HomeMy WebLinkAbout014-841-06-4222-SAN-2023-015 .��;�:W�v�'t�_ County �
Department of Safety �
�� � = & Professional Services, S�`"a y�r >
_ .. _ � Sanitary Permit Number(to be tilled in by C `
' ': , Industry Services Division
{� 3 Gl 3 ���� �,
_ Sanitary Permit Application State T�ansaction Numb=r �
In accordance with SPS 38321(2),Wis.Adm_Code,submission of this form to the appropriate governmental unit �
is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if difterent than mailing ac �
the Department of Safety and Professional Services.Personal information you provide may be used for secondary �
purposcs in accordancc with the Privacy Law,s. 15.04(t)(m),Stats.
I.Application[nformation-Please Print All Information ���"� ��y� - �LO — �}22Z
Property Owner's Name Parcel#
o � 1 H N'.1 s8n i i 8 a� N I}�ako�Ln
Property Owner's Mailing Address Property Location
34'NS OalL�r,o� T�-� �o�.�.oc
City,State Zip Code Phone Number
�a.s Kc,sha, W= �j 3�O O !V IAf %a, S� �/a, $CCtlOfl d�e
Il.Type of Building(check all that apply) L��# T �11 N R 0 a Eor
�I or 2 Family Dwelling-Number off3edrooms 3 l(�� Subdivision Name
Block# —
❑Public/Commercial-Describe Use
❑City of
❑State Owned—Describe Use CSM Number ❑Village of
BS�U �'i'ownof LG,nroCY�"
IIL'I'ype of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C i
a licable.
'4 �New S stem
y ❑ Replacement System ❑Other Modification to Existmg System(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank �In-Ground �yG01�} ❑At-Grade
❑Mound ❑ Individual Site Design Other Type(explain)
(conventional)a�
�=• ❑ Renewal Before ❑ Revision ❑Change of Plumber ist Previous Permit Nu�er and Date[ssued
❑ Transfer to New Owner
Expiration
[V.DispersaUTreatment Area and Tank[nformation:
Desi�n Flow(gpd) Design Soil Application Rate(gpd/st) Dfspersal Area Reyuired(s� Dispersal Area Proposed(st) System Elevation �
ySD �,� / a.o a i as b�+ ��s 3��.s�.s�-� /»�. 9 G.a5
Capacity in Total #of Manutacturer �
Gallons Gallons Uniu L � � `_'
Tank Infonnation � � V � v � y '�,
New Tanks Exisbng Tanks � o :: � � � � �
a U vn ti v� w C7 P..
Septic or Holding Tank O O b � �(�� �•� O�C
DosingChamber `bv �- �QO
V.Responsibility Statement- [,the undersig¢ed,assume r osibility for i tel 'on of the POWTS shown on t6e attached plans.
Plumber's Name(Print) Plumber's nature MP/MPRS Number E3usiness Phone Numbur
Ir�.�jS 1�k�rF�cla L5a�7g 7i5-L3y - 8�� �
Plumber's Address(Street,City,State,Zip Code)
1 ti3yl�� Sk�+� .2mad Na �,.Ja.r-�, c,,�= S�� y3
VI.CountylDepartment Use Only
Pcrmit Fee Date Issued Issuing Agent Signature
❑ Approved ❑Disapproved $ ��.� ��)��I�� ���� ,y,�• ; L _ _ �
u.r.�-I�IA/Vi•�-
❑Owner Given Reason for Denial
Conditions of'Approval/Reasons for Disapproval
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-t,�t� Ne.w_�wr.r 1 d �-_�S
Cs� �3 - � i�i .�.M _ ��� �--s�n� <�.AWYtR COUNTYO�V
Attac6 to complete pinns for Me system and submit to the County only un paper aot less than 8 1/2 x 1)inc es m size ���I 1
NO R�F'JR�S AFT�R
SBD-6398(R.03/22) I J-^�U�U;=�EFSiN�I I
GeoMat lN GRO�,AMD DOSING DISTRIBUTION COMPONENT DESIGN
R,-sidential P.np'��ca;�c
INDEX AND TITLE PAGE
All Water Tra<. - ,l "rom System
ner n . _
Project Name: Nilsen-Phipps Rd
Owner's Name: Roy Arnulf H Nilson
Owner's Address: 3945 Oakmont Trl
Waukesha,WI 53188
no _ _
Property Address: 11826N Haakon Ln
Legal Description: NW SE S 6 T 41 N R 8 W
Township Lenroot County: Sawyer _
Subdivision Name:
Lot Number: 106 Block Number: CSM#: 8560
Parcel I.D.Number: 014-841-064222
Plan Transaction No.:
n eX ages _. _
Page 1 Index and title Page 9 Plot plan _
Page 2 Data entry Page 10 Tank Cross Section _
Page 3 GeoMat dist.cell drawings 8 calculafions Page 11 Pump Curve _
Page 4 Lateral and cell cross section _
Page 5 Management&contingency
Page 6 Maintenance 8 specifications
Page 7 Tank cross sections _ ._
Page 8 Distribution media __ __ _
Travis Butterf d License Number: 652879
Date: 02/20/23 Phone Number: 715-634-8176
Signature:
Designer Stam . State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 11
In Ground and Dosing Distribution Component Design
,,.,
Site information
R Residential or Commercial Design N ISD Required?
300.00 Estimated Wastewater Flow(gpd)
1.50 Peaking Factor(e.g. 1-5= 150%)
450.00 Design Flow(gpd)
0.00 Site Slope(%)
96.25 Prop. System Elevation(ft) Santl&Native soil Contour
45.00 Depth to Limiting Factor(in)
L 1.60 In-situ Soil Applfcation Rate(gpd/ft2)
�_ 98.00 Lowest Original Grade Ele. In System Area(ft)
98.00 Highest Original Grade Ele. In System Area(ft)
� _ 94.25 Limiting Factor Elevation (ft)
� � � Q25 Depth Below Grade
s ribution Ce I In rmation "
325 CeIlWidth (ft) __. 1 NumberofCelis
2.00 Dispersal Cell Design Loading Rate(gpd/ft)
2 Influent Wastewater Quality(1 or 2)
istribution Infortna on
E Center or End Manifold, Dist. 8ox or Drop Box .
1 Number of Laterals System dosed Y
0.00 Lateral Spacing(ft)
6 20 Forcemain Drainback(gal) Does the forcemain drain back? Y .J
0.50 Forcemain Filter Loss(ft)
2.00 Forcemain Diameter(in)
38.00 Forcemain Length(ft)
91.00 Inside Pump Tank Elevation(ft)
3 50 System Head(ft)x 1.3
6A2 Vertical Lift(ft)
1.39 Fridion Loss(ft)
11.41 Total Dynamic Head(ft) Des ,-^r���.�,;s� -� '��.ct�o� loss and system demand (gpm)
51.20 Minimum Dose Volume(gal)
25.00� System Demand (gpm)
anu acturer fn ortn on
Treatment Tank Infortnation Effluent Filter Information
�000.00 Septic Tank Capacity(gal) Lifetfine Filter LLC Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer LT 1/8 �Filter Model Number
Dose Tank Information Gallonslinch Calculator�,opuonaq
602.82 Dose Tank Capacity(gal) 602.82 Total Tank Capaciry(gal)
19.41 Dose Tank Volume(gal/in) 51.00 Total Working Liquid Depth(in)
Wieser Concrete Products, Inc Manufadurer � 11.82� gal/in(enter result in cell DoseTankVolume)
ProjecY. Nilsen-Phipps Rd Page 2 of 11
In Ground Plan View
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I ft A 3.25 ft Basal Area Required 28125 ft`
K 1 ft B 70 ft Basal Area Pro osed 367.5 ftz
S 0.00 ft L 72 ft
W 525 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 1.6 gaUsq fl/day 450 2.00 gausq tuday
Total 28125 ftZ Total 225 ftz
Pro osed 227.5 ftZ
Number of Cells 1 GeoMat Width 3.25 ft
Cell Length ft Lineal Feet of GeoMat Required 692
Min. Cell Len th 692 ft Lineal Feet of GeoMat Proposed 70
Cell S acin 0.00 ft NOTE-Min S dimension = 1'
S stem Elevation 96.25 ft
Limitin Factor 9425 ft
Se aration 2 ft 2'Min
Directions
Play with cell length to get desired cell spacing, length and width Remember system SHOULD be longer than it is
wide It must also Satisf basal loadin rate and GeoMat eell loadin rate.
Project: Nilsen -Phipps Rd Page 3 of 11
End Con�ction latenl Layout Dtagnm
. �. _ . _ � . v..w . .
Hoie spacing is every 12",V2"hole at 4&8 O'Gock,slarting 4 O'Gxk 6"(rom end and
8 O'clock Holes at 12"from end. 4"Pertoreted pipe may be usetl.
Lateral Spacing OAO ft Pipe Diameter 2.00 in
on e ►oaa on _ _ _
F ���� �c` �1' �V�Y ��Y
E�na1 p.{ro.dm �o lac pi,mbmim
Q.��[.Kd +o Cb�frorM .� .,�.•._ �n,.rrn .�� Luaslltvel
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W'.�'� u.�1(rt � I ..,.
(v�:t�LMu+J� / � ^, _.�'-� �
a_,y� nn� 2in �► PIPeDLL -' . po �'_' F�kie
�fi.. -L ,.-� �
Topofgeomattobeator �-�. _ _ _ � � - � " ���C+��
beloworiginalgrade � i � I ' 1 � 2,��;;c� I i i , I � I � I ���
In5ltratve Surfice
- _=-NATIVE.SOILc_Jyy�
45in _y
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12"Min. i�-� �\`
42"Max. I... I I .
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9&25
Projecl-. Nilsen-Phipps Rd Page 4 of'I1
Notes/ Maintenance Requirements
MANAGEMENT PLAN
This private onsite wastewater(POW7S)has been designed,and is to be installed and maintained in acwrdance with SPS 383,Wis.Admin.
Code,the in-Ground Soii Absorption Component Manual for Private Onsde WastewaterTreatment Systems Versfon 2.0 SPS-10705-P
(N.OilOt). GeoMat in ground Component manual April 2019 Version-
1.This POWTS has been designed to accommodate a maximum daily flow of 45Q�9Rons of wastewater per day. The quality of
influent discharge into the POWTS treatmeM or dispersal component shall be equal to or less Ihan all of the following.
A monthly average of 30 mglL fats,oil and grease
A monthly average of 220 mg/L BOD5
A monthly average of 150 mg/l TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement
standards and preventative action limits specfied in ch.NR 140Tables t &2 at a point of standards application,except as prov�ded in DSPS
383.03(4),WisAdmin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or malfunctions identifed dunng maintenance described above shall be repaired in conformance with SPS383 Wis.Admin.Code,
and the peRaining county Private Sewage Systems Ordinance- The useYs manual,provided to the owner of the POWTS includes the names
and telephone numbers of the propedy licensed individuals to wntact for such repairs.
5.No product for chemical or physlcal restoration or chemical or physical procedures for POWTS may be used unless approved by the Dept.
of Commerce in acwrdance with SPS.384,Wis.Admin.Code.
6.If the POWTS is replaced,or its use discontinued,it shall be abandoned in accordance with SPS 383-33,Wis.Admin.Code.
NOTES
Two Effluent Filters to be installed where possible 1 to be fnstalled in ST,and or 1 in pump tank in
order to insure particle size less than or equal to 1/S"- Fllers should be cleaned once in spring, and once in fall. Also,strainers in sinks in
the building shall 6e 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 approximately at the end ot each cell.
The plumber.or county shall see to it that a copy of 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,electrical outage causes the dose tank to fill,the homeowner should see to it that
the effluent level in the tank is brought down gredually and not all dosed to the system at once- One large dose could cause damage.
Contact a pumper or your installer ff this problem occurs-
The homeowner is responsible for fonnulating a water conservation plan that will ensure the syslem 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 structural failure resutting in cracks or leaks in the tank must be correded by replacement of 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 repafred when it is either no longer rapable of preventing the discharge of particles larger
than 1/8 inch or when it has become pertnanently degraded by clogging so as to interfere 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 between manhole
risers or covers shall be repaired by replacing faulty seals wdh approved matenals to make joints watervtight The pump and wntrols shall be
replaced when they are no longer capable of functioning according to the design plan.
D.Pressure Dfstrfbution Piping. Partial clogging of the distribution network may resWt in unduty long dosing cycles.The ends of the
distribution laterals may be exposed 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 that 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 disconneded to prevent further discharge to the ground surface via the soil absorption cell.The ezisting septic tank and
dosing chamber shall be used as a temporery 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 pertnit is obtained from the county.
Project: Nilsen - Phipps Rd Page 5 of 11
In Ground System Maintenance and Operation Speclfications
Service ProvideYs Name Butte�eld Inc Phone (715)634-8776
POWTS Reguiator's Name Sawyer County SPIA-Zoning Administration Phone (715)634-8288
SVstem Flow and Load Parameters
Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow-Average 300 gpd Maximum BODS 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 227.5 ft2 Maximum FOG 10 mgll
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Filter Inspect and clean as necessa at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test eriodical
Pressure System Laterals should be flushed and pressure 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.April 2019.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMat In Ground Component
Manual Ver April 2019. Media is covered with an approved geoteMile 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 Turn-up Detail
6-8"Diameter Finished Threaded Cleanout
Lawn Sprinkler Grede \ Plug or Ball Valve
Box \
y Vent if� � ot Dosed
. Lateral Ends at Last Onfice where
Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
'�i;..�.:i ,; : . . ir . �:
_
�
�Distribution Lateral Lateral Cleanout
9625 Feet
Project: Nilsen-Phipps Rd Page 6 of 11
}�t � o F I/
GRAVITY-DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
4'0 Veni Pipe
>70 ft from
Builtlirg Eleclrical musl comply wiUf
72'Min.or 2.0 R aUove SPS 316 and NEC 300
Eslablished Flood Elevatim W����f Exlend manMle nser as neoessary.
(N��I) Junclion Box
Appiwed
IMPORTANT: Venl Cap �hPWami��La,bel Atlnad�ed
Anchor tank(s)as necessary �tyP����
pursuant to SPS 383.43 8 �dua
( )(9) Esla61 shed Flwd Elevalron
(rypinl)
�Aitlighl Seal
Finished Grade �
Quick DlscanneU
18'Min.
CAPACITIES @ gaUin :_ _ , _.- cnv��o
Depth(in) Va I) e !
A 33.52 396.21 � /— 'r�
��y/( Weep '�Approved Joinis with
B 2.� 23.64 "t'�,.5�� H� Apq°ved P'pe 3 fl onlo
1 \ q Salid Ground
J � (�YPical)
[C] 3.48 41.13 Ab���
D 12.0 141.84 ��'� A��'
—On
�P ' [c] PumP PUMP-OFF
'tiPump Tank Liquid Level = 51 i� ' _on ELEVATION = 92•00 ft
I
° WSIDE BOTTOM
Force Main Diameter = 2 in s��e ELEVATION = 91•�� ft
Force Main Length = 38 f( 3'Apprwed Beddiry Matenal8eneath Tank
Force Main Void Volume = 6•2 gal
[C] Total Dose Volume TDV = 41.13 gal/dose
�
(<02X design flow+force main void wlume)
Vertical Lift= 6�5 ft Gp M Q p -t (� N lL
PUMP TANK: SEPTIC TANK(S):
Volume = 602.82 gal Total Volume = 1000 gal
Manufacture ser Concrete Inc Manufacturer(s): Wieser Concrete Inc
Pump Manufacturer: Liberty Pumps
Install approved effluent filter at the septic tank outlet
Pump Model: °753 (�a��y�y��mPa�y� immediately upstream of the pump tank inlet.
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer. Lifetime Filter LLC
Controls/Alarm Model: PS Patrol LT-1/8
Filter Model:
Float switches containin�mercury are arohibited.
GeoMat Distribution Cell Media Layout
325 Cell Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
_ �...+� . ._ __— _ _ _ _--- -- _—__ -- -
O Distribution Pipe
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
3.25 Cell Width -A(ft) 70.00 Cell Length - B (ft)
End Connection Late�al Layout Diagram
�r r/� �� i �\� ��..i� � �Y� I�
. _ _ . . . . . . . . . . . . . . . . . . . . . . . __ ._ . . . . . . . . _ . __
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F��1�l�lAl� �/:\_![l` � ,1, ` ` ' �
( :. . : � :`�-. - - � -``' : � L3i41WY�
� Batkfill ` j.LaCf61I.CVC�
i C.oeateoomrnmded lZ��_42 " �
p�p� -- . 1 � ��u ` �. , - •� :l•: g�
• .. .. , � Pipr '�_•-- � -
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I � I � I � 1 2��T`'� 33c'�' - � � � ' � ' � � ' Infl�' Su:fsce
�N - l -NATIVE SOIL- = - -"
1 - �— � � � � � � � � � � � � �' _. Lir�{F�tmr
t,,..�.�--
See details on page 4 for number,size, and spacing of laterals.
Project: Nilsen - Phipps Rd Page 8 of 11
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W1000/600-MR ^�
14�.� TANK SPECIFICATIONS
0
DIMENSIONS: a � °
WALL: 2 1/2" � � �I
BOTTOM: 3" � �
COVER: 5"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER i �
� � HEIGHT: 69 1/2" O.D. o"'
LENGTH: 114 7/8" O.D. a� d
/ \ WIDTH: 93" O.D. . n
BELOW IN�ET: 57" O.D.
LIQUID LEVEL: 51" J�o
024" � � WEIGHT: 12,380 LBS.
�
O1 TYP � � MLET AND OUTLET:
.� � 4" CAST-A-SEAL BOOT OR EQUAL
GASKET, CAST-A-SEAL BOOT OR EQUAL N �
\FILTER OR �
BAFFLE / INLET AND OUTLET BAFFLE AND FILTER: m �
WISCONSIN, SEE DETAIL �10 a s
� _ � (OTHER STATES SEE CHART) � � w
� LIQUID CAPACITY: 19.61 GAL/IN (SEPTIC) � �
11.82 GAL/IN (PUMP) y,�o
TOP VIEW LOADING DESIGN: 6' 0" UNSATURATED SOIL �y�
��
MN TANKS: �x�p
WILL HAVE ONE VENT OVER OUTLET C��
AND WILL HAVE TWO VENTS IN COVER OVER INLET �w�
N a 4" VENT TANK CAN BE USED AS: ��
a � SEPTIC/SEPTIC, SEPTIC/PUMP ��N
r7
in OR SEPTIC/SIPHON W� I
COVER: MIX DESIGN #8 (NO FIBER) ���
INLET — TANK: MIX DESIGN k10 (STRUCTURAL FIBER) —�
- OUTLET
CUSTOMIZED TANKS: �3
fOR CUSTOM TANKS CONTACT WIESER CONCRETE
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- PUMP PAD CUSTOMER: 3 � j
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JOB NAME: �
SIDE VIEW OATE NEEOED:
SHEET N0.
APPROVED BY:
APPROVAL DATE: 1 OF/
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS � �
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