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
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S1I11ta1y PeI7111t APj�I1Ca.t10I1 State Tr�ns��iion N�mb«— - - �
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(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
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�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 �
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T;ink Infortnation Galloas Gallons � i'nits � � U � � i c
Nc���"fauks E�isting Tanks � � � o � C I � ! � ` "
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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
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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�• �� �� � ,;
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�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
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HoUtCNe7To S[�I�
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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
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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
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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