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HomeMy WebLinkAbout25-156SRECEIVEE p= NOV 14 202f Industry Services Division 4822 Madison Yards Way Madison, WI 53705 P.O. Box 7302 Madison, WI 5302 CountyBAYFIELD Sanitary Permit Number (to be filled in by Co.) S— �r I (p hanw appJ�yyppgqnayne Qp�t t+ J M11 °PBi�i111It Application sc-Oo6$o 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 the Department of Safety and Professional Services. Personal information you provide may be used for secondary State Transaction Number I 2) 0 3 Project Address (if different than mailing address) 31135 STATE HIGHWAY 13 BAYFIELD WI 54814 purposes in accordance with the Privacy Law, s. 15.04(l)(m). Slats. q I p l L Application Information — Please. Print All Information Property Owner's Name JOSHIJA AND KARLEE HUDACHEK ,"rED Joshua and Karlee Property Owner's Mailing Address 21695 HIGHWAY 13 Property Location Govt. Lot City, State CORNUCOPIA, WI I Zip Code Phone Number 54827 715-226-0847 NW ''' ,NW ''A, Section 19 T SI N R 04 W 11. Type of Building (check all that apply) Lot # Subdivision Name X I or 2 Family Dwelling — Number of Bedrooms 3 ❑ Public/Commercial —Describe Use Block # O City of ❑ State Owned — Describe Use ❑ Villageof CSM Number X Town of RUSSELL III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i anlicable.) A. ❑ New System H Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) ❑ Holding Tank ❑ In -Ground ❑ At -Grade S Mound ❑ Individual Site Design I ❑ Other Type (explain) (conventional) C. ❑ Renewal Before Expiration ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner 1st Previous Permit Number d Da a Issued al -186S /o7?I aoal IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) I Dispersal Area Proposed (so System Elevation 450 .6 450 480 101.5 Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer e a c a U u in v in r2 iZ C7 � NewTanks Existing Tanks Septic or Holding Tank 1250 750 1000 I WIESER X Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) ADRIEN CADY Plumbe ' ig re MP/MPRS Number 922139 Business Phone Number 715-373-2378 Plumber's Address (Street, City, State, Zip Code) 31160 BIRCH GROVE ROAD WASHBURN WI 54891 V County/Department Use Only Approved ❑ Disapproved ❑ Owner Given Reason for Denial Permit Fee I $ 5tY3 — Date Issued f L ll 8 Is uin ent Signature t J Conditions of Approval/Reasons for Disapproval c/ ( Attach to complete plans for the system and submit to the County only on paper not less than 8 1a a II inches in size SBD-6398 (R. 02/22) Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 November 13, 2025 CUST ID NO.: 666459 EMERY J PALMER PO BOX 176 GALESVILLE, WI 54630 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/13/2027 MUNICIPALITY: TOWN OF RUSSELL BAYFIELD COUNTY SITE: HUDACHEK, JOSH MOUND RUSSEL BAYFIELD STATE ROAD 13 BAYFIELD, WI 54814 NW 1/4 NW 1/4 S19 T51N-R4W FOR: Design Wastewater Flow Value: 450 ,Bedrooms: 3 Limiting Factor(s): 20 inches Maintenance Required: Effluent Filter "o. Phone: 608-266-2112 Web: http,//dsps.wi.gov lUS Email: dsmsnwisconsin.eov pS J Tony Evers, Governor <?> Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-112502682-C Application No.: DIS-102546563 Site ID No.: SIT -153093 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES i SEE CORRESPONDENCE EZ Flow Mound Manual - Version 2.1 (9/7/23) EOe'—;R,'EG N0V 14 2025 Bayfield Co. SITE REQUIREMENTS Planning and Zoning Agency • 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: • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)". • This system is to be constructed and located in accordance with the approved plans and with the EZflow Mound Component Manual, (9/7/2023) • 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 V4 -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)@), Wis. Stats. • A state -approved effluent lilter 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 • 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 manufacturer's requirements. o Verify property line(s) prior to installation. • 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. • Provide surface water diversion around the treatment tanks and mound dispersal component. • The design indicates 6 inches of ASTM C33 sand plowed into the system area prior to construction. • All SPS Table 383.43-1 and WDNR setbacks to be met. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(11. • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 'In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made tome 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: $0.00 Timothy Zoromski Division of Industry Services Phone: Email: timothy.zoromski@wisconsin.gov RECEIVED) NOV 142025 Planning 2nd Co. Zor„ng Agency SO! L TEST #//75 -.a E . C EiV�D �ERED , Wisconsin Department of Safely & Professional Services �� I. !2 O20 Page f of 3 .•Id Division of industryServices II)) eld ." S� 2�` L SOIL EVALUATION REPOT Bays nin en 1� �J� v ilqiC�..l►l'� 9 +� in accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. [y scale or dimensions, north arrow, and location and distance to nearest road. ;• / % Please print all information. Re I we Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I // Property Owner Property Location Govt. Lot 10W '/, Nr % S j9 T 5/ N R Al4I E (or) W Property Owl ` ailing Address Site Address or CSM and Lot #: 2I3_Ni_13 _______________________ ity, State, Zip g4/1 I Phone Number ❑ City ❑ Village ZTownI Nearest Road 3113 1(7/5)a2i�-6$N7 , 44..ADO/L S T R 1 XNewConstruction Use:fResidential/Numberofbedrooms 3 Code derived designflowrate 'ISO GPD ❑ Replacement P Ilc or co a ciai — Des ibe: Flood Plan elevation if applicable — ft. Parent material General comments and recommendations: ' ❑ Boring # Boring a a d It Ground surface elev. F+ Depth to limiting factor oL-ln. l eiev. 9D Ff Anil Annllrn4lnn 0-4o Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 6-10 oVA _.� /F a.o eZ d - Z YIR nGtM Boring # ❑Boring J'it Ground surface eiev. T 7= JO F+ Depth to limiting factor a2'Zin. /elev. 9, oZ-f- I Rnil A'nnlir_aflnn P fo Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 r CST Name (Please Print " Signature CST Nu ber Mark Palmer - HighCliff Consulting 224736 I Address Date Evaluation Conducted I Telephone Number P.O. Box 176 Galesville, WI 54630 d -.5 -2 608-582-2205 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 S 150 mg/L * Effluent #2= BOO, 5 30 mg/L and TSS s 30 mg/L SBD-8330 (R03/22) Page Z' f: ❑ Boring Boring # SPit Ground surface elev.D FDepth to limiting factor .O In. / elev. 9 w r+ Soil Anolicatian Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Si. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 I o /a i .,�L / 4 / I Boring #. ❑ Boring ❑ Pit Ground surface elev. F# Depth to limiting factor In. / elev.I �+ Snil Annllratinn Pato Horizon Depth In. Dominant Color Munsell Redox. Description . Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev.__________ Ft Depth to limiting factor in. / elev.- F{ - Anil AnnllratInn Rnfo Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh.. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2= BOD, s 30 mglL and TSS s 30 mg/L Notes: • Underground utilities not located as of this date. Funhermseamh is recommended before any conshuctlon orexcavatlar. • Boundary infmmae'on is based on apparent propenylines. A survey is recommended to datemrine tree pmpedy lines. • Location and elevation of building sewer(s) is beyond the scope olIhis report. • Parcel size = 41 acres t "!. Legend - = Contour line (1Interval) ® = Pit = BM(grade @ steel post) yx =slope diroceon =Well (Elevation at top) • it ran RECEIVED CDT 262025 Bayfield Co. Planning and >oring a,gertcy @83.4 HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608.582-2205 service@highcliffconsulting.com www.highcliffconsulting.com Drawn SJS I D10--3-2025 IJ HUDACHEK I -3 11/5/25, 10:00 AM Novus-Wisconsin Access rev. 12.0206 --Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 11/5/2025 Created On: 3/15/2006 1:16:01 PM S Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Updated: 12/12/20.18 a& Ownership Updated: 12/12/2018 29182 KARLEE N DUNLAP CORNUCOPIA WI 04-046-2-51-04-19-2 02-000-10000 046102701000 (046) TOWN OF RUSSELL S19 T51N R04W NW NW LESS PAR FOR HWY IN DOC 2018R-575684 224 41.290 40.705 0 Yes (AG -1) Agricultural -1 128 �\0 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 046 TOWN OF RUSSELL 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE 4 Recorded Documents Updated: 12/12/2018 ® PERSONAL REPRESENTATIVES DEED Date Recorded: 12/7/2018 2018R-575684 Billing Address: Mailing Address: KARLEE N DUNLAP KARLEE N DUNLAP 21695 STATE HWY 13 21695 STATE HWY 13 CORNUCOPIA WI 54827 CORNUCOPIA WI 54827 Site Address * indicates Private Road 31135 STATE HWY 13 BAYFIELD 54814 Property Assessment Updated: 4/22/2024 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 5,500 100 G6 -PRODUCTIVE FOREST 40.290 64,500 0 2 -Year Comparison 2024 2025 Change Land: 70,000 70,000 0.0% Improved: 100 100 0.0% Total: 70,100 70,100 0.0% LV Property History N/A - https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=29182 1/1 I. Wit. c Naes n ted fr 1 de wrtha Ea' a tool too 0raO0f g bn a'pa:drlpary Inr:i Awn'cyis m n. to $ x. / g «,b \\ 30 ti>1 in feet) \ w Legend i Inch = 40 n. — ------ -- =C onlourline(1'inteNsl) €5 -Fit 3M (grade @ steel Post) '. x.x�s = Slope directon © = Well (Elevator, at top)yA. . . !, Josh Hudachek 99--"' ' .N? NW1/4-NW'/4, Section 19, T51N-R4W Town of Russel, Bayfield County, WI ' 1a . Tax ID: 29182 -PJ110i;o 31135 State Hwy 13, Bayfield WI 54814 HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@highcliffconsulting.com www.highcliffconsulting.com Drawn by: Date: Job: SJS 11-3-2025 I HUDACHEK Josh and Karlee Hudachek Mound System 31135 State Highway 13 Bayfield WI 54814 40 Acres, Town of Russel, Bayfield Co. RECEIVED S19 T51N R04W PIN 04-046-2-51-04-19-2 02-000-10000 N0V 14 202D Bayfield Co. Planning and Zoning Agency Page 1-2: Bayfield Co. checklist for sanitary applications Page 3: Tax statement of owner Page 4-5: Conditional Approval letter from WI DSPS Page 6-8: Plot plan, Mound plan & Calculations Page 9: Tank section, Dose & Pump calcs Page 10: Tank Specifications Page 11: Pump curve details Page 12-13: POWTS Owners Manual & Management Plan Page 14: Maintenance Agreement Page 15-17: Soil Evaluation Report Page 18: Wisconsin sanitary application Reference material; component manual; Mound Pressure Dist V 2.1 May 22/27 These plans prepared by; Adrien Cady MP922139 31160 Birch Grove Road Washburn WI. 54891 phone:715-373 2378 fax:715-373-0646 �:ECEWED BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS NOV 'I 4 2025 Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) Bavre:ii co heck List Plann:n;,a•c-umng Agency Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) Original Plot Plan (383.22(2)2. 3. & 4.a) Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer &j, Pump Tank Diagram, Alarm and Pump Curve (when applicable) , Contingency 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) -E ' olding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) o ding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) ₹ -Servicing Agreement (Recorded at Reg. of Deeds) AZ Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 2 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.) State Plan Review (when applicable) "ZCo laim Deed (Optional) Sanitary Application: (Include the following Information) )f Application Information must include: iigit Parcel ID# -- (do not use 12 digits anymore --obsolete) zS4ject Address or Road Name where driveway is/will come off of) ,(Owners Phone Number) ❑ II Type of Building ❑ III Type of Permit ❑ IV Type of POWTS System ❑ V Dispersal / Treatment Area Information ❑ VI Tank Information ❑ VII Responsibility Statement (Plumber's Information) ❑ *Date Stamp* Plot Plan: (To Scale or To Dimension) ❑ Signature and Plumber Information ❑ Surface Elevation of Body of Water ❑ Direction and Percent Land Slope ❑ Tank and Filter Information and Location ❑ Wetlands / Navigable Bodies of Water ❑ Absorption Area (Proposed and Existing) ❑ Bench Mark (Location, Elevation and Description) ❑ Component Manual Version ❑ Address Number and Road ❑ North Arrow ❑ Contour Lines ❑ Structures and Driveways ❑ Boring Locations ❑ Property Lines ❑ Well Locations ❑ Legal Descriptions ❑ Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Cross -Section and Over -Head Profile of the System: ❑ Surface and System Elevation RCCEi i/ D ❑ Position of Observation and Vent Pipes NOV 1 4 202 ❑ Dimensions and Depths Barfield Co. ❑ Make, Model & Number of Chamber Units in each Cell Planning and Zoning Agency Property Information ❑ How many systems will there be on this parcel of land? ❑ Has this property been split? (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 ❑ 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 O Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) u/forms/checklists/checklistforsanitaryapps (10/2009);(®7/2011);(®22012)(®5/2/2012 -dc) Proofed by: Real Estate Bayfield County Property Listing Today's Date: 11/13/2025 i4 Description Updated: 12/12/2018 Tax ID: 29182 PIN: 04-046-2-51-04-19-2 02-000-10000 Legacy PIN: 046102701000 Map ID: Municipality: (046) TOWN OF RUSSELL STR: S19 T51N R04W Description: NW NW LESS PAR FOR HWY IN DOC 2018R-575684 224 Recorded Acres: 41.290 Calculated Acres: 40.705 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 128 `IV Tax Districts Updated: /i5/2006 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 70,000 70,000 0.0% 046 TOWN OF RUSSELL Improved: 100 100 0.0% 040315 SCHL-BAYFIELD Total: 70,100 70,100 0.0% 001700 TECHNICAL COLLEGE ,-V Recorded Documents Updated: 12/12/2018 Property History O PERSONAL REPRESENTATIVES DEED Date Recorded: 12/7/2018 2018R-575684 N/A Property Status: Current Created On: 3/15/2006 1:16:01 PM Ownership Updated: 12/12/2018 KARLEE N DUNLAP CORNUCOPIA WI Billing Address: KARLEE N DUNLAP 21695 STATE HWY 13 CORNUCOPIA WI 54827 Mailing Address: KARLEE N DUNLAP 21695 STATE HWY 13 CORNUCOPIA WI 54827 T Site Address * indicates Private Road 31135 STATE HWY 13 ® Property Assessment 2025 Assessment Detail Code G1 -RESIDENTIAL G6 -PRODUCTIVE FOREST BAYFIELD 54814 Updated: 4/22/2024 Acres Land Imp. 1.000 5,500 100 40.290 64,500 0 RECEIVED NOV 14 2025 Bayff eld Co. Planning and Zoning Agency Notes: S I. Unda,moune utilities any not coated as of this date. Purtherreaearch Is recommended before construction or excavation.• Boundary information is based on apparentprcperty lines.Asurvey isrecommended to abortdetemine nue property lines, • Location and elevatlon of building sewetfs)Is beyond me scope olfhls report.PBTB/9/Za=4iaL/Be2it w &'2i C'JN I k)-Q' t lot.51 C•. t.t. tot.' Legend ------ = Contour line (P Interval) ® = Pit Q = BM (grade @ steel post) y% = Slope directlon ® = Well (Elevation at top) & c' C) 005 "07 - -- a e7\ ® 83.4 N OV 14 2025 Bayi,.�ld Co. Plano/hg and Zoning Agency p ' Graphic Scale a �.. .a a as 40 so ( in feet) ----- t Inch = 40 R. Josh.. Hudachek gg--- NW'/4 - NW 1/4, Section 19, T51N-R4W Town of Russel, Bayfield County, WI Koo ----- ------ Tax ID:29182 31135 State Hwy 13, Bayfield WI 54814 ------------ HIGH CLIFF CONSULTING LLC "�-�' P.O. Box 176, Galesville, WI 54630 C, 33 LN � 608-582-2205 service@highcliffconsulting.com ,cycc/�p.cy¢-Yry www.highcliffconsulting.com Drawn by: Date: Job: SJS 10-3-2025 HUDACHEK y`7 Mound Plan View & Cross Section Cross Section CEIVED t:! 1 4 2025 Site to be seeded and stabilized 9ayfi?Id Co. Approved fabric Fsn:w.a a, Id Zoning Agency alstbution cell s lmon F �s �I I II �I ,I I ASTM C-33 Sand I D 'il i Original grade surface _>' ` .` c' `< Plowed soil:. `: • ` \`. '\\'\\ \\\N ^- Native soil t e/ Slope Contour t's) ) D ' ` 3 ft System elevation t oU 5 E •r' ' %- ft G 0.5 ft Lateral elevation 1OZa F 1.0 ft H 1.0 ft Plan View 2 " Force main 200 in length A 6.0 ft I ft K IC ft B's3 ft J i ft L I`" ft w3 ft © High Cliff Consulting LLC Cleanout Detail (lateral end) Access cover—, , tr isThreaded cap Extend all lateral ends up within 6" of final grade. Last hole 2' from end of cell Long sweep 90' Pipe Lateral Layout Not to scale RECEIVED N0V 14 2025 Bayfield Co. Planning and Zoning Agency C-Ol-4" ou►z loo' o System elevation 41 ' 5' Lateral elevation i oZ.' n Observation Pipe Detail Finished grade Watertight cap (mulched & seeded) 4" Sch 40 PVC pipe Top of pipe to terminate —� at or above finished grade cover im 12") Four'/.' -'h" x 6" slots 1 1/2 " Diameter lateral (PVC Sch 40 at 76' in length Anchoring device Native soil 3/16 " Holes 20 Holes per lateral 4 'Hole spacing 26.4 Gallons per minute discharge rate 1st hole 2'from ZpQr end of cell of 2" Sch 40 76 'of 1 1/2 "lateral Force main Observation pipe 1.5' 6' \ 3.0' to'ri I 1.5' 80 40 holes at 0.66 GPM = 26.4 gpm 152" X .092 = 13.98 galllons X 5 = 69.92 Observation pipe �—— 10' gallons minimum dose 2" " Mani per Designer RECEW .DC & PUMP CHAMBER CROSS SECTION a NOV 1 q 2025 Bayfield Co. inning and Zoning Agency i6' MIN $q.0 Il —D Inlet Approves Joint II -74rb,L' Vent Pipe with Cap Approved locking ninnhole ≥ 1O'r� Cover w/ wm,tlrlI'orn door. window a nbcl /or fresh air Intake Weather Proof J Vent o .• Waning Label June Gan Box \ on' covers Y IC3•n,Ill•I I .� Ii ; 4. 1`11111 1 State Approved Filter on Outle Baffle -- Quick Disconnee c 911 .0Ill., 18' k111•I fi I 1/4•Weep I Provide ' Hole ILr Airtight r Seal r I T II --I ^ + . , I ! I II Approved Alnrm6' Joints III On Q, J f C Off fj' '--b 1 U— OQ.7. ELEV. Ft ° • Cor'c D t Lo. GL I O ZA Biock 3' approved bedding material under tank SPFCIFICATInNC Note: Pump and alarm are on separate circuits as per ILI IR 16.28 Wis. Adnl. Code Tank Manufacturer: W l�.5€P _ Tank Size: tt5O '75O Gallons Alarm Manufacturer: s Th RJ+or.\ bU5 Model Number: Io1O1 14 MFa.R n QAL_ Pump Manufacturer: GOULDS Model Number:1%%S WO 3K Minimum Discharge Rate: t(o. GPM Number of Doses: 5'1 Per Day Gallons Per Day /11 of Doses: t3 Gallons Volume of Backilow: 32•(o Gallons Total Dose Volume: rte' 9 Gallons Capacities: A Z8•S illehes or 4 5'42Gallons B Z inches or 33• M Gallons C 1' 5 inches or flu' 9 Gallons D 10 inches or t6l•2, Gallons Vertical Difference Between Pump Off and Distribution Pipe:............ :' ! Ft. Minimum Required Supply Pressure' ................................................ + 3_S Ft. �-°° Ft. of Force Main x11j Friction Factor/100 Ft ..................+ + 3.9 Ft. Total Dynamic plead = a8.1 Ft �h !/ •r �g Deplh of 1..ic�ui.d 4-8• GALLON/inch tb+Z /`• /n4 W1250/750 -MR TANK SPECIFICATIONS o o a. a 12'-71" DIMENSIONS: o WALL: 2 1/2"ii: 4" CA4" CAST -A -SEAL BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER a �ST_A_SEAL lti �"HEIGHT: 66"nI a �` LENGTH: 12'-11" iitiU\WIDTH: 7'-2" BELOW INLET: 53" LIQUID LEVEL• 48" 01 I d WEIGHT: BOTTOM 8,740 LBS. III 'L -c! i COVER 6,120 LBS. H 71 o I \'\ FILTER OR J Ill INLET AND OUTLET: I m o N BAFFLE Ilii rir 4" CAST -A -SEAL BOOT OR EQUAL GASKET � II II i a ¢ r Li --------==5LIt--= INLET AND OUTLET BAFFLE AND FILTER: N o o w r'ECE;vEo WISCON(OTHER S STATES SEE IN, SEE ACHART) 1.1.1 TOP VIEW N0V 14 2025 LIQUID CAPACITY: 27.66 GAL/IN (SEPTIC) 16.12 GAL/IN (PUMP) v s c0 Bayfield Co. Planning and Zoning Agency LOADING DESIGN: 8'—O" UNSATURATED SOIL C z oO LU TANK CAN BE USED AS: a a 4" VENT SEPTIC/SEPTIC, SEPTIC/SIPHON, ro Ui OR SEPTIC/SIPHON 4+ of i 1p COVER: MIX DESIGN #8 (NO FIBER) i 00 ---_ - _--- TANK: MIX DESIGN #10 (STRUCTURAL FIBER) W INLET - OUTLET CUSTOMIZED TANKS: 11111 a 'I -1- -' -- f �N FOR CUSTOM TANKS CONTACT WIESER CONCRETE io o_U I ^ I'I o� I ^U II LUO- U I 1 I I l a I Q REVIEWED BY of U PUMP PAD REVIEW DATE in a DRAWINGS SUBMITTED 3 SIDE VIEW FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 Z PRODUCTS NEEDED BY: OF CNKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS / 1 APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump: • Solids handling capabilities: ' "maximum. • Discharge size: 2" NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide -rotary seattsilicon carbide -stationary seat, 300 series stainless steel metal parts, 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: • Single phase:'/3 HP. 115 or 230 V 60 Hz, 1750 RPM; 1/2 HP, 115 V, 60 Hz, 3500 RPM; %2 HP -11/2 HP, 230 V, 60 Hz, 3500 RPM. Built-in overload with automatic reset. Class B insulation. 'R GEa\.'ED NOV 14 2025 IMsI'IC(}1 Banfield Co. A ■ ■ 5 planning and zoning Agency CANADIAN STANDARD ASSOCIATION gp • Three phase: '4 HP - 1½ HP 200/230/460 V, 60 Hz, 3500 RPM. Class B insulation, overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel. • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase:''/3 and %2 HP —16/3 SJTO with three prong plug. %-11/2 HP —14/3 STO with bare leads. Three phase:'/2-1 %2 HP —14/4 STO with bare leads. On CSA listed models — 20 foot length SJTW and STW are standard. MFTFRR FFFT 25 FEATURES Impeller: Cast iron, semi - open, non -clog with pump - out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze Impeller available as an option. Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rail systems. Mechanical Seal: Silicon carbide vs. silicon carbide sealing faces. Stainless steel metal parts, BUNA-N elastomers. Shaft: Corrosion -resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. 20 30 m'/h CAPACITY Motor: Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage. Bearings: Upper and lower heavy duty ball bearing construction. Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. 0 -ring: Assures positive sealing against contaminants and oil leakage. Goulds Pumps, Inc. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page Iof_a FILE INFORMATION Owner v fe V u l9 Permit # r�1 DESIGN PARAMETERS Number of Bedrooms Z. O NA Number of Public Facility Units ICNA Estimated (average) flow 3©0 gal/day Design (peak) flow = (Estimated x 1.5) gal/day In Situ Soil Application Rate a al/da /ftz Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BOD5) ≤220 mg/L ❑ NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L O NA Fecal Coliform (geometric mean) ≤10° cfu/100ml Maximum Effluent Particle Size 14 in dia. O NA Other: O NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 smontear h(s) (Maximum 3 years) O NA Pump out contents of tank(s) O When combined sludge and scum equals one-third (14) of tank volume ❑ NA O When the high water alarm is activated Inspect dispersal cell(s) At least once every: 3 ❑ month(s) year(s) (Maximum 3 years) �( O NA Clean effluent filter At least once every: 3 ® year(s)s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) 3. year(s) ❑ NA Flush laterals and pressure test _ At least once every:3 ❑ month(s) fS year(s) ❑ NA Other: At least once every: ❑ month(s) ❑ year(s) O NA Other: NOV 14 'LtJZ! O NA MAINTENANCE INSTRUCTT 9antiZo nn ing and Zoning Agency Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (1h) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. SYSTEM SPECIFICATIONS Tank Manufacturer O NA �7 Septic O Dose O Holding vol. 135O gal Tank Manufacturer O NA 7 ❑ Septic ose O Holding vol. ( 52 gal Effluent Filter Manufacturer ICJf I ,O O NA Effluent Filter Model � SS Pump Manufacturer /ou _ d C C� h ❑ NA Pump Model Pretreatment Unit O NA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) ❑ NA ❑ In -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade ;l Mound ❑ Drip -Line O Other: Other: ❑ NA Other: O NA A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Page_ of e START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that thei fi fte riffs 4ioperly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. NOV 1 4 2025 • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing OperatorBayfield Co. Planning and Zoning „c,._.: cy • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name `�V y Phone 7j5-373-37 POWTS MAINTAINER Name v 1 e t4 Phone 7/ 5-j'7y-23? 8 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name tTvcLv cAtr&e4 Namedc G� LL r GL Phone 7J 5. '$ Phone - _ 6� This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Private Sewage System Maintenance Agreement Owne (&1N5VI xF'a V Ie Owner(s) Ile 3((safeI*4 l3$yftelcHJ1 Tax ID # ii4-n4G-a-So'+ ►4-a op -000-!0000 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) ¼iU" 1/4 of 1/4 Section _.__—Township �I N. Range�0 W Additional Legal Description: I'i0f75 pty b tl L ' je'rN'Oay Town of Pt, 5e I! (Acreage) Gov't Lot Lot Block Subdivision Lot CSM # Vol._ Page CSM Doc II DOCUMENT NUMBER 2025R-609988 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 11/14/2025 AT 8:38 AM RECORDING FEE: $30.00 PAGES:1 Return To: Planning aid 7oair�g Aepackiant 17 2025 Area ❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure di5P i ui��i eWa'"g� ysl%m: 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 manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds At -grade and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges 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 property. Owner(s) Name(s) — Please Print Subscribed and swom to before me on this date: Nottarized� Owner(s) — Signature(s) Notary Public1 NO1 -•� My Commission Expires: A u/forms/sanitary/septicmaintenceagreement Revised July 2020 13M FIELD 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: Submission Number: DUNLAP,KARLEE N SR -00356 21695 STATE HWY 13 CORNUCOPIA, WI 54827 Transaction Number: HUDACHEK, JOSHUA SR -00356-376F4 21695 STATE HWY 13 CORNUCOPIA, WI 54827 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 2012 Paid by: Joshua Hudachek, 21695 State Hwy 13, Cornucopia WI 54827 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. $ 'FIELD 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: DUNLAP,KARLEE N 21695 STATE HWY 13 CORNUCOPIA, WI 54827 HUDACHEK, JOSHUA 21695 STATE HWY 13 CORNUCOPIA, WI 54827 Description State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Submission Number: SS -00680 Transaction Number: SS-00680-38B2A Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 006629 Paid by: Cady Plumbing and HVAC LLC, 31160 Birch Grove Rd, Washburn WI 54891 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)-25-156S STATE SANITARY PERMIT OWNER: KARLEE N DUNLAP G OV'T LOT: LOT: B LK: NW 1/4 NW 1/4 SEC: 19, T 51 N, R 4 W TOWNSHIP: Russell SOIL TEST: 147-25 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: ADRIEN CADY 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 #: 21-186S LICENSE: # MP 922139 Condition: Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 11/18/2022 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION