HomeMy WebLinkAbout014-941-01-1201-SAN-2022-035 `���, County "
�y�. Satety and Buildings Division sawyer
- ��Sp �� �/� � 201 W.Washington Ave..P.O.Box 7I62 Sanitary PermitNumber(tobe filled in b� Ca)
s - �I ��� Madi�n.W'1 53707-7162 � 3����!
Sanitary Permit Appiication StaEe Transaction Number '
In accordance with s.SPS 383.21(2'�,Wis. Adm.Code,submission of this form to the appropriate govemmental
unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted project Address �different than mailing atldress)
to the Deparhnent of Safety and Professional Services. Personal information you provide may be used for secondary 11 � � 3VC fl/U �
oses in accordance with the Privac Law,s. 15.04(1 (m,Stats. ,}�}-� 11 A' Cl• L 1 W / � �
I. Application Information-Please Print All Information �T I`� J 1 i� tj
Property thvners Name Pazcel#
Craig Cooper Jr 014941011201
Properly Owner's Mailing Address PropeRy Location
I 1953N US 63
Govt.Lot
City,State Zip Code Phone Number NW ��,,NE'/<. Section 1
Hayward,WI 54843
�r41rv; R9 W
IL Type of Building(check all that apply) Lot#
� 1 or 2 Family Dwelling-Number of Bedrooms 3 Subdivision Name
Block#
❑ Public/Commerceal-Describe Use
� City o(
❑ Stare Owned-Describe Use CSM Number ❑ Village of
❑ Town ofLenroot
IIL Type of Permit: (Check only one box on line A. Complete line B if applicable)
A � New System � Replacement ❑ Treatrnent/Holding"Tank Replacement Only ❑ Other Modifica[ion to Existing System(explain)
System
B. ❑ Permit ❑ Permit Revision ❑ Change of ❑Permit Transfer to List Previous Permit Number and Date lssued
Renewal Before Plumber New Owner
F,x iration
IV.T e of POWTS S stem/Com onent/Bevice: Check all that a I
� Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound>24 in.of suitable soil ❑ Mound<24 in.of suitable soil
❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatrnent Device(explain)
V.Dis ersal/Treatment Area Information: Quick 4 Pl�s
Design f=1ow(gpd) Design Soil Application Rate(gpds� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
450 .5 900 915.3 93.0�
VL Tank Info Capacity in Total !1 of Manufacturer �
Gallons Gallons Units L � o'� u
u
New Tanks Existing Tanks � o ay�, � Y y c^`d �
a. U ;n �, rn u. C7 ci
SepUc or Holding Tarilc �Q00 1p00 1 wieser � � � �
Dosmg Chamber ❑ ❑ ❑ l_J �
VII.Responsibility Statement- l,th�undersigned,assume responsibility for installa6on of the POW'TS shown on the attached plsns.
Plumber's Name(Print) Plumber's � MP/MPRS Number Business Phone Number
Gerald Froemel ��� 950111 715-558-1 138
6
Ptumber's Address(Street,City,State,Zip Code)
13502W Froemel Rd Na •ward,Wl 54843
VII(. o n /De artment Use Onl
�'Ap�d ❑ Disapproved Permit Fee� Da[e Issued Issuing Agent Signature
$ �Oo. �r2�z�
❑ Owner Given Reason for Denial 3����-d'
IX.CondiNo++s o-�44�rwaaUReasons for Disapprovat
o � ���1�
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� MAR 2 9 2022
Attach to complete phes for the system aad submit to the Couaty oely on paper aot las Mao 8�n x 11 inc6es in size SAWYER COUNTY
SBD-6398(R. 1 I/11) NO REFUNDS AFTER ZONING ADMINISTRATIOM
ISSUE OF PERMIT �-��� S
M N �c
Craig cooper jr Property Owners Name
11953N Us 63 Property Address
814941011201 Tax Parcel Number
Sawyer County
NW/NE Gov Lot or Qtr-Qtr/Qtr
S 1 Section
T41 N Town _
R9W Range
Page Index
1 Property Information
2 Data Entry
3 Plot Plan
4 Drainfield Cross-Section
5 Dose Tank
6 Maintenance Plan
7 Contingency Plan
County Parcel Listing
�er ld Froemel Plumber's Name
�� Plumber's Signature
9501'11 Plumber's License Number
715-558-1138 Plumber's Phone Number
03/29/22 Date-
Not an endorsement,written or implied for the following companies and products;DelZotto Concrete,Wieser Concrete Products
Inc.,Skaw PreCast Co.,Huffcutt Concrete Inc.,Zabel Environmental Technology,ITT Industries(Goulds),The Pentair Pump
Group(Myers),Infiltrator Systems,ADS Products,Polylok Inc.,Orenco Systems Inc.,SimfTech Filter Inc.,Sta-Rite Industries,
Page 1 of 7
in-Ground Soit Absorption SBQ-10705-P(N.01l01)Version 2 ... COfllp0f1611t MatlUB) USeC� �/,�
3 Number of Bedrooms
3 Percent Slope (%)
100 �Depth to Soil Limiting Factor (in.)
0.5 In Situ soil application rate
300 Estimated Wastewater Flow (gpd)
450 Design Wastewater Flow (gpd)
1 � Number of System Elevations
93 Proposed System Elevation #1
Proposed System E�evation #2 •
?Proposed System Elevation #3
Original Grade#1
96.5 Finished Grade #1
Original Grade#2
Finished Grade#2
Original Grade#3
Finished Grade#3
Infiltrator Quick 4 Standard Chamber Type
15 Height of Chamber (in.) 20 sq.ft. per chamber
3 Rows of Chambers 5.1 sq.ft. per pair of end caps
3 Distance Between Cells (ft.)
45 Proposed Number of Chambers Used
90U.0 � Minimum Distribution Cell Area Required (sq.ft.)
915.3 Distribution Cell Area Proposed (sq.ft_)
Wieser 1000LP Septic Tank ose an (if applicable)
Lifetime Effluent Filter *"'select only if NOT using combo tank
Soil Boring Surface Depth to Lowest Highest " System
Number Grade Limiting Elevation Elevation Elevation
Elevation (ft.) Factor (in.) Acceptable
1 96.80 102 91.30 95.55 TRUE
2 96.25 84 92.25 95.00 TRUE
3 96.65 96 91.65 95.40 TRUE
4 y
5 _...�.,...
Page 2 of 7
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G`ross Section of a Thrx Cell Ingrotmd Component
Using Leaching Chambers
Finished Grade
Original Grade
I�v��� Top of Chamber 94.25 .
/ �System Elevation 93.00
Finished Grade 196.5 /�
Slope 3% C ,� epara�on __ Finished Grade �.5�
_� �3 Feet �
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Original Grade ��j ��%; ��,%`,
94.25 Top of Chamber ��y `� '� r x � �.Original Grade
_..... ._ . •• -
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� �:� ' '`,�' . '';-'r Top of Chamber 90.90
.✓ :•'','' .._ . ..�-........ y
93.00 System Elevation �• -�.; .- 'Y ' � • • �' S stem E►evation 93.Q0
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06�avaliadVmt p�es b be oompicbd�od e�pped ailh tppo'Vad IDMeti�h 8or d1e prti�vlt u�e.
Dia rams Not To Scale
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Observation/Vent Pipes to be located 1I5 to 1/10 the length of the distrution cell measured from the end of the cells
Crai cooper�r
11953N Us 63
1.49E+i0
Number of Bedrooms 3 Septic Tank Wieser 1000LP
Estimated Flow(average)gallons�day 300 Effluent Fitter Lifetime
Design Flow�Peak�,(Estimated x 1.5)gaUday 450 Pump Tank #N/A
Soil Application Rate gal/day/ftZ - 0.5 Pump Type •
Influent I Effluent Quality Monthl Average
Fats, Oil & Grease (FOG) 30 mg/L .
Biochemical Oxygen Demand (BODS� 220 mg/L
otal Suspended-Solids (TSS) 15fl mg/L
!!NOTE!! Servicing frequency of 12 months or less requires the
Management Plan be recorded with the Register of Deeds.
Maintenance Schedule
Service Event Service Frequency "
Inspect condition of tank(s) At least once every 3 Year
Pump out contents of tank(s) When combined slud e and scum = 1/3 of tank volume
Inspect dispersal cell(s) At-least once every 3 Year
Clean effluent fiGter � At least once every 3 Year
Inspect pump, pump contro{s&alarm At least once every
Maintenance Instructions
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following
licenses or certifications:Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, Septage
Servicing Operator. Tank inspection must include a visual inspection of the tank(s)to identify any missing
or broken hardware, identify any cracks or leaks, measure the vofume of combined sludge and scum and
to check for any backup or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually
inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on
the ground surFace. The ponding of effluent on the ground surface may indicate a failing condition and
requires 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 tank
volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and
disposed 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 service
event.
StBrt-Up and Operation
For new construction, prior to use of the POWTS check treatment tank(s)for the presence of
painting products 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 Service 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 celis.
Reduction or elimination of the following from the wastewater stream may improve the performance and
prolong 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, oif, painting products, pesticides, sanitary napkins, tampons, and water softener brine.
Abandonment
When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to
insure that the system is properly and safely abandoned in c�mpliance with Wisconsin Administrative
Code 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 shalf be removed and properly disposed of by a Septage Servicing
Operator.
-After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void
space filled with soil, gravel or another inert solid material.
Continqency Plan
If the POWTS fails and cannot be repaired the following measurers have been, or must be taken to
provide a code compiiant repfacement system: (Check f3ne}
''' The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a
soil and site evaluation shal� be performed to locate a suitable replacement area. If no replacement area
is available a holding tank may be installed to replace the failed POWTS.
A suitable repiacement area has been evaluated and may be utilized for the location of a replacement
soil absorption system. The replacement area should be protected from disturbance and compaction and
should not be infringed upon by required setbacks from existing and proposed structures, lot lines and
wells. Failure to protect the replacements area will result in the need for a new soil and site evaluation to
establish a suitable replacement area. Replacement systems must compty with the rules in effect at that
time.
A suitable replacement area is not available due to setback and/or soil limitations. A holding tank may
be installed to replace the failed POWTS.
�l1ll��;RNIPdGII
Septic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not
enter a septic, pump or other treatment tank under any circumstances. Death may result. Rescue of a
person from the irrterior of a tank may tie difficutt�r impossible.
POWTS Installer Septic Pumper
Name Gerald Froemel Name Scott Poppe
..�.�.. _ _,�� . ,�._�.
Phone# 715-558-1138 Phone# (715)634-1450
POWTS Maintainer Local Regulatory Authority
Name Jays Sepfic Agency Sawyer County Zoning
. _�.�.-----__.___.�_,_ ___._r
Phone# 715-558-1138 Phone# 715-634-8288
Page 7 of 7
3/31/22,9:05 AM Real Property Listing Page '
Real EState Sawyer County Properry �isting ProperlyStatus: c���c -
Today's Date: 3/31/2022 Created On: 2/6/2007 7:55:29 AM
.�Description Updated: 2/24/2022 -� Ownership Updated: 2/24/2022
-- --------- ------------ ------- -_--------_ -------- -------- ------ _---- _______�__----- ---.. .-- -_
Tax ID: 17413 CRAIG N]R&HEIDI S COOPER HAYWARD WI
PIN: 57-014-2-41-09-01-1 02-000-000010
Legacy PIN: 014941011201 Billing Address: Mailing Address:
Ma ID: .2.1 CRAIG N]R&HEIDI S CRAIG N JR&HEIDI S
Municipality: (014)TOWN OF LENROOT COOPER COOPER
STR: SO1 T41N R09W 11953N US HWY 63 11953N US HWY 63
HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT NWNE LOT 1 CSM 14/9#3415
Recorded Acres: 8.250
Calculated Acres: 8.354 � Site Address *indicates Private Road
------- ---------------------_._.... ---------____.. ___-
Lottery Claims: 0 N/A �
First Dollar: No
Zoning: (F-1) Forestry One �::� Property Assessment Updated:9/26/2014
-- --------- ------ _ -—-- _ . - _ _ _
ESN: 400 2022 Assessment Detail
Code Acres Land Imp.
� Tax Districts Updated: 2/6/2007 G6-PRODUCTIVE FOREST 8.250 17,700 0
- ----- ----- -- -_..._ __ _ - ---- - -_ ------ -----. -
1 State of Wisconsin
57 Sawyer County 2-Year Comparison 2021 2022 Change
014 Town of Lenroot ��d� 17,700 17,700 0.0%
572478 Hayward Community School District Improved: 0 0 0.0%
001700 Technical College Total: 17,700 17,700 0.0%
+ Recorded Documents Updated: 2/24/2022
--- ._----- --- -------- ---- ---- -----
Properly History
� PERSONAL REPRESENTATIVES DEED _.__. _. _ ____ _ ._ __ ___ __ _
Date Recorded: 2/15/2022 437634 N/A
O CERTIFIED SURVEY MAP
Date Recorded: 8/8/1991 224610
0 TERMINATION OF)OINT TENANCY
Date Recorded: 6/19/1990 21 92
� QUIT CLAIM DEED
Date Recorded: 5/4/1987 204476
0 QUIT CLAIM DEED
Date Recorded: 6/25/1982 183147
0 QUIT CLAIM DEED
Date Recorded: 5/17/1979 169614 SEE LEGAL
O NOTE
Date Recorded:
https://tas.sawyercountygov.org//system/frames.asp?uname=Kathy+Marks 1/1
�"°"""T"`E��r; PRIVATE ONSITE WASTE TREATMENT county
i;�� �K�
;���°$p -�}�'� SYSTEMS SaW er
\���� $ j ( POWTS) Y
�tij�`,iy��
�-'"='' INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �� r �,j�
Pe�sonal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(I)(m)]
Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#:
�� �� Sr. (-ev��o'� �_
Insp BM Elev: BM Description: Parcel Tax No:
cDo.o' NMl �-�;bl�, �'' �t S. 5��. �6" �4k o��f��'Yl-�I,- l�o I
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic W ie l�c5t�a Benchmark _O,S'$' �9, � (�,o�
Dosing
Aeration Bldg. Sewer Y.33 � 9 S og'
Holtling St/Ht Inlet 5!�'S'� �(�{�$"?�
TANK SETBACK INFORMATION St/Ht Outiet ga. � q�,(�r
TANK TO P/L WELL BLDG vENr ro ROAD Dt Inlet
AIR INTAKE
Septic +� n/ � •�-(t�' �{.o' NA Dt Bottom
Dosing NA Installation
Contour
Aeration NA Header/Man. �; Y� � R�(.U�
Holding Dist. Pipe
PUMP 1 SIPHON INFORMATION Infiltrative ,
Surface
6.Ya a3��`
Manufacturer Demantl Final Grade
Model Number GPM
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L Dia Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W 3� L gg` � ` #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav � Conv ❑ Aggregate �
INFORMATION P I L Bldg We�� Waters o G � Chamber Model Number:
❑ EZFIow
CELL TO �'�j� N N nJ ❑ Mound o Other �Y ,�.
__- --
_ -- --- ___.
DISTRIBUTION SYSTEM X Pressure Systems Only
Header/Manifold Distribution Pipe(s) i X Hole Size X Hole Observation Pipes
Length Dia Length Dia Spac Spacing ❑Yes ❑No
----
--- ---
SOIL COVER
_ _— --- - --
-----
Depth Over Depth Over Depth of Seeded/Sodded Mulched
Cell Center Cell Edges Topsoil _ �Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
��,�(� `f�S"1 � 2
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--_-- --- - -
Pian revision required?❑Yes ❑ No I o o l �. -
�- �( � ���Sb(�
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
ADOtTIONAL COMMENTS AND SKETCH
SANITAAY PEAMIT NUMBEA:__�-� ro�
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