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HomeMy WebLinkAbout26-19S5s-o� �9q os *ECEIVED E 4Maddiisoon,W1s 73 ards Way Barfield P S n P.O. Box 7302 Sanitary Perini' Number (m 6e 'MAR 16ZOi' Madison. VI 53707 p�(p- StateTraosactionNumbel 19aj BayfelcSanitary Permit Application SIT— 155821 In accordanddld rS'S•3g3.21(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 du the Department of Safety and Professional Services. Personal information you provide may be used for secondary same purposes in accordance with the Privacy Law, s. 15.0.1(1 Nm). Stars. Property thWer'S Name Parcel4 Steven Leafblad 4876 Co Hwv J Bayfield, WI 154814 1715-292-0040 11. Type of Building (check all that apply) Lot PI1 or 2 Family Dwelling - Number ofBahooms 5 Block A [}ublic/Commercial - Describe Use (State Owned — Describe Use ret. .,.__.— !Town of Bayfield DI. Type of PORTS Permit: (Check either"New" or `Replacement' and other applicable on line A. ('heck one box on line B. Complete line C it a l"cable. System [��—y-Lµc,�epIacement System Modification o S i- t ys Existing System ❑Additional Pretreatment Unit (explain) ' []ilolding Tank []ln-Gtound UAt-Grade �✓ Moond Individual Sim Design Other Type (expkin) (conventional) C. ❑ Renewal Before ❑Revision []('hange of Plumber ❑Irmsfer to New ovum .5, Previous Permit Number and Dam Issued Expiration IV. Dispersalireatment Area and Tank Information: Design Flow (go) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sl) Dispersal Area Proposed (so System Elevation 450 .7 642 1488 96' Capacity in Total #of Manufacturer Tank Infonmtion Gallons Callon Units V o v New Torts r3ssog Taria E e U in ri ss O C. Govt. Lot N�E(� %,.NW : sertipa 22 T50 Septic iHoldmgTmk x 1000 1 Weiser Concrete L±J 1i n° wg elma x 750 1 ✓ •I� I V. Respottsibffty Statement- I. the undersigned. assume respoudbility for instatlariou of the PORTS shows oa the atmeaed pbas. Plumber's Name (Prior) Plumber's Signature MP/MPRS Number Business Phone Number Edward B. Redinger ,1-���; 221939 715-292-6670 1015 11th Ave. E. Ashland, WI 54806 qq Approved O Disapproved Permit Fee Dam Issued mOL Jssp-ag A Si ❑ owner Given Reason for Denial 5O0 &k a�, /h/237/J / Conditions of Approval/Reasons for Disapproval O� .! �n'}�GL / / O n G�vGsc�rGat iL! r of �f7G'Cmri t>�4Te cae d• %vr 5 Attach to complete plans for the antra tad suhmtt to the Cesare nary tact paper w lea, dma a In sit tveaes Is sire SBD-6398 (R. 02)22) Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison. WI 53705 February 17, 2026 CUST ID NO.: 221939 EDWARD REDINGER 1015 11TH AVENUE EAST ASHLAND, WI 54806 RRECE0VED MAR 167026 Bayfield Co. Planning and Zan:ng Agency CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/17/2028 MUNICIPALITY: TOWN OF HAYFIELD HAYFIELD COUNTY SITE: LEAFBLAD,STEVE 34345 CO HWY J HAYFIELD, WI 54814 FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 24 inches Maintenance Required: Effluent Filter " Phone: 608-266-2112 R, Web: htto://dsos.wi.gov S Email: dsos(2wisconsin.gov P$ Tony Evers, Governor ,%.-_, k -I Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-022600170-C Application No.: DIS-022604711 Site ID No.: SIT -155821 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022-2027) • 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: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for POWTS (Version 2.1), (May 2022-2027)". • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/S l)". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a'/. -inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2Xd), 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 beyond 30 feet per SPS 382.30(1 1 )(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacturer's requirements. • Verify property line(s) prior to installation. The downslope basal area must be> 5 ft. from the property line. • Pump Floats to be set and verified per the approved plan. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Abandon Existing System per SPS 383.33 • Provide surface water diversion around the treatment tanks and mound dispersal component. Recore • The following must be completed in addition to any comments made from the County inspector: MAR 1 g 20zu a. Remove excess/overgrown vegetation from mound, mow and remove clippings. Piannin Bayfiein, '° gr g b. Pump out any standing wastewater through observation pipes. c. Permit dispersal area to dry out. d. Pump out septic and dose tanks. e. Remove and stockpile topsoil from the mound system. f. Remove cap soil and stockpile. g. Remove aggregate from absorption area(s) and dispose of in approved manner. It cannot be re -used. h. Remove distribution pipes and observation pipes. Dispose of properly. I. Remove end cap markers if present and dispose of properly. j. Remove clogged sand plus an additional 3 inches of clean sand and dispose of properly. This sand cannot be re -used. k. Sample remaining sand at several locations to assure it meets ASTM Specification C-33 for fine aggregate. If the sand does not meet ASTM Specification C-33 for fine aggregate, it must be removed down to the natural soil. Install replacement mound system using procedure outlined in the approved mound system component manual. • 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 planas 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, scats. 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 stars 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. "ii Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 Timothy Zoromski Division of Industry Services Phone: Email: timothy.zoromski a®wisconsin.gov ��C;�IVcQ MAR 16 2026 Plannin Bayfiejn Co _ an�� 'UI It'1 Wisconsin Department of Solely aril Professional Services u Divisional lndustlyServices SPS SOIL EVALUATION REPORT In nccordance with SPS 385, Wis. Adm. Code County Bayfteld Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include. but not limited to: vertical and horizontal reference point (BM). direction and percent slope, Parcel ID. scale or dimensions. north arrow, and location and distance to nearest road. 4876 Please print all information. Rovie nsrmal information you wovide may be used for secondary nurooses (Privacy Law. s. 15.04(1Km)). DEi. Page_of� L Property Owner Property Location LJ L1 Steven Leafblad Govt. Lot NE '. NW i s22 150 N R 4 E(or) W Property Owners Mailing Address Site Address or CSM and Lot If: 34345 Co Hwy J 715-292-0040 same City Stale Zip Code Phone Number I1 City O Village O Town Nearest Road Hayfield WI 54814 r Hayfield Co Hwy J O New Construction Use: O Residential( Nunmberof bedrooms 3 Code deriveddesignfowrate 450 GPD QReplacement ❑ Public or commercial - Describe: Flood Plan ulevation d applicable It. Parent malarial Sandy Lacustrine/outwash General comments and recommendations: Replace existing mound with new on 95' contour with .7 loading ❑Boring 97.5 28 95.2 1 I Boang a nopit Ground surface elev.-_11 Depth to limiting factor In. I elevh. —1 Snit Annl I'vwlinn Pnln Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cent. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt' •Ell"I 'EIIS2 1 0-6 5yr 312 - Is 0 ml cw 3f .7 1.6 2 6-28 5yr4/3 - s Osg ml gw 1vf .7 1.6 3 28-30 5yr 5/4 10%cobbles sc Om mvfi - - 0.0 0.0 2 Boling ❑Boring 4 ®Pit Ground surface elev. — — it. Depth to limiting factor in. I slay. ",1t. Sail Aonlicntion Rate Horizon DeA161unsell IOu. Redox Description Az. Coal. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rams GPDIFI! Eff#t 'EBa2 1 0 - Is 0 ml cw 3f .7 1.6 2 6- - s Osg ml w 1vf .7 1.6 3 24c2d 5yr 6/8 & 712 sc Om mvfi - - 0.0 0.0 CST Name (Please Print) Sir nahrre • CST Number Edward 8. Redinger T �---- 221939 Address Date Evaluation Conducted Telephone Number 1015 11th Ave. E. Ashland, WI 54806 11/14/24 715.2925670 Effluent ct = SOD > 30 5 220 mg'L and TSS > 305 150 mgfL ' Effluent #2 = SOD. s 30 mg/L and TSS S 30mgfL SBD-83301R04I2I ) � ❑ Boring n ,y gg q LJ S I Boring # ® Pit Ground surface elev.9G tt. DECDe'� 1 . lim I p factor 36 in. I elev. ft. II L' L I 83viie I Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftr Efl#1 Efl#2 1 0-6 5yr 3/2 Is 0 ml Cw 3co .7 1.6 2 6-36 5yr 4/3 - s 05g ml gw 2co .7 1.6 3 36-38 5yr 5/4 - sc Om mvfi - - 0.0 0.0 ❑ Boring # ❑Bodng ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. SoilADDI Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sr Sh. Consistence Boundary Roots GPD/Ftr •E##1 •Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in.! elev.ft. Snit Anniinnlinn Pete Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 Err#1 E##2 ' Effluent #1 = BOD > 30 S 220 mg1L and TSS > 30 5150 mg/I. ' Effluent #2 = SOD. £ 30 mg1L and 185 5 30 mg!L 3ysy� &, I Customer Name: Steven Leafblad Adress: 34345 Co Bavfield. WI 54841 P MBING MECHANICAL 56 Phone #: 715-292-0040 1 5)*r�� �� � ( A Email: CST# 22193y_� Scale: 1" _ PIN: 4876 5 Acres NE NW S22 TS0N R4W City of Bayfield (� Bayfield Co. kZ. —/OD' Mail ,'n 6"46ouc gfONnj TZeplace /✓laa,,.d oh 9S r SysA�m S/nA 96' Oot G - Sze a 6b. I'1[' U \\ UEC p�yfield Go. oning Dept PAGE 1 OF 6 Mound Plan Index & Cover Sheet Component Manual Design References: Mound Version 2.1 (May 2022-2027) & Pressure Distribution Version 2.1 (May 2022-2027) Pg 1 of 6 Pg2of6 Pg 3 of 6 Pg 4of6 Pg 5 of 6 Pg 6 of 6 Index & Cover Page Plot Plan Mound Cross -Section & Plan View Distribution Network Specification ECEIVED Pump Tank Specifications Management Plan MAR 16 21i? d Pump Curve POWTS Application for Review Soil Evaluation Report & Site MaD Project Name / Description 3 Bedroom mound with .7 Owner Name(s): Steven Leafblad Owner Address: 34345 Co Hwy J Baytield, WI Zip: 54814 Project Address: same Govt. Lot: NE 1/4 of NW Q 1/4. Section22 T50 N -R 4 E ❑ or W ❑✓ Township: Bayfield County: Bayfield Project Parcel ID #: 4876 Phone: 715 292 -0040 Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11th Ave. E. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone:715 292 _6670 Zip: 54806 Condirroa.,ny APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Signature: _.J,_, . Date: 1-' Onginal signature required on each Sub n ed copy. 3`I35`s Co A Customer Name: Steven Leafblad Adress: 34345 Co 8avfield. WI 54841 MECHANICAL / Phone#: 715-292-0040 (715) 7 CST# 22193,9_, Scale: 1" _ PIN: 4876 5 Acres NE NW 522 TSON R4W City of Bayfield Bayfield Co. 43M. =ivn ' u.=-1 av • d•..k 4boa'C r,>✓� J ti Email: 5t kc t/[✓. 96' 70' J 1n0d A...!) i [ie+ar e.- 4Orr r`rn, I q ra e c, to (( IIc.J . p40r.c1 J. 5a J L0ec -ro- . R' don is4; 1��. % '[-ask and ' Ne,.+ M0_ r.cl /i21)'X X'y' 9-)' a-� t�J 7Sa �y) 46 T.•k ys, ego r MoVN1b /) ( C RECEIVED IR 16 20'/6 Bay^r, //3' �e SINGLE -CELL MOUND DISPERSAL AREA 0.5' TO 2.5' WASHED AGGREGATE D = 1 ft (min. 6.0beneath distribution pipe - min.2.0' MIN. 6.0' OF TOPSOIL COVER over distribution pipe and covered with E = ft approved synthetic fabric) min. t .0 ft System Elevation = 96 ft .r. ATM SAND F Lateral Invert Elevation = 96.5 ft . , .. S C-33 N ILL min. 0.5 ft CROSS SECTN VIEW Plowed Surface : •/ / • // ��// /!:i . i/�/ ..•i j/ / Surface Contour 8 % Slope .__.. Elevation = 95 ft 20.4 It (Show force main, manifold, and flush valve locations on plan view.) PLAN VIEW (No Scale) 1-1/4 " O Schdl 40 PVC Lateral J = 5.5 ft 10 ft (typical)I (typtcal) --------•---- Pty ���r----------- ce' B = ft 1= 10.4 ft K= ft (typtcal) Bend as necessary to follow contour DOWNSLOPE TOE I.. L= 117.7 ft 1 Prohibit disturbance and vehicular traffic within 15 feet of downslope toe. I Reset Page j G) m GW O ii O) DISTRIBUTION NETWORK SPECIFICATIONS FLUSH VALVE DETAIL (No Scale) Orifice In ^ — Valve Box Center of Threaded Cap(insulation optional) for Head Testing (optional) \ I I Ball Valve ) � (optional) / \ (No Scale) Lateral Spacing s= 2.2 ft Shield orifices for gravelless applications (l�l' (dser pipes ;i- optional) ________'0 Schdi 40 PVC Manifold N Lateral Length (P) = 49.2 it 2 0 Schd140 PVC Force Maki (slope to pump tank � for drain -back) First Orifice (typical) Laterals to be level hdl40 PVC Lateral O = 1-1/4 in (typical) Number of Orifices per Lateral = 25 Orifices equally spaced: [check a) OR b) below) \_ a) El along bottom of lateral Flush Valve Orifices equally spaced I�1 along bottom of lateral b) _y J„ along top of lateral Assembly +,0 with every — lh hole (typical - see decal) facing down last Orifice (typical) Orifice Spacing (X) = 24 in LATERAL INVERT ELEVATION = 96.5 it (t ff I) (typical) OBSERVATION PIPE DETAIL (No Scale) Screw -Type or *,� . - Slip Cap (loose) + Fkdshed Grade (mulched & seeded) CO PVC Pipe Topsoil Cover Top of pipe to terminate (min. 1 foot) at or above finished grade (4) 1/4'17 X 6Slots ©go apart Anchoring Device - Initiation Surface Orifice Diameter = 5/32 in Orifice Discharge Rate = .053 gpm Number of Laterals = 4 Lateral Discharge Rate = 13.46 gpm TOTAL DISCHARGE RATE = 53.8 GPM (typical) First Orifice (typical) v_ ENDMANIFFLD (typical) ❑ CONNi`OTIeN Check Manifold applicable box. lam, (deer pipe optional) _ o First Orifice .�_ (typical) u I-- x--I----X/2 X/2--}-- X � m (typical) (typical) 0 O Manifold a CENTER MANIFOLD ii (dser pipeoptlonall CONNECTION C) PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 40 Vwil Plpc > 10ft from Building E1eUriral must comply whn 12"Min. or 2.0eaisn.. SPS 316 and NEC 300 Estaolphed Flood EJevado,. Enerd ^trcus le riser as necessary. (typical; weatherup t Appoved :urclion eat Vent Cap Approved Loocfui Manhole IMPORTANT: w4In Warning Label awned Mpical) Anchor tank(s) as necessary Cord pursuant to SPS 383.43(9)(8) 4Mk,. or z.o s above 1 I I T/ EstabfisneQry )Elavalm Finished Grade CAPACITIES @ 20.28 gaUn I 7 e Depth (in) Volume (gal) A 21.5 437 B 2.0 40.5 [C] 4 81 D 10 202 * Pump Tank Liquid Level = 36 in Force Main Diameter = 2 in Force Main Length = 40 ft Force Main Void Volume = 6.5 gal A"ghl Seal Or Dkcmned t fs' tan. [typidl * T Weep Approved Joints v4th I Mole Approved Pipe 3 0 onto A Sru old Gmd (tyr>iraB Alain+ 6 —on lci PUMP -OFF I Pimp '_rn ELEVATION = 92.3 ft D connate INSIDE BOTTOM Bereatn Tank ELEVATION = 91.5sj ft 3' Appoved Beddrg Material [C] Total Dose Volume (TDV) = 81 galldose L(5X total lateral void volume < TDV s 02X design lbw) + (force main drainback volume) MIN. PUMP DISCHARGE RATE = 54 gpm PUMP TANK: Volume = 750 gal Manufacturer. Wieser Concrete Pump Manufacturer. Goulds Pump Model: EP0511F 120-v ($ee a1NUred pomp ryrvE.j Controls/Alarm Manufacturer. SJ Electro Controls/Alarm Model: PS Patrol Float switches containing mercury are prohibited. Vertical Head =eft + Mn. Supply Head = _________ft + FM Friction Loss = 2.3 ft + FlttIng Loss' = 1 ft '(om. suipply head x 0.3) = TOTAL DYNAMIC HEAD = 10.9 ft SEPTIC TANK(S): Del Zollo Total Volume = Existing gal San. permit 45662. ton per e verified. Manufacturer(s): unknown Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet Filter Manufacturer. Sim tech Filter Model: STF - 100-A2 EC&ACE6OF6 Mound Management Plan MAR 7 6 2OZ6 IMPORTANT: Bayfe!.: Plar.nin., The owner of this mound system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BOD, ≤ 220 mgL'': TSS ≤ 150 mgL''; FOG £ 30 mgL" Inspection Checklist INSPECT EVERY 3 YEARS type of use age of system nuisance factors (i.e. odors, user complaints, etc.) mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) material fatigue (i.e., leaks, breaks, corrosion, etc.) solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e.. distribution / drop boxes) neglect or improper use (i.e.. exceeding design capacities, prohibited activities, etc.) extent of ponding in distribution cell prior to dosing dosing irregularities (i.e., pump re -cycling, float switch settings, etc.) electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Scats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113. Wisc. Admin. Code. Effluent filterfs) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. Distribution laterals shall be flushed once every 3 years or when necessary System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Superior Plumbing & Mech. Inc. Phone: 715-292-6670 Local government unit Bayfield Co Zoning Phone: 715-372-6138 Local government unit address: 117 5ht St. E. Washburn, WI ZIP: 54891 Any detective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1). Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re -constructed within the originally approved area after removal of all failed components. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. WLP750-MR TANK SPECIFICATIONS 4' CAST -A -SEAL DIMENSIONS: WALL: 2 1/2" BOTTOM: 3' COVER: 4" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4' O.D. OUTSIDE DIAMETER: 84" 0.0. BELOW INLET: 42" O.D. LIQUID LEVEU 37' WEIGHT: 6,150 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: ACTUAL CAPACITY: 790 GALLONS OUTLET HOLE PLUGGED LOADING DESIGN; 8' 0' UNSATURATED SOIL MN TANKS: WLL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET OPTIONAL FLAT COVER TANK CAN BE USED AS IS AVAILABLE FOR EXCHANGE SEPTIC/ HOLDING/ PUMP OR SIPHON FOR DOME COVER. COVER: MIX DESIGN #8 �uo FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) INLET - OUTLET CUSTOMIZED TANKS: �^ N FOR CUSTOM TANKS CONTACT WESER CONCRETE M U "' °� a • v rr JOB INFORMATION: Mi PUMP PAD a o RI CUSTOMER: C)) JOB NAME: SIDE VIEW o N N rlU DATE NEEDED: C' C? APPROVED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS APPROVAL DATE: 0 x D Wastewater MAR 152076 Bayfior+ Cc METERS FEET Planning 10 9 30 1� 5GPM B 2S FT 25 2 V 6 20 Z 5 � 15 4 EPOS O 3 10 EP 04 2 s ° 0 10 20 30 40 50 GPM I I I 0 2 2 6 8 10 12 m'/I7 CAPACITY MODEL INFORMATION O�Os.,IW You As Amps Minimum Float Circuit Phase Switch Card Drsdrsge Minimum Minimuw Minimum: Maximum Shipping Basin Solids WeigM Number LagS