The URL can be used to link to this page

Home My WebLink About002-940-01-3103-SAN-2020-247S/AilWlIndustry Services Division1400EW.nsliinglon AvcP.O Box 7162Madison, W1 >3707-7162• a^TSanitary Permit ApplicationIn »ci;oidince avii SI'S l£3 Mt.'i, Wis. /\xlm Code, submission of dos fojro 10 Ihe jppioptiule goveiunitntal uiulIS required poor lo olnamms i ^dniljr>' pennJi Nolc: Appbcjiion foims foi sulc-owned POWTS ere subnuiled (uthe Dcpattmcnl ol Salci> and Protcssional Services. Personal imormaiion you provide may be used lor secondarynmroscs in accuidaticc mlh dn. I'nviiirv Law, s. lS.04fU(m). Stats.1. Application tnformarinn - Please Print All InforinalionPiopoiy Oamer'i NaiiuTfusr - F&fffj.fjJyt fftoefjI'ropctly ONvnerMailingLA^Guy, StaleZip CodePtionc MumbcxU*tvJ*ri , U/TII. Type of liuililing (check all lliat apply)S I or 2 Pamily Orvcllniy. - Miiinhci ol Bedrooms 3CJ Pilblic/Cornincieijl - Ocsciibr listD Slate 0"ATial - Dcscnbe UseLot*Block 0CSM Niunbci2<oh'X'7Countys<'f W;rrVSanilaiy Permit Ntimbei (lo be t'lllct! ia by Co.)^^.7951Slate Transaction NumberProjeci Addiess (if diffeieni duo mailing address)Paieel UaM^Vffai3/0 3Propeily t.ocalior8o^. Lot 3A/f '/i, Vr, Section !_(circle ouc)T QO N. R_S_Eo(^Subdivision NameD City of□ ViUagc ofS Town of /btiJ iik rA.D New Svnicm[S Rcplacenieni System0 '! reatmcnt/Holding Taiilc Rcpiaceincnl Only□ Other Modification lo Existing System (explain)nrv. 1Q Pcrmii PencwidBefore Ex[m.itnrnrvne of POWTS Sv.tD I'eiTmt Revismnicm/Cnnirnncnt/Dcvicc;D Change of PlumberfClicck all that appivOPetmil Transfer to NewOwuci-)list Previous Pcmut Number and Dam IssuedD Holding Tank Ll Oilier llispcrsal Component (cxplain)_□ Prctrcamient Device (explaln)_V. DlspcrsalTTrealttteul Area Information:Design Flow (gpd) 1 Design Sod Application Ratelgpdsf)V-yg j :J_Dispersal Area Required (sf)VI. Tank IntoSeptic or Holding 'artOoiiAg CliamberCapnciiy inGallonsNc'.v Tiiik.Exisling Tanks/060TotalGjJIuiis/ecedotUnitsDispersal Area Proposed (sf)^00ManufaclurerSystem Elevationfj.ff '£ §a. u<31£ E3ik OOrVn.Kesponsll.llily Slatemml- 1. the nnderslgned. assume responrihllUy U,r inttaliatlon o( thePhmiber's Name (I'lm-.iI'limjbci's Signaniie0J?MPRS NumbtuBusin/SAi/ii' ufTff^aA- ^Pluil)l)CJ*'s AJdu^s iSrii-Cf, Cjiv, St.iti:, Zip Code)VTIL r.cituity/Dciuriiiienr liy OjjJyHL t.citmty/iess Phone Number7/X- frt-Afir'-(J [)li.!Jl[)l'iV';dU Ijwrii.-r (.iiv.'ii kfaann loi DenialPermit FeesDate IssuedIssuing Agent Stgoalure -sWamJIX. Conditions ol Approvaiiilca.sons for Disapproval^FT£RORIGINALarTI^TtT luirrpleu nUn, f.r the ly.tem and rubmll lo th. Caunty only an piper not tel. than S1/2 « 11SBD-6398(R 08/.J)SAWYER COUNTYZONING ADMINISTRATION Bauers Trust-Peter&Judy Bauers Property Owners Name9398N Bayview LN2940013103SawyerPrt Govt Lot 3 Lot 3140N9WProperty AddressTax Parcel NumberCountyLegal DescriptionSectionTownRangePage Index1 Property Information2 Data Entry3 Plot Plan4 Drainfield Cross-Section5 Tank Information6 Maintenance Plan7 Contingency PlanBruce VitcendaPlumber's NameM.P.220498715-943-23829/22/20Plumber's SignaturePlumber's License NumberPlumber's Phone NumberDatePage 1 of 7 In-Ground Soil Absorption SBD-10705-PfN 01/01Wersion2Component Manual Used3Number of Bedrooms2Percent Slope (%)120Depth to Soil Limiting Factor (in.)0.7In Situ soil application rate300Estimated Wastewater Flow (gpd)450Design Wastewater Flow (gpd)1Number of System Elevations93Proposed System Elevation #1naProposed System Elevation #2naProposed System Elevation #398.5Original Grade #196Finished Grade #1naOriginal Grade #2naFinished Grade #2naOriginal Grade #3naFinished Grade #3Skaw1000jSeptic TankOrenco 8" Biotube1 Effluent FilterBioDlffuserARC 36 i Chamber Type13Height of Chamber (in.)25sq.ft. per chamber(ESIA)4.5sq.ft. per pair of end caps (EISA)5laying length of chamber(ft.)1.17length of endcap(ft.)33.75Chamber width(in.)3Rows of Chambers3Distance Between Cells (ft.)12Number of chambers in first row12Number of chambers in second row12Number of chambers in third row36Proposed Number of Chambers Used642.9Minimum Distribution Cell Area Required (sq.ft)913.5Distribution Cell Area Proposed (sq.ft.)Kage 2 of 7 /-I t .y /'"h J wg ff;f*i*3 i tv nhoXt\fj tSli'ihh'SU ol^fV JfA^hLhl ~ jHf^J. H'S ' (hAhJt f^VAhg/t^n^ fOaitMO ^fofiH3t(/ J-Xr/fid Diagrams Not To Scale62.34 feet62.34 feet•. 'Nrcr-'-.—3 feetbetween cells62.34 feetervatnn I Vent Pipes to t)e located at the ends of the distribution ceils. Service EventService FrequencyInspect condition of tank(s)At least once every , 3,Year(s) ,Pump out contents of tankfs)When combined sludge and scum = 1/3 of tank volumeInspect dispersal cell(s)At least once every j 3)Year(s) |Clean effluent filterAt least once every 1 3lYear(s) 11 ! ! 1Maintenance InstructionsBauers Taist-Peter&Judy Bauers9398N BayviewLN2.94E+09Number of BedroomsEstimated Flow (avefage) gallons / day300Design Flow (peak), (Estimated x 1.5) gal/day450Soil Application Rate gai/day/ft^0.7Influent / Effluent QualityFats, OH & Grease (FOG)Biochemical Oxygen Demand (BOOa)Total Suspended Solids (TSS)Monthly Average30 mg/L220 mg/L150 mg/LSeptic TankSkaw 1000Effluerrt Fitter Orenco 8" BiotubePRINT PAGEMaintenance ScheduleServicing frequency of 12 months or less requires theManagement Plan be recorded with the Register of Deeds,Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licensesor certifications:Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, Septage ServicingOperator. Tank inspection must include a visual inspection of the tank(s) to identify any missing or brokenhardware, identify any cracks or leaks, measure the volume of combing sludge and scum and to check forany backup or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected tocheck the effluent levels in the otiservation pipes and to check for any ponding of effluent on die groundsurface. The ponding of effluent on the ground surface may indicate a failing condition and requires theimmediate notification of the local regulatory authority.When the combined accumulation of sludge and scum in any tank equals 1/3 or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of inaccordance with ch. NR 113, Wisconsin Administrative Code.A service report shall be provided to theof any service event.Sawyer County Zoning Deptwithin 30 daysStart-Up and OperationFor new construction, prior to use of the POWTS check treatment tank{s) for the presence of paintingproducts or other chemicals that may impede the treatment process and / or damage the dispersal cell(s).if high concentrations are detected have the contents of the tank removed by a licensed Septage ServiceOperator,System start-up shall not occur when soil conditions are frozen at the infiltrative surface.Page 6 of 7 Do not drive or park vehicles over tanks and dispersal cells.Reduction or elimination of the following from the wastewater stream may improve the performance arKi prolongthe life of the POWTS: antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dentalfloss, diapers, disinfectants, fat foundation drain (sump pump) water, gasoline, grease, oil, painting products,pesticides, sanitary napkins, tampons, and water softener brine.AbandonmentWhen the POWTS feils and / or is permanently taken out of service the following steps shall be taken to insurethat the system is properly and safely abandoned in compliance with Wisconsin Administrative CcKle SPS383.33;- All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.- The contents of all tanks and pits shall be raooved and properly dispos^ of by a Septage Servicing Operator.- After pumping, all tanks and pits shall t>e excavated and removed or their covers removed and the voidspacefilled with soil, gravel or another inert solid material.Continaencv PlanIf the POWTS fails and cannot be repaired the following measurers have been, or must be taken to provide acode compliant replacement system: (Check One)Eh'he site has not been evaluated to identify a suitable replacement area. Upon dilute of the POWTS a soiland site evaluation shall be performed to locate a suitable replacement area. If no replac^ent area is availablea holding tank may be installed to replace the foiled POWTS.Qa suitable replacement area has been evaluated and may be utilized for the location of a replacement soilabsorption system. The replacement area should be protected from dsturbance and companion and should nolbe infringed upon by required setbacks from existing and proposed structures, lot lines and wells. Failure toprotect the replacements area will result in the need for a new soil and site evaluation to estattish a suitablereplacement area. Replacement systems must comply with the rules in effect at that time.P A suitable replacement area is not available due to setback and/or soil limitations. A holding tank may beinstalled to replace the foiled POWTS.Septic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not enter aseptic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person from theinterior of a tank may be difficult or impossible.POWTS InstallerNamePhone #Bruce Vitcenda715-943-^MSeptic PumperName Norththwest SanitaryPhone# 715-9432650POWTS MaintainerName -Northwest SanitaryPhone# ■715-943-2650Local Regulatory AuthorityAgencySawyer County ZoningPhone #715-634-82887 of 7 Real Estate sawyer County Property ListingTodajTs DatK 9/21/2020Pfoperty Status: CuirantCreated On: 2/0/2007 7:55:00 AMUpdated:,6/9/20143ATaitiD:2665PIN:57-«}2^-4|y^lr3 01<00(H)00030Legacy PIN:Map 10:...Municipality:(002) TOWN OF BASS LAKESTR:S01T40NR09WDescription:PRTOOVTLOra. PRTNESW, LOT3GSM 2^27.