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HomeMy WebLinkAbout23-172SafM,,,r.a7ot.S tcctvALeoM Request for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note Time Change fl Discrepancy fl Other Phone Number Plumber: 1 , •a1'y !?5ii 3-'n a ?7S 5I7:.. :b.5..S Fax Number Homeowner: Email Address s (°cn I rn t 11-e K Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: _ j / O Plumber's Choice Zo ' Dept � No Inspection(s) during this time Date: (�1 d I? C yt Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zon pt Time: Township: Address # & Road Name: or 22 �)50(7 ��/ �� Directions / To Site: Comments: P ** Plumbers you must verify any change(s) by fax or email *k Notes from ulforms/sanitar//requestfortnspection Zoning Dept (O4/12/04); 0 June 2023 Request for Sanitary Inspection (24 Hrs, in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373.0114 If you do not have a fax and must email the inspection: you must email all staff members. Note Time Change J Discrepancy fl Other Phone Number Plumber: 111r 1!(StfUJuPn = .:'+ !1s 7 333.5 Fax Number 7,c- '7yf - Homeowner: �e�Osrf ��r Email Address 72 yr �'n,ctl- .t`Unt Ssy0,�r d , all ft(() CO??? Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: 3 - Plumber's Choice Zwt1TiSDept ( , No Inspection(s) during this time Date: JJJ / a G) ��r Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice on Dept Township: / Address # & Road Name: or 3ScoY' i' �q,5�✓� Directions To Site: Comments:hd / SI eVY( ** Plumbers you must verify any change(s) by fax or email ** Notes from u/iomisisanitary/requestionnspection Zoning Dept (@4/12/04); ®June 2023 ?`�EpARTA! T Y10$ y ' PS� 1 Industry Services Division General Information Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) • RAYMOND L & TERESITA S MILLER 18735 FISH HATCHERY RD EAGLE RIVER AK 99577 Thn4 TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic N/A Dosing N/A Aeration N/A Holding oses[Privacy Law, s. 15.04 1)(m LI City fl Village 9 Town of: BM Description: oathark in Pump! Siphon Information Pump Manufacturer Pump Model 1 Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Wid(h Len thh . # of Celist SETBACK FROM Pr p. ine Building 1 We OHWM Type of Cell ( l�" Q�'Q� Manufacturer: L� Model Number: M Pretreatment Unit Manufacturer: I iC. lop Model Number: Wt 4ilQ (c Elevation Data STATION BS HI FS ELEV Benchmark S too Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold �a Q Distribution Pipe rJ Infiltrative Surface Final Grade tion System X Pressure Systems Only r! Manifnld I Distribution Pipe(s) — I X ole Size X Hole -- I'Dia —'I Lenpth 14 Diaj_. /7� tt Spacin ❑ No Depth Over Depth Over Depth of Seeded! Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes 0 No ❑ Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc. DVa'G &jc ,Ja c Kph —D�1 Sit=e - told ( I settono- dn/ 50(11 no Ca, (%Q34 tt n + ao x wws yk, o tvt 'tSL io1v 4k9 ptV� t r Id� rpump $qo n' G d`(, 2��`^k ���tJal�a� K«,. Ulan thers id rrequired? 0 Yes No �� a� a� �n11 ( /, C ''(��( I loo �. Use other side for additional information. t(.� Date POWTS Inspector's Signature License Number RRfl471n!P 07!91\ Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715)373-0114 e-mail: zonina(&bayfieIdcountv.wi.00v Web Site: www.bayfieldcounty.wi.aov/147 RAYMOND L & TERESITA S MILLER 18735 FISH HATCHERY RD EAGLE RIVER AK 99577 As you know onsite wastewater treatment system on your property described as: Notes: Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: 1 r Tank was pumped by: C. Tank was crushed! removed and pipes disconnected by: on at AM/PM On at (AM I PM) the above -mentioned plumber contacted our office to cond ct 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 inspected because County could not respond to plumber's time constraints. II aAJ Comments: {J)LA LA se4 hL(ctc(o 1!i '7L Ip GU�Im G ((i,IPr!(„ 'fip1k ii IC l/1<lu // i / 4v c/o/ Ulformsfsanilarypropertyowner-input April 2019 r Industry Services Division I County t. T 2 ` 2023 Madison, Madison Yards Way Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) zs P.O. Box 7302 oA`'aaxwa.� am Co. Madison, WI 53707 Sanitary Permit Application SpmatterTTrannssactionNumber In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit r V V ' `�—_ 02302451 —C is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary q��fy� ((�j� 1nr 11 purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. 35&W ?M i sj '3 I. Annlirseinn infnrmneinn— Plaoea P -[a, All I..f-....d:.... 1 Raymond & Teresita Miller Property Owner's Mailing Address 18735 Fish Hatchery Rd City, State Eagle River, AK Zip Code 99577 Phone Number 907-351-2727 II. Type of Building (check all that apply) PI or 2 Family Dwelling — Number of Bedrooms 2 Public/Commercial — Describe Use ]State Owned— Describe Use Lot k Block it CSM Number 29347 Property Location Govt. Lot 'G. 'A, Section 26 T51 N R04 EorW Subdivision Name ]City of Village of 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 if a licable. `t ✓New System [Replacement System ❑Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. UHoldin Tank B DIn-Ground UAt-Grade ✓ Mound Individual Site Design Other Type (explain) (conventional) C. []Renewal Before ❑Revision Change of Plumber Lfransfer to New Owner List Previous Permit Number and Date Issued Expiration NA 300V oiv j300v300 98.0 Capacity in Total N of Manufacturer Tank Information Gallons Gallons Units v g o New Tanks V Existing Tanks Septic or Holding Tank 1060 1060 1 Infiltrator a/ Dosing Chamber 540 540 1 Infiltrator EJ Q ✓ v. waaspunmonrty atatement- t, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 Approved 0 Disapproved Permit tee Date Issued Age g attire ❑ Owner Given Reason for Denial vW Conditions Approval/Reasons for Disapproval �o M(Lt all t tt th. �) 4d e ii f Ad7pniuoi? /�t�-+: ��fau mgt v h t ou► Jr. Attach SBD-6398 (R. 02/22) system and submit to the County only on paper not less than 8 la x 11 inches RECEIVED OCT 23202:1 Bayhekl co. Wisconsin Department of Safety and Professional Services PSnnlg and Zoning AgenW Page _of _ Division of Industry Services " BFill SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, Bayfield but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 29374 Please print all information. Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location O i] Raymond & Teresita Miller GovLLotNW Y. NW Y. s26 T 51 N R4 E(or) W Property Owners Mailing Address Site Address or CSM and Lot 18735 Fish Hatchery Rd 35200 St. Hwy 13 Bayfield WI City State Zip Code Phone Number ❑ Cty ❑ Village ® Town Nearest Road Eagle River AK 99577 907/3151127LRUSSELL ST. HWY 13 QNewConstrution Use: O Residential/Numberofbedrooms2 - Code derived designllow rate300 GPO ❑Replacement ❑Public or commercial —Describe: Flood Plan elevation if applicable ft. ParentmaterialTlLL PLAINS General comments and recommendations: AT -GRADE SYSTEM ON 97.5 CONTOUR @ .6 LOADING peoring Boring # 11Pit Ground surface elev._it Depth to limiting factor �� M. I elev. 93 98 c..s e,,.� r,..er�., a -.e Horizon Depth In. Dominant Color Mansell Redox Description Cu. Az. Cont Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/F9 •ER#1 EO#2 1 0-16 5yr4/2 - sl 2mabk dl cw 3m .6 1.0 2 16-36 5yr 4/6 - Is osg dl cw 3f .7 1.6 3 36-61 5yr 5/4 c2d 5 r 6/8 Is 0sg ml cw - .7 1.6 4 61-64 5yr 4/4 - c Om mvfi - - 0.0 0.0 Boring# ❑Boring 98.4 42 94.9 Ent Ground surface elev. ft. Depth to lindting factor in. / elev, ft. as A, vl Horizon Depth In. Dominant Color Mansell Redox Description Du. Az. Conl Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPO/Ft' •Elf#1 'Eff#2 1 0-12 5yr 4/2 - sl 2mabk dh cw 3m .6 1.0 2 12-42 5yr 4/6 - s 0sg dl cw 2m .7 1.6 3 42-50 5yr 4/4 - C Om mvfi - - 0.0 0.0 CST Name (Please Print) Si re CST Number Edward B. Redinger 221939 Address Date Evaluation Conducted Telephone Number 101511th Ave. E. Ashland, WI 54806 8/18/23 1715-292-6670 Ef luent #/ • BOO > 30 5 220 mg/L arlTSS > 30 s 150 mg/L • EMuent #2. BOD, s 30 ng/L and TSS 5 30 mg/L S868330 (R04121) Page of .+QBpring 95.6 Boring # ® Pit Ground surface etev. ft. Depth to limiting factor_ in. I etev. 92.1 ft. Asa Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sr. Sh. Consistence Boundary Roots GPD/FI2 •Eff#1 •Eff#2 1 0-24 Syr 4/2 SI 2mabk dh cw 3f .6 1.0 2 24-42 Syr 4/6 - S 0sg dl cw 1 co .7 1.6 3 42-53 5yr 4/4 c2d 5yr 6/8 sic 1 fpl mvfi gw - 0.0 0.0 4 53-60 5yr 4/4 c 0m mvfi - - 0.0 0.0 1-1 Boring # ❑ Boring O Pit Ground surface elev. ft. Depth to limiting factor In. I elev. ft.I . Cnii Annfiinn Qt Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sr. Sh. Consistence Boundary Roots GPDIFt2 •Eff#1 .E Boring # ❑ Boring ❑ Pit Ground surface etev. IL Depth to limiting factor In. I etev. ft. Cr t Annrnsfinn Q�fn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gc Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 Eff#2 ' Effluent #1 r SOD > 30S 220 mgIL and TSS > 30 5150 mg/t. * Effluent #2 = BOO, s 30 mg/L and TSS s 30 mg/L RECEIVED OCT 232023 BayMdCo. Customer Name: Raymond & Teresita Miller Adress: 18735 Fish Hatchery Rd Eagle River, AK 99577 SUPERIOR SITE: 35200 St. Hwy. 13 Bayfield, WI PLUMBING MECHANICAL Phone N. 907-351-2727 (715)278-3456 Email: farmwi@use CSTN 221939 / 1� Scale: 1" = 40' `/ r✓`� PIN: 29374 I' 110.5 ACRES E1/2 WI/2 NW N OF HWY 13 LESS NE NW NW 526 TS 4 Town of Russell Bayfield Co. A Lieu 4" A 6..i 4&. I bDl � CyVc1� IT - 18 / Sl�� RECEIVED OCT 23 2023 AgerKy MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Conditionally Project Name: MILLER MOUND SYSTEM APPROVED Owners Name. RAY & TERESITA MILLER DEPT. OF SAFE-T-Y_AND PROFESSIONAL Owner's Address: 18735 FISH HATCHERY RD. SERVICES uivlSlON OF STRY SERVICES EAGLE RIVER, AK 99577 d2 /� Q�� /1rGt aeu �Ii/2j� �/ Legal Description: E 1/2, W1/2, S26 T51N R04W Township: RUSSELL SEE CORRESPONDENCE County: BAYFIELD Subdivision Name Lot Number: Block Number: Parcel I.D. Number: 29347 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Evaluation Page 10 Soil Tester Plot Plan Designer: Jason Kuettel License Number: 675751 Date: 10/12/23 Phone Number: 715-798-3355 Signature: Use Updated Component Manuals found in eSLA Public Lookup. Designed Pursuant to the Mound Component a TS Version 2.0 S - r 1), and both SSWMP Publication 9.6 e I tworks for ST SAS (01/81) and Distribution slur_ _._...__.._.. Component Manual Ver. 2,0 cnnn0 nvnn __...,_.._... Version 7.0 (R. 03/2012) Page 1 of 10 . Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design I Note: Sand fill (D) calculations assumea 200.00 Estimated Wastewater Flow (gpd) j Table 383-44-3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of c= 38 inches. 300.00 Design Flow (gpd) 6.00 Site Slope (%) 97.50 Contour Line Elevation (ft) 36.00 Depth to Limiting Factor (in) 0.60 In -situ Soil Application Rate (gpd/ft2) Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/1t2) 1 Influent Wastewater Quality (1 or 2) (C or E) Pressure E Disribution Information Center or End Manifold Lateral Spacing (ft) Number of Laterals Orifice Diameter (in) Estimated Orifice Spacing (ft) _ Forcemain Diameter (in) Forcemain Length (ft) Pump Tank Elevation (ft) System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) In -line Filter Loss (ft) Total Dynamic Head (ft) 0.00 I 0.156 2.50 1.50 60.00 93.00 4.55 4.50 1.50 0.50 11.05 Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 1.50 x X 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1060.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in) infiltrator JManuIacturer gal/in (enter result in cell B49) 4.00 Cell Width (ft) Are the laterals the highest point in the distribution L_? network? Enter Y or N If N above, enter the elevation ft of the highest point. 10.00 ft2/orifice Does the forcemain drain back? LI Enter Y or N ifl Forcemain Drainback (gal) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) 33.66 39.16 16.16 Manifold Diameter Selection in. dia. options choice 1.25 1.50 2.00 3.00 Dose Tank Information Effluent Filter Information 540.00 Dose Tank Capacity (gal) SIMTECH Filter Manufacturer 10.00 Dose Tank Volume (gal/in) 100A2 Filter Model Number Infiltrator I Manufacturer Project: MILLER MOUND SYSTEM Page 2 of 10 Wisconsin Department of Safety and Professional Services Division of Industry Services 4322 Madison Yards Way PO Box 7302 Madison, WI 53707 October 23, 2023 CUST ID NO.: 1476757 TIMOTHY J CLARK 42940 US HIGHWAY 63 CABLE, WI 54821 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/23/2025 MUNICIPALITY: TOWN OF RUSSELL BAYFIELD COUNTY SITE: MILLER MOUND 35200 STATE HWY 13 BAYFIELD, WI 54814 E 1/2 W 1/2, S26 T51N R04W FOR: Design Wastewater Flow Value: 300 Bedrooms: 2 Limiting Factor(s): 36" Maintenance Required: Effluent Filter RECEIVED OCT 2320Z3 BCo. piannkq and Zoning P IeIY Phone: 608-266-2112 Web: hunt/dsos.wigov Email: dsos{i4w1sconsui.gov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-102302451-C Application No.: DIS-102344814 Site ID No.: SIT -122756 Please refer tall idjptlficatigpnumbers in each correspondeikf4WWuiient. APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE 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 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: • It is recommended to fence off dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left -over construction products shall not be discharged into the drains discharging to the private ansite wastewater treatment system (POWYS). Waste generate[ shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4 -inch wire, the site is too wet to prepare. if it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Electrical connections shall comply with SPS 316.300 and NEC 300 • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewers beyond 30 feet per SPS 382.30 (I1)(c) Well shall be located 50 feet from drainfield and 25 feet from treatment or pump tanks. Verify property line location. OWNER RESPONSIBILITIES.1. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 Travis Wagner Division of Industry Services Phone: 608-598-0715 Email: travis.wagner@wisconsin.gov Customer Name: Raymond & Teresita Miller Adress: 18735 Fish Hatchery Rd Eagle River, AK 99577 SITE: 35200 St. Hwy. 13 Bavfield. WI Phone N: 907-351-2727 Scale: 1" = 40 PIN: 29374 t 110.5 ACRES E1/2 W1/2 NW N OF HWY 13 LESS NE NW NW S26 15 Town of Russell Bayfield Co. loot A Q.M. _ Tc? a Lieil as,5 s y^AL 4E. N,p G�s�sf Ibb� r e . C " tai ��tYLR rrc. II io4. �'• 1t1N� W% 0�2 Ery C9 Fit-TLYt_ I afb dt_, try.,-t're7 I cf9, y t`l `.I — 9rn.t_ IM SVU w� Ser'e-ct+ t=tL7M zs .,_ ' Q Lf 9.4 Z' Sit. vc ?vc (=M 9C•`i ,. towCtt 3-3 — — — f 8 % S(oee Chmpion 1/3-1/2 HP t,._ r! RMP EFFLUENT/SUMP Every pump tested in water to ensure pump meets peformance curve.. t1r RECEIVED 0CT Z32023 2023 nayleld Co. Planning and Zoning Apes Mound Plan and Cross Section Views I '1/10 * Observation Pipe K O Qs C 11 I Mound Component Dimensions A 4.00 ft E 8.88 in B 75.00 ft F 9.50 in D 6.00 in G 0.50 ft 300.00 (ft`) Dispersal Cell Area 4.00 (gpd/ft) Linear Loading Rate Finished Grade 98.00 (ft) -�' — Dispersal Cell Elevation ❑4 Shading Key 10II Topsoil Cap ❑2 O Subsoil Cap .I ASTM C33 Sand I I Tilled Layer © O Aggregate J -4 A - f H H 1.00 ft K 7.24 ft 7.43 ft L 89.47 ft J 4.56 ft W 15.99 ft 857.47 (ft') Basal Area Available 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area 99.79 (ft) Dispersal Cell - GIIH 98.50 (ft) Lateral Invert 1 1 97.50 (ft) Contour Elevation 6.0 % Site Slope T 1.5 it 0.5 ft Ij T Dispersal Cell T Tv0 II Lateral A Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project MILLER MOUND SYSTEM Page 3 of 10 End Connection Lateral Layout Diagram Laterals centered over the A e Bdimension �=Turn-upvdbal I valve or alesn out plug P Last hole drilled next to end cap `x� Laterals & forcemain Sch 40 PVC IIHoles drilled on the bottom of the lateral per SPS Table 384.30-6 equally spaced Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head Orifice Diameter in Orifice Spacing (X) ft Orifices per Lateral ft Orifice Density gpm Manifold Length gpm Manifold Diameter ft Forcemain Velocity 1 1.50 73.37 0.00 16.16 16.16 11.05 Dose Tank Information Electrical as per NEC 300 and —� SPS 316.300 WAC Tank component is properly vented Infiltrator Capacity 540.00 Volume 10.00 Manufacturer Gallons gal/inch Dimension Inches Gallons A 36.08 360.84 B 2.00 20.00 C 3.92 12.001 54.00 39.16 120.00 540.00 D Total 3" T A B C Alarm Manuafacturer SJE RHOMBUS Alarm Model Number HW101 0.156 in 2.53 ft 30 10.00 ft2/orificE 0.00 ft 0.00 in 2.93 ft/sec Locking cover with warning label and locking device and sealed watertight Disconnect .___4_4 in. min. I --I i. Alternate outlet IT iT location Pump Manufacturer CHAMPION Pump Model Number CPEH3 Pump Must Deliver 16.16 gpm at 11.05 ft TDH Project: MILLER MOUND SYSTEM Forcemain diameter 1 1.5 in. Weep hole or anti - siphon device 4 Pump off elevation (ft) 94.00 4 Dose tank elevation (ft) 93.00 Note: Switches containing mercury may not be used in this system Page 4 of 10 Bayfield County, WI ORnIU/ATuILc 2/350 `4 PPPID/Tda lD st 2YJ32 pF1' If 0 Y3 6 .ER • V.0NOLA TFRF5I `•I{LI �[y- pAYMONOrL6TEPE5ITA5MILLER R4YN.ONOL fc[,TA 5 MILLER A. "i RPDIWTm RE5ITAW I� J RAYMOND L 6 TERESITA�5 MILLER Ca � lP rD Tox ID r 29347 RAYMOND L TERE5ITA 5 MILLER �& LER 10/25/2023, 3:55:26 PM Rivers Approximate Parcel Boundary Road Type State a Building ,psw'""��J'u1N"ti'•A.L OF VWI� .. A� _. RpllflTcv AO '(AT[ON SL 4T.OF Tµ AN5n OH f •.. IRp ID! lox 1DM 2)354 ' AN NE LI RA INRRI Di;!-ADAMS I i 1:1,976 0 0.03 0.05 0.1 mi 0 0.04 0.07 0.15km Bayf&d County Land Records Department BayANd Camly Zoning Application Nlps:llmaps.bayWdoountywl.gm+lZonipWAB1 RECEIVED OCT 232023 Mound System Maintenance and Operation Specifications e✓JC and Zoning Agency Service Provider's Name ANDRY RASMUSSEN & SONS Phone 715-798-3355 POWTS Regulator's Name BAYFIELD CO ZONING Phone 715-373-6138 System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 200 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1060 gal Maximum TSS 150 mg/L Soil Absorption Component Size 300 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • Grade vl 6-8" Diameter Lawn Sprinkler Valve Box Distribution Threaded Cleanout Plug or Ball Valve Sweep 90 or Two )egree Bends Same Diameter as Lateral Project. MILLER MOUND SYSTEM Page 5 of 10 • Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis, Adm. Code, and shall maintained In accordance with its component manuals [SBD-10691-P (N.01/01), SSWMP Publication 96(01/81) and Pressure Distribution Component Manual Ver.'2.0 S6D-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death.. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for -service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced Exposed access openings greater than 8 -inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a. tank or component. Septic -Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessedat least once every 3 years by Inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids In the tank that may slough off the filter when removed from Its enclosurelithe filter is equipped with an alarm, the filtershall be serviced if the alarm Is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation In the tank. The addition of biological or chemical additives to enhance septic tank performance Is generally not required However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be Inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is Installed within the tank it shall be Inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound Is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction In the winter will promote frost penetration. Cold weather Installations (October February) dictate that the mound be heavily mulched as protection from freezing. Influent quality Into the mound system may not exceed 220 mg/I. BODE 150 mg/I. TSS, and 30 mg/t. FOG forseptic tank effluent or 30 mg/I. BOD5, 30 mg/I. TSS, 10mg/L FOG, and 10° cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified: in the permit forthis installation. The pressure distribution system Is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test Is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,. and any levels above 6 inches considered as,an Impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of Its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced 'with' a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, It will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system Into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 1O 10/25/23,'3:55 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 10/25/2023 Created On: 3/15/2006 1:16:01 PM Z Description Updated: 12/1/2021 Tax ID: 29347 PIN: 04-046-2-51-04-26-2 02-000-40000 Legacy PIN: 046104203992 Map ID: Municipality: (046) TOWN OF RUSSELL STR: S26 T51N R04W Description: E 1/2 W 1/2 NW N OF HWY 13 LESS NE NW NW) DESC IN 2021R- 592302 TOG WITH & SUB] TO EASE IM 2005R- 501524 Recorded Acres: 10.574 Calculated Acres: 10.574 Lottery Claims: 0 First Dollar; No Zoning: (AG -1) Agricultural -1 ESN: 128 3 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 046 TOWN OF RUSSELL 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE d� Recorded Documents Updated: 3/15/2006 O WARRANTY DEED Date Recorded: 11/29/2021 2021R-592302 ® CONVERSION Date Recorded: 501524 802-616;918-540;926- 212 a Ownership RAYMOND L & TERESITA S MILLER EAGLE RIVER AK Billing Address: Mailing Address: RAYMOND L & TERESITA S RAYMOND L & TERESITA S MILLER MILLER 18735 FISH HATCHERY RD 18735 FISH HATCHERY RD EAGLE RIVER AK 99577 EAGLE RIVER AK 99577 Updated: 12/1/2021 i Site Address * indicates Private Road 35200 STATE HWY 13 BAYFIELD 54814 ® Property Assessment Updated: 4/10/2023 2023 Assessment Detail Code Acres Land Imp. G4 -AGRICULTURAL 15.000 900 0 2 -Year Comparison 2022 2023 Change Land: 800 900 12.5% Improved: 0 0 0.0% Total: 800 900 12.5% Property History N/A https://novus.bayriieldcounty.wi.gov/access/master.asp?paprpid=29347 1/1 I Industry Services Division rI_County 7 p 202A822 Madison Yards Way K1 a� �s O I 2 3 3 Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) P.O. Box 7302 Co. Madison, WI 53707 State Transaction Number Sanitary Permit Application PWTS-102302451-C In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary q G,aM Cl.l1\a �\t,p1 1% purposes in accordance with the Privacy Law. s. 15.04(l)(m). Stats. 3655 J-(U�s- -` `� & Teresita Miller Property Owner's Mailing Address 18735 Fish Hatchery Rd Eagle River, AK 1 99577 H. Type of Building (check all that apply) ]I or 2 Family Dwelling —Number of Bedrooms ]Public/Commercial — Describe Use ]State Owned — Describe Use 907-351-2727 Lot # 29347 Property Location pil, EVz w'Ib 1l`tfluhJ Govt. LotR, , ''A. ` '',1wSection 26 151 M 004 c ... "r of Ige of n of Russell �3 Ill. Type of POWTS Permit: (Check either "New" or"Replacement" and other applicable on line A. Check one box on line B. Complete line C if a licable.) A. New System ❑Replacement System ❑Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' flHoldin Tank �In-Ground EIAAt-Grade g ✓ Mound J Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision Change of Plumber E1'ransfer to New Owner List Previous Permit Number and Date Issued Expiration NA IV. DispersaUTreatment Area and Tank Information: Design FI (gpd) Design SayApplication Rate(gpd/sf) Dispersal Ar Required (sf) Dispersal Area roposed(sf) System Elevati n 300 0.7 ✓ 300 300 98.0 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units . o E 2 New Tanks / Existing Tanks v 2 u v ro ✓ 0,0 m H N u - C 7 G Septic or Holding Tank 1060 1060 1 Infiltrator ✓ Dosing Chamber 540 540 1 Infiltrator Q ✓ V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Jason Kuettel 675751 715-798-3355 PO Box 66 Cable, WI 54821 T Approved C Disapproved " // e"e` /0. O5 ❑ Owner Given Reason for Denial // �2 ni Conditions of Approval/Reasons for Disapproval ►)SVPW �o Mitt all S f", 3 hwre I' (Toe appl'vyJ) /€l + d� /YIam m ilt � h to Doer. £6o 9� Attach to complete plans for the system and submit to the County only on paper not less than 8 I/2 x SBD-6398 (R. 02/22) Gee C� fl1 . RECEIVED Private Sewage System Maintenance Owner(s) Mailing Address -1 ?S F/Si A*9-rcn-eyL t^/'7 it;' t-AGLE yt 1 y,C(CC,o k ss As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location In accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) 1/4 of 1/4 Section Z(D Township 5/N. Range ______w. Additional Legal Description: Ste Town of /L�sSttL Lot_ Block Subdivision (Acreage) /015? Gov't Lot Lot _ CSM # _ Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2023R-600931 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 1O/23/2O23 AT 2:5O PM RECORDING FEE: $30.00 PAGES: 2 Return To: Planning and Zoning Department Area ❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: V Mound ❑ Al -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by BPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds. At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is Inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided bylaw. 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 sworn to before me on this date: M �AyON A \LLEc-_ )3+ Ci & 20. Notarize Owner(s)—Signatu e(s) J Wr r� � +y'• Q` J h� C9 My Commission Expires: 2 Vr Drafted by: %/" tc-,4,z4—' Date: )0-13 -aCQ ulrormslsan itaoll septicmaln ionceaorU e The East Half of the West Half of the Northwest Quarter (Ei/2-W1/2 NW114),. lying North of Highway Thirteen; EXCEPT that part thereof described as the Northeast Quarter of the Northwest Quarter of the Northwest Quarter (NET/4-NW1./4-NWI/4), Section Twenty-six (26), Township Fifty-one (51) North, Range Four (4) West, Town of Russell, Bayfield County, Wisconsin. BAYFIELD COUNTY SANITARY PERMIT (#04)-23-172S STATE SANITARY PERMIT OWNER: RAYMOND & TERESITA MILLER GOVT LOT: LOT: BLK 1/4 NW 1/4 SEC: 26, T 51 N, R 4 W TOWNSHIP: Russell SOIL TEST: 74-23 NEW SYSTEM SYSTEM TYPE: Mound ≥ 24 in. of suitable soil PLUMBER: JASON KUETTEL MCKENZIE SLACK DATE: 10/25/2023 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow Installation of the private sewage system described In the permit. b. The approval of the sanitary permit is based on regulations In force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations In force at the time renewal Is sought, and that changed regulations may Impede renewal. f. The sanitary permit Is transferable. History: 1977 C. 168; 1979 c. 34,221; 1981 C. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 675751 Condition: System to meet all setbacks. Management plan to owner. Properly maintain system per recorded agreement. Adhere to state approval letter. THIS PERMIT EXPIRES 10/25/2025 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION