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Request for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoning(&bavfieldcounty.wi.00v Note fl Time Change fl Discrepancy fl Other r� 7` Phone Number Plumber: Fax Number Homeowner: ,lv Sct k lJ-u Email Address eU, q!' rS Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: Plumber's Choice Ing Dept Date: 4 .$ tt� � No Inspection(s) during this time Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice ing Dept Time: �c$j Township: 'MU,S� Address #& & Road Name: us ' ct&� ( V� a �j�j5 (YIDi o VJ 1 or Directions To Site: Comments: c 1 y`Sfl p a L ** Plumbers you must verify any change(s) by fax or email ** Notes from July 2025 Private Onsite Wastewater Treatment gFs�g Svgtn s ( POWTS). Inspection Report (Attach to Permit) Gi WHITE RIVER AG PRODUCTS Pe 28190 STATE HWY 137 purposes[Privacy Law. s. 15.04 (1 (m)] Pe ASHLAND W1 54806 I LICity Village p Town ofi Pete. County e ( q Sanitary ermlt No: State Plan'Transaction ID#: Parcel Tax No: IaIIfl v���MANUFACTURER CAPACITY Pro2, Lie I Well Building Air Intake Road VIr. c,,Cfrt 3ovO 50 N/A XHoldin N/A N/A Pump I Siphon Information Pump Man cturer• I Demand GPMTGH Hit filan r err Head — Total Force Le Dist To Well e - Pretreatment Unit Manufacturer: Model Number tlevatton uaia STATION 881 HI FS ELEV Benchmark o o 2 ,icn Bldg. Sewer Tank Inlet Tank Outlet /D6 ose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface f y Final Grade a - stribution System X Pressure Systems Only -leader I Mfold / Distribution Pipe(s) X Hole Size X Hole Observation Pipes .ength Dia L/ Length Dia Spac Spacing ❑ Yes 0 No ;OMMENTS: (Include code discrepancies, persons present etc.) fl� CLoe, 40 t1 S A'M Cr Iu l ll S1' y r 1 c'�fl an r(vision required? Yes ❑ No 2-a;e other side 1Q addltlonalinformation. is ru,• asoil ❑ Yes ❑ No D Yes ❑ No Rev f.6 j SJ��a,,.11OZ —2. Ikt/tV) AVell dt#t✓ie 1 -^----rte Elegy}.ice loc.Ere-Md.,et F""' / f Data POWTS Inspector's Signature License Number oannari!R ng6ii Pt" r 14e — IIjtij. ,n/01^7 l� BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT a: Property Owner Information Telephone: (715) 373.6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoninana bavfieldcountv.orp 117 East Fifth Street Web Site: www.bayfieldcounty.org/147 Washburn, WI 54891 WHITE RIVER AC PRODUCTS 28190 STATE H WY 137 ASHLAND WI 54806 As you know ✓�t,J 0 P4 k 6 `A`l was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septiesearch.com Notes: Abandonment of Old System to meet all applicable code requirements: 1 Tank was pumped by: Tank was crushed / removed and pipes disconnected by: on at AM/PM On 22 at (AM I ) the above -mentioned plumber contacted our office to conduct a pre cove inspectionaired un er 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. LISystem could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. LISystem could not be inspected because County could not respond to plumber's time constraints. Comments: U/forms/sanitarypropertyowneFlnput April 2019 Industry Services Division County LG ' 4822 Madison Yards Way T)L.I 3 ' • ' G Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) gI Box 7302 S S V0 Madison, WY 5302 j7 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 I — O o' (o 0 is required prior to obtaining a sanitary permit. Note: Application fonds 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 h.t(qrsecjclaiy s purposes in accordance with the Privacy Law, s.15.04(1Xm), Stats. j ( br S teO5 i'w-'S' I Application Inforthatlon —Please Print All Infdrtnatfon Property Owner's Name JUN 222026 malt Property Owner's Mailing Address Baytield Co. Property Location Planning and :'vf,tr Agency 3 S 3S /.),e Z#Govt. Lot City, State Zip Code Phone Number 5� ?94 -7 tS= 2,1- Z/SZ !,--¼, Section IMType of-fttldt g (cheek an thatapply) Lott/ T N R E O 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name � f Black # Public/Comma�cial — Descr'beUse/�✓ O Cityof D State Owned— Descrbe Use CSM Number O Village of RKown of I �,//y M. Type of POWTS:PetrrDltr (Cbteck.efther "New" or "Replacement" and other applicable an line A. Check omeboa on Uue Conipleteiiae C ii llcabie. A. New System ❑ Replacement Y eP System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. . ❑ Holding Tank In -Ground ❑ At -Grade ❑ Mound 0 Individual Site Design ❑ Othar (p) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dis _ersalrrreatment Area.and Tank Informations Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (at) Dispersal Area Proposed (sf) System Elevation /.S,Sz Capacity in Total # of Manufacturer Tank Information Gallons New Tanks Existing Tanks Gallons Units A ca c A >r• Septic or Holding Tank ca o �rJa d i `— Dosing Chamber fC 70 ,*f o / es� .iet — V. Responsibility Statement- I, the undersigned, assume respo thy for Installation of the POWTS 'shown 'on the attached plans. Plumber's Name (Print) Plumbe ' MP/MPRS Number Business Phone Number G l 3 7fs2a 9 Plumber's Xddress (Street, City, State, Zip Code) r Sa•►t iri rr /�. • 4L '( s vfdd VI. County/Department Use Only Approved O Disapproved Permit Fee I $ 4O— Date %l1.J'/O®5 Issued lssuin en D Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval _ . Q Attach to complete plans for the system and submit to the County only on paper not less than 8112 x 11 inches in size SBD-6398 (R. 02/22) W yin Depa ment of Safety and Professional Services Div'sion of Industry Services 4822 Madison Yards Way Madison, WI 53705 June 17, 2026 CUST ID NO.: 664303 ANTHONY PATRICK BROWN 315 SANBORN AVE ASHLAND, WI 54806 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES:6/17/28 MUNICIPALITY: TOWN OF KELLY BAYFIELD COUNTY SITE: WHITE RIVER AG- RV PARK 58765 YDERSTAD RD MASON, WI 54856 SEC. 32 TOWN 46 N RANGE 05 W FOR: Design Wastewater Flow Value: 2500 Limiting Factor(s): 120" Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: http:/Idsps.wi.gov Email: dspsln?wisconsin.i ov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-062601189-C Application No.: DIS-0626253 j7 Site ID No.: SIT -161036 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES CEWE b JUN 222026 Baylieli Co. SEE CORRESPONDENCE Planning and Zoning Agency In -Ground Soil Absorption Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. 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 approvedplans 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 10 1.12(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, Joshua Rowley POWTS Product Reviewer POWTS Plan Reviewer Division of Industry Services Fee Required: $800.00 Fee Received: $800.00 Balance Due: $0.00 Refund Expected: $ 0.00 JUN 222026 Co. �'�nn1n() E346e!d anc! Z c: ring A0ency, 1 k Campground will have 46 sites x 30 gallons per site. Estimated flow of 1,380 gpdx1.5= Design flow of 2,070. There will be a shower house that serves the same sewered campsites. The design adds an additional 430 gallons per day of design flow to add additional safety for the system. The shower house will not have laundry service. With an estimated flow of 286 gallons, the shower house can accommodate 143 minutes of shower usage at 2 gpm, which equals 28 5 minute showers. Again, this is in addition to the design flow of each site which would already have water accommodations for showers. Total design flow for campground and shower house is 2,500 gpd. There will be 23 sites attached to each 3000 gallon septic tank. Each 3000 gallon tank will gravity flow to the dose tank. The shower house will have -a 2 compartment tank that will dose to the 2100 gallon dose tank. The dose will be 86 gallons. The pump will be a Goulds EP05 with a 2" force main. The force main will not drain back. Time dose settings for the system will be 1,667 gallons total per day divided by 2 systems. Each system will get a total dose of 833 gallons per day..Atthe proposed elevations the pumps will flow at 75 gallons per minute. Drain back is 7.8 gallons. Each pump will run for 2.32 minutes and be off for 141.68 minutes, creating a 144 minute pump cycle, *10 total cycles per day, 5 per cell. System installation depth can range from 92.5'-95.2'to the bottom of the Eljen unit provided the system surface elevation does not drop below 97.5. TDH may change based on fine[ tank and system elevation. There is 7' of leeway In TDH with the selected pump. Time dose rate will need to be verified once final tank and system elevations are established. JUN 222026 Plannirn� S3yh !a Co. J and Z-Gnlnri Agency I S•-- 004qr]SOIL TEST ;Y �, Wiscans ya tonal Services Page of c DMslondf1i1dtddrjrSrvicer k=r SOIL EVALUATION JUN 22 2026 REPORT •s ray In accordance with SPS 385, Ms. Adm. Code •County Baylteid Attach complete site plaatr��p,',,ppa n 81/2x 11 Inches in size. Plan must Include, but not limited to: verti ai'5ffi'tlfi �I h%�int (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road 1533 Please print all information. Reviews jJ � Personal Information you provide may be used for secondary purposes Privacy Low, a. 15.04(1)(m)).QiJ IN (P Z Z,( roperty Owner Property Location ❑ ❑ :J1ThIle River Ag Products Inc Govt. Lot NElls NE Y S32 T46 N RSW E (or) W Property Owner's Mailing Address _ Site Address or CSM and Lai #: t8355 Nelson Road 158785 Yderstad Rd City State Zip Code Phone Number ❑City 0 Village 12 Town Nearest Road Mason Wl .54856 I_L ( ) Kelly Ydendad Now Construction Use: ResidentialINumberofbedrooms Code derived designflow rate 1ATL_GPD — „I Replacement rt Public or commercial -Describe: _Campground Flood Plan elevation If applicable_ _ _,__f. Parent material Glacial OubeJ _ �nerat comments and reconftrrbndations: Site had over 3' of snow, but no frost.. Snow was removed with bulldozer. BM is Lathe with orange ribbon on East side of 131 adjacent to last tree In fence row. t` Boring I_/7 Boring # X'Pit Ground surface elev. 510' ft. Qtif Depth to limiting factorJ2Q in. I elev�,89,5 8, _ — lfSo Apprkation Rate Horizon Depthj Dominant Color Redox Description Texture Stnictura Consistence Boundary Roots GPD/F!P In. Mansell Qu. Az. Cont. Color Gr. Sz. Sh. 4 YR2,512 ORIC3IlVAL 11-46 YR3/3 -_ __ . � •�� �r3 S .