The URL can be used to link to this page

Home My WebLink About008-937-17-5432-SAN-2023-249 �, co,�ty c/� '°{e,�"'�';` Department of Safe � � '�'�,� `,'� SAwYER Z r�� . `;;�, &Professional Services, i�� `, ; ; � Sanitary Permit Number(to be Slled in by� ` 1 `��!//lr/ Industry Services Division �, y„� �`lt��\IHT�\.-" � � � � � 1 V� , State Transaction Number Sanitary Permit Application � In accordance with SPS 383Z1(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unii �� is required prior to obffiining a sanitary permit.Note:Application forms for state-0wned POWTS are submitted to Project Address(if diffecent than mailing ad.....�,� the Department of Safety and Professional Services.Personal infortnation you provide may be used for secondary pu�poses in accordance with the Privacy Law,s.I5.04(I)(m),Stats. I.Application Information-Please Print All Information G`�5 (,� UMv1/.16/3/�c 4 �N. Property Owner's Name Parcel# �1 bffN '` �A�EN /�oL�i�l OD$937/ 7Sy3� Property Owner's Mailing Address Propgrty�Location 6/9 N. 41,�iairr Sr. Go��o� �/ Ciry,5tate Zip Code Phone Number ffl�6d d/L[E � lo D 5�3 �'�•, �I/41 y., section� II.Type of Buildiag(check a that appty) y Lot# a T 3 7 N R 9 E o IE(1 or 2 Family Dwelling-Number ofBedrooms Subdivision Name Block# ❑Public/Commercial-Descnbe Use ❑City of ❑State Owned-Descnbe Use CSM Number �Village of 3 3/�/8 � 7 9 8/ (J�Town of ED�E�Are�/1 III.Type of POWTS Petmit:(Check either"New"or"ReplacemenN'and other applicable on line A. Check one boa on line B.Complete line C' a licable. A' ❑New S m yste �Replaeement System ❑ Other Modification to Eacisting System(explain) ❑Additional Pretreatrnent Unit(explain) B' �Holdin Tank ❑In-Ground ❑At-Grade gn ❑Other Type(ezplain) g ❑Mound ❑ Individual Site Desi (conventional) C• ❑Renewal Before ❑Revision ❑Change of Plumber ❑Transfer to New Owner �st Previous Permit Number and Date Issued E�;�t�on I r�-oo � �/5��0/o N.DispersaUTYeatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersa)Area Proposed(s fl System Elevation E�rf- yaa Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units � °o '� � New Tanlcs Facisting Tanks a`'"�i p d 2 a�°'i .n � cY`"a a.U �n h cn w C7 a. 9epsicorHoldingTnnk 3000 — 3000 ( '/ /7Uf�L4TT �o�J[,�., "' Dosing Chamber V.Responsibility Statement-I,the undersigned,assume responsibility for inshllaHon of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's S'gna Do�P/MPRS Number Business Phone Number �EN•v� /�e1oE.err►A� ��vvh � .�30.?38 7/S 8.?8- 5�665� Plumber's Address(Street,City,Sbte,Zip Code) .So 3 3 Gusr �D, fAu C,�66,r LcJI SY7yJ VI.C u ty/Department Use Only Permit Fee Date Issued Issuing Agent Signature �A ❑Disapproved $ �� (� + �`r - � _ �,` ❑Owner Given Reason for Denial ' � ''�3 r �'L`'�'`�� Conditions of ApprovaUReasons for Disapproval o�, �� _ , ��...�,�� ?�J-= 3C.�(sb� � , _ � -�k#�-. as� _ � (`��r`�.,�� I S,,,,�n..._._,. �!��r�':=� ��. \.._r`.. ,� GST �I/��- ��r ,� �-�a� I;��-=--=_ — �,�`��. �� 23 €-J Aqach to rnmplete plans for the system and submit to tde Couoty only on paper aot leu thao 8 t2 hes m size _ �----- ___. �{ r�l y n!0 R�FJIVs7�'u AFTER +',r:�r'.i`:��'� `'' SBD-6398(R 03/22) ISSIJE U�I'��1;1 i z��;NU;,L'��"'`+y��;�;��o� Sawyer County Zoning & Conservation Administration 10610 Main Street, Suite 49 ��\11 ��R Cp �� Hayward, Wisconsin 54843 ; i_ V(� �� (715)634-8288 � �� ' � FAX (715)638-3277 � I iQ �� _ "- �� www.sawvercountygpv.or� � o -� � io � E-mail: sanilatitm�n?sawycrcountygov.ore I, �� ' i � Toll Free Courthouse/Gencral Information 1-877-699-4110 ._�..�:�y ,. .. � Y� : �� ,�� \ON��' Holding Tank Approval Checklist I. Sanitary Cover Sheet: Date Stamp o`l� l�l �3 Parcel ID# o o � _ q 3 7 _ � 7 - �' �f.3 a II. Plot Plan: D� Property Lines � Benchinark BM ♦ � Site Address �North Arrow p( Structure �Scale pC Well �( < 25' to Service Road � Legal Description � Nearest Road Intersection � Setbacks to: Property Line, Well, Structure, Water bodies, Roads III. Required Plans: Index Page with Original Signature Management Plan/Contingency Plan ��ervicing Contract olding Tank Agreement Fonn ($30 to ROD), �6t.�''' �'�� IV. Holding Tank Specifications: � Tank Cross-Section: Manufacturer: H�e Gallons: �� Tank Anchor Calculations [SPS 383.43 (8) (g)] Locking device, chains/locks �Alarm, electrical per SPS 383.43 (8) (e) D�3" Bedding Material < 1/2 " V. POWTS Component Manual Reference: XHolding Tank Version 2. 1 (May 2022-2027) Owner: �� Plumber: � � ��,4i,, Application Review Date: � ��-9 1 � 3 POWTS Reviewer: (� Natne ��!'�(� Rev. 4/27/2023 Credential # Page 1 of 6 Private Onsite Wastewater Treatment System Index and Title Page ProjectName: ToN,d f/�.4�E�v /�atq.�- 3 aao tAr-�coi�c�,a�,e L2E/[Alc�,vl.�r) Owner's Name: �' " " Owner's Address: G/9 /V. (,�,t��pT ,Sr. NA�E,fv/ttE� �L 605L3 LegalDescription: �.L.- 5�� 1/W�1iL 37N� 9!J Municipality: Town, \Lillage, C-�Eyof E,Q�E�AIER County: SRwYE�t Lot Number: c? Block Number. CSM Number: 33/�/8�7 98� SubdivisionName: /6'/5/W /��riri.Jce��D �+� Pazcei I.D.N�ber: OOgg37/7SY3.� Page 1 Index and Title Page Page 2 Plot Plan&Sizing Informarion Page 3 Holding Tank Cross-Section&Information Page 4 Tank Manufacturer's Specificarions Page 5 Hoiding Tank User Manual Page 6 Holding Tank Management Plan Name of Designer: `J��.�is K/.J,Oap iyq.J License#: MQ�CS^ .?3 0?38 Signature:. �w��- �-1 Date: 9-.�/-,70?3 Designed nursuant to the followinQ POWTS Component Manual and DSPS 381-385: "I-iolding Tank Component Manual for POWTS"Version 2.1(May 2022-202� Attachments: Holding Tank Agreement Holding Tank Servicing Contract e 0 0 A 4 / ' / n� � / / � \ (,� Z -a � ro � � a�n�� L� � � r �� o � � , � � � o �' � o „ a •`C = o � � / ti � p � / � � � � a' 7�' � � L 2 � � e � � �e � 3 � A p � � � T � z ta. "�'� 2 � x�' � � � '' ' , � ;C �'� .o i°,..� r ^ '1�'aa ya aa .x� .� � A x j �' � � � � t Q � c •� , . ` � c��`C 2 ;N � `7 i o�.o\ � � C� `� o ° '� a k C � ° A �,�c 4` � a ^��' �� ^ y � p � � �^, � a qti ; � �,� � o a �t � a o a a> >' -��`" �A� a � a L. o � 2 n�R q °C �. � .r 4 � a 0� t� � � a � � � a � r' � A a a f A . � r � j a �, � ^ �a ' a K A � . a o � t 1 e�, �a �,� ` 3 y ti � a �� `� ' � w � � �� • 3o� G �9��N� '�'�N� ��E�@�9Ce'�T9��S �y Number of hedrooms Non-residential estimated flow(gpd) a000 Nlinimum hoiding iank volume required (gai) 00o Proposed holding tank capacity(gal) /9�uFF uTr Lo,✓La : Tank Manuiacturer 000 .P Tank modei number S.T.E. /� o.r6u s ��arm manuiacturer Compte4e alartn manufacturer's nz �AdK A�En.r / Alarm model number ComoleYe alarm model number. Tank Dimensions and Data Tank Anchor Calculations- /F N�EB�O X for round tank �?� Ibs Weioht oi tank and cover S Liquid depth below inlet invert(inj Safety factor 8 Maximum depth of soil cover(it) 3J�o �bs Weight of anchor required � 73.5 Height(in) � ,?3 in Soil cover req.for anchor or 403 /6s./i.+cN Outside /�� Length (in) Dimensions S.8 Yd' Concretecaunterweight yo�y/6s.�yd'� � 8$ Width (in) Only Required anchor dep`eh exceeds maximum cover dep4h_ �� t�� o�� mannole cover with � locking device antl 'nnished ��ent wp junction � e+aming label y�dz 6ox � � � � 4"nin. 12"min. 23 in. conduic Manhole and venf locations ventpipe 1B"min. � tetherv2ight ' � —��— /�i �� .n building sewer service—'-- � ---�—'—'-----�---� � inlet hlind plug aiann on Nofe: All tank joints, �sea� and joints between tank auuec n openings and piping are ElectriCal as per ys in. sealed watertight. All NEC 300 pipe and vent materials ' and SVS �6 57.,3 iAts. comply with - SPS 94. � i /NG/d I3 in.hedding under[ank. Tank is anchored as necessary to negate buoyanc�. t 6�- �t. 5� of � � 60.5' 6.5' 3.5` 57' SJS' 2• b A D � N N Z 1 � r � cn m � 1 w w � r � in ^ D c�O� 2' N � N N O � Z T �O � � i r C1 � � �� Q' I'l tJ = t7 t7 L J D O D D � O - � � � N .Z7 N \ � � � \ � �!'l G7 D "��A. C] f*1 Z � £ � f'l IT7 Z I O �) n Z 4� V/ A Cl TI D .-0 ... Z � (7 f'1 7J D n l7 C -� Cl 7C 77 O D 3 d O O "� fT1 f/� D d C p r W Sc7 Ll (n A ITl � -i t7 O 7 O af D � v r*i o o -� < m r t�*1 (n � � o r�i -Zi a y D r*i �r ` f'l � z � m r � v�i � � :O 3 � N O � � °� 6.S' � < � w m r� A D r� � �n �n � � ii u � r=i A -i r� ri r*�£ d t7 ` Z w A o r � D .. r� � � � [' � .Zl � � ? O � t! n N w G � r � D -a o -� p c� r*i c� v, � z � o D � D � c� � � � C r r a r� r'� A p a' � � " v' � a � £ � -{ � rt c r*i v� 0 o cn � - Z r N o ? D < �� £ � � z � A � 4' � r- � D ti � � � � 56.5' S.5' 3.5' S5' b A D ` �� Wr - - _ ___ - - ---_ _. - � _ _ . � I i � o � c � -'i D Z �^ zo � 17 or� o , � , � Z W 3 :U C7 -f ,Ic_�X r� r r*i r� � � rz c� ,�„ -- (l (n A p d CJ� ('1 �1 fJ " (''1 Z D o A t' � r*�'i � A � r � m D � y Z ''1 � r*i r r� '� � rvi Zl � n r*t -o -� 0 A PROJECT� HU��CUTT 4154 123rd STREET �_ �-0 N.P.C.A. CERTIFlED PLANT � �' CHIPPEVA fAtLS, VI 54729 cc � � � � 3,000 H.D. LOW PROFILE _ � � ` � S E P T I C ❑R (715) 723-7446 � (800) 924-1516 � MEMBER OF: ry COACRETE. �nc � � � � GREASE INTERCEPT�R FAX (715) 723-7111 � www.huffcutt.con � ^ o o NATI�lAL k INSCONSIN PRECAST CONCRE7F ASS O C IA TI O N S 165.5' 158.5' 152.5' 0 -i m y �l 1 � m _-' /� TI V Q) �0 � —— � —i r � cn ru � � Z p m -- - � a � � Z � � r D r � � D � Z z 0 m D C C 1 O DZ ——___—_———_ __———.__— rr----- - -- � � I D i.n I � I � I � I O � A I I � D � D O m � � � i � z I � � -� � D '� n I m � � � t7 -� O O� `D � O m p N Z O :� � � f�l 3 2 � I � � �� 2 __ i � r� rrl �S� � D m r p —t -iz �� Am IC' � m Z �—� i � m �; I �W� I �p� I �� i O i I � I � � �___ r--� PROJECT: 4154 123rd STREET ��a N.P.C.A. cQtnFiEo PtnriT � 3,000 H.D. L�V PR�FILE �.� HUFFCUTT �IPPEVA FALLS, VI 54729 ct�� SEPTIC OR � � GREASE INTERCEPTOR C 0 A C R E T E. �n C ��15) 723-7446 * (800) 924-1516 g�� M E M B E R O F: FAX (715) 723-7111 � www.huffcutt.cor� ��o o NAiIONAL dc YASCON$IN PRECAST CdMCREiE A$SOqAiIONS Pg ,j of G Private On-Site Wastewater Treatment 3ystem(POWTS) HOLDING TANK SYSTEM -USER'S MANUAL A. SYSTEM OPERATION: The holding tank system serves to contain wastewater on a site until the contents are pumped and hauled to a proper point of disposal by an individua]certified under Wisconsin Adminishative Code Chapter NR114. Wastewater from your interior plumbing system enters the building sewer that temunates at the inlet of a prefabricated concrete holding tank system. The tank system has a switch that is set to activa[e when the liquid level reaches a poi�it 12"below the tank inlet. The switch activates a high water alarm located inside a tank aleR box that is installed on a pedestal or inside[he dwelling. When the tank is full of wastewater,the switch will be activated and cause an audiblc alarm to sound. A switch located on the tank alert box can turn off the audible alarm. The liquid waster carrier contracted to service the holding tank system should be called immediately after the alarm is switched off. T'here is only a]imited reserve capacity lefr in the holding tank system after the alarm has been activated. . B. DESIGN FLOW: The holding tank system has a total�vastewater capacity of /Sd gallons. Servicing intervals cannot be predicted, as every household has varying water use habits. Use of water conserving fixtures and water conserving practices will increase the number of days before the tank needs to be serviced by a liquid waste carrier. C. WARNING: Failure to have the holding tanks serviced on a timely basis may cause wastewater to back up into the dwelling and/or discharge from the holding tank's manhole cover. The discharge of sewage to the surface of the ground is a public health hazard and subject to enforcement action by County. S�ac�Y£� Soil settling azound the tank perimeter may occur after it has been backfield. All depressions caused by soil settling should be filled with soil material to prevent surface water collection. Depressions left unfilled may allow surface water to freeze and cause fros[damage to the manhole riser ring joints or the other tank componenu. Do not drive over or near the buried holding tank sys[em with any vehicle or construction equipment. This action may result in a cracked tank(s). This type of damage may allow goundwater to enter the holding tank(s)and increase the frequency of pumping. Many disease-causing viruses,parasites,and bactena are present in the holding tank's wastewater. Even the slightest exposure to wastewater may adversely affect ones health and increase the risk of serious illness. Please note that the owner of this POWTS must provide the septic servicing operator with reasonable access to the tank(s). This may include(but is not limited to)construction of a designated drive or servicing pad to within ZS horizontal feet and/or to within 15 vertical feet to bottom of the tank(s),foot traffic over and ttuough property,or vehicle haffic over and through property. D. TROUBLE-SHOOTING 1. Wastewater backs-up or overflows manhole cover: a. High water alazm not working. b. Tanks not pumped. 2. High water alarm not�vorking: a. Tank alert box not plugged into electrical outlet. b. Audible alarms switch on silent mode. c. Tank switch installed improperly or defective. d. Tank switch electrical connections faulty. e. Electrical line to switch defective. � 3. Groundwater entering tank: a. Tank manhole riser ring joints leaking. b. Tank sidewalls or base cracked. + •-�F � ,. � � . ' �.� Y� :..`fi,.�. �� Y�� '. a�"""'.�n �. .arw.a.,M. � . �. � r7�, w �vwr � iS �� a .`�"'�. �� 4 ��r. �Mf� v " �£ � ,�y•,'��x"' µ. � � ..��4w�r� � �. �" � x ��" f �� n p .,,.r �'..`�'� . �1�"e$i� U � "a. �-9'�P. "�` t. jN � . y, w�4 r. .W t ' ,�, '. V '9i '0...i Y ' 'r' u.. i � � ...�w ..w �� O � .:.� . .� � � � � � � . �� . N d D p .� � �'h'.�. � `�►M�[ "'�#� � , .c .� . y�.L-� �"W.C4 f.,i t .. �, 'p�- 1�7i ,. $b iA�'= s`"�� ". � � . ' '�`� � �' ��' ��4. � �'�� "`" .:'� '.�' '1"�. .` y } �;L ' Ya � � � �'�' ..R � �ns w�i�t�..oMi�.+."'�S."x'°`dll��,.." �F . . � �� `,� , �a F. . ''�Y"' f�y��. ' ., a,'��—1 .* ,. � i, . . � n ��_ �4� • n = N � . �. x,� ��y �� +r� % q�� t ,.�Yy��k. ro 'dP � ��`�: � '§x�lq= ' i. �"' �� m�°.�= N .�� . 2r � .,,y,� �'- ' �� p �; : � . a � . �*'` dr ' Jr : $� `. cD�� - � § � "��. .,r„�. _,� .� ,,y'$'� �/a rm u� +R* '^e' �,v�;..E�.� � Y eea a -, . 7a+ ""'.�'R �'_.+[. � � 1 . '.r! �� .. �- 'i� � - °m' . .. '�` '� e �'�` �` � y� � �°Y� . �(D O -� " s '.£f .. .. _, . s. _ ? �� '4 ,e� s« .w�w �' _ . �+'t..�p A x . .�. --� _ n . T�.^ � � . � .�$-7 nN� O ' ' . ar. ,.�3t.� - r = . .a ^ �� v '�� _ �'" z��ly lE .. .,�s- . 'Yx w .`>.m q '".i`�,.�'w�'t' � `�,- Cf � P, � •� ff � �_�.,. . . '.. rFiDlry � a s., a . T�m� ,pyip. Q ..4 � i , t �::A�, �" 'w, s. P .`�` �'' • � Y '�;n+Nl&�"�""° -" , r: zc�., � �a �` ^. �' s � , .. o m " ,�,u �Y'„ a .�r�.� :i: r� , M � � :.,h �� _� � ' �� "` ��" � .. .,, �.. +t' ,�.�,�� *�� » - , _ .. _ : o -q� �',., a. � �YR .-� i �A! '�[ �• c-1� Y � � . i"�"xY�� . - 1 . � . � � ,�ce ....�.� v � K �r � � . . . hu� "2...aR � � ��.d� ... �� L � x P'+ � rT> .ak �� .Pi „� � r TIy l� � '�[�� N � ��n#M1t' s 4� .� y( ��n 're' V. �,�a 'i'A' f . �+ � R . . ..::. . 4 'AY �. � �� ,� ' � �,�. , �"." � � ' � �� r �' "";� �_ .r .:.-.�,.�. �� '��u.� ;�.;�"'"�,�, i , „- � . r � �,� �t,�lR`�w�.� �;'7� m �' { ""11''"�1 ff� ��..'F � ,e � � Wz, s',. �,�.: ;n". �� - ��`� `� A A,�"� - �.� � � � . � ... K 'A4. k }� . ..,) ��V _9Y �, -3 f i.. � , �j � .� � { �'fz '# .2i: y .� ��' ai..�}� }. � �. 7'"�: �- k, < . ., . : ♦ � r `§ �il��1fF�F — - b+ . -. `i4 . . : .. � ea, sy�Sr � .. � �. �� .,.�1,�,x . . • � k.� s g� c < . �,� "'�'"C Y F x ..�,t �'�^'u;�'r.' + . ,. . r ��;mms � ' a�+1' � ,�.•g"" +�. •°:. � . : ,`" .<... � ., +'�..: e iWii/f .}�Iw �� .. �- ... .. �`�.s_�s .. . - � 'a=,S `r"`� �,r ' � � * 5,: . � ; ,.« � , . � �" �y; �'--"'� �i;s. �,,_,�� +:� � �>� � � " m� F � � � - � '�r�,, � � w..�.+.� , �'��.a. ; `� . � '�.x�:s�� - � � r�,,��.s � � ��" , _ � ` �,��,,.'�-�' �$ � ,x . ` ' '� �— e ` .< , }� �, i� -��.; � ��Y�S ��, �` a x. i:> « .F � ` ��y,��' ",� + ��*^ ` � � � � ti " '9 . .. v , . Aw��AMM� �,. Y$'4: ,�� . �mo- , .�,e�R:i` ,�� 3� , � '�.-q�.+,„, � ._. ��Mi. �.tiyY �,�� +� � . rt � ��%� ,,.- �. � iYYr�e�•.i�w.. � G 9 � �k}{�_ ., .� � � `i=� � �'� Y � �.. ��.e�Ty`x.} '� nF.. " a' R_. .,p3a ' ... � �� `� �mi•�. � e' � .: k , . � ' ' ��',`°"ey.x � vF� 4 � F�y� �'♦� �� t '.~�� .9 M . �.� � � - ��•� �� r� � �. ' . N .a � �-' . . c_ - . �,. .0`:1, ...._. . � � �� 4 '°�y z"_`� ! '"`- � . . 'm' . . - ♦ �#� �` #5' t, -% ir',q �"} x2 "` • . a :. � �/: a . �'f� 'L � � b . Vl'` ... � � . '+o-#� �'�..s� '"y �.. ,. ; ''n�lYa .' ��✓`y ' .+b.y�� . ' � �. �r . aL.TrRh'Mt' H�n w'' *� {�� 'Z' '� � g� �� S � � . . " �.4� �y�,�L'^WFf Y , "a �y�. S �R.� �� N�� y, � z .'�'"MNhri�� a�," � �t . 'r"""✓# �. � '�..} ,i r�� LL;' 4' w � e RF. ''i' . ,. . ��'�� ;u;�... � �, � � y , � r. w.�: ��' �, ,.�"�'� "� r � 'E� � '�.� '��t $` �,. E . -. f � �r � � . �„�,'� ':.�` �`,".'s� �`` } . . ,s �. �, s , ' � �. � ' � �M1 � '`�� _ � � , ° � . . F �. �. . „�`< . .� � . ' � � �y' ,,, , �, �p� ' � �� `:� . . ,. � ,� 9'""' - _. _.w r"�� 'a-«„ �.1$ . .1�'�` ��`�� ► . ' . : � �;: , w�� +i. �F 4�� e�� 4�* �4 +�k...n } }� r �.��,^r��, _ � 1r • ry � � .. { . .. "� � ♦ ..1. r �_ ... y ,p 4 '�'� �.�j:�" .. , _ � , � '- l,�. ' �R' �q, k �' � ' N"k.. ,..� ,� r .. �� f�y' ��M7,'4'c`-� + . ; `x j�'�i ., '� � '� , . -.. . �� Y � T�. •� '.R, � � wf� �e µ �� 4 �' � . � ..�. ��'� ' >.�Z -- � '`_�,"',�y. � : _ � ' � � . ° �ay � ,_ ° a � f' , �; ## � " �'. , a ` � � `�� '' ,_� � �� `_ "'�- ,,�," A 5� �. �� ' T�`$�'. � ��¢ .�.a►„'i"'W`.�.�.�:,�. �"�e�'� �� '�� I �, . < �r.�� ' � . �.,� �. _ . { �. . �.�. 4 w�, �' z e . �.. . k _ � �Y'�m� s^ '.a , " �A� �� _ T �f Y . � �`i4�l�r`�,� a '� �,�� ,. r4.� �i'j.� r_ [ � � �'S .� ,_at' s � tY�� r �� , . . ,e�.- . .i �'�ff�s .n �� E w'5 N 'h �-+ fi 4 � +.� -w{,�_�� alt 3 g y"h't �� . . � .:� �"?� •.!r. wn � "�`e' �+�, �y � 'y �.t a y. �. ' � � � . ��. ,� . 'v`",� �+ 4<'•'. � �t � >;�) ` 1 . z_ i � � , m., �i ^.. �4Y . . .... ... . � +h- - '� ' 2., �� . � �'- h , . . . � � � . : � r , � � , . ";. � ,:� '!� �. ,� � , 9 � �� _ �.. �,,,,,,�..,,� �;� � _ '�� _ . �. � : �. ��.; . , . � � � � � � , : ai . ''�. ' ��' q � �' .. � � � . : ._ � , -.i `:_ tii"� . � . , , , �` ��` r �', �� r F � � '�,��- �,h .,� � r : . � _ , �,� :�> � : ,� - : - ;. .� . - 4• �. s; �y�9w�_ �_ �{� �� 8 -`-' � 'ln' r R .w � �� ro �.At �{�e� �g. r t' ',3 - £ .. r� . ,t a� � p, f l ' � il' m�F ��B.4t 9� � � �� " .. � Y�y�, ...y'1�+ t(g „�.y 4 M�• A � M ,�� ,� .� g� �::.,�. ., �,_� ��' �r�: �;. ,�ay _ - J�G„-, � �<N (��" I.� I � '� Gsa > J�tiy �i�.�a0r�.�a�, Sc�wY-e� C�u,�f�' S�33 l;�+sf� �a!/ �^.eYIG l�t S�t7�fd o ,5- 3'� -T��„ �, 1715) �So-bS�ld � • �aP�,�v,1o+�Y� � =ObddOO)3 �� = 30' T�*t�.�-43�-i7-5�t3� �o,..��-qI�9 l�3 •=BM=l�d.v�' 7JP,�F •"�nn{i�/'G �ic77tt�� =WcU �'/o�- �. � �� s�,,� �� i � I„��a�' k`� `� / O4, � � ` I c E '(�� -IMM��+.:9 LfnllZ ��L � . . -#!(.YSIw �I � .i � �ki° \,�+ 'f �7 ��QC��, .�/�CMO vF{KiS�,�vq J.8,,.1,��+ [.,y'n , �� P<��:�:�� -1 . ��.� ti�� $M=��.�� p��sz��+�k l�cti+•'�n ! �-+��Ge+�/�ns. I J � � Lql�t l�he�aG � HOLDING TANK SERViCING CONTRACT Contract Date: /2�0 / This contract is made between the Holding Tank Owner and the Pumper. Holding Tank Owner's Name: Pumper's Name: -- � �°-� �'L -- G(o a y� � �/' r/!c� � o I�� v� � � d r�1 �7�' <-ci -Q r�%� Parcel Identification Number: (12 Digit Legacy ID) 4 C� ?� - � .�� - �� - �� 3 a 1. The owner agrees to file a copy of this contract with the governmental unit, Sawyer County, which has accepted and recorded with the Office of the Register of Deeds, the Maintenance Agreement for a Holding Tank required under the Sawyer County Private Sewage System Ordinance for the issuance of a Sanitary Permit for the installation of a holding tank(s). 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all-weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the Governmental Unit, Sawyer County, a report for the servicing of the holding tank(s) as required under SPS 383.55, Wisconsin Administrative Code and the Sawyer County Private Sewage System Ordinance. The pumper further agrees to include the following in the report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The site address of the holding tank; d. The date the holding tank was serviced; e. The volumes in gallons of the contents pumped from the holding tank for each servicing; f. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event 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: (Print) OWIleI''S SlgriatUl'e: (Only one owner signature required) �,j ol� .� J. � a� i�/� � �" Pumper's Name: (Print) Pumper' Sig�ature: �Q�2 �'Z �C�-��<� �� Pumper's Registration Number: �r �/ � ��T Rev. 03/26/I 3 9/29/23, 12:58 PM Real Property Listing Page Real EStat2 Sawyer County Property Listing Property status: Current Today's Date: 9/29/2023 Created On: 7/9/2014 12:14:55 PM �Description Updated: 5/6/2020 '� Ownership Updated: 7/9/2014 _ __.. ___ _ _ _ ___ _., _--___ _ __.. .- -._ ____ Tax ID: 41844 JOHN HOGAN NAPERVILLE IL PIN: 57-008-2-37-09-17-5 05-004-000320 KAREN A HOGAN NAPERVILLE IL Legacy PIN: 008937175432 Map ID: Billing Address: Mailing Address: Municipality: (008)TOWN OF EDGEWATER ]OHN J&KAREN A HOGAN JOHN)&KAREN A HOGAN STR: 517 T37N R09W 619 N WRIGHT ST 619 N WRIGHT ST Description: PRT GOVT LOT 4 LOT 2 CSM 33/118 NAPERVILLE IL 60563 NAPERVILLE IL 60563 #7981 Recorded Acres: 0.860 � Site Address * indicates Private Road Calculated Acres: 0.878 Lottery Claims: 0 16451W HUMMINGBIRD LN BIRCHWOOD 54817 First Dollar: Yes Waterbody: Chetac Lake � Property Assessment Updated: 6/28/2021 Zoning: (RRl) Residential/Recreational One ESN: 430 2023 Assessment Detail Code Acres Land Imp. G1-RESIDENTIAL 0.860 159,900 56,300 � Tax Districts Updated: 7/9/2014 1 State of Wisconsin 2_Year Comparison 2022 2023 Change 57 Sawyer County Land: 159,900 159,900 0.0% 008 Town of Edgewater Improved: 56,300 56,300 0.0% 650441 Birchwood School District Total: 216,200 216,200 0.0% 001700 Technical College +� Recorded Documents Updated: 4/14/2015 i' property History CERTIFIED SURVEY MAP Parent Properties Tax ID Date Recorded: 6/9/2014 390752 57-008-2-37-09-17-5 05-004-000260 8577 SHORELAND RESTORATION/PRESERVATION AGREEMENT 57-008-2-37-09-17-5 05-004-000310 41665 Date Recorded: 3/19/2015 394782 WARRANTY DEED Date Recorded: 3/26/2014 389782 WARRANTY DEED Date Recorded: 5/20/2010 366580 AFFIDAVIT OF EASEMENT Date Recorded: 5/20/2010 366579 Ghild Hisf9ry Record Count: 3- ___ - — - ---- - ----- -.._---- ---- ---- _- --- __ HISTORY O Expand All History White=Current Parcels Pink Retired Parcels 0 Tax ID: 8577 Pin: 57-008-2-37-09-17-5 05-004-000260 Leg.Pin: 008937175426 Map ID: :4.26 O Tax ID: 8563 Pin: 57-008-2-37-09-17-5 05-004-000100 Leg. Pin: 008937175430 Map ID: :4.1 0 Tax ID: 4166 Pin: 57-00 -2- 7-09-17-5 05-0 4-000 10 Leg. Pin: 008937175431 41844 This Parcel Parents Children https:/Itas.sawyercountygov.org//system/frames.asp?uname=Eric+Wellauer �� " "T`"f`� PRNATE ONSITE WASTE TREATMENT county > .� ��o$ SYSTEMS � ps ( POWTS) Sawyer ,,� � � ��-;� ' v'' INSPECTION REPORT sanitary Permit tvo: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION z3 ^� �� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)] Permit Holder's Name: ❑City ❑ Viilage �Town of: State Plan Transaction ID#: �o�h '��cn i'��a� �-� �.�f ._ Insp BM Elev: BM Description: Parcel Tax No: 1�� '�t la� 0(1 ��1 • n�Cr' \C- �V6��/ � (�� -lJ� TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic Benchmark 0 p� � Dosing Aeration Bldg. Sewer 9(,.q � Holding � pp� St/Ht Inlet �j�,5' � TANK SETBACK INFORMATION St/Ht outlet q ,a� TANK TO P/L WELL BLDG vENr ro ROAD Dt Inlet AIR INTAKE Septic NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. Holding S N �}. � `� �a.,s Dist. Pipe PUMP 151PHON INFORMATION Infiltrative 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 IN L #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav ° Conv ❑ Aggregate INFORMATION P�L Bldg Well Waters °� GP � Chamber Model Number: � EZFIow CELL TO ❑ Mound � Other --- -- --- ----- — — --- -- _ _ — — DISTRIBUTION SYSTEM X Pressure Systems Only Header I Manifold Distribution Pipe(s) �X Hole Size X Hole Observation Pipes II -- — -- Length Dia Length Dia Spac Spacing ❑Yes ❑ No � _ ------- -- - -- --- SOIL COVER ( Depth Over � Depth Over Depth of � Seeded I Sodded � Muiched � � Cell Center Cell Edges Topsoil ❑ Yes ❑ No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ��/��f �t �< <-�� u;�, � Plan revision required?❑Yes 0 No �3 � I�Y� ��- � � �� -7 /� � � J6 ► Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�DITI�NAL COMMENTS ANO SKETCH SANITARY PERMIT NUMBEA ___�,�^��{� _ �— ��c L�/'�, �-- ; , � �� , , : , , . ; : _ . _ __ _ ; _ � __�_ _�-_ ---_ . ___ , ; , , ; . . , . ,.._ . �__ : . __ _ I ; , K�`� 3�� g�� , �8� , `� � s r t-9-j �� I l.. �r� ' S` i �°'�'� l4' �� P�'�`�, . � I b�5c w ��'°'r - \� �, . �, �. 1 O k�t ►"�� I �-, �-+�-_