HomeMy WebLinkAbout032-540-32-5101-SAN-2022-241 Department of Safety �°°°ry `�
0 & Professional Services, +v�� .r' �
$ Sanitary Permit Nu� ber(to be filled in by(
P= Industry Services Division �
_ �9,� "I oZ o2 (� �
Sanitary Permit Application State Transactio=ber �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit ^'�
is rcquired prior to obtaining a sanitary permit.Notr.Applicarion forms for statc-owned POWTS are submittcd to Projcct Address(if diffcrcnt than m�iling a —
the Depariment of Safety and Professional Scrvices.Pcrsonal infortnation you provide may be used for secondary ��.ke� �qk� Rd � -i�q 1
purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats.
I.Application Informallon-Please Print All information j ��
Property Owncr's Name Parccl#
r Q� '�
Property Owner's Mailing Address Property Location
dcovt.Lot__�
City,State Zip Code Phone Number
I C�� � _ '/<,_ 5<. Section�+ _�
7
II.Type of Building(c6eck all that apply) Lot# T 0 N R E o
�1 or 2 Family Dwelling-Number ofBedrooms � Subdivision Name
N� Block#
❑Public/Commercial-Describe Use
❑City of
❑State Owned-Describe Use �� CSM Number ❑Village of
QS Town of yv�t er
IIL Type of POW'TS Permit:(Check either"New"or KReplaeement"and ot6er applicable on line A. Check ooe box on line B.Complete tine C if
a licable.
`�� New S stcm
� y, ❑ Replacement System ❑ Other Modification to Existing System(explain) � Additional Pretreatment Unit(explain)
B' ❑ Holding Tank ❑ In-Ground ❑ At-Grade gn yp ( p )
❑ Mound ❑ Individual Site Desi �Other T e ex lain
(convcntional) '{
C• ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner
ist Previous Permit Number and Date Iss ed
Expiration
IV.Dispersal/Treatment Area aod Tank Information:
Design Flow(gpd) Design Soil Applica�on Rate(gpd/sf) Dispersal Area Required(st) Dispersal Area Proposed(sf� System Glevation
50 l.� �.� �31 � 6i 25 �' .Z'
Capacity in Total #of anufacturer
Tank Information Ga(lons Gallons Units p H U � � �
New Tanks Eacisting Tanks � p � � � p � �
a. U �n �, in i�. C7 C.
Septic or Holding Tank �,� �O � x
Dusing Chamber
V.Responsibility Statement-I,the undersigned,assume responsibility for installafion of the POW1'S shown on the attached plans.
Plumbcr's Name(Print) Plumber's Signature MP/MPR�Iv'umber Business Phone Number
� 28� 7lS v
Plumbcr's Address(Street,City,State,Z.ip Codej
� ��
VI.Cou /Department Use Only
Permit Fec Date Issue:d Issuing Agent SignatUre
�Ap ❑Disapproved � ��� /J �
�'✓ ❑Owner Given Reason for Denial $ (�`� � (� I�-a �'��X'��'��/!/L�p�
Conditions of�pproval/Tleasons for Disapproval �
�� �� � � � �� D �����
�� � � � r"'s-��. � �
L
�.. 5�c�� _ SEF 0 7 2A22
� s� � � � �� 1 �k-W WOr ld� 33�� SAWYER COIUfVTY
�� Z��G ADMlNI T
Attacb to complete plaas for t6e xyatem and tubmit to the Couoty only on paper not less thae S I!2 x 11 inches in size
SBD-6398(R.03/22} NO REFtJNDS AFTER
ISSUE�F PERMtT
3 c�K c�c�
GeoMat IN GROUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Info
Project Name: Thomas L. Pydo
Owner's Name: Thomas L. Pydo
Owner's Address: 6085N Dam Rd
Winter,WI 54896
Property Info
Property Address: Barker Lake Rd.
Winter, WI 54896
Legal Description: G. L. 1 S 32 T 40 N R 5 W
Township Winter County: Sawyer
Subdivision Name: NA
Lot Number: NA Block Number: NA CSM#: NA
Parcel I.D. Number: 032-540-32-5101
Plan Transaction No.:
Index Pages
Page 1 Index and title
Page 2 Sizing information
Page 3 Plot plan
Page 4 Inground plan view, laterel,and dispersal area
Page 5 and 6 Maintenance plan
—__ _—_-- .- — _—
License Number: 22q2 g 1
Date: 08/25/22 Phone Number: 71S qy3 2q 8a
Signature: � ,toe.ti_
Designer Stamp: State of Wisconsin Approval Stamp:
DesfgrwW PursuaM to the
GeoMat In Ground ComponeM Manual Vec March 20,2017, �• '
SSWMP Publiption 9.6 Design of Pressure Distribution Networks for ST-SAS(01/81)and
Pressure Distribution Component Manual Ver.2.0 SBD-10706-P(N.01lOt, R. 10/12)
GeoMat In Ground Version 1.0(R. 3/20/17) Page 1 of 11
GEO MAT LEACHING SYSTEM DESIGN -GRAVITY SYSTEM
OWNER-THOMAS L. PYDO
1. DWF =450 GALLONS.
2. BASAL AREA REQUIRED -AN IN SITU SOIL LOADING RATE OF 1.6 GPD/ SQ. FT. SHALL BE USED.
450 GPD / 1.6 GPD PER SQ. FT = 281.25 SQ. FT.
3. LOADING RATE FOR GEOMAT= 2.0 GPD/SQ. FT.
GEO MAT REQUIRED=450 GPD/2.0 GPD/SQ. FT. = 225 SQ. FT.
225 SQ. FT/ (GEO MAT WIDTH) 3.25 FT. = 69.23 FT REQUIRED ( THIS PLAN PROPOSES TO
USE 100 FT. OF GEO MAT= 325 SQ. FT.)
4. BASALAREA AVAILABLE.
100 FT. X (3.25'+ 1.375+ 1.375' ) = 600 SQ. FT. (REQUIRED=28125 FT.)
TOTAL ABSORPTION AREA=6 FT. X 100 FT.
5. ELEVATIONS.
SYSTEM EL. = 942 FT. (SAND INTERFACE)
LATERAL EL = 94.2 FT. + 1 FT SAND+ .085' GEOMAT THICKNESS. = 95.3 FT. (BOTTOM)
TOP OF LATERAL= 95.65 FT
SYSTEM WILL BE DESIGNED FOR GRAVITY FLOW. SEPTIC TANK OUTLET= 95.3 FT. + .5 FT. PITCH
= 95.8 FT. INLET= 96.0 FT.
INLETAND OUTLET PIPES SHALL HAVE 18 IN. COVER OVER THE TOP.
ORIGINAL GR,4DE OF SYSTEM AREA= 95.6 FT.
FINISHED GRADE =APPROXIMATELY 97.3 FT.
{�c�SE�T
7FfomhS P1fDo
bo85 t� t��;M ?�R
W�t�:���,t��� ��t�4G
G.oN. LoT1 , S32 ,Tk��� RS� _
?awr� oF wza��'�R _ _ - - - N�A i�&�T i� /�-
;,
;'
' ` e�q5�6'
� � � ��
� � ��SaR �TIa�.; R�
�CA ut.: t"=4�' � .
� } � (�����tT: 3.�5 ' x fb 0 '
4 � , , � � Torlt�. h r�E A : �6 � x t a��
`�6EE �2t�.IG-���o }� SYST � � � L: 9'�1. �^�'
p�c,.� �-�� Sx� c�.- ;
3�Tf�I L.S_ ��D �'Z- �
8 � gM -fo0.0` , NAI�. TAi ,�3" Oqk 36 " A���
- �l�.t!�i;r�: c,f�( �, 45.�d` i � G R�1�'�- .
�
, t
; �
►
` � - � �1T� Q t'�� i�
ti ��
� " � e � p� s�a �o �s�. � ��_� � �� .6�� �
: a slT ��ooa �R�. wrlra,v�� '(� ���--
t :
5 /T � N �. �`�` = q6 _ Q '
'` s ! T O uT�`f� ' �� - g'
pRopostD
c� � L ATERA � � � . �. � � . 3` �aUsE
� , > �
SC �' C SYS ? i� 1�1 �F L= ��r �. 3 a�
� , . r
..1 � . ��7��
°- -i � � � P�1D -�- • ���
r� s� �� ��tf�� _ �( � ,_; '>
cc i '
i ; F� N?s�..� �.�, G R �1 b = ^- �' '7.3 ' -�
; � .� �+�v�Rr
� � - To $�1RkE.� LRKE ��
l �
� �
�` �> .
� ��
. ��5 ,� `� '�
' �� �a
� �
� \ ' �
,� �
� � �.
=��� .
1 � •
t �
`
r
� `
1
in Ground Ptan View
.
j..�k ---� � - G�o �ct-�'_ _G�{�
i -
��d-�
. _ e
� i -
" " G-�-� �� � �- ' ,N.�,
�
_
f �37 � �-�' �,
�oz•
_ � . _
y�� L/tT E R�1l.
� _ - - - - — — - - �°°r�v
____- -
----_
In Ground Companent Dimensions
� 325 A(ft) C�o�" Basat Area Available(fl}
/UO_ B(ft} 281.2� 8asal Area Required(fl)
a . L(ft) Observation Pipe.s Placed @ End of GeoMat
�:p' W(ft) 225.� Requir�Dispersaf Celf Basal Area(gpolf�)
0.00 S(ftj ZS Proposed Dispersal Ceit Basal Area(9Pd/ft�)
�1•37�a � Side Dimension(1)(ft) � � ` Linear Loading Rate(gpdfft)
'f_00 End Dimensiort(K}(ft)
9.88 Depth of Cover(in�
In Ground Cross Secfion View
GeoMat Dispersa!Area
97_3 ft—i Finishec!Grade \��� \��V' V' ���}'V'
� - �:�u`�_
: _ �5��;��n - ��l��dl
1.88 ft ' p
� �^ -,Gn---r��. 12 ,42 _
�. a.�a�....�.�. _�
�
_ —�t' �.�I•�v;
t.� in--► c���. . '� o�t � ,
- P�� � �a:;_,�
{'------ - --,----, :_
Top of geomat to be at or �„ �' - �.;�. �� ���p�,��
betow original grade ; I I I ` :� �`, -, I � ' ! ' i ' f�_ °^ =�
4 _� I'-� ��i l:�3:i i`C�"'�` � I � � "ti�"_
94.2 ft---► � � � � � � :::�.:�=...L���.:.-..�.,.�r�
� __ ._ . . - _- -- - - - - -- - _:� :_
N = :- � -- �ATIv� so�i" = - :� -
,
� -�. -_. f= --- - - - - -- : . :J .-- ._- _ - :_ .- __ _ �t�.:,
a�.a -
See details on page 4 for number,s¢e,and spacing of laterals.
Proje� Thomas L Pydo Page 3 of 11
In Ground System Maintenance and Operation Specifications
Service Provider's Name Northwest Sanitation Phone 715 945 2650
POWTS Regulator's Name Sawyer County Zoning Phone 715 634 8288
Svstem Flow and Load Parameters
Design Flow-Peak 450 gpd Maximum Influent PaRicle Size 1/8 in � �I�
Estimated Flow-Average 300 gpd Maximum BODS 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 3L3�. ft Maximum 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 Fitter Ins ect and clean as necessa at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test eriodicall
Pressure System Laterals should be flushed and pressure tested eve 3 ears
In Ground Inspect for ponding and seepage once every 3 years
Miscel�aneous 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.1,2017.
2. Dispersal cell media contorms to GeoMat produds approved for use with the GeoMat In Ground Component
Manual Ver.March 20,2017. Media is covered with an approved geoteMile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 364,Wis.Adm.Code.
Lateral Tum-up DeWil
6-8"Diameter Finished l Threaded Cleanout
Lawn Sprinkler Grade \ �i Plog or Ball Valve
Box y
Lateral Ends a[Las[Orifice Where �
Long Sweep 90 or Two
��45 Degree Bends Same
Diameter as La[eral
i
�
~Distribution Lateral � Lateral Cleanout
0 Feet
Project: Thomas L.Pydo Page 7 of 11
Notes/ Maintenance Reauirements
MANAGEMENT PLAN
This private onsite wastewater(POWTS)has been designed,and is to be installed and maintained in accordance with SPS 383,Wis.Admin.
Code,the in-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2A SPS-10705-P
(N.01/01). GeoMat in ground Component manual Versiont.
�.This POWTS has been designed to acwmmodate a maximum daity flow of 45��ns 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 mg/L BODS
A monthly average of 150 mglL TSS
Wastewater shail not discharge to the POWTS in quantities or qualities that exceed these limits or that resWt in exceeding the enforcement
standards and preventative action limits specifed in ch.NR 140Tables t &2 at a point of standards application,except as provided in DSPS
383.03(4),Wis Admin.Code.
2.The owner of this POWfS is responsible for system operation and maintenance.
3.Defects or malfunctions identified dunng maintenance described above shall be repaired in conformance with SPS383 Wis.Admin.Code,
and the pertafning county Private Sewage Systems Ordfnance. 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 chemical or physical restoration or chemical or physical procedures for POWTS may be used unless approved by the Dept.
of Commerce in accordance with SPS.384,Wis.Admin.Code.
6. If the POWTS is replaced,or its use discontinued,it shall be abandoned in accordance with SPS 38333,Wis.Admin.Code.
NOTES
Two Effluent Filters to be installed where possible 1 to be installed in ST,and or 1 in pump tank in
order to insure particle size less than or equal to 1/8". Filters should be Geaned once in spring,and once in fall. Also,strainers in sinks in
the building shall be maintained,so that solids and fats are minimized to flow into system.
A minimum of 2 observation pipes per cell shall be installed. These pipes shall be located approzimately at the end of each cell.
The plumber,or wunty shall see to it that a wpy of these plans including this page, maintenance folder,and maintenance agreement is
given lo the homeowner.
This system may contain a dose chamber. If a pump,float,electrical outage wuses the dose tank to fill,the homeowner should 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 overloaded. 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 stmc[ural failure resulting in cracks or leaks in the tank must be corrected by replacement ot the septic tank component.
Leaks in the joints between manhole risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight
B. Outlet Filter.The outlet filter shall be replaced or repaired when it is either no longer capable of preventing the discharge of particles larger
than 1/8 inch or when it has become permanently degraded by clogging so as to intertere with the design flow out of the septic tank.
C. Dosing chamber and pump.The dosing chamber shall be replaced if any structural failure is found. Leaks in joints belween manhole
risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-tight.The pump and controls shall be
replaced when they are no longer capable of functioning according to the desfgn plan.
D. Pressure Distnbution Piping.Partial clogging of the distribution network may result in unduly long dosing cyclea The ends of the
distribution laterals may be ezposed and the threaded end caps removed.The piping can be disconnec[ed 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 that the dosing
chamberthen be pumped by a licensed plumber.
E.Soil Absorption CeIL The discharge of sewage or wastewater to tbe ground surface is stridly 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 sofl absorytion ceIL The existing septic tank and
dosing chamber shall be used as a temporary holding tank until the necessary repairs to the soil absorption cell can be achieved.The
replacement shall be initiated 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: Thomas L. Pydo Page 8 of 11