#69?8Recorded Acres:7.490Lottery Claims:1First Dollar:YesZoning:(F-1) Forestry OneESN:406^ Tax DistrictsUpdated: 2/6/20071State of Wisconsin57Sawyer County002Town of Bass Lake572478Hayward Community School District001700Technical CollegeOwnershipBAUERS TRUSTUpdated: 3/25/2014HAYWARDW]BilBno Address;BAUERS TRUSTATTN: PETER & JUDY BAUERS9398NBAY\^EWLNHAVWARDWi 54843Mailing Address:BAUERS TRUSTATTN: PETER & JUDY BAUERS9398N BAYVtEW LNHAYWARDWI 54843Site Address * indicates Private Road9I398N BAYViiw LN *HAYWARD 54843Property/tssessment2020 Assessfltent D^lUpdated: 9/13/2012CodeAcrest.andImp.G1-RE5IDENTTAL7.49023,700256,6002-Year Comparison20192020ChangeLand:23,70023,7000.0%Improved:256,600256,6000.0%Total:280,300260,3000.0%• Recorded Doonnentsa SreCMiTwARR/^^ deedDate Recorded; 3/24/2014Updated: 1/7/2010O WAmtANTYI^DDate Recorded: 4/3/2009359408r Property History389718 N/A Soil Profile SheetOwner: naOe.r fSoilTcsier; />^t/Cc^Sxijem Elevation, Load Rale; . 7SyiUm Range; toloo, of- il.t/l.afl.ySi n iyi.vat US'SL .i/Loi.L .</?S/C.i/.t1i.7/fi.O'olJs . E . � . ( / � � � � �7 � � � .� ��_ ____ � * _�� i , -� -e - -��. � ��--- ----+ , , 1 � — � —_.._ "_` - 'D� , �� L_s � \��"°�i Y � ��v � ( �� %��="0.'";E^%�� pRIVATE ONSITE WASTE TREATMENT county /i� �� ?��Sps ,.�, SYSTEMS Sawyer �� ` ,�,;' ( POWTS) �`�''^�"��'' WSPECTION REPORT sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION � �� Personal infonnation you provide may be used for secondary purposes[Privacy L,aw,s. 15.04(I)(m)] �� Permit Holder's Name: ❑City ❑ Village Town of: State Pian Transaction ID#: ��_�i�� \�,.��- \�c S> �-c�.��_ Insp BM Elev: BM Description: Parcel Tax No: �� uL-`:c; �� -'\c- �� , � l�10_, \ �;C.�—cj Lj(� - L;\ — ��`C: � TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �� ,,,�, \ ,_,�,� Benchmark \�� L` Dosing Aeration Bldg. Sewer Holding St I Ht Inlet TANK SETBACK INFORMATION St I Ht Out�et TANK TO P/L WELL BLDG vENrro ROAD Dt Inlet AIR WTAKE Septic NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. � Holding Dist.Pipe PUMP 151PHON INFORMATION �nfiltrative •q� Surface Manufacturer Demand Final Grade Model Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W � #of Cells Type of System Disiribution Media Manufacturer: SETBACK OHWM of Nav � Conv ❑ Aggregate INFORMATION P/L Bldg Well Waters � GP � Chamber Model Number: ❑ EZFIow CELLTO ��;� } �� ,-5� - ❑ Mound o Other A�C '�(G DISTRIBUTION SYSTEM X Pressure Systems Only Header/Manifold Distribution Pipe(s) ; X Hole Size X oH le Observation Pipes Length Dia Length ___Dia _ Spac _� _�Spacing ❑Yes ❑ No SOIL COVER Depth Over Depth Over � Depth of Seeded I Sodded Mulched Cell Center Cell Edges I Topsoil ❑Yes ❑ No � ❑Yes ❑ No l COMMENTS: (Include code discrepancies, persons present,etc.) � `��:-� �� ,�� 3� U..��.,._._�'�5 �..�� L.a � .-•5\-��c�.',�� c:�-� o— �,�v��:?� Plan revision required?❑Yes❑ No � � � � — �� \� �\� �U - - lo�C� \ Use other side for additional information Date POWTS inspector's Signature Certification Number SBD-6710(R.3/01) i �� AOOITIONAL COMMENTS AND SKETCH .•I SANITAflY PEHMIT NUMBER: O�— 03.5� � c�� c��I7 � �� ; - , 1e�� . . . . . . �a � . . . c . � �a�' . A��,�, -}100 - -� ,10 � . . . _J . . . � A'� �� . G . � . . - . � . . . . . "7 � . . . . >_ . �'� --� � . . . � � SUA`�'� . . . . �m` 0 �voo . p w�r��' ��f"' � ,�la 4 .� . � � � ` . �ro�°i�� 1 ND ��.t` k.�•- . � �4��• � ,'��°Y ��c� � . 1 . c1r �� . � � — . , . . �� . s�"�� --�.