HomeMy WebLinkAbout010-941-25-3303-SAN-2024-096 �
� " `` ` Department of Safety �°°°" SAWYER � '
� • - & Professional Services, -- — - z
� � Sanita�y Permii Numher(�n be filled in hv C�
�,t,, `; �'_ � Industry Services Division i
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Sanitary Permit Application 5t"`�T�a°5��"°°N°"'h" G
In accordance with SPS 383.21(2),W'is.Adm.Code,submission of this Form to the appmpriate government�il unit �A .�
is required prior to obtaining a sanitary permit Note: App�ication forms for state-ow�ned POWTS are submitced to Project Address�if different than mailing adc �
the Departmcnt of Safety and Protc ssional Scrvices.Personal inforniation you provide may�bc used for secondary
purposes in accordance with the Privac��Law,;. I i.04f I)Im),Stats. �.�.u. �
T.Application information-Please Print All Information �i
Property O�vner's Name �Q�12d .�t'E Parcel# QIO-`�/�-.Z�=3,3b 3
TYLER & LOUISA SCHROCK � a3 57-010-2-41-09-25-3 03-00O-
Property Owner's Mailina Addr� Pioperty Lncauun �������
f a��
14502W C.T.H. B c,����.t��__��
Ciry,State Zip Code Phone Number
HAYWARD, WI s4g�3 sW sW ��. se���o„ 25
II.Type of Building(check all that apply) ��t� �r 41 N ►t 09 w
�?CX I or 2 Family[?welling-Number ofBedrooms � _ l V A Subdivision Name
����k¢ NA
❑PubliciCommercial-Describe N�
Us� ❑City of
CSM Number t'7684 ❑Village of _
❑Stare 0�-ned-Describe Use H��T�J�R�
NA 1�Q�ro�,or� -------- --
iTi.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.)
A' X New S stem Re lacement S stem
y p y ❑ Other Modification�o Exis�ing System(explain) �I ndditional Pretreatmcn�Unit(cxplam)
B.
U Holding Tank X ln-Ground ❑ At-Grade ❑ Mound U Indi�idual Site Design U Other Type(exrlain)
(conventionah
C• � Renewal Before Revision ❑ Change of Plumber ❑ Transfer to New Owner
List Preci��us Pcnnfi Number and Da[e lssued
F.xpiration z��3� 3�J� �,��
IV.Dispersai(Treatment Are ank Information:
Design�I�o�(opd) Design Soil�pplication Rate(gpd:'sl) Uispersal Area Keyuired(st) Dispersal Areu Pri�po,e�S ui�l ' Jystem Elc�ation
�� � 300 325 92.45 FT.
Capaciry in Total #of Manufacturer
Tank Information Ciallons Gallons Units D � o � .:
Netv Tanks Fxisting'1'anks ` o � � � � q �
a. V rn v: in u. U P.
SepticorHolding'fank 'Z5o 125� 1 WIESER A
Dosine Chamher
i
V.Responsibility Statement- I,the undersigned,assume res sibili fo in allation oT the PO��'TS shown on the attached plans.
Plmnbe�'s Name(Print) Ylumber's Sigi ture MP/MPRS Number Busincss Phone Number
DAN BURCH
�S 3�� 715-�16-1642
Plumber's Address(Stme[,Ciry,State,Zip Code)
N5921 C.T.H.K,SPOONER,WT 54801
VI.Cow�tylDepartment Use Only
���i�'c�� ❑ Disapproved Pennit 1 cc I�ate[ssued fssuing.�gcni Signaturc
� '�) `� � 5 (� �a�r '��' .��-�-N�,�
❑Owner Given Reason for Denial � `�•
Conditions ot��pproval/Reasons tor Disapproval
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�(�}G ADMiNISl'k�A.T1 `t��l
At[acl�tu ele plans(ur the s�slem and submi[[o the Counh�unh un paper nut Iess lhan 8 IR a 1 I inches in size
�'�CS,S: �-y-D(( Vayj�� NO R�FUND6 AFTER
sRn-F��Q �R. o;,,�> ISSUE OF PERMIT i ��-�yy
� GeoMat IN GROUND AND DOSII�G DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
\li '.•�/� �r'=r2 t�, . J_:«:! __ i�n � � . 1-�_�3 ; �,r,
Owner Info
Project Name: TYLER 8�LOUISE SCHROCK
__-_-.______ ... __ _ __.._...
__._._._.____ _ _._._.
Owners Name: (SAME)
_ _.,__ ___ .__,.___
Owner's Address: 14502W C.T.H. B ��
HAYWARD, WI 54843 .
