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HomeMy WebLinkAbout25-56Sl/ 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 zoning(a)bayfieldcounty.wi.gov Note fl Time Change fl Discrepancy fl Other Phone Number 715-634-8176 Plumber: Travis Butterfield Fax Number Email Address Homeowner: Jason Bramstedt & Cheryl Lagergren ron@butterfielddrilling.com Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: 25 565 715-558-6472 Plumber's Choice Zoning Dept No Inspection(s) during this time Date: 12/03/25 Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice 'ng Dept TimNP(PJ vC ®® �m Town hip: Iron River Address # & Road Name: 111455 Long Lake Rd 306 or Directions To Site: Comments: ANYTIME THAT WORKS FOR YOU AFTER 1 PM WOULD BE GREAT, THANK YOU ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: July 2025 o�xarega �°2�SmxN" Industry Services Division General Information • Private Onsite Wastewater Treatment Systems ( POWTS). Inspection Report (Attach to Permit) JASON BRAMSTEDT ATTN: CHERYL A LAGERGREN 5175 W ARROWHEAD RD HERMANTOWN MN 55811 I_ Tan4 TYPE MANUFACTURER CAPACITY Prop. Lie Well Building Air Intake Road Se tic N/A Dosing N/A Aeration N/A Holding City LJ Village LJ Town IV c &&(4r .gafhark tnr Pal n ru" County&tgM/� /'t Sanitary ek ermlt No: State Plan Transaction ID#: Parcel Tax No: Pump I Siphon information Pump Manufacturer Demand GPM Filter Manufacturer i /, / *Mo TDH ift FdctioHead Total Forcemain Length Dia Dist To Well Disnersal Cell Information DIMENSIONS Width Len th # of Ce SETBACK FROM Pro ..Line Bu' il ng O— W Type of Cell Ma�nuufacturer; Model Number: Pretreatment Unit Manufacturer: Model Number: Distribution Elevation Data STATION BS HI FS ELEV Benchmark iu /00.° Bldg. Sewer ' QQ, q " Tank Inlet Tank Outlet tq, D q q.1( Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manifold ,a q -j Distribution Pipe Infiltrative Surface e Final Grade X Pressure Systems Only X Hole Size I X Hole Length Dia J Length Dia Spec_ Spacing D Yes ❑ No Over Depth Depth Over Depth of Seeded I Sodded Mulched P P Cell Center Cell Edges I Topsoil ❑ Yes ❑ No I O Yes ❑ No RX E TS: (Include code discrepancies, persons present, etc.) �f IQY�V ln(Iea^ ((OCKJ1 e u`Clls c11 (ol((& (0A9 �e1 i F(t utei4-(a(Ied '� 4V44a C(la oat ` n ?�1n kslyd urtck 5haVl2 ASc —Ron will matt nv crvrr Ae t41ons• Ian re ision required? D Yes t�No I o � 6 ry /} C 'b0�6 P I re other side for additional information. �r i r t Date S Inspectors Si re License Number :nna71n /a ngroai / Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373.61$8 Fax: (715) 373-0114 e-mail: zoning(Mbavfieldcountv.org Web Site: www.bavfieldcounty.org/147 JASON BRAMSTEDT ATTN: CHERYL A LAGERGREN 5175 W ARROWHEAD RD HERMANTOWN MN 55811 Bayfield County Courthou' Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: 1 • Tank was pumped by: .• Tank was crushed! removed and pipes disconnected by: on at AM/PM On at (AM! 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. I �.}^'�/ p Comments: I//NV (A)/.1.S IJ15?/AI(� I AU.Y Ho 1YI.S✓l.-r�-(cn fl/,YIt< r, aoui / i . n ❑/forms/sanitarypropertyowner-input April2019 '�Ej�RTM(tl (I(/i.- E�«� P Y Department of Safety & Professional Services, Industry Services Division ss-oo e County r� /JO. Ae 1 Sanitary Permit Num er (to be filled in by Co.) as -5600 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 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(l)(m), Stats. 111 'is 5 Long 1.-0. K e Rd I. Application Information — Please Print All Information PropertyOwner's Name Parcel # Tax it : 39 00a Q on BcAms4ed4 4 CheryJ L.a er re -Y OS 05.0 60 Property Owner's Mailing Address Property Location 715W ArrcW%,%eAd RA Govt. Lot t City, State I Zip Code Phone Number Herrnwn'1own, M11 55811 aig-9a0-53x1 1/, /,Section O T 7 N R O v II. Type of Building (check all that apply) Lot # Subdivision Name ' 1 or 2 Family Dwelling — Number of Bedrooms 3 ❑ Public/Commercial — Describe Use Block # ❑ City of O Village of ❑ State Owned — Describe Use CSM Number C5ii t# �ai(vH WTownof Sion R:.ree v.13 p.'3 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 if a lic,aa�b(�le. A. yaNew System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank WIn-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/st) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation y5o a• -7I Gy3 c�saI 9to.OO Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer , E c w U o 'g u ti u ti y w U v m a. New Tanks Existing Tanks Septic or Holding Tank 1o0O �, Icco ) ;7 U er;orrcC&.S4, r' P X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S lure MPMIPRS Number I Business Phone Number T',atvt5 $t)+4ef Plumber's Address (Street, City, State, Zip Code) 1'13Ylo W £4ai-e iacid -77 %laywardr Lit S1293 VI. County/DepartmentUse Only Approved ❑ Disapproved ❑ Owner Given Reason for Denial Permit /Fee � ✓ V Date Issued L, e I (e aej Issuin Age gn /� Conditions of Approval/Reasons for Disapproval Vie_ ct a,, JUN 042025 Bayfield Co. Zoning Dept Attach to complete plans for the system and submit to the County only on paper not less than s In x 11 inches In size SBD-6398 (R. 03/22) PAGE 1 OF 4 • In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Pg 2 of 4 Pg 3 of 4 Pg 4 of 4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Bramstedt/Lagergren - Long Lake Rd Owner Name(s): Jason Bramstedt & Cheryl Lagergren Phone: )i % - 9wo - s3'a ) Owner Address: 5175 W Arrowhead Rd; Hermantown, MN Zip: 55811 Project Address: 11145 S Long Lake Rd Govt. Lot: 7 1/4 of 1/4, Section 02 , T 47 N -R 08 Township: Iron River County: Bayfield Project Parcel ID #: 04-024-2-47-08-02-3 05-007-52000 (Tax ID:39002) Designer Information Designer Name: Travis Butterfield Designer Address: 14346W State Road 77; Hayward, WI E-mail: office@butterfielddrilling.com License Number: 652879 Remarks: Signature: E ❑ or W Q Phone: 715 634 8176 Zip: 54843 This space reserved for approval stamp. Ili JUN 0 4 2025 Bayfield Co. Zoning Dept. Date: os/ao /a5' nal signature requited on each submitted copy. SCALE = 1:40 PLOT PLAN ST= 1000gal prefab concrete septic tank made by Superior Precast Co w/ Lifetime LT -1/8 Filter AA = Absorption Area consisting of two cells, spaced >3ft apart, containing a total of 32 Quick 4 Plus Chambers Lo- LAK€ 11145 S Long Lake Rd Lot 2 CSM #2264 v.13 p.123 Sec. 02, T47N, R08W Town of Iron River Bayfield County Tax I D : 39002 aC tAIoc 5Z r. 41'P vc scA 40 Q 993 NEa G+14,PR �`' _? f3 3r t►�m 98t LJ 5f •.o� ' let 133 L?', .5ur-!.i'lwiT '¶7 5 L' Qt�ep�.Pfij�. . 5 to JUN 0 4 2025 Bayfield Co. Zoning Dept. Page 2 of 4 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 12' (typical) Septic Tank(s) Manufacturer. Superior Precast Concrete Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: Lifetime Filter LLC Effluent Filter Model #: LT -1 /8 12' min. trench depth (typica) • ' TYPICAL TRENCH CROSS SECTION VIEW f 34^ (typical) • <•'. (No Scale) System Elevation = 96.00 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r------------------�f --- -------------��-------��--- g= 67 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 ff EISA/chamber = 320 ft2 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 = Proposed EISA per trench = 326 ft2 oJJ v a c � C N _ _ Provide minimum 3 ft o C separation between trenche`Qs Cr m Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3.0 ft (typical) '—Quick4 Standard -W Chamber (typical) (mid by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. Required Infiltration Area = 643 ft2 x 2 trenches = Proposed Total EISA = 652 ft2 D C m W O m Distribution Method: branched manifold 0 PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity 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 POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BOD5 ≤ 220 mgL"1; TSS ≤ 150 mgL"1; FOGS 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution i 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 - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (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(s) 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, Wisc. Admin. Code. o Effluent filter(s) 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. 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: Butterfield Inc Local government unit: Bayfield County Planning & Zoning Local government unit address: Phone: 715-634-8176 Phone: 715-373-6138 117 E 5th Street P.O. Box 58 Washburn, WI 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 h r a977 irl accordance with SPS 384, Wisc. Admin. Code. Lb J lb 1155 Contingency Plan liii JUN 0 4 2025 In the event that any failed treatment component of this POWTS cannot be repaired, it shall be t d(Epa ► Or# apt. 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. ''r"'^ r1 1 = ``— Department of Safety & Professional Services, Industry Services Division S5 -0o5.6 County tNu'' Aa 1 Sanitary Permit Num er(to be filled in by Co.) 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 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), Slats. 1 lyS 5 LO»g i.a.K! Rd I. Application Information —Please Print All Information PropertyOwner's Name Parcel# TAaa It: 3tO, a on # i Ch.rl L&9er5rtri Property Owner's Mailing Address Property Location fl'/ W Rrrotaihea4 Rd Govt.Lot 7 City, State I Zip Code - Phone Number Rermandowrl. t r4 55811 a19 -94o -53a1 A, V.., Sections T tII N R 09 Et&) U. Type of Building (check all that apply) Lot # Subdivision Name I or 2 Family Dwelling— Number ofBedrooms 3 ❑ PublicCommemial — Describe Use Block# O City of ❑ State Owned — DescrbeUse 0 Village of CSM Number C5n 4 Za4y 0 Town ofR_ c v.13 .tai 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 if applicable.) A. KNew System ❑ 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. 0 Renewal Before 0 Revision ❑ Change of Plumber ❑ Transfer to New Owner Ass Previous Permit Number and Date Issued Expiration IV. Dispersaltrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation 4'5O 0.7 _v3 I&sa 9to.00 Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer , c a U t j 's iii w u in 'W V L W New Tanks I Existing Tanks SepticorHolding Tank 10OO '� ,loop ) V ector Tr!!ASt X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's rare S'44kTIIi) MP/MPRS Number Business Phone Number Yra.f? 5 Bu+4,erIe ld I715-(034-817 (A Plumber's Address (Street, City, State, Zip Code) )4f3Y(0 W S! -e.+. Qo4d 77 )-laywarda WL ,Sti'Y3 VL County/Department Use Only ApprovedI O DisapprovedI ❑Owner Given Reason for Denial Permit Fee _ Date Issued L Lssuin Age gn re /A Conditions of Approval/Reasons for Disapproval JUN 0 4 2025 LI Barfield Co. Zoning Dept. cos. xt+S Attach to complete plans far the system and submit to the County only on paper not less than 8 lax attaches in size SBD-6398 (R. 03/22) } SAP4 ;S -5(S )114S5Lo�3LaXeRd ELEVATIONS S., t3M 3.a 1od.00 103. o 3,a Ser 3.$ g9. L1O 1yk1-z 3.Q9 = 99.3 1 -- Ov41e*: 4.o9 - 3c. 1 l Deader'_ .ao c 7.o0 Sys: 7.o To -r AL .. _/a C o. v er5 in Y Q 1 V IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 2' min. trench depth (typical) min. 12^ (typical) Lu •\ :•a' a' .. . (typical) .. ' Septic Tank(s) Manufacturer. Superior Precast Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer. Lifetime Filter LLC Effluent Filter Model #: LT -1 /8 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Elevation = 96.00 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r------------;0--------�f ---- L-----------7�-------7�---- B= 87/47 ft (typical) INSTALL PER TRENCH: 21/11 Quick4 Std -W @ 20 If EISA/chamber= 420/220 ft2 + 1/1 Pairs of end caps @6 ft2 EISA/pair = 6/6 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3.0 ft (typical) "—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. TWO CELLS - 21 Chambers + 11 Chambers = 32 Chambers TOTAL = Proposed EISA per trench = 426/226 ft2 Required Infiltration Area = 643 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 652 ft2 branched manifold D C m Co O rn SCALE = 1:40 PLOT PLF1\S a 11145SLongLakeRd P/O Govt Lot 7 Sec. 02, T47N, R08W Town of Iron River Bayfield County Tax ID: 39002 Property Owners: Jason Bramstedt & Cheryl LagergrE Plumber: Travis Butterfield MPRS #652879 LoL) - LAKE ST = 1 000gal prefab concrete septic tank made by Superior Precasi w/ Lifetime LT -1/8 Filter AA = Absorption Area consisting of two cells, spaced >3ft apart, containing a total of 32 Quick 4 Plus Chambers Li Lo,Jc Department of Safety County fir �enEp 13a Fle 1 ),g FJ►�" " & Professional Services, p Y Sanitary Permit Number (to be filled in by Co.) Industry Services Division ss-oos as-f56s 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 is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing 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), Stats. 11 w 5 S Long La K C Rd I. Application Information — Please Print All Information PropertyOwner's Name Parcelft T -A" 110., 3OO) Property Owner's Mailing Address Property Location 51^!5'W Arcot,.fl ead Ra Govt. Lot -'ermwnic Wet. 14M 55811 alg-9,lo-53a1 Y., Y+, Section O U. Type of Building (check all that apply) Lot N T k7 N R CAS en I or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name Block N ❑ Public/Commercial — Describe Use 0 City of ❑ State Owned — Describe Use CSM Number ❑ Village of 1 Csr u Zae9 114Townof +Porn R'.rer v.13 .13 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 if applicable) A. KNew System ❑ Replacement SystemExisting System (explain) (explain) ❑ Other Modification to ❑ Additional Pretreatment Unit B. ❑ Holding Tank 'gin -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) ist Previous Permit Number and Date Issued C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner Expiration Design Flow (gpd) Design Soil Application Rate(gpd/so Dispersal Area Required (sf) Dispersal Area Proposed (so System Elevation L15O o.' (,v3 cos_ 9t�.00 Capacity in Total N of Manufacturer Tank Information Gallons Gallons Units k0' 0 U $ O New Tanks Existing Tanks w e m r' j y A Septic or Holding Tank loot) 1000 ) Superior _recast )C Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Srare MP/MPRS Number Business Phone Number "r'ra.ri613ot4er4elCi 45879 7/5-434-817 Plumber's Address (Street, City, State, Zip Code) )W2NtW S4-a4c Rood -77 J-/avt-sarc3, Wt 5Lfa'J3 Approved ❑ Disapproved ... _......//��-_ .... ..........m t-.' ..e.. t A. S .,. �/ .� J/ 0 Owner Given Reason for Denial � V & I1 /Q f oCrJ _ / ^ ✓ A p fin r, f- e_ ci y lID JUN 0 4 2025 Lb Bayfield Co. Zoning Dept. Attach to complete plans for the system and submit to the County only on paper not less than 8 1121 It inches in size SBD-6398 (R. 03/22) PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Bramstedt/Lagergren - Long Lake Rd Owner Name(s): Jason Bramstedt & Cheryl Lagergren Phone: .Yi% - 9yo - S3ai Owner Address: 5175 W Arrowhead Rd; Hermantown, MN Zip: 55811 Project Address: 11145 S Long Lake Rd Govt. Lot: '7 1/4 of 1/4, Section 02 , T 47 N -R 08 E ❑ or W Q✓ Township: Iron River County: Bayfield Project Parcel ID #: 04-024-2-47-08-02-3 05-007-52000 (Tax ID:39002) Designer Information Designer Name: Travis Butterfield Designer Address: 14346W State Road 77; Hayward, WI E-mail: office@butterfielddrilling.com License Number: 652879 Remarks: Signature: Phone: 715 634 Zip: 54843 8176 This space reserved for approval stamp. ll JUN 04 2025 Bayfield Co. Zoning Dept. Date: os/ao/ac on each submitted copy. SCALE = 1:40 PLOT PLAN ST= 1000gal prefab concrete septic tank made by Superior Precast Co w/ Lifetime LT -1/8 Filter AA = Absorption Area consisting of two cells, spaced >3ft apart, containing a total of 32 Quick 4 Plus Chambers Lo i& LAk� 11145 S Long Lake Rd Lot 2 CSM #2264 v.13 p.123 Sec. 02, T47N, R08W Town of Iron River Bayfield County Tax ID: 39002 tY k/oC1 ft w R 4"PvcSch40 2 43tFS41 prolta;� 9.3 Nescit¢o-k5 �1�„�>g ��,� � 9� Proposes+ ) G 3 OaMn Lo f✓C= c 5T b• pE �L D E C E V E �nnj Qr_`tivr� u u JUN 042025 �� LztJs� j OIj Bayfield Co. Zoning Dept. Page 2 of 4 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min, 12" (typical) Septic Tank(s) Manufacturer: Superior Precast Concrete Septic Tank(s) Volume(s): 1 000 gal gal gal gal Effluent Filter Manufacturer: Lifetime Filter LLC Effluent Filter Model #: LT -1 /8 12" Ti I min. trench depth vpic�l) TYPICAL TRENCH CROSS SECTION VIEW (t 3k (No Scale) "'' a.. . ) System Elevation = 96.00 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) I------------f--------��--- J iii L------- ----- ��--- B= 67 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 fly EISA/chamber = 320 ft2 + 1 Pairs of end caps @ 6 fP EISA/pair = 6 ft2 00 m CD Luuu a C C7 9 o uu N 0 d Provide minimum 3 ft I — C CO separation between trenches0- -i Irjr CD v Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3.0 ft (typical) "—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. = Proposed EISA per trench = 326 ft2 Required Infiltration Area = 643 ft2 x 2 trenches = Proposed Total EISA = 652 ft2 m W O m .p Distribution Method: branched manifold El RESET PAGE4OF4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity 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 POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BOD5 5 220 mgL"'; TSS 5 150 mgL-'; FOG 5 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) 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 - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (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(s) 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, Wisc. Admin. Code. o Effluent filter(s) 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. 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: Local government unit: Bayfield County Planning & Zoning Local government unit address: 117 E 5th Street P.O. Box 58 Washburn, WI ZIP: 54891 Butterfield Inc Phone: 715-634-8176 Phone: 715-373-6138 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 1 r thEfdEarr r},pir2 jn accordance with SPS 384, Wisc. Admin. Code. Vi 1155 Lb uu UU LL55 II II Contingency Plan II U JUN 042025 In the event that any failed treatment component of this POWTS cannot be repaired, it shall be E }jt&sldacpui?S7tIt1l Mtpt. 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. Wisconsin Department of commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, 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 Parcel I.D. 39002 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewe,dby Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04(1) (m)). Property Owner Property Location JEREMY LARSON / JASON BRAMSTEDT Govt. Lot 7 114 1/4 S 2 T 47 N R 8 EE((or)❑W Property Owner's Mailing Address Lot// I Block # I Subd. Name or CSM# -MI- '3WAR:Ti Ir..1: iP1(ITUil y owre up v.uue rnone rvumoer I Uity U Village UTown Nearest Road HERMANTOWN I MN 1 55811 1( 218 ) 940-5321 IRON RIVER I LONG LAKE 9 New Construction Usea Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material GLACIAL FLUVIAL Flood Plain elevation if applicable 8. Geand r comments CONVENTIONAL n �2 ((� 12 III 12 D and recommendations: SYSTEM ELEVATION RANGE FROM 97.3 TO 94. S vl LS U L5 DESIGN LOAD RATE=.7 GPD/SQ. FT. JUN 042025 I I Boring# U Boring Bayfield Co. Zoning Dept. LJ El Pit Ground surface elev. 99.3 ft. Depth to limiting factor 90 in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/tF 'Eff#1 'Eff#2 1 0-9 5YR3/3 SL 3FGR DS CW 3M .6 1.0 2 9-19 5YR3/4 LS 0SG DS CW 3M .7 1.6 3 19-50 5YR5/6 S 0SG DL AW 2F .7 1.6 4 50-90 5YR4/6 COS 0SG DL AW IF .7 1.6 5 90-100 5YR4/6 CID5YR6/8 COS 0SG DL - - .7 1.6 2 Boring # U Boring 99.3 90 0 Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots ---.. ..�.._...._._ GPD#F 'Eli//1 'Eff#2 I 0-6 5YR3/3 SL 3FSBK DS CW 3M .6 1.0 2 6-16 5YR3/4 SL 3FSBK DS CW 2M .6 1.0 3 16-48 5YR5/6 S 0SG DL CW 2F .7 1.6 4 48-90 5YR4/6 COS 0SG DL CW IF .7 1.6 5 90-100 5YR4/6 CIF5YR6/8 COS 0SG DL - - .7 1.6 - emuent wi = aou,> 3u zau mg/L and I Sa >30<150 mg1L 'Effluent #2 = BOD, < 3g mg/L and TSS < 30 mg/L CST Name (Please Print) Signal_ CST Number BRUCE W BLAKEMANBRUCE W BLAKEMAN CST Number Address Date Evaluation Conducted Telephone Number 64903 CHARLES JOHNSON ROAD ASHLAND, WI 54806 09/10/2024 715-209-2569 Property Owner LARSON / BRAMSTEDT Parcel ID # Boring # Boring Pit Ground surface elev. 98'9 ft. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Boundary I Roots Jon Mppncauon Kate GPD/fF 'Eff#1 'Eff#2 0-6 5YR3/3 DS CW 3M .6 1.0 2 6-16 5YR3/4 WStructurensistence DS CW 2M .6 1.0 3 16-48 SYR5/6 DL CW 2F .7 1.6 4 48-90 5YR4/6 DL CW IF .7 1.6 5 90-100 5YR4/6 CIF 5YR6/8 COS 0SG DL _ _ .7 1.6 39002 Depth to limiting factor 90 in. 3 2 Page of Boring # U Boring Pit Ground surface elev. ft. Deoth to limitino fantnr in Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. I Consistence Boundary Roots Soil Application Rate GPDIff 'Eff#1 'Eff#2 3ayfield o. Zonil g Dept. Boring # Boring u O Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. I Consistence Boundary Roots Soil Application Rate GPD/fF *Eff#1 *Eff#2 ' Effluent #1 = BODl > 30 < 220 mg/L and TSS >30 c 150 mg/L ' Effluent #2 = BOD, <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-9777. SfD'8ll0Trn iR 07/00) L-{�R5ar�/FJ'RftmsTcb% (auv&R) � � 3 Of 3 C-vr. (pT 7 5fly7/vR Sc/ TWN Of LR.o,v /?; v£R , Y f4at c.7Y of Q.O(rr• ACpi5 d�-gym - TlP of TLPj /",4Bo✓%. G-ROw. = l'G 97iv/2 y &c4 J4e- 057 Zo8/ye No AAP-f ss a/Z W£« r4r z2th rn?€. , LONG- LAK£ ti �CJO�Y}� Sl�L NuXGN¢-IC k q9.3 E-IGLSF R9 RoPoSrp Lo NC- l€tL 989 170 [ ftK£ , tad 1p° B3 \ac JUN 0 4 2025 D (e D 5 LOPE Bayfield Co. Zoning Dept. stwrrrlwfr �" pRovti.vr� Real Estate Bayfield County Property Listing Today's Date: 5/14/2025 Description Updated: 10/25/2024 Tax ID: 39002 PIN: 04-024-2-47-08-02-3 05-007-52000 Legacy PIN: Map ID: Municipality: (024) TOWN OF IRON RIVER STR: 502 T47N R08W Description: LOT 2 OF CSM 2264 V.13 P.123 (LOCATED IN GOV LOT 7) IN DOC 2024R-605121 Recorded Acres: 2.060 Calculated Acres: 2.943 Lottery Claims: 0 First Dollar: Yes ESN: 118 S Tax Districts Updated: 6/13/2023 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE ' Recorded Documents Updated: 6/13/2023 O WARRANTY DEED Date Recorded: 10/16/2024 2024R-605121 © CERTIFIED SURVEY MAP Date Recorded: 2/14/2023 2023R-598076 V.13 P.123 Property Status: Current Created On: 6/13/2023 1:08:20 PM a Ownership Updated: 10/25/2024 JASON BRAMSTEDT HERMANTOWN MN CHERYL A LAGERGREN HERMANTOWN MN Billing Address: Mailing Address: JASON BRAMSTEDT JASON BRAMSTEDT ATTN: CHERYL A LAGERGREN ATTN: CHERYL A LAGERGREN 5175 W ARROWHEAD RD 5175 W ARROWHEAD RD HERMANTOWN MN 55811 HERMANTOWN MN 55811 10 Site Address * indicates Private Road 11145 S LONG LAKE RD ® Property Assessment IRON RIVER 54847 Updated: 8/19/2024 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.060 179,200 36,400 2 -Year Comparison 2024 2025 Change Land: 179,200 179,200 0.0% Improved: 36,400 36,400 0.0% Total: 215,600 215,600 0.0% Property History Parent Properties Tax ID 04-024-2-47-08-02-3 05-007-50000 18931 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels © Tax ID: 18931 Pin: 04-024-2-47-08-02-3 05-007-50000 Leg. Pin: 024100105000 39002 This Parcel t Parents 4 Children JUN 0 4 2025 Bayfield Co. Zoning Dept. SUPERIOR 1,000 1 -Compartment Tank SUPERIORPRECASTC0NCRETE TOP VIEW Weieht (in lbs) Tank 5,812 Lid: 3,683 Total: 9,495 Volume of Concrete Total : =.4 Yd' Gallons Per Inch: 24.4 lid Enlarged Detail Conditionally APPROVED DEPT. OF SAFETY MID PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES w f 47" SEE CORRESPONDENCE I Manhole Openings 1llr SIDE VIEW L 28" 2-12' Tapes Polyethylene Baffle 1lfastic Rope 83-12' 9" Air Space 4. 73_ 7g 45" Produced by Superior Preca Cqpct, I¶"L(�p�, P0Box139 D Iv u u Hayward, WI54 3 JUN 042025 4MBayfield Co. Zoning D SUPERIOR PRECAST CONCRETE Design contormsto AS IN (21227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, P0WIS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professionalengineerfor suitability of use. Configuration may change from drawing, consult with SPC. l Product File No: I This Is propretarylnlonnatlon. and remalasthe propenlotSuperlor PrecastConcrete, LLC. I 8.305-19-20241 SS -0056i I1nke-, w/ss-oO5 Private Sewage System Maintenance Agreement DOCUMENT NUMBER 2O25R-6O7725 Jason Bramstedt 5175 W Arrowhead Rd ; Hermantown, MN 55811 11145 S Long Lake Rd 39002 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with 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 02 Township 47 N. Range 08 W. Additional Legal Descriptiol Town of Iron River DOC 2024R-605121 Lot Block Subdivision (Acreage) 2.943 Gov't Lot 7 Lot 2 CSM # 2264 Vol. 13 Page 123 CSM Doc # ® In -ground gravity ❑ Mound ❑ In -ground dosed Y DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/04/2025 AT 10:54 AM RECORDING FEE: $30.00 PAGES: 1 Return To: Planning and Zoning Department n UUEQVE n ❑ In -ground pressur® Itlt(grAP � ttstem: ❑ At -grade Sewage System ❑ Other Area Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of Installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such Inspection, the tank is found to have less than one-third (1(3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers 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, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds. At -grade. and In -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 maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s)— Please Print Subscribed and sworn to before me on this date: I Notarized Owner(s) — Signature(s) Notary Publi i� My Commission Expires: 1 /31 /'LO zg Drafted by: Ronald Spreckels Jr Date: 05/15/25 JACOB G KUSC4KE Pamfed by: _ NOTARY PU8UC-MlfQ"WA isepticmalntenceagreement Reused July 2020 My Comm. Exp. ,ion. 3t. 2028 we�ael>s>5�n�d> P YFIELD Property Owner: LARSON, JEREMY D & AMY R 855 ASH STREET LINO LAKES, WI 55126 LAGERGREN, CHERYL A 5175 W ARROWHEAD RD HERMANTOWN, MN 55811 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Description Private Sewage System (Septic Tanks) Submission Number: SS -00564 Transaction Number: SS-00564-2CE45 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 22687 Paid by: Sipsas Excavating & Trucking, PO Box 728, Iron River WI 54847 Payment Type: Check Transaction Date: 6/16/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-56S STATE SANITARY PERMIT OWNER: JASON BRAMSTEDT & CHERYL LAGERGREN GOVT LOT: 7 LOT: 2 B LK: CSM: 2264 v.13 p.123 1/4 1/4 SEC: 2, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 147-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TRAVIS BUTTERFIELD TRACY POOLER Authorized Issuing Officer DATE: 6/16/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may impede renewal. f. The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 652879 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 6/16/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION