HomeMy WebLinkAbout024-741-33-5403-SAN-2023-237 _- Department of Safety c�°°°ry �
� � = & Professional Services, s�`w r `b �
, , _ � Sanitary Permit Number(to be filled in by( �
�= Industry Services Division
`,: ` CoSI � �`� �
Sanitary Permit Application State Transaction Number �'
�--
;
[n accordance with SPS 383.21(2),Wis.Adm.Code,submission of this fonn to the appropriate govemmental unit �
is required prior to obtaining a sanitary permit.Note:Application forms for state-0wned POWTS are submit[ed to Project Address(if different than mailing adi �
the Department of Safeh and Professional Services.Personal inlormation you provide may be used for secondary
purposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. �dvQ n �h
L Application Information-Please Print All Information
Properiy Owner's Name Parcel#
� n� .� u � oa�+- �l�- 33 S o 3
Property Owners Mailing Address Property Location
N l�fl L L.a G r. Gov.Lt ot_�
City,State Zip Code Phone Number
�j i e-C�wd�C� ll-� 2 �'�8�'7 �— 1M(�^ D�, Section 3'3--
II.Type of Building(check all that apply) Lot# T �'I� N R O-1 f-or
�I or2FamilyDwelling-NumberofBedrooms O� d� SubdivisionName
Block# -�
❑Public/Commercial-Describe Use �--
❑City of __ __
❑State Owned-Describe Use CSM Number ❑Village of
GSM M` ,a(v0 ]�T'ownoe �ovnd I..aKC__
v. 1� p.3�1
III.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box on�ine B.Complete line C i
a ticable.
A� ❑ New S stem
y ❑ Replacement Sys[em ❑ Other Modification to Existing System(explain) ❑Addi[ional YretreaUnent Unit(explain)
B' ❑ Holding Tank �.In-Ground G�p+.e�� ❑ At-Grade gn ❑Other Type(explain)
❑ Mound ❑ Individual Site Desi
(conventionat)
C• ❑ Renewal Before ❑ Revision ❑Change of Plumber ist Previous Permit Number and Date Issued
❑ Transfer to New Owner ��
Expiration
IV.DispersaVi'reatment Area and Tank Information:
Design I�low(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Reyuired(st) Dispersal Area Proposed(s� System Elevation �
300 ,.o /�.0 3oo � �so 3oo / �c�q 9(..as
Capacity in Total H of Manufacturer
�
Tank Information Gallons Gallons Uniis � ;? v � �
New Tanks Existing Tanks v o :; � Y a a �
a U v� � v� v. C7 fi.
Septic or Holding Tank 7,[�Q � �`�'� � (�,,�+G y�(" e�n C J'C� J�
J
Dosine Chambcr
V.Responsibility Statement- I,the undersiRned,assume responsibility for installation of the POW'CS shown on the attached plans.
Plumber�s Name(Print) Plumbers Signature MP/MPRS Number 13usiness Phone Numbe
Rsna\d Ai 5 recKt�S Tr /� �1GG8g 7��-SS$'�`i'7a
Plumber's Address(S[ et,Ciry,State,Zip Code)
9a os ry 5►-a� Ra`a a� }'�4ywa r�, w= s^��y3
V1.County/Department Use Only
,�� Permit Fee Date IssueJ Issuing Agenl Signature
�, pr c ❑Disapproved $�M� � r I � -A qe � }.�,,,„,�,
v�J � I �� =�3 ����XM� �v-v•--
❑Owner Given Reason for Denial
Conditions of Approval/Reasons for Disapproval �
� � --._._`�-1-:�` �-�>._ �-1 L�,��ra��,// � r��:.r,
�� ' .I (T �„�.T '���__�� r�� r�—�4 ,�
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Attach ro complete plans for the system and submit to the County only on paper not less than S tn x e s¢e �� ��
NO REFUNDS AFTER
SBD-6398(R.03/22) I��J���R�T
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
Res�dential Applicai�e�
INDEX AND TITLE PAGE
All Water Treatm_ �4e F�'
ner In o , _
Project Name: Couey-Raven Ln
Owner's Name: Randy&Karen Couey
Owner's Address: N1427 Loon Lake Dr
Birchwood,WI 54817
r"o , n o
Property Address: Raven Ln
Legal Description: S 33 T 41 N R 7 W
Township Round Lake County: Sawyer
Subdivision Name:
Lot Number: 22 Block Number: CSM#: 2260
Parcel I.D.Number: 024-741-33 5403
Plan Transaction No.:
ex 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&specifications __
Page 7 Distribution media
Page 8 Plot plan
Ronald A Spreckels Jr License Number: 226688
Date: 09/20/23 Phone Number: 715-558-6472
Signature:
Designer St mp: State of Wisconsin Approval Stamp:
Desfgned PursuaM to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 8
In Ground and Dosing Distribution Component Design
e Information
R Residential 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)
9.00 Site Slope(%)
96.25 Prop. System Elevation(ft) Sand 8 Native soil Contour
62.00 Depth to Limiting Factor(in)
1.00 In-situ Soil Application Rate(gpd/ft�)
97.50 Lowest Original Grade Ele. In System Area(ft)
98.00 Highest Original Grade Ele. In System Area(ft)
94.25 Limiting Factor Elevation(ft)
025 Depth Below Grade
s ution Cell Mforrn o»
325 Cell Width(ft) 1 Number of Cells
� 2.00 Dispersal Cell Design Loading Rate(gpd/ftz)
2 Influent Wastewater Quality(t or 2)
istribution Information "
E Center or End Manifold, Dist Box or Drop Box
7 Number of Laterals System dosed N
0.00 Lateral Spacing(ft)
System not dosed
Manu a ►er on
Treatment Tank Information Effluent Filter Infortnation
750.00 Septic Tank Capacity(gap Lifetime Filter LLC Filter Manufacturer
Wieser Concrete Produds, Inc. Manufacturer LT 1/8 Filter Model Number
Project: Couey-Raven Ln Page 2 of S
In Ground Plan �ew
� � ��IlIl ������
:' °o�o o°o�o°a°o o°o°o�a o o°o°o�a°o°o��°o�o�o�o o°o�o°o°o°o�o a o�o�o�o°o�o°o 0 0°0�o a00000 :
• 00000000000000000000000000e000000000000 0000000 '
.' o�o°o o°o°o°o�o�o�o°o°o°o°o°o°o�o�o�p°o�o�o�o° �o�p�p�o�a�a�o�p�p�o '•
.' o�o°o�o�o�p�o�o°p�o�u°a�o�a�p�o�p�a°o�o�p�p�oa� �, Q ooa000�oo oo�p�oopoa ,•
.' o�o°o�o�o�o�o o�o�o�o�o°o�o�o°o�o�o 00000000oo���d�Yli`2�. o0 0�0�0°°o°o�o°o�o .'
alculations
I ft A 3.25 ft Basal Area Required 300 ft`
K 1 ft B 52 ft Basal Area Pro osed 300.04 ftZ
S O.00ft L 54ft
W 5.77 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
300 1 gal/sq fuday 300 2.00 gaVsq tUday
Total 300 ft2 Total 150 ftz
Pro osed 169 ftZ
Number of Cells 1 GeoMat Width 3.25 ft
Cell Length ft Lineal Feet of GeoMat Required 462
Min. Cell Len th 462 ft Lineal Feet of GeoMat Pro osed 52
Cell S acin 0.00 ft NOTE�Min S dimension= 1'
S stem Elevation 9625 k
Limitin Factor 94.25 ft
Se aration 2 ft 2'Min
Directioos l
Play wlth cell length tc cet desired cell spading. length and width. Remember system SHOULD be lor.ger:I�ian it is �
wide It must a�so Satisfy basal loadinq rate and GeoMat cell loadinq rate
Project: Couey-Raven Ln Page 3 of 8
End Connection Laterel Layout Diagram
� _
Hole spacing is every 12",7/2"hoie at 4 8 8 O'clock,starting 4 O'dock 6"from end and
8 O'clock Holes a�12"from end. 4"Perforated pipe may 6e usetl.
Lateral Spacing 0.00 R Pipe Diameter 2" in
s ut on e ross ' on
F��4� Gr-ac� -+atx F;,,,�,...,��.,� v�Y V�Y�Y �Y
q11�e�c.d a-o co+.,�'cr� n;maimm
Wi deP''''� � (w..��e�e 12�-0Z �.�o ca��
025ft —
�e.GuiKr�Ln�S � . —�;`�.."
� 2"in �► PIpCDIt� - , ^ �Nu F�
. .A v�o� i�__
Top of geomat to be at or �1. _ _ _ - � � GFAMAT
Ibelow original grade I I I Z ��33 c;,y � i � , � � � � � �«�
I I I . 1 � �gyyK yyu��
- ____-NATIVE.SOIL._-_i=�
62in y
--"----___� =-.���F�na
..@ 00 p25 . . . . . . . . . . .. .
av�++���
err.ea.a.
, .I,.� � a•wa. �
12"Mia l �
42"Max- i
am I
r.,�iniiy,e. ., I ., an
�L_. . '
�u e..�,ava,m�
�� �
� J--__".��---, � ���
�'�`�`�''coiun5� i=-w.m.a:ee,�. . .
'�1'�FJ]�TmOm .�J.� ii
96.25
ProjecC Couey-Raven Ln Page 4 of 8
Notes/ Maintenance Requirements
MANAGEMENT PIAN
This private onsite wastewater(POWTS)has been desgned,and fs to be installed and maintained in accordance with SPS 383,Wis.Atlmin.
Code,the in-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0 SPS-10705-P
(N.01/Oi). GeoMat in ground Component manual April 2019 Version.
1.This POWTS has been designed to accommodate a maximum daily flow of 30�9Aons 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 monthly average of 30 mg/L fats,oif antl grease
A monthly average of 220 mg/L BOD5
A monthty 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 ac[ion limits specified in ch.NR 140Tables 1 &2 at a polnt of standards application,except as provided in DSPS
383.03(4),WisAdmia Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or maltunctions identifed dunng maintenance described above shall be repaired in conformance wlth SPS383 Wis.Admin.Code,
and the pertaining county Private Sewage Systems Ordinance. The users manual,provided to the owner of the POWTS fndudes the names
and teiephone numbers of the properly licensed individuals to contact for such repairs.
5.No produd for chemfcal 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 wfth SPS 353.33,Wis.Admin.Code.
NOTES
Two Effluent FiRers to be installed where possible 1 to be installed in ST,and or 1 in pump tank in
order to insure partide size less than or equal to 1/8". Filters should be cleaned once in spnng,and once in fall. Also,strainers in sinks in
the building shall be maintained,so that solids and fats are mfnimized 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 it that a wpy 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 lo 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 installer if this problem occurs.
The homeowner is responsible for fortnulating a water conservation plan that will ensure the system is rarely overloaded. LE.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 resWting in cracks or leaks in the tank must be corrected by replacement of the septic tank wmponent.
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 filter shall be replaced or repaired when it is either no longer capable of preventing the discharge of particles larger
than 1/8 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.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 wdh approved matenals to make joints water-tight.The pump and conlrols shall be
replaced when they are no longer capable of functioning according to the design plan.
D. Pressure Distribution Pipfng.Partial clogging of the distribution network may result in unduly long dosing cyGes.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 Absorptlon 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 surface discharge shall immediately be reported to the appropriate couaty.The pump shall
then be immediately disconnected to prevent further discharge to the gmund 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 sofl absorytion cell can be achieved.The
replacement shall be initiated only after any necessary plan approvals have been obtained from the
appropnate plan review authority and the required sanitary permit is obtained from the county.
Project: Couey- Raven Ln Page 5 of 8
In Ground System MaiMenance and Operation Specifkations
Service Provider's Name Ronald A Spreckels Jr Phone 715-558-6472
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
EstimatedFlow-Average 200 gpd MaximumBODS 30 mglL
Septic Tank Capacity 750 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 169 ft2 Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Ins ect 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 eriodicall
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 384.30-1, 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 mulched to prevent soil erosion and help reduce frost penetration.
Lateral Tum-up Detail
� 6-8"Diameter Finished Threaded Cleanou[
� Lawn Sprinkier Grade \ P�ug or Ball Valve
Box y
Vent if i ' ot Dosed
�� Lateral EnAs at Last Orifice Where
�� Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
L
�Distribution Lateral� Lateral Cleanout �
96.25 Feet
Project: Couey-Raven Ln Page 6 of 8
GeoMat Distribu#ion Ceil Media Layout
3.25 Cell Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
� ----_ _ . _ _____ _ � . _ _ -- _ _ . __ .
Componenf tegend
O Distribution Pipe
GeoMat is covered with approved geotexiile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
3.25 Cell Width -A(it) 52.00 Cell Length - B (ft)
End Connection Lateral Layout Diagram
r r �� ��r �r� � � � �� �� � � � � �.'.
_ _ TYPi� . e I
�iniched [:radc � `r ` \�+ `� ` `�Y `�
, ._ .,• _ , :__ __,.....`'. ':" -- . � . . ..'' ._v -.': '` _ - '....�. . Dif�I1h00
t : .` � ... . . . � `'' 12"-42" � : B�clfU• : j.i�tltll.evtl
SmdCoraseoommmded . ' � ..�.
p�� 1 � u�u � . ..; :�� F�nfiltrativ�e
. • , . . � Pipe 1�:_— - --
__1.- � _ _ � _ .-^ ^ � GFAMAT
� � � � � � � 2'AS'IM 33 �+� I � 1 , I � 1 � I �
Iafiltra�ve Surface
� — = � � = � � � � = � - - _. "
�NATIVE .SOIL. �
`� - � � _ � � � � _ �_. _ _ _ � � c�vF.aar
See details on page 4 for number, size, and spacing of laterals.
Project: Couey- Raven Ln Page 7 of 8
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