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HomeMy WebLinkAbout25-22SINBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY TIME RECEIVED -. REMOTE CSID DURATION PAGES STATUS July 31, 2025 at 1:15:22 PM CDT 46 1 Received From: To:7163730114 08/01/2022 14:26 #012 P001 Request for Sanitary Inspection (Fax this form to Zoning Dept when you want an inspection — 373-0114) Note: fl Time Change jJ Discrepancy fJ Other From Zonlnn pent ✓ v r �v MVJ 1 K7 Plumber: )1 �S-u - O 1LRI o , Fax Number C2tV 1cCKe,®rfOsinfAt.A '1 Qnci Jo% . <. c3� Home Owner: �cdvi 1 CL Sanitary Permit #: 4Directllons lumber's Choice Dept No inspection during these times phi 9:30 am -12:30 pm Tues. (Tracy) 9:30 am —12:30 pm Thurs. (Tracy) umber's Choice pin ept Immediate Phone Number so Zoning Ann R� • Dept can call you right back (if needed) / / I Comments: 1VSQVe -icv, Reminder: You must confirm any change(s) that have been made prior to or this inspection will not be scheduled and a memo will be sent voiding the inspection. Thank You! ** Plumber must verify any change(s) by fax or no inspection will be scheduled ** U/lo ns/sanitary/request(onnspectian Zoning Dept (@4/12/04) a June 2018 ``SPnn bbn�o��a� Industry Services Divislo General Information Permit Holder's Name: Tank Information TYPE MANUFACTURER CAPACITY Prop. Line Well I Building Air Intake I Road Se tic e -ov fl 6� ,3 N/A Dosing N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems (POWTS) Inspection Report (Attach to Permit) RODNEY DYMESICH 405 SOUTH AVON AVE PHILLIPS WI 54555 I- insp-6M Elev. setback to: County J ► SanitaryPermit 2s -22s State Plan' Transaction ID#: Parcel Tax No: Pump! Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Width I Length # of Cells / 3 O SETBACK FROM Prop. Line Buil ing Well OHWM y%I ffc pf% Type of Cell Manufacturer: / ci j1Mctwc4Moriel Number. Pretreatment Unit Dia Elevation Data STATION BS HI FS ELEV Benchmark y .73 ' Bldg. Sewer Tank Inlet b $,33 P5410 Tank Outlet Dose Tank Inlet Dose Tank Bottom �o�" y2-, _ Inst. Contour Header / Manifold Distribution Pipe Infiltrative Surface /, 73 �Dv® Final Grade X Pressure X Hole ❑ Yes ❑ No Cell Center I Cell Edges I Topsoil 1 0 Yes 0 No 1 0 Yes 0 No COMMENTS: (Include code discrepancies, peons present, etc.) r Alaaa1l/vey - tna4'n d.44rra3' ,tiw 6-f7/ae4"d 1k4 e, $'- "/ / r ' . it c/u ,dry a6s/td Hl'ea5 7y.�t FoT4 iy�ra f/¢,�s y ) 7�1r S�S/Ft M cart/'Le4 ?,1w/es to do c4,'y, I :5 et ri/A 'Ian revision required? 0 Yes 'No I/iJ z y )se other side for additional information. 77 7 Date POWTS Inspector's Signature Ran-R79n rR ngi91) License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoninp(a7bavfieldcountv.oro Web Site: www.bavfieldcounty.org/147 RODNEY DYMESICH 405 SOUTH AVON AVE. PHILLIPS WI 54555 Hayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know /3toW 1/ was contracted by you to install a private onsite wastewater treatment system on x ur property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: 5 Tank was pumped by: .• Tank was crushed / removed and pipes disconnected by: on at AM/PM On at `d 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. flSystem 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 $50 fee are required. LIIISystem could not be inspected because County could not respond to plumber's time constraints Comments: W forms/sanitarypropertyowner-input April 2019 %.•^^*++w,. Industry Services Division 4822 Madison Yards Way Madison, WI 53705 County (-..' i3C -f � (Zca Sanitary Permit Num (to be filled in by Co.) dYIOVN P.O. Box 7302 a - Q E tadison, WI 5302 6 LL Sanitary Permit Application APR 30 20Z State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. c2G 0_ s5} 4blcqtci / I. Application Information — Please -Print All Information Property Owner's Name Parcel # dein 1) IntSCt2 d/ a2 -n1$-05 3 o'/'ebp-/ Property Owner's Mailing Add is Property Location 406 $su Govt. Lot City, State Zip Code Phone Number i.31.5'1S5S 1S- o9-oao� _ ''/.. 514) '/., Section T N R Oc E or II. type of Building.(check all that apply) Lot # ®II or 2 Family Dwelling — Number ofBedrooms 3 Subdivision Name ❑ Public/Commercial — Describe Use Block # ❑ Cityof ❑ State Owned — Describe Use ❑ Village of @'ToViwn of , CSM Number 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 applicabl A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) SO Design Soil Application Rate(gpd/s .6 (4LL*) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) 6W I System Elevation j 9Y Gncfou. /oA'GJ/ Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer d+° o U u " w�m u rn u d ,n iz 5 r% New Tanks I Existing Tanis Septic or Holding Tank /aso/750 -7006 / P le Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's re MP/MPRS Number Business Phone Number L6Y O 7(-a92'l9 Plumber's A ress (Street, City, State, Zip Code) 3/s 5w,b.m 4 AA/J5e WL VI. County/Department Use Only Approved ❑ Disapproved 0 Owner Given Reason for Denial Permit Fee $ . P° • Od I Date Issued C,,I 1 2,5 u g Agent Signer 5 23 Conditions of Approval/Reasons for Disapproval c*tccjm.pgr «ruk Attach to complete plans for the system and submit to the County only on paper not less than 8 12 x 11 Inches in size SBD-6398 (R. 02/22) SQ a�;pAR7�,yr �'. ID) `L� �:,: iii �, i`, --� 1 5 .� ,� Wisconsin Department of Safety & Professional Services 0 �j �,�) t I I Vii. /Page of Division of industryServices SOIL EVALUATIO REPORT __ APR 3 "',; In accordance with SPS 385, Wis. Adm. Code ; County :.......-Ba v'ield Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. 16055 scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. R w y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location ❑ Rodney Dymesich Govt. Lot SE 1/4 SW 14 s 32 T 47 N R 5 E (or) W s d&pss Site Address or CSM and Lot #: agrte oU i /"1VOn city, State, Zip j Phone Number ❑City ❑ Village ® Town Nearest Road Phillips, WI 545 i ) Eileen State Hwy 118 ® New Constriction Use: ® Residential/ Numberof bedrooms Code derived designflow rate 450 GPD ❑ Replacement 0 Public or commercial — Describe: Flood Plan elevation if applicable N ft. Parent material Glacioiacustrine General comments and recommendations: Mound running North and South just east of B3 and B4 Load at 4.5 LR Boring # ❑ Boring n5 ® Pit Ground surface eiev. 96 ... Depth to limiting factor 12 in. / elev, 95.2§ Soil Aeoiication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 0-5 5YR3/3 NA CL 1VFABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2VFSBK MFI CS 1 VF .4 .6 + 5YR4/3 - - iBoring # 2 [ ]Boring 96.5 ®Pit Ground surface eiev. ft. Depth to limiting factor 12 in. / elev. 95•5ft. Soil Aeelication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff##1 *Eff#2 0-5 5YR3/3 NA CL 1VFABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2VFSBK MFI CS 1 VF .4 .6 3 + 5YR413 - - ST rint) Signature • CSTNumber ralnePease �avin owiey SP -072400025 ressDate Add Island Blvd, Iron River, W Evalua on Conducts Telephone Number 9-29-2024 715-979-1042 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L Fo.1d 4* S!O.OO 51 j'6j2S rnst, SBD-8330 (R03/22) t ❑ Boring i)< I Boring #3 ® Pit Page 2 of 5 Ground surface elev. 98•5ft. Depth to limiting factor 12 In. / elev. 97.5fjt. Sall Annticatinn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-5 5YR3/3 NA CL 1VFABK MFI CS 3F .2 .3 2 5-12 5YR413 NA CL 2VFSBK MFI CS 1VF .4 .6 3 12+ 5YR4/3 - - a Boling # 4 ❑ Boring ❑ Pit Ground surface.elev. 98 ft. Depth to limiting factor 12 In. / elev. 97 ft. I Sell Aooiication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-5 5YR3/3 NA CL 1ABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2SBK MFI CS 1 VF .4 .6 3 12+ 5YR4/3 - - ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mglL * Effluent #2 = BOD, s 30 mglL and TSS s 30 mglL Due to soil type and condition, recommend a mound with a 24" D elevation if rock and pipe. CHECK BOX AS APPLICABLE. •'[] SOIL EVALUATION • SITE MAP-. PROJECT NAME: Scale: 1" = 60' 0 60 so 120 (15 ft grid) 15� Rodney Dymesich PROJECT ADDRESS: 26260 State Hwy 118, Ashland WI BM Symbol: 4- BM Elevation: 100 FT BM Description: North post at Electrical Meter, base of post Slope Gradient (%) Well Symbol (if applicable): 0 of Tested Area: Indicate north by drawing an arrow on the approprite line. CHECK BOX AS APPLICABLE. [:] SYSTEM PAGES OF 4 PLOT PLAN DESIGN FLOW: 450 GPD Attach design flow calculations for commercial plans. Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) Sanitary Sewer. / Force Main: / IMPORTANT: Show ground elevation contours at suitable Intervals. I ! t 4_L i`t1if!#'I 1H Jii-_._4_ I __._2.....__ -_s___.-1... _ ..-�- _ tl!}1._ .I.. �_ ? _ s__. ; __ I t� ._�»-_((l -- i yi ~ --._ .3 .. - _.... _i..._._�.._ .. i . _. f ...-,� . 7 .. --- }.................;_•Iyfl-OlCf i' t:. `}Ji rl}l r,4C31:.. i. _ i- � � f 1 ' j '' 1-; • � k Al + - *• 1 - j \ I - - - - - -1- N11 _i I_ }. _ . _�. i_ {.. _« - • -4. ,,� f ' cJ 'lope . _......... , .., .. _ _ E .....� ... _.. ...;.. ! ... .._ . - I I ..........J...J.J.._HJ..........4.1.. L....i......................L..H.J... L.......1.............J_........ —' -j I - - i L L .'--''i. .:t4r?!;.I. - I : - ...... i.... B�ii 11�� i_} I 4J ILeLi4 r_ s 1 l ; I i } _� L No Iiite� oar, ote s�etbalz i b to i 1� B 1>�I 0 i r i f� Reset Paae Bayfield County, WI RODNEY DTMESICH R0DNEYYDV,MES}CMr ` ""'te t , Tex 'DI 16051 Taxo-OS$NA{IiEVJi5; ' 5TxpOtl}160501 �.pit.- ' T -I Oj36996. - - iii��� -. I EVAN;&RDSSINAII.EWI6 .ti c � L 7!I♦ 3 R - � Tnr 699' VI V �RODNEVOYMESICH . - - �' tj 4 Tax IDp 16D55 4'3L3` tl IRlWUU . - •. - z • K x+C1J L w-kd M Y '-,y ,._ y tj I .-•..tee ' k. t STEPHEN &1 DLIE STIPUICHj i0& T Lx IOpr16Dso ' stave Hwy 118' ;2r •• y cl �l� U CC ; 'CATHERINE M DE�fIEIp LE '♦`yE �SifpryEN$YI U+IEIM STI PETICH lTa�pdy eieclTon 5 UllWllll �OJD GEORGE N & LINDA M fiAl1EN Tax IDd 2092] - rar IDtt 20929 ��—'1 d 1 Y - Rivers Corner Tie Sheets Municipal Boundary - - C ' 0 1:2.319 Existing ( 1> 0.133 0.06 0.11 nu - ` Meander Lines All Roads - �' Section Comer Monument on File New C7 --` i �- = 0 0.04 0.139 0.�1Bkm State Building Footprint 2009-2015 Approximate Parcel Boundary _,. . Demolished Section Lines Town• Driveways �, =' ZD -' = aarnald ° Buildings =_ ^ c c_ ro a CaunNLand Reg RecordsDeportment eps. MlpalhnepsAayfielEmunN.a�i�Bai'IaayfielOWA& Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 April 29, 2025 CUST ID NO.: 664303 ANTHONY PATRICK BROWN 315 SANBORN AVE ASHLAND, WI 54806 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/29/2027 MUNICIPALITY: TOWN OF EILEEN BAYFIELD COUNTY SITE: RODNEY DYMESICH 26260 STATE HWY 118 ASHLAND, WI 54806 SE 1/4 SW 1/4 SEC. 32 TOWN 47 N RANGE 05 W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 12" Maintenance Required: Effluent Filter i I + Phone: 608-266-2112 �P�� r ( r. r r i Web: http://dsps.wi.nov ilia" ' F.>Yeail: dsps a,wisconsin.gov •Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-042500705-C Application No.: DIS-032510253 Site ID No.: SIT -142369 Please refer to all- identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES 0 SION OF I TRY SERVICES 4tL SEE CORRESPONDS CE 04/29/2025 Eljen GSF Mound Component Manual- October 2024 Edition 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: • 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 effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer as required per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacturer's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per the approved plan. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(1). • ' In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, tr ;O pe oe Katie Petzel Division of Industry Services Phone: 608-574-1189 Email: katie.petzel@wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 APR 302025 I 1 i I ! GSF WI MOUND DESIGN PROGRAM AR �-U INDEX AND TITLE PAGE Project Name: Dymesich POWTS Owner's Name: Rodney Dymesich Owner's Address: Mailing: 405 South Avon St. Phillips WI 54555 Project: 26260 State Hwy 118 Ashland WI 54806 Phone: 715-209-0207 Legal Description: SE 1/4 SW 1/4 Sec. 32 Town 47 N Range 05 W Township: Eileen County: Bayfield Subdivision Name: Lot Number Block Number. Parcel I.D. Number. 16055 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Conditionally APPROVED Page 3 GSF mound drawings DEPT. OF SAFETY AND PROFESSIONAL Page 4 Lateral and dose tank SERVICES DI SION OF I TRY SERVICES Page 5 g Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications SEE CORRESPOND CE Page 9 Property Listing 0412912025 Page 10 Tank Submittal Page 11 Site Map Page12-14 Soil Evaluation Designer. Tony Brown License Number: 664303 Date: 2/24/2025 Pne-Nom 715-292-0029 Signature: •� �' �-- �`~--- Designed Pursuant to the £7 :e a GSF Mound Component Manual -(W. 0 , and (OG-D t ZoZ$ SSWMP I blication 9.6 Design Pressure Distribution Networks for STSAS (01/81) GSF Mound Version 2.25 Page 1 of 11 1! ill it GSF WI MOUND DESIGN PROGRAM APR 3 CLUL`�! DATA ENTRY Site Information R Residential or Commercial Design 3 jNumber of Bedrooms (optional) 450 Design Flow (gpd) 1.0% Site Slope (%) _ 98.00 Installation Contour Line Elevation (ft) 1 200.00 ] Contour Length Available (ft) 12 Depth to Limiting Factor (in) 0.3 In -Situ Soil Application Rate (gpd/f9) EFF #2 Distribution Cell Information B43 Unit Used 4 Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 LII 101 1= Dispersal Cell Length (ft) 2.0 Dispersal Cell Design Loading Rate (gpd/ft2) 2 Influent Wastewater Quality Are the laterals the highest point in the distribution Pressure Distribution Information network? Enter Y or N C Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 0 Lateral Spacing If N above, enter the elevation(ft) 2 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.5 Estimated Orifice Spacing (ft) = 10.63 ftz/orifice 1.5 Forcemain Diameter (in) 200 Forcemain Length (ft) Does the forcemain drain back? 92 Inside Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 8.25 Vertical Lift (ft) 7.74 Friction Loss (ft) 0.5 Add`I Fitting Friction Loss (ft) 21.04 Total Dynamic Head (ft) Lateral Diameter_ Selection In. diam. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Septic Tank Information 273 iSepticTank Capacity (gal) E--s::U�1erior Precast Manufacturer Dose Tank Information 772 Dose Tank Capacity (gal) 17.15 Dose Tank Volume (gal/in) Superior erior Precast Manufacturer 18.35 Forcemain Drainback (gal) 44.47__5x Vold Volume (gal) 62.82Minimum Dose Volume (gal) 20.46 System Demand (gpm) Manifold Diameter Selection In. dia. options 1choice 1.25 1.50 x 2.00 3.00 Gallons/Inch Calculator Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in Effluent Filter Information I—' Pot lok Filter Manufacturer PL125_ Filter Model Number Project: Dymesich POWTS Page 2 of 11 GSF WI MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View ,Yluullu l Ulilpwluw11l u1maIIbluf15 24.48in 22.62 ft D B 124.00 i01.00 n G 0.50 ft J F 7.00 In 18.98 ft W ft L 123-83 ft 404.00 (f12) Dispersal Cell Area 1500.00 (f?) Basal Area Available 4.48 (gpd/ft) Linear Loading Rate 10.10 (ft) 1/10 B Obs. Pipe Placement Finished Grade101.58 (ft) H 100.58 (ft) ___ �?' " , lei • 100.00 (ft) � Lateral Invert 2� Dispersal Cell —ii�'i; i�;; i fir, Elevation Dispersal Cell 44444444444441 4 C 44 98.00 (ft) Contour Elevation 1% Site Slope Shading Key EIJci] Typical Dispersal Cell Topsoil Cap m . T See Page 5 2 Subsoil Cap o c 2ft Geotextile 3 i ASTM C33 Sand 7 Fabric a 4 .'<' Tilled Layer - - r:. GSF Media & W I I F �_ `� .•_ Z_.` 5 Cell Header ;8 0.5 ft 1 1 /Footer SF A See details on page 4 for number, size and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Dymesich POWTS Page 3 of 11 GSF WI MOUND DESIGN PROGRAM LATERAL AND DOSE TANK APP r End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below •= Turn -up !V1 valve orcleanout plug Orriflcess point up except jJ laterals & force main of PVC Sch 40 every 5th one points X (per COMMTable 84.306) down for drainage. Numbers of Laterals 2.00 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 50.00 ft Orifices per Lateral Lateral End (Z) N/A ft Orifice Density Lateral Spacing (S) 0.00 ft Manifold Length Lateral Flow Rate 10.23 gpm Manifold Diameter System Flow Rate 20A6 gpm Forcemain Velocity 48.47 Pump Off Height I 0.1611n ft fe/orifice ft in ft/sec In 2.62 19.00 10.63 0.00 1.50 3.72 9.3 Dose Tank Information Loddng ao�e Wth �dertand eecblcai asperNEC300 ..� - sea[ed cet. aAd Gomm 1628V C — - - De -- - t_ (fTi ' ARarrateoWet location /A______ __ C� f f I Alarm Mufacturer p Set I an ron cs Alarm Model Number EB-120 Pump Manufacturer jLlberty Pump Model Number L FL70 Pump Must Delivery I 20.46 gpm at I 20.60 ft Ta *Om ponent isprgxdyvente 1fl\Jl` ti F cerrandamecer ast Manufacturer �-- ti ,.;^ 1.5 in 772 Gallons A 17.15 gal/inch ' _Wbep holecr ar�i-siphon dc,toe l3 perior PreCapacity fume L . imension Inches Gallons A 30.05 515.38 B 2.00 34.30 /� 3.66 62.82 q 159.50 T tal 5.01 772.00 C Plsnp otf elsevam (tt) _______ _____ I - I 92.7751 Lim 1 j ' Dose tank dev®tlon (t) Mn. 3" t�eddrrq undertark 92 TDH Project Dymeslch POWTS Page 4 of 11 GSF WI MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout ®Cell Width (ft) I 2]Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. ("l 4 ft Wide t: �� .<:. �. nt ASTM C33 Sand/Mound Sand 1 t. A42 or B43 Module fl Lateral Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical 4 Cell Width - A (ft) 101.00 Cell Length - B (ft) 25 643 Modules Required per Row 25 843 ITotal Modules Required Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. H APR J .i Protect: Dymesich POWTS Page 5 of 11 GSF WI MOUND DESIGN PROGRAM r, SYSTEM MAINTENANCE SPECIFICATIONS APR Mound System Maintenance and Operation Specifications Service Provider's Name Brown Plumbing and HVAC Phone 715-682-0444 POWTS Regulator's Name Bayfield County Zoning Phone 715-373-6138 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum 8OD5 30 mg/L SepticTank Capacity 1273 gal Maximum TSS 30 mg/L Soil Absorption Component Size 404 ft2 Maximum FOG 10 mg/L Maximum Fecal Coliform 10E4 du/100 ml Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should Inspect and dean at least once every 3 year Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System Laterals should be flushed and pressure tested every 1.5 Mound Inspect for ponding and seepage once every 3 year. Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown in the Ellen mound component manual. 2. Dispersal cell media conforms to Ellen products approved for use with the Ellen Mound Component Manual approved August 2016. Ellen media Is covered with the manufacturers geotextile fabric. 3. All gravity and pressure piping materials conform the requirements in the state code. 4. Tillage of the basal area is accomplished with a.mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" DIAMETER LAWN SPRINKLER FINISHED GRADE - - LATERAL ENDS AT LAST 4" PERFORATED PIPE ORIFICE WHERE VARIABLE. 4" END LENGTH CLEANOUT BEGINS '- --- DISTRIBUTION LATERAL--�-=�� LATERAL CLEANOUT THREADED CLEANOUT PLUG LONG SWEEP 90 OR TWO 45 DEGREE BENDS SAME DIAMETER AS LATERAL Project Dymesich POWTS Page 6 of 11 GSF WI MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan General APR J This system shall be operated In accordance with SPS 82-84 Wis. Adm. Code, and shalt maintained In accordance with its' component manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)], 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 83.33, 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. intermittent filter alarms may indicate surge flows or an Impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner 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. Puma 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 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. 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, It will be repaired or replaced In its' present location by increasing basal area If toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Dymesich POWTS Page 7 of 11 bb!�j Pumps fl'ssi.iisi.M as ass lmnussllsilassl .s5'sss.sssass ssmsnsssssass •ssss•vaannss 10 0 V GALLONS PER MINUTE 280 PI 801242012 OCryight2l2.LbmgPumpt fic. All rights resrnd SPcrifxariuns mbjwlio clungc vnthout null . WEE& sUPERtDR 1250/750 2 -Compartment Tank OUPERttR ABT tG�i:QErE TOP APR J L. LW) W t fi� Abz 16.? -- I_---------2 r . _9� ..,.... 5oP1 Tofab174fl a ,gMW bang.0:e tea .Fizz Iads: ,►.8 ci . � 73` T9. N. SIDE VIEW 2r . a: 1 2 N 4RV1iiT.i APPROVED ., "AirSjmm 0EP1 OF 9 FMWAMPROFESSWNAL cry MOX s�RWM .bas SEE CORRESPONDENCE ----a--- --i fr- I I Produced by Superior Precpst Concrete, LLC PO Box 3390 Hayward, WI 54843 SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast ling Concrete Septic Tanks and WISPS 384.25, POWTS Holding Rcspe Components or Treatment Components. The infonnation provided on any Superior Precast Concrete (SPC) drawing or document shah be verified by the purchasers licensed professional engineer for suitabilityof use. Configuration may change from drawing, consultwith SPC. JO I Thi $DrovrtotaHketorTT IOTI.ana dupe,oRenya�say«dor�ea.:cooncraca.uo. I • CHECK BOX AS APPL1CABLF. CHECK BOX AS APPLICABLE. O SOIL EVALUATION 0 Scale: ?=60' "=60' 120 SYSTEM PAGE OF, 4 SITE MAP PLOT PLi J ` PROJECT NAME: (ls a ) DESIGN Fl_OW. ,_„ ,Q,;,_; CPD Rodney Dymesich VZA Attach design flow calculations for commercial 'plans. Ii PROJECTADDRESS: 26260 State Hwy 118, Ashland WI Pipe Material / ASTM Standard (Tables 384.30.3 & 364.300 IV Sanitary Sevrer• VC / eH BM Symbd: BM QevaUon: 100 Force Main• 1 BM DescrlpUon: Nprth post at Electrical Meter, base of post 8[ape Gradient (3b) I' O Well (1i appttcabter n` ° "°r' by �,Mpo 04 Tested Area: p� "t' %y Sy 0 d" an effaiv S ground elevation conlpj at Suitable on tiro epprwAa rtne. .... ;/[j _ • [ i _ _ � � t I r i I J II. ]IT.JI. .... L. ' II'"1. ¶.. ....I......i.. bL LJ_i&t i ....L. .... J9 3 8-'1 .. i.i-L'..1. T.. L.. . .. .J.. .4 . . wt.. » ... -i.. _ c'La4u ur 9t�t',itw4L . 1". . t ' :IjJe! /LL i T4 / i IX l ' r 1L4. L......./4..LThJ.�w i. i....J...dTh..J. I . I i I I 1 1 7a-ij 4' ''''p 1; I...L.LJJ...LLI........J.L. .... L..L! Mo site , r f t r r r i r r 1 Reset Pa� _ , .: SS -00531 MAY U 67025 State Bar of Wisconsin Form 00-2011 CORRECTION INSTRUMENT Under Wis. Stat. § 706.085 Document Number Document Name Utlepsi,ned hereby states that a certain docum nt ("conveyance") tided as ( 0 r _ (type of document), and executed beenaCtrCs.jrvnQ.St S _h __ Grantor, and sCinnqJ Grantee, was recorded in County, Wisconsin, on J ,in volume _, page as document number and contained the following error. .o'isR- u 0.1'30'1 LJronoHpe o('boat s&,and Wasrecbrda.4. Undersigned makes this Correction Instrument for the purpose of correcting the conveyance as follows: I.tymo^l, \-o YleQ\QLQ \5 ll`rntt'�'�s.C�r.2�II DOCUMENT NUMBER 2025R-607382 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 05/05/2025 AT 1:44 PM RECORDING FEE: $30.00 PAGES: 3 Recording Area The basis for Undersigned's personal knowledge is (check one): Undersigned is the Grantor/Grantee of the property described in the conveyance. Tercel Identification Number (PIN) ndersigned is the drafter of the conveyance that is the subject of the Correction Instrument Undersigned is the settlement agent in the transaction that is the subject of this Correction Instrument Other (Explain): A copy of the conveyance (in part or whole) isfl is not attached to this Correction Instrument (if a copy of the conveyance is not attached, attach the legal description). Undersigned has sent notice of the execution and recording of this Correction Instrument by I" class mail to all parties to the transaction that was the subject of the conveyance at their last known addresses. Dated (a._.AC4 4v.._ �� ----(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signaturoof__ STATE OF WISCONSIN authenticated on ——— ) ss _.. &l(cv-'c1 _ COUNTY ) s - -- - - - - Personally came before me on SI . TITLE: MEMBER STATE BAR OF WISCONSIN the above -named tome known to be a fpm ing and ac I�aP� }h� authorized by Wis. Stat. §706.06) instrument "'CAMERA?"VIINECKER INSTRUMENT DRAFTED BY: 4 . _ -, - State of -Wisconsin-- 1 Notary Public, —. - — -- - --_-- - - My Commission (is permanent) (expires: ?t ?1 (Signatures maybe authenticated or acknowledged. Both are not necessary.) NOTE: THIS ISA STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. CORRECTION INSTRUMENT STATE BAR OF WISCONSIN e Type name below signatures. FORM NO. 00-2011 MAY 060025 DOCUMENT NUMBER 2025R-607307 fly We acknowledge that application is being made for the installation of (a) holding tank(: on the following property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Scats. 56 11/4 of 5G) 114 Section Township N. Range,QSW. Town of F1V?ey Additional Legal Description: Gov't Lot — Lot_Block_Subdivision CSM# Lot_CSM # Vol _Page _CSM Doc# DANIEL J. HEFFNER $y535 REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 04/30/2025 AT 8:44 AM RECORDING FEE: $30.00 PAGES: 1 Return To: tad Co As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Scats., Bayfield County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703. Scats. 2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 3. The owner agrees to contract with a person who is licensed pursuant to s.261.17 (3) Wis. Scats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days from the date of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Scats., and Ch. NR 114, WI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owner(s) Name(s) — Please Print o I yz/iy, C S ;G ^L Subscribed and swam to before me on thi�date: KAMERAE LNNECKER 3I a [NotaryqTWkU%f Notarized Owner(s)— Siggnature(s) Wisconsin My Commission Expires: Drafted by: \ r c Date:\ aS Personal iwomudon you p.N ay be used raaacwkary purposes [Privacy Law. a.15.01 (INm)l Wren Wsanitarymotlingtankag,eement.doc mlum 2018 Bayfield County Register of Deeds Document #2025R-607307 Page 1 of 1 C- 1111 MAY l; b [025 Private Sewage System MatfitenadoAgreeglent AS owner, I (we) do hereby certify the Private Sewage system will be Installed In accordance with that certified soil testers 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 fisted location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) Sir 114 of S&1114 Section 3Township N. Range _____W Additional Legal Description: Town of 1( t`Q'Cn (Acreage) q Govt Lot Lot_____ Block Subdivision Lot_CSM#_ Vol._ Page CSM Doc# Realm To: Planning and Zoning Department ❑ In -ground gravity ❑ In -ground dosed O In -ground pressure distribution Sewage System: Dk Mound ❑ At -grade Sewage System ❑ Other ( Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of Installation and at least once every three (3) years thereafter unless, upon Inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be Inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be Inspected and maintained as necessary and in accordance with manufacturers specifications. Filter maintenance reports shag be submitted to the County as required by SPS 383.55, Wis, Admin. Code. Private Sewage System Disoersal 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 pending 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(a) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Baygeld 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. Bayteld County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property Drafted by: t tO Date: rcnpee aria sworn to cerore me on mis date: 5 t S aS EState AE ZINNE KKER C) of Wisconsin ;ommission Expires: 2\ai1a(�a1 Proofed by: u/Iones/sanaarylsepdanaintenceagmement Revised July 2020 Industry Services Division County 4822 Madison Yards Way Sanitary Permit Number(to be filled in by Co.) a ire$ ,� Z Madison, WI 53705 P.O. Box O �+ladison, 30 / S Sanitary Permit Application ll APR 30 20? st4JTransaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit )gr9ject Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS. argsp iyitted to the Department of Safety and Professional Services. Personal information you provide may he used for secondary purposes in accordance with the Privacy Law. s. 15.04(l)(m), Stats. a` ,�� at h LLZ SYYat. I. Application Information — Please Print All Information Property Owner's Name Parcel # aaGn al & -fl-aC-3,2 3 oH-c≥,u / Property Owner's Mailing Ad s Property Location -TQS SM Govt. Lot City, State I Zip Code Phone NumberiF 3Z '%.. 5k) ''4, Sections T N R O9' E or II.Jype of Building (check all that apply) Lot # I or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name Block # ❑ Public/Commercial — Describe Use ❑ Cityof ❑ State Owned — Describe Use O of CSM Number �Village CdTown of______________ 1II. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licabl A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before 0 Revision ❑ Change of Plumber ❑ Transfer to New Owner tat Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) System Elevation So . (°- A.< B'4L 9Y, Gne%re.r lea Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units y °o $ g New Tanks I Existing Tanks uA y 'a 0.0 in m W. 0 a Septic or Holding Tank SO/7$Q 2006 / P 1( Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's re MP/MPRS Number Business Phone Number G6q o 7/ -x92- 9 Plumber's A Tess (Street, City, State, Zip Code) 3/s WL VI. County/Department Use Only Approved O Disapproved Permit Fee I Date Issued sung Agent Signatur S /�. �✓ ❑ Owner Given Reason for Denial S J"`-' - 0a SI 25 237( Conditions of Approval/Reasons for Disapproval )e.e_ G card 4 SBD-6398 (R. 02/22) t 1 SQco2J7 rnKrap Yr Wisconsin Departmentof Safety& Professional Services �j Page o5f Division of Industry Services SOIL EVALUATIO REPORT, A, R in accordance with SPS 385, Wis. Adm. Code County ga Ield -. Attach complete site plan on paper not less than 81/2 x 11 inches In size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. 16055 scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. RftvW42Yz2 Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I Property Owner Property Location ❑ Rodney Dymesich Govt. Lot SE v. SW 1r. S 32 T 47 N R 5 E (or) W g X VOn d ss Site Address or CSM and Lot #: oU l city, State, Zip I Phone Number ❑City ❑ Village ® Town Nearest Road Phillips, WI 545 Eileen State Hwy 118 ® New Construction Use: ® Residential/ Numberof bedrooms 3 Code derived designflow rate 450 GPD ❑ Replacement Public r commercial — Describe: Flood Plan elevation if applicable ft. Parent material Glacioiacus?rine General comments and recommendations: Load at 4.5 Mound running North and South just east of B3 and B4 L R aBoring # 1 ❑ Fi{nng Ground surface elev. 96.25 Depth to limiting factor 12 in. / elev. 95.2• nil enniinaHnn Qihn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 O-5 5YR3/3 NA CL 1 VFABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2VFSBK MFI CS 1VF .4 .6 3 + 5YR4/3 - - Boring # 2 ❑Boring 96.5 ®Pit Ground surface elev. ft. Depth to limiting factor 12 in.! elev. 95.5ft. nil Onnlinfl+inn Dafm Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-5 5YR3/3 NA CL 1 VFABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2VFSBK MFI CS 1VF .4 .6 + 5YR4/3 - - ST acne ease rint) a vin ow ey Signature • Date Evaluation Conducte 9-29-2024 CST Number SP -072400025 Addre 69710 Island Blvd, Iron River, W Tele hone Number 715-979-1042 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L 9\c % Sc , p0 51 l s� ZCJ rY qFj SBD-8330 (R03/22) Boring#3 3 ❑ Boring ® Pit Ground surface elev. 98.5ft. Page 2 of 5 Depth to limiting factor 12 In. I elev. 97.5ft. Soil Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-5 5YR3/3 NA CL 1 VFABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2VFSBK MFI CS 1 VF .4 .6 3 12+ 5YR4/3 - - I≥:c;i Boring # 4 ❑ Boring ❑ Pit Ground surface elev. 98 ft. Depth to limiting factor 12 in. / elev. 97 ft. Ce I Onniinafinn Rnfn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *6ff#2 1 0-5 5YR3/3 NA CL 1ABK MFI CS 3F .2 .3 2 5-12 5YR4/3 NA CL 2SBK MFI CS 1 VF .4 .6 3 12+ 5YR4/3 - - Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In.! elev. ft. CniI Anniinmiinn Rmin Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 s 220 mglL and TSS > 30 5150 mg/L * Effluent #2= BOD. 5 30 mglL and TSS 5 30 mg/L Due to soil type and condition, recommend a mound with a 24" D elevation if rock and pipe. N CHECK BOX AS APPLICABLE Tj SOIL EVALUATION SITE MAP • PROJECT NAME: Scale: 1" = 60' 0 60 so 120 k7- / (15ftgrid) 15 Rodney Dymesich PROJECT ADDRESS: 26260 State Hwy 118, Ashland WI BM Symbol: 4. BM Elevation: BM Description; North post at Electrical Meter, base of post 100 FT Slope Gradient (%) Well Symbol (if applicable): 0 of Tested Area: Indicate north by drawing an arrow on the approprite line. CHECK BOX AS APPLICABLE. ❑ SYSTEM PLOT PLAN PAGE OF 4 DESIGN FLOW: 450 GPD Attach design flow calculations for commercial plans. Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30.5) Sanitary Sewer: Force Main: IMPORTANT: Show ground elevation contours at suitable intervals. BQt U �.. I B19625' t , • , { i l ! s � a I t l t � � B3 935 1 Q till .4.4%sIOPe1H I t I I � l• t H , t f I_ r � ' /1hu1 —1 L, l . <2% slope 1 , 1 1 l OSlope I _ _L_ ..._. O I o 9e f I t } l t t t ! Proposed { f t i t dome si}te ! t � t I (. i � mil. No pr?pertY hne ors others k r s a Ali- State -f uv y1 8!>1 0q' pro el y�lrn' �_>..00.,_•fro. re # .._ ,._ . Reset Pane Bayfield County, WI R ODNLVJDYME 51CHJ 1661105 16050 a; EVA NI&1RO551NA'LEYVI 5, T x mr.36996. 'EVAN;&JROSS[lA'LEWIS ;Tav,l�O C'16059 2 + RODNEY'DYME5ICH Tev IDtl 1605Ep ll0 D j >,� a,£, II�IW�sl5llll '' a ..® YYL 6u TATI HYV1 6 - +i". i '6]STEULI PHEN RWI E`TIPFTICh,` :: 61140 STAi E1HlAN'I:t& !M I IT PBS 15060 y ,r " `• -a + Vy . 26500f5 E k1) v 1`6 CATHERINE M �E'LPLLD Lff 5n �[3A IM .. I ft , EN U &! 1T51pp 20931 Sect40R S III0 i l.lU ���V� GFOPG ESN & LIINDAEM BAILEN 0S JUIE�MJSF; PCTIC 'd up h09?]J V `V " r'Vl Rivers Vy[J Municipal Boundary Corner lie Sheets Existing Meander Lines All Roads 11 Section Comer Monument on File State Building Footprint 2009-2015 New Approximate Parcel Boundary - - Driveways Section Lines Town Demolished • Buildings 7:2,379 N a 0.03 0.08 0.' mi iN i\ TO ' - 0 0.04 0.09 0.18km asynew c lti eayr w County Land aepmtls Department - tmpalmaps.Eeyfewcountywl.gw,aeyfieI wA& Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 April 29,2025 CUST ID NO.: 664303 ANTHONY PATRICK BROWN 315 SANBORN AVE ASHLAND, WI 54806 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/29/2027 MUNICIPALITY: TOWN OF EILEEN BAYFIELD COUNTY SITE: RODNEY DYMESICH 26260 STATE HWY 118 ASHLAND, WI 54806 SE 1/4 SW 1/4 SEC. 32 TOWN 47 N RANGE 05 W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 12" Maintenance Required: Effluent Filter �gPARTMENT �� J� IU1 U O,n �jL(I Phone: 608-266-2112 Web: hui)://dsps.wieov 15, y APR 302020 ail: dsosrwisconsin.eov Bayfield Co. Zoning DeXony Evers, Governor y an Hereth, Secretary Identification Numbers Plan Review No.: PWTS-042500705-C Application No.: DIS-032510253 Site ID No.: SIT -142369 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES 441P4d N OFRY SERVICES SEE CORRESPE 0412/2025 Eijen GSF Mound Component Manual - October 2024 Edition • 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: • 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 effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer as required per SPS 382.30 (1 1)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacturer's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per the approved plan. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(11. • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Katie Petzel Division of Industry Services Phone: 608-574-1189 Email: katie.petzel@wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 1111 E6r� WZD APR 302025 Bayfield Co. Zoning Dept. GSF WI MOUND DESIGN PROGRAM INDEX AND TITLE PAGE Project Name: Dymesich POWTS Owner's Name: Rodney Dymesich Owner's Address: Mailing: 405 South Avon St. Phillips WI 54555 Project: 26260 State Hwy 118 Ashland WI 54806 Phone: 715-209-0207 Legal Description: SE 1/4 SW 114 Sec. 32 Town 47 N Range 05 W Township: Eileen County: Bayfield Subdivision Name: Lot Number. Block Number: Parcel I.D. Number: 16055 Plan Transaction No.: Cooamooary APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIV SION OF I TRY SERVICES SEE CORRESPOND CE o4rzaao25 Designer: To Date: 2/I Signature: Page 1 Index and title Page 2 Data entry Page 3 GSF mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications n License Number. 664303 7T Phone -Number 715-292-0029 Designed Pursuant to the L lf,e r� GSF Mound Component Manual (N. 08/163; and d `-�( "` A z 2 GOI `i SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS (01/81) GSF Mound Version 2.25 Page 1 of 11 GSF WI MOUND DESIGN PROGRAM u d ANf ? L L Jc DATA ENTRY Site Information R Residential or Commercial Design 03 Number of Bedrooms (optional) 450 Design Flow (gpd) 1.0% Site Slope (%) 98.00 Installation Contour Line Elevation (ft) I 200.00 IContour Length Available (ft) 12 Depth to Limiting Factor (in) 0.3 In -Situ Soil Application Rate (gpd/1t2) EFF #2 Distribution Cell Information B43 Unit Used 4 Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 I 101 1= Dispersal Cell Length (ft) 2.0 Dispersal Cell Design Loading Rate (gpd/ft2) 2 Influent Wastewater Quality Are the laterals the highest point in the distribution ssure Distribution Information network? Enter Y or N C Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 0 Lateral Spacing If N above, enter the elevation (if) 2 Number of Laterals of the highest point. .156 Orifice Diameter (in) (e.g. 0.25) 2.5 Estimated Orifice Spacing (ft) = I 10.63 ft2/orifice 1.5 Forcemain Diameter (in) 200 Forcemain Length (ft) Does the forcemain drain back? I v I 92 1 Inside Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 8.25 Vertical Lift (ft) 7.74 Friction Loss (ft) 0.5 Add'I Fitting Friction Loss (ft) 21.04 Total Dynamic Head (ft) Lateral Diameter Selection In. diam. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Septic Tank Information 1273 Se tic Tank Capacity (gal) Superior Precast IManufacturer Dose Tank Information 772 Dose Tank Capacity (gal) 17.15 Dose Tank Volume (gal/in) Superior Precast IManufacturer 18.35 Forcemain Drainback (gal) 44.47 5x Void Volume (gal) 62.82 Minimum Dose Volume (gal) 20.46 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 1.50 x 2.00 3.00 Gallons/inch Calculator Total Tank Capacity (gal) Depth Working Liquid Depth (in) gal/iin Effluent Filter Information Polylok Filter Manufacturer PL125 Filter Model Number Project: Dymesich POWTS Page 2 of 11 GSF WI MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View UWI!JL4IUJ.t!JIMv< c 11 c A 4.00 ft E 24.48 in H 1.00 ft K 10.81 ft B 101.00 ft F 7.00 in I 10.85 ft L_122.62 ft D 24.00 in G 0.50 ft J 8.98 ft W23.83 ft 404.00 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 4.46 (gpd/ft) Linear Loading Rate 10.10 (ft) 1/10 B Obs. Pipe Placement Finished 101.58 (ft) Grade 100.58 (ft) i: � I� Dispersal Cell �' uir iT Lateral Invert 100.00 (ft) i. �j� I Pay Elevation Dispersal Cell t+�14t4'LJ 1, ii �� it! nd d� i Mini 1 Elevation " 98.00, , (ft). 11 Contour Elevation 1% SIte Slope Shading Key 1 •.* Topsoil Cap 2 Subsoil Cap 3 '"I' ASTM C33 Sand 4 Tilled Layer 5 ✓: GSF Media & Cell Header /Footer SF a,I � v n 2ft .9c 0n o m m c m iii 0.5 ft v o Typical Dispersal Cell See Page 5 Geotextile Fabric% -1 F A See details on page 4 for number, size and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Dymesich POWTS Page 3 of 11 GSF WI MOUND DESIGN PROGRAM LATERAL AND DOSE TANK End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below o EG��UIE D APR 3 C 20;5 Bayfield Co Zoning Dept • =Turn -up .wball valve ordeanout plug Orifioes point up except Laterals 8 force mein of PVC Sch 40 every 5th one points X Xl2 II X2 (per COI SI Table 84.305) down for drainage. Numbers of Laterals 2.00 Orifice Diameter I 0.16 in Lateral Diameter 1.50 In Orifice Spacing (X) 2.62 it Lateral Length (P) 50.00 ft Orifices per Lateral 19.00 Lateral End (Z) N/A ft Orifice Density 10.63 ft=/orifice Lateral Spacing (S) 0.00 ft Manifold Length 0.00 ft Lateral Flow Rate 10.23 gpm Manifold Diameter 1.50 In System Flow Rate 20.46 gpm Forcemain Velocity 3.72 ft/set 48.47 Pump Off Height 9.3 in Dose Tank Information lod*goaavkh vwrirg ,-Id andloddrg deice, and 9eddwi asper NEC 370 _ ., a•Ied v.datgd and Qrtm16aWVC .. __ - _... 4 in. rr n. D�arad L; .. _ - Axenae o'Cd Icdim Taikanpanat Isproperlywded Superior Precast Capacity 772 Volume 17.15 Manufacturer 4 "gallons A gal/inch B Dimension Inches Gallons A 30.05 515.38 B. 2.00 34.30 C ; 3.66 62.82 9.30 159.50 T ptal 45.01 772.00 C s D � 1. Mn Yeed rgt dertatc Alarm Manufacturer Septronics Alarm Model Number EB-120 Pump Manufacturer Uberty Pump Model Number FL70 Pump Must Delivery 20.46 gpm at 20.60 ft Project: Dymesich POWTS Fucer in damda 1.5 in atsptm deAce Rmp dl devaem(t) 92.775 - Dosetankde'Aim(t) 92 Page 4 of 11 GSF WI MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout ®Cell Width (ft) I2 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. 4 ft Wide B43 ASTM C33 Sand/Mound Sand A42 or 543 Module Lateral € Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical 4 Cell Width - A (ft) I 101.00 Cell Length -S B (ft) 25 543 Modules Required per Row 25 543 Total Modules Required Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. 5 D JL APR 3020?`i Gaylield Co. Zoning Dopi. Project: Dymeslch POWTS Page 5 of 11 LI I. GSF WI MOUND DESIGN PROGRAM II I� SYSTEM MAINTENANCE SPECIFICATIONS it APR O ([C ��:.is J Mound System Maintenance and Operation Specifications yilcL CoL0bopt. Service Provider's Name Brown Plumbing and HVAC Phone 715.682-0444 POWTS Regulator's Name Bayfield County Zoning Phone 715-373-6138 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOOSTcfu/1D0 mg/L SepticTank Capacity 1273 gal Maximum TSSmg/L Soil Absorption Component Size 404 ft2 Maximum FOGmg/L Maximum Fecal Collform ml Service Frequency Septic and Pump Tanl Effluent Flltei Pump and Controh 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 the standards, have a watertight cap, and are secured In a as shown in the Eljen mound component manual. 2. Dispersal cell media conforms to Ellen products approved for use with the Eljen Mound Component Manual approved August 2016. Eljen media is covered with the manufacturers geotextile fabric. 3. All gravity and pressure piping materials conform the requirements In the state code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6- 8" DIAMETER LAWN SPRINKLER FINISHED GRADE-- - - - - - THREADED LATERAL ENDS AT LAST 4" PERFORATED PIPE CLEANOUT PLUG ORIFICE WHERE VARIABLE q• END LENGTH CLEANOtfT BEGINS CAp LONG SWEEP 90 OR TWO 45 DEGREE BENDS SAME DIAMETER AS LATERAL DISTRIBUTION LATERAL LATERAL CLEANOUT ++ Project: Dymesich POWTS Page6of 11 GSF WI MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan General This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)] 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 83.33, 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, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 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 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. 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. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced In Its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Dymesich POWTS Page 7 of 11 bbsllyPumps 0 60 100 160 200 260 S 12 10 B 10 0 GALLONS PER MINUTE 110L 101/21012 OCupj i 2012 LbvyPmt hc. All u ib.aavA *cIflado M vcg a thmpeNEmapioe, g SPRUPERIOR 1250/750 2 -Compartment Tank I � SUPERIOR t{:etekt tin lbs, Ta* 10,662 lilt 6,789 Totals 17,451 Volume of Concrete Tout t4.414' dins Per Inch: 46.8 Cc^NawWIF APPROVED DEPT. OF SAFETY ANO PROFESSIONAL SERVICES DIVISION OF NS]USTRY SERVICES SEE CORRESPONDENCE Casket (Pound m Place) ToP VIEW 165° 2" 97- 1I. -- 73'1r ( i 62- I 48" i t Produced by Superior Precast Concrete, LLC PO Box1390 Hayward, WI 54843 I SUPERIOR PRECASIJNVRETE Design conforms to ASTM C1227, Specification for Precast Mastic Concrete Septic Tanks and WI SPS 384.25, P0WIS Holding Rope Components or Treatment Components. The Information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineerfor suitability of use. Configuration may change from drawing, consuttwith SPC. IFmd,RN.t I M. IFNFaNMumullet,.MN.wRm.ww..Nasw.mFved..taocNe.uc I CHECK SOX AS APPLICABLE CHECK BOX AS APPLICABLE. ❑ SOIL EVALUATION D Scale; V=60' ao 120 0 SYSTEM PAGE,.2OF 4 SITE MAP PLOT PLAN PROJECT NAME: (15fland) 15' DESIGN FLOW: 450 GPO Rodney Dymesich ^]� Attach design flow calculations for commercial plans. PROJECTADDRESS: 28260 State Hwy 118, Ashland WI / Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) —IlL\\SIN/// sanitary sewer PVC /_5N Si7 OM Symbol: BM Elevation: __ FT Force Main:___________I___________ BM Deacdptic: North post at Electrical Mater, base of post ^ O Indkate notA by r IMPORiAML mY. aTeBlBtlArm; -'1- �y Well sy9rbd(if appllcade): O dmn4ng ansnow 9bj11mund elevation contpOrs at suitable4rnerveis. on Ibo evmrorM IYIs. -, $J %...;.......,. I; Ia OSjl.l Tburn I S' I I + I1t.Aj, I i i' { . .Ii;tl ii �... H-i....-:.•.J.J...3....L*i..H....... .I --J..- :.-H. • J L., LJ H .LL .in4444fr4.. r o to e l l ,' ( L4'Jt+pk g;.., ..r:t ,ltd c�I Lit i -j i;�1 I ii I t elbe, 19�tb,� y1.1�✓ac 1 O I /s?%?s 2LJ><;%a +�s_.,1Arat r . lit!"► i ' Neld.�_Tae i l ! i__ i I I I frdpds I I I 1 i " 1 7_. Ho site (.. �..L. .L. lrc-%srra .1i%isiias.l-..{{�n-. 1 {L..,R'� r: .�..i—IJ .__�._ _�....�...�._._.11_... i.�1_ �.—{._i. �__.__ Reset Pape BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) APP I�Check List IHOriginal Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) E/Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) L9'Original Plot Plan (383.22(2)2. 3. & 4.a) Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer Pump Tank Diagram, Alarm and Pump Curve (when applicable) Il'ontingency Plan / Management Plan (383.22-3(2)(b)1.f.) Hjmt,n nun fuj 21'Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) //dY�te GWnfi' Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) Q Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)S) IF(ATU Servicing Agreement (Recorded at Reg. of Deeds) IFee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 15 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) /state Plan Review (when applicable) 0 Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) l T'I Application Information must include: L23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) EI'Project Address g1 Road Name where driveway is/will come off of) IMiOwners Phone Number) C�II Type of Building Bill Type of Permit 10 IV Type of POWTS System dV Dispersal / Treatment Area Information tG VI Tank Information L9'VII Responsibility Statement (Plumber's Information) l� *Date Stamp* Plot Plan: (To Scale or To Dimension) Signature and Plumber Information II Surface Elevation of Body of Water (Direction and Percent Land Slope C9 Tank and Filter Information and Location mWetlands / Navigable Bodies of Water /Absorption Area (Proposed and Existing) SBench Mark (Location, Elevation and Description) ET Component Manual Version Address Number and Road E/North Arrow sontour Lines tructures and Driveways Boring Locations I/Property Lines Cd//Well Locations fJ Legal Descriptions cn. Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Cross -Section and Over -Head Profile of the System: &Surface and System Elevation Position of Observation and Vent Pipes APR :; 7CY`� _. IRDimensions and Depths / L9 Make, Model & Number of Chamber Units in each Cell Property Information P How many systems will there be on this parcel of land? 1 Gd Has this property been split? tJo (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 I4Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 ❑ Maintenance Agreements i $ 30.00 (checks made out to Reg of Deeds) u/farms/cheddists/checMistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: State Bar of Wisconsin Form 00-2011 CORRECTION INSTRUMENT Under Wit Sim. § 706.065 Document Number Document Name U e si red hereby states that a certain document ("conveyance") titled as 11Yf n +�7C L C2lL(Y\ter\+ -- (type ofdocument),and executed ben gr fL ema Gh - , Grantor, and Cifl I Grantee, was recorded in County, Wisconsin, on .__ . J in volume ,page as document number ,and contained the following error. �cy�sR•uo1 Soil 1,Jron5&- je.e o{- Dort w, anE was record4d. Undersigned makes this Correction Instrument for the purpose of correcting the conveyance as follows: )� PkgLe i% o t 4 eOt a m GS S S Vh �l DOCUMENT NUMBER 2O25R-6O7382 DANIEL J. HEFFNER REGISTER OF IDEE.DS BAYFIELD COUNTY. WI RECORDED 05/05/2025 AT 1:44 PM RECORDING FEE: $30.00 PAGES: 3 Recording Area Name and Recur The basis for Undersigned's personal knowledge is (check one): _ signed is the Grantor/Grantee of the property described in the conveyance. Parcel Identification Number (PIN) Undersigned is the drafter of the conveyance that is the subject of the Correction Instrument Undersigned is the settlement agent in the transaction that is the subject of this Correction Instrument HoUtn"' her (Explain): A copy of the conveyance (in part or whole) u) is© is not attached to this Correction Instrument (if a copy of the conveyance is not attached, attach the legal description). I Undersigned has sent notice of the execution and recording of this Correction Instrument by 1° class mail to all parties to the transaction that was the subject of the conveyance at their last known addresses. Dated. /«.r AUTHENTICATION ACKNOWLEDGMENT Signature of - _.... authenticated on _ TTTLE: MEMBER STATE BAR OF WISCONSIN (If not, __. authorized by Wis. Stat§706.06) nut,y-rtmut. TIM IINSTRUMENT DRAFTED BY: ; Statg of W isconsin _- ... _ i Notary Public --..--•� -�a -�__. ___. My Commissioo(is permanent) (expires: )-( "1-.._) (Signatures maybe authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. CORRECTION INSTRUMENT STATE BAR OF WISCONSIN • Type name below signatures. FORM NO.00.2011 STATE OF WISCONSIN ) ss A Marc{ --- COUNTY ) Personally came before me on S `7 r70 _ the above-named\Zcc)..E ,Rt.w..-Str',— _... tome known to be th&nerson hort�ecudtdtheforxeoine [5) 111 V V 0 f� MAY U'70Z DOCUMENT NUMBER 2025R-607307 as on the following property or that continued use of the existing premises requires that a holding lank be Installed on the property for the purpose of proper containment of sewage. Also, the property cannot now be sewed by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Slats. 5E 114 of_L114 Section 2Township L N. Range flw. Town of Additional Legal Gov't Lot — Lot_Block_Subdivision CSM#_ Lot_CSM # Vol _Page _CSM Doc# DANIEL J. HEFFNER 54555 REGISTER OF DEEDS BAYFIELD COl9NTY. WI RECORDED 04/30/2025 AT 8:44 AM RECORDING FEE: $30.00 PAGES: 1 Return To: %+iddCo. 20 - to As an inducement to Bayfield County to Issue a sanitary permit for a holding tank on the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner fails to have the holding tank properly serviced In response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in a. 254.59, Stats., Bayfleld County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by a. 66.0703, Slats. 2. Owner agrees to pay all charges and costs Incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank In such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date or 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. 3. The owner agrees to contract with a person who Is licensed pursuant to s.281.17 (3) Wis. Scats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days from the date of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Stats., and Ch. NR 114, WI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to Investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank Is not being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, Wi's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owner(s) Name(s)---Please Print o 6{uts� ./' y/s'Le S;G/ Subscribed and sworn to before me on S date: KAMERAE LNNECKER 31` a Nntary Notarized Owner(s)—Signatures) Notary�11kicbf Wisconsin My Commission Expires: a Drafted by: T r Date:\ V4\ as Poaonal Information you pert yba and for samndary purposes (Privacy law, a.15.010xm11 WlwnmfnnilmyMolthnpl *agr nwntdac Sires 2018 Bayfield County Register of Deeds Document #2025R-607307 Page 1 of 1 MAY ! ' h 2025 Private Sewage System Maintenance Agreement ns owner, i twel on newsy canary me pnvate sewage system will oe installed In accordance with the certified soli 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) 114 of SW.1/4 Section 3jownshlp t" 1 N. Range _S w U Additional Legal Description: _..__ Town of t Q'Ct'1 (Acreage) 9O Gov't lot Lot_____ Block SubdMsbn Lot _ CSM # _ Vol. _ Page _ CSM Doc # Return To: Planning and Zoning Department ❑ In -ground gravity ❑ In -ground dosed 0 In -ground pressure distribution Sewage System: Mound 0 At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of Installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (113) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be Inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be Inspected and maintained as necessary and In accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewaoe 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-orade. and Inbround Pressure System Laterals (system types C, D and E): The laterals shall be gushed out and swabbed If needed when the wastewater distribution aril component Is Inspected as provided above. Ownar(s) agree that failure to comply with this agreement will result In action being taken to pay all charges and costs Insured by Baytield 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. Bay/bid County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days (mm 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 end charges may be placed or 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. a Drafted by. —Please Print Date: Icnoea and sworn to oerore me on tradeta: S EKAMERAE ZINNECKER buc,tar ic Z°e of wisconsin ;ommlasion Expires: 2\a\`a G -1 J Proofed by: _ u/forms/sanitary/septlanaintenceagroenenl Revised July 2020 10128/24, 9:44 AM Real Estate Bayfield County Property Listing Today's Date: 10/28/2024 WP Descdpticn Tax IDs PIN: Legacy PIN: Map ID: Municipality: SIR: Description: Novus-Wlsconaln Access rev. 12.0208 Property Status: Current Created On: 3/15/2006 1:15:24 PM _ _ Updated: 9/18/2018 Ownership Updated: 9/18/2018 16055 RODNEY DYMESICH PHILLIPS WI 04-020-2-47-05-32-3 04-000-10000 0201068201068 09000 fiftgAddremr MaiBr%Addr m RODNEY DYMESICH RODNEY DYMESICN (020) TOWN OF EILEEN 405 SOUTH AWN AVE 405 SOUTH AVON AVE S32 14Th ROSW PHILLIPS WI 54555 PHILLIPS WI 54555 SE SW IN V.885 8203 570 IM 20048- 489659 Recorded Aces: 40.000 a Site Address * indicates - Private Road Calculated Acres: 39.669 26260 STATE HWY 110 lottery Claims: 0 First Dollar: Yes 6y Property Assessment Zoning: (AG-1)Agricuttural-1 2O24Assessment Detail - ESN: 113 Code Acres G4-AGRICILTURAL 37.000 Tax Districts Updated: 3/15/2006 GS -UNDEVELOPED 2.000 1 - - _.-- _ STATE G7 -OTHER 1.000 04 020 COUNTY TOWN OF EILEEN 2 -Year Comparison 2023 020170 ASHLAND SCHOOL Land: 11,800 001700 TECHNICAL COLLEGE Improved: 14,300 Totah 26,100 `1 Recorded Documents Updated: 3/15/2006 CONVERSION --- - E9 Property History Date Recorded: 489659 714-31;787-146;885-203 N/A ASHLAND 54806 Updated: 3/13/2024 Land Imp. 8,400 0 2000 4,100 14,300 2024 Change 12,700 7.6% 14,300 0.0% 27,000 3.4% htfpsl/onus.bay6eldwunty wi.govlaccessimastecasp?paprpid=16066 1/1 5/13!25, 1:28 PM Carmody'"" BAYFIELD COUNTY SANITARY PERMIT (#04)-25-22S STATE SANITARY PERMIT OWNER: RODNEY DYMESICH G OV'T LOT: LOT: B LK: SE1/4 SW1/4 SEC:32,T47N,R5W TOWNSHIP: Eileen SOIL TEST: 21-25 NEW SYSTEM SYSTEM TYPE: Mound? 24 in. of suitable soil PLUMBER: Tony Brown TRACY POOLER DATE: 5/13/2025 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations In force on the date of approval. c. The sanitary permit Is valid and may be renewed for specified period. d. Changed regulations will not Impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may Impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 664303 Condition: Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 5/13/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•//www rnrmnrivinr rnm/PermitAnn/Permit Sinn ngny7Print=l Anermitannirt=74R.ri 119 `