HomeMy WebLinkAbout008-937-08-5316-SAN-2022-145 . C/�1
�
- Department of Safety �O1"ry sWa er �
- Y
_ � � - & Professional Services,
� = Sanitary Permit Number(to be tilled in by Co.) �
� `. �_ . Industry Services Division �
% �
���;� (� z�l I y ,
Sanitary Permit Application StateTransactionNumber L
[n acwrdance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit (�
is required pnor to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if differen[than mailing addres�
the Department of Safen�and Professional Services.Personal information you provide may be used for secondary
purposes in accordance with the Yrivacy Law,s 15 04(1)(m),Stats. Counry Rd.F � i ts�;� a�
I.Application Information—Please Print All Information
Property Owner's Name Parcel#
Lesli BarronL;v;�ty'j�,,,�5'fi 008937085316
� .J
Property Owner Mailing Address Prope�Location
7 U Ferret Crossing �
Govt.Lot 3 /'�)
City,State Zip Code Phone Number `j
Oswego II. 60543 .��� Section�
II.Type of Building(check all that apply) �ot# T�� N R ` E o
�l or2FamilyDwelling—NumberofBedrooms 3 2 SubdivisionName
Block# �
❑PublidCommercial—DescribeUse
❑Ciry of
❑State Owned—Describe Use CSM Number ❑Village of
25/120#6709 �1 Town of Edgewater
III.Type of POWTS Permir(Check either"New"or"Replacement"and other applicable on line A. Check one box oo line B.Complete line C if
a lica le.
A New S stem
y ❑ Replacement System ❑ Other Modification to Existing System(explain) ❑ Additio�al Pretreatmen[iJnit(explain)
B' Holding Tank ❑ In-Ground ❑At-Grade ❑ Mound ❑ Individual Site Design ❑ Other Type(explain)
(conventional)
L• ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner �st Previous Permit Number and Date issued
Expiration r--
IV.Dispersal/Treatment Area and Tank Information:
Design Flow(gpd) Uesign Soil Application Rate(gpcUs� Dispersal Area Required(s� Dispersal Area Proposed(s� System Eleva[ion
�op �— � — —
Capacity in Total #of Manufacturer
Tank Inf'ormation Gallons Gallons Units � � �o '� o
New Tanks Exis[ing Tanks � c c� � � D R �
0
a`. U �n � v� u. C7 Ci.
Septic or Holding Tank z000 4000 2 Wieser X
Dosing Chamber
V.Responsibility Statement- I,the undersigned,assume respansibility for instxllation of the POWTS shown on the attached plans.
Plumber's Name(Print) Plumber's Signa re MP/MPRS Number Business Phone Number
Rick Brown 231251 419-0739
Plumber's Address(SVeet,City,State,Z.ip Code)
PO Box 637 Spooner WI�4801
Vl.County/Department Use Only
� A��� �7c ❑Disapproved Permit Fee Date Issued Issuing Agent Signature
c,a �
$ '
❑O�mer Given Reason for Denial �' 7 � `�i �`t ���1��ti`- ��`�
Conditions of ApprovalQ2easons for Disapprov 1 � ���`�1��.�;>t�
r�1 1.��-�;� ,J r�� �
�,
�� G� �l"��`� � � .lUL 1 1 2022 '
�� �IGI N� �
��r�,;:�r.�_-----------
?��#��:ii i��Ui:�i;�i�i i-i:-�t i�JfJ
Attach to complete plans for the system and submit to the County anly on paper not less than 8 I/2 x I1 inches in size
sBD-639a�u.o3i2z> NO REFJNDS AFTER
ISSUE OF PEAMIT
Sawyer County Zoning & Conservation Administration
```�`,�`' 10610 Main Street,Suite 49
� < � � .� i� Hayward,Wisconsin 54843
� ���� (71>)634 8288
� " �� .
