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Home My WebLink About024-641-07-1101-SAN-2022-036 Counri � Safety and Buildings Division sawyer > _�Sp 201 W.Washington Ave.,P.O.Box 7162 Sanitary PermitNumber(to be filled in by�Co.) p, , , s - Madis n WI 53707-?162 �1� ��7' �a - 10390�.3 ,�? Sanitary Permit Appiication s`a`e '��,Sa`t'°°�,°m�` z. IIn accordance with s.SPS 383.21(2j, w'is. ndm.Code,submission of ihis forni lo the appropriate govemmentai . � unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted p�oject Address(if diflerent than mailing address) to ihe Dcpartment of Safety and Professional Services. Personal information you provide ma}be used for secondary � u oses in accordance with the Privacv Law,s. ISA4 1 m,Stats. � 1. Application Information-Please Print All Information � Property O�+'ner�s Name Parcel# Thomas Kempf 024641071101 Property Owner's Mailing Address ' Property Location 11641N Ryd Rd 6evt-tet- City,S[ate Zip Code Phone Number NE �i�.NE'i;. Section 7 Hayward,W 1 54843 r41N; R6 W ll.Type of Building(check all that apply) f,ot# � ] or 2 Hamil} D��elling-Number of Bedrooms 3 � Subdivision Name [31ock# ❑ Pablic/Commercial-Describe Use '— � City of ❑ State Owned-Describe Use CSM Number ❑ Village of � � 'rown of Round Lake I11.Type of Permit: (Check only one box on line A. Complete line B if applicable) `�' � New System ❑ Replaeement � 'l�reatment/Holding Tank Replacement Only � � Other Modification to Existine System(explain) Svstem B. � Permit ❑ Permit Revision ❑ Change oY �Permit Transfer to List Previous Permit Number and Date Issued Renewal Beloro Plumber New Owner �� Ex iration IV.T e of POWTS S stem/Com onent/Device: (Check al!that a I � Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ Ai-Grade ❑ Mound>24 in.of suitable soil ❑ Mound<24 in.of suitable soil ❑ Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dis ersallTreatment Area Information: Quick 4 Plus Design Flow(gpd) Ik sign Suil Application Rate(gpdst) Dispersal Area Required(s� Dispersal Area Propused(s� System Elevation 450 .7 642.9 650.2 93 VI.Tank Info Capacity in Total #of Manufachirer �' Gallons Gallons Units � ` � '� � New'fanks Existing Tanks � o a; � y � ca � a. U v: �, v; i.� C7 C. SePt��o�Ho�di°g Ta"k 1000 1000 1 wieser � � � � � Dosing Chamber � ❑ ❑ ❑ ❑ Vll.Responsibility Statement- l,the undersigned,assume responsibility for installation of the NOW'TS shown on the attached plans. Plumber�s Name(Print) Plumber's Signat MP-'MPRS Number t3usiness Phone Number Gerald Froemel �-��'"�� 95011 l 715-558-1138 Plumber's Address(Stre�t,City,State,Zip Code) 135Q2W Froemel Rd Ha ward,WI 54843 VIIi. o nt /De artment Use Onl �Ap r d ❑ Disapproved Permit Fee Date Issued Issuine Agent Signature �J'� ❑ Owner Given Reason for Denia( $ l �� - 3/-�- �I'%2:1r�/,�y IX.Conditiortsrof�A'pprovaUReasons for Disapproval � �� ' �� MAR 2 9 2022 Attach w complete plans for the system and submit to the Countr onlr ae paper nol les�thnn S uz x 11 inchrs in size SA4NYER COUNTY SBD-6398(R. 11/t 1) NO REFUNDS AFTER ZONING RDfNiNISTRATION ISSUE OF PERMIT Thomas Kempf Property Owners Name � 11641 N Ryd Rd Property Address 2464'1�71101 Tax Parcel Number Sawyer County I NE/NE Gov Lot or Qtr-Qtr/Qtr S7 Section T41 N Town R6W Range Page Index 1 Property