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Home My WebLink About002-940-15-4111-SAN-2023-272 �' Department of Safety c°°"ry , � � �`:;;, & Professional Services, � `^� '�- � Sanitary Permit Number(to be filled in by Co.) �,J `; '_ ^,! Industry Services Division -,;r �i' (,� 51 l.,% �� ;� � ��,�,,4,, ,,, Y Sanitary Permit Application State 1'ransaction Number � [n acwrdance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit �^�b�� ` ` �� is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Pruject Addres,(it�ditterent than m�iliiig addre � the Department of Safcty and Professional Services.Personal information you provide may be used for secondary purposes in accorda�ce with the Privacy Law,s.15.04(1)(m),Stats. �- I.Application Information-Piease Print All Inform�tion �� ' � �� y�'(�� Property Owner's Name Parcel# � S G �f��l-- / 1 ��v'' �� d'J u`� '„�� i � �� Property Owner's Mailing Address Property Location �'-�`�� ,�-i� �pe°� City,State Zip Code Phone Number � �- � �� j��.�i 'r � '/<, �C '/4. Section � � �i�.J= l.i� !�� iI.Type of Buiiding(check all that apply) � Lot# �� T �� N R E or C,�}or 2 Family Dwelling-Number ofBedrooms_ � Subdivision Name Block# ❑Public/Commemial-Describe Use ❑City of _ ❑State Owned-llescribe Use CSM Number ❑Village of 30I`�d- �� Town of—1��5�__�— III.Type of POWTS Permit:(Check eit6er"New"or°'Replacement"and other applicabie on line A. Check one box on{ine B.Complete line C if �a licable. _ A' ��.New S stem y ❑ Replacement System ❑ Other Modification to Existing System(expiain) U Additional Pretreamient Unit(explain) B. ❑ Hoiding Tank ❑ tn-Ground ❑ At-Grade �Mound ❑ Individual Site Desig� ❑ Other Type(explain) (conventional) ❑ Chan ist Previous Permit Number and Date Issued C• ❑ Renewal Before ❑ Revision ge of Plumber ❑ Transfer to New Owner � F,xpiration IV.DispersaUTreatment Area and Tank Information: Design Flow(gpd) Desian Soil Application Rate(gpd�s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Ele��ation �l �,O `� S-c� �15 � � 7 Capacity in I'otal #of Manufacturer :3 Tank information Gallons Gallons Units p ;; o '° � U � New Tanks Existing Tanks � o ;; � � ,D "a � a U rn y v� ii C� P- Septic or Holdiog Tank ' v h � V �;� ' r - ,� Dosing Chamber ' � � J �� . �.� V.Responsibility Statement- I,the undersigned,assume esponsib` r installaHon ef the POWTS n on the attached pians. Plu ber's Name(Pri Plumber' ignature � PRS Number [3usiness Phone Number „f ,�✓r�i. 1�f- v�� 3�'v 3 ?iS-�/� �� %� Plumber's Address(Street,City,State,Zip Code) J_ �� !��zi_� 1 r � 1�� ,�_.�> ,��z �,= VI.Coun iDepartment Use Only Pennit Fee Date Issued Issuing Agent Sfgnature �A � ❑Disa roced , �p ❑Ow er Given Reason for Denial $ ��'�� i�I I� ��3 �� Conditions of Approval/Reasons for Disapproval _ �''+!� � IA ►7 .��,3 - ._,, " °� ! `'} e � '' �� V' ��i .+ �I� � ��,�-,r .� o t o►`� a ..._ __.. ��;: t =a � 'f i � 1 5 <<.� 3��5 ��`�,�� 4 � ��`� CS i �3 - ► �3 _, �, �'� __ _ -- - . _ . . _ , .__. . �____., _: Attach to complete plans for the system and submit to the County only on paper not less than 8 I/2 x 11 ll�hes_in sj�ye • .:.`- ' t,��t� 7�:�_',"_, - NO R�FJt�D�A�TcR SBD-6398(R.03/22) l�U�OF F�}��`�' `��.P:1 RT_iAl�:\T Wisconsin Department of Safety and Professional Services ��/' ��f Phone:608-266-21 I� Division of Industry Services �l' �� Web:htp:'/dsps.wi.�o� 4822 Madison Yards Way "�� Email:dsps��wisconsin.gg�� PO Box 7302 �� `t Madison,wi 53�0� ?�;�`�'� ��l Tony Evers,Governor Rr,��,5.s��__a/� � Dan Hereth,Secretart� Conditionalty October 11, 2023 APPROVED DEPT.OF SAFETY AND PROFESSIONAL SERVICES CONDITIONAL APPROVAL D{VISION OF INDUSTRY SERVICES PLAN APPROVAL EXPIRES: 2025-10-11 �� ,�'r"""� Plan Review: PWTS-102302299-C SEE CORRESPONDENCE Daniel Burch 1118 N Front Street Spooner,WI SITE: Kilmer 8619 Highline Rd Sawyer County Town of Bass Lake NE%SE%S15T40NR9W FOR: �-- -- iDescription: 3 Bedroom-450 GPD mound— i 30"to limiting factor- Effluent Filter- Mound Component Manual—Ver. 2.1,SBD- � Maintenance required.Cell Replacement 10691-P(S/22-5/27) Pressure Distribution Component Manual—Ver. � 2.1 (May 2022-2027) � � � Verify proper dose is achieved and system is not being over dosed. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes.The submittal has been CONDITIONALLY APPROVED.This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above.The owner, as defined in chapter 101.01(10),Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • The site shall be properly prepared prior to plowing.Any grasses longer than 6 shall be cut short and „ removed.To avoid matting,any leaves or loose organic matter shall be 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. • Components and soil removed from an existing drein field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec.145.19,Wis.Stats. • 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.14510(2)�d),Wis. Stats. • A state approved efFluent filter is required.Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copv of the approved plans,sqecifications and this letter shall be on-site durin�construction and ooen to inspection bv authorized reqresentatives of the Deqartment,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 component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries 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,operaHon or maintenance of the POWTS. Sincerely, �(it�✓��v(/Wv /L�� Joshua Rowley POWTS Plan Reviewer,Division of Industry Services (715)634-5124 Joshua rowlev@wisconsin.Rov MOUND AND RRESSURE DiSTRiBUT10N COMPONENT DESIGN ResidenEial Applic�tiQn INUEX AND TITLE PAGE Conditionally Project Name; Kilmer Mound e nr�onvcD DEPT. OF SAFETY AND PROFESSIONAL Owner's Name: Joseph Kilmer SERVICES � DIVISION OF INDUSTRY SERVICES C3wne�`s Address: 6446N Old 27 Rd Stone 1.ake WI 54878 SEE CORRESPONDENCE Legal Clescription: NE 1f4 SE 1/4 S 95 T 40 N R 9 W Township: Bass Lake Gounty: Sawyer Subdivi$ian Name: Lot Number: 2 Biock Number: Parcel I:D. Number: Tax'1D 39219 Pian Transac#ion Na.: Page 1 tndex and titl� Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and ttose tank Page 5 System maintsnance specifications Page 6 Management and ccrntingency ptan Page 7 Pump curve'and specificatwns n-� �} 3`�� Designer. �� License Number: �� Date: A1 � 1 — �- "�'� Phone Number: "T J�y I �..�(, �J� Signature: Designed Purs�ant to the Mound Companent Manual for POWTS Version . - � /41�y' ,�3�2.�:- �,�,Z7 and boih SSWMP Publicativn 9.6 Qesign of Pressure Distribution Networks forST-SAS (01181j and Pressure Distribution Component Manual Ver. ;2 . � a� � �� -7 cti.( Version 7.0 (R. 11/12) Page 1 of 7 Maund and Pressure Distribution Component Qesign Design Worksheet Site Informateon {R or C) `�� R` Residentiai or Commerciai Design Note: Sand fitt{D)calcutations assume a �� tgp � 7able 383�4-3 in-situ soil treatment for 300.00� Estimated Wastewater F(ow d �4.:-.-- --. fecal colifiartn of<=36 inches. 1.5#1; Peaking�actor(e:g. 1.5- 150%) 450.00 Design Flow(gpd) � 1 5Q Site Stope(%) ss 97.00 Contour Line Elevation(ft} �� 30�00 Depth to Limiting Factor{in} ? OAO� �n-situ Soil Application Rate{gpd/ft�) aistributwn Celt in#ormation �� 65 00� Dispersal Cell Length Along Contour{ft) = 6.93 Gell Width(ft) �y 1.04� Dispersal Cell Design Loading Rate{gpolft f r.,_. ��F � 1� Influent Wastewater�uatity(1 or 2) Are the laterals the h�ghest point� � `� �� in the distribt�tion � `-- Y � Pr+essure�isribution tnforrr�ation neiwark? Enter Y'or N ��pr E) �� Genter ar End Ma�ifald 3.47 Lateral Spacing{#t) If�N above,enter the eievation {#t), 2F�Number of Laterals of the highest point. ��_ ] 0.188; Qrifice Qiameter(in) 3.8d` Estimated�rifice Spacing{ft)= 10.24 ft�orifice 1.50� Forcemain Diameter{in) .� v_ � 60 Opj �orcemain Length(ft) DoEs the forcemain drain back? � . . ~Y v_� 90.00� Pump Tank Elevation (ft) Enter Y�br N 325 System Head (ft}x 1.3 5,51 Forcemain Drainback(gaf) 7.0� Vertical Lift(ft} 58.19 5x Void Volume(gai) 4.38 Friction Lass(ft) 63.70 Minimum IJase Volume(ga!) 4 O pQ In-line Filter Lass(ft) 28.84 System Demand(gpm) � � 14.63 Total Dynamic Head(ft} Lateral Diameter Selectron Manffold Diameter Selection� in. dia. options choice in. dia. options�choice y� 0.75 _. s_ 1.25 x , , .__.��__ _ _�___..�I 1.00 '�.50 x x 1.25 _.. - 2:00 .Y.._._�, 1.50 x ��_X - 3.�0 _..,._.m...�..... 2.00 X -- - �____.___ _ 3.00 x ._.., .��.,.7 Galtans/Inch Calcula#��{�r.�tion�I} 'Freatment tank Information � � �j Tatal Tank Capacity(gal) _�_, {�1000 00� Septac Tank Capacity(gal) �� m ,� TotaJ Worl�+ng Liquid Depth (i�} �Wieser,Concrete ln�Manufacturer gai/in (enter result in cell 649} [}ase Tank lnformation Effluent Filfer tnformation �600 d01 Dose Tank Capacity{gal} �poiylok� �� Filter Manufiacturer ��11,82' Dose Tank Volume al/in +525 �Filter Mode! Number e i �9 } }_ --�--____��. _ _�� W►eser Concrete Inc�Manufacturer Project: Kilmer Maund Page 2 af 7 Mound Pian and Cross Section Views . . . . . . . . . . . . . 1 . . . . _ . . . . . . . . . �:• 1/10 B ; . . . . . . [� ' � , • ; C}bservatwn P�pe ' ' .!�`^^_'.t . . . . .•.•.• . . . . . •.�.�. . . .•.�.•. . . . . , K . . � �;�:�: : :� ^+ t7 � A . , . . . W . . . . . . . .�:t: .-:�: . .' . . . . . . . . . - - . .•.•. . . . .•. . . •. . . .�.•. . . . .•: . . • � . . :I.�:: . . . . . . . .-.•. . . . . . . . . . . . . . : . . . . . . . . . . . . . � .L1 . :•. . . . . : . . . : . . . . : : . . . .�: . . . ::•. . . . . � . . . z � . . . . . . . . . . . . � � -- Mound Component Dimensions down slap�t�e extensit�n macie A 6.93 ft E 7.25 in H 1.00 ft K 7:03 ft B 65.Q0 ft F 9.5� in [ 10.38 ft L 79.06 fk D 6.00in G 0.50ft J 5.14ft W 22:45ft 450.45 (ft) Dispersal Celi Area 1125.00 (ft2} Basal Area Available 6.92 (gpd/ft}Line�r Loading Rate 6.50 (ft) 9l90 B Obs. Pipe P(acement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.29 (ft) ------► �S� d.3 ..,.,, ,,,,..: I H ..,,,,,,..,,,� „�,,:.., G � .:.s,,,..,,,,,,..,�,,..,,.,,,.,�,i:'"•�1- F . D�spersal Cen . 98.00 (ft)Lateral I � � .; � Invert 97;50 (ft)-► -- , .. .;. . . pispersai Cell (�. _ : . � , � Elevation . . . : :.�.�. .. .: � : .�. . . . .� � . . . .�. . . ��" � Q ' � ❑ 97.00 (ft)Contour Elevatian 1.5 % 5ite Slope Geotextile Fabric Cover Shading Key m $, � Dispersal Cell See laterai details on 1[�] 1`opsoil Cap a � 1.5 ft o � Page 4 for number, 2[] �� Subsoil Gap �" � __j__ � � size,and spacing of � AS7M C33 Sand t6 16 T � iaterals. taterals are v Z equaliy spaced from the Tvpical Lateral �] Tilied l�yer .e � 0.�� distribution ceR's (� �� Aggregate �o __j_,_ � centertine in the �..� A �♦ distribution cell(AxB}. Prvjec� F�ilmer Maund Page 3 of 7 End Connection Laterai Layout Diagram La�e�a s centere ovpr r�e & ansion ♦�Turn-up�bsil v�lvs ar ttfoaneutplug � P -� AN 13tdtbl:�fQ t�fM1��81I �e-y�---�' ►�Pits�iriHed an�ha b�,+t�m of t}�iareiai equally spacad � � Focce m��+ccmne<<ux�tiria cve Gr rro<s[n maruldhi a�dnV Uui�t: later?�I�•�farr_crn�Scri 40 FVC r�er SPS Tat�le 3fsa 30� Number qf Laterais 2 4rifice Diameter Q:188 in Lateral Diameter i.50 in Orifice 5pacing (X) 3.02 ft Laterai Length(P) 63.42 ft Orifices per Lateral 22 l.aterai Spacing(S) 3.47 ft Orifice Density 10:24 ftZ/orifice Laterai F(ow Rate 14,42 gpm Manifold Length 3.47 ft System Flow Rate 28.84 gpm Mani€oid Diameter 1.50 in Total Dynamic Head 14;63 ft Forcemain Ve(ocity 5.24 ftlsec d08@ �1tl�C �filfOt'TYta�1011 tocking cover with warning � label and locking device and seaied watertight Electrical as per NEC 300 and--�-� ' SPS 316.300 WAC �4 in.min. Disconned ...�` � 7ank component is property vented %'• �- Alkemate outlet location Foroemain diameter Wfeser Goncre#e Inc Manufacturer � 1.5 in. Ca ac' 600.00 Gallons Volume 11.82 gaUinch A Weep hoie or anti- Dimensib Inches G811pt1S � siphon device A 31,37 370;82 B 2.OQ 2$:64 C Pump off eievation(tt} C 5.39 &3;70 � � 91.QQ D 4 y.- 12.00� 141.84 p Total 50.76 600,00 Dose tank efevation(ft) 3° Bedding under tank. �� 94.00 Alarm Manuafacturer}8JE Rhombus � �,� �� Note: Switch�s Atarm Model Number�Tank Alert �� containing mercury � �f�ay not be�u��d in Pump Manufacturer iZoeller�~� � � � � rv+] this sys#em. Pump Mtodel Number�952 ___.� �� pump Must Deliver 28.84 gpm at 14.63 ft TDH Project: Kilmer Mound Page 4 of 7 AAound Svstem Maintenance and Operation Specifications � .. .; � Service Provider's Name '� Dan Burch � Phone� 71 5 416 1642 � R�WTS Regulator's Name Sawyer Coun Zonrn Phone 715 634 8288 j �.�.�._...� �__._. � _�_ ��...�.�..�� v A... , S sy tem Flow aad Load Parameters Design Flow-Peak 450 gpd Maximum Influent Particie Size 1/8 in Estimated Flow-Average 3Q0 gpd Maximum BQD5 22fl mg/L Septic Tank Capaciry 100� gal Maxirnum YSS 150 mg/L Soil Absorption Camponent Size 450.�45 ft2 Maximum FOG 3Q mgl� 7ype afi Wastewater pomestic Maximum Fecal Coliform >10�4 cfu/10p mL Service FrequsncV Septic and:Pump Tank !ns 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 lnspect for pondin�:and seepage once every 3_years , �thF�� _ _ ��_�._�e.._. __�� _ _a _. _. _� ._ ___. __.___ ___ ._ _r __��I Miscellaneous Construction and Materials Standards 1. Obsenration pipes are slotted and materials canform ta Tabie SPS 384.30-1, have a watertight cap, �nd are secured in as shown in the mound camponent 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 accomplished with a mold board`or chisel plow. 5. The mound s#ructure and c�ther disturbed areas wil(be seec#ed and mulched to prevent soil erosion and help redu�e frost penetration. Lateral Turn-up Detail �inished ••.,.•....•••• ♦��a��• Grade vr 6-8"Diameter Lawn --,� .: Threaded Cleanout Sprinklsr Valve Box Plug or Ball Vatve Distribution �'``�� r-�"' ---- Long Sweep 90 or Two �-�--- 45 Degree Bends Same Diam�ter as�Laterai Project: Kilmer Mound Page 5 of 7 Mound System Management Pian Pu�uantto SPS 383.54,Wis.Adm.Code General This system shali be operated+n accordance wifh SP5 382-$4 Wis.Adm.Code,and shall maintained in accordance with its' component manuals[S6D-70691-P(N;U1/01„R. 10J12),5SWMP PubliCation 9.6(01/81),and PressureDistribution Gomponent Manual Ver.2.d SBD-10706-P(N.q Vd1,R.10l12}j and local or s#ate ruies pertaining ta system maintenance and maintenance reporting. No one sh�uld ever enter a septic or pump Eank since dangerous gases may be present that cauld cause death. Septic a�d pump tank abandomnent shali be in accorclance v�ith SPS 383.33,Wis.Adm.Code when the tanks are no torger used as POWTS components. Septic or pump tank rttanhole risers,access risers and covers shouid be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening,deemetl unsound, dafeckive,or subject to faflure must be replaced. Exposed access openings greater#han 8-inches in diametershatt be secured by an effective Iocking device to prevent accidentai qr unauthorized entry into a tank ar component. Septic Tank The septic tank shaU be mainfained by an individual certified ta service septic tanks under s.281.48;Stats. The ConteMs of the septiC tank shall be dispvsed of in accardance with NR 113,Wis,Adm.Code. 7he aperating cortdition of the septic tank and outiet fifter shali be assessed at least once every 3 years by inspection. The outiet fllter shall be cieaned as necessary ta ensure proper opetation. The#itter caRridge should nof be removed unless provisions are made to retain soiids in the tank that may slough nN the E+tter when removed from its enGosure. !f the filter is equipped with an alarm,the filter shaii be serviced if the alarm is activated continuously, I�termittent filter alarms may indicate Surge flows or an impending coniinuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of !he tank. If the contents af the tank are not removed at the time of a trisnnial assessment,maintenance personnei shall advise the owner of when the next service needs to be performed to maintai�less than maximum scum andsludge accumulation in the tank. The addition of biologipl orshemicat additives ta enhance septic ta�k petformance is;generally no#required. However,'rf such products are used they shall be approved for septic tank use by the Department of Cammerce. Pumn Tank The pump(doaing)tank shait 1�inspected at teast once every 3 years. AN switches,alarms,and pumps shall be tested to verify pto�r aperation, if an effluent flKer is instalied within the tank it shall be inspected and serviced as necessary: Mound a�d Pressure Distribution Svstem No irees o�shrubs shoutd be pianted on the mountl. Plantings may be made around the mound's perimeter,and the mound shall be seeded and muiched as necessary to prevent erosion and to provide some protection from frost penetration. Traific{other than for vegetative maintenance)on the mound is noYrecommended since soil compaction may hinder aeration of the infittrative surface vvitMin the maund and snow compaciion in the wintet wilt promote frosY penetration. Cold++veather installations(Octaher-February)dictate that the mound be heavily mulched as protection frpm freezing. Influent quatiry into the mound system may not exceed 220 mg/L BQDS, 15Q mg/t TSS,and 30 mglL fOG far septic tank effluent or 30 mglL BODg,30 mglL TSS.10 mg/L FOG,and 104 cfu1100 mL for highly ireated efflueni. �nfluent flow may not excead maximum design flow s�recifi�t in#Me permit for tfiis installatian, The presswe distribution system is provided with a flushing point aithe end�f each lateral,and it is recommended that each lateral #e flusfied af 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 insta�led to determine if or�ce ciogging has occurred and i#o�ifice cleaning is required to maintain equal distribution within the dispersai celf. Observation pipes within the disper�al cell&fiall be checked fot efFlu�nt ponding. Pond'rng levets shafl be repoRed to the owner,and �ny leveis above 6 inches considsred as an impending hydraulic failure requiring additionai,more frequent monitaring. Continaer►cv Plan If the septie tank or any of its components become defective the tank Qr component shafl be repaired or replaced to keep the system(n proper operating conditio�. If the dosing tank,pump,pump corttrois,alarm or related wiring becomes defective the defective component(s)shali be immediately repaired or replaced with a componenCof the same or equal performance. If the mound component fails to accept wastewater or begins to discfiarge wastewater to 1he ground surtace,it wdtl De repaired or reptaced in its'present location by increasing basai area if2qe teakage,occurs or by removing biaiogicaliy clogged absorptian and dispersal metlia,and related piping,and replacing saitl components as deemed necessary to bring the system into proper operating eondition. See Page 5 of this plan for the name and telephone number of your 9pcal ROUVTS regulator and service provider. Pretreatment Units 7he+nformation and scheduls of mananagement and maintenance for pretreatment devices such as aerobfc treatment units os disinfeciion units are attached as separate documents and are considered part of the overaH management plan for thi�system, Project: Kilmer Mound Page 6 of 7 � tr w �. � � PUMP PERFORMANCE CURVE MaDEL 151/15�/153 50 'i 4� 45 153 12 40 n 35 � 10 �52 c.,� 3� � � � 8 2� 151 � � � 6 20 _ �_. �..... _.:__. ..�..�... 15 4 ��. 10 ---- _ Z 5 0 10 24 30 40 50 60 70 8fl 90 100 GALLt3NS LITERS d 40 80 120 160 200 �40 280 320 3�0 FLOW PER M{NUTE ��5�� CHECK BOX AS APP�ICABLE CHECK BOX AS APP�ICABLE. Q✓ SOIL EVALUATION p s`a�e:��30' as so ❑� SYSTEM PAGE 2 OF SITE MAP PLOT PLAN PROJECT NAME: oes,cN F�ow: 450 GPD 7S' Joe Kilmer Mound Attach design flow calculatlons for commercial plans. PROJECT AD�RESS, BB�9N HIGaIIllfle RCI ^' Pipa Material/ASTM Standard(Tables 384.303&384.30-5) eM Symbol BM Elevalion: �� FT 'V Sanitary Sewer Sch 40 PVC � '� Fo,�eMa;,, Sch 40 PVC � eMoes��Pno�: nail and ribbon in 20"maple sio ecraa�em/) `� ma�czie�onney IMPORTANT: ot iescetl nrea� o� `Neu SYmbd�if appiicabie): � arawmq a�arr«,� Show gmund elevation contours at suitable intervals. on the appropr � � �n��' \ t D � l'� � �� 0.�� V � �\� ��J ,�, � `` � Yj�^d, \ \ `> � � � � � � � A � � ` � � \ � � \ � � � � iti�t�� 3$� �,,�7� `�,�� , � � ��5�f ��co��s��c� �?�� (00 0�6�o ti./c.�� t�� F�E�� ( � � �� , \ ��7 V'� '��,`J� � �� ; �� ,�� , c � � � �F''"'"'�% PRIVATE ONSITE WASTE TREATMENT County � � � � SYSTEMS ' ��PS `~ ( POWTS) Sawyer :,,, ,_ �_ ��,�� k� �� ' "� INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �3 _ 2�� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(i)(m)] Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#: �'o �`I►�� s (�,�...� ��-s-��a3oa-�-4�— � Insp BM Elev: BM Description: Parcel Tax No: (c�0.o� n9;� ��, ►„ �`� w1q lc� cx�� - �t�to- IS= Y �( I TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �„�ie,Ss�r _ poo Benchmark (oa,o� Dosing — �ow.1� (,00 Aeration Bldg. Sewer Q(�,8 � Holding St/Ht Inlet QS, � TANK SETBACK INFORMATION St/Ht Outiet f;o � TANK TO P/L WELL BLDG VENTTO ROAD Dt Inlet AIR INTAKE f Septic -��` � � ` ,i.,�3 � NA Dt Bottom 5�.6S Dosing �� < <• NA Installation � Contour 7.� Aeration NA Header/Man. qg.'' Holding Dist. Pipe PUMP 1 SIPHON INFORMATION Infiltrative r Surface 97 b Manufacturer �� Demand Final Grade Model Number � � GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L �.S� Dia ��'�� Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W ,4 3� L S #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav ° Conv �Aggregate INFORMATION P/L Bidg Well Waters °� G ❑ Chamber Model Number: ❑ EZFIow CELL TO p ' �sU y� Mound � Other — _ — -- — - _ DISTRIBUTION SYSTE X Pressure Systems Only ----- -- - -_--- -- Header/ anifqJd „� Distribution Pipe�s) h — � ' X Hole Size � X Hole � Observation Pipes � Length �Y� Dia �•S Length63 kl Dia �'S Spac 3�Y� i D,��S$� � Spacing3�� C94'es ❑ No SOIL COVER -------- ----- - -- Depth Over r �1 << Depth Over y Depth of / �, Seeded/Sodded Mulched Celi Center `d' Cell Edges � Topsoii b_____ C�CYes ❑ No �}Yes ❑ Vo COMMENTS: (Include code discrepancies, persons present,etc.) ��,�l� �� I�sl��3 Plan revision required?❑Yes ❑ No ~ —I - � b3 ��Y� � _ _ -----� �� Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�OITIONAL C�MMENTS ANO SKETCH SANITAAY PERMIT NUMBER: __ ��=017_�___ �(,o� �"� ��M. y � � • � _; -6 � � Ca�U�ll � �(o �� ( — � — � �,5� �.rv1, 1 , N�`��. �� 3b� � ' �z� �-s' � � g w�� . I �a,o(660 w��7 `C QD�� 1�� \ � �i(/` . �`��""" �o � q� %I(,\ b �— �-