HomeMy WebLinkAbout010-841-19-2305-SAN-2023-288 i::,;�'''"':ir, lndustry Services Division Counry � �
�''i 4822 Madison Yards Way Sawyer �
, S ' Madison,WT 53705 Sanitary Permit Number(to be filled in by C
�� ' P.O.Box 7302 � c�
- Madison,WI 53707 �j I �ry "� � W
i
Sanitary Permit Application StateTransactionNwnber �u
_,_— ro
In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit �
is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address�
the Depai�ment uf Safery nnd Professional Sen�ice;.Personal information you provide may be used for seeondary
purposes in accordance with the Pm�acy Law,s. 1�.0�(I)(m),Stats. � �y �� ��
I.Application Information-Piease Prtnt Ail InformaHon ���� -
Barnhart Legacy Trust ��'i�t i�{�� �� 0108411�
Property Ow'ner's Mailin�Address Property Location
1430 E Chandler Dr �.1�
City,State Zip Code Phone Number
Saft Lake City, UT 84103 S`^r ��, N`^� �-�, Section 19
II.Typc of Building(check ail that apply) L�t# T41 1v R�a E or W
�l or 2 Family Dw'elling-Number ofBedrooms 4 L�.'� 3� Subdivision Name
Block# �--
❑t'ublic/Commercial-llescribe Use_________ ___ ��
�Ciry of
❑State Uwned-Describe Use CSM Number illage of _
� ��6�� Q�ou�or Hayward------ —
IIL Type of POWTS Permit:{Check eit6er"New"or"Replaeement"and other applicable on line A. Check one boa on line B.Complete tine C i
a licable.
A.
�tew System ❑Replacement System �ther Modification ro Existing System(explain) �Additional Pretreatment Unit(explain)
B' ❑Holding Tank �In-Ground �At-Grade �Mound [ndividual Site Design Other Type lexpla:n)
{conveutional)
C. �Renewal Before �Revision hange of Plumber �I'ransfer ro New Owner List Previous Permit Number and Date Issued
Expiration �-
IV.Dis rsaUTreatment Area and T�nk Informatiun:
Design Flo��(gpd) Design Soil Application Rate(�d/s� Dispersal Area Required(s� Dispersal.4rea Proposed(st) System Elevation
600 .7 858 892 86.5-92
Capacity in Potal #of Manufacturer
�
Tank Information Gallons Gallons Units � v '$ � �
� G '
Ncw Tanks Existing Tanks ` o ;; 2 i y a m
a. v u� � cn r:.. v a
se����o�xoia��x Tdn� 1250 1250 Wieser ✓
Uosing Chambcr � �
V.Re5�onsibility$t3tement-I,the undersigned,assume respo ili or i s ltation of the POWTS shewa on the attached ptans.
Plumber's Name(Print) Plumbec's Sign e MPIMPRS Number Business Phone Number
Dan Burch 253808 715.416.1642
Plumber's Address(Street.City,State,Zip Code)
N5921 County Hwy K Spooner WI 54801
Vl.C u ty/Department Use Only
�'A� � ve ❑Disapproved �ermit Fee� Date Issued Issuing Agent Signa?ure
❑Owncr Given Reason for Dcnial l O�' �� � � f`�- �� r I'����� �r����
Conditions of Approval/Reasons for Disapproval
� � �q .�
� ' I �3 •
��W �� I � �W� �� � I.�.
ti--ti '�',� -1��',- �
�� :.,��_Ls � �Da1S _ ,�� �' '�
�sT �.3 - � � - �=- --. ._ .
�s� � ' ;' y
� �,
Attach to camplete plans for the system end submit m the County only on paper not less than I2 x 1 inc e o size j
v- r-4 J,..,.-� ---- ---- `�'I fs��
r7 'i i L..$"1 t..
SBD-6398(R.02;22) f��F�:Fe1l�+'��A;�T�R ZOiViNG:aL�1'il,,;;•��ri�?l�i!�N
����������
itih �r
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
Owner Name(s): � �l�Y /'1�T '� ��1,�-Phone: - -
S� if�G�i�
Owner Address: � �( 3 J �= C,��� �En l��� � vr Zip: �Nl,� �
Project Address:
Govt. Lot: 1/4 of 1/4, Section�, T�N-R�E Q or W �
Township: �--/��/w�v � County:
0
Project Parcel ID #: O I J� �( ( � � � 3 � �
Designer Information
DesignerName: Dan Burch Phone: 7�5 _416 _1642
Designer Address: N5921 Cty Hwy K Spooner WI Z�p; 54801
E-mai�: burchplumbinginc@gmail.com ;��ii5 5�,�,«,-���,�,�:��t�»���,�,,�„��, <<,,,�:,;;
License Number: 253808
Remarks:
/
Signature: Date: I`�� a ���
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE.
❑✓ SOIL EVALUATI4N o Scale: �30 30 as so � SYSTEM PAGE 2 OF 5 �
SITE MAP PLOT PLAN
PROJECT NAME: 7 5, DESIGN FLOW: F)OO GPD
Barnhart Legacy Trust Attach design flow calculations for commercial plans.
PROJECT ADDRESS: Pipe Material/ASTM Standard(Tables 384.303&384.30-5)
N sanitary sewer: SCh 40 PVC �
BM Symboi: � BM Elevation: �00 FT Force Main: /
eM o�s��;pt;o,,: Nail in Oak tree
Slope Gradient(%) Well �ndicate north by IMPORTANT:
� 3 Symbol('rfapplicabie): � drawing anarrav Show ground elevation contours at suitable intervals.
Of Tested AfOa: on the approprite line.
� \ �
? S L�
,� �o� <
� 3�.ti� ��� �
�,0� ,�� .
I ������
�
� �
� �
I .��ti��� �
o �,;�r��'
�,�r� .yi
� ' a
, �
— �
_ ,
I _ q� � ,
I -
'�, .� ,
.
a� � �
I d
�f`'I c��,��l:' `l ;'� -�
��������
�
R� � �
E � � � �a
I f �.
L
IN-GROUND GRAVITY DISPERSAL AREA SepticTank(s}Manufacturer:
� �t����
Stepped Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit) � � �� Septic Tank(s)Volume(s):
gal gal gal gal
� � � Effluent Filter Manufacturer:
SOIL COVER I �- `� -Y `�//
min.12" ��
(�'pi`��� Efftuent Filter Model#: � � .�
12„
min.trench
TYPICAL TRENCH deP� '
CROSS SECTION VIEW �`�P���� �� �
__ _ — ---- -- ,.,.. .
(NO SCale� � ' . ' ` "• '' :a �•� Provide minimum 3 ft
I-�-- �" �'—�; •' separation between trenches.
(�YPical) e � , . .
-r . a . a.
a
Highest Trench Lowest Trench (as applicable)
System Elevations= -I �
ft; _� ft; ft; ft; ft .
Quick4 Standard-W
w/End Cap Observation Pipe TYPICAL TRENCH
(typical) (Show location of inlet/outlet pipe connection on plan view.) (�yP��i)
Install per manufacturer's PLAN VIEW
— — — — — — — — — — — — — — — — — — — — —
ins ructions.
(No Scale)
�— ��d k« — �� �'� ''�� a���' —���' �
�;. ,�.�" � o� "� ��� a ;a. � ,;��„ ,�� � � �A= 3.O ft
l— —�i =� — — — — — — — — — — — — — — —� ,�it�l�9�9i�i�1�'i.r� �tYPiCaI) �
— — �� — �'�— — - - - - - - y
E B = � � ft -' m
-
�tyP���� Quick4 Standard-W Chamber W
INSTALL PER TRENCH: �ryp���� �
(mfd by Infiltrator Systems,Inc.) �
,A Install pursuant to manufacturer's instructions.
Quick4 Std-W @ 20 ft2 EISA/chamber= "r `� � ft2 �'
+ �_ Pairs of end caps @ 6 ftz EISA/pair= � ft2
= Proposed EISA per trench= ` ft2 Required Infiltration Area= ��'�ft2 Distribution Method:
x �_ trenches = Proposed Total EISA= ��� �tZ
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),�sc.Admin.Code,this system shall
be considered a human heaith 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.
M imum ai a O era in I its:
Deslgn Flow= � � � gpd; BODg S 220 mgL''; TSS 5150 mgL''; FOG 5 30 mgL''
Inspectlon Checkiist INSPECT EVERY 3 YEARS
o type af use
o age of system
o nuisance factors (i.e. odors, user oompiaints, etc.}
o mechanical malfunction(i.e., pumps,vaives, switches,floats, etc.)
o material fafigue(i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatmerrt tank(s)and any distribution appurtenance(s)ti.e.,distribution/drop boxes)
o neglect or improper use(i.e., exceeding design capacities, prohibited acavities, etc.)
o exteM of ponding in distribution cell prior to dosing
o dosing irregularities-if applicable(i.e.,pump re-cyGing,float switch settings, etc.)
a electricai components-if applicable(i.e.,wiring,connections, switches, controls,timers, alarms, etc.)
o distribu�on lateral or lateral oriflce piugging (measure laterai distal pressure—compare to design specification)
o su�Face discharge of efifluent or sewage back-up into structure served
Maintenance Checkiist MAINTAIN EVERY 3 YEARS (or when necessary)
o Seutic and dose tank(sl shall be pumped by a certifi�septage senriGng operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s)exc�eds one-thlrcl(1/3)the Hquid volume of the tank(s)or
as required by local ordinance. Disposal of conter�ts shalt be pursuarri to NR 113,Wisc.Admin. Code.
o Effiuent fllter(s)shall be inspected every 3 years and shall be deaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A serviang period wili always be greater than 12
morrths.
System maintenance reports shall be submttted to the proper local govemment unit In accordance with
SPS 383.55 Wtsc.Admin. Code. Report any component failure or malfunction to:
Name of individual w company: Datl BUt'Ch Phone: 715.416.1642
�ocai 9oveR,me�t u�it Sawyer County Zoning Phone: 715.634.8288
�oca� govemment unit address: 10fi 10 Main St. #49 ZiP: 54843
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1),�sc.Admin.
Code.Repair o�replaceme�t of faiied or malfuncctioning components shalt compty with SPS 383,V1Rsc.Admin.Code.
No product for chemical or physical restora�on of the POWTS may be used unless approved by the department in
accordance with SPS 384,Wisc.Admin. Code.
Contins�encv Plan
In the event that any faited trsatment component of this POWTS cannot be repaired, it shalf be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal companent may be
abandoned and replaced by a code-complying dispersai 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.
W1250—MR
TANK SPECIFICATIONS � o
o a
8'-8" � o
DIMENSIONS:
WALL: 2 7�16� a a
4" CAST-A-SEAL 4" CAST-A-SEAL BOTTOM: 3"
COVER: 5"
-___= MANHOLE: 24" I.D. PRECAST CONCRETE RISER a
��:'� `�\� HEIGHT: 64 1/2" o
��� ��� LENGTH: 8'-8" �
�i �� WIDTH: 7'-2" �
ii _ `L�` �� BELOW INLET: 53"
� �' '� ���P' r����� � LIQUID LEVEL: 47" o
`j � � t WEIGHT: 7,220 LBS. � a o
0
^ ��� `_-'� �` -%��� INLET AND OUTLET: =� 3 g o
�� // 4" CAST-A-SEAL BOOT OR EQUAL GASKET � m o N
�� FILTER OR // o �
��\\ BAFFLE �ii� INLET AND OUTLET BAFFLE AND FILTER: Q a � w
i
��; �%' WISCONSIN, SEE DETAIL #10 � o o �
-----` � (OTHER STATES SEE CHART) �' o
�
n
LIQUID CAPACITY: 26.81 GAL/IN W �
TOP VIEW �
HOLD�NG TANK: �
OUTLET HO�E PLUGGED C o �
ACTUAL CAPACITY: 1,340 GALLONS 0 � �
C7 w �
� LOADING DESIGN: 8'-0" UNSATURATED SOIL � �n
N
a� TANK CAN BE USED AS: � o rj
� SEP11C / HOLDING / PUMP OR SIPHON W } o
`�' COVER: MIX DESiGN #8 (NO FIBER) W �n �
---- --- _� TANK: MIX DESIGN �10 (STRUCTURAL FlBER) � �
---- � •.: • � ---
INLET - OUTLET CUSTOMIZED TANKS: � 3
� i FOR CUSTOM TANKS CONTACT WIESER CONCRETE
� � i �
�'-� Q. � i �-kv f °p c¢i
c0 jM � d' � j� � � �c
� i � i d O JQ
I I � �
I 1 � Z
.
�
2 l`---- ------�-r----� o �
REVIEWED BY N U
;,� PUMP PAD REVIEW DATE 3 a
w
DRAWINGS SUBMITTED �
SIDE VIEW FOR APPROVAL
APPROVED BY: SHEET N0.
APPROVAL DATE: '� �
oF
PRODUCTS NEEDED BY: / �
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
R2dl EStdte Sawyer County Property Listing Property5tatus: Current
Today's Date:2/15/2024 Created On:9/1/2023 3:57:59 PM
�Description Updated:9/1/2023 �Ownership Updated:9/1/Z023
_._._.._._... ._. . __ . .
... ..... _..__ .._. _ ... ..._ .___. .._. _... __.. _.
. .__. ._.._..._._.. .
Tax ID: 44821 BARNHART LEGACY TRUST SALT LAKE CITY UT
PIN: 57-010-2-41-08-19-2 03-000-000050
Legacy PIN: 010841192305 Billing Address: Mailing Address:
Map ID: BARNHART LEGACY TRUST BARNHART LEGACY TRUST
Municipality: (O10)TOWN OF HAYWARD 1430 E CHANDLER DR 1430 E CHANDLER DR
STR: 519 T41N R08W SALT LAKE CIN UT 84103 SALT LAKE CITY UT 84103
Description: PRT SWNW LOT 39 CSM 38/89#8689 �q
Recorded Acres: 7.980 �" Site Address *indicates Private Road
Calculated Acres: 0.000 � � �� ��� �� � �
Lottery Claims: 0
First Dollar: No �.:�property Assessment Updated:N/A
Zoning: (F4)ForestryOne ��-�� � -�� ������ -������ ����-- �-��- ��������
2024 Assessment Detail
ESN: 444 Code Acres Land Imp.
i N/A
'�+�Tax Districts Updated:9/1/2023
._.. .. _._ ...... ... .._ _.. . .... . .
1 State of Wismnsin 2-Year Comparison 2023 2024 Change
57 SawyerCounry Land: 0 0 0.0%�
O10 Town of Hayward Improved: 0 0 0.0%
572478 Hayward Community School District 7otal: 0 0 0.0%
001700 Technical College
a��Recorded Documents Updated:9/1/2023 P'Ji'Property History
..-- ------- -...._ ._..... ... ..... .... _.. ..._.. _.. ... . ...... ...... ._. ...__ .__.
WARRANTY DEED ParentProperties TaxID
Date Recorded:1/18/2023 443047 57-010-2-41-OS-19-2 03-000-000020 43236
CERTIFIED SURVEY MAP
Date Recorded:1/12/2023 442999
SU6DIVISION PLAT
Date Recorded:9/18/2018 414423
WARRANTY DEED
Date Recorded:6/16/2015 396Z18
WARRANTY DEED
Date Recorded:5/3/1993 2347ffi
Child History Record Count�2-
HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels
�Tax ID:11078 Pin:57-010-2-41-08-19-2 03-000-000010 Leg.Pin:010841192301 Map ID:.7.1
�Tax ID:43236 Pin:57-010-2-41-08-19-2 03-000-000020 Leg.Pin:010841192302
44821 This Parcel Parentr Children