HomeMy WebLinkAbout014-941-12-2110-SAN-2024-047 �„-"",`,� Department of Safety c°°„ty v'
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'��s�f=, & Professional Services, s��"' e r z
;:, ;
,�' s' ;�, , Sanitary Permit Number(to be tilled in by Cc
\�J� g ;; Industry Services Division
'`x �__ ,�- (:.p S I � �( �. �
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� Sanitary Permit Application s`a'e T'�a°sa�"°°N°„'e�'� Q
_ .s.
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriatc governmental unit �
is required prior to obtaining a sanitary pennit Notc:Application fonns for state-owned POWTS are submitted to Project Address(if differenl Lhan mailing add�c„�
the Departmeni of Safety ai�d Profes�ional Seitiices.Personal information you provide may be used for seconda�y
pu�po;cs in accordauce�vith thc Privacy Law�,s. 15.04(I)(m),Stats. ���q Q bGT� ��d ,
I.Application Information-Please Print All Information J J
Properry Owner's Name Parcel#
i�� - �� � � C o��-9tii- �a a � � o
Property Owner's Mailing Address Property Location
/U�! / t�l /`1c CI a� n I�d ����
City,State 7.ip Code Phone Number
/-�q �ra r d W r S 4 ��/3 NC �i<, Al1,J �i, s��c�o�, � ',_
II.Type of Building(check all that apply) Lot# 7� �/1 N R 9 �E-o W
l�l or 2 Family Dwelling-Number ofBedrooms 3 � Subdivision Name
Block#
❑Public/Commercial-Describe Use ,_-.--
❑City of __
❑State Owned-Describe Use CSM Number ❑V illage of
c,s n �- 8 0�s' �ra,�,of L�n�o o�
v. �3 . »O
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 licable.)
�' New S stem
� y ❑ Rcplacement System U Other Modification to Existing System(ex�lain) ❑ Additional Pretreatment Unil(explain)
B' ❑ Other T e ex lam
❑ Holding Tank �In-Ground ��Qy,.�.f ❑ At-Grade ❑ Mound ❑ Individual Site Design yp ( p � )
(conventional)
C• ❑ Renewal Betbre ❑ Rc�ision ❑ Change of Plumber List Previous Pennit N�umber and Date Issued
❑ Transfer to New Owner
Expiration
IV.Dispersal/Treatment Area and Tank Information: �� � � �i', 'X - ' Ce.)
Dcsign Flow(gpd) Desi�n Soil Application Rate(gpd/sO Dispersal Area Required(st) Dispersal Arca Proposed(s� Systcm Elevation
y i. � /a. o aa► � aas ��7s / 3as 9y. soEF
Capacity in Total �of Manufacturcr
:'.
Gallons Gallons Units �? o ,�°, �
Tank Information �
Nzw Tanks Existing Tanks � o � � Y � � �y
a. U �n �, v� iz :7 fi.
Septic or Holdin�Tank ' Q�O — l��� � W�e.sC(' LQ^n C�`G� X
Dosing Chambu
V.Responsibility Statement- 1,the undersigned,assume responsibility for installation of the POWTS shown on the atCached plans.
Plumbei's Vame(Print) Plumber's 1 ure MP/MPRS Number Bu,ine,s Phone Numbe:
Gc�1� Fro e r+-+t 1 `��'�d� �j S D 1 / 1 7/S- SS$-!I 3 8
Plumber's Address(Street,City,Sta[e,Zip Code)
� 3saa w F�-oerre! Rd I-fciywctr�, +-�l sLiay3
VI.Cou ty/Department Use Only
�Ap �d��ed ❑Disapproved Pcrmit Fee Date Issued Issuing Agent Signature
�l'✓ ❑Owner Given Reason for Denial � ` �'� �I�f I�� ������" " �
Conditions of Approval/Reasons for Disapproval � �titi, „} �'j�',�;:` ! ` �,�--.
� '-� .''.� ��,
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g �� �V , � �'�1 ` :�� I i,l, � `'-- j� i:
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C 5� 2 �-��- � �jy �� ��+„!1fY�R CC!J��,,T"','
zorvi��iG hDMi(�IS"('rs.��to�s
Attach[o complete plans for[he s}stem and submit to the County only on paper not less than 8 V2 x ll inches in size
NO REFUNDS AFTER
sBD-�398(x.03!22) ISSUE 0�PER�11tIT r� ���c�
GeaMat I ND AND DOSING DIST • 14N COM . 1GN
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
�', . : „.. ._.., _ .
Project Name: Pine Cone Pond - Lot 4
Owner's Name: Pine Cone Pond LLC
Owner's Address: 10415N Mc Claine Rd
Hayward, WI 54843
. h O _ . _ _ ,-
Property Address:
Legal Description: NE NW S 12 T 41 N R 9 W
Township Lenroot County: Sawyer
Subdivision Name:
Lot Number: 4 Block Number: CSM#: 8025
Parcel I.D. Number: 014-941-12 2110
Plan Transaction No.:
x, ag�s _ .,
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 Piot plan
Gerald Froemel License Number: 950111
Date: 03/05/24 Phone Number: 715-558-1138
Signature:r/� / l
Designer Stamp: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 8
In Ground and Dosing Distribution Comp�rtent Design
Design Worksheet
All Water Treatment Systems To Be Removed From System
,, . . .�.:�
��_ � � �_- _,_
$11 _
R Residential or Commercial Design �N 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(°/a)
94.50 Prop. System Elevation (ft) Sand&Native soil Contour
54.00 Depth to Limiting Factor(in)
1.60 In-situ Soil Application Rate(gpd/ft2)
96.75 Lowest Original Grade Ele. In System Area(ft)
97.00 Highest Original Grade Ele. In System Area(ft)
92.50 Limiting Factor Elevation (ft)
1.00 Depth Below Grade
.__ ---- .__.�_
n ell.ln�ormation _ _ ,, . _
3.25 Cell Width (ft) �2 Number of Cells
2.00 Dispersal Cell Design Loading Rate(gpd/ft2)
2 Influent Wastewater Quality(1 or 2)
istribution In orma ion __ _ _. _
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosedr N
4.25 Lateral Spacing(ft)
System not dosed
anu ac urer n � � _ _.
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
Project: Pine Cone Pond-Lot 4 Page 2 of 8
in Ground Pian View
2�ll�R�iat
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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 ft2
S 1.00ft L 52ft
. W 9.50 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loading Rate GPD Loading Rate
450 1.6 gal/sq ft/day 450 2.00 gal/sq fUday
Total 281.25 ftz Total 225 ftZ
Proposed 325 ft2
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length 50.00 ft Lineal Feet of GeoMat Required 69.2
Min. Cell Length 34.6 ft Lineal Feet of GeoMat Proposed 100
Cell Spacing 1.00 ft NOTE: Min S dimension = 1'
System Elevation 94.5 ft
Limiting Factor 92.5 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 4 Page 3 of 8
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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 Lenctn=GeoMa?Length
Lateral Spacing 4.25 ft Pipe Diameter 2.00 in
s h e ross on _
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(_:''���`�:.;:_�.:}::`'..-_�'� '•`� �`. �a,c►r,d.�:;' I.t�aalI,eve!
�C�� 12"-42 . _ ,
2 n �► � ` ��Hu ` �
�� �� v�a �_: - F�ci�c
,.: .. _. _.�—.
Top of geomat to be at or �!. � � •� - � GEOMAT
below original grade � I � I ' I � 2.��33�3� I � I , I � I � I �
InfiItrativt Svrface
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—���������_.� _"� La�F�cmr
54in y
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FmiYnd(kde
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9•Mm Dn
12"Min.
42"Max.
soo
Toilat Flan c Rebar
�15g.
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94.5 � � ��� � � � � � � � � � � � � � � � � �'� � �'� � � ��� �'� � � � � � �
Project: Pine Cone Pond-Lot 4 Page 4 of 8
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 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 Apri12019 Version.
1.This POWTS has been designed to accommodate a maximum daily flow of 45Q�gRons 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 monthty 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 result 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 the pertaining counry 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 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 1/8". Filters should be cleaned once in spring,and once in fall.Also,strainers in sinks in
the building shall be mainta'ned.so that solids and fats are minimized to flow into system.
A minimum of 2 observatior pipes per cell shall be installed. These pipes shall be located approximately at the end of each cell.
The plumber,or county sha I 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 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 irstaller 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 6loads 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 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 sVuctural failure 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 design plan.
D.Pressure Distribution Piping.Partial dogging of the distribution network may result in unduly long dosinq 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 waslewater to the qround surface is strictly prohibited due to the human health hazard
created by the effluent.All failures 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 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 aut�ority and the required sanitary permit is obtained from the county.
Project: Pine Cone Pond-Lot 4 Page 5 of 8
In Ground System Mai�ance and Operation SpoctPieations
Service Provider's Name Gerald Froemel '� Phone (715) 558-113H '
___. . - --- _.- -- -- -�
POWTS Regulator's Name Sawyer County SPIA-Zonmg Administration _: Phone (715) 634-8283 �
System Flow and Load Parameters
Design Row-Peak 450 gpd Maximum Influent Particle Size 1/8 in
Estimated Row-Average 300 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 162.5 ftZ Maximum FOG 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 every 3 years
Effluent Filter Inspect and clean as necessa at least once eve 3 ears
Pump and Controls Test once every 3 years
Alarm Shouid 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 Ma[erials 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 Aprii 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
`;s6-8" Diameter � Finlshed � Threaded Cleanout
��Lawn Spnnkler �� 6rade �� Plug or Ball Valve
��Box
o�o c �`��u��'� � � VBfI�If I � OT �OSBd
�,Lateral Ends at Lzst Onfire Where
Ji:z,
� . Long Sweep 90 or Two
�45 Degree Bends Same
' Diameter as Lateral
�. � � i-'-`;: I`l::.;`.
�� �� '�d ik.i� � , ,.� ;
Distnbution Lateral� Lateral Cleanout �
94.5 Feet
Project: Pine Cone Pond -Lot 4 Page 6 of 8
GeoMat Distribution Cell Media Layout
3.25 Cell Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
-- --Q - - -,--T��-. . ----,, ; - -,
, c �Jc-b`o '� . -- - � - o ,, c � — S —�o�oc�,c c�� ,� � :,_:oo �' n°� ��������
O Distribution Pipe
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
325 Cell Width -A (ft) 50.00 Cell Length - B (ft)
End Connection Lateral Layout Diagram
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I �,`. `` ." '.�.�.' ` '� "�`'. .'., • � 12" 42" ',�> -' Y' �.''
$amd CavK reoommmded . . �•.:'� ' . ..
p��� - ' •� ~ � u�x . ` _ . ' `' . F�abtic�
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See details on page 4 for number, size, and spacing of laterals.
Project: Pine Cone Pond - Lot 4 Page 7 of 8
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