�.. I.O� Boring # DBorlrrg l 1 ( ft Ground surface elev. 5'Z a' it. fi5 Depth to limiting factor _In. I etev _87.59 ft. _ _ V Soil Appi{catton Rate Horizon i Depth : Dominant Color Redox Description Texture Structure . Consistence Boundary Roots GPD1Ft2 In. ( Munsell jQu. Az. Cont. Color Gr. SzSh.- - w "Ef#1 f*Eft#2 1 l -S SYR2.S/2 l.FSJOSG______________!'lL k ;W ti!1 S 1.0 . 0 � 1YR3/hso-�s - - - 10.4$ Y3/4------ t S USCi JX41.. _ -�.'s �f l A s 1.0 ttilL _________ _ _ _ '1.0 CST Name (Please Print) SI' n ' are CST Number I Kryabet Hagstront 3P-03180007 Address Date ilia on ndueted ��� Telephone Number 14840 FR 420A _________J3'24/2023 3!2412023 715.085-4410 __- - -- * Effluent #1 C BOD ' 3D s 220 mg/L and TSS 30 z 150 mg/L * Effluent #2, BOD, s 30 mgIL and TSS s 30 mg/L SBD-8330 (804/21) 1� J 1 ,��, Page_o1, ot_._. (] Boring Boring # [ Pit Ground surface elev. 84_ft. a ` Depth to limiting factor M tn. l elov.85.75,__tt. Soli A plicatlon Rate Horizon Depth DomIna nt Color Reflex Description Texture Structure Consistence Boundary Roots _ GPDIFtz [n. Mansell _ Qu. Ax. Cont. Color Gr. Sz. Sh. 't2 E...._.. �" S-ZG YRY3 I'S SC1 ij+lL 8 `3 S 1.8 { QBoring # ❑ Boring O Pit Ground surface efev._ft. Depth to limiting factor __ Jn. /elev. ft. iiiL!iiii 1 Boring # ❑ Baring L._J O PR Ground surface elev._R. Depth to limiting factorJn.1 elev.,_ _ft. IT e Effluent #1 = B0D > 30 s 220 mg/L and TSS > 30 s 160 mg/L t Effluent #2 = BOD, s 30 mg/L and TSS 3D mg/L CHECK BDXASAPPUCAMS. CHBaKS0XA9 APtat AAAtE SOIL EVALUATION. Scale: � El" o� x SYSTEM PAGE 2 OF SITE M� ❑ PLOT PLAN PROJECT NAME; DE$IG tFt,.ow: 2500 GPD dt/h:a Rwar A Arcdlucf! Attad� design flaw catcultttians taroommetrlel ptatts. PROMTAOBRts ?%S YJtars R4 , l� ti;a : Pipe Material! ASTM Standard (table838&&&384.30.5) BM 8 mthca BM 1SSvaBan iQ• V 8an�eiy Scwe SCU 4/6 -��G BM Decrtption: Q OVA ! $EI P AK A4 " �' FC= MaW: _ c#4 /^^ 1 TT Btapa (3tslen (%) , krdioa�e noeth 4Y of reaeakea: "� a Wertsymed (treAPEteebte� p an nA prMft Show ground etewdon canioim at sellable intervals. __ pprop�ttot�a, Yderstad Road Showerhouse Tani Forcemain r 5V`n lU f DECEIVED JUN 2 2 2026 Cayfield Co. Planning and Zoning Agency Sewer and water iin$s to be approved by general plumbing ti All piping to comply with SPS 382-304 Cleanouts as required In Ground El'ena dG 2 Cells 10x125 3,000 allon se tic tanks $ p 'j3 Tank locations are approximate and may change. (66430.3 . gfl5- k .0 - CHECK BOX AS APPLICABLE CHECK BOX AS APFLJCAII.E. SOIL EVALUATION Scale: 1° -- g.� D a EISYSTEM PAGE 2 OF SITE MAP PLOT PLAN PROJECT NAME: GPD (15 ft grid) r2 DESIGN FLOW: !�✓�1 RidQ . �'r,ucfuc4s Attach design flow calculations for commercial plane. [PRIJECTADDRESS: �� b i0l�c.�,4 ;:a a� . t : Pipe Material I ASTM Standard (Tables 384.30-3 $ 384.30-5) Sy!�•Sanitarysewer,mbol: BM Elevation: r.te FT OVA► . ttd c' ' 1 —Rar. l�+b6 0tJForce Main; Description:0 mbolfleabie tndlaate north by 1 POppsa Gradferrt(�Yo� Well Sya : RTested q ; d (I'f AP ) (0 drawlrta an enaw Show ground elevation contours at Suita ble Intervals. on the approprite Ono. Ydrc4ad c®a1 r...wr..«.......r...........-..�.�,..,rt�..,..:r,�,�.a..� ��.an.�.rn-wwwM..�axww s'wWMFwN...w«�w.v....uro--r:xAu.�.•...-..•ew.wtr�+r�....wtao-e�.b.M I All bacl A �n � x Ito '. ba. ra,M-Ytrsd Walla ^r) •$f4i.. N InJ' 4 ��1 J kit .� "�... , ■� / it CL VED °N 222026 Dayfieid Co. Plannnin`r slid Zoning Agency Map Unit Description: Neconish loamy fine sand, 0 to 3 percent slopes—Bayfield County, Wisconsin Bayfisld County, Wisconsin 539A---Neconish loamy fine sand, 0 to 3 percent slopes Map Unit Setting National map unit symbol: gk9n Elevation: 700 to 1,100 feet Mean annual precipitation: 29 to 33 Inches Mean annual air temperature: 39 to 45 degrees F Frost -free period: 90 to 120 days Farmland classification: Not prime farmland Map Unit Composition Neconish and similar soils: 80 percent Minor components: 20 percent Estimates are based on observations, the mapunit. Description of Neconish descriptions, and transects of Setting Landfonn: Outwash plains, stream terraces, lake plains, outwash fans Landforrn position (two-dimenslonalQ: Footslope Down -slope shape: Linear Across -slope shape: Concave Parent material: Sandy outwash Typical profile Os -0 to 1 Inches: highly decomposed plant material E -1 to 4 Inches: loamy fine sand Bs -4 to 30 inches: fine sand BC -30 to 36 Inches: fine sand JUN 2 C -36 to 60 Inches: fine sand Bayfieij co. Properties and qualities Planning and Zoning Agency Slope: 0 to 3 percent Depth to restrictive feature: More than 80 inches Drainage class: Moderately well drained Runoff class: Negligible Capacity of the most limiting layer to transmit water (Ksat): High to very high (6.00 to 19.99 In/hr) Depth to wafer table. About 24 Inches Frequency of flooding: None Frequency ofponding: None Available water supply, 0 to 60 Inches: Low (about 4.8 inches) interpretive groups Land capability classification (irrigated): None specified Land capability classification (noninigated): 3s Hydrologic Soil Group: A Ecological site: R092XY013Wi - Sandy Uplands l Urt Natural Resources Web Sail Survey 3/223/2023 Conservation Service National Cooperative Soil Survey Page 1 of 2 Map Unit Descrlpt on: Neconish loamy fine sand, 0 to 3 percent slopes—Baytield County. Wisconsin Forage suitability group: Low AWC, adequately drained (GO92XY002WI) Other vegetative classification: Low AWC, adequately drained (G092XY002WI) Hydric soil rating: No Minor Components Rousseau Percent of map unit: 10 percent Ecological site: F093BY007MI - Sandy Uplands Hydrtc soil rating: No Walnola Percent of map unit: 5 percent Ecological site: F093BY005MI - Moist Lowlands Hydric soil rating: No Annalake Percent of map unit: 3 percent Ecological site: F093BY009MI - Alfic Loamy Uplands Hydric soil rating: No Cublake Percent of map unit: 2 percent Ecological site: R092XYO1 WI - Sandy Uplands Hydric soil rating: No Data Source Information Soil Survey Area: Sayfield County, Wisconsin Survey Area Data: Version 24, Sep 6, 2022 JUN 22 2026 Planning and Zoning 9 Agency rjSni Natural Resources Web Soil Survey 3!2312023 Conservation Service National Cooperative Soil Survey Page 2 art Bayfield County, WI 3/23!2023, 3:14:50 PM MeanderUnes Q Municipal Boundary nuking Footprint2009-2015 Approximate Parcel Boundary All Roads Exisling Section Ones ` Town Driveways " Buildings JUN 222026 yfield Co. Planning and Zoning Agency 11, 1:783 0 0.01 0.01 0.03 ml 0 0.01 Ti 0.03 OAS km saysw aoydeld Cain, land Rd, Cops, ,, l ht�pSflmaP+.b3/IbldwuiywAlpMaayrig3ygg� Project Name: Owner's Name: Owner's Address: GSF WI IN -GROUND DESIGN PROGRAM INDEX AND TITLE PAGE 58765 Yderstad Rd Campground Conditionally RPPROVC White River Ag Products DEPT. OF SAFETY AND PROFESSIONAL SERVICES vruers 38355 Nelson Road 9 d 4 )t4# Mason, WI 54856SEE SRREBflBEN8E Site -58765 Yderstad Rd Legal Description: SI/2 SE NE NE In DOC 2022R-596946 Township: Kelly County: Bayfield Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry JUN 2 2 2126 Page 3 GSF system views Page 4 Lateral and dose tank bay„tip co Page 5 Distribution media Zcn;nr Agency Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Tank Pages Designer. License Number: e # 64 3 Date: 6/12/ Phone Number: ?f�g Z.q)Zq Designed Pursuant to the GSF In -Ground Component Manual (N. 11/19), and SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS (01/81) GSF In -Ground Version 3.1 Page 1 of 8 System A & B 2500 GSF WI IN -GROUND DESIGN PROGRAM Duplex pumps, each pump will feed one GPD total flow DATAENTRY of these 10x125 in ground systems Site Information C Residential or Commercial Design Number of Bedrooms (optional) 1250 Design Flow (gpd) j 87.5 OrigInal Grade 1.0 In -Situ Soil Application Rate (gpolft2) EFF #2 Trench Information B43 lUnft Used 10 Call Width (ft)3,4, 5, 8, 8, 9 or 10 I 125 J= Length (it) Additional Units per Row or Trench Are the laterals the highest point in the distribution Imo. T network? Enter Y or N to Gravity), or Gravity (No Pump) if N above, enter the elevation ft of the highest point. 10.42 fl!orifice Does the forcemaIn drain back? 7.80 Forcemafn Drainback (gal) 110.98 5x Vold Volume (gal) 118.77 Minimum Dose.Volume (gal) 64.62 System Demand (gpm) Pressure Distribution Information C Center, End, No Manifold (Pump 5 Lateral Spacing 4 Number of Laterals 0.156 Orifice Diameter (In) (e.g. 0.25) 1 Estimated Orifice Spacing (ft) 1.5 Forcemafn Diameter (in) 85 Forcemaln Length (ft) 80 Inside Pump Tank Elevation (it) 4.55 System Head (ft) x 1.3 5.50 Vertical Lift (ft) 27.62 Friction Loss (ft) Add`i Fitting Friction Loss (ft) 37.67 Total Dynamic Head (ft) Lateral Diameter Selection In. diem, options choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x !2!! c Tank Information 3000lSeptic Tank Capacity )Superior Precast !Mfg. Manufacturer Dose Tank Information 2100 Dose Tank Capacity (gal) 46.8 Dose Tank Volume(gal/In) Superior Precast JMfg. Manifold Diameter Selection In. dia. Options choice 1.25 1.50 2.00 x x 3.00 Gallons/Inch Calculator Total Tank Capacity (gal) Total Working Liquid Depth (in) gal/In Effluent Fitter Information Pot lok jFiltsr Manufacturer PL122 JFliler Model Number n %EGEIV E Project: 58765 Yderstad Rd Campground Page 2 of 8 JUN 2 2 2026 Bayfie,d Co. Planning and Zon;ng Agency GSF WI IN -GROUND DESIGN PROGRAM GSF IN -GROUND DRAWINGS Plan View System A & B will be identical In -Ground Component Dimensions AL 10.00 ft BI 125.00 ft DI 0.50 ft Fl 7.00 In HI 1.00 ft Excavation DeplhL 2.08 ft From Grade 1250.00 (ft2) Basal Area Available Finished Grade 97.50 Lateral Invert Elevation 96.50 Dispersal Cell Elevation 95.92 Bottom of Excavation 95.42 Typical Cross Section Trench View 'lid-• Y•^1 . I . . .' •.:"rte. . , .'T� . r� _ -.