HomeMy WebLinkAbout012-292-00-0500-SAN-2023-138 Department of Safety c°°°�' �
Y & Professional Services, /e y' Z
$ Sanitary Pen '�Number(to be filled in by Co
Pa Industry Services Division � S� G� �f Su
State 7 ransaction Number �
Sanitary Permit Application �
In accordance with SPS 383.21(2),Wis.Adm Code,submission of this form to the appropriate govemmental unit W
is required prior to obtaining a sanitary permit.Note:Application forms for statc�wned POWTS are submitted to Project Address(if diffcrcnt than mailing add
the Deparnnent of Safety and Professional Services.Personal information you provide may be used for secondary ?056 N Luke 5 h�re p�. �'
purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats.
i.Application Information-Please Print Ali Information �',p(,��Qrp� �/,� ,�C�J�,�
Property Owncr's Namc Parccl#
O Z. ODU O
Property Owner's Mailing ess Property Location
3V �1Z M'IC O -
City,State Zip Code Phone Number
�, �i/� � � ---- .,_ 4, Section-�__
r�
Q.Type of Building(check all that apply) Lot# � T N R __E or�
�1 or 2 Eamily Dwelling-Number ofBedrooms 2. uy�"�' � Subdivision Name
n'� Block# _ ,�I��� }�;
❑Public/Commercial-Describe Use �s_
❑City of _
❑State Owned-Describe Use � CSM Number ❑Village of
--- {�Townof �1'�'ey�
III.Type of POW'I'S Permit:(Check either"New"or KRepiacement"and other applicable on line A. Check one box on line B.Complete line C if
a licable.)
A.
❑ New System �Replacement System ❑ Other Moditication to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank � In-Ground�e��A ❑ At-Grade gn yp ( p )
❑ Mound ❑ Individual Site Desi ❑Other T e es lain
(conventional)
C• ❑ Renewal Before ❑ Revision ❑ Change of Piumber ist Previous Pernut Niunber and Date Issued
❑Transfer to New Owner �
Expiration
�1N .
i
IV.DispersaUTreatment Area and Tank Information:
Design Flow(gpd) Desi�m Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispe�aQl���taposed(sQ System Elevation
30� •'� � AISaI /lr�4 =3 0 $ . A �i� .6 '
.o
Capacity in Total #of Manufacturer
Tank Information Gallons Gallons Units p � o ,'n, �
Ncw Tanks Existing Tanks v o � 2 � � c° `�
a. U ci� H cn w C.' 0..
Septic or Holding'I ank O `^ Q�� x
��
Dosing Chamber
V.Responsibility Statement- I,the undersigned,assume responsibility for installaHon of the POWTS shown on t6e attac6ed plans.
Plumber's Name(Print) Pfumber's Signature MP/MPRS Number Business Phone Number
ur ow►� 22yz�i 7 iS qy3 z 3 Qo
Ptumbcr's Address(Strcct,Ciry,State,Zip Codc)
� � � S
VI.Coun /Department Use Only
�Ap 4 �3 ❑Disapproved Permit Fee Date Issued [ssuing Agent Signature
�Z✓ �Owner Given Reason for Denial $ y�V•� 7 J� ���3 �.��!����-
Conditions of Approval/Reasor�s fgr�i proval
�E"""+, � lA Aa 7 � 'f '�4� �.�j����
' � �� . �at� � ��:����« _,_t -�Ji L�� �
W ��i m��-�a► �
Chk# ���� s ;, , D
� — �� - `�� ��1�. 10 2023
C � 3 � ,,v,,t �. �3
�� � �_._�...�___r_._.
SAWYER CC�UNTY
AMach to complete plans for t6e system and submit to[he Coonty only on paper not less tha � i 1 me es m s�ze Y�/.
13 � `.7
SBD-6398(R.03/22) NO REFt1hD�AFTER
ISSUE OF PERMIT
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Info
Project Name: Todd Lager
Owner's Name: Todd Lager
Owner's Address: N30782 Hickory Hill Rd.
Arcadia,WI 54612
Property Info
Property Address: 7056N Lake Shore Dr.
Couderay,WI 54828
----Blueberry Hill Condo Unit 5
Legal Description: S 4 T 39 N R 7 W
Township Hunter County: Sawyer
Subdivision Name:
Lot Number: B�ock Number: CSM#:
Parcel I.D.Number: 12292000500
Plan Transaction No.:
Index Pages
Page 1 Index and title
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 8 specifications
Page 7 Distribution media
Page 8 Plot plan
Kurt Brown License Number: 224281
Date: 06/26/23 Phone Number: 715 943 2988
Signature:__i�/taa-�
Designer Stamp: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 8
In Ground and Dosing Distribution Component Design
Site Information
R Residential or Commercial Design N ISD Required7
200.00 Estimated Wastewater Flow(gpd)
1.50 Peaking Factor(e.g. 1.5= 150%)
300.00 Design Flow(gpd)
9.00 Site Slope(%)
92.50 Prop. System Elevation(k) sana a nat�ve sai cootour
63.00 Depth to Limiting Factor(in)
1.00 In-situ Soil Application Rate(gpd/ft�)
94.80 Lowest Original Grade Ele. In System Area(ft)
95.70 Highest Original Grade Ele. In System Area(ft)
90.20 Limiting Factor Elevation(ft)
1.60 Depth Below Grade
Distribution Cell Information
325 Cell Width (ft) 2 Number of Cells
2.00 Dispersal Cell Design Loading Rate(gpd/ft�)
2 InFluent Wastewater Quality(1 or 2)
Distribution Information
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed N
425 Laterat Spacing (ft)
Manufacturer Information
Treatment Tank Infortnation Effluent Filter Infortnation
600.00 Septic Tank Capacity(gal) Lifetime Filter LLC Filter Manufacturer
Skaw Precast Manufacturer LT 1B Filter Model Number
Projed: Todd Lager Page 2 of 8
In Ground Plan View
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✓ t.��Ci{1`��.0 G"CJ�.�OR_�O�_O�,O O�v O�O!`�J�J�OCO O`G ., O � ��n O�"O C O O-LlO�v�O , .
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r; .i r�. � � —` -r'-c� n o 7�� � � ,� c� n � �_y.��ci t, n n c� r� n G � 24_4_4_4_9���
—_
~ -- _ __ __ 1 . _-J
Caiculations
I ft A 3.25 ft Basal Area Required 300 ft1
K 1 ft B 33 ft Basal Area Proposed 330 ftz
S 1 .00ft L 35ft
. W 10.00 ft
Basal Area Calculation GeoMat Dispersai Cell Basai Area Calculation
GPD Loadin Rate GPD Loadin Rate
300 1 gal/sq ft/day 300 2.00 gal/sq ft/day
Total 300 ft2 Total 150 ft2
Proposed 214.5 ftZ
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length ft Lineai Feet of GeoMat Required 46.2
Min. Cell Len th 23.1 ft Lineai Feet of GeoMat Proposed 66
Cell Spacing 1 .00 ft NOTE: Min S dimension = 1'
S stem Elevation 92.6 ft
Limitin Factor 90.2 ft
Separation 2.4 ft z�Min
Project: Todd Lager Page 3 of 8
End Connection Lateral Layout Diagram
— ��
:�
�
f
!
� ^ '.e..,,-
r�`_
Hole spacing is every 12", 1/2"hole at 4 8 8 O'Gock,starting 4 O'clock 6"from end and
8 O'clock Holes at 12"from end. 4"Perforated pipe may be used.
Lateral Spacing 4.25 ft Pipe Diameter 4" in
Distribution Cell Cross Section
�;���h.-e��n� �`� �� ��
( : � . ` _ Dist��Ction
� �j 12 -42 nx►rn _ La'rlal I.evrJ
1.6 ft— �d C°°a r°°°mmead°d .
i
4"in �► Pipe I?ii � ' \ ,��u;+� `" abrit
� v�a t�_ � - �
Top of geomat to be at or j i.;-. _ - - _ - - _,�t�i.•�.�y��,,_.,T�.�,�T �_GFA MAT
below original grede � i I I . � ., I � I ( � I � ij Componmf
i i I I �2.ASTld 33..'. -
?afil�ative Suriaa
1=
I i=J-==N�►TIVE�SOiL=- _-��
`� �-___== ���_.����1=__
'— ��t;...;� r
p.ecrr
63in y
Observation Pipes
w,�neM�+a
FmishA Qrade
i I
12"Min. ,- a•�rn.
� , _: __._
42"Max. _'_' I �` �
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92.6 —._� �___.�--____ _. �.�._ _J
Project: Todd Lager Page 4 of 8
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 Onsfte Wastewater Treatment Systems Version 2A SPS-10705-P
(N.01/Ot). GeoMat in ground Component manual April 2019 Version.
7.This POWTS has been designed to accommodate a maximum daily Flow ot 30Qt9Rons 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 antl grease
A monthly average of 220 mg/L BODS
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 resWt in exceeding the enforcement
standards and preventative action limits specified in ch.NR 140Tables 1&2 at a point of standards appliration,except as provided in DSPS
383.03(4),Wis Admin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defecis or malfunctions identifed during maintenance despibed above shall be repaired in confortnance wRh SPS383 Wis.Admia 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 properly licensed individuals to wntad for such repairs.
5.No produd 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 383.33,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 1I6". Fitters should be cleaned 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 appmximately at the end of 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 f II,the homeowner should see to ft that
the effluent level in the tank is brought down gradually and not all dosed to the system at once. One large dose wuld cause damage.
Contad a pumper or your installer rf 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 s[ructural 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 oi covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B.Outlet Filter.The outlet ftter shall be replaced or repaired when it is either no longer capable of preventing the discharge of partides larger
than 1/8 inch or when it has become permanently degraded by clogging so as to interfere with the design Bow out of the septic tank.
C.Dosing chamber and pump.The dosing chamber shall be replaced rf any structural failure is found.Leaks in joints between manhole
risers or covers shall be repaired by replacing faWty seals with approved materials to make joints water-tight.The pump and controls shall be
replaced when they are no longer capable of functioning acwrding 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[hreaded 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
chamber then 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 suAace 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 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: Todd Lager Page 5 of 8
In Ground System Maintenance and Operation Specifications
Service Provider's Name Robert Berceau Phone 920-819-4100
POWTS Regulator's Name Sawyer County SPIA-Zoning Administration Phone (715)634-8288
Svstem Flow and Load Paremeters
Design Flow-Peak 300 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow-Average 200 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 800 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 107.25 ft� Mazimum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cful100 mL
Service Frequencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Filter Inspect and clean as necessary at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test penodical
Pressure System Laterals should be flushed and ressure 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-t, 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. Scarification of basal area is accomplished with a rake or other tool.
5. All disturbed areas will be seeded and mWched to prevent soil erosion and help reduce frost penetration.
Lateral Turn-up DeWil
. _ _ ._ _------------ - -._______ -/�
6-8" Diameter � Finished Threaded CleanoUt
Lawn Sprinkler Grade \ Plug or Ball Valve
Box � �i�
Wteral Ends at Last Orifice Where y Vent if i � ot Dosed
Long Sweep 90 or Two
��45 Degree Bends Same
� Diameter as Lateral
--
Distribution Lateral Wteral Cleanout
92.6 Feet
Project: Todd Lager Page 6 of 8
GeoMat Distribution Cell Media Layout
325 Cell Width (ft) 2.63 Sidewall to Laterai (ft)
Distribution Cell Cross-section Arrangements
� �
Component Legend
O Distribution Pipe
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
325 Cell Width -A (ft) 33.00 Cell Length - B (ft)
_ _ _ _ _ _ _ �. � _ — _ _ _ _�
_ _ � _ _ _ � �. _ _ _ _ — _ _�
Typical Dispersal Cell
�=inichcd C:r�c1c '� V ` ` `r Y Y �Y`YV"
� _ :' : � . . . � ` . : _ : .�. - � - . . �. �iLS�1bIlLOn
12°-42 - , Ra�lfiq L812L11.CV�
Smd C.OVC iLOOQ1IDl9�eQ . . �. ..
� _ - �. - • : \ .' �' �. ' . . . . . IIIfiIVEhV4
��_ � - f)iv � � . . . � F8bf1C
. ' ' . � NiP�' I�_ - , — /
I �■i r - - -.��-�:'�.{-�;�.��: > -.;>:>c•,r�•;�.� f� _GFAMAT
I � I � I � I + I �2_'ASTM33 °�� � � � � � � � , �1 �
�— - — — — _ _ _ _ � � _.. _ - _ - - Iafiltrative Sur�'.sce
��1 I _ = = = _NATIVE �SOIL= = - = - �
I � _ � � _ _ � = � � � � � � _ � � � _. � � 1.T%�-�eFacmr
See details on page 4 for number, size, and spacing of laterals.
Project: Todd Lager Page 7 of 8
PROJECT
TODDLAGER
7065N LAKE SHORE DR DESIGN FLOW=300 GPD
COUDERAY,W154828
SIGNED: � G #224281
BLUEBERRY HILL CONDO
UNIT 5
S4,T39N.R7W
TOWN OF HUNTER
�
N
SCALE: t"=40' LAKE SHORE DR.
10'X 35'-2 CELL GEOMAT /
CONDO ABSORPTION FIELD
UNIT 5
❑B-2
800 GAL S/T B-3�
BM .��:�9/ .�:�� :
ELEVATIONS �B-�'��
95.8'
BM=100.0',NAIL IN 13" 94.8' � BLUEBERRY
DIA.MAPLE TREE g3.g� � LAKE
8-1=94.5, 928' 87.8'
B-2=94.5'
B-3=95 7'
SYSTEM=92.6'
RANGE=92.7-93.5'
DOW NSLOPE OF ABSORPTION
AREA=-94.8'
LAKE=87.8'