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Home My WebLink About004-839-08-5317-SAN-2022-181 ,;:j,.`�-�`��; Industry Services Division County � - 4822 Madison Yards Way SAWYER _`�__�_' = Madison,WI 53705 Sanitary PermitNumber(to be filled in by C � : P.O.Box 7162 - Madison,WI 5370�-7162 � �Zj� t � 5 � Sanitary Permit Application State Transaction Num b_r � In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis form to the appropriate govemmental unit � is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing ad q,, the Departrnent of Safery and Professional Services.Personal information you provide may be used for secondary � - pucposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. CTY HWY E "' I.Application Information-Please Print All Information Property Owner's Name Pazcel# JOSEPH MARCOTTE 004839085317 Property Owner's Mailing Address Property Location 10672N Round Lake Schoolhouse RD Govt.Lot 3 City,State Zip Code Phone Number HAYWARD,WI 54843 �/,, '/<, Section OS ll.Type of Building(c6eck sll that apply) Lot# f � T 39 N R 8 E o �1 or 2 Family Dwelling-Number ofBedrooms 3 Subdivision Name Block# ❑Public/Commerciai-Describe Use ❑City of ❑StaYe Owned-Describe Use CSM Number �Village of '37�33 �$,��q I�Town of COUDERAY IiI.Type of POWTS Permit:(C6eck either"New"or"Replacement"and other applicabie ou line A. Check one box on line B.Complete line C i a licable. `�� ❑Additional Pretreatrnent Unit(ex ) �New System ❑ Replacement System ❑ Other Modification to Existing System(explain) plain B' ❑ Holding Tank �In-Ground ❑ At-Grade gn ❑Other Type(explain) ❑ Mound ❑ Individuai Site Desi (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Piumber ❑ Transfer to New Owner �st Previous Permit Number and Date lssued Expiration �— [V.DispersaUTreatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/s� Required Dispersal Area Proposed(sf} System Elevation 450 .7 642.9 6502 92.50 Capacity in Total #of Manufacturer �..' Tank Information Gallons Gallons Units � � U „ � New Tanks E�cisting Tanks � o ;; � � ,n c`� c`� a` U 'v� �, v� u. C7 0. Sepbc or Holding Tank 1000 1000 1 WIESER Dosing Chamber 00 00 1 WIESER V.Responsibility Statement- I,the uadersigned,assume respt►nsibility for instsllation of the POWTS shown on t6e attached plans. Plumber's Name(Print) Plumber's Si MP/MPRS Number Business Phone Number GERALD FROEMEL � 950111 715-558-1138 Plumber's Address(Street,City,State,Zip Code) 13502W FROEMEL Rd Hayward,Wl 54843 VL C unty/Department Use Only �A d �Disapproved Permit Fee Date lssued Issuing Agent Signature �'� ❑Owner Given Reason for Denial $ (U�.� �I 3I'�'� �" I��'�`"'`"��1 '`^'r,��,� Conditions of Approval/Reasons for Disapproval �. � � �`-' ' � � ] �J � L�i, � ,� �� 5 �� -i-� � E ■ i,.+�a�.�.�... �. �....��..._ �; �, ' �� hk# � �� .�...��- QUG 0 1 2022 �cpt#.� wor�d ��is C S�T' 2�- I09'� ,� --�i Z�;,�NG pp�NISTRATION Attac6 to complete plans for the system and sabmit to t6e County only oo paper not kss than 8 tn:11 inches in size iV0 R�FJNnS AFTER SBD-6398(R.03/21) 1��;,�,F,P�iAAt� �y o �7 y Joseph Marcotte Property Owners Name cty hwy E Property Address p4839085317 Tax Parcei Number Sawyer County ,�� 3 Gov Lot or Qtr-Qtr/Qtr S8 Section T39N Town R8W 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 08/01/22 Date Not an endorsemeM,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),Infiftrator Systems,ADS Products,Polylok Inc.,Orenco Systems Inc.,SimlTech Filter Inc.,Sta-Rite Industries, Page 1 of 7 In-Grourtd Soil Absorption SBD-10705-P(N.01/01)Version 2.! Component Manual Used 3 Number o Bedrooms 1 Percent Slope (%) 90 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 92.5 Proposed System Elevation#1 Proposed System Elevation #2 Proposed System Elevation #3 Original Grade#1 96 Finished Grade#1 •Original Grade#2 sFinished Grade#2 Original Grade#3 p� ;Finished Grade#3 Infiltrator Quick 4 Standard Chamber Type 15 Height o hamber (in.) 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 Cell Area Proposed (sq.ft.) Wieser 1000/600LP �Septic Tank ose an (if applicable) Lifetime �� FEffluent Filter *"select only if NOT using combo tank Surtace Depth to System Soil Boring Grade Limiting Lowest Highest Elevation Number Elevation (ft.) Factor(in.) Elevation Elevation Acceptable 1 96.45 90 91.95 95.20 TRUE 2 96.95 90 92.45 95.70 TRUE 3 96.2 8 92.37 94.95 TRUE 4 ; 5 Page 2 of 7 � SITE PLAN l---J JOSEPH MARCOTTE � � LOT 14 CSM 37f331l8519 N TOWN OF COUDERAY SCALE W TESTEDAREA�. 1"=40' (EXCEPT LOT IS UNDEVEIOPED AS OF 6110/22 WHERE NOTED) ELEVATIONS COUDERAY �gM=t00.0',TOP OF STEEL LAKE FENCE POST LOT STAKE El=85.4' 8-1=96.45' &2=96 95' &3=962' LAKE=85.4' RECOMMENDED SYSTEM EL.=92.5' APPROXIMATELY 270'TO LAKE T�..k �OOOIGDo✓�O'�� %�'�r�.o F,�T« ssss� e-1 .br zo.�r�,5y P..,�a �BM a t,y� . 2 7,.�,<<.,w//baw:�r�i'c M c.,.d. �;`F-'`'�� a n.9. szss 4 L y f" � B-3 �,.�Is o �x.•�� - \ ❑ � � � �a ss.ss �� ! �' PROPOSED �.�%%`j/Q��'�� DR.WAY / rh�iQf$�TO//( NEIGHBORING LOT#13994W CTH E Cross Section of a Two Cell In Ground Ccmponen ; Using Leachinq Chambers Observatio^/Ve�t Pipes � � 96.00 Finished Grade ' - _ -- - 1 Finished �rade —� Slope _ 1% I CeN"Seperation / _� �, \ I___��' t \ '' . � .•?` � '�` i Y � �' �� / . �' � J j� T ' �� Original Grade - _ i" � �,�y ,,''� } . .k;'�, ,.fSriginal Grade 93.75 Top of Chamber ti'� �� -' I �'� �� ,�� Top of Chamber 93.75 ---- -f9- � ` �' . , ' �'- -- ��--�-- , , � ,, 92.50 System Elevation .�+• . . .: . � '�V System Elevation 92.50 -� �� . . . • � - • . ��..y_�. ' • . �. • .1'reotn�en; pnd' D1�e�sa1 .Zor�e • � � • ' • • . . � ' . • � . ' • ♦ , " • „ . , • ' ' . • • , • ' ,s . . . ,. � . • . '. . : _ _ ..__ . .. _ . • r. . . . __ ' L imitinc Foctor Ubservat�on/Vent pipes to be constucted and capped with approved materiols for the porticular use. Dia rams Not To Scale _— _ -- - - _ _ _----- 1 --- _---- _ / - ��a:: �� "�� ` � I - 1� - ---------- --_ _ �.. ------ � ; i �� — a . e � _.____ . .. ... ---... ��. �__,�p I ��'Is.►'�`�,_�.._t� � ��` 1 �e► ,�► �sa�. r�e.l .i�w ..�.► w�e►. ..� � = bservation /Vent Pipes to be located 1/5 to 1/10 the length of the distrution cell measured from the end of the cells Page 4 of 7 Annrov.e I✓onno�._ ��.overs w�.� w- - __. �nC LOckinS p!vi<e � 4" 41�� P.Dove � ..� �....e j WeOther PrOoi Junction 60� I \\ / E�ectr�c p�r NEC J00 ee CC1MM_ 4' Sch. 40 Vent I / 16.29 weC >or = to12' y t y ADove Finol Gade Dbeon Altemote Outlet Location W/Approve0 4' Sleeve intet Facemain Diameter(in.) 2 Ba��e 7 eeD Hole or Anti SiD�d+ Device A vJie<e;^. I C D Flow in GPM Vertical Difference Between Pump Off and Inlet to Chamber 1 Length of Forcemain(ft.) Inches Gallons Forcemain Diameter(in.) A 5.1 0 0. Friction Factor per 100ft. B 3 .5 Friction Loss C 6.3 1 . Total Dynamic Head D 1 . TOTAL 5 Number of Doses per Day Gallons per pose(Not to exceed 20%of Daily Design Fiow) 1 . Volume of Forcemain Backflow 10 . Total Dose Volume 600 Pump Tank Capacity(Gailons) 1 . Pump Tank Volume(Gallons/Inch) celler Pump Type Minimum Discharge Rate(Gallons per Minute) om us- ank Alert Alarm LL HEAD CAPACIT'CURVE MODEL"98" 1/2 HP 30 25 zo is io s 0 0 10 20 30 d0 50 60 70 80 Joseph Marcotte h E 4.84E+09 Number o Bedrooms 3 Septic Tank Wieser 1000/600LP Estimated Flow(average)ga��ons/day Effluent Filter Li etime D@S19f1 FIOW(peak),(Estimated x 1.5)gal/day 4 Pump Tank ieser 10 /600L Soil Application Rate gaUday/HZ 0.7 Pump Type Zceiler 98 Influent/Effluent Quai' Monthl Average Fats, Oil &Grease(FOG) 30 mg/L Biochemical Oxygen Demand (BODs> 220 mg/L otal Suspended Solids (TSS) 150 mg/L !!NOTE I' Servicing frequency of 12 months or less requires the Management Plan be recorded with the Register of Deeds. Maintenance Schedule ervice vent Service Frequency Inspect condition of tank(s) At least once every T 3 ear Pump out contents of tank(s) When combined slud e and scum = 1/3 of tank volume Inspect dispersal cell(s) At least once every 3 Year Ciean effluent fiRer 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 cartying one of the following licenses or certifications:Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, Septage Servicing Operator. Tank inspection must inciude a visual inspection of the tank(s)to identiTy 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 effiuent on the ground surface. The ponding of effiuent 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. SWrt-Up and Oceretion 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 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, gasoiine, 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. Contingencv 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 repiacement area_ If no repiacement area is available a holding tank may be installed to replace the failed POWTS. A suitable repiacement 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 wilt 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 soii limitations. A holding tank may be installed to replace the failed POWTS. ��WARNING!! Septic, pump and other Veatment 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 Frcemel Name Scott Poppe Phone# 1 -55 -11 Phone# (715)634-145 POWTS Maintainer Local Regulatory Authority Name Jays Septic Agency Sawyer County Zoning Phone# 715-55 - 1 Phone# 715-634-8288 Page 7 of 7 ` '"'''"?�,� PRIVATE ONSITE WASTE TREATMENT county ,,.,. > ��: �o�sp �`� SYSTEMS �,:�,�1 s ;, ( POWTS) Sa,Wyer ��-� �-,�;%' ��`"Fx��'' INSPECTION REPORT sanitary Permit No: ��,...� Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �� — �� Personal infonnarion you provide may be used for secondary purposes[Privacy L.aw,s. 15.04(1)(m)] Permit Holder's Name: ❑City ❑ Village l�Town of: State Plan Transaction ID#: �o�j.g�� N1Gr'C�-�2_. �� - Insp BM Elev: BM Description: Parcel Tax No: l�.0 1 a f St-�\ cs. 05 �� 5�►�-- �'Y`$3`?�O��'��7 TANK IN ORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �,,;e�s1--- 1 p� Benchmark po,o' Dosing —�,,..,�b (�pa Aeration Bldg. Sewer S,�$3 ' Holding St I Ht Inlet q� �8� TANK SETBACK INFORMATION St I Ht outlet ��_26' TANK TO P/L WELL BLDG vENrro ROAD Dt Inlet AIR INTAKE Septic � � � �9� .¢-t9► NA Dt Bottom $`J, ( ' Dosing � k • 4 NA Instaflation Contour Aeration NA Header/Man. �r�, �'� Hoiding Dist.Pipe PUMP 1 SIPHON INFORMATION Infiltrative Surface �'�S � Manufacturer � Demand Final Grade Model Number � g 3 GPM �'{�f� �• `�3•g.3 TDH � Lift Friction Loss Sys Head TDH Ft Forcemain L �-� Dia �`� Dist.To Well DISPERSAL CELL INFOR ATI N DIMENSIONS W � (o #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv ❑ Aggregate �� INFORMATION P/L Bldg Well Waters o GP �'. Chamber Model Number: ❑ EZFIow ❑ Other CELL TO ��' ��" �J � .}�'b ❑ Mound y� - - _- — ------ - - -- — - --- DISTRIBUTION SYSTEM X Pressure Systems Only Header/Manifold Distribution Pipe(s) '�^X Hole Size X Hole Observation Pipes I Length Dia Length Dia Spac _' Spacing ❑Yes ❑ No _� _ _ _ — —_ .__ SOIL COVER __ _ Depth Over Depth Over � Depth of Seeded/Sodded Mulched Ceil Center Cell Edges ; Topsoil _ __� ❑Yes ❑ No � ❑Yes ❑ No COMMENTS: (Include code discrepancies,persons present,etc.) � �s�l�� (o��o/�-� —I �--- __ - - --, � Plan revision required?�Yes❑ No , p3 I,v 6 a 3J �,� , , �, � � � - �--- — _ � Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) AO�ITI�NAL C�MMENTS AN� SKETCH SANITARY PERM�T N��MBER ___ o2_r `�$j_ _ `��): L co Llc. � ��'�r , � �3� 3 7 �' ' .�(� � � �"�' I "°''�-- �,?ti � i �Q� ,�� o � - 6� , 3��'� �� c� �►;y, , � ,� �S��f� � k � �`�`��, � � �.� ��6� �� c�`1`''�, �"-,� ° 1. '� -__ �