HomeMy WebLinkAbout026-938-17-5727-SAN-2024-122 �,�."-'"`�, Department of Safety cO°°`y � �
�� \, �jo�,w e �- ;P
i��, � A= & Professional Services, �
j s; � J�I Sanitary Perrrtit Number(to be Yilled in by Cu
�,�� �� �' Industry Services Division � � �
�M��j t�5��v -� s.
Sanita� PeY,ml� A�pliCatl�n State Transaction Number �
.._-- �
in accordance with SPS 38321(2),Wis.Adm.Code,submission of this fomi to the appropriate governmcntal unit �
is required p�ior to obtaining a sanitary pein�iC Note:Application foinis for state-owned POWTS are submitted to Project Address(if different th�n mailing addre.,�,
the Deparmient of Safety and Professional Sci��ices.Pcrsonal infonnation you provide may be used for secondary
purposes in accordance with the Privacy Law,s. 15.04(1)(�u),S[ats. �
I.Application Information—Please Print All Information
Property Ownci's Name Parccl#
l�e�-ec- +� Je�r,', cr Co Iwe I � Oa(o- 9 38- 1'7-S�a'7
Property Ownei's Mailing Address Prope��ocation
� �c I 8�/W M u 5 K Pa:�� �c- ���p�ot '�
City,State Zip Code Phone Number
5�'OK�G �,0.KG� W= S�l 87�0 ��^�'— �b, Section � 7
IL Type of Building(check all that apply) Lot# T 3� N R__��;�o
�I I or Z Family D��'clling—Number ofBedrooms .3 _ � Subdivision Name �_
Block#
❑Public/Commercial—DescribeUse
� � ❑City of_ _
❑Statc Owncd—Dcscribe Usc CSM Numbcr ❑Village oY
c5 M# 3 y'�y �a^ro,.,,or .>a,��l G.o..K< -
v.14 p. �� O —
III.Type of PO�VTS Permit:(Check either"New"or"Replacement"and otlier applicable on line A. Check one bos on line B.Complete line C if
a licable.)
�.
❑ Ncw System Replacement System ❑ Other Modification to Exisung System(explain) G Additional Pretreatmen[Unit(explain)
B.
❑ Holding Tank ]n-Ground G(QN�D.�' ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventional)w����'
�'• ❑ Renewal Before List Previous Permit Number and Date[ssued
❑ Revision ❑ Chanoe of Plumber ❑ Transfer to Ne�c Owner �
Expiration (�H� .
N.Dispersal/Treatment Area and Tank Information:
Dcsign f low(gpd) Dcsien Soil Application Ratc(gpdht) Dispersal Arca Rcquircd(s� Dispersal Arca Proposcd(st) Systcm Elevation
450 I •� / a.o 3�s�aa5 375 f a».5 95•o o �'�
Capacity in Total #of Manufacturcr
Tank Inforn�ation Gallons Gallons Gnits p � o �° �
New Tanks Existing Tanks � �
4. G ,U U N y � �
Cvw•boTa.nK ` o e � � � �
a U v: s ✓� v. :7 a.
Septic or Holding Tank ���� � �� .G ��
Dosing Chamber �b a U �,pY1G�'k.-
V.Responsibility Statement- 1,the undersigned,assu r ponsibility for installation of the POWTS shown on the attached plans.
Plumbcr's Name(Print) Plui er'� ignature MP/MPRS Number Business Phone Number
Tr-o..�;s l3•���-t c-�'�c I� �s a 87 q 7�s-!�3�1-$J 7'<o
Plumber's Address(Street,City,State,"7.ip Code)
J y3y(�t„� ,�a�c RoQd 77 �la w�-�, c.�2 Sti6 y3
VI.Co nty/Department Use Only
Pcrmit Fec Da[c Issucd Issuing Agent Signature
�App ove ❑Disapprovcd �-�/ � j � � �� �,�/ .
(�� ❑Owncr Givcn Rcason for Denial � I �� � � � `� � � }� '�;�I�'t'��"�`�1 /- �r
Conditions of r 1 e o rpi�p �oval� �
!�I �� ! 1 i , ,
�� � [-'f y,��_ ���' �' t'' r � i
� � ��►� S �� i a- �_ �. � �-_�J�� L. ;
Date - ��!
Chk# 3s��-r . MaY � s zoz4 �- �
�S� � " � � � , r,., l,�L_�0...___._.______.___.. YY s
� �':' *"�_L� SAWYER COUN.
i
at[ach to comple[e plans for the s��stem and submit to the County only on paper not less than 8 i/i s I I inches in size
sB�-�39s tR.o3i2z) NO REFl1ND8 AF?ER
ISSUE 0�PERi�A1T ;�;?�s�
Residential Application
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
Project Name: Colwell - 16184W Musky Point Dr
Owner's Name: Peter & Jennifer Colwell
Owner's Address: 16184W Musky Point Dr
Stone Lake, WI 54876
Property Address: 16184W Musky Point Dr
Legal Description: S 17 T 38 N R 9 W
Township Sand Lake County: Sawyer
Subdivision Name:
Lot Number 2 Block Number. CSM#: 3474
Parcel I.D. Number: 026-935-17 5727
Plan Transaction No.:
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry Page 10 Pump Curve
Page 3 GeoMat dist. cell drawings & calculations
Page 4 Lateral and cell cross section
Page 5 Management & contingency
Page 6 Maintenance & specifications
Page 7 Tank cross sections
Page 8 Distribution media
Travis But erfield License Number: 652879
Date: 05/15/ Phone Number: 715-634-8176
Signature:
Designer p: State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual April 2019 Version
Page 1 of 10
^ "stributio
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)
9.00 Site Slope (%)
95.00 Prop. System Elevation (ft) Sand & Native soil Contour
47.00 Depth to Limiting Factor (in)
1.20 In-situ Soil Application Rate (gpd/ft2)
96.58 Lowest Original Grade Ele. In System Area (ft)
97.58 Highest Original Grade Ele. In System Area (ft)
93.00 Limiting Factor Elevation (ft)
1.08 Depth Below Grade
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)
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed Y -1
4.46 Lateral Spacing (ft)
26.10 Forcemain Drainback (gal) Does the forcemain drain back?�-Y-�
0.50 Forcemain Filter Loss (ft)
2.00 Forcemain Diameter (in)
160.00 Forcemain Length (ft)
82.00 Inside Pump Tank Elevation (ft)
3.50 System Head (ft) x 1 .3
13.77 Vertical Lift (ft)
2.22 Friction Loss (ft)
19.99 Total Dynamic Head (ft) Designer must enter friction loss and system demand (gpm)
71.10 Minimum Dose Volume (gal)
25.00 System Demand (gpm)
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
Dose Tank Information Gallonsllnch Calculator (optional)
602.82 Dose Tank Capacity (gal) 602.82 Total Tank Capacity (gal)
11 .82 Dose Tank Volume (gal/in) 51 .00 Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Manufacturer 11 .82 gal/in (enter result in cell DoseTankVolume)
Project: Colwell - 16184W Musky Point Dr Page 2 of 10
�}ss -L'..�`ry�.. $ �'"':�..
2 CCll�'ICOIKffi
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I 1.50 ft A 3.25 ft Basal Area Required 375 ft`
K I ft B 35 ft Basal Area Proposed 375 ftz
S 1.21 ft L 37 ft
W 10.71 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 12 gal/sq ft/day 450 2.00 gal/sq ft/day
Total 375 ftz Total 225 ft2
Proposed 227.5 ft2
Number of Cells 2 GeoMat Width 3.25 ft
Cell Length 35.00 ft Lineal Feet of GeoMat Required 69.2
Min.Cell Len th 34.6 ft Lineal Feet of GeoMat Proposed 70
Cell Spacin 1.21 ft NOTE�Min S dimension=1'
System Elevation 95 ft
Limiting Factor 93 ft
Separation 2 ft rmin
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 Satisfy basal loadinq rate and GeoMat cell loading rate
Project: Colwell-16184W Musky Point Dr Page 3 of 10
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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 L.ength = GeoMat Length
Lateral Spacing 4.46 ft Pipe Diameter 2.00 in
�inished Gradc �`r � `+ `( � W V'
._ .` ..•. .• , ';.: ';: ', , -: ,'• ; ; •,:•_ ' .. , , :. �o�
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1.08 ft — S�md Cones t°°°mmmded : , ' ..
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2 in �► ���.:� •• . � uis� � �� _'��`� . `� F��� Y'E
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Top of geomat to be at or ��., _ - • � GEOMA?
below original grade � I � � I � 2■ASTM33 �� I � I , 1 � ( � I �
Infilta6ve Surface
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Project: Colwell - 16184W Musky Point Dr Page 4 of 10
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 2.0 SPS-10705-P
(NAi/01). GeoMat in ground Component manual April 2019 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 monthly averege of 30 mg/L fats,oil and grease
A monthty 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.Gode.
2.The owner of this POWTS is responslble for system operation and maintenance.
3.Defects or malfunctions identified during maintenance described above shall be repaired in conformance with SP5383 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 properly licensed individuals to contact for such repalrs.
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 buildinq shall be maintained,so that solids and fats are minimized to flow into system.
A minimum of 2 observatio�pipes per cell shall be installed.These pipes shall be located approximately at the end of each cell.
The plumber,or caunty shall see to it that a copy of these plans Induding thts page,maintenance folder,and maintenance agreement is
given to the hameowner.
This system may contain a dose chamber. If a pump.float,electrical outage causes the dose tank to fill.the hameowner 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 rarely overloaded. 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 strudural 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 faWty 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 padicles 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 Pioing.Partial clogging of the distribution network may resWt in unduly long 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 matterfrom the 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 effluenL All failures created by surface discharge shall immediately be reported to the appropriate counry.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: Colwell-16184W Musky Point Dr Page 5 of 10
Service Provider's Name Butte�eld Inc Phone 715 634-8176
� )
POWTS Regulator's Name Sa er County SPIA-Zoning Administration Phone (715)634-8288
System 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 Maximum TSS 30 mg/L
Soil Absorption Component Size 11375 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 every 3 years
Effluent Filter Inspect and clean as necessa at least once eve 3 ears
Pump and Controls Test once eve 3 years
Alarm Should test periodicall
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 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 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" olamecer . � Fn�shed � Threaded Cleanout
'��Lawn Sprinkler � ����{e \ Plug of Ball Valve
o�Box �
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e,o.o_��o_�o o c � . �. Vent if i � ot D050d
�La[eral Ends at Last Onfice Where
.�� � � � � � Long Sweep 90 or Two
�45 Degree Bends Same
I � � � ' DiameterasLateral
� ' � '� :I��
rni�. };, , i' " J.i i,�.,!'j1� �
Distribution Lateral � Lateral Cleanout �
95 Feet
Project: Colwell- 16184W Musky Point Dr Page 6 of 10
PAGE 7 �JF 10
GRAVITY-DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
4"(dVentPipe (No Scale)
>10 ft from
Building Electrical must comply with
12" Min. or 2.0 ft above COMM 16 and NEC 300
Established Flood Elevation Extend manhole riser as necessary.
(typical) Weatherproof
Approved Junction Box
Vent Cap Approved Locking Manhole
IMP�RTANT: with Waming Label Attached
(typical)
Anchor tank(s) as necessary �-conduic
pursuant to SPS 383.43(8)(g) a�� Min. or 2.0 ft above
Established Flood Elevation
� (typical)
�Airtlght Seal �
Finished Grade _ �
— Qulck Disconnect
e 18" Min.
CAPACITIES @ � � •82 gaUin �° � � .. �e _ .�� � � � • (�yP'��>
a _ �
Depth (in) Volume (gal)
q 33.9 400.�0 � � 1IWee �/approvedJointswRh
� p Approved Pipe 3 ft onto
Liquid II Hole sond ��o��d
8 2.� 23.64 A Depth '�'i Force Main c�YP��aq
Filter*
[C] 5.1 60.28
Iil�Alarm � * Install and maintain pursuant
D 10.0 118.20 B '�o� to manufacturer's instructions.
� � � PUMP-OFF
+ P""'P ELEVATION = 82•83 ft
* Pump Tank Liquid Level = 51 in 1 — ��ff a
° INSIDE BOTTOM
Force Main Diameter = 2 in Concrete
B�°�k ELEVATION = 82•00 ft
. : . . . _ .a. ' e .
Force Main Length = 160 ft
3" Approved Bedding Material Beneath Tank
Force Main Void Volume = 26•08 gal
[C] Total Dose Volume (T� = 60.28 gal/dose
�— ( < 0.2X design flow + force main void volume)
14.25
Vertical Lift = ft
PUMP TANK: SEPTIC TANK(S):
Volume = 602.82 gal Total Volume = 1000 gal
Wieser Concrete Inc Manufacturer s : Wieser Concrete Inc:
Manufacturer: � �
Liberty
Pump Manufacturer: Install approved force main filter pursuant to
Pum Model: 283 manufacturer's instructions.
p (See attached pump curve.)
Controls/Alarm Manufacturer: SJE Rhombus Filter Manufacturer: Simtech
Controls/Alarm Model: Tank Alert AB STF-100
Filter Model:
Float switches containinq mercury are prohibited.
3.25 Cell Width(ft) 2.63 Sidewall to Lateral(ft)
Distribution Cell Cross-section Arrangements
--��..^T--_.._--""- _-�-+�--o�r; -T�T--�r-�--- .;.�._� `��G*�-o��-.,�ci
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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) 35.00 Cell Length-B(ft)
End Connection Lateral Layout Diagram
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