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HomeMy WebLinkAbout010-941-25-3303-SAN-2024-036 ' Department of Safety �°°"ry SAWYER � `:;, _ s & Professional Services, Z - -- � � Sanitary Permit Number(to be fiiled in by� k \ �_ � Industry Services Division � S � '�j 35 s „�,,., - � SaI11ta�/ peT'1111t f�ppllC1t1011 StateTransactionNumber � In accordance with SPS 3832I(2),w�is.Adm.Code,submission of this form to die appropriale governmental unit NA (� is required prior to obtaining a sanili�ry permit.Note:Application fonns for state-ou-ned POWTS are submitted to Project Address(if different dian mailing addr��ss) thc�hn�uunrnt�il S.if�ty and Profcssionul Srn�ice,. Personul infonnntion}ou pro�ide may�be used tirr;ecundary putpu�cs in accurdance�cith thr Pri�'ac��LuN',;. I�.0-11 I)1�n).Stats. �.�.u. � I.Application Informarion-Please Print All Information r1 Property O�rncr'.tiamc �('�I�Z c1 h tf � Parcel# ���_���'��-33 O� TYLER & LOUISA SCHROCK ��-�a� a� 7-010-2-41-09-25-3 03-000- Propeny Owner's Mailing Addre Propeny Location 0000300 14502W C.T.H. B Govt.Lo�� Ciry.State 'Lip Code Phone Number HAYWA[��� Wj �W SW '/<, Section �� 54843 iI.Type of Bqild[ng(check all that appiy} L��# T 41 tv tt 09 w (�XX I or 2 Family Dwelling-Nutnber of Bedrooms 4 NA Subdi�ision Name Bt��k� NA ❑Public/Commercial-Describe �T� Use 1� ❑Ciry of - CSM Number#7684 ❑Village of ❑State Owncd-Describe Usc H��7W�R� N� ❑Town of iIi.Type of POWTS Permit:(Check either"New"or"Replacement"and other appticable on line A. Check one box on line B.Complete line C if a licable.) ��' � �� O[her�toditication to Existin� S atem �v I iin) � Additional Yren�eatment linit Icx lain) X �le�� S�;tem Rcplaccment System L, c y (•.p� p� B. U Holding Tank X In-(iround ❑ At-Grade U Mound ❑ Indi��idual 3ite Design ❑ Other Type(explain) (conventional) C• ❑ Renewal Before U Recision tist Pre��ious Permic Numbec and Uate Issued ❑ Change of Plumber U Transfer to New Owner � }�,xpiration IV.DispersaUTreatment Area and Tank Tnformation: 7.. �+� ' Design�l�o��(gpol Design Soil�pplication Rate(gpd st� Dispersal Area Required(sf) Dispersal Area Proposed(s� Sys[em Elevat� �t��,� � 857.15 892 9 . , Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units � � �? '$ � New Tanks Existing Tanks � c � � � � � � 0 a` U v� v v� i.L C7 ci. SepticorHoldingTank �'��� ���� � wjESER X Dosin�Chambcr V.Responsibility Statement- I,the underslgned,assum spon bili for installaHon of the POWTS shown on the attached plans. Plumbrr��A'ame(Priml Plumb�r� Signatur �4P;�-1PRS Number Busines�Phone Numbcr DAN BURCH �� S 3��' �is-a�b-�64' Plumber's Address(Sveet,City,State,'Lip Code) N5921 CT.H.K,SPOONLR,Wi 54801 VI.C u ty/Department Use Onty � � Perntit Fee Date I"ucd Issuing Agent Signature ro� ❑Disappro�'cd � �;_ ❑Owner(iivcn Reason for Denial �U�•� � I�i � �� " I� ""'�M���'�' Conditions of App�oval/Rcasons for Disapproval �� c`a�� r" � � � ��� �� � �� � �� � � � y ` � �'"� � � I i� ".n �..f,e;s7 � �'�f ��� �i ��� 3 � � ::..�.�_ . _ _ . i��t ��, F ...+cea._ � ��W �i��' �i'u�r-r� � �hk f°�6 .�-e. ,. �.�� ��� 0 5 ���� ' � ST �- � � �� I � �S _ "s� -F� C.�l.f€�1TY �,('1V� � _, ti�"� �cyr��n�.��;�<��,,:��a,.�,-r�ory Attach tu complete plans for the system and submit to the Counl�unl�'on paper nut less lhan R ll2 x 11 inches in size NO REFUNpB qF7ER ss�-6�9s�R.o3ia2� ��SUE OF PERMIT 1 "���-f�� , PAGE 1 OF 4 In-Ground Grav�ty Plan Index & Cover Sheet Component ManUal Desigr� References: In-Ground Sail Absmpat�n far POWTS Vsrsion 2.1 {May 2022-2427) Pg 1 of 4 Index 8� Cover �heet Pg 2 af 4 Piot Pian Pg 3 of 4 Dispersai Area �rass-Section 8� Plan View Rg 4 of 4 Management P(an Attachmen#s: Enclosures: Tank Specs � R4WTS Applicatic�n for Review F;�ter�pecs Soil Evaluation Ftep�rt 8� Site Map Project Name / Descriptian Owner Na�rr���s): TYLER & l.GlU1SA SCHRQCK �hone: OwnerAddress. �4542W C.T.f-1. B, HAYWARD 2�p; 54843 Project Address: C.T.H. B Go�rt. Lot: NA SW �1/4 of �� Q114, Section 2� , T �1 N-R 09 E�or W �✓ Townsttip: HAYWARD � County: SAWYER Pro;ect Parcet ID#: 57-Oi 0-2-41-09-25-3 03-4Q0-a0�03a �?esigner tnformatic�n Designer Mame• MARY JU HUPPERT Rhone: ��5 _ 426 _ 1775 Designer Address: 25720 FIREFLY LANE, WEBSTEf�, WI zip; 54893 E-fna31: hallisterdesign@outlook.com r.;: � Ltcense Nurnber: 1859-007 � � �.� Remarks. ' "� x } � T� � �� � . � � '" _ ` � * � : ;�� k '�.;�'w-� ' Q � - � i5'R� } }�� " � �`s �,�� p.�� =�:��: � �.,,� , , , �.,�/ ,:., Signature: � � �y'� .J�' f�t�� " �. Date: 01 - 2fi �2024 signature requir BSch submitted cApY. �[�'� ���� Page �,.Qf� i-----a �Rop��-r�own���: T'��.E� � Lo���� �+R+� 1., �= �o Fr. (e�cceptwher�nated) legaf DescriptMn� �'RT. 0� SYV �y OFTtt� SW�l�, aZ5-T�ltti- F�t�9►� C� �bacichoe it P '�[�Ow1�1 bF t-�AV h11FRL�; �{wV�R G��,.1�15�I�N,sStN- b • Z(o 1���`•3 �'j'7_ dl D lr�f l-44 Zs-� 073--AD�-b� -��N K `'` North �tl � � �� � r $ � � ���,�` �� � 4 � 1. � � � � ��� � `p t� � � �' ,, ti dy �y'�` � �f O ` <1' �L �-� � �„�s„��� �(� s 'jg}'� � ���0N�? .�wa �4 ��( �'`.�. � � . V .,` � '� y� � � �� � � �� F � � °`r �► �C3 r "tr � '�{# a�'g �����"� 4t� K'': �cP� �� � • Q �,,, � �` "� � ty �� ��� � T ����� . �• �, i � < `� a r�,?#i'��, 1t�0 S�� 1 .! � h/�x�T ��cr � i � # � � * � t ..........�,.. .w..�.,.._..�,.,...,.._._.,. i�"9`DC�:'"rtt pll.= '�' �lt££ �flCc3tIC�!'1: � � i F � i P 4 ; • � � 1 � i IN-GROUND GRAVITY DISPERSAL AREA SepticTank(s) Manufacturer: WIESER Stepped Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) Septic Tank(s)Volume(s): 1250 gal gal gal gal Effluent Filter Manufacturer: � POLYLOK SOIL COVER min.12" ;rypicai) Effluent Filter Model#: �22 12" min.trench TYPICAL TRENCH depth � CROSS SECTION VIEW «Pical) �'. e ' ` ' ' °�.a 'a; Provide minimum 3 ft (No Scale) �. aa���-� �a� � separation between trenches. (tYPical) ,a • . -r a,. d. a Highest Trench Lowest Trench (as applicable) System Elevations = 93.50 ft; 93.75 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.) (typical) Install per manufacturer's PLAN VIEW instructions. (No Scale) r-��: ��1; M'� �.. ��,- - - - �f- - - - - - - - �f- - - - - �.. �''��< �rar���r. � � A= 3.Oft ��+ � ,�. �� �r� � - - - - - - - - - - - - �� � [ .� � =�I (tYPical) � ���; _ ���- �� �� -� �.�_���:� ������� D B = 90 ft � � m (typical) �,00 GPD /0.7 LR = 857.15 FT. 2 Cluick4 Standard-W Chamber GJ 857.15/20 FT. 2/UNIT = 42.86 UNITS «'p'��> INSTALL PER TRENCH: OR 44 UNITS X 4 FT. - 88 (mfd by InfiltratorSystems,���.) � 22 Quick4 Std-W @ 20 ft� EISA/chamber— 440 ftz (2� 3 FT. X 88 FT. TRENCHCI�Pursuant to manufacturer's instructions. � + � Pairs of end caps @ 6 ft2 EISA/pair= 6 ftz = Proposed EISA per trench= 446 ftz Required Infiltration Area = 857.15 ftz Distribution Method: x 2 trenches = Proposed Total EISA = 892 ftz 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 Disaersal Area Oaeratinq Limits: Design Flow= 600 9Pd; BODS<_220 mgL"'; TSS<_150 mgL"'; FOG<_30 mg��' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance faciors(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.) c 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 Septic 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(sl 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: rvameotindividualorcompany: DAN BURCH PLUMBING Phone: 715-416-1642 �oca�government unit: SAWYER COUNTY ZONING Pnone: 715-634-8288 Local government unit address: HAYWARD, W I Z�P 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. ContinqencY 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. WLP1250-MR TANK SPECIFI�ATION� t2Q " DiMENSyONS: � � � WALL: 2 1/2" BOTTOM: SEPTiC 3" COVER: 5' � MANHOLE: 24" I.D. PRECAST CONCRETE RISER 1D HEICHT: 82 1/2" O.D. � —"" I�NGTH: 120 1/4" O.D. + MADTH: 84' O.D. BELOW MILET: 41' O.D. ^ �► 4" CAS7—A—SEAL 4" CAS7—A—SEAL �,��� ��� '�� � o WEIGHT: 8,810 LBS. t p24° r INt£T AND OU?LET: � � 4" CAST—A—SEAL 800T OR EQUI►i. g� t° � GASKET, CAST—A—SEAL 800T OR EQt1AL �F FItTER OR INLET AND OUTIET BAFFI£ AND FIITER: � 8 � BAFFLE MASCONSIN� SEE OfTAiL �i0 (aTMER st��s � cHARr} � � � ucw�o c�aAc�nr: a4.e� cr��r, � NOLDING TANK: 1�,� W T1,ET HOl,E PlU(3GED AC7UAL CAPACITY: 1,323 GAILOWS W� TQP V!!� LOADING DE5iGN: 8' 0' UNSANRAtED SflU. �� � Y o0 � � N TANK CAN BE USEQ AS: o � � � 5EPTiC/ NOLQING/ PUMP OR �'HON �� p xQ !t, COVER: tAIX DESfGN �8 MO FlBERj � � TANK: AtiX DE�tiN �P10 �STRUCTURAL FlR£R) �o � '' ' CUSTOMlZED TANKS: � � � OtJ FOR CUSTOM TANMCS CpNTACT 1NIESER CENJCRE"fE � � :ew�,w . t!f J t(} �„ . � e � Cy .} � . 7� � py � +Q +t . r� � � �'� � � N� � ..�s . . sh '�. + r�"' N � � U F "' DRAWTNGS SUEiM2TTED � FOR ARPROVAL �.�.•Y� AFPRAVEO BYt SHEET N4. 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Z ........: �3� .--....... ._........ � .. ... � .. _ ... �3 ... .. .. ... ... .._....._.. � ............ � . ...... ...... ........ ............ � ............ _ao. ............ � ....__...... yb ............ ........... . ...._....... -�o.a ............ ..... ...... ....._..._. . ............ ............ � --.......... ............ ............ ............ ........._.. ._.......... . � ............ . � - -. ...... ..... ...._....... ... ..... . .... , ..._.....,, ..... ...... $� . _...- Real Estate Sawyer County Property Listing Property5tatus: Current Today's Date: 3/11/2024 Created On: 2/6/2007 7:55:22 AM �Description Updated: 7/20/2010 � Ownership Updated: 1/22/2024 Tax ID: 12744 TYLER& LOUISA SCHROCK HAYWARD WI PIN: 57-010-2-41-09-25-3 03-000-000030 Legacy PIN: 010941253303 Billing Address: Mailing Address: Map ID: .113 TYLER& LOUISA SCHROCK TYLER&LOUISA SCHROCK Municipality: (OSO)TOWN OF HAYN/ARD 14502W STATE HWY 77 14502W STATE HWY 77 STR: 525 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843 Destription: PRT SWSW m Recorded Acres: 6.260 r Site Address * indicates Private Road Calculated Acres: 4.974 Lottery Claims: 0 �� 1 First Dollar: No u property Assessment Updated: 11/9/2015 Zoning: (R-1) Residential One 2024 Assessment Detail ESN: �4 Code Acres Land Imp. G1-RESIDENTIAL 6.260 34,500 0 �� Tax Districts Updated: 2/6/2007 1 State of Wisconsin 2-Year Comparison 2023 2024 Change 57 Sawyer County Land: 34,500 34,500 0.0% OSO Town of Hayward Improved: 0 0 0.0% 572478 Hayward Community School District Total: 34,500 34,500 0.0% 001700 Technical College • Recorded Documents Updated: 2/16/2024 :�L'�9'property History WARRANTY DEED N�p Date Recorded: 12/19/2023 447833 EASEMENT DEED Date Recorded: 1/4/2024 448003 TRUSTEES DEED Date Recorded: 6/21/2010 367120