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Home My WebLink About022-738-23-5802-SAN-2024-118 �"'� `-" Industry�Services Di��ision Counh� C/1 4822 Madison Yards Way SaVh/8f y = ,,s' : Madison.WI �370� Sanitary Permyt Number(to be tilled in by C � : P.O. Box T02 � , Madison.WI�3707 �j s � � �1 �� y Sanitary Permit Applieation State Transaction Number � In accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit � is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address(iY different than m�iling addressl thc Department of Safety and Professional Services.Personal infonnation you provide may be used tbr secondary �'ame purposes in accordance with the Privacy Law,s 1�Od(I)(m),Stats. I.Application Information-Please Print All Information Property Owner�s Name Parcel# Greg & Linda Hinde o�.a-'738�Z3-S$o� Property Owner�s Mailing Address Propem Location 3647N Swede Rd �Pa�$ City,State Zip Code Phone Number Radisson, WI 54867 715-558-2154 �%, ��a, Section 23 I1.Type of Building(check all that app � ! Lot# T 38 N R �� E or w �Ior2FamilyDwelling-NumberofQedrooi s o�++�-) 1 SubdivisionName Block# ❑Public/Commercial-Describe Use �City of _ �State Owned-Describe Use_ CSM Number �Village of 6/71 #1151 D�r°��n°r- Rad`ss°� — 111.Type of POWTS Permit:(Check either"\ew"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if a licable.) A� �New System �Replacement System �Other Modification to Li�istinc System(explain) �Additional Pretreaunent Unit(e�plain) g' �Holdin�Tank �In-Ground �At-Grade �Mound �Individual Site Design Other Type(explain) �conventional) C• ❑Renewal Bcfore �Revision �Change ot Plwnber �I�ranster ro Ne��O�cner List Previous Permit Number and Datc Issued Exp+�at+�n 9-051 1979 6��3 �q IV.Dispersal/T'reatment Area and Tank Information: • Des� n Flow(gpd) Desien Soil Application Rate(apd/st) Dispersal Area Required(st) Dispersal Area Arepese��st) System le��ation r 0 �� 0.7 215 226 9�y. 61 Capacity in Total #of Manufacturer :3 Gallons Gallons Units � � o � � o Tank Information � v � • V�e�c Tankc ��ictinr Tmtl�.< .c° � � u � u � � 0 a` U v� h v� c�. C� a. Septic or Holding Tank $�� $�Q 1 Existing � � � Dosing Chamber � � � V.Responsibility Statement- 1,the undersigned,assume responsibility for installation of the POWTS shown on the Attached plans. Plumber's Name(Print) Plumber�s Signature MP/�,�IPRS Number Busineu Phonc Number Jason Kuettel 675751 715-798-3355 Plumber's Address(Street,City,State,Zip Code) � „ PO Box 66 Cable, WI 54821 �'I.Co nty/Department Use Only A v ❑Disapproved Pcnnit Fee Date Issued Issuing Agent Signature $ - � ! ❑O�vner Given Reason for Denial �� ' � �`}� I �`y � �'�-�-xn�-I��=-� Conditions of.Approval/Reasons for Disapproval �--.,,--� r-+� � �'��U�'�\, � � � � i_ ' � �•'� �' i i i s �b �__.. �rw�� 11� " � ' '� �.a�'� _�.__P_.� ._ � ''�'� I � �r,k# �`�a�y __. �,' t�r�Y 2 0 2fl24 �% � `r�n4!+ �)S�'._r.____ _,�. C � 1 � � „ O�� ti�a��'f�� :�'t:�'�T�( _______�- � Z,pyy��,�,;�i�,�,i�;!:�TRATION At[ach to comple[e plans for the system and submit[o the County onlr on paper not less thAn S I/2 x l l inches in size sB�-�39g�R.ozizz� NO REFUNDB A�ER I�,UE OF PERMIT ��-�> i PAGE 1 OF 4 In-Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index&Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross-Section &Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report&Site Map Project Name/Description Hinde 1 Bed Owner Name(s): Greg&Linda Hinde Phone:�15 _558 _2154 OwnerAddress: 3647N Swede Rd. Radisson,WI Zip; 54867 Project Address: Same Govt.Lot: $ 1/4 of 1/4,Section 23 ,T 38 N-R 07 E❑or W 0 Township: Radisson County: Sawyer Project Parcel ID#: 022738235802 Designer Information DesignerName: Jason Kuettel Phone: �15 _798 _3355 Designer Address: PO Box 66 Cable,WI Z�p: 54821 E-mail: tim@andryras.com License Number: 675751 Remarks: Signature: Date: 2� � Original sig atu e required on each submitted copy. Owner Information: I ''` BM=100: Top of concrete slab on the E side of shed � Name: Greoory C 8 Linda A Hinde Location: S23 T38N R7W B� _ 98 61 Township: Radisson B2= 98,99 County: S� 63= 9929 Lot#: 0 Lake= 81 J4 S'lS7tn.• (;L . QS�.�' _—-- —+1=940'-- --__--- � ----- �� -tx . t,� �� - (� C` �B3 �`� ��e46` m �2� `'o�M4` B2 Shed Q"�<r-�i � �XUnN6 Bcr�� v� ��Q� � � � / a.,c. T�a,",� —'—�, i� 3 f / -7p �zr,w},n� � �n i- �c.Y �o�. ri � � p�T w� ,zc^�c� , House � �� ' o ;-w0 Well- ' 3647N Driveway v � r.; �� , , 5 i L^u IJ 1"=60' Only in Tested Area M,P b�-�S'>S i s/�/L�t Septic Tank(s) Manufacturer: IN-GROUND GRAVITY DISPERSAL AREA Existina Uniform Elevation Trenches with Quick4 Standard-W Chambers SeP,;�Ta�k�s,�o,�me�s>: 3-ft Trench (down-sizing credit) soo 9a, gal gal gal Effluent Filter Manufacturer � Orenco I etnuenc Finer Moaei u: FT-0822 mlo.ir (ryplcal) SOIL COVER i 2, mia Vench tlepth «vP��n � • � TYPICAL TRENCH - a CROSS SECTION VIEW i_ 32,. (typlcal) e (No Scale) � . Provide minimum 3 ft System Elevation = 95.0 ft separation beriveen trenches. (typical) Quick4 Standard-W w/EndCap ObSefOa"°"P'nP TYPICALTRENCH (typicap (Show location of inlet/ outlet pipe connection on plan view.) I�yv�=aD InstallpermanufactureYs PLAN VIEW instructions �rf O .SCB�B� � �� - - - �� - - - - - - - �� — — � 1 ,� A= 3.O ft � (rypicaq � L - - - - - - - - - - - �� - - - - - - - �� - - - - - - - - - J D � g - 46 ft - � m (typicaq Quick4 Standard-W Chamber W INSTALL PER TRENCH: (rypicaq 0 (mfd by Infiltrator Systems,Inc.) T Install pursuanl�o manufacturefs instructions. � 11 Quick4 Std-W @ 20 ft� EISA/chamber= 220 ft� + � Pairs of end caps @ 6 ft`EISA/pair= 6 ft' = Proposed EISA per trench= 226 ft' Required Infiltration Area = 215 ft' Distribution Method: x � trenches = Proposed Total EISA = 226 n� branched manifold RES.ET,<< PAGE40F4 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52(2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3 , Wisc. Admin. Code. Maximum Dis ers rea O tin Limits: Design Flow= gpd; BODS<_ 220 mgL''; TSS <_ 150 mgL''; FOG <_ 30 mgL"' Insqection Checklist h� INSPECT EVERY 3 YEARS o type of use o age of system �� o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution /drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.) o electrical components- if applicable (i.e., wiring, connections, switches, controls, timers, alarms, eta) o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Seqtic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s)exceeds one-third (1/3)the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code. o Effluent filter(s)shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Afldl')/ R8S1T1USS@Il & SOI1S Phone: �15-798-3355 �ocal government unit: SBwyel' Co. ZOf1111g Phone: 715-634-8288 Local government unit address: �0610 M81n St. #49 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 restoration of the POWTS 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 component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. Svstem Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.