information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Seetion 5 Dose Tank 6 Maintenance Plan 7 Contingency Pian County Parcel Listing �eraid Froemel Pfumber`s IVame G� Plumber's Signature 950111 Ptumber's License Number 715-55$-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.,Sim/Tech Filter Inc.,Sta-Rite Industries, Page 1 of 7 In-Ground Soi!Absorption SBD-1070�-P(N.01l01)Version 2 ... Component Manua! Used 3 Number of Bedrooms ��'^ ' Percent Slope (°/Q) 84 Depth to Soi! Limiting Factor (in.) �� 0.7 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 F Proposed System Elevation #2 �Proposed System Elevation #3 Original Grade#1 96.25 4Finished Grade#1 ' �Original Grade#2 =Finished Grade#2 Original Grade #3 �� Finished Grade #3 Infiltrator Quick 4 Standard s Chamber Type 15 Height of Chamber (in.) �w 20 sq.ft. per chamber 2 Rows of Chambers 5.1 sq.ft. per pair of end caps 3 Distance Between Cells (ft.) 32 Proposed Number of Chambers Used 642.9 Minimum Distribution Cell Area Required (sq.ft.) 650.2 Distribution Ce11 Area Proposed (sq.ft.) - - - _z-_...��r_,.:�_. Wieser 1000LP ;Septic Tank ose an (if applicable) Lifetime ��'N�� Effluent Filter **select only if NOT u'sing combo tank Soil Boring SurFace Depth to Lowest Highest System Number Grade Limiting Ef�vation Elevation Efevation Elevation (ft.) Factor (in.) Acceptabie 1 96.50 84 92.50 95.25 TRUE 2 96.25 80 92.58 95.00 TRUE 3 96.25 8Q 92.58 95.OQ TRUE 4 5 Page 2 of 7 PROJECT Site contains 40 acres. Ryd Rd. is the nearest P/L. An � existing cabin and well are on the site. Owner is proposing Thomas H Kempf to locate a new dwelling west of the cabin. � 11641 N Ryd Rd Hayward, WI 53843 Design Flow = 450 GPD. Absorption Area Required = 643 Sq. Ft. NE, NE, S7, T41 N, R6W Town of Round Lake � N r - SCALE tN TESTED AREA: 1"=40' BM=100.0',NAIL WITH RED RIBBON 34"ABOVE GRADE IN AN 18"DfA. RED PtNE. SITE IS LEVEL. RYD RD.IS APP.260'E/O PROPOSED BUILDING SITE. THE EXISTING CABIN IS 125'EAST AND THE WELL IS 180'EAST OF PROPOSED SITE. PROPOSED HOUSE PROPOSED DR.WAY-11641 N RYD RD. B-2 96.25' • BM ❑ ; ❑ i�l� 7- I� e-� 96.5' ❑ B-3 9625' � � P�y�°��a� � � Cress Section or a Two Cell In Ground C:mpone-��: Using Leachinq Chambers O�servatio^/Ve�it Pipes i� �� -------_ - --- -------_. 96.25 Finished Grade —- _ ------ -----, Finished�rade --� i Slope _ `I Gell�Seperation ' j � _ � I ,• ;?�..�-1' t � � �„ , �,- � -� � j" �" : Original Gra�e . � � �,��`,, �" �`.k,-''�� ,.P�riginal Grade 94.25 Top of Chamber ti'� �� - y i �'��,-'Top of Chamber 94.25 ---- -E9-- - ` �� . , . �•- -- - -- -• , , - ,,. . y- . , „ 93.00 System Eievation _ .�+• . . .: � '� System Elevation 93.00 ----=--- - � ; � • . . . . , . '_'—r__' ' •.• ..7'reotn;ent'pnd'Dispe-sol.Lone . : .I. _ _.�—�`�_..' . . . ', ., ., ..- .----- .�. Limiting Factor Obse�va; oo/Ven: pipes to be constucted and capped with approved materiols for the porticuler use. Diagrams Not To Scafe �' �er �,�,,+rraer �rw� r�w rrr��wr � +��'' �g � I _ A� �w��.��} �� ` . � �» ,� .�,:. , I % - _____.__ , —_ --.___ --- — -- --� ; ; _ _._� z .._'_____'_� I E � � I - . �_� � �AR�'�. `�'.A�&�'�`i6i�Y'��'� .'.' 1 j�'�{ % �.ffi��.��6�.�.�..��AlR111te��.�A1��Y'�".� � Observation!Vent Pipes to be located 1/5 to 1/10 the length of the distrution cell measured from the end of the ceils Page 4 of 7 Thomas Kempf 11641 N Ryd Rd �.40Ct 1 CJ Number of Bedrooms 3 Septic Tanic Wieser 1000LP Estimated Flow(average)gallons/day 300 EfFluent Filter Lifetime DeSign Flow(peak},(Estimated x 1.5)gaUday 450 Pump Tank #N/A Soil Appiication Rate gaUday/ft2 0.7 Pump Type tnfluent/Effiuent Quality Monthly Average Fats; Oif &Grease (FOG) 30 mg/L Biochemical Oxygen Demand (BODS� 220 mg/L Tota+Susr�ended Saiids (TSS} 150 mQ/L ��,.; Servicing frequency of 12 months or less requires the Management Plan be recorded with the Register of Deeds. Maintenance Schedale Service Event Service Frequency Inspect condition of tank(s) At least once every E � 3 Year Pump out contents of tank(s) When combined sludge and scum = 1/3 of tank volume . Inspect dispersal cell(s) At least once every 6 3 Year Clean effluent filter At least once every $4YP�'�' 3 Year Inspect pump, pump controls&alarm At least ance every � ��m�� 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 volume 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 requiras 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. Start-Up and Oqeration 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 0#7 Do not drive or park vehicles over tanks and dispersal ceiis. 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 f�oss, diapers, disinfectants, fat, foundation drain (sump pump)water, gasoline, grease, oil, 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 compliance 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 aIL tanks and pits shall 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 cocie compliant repiacemenf system: (Check One) '' The site has not been evaluated to identify a suitable repiacement area. Upon failure of the POWTS a soil and site evaluation shall be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed to replace the faifed POWTS. A suitabie replacement area has been evafuated 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 repiacement area. -Replacement systems must comply with the ruies in effect at that time. A suitabie replacement area is not available-due to setback and/or soil limitations. A holding tank may be installed to replace the failed POWTS. ��WARNING!! Septic, pump and other treatment tanks may contain lethal gasses andlor insu�cient oxygen. Do not enter a septic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person from the interior of a tank may be difficult or impossible. POWTS Installer Septic Pumper Name Gerald Froemel Name Scott Poppe Phone# 715-558-1138 Phone# (715)634-1450 POWTS Maintainer Loca! Regulatory Authority Name Jays Septic Agency Sawyer County Zoning Phone# 715-558-1138 Phone# 715�34-8288 Page 7 of 7 3/31/22,9:05 AM Real Property Listing Page Real EStat2 Sawyer County Properly Listing ProperlyStatus: Current Today's Date: 3/31/2022 Created On: 2/6/2007 7:55:40 Fr." �Description Updated: 8/16/2021 � Ownership Updated: 8/16/2021 _— --------__------- --_ - __------------ — - -- __. --- -- - Tax ID: 24052 THOMAS H KEMPF HAYWARD WI PIN: 57-024-2-41-06-07-1 01-000-000010 Legacy PIN: 024641071101 Billing Address: Mailing Address: Ma ID: .1.1 THOMAS H KEMPF THOMAS H KEMPF Municipality: (024)TOWN OF ROUND LAKE 11641N RYD RD 11641N RYD RD STR: S07 T41N R06W HAYWARD WI 54843 HAYWARD WI 54843 Description: NENE Recorded Acres: 40.000 � Site Address *indicates Private Road --.--___.__ -----------_.___ _ __.____ __ Calculated Acres: 40.388 11641N RYD RD HAYWARD 54843 Lottery Claims: 0 �_ LC Note First Dollar: Yes I:� property Assessment Updated: 7/16/2019 Waterbody: Byrd Lake -- ------- --- ----__ __ _--- - _ __ 202Z Assessment Detail Zoning: (F-1)Forestry One �e Acres Land Imp. ESN: 402 G1-RESIDENTIAL 1.000 11,000 16,300 G5-UNDEVELOPED 4.000 1,000 0 � Tax Districts Updated: 2/6/2007 G6-PRODUCTIVE FOREST 35.000 52,500 0 . _.___.___._�._. __ _.__ .. . __ ._._----_____.___ 1 State of Wisconsin 57 Sawyer County 2-Year Comparison 2021 2022 Change 024 Town of Round Lake Land: 64,500 64,500 0.0% 572478 Hayward Community School District Improved: 16,300 16,300 0.0% 001700 Technical College Total: 80,800 80,800 0.0% .� Recorded Documents Updated. 8/16/2021 __ __. . ----- 0 PERSONAL REPRESENTATIVES DEED � Properly History -------- _ _ ------ _ Date Recorded: 7/13/2020 424987 N/A O TERMINATION OF 70INT TENANCY Date Recorded: 9/3/1993 225028 0 TERMINATION OF JOINT TENANCY Date Recorded: 6/19/1991 223694 0 WARRANTY DEED Date Recorded: l2/28/1945 079223 77/509 T466/447 T471/115 0 NOTE Date Recorded: https://tas.sawyercountygov.org//system/frames.asp?uname=Kathy+Marics 1/1 '� �''�"'``.� PRIVATE ONSITE WASTE TREATMENT �ounty �'o ��''�' SYSTEMS '�,-;��SPs �:) ( POWTS) Sawyer � /�/ a"`Fss'°�''=� INSPECTION REPORT sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �.�� d3� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(l)(m)J Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#: ) ►�1,a�tqs �2.w' � v� �.aKsL �� Insp BM Elev: BM escription: Parcel Tax No: I�D ' NW W q1� No�l�-^E. �ti �+ 1"�v.L_ �oZ t rC�l � .' p'�''�� TANK INFO MATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEU Septic �,,,�¢� ��c�o Benchmark � ��,�' � (O�•a � Dosing Aeration Bldg. Sewer S.l 6 ' R S3Y� Holding St/Ht Inlet �" ' q s"zS� ,� . TANK SETBACK INFORMATION St/Ht 0utiet �,�$' q�(,Q�' TANK TO P/L WELL BLDG vEr,rro ROAD Dt Inlet AIRINTAKE Septic .h� k�` ��` .}�6� NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. (,S` q�f�� Holtling Dist. Pipe PUMP 1 SIPHON INFORMATION Infiltrative Surface ?�� `t3.o' 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 3 L ` �Y #of Cells Type of System Distribution Media Manufacturer: � Conv ❑ Aggregate ��t SETBACK P/L Bldg Well OHWM of Nav � IGP r� Chamber � INFORMATION Waters � AG ❑ EZFIow Model Number: CELL TO ^�--�� ,�—,t fi�c` ..�� ❑ Mound o Other � DISTRIBUTION SYSTEM X Pressure Systems Only Header/Manifold Distribution Pipe(s) - — 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.) ��,s��(�Q o�'(t� (a.�2 Plan revision required?�Yes❑ No � o� � a-3 _ _- - __ _ G�l� Use other side for atlditional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A��ITIONAL COMMENTS ANO SKETCH SANITAAY PERMIT NIJMBEA: 01-7--03�0 ; . . _ . - �-- -� ; � � � I � �1�-� _ _ : _ ._._ , , , ,____ _ , , _ . _ _ . lb � � X . . .. _ � � , - _. i �� o � ; , , , : _ � _: _ __.__ . ._ , �--- . _ _ - ,_ .__ __ . 3 , _ __ _ ; , t ... . ,. :.......... �.. ..... . .�:. . . ._ __ 't__. ..y ��: . �,Q .. _.. j.. _ .._ ._' "'_... 1�. � I , (�Q �... . t - - ._ 9 _ �� ,,.�� ' _ : _ o�° �6�'''_ . '. o : � ��__ `ly�� _ . � r < � Ci�'�, �A�. \ � � 3�� a� � r � � 4 ✓ \b�� , �� 7 �— �� n �� , �r-- QbV1� S AIEL�- `