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Home My WebLink About002-940-35-5216-SAN-2023-219 � �y " "'` Industry Services Division Counry ` , � 4822 Madison Yards Way S8W)/ef � - . =p : Madison,WI 53705 Sanitary Pertnit Number(to be filled in by Co. W = P.O.Box 7302 � �, , Madison,WI 53707 (p S � � � � c,.) Sanitary Permit Applieation State Transaction Number � In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis form to the appropriate govemmental unit PWTS-082300173-I,PWTS-082300144-SSD is required prior to obtaining a sanitary permit Note: Application forms for state-owned POW-fS are submitted to Project Address(i£different than mailing addre ss) the Department of Safety and Professional Services.Personal information you provide may be used for secondary 74H7N Park LC�I. Ha ard W I purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. � e I.Application Information-Please Print All Information Property Owner's Name Parcel# Adam & Erica Dial 002940355216 Property Owner's Mailing Address Property Location 31563 SE 275th Place �o�t �o� 2 City,State Zip Code Phone Number Ravensdale, WA 98051 608-772-1681 ��. ��, Section 35 II.Type of Building(check all that apply) �ot# T 40 N R 09 E or W �I or2 Family Dwelling-NumberofBedrooms 3 1 SubdivisionName Block# ❑Public/Commercial-Describe Use �Ciry of �State Owned-Describe Use CSM Number Village of 23/343 #6472 ❑✓ To�tin of Bass Lake IIL 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 ❑1Vew System �Replacement System �ther Moditication to Existing System(explain) �Additional Pretreatment Unit(explain) �Adding Mound to Existing 1250/750 Tank B' Holdin Tank ❑[n-Ground t-Grade � g �,A ✓ Mound Individual Site Design Other Type(explain) (conventional) �S� �'• ❑Renewal E3efore �Revision �Change of Plumber �ransfer to New Owner List Previous Permit Number and Date Issued EXp+�a��n 11-267 11/8/2011 IV.Dispersal/Treatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required(s� Dispersal Area Proposed(sf) System Elevation 450 0.7 450 450 99.0 Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units � � o ,�, o U Ncw Tanks Fxieting Tanks `;a � v � � � � �.�'j. -' o a` U cn � cn u. C7 a Septic or Holding Tank 1250 1250 1 HuffCutt ✓ � Dosing Chamber 750 750 1 HUffCUtt �/ � � � V.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Signature ,� MP/MPRS Number Business Phone Number Jason Kuettel °�--�`�� 675751 715-798-3355 �.'N i Plumber's Address(Street,City,State,Zip Code) PO Box 66 Cable, WI 54821 VI.Co n /Department Use Only �Ap� ❑ Disappro�ed Permit Fee Date Issued Issuing A�ent Signature �`❑Owner Given Reason for Denial $ ��Q•� �� '�/Iit.l�e Conditions of Approval/Reasons for Disapproval � � �� 3 �D� �� , � �� . _ � �„ � ��oa� �G ��k# _ I� '"y°1 �EP 0 1 2023 G .� _ � � � .�.� �9�� ___ S 23 3� -�:., � . ___..�___ �_�.___... __ SAWYER��TR�TIOM A[tach to complete plans for the system and submit to the County only on paper not less than 8 U2 x I mches in size IJ c10"� 0 sB�-6�9s�x.o2i22> NO R�FUND�A�T'�R f��`�' r�� _ � ISS�JE OF F'�RdJil� .;�� -,��. Wisconsin Dcpartmcnt of Safcty and Profcssional Serviccs - Phonc:608-266-21 lZ Division of Industry Scrvices �'�: Wcb:htto:-'dsps.wi.,� 4822 Madison Yards Way _ � Q� ��:'� EmaiL�s(�iwisconsin.� PO Box 7302 , 'y � � Madison,w[53707 ��. � a Tony Evers,Governor �'��,;: .—_ _;�`��. Dan Hereth,Secretary . )ll�i.tv�_.,.. August 31,2023 CUST ID NO.: 1476757 [dentification Numbers JASON KUETTEL Plan Review No.:PWTS-082300173-1 42940 US HIGHWAY 63 Application No.: DIS-072330595 CABLE,WI 54821 Site ID No.: SIT-118377 Please refer to all identification numbers in each correspondence with the Department. CONDITIONAL APPROVAL ,��y,�� „�",� AF�PROVED UEvI O�SA�ETY AND PROFESSIONAL PLAN APPROVAL EXPIRES: 08/31/2025 SERVICES oivision,nF i srRv seRvices MUNICIPALITY: TOWN OF BASS LAKE SAWYER COIJNTY see coRREscoNi>- �<< SITE: DIAL MOUND SITE 7487N PARK LN HAYWARD,WI 54843 PRT GOVE LOT 2 LOT 1 CSM 23/343#6472 S35 T40N R09W FOR: INDIVIDUAL SITE DESIGN Design Wastewater Flow Value:450 Based on- Bedrooms: 3 Mound Component Manual-Version 2.1 (May 2022-2027) Limiting Factor(s): 24 Inches Pressure Distribution Component Manual-Version 2.1 Maintenance Required: Effluent Filter (May 2022-2027) 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. • This approval recognizes the submitted plans as an Individual Site Design.This system is to be constructed and located in accordance with the enclosed approved plans. 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. 14519,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. If it rolls into a'/4-inch wire,the site is too wet to prepare. lf it crumbles,site preparation can proceed. If the site is too wet to prepare,do not proceed until it dries. • Inspection of the private sewage system installation is required.Arrangements for inspection shail 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. • See page 3 of 10 for topsoil removal and replacement with ASTM C-33 mound sand design requirement. • All piping shall conform to SPS Table 384.30-3 and SPS Table 38430-5 • Insulate building sewer beyond 30 feet per SPS 382.30(11)(c) • Well setbacks to meet chs.NR 81 I & 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 use and maintenance of the system. Owners shall receive 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(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 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. Al(permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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. The Division does not take responsibility for the design or construction of the reviewed items. lnquiries concerning this correspondence may be made to me at the contact information listed below,or at the address on this letterhead. Sincerely, Fee Required: $450.00 Fee Received: $450.00 ��i� ��}-�� Balance Due: $0.00 �� Refund Ex ected: �0.00 Katie Petzel Division of Industry Services Phone: 608-574-1189 EmaiL• katie.petzel@wisconsin.gov MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: DIAL MOUND SYSTEM 2023 Owner's Name: ADAM AND ERICA DIAL Owner's Address. 31563 SE 275TH PLACE RAVENSDALE,WA 98051 608-772-1681 Legal Description: S 35,T 40 N,R 9 W �OT 1,CSM 23/343#6472 Township BASS LAKE County SAWYER Subdivision Name 7487N PARK LANE Lot Number Ot-Jan Block Number: Parcel I.D Number 002-940-35-5216 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 mainienance specifications Page 6 Managemenl and contingency plan Page 7 Pump curve and specifications Page 8 Pbt Plan Page 9 Soil Evaluation Page 10 Soil Tester Plot Plan Designer JASON KUETTEL �icense Number: 675751 Date: 06/27/23 Phone Number: 715-798-3355 Signature: ' °a0y� APPROVED Oesigned Pursuant to the on oFSE�v�s,Rr seRvccs Mound Component Manual for POWTS Version 2.0 SDB-10691-P(N.O1/Ot�,and both SSW MP Publication 9.6 Design of Pressure DisVibution Nehvorks for ST-SAS(Ot/81)an�l Pressure DisVibu[ion Component Manual Ver.2.0 SBD-10706-P(N.01/01) .,,_�,.�.�.��, Version 7 0(R 03/2012) Page 1 ct 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) � �� R�� Residential or Commercial DeSign Note� Sand fu(D)calcvlations assume a 300.00' Estimated Wastewater Flow(gpd) Table 383-44-3 in-situ soil treatment for fecal coliform of<=36 inches. 1 50 Peaking Factor(e.g. 1.5 = 150%) 450 00 Design Flow(gpd) 0.00' Site Slope (°/a) 98.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor(in) 0.701 In-situ Soil Application Rate (gpd/ftz) Distribution Cell Information 75.00' Dispersal Cell Length Along Contour(fq =z 6.00 Cell Width (ft) - - —-._ 1.00 Dispersal Cell Design Loading Rate (gpd/ft ) 1� Influent Wastewater Quality(1 or 2) Are lhe laterals the highest point in the distribution � _ Y � Pressure Disribution Information network? Enter Y or N --- (C or E) E Center or End Manifold 3.00 La[eral Spacing(ft) If N above, enter the elevation (ft) —- -_. 2 Number of Laterals of the highest poinL � � 0.156, Orifice Diameter(in) ' 2.50 Estimated Orifice Spacing (ft) = 7.50 ftZ/orifice ' 2.00, Forcemain Diameter(in) � 50.00' Forcemain Length (ft) Does the forcemain drain back? � Y � 92.80 Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft)x 1.3 8.16 Forcemain Drainback(gal) 5.70 Vertical Lrft(ft) 67.32 Sx Void Volume(gal) 1 11 Friction Loss (ft) 75.48 Minimum Dose Volume(gai) 0.50', In-line Filter Loss (ft) 32.31 System Demand (gpm) 11.86 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice OJS 1.25 x 1.00 i� 1.50 x ' X I 1.25 : I 2.00 1.50 x x 3.00 2.00 x , _- 3.00 x Gallons/Inch Calculator(optional) Treatment Tank Information I Total Tank Capacity(gal) I 1250.00j Septic Tank Capacity(gal) � Total Working Liquid Depth (in) �HUFFCUTT Manufacturer gal/in (enter result in cell 649) Dose Tank Information Effluent Filter Information �HUFFCUT Dose Tank Capaciry(gal) SIMTECH �Filter Manufacturer 16 75I Dose Tank Volume (gaUin� 100A2 �Filter Model Number _ T ',Manufacturer Project DIAL MOUND SYSTEM 2023 Page 2 of 10 Mound Plan and Cross Section Views — —? ��* � J Observa�ion Pipe _ I K T O s0 A W I . I . � e g - . .� . �. . . : . .� . �� . . . . . . I � � � L Mound Component Dimensions A 6.00 ft E 12.00 in H 1,00 ft K 8.38 ft B 75.00 ft F 9.50 in 6.88 ft L 91.75 ft D 12.00 in G 0.50 ft J 6.88 ft W 19.75 ft 450.00 (ftz) Dispersal Cell Area 1481.25 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.79 (ft) � G � � H i . � ., � I F o�spersai Celi \ 99 50 (ft) Lateral 99.00 (ft)� Invert Dispersal Cell / 0� �. � - ��. p �. �� . �. 1 Elevation _.. ___ _. - - � Topsoil (F ln 9") H� �,�tui� iu !�e rP.moved flnri replBCed ��i�h ( ".�� n�� i� ii� 98.00 (ft)Contour Elevation 0.0 % Site Slope Geotextile Fabric Cover Shading Key d c � Dispersal Cell See lateral details on 1❑ 0 Topsoil Cap a a 1.5 ft y- Page 4 for number,size, 2❑ 0 Subsoil Cap � o � 0 I and spacing of laterals. Q 0 ASTM C33 Sand 9 2 � � F L apacled from thelly Tilled La er � v 0.5 ft Typical Lateral 0 Y �n distribution cell's 0 0 Aggregate a o � � � centerline in the � A --} distribution cell (FixB). Project: DIAL MOUND SYSTEM Page 3 of 10 End Connection Lateral Layout Diagram Late�als.emeredovert�x 6 '�iim?nswn •= Turn-upMbailvahreorela3noutplug � E P .4111a�eralsareid?mical ��X—yl HalesO�ill?dontheboUomoithela�eral eQually spaced S FOfCP R131ft COO�pCGUfI Vld�PP Of CfOsS[O RIdNlOIG d[dOV DOI�f. laterals 3,furr_emein Sch 40 PVr per SPS Table 384.30� Number of Laterals 2 Orifice Diameter 0 156 in Lateral Diameter 1.50 in Orifice Spacing(X) 2.53 ft Lateral Length (P) 73.37 ft Orifices per Lateral 30 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ftZlorifice Lateral Flow Rate 16.16 gpm Manifold Length 3.00 ft System Flow Rate 32.31 gpm Manifold piameter 1.50 in Total Dynamic Head 11.86 ft Forcemain Velocity 3.30 fUsec Dose Tank Information Lockingcoverwithwarninq � label and locking device and sealed watertight Elecirical as per NEC 300 and - SPS 316.300 WAC �4 in.min. Disconnect � ��_ Tank componeni is propedy venteA � �� F-�— Altemate outlel locafinn Forcemain diameter HUFFCUTT Manufacturer 2 i�, Capaciry 750.00 Gallons �- Volume 16.75 gal/inch A I Weep hole or anli- Dimension Inches Gallons �g sipnon device A 26.27 440.02 B 2.00 33.50 � � Pump off elevation(ft) C 4.51 75.48 � 93.80 D 12.00 201.00 p Total 44.78 750.00 � Dose tank elevatlon(f[) 3" Bedding un er tank. gZ,gp -- - - SJE RHOMBUS � Note: Switches Alarm Model Number 'HW 101 � containing mercury may not be used in Pump Manufacturer 'CNAMPION � this system. Pump Model Number CPES3 � Pump Must Deliver 32.31 gpm at 11.86 ft TDH Project: DIAL MOUND SYSTEM 2023 Page 4 of 10 Mound Svstem Maintenance and Operation Specifications Service Provider's Name ANDRY RASMUSSEN & SONS Phone 715 798-3355 __ -- POWTS Regulator's Name SAWYER COUNTY ZONING � Phone 715 634-8288� System Flow and Load Paremeters Design Flow- Peak 450 gpd Maximum Infiuent Particle Size 118 in Estimated Flow-Average 300 gpd Maximum BODS 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft'' Maximum FOG 30 mg/L Type of Wastewater pomestic Maximum Fecal Coliform >t0E4 cfu/100 mL Service Frequencv Septic and Pump Tank Inspect and/or service once every 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once every 3 ears Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested eve 1.5 years Mound Inspect for ponding and seepage once every 3 years . _ _ _ _ . _ � �:��N � Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell 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. Tillage of the basal area is accornplished with a mold board or chisel plow. 5. The mou�d sVucture and other disturbed areas will be seeded and mulched to preve�t soil erosion and help reduce frost penetration. lateral Turn-up Detail Finished ,.. • •••••........, Grade vi� 6-8" Diameter Lawn —� � Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution � Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project DIAL MOUND SYSTEM 2023 Page 5 of 10 Mound System Management Plan Fursuant to SPS 383.54, Wis. Adm. Code ; General This system shali be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBO-10691-P (N.01f01), SSWMP Publication 9.6 (01l81), and Pressure DisVibution Compone�t Manuaf Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. Np one shouid ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS companents. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shalt be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shali be maintained by an individuai certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Gode. The opera6ng condition of the septic tank and outlet filter shall be ' assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ens�re proper operation. The filter cartridge should not be removed u�less provisiona are made to retain solids in the tank that may slough off'the filter when removed from its enclosure. if the fiiter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of siudge and scum i� the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at tne time of a triennial assessment, maintenance person�el shall advise the owner of when the next service needs to be pertormed to maintain Iess than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to e�hance septic tank performance is generalty not required. liowever, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shaii be tested to verify proper operation. If an effluent filter is instailed within the tank it shali be inspected and serviced as necessary. Mound and Prassure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost per�etration. Traffic(other than for vegetative maintenance}on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in fhe winter will promote frost penetration. Gold weather installations (Octaber-February) dictate that the mound be heavily mulched as protection from freezing. InFluent quaiity into the mound system may not exceed 220 mg1L BOD„ i50 mglL TSS, and 3b mg/L FOG for septic tank efFluent or 30 mglL BODS, 30 mg1L TSS, 10 mglL FOG, and 10�cfu/10Q mL for highly treated effluent. Influent flow may not exceed maximum design Flow specified in the permit for this installation. The pressure distribution system is provided with a ffushing point at the end of each lateral, and it is recammended that each laterai be flushed of accumulated solids at least once every 18 months. When a pressure test is perFormed it should be compared to the initial test when the system was installed to determine if orifice clogging has accurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effiuent ponding. Ponding Ievels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continqencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or repiaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, aiarm or related wiring becomes defective the defective component(s}shall be immediately repaired or replaced with a component of the same or equal performance. if the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and repiacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. 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UI...� a� � / � S 9. �C v N ([1 vi 7 i � � c-H L .b_M f r � a �� d � � ��J a ° h � � � � d +� v � d o o �' `'^oC V� �„o•L o'i t� � ,,�� f $ O�� :,••�� a:�'i�, �. ��'� WsconsinDepartmentofSa(eryandProfessronalServices Page_of_ I('�,�_ �<` OrvislonoflntlustryServices — ��, �_ ,�j SOIL EVALUATION REPORT ,��;'�'�_ SAWYER \_=. � In accordence wdh SPS 385_Ws Adm Code �Counry Attach complete sde plan on paper not less than B 1/2 z 11 inches in s¢e.Plan must inclutle. � ---.. but not limited to.vertical and honzon�al re(erence poin((BM),direcllon antl De�cenl 51o0e. Parcel I.D. scale or dimensions.north armw,and location and distance to nearest road. 00 Z —4�F 0 —�—SZ t(p Pleasa prin[all information. Review I Da e�1 Personal infortnation you provitle may be usetl tor secontlary purpo5es(Prrva�y Law,s.15.04(tl(m)). ropeMOwner -- --� Property Location ❑ ❑ A�0.-�r�'-`� �rC � Govt.LotZ ,. % 5 T N R E(orl W � Property Owner's Mailing Address Site Atldress or CSM antl Lot#� Q�4<< r--� Z3/343 _3156_�__ �E 7.`15 �.0�-1 CS ct 6y�Z � City � S at[e Zip Code Phone Number ❑City ❑Villaqe �Tovm Nearest Road W Ra�eHsd�e_ I wd�0os� I� � � ___T3o..ss 1.0.k2 -ty87N � fa�k Lr1 �NewConstruction Use:�Residential/Numberofbe0rooms� Code denved design0owra[e��GPD y�j 1� �Replacement ❑Publir.or commerIcial- scnbe:� Flood Plan elevation i(applicable±46 fl. Parentmaterial ��4G�ti� ��l 1 Generalcommentsandrecommendations�. '�-7 � pC� /� - 0.er sf_I, � �'10��1.4.�1� I SOL � eS�q '�7"O GG (_J _...__. .--___ ____- —__. .. —_—_—. - �_ _._—__—_- _d..._ _ _____. _._.. __—___.. . __'— 1 Boring# {��V ❑Bonnq u 1__' " � �Pit Ground suAace elev.�L�([. 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N; 4p7 Code Acres Land Imp, G1-RESIDENTTAL 1.090 170,d00 122,200 ' Tax Districts Updated: 2/6/2007 2-Year Comparison 2022 2023 Change State of Wisconsin �nd: 170,000 170,000 0.0% Sawyer County Improved: 12z,200 122,200 0.0% �2 Town of Bass Lake Total: 292,Z00 292,200 0.0% �247g Hayward Community Schaol District �1700 Technica(College , Recorded Documents Updated: 3/1Q/2011 t�Properly History WARRANTY DEED N/A jte Recorded: 2/28/2Qi1 �� EASEMENT 3te Recorded: 2/28/2011 3?;�� AMMENDMENT TO EASEF1tENT �te Recorded: 2/28J20i1 ��1��° ' CERTIFIED SURVEY MAP �te Recorded: 8/21/2002 ��'=�� Fi P E ?� . ' sv«vsY�wo " NxtAwoodf iudnas Canv— t56ti6Y K�ry.i,1.3uiu 33G L � M+7M�rd.Wamosin S�Rl3 —�aS@��etaer (�is}6».��s • � s».9�ea • rax ��s� �� SAWY,Ef2 CQUNTY CEftT1F1ED SUR�/'EY MAP L.o�.�TE't'> f t�J ��ARZ"' v F C'E�Tt F tE't� SvR1tE � N o . 6 2�99 r �N �o v`T L.o"�`5 f � �' 3� S'EC�'t C�A,/ 3 5, -rt foAt - �'9t,t>, To�c.c�u o �' S a �s �A t�E, �'„_,,--�}tvc.�� C C?V N T}f:r �,�V t SC�(�S I�I � 5 H E E T l c�F 2 o , ��.2v-r9�lt/ c ts2.o� • � / 66 y! � . _____—� ��C.2'` e�PPQA � �95.o� � . �/ f tf'E tJ+J Go�. EX. l S'rc�c. r''f� t�Y�ccoR. S'�e.Tp o�+/ 3„5 � S CC, �5 TYo n/- R 9u� ��!-R9� �� 'p.�€� GRAPHIG SGA�� Qt � Q � . �` + csy �i v O' 50' 100' 200' ' E � C.SM, F E E T =ry _.(lG�. � [�y � ?� i E k. 1�ST�&� - 29 ! �J" C1�L.E E = �t3C�t o� � p�P� � , .S��"-/6 =-'f3"LC' . ? � 301.7g� � . � �o► -�. � c s,n�. Na' _ ��q*, ��*° �..� --�'" j .;-� '-a. � G z 9 9 , � � \� ` � �.� . .Q9- AG. �p � �v��'+6 0� �YT6o p�- S F ' ��'��''f' 1� �` .� — — , , �'�� \`o"-' 22�.75' so'eqs�M��vr F'o2 cNGRtgs• 6Gp�ss � � �t/$7=5J=t 7'i,t1 '��0,8, s � '' �Re�'o A s N 87Q 22'-YS+uJ� 8k. �}' � c�� `'�arI• NO.' ��7 3'7 o = �x�5,-r►tsv s��v�y nrSo��m�N�' cc.rcnir,-• � s �cs�Nrti�+�n qc.F- �.i��h'Ts�n� o = 5��- �'�S'�x t8'� s�. s'T�e.t� T3A�e. /��c-7 No. 2v1�' w-r- �•33 ��/Fr . .t�i��t�tN6S s�'F. T� �/ </.t/E 111LtJYy! e`��.N��e�� v�'EG. 3 S /� .S..S Jn�'T E 1� 7'O .15'E�R Je .e� �i�r',`�,C Q/vS,f�� i1/g�=2t?=t}l.,t� a", '�F �'�'��'� �Fn�arc • '�k;� irE� � r -�'y'• �i� �*� U �/' ..,<j•• ,'° -Q,^;` �') ` t. �`'�.,SURV«'Et..�` � 1 c�n�r s�y��. �� V�. 2 3 ;,:.. Wisconsin Department of Safety and Professional Services Phone:608-266-'l l2 Division of Industry Services �`� ,,'.' Web:htro:%/dsps.wi.eov 4822 Madison Yards Way ��'' �1D! _.'� Email:ds sri'wisconsin�y PO Box 7302 "�� '�p Madison,WI 53707 `�, S Tony Evers,Governor �'�r;;;� — s�� Dan Hereth,Secretary S��I�� August 31,2023 CUST ID NO.: 1476757 Identification Numbers TIMOTHY J CLARK Plan Review No.: PWTS-082300144-SSD 42940 US HIGHWAY 63 Application No.: DIS-082335362 CABLE,WI 54821 Site ID No.: SIT-118377 Please refer to all identification numbers in each correspondence with the Department. CONDITIONAL APPROVAL Condifionalty APPROVED PLANAPPROVALEXPIRES: ��EP� OFSAFETYANDPROFESSIONAL SERVICES DIVISION OF I STRY SERVICES MUNICIPALITY: TOWN OF BASS LAKE SAWYER COUNTY SEE CORRESPONDE � t SITE: DIAL MOUND SITE 7487N PARK LN EIAYWARD,WI 54843 PRT GOVE LOT 2 LOT 1 CSM 23/343#6472 S35 T40N R09W FOR: SOIL SATURATION DETERMINATION 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: Approval is hereby granted pursuant to s. SPSP 385.60(2),Wis. Adm. Code,to estimate the depth of seasonal soil saturation based on an interpretive determination process completed by Timothy Clark,Certified Soil Tester(CST),and his recommendations. • This approval is limited to the soil characteristics within the tested area. This approval is based upon best management practices and does not warranty the functioning of the system.Water conservation,wastewater disposal practices,and system maintenance will aid in the longevity of the system. • This approval is limited to the soil characteristics within the specified depths and does not include an interpretation of the redoximorphic features found outside of the specified pits and horizons. • An on-site visit was conducted by Katie Petzel,DSPS,on 7/11/23. • The topsoil horizon consisting of fill with inclusions of redoximorphic features shall be removed and replaced with ASTM C-33 sand. • The estimated highest level of prolonged soil saturation approved under this determination is 24 inches below the current grade. At least 12 inches of sand lift shall be placed on top of 24 inches of unsaturated soil.A portion of this unsaturated soil will be the ASTM G33 sand that is prescribed above. The system elevation shall be 36"from any saturated soil. • The basal soil application rate for the mound shall be no greater than 0.5 gpd/sf. • The linear loading rate shall be no greater than 6 gpd/ft. • A copy of this approval letter and attachments must accompany the system design for this site for the purposes of plan approval and sanitary permit issuance. A copy of the appro�ed plans,specifications and this letter shall be on-site durine construction and open to inspection by authorized r�resentatives of the Department,which may include local inspectors. 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 concerning 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, Fee Required: $240.00 Fee Received: $240.00 � ,..}-�� /J Balance Due: $0.00 G� �' Refund Ex ected: $0.00 Katie Petzel Division of Industry Services Phone: 608-574-ll 89 EmaiL•katie.petzel�wisconsin.gov Interpretive Determination Completed by:Timothy Clark, PE-CST 1476757 Adam & Erica Dial 7487N Park Lane Hayward,WI 54843 S35 T40N R09W Town of Bass Lake-Sawyer Co. Parcel ID—002940355216 1.0 —Site Background This interpretative Determination is for a residential holding tank upgrade to a mound system. The site in total consists of 1.09 acres to service a 3-bedroom home located in Sawyer Co.,Wisconsin. The location of the proposed mound is in an open area with consistent flat slope with loamy sand & sand fill placed 20+years ago over an old cranberry marsh. A combination of historical soii evaluation in 2005 & new soil evaluation in 2023 were used in this determination. The soil conditions do not appear to cause vertical water movement to be impeded. 2.0 —Soil Evaluation ReportSP 385.4—Attached 3.0 —Local Hydrology&Geomorphology of the area—Attached 4.0 —Soil Disturbance & Modification The site is clear and appears to show signs of previous fill and minor surface compaction. The top layer of soil consisting of minor inclusions and compaction will be stripped and replaced with C-33 mound sand in addition to recognizing the 24" limiting factor in the soil evaluation. 5.0 —Conclusion& Recommendation A Limiting factor of 24 inches was observed with soi) saturation beginning at 30". Prolonged saturation of greater than 7 consecutive days would rarely be expected to occur above that depth. The sand fill material was determined adequate as part of the design by the soil evaluation results gathered and site visits by Sawyer Co&WI DSPS. There should be no issue regarding failure at the site with this type of installation. in examination of the landscape,there appears to be good toe slope and adequate drainage away from the mound site. Conditionally Timothy J Clark. PE—CST 1476757 APPROVED DEPT.OF SAFETY AND PROFESSIONAL 8.4.2023 SERVICES DIVISION OF I STRY SERVILES SEECORRESPOND CE F� F� E �G ' - sysr:riwa - No�W+roodf 8�sns Ce�tn— t56tOW�ry.b�.Suiu 330 ' daywtrd.N�in 3�3—ap�rv�i�let��necoN - fTlsf a34.3�35 • (l06i s4s-9�e1 • fAX (f15)974iFf; SAW`YER GOiJNTY CERTIFIED SURVEY MaP LocR��A it�} �'r�1R't" e�F C��Tt FtE� SvRVE � Na . �z.}9 � TN �r,v' T j,,,OTS � 2' t�`' 3� 5ECT t O Al 3 5, �fQ1J - J�9�, '7fOu�1�S t� fi �3/� S S L�1 ��'� .�'.�-��E� �ovN�y� t�V� sc�ot�� r�.l , sK�e,- toF2 v �83•20=�9'u/ zr62,� • �,. - -�--- - ------�--- - �x.2' �,�ppeb � 66 `r� �� 695.o� j � PrpE nt�J �o�'... �x. �'s�cst � t'tP� nt�caR. ��aN � Sct, 35 -t'Ya n!- R 9uf ��✓-R9u� `� ,, a � o'� GRAPHiC SGALE �� . . Qii � N �,I � o� so� �oo� 2oot , _ � C.SM, E � E E 7 .�� (/'c�. � 2 9� � 1 �k P�sr��L - I S�q�.E t� tc>c�` � p� o� -5��IE> =-�3"�" ? fi� 30/.?g r � .,` � `�� '�y� lAe G 5,A"t. 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'oday's Date: 4/17/2023 Created On; 2/6/2007 7:55:08 AM ^ DeScriDtion Upddted: 5/24�20ll �" Ownership Updated: 11/30/2015 TaxID: 4071 ADAM�ERICA DIAL RAVENSDALE WA PIN: 9-002-2-10-09-35-5 OS-002-OG0160 Legacy PIN: 002940355216 Bi in Address: Mai ing Address: Ptap tD: :2.16 ADAM&ER[CA DIAL ADAM &ERICA DIAL 4unicipality: (002)TOWN OF BqSS LAKE 31563 SE 2757H PLACE 31563 SE 275TH PLACE �TR: 535 T40N R09W RAVENSDALE V!A 98051 RAVENSDALE WA 98051 )escrip6on: PRT GpVT�OT 2 LOT 1 CSM 23/343 n63�z � Site Address ' indicates Gnvate Road tecordetl Acres: 1.090 74B7N GARK LN HAYVJARD 54843 ottery Claims: 0 irs[ Dollar: Yes Va[erbody: Durphee Lake J Property Assessment Updated: 6/12/2013 'oning: (A-1)Agricul[ural One 2023 Assessment Detail :SN: 407 Code Acres Land Imp. GI-RES[DENTIAL 1.090 170,000 122,200 � Tax Districts Upda[ed: 2/6l2007 2-YearComparison 2022 2023 Change SWte of Wisconsin ��d: 170,000 170,000 0.0% �7 Sywyer County Improved: 122,200 122,200 0.0°io 102 Town of Bd55 Wke TOtaL 292,200 292,200 0.0°'0 �72476 Hayward Communiry$chool District �0 V00 Txhnical Cdlege � Recorded Documents Upeated� 3/IO/2011 �Property History 3 WARRANTY DEED NiA )ate Recordzd: 2/28/2011 371548 J EASEMENT )ate Recorded� 2/28/2011 371550 j AMMENDMENT TO EASEMENT )ate Recorded: 2/282011 2�1549 3 CERTIFIED SURVEY MAP )a[e Rxorded: 8/21 R002 J02b13 1 < c� . , � � w:s. . . y � ?�... ....,p�y,. , ,.:. , � �rY3 � -�� ♦� � �� - � - �� 4� •* . w . . . 1. + �` %i w "f , .t� s �,E.��.r ; T . , .e ^�1�:� e� ` .' »�R'�,� A` '� � .•ya,�� .�' �.. '4 �. . . � — � � t � ��. S w a.,� t� �{�,��J�� a� ! �t .� _ -r �� J` �ti1�1 +... � '4 . �� F, ' � �.r,a _ � y,�' �.t,,� jtR T ° � a:y� d� r v `y "`, � � ,y a r. � .. 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Gount�t Attaach comp{ete site ptan on paper noE lass than 81/2 x 1 f inches in size.Pian must �'�` tnctude,but nat timited ba:vertit;ai anrl horizontal reference point(BM),d(rectio�end paroe{ t.D. percent stope,spte ardimenstons,noRh ertaw,and tocaGon ar,d distance to nearest road. Op a-�}H O'35�-$al P/ease pr�M a!1 Inforr»attan. Reviewwed by ' Date Persanel InfarmaBort you provlde may he used for sacondary purposes(Ptivecy Law,s.16.Q4(1}(m)). (,J � g��_(� Property O�mer Propert�r Locatian �� Ji JL� 5 � ! �iGhC j rre � Govl lot 1/4 1l4 S„3� T �� N R g �E(o� (�N Property Owrter's MaiGng Address Lot# Bladc t� Subd.IVarne or CSN�'# 8a Ed e 1 �st�t G� �� vbi,a3 City Stabe Z'ip Code Pharte Number ❑City ❑Vlfage Town Nearest Raad . t`1�,�, med� 1`iN 55!► ( j s s La e �a nd �-a.�' Qd New Gonstruc8on Use:$J Residen6al/Number of bedrooms 3 Cacte derived design 8ow rate y�� GPD ❑Replacement ❑ Public or commercial-Descrrbe: Parent materiaf G/o..�;Q / T i(I Ftood Plain etavation'rf applicabte N t R {� General cammants artd recammendations: M�„�� cJY S�-e�yl a r {-�a 1 d:ng Tc�rti K �kSeC p� :� y �f ►�a,��a�� s►-�� n`,�,q�� ❑ BariR9# ❑ Barirtg �� ' ❑ PIt Ground surface etev. ��a•J`�� fL C}epth to limiting factar 3 S# in``a� � Scs7 ticatlon Rate Narizon DepEh [3�minant Colar Redox Desaiptian Texture Structurc Ccnsistence Boundary Ro�ts GpOffp In. Munsall Qu.Sz. Cant Color Gr,Sz Sh, •�� •E� 1 0'7 IbyR�/� `_"' �c. m I CS I�` �•7 �. � a �•3 . 7s;� �/v �." 5 r�u. �� s � 0.7 1. c a� 3 �SsyR�/y ""- s rt 4. r�, ► — -- -- ._.. �� TCQ f� � �� .��. �rCG .� �o P CL�i'�'� �tti� d'�►i�5 D� Boting# ❑ Barirx,� +r � Pit Grourtd auriace elev. Q�o•�°7 �, (� th to�unitin fador 3 fn.� �J� p � 9 —"'�— Seil lication Rate Horizen Depth Dominant Gotor Redox Description Texture Stn.�cture Consistert� Boundary Roois GPDifE' in. Munsep Qu.Sz Cont Color Gr.Sz Sh, •EB#1 •Ef€#2#2 ti O-4 IOYR3/, �-- � nc. M� GS �� 4•-7' l. � � 9-33 �.srRs/ --- 5 n�. rh) s .,� c�,,7 i� � 3 33-38 7.S,rR s/V --- 5 n�, n,� _ � .,_.. � Sa�u�v� " n e a� ad 3 �0 1 dsf ;IS 'E�fiusnt#9=BOD >30�22Q mg/L and TSS>30<950 mgR. 'Ef�uent#2=BC}D <30 < - mBA-ar,d TSS_30 mgtl. CST N�me (Ptease Print) �J 5�� (o� B$ � r�C� @ 1 �t' .�"' Address Oata Evaluatian Ccnd�:cied Telephona Number ��"'N ,�-�.-�� a �car� w,� ��'3 c��l�a�r��`" �f.�'-�� r h;a►„!1� Provenyc�mer_AI�F �;;�er�son#- ��{� ParcellD# ooa• �i�o-3S-S�1(e�" Page .o� o� 3 � Baring# .� Boring � j�9"\ � Pit �round surtace e�ay. 9'�O.5� R F3epth to limitirtg fador��_,in.� l So7 Gcation Rate Harizon Oepth Qominant Colo� Redox Desaiption Texture Struciure Consistenoe Boundary Roots GPDtff in. Munsell Qu.Sz. ConG Cclor Gr.Sz Sh. `Ef€#1 •Effi#2 1 0-G lo rt�31a -- !s -- -- — o• -� ►. � Jl.-3$ �.5YR s/ 5 _..._ ._.. ...._ _.._ p, 7 1. C. 3 �- 7. R s/�l —'" 5 — -- — -- -- -- Sc�,-�.,co.a-e �38�� f-� O 4,3" . se bClo �or 0.C� i�+on 1 t�e i/ � Boring# ❑ Boring ❑ Pit Ground surface elev. ft Depfh to(imiting f�ctor ��• Soil tica�on Rate Norizon Depth Dominant Colar Redox Desaiption TeMare Struciure Gonsistence 8aundary Rcot� GPQlf� in. Munsell Qu.Sz. Con�Ca(or Gr.Sz Sh. •Etf#'I •Eff#2 l�1ta ES: �c�. a. wr�, � �-c a)a a.��-th � �-� �� S�c D a� �cm er +cc.sa�er e c a 1: � -�o ' a.�' r v v �' a C? O +a� cr. r 0. 1``loun �s c� t� d n (''�'�'� � Boting ' f Bofir4 lt Ground surface slay. it (}epih to IimiUng factor in. L----1 ❑ Pit 5oi1 lica8an Rata Horizon Depth Qaminant Color Redox Desaiption Texture Structu� Consisten� Bourtdary Roots GPDff� in. Munsell Qu.Sz. ConL Color Gr.Sz Sh. •Eff#1 `Eff#2 . � •h�:�; � ;+� ; � d�G a- -�'.� i d a�`�a. �-�rn% �% c� !d s:de d �A .t �m r i n ��, s t` er �Ga G� CZ,.'�' � r r+ 'E�iuent#1 =80D6>30<220 mglL and TSS>30<150 mgll. 'Effluent#2=BOD6<30 m.g/L and TSS<�mg11. The; Department of Commerce is an equal opporturtity s�rvice provider nnd esiagloycr, [fyou need assistance to access scrviccs os ne�d material in an alternate forrnat, please contact th� department at 608-2b6-3!51 or TTY 5Q$-2Fi4-8177. 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( POWTS) INSPECTION REPORT sanitary Permit No: Safety and Bwldings Division (ATTACH TO PERMIT) GENERAL INFORMATION � � ^p2`� Personal infonnation you provide may be used for secondary purposes[Privacy C.aw,s. 15.04(I)(m)] Permit Holder's Name: ❑City ❑ Village �'Town of: State Plan Transaction ID#: w► �-Fn cA �<<,� �ass La� P�-c�813o o t?j-.!^_ Insp BM Elev: BM Description: Parcel Tax No: lrr�.� ' �-}�� a -�- H,�_ o�.�� b�► oo�. - aYo-35-S�t(� TANK INFO M�ATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic , ' ��'D Benchmark IoO,o � Dosing ��,,�l,a �� Aeration Bldg. Sewer _ Holding St/Ht Inlet �- TANK SETBACK INFORMATION St/Ht Outlet — TANKTO P/L WELL BLDG AR�NT°KE ROAD Dt�t a..��( -}- �(�,'7 ' Septic NA Dt Bottom 53 s-' Dosing NA Installation O r Contour �� Aeration NA Header I Man. Holding Dist. Pipe �q,8 ` PUMP 1 SIPHON INFORMATION Infiltrative � Surface �•o Manufacturer Q� � Demand Final Grade Model Number �j�3 GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L �� Dia « Dist. To Well DISPERSAL CELL INFORMATION DIMENSIONS �N L #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav ° Conv � Aggregate INFORMATION P/L Bldg Well Waters � GP �� Chamber Model Number: ❑ EZFIow CELL TO ��O 2 �p �(Oo � Mound o Other ------ ----- --- --_____--- --- -- - __--- -_—_- — — ---__ DISTRIBUTION SYSTEM X Pressure Systems Only Header/Manifold y Distribution Pipe�s) . , � X Hole Size X Hole Observation Pipes Length_� Dia �.S Length_�Y Dia � S Spac .3•� �' Spacing S�Yes ❑ No SOIL COVER ------- - -- - - -- -__ --- Depth Over ,,� Depth Over y I Depth of � �, Se�eded/Sodded �� Mulched � Celi Center �a- Cell Edges �� , Topsoil Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies,persons present,etc.) ��s�l(� 9�� 3 �5�. �'ss�� 1�T� —� ►�,o.�� Plan revision re uired?❑Yes❑ No I II - � p '�a31! � $---`�_� �-- � � _ G��t Use other side for atlditional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) ADOITIONAL COMMENTS AN� SKETCH SANITARY PERb?IT NlJMBEA ___ _p2_3�a��_____ � �„" a"'� � / , _ .. _ _ __- :_ _:.__ _ ._.�__.� .. _.._ ___ . ; . ._:__.. ,__ ; _-}.-- --_ _ _- . 6' ��s' �Il . / IV`o4V1� r ( � � +t � �.�` C�i'- �e T �b�' . \ �NX �. 1�` � ` --- �� ` �S', C� U� , 3 g � - - - � 8 e��^y �� a3' w � � . -p � �� w(g,��i.-� `Cv`C0.�� Pa � � �+ �� `�--- 5