-,- • ' .. •- QUDE LE a.EMFI QQ L aVF Aft __IXaAL _FlVHsr rm B41t<X3i +—= IU1cL MOltasiaa MOt�D81ilD I..—JKM0M0F L Ir -.� Typical Dispersal Cell f See Page 5 2 ft Geotextile Fabric -► F iJI0+ .5ft t I 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: 58766 Yderstad Rd Campground Page 3 of 8 SUN 222026 Bayfield Co. Pfar;r r aid 'mining Agency GSF WI IN -GROUND DESIGN PROGRAM LATERAL AND DOSE TANK Ali laterals iderdical, wish offices main connection via tee or aoss to manifold at any point. =wV scaoed. Oriices po&d up except every 9h one points down far drainage. Laterals 8 force main of PVC Sdr 40 X X/2 X/2 (per COMM Table 384.30.5) • = Twm vdi Ii vahre or deanout plug Numbers of Laterals 4.00J Orifice Diameter 0.16 in Lateral Diameter 1.50 In Orifice Spacing (X) 2.05 ft Lateral Length (P) 62.00 ft Orifices per Lateral 30.00 Lateral End (Z) N/A Jft Orifice Densjty 10.42 ft2/orifice Lateral Spacing (S) 5.00 ft Manifold Length 5.00 ft Lateral Flow Rate 16.16 gpm Manifold Diameter 2.00 In System Flow Rate 64.6gpm Forcemain Velocity 11.73 ft/sec 60A75 Pump Off Height 12 In Dose Tank Information Float Options Time Dosing Lcdf rp aayor tnifb werri� Ebe�IcdisperNEC300 p �,ad ,-- seded*imp acid Ocseen l62$il10tC — 4 hah Dcomd �� Atom* am boom •OkC npa iispr eIyvoted Fob daa�eW --� 1.5 in Superior Precast Manufacturer Capacity 2100 Gallons Volume 46.8 gal/inch Dimension Inches Gallons A 28.33 1326.03 8 2.00 93.60 C 2.54 118.77 D 12.00 561.60 Total 44.87 2100.00 Mh3"Ueddbgwidsrtalk. Alarm Manufacturer 1E Rhombus Alarm Model Number Pump Manufacturer fGould Pump Model Number WE10H Pump Must Delivery I 64.62 gpm at 37.67 ft Project: 58765 Yderstad Rd Campground PurrpWdewtion 0!) 91 Doelar*dewdon(R) I 501 JUN 22 2026 Bayfield Co. Planninn and Zo,ling Agency Duplex pumps to be time dosed. Each pump will serve a 10x125 system TDH Page 4 of 8 GSF WI IN -GROUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout 10 Cell Width (ft) 2.5 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawing to space below. Component ® ASTM C33 Sand/Mound Sand • A42 or 843 Module Lateral Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical 10 Cell Width - A (ft) I 125.00 Cell Length - B (ft) 31 843 Modules Required per Row 62 843 Total Modules Required Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. System A & B will be identical. There will be 128 total Eljen B43 units. There will be 2- 10x125 cells. JUN 22 2026 �Qyfiel i Co. �.311f ti1r�- and ZC:2ihy,4c 9 ncy Project: 58765 Yderstad Rd Campground Page 5 of 8 GSF WI IN -GROUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS System Maintenance and Operation Specifications Service Provider's Name Brown Plumbing and I1VAC Phone 715-682.0444 POWTS Regulator's Name Bayfleld County Zoning Phone 71S-373-6138 System Flow and Load Parameters Design Flow - Peak 12S0 gpd Maximum Influent Particle Size 1/8 In Estimated Flow- Average 833.3333 gpd Maximum BO05J 30 mg/L Septic Tank Capacity 3000 gal Maximum TSSL 30 mg/L Sail Absorption Component Size 12501& Maximum FOGI 10 mg/L Maximum Fecal Coflform 10E4 cfu/100 mL Service Frequency Septic and Pump Tani Effluent Rite Pump and Control; Alarn Pressure Systeir In -Ground System Othei inspect and/or service once every 3 years Should Inspect and dean 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 pondlng 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 E(en in -Ground component manual. 2. Dispersal cell media conforms to Eijen products approved for use with the most recent Eljen in -Ground Component Manual. Eljen media Is covered with the manufacturer's 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 system structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6- t1' DIAMETER LAWN sP \naa.ER LATERAL ENDS AT LAST 4' PERFORATED PIPE ORIFICE WHERE VARIABLE LENGTH CLEAN0UT BEGINS —+— DISTRIBUTION LATERAL 4 - HI 222026 Bryiie!d Co. CL A�NOUUTTPLUG ,,, :r:� :: ;J ZcningAcgency LONG SWEEP 90 OR _.. ,�TWO45 DEGREE BENDS SAME DIAMETER I AS LATERAL Project: 58765 Yderstad Rd Campground Page 6 of 8 GSF WI IN -GROUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN 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 In -Ground Component manual November 2019 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 acce i'0penrrlgd'gUgter than 8 - inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. JUN 22 2026 Septic Tank hayfield Co. annnnn The septic tank shall be maintained by an individual certified to service septic tanks under s. 811. r{a` S-AseI 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 fitter 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 Iiquld 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 In -Ground and Pressure Distribution System No trees or shrubs should be planted on the system. Plantings may be made around the system's perimeter, and the system 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 system is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction In the winter will promote frost penetration. Cold weather installations (October -February) dictate that the system 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 in -ground component falls 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: 58765 Yderstad Rd Campground Page 7 of 8 yiiv �ry���L JUN 222026 sayf eld co. Planning and Zc•nin;.� Agency A TECHNICAL BROCHURE B3885 R1 WE Series Model 3885 SUBMERSIBLE EFFLUENT PUMPS FEATURES Impeller: Cast iron, semi -open, non -clog with pump -out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge. Mechanical Seal: Silicon Carbide vs. Silicon Carbide sealing faces. Stainless steel metal parts, BONA -N elastomers. Shaft: Corrosion -resistant, stainless steel. Threaded design. Locknut on all models to guard against component damage on accidental reverse rotation. Fasteners: 300 series stainless steel. Capable of running dry without damage to components. Designed for continuous operation when fully submerged. EXTENDED WARRANTY AVAILABLE FOR RESIDENTIAL APPLICATIONS. JUN 222025 •WAGTER OULDS TECHNOLOGY a xylem brand Wastewater APPLICATIONS Specifically designed for the following uses: 'Homes, Farms, Trailer Courts, Motels, Schools, Hospitals, Industry, Effluent Systems Pump • Solids handling capabilities: %" maximum • Discharge size: 2" NPT • Capacities: up to 140 GPM • Total heads: up to 128 feet TDH • Temperature: 104°F (40°C) continuous, 140°F (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. MOTORS • Fully submerged in high-grade turbine oil for lubri- • cation and efficient heat transfer. • Class B insulation on'4 - 11/2 HP models. • Class F insulation on 2 HP models. Single phase (60 Hz): • Capacitor start motors for maximum starting torque. • Built-in overload with automatic reset. METERS FEET 40r 13C 12( 35 11( 30 10C a 9C 2 25 8C U i 70 < 20 0 60 15 50 40 10 30 5 20 10 C 00 • SJTOW or STOW severe duty oil and water resistant power cords. • h- 1 HP models have NEMAthree prong grounding plugs. • 1'k HP and larger units have bare lead cord ends. Three phase (60 Hz): • Class 10 overload protection must be provided in separately ordered starter unit. • STOW power cords all have bare lead cord ends. • Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously with- out damage when fully submerged. • Bearings: Upper and lower heavy duty ball bearing construction. • Power Cable: Severe duty rated, oil and water resis- tant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Option- al lengths are available. • O-ring: Assures positive sealing against contami- nants and oil leakage. AGENCY LISTINGS JU;e CUu S . Tested to UL 778 and CSA 222108 Standards By Canadian Standards Assodedon: File 1LR38549- C us 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM PAGE2 0 5 10 15 CAPACITY 25 30 35 m3/hr • y r SLJPERIOR I LP30001-Compartment Tank PRECAST CRNCRET( There will be 2 of these LP3000 tanks. Each TOP VIEW one will feed to the 2100 gallon dose tank ieib►# g —A lbs) Tame 15,137 Lid: 9,779 Total: 24,'9'02 'olnine of Cwu?z'ete Total: 6.2 Yd' Gallons Pe, In ieha 70.6 lid WA Enlarged Detail Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE MSUPERIOR CASTCONCRETE 1ST" 178" .- ----..-•1 96" 102" ____'__) I SIDE VIEW 2r 41A- 9'Uf " }" Ass Space „ LZUId 30" Depth I dj 3 Maokole Opeaf n : 2.1/'2" Taper Poi etLylene Bye Rape Gasket (Poured is Place) 4"O TJd4 J1 Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, W154843 'r� �■�' JUN 222026 Gayfi�al Co. SUPERIOR ^nning arc 'onrnu f;�ercy PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding 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 suitabilityof use. Configuration may change from drawing, consult with SPC. PoductRleNo. I ThIsISPMI)datWIRfom�atton,endramalnsthebrPrecastConcratQ,LLC. I R.80S19.2024 r •!""SUPERIOR 2100 1-Comartment Tank PRECAST CSNCRETE Dose tank that will have duplex pumps. TOP VIEW WW fintbs taala 9,433 Lid: x,789 Total: 16,316 1JUme ol'Ceot,? TOW: 4.1 Yd' 1kni, Paw Incbs 46.8 19 WD Enlarged APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE _ NW sa� / 3" SIDE VIEW L 28" PoI1hyI.ie i Baffle Mastic P pe Gasket (,Pouretd in PLaee) 165" 1599 SUPERIOR PRECAUTCAICRETE 73' 8I, Air Spare II L.6L/4" 1/ fTi'r 45" 6? 1Dep± I481 _ 3} _ Produced by Superior Precast Concrete, LLC RCY:rj POBox1390 Hayward, WI 54843 JUN 222026 Bayd Co. Planning and Zoning Agency SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding 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 sultablUty of use. Configuration may change from drawing, consult with SPC. FRO No: I This Is pfapflotafy Information, and remains the propertyof supertax Precesi concrete. LLC. R.8 r r Title: LP 1 a 1 o -107o ,hnwar Nno icc tank Top View r_ — "r te " +it S �11 JUN 222026 Ira T-: th yci- tQ � •♦ `�' ter. � ` a •.i .\ Bayfield County, WI Id *CampStte 40 105753.0 SQ FE_! 4255.9 Bu ILlallnDrive SQ FT® ndery ^9 Fo*jfl 2009.2015 55978.5 SQ FTD 2935.2 gQ FT■ E>dsIrg7 45.04 Des 1:783 0.01 0.01 0.03n�s r; `•.. 0 0.01 0.W 0. JUN 22 2026 Co. Pl rrin : _;-j -J oMWCae4t+nanmsO„np... r i 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner 4 j Permit # DESIGN PARAMETERS Number of Bedrooms NA Number of Public Facility Units 0 NA Estimated (average) flow gal/day Design (peak) flow = (Estimated x 1.5) .260o gal/day In Situ Soil Application Rate /0 af/da /ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BOD5) 220 mg/L I 'NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L LS'NA Fecal Coliform (geometric mean) ≤104 cfu/100mi Maximum Effluent Particle Size % in dia. NA Other: NA Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Tank Manufacturer Su m! &. 0 NA E>aSeptic 0 Dose 0 Holding vol. gal Tank Manufacturer 0 NA septic 2'≤ose 0 Holding vol. /O?p gp?p gal Effluent Filter Manufacturer 0 NA Effluent Filter Model -jab Pump Manufacturer (r(o(g 0 NA Pump Model (, �;,p2j4 i 4J t 'V Pretreatment Unit 0 NA l and/Gravel Filter 0 Peat Filter O Mechanical Aeration 0 Wetland ❑ Disinfection 0 Other: Manufacturer �/ • Dispersal Cell(s) 0 NA l 1 -Ground (gravity) 0 In -Ground (pressurized) ❑ At -Grade 0 Mound ❑ Drip -Line 0 Other: Other: ❑ NA Other: 0 NA Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 _ month(s) ear(s) (Maximum 3 years) 0 NA Pump out contents of tank(s) hen combined sludge and scum equals one-third ('f) of tank volume 0 When the high water alarm is activated 0 NA Inspect dispersal cell(s) At least once every: mon 3 ❑ ear(s)s) (Maximum 3 years) 0 NA Clean effluent filter At least once every: m onth(s) 12. ❑ ear(s)❑ NA Inspect pump, pump controls & alarm At least once every.: month s) j 2 0 year(s) 0 NA Flush laterals and pressure test At least once every: D month(s) c ... I' .Q' ea-r(s) A Other: At least once every: ©' nth(s) 0 years NA Other: JUN 222026 A MAINTENANCE INSTRUCTIONS Qayreid C=U• Plannin and ?0 Inspections of tanks and dispersal cells shall be made by an individual carryin`b th��f&Ifdwing licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('f) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12102) i; 1 Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may Impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. . . . System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park ovej,, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. • Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. O After pumping, all tanks and pits shall be excavated and removed or their covers removed and it bf.�`ioRLd{ )Ied with soil, gravel or another inert solid material. CONTINGENCY PLAN JUN 222026 If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: 8ayfielu co. Q A suitable replacement area has been evaluated and may be utilized for the location of a replacement so I a �`s'orotilbunc�' system. The replacement area should be protected from disturbance and compaction and should not be Infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ( The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be Installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name • Phone POWTS MAINTAINER Name /34M, 4 Phone ? .O414jy SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone 7l3"..aga - 4 Phone w This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Private Sewage System Maintenance Agreement and Aerobic Treatment (ATU) Servicing Agreement Owner(s) Name Owner(s) Mailing Address P 48 %ci C3 i'mTc A C i. WJAP 13 7. AS04 tr✓D, WS $ f8OG Site Address 5~'g775- '/D�Rs-rA5 PA, M456;�, Wa , 59880, Tax ID 2f533 DOCUMENT NUMBER 2O26R-612653 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 06/22/2026 AT 1:56 PM RECORDING FEE: $30.00 PAGES: 3 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be I Recording Area 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 Return To: WI Adm. Code, as from time to time amended. 1/4 of 1/4 Section Township N. Range W. Planning and Zoning Department Town of Gov't Lot jj ���,, ,�►► Lot Block Subdivision- 1'1"�C�.