ,� „
, Section I
[L Type of Building(check all that apply) �-�t# � T 40 N R 8 E or
[�1 or 2 Family Uwclling-Number ofBedrooms 3 Subdivision Name
� �A7
Block# //1,Jlt EW o o D
❑Public/Commercial-Describe Use
� ❑City of
❑State Owned-Describe Use CSM Number ❑Village of
� �Town of Havward
III.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.
'�' ❑ Re lacement S stem
New Sys[em p y ❑Other Modification to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank In-Ground ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑(hher Type(explain)
�(conventional)
��• ❑ Renewal Before ❑ Revision ❑Change oY Plumber ❑Transfer to New Owner List Previous Permit Number and Date Issued
Expiration
IV.Dispersal/Treatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(sf) System Elevatio
450 7 643 652 90-933 GTa i
_�
Capacity in Total #of Manufacturer
::
Tank Information Gallons Gallons Units � V v $ �
New Tanks Existing Tanks ` o �; � Y � � c`"v
a U v� v� cn iz. C7 a.
Septic or Holding Tank 1000 1000 l iese x
Dosing Chamber
V.Responsibility Statement- I,the uodersigned,assume respons' ity fo ins lation of t6e POW'TS shown on the attached plans.
Plumbers Name(Print) Plumber's Signatur MP/MPRS Number Business Phone Number
Dan Burch 253808 715.416.1642
Plumber's Address(Street,City,State,Zip Code) N5921 Coun wy K Spooner W 54801
VI.Coun /Department Use Only
�Ap bVe ❑Disapproved $ermit Fee� Date Issued � Issuing Agent Signature
❑(h�ner(;iven Reason for Uenial �D�- y I�� I� -� Z /s��-����vi_
Conditions of Approval/Reasons for Disapproval � r
� � �
�t.���_ �-t r�i �-3.w. _ � �j
�"��GI � �i ��
d � W�,� oca �i _, APR 0 3 2023
�t,�#
CS'— _ O I C� •s� �C�;`,2 SAWYER COUNTY
� � y�(+ ZONtNG ADMINISTRA i iON
Attach to comp ete plans for the system and submit to the County only on paper not less than 8 vz x 11 inches in size ( J ' -Z 1
1
SBD-6398(R.02/22) NO REFUhDS AFTER
15SUE OF PE�MI�t'
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Owner Name(s): Eric and Mary Johannesen Phone: - -
Owner Address: 750 W Barber Ave Livingston WI Z�p; 53554
Project Address: Lot 8 Tanglewood Bay
Govt. Lot: 1/4 of 1/4, Section � , T40 N-R 8 E❑or W Q✓
Township: Hayward County: Sawyer
Project Parcel ID #: 010182000800
Designer Information
Designer Name: Dan Burch Phone: 715 _416 _1642
Designer Address: N5921 Cty Hwy K Spooner WI Z�p; 54801
E-mail: burchplumbinginc@gmail.com ���f�;��������7� ����w���r r.�p��r�, ���������.
License Number: 253808
Remarks:
J
Signature: �
Date: L�� � — � �
Original signature required on each submitted copy.
CHECK BOX AS 4PPLICABLE. CHECK 90X AS APPLIGABLE.
� SOIL EVALUATION o s`a1e �30 3D as so � SYSTEM PAGE 2 OF U
SITE MAP PLOT PLAN
PROJECT NAME: oesicN F�ow `�S�—� GPD
7.5'
Johannesen Attach design flow calculations for commercial plans.
PROJEC7ADDRESS: LOI H T8f1gI2WOOCI B8Y Pipe Material/ASTM Standard(Ta61es 384 303 8 38430-5)
N sa���ary 5ewe, �c 4 'f a T✓t
BM Symbol'.� BM Eleva�ion�. ��� FT Force Main�. /
eM o�s�,;Pno� nail in 10"Maple
sio eGradient i) ina��ca�enonnny IMPORTANT:
ofTestedNeat 7 weusymto�(rfappilcaoie): p arawmqaoerm.v Showgroundetevationcontoursatsuitableintervals.
n[he approprite line.
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L1��la ��J�s�S 3�,��`���� ,l
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IN-GROUND GRAVITY DISPERSAL AREA SepticTank(s) Manufacturer:
Wieser
Stepped Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing cred it) Septic Tank(s) Volume(s):
� ��� gal gal gal
gal
Effluent Filter Manufacturer:
� � Polvlok
SOIL COVER
— min. 12"
(rypicaq Effluent Filter Model #: 525
12"
min.Vench
TYPICAL TRENCH deP� �
CROSS SECTION VIEW (ryPl�l) a
-- - . .,.. .
• � . -. .a � e: Provide minimum 3 ft
(No Scale) �- a'a�� -.--�� •a• � • • separation between trenches.
(tYpical) , a , . .
� . • ,. . a.
a
Highest Trench Lowest Trench (as applicable)
System Elevations = 93.3 ft; 92.4 ft; ft; ft; ft
Quick4 Standard-W
w/ End Cap Observation Pipe TYPICAL TRENCH
t ical (Show location of inlet ( outlet pipe connection on plan view.) (typical)
� YP 1 Install per manufacture�'s PLAN VtEW
instructions.
(No Scale)
� - - - - - -- - - - - �� - - - - - - - �'�- - - - �.- - - .-,w.-. _ _,,,� �
, � �,-���; �A = 3.0 ft
, � , �, .,:; � , -, : � �� r + � " (tYpical) �
�-- - - - - - - - - - - - �� - - - - - - - �j�- - - - - - - - � � �
B = 64 ft _' m
ttyp��a�� Quick4 Standard-W Chamber GJ
INSTALL PER TRENCH: �ryp���� O
(mfd by Infifirator Sysiems, I�c.) —n
Install pursuant to manufacturer's instructions.
16 Quick4 Std-W @ 20 ft� EISA/chamber = 320 ft2 �
+ � Pairs of end caps @ 6 ft2 EISA/pair = 6 ftz
= Proposed EISA per trench = 326 ft2 Required Infiltration Area = 643 ft2 Distribution Method:
x 2 trenches = Proposed Total EISA = 652 ft2 branched manifold �
� -��t - .
PAGE40F4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground 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.
Furihermore,all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52(3),Wisc.Admin.Code.
Maximum Dispersai Area Oaeratins�Limits:
Design Flow= ���J gpd; BODS 5 220 mgL"'; TSS 5150 mgL"'; FOG 5 30 mgL''
Insoection Checklfst 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 treatmerrt 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 Seotic and dose tank(s)shall be pumped by a certified septage servicing operator licensed under s.281.48 Wis.
Stats.when the volume of solids in the tank(s)exceeds one-third(1/3)the liquid volume of the ta�k(s)or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc.Admin.Code.
o Effluent fllter(sl shall be inspected every 3 years and shall 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 of individual or company: D8C1 BUfCI1 Phone: 715.416.1642
�ocai 9o�e��ment unit: Sawyer County Zoning Phone: 715.634.8288
Local govemment unit address: 10610 M8111 St. #49 ZiP: 54843
My 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 the POWTS may be used unless approved by the department in
accordance with SPS 384,Wisc.Admin.Code.
Continaencv Plan
In the event that any failed treatment component of this POWTS cannot be repaired,it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed inyround dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
SYstem Abandonment
If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisc.Admin.Code.
WLP 1000— M R
TANK SPECIFICATIONS � o
o a
8'-8" � �
DIMENSIONS: � o
WALL: 2 1/2" a a
4" CAST-A-SEAL 4" CAST-A-SEAL BOTTOM: 3"
COVER: 5" w
--- MANHOLE: 24" I.D. PRECAST CONCRETE RISER Q
'%' ��` HEIGHT: 53 1/4" �
��' `\
�� �� LENGTH: 8'-8"
ii� ��� WIDTH: 7'-2" �
ii _, �`L�Q . � �_� �� BELOW INLET: 42"
� � ` '�� � `� � LIQUID LEVEL: 36" �
`i i i � WEIGHT: 6,790 �BS. � � E
� � � _�� �� �� �' INLET AND OUTLET: -II 3 0 �
\�� � �%� 4" CAST-A-SEAL BOOT OR EQUAL GASKET � m o 0
�� FILTER OR ii �
��� BAFFLE ��� w 3
� INLET AND OUTLET BAFFLE AND FILTER: a � � w
\`:.��_____ ��:' WISCONSIN, SEE DETAIL #10 v"i o o �:
------- (OTHER STATES SEE CHART) 4, o
LIQUID CAPACITY: 27.83 GAL/IN ~ �
TOP VIEW W �
HOLDING TANK: � Y co
OUTLET HOLE PLUGGED " '�
ACTUAL CAPACITY: 1,085 GALLONS � � �
(� o I
LOADING DESIGN: 8'-0" UNSATURATED SOIL Q �
� N
� �
TANK CAN BE USED AS: � I
a j SEPTiC / HOLDING / PUMP OR SIPHON W � a
c, ■rr = m
� COVER: MIX DESIGN #8 (NO FIBER) W
;n TANK: MIX DESIGN #10 (STRUCTURAL FIBER) �� �
CUSTOMIZED TANKS: � �
INLET - � FOR CUSTOM TANKS CONTACT WIESER CONCRETE
OUTLET
N I � I
�a Q _ � _ cn
� - � U I - � � �U - Q
�t � _ I M � � � ^ Q' � �
d- i i � � M � Z
2�,. �---�----�---�--�-- -J _-�_ p �
REVIEWED BY a �
;.�, PUMP PAD REVIEW DATE � w
N
DRAWINGS SUBMITTED
si�E v�Ew FOR APPROVAL
APPROVED BY: SHEET N0.
APPROVAL DATE: � /
OF
PRODUCTS NEEDED BY: / �
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS