HomeMy WebLinkAbout014-942-27-2404-SAN-2023-044 �
. �'' Department of Safety c°"nty ' — �
� & Professional Services,
< � j - Sanitary Permit Num (to be tilled in by Co.)
,,,, , �; Industry Services Division SJ
�-3� 3 G���� �
� - — ;
Sanitary Permit Application s`�,�`Q`��`/�"�°�°'��°"°n Norneer �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit 1 ' " �>'����� � � �
is required prior to obtaining a sanitary permit.Note:Application forms for state-0wned POWTS are submitted ro Projcc�nddres,(it diticrent than tnailing addre;s)
the Department of Safety and Professional Services.Personal information you provide may be used for secondary I J'�(.�'7 � �-11C^,�/�f-L��,
purposes in accordance with the Privacy Law,s.15.04(I)(m),Stats. { �p�o �
1.Application Information-Please Print All Information � �(�'�
Property Qwner's Name Parcel# $?��`��� (.,��-��-�'�.Z
�.r` � �% i�kt C. (�l�v}'l �'y--Ca
Property Owner's Mailing Address Property Location
�(�5�7Z? I�c7r�i ' IA'1�.— . - ��y� ��ca-��—�Yoy
City,State "Lip Code Phone Number C
j, ��` �,,� Af, ✓F Y.,�K� '%�, Section��
CTw "`�" ���3
11.Type of Buildi (check all that apply) L�l� T 4� N R Q� E or
�l or 2 Family Dwelling-Number of Bedrooms � Subdivision Name
Block t� �_
❑Public/Commercial-Describe Use
'— ❑City of
❑State Owned-Describe Use CSM Number ❑Village of
��'"J{OjO V�Q: Y.��Op� �J Town of �I�QL�CJuT
it1.Type of POWTS Permit:(Check either"New"or`Replacement"and other applicable on line A. Check one box on line B.Complete line C if
a licable.)
`� �New System p y
❑ Re lacement S stem ❑ Other IVlodification to Existing System(explain) ❑ Additional Prelreatment Unit(explain)
B.
❑ Holding Tank ❑ ln-Ground ❑ At-Grade Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventional) �n,�j0
C. ❑ Renewal Before b. ist Previous Permit Number and Date Issued
❑ Revision ❑ Chan�c of Plumber ❑ '��ra�isfer to New Owner
F.xpiration ^
IV.DispersaUTreatment Area and Tank Information:
Design Flow(gpd) Design Suil Application Rate(�d-sfl ispersal Area Required(s� Dispersal Area Proposed(s� System[le��ation
�SC� o. �.o �Sb 2�S �,��`/ � ��,q� '
Capacity in Total #of Manufacturer y
'I'ank Information Gallons Gallons Units � ;? � � �
New Tanks Exisiing Tanl:s � � � � c�i ,n � �
0. U N n V] i�.. Ci O.
Septic or Holding"1'ank I t1� �j �0 � ���U��'
�V {i'
Dosing Chambcr �`� �(� � �/� �
V.Responsibility Statement- 1,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans.
Plumbei's Namc(Print) Plumbe's Signamre MP/MPRS Number Business Phone Numbcr
�7�1 I '1l5 -S l�7�3
Plumbe s Address(Street,City,State,Zip Code) �
lOJ7! N T -� � �a�k-� l�. �.�.�.�� ��� �4�� -
VI.County/Department Use Only
2 Permit Fee Date Issued Issumg Agent Signature
�Ap d ❑Disapproved $ �/�Y),o, �I�� ��3 `�ETi�iuzc�,4' �7wr/�-
V�/
❑Owner Given Reason for Denial
Conditions of ApprovaUReasons for Disapproval D � �
� � �ate f S.�a..�3 _ _ _ D
'' �it� � �W�o► ,
� �'hk# j �3� . MAY 0 2 2023
�— 1 (^� `?r.��# ��S� SAWYER COUNTI(
C S I �o� — ` C O MH � ZONINL�ADMINISTI�Hi iGN
Attach to complete plans 1he s��slem and submit to the County only on paper not less than S I/2 x 1 I inches in size ��i
sB�-639g�R.03,2?> NO REFUNDS AFTER
15SUE OF PEFi�lIIT
��;tca�+r�it,��. DIVISION OF INDUSTRY SERVICES
;`-� 2331 SAN LUIS PL
� D GREEN BAY WI 54304-5211
_, $ Contact Through Relay
�� � P s http://dsps.wi.gov/programs/industry-services
��. �_ ; www.wisconsin.gov
F ��;
���`i Tony Evers-Govemo�
Dawn Crim-SecreWry
August 1,2022 co�dmo�anY
CONDITIONAL APPROVAL APPROVED
DEPT.OF SAFETY AND PROFESSIONAL
SERVICES
PLAN APPROVAL EXPIRES:2024-OS-01 DIV SION OF I TRY SERVICES
Plan Review:PWTS-082201744-C
MARYJO HUPPERT — —
25720 Firefly Lane seecoRResroNo ce
Webster WI 54893
SITE:
ERIC P.&JULIE C.OLSON
12747N ANCHOR LANE
Town of LENROOT
Sawyer County
Total Amount:$250.00
FOR:
Description:Three Bedroom Mound System\Sloped Site
ELJEN GSF Mound in a Box Component Manual—(N.01/19),Pressure Distribution Component Manual
—Ver.2.1(May 2022-2027),450 GPD,14 inches to limiting factor from original grade,Maintenance
required,Effluent filter
The submittal described above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED.
This system is to be constructed and located in accordance with the enclosed approved plans and with
any component manual(s)referenced above.The owner,as defined in chapter 101.01(10),Wisconsin
Statutes,is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department
per s.145.06,stats.
• A soil verification was conducted by Katie Pefzel,Wastewater Specialist,on July 25"�,2022.The
results of this verification confirm that soil conditions throughout the proposed dispersal area are
consistent with the soil test submitted by Mary Jo Huppert,CST.
• Duri�g the soil verification it was found that a power line had been recently trenched in in the
dispersal component area.It is recommended that the soil be given time to settle back into place prior
to the construction of the dispersal component.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
. A sanitary permit must be obtained from the county where this project is located in accordance with
the requirements of Sec.145.19,Wis.Stats.
. Prior to construction of the dispersal area,check the moisture content of the soil to a depth of 8
inches.Proper soil moisture content can be determined by rolling a soil sample belween the hands.If
it rolls into a 1/4-inch wire,the site is too wet to prepare.If it crumbles,site preparation can proceed.
If the site is too wet to prepare, do not proceed until it dries.
• Inspection of the private sewage system installation is required.Arrangements for inspection shall be
made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d),Wis.
Stats.
• A state approved effluent filter is required. Maintenance information must be given to the owner of the
tank explaining that periodic cleaning of the filter is required.
Owner Responsibilities
• The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also
receive a copy of the appropriate operation and maintenance manual(s)and be responsible for
ensuring that POWTS is operated and maintained in accordance with this chapter and the approved
management plan under s. SPS 383.54(1�.
. In the event this soil absorption system or any of its component parts malfunctions so as to create a
health hazard, the property owner must follow the contingency plan as described in the approved
plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the
component(s) utilized in the POWTS.
A copv of the a��roved plans specifications and this letter shall be on-site durinq construction and open
to insqection bv authorized representatives of the Deoartment, which mav include local inspectors.
In granting this approval the Division of Industry Services reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats
101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe
building, structure, or component.
Inquiries conceming this correspondence may be made to me at the telephone number listed below, or at
the address on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the
owner and any others who are responsible for the installation, operation or maintenance of the POWTS.
Sincerely,
�ie ��+,v.e
v
POVYTS Plan Reviewer—Wastewater Specialist
Department of Safety 8 Professional Services � Division of Industry Services
email: Katie.Petzel(c�wisconsin.qov
Cell: 608-574-1189
.:��te.k�vt� . Department of Safery and Professional Services
:=I' Oivision of Industry Services
Plumbing Produc[Review
_ �\D b` �� = 4822 Madiwn Yards Way
�. ,' \ P s P.O.Box 7162
� Madison,Wismnsin 53�07-7162
�k,��_..11��'�-�y 7hone 608-2664112
Web
Email dsps@wixon5in.gov
Governor Tony Evers Oawn Gim,SecreGry 77Y:COMact Through Relay
May 31,2022
Dept.of Safety and Professional5ervices
Bureau of Technical Services
Division of Industry Services
Brad Johnson-Sec[ion Chief
4822 Madison Yards Way .
Madison WI 53705
Re: Description: POWTS Component Manual
Manufacturer: Dept.of Safety and Professional Services
Produc[Name: Mound Component Manual for POWTS(Version 2.1),(May 2022-2027)
Model Number(s�: v.2.1
eSLA PTO No.: PP-051700078-PTOVPCR
fhe specifications and/or plans for this plumbing product have been reviewed and determi�d to comply wi[h chapters SPS
382 through 384,Wisco�sin Administrative Code,and Chapters 145 and 160,Wisconsin Statutes.
The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This
approval is valid until the end of May 2027.
This approval is contingent upon compliance with the following stipulation�s):
1. A copy of this approval letter shall be submitted with all plans using the Mound Component Manual for POWTS
(Version 2.1), (May 2022-2027).
Plans submitted without a copy of this approval letter may be denied.
2. This approval recognizes that POWTS systems designed,installed and maintained in accordance with this manual will
provide treatment and dispersal of domestic wastewater that is accep[able in the conterzt of ch.383 Wis.Adm.Code.
3. Systems installed in accordance wiffi this POWTS Component Ma�ual shall use was[ewater tanks approved by the
department. If a given tank is approved and meeu the published specifications contained in the manual,then
redundant approval of tne tank is not required. The installation shall not compromise the structural integrity of the
tank.
4. Systems installed in accordance with this POWTS Component Manual shall be installed,mainwined and used in strict
accordance with the manufac[urer's published instrudions,Chapters 381-387 Wis.Adm.Code and this product
approval.If there is a conflia between the manufac[urer's instructions and the Wis.Adm.Code or this Plumbing
Produc[Approval,then the Wis.Adm.Code and this Plumbing Product Approval shall take precedence.
5. Complete operation and maintenance instructions POWTS systems designed in accordance with this manual shall be
provided to each system owner and remain onsite.
6. Systems designed in accordance wi[h this manual shall be insWlled by persons holding the proper license or
registration in accordance with Wis.$tats.§145.
7. Drain,waste and v¢nt piping used to install Yhese systems shall conform to s.SPS 384.30(1),(2)and(3�Wis.Adm.
Code.
Dept.of Safety and Professional5ervices
May 31,2022
Page 2 of 2
eSLA PTO No.:PP-051700078-PTOVPCR
8. Cleanouts shall be installed in drain piping associated with the installation of these systems in accwdance with s.SPS
38235 Wis.Adm.Code.
9. Commercial food processing,food production,food service,restaurenu,taverns and similar esublishments which
may generete greases,fats,oils or similar substances;shall have state-approved grease interceptors installed
upstream of POWiS systems designed in accordance with this manual in aaordance with s.SPS 38234 Wis.Adm.
Code.
10. DSPS POWTS plan approval shall be obtained from the departmenYs Private Sewage Section,or the appropriate agent
wunty,for:
a. each installation of POWiS systems designed in accordance with this manual;and
b. high-strength and/or commercial POWTS systems designed in accordance with this manual.
il. A sanitary permit shall be obWined,in accordance with s.SPS 353.21 W is.Adm.Code,from the county,or other local
authoriry having jurisdidion,for each proposed installatio�of sys[ems designed in accordance with this manual.
12. A complete and acceptable soil evaluation report,conforming to s.SPS 385.40 ws.Adm.Code,shall be performed for
all propased systems designed in accordance with this manual.
Technical�otations:
a. This approval supersedes the approval issued May 9,2017 under product file no.20170148.
he department is in no way endorsing this product or any advertising and is not respansible for any situation which may result
from its use.
Sincerely,
Brad lohnson—Section Chief
Department of Safety and Professional Services
Bureau of Technical5ervices
Division of industry Services
Phone: 920 492-5605
EmaiL• � . . ._. - or�s
GSF WI MOUND IN A BOX DESIGN PROGRAM
INDEX AND TITLE PAGE
Project Name: ERIC P. 8 JULIE C. OLSON
Owner's Name: (SAME)
Owner's Address: 10570 NORWICH AVENUE S.
HASTINGS, MN 55033
SE y Of TNi NW 4,
Legal Description: SEC. 27, T42N, R09W
Township: LENROOT
County: SAWYER
Subdivision Name: CSM#7566; V30, P162
Lot Number: 3 Block Number: NA
Parcel I.D. Number: 57-014-2-42-09-27-204-000-000040
Plan Transaction No-:
,r„•,���. ,,,, •,:,.,
,. - . Page 1 Index and title
� �. . ����� Page 2 Data entry
. " Page 3 GSF mound drawings
=` �� ��;,4l�'',' ;!i '�, �a `. Page 4 Lateral and dose tank
� %� � �;�t= " �- Page 5 Distnbution media
=� � ;.>�; = Page 6 System maintenance specifications
'� �:,�t;���� �,::; �.�;,.' ' Page 7 Management and contingency plan
� '•, y:� ,r' :' Page 8 Pump curve and specifirations
..
�'�,;�4 ��'• ._..;k yb \\.' Pa e9 Pbt lan I� {�{�5 �OT'Q�'
','.- �.?��°„�-;���- -.;`�• t�RE56kRE f�DDrto�lhL P,1Gs5 Ls
.,,.. � . MouNn �rPaou� P�na&s Cs)
Desig�er: MARY JO HUPPERT License Number: 1859-007
Date: 7/17/2022 Phone Number: 715-426 - 1775
Signature: ai1.G/� /0 � ��
Designed Pursuant to the
GSF Mound in a Box Component Manual (N. Ot/19), and
SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS �iMR) JNlVy 2�ZZ-3a'i7
VER,2.1 �
GSF Mound in a Box Version 2.11 Coiditio•""+ Page 1 of 9 ar ,
APPROVED
DEPT.OF SAFEN AND PROFESSIONAL �t�
SERVICES N"J,/ „
DIVISION OF I STRV SERVIGES
SEECORRESPOND CE
GSF WI MOUND IN A BOX DESIGN PROGRAM
DATA ENTRY
Site Information
R Residential or Commercial Design 03 Number of Bedrooms (optionalj
450 Design Flow(gpd)
6.0% Site Slope (°/a)
99.14 Installation Contour Line Elevation (ft) 50.00 Contour Length Available (ft)
14 Depth to Limiting Factor(in)
0.6 In-Situ Soil Application Rate (gpd/ft2) EFF#2
Distribution Cell Information
B43 Unit Used
8 Cell Width (ft)3, 4, 5, 6, 8, 9 or 10 33 = Dispersal Cell Length (ft)
2.0 Dispersal Cell Design Loading Rate (gpd/ft2)
2 Influent Wastewater Quality Are the laterals the highest oint
in the distribution �
Pressure Distribution Information network? Enter Y or N
E Center, End, No Manifold (Pump to Gravity), or Gravity(No Pump)
4 Lateral Spacing If N above, enter the eievation ft
2 Number of Laterals of the highest point.
0.188 Orifice Diameter(in) (e.g. 0.25)
2 Estimated Orifice Spacing (ft) = 8.80 ftZ/orifice
2 Forcemain Diameter(in)
46 Forcemain Length (ft) Does the forcemain drain back? �Y
88 Inside Pump Tank Elevation (ft)
3.25 System Head (ft)x 1.3 7.50 Forcemain Drainback(gal)
12.72 Vertical Lift(ft) 28.00 Sx Void Volume (gal)
0.41 Friction Loss (ftj 35.51 Minimum Dose Volume (gal)
Add'I Fitting Friction Loss (ft) 19.66 System Demand (gpm)
16.38 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
in. diam. o tions choice in. dia. o tions choice
0.75 1.25 x x
1.00 1.50
1.25 x 2.00
1.50 x x 3.00
2.00 x
3.00 x
Gailons/Inch Calculator
Se tic Tank Information Total Tank Capacity(gal)
1000 Se tic Tank Capacity(gal) Total Working Liquid Depth (in)
WIESER Manufacturer gal/in
Dose Tank Information Effluent Filter Infortnation
600 Dose Tank Capacity(gal) ORENCO Filter Manufacturer
16.76 Dose Tank Volume (gai/in) FT0822 Fiiter Model Number
WIESER Manufacturer
Project: ERIC P. &JULIE C. OLSON Page 2 of 9
Plot Pian �� �q
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PROPERTY OWNER: �R� P � J W..i� L_ O�S�tS 1« = � �.
{exoept where noted)
Legal Descriptiom �..UT 3� CSM �7Sbb� �30 PIbZ� SFC. 27y�1'4Z1J' �� =6adchoe pit
�OqYJy�411J� 0�— L�A1P.�E3� `JAW`��R�6t�iTy� 1n�l5CDN5tI�{�. J ; , .i __-;�;�,
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GSF WI MOUND IN A BOX DESIGN PROGRAM
GSF MOUND DRAWINGS
Mound Plan View
� 3
J
A 5 W
3
I
�
rn�nous ur�
I B
� —
Mound Component Dimensions
A 8.00 ft E 27.76 in H 1.00 ft L 34.00 ft
B 33.00 ft F 7.00 in I 14.73 ft W 24.23 ft
D 22.00 in G 0.50 ft J 1 .50 ft
264.00 (ftZ) Dispersal Cell Area 750.00 (ftz) Basal Area Available
13.64 (gpd/ft) Linear Loading Rate 3.30 (ft) 1/10 B Obs. Pipe Placement
102.56 (ft
$+d -t@�EA�i36iA�4Y�4 ♦ii-@b$aa
Finished ��� � � ��s� � �.���►���� .�����.�� .
Grade G H
2
:` �T *�� 101.56 (ft)
100.97 (ft) � � � =,`: Dispersal Cell y
Dispersal Cell Lateral Invert
Elevation Elevation
t� �
6 .:� � y �
� � ,
Contour 99,14 (ft)
Elevation
6.0% Site Slope
Shading Key � Typical Dispersal Cell
1 '�°' Topsoil Cap � a � See Page 5
2 Subsoil Cap o �- 2 ft Geotextile
3 ASTM C33 Sand �' o � Fabric —�
. �.
4 Tilled �ayer � Z F � � 5�
5 GSF Media � °�,' � - -
6 Outer Structure � o � 0.5 ft 1 1
' A
See details on page 4 for number, si2e and spacing of laterals.
Laterals are located in the 4" gravity distribution pipes as shown on page 5.
Project: ERIC P. & JULIE C. OLSON Page 3 of 9
GSF WI MOUND IN A BOX DESIGN PROGRAM
LATERAL AND DOSE TANK
End Connection Lateral Layout Diagram
Place Appropria[e Lateral Diagram From Right Below
P •=TunaQwl�all valee or dmrui plu9
�Z��.tstmificela�ed�Z �---X—�+QnfioesPartiP��Y
'.�h one pdrfs donn for S
darege.
----f�Cje d dstridtion cell
Force rran mrectim via tee a aoss to rrertifdd�arry pdnL lalerals&force rren d PvC Sch 40
Pll I�erals idertiral�nilh ortifioe equ�ty speoed. (Pa CCAM1Tatle 384.30.�
---E�e d ds0ihbon odl
Numbers of Laterals 2.00 Orifice Diameter 0.19 in
Lateral Diameter 1.50 in Orifice Spacing(X) 2.18 ft
Lateral Length(P) 30.52 ft Orifices per Lateral I5.00
Lateral End(Z) 0.74 k Orifice Density 8.80 ft�/orifice
Lateral5pacing�S) 4.00 ft Manifold Length 4.00 ft
lateral Flow Rate 9.83 gpm Manifold Diameter 1.25 in
System Flow Rate 19.66 gpm Forcemain Velocity 2.01 ft/sec
30.52 Pump Off Height 10 in
Dose Tank Information
Loclang cover wM wamng
abd and lodang device,a�d
Elechical as per NEC 300 s�le0 waletighl
and Canm 16 28 NHC �
4 in
�mm
a��
Pltemate oullet locatim
TarM componm��i5 D�W�Y ventee
Faceman diamela
2 in
WIESER Manufacturer �
Capaciry 600 Gallons A
Volume 16J6 gal/inch � �spmndevice
e
Dimension Inches Gallons �
A 21.68 363.37 C
8 2.00 33.52 A,mpoederaeanlrt�
C 2.12 35.51
D 10.00 167.60 88.83333
Total 35.80 600.00 �
Dose lank eleia0on(fl)
Min.3'BeU6ng inda bnk. gg
Alarm Manufacturer S1E RHOMBUS _.
Alarm Model Number I AB TANK ALERT� I
Pump Manufacmrer ZOELLER ____
Pump Model Number 9$ _ _
Pump Must Delivery 19.66 gpm at 16.38 k TDH
Project: ERIC P.&JULIE C.OLSON Page 4 of 9
GSF WI MOUND IN A BOX DESIGN PROGRAM
DISTRIBUTION MEDIA
GSF Distribution Cell Media Layout
�Cell Width (ft) �2 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
Drag appropriate drawing to space below.
8ftV1�de =r B43 =�b_ -� B43 ;�
Component Legend
� ASTM C33 Sand/Mound Sand
f�
� � A42 or B43 Module
Lateral
�— � Turn-up (contained in Turn-up Enclosure)
Distribution Cell Plan View Layout - Typical
8 Cell Width - A (ft) 33.00 Cell Length - B (ft)
8 643 Modules Required per Row
16 B43 Total Modules Required
End Connection Later Layout Diagram
FORCE NW N
.� .. .dp, . .e> s4-> '. - �:.�.'. V'r. '`"�y?.->`�Sio�_ ..�« ,k5�,,�.•1 C
* .x,,, a y�.
$��� :Xt .... .y�� .�� ':'i- �Jte;� ' �' :.'ti " `p� J!.i. . "fiw�'p;�A� a? (?Ac4�j' ��.- :.Y;.f.�'�.
`.s�,it�tnyA .'w^r��i:�:'r�.�i�� � �Z 34 .Ib��,�y�'.�.w��±��-.�.5 �t r� :y 4a".'��kl,,{�i.:��� .��- a n�Y
Q� �.'?""4 ..,,,*e.�.f" �„j ,1-��� u�r r s.r+r�y ��7�' „��'�� •��4f �c. *.k';.
CQ�AECTION ,,x^v#.;. . r� -`s-�r:. . n�y. �±K .� 4�. . a�vf>3" 4`.�� . Yaf`rca ..-�_ .o��"��r;y,'d ,-
„ �_ . . :..� .: n,. - ... � • - . � ' �v...:.�:F: •»:'� . _ . '
�l � ..iF' /,� CJ Y3' �J•.. vi. :Ii� .X.. '1a4'` : ;`q:�Y''e'�.•:;��4 4 .
�L" '�Y. *: i& :y K + da: :.�rrElF:., : .��:.• � \ �t't . .f. el b
Project: ERIC P. & JULIE C. OLSON Page 5 of 9
GSF WI MOUND IN A BOX DESIGN PROGRAM
SYSTEM MAINTENANCE SPECIFICATIONS
Mound System Maintenance and Operation Specifications
ServiceProvider'sName RED'SSEPTICSERVICE Phone 715-934-9412
POWTSRegulator'sName SAWYERCOUNTVZONING Phone 715-634-8288
System 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 264 ft' Maaimum FOG 30 mg/L
Maximum Fecal Coliform 10E4 cfu/100 mL
Service Requency
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent Filter Should inspect and dean 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
Mound inspect for ponding and seepage once every 3 years
Othei
Miscellaneous Consiruction 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 mound component manual.
2.Dispersal cell media conforms to Eljen products approved for use with the Eljen Mound Component Manual approved
August 2016. Eljen media is covered with the manufacturers geotextile fabric.
3.All gravity and pressure piping materials conform the requirements in[he state code.
4.Tillage of the basal area is accomplished with a mold board or chisel plow.
5.The mound struc[ure and other disturbed areas wili be seeded and mulched to prevent soil erosion and help reduce frost
penetration.
Lateral Turn-up Detail
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Project: ERIC P.&JULIE C.OLSON Page 6 of 9
GSF WI MOUND IN A BOX DESIGN PROGRAM
MANAGEMENT AND CONTINGENCY PLAN
Mound System Management Plan
General
This system shaN be operated in accordance vnth SPS 82-84 Wis.Adm.Code,and shall maintained in accordance with
its'component manuals Efjen Mound Component manual August 2016 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 faiWre must be replaced. Exposed access openings greate�than 8-
inches in diameter shall be secured by an effeclive bckirg device to prevent accidental or unauthonzed entry into a
tank or component.
Seotic Tank
The septic fank shall be maintained by an individuai 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 anA outlet fitter shall be assessed at least once every 3 years by inspection.
The outlet fltter 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 oH the fitter when removed from its enclosure. If
the filter is equipped wdh an alarm,the filter shall be serviced rf the alarm is activated continuously. Intermittent filter
alartns 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 pertormed to maintain less than maximum scum
and sludge accumulation in the tank.
The adtlition of biological or chemical additives to enhance septic tank performance is generally not required. However,
if such protlucts are used they shall be approved for septic tank use by the Department of Commerce.
Pumo 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 operafion. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution Svstem
No Vees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the
mound shall be seeded and mulched as necassary to prevent erosion and to provide some proteaion from frost
penetraGon. Traffic(other than for vegetative maintenance)on the mound is nol recommended since soil compaction
may hinder aeration of the infittrative suAace within the mound and snow compaction in the winter will promote fros[
penetradon. Cdd weather installations(October-February)dictate that the mound be heavily 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 ot accumulated solids at least once every 18 months. W hen a pressure test is performed it
should be compared to the initiat test when the system was installed to detertnine rf orifice clogging has occurred and if
oriFice Geaning is required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for eftluent 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 monkoring.
Continaencv Plan
If the septic tank or any of its components become defective the tank or component shali be repaired or replaced to
keep the system in proper opereting condition.
If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defecGve component(s)shall be
immediatety repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surtace,it will be
repaired or replaced in its'present location by increasing basal area rf tce leakage occurs or by removing 6iologiralty
clogged absorption and dispersal media,and related piping,and replacing said components as deemed necessary to
bring Me system into proper operatirg cond'Non.
See Page 6 of this plan for the name and talephone number of your local POWTS regulator and service provider.
Project: ERIC P.&JULIE C.OLSON Page 7 of 9
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18" COVER MATERIAL IMPERVIOUS LINER
DISTRIBUTION CELL
APPROVED FILL MATERIAL
IMPERVIOUS LINER - - _ - - - -
TILLED AREA
A I
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Figure 5. Detailed cross-section of a mound in a box
2. System Configuration - The GSF product distribution cell must be longer than it is wide.
Maximum width of the distribution cell is 10 feet. The maximum length of the distribution cell
is dependent on setback requirements and soil evaluation.
The distribution cell is aligned with its longest dimension parailel to surface grade contours on
sloping sites as required by the specifications of this package so as not to concentrate the
effluent into a small area as it moves laterally down slope.
The bottom of the distribution cell is level so one area of the distribution cell is not overloaded.
The dimensions for the distribution cell are calculated using Formulas 7 or 8. Formula 7 is used
when the in situ soil has a soil application rate of greater than 0.3 gal/ft2/day. Formula 8 must
be used to check for linear loading rate for the system when the in situ soil within 12 inches of
the fill material has a soil application rate of <_ 0.3 gal/ft2/day. When the in situ soil within 12
inches of the fill material has a soil application rate of <_ 0.3 gal/ft2/day the linear loading rate
may not exceed 4.5 gal/ft/day.
Formula 7
Area of distribution cell = A x B.
Where: A = Total width products that constitute one laying length of the distribution cell
(Distribution Cell width - Max. allowed is 10 ft.)
6 = (# ofunits) x4 = # ofRows + l
Formula 8
Linear Loading Rate = DWF = B
Where: DWF = Design wastewater flow
B = Distribution cell length
3. Concave Mound Confi�uration — The maximum deflection of a concave distribution cell of a
mound system is 10%. The percent of deflection of a distribution cell is determined by dividing
the amount of deflection by the effective distribution cell length of the concave distribution
cell. The deflection is the maximum distance between the down slope edge of a concave
distribution cell to the length of a perpendicular line that intersects furthest points of the
contour line along the down slope edge of the distribution cell. The effective distribution cell
length of the concave distribution cell is the distance between the furthest points along the
contour line of the down slope edge of the concave distribution cell. See Figures 6 and 7.
Eljen Corporation Page 18 of 45
I. INTRODUCTION AND SPECIFICATIONS
This Private Onsite Wastewater Treatment System (POWTS) component manual provides design, construction,
inspection, operation,and maintenance specifications for an GSF mound in a box component. However,these
items must accompany a properly prepared and reviewed plan acceptable to the governing unit to help provide
a system that can be installed and function properly. Violations of this manual constitute a violation of chs.
SPS 383 and 384, Wis. Adm. Code. The mound in a box component must receive influent flows and loads less
than or equal to those specified in Table 1. When designed, installed and maintained in accordance with this
manual, the mound in a box component provides treatment and dispersal of domestic wastewater in
conformance with ch. SPS 383 of the Wis. Adm. Code. Final effluent characteristics will comply with s. SPS
383.41, Wis.Adm. Code when inputs are within the range specified in Tables 1 to 3.
Note: Detailed plans and specifications must be developed and submitted to be reviewed and approved by
the governing unit having authority over the plan for the installation. Also, a Sanitary Permit must be obtained
from the department or governmental unit having jurisdiction. See Section XII for more details.
Table 1
Influent Flows and Loads
Design Wastewater flow (DWF) <_ 5000 gal/day
Monthly average value of Fats, Oil and Grease (FOG) <_ 30 mg/L
Monthly average value of five day < 220 mg/L
Biochemical Oxygen Demand (BODS)
Monthly average value of Total < 150 mg/L
Suspended Solids (T55)
Design loading rate of fill
<_ 2.0 gal/ftz/day if BODs and TSS 5 30
mg/L
= soil application rate of effluent with
maximum monthly average values of
BODS and TSS of<_ 30 mg/L when
Design loading rate of the basal area distribution component receives effluent
with a BODS and TSS of<_ 30 mg/L or
when fill material depth is >_ 12 inches as
measured at the D dimension.
Maximum volume of a single dose to absorption
component when pumps or siphons are employed in A42 = 3 gallons/dose/unit
the design 643 =4 gallons/dose/unit
Design wastewater flow (DWF) from one Based on s. SPS 383.43 (3), (4), or (5),
and two-family dwellings Wis.Adm. Code
Eljen Corporation Page 3 of 45
�'-`' `r� PRIVATE ONSITE WASTE TREATMENT County
-=��aS` �'� SYSTEMS
��,..� Ps ,',;� ( POWTS) SaWyer
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`� """ INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �Z 3 _O�{y
Peisonal infonnation you provide may be used for secondary purposes[Privacy L.aw,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#:
�r�"c� �-����e. 6�S o� ��-o� �wi$ -o8.2a o c 7 Y Y�C
Insp BM Elev: BM Description: Parcel Tax No:
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TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic w;e�- � (pod Benchmark ��,a'
Dosing � �a.�.��o o a
Aeration Bldg. Sewer ?
Holding St/Ht Inlet 9 �,6 '
TANK SETBACK INFORMATION St I Ht Outlet Q�, Y '
TANK TO P/L WELL BLDG VENT TO ROAD Dt Inlet
AIRINTAKE
Septic ��` N I/� �.�5� ��—' NA Dt Bottom �'j,6 `
Dosing �� `� k �, NA instailation �
Contour `�`�,o
Aeration NA Header/Man.
Holding Dist. Pipe
PUMP 1 SIPHON INFORMATION Infiltrative � P �
Surface Ioo.a? =
Manufacturer �� Demand Final Grade
Model Number 9'g GPM
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L �'60� Dia a" Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W g� � 3 #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv ❑ Aggregate �$ F
P/L Bldg Weli ❑ IGP ❑ Chamber
INFORMATION Waters � AG ❑ EZFIow Model Number:
�
CELL TO �5- i-�' �/ {-ioo ' ¢� Mound � Other � �e�
-- - - --- -----
DISTRIBUTION SYSTEM X Pressure Systems Oniy
Header I Manifold ,, Distribution Pi e(s , — < X Hole Size X Hole� l$ � Observation Pipes
Length � ` Dia �•�� � Length��2} ) Dia �•S � Spac � '�, p.��`' Spacing ❑Yes ❑ No
--- - — --- -----�
SOIL COVER
- --
Depth Over �, Depth Over 4 Depth of / �. Seeded I Sodded Mulched
Cell Center ��- � Cell Edges �� Topsoil �� __� ❑Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
��s�/� 7 �2�-��3
��� � -� �
Plan revision required?�Yes 0 No �i�3 os �� -� _ J ��� �
Use other side for additional infornnation Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
AOOITIDNAL COMMENTS ANO SKETCH
SANITARY PERMIT NUMBER ___�-3"._�YY______
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