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Home My WebLink About014-941-05-4301-SAN-2023-299 =�,;=`r"':>- • Indnstry Services Divisian Counry U) ; ��p:. _ = 4S'_2 Madison Yards Way �fQ w /� � ,;: �__:S - Madison,Vl'I 53705 Sanitary Pctmit t�vmbcr(to bc fiticd in bv C � �� S : P.O_Box 7162 ' ' " `� ` f � `�'x...`—•;:� Madison,�VI 53707-7162 � `� (� �� W ��,-�-_, �,,.,.,-: Sanitary Permit Application StatcTr.�asactioni`'umbcr � !n accordance n-ith SPS 33321(2��Vis_Adm Code,submission ofthis form to zhe appropriate governmental unit ,,,Q is rcquir�d pnor to obtaining a saai[ary permit Note:AppGcation forms fflr shtte-o�med PO\�rt'S aze submitted ta 1'roject Address(iFdifferent than m-�iling ark � eL•c De��artm��nt of S:ifety aud Profe�sianal Sen�ic�s.Pcrsonal infotmation yov pro�•ide�nay be used for sccondary purposes in accordaacc with tho PavaeyLa��•,s_>>.04(1}(m),Stats. �� I_Applicarion Infor►nation-Please�RiiutAllinformafion - _ _ . _ _ ; :- . Propem�Owf�cr-s\arnc Parccl� Gv/' ,' d C d Property Ot.•iie�'s ltaitin�.lddress Pmperty LaFation ` �4t`� �6 / 6ovt-L�t Cit},Siate Zip Code Phone\umber �_'r=. SL ;;, SecGun_,Z_ ff wa �( w ✓�Y�ry ll_T}�e oi Building jcheck all that apply); - f.o1� T � N R L•o ��' �{ I or 2 Pa�nii.D�rcilirig-tdumUerofBedrooms y ��- Subdivision 1�amc .__-- Block`-' ❑PubliclComtnercial-Describe Lsc �� aCiry of _ ❑Statc O�:•�ncd-Dcsc�bc Use CS41\umb�r 'illage of _ �"I'ouv of__��i/'00 r `_ III.Typc of POtS'T5 Permit:(Check`either."Ne�+"or"-Re�lacemenY'and other;appLcabie on line A Cfieck one 7�oz ou tirie B_Gompfete lioe C if �� Iicable.j _ ` ' - �. ��ieu S�,tcm ��Replacur,en:Systcm ❑Other\3ooification to E�iuing System(exptain) �Addirionat Pretrcatmenc Unic(e�plain} E B� , ❑Hoi;.'•ing Tanl: �In-Ground ��t-Gra3e �Viound ladividual Site D�si� Othsr T} c c.z lainl T (� r (com�cntional) �• ❑IZcn�t��ai Befor �Re�-ision ❑Change of Plumbcr �I'ransfer to iVew Ocvner List Prcvious Permit NUmber and Datc Lssucd Ex�ieation , ��'� � l� ��/ 7l�q O� IV.Dispersall7icafinent arca anu.T'ank Infdtmation:=:- - :L. �� - - . ' _ .. = .. .... - . :_M._ _._-�- - : : � D�SIl,�*it FIO�v(�nL� De.�i,n Soil:�pplicatien F2a1c(gpd/s� I?ispersal rlrea Ra:�uird(s� �Dispe�al rlrea Pmposed�s� System�Ele��ation O�i /000 oc�'p .p' ! C:ipacir�in j Total � =af anu cturtr � � Tank{n�o;mation � Gallons i Gallons � 1'nits � i o � i S I _� i \c�..Ta,:l:s � F�tistin Tan,;s '^ ^ ` � � _� ' � °� '� S � o '-,� � � � ' a ca � �. U v: ✓; � U Scpti-o:Hotdin�T:fn}; -- � t ' � 1 Dosing Chantbcr ' i i � � 0 � V_ReSpanSiliilih'Statement-7,the undcrsianed,assume�msponsibility for instella�an'of the.PUWTS sho�vn on thc attachcil plans,- Plumber�s Namc iPnni? ; Ptumber's Signature s 3 �iPRS�Iumber Business Phone tiumber UGP U�� c� ,d o y / - ` ��73 Ylucttocc's r�dctress;Strcct.Cit��,Statc,Zip Code) J .r/� t✓- � �, W;I ._. .., VI.Cou t_r-IDcpartment Usc�nly _ , , _- ; - := ' ,- ,. _ Permi:Fce Date Issue� Issuin,g�;Agent Siguaiure �AQ mvc �Ds��a�rovcd S yp�.e� � ' � �l✓�G-t_X-L(..,f'%�1�'�-�— Vh% i i!O�vucr Given Ftcason for Dcnial � �' � ��'� Conditions o�A�provaVReasons for Disapproval � ,;� �1 �I, l l_��.�!n`_�.___ ' �f �r � ' �� • 1 J I a"7. ...�_..�._��. � NOV 0 6 2023 1 �� # �- .r�►� :..,k _ 3 CY �7 � �� CS� �� ^ �� , SAVdYER COUNTY �l� �b�C w� V �l�'`7 Y\/p N��{�� I!VlSTNt'iTi��V J � e , :Ltcach to completc plans for thc sy�stem aad svbmit to thc Countv onEp on papec�t hss than 8 x_11 incha in sim � I �l�! ��_i r�,C�;;F;}��5 q,�7FR SBD-639${R.03/'al) ��j�,j'�Vi' �'r'`�� +��ir,.� Department of Safety and Professional Services -� ', Division of Industry Services ~ �D ; Plumbing Product Review �,! ` , 4822 Madison Yards Way �S P s P.O.Box 7162 /� ' ` Madison,Wisconsin 53707-7162 � .� `�_ _-� �� Phone 60&266-2112 R��'v�� Web htt : t1�S.wi.Qov Email dsps@wisconsin.gov Governor Tony Evers Dan Hereth,Secretary Designee TTY:Contact Through Relay May 31, 2022 Dept.of Safety and Professional Services Bureau of Technical Services Division of Industry Services Brad Johnson Section Chief 4822 Madison Yards Way Madison WI 53705 Re: Description: POWTS Component Manual Manufacturer: Dept.of Safety and Professional Services Product Name: In-Ground Soil Absorption Compone�t Manual for Private Onsite Wastewater Treatment Systems Version 2.1(May 2022-2027) Model Number(s): v. 2.1 eSLA PTO No.: PP-051700077-PTOVPCR The specifications and/or plans for this plumbing product have been reviewed and determined to comply with chapters 5P5 382 through 384,Wisconsin Administrative Code,and Chapters 145 and 160,Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approva�is valid until the end of May 2027. This approval is contingent upon compliance with the following stipulation(s): 1. A copy of this approval letter shall be submitted with all plans using the In-Ground Soi)Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.1(May 2022-2027). Plans submitted without a copy of this approval letter may be denied. 2. This approval recognizes that POWTS systems designed, installed and maintained in accordance with this manual will provide treatment and dispersal of domestic wastewater that is acceptable in the context of ch.383 Wis.Adm.Code. 3. Systems installed in accordance with this POWTS Component Manual shall use leaching chambers that conform to ch. 384 Wfs.Adm. Code. 4. Systems installed in accordance with this POWTS Component Manual shall be installed,maintained and used in strict accordance with the manufacturer's published instructions,Chapters 381-386 Wis.Adm.Code and this product approvat. ff there is a conflict between the manufacturer's instructions and the Wis.Adm.Code or this Plumbing Product Approval,then the Wis.Adm. Code and this Plumbing Produd Approval shall take precedence. 5. Complete operation and maintenance instructions POWTS systems designed in accordance with this manual shall tre provided to each system owner and remain onsite. 6. Systems designed in accordance with this manual shall be installed by persons holding the proper license or registration in accordance with Wis.Stats.§ 145. 7. Drain,waste and vent piping used to install these systems shall conform to s.SPS 38430(1),(2)and{3)Wis.Adm. Code. Dept.of Safety and Professional Services May 31, 2022 Page 2 of 2 eSLA PTO No.: PP-051700077-PTOVPCR 8. Cleanouts shall be installed in drain piping associated with the installation of these systems in accordance with s.SPS 382.35 Wis.Adm.Code. 9. Commercial food processing,food production,food service, restaurants,taverns and similar establishments which may generate greases,fats,oils or similar substances;shall have state-approved grease interceptors installed upstream of POWTS systems designed in accordance with this manual in accordance with s.SPS 382.34 Wis.Adm. Code. 10. DSPS POWTS plan approval shall be obtained from the department's Private Sewage Section,or the appropriate agent county,for: a. each installation of POWTS systems designed in accordance with this manual;and b. high-strength and/or commercial POWTS systems designed in accordance with this manual. 11. A sanitary permit shall be obtained,in accordance with s.SPS 383.21 Wis.Adm.Code,from the county,or other local authority having jurisdiction,for each proposed installation of systems designed in accordance with this manual. 12. A complete and acceptable soil evaluation report,conforming to s.SPS 385.40 Wis.Adm.Code,shall be performed for all proposed systems designed in accordance with this manual. Technical notations: a. This approval supersedes the approval issued May 9,2017 under product file no. 20170147. The department is in no way endorsing this component manual or any advertising and is not responsible for any situation which may result from its use. Sincerely, Brad Johnson—Section Chief Department of Safety and Professional Services Bureau of Technical Services Division of industry Services Phone: 920 492 5605 Email:Bradley.Johnson@Wisconsin.gov Curtis&Catherine Becker Property Owners Name 16420W ST. HWY. 77 Property Address 14941054301 Tax Parcel Number Sawyer County Prt. SW-SE Legal Description 5 Section 41 N Town 9W Range Page Index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan S l,i e� e �a Bruce Vitcenda Plumber's Name Plumber's Signature M.P. 220498 Plumber's License Number 715-943-2382 Plumber's Phone Number 11/2/23 Date - /p7U - V-,�� Page 1 of 7 n- roun oi sorptio - 5- Component Manual Used Version 2. I � 4 Number o Be rooms 2 Percent Slope (%) 96 Depth to Soil Limiting Factor (in.) 0.6 In Situ soil application rate 400 Estimated Wastewater Flow (gpd) 600 Design Wastewater Flow (gpd) 1 Number of System Elevations 93 Proposed System Elevation #1 - Proposed System Elevation #2 - Proposed System Elevation #3 96.5 Original Grade#1 96.5 Finished Grade#1 - Original Grade#2 - Finished Grade#2 - Original Grade#3 - Finished Grade#3 Skaw 1250 Septic Tank L� ti r,�c �r < % Effluent Filter BioDiffuser ARC 36 Chamber Type 13 Height of Chamber (in.) 2 sq.ft. per chamber(ESIA) . . � 5 laying length of chamber(ft.) 1.17 length of endcap(ft.) 33.75 Chamber width(in.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 20 Number of chambers in first row 20 Number of chambers in second row 0 Number of chambers in third row 40 Proposed Number of Chambers Used 1000.0 Minimum Distribution Cell Area Required (sq.ft.) Distribution Cell Area Proposed (sq.ft.) (ood �c� X a� � ��o � Page 2 of 7 o w,�e r �lU.�b e/' cu�r;s 6r�ce �,'tce,�d., dcathe�iNe, (�e��e� l`17Y.ustNwY yo 16N,�6 w ST.Hwy�� CXelq.u/,w=.�yS Js �4Y ward, w r.,�y�v 3 7i5.9y3-.�3s� �►�,r�ayt� �� 16�5�*' �- I I �\ n P'�rswf� I � � ��; 3 f. s � i � _ r�ti�,V �' �%3 -' % R.yw � Ou��e��o I �r '� � fo�N �Y4y�oly3ol I � �� / ��'�'/'vst � '� . / �{��tO.��oo.B�,✓ � 'r � � w�R�b6oy �s" a�r I " ��? ✓ QI 9�.� Rrd�;N� a 9R 96•1 „� •9� Q �3j g�•,S' I � ' �. ♦ _-^ 1 VW♦ 0�;�.I;.ut scrcr 96�3� ,�y,�salti...� 8o t�o,� ��vr 97.3� I -s` �N Yo s � -2 i�j . � � � N $ SkaW l,�s'O I �,. `� �%frr;�t�;►rci 'V 03 Olv��ftP �arttc �%se�w/cht;�✓-�e� I 4l'L)� chq,�icr! •o I I I � � Sc41t �''=No' I � f4 � i � �- — — — � — — — ,— s_ � t 0 r � g�f�r- 3ef7 Cress Section of a Two Celi In Ground Ccmpone��; Using Leaching Chambers Observatior/Ve�t Pipes � � 96.50 Finished Grade - �__ ____._-_—, Finished Cjade _i- � - , Sbpe 2% � Cell�eperation � � � �� , , 3 t > �- � � �.- ', -' �,-'{t �� x -� � 96.50 Originai Grade ��>'� ' ' �' �tiginal Grade� . � , 94.08 Top of Chamber ��.'�`,,, ''�� j _�'t��_�"Top of Chamber 94.08 , ------ % J�. -- � . . , � `, , 93.00 System Elevation � i. , . ' System Elevation i 93.00 - .. , � _ —, . --.---- , • ..'T°reatrr,ent�pnd'Dispe�sat,Zor�e•. : • .•• _ _ -.�—.�--�� ' �• •• •.-.—_�. � •�.• Limitinc Facfor Obse-va;'o�/V'e�t pipes to be constucted and capped w�tF approved materials for the particulcr use. Dia rams Not To Scale 102.34 feet i—I , ;� - s�� . \,� ., - �o ,.� �c� to� , ,��o�� .�, � �' �� .�► �. � ' _ _ _ _ _ > ; s 3 feet between cells ------ I s n � �_�. , _ � �_ ��.� ��`p.�l�G� �� .�► ,�.., : ..o. �` ' 102.34 feet Observation/Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 � � . � BAFFLE 67.00 71.00 .' ``. 77.00 i � i � WARN/NG DEATH MAY OCCUR IF TANK IS EN7ERED � Q � WITHOUT PROPER EQUIPMENT 124.50 � p I 1 � I I \��\ �i 118.50 � --� � � I 13.50 TOP V/EW OF MANHOLE COVER FI L TER � 12.00 � �3.00 _T 4.00 T 5.00 -r-�r-- I 2�.�� 2�.�� soo 24.0o za.00�� TOP VIEW OF TANK (TAPERED) � ��s.00--� �.�- —�2.00 INLET� � 8.00 OUT� j sKaw^2so j � i� 18.00 � I�—69.50 O---�I 4 INCH PRESS 3.00 PRESS i i SEALGASKET INSTALLED SEAL � j WHEN POURED GASKET � � �BAFFLE 36.00 FILTER j I I I I I I I 1 I I I I I I I I � L-------------------------� s.00� SECTION VIEW OF TANKAND COVER 3.00 OUTLET END VIEW OF TANK ModelNumber: 7ZSO SKAW PRE-CAST Phone: (715) 967-2277 Approved for. SEPTIC, SIPHON, HOLDING, OR PUMP CHAMBER Toll Free: 1-800-924-8625 Weight Infet Dim. Outlet Drm. �q� ep Gal. /In. ax. ap. 26255 105th Street, New Aubum Wisconsin 54757 Fax: (715) 967-2707 8450 Ibs. 42" 40" 36.00" 34.65 �247 gal. wWW.skawprecast.com Curtis&Catherine 16420W ST. HWY. 77 1.49E+10 Number of Bedrooms 4 Septic Tank Skaw 1250 Estimated Flow(average)ga�lons/day 400 Effluent Filter � � r,',„t Design Flow(peak),(Estimated x 1.5)gal/day 600 Soil Application Rate al/da /ft2 0.6 Influent/Effluent Quality Monthly Average PRINT PAGE Fats, Oil & Grease (FOG) 30 mg/L Biochemical Ox en Demand (BODS> 220 mg/L Total Suspended Solids (TSS) 150 mg/L !!NOTE!! Servicing frequency of 12 months or less requires the I Management Plan be recorded with the Register of Deeds. Maintenance Schedule Service Event Service Frequency Inspect condition of tank(s) At least once every 3 Year(s) Pump out contents of tank(s) When combined slud e and scum = 1/3 of tank volume Inspect dispersal cell(s) At least once every 3 Year(s) Clean effluent filter At least once every 3 Year(s) Maintenance Instructions Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, Septage Servicing Operator. Tank inspection must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surFace. The ponding of effluent on the ground surFace may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals 1/3 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. A service report shall be provided to the Sawyer County Zoning Dept within 30 days of any service event. Start-Up and Operation For new construction, prior to use of the POWTS check treatment tank(s)for the presence of painting products or other chemicafs that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank removed by a licensed Septage Service Operator. System start-up shall not occur when soit conditions are frozen at the infiltrative surface. Page 6 of 7 ', Do not drive or park vehicles over tanks and dispersal cells. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong I the life of the POWTS: antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental I floss, diapers, disinfectants, fat, foundation drain (sump pump)water, gasoline, grease, oil, painting products, pesticides, sanitary napkins, tampons, and water softener brine. ' Abandonment When the POWTS fai�s and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with Wisconsin Administrative Code SPS ! 383.33; -All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. -The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. -After pumping, all tanks and pits shall be excavated and removed or their covers removed and the voidspace filled with soil, gravel or another inert solid material. Continqencv Plan If the POWTS fails and cannot be repaired the following measurers have been, or must be taken to provide a , code compliant replacement system: (Check One) �The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil , and site evaluation shall be performed to locate a suitable replacement area. If no replacement area is available I a holding tank may be installed to rep{ace the failed POWTS. �A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should no be infringed upon by required setbacks from existing and proposed structures, lot lines and wells. Failure to protect the replacements area will resutt in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. � A suitable replacement area is not available due to setback and/or soil limitations. A holding tank may be installed to replace the failed POWTS. ��WARNING!! Septic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not enter a ' septic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person from the interior of a tank may be difficult or impossible. POWTS Installer Septic Pumper Name Bruce Vitcenda Name Northwest Sanitary Phone# 715-943-2382 Phone# 715-943-2650 POWTS Maintainer Local Regulatory Authority Name Northwest Sanitary Agency Sawyer County Zoning Phone# 715-943-2650 Phone# 715-634-8288 7 of 7 � Home Valves &Actuation Specialty Valves Miscellaneous Specialty Valves NDSO 575P Diverter Valve, 4 in, PVC Body NDSO NDSO 575P Diverter Valve, 4 in, PVC Body Item#: NDS4575P Brand: NDSO UPC: 642026068000 r► Share DESCRIPTION Here's the simptest, strongest and most economica! diverter valve ever invented for septic tank Eeach fields. It is made of tough molded plastic that will not shatter, bend, rust or corrode. It is lighter in weight, easier to handle and less expensive to ship. NDS� Diverter Valve, 4 in Nominal Size, PVC Body, White, 30-1/2 in H Features • The diverter vafve stem flow may be controtted to individual or multiRle fields (up to three} in ar�y combination • With a three-way valve stem, flow may be diverted to any two outieis • To allow flow through all outlets, the valve stem may be removed from the assembly • 4-1/8 in OD Specs Body Material PVC � � `�� r— ---- � _._ � __ -- --�-.__ — ---�-- -----r —-- — _ � .. . 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