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Home My WebLink About028-742-17-3302-SAN-2022-235 � :=��-'�-'-°��:,. Industry Services Division County � ;' , _ 4822 Madison Yards Way Sawyer ;� � S� - Madison,WI 53705 Sanitan�Permit Number(to be tilled in by C � , •, S .''_ P.O. Box 7302 ;f: '— ;��`' (D 3�l �.�- � � „�„_.:,, Madisoi�. W[�3707 � Sanitary Permit Application State"Iransaction Number � [n accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit � is required prior to obtaining a sanitary pennit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing a� the Department ofSafety and Professional Services.Personal information you provide may be used for secondary �� p� p� purposes in accordance with the Privacy Law,s. I S_04(I)(m),Stats f\ f\ I.Application Information-Piease Print All Information Yroperty O��ner�s Name Parcel# WILLIAM & JESSICA KRATZ 028-742-17-3302 Propert} O��ner's Mailin2 Address Propert� Location PO BOX 184 c,o�t �.ot City,State Zip Code Phone Number CABLE, WI 54821 '�. '�4 se��on " _ II.Type of Building(check all that apply) I.ot# ��42 N R �� E or W �I or 2 Familv Dwellina-Numher ofl3edrooms� � Subdivision Name Block# '�— ❑Public/Commercial-Describe Use --- ❑City of �State Owned-Describe Use CSM Number �Village of ��,��„�,� SPIDERLAKE �s s3 ��b7 III."1'ype of POWTS Permit: (Check either"Ne�r�"or"ReplacemenY'and other applicable on line A. Check one box on Iinc B.Completc linc C if a licable.) �� New S stem Re I��unent S stem ther Moditication to I:�istin S �stem ex lain Additional Pretreatment Unit ex lain �✓ Y � P�., Y ❑0 g Y' ( P ) ❑ ( P ) �' �t lolding Tank �In-Ground �AAt-Grade �Mound �Individual Site Design Other Type(explain) (conventional) ��• ❑Rene��al Before �Revision �Change of Plumher �I�ranster to Ne�c O��ner��"�st Previous Pennit Number and Date[ssued Gkpiration � 1V.Dispersal/Treatment Area and Tank[nformation: Desien Plo�c(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(st) Dispersal Area Proposcd(st) System Elevation 450 0.7 643 652 92.00 Capacity in Total #of Manufacturer I�ank Information Gallons Gallons Units � � o � u � � � New Tanks Existing Tanks '` o � ` Y � ;� � a U cn � cn u. C7 a. SepticorHoldingTank 1000 1000 1 WIESERCONCRETE ✓ � Dusim_Ch�inber � � � V.Kesponsibility Statement- l,the undersigned,assume responsibility for installation of the POWTS shown on thc attached plans. Plumber�s Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number Travis Butterfield 652879 715-634-8176 Plumbers Address(Street.Cih�.State_Zip Code 14346W St. Rd. 77, Hayward, WI 54843 VI.Co ty/Department Use Only Per it Fee Date Issued Issuing Agent Signaturc �n d ❑Disapproved $�` „^ Q I4 r�� , ❑Owner Given Reason tor Denial �c�� Conditions of Approval/Reasons for Disapproval _� ,_ �_�--;��.., �4� � ��, � �`��' .�.�`� �`� ��a .�..._.. _ ._ _ --_ - , ��' `�i s� � . � �'o►� 4} I �93 `f �,�. r� � . Chk. __-- � : •_� ..F�_S � � C�9�2 . CST�-�` I � I � _ __ -- __ �rr��fVe.�n/_wo r i��`.33�_ �� , - �;'�`-� � t Attaeh to complete plans Tor th system and submit to the County onlp on paper no[Iess than S I/2 s I I inc i ° —,—'='i—�----�' � _� �� s��-63ys�R.oaia2� NO REFUNDS AFTEI9 s�� Q $ �(�22 ISSUE OF P�RMMtT �b�� SAWYER COUNTY ZONtNG ADMINISTRATf01d: PAGE 1 OF 4 In-Ground Gravity Pian Index & Cover Sheet Component Manual Design References: In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross-Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Kratz Owner Name(s): WILLIAM & JESSICA KRATZ Phone: - - Owner Address: PO BOX 184, CABLE, WI Zip: 54821 Project �4ddress: 13334N TELEMARK RD , HAYWARD, WI 54843 Govt. Lot: 1/4 of 1/4, Section � 7 , T 42 N-R O7 E ❑or W ✓❑ ToWnsn�p: Spider Lake cour,ty: Sawyer Project Parce� �D #: 028-742-17-3302 Designer Information Designer Name: TI"aVIS BUtt2C'f12IC1 Phone: 715 _634 _8176 �esigner Address: 14346W St. Rd. 77, Hayward, WI zip: 54843 E-ma;i: office@butterFielddrilling.com ��,�, ,,,��r��,t-«� r�, ,�, �� l� .�-�r,.,,. �icense Number: 652879 Remarks: Signature: Date: � 3i ZZ Original ignature required on each submitted copy. �a�� 2 � �+ WrL/�0.M �✓PSS,C0. �\r(w�L I �o, �3o k >&Y Cu6Ce �uL sY�a� 4--z , Q �a�z�-��a-r�-3�a srie � 5��,�s� Se< <7 Tvan� R o7 w F�« �o� I � //y-.� /�� TQ H�c � [ vw �l�CSf� (-(Jn C' � \ 3� Q l.:� y C��..+,�ie/S r ob5 ,��5 �eS'� 7/��J ( D �� p� Sys�er Ec, 9z.o �� ,� gw� �( a re�u;� , � L 4°! o ' ; � e M m / � � � �� ra��'s 13�'�-��cr�� MPRs �6sa�� Septic Tank(s) Manufacturer: IN-GROUND GRAVITY DISPERSAL AREA WIESER CONCRETE Uniform Elevation Trenches with Quick4 Standard-W Chambers SepticTank(s) Volume(s)� 3-ft Trench (down-sizing credit) � 000 gal gal gal gal Effluent Filter Manufacturer: BEST � Eftiue�t F�ite� Modei �: GF10-8 min. 12" (typical) SOIL COVER ,Z�� min. trench depth • «P��a�� • � TYPICAL TRENCH - -- � � -' �� °��a� � <. CROSS SECTION VIEW 34" � ' ^' �+ r �I�/PIC3�� ''a. ? • . (IV� JCiC�IP.) w � • ' a • •° Provide minimum 3 ft System Elevation — 92.00 ft separation between trenches. (typical) Quick4 Standard-W w� End caP Observation Pipe TYPICAL TRENCH (typical) (Show location of inlet / outlet pipe connection on plan view.) (rypical) Install per manufacturer's PLAN VIEW instructions. (No Scale) � - - - �� - - - - - - - �� - - - - - - - — . - � �x : - � �A = 3.0ft z ' J � I (� i i � , fti, �K�� i I�� - � �tYPical) � �- — — — — — — — — . � - - - �� - - - - - - - �� - - - - - - - - = ' � �— B = 64 ft — � G� m (rypical) Quick4 Standard-W Chamber W INSTALL PER TRENCH: (typical) O (mfd by Infiltrator Systems, Inc.) -n Install pursuant to manufacturer's instruc:ions. � � Quick4 Std-W @ 20 f� EISA/chamber = �20 ft2 �' + � Pairs of end caps @ 6 ftz EISA/pair = 6 ftz = Proposed EISA per trench = 226 ftz Required Infiltration Area = � b�jft2 Distribution Method: �jS� . x 2 trenches = Proposed Total EISA = � ft2 branched manifold PAGE40F4 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384,Wisc.Admin.Code. Pursuant to SPS 383.52(2),Wisc.Admin.Code,this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore,all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52(3),Wisc.Admin.Code. Maximum Dispersal Area Operatinq Limits: Design Flow= 450 gpd; BODS<_220 mgL-'; TSS<_150 mgL-'; FOG<_30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS type of use age of system nuisance factors(i.e.odors,user complaints,etc.) c mechanical malfunction(i.e.,pumps,valves,switches,floats,etc.) material fatigue(i.e.,leaks,breaks,corrosion,etc.) solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s)(i.e.,distribution/drop boxes) neglect or improper use(i.e.,exceeding design capacities,prohibited activities,etc.) o extent of ponding in distribution cell priorto dasing o dosing Irregularities-if applicable(i.e.,pump re-cyding,float switch settings,etc.) o electrical components-if applicable(i.e.,wiring,connections,switches,controls,timers,alarms,etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure-compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary) o Septic and dose tank(s)shall be pumped by a certified septage servicing operator licensed under s.281.48 Wis. Stats.when the volume of solids in the tank(s)exceeds one-third(1/3)the liquid volume of the tank(s)or as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisa Admin.Code. o Effluent filter(s)shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc.Admin.Code. Report any component failure or malfunction to: Name of individual or company: gUtt21"FI2ICI, �nC Phone: 715-634-H�76 Local govemment uniT SBWy@f COUllty ZOf1111g Pho�e: 715-634-8288 �ocal government unit address: 1 OC�O Malll St. SUIt2 4J, Hayward, V Z,P: 54843 Any defective part of this system shall be repaired,replaced,or removed pursuant to SPS 383.51(1),Wisc.Admin. Code.Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc.Admin.Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384,Wisc.Admin.Code. Continqencv Plan In the event that any failed treatment component of this POWTS cannot be repaired,it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. Svstem Abandonment If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisc.Admin.Code. /��';`"�T'��^,>� PRIVATE ONSITE WASTE TREATMENT county -- ;. ��`�� ; SYSTEMS SaWyer ',:��,�SPs /W! POWTS `�F_>;s�_,�;}?r � ) INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION o2.a .- �3� Personai infonnation you provide may be used for secondary purposes[Privacy Law,s. L5.04(1)(m)] Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#: �/V��114 W1 J�(� Y...-l�l�t2 l��1,(�._ ._ Insp BM Elev: BM Description: Parcei Tax No: �60,� ` /11 q�, i�, 2 Y « �, ��. a�-�Y�-�? - 33a� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �,vi'a�s,� �,p Benchmark �0�7�� Dosing Aeration Bldg. Sewer qc f,8� Holtling St/Ht Inlet q Y, r � TANK SETBACK INFORMATION St/Ht Outlet c�3•p ' TANK TO P/L WEL� BLDG VENTTO ROAD Dt Inlet AIRINTAKE Septic � � $O� �(o -�l(o ' NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. 5`3 a'�� Holding Dist. Pipe PUMP I�IPHON INFORMATION Infiltrative , Surface ��-�S 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 L ' �a #of Cells Type of System Distribution Media Manufacturer' SETBACK OHWM of Nav � Conv ❑ Aggregate �� INFORMATION P/L Bldg Well Waters � IGP ¢� Chamber Model Number: ❑ AG ❑ EZFIow CELL TO ,��rz,� +�c�` N ❑ Mound o Other �Y,� -- - _ - - — _ __ -- — - - _ ___. DISTRIBUTION SYSTEM X Pressure Systems Only .- -- _ - --- -- - Header I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes� Length Dia Length Dia Spac Spacing ❑ Yes ❑ No SOIL COVER -— - - - -- __ _-- -__ ----- ---__ _ Depth Over Depth Over I Depth of Seeded!Sodded � Mulched � Cell Center � Cell Edges I Topsoii_ ___ ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies,persons present,etc.) �S�►ll,�1 `�(��(23 Plan revision required?❑Yes ❑ No � oa o� �.y �_ _ ` __ ___� 6�� Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3(01) AODITIONAL COMMENTS ANO SKETCH SANITAAY PEAMIT NUMBEA: �� -�3�' , . . _ , ._ . , , �Y� U �y) � '- -- -- �) .`�� C , . . l 1 '��n. _ , � _ , _ . _ _._ ' � _ _ i , _ . . __ _ __� . . _ _ '_�D� >_ , _ _ ! g` w i-tS�- � �a ,��t i�j,p, ��c, C � � �4�c • ��. �� 6 a�,` , �- �� ,`�� 333YN ,c n-TT-- � �. _ r, `�u�e'" --- ��