HomeMy WebLinkAbout26-141SI
Department of Safety
Comfy
by = SS O O $ Pj 1.4
& Professional Services,
BSanitary ayfleld
Permit Number be filled in by Co.)
Industry Services Division
(to
Sanitary Permit Application
State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
Project Address (if differen w E0
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
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), Slats.
cp 292026
I. Application Information -Please Print All Information
Property Owner's Name
Parcel #
Zachary Schmidt & Kristine Schmidt
15447 Bayfield Co.
Property Owner's Mailing Address
Property Location
68575 Karaba Rd
Govt. Lot
SE NW 07
City, State I
Zip Code
Phone Number
Ashland, WI
54806
715-813-0899
'/.. v Section
T 47 N R 05 F o
11. Type of Building (check all that apply)
Lot#
Subdivision Name
S I or 2 Family Dwelling - Number of Bedrooms 5
Block #
❑ Public/Commercial - Describe Use
E j
O City of
❑ State Owned — Describe Use
❑Village of
CSM Number
e Town of Eileen
Ill. 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
a licable.
A.
El New System
❑ Replacement System
9 Other Modification to Existing System (explain)(explain)
❑ Additional Pretreatment Unit
Add pump tank and two trenches
B'
❑ Holding Tank
✓Design
❑ In -Ground
At -Grade
❑ Mound
❑ Individual Site
❑ Other Type (explain)
( xP )
(conventional)
C.
❑ Renewal Before
❑ Revision
❑ Change of Plumber
❑ Transfer to New Owner
List Previous Permit Number an Date Issued
Expiration
425173 �[
5 j &w
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/si)
I Dispersal Area Required (sf)
I Dispersal Area Proposed (sf)
System Elevation
750
.4
1875
1922.7
99.2'
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
,R
New Tanks
Existing Tanks
v c
a
v
.n
a U
in y
r"n
ii. U
a
Septic or Holding Tank
1000/500
1500
1
Wieser Concrete
✓
❑
Dosing Chamber
750
750
1
Wieser Concrete
❑✓
V. Responsibility Statement- 1, the undersigned,
assume responsibility fort r fellation of the POWTS shown on the attached plans.
Plumber's Name (Print)
ber's Signature
MP/MPRS Number
Business Phone Number
Dean Blakeman
1
1092768
715-682-6050
Plumber's Address (Street, City, State, Zip Code)
44941 State Hwy 13, Ashland, WI 54806
VI. County/Department Use Only
Approved
❑ Disapproved
Permit Fee I
S
Date Issued u' g Age gna
O Owner Given Reason for Denial
^
/ LV_
Conditions of Approval/Reasons for Disapproval
ScL l ,theq eGiic -
Attach to complete plans for the system and submit to the County only on paper not less than 8 II2x II inches in size
SBD-6398 (R- 03/22)
• NOV-17-2002 08:39
Wisconsin Department of Commerce
. ,.r ealMv and Aulldirws
JOSEPH ZIRN SOIL TESTING 1 715 765 4608 P.01
SOIL EVALUATION REPORT Page / of 3
-'"-"- -" --- ' - in accordance with Comm 85. Wis. Adm. Code
County
Attach Complete site plan on paper not less than 81x2 x t 1 Inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM). direction and
parcel I.D.
Oa O
/0/.? 07
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Date
Please print all information.
Reviewed by
Personal k formation you provide may be used for seWndary piss (Privacy Law. a.15.04 (1) (m)).
Property Owner p �, Property Location .l ��J
RI R Sr, * d ns- m. T f � Govt. Lot SE 1/4 /1''"1/4 S 7
T 4/7 N R
ChtIrd
Property Owner's Mailing Address / Lot # Stock # Subd. Name or GSM
A
a
69S7s" Ka" -a
City 5.. Zip Code Phone Number Prty ❑ Village Town
Nearest Road
AAk' J (Jr 5 -YE -0b (7r -5i79,6 a/a6 //ec'
0 New Construction use: ® Residential! Number of bedrooms Code derived design flow rate
GPD
Replacement Public rcommercial - Describe:
9
n•
Parent matador Ca /f~C li I Flood Plain elevation If applicable
lu I -r f p / /
P/..
cry s �a�r
General comments 1- -,-�f'ron S)iS 'ZI0V4%ro'^S-�•-r•w
and recommendations: Can vg,^-j"'uHG f. wr /r f S I
II�
Vcp(uM e.wf _WX
p / l 1 /y
{/C'CVMMo // Pesrs.� �br(�ih liti iP `(G[/4 t't-
/
❑
Boring K 01 acting
L7a pit Ground surface elev. / O. a fin- Depth to limiting facmr i^ Soil Application Rate
Horizon
Depth
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
•E GPO/I?
ff#i
EH#2
in.
Murtssell /J
Cu. Sz. Cont. Colo"
/�
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IC
Boring Bayheld Co.
n Boring # _ ,.r,,,,nd x,nfare elev. /old. 3 tt Depth to limiting factor Panning and ZonR6.1na An nr'y
g I Sf11 Anoliradon Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Cu. Sz. COAL Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/R'
,E
Eff#2
o-
7r.145?/-
Lis
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, 9
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ay y?
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Os 6
f
cs
c 5
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^7
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fo
SYR Y/
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.
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on?
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7 Rt]n_
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and TSs
a 30 moll
Effluent#1= evu, ..- -.__...a_ST _ Number
CName (Please Pring10E ZERN CST Signature CST �
Address 282ESu rt,jutamontDale Evaluation Conducted Telephone Number
Mason, WI 54856 // /5 7,S 7t s- 4'o?
580-8970 (RO7/W)
NOV-17-2002 0B:39 JOSEPH ZIRN SOIL TESTING 1 715 765 4608 P.03
Property Owner Parcel ID #090 /O/.a O7 Page of 3
Boring # ❑ Bating
pit Ground surface elev. /00. 7 ft Depth to limiting factor Co rJ In.
Soil Annl�iaann i ifl
Horizon
Depth
In.
Dominant Color
Muncefl
Redox Oesc iptloo
Cu. Sz. Coot Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPO/fl'
'Ett#1
Eff#2
0-1'
7SY/P 3/2
e
LA
}A
$nafL
as
s
, 9
7-18
.cy25"/4
hoHc
yS
ps
/,2
3
!fr_ 31
7sY'f s4l
_
£5
wLI
—7
/Q
Y
353
k'Y/
v[oa�
Lis
OM
-
5
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r $o
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ploi t`-
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lnu
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r
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o -7o
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7-f'YR7/a
Ld s
on
—
—
r
`/
Ca
Boring # I❑ -I Boring
t,.,l pit Ground surface elev. ft. Depth to limlling factor in. aria A� l
Hotirm
Depth
in.
Dominant Color
Munsell
Redox Description
Cu. Sr. Cont. Color
Texture
Structure
Or. Sr. Sh.
Consistence
Boundary
Roots
GPDIfP
'Eff#f
•Eff#2
❑ Boring S ❑ Soong
pit Ground surface etev. ft. Depth to limiting factor In.
Soil Aoolan Rate I
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Cu. Sr. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ftt
•EN#1
•Eff#2
SEP 292o
Plan
Ing and
oningAge
cy
Effluent #1 _ BOD5 >30<220 mgtL and TSS '30<150 mg/I. ' Effluent #2 = 800, c 30 mg/I. and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608.266-3151 or TTY 608-264.8777.
55045101R.0100)
TOTRL P.03
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P
RECEIVE®
• SEP 2O2026 •
Bay$eeld co.
Planning and Zoning.Agency
PAGE 1 OF 5
In -Ground Dosed -Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 5 Index & Cover Sheet
Pg 2 of 5 Plot Plan
Pg 3 of 5 Dispersal Area Cross -Section & Plan View
Pg 4 of 5 Pump Tank Specifications RECEIVEb
Pg 5 of 5 Management Plan SEP 29
2026
Attachments:
Enclosures: l�atteinga� ac
Pump Curve
POWTS Application for Review
¶arC ≤�ccS 4ttfbMp
Soil Evaluation Report & Site Map
2004 System Des gn
Project Name / Description
Schmidt 5 -Bedroom Conventional
Owner Name(s): Zachary Schmidt & Kristine Schmidt
Owner Address: 68575 Karaba Rd, Ashland, WI
gAgency
Phone: 715 -813 £899
Project Address: 68575 Karaba Rd, Ashland, WI 54806
Govt. Lot: SE 1/4 of NW
Township: Eileen
Project Parcel ID #: 15447
Zip: 54806
1/4, Section 07 ,T 47 N -R 05 E for w❑✓
County: Bayfield
Designer Information
Designer Name: Dean Blakeman Phone:
Designer Address: 44941 State Hwy 13, Ashland, WI
E-mail: dean@blakemanplumbing.com This space reserved for approval stamp.
License Number: 1092768
715 £82 -6050
Zip
54806
Remarks:
ADDING TO EXISTING SYSTEM TO ACCOMODATE 5 -BEDROOMS
CONVERT EXISTING TWO -COMPARTMENT TANK TO SEPTIC TANK.
ADD NEW 750 -GALLON PUMP TANK.
ADD TWO 76' X3' TRENCHES WIT 38 QUICK4 CHAMBERS.
Signature: Date: f E/ /26?(V
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE.
❑ SOIL EVALUATION
SITE MAP
I :: • I
rrnnnna
CHECK BOX AS APPLICABLE.
❑✓ SYSTEM PAGE 2 OF 5
PLOT PLAN
PROJECT NAME: (15 it grid) 15' DESIGN FLOW: 750 GPD
Schmidt 5 -Bedroom Conventional Attach design flow calculations for commercial plans.
PROJECT ADDRESS: 68575 Karaba Rd, Ashland, WI 54806 Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
Sanitary Sewer. 4" PVC / D3034
BM Symbol: BM Elevation: 100 FT Force Main: 2" PVC / D1785
BM Description: nail approx 2' above ground in oak tree
e Gradient b Indicate north by
Slope (°) 1% Well Symbol (If applicable): 0 drawing an anov
of Tested Area: on the approprlte line.
OPEN FIELDS
IMPORTANT:
Show ground elevation contours at suitable intervals.
VVe L LVL Ltlltl
I
1
1
GI
JI
of 100.7'
3� 100.5' y�oe
1 100.2' ,,• , ,ete
of
Existog
'C-------
_ 200' +/_ to S Lot Line
(line not to scal
�e -
-------
Garage
Nell
'Q 0
Add 750
5 -Bedroom
House
Trees
1000/500 Septic Tank
a
2 trenches w/19 Quik4
300'+/- to N Lot Line
(line not to scale) <_
RECENEop
SEP 2 9 2026
Bayfield Co.
Planning and Zoning Agcy
ea.
Karaba Rd.
EXISTING SYSTEM HAS 4 TRENCHES 3' X 62' CONTAINING 37 STANDARD INFILTRATORS (SEE ATTACHED SYSTEM DESIGN FROM 2004)
BELOW IS TO BE ADDED TO THE EXISTING DRAIN FIELD. NO CHANGES BEING MADE TO THE EXISTING DRAIN FIELD
IN -GROUND DOSED -GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard -W Chambers
3 -ft Trench (down -sizing credit)
RECEIVED
SEP 2 9 2026
Bayfield Co.
Plannkg and Zoning Agency
SOIL COVER
2"
min, trench
depth
(typical)
mmcal) TYPICAL TRENCH
(typical)
CROSS SECTION VIEW
(No Scale)
I 3a•
(typical)
System Elevation = 99 .2 ft
(typical)
Quick4 Standard -W
w/ End Cap (Show location of inlet / outlet pipe connection on plan view.)
(typical)
r- ----------- --------77-----
L -------------
- — — —
H
6= 76 ft
(typical)
INSTALL PER TRENCH:
19 Quick4 Std -W @ 20 fe EISA/chamber = 380 ft'
+ 1 Pairs of end caps @ 6 ft' EISA/pair = 6 ft2
= Proposed EISA per trench = 386 ft2
Provide minimum 3 ft
separation between trenches.
Observation Pipe
(typical)
Install per manufacturer's
/ InstructIons.
TYPICAL TRENCH
PLAN VIEW
(No Scale)
A=3.0ft
(typical)
�—Quick4 Standard -W Chamber
(typical)
(mftl by Infiltrator Systems, Inc.)
Install pursuant to manufacturers instructions.
ADDITIONAL
Required Infiltration Area = 750 ft' Distribution Method:
x 2 trenches = Proposed Total EISA = 772 ft2 branched manifold
+ EXISTING EISA = 1150.7 sgft
TOTAL = 1922.7 sqft
m
D
C)
m
CA)
O
m
O1
PAGE 4 OF 5
GRAVITY -DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
(No Scale)
40 Vent Pipe
>10 It from
Building
12" Min. or 2.0 ft above
Established Flood Elevation
(typical)
Approved
IMPORTANT: Vent Cap
Anchor tank(s) as necessary
pursuant to SPS 383.43(8)(g)
Finished Grade
Electrical must comply with
SPS 316 and NEC 300
Weatherproof
Extend manhole riser as necessary.
Junction Box
Approved Locking Manhole
with Warning Label Attached
(typical)
Conduit
4" Min. or 2.0 ft above
Established Flood Elevation
(typical)
—Aidioht seal
\I/
18" Min.
CAPACITIES @ 20.28 gal/in
y .: '
(typical)
Depth (in)
Volume (gal)
A
24.75
501.93
*
w l
. \_ Approved Joints
p
with
B
2.0
40.56
q
Hole
Approved Pipe 3 ft onto
Solid Ground
(typical)
[C]
5.75
116.61
D
4.5
91.26
B
Alarm
On
(° )
PUMP -OFF
*Pump Tank Liquid Level = 37
Pump
in J-
on
ELEVATION = 88.85 ft
Force Main Diameter = 2
°
in
c°"lock
INSIDE BOTTOM
88.1
Block
ELEVATION = ft
Force Main Length = 85 ft
3"Approved Bedding Material Beneath Tank
Force Main Void Volume = 13.9 gal
[C] Total Dose Volume (TDV) = 116.61 gal/dose
(<0.2X design flow + force main void volume)
Vertical Lift = 10.35 ft
PUMP TANK:
Volume = 750 gal
Manufacturer: WIESER
Pump Manufacturer: Gould
Pump Model: EP0411
(See allachetl pump curve.)
Controls/Alarm Manufacturer: SJE Rhombus
Controls/Alarm Model: PSP2
Float switches containing mercury are prohibited.
RECEIVED
SEP 29 2026
Bayfield Co.
Planning and Zoning Agency
SEPTIC TANK(S):
Total Volume = 1648 gal
Manufacturer(s): WIESER
Install approved effluent filter at the septic tank outlet
immediately upstream of the pump tank inlet.
Filter Manufacturer: Polylok
Filter Model: PL -525
PAGE 5 OF 5
In -ground Dosed -Gravity Management Plan
IMPORTANT:
The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance
pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this
system shall be considered a human health hazard if not maintained in accordance with this approved management
plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow= 750 gpd; GODS S 220 mgL-'; TSS S150 mR CE( 30 mgL-'
Inspection Checklist INSPECT EVERY 3 YEARS SEP 292026
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.) Bayfiea Co.
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Planning and Zoning Agency
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Blakeman Plumbing & Heating, Inc Phone: 715-682-6050
Local governmentunit Bayfield County Zoning Administration Phone: 715-373-6138
Local government unit address: 117 E 5th St, Washburn, WI ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
JUUULU5 PUMPS Submersible
Effluent Pump
aQ%
1
JO! I EP05
/-
APPLICATIONS
Specifically designed for the
following uses:
• Effluent systems
• Homes
• Farms
• Heavy duty sump
• Water transfer
• Dewatering
SPECIFICATIONS
• Solids handling capability:
3/a' maximum.
• Capacities: up to 60 GPM.
f • Total heads: up to 31 feet.
• Discharge size: 1'/2" NPT.
• Mechanical seal: carbon-
rotary/ceramic-stationary,
BUNA-N elastomers.
• Temperature:
104°F (40°C) continuous
140°F (60°C) intermittent.
• Fasteners: 300 series
stainless steel.
• Capable of running
dry without damage to
components.
Motor:
• EP04 Single phase: 0.4 HP,
115 or 230 V. 60 Hz, 1550
RPM, built in overload with
automatic reset.
• EP05 Single phase: 0.5 HP,
115 V or 230V, 60 Hz, 1550
RPM, built in overload with
automatic reset.
• Power cord: 10 foot
standard length, 16/3
SJTOW with three prong
grounding plug. Optional 20
foot length, 16/3 S1TW with
three prong grounding plug
(standard on EP05).
• Fully submerged in high
grade turbine oil for
lubrication and efficient
heat transfer.
Available for automatic and
manual operation. Auto-
matic models include
Mechanical Float Switch
assembled and preset at the
factory.
FEATURES
■ EP04 Impeller. Thermoplas-
tic Semi -open design with
pump out vanes for mechanical
seal protection.
METERS , FED'
■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower
tic enclosed design for heavy duty ball bearing
improved performance. construction.
■ Casing and Base: Rugged
thermoplastic design provides
superior strength and corrosion
resistance.
■ Motor Housing: Cast iron
for efficient heat transfer,
strength, and durability.
■ Motor Cover: Thermoplastic
cover with integral handle and
float switch attachment points.
■ Power Cable: Severe duty
rated oil and water resistant.
AGENCY LISTING
${1' Canadian Standards Association
Goulds Pumps is ISO 9001 Registered.
RECEIVED
SEP 292025
Punniaaynerdco
ng aand Zoning Agency
10 12 m3/h
CAPACITY
Goulds Pumps
C 2002 Goulds Pumps
Effective September, 2002
ITT Industries
GOULDS PUMPS
1m .3871._ �tac6/P/a
a 7 EP04
EP05
5 J
3 —
2
COMPONENTS DIMENSIONS
Item
No.
Description
1
Impeller
2
Rugged thermoplastic base
3
Rugged thermoplastic
pump casing
4
Mechanical seal
5.
Ball bearings
6
0 -rings
7
Power cord
8
Oil filled motor
9
Cast iron motor housing/
stator assembly
10
Thermoplastic motor cover
MODEL INFORMATION
(All dimensions are in inches. Do not use for construction purposes.)
11
6' MINIMUM WATER LEVEL
SUPPLIED WITH FLOAT SWITCH
Nil
PERFORMANCE RATINGS
Total Head
(ft. of water)
Gallons Per
Minute
EP04
EPOS
5
53
10
46
62
15
36
56
20
21
47
24
0
38
28
—
24
31.5
—
0
RECEIVED
SEP 292026
Bayfiekl Co.
Planning and Zoning AQOrry
Minimum
Float Switch
Cord
Discharge
Minimum
Minimum
Minimum
Maximum
Shipping
Order No.
HP
Volts
Amps
Circuit
Phase
Style
Length
Connection
amin
SSizes
Weight
Breaker
Level
Level
Diameter
Size
Ibslk
EP0411
4
115
12
15
1
Plug / No Switch
10
1'/i
Manual
Manual
15"
'/,"
20/ 9.1
EP0411A
Piggyback/Wide-Angle
10'
1'h"
12"
6`
15'
21/9.5
EP0411F
Plug / No Switch
20'
1h'
Manual
Manual
15'
20/9.1
EP0411AC
Piggyback/ Wide -Angle
20'
1'%,
12"
B'
15"
21 / 9.5
EP0412
230
6
10
Plug / No Switch
10'
1'h"
Manual
Manual
15"
20/ 9.1
EP0412F
Plug/No Switch
20'
1'h'
Manual
Manual
15"
2019.1
,5
115
13
15
Plug / No Switch
10'
1'',`
Manual
Manual
15"
22/10
OEP05112F
Pi99Yhack/Wide-Angle
20'
1'h`
12"
6"
15'
23/10.4
230
6.5
10
Plug/ No Switch
20'
1'W
Manual
Manual
15"
22 110
Goulds Pumps and the ITT Engineered Blocks Symbol are
registered trademarks and rradenames of ITT Industries. www.goulds.com
aminin lid u e A enerlOrnTnve ene eun.ert-en rtuu�� u
Goulds Pumps
T <& ITT Industries
E c5T1N& TAA1K -j"6 Th CduUe-R-rGDT6 scpp1c
109.•
a
TOP VIEW
SCALE: 1/4" = 1'
IPTIONAL
I AN HOLE
,CCESS
4" VENT N I /--4" VENT
•i n iii u. .
v�3113G �j iill7•��
SIDE VIEW
SCALE: 1/4" = 1'
W1 000/500 -MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 2-1/2"
BOTTOM: 3"
COVER: 5"
MANHOLE: 24" I.D.
HEIGHT: 69 1/2" O.D.
LENGTH: 109-1/2 0.0.
WIDTH: 93" O.D.
BELOW INLET: 57" O.D.
LIQUID LEVEL: 51"
WEIGHT: 10,840 LBS
INLET AND OUTLET:
4" BORE WITH STOP FOR QUIK-TITE, FERNCO
GASKET, CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 19.61 GAL/IN SEPTIC)
9.84 GAL/IN (PUMP)
LOADING DESIGN: 8'-0" UNSATURATED SOIL
MN TANKS:
WILL HAVE ONE VENT OVER OUTLET
AND WILL HAVE TWO VENTS IN COVER OVER INLET
CUSTOMIZED TANKS:
TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE
RECEIVED
SEP 29 2026
Bayfield Co.
Planning and Zoning Agency
Io `3M
0
Lu
a
Lu
'C
2}"
4" CAST -A -SEAL
iz4__1
TV/
FILTER OR
BAFFLE /
TOP VIEW
4" CAST -A -SEAL
WLP750- MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 2 1/2"
BOTTOM: 3"
COVER: 4"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: FLAT COVER 54" O.D.
OUTSIDE DIAMETER: 84" O.D.
BELOW INLET: 42" O.D.
LIQUID LEVEL: 37"
WEIGHT: 6,150 LBS.
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL
GASKET, CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 20.28 GAL/IN
HOLDING TANK:
ACTUAL CAPACITY: 790 GALLONS
OUTLET HOLE PLUGGED
LOADING DESIGN: 8' 0" UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #10 STRUCTURAL FIBER)
CUSTOMIZED
CUSTOM TANKS CONTACT WIESER CONCRETE
OUTLET
RECEIVED
SEP 297026
in PUMP PAD Bayfield Co.
DRAWINGS SUBMITTED
Planning and Zoning Agency
SIDE VIEW FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS PRODUCTS NEEDED BY:
-
70F1
2200 S*iW1 Test (M
GRAVITY CONVENTIONAL DESIGN
Index and Title Sheet
Owner Name kcLrr7a V. Sr
Address U
LL SibC�(�
Legal Description SE'/y Aiw`h Sfl 4y'1M Q �W
Township E; Ink County 1 . ____
Subdivision Name Lot #
Parcel ID # 62O , )Ol'l- On
Index Sheet
Page 1
Site Plan
Page 2
Cell Cross Section
Page 3
Maintenance and Contingency
Page 4
RECEIVED
TG.*. l eSs
Page 5
i)i ,-, C, ,� (ldw
Page 6
SEP 292026
Page 7
Page 8
earfiea cn.
Planning and Zoning Agency
Designer
Signature
License #
Date
-ay
Designed pursuant to:
In Ground Soil Absorption Manual for POWTS
SBD-10705-P (N.01101)
1t'
RECEIVED MAY 1 1 2004
f aSJ 7j
Safety and dBBu Buildings Division
201 W. Wash' n Ave.. P.O. Box 7162
Madison, WI 53707-7162
County
3 ,
I
SemtaryPmnitN (m be Wed in
(608)266-31514acI
'7Z)
Department of Commerce
Sanitary Permit Application —
See PlanIflNmber
'
In accord with Comm 83.21, Wis. Adm. Coda pmonel"
may be used frssecondarypurposes PmacyLavi. - Wi1e"t'.rI� �••(�
feet Address(ifdiff ihmtoelmg address)
1. Applicationlafo[motion-PlensePrint AllInformatmn
MAY 2004
Pro Owner's Name
YflC tl c. Zoning Dept.
# Lot# Block
3r at h r
D' 0-
.C . .
Pro/pertyOwu&s Mailing Address -
Property Location
W IS'7S
CCSys Y., Section
City, Scam
Zip Code
Phase Nut
Phase
j•
In t( Lit
�{ W
1 - i4 - (0
Tl'N:
IL Type of Building (check all that apply) 7
Subdivision Name CSM Number
m2 Family Dwelling -NumberofBedvoms '1
❑Pubic/Commaeial-Describe Use____________________________________
❑city ❑vgage Wowmhip of________
❑ State Owned -Describe Use
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
New System
❑ Replacement System
I❑ TreameatHoldngTank Replacement Only
0 Other Modifictioam Existing System
B.
❑ Pm®t Renewal
I ❑ Permit Revision
❑ Change of
I ❑ PemiltTraasfcrm New
List sous Pemit Number and Date Issued
Before Expimdoo
I Plumber
Owner
IV. Type
ofPOWTS System: (Check all that apply)
xNon -Pressurized In -Ground ❑ Mound? 24th. of suitable soil ❑ Masud <24 in. of suitable soil ❑ At -Grade ❑ Single Pass Saud Filter 0
Constructed Weiland ❑ Pressurized in -Ground ❑ Holding Tank ❑ Pot Filter ❑ Aerobic Trot Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter ❑ Leaching Chamber 0 Drip Line 0 Grovel -less Pipe ❑ Ocher (explain)
V. Dix ersallT eatment Area Information:
Design Flow I Design Soil Application Rat(gpdst I DispesalAzea Required (0 Disposal Area Proposed(st) System Elevation ,
1)30 I 0. IIA . i/SD/
VL Tank Info in Total . Number Mamfaeti t Preto She rf4(pgtic
Gallons Gallons of Units Concrete Constructed �J
Naw I Exittg
Tanks ITunas
Sepdcw FloWmg Took
yl, - Pr
Aerobic Tremor Unit
_
Ba
Domq Clamber
I
I
1n9a
Zoning
Agency
VII. Responsibility Statement- f. the rode e for installation of the POW1S shown on the amtdred plans
Plumber'sName(Prin) Plum 's S' MP/1viPRS Number Business Phone Number
w 9)S ' C-G2S
(c f
Pleb Address(bU'M% City,S e) -
I' ^
YYI VI'tON tS
VIIL County/Department Use Only
Sanitaw_e Date Issued S' Stamps)
iFee(methdes
Approved ❑ Disapproved Sracbwg
6/12�C4 ❑ Own % tilcssunfarDeniel ZZ5.O S I Ot}
IX. Conditions of Approval/Reasons for Disapproval \ n _ n „
C:(.ty� LcViflW-
_ cl '� 4 D O Purr-' lL�'1`-e� -ems
°n ,v)U'`'k ,friGR /� ({�'�ed 110✓ 2�
-QQ C6
airs as' ._r_1,.
Attach complete plain (to the County only) fat tae arnam an pnPcr nor 1m thu x >~
SBD-6398 (R. 01/03)
p� l �
Chamber SAS
SYSTEM ELEVATION AND SIZING CALCULATIONS
Below Grade Soil Absorption Systems
Tutor jowners Name 5/12/2004 Review Date
DY or N Highly Pretreated Effluent
3 ft Suitable Soil Below System
12 in Chamber/Unit Height2
8 ft Maximum Bury Depth 3
Inflltratnr Standard
450 gpd Estimated Daily Peak Flow
0.40 gpd/ft` In -situ Wastewater Infiltration Rate 1125.00 ft` Chamber/Unit Area
31.10 EISA ft2 / Unit
37 # of Chambers/Units
99.20 ft Proposed SAS Elevation 15.50 Bottom Area ft` / Unit
Soil
Surface
Acceptable
Finished Grade EL, (ft)
Boring
Grade
Limitation
SAS Elevation (ft)
System
Minimum
Maximum
Lowest
Highest
101.20
108.20
Number
Elevation (ft)
Depth (in)
Elevation?
