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026-939-17-5105-SAN-2024-050
` "' Industry Services Division Counry � � � l822 Madison Yards Way� 58VV)/ef �y ' ,�t - Madison,W[�370� Sanitary Permit Number(to bc tilled in b��C �^ �= P.O.E�ox 7302 � � Madison. W[�3707 �7 5 � ��'�� � i Sta[e Irun,act�iin humber � Sanitary Permit Application PWTS-032400028-I �'`• In accordance with SPS 38321�2),Wis Adm_Code.submission of this form to the appropriate govemmental unit d is required prior to obtaining a sanitary permit Note:Applicahon forms tbr state-owned POWTS are submitted to Pru�ect AJ�ress hf�itt�rcnt th.�n m�ilin�uJdrass) the Department ofSafery and Professional Services Personal inibrmation you procide may be used for secondary 63�7N State HW 27. Stone Lake, W� purposes in accordance w�ith the Privacy Law,s I�_0�1(I)(m),Stats. Y 1.Application Information-Please Print.all Information Propem O�+ner�s Name Parcel# Cadet 23 LLC 026939175105 Property O��ner s Mailina Address Propert� Location 1806 State St. co��'�� City,State Zip Code Phone Number Cayce, SC 29033 715-865-5110 �—���seCr���" �' IL Type of Building(check all that apply) Lot# I�39 N R 09 E or �I or2 FamilyD�celling-NumberofBedrooms �� SubdivisionName �� � Gas Station Block# �ublic/Commercial—Describe Use �— Cit}of �State Owned—Describe ilse CSM Number �Villa�c of �T���n ot Sand Lake 111.Type of POWTS Permit: (Check either"New"or"Replacement"and other appticable on line.�. Check one box on line B.Complete line C if a licuble.) ��� �New System �Repincement S��stem �Other�lo�lificntion to I:sisting S��stem(ezplain) �Additional Pretreutment Unit(explain) B. �Holdine Tank �In-Ground �At-Grade Mound ❑✓ Indi��idual Site Desien � Other Type(explain) (conventional) n-Ground Pressure C• ❑Renewal Before �Revision �Chanee of Plumber �ranster to Ne«�O��ner List Previous Permit Number and Date Issued F,p�������n 98-035 - 4.2.1998 IV.DispersaVTrcatment.�rea and"Cank Information: Design Plow(epd) Desi�n Soil Application Rate(,pd/st) Dispersal�1rea Required(s� Dispersal Area Proposcd(sf� Scstem Llevation 237 0.7 1310 1350 95.5 Capacity in Total k of Manufacturer Tank[nformation Gallons Gallons Units � � � -° ; � U � �z�v Tanl.s F.�ittin,!Tanl:; '� � u = y L ; '��-, � U v: � v� i:. U o. Szp[ic or Holdine Tank 320 1400&1000G1 2920 1 EX.Skaw-New.Wieser ✓ � Dosing Chambcr 7rJ0 ]5Q 1 Wieser � � � � V.Responsibility'Statement- [,the undersigned,assume responsibility for installation of the PO�VTS shown on the attached plans. Plumber's Name f Pnnt) Plumber�s Sisnature � ,_- MY/�1PRS Number l3usiness Phone Number Jason Kuettel -�.'����-�'�.,;���" 675751 715-798-3355 Plumber�s Address(Street.Cit}�.titate_Zip Code) �� � PO Box 66 Cable, WI 54821 VL Coun v/Department Use Onl� �A c ❑Disapprovcd Permit Fee Date Issued _� Issuing Aeent Sianaturc �,,,, �yoo� ;���-j��r �����,.��z�f����:� ❑O�+ner Given Reason for Denial Conditions of Appro��al/Rcasons for Disappro��al �---���S� ,` s,�j1 � � � '� ` � ��'G��?-= � -f `�� ,, # .. 3 1.�`��,�`�_ �._. ' , \,'� �v ���' ��:�� OZ4 __ �_'J±���,.� MAR 18 2 C — D � c) + �1� �- -i F;� GO--�-�dTY ) S I �� - 1 SA4�Y � ATK� - ►iJG AD�`+ii�I�:Ti�, A[[ach to comple[e pl:ms for the s}�stem and submit to the Counh�only un paper not less than S V2 x 11 inches in sizc s��-63�s cR.o2iz2� IVO RCFUNDS AF'TER ISSUE OF PERMIT _�:��-�C? ,�\�`�•.\KI11/�:..\ . Wiscousin Department of Safery und Professional Services ��i� V',�., Phoi�e:608-266-21 l2 /,; Division of[ndustry Scrviccs /_j � ��;� Wcb:http dsns.�+�i.�u� 4R22 Madison Yards Way ' � �� ���I Ema�L d,ps�a��i�cun,in_�u�� ro sox�3oz (�,� pS i Madison,wl537o7 %�� �� ;�,��� Tony Evers, Govcrnor k„�-.�" Dan Hereth,Secretar � �ssui�n� y March 13, 2024 Conditionally APPROVED CONDITIONAL APPROVAL DEPT. OF SAFETY AND PROFESSIONAL SERVICES D�VISION OF lNDUSTRY SERVICES PLAN APPROVAL EXPIRES: 2026-3-13 ��� ��Q� Plan Review: PWTS-032400028-I Jason Kuettel sF� �oRHEs�oNra�rvcF PO Box 66 Cable, WI SITE: G2 Fuel and Food 6317N State Hwy 27 Sawyer County Town of Sand Lake S17 T39 R9W FOR: , Description: Designed for mass loading BODs of � In-Ground Soil Absorption Component Manual 5/22- �I ' 662 mg/I and a Design flow of 237 gpd—120"to 5/27 ! limiting factor—Effluent Filter- Maintenance Pressure Distribution Component Manual—Ver. required— 2.1 (May 2022-2027) 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. • 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. 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 cleaning of the filter is required. • A copv of the aqqroved qlans,specifications and this letter shall be on-site durina construction and open to inspection bv authorized representatives of the Department which may indude 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,operation or maintenance of the POWTS. Sincerely, ,ja��wtw/2o�vl�y Joshua Rowley POWTS Plan Reviewer,Division of Industry Services (715)634-5124 loshua.rowlev@wisconsin.gov f Memorandum of Understanding - ISD Saiden Realty LLC — G2 Fuel & Food 6317N State Hwy 27 Stone Lake, WI 54876 S17 T39N R09W Town of Sand Lake - Sawyer Co. Parcel ID — 026939175105 February 23, 2024 RE: G2 Fuel & Food Septic System 1.0 — Site Backgraund This foilowing is for a commercial septic system upgrade. The site in total consists of 2.1 acres to service a gas station located in Sawyer Co., Wisconsin. The location of the proposed septic system is in an open area with consistent flat slope with sand. The gas station does NOT have any kitchen or soda fountains and is only paper service take away sandwiches & pizza. 2.0 Data Gathering & Design Development A water meter was installed and recorded daily from August 215t, 2023 daily thru September 25`h, 2023. Lab analysis results were gathered on 1.3.2024, 1.4.2Q24, 1.9.2024, 1.10.2024, 1.16.2024, & 1.17.2024. A new soil evaluation was completed on 8.28.2023. The propased system requirements and design using Organic Loading calculations accompany this memo. 3.0 — Conclusion $c Recommendation Existing grease interceptor and septic tank capacities are adequate to handle design fCow defined by water meter data gathered. Organic laading rates calculated require a minimum of 1309.52 ftZ. The proposed installation will consist of three cells (3), 75' x 6' with ez-flow pressure distribution using 1.25" laterals. The dose volume will exceed 20% of dwf because the minimum dose volume of 5X the void volume of the laterals is necessary to complete uniform distribution in the larger field. The dispersal cel( is designed to handle this dose volume flow. A commercial under-sink grease interceptor is recommended to be added to gather water flow currently deviating from the outside interceptor. Any changes in use or increase in the water flow and mass loading of the gas station wau(d necessitate a re-evaluation of the flows and loads which may result in modifications or enlargement of the system components. It is recommended that water ffow and mass loading to the system be periodically monitored. Andry Rasmussen & Sons - MP 675751 Jason Kuettel 2.23.2024 PA,E 1 OF c In-Ground Pressure Plan Index & Cover Sheet Component Manual Design Re(erences: In-Ground Soil Absorption Version 2.1(May 2022-2027)8 Pressure Distribution Version 2.1(May 2022-2027) Pg 1 of 6 Index&Cover Sheet Pg 2 of 6 P�ot Plan Pg 3 of 6 Dispersal Area Cross-Section&Plan View Pg 4 of 6 Distributionl Nerivork Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Enciosures: ----- __ Pump Curve POWTS Application for Review Soil Evaluation Report&Site Map _..._—_ --- _1._._- Project Name/Description j _ G2 Fuel &Food Septic Replacement I Owner Name(s): Saiden Realty LLC Phone: �15 .865 5110 _ ---- Owner Address: 337 E Park Ave. Chippewa FaIIs,Wl ZiP; 54729 Project Address: 6317N State Hwy 27. Stone Lake,WI Govt.Lot: � __ 1/4 of _ 1/4,Section�� ,T 39 N-R 09 E❑or W�✓ Township: Sand Lake _County: Sawyer Project Parcel ID#: �26939175105 Designer Information Designer Name: Jason Kuettel Phone: 715 -79$ _3355 Designer Address: PO Box 66 Cable,WI Zip: 54821 E-mail; tim@andryras.com 675751 c�^d;�;�^a��r License Number: _ APPROVED RemaflCS. DEPT.OF SAFETV AND PROFESSIONAL SERVICES DIVISION OF IN�IISTRY SERVICES O�' / �FF�_UGREJ�'(�NL�ENt;E Si na#ure: z�z3�z�a�9_ 9 —_ ,x�y,m s� =nr«i � .,.� � i. .__;_ _ :�:, __- (Jw�.� r�`V.. t�..2�F.!_.: � � ( , � -, � (� .?G � '�1., _. � — I 7ci � Z : � `_ c ' 1 � �Ccl:✓._ .� < ',_C' 1 � �� l � —L`c�2 � �v � E'G � x i" � l ,1 _ � '� F 1 t�,; �;; ��; . R 3�t - 1 -t - 5!DS- 337 `= E � h�--`- h.��� . �v� L-� 1 SJ t � -;_ 3q �' � r_�qrc_� ' GG2 ; ��e,.�.�a_. �a. t(s� c-�� ( Sy��`i S��E�. �3 � � rJ �� �c:.c.� 27 _ ___ _____._ _.___ , , , _- - _ _ - - �,- - �- .t9)� E �� �s � � ,�. Si,,.r ��� .�� ' —��_'--�---�-_ �'/ �t� L'"�J a / ,< < r--�--__,_ __ - - - - �Z - 1�� `"v 5CW� I — '-FD a _ _ -�- -�- _ r_ _ _ 1 _ ��� o � , �� 4.,__,,,_-__. _. _.. . _ . .. ., ,. ; � 1 � . � � r o m � a a y� -�� �}.� n yiS�_-- W�L)e.� �5 _r ,�,_. tiv�' ,t .�F � �. >, , , _ r . _ • ..� [i�.. ���� . L--__ _—. .— 1=1,r- ._ .�L �Io i 'l ./k �.: ���7�--��C, i� r�_TL.(. r, . __�.... __. _._.__,._.� ._._,__,__,. .�.....__ _________. _� _._____..___ � - ---- -� � �1 , � � i x � , � � : ___. , ; ___ __ _ _ - -- __ ._, , . ; ( ` ` - - ��� ����� ,� �� !bbo '>-i j r ' , [�:M u>u �-� , � ? I� � � too� � ��(__—��_..._ GZ _ �— � .}.c � , a � 1 � �---- --� I � � ; � � � , ,, I `�� ' `z�_�,; . I 1,,.._ _ f� i I � ` � 5 -F���, � , `� � � � ' � J I _ ; � � � �►��-{-a� � � _, � i , _ _ ___ _ ,.,- { - � �.--- ; � fJ � / / � � / � ���� � I �•_� � / / I / / Z -�� '' � � t�' �'1 (`00� f�c<., t� 4'����n�n o�t .�cwev- �o �� � � ��� ,- : �/ S� � �-�.Z" t. � UJ C�.=:-�' S i c� P � t� ! ,- '" � � [ . �'-74 re ' � _ _ � Z �c � , _ � - r- t� r� : �, � + _- . . � i� � � �� � � 2 /2 3�7.r�'� i Dispersal Area Required Using Organic Loading • 5ample BODs concentration values: 60Q mg/L 633 mg/L 673 mg/L 636 mg/L 669 mg/L 772 mg/L • Determine geometric mean of sample values(to modulate effect of high value): (600*633*673*636*669*772)1�3 mg/L=662 mg/L • Conversion of [mg/L) to [Ibs{GALJ: 662 mg/L x 83465x10��(conversion factor)= 55253 x 10 3 Ibs SODS/GAL • Calculate total BQDs load per day given design flow of 237 gpd: 157�pd dailv averaQe water flow volume from data�athered between 8 21 2023 and 9 25 2023 (5.5253 x 10 3(bs BODs/GAL)x(237 GAL/day) =1.3095 Ibs BODs/day • Required Soi(infiltrafion area=(avg gpd x 1.5J/0.7 gpd itz=(157*1,5J/0.7=338.57 ft' • Calculated required dispersal area given recommended Organic Loading Rate= 1.0 x 10�3 Ibs BODS/ftz/day: (1.3095 Ibs BODs/day)f(1.0 x 10-3 (bs BODs/ft2/day) _ �.,309.52 ft2 I i � 1 � G2 Weter Meter data-8.21.23 fhru 9.22.23 Water rVleter Resutts- 156.59 GPO @ 32 Days Date AM Mater Reading &.21.23 p $.22.23 80 8.23.23 260 8.24.23 390 825.23 505 8.26.23 620 8.27.23 850 8.28.23 921 8.29.23 1020 8.3023 1 Q80 8.31.23 1233 9.1.23 1401 9.2.23 16Q0 9.3.23 1749 9.4.23 1850 9.5.23 2102 9.6.23 2310 9.7.23 2450 9.823 2590 9.923 2790 9.10.23 2966 9.11.23 3090 9.12.23 3180 9.13.23 3250 9.14.23 3445 9.15.23 3061 9.16.23 3900 9.17.23 4181 9.18.23 4260 9.19.23 4410 9.20.23 4690 9.21.23 �LL 4$70 9.22.23 5011 IN-GROUND PRESSURE DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundies 6-ft Trench (no down-sizing credit) �� Geotextile min.12�� TYPICAL TRENCH SOIL COVER Caver� (iypical) CROSS SECTION V1EW 12" � (No Scale) min.trench depth •,,°. �, {rypical) L — — — — —— � '.: �5.� ,. . ,e�`� ,' . System Elevation= fk. '•• � , (typical) � Provide minimum 3 ft Lateral Invert Elevation= g� it separation between trenches. (typical) TYPICAL TRENCH (Show force main, manifold, and flush valve locations on plan view.) PLAN VIEW (No Scale) 1.25 " � scnai 40 PVC Lateral Observatio�pipe shall be inslalled � — (typical) at junction te�ween two units. ft Observation Plpe- (typical) ——— — — (typical) �� I — ; � — — - - -��---------- -- -- -- .-�--_� .....--— ..: —mao-s a-�.�-o- as-�.ao- � � A= 6.0 ft � »---__� .-t�-a ��.-.- —�-_-�-� �� --- -- -- - - --- �i�- --- --------- --- — (�YPlcal) m ;—� g= 75 ft — ( c,a (typicaf) � � INSTALL PER TRENCH: EZ1203H Bundle � (typical) � 14 10-ft bundles @ 30 ft�/unit= 420 ftZ (mfd by Infiltrator Systems,Inc.) 2 Install pursuant to manufacturets instructions. + 5-ft bundles @ 15 ft�/unit= 30 ft� = Proposed it per trench= 450 fta Required Infiltration Area= 1314 ft� x 3 trenches = Proposed Total Infiltration Area = 135Q ft2 ��� _ DISTRIBUTION NETW�RK SPECIFICATIONS (No Scale) Per cell x 3 cells ,�, 2 ~4�J Schd140 �,'- PVC Force Main FLUSH VALVE DETAIL (slope to pump tank (riser pipes for drain-back} (No Scale) ,,.�" optional} Orifice in --- ` Valve Sox �aterai spacing „�. Cenker of Threaded Cap � 5 = 3 ft '�'�� for Head Testing {insulation optional) (optional) � 2 "f'J Schdl 40 First Orifice I 1�� Shield orifices for PVC Manifold {typlcal} � � graveliess applications / Ball Valve � (optional} � �� Q / ��yp�ca�� Laterals to be level � �--i �yQ.a Schdl 40 PVC Lateral PJ= 1.25 in � /� /� � (typical) ��, �� Lateral Length (P)= 72 ft Number of Orifices per Lateral= 19 Orifices equally spaced: �v� t\ [check a)OR b)below] 1�'� � Orifice Discharge Rate= .54 gpm a) � along bottom of lateral Flush Valve � Orifices equally spaced n) �� a�ong bottom of lateral alang top of lateral Assembiy ,� Number of Laterals= 6 5 th hole (typical-see detail} �' �s�" with every �.,`�,`` facing down Last Orifice Lateral Discharge Rate= 11�.26 gpm ttYpi�a�� Orifice Spacing {X)= 48 in LATERAL INVERT ELEVATION = g6 ft (typicai} TOTAL DISCHARGE RATE= 61 . 'rJ6 GPM (typical) Orifice D;ameter= 5�32 in (�Yp���D First Orifice {typical) OBSERVATION PIPE DETAIL (No sca�e) �--- X---� END MANIFOLD Screw-Type or �,-�,:W,, Finished Grade Check <<yP'�a�> � CONNECTION Slip Cap(loose} W• (mulched 8�seeded) applicable box. • Manifoid 4"t� PVC Pipe �'_� ;��;. Topsail Cover (riser pipe optional} � Top af pipe to terminate (min. 1 foot) First Orifce �, �^ ;`'••• (tyPical) � at or above finished grade • , • � l m (4) 1/4"-9/2"X 6"Slots t"� X------I----X/2 X/2--}---X ------� �y @ 90 apart ' (typical} (rypical} :,� .; Anchoring Device Infiltration Manifold � CENTER MANIFOLD O surface CONNECTION O� (nser pipe optional) PAGE60F6 In-Ground Pressure Management Plan I MPORTANT; The owner of tf�is in-ground pressure system shal(be responsible for its perpetual operation and maintenance pursuant to requirements oP SPS 382-384, Wisc. Admin. Cnd�. Pursuant to SPS 383.52(2),Wisc. Admin. Cade, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, ail inspection and maintenance activit(es 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= 237 gpdr gpps <22p mgL''; TSS <_ 150 mgL''; FOG <_30 mgL'' Inspection Checklist INSPEC7 EVERY 3 YEARS o type of�use o age of system o nuisance factors (i.e, odors, user complaints, etc,) o mechanicai maifunction (i.e., pumps, valves, switches,floats, efc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatme�t tar�k(s)and any distribution appurtenance(s) (i.e., distribution i drop boxes) o neglec[or improper use (i.e., exceeding design capacities, prohibited activities, efc.) o extent of ponding in distribution csll priar to dosing o dasing irregularities (i.e., pump re-cycling, flaat switch settings, etc.) o electrical components (i.e., wiring, connectians, switches, controls, timers, alarms, efc.) o distribution lateral or lateral orifiee plugging (measure lateral distai pressure—compare to design specification) a surface discharge of effluent or sewage back-up into stnirture served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary} o Septic and dose tankts)shall be pump�d by a certified septage servicing operator licensed under s. 281.48 N/is. Stats. when the volume of stslids in tha tank(s) exceeds one-third (1!3) the liquid valume o€the tank(s) or as required by local ordinance. Dispasal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be i.nspected.every 3 years and shall be cleaned when necessary to rerncave any I accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. c Distribution laterals shall be flushed onca every 3 years or when necessary. System maintenance reporfs shall he submit#ed to the proper local government unit in accordanca wi#h SPS 383.55 Wisc.Admin. Code. Report any component failure or malfunction to: Name of individual or company: AnCJrY RaSCI'IUSS2tl $c SOtIS Phone: 715-79$-3355 �ocal government unit: SaWYer COUIIt}t ZDtll�lg Phone: 715-634-$288 Local government unit address: 1061 O Main St. #49 HayWal"d, WI ZiP: 54843 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1),Wisc.Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc.Admin. Code. No product for chemical or physical restoratian of the P�WTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Continqency Plan In the event that any failed treatment camponent of this POWTS cannot be repaired, it shall be repfaced pursuant to a plan submitted lo the appropriate agency for review and approval. A failed in-ground dispersal camponent may be abandoned and replaced by a code-com�lying dspersal component in a pre-determined area of suitable soils, System Abandonment IF use of this POVVTS is discontin«�d, it sh�l� �e aF�a;,d�iiecl in accorrJance with SPS 3�3.33, YVisc.Arlrnin. Cc��ie. PAGE50F6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 4"0 Venl Pipe >10 Ft from Building Electrical must comply wilh 12"Min.or 2A ft above SPS 316 and NEC 30� Established Flood Elevatlon Wealherproof Extend manhole nser as necassary. (typical) Junction 6ox Approved Approved Locking Manhole Vent Cap IMPORTANT: with Warning Label Attached Anchor tank(s}as necessary � (typical) --Conduil pursuant to SPS 383.43(8)(g) 4"Min.or 2.o ft above Established Flood Elevation (�YPical) �Airtight Seal � �I� Finished Grade � Quick Disconnect CAPACITIES @ 20.28 ga�/�� �;: � , � .. - ' 1e����n c�ya��q �� a � � 1 Depth(in) Volume (gal) A �$ 365.04 * � � Weep •�Approved Joints wil'n Hole Approved Pipe 3 ft onto B 2.� 40.56 q Solid Ground �C� 8 162.24 � I . (lypical) I � ( �Afarm D 12 243.36 B ;Ps_,_.o� � [ci� � PUMP-OFF '�Pump Tank Liquid Level = 40 i� ! PumP �_or • ELEVATION = 90•48 ft - 1 - ° INSIDE BOTTOM Force Main Diameter= 2 in c°"°���e �� � eb�k E�EVATION = 89�48 ft � � � % - �.� Force Main Length = 50 ft 3"Approved Bedding Malenal Beneath Tank � Vertical Head =���ft Force Main Void Volume = 8•15 gal �� 146.39 + Min. Supply Head = 3�5 ft [C] Total Dose Volume ITDV) = gal/dose �'�" + FM Friction Loss = •6 ft (5X total lateral void volume<TDV<0.2X design flow) "�� +(force main drainback volume) + Fitting Loss"` — 1.05 f� *(min,supply head x 0.3)�� MIN. PUMP DISCHARGE RATE = 61.56 gpm = TOTAL DYNAMIC HEAD = 10�7 ft �� PUMP TANK: SEPTIC TANK(S): Volume = 750 gal Total Volume = 1920 ga� Manufacturer: Wieser Manufacturer(s): Skaw (existinq & Wieser Pump Manufacturer: Champion Install approved effluent filter at the septic tank outlet Pump Model: CPES3 �s�e a��a��e����.m����Ne.} immediately upstream of the pump tank inlet. Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Orenco Controls/Alarm Model: Tank AIPrt AR Filter Model: FT0822 Float s�vitches containin4 mercury are prohibited. � � 1 1 � � � � , . .�.#� i FEATURES/BE�IEFITS _ _ __v.... . . ,.� . 5'PM�` POWc'R CORD PERFORMANCE Sealed encry quick discennect power cord; Heads up to 37'TDH -Pre�rents�,vater from en;:ring the motor �� flows up to 72 GPh1 hnusing through a cut cord ,:, • � -Easy to replace in the Beld ! '<:.�; '` MOTOR •Available in lengths up to 100' High e(ficlent,115v,oil fllled,permanent split capacitor motor wlth upper and lower ball SWITCN bearings and thermal overload protectlen P�BgY-6ack switch design -Constan[bearing lubricatlon -Defective switches can 6e diagnosed over -Maximum motorcooling the phone -Runs cooler and lasts longer -Pump can be operated manually or -Intemal overload protectlon supplied with other p�ggy-back switches -Quiet operation -Swltch can be replaced without having ro - -Fasteners and shaft made(rom ru;ged, replace the pump corrosion reslstant statnless steel A P P L I CAT I 0 N S SEAL DE516N 6asements,dewatering,sepre syst�ms, � Mechanical with secondary dynamic I:p seal residentiai and commercial -Provides added leakage protection ��v'-lopi�ients and zlera:or pits IMPELLER DE:IGN Men-cle;styie vortex impeller ' -De>igne�to help reduce clog;n;by iorei;n <� � material � `,�� ��� }���- ��- � ' U/iAe-AngleF(aa: �ierti�iFloat 1f3-1/2 HP su6mersible pumps that handle up[o 3/4"solids With 2"discharge with 1 Ij2"adaptzr PERFORMANCE CURVE 40,0 � — — — �5.0 - — — --— —� --- - - — '— - — —— 30,0 y 25.0 O r ✓ — — Y LL C 2�.� v S — 15.0 10.0 � ES� CPESS 5.0 — � x.. — �j — —- --= _------- '-- — .__f---- ——-- — -- —— 4n - __ __..._. � _ 0 10 2� 3U Cl �0 G�� 70 p0 c;al�nns er�unuto Champion Pump Company, Inc a ('.0. Box S?fi � Ashland, OH �4�Q5 ('hon4 �19-?.81-450�? a Fax�l19�G16-11U0 � �v�v�oi.championpump.com n,_�c��s IJN , ��DGER �,�B� -�.,�,, 3� - _ . ,. . N.. . _ . „ , ANDRY RASMUSSEN&SOPlS Project Number 2�001956 42940 US HWY 63/P.O BOX 6b Report Date. 1J15/20Z=1 CA6LE,WI 54$21 Sampled By� CLIENT Attn: TIM CLARK/MISSY POH G2 N Samples: 1 RUSH Sample Numbe� 5400�774 Sample IG: G2 N1 Sampiz Date: 1/3/202a Date Received: lJ8/202�1 �ENE�r AL A�VALY51� �esults Units LOG LOQ Di! Methud Analy:ed Codes --- . ._----.._ _.—. . --- ---... _.__--- -- 60Dr b00 mgJl 200 ?GO Sib152108 1/$i 202A 30G;.GtiFBON�CFGU� 514 m�,�L 100 1�J0 Sfv15?lU6 1/3/2024 g GILAPIDGRFASF(HEXANE) 13 mg/L 1.5 1.9 EPA1654A 1/1?/2024 PN�� 6.9 S.0 SNId50CH3 1/8�'202a SJSPENDED SOUDS 236 m�jl 71 71 SM2540D t/9/2112A Qualiry.nssurance Code(s): 8. Sample�sj teteiv�d past EPA bolding Ume. Ail LOD/IOQs adiusted for di.ution and/or solids content. lOD=Limit o(D�tection ��10-Limit of Quantitation BADGEk WBONk?CY,iES,INC. WDNR C�rtified=a6 7t4a502315U Approved ey: (/��i„r� /���ll..vw�t..J BL:gr -- -- _ .__.____._._._--.-.--_. __ �' , � It l� t f" 1 �� \ I- t tl \ �, ' .., _. r_— _____�__ . __ r.__.�.__ 5�-EVENS POiN-i itiiE�NRli G�tEEPd 6AY i w i s e o q�i H n r s e o e s�� w�e c o n s i a i SP��tiUNRCert labrt;Oit(?.C�!? .,.��.,�jri-trerc[.�btt � .u1ci;.�: t;ES-vNUrv{ICert.Labtr, � SP fu1T!'pt',,, r.tr.5 S� H�l 1�7CO_er. :114+,� i,E-Dn�r[`Cer�OS 5262� 1 � 1 � f � l , , �y BADGER LABS � �,,� �. , ANORY RASMUSSEN&SONS Project Number 24p01555 A2940 US H WY 63/P.O.BOx 66 Rrport Date� t)15/ZOZd cas�E,wi saszi Sampled8y �LIENT A[m. iIMCLARK/MISSY PO#: G2 IX Sampl=_s�. I NUSH Sample Number. 54004773 Sample ID: G2 k2 Sample Date: 1/4/2029 Date fieceived: 1/8/2024 1'3raniet�r Re.iiilis Units �Op lOQ Uil. MetheO Ai�alyiecl Cod25 ___ .—..__ .._...._ __. GENERALANALV515 - ��- -� � �� � � � BODS 633 mg/� 200 2CA SM52lOb 1/tlf[ULO � BODS CARBONACEOVi 562 mg/L 1W lfp SM52106 1/8{102J P OILANDGREASE(HE%ANE� 1] mg/L �A 2(I EPA16fitq ]/12/202d pH.tAB 6-Y S-U. SMa500NB t/8/2029 SUSPENDtU5011�5 151I mg(L 36 3S SM25JUD 1/�/IO2G Quality Asi�rance Code�s�-. C.Sam ic�sirecr�ve � V UPastCPAhnlGingfinre I NI LOD(LOQs atljusleA(or dilulinn antl/or s�li�s rnn'��i•1 ioo=u�,�uoioz�e�cro„ �oq=w„rtorq�A,��iiaeo� 9AUGERIABORATpRiES,INC. � v/IJr IF C=rtlie�7'�.�L��9JSfi�315fi A�j,n�i�.t!�y� C+'�a e� B�g� ' � ( R l i!�i t ��1 1���y __"__. . .___ __..__. . "FUIN� wM ENA» G` 7Y�. � P D�iC L L���IIO.�sJ yinn t?Crrt t .. '�� UI " .La .OiII6Gu �AT.�Crrl (1 5.`: i�. . .. r�....�, ,_ . � �ADGER �A BS �,�d.��—�a� R��F��� , , ;.. � nN.0 n��.nt i nann.�r:iry,t errnn�m�.+�u.a. ;eFv�res � . . � ANQR'�f RASILtU55EN & SONS P��ject Nurnber: 24002290 42940 US H4VY 63 / P.O. BOX 66 Report Dak2: 1/24/2024 CABIE, N�I 5?821 Sampled Bv �UENT Attn: TIMCUIRK/MISSY PO# G2 ft Samples: 2 Sample Number 54005560 Sample ID: LVASTE4UA7ER Sample Date: 1/9/202A Date Received L/t7_J2024 Pararneker Rrsults U �irs ��)�a L04 Gi1. Method Anatyzed Coda=, .—�._. .� ._.. . _....__�-- .__.. GENERA.ANALYSfS --`—-- - BODS 673 r i�N'L du:l 400 Si�15210[3 1/12J202�7 BODS, C�RBOMACEOUS SW r �ti�! 1i'�) 2p0 5�152106 1/12/2029 f OILANDGRF1tiE (HEXAM1II=� 39 ni;/�_ 1.3 1.8 E°A1564A 1!23j20?�: pH-LAB 7.1 S.U, SMd5QOH8 I/12/202J SUSPE'lDED SGUDS 149 mg(L 2C 20 SIv125A0D 1/15/2024 �ample Numbcr 540Q5561 Sample IG WASTEWATEP, Sample Date: 1/10/20�4 Date Received 111Z/20Z4 f��rameter ..._._.._ . �::•.,�.dts Units LOU LOCi D�I. P.t.r;Jr ,c� Analy�e<I �";nt-; _..._ --- - - . ..._----. . _-- - . . _-- - __ _.. __-----_.. GcNERAI ANAL YS15 6005 � 63b mp�fL 20f, 200 SM52108 1/1Z/2Q2d 60�5, CARBONACEOUS SOS mg/! 1(Xt L00 SM52106 I/12/20Z�! 011 AND GREASE (HcXANE) 13 mg/i 1 7 1.7 EPA16o4�1 I%23/?02d PH-LAB 71 S.0 SUSPENDEG SOl.10� 139 �n � SM4500Hfi 1j12/2Q24 €� Z'� 2d SM2540D 1/15/202� 4uality Assuranw Code(s� E� Santpl,�is) r,�c?ivrd ��as� EPA he�di�zg urn�. Ali LOD/IOQ,adjus[ed (or dilukion and/or solids conteni. LOU = Limii ef Dete[tion LOQ =Limic of�uar.tdabon BADGER LABORATORI=S, WC WOMR Certifi�d Lab k4350231;(i Approved By: ��i��Y�. �9��r-��.�,�, BL•gr -- f t: t� T � rir• � �rtn � � _--- STEV�?�iS POli�i7 tdEENAti GR�Ehi 8al�t' W 1 � C O N 1 � Y W 1 Y C p N f 1 M II S{=-N'ONR Ceit Lab n7501t04:i(.+ :a�r b4[7NP 'd � S C O M S t M Cerc_Lab q<.45(7Y315<r c,f,.C�nT�PC�ri L*1R5-425 ��c+r,t t)AfCf�C,ert 't}q5.���y ;S-YF6NRCert.labk-.t352226rL � � C.'..B�D2TCCCe2 ln� f--;::: �j: BADGER,LABS :.,�,�Y.�.a�Re�,�, ANDftV RASMUSSEN&SONS Prolect Number: 2400262a d2940 US HWY o3/P O.BOX 65 Renort Date�. 1J30/�024 CABLE,W1548:1 Sampled By�. CLIENT A[In- TIM CUtRK/MISSY N Samples' 2 Sample Numbec 510063a8 Sample ID�. G2 NS Sample Date� 1(16/2029 Date Rzceived: 1/19/2024 va�a,�,r�,� r,es�,ir. ��rts ioo �oa o�i nn=�m„i n„�ty<ea e«�es _ ._—_. ------.. GENEPAIANALY515 � —".. ..—'--------' . . ft005 669 mg/L 2�0 2U0 SM52108 1/l9/1024 BODS,CnRBONACE0U5 6ai mg/t IL`0 lOf; SM52108 1/19/202a OILANOGREASF(Hi(A�iEI 6.9 mg/l 1 i ].7 EPH1i�6J� 1/30/2024 phl�LAe ].0 S.0 SAIASOOH6 1/1'%/2020 $USGENUEDSOIIDS 98 mgfl t5 25 SM25np0 !/22/202d Sainple Nwnber: 5400U3a5 � S,�mple ID: G2 H5 Sample Da[e�. llU/202A Date Received�. 1/19/2024 ca�a�., .� e�,��i�. o����: �o� �o�� o�, �.ie;no��. �,o.,iy:a.� _._� -- _-- — GENEfi� n n��.lsi� .. . . _ _—_. ...__. . ___.___ . . _.— . BOUS i]% mpJt N� 2C0 SM521DIi 1/19/2Q2�1 BODS,CAft00N4CE0U5 7t15 mg/L 100 300 $M52108 1/19/202n OILANDGfiEASE�HE%ANE) l5 mg/l 16 lb EPFI664A 1/30/2024 pH-LAB 70 SU. SM�SCOHA 1/19/203A SUSPENOEOSOl105 1l0 mg/L ]0 2p SM?S�OD 1/]2/2024 All�ODJLO�s adl��st�d ler dilunon and/or solids ronten'. LOU=Limi�of�etection lOQ=Lrmit of Quantitatirn� BADGEa LABORATORIS,IN:. WD4R CCrtifieA Lah d4�t50?315G npproved 8y: a��� (�'� �� --- � ,� , �� � ,, <<,.� � STEVENSPO�Pit N'cetiAii GR£EMBAY ..,. . .�. ., ,. r,u.iat .-,�,i,:r.�:�. ..�:.:�:�� - -,;:;,.�,.., �. �.r�..; .�.a� „,.�,�:c �c ..i.-�y_. .. � ,.,.. �i,.. _ s:<. L�;�AYCd��J ���� _ 1 � i u f-� � W sconsin Qepartment of SafeDj and Pro`essional Services Pag� of t � �,1 Di��ision of Industry Servir.es I y(� � ��,, � g� ,��1 SC}IL EVALUATION REPORT ��;__�_�.j '��r�'` In accordance vvith SPS 385, Wis. Adm. Code County �AWYER Attach complete sile plan on paper not less than 8 1!2 x 11 inches in size. Pian must inciude, but r:oi (imited to: verticai and horizontal reference poir,t {8�41), direction and percern slope, Parcel I.D. scale or dfinensions. north arro+x, and location a��d distance to nearest road. �Z(p ,_„ R �R r. f,"1 � �'"I� c�J. Plaase print aIi information. Revie�ved by Da1e PErsonai information you provtde may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I Property Otivr�er Property Location [] (� S4� �e.v� l'�G>a,b�' C-L.-.�. co�t. �.ot_(._ i r. s I`1 r 3c� N R ('C� E �or n, roperty Owner's Mailing Address Site Address or CSM and lot #: �o � �! 3 3 C. . 4 r �� 6 `7 t�1 s-�- w L t' z � � o c�.c„ City S!ate Zip Code Phone Number ❑ City ❑ Viilage Town Nearest Road ��� .�u1A. �a��5 (� S 'TZrj t ) � �t�n.c� �...«.�2. a Z7 ❑ NewConstruction Use: � ResidentiaUNumberofbedrooms Code derived designflowrate �p ❑ ReplaCemeni ❑ Pubiic or commerctial -Describe: �� Fiood plan elevation if applicable � Parentmaterial S[�,+� _t,, Q�tWCtS � General c:omments and recommendations: � , \ ----- �� �- IS Sc..�s�: e��, aS S C b-�___'��'P �T`�`— �l�.S ` ,� - � Borinc� fi� ❑Boring [4Pit" Ground surface elev. L�-•�7 ��. Deplh to limiting faet�r t � �in� /elev.��f(. 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