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Home My WebLink About24-160S/ 2 K 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 zoninclAbavfieldcountv.wi.gov Note Time Change fl Discrepancy Other Phone Number Plumber: ��peVJS\�� ?}G as\ Fax Number g6SSS ($j @w Email Address Homeowner: j Immediate Phone Nu(nber So Zoning Sanitary Permit it: 16o s Dept can call you right back (if needed) 7)5 _ ao�l_ 7S -k Plumber's Choice Zoning Dept Date: g IBS A • � No Inspection(s) during this time !lliiirrr r Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Z Dept Time: Township: Address # & Road Name: 'ty f wJ ys ('J ay or��d t� Directions To Site: Comments: ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: July 2025 Industry Services Divisic General Informatior Permit Holder's Name: Tank TYPE MANUFACTURER CAPACITY Pro . Line Well I Building Air Intake Road Se tic 1 D N/A Dosin N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) 86555 COUNTY HIGHWAY J LLC 86555 COUNTY HWY J BAYFIELD WI 54814 BM Descrfptlon: setback to: U' County p /� CJ�I� SanitaryPermit No: State Plan Transaction ID//: S- loaMoa4s - Parcel Tax No: Pump! Siphon Information U) Pur Manufacturer ump M Demand GPM Filter l4 u acturrer; 11OtS Ilter Mps otet p TDH 1. Lift I Friction Loss Head Toj�l ,3 Forcemain Le th1 D' II Dist To Well0D Dispersal Cell Information DIMENSIONS I Widthl IS _U1ochun Length I #of Cells SETBACK FROM Prop. Line Buildin Well 1� OHWM Type of Cell / �Ul ( . 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 ' 1e/(�5t foo Bldg. Sewer Tank Inlet i1M c) Tank Outlet Dose Tank Inlet Dose Tank-aottum gjgfl Inst. Contour Header/Manifold I qq,o1 ' Distribution Pipe Infiltrative Surface b 43 Final Grade Sb X Pressure Systems Only Soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc, Nt IA�dtng \iinY 6 ths. r ihu� a\WAOCA Pu I.4 u Y ( Pu v►-' p t&) (Ii MC(k(ea .1 KA adl!d urrwd •o6 &AVIk�vf $o o4 r FO1�� tkcI (Y�Olruw' Plan revision required? Yes 1 No I b_ — Use other side for additional information. Date POWTS Inspector's Signature License Number RRn_R79n (P nZfo91 Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Hayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning(Wbayfieldcountv.wi.00v 117 East Fifth Street Web Site: www.bayfieldcountv.wi.00v/147 Washburn, WI 54891 86555 COUNTY HIGHWAY J LLC 86555 COUNTY HWY J BAYFIELD WI 54814 onsite wastewater treatment system on your property described as: Notes: was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: 1 .• Tank was pumped by: C. Tank was crushed / removed and pipes disconnected by: on at AM/PM On at (AM I PM) 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. ❑ 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 $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: U/forms/sanilarypropertyowner-input April2D79 !II — V •'Mll OCTDepartment 't .,, of Safety r County i-..Q�\ rfl j '$ ) Bayiieitl Co. toniny UepL &c Prod Division Indus Division D _ SanitatyPermitN tber(tobetilled nby ernces I I 0CT 0 9'LUZ4 at_l - RoS Sanitary Permit A pplicdt• ti tQeappr Co. Zoning State TraosactionNumber en al. s.Adm. In accordance with SPS 383.21(2), Wis. ACode, submission of this form to the appropriate governmental unit Q - U I -J I- G 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 Project ess (if dr erent than m�jpg address) 8 q w V= D � purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1 '�� ('t1. v e W Application Information - Please Print All Information Property Owner's Name 86sssc4 Nwy3l.Lc - \M@- Ike \\v sor Parcel # y49 Property Owner's Mailing Ad $55"S.SC s uJy cT Property Location Govt. Lot SE '/.S J r%,Section 1O T Lb N R ON or City, itState , rr -�r— 17v� `*\A W+ Zip Code (, j �7i 3 11 1 Phone Phone Number �y %ns—a$q— a6 f 1 IL Type of Building (check all that apply) Lot# ❑ 1 or 2 Family Dwelling -Number ofBedrooms Subdivision Name XPublic/Commemial-DescribeUse \ Block # �,� �� O City of ❑ State Owned- Describe Use ❑Villageof CSM Numbs p �q,�{s Town of#� r"Cte 1111. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C' a licable. A. XNew System ,❑`Holding ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B' Tank X1n-Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision ❑Change of Plumber ❑ Transfer to New Owner ist Previous Permit Number and Date Issued Expiation IV. DisIV, DispersaVfreatmentAreaandTankInformation: DesignFlow Co d) JJ Design Soil Application Rate(gpd/sf) oil I DispersalArea quired (sf) � Dispersal Area Proposed (st) 6sa System Elevation 93.0 Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer , o v New Tanks FxistingTanks v c d" m u d a n , Septicorlioldingladc ) fir 0O Q ,oU, ' Isar O 1 e Dosing Chamber Leo 600 V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown an the attached plans. Phlmber's Name (Print) /'�► Plumber's ' 1 '— M IMPRS Number Business Phone Number lb c, ceJL' 1P8so. GIs-ao-use Plumber's Address (Street, City, State, Zip Code) I49 Hw c_ LaskLrt, J.:r: sw VI. County epartment Use Only 'Appmved I ❑Disapproved PuvutFee QteSied Issuing Agem signature $ d ❑ Owner Given Reason for Denial a/izy ;cBz31S Conditions of Approval/Reasons for Disapproval . sy er, +c fec- aI) Sef60tL5 �nanGf tP'tcn (- ( i0►/1 its O M?irc( . s4nS Sns-rwrn pe-o� cCJ) agfc a AdAc &/k co,(eJr�14 n S ,/ VJa&cir&tr tot j;cuw * SySivr- - m wmy.c.c yaws aar We arsrtm ana saomn to me t:otaly only on paper not less that a W x 11 inches in size SBD-6398 (R- 03/22) St(CC) iseAr�sip D,Gp�r(r{(gntpI ty and Professional Services Page 1 of SOIL EVALUATION REPORT Bayfield Co. Zoning Dept. In accordance with SPS 365, Wis. 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 percent slope, Parcel I.D. I t )q c scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by _�t �.,• ,,r,(� Date Personal information you provide may be used for seconds purposes (Privacy Law, s. 15.041 m . e-�Nr'�rp I_F�rt1 ST fl`^' -I 1I /(d/ Property Owner IProperty Location ❑ 86555 COUNTY HIGHWAY J LLC IGovt. Lot SE Y. SE Y. S 10 T 50 N R 0 4 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road BAYFIELD WI 154814 I (715) 209-3617 I I BAYFIELD SIEFERT RD ® New Construction Use: ❑ Residential / Number of bedrooms _ Code derived design flow rate GPD ❑ Replacement ® Public or commercial — Describe: System design wastewater flow 450god Parent material Sandy outwash Flood Plan elevation if applicable NA ft. General comments and recommendations: site suitable for a conventional septic systme 1❑ Boring # ❑ Bori -' 4 ft ? ' tour urface elev. 93.9 ft. Depth to limiting factor 94+ in. ;y N4W �rrr� Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 1 0-10 7.5YR 3/2 NA Is Osg dl cs 2f 0.7 1.6 2 10-29 7.5YR4/6 NA s Osg dl gw 1vf 0.7 1.6 3 29-96 7.5YR6/8 NA s Osg dl NA 1vf 0.7 1.6 ❑2 Boring # ❑ Boring ® Pit Ground surface elev. 95.0 ft. Depth to limiting factor 96+ in. Horizon, Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 •Eff#2 1 0-6 7.5YR 3/2 NA Is Osg dl cs 2f 0.7 1.6 2 6-17 7.5YR4/4 NA s Osg dl gw 1vf 0.7 1.6 3 17-32 7.5YR4/8 NA s Osg dl gw 1vf 0.7 1.6 4 32-96 7.5YR 6/8 NA s 0sg dl NA tvf 0.7 1.6 *Pf ii=nttl=Ann a In<99nrun/I —ATSQ n Inelcn-11 +CFA„a,..e.1-Dnn CST Name (Please Print) I Slgnatur ' CST Number EDWARD J WROBLEWSKI SP -72000013 Address Date Evaluation Conducted Telephone Number 84805 HATCHERY RD, BAYFIELD, WI 54814 I 9/13/2024 715-209-4055 6Bu-66Ju (K04/15) Pt io\itt-tt t'5O- HUU OCT 0 3 2OZ4 El ❑ Boring ® Pit Ground surface elev. 96.6 ft. Depth to limiting factor 96+ in. Bayfield Co. Zoning Dept. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-8 7.5YR 3/2 NA Is Osg dl cs 2f 0.7 1.6 2 8-20 7.5YR 4/6 NA s 0sg dl gw 1vf 0.7 1.6 3 20-81 7.5YR 6/8 NA s 0sg dl cw 1vf 0.7 1.6 4 81-96 5YR 4/4 NA s 0sg ml NA 1vf 0.7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD, > 30 ≤ 220 mg/L and TSS > 30 ≤ 150 mg/L * Effluent #2 = BOO, > 30 ≤ 220 mg/L and TSS > 30 ≤ 150 mg/L EDWARD J WROBLEWSKI, CST #SP -72000013 SOIL TEST PLOT PLAN 86555 COUNTY HWY J LLC 86245 COUNTY HWY J N1/2 SE SE IN DOC 2017R-569866 S10 T50N R04W TOWN OF BAYFIELD, WI SCALE 1" = 60' >100'TO WEST I UM A 12% SLOPE I I #111 03 IJ 1 1 98.6' 93.9' 96.0' A B}M 8- POPPLE. SCREW IN BASE= 100.0- 0 It 2 3 4 5h60T OCT 0 3 2024 Bayfield Co. Zoning Dept. FUTURE BUILDING SITE SIEFERT RD >100'TO SOUTH LOT LINE EXISTING BUILDING EXISTING BUILDING LOT LINE 8 w z SHEET 4 OF 4 PAGE 3 OF 3 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 October 9, 2024 CUST ID NO.: 1288503 MICHAEL J WROBLEWSKI 1491 COUNTY HIGHWAY C WASHBURN, WI 54891 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2026 MUNICIPALITY: TOWN OF BAYFIELD BAYFIELD COUNTY SITE: 86555 CTY HWY J LLC SEPTIC SYSTEM 86245 CTY HWY I BAYFIELD, WI 54814 SE SW S 10 TSON R04 W FOR: Design Wastewater Flow Value: 450 Sizing based on: 5 employees Limiting Factor(s): 96 Inches Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: hllo•//dsns.wi.gov Email: dsns(ahwisconsiagov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-102402431-C Application No.: DIS-102445955 Site ID No.: SIT -137097 Please refer to all identification numbers in each correspondence with the Department. APPROVED DEPT. o. s.EE..AND PPOEsDIXusTX"cDS DMSYJX «INDU.,..,ENTICE, tSa.'c_,D SEE CDP E,P0X EXCE In -Ground Soil Absorption Component Manual - Version 2.1 (May 2022-2027) • 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. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "In -ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.1" (May 2022-2027) • Building sewer shall be insulated according to SPS 382.30(11)(c) • All tank(s) and drainfield(s) must meet setback according to Table 383.43-I in regards to wells. Note: NR81 I requires a 200' setback to a POWTS tank and 400' setback to a POWTS distribution cell. • This approval is for DOMESTIC WASTEWATER only. Discharge of any process water, industrial byproducts or hazardous substances is prohibited. OWNER RESPONSIBILITIES • 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(11. • 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, Mg Heidi Eide Division of Industry Services Phone: Email: heidi.eide@wisconsin.gov Fee Required: $500.00 Fee Received: $500.00 Balance Due: $0.00 Refund Expected: $0.00 lni l7 uq le it ut n PAGE 1 OF 5 �V [ In -Ground Dosed -Gravity Plan p 0CT 032024 I,i Index & Cover Sheet Bayfield Co. Zoning Dept. Component Manual Design References: In -Ground Soil Absorption for P0WTS Version 2.1 (May 2022-2027) /JMOVEY Pg 1 of 5 sv fL f + Pg2of5 Pg3of5 Pg4of5 Pg 5of5 Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Pump Tank Specifications Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Maintenance Agreement Tank Specs Project Name I Description 86555 County Highway J LLC Septic System Owner Name(s): 86555 Ciiry Hwy J LLC - Jim & Ellen Hauser Phone: 715 - 209 3617 Owner Address: 86555 County Highway J, Bayfield, WI Zip: 54814 Project Address: 86245 County Highway J, Bayfield, WI 54814 Govt. Lot: SE 1/4 of SW Township: Bayfield Project Parcel ID #: 4495 1/4, Section 10 T 50 N -R 04 E ❑or W County: Bayfield Designer Information Designer Name: Michael Wroblewski Designer Address: 1491 County Highway C, Washburn, WI E-mail: edsmechanicallic@gmail.com License Number: 1288503 Remarks: Original signature required on each submitted copy. Phone: 715 _ 209 7521 Zip: 54891 This spacc resew dd Lo; approvai stamp. Date: Reset Pa ge 86555 County Highway J LLC Septic Sizing 5 employees @ 13gpd = 65gpd x 1.5 = 97.sgpd design flow All floor drains will discharge to DNR approved non -domestic waste water holding tanks System will be sized for 450gpd This is a non-public farm Ag building only used by farm employees For dose to gravity chambers below is required 11. If method "B". chamber pressure dosing option is selected, then two options are proposed for anti - siphoning. • Figure 9.a is a detail of piping for an anti -siphoning device. At the beginning of the lateral. consnncI piping as shown. Secure the piping to trench bottom with "J -hooks". Drill one (1) 1/8 finch hole into the top center pipe: this should be counted as an orifice for emitting effluent. • Air relief valves (see figure 9.b) can also be specified. The height of the air relief valve shall be at least 10 -incites above the base trench elevation in the chamber to prevent back siphoning. 86655 COUNTYHWYJLLC ¶ 1 t I 'Ji 1 SEPTIC SYSTEM PLOT PLAN 1�j OCT O � � O �� 86245 COUNTY HWY J N112 SE SE IN 0OC2017R-589886 TS0N R04w TOWN OF BAYFIELD. wl Bayfield Co. Zoning Dept. SCALE 1" m 60' SIEFERT RD LOT UNE Extmm [BUDG G EXISTING Btm.DN G goptlQ eystesn wlg Orly ttl c0 domt stlo w0Stawster ,.100'TOWEST 1211SLOPE ,,._� 1000�eoocg�onoombktallont�w 2• Fothom&Irt I FOear ,VPVO Soh 40 Plpo A 2 rows of 18 qu!ck 4 tdartdard chamberS 09.0' 03.W Ate-;BMW POPPPLE SCREWINN BABEw 1000 0 10 so su iD 6B 80PT FUTURE BUILDtNG SITE ,.100' TO SOM LOT LINE. 2.2000 ga fl hofding tanks for non domostto rvestewator Appcovod by rho DNR 4' PV0 Soh 40 Pip / AU floor dralft ht bA trtg wM dhwh8 8s to h * tng Vwft SHEET4OF4 PAGE90F5 1 U IN -GROUND DOSED -GRAVITY DISPERSAL AREA �� oci 032024 Uniform Elevation Trenches with Quick4 Standard -W Chambers z nlnn pep;. 3 -ft Trench (down -sizing credit) P,ayFleld Go. o hitihiffi SOIL COVER 12' min. trench depth (typical) Plcal) TYPICAL TRENCH (tY CROSS SECTION VIEW (No Scale) System Elevation = ft (typical) Quick4 Standard -W wl End Cap (Show location of inlet I outlet pipe connection on plan view.) (typical) = 68 ft (typical) INSTALL PER TRENCH: IL) Quick4 Std -W @ 20 fP EISA/chamber = ft2 + ________ Pairs of end caps @ 6 ft2 EISAlpair = ________ ft2 = Proposed EISA per trench = 3________ ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturer's / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) A = 3.0 ft (typical) —Qulck4 Standard -W Chamber (typical) (mid by infiltrator Systems, Inc.) Install pursuant to manufacturer's Instructions. Required Infiltration Area = 6 `t 3 ft2 x trenches = Proposed Total EISA = 6 S a ft2 m W 0 a, Distribution Method: Q ParC\_e ` (AGT'I'li c� flU GRAVITY -DOSED I l'' OCT 0 3'"/0'-14 `'SEPTIC I PUMP TANK SPECIFICATIONS t3ayileid Co Zoning 1)epl. (No Scale) 4'6 Vent Pipe >10 ft imm Building 1r Mln. or20 fl above Established Flood Elevation (typical) - IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade CAPACITIES @ 11.82 galf)n Depth (in) Volume (gal) A as.5o 19o.4 B 2.0 a3,6H !i g.ao 96.`1x% J?_ 1- .tj Electrical must comply with SPS 316 and NEC 300 Weatherproof Junction Box *T A I *Pump Tank Liquid Level = S I in Force Main Diameter = in Pump Weep Hole PAGE 4 OF 5 Extend manhole riser as necessary. Approved Locking Manhole with Warning Label Attached (typical) 4" Mm. or 20 ft above Established Flood Elevation (typical) Quick Disconnect ... 18"Min. (typical) • Approved Joints with Approved Pipe 3 it onto Solid Ground (typical) PUMP -OFF ELEVATION = S . 0 ft Force Main Length = LI ) 3° Approved Bedding Material Beneath Tank INSIDE BOTTOM ELEVATION = R5.0 ft Force Main Void Volume = • S' gal [C] Total Dose Volume DV=�Lgal/dose ( ≤0.2X design flow+force main void volume) &t' �y �4vw� .��ec i. — Vertical Lift = Q ft PUMP TANK SEPTIC TANK(S): Volume = oo gal Total Volume = // Ce gal Manufacturer _\J&≤≥r Co e teF2. Manufacturer(s): esC4T ltS►�CC � Pump Manufacturer. IS Ow d s Install approved effluent filter at the septic tank outlet Pump Model: PE3 (Seesallachedpumpcurve.) immediately w upstream (�ofthepump tank inlet. Controls/Alarm Manufacture`r.'1STE Rllotfc b .s Filter Manufacturer. C' O\y 1O'C Controls/Alarm Model: � t a Filter Model: Float switches containing mercury are prohibited. Pacat Pane Ill) Is !4 iy II =a'1 Ir q'1 Till 0CT 0 32024 Bayfield Cu. Zoning Dept. PE SUBMERSIBLE EFFLUENT PUMP TECHNICAL BROCHURE BPE R1 ftdthevh1m FEATURES I,JuS /%4a ll -eO, Corrosion resistant construction a Gl Cast iron body S�-r I Thermoplastic impeller and cover. Upper sleeve and lower heavy duty ball bearing construction. Motor is permanently lubricated for extended service life. Powered for continuous operation. All ratings are within the working limits of the motor. Quick disconnect power cord, 20' standard length, heavy duty 16/3 SJTW with 115 or 230 volt grounding plug. Complete unit is heavy duty, portable and compact. Mechanical seal is carbon, ceramic, BUNA and stainless steel. Stainless steel fasteners GOULDS WATER TECHNOLMIY a xylem brand n: Wastewater ail 0CT 0320 5ayfieid Co. Zoning C epi. APPLICATIONS Specially designed forthe following uses: • Mound Systems • Effluent/Dosing Systems • Low Pressure Pipe Systems • Basement Draining • Heavy Duty Sump/Dewatering SPECIFICATIONS Pump - General: • Discharge: 116 NPT • Temperature: 104°F (40°C) maximum, continuous when fully submerged. • Solids handling: 36" 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 PUMP INFORMATION MOTOR General: • Single phase • 60 Hertz • 115 and 230 volts • Built-in thermal overload protection with automatic reset. • 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 fl Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association c us File #LRSBS49 Order Minimum �� Dischazge Minimum Maximum Shipping No. HP Volts Amps Circuit Phase Float Switch Style Len Length Connection Basing Weigh Breaker size ibsl&g PE31 M 0.33 115 12 20 Manual / No Switch PE31 P7 Piggyback Float Switch PE41 M 0.4 7.5 15 1 Manual / No Switch 20' 1.5 18' .5' 31/14.1 PE41 P1 Piggyback Float Switch PE42M 230 3.7 10 Manual / No Switch PE42P7 Piggyback Float Switch PES1 M 115 9.5 20 Manual/No Switch PE51P1 0.5 Piggyback Float Switch PE52M 230 4.7 10 Manual! No Switch PES2P7 Piggyback Float Switch PAGE 2 5' � (N Is �j L �} Jl7 �.. ji\ Wastewat1t �rt 274 METERS FEET 1 40: , r , au 30 a S 25 V 20 G a 10 0 MODELS: PF31, PE41, PESI HP: .33,.40, S0 �� 2GPM 1FT S 5 —f 0 10 20 30 40 50 60 70 GPM 80 0 5 10 15 ms/h CAPACITY PERFORMANCE RATINGS PE31 Total Head (feet of water) GPM 5 52 10 42 15 29 20 16 25 0 PE41 Total Head (feet of water) GPM 8 61 10 57 15 46 20 33 25 16 PE51 Total Head (feet of water) GPM 10 67 15 59 20 50 25 39 30 26 35 8 PAGE3 DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) 1 i ii i 1 j� �,�'CTJ3z0z4LJ � 32yfieic Co. Zoning Dom_. 1 .v :HARGE I xvLe m Xylem Inc. Let's Solve er 2881 East Bayard Street Ext, Suite A Seneca Falls, NY 13148 Phone: (866) 325-4210 Fax: (888) 322-5877 www.gouldswatertechnology.com gouldswatertechnology.com Goulds is a registered trademark of Goulds Plrrnps, Inc. and Isused under aaense. ® 2016 Xylem lnc. BPE R1 September 2016 tiCT BByfie{d CaM(iCii}e switches directly control pumps up to 3 HP at 250 VAC. Each switch features an adjustable pumping range. SJE PumpMester wpe Mechanically f 1/2 Hi0V ? 1213A,120V a 85A,12OV 7-36 in Activated 1 H 230V 13A, 230V '' 86A, 230V (18 - 91 coo • 8JE"PampMaster ? M ��dY t 1/2 HP,120V gp _ __ 13A;12oV -x 86A,120V .��.,L seyt t Activated 1 HP 230V - f 13A 230V as& 230V. (18 -Si cm) 3 A SJE PampN rF § Mechanically 5 3/4 HP.120V i 15A,120V �. 86A,120V 7- 36 in L— Activated 2 KP 230V • 15A,23UV € 91 cm) r SJE PumpMeatsr sPUt Mechanically ;....1/2 HP 120V 13k 120V 85q 120V 7-38 in (single itta caubte7hrow) Activated i 1 HP, 23DV i ' ' 13A, 230V 86A, 23DV 1 Double H7ost• Master Mechanically i 15 FLA SOLRA t 15A. 120V ` 804, 120V 3-48 in Activated a 120 or240V $ 1 240V Mt1ST use ff dose < 7r unless using VerticalMaster below 904, 240V C7.6-122 cm) } Mechanically 111/2 HR25V 120A,125V E t SJE Amer 1204,125V S -241n t ( Activated s 3 HP 26UV - 204,25W- 1204.25W(23 bland - SJE VerticalMaster Mechanically z 1/2 HR 120V '� 120V 6 120V OA, .75 Activated - 1 H R 23OV 12A, 230V 60A, 230V 7 c5 ) (2-17 cm) ? -• Ih Usepump 10A,12VOC ?SJEF6c AC1DC_. 100A;,12VDC ff-36 in - I e run and . 4 . 1m 12VOC - 604,125v - . r start current BA, 25MAC 6oA. 250V .-....,.._. _.._..-_.. Mechanically Usepump P SJE MiumMaster Plus 1N6 run and �. ' 125V 5.,... 784,12W 8-36 in Activated ' 12A,250V - - _ t start current 724,250V (20-81cm) SJE H?empmester' 1L:iSLp Mecha 13A.1 W - 76A, 125V 8.36 in 12A. 26W 72A.26oV (20 -91 cRa _ ._ Oa6rmnia Propta requoesthefolowbWLhw aCanCBfead Rain - -s 888-DIAL-SJE (888-342-5753) customer.seMcs@sjeinccom wrww ajet ombuscom SJE RHOMBUS asoofte 071W o�>a= �� SJE la W P®US is a tratlmnaY C S.C; tic 4" CAST -A TANKS ARE MANUFACTURED TO MEET OR EXCEED r FE 1N1000/600 --MR TANK SPECIFICATIONS 032024 DIMENSIONS: WALL: 2 1/2" gAmPt. zoning De,,31. BOTTOM: 3" COVER: S" MANHOLE 24" I.D. PRECAST CONCRETE RISER W HEIGHT: 69 1 /2" LENGTH: 9'-6 7/8" WIDTH: 7'-9" BELOW INLET: 57" wC • E � LIQUID LEVEL: 51" WEIGHT: BOTTOM 8,540 LBS. 8 COVER 3,840 LBS. U INLET AND OUTLET: 4 CAST -A --SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: o� WISCONSIN. SEE DETAIL #10 W (OTHER STATES SEE CHART) — LIQUID CAPACITY: 19.81 GAL/IN (SEPTIC) 11.82 GAL/IN (PUMP) co LOADING DESIGN: 8'—O" UNSATURATED SOIL o`Io TANK CAN BE USED AS: Q VENT SEPi1c/SEPTIC. SEPTIC/PUMP, OR SEPTIC/SIPHON liii COVER: MIX DESIGN #8 (NO FIBER) ens Z (OW TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZE TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE aD V REVIEWED BY REVIEW DATE C DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 PRODUCTS NEEDED BY: / OF 1 ELEVATIONS Complete this form Fax (715) 373-0114 to Zoning Dept Was Inspector Present for Sanitary Installation: 0 Yes 0 No Property Owner Township Sanitary Permit # 160-S Benchmark b • � � 1 • n Septic Tank #1 Holding Tank Inlet / — X3.1 Outlet ,2 • M 5 Septic Tank #2 Holding Tank Inlet Outlet N A- . O.6 r Building Sewer System Elevation Header 2I —I/ Finish Grade 5 r Pump Tank Inlet Top of Block " -7 8'7 l Comments ' ufforms/elevatlons Emily Macgillivray From: Emily Macgillivray Sent: Tuesday, January 27, 2026 2:32 PM To: mike@biglakeplumbing.com' Subject: 86245 CtyJ (24-160s) Hi Mike, I'm going through my sanitary cover-ups from last year. For 86245 Cty J (24-160s), I have in my notes that you put a different pump than what was on the plan. Can you send me the pump info? Thanks! Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5`h Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivray nbayfeldcounty.wi.gov Fraudulent BillingAlert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zoning@thayfieldcounty±wLgov or 715 373-6138 with any questions or concerns. xylem Let's Solve Water TECHNICAL BROCHURE B3885 R3 WE Series Model 3885 SUBMERSIBLE EFFLUENT PUMPS GOULDS WATER TECHNOLOGY a xylem brand Wastewater FEATURES Impeller: Cast iron, semi -open, non -clog with pump -out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge. Mechanical Seal: Silicon Carbide vs. Silicon Carbide sealing faces. Stainless steel metal parts, BUNA-N elastomers. Shaft: Corrosion -resistant, stainless steel. Threaded design. Locknut on all models to guard against component damage on accidental reverse rotation. Fasteners: 300 series stainless steel. Capable of running dry without damage to components. Designed for continuous operation when fully submerged. EXTENDED WARRANTY AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS Specifically designed for the following uses: • Homes, Farms, Trailer Courts, Motels, Schools, Hospitals, Industry, Effluent Systems SPECIFICATIONS Pump • Solids handling capabilities: 36" maximum • Discharge size: 2" NPT • Capacities: up to 140 GPM • Total heads: up to 128 feet TDH • Temperature: 104°F (40°C) continuous, 140°F (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. MOTORS • Fully submerged in high-grade turbine oil for lubri- cation and efficient heat transfer. • Class B insulation on'h- 1'k HP models. • Class F insulation on 2 HP models. Single phase (60 Hz): • Capacitor start motors for maximum starting torque. • Built-in overload with automatic reset. • SJTOW or STOW severe duty oil and water resistant power cords. •'h- 1 HP models have NEMA three prong grounding plugs. • 11h HP and larger units have bare lead cord ends. Three phase (60 Hz): • Class 10 overload protection must be provided in separately ordered starter unit. • STOW power cords all have bare lead cord ends. • Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously with- out damage when fully submerged. • Bearings: Upper and lower heavy duty ball bearing construction. • Power Cable: Severe duty rated, oil and water resis- tant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Option- al lengths are available. • O-ring: Assures positive sealing against contami- nants and oil leakage. AGENCY LISTINGS S A Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association File RLR38549 C U5 PAGE 2 Wastewater METERS FEET 40 130 120 35 110 30 100 G 90 I 25 80 U 70 20 >- 60 15 50 40 10- 30 20 5 10 0 00 L 0 COMPONENTS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM I I I I I I I 1 1 5 10 15 20 25 30 35 m3/hr CAPACITY Item No. Description 1 Impeller 2 Casing 3 Mechanical Seal 4 Motor Shaft 5 Motor 6 Ball Bearings 7 Power Cable 8 Casing O -Ring f -1 IL 4, f 5 1 2-f- 1 6 4 3 PAGE 3 Wastewater MODELS Order Number HP Phase Volts RPM Impeller Diameter (in) Maximum Amps Locked Rotor Amps KVA Code Full Load Efficiency% Resistance Power CableSize Weight (Ibs.) Start Line -Line WE0311L 0.33 1 115 1750 5 .38 10.7 30.0 M 54 11.9 1.7 16/3 56 WE0318L 208 6.8 19.5 K 51 9.1 4.2 WE0312L 230 4.9 14.1 L 53 14.5 8.0 WE0311M 115 10.7 30.0 M 54 11.9 1.7 WE0318M 208 6.8 19.5 K 51 91 4.2 WE0312M 230 4.9 14.1 L 53 14.5 8.0 WE0511H 0.5 115 3450 3.56 14.5 46.0 M 54 7.5 1.0 14/3 60 WE0518H 208 8.1 31.0 K 68 9.7 2.4 16/3 WE0512H 230 7.3 34.5 M 53 9.6 4.0 WE0538H 3 200 4.9 22.6 R 68 NA 3.8 14/4 WE0532H 230 3.3 18.8 R 70 NA 5.8 WE0534H - 460 1.7 9.4 R 70 NA 23.2 WE0537H 575 1.4 7.5 R 62 NA 35.3 WE0511HH 1 115 3.88 14.5 46.0 M 54 7.5 1.0 14/3 WE0518HH 208 8.1 31.0 K 68 9.7 2.4 16/3 WE0512HH 230 7.3 34.5 M 53 9.6 4.0 WE0538HH 3 200 4.9 22.6 R 68 NA 3.8 14/4 WE0532HH 230 3.6 18.8 R 70 NA 5.8 WEOS34HH 460 1.8 9.4 R 70 NA 23.2 WE0537HH 575 1.5 7.5 R 62 NA 35.3 WE071BH 0.75 1 208 4.06 11.0 31.0 K 68 9.7 2.4 14/3 70 WE0712H 230 10.0 27.5 J 65 12.2 2.7 WE0738H 3 200 6.2 20.6 L 64 NA 5.7 14/4 WE0732H 230 5.4 15.7 K 68 NA 8.6 WE0734H 460 2.7 7.9 K 68 NA 34.2 WE0737H 575 2.2 9.9 L 78 NA 26.5 WE1018H 1 1 208 4.44 14.0 59.0 K 68 9.3 1.1 14,'3 WE1012H 230 12.5 36.2 J 69 10.3 2.1 WE1038H 3 200 8.1 37.6 M 77 NA 2.7 14/4 WE7032H 230 7.0 24.1 L 79 NA 4.1 WE1034H 460 3.5 12.1 L 79 NA 16.2 WE1037H 575 2.8 9.9 L 78 NA 26.5 WE1518H 1.5 i 208 4.56 17.5 59.0 K 68 9.3 1.1 11B 30 WE1512H 230 15.7 50.0 H 68 11.3 1.6 WE1538H 3 200 10.6 40.6 K 79 NA 1.9 14/4 WE1532H 230 9.2 31.7 K 78 NA 2.9 WE1534H 460 4.6 15.9 K 78 NA 11.4 WE1537H 575 3.7 13.1 K 75 NA 16.9 WE1518HH 1 208 5.50 17.5 59.0 K 68 9.3 1.1 14/3 WE1512HH 230 15.7 50.0 H 68 11.3 1.6 WE1538HH 3 200 10.6 40.6 K 79 NA 1.9 14/4 WE1532HH 230 9.2 31.7 K 78 NA 2.9 WE1534HH 460 4.6 15.9 K 78 NA 11.4 WE1S37HH 575 3.7 13.1 K 75 NA 16.9 WE2012H 2 1 230 5.38 18.0 49.6 F 78 3.2 1.2 14/3 83 WE2038H 3 200 12.0 42.4 K 78 NA 1.7 14/4 WE2032H 230 11.6 42.4 K 78 NA 1.7 WE2034H 460 5.8 21.2 K 78 NA 6.6 WE2037H 575 4.7 16.3 L 78 NA 10.5 PAGE 4 Wastewater PERFORMANCE RATINGS (gallons per minute) Order No. WE -03L WE -03M WE -05H WE -07H WE-1OH WE -15H WE05HH WE15HH WE -20H HP %3 ''A '/., 334 1 1½ %z 1''A 2 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 5 86 - - - - - - - - 10 70 63 78 94 - - 58 95 - 15 52 52 70 90 103 128 53 93 138 20 27 35 60 83 98 123 49 90 136 25 5 15 48 76 94 117 45 87 133 30 - - 35 67 88 110 40 83 130 35 - - 22 57 82 103 35 80 126 40 - - - 45 74 95 30 77 121 LL n 45 - - - 35 64 86 25 74 116 m = 50 - - - 25 53 77 - 70 110 12 55 - - - - 40 67 - 66 103 60 - - - - 30 56 - 63 96 65 - - - - 20 45 - 58 89 70 - - - - - 35 - 55 81 75 - - - - - 25 - 51 74 80 - - - - - - - 47 66 90 - - - - - - - 37 49 100 - - - - - - - 28 30 DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) -:Q�I:�rL•L�l:' PAGES Wastewater STANDARD PANEL OPTIONS K Series Boulay Series Pump Order Number Simplex Duplex Simplex Duplex WE0311L KS19020WF KD19020WF S10020 O10020 WE0318L KS19020WF KD19020WF 510020 O10020 WE0312L KS19020WF KD19020WF 510020 O10020 WE0311M KS19020WF KD19020WF 510020 O10020 WE0318M KS19020WF KD19020WF 510020 O10020 WE0312M KS19020WF KD19020WF 510020 O10020 WE0511H KS19020WF KD19020WF 510020 O10020 WE0518H KS19020WF KD19020WF 510020 O10020 WE0512H KS19020WF KD19020WF 510020 O10020 WE0538H KS31255WF KD31255WF S34063 O34063 WE0532H KS31255WF KD31255WF 532540 O32540 WE0534H KS31255WF KD31255WF 531625 O31625 WE0537H N/A N/A $31625 D31625 WE0511HH KS19020WF KD19020WF 510020 O10020 WE0518HH KS19020WF KD19020WF 510020 O10020 WE0512HH KS19020WF KD19020WF $10020 O10020 WE0538HH KS31255WF KD31255WF 534063 O34063 WE0532HH K531255WF KD31255WF 532540 D32540 WE0534HH KS31255WF KD31255WF 531625 D31625 WE0537HH N/A N/A $31625 O31625 WE0718H KS19020WF KD19020WF S10020 O10020 WE0712H KS19020WF KD19020WF 510020 O10020 WE0738H KS34518WF KD34518WF $36310 O36310 WE0732H KS34518WF KD34518WF 534063 O34063 WE0734H KS31255WF KD31255WF $32540 O32540 WE0737H N/A N/A 531625 O31625 WE1018H K519020WF KD19020WF 510020 O10020 WE1012H KS19020WF KD19020WF $10020 O10020 WE1038H K534518WF KD34518WF $36310 O36310 WE1032H KS34518WF KD34518WF 536310 O36310 WE1034H KS34518WF KD34518WF 532540 O32540 WE1037H N/A N/A 532540 O32540 WE1518H KS19020WF KD19620WF 510020 O10020 WE1512H KS19020WF KD19020WF S10020 O10020 WE1538H KS34518WF KD34518WF 531016 O31016 WE1532H KS34518WF KD34518WF $36310 O36310 WE1534H KS34518WF KD34518WF 534063 O34063 WE1537H N/A N/A $32540 O32540 WE1518HH KS19020WF KD19020WF 510020 O10020 WE1512HH K$19020WF KD19020WF $10020 O10020 WE1538HH KS34518WF KD34518WF 531016 O31016 WE1532HH KS34518WF KD34518WF 536310 O36310 WE1534HH KS34518WF KD34518WF 534063 O34063 WE1 537HH N/A N/A $332540 O32540 WE2012H KS19020WF KD19020WF 510020 O10020 WE2038H KS34518WF KD34518WF S31016 O31016 WE2032H KS3451SWF KD34518WF 531016 O31016 WE2034H KS34518WF KD34518WF 534063 O34063 WE2037H N/A N/A 534063 O34063 Note: Boulay Series pan numbers have additional available features, see page 7 for more information. Note: K Series panel pan numbers include floats, to order without float switches, remove the WE suffix. Boulay Series panels do not include float switches. PAGE 6 Wastewater K -SERIES • NEMA 4X dead front outdoor rated enclosure • Red LED alarm beacon • HOA selector switch • Field wiring terminal block • Single phase models handle 120,208 and 230V service • Three phase models handle 200,230 and 460V service • Requires separate control/alarm power feed • See brochure "BCPKSDPANELS" for additional information BOULAY SERIES • NEMA 4X outdoor rated enclosure • Red alarm beacon • HOA selector switch • Through door pump run light(s) • Through door alarm test and horn silence button • Single phase models handle 120,208 and 230V service • Three phase models handle 200, 230, 460 and 575V service • Accepts single or dual power feed • See brochure "BCP3 R1 1" for additional information on simplex models • See brochure "BCP4 R14" for additional information on duplex models PAGE 7 Xylem 1"Zileml 1) The tissue in plants that brings water upward from the roots; 2) a leading global water technology company. We're a global team unified in a common purpose: creating advanced technology solutions to the world's water challenges. Developing new technologies that will improve the way water is used, conserved, and re -used in the future is central to our work. Our products and services move, treat, analyze, monitor and return water to the environment, in public utility, industrial, residential and commercial building services settings. Xylem also provides a leading portfolio of smart metering, network technologies and advanced analytics solutions for water, electric and gas utilities. In more than 150 countries, we have strong, long-standing relationships with customers who know us for our powerful combination of leading product brands and applications expertise with a strong focus on developing comprehensive, sustainable solutions. For more information on how Xylem can help you, go to www.xyleminc.com xylem Let's Solve Water Xylem Inc. 2881 East Bayard Street Ext., Suite A Seneca Falls, NY 13148 Phone: (866) 325-4210 Fax: (888) 322-5877 www.xylem.com/goulds Goulds is a registered trademark of Goulds Pumps, Inc. and is used under license. O 2019 Xylem Inc. B3885 R3 June 2019 Emily Macgillivray From: Michael Wroblewski <mike@biglakeplumbing.com> Sent: Friday, February 6, 2026 6:12 AM To: Emily Macgillivray Subject: Re: 86245 Cty J (24-160s) Attachments: Goulds -W E0511 H-Techn ical Brochure.pdf Emily, Sorry for the delayed response. The pump that was installed was a Goulds WE0511 H. Attached is the spec sheet. Thanks Mike Wroblewski Big Lake Plumbing On Jan 27, 2026, at 2:31 PM, Emily Macgillivray <emily.macgillivray@bayfieldcounty.wi.gov> wrote: Hi Mike, I'm going through my sanitary cover-ups from last year. For 86245 Cty J (24-160s), I have in my notes that you put a different pump than what was on the plan. Can you send me the pump info? Thanks! Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivrav(bayfieldcounty.wi.gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zonings bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. OCTDepartment of Safe �° a ty n ` err A\ J� 5 t '� Bayfleld Co. coning Uept- & Pro 1 5�� eriiO D D Sanitary Permit ber (to be filled in by p ' Indus ervices Division f� 0CTCi;T 0 9 2UZ4 Sanitaiy Permit A licat Ph �eapCo. Zoning Deaf State Transaction Number In accordance with SPS 383.27 (2), Wis. Adm. Code, submission of this font to the appappropriate governmental unit , I (iaqI-C Project Address (if {lifferegt than m address) Nw is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Depanment Safety and Professional Services. Personal information you provide may be used for secondary the of purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 8Q6�a4 , + �1�'� WI S' Please Print All Information I. Application Information — W Property Owner's Name ,` gsssc4j .wyTLLC-- �(mtEtieb\\m%wr Parcel!) 449s Property yy Owner's Mailing Ad 86$5sc nw`t 41 Property Location Govt Lot SE ,,.SuJ % Section lb City, State RA cte& l,>J Z Zip Code 518I Phone Number t& —?°9—'6I1 T N R by E or IL Type of Building (check all that apply) Lott) Subdivision Name — ❑ I or 2 Family Dwelling'- ofBedrooms Public/Commercial — Describe Use X Block N O City of O State Owned - Describe Use ❑ Village of � Town of as fc.Q CSM Number III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable. A. �1 New System '❑`Holding ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. Tank X1n-Ground 0 At -Grade I ❑ Mound 0 Individual Site Design ID Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. DispersaVfreatment Area and Tank Information: Design Flow (gpd) ++so Design Soil Application Rate(gpolsf) 0."1 I Dispersal Area Required (sf) I 643 I Dispersal Area Proposed (s I 65"a. System Elevation 93.0' Tank Information Capacity in Gallons Total Gallons tt of Units Manufacturer v u v ir e ri U m Ti in v rn .2 ii U ° P. New Tanta Existing Tanks Septic or Holding Tank /D*O a /ONO i Q.a1 (brce\ 1 Q Dosing Chamber Leo 60O V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plgmber's Name (Print) ca Plumber's k-4-) e I' MP/MPRS Number Idnsa Business Phone Number GIs-aoq-,s�► tb� Plumber's Address (Street, City, State, Zip Code) 149 C f4w c- s4.L.1`\ l W. GOO VLCountya artmentUseOnly Approved O Disapproved Permit Fee tate Issued I Issuing Agent Signature L 50O ;c&z S ❑ Owner Given Reason for Denial (p 11 Conditions of Approval/Reasons for isapproval • sxs +G net -f 011 St+btck. S • In f) Am ttS 0 ^t . r4ftlaq - s ks4t1cY\ pe- ( Coc oa('C k .of' dLOr&e- i a c4 -S to Ac dcJbsrd 10 sysh Attach to complete pains for the system and submit to the County only on paper not less than Swill inches in size SBD-6398 (R. 03/22) Save:: ' ClearDeta'l Note: State of Wisconsin Department tooff Q� Resources Bureau PO Box 7921, Madison WI 53707-7921 docyr;.g-Y Notice: Unders. 281.41, approval of non -domestic tanks must complete and 108, Wis, Adm. Code, ma and may be made availat in older to fill and save this form electronically, it must be opened using Adobe Reader or Acrobat software. Sa co o rc d` Reader, select File > Open and browse for the file you saved. R U Small Capacity Non -Domestic Wastewater II Gf a 3 LUZ4 Holding Tank Plan Approval Application Form3400-185 (R6120) t t10 f3i Bayfield Co. Zoning Dept. Stats, and dis. NR 108 and as required Wisconsin Dept of anon. Owners of or Instructions: Read and complete all Darts of this form. • Complete and submit this form to the WDNR for non -domestic wastewater or mixed wastewater holding tank proposals that include proposed Installation of holding tank products pre -approved by Wisconsin Department of Safety and Professional Services. WDNR does NOT charge a fee for plan review, If the holding tank proposal is for mixed wastewater, you must also obtain approval from the Wisconsin Department of Safety and Professional Services for the domestic wastewater component prior to installation. • Submit completed form 3400.185 along with any supporting documentation or plan attachment if required by Part III of this form via one of the following options: o Email: DNRHoldinaTaokfaview®Wisconsinaov o FAX: 608-267-2800 o Mail: Jason Knutson - WW3, Department of Natural Resources, PO Box 7921, Madison, WI 53707-7921 • Any approval granted under Part IV of this form will be void unless you complete and submit this form along with any required supplemental documentation or plans to the WDNR pdorto commencing installation. All information must be completed for an acoroval to tea valid. Owner or Business Name (Area Code) Telephone Number Email Address 86555 County Highway J LLC (715) 209-3617 info@superiorviewfarm.com Street Address City State ZIP Code County 86245 County Highway J Bayfield WI 54814 Bayfield Address where holding tank will be installed City State ZIP Code County (if different than owner / business address above) Provide a brief description of the activity or business that will be generating wastewater requiring storage and disposal and Indicate the approximate design flow rate, general wastewater type and constituents (check appropriate boxes below). Description of Activity! Business: Design Flow Rate: 300 gallons/day General Wastewater Type: Q' Non -domestic only O Mixed non -domestic and domestic Wastewater Source/Constituents (select all that apply): o Domestic wastewater from toilet, hand wash sink, shower, etc. Qx Rainwater, snowmelt, or wastewater from vehicle or equipment storage areas. Dix Motor vehicle fluids (oil, grease, etc.) drippings or spillage from vehicle or equipment service areas. o Animal, Fruit / Vegetable or Food processing wastes (describe - provide attachment if necessary): o Other (describe - provide attachment if necessary): Designer Company Name Name of Designer WI License Number Big Lake Plumbing Michael Wroblewski 1288503 Email Address (Area Code) Telephone Number (Area Code) Fax Number mike@biglakeplumbing.com (715_ 209-7521 Address City State ' ZIP Code 1491 County Highway C Washburn WI 54891 CCt. 0 3zo24 Li Bay field Co. Zoning Dept. Small Capacity Non- Domestic Wastewater Holding Tank Plan Approval Application Fonn 3400-185 (R 8120) proposed holding tanks receiving non -domestic wastewater are generally subject to the WDNR site and design requirements of ss. NR 213.08 and 213.15, Wis. Adm. Code. However, proposed holding tank designs in conformance with s. SPS 384.25, Wis. Adm. Code and applicable sections of chs. SPS 382, 383, and chs. NR 811 and 812, Wis. Adm. Code II be acceptable to WDNR. A. Has Wisconsin Dept. of Safety and Professional Services (DSPS) pre -approved the propo holding tank product specifically for use in holding tank applications, and will the proposed tank(s) meet DSPS specifications contained in s. SPS 384.25, We. Adm. Code, for water tightness, strength, and protection from the elements and will the tank(s) be Installed In a Yesh fno n,anirracturers specifications? O 0 No V4 w Y Tank Manufacturer Tank Malarial ' No. of Tanks - Total Capacity (gallons) Wieser Concrete Products Concrete 2 4000 B. Will the tank(s) have an inspection manhole? fJ Yes V ivo C. Wiu the tanks) have a vent? 0 Yes O No D. Will the tank(s) be equipped with a high-level alarm? -. @ Yes O No E. Will the tank(s) be located In compliance with all of the following minimum separation dlatances? O Yes 0 No • e feet from all public water supply pipelines (a. -NR 811.76(1)(a),: Wis. Adm. Code): • - 10 feet from an private water supply / service pipelines (a. SPS 383.43(8)(1), Wis. M. Code) • 25 feet from an private water supply wells (s. NR 812.08(4)(b)3, WIs: Adni. Code)' • 200 feet from all community water supply wells (s. NR 811.12(5)(d)3, Wis. Adm. Code) • 50 feet from a community watersuppty well if the holding tank will serve a community water supply pumping or treatment building (s. NR 81125 (1)(h)2c, Wis. Mm. Code) (Nola: This alternative separation distance Is a spacial exception to the standard 200 feet minimum separation distance from a community water supply well that may apply if the proposed holding tank is installed below the ground surface and will only contain water from: a pump gland drainage, pressure relief or control valve, sampling faucet, or floor drainage) If the answer to the above is No, contact the WDNR to request consideration of a variance for all code setback distances that cannot be met prior to submittal of this torn and installation of the holding tank, and Indicate below which separation distance(s) cannot be met and why not: - visa tint tank(st be located outside floodway and wetland areas? I - OQ Yes 0 No G. Will tht If yes: holding tank contents be hauled off site by a licensee aeptage or wauwwa,a, wnaau , ro",o, . v , Hauler Company: License No. Birch Street Excavating & Septic 1203 Address: - City State ZIP Code 77754 West Maple HIII Road - Washburn WI 54891 H. Will the holding tank contents be hauled to a publicly -owned wastewater treatment tacuny coverer oy a Wisconsin Pollutant Discharge Elimination System (WPDES) discharge permit, and have the owner of the tank and the licensed hauler (noted In Item G) been notified of the disposal location? O Yes O No If "Yes", indicate the name or location of the receiving facility (required): Ashland Waste Water Treatment 1901 Knight Road - - Ashland, Wt 54806 If "No", contact the WDNR to request consideration of an acceptable alternate discharge option for the holding tank contents and Include a copy of the WDNR written authorization with this form and prior to tank installation cif Baer(req �P/�i ' DateCA a31 awl cTl23Jay OCT 032024 Bayfield Co. ZonIng DepL Private Sewage System Maintenance Agreement Owner(s) Name 86Sss Go�� v�u T LLC- C. As owner, I (we) do hereby certify the private sewage system will pe installea 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) SE. 1/4 of -s F- 114 Section IV Township N. Range _____W. Additional Legal De!cription: 4 '\' s� SE Town of IOCA I 4≥\_ (Acreage)_ Gov't Lot Lot _ Block Subdivision Lot _ CSM # _ Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2024R-604833 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/24/2024 AT 8:08 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Ret— BIG LAKE ygr County HighwayC PLMBING Washbum,W154991 ❑ (n -ground gravity ❑g In -ground dosed �❑ ❑ In -ground pressure distribution Sewage System: ❑ Mound 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 end 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 -rade 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 (allure 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 toll 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. Owner(s) Name(s) — P'l'ease Print Foy 86 sssci y T JanesF d a lls er - . .4- Subscribed and sworn to before me on this date: 2 3/ o f PRY to 'It Janes El en k1'fiy iqa USeR riOwner(s) nature( f Notarybllo I * COLLEEN My Commission xpirea: 1(h 4t r I IF r)hq„l-WIS oofed by: / 1 W utforme/sanitary/sepllcmalntenceagreement Revised July 2020 E.C E;:11 -t V E PAGE6OF6 OCT 0 320t4 In -Ground Pressure Management Plan IN 1 y :pning aep1• The owner of this in -ground pressure system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard If not maintained in accordance with this approved management plan. Furthermore, all Inspection and maintenance activities shall be performed by a registered POWJ S Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BOD5 5 220 mg0; TSS 5150 mgL'; FOG 5 30 mgL 1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, eta) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, eta) o solids volume In anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or Improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities (i.e., pump re -cycling, float switch settings, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(sl shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code. o Effluent filter(sl shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. o Distribution laterals shall be flushed once every 3 years or when necessary. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Big Lake Plumbing Local government urlt: Bay€leid County Zoning Local government unit address: 117 E 5th St, Washburn, WI Phone: 715-209-7521 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment if use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. tResetPagei 10/11/24, 8:20 AM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-24-160S STATE SANITARY PERMIT OWNER: 86555 COUNTY HIGHWAY J LLC GOVT LOT: LOT: BLK: SE1/4 /4 SE1/4 /4 SEC: 10, T 50 N, R 4 W TOWNSHIP: Bayfield SOIL TEST: 160-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Michael Wroblewski ALESSANDRO HALL DATE: 10/11/2024 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 maybe 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: # MP 1288503` Condition: System to meet all setbacks. Management plan to owners. Property maintain system per recorded agreement. Adhere to State approval/conditions. Only domestic wastewater may be discharged into in -ground system. THIS PERMIT EXPIRES 10/11/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION https://www.carmodyinc.com/PermitApp/PermitSign.aspx?Print=l &permitappid=7397 1/2