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Home My WebLink About002-840-09-3414-SAN-2022-265 -;��r."'"��; Industry Services Division County (/1 - 4822 Madison Yazds Way SAWYER � _ ,�_' ; Madison,WI 53705 Sanitary Permit Number(to be filled in by � � = P.O.Box 7162 ` — Madison,WI 53707-7162 c� 3 °� a u � 4J Sanitary Permit Application scate Transaction tvumber � � 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 fotms for state-0wned POWTS are submitted to Project Address(if different than mailing a � the Departrnent of Safety and Professional Services.Personal information you provide may be used for secondary 13506W Frcemel Rd purposes in accordance with the Privacy Law,s. ISA4(I)(m),SYats. I.Application Information—Please Print All Information Property Owner's Name Parcel# Christopher&Mary Whihnore 002840093414 Property Owner's Mailing Address Property Location 402 Sixth St Govt.Lot City,State Zip Code Phone Number Chetek,WI 54728 SE y�SW '/<, Section 09 II.Type of Building(check all that appty) Lot# T 40 N R 8 E or W �1 or 2 Family Dwelling—Number ofBedrooms 3 Subdivision Name ❑Public/Commercial—Describe Use Block# ❑City of ❑State Owned—Describe Use CSM Number ❑Village of ,�i Town of Bass Lake III.Type of POWTS Permit:(Check either"New"or"ReplacemeoY'and other applicable on line A. Check one box on line B.Complete line C i a licable. A� �Iew System ❑Replacement System g y ( p ) ( P ) ❑ Other Modification to Existin S s[em ex lain ❑ Additional PretreaUnent Unit ex lain B' ❑Holding Tank �In�round ❑ At-Grade ❑ Mound ❑ [ndividual Site Desi gn ❑ Other Type(explain) (conventional) C• ❑ Renewal Before ❑Revision ❑Change of Plumber ❑Transfer to New Owner �st Previous Permit Number and Date Issued Expiration IV.DispersaUCreatment Area and Tank Informafion: Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System ElevaYion 450 .7 642.9 650.2 92.5 Capacity in Total k of Manufacturer Tank Information Gallons Gallons Units � � U �, ^ New Tanks Existing Tanks ` o Y � � Q c� � n. U 'v� �, r� i�, C7 G. Septic or Holding Tank 1000 1000 1 iesei Dosing Chamber V.Responsibility Statement- I,the undersigned,assume responsibility for installation ot the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's ign re MP/MPRS Number Business Phone Number GERALD FROEMEL � 950111 715-558-1138 Plumber's Address(Street,Ciry,State,Zip Code) 13502W Frcemel Rd Hayward,Wi 54843 VI.C un /Department Use Only �A�rov Disapproved Permit Fee Date Issue Issuing Agent Signature ❑Owner Given Reason for Denial $ (��'N `�I�a��"� �'�'�'�� Conditions of Approval/Reasons for Disapproval � � �� r,�.� � �._ . �t� a-a- �� :�1 ` ' I '7 D D ��IGI , . . HQ �. ��.�e�.._ � SEP 21 2022 J �� #-� !V C,v�....,�►o r l d.�35 3 a �S � �� _ l� �Q <� SAWYER COUNTY LrJldt�FG ADMINISTRATiON Attach to complete plaos for the system and snbmit to t6e Coaoty only oe paper eot less than 8 In z 11 inc�es in size �I 2 �� (Z _� J d SBD-6398(R.03/21) NO R�FUNDS AFTER ISSUE OF PEFiMfT Christopher 8� Mary Whitmore Property Owners Name 13506W Froemel Property Address �2840093414 Tax Parcel Number sawyer County � SE/SW Gov Lot or Qtr-Qtr/Qtr S9 Section T40N 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 G Plumber's Signature 950111 Plumber's License Number 715-558-1138 Plumber's Phone Number 09/21/22 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),Infiftrator Systems,ADS Products,Polylok Inc.,Orenco Systems Inc.,SimlTech FiRer 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 of Bedrooms � Percent Slope (%) ;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 95.5 Finished Grade#1 Original Grade#2 Finished Grade#2 Original Grade#3 Finished Grade#3 Infiltrator Quick 4 Standard Chamber Type 15 Height o Chamber (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 1000LP ISeptic Tank ose an (if applicable) Lifetime �TM��: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 95.67 98.67 94.42 FALSE 2 95.85 98.85 94.60 FALSE 3 95.55 98.55 94.30 FALSE 4 5 Page 2 of 7 oW ev-: Le a� •. Gln�;s�'o P�er L •� {�/lar� C:, W�n�-�-wt o�'� S�w�{�Co 1 .�4 ss L�ke Tw� '+oz S�x� 5�-- �'r►J: d�L—S��—�jq- 3�1 �� C�e�'�� W l S�t-f Z� �j��J 5' OQ T'4DIJ R.O�jW s� �� 3sobw F�'o �� -� t��- 4 csM 36/3►Z # ��$� Z `� 0 r 3 � � . � � � � _� v 6� �1 -�o �ao �1 l o ' J 0 o � d r�t12. 13so6v.l s � -�i � � zoo �o � '� Sc��e l�= `�� -� � o �o Zo 3o yo IJMi � -� �e�� 1 o S�bK _�.�� s�� --�� 1 � -�Wel l �o w� c-�-� �e. 1� Lo� `-f 3. Z lo� a.L. o � 2.b4` � .� �, �s $E1,tOb � h� �r� �an 3`uP � � Sc�c� 36 w(� �'�-P � L, as.6�` G _ ,__ __ Z. q�. 8� ��-��/ ` _ ' �_ �r��s _ � . : 4 � s��ls� s�s-{� e�. �z-s' . _. .,. ,. _ .. . _ . �r��, qfl --a 3.�' � _ ' cs-{- S.T, ih,�e�' �r�f.5' _ i . .._... .....k ...... .. .. . Cress Section of a Two Cell In Ground Ccmponen: Using Leaching Chambers obs/ervacio^/ve�,t Pipes / \ 95.50 Finished Grade � � � � ---- ---� Finished�rade—� Slope _ ` / Catl"§eperaBon �� Orginal Grada--. `y,' ,'J� �`�T .Phginal Grede 93J5 Top of Chamber � �' 'Top of Chamber 93.75 '- 't9- �� . C9'- -- --- 92.50 System Elevation •• .. .. + System Elevatbn 92.50 • � �.Yreatn;ent'pnd'Dispe�So�.Zo�e. . � � - � . � � ' . . _ ...__.._' •• •. . . . ._ ______�_ �. Limiting Factar Obse�vo;-o-/Ven; pipes to be constucted and capped with opproved moteriols for the porticulor use. Dia rams Not To Scale _ ��. .._: .�. - �, "� �� ,�� `r�rv��..r.�,� .� �._ . — . .=_ ---- � . 1 -- _}�k1�'�I�'��sa' ._ ` - I J �� ,� v�.�.��:et� bservation/Vent Pipes to be located 1/5 to 1/10 the length of the distrution cell measured from the end of the celts Page 4 of 7 Christo her 8, Ma Whitmore 13506W Frcemel 2.84E+09 Number of Bedrooms 3 Septic Tank Wieser 1000LP EStltil8t8d FIOw(average)gallons/day Effluent Filter Li etime Design Flow(peak),(Estimated x t.$)gauday 4 Pump Tank # /A Soil Application Rate gaUday/ftz 0.7 Pump Type Influent/ Effluent Quality Monthl Average Fats, Oil &Grease(FOG) 30 mg1L Biochemical Oxygen Demand (BODs) 220 mg/L otal Suspended Solids (TSS) 150 mg/L !!N 07 E I� Servicing frequency of 12 months or less requires tne Maintenance Schedule Management Plan be recorded with the Register of Deeds. Service Event Service Frequency Inspect condition of tank(s) At least once every 3 Year 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 Clean effiuent filter At least once every ear Inspect pump, pump controls 8 alarm At least once every Maintenance Instructions Inspections of tanks and dispersai 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 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 effluent on the ground surtace. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local reguiatory 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 Ooeration 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 concentretions 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 sUeam may improve the pertormance 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 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 all tanks and pits shali 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. Continpencv 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 soii 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 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 will 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 repiacement area is not available due to setback and/or soil limitations. A holding tank may be instalied to replace the failed POWTS. ��WARNING!! Septic, pump and other treatment tanks may contain lethal gasses and/or insufficient ouygen. Do not enter a septic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person trom the interior of a tank may be difficult or impossible. POWTS Instalier Septic Pumper Name Gerald Froemel Name Scott oppe Phone# 715-55 -1138 Phone# -14 �� POWTS Maintainer Local Regulatory Authority Name Jays Septic Agency awyer County Zoning Phone# 715-558- 1 Phone# 715-634-8288 Page 7 of 7