Loading...
HomeMy WebLinkAbout24-145SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note fl Time Change fl Discrepancy Other Phone Number Plumber: I rc S 13u �i cr F:c Id 715-639-817 Fax Number Email Address Homeowner: Br,c5t c strcr RcszTlv9\ A r. S OF:ce@b1i-ccC"<iddrrl)r.C Immediate Phone Number So Zoning Sanitary Permit #: Dept can call you right back (if needed) GIs-ssB-G��a Plumber's Choice Zoning Dept No Inspection(s) during this time Date: C (D / I i aS Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice ng Dept Time: 30 -3: Co Township: i�am aKa O -(l Address # & Road Name: \\97S Mtssto-o.ri Po;rt 0r or Directions To Site: Comments: —j-?LY Z7) ' * Plumbers you must verify any change(s) by fax or email'`'` Notes from Zoni u/forms/sanitary/requestforinspection Zoning Dept (©4/12/04); ® June 2023 Industry Services Divis] General Informatio Permit Holder's Name: Information Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) BRIESEMEISTER REV TRUST AGREEMENT 22975 MISSIONARY POINT DR CABLE WI 54821 setback to: of: County Sanitary ermit No: -1'159 State Plan Transaction ID#: 'aoa -G Parcel Tax No: ,250 TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic G_ �tpj 'r S r9f N/A Dosing N/A Aeration N/A Holding Pump I Siphon Information Pump Manufacturer rump Model G Demand GPM Filter Ma ufacturer Filter Mbdel 4`/" 5t c TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number: )istribution System Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length _ Dia Spec Spacing ❑ Yes ❑ No Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer 7 zs a Tank Inlet Tank Outlet Dose Tank Inlet f ; 7 Dose Tank Bottom 7$ Inst. Contour Header / Manifold Distribution Pipe 97 7 Infiltrative Surface I,, Final Grade X Pressure Systems Only Soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes 0 No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) %fit urn&' ,sSuG I3rd4 sr� q A �h.'7` 4`a�E Plan revision required?additional ❑Yes No /� Use other side for additional information. N iZ Date POWTS Inspector's Signature RRnl 71n /R M(91\ License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonina(a)bayfieldcountv.wi.gov Web Site: www.bayfieldcountv.wi.govl147 BRIESEMEISTER REV TRUST AGREEMENT 22975 MISSIONARY POINT DR CABLE WI 54821 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know ,4-'79V TC c( was contracted by you to install a private onsite wastewater treatment system on your property described as: Notes: Abandonment of Old System to meet all applicable code requirements: ❑ :• Tank was pumped by: on at AM / PM ❑ o Tank was crushed / removed and pipes disconnected by: On 2 at 2, )f] (AM / i')-me above -mentioned plumber contacted our office to cond ct 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. ❑ 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 $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: U/forms/sanitarypropenyowner-input April2019 (f$- EHiEflED Department of Safety & Professional Services, County �tt,Fiel� J . Sanitary Permit Number (to be filled in by Co.) Industry Services Division _ &Z _ 1 t4S S Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit —u — r_ is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different then matting address) 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(l)(m), Slats. QZq•f5 hi36f oac.ry Po; Af Pr I. Application Information — Please Print All Information Property Owner's Name Parcel# TA% tt: olSD gr:eset-ne: Ir .I Truth jjrcen'en•a•y • .30OO Property Owner's Mailing Address Property Location //�� elC Jr ;55i OY10. (b lr DC Govt. Lot ('" .,. City, State Zip Code Phone Number 7, 5 WZ SY8a1 7'S-638-OsO3 T N R E or IT. Type of Building (check all that apply) Lot # I or 2 Family Dwelling — Number of Bedrooms 3 l' Subdivision Name ❑Public/Commercial — Describe Use PLAT OF t't551o,ARvpO NT Block# 0 City of ❑ State Owned — Describe Use 0 Village of CSM Number i ,Town of NamaKaoon M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applicable.) A. ❑ New System y Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New OwnerList Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (sf) I Dispersal Area Proposed (st) I System Elevation Liso I LYS0/aas 7ya/aiq).s 91..06 Ce%lBle.,. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o 'g ^ CO M (aj O New Tanks Existing Tanks .n a o v o u TANKI . U y k. c7 P. Septic or Holding Tank O _ M Dosing Chamber (sac (SOI7 V. Responsibility Statement -I, the undersigned, as a responsib' -ty f installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum r s Signature MP/MPRS Number Business Phone Number Tra.1; s i3.�-i+t f {,r )d "sad 7 9 7- 1 Plumber's Address (Street, City, State, Zip Code) 1t'1 N o a acrd Wr SY893 o VI. County/Department Use Only Approved ❑ Disapproved 0 Permit Fee sr�I ate Issued Issuing Agent Signa d Co. Zoning Dent. Owner Given Reason for Denial Conditions Approval/Reasons for Disapproval Ca.vct Attach w complete plans for the system and submit to the County only on paper not less than 8 12 x 11 inches In size SBD-6398 (R. 03/22) °`r,M'�"'`��, Wisconsin Department of Safety & Professional Services �!' Page_L.of 3 gDivision of IndustryServices SOIL EVALUATION REPORT 'a .F In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, 12 IA but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. TAX 1D% ISOa(, scale or dimensions, north arrow, and location and distance to nearest road. - 3Y_ _ Please print all Information. vt I Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). ( Property Owner Property Location Re'., ' ro kItrper,,spjGovt. Lot '/. % S 03 T 9/3 N R CCU E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: a Lot la Pia,+oE M;ssiono Poink City, State, Zip Phone Number ❑ City 0 Village IR Town I Nearest Road ❑ New Construction Use: ® Residential! Numberof bedrooms .3 Code derived designflow rate X15 O GPD JR Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable +J f A ft. Parent material _5e.,d,. 7',U General comments and recommendations: ! See nn 4c Of. pass Boring # fl Boring MPit Ground surface elev.IS.Wa ft. Depth to limiting factor Ito n. / elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ..yNuwuw flew GPD/Ft2 *Eff#1 Eff#2 I o -C. '1R3/ — n.. O.te 4fl I6vR/s— 51 atx ,.s Cr a40 a-!. 1.o 3 u..3o YRy/N YR 5YR 51 a4ss. .nRr — af' — l Boring r i •. or Boring # Pit Ground surface elev.9Jr..S� ft. Depth to limiting facto �Ip� elev _��.0 Zr,ninL./T Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az ConL Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots nMm.cw4iI new GPD/Ft2 'Eff#1 Eff#2 O -L 3/3 1 3f O.C. 1.0 Gfl YRy/Y "" 1 rn r 5S.. 0.1.. 1.O 3 ia- 7.5YR V/N .5 Y s7Qf/t si K rnCe — ^ rt rl 4 I Alf;rn CST Name (Please Print) Signature CST Number re LS?r �3/aG88 Address Date E4luation Conducted Telephone Number .)oRaid '7 a ward ws SYS o 8 / » / aY 7/5- la3Y - 8174. Effluent #1 = BOD > 30 5 220 mg/Land TSS > 305150 mg/L ' Effluent #2 = DOD, 5 30 mg/L and TSS s 30 mg/L _ I SBD-8330 (R03/22) Page of 3 I' ri Boring # ❑ Boring Pit Ground surface elev.93.5-0 ft. Depth to limiting factor .f, in. / elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft 'Eff#1 *Eff#2 O-4 IOYR3/3 — I MQ c1F.b' 0.4 l.o 4•I IOYRYI4 .51 Mcx Cf e1F•- O.. !.b 3 1 :a 7.SvAY/4 c SYR 5t&s/ s► Fp fr - aF — — r: 3 rr •rn. m ph 4" r.a: :on ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots Cu.. r+yyncaaun mare GPD/Ft2 'Eff#1 Eff#2 ATE 0.eAtMcnrnctntp ;s+;s+c d n G r w M ; 1 M rd d -o Size doi. as d#istc;r9 1l4 a fa J i 4 4-a, be h014aA-c r' r.e J4.1a. I 4y ot 30:1 P vwa .... ❑ ❑ Boring Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factorin.y'ele�. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary - Roots n Fu1ju1t1t'tqa1t rn D/Ft2 Eff#1 / `Eff#2 * Effluent #1 = BOD > 30 £ 220 mg/L and TSS > 30 £150 mg/L * Effluent #2 = BOD, £ 30 mg/L and 155 5 30 mg/L M\SSt0NR2Y POINT OR.. • Ba 9 .Sb SCALE qv, o t�weo 1:30 t I F I/ a to Os 30 trz (ryti wpt �c.+7...p 1O Ta..cs �l 93-5U - Hu3 s3 aT N4 Proposed xi Q 1 /— ` Or•vtwty v E> I,+; a ed a y��e7:.g Well oy 4 ' t I • -fi �o n Vie/ W n N v x L N w 4 � ° t to v S A o -i O "- - -' Q NAME: KA& OI'I LA E c5yAaB OB/aY/y t.at(tt8 aN IN 1'7 I t /MAPLE EL EvATIUN5 13M too -OOP 61 9 S . L/ (3; 9 ssa P - [713 93 -SO pj Lc,Kc } 7S.O6 FE Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 September 13, 2024 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2026-9-13 Plan Review: PWTS-092402198-C Travis Butterfield 14346 W State Hwy 77 Hayward, WI SITE: Briesemeister 22975 Missionary Point Road Bayfield County Town of Namakagon 53 T43 R6W FOR: Phone: 608-266-2112 Web: http://dsns.wi.eov Email: dsos(ilwisconsin.eov Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES rnni Description: 3 Bedroom- 450 GPD —12" to GeoMat Mound Manual — (May 2022-2027) limiting factor — Effluent Filter - Pressure Distribution Component Manual — Ver. Maintenance required 2.1 (May 2022-2027) 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. The following conditions shall be met during construction or installation and prior to occupancy ojj- se: MU SLh 1/2w Reminders Zoning Dept. • If using the existing septic tank, it must be inspected for watertightness and structural soundness, size and baffles, and must be brought into conformance with the requirements of ch. SPS 383, Wis. Adm. Code. • The mound site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • 12" of sand shall be installed between the contour and the bottom of the GeoMat product. • Orifice Shields are required. • 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. • 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. Stats. • 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. • A 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. 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(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 owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. 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, J''u,/Rowzey Joshua Rowley POWTS Plan Reviewer, Division of Industry Services Bayfield Co. Zoning Dept. (715) 634-5124 loshua.rowlev@wisconsin.gov GeoMat MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE All water treatment systems shall be kept out of septic system Project Name: Briesemeister - Missionary Point Dr Owner's Name: Briesemeister Rev Trust Agreement Owner's Address: 22975 Missionary Point Dr Cable, WI 54821 o y Info Property Address: 22975 Missionary Point Dr Legal Description: S 3 T 43 N R 6 W Township Namakagon County: Bayfield Subdivision Name: Plat of Missionary Point Lot Number: 12 Block Number: CSM#: Parcel I.D. Number: 04-034-2-43-06-03-1 00-222-12000 Plnn Tr,ncarfinn Nn Page 1 Index and title Page 9 Tank cross sections Page 2 Data entry Page 10 Plot Plan 88yfield Co. Toning Dept Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Date: Travis Butterfield 08/26/ 4 S p: License Number: Phone Number: 652879 r`Na�z�:ilrc:� State of Wisconsin Approval Stamp: Conditionally APPROVED DEPT. Of SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Designed Pursuant to the / GeoMat Mound Component Manual 5/18/22 SEE CORRESPONDENCE Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.1 (May 2022-2027) Page 1 of 10 Mound and Pressure Distribution Component Design Design Worksheet All water treatment systems shall be kept out of septic system R Residential or Commercial Design ON ISD Required? 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) 4.00 Site Slope (%) 95.00 Installation Contour Line Elevation (ft) 12.00 Depth to Limiting Factor (in) 1.00 In -situ Soil Application Rate (gpd/ft2) 75.00 Contour Length Available (ft) � � • raL�l� IitflC]llil ---. I 6 Cell Width (ft) 3.25. 6.5 or 9.75 Only 2, 4 Dispersal Cell Design Loading Rate (gpd/ft2) 2 Influent Wastewater Quality (1 or 2) ressure Distribution Information Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drainback (gal) Forcemain Filter Loss (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) 45.00 Designer Input Cell Length (ft) 45.00 Dispersal Cell Length Required (ft) Are the laterals the highest point in the distribution I ' I network? If N above, enter the elevation ft) of the highest point. Does the forcemain drain back?0 6.65If?/orifice Jar 1 121. D e er Se ection oning Dept. Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 'Manufacturer Information Treatment Tank Information Effluent Filter Information Optional 1000.001 Septic Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer Wieser Concrete Products, Inc. IManufacturer LT 1/8 Filter Model Number Dose Tank Information Gallons/Inch Calculator (optional) 623.70 Dose Tank Capacity (gal) 623.70 Total Tank Capacity (gal) 14.85 Dose Tank Volume al/in) 42.00 Total Working Liquid Depth (in) Wieser Concrete Products, Inc. IManufacturer 14.85 gal/in (enter result in cell DoseTankVolume) Project: Briesemeister - Missionary Point Dr Page 2 of 10 Mound Play; Qyy ,. L Mound Component Dimensions . A 6.50 ft E 15.12 in B 45.00 ft F 14.50 in D 12.00 in G 0.50 ft 292.50 (ft2) Dispersal Cell Area 10.00 (gpd/ft) Linear Loading Rate Moun ross Section Vlew H 1.00 ft K 10.02 ft 1 10.12 ft L 65.03 ft J 7.25 ft W 23.87 ft 747.87 (ft2) Basal Area Available 6" End of B Obs. Pipe Placement GeoMat Dispersal Area Observation Pipe 12" ASTM C 33 sand as GeoMat required for Geo Mat Distribution Cell component 6 GeoMat+1 STM C-33 sand 98.21 Finish Grade _ 97.08 Lateral Invert Elevation 96.00 Dispersal Cell Elevation Tilled Area Forcemain In situ soil In situ soil ti Shading Ke- ii Topsoil Cap 2 7 7 i Subsoil Cap 31. I ASTM C 33 sand (F) 4 ASTM C 33 sand (D) 5 /%"/i Tilled Layer 6 ® Geo Mat Cover Material 4.0 Contour Elevation 95.00 �{ hayfield Co. Zoning Dept. See details on page 4 for number, size, and spacing of laterals. Project: Briesemeister - Missionary Point Dr Page 3 of 10 End Connection Lateral Layout Diagram ? , • •= turn -up w/ orifices' point dot & force main of orifice located at Z P Table Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 It Lateral Length (P) 44.55 ft Orifices per Lateral 22 Lateral End (Z) 0.45 ft Orifice Density 6.65 ft2/orifice Lateral Spacing (S) 3.25 ft Manifold Length 3.25 ft Lateral Flow Rate 14.42 gpm Manifold Diameter 1.50 in System Flow Rate 28.84 gpm Forcemain Velocity 2.94 ft/sec Dose Tank In1mation Locking cover with seaming label. locking device and water tight seal Electrical box as per NEC 300 Clean out Pipe Sim / Tech Filter STF 100 1/16 Boss stop and water tight gasket Pump On Float Pump Off Floa Dimension Inches Gallons A 26.31 390.68 B 2.00 29.70 C 3.69 54.82 D 10.00 148.50 Total 42.00 623.70 4" Vented Cover to cone cmuem Forcemain diameter 2 in. e 4 Pump off elevation (ft) L-IPMP F;' 87.83 Dose lank elevation (ft) ma ~ 87.00 Wieser Concrete Products, Inc. J U lS Capacity 623.70 Volume 14.85 gal/inch ul�u' SP 2024 Filter Manufacturer Sim / Tech Filter Filter Model Number STF 100 1/16 Alarm Manufacturer SJE Rhombus Alarm Model Number PS Patrol Pump Manufacturer Champion Pump Company, Inc. Pump Model Number CPS 5 Pump Must Deliver I 28.84 Igpm at I 14.58 ft TDH Note: Switches containing mercury may not be used in this system. Project: Briesemeister - Missionary Point Dr Page 4 of 10 Bayfield Co. Zoning Dept. GeoMat Distribution Cell Media Layout 6.50 Cell Width (ft) I 1.63 ISidewall to Lateral (ft) Distribution Cell Cross-section Arrangements - omponenf Legend 0 Distribution Pipe With Pressure Lateral L..l Orifice Shield • Turnup Enclosure - - - - - Pressure Lateral GeoMat is covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.50 I Cell Width -A (ft) I 45.00 Cell Length - B (ft) End Connection Lateral Layout Diagram Typical Dispersal Cell Sand Fill Recommended Distribution Lateral lla 2 Orifice Shield f� r� Pipe Dia. - - Approved Infiltrative Fabric IfJI LC 1p Y GeoMat 1111 l l(I L LS D 3 2ASIL13) _ Component l: L . AgilACJg goad •_'.'