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HomeMy WebLinkAbout24-43S Jokinen^£ss%: fl'?iWf9%^y ^^ Department of Safety <& Professional Services, Industry Services Division rQounty '&^-//elJi initary Permit Number (t? be fille^jn by Co.) Sanitary Permit Application "; In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services- Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s, 15.04(1 )(m). Stats. St^Transaction NumSer I. Application Information -Please Print All Information (ifaiflere'nuhan mailing address] /. ^W/c- dcjckA. ^ Property Owner'iS Name IMPS ^ -/^y "J^^lne^ Parcel#0^-Wi^^O Property Owner's Mail ing Address / ,3 7 ^ ry/a-^ City, State ^c/lin . (J/ Zip Codejy^II. Type of Building (check all that apply) S^Tor 2 Family Dwelling - Number of Bedrooms a Public/Commercial - Describe Use. a State Owned - Describe Use Phone Number 7/5 "u^l- o^^ Property Location .2,^^^,^ Govt. Lot 2- %, _____ ',4, Section / Lot #T y^ N R ^ V.orVT> Subdivision Name TSIock#AJA CSM Number a City of. a Village of (Tfovvn of A/6i/V\OL^a^if>/)^ III. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i: applicable.) A.E] New System ;n D Other Modification to Existing System (explain)a Additional Pretreatment Unit (explain) B.a Holding Tank D In-Ground (conventional) D At-Grade CB"^[ound a Individual Site Design D Other Type (explain) c.a Renewal Before Expiration Revision D Change of Plumber D Transfer to New OwnerlList Previous Permit Number and Date Issued IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd)low i^0-Design Soil Application Rate(,/^.0 Dispersal Area Required (sf)y^?Dispersal Area Proposed (i/Z>^>y/System Elevation^ 7' 7^ Tank Information Capacity inGallons New Tanks Existing Tanks Total Gallons « of Unite Manufacturer a-o £<s<!i x 6 S'S. 0 Septic or Holding Tank /(>f>0 \/ooo / ^fwdc- C^^ct-dc P^odu^7' Dosing Chamber ^-$^(WJ ^A? V. Responsibility Statement- I, the undersigned, assume^sponsibility for instaUaljjon of the POWTS shown on the attached plans. Plumber's Name (Print) Uf^bi. ^ J>ft\/}!L-C Plumbed Signature'"'^n^u s2 MP/MPRS-Number -Z ZJ'^/'<^ Business Phone Number 7/3'-7^-J^^ Plumber's Address (Street, City, State, Zip Code) ^\^p^ScyW/ 2^k(ir\^h^]i' jr-^/ VI. County/Department Use Only Approved ff. '(o-^ D Disapproved a Owner Given Reason for Denial Permit Fee '. Date Issued\^.r^Issuing Agent^ignature i.,^7^? Conditions ofApproval/Reasons for Disapproval ato^m'^ " sps ^^ ^ l^wifW^ m <o ^nr- ^^^ ^ ^ om^w. Attach to complete plans for the system and submit to the County only on paper not less than 81/2x11 inches in size SBD.6398 (R. 03/22) <M IA h^[f^1* ^ [< A 1%b^K ls \^"11^•% > <Ac^^^1 bs ^8 ^l. t A t< s ^rs |h\^1^1^ , 1 ^lif t !( S ~^•® >fc ^fe1^:- < N ^^>a i" ^^^K ^? N <&s. -^ :< S . | t. ;'. c - 'I s . •V .•< & • ! 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"Vas 3<aw w F- J 0ty c^(t ) 7"^ (D "3a<0x®•3a f^ ' (0 0 Ct ~ ff ; zc 0"w wcg-ex<(00 zu (D 00 Q'Ul3- (X l 0' t~ >y^c30" (D (D0)liTO a. r"re <C tec (D ' usy"c zw3 u. ;« -m(a03 "30 ^00 r~&MV) ran .i f ; :0y wmm009amw•V6z0m 0m 2a 0•c°^ :®Sl>Q.a;®?w 0 ®^w2as3a> 't £gis ^.^8713© 0. 1-j |m ~< r<I® -i3- |013 I O sco I 3!„ ( ir o^K<; „ . 10^'3|r o3 0<w0z0So ? zmI!wo^wmI0mM ia|m\- v io1- nI iotvv0•nm~ww0I .. . j 0 ww ... . ' ,a' t*0.^ -3co•s 'yQc a. <f l wt:? 20mx>z0 -4 :- ir-m•T 3>0m 0m~ns s6cz0 m0)CT -aV00 y3" 31§1 3^0 is ;ec Wisconsin Department ofSafeiy and Professional Services ^"rision of Industry Services »2 Madison Yards Way .^ Box 7302 Madison, WI 53707 Phone:608-266-2112 Web: htto;//dsBs.wi.eov -1- QBvyal^ (lsps®.wisd6nsin.eov Tony Evers, Governor ';'1 Ditn.HerefhpSecretsry October 26,2023 CONDITIONAL APPROVAL APPROVAL 2025-10- 25 Plan Review; PWTS-102302503-C Randol Smart 201 N 2nd Street Butternut, WI SITE: Jokinen 25035 N Castle Garden Rd Namakagon Township Bayfleld County S18-T43N-R5W FOR; Conditionally DEPT. OF SAFETY AMD PROFESSIONALSERVICESDIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Description: 3 Bedroom Mound - 450 GPD -15"to limiting factor - Effluent Filter - Maintenance required GSF Mound Component Manual Pressure Distribution Component 2.1 (May 2022-2027) -(11/19), Manual-Ver. The submitta! described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state untess licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders 8 The site be property prepared prior t® plowing. Any grasses than 6" shall be cut short and removed. To avoid matting, any leaves or loose organge matter shalS be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. 8f necessary, use only traetted eqyipment, during dry conditions, with mjnimal passes, to avoid compaetion. 'I. a Install the GSF products and distribution piping per instructions. If using pressure distribution, distribution pipe should be sleeved through the 4-inch corrugated pipe located in the GSF product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position so as to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 12 o' dock position. Ail pipes must drain after dosing. In ,_,^ ,,„„. I, ' • ~ -!!j K.b ! 3ZUZ4 :;'/.- 8 A sanitary permit must be obtained from the county where this project is located in accordance with th»e requirements of See. 145.19, Wis. Stats. a Inspection of the private sewage system installation is required. Arrangements for inspection shail be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. SSsts. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. B Acopy_of the approved plans, spedfications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(11. a In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard/ the property owner must foliow the contingency plan as described in the approved plans. 9 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervais appropriate for the components) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right tp require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 Joshya.rQwJev@wisconsin.gov ~u/T?TTb — f^^ _^?1 —-: •• ff/v' 7/7 • /p^>- ^'^^WS^^f^ S'^/V ^VW^ - K^ 9f5h - Wf^/^ t.^/y ^wg - ^<i ,v?k - vmr>^/^ i'9^^vwq, -. i^ ,b'hb f^wn^y-.w/^vpum^- JQ ^oj., i^/y^w^g - ? w<g. yw/' fnms^y -^^,,77 v.f a^f HH^^wg- j/?'g:pw*^7 - - - -^,7F7~^T - - ^^-^^ ~wj,a .^ ?^-.t^wA/4^<?.<rciwt^ 1 •^ o^7/ •Vn.sY fn^f/Cj^.'^"^ -38- imf? j-pp ltV^^Jr° lai' 'y-"'^ -??i/3pf$^ uw,fp^ S ^/^iv^ 1[a <H -8 ^y fVflO^/ fej^ !„..^•gV w '"-^fffSj^Tfffi' ^.T^^spJ^ Hlu-'c. I o± ^b'd /^t/wy ppj/.fiv^, tW^^^WV^y j. ft Uwi (3^. nsy-'/v^^si^y ^ ^07^017 ^ 747^ r^ ^/7-,1~?{^9 w^ ^/^ WJ^OF- f^jjy. ^ ^vwo^ ;WjLp7fi?7 GSF Wl MOUND DESIGN PROGRAM DATA ENTRY -I- H Site information R [Residential or Commercial Design 450 | Design Flow (gpd) I Site Slope (%) (Installation Contour Line Elevation (ft) j Depth to Limiting Factor (in) jln-Situ Soil Application Rate (gpd/ft2) EFF #2 Distribution Cell Information 6.0% 96.00 lumber of Bedrooms (optional) i Contour Length Available (ft) B43 2.0 Unit Used Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 Dispersal Ceil Design Loading Rate (gpd/ft) Influent Wastewater Quality 61 |= Dispersal Cell Length (ft) Pressure Distribution Information Are the laterals the highest point in the distribution | Y network?Enter Y or N 0.156 If N above, enter the elevation of the highest point. 1.5 10090 Center, End or No Manifold (Pump to Gravity) Lateral Spacing Number of Laterals Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) = | 7.^z- ft2/orifice Forcemain Diameter (in) Forcemain Length (ft) Does the forcemain drain back? Inside Pump Tank Elevation (ft) w c 4.55 7. 1. ,2.1 w.00 w iSystemHead(ft)x1.3IVertical Lift (ft) Friction Loss (ft) Add'l Fitting Friction Loss (ft) Total Dynamic Head (ft) 16.31 26.85 43.16 21.00 Forcemain Drainback (gal) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Lateral Diameter Selection in. diam. 0.75 1.00 1.25 1.50 2.00 3.W options x % x choice x Manifold Diameter Selection in. dia.^T25~ 1.50 2.00 3.00 options choice II Septic Tank Information [_^_10WlSegticJank Capacity (gal) jneida Concrete Produ(| Manufacturer Dose Tank Information [Dose Tank Capacity (gal) I Dose Tank Volume (gal/in) Gallons/lnch Calculator (Total Tank Capacity (gal) j Total Working Liquid Depth (in) jgal/in Effluent Filter Information 650 15.2 Zoeller [Filter Manufacturer la Concrete Proi Project: Thomms u ^e-rry ^oKi<\e.iA. ^ouf[d S^s-^m 17g^078__J Filter Model Number Page 2 of ^ GSF Wl MOUND DESIGN PROGRAM GSF MOUND DRAWINGS ; 5...U 5.00 61.00 21.00 in Mound Component DimensionsH|24.60 7.00 0.50 1.00 11.46 7.20 J ^ < i^ 5SM ^ ^iffi ii8 lljS ^; v^ as U&. us12 -tgill1;S i'S BigillBill® II iJililB Iffff 4'ffi : 11 III ii'fiii !a :^?iaiIU^ •ss Mound I B Wm ^'srt§11iii ^ls 81% s§jus :8l^' Si ?suIll Plan View A 351 !".~ ;?S i : 8s;N I iiJSSiliJJS! s a^fi;s sill 8 SillS! £i; ^•i^S'i1;n ^;H^; 1^ J^ S ^ Vi,|gg!11^ is S;l^t %: ^ ^Li^ 'IS:&^^li;^ ^ f^; I i!II1stil l!t ^ IllI i@?Is ISl K / K Lw 10.45 81.90 23.67 305.00 7.38 (ft2) Dispersal Cell Area (gpd/ft) Linear Loading Rate 1004.27 6.10 (ft2) Basal Area Available (ft) 1/10 B Obs. Pipe Placement "a ".» w^.— H 97.75 (ft) Dispersal Get!Elevation Contour Elevation Shading Key 98.33 (ft) Lateral Invert Elevation 96.00 (ft) 6% Site Slope Topsoil Cap Subsoit Cap ASTM C33 Sand Tilled Layer GSF Media 2i (0 0. aio oS E(B•cl^t- 0 2ft 0.5ft Typical Dispersal Cell See Page 5 Geotextile Fabric —^_^n IK<\<\<^^4 See details on page 4 for number, size and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Thomas n Terry Jokinen Mound System Page 3 of 9 GSF Wl MOUND DESIGN PROGRAM LATERAL AND DOSE TANK End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below .J^UM 1st orrifice located at Z ! of distribution cell i = Twn-up w/ball valve or deanout plug Omfices point up except every5th one points down for drainage. Laterals & 1orce main of PVC Sch 40 (per COMM Table 84.3&-5) Numbers of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate 1.00 1.50 58.52 0.74 0.00 21.00 21.00 58.52 Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density ft Manifold Length gpm Manifold Diameter gpm Forcemain Velocity Pump Off Height 0.16 1.54 39.00 7.82 0.00 N/A 2.14 12 in ft ft2/orifice ft in Ft/sec in Dose Tank Information Bectricd as per NEC 300and Canm 16.28 WAC Loddng uwerwiih warring ard locking device, andsealed waSertight ^ -1 4in.mn- Oneida Concrete Product; Capacity Volume Dimension A B c D Total 650 15.2 Inches 25.9237705 2 2.83938739 12 42.7631579 Manufactu Gallons gal/inch Gallons 394.0413 30.4 43.15869 182.4 650! Min. 3" Bedding undertaik. temde cuilet locsSim Rroanain dianeter2 in f\, Wfeepholeor arti-aphon dame famp offdeudion (t) 91| Dosetartt deuation (ft) 90| Alarm Manufacturer Alarm Model Number Sje Rhombus 101 hw Pump Manufacturer Pump Model Number Zoeller N98 Pump Must Delivery | 21.00|gpm at \73.(ftY[ft TDH Project: 'fA(?mAS A/ -T^fr/ ^'o«frte^ M0Wf\d ^^•Wt Page 4 of ^ •ID i jai^ GSF Wl MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Celi Media Layout jJCell Width (ft)Ji-SJSidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. 5 ft Wide TO^y^^y 5 FT WIDEENDCONNECTION FORCE MAIN Component Legend I_ijfX ^y/y/°//yy^//^/ZZ.€. ASTM C33 Sand/Mound Sand A42 or B43 Module Lateral ^| Turn-up (contained in Turn-up Enclosure) Distribution Cell Plan View Layout - Typical 5|CeHWidth-A(ft) 15 B43 15 B43 61.00|Cell Length - B (ft) Modules Required per Row ITota! Modules Required End Connection Later Layout Diagram Drag appropriate drawing from left to space below. Project: Thomas n Terry Jokinen Mound System Page 5 of 9 143.0" 77.0" - /( _ a- •'•' " ' -N \ / 1028.7 42" » t: ••• 1028.7 GALLONS(ACTUAL) /f \ ^ 24.5 GALLONS/INCH(ACTUAL^ .•.<•'. ~'" .:'; jr". • «'••• .:. -\ 639.8 GALLONS(ACTUAL) s 639.8 42" /t \ ^ ^A ^15.2 GALLONS/INCH(ACTUAL) <•A _J .* . • i: h-24.0" TfP. h-17.0'>-» i^HFy^.1 !NLET_ f[j 35.0"-17.0" SCHED. 40 PVCREPAIR COUPUNG ".'•. ^ ••..••'.• OUTLET 45.0" —i r-4.5" GENERAL NOTES: 1.) ALL TANKS ARE EFFLUBiT FILTER COMPATABLE.2.) OUTLET BAFFLES ONLY SUPPUED PER REQUEST.3.) 4" AND 6" MULTIPLE OPENINGS ARE AVAILABLE. 4.) NOTIFf WHEN DEPTH OF BURY IS GREATER THAN 72". 5.) 24" AND 30" MANHOLE OPENINGS ARE AVAILABLE. 6.) NOTIFT WHEN INSTALUNG IN EXTREME WET CONDITIONS. APPROVED By Glen Schlueter at 7:42 pm. Mar 22, 2021 G.P.D. = 493 GALLONS (SEPTIC/PUMP) WEIGHT = 13.500 LBS. CONCRETE PROPUCTS RHINELANDER. Wl (800) 236-3124 SEPTIC TANK - 1028/639 GALLON - COMBO 02/09/10 i^ s i g TO T A L C P f W t t B C H E W • .» . a •4 Ik t E T Z R S Bayfield County, Wl 2/19/2024,10:19:3ZAM )^g,.g Flood Plain Boundaries Active Dec 16th, 2011 L...J Approximate Parcel Boundary AE = Base floodP'ai" where base flood elevations are provided Road Type Town Private Building Footprint 2015 " Building 0.02 0.04 Bayfieid County Land Racords Department 0.07km Bayfield County Zoning Applicationhttps://m3ps.bayfteldcounty,wi.gov/ZoningWAB/ 2/19/24, 10:19 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 2/19/2024 ill Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: !^Tax Districts Updated: 8/2/2021 24032 04-034-2-43-05-18-2 05-002-03000 034101106000 (034) TOWN OF NAMAKAGON S18 T43N R05W W 1/2 OF PAR #3 & W 1/2 OF S 25' OF PAR #2 IN GOVT LOT 2 IN V.673 P.37&3878H1 2.100 1.995 0 Yes (R-l) Residential-1 123 Updated: 3/15/2006 1 04 034 041491 001700 v*' Recorded Documents B CONVERSION Date Recorded: 3/15/2006 STfflTE COUNTf' TOWN OF NAMAKAGON SCHL-DRUMMOND TECHNICAL COLLEGE Updated: 2/10/2014 212-419;615-406;673-37 Ownership Property Status: Current Created On: 3/15/2006 1:15:46 PM Updated: 8/2/2021 THOMAS 0 & TERRY L 30KINEN M ELLEN WI Billing Address: THOMAS 0& TERRY L JOKINENPO BOX 577 MELLEN WI 54546 Mailing Address: THOMAS 0& TERRY L JOKINENPO BOX 577M ELLEN WI 54546 Site Address * indicates Private Road 25035 N CASTLE GARDEN RD * Property Assessment CABLE 54821 Updated: 4/25/2013 2024 Assessment Detail Code Gl-RESIDENTIAL 2-Year Comparison Land: Improved: Total: Property History N/A Acres 2.100 2023 169,500 156,900 326,400 Land Imp. 169,500 156,900 2024 169,500 156,900 326,400 Change 0.0% 0.0% 0.0% https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=24032 1/1 '3 s-^wo Private Sewage System Maintenance Agreement Owners) Name .^^,^^ J~c- /<' /-/I <^ -^r&.n-f-y ^o^ in en Owner(s) Mailing Address /'3^ £', "^//if- ^f~ /r?c//t^ J/ jr7<^y^ SUe Address ^ & 3^ ^, (^a-S^/c. <3^deA ^ci Co-hK.. ^•- Tax ID # ^? ^y - /^5// - 0^ (000 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfleld County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain saidprivate system at the below listed tocatton in accordance with rules established in the Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) /^-.cf <^^r ^ff-i-2. ,<3- J',?iMoF" '1/4- Section / ^ Township Y-^ N. Range _^_W. uy^^. isw tfs <- tj y^ c/'-f 2.5-/ o/Additional Legal Description: A9/^ -^ z. ,'^i t^r^r ~/ />.A. •» Tovmof A/^iyliA^^yO'/l (Acreage) 2-' I Gov-tLot_JL. Lot - Block____ Subdivision ~" 3-7-3'i^^/.Lot _ CSM # _ W.^/J Page __ CSM Doc #.~£J3. y/9: 6-/.s-- ^^; 0 7J -3 7 DOCUMENT NUMBER2024R-603096 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 04/30/2024 AT 10:1 1 AM RECORDING FEE: $30-00 PAGES:3 Recording Area Return To: i^ 1!- ;!/ ': i'" I?Planning and ZonJdQ D6partmeht ~li i^/^ !.!P MAY 0 'I M I"^ D In-ground gravity [B/Mound D In-ground dosed D In-ground pressure distribution Sewage System: D At-grade Sewage System Q Other. Sertic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date ofinstallation and at least once every three (3) years thereafter unless, upon inspection by a Itaensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by studge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank Is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components, Septic Tank Effluent Filter (system types A through E): The septic tank affluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55. Wis. Admin. Code. Private Sewaae System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS Inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system Is ponding on the ground surface. Mounds. At-arade. and In-around Pressure System Laterals (system types C, D and E): The laterats shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Ownerfs) agree that failure to comply with this agreement will result In action being taken to pay all charges and costs mcurrocl by Bayfield County for Inspection, pumping, hauling, or otherwise servicing ancf maintaining the private sewage system tank In such a manner as to prevent or abate anyhuman health hazard caused by the system. Bayfie/d County shall notify the owner of any costs which shall be paid by the owner within Wrty (30)days from the date of no?». In the event the owner does not pay the costs within thirty (30) days, the owner spedfteally agrees that all the costs and chanjes may be placed on the tax mil as a special assessment for the abatement of a human health hazard, and the tax-shall be collected as provided by law. The terms and conditions of the agreement shall be bincSng upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) - Please Print •^Oi'nAS. ^'MA&^\ -fu^f^l ^o^MeA_ <n""""»,4^"'OVAANO^ ^^'.--"""'-l Subscribed and sworn to before me on this date: Notarized Owner(s) - Slgnat^>w{s)<^^^> x^ Drafted by: X^t/i;^ J/^T Date: Z/^^g^cn^ ^> """..,,T,, »»**"'Proofed by: ufforms/sanitary/sepUcmaintenceagreementRevised July 2020 fl 2/21/2024,8:30 AM ..i^- \ DOCUMENT NO. 4273Ae WARRANTY DEEDSTATE BAR OF WISCONSIN FORM 2-1982 THOMAS E. MCMULLEN and JUDEE 6. MCMULLEN, husband and wife as survivorshlo marital property . and «"""rfc>" THOMAS 0. JOKINEN and TERRY L. JOKINEN,iusband and wife as survivorship marital Dropertv. Bayfieldthe following described real estate in State of Wisconsin: (Legal description attached hereto.) County, THS SPACE RESEflVEDFOBRECOROINa OAT* , %^^pAG£^p; REGISTER OF DEEDS '96JI/N17 PC) I^Q REG'STER-SCFFICE/S.S. 8AYFIELD COUNTy7^SU RETURN W/W fyt.OP^ JT^SS.State_Ba'rik_ofP.O. Box 69 Drummond, WI 54832 Tax Parcel Nn. 034-1011-06 TRANSFER FEE FEE EXEMPT This.Js .homestead property.(isl ^/»»^ Exception to warranties: Easements, restrictions and reservations of record Dated this./€r^C .dayof-June .(SEAL) .(SEAL) JM^. ^. Tn.-w^M. —- * Thomas E. McMulIen \^i^)^.^U^^&^ (SEAL) (SEAL) *>/Judee G. McMuIIen AUTHENTICATION Signature(s) ACKNOWLEDGEMENT STATE OP^g^ \.County.1<S^ authenticated this..day of..,19. Personally came before me this >vl-— day of '3"ne_. ' . 19 ifi—theaboye named ' TITLE: MEMBER STATE BAR OF WISCONSIN Hfn9t=authorized by 5 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY William B. McKinne.v, Broker Cable. HI 54821 (Signatures may be authenticated or acknowledged. Bjare not necessary.) 17 Riy QP f< flullen and Judee 6. McMullen who executed the acknowledge the same. L1AA. V 6 7 3 ^?. .'h\ro\WL\sJ- NntaryTS^T "&a!^H<_\$>County;^ (If not, state^xpiri:,19Sa_)My Commission is perrAanenl date:—3a^_\. •Names ol persons signing in any capacity should be typed or printed behm their signatures. WARRANT/ DEED STATE BAR OF WISCONSINn"tQM Mn 0-1 QOO WISCONSIN REALTORS* ASSOCIATION4801 Font Run Rd.. SuBa an ^^,y.:::: ^^•^^.' •' :: '•:Stfe./'.lii^:,.A^-';?i&;%^";'.'.'' SiStT1.-':... 5^S%r'.'.';' •^.•:ii%-':/?y3::'i5ji:^' -i. •..;': hS-ft^;; ^^';.;..'"'i. 's^..:'";^SiV: '.;;'.!.•'•sx:^ K%^^KSi ::':'. ' .f~r SCHEDULE "A" Situated in Bayfield County, Wisconsin. A parcel of land in Government Lot Two (2), Section Eighteen (18),Township Farty-three (43) North, Range Five (5) West, moreparticularly described as follows;Commencing at the Vh comer of Section 18-43-5 West; Thence North along the Section line a distance of 335feet to an iron pipe;Thence angle to the right 98<131, a distance of 1022 feetto an iron pipe;Thence angle to the lert 90°, a distance of 821.4 feet toan iron pipe, whicfi is the point of beginning;Thence angle to the left ?0< and run a distance of 851.1feet to an iron.pipe nonunent, designated as point "B";•Thence'angle to the right l8°l2' and'run a distanca of 196feet to an iron pipe monument;Thence continue runnin9 along the last said course, adistance of 5 feety. more or less, to the mean higb^water line ofSake Namakagon, which point of intersection is designated as Point Thence reverse the last said three courses and return tothe point of beginning;Thence-angle to the right 90° arid run a distance of 123.1 feet to an'iron pipe monument?Thence angle to the right.90" and run a distance of B51.1feet to an iron pipe monument;Thence angle to the right. 15°28' and run a distance of 215 feet to an iron pipe monument; ^ 1 _ . .Thence continue running along the last said course, adistance of 5 feet, more or less, to the mean high water line ofLake Namakagon;'Thence run Noirtheasterly along the mean highw ater line of take Nanakagon to Point "A"; • ~. • ' Thence run Soutbeasterly in a straight line, a distance of201 feet, more or less, to Point""B"?Thence run Eastarly in a. straight line, a distance of 851.1feet to the point of beginning.EXCEPT that part of the aforesaid descrLbed property lyin9Easterly of the Town Road coronionly known as the Village Road'. V6173P^ GSF Wl MOUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS Mound System Maintenance and Operation Specifications Service Provider's Name POWTS Regulator's Name Design Flow - Peal Estimated Flow - Average Septic Tank Capacity Soil Absorption Component Size Septic and Pump Tank Effluent Flltei Pump and Controls Alarm Pressure System Mound Othei Smart Pig. N Htg Bayfield County Zoning Administration Phone Phone 715-769-3620 iystem Flow and Load Parameters 4501 3001 10001 305| gpd Maximum Influent Particle Siz< gpd Maximum BODi gal Maximum TSS ft Maximum FOC Maximum Fecal Coliforrr Service Frequency Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years J/8_30 30 10 10E4 in mg/L mg/L mg/L rfu/100 mL Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown in the Elj'en mound component manual. 2. Dispersal cell media conforms to Eljen products approved for use with the Eljen Mound Component Manual approved August 2016. Eljen media is covered with the manufacturers geotextite fabric. 3. All gravity and pressure piping materials conform the requirements in the state code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail FISHED GRADE- LATERAL ENDS AT LASTORIFICE WHERE VARIABLELENGTH CLEANOUT BEGINS 4" PERFORATED PIPE 6-8° DIAMETERLAWN SPRINKLER 4" ENDCAP £1 DISTRIBUTION LATERAL LATERALGLEANOUT THREADEDCLEANOUTPLUG LONG SWEEP 90 OR.TWO 45 DEGREE BENDSSAME DIAMETERASLATERAL Project: Thomas n Terry Jokinen Mound System Page 6 of 9 GSF Wl MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan General This system shall be operated In accordance with SPS 82-84 Wls. Adm. Code, and shall maintained In accordance with its' component manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No One should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access rlsers and covers should be inspected for water lightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of blologfcal or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each tateral be (lushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to (he initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for efftuent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system Into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Thomas n Terry Jokinen Mound System Page 7 of 9 BAYFIELD COUNTS SANITARY PERMIT (#04)-24^3S STATE SANITARY PERMIT OWNER: THOMAS 0 & TERRY L JOKINEN GOVT LOT: 2 LOT: BLK: 1/4 1/4 SEC:18,T43N,R5W TOWNSHIP: Namakagon SOIL TEST: 15-24 REPLACEMENT SYSTEM SYSTEM T^PE: Mound > 24 in. of suitable soil PLUMBER: Randol Smart MCKENZIE SLACK Authorized Issuing Officer DATE: 5/6/2024 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 1 68; 1979 c. 34,221 ;1981 c. 31 4 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 225616 Condition: System to meet all setbacks. Management plan to owner. Properly maintain system per recorded agreement. Properly abandon the old system per State SPS 383. Adhere to State conditions. THIS PERMIT EXPIRES 5/6/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION