HomeMy WebLinkAbout010-840-36-5210-SAN-2023-227 �" ;. ! Departmeot uf Safety c'°°"ty �
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i -� i Indu�try Services Uivision �
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Sanitary Permrt Application "" ' `' �
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ihe uepanmem ot Sa(eq�nrid Pm�essivaal Sernces.Personal mf<nma6on you pmvlde msy Ae nad for mc�mdan�
purpoxs m xcorUaixe wiw ux mvacy Lau.s I s�!u Nm�.tiinis i aa3aw 3�4,sz�Ks 3� Ln,
1.Applicstion Infurmntion-Please Prin�AII Inf�rmatbn Y
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11.Type of Buiiding(check ali[ha[apply) Lot# T �/d N R U$ W
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f} G'7o7 ,Z4.row��or �-.�w��d_._...- --
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111.Type at POWTS Permic ICh«k either"IVe�v^or�Repiacemeot^and other appli��le on line A.CM1eck oAe box on line B.Compleh lioe C i
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'�' �New SysMm ❑Rrplucemcm Syqcm ❑n�l�cr Me„lifreWiun lo F.zisling Srvem(explain) I O:1dJ�lional PreveNment Uni[(explainl
d' ❑HotdingTank ❑InLmimd ❑AlGrade �Mamd (ny„�,} ❑InJividuxl Site f)esi�n ❑(hher 1'ype Iexplain)
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�• ❑Rcnewal t3cfore ❑Reviswn ❑Chaige of PlumMr ❑Trensticr m New Uwncr 'n Previuus Pe�mit Num6er mJ Date Issued �
Ezpiration
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IV.DispersnVCrsatment Ara end Tank Informadon:
fk.ign Fiow�gpJ) I)es�iFn Sml Applicalion Ra�e(gpd/sfl f7ispersal Area Required Isl) Dispenal A�ee Pro�mseJ(s� Cyctcm flevaii�m
S'SD �. � ��.o ana/aa5 9�a/a».S q q.v o'
Capaci�y in Tutal p of Manu�eaumr j -
Tank infwma�ioo Gelions- _ ciallons Unit� `� o v � ,�
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V.Respnnsibilitq Shtemenh I,the undersigned,arsume rcspnoaiMliry fm inahllafion af ILt P ,eLawn nu Ihc xllachd plaoc
Plunibu'�ti�nnclPrinl) I Plumbcr'�\�¢na�ur MI"MNI2StiumFcr'--rRu�iMisPhancNwniKr"-
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70�� N s�.� �4x� �a s�...��x�, ..�s s,e��
pVI.0 untv/DepartmentUseOnly
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Conditians of_,�rovnl/Rcnwns for Uisapproval Ll}� �.�7r-�.
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____._.-___.__-_.____ ` �.
NO RCFUNDS AFTER ��8la"I
{BSUE UF PER�U'�I7
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Wisconsin Department of Safety and Professional Services - �`. . Phone: 608-266-2112
Division of Industry Services ',A Web: hnp::�'dsps.�ci.gov
4822 Madison Yards Way - � Q� � ��� EmaiL ds�isi�i���i,comin.��o�
PO Box 7302 � p
Madison, w► 53707 � a Tony Evers, Covernor
�"%. - , � Dan Hereth, Secretary
���;�..... -
August 30, 2023 Condrtionally
�.PPROVED
CONDITIONAL APPROVAL �E'PT. UF SAFETY AND PROFESSIONAL
SERVICES
PLAN APPROVAL EXPIRES: 2025-8-30 I�IVISION OF INDUSTRY SERVICES
Plan Review: PWTS-0$2301906-C G'��'� ��Ay�/"
wr��vs
(/
Dylan Schultz
__ _- _ _ _ __ _
7076N Stone Lake Rd
�Ek i:.C;RRESP{?U[�Et�(;E
Stone Lake, WI
SITE:
Turanski
12232W Blaiszkis Bay Lane
Sawyer County
Town of Hayward
S36 T40 R8W
FOR:
� Description: 3 Bedroom- 450 GPD — 24" to I GeoMat Mound Manual — (May 2022-2027)
'j limiting factor — Effluent Filter - I Pressure Distribution Component Manual — Ver.
I Maintenance required � 2.1 (May 2022-2027)
�I �
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
• If using the existing septic tank, it must be inspected for watertightness and structural soundness, size and
baffles, and must be brought into conformance with the requirements of ch. SPS 383, Wis. Adm. Code.
• The mound 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 raked up and removed. Cut trees and
shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use
only tracked equipment, during dry conditions, with minimal passes, to avoid compaction.
• 12" of sand shall be installed between the contour and the bottom of the GeoMat product.
• Orifice Shields are required.
� A sanitary permit must be obtained from the county where this project is located in a�cordance with the
requirements of Sec.145.19,Wis.Stats.
• Inspection 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 deaning of the filter is required.
• A copV of the approved plans,specifications and this letter shall be omsite durin¢construction and open to
inspection bv authorized representatives of the Department.which mav include local inspectors.
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
hazard,the property owner must follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes.Reports shall be submitted at intervals appropriate for the componeM�s)utilized
in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall
relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries 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,
.ja��►,r,c�/2dwZP,y
Joshua Rowley
POWTS Plan Reviewer,Division of Industry Services
(715�813-9111 joshua.rowlev@wlsconsiq.�ov
GeoMat MOUND RNDPRESSURE OISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
n _ . _
Project Name: Turanski -Blaisziks Bav Lane
Ownefs Name: Bruce&Cynthia Turanski �
Owner's Address: 999 Parkview Ln
Hudson.WI 54016
Property Address: 12232W Blaisziks Bay Lane
� --__------- _._ __ __ __
Legal Description: S 36 T 40 N R 8 W
-- -...— - --- —_. _ _--- —
Townsbip Hayward , _ _ . County: Savryer. _ __._ _ _ .
Subdivision Name: P/O Govt Lot 2
. . ___ ... . . . .._.. . . . _-----.. _._----
Lot Number: 4 Block Number: CSM#: 6707
Parcel I.D. Number. 010-840.36 5210 Y � � � �
Plan Transaction No-: � � � ��
Page 1 Index and title Page 9 Tank cross sections
Page 2 Data entry Page t0 Site Diagram
Page 3 GeoMat mound drawings - -� �-
. . _.__.. __ ._ __._.....
Page 4 Lateral and dose tank
Page 5 DisUibutio� media �� �
Page 6 System maintenance specificafions
Page 7 Management and contingency plan � � �-
.. __._._ _ .
Page 8 Pump curve and specifications
D�aq Schul� License Number: 1516129
----.. . ... -- -- - - �
Date: 07/22/23 Phone Number: 7�5-558-5904
Signature:
Designer Stam . State of Wisconsin Approval S[amp�
.���//� - � �
Designed Punuant to tha ��
GeoMat Mound Component Manual 5/18122 . . .
SSWMP Publiption 9.6 Design of Preuure Disfibution Networks for ST-SAS(Ot181)and
Pressure Dishibulion Component Manual Ver.2.7 (May 2022-2027)
Page 1 of 10
Mound and Pressure `�ohiponent Design
�?esign Worka�eet
5 in orm on ._.,:. „
R� ReSfdential or Commercial Oesign � N ISD Repuiretl�
300.00 Eshmated Wastewater Ffow(gpd) �
L50'� Peaking Factor(e.g. 1 S= 150%j
450A0 Design Flow(gptl)
O.DO Site Slope(%)
99.40 Installation Contour Line Elevation(ft)
24.00 Dep[h to limiting Factor(in)
1.60� In-situ Soil Application Rate(gpd/ft')
110.00 Contour Length Available(fl)
Distri uHon eff n ' , . .. _
� 3.25 Cell Width(fl)3 25 65 or y 75.0� �� 70.00 Designer Input Cell Length(R)
� 2.00� Dispersai Cell Design Loadirg Rate(gptl/ft) ,:1:'�69,Y! Dispersal Cell Length Requiretl(ft)
. 2 Influent Wastewater Quality(t or 2)
sure n n o _
E�,Center w End Manifoltl Are the�aterals the highest point
1 Number of Laterals in the distribution Y
0,00 Lateral Spacing(ft) network? �
7 34 Forcemain Drainback(gal) If N above,enter ihe elevation(H)
0.50��, Forcemain Filter Loss(ft) of Ihe hghest point . � �
. 2.00'� Forcemain Diameter(in)
45.00'� Forcemain Length(ft) Dces the(orcemain drain back7�. � Y �,
� 93.00�� Inside Pump Tank Elevafion(ft) � � -
� O.t88�� Orifice Diameter(in)(e.g.0.25)
2.00 Es[mated Orifice Spacing(ft)= 6.50 ft�/onfice
3.25 Sys[em Head(ft)x t3
6b5 Verticai Lifl(R)
0.53 Pnction Loss(N)
10.93 Total Dynamic Head(ft)
55.a6 5x Voitl Volume(gal)
62.80 Minimum Dose Volume(gal)
22 96 System Oemand(gpm)
_ .. . . . .. .. . . . . _
18M@ f �� OC�lOf1 . � .... .. . - .. . . . .. . ...
Lateral Diame[er Selectian Manifold Diameter Selection
in.dia o tions choice in.dia. o tions cnoice
075 125
1.W 1.50
125 2.00 �.. ..J'
....__i __— I
1.50 �......--- --'� 3.00
2.00 x _ . : , ._—
i s UU x
_ ..
anufaeturer n �rm on� � � �
Treabnent Tank In(ortnatlon Effluent Filter Info�mation
� 10�0.00 Septic Tank Capacity(gal) Lifehme Filte:LLC Filter ManutacWrer
'Wieser Concrete Producis. Inc �MawfacWrer LT 1/8 �FiNer Model Number
Dose Tank Infortnalion Gallons/inch Calculator!opt�o:�a I?
60282 Oose Tank Capacity(gap 602.82�Total Tank CapaciTy(gaq
11 B2. Dose Tank Volume(gal/in) 57 00 Total Workmg Liquid Depth(in)
Wieser Concrete Products, Inc. ���,Manutacturer 11.82 gallin(enter resWt in cell DoseTankVWume)
Project� Turanski-Blaisziks 8ay Lane Page 2 of 10
Mound Plan View
♦ --T
1� � ��ObservahonPipe - Lrl � _j
K �
g All
W � � —T
B I
o ;
; . ,. ; . . . _
+ �1
� L
om
A 325 ft E 0.00 in H 1.00 ft K 6.75 ft
B 70.00 ft F 15.00 in 1 525 ft L 83 50 ft
D 0.00 in G 0.50 ft J 525 ft W 13.75 ft
227.50 (ft) Dispersal Cell Area 96250 (R') Basal Area Available
6.43 (gpolft) Linear Loading Rate 6" End of B Obs. Pipe Piacement
GeoMat Dispersal Area
Observation Pipe
12"ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
Componen± - GeoMat a 12"ASTM C-33 sand
H-., G
101 BS Finish Grade Cover rnaterial
100.48 Lateral Invert Elevation . E�.�
99.40 DispersalCell _ .�::�. � .� �.� Slope 0.0
Elevation
Contour eleva[ion 99.40
`� Tilled Area
Forcemain
In situ soil �
In 5itu soil
1 Q Topsoil Cap
2 Q Subsoil Cap
; 0 ASTM C 33 sand (F)
1 � ASTM C 33 sand (D)
5 0 TiIIeG Layer
6 0 Geo Maf
See details on page 4 for number,s¢e,and spacing of laterals.
Project: Turanski-Blaisziks Bay Lane Page 3 of 10
gram
;�Allorificespointdawn �-Tum-upw/ballwWeorcleanout ��
/
�� �.X _� Sstorificelocatedal Z �I
.,L_ �_"�� ;
�- P -_--_ �J�
�
%�Wteals&force main af PVG Sch 40 oer SPS Tablr. . _�
�
Numbef of Laterals 1 Ortlice Diame�er 0.188 in
Laterei Diameter 2.00 in Orfice Spacing(X) 2D0 tl
Lateral Length(P) 89.00 ft Orifces per Laterel 35
Lateral End(Z) 1.00 R Orifice Densiry 6.50 fl'/ontice
Laterol Spacing(S) 0.00 ft Manifold Length 0.00 R
Late21 Flow Rate 22.94 gpm Manifmd Diameter 2.00 in
Systam Flow Rate 22.94 gpm Forcemain Velociry 2.34 tl/sec
Btl . .... ..... . � . .. .. . . . .. . .... . .... . .
I eaklnc co��o�v nh xamin¢IaM�1.
4wkine deviae uM wnmr tirJn.col
LlvarcrcalAa ���•����••o� �_'
� v.
pv 4S tl1U � � .
alv.n�.^e�� i.
w— �1L::F� h..iGnde.... 4 1�-.: ' a _ l�iil_.
. • ._ .. __Dismmxv
"c�r�n om ripc qphmnl A+il.rf�c
w��rm�„n�.�d.�.o��,��.� j �;/.:�.. m��.n.�a�e�r
— � .m��nn.��,.Ipe,...e
. ��. �tfii�.�,u�aJ�in Fomemeindiameter
.r min r.�i em. ..l_
— :p 2 ia
�I Hnc �np I �I �����oilr ��•�
oM �ce .__. ..�4 � , ,,
Ai+ tikA�gmkc� ..I,` . ri I-iim..�
Sim/Tech Fker � '�' .�d�m�3:��.��
STFI00 1/16 i1lig�i.vmeralari��.��, -
BIinnpOnFlm�' 3�
� •' �
�PampOfiflm�'.I�', v � PumPoflekva4onQq
� 'r����p �=: 9383
� � -
j m�� ' � Oou IaM ebvaEan(Ip
�._ _ . . ..".ilcJdinT unJcr wn.. . . ' ���� . 93.00
. : t ...:;STa
Dimension Inches Gallons Wiaser Conaete Protluds,Inc.
A 33.69 398.18 Ca aci 602.82
B 2.00 23.64 Volume it.e2 gavinch
C 5.31 82.80
D - -'� 10.00'�, 7t8.20
Total � ��51.00 602.82
FiHer Maw(acturar �,Sim/Tech Fitlar � �
Filter MOGeI Number BTF 100� Vi6 -� �
Alarm Manufac[urer IS,IE Rhom6ua
Alatm Model Number�PS Patrol
I�.--- _-___.
__'_ . .___ ... .__ ..
Pump Manufadurer Liberty Pumps '
_.__ _.__ . . ___._. _ . .
Pump Motlel Num6er-. 253I.
Pump Must Deliver 22.94 gpm el 10.93 fl TDH
Note�.Swrtches containing mercury may not 6�usetl;n this system.
Project: Turanski-Blaisziks Bay Laite Pafle 4 ot 10
GeoMat Distripution CeN Media Layout
325 Cell Witlth�ft) �.63 Sitlewall to La[eral�ftl
Distribution Cell Cross-section Arranqements
. . . . . . . _� . . _
0 onen eg
� Disinbutbn Pipe Wdh Pressura Lalerel W Orifice Shield
� Turnup EnGosure ----- Pressure Lalerai
GeoMat is mvaretl with apOroved geoleulile Iabric as per Me their produd approval.
Dlstributlon Cell Plan Y�ew Layout•Typicai
325 Cell Wid[h-A(ft) 70.00 Celi Length-B�tt)
End Conr�ac0on L9t9re/Layout Olegram
.�-_� - --_- -- = - - - - - - - J
��F���R�omme�� Distribution Lateral
' Or�re Shield
Rpe Dia. Approve0lntihra[ive Fa6ric
I'�.� '...E.N-.�F{�. 'Mi .
� _ ��.-IAtd ll 3e1 � GeoMac
�� Compo(rent
0 � M4�/,.91MGll..m1�.���
Intiltrative Surface/Flow layer
:a�ca��.
�WacerTrM�
i Q Topsoil Cap
�a�:rb�a� f a•Mi� ��
2 0 Subsoil Cap
' ' p.y� 3 0 ASTM C 33 Santl (F)
�`"` J 0 ASTM C 33 sand (D)
�•M�� �"*�'°a' S Q Tllled Layer
��G� � 1 MN
,,�� 6 0 Geo Mat
!Ad7EYQf�,"ff`nlUt ' � rr _ su.�
� iY,U"Mf�➢ai¢Mfnm:. , . . .�i
S¢e Ce�ils On page 4lor number,s¢e.arW spacirg of late215
Project: Turanski•BWiuiks Bay Lane Page 5 M 10
Momu!' "', ance and Operallon Specifiwtlons
Service Provider's Name',_Dylan Schulfz �� � Phone (715)558-5904'
POWTS Regulators Name Savryer County SPIA-Zoning AdmiNstration � Phone (715)G34-8288�
Svstem Flow and Load Paremeten
Design Flow-Peak 450 gpd Maximum IMluent Particle Size 7/8 in
Estimated Flow-Average 300 gpd Ma�nmum BODS 30 mglL
Septic Tank Capacity 1000 gaI Maximum TSS 30 mg/L
Soil Absorption Componeni Size 227.5 fl Maximum FOG 10 mglL
type oiwastewater pomesUc Mexlmum FeCal Coliform t0E4 c1u/100 mL
Service Freouencv
Septic and Pump Tank Ins ect antl/or service once eve 3 ars
Effiuent Filter Ins ect and dean as necessa at least once eve 3 ears
Pump antl Controls Test once eve 3 ears
Alarm Should test periotliall
Pressure System Laterals should be flushed and ressure testetl eve 3 ears
Mountl Inspect for ponding and seepage once every 3 years
Mlacellaneous Constructlon and Materials Stantlards
1. Observation pipes are slotted and matenals contorm to Table SPS 384.30-1, have a watertight cap and are securetl in as
shown in the Synergy Systems GeoMat Mound Component Manual Version i,2017.
2. Dispersal cell media conforms to GeoMaT producta approved for use with the Synergy Systems GeoMat Mound Component
Manual Version 1.2017. Media is coveretl with an approved geotextile tabric.
3. Ali gravity and pressure piping materials corrfortn to Ihe requirements in SPS 384,Wis.Adm.Code.
4. Tillage of the basal area is accomplishetl wtth a molA boar0 or chisel plow.
5. The mound sVucture anA other tlisturbed areas will be seeded and mu�hed to preveM soil erosion antl help retluce frost
penetration.
Latenl Tum�p Detail
6-8"Dlameter Finished Threaded Cleanou[
Wwn Sprinkler 6rade � PIUg or Ball Valve
Box
� Lateal Ends at Last Oiifice Where
Long Sweep 90 or Two
�45 Degree eends Same
Diameteras Lateral
♦ '
DistributionLateral � LateralCleanout
2.5 Feet
Pfoject: Turenski-BlaisziKs Bay Lane Page 6 of 10
Mound System Management Plan
Pursuant to SPS 383.54,Wis.Adm.Code
Gmxa�
This sys[em shall be oparated in accardance wRh SPS 382-84 Wis.Adm.CoAe.antl shall maintai�d in accorAance with its'componenl
manuals(Synergy SyStems L LC.,Geomat MounE CompOnent Manual version 1,2017,Preesure DisMbution Component Manual Ver.2D
SBD40706-P(N.07/01)and SSWMP Publiration 9 6(01/81)]and local or state rules pertaining to system maintenance and mainrenance
reporting
Septic antl pump tank aCandonment shall be in accordance wdh SPS 383.33.Wis.Adm.Code whan the tanks are no bnger
used as POWTS components.
Septic or pump tank manhole nxrs,access nsers and covers shouM he inspected for water tghtness arM soundness. Access openings
usetl for service antl assessment shall be sealatl watertight upon Ne crompletbn of senix. Any opening tleemetl unwutM,defective,or
subject to failurc must be replaced. Ezposed access apenings greater ehan&inches in diameter shall be sewretl by an eflective loCking
device to prevent accidental or unauthorized en�ry into a tank or comporient
Seotlt Tank
The sep�ic tank shali p¢maintained by an individual certifietl Po service seplic tanks uMer s.281 48,Stats. The contenis of ihe septic
tank shall be tlisposetl of in accordance with NR t 13,Wis.Adm Code The operating condrtion of Ihe septictank antl outlet filler shall be
assesseE at least once every 3 years 6y inspectwn.
The outlet ffler shail be cleaned as neressery to ensure pmper operation. The fHer wriridge should not be removetl unless provisions
are made to retain solids in the tank that mey slough oR the titter when removed from Ns enGosure- If[he ftter is equipped with an alarm.Me
fitter shall 6e serviced if Ihe alartn is activatetl continuousy. IntertnittentfiMer aWfms may indicate surge Flows or an impending continuous
alarm.
The sepfic tank shall have its coMenls removed when the volume of sludge and swm in the tank exceeda 1/3 the Ipuid volume of Ne
tank. If the wntents of Me lenk are not femoved at the lime of a lnennial asaesamenl.maintenance personnel shall e0vise Ihe owner es lo
w�en tha nent service neetls lo be perfartned to maintain less than maximum xum and slWge accumulalion in ihe tank.
7Te a4Eition of bioloqital or chemiral atlddives to enhance septic tank pedortnance is generally nol requiretl. However,if such pmCucLs
are usetl they shall 6e apProved for seD��c tank use by the W�sconsin Department of Commerce.
Pumo Tank
The Cosirg(pump)tank shall be inspectetl al least once every 3 years. All switches,alartns,and pumps shall De testeE to verrfy proper
operation If an efiluent filter is installetl witMn t�e tank�shall be inspeGed and servicetl as necessary. If the force main has a weep hole,e
shoulA be noted ff ii is fundional dunrg pump operation,and rf not.tt shouW�e Geanetl
""'No one should ever enter a septic or tlose Gnk alnce Wngerous gases may De prvsant fhat coultl cause deafh.""
MounE anA Pressure DfsMbution Svstem
No hees or s�mbs should Ee planted on the mountl. Plantings may be made around lhe mound's perimeter,and Me mouna shall be
seeEed and mulched as necessary to prevant erosion and to provide some pmtedion Imm fmst penetration. Traac(oMer than Por
vegetative maintenance)on the mound is not recommended since soil compaclion may hinder aeration of the infiltraliva surfaca within t�e
mound and snow compaction in the winter will pmmote Frost penetratlon. Cold wealMr installatbns(October-February)dictate that t�e
mound 6e heavily mulchetl as protection from freezing_
Influent quality into Ihe mountl system may not exceed 220 mg/L 80�,,, 750 mg/L 755,aiM 30 mg/L POG for septic tank afFluent or 30
mglL BOD, 30 mg/L TSS.10 mg/L FOG,and 1 Q'cfu/100 mL for hghiy heated effluent InflueM flow may not exceeA maximum desgn Bow
speci/ied in lhe pertnit for Nis installalion.
The pressure disiribution system is provided wiN e flushing point a[the entl of each laterel,and A is recommentle0 that each lateral be
fiushetl of accumulated solWs at least once every 3 years. W�en a pressure test is performM it should be compared to the initial test when
the system was installe0 to Celertnine if onfice Gogging has occurred antl rf onfice ckaning is tequiretl to maintain equal dislribution wil�in
the tlispereal cell.
OOservation pipes wRhin the dispersal cell shall be checketl/or eflluent ponding. PorWirg levais s�all 6e reported to the owner,and any
levels above 4 inches wnsidered as an impending hydraulic failure requiring atltlitional.more hequent monitonng.
Contlnuencv Pian
If ttre sep[ic[ank or any of its components become Uetective t�e tank or component shall be repaired or replaced to keep Me system in
proper operating contldion.
If the tlosing tank.Dump,pump contml5,alartn or relateC vnnrg becomes tlefec[ive t�e Aefective[omponent(s)shall Ce immediately
repairetl or replacea wit�a component of Ne same or equal perfortnana.
tf Me mountl component tdils to accept wastewater w�egins to tlischarge was[ewater to the gmund sudace,it will be re0aired or
replacetl in its'present location by increasing Dasal area if tce leakage omurs or 6y rnmovirq bioloqifaM clopged absoiption and dicpersal
media,antl relatetl piping,and replacing saitl components as tleemetl necessary[o bnng Me syslem into proper operating coMil'wn.
$ee Paqe 6 of this D�n tor t�e name and telephone number of your bcal POWTS 2gulator antl service prov�tler.
Project: Turanski-Blaisziks Bay Lane Page 7 of 10
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,;4b�� TANK SPECIFICATIONS ��
DIMENSIONS: � �
i WALL: 2 1/2' ,'n 4
� BOTTOM: b' o
_ COVER: 5' I
__ MANHOLE: 24'I.D. PRECAST CONCRETE RISER
/ \ HEIGHT: 69 1/2"O.D. J
/ \ LENGhI: 114 7/8"O.D.
' WIDTH: 93"O.D. _ rd
i BELOW MLET: 57'0.�. i,����
LIQUID LEVEI: 51�
02M1� � � WEIGHT: 12,380 LBS. �
� � INLET AND OUTLET:
TY� ry
4" CAST-A-SEAL 800T OR EQUAL �
FILTER OR GASKET,CAST-A-SEAL BOOT OR EOUAL � �
\ BAFFLE � INLET AND OUTLET BAFFLE AND FILTER: m $
� � WISCONSIN, SEE DETAIL�y70 � � e
- (OTHER STATES SEE CHART) a '�'� w
LIOUID CAPACITY: 19.67 GAL/M(SEPTIC) �
11.82 GAl/IN(PUMP) W� �
TOP VIEW ��
IOADING DESIGN: 8' 0"UNSANRATED SOIL yJ�
MN TANKS:
��
N7LL HAVE ONE VENT OVER OUTLET Q��
AND WILL HAVE iW0 VENTS IN COVER OVER INLEi Q i�
Q I o 4�� �NT TANK CAN BE USED AS: �� �
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1� �I SEPTIC/SEPTIC,SEPTIC/PU1AP ���
OR SEP7IC/SIPHON W o I
COVER: MIX DESIGN /8(NO FIBER) ���
INLEi TANK: MIX DESIGN N70(SiRUCTURAL FIBER) =��
OUTIET
CUSTOMIZED TANKS: �;,
� � FOR CUSTOM TANKS CONTACT WIESER CONCRE7E 3
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JOB NAME: �
SIDE VIEW
DATE NEEDEO:
SHEET N0.
APPROVED BV:__
APPROVA�DATE: 1 Of/
TANKS ARE MANUFAC7URED TO MEE7 OR EXCEED ASTM C-1227 REWIREMENTS � �
PLOT � � ArJ
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, " "T�`-'��;� PRIVATE ONSITE WASTE TREATMENT county
r ��o SYSTEMS
<<,�Spg � ( POWTS) Sawyer
\k� `-%�i'
' '"��" ' INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �3 �. ��'-7
Petsonal infonnation you provide may be used for secondary putposes[Privacy Law,s. 15.04(i)(m)] �
Permit Holder's Name: ❑City ❑ Village lj�Town of: State Plan Transaction ID#:
Q�,c�,d-C,��.��� • �a �'3-a$�3��SoL--�
insp BM Elev: BM Description: Parcel Tax No:
��•b� '�ti( r1obovl E��t�"(l a"1 S.S��`�e,a��-g��n/.[,�� O lU-�p--36-.����
TANK IN ORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic �,�,;�r -- (p� Benchmark �oo.c��
Dosing --��yt�c�, 600
Aeration Bldg. Sewer
Holding St/Ht Iniet ci76 �
TANK SETBACK INFORMATION St/Ht Outlet �f7,3 '
TANK TO P/L WELL BLDG vENrTo ROAD Dt Inlet
AIRINTAKE
Septic �(` t� /���- �/ NA Dt Bottom 4 y�IS'�
Dosing �• �� 4 N NA Installation �
Contour `��'.Y
Aeration NA Header I Man.
Holding Dist. Pipe (a o,�g �
PUMP 151PHON INFORMATION Infiltrative
t
Surface 4 9�}`
Manufacturer �, Demand Final Grade
Model Number 1S',?j GPM C-3 ��'� �
TDH �, Lift Friction Loss Sys Head TDH Ft
Forcemain L �� � Dia ��" Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS �N ,�.5 L �O.c�� #of Celis Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv ❑ Aggregate ���
INFORMATION P/L Bldg Welt Waters � IGP ❑ Chamber
❑ AG o EZFIow Model Number:
CELL TO -t- (p J,�I � f � Mound �C Other
-- -- --- - --
DISTRIBUTION SYSTEM �� T� X Pressure Systems Only
-- - _- — - - ----
Header/Manifold ^ Distribution Pipe(s) �� ' X Hole Size X Hole 2� Observation Pipe�
Length — Dia 1 Length� Dia o2 Spac ^ p�� % Spacing IP�Yes ❑ No
— - __—_ ___ _ ---- - _— ----�
SOIL COVER _
-- ---- -
Depth Over ., l Depth 9ver r v I Depth of ��, � S�eeded/Sodded � Mulched �
Cell Center ��' � Cell Ed es �� To soil Yes ❑ No �s ❑ ��o
___ __ --—
COMMENTS: (Include code discrepancies, persons present, etc.)
���(I� ��� �� 3
Plan revision required?�Yes ❑ No �3�� �c� II �-�� ��
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'I '� �� S�l� -
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
A��ITIONAL COMMENTS AN� SKETCH
SANITARY PERMI? NIJMEER __�_3 -_�a?___ _
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