1 100.25 53 98.83 99.25 Yes Fill required
2 100.30 50 99.13 99.30 Yes Fill required
3 100.70 60 98.70 99.70 Yes Fill required
RECEI
1. Depth of suitable soil required below the infiltrative surface for treatment. SEP 2 9
2. Total height of chamber in inches. BaYfleld
3. Maximum bury depth as per manufacturers recommendations. Planning and Zoni S
4. Based on chosen system elevation, and chamber height. Top of chamber is
equivalent to top of aggregate. The addition of fill for cover or the reduction of
finished grade may be required to meet minimum or maximum code standards.
Version 4.0 (04/03)
EC
D?R
Agency
p l Cj
B39
i uAor
00.'7
d na\ Uo�1�cr. a.o' cibo
vA
oh rl,oboe Qcuu e� tc 1F -4 rre
N
Q1 � 1°o.2S
,3= ►olt7e
Prupcs I4omes;l� 9S,o' PA.W.T.S
Conditionally
�roposeJ APPROVED
`p�Lorrva c DLQ = 6.4 9Pj/-�'l �{A A B YFIE D COUNTY
5) Iz
t EE COMMENTS
W eSzt Co.. e/eAz CA 7^qo 1ci.z. iOO0/,$o°
AP�ro� 'S., OS At. Foccc fl''
zc tk 'loo E $�-keck Ft 4½ e r
be rc sJ "lam e It rc
—►,1cr \ �jf44 or p,�}�ws �e -
�V�J RECEIVED
SEP 292026
sayfield Co.
- 1 Planning and Zoning Agency
•
rnP 93o922 22
i tZS
I I Z 5 31.1 = %1 (hczmbus
Cross Section of an Inground Component Cell
Using Leaching Chambers
Observation/Vent Pipes
bs
Finished Grade = /0/.,
Slope %= _
Original Grade =
Top of Shell = /OO.1'
System Elev. = gg.'X' I
a
a a
da
a
Finished Grade = /0!.)
} %` j" Original Grade = joo,, '
Treatment and Dispersal Zone
a
a
Limiting Factor RECEIVED
(:ci(6) SEP 292026
Bayfield Co.
Observation/Vent pipes to be constructed and Planning and Zoning Agency
capped with approved materials for the particular use.
SEPTIC SYSTEMS CONTIGENCY PLAN
Owner is responsible for the operation and maintenance of this septic system and
its components in accordance with Comm 83.52 and the approved management plan as
detailed in Comm 83.54. In the event this POWTS or any of its components should fail,
the owner or his/her agent shall notify the county zoning department who issued the
sanitary permit, as well as the licensed plumber who installed the system.
Contacts:
Bayfield County Zoning
P.O. Box 58
Washburn, WI 54891
715-373-6139
Sawyer County Zoning
10610 Main
Hayward, WI 54843
715-634-8288
Douglas County Zoning
1313 Belknap Street
Superior, WI 54880
715-395-1380
Nor -Pines Plumbing
48660 US Hwy 63
Drummond, WI 54832
715-739-6255
H -K Septic Service (septic pumping and soil testing)
Rt. I Box 139
Cable, WI 54821
715-798-3494
RECEIVED
SEP 29 2026
Bayfield Co.
Planning and Zoning Agency
RMt 41½
Fpr 29 04 06:45a
P.2
SEPTIC SYSTEMS MAINTENANCE AGREEMENT
[In -ground @ravity, dosed, and pressure distribution), At grade, and Mound Systems)
Property Owner:
Legal Description:
Parcol ID #:
Type of Private
Sewage System:
R;cinrc R. T Ter 1r
s7 MU'1'1 S r) T411J RS w
O20 1012 Or)
❑ (A) In -ground gravity
(8) In -ground dosed
O (C) In -ground pressure distribution
RECEIVED
SEP 297026
Bayfielcl Co.
Planning and Zoning Agency
❑ (D) Mound
❑ (E) At -grade
In the event the minimum standards contained in the applicable Wisconsin Administrative Code can be met, and a
sanitary permit is issued for the installation of a code compliant private sewage system, at the above listed location, the
owner of the property hereby understands and agrees to maintain the system In a manner prescribed by the Bayfield
County Private Sewage System Code and Comm 83, Wisconsin Administrative Code.
(1) 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 (113) of the volume occupied by sludge and scum.
(2) Pump chamber (System types 8, C, D, and E): The pump chamber shall also be rinsed and pumped out when the
septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to
ensure operability of said components.
(3) Septic tank effluent filter (System types A through E): The septic tank effluent filter shall be inspected and
maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be
submitted to the County as required by Comm 83.55, Wis. Admin. Code.
(4) Private sewage system dispersal call (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.
(5) 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.
(6) The owner of the septic system shall furnish the Bayfield County Zoning Department a copy of the inspection report
verifying the condition of the tank(s), whether wastewater or effluent is ponding on the ground surface and the date of
pumping and other service that was necessary whenever the County requires this Information. Properly licensed
individuals shall sign reports.
(7) When the title to the property is transferred, a copy of this agreement should be furnished to the new property
owner(s).
This "agreement shall be binding on all assignees and heirs.
Signature p5VProperty Owner
U/Dcb'zDa1n/ponns/Sept Syst Mains Agsmnt
Date
August 21100
F1.en Ll9
Combination Tank Component Cross Section
RECEIVED
4" Sch. 40 Vent
>or= to 12"
Above Final Grade
Inlet
Baffle
Approved Manhole Covers With Warning Labels
and Locking Device / 4" Min. Above Final Grade
SEP 292016
Bayfieid co.
Planning and Zoning Agency
Weather Proof Junction Box
Electric per NEC 300 & COMM.
16.28 WAC
Location
I�—JIved
4" Sleeleeve
Approved
ain Diam.Effluent
Filler<or=
to 1/8"
FAOutlet
or Anti Siphon Device
Particle Size
A
Bff
Elev. $95
. C
Tank Mfr. W:ecer II D
DoseTank Elev.
Vertical Difference Between Pump Off and Distribution Pipe =12.15'
Minimum Required Supply Pressure .............. ........-..._......... =
SS FT. of Force Main x ' ,Friction FactodlOOFT.... _ 211½
Tout Dynamic Head .................... _ __-S;
Number of Doses ... _ S Per Day GaL Per Day/ Hof Doses = _ Gal. O
Volume of Backflow .........._.._...._.-..-.......-...-.....---- .............. = j.5.5 GaL
Total Dose Volume............._..._.........»...................................... _ flGal. I 05, 5
Pump Tank Capacity SOD Gallons
Pump Tank Volume q.�)9 GalJluch
Pump Mfr. (sowlcis
PumpModel FPO r-IiI'
Minimum Discharge Rate =(Q GPM
Alarm Mfr. SSticco
Alarm Model iitu1D l
Dimensions Inches Gallons
A 3l3Si1 3`I& `7$31.48
B 2_ RIGS
C I 134D1 1oS .z9
D ( sgpy
Total= 5ISOj 5bJ fi t
Bed Tank per COMM. 83.45(5)
AnchorTank as necessary to negate buoyant forcess per COMM. 83A3(8)(g).
?c SA
Private Sewage System Maintenance Agreement
Zachary Schmidt and Kristine Schmidt
Owner(s) Mailing Address
68575 Karaba Rd, Ashland, WI 54806
68575 Karaba Rd, Ashland, WI 54806
15447
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)
SE 1/4 of NW 1/4 Section _Q7Township 47 N. Range 05 W.
Additional Legal Description: LESS kl'z a ld ray/road rigk%ofWcu,.
J
Town of Eileen (Acreage) 18.90 Gov't Lot
Lot Block Subdivision
Lot CSM # Vol. _ Page CSM Doc #
❑ In -ground gravity IN In -ground dosed
❑ Mound ❑ At -grade Sewage System
DOCUMENT NUMBER
2026R-6 1 3968
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
O9/3O/2O26 AT 1:48 PM
RECORDING FEE: $30.00
PAGES: 1
Return To:
Area
Planning and Zoning Department
117 E 5th Street, Washbum,RE®E1IVED
❑ In -ground pressure distribution
❑ Other
Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of
installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make
such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum.
Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided
above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components.
Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance
with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code.
Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified
septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three
(3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface.
Mounds, At-0rade, 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 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 Pet lL
Z3.c�llosr.} . S��ft.r�:�'I_
risne Jc h;d •1}
Subscribed and swoorrnn to bb re me on this date:
�'��
/ „Nitllllli/,,
Notarized yW@r(s)—sl natur (s)
)�
Notary Pu / `\����P
%1
'lam
q/
My o fission .O y
q/,47 _ �•�
Drafted by: Zachary Schmidt Date: 1 /30/202t,
A.
i�/qT
' *Proofe'• . N
OF
"II Wt����`�
uforms/sanitarylsept(hngi ffy(tc1b\eement
Revised July 2020
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:
SCHMIDT, ZACHARY J & KRISTINE C
68575 KARABA RD
ASHLAND, WI 54806
Description
Private Sewage System (Septic Tanks)
Submission Number:
SS -00854
Transaction Number:
SS-00854-56BB4
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 34693
Paid by: Blakeman Plumbing & Heating, 44941 State Hwy 13, Ashland WI 54806
Payment Type: Check
Transaction Date: 10/1/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-141 S
STATE SANITARY PERMIT
OWNER: ZACHARY J & KRISTINE C SCHMIDT
GOVT LOT: LOT: BLK:
SE1/4 NW1/4 SEC:7,T47N,R5W
TOWNSHIP: Eileen
SOIL TEST: 02-03
OTHER MODIFICATION
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: DEAN BLAKEMAN
TRACY POOLER
Authorized Issuing Officer
DATE: 10/1/2026
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 #: 425173
LICENSE: # 1092765
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 10/1/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION