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HomeMy WebLinkAbout26-69SIndustry Services Division 4822 Madison Yards WayMadison, County J,)500irj WI 53705 faP.O. Box 7302 Smilary Pt Number (to be filiedm by Co.) Madison, W15302 - Gr S 8 Sanitary Permit Application StateTransac°nnNunberr In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit (t -, O 6 D'1 o. (a 0 ( t - C. is required prior to obtaining a sanitary permit Note. Application forms for ate -owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide ja;,,y�IT r s i Project Address (if differem than mailing address) purposes m accordance with the Privacy Law, s. 15.04(Ixm), States `� �r 4$ ya�tS st At I. Application Information — Please Print All Information Property Owner's Name JUN 222026 Parcel ii _ Pmpeny Owner's Mailing Address Bald Co. Pmpetty Location 3835- /J� Res, F Planning and Zoning Agency coot. Lot City, State Zip Code Phone Number /Y440) Z S'/YSG -7'S- 297' 1/S2 ''4. 'h, Section SL T N R Dc E 'II.TypeofBuilding(checkallthatapply) Lit# O 1 or 2 Family Dwelling — Number of Bedrooms _ Subdivision Name / (d Public/Commemial—DescribeUse �� Block # ❑ City of ❑Vnilage of 0State Owned—Descrbe Use CS NNumber ttown III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i app)icable.) A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) ' ❑ Holding Tank I¢Ground ❑ At -Grade I❑ Mound ❑ Individual Site Design ❑ Other type (explain) (conventional) C. ❑ Renewal Before 0 Revision ❑ Change of Plumber ❑ Transfer to New Own List Previous Permit Number and Date Issued Expiration IV. Dlspersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (al) Dispersal Area Proposed (af) System Elevation A,07o 1.0 I /2$ I*<'o ?z Capacityin Total #of Manufacturer _ rank Information Gallons Gallons Units i s 'g New Tanks IzTaa I UDeoio P. Rt7 Septic or Holding Tank 3 mo Sa7c4en r-Cd aA Doming Umber ,b1n /DTD e1di0 I 4 V. Responsibility Statement- I, the undersigned, assume rapsltity for Imtalaaon of the POWTS shown on the attached plans. Plumber's Name (Print) J PlumI MP/MPRS Number I Business Phone Number 1'/ 'o3 Plumber's Xddress (Street, City, State, Zip Code) q 3/s Ss✓3JJ n ✓C- �%aLtsC{�r,..l 5Wo6 VL County ailment Use Only Approved ❑ Disapproved Perµmiitt Fee �Date Issued S ^ & ❑ Owner Given Reason for Denial L W Conditions of Approval/Reasons for Disapproval O Attach to complete plan. for the system and submit to the Comfy only on paper not Ins than 8 In x 11 Inches in size SBD-6398 (R. 02/22) Wisconsin Department of Safety and Professional Sew ices Division 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: htto://dsns.wi.Lov Sy Email: dsps(a?wisconsm.eov Tony Evers, Governor Dan Heretb, Secretary Identification Numbers Plan Review No.: PWTS-062601189-C Application No.: DIS-062625337 Site ID No.: SIT -161036 Please refer to all identification numbers in each correspondence with the Department. RECEIVED JUN 222026 Bayfeld Co. Planning and Zoning Agency Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE In -Ground Soil Absorption 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 current owner, and each subsequent owner, shall receive a copy ofthis 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 S SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, 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 22202& Plannin hayfield Co. 9 and Zoning Agency Campground will have 46 sites x 30 gallons per site. Estimated flow of 1,380 gpdxl .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 wilt 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.. At the 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 finaltank 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 222925 Bayfield Co. Planning and Zoning Agency ` r7 SOIL TEST #', b Wcons!eiya91onalServidesPage of . j �. - . qtr; Dhrlslon ion! JUN 2 2 SOIL EVALUATION REPORT 2026 �''j�►' In accordance with SPS 385,11x. Adm. Code Cou Attach complete site 8ayfteld tan<QI�.P��htal`h� 112 x 11 Inches in sloe. Plan must include, but not limited to: van a! M (8M), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 1533 Please print all information. Review Personal infonration you provide may be used farsecandary paee (Privacy Law, a.15.04{1)(m)). .roperty Owner -- �. Ito River Ag Products Inc perty Location ❑ [] vL Lot NEY4 NEY4 S32 T48 N R3W E (or) W roperty Owner's Mailing Address Tu11T Address or CSM and Lot 355 Nelson Road 785 Yders tad Rd City State Zip Code Phone Number ❑ City ❑ Village CI Town Nearest Road Mason St 54858( } Kelly Yderratad New Construction Use: Residential/Numberof bedrooms — Code derived designitow rate 187 _GPD Replacement Public or commercial —Describe: Campground Flood Plan elevation If a fcable • I-1 PP .�fA ft. Parent material Glacial Outwa pis � " r* 9neral comments and reconhrrbndations: Site had over 3' of snow, but no frost.. Snow was removed with bulldozer. BM Is Lathe with orange ribbon on East side of B1 adjacent to last tree in fence row. Boring [] Boring # XPit Ground surface elev. 510• ft. Q?.f Depth to limiting factor.i20 in. / etev. 8g 5 ft. _I Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Suture Consistence Qcundary Roots GPDiFtz Munseil Qru. Az. Cont. Color t Gr. Sz. Sh. f •Eff#1 *Et2 ►-3 YR3/2 ❑ ill ___-- ,I+S _ + SG �1L — — iW — IF 5 1.0 �? i-24 �I0YR3/4 gl — IN losc3 iL •s — K -- - OR 13INAL FS SG \tL -- - ---- -- ---- .S 3ti ML 1:8 SQ AIL 'A N'A s - I.0 []Boring j�Plt around surface elev. B'7 0" It. 9� Depth to limiting 1aotori43in. I elev _87.59 tt. } Sot! Appfcation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence 7 Boundary Joote GPD/Ft2 In. Munsell Qu. Az. Cont. Color dr. Sz. Sh. i I *Eftf ,l - .._.__.._.._ .� ,10-48 YR314 1S ---~ JSG �4h .S - \'A- $ L0 i4ii4 � CST Name (Please Print) Sin are_-- Krystal Hagstrom Address Date Etta on nduote 14840 FR 420A gndrann * Efuent #1 = SOD > 30 s 220 mg/L and TSS > 30 5150 mg/L CST Number SP -03180001 Telephone Number 715.685.4410 * Effluent #2 = BOD, 5 30 m9IL and TSS s 30 mg/L SBD-833O (R04/21) ❑ Boring Page o1,_ Boring # P Ground surface elev. • � 84' ft �� Depth to lirnitEng lector 3,Z5,_,^En. / ekv._85.7S ft. Soil ApplimtIon Rate HorizoI Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIF12 fn. Mansell JLQu. Az. Cont Color Or. Sz. Sh. .s/2 [k'S Sa i1L Boring # 8:t1n� Ground surface elev.,_,ft. Depth to limiting factor_En. /elev. ft. __� .` Soil Application ation Rate Horizon I Qepth Dominant Color Redo DescriptEen Texture —Structure Consi�ence Boundary ooR fs GPD/Ftz ` j in. Mansell Qu. Az. Cont. Color - Or. Sz. Sh. P[annr�g and Zon Q Boring # ❑ Boring O PEt Ground surface elev._R. Depth to timiting factorfn.! eiev. it. * Effueent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 1 SO mg/L • Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L CHECK80XA8AppIJcRCHECKB0XA9 APPI.IQABtE El SOIL EVALUATION. Scale: 1" 4� 000 SYSTEM PAGE Z OF SITE MAP ° Mr. '' PLOT PLAN PROJECT NAME: Whiff R;vQr /� P�oducft ot:srcrtFl�w: 2500 � design flaw cetCuletlens for comma-reW plans. PROJ�TAllt3RE5S6 6�tE't,� fit►: a Pipe Material / ASTM Standard (Tables 38y3U.3 & 3a44.30.5) aM &ymboh + ISM I,aevaUM _ FT 8eRltary Satver: C 6 /--_fr►Vl____ 8Mueaarpson: Q�av$r 1gtl cJ &! ►Ia/sK R+h64 *Aj FaoeMaln: CN__,40 __I l G LoTe a estedMra: f o vt'd� syntl:d t[repp�eeble� p �e Show ground elevation wftu*ro at suitable Intervals. Yderstad Road (Do In Ground Even 2 Cells 10x125 L F'-!howerhouse JUN 2 2 2026 Tank aaylield Co. Planning and Zoning Agency Forcemain Sewer and water k" /cd 3.000 gallon septic tanks Tank locations are approximate and may change. lines to be approved by general plumbing All piping to comply with SPS 382-384 Cleanouts as required °¢ 6tY3os Mb CHECK BOX AS APPLICABLE ❑ SOIL EVALUATION SITE MAP PROJECT NAME: WkI1 Riv*r Act Prygfucfs (ibti grid) PROJECTADDRE3s: BM Symbol: BM Elevation: J00 r BM Descrfpticn qrDv,1J EIt. 4- 1 1 � PiAK R -6W wj Slaps Gradient (%) 04 h C Indicate north by of ected A Well SymbcI (iT eppllcablej O drawing an arrow on the approprtia tine. yjo,f-agld i2cae( CHECK BOX AS APPUCAILE. O SYSTEM PAGE 2 OF PLOT PLAN DESIGN FLAW: GIRD Attach design flow calculations for commercial plans. Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) San EterySewer, __. Force Main: j I Po err: Show ground elevation contours at suitable intervals. I 4,;_i Ait hHl i� rA Ito 4 bt ttM?r/iIt 3I . ; %c aka«damA N. 'N i 22 2026 Layfield Co. Q Ptanilfnr. ,)d Zoning Agency ?5 j 'r) c Map Unit Description: Neconish loamy tine sand. 0 to 3 percent slopes—Bayneid County, Wisconsin Bayfield County, Wisconsin 639A—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, descriptions, and transects of the mapunit. Description of Neconish Setting Landform: Outwash plains, stream terraces, lake plains, outwash fans Landfann position (two-dimensional): Footslope Down -slope shape: Linear Across -slope shape: Concave Parent material: Sandy outwash Typical profile Oa -0 to 1 inches: highly decomposed plant material E -1 to 4 inches: loamy fine sand Bs - 4 to 30 inches: fine sand JUN 2 2 2026 BC -30 to 36 inches: fine sand C - 36 to 60 inches: fine sand Bayfielci 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 water table: About 24 Inches Frequency of flooding: None Frequency of pending: None Available water supply, 0 to 60 inches: Low (about 4.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3s Hydrologic Soil Group: A Ecological site: R092XY013W1- Sandy Uplands t Natural Resources Web $6il Survey3!23!2023 Conservation Service National Cooperative Soil Survey Page 1 of 2 M Map Unit Description: Neconish loamy fine sand, 0 to 3 percent slopes—Bayll&d County. Wisconsin Forage suitability group: Low AWC, adequately drained (GO92XY002WI) Other vegetative classification: Low AWC, adequately drained (GO92XY002WI) Hydric soil rating: No Minor Components Rousseau Percent of map unit: 10 percent Ecological site: F093BY007MI - Sandy Uplands Hydrlc soil rating: No Wainola Percent of map unit: 5 percent Ecological site: F093BY005MI - Moist Lowlands Hydric so!! rating: No Annalake Percent of map unit: 3 percent Ecological site: F093BY009MI - Alfic Loamy Uplands Hydrlc sor7 rating: No Cublake Percent of map unit: 2 percent Ecological site: R092XY013W1- Sandy Uplands Hydric soli rating: No Data Source Information Soil Survey Area: Bayfield County, Wisconsin Survey Area Data: Version 24, Sep 6, 2022 JUN 222026 PlannBanelJ Co. incd J Zoning Agency iso Natural Resources Web Soil Survey __._ 3!23/2023 Conservation Service National Cooperative Sad Survey Page 2o12 2 Bayfield County, WI 32 3/23/2023, 3:14:50 PM Meander Lines Municipal Boundary Building Footprint 2009-2015 Approximate Parcel Boundary All Roads Existing Section Unes Town Driveways Buildings [ii�¢+iii.:.- 1:783 p RECEIVED 0 0.01 0.01 0.03 m1 0 0.01 0.03 °Hahn JUN 2 2 Z026 Saw Bayfield Co. Planning and Zoning Agency yold Cina Land Recd. oewm,wm u�ry.M9o+BayrtAdYlgel GSF WI IN -GROUND DESIGN PROGRAM INDEX AND TITLE PAGE Project Name: 58765 Yderstad Rd Campground Conditionally APPROVED Owner's Name: DEPT. OF SAFETY AND PROFESSIONAL White River Ag Products SERVICES Owner's Address: 38355 Nelson Road fah. Mason, WI 54856 SEE eennEererlBEr1eE Site -58765 Yderstad Rd Legal Description: S1/2 SE NE NE in DOC 2022R-596946 Township: Kelly County: Bayfield Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: Plan Transaction No.: RECEIVED Page 1 Index and title Page 2 Data entry JUN 2 Page 3 GSF system views Page 4 Lateral and dose tank sayfield Co. Page 5 Distribution media Planning and Zoning Agency Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Tank Pages Designer: 7 License Number: #i/ 0&1. E363 Date: 6/12/ Phone Number: 7is - 24 Z- %Z9 Signatu . 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 DATA ENTRY of these 10x125 in ground systems Site Information C Residential or Commercial Design i - I Number of Bedrooms (optional) 1250 Design Flow (gpd) 97.5 Original Grade 1.0 In -Situ Soil Application Rate (gpd/ft2) EFF #2 Trench Information 943 Unit Used 10 Cell WWIh (ft) 3, 4, 5, 6, 8, 8 or 10 I 125 = Length (ft) Additional Units per Row or Trench Are the laterals the highest point In the distribution Y Distribution Information network? Enter Y or N Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) Lateral Spacing If N above, enter the elevation ft Number of Laterals of the highest point. Orifice Diameter (in) (e.g. 025) Estimated Orifice Spacing (ft) = j 10.42 Ift/orifice Forcemain Diameter (in) Forcemain Length (ft) Does the forcemain drain back? _� Inside Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 5.50 Vertical L81 (ft) 27.62 Friction Loss (ft) Add'l Fitting Friction Loss (ft) 37.67 Total Dynamic Head (ft) Lateral Diameter Selection in. diam. options choice 0.75 1.00 125 1.60 x x 2.00 x 3.00 x Septic Tank Information 3000 Septic Tank Capacl el) odor Precast Mfg. Manufacturer Dose Tank Information 2100 Dose Tank Capacity (gal) 46.8 Dose Tank Volume (L4n) [Luperlor Precast Mfg. 7.80 Forcemein Drainback (gal) 110.98 5x Vold Volume (gal) 118.77 Minimum Dose Volume (gal) 64.62 System Demand (gpm) Manifold Diameter Selection in. die, options choice 125 1.60 2.00 x x 3.00 Gallons/Inch Calculator Total Tank Capacity (gal) Total Working Liquid Depth (in) gaWt Effluent Filter Information Potytok Filter Manufacturer PL122 Filter Model Number :ZE 1.re`WED Project 58765 Yderstad Rd Campground Page 2 of 8 JUN 222026 Bayfield Co. Planning and Zoning Agency GSF WI IN -GROUND DESIGN PROGRAM GSF IN -GROUND DRAWINGS Plan View System A & B will be identical In -Ground Component Dimensions A 10.00 ft S 126.00 ft D 0.50 It F 7.00 in H 1.00 ft Excavation Depth 2.08 ft From Grade 1250.00 (ft') 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 winMis.7Tnyu eawgtuaev r s 819 :I�_ameaua� aawavo emmuff � w I -ate Typical Dispersal Cell m nI See Page 5 2ft1 Geotextile 0OI Fabric ow F =n v o 0Sfl 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: 58765 Yderstad Rd Campground Page 3 of 8 JUN 222025 Bayfield Co. Planning and Zoning Agency GSF WI IN -GROUND DESIGN PROGRAM LATERAL AND DOSE TANK All laterals identical, with orifices Puma main conr»dlon via tee aaces mmarifold at arty pdt equally spaced. Ordficea pdd up except every &b ore paints down fa dralage. $ ________ _TEl X X2 a = Tumup w ball valve or deano plug Laterals& facemain of PVC Sdt 40 X2 (per COMM Table 384.305) Numbers of Laterals 4.00 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 ft Orifice Density 10A2 W/orMke Lateral Spacing (S) 5.00 ft Manifold Length 5.00 ft Lateral Flow Rate 16.16 gpm Manifold Diameter 2.Oo in System Flow Rate 64.62 gpm Forcemain Velocity ft/sec 60.475 Pump Off Height 12 in Dose Tank Information Float Options Time Dosing Lndtkeoowvahnadg laael and lodtig &VIM aM EbdM1Wnper IECXW I saabd il➢Lt ad Coirm16.28VAC l'OI b* aapmedIs piopebvraad Superior Precast Capadty 2100 Volume 46.8 Manufacturer 3allons p1/Inch Dimension Inches Gallons A 28.33 1326.03 B 2.80 93.60 C 2.54 118.77 0 12.00 561.60 Total 44.87 2100.00 AhrBedfiguderhxk Alarm Manufacturer SfE Rhombus Alarm Model Number Pump Manufacturer IG0u1d Pump Model Number L WESOH Pump Must Delivery 64.62 gpm at 37.67 ft fsraasatr nn I l1SS in Punp o(ae sillo A) 91 Doss In dewlim pl) 90 RECEWED JUN 222026 Bayfield Co. Planning and Zoning Agency Duplex pumps to be time dosed. Each pump will serve a 10x125 system TDH Project: 58765 Worsted Rd Campground 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. ■ ASTM C33 Sand/Mound Sand A42 or B43 Module II H Lateral Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout - Typical l0 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. I 1A L F'E(;i II QED JUN 222026 Bayfield Co. Planning and zoning Ag�c, Project: 58765 Yderstad Rd Campground Page 5 of 8 GSF WI IN -GROUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS System Maintenance and Operation Specifications Service Providers Name r Brown Plumbing and HVAC Phone 715.682-0044 POWTS Regulator's Name Bayfleld County Zoning IPhone 715-3733138 System Flow and load Parameters Design Flow - Peak 1250 gpd Maximum Influent Particle Size 1/8 In Estimated Flow -Average 833.3333 gpd Maximum BOOS 30 mg/L SepticTank Capacity 3000 gal Maximum TSS 30 mg/I. Soil Absorption Component Size 1254 ftt Maximum FOG 10 mg/L Maximum Feral Conform IOTA cfu/100 ml Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System In -Ground System Other Inspect and/or service once every 3 years Should Inspect and dean at least once every3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage onceevery 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown in the Eljen in -Ground component manual. 2. Dispersal cell media conforms to Eljen products approved for use with the most recent Eljen In -Ground Component Manual. Ellen 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. 5. 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 FINISHED GRADE — LATERPLENDSAT LAST 4' ORIFICE WHERE VARIABLE LENGTH CLEANOUT BEGINS a DISTRIBUTION LATERAL 6-6' DIAMETER R CLCEEN ED .'UN 222026 Bayfield Co. READED Planr!n:j and Zoning Agency EPNOLIT PLUG 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 comppletion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed 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 222026 Septic Tank Bayfield Co. The septic tank shall be maintained by an individual certified to service septic tanks und9{a�n�g,fn ���ge 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 fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an Impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation In the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as 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 JUN 222026 hayfield Co. Planning and Zcning Agency TECHNICAL BROCHURE 83885 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. RECEIvE6 JUN 222825 Bayfield Co. Planning and Zoning Agency • WATER TECHNOLOGY a xylem brand Wastewater APPLICATIONS Specifically designed forthe following uses: • Homes, Farms, Trailer Courts, Motels, Schools, Hospitals, Industry, Effluent Systems SPECIFICATIONS 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 - 1 th 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 40 13C 12C 35 110 30k 100 0 90 `M9 25 80 u i 70 a 20 r 60 15 50 0 � 40 10 30 20 10 0 0 0 • SJTOW or STOW severe duty oil and water resistant power cords. •'h- 1 HP models have NEMAthree prong grounding plugs. • 1½ 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 outerjacket 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 JUN 222026 S P Tested to UL 778 and CSA 222108 Standards By Canadian Standards Ass'detldd'File IiLR38549A2acq c us 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM 0 5 15 20 25 30 35 m3/hr CAPACITY PAGE 2 SUPERIOR I LP3000 1 -Compartment Tank SUPERIOR There will be 2 of these LP3000 tanks. Each TOP `IE«v one will feed to the 2100 gallon dose tank Weieht fu AS) Tanis: 15,17 Lid: 9,775 Total: 24,902 �'obame of Concrete Total: 6.2 Yd' Gallons Per Inch: 70.5 Lid Enlarged Detail CondNonel/y APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Afanhole Openings is4" 178' SIDE VIEW 4 4 2" 9" Air Space TNec 43" laq'nd 50" I IDepth 96" 102" 28" 4r Ostler 64" 48" 3 --------------------------- 2-12" Taper Produced by Superior Precast Concrete, LLC PO Box 139054���� Hayward, WI 843 Pohethrlene Safe Mastic Rope 4M JUN 222026 Bayfield Co. SUPER 10 ftnning and Zoning Agency PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWIS 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 suitability of use. Configuration may change from drawing, consult with SPC. IProductnle No: I ThIsNPropdeterymlomunon,endremams It, propedyol SurororPrrxutCoocma.LLC. I R.3 .JI.2o241 SUPERIOR I 2100 1 -Compartment Tank 72�� SUPERIOR PRECAOTCONCRETE Dose tank that will have duplex pumps. TOP VIE%V Weight (in Ibs) an1cT 9,427 lid: 6,789 Total: 16,116 aurae of Concrete Total : 4,1 Yd' Galioms Per Inch2 46.8 Enlarged Detail ccmml/on.uy APPROVED DEPT. OF S SEMY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE SIDE VIEW 29" 14-1 Maat>tok Openings \ D 3" Taper Polyedwiene Baffle Mastic Rope 165" 159' Space II, 45" ep 73" it 487' 1 Produced by Superior Precast Concrete, LLC RECf;WWED PO Box 1390 Hayward, WI 54843 JUN 222026 Bayfield Co. Planning and Zoning Agency SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WISPS 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 engineer for suitability of use. Configuration may change from drawing, consult with SPC. IPmduct Flit No: I ThIS It prepdelarylMomaatlon.and ""wIn DIE p.,PNTy tSUp.IIOtPtust ERDONn,LLC I R.305 -19.202A1 Title: LP 1010-1070 Shower House tank Detail 4" Top View 184" IN' 96" 102' 1 0 Gallons a I o�O II.851/7 -[ 1/2' f T Taper 7' Side View 028' Lid Thickness 044" tfflbZc ll�iJ Polyethylene Baffle 9"Alr Space fD7�'l�ZS.'7?i, 6" Floor Thickness Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES ER "�_ SEE CORRESPONDENCE FZECEsI Eta JUN 222026 BayIc d Co. Planning and Z dp2nCY 4. • Real Estate Bayfield County Property Listing Today's Date; 3/26/2023 Description Updated: 12/4/2022 Tax ID: 21533 -- PIN: 04-026.2-46-05-32.1 01-000-20000 Legacy PIN: 026106508000 Map ID; Municipality: (026) TOWN OF KELLY SIR: 532 T46N ROSW Description: S 1/2 SE NE NE IN DOC 2022R-5969% 648 Recorded Acres: 5.000 Calculated Acres: 5.101 Lottery Cairns: I First Dollar: Yes Zoning: (AG -1) Agrlcultural.l ESN: 119 Tax Districts Updated: 3/15/2006 1 04 STATE 026 COUNTY 041491 TOWN OF KELLY 001700 SCHL-DRUMMOND TECHNICAL COLLEGE a Recorded Documents _ Updated: 3/15/2006 N PERSONAL REPRESENTATIVES DEED - Property History Date Recorded; 10/28/2022 2022R-596946 N/A Q CONVERSION Date Recorded: 447-17;469-311+ O TERMINATION OF DECEDENTS INTEREST Date Recorded; 6/3/2003 20038482570 858-436 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:39 PM Ownership WHITE RIVER AG PRODUCTS Updated: 12/4/2022 INC -' -- MASON WI BMIS Address: MailingAddress' WHITE RIVER AG PRODUCTS INC WHITE RIVER AG PRODUCTS 38355 NELSON RD MASON WI 54856 INC 38355 NELSON RD MASON WI 54856 Site Address * indicates Private Road 58765 YDERSTAD RD MASON 54856 Property Assessment Updated: 4/10/2019 2023 Assessment Detail Code GI -RESIDENTIAL Aaes Land Imp. 5.000 13,000 31,100 2 -Year Comparison Land; Improved: Total: RECEIVED JUN 222926 Sayfield Co. Planning and Zoning Agency 2022 2023 Change 13,000 13,000 0.0% 31,100 31,100 0.0% 44,100 44,100 0.0% Nips:l/novus.6ayrieldcounty.wl.gov/access/master.86P7paprpid=21533 Bayfield County, WI H•' qpMain Drive *Sewer??? • CamD Sites 4255.9 SQ FT® pndary BuAding Fo02pdrd 2009.2016 55978.5 SQ FTE] Exlstlng 2936.2 SQ FT■ i Driveways 46.0 EA� Buildings RECEIVED JUN 222026 Planning Co. 9 and Zoning Agency 1:763 0 a01 0DI 0.030,) 0 0.01 003 0,06x0, OM Vt canM1 Intl exua. 0.n m.mm bm.A..e.bp+amnM1.r<ah+aenwwlw POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION Owner % n t Permit # K _ at DESIGN PARAMETERS Number of Bedrooms NA Number of Public Facility Units O NA Estimated (average) flow J,thI.i gal/day Design (peak) flow = (Estimated x 1.5) $•Op gal/day In Situ Soil Application Rate /.0 aVda /ft2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BODs) ≤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 Q'NA Fecal Coliform (geometric mean) ≤10" cfW100ml Maximum Effluent Particle Size ,(, in dia. NA Other: NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 — rJ onih(s) ' ears (Maximum 3 years) C� ❑ NA Pump out contents of tank(s) ttVvhen combined sludge and scum equals one-third (14) of tank volume O When the high water alarm is activated ❑ NA Inspect dispersal cell(s) At least once every: 3 lQ'❑ ear(s) (Maximum 3 years) O NA Clean effluent filter At least once every: 2. ❑ mear(s) ❑ NA pump, pump controls & alarm At least once every: / 2- onhInspect O year(s�s) ❑ NA Flush laterals and pressure test At least once every: O month(s) A Other: At least once every: 0 year(s)s) NA Other: JUN 22 2026 A MAINTENANCE INSTRUCTIONS Bayfield Co. Inspections of tanks and dispersal cells shall be made by an individual clanningan�� g p p arryl o 'R'M9R9win 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 ('4) 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. SYSTEM SPECIFICATIONS TanManufacturer Supw7 9.c-� O NA l '<eptic ❑ Dose 0 Holding vol. 7OZ gal Tank Manufacturer 0 NA septic IB"Dct/ose O Holding vol. /O7O /0%0 gal Effluent Filter Manufacturer O NA Effluent Filter Model - •/� Pump Manufacturer ewu, O NA Pump Model (, jf £eeyy I?IdbV W c Pretreatment Unit ❑ NA Iland/Gravel Filter O Peat Filter ❑ Mechanical Aeration 0 Wetland ❑ Disinfection O Other: Manufacturer IE Dispersal Cell(s) O NA I61 -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade O Mound ❑ Drip -Line O Other: Other: O NA Other: O NA A service report shall be provided to the local regulatory authority within 10 days of completion of any service event GMW (12(02) 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 over, 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 fails 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. • After pumping, all tanks and pits shall be excavated and removed or their covers removed andahe void space filed 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: Bayfield Co. Planning a, d Zonin Q A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absor$t`otl ' 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. 0 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. c<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 POWTS MAINTAINER Name Name Phone 7( _owq J Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name �san Senf2 Name Phone 7,r -2t.2- wt Phone 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) Servicina Aareement 2$194 StA?c MtaaJAY137. ASNeq✓D, LJ3 St/8o4 5'7GS YaERSTi1DRo,/n�rsou, w3, sygsc, 2rs33 DOCUMENT NUMBER 2026R-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 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 Lot Block_ Subdivision `9- A'F'"C�, M# CSM Document # (required) Additional Legal Description: Type: RECF_IVED JUN 232026 Bayfield Co. In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. SeDtic 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 -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. 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 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 owners 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. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 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. Owners) Name(s) — Please Pn t C, tl�f wr = M.e�nb Subscribed and sworn to before me on this date: O c Notarized Owners) — Signature Notary Public — My Commission Expires: Drafted by: o n QrowM 2,a Co RECEIVED Date: JUN 232076 Bayfield Co. Planning and Zoning Agency July 2025 (May 2018) 2 oft State Bar of Wisconsin Form 5-2003 PERSONAL REPRESENTATIVE'S DEED Document Number 2022R-596946 Daniel J. Heffner Document Number Document Name Register of Deeds Bayfield County, WI THIS DEED, made between Terence W. Laske as Personal Representative of the estate of Mardelle M. Fuhs ("Decedent"), ("Grantor," whether one or more), and White River Ag Products, Inc., a Wisconsin ("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-SEI/4-NEI/4-NEI/4), Section Thirty-two (32), Township Forty-six (46) North, Range Five (5) West, Town of Kelly, Bayfield County, Wisconsin. 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 RECE VED 04026-2.46-05-32-101-000-20000 Parcel Identification Number (PIN) JUN 232026 This IS NOT homestead property. (is) (is not) Bayteld 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 /0 - ao - PERSONAL REPRESENTATIVE: �/ (Li - �-+` (SEAL) (SEAL) * Terence W. Laske " AUTHENTICATION authenticated ACKNOWLEDGMENT STATE OF WISCONSIN ASHLAND Personally came before me on the above -named Terence W. ) ss. COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN the Estate of Mardelle M. Fuhs (If not, to me known to be the person(s) whi authorized by Wis. Stan. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: ' " 7 Alex Mohrbacher; SBN 1117900; Clark & Clark LLC 'Alex Mohrbacher _C V •' 214 Main St W, PO Box 389, Ashland, WI 54806 Notary Public, State of ' consin tv My Commission (i rmane t) (• e plr r-4, .4� OF '41 (Signatures may be authenticated or acknowledged. Both are not necessary.) 411"11111111Nttt 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 I�YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: WHITE RIVER AG PRODUCTS INC, 28190 STATE HWY 137 ASHLAND, WI 54806 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00447 Transaction Number: SR -00447-48538 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10505 Paid by: Brown Plumbing & Heating, 315 Sanborn Ave, Ste A, Ashland WI 54806 Payment Type: Check Transaction Date: 6/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B ;YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: WHITE RIVER AG PRODUCTS INC, SS -00777 28190 STATE HWY 137 ASHLAND, WI 54806 Transaction Number: SS -00777-48537 Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 10504 Paid by: Brown Plumbing & Heating, 315 Sanborn Ave, Ste A, Ashland WI 54806 Payment Type: Check Transaction Date: 6/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-69S STATE SANITARY PERMIT OWNER: WHITE RIVER AG PRODUCTS INC G OV'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