HomeMy WebLinkAbout026-939-22-4108-SAN-2024-087 ��•��. County
� /��'' � � � Department of Safety �w �� t/�
��� = & Professional Services, �
si� � s - Sanitary Permit Number to be fillcd in by C
�, �a , Industry Services Division
�'` ' �S I �� � �
��; � _ �
Sanitary Permit Application Sta`e T`-�°Sa�``°"N°„'b�' - --- �
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In accordancc with SPS 383.21(2),Wis.Adm.Code,submission of this t'onn to the appropiiate�overnmental unit �
is required prior to obtaining a sanitary permit.Note:Application foi7iis for state-owned POW"I'S are submitted to Project Address(if differcnt than mailing add �
the Department of Satery and Profcssional Seiviccs.Personal infonnation you provide may be used for secondary
pw��oses in accordancc with thc Privacy La�v,s. 15.04(I)(m),Stat;. �0�� �a�C �
I.Application Tnformation-Please Print All Information Y
PropeRy Owner's Name ,d ,�,� �, Parcel#
�P���
c.o� A 5�1,�:� z � --� �� � ac�- 934 -aa-y�o8
Property Owner's Mailing Address Property Location
Q��i a 1�1 Fa:�w 0. Dr Un�� � G���.L��
City,Statc "Lip Code Phone Number
��a wa�e1, (�2 5y8`�'3 Nt _�,<,_ SE �i, se�r�on _ aa
II.Type of Building(check all that apply) �ot� � T�N R -F-o�
�'I or2FamilyDwelling-NumberofBedrooms 3 SubdivisionName
Block#
❑Public/Commercial-Describe Use
❑City of
❑State Owned-Describe Use CSM Number ❑Village of
C s�''� '� 7 y�o V �'o�m of��bc+n�— ---
�. a 9 . a� c�
III.Type of POWTS Permit: (Check eithei•"NeH�"or"Replace�nent"and other applicable on line A. Check one box on line B.Co�nplete line C if
ap licable.) _
A New System
� U Replacenient System ❑ Other Vlodilication to Existing Sy,tem(explain) ❑ ndditional Pretreaunent Unit(erplain)
�' ❑ Mound ❑ Individual Site Desi n ❑ Other T e ex lain)
❑ Holding Tank �,In-Ground �� ❑ At-Grade g yp ( p
(conventiona)
List Previous Perniit Nuivber and Date Issued
C• ❑ Renewal Before ❑ Rccision ❑ Change of Plumber ❑ l�ransfer to New Owner
Expiration
IV.Dispersal/Treatment Area and Tank Information: � OF tc�� 390� I. �' Ce 1/
Design�lo�v(gpd) Dcsign Soil Application Rate(gpd�sY) Dispersal Area Required(st� Dispersal Arca Proposed(st) Sy;tem filecltion
4� o• B /a. O sG�.S a�5 s��.s/ 3aS 9�• �s �
Capacity in Total #of Manufactm�er
�
Tank Inionnation Gallons Gallons Units p a� U � �
Nzw Tanks 6xisting Tanks � c a� � y � � �."y'
o -- y
c U v� ti cn �= C7 0-
Septic or Holdine Tank ��� � �Q 1 C5�r IY �►1
llosing Chamber
V.Responsibility Statement- l,the undersigned,assume responsibility fm•installation of tlie POWTS shown on the attached plans.
Plumber's�Jame(Print) Plum Si�nat �c � MP/MPRS Number Business Phone Numbcr
a l5oc
�3�a3(� ��s-�3y- r��9
Plumber s Address(Street, ity,State,Zip Code)
�P�r�a S w �c l"1 G�. 1..J0.r Gv i .�'I
VI.C nt �/Department Use Only
�Ap ro� ❑ Disappro�'ed Permit I�ee Date Issued Issuing Agent Signature
��(n/ ❑Owner Given Reason for Denial � ��'� ��"�� �''��� ������� �i��'��-
Conditions of Approval/Reasons for Disapprqval ��''��:r r-�•--���
I�.[T,� I� � ` " -�/� '�� . D � L._._1 L"� 5'`�j' { j ; I�
s
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�CaNiNG Fi�i�4t?,;��;r ,ti t
A[tach[o comple[e plans for[he system and submit to the Counly only on paper not less lhan 8 U2 x 11 inches in size
�^''�u�� NO R�FUND6 AF7�R
sB�-639s�R.o3ia2� iSSUE O�PERMI7 3`�ti�I 7
GeoliAat IN GROiINd AND DOSING DISTRIBUTION COMPO SIGN
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
ner, _
Project Name: Schmitz - Holly Lake Ln
Owner's Name: Scot A Schmitz
Owner's Address: 9842N Fairway Dr Unit 2
Hayward, WI 54843
no .
Property Address: Holly Lake Ln _
Legal Description: NE SE S 22 T 39 N R 9 W
Township Sand Lake County: Sawyer
Subdivision Name:
Lot Number: 1 Block Number: CSM#: 7460
Parcel I.D. Number: 026-939-224108
Plan Transaction No.:
n ex ages .
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
Ray Visocky License Number: 230236
Date: 04/16/24 Phone Number: 715-634-1679
Signature: !/�✓
Designer Stamp: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 8
In Gr : `x � Distribution Co ` n ` '
Design Worksheet
All Water Treatment Systems To Be Removed From System
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)
7.00 Site Slope (%)
92.25 Prop. System Elevation (ft) Sand & Native soil Contour
95.00 Depth to Limiting Factor (in)
0.80 In-situ Soil Application Rate (gpd/ft2)
96.33 Lowest Original Grade Ele. in System Area (ft)
95.25 Highest Original Grade Ele. In System Area (ft)
96.47 Limiting Factor Elevation (ft)
1 .50 Depth Below Grade
on e _ _ ,_ e ..
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)
_ Ott 1 C5 � , _ .
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed N
5.50 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 LT 1/8 Filter Model Number
Project: Schmitz - Holly Lake Ln Page 2 of 8
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2 cell�'veoMat
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I 1.25 ft A 325 ft Basal Area Required 5625 ft`
K 1 ft B 50 ft Basal Area Proposed 562.5 ft2
S 2.25 ft L 52 ft
W 11.25 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loading Rate GPD Loading Rate
450 0.8 gal/sq ft/day 450 2 00 9ausq ruday
Total 562.5 ftz 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 692
Min.Cell Length 34.6 ft Lineal Feet of GeoMat Proposed 100
Cell SpaCin 225 ft NOTE:Min S dimension=Y
System Elevation 9225 ft
Limiting Factor 96.47 ft
Separation -422 ft rMm
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: Schmitz-Holly Lake Ln Page 3 of 8
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Hole spacing is every 12" , 1/2" hole at 4 & S 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 = GeoMa; Length
Lateral Spacing 5.50 ft Pipe Diameter Oin
�iniched CraAe �V � `l `i r W V'
I�:,.:., .:;-: :':.:...`:�:.•.+• • . . , .t. ` •BaCkfill.. L.:�LY .:v`� �I,CVtl
. 12"-42 ��� • '�'��
1.5 ft — S�md Cora teoocmmeaded : ; '' .:
1 .". ` ..� �;-� .` ' 'V'. • - '' 1nfilC�av�C
4" in —► Pipe Di�� .. . . u��, \.�! -' � �;' `.'<,. ,� Fibt'sc
. . �.�I PiP� ��^-
Top of geomat to be at or 1�.• � GFAMAT
beloworiginal grade I I � I � I � 2•ASTM33 �a,, I � I , I � I i I �
Infi1Ca$ve Svrface
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4•Mm IM�
12" Min.
42" Max.
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92.25 _
Project: Schmitz - Holly Lake Ln Page 4 of 8
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 2A 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 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 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 Ilmlts speclfied in ch.NR 140Tables 1&2 at a polnt of standards applicafon,except as provided in DSPS
383.03(4),W is Admin.Cade.
2.The owner of this POVJTS 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 county Private Sewage Systems Ordinance. The user's manual,provided to the owner of the POWTS includes the name�
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 il8". Filters 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 wpy 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 installer if this problem occurs.
The homeowner is responsible for formulating a water conservation plan that will ensure the system is rarety 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 faWry seals with approved materials to make joints water-
tight.
B.Outlet Filter.The autlet 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 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 faulty seals with approved materials to make joints water-tighL The pump and conUols shall be
replaced when they are no longer wpable of functioning according to the design plan.
D.Pressure Distribution Plping.Partial dogging of the distribution network may result in unduly long dosing cydes.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 strictty prohibited due to the human health hazard
created by the effluenL All faiWres created by surface discharge shall immediately be reported to the appropriate county.The pump shall
then be immediately disco�nected 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 aRer any necessary plan approvals have been obtained from the
appropriate plan review authority and the required sanitary permit is obtained from the counry.
Project Schmitz-Holly Lake Ln Page 5 of 8
In Ground System Maintenance and Operation Speciflca�ions
Service Provider's Name Ray Visocky _ _ _ Phone�(715)634=1679
_ — — —
POWTS Regulato's Name Sawyer County SPIA-Zoning Administration � Phone (715)634_A288 I
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 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 eve 3 ears
Effluent Filter Inspect and clean as necessary 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 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 lo 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
' ��6-8" Diameter � Finished Threaded Cleanout
� ��Lawn Sprinkler � Grade \ Plug or Ball Valve
�,Box �, . \
� y Vent if i � ot Dosed
'-� � � >-,: -�
.��.Lateral Ends at Last Ori�ice Wherr
�� . ' LongSweep90orTwo
��45 Degree Bends Same
� � ' ' �, Diameter as Lateral
. . . ��, � - - j*,' -
� � �„',r � E > ` r_
� Distribution Later�Lateral Cleanout
9225 Feet
Project: Schmitz- Holly Lake Ln Page 6 of 8
Geo ` tribution Cell Media Layout ;. .y °:
3.25 Cell Width (ft) 2 63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
-a+ -T--�,-- ._ ---c�---r �" �.T^�Ti �o `'c>i
O O O'��� 5 O O O O� � __S_�,�O�G�O � O`�O`G` _ �.
J O O O O O O _�,_ � �-' �A O_G_v' �_u.i� O O O O O O `� ,,,�r �O O O Q Q.�,4�
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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See details on page 4 for number, size, and spacing of laterals.
Project: Schmitz - Holly Lake Ln Page 7 of 8
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