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25-157SR
Request for Sanitary Inspection (24 in Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection - (715) 373-0114 If you dojToLhave_a_fax and must email the inspection; you must email ajLsiaftmembers^ Note Plumber: Homeowner: Sanitary Permit #: Date: Time: Township: Address # & Road Name: or Directions To Site: Time Change Discrepancy Superior Plumbing & Mech. Inc. Eric Sirrine 25-157sr Plumber's Choice 9/22/26 Plumber's Choice 9:00 am -Plow 1:00pm- Piping & Tank Zoning Dept Zoning Dept Other. Phone Number 715-413-0122 Fax Number Email Address ed@superiorpmw.com Immediate Phone Number So Zoning Dept can call you right back (if needed) No Tuesday (9:30 am - 12:15 pm) (Tracy) WASHBURN 74785 Ondossagon Rd. Washburn, Wl 54891 Comments: plow in the morning Tank and piping in the afternoon ** !?y fax or ** Notes from Zoning Dept: u/forms/sanitary/requestforinspection Zoning Dept (©4/12/04);©June 2023 ^•.Private Onslte Wastewafer Treatment is ( POWTS). Inspection Report ERIC M & BRITTANY S SIRRINE (Attach to Permit) 11 c I F 416N2NDAVE WASHBURN WI "CSTBMEIev; E 54891 Insp BM Elev; y purposes [ Privacy Law, s, 15.04 (l)(m) ] D City Q Village BM Description: /, ,. ,/U^-'l > -../^^U^/-.^ fff [] Town of; '•/) it/-^, ^^ ^ft^\ County Sanitary State Plan' parcel Tax feJi ermlt No: ^ Transaction [D#: / No: Tank Information "TYPE" Se^c_ Dosing . Aeration Holding, 1^ANUFACTURER_ ^.j^H^ "CAPACnT 1^4^-Q- setback to: Prop, Line^WeT Building Air Intake Road N/A N/A N/A Pump / Siphon Information Elevation Data Pump Manufacturer Filter Manufacturer 3ump Model :ilter Model TDH ]. Lift | Friction Loss Forcemaln | Length | Dia Head Demand GPM Total Dist. To Well Dispersal Celi Information DIMENSIONS SETBACK FROM Width Type of Cell Prop... Ljpe ±Lii- Length Buildingt^2 # of Cells >-l<%|OHWM MSrfufacturer; Mode] Number; Pretreatmenf Unit Manufacturer; Model Number: SWT10N Benchmark BIdg, Sewer Tank inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Insf. Contour Header/Manifold Distribution Pipe Inflltrative Surface Final Grade BS ^0 HI /-? FS p5 J^.Od "7^f _7_,_li? ,^.7' t!.)SM^I ^ 5 7. Lir\ Q.^r ELEV ±^ w.<r^6 ^?zJ TZ /J /-^sl /°^ y^/c^ ^ |0 stribution System Header/Manifold Length_ Dia. Soil Cover Depth Over Cell Center Distribution Pipe(s) Length , Dia, Depth Over Cell Edges Spac, Depth of Topsoli X Pressure Systems Only X Hole Size X Hole Spacing Observation Pipes a Yes a No •'• •'-' -I-tSeeded / Sodded , a Yes a No Mulched / a Yes D No' SOMMENTS; (Include code discrepancies, persons present, etc,) iU/ <^S^?C^-Zl-2fc u^ <s ^^CU^ •/•/€^'f~ <uAu^) C\^-cK ^o-i ^/^ lan revision required? D YesJX'ffi ie other side for additional inforjrfation, z^'ZL Date Me^l OWTS Inspector's Signature License Number ^Fin-R7-in /R n'^/•?•l^ BAYFIEID COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61'38 Fax: (715)373-0114 e-mail: zonina@bavfieldcountv.qrct Web Site: www.bavfieldcountv.ora/147 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn.WI 54891 Property Owner Information ERIC M & BRITTANY S SIRRINE 416N2NDAVEE WASHBURNWI 54891 As you know _<7 i^ft^/"ff-^' f ^U '/^& ^ was contracted by you to install a private onsite wastewater treatment system on your property (Tax IDS above). To know when your system will be due for servicing please go to www.septicsearch.com Abandonment of Old System to meet all applicable code requirements: <* Tank was pumped by: _ on at .AM/PM Tank was crushed / removed and pipes disconnected by: ^ ^f^u_On _t ' \1 " I at _i_ (AM fPMythe above-mentioned plumber contacted our office to conduct a pre-covef inspection as reijuired itncter 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 Tee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: U/forms/sanllarypropertyowner-lnput April 2018 /^ivyi"yi'i;^^-—-'^ f}BS_ ,.112'^ '<.f:^f7iS-^^SS-ocj ^7 Indusby Services Division 4822 Madison Yards Way Madison, WI 53705 P.O. Box 7302 Madison, WI 53707 CountyBayfield Sauitsiy Pennit Number (to be filled in by Co.) a\5 75f Sanitary Permit Application State Transactiou Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental uuit 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. Persoual infonnation you provide may be used for secondary puiposes in accordance with the Privacy Law., s. 15.04(l)(m), Stats. I. Application Information - Please Print All Information Project Address (if different than mailing address) 74785 Ondosagon Rd. Property Owner's Name Eric Sirrine Parcel*"30709 Property Owner's Mailing Address 4162ndAve.E. City, State Washburn, Wl Zip Code54891 II. Type ofBuUtUng (check all that apply) •]l or 2 Family Dwelling - Number ofBedrooms 5 ublic/Commercial - Describe Use. [State Owned - Describe Use Phone Number 218-216-6381 Property Location Govt. Lot NE Lot #r48 '/4.NE %, Section 10 N R^_ _EorW Subdivision Name Block # [City of. CSM Number village of HTlTownofWashbum ffl. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on Une A. Check one box ou line B. Complete line C if applicable.) A.• p\Iew System replacement System )ther Modificatiou to Existing System (explain) || |Additional Pretreatme;) B.IJHolding Tank IIu-Ground .—— Z.tcbmgntioual) I[\t-Grade •[Mound I Individual Site Desigii (Other Type (explam) c.D Renewal Btfote Revision X"^[Cliaage of Plumber .1st Previous Permit Nurni sr and Datejssued'ransfer to New Ownerl 3^-1^5 li/nl^ IV. Dlspersal/Ti'eatnlentrtoeS'antl Tank Information: Design Flow (gpd)750 Tauk Infonnaliou Design Soil Application Ratefgpd/sf) .4 Dispersal Area Required (sf)1875 Capacity in Gallons New Tanks Eristug Tanks Total Gallons ff_ it of Units ^ Dispersal Area Proposed (sf)1875 Manufacturer Systei;.. Blevation 100.6' ;eptic or Holding Tank f/1585 Wieser Concrete Dosing Chamber [ 950/1 V. Responsibility Statement-1, the undersigned, assume responsibility for Installation of the I'OWTS shown on the attached plans. Plumber's Name (Print) Edward B. Redinger Plumber's SignalA—ff^-n^-^MP/MPRS Number221939 Business Phone Number 715-292-6670 'lumber's Address (Street, City, State. Zip Code) 015 11 th Ave. E. Ashland, Wl 54806 VI, County/Department Use Only Approved D Disapproved D Owuer Given Reason for Denial Permit Fee $ Date Issued ^3/15 '^L \umgAiTignaX „ /VV.A/^/W/?' 'onditions ofApproval/Reasons for Disapproval ->cx-^OA^ (i.^^DEC 0 2 2025 H.'i'/iidi.) Co. i;ll«l!l!!i ••Dll :',,(,il,n /.,,.,,, Attach to complete plans for the system and submit to the County only on paper uot less than 81/2x11 inches In size SBD-6398 (R. 02/22) Wiscousiu Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madisou, WI 53705 Phone:608-266-2112 Web: littD://dsos.wi.eov Email: dsps(%wisconsin.eov Tony Evers, Governor Dan Hereth, Secretary November 26, 2025 CUSTroNO.:221939 EDWARD REDINGER 101511THAVEE ASHLAND, WI 54806-3529 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/26/27 MUNICIPALITY: TOWNOFWASHBURN BAYFIELD COUNTY SITE: SIRRINE, ERIC 74785 ONDOSSAGONRD WASHBURN,WI 54891 FOR: ^--' — Design/Wiistewater^Flow Value: 750 Bedi^tfms: 5 Lin^tingjaetor(s): 13" Maitateualice Required: Effluent Filter Identification Numbers Plan Review No.: PWTS-112502759-C Application No.: DIS-112549507 Site ro No.: SIT-152823 Please refer to all identification numbers m each correspondence with the Department. Conditionally OF AND OF SEE Mound 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 Dqiartment, 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 site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • 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. • 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. ,<•,'' -':';V^-.a1 DEC 022025 KiVi!,:'-i l:u. • A state approved effldent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the fitter is required. OWNER RESPONSIBILITIES • The ciin-ent owner, and each subsequent owner, shall receive a copy of this letter includiug 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). a In the event this soil absoipdon 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. Tlie subnuttal described above has been reviewed for conformance with applicable Wisconsm Administrative Codes and Wisconsin Statutes. The submittal bus been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manuals) 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 1o 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 consti-iiction/instaUation/operation. Ill granting this approval, the Division of Industry Services reserves tfae right to require changes or additions, should conditions arise making them necessaiy 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 tfae contact infomiation listed below, or at the address on this letterhead. Sincerely, CJ-e^uia R^ivie^/ Fee Required: $85.00 Fee Received: $85.00 Balance Due: $0.00 Refund Expected: $0.00Joshua Rowley Division of Industry Services Phone: Email: joshua.rowley@\visconsm.gov £M) 0 2 2025 'i,i I :0. i /i,( •, .sr' Wisconsin Department of Commerce Division of Safety and Buildings SOIL^EV. RECBIVEU NOV 01 2023 In accordance with Comm 85, Wis. Adm. Code REPORT BayfieldCo. __page. ptenflhifl and Zoning Agency Attach complete site plan on paper not less than 81/2x11 Inches in size. Plan must Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal Infonnallon you provide may be used for secondary purposes (Privacy Law, s. 15,04 (1) (m)). County BAYPIELD Parcel 1.0.30709 Reviewed by JQfiS- Date l ///fe/^S Property Owner ERIC SIRRINE Property Location Govt. Lot NE 1/4 NE 1/4 s 10 T 48 N R 5 ^(or)u Property Owner's Mailing Address 416N2NDAVEE Lot # | Block # | Subd. Name or CSIW City State Zip Code Phone Number WASHBURN | WI | 54891 | ( 218 ) 216-6381 3tty nvillage QTown WASHBURN Nearest Road I ONDOSSAGON New Construction Usef"! Residential / Number of bedrooms. Q Replacement Q Public or commercial - Describe; Code derived design flow rate ,600 .GPD Parent material. General comments and recommendations; LACUSTRINE Flood Plain elevation if applicable HOLDING TANK OR MOUND SYSTEM ELEVATION AT 100.6 ON 98.7 CONTOUR DESIGN LOAD RATE ° .4 GPD/SQ. FT. WOODED SITE TREES TO BE REMOVED STUMPS LEFT IN PLACE 1 I Horizon 1 2 3 4 ring# SBOrins 0 Pit Grc Depth in. 0-5 5-14 14-16 16-24 Dominant Cole Munsell 2.5YR3/2 2.5YR4/6 2.5YR5/6 2.5YR5/6 id surface elev. 98.8 Redox Descflplion Qu.Sz, Cont, Color F1F2.5YR5/8 1, Depth to Itmltlnc Texture CL SICL c c Structure Gr. Sz, Sh, 3MGR 3MABK 2CABK 2CABK actor L Constetenu MVFR MFR MFR MFI .in. Boundary cw cw cw Roots 3M 3C 3C 3M Soil Application Rate GPDfflF *Ef»1 .4 .4 .2 .2 *EfB2 .6 .6 .3 .3 2 Boring #' Horizor 1 2 3 4 Depth in. 0.6 6.13 13-15 15-23 Boring J Pit Ore Dominant Cole Munsell 2.5YR3/2 2.5YR4/6 2.5YR5/6 2.5YR5/8 98.8id surface elev. Redox Description Qu.Sz. Cont. Color P1F5YR5/8 Texture CL SICL c c epth to llm'rtin Structure Gr. Sz. Sh. 3MGR 3MABK 2CABK 2CABK 1 actor. Consisteno MVFR MFR MFR MFI In. Boundar cw cw cw Roots 3M 3C 3M 2M Soil Application Rate GPD/fP •EflSI .4 .4 .2 .2 *Effl»2 .6 .6 .3 .3 * Effluent #1 = BOD. > 30 5 220 mgA. and TSS >30 ^ 150 mgfl.* EfRuent #2 s BOP, £ 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) BRUCEWBLAKEMAN ^<^-^ CST Number 708148 Address 64903 CHARLES JOHNSON ROAD ASHLAND, WI 54806 Date Evaluation Conducted 10/16/2023 Telephone Number 715-209-2569 /)J ^</]-M^ i/_^^'2 Property Owner.SIRRINE Parcel ID#. RECEIVED NOV 01 2023 BayfiekiCo.^0709 ^feigaiKlZiw 3 Horizon Boring# gBorin9 _,,..._,„. 98.4[•J pn Ground surface etev., n 1 2 3 4 Depth in. 0-6 6-13 13-15 15-23 Dominant Colo Munsell 2.5YR3/2 2.5YR4/6 2.5YR5/6 2.5YR5/8 Redox Descn'ption Qu.Sz, Cont. Color F1F5YR5/8 Texture CL SICL c c lepth to HmiUng factor. Structure Gr. Sz. Sh. 3MGR 3MABK 2CABK 2CABK Consistenw MVFR MFR MFR MFI .In. Boundary cw cw cw Roots 3M 3C 3M 2M Soil Application Rate GPD/ff *EfW1 .4 .4 .2 .2 •Ef»2 .6 .6 .3 .3 Horizon Boring # n Depth In. Boring I Pit <3r< Dominant Coto Munsell nd surface elev. Redox Description Qu.Sz, Cont, Color t. Texture 3spih to limiting factor.factor, Structure | Conslstenu Gr. Sz. Sh. Boundary Roots Soil Application Rate GPD/ff •Ef»1 "EWQ Horizon Boring # n Depth in. Boring I pr G" Dominant Cola Munsell nd surface elev,. Redox Description Qu.Sz, Cont. Color t, Texture tepth to llmrtin Structure Gr. Sz, Sh. factor..in. Consistencel Boundary Roots Soil Application Rate GPD/fP *Efl»1 'EffiSZ * Eflluent #1 = BOD, > 30 £ 220 mg/L and TSS >30 ^ 1 SO mg/L * Effluent #2 = BOD ^ 30 mg/L and TSS 5 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330TBt(R.07/00) ., S^to^^t M£ S}0 r^^ft.S'^ TQW^J sf k^^^^^/^Ay^z^ ^ Vs A<-.e;is> ^' SCAL'^ /" = / ?' / ^r-^/H.- /V^ /'/ytB<s/fc ^8.ay.»(/& X^ ^L^^/^i == /6Q, \^/oc^^h s2.r<- _ / AA? kY^L-L . 4^ 7^^$ /^€t; /B//^/^^3 4-^ ^r ^r^^V^ <P^C- 3^^ A/ RECEIVED NOV 01 2023 BayfieMCo. Pteffl*t@ and Zoning Aoen /N ^7rf7S>y ~^^L 3o^^ '^OSS^s^ Kb ^^jr^ ^ <'/uir^- to^ / r/i/G. PAGE 1 OF 0 & Componwt Menuifl D»»I(JH f-Mwwww. M«un<< Verejon 2.1 (Mny 2022..2(tt7) & Pfoasure Dlntdlnitloit Vorslorf 2,1 (May 2022-2027) Pg 1 of 6 Index & Cover Page Plot Plan Pg Mound Cross-Section & Plan View Pg Distribution Network Specifications Pg Pump Tank Specifications Pg 6 of 6 Management Plan Attachments: Pump Curve Enclosures: POWTS Application for Review Soil Evaluatjon Report & Site Mag_ Project Name / Description S^ ^ Bedroom mound with .4 loading Owner Name(s): Erie Sim'ne _ phone: 218 .216 .6381 Owner Address: 416 2nd Ave. E. Washburn, Wl _ Zip: 54891 project Address: 74785 Ondossagon Rd. Washburn Govt Lot: _ NE 1/4 of NE 1/4, Section 10 , T48 N-R5 E I lor WJ< Township: Washburn _ county: Bayfield Project Parcel ID #: 30709 Designer Information Designer Name: Edward B. Redinger _ phone; 115-292 .6670 Designer Address: 1015 11th Ave. E. Ashland, Wl _ Zip; 54806 E-mail: ed@superiorpmw.com _ i,,. ,, „ -„,,,„ ,,„ „;„,„,, „,,„ ConditlonallyLicense Number: £-£-'303 _ APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE !.[•;€ 0 2 2025 Signature: ^^^/\3 ^Z^-^-^ _ Date: 10/23/25 _, "•.;-'li<:1:,,,,,, Original signature required on each sfibmitled copy, SUPIEWOR MtCHANWAl. tmlnnwt NNi-nn; EtltSlrflf'iff AriittM; AI&-MAw,,(S PhomN: Ermlt; 4 A/ csw n 1939 S«tC: I" a 40' PIN;30709 40 Acres NENESIOT48NRSW Town of Wsshbum Bayfietd Co. 4 '3.<vi. ^^A&' No Well on site ^i^f^h^T^ ^f)>'2'm^^r ^^d 0^ ^^' C^^r .Y/^J/r.3 n/y^A s-as-^'lt^ /^C0/4€>e> i^e.w^^t ?<»' -^ "^.y?^«A^ I nc3e» JLt^-e. -M-^ 2 ? S?NGLE-CELL MOUND DISPERSAL 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) •-? ^-^'s.y'i/ * MIN. 6.0- OF TOPSOJL COVER min. 1.0 ft E= _2^5 S'/stam Elayatio". :=S.S Lateral invert Etevation, = "T0" -12 ^^w^w^^^^^ CROSS SEC^GN (No Scafe) Plowed Surface Surface Contour Elevations 98.7 ^ w=27.7 (Show force main, manifold, and flush valve locations on plan view.) ft —& 3. 1-1/4 "0Schdl40 PVC Lateral (typical) r- 8= .J00_ Bend as necessary to follow contour DOWNSLOPE TOE L= 122.6 ft (No Scale). J=ft 10 (typical) OfcwaConj'ljyjtypscai) 1= 11.25 ft Prohibit disturbance and vehlcular traffic within 15 feet of downslope toe. Reset Page t 1 J- T K 11.3 'n'B»e3>; fj, t ^"T^ ^ DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) Orifice in ^ Center of Threaded Cap for Head Testing (optional) / I Ball Valve (optional)\\ Orifices equally spaced: [check a) OR b) below] a) Ja^J_ along bottom of lateral b) J_»L along top of lateral with every _ th hole FLUSH VALVE DETAIL (No Scale) Valve Box (insulation optional)K\ -^ Lateral Spacing S= 2.5 ft Shield orifices for gravelless applications Flush Valve Assembly (typical - see detail) ,''0SchcS40 PVC Force Man (stops to pump tank for dra!n"fcsc'i<) First Orifics (typical) Laierals to be teve! •SchdI40PVCLateral0= 1-1/4 in (typical) Lateral Length (P) = _ 49.2^ ft Number of Orifices per Latsrai = 25 Orifice Discharge Rate a .053 gpm Number of Laterals = 6 faring down LATERAL I NVERT ELEVATION = 101.12 ft (typical) Last Orifice (typical) Orifices equally spaced along bottom of lateral Orifice Spacing (X) = 24 (typical).in Orifice Diameter = 5/32 in (typical) Lateral Discharge Rate = 13.46 gpm TOTAL DISCHARGE RATE = 81 OBSERVATION PIPE DETAIL (No Scale) Screw-Type or Slip Cap (loose) 4'0 PVC Pipe Top of pipe to terminate at or above finished grade W.ww-i/yxy slots C~3 - @90 apart -L-/ "-' Anchoring Device '- -'-.~~l '••-•t ^••" Finished Grade (mulched & seeded) Topsoil Cover (mm. 1 foot) Infiltration Surface First Orifce (typical) - Check appiicable box. X- (typical) First Orifics (typical) 3PM END MANIFOLD CONNECTION Mantfoid (riser pipe opttonai} Manifold (riser pipe optional) m CENTER MANIFOLD LXJ CONNECTION j]>0IT?^0Tt 0> PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS(No Scale) IMPORTANT: WVpHlCijir ••10 ft from n>n?i(i 1 ?" MI" in ? o n nliovo CBlnltB.hn) Fkm<l riovallon (IVI^.-tl)[W Vent Cflp Hldditctil "uifll i.wnpty ullh BPS 310 mul NEC 300 Wnnllwpniof •Juficlfon Box Anchor Irtnk(s) as necessary pursuant to vSP.S .1fl3.43(R)(q) (: ftMiil in;lfit<lln llWf (11 neWi'iitr'/. Afiprovad trx.l<("(j M.inhoio Vfl'lh WnrNnn Lnbol AllnrJi<sd (lyp)Ml) 4' Mtn. 0» 2.0 It abcn'9 — rstnblhlm) Flood Elo'/dln (ly|)hul) CAPACITIES -_.\k. A B [C] D Depth (in) 21.4 2.0 4.6 10 Volume (gal) 534 50 115 250 Pump Tank Liquid Level = Force Main Diameter = 10" Min. (typical) Approved Joints '/^b Approved Pipe 3 ft ontoSS'nd DUO 0 2 20% PUMP-OFF ELEVATION = 91-83 ft INSIDE BOTTOM ELEVATION = 91 Force Main Length =130 ft 3" Approved Bedding Material Beneath Tank Force Main Void Volume =21 gal [C] Total Dose Volume (TDV) = 115 gat/dose (5X total lateral void volume <. TDV <.0.2X design flow) + (force main drainback volume) ft MIN. PUMP DISCHARGE RATE =80 gpm Vertical Head = + Min. Supply Head = + FM Friction Loss = + Fittinci Loss* = *1. .'(min. supply head x 0.3) = TOTAL DYNAMIC HEAD = Bil 9.2 3.5 15.74 1 29.5 _ft ft ft _ft ft Volume = PUMP TANK: 950 gal Manufacturer Wieser Concrete SEPTICTANK(S): Total Volume = 1585 gal Manufacturer(s):Wieser Concrete GouldsManufacturer: WE1.QH.Model: WE9?12H-230v (Sea altachad pump cun/e.) Controts/Alarm Manufacturer: SJ Electro Install approved effluent filter at the septic tank outlet immediately upstream oftheDumDjankinlet,. Controls/Alarm Model:PS Patrol Filter Manufacturer: Filter Model: Poty Lock 525 Float switches containing mercury are prohibited. PAGE 6 OF 6 Mound Management Plan ThQ owner of tills niouiul system stiall bo responsible for Ka perpetual oporotion and maintenance pursuarrt io iwiuirements of SPS 382-384. Wise, Admin, Code, Pursuant to SPS 383.52 (2), Wise. Admln, Code, this r.'/sfeffi shaSl tm considered rt luifnBn liealth hazard if not maintained In accordnncn with this approved management plan. Fuilherrnore^ all inspection and maintenance activities shall be performed by a registered POWTS Malnfalner in accordance with SPS 383.52 (3), Wise. Admin, Code. MMimyjBJD|§M!MA®a-Qfie!3i!nflJJrnUs; Design Flow ^ ___750___ gpd; BODs < 220 mgL-1; TSS S 150 mgL-1; FOG 5 30 mgt-1 inspection Checidist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, Qtc.) o mechanical malfunction (/,e., pumps, valves, switches, floats, etc.) o material fatigue (/'.e., leaks, breaks, corrosion, ete.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution •' drop boxes) o neglect or improper use (/.e,, exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities (/.©,, pump re-cyding, float switch settings, etc.) o electrical components (/.e., wiring, connections, switches, controls, timers, alarms, e/c.) o distribution laterat or tateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s;. 281.48 Wis. Stats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of tho tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code. o Effluent fjtter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. o 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 383.55 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Superior Plumbing & Mech. Inc. phone: 715^92^67-0_ Local government unit; BayfJeld GO Zoning _ phone: 715-372-6138 Local government unit address: 11 7 5ht St. E. WaShbum, Wl ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to S PS 383.51 (1 ), Wise. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise, Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re-constructed within the originally approved area after removal of all failed components, System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. C(j^ Q '^ ^jj'/t) WiisteWtitw Sp»lrifu'.>lt\' tk"<ii)ih<i! (01 (ttr (nllowiiK) uses: » Home's, t-'^n»s, 1i,»il<-i Coin (s, Motols, Schoula, Hospii.ils, li'n'iusliy, t:)t)uciU SyMonis SreCfRCATtONS Pump - Solids handling capabilities: Vi" maximum. * Discharge size; 2" NPT, • Capacities: up to 140 GPM. 8 Total heads: up to 128 feet TDH. * Temperature; 104°F (400C) continuous, 140T (60°C) intermittent. * See order numbers on reverse side for specific HP, voltage, phase and RPM's available, MOTORS * Fully submerged in high-grade turbine oil for lubri- cation and efficient heat transfer. • Class B insulation on % - 1 ^ HP models. - Class F insulation on 2 HP models. Single phase (60 Hz): • Capacitor start motors for maximum starting torque. a Built-in overload with automatic reset, * SJ'l'OW or STOW •iovnr« duty oil <in'l w/n -ir r''-r-,(',(;»rit pnwoi cordf,, • 'A - 1 HP models have NEMA three piomj rjr'''iun''(ni(j plugs. * 1 Vz HP and larger units have bars lead c'ii'd ondg. Three phase (60 H%): * Class 10 overlofirJ protection must be provided in separately ordered starter unit. • STOW power cords all have bare lead cord ends. • Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recc'rnmended working limits, can be operated continui.'usly with- out damage when fully submerged. 9 Bearings; Upper and lower heavy duty bail bearing construction. 9 Power Cable: Severe duty rated, oil and water resis- tant. Epoxy seal on motor end provides sycondary moisture barrier in case of outer jacket dumage and to prevent oil wicking. Standard cord is 20'. Option- al len9ths are available, • 0-ring: Assures positive sealing against contami- nantsandoil leakage. AGENCfUSTINGS Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Associalion File SLR3S549 METERS 401 35 30 QtJS 25 u < 20§I15 10| 5 0' PAGE 2 SERIES: WESIZEFW^SOUDSiRPM: 3500 &1750 -<-.c o 2 zm 90 100 110 120 130 140 150 160 GPM ±10 15 20 CAPACITY ±J_J-25 30 35 mVhr ;iiiBaiiiiit'?%i-fBWi The newly enhjncnl PS Patrol' system features ali the same fonction'i you have come to expect, plus so much more over other traditional pedcstai'stySp alarms. The PS Patiol' features n buill-fn high water alarm and provides a conveniciU location to connect nil wiring required for a pumping station .ipptu ";>!fiin It etn()toy-, nreccptacie foi easy connection of a 120V pump (un) pniqy h.-u.k |>unip switch. Ttit'' sleek, nnqlecl dpRign of the clear enclosuK* inclncit's a removable cover for easy access for Held wiring and viewing componenis. All internal components are sealed within the cover for protection from She elements. The red LEOs illuminate the top of the cover in an alarm condition for easy 360° visual identification Available with or without 32' mounting post. •^SiSii^f" Enclosure meets Type 3R water-tight standards Innovative design allows alarm to accept a 5" square plastic post or 4" pipe/conduit for mounting Automatic alarm reset and green power on indicator Flush mount horn silence/alarm test switch Auxiliary alarm contacts included for easy attachment of remote devices includes cord seal for sealing switch and pump cables Electrical polling cavity to provide easy, reliable method to seal power cables (electfical duct seal not included) Options include various switch cord lengths, riser assembly adapter, dual alarm, and elapsed time meter U,S Patent No. 9472.932 and D780.703 1022728 1019021 1022575 1022577 1037095 1067640 1018434 1011551 PSP2120V, no pump switch, with post PSP2120V. no pump switch, 20A breaker, with post PSP2120V, ETM. with post PSP2120V, DUO alarm, ETM, with post PSP2 120V, Wisconsin, assembly kit (2.5 inch) 3SP2120V, Wisconsin, assembly kit (2.0 inch) 3SP2 120V, TMB indoor alarm, with post \sspmbly Kit (riser exlension coupling and washers) SJE RHOMBUS JIC 0 ?..RemovaBTe" " '' cover Incoming Alarm ..", Pow»a» Incoming - Pump Power Pump Plug Pum& Float Plug PSP Coiil Receptacle m 1—9'/U sWSSWISItKHIHMIHSVStH trfBUOUIUS-a Ir.KlwrtMUf.lt — A 33.02C83.9CTl] 20.71 £52.6 cm] - V (10.16 cro) B^LLTRAVEL F 6.5* (18.51cm) SEALED BALL MATERIAL-HDPE _j 5.7;[14.7cm] -\ HOUSiNG HLTERCAKITOGE »-^-s™^: MATERIAL . RLLED r[MS^M^/ffl^^M^^^^ffff^Sff/ffS£S£&]!/.S]3^ •BALLPUSHROD c.r-r.Ti^ ^ ^ ^^WiFACTORY INSTALLED ocu Il^ ^•]' MATERIAL- FILLED POLYPROPYLENE 4-* AND 6" FACTORY INTALLED PIPE OUTLET MATERiAl-PVC POLYLOKPL-525-625 CUTAWAY —/' (FOR4*THiNWALLPIPE| PARTN0.30142.R OR (R)R 110 MM. PIPE} PARTNQ.3m42.EUR. TCP VIEW SIDE VIEW f^O e^i WLP1585/950 TANK SPECIFICATIONS DIMENSIONS: WALL; 3" BOTTOM: 5" COVER: 6" MANHOLE: 24° 1.0. PRECAST CONCRETE RISER HEIGHT: 56" LENGTH: 15'-3 3/8" WIDTH: 8'-5 3/8" BELOW 1NLET: 45° LIQUID LEVEL- 38" WEIGHT: BOTTOM 15,977 LBS. COVER 9,300 LBS. INLET AND OUTLET: 4" CAST-A-SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL #10 (OTHER STATES SEE CHART) UOUID CAPAaTf: 41.67 GAL/IN (SEPTIC) 25.00 GAL/IN (PUMP) LOADING DESIGN: S'-O" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPT1C. SEPT1C/PUMP, OR SEPTIC/SIPHON COVER: MIX DESIGN fB (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE KEY NOTES: 1 > CONCRETE OR EZ-SNAP RISERS '2} OPTIONAL 2" OUTLET 16" UP FROM BOTTOM OF TANK REVIEWED BY REVIEW DATE TANKS ARE l/AWFAC'TUREQ TO OR OGCEEO ASW C-1227 REQUIREMENTS DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY; APPROVAL DATE; PRODUCTS NEEDED BY: cag%g^^ro'1^1§.^S IQSo3: 03 pin0» in0010 <I uE= a.bJc7i SHE-ET NO; 1 , OF 1 Private Sewage System Maintenance Agreement Owner(s) Name ?T(C •*" V(~!(/&^ <^/r>r/t^e^ 'Owner(s) Mailing Address ^(& ^ A^€. ^. O^k^^, ^1 5- c(^€\ \ Site Address Tf,?9^ ^Asyo^. ^; J<J^^\ / tJl. rw\Tax ID #3o70i I- As owner, I (we) do tisreby 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 (he designed plans. I (we) agree to maintain said private system at the below listed location In accordance with rules established In the Wl Adm. Code, as from time to lime amended. (COMPLETE Legal Is required) yt/£ 1/4 of A/£.1/4 Section _/^__Townshlp A{@_N, Range £> 'w. Additional Legal Description: TownofjL^fe^SI (Acreage)3^-Gov'tLol. Lot. Lot. Blocl'Subdivision, .CSM#.Vol.. Page,CSM Doc #. DOCUMENT NUMBER 2025R-61001 1 DANIEL J.HEFFNER REGISTER OF DEEDS BAYFIELD COUNTi', Wl RECORDED 1 1/17/2025 AT 1 2:25 PM RECORDING FEE: $30.00 PAGES:1 Recording Area Return To: Planning and Zoning Department D In-ground gravity I'^.Mound D In-ground dosed D At-grade Sewage System D In-ground pressure distribution Sewage System: Other. Sectlc 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 eveiy three (3) years thereafter unless, upon Inspection by a licensed master plumber or other person authorized to make such Inspecllon, the tank Is found to have less than one-thlrd (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 (he septlc tank Is serviced as provided above. The switches and pump controls shall also be Inspected and maintained to ensure operablllty of said components. Sepllc Tank Effluent Filter (system types A through E): The septlc tank effluent filter shall be Inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to (he County as required by SPS 383,55, Wis. Admln. Code, Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually Inspected by a certified seplage 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 determlns whether wastewater or effluent from the system Is ponding on the ground surface. Mounds. At-arade. and In-around Pressure System Laterals (system types C, D and E); The laterals shall be flushed out and swabbed if needed when the wastewater dlstribullon cell component Is inspected as provided above, Owners) agree that failure to comply with this agreement will result In action being taken to pay all charges and costs Incurred by Baytleld 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. Bayfleld County shall notify the owner of any costs whkh 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 tie placed on the tax mil 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, OwQer(s) Name(s) - Please Print Tr!c- Sirr<^<^ ^.,-^y Slrrl^- Subscribed and sworn to before me on (his date; £b/yk^ /.^^fT I-Slgnature(s) <S^L^ Iqtary Public ..;. '•• .••' ' ' ''•.';';,.'•.^Oi^ y^/A^ ^ My Commission Expires::' ?- m Drafted by: !S^^I<-> 1)lrrift€- Date: 11 |lfi( ZLS''•' :-:y^-—-:'^.%:^^:''. •Proofed by: •:; u/romia/sanltaiy/septlcmalntenceagreement Revised July 2020 Bayfield County Register of Deeds Document #2025R-6100U Page 1 of 1 '•Private Onslte Wastewater Treatment (-ams ( POWTS). Inspection Report (Attach to Permit) 0. -~A ERIC M & BRITTANY S SIRRINE 416N2NDAVEE WASHBUKN WI 54891 idaiy purposes [Privacy Law, s, 15,04 (l)(m) ] "Q City Q Village "CSTBMEIev:Insp BM Elev; [] Town of; BM Description: State Plan'Transaction ID#: Parcel Tax No: Tank Information "TYPE: Jsepllc Dosing . Aerafion Holding MANUFACTURER "CAPACITY" 'setbaok to: Prop, Line "WeT Building Air Intake Road N/A N/A N/A Pump / Siphon Information Elevation Data Pump Manufacturer Filter Manufacturer 3ump Model ?ilter Model TDH 1. Lift I Friction Loss Forcemain | Length | Dia Head Demand GPM Total Dist.ToWeli Dispersal Cell Information^ ' DIMENSIONS" SETBACK FROM Width Prop.. Line Type of Cell Length Building # of Cells Well OHWM Manufacturer; Model Number; Prefreatmenf Unit Manufaclurer: Model Number: SW10N Benchmark Bldg. Sewer Tank Inlef Tank Outlet Dose Tank Inlet Dose Tank Bottor Inst. Contour Header/Manifold Distribution Pipe Infiltrative Surface Final Grade ~BS-HI ~FS~^LEV -*< '* stn'bufion System Header/Manifold Length_ Dia. Soil Cover Depth Over Cell Center Distribution Pipe(s) Length _ D!a. Depth Over Cell Edges Spac, Depth of Topsoil X Pressure Systems Only X Hole Size X Hole Spacing Observation Pipes ayes a No •" :-:' v •! Seeded/Sodded . a Yes a No Mulched / a Yes D No' COMMENTS: (Include code discrepancies, persons present, etc,) lan revision required? D Yes Q No 38 other side for additional information, Date POWTS Inspector's Signature License Number ;iRn-fi7'in /R n^/o-it BAYFIEID COUNTY PUNNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715)373-0114 e-mail: zonina@.bavfieldcountv.org Web Site: www.bavTieIdcountv.ora/147 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn.Wl 54891 Property Owner Information ERIC M & BRITTANY S SIRRINE 416N2NDAVEE 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 Abandonment of Old System to meet all applicable code requirements: *> Tank was pumped by: _ on Tank was crushed / removed and pipes disconnected by: 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/sanltarypropertyowner-lnput April 2019 \<' I x;®'!"*'^/^"^fYBs%-vl'sjp^^ SS-ooW Industty Services Division 4822 Madison Yards Way Madison, WI 53705 P.O. Box 7302 Madison, WI 53707 CountyBayfield Sanitary Permit Number (to be filled in by Co.) ^S-/57& Sanitary Permit Application 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 sanitaiy permit. Note: Application forms for state-owued POWTS are submitted to the Department of Safety and Professioual Services. Personal iufonnatiou you provide may be used forsecondaiy purposesinaccordancewidithePrivncyLaw,s. 15.04(J)(m), Stills. RiS'f^.OVSSij State Transaction Number PWTS-112502655-C Project Address (if different than mailing address) 74785 Ondossagon Rd. Washburn I. Application Information - Please Print AU Information Property Owner's Name Eric Sirrine NOV 1 7 Z025 Pareel#30709 Property Owner's Mailing Address 4162ndAve.E Bayfield Co. Planning a.'iJ ;/oniny Anency City, State Washburn, Wl Zip Code54891 D. Type of Building (check all that apply) •I or 2 Family Dwelling - Number ofBedrooms 4 D'IPublic/Commercial - Describe Use. II[State Owned - Describe Use Phone Number 218-216-6381 Property Location Govt. Lot NE NE Lot # •/4,n)c '/4, Section T^S N R^ EorW 10 Subdivision Name Block # ICityof. CSM Number ||jViUage of r.TlTownofWashbum m. Type ofPOWTS Permit: (Cheek either "New" or "Replacement" and other appUcabIe on line A. Check one box on Uae B. Complete line C U"| applicable.) A.• p^ew System p:teplacemeut System )ther Modification to Existing System (explain) QAdditional Pretreatment Unit (explain) B.I[Holding Tank IIu-Ground (couventional) I[At-Grade •iMouad I Individual Site Design |0ther Type (explain) c.Reuewal Before Expiration IRevision [Change of Plumber fransfer to New Ownerl -ist Previous Permit Number aud Date Issued IV. Dispersal/TreatmentArea and Tank Information: Design Flow (gpd)600 Desigu Soil Application Rate(gpd/sf) .4 Dispersal Area Required (st)1500 Dispeisal Area Proposed (sf)1655 System Elevation 100.6' Tank Infonnatioa Capacity in Gallons New Tanks Septic or Holding Tfuik Dosing Chamber Existing Tanks Total Gallons 1200 800 it of Units Manufacturer Wieser Concrete V. Responsibility Statement-1, the undersigned, nssnme i espoDslljUity for Installation of (he POWTS shoivn on the attached plans. Plumber's Name (Print)Edward B.Redinger | A^^A^XZ^ Plumber's Signature -T^- MP/MPRS Number221939 Business Phone Number 715-292-6670 Plumber's Address (Street, City, State, Zip Code) 101511thAve.E.Ashland,WI 54806 VI^County/DepartmentUse Only Approved D Disapproved a Owner Given Reason for Denial Permit Fee Date Issued itli (Tlb L s /1 Conditions ofApproval/Reasons for Disapproval c^jb €itt^c^'\ed C-^d Altach lo complete plans for the system and submit to the County only on paper not less than 81/2x11 inches In size SBD-6398 (R, 02/22) Wisconsm'Departmeut of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 Phone:608-266-2112 Web: httD://dsDS.wi.eov Email: dsps@wiscpnsiu.goy Tony Evers, Governor Dan Hereth, Secretary November 10, 2025 CUSTID NO.; 221939 EDWARD REDINGER 1015 11TH AVENUE EAST ASHLAND, WI 54806 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/10/27 MUNICIPALITY: TOWN OF WASHBUKN BAYFIELD COUNTY SITE: SIRRINE, ERIC 74785 ONDOSSAGON RD WASHBURN, WI 54891 RKCEJVes Identification Numbers Plan Review No.: PWTS-112502655-C Application No.: DIS-102545531 SiferoNo.:SlT-152823 Please refer to all identification numbers in each correspondence with the Department. Conditionalty DEPT. OF SAFETY AND SERVICES DIVISION OF INDUSTRY 1.7 Z025 Bayfiol'i Co. Plain iin;.] anc! 2onino AQfincy SEE FOR: Design Wastewater Flow Value: 600 Bedrooms: 4 Limiting Factor(s): 13" Maintenance Required: Effluent Filter Mound Component Manual - Version 2.1 (May 2022-2027) SITE REOUIREMENZS • A fall 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 site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • 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. • 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. ' • A state approved affluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. OWNER RESPONSffiILmES • The current owner, and each subsequent owner, shall receive a copy of this letter includmg 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 m 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 contmgency 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 constructioii/instaUatioji/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: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: SO.OOJoshua Rowley 9/o^utci/ Rewley/ Division of Industry Services Phone: Email: joshua.rowley@wisconsin.gov NOV 1720Z5 Bayfiel'l Co. Plyiinini) and Zoniiu) Afjei'icy PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manual Design References; Mound Version 2.1 (May 2022-2027) & Pressure Distribution Version 2.1 (May 2022-2027) Pg1of6 Pg 2 of 6 Pg 3 of 6 Pg 4 of 6 Pg 5 of 6 Pg 6 of 6 Attachments: Pump Curve Index & Cover Page Plot Plan Mound Cross-Section & Plan View Distribution Network Specifications Pump Tank Specifications Management Plan Enclosures: 'Eis NOV 1.7 2025 Bayfield C 'lailllilKI and Zor,! ^1. ';il /•,"tti';cy POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description 4 Bedroom mound with .4 loading Owner Name(s): Erie Slmne Phone: 218 .216 .6381 Owner Address: 416 2nd Ave. E. Washburn, Wl project Address: 74785 Ondossagon Rd. Washburn Govt. Lot: _ NE 1/4 ofNE 1/4, Section 10 Township: Washburn Project Parcel ID #: 30709 Zip: 54891 _, T 48 N-R5 _E county: Bayfield or W • Designer Information Designer Name: Edward B. Redmger _ Phone: 715 .292 .6670 Designer Address: 1015 11th Ave. E. Ashland, Wl _ Zip: 54806 E-mail: ed@superiorpmw.com License Number: 221939 Remarks: I'. I • 11 i <' I 11 > j '1111:. 11 ^ I, I ConditionallyAPPROVED DEPT. OF SAFETyAND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Signature: <^€^-^-^/\^>. ^Date: 10/23/25 Original signature required on each sfjbmitted copy. SUPERIOR PLUMBING MECHANICAL (715)278-3456 Customer Name: Eric Sirrine Adress: 4162ndAve,E Washburn.WI 54891 Site; 74785 Ondossagon Rd. Washburn phone #: 218-216-6381 Email: H CSTS221939 Scale;!" =40' PIN:30709 40 Acres NENES10T48NR5W TownofWashburn Bayfleld Co. A'S.w^i^' No Well on site ^:1.^?" 73^- r^ m^-'/As^' /*^J o^ ?^' c^^^r -y/hj/^ ip^CBVr'D •I 7 202b BayiiekJ Co. li-itniinij arul2(.ir,inoA!ir;]ir,y 3 HtyL^k S'^^'Ij^ Jd6' -^/^£t>/4Q£> £fJ>e'W '—v^ ^ ~. i ••^.^3 /ar^/»^ t? t»r^0•"g Y^f-o^t Lti^t. S1NGLE-CELL MOUND DISPERSAL AREA 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) MIN. 6.0- OF TOPSOIL COVER r- mln. 1.0 ft ASTM C-33 SAND FILL L-— —-atSSSS^^SSt I 1—A = 6 ft Plowed Surface ^^%^ Surface Contour Elevation = 98.7 o= 1.916ft E= 2.03 ft System Elevation •= 1QQ.6 ^ Lateral Invert Elevation = 1Q1.12 ft CROSS SECTION VIEW (No Scale) r^":t yp- (Show force main, manifold, and flush valve locations on plan view.)1,7 2025 Barn--!,- f---, PLAN VIEW (No Scale) 1-1/4 "0Schdl40 PVC Lateral (typical) 9 ft 1_ 10 ft (typical)J—^ w=25.6 I — 1-_ ft B= _100_ft Obscrvaiion i ^Il»_0ypical) "_^___t 10.5 K= 11.2 ft (typical) Bend as necessary to follow contour DOWNSLOPE TOE L=122.5 ft -^1 Prohibit disturbance and vehfcular traffic within 15 feet of downslope toe. Rocof Pano ; -0>0m GO Q-n 05 DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) Orifice in ^ Center of Threaded Cap for Head Testing (optional) ; I Ball Valve (optional) \\ Orifices equally spaced: [check a) OR b) below] a) I ^ I along bottom of lateral b)along top of lateral with every _ th hole FLUSH VALVE DETAIL ^l/ 1.7 ?W^ (No Scale) ""' ''/ u Valve Box ?^Ba^^ Lateral Spacing (insulation optional)K \ \.Shield orifices for gravelless applications Flush Valve Assembly (typical - see detail) "0 Schdl 40 PVC Force Main (slope to pump tank for drain-back) Lateral Length (P) = 49.2 ft First Orifice (typical) Laterals to be level -Schdl40PVCLateral0= 1-1/4 in (typical) Number of Orifices per Lateral = 25 facing down LATERAL I NVERT ELEVATION = 101.12 ft Last Orlfice (typical) Orffices equally spaced along bottom of lateral Orifice Spacing (X) = 24 (typical) in (typical)Orifice Diameter = 5/32 m (typical) Orifice Discharge Rate = .053 gpm Number of Laterals = 4 Lateral Discharge Rate = 13.46 gpm TOTAL DISCHARGE RATE = 53.8 GPM OBSERVATION PIPE DETAIL (No Scale) Screw-Type or Slip Cap (loose) 4-0 PVC Pipe Top of pipe to terminate at or above finished grade (4)1/4'-1/2''X6°Slots @90 apart Anchoring Device Finished Grade (mulched & seeded) Topsoll Cover (min. 1 foot) Inflltratfon Surface First Ortffce (typical) -^ ^SE Check applicable box. x (typical) END MANIFOLD CONNECTION Fh-st Orfffce (typical). Manifold (riser pipe optional) Manifold (riser pipe optional) CENTER MANIFOLD CONNECTION -u>0m -j^ 0-n 0^ PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS(No Scale) 4"0 Vent Pipe >10ft from Building 12"Min.or2.0nabova Established Flood Elevalion (lypical)Approved Vent CapIMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) \1/ \i/ _ \1/ Finished Grade Eleclricat musl comply \vith SPS 316 and NEC 300 Extend manhole n'ser as necessarv.Weatherproof I Ih—Junction Box Approved Locking Manhola with Warning Label Attached (lypiul) Conduit 4" Min, or 2.0 (t above Established Flood ElevBlion (typical) -^—_xl/ CAPACITIES @ 22.24 gal/in A B [C] D Depth (in) 20.2 2.0 4 10 Volume (gal) 449 44.4 89 222 * Pump Tank Liquid Level = 36 Force Main Diameter = 2 18"Min. (lypical) l'!^'i'UiE<;.-i^iiVJSi •' NOV 17 2025 Bayfieli-1 Co. i'lainiinri w\'i ZoniinjAoencyApproved Joints with Approved Pipe 3 ft onto Solid Ground (typical) PUMP-OFF ELEVATION = 91.83 ft INSIDE BOTTOM ELEVATION = 91 ft Force Main Length = 13° ft Force Main Void Volume = 21 gal 3" Approved Bedding Material Beneath Tank [C] Total Dose Volume (TDV) =89 gal/dose (5X total lateral void volume <.TDV <.0.2X design (low) + (force main drainback volume) MIN. PUMP DISCiiARGE RATE =54 gpm Vertical Head = + Min. Supply Head =, + FM Friction Loss = + Fitting Loss* =. "(min. supply head x 0.3) = TOTAL DYNAMIC HEAD = 9.2 3.5 7.4 1 21 .ft ^ .ft .ft _ft PUMP TANK: Volume =800 gal Manufacturer:Wieser Concrete $EPTIC_TANK(S); Total Volume a 1200 gal Manufacturers):Wieser Concrete GouldsPump Manufacturer: , Model: -WEeS42H+4-33Qv-.WE07H (See aitached pump curve.) SJ Electro Install approvedeffluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Controls/Alarm Manufacturer: Controls/Alarm Model:PS Patrol Filter Manufacturer: Filter Model: Poly Lock 525 Float switchescontalninq mercurvare prohibited^ PAGE 6 OF 6 Mound Management Plan IMPORTANT: The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. 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), Wise. Admin. Code. Maximum Dispersal Area Operating Limits : Design Flow = 600 gpd: BODs S 220 mgL-1; TSS S 150 mgL-1; FOGS 30 mgL1 Inspection Checklist INSPECT EVERY 3 YEARS fi^^V^. o type of use age of system ^ ^ ..... NOV 1 7 •?fi?'-i o nuisance factors (/.e. odors, user complaints, etc.) """ '' '""*-" c> mechanical malfunction (/.e., pumps, valves, switches, floats, etc.} teiyfcM co. o material fatigue (/.e., leaks, breaks, corrosion, e(c.) i'huuiiim unu ,,;.;,; \,,,,>,,.,,;,y o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (/'.e,, exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities (/,e., pump re-cycling, float switch settings, eto.) o electrical components (/'.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 affluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s} shall be pumped by a certified septage servicing operator licensed under s, 281.48 Wis. Stats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. 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. o 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 383.55 Wise. Admi'n. Code. Report any component failure or malfunction to: Name of individual or company: Superior Plumbing & Mech. Inc. phone: 715-292-6670 Local government unit: BayfJeid CQ Zoning _ phone: 715-372-6138 Local government unit address; 1 1 7 5ht St. E. Washbum, Wl _ ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383,51 (1), Wise. Admln. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise, Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re-constructed within the originally approved area after removal of all failed components. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code, Wastewater APPLICATIONS Specifically desiynori for t lie following uses: • Homes, Farms, Trailer Courts, Motels, Schools, Hospitals, Industry, Effluent Systems SPEO-RCATIONS Pump • Solid?, h.'uullinci cnpnhilitios: •/;" maxiiTium, • Druh,m.)esi.7e: 2" NPT, • Capacitiey: up to 140 GPM. • Total heads: up to 128 feet TDH. ® Temperature: 104"F (40°C) continuous, 1 40°F (60<1C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. MOTORS * Fully submerged in high-grade turbine oil for iubri- cation and efficient heat transfer. • Class B insulation on Y. - 1 '/2 HP models. - Class F insulation on 2 HP models. Single phase (60 Hz): • Capacitor start motors for maximum starting torque. • Built-in overload with automatic reset. METERS 40 i- 35 aIxu 5<§I 30 25 20 15 10 • SJTOW or STOW severe duty oil and water resistant power cords. • '/i - 1 HP models havM NEMA three prong grounding plugs, 8 1 \/y |.)p gpj larger units hd'/e bare lead cord eods. Three phase (60 Hz); • Class 10 overload protection must be provided in separately ordered starter unit. • STOW power cords ali have bare lead cord ends, * Designed for Continuous Operation: Pump ratings are wilhin (lie motor manufacfurer's recommended working limits, can be operated continuously with- out damage when fully submerged. • Bearings: Upper and lower heavy duty ball bearing construction. • Power Cable: Severe duty rated, oil and water resis- tant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20', Option- al lengths are available. a 0-ring: Assures positive sealing against contami- nants and oil leakage. Tested to Ul 778 .indCSA 22.2 108 Standards RUV If By Canadian Standaids Assucidlion File BLR38S49 Baydelcl Co. i''l;-nn.iiHj ::iric) /'oninn AnBn(,y ;SERIES: WE'SIZE: 'A" SOLIDS: ;RPM:3500&1750 G^iVE 10 15 20 CAPACin 110 120 130 140 150 160 GPM I I 25 30 _L____L,_.35 m3/hr RS PHTF30L® S'-JSTEI :il^||flfti|p-:|Wtt|ta( The newly enhanced PS Patrol system features all the same functions you have come to expect, plus so much more over other traditional pedestal-style alarms, The PS Patrol features a built-in high water alarm and provides a convenient location to connect all wiring required for a pumping station application. It employs a receptacle for easy connection of a 120V pump and piggy-back pump switch. The sleek, angled design of the clear enclosure includes a removable cover for easy access for field wiring and viewing components. All internal components are sealed within the cover for protection from the elements, The red LEDs illuminate the top of the cover in an alarm condition for easy 360° visual identification. Available with or withoul 32" mounting post. V^.Kt NOV 172025 , ^ .; Enclosure meets Type 3R water-tight standards Innovative design allows alarm to accept a 5" square plastic post or 4" pipe/conduit for mounting Automatic alarm reset and green power on indicator Flush mount horn silence/alarm test switch [>hwwww^c^/^mf} ^g patent No" Auxiliary alarm contacts included for easy attachment of remote and devices Includes cord seal for sealing switch and pump cables Electrical potting cavity to provide easy, reliable method to seal power cables (electfical duct seal not included) Options include various switch cord lengths, riser assembly adapter, dual alarm, and elapsed time meter D780,703 PART*. 1022728 1019021 1022575 1022577 1037095 1067640 1018434 1011551 QKCSW^WM^S^Sw . .'•'•. <,; ... -. •^®-. <;^^.. •:^""i: PSP2120V, no pump switch, with post PSP2 120V, no pump switch, 20A breaker, with post PSP2120V, ETM, with post PSP2 120V, DUO alarm, ETM, with post PSP2 120V, Wisconsin, assembly kit (2.5 inch) PSP2 120V, Wisconsin, assembly kit (2.0 inch) PSP2 120V, TAAB indoor alarm, with post Assembly Kit (riser extension coupling and washers) <SJE RHOMBUS Pump Plug Pump Float Plug PSPCordReceptacle 21 1317 33.02C83.9cm3 6.5" (16.51cm) SEALED BALL MATERIAL-HOPE 20.71t52.6cm] HOUSING HLTERCARTRID6E 'WW-IW™'"™ MATERIAL - FILLED POLYPROPYLENE 4" (10.16 cm} B^LLTRAVEL 77?7r^mnffnmsnffrj!nn^/////M^^^ miiiunuwmusumcESEw fffff//^ mi MI wi inh'u^//nm7/jt>, !AapusHROD.. „ .QF^TinM ^FACTORY INSTALLED oc:^ *iul'1 n"/ MATERIAL- FILLED POLYPROPYLENE 4" AND 6-FACTORY INTALLED PIPE OUTLET MATERIAL-PVC POLYLOKPL-525-625 CUTAWAY OPTIONAL BUSHING(FOR4-THIN WALL PIPE) PARTN0.30U2-R OR OPTIONAL FLOAT SWrrCH (FOR 110 MM. PIPE) PARTN0.30142.EUR 1.7.2025 <0CB 164" llli 4" CAST-A-SEAL "=y.lM-l WLP1200/800-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 6° MANHOLE: 24" 1.0. PRECAST CONCRETE R!SERHDGHT: 53" OJX LENGTH: 164" 0.0. WIDTH: 96" OJ). BELOW 1NLET: 41" O.D.CAST-A-SEAL LIQUID LEVEL 56' WEIGHT: BOTTOM 12.000 LBS. COVER 8.170 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 ^0(OTHER STATES SEE CHART) UQUID CAPACITC: 33.46 GAL/IN (SEPTtC)22.24 GAL/IN (PUMP)' LOADING DESIGN: 8' 0" UNSA7URATED SOIL D; Iil0.1 la) 10:1 Oj0-1II Oj ^ Pl 0-1 •>-\ml a| w TOP VIEW i / 2025 TANK CAN BE USED AS: SEPHC/SEPT1C. SEPTIC/PUMPOR SEPTIC/SIPHON COVER: MIX DESIGN i?8 (NO FIBER)TANK: MIX DESIGN fQ (SMALL FIBER) CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT VWESER CONCRETE n PUMP PAD SIDE VTEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS DRAWINGS SUBMm-ED FOR APPROVAL APPROVE) BY: APPROVAL DATE: PRODUCTS NEEDS) BY:.OF DoubleMax Models - Pump Down or Pump Up Operation, Maintenance and Installation Manual Industraos Leading Edge Control Products > WARNING.DesmDtian of Operation The DoubleMax™ pump switch provides maximum accuracy when pumping water or sewage. The DoubleMax™ includes two mechanical floats that are combined with a relay. On liquid rise, when both floats are up, the relay will activate and pump down to the lower float (reverse order for pump up applications). Features 2" - 60" Pumping Range 15 Full Load Amps Operating Temperature 0-140 F Installation Flexible SJOOW (UL, CSA), water resistant, rubber (CPE) cable High Impact PVC Housing Float Housing 3.25" D x 4.55" L ^:--[(^^ NOV 1 7 2025 |3ay;'r.lltl i^o. 1. Determine the pumping range (Fig. 1 and Fig. 2). 2. Tighten the Relay Box on the discharge pipe at desired location, see Figure 1 for levels. 3, Tether the bottom float at 3", tighten the damp on the discharge pipe. s'li"""1! 4. Secure excess cable from float operation. : 5. Plug the piggy back into the receptacle, then plug the pump into the back of the piggy back. For bare lead models, see Figures 3,4 and 5 for wiring diagrams. 6. Cycle system to ensure proper operation. Pump Down Model - Pump Activates on Upper Float Pump Up Mode^-Pump Acttvateson-LowepJEIoat -: — --— -— 3j) . (Fl9.2) Pump Up (STOPL I PUMP[RANSE 2" to 60" sther Note: To achieve minimum pump range the bottom float must be mounted as high as possible and clamped on the back side of pipe (Fig. 2) rather than "front side" as shown (Fig. 1). Note: To achieve minimum pump range the bottom float must be mounted as high as possible and clamped on the back side of pipe as shown above (Fig. 2). Wiring (Fig. 3) - Hard Wire Installation with Bare Leads or Plggy Back Plug Removed IBSfflB 0 NL1 POWER SOURCE G PUMP GT2T1 (Fig. 4) • Bare Leads by Removing Plggy Back Plug (DoubleMax™ must be 230VAC model) fSSSSS GL2L1IPOV/ERSOURCEI PUMP QT2T1 (Fig. 5) - Factory Ordered with Bare Leads yaassa omuI POWER SOURCE I WIREUSINOJUNCTION BOX PUMP GT2T1 fllderon Industries • PO Box 827 Hawlev, INN 58549c P: 218-483-3034 • F: 218-483-3036 • alderonlnd.com Page 1 of 2 Wide-angte pump switches directly control pumps up to 3 HP at 250 VAC. Each switch features an adjustable pumping range. Pump Switch Type of Activation Pump Control y|(|s<?'i*umpi •RuBi'Cdrrerit' MaxPunnp Start Current ».. ..ft. SJE PumpMastera WPS I SJE PumpMaster* SJE PumpMaster" Plus SJEPumpMaster'SPDT (Sirnilr Polq, Double Throw) Mechanically ? 1/2 HR 120V •, 13A, 120V | 85A, 120V Activated I 1 HR 230V | 13A, 230V 'j 85A, 230V Mechanically Activated Mechanically Activated Mechanically Activated 1/2 HP, 120V 1 HP, 230V 3/4 HP, 120V 2 HP, 230V 1/2 HP, 120V 1 HP, 230V 13A, 120V 13A, 230V .;-/ i;:'1"-! ^ ^iVi 85A, 120V 85A,230V N®NT?02| 85A-120V 15A, 230V '"] 85A,230V Baswld Co. ihrj :.;n'l /o;iifnj. 13A, 120V ISA,230V 85A, 120V 85A, 230V 'Pumping .Range 7-3Bin (18 - 91 cm) 7-36 in (18 - 91 cm) 7 - 36 in (18 - 91 cm) 7 - 36 in (18 - 91 cm) : Double Float* Master Mechanically | 15 FLA, 90LRA g 15A, 120V Activated I 120 or 240V g 15A,^40V_ 90A, 120V 90A, 240V 3 - W in (7.6 -122 cm) I^EIMUST use if dose < 7" unless using VerticalMaster SJE AmpMaster3 SJE VerticalMaster" (F.K l :w\^t Spaco Applications) Mechanically 11/2 HP, 125V Activated 3 HP, 250V Mechanically Activated Mechanically Activated 1/2 HP, 120V 1 HP, 230V Use pump run and start current 20A, 125V 20A,260V 13A, 120V 12A, 230V 10A, 12VDC 10A, 12VDC 8A, 250VAC 120A, 125V 120A,250V BOA, 120V BOA,230V 100A, 12VDC BOA, 125V 60A,250V 8:-24 in (23 - 61 cm) .75 - 6.5 in (2 -17 cm) 8 • 36 in (20 - 91 cm) 8 • 36 in (20 - 91 cm) SJE MicroMaster'AC/DC Use pump run and start current Mechanically Activated 13A, 125V 12A,250V 78A, 125V 72A, 250VSJE MfcroMaster- Plus WS Use pump run and start current I 78A, 125V 72A,250V Mechanically Activated 13A,126V 12A,250V 8'- 36 In (20 - 91 cm)SJE HiTempMaster Gatifomia Prop 65 requires the following; /1\WARNING Cancer and Reproductive Harm - www.P65Warnings,ca,gov < RHOMBUS. 888-DIAL-SJE (888-342-5753) customer,service(S)sjeinc,com www.sjerhombus.com 860013BQ 07/20 © 2018 8JE, Inc. All Rights Reserved. iemart Private Sewage System Maintenance Agreement Owner(s) Name ^.ric- <»->0'^yW <$^rr/<^€- Owner(s) Mailing Address ^ ^/f^ ^. U^k^^^i 5C^£\[ Site Address 7 H 7^ ^Ja.ss<so^. (i^, JA.SU^^ . ^Z TaxlD#3o7^ ^ ' r- J"^^ As owner, I (we) do tiereby 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 Wl Adm. Code, as from time to time amended. (COIV1PLETE Legal is required) .1/4 of/Jfc 1/4 Section /0 Township ^/0 N. Range ^ 1w. Additional Legal Description: Town of /^.5^fe>M^^.(Acreage)_^Gov'tLot. Lot. Lot ^ Block CSM# Subdivision Vol.Page.CSMDoc# DOCUMENT NUMBER 2025R-0 1 00 1 1 DANIEL J. HEFF'NER REGISTER OF DEEDS BAYFIELD COUNTY, Wl RECORDED 11/1 7/2025 AT 1 2:25 PM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To:ax?; r TO Planning and Zoning Dej^rtmiT6 202b BayiiR!..! 0" Plqnnin'i end /->-'uii;<'i.''.(;. D In-ground gravity Mound D In-ground dosed D In-ground pressure distribution Sewage System: D At-grade Sewage System D Other Septic Tank (system types A through E): The septlc tank shall be pumped by a certified septage servicihg 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 septlc 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-arade. and In-around 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. Ownerfs) 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. Bayfleld 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 :rt€^ ^irr<^^ &^y Sfrri^i^ Subscribed and sworn to before me on this date: £)^fD k^ /^^^ Notary Public .,''.::.-"^ai^^ Drafted by: |r^/'£' ^irriftC. Date: ^l|ifi>(<LS~ My Commission Expires:;' 7- m-^.p^ r.'^','^''•'•'. :f,CY'.'\^%^:<Proofed by: • • •' u/forms/sanitary/septlcmalntenceagreement Revised July 2020 Wisconsin Department of Commerce Division of Safety and Buildings i^-w", SOILf:£VA^ in accordance with Comm 85, Wis. Adm. Code NOV 01 2023 "REPORT BayfteUCo. _.Page Planning and Zoning Agency Attach complete site plan on paper not less than 81/2x11 inches In size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). County BAYFIELD Parcel I.D.30709 Reviewed by l^s. Date llllslS^ Property Owner ERIC SIRRINE Property Location Govt.Lot NE 1/4 NE 1/4 S 10 T 48 N R 5 g^ir)"^ Property Owner's Mailing Address 416N2NDAVEE Lot #Block #Subd. Name or CSM# City WASHBURN State Zip Code I WI i 54891 | ( Phone Number 218 ^ 216-6381 ;ity avillage BTOWn WASHBUKN- Nearest Road ONDOSSAGON New Construction UseH Residential / Number of bedrooms Code derived design flow rate ,600-.GPD |"j Replacement Parent material. Public or commercial - Describe: LACUSTRFNE „_ Flood Plain elevation if applicable General comments and recommendations:HOLDING TANK OR MOUND SYSTEM ELEVATION AT 100.6 ON 98.7 CONTOUR DESIGN LOAD RATE ».4 GPD/SQ. FT. WOODED SITE TREES TO BE REMOVED STUMPS LEFT IN PLACE 1 Boring # Horizon 1 2 3 4 Depth in. 0-5 5-14 14-16 16-24 Boring Ground surface elev. 98.8 Dominant Colorl Munsell 2.5YR3/2 2.5YR4/6 2.5YR5/6 2.5YR5/6 Redox Description Qu. Sz. Cont. Color F1F2.5YR5/8 :. Depth to limitinE Texture CL SICL c c Structure Gr.Sz. Sh, 3MGR 3MABK 2CABK 2CABK actor 1' Consistence MVFR MFR MFR MFI in. Boundary cw cw cw Roots 3M 3C 3C 3M Soil Application Rate GPD/ff *Efl»1 .4 .4 .2 .2 *Ef?2 .6 .6 .3 .3 2 Boring #' Horizon 1 2 3 4 Depth in. 0-6 6-13 13-15 15-23 Boring 3 Pit Gra Dominant Colo Munsell 2.5YR3/2 2.5YR4/6 2.5YR5/6 2.5YR5/8 98.8id surface elev. Redox Description Qu. Sz. Cont. Color P1F5YR5/8 Texture CL SICL c c epth to limitini Structure Gr. Sz. Sh. 3MGR 3MABK 2CABK 2CABK 1 'actor Consistenra MVFR MFR MFR MFI in. Boundar cw cw cw Roots 3M 3C 3M 2M Soil Application Rate GPD/ff *EfW1 .4 .4 .2 .2 *EfW2 ,6 .6 .3 .3 • * Effluent #1 = BOD, > 30 <, 220 mg/L and TSS >30 ^ 1 SO mg/L * Effluent #2 = BOD^ 30 mg/L and TSS ^ 30 mg/L CST Name (Please Print) BRUCE W BLAKEMAN ^^c^- CST Number 708148 Address 64903 CHARLES JOHNSON ROAD ASHLAND, WI54806 Date Evaluation Conducted 10/16/2023 Telephone Number 715-209-2569 Property Owner.SIRRINE ParcellD#_ NOV 01 2023 BayfieMCo.30709 3 Boring # Horizon 1 2 3 4 Depth in. 0-6 6-13 13-15 15-23 Boring L] Pit Gro Dominant Colo Munsell 2.5YR3/2 2.5YR4/6 2.5YR5/6 2.5YR5/8 98.4 Redox Description Qu.Sz. Cont. Color F1F5YR5/8 Texture CL SICL c c 'epth to limitinc Structure Gr.Sz. Sh. 3MGR 3MABK 2CABK 2CABK Factor ConsistencE MVFR MFR MFR MFI in. Boundary cw cw cw. Roots 3M 3C 3M 2M Soil Application Rate GPD/ff *Ef(#1 .4 .4 .2 ,2 *Ef»2 .6 ,6 .3 .3 Boring #Boring PK Ground surface elev..-ft.Depth to limiting factor,in.Soil Application Rate Horizon Depth in. Dominant Colorl Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz. Sh. Consistence Boundary Roots GPD/ff *Eff»1 *Eff»2 Boring #Ground surface elev..ft.Depth to limiting factor..In. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Efl»1 | *Eff»2 * Effluent #1 = BOD» > 30 s. 220 mg/L and TSS >30 £. 150 mg/L * Effluent #2 = BOD ^ 30 mg/L and TSS ^ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330Test (R.07/00) „- S^toi^' -^t M£ S}0 7^ ,^^-5" IV T^WAJ ^ ^^-^s^^ ^Al^t^ ^T/ I/O ^5 ^, SCAL^- '" -- i v0' / ^-^' A/A^ <f'ti -^Wt G^^b t^ ^L-5^^ ^ /6Q. k/oo)^ s^rc ^ / A/^ k/€.LL , 4r' T^^S 7^^L^\ ,6 //^/^^ 3 3^3 ^ ;<^z— e<^ NOV 0 1 2023 BayfeidCo. ^r ^r^^y^ /N -^pyps'^ J/e5^ 306/ ^ ^'A^^S^A/ ^ T^Po5^> H^^' 97,9 BAYFIELD COUNTS SANITARY PERMIT (#04)-25-157S STATE SANITARY PERMIT OWNER: ERIC M & BRRTANY S SIRRINE GOVTLOT: LOT: BLK: NE 1/4 NE 1/4 SEC: 10, T 48 N, R 5 W TOWNSHIP: Washburn SOIL TEST: 171-23 NEW SYSTEM SYSTEM JVPE: Mound > 24 in. of suitable soil PLUMBER: EDWARD REDINGER TRACY POOLER Authorized Issuing Officer DATE: 11/19/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the san'rtary 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. INY PREVIOUS P&RMIT #: LICENSE: #221939 THIS PERMIT EXPIRES 11/19/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION BAYFIELD COUNTS SANITARY PERMIT (#04)-25-157SR STATE SANITARY PERMIT OWNER: ERIC M & BRITTANY S SIRRINE GOVTLOT: LOT: BLK: NE1/4 NE1/4 SEC:10,T48N,R5W TOWNSHIP: Washburn SOIL TEST: 171-23 NEW SYSTEM SYSTEM VfPE: Mound > 24 in. of suitable soil PLUMBER: EDWARD REDINGER TRACY POOLER Authorized Issuing Officer DATE: 12/3/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitaiy permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: 25-157S LICENSE: #221939 Condition: THIS PERMIT EXPIRES 12/3/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION