HomeMy WebLinkAbout002-840-29-5607-SAN-2022-321 Industry Sen ices Division County �y
� 4822 Madison Yards Way Sawyer �
: .,_' -. Madison,WI 53705 Sanitary Permit Number(to be tilled in by �
f P.O.Box 7302 3�Q
Madison,W I 53707 �L' �3� Q�
R�
Sanitary Permit Application State Transaction Number �
.._- �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit
is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing; �"
the Department ofSafeR and Professional Services.Personal information you provide mav be used for secondary 7693N Kidds Rd. Ha ard WI
purposes in accordance with the Privacv Law,s. 15.04(1)(m),Stats. � ,
I.Application Information-Please Print All Information
Property Owner's Name Parcel#
Christopher & Debra Munley 002840295604
Property Owner's Mailing Address Property Location
1037 Ravenwood Rd Govt Lot 6
City,State Zip Code Phone Number
Boulder, CO 80303 952-201-5048 '%, '�, SeC���� 29
II.Type of Building(check all that apply) Loc# T 40 N R �$ E or�
�I or 2 Family Dwelling-Number ofBedrooms 5 `Z Subdivision Name
Block#
❑Public/Commercial-Describe Use
�City of
�State Owned-Describe Use CSM Number �Village of
10/119 #2148 ❑✓ To��nof Bass Lake
IIL Type of POWTS Permit:(Check either"tiew"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C i
a licable.)
A� ew S stem Re lacement S stem Other Modification to Existin S stem ex lain Additional Pretreatment Unit ex lain
Y � P Y � B Y ( P ) ❑ ( P )
B' �Hofding Tank �In-Ground �At-Grade �Mound �Individual Site Design Other Type(esplain)
(conventional)
C. �Renewal BeYom �Revision Chanee of Plumber �ransfer to New Owner List Previous Permit Number and Date Issued
Expiration NA
IV.Dispersal/Treatment Area and Tank lnformation:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(st) Dispersal Area Proposed(st) System Elevation
750 0.7 1,071 1,098 92.50
Capacity in Total #of Manufacturer
�
Tank[nformation Gallons Gallons Units p U v �„ �
Ve�v Tanks E�ictine Tankc ` � u `� y =' =
aU v � v: [i. 0 —
Septic or Holding i ank 1645 1645 1 Wieser ✓
Dosing Chamber � � �
V.Responsibility Statement- [,the undersigned,assume responsibility for installation of the POWTS shown on the attached pl�ns.
Plumber's Name(Print) Plumber's Signature MP/MPRS Number Busincss Phone Number
Jason Kuettel �.�-�-�— 675751 715-798-3355
Plumber's Address(Street,Ciry,State,Zip Code) ,s �
PO Box 66 Cable, WI 54821 �
VI.Cou ty/Department Use Only
�. pro�e ❑Disapproved Permit Fee Date Issued Issuing Aecnt Signature
/��_i $�J� � �1 ` � J�.� f�l�t.ti�,C��,2Z�iu�
l��� ❑Owner Given Reason for Denial ( �
Conditions of Approval/Reasons for Disapproval
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A[ta o complete plans for the s tem and submi[to the County only on paper not less[han 8 I/2 �l'if}fEhe i � �`.''``'-"-•''��11�'
��{C =Sa�►oI7 t��,�,..,4.51-� NO R�FJNDS AFTER ���? �
SBD-6398(R.0 I$SI�E OF f�E��NI'f
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
in-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Munley 5 Bedroom
Owner Name(s): Christopher & Debra Munley Phone: 952 _201 _5048
Owner Address: 1037 Ravenwood Rd Boulder, CO Zip: 80303
Project Address: �693N Kidds Rd. Hayward, WI 54843
Govt. Lot: 6 1/4 of 1/4, Section 29 , T40 N-R�$ E❑or W ❑✓
Township: Bass Lake County: Sawyer
Project Parcel ID #: 002840295604
Designer Information
DesignerName: JasonKuettel Phone: �15 _798 _3355
Designer Address: PO Box 66 Cable, WI Z�p: 54847
E-mail: tim@andryras.com
License Number: 675751
Remarks:
j
Signature: �� Date: Jo/z��z�z�-
Original s' n ure required on each submitted copy.
