HomeMy WebLinkAbout024-741-33-3301-SAN-2023-246 " ' Indus-try Services Division Counry �
, 4822 Madison Yards Way S2VVy2� �r
- , s' - Madison.WI 5370� Sanitary Permit Number(to be Yilled in by( �
= P.O.Box 7302
- _ Madison.WI 53707 �, 5 � (,� ' d� �
�.J
Sanitary Permit Application State Transaction Number �
In accordance with SPS 38321(2),Wis.Adm.Code,submission ofthis form to the appropriate govemmental unit �
is required prior ro obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted[o Project Address(if different than mailing ad �
the Department of Safery and Professional Services.Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats.
I.Application Information-Please Print All Information ,S�'`'"�
Property Owner�s Name Parcel#
William Link 024741333301
Property Onner�s Mailing Address Propem Location
11396W County Hwy B t��'t'
Ciry,State Lip Code Phone Number
Hayward, WI 54843 715-914-5541 SW �%,S`" '/o, Section 33
IL Type of Building(check all that apply) Lot# T 41 N R �� E or�'
�I or 2 Family D�cellin�-Number ofBedrooms 3 1 Subdivision Name
Block#
❑Public/Commercial-Describe Use �'
❑City of _
�State Owned-Describe Use CSM Number Village of
26/176 #6899 ❑✓ Town of Round Lake _
III.Type of PO�1'TS Permih(Check either"\ew"or"ReplacemenY'and other applicable on line A. Check one box on line B.Complete line C i
a licable.)
�. � Y � P y ✓ � � € y ( p ) ❑ ( P )
ew S stem Re lacement S°stem Other Modification to Exishn S�stem ex lain Additional Pretreatment Unit ex lain
rainfield Replacement Only
B' �Holding Tank �In-Ground �At-Grade �Mound Individual Site Design Other Type(explain)
(conventional)
C. �Renewal Before �Revision �Change of Plumber �['ransfer to New O�vner List Previous Permit Number and Date Issued
E�piration CST 04-232 SAN 04-280 8.3.04
IV.Dispersal/Creatment Area and Tank Information:
Design Flow(gpd) Design Soil Application Rate(epd/s� Dispersal Area Required(st) Dispersal Area Proposed(st) System Elevation
450 0.7 643 650 89.1`i
Capacity in Total #of Manufacturer
Tank[nformation Gallons Gallons Units D � �o y ;
Nc�v"Canks P.�ictin�Tanks .�� � � ti
w � � v `v �
— U v� n v: i= C7 C
Septic or Holding Tank 1000 1000 1 Huffcutt ✓
Dosing Chamber � � �
V.Responsibility Statement- [,the undersigned,assume responsibility for installafion of the PO�VTS shown on the Attached plans.
Plumber's Name(Print) Plumber' ignature MP/N1PR5 Number Business Phone Numbcr
Jason Kuettel �� 675751 715-798-3355
Plumber's Address(Street,City,State,Zip Code) ,/
PO Box 66 Cable, WI 54821
VI.Coun �/Department Use Only
�,A r ❑ Disapproved Permit Fee Date Issued Issuine Aeent Sienature
�� $ y j �!c-iLL<_k.�{j�'
, ❑Owner Given Reason for Denial l�'� ��?��?'`"? "�'��•
Conditions of Approval/Reasons for Disapproval � ��� �CS
� � � `�� � .-:*,���-_3���-,��;,Y,
% �,.S �a�.
L� � V.;(�,'�; �S .�/ ��
i� �� � /�Lt'�� ��fi� ��,,,,_1�-�l �w..s � � !
, ��# � y�s 3 S�P 2 7 2023
C`S T �—r ~ ��� J , SAWYFR COU�i i Y
��r l� __._�. ___- -
Attach to complete plans for the system and submit[o the Counh�onl}�on paper not less than 8 I/2 s ll inches in size �
.�L 1,;J t l.:�,.t
SBD-6398(R.02/22) NO f��FUND6 A�"ER
�������Y
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 4 Index&Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross-Section &Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report&Site Map
Project Name/Description
Link 3 Bed Drainfield Replacement
Owner Name(s): William Link Phone: �15 _914 _5541
Owner Address: 11396W County Hwy B. Hayward,WI ZiP: 54843
Project Address: Same
Govt.Lot: SW 1/4 of SW 1/4,Section 33 T41 N-R�� E❑or W❑✓
Township: Round Lake County: Sawyer
Project Parcel ID#: 024741333301
Designer Information
DesignerName: Jason Kuettel Phone: 715 _798 _3355
Designer Address: PO Box 66 Cable,WI Z�p; 54821
E-mail: tim@andryras.com
License Number: 675751
Remarks:
Signature: ��� Date: `� Z� Z�
Original si at re required on each submitted copy.
p,�nc✓' : ,�;� ��v .� �AS� ��� � .
� � 3"1 L��"1'-; �-r t.�. c7 �V L�� � '
� �],z�sS 61.,
,*.,; �,�-� . w � �'yS�e m �L. : �� : i� � .
�caa-� - S��/s� s 3� T v�,.; ;zs ��.:
L� � ��,,., zc/i�b � E �''' •? �p 1 �S
�X ��� - Gt47-11 �3730/
Q �d
To 5ca leT_h
�'ey`�c� A reaanly
�
,�-�,-��r
;�,r:;
� �"y,��pN��
;-c
9�� psa �� ��i �� Zt.v.R� �
� 3.7 QsgSy $ - �� � �_t,s,.�
� r• ,,�.�
y —
.� p a� � gM 100 �
/ 1v�;I ;+��'ra� . M
v►Ih�ie �i,�e �
z �6s �, tt,� � M,p ��s �s ►
oy�z,�Z�
+1
�
� _ _. _. ._._.. ._.._ �,}r R�, , Q ._._ _ _. .—. -- --- — —
IN-GROUND DOSED-GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down-sizing credit)
� m��.,r
GeO1ext°e I I cryP��o TYPICAL TRENCH
Caver
soi�coveR CROSS SECTION VIEW
�z• � (No Scale) OBSERVATION PIPE DETAIL
min.trench � � �
dep(h L ' (No Srale)
(bPi�al) — — .�w.-,• �::� screw-TyPe or
' � ' $Ii0�P(IooseJ ,� �'�ri Flnis�atl Grade
, � (mulchetl&seetletl)
System Elevation= 89•�� R. ,'� 4"0 PVC Pipe ^.; roP�o co�a�
' Provideminimum3ft Topofpipe�o�erminate (min.t�oop
(typical) a�or above tinisM1etl gratle
separation between trenches.
(4)tl4"4/�"X 6"Sbis
@sb apan
TYPI CAL TRENCH (Show location of inlet/outlet pipe connection on plan view.) n��no��9 oew�a '� i�r�u�iq�
Surtace
PLAN VIEW -
(No Scale) 4n � O�servation p�pe shall�e installed
al junclion Datween�wo uni�s. �Q ft
Perforated Lateral Observation Pipe
— (typical) (rypicap — — Rypicap
�� -- - - - - - - - --- - �—�
r- - - - - - - -- - �
I ==_=-_ _______ `_--__ _=_ =_==_=_ ___=__== � A — 3.0 ft
� - - -- - - - - - - - -- - - - - - - J criP��a�i D
�� - -- - -- - - - - - - - — G�
g = 65 n � m
(typical) W
INSTALL PER TRENCH: EZ1203H Bundle �
(typical) �
6 10-ft bundles @ 50 ft' EISNunit= 300 g� (mfd by Infltratw Systems, Inc.) �
Install pursuaM to manufactureYs instructions.
+ 5 5-ft bundles @ 25 fP EISA/unit= 25 ft'
= Proposed EISA per trench = 325 ft� Required Infiltration Area= 642 ft' Distribution Method:
x 650 trenches = Proposed Total EISA = 650 ft� branched manifold
PAGE40F4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operatinq Limits:
Design Flow = 450 ypd; BODS <_ 220 mgL"'; TSS <_ 150 mgL"'; FOG <_ 30 mgL-'
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors(i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution /drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re-cycling, float switch settings, etc.)
o electrical components- if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifce plugging (measure lateral distal pressure—compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tankls)shall be pumped by a certifed septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Andry RBSmUSSOII & SOIIs Phone: 715-798-3355
�ocal government unit: SaWyel' CO. ZOning Phone: �15-634-8288
Local government unit address: 1061 O M81f1 St. #49 H8ywa1'd, WI ZiP 54843
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384,Wisc. Admin. Code.
Contingencv Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 353.33,Wisc. Admin. Code.
�a5� � o� � -
Owncr._ �I �G� CST. 1"o1�hrS5G2 ('i �(—� � '
Sysi Elcv Sysc. Rangc Z• � �o .p.3 ,
W Ratc . 7 SO j �f,
a � _9s•�g a �,.� q y,83 B ��.m 93. �s
95 --- �5 - ----` q k'83 95 �-- --
9y --- Qy --- ---- 9� •--- ---
--- --- ---- ----- ---- °93. 7S
s��. --- - - ---- ----- --- — I ,
q3 --- q3 ---- C'j3 --- L . 75
- - ---- ----- ---
�iL --- qZ ---- 9z ---
--- �--- ---- � ----- ---
--- �--- ---• �
a ---- --- ---�
4� --- �� �--- --- 9i ----- --- S-�sr�M �
--- •-- --- ----- -- �� �
� >,.s�-�-
--- •--- ---• ----- - �.�,, ���' ` �.�
' 3
��
RO _ -8`f.83 �� - --- �� --- _� �.z� Z�g
-- - -- -
_ --- --- ---- ----- —. S� /�z���:.
�9 --- . $9 --- ---- �9 - - ���
--- --- -----8a•6 7
- --- ---- ----- ---� r„.�<ti �..rs��
� -_ --- ---- ----- --- � ��h
� �Y �n is�;., �
-- €� iN T S
a� --- �� a�--- ---- 87 ----- ---
-_-Bb.33 - - ---- ----- -_- ��•75 �
�6 --- 86--- ---- �� g6 ----- ---
--� --- ----_8s• 67 ------ ---
$s --� �s--- ---- $5 �----- --- T�
105': $•�y t �o�� � r,_ "83. �5
= �i.l �$ _ �. p
9/29/23, 11:09 AM Real Property Listing Page
Real EStat2 Sawyer County Property Listing Property Status: Current
Today's Date: 9/29/2023 Created On: 2/6/2007 7:55:44 AM
� Description Updated: 3/12/2014 +� Ownership Updated: 3/12/2014
. _ _ -- _
_ _ _- -_ _ _
Tax ID: 26164 WILLIAM C LINK HAYWARD WI
PIN: 57-024-2-41-07-33-3 03-000-000010
Legacy PIN: 024741333301 Billing Address: Mailing Address:
Map ID: .11.1 WILLIAM C LINK WILLIAM C LINK
Municipality: (024) TOWN OF ROUND LAKE 11396W COUNTY HWY B 11396W COUNTY HWY B
STR: S33 T41N R07W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT SWSW LOT 1 CSM 26/176 #6899
Recorded Acres: 4.000 � Site Address * indicates Private Road
Calculated Acres: 4.004 11396W COUNTY HWY B HAYWARD 54843
Lottery Claims: 1
First Dollar: Yes �..� property Assessment Updated: 3/30/2020
Zoning: (RRi) Residential/Recreational One 2023 Assessment Detail
ESN: 404 Code Acres Land Imp.
G1-RESIDENTIAL 4.000 21,000 142,800
� Tax Districts Updated: 2/6/2007
1 State of Wisconsin 2-Year Comparison 2022 2023 Change
57 Sawyer County Land: 21,000 21,000 0.0%
024 Town of Round Lake Improved: 142,800 142,800 0.0%
572478 Hayward Community School District Total: 163,800 163,800 0.0%
001700 Technical College
�� Recorded Documents Updated: 4/30/2019 ��9' Property History
WARRANTY DEED N/A
Date Recorded: 9/19/2012 380785
CERTIFIED SURVEY MAP
Date Recorded: 10/29/2004 326198
https:/Itas.sawyercountygov.orgl/system/frames.asp?uname=Eric+Wellauer 1/1
��.e� + .. . .. ;` `a ta __:.-.��r,j , �{ ':
r� �� .�;� � �t � � � � r�i� j'�}{r ..
Y-� � f� ti F,� 1 `�r � �� * l W';��
f`�� � �,fip `` • ��5 �\ �I ! �
L/ � 1� � �;� 1 , `��' f� F
>.,:- . ,� L%'s� � q
'r � ���f �.r •t' 4,�.
. Y�f �.L14�"�t'`i��' r
.�y'. '#�. r _ �+�, .�,.. �k"
�:�„,=' ` ,A � � '� �3 �N
�� r� .t�� l� � +S ����,i''�.`' � � 11� ,-��
..� n� �� .•„��� '.". �' f `.'�' �
:.;,, . � _` `,.: ,�,
_.�„x d �r�:.� ..
.�� �
+,�*�i''.�J , ` `
� �.. �: � +•_ �_..^„_- .
y � i.
•`r� _ .- �' X .�- ;; �� �,
,u �� _. , � t ���.. . �, ,��1
. q
.
�. � F ...r � �i l j
..T�( ��k` � � 5.} '. � 'f
✓ -1� '' i ' � ''� ��
' ' 7_ .� �i ,� �r .f .:
ir �� '- yx�y a�.� - ���
t._ 14' �/ i� } _ p _ j� . �l"' '�k �
M: • } R
�. � A
y�' ^{•' i'� . , .
�%:t� . :�.•
t
t� r
}�f . y,
� s . ; .� � � '`t�Al�.. .5�:.
� f`� ._. �. ���� �. �s y-�"�-v-� � �. t �b�f ,�•
' �p�.�/� 'N� � ! �� �v. , 1 �.
, . � �.'� ���.�' .
-� �� � `
:� � �J �C'�,,�, ;`
t rt�r t' . '�. ,( ,,•,"d,`` � , . .
Y�<� "�a''' y,- �� -�:r' �� �,�gt.� - e •y :'�,-*" ���Y R~` } �� N
,�+' � �� � ��. +� ,
N ` Y�� �4 t � -� t �..N
. •t f"�.s�:ir Q� ..�� �1',.
�
� . .. r
r ' •
� . ..
1
r.�:�e� . � . . �
��� v^:` I �e r� �! F ';,y ��
fit ♦
��: t.�- .�; .cy�, :l 1}.�r
'� '� � � {A.�� �- • : ` 'Sqi _
•�� '�•,• _ �`' _ �,
yJt� � � ���� � ~ M
clla �.: � �:
��� �' �;�,as• - -
.�r � �—�s'r'�. ��',�,5`�' ,p� N> u .� �' _
�""�� ' �;�A��y_�� �� . . r � ,
���'� �'L�.' �� ' ,�„��. c.�'"} C^ � � "��
'"'M;s�.. -. �,y�"��'w....rr.�:� �� ��.�
!` `� i��r"` s:✓• � ;
�-�.y,i \
����1�_:. ����,c'�'1� . _ �:� -� l .k�, �p _
� '"" `r PRIVATE ONSITE WASTE TREATMENT co�nty
<,.
�����,�� � - SYSTEMS SaWyer
s�s ,�
�,� ( POWTS)
ry t"_r
' � INSPECTION REPORT Sanitary Permit No:
Safety and Bwldings Division (ATTACH TO PERMIT)
GENERAL INFORMATION �� — ���p
Personal infonnation you provide may be used for sccondary purposes[Privacy Law,s. 15.04(1)(m)]
Permit Holder's Name: ❑City ❑ Village [�Town of: State Plan Transaction ID#:
�^'��`iaw, �.��.1/. 124�.,.,o� lal/�.. ^
Insp BM Elev: BM Description: Parcel Tax No:
lop.a ' ��( 6v� o,.�.� � ���- o2y .=7`�f-33 -3.3rs )
TANK INFORMATION e ` 'kj s.s.e �•ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic ���`�,L SI�C��J? ��yp Benchmark —
Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St I Ht Outlet s,�-�
TANK TO P/L WELL BLDG VENTTO ROAD Dt Iniet
AIR INTAKE
Septic NA Dt Bottom
Dosing NA Installation
Contour
Aeration NA Header/Man. p,� �
Holding Dist. Pipe
PUMP 151PHON INFORMATION Infiltrative �3 � r �
Surface � �< <l��
Manufacturer Demand Final Grade
Modei Number GPM
TDH Lift Friction Loss Sys Head TDH Ft
Forcemain L Dia Dist. To Well
DISPERSAL CELL INFORMATION
DIMENSIONS W 3' � �jS 6 S- #of Cells Type of System Distribution Media Manufacturer:
SETBACK OHWM of Nav � Conv ❑ Aggregate
P/L Bidg Well ❑ IGP ❑ Chamber
INFORMATION Waters � AG p� EZFIow Model Number:
CELL TO �-�a �-�S' N ❑ Mound o Other
__— _— ----- — — - -_- ------- — _— —
DISTRIBUTION SYSTEM �`—' x Pressure Systems Only
— — -- ---�-- --- I _-- ,
Header/Manifold Distribution Pi e s � X Hole Size X Hole Observation Pi es
Length Dia Length PO Dia _ Spac Spacing �Yes ❑ No �'
SOIL COVER
— —_ _— - -_
Depth Over Depth Over Depth of Seeded!Sodded Mulched
Cell Center �Cell Edges I'� Topsoil_ � 0 Yes 0 No � ❑Yes � No
COMMENTS: (Include code discrepancies, persons present,etc.)
�.S�l f� �al�-��3
�_� � - ---�,, �
Pian revision required?❑Yes❑ No � ���� �� � � � �`� � ��
� —� � --
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
ADOITIONAL COMMENTS ANO 5�� H
SANITARY PERMIT NUMBEA: � � ^ �
. � _ . : :_ _ ':_ . ; _. � --- ; . ;
� ' ; , ,
�
[
F— ��l. ��� 3$�s--
.
.
�
�2)E� x65' �S 9` �� 6J�' � 1
� — C.ec,� 5��
�,,+.�N�Sk� O
��g�,.b.e
�sb, �-?-
�— �
D �,''� ,', M
� aY �
ga,R. • ���,�
��`���
�-� .� ,,
C
�;��.,
0