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Home My WebLink About030-737-26-3203-SAN-2022-046 "'"� Industry Scrvices Division County i � - 4822 Madison Yards Way fqw � � � - Madison.WI 5370$ Sanitary Permit Number([o bc fi I Icd in by Co.J ` ' ` � �;; P.O. Rox 7162 � > Madison,WI 53707-7162 ��[j�5� � ,;�:.;,�`. Sanitary Permit Application s`�'eT�°sa°';°°Nimecr � fn accordance with SPS 383.21(2),Wis.Adm.Code,submission of this fomi to thc appropriate govemmental unit is required prior to obtaining a sanitary pemvt Note:Application forms for state-0wned YOWTS are submitted to Project Address(if�different than mailing address) the Departrncnt of Safety and Professional Services.Personal information you provide may be used for secondary puiposcs in accordancc with the Privacy Law,s. 15.04(1)(m),Stats. � I.Application Informatiou'-Please P[ti►t Al1 InPoruiation fr H!✓y y o Property Owner's Name Parcel# Co/'a/ Srcw rr U3o73�.t6�zo3 Property Owner's Mailing Address Property L,ocation ��7r�o StvTi j' p Govt.Lot City,State Zip Code Phone Number �i/'G/ l�inl f�A1.✓ .3 O/ �f/�✓ '/, .S W_ '/n, Section �� -- IL Type of Building(check-all thatapptp) �`� � L��3� T 37 N R 7 E or ' �] or 2 Family Dwelling-Numbcr ofBedrooms � � Subdivision Name Block# �'ublic/Commercial-Describe Use ❑City of ___ �State Owned-Describe Use CSM Nwnber illage of �Tow�n of_1✓Cjr�.OL_ � 3�/�y� -'18s6y _---- Il l.Type of POWTS�Permit: (Check either�"New"or"Replacemeut"and other applicable on line A:�Check one�bos on line B.Complete line C if a i licable.) A ----- --- �New System �Replacement System �Other Moditication to 1=..risting Sqstem(explain) �Adtlitional Pre[reatmcnt Unit lcxplain) �� ' �Holding Tank �In-Ground �AAt-Grade �i�lound Individual Site Design Other Type(explain) (conventional) �� ❑Renewal Before �Revision ❑Change of Plumber �I'ransfer to New Owner �ist Previous Permit Numbcr and Datc Issued Expir�tion �- I V.Dispersal/Treatroent Area and Ta�k Infocmatiori,>>'� ` �� .. ,.: . . _ , ... �,:_ Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Reqoired(sfl Dispersal Area Proposed(s� System Elevation y�'a . 7 6 y 6So y�. , Capacity in Tota! ti of Manufac[urcr °? Tank Infonnatinn Galtons Gallons Units � � U '� o ` New Taoks Ezisting Tanks � o � � � � ro @ a U v� �, v, w C7 a .ept� or Holding Tank � /doo — /oo. / 1ka w Dusing Chamber ... � � � .. , , ,a- ?t.,.,,,.. . , ., ; . .. . .. . . V.Responsibility Statement- I,t6e undersigned,assume responsitiility for installation oft'he:�'OWTS shown on the attached'plans. _ Plumbcr's Name(Print) Plumber's Signaturc�� i7v1PRS Number L3usiness Ptionc Number ' a,e n Y 7/,f- q Y1 �.T J 6 Plumber's Address(Street,City,State,Zip Code) 1Y) .v Sr H � �'1.Countv/Departmeut Use Only ' �A�pK��d ❑Disapproved Permit Fee Datc[ssued Issuing Agent Sigrtature �Owner Given Rcason for Denial $ 1 w� y--l�-e�� i�,� Conditions of'Approval/Reasons for Disapproval �.� r-r +� !� -- • U '��1�; ;;� �'�;t �, ��GI �� A�� 0 8 ��zz L ' SRV�IYER ��U�dTY ZOf`JlN�ADfvllCvia i RATIO Attach to complete plans for the system aod submit to the Coonty only on paper not less than 8 1/2 x l l inches in size st�v-63v��R.o3i21> NO REFUNDS AFTER ISSUE OF PERMIT Coral Stewart Property Owners Name ST Hwy 40 Property Address 30737263203 Tax Parcel Number Sawyer County NW1/4-SW1/4 Legal Description 26 Section 37N Town 7W Range Page index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan Bruce Vitcenda Plumber's Name �„� Plumber's Signature M.P.220498 Plumber's License Number 715-943-2382 Plumber's Phone Number 4/5/22 Date Page 1 of 7 n- roun oi sorp ion - - N.01/01 Version 2 ,�. Component Manual Used 3 Number of Bedrooms 1 Percent Siope (%) 90 Depth to Soil Limiting Factor(in.) 0.7 In Situ soil apptication rate 300 Estimated Wastewater Flow (gpd) 450 Design Wastewater Flow (gpd) 1 Number of System Elevations 93.2 Proposed System Elevation #1 na Proposed System Elevation #2 na Proposed System Elevation#3 96 Original Grade#1 96.3 Finished Grade#1 na Original Grade#2 na Finished Grade#2 na Original Grade#3 na Finished Grade#3 Skaw 1000 Septic Tank Orenco 8" Biotube Effluent Filter BioDiffuser ARC 36 Chamber Type 13 Height of Chamber (in.) 25 sq.ft. per chamber(ESIA) 4.5 sq.ft. per pair of end caps (EISA) 5 laying length of chamber(ft.) 1.17 length of endcap(ft.) 33.75 Chamber width(in.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 13 Number of chambers in first row 13 Number of chambers in second row 0 Number of chambers in third row � 26 �Proposed Number of Chambers Used � � 642.9 `Minimum Distribution Cell Area Required (sq.ft.) ; 659 �Distribution Cell Area Proposed (sq.ft.) Page 2 of 7 - �-:�� _ ow�✓t/' lumbu �oral Stcwcvt 4r�cc Vt�«,�dq � Jo�so srurZ ST•,vF • �ys°�s�nwyYo ' circic PlN�s,a�•Sfoiy �xu eyq,wr.Sy93S ��f-4y3.�3y� ,�,pAavY4f �t' G�j' 4S'r �� . N�✓y • Swy S. �G r. y�� • �w �`'��✓�rvl! l�kt ' Towr w�;�� LeT � �SM 77/�y�-'�fsft �e+ loo.o�,�o'te�u r�r��+1.�.;I �'� Parcc�y o�o�J�,�c t�o� 'vo�,til ro v�tr �I. iG.�� + b�-f�.7' fKtw/000 n ��r 1f.f' � R ltvf✓/t�u��c•ch 9io ta�t P:lrir )►l! �.o • �T' y'' �a I . � 2 f�11�/ � � �— — — — — — — — — — • �' —� �� .s�. I . � � � I ; �3 • . �, � o I'� Vtrf ,� � � � Iv 01 ( '"��'► I � �� SG4�t i"=4t1' 9dt- - Cress Section of a Two Cell In Ground Ccmpone��: U>ing Leachinq Chamber�; Observa?io^�V��it PipeS � � 96.30 Finished Grade - ,_____ __ ____. Finisned Gfa!ie _ t18 Slope 1% /� Cet1 Seperation %� / � T;. 3 f t � --: �,�,y ,,:_ , ` � �,- '`, .� � ��• 96.00 Original Grade , '�,y ;-" " �'� ,�; �Jtiginal Grade n8 ,, 94.28 Top of Chamber �y�'�`, , `" _�_�,,�'7op of Chamber 94.28 ------ i� J' . . � -- 93.20 System Elevation ,�;. , , ., ' System Elevation 93.20 , -- -- � . — ------. .• � .l'reotrr,e�;�Fnd'Dt�e-soi,Zorle . � • • � , ` : ` : � , , ,� ' � � • • .- - ••-- • ' . • • , , . .._ __�� Limitinc f octor Obse�vat'o�/Ve�; pipes to be constucted and capped w'th approved materials for the particuler use. Dia rams Not To Scale 67.34 feet n ' :,�`.�`a�,�- - . : . ��;.��; :� _ _ _ ____ _ _ . (" � � � 1 � 3 feet between celis _ � - I n � �� ---- � � _ � �� . 67.34 feet Observation/Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 BAFFLE 54.00 58.00 ��---�� 64.00 / � WARNING DEATH MAY OCCUR IF TANK IS ENTERED � WITHOUT PROPER EQUIPMENT 1 0 � I p � 1 � �� 124.50 `� i � � ` 118.50 TOP VIEW OF MANHOLE COVER I I 14.50 FILTER �3.00 23.00� 12.00 �23.00 4.00 T � {--27.00� �27.00� 5-°��24.00 24.00 �--� TOP VIEW OF TANK (TAPERED) ��s.00—# �.� �-z.00 INLET 11.00 T i s�w�000 j / L __ OUTLET � // ---------------------- �� ' S6.0 —O i �i 18.00 t 1 4 INCH PRESS 2'00 � PRESS � � SEAL('iASKET INSTALLED SEAL I i GASKET WHEN POURED i i BAFFLE � � 36.50 FILTER j j 1 I 1 I I I I I I 1 I 1 I 1 I I L_________________________J 3.50� SECTION VIEW OF TANKAND COVER �--3.0o OUTLET END VIEW OF TANK Model Number: ►OOO S KAW P RE-CAST � ) Phone: 715 967-2277 Approved for. SEPTIC, SIPHON, HOLDING, OR PUMP Toll Free: 1-800-924-8625 Weight Inlet Dim. Outlet Dim. Liq. Depth Gal./In. Max. Cap. 26255 105th Street, New Auburn Wisconsin 54757 Fax: (715) 967-2707 83001bs. 42" 40" 36.50" 28.32 1034 gal. www.skawprecast.com Corai Stewart ST H 40 3.07E+10 Number of Bedrooms 3 Septic Tank Skaw 1000 Estimated Flow(average)gallons/day 300 Effluent Filter Orenco 8" Biotube Design Flow(peak),(Estimated x 1.5)gal/day 450 Soil A lication Rate al/da /ft 0.7 Influent I Effluent Quali Monthl Average � PRINT PAGE ` ( Fats, Oil &Grease FOG 30 mg/L —� Biochemical O en Demand BODS> 220 mg/L Total Suspended Solids(TSS) 150 mg/L Servicing frequency of 12 months or less requires the Management Plan be recorded with the Register of Deeds. Maintenance Schedule Service Event Service Frequency �nspect condition of tank(s) At least once every 3 Year(s) Pum out contents of tank s) When combined sludge and scum = 1/3 of tank volume Inspect dispersal cel►(s) At least once every 3 Year(s) Clean effluent filter At least once every 3 Year(s) 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 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 Sawyer County Zoning Dept within 30 days of any service event. Start-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 vehic�es over tanks and dispersai cells. 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, 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 ithat 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 all 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 voidspace � filled with soil, gravel or another inert solid material. i i I� Continaencv Plan � If the POWTS fails and cannot be repaired the following measurers have been, or must be taken to provide a ! code compliant replacement system: (Check One) � �The site has not been evaluated to identify a suitable replacement 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 failed POWTS. �A suitable replacement 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 no Ibe 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 comply with the rules in effect at that time. i � 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. � , 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 i interior of a tank may be difficult or impossible. !POWTS Installer Septic Pumper 'I Name Bruce Vitcenda Name Northwest Sanitary Phone# 715-943-2382 Phone# 715-943-2650 !POWTS Maintainer Local Regulatory Authority 'Name Northwest Sanitary Agency Sawyer County Zoning 'Phone# 715-943-2650 Phone# 715-634-8288 � 7 of 7 • • ' . a Soil P �o�le Sheet Owncr� OPt! ��ql'1" .SOi I -�PSter: ��J�{ 6l��CP.dD Systecn Elc��tion', 93 •� � Loar, Raie: , ] System Range�. _ ., _ __ q 7 ---�-- — ' , !��- 9L.�" li-1 - 9G.7 I �` _ _... �•1 - 9L.o' ji -!/�o s� •i�Lo —�--- SL •6//•0 9S 7 f. _ 9�•S' ys..t� _ � f� �6�G d - . ----- j ... s[ - L/l.o s� l//•o _ ._ . ; 1Y.�6 ' , gN,oS -----t— yy qti.� ' � _ _ _ _ _ . . _ , _ _ ; y� �,s �� . _ ; _ . , �� '"s ��/�•6 -�-- ; .9� -� ��.� ---,___ , 3 _. ..,... �0 � _ _ . � �q - _ $Q 5, g�.ss _ Ba�6� _ 8'g --�-- _... .,... � ' _ ; _ _ i _ _.. '�._ __.. ...... � _ . ...... _j . . � _. ..... I --�--- � _ . ,I � _ , � ; >�:,: /��—"'�``` PRIVATE ONSITE WASTE TREATMENT county ``..,,,`,\,y %=�o$ �� SYSTEMS Sawyer ��P��` ( POWTS) �``=�s'�'=�'' INSPECTION REPORT sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �-� ,_ O�� Personal infonnation you provide may be used for secondary purposes[Privacy Iaw,s. 15.04(1)(m)] Permit Holder's Name: ❑City ❑ Village [�Town of: State Plan Transaction ID#: cA w�� lni� p� '_' Insp BM Elev: escription: Parcei Tax No: � � c�O.c� � Na,� �� '� D3D ��37—��O-32a TANK INFORMATIO ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �J 6-pp Benchmark p p,o ' Dosing Aeration Bldg. Sewer 9'(.�'S� Holding St/Ht Inlet R ,6�5'' TANK SETBACK INFORMATION St l Ht 0utlet �iY.YS' TANK TO PIL WELL BLDG vENr To ROAD Dt Inlet AIRINTAKE Septic ' N ,� o p► NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. `�`�.� � Holding Dist. Pipe PUMP/SIPHON INFORMATION Infiltrative �� 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 �N 3 L 6$- #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv ❑ Aggregate `��, INFORMATION P I L Bldg Well Waters a GP � Chamber Model Number: ❑ EZFIow CELL TO -� �-�. N � ` ❑ Mound o Other �C3� DISTRIBUTION SYSTEM X Pressure Systems Only -- — ___— -- Header/Manifoltl Distribution Pipe(s) X Hole Size X Hole Observation Pipes -- � Length Dia Length Dia Spac Spacing ❑Yes ❑ No — -- --- SOIL COVER De th Over De th Over De th of Seeded/Sodded Mulched Cell Center �el�l Edges � Topsoil � ❑Yes ❑ No ��Yes ❑ N� COMMENTS: (Include code discrepancies, persons present,etc.) ��,��1�I �(r�a� Plan revision required?❑ Yes❑ No �� 3 � • � �� r� Use other sitle for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) AOOITI�NAL COMMENTS ANO SKETCH SANITAAY PEAMIT Nl1MBEA: �.2 --�Y� �,��,\\ ��'^/ r . ... ._�_.... :........�•__- • _ __;. ..._,._...._�_..__�_ . ..;.__..._.. . ...�-- ... _ ._.. . . . . _ _. __. ._ __..__ ..+_. _. _ _ .. , ... _ ..� ..E _._. ; ' , . . i . � � - - �. , : . : , .. . . : ._ .: _ -;_. _ _. � .i � __ . '___ ._ . . . � . . ., . . .. . ..__ __ ___ _._._ ... .._ . . . � . . , . : ' �i . _ . , � , _ . : .. ; : . 3 . . _----_. . _� � , _ _ ., _-- - ;_ � ,�a� � , � ' , �->��'� � _ . L �� P�c. . _ : _ �� --�s' , . Y� ,�� 3, �' �.� 6' � Q�� 3 ,�IUT. � �Q��. �� T� S� �r'yd,. �1--- .��,=_-