HomeMy WebLinkAbout010-277-00-3300-SAN-2024-009 _ (/1
°'�" �� Department of Safety c°°°`y �
_- �`�`��, 5 a,,�y� r z
_ �� � �� & P►•ofessional Services,
t� . Sanitary Permit Number(to be Yilled in by C
�,�1 = /� Industry Services Division YJ
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�;��„�.;,s%' C� S 1 ,
State Transaction Number �
Sanitary Permit Application _� o
In aecordunce with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit —�
i;required prior to obtaining a sanitary permit.Note:Application forms for state-owned POR'TS are submitted to 1'rojcct Address(ifdifferent than inailing addres;)
the Departmcnt of Safery and Professional Seivices.Per,onal information you provide may be used for secondary
pu�poses in accordance�vith the Privacy Law,s. I 5.04(I)(m),Stats. � I•�� �U W �3�r�p,�'�(Y�'.� R�
I.Application Information—Please Print All Information
Propc�ty Owncr's Namc Parccl#
�o.cc�b LesGher o�c� - a'�''7 - 0o-33O0
Property Ownei's Mailing Address Prope�ty Location
yoo T� l�d
Ciry.State Zip Code Phone Number p
! 1fnC►•SOn � W= Jr37 �� � � �, Section � 1
��t—..
IL Type of I3uilding(check all that apply) �ot� 'C �� N R�£-er
�I or2l�amily D���clling—Numbu'ofBcdrooms _ 3 _ _ �3 Subdi��isionName
Block� �-�ATGHCRY CRtEK $u31�,
❑ Public/Commercial—DescribeUse ��
❑City of_
❑Statc Owncd—Dcscribc Usc CSM Numbcr ❑Village of _
. l�'I'own of' _ _NG.�r�..r arG�
III.Typc of POWTS Permit:(Check either"New"or"Replacemcnt"and other applicablc on line A. Check one box on line B.Complete line C if
a licable.) _
`�' �,New System p y' ( 1 P�
❑ Re lacement System ❑ Other Modification to Existin;S stem ex�lain) U Additional Pretreatment Unit(ex I�in)
B' ❑ Holding Tank �In-Ground �COrv�q� ❑ At-Grade ❑ Mound ❑ Individual Site Desien ❑ Other Type(explain)
(conventional)�F�
C. ❑ Reneu�al 13efore List Previous Permit Vumber and Date I;sued
❑ Recision � Chanec of Plumber ❑ Transfer to Ne��Owner
Expiration
IV.Dispersal/Treatment Area and Tank Infm�mation: � F �ea,,,�t 3400 �� � (o. 'x '7 ' ell _
Dcsign Flo���(gpd) Dcsign Soil Application Ratc(gpd/st) Dispersal Arca Requircd(st) Dispersal Area Proposcd(s� Systcm Elcvation
y�'j'p �. o / l,.D S150 / a3S y5G /�3 93.50 `�i;,r
Capacity in Total #of '�tanufacturcr
°?
I'ank Info�niation Gallons Gallons Units � U � '° N Y
��M�� New'Ianks Existing"Canks � o a; � � ,n ro cd
a U v� � v� i�. U a
Septic or l loldina Tank ���� �, ���� _
i C �' G �'t
Dosine Chaml�cr ' ��� / �� � —
101�
V.Responsibility Statement-I,the unde�signed,assu responsibility for inst�Iarion of the POWTS shown on Nie attached plans.
Plumber's I�ami(Print) Plumb s SignaLure MPititPRS I�`tuuber Bttsiness Phone 1�umbcr
ra.�TS �k}cr��t Ic� CoSa 81 715-G3N-8J7lo
Plumher's Address(Street,Ciry,State,Zip Code)
J�13 lo 1�•� S+-�k. Ro�d 7� 1-��. ward �.�rl 54 8 b3
VI. oun v/Department Use Only
( Pcrmit Fcc Datc Issucd [ssuing Ag�nt Sienature
�A�� ro�e ❑Disappro�'ed ,.y�
!�'" ❑Owner Given Reason tor Denial $Yw'� `� �� ��y ��~����
Conditions oCApproval/Reasons for Disapproval
.
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� .� .��� ii�1�'ti1 ���.3.___ __._ . �_.__ _. .
