HomeMy WebLinkAbout014-942-36-1301-SAN-2023-154 � ��` ' `%;, Department of Safety c°°"ty �
- � � = & Professional Services, s a'`'`' e�.r' �
; � _ = Sanitary Permi[Numbcr(to be filled in by �
\,
�, '_ _ Industry Services Division
�,�,,,_ :wr� (0 5 l C l� \ yr
,,
S[ate Transaction Number �
Sanitary Permit Application �
[n accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit �
is required prior to obtaining a sanilary permit.Note:Application forms for state-owned POVVTS are submitted to Project Address(if difterent than mailing a .,[
the Department of Safety and Professional Services.Personal inYormation you provide may be used for secondary
purposes in accordance with the Privacy Law,s. 15.04(I)(m).Stats. � e� 3y� I� TG,nr1 in4 Po�+�' �e�
I.Application Information-Ptease Print All Information J
Property O�vner's Name Parcel#
a le 1'') � rz Tr�S OI`/- 9ya -3(0 1301
Property Owner's Mailing Address Property L.ocation �
�s �c� c� �F—�
City,S[ate Zip Code Phone Number
R�SI�.'� .L {r V Q� 7� ..7W �/a, NC ��a, SeCIIOR�_
II.Type of Building(check all that apply) Lot# r y N R � f_-o w
I�l or 2 Family Dwelling-Number ofBedrooms � �- Subdivision Name
�--
Block#
❑Public/Commercial-Describe Use
-' ❑City of _
❑State Owned-Describe Use CSM Number ❑Village of
� �1'own of LGP1 r'O O L —
Ill.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.
a.
❑ New System �Replacement System ❑ Other Modification to Gxisting System(explain) ❑Additional Pretreatrnent Unit(explain)
B' ❑ Holding Tank �In-Ground ���+ ❑AI-Grade
❑ Mound ❑ Individual Site Design ❑Other Type(explain)
(conventional) �M�'
C• ❑ Renewal Before ❑ Revision ❑ Chanee of Plumber ist Previous Permit Number and Date[ssued
❑Transfer to New Owner q � �
Expiration (^✓1{/� .
1V.Dispersal/I'reatment Area and Tank Information: (,,�S� x � Ca�I wi S/B F eer+•4> 39
Design Flow(gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
3(� o �. o J a. 0 300 / i�o 300 /is� SS. o 0
Capacity in Total �of Manufacturer
�
Tank lnfortnation Gallons Gallons Units ,a � o � �
New Tanks Exis[ing Tanks y o � � v D c_"'a c�'o
C.O 11�O n. v v� � v+ i,. ;7 a
Septic or Holding Tank yO � Q/�p � r ���
c/7
Dosine Chamber S D v -� S'd(�
V.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POWTS shown on the attached Plans.
Plumber�s Name(Print) Plumber� i a re MP/MPRS Number Business Phone Number
'1�.a, V:socK ,3o�3Ce 7/5-63'�► - 1(o7aj
Plumber's Address(Street,City,State,Zip Code)
1 1.a>>. S k-1 w. (0 3 1� ward� (N.i .5'�l843
V1.C un /Department Use Only
Permit Fee Date Issued Issuing Agenl Signature
�A� � ❑Disapproved � Q
�7�f� ❑Owner Given Reason for�enial $ �""'� , I�S I�3 �N���l�/�4-
Conditions oI'Approval/Reasons for Disapproval r D � ��
c_J!
� ,,. � ��ate � � �3 �
i �' .�11L 2 � 2023
� ��
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'ik# a ro4 _
Cs� �3 — o� 1 . �3^�N SA�E� ���,�:�T-�.
