HomeMy WebLinkAbout010-841-36-5506-SAN-2023-231 Industry Services Division County �
4822 Madison Yards Wa s p
- �_' -. Madison, WI 53705 y Sanitary Permit Num r(to be filled in by C �
� P.O. Box 7302 �
� Madison,WI 5302 � s ( l� �� �
Sanita.ry Permit Application State Transaction Number ^�
In accordance with SPS 383.21(2),Wis.Adm Code,submission of this Yorm[o the appropriate govemmental unit (,�
is required prior to obtaining a sanitary permit.Note:Application forms for state-0wned POWTS are submitted to Project Address(if different than mailing ad --•
[he Department of Safery and Professional Services.Personal information you provide may be used for secondary
purpo�s�es in accordance with the Privacy Law,s. 15.04(I)(m),Stats. ��� ���
I.A lication Information-Please Print All Information
Property Owners Name Parcel#
�� � � t C .i �a� 4 1��`'� 1 � .`J'`J v �v
Property Owner's Mailing Address Prop�Location
i 6 a � i �� �iJ� �o�t �.ot �-
City,State 7_ip Code Phone Numbet `��
�/► �O�l �-' i►4. �Section /
���J� i� o�
Il.Type of Building(check all that apply) � Lot# � T � � N R � E or
�1 or 2 Family Dwell ing-Number of Bedrooms Subdivision Name
Block# �'^
❑Public/Commercial-Describe Use �_
❑City of
❑State Owned-Describe Use CSM Number ❑Village of _
�v��{3 � ��Q ( �Town of l�f-�1�-�� _
l
!(I.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' �AJew Sys[em ❑ Replacement System ❑Other Modification to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank ❑�round ❑ At-Grade ❑ Mound ❑ Individual Site Design �/O� ffier Type(explain)
(conventional) C,.�p�r'�f
C. ❑ Renewal Before ❑ Revision ❑Change of Plumber List Previous Permit Number and Date Issued
❑ Transfer to New Owner
Lxpiration
IV.Dispersal/Treatment Area and Tank Information:
Design Flow(gpd) Design S 'I Application Rate(gpd/st) Dispersa Area Required s� Dispersal Area Proposcd(st� System Elevation �
� o� % . � I.fl 1 b :3 R� 7 � �S �S; S
Capaciry in Total #of Manufacturer �
Tank Information Gallons Gallons Units ,n ;? o ,b, �
New Tanks F,xisting Tanks � o � ` « � � c°'o
a 'v v� �, rn w C7 a.
Septic or Holding T'ank 'l � J � �Jb i P S'Lq I�
O�
Dosing Chamber
V.Responsibility Statement- l,the undersigned,assume respons' i ty for ns lation of the POWTS shown on the attached plans.
Plumber's Name(Print) Plumber's Signatur MP/MPRS Number Business Phone Number
Dan Burch 253808 715.416.1642
Plumber's Address(Street,City.State,Zip Code) N5921 Counry Hwp K Sp000er WI 4801
VI.C un /Department Use Only
Ap c ❑Disapproved Permit Fee� Date lssued Issuing Agent Signature !
� ❑Owner Given Reason for Denial $ `�� ��' ���� � "t� �� -"` ��-+-
Conditions of Approval/Reasons for Disa proval (� �R'�]� � ;� i�-�
� !� ►� � - I`1 �3._� _ ___.:. _ `��� V ���1'+ '
_. �
�� � `� ' . o SEP 13 2023
�G! � s
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� 01 ._�---------
.h k#�_.�._._..._.�.�.-.
Gs�j— �3 _ ; 5 ;� .� 3 oS�j SAWYER COUNTY
� ZONNdCi AD�AINISTRATION
Attach to complete plans fo the system and submit to the County only on paper not less than 8 tn x 1 I inches in size
i 1 �1�`1
SBD-6398(R.02/22) NO Ri.fUA1Dfi AFTER
ISSl.IE C?F!��lT
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Info
Project Name: William Schupp GeoMat
Owner's Name: William Schupp
Owner's Address: 16627 Horton Dr Clive IA 50325
roperty In o
Property Address: Hwy B
Legal Description: S 36 T 41 N R 8 W
Township Hayward Counry:Sawyer
Subdivision Name:
Lot Number: 1 Block Number CSM#: 24/43#649
Parcel I.D.Number: tax ID 11904
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Filter specifications
Page 2 Data entry Soil test
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
Page 8 Plot plan _ _
Dan Burch License Number: 253808
Date: 09/13/23 Phone Number: 715.416.1642
Signature:
Designer Stamp State of Wisconsin Approval Stamp:
Designed Pureuant to the
GeoMat In Ground Component Manual Ver.June 26,2018 Version
Page 1 of 10
in Ground and Dosing Distribution Component Design
Design Worksheet
Site information
R Residential or Commercial Design N ISD Required?
600.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1 .5 = 150%)
900.00 Design Flow (gpd)
0.00 Site Slope (%)
95.50 Prop. System Elevation (ft)
78.00 Depth to Limiting Factor (in)
1.60 In-situ Soil Application Rate (gpd/ft2)
98.00 Lowest Original Grade Ele. In System Area (ft)
98.00 Highest Original Grade Ele. In System Area (ft)
91.50 Limiting Factor Elevation (ft)
1 .00 Depth Below Grade
Distribution Cell Information
3.25 Cell Width (ft) 1 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
1 Number of Laterals System dosed N �
0.00 Lateral Spacing (ft)
System not dosed
Manufacturer Information
Treatment Tank Information Effluent Filter Information
2000.00 Septic Tank Capacity (gal) Polylok Inc./Zabel Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer 3014-525-1/16-10,000 GPD Filter Model Number
Project: William Schupp GeoMat Page 2 of 10
In Ground Pian View
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Ca culations
I ft A 3.25 ft Basal Area Required 562.5 ft`
K 1 ft B 139 ft Basal Area Pro osed 729.75 ft2
S 0.00 ft L '141 ft
W 525 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
900 1.6 gal/sq ft/tlay 900 2.00 gausq fuday
Total 562.5 ftz Total 450 ftZ
Proposed 451.75 ft2
Number of Cells 1 GeoMat Width 3.25 ft
Cell Length ft Lineal Feet of GeoMat Required 138.5
Min.Cell Len th 138.5 ft Lineal Feet of GeoMat Pro osed 139
Cell Spacing 0.00 ft NOTE:Min S dimension=1'
S stem Elevation 95.5 ft
Limitin Factor 91.5 ft
Se aration 4 ft z'htin
Directions�.
Play with cell length to get desired cell spacing,length and width. Remember system SHOULD be longer than it is
wide. It must also Satisfy basal loading rate and GeoMat cell loading rate.
Project: William Schupp GeoMat Page 3 of 10
End Connection Lateral Layout Diagram
�
Hole spacing is every 12" , 1/2" hole at 4 & 8 O'clock, staRing 4 O'ciock 6"from end and
8 O'clock Holes at 12"from end.
Lateral Spacing 0.00 ft Pipe Diameter 4.00 in
Distri ut on Cell Cross Section
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Top of geomat to be at 1.. _ � GFAMAT
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servation Pipes
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48" Max. '
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95.5f " " " � � � � � � � � � � � � � � � � � � � � � ��� � � � � � � � � � � � � � � � � � � � � � � � � � � � � ��� � � � � � �
Project: William Schupp GeoMat Page 4 of 10
Notes/Maintenance Repuirements
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 tor Private Onsde Wastewater7reatment Systems Version 2.0 SPS-10705-P
(N.01/01). GeoMat in ground Component manual Version 1.
1.This POWTS has been designed to accommodate a maximum daity Flow of 90Q,�ons of wastewater per day. The quality of
influent discharge into the POWTS treatment or tlispersal component shall be equal to or less than all of the following.
