HomeMy WebLinkAbout25-154SRECEIVED
Department of Safety
County
B4. C
& Professional Services,
Sanitary Permit Number (to be filled in by Co.)
b� SEP 262025
Industry Services Division
a 5 _ 15' s
pct
S .d 6`I
Plan= Ar rinit Application
State Transaction Number
° g 9
In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropn y nial unit
15 �--
is required prior to obtaining a sanitary permit. Note: Application forms for stare -owned PO submitted to
Project Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats.
t/4/L/_30 ai �Ln Pc: r4- Rd
I. Application Information — Please Print All Information
Property Owner's Name
Parcel # T -Art so 2 Q
MSC 1 54 Wen Tn/ kt
OH -o34 43OG 09- o-ooq-4tW
Property Owner's Mailing Address
Property Location
IRa3 1PV.r\C A4G S
Govt. Lot
Minnt• O\i5I MN 5•Sy03 715-798.. ¼'A Section OS
II. Type of Building (check all that apply) Lot # 4 T 43 N R cc.
$1 or 2 Family Dwelling —Number of Bedrooms S 5 Subdivision Name
Block #
❑ Public/Commercial — Describe Use
0 Cityof
❑ State Owned —Describe Use CSM Number 0 Village of
►► a `..% P''il9 Tfownof Nckm .la5on
tp44 v. e • 30
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C itl
a licable.
A. KNew System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain)
B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade XMound ❑ Individual Site Design ❑ Other Type (explain)
(conventional)
C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner 1st Previous Permit Number and Date Issued
Expiration
Design Flow (gpd)
Design Soil Application Ratc(gpd/sf)
I Dispersal Area Required (at)
I Dispersal Area Proposed (st)
I System Elevation
"150
00%/0-0
833 / 375
1331 497.5
99.G'►
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
o 'g
"
.y
New Tanks
Existing Tanks
c.,).0 TAnX
V. c
"
'o
u
rn
R. U
4
Septic or Holding Tank
)Sts
—
1sa
r:
Dosing Chamber
150
—
950
V. Responsibility Statement- I, the undersigned,
assume responsibility for installation of the
POWTS shown on the attached plans.
Plumber's Name (Print)
I Plumber'
�gnamre
MP/MPRS Number
Business Phone Number
Ttuo:s Q„}.JRr 4)d
GSa879
7/S-&3Y-B17(o
($t
Iipproved 0 Disapproved $_........... �I_ .,,,.. ,b �. "..., .. ./� 7'7 �
0 Owner Given Reason for Denial ii lit Ls �� 1V2- / / 3
and submit to the County only on paper not less than 8 1/2 x Ii inches in size
SBD-6398 (It 03/22)
Wisconsin Department of Safety and Professio Ices
Division of industry Services RECE1
4822 Madison Yards Way
Madison, WI 53705 SEP 261015
Bayfield Co.
i Phone:608-266-2112
Web: httn://dsns.wi eov
Email: dsos(dwisconsin.gov
Oe
Tony Evers, Governor
a_ �a Dan Hereth, Secretary
September 11, 2025
DECEIVED
CUST IDNO.: 713625
Identification Numbers
TRAVIS A BUTTERFIELD
rL
Plan Review No.: PWTS-092502119-C
14346 W STATE ROAD 77
6 2025
SEP
Application No.: DIS-092538928
HAYWARD, WI 54843
g yfield Co.
Site ID No.: SIT -150892
planning and zoning Agenq
Please refer to all identification numbers in each
correspondence with the Department.
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 09/11/2027
MUNICIPALITY:
TOWN OF NAMAKAGON
BAYFIELD COUNTY
SITE:
WETI-IINGTON - BIRCH POINT RD
44430 BIRCH POINT RD
CABLE, WI 54821
SEC.09, T43N, R06W
FOR:
Design Wastewater Flow Value: 750
Bedrooms: 5
Limiting Factor(s): 22"
Maintenance Required: Effluent Filter
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
SEE CORRESPONDENCE
Geomat Mound Component Manual - 5/18/22
Pressure Distribution Component Manual - Version 2.1 (May 2022-2027)
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:
• Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site.
• With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to
homeowner occupancy.
• Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be
discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall
be properly disposed of on -site or off site.
• 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.
• Divert surface water from all POWTS Areas.
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and
compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be
determined by rolling a soil sample between the hands. If it rolls into a 1/4- 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.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c)
• Well setbacks to meet chs. NR 811 & 812
• Tank Installation to follow all manufacture's recommendations.
• Verify property line(s) prior to installation.
• Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and
GPM Specifications.
• 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 mound 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.
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/installation/operation.
In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise
making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the
responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or
construction of the reviewed items.
Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this
letterhead.
Sincerely, Fee Required: $500.00
r� nsyF' Balance
Fee Received: $500.00
dun tgf Balance Due: $0.00
Tim Vander Leest gtp 26 2025 Refund Expected: $0.00
POWTS Plan Reviewer
Division of Industry Services Bayfietd Co.
