HomeMy WebLinkAbout024-841-13-5415-SAN-2023-144 ' ` 9 �'Y�' Department of Safety c°°"ty �
=� • �!?/ 7.� & Professional Services, sc�w e T' y
, =r= : �' I Sanitary Permit Number(to be filled in b} ; �
� ,� Industry Services Division
. �'� �'3� I 7�, �
State Transaction Numbcr �
Sanitary Permit Application Pv�-o623�1�$q c '-
In accordance with SPS 38321(2),Wis.Adm.Codc,submission of this fortn to the appropriate govemmental unit �
is required prior to obtaining a sanitary permit.Note:Application forrrts for state-owned POWTS are submitted to Project Address(if different than mailing a �
the Department of Safety and Professional Services.Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law,s. I 5.04(1)(m),Stats. � � ���J� ,�,n.. N -Sr'+o �ZC�
I.Applieation Information-Please Print All[oformation
Property Owner's Name Parcel#
c` n� � r' � � r' U a�-f-- $4 I- 13 S�//S _
Property Owner's Mailing Address Property Location
G a E c,o�c.[,oc__�
City.State Zip Code Phone Number �
a o s 1 and� = L- (p 1 S�/5 �;___.,�Section __ � 3
II.Type of Building(check all that apply) Lot# T y� N R B �o
�1 or2 Pamily Dwelling-NumberofBedrooms -1 p1 Subdivision Name
Block# '—
❑Public/Commercial-Describe Use
❑City of
❑State Owned-Describe Use_ CSM Number ❑Village of
CSM � 33q(� �r�w„or i�o,,�a L�Ke ___
vo�. �3 p 3"11
III.Type of POWTS Permit:(Check either"New"or"ReplacemenY'and other applicable on line A. Check one box on line B.Complete line C i
a licable.
"a �New S stem
y ❑ Replacement System ❑ Other Modification to Existing System(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank ❑ In-Ground ❑ At-Grade �Mound ❑ Individual Si[e Design ype( p )
❑Other T ex lain
(conventional)
C• ❑ Renewal Before �Revision ❑Change of Plumber .ist Previous Permit Number and Date lssued
❑Transfer to New Owner
Expiration �jc.(l.n �r P�:`� •��-l�a-
IV.DispersaUTreatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Reyuired(s� Dispersal Area Proposed(s� System Gevati n
(,000 �.c� 3oO 3U� `�"7'.O`a �eipv.
Capacity in Total #of Manufacturer
`:
Ga(lons Gallons Units � o � v
Tank Information .n v ;;
New Tanks Existine Tanks � o a; F � � ca �
Go M b� �. � � � � �. � �.
Septic or Holding Tank � �S b — �a � r
Dosing Chamber 75-� — 75U
V.Responsibility Statement- t,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name(Print) Plumbers Si nature MPlMPRS Number Business Phone Numbe�
Utr-o.�d Fr-or�•e � `� 9 S0� 1 � ��S~SS S -1 � 3 S
Plumber's Address(Sueet,City,State,Zip Code)
/ 350a.W Fr�erne ! �d 1-�4ywa�, W� .Si-13�13
VI.Coun /Department Use Only
�Ap Fo� d ❑Disapproved Permit Fee Date Issued Issuing Agent Signature
$
❑Owner Given Reason for Denial � �
Conditions o�Approval/Reasons for Disapproval ��� � �
'� � I �
� � �"�r.�t �� a�La3 ���V��
�.: :� D
� ��� �� ._ � �'�.�� �.t,k# i�`a L 1 2 2023
� _ JU
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C� �� - o�� _ _ _ _
��,WYER C�IJNTY
ZONiNG ADMINISTRATION
Attach to complete plans for the system and submit ro the County only on paper oot less than 8�2 x l l inches in size �
I�0 RiFUNDa AFT�� �� ��
sB�-639g�x.o3i?a� ��fi]�— ��.5�. ��UE pF P�FiN17
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, '��`•\N I\1/t%....
Wisconsin Depar[ment of Safety and Professional Services Phone:608-266-2112
Division ofindustry Services �\ , , Web: �i u�
4822 Madison Yazds WaY -` a = Ema�l --.,. _,
PO Box 7302 ' � '�
Ntadison,w153707 ,, - Tony Evers,Govemor
'k% � Dan Hereth Secretary
,,,�.�;�.., - �
1Une 29,2023 c����rtr�n�ny
APPROVED
nFev pF SAFETY AND PROFESSIpNAL
CONDITIONAL APPROVAL seRvscFs
01�4'1=;iC?N OF IN7U`,;RY SF-f . ._-
PLAN APPROVAL EXPIRES:2025-6-29 a���, ��a.,."'�
Plan Review: PWTS-062301289-C
�,--f ���-r_c�,�..,�,�:_�
_ - - -- -
Gerald Froemel
13502 W Froemel Road
Hayward,WI
SITE: � r-``.,
�•
Chandler ��������` � � `
l� J� �� � �;� ��''1 i .
,i '_'� `��=-���=�--c--r;`.
11257N Sun-N-Sno Rd r� � �
�� J'JL 12 2023 �� :;�
Sawyer County �
Town of Round Lake
S13 T41 R8W 5Ai/r/`�'ER ^vCU+�TY
ZONIPIC ADMIN�STRF`T�ON
FOR:
Description:4 Bedroom-600 GPD—24"to GeoMat Mound Manual—(May 2022-2027)
limiting factor—Effluent Filter- Pressure Distribution Component Manual—Ver.
Maintenance required 2.1(May 2022-2027)
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes.The submittal has been CONDITIONALLY APPROVED.This system is to be constructed and
located in acco�dance with the enclosed approved plans and with any component manual(s)referenced above.The
owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements.
No person may engage in or work at piumbing in the state unless(icensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
• If using the existing septic tank,it must be inspected for watertightness and structural soundness,size and
baffles,and must be brought into conformance with the requirements of ch.SPS 383,Wis.Adm.Code.
• The mound site shall be properly prepared prior to plowing.Any grasses longer than 6"shall be cut short and
removed.To avoid matting,any leaves or loose organic matter shall be raked up and removed.Cut trees and
shrubs flush to the ground and leave stumps.Avoid operating equipment on the mound site.If necessary,use
only tracked equipment,during dry conditions,with minimal passes,to avoid compaction.
• 12"of sand shall be installed between the contour and the bottom of the GeoMat produd.
• Orifice Shields are required.
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requiremenu of Sec.145.19,Wis.Stats.
• Inspection of the private sewage system installation is required.Arrangements for inspedion shall be made with
the designated county official in accordance with the provisions of Sec.145.20(2)(d),�s.Stats.
• A state approved effluent filter is required.Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the fiiter is required.
• A coav of the aoproved olans,soecifications a�d this letter shall be on-site durin¢construction and o en to
inspection bv authorized reoresentatives of the Deoartment which mav include local insoectors
Owner Responsibilities
� The current owner,and each subsequent owner,shall receive a copy of this letter.Owners shall also receive a
copy of the appropriate operation and maintenance manual�s)and be responsible for ensuring that POWTS is
opereted and maintained in accordance with this chapter and the approved management plan under s.SPS
383.54(1�.
• In the event this soil absorption system or any of its component parts maifundions so as to create a health
hazard,the property owner must follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes.Reports shall be submitted at intervals appropriate for the component�s)utilized
in the POWTS.
In granting this approval the Division of Industry Services reserves the right to require changes or additions should
conditions arise making them necessary for code compliance.As per state stats 101.12(2�,nothing in this review shall
relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any
others who are responsible for the installation,operetion or maintenance of the POWTS.
Sincerely,
.J"d�u,ca�2o�ul�y
Joshua Rowley
POWTS Plan Reviewer,Division of Industry Services
(715)813-9111 jo�hua.ruwieyLd,wtSccruir.Kov
GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
INDEX AND TITLE PAGE
Owner fnfo
Project Name: Chandler-Sun-N-Sno Rd
Owners Name Brandon &Carissa Chandler
Owners Address� 3451 CR 625 E
Foosiand, IL 61845
Property info
Property Address: 11257N Sun-N-Sno Rd
LegalDescnp6on S 13 T 41 N R 8 W
Township Round Lake County: Sawyer
Subdivision Name:
Lot Number 2 Block Numbec CSM# 3396
Parcel I.D. Number: 024-841-13 5415
Plan Transaction No..
Index Pages
Page 1 Index and title Page 9 Tank cross sections
Page 2 Data entry Page 10 Site Diagram
Page 3 GeoMat mound drawings
Page 4 Lateral and dose tank
Page 5 Distnbution media
Page 6 System maintenance specfications
Page 7 Management and contingency plan
Page 8 Pump curve and specifcations
Gerald Froemel License Number 950111
Date 05/1923 i�%2 J Phone Number (715) 558-6472
Signature �''��
Designer Stamp: State of Wisconsin Approval Stamp:
^.rp� r-
DI�715;"= .. . , .
Oesignetl Pursuant[o the �.�i�� /Ce+��
GeoMat Mound Component Manual 5N8/22
SSWMP Publication 9.6 Design of Pressure Distnbution Nehvor7cs for ST-SAS(01/81}and
Pressure Disinbut�on Component Manual Ver-2.1 (May 202s1�=ZD'27) ""' "?"�"'`E
Page 1 of 10
Residential Application
INDEX AND TRLE PAGE
„cdi e;.
Project Name: Chandler-Sun-NSno Rd
____ _ __ _ __---..._---
Ownets Name: Brandon&Carissa Chandier
_ _ .___ ___-- ___ ____ _.---__.__.
Owners Address' 3451 CR 625 E
_
Foosland, IL 81845
Property Address: 11257N Sun-N-Sno Rd
___ __ _ ___._
Legal De�cr.ption: S �3 T 41 N R 8 W
Tovmship Round Lake County: Sawyer
Subdivision Name: . - -----
_ _ . _ _ _ _ __
lot Number: 2 Bbck Number CSM# 3396
Parcei I.D. Number. Q24-841-73 54i5 -__.__ _-----
_ __
Plan Trensaction No.:
Page 'I Index and title Page 9 l'ank cross secCons
Page 2 �ata entry Page 10 Site D�ram_.------
Page 3 GeoMat mound drawings
Page 4 Lateral and dose tar,k
_ _ _ __-- --
Page 5 Dishibution meCia
Page 6 System maintenance specifications �
Page 7 Management and contingency plan
_ _- --.—__----
_ .— —____
Page 8 Pump curve and specifications
Geratd Froemel License Number: 950111
--
Date: 05119Y23 Phone Number �15�_558-5472
Signature��i�%�Z�
Designer tamp: State of Wisconsin Approval Stamp:
Desgned Purouarrt ro the
c;eoMat Mound Component Manual 5/18/22
SSWMP Publicatlon 8.8 Design of Pressure DistribuBon Networks for ST-SAS(D1/81)and
Fressure Distributlo�Component Manua�Ver.2.1 (May 2032-2027)
rage i or 10
y�
Desiqn Worksheet
AU'.iai2�;�BatTEni 5 S - .-F i put Of sP�1 4 S'Slem
:� R i Residential or Cammeraai Desgn [—�--� ISD Repuired? . . ... .. .
�—.� Estimated Waatewater Fbw(gpd)
� 1.60� Peaking Factor(e.g. 1.5=150%)
600 00 Deaign Flow(9Pd)
1.00; Site Sbpe(%)
98.33 i Instellation CoMour Line Elevatb�(ft)
i 76.W� Depth to L�miting FeCtw(in)
� 0.80I In-srtu Soil Application Rate(gptl/R�)
i_160.66 i Cor�tour Length Availabfc(k)
3261 Cell W�dth(ft)3 25. 6 5 or 9 75 Onlv � � 83 Designer Input Cell LengN(ft)
2.00� Dispersal Celi Desgn LoaAirg Rate(gpolfl�) Dispersal Celi Lengtli Required(R)
.. 2i IrN1ueM WaatewaterOualAy(1 or2)
C Center or End Manitold Are the Iffierals the hghest point
2 Number of Late2ls in the distribWion � Y J�
0.00 Lateral Spacirn�(ft) neMrork?
979 forcemain Drainbadc(gal) B N above,eMer the elevation(�
0.60 Forcemain Fiker Loss(ft) of the higlxst poiM.
2.00 Forcemain Diameter(in)
80.00 Forcemain Length(ft) Doea the torcemain Erein badc7� Y �
90.00 Inside Pump TaMc Elevation(ft)
0.166 Orif'�ce Diameter(in)(e.g.0.25)
2.00 Estimated Orifice Spacing(ft)= 6.57 ft�/orifice
4S5 System Head(ft)x 1.3
7.33 Vertical Lift(ft)
0.62 Fridion Loea(ft)
73.79 Total Dynamic Head(R)
47 29 Sx Void Vdume(gal)
51.08 Minimum Dose Volume(gal)
24.77 System Demand(gpm)
Lateral D4meter Selection Wnifdd Diameter Selection
in. Oia. o tlona chdce in.dia. ions chdce
0.75 125
7.00 � 1.50
125 x 200
1.50 x x 3.00
2.00 x
3.00 x i
TreatrneiH Tank IMortnatlon HflueM FilOer IMortnatbn Ocsi�nal
I 1250.00 Septic Tank Capacily(gap Pressure Fiker On�—�Filter Manufacturer
Wieser Concrete Produqs,Inc. ;Manufacturer See P$4_ _ —�Fitler MoOel Number
----
� ---- � -------�----�
DoW Tank I�ortnatlon Gallonsllneh Caieulatw(ophonaq
�6 Doae Ta�k Capacity(gal) ��. 773 78� Total TarNc Capaciry(gal)
16.12 Dose Tank Vdume_Sg_aifm) � Total Waking LquW Depth(in)
Wieser Concrele Producffi,Ine. _ _!Manufedurar 16.12 gaVn(enter msuft in call DoseTankVolume)
Prqect: Chandler•Sun-NSra Rd Page Z ot 10
— —t
�_� R on��a��on P�oe � — T
K � 6 A
W '. : —
«— g ' I
.-.�:': . 3 �' �:� _�:�' �' .�i. : :�: .�:�:
a I
� �
i
L
D� 99.00 n G 10.50 ft J 7.16 ft W �418.81 ft
30225 (ft)Dispersal Cell Area 1Q18.69 (ft�) Basal Area Available
6 45 (gpolft) Linear Loading Rate 6" End of B Obs ?ipe ?lacement
GeoMat Dispersal Area
Observation Pipe
12"ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
� GeoMat+12"ASTM C-33 sand
component /
/-."' / , , �/.��; �, ,
9929 Finish Grade----'��� " ,.=r Material
98.16 �aterallnvertElevatiQr. i��'. f'•' "`�
97.08 DispersalCell �� ' :.�- :;�p .. . •Slope 1.0
Elevation �
i ' ,�.,.,..,� :=.evation 96.33
<,4""��"� Tiiled Area
Forcemain
�--- ��5,t�So�� _-----1
�n sicu sof�
1 Q Topsoil Cap
2 O Subsoii Cap
3 0 ASTM C 33 sand (P)
1 Q q57M C 33 sand (D)
5 � Tilled Layer
G Q Geo Mat
See details on page�for number,size,and apacing of laterals.
?:oject: Cha�dier-Sun-NSrro Rd Page 3 of 10
_.�.TurtwO w/bafl vaHe w deanout
Ail orifices point down tnte2ls&force main of W[Sch 40
X '�
r P
Number of aterob 2 Orifioe Diame6ar 0.158 in
Lffieral Diamafer 1.50 in Orifice Spacing(X) 2.00 N
L�e2i t,ength(P) 45.00 R Orifioes par La�rel 23
Lateral EnC(� NA R Orifice Danarty 8.57 f(�/orfice
LaBarel Spacirg(S) 0.00 ft ManlfoW Lergth 0.00 ft
Laterel Flow Rate 12.39 gpm Mani!old DiameEer 1.50 in
Systern Fbw RaBe 24.T7 gpm Forcemein vebcily 2.53 Nsec
I.M:mp cm�cr wnh��ami�hMl. �
Ircki�deviCe dW wolttliFM+ca1
���x J'Vmiad Co.cr i
apNlc AO
mdf15J1G?!N'w-'i I
�'�i,:__ 1{y.fini�Me(:raee._ 1ti-4 __- ,11�—.�{d. ._ __'_ -�iL.
_ __ lliscomen� /
"CleanapPipc � �I' _ __��ILYI.rI.s
�Yrts Fmm fknric uwrc� �a cwnrd s�e;N M
�m�,+e��m.�e
�'�.ki �� -_ n�t� i � I� � \��a��k+ Facemsi6a�eRn
��� Z in.
iDosssxp � �� '�ti�so1j�w'
endwAar ��,� \ �"`d°' 1
A� tight 4�e1 ��i siid � Fon o
uave.r�..�
Sim/TechFker , ���W-^�^� �
STF100 3/16 ilbphwa�nomrm�. _
�PumpOnl'Nw����1 ��
e� F PumC dl�le'/1nn(Iq
i r��»�on'rbu• '��r m re-� so.83
4 � n
/
� �n... � oose eenk abvation(R)
� ~— 90�0
...R�Jdin�undcr ian i
Dimension Incnes Galbire VJ�eser Concrete Produds,Inc.
A 32.83 529 24 Ca 773.78
B 2.00 32 24 Volume 16.12 geVnch
C 3 1' S1 Ob
O 1 Q.04�. 181 20 .
Total � 48 OG 77376
Filler Manulatturer �;Sim/Tech FiMer
Filler AAodel Number STF 100 t118
FJa�m Manufadurer ��,SJE Rhombus� �_�
Alartn Model Number IPS Patrot� � �
PumpManulecturm liber�yt ,Pumpn _
Pump Model Yumber ^ 283r�
Pump Muat Deliver 24.77 gpnt et 73.18 R TDH
^10!< Svritches con!a�ning mercu�aay not be used�n th�s system
projecl Ckandle�-Sun-N-Sno Rd Fege 4 of 1C
�
�,: :
_ 325_ _ Csll Width(R) _. 1.63__ SWewell tO Latefel(ty
DisVibutlon Cell Cross-secUon Artangements
_ _ -- � .. .. �- - ---
� Datributbn Pipe WiM Pieasure Leteral � or�r�ce sn�ca
� Tumup Endosure ----- Pressure Laterai
GeoMat�s coverM with approvetl geMextik tabnc as per the tMlr protlud approval
Distribution Cell Plan View Layout-Typical
325 Cell Width-A(R) 93.00 Cell Length-8(h)
Center Connearon_ale�al Leyool Diagraro
�� � � � .�-.- �. � _� ��� � _ � � � � ��
$8nC F01 R¢CpnmMHeE astfibutiOn ldlCfdl
- ' l O�IflG2$�lK�
�ipe O�a. ADWo'n-`d I�ikratrve Fabric
���:_�MJF��R Y��rYtf;�-!�a '�
— .-1."ASfld113sd'. . - GeoMat
� . _ ':_�_-.-r�l'_�.�.� . Component
o � :+aa�.i.vsidic-i>::ea��.�.
I�iltralive Surfxe/Plow layer
I�Far
/ wm
O •� � � 0 Topsoil Cap
r°�"F'""` I '•'"'" � � Z � Subsoil Cap
a�e„ 3 0 ASTM C 33 sand (F)
3 0 ASTM C 33 sand (D)
�•^+��^ � �L,' . �..�I M,,, 5 0 Tilled Layer
,r�• 6 Q Geo Mat
. • • � F/E'_Mi.L2,F.yul
�9M7FRCItXEfa7W,F. ' -
�� MTASIlE"d]afe[di&�- . '...
See oebHs on PaOe 4 ta nunEer.afze.and eO�M d IaOerals
Projecl- Chandbr-Sun-N-Sno Rd Page 5 oi 10
Mound System _ SP�(�
Sernce Providers Name.Gereld Prcemel �� � � - � - ' Phone (715) 55&1138
POWTS RegulatoYs Name Sawyer County SPIA Zonirg Admimstra6on ._ . � Phone (715)634-8288
Swtem Flow and Load Panmetera
Design Flow-Peak 600 gpd Maximum tnflueM Partlde Size 1/8 in
Estimated Flow-Averege 400 gpd Ma�dmum BODS 30 mg/L
Septic Tank Capacity 1250 gal Maximum TSS 30 mg/L
Sal Absorptan Component Size 30225 fl Mawmum FOG 10 mg/L
Type of Wastewater pomestic Maximum Fecal Col'rfwm 10E4 cfW100 mL
Service Freauencv
Septic and Pump 7ank Ins d and/or serv'�ce once eve 3 ears
Eifluent FiMer Ins cl and clean as necessa at least once eve 3 rs
Pump and CoMrols Test once eve 3 ars
Alarm Shoukl test riodicat
Pressure System Laterels shouid be flushed and ssure tested eve 3 ars
Mound Inspect for ponding and seepa�e once every 3 years _ _ __ _�_
�r.;r
-- __
Miscelianeow ConstrucUon and Materiala Shndarda
1. Observation pipes are sbtted and matenals conform to Table SPS 384_30.1, bave a watertight cap and are secured in as
shown in Me Synergy Systems GeoMat Mound ComponeM Manual Version 7,2017.
2. Dispersai cell media confortns to GeoMat products apDroved tor use with the Synergy Systems GeoMat Maund Component
Manual Version t, 2017. Meda is covered wkh an approved geote�Aile fabric.
3. AN grevity and pressure piping materials co�ortn to the requirements in SPS 384,Wis.Adm.Code-
4. Tillage of the besal area is accomplished with a mold board or cliisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to preverrt soil erosion and help reduce frost
penetration.
Lateral Tum-up Detait
68"Diameter F���s� Threaded Cleanout
Wwn Sprinkler Grade \ Plug or Ball Valve
Box \
�
- lateral EMS at las[Onfice Where
Long Sweep 90 or Two
��45 Degree Bends Same
� ' Diameter as lateral
r:� :
.. ..:*� e �^- �
�Distribuuon Lateral' � Lateral Geanout i
2 Feet
Prqect Chandler-Sun-N-Sno Rd Page 6 of 10
Mound System Management Plan
Purauant to SPS 383.54,Wls.Adm. Code
Geneni
Thq syslem ghali be operat¢d in accordance wi[h SPS 382-84 Wis.Adm CoOe,and shaN maiMauied in accordance wRh its'comporrent
menuals[Synergy Systems LI.C_Geomat Mound ComponeM hAanual versan t.2017,Pressure Dishibution Canpo�M Manual Ver 2.0
SBD-10706-P(N.01/O7)and SSWMP Publ�catwn 9 6(01/81)]arM bral w atate rulea perta�ning to syatem maintanance and mamlenance
reporting.
Saptic arM pump tank abantlonment shall De in aaorda�xe wifh SPS 383.3J.Wis.Adm.CoOe when the hanks are rw bnger
used as POWiS oomponeMs
Septic w pump tank manhole nse�s,access nsers arM covers shoultl be mspaUed for water[gMneSs and soundness Access openmgs
used for service and assessment shall be sealed watertgM upon the comple[ion of sernce My openirg deemed unsowW,tleiective,ot
suqect to fa�lure must he mplaced. Exposed access openings greater Man&inches In tliameter shall be sewretl by an eflective bcki,g
device to preve�H acadeMal or unautMrized eMry iMo a tank a component.
S�oHeTank
The septic tank shall be maintamed by an mdivitlual certifietl to service septic tanks under s.281.�8,Stnts. Tlie corMmb o(the saptic
tank sM1all be dispoxd of n accordance wAh NR 113,Wis Adm Code The operating condition of the septictank and oWbl filter stwll�e
assessed at leasl once every 3 years by�nspeclwn.
The ou[let fiker shall be deaned as necessary to msura propar operatbn. The filter cartnOge ahoul0 nU be removed unkss provorons
are matle to retain soNds n the tank fhat may sbuph oft tha fiMer when removed from ks endosure It the Rlter is epuipped with an alarm.the
fitter shail be serviced R Ne alatm�s aGrvated contlnuousy. Inte�mittent filter alartns may iMicate surge flows or an impendmg contmuous
alarm
The s�tic tank shall have its coniants removed when the vdume of sludge aM scum in the bnk axceeds 1/3 the liqud volume of Ne
tank. If Me wMents of the pnk are not iemoved at the time of a triennial assessment,maintenance personnel shall advise tAe owner as to
when the next service needs ta be per(ormed to maintain less than maximum scum aM sludge accumuhtwn in the tank.
The additbn of biologiwl or chemicai addRrves to enhance sept�ctank pertortnance n generaly not required. However, rf such produCs
are used they shall be approved for SepOc taMc use by Me Wisconsin DepertrneM of Commerce.
Pumc Tank
The dosing(pump)tank shall be mspected at least once every 3 years. fUl switches,alartns,arM pumps shall be tested to veiify proper
operahon. If an efliuent fiRer is instalietl wrt��n the tank A shall De mspeUeA antl semced as neoes.sary. II the force maln has a weep hole,R
should be noted rf it is functanat dunrg pump operatan.and rf not,it shouM be cJeaned.
""'No one should ever enM e sepUc w dnte fank slnro dangerwin gase�may be pesmt fhat couM csuse deafh.""
Mound and Preasure Dbtributlon Svstem
No hees or shrubs shoultl be plaMed on the mountl Plantinps may be ma0e arounA the mountl's pemieter,antl the mountl shall be
seedetl and mu�he0 as neceasary to pravent erosion and to provide sortie protection fran froat penetratan. Traffic(other Man for
vegetative mamtenance)m ttre rtwund a rwt recommended shke soil compaqion may hinder aera�on of the infittrative wrface within fhe
mourM and snow compadion in the winter will promote lrost panetratwn. Cold weather insUllations(October-February)didate that the
mound be heaviy mukhetl as protection from freezing
Influent quality into the mound system may not exceed 220 mg/L BODs, 150 mg7l TSS,arM 30 mg/L FOG for septic tank elfluent or 30
mg/L 80D5,30 mplL TSS.10 mglL FOG,aM 7 d dWt 00 m�for hghty treated eftluent. IMIueM flaw may not exreed mazmum desipn fbw
specafied m ihe permd for this installation.
The pressu2 tlisfiDutan system a prwi0ed wrt�a flushing pwrrt at the e�xl of each late2l,arW it is recornmendetl thal each tate2l Oe
flushed of accumulated solids at least once every 3 years. When a pressure test is pertortned d should be wmpa'ed to the mitial test when
the system was Installed to detertnine il orifice cbgging has occurted and rf orifice deanmg is required to mainWin epual dishibution wiMin
the d5persal cell.
Observatron pq�es within the dispersal cell shall be checked for efBuent poMing. Pondmg levels shail be repo�f to the ovmer,antl any
kvets above 4�ndies comidered as an vnperWlrg hydreulic failure iepuiring additionai,mora fraquant moni[oring.
CoMinoencv PWn
If the septk tank w any of Rs components becorne deledrve the Unk or component shall be repairetl or replacetl to keep the system m
Proper operalirg cond�lion.
If Me Uosing tank,pump,pump wntrob,alarm or rclated rnnng becomea dafeUive the defeGiue component(a)aliall De ImmeOiately
repaired or replaced with a component of the same or equal perfortnance.
If the rtw�nd component tails to ac�pl wasfewater or begins to discharge wastewater to the ground wrface.it wip be repai�ed or
repleced in rts'preseM locetron by Inueasirg basal erea rf toe bakage occurs or by removirg bbbgicaty cbgged absorption and dispersal
med�a.and relatetl Pu��9.and replaung said components as tleemed necessary to brirp the syslem Mlo proper apereting condmon.
See Page 6 ot thn pian for the name aM tefephone numDer of your btal POWTS reguhtor end service provitler
Project� Chandler- Sun-N-Sno Rd Page 7 of 10
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TANK SPECIFICATIONS 4 � �
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155" DIMENSIONS: �I � F
— � — WALL: 2 1/2' J � a°
BOTTOM: 3"
COVER: 6' d o
MANHOLE: 24' I.D. PRECASt CONCRETE PoSER �
HEICHT: 66" O.p, ��i
— LENCTH: 155" O.D. +
— - —"-� WID7H: 86" O.D. ^
� � BELOW INLET: 53' O.D. > �
/ a" CAST-A-SEAL LiWID LEVEL: a8' � � �
4" CAST-A-SEAL ��CNT: 14,860 LBS. SEPTIC
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� INLET AND OUTLET: W �
W T� ` � 4' CAST-A-SEAL 800T OR EQUAL a r �
\ GASKET, CAST-A-SEAL BOOT OR EOUAL �
I \ INLET AND OUTLET BAFFLE AND FILTER� m � ts
FlLTER OR _j YNSCONSIN, SEE DETAIL /10 � �
\ BAFFLE / (OTHER SiATES SEE CHART) � � �
1 - - - LJQUID CAPACITY: 27,66 GAL/IN (SEPTIC) �
�-�-----�------...- ----- 16.12 GAl/IN (PUMP) W �
LOAOING DESIGN: 8' 0' UNSANRATED SOIL W �
TOP VIEW � �
MN TANKS: � ;� �
NAIL HAVE ONE VENT OVER OUTLET � z �
AND WILL HAVE TWO VENTS IN COVER OVER INLET � � �
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Q a 4" VENT TANK CAN BE USED AS: � y N
� SEPTIC/SEPTIC, SEPTIC/PUMP M
- OR SEP71C/SIPHON W � I
D COVER: MIX DESIGN ,/8 (NO FIBER) � � �
— — . TANK: MI% DESICN /10 (STRUCNRAL FIBER) W �
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INLET CUSTOMIZED TANKS: e
-� — _ _ - - OUTLET FOR CUSTOM ?ANKS CONTACT NIESER CONCRETE � n
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SIDE VIEW �oe NaMe: -------- �
DATE NEEDED:
-- SHEET N0.
APPROVED BY:
TANKS ARE MANUfACNRED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS APPRWAL DATE: _ �OF�
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.�\�. Sefety and Professanal Services P�_�_
x `, ,- ,.� Dmsqn of IMustry Sernces
���' � � r� SOIL EVALUATION REPORT
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m accortlance with SaS 385.Wis Adm. Code �;��ry SAWYER �
Attach cpmdete site plan on paper rqt less than 8 1/2 x t t inches in srza.Plan must indude, '
but rot limited to:vertipl an0 horizonGl refererxe poirrt(gM).Oireclion arW �Parcei I.D.
percent slope. i
sca�e w Eimensions.rqr(h arrow.aM location anC tlrstance to near�t road. I p Z,y - �V� - (3 — s�//$'
Pkase print a�l infortnation. j Reviewe0 by Date i
Personal mformation ypu proviqe may be usetl 1or secpnpary Ourposes(Privacy law.s. 15.04(1I(m)) �� I
Property Owner � prooerty Lonaon
�rav� on .1. �«sSa. L ��S�..d�er ' coh.�oc �( r i s I j T 4! N R OS �io,��uJ '
Property Ownefs Maibng qoaress �,'Si�A�drZs or CSM�Lot tk3 37 '� 33 �� �
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CnY .' State ' Zip Code '�. Phone Number : �Ci � —�
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� (� : CST Number .
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nddress 10869N SMITH COURT Date Evafuabon Conductetl '
: � Tetephone Number (715) 634-8719 :
_ HAYWARD, WI 54843 (,- 1 b Z[ -� _ _ � ,
'Effluent#1 =BOD>3C s 220 mry'L anC TSS>3D<_150 mg/L •Effluen(li2=BOQ s 3C mg/L and TSS 5 30 mg/L SBD-8330 tR04/"lt'
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Reai EState Sawyer County Property Property Status: Current
Listing
Today's Date: 6/14/2022 Created On: 2/6/2007 7:55:45 AM
Description Updated: 2/5/2021 Ownership Updated: 2/5/2021
_----- - -- ------- ---
Tax ID: 26706 BRANDON J & FOOSLAND IL
P�N, 57-024-2-41-08-13-5 05-004- CARISSA L
� 000150 CHANDLER
Legacy PIN� 024841135415
Map ID: :4.15 Bflling Address: �lailing Address:
Municipality: (024) TOWN OF ROUND LAKE B�NDON J & BRANDON ) &
STR: S13 T41N R08W CARISSA L CARISSA L
CHANDLER CHANDLER
Description: PRT GOVT LOT 4 LOT 2 CSM 3451 CR 625 E 3451 CR 625 E
13/371 #3396 FOOSLAND IL 61845 FOOSLAND IL 61845
Recorded g,310
Acres: Site Address * indicates Private Road
Lottery � 11257N SUN-N-SNO RD
Ciaims: HAYWARD 54843
First Doliar: No
Zoning: (RR1) Residential/Recreational
One Property Updated: 7/16f2019
ESN: 404 Assessment
2022 Assessment Detail
Tax Districts Updated: 2/6/2007 Code Acres Land Imp.
1 State of Wisconsin RESIDENTIAL Z•000 16,000 0
57 Sawyer County G6-
024 Town of Round Lake pRODUCTIVE 7.310 11,000 0
572478 Hayward Community FOREST
School District
001700 Technical College 2_Year 2021 2022 Change
Comparison
Recorded Land: 27,000 27.000 0.0%
Documents Updated: 2/3/2021 �mproved: 0 0 0.0°/a
TRUSTEES DEED Total: 27,000 27,000 0.0%
Recorded: 22/2021 ' `''�"'`
QUIT CLAIM DEED Property History
Date ,�, y j N/A
Recorded: 8/18/2017 =` `
SCRIVENERS AFFIDAVIT
Date _ _ „�`
Recorded: 9/24/1992 `— ----
WARRANTY DEED
Date
Recorded: 6/24/1991 --- --
GERTIFIED SURVEY MAP
.-; .J = s- v i f.
'"''"E`; PRIVATE ONSITE WASTE TREATMENT co�nty
; >�
���aS � �j SYSTEMS SaWyer
� � � ' ( POWTS)
�-�, s .
�,� �--��%:.
�r '�'� INSPECTION REPORT sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �3 — I��
Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 1�.04(1)(m)J
Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#:
���� �-Cav��ssa �•,�d� 1�a, C�I�x. ��--0�230 �2�9- C
Insp BM Elev: BM Description: Parcel Tax No:
(OZ>-O� (V��� d� t��o1�0�, 3�� S, S[%� l8�� �q k c��Y "23`f(.—�.3` 5`Y(S�
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic w��r - ���o Benchmark 1pp,d�
Dosing — co� o $tx7
Aeration Bldg. Sewer
.Y,3 �
Holding St/Ht Inlet 9Y.�S�
TANK SETBACK INFORMATION St/Ht outlet 9 y,3$ `
TANK TO P/L WELL BLDG vENrro ROAD Dt Inlet
AIR INTAKE
Septic �-tp' -i-S�y� �� �,2p' NA Dt Bottom Q�•�6�
p K p � NA installation
D�sing Contour
Aeration NA Header/Man.
Holding Dist. Pipe �,�,�'
PUMP 151PHON INFORMATION Infiltrative ,
Surface ��•�
Manufacturer Demand Final Grade
Model Number �.9� GPM `r C33 g$��
TDH> Lift Friction Loss Sys Head TDH Ft
Forcemain L fi�p� Dia " Dist.To Well
DISPERSAL CELL INFORMATION
DIMENSIONS �N,3„2 L �j�j�� #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav ° Conv ❑ Aggregate �(/l�q`�
INFORMATION P/L Bidg Well Waters � GP ❑ Chamber Model Number:
❑ EZFIow
CELLTO �sb fiSb �� �•/ � Mound � Other
----- - __ _ __ _
DISTRIBUTION SYSTEM X Pressure Systems Only
-- - -- - —
pO , X Hole Size , X Hole � Observation Pipes
Header/Manifold Distribution Pi e s ,,
Length Dia "- Length YS � Dia � � Spac ' ; . 1� �� Spacing � �Yes ❑ No �
— -
SOIL COVER
Depth Over �, Depth Over �� ! Depth of �, Seeded I Sodded Mulched
Cell Center �� I Cell Edges �2 j Topsoil _ � _ � C$Yes ❑ No T 79'Yes ❑ PJ�
COMMENTS: (Include code discrepancies, persons present,etc.)
��,s�(� 7 f 3r I 2 3
Plan revision required?❑ Yes ❑ No '
— —�
�
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`( _--- --- �'� -__ �
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
AODITIONAL COMMENTS AN� SKETCH
SANITARY PERMIT NUMBER: ��"�Y�_
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