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Home My WebLink About002-940-13-1108-SAN-2022-208 ��'-`"-'"�+: lndustry Services Division County �\ , _ 4822 Madison Yards Way Sawyer �7 : , _ - Madison,WI 53705 Sanitary Permit Number(to be filled in by �. �= P.O.Box 7162 P� � � � � � _ Madison,WI 53707-7162 V� � � Sanita.ry Permit Application State Transaction N^mber v In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis fortn to the appropriate govemmental unit Q is required prior to obtaining a sanitary permit.Note:Application forms for state-0wned POWTS are submitted to Project Address(if different than mailing 4) the Department of Safety and Professional Services.Personal information you provide may be used for secondary 8896N Coppersmiffi rd puiposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. I.Application Information-Please Print All Information Property Owner's Name Parcel# Michael Zuehldorf 002940131108 Property Owner's Mailing Address Property Location 353 Flora St.S 6er�L�� - City,State Zip Code Phone Number Prescott,Wl 54021 NE'/,,NE_'/., Secrion 13 ll.Type of Building(check all that�pply) Lot# � T 40 N R 9 E o �J 1 or 2 Family Dwelling-Number of Bedrooms 3 Subdivision Name Block# ❑Public/Commercial-Describe Use ❑City of ❑State Owned-Describe Use CSM Number ❑Village of 3 y��q�r �� Town of Bass Lalce 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. A' New S stem �, y ❑ Replacement System ❑ Other Modification to Existing System(explain) ❑ Additional Pretreatrnent Unit(explain) B' ❑ Holdin Tank In-Ground ❑ At-Grade ❑ Mound ❑ Individual Site Desi g � gn ❑Other Type(explain) (conventional) C• ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑"Cransfer to New Owner .ist Previous Permit Number and Date Issued Expira[ion �— IV.Dispersal/Treatment Area aed Tank Information: Design F(ow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation 450 .7 642.9 650.2 93 a�1��,c�?.g � a� Capacity in Total #of Manufacturer :3 Tank[nformation Gallons Gallons Units � � v � N � New Tanks Existing Tanks � o � Y y � � � a U �n � v� iz. c7 a Septic or Holdiag Tank �ppp 1000 1 ieser Dosing Chamber V.Responsibility Statement- 1,t6e uodersigned,assume responsibility for installa6on of the POWTS showo on the attached ptans. Plumber's Name(Print) Plumber's Signature � MPIMPRS Number Business Phone Number Gerald Froemel �� 950]I 1 715-558-1138 Plumber's Address(Street,City,State,Zip Code) 13502W Frcemel Rd Hayward,Wl 54843 Vl.C uo /Depsrtment Use Only � App v d ❑Disapproved Permit Fee Date Issued Issuing Agent Signature ❑Owner Given Reason for Denial s (��'� �J� � I "Z � �" /"�'�'�� Conditions af App��.vaUReasons for Disapproval ��-� � _ �� I��,�-� , ,.,__„ `C-� f' 1� � �� AUG 17 2022 �`� � �IGI k � �hk# �� , _. �� L �.a'a �1'� in�or i� ��8' aAWYER COU(�TY � S� ��- - I �� J� ZONING ADPnINISTRA�fc"'�� Attach to complete plaqs for the system and sabmit b the Coanty oely on paper oot less than 8 tt2 i 1I inches in size l \ SBD-6398(R.03/21) ` _O � J N�REFJNDS AFTER ISSUE OF PERMtT Michael Zuehldorf Property Owners Name 8896N Coppersmith Rd Property Address OD2940131108 Tax Parcel Number Sawyer County , � NE/NE Gov Lot or Qtr-Qtr/Qtr S 13 Section T40N Town R9W 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 08/17/22 Date Not an endorsement,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),Infittrator Systems,ADS Products,Polylok Inc.,Orenco Systems Inc.,Simlfech Fiker Inc.,Sta-Rite Industries, Page 1 of 7 In-Ground Soil Absorption SBD-10705-P(N.01/01)Version 2.� Component Manual Used 3 Number o Bedrooms Percent Slope (%) 108 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 Proposed System Elevation #1 Proposed System Elevation#2 Proposed System Elevation #3 "�Original Grade#1 97.5 � `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.) 0 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 1000LP Septic Tank ose an (if applicable) ; Lifetime 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 97.89 1 8 91.89 96.64 TRUE 2 96.99 99 91.74 95.74 TRUE 3 7.39 105 91.64 96.14 TRUE 4 5 Page 2 of 7 S�a�M � �- l " i� � � I � I cYS � `p� o v � o v 3 � 3 �-. � a 3 � � oo c,° � � o p lb Z1 % p � \ Jr L`� � M � � � � I � J ,� ,Z � �'d c�u e � N `J rl � � \ � f �- \ �i o � m � �, � � r � P' S, p I M 1 � t � o� � l 2 .. v � W _ � � 3'2 � � � J � P' 2 -� Sp°p\ � � � a • a X � � � �� -S )` 2' U v ` ti , � � d � v N � � a "� -a � � S — � ��j, � w a°' � S y V� �I p (�- 'Y '� `}' -� d ° .J � T a T �x � 2 � ^ f �J •L � U1 U � I' � j- . �n o �' J � � 3 9 --a ° r m `� -t�-�,� ;� J � . � (i � � U� �� N �' -G to L w V 6�J p � � M v� V � d 'S l^ o I� .o r �o � J S ,� N �+ fr a- cr (� i � � o � ''" p- U1 m � � � r u '�n � t co * � Cross Section of a Two Cell In Ground Compone�; Using Leachinq Chamber� ODs/ervoUo^./Ve�ri Pipes / \ 97.50 Finished Grade � - - --- -- ---- Finished�reCe —�� Slope ... . -- -- S CelY�Seperation� � / . � ��1' �• ,, � , �,� Orginal Grade - . � �,\?`, `'� l sl� �`.x`'�, ,Xfrginal Grade 94.25 Top of Chamber __ _ �_� _ �;��,�' � _ _ ��__�_:'Top oi Chamber 94.25 . ;-' 93.00 System Elevation .'+• . . .�. System Elevation 93.00 ' , � .Yreatrn,ent�pnd'D�vpe�so� .Zoqe. ' . � ' , ` • ' • . • • _ • . ' , • .z • - - ..—_ . ._� " • ... . . ._.—_� �. limifmy FaCtor Obse�ve:�o-/Ve�: pipes to be consiucted and capped w�th approved moteriols for the parlicuicr use. Dia rams Not To Scale --- -__ — � _:.��1,�V��WW'E[^-`'� � �� v ` �� _.._...._ ... _. _ _ II f i � --- —� -�r�`�rr�... �rsF_ (�,�� l -��r'�'rr,�r�D��—,�� ,.��„- 1 �_- - -- _ —- ' bservation/Vent Pipes to be located t/5 to 1/10 the length of the distrution cell measured from the end of the cells Page 4 of 7 Michael Zuehidorf 8896N Co persmith Rd 2.94E+09 Number of Bedrooms 3 Septic Tank Wieser 1000LP Estimated Flow(average)ga��ons�day Effluent Filter Li etime Design Flow(peak),(Estimated x t.5)gauday 4 Pump Tank N/A Soil Application Rate gaUdaylft2 0.7 Pump Type Influent/Effluent Quat' Monthl Average Fats, Oil &Grease(FOG) 30 mg/L Biochemical O�cygen Demand (BODs) 220 mg/L ofai Suspended Solids (TSS) 150 mg/L �:N O TE!' Servicing frequency of 12 months or less requires the Management Plan be recorded with the Register of Deeds. Maintenance Schedule Service Event ervice Frequency Inspect condition of tank(s) At least once every ea� '� Pum 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 Clean effluent filter 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 votume 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 authoriry. When the combined accumulation of sludge and scum in any tank equals 1/3 or more of the tank volume, the enNre 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 repoR shall be provided to the County Zoning Department within 30 days of any service event. Start-Uo and Ooeration For new construction, prior to use of the POWTS check treatment hank(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 infikrative surface. Page 6 of 7 Do not drive or park vehicles over tanks and dispersal cells. Reduction or elimination of the tollowing 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 foliowing steps shall be taken to insure that the system is properly and safely abandoned in compliance with Wisconsin Administrative Code SPS 383.33; -Ail piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. -The contents of aii 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. 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 identity 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 repiace the failed POWTS. A suitable replacement area has been evaluated and may be utilized for the location of a repiacement 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 sVuctures, lot lines and wells. Failure to protect the replacements area will resutt in the need for a new soil and site evaluation to establish a sukable 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 treahnent tanks may contain lethal gasses andJor 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 Poppe Phone# 715-558-1138 Phone# '( 4-1450 POWTS Maintainer Local Regulatory Authority Name Jays Septic Agency Sawyer County Zoning Phone# 71 - 5 - 1 Phone# 715-634-8288 Page 7 of 7 '�j�'"'f�%; PRIVATE ONSITE WASTE TREATMENT county ��'� `7 �$ ,��, SYSTEMS SaW er , y � ' ' ( POWTS) �`�� 5,;:� �R�f�_�y�� ''��'��`' INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �� g Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 1594(I)(m)] Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#: m,��,�` ��Idor �- �S5 �� ^ Insp BM Elev: BM Description: Parcel Tax No: �vo,a` �ta�� 26" y l�1's;�. 1�" i�� I� o�-qYo �13 �l/68 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �,,,�Q dpp Benchmark cSO,a' Dosing Aeration Bltlg. Sewer �(�,0� Holding St I Ht Inlet �,QS� TANK SETBACK INFORMATION St/Ht 0utiet 9�.65'� TANK TO P/L WELL BLDG VENTTO ROAD Dt Inlet AIR INTAKE Septic ±��o �J rl � NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. 9�J�� Hoiding Dist. Pipe PUMP 1 SIPHON INFORMATION Inflltrative o � Surface Q•3` 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 ,� Conv ❑ Aggregate � SETBACK P I L Bldg Well OHWM of Nav � IGP p� Chamber — INFORMATION Waters � AG ❑ EZFIow Model Number: CELL TO ±�c�� ❑ Mound o Other Q,�� - _ _ __---_._-- -_---__. __ —_____ DISTRIBUTION SYSTEM X Pressure Systems Only - ---- -- i -- pO X Hole Size X Hole Observation Pi��es Header/Manifold Distribution Pi e s I Length Dia _ Length Dia Spac �_ Spacing ❑Yes ❑ No SOIL COVER Depth Over Depth Over Depth of Seeded/Sodded Mulched Cell Center � Cell Edges j_Topsail__ _T ❑Yes ❑ No � ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons present,etc.) 7��!/�d b ��.3��oZ� Plan revision re uired?O Yes❑ No � 3 ;� c� _� �,'/� � � I q � �, o� � �- � � ---- ; � � /� Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�OITI�NAL C�MMENTS ANO S�K1E�TCH SANITARY PEflMIT Nt1M8ER', �02^o'-�->g ►a�" (�Qv+xlb v' Y' W�4�T' �. w�l.T. �. � �,SQ. �'\\�_ � � ,,� ufl ��{Ib�. � �--� r----�--�,, NP' � �`°3�a�. i 9```�g� � L� ` - � -, - � Q� �`` �88��N � �� M��. �--Pl- �_--