HomeMy WebLinkAbout014-941-12-2108-SAN-2024-048 �``'/='="`� Department of Safety county s0.w �
� �' �= & Professional Services, �� �
���;�$' ' Sanitary Permit Number(to be tilled in by C
� g :',� Industry Services Division
`��-��;�:;.;N:, tn51 � �-( 3 �
SaI11ta� PeY'ITllt t��JJ�I1Cat10I1 State Tiansaction Number �
In accordance with SPS 383.21(2),VJis.Adm.Code,submission of this ibnn to tlie appinpriatc goveinmcntal unit q�y
is required prior to obtaining a sanitary pemiit.Note:Application forms for state-owned POWTS are subuiittcd to Project Address(if different than mailing address)
�he Department of Salety and Prolc,sional Services.Per,onal inCorn�ation you provide may be used for secondary
puiposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. ����� ��� R l
I.Application information-Please Print All Information C
Property Owner's Name Parcel#
�NE NE PoN L�. viy - 9y� - � a - a � og
Property Owner's Mailing Address Property Location
1 C� I S L C,1 c.',n e lZd p``� �
�err-�eF
City,State 1_ip Code Phone Number
I�0. WC.t'C �l.�r S�,ay3 NE-��',—�fln.� y,, Section �a
II.Type of Building(check all that apply) Lot# T �-!! N R�_E-ar
�I or2 Family Dwelling-NumberofBedrooms__ 3 � Subdivision Name
Block#
❑Public/Commercial-Describe l;se �
❑City oY'
❑State Owned-Describe Use__ __ CSM Number ❑Village of
-- - _
G51� f'1 B�ZS �[ownof L.Crt C^OO�
.�. 3 3 �. 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 licable.)
`� �New S ,tun
y, � ❑ R�placement System ❑ Other Moditication to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B.
❑ Holding"Cank In-Ground GGp��- ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventional)
C• ❑ Renewal Before � ' � List Pre��ious Permi[Number and Date Issued
❑ Reris�on ❑ Chanae of Plumber ❑ Transfer to New Owner
Gxpiration �—
IV.Dispersal/Treatment Area and Tank Information: rav�� G«,,.,�,f 3 9 a o %� q S.��h 5 a� e e 1!
DesiRn Flow(gpd) Design Soil Application Rate(gpol,Y� Dispersal Area Required(sf) Dispersal Area Proposed(sfl System Elevation
YSO ►. a. o �e� /aa5 47s/3a5 � ��.i7 f�
Capacity in Total #of Manufacturer
Gallons Gallons Units � o '� �
Tank Infonnation � � U � � � U N
New 7'anks Existing Tanks F o }; � � � � �
a U cn v, cn cr- C7 P-
Septic or Holdina Tank ���� � (�.�� � W� � � X
Dosine Chamber
V.Responsibility Statement- 1,the undersigned,assume responsibility for installa' n of the POWTS shown on tlie attached plans.
Plumber's Name(PrinQ Plumber's Sjgnaturc MP/MPRS Numbcr Business Phone Number
Gc��d Fc-o e► /��' 95o � i � �is-s�S$ -��3
Plutnber's Addre,s(Su�eet,Ciry,State,Zip Code) �
r 3soaw F�o��ei 2a I-�4 �,,J�a c.�r syati 3
VI.Cou ty/Department Use Only
ip.A��o.� 4 ❑Disapproved Pennit Fee Date Issued Issuing Agent Signaturc
�✓ ❑Owner Given Iteason for Denial S�(� Oa �/�� l}� ����j.�„„ ,,_ �
I � �wcii,�s�
Conditions of Approval/Reason�for Disapproval r—� ���?`��
G� � �.. ��,i� +.
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1�° MAR a 8 2024
;
CS� �-`� �d3 � �3
SAWYEt� Gn'.::ti s`r
ZONWG ADfvlisvi:�TRtii iCiJ
At[ach[o complete plans for the sys[em and submi[to the County onl-on a er not Iess Uian 8 V2 x 11 inches in size
�l0 R�FUNDS AF1�E�
�-6398(R.03/22) iSSUE�F P�R�I r
`-I 1 �1(0 �
GeoRAat IN T-
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
Project Name: Pine Cone Pond-Lot 2
Owner's Name: Pine Cone Pond LLC
Owner's Address: 10415N Mc Claine Rd
Hayward,WI 54843
Praperty Address:
Legal Description: NE NW S 12 T 41 N R 9 W
Township Lenroot County: Sawyer
Subdivision Name:
Lot Number: 2 Block Number: CSM#: 8025
Parcel I.D.Number: 014-941-122108
Plan Transaction No.:
X C�BS .
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 Plot plan
Gerald Froemel License Number: 950111
Date: 03/05/24 Phone Number: 715-558-1138
Signature:��"���� ,
Designer Stamp: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of S
. :
In Ground and Dosing Distribution Component Design
Design Worksheet
All Water Treatment Systems To Be Removed From System
e. � _ - ,. . _ . . �
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 (%)
94.17 Prop. System Elevation (ft) Sand & Native soil Contour
52.00 Depth to Limiting Factor (in)
1.60 In-situ Soil Application Rate (gpd/ft2)
96.42 Lowest Original Grade Ele. In System Area (ft)
96.67 Highest Original Grade Ele. In System Area (ft)
92.17 Limiting Factor Elevation (ft)
1.00 Depth Below Grade
_ ---- -
on e rma on
3.25 Cell Width (ft) �—� Number of Cells
2.00 Dispersal Cell Design Loading Rate (gpd/ft2)
2 Influent Wastewater Quality (1 or 2)
�D'istribution In orma ar� . , _ .
E Center or End Manifold, Dist. Box or Drop Box
� Number of Laterals System dosed N
4.25 Lateral Spacing (ft)
System not dosed
Treatment Tank Information Effluent Filter Information
1000.00 Septic Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer rLT 1/8 Filter Model Number
Project: Pine Cone Pond - Lot 2 Page 2 of 8
In t�round P1an View
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�alculations�� . , , _ .
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 1.00 ft L 52 ft
W 9.50 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loading Rate GPD Loading Rate
450 1.6 gal/sq fUday 450 2.00 gal/sq ft/day
Total 281.25 ft2 Total 225 ftZ
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 Length 34.6 ft Lineal Feet of GeoMat Proposed 100
Cell Spacing 1.00 ft NOTE:Min S dimension = 1'
System Elevation 94.17 ft
Limiting Factor 92.17 ft
Separation 2 ft 2'nain
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 2 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
S O'clock Holes at 12"from end. 4"Perforated pipe may be used.
Pipe Leng�h=GeoMat Length
Lateral Spacing 4.25 ft Pipe Diameter 2.00 in
1'0 �n
�'iniched CraAc '�`7� `i Y'� W V'
(:�.`.`:.::.;:=`:'::��,`:.:r ..` . :Bac►f6..�.�';. �
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2 n —► Dii ` �ois� `• �
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Top of geomat to be at or '�. _ - � GFAMAT
below original grade ' � � � I � I 2■A�33�� I � I , I � I � I C�
Infiltca�vt S�ufece
�cy - -NATIVE.SOIL-�����
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12"Min.
42"Max.
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ii�i�i' i � i iii i ii'i i ii i iii � i i i� � �ii'i��'1ii''�i i�i�iii i ii'i�i i i i i'i'i'i'i'
i�i�i�i i� �i� �i�iii�i�i�� i ii i i�i 2'AS1M633�md�der ii� � i ii i ii���iii�i�iii�i�i�i�i i���iiiii�i�i�
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94.1? _ �������������������������������������������������������������������I�I�1�1�1�1�1�1�1�1�1�1�1�1�1�1�1�1�11�1�1�1�1�1�1���1�����
Project: Pine Cone Pond-Lot 2 Page 4 of 8
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 2A SPS-10705-P
(N.01/01). GeoMat in ground Component manual April 2019 Version.
1.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 mg/L 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 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 repalred 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 restoretion 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 5T,and or 1 in pump tank in
order to insure particle size less than or equal to 1l8". Fitters should be cleaned once in spring,and once in fall. Also,stralners 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 shall see to it that a copy of these plans including this page,maintenance folder,and maintenance agreement is
given ta the homeawner.
This system may contain a dose chamber. If a pump,float,eledrical outaqe 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 wuse 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 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 structural 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 clogging of the distribution network may result in unduly lonq 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 Ihe 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 failures created by surface 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 authority and the required sanitary permit is obtained from the county.
Project: Pine Cone Pond-Lot 2 Page 5 of 8
in Ciround Nf " ance and Operat4cyn SpecMicaRions
Service Provider's Name`Gerald Froemel � � Phone (715) 558-7138
� ---- -- - ---
POWTS Regulator's Name�Sawyer County SPIA-Zoning Administretion I 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 BOD5 30 mg/L
Septic Tank Capacity 1000 gal Mazimum 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 Frequency
Septic and Pump Tank Inspect and/or service once eve 3 years
Effluent Filter Inspect and clean as necessa at least once eve 3 ears
Pump and Controls Test once every 3 years
Alarm Should test periodicall
Pressure System Laterals should be flushed and pressure lesied every 3 ears
In Ground Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are sbtted 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
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.
Laterel Turn-up Detail
:'�6-8" Diameter � Finished Threaded Cleanout
���Lawn Spnnkler � '� �'` -rade �� Plug or Ball Valve
� �
`Box �
�ocoo d �'
o,o�o�o�.� Ventifi � otDosed
Lateal Ends at Las.On(ice wherc
i
- - � � � � � �" Long Sweep 90 or Two
�45 Degree Bends Same
� ' ' DiameterasLateral
. �. � - : i,,�-^
�t_» � ���.c t � s
� Distribution Lateral � Lateral Cleanout �
94.17 Feet
Project Pine Cone Pond -Lot 2 Page 6 ot 8
� �1
Gec�a� D$�iu�a Media Layau#
3.25 Cell Width (ft) 2.63 Sidewall 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) 50.00 Cell Length - B (ft)
End Connection Lateral Layout Diagram
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p� � � __`- � uiu � -,,,:;'_; ., .�: �Infittrativ'0
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See details on page 4 for number, size, and spacing of laterals.
Project: Pine Cone Pond - Lot 2 Page 7 of 8
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