HomeMy WebLinkAbout002-840-32-5403-SAN-2024-125 -"' Department of Safety c°°°ty SAWYER �
� �_ ; & Professional Services, �
Sanitary Permit Number(to be filled in by C
�t - Industry Services Division
. . (9 S� �-o l� ry-�
.,. �
Sanitary Permit Application S`a�T�°��t'°°N°"'ber ,
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit NA �l
�.,
is required prior to obtaining a sanitary permit.Note:Applicarion forms for state-0wned POWTS are submitted to Project Address(if different than mailing ac ( n
the Depariment of Safety and Professional Services.Personal information you provide may be used for secondary ���
pueposes in accordance with the Privacy Law,s. 15.04(1 xm),s�c�. � ��03N KIDDS ROAD
I.Application Information—Please Print All Intormation
Property(lwner's Name
Parcei# 002-840-32-5403
PAUSE VACATION RENTALS LLC
Property Owner's Mailing Address
17290 33RD AVENUE NORTH Govt.Lot 4
City,State Zip Code Phone Number
MINNEAPOLIS,MN 55�7 612-750-8327 —�— '�+, Section 32
II.Type of Building(check all that apply) Lot# T 40 N R � g��r W
C�or 2 Family Dwelling—Number of Bedrooms � 1 Subdivision Name
B,�k# NA
❑Public/Commercial—Describe Use �T A
1V ti ❑City of
❑State Owned—Describe Use_ CSM Number ❑Village of
#3993 �, BASS LAKE
III.Type of POWTS Permit:(C6eck either"New"or"Replacement"and other applicable on tine A. Check one box on line B.Complete line C if
a licable.)
A.
�w System XReplacement System Other Modification to Existing System ❑ Additional Pretreatment Unit(explain)
(explain)
B• GEOMAT
❑ Holding Tank �In-Ground ❑ At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventional)
C• ❑ Renewal Before ❑ Revision ❑ Chan e of Plumber ist Previous Permit Number and Date Issued
g ❑ Transfer to New Owner
Expiration 455535!OS-17-05
IV.Dispersal/'I'reatment Area and Tank Information:
DesignA�o(gpd) Design Soil^pplication Rate(gpd/st) Dispersal Area Required(s� Dispersal Area Proposed(sfl System Elevation
`t G 0 225 227.50 92.25 FT.
Capacity in Total #of Manufacturer
Tank Information Gallons Gallons Units 9 � o � ^
New Tanks Existing Tanks � � y � � p � �
o �
c. U ii� y �n iz. C7 A.
Septic or Holding Tank 100� 1��� 1 S V A�I 7 !'�01�,(D O X
1 I1t�VY t. 1V11�
Dosing C6amber
600 600
V.Responsibility Statement- I,the undersigned,assume responsibility for installadon of the POWTS shown on the attac6ed plans.
Plumber's Name(Print) �e:rttber's Sign'ur MP/MPRS Number Business Phone Number
RYAN TRAN 798301 715-558-1673
Plumber's Address(Street,City,State,Zip Code)
10571N TOWN INDUSTRIAL PARK ROAD, HAYWARD, WI 54843
VI.County/Department Use Only
�A �v Disappmved $ermit Fee Date Issued Issuing Agent Signature
- ❑Owner Given Reason for Denial
Y�.� S �_�.� ��`-I �'��-�.�,���,�,�_
Conditions of Approvat/Reasons for Disapproval D `^' �� •;',;:,' ;'
� � '� ! `� '`''
t; �_,,,
��i����iw�► S a� a ;�
C �
.ate MAY 1 7 2�2¢
C s� �`` �`�� '-hk# �'S( � SAWYER COUNTY
•> ' •ZONfNG ADMINISTRATION
,�r-4,r+= ! lt�
�-- �
Attach to complete plans for the syste nd submit to the County only oa paper not less thau S 1rz x 11 inc6es in size
NO RCFUND8 A'FTER
SBD-6398(R.03/22) ISSUE OF PERMIT �.'<K�3
G�oMat IN GROUt�AND DOSING DtSTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner Info
Project Name PAUSE VACATION RENTALS LLC
Owner's Name (SAME)
Owners Address: 77290 33RD AVENUE NORTH
MINNEAPOUS,MN 55447
Property I�o
Property Address: 7703N KIDDS ROAD
HAYWARD
LegalDescnption: S 32 T 40 N R 8 W
Township Bass Lake Cou�ty. Sawyer
Subdivision Name: GOVT LOT 4
Lot Number: 1 Block Number: NA CSM# 3993
Parcel I.D.Number 002-840-32-5403
Plan Transaction No.:
��1d@X P'J�
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 11 Se�Flest p�,�,�tP SwRrH
Page 4 Lateral and cell cross section Page 12 �('�sr
Page 5 Management 8 contingency Page 13 " "
Page 6 Maintenance 8 specifications Page 14 " "
Page 7 Tank cross sections Page 15 Aerial ,
Page 8 Distribution media n Page 16 Prev�ous Inspection report (z �•
�' %4 r�5 „ �r v�.�w �sufcvsv,w�v
�
MARY JO HUPPERT ? License Number: 1859-007
Date: OS/15/24 Phone Number 715-426-1775
?
Signature:f�,��„v ��� ��l,.��
Designer Stamp: �
:.`�, •
�y� •�:..�"' - 'i://'
' 7� f�.`.: ' . . . - pesigned PursuaM to the
— � • �eoMat In Ground Component Manual April 2079 Version
� .�ti�::. S _.. -
s �a'i i
77i? f'.••." •�c.
L�
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,....,,,�',`'� Page 1 of 16
In Ground and Dosing Distribution Component Design
DCSlrin N/nrk'Shfr�
1
Site Infortnation
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)
18.00 Site Slope(°/)
92.25 Prop.System Elevation (ft) Sand&Native soil Contour
64.00 Depth to Limiting Factor(in)
1.00 In-situ Soil Application Rate(gpd/ft2)
95.00 Lowest Onginal Grade Ele. In System Area(ft) I
97.00 Highest Original Grade Ele. In System Area(ft)
69.92 Limiting Fador Elevation(ft)
325 Depth Below Grade
Distribution Cell information
325 Cell Width (ft) � .2! Number of Cells
�' 2.00�' Dispersal Ce�l Design Loading Rate(gpd/ft�)
2 InFluent Wastewater Quality(1 or 2)
Distribution Information
E Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed Y
6.61 lateral Spacing(ft) _
4.08 Forcemain Drainback(gal) Does the forcemain drain back?� Y �
� 0.50 Forcemain Filter Loss(R)
2.00 Forcemain Diameter(in)
- 25.00 Forcemain�ength(ft)
83.30 Inside Pump Tank Elevation(ft)
3.50 System Head(ft)x 1.3
9.72 Vertiral LiR(ft)
0.35 Friction Loss(ft)
� 14.0� Total Dynamic Head(ft) Designer must enter fnction loss and sys[em de�nancl Ic7pm;
49.08 Minimum Dose Volume(gal)
25.00 System Demand(gpm)
Manufacturer Infortnation
Treatment 7ank Info�natio� Effluent Filter Information
1000.00 Septic Tank Ca ac galj Polylok Inc./Zabel ��Filter Manufacturer
Skaw Precast Manufadurer A100 6 X 12-800 GPD Fiker Model Number
Dose Tank Information Gallons/Inch Calculator(optionap
600.00 Dose Tank Capacity(gal) � Total Tank Capacity(gal)
16.47 Dose Tank Volume aUin) �� Total Working Liquid Depth(in)
— ---_____ . __ .
Skaw Precast ,_ Manufadurer gal/in(enter result in cell DoseTankVolume)
Project: PAUSE VACATION RENTALS LLC Page 2 of 16
In Ground Plan View
2 cell�seoMat
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. �0000000000 � � � � 0000000000000000 � � � � 000000000 � � �
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.. 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°o°o°o°o�o�o°o°o°o°o°o°o°o .•
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Calculations
--- -.
I C;ft A 3.25 ft Basal Area Required 450
K 1 ft B 35 ft Basal Area Pro osed 450 ftZ
S 3.36 ft L 37 ft
. W 12.86 ft
Basal Area Calculation GeoMat Dispersal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
450 1 gaVsq Nday 450 2.00 gaVsq tUday
Total 450 ft Total 225 ftz
Pro osed 227.5 ft2
Number of Cells 2 GeoMat Width 325 ft
Cell Lengthi ft Lineal Feet of GeoMat Required 69.2
Min. Cell Len th 34.6 ft Lineal Feet of GeoMat Pro osed 70
Cell S acin 3.36 ft NOTE:Min S dimension= 1'
S stem Elevation 9225 ft
Limitin Factor 89.92 ft
Se aration 2.33 ft 2'Min
Directions_
Play wlth cell length to get tlesired cell spacing, length and width. Remember system SHOULD be longer ihae �! is
wide. It must also Satisf basal loadin rate and GeoMat cell loadin rate.
Project: PAUSE VACATION RENTALS LLC Page 3 of 16
End Connectlon Laterel Layout Dlagrem
�
�
Hde spacing is every 72",7/2"hole at 4 8 B O'Gxk,starting 4 O'clock 6'from end and
8 O'Gock Holes at 1 Z'(rwn eM. 4"Perfora[ed pipe may be used.
. � ��..���.
Lateral Spacirg 6.61 fl Pipe Diameter _ 4" ln
Distributioo Cell Cross dion
F��c�a c�n� �� �� �y
- �
I ':. .� . . �. � � lZ"-aZ e.�.n , ImalLerd
3.25ft— ��0���
� . _T` :
4•in —► Plpt Iha.'�� ^ izu \ . F�
- ' ".� PWt I`.-
Topofgeomattobeatv �1. .. _ _ _ - � GFAMAT
below original grade � i � I � I � �2:ASI'!d 33 c,.� � i 1 , I � I � I �
Inmaetive Slufaa
-=- -NATIVES01��==__
� --------���---.������Lir^i�ay.Frtr
64in y
�bSBfV0t1011 P@S
�++W�c�
P�eJO�y
� t•LfmW
72'Min. _
42'Ma�c.
sm
Tc�ln V lonn. �-R�F.n
ISi52. � \ �� ..
?ige -t �.��-�
_ .+:-. _ _ _.__ . _ ' --
�mr�r :.
�—T
A]EA�_@f muAR p�.
f`Tr'�r-rmG]] �'�'�i
92.25
Projact: PAUSE VACATION RENTALS LLC Page 4 0/16
Notes/ Maintenance Repuireme�ts
MANAGEMENT PLAN
This pnvate 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-70705-P
(N.01/01). GeoMat in ground Component manual Apnl 2019 Version.
1.This POWTS has been designed to accommodate a maximum tlaily flow of 45Q,7gRons 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 foilowing.
A monthly average of 30 mglL fats,oil and grease
A monthly average of 220 mg/�BODS
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 speciFled in ch. NR 140Tables t &2 at a point of standards application,except as provided in DSPS
353.03(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 repaired in conformance with SPS383 Wis.Admin.Code.
antl the pertaining county Pnvate Sewage Systems Ordinance. The user's manual,provided to the owner of the POWTS includes ihe names
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.
o(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 t 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 deaned once in spring,and once in fall. Also,strainers in sinks in
the building shall be maintainetl,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 counry shall see to it that a copy 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 Ihe dose tank to fill,the homeowner should see to it thal.
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 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 tailure resulting in cracks or leaks in the tank must be corrected by replacement of the septic tank component.
Leaks in the joints behveen 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 wpable of preventing the discharge of partides larger
than 1/8 inch or when it has become permanently degraded by clogging so as to intertere 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 belween manhole
nsers or covers shail be repaired by replacing faulty seals with approved matenals 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 Distnbution Piping.Partial clogging of the distribution network may result in unduly long dosing cycles.The ends of the
distnbution�aterals may be enposed and the threaded entl 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 the piping. It is recommended that the dosing
chamber then be pumpetl by a licensed plumber.
E.Soil Absorption Cell.The discharge of sewage or wastewater to the ground surface is sirictly 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: PAUSE VACATION RENTALS LLC Page 5 of 16
In Ground System Maintenance and Operation Specifications
Service Provider's Name RED'S SEPTIC SERVICE - � Phone 715-798-3033
__--
POWTS Regulators Name Sawyer County SPIA-Zoning Administration - 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 BODS 30 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 113.75 flz Maximum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Insped and/or service once every 3 ears
Effluent Filter Ins ect and clean as necessa at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test eriodicall
Pressure System Laterals should be Flushed and ressure tested eve 3 ears
In Ground In�ect for ponding and seepage_once every 3 years ._
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and malerials 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. �
Lateral Turn-up Detaii
� 6-8"Diameter Finished Threaded Cleanout
Lawn Sprinkler Grade \ Plug or Ball Valve
Box \
� Lateral Ends at La�a Orifice Where y Vent if i � ot Dosed
Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
.� � �
Distribution Lateral Lateral Cleanout
92.25 Feet
Project: PAUSE VACATION RENTALS LLC Page 6 of 16
Dose Tank Information
I uc4.inecocer��ith v:n'nln_�lahel, -
Io.Ain_Jc�i:c:md o:urr Iich�sr:d �
. � . J"Venlcdlu�cr �
I:Icclrical M� I
,s�.��ur:c;oo
; _ _ �� U��<�;
and SPS 31G�8\\ ��';-
,:;;.. _ ll r���,��i,�dc�a. . _ �l .:L1 t , �. ��,�„�,'.
u .
���i
� C I�an ou�Pip� �d Aall�PI�
\4iresFromlileclnc.nurce � ��. . ,, vdx�edof
� cOluentinmgdosid
� I
Op�ional oJiltl
J"Inlc� IJtlilta � �
�������� --- Forcemaindiameter
� � -�1
13o.s nop � I ��•,�s f���ntJ rqx m� 2 in.
:IIH�\C:11i( . . ncax�I r in.�in nln I
� tighlgaskct �. - .��IiJgmund �
'O�arp hnl.��umi Fumco
. .ph�m J.�i.c
Ilich�ratcrulami��� � _
0
` •', 3;
untp On Plnat ��.� . .-
4PumpOlillo2N I �. Pwnp !-`I � Pumpoffelevation(ft)
� �( 83.63
D — _ _
j iii�w�� '.
i^.. „ .. r^rr:r :.....:^:�iei � Dose Wnk elevation(ft)
. .
:::u . 'ij?3 r.Ta aa.i Reddine undcr ianl:�ii. :i:i;s.;i. f .:s.:i, e g...., �_
,::;:�;.3:«a.�t:;...... .... . ,.,,,,r.,v��;��:�;.;�„�i;ii,r.,:;
......�........m...,.., 83.30
Dimension Inches Gallons Skaw Precast
A 27.45 452.10 Ca aci 600.00
B 2.00 32.94 Volume 16.47 gallinch
C 2.95 49.08
D 4.00 65.88
Total 36.43 600.00
Filter Manufacturer Clearflow �
Filter Model Number NSSCFF324
Alarm Manufacturer SJE Rhombus�
Alarm Model Number AB
Pump Manufacturer Little Giant
Pump Model Number i9EH
--_-- _- —
Pump Must Deliver 25.00 gpm at 14.07 ft TDH
Note Switcnes containing mercury may not be used in this system.
Project: PAUSE VACATION RENTALS LLC Page 7 of 16
GeoMat D�Mbutlon Cell Media Layout
325 Cell Width(fl) 2.63 Sitlewall to Laterol(ft)
Distribution Cell Cross-section Mrangements
. � _ S ___ Q .. . .
Po� e9�
O Distribution Pipe
GeoMat is coveretl with approved geote#ile fa�ric as per Ne their product approval.
Distribution Cell P�an View Layout-Typical
325 Cell Widih•A(ft) 35.00 Cell Length-B(ft)
� � � � � � .� � � � � � � � ��:
� � � � � � � � � � � � � � ��
Typleal Dispersal Cell
��.,��n�e c�:,a� �� �� ��y
.. . Dim�bu6m
I ;-'. : , .'. � - � ` w vm . I,��1Levd
S�dCoateao�r�ed 12 42" .
� "T"__'
p'ryeDia - � � t�w FfcAtr�tive
r �__A r�o� �.
. 7' -- _ _ _ - - �_GFAMAT
I � I � I � I G-?yA�M33°*'+ I � 1 , I � I � I �
v�� __ -- - - - -_- - _=—_ _ InSltariveS�u9ee
___-1VATIVE�SOIL;__J�_�
� I === - - - ��_---- l L"s-�►.F�cra
See details on page 4 for rwmber,size.antl spacirg of laterals.
ProjecC PAUSE VACATION RENTALS LLC Page 8 of 16
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MoOel tlNn SoIN�Sin flunnln� P�Aormaxn(GPM�MeW I S�uta11 tor! WaiyM Dimaiu�ons
No. pp. jei�.) Lislinq NP Yolb ��a� 5' iP 15' 20' F�. F.S.L Lex�M(�.I (lb.) (L�W a X)pn.�
H-GIM 509330 3d ULCSA 4�10 115 1301000 70 64 SS J1 32 136 20 2a 930 .Ii65.E95
H-CIM 509340 3'4 ULCSA A.'70 230 65�000 i0 6a 55 dl 32 178 ?0 N 930 v1te5.C95
M�pA-RFS 509350 Y<' ULGSA 4:10 n5 1301000 JQ 64 55 J7 32 13.8 20 2i 930 �t165.B95
N�1a-Rf5 5093fi0 3a UVCSA �r10 230 6i�000 7G 67 55 J7 32 �3.8 20 24 930 .>>65.895
Co�unu0u3�utY pateA—'l�tle Gu�t WaStewaler pumDS are rate0 Co�t�nuous�7a�:as'�onq as!hyy art mn wt�m tne pu0lishM rating5lor these pumDs-
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Motor Housing EDo�y-coatea cast uon .
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impeller Matendl �olvcar0onate ���1 � _ _.i__�_ ��
Impeller Type qoseU rane �
,c � � �o
Volute ABS �
� N
oower Cord SJTW-A ' � '� � : �5 W
Mechanlcal Shatl$eal Nitnle wnh car�On and ceranuc faces � '� I z
�, ._ .,
_� 5 '
Fasteners Slainle55 5teel ��x a .� I i r o
i a '_� i
Shaft Stamless steel ''� � . r
f—2 5
Beannqs UODe�sleeve and lower ball beanngs , ', --
� Nj i � I r �
i
0 20 . •0 60 BO
R�V- GALLONS/M�NUTE
a�MP P(RF�RMAti�[ �:.URVE
. � .,..�.__. _....___.
P.O. Box 12010 �� ��� /�\
Oklahoma Gty,OK 731 57-20 7p (y�fi,.,/ E Q�:Fronklin Elect�ic
Phone. 1.800J07 J89a /�" �
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o�wrtmeni or comme�ce iNSPECTION REPORT �CJ h '
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GENERAL MFORMATION c � .
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TANK INFORMATION ELEVATiON DATA
T� ��A��R CAPAGTY STATION 85 HI FS ELEV
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"°�`g s�t�na� ta. 86.7
TANK SETBACK INFORMATION �I�t ano�
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