' u ZONWG ADMJN�S7F;tii:1UN
Attach to complete plans for the system and submit to the County only on paper not less thao 8 ln x l l inches in size � i.Z��} �
6 rX
N4 REFJN��AFTER
SBD-6398(R.03/22) 18SUE OF PER,�IT
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
ner n o
Project Name: Pierz-Tanning Point Rd
Owner's Name: Stanley M Pierz Trust
Owner's Address: 25 Picton Rd
Roselle,IL 60172
Property tnfo
Property Address: 12341 N Tanning Point Rd
Legal Description: SW NE S 36 T 42 N R 9 W
Township Lenroot County: Sawyer
Subdivision Name:
Lot Number: Block Number: CSM#:
Parcel I.D.Number: 014-942-36 1301
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&calculations
Page 4 Lateral and cell cross section
Page 5 Management&contingency
Page 6 Maintenance&specifications
Page 7 Tank cross sections
Page 8 Distribution media
Ray Visocky License Number: 230236
Date: 07/22/23 Phone Number: 715-634-1677
Signature:
Designer Stamp: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 10
In Ground and Dosing Distribution Component Design
Site Information
R Residentiai or Commercial Design N ISD Required?
200.00 Estimated Wastewater Flow(gpd)
1.50 Peaking Factor(e.g. 1.5= 150%)
300.00 Design Flow(gpd)
25.00 Site Slope(%)
95.00 PrOp. SyStem ElOvetiOn(ft) Sand 8 Native soii Contour
78.00 Depth to Limiting Factor(in)
� 7.00 In-situ Soil Application Rate(gpd/ft2)
I. 97.00 Lowest Orfginal Grade Ele. In System Area(ft)
r 99.25 Highest Original Grade Ele. In System Area(ft)
92.58 Limiting Factor Elevation(ft)
275 Depth Below Grade
is u bn e n rmation
325 Cell Width(ft) 'I Number of Cells
2.00 Dispersal Ceil Design Loading Rate(gpd/ft�)
2 Influent Wastewater Quality(t or 2)
istribution Infortnat�on
E Center or End Manifold, Dist. Box or Drop Box
1 Number of Laterals System dosed Y
0.00 Lateral Spacfng(ft)
9.13 Forcemain Drainback(gal) Does the forcemain drain back? Y
0.50 Forcemain Filter Loss(ft)
2.00 Forcemain Dfameter(in)
56.00 Forcemain Length(ft)
82.00 Inside Pump Tank Elevation(ft)
3.50 System Head(ft)x 1.3
13.77 Vertical Gft(ft)
1.39 Friction Loss(ft)
�9.16 Total Dynamic Head(ft) 2 , -� -�i.�st enter friction bss and sv . _ �
39.13 Minimum Dose Volume(gal)
25.00 System Demand (gpm)
Manufacturer Infortna4on
Treatment Tank Infortnation Effluent Filter Infortnation
840.00 Septic Tank Capacity(gap Lifetime Filter LLC Filter Manufacturer
Wieser Concrete Products, Inc Manufacturer LT V8 Filter Model Number
Dose Tank Information Gallons/lnch Calculator��:,������onap
50826 Dose Tank Capacity(gap 50826 Total Tank Capacfty(gal)
11.82 Dose Tank Volume(gal/in) 43.00 Total Working Liquid Depth(in)
Wieser Concrete Products, Inc. Manufacturer � 11.82� gal/in(enter result i�cell DoseTankVolume)
Projed: Pierz-Tanning Point Rd Page 2 ot 10
in Ground Plan View
1 � c��IlIl c����I��
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o�00000�00000000000�00000000000000a0000000000a
,• 000a000000000000000000000000000000000�0 0000000 . �
• p000000000000000000000000000000000000000000000 00000000000000000000 .
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'- °o°o�o°o�o 0 0°0 0�0 0°0 0�0°0°0 0°0�0�0�0°0°0 ��1`Vli�. o°o°o�o�o o�o°o°o o° '�
c0000000000000000000000 oaoo� 00000 .
