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Home My WebLink About020-639-06-2101-SAN-2022-257 �;_�k``�� Industry Services Division Co�tY (� _' D - 4822 Madison Yards Way S4u/y�/ -- - ---- � �� Madison,WI 5370$ Sanitary Pcanit Number(to be filled m by Ca I � ` s P.O. Box7162 � �� (f� -- Madison,WI 53707--7162 �� "��, .: _.- � �� State"I'ransaction Numbcr � Sanitary Permit Application � In accordance�vith SPS 3R3.21(2),Wis.Adm.Code,subinission ofthis Corm to the appropriate govemmental unit �0�� is reyuired prior to obtuining a lanitary permiL Note_Application forms(i�r state-owned POWTS are submitted to Project Address(iC dif3crent thun iriaflSng address) � [he Dcpartmcnt of Safcty and Profcssional Serviccs.Personal infomiation you provide may be uscd for sccondazy � purposes in nccnrd:�ncc wfth thc Pri��acy Law,s. 15.04(1)(m),Stats. � L Application Information—Plcase Print Ali(nformation _ �'- ___ -- --- _— _ Propc�Ty Owner'�Namc Parccl# Su�ec,ver rrufr-_�i s�,v Tl,amaJ Si..e�.✓r y O o o� /01 I'roperty Owner�.Mailmc��ddre5s Proper[y Location 7I90.v fW tl.t�t'L_1�✓_ �� ..,�� -- City,State Zip Code Phone Number �r�� '/<,NI✓ '/<, Section �____ Cv�� /' u/1 � y.1/ IL Type o Building(check all that appiy)� � �� i.ut N T 3� N R � E or� __ �I or 2 Pan�ilv U�+�clling Nunibcr ofRedroums _ — Subdivision Name� Block k �'uhlic/Commercial-Descril�c L'se�^�[f f'v/'Ar� _ _ '� - � �City of �State O��nc�i I>e�crihc 1'sc ___ CSM Number illage of `_ �T��ti�oe_ o�,bwg _ lli.'l'ype of P()�V'I'S Permit:(Check either�"New"or`"Replacement"and nther�applicable on�line A:'�Check one bos�on line�I3.Complete line C if a licablc.) ___ — --- A �Nc�a Sv�tcm �2eplacement System �Other Modifica��on to Lxish�g System(explain) �Additional Protrcatment tlnit(c.rplain) _ _ ---- -- ------ �' �}lolding�fank �In-Ground �At-Grade �Mound Individual Site Design �Other�I ype(explain) (conventional) �rCt��SL°__ .istPrevious Pennit Number and Datc Issued ��. �Renewal lief�xr �Recision �C'hange c�f Plumher �Transferto New Owner �:��<<,��,,,� �3 -��-$ l01.3��1 fV.Dispersal/I'rcatment Area and Tank Ioformation; _ _ Design Fluw fepd� �f>ctiien tiuil��pplicalion Rate(gpd/sf1 Uispersal Area Reyuired(sf) Dispersal Arca Proposed(s� System Fleva[ion -/��—_ _ I _-- � ` � _ -t--— - - - -- - -i-- Capxity in I'otal '�of Manufacturcr � Gallons C;allons Units � U t' � Tank fnfnmiation � � � � �, � Neu Tanks Existing Tanks y � a; � L _p � ro brcalat��/ � � � � � w c� n. --� _ —___ �-- �<,�ri��,��7,��,� /Duo- �aoo — 3a'0O 2 .�ka r✓ 0 - �--- -- . � Dasin�;Chambcr � � V.Responsibility Statement- l,the undersigned,assim�e responsibility�for installafion of the PQWTS�show n on�the attached plans. --- _ Plumber's Naine(Print) Nlumber's Signaturc M MPRS Number Business Phone Number _�Rvice Usr�w,o�s_ --___- --- - ,? oy' i - �-.71�,? Plumher's��il�lrc.i i S[rcci.('it��.Statc.%ip Codc) /y� .v r wV yo �X ,u . �✓S y VI.C untv/Department Usc Only � �� , � � � — +� _ ---- � �� r� �I°�� ' f>i.:�p�,rrn cd Pcrmit Pcc I�atc Issucd Issuing Agcnt Signa ��I ��jpn,00 q� � �� " . I;(h.�ncr<iivcn Rcason for Denial Conditions nf A�JirovaUReasons for Disapproval ��, � ,��,� ,�.� i_ I : J`\ r' -', �1�f i \ � � �, =1��.....��I� �� . . . '1 __ `._ �'�i�G' � ='� I o so � �� SEP 15 202� ;. �� L k�_ �h .r��.._ o r � 3�i 5"1 .�-��V�f� ��.�, ,- -- C�— ��—d�� Rc�t�..�.v� � I d M� zo�v�r��ur�.q�;�,:��;;;-r,v;,�t :�ttach to comptete plans for the system and submif to Ihe Counh•only on paper rrot Iess than 8 l2 x l l inches ie-size a0�`9� NO REFiJNDS AFTER ��D-639�� °;;`�� ISSUE OF PE�'tMt7 Sawyer County Zoning & Conservation Administration �� 10610 Main Street,Suite 49 � -- � 1� Hayward,Wisconsin 54843 `" 1 i � A�,��° � (715)634 8288 � �s��F\ =�j FAX(715)638 3277 i � r Ui� � � �� tie�,s , �c coii�� o��c,�, j ' � � , i E ma�l zon�7 «��i fluc,un qc,{a_�* �� Toll Free Courthouse/General Informatron 1 877-699-4110 I ' � f� ,. nw` ��1�� Holding Tank Approval Checklist I. Sanitary Cover Sheet Date Stamp O� / � �/_o�� ParcelID# �ao- � 3 �_ � � _ � � � � IL Plot Plan �Property Lines Benchmark BM ♦ Site Address North Arrow �Structure Scale �Well <25' to Service Road Legal Description �Nearest Road Intersection �Setbacks to: Properiy Line, Well, Structure, Water bodies, Roads III. Required Plans � Index Page with Original Signature Management Plan/Contingency Plan Servicing Contract l�Holding Tank Agreement form IV. Holding Tank Specifications �yC1�W I�a o o Ca�F• � Cross-section—Manufacture, Gallons: a�o N;� �° Tank Anchor Calculations [SPS 383.43 8) g)] ` �Locking device, chains/locks �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� C2-� - 27) �. \ Owner: ��-2�1 e. Plumber: � � � Application Review Date: 9 �(-6� �- � POWTS Reviewer: �. � Namc 6q�1 � ��ns�� Revised 4/11/2013 � ONISION OF INDUSTRV SERVICES — � tO5a1 N RANCH RD HAVWARDWI Sa84}6A62 ; �\�p ; ConlxY T�roug�RNay 'p S m�o:iasv:�y�iaay,a��a�,sur x�es ` �� '�"� Twry Er�n-6ov�mor Wwn Crim-S�cnl�ry August 16,2022 co�emo�eny APPROVED DEPT.OF SAFETV AND PROFESSIONAL CONDITIONAL APPROVAL SERVICES DIVISION OF INOUSTRY SERVICFS PLAN APPROVAL EXPIRES:2024-8-16 �,�—�y Plan Review:PWTS-082201912-C _- _ _ _-_-- SEECORRESPONDENf,E Bruce Vitcenda 1450 N State Road 40 Exeland,WI SITE: Sweeney Trust 7149N Sweeney Ln Town of Ojibwa Sawyer County NE'/,-NW Y<-56—T39N—R6W FOR: Description:Bar/Resturant-173gpd-one Hold Tank Component Manual Design 2000 gallon tank,pius 1000 gallon grease References:Version 2.1(May 2022-2027) trap to be used. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes.The submittal has been CONDITIONALLY APPROVED.This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above.The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec.145.19,Wis.Stats. • Inspedion of the private sewage system installation is required.Arrangements for inspec[ion shall be made with the designated county official in accordance with the provisions of Sec. ias.io(2)�d),w�s.scaes. • A copv of the approved plans,specifications and this letter shall be on-site durins construction and open to inspection bv authorized representatives of the Deoartment,which mav include local inspectors. Owner Responsibilities • The current owner,and each subsequent owner,shall receive a copy of this letter.Owners shall also receive a copy of the appropriate operation and maintenance manual(s)and be responsi6le for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved manageme�t plan under s. SPS 383.54�1). • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component�s)utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2�, nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, J'o;�uu��2o�ul�y Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)813-9111 Joshua.rowlev@wi sconsi n.�ov CONCRETE HOLDING TANK DESIGN Two Concrete Tank Option INDEX AND TITLE SHEET Project Sweeney Trust � aflanaary--. owner Sweeney Trust APPROVED . .T-6F'SAFETS'AAQ'PMTQFES3�QIJA L Address 7149N Sweene LN SERVICES Y n -¢inr� �i - Couderay WI. 54828 L ,��„/� . SEE CORRESPONDENCE Legai Description Frac-NE-NWS.6-T.39N-R.6W Township Ojibwa County Sawyer Subdivision Name Lot No. Parcet!D Number 20639062101 Pian Transac6on Number Index and tiUe sheet Page 1 Holding tank specifications Page 2 Site pian Page 3 Management&Continency Plan Page 4 Waste Water Letter p�ye� Sizing, Info note's Page 6 Designer Bruce Vitcenda Signature �� Phone No. 715-943-2382 License Number M.P.22p498 Oate 08/05/22 Designed pursuant lo: Holding Tank Component Manuaf For POWTS(Version P:B) SBD-'10855-P(N.03/07) ;•� Version�.o(o3�t2) Page 1 of 6 HOLDING TANK SPECIFICATIONS Two Concreee Tanks In Series If one-or iwo-family, number of bedrooms 173 And/Or._..Non-residential estimated flow per day 2000.0 Minimum holding tank volume required 3000.0 Total hoiding tank capacity proposed (gal) 1000.0 Tank 1 capacity(gal) X for round tanks Gnvt SNtenrPt�r 2000.0 Tank 2 capacity(gal) Skaw Tank manufacturer ' SJE Alarm manufacturer 01-H Alarm model number 1.1 Mchor weight safety factor Tank in Exterior Dimensions (in) Ibs Ibs in ft Information Liq Level Length Width Height Tank Wt Anchor Wt Sal Cover Max Bury Tank 1 38.5 125.5 64 56 8300 9567 20.6 8 Tank 2 49 154 77 56 16900 10277 15.0 8 HOLDING TANK CROSS SECTION Ve� ManYwle rnver with locking 72"mfn. �P � 4.m�� device and warning Wbel Finishetl grade �y �y ��o�box 1 .� � �Vent pipe �� 18I'min. Blind plug to seal �Y oulletopening �. ___ Note: Manhole �/ �2 0 � and vent locations miet re�ner may be reversed. Service alam�on �ht Manhole diameter 3�.o is 23"min. 2000.0 gal 1000.0 gal Tank 2 Tank 1 3 in. min. bedding undertanks. Anchor hanks as necessary to rtegate buoyant forces. Elecfical as per NEC 300 and SPS 316. Note: All tank jants, and joints between tan� opernngs and piping are sealed watertight Projecr Sweeney Trust Transaction Number: Page 2 of 7 � , ow.��r -. Swee„icY�rusr �R�<< °srkwda . ilYe„SrrrcNrycA, lylY,ullHvY4o co�auAy,vrsys.r` EX�i��I. w� JYjjf 7�,r-�Yl-A)�1_ cA 1,(oYtt �a� wi�l he ' 119a"' /tAroX�✓ ry�..;,iy�fo�BaTdisom,l�� P/vTa;of robe�'�cbY 1 B�ucc viicc.✓ J�Fa.cjo�if�roour/ Z�1taI Ha� '��'A��P1��I,w� 1Sd�Aowe � kifc4crr:awfrotoTo Ha�,;✓�T�✓R•f.reaJsiareiay�y �✓ l ` � � • I �_ ftalt I":40� I w � I n ��J �""a—=�. I JRa✓ lAe0�7fD G o r R;Is�t✓ /e/�' [.eN ,2e4•rf i .r. Te. V fttbdr/w..,t 1 �0 _ _ JF�yVtfOti/yf/an�M! � '_ _ _ _ — � __ � Kfuy�P��it�lfi/iLli✓ � IJ�I 4� � flt� ti � � � �'�1��=r9n( � �^ ,•` ' SR4✓(OOJt4I. o •� O^�e SknW Aoaofal.Hd4'r `° I � '' � � a�te`fv/c4.' � STewh � � ,`` ; . Z�I[��j W'lesK eA.e1l.TWA A � ` ��`. I 411•wrqsFrr/'p�AlJf� ^�°e e � , (�at1 �u � y`Grcuc T.+n� `� �� I ` . YM{Ute/i�( � I � c F� I - � � F� " I °� i � �W , � � . � — —._ ._ J I W011 � — '— � " ' <bh F�4CA�Ej •,VWj f.y y y T. 7Mr ,,.� R. 6 N `�.` r°vo osty u. 'r� P4�ui oaof)letzio� . y ; �q�o�.o'{y"oa�Yre<W o /�lAAi1{o,� � � 91.f1.�r 0�,1(.0� 4i.qY.l�. wan Ja'r f�,,w 1t.e4c 7)odt' �• HOLDING TANK NIANAGEd1E1dT PLAN This Private Onsite Wastewater Treatrnent System(POWTS)has been designed,and is to be insfalled and maintained according to SPS 383, Wis. Admin. Code,the Holding Tank Component Manual(SBD-1D855-P 03/07), and the Sawyer Counly Sanitary Ordinance. 1. This POWTS is designed to accommodate a wastewater flow of 34.6 to 600.0 gpd. 2. The owner of this POWfS is responsi6le for system operation and maintenance, including all provisions in the attached Hdding Tank Senricing 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 wiil activate),the pumper listed in the current Servicing Contract must be called to emply 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 shali comply with the county sanitary ordinance and SPS 383 and 384 Wis. Adm. Code. 5. All service events or inspeotions 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.261, Wis. Statutes. Tfie discharge of wastes from this holding tank to the ground surface, including intentional discharges and discharges caused hy negtect,constitutes a failing POWTS and may result in issuance of correc6on 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 atrnosphere within these tanks may co�tain lethal ga'ses,and rescue of a person irom the interior of the tank may 6e difficult or impossibie. 8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank may be installed in the same bcation (a new sanitary pertnit is required fir 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 2placed, 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 quesUon about this installation,the foflowing persons shou(d be contacted: a. Installer........................... A-1 Piumbing Phone: 715-943-2382 b. Service Provider................ Northwest Sanitary Phone: 715-943-2650 c. County Zoning or Health Dept Sawyer County Zoning Phone: 715-6348288 11. Project Transaction Number. Page 4 of 7 City of Ladysmith Telcphone 715-533-2600 120 Miner Ave.West.P.O.Box A31,Ladvsmi�h,�til 54848 Fax 715-i32-362U E-mail cityofladysmithnQgmail.mm Website w�v�v.ciqrofladysmith�ci.com �7ayar 532-2800 Cortptrdler 572-p651 CilylCouMyLibrxy 532-2fiW AOminhtrator 532-2653 Di�cUwolPublicV1bt16 SJ2-2609 Po6ceDepazYn�nl 53p-y186 GeM 53T-0S6{ Bidg.InSp¢ctor 592.2W3 MunipPal Cow1 CIMt 532-2873 Treasurer 532-2655 Ass�DrteUM Pubpc WorW 532-YBSd August 5,2022 Shady Nook Resort 7140N Sweeney Lane Couderey,WI 54848 - DearShady Nook Resort: This letter will confirm that the Crty of Ladysmith will accept holding tank waste generated from "Shady Nook Resort" located at 7140N Sweeney Lane, Couderey,WI. My waste generated in the process of food preparation must pass through a grease interceptor prior to the holdingtank. This approval may be reviewed at any time with a request from either parry. If you have any questions regarding this approval, please call me at 715-532-2603. Sincerely, 1 Kurtis L Gorsegner Director of Public Works City of Ladysmith QTX OF PRIDE,PSOGRESS pND PROM7SE "T6is msutution is an eqnal apportnnity provider and employer" . i �, � -- i�-G�eq'l�tcGceP�—�1�/�jlsdk — -- -- - _ I; SWce�.�. TrosT -' .f/iau/y.das/r �7 -- ----- ---- - i �YLJ✓!fS_.�Sf�-Ir1=471�fI1�/l,�9P1L6CiNicC—Qt/'J.v �,•�/�.ta.1_r.✓-r,%..tr�o _._ t�d�eaJ_e�d.�rr�e�o_f_oLf'�L.fJi«Jio1��f�4.v.f k/�,ttwa e� ��s---- , �� Need_(�rtal�fel +o� fo / »r -crl- �c96�t_� t Re_ /1'�/d.;v_�Q.v-,� wv1�c%L 49.v_'fJ��_ 1��a.vd fy_�€¢�.�c�.ve w pNQ P��sJ_ -- --- — i — -- - ---- - -- ; �--- --. — - --_ _- -*-- — -- --- i — ----t+---- -- - -- --- ---- -- - - !' �o haGSroe/fs w/�ra[s=_91l_�,C�r__,rU�vi�--- - — -- —��4 --- - /�o - -- --- -- - - -- - -- � -- t /3 -L�riy/tty_e_� - -- ---- --- ;. -- --,.�73 �-p�- -- , --- — - — __ _ ; i �.— -- - - -- ----- - _-- -- _ . ------- -- -_ ._ G�e��i,vter�p��%zc -- -- ------- - --�—�=5 X H XA_- --- _ ._.._ - - -.. _.._ __ _ �i0 S�ue/�%_- S ------------ --- __ - - �_ _. X . 6 ffov.J :. ti _ - --- - - . _ __ _ . 1,�0 - —h'- -- -- �.. 1C ��: . �,f /J�P/iqdCti�4Lta! '1� -- .. _ � . . —'—.. ._.._--_ . --- � i' 90 =(' --- - - ------ - INLET 67.00 77.00 77,00 %,'' ``\\� WARNINGOEATHMAYOCCURIFTANKISEN7ERED � Q � WITHOUiPROPEREQUIPMENT 154.00 � p I � � � � ��` � NOTE:SEE INNER WALL PHOTO ON THE"EXCWSIVELY AT SKA W S"PAGE. 748.00 i � ( 144.00 TOP VIEW OF MANHOLE COVER Nore wHeN rNe our�er is awcceo rHe uouio OEPTH IS INCREASED TO 49 INCHES. 40�T � I 4"PVC SCHEOULE 40 COUPLING(VENTJ 5.00 � � \ i � -� TOP VIEW OF TANK (TAPERED) �16,00--I 7.00-� �N�� G�z oo n 0 ; s�wz� ; � 69.5� ' 4 INCH PRESS I i SEAL GASKEi I I � � 1 i INSTALLED i I WHEN POURED I I � � I I 49.00 � � I I i i I I I I 1 I I I I I I 1 1 I I I 1 I I I 1 I I I L_________________________J 3.0o SECTION VIEW OF TANK AND COVER 3.0o OUTLET END VIEW OF TANK Mode�N�mbe� 2000 HOLD/NG SKAW PRE-CAST Phone: (715) 967-2277 App�oved for:HOLDING 26255 105th Street, New Auburn Toll Free: 1-800-924-8625 Weight n e im. Outlet Dim. �Q eP Gal. /In. ax. ap. Wisconsin 54757 Fax: (715) 967-2707 16,100Ibs. 52,� N/q 49„ 44.19 2�65ga1. �.skawprecast.com BAFFLE 54.00 58.00 64.00 ��/'' ``\�� WARNINGDEATHMAYOCCURIFTANKISENTEREO � � � WITHOUiPFOPEREOUIPMENT I p I 1 1 �� j 124.50 ` i � � 718.50 TOP VIEW OF MANHOLE COVER �I S I FILTER �.0� � 23.00� 12.00 �23.00 4.00 � �27.00 �27.00—I 24.00 24 00 e oo �� TOP VIEW OF TANK (TAPERED) � f—�s.00—I too7 —� z,00 �INLET 1L00 � i srcnwi000 � / \ �UTLET� i O � i �/ '____"'___'__"_'___' _ _ �\�y 56.0 � 4 INCH PRESS � 2.00 18.00 V q�NCH j � SEALGASKET I PRESS i i INSTALLED — S�� WHEN POURED \ GASKET �i I BAFFLE � � 36.50 FILTER � � I I I I I I 1 1 1 I I � 1 I I � L _J 3.50� SECTION VIEW OF TANK AND COVER �3.0o OUTLET END VIEW OF TANK Model Number. IOOO SKAW PRE-CAST Phone: (715) 967-2277 Approved for. SEPTIC, SIPHON, HOLDING, OR PUMP Toll Free: 1-800-924-8625 Weight Inlet Dim. Outlet Dim. Liq. Depth Gal. /In. Max. Cap. 26255 105th Street, New Auburn Wisconsin 54757 Fax: (715) 967-2707 8300Ibs. 42" 40" 36.50" 28.32 1034 gal. www.skawprecast.com Ho��i�c ra,nx sF:kv�ci�c cov�rit.acr (�onV�ctDa�c: ob' /�/ �o�� "1'his contract is made between the Holdin� Tank Owner and ihe Pumper. Holdine Tank O��ncr's Name: Pwn�icr'v Nainc: Northwest Sanitary, Inc. PO BOX 155 T fw � Radisson,WI 54867 Parcel Identitication Number: tiz �� .,�y �� 6 � o - � 3 �- o �-��d L I. Thc ow ncr acrccs to rlc a wpy of this contract with thc govcrnmental unit, Saµycr Counry, which has acccptcd and recordcd with thc Officc of thc Regi,ter uf Decds, the Mainlenance Agrecmcnt tur a Holding�I'ank rcquircd undcr thc Sawycr Cuunry Privuw Su�augc Sy�icm Ordinxixc for thc issuancc of a Sanitary Pcrmit for the installation of a holding tank(s). 2. Thc ou�ncr agrecs to have thc hulding tank(s) scrviced by the pumper and guarantecs to pennit the pumper to have access and to enter upon the property for the purpose of servicing thc holding tank(v). Thc o�vncr agrccs to maintain thc all-wcathcr acccss road or drive so thal thc pumper can scr��icc thc holding tank(s) with thc pumping cquipmcnt. Thc owner furthcr a�rccs to pay thc pumper for a chargcs incurrcd in scrvicing thc holding tank(s)as mutually agrccd upon by thc uwncr and pumper. 3. I hc pumper aL�ccs�o submi� to thc Govcrnmcntal Unit, Sawycr County, a rcport 1br Ihc semicing of the holding tank(s)as required u�ider SPS 383.55, Wisconsin Administrati��e Code and thc S:iwycr County Privatc Scwagc Systcm Ordinunca Thc pumper furthcr ab�rccs to includc the following in thc rcporC u. Thc n.�mc und address of the person respunsible f'or servicing the holdine tank; b. �Thc namc of thc owncr ol thc holding tank: c. Thc sitc address of thc holding tank; d. Thc datc thc holding tank was scrviced; c. Thc ��olinncs in g:dlons of thc contcnl�pumpcd from thc holding tank for cach scrvicing: t: Thc dispus.il si�es to��hich ihc contcnts from thc holding tank wcre dclivered. 4. This agreeinent �ti�ill remaiii in eftcct tmtil the o��ner ot pvm�er temeinatea thi9 cnntract. !n the event of a change in this convact,the owner�grees to file a copy of any changes to this serv�ice contract or a copy of'a neU�service contract with Sawyer County within ten(I Oj business days from the date ofchange m this service comract. Owner's Name: (PriN) Owner's Signa[ure: �uoy��e�..�e�.��„mrereq��rra� T o .r. sv«,� �'��Q/� Pumper's Name: lPrint) Pumper's Signalure: Ronald L Vieceli, owner Northwest Sanitary,lnc Pumper'� Rcgisu�atiun Numhcr: #2389 Rc�-03 ]6 I? - USE BLACK WK�NLY- POINTS MAINTENANCE �GREEMENT For Holding Tanks s-�' � c �Owner's Name(s)as shown on deed: D�.. T O J- SI✓B S �j�� Parcel Identification Number: (12 Digit Legacy ID) 0 �Q-��-��-�� o � Legal Description of Property ��l J � ` v �� - 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. � ��/� �S"��'^'�-�- b,..s\ v��bc�� jore.�� 7 Return?o:Sawyer County Zaning anrl Conservation Administration 10610 Main St.Suite 49,Hayward,WI 54843 � lf �k1C�G2 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 1 13,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 govemmental 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 rnay assess khe owner of a private sewage system for costs related to the pumping of a septic or holding fank.The charges will be assessed as prescribed by Section 66.0703, stats. The owner agrees to pay all charges and cost incurred by the govemmental 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 regul,ation-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. 1n adcii�._,n, th�s agreement i��ay be cancelied by ezecuting and recordii�g said certifir_a;ion with re�erence io this agreement in such manner which will permit the existence of the certification to be determined by reference to the properiy. 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 Fhe holding tank is installed. -Only one owner si nature re uired- AC'KI�>(S�N�(L�:b.GM E'N�T Owner's.Signature: � State of: w ��C,p►�1,?j i � �_� , �� . � ''t County of: Owner's Name (Print): � z �' �u � W Subscribed and swot to b.efore me on this T o _. fwu.v o �-* '�` a��d day of C!!l9 U.��"' , 20 � Date: � �/�3/�a� � � � B.y(Owner's Name): � � �r', � � �-• ''d Notary Public Signatuce: � Drafted by: � a- � Public Notary Name (PrinE): _ �'U•__ ��uC ) r,��, c�� My commission expires on: 8" d � Personal information you provide may be used for second acy Law,§15.04(I)(m)] Rev.03/26lit3 9/16122,9:47 AM Real Property Listing Page R2dl EStat2 Sawyer County Property Listing Property5tatus: Current Today's Date:9/16/2022 Created On:2/6/2007 7:55:35 AM �Description Updated:5/22/2020 ''a Ownership Updated:5/22/2020 Tax ID: 20992 SWEENEY TRUST COUDERAY WI PIN: 57-020-2-39-06-06-2 01-000-0O�O1D Legacy PIN: 020639062101 Billing Address: Mailing Address: MapID: .5.1 SWEENEYTRUST SWEENEYTRUS7 Municipality: (020)TOWN OF OJIBWA ATTN THOMAS J SWEENEY SR ATTN THOMAS J SWEENEY SR STR: 506 T39N R06W 7140N SWEENEY LN 7140N SWEENEY LN COUDERAY WI54828 COUDERAY WI54828 Description: FRAC NENW Recorded Acres: 38.400 m Calculated Acres: 37.606 r Site Address *indicates Private Rwd Lottery Claims: 0 First Dollar: Yes Zoning: (RR2)Residential/Recreational Two i�property Assessment Updated:6/20/2016 ESN: 2022 Assessment Detail Code Acres Land Imp. ��Tax Districts Updated:2/6/2007 GS-RESIDENTIAL 1.000 6,000 13,800 . -- 1 �� State of Wisconsin G6-PRODUCTIVE FOREST 37.400 41,100 0 57 Sawyer Counry 020 Town of Ojibwa Z-Year Comparison 2021 2022 Change 576615 WinterSchoolDistrict Land: 47,100 47,100 0.0% 001700 Technical College Improved: 13,800 13,800 0.0% 7otal: 60,900 60,900 0.0% + Recorded Documentr Updated:4/23/2020 WARRANTY DEED 340500 101/66 MISQS/295 ��Property History Date Recorded:7/28/2006 WD340500 N�q EASEMEN7 Date Recorded:5/19/2006 338928 TERMINATION OFJOINTTENANCY Date Recorded:10/3/1966 124404 WARRANTY DEED Date Recorded:10/12/1960 110376 https:OtassawyercouMygov.org//system/trames.asp?uname=Eric+Wellauer �� t P i � - . .:- � ��. .7' � � . . ,? � . 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