HomeMy WebLinkAbout010-839-01-5105-SAN-2022-097 ,���'="•.• Industry Serviccs Division County �
4822 Madison Yards Way a
; :_�_' = Madison,WI 53705 Sanitary Permit Num cr(to be filled in by �
= P.O.Box 71b2 ,,
- Madison,WI 5 3 707-7 1 62 �9��� �J � � c�
Sanitary Permit Application State Transaction Number �..�
[n accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit -- O,
is required prior to obtaining a sanitary permit.Note:Application fortns for state-owned POWTS are submitted to Project Address(if different than mailing �
the Bepartment 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),Stais. "��,i.{��J ��K�ey �- �
I.Application Information-Ptease Print All Information �—�
Property Owner's Name Parcel#
L�t'�av� + ra. �c�;c s{�e r O�b- 83q- U� S!O S
Property Owner's Maili�g Address Property Location
��so N R:�e� Ra Govt.Lot�_
City,State 7.ip Code Phone Number
HA WOJ'Cf�� l.vL sy�Y� '/,. %., Section V 1 _..
II.Type of Building(check all that apply) �o►# � T 3 q N R C7 8
�1 or 2 Family Dwelling-Number ofBedrooms �______ ' Subdivision Name
Block#
❑Public/Commacial-Describc(Jsc
❑Ciry of
❑State Oamed-Describe Use --- CSM Number ❑Village of
�M �` �91� �.[Town of H0.�wa,e'C�
,►. �. Jc, p.a� �
III.Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applic�ble on line A. Check one box on line B.Complete line C i
a lic�ble.
`�� �New System � Replecement System Other Modification to F.xisting System(e�cplain) �Additional Pretreatment Unit(explain)
Gco���-
B' � Holdin Tank In1'iround � At-Grade
g 0 Mound � individual Site Design Q Other Type(explain)
(conventional)
C• � Renewal Before Revision � Change of Plumber 0 Transfer to New Owner '�st Previous Permet Nwnbec and Datt lss�d
Expiration ���—
{V.DispersaUTreatment Ares�nd TAnk Information: 1�'�a SO' e t a a r+e a w/ a F e a�-
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(st) Dispersal Area Proposed{s� System Elevation
Coo o �. o �t�.�� cpo o .�� 6,� �8.3 3
Capacity in Total #of Manufacturer
Tank lnfotmation Gallons Gallons Units � � v 'g ` y u
New Tanks Existing Tanl:s �- o � � �
CO hL30 � � � �
c� U �'n H �n u. C7 a.
Septic or Holding Tank ' a�_� _
r
Dosing Chamber 7.SC� r �s�
V.Responsibility Statement- I,the undersigned,assume responsibility for installstion of t6e POWTS shown on the attached plans.
Plumber's Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number
G e�1d F�cenr+ ► a S'SZ� � r� 7�s -ssd-�'/3
Plumber's Addres_e(Street,City,State,7ip Code)
I 3 Sc�a w Fc-o•�,�,�i t 2b }-�e� wetr d W� �'`/By3
VI.Coun artment Use Only
A�i r e Disapproved Pertnit Fee Date Issued [ssuing Agent Signature
❑Owner Given Reason for Denial $Y�•� LD I� I o�� ��y�,�,�,�,�,�,�, �
Conditi�ns of Approval/Reasons for Disapproval
':„�+. .• �---z ,r'� �� '� ,.
e! ��� _ � l � \`," + ;
' ��:
, _�1, �: '�
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NA
S�:4'�`�'�;; C;U�J�1TY
Z01�11blG AS?U'sNi�i RATION
Attach ro compkte ptaas for e6e system and sabmit to the Couuty qnly ou paper not Iws than 8 in z 11 ioc6es io size
NO REfUNDS AFTER
SBD-6398(R.03/21) ISSUE OF PEAMIT
GeoMat IN GR4UND AND DOSING DISTRIBUTION CQMPONENT DESIGN
INDEX AND TITLE PAGE
Owner fnfo
Project Name: Priester- Buckley Dr
Owner's Name: Brian & Sara Priester
Owner's Address: 8550N River Rd
Hayward,Wl 54843
_ _
Property info
Property Address: Buckley Dr
Legal Description: S 1 T 39 N R 8 W
Township Hayward County: Sawyer
Subdivision Name:
Lot Number: 2 Block Number: CSM#: 6917
Parcel I.D. Number: 010-839-01 5105
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Plot plan
Page 2 Data entry
Page 3 GeoMat dist. cell drawings&calculations
Page 4 Lateral and cell cross section .
Page 5 Management&contingency ` _ <`
Page 6 Maintenance&specifications 1�p-�o Pump specifications
Page 7 Tank cross sections
Page 8 Distribution media ���
Gerald Frcemel License Number: 950111
_
Date: 05/12/22 Phone Number: 715-558-6472
Signature:—'��� �
Designer Stamp: State o�Wlsconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual Ver.June 26,2018 Version
Page 1 of 10
In Ground and Dosing Distribution Component Design
-;,.,_
Site infonnation
_
R Residential or Commercial Design N fSD Required?
400.00 Estimated Wastewater Flow(gpd)
1.50 Peaking Factor(e.g. 1.5= 150%)
600.00 Design Flow(gpd)
12.00 Site Slope(%)
98.33 Prop. System Elevation(ft)
86.00 Depth to Limiting Factor(in)
� 1.00' In-situ Soil Application Rate(gpd/ft2)
`; 99.75 Lowest Onginal Grade Ele. In System Area (ft)
r 100.33 Highest Original Grade Ele. In System Area (ft)
92.58 Limiting Factor Elevation(ft)
0.50 Depth Below Grade
Distribution Cell Information
3.25 Cell Width(ft) 2 Number of Cells
2 _ _
2.00 Dispersal Cell Design Loading Rate(gpd/ft )
2 Influent Wastewater Quality(1 or 2)
Dist�ibution lnformation
__ _____
E: Center or End Manifold, Dist. Box or Drop Box
2 Number of Laterals System dosed �_. ..Y _ W�__;
3.00 Lateral Spacing(ft)
..,. ...�.�,�.,
8.16 Forcemain Drainback(gal) Does the forcemain drain back? Y
__ __._ . __...
.__
0.50 Forcemain Filter Loss (ft)
2.00 Forcemain Diameter(in)
50.00 Forcemain Length(ft)
87.00 Inside Pump Tank Elevation {ft)
3.50 System Head(ft)x 1.3
13.43 Vertical Lift(ft)
1.39 Friction Loss (ft)
� 18.82 Total Dynamic Head (ft) �ae::��:��r_, �; ;�;.,, r,.cti��n 'nss ��c .���� .,;���.���� :'���
68.16 Minimum Dose Volume(gal)
25.00' System Demand (gpm)
Manufacturer Information
Treatment Tank Informatfon Effluent Filter Information
1250.00 Septic Tank Capacity(gat) Lifetime Filter LLC !Filter Manufacturer
Wieser Concrete Products, Inc. Manufacturer LT 1/8 � �':Filter Modef Number
Dose Tank Informatlon GaUons/Inch Calculator(U,�+ion�:i;
_._
773.76 Dose Tank Capacity(gal) 773J6 Total Tank Capacity(gal)
16.12 Dose Tank Volume(gal/in) 48.00' Total Working Liquid Depth(in)
Wieser Concrete Products, Inc _ ;Manufacturer 16.12 gallin(enter result in cell DoseTankVolume)
Project: Priester-Buckley Dr Page 2 of 10
In Ground Pian View
2 cefll�ueoi�Yat
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Calculations
I _ . ft A 3.25 ft Basat Area Required 600 ftZ
K 1 ft B 50 ft Basal Area Proposed 600 ft2
S 2.50 ft L 52 ft
. W 12.00 ft
Basal Area Calculation GeoMat Dis rsal Cell Basal Area Calculation
GPD Loadin Rate GPD Loadin Rate
600 1 gausq ftlday 600 2.00 gaUsq ft/day
Total 600 ft� Total 300 ft2
Pro osed 325 ft2
Number of Cells 2 GeoMat Width 325 ft
.____.._ ._
Cell Length ft Lineal Feet of GeoMat Required 92.3
-
Min. Cell Len th 462 ft Lineal Feet of GeoMat Proposed 100
Cell Spacin 2.50 ft NOTE:Mrn S dimension= 1'
S stem Elevation 98.33 ft
Limitin Factor 92.58 ft
Se aration 5.75 ft 2'Min
Directians:
Play vtlith ce!! length t� get desired cell spacing, ieng'�h �snu v��i;i�t.,. P:ti r,cr.;c . _.,�:.r, , .�:i;�`_ �. ._ �.��;,; . _„ ,. .:,
�vide. It must also Satis��basal loadin rate and GeolViat ce�l Icadin rat�.
Project: Priester-Buckley Dr Page 3 of 10
End Conoection Lateral Layout Diagram
::: _ `__ _ ; .:- - - -- _
_ .. ___ _____ _ _. . _
�
_ _ _ _
� —
Hole spacing is every 12",1/2"hole at 4&8 O'clock,starting 4 O'clock 6"from end and
8 O'clock Holes at 12"from end.
Lateral Spacing 3.00 ft Pipe Diameter 2.00 in
Distribution Cell Cross Section
100.33 ft � F�nishcd CnAc � V'V'`r W V'
(':�; . ' ^: '.`'•..' .`;'".' 12;;-48"`.Baelfi0. j.t�111 T.C9t�
0.5 ft— Smd G°ra n°°mmead°d
2 in �—► Pipe I?it .�\ ��„�,� . • F�
. `,.I PM` I`'•--•_
Top of geomat to be at o .... _ - �Ep MAT
....—
below original grade 1 y I r I �.- � I I , 1 I I C�
I i I I R��TM.� 3�� � ' � In8IC7ttive Staflce
s ��=_=�NATIVE:SOIi�-=-�J_
_�______„_� r�RF�cmc
86 ft _..� .�
Observation Pipes
���
100.33 ft rh1f6°dO"0e
�
17'Min. �����
48"Max. I
Tuil t Flan c ' � /—R<bar
1�'.+m � 5rre s I
ot�o.r^ t- _ r..s.. _ -k-, .�� .
� I ��y��qp���_ ���(j�1�_�lp.l� �—.4=���+�+��i+�
' ����� ���,�'La�'����i��i�������i i �����i������'MIGVLLN<WEi���lil�l���l�lil�l����i�i������
;�;��� ����i'i�� i'i�?i'i r�i�''i��'i�� ��i�i��'i'i i���� �����
�'�
��i�� � ;�Z' � � � i � � �
����; i ����i i�i�r���� ��i�i ����i ����� ��i�i
��i��
98.33 ft �'�'�'�
Project: Priester-Buckley Dr Page 4 of 10
Notes/Maintenance Requirements
MANAGEMENT PLAN
This private onsite wastewater(POWTS)has been designed,and is to be installed and maintained in accordance with SPS 383,Wis.Admin.
Code,the in-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2_0 SPS-10705-P
(N.01/01). GeoMat in ground Component manual Version 1.
1.This POWTS has been designed to accommodate a maximum daily flow of s� QAons of wastewater per day. The quality of
influent discharge into the POWTS treatment or dispe�sal component shall be equal to or less than all of the following.
A monthly average of 30 mg/L fats,oil and grease
A monthly average of 220 mg/L BODS
A monthly average of 150 mglL TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that exceed these limits or khat resuft in exceeding the enforcement
standards and preventative action limits spec�ed in ch.NR 140Tables 1 8 2 at a point of standards application,except as provided in DSPS
383.03(4),Wis Admin.Code.
2.The owner of this POWTS is responsible for system operation and maintenance.
3.Defects or malfunctions identified during maintenance described above shall be repaired in confortnance with SPS383 Wis.Admin.Code,
and the pertaining county Private Sewage Systems Ordinance. The user's manual,provided to the owner of the POWfS includes the names
and telephone numbers of the properly licensed individuals to contact for such repairs.
5.No produd for chemical or physical restoration or chemical or physical procedures for POWTS may be used unfess approved by the Dept.
of Commerce in accordance wtth SPS.384,Wis.Admin.Code.
6.If the POWTS is replaced,or its use discontinued,it shall be abandoned in accordance with SPS 383.33,Wis.Admin.Code.
NOTES
Two Effluent Finers to be installed where possible 1 to be installed in ST,and or 1 in pump tank in
order to insure particle size less than or equal to 1/8`. Filters should be cleaned once in spring,and once in fall. Also,strainers in sinks in
the building shall be maintained,so that solids and fats are minimized to flow into system.
A minimum of 2 observation pipes per cell shall be installed. These pipes shall be bcated approximately at the end of each cell.
The plumber,or counry shall see to it that a copy of these plans including this page,maintenance folder,and maintenanCe agreement is
given to the homeowner.
This system may contain a dose chamber. If a pump,float,electrical outage causes the dose tank to fill,the homeowner should see to it that
the effluent Ievet in the tank is brought down gradually and not all dosed to the system at once. One large dose could cause damage.
Contact a pumper or your installer if this problem occurs.
The homeowner is responsible for formulating a water conservation plan that will ensure the system is rarely overloaded. I.E.spread laundry
out over time,not 6 loads in 2 hours,while everybody showers,and uses the toilet,ETC.
CONTINGENCY PLAN FOR CQMPONENT FAILURE
A.Septic Tank.Any structural failure resuRing in cracks or leaks in the tank must be corrected by replacement of the septic tank component.
Leaks in the joints between manhole risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B.Outlet Fitter.The outlet fitter shall be replaced or repaired when it is either no longer capable of preventing the discharge of partictes larger
than 1/8 inch or when it has become permanently degraded by ctogging so as to interfere with the destgn flow out of the septic tank.
C.Dosing chamber and pump.The dosing chamber shall be replaced rf any strudural failure is found.Leaks in joints between manhole
risers or Covers shall be repaired by replacing faulty seals with approved materials to make joints water-tight.The pump and controls shall be
replaced when they are no longer capable of functioning according to the design plan.
D.Pressure Distribution Piping.PaRial clogging of the distribution network may resuft in unduly long dosing cyGes.The ends of the
distribution laterals may be exposed and the threaded end caps removed.The piping can be disconnected on the outlet end of the pump.
The distribution piping may then be back flushed to cleanse any accumulated matter from the piping. It is re�mmended that the dosing
chamber then be pumped by a licensed plumber.
E.Soil Absorption Cell.The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human heafth hazard
created by the efflusnt.All failures created by suAace discharge shall immediately be repo�ted to the appropriate county.The pump shall
then be immediately disconnected to prevent further discharge to the ground surface via the soil absorption cell.The existing septic tank and
dosing chamber shall be used as a temporary holding tank until the necessary repairs to the soil absorption call can be achieved.The
replacement shall be initiated onry after any necessary plan approvals have been obtained from the
appropriate plan review authority and the required sanitary permit is obtained from the county.
Project: Priester- Buckley Dr Page 5 of 10
In Ground Sys#em Maintenance and Operation Specifications
Service Provider's Name Gerald Froemel Phone 715-558-1138
POWTS Regulator's Name Sawyer County SPIA-Zoning Administration Phone (715)634-8288
Svstem Flow and L.oad Parameters
Design Flow-Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estima#ed Flow-Average 400 gpd Maximum BODS 30 mg/L
5eptic Tank Capacity 1250 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 162.5 it� Maximum FOG 1d mglL
Type of Wastewater pomestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Freauencv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Effluent Fitter Inspect and clean as necessa at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test eriodicall
Pressure System Laterals should be flushed artd ressure tested eve 3 ears
In Ground Inspect for pondin�and seepage once every 3 years
Miscellaneow Construction and Materials,Standards
1. Observation pipes are slatted a�d materials confoRn to Table SPS 384.30-1, have a watertight cap
and are secured in as shown in the GeoMat In Ground Component Manual Ver. March 20,2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMat In Ground Component
Manuat Ver.March 20, 2017. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384,Wis.Adm.Code.
4. Scarification of basal area is accomplished with a rake or other tool.
5. All disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration.
Lateral Tum-up Detall
6-8"Diameter Finished Threaded Cleanout
Lawn Sprinkler Grade � Plug or Ball Valve
Box
Lateral Ends at Last Orifice Where
i Long Sweep 90 or Two
�45 Degree Bends Same
Diameter as Lateral
� - :•I'f �.,
Distribution Lateral Lateral Cleanaut
98.33 Feet
Project: Priester-Buckley Dr Page 6 of 10
PAGE �OF �C
GRAVITY-DOSED ? �o
SEPTIC / PUMP TANK SPECIFICATIONS
4.���,,P;� (No Scale)
>,o a trom
Building ElecUical must compiy with
12'Min.or 2.0 ft above C�MM 16 and NEC 300
Established Flood Elevatlon W�����f Extend manhole riser as necessary.
�typ���� Junction Box
AP�� Approved Lodcing Manhole
IMPORTANT: ��"��P with Waming Label Attadied
(typica�}
Anchor tank(s)as necessary _--condu�t
pursuant to SPS 383.43(8)(g) a•Min.or 2.0 fl above
Established Fiood Elevatbn
(�YP���)
� �Airtight Seal �
Finished Grade
Quick Disconnect
� 16"M'in.
CAPACITIES @ 16.12 gal�n �:: � � y . . � � - t�'�'��>
.. a . - . �
Depth{in) Volume(gal)
A 30.5 491.66 'k
�P ApprovedJointswdh
- Approved Plpa 3 R onb
LIqUIC� ��e Sdid Graxd
B 2.� 32.24 n Depth Force Main �ry�'"��
� Filter*
[C] 3.5 56.42
Alartn � "�nstail and maintain pursuant
� �2.� 193.� -e� � to manufacturer's instructions.
� � PUMP-OFF
�Ir 4$ � PUmP off ELEVATION = 88•�� ft
Pump Tank Liquid Level = in
Force Main Diameter = 2 in � c��e INSIDE BOTTOM
B'°� ELEVATION = 87•00 ft
� � � � � - � �
Force Main Length = 50 �
3'Approved Bedding Maferial Beneath Tank
Force Main Void Volume = 8•15 gal
[C] Total Dose VolumeLTDV� = 56.42 gal/dose
(<0.2X design flow+forr,e main void volume)
Vertical Lift = �2'58 ft
Corh6�
PUMP TANK: SEPTIC TANK(S):
Volume = 773.76 gal Total Volume = 1250 ga�
Manufacturer: (��e sc� Co,n c K.�e.- �r c. Manufacturer(s): (�l� �c s Lr ��^��� ��►c
Pump Manufacturer: L-���C��y Install apRroved force main fitter pursuant tp
Pump Model: �g manufacturer's instnictions.
(See attached pump curve.)
Controls/Alarm Manufacturer: SSE f2 tiomb�s Filter Manufacturer: 5+r•�4c.c�,
Controls/Alarm Model: TA�+K q�Ei�'� E t
Filter Model: ST F-�o 0
Float switches containing mercury are prohibited
a �o T ��. fl �S ,oa��,eK �
B�aKloy Ur
SGR � E = 1 : 50
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GsoMat Diatribution Ce�l Media Layout
3.25 ceu w�dm�rt� 2.g3 3idewail to Lateral(ft)
Distributlon Celi Cross-section Arrangements
_.. .__._ _ _ � _ Q- _
_ S
Component Legend
O Distributipn Pipe
GeoMat is covered with approved geotexble fabric as per the their product approval.
Diatributlon Cell Plan View Layout-Typical
3.25 Cell Width-A(ft) 50.00 Ce11 Le�gth-B(ft)
.. .,�L:/ ......_ .,.. ' ._ ..,.
�
, . .. . ... . . . . . . .. ���
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Typicai Diapenal Cell
Finished Gr:►de �'Y ��!'V'`+' W'V'
(.-'� _�.�-�..�..�.,�.�_,•. �'. � � -;.`�_-�. :llaclfi0�` ,'` l.t�il I.EYt�
12"-48�� � ..�`..
S+md CQfc nOoccm�mded
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� ! - -NAT1\%E-SOIL- _
___ -- ___--= -_-__�
l�---- -- -- ir.�RF�r
See detaNa on paqe 4 tor�wnber,ske,and spacinp of iaterala.
Project: Priester-Buckley Dr Page 8 of 10
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State of Wisconsin
DEPARTMENT OF NATURAL RESOURCES
Hayward Service Center Scott Walker,Governor
10220 State HWY 27 Cathy Stepp,Secretary
Hayward WI 54843 Telephone 608-266-2621 y,qSCONSIN
Toll Free 1-888-936-7463
TTY Access via relay-711 DEPL OF NANRAL RESOURCES
May 20,2022
Eric Wellauer
County Sanitarian
Sawyer County Zoning and Conservation
10610 Main Street Suite 49
Hayward WI 54843
Dear Eric:
I have revicwed the plot plan that you submitted to me to construct a new accessory structure at 7248N Buckley
Drive in the Town of Hayward, Sawyer County,Wisconsin. The property is further identified as having Sawyer
County Tax ID#10480.
This properiy is not covered by a Chippewa Flowage buffer zone restriction.
All other county and state codes and permits apply to the subject property and must be applied for and adhered to.
Please contact me if you have any questions.
Sincerely,
��c U C���-�/ —
Roy Kenast
Chippewa Flowage Property Manager
715-634-7433
dnr.wi.gov Naturally WISCONSIN +�y1'pW'E°
wisconsin.gov aAFEACYCLED
Wisconsin Department of Safety and Professionai Service:(,i�/� .��� Page � of 3
Division of Industry Services
_ SOIL EVALUATION REPORT
M accordance with SPS 385,Wis. Adm. Code County
J`' awye�
Attach complete site plan on paper not less than 8 l/2 x 11 inches in size.Plan must include,
but not limited to:verticai and honzontal reference point(BM),direction and percent slope, Parcel I.D.
scale or dimensions,north arrow,and location and distance to nearest road. 0 I C�' $39 -p( 1 OS
Please print all info�mation. fteviewed by Date
Personal information ou rovide ma be used for seconda u oses Priva Law,s.15.04 1 m . ! � ( d ��
Property Owner Property Location ❑ �
�� » G e� Govt.�ot ► '/. %, S 01 T 39 N R � E (or) W
Property Owners Mailing Address Lot# Blodc# Subd.Name or CSM#
O 5G m c- 1.� a CSM3* �,ql'1� vo1. �b •ai1
City State Zip Code Phone Number ❑City ❑Village �Town Nearest Road
[�e V o c� W 2 $ 4 1-�o. w r
�New Construction Use:�Residential/Numberofbedrooms_�Code derived design flow rate 3dp GPD
❑ ReplaCemerrt ❑Public or commercial-Describe:
PareM material_�,�ac:dt -rt�� Flood P�an eieratiar i`a�pticable �-%�R ft.
General comments and recommendations: ��F��TF a�►�
P� 1 5 w/ 4.1 •l oa ; R o.<. �. a
� Boring# ❑Boring
�Pit Ground surface etev.ti00•5�ft. Depth to limiting factor�,$ in.
Soil Ap lication Rate
Horizan Depth Dominarrt Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft�
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh. •Eff#1 'Eff#2
1 0- 3/a -' 1F,►� b."1 t•Co
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� goring# ❑8oring
�Pit Ground surface elev�00.33ft. Depth to limiting factor>>� in.
Soil A licatian Rate
Hor¢on Depth Dominant Color Redox Description Texture Strudure Consistence Boundary Roots GPD/Ft�
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er: a lv ' e� n S tia ; c�e
•Effluent#1 =BOD,>30<_220 and TSS>30 5 150 m L "Effluent#2=BOD >30 s 220 mglL and TSS>30 5 150 mg/L
CST Name(Please Print) Signature ,�I CST Number
� 5 cc c 1 Tr � ��'�` �l (o to 6 8
Address Date Evaluation Conducted Telephone Number
qav � �7 lda�wacdwLSY o� � , � �,L �r�s-G3�l - Bast�
SBD-8330(R04/15)
a Boring# ❑Boring
(�'Pit Ground surface elev.�•TSft. Depth to limfting factory g�o in.
Soil A plication Rate
Horizon Depth Dominant Cobr Redox Description Texture Stnicture Consistence Boundary Roots GPD/Ft�
In. Munsell Qu.Az.Cont.Color Gr.Sz.Sh.
`Eff#1 'Eff#2
t b- px 3 -- n.7 I.
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❑ Boring# ❑Boring
❑Pit Ground surface elev. ft. Depth to limiting factor in.
Soi�. -^�i:,ation Rate
Horizon Depth DominaM Color Redox Description Texture Strudure Consistence Boundary Roots GPD/Ft�
In. Munsell Qu.Az_Cont.Color Gc Sz Sh.
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Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Strudure Consistence ,.B�o�dar�K, Roofs GPD/Ft�
,,,�,.,,,b�,:;,,� � �'79
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Real Estate Sawyer County Property Property Status: Current
Listing
Today's Date: 5/10/2022 Created On: 2/6/2007 7:55:18 AM
Description Updated: 7I20/2021 Ownership Updated: 7/20/2021
Tax ID: 10480 BRIAN 5 & SARA L HAYWARD WI
57-010-2-39-08-OI-5 OS-001- PRIESTER
P�N' 000050
Legacy PIN: 010839015105 Billing Address: MailinA Address:
Map ID: :1.5 BRIAN 5 & SARA L BRtAN S & SARA L
Municipality: (O10) TOWN OF HAYWARD PRIESTER PRIESTER
STR: SO1 T39N R08W 8550N RIVER RD 8550N RIVER RD
HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT GOVT LOT 1 LOT 2 CSM
26/211 #6917
Recorded Site Address * indicates Private Road
Acres:
1.930 N/A
Lottery
Claims: � Property Updated: 7/9/2019
First Dollar: No Assessment
Waterbody: Chippewa Flowage 2022 Assessment Detail
Zoning: (RR1) Residential/Recreational Code Acres Land Imp.
One G1- 1.930 26,400 0
ESN: RESIDENTIAL
Tax Districts Updated: 2/6/2007 2-Year Z021 2022 �hange
1 State of Wisconsin �omparison
57 Sawyer County Land: 26,400 26,400 0.0%
O10 Town of Hayward �mproved: 0 0 0.0%
576615 Winter School District Total: 26,400 26,400 0.0%
001700 Technical Coiiege
Recorded Property History
Documents Updated: 7/17/2007 N�A
QUIT CLA1M DEED
Date �b
:, �
Recorded: 7/16/2021 =� � �--
QUIT CLAIM DEED
Date
;
Recorded: 7/16/2021 �` '.�' �. :
CORRECTION INSTRUMENT
Date
Recorded: 4/29/2019 � --
CONVEYANCE RECORDED NOT USED
Date
Recorded: 4/22/Z019 - -
QUIT CLAIM DEED
=�=�'t`���''"�������� PRIVATE ONSITE WASTE TREATMENT county
�����o$ ���� SYSTEMS
` �; P �y' ( POWTS) Sawyer
�-�.� s „�
\�,�-.;r�
�==��'�-^�'' INSPECTION REPORT Sanitary Permit No:
Safety and Buiidings Division (ATTACH TO PERMIT) �� —Q��
GENERAL INFORMATION
Personal infonnation 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#:
�ri av► d'�iSa► ���� a wct� �
Insp BM Elev: BM Description: 1 Parcel Tax No:
(d�,a` a� he. l, baTs we.-�1 dlo — �i -ol - �lo�
TANK INFORMATI N ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic �„�,�s�- r ��j�p Benchmark �oo,v'
Dosing -7.�p
Aeration Bldg. Sewer �(.$S o�
Holding St/Ht Inlet `�y�(.q2
TANK SETBACK INFORMATION St I Ht Outlet �t y.67 '
TANK TO P/L WELL BLDG VENT TO ROAD Dt Inlet
AIRINTAKE
Septic ��� �` �7 ` � � NA Dt Bottom �').S9
Dosing �. N Y �' NA Installation ,
Contour (do��?
Aeration NA Header/Man.
Holding Dist. Pipe �(`����'
PUMP 1 SIPHON INFORMATION Infiltrative
Surface `l 3Y �
Manufacturer � Demand Final Grade
Model Number 2�3 GPM �3 ��`?�` I
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L �30` Dia �.� Dist.To Weli
DISPERSAL CELL INFORMATION
DIMENSIONS W ��.� � �� #of Cells a Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav � Conv ❑ Aggregate GQ��q
INFORMATION P/L Bldg Well Waters °� G ❑ Chamber Model Number:
❑ EZFIow
CELLTO � -f-a,� S -� (po� ❑ Mound � Other
--- — -- -----__ _--_ - --- - ---_
DISTRIBUTION SYSTEM X Pressure Systems Only
----- — — _—
Header I Manifold I 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 I Cell Edges Topsoil __ _ � ❑Yes ❑ No ❑Yes ❑ No
COMMENTS: (Include code discrepancies,persons present,etc.)
� ��1(� 9��a1�-�
Plan revision required?�Yes 0 No I, ��3 �3 I, ' � � �`'T'� �(o �
I � � �— �� ----J
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
A��ITIONAL C�MMENTS ANO SKETCH
SANITARY PEFMIT NIJMBER�.____��g� _
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