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25-8SR
V Request for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note fl Time Change fl Discrepancy fl Other Phone Number 715-413-0122 Plumber: Superior Plumbing & Mech. Inc. Fax Number Email Address Homeowner: Matthew & Tryst Anderson ed@superiorpmw.com Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) 25-8S Permit #: Plumber's Choice Zonin Dept No Inspection(s) during this time Date: 7/25 Vi Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice nj Dept Time: Township: Clover Address #& & Road Name: 16855 St. Hwy 13 Herbster or Directions To Site: Comments: ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: u/forms/sanitary/requestforinspection Zoning Dept (©4/12/04): @ June 2023 •_.;Ptivgte Onsate Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) Industry Services Division (Zanaral Infnrmatinn MATTHEW A & TRYST M Li City ANDERSON 494 BAY DR SUPERIOR WI 54880 BM 9escrlp T- 5k, nrir t to: Town County Sanitary ermit No: State Plan Transaction ID#: Parcel Tax No: TYPE MANUFACTURER CAPAC TY Prop. Line Well Building Air Intake Road Se tic 4'/O N/A Dosing N/A Aeration N/A Holding • Pump! Siphon Information Elevation Data Pump Manufacturer Pump Model Demand STATION BS HI FS ELEV O I D GPM Benchmark Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Bldg. Sewer Forcemain Leng/ Dia Dist To Well Tank Inlet ; 3 h 4 Tank Outlet Dispersal Cell Information Dose Tank Inlet DIMENSIONS Width I J # of Cells Dose Tank Bottom SETBACK FROM I Prop. Line ding WW1 OHWM Inst. Contour Header/ Manifold 03� Type of Cell I Manufacturer: Distribution Pipe 6•� , o7toAModel / Number: Infiltrative Surface Final Grade gp �o Pretreatment it Manufacturer: I . Model Number: stribution System X Pressure Systems Only Header/ Manifold I Distribution Pipe(s) I X Hole Size j X Hole I Observation Pipes Length _ Ole I Length Dia Spec _ Spacing j ❑ Yes ❑ No Soil Cover Depth Over I Depth Over j Depth of I Seeded I Sodded I Mulched ❑ Yes ❑ No I ❑ Yes ❑ No ;AMMENTS: (Include code discrepancie ss, persons - present, etc.) ��,� gFr�, eG 1 C1/rs / �t A4 !an revision required? l Yes 0 No SI /�/� 7/ ie other side for additional information. % Date POWTS Inspector's Signature License Number Rr1.A]1n rR ❑q/711 Property Owner Information BAYHELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoninq(iq bayfieldcounty.wi.gov 117 East Fifth Street Web Site: www.bayfieldcounty.wi.govl147 Washburn, WI 54891 MATTHEW A & TRYST M ANDERSON 494 BAY DR SUPERIOR WI 54880 As you know !&zoi et11 . Avi - was contracted by you to install a private onsite wastewater treatment system on your i roperty described as: Notes Abandonment of Old System to meet all applicable code requirements: ❑ Tank was pumped by: on at AM! PM r Tank was crushed I removed and pipes disconnected by: On 7 ✓� at (GPM) the above -mentioned plumber contacted our office to condyc 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 H 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 $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Utlorms/sanitarypropenyowner-input April 2019 t i e lJ ' 'f . • Z� Z' Industry Services Division c'on,tt}• P$ 4822 Madison Yards Way Bayfield Madison, \VI 53705 Sanitary Permit Number (to b- 1 ut h}• C'u� I P.O. Box 7302 ._ ladisou, WI fii707 ✓-5 �S �pl1 tlori —~— 'ZState�TtausmirttouNtuubrr in a, rurd,uitli SI'S 353. i i't, wis. Adm. L ode, submisswn of this forte to the appropriate guvernntental utlit required 1pricor to obtaining ,r ;atutary pennit. Note: Application foams for state-owned POWTS are submitted to Project Address (if different than mailing atltlress) the Depailuteut of Sntrty and Professional Services. Personal information you provide may be used for secondary t 6855 �7 t � H 3 Herbster purposes in accordance with the Privacy Law, s. 13.04(11(m). Stars. 68 y I. Application Information — Please Print All Information Pmpetiv t )wucr'"_ Naruc Parcel -- Matthew & Tryst Anderson 11338 Pluprrt<• r ►tuner's Mailing Address Property Location 1471 140th St. (it)VI. Lot (nn. State I Zip Code Plwne Number New Richmond, WI 54017 651-468-1908 NE -.!E__. .,i,,,, 3 II. Type of Building (check all that apply) Lot a T50 N R 7 or W �l or 2 Family Uwellii±r - Number ut Bedrooms �� Subdivision Name Block 'abhc/Comam cud - Descrilor IJ r - _ ❑C`ity of state Owned - Descritoc Use C SIM Number village 01 ✓e Tosvu or CLOVER III. Type of PUNTS Perutit: (('heck either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C' i WDlknbk.) A. ZVett• Synteiu Deplaccilicut System DUther Modification to Existing System (explain) DAddiiiunal Pretreatment Unit (explain) g' ❑Huldin Tank Iu-Griuntf �1t•Cir.3de �4iound Individual Site Design Other Type (explaili) (Cu! Y rti Iifl C. ❑ RenewalB are Ret•islui 'Mange of Plumber aTranster to NewO%vtier ist Previous Penuit Number and Date Issued Expu•ntiu I1'. Uh )ersal/Treatnlent Area and Tank Information: Design rlow (gpd) Design Sc,il Application Rate(gpd/sf) Dispersal Area Required (st) I Dispersal Area Proposed (sft System Elevation 450 .7 642 1678 100.5-101.5' Capacity in Total J» of Mnnufaeturer 1811k lutoruui(icin (bilious Callous Units Neu Tanks Existing Tank% k v �, �ct,hc o, H,rhiina T.itik x ,� 000 1 Wieser Concrete ✓ i7„�nsu t li.eus8a o� t Q 1'. Responsibility Statement- I. the undersigned, assume responsibility for Installation of time Po«'TS shown on the attached plans. I'luntbcr's Name (Print) Plumber's %ignatu MP/MFRS Nunihrr Business Phone Number Edward B. Redinger 1221939 715-292-667o Plumber's Address (Street. City. State, Zip (ode) 1015 11th Ave. E. Ashland, W1 54806 VI. County/Department Use Only Approved O Disapproved Permit Fee Date Issued Issui g A ignatu S f �7 U U.v+ici Given Itcuywi tai Denial Conditions of Approval/Reasons for Disapproval !�) MAY 292025 2025 L ayfreld Co. Zoning Dept. .4ttuch to complete putts for the systeui nod sutin11 to the Couut�• utth on paper not less than 81/2 x 11 inches to size Slil)-ti.Z`)s (It. 02/22) • PAGE 1 OF 5 In -Ground Dosed=Gravity Plan • Index & Cover Sheet Component Manual Design References: mi In -Ground Soil Absorption for POWTS Version 2.1 (May 2022 27) 1/1 / Pg 1 of 5 Index & Cover Sheet Bayfield Co. Zoning pept. Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review _________________________JSoil Evaluation Report & Site Map Project Name I Description 3 Bed System with lift - .7 Loading / stepped trenches Owner Name(s): Matthew & Tryst ANderson Phone: 651 -468 -1908 Owner Address: 1471 140th St. New Richmond, WI Zip: 54017 Project Address: 16855 St. Hwy 13 Herbster, WI Govt. Lot: NE ,1/4 of SE 1/4, Section 3 , T50 N -R7 E ❑or W ❑✓ Township: Clover County: Bayfield Project Parcel ID #: 11338 Designer Information Designer Name: Edward B. Redinger Phone: 715 -292 -6670 Designer ►ddress: 1015 11th Ave. E. Ashland, WI Zip: 54806 E-mail: ed@superiorpmw.com _ flis 'pat.' r•scrvcd Ii ,tcrro ::l 't:,ml). License Number: 221939 Remarks: Signature: Date: 5/23/25 Original signature required on ach submitted copy. A SUPERIOR Pww.rwc Macr.AM.cu (715) 278-3456 Customer Name: Matthew&Tryst Anderson Adress: 1411 140th 5t New Richmond, WI 54017 SITE: 16855 St Hwy 13 Herbster, WI phone M: 4.51-468-1908 Email: archlvesmuslc@yaho com CS1a 221939 '40 ) PIN 11338 5 Auef Nf S( Si '50N A7W I vwn of Cover Bavftltl Cr, / U. n1 >: Tao' •4 %Gb J- l!.,i& 4. • . 