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22-105S
Request for Sanitary Inspection (Fax this form to Zoning Dept when you want an inspection — 373-0114) Note: Time Change fl Discrepancy Other From Zoning Dept Phone Number Plumber: Fax Number Home Owner: fYt uJ 1 Sanitary #: Permit Plumber's Choice Zoning Dept No inspection during these times Date: 9:30 am —12:30 pm Tues. (Tracy) 9:30 am —12:30 pm Thurs. (Tracy) Plumber's Choice Zoning Dept Immediate Phone Number so Zoning Time: 2Qm 0� Dept can call you right back (if needed) Township: d Address # & Road Name: or F1 oiSry'i1hJ3\ Directions To Site: Comments: 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/forms!sanitary/requestforinspection ® June 2018 Zoning Dept (©4112/04) Request for Sanitary Inspection (Fax this form to Zoning Dept when you want an inspection — 373-0114) Note: Time Change fl Discrepancy Other From Zoning Dept CX,Jv �L^vY�bj �/X� PhoneNumber Plumber: J ___ Fax Number Home Owner: Sanitary i Permit #: `1�L1 _ �a — iQs Plumber's Choice Zoning Dept No inspection during these times Date: q l lad as O� 9:30 am —12:30 pm Tues. (Tracy) 9:30 am —12:30 pm Thurs. (Tracy) Time: Plumber's Choice Zoni ept Immediate Phone Number so Zoning Dept can call you right back (if needed) Township: Address#4 4 Road Name: or Directions To Site: F 'll Comments: \t 5 f1 eC 1 .'t'\ ��Q Yr 1-' YES 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/forms/sanitary/requestfonnspedion Zoning Dept (®4/12/04) ® June 2018 Tracy Pooler From: Tracy Pooler Sent: Tuesday, March 28, 2023 10:37 AM To: Tony Brown Subject: Kurilla 22-1055 septic numbers Tony, I am looking for the septic numbers for the septic install for Kurilla at 29240 Kelly Road installed 9-21-22 Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tracy.poolernubavfieldcountv.wi.gov Industry Services Division General Information Permi Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) MATTHEW J & WHITNEY R KURILLA 29240 KELLY RD MASON WI 54856 Information City setback to: Town of: Ci073 DJS Sanitary Permi No: State Plan Transaction ID#: Parcel Tax No: TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic G S /t /A. r N/A Dosing 71O N/A Aeration N/A Holding 7sf9 0 , Pump / Siphon Information ' / Pump Manyf turer O 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 Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: )istribution System Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length _ Dia _ Spac Spacing 0 Yes ❑ No Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header / Manifold Distribution Pipe Infiltrative Surface Final Grade X Pressure Systems Only Soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes 0 No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 1 JKS rvfS)clo- &h'ecl414- Plr&w- OR D.J ivo7'cq/8e aecfeal; / Yiue�] Ar,scch Qra/a'(/o/d Not e f ot VII yan I Plan revision required? ❑ Yes Q No 2 Use other side for additional information. Date POWTS Inspector's Signature License NumberSRfl-R71fl (P fl/21\ 6/z6 1/QUuT rn- VCJPR V /oUJI YCcCCwr�ecry frvv-GrP 4' Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonino(a�bayfieldcountv.wi.Qov Web Site: www.bavfieldcounty.wi.gov/147 — MATTHEW J & WHITNEY R KURILLA 29240 KELLY RD MASON WI 54856 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: C• Tank was pumped by: •o Tank was crushed / removed and pipes disconnected by: on at AM/PM On at (AM / PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: ❑ System was inspected and appears to meet all applicable code requirements. ❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. ❑ System could not be inspected because County could not respond to plumber's time constraints. Comments: Uttoonslsanitarypropertyowner-input April2019 RECEIVED I Department of Safety County AUG 15 2022 I & Professional Services, Industry Services Division Sanitary Pemdt umber (to be filled in by Co.) Bayfed Co. Planning and Zoning ApMtoi' Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prim to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. I. Application cation Information — Please Print All Information Property Owner's Name Parcel # %/y A//AL Property Owner's Mailing Address Property Location a9Z10 /�-�/ s Govt Lot City, State Zip C�odde Phone Number v�7 �'..7��a /'$-oeoel, gr13 510y,O''A, Section T 6 N R 5 E o rL Type of Building (check all that apply) Lot # 0/l or 2 Family Dwelling — Number ofBedrooms Subdivision Name ❑ Public/Commercial — Describe Use Block # O City of 0 �Vi Village of ❑ State Owned — Describe Use CSM Number _�// � n"T'n nofy Ct//y ID. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line Cif a licabl A. New System y ❑ Replacement System p y ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B• ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound 0 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. Dis eraavrreatmeat Area and Tank Information: Design Flow (gpd Design Soil Application e(gpd/sf) Dispersal Area Required (s Dispersal Area Prop(t) Elevation _ ✓ 3G 6 3Gb ,rte. 9 Capacity in Total # of Manufacturer y °o Tank Information Gallons Gallons Units E '$ New Tanks Existing Tanks o u ,g U in o, y is O Septic or Holding Tank oo'O rwo 2000 a' Dosing Chamber 7 SO 70 'NO % jALc. V. Responsibility Statement- I, the undersigned, assume responsibility for install o e V shown on the attached plans. Plumber's Name (Print) Plumber' MP/MPRS Number I Business Phone Number CG�303/S6drd- t5°lYU plumber's A s (Street, City, State, Zip Code) VI. County/Department Use Only Approved 0 Disapproved Permit Fee SSOD Date Issued Issuin A nt Signature 0 Owner Given Reason fm Denial Conditions of Approval/Reasons for Disapproval t eb 1'n 11to Nl (gyp I ) &4s\ m tD meet 3) At� 8 � c &WO. A (` arias , �I0�YI { 6WY1o1�L &-" Attach to complete plans for the system and submit to the County only on paper not less than a rn x11 Inches in size SBD-6398 (R. 03/22) • RECEIVED DYKSTRA CONSTRUCTION 71seezea10 JUL 25 2022'1/04/03 02t04pm P. 002 Bayfield Co. WaawnlnDepmnenlofCoonwce SOIL Page °i3 DMaon of Safety end Buedinge In accordance with Comm 05. WIS. Adm. Code County /( Altocll complete site glen on paper not bee ten 8 112 x 11 Indies In size. Plan must cY ndude. but not limited to: vernal and horizontal reference point (Bu). dreclbn and Parcel 1.0. percent elope, scab or dimension,, north snow, and location and distance to neatest road. Da(o -/0:? % /O- 97c) Please print if! Information. L 5..7.1ewe r, Reviewed by Dale Pxeenelhfmrnalbn you pmvldemry be is db aannndmypurpaeoe (Pi%ty Uw.a. 1604 (l)(m)) ` rJ Govt Lot S 1%! 114 NM 14 s / V T 414 N R ≤ '44 ) W Village El Tovm GR New Conewaion (lie: I@ Realdenlla I Mzmber of bedmoma 3 node derived design now we Y__ GPD Replacement 7 Pudida co�maraal • Desalho: Parent malarial G/d.tls a//Ca1-lC-r«t Flood Plain elovollon If applIcabe It. O.nonl comments /a /�w ( (j / 'T'� y/ and recommenuanona: tl CJ '_M� Iv �UN/aQr tf4�q �H �e ✓/J VCT��y� j/[�C✓WIIN rI/re l.� Interp not needed for this site. J Rowley M,� ty�e� ale✓��d.' /oo.S�' / Yec.r.rrnewIa e�e6sn �oA� Y4 /t 54Xd/ry Boring N ❑ Boring ® pit Ground curfew elev. % It. Depth ro limiting factor S In. —� Horizon Depth In. Dowdnenl Cefor Munsel Reddz Description Du. Br. Cont. Color Texture Struct a Or. Sz. Sh. Corelelena Boundary Roots GPDMI 'EfWI 'EIM2 o- sr, .�• sCL 2M4 Ff t5 21 tg C S-flQsyRv/y OfMc.. CL c,v' — C5 .l ,o ,o 3 8 ri Y(J n.n C aH? — , o , o 9orirq Y Boothe LL ._ 1 Pn Ground curiae. acv. 0 rt. Dapur te ilml6llg rector m carflneule Horizon Depth in. Dominant Color Musical RedoxDnctlplon QI. Sr. Cont. Color Texture Stmcturo Or. Sr. Sh. Consistence Boundary Roots GPD/IP 'EBN1 'E(IN2 o-. 3i SCL r as IQI .c. -rz< Y /_ CL n I O )-Colo .PY ('Inc C. O — .o ' tnluem ale BUD, a Juc ((usilent ano 'a .Jac loumgzL - emuenr PM -ow,_uv nN'I.^'W lea. uey,. CST Name (Pleaw E ZIP.N Sgnet' n ^�Nunl ^� Adtlron80 n .eutamont nxi.Dare E,atual n Conducted •,[Tew�bcrte Number Mason. Wf 54856 Q a9 -o3 7�76S 5�Go� DY(STRA CONSTRUCTION 7166820410 11/04/03 02t04pm P. RECEIVED JUL 25'Q5 Bayfield Co. ]/ �1,, ❑p Planning l�]]and Zoning Agency fPropeny0wlvm E S H'1 Rarcel IDa Oa-/oa-i-/o'990 Page._2 01 17 I Boring O 0 e- o� ft. Depth to Ilmding rector 13 N. LL..77 �[I oe OrlwM surface elev.s& a� Horizon Dept t. Dornlno t C)a e4meel Radox Dawlpuon Cu. Ba. Coot. Color Texture Seucturo Gr. Si. Sh. Consistence Boundary Roots DPDIP 21181 'Eae2 0-8' _ 3l SCE /AE ac 2, .c B:aP v/e u CL .o 45 r/ p .O 3 ng c r>? - - _ Boring / 0 Boring (1 pa Orauod surface cloy. it Depth to amlang ratter In. f el>;•iAnoeta HOrtzon Dept In. Domtem Calar Muriel Redox Desaphon Cu. Si. Cent Cola Texture Stmcuxo Gr. Cr. 6h. Consistence Boundary Roca GPDAP 'gnat 'err Bowing e M e around sur. ar. cloy, It Depth 10 among Ieeao, In. Rile Horizon Depth n. Dominru Color Muneea Redox oeealpaon Cu. Si. Cont. Cola TexWro Structure Or. St. Sh. CCnalabnce Boundary Roots GPO/ft'� 'P.IHt E1112 Effluent el• BOO, '30 220 mGVL and T66130< 160 mgm. - Effluent 02 BOO,' 30 mg& and T8S< 30 rrg7L The Dcpar menu of Commerce is an equal opportunity service provider and employer. If you need assistance to acoess services or need material in an alternate format, please contact the department at 608.266-315101 TTY 608.264-8777. 4e11). u4nW1 OYXSTRQ CONSTRUCTION 7168B2B410 FtEC 111*63 02i04p a 004 �ow✓I o f /fie//r/ JUL 252022 ,4Se 3,.F 3 g3yfied Co. PvCp—/ PlanningardZoningAOB^cY Ctch 4 - Wla,I ≤ca/� -/ Yo 1 p4 — /%LK pc4 +v r<�+aM^eiV./ .,p� �1 I a✓ 14,4L5 A VYcn.ne -d� 1A-Y\a.C off'W/x &O 4[oJ`'[)vu.... di /J/ 1�e /J /1 LL..1 W^� O�Yi� z /bC� - CbA'f l^',eJ �NC/y /-��(n�( - / YlslawG/Y O✓Cv 4a4 /1 Owg.ty YN�/�n wt' .n Srne cc/c. �ICIIQ /`ONS VCC0 MNItKd� //WC. — e,. _' 9zo' -mss, tC- 4./4 ,Ba °,4yo ' I v'em.++wraKoiicP It G3=:91?a2 M.11d� Tos:pl ZY-. 2t#J439f it - 9 -a9 -o3 � - Ke,vy Rd 1 RECEIVED JUL 252022 GSF WI MOUND DESIGN PROGRAM BeYgeldCA INDEX AND TITLE PAGE Planning and ZoningAgency Project Name: Kurilla Mound Conditionally Owners Name: Matthew and Whitney Kurilla APPROVED DEPT. OF SAFETYAND PROFESSIONAL Owner's Address: 29240 Kelly SERVICES Rd rnncin N n S ININICES CERVICES Mason WI. 54806 ;9.i.;9.ir.e Aa.t4� SEE CORRESPONDENCE Legal Description: SW 1/4 NW 1/4 S 14 T 46 N R 5W Township: Kelly County: Ashland_ Bayfield Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 04-026-2-46-05-14-2 03-000-20000 Plan Transaction No.: 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 Designer: T Date: 7, Signature: n License Number: 664303 ____ Phone Number: 715-292-0029 Designed Pursuant to the GSF Mound Component Manual (N. 08/16), and SSW MP Publication 9.6 Design Pressure Distribution Networks for STSAS (01/81) GSF Mound Version 2.25 Page 1 of 11 RWCC(V DIVISION OF INDUSTRY SERVICES 10541 N RANCH RD HAYWARD WI *48434462 Ci F ono 11 JULL G :J LULL Contact Through Relay $ hfpJIdopewlgovprogra lme/Mdustry-serwca5 www waconwn.gov — - Bayfield Co. Planning and Zoning Agency Tony Even - O Dawn Ctlm - Secretary July 18, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-7-18 Plan Review: PWTS-072201567-C Anthony Brown 315 Sanborn Ave Ashland, WI SITE: Kurilla 29240 Kelly Road Kelly Township Bayfield County SW Y. NW 34 S14-T46N—R5W FOR: Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Description: GSF Mound Component Manual —(11/19), 3 Bedroom Mound —450 GPD —8" to Pressure Distribution Component Manual — Ver. limiting factor — Effluent Filter- 2.1 (May 2022-2027) Maintenance required 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. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Install the GSF products and distribution piping per instructions. If using pressure distribution, distribution pipe should be sleeved through the 4 -inch corrugated pipe located in the GSF product. One out of every five orifices in each distribution pipe shall be installed at the 6 o'clock position so as to allow for thorough drainage of the distribution pipe following each dose. The remaining four orifices shall be installed in the 120' clock position. All pipes must drain after dosing. • 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. • A 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. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. 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 owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible forthe installation, operation or maintenance of the POWTS. RECEIVED Sincerely, 'JUL 25 2022 ojhaa'Rowley PI aMZ m Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 813-9111 Joshua.rowley@wisconsin.gov RECEIVED JUL 25 2022 use 3a F3 Bayflea Co. Planning and Zoning Agency _....l,.,c z,w r sett —4t9 Sca/(—/ -5V4A-Vial( afptnc e,•� 460dt..yq�Yu..nf�( Ien 4 on rt SeerY ull\l 6ncf '`!0 - ctJ %ta't5 81 =' 91o' Ba =yo as 99.2 92froK. 9r ysTe,y /lad 71-2 4 -.0A V 3 II -tea pl zr . # pngP9 - 9 6' veon. rlcW Nnf Trv.C'f •,ar. = yso G1 — AQcomme./ we5, /4agi v,�-•Y5g/S'74 Sck 4° 11 r F Cwt f �H�QJCHcY — ,f mi«.-e/ ores is pw KL (✓ , s.tCnex 1X.n Q 9-k Veto n-za.s ja 9st- -•-- __ -- arm -�- , 2r SJ 4 Ktuy Rd 1 -- ask ,n-; ['mr occur ri n t (&i. o.r/,'t) ra/ SswmP b( +� 9. .12n� Azzs. rrl�r - Ynti/..�,r�+��� tan s,—sAc GSF WI MOUND DESIGN PROGRAM DATA ENTRY Site Information C Residential or Commercial Design 450 Design Flow (gpd) 1.0% Site Slope (%) 98.00 Installation Contour Line Elevation (ft) 8 Depth to Limiting Factor (in) 0.6 In -Situ Soil Application Rate (gpd/ft2) EFF #2 JUL 252022 Bayfield Co. plannlrg and Zoning Agency 3jNumber of Bedrooms (optional) 200.00 IContour Length Available (ft) Distribution Cell Information 843 Unit Used 6 Cell Width (ft) 3, 4, 5, 6, 8. 9 or 10 61 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 E Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 0 Lateral Spacing If N above, enter the elevation (ft) 1 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2 Estimated Orifice Spacing (ft) = I 12.62 ft2/orifice 1.5 Forcemain Diameter (in) 70 Forcemain Length (ft) Does the forcemain drain back? 94.4 Inside Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 5.52 Vertical Lift (ft) 1.64 Friction Loss (ft) 0 Add'I Fitting Friction Loss (ft) 11.71 Total Dynamic Head (ft) Lateral Diameter Selection in. diam. options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Septic Tank Information 2000 jSeptic Tank Capacity (gal) Weiser Concrete IManufacturer Dose Tank Information 750j Dose Tank Capacity (gal) 42.92 Dose Tank Volume (gal/in) Weiser Concrete Manufacturer 6.42 Forcemain Drainback (gal) 26.85 5x Void Volume (gal) 33.27 Minimum Dose Volume (gal) 15.62 System Demand (gpm) Manifold Diameter Selection in. dia. options choice 1.25 1.50 x 2.00 3.00 Gallons/Inch Calculator 2000 Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/in Effluent Filter Information Polylok Filter Manufacturer PL125 Filter Model Number Project: Kurilla Mound Page 2 of 8 RECEIVED GSF WI MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View JUL 252022 Baylield Co. Planning and Zoning Agency Mound Component Dimensions 28.7211.84 ft D 28.00 in G 0.50 ft J 19.95 ft W015 ft 26.0 fft t 366.00 (ft2) Dispersal Cell Area 1021.91 (ft') Basal Area Available 7.38 (gpd/ft) Linear Loading Rate 6.10 (ft) 1/108 Obs. Pipe Placement Finished 101.92 (ft) �• ---- - Grade •.•.•-•.••.. ,�1� • ❑2 •�"' G H 100.92 (ft) F ••� I 100.33 (ft) ;: Dispersal Cell Lateral Invert .' l'" Elevation Dispersal Cell 3 D � Elevation ❑ ❑ L I 1 q 98.00 (ft) Contour Elevation 1% Site Slope Shading Key Typical Dispersal Cell 1 ••• Topsoil Cap � a I I See Page 5 2 Subsoil Cap oI 2 ft Geotextile 3 ASTM C33 Sand (02 Fabric Tilled Layer 1° m rr 5 GSF Media & .0u I F i— ^ : Cell Header v 0 0.5 ft t j /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: Kurilla Mound Page 3 of 8 GSF WI MOUND DESIGN PROGRAM LATERAL AND DOSE TANK End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below JUL 252022 Bayfeki Co. Planning and Zoning Agency • = Turn -up wlball valve or deanout plug P s—_X� (puals foTaee 84.0of 5) Srh 40 �Z—� let ortffce located at Z point up except every (par COMMCOTable 84.3651 5th we Edge of dstnbulion cell 5th one points down for dainage. Numbers of Laterals 1.00 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 58.52 ft Orifices per Lateral Lateral End (Z) 0.74 ft Orifice Density Lateral Spacing (5) 0.00 ft Manifold Length Lateral Flow Rate 15.62 gpm Manifold Diameter System Flow Rate 15.62 gpm Forcemain Velocity 58.52 Pump Off Height Dose Tank Information Lptl uCKd dijcekp —faW atllorldtg der4e. ens Beoi®I as peNEC 300_ senadw9WhV ad Cann tam WC ahm Diruanad '—fl lamBM lank mnpmes isiamatrvesad Weiser Concrete Capadty 750 Volume 42.92 Manufacturer (— Gallons A gal/inch �--- a Fa[ernan dianaer 1.5 in Ve fldea neon n deice Dimension Inches Gallons . A 2.70 115.85 C I B 2.00 85.84 . Arrvdlesvakmtm C 0.78 33.27 D 12.00 515.04 95.4 Total 17.47 750.00 D f Ouse tank Se Onl41 Mn. T eeddngudetatk. 94.4 Alarm Manufacturer Septronics Alarm Model Number EB-120 Pump Manufacturer Goulds Pump Model Number EP -04 Pump Must Delivery 15.62 gpm at 11.71 ft TDH Project: Kurilla Mound Page 4 of 8 R!C!IV!b GSF WI MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout ©Cell Width (ft) O3 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. 6 ft Wide tLllZ,?\B:4.3\≥1rJ ASTM C33 Sand/Mound Sand A42 or B43 Module Lateral Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical 6 Cell Width - A (ft) I 61.00 Cell Length - B (ft) 15 843 Modules Required per Row 15 B43 Total Modules Required End Connection Later Layout Diagram Drag appropriate drawing from left to space below. JUL 25202? Barfield Co. Planning and Zoning Agency — R WIr--------------- -- RY4' TO 1L nv ll t T._-- GFuv -- Project: Kurilla Mound Page 5 of 8 RECEIVED GSF WI MOUND DESIGN PROGRAM JUL 252022 SYSTEM MAINTENANCE SPECIFICATIONS Bayfeld Co. Mound System Maintenance and Operation Specifications Planning and Zoning Agency 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 BOOS 30 mg/L Septic Tank Capacity 2000 gal Maximum TSS 30 mg/L Soil Absorption Component Size 366 ftz Maximum FOG 10 mg/L Maximum Fecal Coliform 10(4 cfu/100 ml Service Frequency Septic and Pump Tanl Effluent Filter Pump and Control: Alarm Pressure Systerr Mounc Olher 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 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. S. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. FINISHED GRADE — LATERAL ENDS AT LAST 4" ORIFICE WHERE VARIABLE LENGTH CLFANOUf BEGINS f— DISTRIBUTION LATERAL Lateral Turn -up Detail 6- 8" DIAMETER LAWN SPRINKLER _ 3IPE � 4" END_ LATERAL CLEANOUT THREADED CLEANOUT PLUG n LON1'WO SWEEPEEOR BENDS / //�_ TWO 45 DEGREE BE SAME DIAMETER AS LATERAL Project: Kurilla Mound Page 6 of 8 RECEIVED JUL 252022 Wastewater eat Zon�0- A�"cy planning METERS FEET 10 9 30 __0_L_?_ 5 GPM 8 2.5 FT 25 Q W S 6 20 Q 2 5 Y O 15 4 FQ EPOS 3 10 - - _- -. EP04 2- 5 _ -- 0- 0 - 0 10 20 30 40 50 GPM L L 0 2 4 6 8 10 12 m3/h CAPACITY MODEL INFORMATION Order Minimum Float Cord Discharge Minimum Minimum Minimum Maximum Shipping Number HP Volts Amps Circuit Phase Switch Length Connection On Level Off Level Basin Solids Weight Breaker Style Diameter Size Ibs.kg EP0411 Plug / No Switch 10 Manual Manual 20 /9 1 EP0411A Piggyback/ 10' 12 6' 21/9.5 115 12 20 Wide -Angle EP041 IF Plug / 20' Manual Manual 20/9.1 J No Switch EP0411AC Piggyback/ 20' 72' 6' 21/9.5 1 Wide -Angle 1'F,' 15' %' EP0412 230 6 10 Plug / No Switch 10' Manual Manual 20 / 9.1 EP0412F Plug/ No Switch 20 Manual Manual 20/9.1 EP0511 F Plug / 20 Manual Manual 22 / 10 115 13 20 No Switch EP0511 AC Piggyback / 20 12" 6' 23 / 10.4 .5 Wide -Angle EP0S12F 230 6.5 10 Plug / No Switch 20' Manual Manual 22 / 10 PAGE 3 4 L.A51-A-SE N G O LC) 6r S N TO MEET OR 1� n I SIDE$f�E VIEWEW PUMP PAD WLP750- MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" CAST -A -SEAL COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54" OUTSIDE DIAMETER: 7'-0" BELOW INLET: 42" LIQUID LEVEL: 37" WEIGHT: 6,150 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 GALLONS LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: OF / 3U- 2 5 2022 eaYfeb Cna Agency Bayfield County, WI � 4:; . ! T Y1 r� .4� ° t .:*Ik& 4: / __ .t) MATTHEW 16 WHITNEY R SURIIU i 4.10, 21126 1 - H H Hill H 7/6/2022.9:47:27 AM Rivers Municipal Boundary New Meander Lines Building Footprint 2009-2015 Driveways Changed Approximate Parcel Boundary • Buildings LIII Existing Section Lines 1:783 0 001 0.01 003mi s r ti 0 001 003 0.06Rm e.r ed BaI5.a eowur 1.nd Rend. D.pddmem