The URL can be used to link to this page

Home My WebLink About004-838-02-3409-SAN-2022-309 •�"` "'> Industry Services Division County (� � 4822 Madison Yards Way SAWYER � ; .�: - Madison,W I 53705 Sanitary Permit Number(to be filled in by� � �� P.O.Box 7162 = Madison,WI 53707-7162 �( 3 � o� � � � — � Sanitary Permit Application s��Transaction Number � In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis fortn to ihe appropriate govemmental unit is required prior to obtainiug a sanitary pertnit Note:Application forms for state-owned POWTS are submrtYed to Project Address(if different than mailing a ---� the Departrnent of Safety and Professional Services.Personal information you provide may be used for secondary putposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. I.Application Information—Please Print All Information Property Owner's Name Parcel# Russell&Laurie Key 00483802340q Property Owner's Mailing Address Property Location 12809W Atherton Rd Govt.Lot City,State Zip Code Phone Number Couderay,WI 54843 SE y4,SW '/., Section 2 II.Type of Building(check all that Apply) Lot# T38 N R S EorW �1 or 2 Family Dwelling—Number ofBedrooms 2 Subdivision Name O Public/Commercial—Describe Use Block# ❑City of ❑State Owned—Describe Use CSM Number ❑Village of �(Town of couderay III.Type of POWTS Permit:(Check either"New"or"Repincemeot"and other applicable on line A. Check one box on line B.Complete line C i a licable. A. ❑New System �,ReplacemeM System ❑Other Modi6cation to Existing System(explain) ❑Additional Pretreattnent Unit(explain) B' ❑ Holding Tank ,�In-Ground ❑At-Grade ❑Mound ❑Individual Site Design ype p ❑Other T (ex lain) (conventional) C• ❑ Renewal Befo�e ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner ��ous Permit Number and Date lssued E�cpiration � � `b7'O rj 6 l�Y I� iV.DispersaUTreatment Area and Tank Informafion: Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation 300 7 428.6 5302 96.75 Capacity in Total #of Manufacturer Tank InfoRnation Gallons Gallons Uniu p � o � � New Tanks Erzisting Tanks � c aU, " Y ,n � � �. o " � a U �n v� i�. C7 w Sepiic or Holding Tank pp 00 1 kaw Dosing Chamber 750 50 1 ieser V.Respoosibility Statement- I,the nndersigned,assume responsibility for iostsllation of the POWTS shown oa t6e attached plans. Plumber's Name(Print) Plumber's Signatur MP/MPRS Number Business Phone Number Gerald Froemel 950111 715-558-1 l38 Plumber's Address(Street,City,State,Zip Code) 13502W Frcemel Rd Hayward,Wi 54843 VI. o tyJDepartment Use Only �A ve ❑Disapproved sermit Fee Date Issued Issuing Agent Signature ��n/ ❑Owner Given Reason for Denial (�� I a�I a o� � Conditions of ApprovaUReasons for Disapproval `� � r`r;i �� r. s7�-,5-- �.� � , io � �� j �a . ��_� ��; ►, �u'� �� I �� , �� __;��._ � L _. �� .� OCT 2 0 2022 -� 3q i�r �� .-. � S � �� N� �r Icl ------ - , — o�. � sA'�,,f::�t-, . -.. ZOM�1��;f_::v�:� ptqch to complefe plaes for t6e sys aed sabnit to t4e Coasty oely on paper not less than 8 l/2 i 11 iechcg in size CS � � � — �a—� NO R�FtJNDS AFTER H a 3 3 7 SBD-63 (R 03/21) ��C OF PEHMIT Russell 8� Laurie Keys Property Owners Name 12809W Atherton Rd Property Address 00 4838023401 Tax Parcel Number Sawyer County SE/SW Gov Lot or Qtr-Qtr/Qtr S2 Section T38N 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 F�oemel Plumber's Name Plumber's Signature 950111 Plumber's License Number 715-558-1138 Plumber's Phone Number 10/20/22 Date Not an endorsement,written or implied for the folbwing 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),Infiltrator Systems,ADS Products,Polylok Inc.,Orenco Systems Inc.,Simlfech Filter Inc.,Sta-Rite Industries, Page 1 of 7 In-GromM Soil Absorplian 580.1070SP(N.01lOt)Version 2,� Component Manual Used 2 Number of Bedrooms Percent Slope(%) 102 Depth to Soil Limiting Factor(in.) 0.7 In Situ soil application rate 200 Estimated Wastewater Flow(gpd) 300 Design Wastewater Flow(gpd) 1 Number of System Elevations 96.75 Proposed System Elevation#1 Proposed System Elevation#2 Proposed System Elevation#3 Original Grade#1 100 ,Finished Grade#1 Original Grade#2 Finished Grade#2 Original Grade#3 Finished Grade#3 Infiltrator Quick 4 Standard Chamber Type 15 Height of 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.) 26 Proposed Number of Chambers Used 428.6 Minimum Distribution Cell Area Re uired(sq.ft.) 530.2 Distribution Cell Area Proposed(sq.ft.) Fr�sr;y S/C-.. 9G'YJ !* 4x.fTy 7SDv<<i�� P.T V�9— SepticTank OS@ an ('rfapplicable)� � Lifetime Effluent Filter ••select only rf NOT using combo tank Soil Boring Surtace Depth to Lowest Highest System Number Grade Limiting ElevaSon Eleva6on Elevation Elevation(ft.) Factor(in.) Acceptable 1 100.75 102 9525 99.50 TRUE 2 100.25 102 94.75 99.00 TRUE 3 100.80 110 94.63 99.55 TRUE 4 �99.83 102 94.33 98.58 TRUE 5 Page 2 of 7 c,� e r : � (Zu s21 � � l,a� r�e �<e� c��,�e._- Co . � C'o � cle�7 "' � ( z$oq w � -�1�e�o� R� �' � ►.► : Ob`-i — 938 — oZ. — 340 { Crs c1�.er�-7 , �.c� l 5 `� 8 ZS SE/s w� s w/s�J � O 2- T 38 r.� f� 0 8 �-t� Lof Z Csl�'J Z3�z3a � 6�{3g �{-o z��10 .��ker�o� fLcl . _.--� �-o z,�za -3� t z 8 oqLJ p�� QpcJ .{ l � . . � �°�"�c s.�a�� ' +, L N �� ` ' T— �— �.—1 �_ x d� Peh � � �x zhd 6�� -�So � — � PT \ — — oo , \ geb � s'� �4-f �, 8r`t c�o i � o-� t�2 (,� � 1 i0b .�5� Z 1, Db. Z.S� � 3 �oo.�° \ � �tq. B3� e�`�n� qWS � 41 So� �s S�s`�. �� . a b-t5� � ��,,.�r `� �� / , �X ST o �� 6 . 1 � IT Q1k. 92,3 N i_� S�..a�.e � �f y �l � �'-fi��P 1'� j' -�'l// c w zo ao �o Cres� Secticn of c �wc Ceii In Ground Ccmpore�- Using Leachinq Chember� Obs/ervo!fo�/Ve�t Pines / \ 100.�0 Fnshed Grade - - � --�--- - --- � Fira4ied Grade—� '' e _ - �� . Cell§eperatlon � _ 3 �: Original Grada- -�_ �y� ', x Rhig�l Grade� 9H.00 Tap oF Chanber � '� 'Top o(Chartber 98.00 _' _f$ J' • . �" .''__ 96.75 System Elevaem '• .. .. _system Elevation 96.75 ' � •.Yreatr.,en:�pnd'Dispe�sal Zo�e• � ' - '.—.• .. .• •' .. . . ._'____ . Limiimc Factor Observa:-o�/Ve�: piPes to be consncted and capped w��th opproved motenals for the particuloi use. Dia rams Not To Scale ---- __ _ _ _ __ �� !� � a��—�iws`w.�`�r��'�r'��►'�.�w.�'�'�ww/ __..._.--� I .. � -_._.....__.___.. � � I 1 � I !�ri��l�r�'.riY�wMar,��K_��►�,��w��,r. 1 ��+�� '�� bservffiion/Verrt Pipes to be located 1I5 to i/10 the length of the distrution cell measured from the end of the cells Page 4 of 7 ♦D[1��V'd YM��Nn �.nVC9 N�tn M.�- --- p••d LM'Mi•.^y n.v�Ce � 4" M�r. P'Jove n••p1 C•M_e \ j �� Weothv Prpo1 ,kMctid+ 6ox 1 \ / E�lth�G p!( NEC 300 A[ C�MMM. 4' $ch. 4p Vent � j !6.29 Wer > w = to 72" �, Abo�e Finol Grode y D'ocon Aitematc Outlet locotion W/ApproveO 1' Sleeve Inlet ��.>7^� Facer�o Demeler(n.) 2 �iret me — 7J� BaN� EXlfyi�n Hde w Mti Sphm Device SkN� �� A ' , �. 1 � D 20 Flow in GPM 5 Vertical Difference Between Pump Off and Inlet to Chamber 100 Length of Forcemain(ft.) Inches Gallons 2 Forcemain Diameter(in.) A 5.1 200 0.92 Friction Factor per 100ft. B 2 40.56 0.92 Friction Loss C 3.8 76.30 5.92 Total Dynamic Head D 21.4 433.14 TOTAL 32.2 750 5 Number of Doses per Day 60 Gallons per pose(Not to exceed 20°k of Daily Design Flow) 16.30 olume of Forcemain Backflow 76.30 otal Dose Volume 750 Pump Tank Capacity(Gallons) 2028 Pump Tank Volume (Gallons/Inch) celler 98 Pump Type 20 Minimum Discharge Rate(Gallons per Minute) SJE Rhombus-Tank Alert 1 Alarm LL HEAO CAPACRY CURVE � MODEL"9B" 1/2 HP 25 2(1 /5 10 5 0 0 10 20 30 AO SO 60 70 80 Russell & Laurie Ke s 12809W Atherton Rd 4.84E+09 Number of Bedrooms 2 Septic Tank Wieser 840/500 EStIR18t2d FIOW(average)gallons/day 200 Effluent Filter Lifetime Design Flow(peak),(estimated x�.5)gaVday 300 Pump Tank Wieser&401500 Soil Application Rate gaUday/ft� 0.7 Pump Type Zceller 98 Influent/Effluent Quality Monthl Average Fats, Oil & Grease (FOG 30 mglL Biochemical Oxygen Demand (BODs) 220 mg/L otal Suspended Solids (TSS) 150 mg/L !!NOTE!! Servicing frequency of 12 months or less requires the Management Plan be recorded with the Register of Deeds. Maintenance Schedule Service Event Service Prequency Inspect condition of tank(s) At least once every 3 Year Pum out contents of tank s) When combined slud and scum = 1/3 of fank volume Inspect dispersal celi(s) At least once every 3 Year Clean effluent fitter At least once every 3 Year Inspect pump, pump controls 8 alarm At least once every 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 identity any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check tor 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 sludge and scum in any tank equals 1/3 or more of the tank volume, the enbre 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. Start-Up and Operation 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 heatment 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 infiRrative surface. Page 6 of 7 Do not drive or paric vehicles over tanks and dispersal cells. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the Iife 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 haken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance witli Wisconsin Administrative Code SPS 383.33; -All piping to fanks and pits shall be disconnected and the abandoned pipe openings sealed. -The contents of a��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 void space filled with soil, gravel or another inert solid material. Continqencv 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 soil and site evaluation shall be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be instalied to replace the failed POWTS. A suftable 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 sWctures, 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 replacement area is not available due to setback and/or soil limitations. A holding tank may be inshalled to replace the failed POWTS. ��WARNING!! Septic, pump and other Veatment tanks may contain lethai gasses and/or insufficient oxygen. Do not enter a septic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person from the interior of a tank may be difficult or impossible. POWTS Installer Septic Pumper Name Gerald Frcemel Name Scott Poppe Phone# 715-558-1138 Phone# (715)634-1450 POWTS Maintainer Local Regulatory Authority Name Jays Septic Agency Sawyer Counry Zoning Phone# 715-558-1138 Phone# 715�34-8288 Page 7 of 7 /;`'''"`-"E^'.�;�,.y PRIVATE ONSITE WAS�'E TREATMENT county �='� o$ j�'� SYSTEMS Sawyer �� p `:�ry�_S�� ( POWTS) \>'�s,°=�''`' INSPECTION REPORT sanitary Permit tvo: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION � _3 d� Personal infonnation you provide may be used for secondary purposes[Piivacy Law,s. L5.04(1)(m)] Permit Holder's Name: ❑City ❑ Village (�Town of: State Plan Transaction ID#: �ts5��` �-�.,ci e, � Ca-c� — Insp BM Elev: BM Description: Parcel Tax No: (oo.�o` � �� -<< �Y�83�- b�-3Y� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic � p Benchmark �vp,p� Dosing - -� _ -x-D � Aeration Bldg. Sewer Holtling St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG vENrro ROAD Dt Inlet AIR INTAKE Septic NA Dt Bottom Dosing NA installation Contour Aeration NA Header/Man. 5"��S'r Holding Dist. Pipe PUMP 151PHON INFORMATION Infiltrative Surface ��r Manufacturer Demand Final Grade ModelNumber GPM �%!�i �. Q`�'�37i 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 o Aggregate �,� I� INFORMATION P I L Bldg Well Waters � IGP J� Chamber ❑ AG ❑ EZFIow Model Number: CELL TO .}-S� .�-Y� �� .}-�o p' ❑ Mound o Other �y� - -- — �-- - - - - -_ ---_ _- - DISTRIBUTION SYSTEM X Pressure Systems Only - --- — _------ - - Header/Manifold Distnbution 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/Soddetl Mulched Cell Center Cell Edges �opsoil _ � ❑Yes ❑ No ( ❑ Yes ❑ No 1 COMMENTS: (Include code discrepancies, persons present, etc.) �-�ns�� °�a6 I �� l9ceof,��G�(,S o'�ly ( Plan revision required?❑Yes ❑ No ^ b 3 c3 �� __� _ ] �� Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A��ITI�NAL COMMENTS AN� SKETCH SANITAAY PERMIT NUMBEA� �-�- �3�k ^�� l 1� � �U p W.� � � � � � J ��,�� -� �5.�-? ,�q�°� �i� ` d\ 4�� - u �.��" `� �l QY+ \ � /�� f, L— �� ! \ � ' � � � � � , � _ �_ � . __. , _ _ ' �' ' ; �� , ,. . ;..._ ;._ : . ._ __ _ ; . �� , t � - 5� 11' � �� I �� W �� '7 . � 6�� ` I`1 V✓�P\ �./ I r.Dl-- �----