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Home My WebLink About002-121-16-3100-SAN-2024-124 ;��"—",��., Department of Safety c°°"`y � . �/� - & Professional Services, S0.w e.r � � , 5 - Samtary Ycrmit Number(to bc Yillcd in by C = �, �i �; Industry Services Division � 5 ' k, ` µ% C� 5T3L�S s Sallltaly peI'I711t AppllCat1011 state Transact�on N��mber � `r ]n accordance with SNS 383.2I(2),Wis.Adm.Code,submission of this fonn to the appropriate governmenlal unit 'r- is required prior to obLaining a sanitary permit.Note:l�pplicaLion Yorms fi�r state-owncd POWTS are submitted to Projec[Address(if difCerent than mailing�ddr -� the Depaitment of Safety and Professional Seivices.Per,onal information you provide may be uscd for secondaiy pwpose;in accurdance��ith the Privacy Law,s. I�.04(l)(m),Stat,. '�8�? � !"� �� L Application Information-Please Print All Information � �� Propeity O�vnei's 1��ame Parcel# 5�� ;� h �., r�., s �r ooa- �a� - ►c��3►o� Propetty Owne�'s Mailing Address Property I.ocation P �---- City,Statc Zip Code Phone Number �„a � r►,.� 553'] $ ^P�_'�' �s��„ 30 II.Type of uilding(check all that apply) Lot# �1' �Q___N R U_�^Ev�W �I or 2 Family Dwclling-Number ufBedrooms._ 01 3 � _3� Subdi��ision Name Block='- 1,.,0ynMJn. ��I �,,7eaGl'1 ❑ Public/Commercial-Describe U,e _ � � ❑Ciry of ❑Statc Owned-Describe Use CSM Numbcr ❑Village of _ �-- �I ow�t o(_ `�G.��_l�4�{_�_— iII.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box mi line B.Complete line C if a licable.) A. --- ❑ Ne�c System �Replacemcnt Sy,tem �Other vlodi(ication to fixistm�System(explain) � Additional Pretreatment Unit(explain) �I`o.'.f�C�� d 1`t �GC.GIV�t�l�} OY�� B. ❑ Holding Tank �In-Ground �(�e,Y� ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Ty�ic(explain) (conventional) C. U R.e��i,ion List Previous Pei7i�it Number and Date Isyuec'. ❑ Renewal Before ❑ Change of Plumber ❑ �I�ran,fcr to New Owner rX�ll'3Y1011 �7S—�� .+ �q � „�� V ✓ IV.Dispersal/Treatment Area and Tank Information: �p' �r ►' Ce I1 w�1�. 1 U (3y 3 E 'tn a _ Design I�low(gpd) Dcsign Soil Application Rate(gpdis� Dispersal Area Required(st� Dispersal Area Proposed(,t Sys�cm Filc�-alion 3ob ►• � ��,. o ig7.5 /�50 � ��u /�� o �3 .00 ` Capacity in Total #t of Manufactw'er y Tank Infon�iation Gallons Gallons Units � �; U � � r o � �' � New Tanks Gxisti�e Tanks � ❑ :� � � � � �y a` U ii� � �n = C7 P. SepticorF{olding'�nnk �-- '� ^'� �� ( �%�.�JQI' CGYI�� X Dos'ing Chamber V.Responsibility Statement- I,the undersigned,assume re onsibility�for install� 'on of the YOWTS shown on the attached plans. Plumbci's Name(Print) Plumber'� nature MP/MPRS Number Business Phone Number Tr,o..►;s II�+�cFEYId �sa��s 7i5-G3'/ -d1�7(o Plumbe�'s Address(Strect,Ciry,State,Zip Code) /y3'-1(�w S��e Rocd �7 Hayward, �••s= .5�8y3 VL C un y/Department Use Only ___ �A ro�� ❑ Disappro��ed Pem�it I�ec Date Issued I;suing Agent Signature `►�Z✓ �YC�D.°' S�� -y -�'t/(,�,�.v�'t�.�-j-r�_ ❑Owner Givcri Reason for Denial Conditions of Approval/Reasons for Disap}�roval � � !G��'�'� ,� � � � y�tv,e,�-.33 �a� �r�:; �l � ,,, ' S�,�-��.�-.�,�.x�,.._,�_�., ��; � �►��mv �;�i�._... Mq �►�i Y 2 _ �:i�k# 3 s�`� 0 20Z4 �- C� I g` 6�� SAWYER Cf.;�!��.:��,,° �,9��-,+�� b� - �Ot�l11VG.ADM;i�11��'-Fil.i-i;:;fV Altach to complete plans fm'lhe s�stem and submi[to[he County only on paper not less than S V?x I 1 inches in size NO REFUND9 AFTER sB�-639g�R.03!2?� ISSUE OF PEfitMiT ��;-�� GSF WI IN-GROUND DESIGN PROGRAM INDEX AND 11TLE PAGE Project Name: Friendshuh-7823N Evergreen Ave Owner's Name: Steven A Friendshuh Rev Trust Owner's Address: PO Box 432 Savage,MN 55378 Legal Description: Sec.30,T40N,R08W Township: Bass Lake County: Sawyer Subdivision Name: Community Beach Lot Number: 31-34 Block Number: 16 Parcel I.D.Number OD2-121-16 3100 Plan Transaction No.: Page 1 Index and fitle Page 2 Data entry Page 3 GSF system views Page 4 Plot Plan Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Designer: Travis Butterfield License Number: 652879 Date. 5/17/2024 hone Number: 715-634-8176 Signature: Designed Pursuant to the GSF In-Ground Component Manual(N.11/19),and SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS(01/81) GSF In-Ground Version 2,23 Page 1 of 7 GSF WI IN-GROUND DESIGN PROGRAM DATA ENTRY Site Information R Residential or Commercial Design 2 Number of Bedrooms (optional) 300 Design Flow (gpd) 98.75 Original Grade 1.6 In-Situ Soil Application Rate (gpd/ft2) EFF#2 Trench Information B43 Unit Used 1 10 Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 21 = Length (ft) 0 Additional Units per Row or Trench Are the laterats the highest point in the distribution 0 Pressure Distribution Information network? Enter Y or N G Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 5 Lateral Spacing If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. � Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ �ft2/orifice Forcemain Diameter (in) Forcemain Length (ft) Does the forcemain drain back? 0 Inside Pump Tank Elevation (ft) System Head (ft) x 1.3 Forcemain Drainback (gal) Vertical Lift(ft) 5x Void Volume (gal) Friction Loss (ft) Minimum Dose Volume (gal) 0 Add'I Fitting Friction Loss (ft) System Demand (gpm) Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. diam. options choice in. dia. options choice 0.75 _ 1.25 1.00 1.50 1.25 2.00 1.50 3.00 2.00 3.00 Gallons/Inch Calculator Septic Tank Information �— Total Tank Capacity (gal) 750 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser Concrete Inc Mfg. gal/in Manufacturer Dose Tank Information Effluent Filter Information Dose Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer Dose Tank Volume (gal/in) LT-1/8 Filter Model Number —�Mfg. Project: Friendshuh -7823N Evergreen Ave Page 2 of 7 GSF WI IN-GROUND DESIGN PROGRAM GSF IN-GROUND DRAWINGS Plan View � ti' a �- Ar i -� l5 6�. k . , t R 's r< t P .. *r �� .- c. F / -\- K r�. :P 4'; ..�' � T- i Y - k L� sn � ' � sl. tF rt��i n�' n fk xT tf`7:�, tv� � .j`F.. i'�{3` .'G H ' �4 � .i. `4ti v.':!� •n _t. y; _ i ) � �m .r y -" ��'A t� ] ?'-c <-� 1 > � a.l � � � f :� + � i 'x o � k < �.N `t yi ' $ 7 � t -.t i s--� t f ' e � ry ' i.3'} tn ey 3' a�� 'r ) r � . . 1`� � J4r u. : ,n lry�r' a < .:' L x}J 2 J r ^ `. A trl .��'h- 4 tir_ Z �� .'..- 1. � .1s r. .�� f �: i ♦ �' , �s tj � � �. � �ti � c i Y F;. . .� } i .. �. < 5... ,. . ♦ A r i t ;�i :'i ..ta; .o,� r.�itf� ' .�,"Zei �.r..�'x rY .a . .n�,: � � �.Y-�, x.r - ^i ' ' 1 i u 3 t i -�:_ c Y ' � F l L"ir ' l+ n. � � . . S ti' { i..r[ . i��i � v � s' - t i . "�Y .� a' �4x �. � � � ��a4 a 7 Y � t '{ �. . �rl�...c ry . I Vv l. �r- .t 4,�t � �v..Gr �.Y' �- r )Y �� '� 2i x � a ' +. r r � r � �1. a -� y� Ss s � •�4�.i?. 'h v -5 .Y1 [- �:�-.< .-.+ ,!t 1.� 11 . f`� .✓Y � k t , f S' t i. (.�. �� !?��.T '� S,� �� L +� . l .S il �:q, ..iir_.� �(� �'�4;}:. � � . � C\ }T `iG jg,J� � uS t. � t .l, '..y`Y e ".f • C.'il .:x'{: �Y . '.l� .y�i. eK .y . � B ---� In-Ground Component Dimensions A 10.00 ft B 21 .00 ft D 1 .00 ft F 7.00 in H 1 .00 ft Excavation Depth 5.75�ft From Grade 210.00 (ftz) Basal Area Available Finished Grade 95.58 Lateral Invert Elevation 94.58 Dispersal Cell Elevation 94 Bottom of Excavation 93 Typical Cross Section Trench View �.- . . - , - - � - � - - - - - � �—RNISHEDGRADE MIN 17'OF GEOTEXTILE CLEAN FILL(H) FABRIC LATER4L IM/ERT ELEVATION 7"(F� �3 �3 DISPERSAL CELL ELEVATION (D) MOUND SAND MOUND SAND BOTfOM OF I I EXCAVATION 10' [_ Typical Dispersal Cell � Q � See Page 5 o � 2 ft Geotextile � o , Fabric —> . �. aco cu F � �- _ _ — Z '', a� � o , 0.5ft � 1 I � A See details on page 4 for number, size and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Friendshuh - 7823N Evergreen Ave Page 3 of 7 � v� ' 0 '�,s� �L w cy� . 4B.7S� :-- °' -- � v ` � � i J s / ' �� 4 m i �V� � E �: � `ri.'x —� / J � �°� � 3br � ' �p � " _ A � r � p n •� � a �� n� .c � � 7 � x�; r c� � F .. < Y ! \s > o � �a o' � / 3 / FL.G>.W. 6�l EwGREE� �vS P _ ➢ N� 9 �� i� a 4 S J � x 4 � m o d a � d � E ° N Cl o (I> V �n W W q 1� f37 .°'.� ^ x p � � � o W DJ w � y � w v z r 9 N � ;; ' �� ,� 6 p o b � � z h � � E � a c' r A � „ �--o u D . r � t r-- � N .4 .4 .� 0 � fi �. D � " = 1 � f� � a l w < ° fn N W W 0 � r � < � o s� ' w � U pr ° � a � �� ,� 0 i i�� 9 � � np fpl � m Z C a J O � �� < ^ 5 � A W e1 ` C n ^ S � . n � � m '' � -*, -h � '^ � 2 F � r � � W p m 7 � a x �r, n- .r F- Z o M Z �, y � ,i' �- _ E � 3 Z �+ � a v o � G ^2 N O�J �� q C � � � O . -• 9 A P ,�„ r 7 [' 1 1� O 3 { � U, w r � � � 2 m �gv � `� 3 � � � P �, n 1� '[ � �t v �J GSF WI IN-GROUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout 10 Cell Width (ft) 2.5 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. 10 ft VUde , �' , � B43 ; , � � , . B43 �'� :' � � - � r - �r: i,.. Component Legend � ASTM C33 Sand/Mound Sand �� A42 or B43 Module ��r�� - _� Lateral _ E� Turn-up (contained in Turn-up Enclosure) Distribution Cell Plan View Layout - Typical 10 Cell Width - A (ft) 21.00 Cell Length - B (ft) 5 B43 Modules Required per Row 10 B43 Total Modules Required Pump to Gravity Diagram Drag appropriate drawing from left to space below. �^ s � :. , � � � � , , � r : , , :: �. F i ..K f ,C4 � j� --i � .c. � ., +. � - y. >;i. �4 ' r I �.:C ti s a ;'a:x i > • ^ � o�i � � hr� ,c -.;a ` � .y.. ,.:: r v' �K : r s :; _r. t :." x l); r " t ..> > � i tr. �`.+ � +c� �� . .i� n i '... � *. :, t .: ��. � r � ., - Y '.1 Jt 1� .l� t � � t 3 x � , � ', A L. 4�u V� � .� L .. \ S J S :'. Pe 1 t y:.� r y J f J . (1 4 �. � 1. • '' Y L I �- s > s ��iT Y * " � Y n�.s r I.rA?'.v� � .r:. ��. ,.xr � ,.<° 2 ': . i,� . .�,} . !l..4��.. ✓,. dt,.;.: t��..� . :.-c > . :�i.;v R�...<� . •.i+, :y � � � i . � r .c S � � wC� 1 A � �:� i � ? :�_ 1 t ,)> t aJ .� � �b n. y x. `' . i x� � - 4 2 � -n r t r .. � lr r,� > i ' { / t . ��y[ � F j � . � .I r � :.� � � 1 FF �� < t� ".t � r e �t rN � _ " 4 !'- t � � � ' .G 4 � ' r+�'� � _ B _ I Project: Friendshuh - 7823N Evergreen Ave Page 5 of 7 GSF WI IN-GROUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS System Maintenance and Operation Specifications Service Provider's Name Butterfield Inc �Phone 715-634-8176 � POWTS Regulator's Name � Sawyer County Zoning&Conservation Phone �715-634-8288 System Flow and Load Parameters Design Flow-Peak 300 gpd Maximum Influent Particle Size 1/S in Estimated Flow-Average 200 gpd Maximum BODS 30 mg/L Septic Tank Capacity 750 gal Maximum TSS 30 mg/L Soil Absorption Component Size 210 ftz Maximum FOG 10 mg/L Maximum Fecal Coliform 10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 years In-Ground System Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards,have a watertight cap,and are secured in a as shown in the Eljen In-Ground component manual. 2. Dispersal cell media conforms to Eljen products approved for use with the Eljen In-Ground Component Manual approved November 2019. Eljen media is covered with the manufacturers geotextile fabric. 3. All gravity and pressure piping materials conform the requirements in the state code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The system structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail 6-8"DIAMETER LAVVfd SPRINKLER FINISHED GRADE — — — — _ — THREADED LATERAL ENDSAT LAST 4"PERFORATED PIPE CLEANOUT PLUG ORIFICE WHERE VARIABLE 4"END LENGTH CLEANOUT BEGINS CP`P LONG SWEEP 90 OR TVVC�45 DEGREE BENDS � SAME DIAMEfER AS LATERAL f DISTRIBUTION LATERAL LATERAL CLEANOUT Project: Friendshuh-7823N Evergreen Ave Page 6 of 7 GSF WI IN-GROUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN System Management Plan General This system shall be opereted in accordance with SPS 82-84 Wis.Adm.Code,and shall maintained in accordance with its'component manuals Eljen In-Ground Component manual November 2099 and SSWMP Publication 9.6 (01/81)]and local or state rules pertaining to system maintenance and maintenance reporting_ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 83.33,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 tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,fhe fllter shall be serviced if the alarm Is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less Ihan maximum scum and sludge 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 they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches.alarms,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 In-Ground and Pressure Distribution Svstem No trees or shrubs should be planted on the system. Plantings may be made around the system's perimeter,and the system shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on the system is not recommended since soil compaction may hinder aeration of the infiRrative surface within the system and snow compaction in the winter will promote frost penetration. Cold weather installatlons(October-February)dlctate that the system be heavlly mulched as protection from freezing. The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice deaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the 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. ContinqencV Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pumq pump controls.alarm or related wiring becomes defective the defective component(s)shall be immediately repaired or replaced with a component of the same or equal performance. If the in-ground component fails to accept wastewater or begins to discharge wastewater to the 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 operating condition. See Page 6 of this plan for ihe name and telephone number of your local POWTS regulator and service provider. ProjecT. Friendshuh-7823N Evergreen Ave Page 7 of 7 . � � �� MAY 2 1 2024 � � SRWYFR COUNTY Phone: 715.234.7008 �NIG11i1E1E1�IRIG ZQNING ADMINfSTRATiON Fax: 715.234.1025 e-mail: info@cooperengineering.net An Employee Owned Company 2600 College Drive, P,O. Box 230 Rice Lake, WI 54868-0230 SIGVE ANALYSIS FOR MIXTURE OF FINE AND COARSE AGGREGATF,S Project ancUor Project No. 13uttei'field, lnc. /20304178 Deposit Identifica�ion C33 114ound Sand Canlrncl County Specificalions Cuutrnctor �nd/or Prodncer S�mple No. 2- no.d, 4.75m�n ❑ Crushed Stone ❑ Base Coarse ❑ Grade 2 SCI'CCIIC(� 011f ❑ Crush2d Gravel ❑ Other O Other Malenals acceptzd aC Date: 3/04/ld ❑ Blend Mound Sand O Belt ❑ Stockplle ❑ Roadway Sampled al Location(pit, giid, station,etc.) Time Contments Gre}' Bucket - If nu. d sievc m�te►'ial �vcre scrccned out MOISTURE CONTENT Weight of Sample (moist): 926 Weight of Total Sample (dry, unwashed) 892 Welght of 5ample (dry): 892 Weight of R-4 (dry, Unwashed) = 0.000 Moisture Loss: 34 Weight of P-4 (dry, unwashed) = 0.000 % Moisture: 3.8°/a R-4 MATERIAL P-4 MATERIAL TOTAL MATERIALS Washed: o ves o No Washed: a ves o rvo (% Passing) Wt. = 797 (minimum 540 grams) Spec. Corr, or Mound Sieve Weight % % Weight °/a % R-4 P-4 Dry Washed Sand Retained Retained Pass (C Relained Retained Pass (D (A"C) (B'D) Sieved Results Resulls C33 3/4" 0 0.0 100.0 100.0 1/2" 0 0.0 100.0 100.0 �o0 3/8" 0 0.0 100.0 100.0 100 4 0 0.0 100.0 100.0 95-100 8 59 7.4 92.6 92.6 80-100 10 75 9.4 90.6 90.6 - 16 145 18.2 81 .8 81 .8 50-85 30 336 42.2 57.8 57.8 25-60 40 495 62.1 37.9 37.9 - 50 650 81 .6 18.4 18.4 5-30 80 759 95.2 4.8 4.8 - 100 772 96.9 3.1 3.1 0-10 200 785 98.5 1 .5 1.5 0-3 pan 0.5 R-4 FRACTURE COUN 1 PLASTIC[TY CHGCK WeighUc.y. _ Fr�cture Particles: Can P-40 be rolleA into I/8" thread when moist7 Tot�l Particles: o Yes � No % Practure: #DIV/0! TEST rt�sui.Ts Sampled by: Travis Butterfield o Passed ProJect Engineer: ❑ Failed Tested by: Cathy Isaacson-Larson Date Tested: 3/5/2024