� u a ons
I ft A 325 ft Basal Area Required 300 ft`
K 1 ft B 4S ft Basal Area Pro osed 300 ft2
S O.00 ft L SO ft
W 625 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
300 1 gausq tutlay 300 2.00 gausq tvday
Total 300 ft2 Total 150 ft2
Pro osed 156 ft2
Number of Cells 1 GeoMat Width 325 ft
Cell Length ft Lineal Feet of GeoMat Required 462
Min. Cell Len th 462 ft Lineal Feet of GeoMat Pro osed 48
Cell S acin 0.00 ft NOTE: Min S dimension = 1'
S stem Elevation 95 ft
Limitin Factor 92.58 ft
Se aration 2.42 ft 2'Min
Directions
Play wlth cell lergth to get desired cell spacing. length and width. Remember system SHOULD be longer[han d :s
wide It must also Satisf basal loadin rate and GeoMat cell ioadin rate
Project: Pierz-Tanning Point Rd Page 3 of 10
End ConnecNon Lateral Layout Diagrem
�
Hole spacing is every 12", 1/2"hole at 4 8 8 O'clock,s�aM1ing 4 O'clock 6"hom end and
B O'clock Holes al 17'from entl. d"Pertoraled pfpe may be used.
Lateral Spacing 0.00 fl Pipe�iameter 2.00 in
s on e � ro3a � on � .. . . . . .
Finiched(�nAc �Y � `� ` W V
. ;.. . � QIfG7�OG
I�'�..��� . .�� 12���2 navfu - Lt1aflLcvd
2.75% '� ��R��
! ' '�C�'
2 in —s Pqielh�� � ��zu _ F�
Pq e \
_ ' �_� AR I`__
... ' . ._ _..�
Topofgeomatro6eator ��. _ _ _ _ � - -: � � � � GEOMAT
below original grade � i � I ' I � �Z:���33 c� I � I , I � I � 1 Ca¢�oond
[a5ltntivs Sar&a
` I __-NATIVE.SOIL,y�=__�
� ! _ __ _ ___�___ L'�r1n' Y,FrCi
78in y
ervatlon pipes
�++w�
PVYtl O�b
�
' �•�M1Uy I
12"Mirt . , �'� 'I
42"Max. '. �
�" � .-x.�or
t�..a.�n1, i I
:ISisY. � e . ...y� ;
�� G
� � i
aewer '-_ _._� ^ r ;
•iPA�Wl��,� �']/8'MmOVRCIvJ .
LTASlNFJ]�CmOVOo�.
95 ....,_.._..�.�...
Pryect Piea-Tanning Point Rd 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 Absorptfon Component Manual for Pmate Onsite WastewaterTreatment Systems Version 2.0 SPS-10705-P
(N.07/01)- GeoMat in ground Component manual April 2019 Version_
1.This POWTS has been designed to accommodate a maximum daily flow of 30Q,7g I�ns of wastewater per day. The quality of
influent discharge into the POWTS treatment or dispersal wmponent shall be equal to or less than all of the following.
A monthly 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 quantRfes or qualities that exceed these limits or that result in exceeding the enforcement
standards and preventative action limits specified in ch.NR 140Tables t &2 at a point of standards applicatfoq except as provided in DSPS
383.03(4),WisAdmin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or maltunctions identifed during maintenance described above shall be repaired fn wnfortnance with SPS383 Wis.Admin.Code,
and the pertafning county Private Sewage Systems Ordinance. The user's manual,provided to the owner of the POWTS iocludes the names
and telephone numbers of the properly licensed individuais to contact for such repairs.
5.No product for chemical or physfcal 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 diswntinued,R Shall be abandoned in accordance with SPS 383.33,Wis.Admin.Code-
NOTES
Two Etfluent 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/S". Filters should be cleaned once in spring,and once in falL Also,strainers in sinks in
the building shall be maintafned,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 entl 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 chambec If a pump,float,electricai outage causes the dose tank to f II,the homeowner should see to it that
the effluent level in the tank is brought down gradually and not all dosed to the syslem 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 overloaded. I.E.spread laundry
out over time,not 6 loads in 2 hours,while everybody showers,and uses the loilet,ETC.
CONTINGENCY PLAN FOR COMPONENT FAILURE
A. Septic Tank.Any structural failure resWting in cracks or leaks in the tank must be corrected by replacement of the septic tank component.
Leaks in the joints belween manhole nsers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B.Outlet Filter.The outlet fitter shall be replaced or repaired when it is either no longer capable of preventing the discharge of partfcles larger
than 1/8 inch or when it has become permanently degraded by clogging so as to interfere with the design flow out of ihe 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 with approved materials to make joints watertight The pump and controls shall be
replaced when they are no longer capable of functioning according to the deslgn plan.
D.Pressure Distribution Piping.Partial clogging of the distnbution 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 outlet end of the pump.
The distribution piping may then be back flushed to cleanse any accumulated matter from lhe piping.It is recommended that the dosing
chamber then be pumped by a licensed plumber.
E.Soil Absorptfon Cell.The discharge of sewage or wastewater to the gmund surface is strictty pmhibited due to the human health hazard
created by ihe effluent.All failures created by surface discharge shall immediately be reported to the appropriate county.The pump shall
then be immediately dfsconnected to prevent further discharge to the ground surtace vfa 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 sanRary permR is obtained from the wunty.
Project: Pierz-Tanning Point Rd Page 5 of 10
In Ground System MaiMenance and Operation Specifications
Service Provider's Name Ray Visocky Phone (715)634-1679
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 BODS 30 mglL
Seplic Tank Capacity 840 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 156 fl2 Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform t0E4 cfu/100 mL
Service Frequencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Fitter Ins ed 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 ressure tested eve 3 ears
In Ground Insped 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. Apri12019.
2. Dispersal cell media conforms to GeoMat produds approved for use with the GeoMat In Ground Component
Manual Ver April 2019. Media is covered with an approved geotextile fabric.
3. All graviry 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 Turn-up Detafl
6-8"Diameter Finished Threaded Cleanout
Lawn Sprinkler Grade \ Plug or Ball Valve
Box y
Vent if� � ot Dosed
Lateral Ends at Last Orifice Where
�� Long Sweep 90 or Two
�45 Degree Bends Same
� Diameter as Lateral
Distribution Lateral Lateral Cleanou[
95 Feet
Project: Pierz-Tanning Point Rd Page 6 of 10
PAGE �
GRAVITY-DOSED ?°� �-°
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
4'0 Ven�Pipe
>70 8 irom
Building Electnral must comply wilh
12"Min.or 2.0 ft above SPS 316 and NEC 300
Established Flood Elevation W¢alherproof Exlend manhole nser as necessary.
(rypiql) �unction Box
Approved Approvetl Locking Manhole
IMPORTANT: Vent Cap ���h Waming Label Attached
(lypicap
Anchor tank(s)as necessary —cor,aoa
pursuant to SPS 383.43(8)(g) a��M��.o�zo n abo�e
Established Plood Flevation
(rypifal)
�Airti9htSeal �/ �I�
Finished Grade �
' �uick Discannect
18"Min.
CAPACITIES @ 11.82 gal�n y .- �NP"�'�
Depth (in) Volume (gal) • a �
q 28.2 333.32 * I weep �-�nvProoea�oiNs wim
Hole Appmve0 Pipe 3 ft onlo
B 2.0 23.64 I Solid Gmund
� ��YP���>
[C] 2.8 33.10
_Alartn
D 10.0 118.20 B �—o�
� ��� PUMP-OFF
'�Pump Tank Liquid Level = 43 in T PumP �—Of' ELEVATION = 82 83 ft
I
° INSIDE BOTTOM
Force Main Diameter = 2 in Concrete
�� a�°� ELEVATION = 82 �� ft
��
Force Main Length =��ft 3"Approved Bedding Matenal Beneath Tank
Force Main Void Volume = 9 �3 gal
(C] Total Dose Volume T� gal/dose
��
(<0.2X design flow+force main void volume)
Vertical Lift = 13�77 ft
PUMP TANK: SEPTIC TANK(S):
Volume = 508.26 gal Total Volume = 840 gal
�� ��
Manufacturer: Wieser Concrete Inc Manufacturer(s): Wieser Concrete Inc
Pump Manufacturer: Liberty
Install approved effluent filter at the septic tank outlet
Pump Model: Z83 immediately uostream of the aum�tank inlet
(See atlached pump curve.)
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Lifetime Filter LLC
Controls/Alarm Model: PS Patrol
Filter Model: LT-1/8
Float switches containina mercuN are prohibited.
GeoMat Dbtribution GII Media Layout
325 CeI1 Width(ft) 2 83 Sitlewail to Lateral(ft)
Distribution Ceil Cross-section Amangements
�
egend
O Distnbution Pipe
GeoMal is covere0 with approved geotex[ile fa6ric as per lhe their protluct approva�.
Distribution Cell Plan View Layout-Typical
325 Cell Width-A(ft) d8.00 Cell Length-B(ft)
�ir,
�# . .. . . _ .. ._ _'..__ ._. _. . _______ -_:_'_. _._' .
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See tletails on page I(or numDer,s¢e,arM spaciig of lalerals.
ProjeCt: Pie2-Tannin9 Point Rtl Page 8 oF 10
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280_P I RO10/7/2015 �CopyriEh[2015 Liberty Pumps Inc. All rig,hts reserved. Specifications subjec[to change without noticc �
, � ''"" `'; PRIVATE ONSITE WASTE TREATMENT cou�ty
�`Y�o �` SYSTEMS
.�� �gP$ ,� Sawyer
�:�_�---%
( POWTS)
"�z-`'='" ''`' INSPECTION REPORT Sanitary Permit No:
r�
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �3 .� (��
Personal infonnation you provide may be used for secondary pucposes[Privacy Law,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#:
S�V1 \Q � - 1 �QC'�' 1 `�^�� �V��bLS� .-__
Insp BM Elev: BM Description: Parcel Tax No:
(ao��' tia�l w� �`;��o.,, i�,�-�2 0��( -9Yz - (� I 36I
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic �,,,;e.�.,r — ��O Benchmark (c�a.o�
Dosin9 — �o .�o �.2 `J�� �'�'�' ��� 3 �
Aeration Bldg. Sewer &7,3 �
Holding St(Ht Inlet g� 6r
�
TANK SETBACK INFORMATION St/Ht Outlet �
TANK TO P/L WELL BLDG vENrro ROAD Dt Inlet
AIR INTAKE
Septic �$b` .�a (�y` +�Y � NA Dt Bottom 8`� �/ �
Dosing �� � �� � NA Installation
Contour
Aeration NA Header I Man.
Holding Dist. Pipe �.3 �
PUMP 151PHON INFORMATION Infiltrative �
Surface `�y�9
Manufacturer t�s— Demand Final Grade
Model Number �'g �pM �v C3,3 �S`� �
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L �(op` Dia �" Dist.To Well
DISPERSAL CELL INFORMATION S. . PT, ... P c. �r�.�� k
DIMENSIONS W ,� � #of Cells ( Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav � Conv ❑ Aggregate �eo(�,��
INFORMATION P/L Bldg Well Waters o GP ❑ Chamber Model Number:
❑ EZFIow
CELL TO �-��e ��S" � .t-� ❑ Mound Ft Other
DISTRIBUTION SYSTEM X Pressure Systems Only
Header/Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes �
Length Dia l Length Dia Spac , Spacing ❑Yes ❑ No i
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SOILCOVER _ __ __ _
Depth Over Depth Over i Depth of Seeded/Sodded Mulched
Cell Center Cell Etlges ; Topsoil ❑Yes ❑ No � ❑Yes ❑ fJ�
COMMENTS: (Include code discrepancies, persons present,etc.)
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Plan revision required?❑Yes ❑ No �� � �
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Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
AOOITIONAL COMMENTS ANO SKETCH
SANITARY PERMIT NUMBEA. �3� �S`I
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