f onnecliort On Level Off Level S esker . Style Diameter Size lbs.kg EP0411 10 Manual Manual 20/91 [P041 IA No Swath Piggybackf Wde-Angle 10' 12' 6' ' 21/9.5 115 12 20 Plug / No Switch 20' Manual I Manual 20/9.1 EP0411F 4 IEP0411AC 1 Wide -Angle 2O 12' 12" 6' 15' G' 21/9.5 E P0412 Plug I 10 ' Manual Manual 20/9.1 No -- 230 6 10 EP0412F Pluy/ No Switch 20 Manual Manual 20/9.1 EP0S11F 115 13 20 No Snch Manual Manual 22 / 10 E10511AC 5 WPigdye ogle 20 12' 6' 23/10.4 230 65 10 No Switch 20 ' Manual Manual 22/10 EP0SI2F PAGE J FILTER BODY 3. 23,82 17.61 1/4" NPT FOR PRESSURE ALARM SWITCH (STF-101) 3 �T N d C) —T- r 07 FILTER SCREEN: PERFORATED METAL 22 GA. STAINLESS STEEL TYPE 347 WITH 0.062 HOLES The newly enhanced PS Patrol' system features all the same functions you have come to expect, plus so much more over other traditional pedestal -style alarms. The PS Patrolfeatures a built-in high water alarm and provides a convenient location to connect all wiring required for a pumping station application. It employs a receptacle for easy connection of a 120V pump and piggy -back pump switch. The sleek, angled design of the clear enclosure includes a removable cover for easy access for field wiring and viewing components. All internal components are sealed within the cover for protection from the elements. The red LEDs illuminate the top of the cover in an alarm condition for easy 360' visual identification. Available with or without 32" mounting post. FEATURES Enclosure meets Type 3R water -tight standards Innovative design allows alarm to accept a 5' square plastic post or 4- pipe/conduit for mounting • Automatic alarm reset and green power on indicator Flush mount horn silence/alarm test switch Auxiliary alarm contacts included for easy attachment of remote devices Includes cord seal for sealing switch and pump cables Electrical potting cavity to provide easy, reliable method to seal power cables (electrical duct seal not included) Options include various switch cord lengths, riser assembly adapter, dual alarm, and elapsed time meter PART # DESCRIPTION 1022728 PSP2 12W no pump switch, with post 1019021 PSP2 120V, no pump switch, 20A breaker, with post 1022575 PSP2 120V. ETM, with post 1022577 PSP2 120V, DUO alarm, ETM, with post 1037095 PSP2 120V, Wisconsin, assembly kit (2.5 inch) 1067640 PSP2 120V, Wisconsin, assembly kit (2.0 inch) 1018434 PSP2 12W, TAAB indoor alarm, with post 1011551 Assembly Kit (riser extension coupling and washers) tiro `..<E{stn E::;R MAR 16 Z0Z6 SJE RHOMBUS. 0. U.S Patent No. 9472,932 and D780,703 Itemorffile corer Inconwg Alarm Power Incoming PUmP Power Pump Plug ,_ Pump Float Plug PSP Cord Receptacle Assembly Ka M Doay3 Private Sewage System Maintenance Agreement DOCUMENT NUMBER 2026R-61 1 438 Owner(s) Name A7 teu �'CC(�� IGQ& DANIEL J. HEFFNER Owner(s) Mahlg Address REGISTER OF DEEDS 3 J % ` (� CoLI M� /�� BAYFIELD COUNTY, WI Site Address RECORDED 03/16/2026 AT 1:07 PM RECORDING FEE: $30.00 Tax ID # / 1 ^ '" / PAGES: 2 As owner, I (we) 'do hereby certify the private sewage system will be installed in accordance with the 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 listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) A)1" 1/4 of A1kJ1/4 Section 22 Township •5(i N. Range 04 W Additional Legal Descriptii/on: ?A 2 lit) t✓Y7_ Z FE A) u I11y3 Town of (Acreage) /S Gov't Lot Lot_ Block Subdivision eQ 'aMC k't'ed Lot CSM # _ Vol. _ Page__ CSM Doc # ❑ In -ground gravity IJ Mound Return To: Planning and Zoning Department ❑ In -ground dosed ❑ In -ground pressure ❑ At -grade Sewage System ❑ Other Area 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 8, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator. POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds Atarade 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 Bayfleld 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 shaft 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. r '144 �1it of all current and future owners of suchproperty. The terms and conditions of the agreement shall be binding upon a F�•' p S ......... i Owner(s) Name(s)l/l—JJ Please Print II k41" Subsc� sworn tobeeforree me on this date: AbtQ /y,_ r'� �(� SteVei1 �T�'l\�� Notarized Owner(s)— Signature(s) - r/1l ' ion,Expires: lllt�� e� Drafted by: <IG✓cc, /S/cDate: Proofed by: State Bar of Wisconsin Form 2-2003 WARRANTY DEED Doornail Number I Documcni Name THIS DEED, made between ELIZABETH A. TRENDEL ("Grantor," whether one or more), and STEVENS. LEAFBLAD and LUANN L. LEAFBLAD, husband and wife, as survivorship marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Hayfield County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): The West Half of the Northeast Quarter of the Northwest Quarter (W 'h NE' '4 NW '/.) lying north of County Highway!, Me Tumquist Road, Section Twenty-two (22), Township Fifty (50) North, Range Four (4) West,-7or.Jn of yield $ayeelct Codes+, u)ltcensin. Exceptions to warranties: Easements, restrictions and reservations of record. Dated a 2/2 Th /2007 PATRICIA A OLSON HAYFIELD COUNTY WI REGISTER OF DEkDS 2007 R —S 1 2646 03/09/2007 11:10:01AN IF EXEWI I: co10IN0 FEE: 11.08 TISI9 EE FEE: 81.00 PAGES: 1 Recording Airs name anti M1emm nvvlvs5 -ay-&Id ; ,9l$lyt 0061050--06 Parcel Idcntification Number (PIN) This is not homestead property. fiN fu not) RECt%VELD • (SEAL) L 2%6CEn t/' - W ` "Elizabe A. Trendel (SEAL) • AUTHENTICAT1t9 65 P7 69 ACKNOWLEDGMENT Signature(s) Y STATE OF FLORIDA authenticated on ) or C U COUNTY ) _ • Personally came before me on . 2J 2007 TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Elizabeth A. Trendel (If not, authorized by Wis. Smt. § 706.06) to me known to be the person(s) who executed the forego ."A a.m. THIS INSTRUMENT DRAFTED BY: {' William D. Busses, Attorney at Law Notary Public, State of Florida P.O. Box 1316, Hayfield, WI 54814 My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged. Boils art not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CL'. WARRANTY DEED O 2003 STATE BAR OF WISCONSIN • Type name below,igvmurcs. MAR 17 2026 Hayfield Co. planning aid Zoning Agency P VFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Submission Number: LEAFBLAD, STEVEN E SS -00499 34345 S CO HWY J BAYFIELD, WI 54814 Transaction Number: SS -00499-42319 Description Amount State Approved Plans (Mounds, Systems Requiring $500.00 Pre -Treatment, etc.) Total: $500.00 Payment Amount: $500.00 Reference: 10662 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806 Payment Type: Check Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-19S STATE SANITARY PERMIT OWNER: STEVEN E LEAFBLAD GOVT LOT: LOT: BLK: NE 1/4 NW 1/4 SEC: 22,T50N,R4W TOWNSHIP: Bayfield SOIL TEST: 185-24 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: EDWARD REDINGER TRACY POOLER DATE: 3/24/2026 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: # 221939 Condition: Inspection and documentation of "recore" state conditions. Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 3/24/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION