HomeMy WebLinkAbout012-740-24-4108-SAN-2023-146 _ " Department of Safety c°°"ty �
- �\� � & Professional Services, saw t�' �
� `, _' , Sanitary Permit Number(to be filled in by Co. Z
� � : Industry Services Division
,.
. . . C�S i C 5`-f 9�
State Transaction Number
Sanitary Permit Application �/�'�� 2 q `;'
In accordance with SPS 383.21(2),Wis Adm Code,submission of this form to the appropriate governmenta(unit ` '" './^��✓��� + �` � �
is required prior to ob[aining a sanitary permiL Note:Application forms for state-0wned POWTS are submitted to Project Address(if diY�erent Ihan mailing addre:
the DepaRment of Sa►ety and Protessional Services.Personal information you provide may be used for secondary �
purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. 8a,G� N ��L.1�nL1 D(�
I.Application Information-Please Print All Information
Property O�+�ners Name Parcel#
z .� � � o� a - �4o- ay -yio8
Prope Owner's Mailin Address Property Location
'y o N o��� (Z� G���.�.�r
City,State Zip Code Phone Number
�Q,u �.�a:eY � W i S�170 I N E ��4, SE ��4, sect�on ol N _
II.Type of Building(check all that apply) Lot# T N R 7' -E�r
�1 or 2 Family Dwelling-Number ofBedrooms � � Subdivision Name _
Block#
❑Public/Commercial-Describe Use ,_
�City of __
❑StateOwned-UescribeUse CSMNumber �- /,,g) ❑Villageof
�$ /O�� I�I own of__ l-�cJin'�G1"
[IL Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applicable on line A. Check one box on line B.Comptete line C i
a licable.
A [�NeN�System �Replaeement System @ y ( p ( P )
❑ Other Modification[o Existin S s[em ex lain) ❑Additional Pretreahnen[Unit ex lain
B' ❑ Holding Tank ❑ In-Ground ❑ At-Grade ,�Mound ❑ Individual Site Design yp p )
❑ Other T e(ex lain
(conventional)
C• ❑ Renewal Before ❑ Revision ❑Change of Plumber ❑Transfer to New Owner �st Previous Permit Number and Date Issued
Expiration g�^ 13� g�`g g?
IV.DispersaUTreatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
� Gt 1 I
CPoo a.o 300 39c� �. o ���v.
Capacity in Total #of Manufacturer
�
Tank Information Gallons Gallons Units � � v � �
New Tanks Existing Tanks y � � � Y � c"c ro
�M a�� n`. V v, � vi u. C7 a.
Septic or Holdine Tank 1 1��D r ,a� .
.G a�nC �c
Dosing Chamber 75� � 7Sv
V.Responsibility Statement- 1,the undersigned,assume responsibility for installa6on of the POWTS shown on the attached plans.
Plumbcrs Name(Vrint) Plumbers gnat re MP/MPRS Number Business Phone Number
G«-a�a ��.n..�.� �l� 4sa �� � ��s-ss8-�� 38
P►umber's Address(Street,City,State,Zip Code)
)3SOaw t=r�n�1 R� �-�4 �.,rard, W i. s�a y3
Vl.County/Department Use Only
�A7 � ed ❑Disapproved Permit Fce Dale[ssued Issuing Agent Signxture
❑Owner Given Reason for Denial $ ( �'� � ��( I�j `r1����"`""�`�` ' '" t""�`
Conditions of ApprovaUReasons for Disapproval 4 � �
- Jate � a� a 3 D
��� � I I JUL 12 2023
G�
��
cnk# � ��`�
c s"� �3 - oa � �Cp�������-- ___�__.� Z��„N°T��
Attach to comp�ete plans for t6e system and submit to the County only oo paper not less than 8 IR x I l inches in size ' r�-���
NO R�FJN��AFTER
SBD-639A(R.03/22) ��U�0����j�-
...,,.\'��H 1 L/!t.
Wisconsin Depariment of Safety and Professional Services � Phone:608-266-2112
Division of Industry Services � \ , `,. Web: _
4822 Madison Yazds Way = _ = Email: :� _ __
PO Box 7302 ' , ' � �
tvtadison,w�53�07 �, � = Tony Evers,Governor
'' � Dan Hereth,Secretary
r� �\•
. I\�i�1\'.\�.
June 29,2023 ��rd;r;�»;�rfy
l�PPROVED
CONDCTIONAL APPROVAL DEPT.OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF lNDIJSTRY SERVICES
PLAN APPROVAL EXPIRES: 2025-6-29 G��'r /���
Plan Review: PWTS-062301290-C
Gerald Froemei ���= co�PEs�o�:r��F�c�
13502 W Froemel Road
Hayward,WI
SITE:
Bowe ,�� �;�-1
8219 N Woodland Dr �) ���� `� ���''�
E'
Sawyer County `' �
Town of Hunter JUL 1 2 2023
NEY.SEY,S24T40R7W
SAWYER COUNTY
ZONING ADMINISTRATION
FOR:
Description:4 Bedroom-600 GPD—18"to GeoMat Mound Manual—(May 2022-2027j
limiting factor—Effluent Filter- Pressure Distribution Component Manual—Ver.
Maintenance required 2.1(May 2022-2027)
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(sj 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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• If using the existing septic tank,it must be inspeded for watertightness and structural soundness,size and
baffles,and must be brought into confo�mance with the requirements of ch.SPS 383,Wis.Adm.Code.
• The mound site shall be properly prepared prior to plowing.Any grasses longer than 6n shall be cut short and
removed.To avoid matting,any leaves or Ioose organic matter shall be raked up and removed.Cut trees and
shrubs flush to the ground and leave stumps.Avoid operating equipment on the mound site.If necessary,use
only tracked equipment,during dry conditions,with minimal passes,to avoid compaction.
• 12"of sand shall be installed between the contour and the bottom of the GeoMat product.
• Orifice Shields are required.
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec.145.19,�s.Stats.
• Inspedion of the private sewage system installation is required.Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec.145.20(2��d�,Wis.Stats.
• A state approved efFluent filter is required.Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required.
• A coav of the aaaroved olans.saecifications and this letter shall be on-site durina construction and ooen to
inspectio�bv authorized representatives of the Deoartment,which mav include local insoec[ors.
Owner Responsibilities
• The current owner,and each subsequent owner,shall receive a copy of this letter.Owners shall also receive a
copy of the appropriate operation and maintenance manual�s)and be responsible for ensuring that POWTS is
operated and maintained in accordance with this chapter and the approved management plan under s.SPS
383.54(i).
• 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 owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes.Reports shall be submitted at intervals appropriate for the component�s)utilized
in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall
relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries co�cerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation,operation or maintenance of the POWTS.
Sincerely,
,J"��u.cw 2o�ul�y
Joshua Rowley
POWTS Plan Reviewer,Division of Industry Services
(715)813-9111 josnua.rowievLwwiscomir.Kov
GeoMat MOUND AND PRESSURE DlSTRIBUTION COMPONENT DESIGN
_._ . ,
INDEX AND TITLE PAGE
� eFinfo
Project Name Bowe-Woodland Dr
Owner's Name Kyle &Angela Bowe
Owner's Address: 7640 North Rd
Eau Clatre. WI 54701
Property Info .,, .-;- _
Property Address 8219N Woodland Dr
Legai Descnption NE SE S 24 T 40 N R 7 W
Township Hunter County Sawyer
Subdivision Name
Lot Number A Block Number CSM#: 1045
Parcel I.D. Number 012-740-244108
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Tank cross sections
Page 2 Data entry Page 10 Site Diagram
Page 3 GeoMat mound drawings
Page 4 Lateral and dose tank
Page 5 DisVibution media
Page 6 System maintenance specifications _
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Gerald Froemel License Number: 9501�1
Date: 05/19/23 Phone Numbec (715) 558-1138
Signature:
Designer Stamp Siate of Wiscons4n Aoproval Stamp:
AF
DEPT.OFSn.: �� . '
or.�isiov-� �
Designetl Pursuant lo the � �
GeoMat Mound Component Manual 5/18R2 _
SSWMP Publication 9.6 Desgn of Pressure Distnbution NeMrorics for S�h.4�8fyeo6�vi:_
Pressure Distnbution Component Manual Ver. 2.1 (May 2022-202�
Page 'I of 10
�,�A�kl�,��?4�iNDANDPRESStiRf DIS'�R�BUTWN` ;_; '"
4�sdentiai AoplicaCcr.
INDEX AND TITLE PAGE
Pro�ect Name Bowe-Woodland Dr
Ownefs Name Kyle&Angela Bowe _
OwneYs Address: 7640 North Rd
Eau Ciaire, WI 54701
Pro n o _ _ . _ _ ._ .
Property Address 8219N Woodiand Dr _
legal Description NE SE S 24 T 40 N R 7 W
Township Hunter County Saw�er _ _
Subdivision Name:
Lot Number: A Block Numbec CSWqk: 1045
Parcell.D. Number 012-740-244108
Plan Transactlon No.:
. _ . . __ . . ., .�.4 . ,,...�_, ae .e
Inez _ .
Page 1 index and title Page 9 Tank cross sections
Page 2 Data entry Page 10 Site Diagram
Page 3 GeoMat mound drawings
Page 4 Lateral and dose tank
_.__.. _ -- __
Page 5 OisVibution media �u _____r_
Page 6 System maintenance specifications
Page 7 Management and contingency pian
Page 8 Pump curve and specifications
Geraid Froemel license Number: 950111
Date OS119l23 Phone Numbec (715) 558-1138
Signature. �
Designer Stamp: State of Wisconsin Approval Stamp
Designed Pursuant to[he
GeoMat Mound Component Manual 5I7822
SSWMP Publication 8.6 Design of Pressure Distribution Nerivorks for ST-SAS(Ot/81)and
Pressure Distnbution Component Manual Ver.2.1 (May 2022-202'n
Page 1 of 10
Mound a�Pressure D�trlbtAion Compoe�ent Design
o�_,:�,��- �:��ksneet
rtnatlon _ _
' � � R ResWerrGal or Commercial Design N ISD Requ�red�
� 400.00 Estimated Wastewffier Flow(gpd)
� 1.60 Peak�ng Factor(e g. 1 5= 150%)
Design Flow(gpd)
' 6.00 Sde Slope(%)
'. � � 100.50 Installatlon Contour Line Elevation(fl)
78.00 Depth to Lim�fing Factor(in)
7.00 In-srtu Soil Apphcahon Rffie(gpolR�)
B0.00 Contour Length Avatlable(fl)
Diatribudon _
gJfQ Celi WdM(ft)_3_2�, 6.5 or y 75 Or�;y 80.00 Desgner Input Cell Length lR)
� 2Qp Drspersal Cell Design Loatling Rate(9pdM�) 60.00 D�spersal Cell Length Required(R)
2 Influenl Wastewater Qualiry(1 or 2)
._..---_.. .
; E��� Cerrter or End ManAold Are the latereis the hghest poirtt
2 Number of Laterals m the dishibutan V �
_.
3.25 Laterel Spacing(ft) ���?
28b5 Forcemain Drainbadc(gal) If N above,errter the elevatwn(ft) .
' 1.90 Porcemain FiMer Loss(ft) of lhe hghest ponrt. . . .. __�
� 2.00� Forcemam Diameter(in)
f' � 175.00 Forcemain Length(fl) Dces the forcemain draln badc�. V-�
__._... _._
91.00 Inside Pump Tank Elevatron(ft)
' 0.166 Orifice Dlameter(in)(e.g 025)
, ...-.. . 2.00 Es"�r,,ztec Orifice SPacm9(R)= 6.50 it�/wtfice
4 55 System Head(ft)x 1.3
10 25 VeRical Lift(R)
3.89 Fndion Loss(ft)
20 59 Tota�Dynamic Head(R)
5322 Sx Void Vdume(gal)
81.76 Minimum Dose Volume(gal)
32.31 System Demand(gpm)
n . . .. .... ... . . . . ......, _ . .-... _, ..
Uteral Diameter Selection ManHold Diameter Selection
in dia t�ons choice in dia 6ons choice
075 ' --�- � - 7 25 x �
_ _
�,pp 150 x z .
125 . 2.� - ._
— — —_
1.50 x ' : � 3.00 ----..__._
2.00 a - ._---- �
3 00 : �--------�
_ . ... _ .. ._,... . .__.,.._.
•h . . ... . . . . . .. .. . . . . - . . _._ .. . , ..
TreatmeM Tank Infortnatlon EfflueM Fitter I�ormaUon
- 1250 00 Septic Tank Capacity(gal) Pressure F�tter Only Fitter Manufacturer
Wieser Concrete Products, Inc ManuNacturer See pg 4 ���.Filter Modei Number
Dose Tank Informatlon GallonsAnch Calculator ioptena�?
773 76 Dose Tank Capaaty(gap 773 76 Total Tank Capacity(gal)
16.12 Dose Tank Volume(gaUn) 48 00 Total Working Lpuid Depth(in)
'.Wleser Concrete ProCucls, inc.�� �ManuNac[urer � 16 12 gaVin(enter resutt in cell DoseTankVolume)
Prq¢ct. Bowe•Wootllantl Dr Page 2 of�0
�!��E�IaI�.�Xiev+r ,,� ,
— —t
❑ J
��1 ��.B Observation Pipe 3 � . _ 1
K
�—' T
s A
W t f �
B �
���� -� �'������� � � � I
�
_ 1
-� �
L
_ , ,. __, .,
Ol� .., ,. O f11@ lOf1 � .. . ..
A 6.50ft E 990in H 1.00ft K 861ft
D 6600m G 10.50ft J 5.6ft W 2120ft
390 00 (it�) Dispersal Cell Area 926.47 (ft) Basal Area Available
10 00 (gpd/ft) Linear Loading Rate 6" End of B Obs. Pipe Placement
_ . _ . M_, ., _.. _._ ,..:
oun " ross on ew
GeoMat Dispersai Area
Observation Pipe
12"ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
component � GeoMat+12"ASTM C-33 sand
'. H � G
10321 Finish Grade - Cover Material
102.08 Lateral Invert Elevation f
101 00 Dispersal Cell ; � Slope 5.0
Elevation � E � �
Contour Elevation 100.50
4' Tlled Area
Forcemain
In situ soil �
IfI51tU SOiI
. .. . a �
� � TOOsoil cap
Z � Subsoil Cap
J � ASTM C 33 sand (F)
1 � ASTM C 33 sand (D)
5 � T(Iled Layer
6 0 Geo Mat
See details on page 4 for numbar, size,and spacing of laterals.
Project Bowe-Woodland Dr Page 3 of 10
��
End:Goht�ectiort l,abenll
� ,_�ra�ri-up�w a6�-vaTre o.de.nart alu�
i
lst o�mce�ocmd x z Z .
�NI oriflces paiM dovm
�f�_ _'�_ ._�__ __._ .X _. ..._ . _ . __
P
laterah d force msin of VYC Sch AO Wf SPS Ta6k .30-S1
Number ot Laterels 2 Orifice Diemeter 0 156 in
Lateral Dlameter 1 50 In Orifice Spadng(X) 2.00 ft
lateral l.ength(P) 59 00 ft Orificea per Lateral 30
Laterel End(2) 1.00 R Onf�ce Densiry 6.50 11'l0�
Lateral Spetlng(S) 3.25 R Manrfold LergM 3.25 fl
Lateral Flow Rate 16 16 gpm GAa�ifoM Diametar 1 50 in
System flar RaFe 32 31 gpm Fwcemain Vebcity 3.30 Maec
n � � . . .
I.ading co•'cn.iN x'aminb Ialui. h
IMi�i�dcvrcc aml Wa�<r�i�h�u-al
J Ym1eJGrctt �I
Iika�ricai M:
o.�wv v[c:.00 �
and SM 311.'_f\\'�.i�
.�. �v. IlniJrvlCvrle yl�l 11-: _i{i� � . il��-i_.
' Jh]CO➢OL`lf /
Y CMan oni I�iry' � _ Oqiaul MII./�.c
N'in�aFmmt�l«�ricsix�rtc � �.�.'�� �omm�WWKdof
� � c111ucnlMti�d�wN
... � .�__. ' �� �c�w�..�ai.��w Faeem�bamebr
+'Ink+ I'��IJx� - _ Z lfl.
. Ito �cp ,I, �,/ J'��ruwur4.��
� mtd 1•� n. A •r R..��nmm�
A� i��h�paska I��N T6l� \ .oueo��..r i Furco
Sim/7ech Fiher i�"^°iei1i`
$Tf100 1/16 �H�ghwamralam��n =�
.Bi ^wnrnn�-4y,�' 3i
i '
C ' `ej� �---PumD on akv�Um M)
�, PwnnUl��l9iw�•�I �� r r �( 91 83
p _ : : . � Ooee bnk ebvalbn(n)
. m�.�i �, �_
9�.�
r.i::a.,• �.� _ 'licddme undcr tonlr-:.a . . ... ... .°
Dimension Inches Gaibns Wieser Concrete Produds.Inc.
A 30.93 498.56 Ca ad T7376
B 2.00 3224 Volume 16.72 gaVi�h
C 5 07 81 76
D ' 10.00 �8'1 20
TOtdl 48.00 773 76
Fiiler Manufattu2r Sim/Tech Filter
Flter Model Number STF 100 1I16
Plarm Manufacturer SJE R�ombus _�
Alarm Model Number PS Patrol
Pump ManufacWrer Uberty Pumps
Pump Model Number 283�
Pump Mus�Delrver 3231 gpm at 20.59 ft TDH
i:^,le 9�n�CRgg Gontainmq me:r,iw qv,Y cOi be uSeKi in;l•,�c Sr>.e�n
P��� g�-W�y�p pr Page d of 10
v
c;soearn�bu�on cau�tsro�
6.50 Ce111KMth(ft) 1 63 Sidewall to Labnl(R)
Dfatributio�Cell CrossaecUon Arrangements
_ _ _ ._ .. _ �._- __ -- - _ D ----- - --
� DisMbutqn Prye Wilh Preasure Lateral I...J Orifice ShieW
• Tumup Encbsure -- --- Pressure Lateral
GeoMat is covered wdh approvetl geolexhle fsDric es per Me thelr protlucY approwl
Distribution Cell Plan View Layout-Typical
6.50 Cell Width-A(ft) 60 00 Csll Length'B(ft)
End Conoed�on L'etRrel iayout Diayram
p.,_ �. � � .� � .� � � �..� �. �. �. � � �
�.� � � �� �� � � � � � � � � �� � �.
SenO fiN RKomrtiBrMeA Dirtribution latetal
. - OrificeShieW
P'ce� Apprpved Infiib'atrve Fabrk
I'':^T._��i.o��sft.l's....Y,°;r>_"; �
: �ir hSiL!73.".01.�. .. GeoMat
� .. =�-.' "—�T '=-'. . _ ComponMt
� � � %�,.�A*ui A..^TM Gi):m�'-�
Infittretive SuAace/Vlow uyer
I�mt itlu
�w.�a.r.in�
� C� Topsoil Cap
T��n / �''"�" �. � 2 � Subsoil Cap
I �y„ 3 � ASTM C 33 sand (F)
� S � ASTM C 33 sand (D)
i•mx� � �noua� � � r,�;n 5 � Til10d Ldy@r
!
_ .�_ � 6 Q Geo Mat
� ::IZ'I/.1:1_�.FC-:i^I
�qIqECIL.Ef^„�IJJp . . -
hri��u^r�!�!�,m,'.
See�k m papa d/or rnmEer.size erW spaarq d latard5
Propct: Bowe-WootllanE Dr Page 5 of 10
1Nounc�systsm 1Na�ntenanc�an�,�on Spec�;
Service Providers Name Gerald Frcemel ' Phone (775)558-1138
POWTS Regulatofs Name Sawyer County SPIA-Zoning Administration Pbone (715)634�288
Svstem Flow and Load Parametera
Design Flow-Peak 600 gpd Ma�cimum InflueM PartiGe Size 1/8 in
Estimated Flow-Average 400 gpd Maximum BOD5 30 mglL
Septic Tank Capaaty 1250 gal Maximum TSS 30 mg/L
Soil Absotption Component Size 390 fl� 6Aapmum FOG 70 mglL
7ype of Wastewater pomeslic Mauimum Fecal Cdrfortn t0E4 ciW100 mL
Servke Freauencv
Septic anA Pump Tank Ins ct and/or service once eve 3 ears
Eftluenl FiRer Ins and Gean as necessa at least once eve 3 rs
Pump and Controls Test once eve 3 ears
Alertn Should test nodica�
Pressure System laterals should be flushed and ressure tested eve 3 ars
Mound Inspect for pondmg antl seepage once every 3 years
Miscellaneous Conatruction and Materials Siandards
1. Observation pipes are sbtted and materials confortn to Table SPS 384.30-1, have a watertight cap anA are secured in as
shown in the Synergy Systems GeoMat Mound Component Manual Version 1,2017.
2. Dispersal cell media confortns to GeoMat products approved for uae wiUi the Synergy Systems GeoMat Mound Component
Manual Version 1, 2017. Media is covered wiM an approved geotextile fabric.
3. All grev'Ry and pressure piping matenals conform to the requ'vemenis in SPS 3&4,Wis.Adm.Cade.
4. Tiliage of the basal area is accomplished with a mold board or chisel pbw.
5. The mound structure and other disturbed areas wlll be seeded and muleMed ro prevent soil erosion and help reduce frost
penetration.
Latenl Tum-up Detail
6-8"Diameter Finished Threaded Cleanout
, Lawn Sprinkter 6rade \ Plug or Ball Valve
Box y
� lzte2l EnEs at Last Orifice Where
Long Sweep 90 or Two
��45 Degree Bends Same
� i Diameter as Lateral
__ . ___ _. ._. . __.--.. .
Distri6ution Lateral Lateral Geanout
2.5 Feet
Project: 8owe-Woadland Dr Page 6 of 10
Mound Systerfl'Management Plan
Purswrk to SPS 383.54,Nfa.Adm.Cade
General
Th�s system shall be opersted In accordanCe wRh SPS 382-84 Wis Atlm Code,and shell maiMained in accordance wilh its'component
manuals[Synergy Systems L.LC.,Geortut Mound Cpnpanent Manual verswn 1,2017.P(easure DiatriMAion Canponent M7anual Ver 2A
SBD-10'!O6-P(N.07/01)aM SSWMP PubFation 9.6(01181)J and bcal or stete rules perteinirp lo syatem maiMenance anC mamlenanca
reportirg.
Septic an0 pump tank abaMonmeni shall be in accordance with SPS 383 33,Wis.Adm.Code when the fanks are rw brper
used as POYVTS components
Septic or pump tank mantrole risers.access nsera and wvers stwuld be mspacted for water tigMneas and aouMness. Aecess openings
uaed for service aIM assessment shall be seabd watertight upon the compbtbn of service My openirg Caemed unsouM,Aetective,or
subJeG to fadure must be repWced. E�oseA acass openings grcater then 8-i�in diart�ater shaN be secured by an eRectrve bcking
dev�ce to prevent accidental or unauNonzed entry into a tank or componeM
Septk Tank
The septic lank shall be maintained 6y an individual ceAificd to xrvice aeplic tanks untler s.281 48.Stats. TTe conteMs of Ne sepbc
tank s�al1 be dispoSed of in aCcordance wiM NR 113,W�s Adm.Code. The oparotirg WnCitbn of Ma septKo taMc and outbt fiftel shatl ba
assessed at kast once every 3 years by inspectwn
The outlet fitter shali be deanaC as necessary lo ensure proper operatqn The fiker cartndge sMuid not be removed unless pmv�sions
are made to relain solids in the tank that may sbugh off the filter when femoved from As enGosuie. N the filler a epuipped wRh an alarm,the
fitter shall be serviced A Me alaem n activatetl conlinuously. lirtermittent flher alartns may indicate surge flows or an anperMing continuous
alarm
The septic Wnk shall have its contenb removed when the voW'rie of sludge and scum in the[ank exceeds 1/3 the liquid vo�ume of the
tank- H lhe coMents of the tank are not fernoved at ihe bme of a trienniai assessment,maintenance personnel shaB atlnse the owner as to
when the next service needs to be peAortnetl to mamtain less t�an maximum scum an0 sludge ecwmulat�on m the tsnk.
The addition of biobgi�al or chemi�al addRives to enhancg septic tank perfortnance is genarelly not required Havever.A such products
e�e USE.M Mey Shall bC approved tor sepGc taMc uae by[he Wisconsin DepartmeM of Commerce.
Pumo Tank
The Aosing(pump)tank nhall De inspeGed at bast once every 3 years. All swRches,alartns.aM pumps st�ail be teste0 to verity prupar
operation. If an eftluent fitter is insla11e0 within the tank h shali be inspeded and aerviced as�asary. It thn torce main has a weep hole.it
should be rroted'rf it is fundronal dunrg PumP opera[ion,and�f nd.it shouitl be deaned.
""'No one shoWd eve�r enter a sepBe w dose tenk sinee dangerovs gs�es mey be prssant iMat couW cwse death.""
Mound a'M Prassure DlstribNon Svstem
No trees or shrubs ahould be p�antad on the mound. P�antings maY�made a�ounO llfe mounE's perwneter.a�M the rtround shall be
seeAeO and muk.hed as r�ecessary to prevent arosion and W provide some protedion fran trost paneVation. Traffic(other Nan tor
vegetatrve mamtenance)on the mound is not recommentled since soii cpnpactbn may hinder aeratlon o(the iM1ftrative surface wKhin tf�e
mound aM snow compaction in the winter Mriil promote fr�f penetratan Cold weather ins[aNations(October�February)tliUate tlwt Ne
mound be heavl�y mulrhetl as prolectan/rom freeztrp
Influent quality mto the rtwund system may not exceed 220 mglL BODy, 7 50 mglL TSS,anE 30 mglL FOG for septic tank effluent or 30
mglL BODs,30 mglL TSS,10 mglL FOG,arW t 0'du1100 ml for highry treateA effluent_ ��tluent floM'may not excced ma�dmum desgn flow
specifiad in the permil for Mis insWllation.
The pressure Aistributbn system is Dro�Wed wi[h a flushing point at the e�M W eaU�aleral,arW it is recornmended ttia�each latero�be
8ushed of arcumulatad solids at least once every 3 years. When a pressure tesl is peAwmed il sAould be compared to the indial test when
the system was insUlled to determine ii orifice dogging has ocwrted anA�f or�ce deaning�s iequirod to mainlain equal 0istnDutan within
the dispersal cell.
ObServation Ppes wilhin lhe dispersal cell shall be cheUced for etfl�nt ponCing. PorWing leveb ahall be reported to ihe awner.aM any
leveb aDove 1 inches conaiAered as an impe�Wvg hytlraulic ieilure reQuirirg addRional,more frepueM monitoring.
Condnu�nw Plan
If the septic tank or any of its oomponents bxort�e defective Me tank or component shall be repaired or repleced to keep Me syslem in
Proper operating condition.
If the tlosing tank,pump,pump controls,alartn w felated wirirq becomes de(edive the dO�eU^ie oomPo��t(s)shali be immediately
repairetl or rep�aced with a component ol the same or aqual perfortnance
If the mountl component faik to accepl wastewater w begms to tlischarge wastawater to Ne ground surfeco,it will ba repaired or
replaced in its'presenl bcalpn by increas�rg Dasal area H toe leakage occurs or by removirg bbbgraNy clogged aDsorption an0 dispersal
media.anC relatcd P�M�9.antl feDlacing sab comPonents as deemed necessary to Dring ttie system iMo Propdr operetin9 wrdition.
See Page 6 ot this plan for the name arM telaphone numbar of yvur local POVYfS repulata aM xrvice Wovitle�.
Project: Bowe-Wood�and Dr Page 7 of 10
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� r ""``�� PRIVATE ONSITE WASTE TREATMENT County
,
����o �� ��! SYSTEMS SaWyer
',�,,�.�1SPS !���
( POWTS)
.F' ���`_.�e' ;
���'=�"-"-`%`' INSPECTION REPORT sa�itary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �3 � I ��
Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)J
Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#:
I�- �lQ..-t� e.�► ��-�e- {-{�,�-�.er' �i -06�3��-`l�-�
Insp BM Elev: BM Description: Parcel Tax No:
(OO 'C7 � `�� b .� ex �� Ol 2^l`{O —�-`�- �f(��
TANK INFORMATI N ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic w i¢�s - ��.,op Benchmark �cx�,o �
Dosing ��,,,`� �OD
Aeration Bldg. Sewer �.75"`
Holding St/Ht Inlet �g,'75' `
TANK SETBACK INFORMATION St I Ht outlet q��S"`
TANK TO P/L WELL BLDG vENT ro ROAD Dt Inlet
AIR INTAKE
Septic .�� -�-$b' �--�' +.. S` NA Dt Bottom �jS($�
Dosing �� ., k �� NA installation �
Contour fOo•S
Aeration NA Header I Man.
Holding Dist. Pipe �q,�.�,3'
PUMP 1 SIPHON INFORMATION Infiltrative
Surface lal•o �
Manufacturer � Demand Final Grade
Modei Number 2$ GPM To G33 �o�o�
TDfi7 Lift Friction Loss Sys Head TDH Ft
Forcemain L � Dia �'` Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS �N L p #of Cells Type of System Distribution Media Manufacturer:
❑ Conv ❑ Aggregate d,�
SETBACK P/L Bldg Well OHWM of Nav � IGP ❑ Chamber �'-l4�
INFORMATION Waters � AG ❑ EZFIow Model Number:
CELL TO -rS ,y-o1S .� ` .� ' � Mound � Other
-- _. - — -- - _ --
DISTRIBUTION SYSTEM X Pressure Systems Only
9 -� 1• g � ��t __Spac 3•2�� I X Hole Size � X Hole �� Obser�vafion Pipes - �
Header/Manifol� N Distribution Pi�e(s) �
Len th .2S Dia S Len th Dia a,�)'� , Spacing Yes ❑ No
SOIL COVER
-- -- --- - ---- -
Depth Over r, .� Depth Over 4 Depth of Seeded/Sodded Mulched
Cell Center l.d-� Cell Edges �,�- Topsoil tS�r �'Yes ❑ No � C�'Yes ❑ N�
COMMENTS: (Include code discrepancies, persons present, etc.)
��6�� �(a� (�3
--r-- --__ ------- �
Plan revision required?❑Yes ❑ No 03 i �` ac� !,� , �, �cj� , /
— - _� to
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
A�OITI�NAL COMMENTS AN� SKETCH
SANITAAY PERMIT NUMBER ��� I��o __.
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