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Home My WebLink About030-178-00-0500-SAN-2022-268 �-,��R*:�� Indushy Serviccs Division Counry � :- ^' ` � -.\,� -- 4822 Madison Yards Way .s w �/' \ Madison,WI 53705 Sanitary crmit Nurnber(to bc fillcd in by � ��P= Y.O.Box 7162 `'�:,,,_` , Madison,WI 53707-7162 (� 3� �s a 9J - - - - State Transactio��Number � Sanitary Permit Application � fn accordanc�e��ith SPS 383.21(2),Wis.Adm.Code,submission ofthis fom�to the approptiate governmental unit __ � is required prior ro obt�irting�saniury permit.Note:Application forms for state-owned POWTS aze submitted to Project Address(if�different than n�aili�g� � thc Dcpartmcnt of Safcty and Professioval Services.Personal information you provide may be used for secondary q� pur�oscs in accordancc with thu Pri�+�y Law s 15 04(1)(m) Stats I.Application Information-Plcase P�nt`t�ll�'ntfoCgi��io,�i, ; - z:.`" /O ^�,ur�i,i 11 T`l1 Property Owner's Name Parcel# � 030 7�do0 a __ Property Owncr's Maili�g Address Property Location I U N Govt.Lot City,State Zip Code Phone Number T�ovb/td wa+ert eoT3 ` '/<.._- --'/, Section -- __ . /� u . .f�0 II.T �e�of f3uildin�(c}icck all that a � �'`�� ' �-�� T N R 7 E or W _ YP �. PP7X): � I Subdivision Name �1 or2 Family D�vclling-NumberofBedrootns }31ock�t �'ublic/Commercial-Descnbe Use �Cityof _____. �State Ownecl-Describe Use __ ('S�1 Number illage of __ �Totcv of_L✓�L�� ------- III.Tyge of POWTS Permit_ (Cheel�.etther``r7etv"or��Replacement"and other applicable on��I�ne A,',Check one box on Iine�B�.Cnmplcte�l,ine C if a� lica6lc.) � ° '� � � �- - -- -- -- � �IJew Systcm �Replacernent System �Other Modification to Gxisting System(explain) �Addirional Pretrea�ment Unit l�:xplainj �' �Holding Tank �In-Ground �At-Grade �Mound Individual Site Design Other Type Icxplainl �conventional) ist Previous Permit Number and Date Issued G ��enewal IIefore �Revision �Change of Plumber �ransfer to New Owner � F.xpira[ion �..(Y��.. N.Dispersal/Trcatment Area and,Taakylnformahon.`� ` y=i��"��,�t `�'�� ` ' ' • `'� ' ,ti�«? .r�,�T?�t'x ,r.,i . . u� s � _ _ Desi��Flow(�pd) Design Soil Application Rate(gpd/s� Dispersal Area Requircd(sfl� Dispersal Area Proposed(s� System Elevalion f"O 2/ .�.5 � .� ' Capacity in Total #of Manufacturer y Tank [nfomiation Gallons Gallons Units ;; o � � ` New"I'anks Exis[ing"Canks `oi o �' � � � � c`"a a U v� � cn w C7 a _+__ Z � .epuc r HoldinE,l-ank Q r�� X � J/i Dosmg Chamh��;�---�------ � � � i� V.RespoasiUility Statement-I,the undersigned,assuone�xesponsibiLty formstallation.4�� ,�Y�,'�,QWTS;sliowu un�the�ttached plans. Plumber's Nume(Print) Plumber's Sigttature� PRS Numbet Busincss Phonc Number e �11i ,✓ __ � O 7/ - y��.�r_Z._--- Phunber's Address(Street,City,Stare,Zip Code) /y7v✓,f% w y o f .v w 1.s� VI.C un /llepartment Use Only Y�'��,... r a,".t��r�'��,� : � Permit Fee Da�e Issued Issuing�Agent Signature �AF ovecl Disapprovcd $�� / 00_ 1 � _ �t.u.��.c�lyl/Z�- O Ow��er Given Rcason for Denial Conditions of�.Approval/-Reasons for Disapprova� �� ,� �� `� � � ��\�� n,� , f _�_� . t i�t ' ` ' ' ; q a� � � 1 , � _..;� e .. 7--�. ._._ , _. � k � � �� ' �� s ' ''�� SEP 2 3 ��22 t �„f::, ' � �� _ '_ � '�___.—_----'_'___�-. Cs��-`� — � � � Ne� .worh� �355� ; ' _ , � ,,..� _ /��u ,,,, �, I�ll� �'-..%.�..a._ iia.. Attach to complete plans tor the system and submit to the Connty only on paper not less than 8 V2 z il inches 3n size �I�r-� NQ R�FUNDS AFTER - `y sa�-639s�a.o3izi> � iSSUE OF P�f MtT Lianna&Mara Sanders Property Owners Name 10586W Tranquility Ln Property Address 30178000500 Tax Parcel Number County Troubled Waters Legai Description 3 Section 37N Town 7W Range Page Index 1 Property information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan Bruce Vitcenda Plumber's Name Plumber's Signature M.P.220498 Plumber's License Number 715-943-2382 Plumber's Phone Number 9/16/22 Date Page 1 of 7 n- roun oi sorpt�on - - Component Manual Used N.01/01 Version 2.1 1 "' Number of Bedrooms 1 Percent Siope (%) 118 Depth to Soil Limiting Factor(in.) 0.7 In Situ soil application rate 100 Estimated Wastewater Flow(gpd) 150 Design Wastewater Flow(gpd) 1 Number of System Elevations 93.8 Proposed System Elevation #1 na Proposed System Elevation #2 na Proposed System Elevation#3 97.3 Original Grade#1 97.5 Finished Grade#1 na Original Grade#2 na Finished Grade#2 na Original Grade#3 na Finished Grade#3 Skaw 320 Septic Tank Orenco 8" Biotube Effluent Filter BioDiffuser ARC 36 Chamber Type 13 Height of Chamber(in.) 25 sq.ft. per chamber(ESIA) 4.5 sq.ft. per pair of end caps (EISA) 5 laying length of chamber(ft.) 1.17 length of endcap(ft.) 33.75 Chamber width(in.) 1 Rows of Chambers Distance Befinreen Cells (ft.) 9 Number of chambers in first row 0 Number of chambers in second row 0 Number of chambers in third row 9 Proposed Number of Chambers Used 214.3 Minimum Distribution Cell Area Required (sq.ft.) 229.5 Distribution Cell Area Proposed (sq.ft.) Page 2 of 7 Ow,ve� Cvllcc�dJim ta✓Irif �R�cev1iccNQg ��i(Q�rwf 4 ve. lN7v,u J�yWYvu r.Pa o I,m,✓.SS/0 6 f x elq,vb ws 7is- s'yY3f 9N3-17Ba cs�.ldoyqf � �� Cw� iU[ �y 1�- « ,o, ��i� • 0 1�i 31 y� y.. G.o s�.��b• J . 3� • � ve+( • 9� Sr 361eAwatcif-GeYS 7.37.v Ltk1.o' R.o7w - Yri�rl�+ojoi 7f000rao r°"'"'Wc;�� B� 4}��"P:�e v/.i�,�Al�iar_, Q�t-yy y, �� 97.g� ak�"'I.lo ers u,/U,a�i.�ock JF I oSYL M/ Tra u a�:l7�Y G.y —� �p�7 Cross Section of an 'n G��:��d Co-npc^ e-� t Cel! Using Leach �^ g Chombers Observo`.:o�/Vent Pipes � � Finished Grade 97.50 -- -- `: ! -- -- - - - .............`::.--- - ................ - -- ; � — - � , Stope 1% � . � > : .� . � � Original Grade 97.30 � ' ' --_ - -y '"" Top of Chamber 94.88 �-- - • - � -'� '�- - �� ........--��--�� - - -- -••-•--•-- � , , ,, System Elevation 93.80 I �` y ��....._..._-.. . _ 'rc:tment and Dispersal Zone .. ! -------- i •-�iting Foctor Observation/Vent pipes :c t;c constructed and capped with approved mate� � s `or the porticulor use. Dia rams Not To Scale ---_ - -- ---- - - _ __ _ _ - n _ - -- __ - . .. � .�A��_ .._.. . _. � . _.r. _. , � _ � � v , _� �� p: �� , _. _._-__—. ^� �� `As� "„ n ., � � v _ ; � � > � �� / 47.34 feet � Observation / Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 � � � �--� 5 0 WARNING�EA iH MAY OCCUR IF iANK IS ENiEFED BAFFLE WITHOUT PROPER EQUIPMENT �/ Q \\� 1 i o � 1 I � j /R25.00 __— ,/�R28.00 \ R31.00 TOP VIEW OF MANHOLE COVER FIL7ER s oo � TOP VIEW OF TANK(TAPERED) � 4 00 I-27.00��I L�24.00� 5.00 7.00 J I--16.00� I �2.00 ��INLET � 8.00 OU7LEi� i O sKnwaao i �� i i 4INCHPRESS �� z.00 4INCH I--50.00—I SEAL GASKET PRESS � � INSTALLED \ SEAL � � WHENPOURED GASKET i i BAFFLE 39.00 FILTER i i i i i i i i i i i i 3.00 i � I � L______________________J 3.00 SECTION VIEW OF TANK AND COVER OUTLET END VIEW OF TANK ModelNumber: 3LO ROUND SKAW PRE-CAST Phone:(715)967-2277 Approved for.SEPTIC,SIPHON,HOLDING,CATCH BASIN,OR PUMP Toll Free: 1-800-924-8625 e19 Inlet Dim. Outlet Dim. Liq.Depth Gal./In. Max.Cap. 26255 105th Street,New Auburn Wisconsin 54757 Fax:(715)967-2707 38001bs. q¢�� 4z" 39„ g 41 328 gaL www.skawprecast.com Lianna&Mara Sanders 10586W Tran uili Ln 3.02E+10 Number of Bedrooms 1 Septic Tank Skaw 320 EStimeted FIOw(average)gallons/day 100 Effluent Filter Orenco 8" Biotube Design Flow(peak),(Estimated x 1.5)gaVday 150 Soil A lication Rate al/da /ftZ 0.7 I�fluent/Effluent Qual� Monthi Average PRINT PAGE Fats, Oil & Grease (FOG 30 mg/L Biochemical Ox en Demand (BODs) 220 mg/L Total Suspended Solids (TSS) 150 mg/L !!NOTE!! Servicing frequency of 12 months or less requires the MaintenanCe SChedule Management Plan 6e recorded with the Register of Deeds. Service Event Service Frequency Inspect condition of tank(s) At least once every 3 Year(s) 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(s) Clean effluent filter At Ieast once every 3 Year(s) 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 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 surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of siudge and scum in any tank equals 1/3 or more of the tank volume, the entire contents of the tank shali 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 Sawyer County Zoning Dept within 30 days of any service event. Start-Up and Oceration 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 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 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 stream may improve the performance and prolong ' the Irfe of the POWTS: antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dentat ! floss, diapers, disinfectants, fat,foundation drain (sump pump)water, gasoline, grease, oil, painting products, ' pesticides, sandary napkins,tampons, and water softener brine. Abandonment When the POWTS faiis and/or is pertnanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance wRh Wisconsin Administretive 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 shall be removed and properly disposed of by a Septage Servicing Operator. -After pumping, aIl tanks and pds shall be excavated and removed or their covers removed and the voidspace filled with soil, gravel or another inert solid material. Cantinqencv 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) �T'he site has not been evaluated to identrfy 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 replace the failed POWTS. �A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replaceme�t area should be protected from disturbance and compaction and should no be infringed upon by required setbacks from existing and proposed structures, 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 suitable repiacement area. Replacement systems must comply wdh the rules in effect at that time. ' � A suitable replacement area is not available due to setback and/or soil limdations. A holding tank may be instailed to replace the failed POWTS. !!WARNING!! Septic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not enter a septic, pump or other treatment tank under any circumstances. Death may resuft. Rescue of a person from the interior of a tank may be di�cult or impossible. POWTS Installer Septic Pumper Name Bruce Vitcenda Name Northwest Sanitary Phone# 715-943-2382 Phone# 715-943-2650 POWTS Maintainer Local Regulatory Authority Name Northwest Sanitary Agency Sawyer County Zoning Phone# 715-943-2650 Phone# 715-634-8288 7of7 %'""—T"``=:�;�, PRIVATE ONSITE WAS1'E TREATMENT county ,�,, „r \�J\ Saw er i\-,!,�Sps` /!i SYSTEMS y POWTS1 \Ok � �./4� I '�°"�s�—��':'°/ INSPECTION REPORT sa�itary Permit tvo: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �� _a�� Persona]infonnation you provide may be used for secondary purposes[Privacy I.aw,s. I5.04(1}(m)) Permit Holder's Name: ❑City ❑ Village [�;Town of: State Plan Transaction ID#: ln�rvlvlc��-��rx� (nJ Q i aT � Insp BM Elev: BM Description: Parcel Tax No: n c '��.�/ ��a �rwt..�1��-2. �/vl9'r� �'f1 �j.��.i 03Q— ��-6�� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic 5 ,«�-W 3�p Benc;hmark �ap,�� Dosing Aeration Bldg. Sewer �(�, � ` Holding St/f�t Inlet 9 S;$ ' TANK SETBACK INFORMATION St/Ht Outlet y S;6 � TANK TO P/L WELL BLDG vENrTo ROAD Dt Inlet AIR INTAKE Septic �t-(6' �7` � � NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. Q c�,8 � Holding Dist Pipe PUMP/SIPHON INFORMATION Infiltrative �3 �, Surface 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 3 L �{ #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv ❑ Aggregate �`� INFORMATION P I L Bldg Well Waters o G � Chamber Model Number: ' ❑ EZFIow CELLTO + �b S`� .�-Ia� ❑ Mound o Other ��L � —-— - --- - - --- --- -- DISTRIBUTION SYSTEM x Pressure Systems only - - .— __ ---- _ _ Header I Manifold I Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia � Length Dia Spac _ �__ Spacing ❑Yes ❑ No _ _ _----------- --- SOIL COVER _ _ - - -- -- - - — Depth Over Depth Over ,?�Depth of Seeded I Sodded Mulched Cell Center Cell Edges � Topsoil � ❑Yes ❑ No ❑Yes ❑ Na COMMENTS: (Include code discrepancies,persons present,etc.) ��.�� s��3 Plan revision required?❑Yes ❑ No �2 s-- �c� � �j`?'� �� -- �`�� --- �� Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3I01) A�OITIONAL COMMENTS ANO SKETCH SANITAAY PEAMIT NUMBEA:_ �-.2 C��___ T `T�h��1�� . �io�C� . .�� , �� b� . _ � � . ._ : �� 5,� , : . , �' � _ ____ o � , . ; ._ ._ �� 3w1��- 1 � � . ,_. : ; ' �� b c� ; . �� , � � �, � \�� L�" Q 1 � � II 1-�` � �J ` ' ( �� 1"� S��---- �� R� '