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HomeMy WebLinkAbout008-938-20-5208-SAN-2020-145Industry Services Division1400 E Wadiington AveP.O. 80X7162Msdisou, WI53707-7162 .CSTo^-IS-fc )Sanitary Permit Ap^icationId secordince witb 9PS 383.21(2), WU. Ai^ Code, submitsion ofthisfinxo totlie qrpropriate gaitii recpundpriorto obtiiaiagafDitBy pomit Note: Appiieadao finmi for fta]»«wned POWTS ne lubmitted toCouBiyScDinry Pctinit Nnmber (CO be fiOed in by Co.)State TrtnsKtioo NumberProject Addnai (ifdifienot address)\L AncHntion InfrtrmsHnn—nease Print All ^"'nr^etloBProperty Owner's Name^ *='r~Parcel#Property Owner's Mailing AddrassPropcny LocatioaC^\ot 3-Cdy, htau^roAJ e^^-J CO c-JtfZip CodeFbone NumberV4, 14. Section OT -ift W.IL Type of BniiiUng (check all that apply)^1 ar2FamilyDwelliiis-NuniberofBedroomsLot#3SnbdivitiaoNimen TWr/Mk* TTmBlock HID Slate Owned - Dtacriba Use□ atvofCSMNnmber1 7//^l ^52S'<f□ vuiaaeofS Town of C c^o fi' U xklT'e-r^A.^Nsw SystemD Replacamett SystemD Tieatmest/Holding Tank Replacement OnlyD Other Modification to System (nplain)B.IV.:0 temit RenewalBefore Expira&cn"TDO of POWTS SvaD Femiit Revisiontam/Comtionent/Deviee:D (Ttipigr ofPitBsber(Chock all that aBPlr0 PtRnii Tianate to NewOwnerList Previous PermitNumber and Date IssuedNoa-Pressurtodto-Crotad □ Pressniiad In^Jrouod □ At-Onde □ Mound >24 ia. ofsuitrtle soil □ Moiaal<2« ia. ofuilibhseilHOldmgTank □ OtoDiyarsal Compcceat (cqilain) □ PietteatmemDevice (explain).V. DisperBalfrrentmut Area TiiSiMtii»ri«B;Des^Flow(gpd)HSC>Soil Ap^catioa RaU(gpdtf)CsS-Dispersal Area Required (if)'=)00Dispersal Area Proposed (if)Syttm EZevitioQVL Task InfoC^ad^ bOallmtsNew TasksBdaisi TeaksTotalGallons«ofUnitsMBufecturerI1ISSepde orBaldrng Ink\0cx>)(iroVn. lUnponriblUty Stntemciit- I flie midanlaBed. assnne responribOtty far bretaUatton ofthe POWTS shosra on the wittf htd p^—"PI■jterfyTOfexcavatlng. UC*8 SigutureStone Lake,Code)MP/MPRS NuabsrBusiacss Fbose NumberVIIL.Conjffyopartment Use OnlyD Dis^iprovedD Owner Given Reason firr Denial^temitFee* 'ioo:Dale IssuediMQtsg AgBdK. CondidoBi of Approval/Rsssons for DicapprovaJORIGIKALNO REFUNDS AFTERISSUE OF PERMITAnd te eampMs |Ous br the systB sad sabBltla be Coaary ealy ea paper net las Oaa (tA 1111SBD-6398{R. 08/14)JUL 2 2 2020SAWYER COUNTY2WINQ ADMINISTRATION In-Ground Gravity PlanIndex & Cover SheetComponent Manuai Des^ Rofenanoss:Version 2.0. SBD-10705-P (N.01/01. R. 10/12)PAGE 1 OF 4Pg 1 of 4Pg2of4Pg3of4Pg4of4index & Cover SheetPlot PlanDispersal Area Cross-Section & Plan ViewManagement PlanAttachments:EndoMiras:POWTS Application for ReviewSoil Evaluation Report & Site MapProject Name /.DeserlptlonOwnerNsinefsl: ^ St/g. kxSSiroc^^I' Phone:.OwnerAddratt: ^Zlo: SH^SS~Proleet Address: y6 3>S"V ^7b/oe>Oovt Lot:^ ^1/4 of 1/4, Section 1o . T3S N-R Erior WTown^lp: ^<dU^g. L..3c£r-cJ" County: yer-Project Pereel ID ft 2g?5-ao&Designer InfbmiationDNismrltainK ^ Phon.:DeelonerAddrese: Stone Laica, Wl 54fl7ft Zip:UeeneeNumber ^ ^Remarks:Ibis space ramed far ^iovbI stamp.Signature:raqidredeBeeehafinttMeopy.Oate: CHECK BOX AS APPUCASLE□ SOIL EVALUATIONSITE MAPPROJECT NAMEScale: 1' = 40'40 60YZZZZazzWi810'0CHECK BOX AS APPUCAB^ESYSTEM page 2 OFPLOT PLANDESIGN FIjOW: QpoAttach design flow calculations for commercial plans.j ^ «uBwi assign now cBicuiationo Tor commercia! pisPROJECT ADDRESS: _ P^o Matarfal / ASTM Standard (Tables 384.3M & 384.3(W)BM Symbol:BM Bavalton: ft ^ Sanitary Sevmr Uc> Pt/d^BMDa«x1ptlon: hu K-U : f ^ ^SIIXM GraiSanl(%)ofTeatsdArca:C? Wdl Symbd (tf appHcabla): ©IndloatonaithbydmHngtnaniwanthaatjareprSsina.IMPORTANT-Show ground elevation contours at sifltable bitetvals.Moose- - S*=V.C> "lSy^rovxLcru-Le. "78^1-i L? IN-GROUND GRAVITY DISPERSAL AREAUniform Elevation Trenches with Quick4 Standard-W Chambers3-ft Trench (down-sizing credit)^ Saptle Tank<() ManuiactmrS«ptlc T<nk(t) Vctuma(>):e" B* 0«>EffluoM FUlar MarubctirarSOIL COVEREffluamntarMoMV: ,TYPICAL TRENCHCROSS SECTION VIEW(No Scale)System Elevation(typical)Piovlde minimum 3 ftseparation between trenches.QuIcM Standard-Ww/End Cap>— (typical)(Show location of Inlet / outlet pipe connection on plan view.)ObMTvtbcn Pip*(tyiwai)inaWI per memtteurert/ InWrueflm.B= ft1TYPICAL TRENCHPLAN VIEW(No Scale)^Quick4 Standard-W ChamberINSTALL PER TRENCH:I . Instalpurvuirtto manufBeturv^ hstruettoRt./-J Qiilnlid SId-W a 20 ff EISA/chambers -SCH-' ft't Pairs of end caps ©eft* ElSWpair = ft'= Proposed EISA per trench = ft' Required infiltration Area n ROO ft* DistributiorX 3 trenches = Proposed Total EISA = tR ft" C»r<A^ fcfOistilbution Method: RLEINFORMAHONPOWTS OWNER'S MANUAL & MANAGEMENT PLANSYSTEM SPEOnCATIONSPofle.OwnerPennlt#DESIGN PARAMETERSNumber of Bedrooms3 □NANumber of Public Fadllty Units^NAEstimated (av^age) flow3«>o gal/dayDesign (peak) flow = (Estimated x 1.5)gal/davIn SKu Sdl Application Rate- S~" flal/dav/ll®Standard Influent/Effluent QualityFats, Oil & Grease (FOG)Biochemical Oxygwi Demand (BODg)Total Sispended Solids (TSS)Monthly average*£30mg/L£220mg/L □ NA£150mg/LPretreated Effluent QualityBiochemical Oxygm Demand (BODs)Total Sispended Solids (TSS)Fecal Gdiform (gemietrlc mean)Monthly average£30mg/L£30mg/LS10*cfu/100mlMaximum Effluent Particle Size16 India. I^'NAother:□ NA*Values typical for domestic wastawater and septic tank effluentTank Manufacturer L-i □ fslA^"^eptic □ Dose □ Holcfing vol. — JCOOTank Manufacturo'□ S^ic □ Dose □ Holdngvol.galEffluent Filter ManufacturerEfliuent RIter Modd Lt□ 1^Pump ManufacturerPump ModelPretreatmoit Unit□ Sffitd/Qravei Rlter□ Meclianlcal A^on□ DisinfectionManufacturer□ Peat Rlter□ Wetland□ Otfier^NADispersal Cdl(s)^ln-<3round (gravity)□ At-Qrade□ Drlp-Une□ NA□ In^round (pressurized)□ Mound□ Otho':other:□ NAOther:□ NAMAINTENANCE SCHEDULEService EventService FrequencyInspect condition of tank(8)At least once every:^IqvST {M«bnum3yeare)□ NAPump out contents of tank(s)££When c(»nbined sludge and scum equals one^third (10 of tank vdune□ Whffii the h^h wato-alarm Is rotivated□ NAInspect cDspersal c^l(8)At least once evoy:(Merdmumayeare)□ NAClean effluent filterAt least once every:11□NAInspect pump, pump controls & alarmAt least once every:□ mrmthfs)□ year(s^ifNARush laterals and pressure testAt 1^ once every:□ month(s)□ year(s)other:At least once every:□ m(»ith(8)□ vear(s)□ NAOther:□ NAMAINTENANCE INSTRUCTIONSInspections of tanks and dl^)ersal cells shall be made by an Indlvidjal carrying one of the following licatses or c«tifications: htasterPlumber; Mast«- Plumbw Restricted Sew«^: POWTS Inspector; POWTS Malntalner; Septage Sovldng Operator (pumpo-). TankInspections must Include a vistral Inspection of the tank(8) to Identify any missing or broken hardware, Idoitlfy any cracks ot leaks,measure the volume of oomtdned sludge and scum and a ohedt for any back up or pondng of effluent on the ground surface. Thedispersal cell(8) shall be visually inspected to chedt the effluent levels In the obswratlon pipes and to check for any ponding of effluenton the ground surface. The ponding of effluent on the ground surface may indteate a falling condition and requires the Immediatenotification the local regulatory authority.When the cwnblned accumulation of ^udge and scum In any treatment tank equals one-third (1^) or more of the tank volume, the entirecontents of the tank shall be removed by a Septage Sorvldng Opwator and disposed of In accordance with chattier NR 113, WisconsinAdministrative Code.All other services, including but not limited to the sovlclng of effluent fitters, mechanical or pressurized components, pretreatment units,and any servicing at Intervals of £12 months, shall be perfonned by a c^fled POWTS Malntdner.A service report shall be provided to the local regulatory authority within 10 days of a»nttietion of any service event.GMW (12/02) • STARTUP AND OPERATION ''"O" of-^ treannem tank(8) for the presence of palnMng products, solvents or othercoSSlf^fhlSWov^S^S^^Tld^ Ithlghcor^entratlonsaredetectedhavetheSyston start up diail not occur when sell conditions are frozen at the Inflltratlve surface.P^'^P "Tiay fill above normal highwatw levds. What power Is restored the excess wastewater willS ^ In one large dose and may ov^ tftem resulting InTO ^ this shrellon have the comente ol the pump tank rernoved by a Septege SmWltffl OoS^3n«i?SIISi"t^!!^ ' Melmalner to eesha In manually operating the pump controle to restore normel leveleRedu^ tn MmMon rt th^lMng from the weeteivatar etreem mey Improve the periormencs and prolonii the Hie of the poiwrs-"nntel 11^; dtep^i^tSST^tS^nABANDONMENT• All fMdng to tanks and pits shall be disconnected and the abandoned pipe openings sealed.• The contents of all tanks and fXts shall be removed and properly disposed of by a Septs^e Servldng Operator.• IrStrKldS'.'" "''"l"»»«nt removed and the void mace Nled with soil,CONTINQENCYPLANll^lS^^ystOT: ^ ^ ^®n' to Pfovlle a code compliant° ^ ^uated and may be utilized for the location of a replacemoit sdl absoritfonraSSd PtMected from disturbance and compaction and should not be Infrfi^ed upon byadstlng and proposed structure, lot lines and wells. Failure to protect the r^acement area winRepacementeyetememuet° JSSX'liffi^"iaS'SrS^r»"^SLt^^ BemngadvanceelnPOWTStechnolmiy^ UponfollureofthePCWmaeollendeltebelnstawra^L^SiSSSiea^JSSS^"'^"™''^"™''"^° D®°" sterns may be reconstructed in place following removal of the btomat at theinflttrative surface. Reconstructions of such systems must comjrty with the rules In effect at that time.«WARNING»>SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL QARRpR AND/OR INSUFHCIENT OXYGEN. DO NOTENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY oSffiUN^A^ D^TO IMY ^PERSON FROMTHEIMTERIOROFATANKMAYBEDimCULTORIMroSlBlE D»TH MAY RESULT. RESCUE OFAADDITIONAL COMMENTSPOWTS INSTALLER POWTS MAINTAINERName «s-rrvPhcne-7/^-NameOopQ ^■•ksiAjct ^T"Phone3EPTAQE 8ERVICINQ OPERATOR fPUMPER^Name SclotTSPhoneTVS'- 70. -y"!.OCAL REQUUTORY AUTHORITYName SC ZPhone 6 3 ^ ~ BSlrmSo), Ommty Z„V,m md STmbrrlon rufmclm In MmpH... mrh drwr. Real Estate sawyer County Property ListingToday's Date: 7/22/2020Property Status: CurrentCreated On: 2/6/2007 7:55:16 AMDescriptionWaterbody:Zoning:ESN:^ Tax DistrictsUpdated: 3/30/2020 ^ OwnershipTax ID:9224PIN:57-008-2-38-09-20-5 05-002-000080Legacy PIN:008938205208Map ID;:2.8Municipality:(008) TOWN OF EDGEWATERSTR:S20 T38N R09WDescription:PRT GOVT LOT 2 LOT 3 CSM 17/121#5254Recorded Acres:0.490Calculated Acres:0.495Lottery Claims:0First Dollar:NoUpdated: 12/20/2018Little SIssabagama Lake(RRl) Residential/Recreational OneUpdated: 2/6/20071State of Wisconsin57Sawyer County008Town of Edgewater650441Birchwood School District001700Technical College« Recorded DocumentsUpdated: 3/30/2020QUn CLAIM DEEDDate Recorded: 12/6/2018415689QUrrCUIM DEEDDate Recorded: 11/4/2013388128QUITCLAIM DEEDDate Recorded: 11/4/2013388127DECLARATION OF EASEMENTDate Recorded: 10/30/2013388045WARRANTY DEEDDate Recorded: 6/10/2005331069CERTIRED SURVEY MAPDate Recorded: 6/19/1995248479DONALD 3 & SUSAN M KISSINGERKRONENWETTERWIBlllino Address:DONALD 3 & SUSAN MKISSINGER1895 LEA RDKRONENWETTER WI 54455MalHno Address:DONALD 3 & SUSAN MKISSINGER1895 LEA RDKRONENWETTER WI 54455Site Address * indicates Private Road16354W LEGACY RDG *STONE LAKE 54876Q Property AssessmentUpdated: 6/16/20102020 Assessment DetailCodeAcresLandImp.Gl-RESIDENTIAL0.490116,40002-Year Comparison20192020ChangeLand:116,400116,4000.0%Improved:000.0%Total:116,400116,4000.0%' Property HistoryN/A