HomeMy WebLinkAbout010-176-04-0400-SAN-2023-235 ' "'�` [ndushy Services Division Counry ` �/�
� 4822 Madison Yards Way ��,/�,�'L �
, _' Madison,WI 53705 $anitary Permit Number(to be filted in by C� �
�,r, � P.O.Box 7302
k Madison,WI 53707 � S � �p �.� �
t�*.�
Sanitary Permit Application State Ttansaction Number ;
In accordance with SPS 3R3.21(2),W'is.Acim.Code,submission of this form to the appropriate govemmental unit W
is required pnor to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than maiiing ad� l ry
thc Department of Safery and Protessionat Services.Personal information you provide may be used for secondary "►
purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. /
I.Application Information-Please Print Al[Iaformation v ��� �j��G J�Y ���
Prope Ow�ier's Name Parcel.#t..0, '-��_oy — Dy Oli
iil
�IL � L � "��� 1
Property Owner's Mailing Address Property Location
� S 9�� u� N� d � Go��.Lot
City,State Zip Code Phone Number � �j
,./f�� I\ �� C� L( �L( 3 Ya, `/a, Scction �
/ /�
lt.Type of Building(check all that apply) L�t� /� T -/ N R � E o
or 2 Family Dwelling-Number of Bedrooms "7 Subdivision Name
� ,5`��'��We,��-S ,o .
a�o�k a . �,
�'ublic/Commercial-Describe Use
❑City of
❑State Owned-Describe Use CSM Nu ber illagc of
�_ �Town of c � �< <�
11L Type of POWTS Permit:(Check either":Vew"or"ReplacemenY'and other applicable on line A. C6eck one box on line B.Complete line C if
��a lizable.)
n.
�Iew System n[teplacement System �ther Modification to Existing System(espiaiuj ❑Additional Preueahnent Unit(explaui)
LJ
B' ❑Fiolding Tank y�n-Ground �4t-Grade �Mound Individual Site Design Other Type(explain)
4�(conventional)
., a•�/ 'l
C• ❑Renewal Before �Revision hange of Plumher ❑Transfer to New Owner �st Previous Permit Number and Uate[ssued
Expiration � "�
IV.DispersaUTreatmentArea and`Tank Inftrrmatian:
Design Flow(gpd) Desi�n Soil Application Rate(gpd/s� Dispersal Area equired st) Dispersal Ar P� pose System Glevation r
�-f v �. E �.� � � � 3 � �. �' l � i, o
Capacity in Total #of Manufacturer
Y
Gallons Gallons Units � v $ o
Tank Infottnation ,n u �,
New Tanks Existing Tanks v o = � y A R �
c� U �n �n rn u, C7 P,
Scptic or Ho(ding Tank J ^ �J ,��? I V I�S��
'J ll
Dosing Chamber � � �
V.Respousibility StStement- I,the undersigned,assume resp ibilit f installaGon of the POWTS shown on the attached plans.
Plwnber's Name(Print) Plumber's Sign� re MP�m1PRS Number Business Phone Vumber
Dan Burch 253808 715.416.1642
Plumber's Address(Street,City,State,Zip Code)
N5921 County Hwy K Spooner WI 54801
VI.Co /Uepartmeat Use Only
�Ap� ❑Disapproved Permit Fee Da[e]ssued Issuing Agent Signature
�Y ob �I t L�(..Z-3 7'�/�L[,Y��.t;� V1[r.
. ..[]Owner Given Reason for Denial �� I ' I �
Conditions of ApprovalBeasons for Disapproval ��1 �,/C7/
,'�1 � � :ral�r:�C�1 ;TV�.."c3....._....a ._= L-1 ��\�/r�J t� v �
, a � ,�.e. D
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._hk# a�o� - SEP 19 2023
�ST �-3 - isy : 3��s
CS �' _ a3 SAVVYER N�T��
Attach tn complete pla or the system and submit to the Counry�onlv on paper not less than 8 u2 x I1 inches m size
�_� �c ,� �-.YI"'*` � U��`�1 C
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SBD-6398(R.02/22) NQ RLFJN�F AFT�R `�q'�'�-, _ �""
ISSUE OF F�RMi i
M L�
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner info
Project Name: Hill GeoMat
Owner's Name: Hill Construction LLC
Owner's Address: 15988 US HWY 63 Hayward WI 54843
Property Info
Property Address: 16550 Ridgerock Rd
Legal Description: S 29 T 41 N R 9 W
Township Hayward County: Sawyer
Subdivision Name: Stonewood West
Lot Number: 4 Block Number: CSM#:
Parcel I.D. Number: Tax ID 10090
Pian Transaction No.:
Index Pages
Page 1 Index and title Page 9 Filter specifications
Page 2 Data entry Soii 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 Burc License Number: 253808
Date: 09/19/2 Phone Number: 715.416.1642
Signature:
Designer Stam : State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual Ver.June 26,2018 Version
Page 1 of 10
In Ground and Dosing Distribution Component Design
Design `Norksheet
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%)
450.00 Design Flow(gpd)
0.00 Site Slope(%)
101.00 Prop. System Elevation (ft)
40.00 Depth to Limiting Factor(in)
1.60 in-situ Soil Application Rate(gpd/ft2)
102.50 Lowest Original Grade Ele. In System Area (ft)
102.50 Highest Original Grade Ele. In System Area(ft)
93.00 Limiting Factor Elevation (ft)
0.00 Depth Below Grade
Distribution Cell Information
3.25 Cell Width (ft) 2 Number of Cells
2.00 Dispersal Cell Design Loading Rate(gpd/ftZ)
2 Influent Wastewater Quality(1 or 2)
istribution Information
E Center or End Manifold, Dist. Box or Drop Box
1 Number of Laterals System dosed N
425 Lateral Spacing(ft)
System not dosed
Manufacturer Information
Treatment Tank Information Effluent Filter Information
1000.00 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: Hill GeoMat Page 2 of 10
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alcu ations
I ft A 3.25 ft Basal Area Required 2g1 25 ft`
K 1 ft B 35 ft Basal Area Proposed 332.5 ftZ
S 1.00 ft L 37 ft
W 9.50 ft
�Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 1.6 qal/sq R/day 450 2.00 gal/sq fUday
Total 28125 ft2 Total 225 ftz
Pro osed 227.5 ft2
Number of Cells 2 GeoMat Width 325 ft
Cell Length ft Lineal Feet of GeoMat Required 69.2
Min.Cell Len th 34.6 ft Lineal Feet of GeoMat Pro osed 70
Cell Spacing 1.00 ft NOTE:Min S dimension=1'
S stem Elevation 101 ft
Limitin Factor 93 ft
Se aration 8 ft 2'ntin
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 rete and GeoMat cell loading rate
Project: Hill GeoMat Page 3 of 10
End Connection Lateral Layout Diagram
;;
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. n�.
a�
Hole spacing is every 12" , 1/2" hole at 4 8 8 O'Gock, starting 4 O'clock 6"from end and
8 O'Gock Hoies at 12" from end.
Lateral Spacing 425 ft Pipe Diameter 4.00 in
Distributfon Celi Cross ection
102.5 ft � �����n�e c;�n� �� �� ��
. �
(� � ,�,'� '� 12"-48" ,..eael.fip. `v �tl�
, .
0 ft — Smd Cora[teoommmded .
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• . `� p� \� .'_. ' _ .
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Top of geomat to be at �.. � GFAMAT
or below original grade � � � Z„�STM 33 �� � � � � I � I � I C�a!
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_ � = _ � _ _NATIVE:SOIL. � = Jr �
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Observation Pipes
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Project: Hill GeoMat 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 Private Onsite Wastewater Treatment Systems Version 2A SPS-10705-P
(N.01/01). GeoMat in ground Component manual Version 7.
1.7his POWTS has been designed to accommotlate a maximum daily flow of 45�ons of wastewater per day. The qualiry ot
inFluent discharge into the POWTS treatment or dispersal component shall be equal to or iess 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 750 mg/L TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that ezceed these limits or that resWt in exceeding the enforcement
standards and preventative action limits specifed in ch.NR 140Tables 7 8 2 at a point of standards application,except as provided in DSPS
383.03(4),WisAdmin.Code.
2.The owner of this POVJTS is responsible for system operation and maintenance.
3.Defects or malfunctions iden6fied during maintenance described above shall be repaired in conformance with SPS383 Wis.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 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 383.33,Wis.Admin.Code.
NOTES
Two Effluent Filters to be installed where possible 1 to be installed in ST,and or i in pump tank in
order to insure particle size Iess than or equal to 1/8". 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 located approximately at the end of each ceil.
The plumber,or county shail 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,electricai outage causes the dose tank to fll,the homeowner should see to it that
the efFluent level in the tank is brought down qradually and not all dosed to the system at once. One larqe dose could cause damage.
Contact a pumper or your installer if this problem occurs.
The homeowner is responslble 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 structural failure resulting in cracks or leaks in the tank must be correded 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 outlel filter shall be replaced or repaired when it is either no longer capable of preventing the discharge of partides larger
than 7/S inch or when it has become permanently degraded by clogging so as to interfere with the design flow out of the septic tank.
C.Dosing chamber and pump.7he dosing chamber shali 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 water-tight The pump and controls shall be
replaced when they are no longer capable of functioning according to the design plan.
D.Pressure Dishibution Piping.Partial dogging of the distribution nelwork may resWt in unduly long dosing cyGes.The ends of the
distribution laterals may be ezposed antl 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 lo cleanse any acwmulated matter from the piping.It is recommended that the dosing
chamberthen be pumped by a licensed plumber.
E.Soil Absorption CeIL The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human health hazard
created by the effluent All faiWres created by surface discharge shall immediately be reported to the appropriate counry.The pump shall then
be immediatety disconneded to prevent further discharge to the ground surtace 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 aker any necessary plan approvals have been obtained from the
appropriate plan review authority and the required sanitary permit is obtained from the county.
Project: Hill GeoMat Page 5 of 10
In Ground System Maintenance and Operation Specifications
Service Provider's Name Dan Burch Phone 775.416.1642
POWTS Regulator's Name Washburn County SPIA-Zoning Department Phone (715)468�690
Svstem Flow and Load Parameters
Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in
EstimatedFlow-Average 300 gpd MaximumBODS 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 113.75 ft2 Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Ins ed and/or service once eve 3 ears
Effluent Filter Ins ect 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 pressure tested eve 3 ears
In Ground Inspect tor 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. 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 geotextile fabric.
3. All gravity and pressure piping malenals conform to ihe requirements in SPS 384,Wis.Adm.Code.
4. Scarifcation 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"oiamecer Finished Threaded Cleanout
. Lawn Sprinkler Grade \ Plug or Ball Valve
8ox \
y
Lateral Ends at Last Orifice W here
Long Sweep 90 or Two
��45 Degree Bends Same
Diameter as Lateral
�Distribution Lateral � Lateral Cleanout
101 Feet
Projecl: Hill GeoMat Page 6 of 10
GeoMat Distribution Cell Media Layout
3.25 Cell Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
__ _ _ � _ S
_
� _. , .. , .
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) 35.00 Cell Length -B (ft)
End Connection Lateral Layout Diagram
_ _ _. _ _. .. . _ _ ,
,.� �.. �. �.. .�. � .�.�. ....� ....► .�.� ...., ..�. � ..�.r ��;
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p a e _ _
E:�:�r,�.i r,r�n� W Y� �TYV�
( -�` _• ,... �••�.• . ,.: '_ - _`��.`. ;�e�.ti:nd � '.w�. I�I.eve!
sf+md cora ieeommmaea 12"-a8" ' .
pipeDi,,�. ` � . • � �hx ,•.' . • F�
' ' _ _-� N�a �-- -
. 1�: . _ ,r GFAMAT
I � I I � I 2�ASTM 33 3� I � I , 1 � I � I �
� _ J r � - 1 = � � = = = = — = — � _ Infiit�veStuScs
_ _ _ - _ _N_AT[VE-SOIL=. � � � _ �
� _ � � _ � � � � � ' T Faaor
� � _ n�.
See details on page 4 for number, size, and spacing of laterals.
Project: Hili GeoMat Page 7 of 10
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