HomeMy WebLinkAbout010-841-27-5512-SAN-2024-008 ""�� Deparrn�ent of Safety c�°°ry �
�`�\� = & Professional Services, 50"J`'Ye'� �
�� ' Sanilary Pcnnitl�umbcr(to bc filled in hy(
;,,� � _ Industry Services Division �
` '�' (9 1 1 � 4�
�\,.�,.�����' S1 s
,
State Transaction Number �
Sanitary Permit Application � o�
in accordance with SPS 38321(2),Wis.Adm.Code,submission of this fonn to the appropriate governmental unit
is required piior to obtaining a sani[ary pennit.Note:Application forms for state-owned POWTS are submitted to Projcct Address(if differen[than mailing addre:s)
the Department ol Safety and Professional Seivices.Personal infonnation you provide may be used for secondary
purposes in accordance�vith Ihe Privacy Law,s. 15.04(I)(m),Stat;. � 3(��y (,J �y�d e�SOr1 R�
I.Application Information-Pleasc Print All Information
Property Ownci's Namc Parccl#
�-}ew; �� ��(c-e�FG1�me� �r� S� OI U� SYl- a7-55� a
Propeity Owne�'s Mailin;Adch'css Prope� Location
CiSS Cre55 C�eGI< Lr1 Go�'r.�o�__ 5
Ciry,State Zip Code Phone Number
CrYs�''Gti� L.C+�KGi = �•• Gooi y ^" D�w �— �"f, Section s��
II.Typc of Building(check all that appl,y) L�t tE T �/ N R 08__L�'o
�I or�F�mily D�celling-A�umber ot Bcdrooms � $ Subdivision Name
��
Block t�
❑Publie/Commercial-Describe Use
�— ❑City of
❑Statc Owncd-Dcscribc Usc CSM Numbcr ❑Village of
Cs M i�► )9 O �o,�r,�r� l•F�c..�c_c�1 - -
�. � . as3
IIL Type of POWTS Permih(Check eithcr"New"or"Replacement"and other applicable ou line A. Check one box on line B.Complete line C if
applicable.)
�' Ibl New System p � y ( F p
U Re lacement System ❑ Other Modification to Exis[in=S stem ex�lain) ❑ Additional Pretraatment Unit(ex lain)
B' w ��' ❑ At-Grade ❑ Mound ❑ Individual Site Desi n ❑ Otlier T c �x I im�
❑ Holding Tank �In-Ground �L� � Yp ('�F� 1
(conventional)
C. ❑ Reuewal Before ist Prccious Pennit Number 3nd Date Issued
❑ Revision �Change of PI nber ❑ Transfer to New Owner
F.xpiration � a�-�Q1 Q O� �0 ���a
1V.Dispersal/Treatment Area and Tank Information: y� v;eK �I A/v Gl�,r.btrs w Se o end
Desi�n Plo��(gpd) Design Soil Application Ratc(gpd/st) Dispersal Area Rcquircd(st) Di�persal Arca Proposcd(s� Systcm F.Icvation
GO D o. 7 g5'7 g s S q3 •S �
Capacity in Total #t of Manufacturer
Tank Information Gallons Gallons Units � a, U '° �
New Tanks Gxisting Taiilcs � c a� � � � � �
GOMj�O � � � � � �. � �
SepTic or 1lolding Tank ���� � ��� j �� �_�
Dosina Chu�u6er �r�,^� '�' 7SO C CN1 C �.''�C—
V.Respousibility Statement- I,the undersigned,assume responsibiliq�for installation of the POWTS shown on the attached plans.
Phimber�s?�ame(Pri�tt) Plumber'�Signature MP;_14PRS 1�umber Business Phone Number
T �� s 13��-�-tc-�:elc� �5�879 �is`-G3ti - 8�74
Plumber's Address(Street,City,State,Zip Cadc)
I y 3 b L w 5}c,-I-t fZ oa d �7 0.y w ar-al� W� SS�rd y3
VI. un v/Department Use Only
�Approv d ❑Disappro��ed crmit Fcc Date Issu d Issuing Agent Signaturc
�� ❑Owncr Givcn Rcason for Dcni S ��•� o �`�����
Conditions of Approval/Reasons for Disappro�
• ► t � 1� . � �Ll`..��� - .r.�
�iY 3�� � �ib.w' j �11 � `_ _ Y �f
� ` " ,,
� ' .
u► 33i S �.�s-� � ` �..
