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Home My WebLink About024-741-06-5107-SAN-2022-096 Indus[ry Services Division County SAWYER � - � 4822 Madison Yards Way � - ,�s - Madison,W I 53705 Sanitary Permit Number(to be filled in by � '= P.O.Box 7162 � ��;,w� '- Madison.WI 53707-7162 � ��j� ��L'/ � Sanita.ry Permit Application stateTransactiont�umber � , (n accordance with SPS 38321(2),Wis.Adm.Code,submission ofthis form to the appropriale govemmental unit Q is required prior to obtaining a sanitary permit Note:Application forms for state-owned POWTS are submitted to Project Address(if different ihan mailing� � the Departrnent of Safety and Professional Services.Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s. 15.04(1)(m),Sta[s. 12035n Wheel inn dr � I.Application Informatiori-Please Print Ail Information Property Owner's Name Michael Martin Pazcel# 024741065107 ailing Address Property Location 11825 W Cty Hwy 00 Pa�� Govt.Lot_#__ City,State 7.ip Code Phone Number Haywazd,WI 54843 �__.�Section 06 II.Type of Building(check ell that apply) Lot# T 41 N R 7 E or W �I or 2 Family Dwelling-Number ofBedrooms 3 � Subdivision Name Block# ❑Public/Commercial-Describe Use � ❑City of ❑State Owned-Describe Use CSM Number ❑Village of � ��3� � I Cj� �.Town of_Round Lake III.Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applicable on line A. Check one box on line B.Complete line C i a licable. '� ❑ Other Modification to Existin S stem(ex lain) '❑ Additional Pretreatment Unit(ex lain) ❑ New System �Replacement System g y p p B' ❑ Holding Tank ' In-Ground ❑ At-Grade gn ype p ) ❑ Mound ❑ Individual Site Desi ❑Other T (ex lain (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New(hvner List Previous Permii Number and Date lssued Expiration �p ` 1I O 6 � a'p�D IV.QispersaUTrestment Aren aod Tank Information: Design Flow(gPct) Design Soil Application Rate(gpd/s� Dispersal Area Rcquired(s� Dispersat Area Proposed(sf) System Elevation 450 .7 642.9 650.2 93.50 Capacity in Total #of Manufacturer � Tank Information Gallons Gallons Units p � �o � u New Tanks Existing Tanks � c v " � � � `� .. o -- 2 a U va h �n i.�. t7 a Septic or Holding Tank 1000 1000 1 ieser Dosing Chamber 00 00 ] ieser V.Responsibility StAtement- l,the uodersigned,assume responsibility for iostalladon of the POWTS shown on the xttsched plsns. Plumber`s Name(Prin[) Ylumber's Si nat MP/MPRS Number Business Phone Number G�ra�U`I/' �i.-e� �.�� /S-Ss�'`//3P Plumber's Address(Street,City,State,Zip Code) I 3 st��c✓ �'��.�k �'c� l��-s.��,-�, U,� s�-�s� � VI.Co o /Department Use Only �Ap ed ❑Disapproved Permit Fec Date Issued Issuing Agent Signature ❑Owner Given Reason for Denial $ `U�ao W I�' I a2� "'�' 1-�-��'�^-�G�".�� Conditions of Approval/I2easons for Disapproval (�I'� J��.. �1 { i t� o�I _ �, auN s ��Q o Zoz� Cs� � I 3�0 SAWYER CQUN'f ZONING ADNltNI�TRA". . � Attsch to complete plans for the system aod submit to the County ooly on paper not less than 8�n a 11 inches in size ' NO REFUNDS AFTEA SBD-6398(R.03/21) ISSUE OF PE�iMII' Michael Martin Property Owners Name 12035N Wheel Inn Dr Property Address G24741065107 Tax Parcel Number Sawyer County 2 Gov Lot or Qtr-Qtr/Qtr S6 Section T41 N Town R7W 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 Gerald Froemel Plumber's Name � � Plumber's Signature 950111 Plumber's License Number 715-558-1138 Plumber's Phone Number 06/06/22 Date Not an endorsement,written or implied for the following companies and produds;DelZotto Concrete,Wieser Concrete Products Inc.,Skaw PreCast Co.,Huffcutt Concrete Inc.,Zabel Environmental Technology,ITT Industries(Goulds),The Pentair Pump Group(Myers), Infiftrator Systems,ADS Products,Polylok Inc.,Orenco Systems Inc.,SimlTech Filter Inc.,Sta-Rite Industries, Page 1 of 7 '�/. .` In-Ground Soil Absorption SBD-10705-P(N.01l01)Version 2 Component Manual Used 3 Number o edrooms Percent Slope (%) 1 Depth to Soil 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 93.5 Proposed System Elevation #1 Proposed System Elevation #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 o hamber (in.) 2 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 Cell Area Proposed (sq.ft.) Wieser 1000/600LP Septic Tank ose an (if applicable) Li etime Effluent Filter '*select only if NOT using combo tank Surface Depth to System Soil Boring Grade Limiting Lowest Highest Elevation Number Elevation (ft.) Factor(in.) Elevation Elevation Acceptable 1 96. 0 10 91.30 95.55 TRUE 2 .10 10 90.77 94.85 TRUE 3 . 10 91.40 95.65 TRUE 4 5 Page 2 of 7 �� L;��. M ��h��l �t� s��,a►�,�.�- N(a.--�;n s�.w.��r eo. , �{o�K�.t.�t�c� Tw� i � g2.5� �...► Co t�}-w,� `' o o" �� : o z�t�.��t r — o e --sr o� �{-a�..'w a�<-d , (�u t $'-f 8y 3 .5� b(o T' �l t N R o�w S�e � I2d3s►J W�l� T•,�n1� Lof Z CSF1 a�.3s � t�tStP / ,� � . � gh Ioo� na;�,c�b 6�.,� S �� so��-� .1, j� s•'ae z�,�d:a►. wl�:{� P�'ne Ji• B t, Rb.$' — — --` � � � � 2, Q(,.( � � � � 3. a4�� \� QE, .-[ so:(,5� S�s+.43.�'" �`?c,� � �-an�e. 9l.5'_q4•S � , / � �� s.T �.�ta.�' t 9�.5, n �k ut . Ul�l l � 1�'j. -�Pt b.— -f'o �Ks�.11 3 b�s�s'°�w� 3 bd r _t"o+a( _ —� G�� u��. � 4 N�e�� ak� Aaa� . t��e�-, �'1�,.� �� P�e� CST 2L'-4 qD � � � �9"'� � I l — S-2 I' m r �w� 1` 5 ca�e_ (N= '-t0� ��,�,:� 1 �} �N tp0 0 �o � to tia i L' �- • � j „ <.` n � � � q�,9 �S`' �, z -,r�y �/// � `�/,�s r \ , G�. ✓:,,,%5 La� 2 , zo.35� 3 „� Cross Section of a Two Ceil In Ground Componen; Using Leaching Chambers Observation/Vent Pipes � � _ .. . _ --------.. 96.50 Finished Grade -- / ;.----------� Finished�rade--�� Slope / I CeH�Sep�ration ,� _ _ _.� � , ��. t ,, - j� , � , ,, , ,1 �,-`, � � �' ?: �, ; �, � � Ori�inal Grada- _; y� ' , �'�, ,,CSriginal Grade , � , 94.75 Top of Chamber �'"�� ` � � r'x�,�'�Top of Chamber 94.75 ---- -f$^ `, ,�.' . . , �• -- �--'-- . y , 93.50 System E�vation '+• •� . � System Elevation 93.50 ��, --- � • ! ' • . : � .r-... • .T�reotrrent�pnd'Dtspersal.zoRe. � ' • � . ' • . • . . , .•. �- -••_. . �... . ', ' ' • •• ' • •' � ' '• l imiting Factor Observat:o❑/Ven; pipes to be constucted ond copped with opproved materiols for the porticulor use. Dia rams Not To Scale __ -- _- -- -__ - --�- __ _ - u,,�, ,�, . � WI 4MN�1� MM�If � ��-' ° �.�y-�. . .�:..�� ,� � r ___ __ _ _____ ________� � � � i --- _ D _ � _._.� � 1�! i � � . . . � ~`� �O� ' ��y� O� o�;\1 � .�e .1�. � �� :� � ��..J bservation/Vent Pipes to be located 1/5 to 1/10 the tength of the distrution cell measured from the end of the cells Page 4 of 7 App�Ovl�d MOnhn�� i_tivPrq W�tn W�.+�..ny L��; ond lockinq Oev;ce / 4" M?r.. Above �'^al GreQe ! \ � Wcother Proo� Junction Box Eler.tric per NEC 300 dc COMM. 4� Sth. 40 Vent � ?6.29 WaC > or = to 12" Abeve Final Grode y Diecon Altemate Outlet Locotion W/Approved 4' Sleeve ��Qt Forcemain Diameter(in.) 2 �:fBtIRIF_ Bafn� ecp Hole or A�ti Siphon Device A Wieser 1000l600LP � D Flow in GPM 1 Vertical Difference Between Pump Off and Inlet to Chamber 4 Length of Forcemain(ft.) Inches Gallons Forcemain Diameter(in.) A � . 3 .9 Friction Factor per 100ft. B 33.5 . 9 Friction Loss C .7 12. 11. 9 Total Dynamic Head D . 53.66 TOTAL . 0 5 Number of Doses per Day Gallons per pose (Not to exceed 20% of Daily Design Flow) . Volume of Forcemain Backflow 11 . 2 Total Dose Volume 0 Pump Tank Capacity(Gallons) 1 .76 Pump Tank Volume(Gallons/Inch) oe er Pump Type Minimum Discharge Rate(Gallons per Minute) ombus- an ert Alarm w HEAD CAPACITY CURVE MODEL"98" 1/2 HP 30 25 20 15 10 5 0 0 10 20 30 40 50 60 70 80 Michael Martin 12035N Wheel Inn Dr 2.47E+10 Number of Bedrooms 3 eptic Tank Wieser 1000/600LP Estimated Flow(average)gal�ons�day 0 Effluent Filter Li etime Design Flow(Peak),(Estimated x 1.5)gal/day 4 0 Pump Tank Wieser 100 60 Soil Application Rate gal/day/ft2 0.7 Pump Type Zoeller 98 Influent/Effluent Qual' Monthl Average Fats, Oil &Grease(FOG) 30 mg/L Biochemical Oxygen Demand (BODS) 220 mg/L Total Suspended Solids (TSS) 150 mg/L i i��T��i 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 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 3 Year Clean effluent�ilter At least once every � ear � Inspect pump, pump controls &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 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 County Zoning Department 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 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, 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 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 void space filled with soil, gravel or another inert solid material. Continqencv 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 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 comply 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. !!WARNING!! 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 interior of a tank may be difficult or impossible. POWTS Installer Septic Pumper Name Gerald Froemel Name Scott Pop�e Phone# 7 -55 - Phone# ( 5) 4-14 POWTS Maintainer Locat Regulatory Authority Name Jays Septic Agency Sawyer County Zoning Phone# P Phone# 715-634-8288 Page 7 of 7 ; �"` """`; PRIVATE ONSITE WASTE TREATMENT county ��=��o&P ,�� SYSTEMS ;:��`� s ,� ( POWTS) Sawyer .�, �,_; �NUFT.�__.�.�,�,�, ""°��''' INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION 2,� —�q(o Personal infonnaYion you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)] Permit Holder's Name: ❑City ❑ Village �,Town of: State Plan Transaction ID#: W��G� ae� IM��, I�h�l t.�k�.. —' Insp BM Elev: BM Description: Parcel Tax No: tc'�.d N,\ �- �'��ow, s' ti s� s s�a. d-�" w�,`�� 2 01`{-7�f 1-0 6 - S�r o-7 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �,,�e�r ppo Benchmark (po,o , Dosing Aeration Bldg. Sewer q7,O � Holding St/Ht Inlet �?6,y ' TANK SETBACK INFORMATION St/Ht Outlet �j6. � � TANK TO P/L WELL BLDG VENT TO ROAD Dt Inlet AIR INTAKE Septic �-5-� a-g�` 6` .{-,6 ' NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. q�,S' Holtling Dist. Pipe PUMP 1 SIPHON INFORMATION infiltrative t Surface `'�3�S Manufacturer Demand Final Grade Model Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist.To Well DISPERSAL CELL INFOR ATION DIMENSIONS W 3 � L (o � bY ' #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv ❑ Aggregate �� INFORMATION P/L Bldg Well Waters � GP � Chamber Model Number: ❑ EZFIow CELL TO }-� �J-$� '�-(oo �-(�,� ❑ Mound o Other Q7� ---- -_ —___ —_ - -- DISTRIBUTION SYSTEM X Pressure Systems Only Header/Manifold l Distribution Pipe(s) X Hole Size X Hole Observation Pipe� Length Dia l 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.) �� ql 1 Y �� --�� , �— - - � Plan revision required?❑Yes❑ No �I b 2 �31 �3�� c � J ��b Use other side for additional information Date POWTS inspector's Signature Certification Number SBD-6710(R.3/01) AOOITIONAL COMMENTS AN� SKETCH SANITARY PEflMIT NUMBEA�___._�,-Q��_ !��' I�� w� �IO�JC/.,�r`- �uPf"-T�. Lk,� � � �zs�� 3gk, �� o� ' ,✓� 3�,�; ; - - - - �:?�� \$ � �� g�� , �L�S1��'� 3 I I -�-�60� I I ��D3S� f F��.ew/ I v �� `P�c.�S`� QYa- �� i�� -ftf-� ��o W�.w.1�.� �c, I e�+*�'-