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Request for Sanitary Inspection (24 Hrs, in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoninciAbayfieldcounty wigov Note Plumber: Homeowner: Sanitary Permit #: Date: Time: Address # & Road Name: or Directions Comments: Notes from Time Change n Discre (11kes i lta.�.banvd- — ielf3 c8o Ave 9ZL4 7 3 Plumber's Choice //-j Z t - Other 7+S•74,$,'lzS Fax Number Email Address n' ke ]f4rhh:,aff Immediate Phone Number So Zoni Dept can call you right back (if nee 7,c-7(4 3i T ` C No Inspection(s) during this time Tuesday (9:30 am - 12:15 pm) (Tracy) ID 3o Am I e9 {�^'I I acre min Wi s4 -e% Hwt (O3 "'fb l; inze i &C J ems+ +O &si 'S ** Plumbers you must verify any change(s) by fax or email ** July 2025 pF.fART4�} j PS�:�o x Industry Services Division G' PC p, EVAN & ROSSINA LEWIS 1774 HWY 12 HAMMOND WI 54015 T,n4 Ininrmelrnn TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic tl)/ D �0 2, N/A Dosing N/A Aeration N/A HoldinPl g OqG Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) *athac4 {n• C�tY Sanitary Pe No: State Plan Transaction ID#: Parcel Tax No: Pump / Siphon Information Pump Manu ctur Puma Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Lefrp Dia Dist. To Well Disoersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell et l4 4 file Manufacturer Model Number: Pretreatment Unit Manufacturer: Model Number: Distribution System Elevation Data STATION BS HI FS ELEV Benchmark 3 0 , a' Bldg. Sewer 5 Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom r 0 Inst. Contour Header/ Manifold Q Q O,Z RS Distribution Pipe ljz, .t Infiltrative Surface , 3 D2. 75 Final Grade X Pressure Systems Only Header I Manifold 1 Distribution Pips) / / / X Hole Size X Hole Observation Pipes Length tt Dia Length % Dia Spac� 3 Spacing 3 AYes ❑ No Snil Cnver Depth ther Depth Over Depth of Seeded I Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes ❑ No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) /O/ a, P/v w G 4 a l /L,a 1 ,tee ert l✓ � 5 G� �H 5 �c� ��e C� E�/ i ss Otc & 1/ % Plan revision required? ❑ Yes 7< No Use other side for additional infor tion. Date POWTS Inspector's Signature RRnS71n /R 0¢1911 License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonina(Wbayfieldcountv.wi.pov Web Site: www.bavfieldcountv.wi.aov/147 EVAN & ROSSINA LEWIS 1774 HWY 12 HAMMOND WI 54015 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know kC�5 ?/Yi {y N & was contracted by you to install a private onsite wastewater treatment system on your roperty described as: Notes Abandonment of Old System to meet all applicable code requirements: o Tank was pumped by: Tank was crushed / removed and pipes disconnected by: .rt at AM/PM On at/i3 (-Y M) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. fl System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Ulformsrsanitarypropertyowner-input April 2019 /`.•, Industry Services Division 1400 E Washington Ave 9 F1 EL -b Sanitary Permit (to be filled in by Co.) rid �s FEB 2? 20'!4 II537-716? U Madison, WI 71 i W5x 707 Sanitary Permit Application In accordance SPS 383.21(2), 'His. Aden Code, /m (iU with 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 Project Address (if different than waiting address) the Department of Safety and Professional Serviea. Personal information you provide may be used for secondary mrposcs in accordance with the Privacy Law, a. 15. 1 m Slats. 1. Application Information - Pleasa.Print All Information' Property Owner's Name Parcel # 6M J s-wo 1Zo;s rota. Lew t S Property Owner's Mailing Address - Q Property Location _,, -r1, (o5 2 Govt Lot N IJv% sE Y., section a'? State Zip Cade Phone Number /City, p 5P8 T�pmclenm N' R_ H. Type of Building (check all that apply) Lot# SubdivisiomName ❑ 1 or 2 Family Dwelling -Number of Bedrooms Block ❑ Pubtic/Commercial -Describe Use ❑ Cityof ❑ State Owned -Describe Use 0 Village of CSMNumber IBTownof gIL_ e,4 M. Type of Permit: (Check only one box on But A. Complete tine B If applicable) A. M New System ❑ Replacement System ❑TreatmenVBolding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal j ❑ Permit itc ision 0 g of Plumber I ❑ Pet Tramsfcr to New List Previous PermitNrmber and Date Issued Before F.xpiratio¢ Owner IV, Type of POWTS S stem/Com onent/Devlce: Check all that ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound≥ 24 is of suitable soli 'Mound <24 in. of suitable soil ❑Bolding Tank ❑ Other Dispersal Component (explain)________________ ❑Pmteatment Device (explain) V. fllsperaalflreataent Area information: Design Flow (gpd) Design Soil A 'ratio te(gPdatl Dispersal Area Required(4..- I Dispersal Area Proposed(sl) I System Elevation 3�n I 3ti ✓ Imo, Ufa VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units NawTaol¢ jEsirdasranka Si ti s g A sG U rn A m Sepaoorfloldiog Tank 9J4„ Dxmg mandar S 71 tcir,bp tank Y VII. Responsibility Statement- I, the undersigned, assume responslhility for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MPA4PRS Number I Business Phone Number 6:1I C �Ip2 S W tfhtir �1� i1% ya��y �1s 74, S/is Plumber's Address (Street, City, State, Zip Code) /(9/9 ' 4kC Ba-/54m35 54mi 1!s /a VIII. County/Department Use Only Approved ❑Disapproved P Fe� Dam Issued Issuing Agent Signature S- OwnerGivenRmconforDmial (/J� a Conditions fApprovallReasons for Disapproval ft 3),4sh ( to JMI( cor�'iho rP!PA 6' .V ..' r'"'••.zee.7.vu,uauuwu soweaaaoq oaq on paper amless roan ala ill lathes In arm SBD-6398(80313) SECEIVED FEB Z i'r'J!JUN 28 2023 -Page 1 Of 3 Wisconsin Department of Commerce Bayfield AalATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Actin Code County HAYFIELD Attach complete site plan on paper not less than 8 12 x 11 inches in size.t parcel I.D. 15988 include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Reviewed by Date Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1) (m)). Property Location ❑ El Property Owner EVAN LEWIS Govt. Lot NW 1/4 SE 29 1/4 S T 47 N R 5 E (or) W Property Owners Meiling Address Lot It Block # Subd. Name or CSM# 65290 CURRY ROAD []Village Nea est Road ity State Zip Code Phone Number tyown iCURRY MASON WI 54856 ( 715 ) 410-1358 El 300 GPD New Construction useEl Residential I Number of bedrooms 2 Code derived design flow rate fl Replacement ® Public or commercial - Describe: ft. Parent material LACUSTRINE — Flood Plain elevation if applicable General comments HOLDING TANK OR MOUND and recommendations: SYSTEM ELEVATION AT 100.48 ON 98.4 CONTOUR DESIGN LOAD RATE _ .4 GPD/SQ. FT. GRASS TO BE MOWED BEFORE INSTALLATION Boring Boring # LiPit Ground surface elev. 98.4 R Depth to limiting factor 11 1p' Soil Application Rate Horizon I Depth I Dominant Color Redox Description Texture StrSz.uctureSh Consistence Boundary Roots Eff#GPDI WEff#2 in. Munsell Qu. Sz. Cont. Color Grt 6 L11067.sYB3/21 CL 2MGR DS CW 3F .4 CL 2MABK DS CW 3F .4 .6 I- 111 2 6-11 5YR4/6 3F .6 5YR4/6 FIFSYR5/8 SCL 2FSBK DSH AW .4 3 11-13 2.5YR4/4 C1FSYR6/8 SCL 2MSBK DSH CW 2F .4 .6 4 13-23 C 2CABK DH - 2F .2 .3 5 23-50 2.5YR4/4 ©Boring 98.4 13 Boring # Q Pit Ground surface eiev. fl. Depth to limiting factor m. Soil Application Rai nt Color Redox Description Texture StruGr- Consistence Boundary Roots Eff#GPDH?Eff#2 sell Qu. Sz Cont. Color Szcture . Sh. CL 2MGR DS CW 3F .4 .6 R3/2 CL 3MABK DS CW 3F .4 .6 4/6 FIF5YR5/8 SCL 3MSBK DS CW 3F •4 .6 4/6 F2.5YR4/4 516 CW 3F .4 .6 R4/4 CIF5YR6/8 SCL 2CABK DSH C 2CABK DSH - 2F .2 .3 R4/4 • #1 = BOD > 30 ≤220 mg/L and TSS >30 ≤ 150 mg/L Effluent (X2=BOO ≤30 mglL and TSS≤ 30 mgiL Effluent CST Number Number CST Name (Please Print) Signature BRUCE W BLAKEMAN Dale Evaluation Conducted Telephone Number dress 64903 CHARLES JOHNSON ROAD ASHLAND, W154806 06/20/2023 715-209-2569 FEB 2220'[4Li Bayfield Co. Zoning Dept 2 3 LEWIS Parcel ID # 15988 Page _ of Properly Owner Boring # Boring 96.7_1 © Ground surface elev. ft. Depth to limiting factor in. Soil Application Ra Horizon Depth Pit Dominant Color Redox Description Texture ure Consistence Structure Boundary Roots E GPDIfWEfK in. Munsell Qu. Sz. Cont. Color Sz CL 2MGR DS CW 3F .4 .6 1 0-6 7.5YR3/2 CW 3F .4 .6 2 6-11 SYR4/6 CL 2MABK DS 3 11-13 5YR4/6 FIF 5YR 5/8 SCL 2FSBK DSH AW 3F .4 .6 4 13-23 2.5YR4/4 CIF 5YR6/8 SCL 2MSBK DSH CW 2F .4 .6 2.5YR4/4 C 2CABK DH - 2F .2 .3 5 23-50 nBoring Boring # it Depth to limiting factor in. Gn;l pDDlr— ication Ratel I_J Horizon Depth in. Urn Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDRP •Eff#1 ¶f1#2 Boring Boring # �j r-.e� end surface elev. - _ R. Depth to limiting factor is c,.�i e..n� IiMfinn R�ia I Lf Horizon Depth in. urn Dominant Colort Munsell Redox Description I Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDM� *E #1 * Effluent #1 = BOD, >305220 mg/L and TSS >30 5150 mg/L ` Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-O3UUW (x0'1NU) • - LcWSS /IW5e'sa?777sv,c G✓ %c,v mfg flJ15/"If$cLA C?? ya 4-c2cs A na - s FEU �Yp O ssn =Nc- C" SE C O(ZA/€.& W4.LL ZS 0Vc-2 ac -c' 7aNfl L z c,JV\AAh�etnl FEB 222014 Bayfield Co. Zonirig`Dept 1111 FEB 2 2 20[4 11 Bayfield Co Zoning Dept MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: BAYFIELD - LEWIS Owner's Name: EVAN AND ROSSINA LEWIS Owner's Address: 65290 CURRY ROAD MASON WI 54856 Legal Description: Township: County: Subdivision Name: S29-T47N-R5W NW SE EILEEN BAYFIELD Lot Number: Block Number: Parcel I.D. Number: 15988 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 - 7 Management and contingency plan Page 8 site plan Page9-16 - 16 specs Contlifionelly APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Designer: MICHAEL WALTHER License Number. 924973 Date: 02/09/24x, Phone Number: 715-768-5115 Signature: Designed Pursuant to the ver. 2.1 May 2022-27 Mound Component Manual for POWTS Version 2.o-fi8F3-196&'F-R{A6-03/Oa+-S-11L'<2).-and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2:8-SBB_4Q7O6.24N-II11R1_R_10L1?J___ ver. 2.1, May 2022-27 Page 1 of 9 Version 7.1 (R. 08/19) SEE CORRESPONDENCE Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 February 20, 2024 CUST ID NO.: 924973 MICHAEL J WALTHER 1018 185TH AVE BALSAM LAKE, WI 54810 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/20/2026 MUNICIPALITY: TOWN OF EILEEN BAYFIELD COUNTY SITE: BAYFIELD - LEWIS 65290 CURRY ROAD MASON, WI 54856 S29-T47N-R5W NW SE FOR: Design Wastewater Flow Value: 300 Bedrooms: 2 Limiting Factor(s): 1!" Maintenance Required: Effluent Filter 1111 ECG VE 0 FEB 222024 Bayfield Co. Zoning Dept. Phone: 608-266-2112 Web: htto9/dsns.wi.zov Email: dsnsf�wisconsin.eov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-022400226-C Application No.: DIS-022405970 Site ID No.: SIT -126787 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS (Version 2.1), (May 2022-2027)". • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)". The following conditions shall be met during construction or installation and prior to construction. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a %a -inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Scats. • 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. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 r • Tank Installation to follow all manufacturer's requirements. FEB 2 • Verify property line(s) prior to installation. 2 L U L9 ✓' • Pump Floats to be set and verified per the approved plan. Bayfield C • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(1). • 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 follow the contingency plan as described in the approved plans. The submittal 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 unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to 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. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $450.00 Fee Received: $450.00 Balance Due: $0.00 Refund Expected: $0.00 Timothy Zoromski Division of Industry Services Phone: Email: timothy.zoromski@wisconsin.gov 6�a CHECK aOX A5 ApPDCAaIE US CHECK80X AS APPIlCA&.E :' PAGE 2 OF SOIL EVALUATION �: T = 20' M 30 SYSTEM -' 40 D SITE MAP PLOT PLAN PROJECT NAME (5ngdd) - DESIGN FFLOW. 30o cPo S' y Attach design flow calculations for commercial plans. �PrN �Wt� o61 O flu (Lb Pipe Material I ASTM Standard (Tables 384.30-3 & 3114.305) PROJECT ADDRESS: LILY Sanitary sewer. / BM Symbol: 4 BM Elevatbn: Fr Force Mairc I BM Dewripdom STf6l, 1A SI4 '5" -St t^OI-u "` k'.Q5" A) rrormbv (��ROJII"�-d,awt IMPORTANT : drewsre Slope Gradle ol (If Well Symbol eppllcobI4 0 q an drew Q Stow ground elevation contours at suitable intervals. of Tested Ana on Na epptoropMe its. N' 7 s� 11 ` � U X FEB 2 222024 Mound and Pressure Distribution Component Design d Co. Zoning Dept Design Worksheet (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 200.00 Estimated Wastewater Flow (gpd) Table 38344-3 in -situ soil treatment for fecal conform of <= 36 inches. 1.50 Peaking Factor (e.g. 1.5 = 150%) 300.00 Design Flow (gpd) 6.00 Site Slope (%) 98.40 Contour Line Elevation (ft) 11.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ftz) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) =L 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) I Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution I Pressure Disributlon Information network? Enter Y or N (C or E) E Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 3.00 Estimated Orifice Spacing (ft) =I 7.50 ftZ/orifice 2.00 Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? LY 90.40 Pump Tank Elevation (ft) Enter Y or N 3.251 System Head (ft) x 1.3 9.75 Vertical Lift (ft) 1.21 Friction Loss (ft) 0.00 In -line Filter Loss (ft) 14.211 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information 840.001 Septic Tank Capacity (gal) WIESER Manufacturer Dose Tank Information 507.40 Dose Tank Capacity (gal) 11.80 Dose Tank Volume (gaVin) WIESER IManufacturer 13.05 Forcemain Drainback (gal) 53.69 5x Void Volume (gal) 66.74 Minimum Dose Volume (gal) 26.21 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 Gallonslinch Calculator (optional) 507.40 Total Tank Capacity (gal) 43.00 Total Working Liquid Depth (in) 11.80 galfin (enter result in cell B49) Effluent Filter Information POLYLOK Filter Manufacturer POLYLOK 525 Filter Model Number Project: BAYFIELD - LEWIS Page 2 of 9 Mound Plan and Cross Section Views 300.00 (ft2) Dispersal Cell Area 1106.71 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.28 (ft) 100.48 (ft) —*l F Dispersal Cell ,4 Elevation � G*1H Inn nG rit\ I torol (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key v a Dispersal Cell See lateral details on iFd Topsoil Cap o 1.5 ft Page 4 for number, size, and spacing of laterals. 2❑ """' Subsoil Cap 2 S.© O Laterals are equally ® 0 ASTM C33 Sand 0 Tilled Layer 9 Z c m 0.5 ft :. Typical Lateral F spaced from the distribution cell's 0 Aggregate e e ` '� centerline in the A distribution cell (AxB). Project: BAYFIELD - LEWIS Page 3 of 9 FEB ?Z?.. End Connection Lateral Layout Diagram Laterals centered over the A 6 B dimension = Turn -up m' bell valve or clean out plug e P All laterals are identical If X —>I Holes drilled on the bottom of the lateral equally spaced Force main connection via tee or cross to manifold at ant Laterals &forcemain Sch 40 PVC per SPS Table: Number of Laterals 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 58.52 ft Orifices per Lateral Lateral Spacing (S) 2.50 Orifice Density Lateral Flow Rate 13.11 pm Manifold Length System Flow Rate 26.21 gpm Manifold Diameter Total Dynamic Head 14.21 ft Forcemain Velocity Dose Tank Information SPS 316.300 WAC Tank component is properly vented WIESER Capacity 507.40 Volume 11.80 4B Manufacturer gal/inch Dimension Inches Gallons A 24.34 28T2 B 3.00 35.40 C 5.66 66.74 D 10.00 118.00 Total 43.00 507.40 3" JBedding under tank. Alarm Manuafacturer )E Rhombus Alarm Model Number PS Patrol Pump Manufacturer jpulds Pump Model Number [P 31 --T Pump Must Deliver j 26.21 gpm at 14.21 ft TDH Project: BAYFIELD - LEWIS Bayfie)d Cc. Zon;:ig Dept Locking cover with warning label and locking device and se d watertight 4 in min Alternate outlet location 2 in. Weep hole or anti - siphon device Pump off elevation (if) 91.23 Dose tank elevation (R) 90.40 Note: Switches containing mercury may not be used in this system. Page 4 of 9 Wastewater APPLICATIONS MOTOR liii FEB 222024 Specially designed for the following uses • Mound Systems • Effluent/Dosing Systems • Low Pressure Pipe Systems • Basement Draining • Heavy Duty Sump/Dewatering SPECIFICATIONS Pump - General: • Discharge: 11h" NPT • Temperature: 104°F (40°C) maximum, continuous when fully submerged. • Solids handling: ih" maximum sphere. • Automatic models include a float switch. • Manual models available. • Pumping range: see performance chart or curve. PE31 Pump: • Maximum capacity: 53 GPM • Maximum head: 25' TDH PE41 Pump: • Maximum capacity: 61 GPM • Maximum head: 29' TDH PE51 Pump: • Maximum capacity: 70 GPM • Maximum head: 37' TDH ee�nww nrinwl General: • Single phase • 60 Hertz • 115 and 230 volts • Built-in thermal overload protection with automatic reset. kl rie!d r'0 �c1J.!ng Dept • Class B insulation • Oil -filled design • High strength carbon steel shaft PE31 Motor: • .33 HP, 3000 RPM • 115 volts • Shaded pole design PE41 Motor: • .40 HP, 3400 RPM • 115 and 230 volts • PSC design PE51 Motor: • .50 HP, 3400 RPM • 115 and 230 volts • PSC design AGENCY LISTINGS Tested to UL 778 and CSA 22.2108 Standards By Canadian Standards Association C us File #LR38549 Minimum Maximum Shipping Minimum at Switch Cord Discharge Basin Solids Weight . HP Volts Amps ,le Length Connection Diameter Size Ibs/kg reake Breaker 0.33 12 20ck l / No Switch Float Switch 115 Manual/No Switch . 7.5 15 Piggyback Float Switch jPi5jyb, f1M 0.4 20' 1.S. 18' .5" 31 / 14.1 al / No Switch 230 3.7 10 ck Float Switch PE42PI 0.5 9.5 20ck al / No Switch115 Float Switch1 al / No Switch230 4.7 10Piggyback Float Switch 7 3 ® l'xd '1� •..®ta .. tsgstewa:e METERS FEET PE51 _5 \ 30 PE41 x 25 PE\ z 20 O15 10 5 00 10 0 PERFORMANCE RATINGS PE31 Total Head (feet of water) j GPM 5 I 52 10 42 15 I29 20 I 16 20 _1_ 5 PE41 Total Head (feet of water) GPM 8 61 10 57 15 46 20 33 25 16 30 —► t2GPM —1FT 40 50 10 CAPACITY 60 PES1 FES ? MODELS: PE31, PE41, PE51 HP: 33, .40, .50 70 GPM 80 15 m3/It 'AGE 33 4" CAST -A CAST -A -SEAL 0 w ak.1 4" VENT ET OUTL oa a k `-PUMP PAD SIDE VIEW W840/500 -MR TANK SPECIFICATIONS F DIMENSIONS: WALL: 2 9/16" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 59 1/2" LENGTH: 9'-5 3/4" WIDTH: 7-9" BELOW INLET: 48" LIQUID LEVEL: 43" o WEIGHT: BOTTOM 7,360 LBS. - sI COVER 3,790 LBS. ° c n INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL #10 Idd 9 (OTHER STATES SEE CHART) 1� a LIQUID CAPACITY: 19.61 GAL/IN (SEPTIC) 11.82 GAL/IN (PUMP) -p x it LOADING DESIGN: 8'-0" UNSATURATED SOIL O Cl) TANK CAN BE USED AS: SEPTIC/PUMP, SEPTIC/SEPTIC, OR SEPTIC/SIPHON S COVER: MIX DESIGN #8 (NO FIBER) N ro TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: 9 FOR CUSTOM TANKS CONTACT WIESERTTCONCRETE m Q .. 0 Q f � Z 0< � N REVIEWED BY I U 0 REVIEW DATE 3 w DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 PRODUCTS NEEDED BY: OF j ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 2.00 [5.1 cm] �� 14.3471E . [36.4 cm]aen Li OUTSIDE DIAMETER ACCEPTS 4' SCHD 40 SOCKET 11.59 L -g6 9 N, [29.4 cm] TER _ t OPTIONAL BUSHING 8.10 (FOR 4"THIN WALL PIPE) [20.6cm7&WPART NO.30142-ROR (FOR 110 MM. PIPE) 10.52 PART NO. 30142-EUR OUTLET BUSHING ACCEPTS [26.7 cm] LABEL ILLUSTRATION 4" SCHD 40 & 6" SCHD 40 RC IfUIYIIw Vul v PREVENT FILTER FROM FLOATING PL -525 -625 FILTER HOUSING PART NO. - 30142-525 30142-625 5.23 [13.3 cm] wrw� 33.02 [83.9 cm] 18.31 [46.5 cm] :CEPTS 6" .HD 40 PIPE t ® a iR INLET r= TENSION ' BALL CHECK Mckenzie Slack From: tel: 9208098134 <non-mail-user@myphone.norvado.net> Sent: Thursday, May 30, 2024 10:41 AM To: Mckenzie Slack Subject: Fwd: Voice message from BELANGER CYNTHI (9208098134) to 7153733511 Attachments: message.wav The attached message was recently left in your voicemail account for 7153733511. We are sending you this email because you have asked for your messages to be forwarded to this address. The original message is still in your account, and will be played or shown as usual the next time you log in. If you prefer, you can use the link below to delete it. You can also mark messages as "read", which means they will be kept in your voicemail account, but will not be treated as new messages. u • Li u- .r u< u • a . •n. Hi this is Brandon from Birch Street excavating and septic. You had just called me and left me a message I believe it with you about the properties on Curry Road. He's looking for permits. I did pump the trailer house and the main house. So they're both pumped that that they both should've(?) been we I know we registered them I don't know yeah any any more questions you can just give me a call back at 920-809- 8134 thanks bye. Bayfield County, WI 2127/2024, 2:37:01 PM 1:3,494 = Wetlands Approximate Parcel Boundary Rivers Road Type Lakes Town Building Footprint 2015 Building 0.04 0.09 0.05 0.1 0.2 km Sayria County Land Remrda Bepadmanl 0.17 ml Bayfid County Zoning Appliagon adps:llmaps.aayneldmuntyw1, v2oningWA& 2/27/24, 2:36 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 2/27/2024 8 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Property Status: Current Created On: 3/15/2006 1:15:24 PM Updated: 5/2/2022 22 Ownership Updated: 5/2/2022 15988 EVAN & ROSSINA LEWIS HAMMOND WI 04-020-2-47-05-29-4 02-000-10000 020106204000 (020) TOWN OF EILEEN 529 T47N ROSW NW SE DESC IN 2022R-594192 520 40.000 40.223 0 Yes (AG -1) Agricultural -1 113 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 020 TOWN OF EILEEN 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE -T Recorded Documents ® WARRANTY DEED Date Recorded: 4/13/2022 B WARRANTY DEED Date Recorded: 11/16/2021 ® WARRANTY DEED Date Recorded: 10/16/2014 Updated: 11/19/2014 2022R-594192 2021R-592070 2014R-556363 1133-377 Billing Address: Mailing Address: EVAN & ROSSINA LEWIS EVAN & ROSSINA LEWIS 1774HWY12 1774HWY12 HAMMOND WI 54015 HAMMOND WI 54015 P Site Address * indicates Private Road 65290 CURRY RD MASON 54856 65330 CURRY RD MASON 54856 ® Property Assessment Updated: 8/21/2023 2024 Assessment Detail Code Acres Land Imp. G4 -AGRICULTURAL 37.000 7,500 0 G5 -UNDEVELOPED 1.000 100 0 G7 -OTHER 2.000 8,200 248,900 2 -Year Comparison 2023 2024 Change Land: 15,800 15,800 0.0% Improved: 248,900 248,900 0.0% Total: 264,700 264,700 0.0% tl= Property History N/A https://novus.bayfieldoounty.wi.gov/access/master.asp?paprpid=15988 1/1 '�. � IndustryServices Division County � � C Sanitary Permit Number (to to filled in by Co.) f R$ f D 1400 E Washington Ave i= FEB 2220[4 Madison, WI x7162 WI 3707716/ '/ /�s (J %�(qm $. Bayrs"WII% )'t Application 1011 uU In accordance with SPS 383.21(2), Wis. Aden. Code, submission of this form to the appropriate governmental unit Project Address (if diffthan mailing address) is required prior to obtaining a sanitary permit Note: Application forms for stateowned POWTS are submitted to the Department of Safety and Professional Service. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, a. 15.04(11(m). Stab. I. Application Information- PleamPrint All Information Property Owner's Name Parcel # r7 C_WJ Ija 2nsirva LeW15 15t Property Owner's Mailing Address Property Location (05 Z . Govt Lot /,F 5 y,, section Z-/ ___ City, StateZip Code Phone Number (nit ens 54 56Ie T�ZN; R E� II. Type of Building (check all that aPPY) 1 Lot ft Subdivision Name ❑ I or 2 Family Dwelling -Number of Bedrooms Block # ❑ Publie/Commeroial- Describe Use 0 Cityof ❑ State Owned - Describe Use CSMNumber 0 Village of eI(.,C.r EN iTownof M. Type of Permit' (Check only one box on line A. Complete line B If applicable) A. M New System Ye ❑ Replacement System ❑ Treahoent/Holttimg Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV, Type of POWTS S tem/Com oaent/Devlre: (Check all that ❑ Non -Pressurized In -Ground ❑ Pressurized In -Ground ❑ At -Grade ❑ Mound" 24 in. of suitable soil RMound <24 m. of suitable soil ❑ Bolding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)________________ V. DIs ersaVl'rea t Area Information: Design Flow (s/I Design Soil A plicati0 Dispersal Area Required (at� Dispersal Prop (at) System ElevatiIo,nsQ s� act, �6n s/ 3v l I ao r sift VI. Tank Info Capacity in Gallons Total Gallons # of Units Manufacturer t r a New Tanks Existing Tanks e s rut.) in y i:.0 w Septic or Holding Tank Dosing clamber S 7, b *.tk y VII. Responsibility Statement- 4 the uoderslgped, assume respoosibfltyfor Installation of the POWTS shown on the attached plans. Plumber's Name (Print) flic2nafe S 1A! l�fhrr Plumber's Signature ] J� MP/MPRS Number I 9;ygq Business Phone Number 7/S•7(e S/iS Plumber's Address (Street, City, State, Zip Cale) /0/S B4/54m/t%Wz3Wio / s`"gse VIII. County/Department Use Only X( Approved 0 Disapproved P t Fee Date Issued Training Agent Signature Downer Given Reason for Denial a Conditions l'Aspprevvva��V��R��eas/o}ns0for Disapproval a`//( 4/_ _ „f ( 4 �.^ / 0� �'�f(ifr O ✓VI (.V '/ �• 'V 11'I UCi7U(.C A � ��Ln( CA)z a> p� 11 0 o WI Attach to cumptete plans for the system and submit to the Countyonly on paper not lus than 8 I a x 11 Inches In ricer SBD-6398 (R03 13) 0 l �li'i LsI� Jill MAR 042024 D Private Sewage System Maintenance Agreement Dept. y RsS As owner, I (we) 00 nereoy canny me private sewage system Will be Installed in accordance with the certified soil testers report and approved plans and specifications on file with Bayfield 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 said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 1/4 of S a1/4 Section '. Townshl 9N. Range',.SW. Additional Legal Descriptiona as - L jg Town of_______________ \ (Acreage) 40! Govt Lot Lot Block Lot _ CSM #_ Vol. _ Page _ CSM Doc # Return To: r 3 DOCUMENT NUMBER 2024R-602423 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 03/01/2024 AT 10:07 AM RECORDING FEE: $30.00 PAGES:1 Planning and Zoning Department ❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: Mound O At -grade Sewage System ❑ Other Area Septic 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 of installation and at least once every three (3) years thereafter unless, upon Inspection by a licensed 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 sludge 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 effluent 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. Cale. Private Sewage 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 -grade and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please fP'riint ` Subscribedarndd sworn t/ojbteeffore me on this te: cui Ttaych Notariz er(s)—Signatures) .+' '• 04��pTg9.?sc�N N lic Q My Commis' n Expires: r,. .a.rrrrrrrl Proofed by. ukorms/sanitary/septicmaintenceagreement Revised July 2020 II Mound System Maintenance and Operation Specifications �� FEBFE6 222024 'J Mike's Plumbing Phone[715-768-5115 Co. Zoning Dept Service Providers Name 9 POWTS Regulator's Name Bayfield County Phone 715-373-6156 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 840 gal Maximum TSS 150 mg!L Soil Absorption Component Size 300 fP Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other 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 ressure tested eve 1.5 ears Insect for pondingandseepageonceevery 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. 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 Finished ............... ............... 6-8" Diameter Lawn i Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: BAYFIELD - LEWIS Page 5 of 9 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code u FEB 222074 J sayfie/d Co. Zon;;hp Dept. General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with Its' component manuals (SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Ver. 20 SBD-10706-P (N.01101, R. 10/12)] and local or state rules pertairing to system maintenance and maintenance reporting. No one should ever enter a septic or pump tart since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness 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 looking device to prevent accidental a unauthorized entry into a tank or component. Seotic 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 udess provisions are made to retain solids in the tank that may slough off the filter 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 fitter 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 113 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 scion and sludge accumulation in the tank. The addition of biological a chemical additives to enhance septic tank performance is generally riot required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3years. NI 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 necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mounds 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 sr xhw compaction In the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality Into the mound system may not exceed 220 mg'L BODs, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD,, 30 mg/L TSS, 10 mg!L FOG, and 1Oh efit1100 mL for highly treated effluent. Influent flow may riot exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed It should be compared to the iritial test when the system was installed to determine if orificedogging 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 effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 Inches considered as an Impending hydraulic failure requiring additional, morefrequent 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 detective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component falls 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment urlts a disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Mound System Management Plan Ej ,, ;. Pursuant to SPS 383.54, Wis. Adm. Code This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in Maccordance withanual Ver. ' 076 P t(N. Omanuals 1 l (SBD-10691-P (N.01/01, R. 11/12), SSWMP Publication 9.6 (01181), and Pressure Distribution Component 01, R.10/12)] and local or state rules pertaining to system maintenance and �m aee ar eprthat t could case deatlt- No one should ever enter a septic or pump tank since dangerous gas Septic and pump tank abandonment shall be In accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness unsound, s Acceso irgs to failure used for service ad assessment shall be sealed watertight upon the completion of service. Any ape 'rg must be replaced. Exposed access openings greater then 8 -Inches in diameter shall be secured by an effective locking device to prevent accidental or unautrorized entry into a tank or component. Sentic Tank The septic tank shall be maintained by an Individual certified to service septic tanks under s. 281.48, State. 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 to ensure proper operation The filter cartridge should not be removed unless provisions are The outlet filter shall be cleaned as necessary made to retain solids in the tank that may slough off the filter 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 tart exceeds 1/3 the lisped volume of the talc. If the contents of the tank are riot 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 dean maximum scum and sludge accumulation inte tank. The addition of biological or chemical additives to enhance septic tat performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3years. 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 necessary. Mound and Pressure DlTtutiflfl cistern 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 ltrative surface within the the wiwiintteer will is of penetration. Cold weatimended since soil eer Installations (October-Februarytion may tinder aeration of the )dictatethat the mound be heavily and as prsnow otection on tom freezing' 150 mglL TSS, and 30 mg/L FOG for septic tart effluent a 30 mgt Influent quality into the mound system may not exceed 220 mgfL BOD5, BOD5, 30 mg/I. TSS, 10 mg& FOG, and 104 cftil100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for Ws installation. of The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed accumulated solids at least once every 18 months. When a pressure test is performed It should be compared to the Intial test when the system was installed todetermine if orifice dogging has occurred and if orifice clearing is required to maintain equal distribution withintie dispersal cell. above 6 inches consideednas an dispersal lshall hydrauli checked failure for requiring �n9.mo refrequetit moni�torrinng l be reported tonne owner, and any levels Continaencv 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, pimp controls, alarm or related wiring becomes defective the defective compornant(s) shall be immediately repaired a replaced with a component of to same a equal performance. If the mound component fails to accept wastewater a beans 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 a 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 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Unks The information ad schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. RECEIVED E iFB � t JUN 282023 Wisconsin Department of Commerce SOIL EVALUATION REPORT Bayfield Co?age I of 3 Division of Safety and Buildings Planning and Z;ningAgency in accordance with Comm 85, Ms. Adm. Code County BAYFIELD Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 15988 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). \(\[\ Property Owner Property Location ❑ )W EVAN LEWIS jGovt.Lot NW 1/4 SE 1/4 S 29 T 47 N R 5 E(or)W Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM# 65290 CURRY ROAD MASON I WI I 54856 I ( 715 ) 410-1358 I E[LEEN I CURRY El New Construction Use9 Residential / Number of bedrooms 2 Code derived design flow rate 3UU GPD © Replacement O Public or commercial - Describe: Parent material _ LACUSTRINE Flood Plain elevation if applicable _ ft. General comments HOLDING TANK OR MOUND and recommendations: SYSTEM ELEVATION AT 100.48 ON 98.4 CONTOUR DESIGN LOAD RATE _ .4 GPD/SQ. FT. GRASS TO BE MOWED BEFORE INSTALLATION 1❑ Boring # ❑ Boring Pit Ground surface elev. 98.4 ft. Depth to limiting factor 11 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 'Eff#2 1 0-6 7.5YR3/2 CL 2MGR DS CW 3F .4 .6 2 6-11 5YR4/6 CL 2MABK DS CW 3F .4 .6 3 11-13 5YR4/6 FIF5YR5/8 SCL 2FSBK DSH AW 3F .4 .6 4 13-23 2.5YR4/4 CIF5YR6/8 SCL 2MSBK DSH CW 2F .4 .6 5 23-50 2.5YR4/4 C 2CABK DH - 2F .2 .3 I ` Boring # [JBoring 98.4 13 I El Pit Ground surface elev. Q. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIfF 'Eff#1 'Eff#2 1 0-6 7.5YR3/2 CL 2MGR DS CW 3F .4 .6 2 6-13 5YR4/6 CL 3MABK DS CW 3F .4 .6 3 13-16 5YR4/6 FIF5YRS/8 SCL 3MSBK DS CW 3F .4 .6 4 16-24 2.5YR4/4 CIFSYR6/8 SCL 2CABK DSH CW 3F .4 .6 5 24-56 2.5YR4/4 C 2CABK DSH - 2F .2 .3 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L * Effluent #2 = BOD < 30 rng/L and TSS < 30 mg/L CST Name (Please Print) Signature C '� -� w CST Number BRUCE W BLAKEMAN 708148 Address Date Evaluation Conducted Telephone Number 64903 CHARLES JOHNSON ROAD ASHLAND, WI 54806 06/20/2023 715-209-2569 Property Owner LEWIS Parcel ID # Boring # 13 Boring 96.7 0 Pit Ground surface elev. ft. 15988 Depth to limiting factor 11__________ in. 2 3 Page of I Soil Annliration Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/fl? *Eff#1 *Eff#2 1 0-6 7.5YR3/2 CL 2MGR DS CW 3F .4 .6 2 6-11 5YR4/6 CL 2MABK DS CW 3F .4 .6 3 11-13 5YR4/6 F1F 5YR 5/8 SCL 2FSBK DSH AW 3F .4 .6 4 13-23 2.5YR4/4 CIF 5YR 6/8 SCL 2MSBK DSH CW 2F .4 .6 5 23-50 2.5YR4/4 C 2CABK DH - 2F .2 .3 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Snil Annliratinn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fg *Eff#1 *Eff#2 Boring # Ij]Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Annfiratinn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff? *Eff#1 *Eff#2 * Effluent #1 = BOD5 > 30 ≤ 220 mg/L and TSS >30 ≤ 150 mg/L * Effluent #2 = BOD5 5 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Test (R.07/OO) Lc wzs /C✓N of LL IJ YS -F$C L A C?? yo , cRc-S SC4L€- 1"=,, y� *-trot — ST£,4 L LYP o saA'WC CA-' c -f- 5H5A r' flovL c-Rou4 W4.LL -LS oV£2 ado' Te N( -v (Q/�Zo/e2�a 3 SE CvR.,v€L - loo. PA,-- 3 I II stow^ w, qe c0f i9$. Sri,;' - 4L)- s;7 BAYFIELD COUNTY SANITARY PERMIT (#04)-2459S STATE SANITARY PERMIT OWNER: EVAN & ROSSINA LEWIS GOVT LOT: LOT: BLK: NW 1/4 SE 1/4 SEC: 29, T 47 N, R 5 W TOWNSHIP: Eileen SOIL TEST: 71-23 NEW SYSTEM SYSTEM TYPE: Mound > 24 in. of suitable soil PLUMBER: MICHAEL J WALTHER MCKENZIE SLACK DATE: 5/31/2024 Authorized Issuing Officer 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. 168;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 924973 Condition: System to meet all setbacks. Management plan to Owner. Properly maintain system per recorded agreement. Adhere to State conditions. THIS PERMIT EXPIRES 5/31/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION