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008-273-00-0100-SAN-2022-238
�1�P nR I�qL:Sj "'_ .�....r.��� � - �,� [ndu�try�Services lliwisi�n County . r` � "<�� �.� id00I;W�shingtnn Ave Sawyer � i� 3� �� I'.(J.Box 7IG2 Sanitary Pcmiit Numt�er(to be filled in by("c p� �� , :� �;t M�disc�n,Wl 53707_.71fi2 � 3 C� o�o� J�' Q� � �(�!S�-\% � S�.nitazy Permit A�plica��on State Tran:,�rtion Numher � � � Ii7 accotdance with SP5 383.21(2),Wis.Adro.Caie,submissic>n oPthi�farm to the apprn��riate girvernmentat unit �' � is required priur ta obtaining a sanitnry permit.Note Applieatic�n forms fnr st3te-ow7ieci PL)�d'1'S r�re submiited to I'roject Address(ifdiffereni thun maiiing aciL :he Uepanment of SafeYy ttnd ProCessional Services.Ai rsonai infomiation you provide ms�r t�e used for secondar} .�3�DQN ���F � � u >ses in aeeotdance widi the Privac Iaw,s. 15.04 I xm,5tats � i. A lication Information-Please Print Ail InFarmation OU$-�7,3-00_-C�pp•f._p�„p�� Propeny�wnrr's 1Jame Parcei� y " Jon & Karen Schroeder 5 -008 -38-09-27516-688-000100! Propert}�Owner's Mailing Address Prc�crty i_c>ention � 29257 230 th ave � C;nvt.l.ot City.51ate Zip C'oite I'Iinne Numt�r —_�� � Hoicombe WI �54745 __.�.�..�.._,.� — ',. �f., s�t«n 2.Z..— � 715-577-8460 � lc�r����ne> I1.7'v c of Buildin _ _ ." T_._._38�ti: R... 9 .._E;or t§'_ _p g{check sll that a�n�lY) i_ot� � 1 or 2 Pamily I)w�elling--Number nt'Hedroomg4 ___.____ �_. cabi n 1&2 �tM�j� Sukxiivision Name � � �'°��� Rid e view �«��o ___ .. ❑Public%Commerciai-Describe Use ; --- _..___.._..----_....__----.. - Citv c+f _ --- -�_----�- � ❑5t�te C3�rmed-..beu:ribe Use C'Sht Ninnber ❑Viila�;e of� _..__..._______�.._�. ---....__�..�� _........._.__.._._____..._____.......... _ .— i �]T��vn of___,_,�gga�lld�EL.__.-- ----- � � ill.7'ype of Permit: (Cherk only une box on fine A. Complete line B if applicable) j A Nek�S stcm �Re lacemend Syst�n p Y P ❑77eatmentlHcyldmg Tank R�lacement Chily ❑t)[her Mnctilicution to E�cisting Sy�te3n{�xplain) 1 - - _. �._.......... _.� _..... i �� ❑Permtt Renawal ❑Permit Revision ❑Chan�c of Plumber l,ist Previou�pennit Numt}er aixi Datc[sst�etf �,' ❑Permit`I}visfer to Ne�v ° HefQre Expiration p�p�. a�V�, � 3ti'.T� Q!`1'U�'VTS S�stemlCoro onent/Device: C'hcck all Ehat a Iv � �Nan-Press�3rit.ed 1n-C3mund ❑E'ressurized Cn-Ground ❑At-Cnade ❑�vl�und y 24 in,of suitable snil ❑Moumd�24 in.uf s�sitsble s�il � ; ❑liolding"I'aak ❑Other Qispersal Compaicnt(expluin}_� _—�- - ----- ❑Prevcuitnent C)evice(explxin)_---- � , �_._ _ _.........----...._.___ . �s ersallfre�tment Area lnformation: _.. _� Cksign t�lo�v(gpii) Uesigia Snil Applicatian Rat�Ygpds!) t)ispersal Ar�a Re�uired(ti� Dispersal Areo 'roposed(sn Systeui El��ation 600 p,7 g57 0 95.60' � VI.'I'nnk Info Ca�rtcity in �'I'c7ts1 N ot' � Manuft�cii� r __._._.._._ Gailons � <;alluns l�nits � � o.n �eK Tank, Exisiin�tT's�ilsa .� o y � y � :� �, .�� � B.;.� ii� n v; f:. V C—w � _� _____________.._._.._._.._._.. .._. ..... � _ --- � Scptic or Flolding'Cr�nk �( ��QQ '� .SkaW X � Dosing Chamber "' i I '�'II.Responsibility Statement- l,the underxigned,essumc rcaponsibilit,�,for installatian nf the PONTS show•n on the attarhed pians. � - ---- —__---.�_�...__ �__.�_...._. _...._._.._..._ .__.....�_� �YlumMr's Name 1Y����r) Plumber's Si�nat re A4Pf1�IPKS Number C3usiness Phone Number �„��? 221253 �David C. Laird ' 715-239-6194 i __� .__._�� _ � ( ('lumber s Ac►dress(Street,City.S�nre;Zip Code) -� 20165 Co. Hwy. "Z" Cornell WI 54732 i t--,.-- ' '��:��al_rtn�ear L:s�only , ❑ Disa roc�ed Permit Prc Date is�ued Issuing.4�Zenl 5i�nature ___._ __._—! �A r 7�ec pp .�l,�1 � ❑O�+mer Grven Reascm for 1)enial � ��b � � �� ��� __ 1'���� ___� � fX.Conditions�t'Kp�rovailReasons for�isapproval - � �I IN� � � - � S� 2-� IC� 3 ; Atach to cnmpleta pler�v fnr the syatrm and auhmit ta the C'uunty only on px�er nut liws than A���I1 iechec ia sir.e �� '"y� � t Lt`� .��= - D � r� N� ,'���; ��'�'�i � �ate -— `� sr�u-c�3ys�R.osi�a> ��y.?a NO REFUNDS AFTER ���i,: �.ahk# - ��� 333�suE oF p��M�T SEP 0 1 20�2 ,���� �cpt#�e-�"' fivor l d - ►►%�l z��nt a��RA-r�oN Private Onsite Wastewater Treatment System Title and Index Page Project Name: Ridge view cabins --- Cabin # 1 & 2 (Schroeder owned) Owner's Name: Jon & Karen Schroeder Owner's Address: 29257 230 th ave Holcombe WI 54745 715-577-8460 Legal Description: S 27- 38N- 9W Municipality: � Town, ❑ Village, ❑ City of Egdgewater County: Sawyer Subdivision Name: Ridge view Lot Number: 1 & 2 Block Number: Parcel I.D. Number: 57-008-38-09-27516-688-000100 Page 1 Title and Index Page Page 2 Soil Data (A) & (B) Page 3 Boring Locations Page 4 Plot Plan Page 5 Septic tank profile Page 6 Infiltrator profile Page 7 Design Criteria Page 8 Contingency Plan Page 9 Name of Designer: Dave Laird Telephone Number: 715-239-6194 License Number: 221253 Date: 8-22-2022 Designed Pursuant To The Following POWTS Component Manuals And Comm 81 -85 In-Ground Soil Absorption Component Manual (Version�) SBD- 10705-P (N.O1/O1 ) . . , N/A a � I Page 1 of g � � r�` �_ � �— � � � �� � � Q � � �� � �;y � 4��� ��� r� �.� � h, I � P, 5�-, ;t; � ° � � � o � � � � �� p � � C � � �, Ri (11 v � � � I ' ��_ ---�- �'; � �: ti �s � x z� b � �. , � w "� f �, ' � �,� � i �� �� �� � � � :� k p � '. ,�ti �r,, `� f��� (� 0 1 m_� b. � Z � y� P � � 1, ca s l., �, Q i �` Cs ' - t%1 ft � � U��� � � � �, �-0 � 7 y � _ � f� � a � �, � 1l y, T - 1, �n � � ��� � � `- � 1 7n U � D \J Q l �' � i � � , �� �"� V� : � � �.� � I �. 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C�u of mow ova ihe dispasal imit may cause it to finem up. :Inepectioa shall be made by an mdividual ca�xymg me of the followmg licemses a catiee.a�od:l�uer rn�a,M�rn�xanictea saw�,powrs Mainr�a sepm�,scav;cmy opa,mr(per,�� M�m�oce 9t�edulo). Taok mspecaaos muat mchde a visual roapeaia�of tt�tank to�'anY miu�8 or b�dom hmdwm+e, idmt[$'�y aacks a leeke,mees�ue tbe vol�mme of combmad shdge and sc�sud r�c�far my beckup or pond'mg of effivant w t� p�o�a.mr6ce ma cear su el�tical aq�su�as p�ps ana alazms..Any derncro snen be qnmpcty eoaractoa.Bxpoeea a�� Sce�a thm S hrches ia�smao�shell be sximad with affoarve lod�g davicea to preva�aocidm�al or�meothoriaed aohy the muka Whm tl►o oo�n of slud9c aod sci�m mry tmk axceeds amet6icd(1/3)or moro of the taok volimme,the eaRaie cmtwta of the taok eLeIl be mmowd by a Septage Savicmg Opa[stor md dispoeal of m acoordance with Chq�6�NR113,Wieaosm A�ye Code. TLe oadbt Sha(a)shall be inepacxed and cle�ad to remove any accumulatad solids aooa�d"mg tn mmu�'s specificeaoos.Solida waeLed from the Sher shell be rdamed'm Uu tmlc.Fika clemmg may bo nece.csazy at mone fiequ�t i�vals tLan s�Ded'm tha me�qe xL�le to kap the sysocm uPeaatm8• Al�s ahould be teabed m a reg�ilar besia by tl�e home ownea.If an almm so�mds,conmct m mdividuel licrosed to sevia POWT$, Tl�e is no�lly a 1 dry raave�mde regular oPcatroB�oos,hnwever wat�should be c�saved imnl aay R'obleme with tbe sy+oem ae oaae000d to pieveot back-up of eawago roto tLe dwellmg ar aafncmg. � :Whm the POW'IS fails aod/or is permanmtly talcen oui of sesvice tlu follo�vrog sieps shall be tulcan to eme�ue thrt 16e sys0�L popely�d saE�ly abmdaoed'm compli�ce wkh Ch.SPS 38333,Wiecw�Admmirh�ve Code. - All P�PmB m t�ks�d pita shall be�ec6cd md the abeudoned Pipe op�ings xaied, - - Tue oomma of alt s�aoa pio:snau ba romoven ma�paty a;spoeea of br a S�a�C Sa�v�IDg Op¢ator. . . - A�p�prog,all tml��d pAs ahell Ix mccavetod aod removad ar tlta's covas�md tLe void apaoe Slled wuh soi7.B[avel a dha fna[so]id ms�xlal. :If tho POWTS�ils�d cannot be ropeued tLe following�mem�aaa have baen,or muat be tdcrm.to provide � 6 COdD 00�iO�f10c�syetCm: !' A au�bb replac�ent erea Lea b�een evaluatad�d may be utilized for Uu locarion of a replaoe�soil a�aa sy�m. 1Le xaplece�eat aron should be psotectad finm disdabem a�co�tioa aud ahould not be mfiro�ed upo'n bl'tequae� sefh�rlo$am mdstmg�d proposed a�whrte,lat]mes�d wells.Fail�ue to pio6ea the roplace�t atm cauder i[immabb. �P�������P�Y wifh du rules m offect at the vme of replac�me� ❑ A s�abh raQlsoemeat aroa is not availablo duo to eotback and/or soil limitations.Bmrmg advanom m POVN'1S uxLnology a holdi�t�k may be mstallod as a last rasort to replaca tLe fsled POW'CS. ❑ 1Le ame Lr mt bem evaluated to ide�ii'y a enimbk repLcemmt azea Upon failme of the POWTS a soil aod si�evah�arim moR be pafutmed ro bcabe a sunable mplscemera ama If no replacemeM ma is availrble a I:old'mg tenlc may be ms�alled as a 4rt ieaa�t ro replace the felad POQV'1'S. ❑ Mamd md ad-giade srn7 abemptio�syatoms may be ieca�ucted 'm place followrog removal of the biomffi at the infilasrive e�faos.Rewn�onn of such systema must coa�ply wrth tLe rulem in effect at that t�e. <NYABL�V�> �'PiC�pUMp AND OT�R THEATMEIV7'TANKS MAY CON17AiV LETHAL GASSES APID/OA INSUFFICj61VT O$YGIId.DO NOT ENT&A A SEPTTG PUMP OR OTHH$TBBATMENT TANK UND&R ANY CIItCUMSfANCFS. D&ATH MAY BB8I7LT.ltBBCUE OF A PERSON FAOM 1�INTERIOR OF A TANK MAY BE DIFFICUI,T OR II1� ADDITIONAi.COMt1tE1�TS POVY157lYSTAI.I,EB YOR'15 MAIIV'1'AII�fER � DHVE L!� �R a Name -n Z��c�Fc cF£� Awoe �is_ 5z� as�e Ph�e �>s- d'a9- 3/00 9&Yl'AGH SSRVICII�iG OPERATOR m er LOCAL REGUI.ATORY AUTHORII'Y Nams en S�q � COJNTY 2oN / � rmoe rhoae y — /�3`�— 8�8 Page O of $