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Septic Tank(s) Manufacturer:
IN-GROUND GRAVITY DISPERSAL AREA wieser
Uniform Elevation Trenches with Quick4 Standard-W Chambers SepticTank(s) Volume(s):
3-ft Trench (down-sizing credit) 1645
, gal gal gal gal
Effluent Filter Manufacturer.
Orenco
� � Effluent Filter Model #� FT-OHZZ
min. 12„
SOIL COVER (typlcal)
12.,
min.trench
dePlh �� TYPICAL TRENCH
(typlcal) •'. •
— -� �— . -' �� �� ��°�:a� � •. CROSS SECTION VIEW
F`— 3` �� � �°� �� � (No Scale)
��YP�r,al) ';'a . .
w . a ,. . a.
. • •' Provide minimum 3 ft
System Elevation = 92•50 ft separation between trenches.
(typical)
Quick4 Standard-W
w/ End Cap Observation Pipe TypICAL TRENCH
(typical) (Show location of inlet / outlet pipe connection on plan view.) (rypical)
Install per manufacturer's PLAN VI EW
instructions. �NO SCB�e�
� - - - ��.��- - - - �� - - - - - - - �� - - - - - - - - - �
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I o , . I A = 3.Oft
,
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B = �� ft � G�
— m
(ty�pical) Quick4 Standard-W Chamber W
(typical) O
INSTALL PER TRENCH: (mtd by �nfi�t�ato�systems, �nc.) �
Install pursuant to manufacturer's instructions.
� $ Quick4 Std-W @ 20 f� EISA/chamber = 360 {{Z -p
+ � Pairs of end caps @ 6 ftZ EISA/pair = 6 ft2
= Proposed EISA per trench = 366 ftZ Required Infiltration Area = 1 �71 ft2 Distribution Method:
x 3 trenches = Proposed Total EISA = � 098 ft= branched manifold
RESET
PAGE40F4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-354,Wisc.Admin.Code. Pursuant to SPS 383.52(2),Wisc.Admin.Code,this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore,all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52(3),Wisc.Admin.Code.
Maximum Dispersal Area Oqeratinq Limits:
Design Flow= 750 gpd; BODS_<220 mgL''; TSS<_150 mgL-'; FOG<_30 mgL"'
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors(i.e.odors,user complaints,etc.)
o mechanical malfunction(i.e.,pumps,valves,switches,floats,etc.)
o material fatigue(i.e.,leaks,breaks,corrosion,etc.)
o solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s)(i.e.,distribution/drop boxes)
o neglect or improper use(i.e.,exceeding design capacities,prohibited activities,etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities-if applicable(i.e.,pump re-cycling,float switch settings,etc.)
o electrical components-if applicable(i.e.,wiring,connections,switches,controls,timers,alarms,etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
o Septic and dose tank(s)shall be pumped by a certified septage servicing operator licensed under s.281.48 Wis.
Stats.when the volume of solids in the tank(s)exceeds one-third(1/3)the liquid volume of the tank(s)or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc.Admin.Code.
o Effluent filter(s)shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc.Admin.Code. Report any component failure or malfunction to:
Name of individual or company: Andry RBSmUssell &SOIIs, IIIC Phone: 715-798-3355
Local government unit: SaWyef COullty Z011lllg Phone: 715-634-8288
Local government unit address: 1061 O Maln St. #49 Haywal"d, WI ZiP 54843
Any defective part of this system shall be repaired,replaced,or removed pursuant to SPS 353.51(1),Wisc.Admin.
Code.Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc.Admin.Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384,Wisc.Admin.Code.
Contingencv Plan
In the event that any failed treatment component of this POWTS cannot be repaired,it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued,it shall be abandoned in accordance with SPS 383.33,Wisc.Admin.Code.
caenerateU py PDFKit.MET Evaluation �� �1
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� W�constn Department of Commerce SOI ALUATION REPORT P89B?a�1
Dlvlabn of Sefey end BWWings
In accwdance wNA Canm B5,Wis. Adm. Cafa
�y SAWYER
Atla�h mmplete aite plen on paper not lass than 8 1@ z 11 inches in sha. Plan must
Incfude, but � Ilmlted to: verlMal and horliontel �eference polnf (BMj, dtredlon and p��.p, 002840295604
parcenl slope, xale a dlmenalone,nuM errow, and loeatbn end melanee lo nearest
roed. P/g888 pIIllt eI1If1/Olf118dOI1. ReWewad by Data
Penmd hdomiaHon you pmvWe may Oe ueeA for seaoMary pueposss(PMecy Lew.�.15.00(t)(m)} � � �_ �Z' a�
Property Ownar�an� PropeM Locatlon C� C�
Cke►Iie�Nolan a, _ � GwL Lot 6 1/4 1!4 3 29 7 40 N R B E(or)W
Pmperty Ownerc Ma1Mp Add Lot# &adc p Subd.Name ar CSkIN
2935 Willow Farm Road 2 CSMg2148,vo1.10,pg.i 19
Ily Slale ap Code PAone Number (' Ctty ('VNlaqe (�1Town Nearesl Road
Medina MN 55340 Bass Lake Kidds Road
� NOw Conshudlon U99: � R6aWentlal/Nmnbar ol bedrooms 6 Coda derived desipn flow rele 900.�0 GPD
� Replacemenl � Pubfic a canme�cWl.Desalbe:
Parent mateMal GI8CI81 TIII Flppd plah�elevayon y appltppte N/A �ry,
General eommenb end�eeommendatlam:
Non-Pressurized In-Ground System Soil Loading Rate: 0.7/1.6 gpd/ft2 System Elev. Range: 91.50-95.42 ft
� C� Baing
�9* (: an G�ound aunaee ete�.96.42 ft Deplh lo BmHtng fac[or 95 tn.
Sa7 App6catbn RaSe
Haizon Depth Danlnent Cola Redwc Dasctlptlon Te�Aure SinieWra Cansistence Baundery Rods GPDflh
In. Munsell Qu.Sz. ConL Cdw Gr.Sz.Sh. 'EftMt 'ERp2
7 0-8 10YR3l2 Is 2fgr mvir gs 2fm 0.7 1.8
2 8-28 t0YR4f4 Is 21gr mvfr gw 2f 0.7 1.6
3 26-54 7.SYRM4 s Osg ml g�v if 0.7 1.8
4 54-95 7.5YR5l4 grs Osg ml 1f 0.7 1.6
Commenls: Rools l0 75"(c1 cantent tot H4 Is 15-20%)
2 gering g � BoA�
(� P�t Ground suAece etev.96.67 ry, Depih to Wnitlnp(adw98 �^. 5 ApPlketlon Rate
Horizan Deplh Daminant Cotor Redox Oescripllon Texture Strueture Consislence Boundary Roots GPD/W
in. Munsell �u.Sz Cant.Cdw Gr.Sz.Sh. 'Eflk'1 'Efd�
1 0-8 10YR312 Is 2fgr mvfr gs 2t 0.7 1.6
2 8-17 10YR414 Is 2(gr mNr gs 21 0.7 1.6
3 17-51 7.SYR4l4 s Osg ml gs 1f 0.7 1.6
4 51 •98 7.SYRSl4 s Osg ml 11 0.7 1.8
Comments: Roots 10 7T
'EMuent qt=BOD�30<y�0 mgll end TSS>30< 160 mglL 'EfRueM#2=BOD.'30 mplL and TSS< 3p mglL
CST Narrte(Pleaee Rlnt) Ign u CST Numbet
Ronald A Spreckels 1r � 226688
q��yy ate Evalua8on Conduded Telephone Nanber
9205N Stare Road 27,Hayward,WI 549a3 oH/�v /07 (715)634-8250
CIiC n n o . 3
veneratea tiy NufKn.t�eT evawauon �
prope,ry pwner Charlie Nolan Parcel 10#002840295604 peee z � 2�
❑ ��9# � B� .
� ph Gramd suAaee elev.96.50 fl p�p�ro GmNmg tadv 96 in-
P
Hafmn peplb pomtnant Cobr Redox Dacc�iptlan Te:lura SVudure Cmsislence Baundery Rooffi GPOA6
In. M�aqep Qu.Sz Conl.Cabr Gr.Sz.Sh. 'ERp1 •EHIl2
1 0-7 t0YR3l2 Is 2fgr mvlr ps 2Nn 0.7 1.8
2 7-20 t0YR4l4 Is 21gr mv(r gw N 0.7 1.6
3 ZO-53 7.SYR4l4 s Osg ml gw 1f 0.7 1.6
4 53-88 75YR514 grs Osg ml ii 0.7 1.6
Cdnmenb: Roots l0 78'(d ta H4 is f0-15Ye)
❑ ��9� (�' Boring
C� Ph Gramd sa��elev. ft. Depth to Gmiling(adar in. Sal Apptl�tion Rete
HmFxon DepN Dominant Color Redox Desaiptlan Teulure Slruciure Canslsle�e Boundary Rood GPDflh
(n. Munsell Qu.Sz Cad.Caor Cx.Sz.SA. 'EtHlt `Eff#2
Cammnnta:
❑ B�9� �' Borinp
� Pft Ground surlace elev. H. Depth to timiting feetor �n. So11 qppti�sllrn Rata
Horizm Depth Dominant Ccta Redoz Desuiptlon Texture Sl�ucture Care�tence Bwndary Roob GPDA6
In. Munsell Qu.Sz. Cont.Cotor Gr.Sz.Sh. 'Eflp1 •Eft#2
Commanta:
'EfAuenl qt =BOD >30<�0 mglL end TSS>30< 150 mglL 'EMuent#Z=BOD s<30 mglL end TSS< 30 mgl�
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Thc Deperbnent of Commerce is an equel opportunity service provider end employer. Ifyou nad euis�ence W access services or
need materlal In an alternate format,please contact the department at 608-266-31 St or TTY 608-264-W 77.
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Owner: G1n�cl:t_ t�lolen SoilTcster: }��„al� !� SorrcKe�S �r
Syitem Elevation: Lad Rate: a� System Range:4l.SO to Q��
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10/28/22, 1:15 PM Real Property Lis[ing Page
Redl EStdte Sawyer County Property Listing PropertyStatus: Current
Today's Date: 10/28/2022 Created On: 2/6/2007 7:55:06 AM
�'Description Updated: 3/26/2020 '� Ownership Updated: 6/7/2021
Tax ID: 2401 CHRISTOPHER�DEBRA] MUNLEY BOULDER CO
PIN: 57-002-2-40-OB-29-5 OS-006-000040
Legaty PIN: 002840295604 Billing Address: Mailing Address:
Map ID: :6.4 CHRISTOPHER&DEBRA) CHRISTOPHER&DEBRA]
Municipality: (002)TOWN OF BASS LAKE MUNLEY MUNIEY
STR: 529 T40N ROSW 1037 RAVENWOOD RD 1037 RAVENWOOD RD
BOULDER CO 80303 BOULDER CO 60303
Description: PRT GOVT LOT 6 LOT 2 CSM 10/119
#2148
Recorded Acres: 6.810 w Site Address * indicates Private Road
Cakulated Acres: 7.166 7693N KIDDS RD HAYWARD 54643
Lottery Claims: 0
First Dollar: No l.� property Assessment Updated: 9/13/Z012
Waterbody: �ac Courte Oreilles 2022 Assessment Detail
Zoning: (RRi) Residential/Recreational One Code Acres Land Imp.
ESN: 445 G1-RESIDENTIAL 6.810 486,000 0
�� Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change
1 State of Wisconsin Land: 486,000 486,000 0.0%
57 Sawyer County Improved: 0 0 0.0%
002 Town of Bass Lake Total: 466,000 486,000 0.0%
572478 Hayward Communiry School District
001700 Technical College �
�t'J�'Property History
+ Recorded Documentr Updated: 6/7/2021 N�q
WARRANTY DEED
Date Recorded: 6/4/2021 432356
WARRANTY DEED
Date Recorded: 12/31/2007 351064
AGREEMENT
Date Recorded: 12/21/2005 335884
CERTIFIED SURVEY MAP
Date Recorded: 6/6/1984 191573
https:lllas.sawyercountygov.orglsystemlframes.asp7uname=Eric+Wellauer ���
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