Property info
Property Address: C.T.H. B
__
Legal Description: SW SW S 25 T 41 N R 9 W
Township Hayward County: Sawyer
_ _..._...__�.___�_.�.
Subdivision Name: NA
Lot Number Block Number: CSM#: �t�
Parcei I.D. Number. 57-010-2-41-09-25-3 03-000-000030 �
_ _ _ __ _ _
_._._.-_--------
Plan Transaction No.:
Index Pages
Page 1 index and titie Page 9 Fiiter specifications
Page 2 Data entry Page 10 Soii test
_.._�._.
age 3 GeoMat dist. cel!drawings &calculations Page 11 Soil test
, _,---__
age 4 Lateral and cell cross secfion Page 12 Soil test � ��. 1Za.
Page 5 Management&contingency Page 13 Aerial
Page 6 Maintenance&specifications �
Page 7 Distribution media �c� �,q.6�s T rA�.� ���
Page 8 Plot plan ��
MARY JO HUPPERT License Number: 1859-007
Date: 04/15/24 Phone Number: 715-426-1775
Signature: ._ "_ ? �"' 'C: c`�--
Design��: rz�� � ',� ��
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� �,�Y A `� z`. , _ � Designed Pursuant to the �C,qp���O(/��
o�, ' ,-"GeoM9f�ln Ground Component Manua! Apri12019 Version ST�T�QJ�
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Chk�.. Page 1 of 13
� RC�*&'.
In Ground and Dosing Distribution Component Design
e t - ���ved From System
Site Information
_ R Residential or Commercial Design � j ISD Required?
400.00 Estimated W astewater Flow(gpd)
1.50 Peaking Factor(e.g.1.5=150%)
600.00 Design Flow(gpd)
� 7.00 Site Slope(%)
'�—� 92.45 Prop.System Elevation(ft) Sana a Native soii contour
� 55.00 Depth to Limiting Factor(in)
0.80 IrnsiN Soil Applicatlon Rate(gpd/ft)
_ 94.45 Lowest Original Grade Ele.In System Area(ft) .
� 92.45 Highest Original Grade Ele.In System Area(ft)
90.45 Limiting Facror Elevation(ft)
-1.50 Depth Below Grede
Distribution Cell Infortnation
325 Cell W idth(ft) 2 Number of Celis
2.00 Dispersal Cell Design Loading Rate(gpd/ft')
2 Influent W astewater Quality(1 or 2)
Distributio�Information
E Center or End Manifold.DisL Box or Drop Box
. ..___ ._-- �
2 Number of Laterals System dosed� N �
8.75 Lateral Spacing(ft)
Manufacturer Information
Treatment Tank Information Effluent Filter Intormation
1245.00 SepticTankCa acit gal) i,�pol loklnc.2abel , �'�,FilterManufacturer
Wieser Concrete Products,Inc. Manufacturer 3014-525-I 1/16-70,000 GPD.__ _ __ J�,Filter Model Number
Project TYIER&LOUISE SCHROCK Page 2 of 13
In Ground Plan View
1 CC?1�Cs!:OPfi�.2t
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Calculations
I ; >o'ft A 325 ft Basal Area Required 750 ft�
K 1 ft B 50 ft Basal Area Pro osed 750 ft2
S SSOft L 52ft
W 15-00 ft
Basal Area Calculation GeoMat Dis ersai Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
600 0.8 qai:sq wday 600 2.00 yac:q emay
Total 750 ftz Total 300 ft`
Pro osed 325 ft`
Number of Cells 2 GeoMat Width 325 ft
Cell Lengih ft Lineal Feet of GeoMat Required 92 3
Mm. Cell Len th 462 ft �ineal Feet of GeoMat Pro osed 100
Cell S BCin 5.50 ft NOTE:Min S dimension= 1'
S stem Elevation 92.45 ft
Limitin Factor 90 45 ft
Se aration 2 ft rM��
Project: TYLER & LOUISE SCHROCK Page 3 of 13
End Connection Lateral Layout Diagram
c...s
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Hole spacing is every 12" , 1/2" hole at 4 8 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.
P���,r- L� �:h = �. � _ , ,
Lateral Spacing 8.75 ft Pipe Diameter `-4"in
Distribution Cell Cross Section
Finished Gndc •`�' • `r V'Y W V'
( • _. . , ' : Q�1�oG
� � Aac►fiq j1Cl�j.CVt�
5���� 12 42
-1.5 ft — ..
} .: .- . - T :
4" in —► Pipe Dit . ��' � '�' �„�, � . �
� . � . � ��a i�. � _ - �
7op of geomat to be at or �.• ;. ,_._ _ _ _ • , .- ; ^ ,�_GFA MAT
below original grade � � �
� I i I I 2'ASIM 33.Sa� �,i. �. ..�'•�„� � � infilt�ve Suc��sce
-ty � = - = = -NATIVE.SOIL= = - _ - �
1 !_ � _ '_ _ _ ._ � _ � � � _. _ _ � � � � � r�.'r.aeF�
SSin y ��— ^
Observation Pipes
���
FmWeO Catle '
I
II
� I 4•Aim Di� ..
12" Min. ._.j �% ��
42" Max. � �
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; i sios
Toil�7 flmi� ': � r j It�har
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:'i� �i���i�i�������� i ���i i��� ���i���-., �� i i'i�� i�i i�i�� i�i���i�i�� � ii���� � �i
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92.45
Project: TYLER & LOUISE SCHROCK Page 4 of 13
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.W is.Admin.
Cotle,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 Canponent manual Apnl 2079 Version.
1.This POWTS has been designed to accommodate a maximum daily flow of 60Q19Aons 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,oit and grease
A monthly average of 220 mglL BODS
A monthly average of 150 mg/L TSS
W astewater shall not discharge to the POWTS in quantfties or qualities that exceed these limits or that result in exceeding ihe enforcement
standards and preventative action limits specifed in ch-NR 140Tables 1&2 at a point of standards application.except as provided in DSPS �
383.03(4).WisAdmia Code.
2.The owner of this POWTS is responsible tor system operation and maintenance.
3.Defects or malfunctions identifed during maintenance descnbed above shall be repaired in wnformance with SPS383 W is.Admin.Code.
and the pertaining counry Private Sewage Systems Ordinance. The user s manual,provided to the owner of the POWTS includes Ihe names
and telephone numbers of the property licensed individuals to contact for such repairs.
5.No product for chemical or physical restoretion or chemical or physicai procedures for POWTS may 6e used unless approved by the Dept.
of Commerce m accordance vnth SPS.384.Wis.Admin.Code.
6.It the POWTS is replaced,or its use disconBnued,it shall be abandoned in accordance with SPS 383.33,Wis.Admin.Code.
NOTES
Two ERluent Filters to be installed where possible 1 to be instalied in ST,and or 1 in pump tank in
order to insure particle size less than or equal to i/8". Filters should be cleaned once in spring,and once in fall. Aiso,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 approximatety at the end of each cell.
The plumber,or county 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. It 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 responsibie for formulating a water conservation plan that wili ensure the system is rarely ovedoaded. 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 crecks or ieaks in the tank must be corrected by replacement of ihe septic tank component.
Leaks in the joints between manhole nsers or covers shali 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 capa6le of preventing the discharge of particles larger
than 118 inch or when it has become permanently degraded by clogging so as to inierfere with the design flow out o(the septic tank.
C.Dosing chamber and pump.The dosing chamber shall be replaced if any structural failure is found.Leaks in joints behveen manhole
risers or covers shall be repaired by replacing faulry seals with approved matenals to make joints water-tight.The pump and controls shall be
repiaced when they are no longer capable of functioning according to�he design plan.
D.Pressure Distribution Piping.Partiai clogging o�the distnbution network may resuit in unduly long dosing cycles.The ends ot the
distribution laterals may be exposed and the threaded end caps removed.The piping can be disconnected on Ihe outlet end of Ihe pump.
The distribution piping may then be back Flushed to Geanse any accumulated matter from the piping.II is recommended that the dosing
chamber then be pumped by a ticensed piumber.
E.Soil Absorption CeIL The discharge of sewage or wastewater to the ground surtace is stnctty prohibited due to the human heatth hazard
created by the effluent.All faiWres created by suRace discharge shall immediately be reported to the appropriate county.The pump shall
then be immediately disconnected to prevent further tlischarge to the ground surtace via the soil absorption cell.The e�tisting septic tank and
dosing chamber shall be used as a temporary holding tank until the necessary repaire to the soil absorption cell can be achieved.The
replacement shall be initiated only after any necessary plan approvats have been obtained from the
appropriate plan review authonTy and the required sanitary permit is obtained from the county.
Project TYLER 8 LOUISE SCHROCK Page 5 of 13
In Ground System Maintenance and Operation Specifications
Service Provider's Name�BADGER Phonei715-635-7245
•—_-------- —
POWTS Regulator's Name�a�er Couniy SPIA-Zornng Administration _ Phone1�15 6) 34_8288
SVstem Flow antl Load Parameters
Design Flow-Peak 600 gpd Mazimum Influent Particle Size 1/8 in
Estimated Flow-Average 400 gpd Maximum BODS 30 mg/L
Septic Tank Capadty 1245 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 162.5 kZ Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform t0E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Inspect and/or service once every 3 years
Effluent Filter ins ect and clean as necessa at least once ever 3 ears
Pump and CoMrols Test once eve 3 ears
Alarm Should test eriodicall
Pressure System laterals should be flushed and pressure tested every 3 years
In Ground Inspect for ponding and seepa�e_once every�ears______
Miscellaneous Construction and Materials Standards
t. Observa[ion pipes are slotted and matenals 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 gravity and pressure piping materials conform to the iequirements in SPS 384,Wis.Adm. Code.
4. Scarification ot 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
5-&"Diamecer Finished ^ Threaded Cleanout
Lawn Sprink�er Grade � Plug of Ball Valve
Box
�acerai e�ds ac�azc or�f��e wnere Vent if i � ot Dosed
Long Sweep 90 or Two
��45 Degree Bends Same
Diameter as Lateral
� �—�
Distribution Lateral Lateral Cleanout
92 45 Feet
Project TYLER 8 LOUISE SCHROCK Page 6 of 13
GeoMat Distribution Cell Media Layout
3.25 Ceil Width (ft) 2.63 Sidewall to Lateral (ft)
Distribution Cell Cross-section Arrangements
0 0
�
Component Legend
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)
_ �. _ _ __ �.. _ _ .�.. _ � � � _ ��
� � � � � � � � � � �. � � � ��
Typical Dispersal Cell
�.n;ch�A �r�Ac `��YY �V' �2' Y W �1'
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Raclfiq V'+tsl1 LCY'C�
S�dCovateoom�m�ad�d 12"-42 ,
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�. ._ �_GEO MAT
� � ,� � � � � �2•ASTM 33 �3� I � I , I � I � I �
Iafil�ve Surface
� = = = _ =NATIVESOIL- _ -
+ _ _ - - - - - -- -1 . . _ . . . . . _ � � � = �
. � - � � _ � � � � � � _ _ '� "' L�ri�s�e►,F�txoc
See detads on page 4 for number, s¢e. and spacing of laterals.
Project: TYLER 8 LOUISE SCHROCK Page 7 of 13
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