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Home My WebLink About010-841-26-3307-SAN-2020-235f !; ;Safety and Buildings Division201 W, Washington Ave., P.O. Box 7162Madison. W1 53707-7162 VCountysawyerSanitary Pennil Number (to be filled in by Co.)^^7940hISanitary Permit ApplicationIn accordance with s. SPS 383.21(2). Wi.s Adin. Code, submission of ihi.s (brm to the appropriate governmentalunit is rctjuircd prior to obtaining a sanitary peniiit. Note: Applictition forms for state-owned POWTS ore submittedto the Department ofSafety and Professional Services. Personal informationyou provide may be used for secondarypurposes in acairdaiicc witll the Privacy I.aw. s. I.S.IbK |)[m), Sluts.State Transaction NumberI. Appllcaliofl Information - Please Print Ail InformationPipjcci Address (ifdifferent than mailing address)^Properly Ow ner's NameHenry & Courtney BearheartParcel#010841263307I'ropcrty Owner's Mailing AddressI3043N Andersen RdCity. SlateHayward.WJZip Code5484311. Type of Building (check all that apply)1 or 2 I'amily Dwelling-Number ol'Bedroom.s 3□ Ihrblic/Commcrcial - Describe Use□ State Owned - Describe UsePhone NumberLot#Property IxrcaiionGovi. LotSW 'A.SW'A. Section 26t41N; r8 WiSubdivision NameBlock#CSM NumberIm City ofI I ViUageof1^ Town ofHayward111. Type of Permit: (Check only one box on line A. Complete line B If applicable)A.B.New SystemI I PermitRenewal llcforcfixpiraiioiiLXJ ReplaccmcnlSystem□ Permit RevisionTrealmcnt/I Inlding Tank Keplaecntcnl Onlyi I Change ofPlumberIV. Type of POWTS System/Component/Dcvlcc: (Check all that apply0 Ntm-Prcssurized in-Ciround I I I'rcssuri/cd In-firound I I At-Grade ^ Mound >24 in. ofsuilflhlc soil I I Mound <24 in. ofsuitablc soiln Holding Tank Q Other Dispersal Component (explain) I I Prelreatmcnl Device (explain)I I Permit Transfer toNew Owner[XI Other Modillcalion to Rxisiinc Svacm fexnlain)Drain Field ReplacementList Previous Permit Number and Dale Issued01-331 10/4/01/V. Dispersal/Treatment Area Information; Quick 4 PlusDesign Plow (gpd)4.50Design Soil Application Raic(gpdsf).7Dispersal Area Required (sO642.9Dispersal Area Proposed (sO650.2System Elevation94.8VI. rank InfoCapacity inGallonsNew Tanks&ijsling TanksTotalGallons#ufUnitsManufacturer&£ §a. USiU BiA "KL. Mis£ o0.Septic or I lolding Tank10001000skawMLL□Dosing Chimibcr inVII. Responsibility Statement- 1. the UBdmjgncd.ainume responsibility for Insullalioii of the POWTS shown on the attached plans.Plumber's Name (Prim)Gerald FroemelClumber's SignatureMP/MPRS Number950111Business Phone Number715-558-1138Clumber's Addre.ss {Street. City. State. Zip Code)I3502W iTocmcl Rd Hayward.Wl 54843Vin. Couiity/Pepartment Use OnlyD DisapprovedD Owner Given Reason for IX-nlalPermit P'eeCOIX. Conditions of Approval/Reasons for DisapprovalORIGINALDate Issued Issuing Agent Signature^9-NO REFUNDS AFTERISSUE OF PERMIT81)0-6398 (R. 11/11)Attncb to complete pinns fur the system and submit to theCounly nnly on piper not lew thnn 8 \n^ l^b 2020 'LAV'/YER COt.lM rYZONING ADMINISTRATiON Henry & Courtney Bearheart13043W Andersen Rd(710841263307SawyerProperty Owners NameProperty AddressTax Parcel NumberCountySW/SW826141NR8WGerald Froemel950111715-558-113809/25/20Gov Lot or Qtr-Qtr/QtrSectionTownRangePage Index1 Property Information2 Data Entry3 Plot Plan4 Drainfield Cross-Section5 Dose Tank6 Maintenance Plan7 Contingency PlanCounty Parcel ListingPlumber's NamePlumber's SignaturePlumber's License NumberPlumber's Phone NumberDateNot an endorsement, written or implied for the following companies and products: DelZotto Concrete, Wieser Concrete ProductsInc., Skaw PreCastCo., Huftcutt ConCTele Ina.Zabel Environmental Technology, ITT lndustries(6oulds), The PentalrPumpGroup(Myers), InfiHralor Systems, ADS Products, Polylok Inc., Orenco Systems Inc., Sim/Tech Filler Inc,, Sta-Pite Industries,Page 1 of 7 In-Ground Soil Absorption SBD-10705-P (N.01/01) Version 2 CompODent MsnUal Used3Number ot BedroomsPercent Slope (%)156Depth to Soil Limiting Factor (in.)0.7In Situ soil application rate300Estimated Wastewater Flow (gpd)450Design Wastewater Flow (gpd)1Number of System Elevations94.6Proposed System Elevation #1Proposed System Elevation #2Proposed System Elevation #3Original Grade #199.4Finished Grade #1Original Grade #2Finished Grade #2Original Grade #3Finished Grade #3Infiltrator Quick 4 StandardChamber Type 115Height of Chamber (in.)20sq.ft. per chamber2Rows of Chambers5.1sq.ft. per pair of end caps3Distance Between Cells (ft.)32Proposed Number of Chambers Used642.9Minimum Distribution Cell Area Required (sq.ft.)650.2Distribution Cell Area Proposed (sq.ft.)Skaw 1000 — fcx.jV,; TL^/cSeptic TankDose lank (ifapplicable)} |LifetimeEffluent Filter"select only if NOT using combo tankSoil BoringNumberSurfaceGradeElevation (ft.)Depth toLimitingFactor (in.)LowestElevationHighestElevationSystemElevationAcceptable199.4612092.4098.15TRUE299.4012092.4098.15TRUE399.4012092.4098.15TRUE45Page 2 of 7 JUaSC^iv/'^ --r' v Iq' I r A ( 1 . •iT-y ""(><■ • L T '^3 ^ f/}?1*r'^ 'il ^0.^:'^/) -»^»i 3'A^ -^A/ 17, b ■%fia>' /.'Vv^'^^yv<y^«'^V ' ' jO lf«»«£J r^CkoCl LoiZ 1-CJh'g^/<ltfl-^<^ <*>6y^J'hJ.''7^'y»% 'rtifnSjy-V\/jJ^^ o^/ I'ff-I ahU 'T^S Cross Section of o Two Ceil In Ground ComponentUsing Leoching ChambersO&servotion/Venl Pipes99.40SlopeFinished Grade96.05Original Grade -.Top of ChamberFinished Grade ~94.80Celt Seperation^iSng\na\ Grade\,''' Top of Chamber96.05System ElevationSystem Elevation 94,80' • .IreotfTjent jind" Dtspereot .Zone • * .i. . Lliimlting FooterOtjservotion/Vent pipes to be constucted ond copped with opproved materials for the porticulor use.Diagrams Not To Scale"Jr;•irasnmiESsEssjoiObservation / Vent Pipes to be located 1/5 to 1/10 the length of thedistrutlon cell measured from the end of the cellsPage 4 of 7 Service EventService FrequencyInspect condition of tank(s)At least once every 3|Year jPump out contents of tank(s)When combined sludge and scum = 1/3 of tank volumeInspect dispersal cell(s)At least once every3YearClean effluent filterAt least once every3YearInspect pump, pump controls & alarmAt least once everyHenry & Courtney Bearheart13043W Andersen Rd1.08E+10Number of BedroomsEstimated Flow (average) gallons / dayDesign Flow (peak). (Estimated x 1.5) gal/daySoil Application Rate gai/day/ft^3w"455"0.7Influent I Effluent QualityFats, Oil & Grease (FOG)Biochemical Oxygen Demand (BODj)Total Suspended Solids (TSS)Monthly Average30 mg/L220 mg/L150 mg/LSeptic TankEffluent FilterPump TankPump TypeSkaw 1000Lifetime7^1TO"IINOTEIlMaintenance ScfieduleServicing frequency of 12 months or less requires theManagement Plan be recorded with the Register of Deeds.Maintenance InstructionsInspections of tanks and dispersal cells shall be made by an individual carrying one of the followinglicenses or certificationsiMaster Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, SeptageServicing Operator. Tank inspection must include a visual inspection of the tank(s) to identify any missingor broken hardware, identify any cracks or leaks, measure the volume of combing sludge and scum andto check for any backup or ponding of effluent on the ground surface. The dispersal cell(s) shall be visuallyinspected to check the effluent levels in the observation pipes and to check for any ponding of effluent onthe ground surface. The ponding of effluent on the ground surface may indicate a failing condition andrequires the immediate notification of the local regulatory authority.When the combined accumulation of sludge and scum in any tank equals 1/3 or more of the tankvolume, the entire contents of the tank shall be removed by a Septage Servicing Operator anddisposed of in accordance with ch. NR 113, Wisconsin Administrative Code.A service report shall be provided to the County Zoning Department within 30 days of any serviceevent.Start-Uo and OperationFor new construction, prior to use of the POWTS check treatment tank(s) for the presence ofpainting products or other chemicals that may impede the treatment process and / or damage thedispersal cell(s). If high concentrations are detected have the contents of the tank removed by alicensed Septage Sen/ice Operator.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 andprolong the life of the POWTS: antibiotics, baby wipes, cigarette butts, condoms, cotton swabs,degreasers. dental floss, diapers, disinfectants, fat, foundation drain (sump pump) water, gasoline,grease, oil, painting products, pesticides, sanitary napkins, tampons, and water softener brine.AbandonmentWhen the POWTS fails and I or Is permanently taken out of service the following steps shall be taken toinsure that the system is properly and safely abandoned in compliance with Wisconsin AdministrativeCode SPS 383.33;- All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.- The contents of all tanks and pits shall be removed and properly disposed of by a Septage ServicingOperator.- After pumping, all tanks and pits shall be excavated and removed or their covers removed and the voidspace filled with soil, gravel or another inert solid material.Continqencv PlanIf the POWTS fails and cannot be repaired the following measurers have been, or must be taken toprovide a code compliant replacement system: (Check One)The site has not t>een evaluated to identify a suitable replacement area. Upon failure of the POWTS asoil and site evaluation shall be performed to locate a suitable replacement area. If no replacement areais available a holding tank may be installed to replace the failed POWTS.' A suitable replacement area has been evaluated and may be utilized for the location of a replacementsoil absorption system. The replacement area should be protected from disturbance and compaction andshould not be Infringed upon by required setbacks from existing and proposed structures, lot lines andwells. Failure to protect the replacements area will result in the need for a new soil and site evaluation toestablish a suitable replacement area. Replacement systems must comply with the rules in effect at thattime.A suitable replacement area is not available due to setback and/or soil limitations. A holding tank maybe installed to replace the failed POWTS.IIWARNINGIISeptic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do notenter a septic, pump or otfter treatment tank under any circumstances. Death may result. Rescue of aperson from the interior of a tank may be difficult or impossible.POWTS InstallerNameGerald FroemelPhone#715-558-1136POWTS MalntalnerNameJays SepticPhone #715-558-1136Septic PumperNameScott PoppePhone #(715) 634-1450Local Regulatory AuthorityAgencySawyer County ZoningPhone #715-634-8288Page 7 of 7 Real Estate Sawyer County Property ListingToday's Date: 9/25/2020Property Status: CunentCreated On: 2/6/2007 7:55:20 /VMDescriptionUpdated: 6/12/2017aTax ID:11314PIN:57-010-2-41-08-26-3 03-000-000070Legacy PIN:010841263307Map ID:.11.7Municipality:(010) TOWN OF HAYWARDSIR:S26T41NR08WDescription:PRTSWSW LOT ICSM 22/341 #6285Recorded Acres:1.300Lottery Claims:1First Dollar:YesZoning:(RRl) Residential/Recreational OneESN:444Tax DistrictsUpdated; 2/6/20071State of Wisconsin57Sawyer County010Town of Hayward572478Hayward Community School District001700Technical CollegeRecorded DocumentsUpdated: 4/4/2008Q WARRANTY DEEDDate Recorded: 6/13/2017407179Q SHERIFFS DEEDDate Recorded: 11/14/2016403923Q QUIT CLAIM DEEDDate Recorded:339081 WD316557 OCD339081OwnershipUpdated: 6/15/2017HENRY F & COURTNEY A BEARHEARTHAYWARDWIBiliino Address:HENRY F & COURTNEY ABEARHEART13043W ANDERSON RDHAYWARDWI 54843Maiiino Address:HENRY F & COURTNEY ABEARHEART13043W ANDERSON RDHAYWARDWI 54843Fsue Address * indicates Private Road13043W ANDERSON RDHAYWARD 54843@ Property /VssessmentUpdated: 11/9/20152020 Assessment DetailCodeAcresLandimp.Gl-RESIDENTIAL1.30015,500146,2002-Year Comparison20192020ChangeLand:15,50015,5000.0%improved:146,200146,2000.0%Total:161,700161,7000.0%^ Property HistoryN/A