�M# CSM Document # (required) Additional Legal Description: Type: v i 1 JUN 232026 p'a jtica. Cr). XIn -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 Comm 83.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds. At -grade. and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. As an inducement to the county to issue a sanitary permit for a POWTS equipped with an aerobic treatment unit on the above described property, we agree to do the following: 1 of 2 Z J I' 1/ 1 1. ► The owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to aerobic treatment units and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. 2. The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the department, including, but not limited to: the blower, electrical controls, treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3. The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59, Stats. 4. The owner recognizes that the county, department or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5. The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event in a manner specified by the department or designated agent within 30 business days from the date of inspection, maintenance or servicing. 6. This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the property is no longer served by the aerobic treatment unit. 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. 7. 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 aerobic treatment unit is installed. 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. Bayfreld County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Pri t Subscribed and sworn to before me on this date: Notarized Owners) — Signature Notary Public My Commission Expires: Drafted by: o I rOWL4 Date:V V_ ��"iL.. 71L - i1 JUN 23 2026 Co. f'Janninn old Cvli(:j /1DLncy July 2025 (May 2018) 2 of 2 State Bar of Wisconsin Form 5-2003 PERSONAL REPRESENTATIVE'S DEED Document Number THIS DEED, made between Terence W. Laske Document Name as Personal Representative of the estate of Mardelle M. Fuhs ("Decedent"), ("Grantor," whether one or more), and White River Ag Products, Inc., a Wisconsin Corporation ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): The South Half of the Southeast Quarter of the Northeast Quarter of the Northeast Quarter (S 1/2-SE1/4-NE1/4-NE1/4), Section Thirty-two (32), Township Forty-six (46) North, Range Five (5) West, Town of Kelly, Bayfield County, Wisconsin. Document Number 2022R-596946 Daniel J. Heffner Register of Deeds Bayfield County, WI Recorded 10/28/2022 at 8:39 AM Recording Fee: $30.00 Transfer Fee: $36.00 Pages: 1 Electronically recorded Recording Area Name and Return Address Alex Mohrbacher Clark & Clark, LLC 214 Main St W PO Box 389 Ashland, WI 54806 RECEIVED 04-026-2-46-05-32-101-000-20000 Parcel Identification Number (PIN) JUN 2 3 2026 This IS NOT homestead property. (1s) (is not) Bayfiehi Co. Planning and Zoning Agency Personal Representative by this Deed does convey to Grantee all of the estate and interest in the Property which Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated PERSONAL REPRESENTATIVE: (6 _ (SEAL) (SEAL) * Terence W. Laske AUTHENTICATION Signature(s) ACKNOWLEDGMENT STATE OF WISCONSIN authenticated on . ASHLAND TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706,06) THIS INSTRUMENT DRAFTED BY: Alex Mohrbacher; SBN 1117900; Clark & Clark LLC 214 Main St W, PO Box 389, Ashland, WI 54806 ) ss. COUNTY ) Personally came before me on October 20, 2022 the above -named Terence W. Laske, Personal Representative for the Estate of Mardelle M. Fuhs It, to me known to be the person(s) who exerp'te4 instrument and acknowledged the same. 'Q . oti r *Alex Mohrbacher r a V Notary Public, State of Wisconsin N O' My Commission (i ermane t) ( cp ! �•��.� .,�gG ���� may be authenticated or acknowledged. Both are not necessary.) / ` (Signatures a ry) i�t�t NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. PERSONAL REPRESENTATIVE'S DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 5-2003 • Type name below signatures. Bayfield County Register of Deeds Document #2022R-596946 Page 1 of 1 a eacea¢¢a¢avavgoe m ooso"e"as""$gggs≥;g x € " �eeSa�aLeasa6gc=R6 �� _ I 4 YDERSTAD CAMPGROUND zmee.uenw ROAD MASON. ML Sbee I $ DESIGN & c s p ENGINEERING SITE PLAN }%ru . � # j � I !|%; L , §tj1 �m M , | �c i I § § I0 oca & \ YDERSTAD WSOIJWI 54851 i SITE DET«s I BAYFIELD COUNTY SANITARY PERMIT (#04)-26-69S STATE SANITARY PERMIT OWNER: WHITE RIVER AG PRODUCTS INC GOV'T LOT: LOT: BLK: NE1/4 NE1/4 SEC: 32,T46N,R5W TOWNSHIP: Kelly SOIL TEST: 68-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TONY BROWN SCOTT ROUSH Authorized Issuing Officer DATE: 6/23/2026 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 6/23/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION