HomeMy WebLinkAbout012-640-06-340-7-SAN-2023-047 �"°'t��t> Industry Services Division County
,��•��`-- �
=� 4822 Madison Yards Way Sawyer
t��l �,S ,�-' Madison,WI 53705 Sanitary Permit Number(to be filled in by �
, � p= ,.,
P.O.Box 7162
�_-:-,���', Madison,WI 53707-7162 � .��'` 3��
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State Transaction Number �f-�
Sanitary Permit Application ��
In accordance 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-owned POWTS are submitted to Project Address(if different than mailing< �
the Department of Safety and Professional Services.Personal information you provide may be used for secondary geaver Creek Rd. �
purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats.
I.Application Information-Please Print All Information -�
Property Owner's Name Parcel#
P&J-C LLC 012640063407
Property Owner's Mailing Address Property Lo ation
N9047 E Shore Dr. _ a��
Ciry,State Lip Code Phone Number �
East Troy WI 53120 ��. s�'°, Se°"°° 6 _
II.Type of Building(check all that apply) Lot# T40 N R 6 E or w
�1 or 2 Family Dwelling-Number ofBedrooms �i ') Subdivision Name
Block# �
�'ublic/Commercial-Describe Use ,�
❑Ci[y of
�State Owned-Describe Use CSM Number illage of
CSM 31 /254 ❑�TO"'"°f Hunter
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.)
A' ✓�lew System nReplacement System ❑Other Modification to Existing System(explain) �Additional Pretreatment Unit(explain)
LJ
B' �Flolding Tank �In-Ground �AAt-Grade �Mound Individual Site Design Other Type(explain)
(conventional)
C. �Renewal Before �Revision � r}�� ist Previous Permit Number and Date Issued N
{/ han e of Plumber u.ransfer to New Owner
Expiration 639154 7/15/2022 2�- ISg
IV.DispersaUTreatment Area and Tank Information: 3 ROw f 15 AD ARC 36 ha bers
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
750 0.7 1071 .4 1125 93.4
Capacity in Total #of Manufacturer y
Tank Information Gallons Gallons Units � ;; o �a, �
New Tanks Existing Tanks v V V � y ,n ,� `"
4' o y � v °J ct c�
0�. U V1 �n V] V- C:1 LL
Septic or Holding Tank 1645 1645 Wieser ✓
Dosing Chamber � � �
V.ResponSibility Statement- I,the nndersigned,assume responsibility for installation of t6e POWTS shown on the attached plans.
Plumber's Name(Print) Plumber's Si ature MP/MPRS Number Business Phone Number
Aaron J Saltzmann MP 1004848 715-804-3105
Plumber's Address(Street,City,State,Zip Code)
7509 US-51 , Minocqua, WI 54548
VI.Coun /Department Use Only
I�a�App � ❑Disapproved Permit Fee Date[ssued Issuing Agent Signature
❑Owner Given Reason for Denial
$ ,S"O.a" S�s^ �;� _5 �'�,���C2.�-z-�{z�v�-
Conditions of ApprovaUReasons for Disapproval - , �----��� ���
" ( ,,= � _j:..�iJ�=J 1J �� �`= F1
�7ate c- ��r s. ^,
�� ' �hk# �� �-��''. MAY 0 8 20 �--
�r�i 23
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j a g� � _�J
GST �� — ( o��� �Cpt#._.. �,,,� �,��-,tv�� co�NT�r
�O►V1NG ADMItvfSTRATION
Attach to complete plans for the system and submit to the County only on paper not less thao 8 t/2 x 11 inc6es in size y,,�y(A �
v�l -�
SBD-6398(R.03/21) NO R�FUNDS AFTER
15SUE OF PERMIT
Tall Pines Plumbing
7509 US-51
Minocqua, WI 54548
Phone 715-804-3105
Project Description: Construct New 5 Bedroom conventional septic system.
P&J-C LLC
N9047 E SHORE DR
EAST TROY WI 53120
Sec.6 T 40 N;R6 W
012640063407
Town of Hunter
Sawyer County
Page# Description
1 Title Page and index
2 SBD-6398
3 Site Plan
4 Dispersal Cell/Observation Pipe Detail
5 Effluent Filter and Housing
� Septic Tank
g Leach Chambers
9 ManagemenUContingency Plan
Aaron J Saltzmann �
MP 1004848
5/4/2023
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FOR HANDLE EXTENSION " ���� §�� '"'�a [15.8 cm] 10.84
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� SOCKET ACCEPTS 6.06
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POLYLOK PL-525 FILTER CARTRIDGE ; �
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PART N0. - 30141-525 ' I� _ _ _ jl , � �- � �� i �� � �
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MATERIAL - POLYPROPYLENE � i '� -_ � � � o� �:. �
COLOR - BLUE � —c �.� f e� �� _ ,
TOTAL FILTRATION - 530' OF 1116" SLOTS ( 2.76 sq.ft.) --� _ — �
(161 .5 METERS OF1 .59 MM SLOTS)(2564.28 sq.cm)
TOTAL FILTER SURFACE - 9.58 SQ. FT. (8903.76 sq. cml
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C5.1 cm]
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OUTSIDE DIAMETER � �
ACCEPTS 4"SCHD 40 SOCKET 11.59 G�ODC�[� �l�o pf������6��
[29.4 cm] �������� ������
OPTIONAL BUSHING
� (FOR 4"THIN WALL PIPE) 8.10
PART N0,30142-R [20.6 cm� �Q�4 a0o, �194�'iQ��,�94��t�
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OR _�
(FOR 110 MM.PIPE) ��4 � ��9��
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PART N0.30142-EUR 10.52 __�
OUTLET BUSHING ACCEPTS [26.7 cm) LABEL ILLUSTRATION
4"SCHD 40&6"SCHD 40
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RETAINING CLIPS [83.9 cm�
PREVENT FILTER
FROM FLOATING
18.31
[46.5 cm7
ACCEPTS 6"
PL-525 -625 FILTER HOUSING li � FOR�INLET PE �
PART N0. - 30142-525 EXTENSION
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30142-625
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61/2"BALL CHECK
WLP1645—MR
TANK SPECIFICATIONS � o
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DIMENSIONS: � o
12'-2" WALL: 3" a a
BOTTOM: 3"
COVER: 5'�
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MANHOLE: 24" I.D. PRECAST CONCRETE RISER Q
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��,}---==---- - -- ------------{\�,� HEIGHT: 54 1/2" o
1 i 4" CAST-A-SEAL 4" CAST-A-SEAL i r LENGTH: 12��2" w
WIDTH: 7'-0 �
i� 2� �L' BELOW INLET: 43"
� /-�� �,�yP� ���`�� LIQUID LEVEL• 38" �
� � i I WEIGHT: 14,000 LBS. � a o E
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�� ` � � � � INLET AND OUTLET: - � � �
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i i \ �� \ i i 4" CAST-A-SEAL BOOT OR EQUAL GASKET � m o `�
�� FILTER OR I i' 0 3
w
i i BAFFLE i�� INLET AND OUTLET BAFFLE AND FILTER: Q Q � w
t" "i WISCONSIN, SEE DETAII #10 v o o �
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--�-'--� (OTHER STATES SEE CHART)
W �
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LIQUID CAPACITY: 43.32 GAL/IN W n
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TOP VIEW HOLDING TANK: �
OUTLET HOLE PLUGGED � �
ACTUAL CAPACITY: 1,733 GALLONS 0 � �
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LOADING DESIGN: 8'-0" UNSATURATED SOIL Q N
0
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� TANK CAN BE USED AS: o �j
Q� SEPTIC / HOLDING / PUMP OR SIPHON W } o
o �J = o�o
+� COVER: MIX DESIGN #8 (NO FIBER) �
� TANK: MIX DESIGN #10 (STRUCTURAL FIBER) � �
---- • ---- �_ CUSTOMIZED TANKS: � 3
---- � � �� ' ' ---- FOR CUSTOM TANKS CONTACT WIESER CONCRETE
IN�ET - OUTLET
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REVIEWED BY �O c�
�"� PUMP PAD REVIEW DATE � w
SIDE VIEW DRAWINGS SUBMITTED N
FOR APPROVAL
APPROVED BY: SHEET N0.
APPROVAL DATE: � �
OF
PRODUCTS NEEDED BY: / �
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
63"
34.5" • �
l.l
�� 60" -{
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�
13"
1
. +
1
� 7.25"
�
END CAP END CAP END CAP
FRONT VIEW SIDE VIEW REAR/TOP VIEW
2 RENAMED TJR 03(16/16
�20t6 ADS,INC. REV. DESCRIPTION BY MM/DD/YY CHK'D
ADVANCED DRAINAGE SYSTEMS, INC. ("ADS') HAS PREPARED THIS DETAIL BASED ON INFORMATION PROVIDED TO ADS. THIS '� ETC
DRAWING IS INTENDED TO DEPICT THE COMPONENTS AS REOUESTED. ADS HAS NOT PERFORMED ANY ENGINEERING OR DESIGN ' 5.�5.�i
SERVICES FOR ?HIS PRQIECT, NOR HAS ADS INDEPENDENTLY VERIFIEG THE INFORMATION SiiPPLIED. TME iNSTALLATION DEiAILS ARC 38 CHA1[BL+R .,
PROVIDED HEREIN ARE GENERAL RECOMMENDATIONS AND ARE NOT SPECIFlC FOR THIS PROJECT. THE DESIGN ENGINEER SHALL (�jD END �AP
REVIEW THESE DETAILS PRIOR TO CONSTRUCTION. IT IS THE DESIGN ENGINEERS RESPONSIBILIN TO ENSURE THE DEfAILS �M N7S
PROVIDED HEREIN MEETS OR EXCEEDS THE APPLJCABLE NATIONAL, STATE, OR LOCAL REQUIREMENTS AND TO ENSURE THAT THE DRAWING NUMBER: STD-9O3 Advanced Drainage Systems,Inc.
DEfAItS PROVIDED HEREIN ARE ACCEPTABLE FOR THIS PROJECT. � ��F�
In-ground Gravity Management Plan
IMPORTANT:
The owner of this inyround grevity system shall be responsible for ks 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'rf not maintained in accordance with this approved ma�agement plan.
Furthertnore,all inspec[ion and maintenance activities shail be perfortned by a reglstered POVYTS Maintalner in
accordance with SPS 383.52(3),Wisc.Admin.Code.
Maximum Disoersal Area OoeraUna Llmits:
Design Flow= 750 gpd; BODs 5 220 mgL''; TSS 5150 mgL''; FOG 5 30 mgL''
Insaection 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 vdume in anaerobic treatrnent tank(s)and any distribution appurtenance(s)(i.e.,distribution I drop boxes)
o neglect or improper use(i.e.,exceeding design qpacities,prohibited ad'rvi�es,etc.)
o e�errt of ponding in distribuution cell prior to dosing
o dosing irregularities-if applicable(i.e.,pump re-cycling,float switch settings,etc.)
o elecfical components-if applicable(i.e.,wiring,connections,swftches,controls,timers,alarms,etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification)
o surtace discharge of effluent or sawage back-up into sVucture served
Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
o Seatic and dose tank(s)shall be pumped by a certified sepla9e servicing operator licensed under s.281.48 Wis.
Stats.when the volume of solids In the tank(s)ezceeds one-third(1/3)the Ilquld volume of the tank(s)or
as required by local ordinance. Disposal of contents shall be pursuaM to NR 113,W isc.Admin.Code.
o �uent fllter(s1 shali be inspected every 3 years and shail be deaned when necessary to remove any
aaximulated solids according to manuFacturers specifications. A servidng period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local govemment unit In accordance with
SPS 383.55 Wlsc.Admin.Code. Report any component failure or malfunctlon to: ��5.804.3105
Aaron Saltzmann,Tall Pines Plumbing phone:
Name of individual or company:
�ocai�emme�t u�rt Sawyer County Zoning Pnone: 715.634.8288
�oca�gwemment unit address: 10610 Melfl St. #49 ZIp: `��3
Any defective part of this system shall be repaired,repiaced,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.P.dmin.Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by Me department in
accordance with SPS 384,Wisc.Admin.Coda.
Contlnaencv Plan
In the event that any failed Veatment component of this POWTS cannot be repaired,it shall be replaced pursuant to
a pian 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.
Svstem Abandonment
If use of this POWTS is discontinued,It shall be abandoned in accordance wkh SPS 383.33,Wisc.Admin.Code.