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HomeMy WebLinkAbout25-133SRequest 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(&bayfieldcounty.wi.gov Note Time Change fl Discrepancy fl Other Phone Number 715-739-6868 Plumber: Doug Manthey Fax Number Email Address Homeowner: Michael J Rogers norpines@chegnet.net Immediate Phone Number So Zoning Sanitary 25-133S Dept can call you right back (if needed) Permit #: Plumber's Choice ning Dept No Inspection(s) during this time 09/23/26 Plow Date: (� Tuesday (9:30 am - 12:15 pm) (Tracy) 09/24/26 Cover Plumber's Choice Zoning Dept Time: 89L2���6�e� 6 09/24/26' Q0 Township: Grand View Address # & Road Name: 48300 Atkins Lake Lane or Directions To Site: D I Comments: Mound Dispersal Cell Install ** Plumbers you must verify any change(s) by fax or email ** Notes from July 2025 MICHAEL J ROGERS 48300 ATKINS LAKE LN CABLE WI 54821 e Onsite Wastewater Treatment -ns ( POWTS). Inspection Report (Attach to Permit) c enerarrntormation— oe.,.,...e1 :.,6..... tAmn.......,m.dAp n wo he nsed few sennndary nmmnsr_a r Privacy I.aw_ s. 15.04 (11Gn1 l Permit Holder's Name: City Village jjTown of. CST SM Elev: Insp SM Elev: SM Description: f Tv vQ Tnnk Information TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Sc i F . N/A Dosing N/A Aeration N/A Holding setback to: County pp Sanitary errnit No: State Plan'Transaction ID#: Parcel Tax No: Pump! Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Wi j Length # of Cells SETBACK FROM Prop.. Linp Building) Well >160 OHWM Type of Cell Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number: Dia Elevation Data STATION BS HI FS ELEV Benchmark /oq. , Bldg. Sewer J& Tank Inlet ii. g c 2 Tank Outlet /• ` 2. Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manifold a. 7 to / -C Distribution Pipe Infiltrative Surface lop Final Grade X Pressure Systems Only ❑ Yes ❑ No wu %,uve1 Depth Over I Depth Over I Depth of I Seeded / Sodded I Mulched Cell Center I Cell Edges I Topsoil 0 Yes 0 No I 0 Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.)o r(i-c fl Avi ..-i} Ian son for ded? 0 Yesl o I i se other side for additional info lion. `j� Date / WTS Inspector's Signature 3Rrl.l,]9n (R M/791 $ /QOK ,4V- O 1 k -> i. c / License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61$8 Fax: (715) 373-0114 e-mail: zoning(albavfieldcountv.org Web Site: www.bavfieldcountv.org1147 MICHAELJROGERS 48300 ATKINS LAKE LN CABLE WI 54821 Hayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn. WI 54891 As you know 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: LI LI Tank was pumped by: Tank was crushed I 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/forms/sanitarypropertyawner-input April2019 • rp�SAR �I£ P� '55 Department of Safety county Ba eld & Professional Services, Sanitary Permit Number (to be filled in by Co.) RECEIVE Industry Services Division / s o�s it Application State Transaction Number PW-I-S-082501945-C In accordance with SP 83.21(2), Wis gp4�, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a + l � p lion forms for state-owned POWTS are submitted to the Department of Safety and I'r6ssioYuil Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats. I. Application: Information -Please Print All Information Property Owner's Name Parcel # Michael J Rogers Tax ID 38733 Property Owner's Mailing Address Property Location 48300 Atkins Lake Lane Govt. Lot City, State Zip Code Phone Number Cable, WI 54821 815-988-6676 '/•, v., Section 19 T 44 N R 05 E o IL Type ofBuilding (check all that apply) Lot # ® 1 or 2 Family Dwelling —Number ofBedrooms 3 Subdivision Name Block # ❑ Public/Commercial — Describe Use 0 City of ❑ State Owned —Describe Use 0 Village of CSM Number ® Town of Grand View ILL Type of POWTS Permit: (Check: either. "New" or "Replacement" ana °other appl cable;on line_A. Check "one box Online B Complete line C licable.)= . . A. ❑ NewSystem ❑ Replacement System p y ® Other Modification to Existing System (explain) O Additional Pretreatment Unit (explain) Adding Mound Dispersal to Holding Tank B. ❑ Holding Tank O In -Ground O 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 22-129S 09/14/22 IV. Disp ers_auTreatment Area and:Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 1.0 450 450 100.9 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units New Tanks Existing Tanks aU v5� on wt5 a Septic or Holding Tank 1250 1250 1 Wieser Concrete X Dosing Chamber 750 750 V. Responsibility Statement -__I, the undersigned, me resgo ility, for ins ` tto of he POWTS spawn on the attached plans. Plumber's Name (Print) Plu be s Sign MP/MPRS Number Business Phone Number Douglas Manthey MP 230722 715-739-6868 Plumber's Address (Street, City, State, Zip Code) PO Box 196 Drummond, WI 54832 VL County/Department Use Only- ;. Approved ❑ Disapproved $ermit Fee Date Issued�p,L Y�, �Y�✓ ing t Si f! _DOwnerGivenReasonforDenial 50 q Zltj ',1,5 ^f " 'i s Conditions of Approval/Reasons for Disapproval f r if44; t4Y vim- oZ 9/e9, I,i,9t,i- k2c0thzc,h4 Attach to complete plans for the system and submit to the County only on paper not less than 8 12 x 11 inches in size SBD-6398 (R. 03/22) Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 August 27, 2025 CUST ID NO.: 230722 DOUGLAS E MANTHEY P.O. BOX 196 DRUMMOND, WI 54832-0196 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/27/2027 MUNICIPALITY: TOWN OF GRAND VIEW BAYFIELD COUNTY SITE: ROGERS MOUND 48300 ATKINS LAKE LN GRAND VIEW, WI 54839 S19 T44N R05W LOT #3 CSM #2224 IN V.13 P.26 (LOCATED IN LOT 9 ASSESSORS PLAT) IN DOC 2022R- 593433 FOR: RECEIVE® Phone: 608-266-2112 RR Web: http:l/dsps.wi.gov Email: ds sp �rwisconsin.gov SEP 172025 Tony Evers, Governor Bayfield Co. Dan Hereth, Secretary Planning and Zoning Agency Identification Numbers Plan Review No.: PWTS-082501945-C Application No.: DIS-082534327 Site ID No.: SIT -149492 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Design Wastewater Flow Value: 450 Mound Component Manual - Version 2.1 (May 2022-2027) Bedrooms: 3 and bathroom in garage. Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) Limiting Factor(s): 12 inches Maintenance Required: Effluent Filter SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS (Version 2.1), (May 2022-2027)". • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a'/4 -inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. o A state -approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 RECEIVED • Insulate building sewer beyond 30 feet per SPS 382.30 (1 1)(c) 2025 • Well setbacks to meet chs. NR 811 & 812 SEP 17 • Tank Installation to follow all manufacturer's requirements. Bayfieid Co. Planning and Zoning Agency o Verify property line(s) prior to installation. o All SPS Table 383.43-1 and VDNR setbacks must be met. Downslope basal area of mound roust be > 5to pil. • Pump Floats to be set and verified per the approved plan. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • The proposed system area shall be fenced off or protected from construction activity on the site. • Provide surface water diversion around the treatment tanks and mound dispersal component. • The mound length shall be oriented within 1 percent along the surface contour per SPS 383.44(6)(a)(2.) • This approval is for DOMESTIC WASTEWATER only. Discharge of any process water, industrial byproducts or hazardous substances is prohibited. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/mstallation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 10 1.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 /tom Timothy Zoromski Division of Industry Services Phone: Email: timothy.zoromski@wisconsin.gov Wisconsin Departrnentof Safety and Professional Services +-- 1 Division of Industry Services r$ptSOIL EVALUATION REPORT 2cco.:rdance wSPS 385, Wis. Adm. Code Attach complete site plan on paper not ize. Plan must include. but not limited to:•vertical and horizontal n and percent slope, scale or dimensions, north arrow. and location at road. Please print all Information. RECEIVED SEP 172021 ef3 I se Bayfieid Co. Planning and Zoning Agency Parcel I.D. 04-021-2-44-05-19-4 00-120-09100 Reviewed by Dr Personal Information you provide may be used for secondary purposes (Privacy Law. a. 15.04(11(m)). 1• , ..o-, Property Owner Property Location Q MICHAEL J ROGERS Govt. Lot '/. Y. S 19 T 44 N R 05 E (or) w Property Owner's Mailing Address SeMd48300 AT or CSM and Lot # I11782 EAGLE RDKINS LAKE LN CSM 2224 LOT 3 Nearest City State Zip Code Phone Number 0 City 0 village ® Town 1ATKINSad LN MARSHFIELD IWI 54449.; >4�z GRAND VIEW [JNewConstruction Use:© ResidentlallNumberofbedrooms3 Code derived designtlowrate450 GPD ❑Replacement O Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material General comments and recommendations: A+6 MOUND RECOMMENDED. SYSTEM ELEVATION 100.@3'. BASAL ARE SIZING ATO.6 'MOUND SITE MUSTREMAIN UNDISTURBED UNTIL INSTALLATION TO PREVENT SMEARING OR COMPACTION OF A HORIZON." ❑Boring 98.58' 14"97.42' Boring 0 IliPit Ground surface eiev. ft. Depth to limiting factor in. I elev. ft. I SnH Annilcation Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 E>i#2 1 0-5 7.5YR 312 SIL 2FGR MVFR AW 3F -CO 0.6 0.8 2 5-14 7.5YR 3/4 SL 2FSBK MVFR AS 3F -CO 0.6 1.0 FREE WATER OBSERVED AT 14" ❑ Boring # I]Boring 98.53' 1 Orr 97.37' ®Pit Ground surface elev. ft. Depth to limiting factor In.! elev. ft. I Cnii Annirratrnn Rate Horizon Depth In. Dominant Color Munsef Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots (3F D!Ft2 •E€f#1 'Eff#2 1 0-6 7.5YR 312 CB SIL 2VFGR MVFR AW 3F -CO 0.6 0.8 2 6-14 7.5YR 3/4 CB SL 2VFSBK MVFR AS 3F -CO 0.6 1.0 3 14-'17 7.5YR 3/4 F1 F 2.5YR 3/6 CB SL 2VFSBK MVFR ---- 1 M 0.6 1.0 FREE WATER OBSERVED AT 17" CST Name (Please Print) y CST Number 224234 KEVIN WKINNEY Address 11130 Leonard School Rd Cable, WI 54821105/27/2022 Date valuation Conducted Telephone Number 715-798-3494 • Eftluent #1- BOD > 30 S 220 mg/L and TSS > 30 S 150 mglL • Effluent 02 = BOD, 5 30 mglL and TSS S 30 mg/L SBD-8330 (R04/2'!) • RECEIVED Page 2 of SEP 17 2025 ,� ��� 97.93! .._.!__ ❑ Banng 98.93 th to �mrting factor,__..In• ► elev- R• Swing # ®Pit Ground surface etev. jt. Bayfield Planning and Zoning Agency LI Boring # ©Boring Depth to limiting fador____�_ Vi O Pit Ground surface n. I eiev. ft. elev. ft. ❑ Boring ❑ Pit Ground surface etev.^_ ft• Depth to limiting fador in. I elev. R. LIIIBoring # Horizon Depth Dominant Color Redox Description Sz. Sh. Texture St Consistence Boundary Roots In. Munsell Qu. Az. Cont. Color Soil Application Rate GPDIFt� 2 Effluent #1= BOD > 30:s 220 mglL and TSS > 30's 150 mglL " Effiuent #2 = BOD, s 30 mgIL and TSS 30 mg/L MOUND AREA `G.�LA�I�TOT BE DISTURBED 3 OF 3 I. ANY PAGE ROGERS3 WAY UNTIL DAY OFINSTALLATIO NO MACHI1vRR Y MA Y DRIVE ACCROSS MOUND Sll'E. NO PILING/STACKING OF M1'AT RIA.+L ON TOP RECEIVED OF MOUND SITE. COMPAGT'ION AND SMEARING OF SOIL HORIZONS WILL CAUSE THE SITE TO BR SEP 17 2025 UNSUITABLE FOR MOUND INS TALLA T ION. Bayhetd co. Planning and Zoning Agency N o ao PROPOSED GARAGE SCALE 1" = 40' BM .� TO ATK.INS LAKE LANE _ . 100.0' MOUND AREA B3 ' NOT TO BE DISTURBED 98.93' UNTIL INSTALLATION PROPERTY LINE MICHAEL J ROGERS 11782 EAGLE RD M A,RSHFIELD, WI 54449 815-988-6676 rogers mj@yahoo.com 48300 ATKINS LAKE LN LOT 3 CSM #2224 IN V.13 P.26 (LOCATED IN LOT 9 ASSESSORS PLAT) IN DOC 2022R�593433 TOWN OF GRAND VIEW S 19 T44N R05W TAX ID 3 873 3 NO WELL PROPOSED 3 BEDRM B2 98.53' 98.5' A+6 MOUND RECOMMENDED SYSTEM ELEVATION 100.93' SIZING AT 0.6 BM NAIL SOUTH SIDE SUGAR MAPLE 17" DBH PAGE 1OF6 Mound Plan Index & Cover Sheet Component Manual Design References: Mound Version 2.1 (May 2022-2027) & Pressure Distribution Version 2.1 (May 2'G/ED Pg 1 of 6 Index & Cover Page SEP 17 2025 Pg 2 of 6 Plot Plan sayre� ca Pg 3 of 6 Mound Cross -Section & Plan Vie l�nnin9andZoningAgency Pg 4 of 6 Distribution Network Specifications Pg 5 of 6 Pump Tank Specifications Pg 6 of 6 Management Plan chments: Lclos.ures: Puma Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Rogers Mound Owner Name(s): Michael J Rogers Owner Address: 48300 Atkins Lake Lane Cable, WI Phone: 815 - 988 _6676 Zip: 54821 Project Address: 48300 Atkins Lake Lane Govt. Lot: 1/4 of 1/4, Section 19-, T 4, 4 N -R 05 E ❑ or WW Township: Grand View County: Bayfield Project Parcel ID #: 38733 Designer Information Designer Name: Douglas Manthey PO Box 196 Drummond, WI Designer Address: E-mail: norpines a@chegnet.net License Number: MP230722 Remarks: Phone: 715 .739 .6868 Zip: 54832 This space reserved for approval stamp. Condltlonaly APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Signature: Date: 08/07/25 signature requir on ach submitted copy. M `�M ~ijjON ® N . O W w c �i.N W. fl a M 3 s � o j o l lz 0 7 � o 0 �1 cL 'I v1 1 j Q Ja . --S S ,0 0 I..' 2 C Q/ $ Q Qc) t t i rg The plan design indicates 0% slopes and the soil evaluation indicates <1% slopes. Extra sand lift may still be required if variability in topography with -in the planned mound area. 3:1 slopes must be maintained. II 0.5" TO 2.5" WASHED AGGREGATE (min. 6.0" beneath distribution pipe - min.2.0" over distribution pipe and covered with approved synthetic fabric) No Slope Plowed Surface PLAN VIEW (No Scale) Surface Contour Elevation = 98.9 ft CROSS SECTION VIEW (No Scale) MIN. 6.0" OF TOPSOIL COVER D= 2.0 ft System Elevation = 100.9 ft MOUND DISPERSAL AREA (Show force main, manifold, and flush valve locations on plan vIew) _"0SchdI40 J= 9.88 ft 7,5 ft PVC Lateral (typical) (typical) ..; 25.75 Dispersal Cell Observation g W = ,� Pi typical L6= 75.0 ft A= 6.0 ft K= 1 1_ ft 1= 9.88 ft (typical) r L 97.75 ft 1.1 m w O 0) Reset Page DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) FLUSH VALVE DETAIL (No Scale) Orifice in -- -- Valve Box Lateral SpacingCenter S = 0-- ft of Threaded Cap (insulation optiona{) for Head Testingn", (optional) Shield orifices for \ graveness applications ( Ball Valve (optional)/~ i \ / I/ ift�t ` (riser pipes ,- optional) Lateral Length (P) = 73.4 11 Orifices equally spaced: [check a) OR b) below] 11 � -� a) 0 along bottom of lateral Orifices equally spaced Flush Valve along bottom of lateral b) J. along top of lateral Assembly -�- with everyth hole (typical - see detail) facing down LATERAL INVERT ELEVATION = 101.4 ft (typical) Last Orifice Orifice Spasing (X) = 3_4in (typical) � OBSERVATION PIPE DETAIL (No Scale) Screw Type or ��, . Finished Grade Slip Cap (loose) (mulched & seeded) 4"23 PVC Pipe �.. Topsoil Cover Top of pipe to terminate �' "' (ruin. 1 foot) at or above finished grade ' ' • (4)1/4"-112" X 6" Slots ., @ 00 apart Anchoring Device ' , , • • : • •�- •.� • •• = '• InflItrafion Surface 1.5 "0 Schdl40 PVC Manifold . 2.(L_0 Schdi 40 PVC Force Main (slope to pump tank ,— for drain -back) First Orifice (typical) Laterals to be level Schdl 40 PVC Lateral 0 = 1.5 In (typical) Number of Orifices per Lateral = 3O so Orifice Discharge Rate = .54 gp' Number of Laterals = 2 Lateral Discharge Rate = 16.2 gpm TOTAL DISCHARGE RATE = 32.4 GPM Orifice Diameter = 5132_jn (typical) First Orifice rn m m o m (typical) �_,_� ✓ END MANIFOLD (typi ) ❑ CONNECTION Check applicable box. Manifold DFirst Orifice (riser pipe optional) (typical) G) I m �.-- x------XJ2 1 X12---t--x --� .p (typical) (typical) O CENTER MANIFOLD 1'i Manifold CONNECTION CD (riser pipe optional) PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS RECEIVE (No Scale) 4"0 Vent Pipe >10 ft from Building 12" Min. or 2.0 ft above Established Flood Elevation (typical) Approved IMPORTANT: ' Vent Cap Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade SEP 17 2025 Electrical must comply with COMM 16 and NEC 300 Bayfield Co. Weatherproof Extend manhole riser as nep g and Zoning Agency Junction Box Approved Locking Manhole with Warning Label Attached (typical) ---- Conduit 4" Min. cr 2.0 ft above Established Flood Elevation (typical) �- -Airtight SeagauickDlsconnect f n CAPACITIES@16.12 16.12 gal/in = . a . y . •,) A. Depth (in) Volume (gal) A 28 451.4 B 2.0 32.2 [C] 6.0 96.7 D 12 193.4 *Pump Tank Liquid Level = 48 in Force Main Diameter = 2 in Force Main Length = 100 ft * Liquid A Depth B C Pump D. 18"Min. ' • (typical) Veep Approved Jotnts with Hole Approved Pipe 3 ft onto Solid Ground —Force Main (hplcd) Filter* k Alarm * Install and maintain pursuant On to manufacturer's instructions. PUMP -OFF Loff ELEVATION = 92.3 ft 3" Approved Bedding Material Beneath Tank Force Main Void Volume = 16.3 gal [C] Total Dose Volume (TDV) = 96.7 gal/dose (5X total lateral void volume s TDV s 0.2X design flow) + (force main drainback volume) MIN. PUMP DISCHARGE RATE = 32.4 gpm PUMP TANK: Volume = 750 gal Manufacturer: Wieser Concrete Pump Manufacturer: Goulds Pump Model: EPO511 (See attached pump curve.) Controls/Alarm Manufacturer: SJE Rhombus Controls/Alarm Model: SJE1025830 Float switches containing mercury are prohibited. INSIDE BOTTOM ELEVATION = 91.3 ft 9.10 + Min. Supply Head = 3.5 ft + FM Friction Loss = 2.06 ft + Fitting Loss* = 1.55 ft *([min. supply head x 0.31 + filter loss) = TOTAL DYNAMIC HEAD = 16.21 ft SEPTIC TANK(S): Total Volume = 1250 gal Manufacturer(s): Wieser Concrete Install approved force main filter pursuant to manufacturers instructions._ Filter Manufacturer: Simtech Filter Model: STF100A2 PAGE 6 OF 6 RECEIVED Mound Management Plan SEP 17 2025 IMPORTANT:. aayf ld co. The owner of this mound system shall be responsible for its perpetual operation and maintenal'i"M* !'t Ages 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 Operatina Limits: Design Flow = 450 gpd; BOD5 ≤ 220 mgL''; TSS ≤ 150 mgL"'; FOG ≤ 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 (i.e., pump re -cycling, float switch settings, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septicand dose tanks) 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 (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 filterfs) 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. Distribution laterals shall be flushed once every 3 years or when necessary. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS AR 55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Local government overnment unit Bayfield County Zoning Phone: 715-373-6138 HK Septic Phone: 715-798-3494 Local government unit address: 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. PO Box 58 ZIP: 54891 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 mound dispersal component may be re -constructed within the originally approved area after removal of all failed components. yst_ em Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. GOULDS PUMPS APPLICATIONS Submersible Effluent Pump I1 L RECEIVED. 38 7 1 EP04 SEP 172025 EP05 SayfieW Co. Planning aru! Zoning P�IMw Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 1/4" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 11/z" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60Hz, RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115Vor230V, 60Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTOW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). (A) 2002 Goulds Pumps Effective September, 2002 RIR71 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES •■ EP04 Impeller: Thermoplas- tic Semi -open design with pump out vanes for mechanical seal protection. METERS II FEET - - 10t w I V ■ EP05 Impeller: Thermoplas- tic enclosed design for improved performance. ■ Casing and Base; Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP Canadian Standards Assadation Goulds Pumps Is ISO 9001 Registered. 0 2 4 6 8 10 12 mVh CAPACITY Goulds Pumps ITT Industries BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) heck List 2 -Original Sanitary Application (Submitted in Deed Holders Name — t prospective buyers) (383.21(1)1.) 2'Thdex Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 'triginal Plot Plan (383.22(2)2. 3. & 4.a) 2 -Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer amp Tank Diagram, Alarm and Pump Curve (when applicable) [Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) 0 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) ❑ Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) ❑ Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) ❑ ATU Servicing Agreement (Recorded at Reg. of Deeds) �ee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) Complete Seti of Plans (383.22(2)(2.) (Note: Sanitary pplication and Maintenance Agreements are to be attached to all copies) L2" 6il and Site Evaluation Report (383.22-3(2)(b)1.e.) PSfate Plan Review (when applicable) 0 Copy of Warranty/Quit Claim Deed (Optional) Sanitary ADDlication: (Include the following Information) Lfff Application Information must include: 0 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) E -Project Address or Road Name where driveway is/will come off of) E1-(6wners Phone Number) 1211 Type of Building Ca'f 1 Type of Permit RECEIVED 13' Type of POWTS System S1P 1 / 2025 124 Dispersal / Treatment Area Information o. YeidCPlanning Ca'G Tank Information and a Zoi neAee�q 13-YII Responsibility Statement (Plumber's Information) ❑ *Date Stamp* Plot Plan: (To Scale or To Dimension) nature and Plumber Information 2rAddress Number and Road ❑ Surface Elevation of Body of Water le'birection and Percent Land Slope v'fank and Filter Information and Location ❑ Wetlands / Navigable Bodies of Water FrAbsorption Area (Proposed and Existing) Bench Mark (Location, Elevation and Description) Component Manual Version alJorth Arrow Contour Lines S Structures and Driveways 124)ring Locations Property Lines icvell Locations Legal Descriptions Turn Over ► Cross -Section and Over -Head Profile of the System: 1 'Furface and System Elevation 12'Position of Observation and Vent Pipes E Dimensions and Depths O Make, Model & Number of Chamber Units in each Cell Proper Information 941w w many systems will there be on this parcel of land? ) ['Has this property been split? o (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 X Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor P 1 7 2025 ❑ Return Inspection $ 50.00 SE ❑ Maintenance Agreements + $ 30.00 Bad °9 p,nGy (checks made out to Reg of Deeds) p�nrn u/farms/checklists/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/212012 -dc) Proofed by: . r Private Sewage System Maintenance Agreement Owner(s) Name Michael J Rogers Owner(s) Mailing Address _ /��► 48300 Atkins Lake Lane Cable, WI 54821 48300 Atkins Lake Lane Tax ID # 38733 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 19 Township 44 N. Range 05 w. Additional Legal Description: Located in Lot 9 Assessors Plat Town of Grand View Lot Block Subdivision Lot 3 CSM # 2224 Vol. 13 (Acreage) 1.36 Gov't Lot Page 1L CSM Doc # 2022R-593 3.31 DOCUMENT NUMBER 2025R-609308 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, Wi RECORDED 09/24/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: Planning IRE" �A ment SEP 252025 "Ili ti ❑ 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. 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. Bayheld 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 benefrt of all current and future owners of such prop�t' '' . Owner(s) Name(s) — Please Print ! v � t4 G ( 4 e r Subscribed and sworn to before me on this date: • 0%jilII Ililt Notarized Owner(s) — Signatures Nota Public �O�AR My s ion Expires: pug1. Drafted by: Doug Manthey _ _ Date: 09/09/25 ulforms/sanitary/septicmaintenceagreement Revised July 2020 BAYFIELD COUNTY SANITARY PERMIT (#04)-25-133S STATE SANITARY PERMIT OWNER: MICHAEL J ROGERS G OV'T LOT: LOT: B LK: 1/4 1/4 SEC: 19, T 44 N, R 5 W TOWNSHIP: Grand View SOIL TEST: 72-22 OTHER MODIFICATION SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: DOUGLAS MANTHEY TRACY POOLER DATE: 9/29/2025 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 #: 22-129S LICENSE: # 230722 Condition: No habitation or sleeping in garage. THIS PERMIT EXPIRES 9/29/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION