HomeMy WebLinkAbout010-277-00-3000-SAN-2024-037 ' Industry Services Division County ��
' , 4822 Madison Yards Way Sawyer Z
_ = Madison,W I 53705 S -Permit Number(to ed in by Co.'
�_ � P.O.Box 7302 ! � ' � �
�;,�y . Madison.W[53707 (0 7 ,�L
1
Sanitary Permit Application S`a`e o
In accordance with SPS 3R3.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmenta]unit �� ,�j
is reyuired pnor to obtaining a sanitary permit Note:Application fonns for state-owned POWTS are submitted to Project Address(if different than mailing addr�„�
the Dcpartmcnt of Safery and Prolessional Services.Pcrsonal information you provide may be used for secondary girken Trai I
pmposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. ;,}�
I.Application Information-Please Print Aillnformalion
Property Owne�`s Name arcel#
Gregory and Rose Anderson �r���� �''� 10277003000
a '3�t� 3
Property Owner's Mailing Address Property Location
10730 Cty Rd BB
City,State Zip Code Phone Number
Marshfield WI 54449 -- p�^� Secrion 19
1I.Type of Building(check stl thst apply) �or# T 41 N rt 8 E or w
�I or 2 Family Dwell ing-Number of Bedrooms_� 30 Subdivision Name
Biock# Hatchery Creek �.-.� ,
�ublic/Commercial-Describe Use
�� ❑City of _
�State Owned-Describe Use_ C5M Number illage of _
�— 0✓�ro,,,,�,r Hayward _ _
Ilt.Type of POW'TS Permit:(Check either"New"or"Replacement"and other applicable on Iine A. Check one box on line B.Complete line C i
a licable.)
A.
✓�Iew System �Replacemen[System �Other Modification to Lxisting System(explain) �Additional Pretrea[ment Unit(explain)
B' �Holding Tank QIn-Ground �At-Grade �Mound Individual Site Design Other Type(explain)
(conventional)
�-• ❑Renewal Before Revision hange of Pl�mber �1"ransfer to NeH Owner List Previous Permit Number and Dat Issued
Expiration �3 ^ 2� ( � � �� � � �a.2 3
IV.D` ersaUPrestmeut Area and Tank Int'ormation:
nesiRn Flow(gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required(s� Dispersal Area P�osed(s� System Elevation �
3c� o l,a 3� � � fS � R' Sio
Capacity in Total #of Manufacturer
Tank[nformation Gallons Gallons Units � � o � �
New Tanks Existing Tanks y c aUi 4 � � � �
0
a U tn v, v� cs. C7 a
Septic or Flolding Tank �(j�Q �!�� 1 Wieser ✓
i
Dosing Chambcr '- � � �
�,7 J g D:7
V.Responsibility Stetement- I,the undersigned,assume res nsibit' fo nstallation oT the POWTS s6own on the attached ptans.
Plumber's Name(Print) Plumber's Si* ture ViP�MPRS Number Business Phone Number
Dan Burch 253808 715.416.1642
Plumber's Address(Street,City,State,'Lip Code)
N5921 County Hwy K Spooner WI 54801
VI.C un JAepartment Use Only
�A o4 ❑�pisapproved Permit Fee Date Issued [ssuing Agent Signatu��e
❑Owner Given Reason for Denial
$ !�j'�`u �'I 1 I��{ ��,cr�£�c�..���-�ZVvc�ir.:
Conditions of Approval/Reasons for Disapproval ���� �
�_� �� �� � 3 f i i � �-�-I _. � n1�r�,,; � �
�W r� � iI i��('1� , � � �!
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� �o I � JAN 2 4 20Z4 �
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SAWY�� �C)�•"�iTY
Mf�{IS i;ATION
At[ach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x ll inches in size
sBD-639s�R.o2i22) NO RCFUNDS AFTER
ISSUE OF PERMIT
� -��7�
eoMat IN ROUND AND DOSING DISTRIBUTION COMPONENT DESI N
Resfdential Application
INDEX AND TITLE PAGE
wner Info
Project Name: Anderson Geomat
Owner's Name: Greg and Rose Anderson
Owner's Address: 10730 Cty Rd BB
Property Info
Property Address: Birken Trail
Legal Description: S 19 T 41 N R 8 W
Township Hayward County: Sawyer
Subdivision Name:
Lot Number: Block Number: CSM#:
Parcel I.D.Number: 10277003000
Plan Transaction No.:
n ex ages
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry Filter specifications
Page 3 GeoMat dist.cell drawings 8 calculations
Page 4 Lateral and cell cross section
Page 5 Management&contingency est
Page 6 Maintenance&specifications
Page 7 Tank cross sections
Page 8 Distribution media
Dan Bur� License Number: 253808
Date: 01/04/2 ' Phone Number: 715.416 1642
Signature:
Designer Stamp: 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 Worksheet
Site 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)
0.00 Site Slope (%)
95.00 Prop. System Elevation (ft)
48.00 Depth to Limiting Factor (in)
1.00 In-situ Soil Application Rate (gpd/ft2)
97.00 Lowest Original Grade Ele. In System Area (ft)
97.00 Highest Original Grade Ele. In System Area (ft)
93.50 Limiting Factor Elevation (ft)
0.50 Depth Below Grade
.. . . _ _ . __ � _
is ribution Cell Information
3.25 Cell Width (ft) 1 Number of Cells
; 2.00 Dispersal Cell Design Loading Rate (gpd/ft2)
� 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 Y �
0.00 Lateral Spacing (ft)
4.59 Forcemain Drainback (gal) Does the forcemain drain back? Y �
_ _ _
0.00 Forcemain Filter Loss (ft)
1.50 Forcemain Diameter (in)
50.00 Forcemain Length (ft)
85.00 Inside Pump Tank Elevation (ft)
3.50 System Head (ft) x 1 .3
12.10 Vertical Lift (ft)
1.39 Friction Loss (ft)
16.99 Total Dynamic Head (ft) Designer must enter friction loss and system demand (gpm)
34.59 Minimum Dose Volume (gal)
15.00 System Demand (gpm)
Manufacturer Information
Treatment Tank Information Effluent Filter Information
840.00 Septic Tank Capacity (gal) Polylok Inc./Zabel Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer 3014-525-1/16-10,000 GPD Filter Model Number
Dose Tank Information Gallons/Inch Calculator (optional)
500.00 Dose Tank Capacity (gal) Total Tank Capacity (gal)
11 .82 Dose Tank Volume (gal/in) Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Manufacturer �� gal/in (enter result in cell DoseTankVolume)
Project: Anderson Geomat Page 2 of 10
In Ground Plan View
IL m C��Il11 C�rc��Y��.�
0000000000000000tr�oo�otT00000000000000000000. 0000000
0000000000000000000000000000000000000000000000
000000000000000000000000000000000000000 0000000
00000000000000000000000 0000000000
00000000000000000000000 0000000000
00000000000000000000000 ���� o000000000
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000000v000000�000000�To_o_o_r o000 00000
Caiculations
I ft A 3.25 ft Basal Area Required 300 ft`
K 1 ft B 60 ft Basal Area Proposed 315 ft2
S 0.00 ft L 62 ft
. W 5.25 ft
Basal Area Caiculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
300 1 gal/sq ft/day 300 2.00 gal/sq fUday
Total 300 ft2 Total 150 ft2
Proposed 195 ft2
Number of Cells 1 GeoMat Width 3.25 ft
Cell Length ft Lineal Feet of GeoMat Required 46.2
Min. Cell Len th 46.2 ft Lineal Feet of GeoMat Proposed 60
Cell Spacing 0.00 ft NOTE: Min S dimension = 1'
System Elevation 95 ft
Limitin Factor 93.5 ft
Separation 1.5 ft 2�Min
Directions:
Play with cell length to get desired ceil spacing, length and width. Remember system SHOULD be longer than it is
wide. It must also Satisfy basal loading rate and GeoMat cefl loading rate.
Project: Anderson Geomat Page 3 of 10
End Connectlon Lateral Layout gnm
_ . .._�.._.. -�� ,,.a.;r
Hole spacing is every 12",1l2"hole at 4&8 O'dock,starting 4 O'clock 6"irom end and
8 O'clock Holes at 12"from entl.
Lateral Spacing 0.00 ft Pipe Diameter 4.00 in
D a �ut on e � ross ection
97 R� Finished GnAc �V `�'`�'�+ W V
��
I.:��'..' ,��.� 12 48"���MAfO . �1fGt�[LYt�
0.5ft— ����� �
4 in—� Q�DII � �i T ��• �O61C1YYC
'.� no� �__ f�GiC
Top ot geomat m be at - �;Q�{p]'
orbeloworiginalgrade •� ���� I � Z•ASTM;3en I � I , I� I � I Cam��
lafltnave Stu�Sce
I ===I•(ATIVESOILy===Jy�
48 ft_y
� i_ =------ - --- y L'c.i�uFwv
bservatiod pes � �
*v.na�
97 f �^�"�
�•beq.
12"Min.
48"Max. '�.
Toile�Flan•.� ' RcFa:
\
ffTL3P. _ '� �
x .
�� "i_ _ _
�emrnr f
�w`'i1.ccosrr—..can ,� --u�.,.
�
95 f
Project Antlerson Geomat Page 4 of 10
Notes/ Maintenance Reauirements
MANAGEMENTPLAN
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 2.0 SPS-107D5-P
(N.Ot/01). GeoMat in ground Component manual Version 1.
7.This POWTS has been designed to accommodate a maximum daily flow of 30�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 BOD5
A monthly average ot 150 mg/L TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that ezceed these limits or that result in exceetling the enforcement
standards and preventative action limits specified in ch. NR 140Tables t &2 at a point of standards application,except as provided in DSPS
383.03(4),WisAdmin.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 SP5383 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 contact for such repairs.
5.No product for chemical or physical resloration or chemical or physical pmcedures 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 1l8". Filters should be cleaned once in spring, and once in fall. Alsa. strainers in sinks in
the building shatl be maintainetl,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 ihat a copy ot 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 fill,the homeowner should see to it that
the effluent level in the tank is brought down gradualty 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 rerely ovedoaded. 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 component.
Leaks in Ihe 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 shali 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 replacetl if any structurel fai�ure 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 tlesign plan.
D. Pressure Distribution Piping. Partial clogging of the tlistribution network may result in unduly long dosing cycles.The ends of the
distribution lalerals 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 tlushed to cleanse any accumulated matter from the piping. It is recommended that the dosing
chamber then 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 effluent.All faiWres created by surtace discharge shall immediately be reported to the appropriate 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 temporery 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 obtainetl from the county.
Project Anderson 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
System Flow and Load Parameters
Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 200 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 840 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 195 ftZ Maximum FOG 10 mglL
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once eve 3 ears
EfFluent Filter Inspect and clean as necessary at least once every 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test periodically
Pressure System Laterals should be flush�d and pressure 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. 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 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
Box y
Latera� Ends at Last Orifice Where
Long Sweep 90 or Two
�45 Degree Bends Same
� Diameter as Lateral
; . , _ �
a
Distribution Lateral Lateral Cleanout
95 Feet
Project: Anderson Geomat Page 6 of 10
Dose Tank Information
Locking covcr�vith��arning labcl,
locking devicc and���atcr tight scal
� 4"Ventcd Covcr
Glectrical bo�
as per NEC 300 `""" --
and SPS 31G?8 WAC
--�
.�__ ,�_Finished Grade___�� _�..__�_,i Ja_„L �,j„L,
��---- _lliSCOnnect
�"Clean out Pipe � __pptional bal��� Ive
\Vires From Electric sourcc � ; ��4 � to control s� d of
----_- ---._ __.--------- ------ I et77uent bein dosed
\Optional o tlet
4"fnlet YSll'iitcL� �
„pm� � �: -_____- -�} Forcemain diameter
I,{
� ._.,__._,
Boss stop � ���'ns�t�t 303 p��,�ia� 1.5 in.
and�vater - � �ncasc f'orccm in on�o �
� i i solid ground I /
tight gaskct �,� � Furnco
I,U'cep holc ur ant
siphon dccicc
H igh water alann�r ^
1 �
�'ump On Float 1 '� 3
�
1 �I
Pump Ofl Ploat r� �`,pump H� �--- Pump off elevation(ft)
_�_;-�_ 86.17
� i;i�,�:�: /
Dose tank elevation(ft)
"Beddin under tan � ~— $5.00
..,���_._„�..�.�.�
Dimension Inches Gallons Wieser Concrete Products, Inc.
� A 23.37 276.29 Capacity 500.00
B 2.00 23.64 Volume 11.82 gal/inch
� C 2.93 34.59
D 14.00 165.48
Total 42.30 500.00
Filter Manufacturer Sim /Tech Filter
Filter Model Number STF 100 1/16
Alarm Manufacturer SJE Rhombus
Alarm Model Number AB
Pump Manufacturer Zoeller Company
Pump Model Number 152
Pump Must Deliver 15.00 gpm at 16.99 ft TDH
Note: Switches containing mercury may not be used in this system.
Project: Anderson Geomat Page 7 of 10
GeoMat Distribution Cell Media Layout
3.25 Ceil Width(ft� 2 63 Sidewall to Lateral(ft)
Distribution Cell Cross-section Arrangements
_ . . . _ __--�...�(__ __ _—._._ _ _ ___. . . _
Component Legend
O Distribution Pipe
GeoMat is covered with approved geotextiie fabric as per the their product approval.
Distribution Cell Plan View Layout-Typical
3.25 Cell Width-A(ft) 60.00 Cell Length-B(ft)
End Connecfion Lateral Layout Diagram
�...r.-ir�........� �.. ..�. ��-...�'�.�....�.r-�...-.�. ..... �-...� .r.���
Typical persa e
Finished Gr:1Ac �'Y `�1'�`� `�`?'V'
(•.-:. . �. '��..• . .-.: �'. � `., e.c►r,d� . L�aall.evd
S+md Coaa ieoommmded
12"-48" �' �:>� '
pjpepii -- ' �u�x • •� - • F�
_. . . ��� Pipe �_. . -
_ — — � GFA MAT
� � � � � � � 2'A.S'I'M 33°�r, ( � 1 , I � I i I Compoorat
� —— J�J=.�y�==� �=- — Infil�ativc Sue�face
�NATIVE.SOIL==
� _��� �����..r ��� La�i�Q Factu
See details on page 4 for number,size,and spacing of laterals.
Project: Anderson Geomat Page 8 of 10
GHECK BOX A3 APPLtGA9LE. CHECK BOX A6 APPE.tCRBtE,
� SOIL EVALUATION a s�'�: �3Q 30 � � [�] SYSTEM PAGE 2 O�
�ITE MReP PL�T' PLAiV
PROJECT I�RME: �
7.bs �E81GN FtAUV: ,.r„� �� GpD
Greg Andersor� Attech destgn flaw ca(culatk�ns fnr cnmmercial plans.
PRo.►ECT AODRE9s: Bit'iCBi�T��fi Pfpe Mafedal/ASTM Siantiard(7ables 88d.30-9 8�394.90-5)
N Santtery Sewer. SC�1`4'��v�+ )
BM 3ymhol; � BM Elevatlo�: ��0 � Force Meln: J
eM o�tirn�,,: � Nail in basswood
Slo e Gradi�nt(%) Weli fndlceta north IA' ,1�1(IP(7RTAN7:
or��stedarea; 5 �Jmbol(if applica6ley. ,p drewin�anaRow Show graund elevstion contours at suit�ble intsruals.
oro tha eppropr8e Bne.
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Office of
Sawyer County Zoning and ,��1 `��;,� D
Conservation Administration
�., 5���
10610 Main Street, Suite 49 �,�1����,���
Hayward, WI 54843
2�
TeL(715)634-8288 � ��� �����O�
Fax:(715)635-3277 �,,�?`" ,�,���S"�F''P
URL:http://sawyercountygov.arg c�p.�p;�M
Email: zoning.sec(a�sawyercountygov.org �0�3\N
7'0ll Free:Courthouse/General Informatioi�
1-877-699-4110
Sawyer County Zoning and Sanitation "As - Built" Form
Property Owner's Name �i[,�t� ���E,2 5 ��✓
Fire Number and Road Name �. ���� 1P-/4 � C.
Plumber's Name � /�� 1� �f'�C, l�
Date of installation / — E"�— � � 2 `1
County Sanitary Permit Number c,2 � — � � 7
12 Digit Parcel Number Z� � a 7 � OO �j O O �
Description and Elevation of Benchmark �z;,l �-1, y� < 5 5 �a��l
Tank Manufacturer and Capacity l,✓�t 3 -� � ���J�� �u
7 �
Setback-Tank to Nearest Lot Line 5 �
Setback-Tank to Nearest Well /U�/�
Setback-Tank to Building �J �' �
Cell Width �� � �
Ccll Length � '�
Number of Cells �
�
Setback-Cell to Nearest Lot Line �;'
Setback-Cell to Nearest Well /��
�
Setback-Cell to Building �"�0�
Setback-Cell to Navigable Water •���
Make and Model of Dispersal Unit � � p /✓�I� �
Make and Model of Filter �;; `�/ /��� � '� J
Make and Model of Pump ,�� / � .Z
- Please complete other side -
"As-Built Plot Plan"
Elevation Data
Benchmark �D•�� Please include the followin�:
Building Sewer R.2,3 '
Tank In � �, �i � �tb�'S� � Location of observation and vent pipes
Tank Out I , � '— $q�4S� � Feet of risers used on tank(s)
Dose Tank In • Location of benchmark and North arrow
Dose Tank Bottom � H . '7 $ .3 ' • Location of all components
Header or Manifold �., �t 3.`�� • Length of pipe between components
Distribution Pipe • Number of chamber units in each cell
System Elevation �- S— `Y �S • Location of well, lot lines and road
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FI va�n Dat��
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Bcnchrn.u�k � j' ��►��>>�ciude tl�c iollowin�:
Buildinb Se�ver _� .�;�
Tank 1�� _J�`! ' °ta.o5" � Locutiuri uf obscrvFition und vciit pir�s
Tac�k C)uc ._�_�_�v � _ 8_`qr� • I�cct of ri�orw uSec1 c�n tank(t�)
D�,se 1':�nk In � � LacEttion uf bcnchmark tind f�iorth arrow
Dose Tatik Duttou� 1 N . 7 Y$�+.'�' • Lc�cutic►n ��f f�ll cornpc,ncnts
Header or��nnif��ld �`7'� �'^t!�l.cngth uf pipc betwecn cc�mponents
Distribution Yi��c • Nul»ber of'ch<<rnber units in each ccll
Svstem Glr��atic�n �< . �� �`���~ 1..���:t��ic�n uf wcll, lot lines and road
f p J•�`,-'�i v�> > � �` 9`�- S�
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