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HomeMy WebLinkAbout26-137SDepartment of Safety County 13" F:e 1 a & Professional Services, Sanitary Permit Number (to be filled in by Co.) x i 'dd Industry Services Division ��rm t SS-6oS / 3 7 S Sanitary Permit Application State Transaction Number PA rs-QBa66 3/7 - C In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. rf N; S 5 f o n 49 PO 'a- C'ctLi I. Application Information — Please Print All Information pCEIVED Property Owner's Name Parcel # root 1 0t. )SO'1st obe r k A\o.€ S;s'Co sFp 21 2026 COCC Property Owner's Mailing Address Property Location Bayfield Co. aG Koch RS Govt. Lot City, State I Zip Code Phone Number - r} } z 53s32, 608-131-o8ZO /, %•,Section CI T 43 N R 0!t e-orfl I I.'I'ype of Building (check all that apply) Lo[ # s><l or 2 Family Dwelling —Number of Bedrooms 3 2 .r 3 Subdivision Name PLq•t' CiPM155IOWAR.Y POINT Block# ❑ Public/Commercial - Describe Use 0 Cityof ❑State Owned -Describe Use CSM Number 0 Village of mown %U4mc i.e d!%oYI III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on tine A. Check one box on line B. Complete line C if a lien ble.) A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B• ❑ Holding Tank ❑ In -Ground ❑ At -Grade I Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf I Dispersal Area Required (st) I Dispersal Area Proposed (sf) I System Elevation 'ISO o.7 /8.O 4'43/ 5 S(,(,/aRa.s I99.» GalIelev. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units E a $ y New Tanks I Existing Tanks o g 15 V .n IV GOl-ISO a u vi „ rn ii 0 Septic or Holding Tank 1 000 1000 {�; O r Dosing Chamber &0f7 — ('OO PCCCas1- V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signain MP/MPRS Number Business Phone Number "r u:5 Eu+*rE?e1d GS.87i 7/5-c '1-8J'7% Plumber's Address (Street, City, State, Zip Code) Jy3'/6w SFM* Road 7-7 Na ward, WT S9≥'/3 VI. County/Department Use Only pproved ❑ Disapproved Permit Fee I Date Issued Issuing A nt ure OI rt ❑ Owner Given Reason for Denial 5oV �' I 23 'i_zp Conditions of Approval/Rene onssfforpDisapproval Attach to complete plans for the system and submit to the County only on paper not less than 8 1/1x 11 inches in size SBD-6398 (R 03/22) Wisconsin Department of Safety and Professional Services t1D!s d ' o Phone: 608-266-2112 Division of Industry Services i Web: http://dsr)s.wi.gov 4822 Madison Yards Way I p y Email: dsp�wisconsin.eov Madison, WI 53705 1Tony Evers, Governor 'oF,.., , s Dan Hereth, Secretary August 18, 2026 CUST ID NO.: 713625 TRAVIS A BUTTERFIELD 14346 W STATE ROAD 77 HAYWARD, WI 54843 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/18/2028 MUNICIPALITY: TOWN OF NAMAKAGON BAYFIELD COUNTY SITE: SISKO - MISSIONARY POINT CIRCLE MISSIONARY POINT CIRCLE CABLE, WI 54821 SEC. 02, T43N, R06W LOT 35 PLAT OF MISSIONARY POINT Bayfield Co. FOR: Planning and Zoning Agency Design Wastewater Flow Value: 450 Geomat Mound Component Manual - 5/18/22 Bedrooms: 3 Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) Limiting Factor(s): 19" Maintenance Required: Effluent Filter Identification Numbers Plan Review No.: PWTS-082601817-C Application No.: DIS-072632056 Site ID No.: SIT -163002 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 t'CE.CEIVEV SEP 212026 • 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: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • With new construction; it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Wastewater generated from contractors cleaning of equipment and tools and/or left over construction products shall not be discharged into the drains discharging to the private onsite wastewater treatment system (POWTS). Waste generated shall be properly disposed of on -site or off site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Divert surface water from all POWTS Areas. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • Pump Floats to be set and verified per approved plan. Any changes may result in pump resizing to meet TDH and GPM Specifications. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the mound must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed 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. m Sincerely, �t.le Fee Required: $250.00 SEP 21 2026 Fee Received: $250.00 Balance Due: $0.00 Jeff Brewbaker Eayneld Co. Refund Expected: $0.00 Planning and Zoning Agency Division of Industry Services Phone: 608-516-6428 Email: jeff.brewbaker@wisconsin.gov GeoMat MOUND AND PRESSURE DlSTRlBUTlOLQWMflQKISEpESlGN Residential Application INDEX AND TITLE PAGE All water treatment systems shall be kept out of septic system Owner Info Project Name: Sisko - Missionary Point Circle Owner's Name: Robert Alan Sisko Owner's Address: W2638 Koch Road Fort Atkinson, WI 53538 Property Info Property Address: Missionary Point Circle Legal Description: S 2 T 43 N R 6 W Township Namakagon County: Bayfield Subdivision Name: Plat of Missionary Point Lot Number: 35 Block Number: CSM#: Parcel I.D. Number: 04-034-2-43-06-02-2 00-222-35000 (TAX ID: 25049) Plan Transaction No.: In x Pages ` Page 1 Index and title Page 9 Tank cross sections Page 2 Data entry Page 10 Plot Plan Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Travis Butt rfield Date: 07/30/2 4 r / Signature: n _ tzr Designer Stamp: SEp 212026 License Number: Phone Number: 652879 715-634-8176 State of Wisconsin Approval Stamp: Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES aayIield Co. planning and Zoning Agency Designed Pursuant to the GeoMat Mound Component Manual 5/18/22 SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS CORRESPONDENCE Pressure Distribution Component Manual Ver. 2.1 (May 2022 - 2027) Page 1 of 10 oupd, a td, Pr essLJ a Dt rili Clop ,Cpyl _ nent Design Design Worksheet All water treatment systems shall be kept out of septic system Site Information R Residential or Commercial Design �N ISD Required? 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) Design Flow (gpd) 0.00 Site Slope (%) 98.80 Installation Contour Line Elevation (ft) 19.00 Depth to Limiting Factor (in) 0.70 In -situ Soil Application Rate (gpd/ftz) 100.00 Contour Length Available (ft) Distribution Cell Information Cell Width (ft) 3.25. 6.5 or 9.75 Only 45.00 Designer Input Cell Length (ft) Dispersal Cell Design Loading Rate (gpd/ft2) 45.00 Dispersal Cell Length Required (ft) Influent Wastewater Quality (1 or 2) Pressure Dis ri u ion nformation' Center or End Manifold Number of Laterals Lateral Spacing (ft) Forcemain Drainback (gal) Forcemain Filter Loss (ft) Forcemain Diameter (in) Forcemain Length (ft) Inside Pump Tank Elevation (ft) Orifice Diameter (in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ System Head (ft) x 1.3 Vertical Lift (ft) Friction Loss (ft) Total Dynamic Head (ft) 5x Void Volume (gal) Minimum Dose Volume (gal) System Demand (gpm) Diameter Selection Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x Are the laterals the highest point in the distribution network? If N above, enter the elevation ft of the highest point. Does the forcemain drain back?0 6.65 ftl/Arifice 'u r SEP 21 2026 Ba/"eld Co. Planning and Zoning Agency Manifold Diameter Selection in. dia. options choice 1.25 x 1.50 x x 2.00 3.00 anufactt rer ti orma io Treatment Tank Information Effluent Filter Information Optional 1000.001 Septic Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer Superior Precast IManufacturer LT 1/8 Filter Model Number Dose Tank Information Gallons/Inch Calculator (optional) 623.70 Dose Tank Capacity (gal) 623.70 Total Tank Capacity (gal) 14.85 Dose Tank Volume al/n) 42.00 Total Working Liquid Depth (in) Superior Precast IManufacturer 14.85 gal/in (enter result in cell DoseTankVolume) Project: Sisko - Missionary Point Circle Page 2 of 10 I: �1VItmlUtytejybYm7aaYaYmla'i=9atiw-0cltleul(=Ycyo Down slope toe extension made. A 6.50 ft E 5.00 in H 1.00 ft K 7.88 ft B 45.00 1 5.00 G 0.50 ft J 6.38 ft W 6 0.75 ft D n 9.25 ft 292.50 (ft2) Dispersal Cell Area 866.25 (19) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6" End of B Obs. Pipe Placement GeoMat Dispersal Area Observation Pipe 12" ASTM C 33 sand as GeoMat required for Geo Mat Distribution Cell component 6 GeoMat +12"ASTMC-33 sand 101.43 Finish Grade / Cover Material 100.30 Lateral Invert Elevation i ! 3❑'. �'•'• /� . 99.22 Dispersal Cell:;:, : 4 Slope 0.0 Elevation r• Contour Elevation 98.80 r r 4 r� Tilled Area Forcemain situ soil In situ soil RECEWED SEP 21 2026 1 Topsoil Cap 2 •' ' / 4 Subsoil Cap aayfield Co. 3 0 ASTM C 33 sand (F) Planning and Zoning Agency 4 ASTM C 33 sand (D) 5 ® Tilled Layer 61 Geo Mat See details on page 4 for number, size, and spacing of laterals. Project: Sisko - Missionary Point Circle Page 3 of 10 End Connection Lateral Layout Diagram = 1 urn -up 1st orifice orifices point down p !.Laterals &force main of PVC Sch 40 per Number of Laterals 2 Lateral Diameter 1.50 in Lateral Length (P) 44.55 ft Lateral End (Z) 0.45 ft Lateral Spacing (S) 3.25 ft Lateral Flow Rate 11.85 gpm System Flow Rate 23.69 gpm Dose Tank Information Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Locking cover with warning label. locking device and water tight seat Elcctrkalbos Veined Cover as per NEC 300 and SPs 316.28 \VAC r 1 4-Cleon out Pipe J' Wi es From Elec csourtc II Optional ball to control ` townwla sp ve dot dosed Optional Get Forcemain diameter u.,m. 15tri1" / 2 in. Bossstop and water J'ASrM 30 encase tome pro tot r n ntl tight gasket solid ground Ftunco aePcotcor sot Sim / Tech Filter dtaca t ion STF 100 1/16 High walcralarm Sr I Pump On Float Pump vation(1t) Vertical float required Pump Off Float Pump 93.50 ortime dosed n1k Dose tank elevation (ft) _ .... ma �_ 92.50 Dimension Inches Gallons A 25.09 372.56 B 2.00 29.70 C 2.91 43.24 D 12.00 178.20 Total 42.00 623.70 SEP 212026 Filter Manufacturer Sim/Tech Filter Filter Model Number STF 100 1/16 Bayfield Co. planning and Zoning/Age+wY Alarm Manufacturer SJE Rhombus Alarm Model Number PS Patrol Pump Manufacturer Champion Pump Company, Inc. Pump Model Number CPES3 Pump Must Deliver I 23.69 gpm at I 12.06 ft TDH Note: Switches containing mercury may not be used in this system. Superior Precast Capacity 623.70 Volume 14.85 gal/inch Project: Sisko - Missionary Point Circle Page 4 of 10 GeoMat Distribution Cell Media Layo 6.50 Cell Width (ft) I 1.63 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements •cumponent Legen 0 Distribution Pipe With Pressure Lateral L.J Orifice Shield • Tumup Enclosure — — — — — Pressure Lateral GeoMat is covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 6.50 ICell Width -A (ft) I 45.00 ICell Length - B (ft) End Connection Lateral Layout Diagram Typical Dispersal Cell Sand Fill Recommended Distribution Lateral fl 2— Orifice Shield Pipe Dia. Approved Infiltrative Fabric R 11�l (,u'dii �/ED P_.' GeoMat StP 212026 Component • esotcaas.a •:•: •: Bayfleid Co. Infiltrative Surface/Plow Layer Planning and Zoning Agency ta7cgFadar Water Tight 1 0 Topsoil Cap Toilet Flange 4" Mm 2 / . Subsoil Cap ebar 31+ ASTM C 33 sand (F) l°" 41 ASTM C 33 sand (D) t^ Min lmtall at _ 4M ° 5 i i Tilled Layer nd/Geo 6 _44;i4 — - - -. 6 ® Geo Mat + •mm6i. Asn&t33 mladc + + -4- See details on page 4 for number, sire, and spacing of laterals. Project: Sisko - Missionary Point Circle Page 5 of 10 Service Provider's Name Butterfield Inc Phone (715) 634-8176 POWTS Regulator's Name Bayfield County SPIA - Zoning Department Phone 715) 373-6138 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 30 mg/L Septic Tank Capacity 1000 gal Maximum TSS 30 mg/L Soil Absorption Component Size 292.5 ft2 Maximum FOG 10 mg/L Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 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 Inspect and clean as necessary at least once every 3 years Test once every 3 years Should test periodically Laterals should be flushed and pressure tested every 3 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards I. 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 Synergy Systems GeoMat Mound Component Manual Version 1, 2017. 2. Dispersal cell media conforms to GeoMat products approved for use with the Synergy Systems GeoMat Mound Component Manual Version 1, 2017. Media is covered with an approved geotextile fabric. 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. Lateral Turn -up Detail 6-8" Diameter >000000000000is 00� is ' oo 0000000 Threaded Cleanout C )000 0000 Finhed 00000 oc000 Lawn Sprinkler >O p000000o0o Grade i&p2o°o°o Plug or Ball Valve „_ a Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Lateral Cleanout SE9 212026 1.4 Feet eld Co. BaY planning and Zoning A9C� Project: Sisko - Missionary Point Circle Page 6 of 10 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 [Synergy Systems L.L.C., Geomat Mound Component Manual version 1, 2017, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01181)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 -inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, 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 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 as to 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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 necessary. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. one should ever enter a septic or dose tank since dangerous gases may be present that could cause death."*" 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 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 10^ 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 3 years. 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. Pending levels shall be reported to the owner, and any levels above 4 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Sisko - Missionary Point Circle Page 7 of 10 SEP 212028 Bayfield Co. Planning and Zoning Agency 0 I FEATURES/BENEFITS PERFORMANCE Heads up to 37 TDH Flows up to 72 GPM MOTOR High efficient, 115v, oil filled, permanent split capacitor motor with upper and lower ball bearings and thermal overload protection - Constant bearing lubrication - Maximum motor cooling - Runs cooler and lasts longer -Internal overload protection - Quiet operation - Fasteners and shaft made from rugged, corrosion resistant stainless steel SEAL DESIGN Mechanical with secondary dynamic lip seal - Provides added leakage protection IMPELLER DESIGN Non -clog style vortex impeller - Designed to help reduce clogging by foreign material PERFORMANCE CURVE 12. POWER CORD Sealed entry quick disconnect power cords - Prevents water from entering the motor housing through a cut cord - Easy to replace in the field -Available in lengths up to 100' SWITCH Piggy -back switch design - Defective switches can be diagnosed over the phone - Pump can be operated manually or supplied with other piggy -back switches -Switch can be replaced without having to replace the pump APPLICATIONS Basements, dewatering, septic systems, residential and commercial developments and elevator pits SEP 212026 aayiield Co. 2lannin'3 and Zoning Agency rl Wide -Angle Float Vertical Float 1/3-1/2 HP submersible pumps that handle up to 3/4" solids with 2" discharge with 1 1/2" adapter 0 10 20 23.69 30 40 50 60 70 80 Gallons per Minute, GPM Page 8 of 10 ' SUPERIOR I 1000/600 2 -Compartment Tank "SUPERIOR PRECASTCONCRETE f PRECAST CONCRETE TOP VIEW Weight (in Ibs) Tank 9,160 Lid: 5,884 Total: 15,044 Volume of Concrete Total: 3.8 Td' Gallons Per Inch: 40.6 14_" I- S3-12" I" 73" 79" 1031 5 Gallons 6?1 Gallons 24.54 GPI 14.85 GP I-' Wall SIDE VIEW 28" Enlarged Detail 4" Lid Conditionally 6n 4" OML-t APPROVED t ?" 9" Air Space �" f DEPT. OF SAFETY AND PROFESSIONAL 4" - �y- SERVICES DIVISION OF INDUSTRY SERVICES ITalet 42" liquid 60" 4I.. I -- --- -- - 3 4�„ I SEE CORRESPONDENCE Manhole Openings 2-1/2" Taper n 1 e e Mastic Rope _ Produced by Superior Precast Concrete, LLC ;uuVlsO PO Box 1390 21 Z026 Hayward, WI 54843 yfield Co. noZoning Agency SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineerfor suitability of use. Configuration may change from drawing, consult with SPC. File No: I This is proprietary intormatIan, and remains the property of Superior Precast Concrete, IC. Page 9 of 10 MISSIONARY POINT CIRCLE SCALE = 1:40 0 40 Lot 35, Plat of Missionary Point Sec. 02, T43N, R06W Town of Namakagon Bayfield County TAX ID: 25049 BM = Nail in 12" Oak Tree near base of tree on North Side ELEVATIONS BM - 100.00' B1 - 98.84' B2 - 98.80' B3 - 98.90' Property Owner: Robert Sisko W2638 Koch Road Fort Atkinson, WI 53538 c.CE%VEO SEP 212026 J99, Bi Proposed Driveway N (future) <I%u Garage slope 1. n B3 Ii Propo d CT Proposed 3 BdGo e i :' PA Well • Dw ing m o N- - B2 i- 0 BM C a 100.01 p V C w U > U a 0- o • o 0 K LL o. U 2 > CT = 1000/600gal prefab concrete combination septic/pump tank made by Superior Precast w/ Lifetime LT -1/8 Filter, Simtech STF-100 Filter and Champion CPES3 Pump AA = Absorption Area consisting of a 19.25' x 60.75' Mound with 90ft Geomat 3900 arranged in a 6.50' x 45.00' cell Page 10 of 10 Imo_, Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County BAYFIELD Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 04034243060220022235000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewedb Date r Personal lnrannadon you provide may be used ror secPo`Iarypri,ges ri acXLaw, s. 15.04(1) (m)). `4 ' a 5—Jpl TIMOTHY J WIPPERM4 f Ggytllt.ot bM 1/4)1W 1/4 S 02 T 43 N R 06 5353 GREEN VALLEY CT 1 35 1 1 MISSONARY POINT PLAT NASHVILLE I TN I 37220 1 ( 715 ) 798 t5y �Pf• NAMAKAGON AST 1 Missionary Point Cir New Construction UseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable 1L General comments - i E! • 1'° MOUND SYSTEM RECOMMENDED and recommendations:- " ELEVATION 100.22' SEP 212026 SIZING AT 0.4 n I 1 Lav� ;a AC-nc I 1 I Boring # I I I • ,Pit Ground surface elev. 98.84' ft. Depth to limiting factor 20 in. c,.a c,,.�..., a�ro Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *EfI#1 Eff#2 1 0-5 7.5YR 3/4 SIL 3FGR MVFR AW 3vf-co 0.6 0.8 2 5-13 74/3 SIL 3FSBK MAR CS 3vf-co 0.6 0.8 3 13-20 7.5YR 4/4 SL 2MSBK MFR CS 3F -CO 0.6 1.0 4 20-42 7.5YR 4/4 z.5YR 62 C2P SL ICOSBK MFR — 0 0.6 1.0 2 Boring # U Boring 98.80' 19 El Pit Ground surface elev. R Depth to limiting factor In. Can annl !i,.Hnn DI Horizon Depth in. Dominant Color Munsell Redox Description Qu. St Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff •Eff#1 *Eff#2 1 0-6 7.5YR 3/4 SIL 3FGR MVFR AW 3vf-co 0.6 0.8 2 6-11 7.5YR4/3 S1L 2MSBK MVFR CS 3F -CO 0.6 0.8 3 11-19 7.5YR4/4 SL IMSBK MVFR CS 2F -CO 0.4 0.7 4 19-42 7.5YR 4/4 25M 612 C2P Si, 6M — — 0 0.2 0.6 ' Effluent #1 = BOD > 30 <220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BOD 30 mg1L and TSS < 30 mg/L CST Name (Please Print) ^Sjgnature -2 A') Jr / CST Number 11130 LEONARD SCHOOL RD CABLE, WI 54821 07/0712012 715/798-3494 Property Owner WIPPERMAN Parcel ID # 04034243060220022235000 Bodn #Boring g El Pit Ground surface elev. 98.90 ft. Depth to limiting factor 21 in. pth in. Dominant Color Munsell Redox Description Qu. Sz. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIfF *Eff#1 Eff#2-6 7.5YR 3/3 SIL 3FGR MVFR AW 3vf-co 0.6 0.8 14 75YR4/3 SIL 2MSBK MVFR CS 3F -CO 0.6 0.8 R -21 7.SYR4/4 SL 2MSBK MFR CS 3F -CO 0.6 0.8 -42 7.5YR 4/4 2.5YR 6/2 C2P SL I CORK MFR --- 0 0.4 0.7 Page 3 of 4 Soil Anoliration Rate ❑ Boring # FJ Boring © Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/IF *Eff#1 'Eif#2 CBoring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. © Pit Soil Aoolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/fF 'Eff#1 *Eff#2 Go. o�m9 * Effluent #1 = BOD, > 30 c 220 mg/L and TSS >305 150 mg/L * Effluent #2 = BODR 530 mg/L and TSS 530 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. seo.8330Te.r(Rorroo) PAGE 3 OF 3 WIPPERMAN MISSIONARY POINT CIRCLE TIMOTHY J WIPPERMAN 5353 GREEN VALLEY CT NASHVILLE, TN 37220 715-798-3445 LOT #35 LOCATED IN MISSIONARY POINT PLAT PRN I'Fl+d S02 T43N R06W TOWN OF NAMAKAGON 04034243060220022235000 BM NAIL, ON NORTH SIDE, AT BASE OF OAK TREE 12" DBH MOUND SYSTEM RECOMMENDED ELEVATION 100.22' SIZING AT 0.4 SCALE 1"=40' aa� SE? 212026 Band 7- Go. A9yncY piann�ng a"d Z°n�n9 51 98.84n <1% SLOPE V '3] A SBM B2 100.0' 98.80' Real Estate Bayfield County Property Listing Today's Date: 9/11/2026 Li' Description Updated: 5/3/2021 Tax ID: 25049 PIN: 04-034-2-43-06-02-2 00-222-35000 Legacy PIN: 034110710000 Map ID: Municipality: (034) TOWN OF NAMAKAGON STR: 502 T43N R06W Description: PLAT OF MISSIONARY POINT LOT 35 IN DOC 2021R-588402 861 Recorded Acres: 0.690 Calculated Acres: 0.689 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 123 `i Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 034 TOWN OF NAMAKAGON 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Property Status: Current Created On: 3/15/2006 1:15:49 PM Ownership _ Updated: 5/3/2021 ROBERT ALAN SISKO FORT ATKINSON WI Billing Address: Mailing Address: ROBERT ALAN SISKO ROBERT ALAN SISKO W2638 KOCH ROAD W2638 KOCH ROAD FORT ATKINSON WI 53538 FORT ATKINSON WI 53538 P Site Address * indicates Private Road N/A ® Property Assessment Updated: 4/14/2016 2026 Assessment Detail Code Acres Land Imp. GI -RESIDENTIAL 0.690 33,000 0 2 -Year Comparison 2025 2026 Change Land: 33,000 33,000 0.0% Improved: 0 0 0.0% Total: 33,000 33,000 0.0% Recorded Documents Updated: 9/12/2012 11 Property History 0 WARRANTY DEED N/A Date Recorded: 4/30/2021 20218-588402 0 WARRANTY DEED Date Recorded: 11/16/2018 2018R-575421 0 WARRANTY DEED Date Recorded: 8/1/2012 2012R-545022 1087-693 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 8/1/2012 2012R-545021 1087-690 0 CONVERSION Date Recorded: 3/15/2006 487530 491-226;877-968 0 QUIT CLAIM DEED Date Recorded: 2/10/2006 2006R-504990 938-167 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 11/19/2003 2003R-487530 877-968 SEP 212026 Bayfield Co. planning and Zoning Agency BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) L�Checklist CY Original Sanitary Application (Submitted in Deed Holder's Name - not prospective buyers) (383.21(1)1 E7 /Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) H Original Plot Plan (383.22(2)2. 3. & 4.a) R'6oss-Section, Overhead Profile of the System and Schematic of Tank from Manufacturer [P�ump Tank Diagram, Alarm and Pump Curve (when applicable) Es"Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) LK Maintenance Agreement (Owner's Original Signature(s)) (383.21(2)(c)(6) (Recorded at Reg. of Deeds) 8- Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) .B -Holding -Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) r_1 eMeing Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) L� Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 4i Complete Set of Plans (Note: Sanitary Application — Maintenance Agreement & Service Contract are to be included in the copy packet) Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) 'L!J State Plan Review (when applicable) L5' Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) I Application Information must include: L '(4 or 5 digit) Tax ID# -- (do not use 12 digits anymore --obsolete) ICJ PFejc€t ddras _r Road Name where driveway is/will come off of) @'(Owners Phone Number) Type of Building L9'/III Type of Permit r�//IV Type of P0WTS System IS/V Dispersal / Treatment Area Information K VI Tank Information h3 VII Responsibility Statement (Plumber's Information) 0' *Date Stamp* Plot Plan: (To Scale or To Dimension) E7 Signature and Plumber Information (an lnder P.jr) ©__- ttface-Etevation of Body of Water &? Direction and Percent Land Slope CtTank and Filter Information and Location Q -/Wetlands/ Navigable Bodies of Water MAbsorption Area (Proposed and Existing) W66ench Mark (Location, Elevation and Description) 4omponent Manual Version (o^ )n irPye RECEIVED SEP 212026 hayfield Co. Planning and Zoning Agency P Address Number and Road IV'North Arrow L5"Contour Lines Gd/Structures and Driveways I�Boring Locations W/iProperty Lines E ' Well Locations H Legal Descriptions Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Cross -Section and Overhead Profile of the System: W Surface and System Elevation I//Position of Observation and Vent Pipes l� Dimensions and Depths L 'Make, Model & Number of Chamber Units in each Cell Property Information How many systems will there be on this parcel of land? l W3 Has this property been split? Na (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 Mounds or Systems requiring Pre -Treatment 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 ,l Maintenance Agreements ♦ $ 30.00 - Serk }o R `5; 5 k r o f IDac1 (check should be made out to Reg of Deeds) a (A full legal description is required at the Register of Deeds Office). If you have a legal description that states "parcel in or part of' you must attach a copy of your deed showing the metes and bounds description in order to be recorded. Examples: located in part of Gov't Lot 4, Section 1, Township 23 N, Range 4 W, Town of Bayfield, described as a parcel in the NE'/, of the SE '%, Section 1, Township 23 N, Range 4W, Town of Bell u/farms/cheddists/checkllstforsanitaryapps (®8/5/2026) Private Sewage System Maintenance Agreement Owner(s) Name Robert Alan Sisko W 2638 Koch Rd Fort Atkinson, WI 53538 Missionary Point Circle (no fire # yet) Tax ID # 25049 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 operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 1/4 of 114 Section 02 Township 43 N. Range 06 w Additional Legal Description: Town of Namakagon (Acreage) 0.689 Gov't Lot DOC 2021 R-588402 861 Lot 35 Block Subdivision PLAT OF MISSIONARY POINT Lot _ CSM # Vol. _ Page _ CSM Doc # ❑ In -ground gravity ZI Mound DOCUMENT NUMBER 2O26R-6 1 3832 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/21/2026 AT 11:05 AM RECORDING FEE: $30.00 PAGES:1 Recording Area Return To: Planning and Zoning Department SEP 2'Z 2026 ❑ In -ground dosed ❑ In -ground pressure distribution 'Sewage System: O 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 effluent from the system is pending on the ground surface. Mounds. At -grade, and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Robert Alan Sisko Subscribed and sworn to before me on this date: oC(.ea. owl V P 2p�P Notarized Owner(s) — Slgnature((ss) ✓' J Notary Public — Va My Commission Expires: ara14.O Dso sqT Drafted by:Ronald Spreckels Jr Date: 08/20/26 OSn Imes Co Proofed by: u/forms/sanitary/sep tic maintencsag reement Revised July 2020 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: SISKO, ROBERT ALAN W2638 KOCH ROAD FORT ATKINSON, WI 53538 Description State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Submission Number: SS -00847 Transaction Number: SS -00847-55C78 F!iituPIi1 $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 5567 Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 9/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-137S STATE SANITARY PERMIT OWNER: ROBERT SISKO G OV'T LOT: LOT: 35 BLK: SUBDIVISION: Plat Of Missionary Point 1/4 1/4 SEC:2,T43 N, R6 W TOWNSHIP: Namakagon SOIL TEST: 72-12 NEW SYSTEM SYSTEM TYPE: Mound > 24 in. of suitable soil PLUMBER: TRAVIS BUTTERFIELD SCOTT ROUSH DATE: 9/23/2026 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: # 652879 Condition: THIS PERMIT EXPIRES 9/23/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION