HomeMy WebLinkAbout032-540-16-4401-SAN-2023-181 . �r�'-^"`_`��; , Industry Services Division Co��Y �
• �r y -. - 4822 Madison Yards Way � �' �
i �Q= - Madison,4�'t 53705 Sanitary Pc it Numocr(m bc filicd in by
` PZ'. P.O.Box 7162 p�
�'��; -4�- Madison,W"I 53707-71b2 r� � � li O � �
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S�Ita.I� PE'.IT711t APpI1Ca.t1OI1 Sta[e Transaclion\umb�� C `
fn accordance wiNi SPS 33321(2),Wis.Adm_Code,submission of this form to the aPpropnate govemmental unit � "" '�`���1��b- C�-j
is required prior to obtaining a sanitary permit.Note:Application fom�s for state-owned POWTS are submitted to Project Address(if diflerent tt�an�n:nlir�>,a �
the Department of Safety�nd Professional Services.Personal informaUon you providc may be used for secoadary
purposes in accordance wit6 t6e Privacy Law,s.15.04(1)(m),Stats.
I.Applicarion Information'-I'tease=Pru►�'Al��nforuiat�on '-'��
._ .,._ . , �.
— _ __ __ _ _ ----
Property Owncr's Nxme Paroel#
Le�'-�e�d.+/��y S/ad�i'��k __ d ,� 0/6 0
Property Uwner:Mailing A dress Property Location
�,u,s.r�t-� -
�64C�/'_��. _ —
,, ,_- -
Citv.St�te "l.ip Code - ��1 A�umbcr
, ; .S� �,<. �f� .� �����,�,�, /6
W� w7 9L - — -
- --
Ll.Type of i3uildin�(clieck all th�tapplyj ` ����` T y�7 _ N R_,� _[:o� �v
�I or 2 Family D�vclling-Numbcr ofBedrooms_�
Subdivision Name
Bl�,.k�'
❑PubliclCommsrcfal-Describe lJse_ _,___
❑City of -- --
�State Owned-Describe Use - CS\4 Nmnber illa e of
---- - K - -- - - -- - -
�To��7��f_(.✓i^!�
- �L-- - --- - - -
III.Type of PO�VTS Peru►it:�(Check�-e�tlier��`�ew"or."Replacement":�od otfi�er�pplicable on��tine A.�'Gheck one�b�s�on li'nc I3.Completc line C if
� 9icable.)— , < .
---- - --- -- -- — - -- - -------
�� �Ne�� Svstem ��Replacement System �Other Nloddication.� h;�isting System(explain) d onal Pretrea;men�Unu(c�pfair.l
- - -- - -- - -_- - --- - -
�� �Holding�l'ank �In-Ground �At-Grade �Mound Individual Site Desib�i Otl:er"I�ype(ex��lain�
(comentional)
�� ❑Renewal I3efore �Revision ❑Change of Plumbe: I��I ransferto New Owner List Previous Pemiit Number and f),uc Is,ucd
�X�„���<,,, , qg-I�� b 131q�
IV.DispersallTreatment Area and.Tankslriformatto�,, t�'�� ,�ir.,s ' ,;�„�;�� ,
Design Flow(gpol i Design Soil Application F2ate(gpcUsfl Dispersal Area R� ;uircd(s� Dispersal Area Proposed(s� System Iile<ati��n �
-�Q --�—L o y.3'o _ yso 97,�o, -
I Capacity in Total ' -o( Manufacturer ;, , -�
� i
l�anh fnform,inan Gallons Gatlons �, l'nits � � � � o � i �� u
�----- i l ..
f -- �- g -- ---� -f I � c u = ! � ! � c� �
���v Tauks Fz�stin Tanks
I : c I - C I : - -
�- -- -� � U I .r s �. 'r �, :z, C: =
� ..-. _------ --- - - � t-
Srpu�or 1lolding lank ����� ��� _� � � �� � �
I
pusin�Chambcr � ��� ��� . i��� �
... . .. _... ., .,._. ..:: :.-� - . . .:. . .
V.Responsibility Staterue�it- I,the undersigned,assumerespousiLility for insGllationof#heaPOWTS shown on.the attsched hlans.
Plumber's tiamc i"Prmt) Plumber's Si��ature �1 /ti1PKS Number�l3usine5,('hnne Nurnbcr
,�R���_���� . --- _ __ i �,�o yq� ---��i�^9y,��,���--
Pluccibzr s Addre,s iStrcct.Cit�.Statc,Z�p Code)
y7 .v w Y o /.� c�
VI.County/Dcpartment Use Only � � � ���� :: �.._� . " � � � _
� $�Il�T Permit Fee Da�e Issued Isswno Agent Signaturc
f�pp�o� � i-1 Di�approved �
�z✓ � t(c�"� ' �f ��f �a s �I�'�����.:.-��tc+��"
� �_':O�ti�ner Cirven Reasoa for Denial
C���nditi�m�of.�provaliReasons for Disapproval �j ��� !�f'�
s
C` ������,�f �ri�;��{
c
� � � F,ate � �`"���3._d__... .1 � Q 1!�
r �� ' q�o �
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�s�5 .. SAwv�� C�a:.;i�,;,-,,,
CS,T 2 3—�6C� _ J O^,11NG AD�,�liivi'.��i`Fi�:iJ��
:�trech to comple[e plans for the system and svbmit ro the f'ounty only oo paper not kss tLan 8 t/2 z ii inches in s'vx
_ 3 t��. ��y
SE31�-63�s�rz.03;z i� t�0 R�FUN��AF7ER
1�5�JE OF PE�N�1�
\�4'I l(!
1�'..
Wisconsin Deparlment of Safety and Professional Services Phone:60R-2C�Ci-2112
Di�ision of lndustry Services /` Web:I,tti, ,�,�,��,i.�Lll�
4822 Madison Yards Way - � �� _ Emad ���:_�� <<,�:iii-e�,��
PO Box 7302 '� � �� �
Madison,WI 53707 ''r� ' TO[I}'EVCCS��`iOvernor
l'�;,, � _,r� Dan Hereth,Secretary
� �„���:.,
August 9, 2023 Conditionally
APPROVED
CONDITIONAL APPROVAL DEPT.OF SAFETY AND PROFESSIONAL
PLAN PROVAL EXPIRES:2025-8-9 SERVICES
DIVISION OF INDUSTRY SERVICES
Plan Review: PWTS-082301648-C
����� ����
Bruce Vitcenda
1450 N State Road 40 - -
Exeland,WI SEE CORRESPONDENCE
SITE:
Shaddrick
N8589 Barker Lake Rd
Sawyer County
Town of Winter
SE%SE'/+516 T40N R5W
FOR:
( Description: 3 Bedroom-450 GPD mound- �
I---
18"to restrictive feature-Effluent Filter- Mound Component Manual-Ver. 2.1,SBD-
10691-P(5/22-5/27)
Maintenance required. Pressure Distribution Component Manual-Ver.
� z.i�nnay zozz-zoz��--------------�
Verify proper dose is achieved and system is not being over dosed.
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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• The site shall be properly prepared prior to plowing.Any grasses longer than 6"shall be cut short and
removed.To avoid matting,any leaves or loose organic matter shall be�aked 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.
• Components and soil removed from an existing drain field shall be properly disposed of so that there is no
risk to public or environmental health.
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec.145.19,Wis.Stats.
• Inspedion of the private sewage system installation is required.Arrangements for inspection shall be made
with the designated county officia�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 copY of the approved plans,specifications and this letter shall be on-site durinQ construction and open to
inspedion bv authorized representatives of the Department,which mav include local inspedors.
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(1�.
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hatard,the property owner must tollow the contingency ptan 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(2j,nothing in this review
shall relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the
address on thisletterhead.
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�o��iu�2o�vl�y
Joshua Rowley
POWTS Plan Reviewer,Division of Industry Services
(715)634-5124
1 osh ua.rowlevC�wisconsi n.¢ov
. �ai"�'�'�����. DeOartmentofSafMyand�roless�onalServicn
; , Division of Industry Servicn
' � o - Plum6mg Product Review
GH22 Madison Yards Way
,,��i$PS , r.o.so.nsz
� MadiSon,Wixonsin 5370/-/362
�'v�. _-_.� �" Phane 608-166 l i ll
^�..��,.o'�
Web�rtro�qiisus.w�.gn,
Email dspspwisconsin.gov
Gorcrnor Tdry Erers Dan Hereth.Sewebry Desqnce TTY:Contxt Throu�h RelaY
May 31,2022
Dept.of Safety and Professional Services
Bureau of Technical Services
Division of Industry Services
Brad lohnson-Section Chief
4822 Madiwn Yards Way
Madison WI 53705
Re: Dexription: POWTS Component Manual
Manufacturer: Dept.of Safety and Professional Services
Produtt Name: Mound Component Manual for POWTS�Version 21),(May 2022-2027)
Model Number(s): v.2.7
eSLA PTO No.: PP-0Sll00078-PTOVPCR
The specifications and/or plans for this plumbing product have been reviewed and detertnined to comply with chapters SPS
382 through 3&7,Wisconsin Administrative Code,and Chapters 145 and 1G0,Wisconsin Statutes.
The Depanment hereby issues an approval based on the Wisconsin Sta[utes and the Wisconsin Administrative Code. This
approval is valid until the end of May 2027.
This approva�is conti�gent upon compliance with the following stipulation(s�:
1. A mpy of this approval letter shall be submitted with all plans using the Mound Component Manual for POWTS
(Version 7.1), (May 2027-JOJ7).
Plans submitted without a copy of this approval letter may be denied.
2 This approval recognizes that POWTS systems designed,installed and maintained in accordance with this manual will
provide heatment and dispersal of domestic wastewater[hat is atceptable in the context of ch.383 Wis.Adm.Code.
3. Systems installed in accordance with this POWfS Component Manual shall use wastewater tanks approved by the
department. If a given tank is approved and meets the published specifications contained in the manual,then
redundant approval of the tank is not required. The instaliation shall not compromise the structural integrity of the
tank.
4. Systems installed in accordance with this POWTS Component Manual shali be installed,maintained and used in strict
accordance with the manufacturer's published instructions,Cbapters 3R1-387 Wis.Adm.Code and this product
approval.If there is a con(lict between the manufacturer's instructions and the Wis.Adm.Code or this Plumbing
Product Approval,then the Wis.Adm.Code and this Plumbing Produc[Approval shall take precedence.
5. Comp�ete operation and maintenance instructions POWTS rystems designed in accordance with this manual shall be
provided to each system owner and remain onsite.
6. Systems designed in accordance with[his manual shail be ins[alled by persons hoiding the proper license or
registration m accordance with Wis.Stats.4 145.
7. Drain,waste and vent piping used to install these systems shali conform to s.SPS 384.30(1),(2)and(3)Wis.Adm.
fode.
Dept.of Safety and Professional Services
May 31,2022
Page 2 of 2
eSLA VTO No.:PP-05170007&PTOVPCR
8. Cleanouts shall be installed in drain piping associated with the insWllation of these systems in accordance with s.SPS
382.35 Wis.Adm.Code.
9. Commercial food processing,(ood production,food service, restaurants,tavems and similar establishments which
may generate greases,fats,oils or similar substances;shall have state-approved grease interceptors installed
upstream of POWTS rystems designed in accordance with this manual in accordance with s.SPS 3823d Wis.Adm.
Code.
10. DSPS POWTS plan apprwal shall be obtamed from the departmen['s Private Sewage Section,w the appropriate agent
counry,for:
a. each installation of POW75 systems designed in accordance with this manual;and
b. high-strength and/or mmmerr.ial POWTS systems designed in a�cordance with this manual.
il. A sanitary permit shall be obtained,in accordance with s.SPS 38311 Wis.Adm.Code,from the counry,or other local
authority�aving jurisdic[ioq for each proposed iostallation of sys[ems designed in accordance with this manual.
12. A complete and acceptable sal evaluation report,conforming to s.SPS 385.40 Wis.Adm.Code,shall be performed for
all proposed systems designed in acmrdance with this manual.
Technical no[ations:
a. This approval supersedes the approval izsued May 9,2017 undcr product file no.20170148.
he department is in no way endorsing this product or any advertising and is not responsible for any situation which may result
from its use.
Sincere�y,
Brad Johnson—Section Chief
Departmen[of Safety and Professional Services
Bureau of Technical Services
Division of industry Services
Phone: 920492-5605
Email:BradlevJohnson(dWisconsin.¢ov
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
,_, , - �
INDEX AND TITLE PAGE
Condlfionally
Project Name: Shaddrick Mound APPROVED
DEPT.OF SAFETV AND PROFESSIONAL
Owners Name: Lester&Nancy Shaddrick SERVICES
�v+s�e�
Owners Address N8589 Barker Lake RD q�L� ��,/
Winter. WI. 54896
SEECORRESPONDENCE
Legai Descnption- Prt SE-SE-S.16-T40N-R.5W
Township Winter
County Sawyer
Subdivision Name
Lot Number: Block Number:
Parcel I.D Numbec 032540764401
Plan Transaction No.:
Page 1 Index and title
Page 2 Data entry
Page 3 Mound dravnngs
Page 4 Lateral and dose tank
Page 5 System maintenance specficatlons
Page 6 Management and contingency plan
Page 7 Pump Curve
Page 8 Tank Info
Page 9 Plot Plan
Designer: Bruce Vitcenda License Number: M.P.220498
Date 07/22/23 PhoneNumber: 71�943-2382
Sgnature �.v�'
Designed Pursuant to the
Mound Component Manual for POWTS Version 2.7 (May 2022-2027), and both
SSN/MP Publication 9.6 Design of Pressure Dis�nbution Networlcs for ST-SAS (Ot/81)and
Pressure Distnbulion Component Manual Ver.2.1 (May 2022-2027)
Version 721 (R. 07/22) Page 1 of 9
Mound and Pressure Distribution Component Design
Site Infortnation
� _� Residential or Commercial Deslgn Note: Sand fill(D)calculations ass�me a
�300.00 Estimated Wastewater Flow(gpd) TaCle 383-44-3 insRu sotl treatmenl tor
fecai coli(ortn of<-�inches.
1.50 Peaking Factor(e.g 1.5 = 150%)
450 00 Oesign Fbw(gpd)
� 1.00 Site Slope(%)
�_ 93.30' Contour Line Elevation (ft)
18•OOi Depth to Limiting Factor(in)
0.60i In-situ Soil Appiication Rate (gpd/ft�)
Distributan Cell Information
85.00i Dispersal Cell Length Along Contour(ft) = 5.30 Cell W�dth (ft)
1.00� Dispersal Cell Design Loading Rate(gpolflz)
__1, Influent Wastewater Quality(1 or 2) Are the taterals the highest point
in the distribution (- Y �
Pressure Disribution Information nelwork?
C; Center or End Manifold
2 65 Lateral Spacing (ft) If N above, enter the elevation (ft)
4 Number of Laterals of the highest pomt 1 �
0.156 Orifice Diameter(in)
2.00 Orifice Spacing (ft) = 5 36 ft2/onfice
2.00 Forcema�n Dfameter(in)
200.00 Forcemain Length (ft) Dces the forcemain drain back? � Y '
89.50 Pump Tank Elevation (ft) -�
4 55 System Head (ft) x 1.3 32.62 Forcemain Drainback(gal)
4.80 Vertcal Lrft(ft) 7674 5x Void Volume(gal)
829 Fnction Loss(ft) 109 37 Minimum Dose Volume(gal)
0.00 In-line Filter Loss(ft) 4523 System Demand (gpm)
17.64 Total Dynamic Head (ft)
lateral Diameter Selection Manifold Diameter Selection
in dia o tions choice in dia. o tions choice
OJS ' 125 x
___ _ __
_ __ _-_.__.i
1 00 1.50 :
1.25 x 2.00 x z
1.50 x z 3.00
2.00 x
3.00 x
Gallonsll�ch Calculator
Treatment Tank Infortnation � Total Tank CapacitY(9a�)
; 1000.00; Septic Tank Capacity(gal) Total Working Liquid Depth (in)
�Skaw IManufacturer gaUin (enter result in cell 649)
Dose Tank Infortnation Effluent Fiker Intormation
006 00 Dose Tank Capacity(gal) Life Time Filter Manufacturer
�6_47 Dose Tank Volume (gal/in) LT1� —�Filter Model Number
jSkaw 'Manufacturer
Project: Shaddnck Mound Page 2 of 7
Mound Plan and Cross Section Views
—f
1/1 101 Observatwn Ppe 0 — 1
T `
K 1
O ❑s A
W � � +
B I
� I
� �
1
L
Mound Component Dimensions
A 5 30 ft E 18.64 in H 1.00 ft K 9.95 ft
B 85 00 ft F 9.50 in 8 80 ft L 104 91 ft
D 18 00 in G 0.50 ft J 8 13 ft W 2223 k
450.5D (fl') Dispersal Cell Area 1198 32 (ft) Basal Area Available
5 29 (gpd/ft) Linear Loading Rate 8 50 (ft) 1/10 B Obs Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 99.59 (ft) —► � _i G♦ 1 H
, r: �� �� -� _ : 1
t F orspersai cen 98.30 (ft) Lateral
97 80 (ft)�• — Invert
Dispersal Cell 0 ` �
Elevation € D �
_ � i� -::
- � �
96.30 (R) Contour Elevation
1 0 % Sde Slope
Geotextile Fabric Cover
Shading Key m a � Dispersal Cell See lateral details on
��] � Topsoil Cap o � t 5 ft � � Page 4 for number,size.
[] �� Subsoil Cap '� o /�'�(�) and spacing of laterals.
� � ASTM C33 Sand � Z � � / ` F Lalerals are equalty
� � Till2d Layer � a 0 5 ft Twical Laterai � spaced from the
0 �, Agg�egete e o � � disMbution cell's
centerline in Ihe
�--- A --♦ distribution cell(AxB)-
Project Shaddnck Mound Page 3 of 8
Center Connection Lateral Layout Diagram
Fqce mrm conn�cr�n aa Ve u�crosf ro rt��nnold ar iny ppm� La�enls a�e iEenbc sl
�
� p S
�
♦= Tum-upxltall.�al.rw�r I..X—.I..::C I :A't�l LaleralE .:ifnriBfndm5CYi4(� F'.:�:
cleanoulPlug pE� LFt Takde _2� �-'_.
N:_Iss dnlle�cr�rhe bo�rnRr..l rhe b�a il
Number of Laterals 4 Orifice Diameter 0.156 in
Lateral Diameter 1 50 in Orifice Spaci�g (X) 2.04 ft
lateral Length (P) 41 82 ft Onfices per Lateral 21
Lateral Spacing (S) 2.65 ft Orifice Density 5 36 ft2/orifice
Lateral Flow Rate 11.31 gpm Manifold length 2 65 ft
System Flow Rate 4523 gpm Manffold Diameter 2A0 in
Total Dynamic Head 17 97 ft Forcemain Velocity 4 62 fUsec
Dose Tank Infonnation
Lockrtg cover wifh waming
Iabel and locking device and
� sealed watertght
Electrical as �
per NEC 300 and —�
SPS 376.300 WAC �4 m.mm
Disconnect -1—
�
Tank component is O�opetly vented � Attemate oWlet
\ locatron
� Fwcemain dlameter
Skaw Manufacturer _t 2 in
Ca aci 600 00 Galbns
Volume 16 47 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B Sip�on device
A 18.79 309 46 C
B 3.00 49.41 � � Pump ott e�evatbn(ft)
C 6 64 109 37 90.17
D � B.00i 13176 p
Total 36 43 600 00
� Dose tank elevafion(ft)
3" Bedding un er tank. 89.50
Alarm Manuafacturer SJE — _� , —
Alarm Model Number 01-H _
Pump Manufacturer Zceilar J - „
Pump Model Number 752 �--
Pump Must Delrver 4523 gpm at 17.97 ft TDH
Verify TDH on-site to verify pump size. 152 has minimal additional TDH to offer.
Project Shaddrfck Mound Page 4 of 9
Mound Svstem Maintenance and Operation Soecifications
Service Prov�ders Name /1-1 O/umd�.✓y l Phone 7is-Qyl.,��e
P01A/tS Regulators Name I�_ Sawyer County Zoni�g � Phone�715-634-5288
Svstem Flow and Load ParemMers
Design Flow- Peak 450 gpd Maximum Influent Particle Size 1!8 in
Estimated Flow-Average 300 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 5 ft� Maximum FOG 30 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform >10E4 cfu/700 ml
Service Freauencv
Septic and Pump Tank Ins ct and/or service once eve 3 ears
Effluent Filter Should ins t and clean at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test monthl
Pressure System �aterals should be flushed and ressure tested eve 1.5 ears
Mound _ Inspect for ponding and seepage once every 3 years
„�..,,; - - ---
. . r.. lL__..__ __._.__._________. ... _-_____-.___.__.___i
Miscellaneous Construction and Materials StandaMs
1. Observation pipes are slotted and matenals confortn to Table SPS 384.30-1, have a watertight cap.
and are secured in as shown fn the mound component manual
2 Dispersal cell aggregate conforms ro SPS 384 30 (6)(i), Wis. Adm Code.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code
4 Tillage of the basal area is accomplished with a mold board or chisel pbw.
5 The mound structure and other disturbed areas will be seeded and mu�hed to prevent soil erosion
and heip reduce frost penehation.
Lateral Tum-up DeWil
Finished ,,,........ ..............
Grade \ �
\/
6-8" Diame[er Lawn � — Threaded Cleanout
Sprinkler Vatve Box Plug or Ball Valve
Distribution
� Long Sweep 90 or Two
45 6eqree Bends Same
D�ameter as Lateral
Project: Shaddrick Mound Page 5 of 8
Mound System Management Plan
' Pursuant to SPS 383.54,�s.Adm.Code
General
ihis system shall be operated rn accortlance with SPS 382-84 Wis.Adm.Code,and shall mainfairH.W in eccordance wRh its'component
manuals�SBD-10691-P(NA1/01.R. 11/12),SSWMP Publicatpn 9.6(01/81),and Pressure Dlstnbution Canponent Manual Ver.2.0 SBD-
1070GP(N. 01/01.R. 10/12)]and local or state rules pertaining to system mamtenanre and mamtenance reportng.
No one should ever enter a sepbc or pump tank smce dargerous gases may be present t�at couM cause death.
SeOtic and pump tank abandonment shali be m accordance with SPS 383.33.Wis.Adm.Code when the tanks are no lorger used as
POWTS components.
Sep[k or pump Wnk manhole nsers,access nsers and wvers should be nspeded fw water tightness and sourMness. Access openings
used for sernce and assessment shall be sealed watertight upon the completqn of service. Any opemng deemed unsound,defective,or
subjeU to faiture must De replaceA. E�osed access apenirgs greater than&inches in diameter shail be secured by an eflective lodcirg
Oevice to prevent acudental or unauthorized envy mto a tank or component.
Seotic Tank
The sep6c lank shall be mamlamed by an mdrvbual certdied ro servlce septw fanks under s.281 49,Stats. The contents af the seplk
tank shall be disposed of in accordance w�lh NR 113.W�s.Adm.Code. The operating coMilion of the seplc tank aM outlet fifler shall be
assessed at least once every 3 years by inspec,tron
The outlet fifler shall be cleaned as necessary to ensure proper operalion. The fiker caAnAge should not 6e removetl unless prov�srons
are made to retam solds m the tank that may slough oft the fitter when removed Irom ds e�Uosure. If ihe(Mer Is eQuipped with an aWrm.the
fifler shall be sernced if the alartn rs aG�wated conbnuousty. IntermitteM fitter alarms may indicate surge fbws or an impendirg continuous
aWrm
The sept�c tank shall have its wntents mmoved when the volume ot sludge and scum in the tank exceeds t/3 the 1qu1C volume of Ne
[ank. If the wntents of the tank are not removed at the time of a triennial assessmenL mamtenance personnel shall advlse the owner of
when the nezl service needs to be performM to ma�ntain less than maximum swm arM siudge accumulatwn m the tank.
The addi[qn of bwlogMal or chem�cal adddrves to enhance se�ptic tank peAortnance 5 generalty not requrted However, if such protluch
are used they shall be approved for sept�c tank use by the Department o�Commerce.
Pumo Tank
The pump(dosing)tank shall be mspeded at least once every 3 years. All switches,alarms,and pumps shall be tested to ven(y proper
operation. It an eflluent(tter�5 installed wrtMn the tank R shall be mspecte0 and serviced as necessary.
Mound a/M Pressure Distribufion Svstem
No trees or shrubs shouN be planted on the mound. PWnUngs may be made around the mountl's penmeter,and tne mountl shall be
seedetl and mulched as necessary to prevent eroswn antl to provitle some protedion 6om frost penehatwn. TreRc(other than for
vegetative mamtenance)on t�e mound rs not recommended since soll compaciwn may hmCer aeratbn of the mfiflratrve surface wrthm the
rtround and sirow compadron in ihe wmter vnll promote host penetratnn. Coid weather installatrons(October-February)dictate that the
mound be heavly mulched as prolectwn hom freezing
Influent qualrty into the mountl system may not exceed 220 mg/L BODs. 150 mg/L TSS,and 30 mq/L FOG for septic tank effluent or 30
mg/L BODy,30 rtg/L TSS, 10 mg/L FOG,aM 10'cfW 700 mL tor hghly treated eHluent. Influent fbw may not exceed mazimum desgn ibw
spec'fied m the pertnit for this instaiWtion.
The pressure distributwn system is pwvided wllh a Bus�irg pomt at the end of each Wteral,and R rs recommentled that eaU lateral be
flushe0 of accumulated solWs at leasl ooce every 18 months. When a pressure test is perfortned 8 should bc compared to the initia�test
when the system was installed to detertnine rf orfice Uoggirg has occurred and A orifice cleaning is required to mainta�n equai distnbWwn
wrthin the dispersal cell.
Observatwn pipes vMhm the dispersal cell shali be checked for etflueM pond�ng. Po�ding levels shak be reported to the owner.antl any
levels above 6 mches considered as an impenCmg hydrautic taiWre requinng addRional,more frequeM mondonng.
Conti�ncv Plan
It the seplic tank or any of rts components become defcK.irve[he tank or camponent shall be repaired or replaceA to keep the system m
proper operafing contldioa
If the dosing tank,pump,pump conlrols,alarm or related wmng becomes defectrve the tlefedive component(s)shall be immediaMty
repaired or replaced with a component of the same or equal pertormance.
If the mound wmponent fails to accept wastewater or begms to d�scharge wastewater to the ground suAace.It wdl be repaired or
replaoed in Rs'present location by inaeasmg basal area rf tce ieakage occurs or by removmg�robgicalty Uogged absorptron and drspersal
media,and related pryirg,aM repWcing saiA components as deert�ed necessary to bnrg Ue system into proper operaUng condition.
See Page 5 of this plan tw the name a�d telephone number of your bcal POWTS regulator and serv�ce provitler.
Pretreahnent Units
The mformation aIW schetlule o/mananagement and mamtenance tor pretreahnent devices such as aerobic treatment units a disiofection
units are attacheff as separate documents and are considered part of the overall management plan for this system.
Project- Shaddrick Mound Page 6 of 8
. TpTAL DYNAMIC HEAD/FLOW
: . PU�dP PERFCRMANCE CURVF PER MINUTE
rtao�e�i svi s1���s; EFFLUENT AND DEWATERING
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SPECIAL ARPL.fCATiONS '�\�o� �-_ r ; ` � ,
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•Timed dosirg panels avaiiable -`-�� �_ � -" � _ . �
•Elechiral allematcxs,for duD�ez systems.are avadabie and "�•"
wpplied wilh an alarm
•Vanahle level convd switches are ava�la6le fw controlimg , .
single phase systems ' �8�� ' r -
•Doub�e piggyback variable IevN Boat switches are avaifable � � � �� �
for variable level bng and short cyde controis �
•Sealed Qwik-Box available fa outdoor installa6ons-See ���-�.: . . —
FM7420 -_.--. - � . . _ .
•Ovet 130`F(54'C)speciai Guolatwn reqwred . ' .�. f- � , , ' -i';' s,�
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151H54/153 YODELS Conhol SelMlon
Nodt1 Volts-7h Modr Amps Simplea Dupka
N'S1 1t5 1 `kr, � GG '� 2or3 //
BN15!' 115 1 Aulo E C1 IcCuAx 2 x 7 \_ _�'
E151 � 270 t Non 7.2 � 2or�
BE 51 1�0 1 ,1ub J2 IntluhC 2 a 7 �Ea$ assembl
N154 � HS ! Non 8.5 � 1 2or3... ,�" . , �\ 9 Y�
BNa2 fl5 ' Au� 85 Ind�dec Zw3 � . IwnrodCscwge:me
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H52 � ?YJ �t - Non � a3 � 1 Za7 >:\, �'
BE�52 230 1 W,o 93 Intlrted 7rcl � �' /+i�. �
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BN153 HS -i Au;o � ID.5 � IrwWOeA � 4 a 3
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E153 270 1 Non 55 1 2M3 •:� � p .t�, -�
BE153 130 i..' Auto j 5 3 � Ir�hmee 1 a 3 .����.„s�� . .
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t. Siigle piggy6adc vanade level`Hoat swikh or douGk pggyback vanable lewl ''�, �..' ` '� '�'-'�h C . .. ..
tba�swrtcn Reter o�.1oon � Reduces poten�ial dogginq by debns .
� Repl�ces rocks or bncks uoder the pump
2. See FM0712(or wrrect model ot E�ectr�Allematw E�Pak. Made of du2ble,noncotrosive ABS /
3. Variabk kvel contrd svntcn t0117a3�sea as a mntra auivator,sc��`i duplex � Raises pump 2"ott bottom of basin
(3�or 14�Aoat systrn. � Provides Ne abiliry W 2ise intake bq add�ng sectrons ot 1%:"
a 2"PVC piping
♦ cnurioH Araches secu�ely to p�mp
" ' ' ��� � � - � � � � Accommocates sump,dewatenng ane eftluent applirations
,.. . . _ ., ., . _. . ,. `..,.., .._.. NOTE:MakesurefloatislreefromobsWction. -�
RESERVE POW�F'E� �E�IGR�
For unusual conditions a reserve safety tactor is engireered into the design o(every Zcelter pump.
�'Copyright 2010 Zceller Co.Ali nghis reserved.
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Model Number: 1000 � 6OO SKAW PRE-CAST PhOn@: (715) 967-2277
Approv9dfo�: SEPTIC/SEPTIC.SEPTIGPUMP.SEPTIC/SIPHONORHOLD/NG Toll Free: 1-800-924-8625
n e rm. ut et im. 26255 105th Street, New Auburn
Weight Liq Depth Ga! !fn. Nom. Cap. Wisconsin 54757 Fax: (715) 967-2707
13,050lbs. 44�. 42„ 39" 16.47 642.33ga1. wwwskawprecastcom
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��"``� PRIVATE ONSITE WASTE TREATMENT County
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`. �SP ;�' SYSTEMS Sawyer
, , S ` ( POWTS)
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' '_'` INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �.3 � ���
Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#:
�S�r-fi 1�+�. ,S��.n�.l` �J 1,� i��3-a8�-3ai ��{$- C
Insp BM Elev: BM Description: Parcel Tax No:
ad•�/ Na;� �+ (1pYav� i� �� �, iv� 'K�— 63� -�`t4-�.�-��0�
TANK INFORMA ION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic s��-V�l— �p�,�p Benchmark (pp,��
Dosing � �o„�,,'� ��p
Aeration Bldg. Sewer �j�,'7,Z '
Holding St/Ht Inlet /•SS �
TANK SETBACK INFORMATION St I Ht Outlet q� ,3�7'
TANK TO P/L WELL BLDG VENTTO ROAD Dt Inlet
AIR INTAKE
Septic �� fi�s` ►a �D � NA �t aottom S7.9a
Dosing « <.. K u Np� Installation �
Contour `7�.3
Aeration NA Header/Man.
Holding Dist.Pipe �j�,� '
PUMP 151PHON INFORMATION Infiltrative
�
Surface �.g
Manufacturer ��-. Demand Final Grade
Model Number ��' GPM
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L Z p Dia �" Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS �N 5','3 L ��; p #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv ,� Aggregate
INFORMATION P/L Bldg Well Waters o GP ❑ Chamber Model Number:
❑ EZFIow
CELL TO � � ¢-�� /�/ 5� Mound � Other
---- _—_ —_ - ----- ___ - - - — _----- -- ---
DISTRIBUTION SYSTEM X Pressure Systems Only
Header/Manifold y Distnbution Pi e(� y � �� X Hole Size � X Hole � Ob�servation Pip?s I
Length� Dia 2 Length��1 Dia �.S _ Spaca.6s b��� r ! Spaciny�OY es ❑ No J
SOIL COVER
— -- — -
�Depth Over y Qepth Over y Depth of y Seeded/Sodded Mulched
Ceil Center '� �ell Edges �- � Topsoil_ _6_ [�Yes ❑ No �Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
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Plan revision required?❑Yes❑ No � I ( �� , ; /,, ' '� 6c� � (
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Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
A�OITIDNAL COMMENTS ANO SKETCH
SANITARY PEAMIT NUMBER: o�-�--_�_I ___
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