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HomeMy WebLinkAbout018-837-05-1103-SAN-2023-199 .� � IndusW tii.n�ic w Uivision Cuunq� D � HUOIS Wasl�in�lonAvc SAWYER �7 -� �s �- I'O.Ib�71(2 Sanitan�PamiiWumM1rQnM1clillcdinh� ` � �f Ma�ivm,Wl ii707-71G2 � (v S 1 I CO � w Sinte Tranucliai Numba � Sanitary Permit Application � Li nccixdenao�uith SI'S 38321(2).0.'is..4dm.Q�c..u�bmission uf Ihis ibmi to ihc appropriaro gov� muiml unit �,, is ru�uin;d prior to i�taining n vwnilan'pamiil.Note:;\pplicmion fmns tbr slata.�aaieA I'OR'lS are suhmin�l in Ihojact;\Adress(iCdilTeren�Ihnm m�iling Ihc I�:pnrnnent of Satery mid I'rof�ssiaml S�.�rvicos.Pcrsroml infinmaii�m v�w proviAo mac hc uwA li�r w:a�idnry cordanw��itli Ilw I'rivncY law...1 Sp;(1 xm.Stals. I"A`ylication Infofmatinn-Please Print All lnfUrmation (2395 N REASON LN) I'ra�wilp Own�s Nnme Parccl A OI$'$.3�J^OS'l�O3 JEFF NICOL - Ropcxtv(hhi�r'�hiailing.addr�,sc I}���,Try IAwnliiai 2468 WANDER CT Gov�.I.ot City.tilnla Zip Cudc IMiaro Numb�T � SE NE ��. S�h�m 5 EAU CLAIRE WI 54703 � 715 �497-4180 �01�1001' 'I' 37 N: R 8 . �l`� 11.Typc of Buildink(check all that apph) !a»� �I ix 2 t'amilv Ihvolling NumiwT of fi�dnx ms 2 � Subdivisirni Nume . ._.�ItT__-._ 131ock;' T9Fi� ❑14�hlic/Gwvn�rcial-Ia;a+ribe I�x.; �— ❑City of ❑Statc Orvnui-Dc.v:ribc l�sc CSM Numbc� ❑Villaga o( METEOR ���i Y4 ��osa p r,,,��,,,r I11.Typu uf Permit: (Check only une box un line A. Complete line B if applicable) `�� +❑NewS}Rk:m � �Ruplacau 7tt S�st�m ❑TrcatmuiV[Iolding Tank Replacanuit(l�ily ❑(Nhu�I di(ic:al�on lo Li�is�ing Srxlun(caplain) 11. ❑Pannit Rcnm��nl ❑I'��rmit R�wisirni ❑Chmiec nf Plumb Y ❑Pomiit TransiLi Io tic�c I,ist Prwious Panii�Numbcr and Ih�ic Issuxl Fial��1=.�piniiai �h�ner IV.Tv e uf POWTS S��stem/Com onenUDecice: Check uIl that a Iv ❑Nnn-14ossurized In-(inxmd ❑14�ssurizad hi-Gr�wnd ❑At-(irndc ❑Mnund�_24 in.ul aiila6lo viil ❑Mound "2d in.o(R�ituM1lc c��il QNulding Tunk ❑(hh v INspasal Cmipuiait(cxplain)____. _.____.. _._. ❑1'retrvnlm�nt U;vice(cspinin) V.Dis rsaVTrcatment Arca Informution: Ihsign Ilow(gpdJ Ik;sign Roii:lpplicntirni Ra�,yepdsQ iTspssal:1ron Requirod(cq Disp;r.ml:Vea Ikopos�d(st) S}'stom Glovn�ion 200 ' _ ' ' VI.Tank InfD Capacih�in Tolal �:nf M1fanufnclumr (iallais Galicm,c t�nits �N U'� N�.�'I':mk. �.�iain6 Tankv '�� - � � .'!� �'U - ii U L?. s�piio�,r uowinE r:�n�: 2000 2000 1 WIESER X .. �'F.�mbcr VII.Responsiblllty StatCmCnt-I,the wide�sip�cA,ass�ere respnnsibllib'fnr installatinn of the PONTS slwwn on the attachM pla�. Plumb.x'v Nnmc(Prinp Plumb�s SiEa�murc 1P��IPRS Numb.x 13usin�ss 1'h�mc NumM�r /� GALEBPRUSINSKI �C� MP-7002396 � (715)651-9215 PlmnhcT's Addrass(Strcre�.Cirv.Sta��_7.ip Code) W15956 OLD HWY 14,WEYERHAEUSER,WI,54895 VIIL Coun �/Dc artmcn[Usc Onlv �,A � ❑Ihsepproved Pcmii�Puo IMIe Issued Issuing;1ezn1 Signaluro /�-1/ � Y6D.`° �r�aa�a3 �s.:l�..l.fz.I�}a�w� p`"V ❑O��nar Givai R.asqi fa Daiial IX.CunditionsofApptoralBcasunsPorDisapproval ,Q aa �J. �� � �� , ��_t �:, �� O�IG11��1 ���5 ._ � �, �., . _ -'� AUG 2 1 2023 J` 1 a'�a 5 _ AUnch lo complefe plam for�he xyslrm ami.cuFmil�o fhr Counly only on paper ml lena Ihon R IR x 17 i F¢�:'.- ^'. . . �•r:�� A:ii�tiPJ�.���i;r,i��,.fJ C�sT a3 - NOR��+����eR � issuE oF aEa,�r SR1}6i9R(R.OR/14) ��$�6 Sawyer County Zoning & Conservation Administration ������� � 10610 Main Street, Suite 49 � �R c� 1� Hayward, Wisconsin 54843 �'1. � VG �� (715)634-8288 � � FAX (715)638-3277 .,Z��� ��� . _ — � / www.saw�crcountv ov.org � o ��� - i o � E-mail: sanita�ian(a�sawycrcountv ov.qi� I� � =- __ � � Toll Frec Courthouse/Gencral lnformation 1-877-699-4110 irJ /�- �����C����� 1�\\�� Holding Tank Approval Checklist I. Sanitary Cover Sheet: Date Stamp �'jg /�/ 0��3 Parcel ID# d I � - $ 3 � o� _ ( ( 03 II. Plot Plan: � Property Lines � Benchmark BM ♦ � Site Address � North Arrow Structure � Scale � Well k< 25' to Service Road � Legal Description �Nearest Road Intersection � Setbacks to: Property Line, Well, Structure, Water bodies, Roads III. Required Plans: � Index Page wit11 Original Signature � Management Plan/Contingency Plan � Servicing Contract �Holding Tank Agreement Fonn ($30 to ROD) IV. Holding Tank Specifications: DC Tank Cross-Section: Manufacturer: w�¢�r Gallons: 2, � �Tank Anchor Calculations [SPS 383.43 (8) (g)] �Locking device, chains/locks �Alann, electrical per SPS 383.43 (8) (e) � 3" Bedding Material < 1/2 " V. POWTS Component Manual Reference: �Holding Tank Version 2. 1 (May 2022-2027) Owner: �( �� � Plumber: �f�.S �h5 � Application Review Date: b$f a--2����- 3 POWTS Reviewer: ��.,� �/� �� N�,ne (�i � (� Rev. 4/27/2023 Crcdential # Page 1 of 6 Private Onsite VVastewater Treatment System Index and"1'itle Page Project Name: _JEFF NICO�-2 BDRM HOLDING TANK POWTS (NEW) Owner�sName: JEFFNICOL _ _ _ Owner's AddreSs: 2468 WANDER CT EAU CLAIRE WI 54703 Legal Description: SE, NE,5,37N, 8W Municipality: Town, �'ill�e, Ci�of ____ METEOR County- SAWYER Lot Number: � Block Number: CSM Number: 7063 Subdivision Name: (2395 N REASON LN } ___ __ Pa�-cel I.D.Number: - b I$��—O.S— J�03 Page 1 Index and Title Page Page 2 Plot Plan &Si�ng Information Page 3 IIolding Tank Cross-Section&Information Page 4 Tank Manufacturer's Specitications Page 5 Holding Tank IJser Manual Page 6 Holding Tank Management Plan Name ofi I�eSigner� CALEB PRUSINSKI License#: MP-1002396 � Date: � " ���1,�� Signature: — . Desi�ned pursuant to the followin�POWTS Component Manual and DSPS 381-385: `�-iol�iing Tank Component Manual"Version 2.1 (May 202?-2U27) Attachments: Holding Tank Agree�nenE Holding Tank Setvicing Contract " JEFF NICOL { 239i N REASON LN. ) PLOT PLAN � c T. OF METEOR_ SAWYER CO. N SE.NE. i. ;7N. 8l�' I j � LS r►�1 #-?iD�3 ��. 7? p�j . l Y� � I � � wou�s � I � I 9'.9s. O 3 � FGLESHED � I I / - B'.1!10U.0' N 1 aor smnc i��=so� z � � O ?S SO ll'OODS f � ll'OpUS � y �=PITS, �=BORINGS � ALL SPS 383.�}3 SETBACKS MET. � I PROPUSED ���-l : _BDRA1 �/ � c,�ara �.9�s I l��SLIi GR4\'6L DRI�'El1'A}. ^OOOGAL, ��a"P1'C HOIDI�G T.�1V7: SCH..7?P�E � :000 ' o ' , »«� � `y'�—_ l�'GUL'S � � �r/�,��i� YS.E+t' i / �� � ,.�, � ��� � � _ _ J .A� ! .. _ �iF ie :i i: `,f, , �,� - � . _:;n+`� � `. _ � �.? -�e�: ,. - . ._ I _,._„ z �'.!u-��er�r,"�;e�rocir.s ---20o h!on-resicenFi=1 esii�n=_izu 10•�:i9;�dj ;�� '�h�iinirc�rn nnidine t���l:,�a:�r�e req�r�ad(�,� �„ _ ��:., _��-�..�; `'icposad iiol;iir.�,�s:i::�apacir�r r,,:: =y�'•�� --_ ----i -i ,.::�u�.���urc-� ,� ��;,; - - n:�r;�ccet m_m�,Nr G.�t -�J: - a-�-__--- - _ �y 3f:-.l i11ci:UiiGCVi?i .'-1,^.f ,3'-'-�5t2. . C 'c'.� .- ,� � (�,�u�r�.oJzi:,���._- �on_tsbe�la--;��c;a.r:u,r.n<.. i ant;J:m�ns:o:s=��Jz�a ---�k=lncec�-:�fcui2'iicszs ----�-- i. ��:r�r. :���: ..si^F- c� _n .._.- - ��I.;,,uiu�i:a'�ih i-,el���.:i;:..��n-�,rat'=i:r � =�a��. -�..._r �� __ ` � il t,.�,..m�.,��.i o-l._. ,oi �� , . .�i . ?i�h�. . n�r.�� •ew!��c � i I�:�h i,} �l - 5.:i.. ., :;.��. �._.ic._ ., . ,.��. '� ���iSft7E �. � � � ;I an it i.;� �:;�i�Y.,Ons � �.�' i�,;n,� . .. .�. �.ci�n: �u ., - 95 %:JioL',�n; - inp, �en��:r.e_t:c'�tc-r�e>��tii�:c^��s � ..... - "'..�.._�- lOti[.. '��. � .,i� ; r _ _ ; � � � ; _ ._. _ -. _ _ _ '.I i., /,,- ..::�r. ._cSi�c ' ' ':n:_h.=.ri :n.c.� i:;li-.�., __ _.�-.i�r�l.=.�al'r aJ. w�p:�—- —�—__. c� — i r �- ��in��.._ , :'_ — .� - ��w I��v r._�'�-^ �r� — - � -,�<',._. -.���,,.: —��li, - -- - �— --� '� . ,,-.. ,, „ ,.. �w� ��- _�— � _; _ — _ — -- �� ��a�_.,-.t�ni _ —i: , , ,. � , .� ' _ � __._._... _._._._ __ . _._._._�_ �_.__. _ _ _. --!" _, i ., , I _.�;�:,,�__..�. L_ ;c inlet... .I�tl Ir_ I I -- ..la.r n;� , � � - .-I ' In` 'I ! i _ i � ���1��£ .'i i ��. �I ' tI.J� i �� ��1 i�l[i�c o� I��.�:�U 81� . � , l� :l�Cf�'IG?�c"�E::.f ' �.... �,.. � i''51,'�7tBt�lO�,i.. �II i' j I j i,iFC'sCC � ;,i�,.ar� .._ci..��:e;i��. �I I � � i _nri a.`'- �i:i -- _ ' I [ iol}���••�'-. S^'S_. i, .. � � ` .__.. ._.._- _-..— "� ' ! �1.�G:.irG�lO.. �.._,i. ,7 ....�... I.'. . . _._S 'if-�0{ 1 ;:n._;� �'. WSLP2000 HOLDING ,ea• TANK SPECIFICATIONS � � _ o a DIMENSIONS: a r WALL: 3" � o BOTTOM: 5" a a _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ COVER: 6' o MANHOLE: 24" I.D. PRECAST CONCRETE RISER � . � � HEIGHT: 46" O.D. o �� 4' CAST-A-SEAL �I LEN6TH: 184" O.D. � WIDTH: 102" O.D. II BELOW INLET: 34' O.D. J �2y^ �I: LIQUID LEVEL: 29" � ,�„a N I WEIGHT: TANK - 80TTOM 14,530 LBS. � � � � I �� CAVER 9,300 LBS. . I�� , �I � o ; iI li � INLET: 4' CAST-A-SEAL BOOT OR EQUAL m g � � o � _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ INLET BAFFLE: � < � � NASCONSIN, SEE DETAIL �10 � � � TOP VIEW (O1HER STAiES SEE CHAR� W� n LIWID CAPACITY: 69.77 GAL/IN W � HOLDING TANK: �3 OUTLET HOLE PLUGGED �x � ACTUAL CAPACITY: 2,020 GALLONS C '� � LOADING DESIGN: B' 0" UNSATURATED SO�L � Q o�p TANK CAN BE USED AS: � � HOLDING/ PUMP � rN W ° i COVER: MIX DESIGN �8 (NO FlBER) y � p VENTED LID TANK: MIX DESIGN �9 (SMALL FIBER) W N op � CUSTOMIZED TANKS: � N�d io fOR CUSTOM TANKS CONTACT WIESER CONCRETE �M ¢ w 3 � — U INLET — . •....,.. .. . ,. z � Q � —� � � `� 3" � o, � x ¢ n p " L _ � � � J� � - - _ — — _ _ _ N U ' F DRAWINGS SUBMITTED � N � FOR APPROVAL SIDE VIEW APPROVED BY: SHEET N0. APPROVAL �ATE: '� PRODURS NEEDED BV: OF TANKS ARE MANUFACTURED TO MEET OR E%CEED ASTM C-1227 RE�UIREMENTS � � Pg s of � _ Pi•ivate On-Si:c�'4'astewatc:T�•eatmes�t System {POW'F'S) �i�LDA�Ca T�NK �YS'1'LIV� - �,TS�l�.'S N1AlV�� ��. s�s��Nt ar�R.arioni: "The holding tank s;�stem se ves io contaii; �vastewarer on a sitz urril thz contents are pumped and i�auled to a proper point of disoosal by ar. individuzf ce�t�fied m;der t�,'iscnnsin Adminis�ari�-e Codc Chapter NR I 14. Wastelvater Irom your i�tenor plumbing;ysfe!n enters the ouitrf r,g sec:�er that tcrnuiates at the inlet of a preiabricated eoneretc holding tanle system. Thz �xn!c sys�em has a s�,�iicli Gla�.:s sct io aeii�•aic ���hen rhe isquid ;ee�l rcaches a noint �1"�)C]OlV .he [ank inlC�. �1�?C $WliCli 3Ci!VitCCS a I:1�I7 :;"11�1�BiiS;Pl lOC3lCC� )i151fiC 3 1i1f1Y�10Ct DC7C ll]3L iti;T7Sl`d1�01� OIl 2 pedestal or inside thz dwelling. �Vhcr;the :ank�s fi41 oi�.�astz�:-ater, ti�e s��•titci� �vill be aciivz[ed and cause�i audible zlarm to sound. .A s�vitcl� Incaied o;i itic rank ale!i ue:: can !urn of?�he audible ularn�. Tt�e liquid �vaster carricr coniracted to scrvice the nold�ng tank syste�:�� shoulci be cnlled immediately atler the alurni is sti��itci:ed oCi. There is only a limited reserve capaciry tefr in che holdine t2nk s�stem a:`ter uie aiarn�: h�s beei_, ac:irvated. 3. DN.Stt�h FI.n��': Thc holtiing tank system ha; a rotal ��aste�vater capac:ty of _ 2000 �;�,i�»�, Szr�icing inicrvals cannoi Ue predicted, as even,�l�ousehold has vaq�iue �vatec uSe �12��IiS. �152 O�R2Lcf CC31Sl'7'�Ynfi I7X:l]iZS ffi1(� VJ2.:CT CQ7l5c:NIDe practices will increase the numher oY days befo�e ti�e �ani< nzeds ro be servicce by a Lc�uid �va;te c2n ier. �'_ ��'.�ItlViN�: Failu_re to L•;���c ihe liaiding t^nits sen��ced on a Iimci��oesis maj� cause evaste���atcr tc back up ir,io tnc d�.velling andior discharge irom the hold�r.a:ank s manhoie cever. ihe di:chsr,e o;sewage w the su�tnCB Of LIC 'y'CbLLi1Q 1S 2�lUbI1C hcalth ha�ard and subiect to entorcc;ment actiun b�. SAWYER COUNTY. Soil sctUing aroun;i the rar.k pci i:ne:e: :n�; oea,:r a�ter it i;zs bee^ ��ack�icld. All deD�zssinns caused by soil settiing sho�ld be t�llcd a�i[h s�il mate��iaf m pre�:�eni �uc'acc wa�er collec�ion. Dcpressions left uni�llcd may al!o�:surfacc�+�ater :o Ireeze a�id cause frost da:ii;:�e. tu t!ic rosniiuic ri,rr .'1:1'�JU1I115 .)! :�1z G[17�C Canl:cUm�AiucutS. UO T1UL f�ilVC O\'CL Oi:1(:2f if12 �tl!tCa ilOiClll� i.Il1C S1'SiCill�u'IT77 BOV VCf11CI� Ui�Ui1StlUCLIOR CULIIjJi11Cl1L. TI1I5 dCL10Tl TT1iPf resut[ in a cracl:ed tank(s}. This �ype o�d�amavc in,�y allo�v ground�va:�: *o en.er �hc hoiui«g tz��l:�s) and incrczse ihc irequency of pumping. h�fany diserse-causing �:ir3ses, parasites, ar.d b:icteria are preseni �n ihc holdiug isnk s waste�vater. Iiven tlie sli�htest exposure to ��astc�vater may ad��ers�iv ai'_ect oncs health and in�;casc th::-isk of serious illnzss. I'lease nn:e tl+a� Elie o�vner or ihis YO�i��TS musr �rovide ti�e septic serti°ici[ig operator�itll reasouaDic access co tt�e fanlc(s). This mat� incIudc (bui is not limitec toj cons.:ucuoi� oi z desi�neted drivc or servicin; pa_d to�;•ithin 2> liorizontal Feet anci,''ur to ��itizi:� 1� �erica; iret to uettom oi tLe izni:�s), foct tralfic ovcr and i!uough propei[y, or veh�cic iraffic o�'er an� tluough propc�ty. D. T'ROL'BZ.E-SHOOTINC� 1. WaStewater backs up or ovzrlov:s m2nlio'te co:�er: a. T�igli �vater alami nui �vorl;ui�. l�. "I'ai:(:; noi pumpcd. 2. High tivale;alann no� work:ng: a. Tank�len bo� not}�lu�eed inco elecincal c�uue�. b. Audib'.e aiaims s�vi�c}vot: si�en� modc- c. 1'ank s�vit���i� ��nsixllcd iiuuiupe,ly or deftctive. d. 'i'atik ��viL_F. e1ecG�ica1 a:�nnectiuns iaui;��. e. Flectr;cal littc to 5�+�itclt ecfccti�c. 3. Urounuwuler entenng ian�: ... Tzr?ti manhoic riser rin��oints leaking. 'o. Tank sidev:�lls or hase crac:tizd. PG. 6 UP 6 (-:(7;G1" � �tti"lEi :�/1'c?il�yc:.:i�tE':"a:. ;`''9c�;""� IMPt7R7sai�i: I he ov;ner oi(his holding iank(s1 shaU be rsponsible for ii� perpeival ooera:ion and �naini2nance pussuar,<to renuirements nr SaS 382-3AC.�,Nisr.. .4dmin. Ccde. Purscan,ic SPS 383.5?(21,��iisr,. Admin. Ccde. 'this hoidipq t2nl<(s) shall be considered a human health hazard i`not mainiained in accordance wiih ihis aporoved managemeni pian. �urtnermore. all inspection and mzin�enance aciivi�i=�sha!I bc performed b�� � ;egistered POVI�TS PAa��Yainer in ar.cord2nce with SPS 383 5z (3�. �nns�;. F1tlr�in. Goue. =sfi�na�ed �aily Uliasfewa:er �io�n� _ __ 200 gpJ i-snecYion Ghect<iis�z iti3'EC� '`�E;`:' � �.'=ARS ., :ype of use n ag.^ or sysicm • o n�_iisance:actor= (�.c. odors, user wmplaints, eic.j , mer.hanic2l maifunciion U.e., pumps, val�r�s, switches,�oats, eic.; o �aieria! ietigue (i.e.. leal:s, hrealcs, corrosion, etc.: o neglect or improper usn (Le.. exce2dino desiyn capaciiies. prohihited 2ctivities, e'tc.} o electrical components (i.e.. v�irina. �onnecGons. ssvitches, coMrols. iirners alarms, efa} o suriace discharge of effluent or ssedage back-up inio struciure senred S=P.VECING FP,�QUE\IC`, u The lank(s) stiall bz pumped by a �erti�ied sepiage seraicinu operater licensed under s. ?81.48 uirisc. S:2ts. wher ihe v,rasiewacer ir� �l;e iani:(s} �eacnes a ievei oi one�oo;oetova:ne irlei :nv2rt o�'rP,e Yank(s). Disoosal of r.pntents snaii be niusuant :o �IR �`3.�r�'isc Admin. COCe. �ani: pumoing reporis�-hail oe suor�ii:e3 .e fhe pro�er iocal ��ove:nn:en`c �nit i� -crnrianr� �n!;_=� �-'S °.,�.�5 ��V:�. A�min. �ode. �eaor�ar.�� ��c?;;ons�.:s: �aiture o� ,i:a(funciior. te: PRUSINSKI PLUMBING -1�on::: (715)651-9215 ��arne oi individual or compari;�: ------ - ---- -- I Loca! go�iernmcni uNY. ___ SAWYER CO.ZONING Pi�oi�e (715)634-8288 L�cal government unii addre5s 10610 MAIN ST#49,HAYWARD�WI __ liU 54843 ;,r, de;eciii�e parl uf Uiis systeni shali oe reuaired. replaced, or �anoved pursuant io SPS 383.5'� (i i,CVisc. Admin. Co�e. Reuair or replacemani oi iailed o�r.;aifunr..iicrine components sh2il r.nmoly��aith SPS 383. Mdisc Admin. Co;le. ;dp nrocuc;tcr r.l;emical or pnysical res:orciion d ihc PObVTS c�;�bc ueec unless aoprovnC by'ha yap�rtm:.nt ir. accnrdar:�^e�,viih SPS 38.�. �,Nisc-Admin. Cede. Cor�tir�gencv Pian In the eveni thai any iailad ccmponeni o�ih�s holdina tank(s) ^annot be repaired, it Shail n2 rep�aced pursuar,t to a ,�lan suhmiti2d to i�e appropriaie agecy for revie�a�and apprnval. Svseem Abandon;nen�i If �isa of this iankis)is discontinued, it shall Le abandoned in accorCarce U�ith SPS 383.33,VVisc. Admfn. Code. HOLDING TANK SERVICING CONTRACT Convact Date: l l 20�3 This contract is made between the EIoldiug Tank Owcer and the Pumper. Holding Tank Owner's IVame: Pumper's Name: � F�� r� y ,�/s ca � k� W�� s���s�„s Parcel Identification Number: (12DigitLegacyID) �L�-� 3 �-1z�-I l 1z 3 I. The owner agrees to file a copy of this conVact with the governmental uni[,Sawyer County, which has accepted and recorded with the Office of the Register of Deeds,the Maintenance Agreement for a Holding Tank reqaired under the Sawyer County Private Sewage Systcm Ordinance for the issuance of a Sanitary Permit for the installation of a holdin�tank(s). 2. The owner agrees ro have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the propeny for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather aceess road or drive so that the pumper can service the holding tank(s)with the pumping equipmenL The owner further agrees to pay the pumper tbr charges incurred in servicing the holding tank(s)as mumally agreed upon by Ihe owner and pumper. 3. The pumper agrees ro submit to the Govemmental Unit.Sawyer County,a report for the servicing of Ihe holding tank(s)as reyuired under SPS 383.55, Wisconsin Administrative Code and the Sawyer Counry Private Sewage System Ordinance. The pumper further agrees to include the following in the repon: a. The name and address of the person responsible for servicing the holding tank: b. The name of the ow�rer of the holding tank; c The site address of[he holding tank; d. The date the holding tank was serviced; e. The volumes in gallons of the con[ents pumped from the holding tank for each servicing; f. The disposal sites to which the con[ents from the holding tank were delivered. 4. This ageement wili remain in effect untit the owner or pumper terminates this contract In the even�of a change in this contract,the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with Sawyer County within ten(10) business days from the date of change to this service contract. Owner's Name: (Prinq Owner's Signamre: �od.oneo�.�5mre.eywrea � � ��u< � � �v�C 0 � �� Pumper's Name: (Print) ���� Pumper's 'gna e: Ken -W� Services of ��e �D"''`"" P�mper's Registration Number: a�c�a Rev.03i26/13 8/22123, 8:43 AM Real Property Listing Page Reel EStat2 Sawyer County Property Listing VropertyStatus: Current Today's Date: S/22/2023 Created On: 2/6/2007 7:55:33 AM � Description Updated: 1/27/2020 � Ownership Updated: 2/22/2021 Tax ID: � � 19528 � � ]EFFREY A NICOL � � EAU CLAIRE WI PIN: 57-018-2-37-OS-OS-1 01-000-000030 Legacy PIN: 016837051103 Billing Address: Mailing Address: Map ID: .1.3 )EFFREY A NICOL ]EFFREY A NICOL Municipality: (O18) TOWN OF MEfEOR 2468 WANDER CT 2468 WANDER CT STR: 505 T37N R08W EAU CLAIRE WI54703 EAU CLAIRE W154703 Destription: PRT NENE LOT 1 CSM D/149 #7063 ID Recorded Acres: 7.080 r Site Address * indicates Private Road Calwlated Acres: 7.0�6 2395N REASON W EXELAND 54835 Lottery Claims: 0 First Dollar. Yes LJ property Assessment Updated: 8/17/2023 Zoning: (A-1) AgriculturalOne � � - - -� -- 2023 Assessment Detail ESN: 431 Code Acres Land Imp. G1-RESIDENTIAL 1.000 7,500 33,400 �� Tax DistricGs Updated: 2/6/2007 G6-PRODUCTNE FOREST 6.080 8,500 0 __ __ 1 State of Wisconsin 57 Sawyer County 2-Year Comparison 2022 2023 Change 018 Town of Meteor Land: 11,700 16,000 36.8% 650441 Birchwoad Sthool Distrid Improved: 22,600 33,400 47.8% 001700 Technical College Total: 34,300 49,400 44.0% • Recorded Documentr Updated: 2/22/2021 . ._... .. _ ----_ .-------- - TRUSTEES DEED � Property History Date Recorded: 2/19/2021 430060 N�q QUIT CLAIM DEED Date Recorded: 4/23/2015 395282 WARRANTY DEED Date Recorded: 3/5/2007 345018 QUIT CLAIM DEED Date Recorded: 12/29/2005 336035 CERTIFIED SURVEY MAP Date Recorded: 6/9/2005 332469 https:Utas.sawyercountygov.orglsyslem/fremes.asp?uname=Eric+Wellauer 1l1 t't: Aa6:�}r- it; �. 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Y_ � , .`j�� t � �� �' �_�} L . �, w;"b..�+. �.. �,�x-�„ . �•n'c� �'� . ��`' ..� � a � '`r �rf,� ��'' T e . �� �.. . �`.� r i �.,,_�.�� .� h S i "�..� .rq �k� i :,�� � �lA 4 �y.tix- r �"�' .'6 . r �� w ,� j w: � �.r'y ;r x r t : � }�' i��.. ! I� v .t. �'� +'t�%���"' k-�.�e ti:•-r- �4 -'l��i� �- �.�•v. V ]M s f ^`r^ . v;�i .n:v:'' �.� ..:f�^." V' ,w.,r�t-:.. p.t-. 3'" #y�yY^ .y# �`� �� �q• r� i�, � � � ��� ����� I� � � ��� �� ���� DocI :80���os Tx:4046959 446U35 PAULA CNISSER -USE BLACK INK ONLY- REGISTER OF DEEDS SAWYER COUNTY, WI POWTS MAINTENANCE AGREEMENT 08/22/2023 Q8:41 AM For Hoiding Tanks RECORDING FEE 3Q.00 Owner's Name(s)as shown on deed: PAGES: 2 � ����e� y ti.�c o � Parcel Identrfication Number: `� (12 Digit Legacy ID) �L�- � � ! - � �-��Q� Legal Description of Property: -SEE ATTACHED SHEET- We acknowledge that applicati�is being made for the installation of a holdmg tank(s)on the property described on the attached sheet. Retum To:Sawyer Cou�ty Zoning and Conservation Administrerion 10610 Main St.Suke 49,Hayward,WI 54843 As an inducement to the County of Sawyer to issue a sanitary permit for a holding tank on the above-described property,the owner is responsibls for the operation and maintenance of the holding tank,locking device,alarm and access,and agrees to conform to all applicable requirements of SPS 383,Wis.Adm.Code relating to holding tank management,including the following: 1. The owner agrees to contract with a person who is licensed under Ch.NR 113,Wis.Adm.Code,except as provided by Section 281.48(3)(d), Stats.,to have the holding tank properly serviced and to file a copy of the service contract with the governmental unit. The owner further agrees to file a copy of any changes to the service caitract,or a copy of a new service contract,with the governmental unit within ten(10)business days from the date of change to the service contract. 2. The owner agrees to contract with a person licensed under Ch.NR 113,Wis.Adm.Code,who shall submit pumping reports to the govemmental unit in accordance with SPS 383.55,Wis.Adm.Code,for the servicing of the holding tank. In the case of exemption under Section 281.48(3)(d),Stats.,the owner shall submit the report to the govemmental unit. The governmental unit may enter upon the property to investigate the condition of the holding tank when pumping reports may indicate the holding tank is not being property maintained. 3. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit to prevent or abate a human heafth hazard as described in Section.254.59,Stats.,the governmental unit may enter upon the property and service,or cause the tank to be serviced. Pursuant to Section 145.20(4)W is.Stats.,a govemmental unit may assess the owner of a private sewage system for costs related to the pumping of a septic or holding tank.The charges will be assessed as prescribed by Section 66.0703,stats. The owner agrees to pay all charges and cost incurred by the govemmental unit for inspection,pumping,hauling,or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. 4. This agreement will remain in effect only until the governmental unit responsibte for the regulation of private sewage systems certifies that either a soil absorption system that complies with SPS 383,Wis.Adm.Code,or a municipal sewer serves the property. In addition,this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the cert'rfication to be determined by reference to the properry. 5. This agreement shall be binding upon the owner,the heirs o(the owner,and assignees of the owner.The owner shall submit the agreement to the register of deeds,and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be detennined by reference to the property where the holding tank is installed. - o ner si re r ired- ACKNOWLEDGMENT Owner's Sig atur � State of: w�`�c0�5 �n ,. C(_' Owner's Na e(Print . P.� d sw n t before me on this J�F��r� ��c� c� >. f �ua��f , 20 � Date: _//- , b � � �� r`s N e): e �'C- � � � (,� � IVatdry Pubuc S nature: Drafted by� J ��•.. �(,c�Aotar me(Print): �� ��z��y 5k ; ��` �c�2t�w �(/'�, Iut�co�m �, expires on: �� �� Personal information you provide may be used for secondary purposes[Privacy Law,§15.04(I)(m)] Rev.03/26/13 Pazcel I: Lot I of Sawyer County Certified Survey Map No. 7063 recorded in the office of the Register of Deeds foz Sawyer County, Wisconsin, on August 9,2pOS, in Volume 27 of Certified Suzvey Maps on Page(s) 149-150, as Docusnent No_ 332469; bein� a pazt of the East one-half of the Northeast Quarter (El/2-NEl/4) of Section 5, Township 37 NortLi, Ran�e 8 West, in the Towu of Meteor, Sawyez County, Wisconsin. Wisconsin Departrnent of Safety and Professional Services Division of Industry Services � SOIL EVALUATION REPORT Page � ot 4 in accordance with Comm 85,1/�s. Adm. Code County SAWYER Attach complete site plan on paper not Iess than 8 1/2 x 11 inches in size.Plan must include,but not limited to:vertical arxi horizontal reference point(BM),direction and parcel I.D. �� ���3 1-�S- ►�0 3 percent slope,scale or dimensions,north arrow,and location and distance to nearestroad. 57-018-2-37-08-05-1 01-000-000030 P/ease print all irrformation. Reviewed by Date Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner Properry LoCation ❑ � JEFF NICOL Govt.Lot SE 1/4 NE 1/4 S 5 T 37 N R 8 E(or)W Property Owner's MailingAddress Lot# Block# Subd. Name or CSM# 2468 WANDER CT 1 7063 Ciiy State Zip Code Phone Number �City �Village OTovm Nearest Road EAU CLAIRE WI 54703 ( 715 ) 497-4180 METEOR REASON LN aNew Construction Use:❑✓ Residential/Number of bedrooms 2 Code denved design flow rate 200 GPD �Replacement � Public or commeroial-Describe: _ Parent material LOESS OVER SANOY LOAM TILL Flood Plain elevation if aRplicable n/a ft. General comrr�ents QK�C^`\ 5�1"�f—"� N� � and recommendations: RECOMMEND HOLDING TANK.SEASONAL CABIN. � � �C``W� � v� �(�7.� � Q �o,� C� � <<�13 1 `� � aq�� � Boring �� ❑ Boring# � � Pit Ground surface elev. 99.55 � Depth to IimiUng factor a'� in. Soil Ap lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f� in. Munsell Qu.Sz. Cont.Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10YR 3/3 - g�� 1 F SBK ds cw 2uf-f 4 E 2 6-17 10YR 5/4 c1f 5YR 5/6 SIL 2 M ABK dsh gs 2uf-m .6 8 3 17-20 10YR 5/4 c1d 5YR 5/6 SIL 2 M ABK dsh gs 2uf-i 6 E 4 20-44 7.5YR 4/4 m1d 5YR 5/2+5/6 FSL 2 M PL dh - - .0 .2 a Bai iny!� ❑ Bonng — � Pit Ground surFace elev. 98�65 ft. Depth to limiting factor a+� in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff€ in. Munsell Qu.Sz. Corrt.Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-6 10YR 3/3 - SIL 1 F ABK ds cw 2uf-f 4 6 2 6-18 10YR 5/4 c1d 5YR 5/6 SIL 1 F-M ABK dsh cs 2uf-f 4 6 3 18-43 7.5YR 4!4 m2d 5YR 5/2+5!6 FSL 2 M PL dh - - .0 � *Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD <30 mg/L and TSS<30 mg/L CST Name (Please Print) Arik Wruck Signature � CST Number PI. Address Eau Claire, W�, �7�3 Date Evaluation Conducted Telephone Number (715}225-1906 jjl, Zo�3 s�l�-xiio�xo7�i�> Property Owner JEFF NICOL Parcel ID#57-018-2-37-08-05-1 01-Q00-00 Pac�e 2 of 4 � Boring# �Boring apit Ground surtace elev. 97.95 ft. Depth to limiting facbor a+0 in. Soil A lication Rate Horizon Depth DominantColo RedoxQesaiption Texture Structure ConsisUence Bourxlary Roc�ts GPD/fg in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. "Eff#1 "Eff#2 1 0-11 10YR 3/3 - g�� 1 F ABK ds cw 2uf-m .4 .6 2 11-19 tOYR 5/4 c1d 5YR 5/6 g�� 1 F ABK dsh cs 2uf•m 4 E� 3 19-45 7.5YR 4/4 m1d 5YR 5/2+5/6 FSL 2 M PL dh - - 0 ' 1 ❑ Boring# ❑Boring � Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth DominantColo Redox Descxiption Texture Structure Consistence Boundary Ro��ts GPD/f� in. Munsell Qu.Sz. Cont.Color Gr.Sz. Sh. •Eff#1 "Eff#2 �Boring ❑ Boring# Ground surface elev. ft. Depth to limiting factor in. � Pit Soil A lic�tion Rate Horizon Depth DomirrantColo RedoxDescription Texture Structure Consistence Boundary Ro�ts GPD/fg in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. "Eff#1 `Eff#2 "Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<30 mglL and fSS<30 mg/L - - � �� - � � �� � � NO R D EFUiV�S AFTER is5u�oF�R;u;rr A JG 2 2 2Q23 sbas3so�xo�,�, Sq�NYER COUN� ' ZONiI�G ADMINISTRATi� PLOT PLAN �i rxa7Ecz- Lvr�MF,:_JEFF NICOL __.__ __ (2395 N REASON LN�____ �y PROJEC'T LOCATION:SE,NE,5,37N,8W � � T,of METEOR,SAWYER CO. ��'uu�s � ��'�, CST LICENSE st: 015_ � SIGNATU!. ' - ------_��.�'" -- DATE=_ ��yp L�G� _ / � I 9-yq, Arik Wruck �3 1518 Glenn PI. Eau Claire, WI, 54703 (715)225-1906 P,�LEs�� � CST-092000015 � N� a�i I��n.u� BGT.SIDL�G �°=�U� �-�-1 I 0 20 �0 I z �=PITS, O=BORINGS �coo�s `� ALL SPS 38;.=13 ���o,-,�s � SETBACKS MET. 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'� `'�' '"T -� � ,' * �� l,��. 1��?^.. ~`,�. . � �`•Mii*z'�_ ,�` "��-�� St� �� ..'4� � , .� �=�c h ,`} :� +, R �!Cp, .. .. t . . � v� . �� � � "1. . � ��, �..`�J� ' w...,�„t� . . w`0� . ' f.�,} � ' ; +4'Y� � } ���_ ... . . , , .�". ,C ���` �c . •�`t . - E ,'* � �.. :�.� � o�L«< T45TIN4 i e�SIGN �O ' � ���, � SOlL TESTING & SEPTIC DESIGN 8/8/2023 PRUSINSKI PLUMBING W15956 OLD HWY 14 WEYERHAEUSER WI 54895 (715) 651-9215 JEFF NICOL ( 2395 N REASON LN ) T or• METEOR , SAWYER CO. 57-018-2-37-08-05-1 01-000-000030 SERVICES AMOUNT SOI L TEST 600.00 SAWYER CO. REVIEW FEE 50.00 SEPTIC DESIGN 185.00 TOTAL $ 835.00 PI.EASF,MAKE REMI'I'"I'ANCE PAYABI,I?'I'O : SOIL, LLC. 151 R GLENN PI. F.AU CI.AIRE,WI,54703 laRIK VdItUCK �51-U'�2UUUU"I!i L-�;U CLt�Ii;E,4�t1 tii:�) ��� '')U;, ::;nl,.tiviuci:��,��i� .:��i..,�;i!i ""'''E`� PRIVATE ONSITE WASTE TREATMENT County ����o SYSTEMS ��Sps ( POWTS) Sawyer ,\� ` /r` �' "'��s 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. 15.04(f)(m)] Permit Holder's Name: ❑City ❑ Village C�Town of: State Pian Transaction ID#: .� �"e �Col l" \e.�T�—�S-� �_ Insp BM Elev: BM Description: Parcel Tax No: �a�-�� ad'�w. � s��� � ��� -$3?--c�S- Ilo3 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic Benchmark �pp,b f Dosing Aeration Bldg. Sewer Hoiding �,,,�� �� �, St/Ht Inlet �?6 ,o� TANK SETBACK INFORMATION St/Ht Outiet �,$ ' TANK TO P/L WELL BLDG vENTTo ROAD Dt Inlet AIR INTAKE Septic NA Dt Bottom Dosing NA Installation Contour Aeration NA Header I Man. Holding �1-$'p� N i�tp` �t-�p` L,aS-� Dist. Pipe PUMP 1 SIPHON INFORMATION ^ Infi�trative Surface Manufacturer Demand Final Grade Model Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist. To Well DISPERSAL CELL INFORMATION DIMENSIONS W � #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav ° Conv ❑ Aggregate INFORMATION P/L Bldg Well Waters o G ❑ Chamber Model Number: ❑ EZFIow CELL TO ❑ Mound o Other ------ -- -- --- -- _ __- ___ ___ ----__ ___— _ --- - -----_ DISTRIBUTION SYSTEM x Pressure Systems Only — --- --- -- _-- � Header/Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length _Dia Spac _ I� Spacing ❑ Yes ❑ No SOIL COVER --- —__-- -- - - IDepth Over Depth Over Depth of Seeded 1 Sodded Mulched Cell Center �ell Etlges Topsoil ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons present,etc.) ��.�1(� g(28123 � ��� Plan revision required?❑Yes❑ No ,� I��-�a�l, � I 6� � � 3 �f : �__ _ o Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�OITIONAL COMMENTS ANO 51�E�TCH SANITARY PEAMIT NUMBEA:__�� `�_� �--- ; ; ' ', '. . . , ; , ; . ; , , ! , . . ; . . ! _ ; __ � _ . .__. _' _ _ ._ _ . _. _: . _ __.. , _ , _. � �� __. . _ _ . ___ . .. , � , ` t : , . . _ _ . , ... . . .: __ : ,.. _ . ; _. ; ._ _. _ ; , , .._. : , __ , _ � _- -._ _ . :. __ .. ;_ _, _ . _ , , ; i � �t �' � � � t��� � p��� � F`��� � - - ---• 1 ,���c- � • "� �W��r I �,�oo c� � ` ` �f �(P1bc. Qa��- M, �� �- � �U� � 3 � q ��� �� ��N � � n-�-- Ta `P�.S�-, �v� C('AI C I"- �`'' T��