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Home My WebLink About008-937-01-2401-SAN-2023-046 ��'°'"' - Department of Safety c°°°ry �'� ,,,� _ � � � = & Professional Services, r s . Sanitary P it Nutnber(to be filled in by � �g , Industry Services Division �, "��'3 c�S �� Sanitary Permit Application State T�ansaction Number � In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental�mit �y�Sv:'��;n!) �� .[� � is rcquircd prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project ss(if diffcren�iling a< S the Department of Safety a�d Professional Services.Personal infortnation you provide may be used for secondary �lK� �[L�— � purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. �_ _ I.Application Information-Please Print All Informallon ��$� Property Owncr's Namc Parccl# Q� Property Owner's Mailin ddress Property Location 3 r- � City,State Zip Code Phone Number 53�� a2. 1H ��O �_-�h'--��/,, Scction—1-- Q.Type of Building(check all st appty) Lot tt T _N R_ _E or �1 or 2 Family Dwelling-Number ofBedrooms � � � Subdivision Name � Block# ❑PublidCommercial-Describe Use -, ❑City of ❑State Owned-Describe Use �R CSM Number ❑Village of ` L�Town of �P�w�'�"QY �J' IIL Type of POWTS Permit:(Check either KNew"or"ReplacemenN'and ot6er applicable on line A. Check one box on line B.Complete line C if a licable. A. �New System ❑ Replacement System ❑ Other Mcxlilication to Existing System(exp(ain) ❑ Additional Pretreatment Unit(explain) B. ❑ Holding Tank � In-Ground ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑Other Type(explain) (comcntional) C• ❑ Renewal Before ❑ Revision ❑ Change of Plumber -ist Previous Permit Number and Date Issued ❑Transfer to New Owner Expiration � IV.DispersaUTreatment Area and Tank Informallon: Design Flow(gpd) Desi�m Soi(Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Arca Proposed(s� System�,levation .D Sy1 �o b p • Cap city in Total #of Manufacturer � Tank Information Galloas Gallons Units p �; U �„ � ,y New Tanks Existing Tanks � o a; � � p b � a. C� �n .� i� i� Ci C�. Septic or Holding Tank �� O t � Dosing Chamber V.Responsibility Statement- I,the undersigned,assume responsibitity for instsllation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Si�mature MP/MPRS Number Business Phone Number M�. Plumbcr's Address(Strcct,Ciry,Statc,'I_ip Code) rr VI.Cou ty/Departmeut Use Only � ro ❑Disapproved Permit Fee Date Issued Issuing Agent Signature / r Q Owner Given Reason for Denial $ ``O�"� �/`' I'� � ��`��"''" Conditions of ApprovaUReasons for Disapproval D � , ;`!�: ; ,' ' . � _..,: �',y;` � ; �� Y� �a.�_._.� � a 3 ��:..,.�. . MAY 0 .1� ��' $ Z023 �� L - Chk# 3`�� ..�.�...�_:....��..,._,. __. C S��— �(�S) =�?r�t#�__�_�� ____. _.._ ZON N�G ADM NOTR.4TION � Attach to complete plsna for t6e sy�tem and aubmit to the Couoty only on paper not less than S ln a ll inches in size �`J;�S SBD-6398(R 03/22) GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Owner Info Project Name: Dustin Pogorzelski Owner's Name: Dustin Pogorzelski and Victoria Wilbarth Owner's Address: 1323 Scott Dr Mount Pleasant, WI 53406 Property Info Property Address: Wooddale Rd Birchwood, WI 54817 Legal Description: SE NW S 1 T 37 N R 9 W Township Edgewater County: Sawyer Subdivision Name: NA Lot Number: Block Number: CSM#: Parcel I.D. Number: Oo8937012401 Plan Transaction No.: Index Pages Page 1 Index and title Page 8 Plot plan Page 2 Data entry Page 3 GeoMat dist. cell drawings & calculations Page 4 Lateral and cell cross section Page 5 Management & contingency Page 6 Maintenance & specifications Page 7 Distribution media Kurt Brown License Number: MPRS224281 Date: 04/30 23 Phone Number: 715-943-2988 Signature: Designer Stamp: State of Wisconsin Approval Stamp: Designed Pursuant to the GeoMat In Ground Component Manual April 2019 Version Page 1 of S In Ground and Dosing Distribution Component Design Site Information R Residen[ial or Commercial Design N ISD Requfred? 400.00 Estimated Wastewater Flow(gpd) 1.50 Peaking Factor(e.g. 1.5= 150%) 600.00 Design Flow(gpd) 8.00 $ItB$�OP2�%� 94.50 Prop. System Elevation(ft) Santl 8 Native wii Contour 58.00 Depth to Limiting Factor(in) 0.80 In-situ Soil Application Rate(gpd/R�) 96.05 Lowest Original Grade Ele- In System Area(ft) 97.30 Highest Original Grade Ele. In System Area(ft) 92.47 Limiting Factor Elevation(ft) 1.30 Depth Below Grede Distribution Cell Information 325 Cell Width(ft) 2 Number of Cells 2.00 Dispersal Cell Design Loading Rate(gpd/ft) 2 InFluent Wastewater Qualfty(1 or 2) Distribution Information E Center or End Manifold, Dist. Box or Drop Box 2 Number of Laterals System dosed N 8.75 Lateral Spacing(ft) Manufacturer Information TreaUnent Tank Information Effluent Filter Infortnation 1250.00 Septic Tank Capacity(gap Lifetime Filter LLC Filter Manufacturer Skaw Precast Manufacturer LT 1B Filter Model Number Project Dustin Pogorzelski Page 2 of 8 In Ground Plan View 2 �:� ��F��.� ,-- _— - ---- � -- ------- ------ � J'.'.'.'.'_'.'.'.'.'_'.. . . . ... . . . . . . . . ... . . . . . . ... . . . . . . _ . .�. � '�-.}G`10�0 O�O ^ O��}O�:)G O�C`��O jC�`O�O�O�n-C, p�-��fic �r_ �f. ,.��cfad�c,��. ,p O O O O O O C`O O C J G O O C O O O G O O O O O O O O O ! O O O O O O C O O O C O O O G O C O ) O O O O O G O C O O O O O�v v O O O�� ,��_�a��O O O O O O O O C S� GOOGOOOOOC.OpO000 �. C� OCO00J0000 < � � 0000�0000 . �O_O,�G.O �J O O O O O O O O O O O p �� O O O �i O n O p p O O � ��.✓r- CLt1�� O O O O O O O O , � � � �..� 0000000000000 �v � 000000000 000.o�oo�c,�o t�_a��a-p-a-a-�-c�:--�-s=�. �•�-0000c ^ -�%-�000 � 0000000c000 �� o �oo'oo„� 000c'0000000� o�ooT�` �� 00000"c000000000000000 � 00`000 � ov ., 0000b0000000000 -;T000000 ., � 0000coo,00000000000000c0000000c0000000c � . :� G O Q C O :: O O O O O G_O O C �J O O C O O C O C O O O O O G O C O O O O O O O O O O O O C O �': , 000 `� G Ov .. '� 00 V OOO�OOG 600C� 0 � 000000 �> QOOOOOG OOG OOG '> O . ,:i00 �0000_OC,GO � OGJOOOCO000000000000000 C> OCO„G OOOCiO r, , �-Q-n--n_�._r�_��_e_p��_�4 �` '�__»._�_�4S_4�� O n � c� n �_�9_L�_9.�9�4�i - - - - - --� � � — _—__ _._ � -- _ __ _ - _. Calculations I ft A 325 ft Basal Area Required 750 ftz K 1 ft B 50 ft Basal Area Proposed 750 ftz S 5.50 ft L 52 ft . W 15.00 ft Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation GPD Loadin Rate GPD Loadin Rate 600 0.8 gal/sq fUday 600 2.00 gal/sq fUday Total 750 ft2 Total 300 ftz Proposed 325 ft2 Number of Cells 2 GeoMat Width 325 ft Cell Length ft Lineal Feet of GeoMat Required 92.3 Min. Cell Len th 46.2 ft Lineal Feet of GeoMat Proposed 100 Cell Spacing 5.50 ft /VOTE: Min S dimension = 1' S stem Elevation 94.5 ft Limitin Factor 92.47 ft Separation 2.03 ft 2�Min Project: Dustin Pogorzelski Page 3 of $ End Connection Lateral Layout Diagram �f � :� ! .� �-- Hole spacing is every 12", 1/2"hole at 4&8 O'clock,starting 4 O'Gock 6"from end and 8 O'clock Holes at 12"from end. 4"Perforated pipe may be used. Lateral Spacing 8.75 ft Pipe Diameter 4" in Distributio�Cell Cross Section ��h�e c;�:,d� �� . j Qistr�rian I . �12 -42 n��n� _ La�aa1 Leve1 1.35 ft— y+md C°°a t°°ommead°d ' ' _ ,�- ��' , Infilcrsve 4"in —► Pipe Ihi. \ u�u . . , N�oc i�: � _ �Fa'xic ; �- — . Top of geomat to be at or j �..,..,;._ _ _ _ _„_ - �� .-.;,��;� �-.- ��_GfA MAT below original grade �1 � i � I � I � �Z:��33�,.� I � i , I � I � I Compoaeat � IafiI�ve Sur`.ace c�y i-====NATIVE.SOIL-= ---� I ��____=_��_ —_—_—�L',...'r*'�,eFecmr SSin y Observation Pipes w.�r8ee c.� rm.tnea c,.ae ' a•��, �.�� 42"Max. —� , -.,- ,.,_ 12"Min. .� � ` � i % I i sm i.,�i��ri:��,_, i � ' -a<n:�� -,y � � , :�.�.�� .�,.r ' _ � � - � .. w.area�sei'c�_v.�� i's_u n.:R�w7, ��z='nsrr.ic3a�a,maQ�'� 94.45 ' -�_.-1 �____�''' Project: Dustin Pogorzelski Page 4 of g Notes/Maintenance Requirements 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 WastewaterTreatment Systems Version 2.0 SPS-10705-P (N.01/Oi). GeoMat in ground Component manual April 2019 Version. 1.This POWTS has been designed to accommodate a maximum daily flow of 60QagAuns 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 monthty average of 30 mg/L fats,oil and grease A monthly average of 220 mg/L BOD5 A monthly average of 150 mglL TSS Wastewater shall not discharge to the POWTS in quantities or qualities that ezceed these limits or that result in exceeding the enforcement standards and preventative action limits specified in ch.NR 140Tables 1&2 at a point of standards application,except as provided in DSPS 383.03(4),Wis Admia Code. 2.The owner of this POWTS is responsible for system operation and maintenance. 3.Defects or malfunctions identffed during maintenance described above shall be repaired in conformance wdh SPS383 Wfs.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 property licensed intlividuals to contact for such repairs. 5.No product for chemical ot 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 383.33,Wis.Admin.Code. NOTES Two Effluent FiRers 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 cleaned once in sprfng,and once in fall.Also,streiners 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 celi. 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 fll,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 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 structural failure resulting in crecks or leaks in the tank must be corrected by replacement of the septic tank component. Leaks in thejoints between manhole risers or covers shall be repaired by replacing faulty seais with approved materials to make joints water- tight. B.Outlet Filter.The outlet f Iter 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 degreded by clogging so as to interfere with the design flow out ot the septic tank. G Dosing chamber and pump.The dosing chamber shall be replaced if any strudural failure is found.Leaks in joints belween manhole risers or covers shall be repaired by replacing faulty seals with approved materiais to make joints water-tight.The pump and controls shall be replaced when they are no longer capable of functioning according to the design plaa D.Pressure Distribution Piping.Partial clogging of the distribution network may result in unduly 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 ou[let end of the pump. The distribution pipfng 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 surtace is s[rictly prohibfted due to the human health hazard c2ated by the effluent.All faiWres creafed by surtace discharge shall immediately be reported to the appropnate 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 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: Dustin Pogorzelski Page 5 of$ In Ground System Maintenance and Operation Specifications Service Provider's Name Kurt Brown Phone 715 943 2390 POWTS Regulator's Name Sawyer County SPIA-Zoning Administration Phone (715)634-8288 SVstem flow and Load Parameters Design Flow-Peak 600 gpd Maximum Influent Particle Size t/8 in Estimated Flow-Average 400 gpd Maximum BODS 30 mg/L Septic Tank Capacity 1250 gal Maximum TSS 30 mg/L Soil Absorption Component Size 1625 ft Maximum FOG 10 mg/L Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 m� Service Freauencv Septic and Pump Tank Inspect and/or service once eve 3 ears Effiuent Filter Ins ect and clean as necessary at least once every 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 Insped for ponding and seepage once every 3 years Miscellaneous Construction and Materials SWndards 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 geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384,Wis.Adm. Code. 4. Sca�cation 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. Laterel Turn-up Detail ---- .. _---- - - � �� Finished /! Threaded Cleanout 6-8"Diameter Lawn Sprinkler Grade \ Plug or Ball Valve Box \ �' y Vent if i � ot Dosed Wte21 Ends at Last Orfice Where � Long Sweep 90 or Two `�45 Degree Bends Same Diameter as Lateral /� �� ---f% � Distribution Lateral Lateral Cleanout 94.45 Feet Project: Dustin Pogorzelski Page 6 of $ GeoMa[Distribution Cell Media Wyout 325 Cell WiMh(k) 2.63 Sitlewallto Lateral(ft) Distribution Cell Cross-section Arrangements � �� Component Legend O Distribution Pipe GeoMat is covered with approvetl geole#ile�abnc as per lhe iheir protluct approval. Distribution Cell Plan View Layout-Typical 325 Cell WiMh-A(R) 50.00 Cell Leng[h-B(ft) � � _ � � � — — � � _ � � � �� — � � � _ � � � � _ � � � — �� Typical Dispersal Cell rinished Cr.+Ac ` `� ` '+ `+ ` V^IY � � ' . � QiSh1�oG I. :.. • . �, ' Hr'llll . •. (B�QL�[.M� SmdCovcierommmded 12"�2" �_ ' , ( eroo . .. ` -\ .�,� �.� ' Infiltrnlive �� . � . ,..i v o� i�. - �Fekzc n�� .} .. . _ ' _ .. _ .iui�.{;� , - � . r.i GFAMA7 I � i � I � I � 1 I+2'AS`i?d 33 c,� ..'I � I', I 1 � II Co�o�t �_ _ _ _ Iafilaarive Surface � 1.= ==�= � � — _ - - - - -_ —__—� � i - == = =NAT[VESOfL. _ _J __� - - - - _ . _ .— — — — •;•�."r"riv Fea�r See tletails on page 4 for number,size,antl spacing o(laterals. Pmject Dustin Pogorzelski Page l of .$ PROJECT DAILY FLOW=600 GALLONS-4 BEDROOMS DUSTIN POGORZELSKI SYSTEM EL.=94.5' SE, NW,S1,T37N, R9W TOWN OF EDGEWATER SIGNED: #224281 SITE CONTAINS38.35ACRES. PROPOSED BUILDING AREA IS LOCATED APPROXIMATELY 240'NORTH OF WOODALE RD AND CENTERED BETVJEEN THE EASTAND WEST PROPERTY LINES. IT IS HEAVILY WOODED. � N SCALE: 1"=40' PROPOSED B-2 1250 HOUSE 97 3, g7.3' GAL S/T ,.,_❑ ELEUATIONS 96.3' �.. 101.15' BM= 100-0', NAIL IN 18"DIA. RED 95.3' : OAK TREE 6"ABOVE GRADE. 8-1 =97.3' g_Z-g�3� ABSORPTION AREA B-3=95.3' 15'x 52' SURFACEATPROPOSED g_g [j HOUSE= 101.15' 95.3' •BM SURFACEAT S/T= 100.3' BUILDING SEWER TANK �� B � INLET=97.8' 9�3 BUILDING SEWER AT ., HOUSE=98.8' `�-�..,. �................. (25'PITCH x 45'_.94') � �-�-- •,.......�. SYSTEM EL. =94.5' � ��""��..�. WOODS RD TOP OF GEOMAT=95.58' UPSLOPE CONTOUR-97.3' DOWNSIOPE CONTOUR-96-1' WOODALE RD 14741 W NEARESTADDRESS $ o f� $