7 4.d- "1 3 ire .ekes V reL'JbCVs /aa s -,d 1.9' Sfcp •! Aisa�i+� /7a1,'s sl/Fhi 1y«4 Rr iN0 /a,'- tank 7 u w Sas poly 2o4 ;/k - mm laai MAY 29-2025 Bayfleld Co. Zoning D F ti PAGE 4 OF 5 GRAVITY -DOSED SEPTIC / PUMP TANK SPECIFICATIONS ,� (No Scale) D ��fl 4"0 Vent Pipe >10ftfrom MAY 292 06 L) Building Electrical must comply with 12" Min. or 2.0 ft above SPS 316 and NEC 300 Established Flood Elevation Weatherproof Extend manhole riser as ne FAMi Id Co. Zoning Dept. (typical} Junction Box p Approved Approved Locking Manhole IMPORTANT' Vent Cap hf_with Warning Label Attached Anchor tank(s) as necessary (typical) -Conduit pursuant to SPS 383.43(8)(g) 4" Min. or 2.0 ft above Established Flood Elevation . (typical) Airtight Seal Finished Grade 1 Oulck Disconnect i CAPACITIES @ 16.76 galrn Depth (in) Volume (gal) A 18 301 B 2.0 33 [C] 6 100 D 10 167 A B [C, *Pump Tank Liquid Level = 36 in + f D Force Main Diameter = 2 in CBrete ck 3" Approved Bedding Material Beneath Tank Force Main Length = 50 ft Force Main Void Volume = 9 gal [Cl Total Dose Volume (TDV) = 100 ( ≤ 0.2X design flow + force main void volume) Vertical Lift = 6 ft PUMP TANK: Volume = 600 gal Manufacturer: Wieser Concrete i 18" Min. (typical) gal/dose Pump Manufacturer: Goulds Pump Model: EP041 1 F (See attached pump curve.) Controls/Alarm Manufacturer: SJ Rhombus Controls/Alarm Model: PS Patrol Float switches containing mercury are prohibited. III Weep Hole ___Alarm On Pump _Off • "--Approved Joints with Approved Pipe 3 ft onto Solid Ground (typical) PUMP -OFF ELEVATION = 97.8 ft INSIDE BOTTOM ELEVATION = 97 ft SEPTIC TANK(S): Total Volume = 1000 gal Manufacturer(s): Wieser Concrete Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet Filter Manufacturer. Poly Lock Filter Model: 525 Tracy Pooler From: Ed Redinger <ed@superiorpmw.com> Sent: Monday, August 4, 2025 12:34 PM To: Eue er Subject: Anderso evation shots and tank specs Attachments: ecast 1000-600.pdf; Elevation Form with Shots.pdf Info for Matt's site Ed Redinger Superior Plumbing & Mech 715-278-3456 ed@superiorpmw.com ELEVATIONS Complete this form Fax (715) 373-0114 to Zoning Dept Was Inspector Present for Sanitary Installation: E7 Yes ❑ No Property Owner Matt Anderson Township Clover Sanitary Permit # 25-8S Benchmark Top of Stab: Set #1 10.4Set#2 for tank 6.6' Septic Tank #1 Holding Tank Inlet 5.05 Outlet Septic Tank #2 Holding Tank Inlet Outlet Building Sewer 4.5 System Elevation Trenches: upper - 6'/ middle 6.5/ lower 6.9' Header Finish Grade Pump Tank Inlet Top of Block 9' Comments u/forms/elevations "SUPERIOR I 1000/6002 -Compartment Tank SUPERI0I PRECASTCONCRETE PRECASTCONCREI TOP VIEW 143" , .. Weight (in lbs) ., i �. Tank.9.160 s-1 2 Lid: 5.384 Total: 15.044 - _ — (` Volume of Concrete Total : 3.5 Id' Gallons Per Inch: 40.6 1031 Gallons 6?4 Gallons L;a N 24.54 GPI 14.85 GP Wall SIDE VIEW 28" Enlarged Detail I --2= 6 Ltd 14'Cantliblly APPROVED ?.. 9"Air Space r„DEPT. OF SAFETY M!D PROFESSIONAL 4" — SERVICESTy.! DIVISION OF INDUTRYSERVICES60" 47 I 45" SEE CORRESPONDENCE f Thark w; Manhole Openings ! Z r -1 '„ Taper 1 Produced by Superior Precast Concrete, LLC PO Box 1390 (Th Hayward, W154843 Polyethylene Bale Mastic Rope SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precas Concrete Septic Tanks and WI SPS 384.25, POWTS Holdin; Components or Treatment Components. The information provided on any Superior Precast Concret (SPC) drawing or document shall be verified by the purchasers licensed professional engineerfor suitability o use. Configuration may change from drawing, consult with SPC IPMwcI Fat No- I S sI PrOPMury Mwrr on. nlrsaaws De pr perry 05upena Precast Cwcme. tic I R30 13 �lcnara¢,y,I Industry Services Division General Information Permit Holders Name: Tank Information TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic N/A Dosing N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) MATTHEW A & TRYST M ANDERSON 494 BAY DR SUPERIOR WI 54880 semaca ro— S. 15.04 of: County Sanitary Permit No: 25-8S State Plan Transaction ID#: Parcel Tax No: rump i aipnon nttormatlon Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well uisDersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header / Manifold Distribution Pipe Infiltrative Surface Final Grade aoii t.over Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes O No ❑ Yes O No IUUMMtN I J: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes O No Use other side for additional information. Date RRMA71n !R n'31911 POWTS Inspectors Signature License Number Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(abayfieldcountv.wi.gov Web Site: www.baVfieldcounty.wi.gov/147 MATTHEW A & TRYST M ANDERSON 494 BAY DR SUPERIOR WI 54880 onsite wastewater treatment system on your property described as: Notes Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: 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 $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: U /form s/sanitary pro party owns r -input Apn12019 Ct — r+, t, C n' IS ' r. 0 1 Industry Services Division Canny 0 FEBu 2o .1[025 4822 Madison Yards Reny Bayfield •�.=P B 1 8 Madiwn•\195370$ S.witary Penult Number lsa be filledmbv(bi S P.O. Box 7302 •;' Ba field Co. Zoning U pt. Madison. WI 53707 26 —8 S Sanitary Permit Application Slme Transaction Nambet In accordmme with SPS 393.21(_2). Wis. Adm. Code, cubaissioa of Otis (anti to the appropriate govenatental Unit is required prior to ob4,imlttp a smdtatypermit. Note: Application forms for state•n vucd PO14TS are s,tbmitted to Project Address (if difterrmt slu ttwiling address) the Dtpantnent of Safety and Pmtessional Sen•iccs. Personal infonnnuou you provide may Ise used for snondary putposca in a•cniarr„•ith the PrivacyLaw. s. 15.0.111 NinE slats. 16855 St. Hwy 13 Herbster Matthew & Tryst Anderson Popersy Owner's Mailing Address 1471 140th St. City. Stale Zip Code New Richmond, WI 54017 D. Type of Building (check all that apply) IlJ✓-li' or 2 Family Melling -Number offedto•uw a 1 ftbix/Ouxuaraial- Describe Ilse... Parcel p 11338 Govt. Lot Phase Number 651-468-1908 NE .. SE Section /3� Lotn T50 n o 7 c..J..•1 U_._•.•.."•.' `••�"•�" CSbf Number •illaeor Q✓ Town nt CLOVER 111. Type o(PO\\TS Permit: (Check either "Ness" or "Replacement" and other applicable on line A. Check one box an line B. Complete line C II a r 1Bcablet) ��" A. ✓Vela System I 1IJ peeptacement system ❑Older Modification to Exisoup System (expla(ns Additional Preueauuent Unit IexplamI B. DHotdin Task p �Io.Grounit at -Grade ❑>lound Individual Site Design Other Type lexplainl icon t"timall (• Renewal Before ❑Rnision jchang. ol'Ptumlxr ❑rrmnhno co,NOwner isl Previous Permit Nnntber and Date Issued Expiration IV. D s ennVlrcatment Area and Tank information: Desiam Flow (gilds Design Soil Application Rate(gpd/sf, Dispersal Area Required (s0 Dispersal Area Proposed I,fl Syslero Elevation450 .7 642 V 100.5-101.5' Capacity in Total not bianufaonter Tank Information Gallons J Galhua Volts Nw'tad. Fxnaoa Taub. v y _ o C ,'c `-fie 2 Y ti<oR m Helding Teti X t 000 7 Wieser Concrete ✓I18E1R Oo-u:a ('haulm H .,..wes ....umr trnpanasontpy for wbnnamon prate POA7S shown on the attached pious. Plumber's None (Trion Plumber s SigrwntreI S1PAIPRS Ntwber I Bminrss Phone Number Edward B. Redinger 1221939 1715-292-6670 Plumber's Address (Street, City. State. Zip Cadel 1015 11th Ave. E. Ashland, WI 54806 \9, ouu yfDe tnrtment Use Only ' Permit Fee Date Issued u APProred O nisiDisapprovedS I• � imtij(J� SgmmMlu�7 ❑ ouster Given neasun roe Denial 4 CO 21) (it 2 b 1 e / , Yil� �C.`___._,_ Conditions of Approval/Reasons for Disapproval -t J L -Sgt1A c.f>uethr i <c(1j,< la.c (' bs kL� � redo. f.L zl z' b kA.., 5iwei.e uF Ct;, fur'. 1V1 d;II N— . /) pe Se,&L-t cfl "(YOM WcU Orto t ( iy o( .S�(' ° Si9e. ee- Shao¼ etar(� • O Attach to comPtele Idlest for the stern and suhmit I. Ike ('mute Dolt on truer not Ins the a la. 11 t..u- t -.s._ $yto moo S 1212OZs Rf.N 5110.6398 (R. 02/22) IS Wi lb U Industry Services Division 4822 Madison Yards Wa County Bayfield DsFEB 1 8 2025 P Madison, WI 53705 �lir Sanitary Permit Number (to be filled in by Co.) S P.O. Box 7302 Baytield Co. Zoning Dpt. Madison, WI 53707 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 16855 St. Hwy 13 Herbster purposes in accordance with the Privacy Law, s. 15.04(1 )(m), Stats. L Application Information— Please Print All Information Property Owner's Name Parcel # Matthew & Tryst Anderson 11338 Property Owner's Mailing Address Property Location 1471 140th St. Gov Lo City, State I Zip Code Phone Number New Richmond, WI 54017 651-468-1908 NE , SE , section 3 T50 N R7 EorW II. Type of Building (check all that apply) Lot# Eli or 2 Family Dwelling —Number ofBedroonts _ j Subdivision Name Dublic/Cominercial — Describe Use Block if []city of [IJ8 Owned —Describe Use CSM Number itage of HTawn of CLOVER 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 ff applicable.) A. ✓)System I—I_ [ pceplacemear System LJNew []Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B' oldin g Tank Ella -Ground QAo-Grade ❑Moumd Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision JCbange of Plumber ❑transfer to New Owner .1st Previous Permit Number and Dare Issued Expiration IV. Dispersalifreatment Area and Tank Information: Design Flow (gpd) 450 Design Soil Application Rate(gpd/9O I Dispersal Area Required (si I Dispersal Area Proposed (sf) I System Elevation .7 1642 1678 100.5-101.5' Capacity in Total a of Manufacturer Tank Information Gallons Gallons Units `o 'g N. Tads I Existing Tank, a o E B Eii i%1 q B �• e i5 G U N li Septic w Holding Tank X 1000 1 Wieser Concrete ✓ Damns ni,...hur V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Prim) I Plumber's Signature I Edward B. Redinger hMP/MPRS Number 221939 I Business Phone Number 715-292-6670 Plumber's Address (Street. City. State, Zip Code) 1015 11th Ave. E. Ashland, WI 54806 VI. County/Department Use Only ❑ Approved ❑ Disapproved Permit Fee I Date Issued I Issuing Agent Signature I❑Owner Given Reason for Denial Conditions of Approval/Rensons for Disapproval •• ••I^"•—,—euin+�..'4,+,, yew aoaauowo,o rue a:auo,y omy an paper not less than a 1/r x11 Inche, I size SBD•6398 (R. 02/22) PAGE 1 OF 4 In -Ground Gravity Plan < «' L fl V C Index & Cover Sheet Il FEB 182075 Component Manual Design References: Bavl eld Co. Zoning Dept. In -Ground Soil Absorption for P0WTS 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: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description 3 Bed Quick 4 Infiltrator system with .7 loading Owner Name(s): Matthew & Tryst Anderson Owner Address: 1471 140th St. New Richmond, WI Project Address Govt. Lot: 16855 St. Hwy NE EI1/4 of SE Township: Clover Project Parcel ID #: 11338 13 Herbster, WI Phone:651 -468 -1908 Zip: 54017 1/4, Section3 , T50 N -R7 EDor W County: Bayfield Designer Information Designer Name: Edward B. Redinger Phone: 715 -209 -6670 Designer Address: 1015 11th St. E. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Zip: 54806 This space reserved for approval stamp. Signature: f ...Jv-__ Date: 2/17/25 Original signature required on each milted copy. FEB 16 202, t ! SUPERIOR PLUMBING MECHANICAL (715) 278-3456 Customer Name: Matthew & Tryst Anderson Adress: 1471 140th St. New Richmond, WI 54017 SITE: 16855 St. Hwy 13 Herbster, WI Phone B: 651-468-1908 Email: archivesmusic@vaho.com CSTU 221939� d `d Scale: 1=4 " = 40' /� � / PIN: 11338 s�s PD i 20 / l / 5 Acres NE SE 53 T50N R7W Town of Clover Bayfield Co. f ! /& 74 . SAcp QS b\C R1IV 1600 ga� I &),escrl ,k lbC'S V� ts)n.cC IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER TYPICAL TRENCH CROSS SECTION VIEW (No Scale) min, 12" (typical) 12' min. trench ]J tlepth (NW�i) • ' I— 34„ • - .. . (IYWel) •e, •. •. .. Highest Trench System Elevations= 102.5 ft; 102 ft; 101.5 ft; Septic Tank(s) Manufacturer: Wieser Concrete Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: Poly Lock Effluent Filter Model #: 525 Provide minimum 3 ft separation between trenches. Lowest Trench (as applicable) ft; Quick4 Standard -W wl End Cap (Show location of inlet / outlet pipe connection on plan view.) (typica I r =fI': g= 44 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 + 3 Pairs of end caps @6 ft' EISNpair = 18 ft' ft2 ft Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) A=3.0ft (typical) — — — — cat a J \--Quick4 Standard -W Chamber o (typical) (mid by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. m = Proposed EISA per trench = 226 ftZ Required Infiltration Area = 642 x 3 trenches = Proposed Total EISA = 678 ft' Distribution Method: ft2 drop boxes El PAGE 4 OF 4 In -ground Gravity Management PI L t B W E D IMPORTANT: Oil FEB 1 8 2025 The owner of this In -ground gravity system shall be responsible for its perpetual operation and. maintenance purl nt to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin od'e,ttliis'sysf€ll 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 Operatina Limits: Design Flow = 450 gpd; BODS 5 220 mgL''; TSS 5150 mgL''; FOG S30 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. Scats. 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: Superior Plumbing & Mech. Inc. Phone: 175-292-6670 Local government unit: Ashland CO Zoning Phone: 715-682-7014 Local government unit address: 201 Main St. W #109 AShland,Wl ZIP: 54806 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. Se' s. t% 1-2W Wisconsin Department of Solely and Prolossiwml Snrvicos (o) dGGCIJE1j'Op. � � FEB 18'in a 1 .2 bE Dwislwt of Industry Servicos 9o__n_ p1 SOIL EVALUATION REPOR-f3aNeid Go, Zoning Uepi. in accordance vrilh SPS 305. Wis. Aden, Code County Alluci, complete sou plan on papal not less then 8 112 x 11 Inches In size. Plan must Include. 9aylield but not limited to. vertical and horzontnl reference point (GM), direction and percent slope. Pareoi I'D. stela ur dimensions. ondh nduw, end location and distance to neared road 11 33 Please print all information. Revie4dt4erm Data • ...... '•..'• Property Location I E] . t2 Matthew & Tryst Anderson Govt. Lot NE t% SE v s 3 T 50 N R 7 E (or) w Property Owner's Mailing Address See Address of CSM and loin 1471 140th Si 651-468-1908 16855 St. Hwy 13 Herbster, WI City State Zip Code Phone Number ❑ City O Village II Town Nearest Read New Richmond WI 54017 ( ) Clover St. Hwy 13 d denv----vitme- 45 QNowConatm.Lon UsvORu.¢UentaO Number nlitetlrowns ._a.._____ _ Code derived designllnw ralc 450 GPD Replacement ❑Paplq orcommercial -Descnue Flood Plan olevabon it applicable ii Parent nmlw:al_ Sandy Outwash `'or'winconv"e"t' ari°"° ""wd"'°"sConventional system with .7 loading step trenches as needed 103.9'-100,5' .. &vnyi a ❑Bang 105.3 100.31 ---. --_ ()Pit Ground surface elev.—_flaming . Depth to factor 6O In I cloy ft Horizon 1 2 3 4 5 Death In 0-9 9-32 32-60 60.64 64-72 Donuaanl Color Merrell 5yr6l2 Syr 516 5y6?3 5yr 4!4 5y5/4 Redox Description Ou, At Cont. Color - - c2d 5yr 618 = Texans Is s s Is s Stmcturo Gr. Sz. Sh. 0 osg osg 0 osg Conaisionee dl ml ml ml ml Boundary cw gw cw cw - Roots 300 2m 11 - - Soil Applkaaon Ra:u GPo!FI: 'EII#t .7 .7 .7 7 .7 Efi#2 1.6 1.6 1.6 1.6 1.6 2 8ar�rxl o QBann u 105.9 88 98.6 ®RI (hound outface clay. Depth lu lending factor m1 I cloy it 0-812 DominantColo ll 16 /4 W5yr Rwfoz Description Ou Az. Cunt Colo - - Texture Is S s Structure Gr Sz. Sh 0 05 osg Cwtsistonco dl ml ml Boundary cw gw - Reels 3co 2m - Soil Appaaidinn Rabe GPD/Fl° •E dual .7 .711.6 .7 •al#2 1.6 1.6 rvmme trmasn rung Si ul re CST Number Edwald 6. Redmgel ' 221939 ArlUross Gain Evaluation Conducted 7eieplione Number 101511th Ave E Ashland, WI 54806 7HFI9s _-_ _ -_-- 1 Efiluen: #t = 600 s 30 S 220 rtg/L and I SS s 30% 150 mg/L • Effluent #2 = GOD. S 30 CIVIL and TSS S 3omgrL $80-0330 fR041211 Page2 of 3 ❑Boring 10 . E, C IS L�'. 88 95.2 Boring Al ® Im factor Pit Ground surface elev. ft. P to in./ stay.ft. FEB , d [U25 Soil Aooll ication Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu, Az, Cont. Color Texture S Or. Sr- Sh. Q undary Roots GPD/Ft' 'Efrg1 'Effd2 1 0-4 Syr 6/2 Is 0 dl cw 3co .7 1.16 2 4-28 5yr 516 - $ Osg ml gw 2m .7 1.6 3 28-88 5yr514 - s 0sg ml - - .7 1.6 Boring It ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. / elev.f. Still Ann1 lirahnn Rntn I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPD/FI' EI1#1 'Eff#2 Boring p ❑ Boring ❑ Pit Ground surface elev.ft. Depth to limiting factor in. I elay._f. Srril Ann Horizon Depth In. Dominant Color Munsell Redox Description Cu. At Cont. Color Texture Structure Or. Sz- $h. Consistence Boundary Roots GPD/F1' Eff#1 •Etttt2 Effluent #1 = SOD � 305220mg/L and TSS> 305150mg/L - Efguentil2=BOD,s 30mg/L and TSS530 mg/L Ifl ldsQBuiuoZ-OVBg TOP VIEW opfe cf? p 1833 Uflllfl vl CO N WLP1000—MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: SEPTIC 3" HOLDING 5" (ADD 1,300 LB.) COVER: 4" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. 4" CAST -A -SEAL LENGTH: 104" O.D. WIDTH: 86" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL 36" WEIGHT: 6,790 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET OPTIONAL FLAT COVER AND WILL HAVE TWO VENTS IN COVER OVER it IS AVAILABLE FOR EXCHANGE FOR DOME COVER. TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) nTLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS JOB INFORMATION' CUSTOMER: JOB NAME: DATE NEEDED: APPROVED BY: Na I 3/12/25, 10:59 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 3/12/2025 Created On: 3/15/2006 1:15:11 PM r Z Description Updated: 12/16/2024 Tax ID: 11338 PIN: 04-014-2-50-07-03-4 01-000-50000 Legacy PIN: 014102202000 Map ID: Municipality: (014) TOWN OF CLOVER SIR: 503 T50N R07W Description: S 1/4 NE SE LESS V.330 P.267 & LESS HWY ROW IN V.1148 R136 177 Recorded Acres: 5.000 Calculated Acres: 4.206 Lottery Claims: 0 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 109 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 2 -Year Comparison 2024 2025 Change 014 TOWN OF CLOVER Land: 16,000 16,000 0.0% 044522 SCHL-SOUTHSHORE Improved: 3,300 3,300 0.0% 001700 TECHNICAL COLLEGE Total: 19,300 19,300 0.0% Ownership Updated: 12/16/2024 MATTHEW A & TRYST M ANDERSON SUPERIOR WI Billing Address: Mailing Address: MATTHEW A & TRYST M MATTHEW A & TRYST M ANDERSON ANDERSON 494 BAY DR 494 BAY DR SUPERIOR WI 54880 SUPERIOR WI 54880 P Site Address * indicates Private Road 16855 STATE HWY 13 HERBSTER 54844 ® Property Assessment 2025 Assessment Detail Code Cl-RESIDENTIAL G6 -PRODUCTIVE FOREST Updated: 7/15/2019 Acres Land Imp. 2.000 13,000 3,300 3.000 3,000 0 Recorded Documents Updated: 12/18/2013 © WARRANTY DEED Date Recorded: 8/28/2015 2O15R-560170 1148-136 O CONVERSION Date Recorded: 3/15/2006 610-54;775-1043 Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=11338 1/1 n 'Zq-z Industry Services Division County i 4822 Madison Yards Way Bayfield Madison, WI 53705 Sanitary Permit Number (to be tilled w by Co I P.O. Box 7302 Madison, WI 53707 t Sanitary Permit Application State Transaction Number In accordance with SPS 333.21(2). Wis. Adm. ('ode, submission of this font, to the appropriate governmental unit is required prior to obtauung a sanlnaxy penut. Note: Application fonts for state-owned POWTS are submitted to the Depannent of Safety and Professional Seryices. Personal inform Project Address (if different dram mailing address) information you provide may be used for secondary purposes in accordance with the Privacy Law, s. I5.04(1 Kin). Stars, 16855 St, Hwy 13 Herbster I. Application Information — Please Print All Information Property Owner's Name Matthew & Tryst Anderson Parcel e 11338 Property Owner's Mailing Address 1471 140th St. ""pC1' "1ea°"'t Oust Lot NE SE section 3 __ City, State New Richmond, WI Zip Code 54017 Phone Number 651-468-1908 II. Type of Building (check all that apply) Lot e T 50 7 ❑✓ I or _' Family Dwelling - Number Iliedrouuu - N g E or w Subdivision Name ❑f Public/Corumercial-Describe list __._ lock: ❑State Owned - Describe Use 'sty of CSM Number image of ✓Town of CLOVER HI. Type of POWYS Permit: (Check either "New" or "Replacement" and other applicable on fine A. Check one box on line B. Complete line C i applicable,) 'A. ✓Q.Ncw System 1-� l atepincenscnt System IJ Luther Modification to Existing System (explains ❑Additional Pretreatment Unit (explain) B. ❑liuldin g Tank o1n-Oround at-Gnde ❑Mound tcinls ana , Individual Site Design flOther Type lexpleinl C. 7 Tank Iulonmbon Plumber to New 04,e 678 100.5-101.5' Capacity in Total of Manufacturer Oalloas Gallons Units Exi.riug Taub z - Septic m Hobbes Tank n,,.iap fbambe x 1000 1 Wieser Concrete - ✓ 7 r V' L .r 1' lflJ 0I� V. ResoonsihHlty Smteronar- rte. ,,".r... t-__.. ---.__—_. .. .... - ----- ••-r---...•.e .v..u.muaron of file PUN' IS shown on the attached plans. Plumber Name (Prim) Plumber's signamr MP/MPRS Number Business Phone Number Edward B. Redinger 221939 715-292-6670 Plamb<r's Address (Street. City. Stare. Zip ('ode) 1015 11th Ave. E. Ashland, WI 54806 [��Appftwed Couotv/Dt artmeat Ilse Only O Disapproved Permit Fee Doe Issued Mrb L Issui g A ignam ❑ Ownci Given Reason Los Dental $ 025 / 5 Conditions of Approval/Reasons for Disapproval n /fr/6CC$ SSoofDBh S=e's/; -/R I] u292075 D I] u MAY 2 9 2025 D Bayfeld Co. Zoning Dept. Altar m rmnpl..e plus for the .)'.Iem and submit m the Coo nit only on piper mar lea than a ill s Ii lnrheav the SBD•6398 (R. 02/22) PAGE 1 OF 5 In -Ground Dosed -Gravity Plan Index & Cover Sheet Component Manual Design References: l5 1g If O IE In -Ground Soil Absorption for POWTS Version 2.1 (May 2022 27 MAY L y � �1. D Pg 1 of 5 Index & Cover Sheet Bayf;eld Co. Zoning Dept. Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description 3 Bed System with lift - .7 Loading / stepped trenches Owner Name(s): Matthew & Tryst ANderson Phone: 651 -468 _1908 Owner Address: 1471 140th St. New Richmond, WI Zip: 54017 Project Address: 16855 St. Hw Govt. Lot: NE 1/4 of SE Township: Clover Project Parcel ID #: 11338 13 Herbster, WI 1/4, Section 3 , T50 N -R7 E ❑or W ❑✓ county: Bayfield Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11th Ave. E. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone:715 _292 -6670 Zip: 54806 Signature: - Date: 5/23/25 Original signature required on ach sub submitted copy. Ni SUPERIOR PLUMIII C M(CHAH.C.�L (715) 278 - 3456 Customer Name: Matthew & Try stAndersnn Adress: 1471 140th 5t New Richmond WI 54017 511(: 16855 St Hwy 13 Herbster, WI Phone N. 651-06&1908 Email: archivesmusicwahocom Al CST* 22)939PIN L� Scale 1'.40' {Vd 9 d / / /I 5A )1738 1 P K S !sf S sas poly �o NC SC S3 S0N R'W Town of Cloves Bavfslrl Co A U.nl: ice iePeC ≤k _l AJ. 17, pp • °"d"1 lujjul MAY 292025 $ %rs S `�`r' �G'�b CY s Bayfield Co. Zoning D F /OO.5--A) I9' 5icIp aJ Nosclssl rl S 1VF4) 4.a ye ei i �tpa w `„k ,o3. '4-y '.� 4'. '7 K n a.t IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 12" TYPICAL TRENCH mmdepth trench CROSS SECTION VIEW I'p'ca (No Scale) min. 12" (typical) In "n ? .. . (typical) Septic Tank(s) Manufacturer: Wieser Concrete Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: Polv Lock Effluent Filter Model #: 525 Provide minimum 3 ft separation between trenches. Highest Trench Lowest Trench (as applicable) LL__i/des System Elevations ='ia5 ft; if; ft; ft; ft Quick4 Standard -W w/ End Cap (typical) (Show location of inlet / outlet pipe connection on plan view.) t— — — — — — — — — — s = 44 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ft' EISA/chamber = 220 ft' + 3 Pairs of end caps @6 ft' EISA/pair = 18 ft' Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) A=3.0ft Co Quick4 Standard Chamber -W (typical) N (mid by infiltrator Systems, Inc.) Install pursuant to manufacturer's instrudions. ro O CD a = Proposed EISA per trench = 226 ft' Required Infiltration Area = 642 ft' x 3 trenches = Proposed Total EISA = 678 ft' n " m -< c NC c o O c n G�iu Distribution Method: drop boxes El PAGE4OF5 GRAVITY -DOSED SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) a"9 Vent Pipe - D >10 itfrom BMAY Buildinging Electrical must comply with 292025 12" Min. or 2.0 ft above SPS 316 and NEC 300(ty Established Flood Elevation Extend manhole riser as ne Weatherproof gi' Id Co. Zoning Dept cal) Approved Vent Cap Junction Box Approved Locking Manhole IMPORTANT: with Warning Label Attached Anchor tank(s) as necessary (typical) pursuant to SPS 383.43(8)(g) — —conduit 4• Mn. or 2.0 ft above Established Flood Elevation (typical) Finished Grade TAirtight at Quick Disconnect CAPACITIES 16.76 @ gaUn % • (tl"Mn. Depth (in) Volume (gal) A 18 301 Weep Approved Joints with B 2.0 33 Hole Approved Pipe 3 It onto A Solid Ground [C] 6 100 (typical) D 10 167 81 I Alarm —On PUMP -OFF *Pump Tank Liquid Level = 36 Pump in =r b -°ft ELEVATION = ft 97.8t. Force Main Diameter = 2 in D. Concrete Block INSIDE BOTTOM 97 ELEVATION = ft Force Main Length = 50 ft 3"Approved Bedding Material Beneath Tank Force Main Void Volume = 9 gal [C] Total Dose Volume (TDV) gal/dose L (10.2X design flow + force main void volume) Vertical Lift = 6 ft PUMP TANK: Volume = 600 gal Manufacturer: Wieser Concrete Pump Manufacturer: Goulds Pump Model: EP0411 F (See a1laUed pump curve.) Controls/Alarm Manufacturer: SJ Rhombus Controls/Alarm Model: PS Patrol Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume = 1000 gal Manufacturer(s): Wieser Concrete Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet Filter Manufacturer. Poly Lock Filter Model: 525 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 5220 mgL''; TSS S 150 mgL 1; FOG S 30 mgL^ Inspection Checklist INSPECT EVERY 3 YEARS j1 2 r� I2 pp D o type of use IIU}I/I L5 ly f5 U D o age of system o nuisance factors (i.e. odors, user complaints, etc.) MAY 2 9 2025 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) Bayfield Co. Zoning Dept. 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: Superior Plumbing & McCh. Inc. Phone: Local government unit: Bayfield Co Zoning Phone: Local government unit address: 117 5th St. E. Washburn, WI 175-292-6670 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. -wtlo Ip 9b9uu9 U uu JUL 1 92024 Wisconsin Department of Safetyand Professional Services Divisional IndustryServices Bayfleld Co. Zoning Dept. ' :1'3P* SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code 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. scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. 1 IaI l I rn// Property Owner Property Location LJ IJ Matthew & Tryst Anderson Govt. Lot NE i SE i 53 T 50 N R 7 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 1471 140th St 651-468-1908 16855 St. Hwy 13 Herbster, WI City State Zip Code Phone Number O City O Village l!J Town Nearest Road New Richmond WI 54017 I 1 Clover St. Hwy 13 Q NewConstruction Use: ❑J Residential/Numberofbedrooms 3 Code derived designilow rate 450 GPD ❑Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable fl. Parent material Sandy Outwash General comments and recommendations: Conventional system with .7 loading step trenches as needed 103.9'-100.5' ri Boring # nPng lt ■ Pit 105.3 60 100.3 Ground surface elev.ft. Depth to limiting factor in.! elev.ft. Soil Application Pale Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFP •Eff#1 'Eff#2 1 0-9 5yr 6/2 - Is 0 dl cw 3co .7 1.6 2 9-32 5yr 516 - s Osg ml gw 2m .7 1.6 3 32-60 5yr6/3 - S Osg ml cw 1f .7 1.6 4 60-64 5yr 414 c2d 5yr 6/8 Is 0 ml cw - .7 1.6 5 64-72 5yr 5/4 = S Osg ml - - .7 1.6 Boring # ❑Boring 105.9 88 98.6 JJPit Ground surface etev. ft. Depth to limiting factor in.! elev._ft. Soil Anntication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPDIFtr Eff#1 Eff#2 1 0-8 5yr 6/2 - Is 0 di cw 3co .7 1.6 2 8-33 5yr 5/6 - s Osg ml gw 2m .7 11.6 3 33-88 5yr 514 - s 0sg ml - - .7 1.6 CST Name (Please Print) Si at re CST Number Edward B. RedingerS. 221939 Address Date Evaluation Conducted Telephone Number 1015 11th Ave. E. Ashland, WI 54806 7/15/24 1715-292-6670 Effluent #1 = BOO' 30 5 220 mg1L and TSS > 30 5150 mgfL ' Effluent #2 = BOD, 530 mg!L and TSS 5 30 mglL SBD-8330 (R04/21) In IkIII'YJI 3 lJ Page 2 of ❑Boring 102.5flU JUL 1 92UZ4 95.2 Boring # Q Pit Ground surface elev. ft. Depth to limiting factor 88 In. I elev._ft. Bayfield Co. Zoning Dept. I Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' E##1 'Etf#2 1 0-4 5yr 6/2 Is 0 dl Cw 3co .7 1.16 2 4-28 5yr 5/6 - s 0sg ml gw 2m .7 1.6 3 28-88 5yr 5/4 - s Osg ml - - .7 1.6 Boring # ❑ Boring �__ ❑ Pit Ground surface elev. ft. Depth to limiting factor —in. I elev. ft. Soil Application Role Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft' EIf#1 Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 Effluent #1 = BOD > 305 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BOD, S 30 mglL and TSS 5 30 mglL Customer Name: Matthew & Tryst Anderson Adress: 1471140th St. ddd New Richmond, WI 54017 SUPERIOR SITE: 16855 St. Hwy 13 Herbster, WI PLUMBING MECHANICAL Phone #: 651-468-1908 (715) 278 - 3456 Email: archivesmusic@vaho.com CST#221939 Scale: 1" = 40' PIN: 11338 5 Acres NE SE 53 T50N R7W Town of Clover Bayfield Co. 13 r.V L w�✓ R var Bayfield Co. Zgning Dept. eo,,re-t k0/ SytAL el #9) l r'ona&es qs n Lal l63.9 .7 ,L".t ft ` '� / • � opal 5%PeT rb� 34 A M 6.5"(16.51cm) SEALED BALL MATERIAL - HDPE POLYLOK PL- 525 - 625 CUTAWAY 33.02 [83.9 cm: 20.71 •'52.6 cm] (10.16 cm) BALL HOUSING _ TRAVEL FILTER CARTRIDGE MATERIAL - POLYPROPYLENE r 5.7 [ 14.7 cm] r MATERIAL - FILLED POLYPROPYLENE BALL PUSH ROD FACTORY INSTALLED SECTION A -A MATERIAL - FILLED POLYPROPYLENE 4" AND 6" FACTORY OPTIONAL BUSHING INTAtLED PIPE OUTLET (FOR 4" THIN WALL PIPE) MATERI AL PART NO. 30142-R OR OPTIONAL FLOAT SWITCH (FOR 110 MM. PIPE) PART NO. 30142-EUR 0 0 3 Gfiv a N .cc N O Q N Cn J WLP1 000/600 -MR TANK SPECIFICATIONS 12'-6" DIMENSIONS: WALL: 3" 4" CAST -A -SEAL 4" CAST -A -SEAL BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER j�-L--1-----------f�j�-J--------� HEIGHT: 51" Ih l a i I LENGTH: 12'-6" I , II it i f WIDTH: 7'-0" I,--�� mSy9 C Iii�+ - iBELOW INLET: 42"LIQUID LEVEL: 36" II I I QI WEIGHT: BOTTOM 9,500 LBS. _�i ,il� T iI COVER 5,470 LBS. ORIi INLET AND OUTLET: •I I FILTER LE IFII ii ' 4" CAST -A -SEAL BOOT OR EQUAL GASKET I BAFFLE II II II III II •�__ ---�----_--__�___=,�-1 INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL #10 (OTHER STATES SEE CHART) TOP VIEW LIQUID CAPACITY: 27.88 GAL/IN (SEPTIC) 16.76 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL 4" VENT 1 Za OUTLET o¢ V e ACTURED TO MEET TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP. OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE 0 w rc 0 3 � I J Q O O Z �--�� 'C REVIEWED BY o O n n '.uu REVIEW DATE O1= a w U) N ry DRAWINGS SUBMITTED D_ o P FOR APPROVAL cp N C� APPROVED BY: SHEET NO. v, APPROVAL DATE: 1 �-) •Cj PRODUCTS NEEDED BY: Wastewater METERS FEET 1111 MAY 2 9 2 025 10 Bagield Co. Zoning Dept. 2.5 FT 25 0 7 w ' 2 U 6 20 Z 5 D 15 4 EPOS O ~ 3 10 2 EP04 5 t 0 0 0 10 20 30 4 o so GPM 0 2 4 6 8 CAPACITY MODEL INFORMATION Order HP Vohs Amps Minimum Circuit Phase Float Switch Cord Discharge Minimum Minimum Minimum Maximum Shipping Number Breaker Style Length Connection On Level O8 Level Basin Solids Weight Diameter Size Ibs.kg EP0411 Plug.' No Switch 10' Manual Manual 20/9.1 EP0411A Piggyback/ Wide -Angle 10' 12" 6' 21/9.5 115 12 20 EP0411F Plug / No Switch 20 Manual Manual 20/9.1 4 1 1%" 15" �" EP0411AC Piggyback / Wide -Angle 20' 12' 6' 21/9.5 EP0412 Plug/ No Switch 10' Manual Manual 20/9.1 230T610 EP0412F Plug/ No Switch 20' Manual Manual 20/9.1 EP0511F Plug/ No Switch 20' Manual Manual 22/10 .5 115 13 20 EP0511AC Piggyback/ Wide -Angle 20' 12' 6' 23/10.4 EP0512F 230 6.5 10 Plug / No Switch 20' Manual Manual 22 / 10 10 PAGE 3 B-YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: ANDERSON,MATTHEW A & TRYST M 1471 140TH ST NEW RICHMOND, WI 54017 Description Sanitary Revisions Submission Number: SS -00508 Transaction Number: SS-00508-2CEEA Amount $25.00 Total: $25.00 Payment Amount: $25.00 Reference: 10286 Paid by: Superior Plumbing & Mech Inc., 1015 11th Ave E, Ashland, WI 54806 Payment Type: Check Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 6/4/25, 2:54 PM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-25-8SR STATE SANITARY PERMIT OWNER: MATTHEW A & TRYST M ANDERSON GOVT LOT: LOT: BLK: NE1/4 SE1/4 SEC:3,T50 N, R7W TOWNSHIP: Clover SOIL TEST: 117-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: EDWARD B REDINGER TRACY POOLER DATE:6/4/2025 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow Installation of the private sewage system described In the permit. b. The approval of the sanitary permit Is based on regulations In force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validityof 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 #: 25-8S LICENSE: # 221939 Condition: SYSTEM ELEVATION SHALL BE > OR =TO 1' BELOW GRADE AND < OR =TO 2' BELOW GRADE OF ORIGINAL CONTOUR. MAINTAIN PROPER SEPARATION FROM WELL AND EDGE OF STEEP SLOPE. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. REVISION TO 25-8S ISSUED 3/12/2025. THIS PERMIT EXPIRES 6/4/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•//wun,u r!armnrivinr. rnm/PArmitAnn/PArmit Sinn acnv7Printa1 Rnprmitnnniri-74Q1 1/2 C' r,-rarilnnr� ra S5- oo5o8 Industry Services Division County I8=P FEB i tl 2025 4822 Madison Yards Way U Madison, 53705 Bayfield Sanitary• Permit Number Ito be filled ul by Ca.! = P.O. Box 7302 N. Bayfleld Co. Zoning D pt Madison. WI 53707 25 -8 S Sanitary Permit Application State Transaction Number In accordance with SPS 3143.21121. Wis. Adm. ('ode. submission of this (amt to Ike appropriate povenwlenlal unit is required prior In oblawhg a sedtary permit. Note: Application forms for state-mvmed POWTS are submitted to Project Address (if different titan mailing address) the Department of Safety and Professional Services. Personal mfornlanon you provide any be used (or secondary Purposes in arcordonVC with the Privacy Law. S. 15.0411 not). Slats, 16855 St. Hwy 13 Herbster 1. Applicalton Information — Please Print All Information Property Owner's Name Parcel: Matthew & Tryst Anderson 11338 Property Owner's Flailing Address Property Location 1471 140th St. Goat. Lot city. State I Zip Code Phone Number New Richmond, WI 154017 651-468-1908 NE ,.,SE '.,• Secliml 3 T50 N R 7 E o tic U. Type of Building (check all that apply) Lot a ✓OI or 2 Fantily Dwelling — Number ofBednmm:: 3__ _._ Subdivision Name l'nbl:c/C'nmmercial — Describe Cse BIwL If)'U( ❑ ealt Owned— Describe Use Village ('SM Number of a iiofCLOVER III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable an line A. Check one box on line B. Complete line CII a livable. A. ✓ Vro' System r—� I pt<}Jacgnenl System jjotur Modification to Existing System Iexplainl QAdditimral Pretreatment Unit lexPlawl ' ❑noldine Tank I2In-Ground ❑ it-Gwdc ❑Flound Individual Site Design Other Type lexplaint tconventionall C • jj Renewal Before DRerision 'hangs of Plumber ❑Ttwwfer to New Owner isr Previous Permit Number and Date Issued Expiration IV. Dis ersnlfreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sfl Dispersal Area Reputed (sD I t)i:perz1l Area Proposed Isf) I System Elevation 450 .7 642 678 100.5-101.5' Capacity in Total a of Fhmufacauer Tankhlmination Gallons Gallons knit ` Sew T.I. Exi.uua Taut'. '—L, C Yd ;r _ L'r n7 s Septam B"Idt.c T.wk x 1000 1 Wieser Concrete ✓ noace c Iun:hn V. Responsibility Statement- I. the undershmed, assume responslbIlIty for Installation of the POWIS shown on the attached plans. Plumber's Name (Print Plumber's Signature FIPAIPRS Number Business Phone Number Edward B. Redinger Lidftrz.1%221939 715-292-6670 Plumber's A klress (Street. City. State. Zip Codel 1015 11th Ave. E. Ashland, WI 54806 S'lj2ouotyIDepartment Use Only IIYApproved 0 Disapproved Permit FCC c 5�,00 Date Issued `-� Issn(u ge ❑ Natter Giw<n Rneamfar Den451 z Conditions of Approval/Reasons for Disapproval SL(SieM e&vah'Y) L } &, tao 0 (L G. ( of`r- ►v ,,+tih 9 « On -F an wen gad edct of Sksp Se c..eta ewes. Artarh m wmplrle plum for II., p.tem and su4mn m the ['vasty only en paper uat Ina rhao a In all loebea In am $c wwoo t2.l2.oZ 5S SBD•6393 (R. 02123) Industry Services Division 482? Madison Yards Wa County Bayfield FEB 1 0 2025 Madison, WI 53705 Sanitary Permit Number (to be filed in by Co.) P.O. Box 7302 Bayfield Co. Zoning D pt. Madison, WI 53707 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 stare -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 1 6855 St. Hwy 13 H erbster purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. I. Application Information — Please Print All Information Property Owner's Name Parcel # Matthew & Tryst Anderson 11338 Property Owner's Mailing Address Property Location 1471 140th St. Govt. Lot City, State I Zip Code Phone Number New Richmond, WI 54017 651-468-1908 NE —/-SE y,, Section 3 T 50 N R 7 E or W H. Type of Building (check all that apply) Lot # �i or 2 Family Dwelling — Number ofBedroomss s Subdivision Name ❑Block Nblic/Commercial — Describe Use # Jcity of State Owned — Describe Use jVitlage of CSM Number ✓QTown of CLOVER 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' a licable. A. ✓ New System i ]Replacement System LJ Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' old u1g Tank ❑✓ In -Ground jkt-Grade IDMound JIndividual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before []Revision hange of Plumber ❑Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. D ersalffreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) System Elevation 450 .7 642 1678 100.5-101.5' Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer a E o'er u ' y E in rn a a Nan, Tanks I Existing Tanks U � ii V Septic or Holding Tank x 1000 1 Wieser Concrete ✓ 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 Signature I MPMIPRS Number I Business Phone Number Edward B. Redinger 221939 715-292-6670 Plumber's Address (Stmt, City- State- Zip Codel 1015 11th Ave. E. Ashland, WI 54806 VI. County/Department Use Only ❑ Approved 0 Disapproved Permit Fee S Date Issued Issuing Agent Signature 0 Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval Attach to complete plans far the system and submit to the County only on paper not less than 81!2x 11 inches In size SBD-6398 (R. 02/22) PAGE 1 OF 4 In -Ground Gravity Plan C C I d I D Index & Cover Sheet FEB 1 8 2025 lyt Component Manual Design References: Bavfiefrj Co. Zoning Dept. 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: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description 3 Bed Quick 4 Infiltrator system with .7 loading Owner Name(s): Matthew & Tryst Anderson Phone: 651 -468 -1908 Owner Address: 1471 140th St. New Richmond, WI Project Address: 16855 St. Hwy Govt. Lot: NE EJ1/4 of SE Township: Clover Project Parcel ID #: 11338 13 Herbster, WI Zip: 54017 1/4, Section3 , T50 N -R7 Euor W IV County: Bayfield Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11th St. E. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone:715 -209 -6670 Zip: 54806 This space reserved for approval stamp. Signature: J3 V?,.4.c_. Date: 2/17/25 Original signature required on each miffed copy. uflfl 1111 FEB 1 d 2025 '`' SUPERIOR PLUMBING MECHANICAL (715)278-3456 Customer Name: Matthew & Tryst Anderson Adress: 1471 140th St. New Richmond, WI 54017 SITE: 16855 St. Hwy 13 Herbster, WI Phone #: 651-468-1908 Email: archivesmusic®yaho.com CSTU 221939z ' r� 7Dd Scale: : 1" = 4 40' 3 /� "% 1 PIN: 11338 S Acres NE SE 53 TSON R7W Town of Clover Bayfield Co. /' 1� 1 �/ A 3. A) = /G10 to E( J/0.6 ar Cf 1� . ir.eeekaS H`/'+L'vbCPs /60.5 -,b 3.9' SAq, qs AJz.edea! lJ SaS poly 2e ror/iy L: a OA)n-tr IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 12" (typical) 12" TYPICAL TRENCH maepach CROSS SECTION VIEW (typical) (No Scale) I — I . (typical) , °• e Highest Trench System Elevations= 102.5 ft; 102 ft; 101.5 ft; Septic Tank(s) Manufacturer: Wieser Concrete Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: Polv Lock Effluent Filter Model #: 525 Provide minimum 3 ft separation between trenches. Lowest Trench (as applicable) ft; Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (f Ca) I yP r-----------e--------77----- I t---------------------�j�--- g= 44 ft INSTALL PER TRENCH: (typical) 11 Quick4 Std -W @ 20 ft' EISA/chamber= 220 ft2 + 3 Pairs of end caps @6 ft2 EISA/pair = 18 ft� ft Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) A= 3.0 ft 1 (typical) — — — — CD T' GD C. m m "—Quick4 Standard Chamber -d CO -W o a; c, (typical) o 0 (mfd by Infiltrator Systems, Inc.) CO r".) Install pursuant to manufacturers instructions. �p GFJ = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 642 x 3 trenches = Proposed Total EISA = 678 ft2 Distribution Method: ft2 drop boxes 0 PAGE 4 OF 4 In -ground Gravity Management PI L C E 0 V L D IMPORTANT: FEB 18 2025 The owner of this in -ground gravity system shall be responsible for its perpetual operation and%Intn,nc, purs�lpnt to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admi�dW,tISis3%fYWh4l 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; BODS 220 mgL''; TSS 5150 mgL-'; 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 / 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 (113) 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: Superior Plumbing & Mech. Inc. Local government unit: Ashland Co Zoning Phone: 175-292-6670 Phone: 715-682-7014 Local government unit address: 201 Main St. W #109 AShland,Wl ZIP: 54806 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. •512- OOSoS Wrscansln Department of Safety and Prolessonal Services 11 FEB 18 2025 Up age 1 pf2 0 Dwrsio n of Inx ustr Services • "I SOIL EVALUATION REPOR-F3ayfield Co. Zoning Dept In accordance with SPS 385. Wis. Adm. Code County Alloeh complete situ plan on paper net less than 8 t/2 x 11 inches In size. Plan must include. Bayfleid but not limited to. vertical and horizontal reference point (BM). duocton and percent slope. Parcel I.D. style or drmnnswns. front, arrow. and location and distance to nearest mad. 1133 Please print all information. Ravi tl . rv,awlai nnormaton you prance may on uses cat secondary purposes (Privacy Law, s 15.04(1 rn ). I LA.LThJ %'I&r&..._— . 1 L zf, z 5 Property Owner Matthew & Tryst Anderson Property Location Govt. LWI NE . SE to 53 E T 50 N R 7 E(or) W Property Owner's Malting Address 1471 140th St 651-468-1908 Site Address of CSM and Lot IS 16855 St. Hwy 13 Herbster, WI City New Richmond State WI Zip Cato 54017 Phone Number t ) O City ❑ Village It Town Clover Nearest Road St. Hwy 13 [New Gnriitrur.Lon Use Rtwdantiall Numberolhedroans 3 Code derived designitowrate 450 GPO LiReplacement O Pusu; or commercial - Describe. _ Flood Plan elevation if applicable h Parent ntater•at-S. andy Outwash Genera, c0mtnanla alto nacavmmndntiO°° Conventional system with .7 loading step trenches as needed 103.9'-100.5' Oborin1 Bom g a [Pit , Ground surface elev.105 a 100.3 ft. Depth to limiting factor 60 in l elev.ft Horizon Depth In Dominant Color Munsell Redox Description Cu. Az. Cant Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots nppiamwn Hero GPD,,Ft- 'Filet 'Eea2 1 0.9 5yr 6/2 - Is 0 dl cw 3co .7 1.6 2 9-32 5 r!6 - S osg ml gw 2m .7 1.6 3 32-60 5yr6/3 - s osg ml cw 1f .7 1.6 4 60.64 5yr 4/4 c2d 5yr 6/8 Is 0 ml cw - .7 1.6 5 64-72 5yr 5/4 = s Osg ml .7 1.6 2 Bmesl o ❑Boning 105.9 98.6 ®RI Ground surface olev.It. Depth to lending factor _n1 I mevIt Horizon Deno+ Ir. Do n nam Color Munsull Rudox Doscnpton Go Az. Cam Color Texture Structure Or. Si. Sn Consistence Boundary Roots our' nppiicnuon Kale OPD/FF 'Eclat •'c tta2 1 0-8 5yr 6/2 - Is 0 dl cw Co3 .7 1.6 2 8-33 5 r 5/6 - s osg ml gW 2m .7 11.6 3 33-88 5yr 5/4 - s osg ml - - .7 1.6 CS? Name (Pleas" Pnntl Si rn CST Number at Edward B. Redmget 221939 Adraose Date Evaluation Conducted ITelephone Number 1015 11th Ave E Ashland, WI 54606 7/15/24 715.292.6670 Effluent Al '601) o- 30 S220 rngn, and 155 a 30s 150 mg/L • Effluent 92 = BOD. S30 mg/t. and TSS s 30 mgil SBO-63301RU4.21 Page 2 of 3 Boring 3 I Boring # 0 Pit Ground surface elev.ft. l / LX to lim factor 88 in. / elev. 95.2 tl. FEB 82025 c,ai e Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture S Gr. Sz. Sh. €014Pu -undary Roots GPD/FF Eff#1 'E##2 1 0-4 5yr 6/2 Is 0 dl cw 3co .7 1.16 2 4-28 5yr 5/6 - s Osg ml gw 2m .7 1.6 3 28-88 5yr 5/4 - S 0sg ml - - .7 1.6 Boring# Boring /t Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FF 'Eff#1 Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev-_R. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots np)JIIlatluII note GPD/FF Eft#1 E##2 Effluent #1 = BOD' 30s220 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BOD. 5 30 mglL and TSS S 30 mg/L CIIU k0w[J�01 If?) FFH , d [D25 L Customer Name: Matthew & TrystAnderson Adress: 1471 140th St. New Richmond, WI 54017 SUPERIOR SITE: 16855 St. Hhvv 13 Herbster WI PLUMBING MECHANICAL (715)278-3456 Phone H: 651-468-1908 Email: archivesmusicCB�vaho.com CSTH 221939 Scale: 1" = 40' PIN: 11338 5 Acres NF SE S3 TSON R7W Town of Clover Bayfield Co. . '13drt..as m f ��P l �cno�ws 4s n dul ,o3.9' .2 fl.d 3.1 a� pa� S/oPe91 is rctv./'5f L, ¢--i�wns..r Dept. 7da4 Bwuoz 0O Playdeg TOP VIEW Pp R 83j `aI "fli:w :j i 23. c ,#) SIDE VIEW WLP1000-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: SEPTIC 3" HOLDING 5" (ADD 1,300 LB.) COVER: 4" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. 4" CAST -A -SEAL LENGTH: 104" O.D. WIDTH: 86" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL• 36" WEIGHT: 6,790 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET OPTIONAL FLAT COVER AND WILL HAVE TWO VENTS IN COVER OVER ID IS AVAILABLE FOR EXCHANGE FOR DOME COVER. TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) OUTLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: M FOR CUSTOM TANKS CONTACT WIESER CONCRETE PUMP PAD JOB INFORMATION: CUSTOMER: JOB NAME: DATE NEEDED: APPROVED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 01 Private Sewage System Maintenance Agreement Owner(s) Name h-rr At.1 DEtSo—S Owner(s) Mailing Address L3q,i4 i3,Or, Or , S,pencr, / WL J5tg80 ((0855 I-k(kmmQ w= 54944 laxlu# 1 i 338* As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil testers report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) /yG 1/4 of St 1/4 Section 1 Township Sb N. Range 9W. I I J/ Additional Legal Description: C �2 A S /z ' S /7_ L Town of_______________ V Gr (Acreage) Gov't Lot Lot _ Block_ Subdivision Lot CSM # _ Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2025R-606596 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 02/19/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed O 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 and maintained as necessary and in accordance with manufacturer's specifications. Fitter 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. Owners) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such properly. Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: vo,�,r Ajm2sc� o� �0 6 ��a2s --s Notarized owner_stature(s) Notary Pu lic Q _ `C/// My Cam ion Expires::�—a�i-, D I (0 f L o 2 Drafted by: �d ?sA• Date: 07 /� E C° E u W t 10} ku FEB 2L'2025 U Proofed by: ulformsfsanitary/septirrnaintenceagreement Revised July 2020 Bayfield Co. Zoning Dept. 3112125, 10:37 AM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-25-8S, STATE SANITARY PERMIT OWNER: MATTHEW & TRYST ANDERSON GOVT LOT: LOT: BLK: NE 1/4 SE 1/4 SEC: 3, T 50 N, R 7 W TOWNSHIP: Clover SOIL TEST: 117-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: EDWARD B REDINGER CECE RUDNICKI DATE: 3/12/2025 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 221939 Condition: SYSTEM ELEVATION SHALL BE > OR = TO 1' BELOW GRADE AND < OR = TO 2' BELOW GRADE OF ORIGINAL CONTOUR. MAINTAIN PROPER SEPARATION FROM WELL AND EDGE OF STEEP SLOPE. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. THIS PERMIT EXPIRES 3/12/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•//www rarmnrmvinr rnm/ParmitAnn/Parmit Sinn acne?Print-lAnarmitnnniri=7d4R 1/2