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Sawyer County Zoning & Conservation Administration
������� � 10610 Main Street, Suite 49
� �R Cp �� Hayward, Wisconsin 54843
�'� -���C� � (715)634-8288
��� �2��� FAX (715)638-3277
�� � � % wwwsawyercoun�ov.o�
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� E-mail: sanita�ianna sawyercountv og v org
I ��, � � Toll Free Courthousc/General lnformation 1-877-699-4110
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Holding Tank Approval Checklist
I. Sanitary Cover Sheet: Date Stamp S� / 9' /��
Parcel ID# 0 3 � _ S3 � _ 2 � _ ,3 3 �
II. Plot Plan:
�Property Lines �( Benchmark BM ♦
➢C Site Address �North Arrow
�C Structure �Scale
DC Well pC<_ 25' to Service Road
�Legal Description —� Nearest Road Intersection
� Setbacks to: Property Line, Well, Structure, Water bodies, Roads
III. Required Plans:
� Index Page with Original Signature
� Management Plan/Contingency Plan
� Servicing Contract
� Holding Tank Abreement Form ($30 to ROD)
IV. Holding Tank Specifications:
� Tank Cross-Section: Ma�lufacturer: 51�� Gallons: 3,�0
� Tank Anchor Calculations [SPS 383.43 (8) (g)]
� Locking device, chains/locks
?( Alarm, electrical per SPS 383.43 (8) (e)
�j 3" Bedding Material < 1/2 "
V. POWTS Component Manual Reference:
D� Holding Tank Version 2.1 (May 2022-2027)
Owner: _ �,,��� Plumber: CT�
Application Review Date: �" �� /� �J
POWTS Reviewer: _��4 ���
Name
6� � <<o Rev. 4/27/2023
Credential #
CO�Cr�-�CHOLDING TANK DESIGN
Singte Tank Option
INDEX AND TITLE SHEET
Project Bransted
Owner Jeffery A&Sherry L Bransted
Address N5730 State HWY 70
Winter Wi 54896
Legal Description PRT.SWSW S-23 T-39-N R5-W
Township Winter County Sawyer
Subdivision Name Lot No. 1
Parcel ID Number 032 539 23 3303
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 C�ai Thom son
/ '
Signature � ��dl� Phone No. 715-266-2842
�—
License Number 220810 Date 05/04/24
Designed pursuant to:
Holding Tank Component Manuai For POWTS(Version 2.()
m�.y �u2o�a.- �a����
Version 7.0(17/12) Page 1 of 4
HOLDING TANK SPECIFICATIONS
� 2 Number of bedrooms
Non-residential estimated flow(gpd)
2Q'-�6 �-�� Minimum holding tank volume required (gal)
3000.0 Proposed holding tank capacity(gal)
Skaw Pre Cast Tank manufacturer
3000 Tank model number
Tank Alert Alarm manufacturer
101 Alarm model number
Tank Dimensions and Data Tank Anchor Calculations
53.5 Liquid depth below inlet invert(in) 17930 Ibs Weight of tank
8.0 Maximum depth of soil cover(ft) 1.10 Safety factor
180.5 Length (in) 14173 Ibs Weight of anchor required
75.5 l.J;�Qf� (in)}OutsideDimensions 18.0 in Soilcoverreq. foranchor, or
3.5 yd3 Concrete counter weight
HOLDING TANK CROSS SECTION
manhole cover with
locking device and
finished junction �—Waming label
vent grade �
cap � box --�
12" min. � ,,,, (F 23 " min. � 4" min.
............. ., ,
vent pipe conduit —� tether
weight 18" min.
blind Note: All tank joints, � �
plug and joints beN✓een -'-"----"--
to seal tank openings and 12 ��� service building
piping are sealed sewer inlet
outlet water tight. Pipe and
vent materials comply
with SPS 384. 41.5 in.
Manhole and vent locations Electrical is as
may be reversed. per NEC 300
and SPS 316.
3 in. bedding under tank. Tank is anchored as necessary to negate buoyancy.
Because of this tank's rounded surface,soil cover alone may not be adequate to prevent flotation.
Project: Bransted
Transaction Number: Page 2 of 4
HOLDING TANK SITE PLAN
� Project: Bransted
N Legal Description PRT SWSW 5-23 T39-N RS-W
Subdivision Name:
Scale: � P'=30 ft . Parcel ID: 032 539 23 3303 Lot No.- 1
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Transaction I.D� � Page 3 of 4
�jm= lu�,t7 TO 0� Wc'��
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.
1. This POWTS is designed to accommodate a wastewater flow of 40.0 to 600.0 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 activates), the pumper listed in the current Servicing Contract must be called to
empty the ta�k'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 shail 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 from this hold-
ing tank to the ground surface, including intentional discharges and discharges caused by neglect, consti-
tutes 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 impossibie.
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). Connection 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 should be contacted:
a. Installer... ... ... ... ... ...... ...... .... Don Thompson & Sons Exc LLC Phone: 715-266-2842
b. Service Provider... .................. Golat Sewer 8 Excavating Phone: 715-868-6836
c. County Zoning or Health Dept. Bea§fae County Zoning Phone: 715-38�138�- _
11. �WY��
Project: Bransted
Transaction Number: Page 4 of 4
HOLD[NG TANK SERV[CING CONTRACT
Contract Date: / /�
This contract is made behveen the Holding Tank Owner and the Pumper.
Holding Tank Owner's Name: Pumper's Name:
T� n � C�O�qrSZ,rJc{�. � �'�AJA i��r�Cr
�5�7`3- � �l.ef(` l��a/Is�c�i
Parcel ldentification Number: �
(�2 Digit Legacy ID) �3 a - � 3 � -�3 -,��3 0 3
I. The o�vner agrees to file a copy of this contract with the governmentai unit, Sawyer County,
which has accepted and recorded with the Office ofthe Register 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 holding 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 servicing
the holding tank(s). The o�vner agrees to maintain the all-weather access road or drive so
that the pumper can service the holding tank{s)with the pumping equipment. The owner
fwther agrees to pay the pumper for charges incurred in servicing the holding tank(s)as
mutually agreed upon by the owner and pumper.
3. The pumper agrees[o submit to the Govemmental Unit, Sawyer County,a report for the
servicing of the holding tank(s)as required under SPS 383.55, Wisconsin Administrative
Code and the Sawyer County Private Sewage System Ordinance. The pumper further
agrees to include the foilowing in the report:
a. The name and address of the person responsible for servicing the holding tank;
b. The name of the owner of the holding tank;
c. The site address of the holding tank;
d. The date the holding tank was serviced;
e. The volumes in gallons of the contents pumped from the holding tank for each servicing;
f. The disposal sites to which the contents from the holding tank were delivered.
A. This ageement will remain in effec[ until the owner 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 service contract with Sawyer County within ten(10)
business days from the date of change to this service contract.
Owner's Name:(Print) OWIt2�'S Slgn2tUI0: (Onlyoneownersignaturerequired)
' � '�
, o�� ��¢'+.5� �/
Pumper's Name:(Print) Pumper's Sign re:
�"j�G� � C�G t.iL i � __ _._� �
Pumper's Registration Number.
�� ZLi
Rev.0326/G
Real Estate Sawyer County Property Listing Property Status: Current
Today's Date: 4/27/2024 Created On: 2/6/2007 7:55:59 AM
�' Description Updated: 10/24/2023 � Ownership Updated: 10/24/2023
_�___ n__ _ _.�.� . . _.. _ _. __ a,__. _�.___��_ __._ .
Tax ID: 35258 IEFFERY A &SHERRY L BRANSTED WINTER WI
PIN: 57-032-2-39-05-23-3 03-000-000030
Legacy PIN: 032539233303 Billing Address: Mailing Address:
Map ID: .11.3 JEFFERY A &SHERRY L JEFFERY A & SHERRY L
Municipality: (032) TOWN OF WINTER BRANSTED BRANSTED
S1R: S23 T39N R05W N5730 STATE HWY 70 N5730 STATE HWY 70
Description: PRT SWSW LOT 1 CSM 20/172 #5831 WINTER WI 54896 WINTER WI 54896
Recorded Acres: 5,020 �s
Lottery Claims: 1 �" Site Address * indicates Private Road
_ __
First Dollar: Yes 5726N STATE HWY 70 WINTER 54896
Zoning: (RRi) Residential/Recreational One 5730N STATE HWY 70 WINTER 54896
ESN: 428
s� Property Assessment Updated: 10/10/2016
� Tax Districts Updated: 2J6/2007 2024 Assessment Detail __ _
_ _ .. _ ___ _ __
1 State of Wisconsin �e Acres Land Imp.
57 Sawyer County Gl-RESIDENTIAL 5.020 12,500 57,000
032 Town of Winter
576615 Winter School District 2-Year Comparison 2023 2024 Change
001700 Technical College Land: 12,500 12,500 0.0°�0
Improved: 57,000 57,000 0.0°ro
;� Recorded DocumeMs Updated: 11/5/2014 Ta��� 69,500 69,500 0.0°ro
0 WARRANTY DEED _ _ _
Date Recorded: 9/26/2022 441544
Q WARRANTY DEED `� Properly History
Date Recorded: l/13/20ll 404914 N/A
�! WARRANTY DEED
Date Recorded; 1/5/2006 336151
� CERTIFIED SURVEY MAP
Date Recorded: 10/1/1998 271256
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Docl :����1922
POWTS MAtNTENANCE AGREEMENT Tx:4051769
For Holding Tanks 449735
i � PAULA C:"t1I5S.ER
Oume�sName(s)asshownandeed: REGISTER QF DEEDS
� SAWYER C�UNTY.:WI
_T�r'�— _ � �i'� �� Q5/10/2024 10:3�AM
v �-�-r
Parcef Identificati Number: RECORDING FEE 3Q.00
12 Di �T tD 3 �� -�3 i
t s �� ) �._�—��_ —���' —
PAGES: 2
�egal Descripiion of Propexty:
-SEE ATTACHED SHEET-
We acknowledge that appl'ication is being made for the tnstaf{ation of a holding tank(s)on the
property desaibed on the attached sheet
Retum To:Sawyer Gounty Zoning and Cansenrat�on Administratjon
10610 Main St Suibe 49,Hayward,IN!54843
As an inducement to the County of Sawyer to issue a sanitary permit for a hofding tank on the above-described properiy,the owner is
responsible for the operation and maintenance of the hotdng#ank,locking device,alarm and access,and agrees to canform ta a11
appGcabis requirements of SPS 383,Wis.Adm.Code relating to hotding tank management,induding the following:
'(_ The owner agrees to contraot with a person who is licensed under Ch.NR 193,Wis.Adm.Code,except as provided 6y
Section 281.48(3)(d),Stafs.,to have the holding tank propedy senriced and to�ile a copy of the service contract with the
govemmentai unit The owner fc��er agrees to fite a copy of any changes to the service cantract,or a copy of a new service
contract,with the govemmental unit within ten(10)business days from the date of change to the service contract.
2. 7he owner agrees to contract wi�a person frcensed under Ch.NR 113,Wis.Adm.Code,who shatl submit pumping reports to
the govsmmecrtal unit in accordance with SPS 383.55,Wis.Adm.Code,for t�e servicing of the holding tank ln the case of
exempfion under Sec�on 281:48(3)(d),Stats.,the owner shall submit the report to the goverrrmentel unit 'f'�e govemmental
unit may enfier upon the property to invesstigate the wndi�on of the holding tank when pumping repo�ts may in�icsbe the
holding tank is not being property maintain�. .,
3. If the owner fails to have the holding tank properly serviced in response to orders issued by the govemmentai unit to prevent
or abate a human heaftt�hazard as described in SecUon.254.59,Sfats.,the govemmental unit may enter upon the property
and service.or cause the tank to be serviced. Pursuant to Section 145.20(4)Wis.Stats.,a govemmental unft may assess the
owner ofi a pcivate sewage systsm for costs related to the pumpi�g of a septic or holding tank.The charges will be assessed
as prescribed by Section 66.0703,stats. The owner agraes to pay aN drarges and cost incurred by the govemmental unit far
tnspec6on,pumping,hauling,or otherwise servicing and maintaining the hotding tank in such a manner as to prevent ar abate
any human h�alth hazard caused by the halding tank.
4. This agreement wip remain in effect only until the govemmenta!unit responsible for the regulafron of private sewage systems
certifies that either a soit absorption system that complies with SPS 383,Wis.Adm.Cade,or a municipa!sewer serves the
property.In addition,this agraement may be cancelled by execufing and recording said certifiption with reference to this
agreemerrt in such manner which will perm�the existence of#he certfication ta be determined by reference ta the properry.
5. This agreement shaD be binding upon the owner,the heirs of the owner,and assignees of the owner.The o�nmer shatl submii
the agreement to the register oP deeds,and fhe agreement shall be recorded by the register ofi deeds in a manner which will
permit fhe existence flf#he agreement to be determined by re�ferertce to the property where the holding tank i5 installed.
: ��,,,i���,,,��
-onl one owner si nature uired- �.�`�y 8���F,Q�' ACKNOWE.EDGMENiT
Owne re: � Q��'�� �'••� 'yaGonS►r�
_. _ �� •J- ,� z,-
Own r' am (Print): - � SuDse�+6ed arid s�to before me an this
t , � r'd
v�'_n'� (-t,-y ''� = �'•.. '� r` day.�of = �. 20 ��
Date: 9�`��By er's�' �e): e r1s-k �
` �Z3.�` �%�A�t�/'��Signature:
Drafted by: �l�lb i�ltl�ry Name(Print): rn �.c ��, /
� . � My commission e�ires on: /' I�"3��
. ,
Person8l infortnation you provide may be usecf for secondary purposes[Privacy Law,§15.04(i)(m)j Rev.03126/13
Lot 1 as recorded in Volume 20 of Certified Survey Maps, page 172,
Survey No. 5831 as Document No. 271256, located in the Town of
Winter, Sawyer County, Wisconsin, being a part of the SW'/4SW'/4, -
Section 23, Township 39 North, Range 5 West.