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HomeMy WebLinkAbout030-737-08-3102-SAN-2023-147 , '�`"'`' Industry Services Division Ca�h' � �'�;� - 4822 Madison Yards Way W e/' r �_,_� Madison,N'I 53705 Sanitary Pcrmit i umbcr(ro be fillcd in by � • RZ_ P.O. Anx 7162 � '`�"'Fs,,,,,.,�F;' Madison, WI 53707-7162 �' S � L' SS _ ---- — — _.._— � S1I11ta1y PeI7111t APj�I1Ca.t10I1 State Tr�ns��iion N�mb«— - - � �— (n accordance with SPS 333.2!(2),Wis.Adm.C;ode,submission of this form to the appropriate governmeatal unit 1 is required prior to obtaini�ig n sauitary permit.Note:Application forms for state-owned POVVTS aze submitted to Project Address(if difTerent than�n:,ili�:i� -` the Department uf Salety and 1'rofc.ssional Servucs.Pcrson�l information you pruvidc may be used for seconduy .� purposes in accordancc with tha Pm�cy Law s 15 G4(1)(in),Stats. , •J i.Applicarion Information—Please�Pnnt:All:�nformatwn `: ` ' '' ,,, � I,ele�/ O( /(��__ ---- -- - — — — —r— -_ Property Owner 5 1�xme Parcel� �4m r s�l l�i a.�/r S c!,�/!,.v,� _ 0 7a o�—__----.----- Property Ov.•ner'�Mailing Address Property Location 7 NG ,� Gkl�e R� ��----- Ciry,State "Lip Code Phone'��umber � � '%. .f l.✓ ticec�,n .--- / �f wa wt ,S' _ -- li.Type of BuildinQ(check all that apply)` ` L��� ' T ti R_ 7_ _ I o� �v �1 or? f�amily Ihvelling-Numbcr ofBcdrooms__�_ _ � Su drvision Namc Bi� k ' ublic/Ccnnmercial nescnbelisc -- -- - ---� -----_—._._ _ ^ ❑Cityof. __ -- - - --- -- - - �State Owned � Describe Usc_ - - --- ----------- CS�b1 Numbcr illage of ---- ^_ �To�vnof �✓C/I'Ld�-- - __.----- - - - �- _ - - III.Type of PO�VTS Permit:(Check'either`"New"or"Replaceirieut"and other app�cable on Lne A..:Check one i�o�online I3.Complete line C if a �licable.) �;` A. — - ----- --- --- - ----- �tde�c Svstem �Replacement System ❑Other Modificatior i L.�isting System(explain) �Additional Prctrcatmun t nit(�ip air.' B. ��NolJing I�anh ��in-Ground �1t-Grade ��Mound IndividuafSitellcsigi (hl;er IyJ�efe.xE�lain� � (conveniional) � — - -- - --_------ � -- - - - -- L - -- --- � - �Rene«-ii Befi�rc �Revision ❑Changc of Plumbc: I�I'ransfer to New O�vner List Previous P�rriiirmbo�;:nel I)u� Is.`ucd Expiraiion � CV.DispersaUCreatment Acea and Tank>Tnf�rmatiori; ` �' Design[�low(gpd) Des.�n Soil App]ication Rate(gpd/s� Dispersal Are�Required(s� � Dispe�al Area Proposed(sfj System F,levation � ��O � ��-u� -- y�o-----�- . � �y� -- -- --- ---- Capacity in "I'otal i �of Manufacturer T-- T � � i � I T;ink Infortnation Galloas Gallons � i'nits � � U � � i c Nc���"fauks E�isting Tanks � � � o � C I � ! � ` " cJ m I � .: �J ci: �: � :% i :.c. :.. - _ .- � -- .. , -, „ Se lic r PIoIJm� l�an� � _�-- � !__�ov `" /Da 0 � 1 .Sk a a✓ � � I� U�»ing C.hnmbcr � �— - — — '---- ���� '� V. Responsibilit} Statement-I,the undersianed,assumemspousi6ility�for instatlationof the}POW�T'S sho�vn on':the att9ched plans_ ----- -- - _---- _ - _ . �.— ---�- --- ------- Plumber���� (Yrmt) � Plumber's Signah�re 4 itiIPR.S Number 13�siinss P.�nn� Nuniber . + ------ ���i+c�.vd — !--� �---- --- ____ I .�.Zo y9� _ —_ L 7LS-I y3-.Z3��— Pluiuber'S Address�Strcc.,Cih�.St�e,Zip Code) 7 ,� 67 w o ` w.� y VI.Coun v/I)cpartment Usc Only `: ': `� - " �a7 ,o �/ ❑Dis�pproved Permit Fee Date Issued Isswng Agent SignaNre s�/M -�'✓�.����.�..,�„�,�.�- � €7 0�-ner Given Re�son for Denial 1 w•�� ' � f�� I� � Conditions of.