FAX(715)6"i8 �277
/ ,�� ����� � .'� t,,4-,1 , 1 c:c'cr t a --ut��:r��
j � - i E-nnil �;l.;: �.��.s,t ti i .<,,_�n , �i:r
�� � ���-i� '� Toll Free Courthousc/General Informat�on 1 877-699-4ll0
'�
,I1��\�����`
Holding Tank Approval Checklist
I. Sanitary Cover Sheet Date Stamp �7 / �� /_��
Parcel ID# D v �-`� � 7-O �_ S.3 1 (o
II. Plot Plan
�Property Lines ( Benchmark BM ♦
�Site Address �North Arrow
Structure �Scale
�Well �<25' to Service Road
�Legal Description �Nearest Road lntersection
Setbacks to: Properly Line, Well, Structure, Water bodies, Roads
III. Required Plans
Index Page with Original Signature
Manageinent Plan/Contingency Plan
Servicing Contract
� Holding Tank Agreement form
N. Holding Tank Specifications
�Cross-section—Manufacture, Gallons: 2�w��� ��°�
�i Tank Anchor Calculations [SPS 383.43 8) g)]
�Locking device, chains/locks
�y Alarm and Electrical per NEC 300, SPS 316 & 383.43 (9) (e) and
State Statutes 101.862(2) and 101.862(3)
�3"Bedding Material < 1/2 "
V. Holding Tank Plans per Component POWTS Manual
�Version�SBD-10855-P (R.3/07) �, � , . ,
Owner: � �v��n.s�., Plumber: �:�V� �"'h
Application Review Date: °�� l l � ��
POWTS Reviewer: 5��„�, �ju��j�-�
Namc /
���b
Liccnsc#
Revised 4/11/2013
CONCRETE HOLDING TANK DESIGN
Two Concrete Tank Option
INDEX AND TITLE SHEET
Project Barron
Owner Lesli Barron
Address 717 Gerret Crossing
OswegolL60543
Legal Description Gov lot 3 Sec 8 Range 37N Town 9W
Township Edgewater County Sawyer
Subdivision Name Lot No. 2
Parcel ID Number 8937085316
Plan Transaction Number
Index and title sheet Page 1
Holding tank specifications Page 2
Site plan Page 3
Management&Continency Plan Page 4
Designer Rick Brown
Signature � /��—�- Phone No. 419-0739
License Number 231251 Date 06/26/22
Designed pursuant to�.
Holding Tank Component Manual For POWTS(Version ) ��
SBD-10855-P(N.03/07,R.Ot/12)_.,
Version 7.0(11/12) Page 1 of 4
HOLDING TANK SPECIFICATIONS
Two Concrefe Tanks In Series
3 If one-or two-family, number of bedrooms
And/Or....Non-residential estimated flow per day
2000.0 Minimum holding tank volume required
4000.0 Total holding tank capacity proposed (gal)
2000.0 Tank 1 capacity (gal) �X for round tanks
2000.0 Tank 2 capacity(gal)
Wieser Tank manufacturer
SJE Alarm manufacturer
SJE1031021 Alarm model number
1.1 Anchor weight safety factor
Tank in Exterior Dimensions (in) Ibs Ibs in ft
Information Liq Level Length Width Height Tank Wt Anchor Wt Soil Cover Max Bury
Tank1 46 151 86 66 15370 18675 24.8 8
Tank 2 46 151 86 �_66Y 15370 18675 24.8 8 �
HOLDING TANK CROSS SECTION
Vent Manhole cover with locking
112"min. �P � q��min. device and warning label Finished grade
\ y �y unction box �
\ --�'`�
� Vent pipe�- 18��mi�
Blind plug to seal `'
outietopen�r,y ___ Note: Manhole
�/ " and vent locations iniet
i2.o �n retner may be reversed.
servlce a�arm on weignt Manhole diameter
is 23" min.
34.0 i
2000.0 gal 2000.0 gal
Tank 2 Tank 1
3 in. min. bedding under tanks.
Anchor tanks as necessary to negate buoyant forces.
Electrical as per NEC 300 and SPS 316.
Note: All tank joints, and joints between tank
openings and piping are sealed watertight.
Project: Barron
Transaction Number: Page 2 of 4
HOLDING TANK SITE PLAN
Project: Barron
N Legal Description: Q�•Gov lot 3 Sec 8 Range 37N Town 9W
Subdivision Name:
-- —
Scale: 1" =Q ft � Transaction Number. Lot No.: 2
, �
� ja
i
i
, W'`
� ti �'� �
� '` �.�'
o w�a„�
�
,1 � ��
� ;�f- �
�'� �'^�af-- S.
C�-O--_
�"'1�' /1 w. I ��N J✓�^[l� /.�..- 1�-t� � �(�,� � �
� L
�- � �7T�D �- w� �r—r � o„ ti,� Page 3 of 4
1�/,�� �-��S
��sv� (v�i �2S�
' � , e
HOLDING TANK MANAGEMENT PLAN
This Private Onsite Wastewater Treatment System (POWTS) has been designed, and is to be installed and
maintained according to SPS 383, Wis. Admin. Code, the Holding Tank Component Manual (SBD-10855-P
03/07, R.11/12), and the Sawyer County Sanitary Ordinance.
1. This POWTS is designed to accommodate a wastewater flow of 60.0 to 800.0 gpd.
2. The owner of this POWTS is responsible for system operation and maintenance, including all provisions in
the attached Holding Tank Servicing Contract and Maintenance Agreements.
3. Each time the wastewater in the second tank reaches a level of 12" below the inlet invert (at which time the
alarm will activate), the pumper listed in the current Servicing Contract must be called to empty the tank's
contents and dispose of them in accordance with NR 113, Wis. Adm. Code.
4. At each service event, the service provider should visually inspect the condition of the tank, risers and
manhole cover(s) and verify that the alarm system functions and manhole locking devices are present.
Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions
shall comply with the county sanitary ordinance and SPS 383 and 384 Wis. Adm. Code.
5. All service events or inspections of this POWTS shall be reported to the county within 30 days.
6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be
removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes
from this holding tank to the ground surface, including intentional discharges and discharges caused by
neglect, constitutes a failing POWTS and may result in issuance of correction orders or a citation by the
county or state.
7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank may
be installed in the same location (a new sanitary permit is required for such a replacement). Connection to
municipal services would also be considered at this time if they are deemed available to the property.
9. If this POWTS is replaced, or its use discontinued, components no longer in use it shall be abandoned in
accordance with SPS 383.33 Wis. Adm. Code.
10. If there is a problem with, or question about this installation, the following persons should be contacted:
a. Installer........................... Rick Brown Phone: 419-0739
_ __ _ —
b. Service Provider................ Ken Way Phone: 234-7677
-- -- _ .
a County Zoning or Health Dept. Sawyer County Phone: 634-8288
11.
Project:
Transaction Number: Page 4 of 4
l
HOLDING TANK SERVICING CONTRACT
Contract Date: ,'� / _ / �
This contract is made between the Holding Tank Owner and the Pumper.
Holding Tank Owner's Name: Pumper's Name: � �Q ��,/.,�� �,�,�
,���5� � /f ��t.�.+d�,�ia,�sTi�s� O�/�i,i���,���',� � .
/�B.S"� /f�L�/'/'� — T�s7�c�
Parcel Identification Number:
(12 Digit Legacy ID) � � � - �� � _ � � _ �� ��
L The owner agrces to file a copy of this contract with the govcrnmental unit, Sawyer County,
��:�hich ha� accepted and rec�rded ;v;rh th� Office of the Reb�ster ef!�ceds, ±he n�!air.±cr.ance
Agreement far a Holding Tank required Lmder the Sawyer County Private Sewage System
Ordinance for the issuance of a Sanitary Permit for the installation of a holding tank(s).
2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to
permit the pumper to have access and to enter upon the property for the purpose of servicing
the holding tank(s). The owner agrees to maintain the all-weather access road or drive so
that the pumper can service the holding tank(s) with the pumping equipment. The owner
further agrees to pay the pumper for charges incurrcd in servicing the liolding tank(s) as
muttially agreed upon by the owner and pumper.
� 3. The pumper agrees to submit to the Governmental Unit, Sawyer Co�inty, a report for the
servicing of the holding tank(s) as required under SPS 383.55, Wisconsin Administrative
Code and tl�c Sawyer County Private Sewage Systcm Ordinance. Tl�c pumper further
agrees to include the following in the report:
a. The name and address of the person responsible for servicing the holding tank;
b. The name of the owner of the holding tank;
c. The site address of the holding tank;
d. The date the holdin� tank was serviced;
e. The voluines in gallons of the contents pumped froin the holding tank for eacl� servicing;
f. The disposal sites to which the contents from the holding tanlc wcre delivered.
4. This agreement will rernain in effect until the owner oi• pumper terminates this contract. In
the event of a change in this contract, the owner agrees to file a copy of any changes to this
service contract or a copy of a ncw scrvice contract with Sawyer County within tcn (10)
business days fi-oiz: the date of change to this service contract.
Owner's Name: (Print) Owner's Signature: (oniy one ow�e� s�g�a��re reyu�rea)
�'.S� /� fJIC/'/'G�/7�1��'/ag,� � G��G�/Li; - -�L�
..�
Pumper's Name: (Print) Pui er's gna � •e:
Qt, ��i'J,c:.� ��i �'c� ,���`� `` �1�� h�
�
Pumper's Registration Number:
����
Rev. 03;26/13
.
, � r ,�x . , ,� :rrk^
a ,,��. . � .� : - ��,� .
. , i ,ti " '
u ,- , : . ,>r �' �. '..
,.�''Y ��r` ��'�s� �. ;� . ' ,,��. � .� , ._�.�t .j}�" � � �� .L�
� x �,: ,. _ j�.�' ' s�` �Ii�M��� .� r':
:. . � �i .:��a* . k���� �.
� n`
it` „�'S�_ * � +;.P "�'�y� Yi-�RL* "�' �
J
:..� �� # �.+". � A '� ,�s ', x�,.
r�
A 6 i� N f��� ,� � ��p+ 'Mtl ..b�.. ., ' .d °i'4K���;?�p.
1
m 3 � �`� �r. ,, _ -' Q „ � � � n'�. '`
�� �
i
� � 1" `, ,� a� .i 4
.�, ,� .� 4 I
'^r - r''� y`n,, ! .
.'° X��. ,� t � �,,'; .� _ " !
y _, �::' �� I
� '� � ��'t� t �
'� R�� . .` � . p,3 �! N 3 '� + . � � .
a, y}a,. 1 � '.�pR� ,.� .�4 .i` 3 " G- � T1�1 �4 t '� z = e� �,
t m' ;o: rt ".:� �o - .. � . � y, ���,� . .np� � �,r,�s�e d,.� � _+�.wi'".r* �. �e
� .' ' 0 ��~ � } �'••<'M'D���^ ,� TM� �. ' ""'�,. �' �8
�+�k � �' �. t .�' � f.7',;, #`,��;'�,',
, � . «
! � ' . + , � �-,:,�. � .aI "� .
;; •,
4 ' "� �i ' . � �ef �+..."w
� k � A. �.�.. ' t �rt 1� �� �
. �Y�� _ � �
� . °'. � . �, a �"t r,+l� d�i�,','# re.;, "'S.,y� «
-�,� ��,.� �� � �`'L. .� ��4"' 1'. �►�,w;��
� . ,i � ' � �� _ <�� # jl.. ..�� #�.�: }� .
��� `�I � ��---"'� '-.� � `�� #���� �'� . ���� _ �-=S��r a
' ' �'
�---�,. :�� , �
- . � �; 5 �-_,;,,� ; .�4" �°y
� ; r� �,� . t � ,..� � - � .
'�� r,;" �„--.... �_,� �i , ^� p �s +��k .
•� ��a + �� x� a�y � A. ` * ,p.1 �Y� j
{l. )� ���iN\ �i - ��. � ;
+��� � �r � ` 'i '7 � � � � 3
i
. Sr�� .,3 Y,�' . . ��w1��.
�. :` .M 1v �y
4. � �
� $ r :
� ' .. 'h�� . .
i �
�
�� .�'r�y'� � f �� � ,��. ��`« �� ����. ..
.� ���;' � � i�� �. . � , .
'F' � � � ��� �
y. 4.
y-- � l�' .�'�ai„.
+`�,�* -� fr��.#� � �' � � + ,� t.�
t �x�,� � � `d� �� — L�� � . .
1 !'
'*.� � � ��r`Fy._.. It I,. � �� _ Y�;�.
-" . . � � � - '-' a
� � i '� - .... �,.,'�
. A Q , ._ �... ' . , " � ; ' "``, i.'� #'� � *_
` ��
... .. . ' ` ' ` j.. ' � � �'h-�
, ��
, .. � 1
,� . .� �,,� . ,.
,,,.� a � � � ��� . > . � �.R �,�
w
, � � . _ �k� �� �, . p�
,... . �a� F . . . .� .
. � - � �#t'- - ' .� . ��y�
� r � .�. ' - � . *yA. `�y rv'I
� ^ ,• r� _... ♦ Y . T '+ �.r.
. fY
x; ;_._ �`� ♦ � ... F:
� ..� �..;.. � '! yRY� � � '
. � .� y'»+ ,<. ..� � . t� �S�
����� ��� ���.. �fP* � .�� � � .,
- yy z s �I
''�. $,. r^ .. �T' � ' �y. . . . � �. � �� � .
�� ,Y��.� ,,� �T # `�. y�,� :_ �. _
{����gY�5�� '��'�•.�'Y• � .. .__ - �yvyy �z.;.. '� ' S1��r�4f +R2 -z�;�r �' , ih
� �
��'�"�"��-�'�'°;�' �' .��- ��,��,� - �� ; ;.��_ � •,� ,i«,:�. �, _ �M�'
�. �,. ';, �..
� �, 9► � , i +,� fi
r` ' �.. r ',� y.Y t; t
ie` +�."'�,�'a!' � �''i' -$"'�� `� ,.'�fwf� �1. �s: �� n'A,
��„"'t �4 y � ' �`/A'' #��_y .,+^""...� ... "�+d.�� �{ F� 3'� ,�Y �.��,� If ,. .
�d
, .,
, . / �,r,
.' ?�*�#s*,.= .�� ,.��sf �sf,. � .._ - -� _'s` ...r�.�k,i,ti.�.x,,J� - . _ ' �'"j�-�i��t�� �*�".*�i •r�f
_ .
ti . �- ,r$ _ -`�-•� -.r."".'-� '"'" -:' '�
fy� �`\�k�^ - ,vY- o.: ,.�/��Y � �.\ ��� w
`�" t � y`�..��� 4�¢��!s�` ��� ' �s,°' ..�
� � :x' �,«,.' " � ;`r -4---i'''...� 1. , ,
�'�, � - �$l" ...������ �e. �� � ""�o,�.�a, �'� 4�. ,�y�'''1:
� ��� a� s '�,•���.� .
!�� Yy'� r�+yy�:y+ ;s _ .� �:
� '1� 4� � ��l''•.i:= �y� �; t• 'i.'
r i� , ��... '�� +���
�f� ��� - C
� �,
i i i iiii� iii�i��ii���iiiii
8 0 G �� 9 3 3
- USE BLACK INK ONLY - T>;4039243
POWTS MAINTENANCE AGREEMENT 440112
For Holdin Tanks PAULA CHISSER
g REGISTER OF DEEDS
�AWYER COUNTY, WI
Owner's Name(s)as shown on deed: fl7/11/2Q22 02:24 PM
��S-� ��Q./%'D/7 �/�///�G TGL� RECORDING FEE 3Q.00
Parcel Identification Number:
( 9 9 Y ) ���'���-/��2'��L�' PAGES: 2
12 Di it Le ac ID
Legal Description of Property:
-SEE ATTACHED SHEET -
We acknowledge that application is being made for the installation of a holding tank(s)on the
property described on the attached sheet.
Return To:Sawyer County Zoning and Conservation Administration
10610 Main St.Suite 49, Hayward,WI 54843
i I
As an inducement to the County of Sawyer to issue a sanitary permit for a holding tank on the above-described property,the owner is
responsible for the operation and maintenance of the holding tank, locking device, alarm and access, and agrees to conform to all
applicable requirements of SPS 383,Wis.Adm. Code relating to holding tank management, including the following:
1. The owner agrees to contract with a person who is licensed under Ch. NR 113,Wis.Adm.Code, except as provided by
Section 281.48(3)(d), Stats.,to have the holding tank properly serviced and to file a copy of the service contract with the
governmental unit. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service
contract,with the governmental unit within ten(10)business days from the date of change to the service contract.
2. The owner agrees to contract with a person licensed under Ch. NR 113,Wis.Adm. Code,who shall submit pumping reports to
the governmental unit in accordance with SPS 383.55,Wis.Adm. Code, for the servicing of the holding tank. In the case of
exemption under Section 281.48(3)(d), Stats.,the owner shall submit the report to the governmental unit. The governmental
unit may enter upon the property to investigate the condition of the holding tank when pumping reports may indicate the
holding tank is not being properly maintained.
3. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit to prevent
or abate a human health hazard as described in Section.254.59, Stats.,the governmental unit may enter upon the property
and service, or cause the tank to be serviced. Pursuant to Section 145.20(4)Wis. Stats., a governmental unit may assess the
owner of a private sewage system for costs related to the pumping of a septic or holding tank. The charges will be assessed
as prescribed by Section 66.0703,stats. The owner agrees to pay all charges and cost incurred by the governmental unit for
inspection, pumping, hauling,or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate
any human health hazard caused by the holding tank.
4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private sewage systems
certifies that either a soil absorption system that complies with SPS 383,Wis.Adm. Code, or a municipal sewer serves the
property. In addition,this agreement may be cancelled by executing and recording said certification with reference to this
agreement in such manner which wili permit the existence of the certification to be determined by reference to the property.
5. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner.The owner shall submit
the agreement to the register of deeds,and the agreement shall be recorded by the register of deeds in a manner which will
permit the existence of the agreement to be determined by reference to the property where the holding tank is installed.
-Only one owner signature required- ACKNOWLEDGMENT
Owner's Signature: State of: � � �! I�i'(��i J
County of: ,�.�.(�C.��:--�L.L
Owner's Name (Print):
Subscribed and sworn to before me on this
i'a � � ��"�I'1 day of ,� ,(n � , 20 �,L
Date: By(Owner's Name): ���L i f{ �QXrL(�
� �S���� Notary Public Signature: Y
Drafted by: Public Notary Name (Print): - '"f
� ��cl� �o�+� My commission expires on: `� Z �
OFFICIAL SEAL
Personal information you provide may be used for secondary purposes[Privacy Law,§15.04(I)(m KELLY A PAYERev.03/26/
NOTARY f'UBLIC,STATE OF ILLINOIS
My Commission Expires March 8,2025
Lot 2 of Certified Sur�•ey D'1ap No.6709,Volume 25,Page 120,as Document No.318348,being a part
of Covernment Lot 3,Section 8,Tnwnship 37 IVorth,Range 9 West,(in the Town of Edgewafer),
Sawyer County,Wisconsin.
7/11122,2:08 PM Real Property Listing Page
R2dI EStdte Sawyer County Property Listing Property5tatus: Current
7oday's Date: 7/11/2022 Created On: 2/6/2007 7:55:15 AM
�Description Updated: 7/19/2018 '� Ownership Updated: 9/21/2020
... ... . . .. . . . . . .. .. . .. . __ .
Tax ID: 8231 LESLI A BARRON LIVING TRUST � � OSWEGO IL
PIN: 57-008-2-37-09-OB-5 OS-003-000160
Legacy PIN: 008937085316 Billing Address: Mailing Address:
Ma ID: :3.16 LESLI A BARRON LIVING LESLI A BARRON LIVING
Municipali[y: (008)TOWN OF EDGEWATER TRUST TRUST
STR: 508 T37N R09W 717 FERRET CROSSING 717 FERRET CROSSING
Description: PRT GOVT LOT 3 LOT 2 CSM 25/120 OSWEGO IL 60543 OSWEGO Il 60543
#6709 e�
Recorded Acres: 0.600 r Site Address * indicates Private Road
_. . ___.__ ___ . . . ... . .. ._. ..
Calculated Acres: 0.620 N/A
Lottery Claims: 0
First Dollar: No 0 Property/lssessment Updated: 6/28/2021
Waterbody: Chetac Lake 2022 Assessment Detail
Zoning: (RRl) Residential/Recreational One �ode Acres Land Imp.
ESN: 430 G1-RESIDENTIAL 0.600 136,500 0
-� Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change
1 State of Wisconsin Land: 136,500 136,500 0.0%
57 Sawyer Counry Improved: 0 0 0.0%
008 Town of Edgewater Total: 136,500 136,500 0.0%
650441 Birchwood School Distric[
001700 Technical College
�Property History
a Recorded Documentr Updated: 5/18/2022 N/A
WARRANTY DEED �
Date Recorded: 9/2/2020 426173
ACCESS EASEMENT
Date Recorded: 5/2/2022 438866
EASEMENT DEED
Date Recorded: 9/2/2020 426172
WARRANTY DEED
Date Recorded: 1/25/2005 319120
CERTIFIED SURVEY MAP
Date Recorded: 12/30/2003 318348
https:Ntassawyercountygov.orglsystem/fremes.asp?uname=Eric+�nlellauer ���
'�`'`''�T"`��':�<F,_ PRIVATE ONSITE WASTE TREATMENT cou�ty
�;=
�'����b$ �,�'; SYSTEMS SaWyer
����� �s� �� ( POWTS)
\��,-`—';�%
INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
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 I�Town of: State Plan Transaction ID#:
C�sl� � . Ba� L,,,,� �MS� �d �, —
Insp BM Elev: BM Description: Parcel Tax No:
�b�-b Ta n-� }1Ta ri�.r ��� ���?�- O�'�3��
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic Benchmark ,p�
Dosing
Aeration Bltlg. Sewer �(,,qS'
Holding � �,,;es�- �aaa �/Ht Inlet ��6,8`
ANK SETBACK INFORMATION 8�l Ht Outlet � �6. �
TANK TO P/L WELL BLDG IR INTA�KE ROAD J�t 1� � ��1 Y6•a �
Septic NA ,pt c¢�i p-, � �ls,9j�
Dosing NA Installation
Contour
Aeration NA Header/Man.
Holding $�,S �� � d-7 �ia� Dist. Pipe
PUMP 1 SIPHON INFORMATION �nfiltrative
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 W � #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv ❑ Aggregate
INFORMATION P/L Bldg . Well Waters °� G ❑ Chamber Motlel Number:
❑ EZFIow
CELL TO ❑ Mound o Other
DISTRIBUTION SYSTEM X Pressure Systems Only
Header I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipe�
Length Dia Length Dia Spac , Spacing ❑Yes ❑ No
— --- —_ _—
SOIL COVER
— — -- —
Depth Over � Depth Over � Depth of Seeded/Sodded Mulched �
Cell Center Cell Edges I Topsoil __ ❑Yes 0 No ❑Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
��/�Il� �(�7���
� ��
� _� • S
Plan revision required?❑Yes❑ No 6 3 iD� �3� I ' �� bq �l �
�_� �_—��� — -� �
Use other side for additional information Date POWTS inspector's Signature Certification Number
SBD-6710(R.3/01)
AO�ITIONAL C�MMENTS ANO SKETCH
SANiTARY PERMIT NUMBEP�._ _��.i���_ ___
�" l.dY`c ��C_��
�
.�
_ � �-� ��`�G`���1�t.
F�--- �v' �
�
� ��IG�.C' ��4 t, ,
` `� I �. L ' � }�S j�� `1
�'`°�' 3X�� �— � ��
� _ _ _ 1 , � '`,
I — .� �,�.
���� ��b��
�
.,
� �b CY. ��r �
�
��