008-162-00-0500-SAN-2022-322 _�` Department of Safety c°°""' �
�\,`� '-' & Professional Services, s�W � � �7
_ � ,�=' Sanitary Permit Number(o be lilled in by `
�"�� �_ �`� Industry Services Division
'i��% � 3 � 3 D ► �
o,� l.`..._�r
'hnxn.�
State Transaction Number �
Sanitary Permit Application �
In accordance with SPS 38321(2),Wfs.Adm.Code,submission of this form to the appropriate govemmental unit `— p ,
is required pnor to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing� �"'
the Department of Safety and Professional Services.Personai information you provide may be used for secondary
purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. � �p�y�W ��Q�n j�Tree Re�
I.Application Information—Please Print All Information
Property Owncr's Name Parcel#
�to��rb.awa Loa e LLC Oo8- ��a-OU OSOO
Property Owner's Mai ing Address Property Location
� 130x Govt.Lo[
City,State Zip Code Phone Number
S��JO. 2 M N "...�r J�37� Y4, '/<, Section �v
II.Type of Bu�ding(check aii that apply) I.ot# T 3$ tv R � w
�I or 2 Pamily Dweiling—Number of[3edrooms � s Subdivision Name
Block# �ACir+�fllSE SH OQES
❑Public/Commercial—Describe Use
�City of
❑State Owned—Describe Use (:SM Number ❑Village of
�Town of E qe wA�r_--
❑1."I'ype of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one twx on linc B.Complete line C i
a licable.
A
❑ New System �Replacement System ❑Other Moclificat�on to Existing System(explain) Additional Pretreatment Uni1(exptain)
B' ❑ Holding Tank �,In-Ground �� ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑Other Type(explain)
(conventional)
C. ❑ Revision ❑Change of Plumber ist Previous Permit Number and Date Issued
❑ Renewal Before ❑Transfer to New Owner
Expfration q0—�( � �'
IV.DispersaUTreatment Area and Tank Information: �C,-ra..� ,;,� /D j 7� �:� C r. %/
Design Flow(gpd) Dcsign Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
30o a.� ��� �s� �•�. (9� -� g3.6 v F�
Capa ity in � Total #of Manufactur j b�� �
Tank Information Gallons Gallons Uniu �� � i o � `_'
New Tanks F.xisUng Tanks ,` v � � N
w U
CoMDo Ta N+c � � � � � � �
a U v� v, v� r� C7 G-
Septic or Holding Tank Q O �_ f1 b �, !'�� X
O �
Dosing Chamber O`\ � SbO
V
V.Responsibility Statement- l,the undcrsigned,assume responsibility for iustallation of the POWTS shown on the attached plans.
Plumber's Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number
o..��a A S �.cke.ls �� �� a �� -- -�Yi
Plumber's Address(Str t,City,State,Zip Code)
sN s�� �� a� 1-�G wG� w� .s�a v3
VL Cou ty/Department Use Only
Abl 1 Pemiit Fee Date Issued Issuing Agent Signature
ro c� ❑Disapproved
� ❑Owner Given Reason for Denial $ `��� '1 I ( I 2`2 1������,��'—
Conditions of Approval/Reasons for Disapproval
� �.�����?-, �_1 ����
,
,,,,_,__ c. — 1
�I II���� � .�: ,.
�� � .�; ..!.�. � �_�� ._ '
�0 OCT � � 2�22 �
<:�k# �1 °� - - --... . �
�S� �-�- �3 I :�...,ttt�z,vv _.!n/�_� �d_ _�+-10�I SAWYER COUNTY
�� ���qpMINISTR�i iON
Attach to complete plans for the system aod submit to the County onty on paper not less than 8 1/2 x 11 inc6es in size � �','�
SBD-6398(R.03/22) NO R�FUNDS AFTER
�ssuc oF PE��sr
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
r;x.-�:��:��'.