. O '•� g InfiltrativeltSurface/Plow Layer Hayfield Co. Zoning Dept, a e. Watertight 1 Topsoil Cap Toilet Flange 4'Mln 2 i i / Subsoil Cap .bar 3 ASTM C 33 sand (F) iota 4 _ ASTM C 33 sand (D) I -Min inatall at ^I t, MI 5 i. ii Tilled Layer nd/Ge 1 - 6 ® Geo Mat QASEI'i]Alt + /a'Mm + .421 + See details on page 4 for number, size, and spacing of laterals. Project: Briesemeister- Missionary Point Dr Page 5 of 10 Mound System Maintenance and Operation Specifications, Service Provider's Name Travis Butterfield POWTS Regulator's Namel Sawyer County SPIA- Zoning Administration System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size Estimated Flow - Average 300 gpd Maximum BOD5 Septic Tank Capacity 1000 gal Maximum TSS Soil Absorption Component Size 292.5 ft2 Maximum FOG Type of Wastewater Domestic Maximum Fecal Coliform Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Service Frequency Inspect and/or service once every 3 years Inspectandcleanasnecessaryatleastonceevery3years Test once every 3 years Should test periodically Lateralsshouldbeflushedandpressuretestedevery3years Inspect for ponding and seepage once every 3 years Phone (715)634-8176 Phone (715)634-8288 1/8 in 30 mg/L 30 mg/L 10 mg/L 10E4 cfu/100 mL 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 Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 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 Diameter i Sprinkler at 1.4 Feet Threaded Cleanout Plug or Ball Valve GSa Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral fl� 1111 S'' 1120_ BaYfield Co. Zoning Dept Project: Briesemeister - Missionary Point Dr Page 6 of 10 a FEATURES/BENEFITS PERFORMANCE Heads up to 28' TOH Flows up to 85 GPM MOTOR High efficient, 115v or 230v, oil filled, permanent split capacitor motor with upper and lower ball bearings and thermal overload protection - Constant bearing lubrication - Maximum motor cooling - Runs cooler and lasts longer - Internal overload protection - Quiet operation - Fasteners and shaft made from rugged, corrosion resistant stainless steel SEAL DESIGN Type 21 inboard seal design with secondary exclusion seal - Rotating components of seal are in the motor housing, being lubricated by the motor oil preventing foreign matter from wrapping around the seal components - Seal will last longer if the pump runs dry - Secondary exclusion seal keeps debris from entering the seal cavity PERFORMANCE CURVE IMPELLER DESIGN Non -clog style, cast -Iron vortex impeller - Designed to help reduce clogging by foreign material POWER CORD Sealed entry quick disconnect power cords - Prevents water from entering the motor housing through a cut cord - Easy to replace in the field - Available in lengths up to 10O' SWITCH Piggy -back switch design - Defective switches can be diagnosed over the phone - Pump can be operated manually or supplied with other piggy -back switches - Switch can be replaced without having to replace the pump APPLICATIONS Basements, dewatering, septic systems and truck docks U oja 1/2 HP submersible pu p th t hbftt t� 11/4" solids wi&'h" discharge 4o« �D Zoninn nEP(. of )O Phone 419-281-4500 • Fax 419-616-1100 • www.championpump.com REV0817 W1000/600 -MR TANK SPECIFICATIONS „ *. p 7 O J o DIMENSIONS: a a. WALL: 2 1/2" w U BOTTOM: 3" a a COVER: 5" c, MANHOLE: 24" LD. PRECAST CONCRETE RISER HEIGHT: 69 1/2" O.D. '- LENGTH: 114 7/8 O.D. WIDTH: 93" O.D. BELOW INLET• O.D. a 024" 0 LIQUID : 51" WEIG . 12,380 LBS. °i TYP INL NO OUTLET: 0 N 4" CAST —A —SEAL BOOT OR EQUAL w GASKET, CAST -A -SEAL BOOT OR EQUAL FILTER OR / ` INLET AND OUTLET BAFFLE AND FILTER: BAFFLE WSCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 19.61 GAL/IN (SEPTIC) S 1.1.1 11.82 GAL/IN (PUMP) TOP VIEW LOADING DESIGN: 8' 0" UNSATURATED SOIL ly v l MN TANKS: O" WILL HAVE ONE VENT OVER OUTLET C 0 Lo AND WILL HAVE TWO VENTS IN COVER OVER INLET =z DO a 4" VENT TANK CAN BE USED AS: w N SEPTIC/SEPTIC, SEPTIC/PUMP in OR SEPTIC/SIPHON W O I O M COVER: MIX DESIGN #8 (NO FIBER) --p co TANK: MIX DESIGN #10 S1RUC RAL FIBER) �^ INLET OUTLET CUSTOMIZED TANKS: FOR CUSTOM TANKS CON ACT WIESER CONCRETE O N ¢ 2" a _ in 7 Y < N O z JOB INFORMATION: Co g Fui PUMP PAD CUSTOMER: 0 LU 5 JOB NAME: K SIDE VIEW DATE NEEDED: SHEET NO. APPROVED BY: 1 I TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS V 0. 0 � R.O. MSStoMe RV POINT D(?.. li 9.Sb' 47a ee qv. o Ywe�t d ! nPM arce 1^e;r� F HS Proposed DI'.vl.. hC'1 t GT 33�'ea D u+cl lr` J n I ��� UlnBlayfield Co. . G/+ 100D/re00 gal. 17Khb Ca cez c- Ccm nc}/brl sep}:G/puh{] tanK made by W%esvr C.n,eneie ton -h L.Achme LT -l/8 Ftld-er,S3n.,4eeh 6TF•100Fe1der 4ad •thcnpl.n COSS E7ri Si tvfrl {-anws a rc 4J be praper%y a6andun.d. Erfei M9 Mdu+ad +s #-d lot rc.o,,Cd daps» M plawea layer and 0,, ncW mound it It be bu714:n J#.! to eaflan N A f E K A& 01a t -AM E PLAN EO o to IS 30 BM: 14AW. t sI RI136a.i IN 1'1 "/MAPLE EL EVATI ONS 131 63 93.50 Pf twee ± �g.0a f age ID f Io 3136 b t l;rg y'pvC. ck O (InSaI>4ed> 11M H5' O`er 2 Et vATJok)S aa97s M; ss; nosy Po;r,+ tc- (r RIE5EME/5 E2') oc,/ is /as l000/boo Supervor• PK cask w! L: +ivne L7•'1E F;1+tr P'1'� (3o13Y� SJsn th STF•10O F. Ater C :an CPES6 P.rp y"PVCScl,40/ ( �na�iaua� 13M 1.50 = r®o,00 1+y. 98.SoFf $tw6r 7.S 41, as f{ M out.sO AS PEP. SAN PE2M,T QurLCTr 9.14' = `d9.3&ct- +STATE PLAN$ ,PunP PRO : 1].79 85•�a ft - - - - - - - - - - - - - - - --TOP OF SAG: 1.5' = 47.00 /93 S'\ - - ^ - - _ _ - _ _ .. .. _ - - ToP oP PIPE r 1.1(., R. o. W. MISS I U N A R% f'o c ry fl'SUPERIIJR I 1000/600 2 -Compartment Tank SUPERIOR PRECAST CONCRETE TOP VIEW 143" 2" Weight (in lbs) Tank: 9,160 I 3 -?'----51-12"—»I Lid: 5.884 Total: 15,044 Volume of Concrete Total : 3.8 I'd' Gallons Per Inch: 40.6 1031 Gallons 614 Gallons 24.54 GPI 14.85 GPJ/1 [f •zlic La SIDE VIEW 28" Enlarged Detail 124 O" Tsd Cooemotally APPROVED 2" 9" Air Space 4" Octlat 2" DEPT. OF SAFETY AND PROFESSIONAL S' SERVICES DIVISION OF INDUSTRY SERVICES liquid 6D" 47" DepthH 45, SEE CORRESPONDENCE I __-_-_-I -----___-__ - ------3 Manhole Openings - /`� AM C: 2-1(2" Taper Polveth ee'flame Mastic Rope Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 S SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineer for suitability of use. Configuration may change from drawing, consult with SPC. IProduct File No: This is proprletarylnlmmution, andremains the propeMotSupetior Precast Concrete, LLC. I R.305.19.20241 > iY ENTERED -' Department of Safety & Professional Services, County sC;el i J �l Sanitary Permit Number be filled in by $ p (to Co.) Industry Services Division L�� �5 aL-1-1u5S a Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit — 34 — Project Address (if different than mailing address) 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. ,J475 f`I; 58• p,dry Po: AI Dr I. Application Information — Please Print All Information Property Owner's Name Parcel # TAX tot C150Z &,teserne: Re -4 1- ar k e¢ -a•v • . a000 Property Owner's Mailing Address Property Location /� t41S ;SSioa0. Pour} The Govt. Lot City, State I Zip Code Phone Number WT- S`/8a1 7/5-638-0'163 /, //,Section T N R E or W II. Type of Building (check all that apply) Lot # X I or 2 Family Dwelling—NumberofBedrooms 3 I'a Subdivision Name P4,.p,T of MtgstoNARYPo1NT Block# 0 Public/Commercial — Describe Use ❑ City of ❑ State Owned — Describe Use 0 Village of CSM Number r., Town of Main On M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if a licable.) A. ❑ New System Y Re lacement X. P System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B'g ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sf) Dispersal Area Proposed (sfl I System Elevation 9sO 1.O /t,.O LY50 /acts 7Y8/alQ,.s ql __ Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units 2 0 New Tanks Existing Tanks CC H N C ` e m m ,y Taw1K U in on a C7 a. Septic or Holding Tank 0 ; Dosing Chamber o O (,0i7 V. Responsibility Statement- 1, the undersigned, ass a responsib"ty f installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum r s Signature MP/MPRS Number Business Phone Number c.. -j.5 %.aa�4tr{le)c1 (o5a379 •, 7fs Plumber's Address (Street, City, State, Zip Code) l934w 0 7 0. wmro) WT SY8 VI. County/Department Use Only A roved PP ❑ Disapproved Permit Fee S r_„ Date [ssssllp��ed Issuing Agent Signat '. Z001f1Q Cf; ❑ Owner Given Reason for Denial e/v IOI�1� I 7 / 2 J Conditions o Approval/Reasons for Disapproval £rrOu Attach to complete plans for the system and subnsit to the County only on paper not less than 8 112 x Il inches in size SBD-6398 (R. 03/22) Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 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 fitter 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 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 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 as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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 necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. 7 U No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. ) /� Mound and Pressure Distribution System .UC 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 thelC' coning o mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the &pt. mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/LTSS, 10 mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not 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 3 years. When a pressure test is performed it should be compared to the 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 effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 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 component(s) 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: Briesemeister - Missionary Point Dr Page 7 of 10 Private Sewage System Maintenance Agreement Owner(s) Name BRIESEnE15TaR REV TRUST AGcEEMENT Po;nk lr. £1.bler WX S"8a1 Po'.} Dr Tax ID# As owner, I (we) do hereby certify the 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 1/4 Section 03 Township '13 N. Range O( W. Pta+aa h:satoeary Awn* Le+ fl ,n v. 10Sf Additional Legal Description: . a gfl (s qemats/erRao 7ov3d Arfrcry f pY D oe,aa nag Town of Ma..na*aaer. (Acreage) .770 Gov't Lot Lot i Block Subdivision PLS.? OF In ss'O NA RY Po' NT Lot _ CSM # Vol. _ Page CSM Doc # O In -ground gravity '® Mound DOCUMENT NUMBER 2024R-604745 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O9/17/2O24 AT 1 1 :43 AM RECORDING FEE: $30.00 PAGES:1 Area Return To: g11II I� Planning and ( pnir �lpa'trljer IS D I�^l(l� SAP b 711Y4 ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ At -grade Sewage System ❑ Other 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. Code. 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. POWfs 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 -ground 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 by law. 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. 504':g L (c'eStt-ndMec- - 1 r5i-cc Drafted by: 2a, & Id A 5pncMrls Jr Date: O9/24711q Subscribed and sworn to before me on O Proofed by: utformslsanitarylsepticmainten ceagreement Revised July 2020 10/2/24, 11:13 AM . , CarmodyTm BAYFIELD COUNTY SANITARY PERMIT (#04)-24145S STATE SANITARY PERMIT OWNER: BRIESEMEISTER REV TRUST AGREEMENT G OV'T LOT: LOT: 12 BLK: SUBDIVISION: Plat Of Missionary Point 1/4 1/4 SEC: 3, T 43 N, R 6 W TOWNSHIP: Namakagon SOIL TEST: 149-24 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: Travis Butterfield TRACY POOLER DATE: 10/2/2024 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 #: 4564 LICENSE: # 652879 Condition: System to meet all setbacks. Management plan to owners. Properly maintain system per recorded agreement. Adhere to State approval/conditions. Properly abandon existing/old system per SPS 383. THIS PERMIT EXPIRES 10/2/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION https://www.carmodyinc.com/PermitApp/Permit Sign.aspx?Print=1&permitappid=7374 1/2