��
�s� a l - 3�� ��� _ .���� 2 5 ���4 � ;
�. -
:�ttudi to complete plans f'or[he sysrem and submit to[he County only on paper no[less than,$`�/g``I1`jaebes,insize � ;„ , �l � �
L , . � � �
sB�-639s�x.o3izz� NO RCFl11VDS AFTER
IS�UE OF PERMiT
PAGE 1 OF� 5
In-Ground Dosed-Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 5 Index & Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross-Section & Plan View
Pg 4 of 5 Pump Tank Specifications
Pg 5 of 5 Management Plan
Attachments: Enclosures:
Pump Curve POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Kretchmer - Anderson Rd
Owner Name(s): Hewitt Kretchmer Trust Phone: - -
Owner Address: 655 Cress Creek Ln; Crystal lake, IL Z;p: 60014
Project Address: 13004W Anderson Road
Govt. Lot: 5 1/4 of 1/4, Section 27 , T 4� N-R 08 E ❑or W❑✓
Township: Hayward County: Sawyer
Project Parcel ID #: 010-841-27 5512
Designer Information
Designer Name: Travis Butterfield Phone: 715 _634 _8176
Designer Address: 14346W State Road 77; Hayward, WI Zip: 54843
E-Cpal�: OffIC2@bUtt2t�12�C�C�fI��I11g.001'Tl 7'his space resel-ved for approva]stamp.
License Number: 652879
Remarks:
Signatur • -- Date: o� � �'� ��y
Original signature required on each submitted copy.
,��q e a � s
l
D cWa P p � �l
rn �
r,
y �
u -D -� -o G
o °' '� u'i O � �.
-1 �o
� (T Q/ � � � " �' �t� "^�p
o _ � J O � 1_ �� ���<C
� '�_\
� �t-' -+'� �1- -�f- N �1
\�
�1
�\
�r
a� n
�� � �
� � n
i
�= n E ;u
� - ° p C� Y e J v��v o
� � 'I S -o W R r
: �
L��41 )1' 1�' 3 �� 'a -y � ��
�i0'�o` ' e O n � J9p ro T�P
,� � �+ S
'� u �S� � r-n
1 �v r j°e K d �
;� E T� i 3 "F`�
� v� � T N � � S(�
�� tl� r 7` V' �'V J �
��` F C „ (�-. (-��
� ��� t� y � � 1
s�� '-'- T � � `� p
�• �3 � ,
� �
s s � ' ��
�
� x�
R s8 a �
� o
p�, w■ v
?s (A L�` '1 � � v W
o� � ^ � � � � C O
W 1 � y C (�.
?o �3 �� - y �m Z V � � .L (n
0 0
J u r � C'�
� ��i � p � `l 3 � T' ��
� To� � o + t � ,� o r
r � � 2 � m Rl
a, o � N i E a G N ��
� o J< a o ,< o
� p
��� A� � � O �� ° �
c �
`° v ^ � �
� n. w o
M
IN-GROUND DOSED-GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
�
""n '2�� TYPICAL TRENCH
(typlcal)
SOIL COVER CROSS SECTION VIEW
12"
min.trench (No Scale)
depth •
(tyPical) '. e '
• , v . . .A" �
. ' • •d <.
� 34„ •'• Q, .. , .
(typical) ':', ^ :� a ,. • . a' " Provide minimum 3ft
. • ` separation between trenches.
System Elevation = 93.50 ft
(typical)
Quick4 Standard-W
w/ EI1d Cap Observation Pipe
(typical) (Show location of inlet / outlet pipe connection on plan view.) (typical) TYPICAL TRENCH
Install per manufacturer's
.� instructions. PLAN U�EW
m (No Scale)
r- -�- - - - - - �� - - - - - - - �� - - ��, ���
� t�� ��,�_. � �,f:� C'i� 'Xt��rY��a� A = 3.Q ft
— — (typical)
� - - - - - - - - - - - ��- - - - - - - - �� - - - - = - - �
�— B = 59.00 ft — � D
(typical) Quick4 Standard-W Chamber m
(typical) �
INSTALL PER TRENCH: (rnfd by ��fi�tratorsysterns, ��o.)
Install pursuant to manufacturer's instructions. �
14 C�uick4 Std-W @ 20 ft� EISA/chamber = 280 ftZ -1l
+ � Pairs of end caps @ 6 ftz EISA/pair = 6 ftz �
= Proposed EISA per trench = 286 ftz Required Infiltration Area = 857 ft2 Distribution Method:
x 3 trenches = Proposed Total EISA = 858 ftZ branched manifold �
.
. �
PAGE 4 OF 5
GRAVITY-DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
4"�Vent Pipe
>10 ft fro m
Building Electncal must comply with
12"Min.or 2.0 ft above SPS 316 and NEC 300
Established Flood Elevation Extend manhole riser as necessary.
(typical) Weatherproof
Approved Junc[ion Bax
Vent Cap Approved Locking Manhole
IMPORTANT: with Warning Label Attached
(typical)
Anchor tank(s)as necessary �-co�d:,��
pursuant to SPS 383.43(8)(g) a��M�r,.or 2.o n abo�e
Eslablished Flood Elevation
(typical)
�Airtight Seal
Finished Grade �
Quick Disconnect
e 18"Min.
CAPACITIES @ 16.12 gaUin �:� � . a ..�� � � � a (typical)
- a . . . \ �
Depth (in) Volume (gal)
A 3�.� 483.60 * � Weep •�ApprovedJointswith
Hole Approved Pipe 3 ft onto
B 2.0 32.24 q Solid Ground
(rypical)
[C] 6.0 96.72 �
_Alarm
D 10.0 161.20 B �'�—o�
� ��� , � PUMP-OFF
P""'P ELEVATION = 84•83 ft
*Pump Tank Liquid Level = 48 in � �—O`� ° �
�
° INSIDE BOTTOM
Force Main Diameter = 2 in Concre[e
� Bi°°k ELEVATION = 84.00 ft
6 -
3"Approved Bedding Material Benea[n Tank
Force Main Length =�ft
Force Main Void Volume = 7•99 gal
�
[C] Total Dose Volume TDV = 96.72 gal/dose
(<0.2X design flow+force main void volume)
Vertical Lift = 10.50 ft
PUMP TANK: SEPTIC TANK(S):
Volume = 773.76 gal Total Volume = 1250 gal
Manufacturer: Wieser Concrete Inc Manufacturer(s): Wieserr Concrete Inc
Pump Manufacturer: Champion
Install approved effluent filter at the septic tank outlet
Pump Model: CPS3 immediatel u stream of the um tank inlet.
(See attached pump curve.) y p p �
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Polylok, Inc
Controls/Alarm Model: PS Patrol
Filter Model: GF10
Float switches containinq mercury are prohibited.
PAGE 5 OF 5
In-ground Dosed-Gravity Management Plan
IMPORTANT:
The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance
pursuant to requirements of SPS 382-384,Wisa Admin.Code. Pursuant to SPS 38352(2),Wisc.Admin.Code,this
system shall be considered a human health hazard if not maintained in accordance with this approved management
plan. Furthermore,all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52(3),Wisc.Admin.Code.
Maximum Dispersal Area Operatinq Limits:
Design Flow= 600 gpd; BODS<_220 mgL-'; TSS<_150 mgL-'; FOG<_30 mgL"'
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors(i.e.odors,user complaints,etc.)
o mechanical malfunction(i.e.,pumps,valves,switches,floats,etc.)
o material fatigue(i.e.,leaks,breaks,corrosion,etc.)
o solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s)(i.e.,distribution/drop boxes)
o neglect or improper use(i.e.,exceeding design capacities,prohibited activities,etc.)
o extent of ponding in distribution cell priorto dosing
o dosing irregularities-if applicable(i.e.,pump re-cycling,float switch settings,etc.)
o electrical components-if applicable(i.e.,wiring,connections,switches,controls,timers,alarms,etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
o Septic and dose tank(s)shall be pumped by a cerfified septage servicing operator licensed under s.281.48 Wie.
Stats.when the volume of solids in the tank(s)exceeds one-third(1/3)the liquid volume of the tank(s)or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc.Admin.Code.
o Effluent filter(s)shall be inspected every 3 years and shall be deaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc.Admin.Code. Report any component failure or malfunction to:
Name of individual or company: BUttel"f12ICI ItIC Phone: 7�5-634-8176
�o�ai 9o�ernme����;t: Sawyer County Zoning &Conservation phone: 715-634-8288
Local government unit address: �OO'I O M81I1 St, Suite#9; Hayward,WI ZiP 54843
Any defective part of this system shall be repalred,replaced,or removed pursuant to SPS 383.51(9),Wisc.Admin.
Code.Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc.Admin.Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
acwrdance with SPS 384,Wisc.Admin.Code.
Contingencv Plan
In the event that any failed treatment component of this POWTS cannot be repaired,it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
Svstem Abandonment
If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisc.Admin.Code.
. 1 1 � •
' r
� , , • , , . .
, • . ,
FEATURES/BENEFITS SS�M��
�.. �F�,i� �
POWER CORD „ �
PERFORMANCE Sealed entry quick disconnect power cords �
Heads up to 20' TDH - Prevents water from entering the motor
Flows up to 42 GPM housing through a cut cord
-Available in lengths up to 100'
MOTOR I ' ' I ) �k
High efficient, 115v, oil filled, permanent split SWITCH
capacitor motor with upper and lower ball P�ggY-back switch design �
bearings and thermal overload protection - Defective switches can be diagnosed over ,
- Constant bearing lubrication the phone �
- Maximum motor cooling - Pump can be operated manually or ; �
- Runs cooler and lasts longer supplied with other piggy-back switches
- Internal overload protection -Switch can be replaced without having to
- Quiet operation replace the pump
- Fastenersandshaftmadefromrugged, APPLICATIONS
corrosion resistant stainless steel
Basements, dewatering, and septic
SEAL DESIGN systems
Mechanical with secondary dynamic lip seal
- Provides added leakage protection
IMPELLER DESIGN
Non-clog style vortex impeller
- Designed to help reduce clogging by foreign
material
Wide-Angle Float Vertical Float
1/3 HP submersible pumps, built for reliability,
handle up to 1/4" solids with 11/2" discharge
PERFORMANCE CURVE
�
so
x 16
0
�
v
m
d
x
" IOy
10
S CPS3
0
0 5 10 16 20 26 30 9b 40 46
Gallons per Minute, GPM
Champion Pump Company, Inc • P.O. Box 528 • Ashland, OH 44805
n�...�,. n � n �oa n cnn _ �.,., n � n c� c � � nn _ ..,..,,., ..L,.,.r...,:,�....,. �.,�., �.,.,-. ..� ,,.,..,