Phone: 608-516-6134 planning and Zoning Agency
Email: tim.vanderleest@wisconsin.gov
GeoMati JP AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
All water treatment systems shall be kept out of septic system
Own'
Project Name: Wethington - Birch Point Rd
Owner's Name: Michael J & Wendy K Wethington Trustees
P+�ECE VE® Owner's Address: 1823 Irving Ave S
SEP 26 2025 Minneapolis, MN 55403
Isayfield CO.
Planning and Zonmi' :.
Property Info
Property Address: 44430 Birch Point Rd
Legal Description: S 9 T 43 N R 6 W
Township Namakagon County: Bayfield
Subdivision Name:
Lot Number: 4 Block Number: CSM#:
Parcel I.D. Number: 04-034-2-43-06-09-3 05-004-60000
Plan Transaction No.:
Index Pages
Page 1 Index and title Page 9 Tank cross sections
Page 2 Data entry Page 10 Plot Plan
Page 3 GeoMat mound drawings
Page 4 Lateral and dose tank
Page 5 Distribution media
Page 6 System maintenance specifications
Page 7 Management and contingency plan
Page 8 Pump curve and specifications
Travis Butterfield
Date: 09110/2kj� Signature:
Designer Stamp:
License Number: 652879
Phone Number: 715-634-8176
State of Wisconsin Approval Stamp:
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
Designed Pursuant to the
GeoMat Mound Component Manual 5/18/22
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) al$dE CORRESPONDENCE
Pressure Distribution Component Manual Ver. 2.1 (May 2022 - 2027)
Page 1 of 10
Design Worksheet
All water treatment systems shall be kept out of septic system
planni . rte information
R Residential or Commercial Design �N ISD Required?
600.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
Design Flow (gpd)
0.00 Site Slope (%)
99.50 Installation Contour Line Elevation (ft)
22.00 Depth to Limiting Factor (in)
0.90 In -situ Soil Application Rate (gpd/ft2)
90.00 Contour Length Available (ft)
.6.50 Cell Width (ft) 3.25, 6.5 or 9.75 Only 75.00 Designer Input Cell Length (ft)
2.00 Dispersal Cell Design Loading Rate (gpd/ft2) 75.00 Dispersal Cell Length Required (ft)
2 Influent Wastewater Quality (1 or 2)
Pressure Distribution Informati
Center or End Manifold
Number of Laterals
Lateral Spacing (ft)
Forcemain Drainback (gal)
Forcemain Filter Loss (ft)
Forcemain Diameter (in)
Forcemain Length (ft)
Inside Pump Tank Elevation (ft)
Orifice Diameter (in) (e.g. 0.25)
Estimated Orifice Spacing (ft) _
System Head (ft) x 1.3
Vertical Lift (ft)
Friction Loss (ft)
Total Dynamic Head (ft)
5x Void Volume (gal)
Minimum Dose Volume (gal)
System Demand (gpm)
Lateral Diameter Selection
in. dia.
options
choice
0.75
1.00
1.25
1.50
2.00
x
x
3.00
x
Are the laterals the highest point
in the distribution 0
network?
If N above, enter the elevation (ft)
of the highest point. 0
Does the focemain drain back?0
6.59 ff/orifice
Manifold Diameter Selection
in. dia.
options
choice
1.25
x
1.50
x
2.00
x
x
3.00
Manufacturer information
Treatment Tank Information Effluent Filter Information Optional
1585.001 Septic Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer
Wieser Concrete Products, Inc. IManufacturer LT 1/8 Filter Model Number
Dose Tank Information Gallons/Inch Calculator (optional)
950.00 Dose Tank Capacity (gal) 950.00 Total Tank Capacity (gal)
25.00 Dose Tank Volume (gal/in) 38.00 Total Working Liquid Depth (in)
Wieser Concrete Products, Inc. Manufacturer 25.00 gal/in (enter result in cell DoseTankVolume)
Project: Wethington - Birch Point Rd Page 2 of 10
'Mound Plan Vie''
SEP z6'LUL W
Bayfield Co.
t lannin9 and Zoning Agen
L
Mound C omponent imension
A 6.50 ft E 2.00 in
B 75.00 ft F 14.50 in
D 2.00 in G 0.50 ft
487.50 (ft2) Dispersal Cell Area
10.00 (gpd/ft) Linear Loading Rate
H 1.00ft K 7.13ft
I 5.63 ft L 89.25 ft
J 5.63 ft W 17.75 ft
1331.25 (ftz) Basal Area Available
6" End of B Obs. Pipe Placement
ound Cross Secfion View - - -
GeoMat Dispersal Area
Observation Pipe
12" ASTM C 33 sand as GeoMat
required for Geo Mat Distribution Cell
component 6 GeoMat + 12" ASTM C-33 sand
101.88 Finish Grade 2 i % /i
• i� i Cover Material
100.75 Lateral Invert Elevation ! �'. �'.'. !i.
99.67 Dispersal Cell �. : 4 Slope 0.0
Elevation '.i
i .• • • •. Contour Elevation 99.50
Tilled Area
.r—
Forcemain
In situ soil
In situ soil
Shading Key
Topsoil Cap
2 0 Subsoil Cap
31' ASTM C 33 sand (F)
4I ASTM C 33 sand (D)
5 I,';',,I Tilled Layer
6 ® Geo Mat
See details on page 4 for number, size, and spacing of laterals.
Project: Wethington - Birch Point Rd Page 3 of 10
End Connection Lateral Layout Diagram
pECEIVED = Turn -up w all valve or cleanout plug
P♦GV
1st orifice located at Z
SEP 26 2025
Allorificespointdowh
X
Bayffeld Co.
Planning and Zoning Agency
P
:.Laterals & force main of PVC Sch 40 per SPS Table 84.30-51
Number of Laterals
2
Orifice Diameter
Lateral Diameter
2.00 in
Orifice Spacing (X)
Lateral Length (P)
73.50 ft
Orifices per Lateral
Lateral End (Z)
1.50 ft
Orifice Density
Lateral Spacing (S)
3.25 ft
Manifold Length
Lateral Flow Rate
19.92 gpm
Manifold Diameter
System Flow Rate
39.85 gpm
Forcemain Velocity
Dose Tank Information
Locking cover with warning label.
locking device and wafer light seal
Electrical boa
as per NEC 300
out Pipe
Doss stop
and water
light gasket
Sim / Tech Filter
STF 100 1/16
On Float
Dimension
Inches
Gallons
A
20.05
501.36
B
2.00
50.00
C
4.95
123.64
D
11.00
275.00
Total
38.00
950.00
4" Vented Cover
canoed
Optional ball iive
iocontrolapcjdof
effluent bein dos.
\Optional. nut
'VA51M30 pipet
alone n au
solid ground m -
Forcemain diameter
2 in.
Pump off elevation (ft)
Pump F 92.92
Dose tank elevation (ft)
ssrnwnt::nnuznsa 92.00
Wieser Concrete Products, Inc.
Capacity
950.00
Volume
25.00
Filter Manufacturer Sim / Tech Filter
Filter Model Number STF 100 1/16
Alarm Manufacturer SJE Rhombus
Alarm Model Number PS Patrol
Pump Manufacturer Champion Pump Company, Inc.
Pump Model Number CPES 5
Pump Must Deliver I 39.85 gpm at I 14.13 ftTDH
Note: Switches containing mercury may not be used in this system.
galMch
Project: Wethington - Birch Point Rd Page 4 of 10
RECr Geo at Distribution Cell Media La, ut
6.50 Cell Width (ft) I 1.63 I Sidewall to Lateral (ft)
SEP 26 2025
Distribution Cell Cross-section Arrangements
Bayfield Co.
Planning and Zoning AQent�f p o_O_o_o_e_o_c_o_o_o_o_o_o_o_o_o_o_o_o_b O o_o_o_o_o_o O O_o_O_o_o_O_o_O_o_o„o_'o
Component Legend
0 Distribution Pipe With Pressure Lateral L. Orifice Shield
• Tumup Enclosure — — — — — Pressure Lateral
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
6.50 ICell Width - A (ft) 75.00 I Cell Length - B (ft)
End Connection Lateral Layout Diagram
Typical Dispersal
twi-
Sand Fill Recommended Distribution Lateral
1• 2 Orifice Shield
Pipe Dia. Approved Infiltrative Fabric
: PASnd33 GeoMat
o •-=--r'•----- - - Infiltrative Surface/Plow Layer
3 r�¢Finar
Observation Pipes
Shading Key
Water Tight
ii,,. / .
Topsoil Cap
Toilet Flange 4"Mln
21/ / A
Subsoil Cap
ebar
31e + .1
ASTM C 33 sand (F)
/slots\4
0
ASTM C 33 sand (D)
t"Mm Inatallatt
nd/Ge
Min
5 /. //
Tilled Layer
b —
6
Geo Mat
+ ` •Min lNa
+ a +
See details on page 4 for number, size, and spacing of laterals.
Project: Wethington - Birch Point Rd Page 5 of 10
cECEWED
nd System Maintenance and Operation Specifications
field Co.
p f!(�gnBSo➢id®OV"feline Travis Butterfield Phone (715) 634-8176
POWTS Regulator's Name Sawyer County SPIA - Zoning Administration Phone (715) 634-8288
System Flow and Load Parameters
Design Flow - Peak 750 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 500 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 1585 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 487.5 ft2 Maximum FOG 10 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank
Effluent Filter
Pump and Controls
Alarm
Pressure System
Mound
Other
Inspect and/or service once every
3 years
Inspect and clean as necessary
at least once every 3 years
Test once every 3 years
Should test periodically
Laterals should be flushed and pressure
tested every 3 years
Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as
shown in the Synergy Systems GeoMat Mound Component Manual Version 1, 2017.
2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component
Manual Version 1, 2017. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.
4. Tillage of the basal area is accomplished with a mold board or chisel plow.
5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost
penetration.
Lateral Turn -up Detail
6-8" Diameter O O non0000000
JOOOOOOo 00000
1�O1
�1OOOOOOOOO 0000c Finished �OOOOOOOOOo Threaded Cleanout
c Lawn Sprinkler o OOOOOO80000c OOOOOOO Plug or Ball Valve
0000cGrade >k000
ox ;o°o o n 00000�� n c; 0 `0 00000
at Last Orifice Where 1OO
oa
V V V V V V V V V V O
)000 00000000
00000 000000
O.,O J O O C
O DO V V V V V ATV V V �.
O)OOOOOaOOOOOOOOOOOOc
000000000
Joo 000000000c
1OOOO O O O OoO000c
0 O 0 a_o_o_
0 0000 'n' ° n ,. , .
A _
Distribution Lateral
V
Lateral Cleans
3.5 Feet
alum Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project: Wethington - Birch Point Rd Page 6 of 10
5s�'i' 'L 6 2025
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
ptannin9 and?.
General
This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component
manuals [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0
SBD-1 0706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance
reporting.
Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer
used as POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings
used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or
subject to failure must be replaced. Exposed access openings greater than 8 -inches in diameter shall be secured by an effective lacking
device to prevent accidental or unauthorized entry into a tank or component.
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic
tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be
assessed at least once every 3 years by inspection.
The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions
are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the
filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous
alarm.
The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the
tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to
when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank.
The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products
are used they shall be approved for septic tank use by the Wisconsin Department of Commerce,
Pump Tank
The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper
operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it
should be noted if it is functional during pump operation, and if not, it should be cleaned.
*****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death.""
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be
seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for
vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the
mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the
mound be heavily mulched as protection from freezing.
Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30
mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/1 00 mL for highly treated effluent. Influent flow may not exceed maximum design flow
specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be
flushed of accumulated solids at least once every 3 years. When a pressure testis performed it should be compared to the initial test when
the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within
the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any
levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in
proper operating condition.
If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal
media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition.
See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider.
Project: Wethington - Birch Point Rd Page 7 of 10
9
1
FEATURES/BENEFITS
PERFORMANCE
Heads up to 37' TDH
Flows up to 72 GPM
MOTOR
High efficient, 115v, oil filled, permanent split
capacitor motor with upper and lower ball
bearings and thermal overload protection
- Constant bearing lubrication
- Maximum motor cooling
- Runs cooler and lasts longer
- Internal overload protection
- Quiet operation
- Fasteners and shaft made from rugged,
corrosion resistant stainless steel
SEAL DESIGN
Mechanical with secondary dynamic lip seal
- Provides added leakage protection
IMPELLER DESIGN
Non -clog style vortex impeller
- Designed to help reduce clogging by foreign
material
PERFORMANCE CURVE
40
35
30
POWER CORD
Sealed entry quick disconnect power cords
- Prevents water from entering the motor
housing through a cut cord
- Easy to replace in the field
-Available in lengths up to 100'
SWITCH
Piggy -back switch design
- Defective switches can be diagnosed over
the phone
- Pump can be operated manually or
supplied with other piggy -back switches
- Switch can be replaced without having to
replace the pump
APPLICATIONS
Basements, dewatering, septic systems,
residential and commercial
developments and elevator pits
„; Z 2025
Wide-Mgle Float
Vertical Float
Bayfield Co.
Planning and ZoningAgenoy 1/3-1/2 HP submersible pumps that handle up to
3/4" solids with 2" discharge with 11/2" adapter
SIDE VIEW
WLP1585/950
TANK SPECIFICATIONS
I
0
L
1834"
4" CAST -A -SEAL
P
FILTER OR
BAFFLE
4" CAST —A —SEAL
TOP VIEW
®
DIMENSIONS:
WALL: 3"
BOTTOM: 3"
COVER: 6"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 53-3/4" O.D.
LENGTH: 183-3/16" O.D.
WIDTH: 101-3/16" O.D.
BELOW INLET: 43" O.D.
LIQUID LEVEL: 38"
WEIGHT: TANK 13,010 LBS
WEIGHT: COVER 9,300 LBS
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 41.67 GAL/IN (SEPTIC
25.00 GAL/IN (PUMP
LOADING DESIGN: 8'-0" UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC/SEPTIC, SEPTIC/PUMP
OR SEPTIC/SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
OUTLET
a
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111
O
N
oc
U`''
Co
P
AA
ma
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L
D.
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
JOB INFORMATION:
CUSTOMER:
JOB NAME:
DATE NEEDED:
APPROVED BY:
APPROVAL DATE:
I_m
0
J 0O
Q N
z
z
90 w
0 <n
w 5
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0
1OF 1
SEP 26 2025
gayfield Co. encY
planning and Zoning A 9
Driveway
BM
SCALE = 1:40
PLOT PLAN
0 10 25 40 50 E
B1 CT = 5/950gal combination
Septic/Pum ankw/ Lifetime LT 1/8
Filter, Sim -Tech -100 Filter and
Champion CPES5 Pu
PT = 320 gal Pump Tank w/ Etecial
Sump Pump as per 382.30(1 0)(d)
Both tanks made of prefab concrete
Wieser Concrete Inc
LEVEL SITE
0% Slope
Proposed CT o 1\
Garage ° 2" PVC Force Main ASTM O1785
I�
Propos
4" PVC Sch 40
PT jASTM F891
4" PVC Sch 40 ASTM F891 �
way (To be insulated)
.4 Proposed
Well Existing Dwelling Addn
Deck
44430 Birch Point Rd
LOT4CSM IN V1 R249&LOT5CSM INV.2P.30&2 PAR IN
GOVT LOT 4 IN V.220 P626 & V.241 P.30 & V.809 P.1062
Sec. 09, T43N, R06W
Town of Namakagon
Bayfield County
Tax ID: 24490
Convenience
Bath House
1
if
1 /7
/�/
ELEVATIONS
BM =
100.00 ft
B1 =
99.15 ft
��
62 =
99.50 ft
B3 =
99.60 ft
B4 =
99.40 ft
Lake
= 95.50 ft
BM = Top of 1" Steel Stake
Page 10 of 10
S��0IIlL..��4lE$�T �I�' I:It.�lLFFes�,^ (D U �} d
ausaonsWA)epertrn afety 8 Professional Services �y'lsr1� LJ Page f of T
r )1� Division of Indus" Services `UGC/: ill AUG 2 3 2UL4
tPa SOIL EVALUATI0 EP(�(av
-F3avTaH
.,,,,,,+• In accordance with SPS 385, Wis. Adm. Code County t9AyF/C40
Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan must Include,
but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel, o4.64. 2.43. ob .47. 3 O$1 �4.
scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. viewe D�ate
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). 19'
Property Owner Y / . / Property Location O
N//C114rj. IAISV / War/f/ Govt. Lot Y, Y. S Ll9 T 43 N R 04. E(or)
Property Owner's Mailing Address Site Address orCSM and Lot#:4 'lot., p247 J lror5 Y2 P3o
IS23 z'ev N AVE.5 2 PAR IN .c, 2p�2O X26 rZ!Nfel; P30 69 P7obZ
City, State, Zip I Phone Number ❑ City ❑ Village Town I arest Road
M11V,YeAAW5-. MN 554°s I17NS ) R- Z2.92 /}/AM/( 1RGIFPo/NT PD'
o New Construction Use: ❑ Residential/Numberofbedrooms 4 Code derived deslgnflowrate GPO
❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable R.
Parent material
General comments and recommendations: -
Vr{p "3 -7Ap/"STEL Srnr;
a Boring# ❑Boring
Pit
99ilS' G in./elev./'r'3%.
Ground surface elev. R. Depth to limiting factor
Call A-11—ll.... O -.-
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Cu. Az. Cont Color
Texture
Structure
Gr. SL Sh.
Consistence
Boundary
Roots
GPO/F1
•Eff#1
•Efi#2
0-7
sY 2.5 /
'VA
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r-
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5-22.
SVR 3/4
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Baring #
❑Boring f yy
®PIt Ground surface elev�9r a R. Depth to limiting factor ZS In. / elev9'_R.
Cnu ennMsllnn O.0
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az Cant Color
Texture
Structure
Or. Sz Sh.
Consistence
Boundary
Roots
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•ER#1
•Eff#2
1
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NA
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2 5,k
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CW
2-c
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5-13
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lit 5YR a
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ml
-
-
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__
CST Name (Please Print)
Sigr�aty�re
CST Number
�>nnrs RRasMdssceA
---_
2Z/S/6
Address /
¢242s ka�anay. Rd. e44,w sv92I I
Date Evaluation Conducted
o9 6 Z4
Telephone Number
715- 5$io-ez 4
Effluent #1 = BOD > 30s220 220 mg/L and TSS > 30 ≤15500 m/g/L
In
* Effluent #2 = BOO, 5 30 mg/L and TSS s 30 mg/L
SBD-8330 (R03/22)
�'SO•°C Go
FL1? Boring #
❑ Boring 99,(pa
MPit Ground surface clay. ft
•rage
Depth to timfting factor Z4 in. ! elev34ft.
61.11 AI1 III w Qs!n
Horizon
Depth
in.
Dominant Color
Munseil
Redox Description
Qu. Az. Cont Color
Texture
Strudure
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Consistence
Boundary
Roots
QPD/Ft'
*E
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-
LI Boring #
❑ Boring
jaPit Ground surface elev. t.
Depth to limiting factor 4 In.! elev. 9123 ft.
�nII Anti, fnn D
Horizon
Depth
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Redox Description
Qu. Az. Conk Color
Texture
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a- My
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41
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_______
______
____
L__I Boring #
❑ Boring
❑ Pit Ground surface clay. It Depth to limiting factor In.! elev.IL
iQnll Anwtlwn$f n S?s4n
Horizon
Depth
In.
Dominant Color
Munsef
Redox Description
Qu. Az. Conk Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDIFtF
*E i
*EfW
* Etuent #1 = BOD > 30 220 mg/L and TSS > 30 s 150 mg!L * EffluentBODE s 30 mg/L and TSS s 30 mg/L
WZADY H/, Zq,1A1?W
/ a23 .Z ,k vml ff Ave. S
M/N.x/eAPoLls I' -VV. S54'63
Z of Cc"
4oY. LOT S
Sec, 09, T43A/, P06W
Tow,y Oft N4A14k4c— -PV
1B6.YPIELD O%, AIT
A './RP /Oo °Qmp 1nsza s7bkc
!a SOIL, P17'
C/.
C'LEV. @ PZ -
CL&• P3 - 99, '
P4_
S ysref & (/ lbQN4) 160, Ga'
54 aIC I na `jd'
2Pvi,/j AMC/S.S, - f `dKC
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Bayfieid Co. Zoning Dept.
M/erg, Soil Profile Sheet
. woos
Owner: Wc1NyT�N Soil Tester:
•xryN/s YC A5iU
System Elevation: /40. €o Load Rate:_,
System Range:__ to
(P2 9q,5' ( P3) ti9.: CP4) 99,�r
/ DG
99
9g
96
......
77,25'
RECEIVED
NOV 10 2025
Bayfield Co.
planning and Zoning Agency
BM
SCALE = 1:40
P LOT P LAN 0 , 25 a0 sn 80
B1 CT = 5/950ga1 combination
W Septic/Pum ank w/ Lifetime LT -1/8
Filter, Sim -Tech -100 Filter and
Champion CPES5 Pu
LEVEL SITE
0% Slope
PT = 320 gal PumpTankw/Etecnal
Sump Pump as per 382.30(1 0)(d)
Both tanks made of prefab concrete
Wieser Concrete Inc
Proposed CT u 1 1
Garage ° 2" PVC Force Main ASTM D1785 <)
Pro os / / f
Driveway 4" PVC Sch 40a
PT SASTM F891
4" PVC Sch 40 ASTM F891 c/o
covered walkway (To be insulated) I
c/o Convenienceroposed Bath HouseA P
Prop Area of Existing System for Bath House -
Well Existing Dwelling Addn TO BE PROPERLY ABANDONED
lDeck
44430 Birch Point Rd
L0T4CSMINVI P.249&LOT5CSMINV.2P.30&2 PAR IN
GOVT LOT 4 IN V.220 P.626 & V.241 P.30 & V.809 P.1062
Sec. 09, T43N, R06W
Town of Namakagon
Bayfield County
Tax ID: 24490
//
1 � fr rfolsa�.S r�
J�/ELEVATIONS
BM =
100.00 ft
B1 =
99.15 ft
/�
B2 =
99.50 ft
B3 =
99.60 ft
B4 =
99.40 ft
Lake
= 95.50 ft
�M = Top of 1" Steel Stake
Paqe 10 of 10
BAYFIELD COUNTY
CHECKLIST FOR SANITARY APPLICATONS
Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e))
ICheck List
e"Original Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1.)
EI �Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c))
L9'�Original Plot Plan (383.22(2)2. 3. & 4.a)
Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer
Pump Tank Diagram, Alarm and Pump Curve (when applicable)
ETContingency Plan / Management Plan (383.22-3(2)(b)1.f.)
❑'Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds)
❑-Hoiding-iank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds)
❑+bldirtgTenklervice Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5)
❑ moment (Recorded at Reg. of Deeds)
C4�ee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7)
Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached
to all copies)
Soil and Site Evaluation Report (383.22-3(2)(b)1.e.)
Pl State Plan Review (when applicable)
El Copy of Warranty/Quit Claim Deed (Optional)
Sanitary A lication: (Include the followl!tag Information)
I Application Information must include: fl'23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete)
d Project Address or Road Name where driveway is/will come off of) (Owners Phone Number)
LW)
Type of Building
RECEIVED
[3 III
Type of Permit
iType
V
of POWTS System
SEP 26 2025
Dispersal / Treatment Area Information
Bayfield Co.
Planning and Zoning Agency
/yi
Tank Information
L "II
Responsibility Statement (Plumber's Information)
L "
*Date Stamp*
Plot Plan: (To Scale or To Dimension)
Q Signature and Plumber Information
[/Surface Elevation of Body of Water
O'girection and Percent Land Slope
uJTank and Filter Information and Location
u5ivetlands / Navigable Bodies of Water
Absorption Area (Proposed and Existing)
d Bench Mark (Location, Elevation and Description)
I1Address Number and Road
It{'North Arrow
D/Contour Lines
/Structures and Driveways
d,/Boring Locations
❑ P,roperty Lines
01)well Locations
❑XComponent Manual Version Legal Descriptions
Q Piping Material Information (conveyance line, building sewer line, material type and diameter)
Turn Over ►
r. .
Cross -Section and Over -Head Profile of the System:
E urface and System Elevation
O Position of Observation and Vent Pipes
imensions and Depths
Make, Model & Number of Chamber Units in each Cell
Property Information
E` How many systems will there be on this parcel of land? .3
O Has this property been split? (Property Statement shows Property History)
Fees:
Private Sewage System (Septic Tanks)
400.0
❑ Private Sewage System (Holding Tanks)
$ 400.00
❑ Mounds or Systems requiring Pre -Treatment $ 500.00
❑ Sanitary Revisions
$ 25.00
❑ Private Sewage System Reconnection
$ 50.00
and Private Interceptor
❑ Return Inspection
$ 50.00
Maintenance Agreements +
$ 30.00
(checks made out to Reg of Deeds)
'$...J. P.O
u/forms/checklists/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by:
W320 -MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 3"
BOTTOM: 3"
4" CAST -A -SEAL
4" CAST -A -SEAL
FILTER OR BAFFLE
TOP VIEW
0
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INLET
a
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d
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ua-
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SIDE VIEW
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
COVER: 4"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 58" O.D.
LENGTH: 50" O.D.
WIDTH: 50" O.D.
BELOW INLET: 46 1/2" O.D,
LIQUID LEVEL: 43"
WEIGHT: 3,880 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: 8.0 GAL/IN
LOADING DESIGN: 8' 0" UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #10 (STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WESER CONCRETE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
Lu
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liberty Pumps®
A Family and Employee Owned Company
4/10 hp
w -:P 2 6 2025
2" Solids handling Bayfie�d co.
Planning and Zomnf
Features
• Heavy cast iron construction
• Oil -filled, thermally
protected motor
• Permanently lubricated
ball bearings
• Corrosion resistant, vortex style
impeller made of high temperature
engineered polymer
• All stainless steel fasteners
and rotor shaft
• Quick -connect 10standard
power cord allows replacement
of cord in seconds without
breaking seals to motor
(25' length optional. 35' and 50' bare
lead cords available.)
Vertical float
switch models
available in 115V
SSPMMM C %.
Impeller
Shaft
Stainless
Vortex style impeller capable of passing a
2' spherical solid
WED
Paint
SEP 26 2025
Powder coat
Bayfield Go.
-Wing and Zoning Agency
Max Fluid Temperature
104°F (40°C) Continuous duty
140°F (60°C) Intermittent
Motor
Submersible type, oil -filled, hermetically sealed,
thermally protected
Power Cord Type
SJTW, Quick -connect 10standard length
(25' cord option)
SJOOW. bare lead 35' and 50' cords available
Motor Housing
Class 25 cast iron
Volute
Class 25 cast iron
Dimensional Data
Weight LE41M: 40 lbs
Height 14'
Major Width: 10.75'(manual models)
Models
Hardware
Stainless
Mechanical Shaft Seal
Carbon ceramic
Bearings
Upper and lower ball bearings
Float Switch [automatic models]
Wide-angle and vertical float switch models available
Performance Curve
60 Hz, 1725 RPM
w
C
a
a
0
Liters Per Minute
/J./ 13L4 a.'.1 SUL.0 S/UJ 442 b3U.0
7.6
6,1
.51 I I4.5 Z
.0
3.0 d
5 1.52
~
0
0
0
0 10 20 30 40 50 60 70 80 90 100 110 120130140 150
US Gallons Per Minute
MODELS HP VOLTS PHASE AMPS DISCHARGE SIZE AUTOMATIC
LE41M 4/10 115 1 12 2"FNPT No
LE41A 4/10 115 1 12 2' FNPT Wide -Angle Float Switch
LE41AV 4/10 115 1 12 2' FNPT Vertical Float Switch
10' cord standard on above models.
For 25' cord options, add a'-2' suffix to model number. Example: LE41A-2
For 35' bare lead cords on manual models, add a '-3' suffix to model number. Example: LE41M-3
For 50' bare lead cords on manual models, add a'-5' suffix to model number. Example: LE41M-5
Consult engineering spec sheets for more data.
IMPELLER
Vortex
Vortex
Vortex
Specifications subject to change without notice.
Copyright 0 Liberty Pumps. Inc. 2024 All rights reserved. LUT002400-R03/24E
Real Estate Bayfield County Property Listing
Today's Date: 9/9/2025
Description Updated: 1/20/2022
Tax ID:
24490
PIN:
04-034-2-43-06-09-3 05-004-60000
Legacy PIN:
034105503000
Map ID:
Municipality:
(034) TOWN OF NAMAKAGON
STR:
509 T43N R06W
Description:
LOT 4 CSM IN V.1 P.249 & LOT 5 CSM IN
V.2 P.30 & 2 PAR IN GOVT LOT 4 IN
V.220 P.626 & V.241 P.30 & V.809 P.1062
(5.5 ACRES MFL-CLOSED 25 YRS-YR OF
ENTRY 2005)
Recorded Acres:
7.700
Calculated Acres:
7.633
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-1) Residential -1
ESN:
123
Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
034
TOWN OF NAMAKAGON
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
d� Recorded Documents
Updated: 3/15/2006
O WARRANTY DEED
Date Recorded: 1/8/2018
2018R-571474
O WARRANTY DEED
Date Recorded: 1/8/2018
2018R-571473
O WARRANTY DEED
Date Recorded: 1/8/2018
2018R-571472
O WARRANTY DEED
Date Recorded: 1/8/2018
2018R-571471
O WARRANTY DEED
Date Recorded: 1/8/2018
2018R-571470
O WARRANTY DEED
Date Recorded: 1/8/2018
2018R-571469
O CONVERSION
Date Recorded:
220-626;241-30;809-1062
O MFL CORRECTION ORDER
Date Recorded: 7/13/20
RECEIVED
2005R-500431 922.275
StP 262025
Bayfield Co.
Planning and Zoning AgencY
Property Status: Current
Created On: 3/15/2006 1:15:47 PM
18 Ownership Updated: 1/20/2022
MICHAEL J & WENDY K WETHINGTON MINNEAPOLIS MN
TRUSTEES
JOSEPH M SOKOLOWSKI TRUSTEE EDINA MN
Billing Address:
Mailing Address:
MICHAEL] & WENDY K
MICHAEL] & WENDY K
WETHINGTON TRUSTEES
WETHINGTON TRUSTEES
1823 IRVING AVE S
1823 IRVING AVE S
MINNEAPOLIS MN 55403
MINNEAPOLIS MN 55403
11 Site Address * indicates Private Road
44410 BIRCH POINT RD
CABLE 54821
44420 BIRCH POINT RD
CABLE 54821
44430 BIRCH POINT RD
CABLE 54821
® Property Assessment
Updated: 11/9/2007
2025 Assessment Detail
Code
Acres Land Imp.
G1 -RESIDENTIAL
2.200 697,400 533,700
W6-MFL - CLOSED AFTER
5.500 11,000 0
2004
2 -Year Comparison
2024
2025
Change
Land:
708,400
708,400
0.0%
Improved:
533,700
533,700
0.0%
Total:
1,242,100
1,242,100
0.0%
Property History
N/A
M-OO1ovo
Private Sewage System Maintenance Ag
Owner(s) Name
b r i01(e
1823 Irving Ave S; Minneapolis, MN 55403
44430 Birch Point Rd
• 24490
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 09 Township 43 N. Range 06 w.
2 IN PAR IN GOVT LOT 4 I V.220
Additional Legal Description: P.626 & V241 P.30 & V.809 P.1062
Town of Namakagon (Acreage) 7.633 Gov't Lot
Lot Block Subdivision
4 8 1 249 262015
Lot 5 CSM # 44 Vol. 2 Page 30 CSM Doc # 278655
DOCUMENT NUMBER
2O25R-6O9373
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
O9/26/2O25 AT 1 1 :OO AM
RECORDING FEE: $30.00
PAGES: 1
ReturnTo:_ _
Planning and Zoning Department
RECEIVED
Bayfield Co.
❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribBtiomr$ewEQaSys3�rgi
x❑ Mound ❑ At -grade Sewage System ❑ Other
Area
Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of
installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make
such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum.
Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided
above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components.
Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance
with 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. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days
from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges
maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property.
Owner(s)
Michael J
Drafted
Jr
n - TRUSTEE
Date:
swornto
before me on this date:
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u/forms/sanitary/septicmaintenceagreement
Revised July 2020
B,kYFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
Description
Additional Fee Amount
Submission Number:
AP -00054
Transaction Number:
AP-00054-38ABF
Amount
$100.00
Total: $100.00
Payment Amount: $102.38
Reference: 9516877845
Paid by: Travis A Butterfield
Payment Type: Credit Card
Transaction Date: 11/18/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
I3 YFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
WETHINGTON TRUSTEES, MICHAEL J &
WENDY K
1823 IRVING AVE S
MINNEAPOLIS, MN 55403
SOKOLOWSKI TRUSTEE,JOSEPH M
4950 MALIBU DR
EDINA, MN 55436
Description
State Approved Plans (Mounds, Systems Requiring
Pre -Treatment, etc.)
Submission Number:
SS -00661
Transaction Number:
Amount
$500.00
Total: $500.00
Payment Amount: $400.00
Reference: 4790
Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843
Payment Type: Check
Transaction Date: 11/18/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-154S
STATE SANITARY PERMIT
OWNER: MICHAEL J & WENDY K WETHINGTON TRUSTEES
GOVT LOT: LOT: 4 & 5 BLK:
CSM: #8 ,
1/4 1/4 SEC: 9, T 43 N, R 6 W
TOWNSHIP: Namakagon
SOIL TEST: 144-24
NEW SYSTEM
SYSTEM TYPE: Mound 224 in. of suitable soil
PLUMBER: TRAVIS BUTTERFIELD
TRACY POOLER DATE: 11 /18/2025
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: # 652879
Condition:
THIS PERMIT EXPIRES 11/18/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION