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HomeMy WebLinkAbout26-115S---�; —' Industry Services Division County -- <<>; {=1 ;, 4822 Madison Yards Way Q. 5 P ss — Madison, WI 53705 Sanitary not: Number (to be filled in by Co.) cz`_v nil=s%' VVUx Madison, Xlq 5302 c a — 1/5 J Sanitary Permit Application Slate Transaction Number In accordance with SPS 33321(2), )k is. Adm. Code submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POINTS am submitted to the Department of Safety and Professional Services. Personal information Project Address (if different than mailing address) you provide may be used for secondary purposes in accordance with the Privacy Law, s. I5A4(t)(m), Stars. T. Application Information -Please Print All Inforstiation- L. Property Owner's Name O A 7 Parcel R 3979 vI a U-� Property Owners Mailing Address 7 2 0 Property Location adon 6 y— C Cp IZQ� GuvL Lot City, Slate Zip Code�/ Phone Number 1_ 3O373!3c _ I •� 5� S� 'ASeeton C` T y 6 N R 0 ! E nr Gl II. Type of Building(check all that apply) % Lot ` 17-1 or2 Family Dwelling— Number oftiedrooms v '— SubdivisionNamc RECEIVED ❑ Public/Commercial —Describe Use Block h O Slate Owned — Describe Use AUG 192026 ❑City of ❑ Village of CSAi Number Bayfield Co. Planning a,n,+, ZcNng Agency �LTn\vn of- '0 Ni. Type of PORT& Permit: (Check either "New" or "Replacement" and other applicable on line a Itcabte.) - A. Check one boa on line B. Complete line C if New Iystem Replacement System ❑ Other Modification to Existing System } (explain) Additional J� Pretreatment Unit (explain) B. Holding Tank In -Ground (conventional) At-Gmdc Mound Individual Site Design g Other l' YPc (exnlaiN C. Renewal Before ❑ Revision Change of Plumber fmnsfer to New Owner List Previous Permit Number and Date Issued Expiration Tir. Dispersal/Treatment Area and Tank Information: Design � Flow (_pd) Design Soil Application Rate(gmdtsf) Dispersal Area Required (sf) Dispersal Area Proposed st (- ) System Elevation 300 O O.- ��6CP Capacity in Total = of Manufacturer I 'l':mk Information Gallons Gallons Units NewTanks ExistineTanks .r = J u c. U in m IZ s r Seplicor Holding Tank - (7 0,U Soo 1' — W;ese )C Dosing Cluimb;T I V. Responsibility Statement- I, the undersigned, assume responsibility far installation of the PQ\3'Ts shown on the attached plans. - Plumber's Name (Print) Plumh is Sig6Ie MP/MPRS Number Business Phone Number v w ati ov�� Q 37 Plumber's A revs (Street, City, Slate, Zip Code) hi VS'CT¼-t- tti . s YjY 7 VI. County/Department Use -Only Pproved ❑Disapproved PennitFce Dat Issu Ismin"A tgp u S s ❑ Onmer Given Reason for Denial a� ,23J/3 �B Conditions of ApprovalfReasons for Disapproval Swd Wisconsin Department of Safely and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 June 19.2026 CUST ID NO.: 654921 KEITH C WILEY 191 WILDWOOD DR ESKO, MINNESOTA 55733 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES:6/19/28 MUNICIPALITY: TOWN OF DELTA BAYFIELD COUNTY SITE: LONDO/TRUE MOUND 62075 MASON DELTA RD DELTA, WI 54856 FOR: Design Wastewater Flow Value: 300 Bedrooms: 2 Limiting Factor(s): 12" Maintenance Required: Effluent Filter i rF Phone:608-266-2112 Web: hlto://dsns.wi.eov � Email: dsoswisconsin.eov \'_ Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-062601208-C Application No.: DIS-062623486 Site ID No.: SIT -160573 Please refer to all identification numbers in each correspondence with the Department Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE AUG 19 2026 Bayfield Co. Planning and Zoning Agency Mound Component Manual - Version 2.1 (May 2022-2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction . The following conditions shall be met during construction or installation and prior to occupancy or use: • The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the countywberethis project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • 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 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 submittalhas 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 condi lions 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 P0WTS Product Reviewer P0WTS Plan Reviewer Division of Industry Services Fee Required: $390.00 Fee Received: $390.00 Balance Due: $0.00 Refund Expected: $0.00 AUG 19 2026 PlanningBand Zoning Agency • St- ODLa-U SOIL TEST # Wisconsin Department of Safety and Professional Services <-•1 Divisiop�i.tt ryServices SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include. but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location C ❑� Chyde True 4j%/4 tondoGovt. Lot SE Y. SE Y. s 12 T 46 N R 07 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 3760 Silver Lake Rd NE APT 1407 62075 Mason Delta Rd, Mason WI 54856 City State Zip Code Phone Number ❑ City ❑ Village 17 Town Nearest Road St Anthony Village MN 55421 ( ) Delta Mason Delta Rd RECE1VED L 0 ZU?o Paget of Parcel I.D. 04-016-2-46-07-12-4 04-000-12000 Date J NewConstruction use: E!] Residentlal/Numberof bedrooms 2 Code derived designtow rate300 GPO JReplacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material sandy lacustrine and underlying t A General comments and recommendations: Site Suitable for mound system a Boring # Boring Pit pPit 99.5 12 Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPO/Ft' •Eff#1 'Eff#2 0 0-3 7.5YR 2.5/1 SICL 1-vf-gr mfr as 3f -lm 0.2 0.3 E 3-5 7.5YR 4/3 LS 0-vf-sg mfi gi 3f -lm 0.7 1.6 B 5-12 2.5YR 4/3 S 0-vf-sg mfi as - 0.7 1.6 C 0 2.5YR 413 if spots 5YR 6/8 S 0-vf-sg mfi - - 0.7 1.6 ee er at 14" 2 Boring # ❑Boring 101 QPit Ground surface elev. ft. Depth to limiting factor in. / elev. 13 ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 •Eff#1 'Eff#2 0 0-3 7.5YR 2.5/1 SICL 1-vf-gr mfr as 2f -1m 0.2 0.3 E 3-6 7.5YR 413 LS 0-vf-sg mfi gi 2f -1m 0.7 1.6 B 6-13 2.5YR 413 S 0-vf-sg mfi as - 0.7 1.6 C 13-22 2.5YR 4/3 ff spots 5YR 6/8 S 0-vf-sg mfi - - 0.7 1.6 free water at 14" CST Name (Please Print) I Tim Dykstra SignatureI Z- CST Number 11213855 I Address I Date Evaluation Conducted Telephone Number 10620 Eagle Lake Rd Iron River WI S/r4/ab 1715-209-5748 I ' Effluent #1 = BOO > 30 s 220 mg/L and TSS > 30 5 150 mg/L • Effluent #2 = BOO, s 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04121) Page 2 of 2 Boring # ❑ Boring .t ❑E1 Pit Ground surface elev. 100 ft. Depth to limiting factor 1 G in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 -Eff#2 O 0-3 7.5YR 2.5/1 SICL 1-vf-gr mfr as 3f -2m 0.2 0.3 E 3-5 7.5YR 4/3 LS 0-vf-sg mfi gi 1f -lm 0.7 1.6 B 5-12 2.5YR 4/3 S 0-vf-sg mfi as - 0.7 1.6 C 12-24 2.5YR 4/3 if spots 5YR 6/8 S 0-vf-sg mfi - - 0.7 1.6 free water at 13" ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Aoplication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/FP •Eff#1 -Eff#2 . cc: VED ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 -Eff#2 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L Gtiybe True Say Soi( "(ebii.� /2O7 {'+ta5on Del4'a 105,;o E•51r Ln.le (Z6 Masbn WI s-,YK6 lro, R. vuT TAx Th 3q -7q'7 Gs� (a\36 ss (ovn off' jeWc. 5/i/&6 SM /4:i .n Tree i oo' IN 0 50 loo MAY eayc._la Co Planning and Zemni An&n•:: Te cL I -ron $M MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Conditionally Project Name: Londo Mound APPROVED DEPT. OF SAFETY AND PROFESSIONAL Owners Name: Barbara J. Londo Chyde O. True SERVICES DIVISION OF I.JnhIgTRvsEvIcs Owner's Address: 62075 Mason Delta Rd q L & "f SEE CORRESPONDENCE Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: =s KE�Sr��` 55 �gP 02 �'c5�1A M\NH. S 1/2 SE SE IN DOC 2026R-610724 Delta Bayfield Block Number: 04-016-2-46-07-12-4 04-000-12000 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Mound Plot Plan IREVEI Y EU AUG 19 2026 Bayfield Co. Planning and Zoning Agency Designer: Keith Wiley License Number: D2388PSS Date: 06/03/26 Phone Number: 218-451-2611 Signaturg j Designed Pursuant to the Mound Component Manual for POWTS Version 2.1 (May 2022-2027), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.1 (May 2022-2027) Version 7.21 (R. 07/22) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 200.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in -situ soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) i fecal coliform of <= 36 inches. 300.00 Design Flow (gpd) 3.00 Site Slope (%) 100.50 Contour Line Elevation (ft) ECL_iI`ED 12.00 Depth to Limiting Factor (in) 0.20 In -situ Soil Application Rate (gpd/ft2) AUG 19 2026 (C or E) Distribution Cell Information 67.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) ure Disribution Information C Center or End Manifold 2.24 Lateral Spacing (ft) 4 Number of Laterals .156 Orifice Diameter (in) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 0.00 Forcemain Length (ft) 7.80 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) In -line Filter Loss (ft) Total Dynamic Head (ft) 14.20 1.50 0.00 20.25 Lateral Diameter Selection in. dia. options choice 0.75 1.00 x 1.25 x x 1.50 x 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information I Total Tank Capacity (gal) 840.00J Septic Tank Capacity (gal) Total Working Liquid Depth (in) Wieser IManufacturer gal/in (enter result in cell B49) Bayfield Co. Planning and Zoning Agency 4.48 Cell Width (ft) Are the laterals the highestpoint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 6.82 ft2/orifice Does the forcemain drain back? V Enter Y or N 19.57 Forcemain Drainback (gal) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) 41.75 61.32 23.69 Manifold Diameter Selection in. dia. options choice 1.25 x x 1.50 x 2.00 3.00 Dose Tank Information Effluent Filter Information 500.00 Dose Tank Capacity (gal) Poly lok Filter Manufacturer 11.82 Dose Tank Volume (gal/in) 525 Filter Model Number Wieser Manufacturer Project: Londo Mound Page 2 of 8 Mound Plan and Cross Section Views RECEIVED Mound Component Dimensions Down sloe toe extension made. AUG 19 2026 Al4.48 ft E 25.61 in H I 1.00 ft K 11.51 ft B 67.00 ft F 9.25 in z 17.91 ft L 90.03 ft eayfield Co. Planning and Zoning Agency D 24.00 in G 0.50 ft J I 9.00 ft W 31.39 ft 300.16 (ft2) Dispersal Cell Area 1500.00 (ft2) Basal Area Available 4.48 (gpd/ft) Linear Loading Rate I 6.70 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area 102.50 (ft)—► — Dispersal Cell Elevat 3.0 % Site Slope Geotextile Fabric Cover Q Shading Key Topsoil Cap d m aDispersal o 1.5 ft Cell See lateral details on ' " Subsoil Cap 0 0 Page 4 for number, size, and spacing of laterals. ASTM C33 Sand 2 i Laterals are equally ® Tilled Layer c 0.5 ft F Typicalt ateral spaced from the © Aggregate a c distribution cell's centerline in the * A distribution cell (A%B). Project: Londo Mound Page 3 of 8 Center Connection Lateral Layout Diagram Faa mon aaarotlon via tee a aon to mWiaa a Project: P •= Tunwpalballwlwa a«nartplug jl Hobs as on tM baton of tM 4arat Number of Laterals Lateral Diameter Lateral Length (P) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Total Dynamic Head Lntxds aforcanein Sch 40 PVC per SPS Table 364.30.6 Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and SPS 316.300 WAC Tank component is properly vented Wieser Capacity 50000 Volume 11.82 Manufacturer Gallons gal/inch Dimension Inches Gallons A 22.11 261.38 B 3.00 35.46 C 5.19 61.32 D 12.00 141.84 Total 42.30 500.00 A Ii'B C Alarm Manuafacturer SJE Rhombus Alarm Model Number Tank Alert Pump Manufacturer Goulds Pump Model Number WE05H Pump Must Deliver I 23.69 Igpm at 20.25 Ift TDH Londo Mound S 11 �1 f9/orifice 24 ft 25 in Locking cover with warning label and locking device and sealed watertight 4 in. min. C Alternate outlet location Forcemain diameter n 2 in. Weep hole or anti - siphon device Pump off elevation (ft) 88.80 Dose tank elevation (ft) 87.801 Note: Switches containing mercury may not be used in this system. Page 4 of 8 RECEIVED AUG 19 2026 Bayfield Co. Planni-n and Zoning Agency Mound System Maintenance and Operation Specifications Service Provider's Name Phone POWTS Regulator's Name Bayfield County Zoning Phone System Flow and Load Parameters Design Flow - Peak 300 gpd Maximum Influent Particle Size 1/8dcfu/100 in Estimated Flow - Average 200 gpd Maximum BOD5 220mg/L 3Septic Tank Capacity 840 gal Maximum TSS 150mg/L Soil Absorption Component Size 00.16 ft2 Maximum FOG 30mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Laterals should be flushed and pressure tested every 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Finished Grade yr 6-8" Diameter Lawn Sprinkler Valve Box Distribution Lateral Turn -up Detail • •�r ��............ .. RECEiVE[i AUG 19 2026 Bayfield Co. Planning and Zeniny Agency Threaded Cleanout Plug or Ball Valve Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Londo Mound Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01, R. 11112), SSWMP Publication 9.6 (01181), and Pressure Distribution Component Manual Vet. 2.0 SBD- 10706-P (N. 01/01, R. 10/12)] 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 383.33. 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 seated watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 -inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual ceded to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the fitter 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 AUG 19 2026 The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify prQg9field Co. operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Planning and Zoning Agency Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. 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 pending. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Londo Mound Page 6 of 8 RECEIVED AUG 19 2026 Bayfield Co. Planning and Zoning Agency AEit FEET 40r 130 35r 25 20 t 15 5 10 io a a 0 0 0 0 Y I iv N 341 I I 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM I I I I I I I I I I I I m3/hr 0 5 10 15 20 CAPACITY 25 30 35 Londo (2 bedroom) Mound Plot Plan North Barbara J. Londo Chyde O. True 62075 MASON DELTA RD S 1/2 SE SE IN DOC 2026R-610724 S12 T46N R07W Town of Delta 04-016-2-46-07-12-4 04-000-12000 20 acres DWieser40/500 precast tank WE05H pump 525 filter 2" forcemain ASTM D1785 / 99.5' A / / 3% slope 90.03 x 31.39' mound �• w/ 67' x 4.48' rock cell Property line NOTES: Scale 1:50 - No well 4 p - Property lines not shown > 50' from mound area x Bench Mark = Nail in tree - All vent, observation & conveyance pipes Elev = 100.0' 4" ASTM D1785 or code equivalent Page 8 of 8 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 ol 7 FILE INFORMATION Owner Barbara J. Londo, Chyde O. True Permit # DESIGN PARAMETERS Number of Bedrooms 2 0 NA Number of Public Facility Units 0 NA Estimated (average) flow 200 aVda Design (peak) flow = (Estimated x 1.5) 300 alda y In Situ Soil Application Rate 0.2 avda /ft2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) CO mg/L Biochemical Oxygen Demand (BODs) 120 mgt 0 NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) ≤30 mg/L Total Suspended Solids (TSS) CO mg/L 0 NA Fecal Coliform (geometric mean) ≤1 o4 cful100ml Maximum Effluent Particle Size 'kin dia. 0 NA Other: ® NA values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Imonth(s) Inspect condition of tank(s) At least once every: 3o (Maximum 30 0 year(s) years) NA Pump out contents of tank(s) 0 When combined sludge and scum equals one-third (!4) of tank volume ❑ NA 0 When the high water alarm is activated Inspect dispersal cells) At least once every: 3 ❑ month(ar(s) ) (Maximum 3 years) 0 years) ❑ NA Clean effluent filter At least once every: 3 ❑ month(s) 0 years 0 NA Inspect pump, pump controls & alarm At least once every: 3 El yeoanr(sj ) 0 NA Flush laterals and pressure test At least once every: 3 ❑ month(s) (s) ar 0 NA Other: At least once every:uz< r�lru;'_R.. ) ❑ year(s) 0 NA Other: AUG 19 2026 0 NA MAINTENANCE INSTRUCTIONS Bayeald Co. Inspections of tanks and dispersal cells shall be made by an individuaPk&ftlyfi grdd'rottlW#olbwing 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 ('h) 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 fitters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. SYSTEM SPECIFICATIONS Tank Manufacturer Wieser ❑ NA 0 Septic 0 Dose ❑ Holding vol. 850 gal Tank Manufacturer Wieser ❑ NA ❑ Septic 0 Dose 0 Holding vol. 500 gal Effluent Filter Manufacturer Polylok 0 NA Effluent Filter Model 525 Pump Manufacturer Goulds 0 NA Pump Model WE05H Pretreatment Unit 0 NA ❑ Sand/Gravel Filter 0 Peat Filter ❑ Mechanical Aeration 0 Wetland ❑ Disinfection 0 Other: Manufacturer Dispersal Cell(s) 0 NA ❑ In -Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade 0 Mound ❑ Drip -Line 0 Other: Other: 0 NA Other: NA A service report shall be provided to the local regulatory authority within 10 days of completion of any service event GMW (12/02) Pageof ' 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 thasystern 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. AUG 1 9 2026 • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operate,;;aij Co. i'._'oapace illeAaen • After pumping, all tanks and pits shall be excavated and removed ed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption 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 POWTS MAINTAINER Name G-✓.a?yoctlk Name C Phone 0 _ Or Phone Z d - % — 3 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name 2 Name Bayfield County Zoning Phone (e 8 — Z- Z Z_ Phone715-373-6138 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)(t)(d)8(f) and 83.54(1), (2) & (3). Wisconsin Administrative Code. 4" CAST -A a LaJ F ` V U W840/500 -MR TANK SPECIFICATIONS DIMENSIONS: 4" CAST -A -SEAL WALL: 2 9/16" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 59 1/2" LENGTH: 9'-5 3/4" WIDTH: 7'-9• BELOW INLET: 48" LIQUID LEVEL.• 43" WEIGHT: BOTTOM 7,360 LBS. COVER 3,790 LBS. INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET AUG 19 2026 6aytield Co. Planning 2nd Zoning Agency NT 1 OUTLET D. \D ANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 19.61 GAL/IN (SEPTIC) 11.82 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP, OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE DRAWINGS SUBMITTEDI FOR APPROVAL II -1 m APPROVED BY: SHEET No APPROVAL DATE: 1 aF PRODUCTS NEEDED BY: / 1 Private Sewage System Maintenance Agreement Own(5) Name DOCUMENT NUMBER QarbA,ra r. Lone% d 41c 0. %wc 2026R-61 3399 Owner(s) Mailing Address DANIEL J. HEFFNER 7cs G7Ak Sf. 41 /17 V freder:e 411 C9t37 REGISTER OF DEEDS Site Address BAYFIELD COUNTY. WI (oA07S A as De//e KPC<p/ l%ase'.o Wz S'gj6 RECORDED Tax ID # 08/19/2026 AT 10: 1 4 AM 39292 RECORDING FEE: $30.00 As owner, I (we) do hereby certify the private sewage system will be installed in PAGES: 2 accordance with the certified soil testers report and approved plans and specifications on file with Bayfleld County Planning and Zoning Department The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said RECEIVED private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) _14..1/4 of 1/4 Section_LL__Township _4_N. Range __Z__W. AUG 202026 fJd Co. Additional Legal Description: -------------------------- ___ ° Return TcPlanning and Zoning Agency Town of (Acreage) _ Gov't Lot Lot ____ Blodc_____ Subdivision Lot ___ CSM # Vol. ____ Page ____ CSM Doc # Recording Area Planning and Zoning Department ❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: 9 Mound ❑ At -grade Sewage System ❑ Other ___________________________________ Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and In accordance with manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS Inspector, or licensed master plumber within three (3) years of the date of Installation and at least once every three (3) years thereafter to determine whether wastewater or effiuentfrom 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. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfleld County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfleld County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s Name(s) —/tluU Please Print Subscribed and sworn to before me on this date: L7Ct1 0 rc f�O � User \'\4 t' 2oZ Cv Notarized �Owner(s) — natur s) 9p Notary P blic 9 ---.My Commission Expires: K1p - \ '-1,1028 Drafted by: 4e% C�_ t c. Date: Chloe A Thompson NOTARY PUBLIC STATE OF WISCONSIN Proofed by. Revised July 2020 Real Estate Bayfield County Property Listing Today's Date: 8/19/2026 S Description Updated: 2/17/2026_ Tax ID: 39797 PIN: 04-016-2-46-07-12-4 04-000-12000 Legacy PIN: Map ID: Municipality: (016) TOWN OF DELTA STR: S12 T46N R07W Description: S 1/2 SE SE IN DOC 2026R-610724 Recorded Acres: 0.000 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Zoning: (AG -1) Agricultural -1 ESN: 110 1 Tax Districts Updated: 1/2/2026 1 STATE 04 COUNTY 016 TOWN OF DELTA 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents Updated: 1/2/2026 0 QUIT CLAIM DEED Date Recorded: 1/16/2026 2026R-610724 0 WARRANTY DEED Date Recorded: 12/18/2025 2025R-610388 Property Status: Current Created On: 1/2/2026 3:56:38 PM 44 Ownership Updated: 2/17/2026 BARBARA J LONDO ST ANTHONY VILLAGE MN CHYDE 0 TRUE FREDERIC WI BlUleg-Addresss: Mailing_Address: BARBARA J LONDO BARBARA J LONDO 3760 SILVER LAKE RD NE 3760 SILVER LAKE RD NE APT 1407 APT 1407 ST ANTHONY VILLAGE MN 55421 ST ANTHONY VILLAGE MN 55421 Vp Site Address * Indicates Private Road 62075 MASON DELTA RD MASON 54856 lJ Property Assessment Updated: 3/25/2026 2026 Assessment Detail Code Acres Land Imp. G6 -PRODUCTIVE FOREST 20.090 32,100 0 2 -Year Comparison 2025 2026 Change Land: 0 32,100 100.0% Improved: 0 0 0.0% Total: 0 32,100 100.0% Lf Property History Parent Properties Tax ID 04-016-2-46-07-12-4 04-000-10000 12703 HISTORY 0flpand All History White=Current Parcels Pink=Retired Parcels © Tax ID: 12703 Pin: 04-016-2-46-07-12-4 04-000-10000 Leg. Pin: 016102305000 39797 This Parcel t Parents 1 Children RECEIVE® AUG 202026 Bayfield Co. planning and Zoning Agency I of I P 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: TRUE, CHYDE O SR -00420 3760 Silver Lake Rd NE, Apt 1407 St Anthony Village, MN 55421 Transaction Number: SR -00420-47C36 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3372 Paid by: Timothy Dykstra, 10620 Eagle Lake Rd, Iron River WI 54847 Payment Type: Check Transaction Date: 6/15/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. &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: LONDO, BARBARA J 62075 MASON DELTA RD MASON, WI 54856 Description State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Submission Number: SS -00820 Transaction Number: SS-00820-4C89D Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 4121 Paid by: Greg's Plumbing, 13660 County Hwy H, Iron River WI 54847 Payment Type: Check Transaction Date: 8/24/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 123AYFIELD COUNTY SANITARY PERMIT (#04)-26-115S ir..�.. -+ , q :. rte. �..-.�v. ii •^.co: Sa .r :] :.i rnn. fin• .5 •f t_ I n a �3 +% -mss o-~ OWNER: BARBARA J LONDO G OV'T LOT: LOT: BLK: K: SE 1/4 SE 1/4 SEC: 12, T 46 N, R 7 TOWNSHIP: Delta SOIL TEST: 54-26 NEW SYSTEM SYSTEM TYPE: Mound > 24 in. of suitable soil PLUMBER: GREG BROWN TRACY POOLER DATE: 8/24/2026 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations In force on the date of approval. c. The sanitary permit Is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP699374 Condition: THIS PERMIT EXPIRES 8/24/2028 MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION