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Home My WebLink About002-106-23-0100-SAN-2024-094 ;�="''"�%��- Department of Safety c°°°`y c.� � � � • `-� & Professional Services, aw e.c' � ` �a� Sanitary Permit Number(to be filled in by� � � Industry Services Division ; � � _� � � .�,�\.-„,,:;=�t�%� t��S `l U 4.� � State Transaction Number � Sanitary Permit Application o In accordance with SPS 383.21(2),Wis.Adm.Code,submission ofthis fo�m to the appropriate governmental unit � � is required prior to obtaining a sanilary pcnnit.Note:Application fonns for state-o�vned POWTS are submitted to Project Address(if different than mailing ad� � the Departmcnt of Safety and Profcssional Se�vices.Personal infonnation you provide may be used for sccondary pmposes in accordance with the Privacy Law,s. 15.04(1)(m),Stats. �yy/�f C.ovt� �K��tS L4Ke�e' I.Application Information-Please Print All Information Property Owner's Name Parcel# H �N ��c ada - lo � -a3/o� o� Property Owner's Mailing Address PropeRy Location y y� �a G;c- c� �� City,Statc Zip Code Phone Number SC�0.Vrn�u.l� � Z �... �U�93 �—��^ Section 3�_ II.Type of Building(check all that apply) �ot# T yD N R�� W �I or 2 Family Dwelling-Number of Bcdrooms e� _ (.�. a Subdivision Name ❑Public/Commercial-Dcscribe U,e I31ock# O� Q � �S�' �� n - a3 ❑c��y�r ❑State Owned--Describe Use _ __ — CSM Number ❑Village of � �ro�„ot �5S La K c III.Type of POWTS Permit: (Check either"New•"or"ReplacemenN'and other applicable on line A. Check one box on line B.Complete line C if a plicable.) A. ❑ New System Replacement System ❑ Other Modification to Existi�ig Sy,tem(explain) ❑ Additional Pretreatment Uni[(eYplain) B. Holding Tank ❑ In-Uround ❑ At-Grade ❑ Mound ❑ 6�dividual Site Design ❑ Other Type(explain) (conventional) C. ❑ Renewal Qefore ❑ Re��i;ion ❑ Change oY Plumber ❑ Transfer to New Owner List Pre��ious Pennit Number and Date Issued Expiration g�,►a$ �� (�g0 IV.Dispersal/Treatment Area and Tank Information: Design Flo�v(gpd) Dcsign Soil Application Rate(gpd�st� Dispersal Area Required(s� Dispersal Arca Proposed(st) System Elevatio❑ � !v /A n��A N/A n�iA Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units � �; o �° � New Tanks Exis[ing Tanks � o � � y ,D ro c`"-s a U �n � c� u= C7 P- Septic or Holding Tank �� — �� re �' G.�C rY,4e X Dosing Chamber V.Responsibility Statement- 1,the undersigned,assum esponsibility r' stallallon of the POWTS shown on the attached plans. Plun�be�'s Name(Print) Plumb Signature MP/MPRS Number Business Phone Numbcr Trav:s ��+er��e )d GSa 87 q 7/5-G34-8�710 Plumber's Addres,(Sh�eet,City.State,Zip Code) 1Y3y� 4s S�c.k Read � /-�ayurard� u•�.x SYB �/3 VI.C un y/Department Use Only �, pro�ed ❑ Disappro��ed Per�nit Fee Date Issued l;,uing Agent Signature � /�� ' � � �/�� -�j,�� ❑Owner Given Reason for Denial (�/` �/I '�� "��"�'�'e"�"t i" Conditions of Approval/Reasons for Disapproval �1 � s .i '.�'� _.. `�� j �1 } � ! � � � --� � -r ��GI�� ,. . _ s�.� �� :.�..n. �+�� _.�,k#_3 2024 APR 3 0 � �3�t 3 ��S I N6� � SA1NY�.R COl1tVT'�t ZONfNG ADMIiv1�TRIa��u� Altach to complete plans for the sys[ero and submit to the County only on paper no[Iess than S V2 x 11 inches in size NQ REFUND6 AFTER SBD-6398(R.03/22) ISSUE OF PEAhA1T � � � Sawyer County Zoning & Conservation Administration `��' 10610 Main Street, Suite 49 � �R CO 1� IIayward, Wisconsin 54843 ��'l�� <i�� (715)634-8288 �� ,�� FAX(715)638-3277 �N�`` — __ i,�% www.sawyercountygov org t � E-mail:sanita�ian�),sawvercounty og v c�rg �I° `_�_� °� Toll Frce Courthouse/General lnformation 1-877-6Y9-4110 ,,�\`-, ` � / / � '�''�� `ON�� Holding Tank Approval Checklist I. Sanitary Cover Sheet: Date Stamp � / 3� /�� Parcel ID# v � � _ 1 0(0 _ �� _ D( vc7 II. Plot Plan: '�Property Lines �► Benchmark BM ♦ � Site Address �North Arrow X Structure � Scale �Well oC<25' to Service Road _p�Legal Description �Nearest Road Intersection �Setbacks to: Property Line, Well, Structure, Water bodies, Roads III. Required Plans: � Index Page witli Original Signature �Management Plai�/Contingency Plan �Servicing Contract �p Holding Tank Agreement Form ($30 to ROD) IV. Holding Tanlc Specifications: °<Tank Cross-Section: Manufacturer: U„��— Gallons: � �-�^�+R �( Tank Anchor Calculations [SPS 383.43 (8) (g)] X Locking device, chains/locks X Alann, electrical per SPS 383.43 (8) (e) �3" Bedding Material < 1/2 " V. POWTS Component Manual Reference: D� Holding Tank Version 2.1 (May 2022-2027) Owner: �er LL� Plumber: �J , ��,�d( Application Review Date: ��a��`� POWTS Reviewer: � ' ��, � � Nam� �`t� ��, Rev. 4/27/2023 a-�ae„r��a CONCRETE HOLDING TANK DESIGN Single Tank Option INDEX AND TITLE SHEET Project Happy Wanderer LLC-Court Oreilles Lake Dr Owner Happy Wanderer LLC Address 442 Drake Cir Schaumburg,IL 60193 Legal Description Sec.31,T40N,RSW Township Bass Lake County Sawyer Subdivision Name Abenpost Beach 1st Addition Lot No. 1&2,Block 23 Parcel ID Number 002-106-23 0100 Plan Transaction ID Number Index and title sheet Page 1 Holding tank specifications Page 2 Site plan Page 3 Maintenance and contingency plan Page 4 Designer Travis terfield Signature Phone No. 715-634-8176 License Number 652879 Date 04/26/24 Designed pursuant to� Holding Tank Component Manual For POWTS(Version 2.1) May 2022-2027 Version 7.1(07122) Page 1 of 4 HOLDING TANK SPECIFICATIONS �Number of bedrooms Non-residential estimated flow(gpd) 2000.0 Minimum holding tank volume required (gal) 2000.0 Proposed holding tank capacity (gal) Wieser Concrete Inc Tank Manufacturer W2000-MR Tank model number Rhombus SJE Alarm manufacturer Tank Alert 101-01H Alarm model number Tank Dimensions and Data Tank Anchor Calculations X for round tank 13540 Ibs Weight of tank and cover 47.0 Liquid depth below inlet invert(in) 1.10 Safety factor 8.0 Maximum depth of soil cover(ft) 20505 Ibs Weight of anchor required 66.0 Height (in) Outside 27.3 in Soil cover req. for anchor or 151.0 Length (in) Dimensions 5.1 yd' Concrete counter weight 86.0 Width (in) Only HOLDING TANK CROSS SECTION manhole cover with locking device and finished ��ent cap junction � warning label grade box � � — 4"min. 12"min. �� 23 in. Manhole and vent locations T conduit � vent pipe �g��min. � tetherweight building sewer � service „ 12.0 In. inlet bt�nd pwg aiarm on Note: All tank joints, and to seai joints between tank ouciec openings and piping are Electrical as per 35.0 in. sealed watertight. All NEC 300 pipe and vent materials and SPS 316 comply with SPS 384. 3 in. bedding under tank. Tank is anchored as necessary to negate buoyancy. Project: Happy Wanderer LLC -Court Oreilles Lake Dr Transaction Number: Page 2 of 4 HOLDING TANK SITE PLAN Project: Happy Wanderer LLC - Court Oreilles Lake Dr N Legal Description Sec 31, T40N, R8W Subdivision Name: Abenpost Beach 1stAddition Scale: 1" =40 � Parcel ID: 002-106-23 0100 Lot No.: 1 & 2, Block 23 p � � 1 o �o as tio O� � r �r � �h �-?6�f K/`� � , � N y� O qjT�� s" / h nRB�)yJ 7 HT7 � J �� // Cp �+cl/;,� / ��n y� / .3 � ��c �� =to�e�' W�11 �/ GOJRS �' :ioo•oo' o ae i ��E3 / LAKE /� ± 9(o.bV� 1 � �"Er�3�n,f,9�.skn. f 5 �e be (�capuly abov.dw�a.� Transaction I.D.: Page 3 of 4 HOLDING TANK MANAGEMENT PLAN This Private Onsite Wastewater Treatment System (POWTS) has been designed, and is to be installed and maintained according to SPS 383, Wis. Admin. Code, the Holding Tank Component Manual (SBD-10855-P N. 03/07, R. 01/12), and the Sawyer County Sanitary Ordinance. aon 1. This POWTS is designed to accommodate a wastewater flow of 60.0 to _�_gpd. 2. The owner of this POWTS is responsible for system operation and maintenance, including all provisions in the attached Holding Tank Servicing Contract and Maintenance Agreements. 3. Each time the wastewater in the tank reaches 90% of the tank(s) capacity or a level of 12" below the inlet (at which time the alarm will activate), the pumper listed in the cu«ent Service Contract must be called to empty the tank's contents and dispose of them in accordance with NR 113, Wis. Adm. Code. 4. At each service event, the service provider should visually inspect the condition of the tank, risers and manhole cover(s) and verify that the alarm system functions and manhole locking devices are present. Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions shall comply with the county sanitary ordinance and SPS 383 and 384 Wis. Adm. Code. 5. All service events or inspections of this POWTS shall be reported to the county within 30 days. 6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes tank to the ground surface, including intentional discharges and discharges caused by neglect, constitutes a failing POWTS and may result in issuance of correction orders or a citation by the county or state. 7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. 8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank may be installed in the same location (a new sanitary permit is required for such a replacement). Con- nection to municipal services would also be considered at this time if they are deemed available to the property. 9. If this POWTS is replaced, or its use discontinued, components no longer in use it shall be abandoned in accordance with SPS 383.33 Wis. Adm. Code. 10. If there is a problem with, or question about this installation, the following persons may be contacted: a. Installer......................... Butterfield Inc Phone: 715-634-8176 b. ServiceProvider...._...._ . ScotYsSeptic Phone: 715-634-7279 c. Co. Zoning or Health Dept. Sawyer County Zoning & Conservation Phone: 715-634-8288 11. Project: Happy Wanderer LLC - Court Oreilles Lake Dr Transaction Number: Page 4 014 W2000—MR TANK SPECIFICATIONS � � � � o DIMENSIONS: a a 151" WALL• 2 7/2" w N BOTTOM: SEPTIC 3" � a HEAVY DUTY 5" (ADD 2,050 LBS.) COVER: 6�� MANHOLE: 24" I.D. PRECAST CONCRETE RISER ii _ _ HEIGHT: 66" O.D. a / \ LENGTH: 151" 0.0. � 4' CAST-A-SEAL 4" CAST-A-SEAL W�DTH: 86" O.D. J � � BELOW INLET: 53" O.D. � � o LIQUID LEVEL: 47" N �24� � WEIGHT: 13,540 LBS. SEPTIC a � 15,370 LBS. HOLDING N °' TYP � INLET AND OUTLET: � r � 4" CAST-A-SEAL BOOT OR EDUAL � < \ RLTER OR BAFFLE /� GASKET, CAST-A-SEAL B00T OR EQUAL m z � INLET AND OUTLET BAFFLE AND FILTER: � ¢ � � � N1SCONSIN, SEE DETAIL #10 � Q J (OTHER STATES SEE CHART) o o LL LIQUID CAPACITY: 42.92 GAL/IN W � � � TOP VIEW LOADING DESIGN: 8' 0" UNSATURATED SOIL W � HOLDING TANK: � � Y �Q OUTLET HOLE PLUGGED � o � ACTUAL CAPACITY: 2,146 GALLONS 0 z � o MN TANKS � � I cn a W1LL HAVE ONE VENT OVER OUTLET � � N a w � AND WILL HAVE TWO VENTS IN COVER OVER INLET � � � W � i TANK CAN BE USED AS: � . . . SEPTIC/ HOLDING/ PUMP OR SIPHON W � � � INLET COVER: MIX DESIGN #8 (NO FIBER) — ,� _ _ _ _ - OUTLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) � M CUSTOMIZED TANKS: 3 �' N FOR CUSTOM TANKS CONTACT WIESER CONCRETE � _ � � n _ � Q O � 2�„ � � � � ? � � j o � Z o f Q o -' JOB INFORMATION : 3 F o '"� NSTOMER: W � N w 70B NAME � SIDE VIEW �nTE NEEOEo: SHEET N0. APPROVED BY: / APPROVAL DATE � OF TANKS ARE MANUFACiURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS � � HOLDING TANK SERVICING CONTRACT Contract Date: O.� l / - / �U.z This contract is made bettiveen the Holding Tank Owner and the Pumper. Holding Tank Owner's Name: Pumper's Name: 1�appy War�d�re� L C. 0 Sca� � �o�� e Parcel Identification Number: (12 Digit Legacy ID) d Q � - � O � - � 3 - O � C,� U l. The owner agrees to file a copy of this cont�act with the goverutneutal unit, Sawyer County, which has accepted and recorded with the Office of the Registet� 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 bolding 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 seivicing the holding tank(s). The owner agees to maintain the all-weather access road or drive so that the pumper ca�l seivice tlie holding tanit(s) with the p�unping equipment, The owner further agrees to pay the pumper for charges inctu7�ed iii se�vicing the holding tank(s) as mutually agreed upon by the owner and puinper. 3. The pumper agrees to subinit to the Govermnental Unit, Sawyer County, a report for the servicing of the holding tank(s) as required uuder SPS 383.55, Wisconsin Administrative Code and the Sawyer County Private Sewage Systein Ordinance. The pumper further ag��ees to include the following in the repoi�t: a. The name and address of tbe person responsible for servicing the holding tauk; b. Tl�e naine of tl�e owner of the holding tank; c. The site address of the holding tank; d. The date the holding tanlc was serviced; e. The volumes iu gallons of the contents pumped froin the holding tank for each seivicing; f. The disposal sites to wI�ich the contents from the holding tank were delivered. 4. Tlus agreement wi11 reinain in effect until the owi�er 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 seivice contract with Sawyer County within ten {10) business days from the date of change to this seivice contract. Owner's Name: (Print) OWrieT'S S1gT11h1Te: (Only one owner signatw•e required) sv sa� Ca.s�!-c�t d�4 0, �,��.1�-� Pumper's Name: (Print) Pumper's Signature� Sc.o�� PaPPe �� Ptunper's Registration Number: g � 8 � 3 Rev. 03/26/13 4I30/24,10:48 AM Real Property Lisling Page R2dl EStdte Sawyer County Property Listing PropertyStatus: Current Today's Date:4/30/2029 Created On:2/6/2007 7:55:01 AM �Description Updated:8/28/2017 �Ownership Updated:7/31/2019 Tax ID: 371 � HAPPY WANDERER LLC SCHAUMBURG IL PIN: 57-002-2-40-08-31-5 15-156-230100 Legaty PIN: 002106230100 Biiling Address: Mailing Address: Map ID: -13.23.1&2 HAPPY WANDERER LLC HAPPY WANDERER LLC Municipality: (002)TOWN OF BASS LAKE 442 DRAKE CIR 442 DRAKE QR STR: 531 T40N ROBW SCHAUMBURG IL 60193 SCHAUMBURG IL 60193 Description: ABENDPOST BEACH 15T ADDN�OTS 1& 2 BLK 23 �Site Address 'indicates Private Road Remrded Acres: 0.138 7644N COURT OREILLES LAKE DR HAYWARD 54843 Calcula[ed Acres: 0108 Lottery Claims: 0 -�proper[y Assessment Updated:9/13/2012 First Dollar. Yes Waterbody: Lac Courte Oreilles 2024 Assessment Detail Zoning: (RRl)Residential/Recreational One Code Acres Land Imp. ESN: 447 G1-RESIDENTIAL 0.138 97,200 57,900 2-Year Comparison 2023 2024 Change ��Tax Districts Updated:2/6/2007 �and: 97,200 97,200 0.0% 1 State of Wismnsin Improved: 57,900 57,900 0.0% 57 Sawyer County Total: 155,100 155,100 0.0% 002 Town of Bass Lake 572478 Hayward Community School Distrid 001700 Technical College �,@ property History N/A + Recorded Dowments Updated:7/31/2019 WARRANTY DEED Date Recorded:7/5lz019 418646 TRUSTEES DEED Date Recorded:7/5/2019 418645 AFFIDAVIT Date Recorded:7/5/2019 418644 QUIT CLAIM DEED Date Recorded:7/2/2004 322943 TERMINATION OF DECEDENTS INTEREST Date Recorded:7/2/2004 322942 QUIT CLAIM DEED Date Recorded:S/8/1977 160614 284/291 https:l/tas.sawyercountygov.orglsystemlframes.asp?uname=Eric+Wellauer 1It r , �_,,,,� ,�.,.a_ _ _ � � -,� �� __. ; � .;�. , . ' � '`� �. -_ � �t xt� � � . 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F �� ,� . -,� �...; ,� � � � ._ s .a. � .� e��: " �,�.� ,� , i'�.M 1� � �. . , . � ,d. �, , ` � f � _' � � � .-' � ..� ,r � z.. � �� ,yNt':...- ` � � �. . � E '�P � �� r: �,�, , � � ,.�'� ,�� „� � � �• ,�� +� � ruR � � � - j�� r i �5 �.�Y r � � �;�y ... �� ' � � ��.. � � , ' , . � ' ..�' ' �� j4� >.. k r.-`4'�— . � _ .�y. ��,. �; "'�Gc��14�.221�![l� ��r � '� p '�;, _ µ � w'"� a '� � � � w ' � i �r >� " � � 2�:� � � ��:`� �� _ � � �� . �, .��,,�..� ��- � '�:� �� , � �' �� - USE BLACK INK ONLY - I IIIIIIII,I IIII;IIIIIIIIIII III ,� ,,,, , , , DocI�:8080532 POWTS MAINTENANCE AGREEMENT Tx:4051521 For Holding Tanks 449557 Owner's Name(s)as shown on deed: REGISTER OF D EDS �'�ap�y W ar.de c e r L t.C SAWYER COUNTY, WI nn��n��n�.� y�.no on� RECORDING FEE 30.00 Parcel Identiflcation Number: (12 oigit Legacy ID) O (��- ( ��- v1 '�- O � O (� PAGES: 2 Legal Desc�lption of Property: -SEE ATTACHED SHEET- We acknowledge that applicatfon Is befng made for the instaflation of a holding tank(s)on the property described on the attached sheet. Return To;Sawyer County Zonfng and Conservatlon Adminlstration Recording Area-Leave Blank per s.59.43(2m) 10810 Maln St.,Suite 49,Hayward,W154843 As an inducement to the County of Sawyer to issue a sanitary permit for a holding tank on the above-described property,the owner is responsibte for the operation and maintenance of the holding tank,locking device, alarm and access,and agrees to conform to all appticable requirements of SPS 383,Wis.Adm.Code retating to holding tank management, including the following: 1. i'he owner agrees to contract with a person who is ficensed under Ch. NR 113,Wis.Adm.Code,except as provided by Section 281.48(3)(d),Stats.,to have the holding tank properly serviced and to file a copy of the service contract with the governmentai unit. The owner further agrees to fi(e a copy of any changes to the service contract,or a copy of a new service contract,with the governmentaf unit within ten (?0)business days from the date of change to the service contract. 2. The owner agrees to contract with a person licensed under Ch. NR 113,W is.Adm. Code,who shaif submit pumping reports to the governmental unit in accordance with SPS 383,55,Wis.Adm.Code,for the servicing of the hoiding tank. In the case of exemption under Section 281.48(3)(d), Stats.,the owner shail submit the report to the governmental unit. The governmental unit may enter upon the property to investigate the condition of the holding tank when pumping reports may indicate the holding tank is not being properly maintained. 3. If the owner fails to have the hoiding tank properiy serviced in response to orders issued by the governmental unit to prevent or abate a human health hazard as described in Section.254.59,Stats.,the governmental unit may enter upon the property and service,or cause the tank to be serviced. Pursuant to Section 145.20(4)Wis. Stats.,a governmental unit may assess the ov�mer of a private sewage system for costs related to the pumping of a septic or holding tank.The charges witl be assessed as prescribed by Section 66.0703,stats. 7he owner agrees to pay aii charges and cost incurred by the govemmental unit for inspection,pumping,hauling,or otherwise servicfng and maintaining the hofding tank in such a manner as to prevent or abate any human healih hazard caused by the holding tank. 4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private sewage syste-ns certifies that either a soit absorption system that complies with SPS 383,Wis.Adm. Code,or a municipai sewer serves the property. In additfon,this agreement may be cancelled by executing and recording said certiflcation with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 5. This agreement shall be binding upon the owner,the heirs of the owner, and assignees of the owner.The owner shall submit the agreement to the register of deeds,and the agreement shali be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. -Onl one owner si nature re uired- ACKNOWL.�DGEMENT Ow�r's Signature: � � State of: ��Z��U�_ �� , ,-� 1.�� County of: ;�(/�� _... _� -- Owner's Name (Print): ar,,,��- � nd swor to befo e me on this /l S�Sa,c1 Ca��c; o�G., "OFFICI L SE�f d " of � , 20�`� Date: JEANNE P��rl� � f f„ �L�� Notary Public State �'I (�er) i w commissio No.(�¢,��(�P�k�di Signatur�:' G%('�f�-G /�j�— i o x ires 0[tb�8 'Y7, Drafted by: Name: J��u tii��C 4 Ra�a�a A \ 5 My commission expires on: /U �� / � Personaf Information you provide may be used for secondary purposes(Privacy Law,§15.04(I)(m)] Rev.09/29/23 Lots One(1)and Two(2),Block Twenty-Three(23),in First Addition to Abendpost Beach,being located in the Town of Bass Lake,Sawyer County, Wisconsin.