HomeMy WebLinkAbout026-939-22-5611-SAN-2023-285 vk.-="`"'tj� Department of Safety c°°°``' �
��� �� r�,
��w �tcl'
,�� & Professional Services,
,,�E :, $ Sanitary Permit Number(to be filled in by C
,, �'� � Industry Services Division
rr� (� �
v�:, '� C� S � l.P1-1
w �
State Transaction Number �
Sanitary Permit Application �
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this fortn to the appropriate governmental unit C�-j
is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing a� �
thc Department of Safeh and Professi��nal Scrcices Ycrsonal information you provide may be used for secondary 1 ��
purposes in accordance�tiith the Pri��acc L<m�.s 15.04(1)(in).Stats. � �S��'
I.Application Information-Please Print Atl Information
Yroperty(hvner s Name Pazcel#
�b �e- �a�;�.�. �; d- ��,�►e� S�i, t'���e.C o�,-93q - �2- S� �I
Froperty Owner's Mailing Address Properry Location
n Q �}- �
�_�3 l,O '�� � �7 Govt.Lot
City,State 7ip Code Phone Number
i
F S e.r�,�," 7�� '� � ^ b1G, Section 2-
SlO:� �-.t.-l��" la.J�-
Q.Tppe of Bnilding(check al(that aPp1Y) Loc# T 3� N R�E or
�1 or 2 Family Dwelling-Number of F3edrooms � p� Subdivision Name
Block# �—
❑Public/Commercial-Describe Use �'� „_,
❑City of
❑State Owned-Describe Use 'N'.� CSM Number ❑Village of
�S7�s' 3���YY �T�.,m of s��� L.��c�
Iti.T7Pe of POWTS Pertnit:(Check either"New"or"Replace►ttent"and ot6er applicable on linc A. Check one box on line B.Complete line C if
a licable.
'a' �New S�stem
y ❑ Replacement Sy�stem ❑ Other Modification to Gxist�ng Sy�stem(explain) ❑ Additional Pretreatment Unit(explain)
B' ❑ Holding Tank �In-Ground ❑ At-Grade
❑ Mound ❑ Individual Site Design ❑ Other Type(erplain)
(conventional)
C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ist Previous Permit Number and Date Issued
❑ 'Cransfer to New Owner
Expiration
�'.I}�S ersaUT`r�tmea�t Area'>and Tank Infarmat3on:
Design Flow(gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required(s� Dispersal Area Proposed(s� System Elevation
Ys o �, � � �>3 �S 2 g�.�
Capacity in Total #of Manufacturer
Tank Information Gallons Gallons Units � ;? J '� ` � �
New Tanlcs Existing Tazilcs � p y; � � � � c`"y
a. U v� v, v� w C7 0..
Septic or Holdiog Tank I r�G � �
Dosing Chamber �,��'
�.Respon�ibility Statement-T,the undersigned,assume responsibility for instatlation of the--POWTS shown on the--attached pians.
Plumber�s Name(Print) Plumber�s Signature MP/MPRS Number Business Phone Numbe�
Jerry Ruid Excavating, LLC L ��� � �,�,5 �,� �',_5-�cy�- 2•�a
Plu d , i , t , ip Code)
Stone Lake�WI 54876
VL Coun fDepar#ment Use Only
�� r e ❑Disapproved PermitFee Date Issued Issuing Agent Signature
!/ $ -
❑OwnerGivenReasonforDenial ���'� ft. �3(,�' �,���� lI/��G..�A„���i�-�i�-�„ta._
Conditions of ApprovaUReasons for Disapproval ,--.—,,
r---•.�u-�j�,�,�1 E'-F
� � q G l���:�!��"� .�"�l '�
�r ���� �r�-a►� � . .�� �c� `a ._.. c--=' � �,
�,ti r. '"�..�...�..�...�'..a..�:....-
3�►.�'.__ _.�.�_.�.._. � ��T i 0 2Q2�
Cs� 2-3— i � �. � :n��.. _ i_
35�1�i SAVV`lER C:�'>�_�,�Y,�,
IN ADM'siv;�`i��Ai fG`�1
Attach to complele pl�or the system and submit to t6e County only on paper not less than 8 1/2 x 11 inches in size
��+ 6:�3
�L e.cla.p�•o-Z o� ��- 1\C P�f'JNi3�r?+�1'�Fi
SBD-63 8(R.03�'22) IS��JC Oi F�h�J31�1
N��t � ur 5
In -Ground Dosed -Gravity Plan ��� � � �
Index & Cover Sheet �' � ���
Component Manua! Design References: _
Version 2.0, SBD-10705-P (N.01 /01 , R. 10112) ' .' � � ` � �
�
Pg 1 of 5 Index & Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross-Section & Plan View
Pg 4 of 5 � Pump Tank Specifications
Pg 5 of 5 Management Plan
Attachments : Enclosures:
� Pump Curve � POVyT'S Application for Review
Soil� Evaluation Repart & Site Map
• Project Name / Description
Owner N�me(s): ���i �� � �e-- Phone: - -
Owner Address: N S� y 3 �'o i-1�..�y 3 �3 �+o;�� �e.- '�t _ Zip: s `� � 1�
Project Address: � /'S � � i��
� Govt. Lot: .1 /4 of 1 /4, Section �Z , T 3�t N-R `' _E ❑or W �
Township: � �•,.� I.-�.,ke.. County: ��,. �..� ��� �
Project Parcel ID #:
Designer Information
Jerry Ruid Excavating, LLC
Designer Name: Phone: - -
Designer Address: Stone Lake� WI 54876 _ Z�p�
E-mait: � (` v l d �$ � ��1"t"����'� � /`� � This space reserved for approval stamp.
License Number: z �t z. �. i� �
Remarks:
�
Sigraature: Date: ! � ��r ��
p ' inal signature required on eech submitted copy.
Reset �Page
� � CXECKBOXASAPPLCRBLE. CNECKBOXA3MPLMn1BtE.
❑ SOIL EVALUATION p �1e��'0' � � � SYSTEM PAGE 2 OF
SITE MAP � PLOT PLAN
PROJECT NAM(�E� f ��, DESIGN FLOW', 'S��G GP�
Po.l N e. �4d'rC�` Attaeh design fiow celculations for commercial plens.
pqpdEcr�ppqEy's: �l$f°� lZ c� °ipe M,atsrial I ASTM Standard(Tablea 384.30-3&384.30-5)
/06.(J' � Sanrcary Sewer: /
BM Byrt�Eol:� BM�+�evatlon: FT � Force Meln: /
6Al oeecridb�: lt P o ts I oT ;�t/' ��
;�;:���:,�>..�:, IMPORTANT:
giov"��(%) p w�i symea�rc.�n�eie�: p a'.wi�c s�a=� Show ground elevation conrours at aultaWe intervals.
�T�k�� on Ne eu��nu.re lin:..
Sc;pYCr S'y3'TCr.� ce��v Sa:,M^�L lo� 'Tc'i be. i.vSi{�•_�fErF iiv -tC�
s���� -e��!n r-n.'i m.-+� 7�,� n.�:-t� !o c�
� �
� ' Q
i
� � �,
i
_ �.ft
1S'\ ��
�
N ,� �,j,
Q I 4q j
� : �`° �i`'� �
� � s,,, z � �,a
�°° 3 �oo�Z
`f �rx�.o
5��s�crn - 4L�.�c^ `�c 8.:>
/4N� S l/G \Ca�-7
. /3.,�Ic�i n,c� �c`c�.o;
!v,�P f31��C- `i l,s-r
Jerry Ruid Excavating,LLC �^''�r�-° w'���•ro M e�` sl-y-64rk�5
W208 CoU11b�HWY A �/�•� S•'r� �"v c.o�.:Tr•�t�.
Stone Lake,WI 54876
�s% �. ztiz`[foa
P�5 r
��<_�
Reml f Den�o 1
IN-GROUND DOSED-GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
r
�
'"'" 1z�• TYPICAL TRENCH
SOIL COVER �ryP��l�
CROSS SECTION VIEW
,2•
mm.o-encn (No Scale)
dep�h
. (hPipl) � .
. . . .. ..'.n '.
� 34. ':
�ryP���> �. " Provide minimum 3 ft
„ . ,.
• . ' � separation between trenches.
System Elevation =q�=5 ft
(typical)
Quick4 Standartl-W
w/End Cap Observatlon Plpa
— (typical) (Show location of inlet/outlet pipe connection on plan view.) �tyP���1 NPICAL TRENCH
Install per manufachxefs
Instructlons. P�/�1N V�EW
r- - - - - - - - �� - - - - - - - �� - - - - - - - - - — , � (NoScale)
, , , , A= 3.Oft
: : . : , , (tyPic91)
�- - - - - - - - - - - - ��- - - - - - - - �/- - - - - - - - - - J �
� B = �,� ft i �
�ryP���� Quick4 Standard-W Chamber �Il
INSTALL PER TRENCH: �typ���� �''�
(m(d by InflltratorSystems,IncJ O
Instell pursuent to manufacturers instructions.
� 6 Quick4 Std-W Q 20 ft' EISAlchamber= 3 Z� ft' �
�
+ � Pairs of end caps @ 6 ft'EISAlpair= � ft�
= Proposed EISA per trench= 3 Z� ft' Required Infiltration Area= ��3 ft' Dist�ibutiolt MethOd:
�x �5 � trenches = Proposed Total EISA = �5�� ft� ��'`' ��'"""' `•t y
PAGE50F6
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale) t •
4'9 Vent Pipe �
>70 fl fiam
Building Electnml must mmply with •
17 Min.or 20 ft above SPS 316 and NEC 300
Established Fiood Elevetlon W��e��f Extend manhole nser es neressary. �
�ryP��l� Approved .lunction Box
Vent Cap APP����ing Manhole
IMPORTANT: wilh waming Labal Attemed
(ypiml)
Mchorfank(s)as necessary conduu •
pursuant to SPS 383.43(8)(g) 4'Min.or 2.0 ft above
Establishad Flood Elevetion
(lypiCal)
�AiRight Seal �.
Pinished Grade puick Disconned
� 18"Min.
CAPACITIES @ �� gaUn `% � , y ,.� ' ' ' • cryP'��>
Depth(in) Volume (gal)
° 1
A Z�.L� 3 ��� U * I Weep Approved Joints wiU
Hole Appmved Pipe 3 ft onto
B `L Q 3'Z, r-1 A Solltl Gmund
v (bPirel)
[Cl �.O ���o.v � :
Q p �` n�am,
D OrC� � 2.C'V -B�-�— '7—On
� ��� PUMP-0FF
�ir � P°mP �_orr ELEVATION = G �= ft
Pump Tank Liquid Level = 3�L in �
° INSIDE BOTTOM
Force Main Diameter =�in °oBio�e
ELEVATION = �%t �.�' ft
. . � �
Force Main Length =� 3"Approvetl Bedding Matenal 8eneaN Tank
Vertical Head = 7-6 ft
Force Main Void Volume = Z�..U gai ��
+ Min. Supply Head = Z���ft
[C� Total Dose Volume TDV = ���U gal/dose
�� + FM Friction Loss = `�� ft
(5X total laterel void volume<TDV<0.2X design flow) . ��
+(force main drainbadc volume) + Fitting Loss' = I.O ft
�(min,supply head x 0.3)-
MIN. PUMP DISCHARGE RATE = 3 fj gpm = TOTAL DYNAMIC HEAD = ��
��
PUMP TANK: SEPTIC TANK(S):
; Volume = G�G gal Total Volume = i oao gal
Manufacture �-r' Manufacturer(s): w
', Pump Manufacturer: zo���r-!`
� Install aporoved effluent filter at the septic tank outlet
I Pump ModeL � > ��a��,�P�mP�,,,,a.� immediatelv uostream of the oumo tank inlet
'' Controls/Alarm Manufacturer: S � .S Filter Manufacturer. �-� ��^� �
� Controis/Alarm Model: io� Nw 1,
� Filter Model: l- T g
' Float switches containino mercury are orohibited.
PAGE40F4
In-ground Dosed-Gravity Management Plan
IMPORTANT:
The owner of this in-ground dosed-graviry 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 Disoersal Area Operatinq Limits:
Design Flow= �� gpd; BODS <_ 220 mgL"'; TSS <_ 150 mgL''; FOG 5 30 mgL"'
Insoection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors(i.e. odors, user complaints, etc.)
o mechanica! 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 exterrt of ponding in distribution celi 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 orifice 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 Seotic and dose tank(s)shall be pumped by a certified 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 shail 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: ���'�'y ��� � X���'���"'� Phone: YfS� `f 4.�- 2�fD�(
Locat govemment unit: S G �. Phone: 7�-S �' j`�� 8���3
Local government unit address �vG i O tv�r.-.r•v ��� bl�'t�-�"ctli�' °'-` ZIP: �`�b`f 3
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 POVYTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Continaencv 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.
Svstem Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33,Wisc. Admin. Code.
Reset Page
10I25/23,833 AM Real Property Listing Page
Redl EStdt2 Sawyer County Property Listing Property5tatus: NextYear
Today's Date: 10/25/2023 Created On: 1OJ18/2023 10:59:35 AM
�Description . Updated: 10/18/2023 � Ownership Updated: 10/18/2023
_
Tax ID: 44863 � � � �� � 705HUA 7 PAPFEL STONE LAKE WI
PIN: 57-026-2-39-09-22-5 OS-006-000110 RICHARD L PAINE STONE LAKE WI
Legacy PIN: 026939225611 ROBERT G PAINE STONE LAKE WI
Map ID:
Muniupality; (026)TOWN OF SAND LAKE Billing Address: Mailing Address:
STR: 522 T39N R09W ROBERT G PAINE ROBERT G PAINE
Destription: PRT GOVT LOT 6 LOT 2 CSM 38/244 N5543 COUNN HWY BB N5543 COUNN HWY BB
#8755 STONE LAKE WI54876 STONE LAKE WI54876
Recorded Acres: 1.200
Calculated Acres: 0.000 � Site Address * indicates Private Road
Lottery Claims: 0 N�A � � ���- �- � � � ��
Pirst Dollar: No
Zoning: (RRl) Residential/Recreational One ',;J property Assessment Updated: N/A
ESN: 423 � .—_. ___
2023 Assessment Detail
Code Acres Land Imp.
�� Tax Districts . _ Updated: l0/18/2023 N�A
1� � � State of Wisconsin
57 Sawyer County 2-Year Comparison 2022 2023 Change
026 Town of Sand Lake Land: 0 0 0.0%
572478 Hayward Community School District Improved: 0 0 0.0°/o
001700 Technical College Total: 0 0 0.0%
.� Recorded Documentr Updated: 10/18/2023
CERTIFIED SURVEY MAP � � � '�Property History
Date Re�orded: 10/11/2023 446817 parent Properties � Tax ID
WARRANTY DEED 57-026-2-39-09-22-5 DS-006-000080 28653
Date Recorded: 8/24/2023 446082
WARRANTY DEED
Date Recorded: 8/13/1984 192433
Child History�c4Sount�l-__
___ _---- —
HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels
O Tax ID: 28853 Pin: 57-026-2-39-09-22-5 OS-006-000080 Leg.Vin: 026939225608 Map ID: :6.8
44863 This Parcel Parents Children
https:l/tassawyercounrygov.orglsystem/frames.asp?uname=Eric+Wellauer 1/i
• —i— i o�i�i ii I��ii i i�o-iA ii eii •
DocId:8074751
Tx:4047965 4 4 6 8 1 7
PAULA CHISSER
REGISTER OF DEEDS
SAWYER COUNTY, WI
10/ il/2023 09:36 AM
S89 '16'55"E 2631 .94 ' /pUAF7TER COFNEN RECORDING FEE 30.0�
26.�23 ' (26.22'1� �51 . 11 ' (51. 2554.60 ' / 2ECSRON PZPE
� N z5 �sw coa PAGES: 4
�N m � =SMaCERTIFIED
w� � �� p VOL: 38 PAGE: 244
��� o m � �\ CSM MAP #: 8755
� ` SURVEY
��� o �
�-mE � \ \
ww� 3 M,4P
��a � ae' � �
�
N � � � PART OF GOVERNMENT LOT 6,
w � � � � SECTION 22, TOWNSHIP 39 NORTH,
� �' � � � RANGE 9 WEST, TOWN OF SAND
w � � � LAKE, SAWYER COUNTY, WISCONSIN
� � � �
G ; � A5 �
� � � � \ N LEGEND
�� za .w � \ \
H m GOVERNMENT CORNER
¢� o ,�, \ � � � \ FOUNO AS NOTE�-
� TIES VERIFIED
W� o ou�'� � \ \�y � � e � ■ = FOUND 1" OD IRON PIPE
� \ �L \A/ � p = FOUND 1 1/4" O❑ IFlON PIPE
Q� m zQ �� \ \ r� rJ = FOUN� 5/8" S� ZRON BAR
\ � � • = FOUNO 3/4" REBAR
�i �� � \G � � • = SET 3/4" x 24 " ZRON BAR
\ Z WT 1 . 5 LBS/FT
�� �� � o N \ � � O = COMPUTE❑ POINT
� � \ S'�... � � C ( ) = RECORDED AS
m y
�� o a \G+ a7
N ^ ,.�, ¢ o � o � � � 9� \ `�� = APPROX WETLANDS
�� co x � � 4 � ��' \ \
N J ^ z \`"o� \��`
�o
� � SCALE 1 " = 100 '
�
y m I �, �WG \q � \ \ \
o� ,� � �n � � \
z� � 3 V �6� \921P � � � � �' �� 2��
w p � -o
¢I m � \ �c� \ � \ �C� IUII
o� o o �W� .u�� �� � � \ � \ ``��11I1!/���� Z�
�� � � o .�w� \`r�s� \ �\ � � .��y``�'�GONS'~ '��i
y� r^ z �i � ♦ 7� �f� 1 •� � �
a I � �Wi. � � � <�-��i � •� MiCHAEL C, i �
m o a�u� � � � \ .,p`��° : QAMER : �
NI -� LOT 1 � � � � �a�,o� ._ • _
m 2. 21 A C �, � \ o% f �'�.5 ' `
a � 96. 470 S� FT D \ \ � � �� �ke, t `
� \ ss�i3°elsa FT \ \ � � � IAfis. .�� �
` n � RIGHTHOF WAY � � \ ���� YM���yO`\`
� . d �E .
'�` �. � SEPTIC EASEMENT � \ '��/�[j�\1��,
� •40 °e .�AREA-40 ' WIOE- \
o i m� SEE SHEET 2 �
m �"m � �•:o��'N FOR DETAILS A5 02 \ � NDTE: CTH F
RESEARCH REVEALEO NO RECOROED DOCUMENTS
�, \� �i\ ��'���bb p g� \ � � REGAflDING THE RZGHT OF WAY OF CTH F. I
� � THEREFORE HOLD THE EXISTING CENTERLINE
25' Fi.�.� 'o �6 y,L p0' �
AS THE DZVIDING LINE BETWEEN PARCELS
p0,�p���i. 9L � �p� ,2 � .. 2 \ � � QN� USE
Q�'+` P'� ' F-s O.� �0 6 �` � THE WIDTH OF THE RIGHT OF WAY AS
�Poo���\" FyT \ �,�0 1 � � � SHOWN ON PLANS FOR PROJECT
�oF 6Q NF,O \ � c��� � NUMBER 50561 (8)
� p \ \
N 9jy' .r � Z L O T 2 � � \ \ ,90 /
m c�c�9 `s6 �9 \ � . 1 . 20 AC � \ \ �
� S�F9 7B -9�, 55, 171 SO FT � � �,� �
" �y� 7 INCLUDING .9 � � p,4J \ �
O Jj SQ F� • � 14, 333 SO FT O�
rn D�n� �T S\F � .✓S'� 9 RIGHTHOF WAY � �� \ S . \ 2 xI� I
m �,O% �Sc�• �O/�.�, �9��00 ' 4 5�.. � e�o° go\ �'2 T_ LC�P
� 1`�� 71,I, �yq�\� TO� h,�j9 .9jy�6 \ /�O�a��O e�l
P/ � h�� S��\•9 S , x�..\�,l �IE O 'C
o r, y0� � 6\ 'q09 9" a�j. P0 F`60..- � p 5JQ'p p'C`p.���.0�5
m m �b0. �`!y \' , 9��r 'r.�9 � `Q� ZS 9� SpC�1 PC1�`F'y
N 'n- NOTE: ELSIE ROAD �vp 'tOT,s, ' S. "'6'. pc,?h o x�� 99992,LGP1Qo��e.i�� P
v � CV55EPG 196-�97) 8IS AN EASEMENT "�� `49,1F %� 2�� 0 h�Zv��E��N�P �p��Nv p�Q�P��oS
v m OF 50 FEET IN WIDTH AS SHOWN s � .y 3- o �' S P �cv Oo EG F� pP F,o P�'�, �
�".o �n BY THE OOTTE� LINES HEREDN. q .SS, 6 1 ,p �p �E p.� y 5 p � .`.� �9/
' A GAP THEN EXISTS BETWEEN THE �� �e4�• — c�'�`' �-voe ��t,Pe ��P PN�P� Q"po2o`��
_,
�� � CONVEYANCE AND DEEDS 170188 ,�.r, '9'_ °9�y, � O�Pt gg'pN,� Z���� �P ��tyF,o�
�-� AND 387762 AN❑ IT DOES NOT E� �rc�o ' . `" cn 22��-`'E�O FO � ��
�a FULLY COVER THE PAVEMENT AS Nzg '16'3� 'F"�9 �, _ 'Q, �vo P F JN�J- �
"?�; EXISTING TO THE NORTH. 6.229,� tis� ,scy �,000�ti�� "o��; c�oF o'���P" �� �9p SpN
m� RESEARCH AEVEALS NO OTHER (B- So p _oo � 5 P M � C E•
�¢ REC�R�ED DOCUMENTS ON ELSIE �S�S)�'�e ��5�099t��Z�� �,m��, c� P�M�P��PG�FF�,SN
¢ B�EING ONLY AN EASEMENT, I BELIEVE �0 0 � '�/,q \ � � � or�i P FOF P�l p05 �
�om TITLE TO THE LAND BENEATH IS VESTE❑ �pt�`��� s,�;�o • _ � o PEgo�jZP��E o
`-"o IN THE PLATTERS OF THIS CSM. J�Qo� �9�9� 5>, � pJNp,P�,M��P�
m� THISPSITUATZONF THEREFORE DEDICATEY � �o.�fo'2- S9 9`'� oo �5 Y1 P SEO 0�'
oa THE LANO AS SHOWN HEREON TO THE PU9LIC . 0��0'�� o� Np-C v �m`i�
Zm �-SECS�21, 22RNER oo���� N" a �5��'y SHEET 1 OF 4
ALUM CAP ~
446817 1 of 4
• •
CERTIFIED SUR VEY MAP
PART OF GOVERNMENT LOT 6,SECTION 22,
TOWNSHIP 39 NORTH,RANGE 9 WEST,
TOWNOFSANDLAKE,SAWYER COUNTY, WISCONSIN
CURVEDATA TABLE
CURVE ARC L RADIUS DELTA ANGLE CHORD _
C1 973.28' 18992T 29�21'41" S25�33'46"E 962.67'
C2 743.74' 1899.2T 22�26'12" S22�06'O1"E 739.00'
C3 229.54' 1899.27' 06°55'29" S36�46'S1"E 229.40'
C4 914.74' 1944.27' 26�57'24" S26�45'S4"E 906.33'
CS 103_94' 1944.2T 03�03'47" 514�49'06"E 103.93'
C6 57438' 1944.2T 16°55'36" S24�48'47"E 57230'
C7 236.42' 1944.27' 06�58'O1" 536�45'35"E 236.27'
C8 240.19' 266.83' S1°34'33" N25�57'40"W 232.16'
SEPTIC EfLSEMENT AREA
The Septic Easement Area depicted upon the Map on Lot ], is to be reserved for the installation of private septic
systems. This area is to be used by both Lots 1 and 2 of this Map. Systems shall be designed in accordance with
applicable Codes and allow room for the placement of systems for both Lots.Modification of the Area or other
uses of the Area are permitted if both Lot owners agree in writing to the changes. This Area contains
approximately 5518 square feet.
DESCRIPTION
A parcel of land being a part of Government Lot 6, Section 22,Township 39 North,Range 9 West,Town of
Sand Lake, Sawyer County,Wisconsin,more particularly described as follows:
Commencing and Beginning at the Northwest Corner of said Section 22;
thence on the north line of said Section 22, S89�16'S5"E 26.23 feet to a point on the Centerline of County Trtuik
Highway F;
thence leaving said north line and on said Centerline,973.28 feet on the arc of a curve to the left to a point, said
curve havin�a Radius of 1899.27 feet and a Chord of 525�33'46"E 962.67 feet;
thence S40�14'36"E 87.91 feet to a point;
thence leaving said Centerline, S55�47'32"W 108.52 feet to a set iron bar;
thence 506�22'S1"E 120.88 feet to a found iron pipe;
thence N54°30'S1"W 9339 feet to a found iron pipe;
thence N52°02'18"W 50.57 feet to a found iron pipe;
thence N29�16'30"E 826 feet to a found 'uon pipe;
thence N52�11'17"W 402.40 feet to a found iron pipe at a point of intersection with the west line of said
Government Lot 6;
thence on the west line of said Government Lot 6,N00�33'S8"E 777.82 feet to the Point of Be�inning.
Above described parcel contains 207,822 square feet,more or]ess,subject to all easements and restrictions of
record.
CERTIFICATION
I,Michael C Clamer, a Wisconsin Professional Land Surveyor,hereby certify that at the direction of Robert G.
Paine,Richard L.Paine and Joshua J.Paffel,I have surveyed,divided and rnapped the above parcel;that the
map is a correct representation of all the exterior boundaries and the division of it;and that I have fully complied
with the provisions of Section 23634 of Chapter 236 of the Wisconsin Statutes,and the Sawyer County
Subdivision Ordinance.
rG''�.�1� C� /o/oy��i L7 o�`��s��Ns�'�.
Michael C Clamer,WPLS S-2345 �� `�.-• ""«�ti �/
W235 County Highway B `�,�� •• � *��
Stone Lake,WI 54876 � � �MC�"U4EL C. � �
s CLAMER �
field work completed 09/30/2023 � � ��5 , �
: �
% Storw,lakE, +
�<'. Wis. .���
�i 9�r�`�-�........•y0��
��i�S;R;����� SHEET 2 OF 4
446817 2 of 4
'"'`'`� PRIVATE ONSITE WASTE TREATMENT County
, ,,,..
�� � � SYSTEMS
�;
�SP$ '~ ( POWTS) Sawyer
` ��
�
y '"°� � INSPECTION REPORT Sanitary Permit No:
Safety and Buildings Division (ATTACH TO PERMIT) p
GENERAL INFORMATION � 3 — a O�
Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(l)(m)J
Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#:
t'a�l,�.�,� 1'-�`�'�, �•�� �a�nc� �K-�._ `_
Insp BM Elev: BM Description: Parcel Tax No:
r�.o' o�c- (o�cd�..�-- ;,,� ba-�- �3q- �-�� � JJ
TANK INFORM TION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV
Septic �,i¢��- -- � pv-o Benchmark �pp,o�
Dosing --c.��,a bb�
Aeration Bldg. Sewer q7,��
Holding St/Ht Inlet c�S;g �
TANK SETBACK INFORMATION St/Ht Outlet �S'�7 '
TANK TO P/L WELL BLDG vENr To ROAD Dt Iniet
AIR WTAKE
septic � 6 ` .�6 � NA �t Bottom g.?.S' `
Dosing � << « r NA Installation �
Contour Ina•t'
Aeration NA Header/Man. �p 6 �
Holding Dist. Pipe
PUMP 151PHON INFORMATION Infiltrative r
Surface �g�6
Manufacturer � Demand Final Grade
Model Number Q'g GPM (�i V`►_� 5 l,� f
TDH '� Lift Friction Loss Sys Head TDH Ft
Forcemain L �� ' Dia '� Dist. To Well
DISPERSAL CELL INFOR TION
DIMENSIONS W � � Y #of Celis Type of System Distribution Media Manufacturer:
Conv ❑ Aggregate
SETBACK P/L Bldg Well OHWM of Nav � IGP � Chamber '
INFORMATION Waters � AG ❑ EZFIow Model Number:
.�to�t N o Mound o Other
CELL TO �-S _ -- __—_.—���'
— ----- -- --- - —— -
DISTRIBUTION SYSTEM x Pressure Systems Only
--- --
Header/Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes '
Length Dia � Length Dia Spac �I _ I Spacing ❑Yes ❑ No_�
-- — -- --_— _
SOIL COVER
--- _ _ _ ____-
Depth Over �Depth Over ' Depth of Seeded/Sodded Mulched
Cell Center Cell Edges I Topsoil � ❑Yes ❑ No ❑Yes ❑ vo
COMMENTS: (Include code discrepancies, persons present, etc.)
��.�l �< <a�l ��
q i�3— -��.
___ �
--
Plan revision re uired?�Yes 0 No � �� �i �9`Z`��
i
�a-- 2
� i r �--- - -- - �
Use other side for additional information Date POWTS Inspector's Signature Certification Number
SBD-6710(R.3/01)
ADOITIONAL COMMENTS ANO SKETCH
SANIT,4AY PEAMIT NUMBEA: � 3 -���
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