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Home My WebLink About26-153SN Department of Safety County Bayfield & Professional Services, Sanitary Permit Number (to be filled in by Co.) P . Industry Services Division Sanitary Permit Application State Transaction Number 'P W TS -oR a_ a a a l-- G In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) 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(I)(m), Smts. #### Arenson Rd I. Application Information — Please Print All Informatio Property Owner's Name Parcel # -A 059793r Isaac Brunsvold oC'l 12 2026 04-050-2-49-05-25-3 04-000-20000 Property Owner's Mailing Address yfield Property Location 2181 140th Ave lanninga� oning AgenCY Govt. Lot City, State I Zip Code Phone Number Ave Saint Croix Falls, WI 54024 715-209-3053 SE SW Vi, Section 25 T 49 N R 05 E or H. Type of Building (check all that apply) Lot # ®1 or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name ❑ Public/Commercial — Describe Use Block # E Io I ❑ City of ❑ State Owned — Describe Use O Village of CSM Number 12 Town of Washburn III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applicable.) A. New System y ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B' ❑ Holding Tank O In -Ground ❑ At -Grade ® Mound ❑ Individual Site Deli gnI O Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersallrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (so I Dispersal Area Proposed (sf) System Elevation 450 0.2 2250 2250 100.92' Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units a o '8 g New Tanks Existing Tanks v e 0 u as .a m N ir. V P. Septic or Holding Tank 1000 - 1000 1 Wieser X Dosing Chamber 600 - 600 1 Wieser X V. Responsibility Statement- I, the undersigned, assume responsibility to installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's Signature MP/MPRS Number I Business Phone Number Cory J. Jackson 824339 715-566-2786 Plumber's Address (Street, City, State, Zip Code) 24884 State Rd 35 Siren, WI 54872 VI. County/Department Use Only Approved O Disapproved Permit Fee $ /�/� Date IssuedSign e q /{f 0 Owner Given Reason for Denial 500 to fig as L Conditions of Approval/Reasons for Disapproval sX// Attach to complete plans for the system and submit to the County only on paper not less than 8 '/2 a II inches in size SBD-6398 (R. 03/22) ' SR-ooSl°I L.J,-l'.�''I�' p((MIV(r( SOIL TEST # ,+ Wisconsin Department of SafetyBProfessional Services I Page 2 of__3 Division of IndustryServices Y : SOIL EVALUATION REPORT r Jb�., :r In accordance with SPS 385, Wiis. Adm. Code County Bayfield 3 oqg Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (SM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 04-050-2-49-05-25-3 04-000-20000 Please print all Information. ie b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). .�37 I/ Property Owner Property Location ❑ Isaac Brunsvold Govt- Lot SE 'A SW V. S 25 T 49 N R 05 E (or) W Property Owners Mailing Address Site Address or CSM and Lot #: #### Arenson Rd 2181 140th Ave City, State, Zip I Phone Number ❑ City ❑ Village Town INearest Road Saint Croix Falls, WI 54024 I ( ) Washburn County Hwy C [ 'NewConstruction Use: a Residential/Numberofbedrooms 3 RECtIVE 3"de derived designflowrate 450 GPD ❑ Replacement ❑ Public or commercial —Describe: load Plan elevation if a N/A ry, Parent material Clayey lilt and underlying loamy and sandy stratified lacustrine deposits (Portvrin -Herbster complex) General comments and recommendations: Mound SEP 2 5 28-26 Bayfield Co. ❑Boring # ❑ Boring Planning and Zoning Agency 1 ® Pit Ground surface elev. 99.5 ft. Depth to limiting factor 9 in. / elev. 98-7 fl. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 -Eff#2 1 0-5 5YR 3/2 — sit 2mgr ds as lco/Im/l 0.6 0.8 2 5-9 5YR5/2 — sil 1rnsbk dsh cs lm/If/1W 0.4 0.6 3 9-17 5YR 5/2 c2d 7.5YR 5/6 sit lmsbk dsh cs 1f/1A 0.4 0.6 4 17-24 2.5YR4/4 — c Om mfi — 1vf 0.0 0.0 2❑ Boring # ❑Boring ®Pit Ground surface elev. 99.5 f. Depth to limiting factor__7 in. / elev. 98.9 R. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 Eff#2 1 0-3 5YR 3/2 — sil 2mgr ds as lco/tm/t 0.6 0.8 2 3-7 5YR 5/2 — sit lmsbk dsh cs lmllf/lv 0-4 0.6 3 -10 5YR 5/2 c2d 7.5YR 5/6 sil lmsbk dsh cs tgtvf 0.4 0.6 4 10-20 2.5YR 4/4 — c 2csbk mfi — ivf 0.2 0.3 CST Name (Please Print) ISignature ST Number Keith Wiley r� 654921 Address Date Ev nation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 9/12/2026 218-451-2611 Effluent #1 = SOD > 30 5 220 mg/L and TSS > 305150 mg/L • Effluent #2 = BOD, s 30 mglL and TSS 5 30 mg/L SBD-8330 (R03/22) 3❑ Bodng # Page 2 of I ❑ Boring Pit Ground surface elev. 98_2 ft. Depth to limiting factor 7 In.! elev. 97.6 ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 •Eff#1 •Eff#2 1 0-3 5YR 3/2 — sil 2mgr ds as 1f/1vf 0.6 0.8 2 3-7 5YR 5/2 — sil 1msbk dsh aw lnvlf/lv 0.4 0.6 3 7-$ 5YR 5/2 c2d 7.5YR 5/6 sil lcsbk dh Cw 1vf 0.4 0.6 4 16-20 2.5YR 4/4 — C lcsbk mfi — 1vf 0.0 0.0 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev.ft. Depth to limiting factor in. / elev.ft. I Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 -Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev.ft. Depth to limiting factorin. I elev.ft. Soil Aoolication 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 > 30s220 220 mg/L and TSS > 30 5150 mg/L RECEIVED SEP 252076 Bey5eld Co. ptamkrg and Zoning Agency Effluent #2 = BOD, 5 30 mg/L and TSS S 30 mg!L Brunsvold (3 bedroom) Soil Report Plot Plan North Iz Scale 1:60 4 Bench Mark = Nail w/ orange disc in 14" DBH red pine Elev = 100.0' CS 02 -SP - No well - Property lines not shown > 50' from tested area - Site heavily wooded Page 3 of 3 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 September 23, 2026 CUST ID NO.: 654921 KEITH C WILEY 191 WILDWOOD DR ESKO, MINNESOTA 55733 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/23/2028 MUNICIPALITY: TOWN OF WASHBURN BAYFIELD COUNTY SITE: BRUNSVOLD 3BDRM GEOMAT MOUND ARENSON RD WASHBURN, WI 54891 FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 7" Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: http://dsos.wi.eov Email: dsos(dwisconsin.eov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-092602231-C Application No.: DTS-092640129 Site ID No.: SIT -165262 Please refer to all identification numbers in each correspondence with the Department. RECEIVED OCT 12 2026 yfield Cc. Planning a and Zoning Agency Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Geomat Mound Component Manual - 5/18/22 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: • 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 (1 1)(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 6 SPS 383.54O). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Tim Vander Leest POWTS Plan Reviewer Division of Industry Services Phone: 608-516-6134 Email: tim.vanderleest@wisconsin.gov Fee Required: $640.00 Fee Received: $640.00 Balance Due: $0.00 Refund Expected: $0.00 RECEIVED OCT 12 2026 Bayfield Co. Planning and Zoning Agency ePj1i'latMOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE All water treatment systems shall be kept out of septic system Project Name: Brunsvold Mound Owner's Name: Isaac Brunsvold Owner's Address: 2181 140th Ave Saint Croix Falls, WI 54024 Property Address: #### Arenson Rd Legal Description: SE SW S 25 T 49 N R 5 W Township Washburn County: Bayfield Subdivision Name: Lot Number: Block Number: CSM#: Parcel I.D. Number: 04-050-2-49-05-25-3 04-000-20000 Plan Transaction No IrdexP�gt- Page 1 Index and title Page 9 Tank cross sections Page 2 Data entry Page 10 Site Diagram Page 3 GeoMat mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Keirh Date: 4zf µE$SNW��E �9Pg5 02 ESE50TP License Number: D2388PSS Phone Number: 218-451-2611 State of Wisconsin Approval Stamp: Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES '�� Designed Pursuant to the D�gst0�ao GeoMat Mound Component Manual 5/18/22 SEE CORRESPONDENCE h@M1I0B1ication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) and Pressure Distribution Component Manual Ver. 2.1 (May 2022 - 2027) RECEIVED OCT 12 2026 Bayfield Co. Planning and Zoning Agency Page 1 of 10 Mound and Pressure Distribution Component Design All water R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 2.70 Site Slope (%) 99.50 Installation Contour Line Elevation (ft) 7.00 Depth to Limiting Factor (in) In -situ Soil Application Rate (gpd/ft2) 126.00 Contour Length Available (ft) shall be kept out of Cell Width (ft) 3.25. 6.5 or 9.75 Only Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) PPIWIe"DiIfiibiiti6tnflT5ThMioW' - 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) Lateral Diameter Selection in. dia. options choice 0.75 1.00 1.25 x 1.50 x x 2.00 x 3.00 x ISD Required? Designer Input Cell Length (ft) Dispersal Cell Length Required (ft) Are the laterals the highest point —� in the distribution I V I network? If N above, enter the elevation ft of the highest point. Does the forcemain drain back?I V I RECEIVED 6.50 ft2/orifice OCT 12 2026 Bayfield Co. Planning and Zoning Agency Manifold Diameter Selection in. dia. options choice 1.25 1.50 2.00 3.00 dtfii& Information Treatment Tank Information Effluent Filter Information Optional 1000.00 Septic Tank Capacity (gal) _ _ _ IN Filter Manufacturer Wieser Concrete Products, Inc. IManufacturer iFilter Model Number Enter manufacturer's name Dose Tank Information Gallons/Inch Calculator (optional) 600.00 Dose Tank Capacity (gal) Total Tank Capacity (gal) 16.76 Dose Tank Volume al/in) Total Working Liquid Depth (in) Wieser Concrete Products, Inc. IManufacturer gal/in (enter result in cell DoseTankVolume) Project: Brunsvold Mound Page 2 of 10 nd Plan View I: L -4 A 1 Mound Component Dimensions Down slope toe extension made. Al3.25 ft E 18.05 in H 1.00 ft K 11.01 ft B 100.00 ft F 14.50 in I 19.25 ft L 122.01 ft DI 17.00 in G I 0.50ft J I 8.67ft W 31.17ft 325.00 (ft2) Dispersal Cell Area 2250.00 (ft2) Basal Area Available 4.50 (gpd/ft) Linear Loading Rate 6" End of B Obs. Pipe Placement Mound Cross Section View GeoMat Dispersal Area 103.13 Finish Grade - 102.00 Lateral Invert 100.92 Dispersal Cell Elevation Observation Pipe 12" ASTM C 33 sand as GeoMat required for Geo Mat Distribution Cell component 6 GeoMat + 12" ASTM C-33 sand .n , i . Cover Material levatlon i 3 ' i 2.7 Contour Elevation 99.50 \� __Cy 4 — u "Tilled Area Force main In situ soil In situ soil RECEIVED OCT 12 2026 l i / i Topsoil Cap Sayfield Co. 211 Subsoil Cap PIanning and Zoning Agency 3 ASTM C 33 sand (F) 4 ASTM C 33 sand (D) 5 Tilled Layer 6 [ Geo Mat See details on page 4 for number, size, and spacing of laterals. Project: Brunsvold Mound Page 3 of 10 Center Connection Lateral Layout Diagram • = Turn -up w/ball valve or cleanout orifices point down M-X-rt elz Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Dose Tank Information out Pipe I 2 1.50 in 49.00 ft NA ft 0.00 ft 13.46 gpm 26.93 gpm locking cover with warning label. locking device and water tight seal Elecleirnl box as per NEC 300 and SPS316.28 yacr Polylok Inc./Zabel 3014-PF 1/16 Laterals & force main of PVC Sch 40 Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity C Vented Cover nc source Y II Doss stop •. and water — light gasket wttptsk- llgh water alarm] Pump On I' loot Pump Off Float Pump flTe muck Dimension Inches Gallons A 18.63 312.25 B 2.00 33.52 C 3.17 53.11 D 12.00 201.12 Total 35.80 600.00 isL CEEIVED OCT 122026 Disconnect optional bat v ve Baylieid Co. la content of Planning and Zoning Agency effluent bein dosed Optional Ila Forcemain diameter 2 in. C ASiM 3034 pipe toj enema mttu in unto ..lid alnur,d Fumco Wieser Concrete Products, Inc. Capacity 600.00 Volume 16.76 Filter Manufacturer Polylok Inc./Zabel Filter Model Number 3014 -PE 1/16 Alarm Manufacturer SJE Rhombus Alarm Model Number AB Pump Manufacturer Liberty Pumps Pump Model Number 2801 Pump Must Deliver I 26.93 gpm at 16.24 ft TDH Note: Switches containing mercury may not be used in this system. Pump off elevation (a) 93.00 Dose tank elevation (f1) 92.00 gal/inch Project: Brunsvold Mound Page 4 of 10 GeoMat Distribution Cell Media Layout 3.25 Jcell Width (ft) i 6 Sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements O 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 3.25 Cell Width - A (ft) I 100.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram 1 _ c WED OCT 12 2026 Bayfield Co. Planning and Zoning Agency Sand Fill Recommended Distribution Lateral F y 2 Orifice Shield Pipe Dla. Approved Infiltrative Fabric r GeoMat 3 TASnf Component q i�ai>w_cva r •: •' • • • . Infiltrative Surface/Plow Layer -' Imo. Padar Water Tieht 1I Topsoil Cap Toilet Fiance 4 M 2 l I Subsoil Cap bar 31 ASTM C 33 sand (F) lane r 41 ASTM C 33 sand (D) tom r .tn+nll at 5 I I Tilled Layer V Min nd/Ge — 1 Min 6 ter!