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Home My WebLink About012-740-30-3109-SAN-2022-308 , � , ,:�r"'_�•'t., Industry Services Division County `� ' = 48�2 Madison Yards Way Qw �/� ` :!;,�=P - Madison,WI 53705 Sanitary Pcnnit Numhcr(to be fiilr;d in by �`� _ : P.O.Box 7162 � �Q �� D � `---->� Madison,Wl 53707-7162 I � ��s;,�:.;'s=. i Sanitary Permit Application State Transaction Numbcr W In accordance with SPS 383.2I(2),Wis.Adm.Code,submission of tl�is Form to the appropriate govemmental unit _ _ Q� is requircd prior to obtaining a sanitary permit.Note:Application forms for state-owned POW7'S are submitted to Project Address(iFdiQerent than mailing ffie Dcpartment of Safery�nd Professional Senices.Pcnonal infotmation vou provide may be used for secondary purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. ----- 1.Application Information-Plcase Prinf All Information -` '-� Jg/� _Wo� s�,�/�� Property Ow��cr'�'��am� Parcel� Q/' �e d r/o�+..I �a�i. � _ �� - -- Praperty O��ncr s Mailing lddress Property Location � �� —, Ciry.State "Lip Code Phone tiumber p/�f ��/4, SW %., Section __.30__. �y�ewl .�/. Jr,� �4 , II.Type of Building(clicck all that aPPty) t,ot" T �I b N R 7 _E or v ---_ al or 2 Famil} D��•clling-Numbcr ofBalroorrts 3 � Subdivision Name Block# —' �'ublic?Commercial-Describe Use _ �City of __ ❑State Ou�ncd- Describe Use CS;11 V umber illage of 9 /� �"I'own of_�/Dd/7E/' --- -- �ii ' �0�7� - lII.Type of PO�VTS Permit:(Check cither."Ne�d"or"ReptacemeoY'and ottter apphcable•ori Lne t� Check one ho�on line B:Complete liuc C if a licahlc_) __ __ A' ❑Ivew System aReptacement 3ystem ❑Otber Modification to E�tisting System(explain) �Addirional Pretreatment linit(explain) �' ❑Holding Tank �In-Ground ❑At-Grade �Mound Individual Site Design Other Type(explain) convenOonaQ C. ❑Rcnc�val{�eforc I❑Rcrision . ange of Plumber �Transferto New Owner List Previous Pcmtit Number and Date Issucd Expiruiun 4 7S�- i y o 9 03 7S IV.DispersaUl'reatmcrtt Area and Tank Information: �- ° _ Design Flo�+•(�pd) I Design Suil 1p�lication Ratc(gpd's� Disp.rsal Arca Requimc':(sfl Dis ersal Arca Erap�sc:d .f) System Elevation �1.s"o I �. �v + / ,300 � �93.t� _. � Capacity in Total 't of Manufacturer r � �— � c Tank[nfom�ahon � Gallons Galions Un[ts � w U U � � � � V ! iVe�.Tanl:s Facisting Tanks I { � � � � � p = �' � ; a. iJ ci� v � v; w :7 a i f � Scptic r Holuim�I�ar.k j OO�i0 i �`�B � dk f✓ �I �__�_ /600 - : 0 0 � Dosing Chambcr j V.Responsibility Statement-I,the undersigned,assume responsibilifv for inshrllalion of the'POWTS sho��n ou the altachcd plans_ ,. Plun�bcr's Na��ic(f'rini) Plumber's Signaturc n1'_ PRS Number t3usiness Phone.Number �u v ' ..� 7i.r-9ys-.?ss�z I'lumber'c Adt'.rc�<!:Strect.Cit��.Stare,Zip Code) /y�y,� r w ,� w . _ VL C u h�/Departmcut Usc Onlv ��!�i Pcrmit Fee Date Issued Issuing.A�ent Si�aturc � Ap oV�ec I ❑L�fsapproved I � �/ ./ D//, �?'1� � ❑0�4ner Given Reason for Denial /�D•�J �C�'��I�a �A%��CJ`�' Conditions of:Appro�aUReasons for Disapproval �r��''j�� (o �-o �a .., � ��_��j?}� E ��- � � �� ;� �� '� (os�3 _. .�1 Q�T � � 2�?2 :__ '� � :. N�, w��a � 39 og �-____---- --- C'S"��- - (� 3 � `=``` , � L"��:t�,_ _ AtGch to complete plans for t6e s�ztem aod sabmit to[pe Cvunty only on paper vot less ihao 8 ift z il inches in s'�ze NO RLFJNDS AFTER SBD-6398(R.03r21) I$S1.1�OF PERMI'T Arlene&Thomas Bahr Property Owners Name 7814N Worlds End RD Property Address 12740303109 Tax Parcei Number Sawyer County Prt NE-SW Legal Description f 30 Section 40N Town 7W Range Page Index 1 Property Information 3 Plot Plan 5 Tank Information 6 Maintenance Plan 7 Contingency Plan T .v �t � o ,' o 0 00 ,' fa ✓ Bruce Vitcenda Plumber's Name ,� Plumber's Signature M.P.220498 Plumber's License Number 715-943-2382 Plumber's Phone Number Date 1�/�r✓- a os -P l/o / ) Ve� ,' .0 .?•/ Page 1 .bwre� Qloml�/ 4r1 t,ut J le.*�I O�A/ /��(utt v% /CCy�/y . 6.t4 d7AAfT.vw IH7v.✓frHwvyo D vRow,m,✓.rf 9ao �f cl�N��w�f 4PJS . ��41'.�3P1 .�.0.JJo49➢ IA!��'a Ra a�v� � a �� — — — — — — �— P�r.vf.tv S.30 f.;rr;�y r,vow ryrre� A.�w 10�1 4"•6� �jM A1�131'¢Lnl P�re.ia oi7�4o)sqloq B,n °o OM �oo.o'�.tw"i�reirc b Tee..vH�.✓Yei �~�w`�lJih'j�s�/ y• 4.e �.,t�� /-77.js' fNa�roea/[evicemba �%f e�J�/µ�7..�Nt I� �'n<f;llfr �9wk At�itct.ne�/or/y bAr �a� rScrlt I•�jp ' Sl�,la� CA�f/CW� Ploway< P3 � � WARNMG DEATH MAY OCCUR lF TANK lS ENTERED SKAW 10001600 i Q WITHOUT PROPER EqUIPMENT � �� O I O I f— io.00 NOTE:SEE INNER WALL PHOTO ON THE"EXCLUSIVELY AT SKAWS"PA�E. i i i i i i i i i i i i i i i i i i i i i i � i i i i i i i � � 3.00 I i i i 4.00 I i !____'_'___"'___'_"__'____'___J 27.00 27-00 -27 00 � za.oa za oo za.00� OUTLET END VIEW OF TANK I ��_ 5.00 �-76.00-{ 7.ppJ �2.00 f-2.00 I INLET�� n � f0.00 �°L OUTLET� 2.00 78.00 �� 4 INCH PRESS PRESS SEAL GASKET SEAL MSTALLED GASKET WHEN POURED / �BAFFLE FILTER 39.00 s oo SECTION VIEW OF TANK AND COVER 3 00 Model Number. 7000 � 6OO SKAW PRE-CAST c � Approved for. SEPTIC/SEPTIC,SEPTIC/PUMP,SEPTIGSIPHON OR HOLD/NG Phone: 715 967-2277 Weight n e im. u e �m. Liq. Depth Gal. /In. Nom. Cap. 26255 105th Street, New Auburn Toll Free: 1-800-924-8625 Wisconsin 54757 Fax: (715) 967-2707 13,OSO Ibs. 44„ 42„ 39„ 16.47 642.33 gal. www.skawprecast.com ArleneBThomas Bahr 7814 Worlds End RD 0 Number of Bedrooms 2 Septic Tank ,f�fw /Ooo/6o0 Estimated Flow(avera9e)gallons�day 200 Effluent Filter ; ; Design FIOW(peak),(Estimated x 1.5)gal/day 300 Soil Ap lication Rate al/da /ft 0 Influent/Effluent Quali Monthl 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 �i tv G?E! Servicing frequency of 12 months or less requires the Management Plan be recorded with the Register of Deeds. Maintenance Schedule Service Event Service Frequency tnspect condition of tank(s) At least once every r^� 3 Year(s) Pump out contents of tank s) When combined slud e�and scum = 1/3 of tank volume inspect dispersal celi(s) At least once every y 3 Year(s) Clean effluent filter At least 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 surtace. 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 surtace may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumu�ation 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 Sawyer County Zoning Dept within 30 days of any service event. Start-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 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 ' Do not drive or park vehicles over tanks and dispersal celis. Reduction or elimination of the following from the wastewater stream may improve the performance 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 shali 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 seated. -The contents of all tanks and pits shall 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 voidspace filled with soil, gravel or another inert solid material. Continpencv Plan I 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) dT he site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation shall be pertormed 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 replacement 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 resuR 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 replacement area is not available due to setback andlor soil limdations. A holding tank may be installed 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 difficutt 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# 715134-8288 7 . , Soi1 � �o�i1e Sheet Owntf:g/'�,✓t�e��r 6�/ef Saii Tester; ��/LC !/1TCP.�iDA Spstern F-Icv�tion: � �,Oa� Rale: Syrtem I'�ange: �� 98 _. _.... �— _ .. , ..... , _. . -/ 7.� i 9� . _ ...... i .. _. .... �l • 7/r.t � ` ... .. --_.__ yr.� , 96 _ . _ _ �. ... .... �!"�fr�✓ • 7/1•l ;. .. .: _.. ...... _ .. ,..... ... .,.... 9S. y ' ...... 9.f ` . ... .. j _ __. ... . —7—�--� _ . .... tl• �lr. c I_ ... _ ,_ Qr 7'f.j ioPef Tet �. __. ...... _. ...... I�v FlrsriJ�c:rLr�l� ^—._ . _ . 93 � , f ...... __ ._ _f� . �/l.o _,. - ..... , �j . . 5t •9 ' - '►;•.2 e.ir.,� q.�p ____�._ �2•,f j. .. .• . .. _ .�. _. �� :... _ ... .. � .._ . L J W/b�.v .. ...... ---�---- _. .. . , i _ • 4� „ • 7//.` .. ...... i . _ _ � ____r____ . ._.. 3 �_ . .. qo _ ... _ _. � �_T .- .. , ; _ . .. _'_'_'— �9�5 ' . .. . l.. . ,. _. ..... , q1 _ `.�_ ,...... ..... ._. _ ; _ .. _ ; .. __. � � ... ; .. . _�.._ ___"�----� _ __�'�_ __ , .. .. � .... _ ...... _ ...... i . ...... __ I . . � � � . � --+-- � �. _ . � --•--_ � � 3 _.... �_ a ...... , ___._1______ � 4 ' :��1C�tlt.. Real Estate Sawyer County Property Property Status: Current Listing Today's Date: 10/17/2022 Created On: 2/6/2007 7:55:27 AM Description Updated: 6/12/2019 Ownership Updated: 8/30/2021 _____ ____ __._ __ _ _ _ ___ ______. _____. _____ _____ _�._. .__ _._---- _ __ . Tax ID: 15689 ARLENE E & BYRON MN P�N, 57-012-2-40-07-30-3 01-000- THOMAS D BAHR ' 000090 REV TRUST Legacy PIN: 012740303109 Map ID: .9.9 Billin4 Address: Mailing Address: Municipality: (012) TOWN OF HUNTER ARLENE E & ARLENE E & STR: 530 T40N R07W THOMAS D BAHR THOMAS D BAHR Description: PRT NESW LOT 1 CSM 22/12g REV TRUST REV TRUST #6171 524 23RD ST NW 524 23RD ST NW BYRON MN 55920 BYRON MN 55920 Recorded 0.725 Acres: Site Address * indicates Private Road Lottery � 7814N WORLDS END Claims: Rp HAYWARD 54843 First Dollar: Yes Waterbody: Chippewa Flowage property Zoning: (RR1) Residential/Recreational Assessment Updated: 9/26/2016 One _ _ _ __ _ .___ __ _ ESN: 446 2022 Assessment Detail Code Acres Land Imp. Tax Districts Updated: 2/6/2007 G1� 0.725 211,300 106,100 _ __ . _ ____ ___ _ ._ _. RESIDENTIAL 1 State of Wisconsin 57 Sawyer County 2_year 012 Town of Hunter Comparison 2021 2022 Change 572478 Hayward Community �and: 211,300 211,300 0.0% School District �mproved: 106,100 106,100 0.0% 001700 Technical College Total: 317,400 317,400 0.0% Recorded Documents Updated: 6/12/2019 property History _ __ _ _ _ __ WARRANTY DEED N/A _ _ _ _ _ _ _ Date 434288 Recorded: 8/27/2021 WARRANTY DEED Date 418056 Recorded: 6/4/2019 WARRANTY DEED Date 301093 Recorded: 6/21/2002 TERMINATION OF DECEDENTS INTEREST Date ��''""'�^'�?,� PRIVATE ONSITE WAS�E TREATMENT �ounty /=. % .� � SYSTEMS ;v� "$ \��, S awyer `'�-;`1 Ps ��;' ( POWTS) \�i'''`'�/ INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION � � �jb� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. I 5.04(l)(m)J Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#: e,,.� �4- �tvn..as �� Insp BM Elev: BM Description: Parcel Tax No: �ao.d' hq��-n� �� lN i�c. oi� =�to- 30-310 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic �J— 000 Benchmark �o,p � Dosing ��r,,,� ,�Qa Aeration Bldg. Sewer �( � � � Holding St/Ht Inlet Q�(.'� ' TANK SETBACK INFORMATION St I Ht outlet ,�' TANK TO P/L WELL BLDG VENTTO ROAD Dt Inlet AIR INTAKE Septic ±�� +�s �� {.� � NA Dt Bottom Installation Dosing � �� ., << NA Contour Aeration NA Header/Man. �9Y. � Holding Dist. Pipe PUMP I SIPHON INFORMATION Infiltrative 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 L #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv � Aggregate INFORMATION P(L Bldg Well Waters � IGP ❑ Chamber ❑ AG ❑ EZFIow Model Number: CELL TO n Mound o Other DISTRIBUTION SYSTEM X Pressure Systems Oniy - _ — ___ _ -- --- ---,---__ Header/Manifoltl 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/Sodtled Mulched Cell Center Cell Edges ;_Topsoil �❑Yes ❑ No � ❑Yes ❑ N� COMMENTS: (Include code discrepancies, persons present, etc.) i�-�►S�a�� (�Yl a� � K � S,`� o�� C�P��.�,,,�— �`�� —_ � Plan revision required?� Yes❑ No ^ � 03 1 � � 6� �d1� __� __ ___ � Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) ��'?:'�5 d\ ��S�,M.r` y ,� � � �h�� N (� �5 �1 � �� a _ __ _ � � � � ��i� . �� r � oQ9�5 M'� �� ,�� .�� < r�� °� ' � �� ' 1 , �� . , , ` ; y�, i . _ _ _ _. � � _ , .. _. ;..__ . : ;. �. 1 '., �� , ' � � . _.- - --_.-_. �_...... ,.- '--,-'. . � . � . ,. . . . . . � . . . ._ . � � .- -- - - .. �b : � � _ � _ �t�S�i ;. _ ..:. ___; . _ _ _ _ � _ - • -� - �v �`be�o� yr'^�� j ��-�d3BWf1N 11WN3d AdVlINdS H�13�IS �Nd S1N3WW0� 1dN0111��d