rnpa rM .b f,. dco 'ty w. pwrea,M1tVWAB/ RECEIVED Real Estate Bayfield County Property Listing Today's Date: 7/6/2022 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: JUL 2 5 2022 Property Status: Current Bay66W Co. plannlo9 and Zoning Ageteated On: 3/15/2006 1:15:38 PM Updated: 9/20/2016 AS Ownership 21126 MATTHEW 3 & WHITNEY R KURILLA 04-026.2.46-05.14-2 03-000.20000 026102710990 (026) TOWN OF KELLY 514 T46N R05W PAR IN SW NW IN 2016R-565211 5.700 5.682 1 Yes (AG -1) Agricultural -1 119 I Tax Districts Updated: 3/15/2006 I STATE 04 COUNTY 026 TOWN OF KELLY 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE • Recorded Documents 0 WARRANTY DEED Date Recorded: 9/14/2016 0 WARRANTY DEED Date Recorded: 6/30/2014 0 WARRANTY DEED Date Recorded: 10/19/2007 0 CONVERSION Date Recorded: 3/15/2006 0 QUITCLAIM DEED Date Recorded: 7/30/2003 Updated: 10/28/2008 Updated: 9/20/2016 MASON WI Billing Address: Mailing Address: MATTHEW J & WHITNEY R MATTHEW) & WHITNEY R KURILLA KURILLA 29240 KELLY RD 29240 KELLY RD MASON WI 54856 MASON WI 54856 Site Address " Indicates Private Road 29240 KELLY RD MASON 54856 Property Assessment Updated: 4/19/2022 2022 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 4,200 186,900 G4 -AGRICULTURAL 4.700 700 0 2 -Year Comparison 2021 2022 Change Land: 4,800 4,900 2.1% Improved: 186,900 186,900 0.0% Total: 191,700 191,800 0.1% 2016R-565211 iT Property History N/A 2014R-554825 1127-107 2007R-517038 981-807 484168 865-306 2003R484168 865-306 RECEIVED BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS JUL 252022 Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) Barfeld Co. Check List Planning and Zoning Agency IS'Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) dndex Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) I3/Original Plot Plan (383.22(2)2. 3. & 4.a) fg Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer Pump Tank Diagram, Alarm and Pump Curve (when applicable) Eif ontingency Plan / Management Plan (383.22-3(2)(b)1.f.) 0 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) ,J(P O ryplding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) NIA HHolding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) NIA 12'�ATU Servicing Agreement (Recorded at Reg. of Deeds) 13"Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) L3"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.) C SS//tate Plan Review (when applicable) IR Copy of Warranty/Quit Claim Deed (Optional) Sanitary ��Application: (Include the following Information) i I Application Information must include: 723 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) Project Address or Road Name where driveway is/will come off on rliOwners Phone Number) L9 IZ Type of Building Lot//III Type of Permit M�Vi N Type of POWTS System Dispersal / Treatment Area Information ��Tank Information L9 VJI Responsibility Statement (Plumber's Information) H/ *Date Stamp* Plot Plan: (To Scale or To Dimension) VSignature and Plumber Information EBBsurface Elevation of Body of Water " Direction and Percent Land Slope " Lines R // Tank and Filter Information and Location //Contour i Structures and Driveways I)7 Wetlands / Navigable Bodies of Water E"Boring Locations "Absorption Area (Proposed and Existing) Property Lines "Address Number and Road EVNorth Arrow L_Bench Mark (Location, Elevation and Description) Cam]" Iell Locations L9'Component Manual Version 19 'Legal Descriptions IKPiping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► REef WED Cross -Section and Over -Head Profile of the System: JUL 25 2022 CI Surface and System Elevation Bayfeld Co planning and zoning genCV IF"Position of Observation and Vent Pipes IF"/Position Ayimensions and Depths l3 Make, Model & Number of Chamber Units in each Cell Property Information 0 How many systems will there be on this parcel of land? ) M Has this property been split? Oa (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 ❑Private Sewage System (Holding Tanks) $ 400.00 Loi Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 ❑ Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) u/fomWchecldisis/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: RECEIVED I Department of Safety County '1L /j o AUG 152022 S' = & Professional Services, '\ Baytea co. Planning and Zoning Agency Industry Services Division Sanitary Permit' umber (to be filled in by Co.) Sanitary Permit Application State Transaction Number 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 purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 1. Application Information — Please Print All Information Property Owner's Name Parcel # M&Whm anti GDhr/ D%0 ,2-y6 _/r/_,2 03 -ow -._a_ Property Owneerr's Mailing Address ///� �� a /.Z10 £t// F ter. Property Location Govt. Lot ''/ City, State Zip Code Phone Number t/� �./ /r/A. -7 ICJ/ 5 fSLi q 7'C -2a7. pJr7,3 SW '/. '/..Section �"/ T 6 N R S E o of Building (check all that apply) Lot # 7e Family Dwelling —Number ofBedrooms Subdivision Name ❑ Public/Commercial — Describe Use Block # ❑ Cityof ❑ State Owned — Describe Use 0 Village of CSM Number M Town of //H III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on Hue B. Complete line C if a licable A. New System y ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade Mound ❑ Individual Site Design gn ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber g ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dis ersaVlYeatment Area and Tank Information: Design Flow (gpd Design Soil Application e(gpd/sf) Dispersal Area Required (s Dispersal Area Propose System Elevation y5"o .t 3l0 6 3Gb tea, 93 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o v V New Tanks ExistingTanks oD°. Fi y [G U i+. U Septic or Holding Tank 000.0 2000 / /t/ j b Dosing Chamber 75t 7ar0 j V. Responsibility Statement- 1, the undersigned, assume responsibility for instaljBiMltif e shown on the attached plans. Plumber's Name (Print) IPlumber' RS Number I Business Phone Number % X651303 7/S-1df - 0'/W Plumber's A ss (Street, City, State, Zip Code) 3,-r ≤,7 �' /, O a>fr Sye≥za VI. County/Department Use Only Approved O Disapproved ❑ Permit Fee / i/C Date Issued Q3 Issuin A nt Signature Owner Given Reason for Denial e(i'-+� Conditions of Approval/Reasons for Disapproval In t be 0SMMkrn tO ma 3) At\ 8 £0VKt 1 [ 1 be Q�t S2kpp�Gs a) �Ylana�,w�nfi �tU.VI fb 6Ws L E:2t- Attack to complete plans for the system and submit to the County only on paper not less than 8 Ins 11 inches in size SBD-6398 (R. 03/22) iii1 IjII I �i i �iiiiii�iiiiiIMIIfl IhI IMI ii56.55 *iii. Private Sewage System Maintenance Agreement w4' tJh uD lax turf 21121, u 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 Bayfleld 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) 5W 1/4 of NW 1/4 Section '�I < C Township'*N. Range(9c. Additional Legal Description: Par lv1 Sv.i /')W IN ZoIE/p- z11 Town of /l P b l (Acreage) lPg 2 6 't�Lt Lot_ Block Subdivision Lot _ CSM # Vol. Page CSM Doc # 2022R-595655 DANIEL J. HEFFNER BAYFIELD COUNTY, WI REGISTER OF DEEDS 07/25/2022 09:59AM TF EXEMPT #: RECORDING FEE: 30.00 PAGES: 3 To: Planning and Zoning Department ❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ® 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 manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds. At -grade, and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed If needed when the wastewater distribution cell component is Inspected as provided above. 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 pax fl CJ391yittpin thirty (30) days, the owner specifically agrees that all the costs and charges maybe placed on the tax roll as a special assessmen'�fcl�r51#human health hazard, and the tax shall be collected as provided by law. v. The terms and conditions of the agreement shall be ndig9 upon and in7iv to ttt, benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Ma h-e'nl 4p r i \ o\ ¶tibseribed and sworn to before me on this date: P,-.,, UJhi-4- LZ k &fl`l o . Notarized --Signs ♦ ,9T., ,,.• /fftl ryPu (�Ji_._- III%My Commissio Expires: Drafted y: VJ(\ Dater a- _O r}a- Proofed by: u/forms/sanitarylseplicmaintenceagreement 15 Revised July 2020 0 WARRANTY DEED This deed, made between Tanner N. Tryon, a single person, Grantor, and Matthew J. Kurilla and Whitney R. Kurilla, husband and wife, as survivorship marital property, Grantee, Witnesseth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in Bayfield County, State of Wisconsin: As Described in Attached Addendum/Exhibit A 2016R-565211 PATRICIA A' OLSON BAYFIELD COUNTY, WI REGISTER OF DEEDS 09/14/2016 08:45AM IF EXENPT 0C RECORDING FEE: 30.00 TRANSFER FEE: 502.50 PAGES: 2 Parcel No. 04-026-2-46-05-14-2 03-000-20000 Return to: Matthew and Whitney Kurilla 29240 Kelly Road Mason, WI 54856 This is homestead property. File No. 105444 Together with all and singular the hereditaments and appurtenances thereunto belonging; And the said grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except exceptions, reservations, easements and restrictions of record, and will warrant and defend the same. Dated this 6 - day of Tanner N. Tryon ' $/ Oi A/2 State of Wisconsin )S.5. qrF �F W�gC' 9 Ashland County ) Q41 Personally came before me this 0 day of September, 2016, the above named Tanner N. Tryon to me known to be the person(s) who executed the foregoing in rum a knowledge the same. * ue Notary Public, State of Wisconsi This instrument drafted by: My Commission Expires: Michael S. Brandner Midwest Title Group LLC File Code: 29BayFA File Number: 105444 ADDENDUM/EXHIBIT A A parcel of land in the Southwest Quarter of the Northwest Quarter (SW¼ NW1/4), Section Fourteen (14), Township Forty-six (46) North, Range Five (5) West, Town of Kelly, Bayfield County, Wisconsin, described as follows: Commencing at the point of the Southeast corner of said SW /4 NW /4, which is the point of beginning, thence 660 feet North on the East line of said SW¼ NWT ; thence 375 feet West and parallel to the South line of said SW1/4 NW1/4; thence 660 feet South and parallel to the East line of said SW¼ NWT; thence 375 feet East on the South line of said SW¼ NW¼ to the point of beginning, LESS the highway right of way. GSF WI MOUND DESIGN PROGRAM RECEIVED MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan JUL 2 52022 General Hayfield Co. This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordfrr1r and Zoning Agency with its component manuals Eljen Mound Component manual August 2016 and SSW MP Publication 9.6(01/81)1 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. Scats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner 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 components) 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: Kurilla Mound Page 7 of 8 - e evi si oa - Ar h Phmthtr BAYFIELD COUNTY SANITARY PERMIT (#04)-22-105S STATE SANITARY PERMIT OWNER: MATTHEW J & WHITNEY R KURILLA GOV'T LOT: LOT: BLK: CSM: SUBDIVISION: SW1/4 NW1/4 SEC:14,T46N,R5W TOWNSHIP: Kelly SOIL TEST: 256-03 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. NEW SYSTEM PREVIOUS PERMIT #: SYSTEM TYPE: Mound ≥ 24 in. of suitable soil PLUMBER: Brown Plumbing LICENSE: # 664303 MCKENZIE SLACK Authorized Issuing Officer DATE: 8/31/2022 Condition: System to meet all setbacks. Management Plan to owner. All State Conditions to be met. Property maintain system per recorded agreement. THIS PERMIT EXPIRES 8/31/2024 S€4 j/4- 9O (1.�T��' POST IN PLAIN VIEW ; e q MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION BAYFIELD COUNTY SANITARY PERMIT (#04)-22-105S STATE SANITARY PERMIT - OWNER: MATTHEW J & WHITNEY R KURILLA GOV# j LOT: LOT: BLK: CSM: SUBDIVISION: SW 1/4 NW 1/4 SEC: 14, T 46 N, R 5 W TOWNSHIP: Kelly SOIL TEST: 256-03 NEW SYSTEM 145.135(2) WISCONSIN STATUTES a. Thppurpose of the sanitary permit is to allow installation of the .piivate 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 #: SYSTEM TYPE: Moun > 24 in. of suitable soil PLUMBER: Blakerpn Plbg & Htg, Inc. LICENSE: # 221123 MCKENZIE SLACK/ DATE: 8/31/2022 Authorized Issuing Officer Condition: System to meet all setbacks. Management Plan to owner. All State Conditions to be met. Property maintain system per recorded agreement. THIS PERMIT EXPIRES 8/31/2024 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION