HomeMy WebLinkAbout006-439-23-3205-SAN-2024-082 �-��:.u�np� L'011RL �
,- � Department of Safety Y �
,/, `�,, �w e C-
', � ='�, & Professional Services, Z
�,�i �a� � Sanitary Permi[Number(to be filled in by Co.)
,r � _ :J Industry Services Division �,
\ � (i�S I —1 �•� �
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Sanitary Permit Application � S1�`°�`'d°'a°"°"N°"'ee` ,
hi accordance with SPS 38321(2),Wis.Adm.Code,submission of this fonn to the approp�iate gu��ernmental unii 1 "" ''-� —��� (�w���" �
is rcquired prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Piajcct Address(if dificrent than mailing address �
the Departmcnt of Safety and Professional Seivices.Personal infonnation you provide may be used for secondary �
pwposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. ��da� �p�.�� �
I.Application Information-Please Print All Information
Propeity Owner's Vamc Parcel#
��.�-� a L�r,da. �czofc I I oo(�-Y3`� � �-3 - 32oS_
Property Owner s Mailin�Address Propeity Location
SS y� n� Co�, 1��,.� l`'1 '`�
City,State Zip Code Phone Number
�.a nc�-�-ct i wS S`►B°1 (0 1�1����,���, s�c��o„ 0l3
II.Type of Building(check all that apply) �-ot� �I' 3°) N R_ �`'� E-rn�
�I or 2 I�amily Dwelli�tg-�Number ofBedrooms__�_ � Subdivision Natne
E31ock#
❑ Public/Commercial-Describe Use
� ❑City of _ _
❑State Oumcd-Describe Use - CSM Number ❑Village of
CSh1�d a`7�5 ��w„�,r�rb,�er _
vc 1. 3�b p a�I
IIL 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.) _
A' �.New System ❑ Replaceu�ent System ❑ Other vloditica[iou to Exi,ti�tg Systcm(expl.iin) ❑ Additional PreLreatmcnt Unit(explain)
13.
❑ Holding Tank ❑ In�-Growid ❑ At-Grade �Mound �x���. ❑ Individual Site Design ❑ Other Type(explain)
(conventional)
C. ❑ Renewal Before ❑ Revision b List Pre��ious Pemiit Number and Date 1'ssucd
U Chan�c oY Plumber ❑ Transt�r to New Owner
Expiration
IV.Dispersal/Treatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(gpd/sfl Dispersal Area Required(st) Dispersal Area Proposed(st1 System lilc��ation
3v o �. c� I SO I 9 S 9 (o. C.'7 <<���.
Capacity in Total #of Manufacturer
"Cank Infonnation Gallons Gallons Units p � o -° �
New Tanks Existing Tanks � o � � � � :a c"'s
GO h�O c U �n � v� i� �7 a.
Septic or Holding Tank �� _ ��
i G e('
Dasing Chambcr S V C� �- 'Jr►�C� �Q fL•�'C �rL G
V.Responsibility Statement-I,the undersigned,assu responsibili f installation of the POWTS shown on the attached plans.
Plumbe�'s Name Q'rint) Plun i'. Sigiiatur MP/MPRS Number Business Phone Number
I c�.,: vk1-c� �re Ic� �saa�9 7�5-G3'-�-8��'(.n
Plumber's Address(Street,City,State,Zip Code)
1 Y 3 Y Co(.�) 5�a�-t R o � 7 7 ���• w a r c� w.i S�/8 k
VI.Co nt /Department Use Only
�A o e ,� ��Disapproccd Permit Fee � Date Issued I,suing Agert Sienaturc
��'✓ , ❑Owner Given Rcason Yor Denial $ ��� �� ������ ���k�����`�
Conditions of A��proval/Reasons for Disapprova] ;-� � � + �
i � � � ' �j `r ��---,1;�
''�r �i� ` � ' �i�I� f���__,�...�_. APR 1 7 2024 ��
_ W� ��� _ � �
� s.��
� �r � . _ saz,nnr�� c��t�T�r
C�J � � � I � \'13 ZOiVlNG.�'.C�i��11�.'!�TRAl"i9"�
Attach to comple[e plans for[he sy'stem and submit to lhe County only on paper nol less than 8 1/2 x 11 inches in siie
NO RcFU1yD6 AFTER
SBD-6398(R.03/22) ISSUE OF pERMIT `'�`_i�J$�7
��Fp ARTINE,�T
Wisconsin Deparunent of Safety and Professional Services �,�� '�i. Phone:608�66-21 12
Division oflndustry Se�vices � ( � Web:http://dsps.evi.eov
4822 Madison Yards Way 3 � �� _ Email:dspsri-wisconsin.eov
PO Box 7302 p
Ivtad;son,w�53707 tio�g � Tony Evers,Governor
'°k�,F�ss 1\ ���`�� Dan Hereth,Secretary
April 17, 2024
CUST ID NO.: 713625 Identification Numbers
TRAVIS A BUTTERFIELD Plan Review No.: PWTS-042400675-C
14346 W STATE ROAD 77 Application No.: DiS-042414469
HAYWARD,WI 54843 Site ID No.: SIT-128852
Please refer to all identification numbers in each
con•espondence with the Department.
CONDITIONAL APPROVAL
Conditionally
PLAN APPROVAL EXPIRES: 04/17/2026 APPROVED
DEPT.OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF I STRY SERVIC ES
MUNICIPALITY:
TOWN OF DRAPER
SAWYER COUNTY _— _____ `
SEECORRESPOND CE
SITE: "� ���"
DEZOTELL -COUNTY HWY M
5902N COUNTY HWY M
LORETTA,WI 54896
NW 1/4, SW 1/4, SEC.23, T39N, R04W
FOR:
Design Wastewater Flow Value: 300 Geomat Mound Component Manual -5/18/22
Bedrooms: 2 Pressure Distribution Component Manual -Version 2.1
Limiting Factor(s): 13 inches (May 2022-2027)
Maintenance Required: Effluent Filter
SITE REQUIREMENTS
• A fiill-size copy of the approved plans, sSpecifications, and this letter shall be on-site during construction and open to
inspection by authorized representarives of the Departmcnt,which may include local inspectors. A Department electronic
stamp and signature sliall be on the plans which are used at the job site for construction.
The following conditions shall be met during construction or instailation and prior to occupancy or use:
• A sanitary permit must be obtained from the county where this project is located in accordance witl�the requirements of Sec.
145.19,Wis. Stats.
• Prior to the construction of the dispersal area,check the moisture content of the soil to a depth of 8 inches. Proper soil
moisture content can be detennined by rolling a soil sanlple between tlte hands.If it roils into a'/4-inch wire,the site is too
wet to prepare. If it crumbles,site preparation can proceed. If the site is too wet to prepare,do not proceed until it dries.
• Inspection of the private sewage system installation is required.Arrangeinents for inspection shall be made with the
designated county official in accordance with die provisions of Sec. 145.20(2)(d),Wis. Stats.
• A state-approved effluent fllter is required. Maintenance information must be given to the owner of the tank explaining that
periodic cleaning of the filter is required.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Well setbacks to meet chs.NR R11 &812
• Tank Installation to follow all manufacturer's recominendations.
• Vcrify property line(s)prior to installation.
• Pump Floats to be set and verified per the approved plan.
�� r.
OWNER RESPONSIBILITIES
• The current owner, and cach subsequent owner, shall receive a copy of this letter including instiuctions relating to proper use
and maintenance of tlie systein. Owners shall receive a copy of tlle appropiiate operation and inaintcnancc manual and/or
owner's manual 1�or tl�e POWTS described in tl�is approval and Wis. Admin. Code � SPS 383.54(1).
• in the event this soil absorption system or any of its coinponent parts malfunctions so as to create a health hazard,the property
owuer inust follow the contingency plan as described in the approved plans.
The submittal described above has been reviewed for confoimance with applicable Wisconsin Adminisn-ative 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 inanual(s)refei•enced above. The owner,as defined in chapter l O 1.01(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 Departmcnt per s.145.06,stats.
All permits required by the state or the local municipality shall be obtained priar to coinmencement of
construction/installation/operation.
In granting this approval,the Division of Industry Services reserves the right to require changes or additions, should conditions arise
making thein necessaiy 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,sti-ucture,or component. The Division does not take responsibility for•the design or
consnuction of the reviewed items.
Inquiries concerning this correspondence may be made to me at the contact infor-niation listed below,or at the address on this
lcttenc�ad.
Sincerely, Fec Required: $250.00
Fee Received: $250.00
� �}�� r"]�/-��/J Balance Due: �0.00
G�/I 1 �J1 P• Refund Ex ected: $0.00
Katie Petzel
Division of Industry Seivices
Phone: 608-574-1189
EmaiL• katie.petzel@�visconsin.gov
Residential Application
INDEX AND TITLE PAGE
All water treatment systems shall be kept out of septic system
Project Name: Dezotell-County Hwy M
Owner's Name: Jerry&Linda Dezotell
Owner's Address: 5846N County Hwy M
Loretta,WI 54896
Property Address: 5902N County Hwy M
Legal Description: NW SW S 23 T 39 N R 4 W
Township Draper County:Sawyer
Subdivision Name:
Lot Number: 1 Block Number: CSM#: 8765
Parcel I.D.Number: 006-439-23 3205
Plan Transaction No.:
Page 1 Index and title Page 9 Tank cross sections
Page 2 Data entry Page 10 Plot Plan
Page 3 GeoMat mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Travis Bu terfield License Number: 652879
Date: 04/01/ Phone Number: 715-634-8176
Signature:
Designer St p: State of Wisconsin Approval Stamp:
�o�d���o�a��Y
APPROVED
DEPT.OF SAFETY AND PROFESSIONAL
SERVICES
DIVISIONOFI STRYSERVILES
Designed Pursuant to the
GeoMat Mound Component Manual 5/18/22 see coRResvor,o ce
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)antl �
Pressure Distribution Component Manual Ver.2.1(May 2022-2027)
Page 1 of 10
�' �.
Design Worksheet
All tivater treatment systems shail be kept out of septic system
r � Residential or Commercial Design � ISD Required?
200.00j Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
Design Flow (gpd)
3.00 Site Slope (%)
95.7� Installation Contour Line Elevation (ft)
13.00 Depth to Limiting Factor (in)
0.80� In-situ Soil App►ication Rate (gpd/ftZ)
90.� Contour Length Available (ft)
Distribution Ce . . _ _ . _ _ .
6.50; Cell Width (ft) 3.25, 6.5 or 9.75 Oniv 30.00 Designer Input Cell Length (ft)
2.00 Dispersal Cell Design Loading Rate (gpd/ft2) 30.00 Dispersal Cell Length Required (ft)
2 Influent Wastewater Quality (1 or 2)
, r .
E Center or End Manifold Are the laterals the highest point
2 Number of Laterals in the distribution Y
3.25 Lateral Spacing (ft) network?
12.23 Forcemain Drainback (gal) If N above, enter the elevation (ft)
0.50 Forcemain Filter Loss (ft) of the highest point.
2.00 Forcemain Diameter (in)
75.00 Forcemain Length (ft) Does the forcemain drain back? Y
89.00 Inside Pump Tank Elevation (ft)
0.250 Orifice Diameter (in) (e.g. 0.25)
2.00 Estimated Orifice Spacing (ft) = 6.50 ftZ/orifice
3.25 System Head (ft) x 1.3
7.91 Vertical Lift (ft)
1.93 Friction Loss (ft)
13.59 Total Dynamic Head (ft)
25.69 5x Void Volume (gal)
37.92 Minimum Dose Volume (gal)
3�4.95 System Demand (gpm)
e er' e ec on
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
1.25 2.00
1.50 x x 3.00
2.00 x
3.00 x
Treatment Tank Information Effluent Filter Information Optional
1000.00 Septic Tank Capacity (gal) Lifetime Filter LLC �Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer LT 1/8 Filter Model Number
Dose Tank Information Gallonsllnch Calculator (optional)
508.26 Dose Tank Capacity (gal) 508.26 Total Tank Capacity (gal)
11.82 Dose Tank Volume (gallin) 43.00 Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Manufacturer 11.82 ga�/in (enter result in cell DoseTankVolume)
Project: Dezotell - County Hwy M Page 2 of 10
- -t
:j 1�/�1�0�B�:::::::::::�::::�:.:,''.'''.''''''•.•'••::•:•:Q::::: J
�. Observation Pipe ..: .... _ I
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L
D 10.00 In G 10.50 ft � �20 ft � �9.302 ft
195.00(ft2)Dispersal Cell Area 473.90 (ftZ)Basal Area Available
10.00(gpd/ft)Linear Loading Rate 6" End of B Obs.Pipe Placement
GeoMat Dispersal Area
Observation Pipe
12"ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
component 6 GeoMat+12"ASTM C-33 sand
1 �
i
98.88 Finish Grade � � � / �ij.� Cover Material
97.75 Lateral Invert Elevation i! '3❑'. �'•'. ij;
96.67 Dispersal Cell � ;�: ,� �-� Slope 3.0
Elevation � '•. .'.'. '' ' ' `
�/• •' '���y.o�,\�` `Contour Elevation 95.75
,'�c
���i;
7 ,,4 � Tilled Area
Forcemain
� In situ soil�
In situ soil
� � Topsoil Cap
Z� Subsoil Cap
3� ASTM C 33 sand(F)
4� ASTM C 33 sand (D)
5 0 Tilled Layer
6� Geo Mat
See details on page 4 for number,size,and spacing of laterals.
Project: Dezotell-County Hwy M Page 3 of 10
TuYn-u�S�,� a,�v�Veordeano�{t,-qlUg- �
,�Sstorificelocated�f�Z�l� �.z �'�
Ali oFifitek poltlt'd'ovJh �
— -- g -
P „ . .T
Laterals��&forremalnof,�UC5ch4p'per5hS7atile 84.30-51
Number of Lalerals 2 Orifice Diameter 0.25 in
Laleral Diameler 1.50 in Orifice Spacing(X) 2.00 (t
Lateral Length(P) 29.00 tl Orifices per Laleral 15
Lateral End(Z) 1.00 ft Orifice Densily 6.50 ft�/ori(ice
Lateral Spacing(S) 325 ft Manifold Length 325 ft
Lateral Flow Rale 17.48 gpm Manifold Diameter 1.50 in
System Flow Rate 34.95 gpm Forcemain Velocily 3.57 (Usec
I.ockin6 covcr whh wnrning label.
lockin6 device nnd wnler lislv senl
Glccvicalbox �"�'�ntedCavcr •
ns per N[C 700
nnd SPS 31G.i6 NLC
�_ . �l� fin'sl ed Ornde d1.1. .U-I. ,{,y,
lSCnnnrrl
a^ci�o�ow rirc ^orro�m nm .� �
Wircs�romClectricsourcc � �ocommlapcdof
� c111uci�lbcin doscd
\Oplional o Ilei Forcemain diameler
4"Inlci n.me �il 2 Ifl.
oass<�a� �'nsrnuo� rN���
m�a wmcr vnau..rna.m h mim
tigl�IgasAcl soli�6rounJ
\VwpLdewam Fumeo
Sim/Tech Filrer ��M������«
STF100 1/16 Hi6hwmcrnlnmi -�
e"� 3
� Pump On I�lon[ s
� r�n,�on'r•io,� � � Pumpoflelevation(fl)
Pump b, 89.83
pi�,.p � Dose(ank elevalion(fl)
..'I3eddinp undcrtnn 89.00
Dimension Inches Gallons Wieser Concrete Products, Inc.
A 27.79 328.50 Ca acit 508.26
B 2.00 23.64 Volume 11.82 gallinch
C 3.21 37.92
D 10.00 11820
Total 43.00 508.26
Filter Manufacturer Sim/Tech Filter
Filler Model Number STF 100 1/16
Alarm Manufaclurer SJE Rhombus
Alarm Model Number PS Patrol
Pump Manufacturer Champion Pum Com an , Inc.
Pump Model Number CP55
Pump Musl Deliver 34.95 gpm at 13.59 fl TDH
Note:Switches containing mercury may nol be used in this system.
Projecl: Dezotell-County Hwy M Page 4 of 10
. �.
6.50 Cell Width(k) 1.63 Sidewall to Lateral(ft)
Distribution Cell Cross-section Arranqements
00000000000000000000 00000000000000000000
� Dislribulion Pipe With Pressure Lateral l�l Orifice Shield
� Turnup Enclosure - - --- Pressure Lateral
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout-Typical
6.50 Cell Width-A(ft) 30.00 Cell Length-B(ft)
End Connection Lateral Layouf Diagram
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Sand Fill Recommentled Distribu[ion Lateral
� _ n � Orifice5hield
Pipe Dia. Approved Infil[rative Fabric
�• �
I . 3�..'17_'-A57M77 ._, •. GeoMat
� ' -T-�-=-.•`-'��� Component
� �. /dl]�WmocaJAJnAGI)Smd '.'.'.
-�J•'•-'�'•' Infiltrative5urface/PlowLayer
g .
Iimilm¢FrAa
/ WaterTleht
j
1 0 Topsoil Cap
mn.iriaoee a.m�� , z � i , Subsoil Cap
eb„ 3 � ASTM C 33 sand (F)
�'"`° 4 � ASTM C 33 sand (D)
i^mm f� instanm ''e4l i' nai� 5 i. ii Tllled LByei'
�a/��o j
6 . .,,, � -- 6 [� Geo Mat
�(,7.�$Elal�l } .. ./8°b4inDiaReb
Z��ri�)11�YE�C } ' �1� � I �I
See details on page 4 for number,size,and spacing of laterals.
Projecl: Dezolell-Counly Hwy M Page 5 of 10
Service Provider's Name Travis Bulte�eld —� Phone 715 634-8176
POWTS Regulalor's Name Sawyer County SPIA-Zoning Adminislralion Phone (715) 634-8288
Svstem Flow and Load Parameters
Design Flow-Peak 300 gpd Maximum Influent Particle Size 1/8 in
Eslimated Flow-Average 200 gpd Maximum BODS 30 mg/L
Seplic Ta�k Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 195 ft2 Maximum FOG 10 mglL
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequencv
Septic and Pump Tank Inspect and/or service once eve 3 ears
Eflluent Filter Ins ect and clean as necessa af least once eve 3 years
Pump and Controls Test once eve 3 ears
Alarm Should test periodicall
Pressure System Laterals should be flushed and ressure tested eve 3 ears
Mound Inspect for ponding and seepage once every 3 years
C,he
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as
shown in the Synergy Systems GeoMat Mound Component Manual Version 1,2017.
2. Dispersal cell media conforms to GeoMat producls approved for use with the Synergy Systems GeoMat Mound Component
Manual Version 1, 2017. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform lo the requiremenls in SPS 384,Wis.Adm.Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frosl
penetration.
Lateral Turn-up Detail
6-8"Diameter oo " '- ^^onoo��000c �
( J O l�O C V O� O O O O
0 0 0 0 0 0 0 o c Finished >u o 0 0 0 � Threaded Cleanout
c �n u o 0 0 0 0 ?o 0 0 0
o �000000c i0000
�lawn Sprinkler o 0 0 0 0 0 o n o � plug or Ball Valve
o > >0000�Grade , � o00
< >o 0000 .c. 000
oBox ouu .000..___. o 00 (
c >o.000 oo��'oti"�o-ocd
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0000000000000000 000000�`�0 ,V
0 0_0_0_0_o_o_O o_o_o o_o o_o_o 0 0.. -o o u u �
oLateral Ends at Last Orifice Where �����
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�uo��ov��� �o�o�i 'c � �
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Distribution Lateral Lateral Cleanout
2.5 Feet
Project: Dezotell-County Hwy M Page 6 of 10
Mound System Management Plan
Pursuant to SPS 383.54,Wis.Adm. Code
General
This system shall be operated in accordance with SPS 382-84 Wis.Adm.Code,and shall mainlained in accordance wilh its'component
manuals[Synergy Syslems L.L.C.,Geomat Mound Component Manual version 1,2017,Pressure Distribution Componenl Manual Ver.2.0
SBD-10706-P(N.01/01)and SSWMP Publication 9.6(01/81)]and local or state rules pertaining to system mainlenance and maintenance
reporting.
Seplic and pump tank abandonmenl shall be in accordance with SPS 383.33,Wis.Adm.Code when lhe lanks are no longer
used as POWTS components.
Septic or pump tank manhole risers,access risers and covers should be inspecled for waler tightness and soundness. Access openings
used for service and assessment shall be sealed watertighl upon the completion of service. Any opening deemed unsound,defeclive,or
subjecl lo failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an eHeclive locking
device to prevent accidenlal or unaulhorized entry inlo a tank or component.
Seotic Tank
The septic lank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the seplic
lank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condilion of the septic tank and oullet filter shall be
assessed at least once every 3 years by inspection.
The oullet filter shall be cleaned as necessary lo ensure proper operation. The filter cadridge should nol be removed unless provisions
are made to retain solids in the tank that may slough oH the filter when removed from its enclosure. If the filler is equipped with an alarm,the
filter shall be serviced if the alarm is activated conlinuously. Intermiltenlfilter alarms may indicate surge flows or an impending continuous
alarm.
The septic tank shall have its contenls removed when the volume of sludge and scum in ihe tank ezceeds i/3lhe liquid volume o(the
tank. If fhe conlents of lhe lank are nol removed al the time o(a triennial assessment,mainlenance personnel shall advise the owner as to
when the next service needs to be performed to maintain less than maximum scum and slud9e accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products
are used lhey shall be approved for seplic tank use by the Wisconsin Department of Commerce.
Pumo Tank
The dosing(pump)tank shali be inspected at least once every 3 years. All switches,alarms,and pumps shall be lested to verify proper
operation. If an effluent filter is inslalled within the tank it shall be inspected and serviced as necessary. If the torce main has a weep hole, it
should be noted if it is Wnctional during pump operalion,and if not,it should be cleaned.
*"•`No one should ever enter a septic or dose tank since dangerous gases may be presen[that could cause death.•"'
Mound and Pressure Distribution Svstem
No trees or shrubs should be planted on the mound. Planlings may be made around lhe mound's perimeter,and the mound shall be
seeded and mulched as necessary lo prevent erosion and to provide some protection from frosl penetretion. Traffc(other than for
vegetative maintenance)on the mound is not recommended since soil compaction may hinder aeralion of the infltrative surface within the
mound and snow compaclion in the winter will promole frost penetration. Cold weather installalions(October-February)dictale that the
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may nol exceed 220 mg/L BODS, 150 mg/L TSS,and 30 mglL FOG for septic lank effluent or 30
mg/L BODS,30 mg/L TSS,70 mg/L FOG,and 10'cfu/100 mL for highly treated eNluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure dislribulion system is provided with a flushing point at the end of each laleral,and it is recommended that each lateral be
Oushed of accumulated solids al leasl once every 3 years. When a pressure tesl is peRormed il should be compared to the initial test when
lhe system was installed to determine if orifice clogging has ocwrred and if orifice cleaning is required lo mainlain equal dislribution wilhin
the dispersal cell.
Observalion pipes within the dispersal cell shall be checked for eflluent ponding. Ponding levels shall be reported to lhe owner, and any
levels above 4 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring.
Contlnnencv Plan
If the septic tank or any of its components become defeclive the tank or component shall be repaired or replaced to keep the system in
proper operaling condition.
If lhe dosing lank,pump,pump conirols,alarm or relaled wiring becomes defective the defective component(s)shall be immediately
repaired or replaced wilh a component of the same or equal peAormance.
If lhe mound componenl fails to accept wastewater or begins to discharge wastewater to lhe ground surface,it will be repaired or
replaced in its'present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media,and related piping,and replacing said components as deemed necessary to bring the system into proper operaling condilion.
See Page 6 of lhis plan for the name and lelephone number of your local POWTS regulator and service provider.
Project: Dezotell -County Hwy M Page 7 of 10
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TANK SPECIFICATIONS �
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DIMENSIONS: a a �y,
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BOTTOM: 3" a a Q-
COVER: 5"
. - - - . MANHOLE: 24' I.D. PRECAST CONCRETE RISER � d
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. �� ���� \� LENGTH: 113 3/48" O.D. ° �
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4" CAST-A-SEAL \ � 4" CAST-A-SEAL BELOW INLET: 48" O.D. w
��� UQUID LEVEL' 43" a > �k'
� m24 �' \ � �� � WEIGHT: 11.150 LBS. � � o
m r(p � l � I � INLET AND OUTLET:
\ � \ III \f 4" CAST-A-SEAL 800T OR EQUAL
� � /. GASKET, CAST-A-SEAL B00T OR EQUAL 3 � �
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LJQUID CAPACIiY: 19.61 GAL/IN (SEPi1C) � � LL
11.82 GAL/IN (PUMP) yJ �
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�"�`�����"'`' WisconsinDepartmentofSafety&ProfessionalServices Page � of 3
�\� �1F.
�- .�0 �r Division of Industry Services
` ' Sp � ' SOIL EVALUATION REPORT
,,,� S —
���'��.,,��„��,.��p`c In accordance with SPS 385, Wis. Adm. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, �4w G�
but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D.
scale or dimensions, north arrow, and location and distance to nearest road. Qp (�. 43q � j �
Please print alt information. Reviewed by I Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).
Property Owner Property Location � �
,�rr W �, ���da Govt. Lot /V(,� �i, SW 'i s �3 T 39 N R oy E (or) W
Property Owner's Mailing Address Site Address or CSM and Lot #:
s ,,,, M ►.e� � G5 M # $'�'65 �a�. 3 . �� , o a
City, State, Zip Phone Number ❑ City ❑ Village � Town Nearest Road
Lo� ++a wz sti89 � ( 7iS ) ��1. - 38oa r
�J NewConstruction Use:� Residential/Numberofbedrooms p� Code derived designfiow rate 3C�0 GPD
❑ Replacement ❑ Public or commercial -Describe: Flood Plan elevation if applicable it.
Parentmaterial loo�...v dee�s��s c.r+« o�hwa.sh
--r
General comments and recommendations:
m S I Tw..
� Boring # ❑Baring
�Pit Ground surface elev. Q��d�ft. Depth to limiting factor 1 3 in. / elev.��.Q�ft.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2
� 3/� - G� a�„ v. t, 0. 8
S�-1 0 YR H — i � rw � w ��+ O.(i b . $
' l - I `IR s c Ry 4 KR'`r/1 i � �r' W l f — -'
1- SYR `! YRy � 5`tRg�i n.�bK r '" — " ^'
\ Boring # ❑Boring
d '�]Pit Ground surface elev9lo•�5 ft. Depth to limiting factor��in. / elev.�1S•�7 ft.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFt2
In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
I U � S YR 3/ �" � (r o, v o.'a
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3 13-1 IoYR s/y `I �/ ' I ma l� — --
1 - 3 R Y y SYRsh ol rr+ablG -� " ^ ^
CST Name (Please Print) Signature CST Number
�1 ?'r � ./U '� o1�G(. S6
Address Date valuation Conducted Telephone Number
d 7 I a w�,-d wr y3 ialoq/a3 3 v� �'�4r - 7
' Effluent#1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L ' Effluent#2 = BOD, <_ 30 mglL and TSS _< 30 mglL
SBD-8330 (R03l22)
Page�of .3
❑ �Boring
3 Boring# �Pit Ground surface elev.�5'�sft. Depth to limiting factor �3 in./elev. 5���t.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundar� Roots GPD/Ft2
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh.
'Eff#1 `Eff#2
� U- Y23I '� v � v 0�` d•a
a - Y y/ � mv�r a�. O.L O •$
3 1 -� IOyRS/M cap 'YRy��S'�f15/� i 1 .rabK w F — —
4 �-3 ytt HJ 3 . Hciti eSYRs/� x1 w.abK r — �r — �.
❑ Boring# ❑Boring
❑Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft.
Soil App�ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 `Eff#2
❑ Boring# ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in./elev. ft.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFt2
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. *Eff#1 `Eff#2
'Effluent#1 =BOD>30 5 220 mg/L and TSS>30<_150 mg/L 'Effluent#2=BOD,<_30 mg/L and TSS 5 30 mg/L
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