HomeMy WebLinkAbout028-642-17-3102-SAN-2024-028 �(i
,<;;'':{-",`%, Industiy Services Division Councy �
�'�� _ 48?2 Madison Yards Way �Qt.W�� 4-
= � sp /- Madison,�'�'T 53705 Sanitary Permit Nu ber(to be filled in by Co.
,. �, _ ; P.O.Rox 7302 t0�� � oC � �
y'F��<'�`�! Madison.Wt 53707 -�
\�Svnv,,�' �
Sanitary Permit Application Statc Tnnsaction Number �
..r-- M
fn accordance with SPS 3R3.21(2),Wis.Adm.Code,sttbmission of this fotm to the appropriate oovernmental unit
is rcquired prior to obtaining a sanitary pemiit.Note:Application fomis for stato-owncd POWTS are submittcd to Projec[Address(if different than mailine addr_...,
the Department of Saf'ety and Professional Services.Personal inti�rmation you provide may be used f'or secondary �, Y
purposes in accordance with the Privacy Law,s. 15.04�1)(m),Stats. �141 � ' 1 �
i.Application Information-Please Print All information V er
Property Owncr's Namc Parccl#
5�1 i r �,� �. �'�a �'� Tr v s-�- D Z 0 -- (�yL_ l'1 _ 3��L
Property Ou�ner's Mailing Address Property Location
�Z S' Sv w�rv► �-� �,P�- l l O Z �6s�'
City,State Zip Codc Phonc Number S�
IY11Y111eC`'p��l�$ I�� � 57 ��3 Nt �•, '/a, Section '�
iI.Type of Building(check all that apply) Loi# T y� N R d� E o�y1
�I or 2 Family Ihvelling-Number ofAedrooms T � —z.- Subdivision Namc
Blnck n
..----
�ublic/Commcrcial-Describe Use
�— �City of
❑State Owned-Dcscribe Use CSM Number Village of
� �//g� �Z l "'I� �TOt�T Ot_ �r �'r"' ��C.i+�
ili.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.
4 �lew Sys[cm �Replacement System �Other Modification to F..xisting System(explain) �Additional Pretreatment Unit Iexplain)
LJ
B' �iTolding Tank �fn-Ground �At-Grade �Mutmd lndividual Site Uesign Other Type(explain)
(conventional)
C• ❑Renewal Before �Revision ❑C'hange of'Plumber �i'ransfer to New OwnerList Previous Pemiit Number and Date lssued
Espiration —
IV.Dispersal/Treatment Area and Tank Information: (r --
Design Flow(gpd) Design Soil Application Ratc(�pd/sf) Di,persal Area Required(sf) Uispersal Area P�roposed(s� System Elevation
6C� ,� 8s�d� �i1� � ��,
Capacity in Total Id of Manufacturcr j
Tank Tnforma[ion Gallons Gallons Units � ` o y �; �
Ncw Tanks Existing Tanks .. ❑ � � y u " I r�
` O � y L r3 :O
a U (n � v� ii. C7 � i
Scptic or Holding Tank /ZSO 1. r
� �'1l �\S Lr'
Dosing Chamhcr -,� � Q
V.Responsibility Statement-1,thc undersigned,assume responsibilitv for installadon of the POWTS shown on the attached plans.
Plumber's Name(Vrint) Plumber's Si�natttr MP!MPRS Number Business Phone Nttmber
D l�� S I��ltz �S� 6 �l( ��s-ss�-.s�a5
Plumber's Address(Street,City,State,Zip Code)
-,o,�►� s-Fo�,� �� Rd s-Fo�.� c..�.�.� �c sv$��
Vf. ou ty/Department Use Only
7-7 Permit Fec Datc lssued issuin�Agent Signature
� p ro e ❑Disapproved
❑Owncr Givcn Rcason for Dcnial S I�'� �� �� I�y ���`��I ,"'""`�*�-
ConditionS of Approv I,Reasons for Disapprovai Lr-
` � +� �� "! p � �-`'�'
� �
� ���� �F���� � �-� ��
l � FEB 2 6 2024
�a i.�o_e. �.�.�.
G � ��— Ol S�� S-SS- SAWYER COUNTY
ZONING ADMtNISTRATION-
Attach to complete plans for the system and submi[to the Counh onl}•on paper not less than R In�1 I inches in sizc
SBD-6398(R.02/22)
NO R�Ft1NpS AFTER
�SSUE OF pERNt1T 3����
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
Owner Name(s): `����`��I �, �tp�1� Tr�s r phone: - -
OwnerAddress: �3Z5 Sv�vv�;{�R��uoZ M�nne��l�c F�(N Zip: SS'-!o3
Project Address: 9 t y( W ()v��<�—���� I-}a��a�I� w( S��`�
Govt.Lot: h1L.1/4 of St.c) 1/4,Section �� ,T '-tZ N-R o�E❑or W�
Township: SP��c� �� County: �w�v-
Project Parcel ID#: OZg b�-fZ ��-- 3��Z"
Designer Information
Designer Name: ���c�v� 5��� ��z Phone: �(S -SSf�- s�a�
Designer Address: -107(0/� S+an c�����S�o��(..a�cJ) Zip: S`i87�
E-mail:
License Number: I SI b l2
Remarks:
Signature: Date: 2- 2�' � +
Or inal ture required on each submitted copy.
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PAGE40FE
GRAVITY-DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
4"9 Vent Plpe
>10 ft fmm
Building Electnral must comply with
12"Min.or2.Oftabove SP5316andNEC300
Esta6lished Flood Elevation Weatherpmof Extend manhole nser as necessary.
«YP���� Junction Box
- Approved qpp���Locking Manhole
Vent Cap
IMPORTANT: wan wam�ing Label Attacned
Anchor tank(s)as necessary ` � Mpifai)
�Condui[
pursuant to SPS 383.43(8)(g) 4"Min.or2.0 fl above
Established Flood Elevation
(rya��ai)
�A'irtight Seal
Finished G2de 1
- Qu�ick Disconnect �
�
l 18"Min.
CAPACITIES @ I�� �` gal/in , . tho��o
Depth(in) Volume(gal) �
A S� 1 yG0 * � �
Weep ApprovedJoinlswith
'7 Hole Approved Pipe 3 ft on[o
B 2.� 32•Cy q Solid Gmund
(typical)
[cl i3Z 8Z �.z �
Alartn
o �� ,S ��v 9y �,� Zo l. m=a�
[c] p mP PUMP-OFF
*Pump Tank Liquid Level= 2��� in � 0—on ELEVATION= 9� ft
1 -
° INSIDE BOTTOM
Force Main Diameter= in c°�°�e'e v I ft
� 81ock ELEVATION= �'1
�
Force Main Length= � 3 Z ft 3^PP��ea eeda��9 Mate�ai ee�eam ra„k
Force Main Void Volum Z gal
[C]Total Dose Volume TDV �� gal/dose 1�����
��
(<0.2X design flow+force main void volume)
Vertical Lift= � � ft
PUMP TANK: SEPTIC TANK(S):
Volume= 1��gal Total Volume= �Z`f 5 gal
Manufacturer. �-i/L'i s e 1r- Manufacturer(s)�
Pump Manufacturer: ���t�
��� Install approved effluent filter at the septic tank outlet
Pump Model: � �seea��a�he�P�mP��Ne� immediately upstream of the�ump tank inlet
Controls/AlarmManufacturer: FilterManufacturer: �I��I���{
Controls/Alarm Model:
Filter Model:_ �Z�
Float switches containina mercury are prohibited
� I� HEAD CAPACIN CURVE � '�a 6 ���
� I� MODEL "98" �i s/e ��
�3c
a e (zs 3 s/a
� 6 2o m + +
� O �
� � yie
� 15 e �
� 4
0 10
1 1/2-ll t/2 NPT
2
5
0
install per manufacturers
us. cu�or+s �o �o ao �o sp eo �o ao requirements.
LITERS Bp 160 . 240
0 FLOW PER MINUTE
I
ro*uo.wuKnurnwvrEnuiwvrE �
Fq W ENi UID DEWtiE W MO
CAPACITY 12
MEAD UNfTSMIH
FEET YETERS MLS LTRS
5 1.52 12 TIJ —�
�o ios a� zai
�s 1s� u vo } 5/t6
10 0.10 23 GS
Lock VeM 7J� � �
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• E'ectrical altemators,for duplex systems,are evallable and • Mercury iloat switches are avaiiabie lor controiling singie and
supplietl whh an alarm. three phase systems, �
• Mechanical a'temators,for duplex systems, are avallable with or • Doubie piggyback mercury tloat swilches are available for
witnout alarm swuches. varlable level long c,ycle controls.
" � SELECTION GUIDE
1. Intagrel fioel operaiaC 2 pde mac�ar��ce1 switcn,no n�aernal conVol requiieG.
Standard all models-WeI ht 39 Ihs.-'/, H.P. p, Slrple plgpyEeck marcury Iloa�swimh aEoubla plggyDackmercury.Iloet
985edn � ControlSelecllon - :wilcRRelenofMW77.
Modal Voli��Ph Mod• Am • Sim 1�[ Du i�i 7. Mechankal N�artutor 10-0072 or 10-0075.
M90 1 i5 t Auto 9.0 1 or 1 8 7 — � �� �e FM0772,br correct model ol Electricel Nlerrutor,"6�ak".
N9B 115 1 Non 9.0 2 or2 8 6 � J or�8 5 5. Mercury sens« �ba� svdtch f0-0225 used ss e conlrol ectrvaio�, speciry
. aupiez(])or(a)Ibai syciam.
� p9g pJo t nmo �.5 . 1 or 1 d 7 — 6. Four(a)hola"J�Pek",junctbn Cot br weteNghi connaclbn w wired�in vm-
�� E9B .270 1 Non �.5 2a286 9w165 pleaorduplaaoperation, �P0002.
Z Two(2)twle"J�Pak",lor we��enigM conneclion or spllce.
CAUiION
Ga�r�«matqnunaGCiUonalZnalb�peoGuc�tielalOfJtabpMCOTdiuGM$YN�.FA1Q51�'. •Illivt�ll��ondeonl�ol�. polwlw� d�'��c<� �nawieirp .noulaDeao�ver . aw���
Acaroac� uuc�ry S.;�ne+. FMoa71'.EkcvlW Mern.la,fMW88:wcrunka�,wnw«. ��.a ur.n..a .i«vicl.n nL .�.a,k.� .w ..i.ry coa.. .�.o�a e. �aio..a I�ciw�
GMMBS.Abrm Pr.`aqa,FMOSIJ:Sump�$e.�pa Buin�.FMOaO)',W$impba Conl�d 8�( Inp N� ew�l rwnl N�ibn�l EMYiIc COA� (NEC) �^4 � Ouupa4wui S���ry ����i
:�» HUXn An lOSHA). .
RESERVE POWERED DESIGN
For unusual conditions a reserve satety (actor is engineered into the design of every Zoeller pump.
MAIi T0:PD. BOx 163a7 Manulactuiers ol. . .
(miSrille.KY 40756-0747
� 7 //�� SHIP T0:3280 Oa Mlue�s(ane � /+ /�
� LOELLE/ 1 O. LWi5n11P,KY 40216 QUA!/lY PUMPS ,7iNCF �'��j
� � l5021 178-2 73 1 • FAx(502)774�3674
W1250/750— MR
TANK SPECIFICATIONS � �
- � o
u tL
155" DIMENSIONS: a �
WALL• 2 1/2" � o
BOTTOM: 3" a a
COVER: 6" o
MANHOLE: 24" I.D. PRECAST CONCRETE RISER �
HEIGHT: 66" O.D. n
LENGTH: 155" O.D. "
�— — ---, WIDTH: 86" O.D.
/ � BELOW iNLET: 53" O.D. � w �
/ LIQUID LEVEL: 48" N � o
4" CAST-A-SEAL WEIGHT: 14,860 LBS. SEPTIC
4" CAST-A-SEAL �
�2 ' � INLET AND OUTLET: W �
� 4 � O� 4" CAST-A-SEAL BOOT OR EQUAL � ' �
°O TY� � � GASKET, CAST-A-SEAL BOOT OR EQUAL � � �
\ INLET AND OUTLET BAFFLE AND FILTER: m a �
FILTER OR WISCONSIN, SEE DETAI� //10 i � �
\ BAFFLE / (OTHER STATES SEE CHART) � Q �
_ LIQUID CAPACITY: 27.66 GAL/IN (SEPTIC) � o �
16.12 GAL/IN (PUMP) � �
LOADING DESIGN: 8' 0" UNSATURATED SOIL y,� �
TOP VIEW � �
MN TANKS: � � �
WILL HAVE ONE VENT OVER OUTLET � � �
AND WILL HAVE TWO VENTS IN COVER OVER IN�ET � o I
cn o 4" VENT TANK CAN BE USED AS: � � N
Q �, SEPTIC/SEPTIC, SEPTIC/PUMP r'�
� OR SEPT1C/SIPHON �1 � �
� � � O
COVER: MIX DESIGN #8 (NO FIBER) _ �
TANK: MIX DESIGN #10 (STRUCTURAL F�BER) = ?
CUSTOMIZED TANKS: tO
INLET - - _ _ _ _ OUTLET FOR CUSTOM TANKS CONTACT WIESER CONCRETE � �
N `� N �
� ;,' `n U `n °O � U = � Q N
�n � ' a' a - in � �
2�.. � -�. � a .
I Z
Q
_ �p � �
JOB INFORMATION : ; � o
N ~ �
PUMP PAD CUSTOMER: Q �, � w 5
"' v> w
]OB NAME: �
SIDE VIEW
DATE NEEDED:
SHEET N0.
APPROVED BY: � /
APPROVAL DATE: OF
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS � �
� � �
. Septic Tank(s)Manufaclure' �S� C� -�U • ,
IN-GROUND GRAVITY DISPERSAL AREA W�S��-- �Zsv
Stepped Elevation Trenches with Quick4 Standard-W Chambers SeplicTank(s)Volume(s):
�_ yal gal gal 9ai
3-ffi Trench (down-�izing credit) i zs� z so
- �O r �p��ffluent Filter Manutacture�r:
_� � --- '
-- � ���- �-
�����- - SOIL C:OVER ���- — —min.t2" �Z�
_ (NPlcaq Eftlix-r�t Pllter Motlel#�-------
I'
� ;
12"
min.Irr.nch I �
TYF'ICAL TRENCH ���n"'
(�vP�cap 1. •�. .,
_ __ •,.. • ' c minimum 3 fl
CROSS SECTION VIEW — __ - ,' __ ��ovid
__. . �� .
i. Q d:
�a„__4--�--�� �• .. . ;;eparation belween U�c3nc�es.
(No Scale) I-�---c�v,����n a ^ . � . A. .
a
_/ . ----_- l..owc�st Trench(as applicable)
I-lighesi Trench - --------------- - ---
� 1 D�l � ( D cf ft; fr, _�______� ft
System Elev�tions= �� �i��, ft; ft; —
Obsorvallon Pipn TYPICAL.l'RENCI-I
Glulcic4 Standard-W �ryplcap
w/Fnd(:ap (Sh�W loc�tion of inlet/outlet pipe c:onnection on plan view.) �i�s�,�����r manufaclur�r's P�AN VIEW
— (�YP�r,aq , �ns�«��n��,s. (No Scale)
_
-- -._ _�/_ _ �.--: - - �" -- - - ^ 3.o tr
_ __
_.. __ -- _. .__.
� �
-- - — .
- — -�f- ' �
- _. -
--- - -t7
� � � ��� �� r _.�.J - <<Yn�c�l) �
; : ;i. � - -- - -
��. -- -. �f -- -- --- --- - — 1(�
i�_. .-- .- �-_ _ . ._... � -- - /f -- -- --- -- - - - -
ft ------- - -----------
-----------� �
------------- -------- f� = W
`-''-"-- — (,�uick4 Standard-W CharY�ber
�tYP�cal) (typical) �
(mfd by Intlllrator Syslems,Inc.) �
�NSTA�L PE�T{�ENCf'�: install pursuant lo manufaclurers inslrucUons. ,P
I� LO i�EISAlchamber= 3d� ft2
_, Quick4 Std-W @" �
ftZ
�. _� Pairs of end caps @ 6 ft2 EISA/pair= �Sg ft` Disiribution Method:
------------
= Proposed EISA per trench= ,�� ftZ Required Infiltration Area=
x 3 trenches = Proposed Total EISA =
�l �� ft� �� 'n'�l� `�_ �T.o�c�v`�y
��
PAGE OF
In-ground Gravity Management Pian
IMPORTANT:
The owne�cf:his in-grourd gravity systern shall be respor,sible for its perpetual operetion and main:enance pursuar.t to
requirements of SPS 382-384,bVisc.Admin.Code. Pursuant to SPS 383.52(2),Wisc.Admin.Code,this system shall
be considered 2 humar.health hazard if not maintaired ir accordsnce with�his approved maragement plan.
rurthermore,all inspec?ion ard mainterznce activities sha!I be perfcrm=d by a registered POWTS Maintainer i❑
accordance wi:�SPS 38352(3),Wisc.Admin.Code.
Maximum Dispersai Area Operetinq Limits:
Design Flow= (�OD 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 nulsarce factors(i.e.occrs,user complair.ts,etc.)
o mechar.ical maifunction(i.e.,pumps,valves,switches,floats,etc.)
„ ma:erial iatigue(i.e..leaks,breaks,corrosion,etc.)
o soGds volume�n anaerobic treatment tank(s)and any distribution appuRenar.ce(s)(i.e.,distnbution/drop boxes)
o neglect or improper use(i.e.,exce=ding design capacities,prohibited activities,etc.)
o extert o!ponding in dis:nbution cell prior to dosing
c dosing'��rregularites-if applicablz�i.e.,.pump re-cycling,float switch settirgs,e?c.)
o electrical comoor.ents-if applicable(i.e.,wiring,cor.nectior.s,switches,controls,timers,alarms,efc.)
o cistribu?ior.iaterai or iateral ennce plugging (measure,atera!distal pressure-compare to design specifcationj
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)s�21i be pumped by a ceRified seotage servicing operator licensed under s.28'.48 Wis.
Stats.when the volume of solids in the tank(s)exceeds one-third('l13)the liquid volume of the tank(s)�r
as required by iccal ordinar,ce. Disoosal of contenis shali be pursuart to�R?13,Wisc.Admin.Code.
o Effluent filterls)sna!i be mspected every 3 years and sha!I be cleanec when necessary to remove any
accumul2ted solids according to ranuracturer's speci`ications. A servicing oeriod will always be greater thar?2
montFs.
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 individua!or company �11«�e� 7 �o I�-- Tr�st Phcne:
Localgovemmenturi?: S4w��v- Co z-b`^��S Phone: -1lS-63�-t-8�-Q�
!oca�governmer.t ur:it address: 10 6�0 (1�a�h S+� yq I�qywa.�d w1 ziP: S'-+g y 3
Any defective part of this system shall be repaired,replaced,or removed pursuant to SPS 383.51(1),Wisc.Admin.
Code.Repar or replacement of failed or malfunctioning componer.ts shali comply with SPS 383,Wise.Admin.Code.
No product for chemical or physiczi restoratior of ihe POWTS m2y be used unless aporoved by the department in
accordance with SPS 384,Wisc.Admin.Code.
Continaencv Plan
Ir.the even[tha[any failed treatmer,t component of,his POWTS carnot be repaired,it shail be replaced pursuant to
a p!ar submitted to t7e appropriatz agercy for review anc approval. A failed in-ground dispersai component may be
abandoned and replaced by a code-complyicg dispersal cemponent in a pre-deierTined are2 of suitable soils.
Svstem Abandonment
If use oi:his POWTS is discontim,�ed,it shali be abandor,ed in accerdance with SPS 383.33,Wisc.Admir.Code.