INDEX AND TITLE PAGE
ner _
Project Name: Hathaway Lodge-Raining Tree Rd
Owner's Name: Hathaway Lodge L�C
Owner's Address: PO Box 432
Savage,MN 55378
Property Info
Property Address: 15847W Raining Tree Rd
Legal Description: S 30 T 38 N R 9 W
Township Edgewater County:Sawyer ___,
Subdivision Name: Paradise Shores
Lot Number: 5 Block Number: CSM#:
Parcel I.D.Number: 008-162-00 0500
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry Filter specifications
Page 3 GeoMat dist.cell drawings&calculations
Page 4 Lateral and cell cross section
Page 5 Management&contingency
Page 6 Maintenance 8 specifications Pump Specifications _
Page 7 Tank cross sections
Page 8 Distribution media
Ronald A Spreckels Jr License Number: 226688
Date: 10/31/22 Phone Number: 715-634-8250
Signature: /�
Designer amp: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual Ver.June 26,2018 Version
Page 1 of 10
In Ground and Dosing Distribution Component Design
Site Infortnation
R Residential or Commercial Design N ISD Required9
200.00 Estimated Wastewater Flow(gpd)
1.50 Peaking Factor(e.g. 1.5 = 150%)
300.00 Design Flow(gpd)
10.00 Site Slope (%)
93.00 Prop. System Elevation (ft)
120.00 Depth to Limiting Factor(in)
1.00 In-situ Soil Application Rate(gpolftz)
97.00 Lowest Original Grade Ele. In System Area (ft)
98.00 Highest Original Grade Ele. In System Area (ft)
89.00 Limiting Factor Elevation (ft)
3.50 Depth Below Grade
istribution elllnformation
325 Cell Width (ft) 2 Number of Cells
2.00 Dispersal Cell Design Loading Rate(gpd/ft2)
2 Influent Wastewater Quality (1 or 2)
Distribution Infortna on
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed Y
3.00 Lateral Spacing (ft)
13.86 Forcemain Drainback (gal) Does the forcemain drain back? Y _
' 0.50 Forcemain Filter Loss (ft)
2.00 Forcemain Diameter(in)
85.00 Forcemain Length (ft)
75.00 Inside Pump Tank Elevation (ft)
3.50 System Head (ft) x 1.3
i8 .�S �� Vertical Lift(ft)
7.78 Friction Loss (ft)
a3•4 3 2b�9 Total Dynamic Head (ft) Designer must enter friction loss and system demand (gpm)
43.86 Minimum Dose Volume (gal)
25.00 System Demand (gpm)
anufacturer Information
Treatment Tank Information Effluent Filter Information
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 Galtons/Inch Caiculator(optionall
602.82 Dose Tank Capacity(gal) 602.82 Total Tank Capacity (gal)
11 82 Dose Tank Volume(gal/in) 51.00 Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Manufacturer 11.82 gal/in (enter result in cell DoseTankVolume)
Project: Hathaway Lodge- Raining Tree Rd Page 2 of 10
in Ground Plan View
2 cell Q�eoR�Yat
R
•� 00000000000000000000000000000 �,g 000000000 .•
•' o°o°o°o°o�o°o°o°o°o�o�o°o�o°o°o°o�o°o°o°o�o°o°o°o°o�o°o�o ��1rYll`� o�o°c�i°o°o°o°o°o°o ,•
0000000000000000000000000000 00000000
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. 00000000000� � 000000� � 00000000000� 000000000� �
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00 0000000000000000000000000000000000000000000
6f'iS _ _ __ .
I ft A 325 ft Basal Area Required 300 ft`
K 1 ft B 30 ft Basal Area Pro osed 300 ft2
S 1.00 ft L 32 ft
W 10.00 ft
Basal Area Calculation GeoMat Dis ersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
300 1 gausq tuday 300 2.00 gausq fuaay
Total 300 ftZ Total 150 ftZ
Proposed 195 ft2
Number of Celis 2 GeoMat Width 325 ft
Cell Length ft Lineal Feet of GeoMat Required 46.2
Min. Cell Len th 23.1 ft Lineal Feet of GeoMat Pro osed 60
Cell S acin 1.00 ft NOTE Min S dimension= l'
S stem Elevation 93 ft
Limitin Factor 89 ft
Separation 4 ft z•nnin
Directlons
Play with cell length to get desired cell spacing length and wldth Remember sys[em SHOULD be longer than it is
wide It most also Satisf basal loadin rate and GeoMat cell loadin rate
Project: Hathaway Lodge- Raining Tree Rd Page 3 of 10
End Conneetlon Labhl Layout Dagrom
�;
�
Hole spacing is every 12", V2"hole at 4 8 8 O'clock,starting 4 O'clock 6"from end and
B O'clock Holes at 12"from end.
Laterel Spacing 3.00 fl Pipe Diameter 2.00 in
..0 On.. ... . . . ..
98 ft � Fin�clvA C.r.�Ar rF'Y `1�V"r W Y
-..� . • ::,. �fC1�110a0
" I CA�C�a00mm�ea 12�-48' Ba[�fB [,J�t�{.M�
3c��5 ft �
- 4 .l - ' -_�;��..
2in —► PIpeDIL-'� '� isv \ F�vt
. ,_A Pipe I`�.
Topofgeomat[obeato ��. - - - - - ' ��
helow original grade � 1 I 2 ��33 c� I i I , I � I � I r Co�ov�
1 I I , 1 � �g�K�
-N =_=:=NATIVE.SOIL�-=—=
n. I -- --- ---_-�_=--�--�GFav
izo�.y 1
-'----_-_--�_
--e►wd on �pes . . . .. .. , . . _ .. .. ... .. ... .. . ..
���
sa n Fm...^m.^^
�
i
.-M:a.
12"Mirt � - \ i
48"Maz. � II ' � „`
i
m�i F�N�� � .. i : a��.
sw
IISisi �
�Fa�ss 9 .,�+,��.msv.��
aewu� � �L�----�—"__ 1 _
wxmcwselCOuwR �� �tie a�e.1,.
�"s'�'�.a°��
93 ft
ProjecC Hathaway Lodge-Raining Tree Rd Page 4 of 10
Notes/ Maintenance Requirements
MANAGEMENT PLAN
This private onsite wastewater(POWTS)has been designed,and is to be installed and maintafned in accordance with SPS 383,Wis.Admin.
Code,the in-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0 SPS-10705-P
(N.01/01). GeoMat in ground Component manual Version 1.
1.This POWTS has been designed to accommodate a maximum daily flow of 30Q,79Runs of wastewater per day- The quality of
influent discharge into the POWTS treatment or dispersal component shall be equal to or less than all of the following.
A monthly average of 30 mg/L fats,oil and grease
A monthly average of 220 mglL BOD5
A monthly average of 150 mglL TSS
Wastewater shalf not discharge to the POWTS in quantities or qualities that exceed these limits or that resWt fn exceeding the enforcement
standards and preventative adion limits specified in ch.NR 140Tables 1 &2 at a point of standards application,except as provided in DSPS
383.03(4),Wis Admin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or malfunctions identified during mafntenance described above shall be repaired in conformance with SPS383 Wis.Admin_Code,
and the pertaining county Private Sewage Systems Ordinance. The user's manual,provided to the owner of the POWTS includes the names
and telephone numbers of the properly licensed individuals to contact for such repairs-
5.No product for chemfcal or physical restoration or chemical or physical procedures for POWTS may be used unless appmved by the Dept.
of Commerce in accordance with SPS.384,Wis.Admin.Code.
6.If the POWTS is replaced,or its use disconlinued,it shall be abandoned in accordance with SPS 383.33,Wis.Admia Code-
NOTES
Two Effluent Filters to be installed where possible i to be installed in ST,and or t in pump tank in
order to insure particle size less than or equal to 1/8". Filters should be deaned once in spring,and once in fall. Alsq strainers in sinks in
the building shall be maintained,so that solitls and fats are minimized to flow into system.
A minimum of 2 observation pipes per cell shall be installed. These pipes shall be located approximately at the end of each cell_
The plumber,or county shall see to it that a copy ot these plans including this page,maintenance folder,and maintenance agreement is
given to the homeowner.
This system may contain a dose chamber. If a pump,float,eledncal outage causes the dose tank to fll,the homeowner shouid see to it that
the effluent level in the tank is brought down gradually and not all dosed to the system at once. One large dose could cause damage.
Contact a pumper or your installer if this problem occurs.
The homeowner is responsible for formulating a water conservation plan that will ensure the system is rarely ovedoaded. I.E.spread laundry
out over time,not 6 loads in 2 hours,while everybody showers,and uses the toilet,ETC.
CONTINGENCY PLAN FOR COMPONENT FAILURE
A.Septic Tank.Any shuctural failure resulting in cracks or leaks in the tank must be corrected by replacement of the septic tank component
Leaks in the joints belween manhole risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B.Outlet Filter.The outlet flter shall be replaced or repaired when it is either no longer capable of preventing the discharge of partides larger
than 1/8 inch or when it has become permanently degraded by clogging so as to interfere with the design flow out of the septic tank.
C. Dosing chamber and pump.The dosfng chamber shall be replaced if any structural failure is found. Leaks in joints between manhole
nsers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-tiqht The pump and controls shall be
replaced when they are no longer rapable of fundioning according to the deslgn plan.
D.Pressure Distribution Piping.Partial clogging of the distribution network may result in unduty long dosing cycles.The ends of the
distribution laterals may be ezposed and the threaded end caps removed.The piping can be disconnected on the outlet end of the pump.
The distribution piping may then be back flushed to cleanse any accumulated matter from the piping. It is recommended Mat the dosing
chamberthen be pumped by a licensed plumber.
E.Soil Absorption Cell.The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human health hazard
created by the effluent.All failures created by surface discharge shall immediately be reported to the appropriate county.The pump shall
then be immediately disconnected to prevent further discharge to the ground surface via the soil absorption cell.The existing septic tank and
dosing chamber shall be used as a temporary holdfng tank until the necessary repairs to the sofl absorption cell can be achieved.The
replacement shall be iNtiated only after any necessary plan approvals have been obtained from the
appropriate plan review authority and the required sanitary permit is obtained from the county.
Project: Hathaway Lodge- Raining Tree Rd Page 5 of 10
In Ground System Maintenance and Operatton Specffications
Service Provider's Name Ronald A Spreckels Jr Phone 715-558-6472
POWTS Regulator"s Name Sawyer County SPIA-Zoning Administration Phone (715)634-8288
Svstem Flow and Load Parameters
Design Flow- Peak 300 gpd Maximum Influent Particle Size t/8 in
Estimated Flow-Average 200 gpd Maximum BOD5 30 mglL
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 97.5 it� Mauimum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Filter Ins ect and clean as necessa at least once eve 3 years
Pump and Controls Test once eve 3 ears
Alarm Should fest periodicall
Pressure System Laterals should be flushed and ressure tested eve 3 ears
In Ground Inspect for ponding and seepage once every 3 years
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 GeoMat In Ground Component Manual Ver. March 20,2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMat In Ground Component
Manual Ver. March 20, 2017. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384,Wis.Adm. Code.
4. Scarifcation of basal area is accomplished with a rake or other tool.
5. All disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration.
Lateral Tum-up Detail
� 6-8"Diameter Finished Threaded Cleanout
Lawn Sprinkier Grade \ Plug or Ball Valve
Box �
y
�� Lateral Ends at Last Ori(ice where
� Long Sweep 90 or Two
��45 Degree Bends Same
Diameteras Lateral
".�;� ;� �� q: '
� Distribution Lateral� � Lateral Cleanout
93 Feet
Project: Hathaway Lodge-Raining Tree Rd Page 6 of 10
PAGE �
GRAVITY-DOSED � �F 'b
_
SEPTIC / PUMP TANK SPECIFICATIONS
4"4JVentPipe (No Scale)
>10 ft from
Building Electrical must comply with
12"Min. or 2.0 ft above COMM 16 and NEC 300
Eslablished Flood Elevation Weatherproof Extend manhole riser as necessary.
(typical) Approved Junction Box
Vent Cap Approved Locking Manho{e
IMPORTANT: with Waming Label Attached
(lypical)
Anchor tank(s) as necessary �-Conduit
pursuant to SPS 383.43(8)(g) a^ Min. or 2.0 fl above
Established Flood Elevation
(rypical)
�Airtight Seal '
Finished Grade
— Quick Disconnecl
a
18" Min.
CAPACITIES @ � � •82 gaUin �: � .. y . . � � - �ryP'���
a �
Depth (in) Volume (gal)
q 27.3 322.69 * W� \�Approved Joinis wRh
HOIe APProved Pipe 3 ft oMo
Liquid Solid Ground
B 2.� 23.64 A Depth Force Main «'P'���
� Filter*
[C] 3.7 43.73
Alam, "Install and maintain pursuant
� 12.� 141 .84 -a �o� to manufacturer's instructions.
I � PUMP-OFF
* Pump Tank Liquid Level = 43 in � PumP � ELEVATION = 7� ft
° INSIDE BOTTOM
Force Main Diameter = ��in Concrete
B�°�* ELEVATION = 75.00 ft
. : . . . . . . - a ..
3"Approved Bedding Material Beneath Tank
Force Main Length = ��
Force Main Void Volume = 13.86 gal
��
[C] Total Dose Volume TDV = 43.73 gaUdose
( < p_ZX design flow+ force main void volume)
Vertical Lift = � 8'25 ft
CO M I3 � 'T C�f N \�
PUMP TANK: SEPTIC TANK(S):
Volume = 508.26 ga1 Total Volume = 840 gal
Manufacturer: Wieser Concrete Manufacturer(s): Wieser Concrete
Pump Manufacturer: Liberty
Install approved force main filter pursuant to
Pump Model: 283 (�eattachedpumpcurve.) manufacturer's instructions.
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Simtech
Controls/Alarm Model: PS Patrol
Filter Model: STF-100
Ftoat switches containing mercury are prohibited.
GeoMat WaWbution CeN Media Layout
3.25 Cell WiGth(k) 2.63 Sitlewall to Laterel(k)
Distribution Cell Cross-section Arrangements
. . . .. .� . . . S ... .---. . _Q_.._...._. . . .
O Distribution Pipe
GeoMat is covered with appmvetl geoteztile fabdc as per Ne their product approval.
Distribution Cell Plan View Layout-Typical
3 25 Cell wdth-A(ft) 30 00 Cell Length-8(R)
�����.����..�.�����..��.
�� �� ��'
� . ...... . . . .._ ..._ yP � �pena ell.. . .
F:n:��+�e cr,n� �� �� ��y
Ditmba6m
� �" � � � 12 48"� a yro �. L�9ctlI.eve1
Smd Ca�¢�eeommmaed�
4 � -�: � in�a.ave
� v �_ F,nao
PiO� I
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I � 1 � I � I R�AS'I'M 33 8r� I � I , 1 � I � 1 f.ompomd
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ey _ =NATIVE.SO[L-�-=__�
I (_�-- ----- �____— ��� L'a�.ie�gF�a
See Eelails an pa9e 4!or numEer,size,and spadng o(late2ls.
Project Hathaway Lotlge-Raining Tree Rtl Page 8 oF 10
O �e �$ y0 SO 75 Io0
SC P � E = � •. y o
lb84 'TW Ro:�nin4Tree Rd
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lek 5 P`rad� 5C{ SheKS
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� Town ef E��w���'
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p�i, oos- i �a-oo c�soo
cs= gvo/Sa�S>�. �o�k.b c�cnfe
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280 Pl R010/7/2015 �CopyngFtt 2015 Lberty Pumps Inc. Ali ngh[s reserved. Specifications subject to chark;e wi[hout notice.
�
�Gq� �v o F �_v
'"���'" ; PRIVATE ONSITE WASTE TREATMENT counry
���`o$ � SYSTEMS
��` 1 PS ( POWTS) SaWyeT
�:, w;
\ry F,�-:_—;<.�'%
�''��"�=`'`' INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT) 2
GENERAL INFORMATION �� �J��
Personal infonnation you provide may be used for secondary purposes[Privacy taw,s. I 5.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village � Town of: State Plan Transaction ID#:
�tG �G CO � � w�-e� _
Insp BM Elev: BM De cription: Parcei Tax No:
I
��o�� Na�l w r��ti �� a ,� pq `l�.-e_ o�- �6a -60 _ o��o
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic i,�„e _ ��{O Benchmark Oo.p �
Dosing —��� �p
Aeration Bldg. Sewer �,��
Holding St/Ht Inlet '
TANK SETBACK INFORMATION St I Nt outlet g8.7 '
TANK TO P/L WELL BLDG vENT ro ROAD Dt Inlet
AIR INTAKE
Septic 33� �o� fi�o � NA Dt Bottom �7 p�
Installation
Dosing ,. �� « °� NA Contour
Aeration NA Header/Man. `
-*�'iY,
Holding Dist. Pipe
PUMP 151PHON INFORMATION Infiltrative r
Surface �-��v
Manufacturer � Demand Final Grade �� ,a�
Model Number � 3 GPM
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L �3� Dia 2'� Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W (b� � a` #of Cells Type of System Distribution Media Manufacturer:
Conv ❑ Aggregate 'M�
SETBACK P 1 L Bldg Well OHWM of Nav o �GP ❑ Chamber �aC r �
INFORMATION Waters � AG ❑ EZFIow Model Number:
CELL TO � -�Sp' �� Up ❑ Mound �t Other
- --- �L----- — -- _— - ---__—_
DISTRIBUTION SYSTEM X Pressure Systems Only
Headerl Manifold �istribution Pipe(s) �X Hole Size � X Hole Observation Pipe�
Length Dia Length Dia Spac �� I Spacing ❑Yes ❑ No
-- - --------_ --�---- -------_—....
SOIL COVER
- ------- — -
Depth Over Depth Over Depth of Seeded/Sodded Mulched
Cell Center Cell Edges ; Topsoil___ ❑Yes ❑ No ❑Yes ❑ Na
COMMENTS: (Include code discrepancies,persons present,etc.)
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Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3(01)
AO�ITIONAL COMMENTS AND SKETCH
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