The URL can be used to link to this page

Home My WebLink About016-637-22-1401-SAN-2024-098 � I ° "` � Department of Safety c°°°ty � Sawyer 1� & Professional Services, Z � Sanitary Permit Nwnber(to be filled in by C �= Industry Services Division � �SI �� '� .� _ , Sanitary Permit Application State Transaction Nmnber � In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this fonn to the appropriate govemmental unit �— p� is required prior to obtaining a sanitar��permit Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing add _.. the Department of Safety and Professional Services.Personal infonnation y°ou provide may be used for secondary 1 16�N HaJC�dSZ f�03d purposes in accordance with the Privacy Law,s. 15.0-�(1)(m),Stats. I.Application Information-Please Print All Information Propeny Owner's�'ame Parcel� John and Virgina Overland 016637221401 Property Owner's Mailing Address Property Location 277 320th Street Govt.Lot City,State Zip Code Phone Nwnber WiISOn WI 54027 651-247-8916 SE ��,, NE �;,, Section 22 II.Type of Building(eheck all that apply) Lot# T 37 N R 6 �or��— �1 or 2 Family Dwelling-Number otBedrooms 3 � Subdivision Naine Block# �" ❑Public/Commercial-Describe Use � 0 City of ❑State Owned-Describe Use CSM Number ❑Village of a Tow„oe Meadowbrook I[I.Type of POWTS Permit:((�heck either"New"or"Replacement"and other applicable on tine A. Check one box on line B.Complete line C if a licable. A. ❑New System �Replacemeut System ❑Other Modification to Existing System(explaii�) �Additionai Pretreatment Unit(explain) B. � g 0 ❑ � � � YP � P ) Holdin Tank In-Ground ❑At-Grade Mound Individual Site Desi n Other T e er lain (conventional) C• ❑ Renewal Before ❑Revision ❑Change of Plumber List Previous Permit Number and Date Issued ❑Transfer to New�Owner 528656-4/24/09 0 Expiration � q^ ��- MT IV.Dispersal/Treatment Area aod Tank Information: Desien Flo�(gpd) Desi�i Soil Applic�tioi Rate(gpd/st) Di�gersal Area Required(s� Dispersal Area Proposed(sf) System Elevation 450 .5 �, �7 S �' 900 932 92.3' Capacity in Total #of Manufacturer v Tank Information Uallons Gallons Units � U U �, � � New Tanks Existing Tanks � o � � � y `" a cy a U ✓� r cn w J a, Septic or Holding Tank 700/300 1000 1 Sk3W ✓Q Q ❑ ❑ ❑ Do;ing(�hambcr � � ❑ ❑ ❑ V.Responsibility Statement- I,the undersigned,assume responsibilitv for installation of the POVVTS shown on the attached plans. Plumber�s Name(Print) Plw be �s Signature `� MP MPRS Number Business Phone Number David Thompson • I 221377 715-532-5892 V � Pluinber's Address(Street,City,State,Zip Code) 703 W Fritz Avenue, Ladysmith WI 54848 Vt.Co ty/Department Use Only Permit Fee Date Issued Issuing Agent Signature �App ❑Disapproved I - . � L f�p�° -S(� I'-��l �f.Gt.�C t.��:�,�t�,�t't.�;- �Owner Given R�ason for Denial Conditions of Approval/Reasons for Disapproval � ,.(� S-� "^,.� ��f�� IA ; ,�.�ar�� Y1 � _�—--- D `'��:" ' ''�-�.i-E-;,�,'`� ` i�� _ �`�:'J t .'!!' . � � '1 � � '_ cn� i n�3.� _ �l --� � �� ...�� ' hf�Y � _ �- '' ��S� !�cpt# ��s�:� �__ � 3 ��Z4 s,�.�. �.,,_:, .___ Attach to complete plans for the system and submit to the County only on paper not less than 8 vz x 11 i ` �{�f7ury�];�y!•;;�;;��",J � NO REFUND�AFTER SBD-6398(R.03/22) ISSUE OF PERMIT ,��S 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: Enciosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Overland Owner Name(s): John and Virginia Overland Phone: 651 _ 247 _ 8916 Owner Address: 2�� 320th Street, Wilson WI Zip: 54027 Project Address: 1160N Hajdasz Road Govt. Lot: SE 1 /4 of N E 1/4, Section 22 , T 37 N-R 6 E ❑ or W 0✓ Township: Meadowbrook County: Sawyer Project Parcel ID #: 016637221401 Designer Information Designer Name: David Thompson Phone: �15 _ 532 _ 5892 Designer Address: �03 W Fritz Avenue, Ladysmith Z�p: 54848 ' �� '!� E�ma��. t ;.1� _ _ 7� r 1 �(71 _�r?�� ti�3 c,t t , License Number: 22� 3�� Remarks: �' � Signature: GUv ��L Date: 04/29/24 Original signature requi d on each submitted copy. � PL�T PLAN , � " � , , � � � � 1160N �' � � 46 Ctuick 4 chambers a , 23 in each�e1i �c�� 4" 3034 PVC ' , � , __ _ � b��'�f�� . s`' .f -v�� .. 7p/p � � SIQpe, __ - - _ 96' , f ° o Exfsting hoiding 3 bdrm tank to be removed Cabin and install Skaw 70�/30Q septic tank Inlet= 96" ;', BM .� �� .. . 1 �:--- . �' Garage John and Virginia Overland �16ON Hajdasz Road �j- �encnmar�c �oo� SE 1/4 - NE 1/4 - S22-T3?N-R6W Tap of weli Tow�l Of MeadOwk�roDk VertiGal and horizontal reference P�r�el lD 016fi372214Q1 � = Soi1 pits wi#h backhoe Page 2 of 4 1„ ^ 4p' �`"4p'-0"—►) Septic Tank(s)Manufacturer: IN-GROUND GRAVITY DISPERSAL AREA Skaw Uniform Elevation Trenches with Quick4 Standard-W Chambers SepticTank(s)Volume(s): 3-ft Trench (down-sizing credit) 700/3009a� gal gal gal EfFluent Filter Manufacturer: Orenco � FT0822 Effluent Filter Model#: min.12" SOIL COVER (rypicap 12" min.trench depth c�vP��> �� • � TYPICAL TRENCH - � -- a� �<. CROSS SECTION VIEW , ... ._-�s .• . ..e.. �— sa�� ` . ,o (No Scale) ��YPical) •;'a , . . ^ e.. . d. . " Provide minimum 3 ft System Elevation — 92.3 � separation between trenches. (typical) Quick4 Standard-W w/End Cap Observation Pipe �/PICAL TRENCH (Show location of inlet/ outlet pipe connection on plan view.) (rypical) (typical) Install per manufacturer's PLAN VI EW instructions. �NO SGa�@� — — — — — — — — — — — — — — — — — � ��'�l�t�"� �'k��'��'" �!F?��" �� *��C� ��'�r�",�a "��'�� `� �p � A= 3.Oft �, �u �,�n N (�YP ) � ��'�i�risi�`��C��a�°��Y1G1�'��'— — — — �� — — — — — — — �� — — — r+F��k`�`J�S�� G�r'`+�,�� ical � B = 92 ft -' m (typical) Quick4 Standard-W Chamber W I NSTALL PER TRENCH: (typica�) � (mfd by Infiltrator Systems,Inc.) � Install pursuant to manufacturers instructions. � 23 Quick4 Std-W @ 20 f� EISA/chamber= 460 ftz + 1 Pairs of end caps @ 6 ft2 EISA/pair= 6 ft2 = Proposed EISA per trench= 466 ftz Required Infiltration Area= 900 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 932 ftZ branched manifold , PAGE40F4 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible tor 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 Dispersal Area Operatinct Limits: Design Flow= 450 gpd; BODS<_220 mgL�'; TSS<_150 mgL�'; FOG<_30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors(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.) 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 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 thar 12 manths. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc.Admin.Code. Heport any component failure or malfunction to: Name of individual or company: RUSS THOMPSON EXCAVATING phone: �15-532-5892 �ocal government unit: SAWYER COUNTY ZONING Phone: 715-634-8288 _ Local government unit address: HAYWARD Sa,aye.r�z, �,,;�q �c)6�olN.,l,> Z�p 54843 _ ti� °� 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. Continqencv Plan In the event that any failed treatment component ot 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.