CST � y - 0�� a�-,
Attach m complete pla s for the system and submi[[o the County only on paper not less than R�-H�x-t7�inches in size
��:� �5
ss�-639s�R.o3i22� NO R�FtJND�AFTER
ISSUE OF PERMIT
GmollAafi 11�i GR
_; . � . �.. _
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
Project Name: Lescher- Birken Trail Rd
Owner's Name: Jacob Lescher
Owner's Address: 4005 Tokay Blvd
Madison, WI 53711
operty n o _
Property Address: 14720W Birken Trail Rd
Legal Description: S 19 T 41 N R 8 W
Township Hayward County: Sawyer
Subdivision Name: HATCHERY CREEK SUBD
Lot Number: 33 Block Number: CSM#:
Parcel I.D. Number: 010-277-00 3300
Plan Transaction No.:
ex ages _ _
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
Travis But rfield License Number: 652879
Date: 01/17/2 Phone Number: 715-634-8176
Signature:
Designer Sta State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version...
Page 1 of 10
,. _:, ;
In Grourtd � �sint� Distribution Compc�r�ent Design
Design Worksheet
All Water Treatment Systems To Be Removed From System
te , ... _.: on _ _..
R Residential or Commercial Design � N I ISD Required?
300.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1 .5 = 150%)
450.00 Design Flow (gpd)
8.00 Site Slope (%)
93.50 Prop. System Elevation (ft) Sand & Native soil Contour
60.00 Depth to Limiting Factor (in)
1.00 In-situ Soil Application Rate (gpd/ft2)
95.50 Lowest Original Grade Ele. In System Area (ft)
96.50 Highest Original Grade Ele. In System Area (ft)
91.25 Limiting Factor Elevation (ft)
1 .50 Depth Below Grade
istribufion Ceil Information " _ . . ..
_ _. --- --_
3.25 Cell Width (ft) �� Number of Cells
2.00 Dispersal Cell Design Loading Rate (gpd/ft2)
2 Influent Wastewater Quality (1 or 2)
_..r ___ _ _ .
istribution lnformation ` _. ..
�� E Center or End Manifold, Dist. Box or Drop Box
1 Number of Laterals System dosed Y
0.00 Lateral Spacing (ft)
9.30 Forcemain Drainback (gal) Does the forcemain drain back? Y
0.50 Forcemain Filter Loss (ft)
2.00 Forcemain Diameter (in)
57.00 Forcemain Length (ft)
85.50 Inside Pump Tank Elevation (ft)
3.50 System Head (ft) x 1 .3
8.77 Vertical Lift (ft)
1.39 Friction Loss (ft)
14.16 Total Dynamic Head (ft) Designer must enter friction loss and system demand (gpm)
54.30 Minimum Dose Volume (gal)
25.00 System Demand (gpm)
ar� c urer n orir�a on _ _
Treatment Tank Information Effluent Filter Information
1000.00 Septic Tank Capacity (gal) Best Filter LLC Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer GF10 Filter Model Number
Dose Tank Information Gallons/Inch Calculator (optional)
602.82 Dose Tank Capacity (gal) 602.82 Total Tank Capacity (gal)
11 .82 Dose Tank Volume (gal/in) 51 .00 Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Manufacturer 11 .82 gal/in (enter result in cell DoseTankVolume)
Project: Lescher - Birken Trail Rd Page 2 of 10
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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.
Pipe Length=GeoMat Lenath
Lateral Spacing 0.00 ft Pipe Diameter 2.00 in
uion e ross e� on _ . _
p�.,��,�e c��t� `�^Y'� �r`Y`� �7��r
I�:`�`'��.-_��.:•:.:�,.-.:..•: '.'„ .`..'Bat►fill�. . ��
12"-42 : �'?�•
1.5 ft — S+md Cora se°°mafmd°d :.; .
f , :. :.
2 in —► pjpt D1L . .�uiu \.��' _�,',����, ` F�
� �.11 Pipe ���
�. . •. . ._..___.—.
Top of geomat to be at or •�. � GFAMAT
below original grade ' I � I � I � 2.�.�33�� I � I I I I C�p�
� � � Iafilta�ve Surface
�y =NA'TIVE.SOIG.�����
` 1 ��_ _�_�_�� � _ _�_ L��vF.aar
60in -1 �T—�
��S
���
��a cb.ae
a•um n�.
12"Min.
42"Max.
�
Toilet Flan e ebar
�IS�. I
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wo.o��z�.o_.e.e.�o� ,_ �- ''-- -
i��'i �i'i�i'i'�'i'i' 'i � � i i i �iiiii��'i'i�iii�iii�i�i�ii�iii��i
� 'ii ii�i�i i i
''�3'8RC[A6HiCOL3.AR i iiii�i�i�i�i�i�i�i�i�i i���i�i�i�i�i�iii���i�r�i�i�i�i�i�i
i � ii�i�i�i�i�i�iii i�ii �iii iii�i i�i�iii�i�i�i � ��I�i�i�i�i�i�����
iii�� i i i i i�i�� iiii�� i i � i i i i i i� ��� i i i i�i i� �i�i i i'i ii i�� ii�i�����i i�i i�i
� � �����i��� �i�� � i ii�� �� 2'ASTMG33rnd�dc i i i � � i i i�liiit�iil�i
�� �i�i� i � i�i��iii i i���i� i i i i i i i i iii��� �i�i�i�i���i�i�i�i�i�i i i iii�i�i�i�����i�i�
���I�i ��I�I���I�I�I�I�I�I�i�l�l�l�l�l�l�l�l�l�l�� ��I�I�I�i�l�l�l�i�l� ��I�I�I�1�1���1 I�I�I�I���I�I�i�l�i i�i�i�l�l�l�l�l
93.5 _ ��' � � '� � � � � � � � �'� � � � � �
Project: Lescher-Birken Trail 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 Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 20 SPS-10705-P
(N.01/01). GeoMat in ground Component manual April 2019 Version.
1.This POWTS has been designed to accommodate a maximum daity flow of 45Q�gAons of wastewater per day. The qualiry 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,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 quantities or qualities that exceed these limits or that resWt in exceeding 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 identified during maintenance described above shall be repaired in conformance with SPS383 Wis.Admin.Code,
and Ihe 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 1 in pump tank in
order to insure particle size less than or equal to V8". Filters should be deaned once in spring,and once in fall. Also,strainers in sinks in
the building shall be maintained,so Ihat 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.malntenance folder,and maintenance agreement is
given ta the homeowner.
This system may contain a dose chamber. If a pump,float.electrical outage causes the dose tank to fill,Ihe 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. 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 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 faWty 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 wpable 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 faWty 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 dogging of 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 deanse any accumulated matter from the piping.It is recommended that the dosing
chamberthen be pumped by a licensed plumber.
E.Soil Absorption Cell.The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human health hazard
created by the effluenL All failures created by surface discharge shall immediately be reported to the appropriate 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 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 sanitary permit is obtained from the county.
Project: Lescher-Birken Trail Rd Page 5 of 10
�. _ _ __
Servlce Provider's Name Butterfield Inc _� Phone�p15)634-817�
---------- --- �--
POWTS Regulator's Name Sawyer County SPIA-Zoning Administration Phone��(7�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 23Z25 ft� Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent Filter Inspect and clean as necessary at least once eve 3 years
Pump and Controls Test once every 3 years
Alarm Should test periodically
Pressure System Laterals should be flushed and pressure tested eve 3 years
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 Turn-up Detail
!'>i6-S" oiameter � . �;,,;thed Threaded Cleanout
�Lawn Spnnkler \��d� \ Plug or Ball Valve
G
��8ox �
��° �" ° '�' � '� Vent if i � ot Dosed
000 �oo��_��
,?Wteral Ends al Liil Orihce Where
� Long Sweep 90 or Two
— �45 Degree Bends Same
- � ' Diameter as Lateral
'� i-:�.r.j��! �;.
E:'� i "i'3r� �� � �.:�
� Distribution Lateral � �Lateral Geanout
93.5 Feet
Project: Lescher- Birken Trail Rd Page 6 of 10
GRAVITY-DOSED >>�.5 � ��F � v
SEPTIC / PUMP TANK SPECIFICATIONS
4"fdVentPipe (No Scale)
>10 ft from
Building Electrical must comply with
12" Min. or 2.0 ft above COMM 16 and NEC 300
Established Flood Elevation Extend manhole riser as necessary.
(typical) VVeatherproof
Approved Junction Box
Vent Cap Approved Locking Manhole
��V1POf�TANT: with Warning Label Attached
(typical)
Anchor tank(s) as necessary �Conduit
pursuant to SPS 383.43(8)(g) a° Min. or 20 ft above
Established Flood Elevation
� � (rypical)
�Airtlght Seal ' �
Finished Grade �
-' Quick Disconnect
18" Min.
CAPACITIES @ 11 .82 gal��n a ., 8 " � a ^ (typical)
d I
1
Depth (in) Volume (gal) �
* �
q 35.2 416.06 J � ,v,,e�P � �—APp�o�ed �o��tSW�th
� Approved Pipe 3 ft onto
LIql11d ',� Hole solid Ground
B 2.� 23.64 A Depth �'�, Force Main (typical)
� ' Filter*
[C] 3.8 44.92
�Alarm � * Install and maintain pursuant
D 10.0 118.20 B '�o� to manufacturer's instructions.
� � PUMP-OFF
* Pump Tank Liquid Level = 51 in �_ Pump �Qff e ELEVATION = 86.33 ft
I
° INSIDE BOTTOM
Force Main Diameter = 2 in Concrete
B�°°k ELEVATION = 85.50 ft
. . . . . . .`. � e .
Force Main Length = 5� ft 3" Approved Bedding Matenal Beneath Tank
Force Main Void Volume = 9•29 gal
[C] Total Dose Volume (TDV) = 44.92 gal/dose
L ( < 0.2X design flow + force main void volume)
Vertical Lift = 9'25 ft
PUMP TANK: SEPTIC TANK(S):
Volume = 1000 gal Total Volume = 6�2•82 gal
Wieser Concrete Inc Wieser Concrete Inc
Manufacturer: Manufacturer(s):
Pump Manufacturer: Champion
CPS5 Install approved force main filter pursuant to
PUCTIp MOC12�: (See attached pump curve.) manufacturer's instructions.
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Simtech
Controls/Alarm Model: PS Patrol
Filter Model: STF-100
Float switches containing mercury are prohibited.
�I _
GeoMat C3ist�ribution Geil Media Layout
325 Cell Width(ft) 2 63 Sidewail to Lateral(ft)
Distribution Cell Cross-section Arrangements
—��� __ _ . _ _ _ - ----
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O Distribution Pipe
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout-Typical
3.25 Cell Width-A(ft) 73.0o Cell Length-B(ft)
End Connection Lateral Layout Diagram
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12 42" • :>•
S+md Cava teoommeaded '
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pipe I?i�;' - ' , �u�K -\-:.�'.r. - FIafil�a8ve
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See details on page 4 for number,size,and spacing of laterals.
Project: Lescher-Birken Trail Rd Page 8 of 10
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FEATURES/BENEFITS SSPM��
�EKr,F E�
IMPELLER DESIGN
PERFORMANCE Non clog style,cast iron vortex impeller
Heads up to 28'TDH -Designed to help reduce clogging by foreign .��n �I
Flows up to 85 GPM material � ��
MOTOR POWER CORD
High efFicient,115v or 230v,oil filled, Sealed entry quick disconnect power cords
permanent split capacitor motor with upper -Prevents water from entering the motor
and lower ball bearings and thermal overload housing through a cut cord
protection -Easy to replace in the field
-Constant bearing lubrication -Available in lengths up to 100'
-Maximum motor cooling
-Runs cooler and lasts longer SWITCH
-Internal overload protection Piggy-back switch design
-Quiet operation -Defective switches can be diagnosed over
-Fasteners and shaft made from rugged, the phone
corrosion resistant stainless steel -Pump can be operated manually or
supplied with other piggy-back switches
SEAL DESIGN -Switch can be replaced without having to
Type 21 inboard seal design with secondary replace the pump
exclusion seal APPLICATIONS
-Rotating components of seal are in the
motor housing,being lubricated by the Basements,dewatering,septic systems
motor oil preventing foreign matter from and truck docks
wrapping around the seal components
-Seal will last longer if the pump runs dry
-Secondary exclusion seal keeps debris from
entering the seal cavity
1/2 HP submersible pumps that handle up to
1 1/4"solids with 2"discharge
PERFORMANCE CURVE
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Champion Pump Company, Inc • P.O. Box 528 • Ashland, OH 44805 ��ge � bu� � �
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I 1.50 ft A 3.25 ft Basal Area Required 450 ft�
K 1 ft B 73 ft Basal Area Proposed 456.25 ft2
S 0.00 ft L 75 ft
W 6.25 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loading Rate GPD Loading Rate
450 1 gal/sq ft/day 450 2.00 gal/sq fUday
Total 450 ft2 Total 225 ft2
Proposed 237.25 ftZ
Number of Cells 1 GeoMat Width 3.25 ft
Cell Length 73.00 ft Lineal Feet of GeoMat Required 69.2
Min. Cell Length 69.2 ft Lineal Feet of GeoMat Proposed 73
Cell Spacing 0.00 ft NOTE:Min S dimension = 1'
System Elevation 93.5 ft
Limiting Factor 91.25 ft
Separation 2.25 ft 2�Min
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 Satisf basal loadin rate and GeoMat cell loadin rate.
Project: Lescher- Birken Trail Rd Page 3 of 10