HomeMy WebLinkAbout004-839-24-5502-SAN-2023-256 -�" ' ` Department of Safety �°""ty �
�� & Professional Services, ° "`' �
a Sanitary Pe t Number(to be filled in by Co.
P= ,� Industry Services Division
l� S I la�"1 �
Sanitary Permit Application State Transaction Number �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit �— �
is required prior to obtaining a sanitary permit.Note:Application fortns for state-owned POWTS are submitted to Project Address(if different than mailing addt y�
the Department of Safety and Professional Services.Personal information you provide may be used for secondary �py�� ���/ ►(�
purposes in accordance with the Privacy l.aw,s.15.04(I)(m),Stats. �� �
I.Application Information-Please Print Atl Information �J(,���C}. j rj �wti�
Property Owner's Name Parcel#
I S r� S of� �3� a `
Property O er's Mailing Address Property Location
� �Z � � � Q � Go�t�
City,State Z.ip Codc Phone Numbcr
C Q L ���,.^ B �— � �- Ya.Section �7
w �oc v
II.Type of BuiWi g(check all that apply) Lot# T��N R $ E or�
�I 1 or 2 Family Dwelling-Number ofBedrooms 3 �_ Subdivision Name
� Block# i"-
❑Public/Commercial-Describe Use
�" ❑City of
�State Owned-Describe Use �� CSM Number ❑Village of _
� l�Townof �v�1.����
III.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable ao Gne A. Check one box on line B.Complete line C if
a licable.)
A" y �Replacement System ❑ Other Modification to Existing System(explain) ❑ Additional Pretrcatment Unit(explain)
❑New S stcm
B' ❑Holding Tank 0 In-Ground ❑At-Grade
❑Mound ❑Individual Site Design ❑ Other Type(explain)
(conventional)
C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑Transfer to New Owner �st Previous Permit Number and Date Issued
Expiration (�(,1�k �
.
N.DispersaUTreatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Race(gpd/s� Dispersal Area Required(stj Dispersal Area Proposed(s� System Elevation
J
y5o � �.� G o a ��f `Is� � � 9��r
Capacity in T tal #of Manufacturer
Y
Tank Information Gallons Gallons Units � � v 'O � � .�
New Tanks Existing Tanks y o a; � � � m at
R. U zn �, cn R» C7 CL
Septic or Holding Tank v�� ,,.._ ��� j S kaX �• S k
Dosing Chamber � — ��
V.Responsibility Statement-1,the undersigned,assnme responsibility for installation of the POWTS shown on the attached plans.
Plumbcr's Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number
K �. � �1�i,2�fr `ll� �ttr3 9�
Plumber's Address(Street,City,State,Zip Code)
h�i c�� 5�'i o t �1�.tr� E a .L "K�. 5
VI.County/Department Use Only
�Ap � ❑Disapproved Permit Fee Date Issued Issuing Agent Signature
$ yao�' �° �s I��, -� � 1 ' Hz�r��;,�
❑Owner Given Reason for Denial ��`'�"�L �
Conditions of ApprovallReasons for Disapproval
� � � r�<� _ r`��
�` � ' �i�_� s `�-� � �-. ��l� ��,
� , •: h
� t'�i � �3 t � � ��_. 5
` ���il� ��-ar .� a3 1 �, ,
:.br�k# � � � OCT 0 4 �023 ;--./
C 5� �3 — e� � ._ 4� ��&� —_
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:f�r_. __.r_�T.��.�.��.._..._��._. [�
J�t�J'!YY_I-1 ,:�:?J�t�I �
zc�rv;tvU apr,�jt���
Attach to complete plaos tor Ne system and submit to the County only on paper oot less than 8 ll2:11 inc6es in size �c�, :?
J
SBD-6398(R.03l22) 113C R�FUN��AFl ER
issu�or�R���r
GeoMat IN GROUND AND DOSING DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Info
Project Name: Miles
Owner's Name: Philip and Suzanne Miles
Owner's Address: 12218W Johnson Rd
Couderay,WI 54828
Property Info
Property Address: 5845N Hwy C�
Couderay,WI 54828
Legal Description: S 24 T 39 N R 8 W
Township Couderay County: Sawyer
Subdivision Name: NA
Lot Number: NA Block Number: NA CSM#: NA
Parcel I.D.Number: 004839245502
Plan Transaction No-:
Index Pages
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry
Page 3 GeoMat dist.cell drawings&calculations Page 11 Soil test
Page 4 Lateral and cell cross section Page 12 Soil test
Page 5 Management&contingency
Page 6 Maintenance&specifications
Page 7 Tank cross sections
Page 8 Distribution media
Kurt Brown License Number: MPRS 224281
Date: 10/01/23 Phone Number: 715 943 2988
Signature:� COt�n.�
Designer St p: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual Apnl 2019 Version
Page 1 of 11
In Ground and Dosing Distribution Component Design
Site Information
R Residen[ial or Commercial Design N ISD Required?
300.00 Estimated Wastewater Flow(gpd)
1.50 Peaking Fador(e.g. 1.5= 150%)
450.00 Design Flow(gpd)
12.00 Site Slope(%)
99.10 Prop. System Elevation(k) Santl 8 NaWe soil Conlour
103.00 Depth to Limiting Factor(in)
1.00 In-situ Soil Application Rate(gpd/fl2)
103.40 Lowest Original Grade Ele. In System Area(ft)
104.50 Highest Original Grade Ele. In System Area(ft)
95.75 Limiting Fador Elevation(ft)
3.90 Depth Below Grade
Distribution Cell Information
325 Cell Width(k) 2 Number of Cells
2.00 Dispersal Cell Design Loading Rate(gpd/ft2)
2 Influent Wastewater Quality(1 or 2)
Distribution Information
DBox Level Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed Y
425 Laterel Spacing(ft)
14_68 Forcemain Drainback(gal) Does the forcemain drain back? Y
0.50 Forcemain Filter Loss(ft)
2.00 Forcemain Diameter(in)
90.00 Forcemain Length(ft)
83.00 Inside Pump Tank Elevation(ft)
3 50 System Head (ft)x 1-3
16.87 Vertical Lift(ft)
7.39 Fnction Loss(k)
22.26 Total Dynamic Head (ft)
59 68 Minimum Dose Volume(gal)
25.00 System Demand(gpm)
Manufacturer Information
Treatrnent Tank Infortnation Effluent Fiker Infortnation
1000.00 Septic Tank Capacity(gal) Tuf-Tite Incorporated Filter Manufacturer
Skaw Precas[ Manufacturer EF-6 Filter Model Number
Dose Tank Infortnation Gallons/Inch Calculator
642.00 Dose Tank Capacity(gal) Total Tank Capacity(gal)
16.47 Dose Tank Volume(gal/in) Total Working Liquid Depth(fn)
Skaw Precasi Manufac[urer � � gal/in(enter result in cell DoseTankVolume)
Project Miles Page 2 of 11
In Ground Pian View
2 e�:� ���Yv�..�.2
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.;�:� �OGC�O`OC V��,O�,OOOCOOGO V O`00000 000000 <:`O,Y � I
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r n , �_4 ._ n u .� r> o n,' Q�_C_o_p_p_�,_o_n_4_24-c�_�n_2r� n c� ,� ,� o 0 4_9_4_4_4���-4-:
. . _ - - ' _�
� _ _— _ _ -- _ _ � _ - -- --- —�
Calculations
1 ft A 3.25 ft Basal Area Required 450 ft1
K 1 ft B 50 ft Basal Area Pro osed 525 ft2
S 1 .00ft L 52ft
W 10.50 ft
Basal Area Calculation GeoMat Dispersai Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 1 gausq fl/day 450 2.00 gal/sq ft/day
Total 450 ft Total 225 ft2
Proposed 325 ft
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length ft Lineal Feet of GeoMat Required 69.2
Min. Cell Len th 34.6 ft Lineal Feet of GeoMat Proposed 100
Cell Spacin 1 .00 ft NOTE: Min S dimension = 1'
S stem Elevation 99.1 ft
Limitin Factor 95.75 ft
Separation 3.35 ft 2�Min
Project: Miles Page 3 of 11
Distribution Box(Level)Connection Laterai Layout Diagram
�-- -- --- -----
,
/ __ l
;..,,.,
� _ ____ _ _ _ ,
�— �
_ — �
Y
Hole spacing is every 12", 1/2"hole at 4&8 O'clock,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
�inichrA(in�ic �Y` � `i � �l`YV'
. j . e��
I , � = . : �1r�-a2 �►fn , . . Latvatt.evel
3.9 ft— Smd C°°et t°°ommeaded
i
4"in —► PipeIJit ' \ � u�v, htfi.traLve
. � . . N�o� i�_ _ -- �Fabric
Top of geomat to be at or � 1• .--..;.- - _ -„-„- . �.. . - •;���.--.: ��_GFA MAT
below original grade � � i � I � I � �2'AS'iT�i 33°a, � � � � � � � � � �
Lzfiltra�ve Surface
�cy 1==--�NATIVE SOIL:-=- =�
I �-�__� ����r��� �_�����t.�,,.•;�.,PF,cwr
103in y
Observation Pipes
.�.�T,��
F�ec„ee ��'' �.'���
, _,- a'r.iroa._ i
12"Min. .--� � ��\ i
42"Max. ~ I
i
, � li
l.,�l�t f�I:�n_� j j�\ �' I —It�h.�r
` � I
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i
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� �.�� -� mwboe i,. �
�EG.1SAl' ._ _ _'_'_"" _ ' _ '"
�AT��CI.CSE�T C�..I.f.�.- ' .^/8'N Du Re6 i
'12'�A.�TM C 33�end wde�G���t
99.� - �� �_ I
Project: Miles Page 4 of 11
Notes/Maintenance Requirements
MANAGEMENTPLAN
This private onsite wastewater(POWTS)has been designed,and is to be installed and maintained in acwrdance with SPS 383,Wis.Admin.
Code,the io-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0 SPS-10705-P
(N.01/01). GeoMat in ground Component manual Apri12019 Version.
1.This POWTS has been designed to accommodate a mazimum daily flow of 45Q�9Aons of wastewater per day. The quality of
influent discharge into the POWTS treatment or dfspersal component 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 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 result in exceeding the enforcement
standards and preventative actlon limits specifed in ch.NR 140Tables 1&2 at a point of standards application,ezcept as provided in DSPS
383.03(4),Wis Admia Code.
2.The owner of this POWTS is responsible for system operetion and maintenance.
3.Defeds or malfunctions identified dunng maintenance described above shall 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 includes the names
and telephone numbers of the propedy licensed individuals to contact 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.Admirt Code.
6.If the POWTS is replaced,or i[s 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 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 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 fll,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 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 corrected 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 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 structurel failure is tound-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 Distribution Piping.Partial clogging of the distribution nelwork 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 rewmmended 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 stridly prohibited due to the human health hazard
created by the effluent.All failures created by surface discharge shall immediately be repoRed to the appropnate county.The pump shall
then be immediately diswnnected 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 temporery holding tank until the necessary repairs to the soil absorption cell can be achieved.The
replaceme�t shall be initiated only after any necessary plan approvals have been obtained from the
appropriate plan review authonty and Ihe required sanitary permit is obtained from the county.
Project: Miles Page 5 of 11
In Ground System Maintenance and Operation Specifications
Service Provider's Name Robert Berceau Phone 920-819�100
POWTS Regulatofs Name Sawyer County SPIA-Zoning Administretion Phone (715)634-8288
Svstem Flow and Load Parameters
Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow-Average 300 gpd Maximum BODS 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 162.5 ft Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Filter Ins ed 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 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 Manuai 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 Turn-up Detail
. . _—___._---__-----��--� -- -- -
�6-8"Diameter Finished Threaded Cleanout
Lawn Sprinkler Grade \ �� Plug or Ball Valve
Boz \ �
y %
Vent if� " ot Dosed
Lateral Ends at Lart Orifice Where
Long Sweep 90 or Two
��45 Degree Bends Same
� Diameter as Lateral
��
- —�----------- L' �
Distribution La[eral Lateral Cleanout
99.1 Feet
Projed: Miles Page 6 of 11
Dose Tank Information
L��il.in_ r��cer ��ith ��;irnin_ inL�l. _
In�I.inc ilcvir� .ind ��:i�rr ti��ht .�:il �
1" \'�'nlr�1 ( mrf ��
I:Irclrital b�,�
a. ��rr \L( :UO
:md SPti ;I6 '_ti \\ .�( '
� —�
I ini<hcd Gr,id� �� ,
. ,-• . . . . • , . • • . • , IJi�iV11t1iCl ` .
1" (�I�un �wl I'i��r � Optiun:d h:�il ���he
�
�\tCi� ��mn1 1 ��iCtn� �uL1I'CC ! I l�� coutmi s���t�l �,f
� clllurnl hr�nC du�rd
� ll�ili�m:1� oUtl�'I
1" Inlrl I'�1 I itt-:; �
,;.,;,,, , Forcemain diameter
I3�,,, ,�<�i, � � / , . �.� �� ;��:�, ,,�,,:�„� 2 In.
:111(� �AJ�:'( . � i�lc,hi lufiilillin ��nl��
� LiL�ll ":h�.�•I .��iid;•r�run;l
j A1ii��ll�,le �•; .uiL ��Ultllc�
� .��,�It`I1l;C\i'.:
. i
�Ili�h ��:itcr :il;irin�-'� �
'um�i On I I�,:u � �
�I'uin�� OI��� I�lu:it• � . :•
�
i��,n,�, �—.-- Pump off elevation (ft)
� _ 83.33
�� ,w�.
� ' ' ;4 ;. ��" I�r�i�lin�_ unclri [�inl. ' ' �_ Dose tank elevation (ft)
_ - .;;
;;,,.,,o,, .. ,;... _ _ _. 83.00
Dimension Inches Gallons Skaw Precast
A 29.36 483.50 Capaci 642.00
B 2.00 32.94 Volume 16.47 gal/inch
C 3.62 59.68
D 4.00 65.88
Total 38.98 642.00
Filter Manufacturer Clearflow
Filter Model Number NSSCFF324
Alarm Manufacturer SJE Rhombus
Alarm Model Number AB
Pump Manufacturer Zoeller
Pump Model Number 98
Pump Must Deliver 25.00 gpm at 22.26 ft TDH
Project: Miles Page 7 of 11
GeoMat Distribution Cell Media Layout
3 25 Cell Witlth(k� 2.63 Sidewall to Lateral(H)
Distribution Cell Cross-section Arrangements
� ti
Component Legend
O Distnbution Pipe
GeoMat is coveretl with apOroved geote�ctile faDnc as per Ne their protlucl approval.
Distribution Cell Plan View Layout-Typical
3.25 Cell Wid[h-A(ft) 50.00 Cell Length-B(k)
�_�_�_—_—�___—y
Typical Dispersal Cell
[:n�chrA C�r�Ar �1'� V'�!'`� �Y`YV
. .. . ` QiSC1�{Q00
I. � � ... . 11�-02 � Nr'lfll [J:GE�I.CVt�
� CaR�eooa:m�d -
� '\ �,� � � .-��( tnAtrtiw
� . . v�a i�. ' /Fabric
�n 1'i . - ___�'c�i<�-{;.�._i�l�_GFAMAT
1 I � I � 1 � I�12'ASi?d33'_'=-� ,.I � I , I I II Ca�
T^filt�ve Sur`.ece
� i_---=-'-------------�
� I__=_=NATIVESOIL.=====�
�-- -- ---- -- —====�r.�^i•;.,e°earr
See tlelails on page 4 tw number,size,antl spar.iig of lale2ls.
Project: Miles Page 8 of 11
PROJECT DESIGN FLOW=450 GPD
PHILIPANDSUZANNEMILES SOILAPPLIC TON�RATE=.7GPD/SQ. Ft.
12218W JOHNSON DR SIGNED: /�
COUDERAY,WI 54828
MPRS#2242 1
GOV. LOT 5, S24,T39N, R8W
TOWN OF COUDERAY
5845N CTH CC
Q� ELEVATIONS
I BM= 100.0',TOP OF WELL.
I B-1 = 104.3'
B-2= 103.4'
ry B-3=103.1'
SCALE: t"=50' SURFACE WHERE BUILDING SEWER EXITS HOUSE=88.5'
BM= 100.0',TOP OF WELL PUMP EL. =88.5'-2'BUILDING SEWER DEPTH-3.5'=83.0'
� SYSTEM EL.=99.1'
RANGE=992-88.75'
LAKE -70.0'
PROPERTY LINES
ASHEGON LAKE DR.WAY TO HWY CC
1,600GAL. WELL/BM
HOUSE COMB.TANK �
B-2
12.5% ❑
88.5' e\ :� 10.5'X 52'GEOMAT BED
� LEVEL IN �yy00DED)
TH IS AREA
�
2"FORCE MAIN B3�O � B-�
104.5'
(1'CONTOURS)