The URL can be used to link to this page

Home My WebLink About030-737-03-5505-SAN-2024-025 • �, , � ,�nY�al,.'��_ --- Industn+Services Division County � '�` = 48�'2 Madison 1'ards Way .Sqw e/' � � :; ��=P - Madison,N'I�3705 Sanitazy Pctmit Numbcr(to be fillcd in by C � _ : P.O.Box 7162 �. � - Madison,WI 53707-7162 (�I -� i � �� -- � , _ _ � Sanitary Permit Appiication StateTransactioni�'umber 1 ln accordance�a�th SPS 33321(2),�Vis_Adm_Code,submission of this form fo the appropriate governmcntal unit is requircd prior to obtaining a sauitary permit.Note:Application fotms for state-owned POR'TS aie submitted to Project Address(if di(Terent than rnailing adcrc�s} tUe Dcpartmcni of Safety aud Profc�ssional Scrvices.Persoual information you pro��idc may Ue uscd for scconduy purposes in accordancc with[6c Privacy Law,s. 15A4(1)(m),Slals. L Application Information-I'tcase=PrinfAll.informarion �(J�'T W y Lr� Property O�vnc��N3me Parccl# -- �1a es � v�r ,v o � �o ss6.� Property O«�ner';1lailing Address Propertv Location �0 93 Govt_Lot � City,State 'Lip Code Phone Number � .. rw� �-y��o ��. _�a, s��t��„ �-- II.Type of[3e�ilding{check aII that apply) �-ot� T 7 N R G�r �1 orZ Famih D��:cllin�-NumberofBedrooms 3 Subdivision Namc Bicck= �-- ❑PublidCommercial-Dcscribe lise r� ❑City of ---- ❑State O�vned-Dcscribe Use CS4t Numbcr illage of �To«u of I.�JBi��.6/' � �5� /7 -# 7 7 � _ III.Type of PO�VTS Permit:(Cheel:cither"New"ar"RePlacement"and other applicabte on line A_ _Check�ne i�ot on line�3_C«mplete line C if a Iicable.) A. �ie�c�_ystem i❑Replacement System ❑O[hcr��Iaiification to Existing System(exptain} �Addiriooat Prctrcatment Unit tesplainl B� ❑Hotding Tank ��In-Ground �3t-Grde �Mound Individual Site Desi�m Other T}7�e(c��Iainl (convcntional} C• ❑Rci:emal Beforc �❑Rc�ision ❑Change of Plumbcr �I'ransferto New Ocvner List Previou�'miit Number and Date Issuzd Espiration � I�'.Dispersal/1'reatment Area and Tank Informarion:< - Design Flo��•(endl � De,igr,SoiS�p�lica[ion Rate(gpd%sf1 , Dispc*s�l rlrea Re�iuircd(s� Dispersal`Arza Proposed(sY} Svstem Elevation y,�'o . 7 ; 6 y,?.g � 66'o y,� Y' Capacity in � Totat r of Manufacfurer y ^ � lank[nformation Galions ' GaiIons t'n;tt � 4 u � � � ; \��u�Tanl:� Existing Tanks � " u " � i � n c`f3 I _. U :% C :� ... �7 _ —�----- Scptic :�toldim�'i�ank ! v�D — I D� / ��w'�, y � �G(i�. /v Dosing Cliambcr i � � � � i . . -. . . .-. ; . .- -... . ...-,. - . .. � ...... .._ .... ... V.Responsibilit�•Statement-I,the undersigned,assume responsibility for inst•dlation.of the POWTS shorvn on the altachcd plans_ Plumber�s Name iPnnij � Pfumber s Signature :v1 i?�IPFZS ivumber ' I3usiness Pl�one Number i /�,��ke t��da � 'r.�� i.?�oy�f � ��s�9y.�;�3�.� F'lumoer's Addrec<(Strcct.Gih-.Swtc.Zip Codc) ly�y,v�r wY Yo - � � wr � ._. , ... L C un �/Departmcnt Usc Only �Ap rnv� i ❑Disap�roved pennit Fee Date Issued Issuino Agent Signaturc � ❑Q�vncrGivcn F�c�son forDctiial � S �0�•oo .ni-',,Z�l l,:�y f ��Ft�t(x.ti.�'"�/�b-- Conditions of:1ppro��allRe�asons for Disapproval D �,�� ,�� .. �d �i�� `�,�v �,k#_ .!��.�o ..�_.�__ � FEB 2 6 2024 � ,�x.r 53� . _ __ _ G s� z 3-0 0� ) • s�w�r�R courvr�r ZOMMG ADMHVISTRATtOr! :�ttach to complete pi�ns for the rstem anii svbmit tu the Cwntv onty an paper not ku than 8 v2 z 11 iochct io size SBD-6393(R.03;?1� NO R�Fl1NDS AFTER IS.�'sUE OF PERMIT 3` �� `�`;;�j��,' Department of Safety and Professiona�Services Y.. �� . Division of Industry Services ;'_� � �', Plumbing Product Review ��; � 0 p "� 4822 Madison Yards Way `�� J P.O. Box 7162 �, � � P s i �r\ �r Madison, Wisconsin 53707-7162 � ��'�� ------ ��t�'�� Phone 60H-266-2112 �(�j�;�•u��..� Web htt : d5R5-wi.gov - Email dsps@wisconsin.gov Govemor Tony Evers Dan Mereth,Secretary Designee TTY:Contact Through Relay May 31, 2022 Dept. of Safety and Professional Services Bureau of Technical Services Division of Industry Services Brad Johnson - Section Chief 4822 Madison Yards Way Madison WI 53705 Re: Description: POWTS Component Manual Manufacturer: Dept. of Safety and Professional Services Product Name: In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.1 (May 2022-ZOZ7) Model Number(s): v. 2.1 eSLA PTO No.: PP-051700077-PTOVPCR The specifications and/or plans for this plumbing product have been reviewed and determined to comply with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of May 2027. This approval is contingent upon compliance with the following stipulation(s): 1. A copy of this approval letter shall be submitted with all plans using the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.1 �May 2022-2027). Plans submitted without a copy of this approval letter may be denied. 2. This approval recognizes that POWTS systems designed, installed and maintained in accordance with this manual will provide treatment and dispersal of domestic wastewater that is acceptable in the context of ch. 383 Wis. Adm. Code. 3. Systems installed in accordance with this POWTS Component Manual shall use leaching chambers that conform to ch. 384 Wis. Adm. Code. 4. Systems installed in accordance with this POWTS Component Manual shall be installed, maintained and used in strict accordance with the manufacturer's published instructions, Chapters 381-386 Wis. Adm. Code and this product approval. lf there is a conflict between the manufacturer's instructions and the Wis. Adm. Code or this Plumbing Product Approval, then the Wis. Adm. Code and this Plumbing Product Approval shall take precedence. 5. Complete operation and maintenance instructions POWfS systems designed in accordance with this manual shall be provided to each system owner and remain onsite. 6. Systems designed in accordance with this manual shall be installed by persons holding the proper (icense or registration in accordance with Wis. Stats. § 145. 7. Drain, waste and vent piping used to install these systems shall conform to s. SPS 38430 (1), (2) and (3) Wis. Adm. Code. � Dept.of Safery and Professionai Services May 31,2022 Page 2 of 2 eSIA PTO No.:PP-051700077-PTOVPCR 8. Cleanouts shall be installed in drain piping associated with the installation of these sys[ems in accordance with s.SPS 382.35 Wis.Adm.Code. 9. Commercial food processing,food production,food service,restaurants,taverns and similar establishments which may generete greases,fats,oils or similar substances;shall have state-approved grease interceptors installed upstream of POWTS systems designed in accordance with this manual in accordance wi[h s.SPS 35234 Wis.Adm. Code. 10. DSPS POWTS plan approval shall be obtained from the department's Private Sewage Section,or the appropriate agent county,for: a. each installation of POWTS systems designed in accordance with this manual;and b. high-strength and/or commercial POWTS systems designed in accordance with[his manual. 11. A sanitary permit shall be obtained,in accordance with s.SPS 383.21 Wis.Adm.Code,from the county,or other local authority havingjurisdiction,for each proposed installation of rystems designed in accordance with this manual. 12. A complete a�d acceptable soil evaluation report,conforming to s.SPS 355.40 Wis.Adm.Code,shall be performed for all proposed systems designed in accordance with this manual. Technical notations: a. This approval supersedes the approval issued May 9,2017 under produd file no.20170147. The department is in no way endorsing this component manual or any advertising and is not responsible for any situation which may result from its use. Sincerely, Bred Johnson—Section Chief Department of Safety and Professional Services Bureau of Te�hnical Services Division of industry Services Phone: 920 492-5605 Email:BradlevJohnson@Wisconsin.�ov James Bauman Property Owners Name 2284N ST HWY 40 Property Address 30737035505 Tax Parcel Number Sawyer County Prt.Govt L.5-L2 CSM15/173�k3717 Legal Description 3 Section 37N Town 7W Range Page Index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan Bruce Vitcenda Plumber's Name Plumber's Signature M.P.220498 Plumber's License Number 715-943-2382 Plumber's Phone Number 2/22/24 Date v- �. �- s- z - - � Page 1 of 7 n- roun oi sorption - 5- -� - Version 2 , Component Manuai Used 3 Number of Bedrooms 1 Percent Slope (%) 81 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 300 Estimated Wastewater Flow (gpd) 450 Design Wastewater Flow (gpd) 1 Number of System Elevations 93.4 Proposed System Elevation #1 - Proposed System Elevation #2 - Proposed System Elevation #3 96.5 Original Grade #1 96.5 Finished Grade #1 - Original Grade #2 - Finished Grade #2 - Original Grade #3 - Finished Grade #3 Skaw 1000 Septic Tank G; e 7',' Effluent Filter BioDiffuser ARC 36 Chamber Type 13 Height of Chamber (in.) 25 sq.ft. per chamber(ESIA) 4.5 sq.ft. per pair of end caps (EISA) 5 laying length of chamber(ft.) 1 .17 length of endcap(ft.) 33.75 Chamber width(in.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 13 Number of chambers in first row 13 Number of chambers in second row 0 Number of chambers in third row 26 Proposed Number of Chambers Used 642.9 Minimum Distribution Cell Area Required (sq.ft.) 6,�o Distribution Cell Area Proposed (sq.ft.) Page 2 of 7 (�lvmbc/ a w.�.:� 3Ruu W,iert�i(n Jamtf Baunt,✓ �YIYNSfHWYYo 3or933 dae/aNd wj SYi„� TamsF�wi�46l1 ��r�qy3'AJP!m/Lta4f6 � c h�jPtwo R/dn — ____.._ y30 PrTGootco�s 3.) T J�,✓ � R.�w �— �•ra cr�"iS�'�aq�� oart4 uoJo7Tro3f.foJ B.n o.o'ieo.e�u;iurR,$b.� t,.�6��M�P��( ��-�!{.f� 3d�4(.y� " 3d-9lS� 0 s SKQ,,,l000 L/Fc I,;n�F,i fcf ,tlJrr/chk;aio �Rc-36< <N 0°W c i��✓cu�o,wecrtet�� ^lru,�y-e.� ro g,� rsce'ra -- — � ._ / I — � F �; f r�n ��o�� 93 � > I � , _ .. — — — ��— _ _gJ �.>ru o y„ 3`�f oa Q O�v �� scaie i��,do' R d7 Py 4 70' S7 w Cress Section of a Two Cell In Ground Compone-i: Using Leaching Chambers 09servotio^�Ve�t Pipes � � 96.5� Finished Grade � -� � ,.. . _ _....___�- Finished Grade _%�� Sbpe 1% � Cell��Sepe�yr�ation % � -- � • �>L—,1-f t � � _ \ � . 96.50 Orginal Grade � ?:� ;��1S '�,��; btginal Grade 94.48 Top of Chamber �v�'` `� I __�_i�,'Top of Chamber 94.48 ""__ /� l' , B - 93.40 System Elevation__ .. . , ,; System Elevation. 93.40 � • .Yreatr*�e�t�Fnd'D1�e�sof .ZoRe. ' . r , . . ' : � .: , , • � ' ' _ " ' __ �. _" . . • .. . . ._. ___` ' Limitinr. Faclor Obse�vocb^�/Ve�: pipes to be consiucted and copnPd w't1- opproved mote��als �er the particuler use. Dia rams Not To Scale 67.34 feet � �,r,le�,� ri�' ^ s5.s::�Fz wa::ar.a�y� � / � _ � v � .. .. . . ' v . . .. .'� • •,�Ii�i��,�.s+,. .� , � .___ .. � —_. __ _ -- - 1 t � 3 feet between celis ; � n �' ` � I . �� ., a ...,y,h`,YSC',�s\w�V�a : '�. S^ �"diii. .,..K. ....�'�A�,�Ii��,�� . � ,. . . . _ ._— — _—. . . . — � 67.� IP.P.t \ Observation/Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 � � e � BAFFLE 54.00 58.00 i�� `�� 64.00 / � WARNMG DEATH MAY OCCUR IF iANK I5 ENTERED j 0 � WITHOUTPROPEREQUIPMENT I o � i i ` � 124,50 `` � � � 118.50 TOP VIEW OF MANHOLE COVER �QI,5I FILTER �p� � 23.00�{ 12.00 �23.00 4.00 I � �27.00 �27.00 5-��24.00 24.00 J- TOP VIEW OF TANK (TAPERED) I—�s,00—I �.00� I 2.o0 INLET iL00� i sw,wioaa � -� G ��r� , o , ---------------------- - - 56.� _ 41NCH PRESS z.00 18 00 pRESS �� SEAL GASKET ,NSTA��E� L SEA� ; ; WHEN POURED GASKET �� i BAFFLE � � 36,50 FILTER I � I I I I I I I I 1 I I I I I 1 1 L_________________________J 3.50� SECTION VIEW OF TANK AND COVER 3,pa OUTLET END VIEW OF TANK ModelNumber: �IOOO SKAW PRE-CAST c � Phone: 715 967-2277 Approved for. SEPTIC, SIPHON, HOLDING, OR PUMP Toll Free: 1-800-924-8625 Weight Inlet Dim. Outlet Dim. Liq. Depth Gal. /In. Max. Cap. 26255 105th Street, New Auburn wisconsin 54757 Fax: (715) 967-2707 83001bs. 42" 40" 36,50" 28.32 1034 gal. www.skawprecast.com James Bauman 2284N ST HWY 40 3.07E+�0 Number of Bedrooms 3 Septic Tank Skaw 1000 Estimated Flow(average)gallons/day 300 Effluent Filter [ • DeSl9f1 FIOW(peak), (Estimated x 1.5)gal/day 45� Soil Ap lication Rate al/da Ift� 0.7 Influent/Effluent Qual' Monthl Average PRINT PAGE Fats, Oi18 Grease(FOG) 30 mg/L Biochemicai Ox en Demand (BODS) 220 mglL otal Suspended Solids (TSS) 150 mg/L !!NOTE!! Servicing frequency of 12 months or less requires the � Management Plan be recorded with the Register of Deeds. Maintenance Schedule Service Event Service Frequency Inspect condition of tank(s) At least once every 3 Year(s) Pump out contents of tank(s) When combined slud e and scum = 1/3 ot tank volume Inspect dispersal cell(s) At least once every 3 Year(s) Clean effluent filter At ieast once every 3 Year(s) Maintenance Instructions Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer, Septage Servicing Operator. Tank inspection must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals 1/3 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. A service report shall be provided to the Sawyer County Zoning Dept within 30 days of any service event. Start-Up and Operation For new construction, prior to use of the POWTS check treatment tank(s)for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank removed by a licensed Septage Service Operator. System start-up shall not occur when soil conditions are frozen at the infiltrative surface. Page 6 of 7 Do not drive or park vehicles over tanks and dispersal cells. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the Irfe of the POWTS: antibio[ics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fat, foundation drain (sump pump)water, gasoline, grease, oil, painting products, pesticides, sanitary napkins, tampons, and water softener brine. Abandonment When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance wdh Wisconsin Administrative Code SPS 383.33; -All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. -The contents of all tanks and pds shall be removed and properly disposed of by a Septage Servicing Operator. -After pumping, ali tanks and pits shall be excavated and removed or their covers removed and the voidspace filled with soil, gravel or another inert solid material. Continqencv Plan If the POWTS faiis and cannot be repaired the following measurers have been, or must be taken to provide a code compiiant replacement system: (Check One) �The sde has not been evaluated to identify a sudable replacement area. Upon failure of the POWTS a soil and site evaluation shall be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed to repiace the failed POWTS. DA suitable repiacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should no be infringed upon by required setbacks from existing and proposed structures, lot lines and wells. Failure to protect the replacements area will resuR in the need for a new soil and site evaluation to establish a sudable replacement area. Replacement systems must comply with the rules in effect at that time. � A suitable replacement area is not available due to setback and/or soil limitations. A holding tank may be installed to replace the failed POWTS. ��WARNING!! Septic, pump and other treatment tanks may contain lethal gasses and/or insufficient oxygen. Do not enter a septic, pump or other treatment tank under any circumstances. Death may result. Rescue of a person from the interior of a tank may be d�cult or impossible. POWTS Installer Septic Pumper Name Bruce Vitcenda Name Northwest Sanitary Phone# 715-943-2382 Phone# 715-943-2650 POWTS Maintainer Local Regulatory Authority Name Northwest Sanitary Agency Sawyer County Zoning Phone# 715-943-2650 Phone# 715-634-8288 7of7 Sai1 P ;-o � l � Sheet Owncr: ,7��a t �j�Llp��,� Sai! TeSter; /�j/{ UGe d.f' fce.�r� System E.Itv,�rion: �3. H � Lpad Rale: ' � System Range: ro y� -- — � � - Q�.� ` _ --�s... � .. � , 9 _ s;� � 6/• � _ . . . �;� . �,, � ---.�9�_s. ` f 96� i fi� • !/�� . 9�.o 9 . _, _ . ,_.. �� ' 6/ � , 8 _ f,c _. _ _ _ _ - . _ :__-_ _ _ J.'c ,6/ 8 9�' - � _.. ... 9y �� ... 9v.8 _ . ..... g _ ... . � 6 _. . . ... _ BY y , y ,„f,f� , , , _ ... ...._ �s,f�. �✓,. � .... .. ...... X ✓ m!/ � � l-6 _ . .. . .. -- 9.�. .S y' ------ 9z .� . . . . . _ ..._ R� �6 f _. ... .. .. � _... ... .. � . � .. � . � : � s . �� 6 � 3 � 3 . . • cs ��. � 3 � � � ---I--�- � _. . 1_ � _.._. ...... �s , �✓5,6 .. ... .. H 6 ---- _ _. ...... . ( .. ...... u :. ..... .(i 89 �s — �� f ._ .. ... ._ �4,?6' .. . .... . g� _ _ _. .... __.... I -- __-- � ...... � _ . _ .. � _ . � --,-�. i_ .. . i `-_� ---- . .... � _ . .._.. ,. � _ ...... __ __.. � ..... ...... ---�--_, - � . . ..._.. _ _ ... ...... � . ...... __ � _ ` _� :..: :.,: _ _ — � .. .. ...... � i _ . , _ . . . . � . .. --- �_� :: : . F �.>