�pproval%Reasons for Disapproval C�• �� �� � ,; + '' a-1 a� _ �J� ��2i :J r� D� �� '�� ._V 4� � V 1 1 � � •J,,' �''JJ � � Chk# � J U�. 2 0 2023 �-� �s 1 �-3 — o �c� ��t����;_�._ t --- ._.__.__,�_�-:u; ;y� �uivi�v�AUMlPJiSTRAi ION Attach to complete plans[or ihe system anJ svbmit m the t�ounty only on paper oot kss tSan 8 1f2 i ll inches in sue NO f�`FUNUS AF7ER S� k G� � sr�l�-63��s�a.03;?i i ISSUE O�PER�AIT �`�t��:..iii iiF.ti:l� Department of Safety and Professional Services , F�' ����., Division of Industry Services �� „`•_ Plumbing Product Review — � ',J:'', 4822 Madison Yards Way 'i�'.� �S�S P.O.Box 7162 '��J �' Madison,Wisconsin 53707-7162 �J�R �_—.,���;. ��c J�� Phone 608-266-2112 ����n���=� Web http:��dsps.wi.�ov Email dsps@wisconsin.gov Govemor Tony Evers Dan Hereth,Secretary Designee T7Y:Contact Through Relay May 31,2022 Dept.of Safety and Professional Services Bureau of Technical Services Division of Industry Services Brad Johnson-Sedion Chief 4822 Madison Yards Way Madison WI 53705 Re: Description: POWTS Component Manual Manufacturer: Dept.of Safety and Professional Services Product Name: In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.1(May 2022-2027) Model Number(s): v.2.1 eSLA PTO No.: PP-051700077-PTOVPCR The specifications and/or plans for this plumbing product have been reviewed and determined to comply with chapters SPS 382 through 384,Wisconsin Administrative Code,and Chapters 145 and 160,Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of May 2027. This approva!is contingent upon compliance with the following stipulation(s�: 1. A copy of this approval letter shall be submitted with all plans using the In-Ground Soil Absorption Component Manua)for Private Onsite Wastewater Treatment Systems Version 2.1(May 2022-2Q27). Plans submitted without a copy of this approval letter may be denied. 2. This approval recognizes that POWfS systems designed,installed and maintained in accordance with this manual will provide treatment and dispersal of domestic wastewater that is acceptable in the context of ch.383 Wis.Adm.Code. 3. Systems installed in accordance with this POWTS Component Manual shall use leaching chambers that conform to ch. 384 Wis.Adm.Code. 4. Systems installed i�actordance with this POWTS Compo�ent Manual shall be installed,maintained and used i�strict accordance with the manufacturer's published instructions,Chapters 381-386 Wis.Adm.Code and this product approval.If there is a conflict between the manufacturer's instructions and the Wis.Adm.Code or this Plumbing Product Approval,then the Wis.Adm.Code and this Plumbing Product Approvat shall take precedence. 5. Complete operation and maintenance instructions POWTS systems designed in accordance with this manual shall be provided to each system owne�and remain onsite. 6. Systems designed in accordance with this manual shall be installed by persons holding the proper license or registration in accordance with Wis.Stats.§145. 7. Drain,waste and vent piping used to install these systems shall conform to s.SPS 384_30{1),(2)and(3)Wis.Adm. Code. � Dept.of Safety and Professional Services May 31,2022 Page 2 of 2 eSLA PTO No.:PP-051700077-PTOVPCR 8. Cleanouts shall be installed in drain piping associated with the installation of these systems in accordance with s.SPS 382.35 Wis.Adm.Code. 9. Commercial food processing,food production,food servite,restaurants,tavems and similar establishments whith may generate greases,fats,oils or similar substances;shall have stat�approved grease intercep[ors installed upstream of POWTS systems designed in accordance with this manual in accordance with s.SPS 382.34 Wis.Adm. Code. 10. DSPS POWTS plan approval shall be obtained from the departmenYs Private Sewage Section,or the appropriate agenY county,for. a. each installation of POWTS systems designed in accordance with this manual;and b. high-strength and/or commercial POWTS systems designed in acwrdance with this manuai. 11. A sanitary permit shall be obtained,in accordance with s.SPS 383.21 Wis.Adm.Code,from the county,or other local authoriry having jurisdiction,for each proposed installation of systems designed in accordance with this manual. 12. A complete and acceptable soil evaluation report,conforming to s.SPS 385.4D Wis.Adm.Code,shall be performed for all proposed systems designed in actordance with this manual. Technical no[ations: a. This approval supersedes the approval issued May 9,2017 under product file no.20170147. The department is in no way endorsing this component manual or any advertising and is not responsible for any situation which may result from its use. Si�cerely, Brad Johnson—Section Chief Department of Safety and Professionat Services Bureau of Technical Services Division of industry Services Phone: 920 492-5605 Email:BradlevJohnson(aWisconsin.Rov James&Diane Schilling Property Owners Name Weirgor RD Property Address 0.030737083 Tax Parcel Number Sawyer County NE-SW Legal Description 8 Section 37N Town 7 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 Tank Information Bruce Vitcenda Plumber's Name Plumber's Signature M.P.220498 Plumber's License Number 715-943-2382 Plumber's Phone Number 7/15/23 Date Sd• Gre��o1 ✓a le,v . • ,n aa -ta 7 S o• lo)od• Page 1 of 7 n- roun oi sorption - - Component Manual Used N.01/01 Version 2.1 3 Number of Bedrooms 0 Percent Slope (%) 84 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 300 Estimated Wastewater Flow (gpd) 450 Design Wastewater Flow (gpd) 1 Number of System Elevations 93.5 Proposed System Elevation #1 - Proposed System Elevation #2 - Proposed System Elevation #3 96.6 Original Grade #1 96.6 Finished Grade #1 - Original Grade #2 - Finished Grade #2 - Original Grade #3 #VALUE! Finished Grade #3 Skaw 1000 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.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 13 Number of chambers in first row 13 Number of chambers in second row 0 Number of chambers in third row 26 Proposed Number of Chambers Used 642.9 Minimum Distribution Cell Area Required (sq.ft.) 659 Distribution Cell Area Proposed (sq.ft.) Page 2 of 7 owwc r Plumb« I 'T9mC�A.n1AM[JL�i/I�� rIAVCG Ur/f[Yq� �ray.v� t lv�vNs�NWv va �i[f L9kt�d EX[Iu.,�i w1 J4PJ _ HtY4'u�iw'j,f4P47 7/s.qy_ S � J llla nt/!]oy�r ��EA— / o [' Y X �i� � x x X x �,��d a B.� f�ci,( .uuei — — — — Ign gt I X x _ 3bdr o � �_ � � o A' e �fT uE"1W BI\ f'� � � 1.J�,� x � R•�✓ � I �- �nrulDolo777ep)lol 7ev�w�ir�,� _ �9�+i oo�.e'ot;//�uyt -- — —_ — � M p(�f//VtlTf[{ �' 9�9t.c� r G4�c �t �E 4Fy� 33 96�6' - � 4"eo,Ep( x . Skqw lboa ��oYobc F;Hu �(' R�`SC/J Ih���✓.(� CC /r HoUtCNe7To S[�I� lY1Ye'"ou 96.6'tc � n t � Sc4c irafe' doi7 Cress Section of a Two Cell In Ground Componen : Using Leaching Chambers Observot�o^/Ve�l Pipes / \ 96.60 Finished Grade � - ,_ .-_ __ . .__. Finished Crade __':� Sbpe 0% / Cep�Seperation % -_ . . 3 t ,, , _ : , �,: : ' � x= ', 96.60 Orginal Grade ?;� i-� , ' :; 1Jrginal Grade� 94.58 Top of Chamber ���'` ,! _ �_'� 'Top of Chamber 94.58 -----' i� jl' . B -' ;�. , , - ' ! , ,- 93.50 System Elevation :. . ; „ _____ System Elevation! 93.50 •• � .Yreatrqen,�pnd'D1ype�eol .Zope . ' • r ` . ' . , . � � � • . � � t • . ' " --- - .-.- . • •. • . . ._-_.� � limilinc FaCtor Obse�vac'o-�/Ve�: pipes to be constutted ond capFPd w'th opproved moterials (or (he particulCr use. Dia rams Not To Scale 67.34 feet � .w: �sa .zst.....,_.��:a,x .�uari.a�o�ear��_:... _� !� � l�� `�J�.. — u �I __ . 1111�1�j11��/'�►`�1�.�,�I�.—�Iw.. . �� � I., "__ ___—_ _ .. J � � � 3 feet between cells — — � , i � 1 + . �,""�",�,�',�<�' � � � �a`'x,a�a��sn�awrm,�i� � « , . �, . ' .. __ _.. . _..._ _ — .__ —_ .—. . . 67.34 feet � Observation /Vent Pipes to be located at the ends of the distribution celis. Page 4 of 7 BAFFLE 54.00 58.00 64.00 %/ `�� WARN/NG OEATH IAAYOCCUR IF TANK IS ENTEREO � O � 'NITHOUTPROPCRCOUIPMCNT i o � I � v � 12Q50 \ � � � �\ 118.50 TOP VIEW OF MANHOLE COVER �I.SI FlLTER 23.00 12.00 23.00 � �� � 4 00 � �2�,��� I-2�,0�� 24.00 24.00 s,00 � —�� TOP VIEW OF TANK (TAPERED) � I—is.00—I �.� �- z o0 ML� � � iL00 OUTLET i sicnwiaa j i i ____________'__"_'___ _ __ \ ' 4 INCH PRESS 2.00 J 78.00 v� i 56.0 — i SEAL GASKET I PRE55 ii I INSTALLED — SEAL i i GASKE7 WHENPOURED \ 1 i BAFF�E 36.50 FILTER � � I I I I I I I I I I I I I I I I I 1 L -J 3soT SECTION VIEW OF TANK AND COVER _ -3 0o OUTLET END VIEW OF TANK Model Number: �IOOO SKAW PRE-CAST Phone: (715) 967-2277 Approved for. SEPTIC, SIPHON, HOLDING, OR PUMP Toll Free: 1-800-924-8625 Weight Inlet Dim. Outlet Dim. Liq. Depth Gal. /In. Max. Cap. 26255 105th Street, New Auburn Wisconsin 54757 Fax: (715) 967-2707 83001bs. 42" 40" 36.50" 28.32 1034 gal. www.skawprecasccom James&Diane Schillin Weir or RD 0.030737 Number of Bedrooms 3 Septic Tank Skaw 1000 Estimated Flow(average)ga��ons/day 300 Effluent Filter Orenco 8" Biotube D@Si9l1 F�OW(peak),(Estimated x 1.5)gal/day 45� Soil A lication Rate al/da /ftZ 0.7 Influent/Effluent Quali Monthl Average PRINT PAGE Fats, Oil & Grease (FOG) 30 mg/L Biochemical Ox en Demand (BODS� 220 mg/L otal Suspended Solids (TSS) 150 mg/L !!NOTE!! Servicing frequency of 12 months or less requires lhe � Management Plan be recorded with the Register of Deeds. Maintenance Schedule 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 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 Piumber, 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 effiuent levels in the observation pipes and to check for any ponding of effl�ent 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 1l3 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 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 treatrnent process and I or damage the dispersal ceil(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 I 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 i When the POWTS fails and /or is permanently taken out of service the following steps shall 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 sealed. -The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. -After pumping, alf tanks and pits shall be excavated and removed or their covers removed and the voidspace filled wRh soil, gravel or another ineR 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) 0'fhe 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 installed ro 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 we�ls. Failure to protect the replacements area will resutt in the need for a new soil and site evaluation to establish a sudable replacement area. Replacement systems must comply with the rules in effec[at that time. � A suitable replacement area is not available due to setback and/or soil limitations. 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 result. Rescue of a person from the interior of a tank may be drfficuR 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# 715-634-8285 7of7 . . , S �tl �Q �-�� }� S� ee� O,uner: J . .t 0�' �� � ;� SQiI TCS�er: �R�c� v���e,�da S��tem E-le���ifln. 93..� � y L��d Rate: � 7 Systxm Rang�: � 9 7 --y-- .. t .... -1 9 •L' � .... .... .. s,'� •d/.� .._. -- - 9l. , 46 __ f,•c .c%s .... .... �_..... 95. q ' 96•J ' .. _ S�c •6/f .., _ _.. ... . 9,3 9, !;c •6/t .. s;c .6/y .. _... ... .. , qs- --.—,.. �-- ... . .. S,� .`/,y .�.:.... qY.f ' ..� 9M.Q' ... , _ .. .. _. .. ..... . 94, � ' : q y __-�._ _ '"f ��l 6 ..: - -' . m.s • 7/I.� �._ .... "'s . ���� 1 .. .. 9 3 --�--_ . ...... . ... 91 � , _. ...... _91 L � ' � q .. . � 9� ---�-=--- __� ; _ . ..... �_._ . ... , ..._ 3'� 3' qi �------�-__. 3� M1 . ...... ..,..._,. . �►,s . ...... J !� . ___... , _ , �. ,... - � .. . _ . . -. . ;. _.. p o � ., ..- � ...... _.... ..,... ---s___- .. ._.... � -- i .__ 89.6 ' ..... 81 [, �9 I _ � .. .._ .._, g�,6- , _.... --••- _ �. —_ 1 _ _ S�alCwafl f«/qt� -... S%�Gwlil ft%c ...� .... fA� ��1,1 ' ...... wtl� Sey e __'_`?---• C� 89. l' _ .i....� Sj . ; . ._.... e �,.d. ' �... . _._. . . .. �_ _ �... - _`_ f _ - ; .. ;_ , i _�._.... � _.�....._ ...... _ ; _ . ...... ..... ...... �__�_____ ...... ...... ;'. . ...... i �- -- .._ .... , - ; _ � ... .... �_ , .. .. - 1 •.- . .... ----�----� _ � ... . .... : ; ; --� � ; _.;:.. � - .... ; , ...... ----=1----. ,. .,. ; .�,<. Real Estate Sawyer County Property Listing Property Status:Current Today's Date:7/15/2023 Created On:2/6/2007 7:55:53 AM ..Description Updated:1/2/2006 ._Ownership Updated:2/6/2007 Taar ID: 31683 JAMES R&DIANE T HAYWARD WI PIN: 57-030-2-37-07-08-3 O1-000- SCHILLING 000010 Legacy PIN: 030737083101 Bilfing Address. Mailing Address: Map 1D: .91 JAMES R&DIANE T JAMES R&DIANE T Municipality: (030)TOWN OF WEIRCOR SCHILLING SCHILLING STR: S08 T37N R07W 7524N CHIEF LAKE RD 7524N CH[EF LAKE Description: NESW HAYWARD WI 54843 RD Recorded Acres: 40.000 HAYWARD WI 54843 Lottery Claims: 0 First Dollar: No �.Site Address *indicates Private Road Waterbody: Maple Creek N/A Zoning: (A-2)Agricultural Two ESN: 432 ..Property Assessment Updated:3/23/2023 2023 Assessment Detail �_Taae Districts Updated:2/6/2007 Code Acres Land Imp. 1 State of Wisconsin G4- 39.000 4,200 0 57 Sawyer County AGRICULTURAL 030 Town of Weirgor GS- ].000 300 0 540735 Bruce School District iJNDEVELOPED 001700 Technical College 2-Year Comparison 2022 2023 Change �.Recorded Documents Updated:]0/15/2074 Land: 4,100 4,500 9.8°0% Improved: 0 0 0.0/o ._ WARRANTY DEED Total: 4,100 4,500 9.8% Date ,�6���� Recorded:10/29/2004 ._Property History N/A