HomeMy WebLinkAbout030-737-19-4401-SAN-2024-054 :.Y,l'nkl.�l::��. , �
Indnstry Services Division �a�h' ! �
� - 4822 I�iadison 1'ards Way JQW ye/
;:i ��� - Sani[ary Pcrmit Vumbcr(to bc fillcd in by Co.l
s. Madison,�'1'I�3705 �
�i �S . P.O.Box?162
� �� ,E \4adison,W1 53707-7162 ��� �� ��-{ �� �
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Sanitary Permit Application s`�ie T�°�"`;°°��'�"°` �
In accordance�vith SPS 33321(2),�VSs.Adm_Code,submission of this form To the appropriate governmental unit �_0 3��!�3 4��� �
is requircd prior to obtaining a sanitary peimit_Note:Application foims for sL'+te-owaeci POWTS are submitted to Project Address(it'clilterent t}ian m:�ilir.�add,-css)
die Departmcni of Saicty and Prof�xsional Services.Pecsonal info�alion you pro��ielc may be used for second:uy
purposes in accordancc with thc Privacy L:aw,s. 15_04(1}(m) Stats.
L.:lpplication Information-Plcas�Prinf All_Informarion. �
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Pmpem O�vncr'<?����i� Parcel�J
J M a ,t/elSo�✓ �; 03G�37�y yy6 1_ _ ---
Property Owner;:tita�fing Address Property Location
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Cii..Stai� 2ip Code - � :'1.�:;:e\umber -- �
c�xelQ�vd ws y� s S_��,<._sE-- :�. ������,�, _� _.
II_Type of Buiiding(check all th�t aPR?X): , Lo'' T 3 .7_-�; R--�-- �u �v --
3 Subdivision Namc
nl or? Pamih Ih�:dlin�-Numberofl3cdrooms ^_
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�PubliclConimercial-Describe Use_ -� ---
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�State O�v�ied -Dc,cribe Use CS\�i Number ❑Village of___
— �Toan of_We%[�01�
III.Ty�c of PnWTS Permit:{Check'c'►ther`�eW"or``-Replacement"and other-,apptica�leon�e A Ctieck nnc bot on�irie F+,:Cornplete linc C if
a Iicable.)
a ❑Veti� S��tteu; �nReplacement System �ther��Iodificatior to Existing System(explain} ❑Additional Prctrex�mcnt L'nit�c�:piaml
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�❑Holding l'ank �In-Ground �4t-Grde �Mound Individual Site Dcsi��n Otl:c�'I ype(ex��la�nl
---- (convcntional) - � -
�� � I2enewal Beforc Revision List Previoul Pcrmi!Nn�nber and I)atc l5sued
i❑ (❑ ❑C.'hauge oEPlumbec �I'ransferto New Osvner
I F;X�7iraliDn � � I" /7? / �'' 7 I
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IV.Dispersa(/T'reatment Area and T'ank�Informahoni:-.: , s �,__ �.;,�-':' .
Design Glow(�dl , Desf�n Soil:�pplication F2ate(gpcl%sf1 Dispeisal Area Re��uircd(s� Dispecsal Area Proposed(sf) tiv;trm I.levation
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y�o � /.o �— y�3"o i vsv �_/�.33" -
j Capacit}�in ; Tota! ! -ot Manu f ac t urer 1 �
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l�mk In(orman�,r. �__ Galloos � Gal�oes � i'n;�ti � , � c � � � � �
; \c�v Tani:s Esistwg Tanks i i 'o v � u " � ; ! ' =i �
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Scpti�ur i-tuldmg�I�ank �
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Dos�ng ChamUcr I �ro I i ;�I� �
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V.Responsibilih Statement-I,tlie undcrsigned,assume.respons�bility for instrllahon'of the PQWTS sho�vn on Ehe attachcd pl:ins.
Piui;�be.-,Vamc i Print j `�Plumber's Signahue A� /:I�IPiZS Number I f3iisiness P!�nn�\umber
� UC��f�ey��-- -�-��_ -_ �10 y9 —- -7j�5'-9y3'�3�r�---
Plur.�i,er',Add�cc<;S:;cc;.Cih�.S[at�,Lip l;odc}
IyJy� r w Y� �a.��� ws s � s
VI.Coun /I)cpartment Usc Only �: ; %-'"
Pennit Fee Date Issued. �Is�uno Agent S�gnaiurc
�t['� ;.� � ! f=1 Di�s�provcd �L� � � „� p � �
�� � G i)�vncr Givcn Rcason for llc�tial !DO• I �i i„1���,y "�.G{�t�c+i(�-L��7/t.(�
Conditions of!4pprovaUReason5 for Disapproval � '`�
� � Ai t �/`1�-�....��,,.._..._..._ _ �`� �.___--
��, �� �: I � s 7 � MAR 2 1 2024 '-
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GS� � � - 17C�) ��� �����,�v��� cG;_,:�. __,
ZONING i�DMINISTRATION
H� ��
\tcich cu complete ptans tor the s_ystem and svhmi[to the{'aunty only on paper ooi kss than 8 I!2 z ll ineha iei sizc
NO R�FIJNDS AFTER
SBD-6398(R.03l211 ISSU�OF F►ERMIT
31 �6a
O`:p�127�1/CyP
Wisconsin Dcpartment of Safety and Prolessional Services �`' ��.. Phone: G08-266-21 12
Division of Industry Services o � O �f^ Web: http:/!dsns.wi.gov
�
d822 Madison Yards Way ` ! � ; EmaiL dsps(i�;wisconsin.gov
ro r��X �3oz "�� � PS `
nTadison, wi 53�0� `'r;, � /` Tony Evers, Governor
j�k�_�__.—��
O, ��- Dan Hereth, Secretary
:
��S:CIU_i��
Conditionally
March 15, 2024 APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
CONDITIONAL APPROVAL DIVISION OF INDUSTRY SERVICES
PLAN APPROVAL EXPIRES: 2026-3-15 �� /���/.'
Plan Review: PWTS-032400398-C '""�'
Bruce Vitcenda SEE CORRESPONDENCE
1474N N State Rd 40
Exeland, WI
SITE:
Nelson
11790W County Rd C
Sawyer County
Town of Weirgor
SE % SE % S19 T37N R7W
FOR:
I� Description:3 Bedroom- 450 GPD II I
8" to limiting factor- Effluent Filter - I Mound Component Manual - Ver. 2.1, SBD- '
� ', ,
Maintenance required. I 10691-P (5/22-5/27)
�i , Pressure Distribution Component Manual - Ver. I
'I 2.1 (May 2022-2027)
'' _ _—__- — - --- - --. ! _ _—._
__ __ _--_ __
Verify proper dose is achieved, and the system is not being overdosed.
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 drain 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 uf Sec.145.19,Wis.Stats.
• Inspection of the private sewage system installaHon 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 aoproved qlans,specifications and this letter shall be on-site durine construction and open to
inspection bv authorized representatives of the Deoartment 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 topy 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,
,,J^a►��u,cw/�o-���
Joshua Rowley
POWTS Plan Revie�wer,Division of Industry Services
(715)634-5124
Joshua.rowlev@wisconsin.�ov
Page 1 of 2
SOIL INTERPRETIVE DETERA�ffiVA'I`ION
(Pursuant to DSPS 385.60 (2), W.A.C.)
James & Sarah IlTelsonProperty
Pr•epared for•:
James & Sarah Nelson �OND7770NALEY
11938W County Road"C" APPROVED
Exeland, W[ 54835 �EPTOFSAFENANDPROFE55IONALSERVICES
DIVISION OF INDUSTRY SERVICES
Loc¢ted in:
SE-SE, Section 19, T37N-R07W C�� ����;
Totivn of Weirgor, Sawyer County 5EE CO ESaONDENCE
Docume�zted by:
Edwin A. Taylor,
CTS 70066
06-03-2021
The intent of this document is to demonstrate that a minimum depth of six inches of
nnsahuated in situ soil occurs on a proposed mound wastewater dispersal site at the above noted
location. The primary basis for this contention is an interpretation of color patterns observed in
three soil profiles on the si[e in question on May 14,2021. A report of morphologica]
observations(SBD-8330 Form)and an accompanying site map showing soil profile locations and
elevations relative to site benchmarks on the date of invesdgation are attached.
A proposed mound on the site under consideration would serve a three-bedroom
residence with a design flow of 450 gpd. The proposed site is positioned on a moderately
sloping(approximately five to six percent gradient),linear Uacicslope of a swell-and-swale
ground moraine. Thc moisture regime of the mineral soils on this position is somewhat poorly
drained. The somewhat poody drained soils most nearly conform to the characteristics described
for the Magnor Series (Aquic G[ossudalfs)_ The proposed site is situatcd in a Magnor silt loam
map unit.
According to USDA-NRCS Official Series Descriptions, expected depth to periodic
saturarion would be 1.0 ft to 2.5 ft for the Magnor series. The series is deep to densic contact.
The proposed dispersal area is in a wooded azea whicb lacks any hydric soil or wetland
vegetalion indicators as specified by criteria established by the ACO� 1987 Wetland Delineafion
Manual. No saturated conditions were present wit}un a depth of hvo feet on the date of
invesHgation.
Page 2 of 2
The following argument is offered to support a contention that the minimum depth to
periodic sahuarion on the proposed mound site would be at least eight(8)inches:
Color patterns in the subsoil(matrix>_4 chroroa with Fe-oxide depletions and accumulations}
observed in eaccavated profiles on the proposed mound site aze indica6ve of somewhat poorly
dcained and moderately well drained moisture regimes in which sahuated conditions occur
close enough to the surface(not at the surface)or long enough(not throughout the o oiving
season)to"adversely affecP'plan6ng, harvesting or crop growth without artificiat drainage.
(It has been the experience of this observer,having observed such soi]s on similaz landscapes
throughout the yeaz for the past forty years,that soils with subsoi]color patterns and on
landscape positions similar to those on the site in quesrion typically aze rarely, if evu,
saturated to the ton oftlJe subsoil for two io six weeks after frost-out and before onset of a
seasonal moisture deficit period during the growing season. No saturntion was observed in
any sample profile within a depth of twenty-four(24)inches on the date of observation_
Periods of brief saturation would be expected in upper subsoil horizons of observed soils in
the proposed dispersal azea in spring or during intense precipitation events.
In suiruoary,site specific observations of soil color patteras,landscape posirion,and slope
gradient,suggest a somcwhat poorly drained to moderately wel3 drained moisture regime in soils
proposed for application of septic tank effluent. Free water rarely encroaches within one foot of
the surf ice in soi3s with somewl�at poorly drained moisture regimes, Tlus generalization is
consistent with lack of redoximorphic features in the upper 8 to 13 inches of soils observed on the
proposed site and also with the official series description for the soils. 'I'hus, it is proposed that
the design limitation depth be established at eight(S) inches. An eight-inch limitation depth is
greater than the six-inch minimum depth of suitable in situ soil required for a soil dispersal unit
pursuant to DSPS 383.44(3)(b), W.A.C. Twenty-eight(28) inches of sand fill(ASTM C-33
spec;fic:idon) is proposed to providc a minimum 36 inches of vertical separaqon betwecn thc
dispersal area infdirarion surface and the stiallowest depth(8 inches)to observed redoximorphic
features.
A basal area]oading rate not to exceed 0.6 gpd/itZ and a linear loading rate not to exceed 6.0
gpd/ft would be suf&cient to preclude significant risk of mound tae seepage on this site.
wisconsin osPs 501L EVALUATION REPORT Page i of 3
� Division of Industry Servlces
in accordance vrilh SPS 385,Wis.Adm.Code County:
Sawyer County
Attach comple[e site pian on paper not less ihan 8:4 x 11 inches in size. Pian must
Include,6u[not Iimlted to:verlical and horizontai reference point(BM),direction and PIN: 030737194401
Percent slope,scala or dimensions,north arrow,and Iceation and distance to nearest road.
Please p�int all information. Re�ewea by. oace:
Perswa11n1omution ypu p�m.IAo may ba iaeC iw5ecorNary purposes(Privaq law,s 15.06(t)(mI1
Property Owner. Property Location:
James 8 Sarah Nelson SE-SE,S19-T37N—RD7W
Property Owner's Mailing Address: Lot# Block# Su6d.Name or CSM#
11938W County Road"C"
City: State: Zip Code: Phone Numher. Cdy. Vliage: Town: Nearest Road:
Exeland WI 54835 Weirgor County Road"C"
/ ok/
� New ConsWction Use �Residentiai/Number of bedrooms: 3 Code derived design flow rate: 450 GPD
❑ Replacement ❑ publicorcommercial—Describe:
Parent material: loess/till Flood Plain elevation if applicable: NA ft.
Generai comments
and recommendations:
Site is suitable for a mound dispersal area @ 0.6 gpd/ftZ basal soil loading rate contingen[on Interpretive Determination approval.
� ❑ Boring
Boring#
� Pit Grountl sudace elev. 97.8 ft. Oepih to limiting fador. 8 in. Soil Appiication Rate
Hor¢on �epth DominanLColor Redox�escription Teulure SWcture Consistence Boundary Roots GPDI
in. Munsell Qu.Sz Cont Calor Gc Sz Sh. EffN7 EfNF2
An 0$ IOYR3/S 51 2mg-sbk mG as 302nr] 0.6 0.8
Btl 8-Ib IOYR4/4 c2dI0YRSb2&516-N SiL 2msbk m& �v 3(/t�o-] 0.6 o.R
UR 1G-24 IOYR 4/4 c 2 d IOYR 5-C✓2&5/63 SiCL 2 m sbk mfi 202m-1 c 0.4 D.6
❑2 ❑ Bonng
Boring k
� Pit Ground surface elev_ 98.5 ft. Oeplh to Iimiting factor. '12 in. Soil Applicadon Rate
Horizon Deptb DominantColor RedoxDescription Te�Rure SWcture Consistence Boundary Roots GPD/t
in. Munsell Qu.Sz Cont.Color Gr. Sz Sh. EffIA1 Eff#2
AP 6-19 IOYR3/2 SiL 2mg-sbk mG u 3D2m-I 0.6 0.8
Dt1 10-f2 10YR4/9 SiL 2msFk mfr
y�v 302m-1 O.G 0.8
B� �2-Zq 10YR4/4 e2d10YR5-6/1&5/6S SiL 2msbk mCr 2�2m-lc 0.6 0.8
'Etfluent#1=60Ds>30<�Om LandTSS>3D<150mIL 'Efiluent$2=60��30mlLandTSS<30m
CST Name(Please Print): Signature: CST Number.
Edwin A.Taylw ��'!�_,��.;�z 70066
-' � �
Address: Date Evaluation Conducted: Telephone Number:
638 8'h Avenue, Baraboo,Wt 53913 May 14, 2021 ( 608 )448-2037
. Properry owner: James 8�Sarah Neison PIN• 030737194401 Page 2 of 3
❑ Boring
a Boring#
� Pi[ Ground surface elev. 96.8 ft. Depth to limiting factor. 13 in. Soil Application Rate
Horizon �epth Oominant Coior Redox Descnpfion Texture Structure Cotrsistence Bwndary Roots GPD/
in. Munsell qu.Sz Cont.Color Gr. Sz Sh. EfNk1 Eff#2
�P 0-13 IOYR32 SiL 2mgr-sbk mh ns 302m/Ic 0.G 0.8
B[I 13-17 IOYR4/9 e2dt0YR5-G2&5/6-8 SiC 2msbk mR gw 302m-I 0.6 0.8
B� 17-24 IOYR4/4 c2dl0YRS62A.5l63 SiCI 2msbk m6 202m-Ic 0.4 0.6
❑ 80f10y
Bonng#
❑ Pit Ground surface elev. ft Depth to limifing factor ia Soil Application Rate
Hodzon Depth DaminantColor RedoxDescrip6on Tezture SWcture Consistence Bountlary Roots GP�I
in. Munsell Qu.Sz Cont.Color Gc Sz Sh. EK#1 Eff#2
❑ Boring
Boring#
❑ Pit Ground surtace elev, ft Depth to limiting fac[or in. Soil Applicafion Rate
Horizon Deplh DominantColor RedoxDescriptlon Te�clure Structure Consistence Boundary RooLs GPD/ft
in. Munsell qu.Sz Cont Cabr Gc Sz Sh. Eff#1 Eft#2
'Fffluent S 7 =BODs>30<�0 mg/L and 7SS>36 5 150 mgll 'Ef(Iuent#2=BOD�30 myL and TSS s 30 mglL
The DSPS is an equal opportuniry service provider and employer. If you need assistancc to access services or
need material in m�aitemate format,please contaet the depazta�eut at 608-266-3151 or TTY 608-264-g777.
seaeaao�a.a�roo�
i
PAGE 3 OF 3
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(nail in 16"dbh ash) , i �
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� SITE
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� S Il"E MAP
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i Scale: 1" = 40'
o ao eo �zo
� �
� " James &Sarah Nelson Property
� Mailing Address:
I 11938W County Road"C"
Exeland,WI 54835
I '
� ' SE-SE, S19-T37N-RO7W
� ' Town of Weirgar, Sauyer County
'::;� ::'
PIN: 030737194401
: .. . .
- - . —.— - - . ApQroxWW �. ��: .... — . _._. _ . _ TaxID: 31982 - - - -
, ; 40.0 Acres
- - - - - - - - - - - C/L - CountyRoad "C" - - - - - - - - -
���F�202� Real Property Lisling Page
Real EStdt2 Sawyer County Property Listing Proper[y5taius: Current
Taday's Date:7/16)2021 Created On: 2/6/Z007 7:55:53 AM
a
�Descriptian Uptla[etl:8/11/2016 � OWnership Updated: SO/30/2020
Tax ID: 31982 JAMES L&SARA S NELSON EXELAND WI
PIN: 57-034-2-37-07-19-0 U4-Q00-��0010
Legacy P[N: 030737194501 Billing Address: Mailina Address:
Map ID: .16.1 JAMES L&SARA 5 NBLSON JAMES L&SARA 5 NE4SON �
Munidpality: (�30)TOWN OF WEIRGOR 11938W COUNTV HWY C 119384V COUNTY HWY C
�� 519737N R07W EXELAND WI 54835 EXELAND Wf 54835
Descrip[ion: SESE
Remrdetl Acres: q0.000 � Site Address � indicatec Private Road
Calculaced Acres: 38.417 1ll90W COl1N7Y HVJY C EXELAND 59835
Lottery[laims: 0
Frs[Dollar. No u propertyAssessment Updated: 6/10/2020
Zoning; (F-1)Forestry One 2021 Assessment Detail -
ESN: p3z
Code Acres Land Imp.
G6-PRODUCTIVE FOREST 40.000 52,000 0
� Tax Districts Updated: 2/6/2007
I State of Wisconsin 2-Year Comparison 2020 2027. Change
57 Sawyer Counry Land: 52,000 52,000 0 0%
030 Tawn of Weirgor Improved: 0 0 0 0%
540735 8ruce School DisUid TotaL• 52,�00 52,000 0.0°ia
001700 Technical College
+ Recorded Documents Updated: 10/30/2020 ���Property History
WARRANiY DEED ��a �-
Date Recorded: 10/23/2020 427n39
JUDGMENT
Da[e Recorded:6/10(2019 418165
PROBpTE
Date Recorded: 1/8(1960 t0A670 MISC 24/124
QUIT CLAIM DEED
Daie Recorded; IS{27/1935 61706 65/15
ta ssawyercountygov.orglsystem r(�ames,asp?uname=Enc+Wellauer
111
pt��RT'��E���,. T DNISIONOFINDUSTRYSERVICES
`� F. 10541 N RANCH RD
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HAYWMD WI 59843£i62
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''��PS � � hI1pJ/tl5p5.wf.9oNprogra�ntlu5fry•5ervice5
/� www.vnsmn51n.9w
�O�ssioan�¢�
Tony Evon-Govarnor
PawnCtlm-Sttrolnry
July 1,2021
CONDITIONAL APPROVAL
SOILS SATUFtATION DETERMIIfVATION
Ptan Review Numher:PWTS-0721Q0065-SSD
EDWIN TAYLOR
638 8t6 Avenue ��ND1770NALLY
eareboo WI 53913 �1PPROVED
DEpi OF SAFETY AND PROFESSTONAL SERVICES
DIVISION OF INDUSIRY SERVICES
SITE:
James and Sarah NeLson
11790W County Highway C ���� �i�;
SawyerCounty SEE CO ESPOMDENCE
Town of Weirgor
SE'/<-SE'/.-S19—T37N—R7W
The submittal descri6ed above has been reviewed for conformance with applicahle Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This
system is to be constructed and located in accordance with ihe enclosed approved plans and with any
component manual(s) referenced above.The owner,as defined in chapter 101.01(10),Wisconsin Stafutes,
is responsibfe for compliance with atl 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:
• Approval is hereby granted pursuant to s.SPS 385.60(2),Wis.Adm.Code,to estimate the depth
of seasonal sofl saturation based on an interpretive determination process completed by Edwin
Taylor,Certified Soil Tester([ST)and his recommendations.
e This approval is limited to the soil characteristiu within the tested area. This approval is based
upon best management practices and does not warranty the functioning of the system. Water
conservatlon,wastewater disposal practice and system maintenance will aid in the longevity of
the system.
• On-site visit was conducted by CeCe Rudnicki,DSPS on June 30,2021.
o The estimated highest level of prolonged soil saturation approved under this determination is 8
inches below grade. At least 28 inches of sand lift on top of 8 inches of unsaturated,in-situ soil is
required for adequate treatment and dispersal.
o The basal soil application rate for the mound shall be 0.6 gpd/sf,and the linear loading rate 6.0
BPd/ft.
+ Prior to construction of the dispersal area,checkthe moirture content of the soil to a depth of S
inches.Smearing and compacting of wet soil will result in reducing the infiltretion capacity of the
soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If
It rolls into a 1/4-inch wire,the site is too wet to prepare. If it crumbles,site preparation an
proceed. If the site is too wet to prepare,do not proceed until it dries.
> Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to
improve vertica{water movement into the soil solum.
� Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent
surface waterfrom concentrating along the up slope edge of the mound and to divert surface
water drainage away from the system.
m This approval shall remain valid unlessthe site is altered in such a way that the depth to soil
saturation would change or if saturated conditions are observed for seven consecutive days at
depths less than 3 feet below the infiltrative sur(ace of the POWTS distribution component.
� This approval in no way relinquishes the use of color patterns to estimaYe the depth to high
groundwater on any other parcels or portions of parcels.
• A copy ofthis approval letter a�d attachments must accompany the mound system design fnrthis
site for purposes of plan approval and sanitary permit issuance.
A copy of the approved plans,specifications and this�etter shall be on-site during construction and open
to inspection by authorized representatives of the Department,which may include local inspectors_ AII
permits required by the state or the local municipality shall be obtained prior to commencement of
co nstruction/i n stallation/operatio�.
In granting this approval the Division of Industry Services reserves the right to require changes or
additions shoufd 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
bu7lding,structure,or component.
Inquiries concerningthis correspondence may he made to me at the telephone number listed below,or at
the address on this letterhead.
The above addressee shall provide a copy of this letter and the POWfS management plan to the owner
and any others who are responsibfe for the installation,operation or maintenance ofthe POWTS.
Sincerely,
G'P.�Pi/�GCc��2LClGti
CeCe(Elizabeth)Rudnicici
Wastewater Specialist/POWTS Plan Reviewer, Division of Industry Services
(608)400-3186
elizabeth.rudnicki C�wisconsin.eov
u�pec^nr.��c„T Dzpartment oF Safety and Protessional Scrvices
v� Division o(Indus[ry Service5
O� IPi�?:�'�;�,., N
y t,Oy r.a,;;;��., % Plumbing Prodvc[Review
f., ��,.n . K.
� ��`�,�rs�p���'''�;f 4822 Madison YardS Way
(J 2 P.O.Box7162
r2 �,�r�,�SZ � �
o �]i{J_.^,,'g:,:. ,� Madison,Wisconsin5370741G2
Ro�.��`�`e,E` Phane 606-2fi6�2712
Web http�.//dsps.wi_¢ov
Email dsps@wisconsin.gov
GnvemorTonyEvers DanHerech,5ecretaryDesignee 7TY-ContactThroughRelay
May 31, 2022
Dept.of Safety and Professional Services
Bureau of Technical Services
Division of Industry Services -
6rad Johnson -Section Chief
48Z2 Madison Yards Way
Madison WI 53705
Re: Description: POWTS Component Manual
Manu(actumr: Dept.of Safety and Professional Services
Product Name: Mound Component Manual for POV✓TS(Version 2.1),(May 2022-2027)
Model Number(s}: v.2.1
eSLA PTO No.: PP-051700078-PTOVPCR
The specifications and/or plans for this plumbing product have been reviewed and determined[o comply with chapters SPS
382 through 384,Wisconsin Administrative Code, and Chapters 145 and 160,Wisconsin Statutes.
The �epartment hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administretive Code. This
approval 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 Mound Component Manual for POWTS
(Version 2.1), (May 2022-2027).
Plans su6mitted withouC a copy ofthis approval letter may he 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 ac�eptable in the context of ch.383 Wis.Adm.Code.
3. Systems installed in accordance with this POWTS Component Manual shall use wastewater tanks approved by the
department. IF a given tank is approved and meets the published specifications contained in the manual,then
redundant approval of the tank is not required. The installation shall not compromise the structurel integrity of the
tank.
4. Systems installed in accordance with this POWTS Component Manual shall be installed,maintained and used ia strict
accordance with the manufacturer's published instructions,Chapters 381-387 Wis.Adm.Code and this produc[
approval. If 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 Plum6ing Product Approval shall take preceden�e.
5, Complete operation and maintenance instructions POWTS systems designed in accordance with this manual shall 6e
� provided to each system owner and remain onsite.
6. Systems designed in accordance with this manual shall be installed by persons holdingthe proper license or
registration in acmrdance with Wis.Stats.§145.
7. Drain,waste and vent piping used to install these systems shall conform to s.SPS 38430(1�,(Z�and(3)Wis.Adm.
Code.
Dept.of Safety and Professional Services
May 31,2022
Page 2 of 2
eSLA PTO No.:PP-051700078-PTOVPCR
8. [leanouts shall be installed in drain piping associated with the installation of these systems in accordance with s.SPS
382.35 Wis.Adm.Gode.
9. Commercial food processing,food production,food service,restaurantr,tavems and similar establishments which
may generete greases,fats,oils or similarsubstances;shall have state-appmved grease interreptors 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,orthe appropriate agent
county,for:
a. each installation of POWTS systems designed in accordance with this manual;and
6. high-strength and/or commercial POWTS sys[ems designed in accordante with this manual.
11. A sanitary permit shall be obtained,in accordance with s.SPS 383.21 Wis.Adm.Code,from the counry,or other local
authority havingjurisdiction,for each proposed installation of systems designed in accordance with this manual.
12. A complete and a[ceptable 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.20170148.
he department is in no way endorsing this product orany adver[ising and is not responsible for any situation which may result
from its use.
Sincerety,
Brad Johnson—SecCion Chief
Department of Safety and Professional Services
Bureau of Technical Services
Division of industry Services
Phone: 920 492-5605
Email:BradlevJohnson@Wisconsin eov
MOUND AND PRESSURE DISTRIBUTI�N COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: James&Sarah Mound Conditionally
D
Owner's Name: James&Sarah Nelson DEPT.OF SAFETY AND PROFESSIONAL
DIVISION OF INDUSTRY SERVICES
Owner's Address: 11790W County Road C
Exeland, WI. 54835 �� %�
SEE CORRESPONDENCE
Legal Description: SESE-S.19-T.37N-7W
Township: Weirgor
County: Sawyer
Subdivision Name:
Lot Number: Block Number:
Parcef I.D. Number. 030737194401
Plan Transaction No.:
Page 1 Index and title
Page 2 Data enhy
Page 3 Mound drawings
Page 4 Lateral and dose tank
Page 5 System maintenance specifications
Page 6 Management and contingency plan
Page 7 Tank Drawing
Page 8 Plot Plan
Page 9 Pump Curve
Designer: Bruce Vitcenda License Number. M.P. 220498
Date: 02/23/24 Phone Number. 715-943-2382
Signature: _��tf�
Designed Pursuant to the
Mound Component Manual for POWTS Version 2.1 (May 2022-202�, and both
SSWMP Pubtication 9.6 Design of Pressure Distribution Networks for ST-SAS(07/81)and
Pressure Distribution Component Manual Ver.2.1 (May 20?2-202�
Version 7.21 (R. 07/22) Page 1 of 9
Mound and Pressure Distribution Component Design
Design Worksheet
Site Information
(R or C) R Residential or Commerciai Design Note: Sandfill(D)caiculations assume a
300.00 Estimated WesteWater FIoW(gpd) Table 383443 in-situ soil treatmentfor
1.50 Peaking Factor(e.g. 1.5 = 150%� fecal colifortn of<=36 inches.
450.00 Design Flow(gpd)
6.00 Site Slope(%)
98.00 Contour Line Elevation (ft)
8.00 Depth to Limiting Factor(in)
0.60 In-situ Soil Application Rate(gpd/ft�j
�estribution Cell Infiormation
75.00 Dispersai Cell Length Along Contour(ft) = 6.00 Cell Width (ft)
7.00 Dispersal Cell Design Loading Rate (gpd/fl2)
1 lnfluent Wastewater Quality(1 or 2) Are the laterals the highest point
in the distribution �
Pressure Disribution Information network? Enter Y or N
(C or E) E Center or End Manifold
3.00 Lateral Spacing (ft) If N above, enter the elevation (ft)
2 Number of Laterals of the highest point. ��
0.156 Orifice Diameter(in)
2.30 Estimated Orifice Spacing{ft)= 7.03 ftZ/orifice
2.00 �Forcemain Diameter(in)
180.00 Forcemain Length (ft) Does the forcemain drain back? ��
79.00 Pump Tank Elevation (ft) Enter Y or N
4.55 System Head (ft) x 1.3 29.36 Forcemain Drainback(gal)
20.58 Vertical Lift(ft) 67.41 5x Void Volume (gal)
4.51 Friction Loss (ft) 96.77 Minimum Dose Volume (gal)
0.00 In-line Filter Loss (ft) 34.46 System Demand (gpm)
29.64 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
in. dia. options choice in. dia. options choice
0.75 1.25 x
1.00 1.50 x x
125 2.00
1.50 x x 3.00
2.00 x
3.00 x
Gallonsllnch CalcufaYor(optional)
Treatment Tank Information Total Tank Capacity(gal)
1206.00 Septic Tank Capacity(gai) Total Working Liquid Depth (in)
Skaw Manufacturer gal/in (enter result in cell B49)
Dose Tank Information Effluent Filter Information
750.00 Dose Tank Capacity(gal) Orenco Filter Manufacturer
96.05 Dose Tank Volume (gal/in) Biotube 8" Filter Model Number
Skaw Manufacturer
Project James &Sarah Mound Page 2 of 9
Mound Plan and Cross Section Views
. . . . . . . . _ . . . t
' 1��*_ . Observation Pipe �� —j .
K . b
�..._: � A
W ' —�
o B � . .
0 z
� L �
Mound Component Dimensions
A 6.00 ft E 32.32 in H 1.00 ft K 12.92 ft
B 75.00 ft F 9.50 in I 14,58 ft L 100.83 ft
D 28.00 in G 0.50 ft J 9.22 ft W 29.80 ff
450.00 (ft) Dispersal Cell Area 1543.45 (ft2) Basal Area Available
6.00 (gpd/ft) Linear Loading Rate 7.5D (ft) 1/10 B Obs. Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 102.13 (ft) —P , '� � H
., . .. _.. r
� ;:, a .. ... �
100.33 ft —>� � ��spersal Cen - 100.83 (ft) Lateral
( ) .'; . . . ' ��:.., invert
Dispersal Cell 0 '
Elevation � � �
�
. . . . �: . �..�❑4 . . . . : �. : � �. : - �. : . . � - ;❑ .� . . . .
. . . . . . . . . . . . . . . �. . �� �
98.D0 (ft) Contour Elevation
6.0 %Site Slope
�Geotextile Fabric Cover
°' � Dispersal Cell
Sfiading Key � o, See lateral detaiis on
10 � Topsoil Cap o � 1.5 ft Page 4 for number,size,
02 ' " Subsoil C8p N � � '-� ;'. � and spacing of laterals.
� � ASTM C33 Sand � Z � � F Laterals are equally
� � Tilled Layer = y 0.5 ft Tvpical Lateral spaced from ihe
Q 0 Aggregate v o � jr distribution cell's
0` � centerline inthe
�--A---� dislribution cell(Ax8).
Project James& Sarah Mound Page 3 of 9
End Connection Lateral Layout Diagram
L'a Wrals centere�over tne.4£a B tlimrns�on
f P O=Turn-up•�.ibs��VSlvaoreleenouLpi�g I
AIIlateralscreiGemical �EX�I Holesdiilledoo[hebottomofthelateral
equally spaced S
Foice main connection via tee or cross to mani(oId at anV Poinl.
Lc�lerals E.forcemain Sch 40 PVC per SPS Table 384.305
Number of Laterals 2 Orifice Diameter 0.156 in
Lateral Diameter 1.50 in Orifice Spacing (X) 2.37 ft
Lateral Length(P) 73.47 ft Orifices per Lateral 32
Lateral Spacing (S) 3.00 ft Orifice De�sity 7.03 ftZ/orifice
Lateral Flow Rate 97.23 gpm Manifold Length 3.00 ft
System Flow Rate 34.46 gpm Manifold Diameter 1.50 in
Total Dynamic Head 29.64 ft Forcemain Velocity 3.52 ft/sec
Dose Tank Information
Lacking wver with waming
�_ Iabel and locking device and
sealedwatertight
Electriral as per NEC 30D antl --� -
,SPS 316.300 WAC �4 in.min.
Disconnect
� L
Tank component is propedy vented :�� �— Altemate outlet
location
Forcemain diameter
Skaw Manufacturer 2 in.
Capacity 750.00 Gallons —�—
Volume 16.05 gal/inch A
Weep hole or anti-
Dimension Inches Gallons B siphondevice
A 22.70 364.33
B 3.00 48.15 C
q Pump off elevation(ft)
C 6.�3 96.77 8025
� 15.00 240.75
Total 46.73 750.00 �
q Dose tank elevation(ft)
3" Bedding un er tank. 79.00
Alarm Manuafacturer SJE Note: Switches
Alarm Model Number 01-H containing mercury
may not be used in
Pump Manufacturer Zoellar this system
Pump Model Number 140
Pump Must Deliver 34.46 gpm ai 29.64 ft TDH
ProjecY. James&Sarah Mound Page 4 of 9
Mound Svstem Maintenance and Operation Specifications
Service Provider's Name A-1 Plumbing Phone 715-943-2382
POWTS Regulators Name Sawyer County Zoning Phone 715-634-8288
SYstem Flow and Load Parameters
Design Flow- Peak 45D gpd Maximum Influent Particle Size 1/8 in
Estimated Flow-Average 30D gpd Maximum BOD5 220 mg/L
Septic Tank C�pacity 1254 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 ftZ Maximum FOG 30 mg/L
Type of Wastewater pomesfic Maximum Fecal Coliform >10E4 cfu/100 mL
Service FrequencV
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent Filter Shouid inspect and ciean at least once every 3 years
Pump and Controis Test once every 3 years
Alarm Should test monthly
Pressure Sysfem Laterals should be flushed and pressure tested every 1.5 years
Mound Inspect for ponding and seepage once every 3 years
Other
Miscellaneous Construction and Materials Standards
1. Observation pipes ar�slotted and materials conform to Table SPS 384.30-1, have a watertight cap,
and are secured in as shown in the mound component 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 basai area is accomplished wiih a mold board or chisei plow.
5. The mound structure and other disturbed areas wili be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn-up Detail
Finished e,,,,,,,,,,..e sa..a......
Grade \ A ••�•
\J
6-8" Diameter Lawn ---� . Threaded Cleanout
Sprinkier Valve Box Plug or Ball Valve
Distribution
� Lon�g Sweep 90 or Two
45 Degree Bends Same
Diameler as Lateral
Project: James &Sarah Mound Page 5 of 9
Niound System Management Plan
. Pursuant to SPS 393.54,Wis.Adm.Code
General
This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall maintained in accordance with fts'wmponent
manuals{580-10fi9'I-P(N.01/0'I,R.77/'i2),SSWMP Pu61ica6on 9.6(01/87),and Pressure Distri6ution Component Manuai Ver.2.0 SBD-
10706-P{N.0'I/01,R.'10/12)]and loral or stale rules pertaining to sysfem maintenance and maintenance reporting.
No one should ever enter a sepfic or pump tank since dangerous gases may be present that could cause death.
Septic and pump tank a6andonment shall 6e in accordance with SPS 383.33,Wis.Adm.Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers,access risers and covers should be inspected for water tlghtness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsountl,tleiective,or
subject to failu2 must tie replaced. Exposed access openings greater than 8-inches in diametershall be secured by an ef£ective locking
device to prevent accidenfal or unauthorized entry into a tank or component.
Septic Tank
The septic tank shall be maintained by an individual ceR�ed to service septic tanks under s.28'I.48,Stals. Tfie contents of the septic
lank shall be Uisposed of In accordance with NR 713,Wis.Adm.Code. The ope2fing condition of the septic tank and outlet filter shall he
assessed at least once every 3 years hy inspection.
The outlet f Iter shall 6e cleaned as necessary to ensure proper operation. The fiter cartridge should not 6e removed unless provisions
are made to refain solids in the tank fhat may slough off the filter when removed from its enclosure. if the filter is equipped with an alarm,the
filter shall be serviced if the alarm is acGvated confinuously. Intermf@ent filler alartns may indicate surge flows or an impending continuous
alartn.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 9/3 the liquid volume of ihe
tank. IFthe contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise ihe owner of
when the nent service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addi6on of biological or chemica{additives to enhance septic tank performance is generally not required. However,iP such products
am used they shall be approved for septictank use by the Department of Commerce.
Pumo Tank
The pump(tlosing)tank shall be inspeded at teast once every 3 years. AII switches,alartns,and pumps shall be tested to verify proper
operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution Svsfem
No trees or shrubs should be planted on the mound. Planiings may be made around fhe mound's perimeter,and the mound shall he
seeded and mulched as necessary lo prevent erosion and to provide some profection from frost penet2tion. Traffic(other ihan for
vegetative maintenancej on lhe mound is nol recommended since soil compaction may hinder aeration of the infiltrative surFace within ihe
mound antl snow compaction in the winterwill promote{rost penetretion. Cold weather installations(Odober-February)dictate that lhe
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS,and 30 mg/L FOG for septic tank e(Fluent or 30
mglL BODs,30 mg/L TSS,'10 mg/L FOG,and tOs cfu1100 mL for highly freated effluent. Influent ilow may not exceed macimum design flow
specified in the pertnit for this instaliation.
The pressure distribution system is provided with a Flushing point at the end of each lateral,and'R is recommended that each lateral be
tlushed of accumWated solids at teast once every 18 months. When a pressure test is pedormed it should be compared to the inilial test
when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintairt equai distributian
within the dispersal cell.
Observation pipes within fhe dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any
levels above 6 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring.
Continoencv Plan
If the septictank or any of iLs wmponents become defective the tank or component sha11 be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank,pump,pump controls,alarm or related wiring hecomes defective the defective component(s)shall 6e immediately
repaired or replaced with a component of the same or equal perfortnance.
If the mound component tails to accept wastewater or begins to discharge wastewater to the ground surface,itwill he repaired or
replaced in its'present location by increasing basal area if toe Ieakage ocwrs or by removing 6iologically clogged absorption and dispersal
media,and related piping,and replacing said components as deemed necessary to bring the system into proper aperating condition.
See Page 5 of this plan for the name and teiephone number of your loral POWTS regulator and service pmvider.
P�et�eatrnent Uni(5
The inforznation and schedule of mananagement and maintenance ior prelrealment devices such as aero6ic treaGnent units or disinfection
units are attached as separate documents and a2 considered paR of the overall management plan for this system.
Project James &Sarah Mound Page 6 of 9
WARNING OEATH MAY OCCIIR/F TANK IS ENTERED i SKAW 1200!/50 i
Q W/TNOVTPROPEREQUIPMENT i ^ �
C � � �
70.00 �
NOTE:SEE INNER WALI PHOTO 0N THE"EXCLUS/VELYAT SKAW S"PAGE j I
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za.oa � za.00 F--zn.00--t�
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4 INCH PRESS � PRESS
SEAL GASKET 5��
IN57ALLE0 GASKE7
WHENPOURED
�HAFFLE FILTER /
47.00
3.00-� SECTIONVIEWOFTANKANDCOVER
�-3.00
� Model Number. �ZOO � 7�� ���� �������"�' Phone: (715) 967-2277
a App�oVedfor:SEPTIC/SEPTIC,SEPTIC/PUMP,5EPTIC/SIPHONORHOLDING Toll Free: 1-800-924-8625
� e�g n e im. u e im. 26255 105th Straet, New Auburn
�iq. Depth Gal./!n. Nom. Cap. Wisconsfn 54757 Fax: (715) 967-2707
16,10Glbs. �`��� ��° 47" 16.05 754.35gaG :t^�.n:tskawprecast.com
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CONSULT FACTORY FOR SPECIAL APPLICATIONS 'I "� I `v„
�1`•�
• Electrical alternators,for duplex systems,are available and supplied wiih an alarm.
• Mechanical alternators,for duplex systems,are available�with or wilhout alarms. o „�
• Control alarm systems are available for 1 phase pumps used in simplex system.See FM0732. . �
• Variable level conhol switches are available for controlling single phase systems. o �
• Double piggyhack variable level float switches are available for variable Ievel long cycle controls. ��a.��,ax�
• Sealed Qwik-Box available for outdoor installations.See FM1420.
• Referto FM0806 forapplirafions above 130°F(54°C).
i
14014140&145I4145 MODELS Cantrol Selection I
Model Madel Voits-Ph Mode Amps Simplex Ouplex
N140 N4140 115 1 Non 12.0 1 or2 3
E140 E4140 230 1 Non 6.0 10r2 3 +`L'
BN140 BN4140 915 1 Auto 12.0 • I
BE1G0 BE4140 230 1 Auto 6.0 ` —
—r
N145 N4145 115 1 Non 13.0 1 or2 3 -�-- � �—L s.,s:�a
BN145 8N4145 115 1 Auto 13.0 ' --
*Single piggyback switch included. SELECTION GU1DE
1.For automatic use single piggyback
variahle levei float switch or double
OPTIONAL PUMP STAND PIN 10-2421 � piggyback variable level float switch.Refer
• Reduces polen6al clagging hy debris. fo FM0477.
• Replaces rocks or bricks under the pump. 2.See FM1228 for coRect model of simplex
• Made of durable,noncorrosiveABS. "Easy assembly" cont�ol anel.
• Raisespump2"o66oltomof6asin. ��^^n8c�u^a�seo�ve P
noi IntludeE.) 3.See FM0712 for wrrect model of duplex
• Provides the ability to raise intake by adding control ane
sections of 1Yd'or 2"PUC piping. ,� P ��
• Attaches securely to pump. n cnunoN
• Accommodates sump,dewalenng and ---c F9�nstallallonoFconlrols,pmteMiontlevicesantlwiringshould
Bf(IUBI7lBPP�IGa6afIS. 6edonebyaqualiFl¢dlicensedMectrician. AllelecWcaiand ,�
safeiy cades should be falioivetl Including the most recent
NOTE:Make sure Daat is freefrom a65tmction. i Nafional ElecWc Code(NEC)and Ihe Occupatlonal Safety
and Health Act(OSHA).
RESERVE POWERED DESIGf�
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
OO Copyright 2010 Zoeller Co.All rights reserved.
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