HomeMy WebLinkAbout028-642-17-3101-SAN-2023-056• _ ` Department of Safety cORtlry �
�. � : & Professional Services, S G-w e f' ;b
Sanitary Permit Num er(to be filled in by �
� '�_!'_ ; Industry Services Division
''- � (� 3�''i 3�y �j\/
z, ' f
Sanitary Permit Application s�ate Transaction Number �
;
In acwrdance with SPS 38321(2),Wis.Adm Code,submission of this form to the appropriate govemmental unit , �
is required prior to obtaining a sanitary permit.Note:Application forms for slate-0wned POWTS are submitted to Project Address(if different than mailing a� �
the Department of Safety and Professional Services.Personal infoRnation you provide may be used for secondary �-
purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. ��'��w Up�g P � �OQ�
L Application Information-Please Print All Informallon
PropeRy Owner's Name Parocl#
1��,.�1 1�o rvc,�k�• Il �+ 1�1 aa. 1 k � U�B - �`1a - /7 3 r o 1
Property Owners Mailing Address Property Location
N G�S� S 7 9 +'',Sf c���.Lot
City,State "I.ip Code Phone Number /�
.�G�f'1 C7 M�'�'1`e� ll-+ .�L ,j�/�/S! NE '/<, .� '/<, Section _
II.Type of Building(check all that apply) Lot N T �"� N R £'o
3 � Subdivision Name
[�1 or 2 Family Dwelling-Number ofBedrewms _ _
Block#
❑Public/Commercial-Describe Use .,
❑City of --
❑State Owned-Describe Use CSM Number ❑Village of
— [�own of SA��� � �.� ___
III.Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applicable on line A. Check one box on line B.Complete line C i
a licable.
'4' ❑ New System �Replacement System ❑ Other Modification to Existing System(explain) ❑Additional PretreaVnent Unit(explain)
B' ❑ Holding Tank ��In-Ground ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(comentional)
C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑Transfer to New Owner
ist Previous Permit Number anJ Datc Issued
Expiration ��_��� � �S o
IV.Dispersa!lTreatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Ra[e(gpd/sn Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
y�v � .o /a.o yso a s '�so ay7 95. 0o FE
Capaciry in Total #of Manufacturer
� � � � �
Tank InY'ormation Gallons Gallons Units v y �, -
New Tanks Existing Tanks � o =' � � � ^ `�
a U tn �n r� w Ci CL
Septic or Holding Tank �.� $(�,F sOb �3(�� � 1'SQ,Sry�V,�j S C X
Dosine Chamber �S Q — 7'S'(� w i C,S C f'� X
V.Responsibility Statement- 1,the undersigned,assume responsibility r ins Ilation of the POWTS shown on the attached pfans.
Plumber's Name(Print) Plumbef .i a e MP/MPRS Number f3usiness Phone Number
I�a V �Sa cK a3�a3� 7/ -Co34-I(07
Plumber's Address(Street, ity,State,Zip Code)
) L �a�S lawy G 3 -4a w�.�c� w� 5"�f rd v3
VI.Count /Department Use Only
r� Permit Fec Date Issued Issuing Agent Signature
��PPr �, 3 ❑Disapproved $ L'OD.°O .
� 7 5 ( I S � �3 e;�,�c.c�.e_��,�,�-�—
❑Owner Given Reason for Denial
Conditions of �pproval/Reasons for Disapproval D �
� U'ai.e�,.�i S �z3 �, �� 4�„
",, � �hk# �`� S� -,� �.:
� n� I �.��► M�Y
12 2023 ;- �
C ST �-3-���-� ��pt� ���� � ---_--
� SAWYER COtJ;.
LONING ADMW(STii:��
Attach to complete plans for the system and submit to the County only on paper not less than 8 1rz x ll inc6es io size 3 n�q 3
SBll-6398(R.03/22) NO R�FIlNDS AFTER �
15SUE 0�PERMIT
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
System
n . _ . _ _..
Project Name: Horvath-Upper A
Owner's Name: Paul Horvath II&Megan Bayrd
Owner's Address: N6885 579th St
Menomonie,WI 54751
Property Info
Property Address: 9121 W Upper A Road
Legal Description: NE SW S 17 T 42 N R 6 W
Township Spider Lake County:Sawyer
Subdivision Name:
Lot Number: Block Number: CSM#:
Parcel I.D.Number: 028-642-17 3101
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry Page 10 Pump Curve
Page 3 GeoMat dist.cell drawings 8 calculations
Page 4 Lateral and cell cross section
Page 5 Management 8 contingency
Page 6 Maintenance 8 specifications
Page 7 Tank cross sections
Page 8 Distribution media
Ray Visocky License Number: 230236
Date: 05/OS/23 Phone Number: 715-534-1679
Signature:
Designer Stamp: State of Wisconsin Approval Stamp:
Designed Pursuant ro the �
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 10
In Ground Plan Yiew
2 eell�eoMsi
R
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. . _.. ._ . . . ... . __ .. ... . .
c 6n§
I ft A 325 ft Basal Area Required 450 n`
K 1 ft B 38 ft Basal Area Proposed 450 ftZ
S 2.34 ft L 40 ft
W 11.84 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 1 gal/sq fUday 450 2.00 gausq fl/day
Total 450 ft2 Total 225 ftZ
Pro osed 247 ftz
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length ft Lineal Feet of GeoMat Required 692
Min. Cell Len th 34.6 ft Lineal Feet of GeoMat Pro osed 76
Cell S acin 2.34 k NOTE:Min S dimension= 1'
S stem Elevation 95 ft
Limitin Factor 92.5 ft
Se aration 2.5 ft 2•Mi�
Directions
Play with cell length to get desued cell spacing. length and width Remember system SHOULD be '�onger than it is
wide It must alsc Satisf basal loadin rate and GeoMat cell loadin rate
Project: Horvath -Upper A Page 3 of 10
, r
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°/a)
450.00 Design Flow(gpd)
9.00 Site Slope(%)
95.00 Prop. System Elevation(ft) SanO 8 Nalive soil Contour
30.00 Depth to Limiting Factor(in)
1.00 In-situ Soil Applicafion Rate(gpolft�)
96.42 Lowest Original Grade Ele. In System Area(ft)
97.58 Highest Original Grade Ele. In System Area(ft)
92.50 Limiting Factor Elevation(ft)
�.OS DepthBelowGrade
Disfibution Cell In orrnation
325 Cell Width(ft) 2 Number of Cells
2.00 Dispersal Cell Design Loading Rate(gpd/ft�)
2 Influent Wastewater Quality(1 or 2)
Distri ution Infortnation
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed Y
5.59 Lateral Spacing(ft)
21.37 Forcemain Drainback(gal) Does the forcemain drain back? Y . �,
0.50 Forcemafn Filter Loss(ft) '�..
2.00 Forcemafn Diameter(in) ',
731.00 Forcemain Length(k) 'i
73.00 Inside Pump Tank Elevation(ft) '�
3.50 System Head (ft)x 1.3 �
22 77 Vertical Lift(ft)
1.39 Friction Loss(ft)
28.16 Total Dynamic Head(ft) De . �»�,sr � f�.�.ctio� �ss and system demand �go����
66.37 Minimum Dose Volume(gal)
25.00 System Demand(gpm)
anu acturerin otm on `
Treatment Tank Infortnation Effluent Filter Information
1300.00 Septic Tank Capacity(gal) Lifetime Filter LLC Filter Manufacturer
Rasmussen Manufac[urer LT 1/8 Filter Model Number
Dose Tank Information Gallonsllnch Calculator�:.--F����nai)
750.36 Dose Tank Capacity(gal) 750.36 Total Tank Capacity(gal)
20.28 Dose Tank Volume(gal/in) 37.00 Total Working Liquid Depth(in)
Wieser Concrete Products, Inc. Manufacturer � 2028� gal/in (enter resWt in cell DoseTankVolume)
Projed: Horvath-Upper A Page 2 of 10
End Comrection Lateral Layout Disgnm
. . _ .. . . . � � a.�.g.
e:�e
Hole spaCing is every 12", 1/2"hole a�4 8 8 O'clock,staRmg 4 O'clock 6"irom end and
e O'clock Holes at 12"6om end. 4"PeAorated pipe may be used.
Laleral Spacing 559 ft Pipe Diameter 2.00 in
.n.. . . ,. . .. . . . .. .. .. .. . . . ._ .
�:nichM CnAc �Y V�Y V W V
. . ,_.. �. �m
I� �' . ,�.� lz��-4Z a.NfM �JSQVI.M�
1.08 fl — Smd�°��wa�md°a
I ,.' _ __T,.. .
2 in �► P1peDLL�" . � iry F�nRtletx
. .. f r�a �._..
Top of geomat[o be at or ��. _ _ _ - �_GEO MAT
beloworiginalgrade � I � I � I � 2.��33c� � � � , I � I i I C7mp�mt
infilt�w Sucfice
� __-NATIVESO[L-y-_Jy�
30in _y
`� �==--=__==��__���
Observatlon pes
���
F�v.a.
�
.•wo.
12"Min. � ' �\
42"Max. , �.
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r.,n.�i n:���, a.n,.
�ist. � J
��. _ ___ m."'^' � ' '
��i' 2/9'M�n Ih�0.cEv
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ProjecC Horvath-Upper A Page 4 of 10
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 Pmate Onsfte Wastewater Treatment Systems Version 2.0 SPS-10705-P
(N-01/01). GeoMat fn ground Component manual April 2019 Version.
1.This POWTS has been designed to accommodate a mazimum daily flow of 45Q�gRons 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 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 spec�ed 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 fs responsible for system operetion and maintenance.
3.Defects or malfunctions identified during maintenance described above shall be repaired in wnformance with SP5383 Wis.Admia Code,
and the pertaining county Private Sewage Systems Ordinance. The users manual,provided to the owner of the POWTS includes the names
and telephone numbers ot the properly licensed individuals to contad 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 deaned 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 approximately at the end of each cell.
The plumber,or county shall see to ft that a copy of these plans including thfs 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 gradually and not all dosed to the system at once. One large dose could cause damage.
Contact a pumper or your fnstaller if this problem occurs.
The homeowner is responsible for formulating a water conservation plan that will ensure the system is rerely 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 strucWral failure resulting in cracks or leaks in the tank must be corrected 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 flter shall be replaced or repaired when it is either no longer capable of preventing the discharge of particles larger
than 7/S inch or when it has become permanentty degraded by cloggfng so as to interfere with the design flow out ot the septic tank
C.Dosing chamber and pump.The dosing chamber shall be replaced if any structural faiWre is found-Leaks in joiots between manhole
risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-tight The pump and wntmis shall be
repfaced when they are no longer capable of functfoning acwrdfng to the design plan.
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 exposed and the threaded end raps 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.Soit Absorption Cell.The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human heaith hazard
created by the effluent.All failures created 6y surface discharge shall immediately be reported to the appropriate county.The pump shall
then be immediately disconneded to prevent further discharge to the gmund surface via the soil absorption celL The existing septic tank and
dosing chamber shali be used as a temporary holding tank until the necessary repairs to the soil absorption cell ran be achieved.The
replacement shall be inftiated only after any necessary plan approvals have been obtained from the
appropriate plan review authority and the required sanitary pertnft is obtained from the counly.
Project: Horvath - Upper A Page 5 of 10
in Ground System Malntenance and Operation Spec�cations
Service Provider's Name Visocky Plumbing Phone (715)634-1679
POWTS Regulator's Name Sawyer Counly SPIA-Zoning Administration Phone Q15)634-8288
Svstem Flow and Load Parameters
Design Flow-Peak 450 gpd Maximum Influent Particle Size t/8 in
Estimated Flow-Average 300 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 1300 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 123.5 ftz 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 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 tn 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. Scarification 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 Sprinkler Grade \ PIUg Of Ball ValVe
Box \
y Vent if� " ot Dosed
�� Wteral Ends at Last Orifce Where
Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
� Distribution Lateral � Lateral Cleanout �
95 Feet
Project: Horvath-Upper A Page 6 of 10
GRAVITY-DOSED n�� ?�� ��
SEPTIC / PUMP TANK SPECIFICATIONS
4"OVen�Pipe (No Scale)
>1Dfl fmm
Building Elec[nral mus�mmplywilh
12"Min.ar20Rabove COMMifiandNEC300
Eslablished Flood Elevation Wyatherproof Eulend manhole nser as ne�ssary.
(typical) Junction Box
APP�O°� Approved Lacking Manhole
IMPORTANT: vemcap �,,,;�nwami�9�a�iaca�ea
Anchor tank(s)as necessary (ryp��l�
pursuant to SPS 383.43(S)(g) —cor,a�a
4"Min.or 20 8 abave
Established Floo�Elevation
MPical)
�Airtight Seal '
Finished Grade
— Ouick DisconneG
78"Min.
CAPACITIES @ 20.28 gal/in y - �'Yv"���
Depth(in) Volume(gal) • a �
* � —
A 20.1 407.63 Tt \ �APPmvedJolntswiN
I �` I�WeeP ' npproveaPive3nano
I `iquld '!:Hole soliacm�na
B 2.� 40.56 n Depth ' Porce Main cryP'���
� ���'� Filter*
[C] 2.9 58.81
��Ala„n - `Install and maintain pursuant
D 12.0 243.36 �B ;�o� to manutacmrer's instructions.
I C PUMP-OFF
ic 37 � P°`"P �on ELEVATION = 73A ft
Pump Tank Liquid Level = in
�
° INSIDE BOTTOM
Force Main Diameter = 2 in c°""a'e
B� ELEVATION = 72�0 ft
Force Main Length = 131 ft
3"Approved Bedding Malenal Benealh Tank
Force Main Void Volume = 21.35 gal
[C] Total Dose Volume TDV = 58.81 gal/dose
�
(<02X design flow+force main void volume)
Vertical Lift= 23'25 ft
PUMP TANK: SEPTIC TANK(S):
Volume = 750.36 gal Total Volume = 1300 gal
Manufacture ser Concrete Inc Manufacturer(s)- en (800 + 500)
Pump Manufacturer: Liberty
Install approved force main filter pursuant to
Pump ModeL 283 ��ana�,�P�mP��rve.� manufacturers instructions.
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: SimTech
Controls/Alarm Model: PS Patrol
Filter Model: STF-100
Float switches containinc�mercuryare orohibited.
. i
����,����
325 Cell Witlth(k) 2 63 Sitlewall to La[eral(k)
Distribution Cell Cross3ection Arrengements
_.......__. __�. . .. . _ S _.. . ... . . �... .. .. .. . . ..
. .. _ _.._. . . .. . . . . . .. .._ _ . ...
. . _ _.__. . . _ ..
O Distnbution Pipe
GeoMal is covered with approvetl geoteutile fabnc as per ihe Iheir product approval.
Distribution Cell Plan View Layout-Typical
325 Cell Wid[h-A�ft) 38.00 Cell Lengt�-B(k)
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� I -==_NATIVE.SOIL- = -==y�
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See details on page E for number,s¢e,aM sparieg of lale2ls.
Projec[ Horvath-Upper A Page 8 of 70
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2R0 PI R010/7/2015 �Copyright 2015 Liberty Pumps Inc. Al! rights reserved. Specifica[ions subject to change without notice.
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� ° '"�` ;� PRIVATE ONSITE WASTE TREATMENT County
���,'��QS �� SYSTEMS SaW er
�� P � ( POWTS) Y
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� '� INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �..3 ,�p�
Personal infonnation you provide mav be used for secondary purposes[Privacy Law,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#:
Pct�,� ��"�'�1 � A,n ✓`^>� iP�Qr� �t� �
Insp BM Elev: BM Description: Parcel Tax No:
�on,�' Na;l ��,��,o�, ;� q `' �,"I�-�- oa�- 6Y� ���3�U i
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS �LEV
Septic vp Rw� �"��'Qles �� Benchmark (�,)o,p '
Dosing w:es-e� ? � ST oti'�' 7S', !�'
Aeration Bidg. Sewer --
Holding � St/Ht Inlet j y '
TANK SETBACK INFORMATION T St I Ht Outle(� �7 7
TANK TO P/L WELL BLDG AIR NTA�KE ROAD Dt Inlet ,Z,$3'
Septic -f-co` .t��,�� .},.�o' �6' NA Dt Bottom (� ,33 �
g .Ka �` � NA Installation
Dosin �,�� �.b Contour
Aeration NA Header/Man.
Holding Dist. Pipe c�(,.� r
PUMP 151PHON INFORMATION Infiltrative Q S,� �
Surface
Manufacturer �„ Demand Final Grade
Model Number y$3 GPM �3 �'6.08�
TDH Lift Friction Loss Sys Head TDH Ft �4 � ��-, Zb-b '
Forcemain L ���� Dia �,`` Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS �N Z� L t.�,�a� #of Cells o� Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav � Conv ❑ Aggregate ����'
INFORMATION P�L Bldg Well Waters o GP ❑ Chamber Model Number:
❑ EZFIow
CELL TO '�"S -►-� �-� -f-(�� ❑ Mound Jd Other
— — --- —— —__—_----- — -----—---- - --- --------
DISTRIBUTION SYSTEM X Pressure Systems Only
� — X Hole Size � X Hole Observation Pipes
Header/Manifold Distribution Pipe(s) I
[Length Dia l Length Dia Spac � _ i Spacing O Yes ❑No
SOIL COVER
Depth Over Depth Over Depth of Seeded/Sodded Mulched
Cell Center �Cell Edges Topsoil _ � ❑Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
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C,�5� 75�� �3'�.� ST)
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Plan revision required?❑Yes O No I b� 2�J `�� _� G�'? ���
Use other side for atlditional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
A�OITIONAL COMMENTS AND SKETCH
SANITAAY PERMIT NUMBER �3'"0�
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