HomeMy WebLinkAbout014-941-12-2109-SAN-2024-046 �c•kiv,ti County �
Department of Safety
i,� .
�� & Professional Services, ��`'�" e� �
���S� �:�� Sanitary Perniit Number(to be filled in b��Cc
J � S Industry Services Division �
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Sanitary Permit Application Sta`e T,�a°Sa°"°n N°„'ber �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this fonn to the appropriate governmental unit �
is required prior to obtaining a sanitary permit.Notc:Application fornis for state-owned POWTS are submitted[o Project Address(if different than mailing.iddress�
�he Uepartmeni of Safety and Pint�ssional Scrvices.Pcrsonal information you provide may be used for secondary
pmposcs in accordance�vith thc Frivacy Law,s. 15.04(1)(m),Stats. ��0.��b�� �G�
I.Application information—Please Print A11 Information
Prope�ty Owncr's Name Parcel#
�►NE GaN� oN� LLC oiy - 9ti i - ia- a � 09
Property Owner's Mailing Address Property Location
l Oy�SN /`�c.C/a��c R
City,State Zip Code Phone Number
��G a..rard� �3Z ,�-/$`/3 �E '/�,._l�l�._'/�, Section I �__
II.Type of Building(check all that apply) Lot# T_YL_N R�-E-o
�I or 2 Family Dwelling—Number ofBedrooms 3 3 Subdi��ision Name
Block#
❑Public/Commercial—Describe Use �
❑City of_ __
❑State Owned—Describe Use_ CSM Number ❑Village of_ _
csM # SoaS �,o�,or� L�root� -
�. 3a p. aao
III.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if
a plicable.)
`�� �Neti�S �tem �
y� � Replacemenc System � Other Modification to Existing System(explain) U Additional Pretreatment Unit(eKplain)
B.
❑ Holding Tank �In-Ground � ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type rexplain)
(conventionaq��j�
C• ❑ Renewal Before ❑ Revision ❑ Change of Plumber ist Previous Perniit Number and Date Is,uec
❑ Transfer to New Owner �
Expiration
IV.Dispersal/Treatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(sf) Dispersal Area Proposed(s� System Elevation
�5''� � . [� /a�- o �81 /aa� �f75 3aS �`��`�� �
Capaciry in "Cotal #of Manufacturer
Tank Inforniation Gallons Gallons Units � � o '� u
New Tanks Existing Tanks � c � � � � ro �
o N
Cl7 M�O �= � � � � c� a.
Septic or Holding Tunk 1 O�O � '«�
� er'
Dosing Chamber _.
(o Cooc� Cc�Cr�t-�-G �rG
V.Responsibility Statement- I,the undersigned,assume responsibility fm-installarion of the PO�VTS shown on the attached plans.
Plumbe�'�Vame(Print) Plumber's � �ature MP/MPRS Number Bu,iness Phone Numbci
Gc�,a./d �n�erne I 0 9's O 1 ! 1 ?�5- �g-113
Plumber's Address(Sh•eet,City,State,Zip Code) �
/3S Oa !.J �coc.�mel Rd /-�c� c,�.r� � wz .S�-r S�/3
VI.C un y/Department Use Only
('� Permit Fee Date Issued Issuing Agent Signature
�Appro�ed ❑Disappro�ed -�y� � ����
7�'�`� ❑Owner Given Reason ti�r Denial � `�`^� �l� I ay ' /,�2,��e"�'�-��../1.�-
Conditions of Approval/Reasons for Disapproval
��� � � � 1 � ����'�'`; ',�' ;: ;�`;
"� j��� � ' � �-o �.y �f���� '�i �� , .
W � l��i�,'�'� i
1 �0 3 MAR 18 2024 �--=-`
C5� � `� — p"�!3 � �5 J
S�V�IYE i COU"i�l',`
AQiUliitilSTl-�A�iC�ir'
Altach to complete plans for[he system and submit to the Counl only on paper not less than 8 I/2 x 11 inches in size
NO REFUND�AFTER
ss�-639g�u.o3i22� 1SSUE OF PER�fIT
LIIQ(c4
UldD A�+ID Dt)*�ING WSTRIB . �.t+l
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
ner . .
Project Name: Pine Cone Pond-Lot 3
Owner's Name: Pine Cone Pond LLC
Owner's Address: 10415N Mc Claine Rd
Hayward,WI 54843
Property Address:
Legal Description: NE NW S 12 T 41 N R 9 W
Township Lenroot County: Sawyer _
Subdivision Name:
Lot Number: 3 Block Number: CSM#: 8025
Parcel I.D.Number: 014-941-12 2109
Plan Transaction No.:
n ex ges
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
Gerald Froemel License Number: 950111
Date: 03/06/24 Phone Number: 715-558-1138
Signature: � �
Designer t p: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 10
In Ground and I�osing Distribution Car��t Design
Design Worksheet
All Water Treatment Systems To Be Removed From System
� �1 �11�'18 �fi. . .... :.. _. , . . ��:_ rt ,_ � _ � _,.., _- _ � , ... �
R Residential or Commercial Design � 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 (%)
94.42 Prop. System Elevation (ft) Sand & Native soil Contour
52.00 Depth to Limiting Factor (in)
1.60 In-situ Soil Application Rate (gpd/ft2)
96.58 Lowest Original Grade Ele. In System Area (ft)
96.75 Highest Original Grade Ele. In System Area (ft)
92.42 Limiting Factor Elevation (ft)
0.83 Depth Below Grade
__ ______
' u on Cell Information __,
3.25 Cell Width (ft) 02 Number of Cells
2.00 Dispersal Cell Design Loading Rate (gpd/ft2)
2 Influent Wastewater Quality (1 or 2)
U 011 fl O . .,. .. .
EI Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed Y
4.25 Lateral Spacing (ft)
13.86 Forcemain Drainback (gal) Does the forcemain drain back?� Y
0.50 Forcemain Filter Loss (ft)
2.00 Forcemain Diameter (in)
85.00 Forcemain Length (ft)
90.00 Inside Pump Tank Elevation (ft)
3.50 System Head (ft) x 1.3
4.69 Vertical Lift (ft)
1.39 Friction Loss (ft)
10.08 Total Dynamic Head (ft) Designer must enter friction loss and system demand (gpm)
58.86 Minimum Dose Volume (gal)
25.00 System Demand (gpm)
r�r �rrr�a or�
Treatment Tank Information Effluent Filter Information
1000.00 Septic Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer LT 1/8 _ Filter Model Number
Dose Tank Information Gallons/lnch 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: Pine Cone Pond - Lot 3 Page 2 of 10
In Gr�i . Visw
2 cell QseoldYat
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I 1.00 ft A 3.25 ft Basal Area Required 281.25 ft�
K 1 ft B 50 ft Basal Area Proposed 475 ftz
S 1.00 ft L 52 ft
W 9.50 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 t6 9ausq ruday 450 2.00 gal/sq ft/day
Total 28125 ftz Total 225 ft2
Proposed 325 ftZ
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length 50.00 ft Lineal Feet of GeoMat Required 69.2
Min.Cell Len th 34.6 ft Lineal Feet of GeoMat Proposed 100
Cell Spacing 1.00 ft NOTE:Min S dimension=1'
System Elevation 94.42 ft
Limiting Factor 92.42 ft
Separation 2 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: Pine Cone Pond-Lot 3 Page 3 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 Ler�,h = GeoMat Len^fn
Lateral Spacing 4.25 ft Pipe Diameter 2.00 in
n e oi�
�inished Cr,idc � `l � `t Y � W V'
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0.83 ft — SmdCox[�eooma+mded ; , , ' ' ..�:
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. . �� Pipr I�--_ - .
Top of geomat to be at or l�. � - � � GFAMAT
below original grade � � � � � � � 2•AS.I.M33 C� I � I I I I �
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94.42 _
Project: Pine Cone Pond - Lot 3 Page 4 of 10
Notes/Maintenance Requirements
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 20 SPS-10705-P
(N.01/01)_GeoMatingroundComponentmanualApn12019Version.
t.This POWTS has been designed to accommodate a maximum daily flow of 45Q�9Rons 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 mglL fats,oil and grease
A monthly average of 220 mglL BOD5
A monthly average of 150 mglL 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 operetion and maintenance.
3.Defects or malfunctions identified during maintenance described a6ove 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 a`the properly 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.Admin.Code.
6.If the POWTS is replaced,or its use discontinued,it shall be abandoned in accordance with SPS 383.33,Wis.Admia 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". Fitters 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 hameowner.
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 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 faiWre 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 1l8 inch or when it has become permanentty 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 clogging 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 dishibution 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 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 fallures created by surface discharge shall immediatety 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 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: Pine Cone Pond-Lot 3 Page 5 of 10
In Ground System Maintenance and Operation Specqlca�tic�s
Service Providefs Name Gerald Froemel Phone () 558-1138 I
POWTS Regulator's NamejSavryer County SPIA_-Zoning Administration __ ._� Phone (715) 634=828�
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 162.5 ft2 Maximum POG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequencv
Septic and Pump Tank Inspect and/or service once eve 3 years
Effluent Filter Inspect and clean as necessa at least once every 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 ears
In Ground Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materiais Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a wateRight 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
Manuai 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 Fin3hed Threaded Cleanout
;�Lawn Sprinkler , 6radc � Plug or Ball Valve
o�Box
�o r o 0 0"�:l
o,�.��.o.�o_o_,... � � Vent if i ' ot Dosed
�Lateral Ends at Las.Oritice where
;i:;.
� � Long Sweep 90 or Two
�45 Degree Bends Same
� � � Diameter as Lateral
. . - _.:_-.:.i�:f:._�.
E�;,� i Y:�����. r�l.!��� �:
� DistribuYion Lateral � Latcral Cleanout
94.42 Feet
Project: Pine Cone Pond - Lot 3 Page 6 of 10
Dose Tank information
Locking covcr��ith ��•arning labcl. .�
locking device and ��ater tight seal _
� 4" Vented Cover
Glcclrical boa
as per NEC 300
and SPS 31G.28 \VAC
—�—
�_ ,)�„� finished Grade__ _
_�jsconnect
4" Clean out Pipc � Optional bal� v Ive
Wires From �lectric source � � ` to con[roi spe d of
__ _— --- cflluent bein doscd
\Optional o tlet
4" Inlec P ' '� Forcemain diameter
ta,m�
E3oss st0� �4" ASTM 303 pipc to' 2 In.
and water cncase forccm in onto T
tight gasket solid ground Furnco
1Veep liole or nnt
''. siphon dccicc
igh watcr alarm �
ump On Float I s
C "
c
Pump Off Ploat �,i��n� � �_ pump off elevation (ft)
p 90.83
iii,x�
Dose tank elevation (ft)
�;� ; ," I3eddin� undcr tan = �— 90.00
Dimension Inches Gallons Wieser Concrete Products, Inc.
A 34.02 402. 12 Capacity 602.82
B 2.00 23.64 Volume 11 .82 gal/inch
C 4.98 58.86
D 10.00 118.20
Total 51 .00 602.82
Filter Manufacturer rSim / Tech Filter
Filter Model Number STF 100 1/16
Alarm Manufacturer SJE Rhombus
Alarm Model Number PS Patrol �
Pump Manufacturer Liberty Pumps s�
Pump Model Number 253
Pump Must Deliver 25.00 gpm at 10.08 ft TDH
Note: Switches containing mercury may not be used in this system.
Project: Pine Cone Pond - Lot 3 Page 7 of 10
GeoMat Distribution Cel1 Msdia Layout
3 25 Ceil Width(ft) 263 Sidewall to Lateral(ft)
Distribution Cell Cross-section Arrangements
_ ,,.T _� � „ �---- ,��•���
t-
C. J _�� '`...
7 O'o�o`O�O�G_ �.« O �v`��v v�—�- �r'� � -ci ,r� � `O ..G J-��
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) 50.00 Cell Length-B(ft)
End Connection Lateral Layout Diagram
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Project: Pine Cone Pond-Lot 3 Page 8 of 10
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