HomeMy WebLinkAbout002-840-17-5420-SAN-2024-095 ,.-,:,a�,,,� y �
i-��` �--`�� Department of Safety c°`°,r
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_' .��� � � Sanitary Pcrmit Numbcr(to bc fillcd in by C �
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= Industry Services Division
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Sanitary Permit Application s`a`e T'�a°sa�`;°°N°°,be'� '
In accordance with SPS 383.21(2),Wis.Adm Code,submission of this fom�to the appi'opriate governmenul unit �
is required piior to obtaining a sanitaiy permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailina add �
the Depaitment of Safety and P�rofes,ional Services.Pcrsonal information you provide may be u,cd for secondary
pwposes in accordance with the Privacy Law,s. 15.04(I)(m),Stats. � t"�-7�� C��� �� �
1.Application Information-Plcase Print All Information � � �
Property Ownc�'s Namc Parccl#
Sc�� s- L;�d� W��•k� ooa-8yb- 17-Syao
Property Ownei's�9ailing Address Propeit Location
� (�
�D� L d$ � Av`�. Govt�Lot__!_—
Ciry,State Zip Code Phonc Number
MC�I��'OnV► �1 e.� M 1� 'JrJ�`}S� '�-6�-J� Section �7
II.Type of Building(check all that apply) �ot� T yV N R_._8_. �oi
�I or2 Family Dwclling-Numbu�ofE3cdrooms 3 SubdivisionName
Block#
❑Public/Cmmnercial-Describe Use '�
❑City of
❑Statc Owncd-Dcscribc Usc CSM Numb_r ❑Village of
�r�«-�,�r �a55__L�.K t�_ —
III.Type of POWTS Permit:(Check either"New"or"Replacement"and other appticable on line A. Check one bos on linc B.Completc line C if
a licable.) _
A.
❑ T�ew System �eplacement System ❑ Other Modification to Exisung System(cxplain) ❑ Additional Pretreatment Unit(explain)
g' ❑ Mound ❑ Individual Site Desi n ❑ Other T �e(ex�lain)
❑ Holding Tank �Jn-Ground�a,�k ❑ At-Grade g y� F
(conventiona])
List Previous Permit Number�nd Da[e Issued
C• ❑ Renewal Before ❑ Recision ❑ Change of Plumber ❑ Tran,fer to Ncu�Owner �
Expiration U►'l� ,
IV.Dispersal/Treatment Area and Tank Information: ')'O � t orr.e►f .3 O� t�n � 4. �1e '7�Gel! _
Dcsign Ploti'(gpd) Design Soil Application Rate(epd/st) Dispersal Arca Required(st) Dispersal Arca ProE�osed(s� Systcm Elcvation
�fs� 1 .C� .� � / sas 33 t Sv.00
Capacity in Total �1 of Manufacturer
Gallons Gallons Units � � � �
Tank Infonnation � � � � 1
New Ta�ilcs Existing Tanks � o a� � � ,� `�'
� �
a U v� � �n v. C7 a
Saptic or Holding Tank � ��� � ���� � ���� �
Dosing Chamber ��
V.Responsibility Statement- I,the undersiened,assume res sibility f insta tio of the POWT5 shown on the attached plans.
Plumber's Name(Print) Pfumber's ' ature MP/MPRS Number I3usiness Phone Number
,�..,: g Q����F; �sas7 q �,s-G3�/- a i7c�
Plumber's Address(Street,Ciry,State,Zip Code)
1 y3 y�w S+a�c. Road 7� F-1'a� wa�d I.v x S`y8y
VI.Co nty/Department Use Only _
Pcrmit Fcc Date Issucd Isstiin�Aecnt Signa[urc
�Approv ❑Di,upproced {�
L�h� ❑Owncr Given Rcason for Dcnial � 1�-�� �,���I "i�_r �`�'�-'r �'�!#�`��::��._ -
Conditions of Approval/Reasons for Disapp�,-oval ��"� �
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hk#�� APR 3 0 2
C ST �-`�- � {� ` �
�-� ���% ��� � SAWY�R COUNTY
ZONING ADMINISTRATION
:�ttach to complete plans for the s��stem and submit to Ihe Coon[y only on paper not less than 8 V2 s I I inches in size
sB�-639s�R.o3i22� NO REFlJND6 AFTER
ISSUE OF PERMiT � �;����j
���-�� - .. .� °� �IG �ISTRIBUTIO�d� C� '� �
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
Project Name: Winkle - 8752N Shady Ln
Owner's Name: Scott & Linda Winkle
Owner's Address: 61608 233rd Ave
Mantonville, MN 55955
Property Address: 8752N Shady Ln
Legal Description: S 17 T 40 N R 8 W
Township Bass Lake County: Sawyer
Subdivision Name:
Lot Number: Block Number: CSM#:
Parcel I.D. Number: 002-840-17 5420
Plan Transaction No.:
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
Travis Butterfield License Number: 652879
Date: 04/08/24 Phone Number: 715-634-8176
Signature:
Designer Stam � State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual Aprii 2019 Version
Page 1 of 8
� � � Distribu�i�i
Design Worksheet
All Water Treatment Systems To Be Removed From System
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(%)
94.00 Prop. System Elevation (ft) Sand&Native soil Contour
56.00 Depth to Limiting Factor(in)
1.60 In-situ Soil Application Rate(gpd/ftZ)
96.25 Lowest Original Grade Ele. In System Area(ft)
97.17 Highest Original Grade Ele. In System Area(ft)
91.92 Limiting Factor Elevation (ft)
1.67 Depth Below Grade
u bn e n �. .
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)
E Center or End Manifold, Dist. Box or Drop Box
2 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 LT 1/8 Filter Model Number
Project: Winkle-8752N Shady Ln Page 2 of 8
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. �. ,3,'+,:.
2 cell S'seoMat
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I 1.00 ft A 3.25 ft Basal Area Required 281.25 ft�
K 1 ft B 35 ft Basal Area Proposed 332.5 ft2
S 1.00 ft L 37 ft
W 9.50 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loading Rate
450 1.6 9aysq fliday 450 2.00 gal/sq fVday
Total 28125 ftz Total 225 ftZ
Proposed 227.5 ftz
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length 35.00 ft Lineal Feet of GeoMat Required 692
Min.Cell Len th 34.6 ft Lineal Feet of GeoMat Proposed 70
Cell Spacing 1.00 ft NOTE Min S dimension=1'
S stem Elevation 94 ft
Limiting Factor 91.92 ft
Separation 2.08 ft z�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: Winkle-8752N Shady Ln Page 3 of 8
G O O O O O O O O O O O O O O O O O O O O O O O O O
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� �� G O O O O C O O O O O O O O O O O O O �O O O
O O O O O O O O O O O O O O O O O G O O O O O O O
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O O O O O O O C O O O O O O O O O^Or. O
L�O�O�O�O�O�O�O�O�O�O�O�O�O�O�O�O�O�O�OvO�ir`�J ��O�OG
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 Lenqth = GeoMat Lenath
Lateral Spacing 4.25 ft Pipe Diameter 4.00 in
�inished CraAc � `i ` `� `t � W V'
�``."- '.,,:_ '.• ;:'.•-�• '�'` . 12°-42 `.Bacl.f,ll�. � "'w. I,t9QalI,eYd
1.67 ft — 5mdCora�eoommmded i�: ' .> • , •`.::
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4 in —► pipe Di�.�.. � uiu • ' .�;.� `' � F�
,. .�JI � P�p[ �- -
Top of geomat to be at or ��., • �� •� - � � GFAMAT
below original grade � I � I � I � 2•ASTM 33 �x� I � I , I � I � I �
Infiltra�ve Surfaa
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Fmi'hed C3tle
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12" Min.
42" Max.
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Toilet Flan e Rebar
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Project: Winkle - 8752N Shady 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 2.0 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 454jgRons 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 mg/L fats,oil and grease
A monthly average of 220 mglL BODS
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 Ihe enforcement
standards and preventative action limits specified in ch.NR 140Tables t&2 at a point of standards application,excepl as pravided in DSPS
383.03(4),WisAdmin.Cade.
2.The owner of thls POWTS is responsible for system operatian 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 names
and telephone numbers of the propedy 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 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 bcated approximately at the end of each cell.
The plumber,or caunty shall see to it that a copy of these plans induding 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 eHluent 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 ovedoaded. 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 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 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 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 cydes.The ends of the
distribution laterels may be exposed and the threaded end caps removed.The pipinq can be disconnected on the outlet end of the pump.
The distribution piping may then be back flushed to cleanse 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 wastewater to the ground surface is strictty 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 discharqe 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 Ihe required sanitary permit is obtained from the county.
Project: Winkle-8752N Shady Ln Page 5 of 8
-�'° '�. k q ����".:�'
Service Provider's Name Butterfield, Inc Phone 715 634-8176
� )
POWTS Regulator's Name Sawyer County SPIA-Zonin Administration Phone (715) 634-8288
Svstem Flow and Load Parameters
Design Flow- Peak 450 gpd Maximum Influent Particle Size 1/8 in
EstimatedFlow-Average 300 gpd �MaximumBOD5 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 11375 ft� 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 necessa at least once eve 3 years
Pump and Controls Test once eve 3 years
Alarm Should test periodicall
Pressure System Laterals should be flushed and pressure tested every 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. 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 gravily 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 tooi.
5. AI�disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration.
Lateral Turn-up Detail
';,�6-8" Diameter � �c`i o� �, Flnlshed �� Threaded Cleanout
�c.o �
';Lawn Spnnkler ° 'o°o`o°` � Gradc -�� Plug o�Ball Valve
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Lateral Ends a[Last Orifice Where .
j�
���? ; ._ . . � � .�_e
Long Sweep 90 or Two
�45 Degree Bends Same
� � ' Diameter as Lateral
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u i ' .�,, � 'r ��' ►
Distribution Lateral Lateral Cleanout
94 Feet
Project: Winkle-8752N Shady Ln Page 6 of 8
Geo
3.25 Cell Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
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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) 35.00 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: Winkle - 8752N Shady Ln Page 7 of S
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