A monthly average of 30 mglL fats,oil and grease
A monthly average of 220 mg/L BODS
A monthly averege of 150 mg/L TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that exceed these limits or that result in ezceeding 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 Admin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or malfunctions identifed during maintenance described above shali be repaired in confortnance with SPS383 Wis.Admin.Code,
and the pertaining county Private Sewage Systems Ordinance.The user's manual,provided to the owner of the POWTS inclutles the names
and telephone numbers of the properly licensed individuals to contact for such repairs.
5.No product for chemical or physical restoration oi 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 POVJTS is replaced,or its use discontinued,it shall be abandoned in accordance with SPS 383.33,Wis.Atlmin.Code.
NOTES
Two Effluent Filters to be installed where possible 1 to be installed in ST,and or 1 in pump tank in
ortler to insure particle size less than or equal to i/8". Filters 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 lowted approximately 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,eiectrical 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 sysfem at once. One large dose could cause damage.
Contact a pumper or your installer if this problem ocwrs.
The homeowner is responsible for formulating a water conservation plan that will ensure the system is rarely overloatletl. LE.spreatl 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 stmctural failure resulting in cracks or leaks in the tank must be correcled by replacement of ihe septic tank component.
Leaks in the joints between manhole risers or covers shail be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B.Outlet Filter.The outlet filter shall be replaced or repaired when it is either no longer capable of preventing the discharge of paAicles larger
than 1/8 inch or when it has become permanently degratled by clogging so as to interfere with the design Flow out of the septic tank.
C.Dosing chamber and pump.The dosing chamber shall be replaced if any strudural failure is found.Leaks in joints between manhole risers
or covers shall be repaired by replacing faulty seals with approved materials to makejoints water-tight The pump and controls shall be
replaced when they are no longer capable of functioning according to the desiqn plan.
D.Pressure Distribution Piping_Partiai clogging o(the distribution network may result in unduly long dosing cycles.The ends of the
distribution laterals may be exposed 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 the piping.It is recommended that the dosing
chamber then be pumped by a licensed plumber.
E.Soil Absorytion CeIL The discharge of sewage or wastewater to the ground surface is strictly prohibitetl tlue to the human heatth hazard
created by the effluent All failures created by surface 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
approp�iate plan review authordy and the required sanitary permit is obtained from the county.
Project: William Schupp GeoMat Page 5 of 10
In Ground System Maintenance and Operation Specifications
Service Provider's Name Dan Burch Phone 715.416.1642
POWTS Regulator's Name Sawyer County SPIA-Zoning Administration Phone (715)634-8288
Svstem Flow and Load Paremeters
Design Flow-Peak 900 gpd Maximum Influent Particle Size t/8 in
Estimated Flow-Average 600 gpd Maximum BODS 30 mg/L
Septic Tank Capacity 2000 gal Maximum TSS 30 mg/L
Soil Absorption Componenl Size 451]5 ft2 Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Colrform 10E4 cfu/100 mL
Service Freauencv
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 periodicall
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 SWndards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-7, have a watertight cap
and are secured in as shown in the GeoMat In Ground Component Manual Vec March 20, 2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMat In Ground Component
Manual Ver. March 20,2017. Media is covered with an approved geote�Rile 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 \ Plug or Ball Valve
Box �y
lateral Ends at Last Orifice Where
Long Sweep 90 or Two
��45 Degree Bends Same
Diameter as Lateral
� Distribution Lateral � Laterel Cleanout �
95.5 Feet
Projed: William Schupp GeoMat Page 6 of 10
GeoMat Distribution Cell Media Layout
325 Cell Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
. - -�..+� _. __ .
omponen egen _ - . .
O Distribution Pipe
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
3.25 Ceil Width -A(ft� 139.00 Cell Length -B (ft)
End Connection Lateral Layout Diagram
� � � � ...� � �.,... �.w � � � � � �.� ..�..�
_ _ p p9rsa _ _
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('��,`� _' .,•^, ..-''`'�•.: `'. .; � .- � ` "` .•BaCkfiA�` ` `y �.L�R61I.C1Ta
12"-48" ' ' .
S�d Co�ar ieea�mmeaded . ' _
� � .. . . . . � . •-
pipe Di�, : • . � � ��u � I ' • . • `. £IafiI�tive
, • ' .. � � PW� It_--' -
�. .. _ - � GFA MAT
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_ I _ = _ _ _N_AT[VE_SOIL- = _ _ - � �
{ � _ � _ � � � � = --- _ ..... � � .._ � �-�taRF�
_ _ � � _
See details on page 4 for number, size, and spacing of laterals.
Project: William Schupp GeoMat Page 7 of 10
CHECK BOX AS APPLICABLE. CHECK BOX AS APP�ICAeIE.
�SOIL EVALUATION p Scale:130 30 ae so �SYSTEM F'AGE 2 OF
SITE MAP PLOT PLAN
PROJECTNAME: oesicNF�ow: �v � GPD
�/] 7.5'
L-t-�✓'Pl� ��n N�A � Attach design flow calculations for commercial plans.
PROJECT A�DRESS: ��td� � N Pipe Material I ASTM Standard(Tables 384.303&384.30-5)
sa���rysewe�:T_4/J �-�L
BM Symbol�.�' I!BM Eleva�ion: ��� � Force Main'. /
eaiDescription: N`^�' �� K M^ �fc�-- IMPORTANT:
Indicate no eh�
Slope Gradient�%) •—� Weil Symboi(rfappllcable): 0 draw�ng an Show ground elevation contours at suitable intervals.
of Tested Area: on tne approprlte Ilire.
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W2000— M R
TANK SPECIFICATIONS � o
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12'-7" DIMENSIONS: � ~
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WALL: 2 1/2" a a
BOTTOM: 4"
COVER: 6"
;__.�______________ MANHOLE: 24" I.D. PRECAST CONCRETE RISER a
�-_----------------;
.��' ��. HEIGHT: 66" �
�� .�
�� �� LENGTH: 12'-7"
ii� 4" CAST-A-SEAL 4" CAST-A-SEAL ��� yy�p¶..�: �'_2" �
y i/,-,. ��-,\��1 BELOW INLET: 53" .
N LIQUID LEVEL: 46" o
i i \i i \ WEIGHT: 15,370 LBS. � o
/ � a p
r ���� _' �2A., �� �'�� INLET AND OUTLET: °� 3 0 0
�� � yA // 4" CAST-A-SEAL BOOT OR EQUAL GASKET � m o� o
�� • F I L T E R O R B A F F L E �� o c�
���\\ �;'� INLET AND OUTLET BAFFLE AND FILTER: Q Q � �,;
��, _______;;% WISCONSIN, SEE DETAIL #10 " � Q �'
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LIQUID CAPACITY: 42.92 GAL/IN W �
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TOP VIEW HOLDING TANK: Y �
OUTLET HOLE PLUGGED � � �
ACTUAL CAPACITY: 1,085 GALLONS � � �
z
� LOADING DESIGN: 8'-0' UNSATURATED SOIL � � �
N � � g N
a � TANK CAN BE USEO AS: o �
+� SEP11C / HOLDING / PUMP OR SIPHON � 3 0
� = o�
COVER: MIX DESIGN #8 (NO FIBER) u�
____ . ___= J� TANK: MIX DESIGN #10 (STRUCTURAL FIBER) � �
INLET OUTLET CUSTOMIZED TANKS: � 3
. N i � i FOR CUSTOM TANKS CONTACT WIESER CONCRETE
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si�E v�Ew DRAWINGS SUBMITTED �
FOR APPROVAL
APPROVED BY: SHEET N0.
APPR(1VAl pGTF' j /�
OF
PRODUCTS NEEDED BY: / �
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS