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Home My WebLink About014-941-04-5804-SAN-2023-206 .,Y aruf��r� Counry � � Department of Safety �� p ��; �_ �� L PCOfeSS1011al SerV1CCS� Sanitary Pe��N�umber(to be filled in by C � � �_ /� Industry 5ervices Division , "r ��I �ulv � �i ��y��;��- c,,� Sanitary Permit Application pS`a`� `��°Sa°"°°"°'nbe' , ln accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit �""��J�O p.�L�a�� is required prior to oblaining a sanitary permit.Note:Applica[ion forms for state-owned POWTS are submitted to Pr�ject Address(if different than mailing ad � the Department of Safety and Professional Services.Personal information you provide may be used for secondary putposes in accordance with the Privacy Law,s.15.04(I)(m),Stats. �� /�� / � i.Application Information-Please Prtat All Information f7 �1/ �ro�✓ � Property Owner's Name Parcel# ', ,� � 'G y � �1 .�-9'Y/� ,Y,S"g��,. Pro erty Owner's Mailing Address Prope y L.ocation � ��U (�/G�✓ �� Govt.Lot V City,State "Lip Code Phone Number � e� �� _�Section � r�y�L /V�, S S1:�2 q� II.Type of$uilding(check all#hat apply) L��# T � ' N R / E or� �or�Family Dwelling-Number of Bedrooms_�_ �' Subdivision Name Block# � ❑Public/Commercial-Describe Use �- ❑City of ❑State Owned-Describe Use CSM Numher ❑Viliage of QtTown of� [��Nr�b:�� I[I.Type of POWTS Permit:(Check either"New"or"Replacement"and other appiicable on line A. Check one box on line B.Complete line C if a licable.) A. � Replacement System U Other ylodification to Exishng System(explain) iJ Additional Pretreatment Unit(explain) B' ❑ Holding Tank ❑ In-Ground ❑ At-Grade �'�tound ❑ Individual Site Design ❑Other Type(explain) (conventional) C. ❑ Cha❑ e of Plumber ist Previous Permit Number and Date issued ❑ Renewal Before ❑ Revision g ❑ Transfer to New Owner p �l Expiration t ' � �(Q �I�.-�I��p N� / TV.Dispersal/Treatment Ares and Tank Information: Design Flo (gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Ele�ation � �-/,�� I o Y5� `�S� q 7 � Capaciry in Total #of Manufacturer :: Tank Information Gallons Gallons Units ,n � J '° y ^ New Tanks Existing Tanks � o �; � � � � c`"a a U �n v, in ii C7 n, Septic or Holding Tank �J 7 � ��;� � Dosing Chamber �� G „�I;J V.Responsibility Statement-I,t6e undersigned,assume r nsib' ty for ins o!the PON'T5 n on the�ttached ptans: Plumber's Name(Print) Plumber's Si atur MP PRS Number Business Phone Number � F��l ��j ,�,2�i,1� o2,J3�� `7�S yI 6 /6�/� Plumber's Addre�ss(Street,City,State,Zip Co e) �(/�ya � G��r l � � �� 5,�� ,!,= �� VL County/Department Use Only �A ro� ❑Disappro�ed Pennit Fee Date Issued Issuing A�ent Signawre ❑Owner Given Reason for Denial $ �� 3`I J'�l (�'3 ��1 7��- _ Conditiansof Approval/Reasons for Disapproval � �� r ��_- � ��r`��`,' �„i;,�!'� � �^ a��a 3 �< < � ,,, �.1 _� . _ `� _, �.:___.. .__._._. ___.___ _ _.�. �.. �; �'� � �� , o�°� 3 3----------� AUu 2 8 2'�23 �- �. �a � �+ �.�-�� '1 _. . �:��': �- 1�,�.._.._w.___--._-__ liP�TY SAW��i CJ_��AT�Q� CC� ��— ` � � , .�..._._ ZONING A�MfN;'� > � Attach to complete plans for the �stem and submit to the County only on paper not less than 8 1/2 x 11 inches in size NQ R�FJN�S AFT'ER �(��- � 1 �`� 1 SBD-6398(R.03/22) IS��JE OF PER,�l1T � '�� :' �' � Wisconsin Department of Safety and Professional Services Phone:608�66-21 12 Division of Industry Services ,',` Web:liitp d�p..�ti.t;c�� 4822 Madison Yards Way �=� �� :�� Email:d,p,;u�+iuun.ir y gc PO Box 7302 � ' tvtadison,wl 53707 : = Tony Evers,Governor '�:,,,�,- . Dan Hereth,Secretary August 23,2023 CUST ID NO.: 253808 Identification Numbers DANIEL N BURCH Plan Review No.: PWTS-082301808-C 1118 N FRONT ST Application No.:DIS-082335007 SPOONER,WI 54801 Site ID No.: SIT-119706 Please refer to all identification numbers in each correspondence with the Department. CONDITIONAL APPROVAL _:ondiGonally -iPROVED PLAN APPROVAL EXPIRES:08/23/2025 ' - MUNICIPALiTY: TOWN OF LENROOT SAWYER COUNTY SITE: QUiCKSELL 11760N EATON RD HAYWARD,WI 54843 GOVT LOT 8 S 04 T 41 N R 09 W FOR: Design Wastewater Flow Value:450 Mound Component Manual -Version 2.1 (May 2022-2027) Bedrooms: 3 Pressure Distribution Component Manual -Version 2.1 Limiting Factor(s): 24 Inches (May 2022-2027) Maintenance Required: Effluent Filter SITE REQUIREMENTS • A full size copy of the approved plans,specifications,and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. • Prior to the construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. lf it rolls into a '/<-inch wire,the site is too wet to prepare. If it crumbles,site preparation can proceed. If the site is too wet to prepare,do not proceed until it dries. • lnspection 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30(11)(c) • Well setbacks to meet chs.NR 811 &812 • Tank Installation to follow all manufacturer's recommendations. . Verify property line(s)prior to installation. • Pump Floats to be set and verified per the approved plan. OWNER RESPONSIBILITIES • The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper u sc and maintenance of the system. Owners shall reccive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis.Admin.Code$SPS 383.54(1). • In the cvent this soil absorption system or any of its component parts malfunetions so as[o create a health hazard,the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for confortnance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITiONALLY APPROVED. This system is to be construcred and located in accordance with the enclosed approved plans and with any component manaal(s)referenced above. The owner,as defined in chapter 10 LO l(I 0), Wisconsin Statu[es,is responsible for compliance with all code requirements. No person may engage in or work at plumbing in thc sta[e unless licensed to do so by the Department per s.145.06,stats. All permits required by the state or the local municipality shall be obtained prior to commencement of con s[ruction/instal la[ion/operati on. In gran[ing Ihis approval,the Division of Industry Services reserves the righ[tu require changcs or additions,should conditions arise making them necessary for code compliance. As per state s[ats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,struc[ure,or componenL The Division does not take responsibility for the design or construetion of the reviewed items. Inquiries conceming this correspondence may be made ro me at the contact information listed below,or at the address on[his letterhead. Sincerely, Fee Required:�250.00 Fee Received:$250.00 ,/i^,r., .�}�� Balance Due:$0.00 J\G'L�'�G /� Refund Ex ec[ed:$0.00 Katie Petzel Division of industry Services Phone:608-574-1189 EmaiL katie.petzel ydwisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN i;esidr.ntlal Application INDEX AND TITLE PAGE Project Name: Robert Quicksell Mound Owners Name: Robert Quicksell Owner's Address: 10695 Brookview Rd St Paul MN 55129 Legal Description: Govt lot 8 SO4 T 41 N R 09 W Township: Lenroot County: Sawyer Subdivision Name: Lot Number: Block Number: Parcet I.D Number: 14941045804 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications � �/ �J' � U � Designer: � �`� — �c�� License Number: _ S 3 � Date: J�ly �o- aa�3 PhoneNumber: '7� 5� � '�� Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2�.66BD-106`J1-f'(N.0'l0', R. 10/12),and bothC�<\��.�- I SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01181)and � Pressure Distribution Component Manual Ver.2.0 SDD•107(36-P(N.01IOt,f�:t@H2) Version 7.0(R. 11112) Page 1 of 7 Mound and Pressure Distribution Component Design Desinn Worl:sheet Site Mformation (R or C:� R Residential or Commercial Design Note: Santl 611(D)calculalions assume a ' 300.00 Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for ' 1.50 Peaking Factor(e.g. 1.5= 150%) Fecal coliform of<=36 inches. 450.00 Design Flow(gpd) 0.00 Site Slope (%) 96.80 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor(in) 0.60 In-situ Soil Application Rate(gpd/ft�) Distribution Cell Information 55.00 Dispersal Cell Length Along Contour(ft) = 8.19 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate(gpolft� 1 Influent Wastewater�uality(1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information nelwork? I-nt.:r Y o� IV (C or I � E Center or End Manifold 2.73 Lateral Spacing (R) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.168 Orifice Diameter(in) 4.00 l vt�n�at_ed Orifice Spacing (ft)= 10.73 ft2/orifice 1.50 Forcemain Diameter(in) 50.00 Forcemain Length (ft) Does the forcemain drain back? Y 90.00 Pump Tank Elevation (ft) Put�,� v ur N 3.25 System Head (ft) x t 3 4.59 Forcemain Drainback (gal) 7.30 Vertical Lift(ft) 73.71 5x Void Volume(gal) 3 35 Friction Loss (ft) 78.30 Minimum Dose Volume(gal) ��0 In-line Filter Loss (ft) 27.53 System Demand (gpm) 14.^0 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia options choice in. dia. options choice 075 125 1.00 1.50 x x 125 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/lnch Calculator(optionap Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity(gal) Total Working Liquid Depth (in) Wieser Concrete Inc Manufacturer �J gal/in (enter result in cell 849) Dose Tank �nformation Effluent Filter Information 600.00 Dose Tank Capacity(gal) polylok Filter ManufacWrer 11.82 Dose Tank Volume(gal/in) 525 Filter Model Number Wieser Concrete�nc,Manufacturer Project: Robert Quicksell Mound Page 2 of 7 Mound Plan and Cross Section Views —t J � 1/y, �� B� ��- Observatlon Pipe � _1 . T'_""T '',.' I K . � � —A W I ' � B : i � -t- -�---- l L Mound Component Dimensions A 8.19 ft E 12.00 in H 1.00 ft K 8.38 ft B 55.00 ft F 9 50 in i 6.88 ft L 71 75 ft D 12 00 in G 0.50 ft J 6 88 ft W 21.94 ft 450 45 (ftz) Dispersal Cell Area 120670 (ftZ) Basal Area Available 8 18 (gpd/ft) Linear loading Rate 5.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.59 (ft) —% G � 1 H ,.,,,;;;;;,i�,;;;:;,,,,. 1 , . , , � I — """' 98 30 (ft) Lateral F Dispersai Ceu Invert 97.80 (ft)--► Dispersal Cell �1 � � D p — Elevation � ❑ � a 0 96.80 (ft) Contour Elevation 0 0 % Site Slope Geotextile Fabric Cover Shading Key � b', � Dispersal Cell See lateral details on ❑1 To soil Cap o �' 1.5 ft Page a for number, � P c Q � size, and spacing ot Q �� Subsoil Cap 1° ° � � � laterala �aterals are e � ASTM C33 Sand 9 Z F equalry spaced trom the � Tilled Layer � � 0.� Tvpicai Laterai � distribution cell's Q � Aggregate < o � centerline in the �_ A _� disiribution cell(AxB). Project: Robert�uicksell Mound Page 3 of 7 End Connection Lateral Layout Oiagram ,_..,.,_,,�...�.,..�.�_.,,..,,�...�... �;.,,,.»,,:,.,,. ._ ,,,,�-„��.�,.��...�....,.:�..,�..,,,�.�,,, v _ _ __ __i -------- ..- -----—- - nui.�«.vu.�d..�,�„� I..x__•� �+arce�m.eon�n.eonom...��»�n.ni e� MI"6aa.� � ...._—__—._"_— ._. ______. __..____ .____ .. . �tier N' .Y WrCa`muin S:cY�q0 Gal yer SF'. Ta1.4r -:8•1 Yd� : . _ —_"'_""____._. _"_ _ . "_'_" _f'_-_ '___ _.1..� -�L__ _. .___ .._ .__.. . .___ ___ ...____ . _ .. r-...r..nn�.,.�,00..�i<.o n.,�...�..�.:..-�,.n�...n.,a u ,..q povn Number of Laterals 3 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.12 ft Lateral Length (P) 53.56 ft Orifices per Lateral 14 Laterel Spacing(S) 2.73 ft Orifice Density 10.73 ftZ/orifice Lateral Flow Rate 9.18 gpm Manifold Length 5.46 ft System Flow Rate 27.53 gpm Manifold Diameter 1.50 in Total Dynamic Head 14 40 ft Forcemain Velocity 5 00 fUsec Dose Tank Information �o�kingcoverwithwarning ^ label antl locking device and � sealed watertight 1 Electrical as per NEC 300 antl—� - SPS 316.300 WAC �4 in.min. Disconnect �_ � Tank component is properly vented �� E— Alternate outlet location Forcemain diameter Wieser Concrete Inc Manufacturer � 1.5 in. Ca aci 600.00 Gallons Volume 11.82 gaUinch A Weep hole or anti- Dimensio Inches Gallons g siphon device A 30.14 35622 B 2.00 23.64 C P�p oN elevation(ft) C 6.62 78.30 � 91.00 D 12.00 141.84 p Total 50.76 600.00 Dose tank elevalion(fl) ~— 90.00 3" Bedding under tank. � Alarm Manuafacturer SJE Rhombus Note Switche� Alarm Model NumberTank Alert cuntaining niercwy may not be used in Pump Manufacturer Zoeller this system. Pump Model Number 152 Pump Must Deliver 27.53 gpm at 1�.40 ft TDH Project: Robert Quicksell Mound Page 4 of 7 Mound Svstem Maintenance and Operation Specifications Service Provider's Name , Dan Burch , Phone 715.416.1642 POWTS RegularoPs Name Sawyer County Zoning Phone 715.634.8288 System Flow and Load Parameters Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow-Averege 300 gpd Maximum BODS 220 mg/L Septic Tank Capaciry 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450.45 ft2 Maximum FOG 30 mg/L Type of Wastewater pomestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequencv Septic and Pump Tank Ins ect and/or service once eve 3 ears Effluent Filter Should ins ect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test monthl Pressure System Laterals should be flushed and ressure tested eve 3 ears Mound Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1 Observation pipes are sbtted and materials conform to Table SPS 384.30-1, have a wa[ertight cap, and are secured in as shown in the mound component manual. 2. Dispersal ceil aggregate conforms to 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. Tiltage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished .....••• ••••••••••••••• Grade �� Threaded Cleanout 6-8" Diameter Lawn -� Plug or Ball Valve Sprinkler Valve Box Distribution `� Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Robert Quicksell Mound Page 5 of 7 Mound System Management Plan Pursuant to SPS 383.54,Wis.Adm.Code General This syslem shall be operaled in accordance with SPS 382-84 Wls.Atlm.Code,and shall maintainetl m accadance with ils' component manuals�SBD-10691-P(N.07101,R. tOn2),SSWMP Publication 9B(Ot/81),and Pressure Distribulion Componant Manual Vec 2.0 SBD-10706-P(N.01/Oi,R.10/12)�and local or slate mles pertaining to system maintenance and maintenance reporting No one shoul0 ever enter a seplic or pumD�ank since dangerous gases may be present that wultl cause tleath_ Septic and pump tank abandonmenl shall be in accordance with SPS 363.33,Wis.Adm.Code when the lanks are no longer u5etl as POWTS com0onenls. Septic or pump tank manhole risers,access risers and cove�s should be inspectetl for water tighiness anA soundness. Access openings used for service and assessment shall be sealetl watertig�t upon the completion of service. Any opening deemetl unsound, defective,or subject to failure must be replaced. Exposed access openinqs grealer than 8-inches in diameler shall De securetl by an effedive lockinq tlevice to prevent accidental or unau[horized entry into a tank or component. Seotic Tank The septic tank shall be maintained by an indivitlual ceAitied to service septic tanks under s.281.48,Stats. The contents oF the septic tank shall be disDosed of in accordance with NR 113.Wis.Adm.Coda. The opereGng condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fdler shall be cleaned as necessary to ensure proper ope�ation. 7he filter cartridge should nol be removed unless pwvisions are made to retain solids in the tank ihat may slough off the filler when remove0 from its enclosure. If the Fllter is equippetl wilh an alarm,the ftl[er shall be serviced if the alarm is activaled continuously, Iniermittent fdter afarms may indiwte surge flows or an Impending continuous alarm. The seplic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 7/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a trienmal assessmenl,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum antl sludge accumulation in the tank. The atltlition of biological or chemical additives to enhance septic tank pedormance is generally not required. However, if such protlucts are used lhey shall be approved for septic tank use by Ihe DepaAment of Commerce. Pumn Tank The pump(dosing)tank shall be inspectetl at least once every 3 years. All swilcnes,alarms,and pumps shall be tested to verify proper operation. If an efflueM filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Presaure Dlstribution Svstem No trees or shrubs should be pianted on lhe mound. Plantings may be made around the mound's perimeter,antl the mound shall be seede0 and mulched as necessary to prevent erosion and to pmvide some protection from frost penetration. TraRic(other than for vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeration o(ihe infiltrative surface wilhin the mound and snow compaction in the winter will promote frost penetration. Coltl weather installations(October-Febmary)didate that the mound be heavily mulched as protection from treezinq. In9uent qualiry into the mound system may not ezceed 220 mg/l BODs, 150 mg/L 755,antl 30 mg/L FOG for seplic tank effluent or 30 rtg/L BOD„30 mg/L TSS, 70 mglL FOG,antl 10'cfu/100 mL for highly treated effluent. Influen[flow may not exceed maximum desgn tlow speafied in the permit for ihis inslallation. The pressure distribution system is provided with a flushinq point at lhe enC of each lateral,and it is recommended that each iateral be 9ushetl of accumulated solids at least once every 18 months. When a pressure test is peAormed it should be compared[o lhe initial tes[when the system was installed to determine rf orifice clogging has ocwrretl and d orifice cleaning is required to mainlain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be repoRed to the owner,and any levels above 6 inches considere0 as an impentlinq hydraulic faiWre requiring additional,more frequen�monitoring. CoMi�aencv Plan If the septic tank or any of its components become de(ective the tank or component shall be repaired or replaced lo keep the system in proper operating condition. If the dosing tank,Pump,pump controls,alarm or related wiring becomes defec6ve Me tlefective component(s)shall be immediately repaired or replaced with a component of the same or equal peAormance. If the mound component fails to accept wastewater or begins m discharge wastewater to the ground surface,it will be repaired or replaced in its'present localion by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media,and relaled piping,and replacing saiU components as tleemed necessary to bring the syslem into proper operating condition. See Pa9e 5 0(t�is plan for the name and telephone number of your local POWTS regularor and service prwlder. Pretreatment Units The infortnation and schedule of ma�anagement aod maintenance for pretreatment devices such as aerobic treatment units or disinlection units are atlached as separate documents and are wnsidered part ot the averall management plan for this system. Project: Robert�uicksell Mound Page 6 of 7 W1000/600—MR TANK SPECIFICATIONS o a �9._6�.. I s o DIMENSIONS: � a 4" CASi-A-SEAL WALL: 2 7/2' 4" CnST-A-SEn! I I r COVERM�53^ � 1 ��-_----�_=,� \ / MANHOLE: 24� I.D. PRECAST CONCRETE RISER aa 11 /��i'� �� \ ' HEIGHT: 69 1/2� I . �� J �:� � LENGTII: 9'-6 7/8� i, I �4 � �!i � �� g i ��, � VADTH: 7'-9" � � i � \� i� ,_, m��Q ,-,\{i� � -,�--�.i�� BELOW INLET: 57' �o. � / � I 1 ` LIOUID LEVEL 51' i I E m � / i � t— O N'EIGHT: 12.380 LB& fl n ol o � i } � � � � m ^ \��/ � � �� di�� —��i INLET AND OUTLET: � i- � o �i �� j� �� 4" CAST-A-SEAI 800T OR EWAL GASKET = m �I � . �� FI�TER OR 'ni �� a '� �.`\ BAFFL[ �II' �� I a � li '��i �� INIET AND OU7LET BAFFLE AND flLTER: � `\`_—__ ��, � VASCONSIN, SEE DETAIL �10 m o c� ��. _�-'��/' (OTHER STATES SEE CHART) �y� o � LI�UID CAPACIN: 79.61 GAL/M (SEPTIC) y~,� '" TOP V1EW 11.82 GAL/IN (PUMP) �. � � J � LOADING DESIGN: B'-0� UNSANRATED SOIL CO r v� c TANK CAN BE USED A5: V o �;� �'' SEP11C/SEP11C, SEPTIC/PUMP, � M Q C 4" VENT pR SEPi1C/SIPHON � W � � `c . COVER: MIX DESIGN y'9 (NO FIBER) y r � `�' TANK: MIX DESIGN �f10 (STRUCNRAL FIBER) � � �1� i � 1 1_ ____ __-- -- �- CUSTOMI2ED TANKS: ° UJ'_ET OUTLET FOR CUSTOM 7ANK5 CONTACT NIESER CONCRE7E � ? � i - - - - i� � - - �n � � < � � i ,', '� ' � ` , . i a v � I � i : � i a v � _� �"r �� : � li inU � �a `< � J i �I i � i 'i j a i �n � Z � �. i _J,i � � o z . a � t 1 c�0 `2 � ��--�- --- � �`—�-- -' REVIEWED BY o � o F ;,� PUn�P PaD REVIEW DAlE o a 3 N DRAWINGS SUBMITTED nDE VIEW FOR APPROVAL APPROVED BV: SNEEr `�0. ADPROVAL DATE: � � / _- CF PRCCURS 4EEC'_� BY' _ /� � TANKS ARE MANUFACNRED TO MEET OR EXCEED ASTM C-1227 REOUIREMENTS � i � � w PUMP PERFORMANCE CURVE MODEL 151/1521153 50 14 45 153 __ _ - --- - -_ __ - �� 12 40 "�� `�, a 35 _� _ _ _ __ ____ _ _ . = 10- 152 j � 30 �— � , a �-.., � '�., . 0 8 25 151 ,, _ J � � g .. 20- _ ----�-`,,. - — — ---- - 15 � 4 '�k 10 -- - _ _ - ---: __ _ _ _ 2 , ; '� 5 i i � 0- -- , 10 20 30 40 50 60 70 80 90 100 GALLONS --- _ _ UTERS - _T---r i----r---_i_ _�-----T---_ �--- 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE �14'��" "�"""�� PRIVATE ONSITE WASTE TREATMENT county ��"��o �� SYSTEMS �gps ( POWTS) Sawyer �>, _ �—�,� ' ��` INSPECTION REPORT sanitary Permit No: `��_. Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �3 ��p� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(t)(m)] Permit Holder's Name: ❑City ❑ Village [p�Town of: State Plan Transaction ID#: lQ.b�o.�,-� �.,��✓�se_�\ Le.r.�,�-- P�r3 -o813ot8o�-L Insp BM Elev: r BM Description: Parcel Tax No: �oc�.� Na;� �n�o�e� � �, l� �, ;.� o��{ -�YI -6�{--�80 TANK INFORMATION ELEVATION DATA � TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic ,�,;.cy�s- .- �p Benchmark �pp,o � Dosing _ c,�,,.,.�j� (,00 Aeration Bldg. Sewer Q S;3 � Holding St/Ht Inlet Q y,$ � TANK SETBACK INFORMATION St/Ht Outlet QY,S'` TANK TO P/L WELL BLDG VENT TO ROAD Dt Iniet A�R INTAKE Septic �� g }$� NA Dt Bottom 90 .� � Dosing �• �. � � NA Installation � Contour �t 3-�7 Aeration NA Header/Man. Holding Dist. Pipe � .6 ' PUMP 151PHON INFORMATION Infiltrative Surface 97.� � Manufacturer � Demand Final Grade Model Number � '�� GPM TDH� Lift Friction Loss Sys Head TDH Ft Forcemain L z�` dia �� Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W ,(R � #of Celis 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 �-- S' Mound � Other - -- - _,� _�a � _ --- -- ___-- -__ --- ----- DISTRIBUTION SYSTEM .r X Pressure Systems Only — f� - ,73' ! X Hole Size ,X Hole O�bservation Pi es � Lengthr/�nib l� .� Dist9bution Pipe(s) " Spac 2 • Spacing ,� .es 0 No .�( Dia �•S Len th�� Dia � � I� -- —-- SOIL COVER p � Cell Center �� Cell Ed es � � 4 Depth of �� Seeded/Sodded Mulched l Depth Over Depth Over ti I g � Topsoil __ 6 L�3 Yes ❑ No f�Yes ❑ No � COMMENTS: (Include code discrepancies, persons present,etc.) �� to��-��3 Pian revision required?0 Yes❑ No I ! r ,I �03 , �� ?�( ,� - _- ` __ ��'� r� � Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) AO�ITIONAL COMMENTS ANO SKETCH SANITARY PERMIT NUMBER.______�-_3"aO �`— S�,�.�,, L��-- : . � - ,__ . _ _ _ _.. �. _ . _ :_ . __� , . _ _ ._ _, �. . . _ _ � . ._ _ :_ .__. _ . : { , �� ,�.�, �o Proe � �.�1 � � ^4�, 34�`� � � � ��-� �V fi� 1. a� "c'ti'C -L� f`'f�7� �`�`�► ��° � � � _� - n � � s �.� J � 0,,y� � � .T"` � � �� 0 �-