+._____________ -.6 Geo Mat See details on page 4 for number, size, and spacing of laterals. Project: Brunsvold Mound Page 5 of 10 Service Provider's POWTS Regulator's System Flow and Load Parameters Design Flow - Peak 450 gpd Estimated Flow - Average 300 gpd Septic Tank Capacity 1000 gal Soil Absorption Component Size 325 ft2 Type of Wastewater Domestic Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Phone 920-819-4100 Phone 715 634-8288 Maximum Influent Particle Size 1/8 in Maximum BOD5 30 mg/L Maximum TSS 30 mg/L Maximum FOG 10 mg/L Maximum Fecal Coliform 10E4 cfu/100 mL Service Frequency Inspect and/or service once every 3 years Inspectandcleanasnecessaryatleastonceevery3years Test once every 3 years Should test periodically Lateralsshouldbeflushedandpressuretestedevery3years 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 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 orb-8"Diameter ol , Fnsied �° _ � Threaded Cleanout Lawn Sprinkler °n°3'. Plug or Ball Valve P 3�°oars trade \ at S Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral RECE WED 3l CleaClea~I OCT 12 2026 1.5 Feet Bayfield Co. Planning and Zoning Agency Project: Brunsvold Mound Page 6 of 10 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE INFORMATION Owner Isaac Brunsvold Permit # nccIGN DADAMPTFRS Number of Bedrooms 3 0 NA Number of Public Facility Units ® NA Estimated (average) flow 300 gaVday Design (peak) flow = (Estimated x 1.5) 450 gavday In Situ Soil Application Rate 0.4 al/da /ft2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) CO mg/L Biochemical Oxygen Demand (BOD5) ≤220 mg/L O NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L ® NA Fecal Coliform (geometric mean) ≤10° cfu/t00ml Maximum Effluent Particle Size 14 in dia. ❑ NA Other: ® NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: O 3 months) ears (Maximum 3 years) ® 0 NA Pump out contents of tank(s) ® When combined sludge and scum equals one-third ('h) of tank volume ❑ NA 0 When the high water alarm is activated Inspect dispersal cell(s) At least once every: 3 ❑ month( ) ® year(s(Maximum 3 years) O NA Clean effluent filter At least once every: 3 ❑ yeearar(s(ss) ® 0 NA Inspect pump, pump controls & alarm At least once every: 3 ❑ month(s) ® year(s) 0 NA Flush laterals arflElVED Al least once every: 3 ® year(s) ❑ NA Other: 2026 Al least once every: ❑ month(s) ❑ year(s) ® NA Other: QCT 12 ® NA MAINTENANCE�APS�`Q"' Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (!4) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. SVSTFM SPECIFICATIONS Tank Manufacturer Wieser 0 NA ® Septic 0 Dose ❑ Holding vol. 1 000 gal Tank Manufacturer Wieser ® NA ❑ Septic ® Dose 0 Holding vol. 600 gal Effluent Filter Manufacturer Polylok ❑ NA Effluent Filter Model 3014-PF Pump Manufacturer Liberty O NA Pump Model 280 Pretreatment Unit ® NA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) 0 NA ❑ In -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade ® Mound ❑ Drip-Une 0 Other: Other: ® 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) Page7 of7 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed 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: O 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 RECEIVED Bayfeld Co. POWTS INSTALLER POWTS MAINTAINER Planning and Zoning Agency Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Namegayfleld County Zoning Phone 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)(1)(d)&(I) and 83.54(l), (2) & (3), Wisconsin Administrative Code. Max Fluid Temperature 140°F (60°C) Intermittent 104°F (40°C) Continuous duty Power Cord Type SJTW (10' and 23 models) SJTOOW (35' and 50' models) Motor Housing Class 25 cast iron Mechanical Shaft Seal Carbon ceramic Bearings Upper and tower ba„ bearings Motor Specifications Cl.-filled, ther'na',ly protected Permanent So.it Capacitor (PSC) Dimensional Data Height: 13' Major Width: 10- (Mode: 78L Card Lengths RECEIVED OCT 12 2026 Bayfield Co. planning and Zoning Agency MODEL 10' 25'(-2) 35'(-3) 50'(-5) ' aerial Optional, Optional 281 Standard Optional Optional Optional 287 Standard Optional N/A N/A _C: core length standard on all mcnels. For op::oral lengths, add -2,-3 or -5' suffix to mode:. u --the' Examplefor model 280 vnl h. 3E -on n -s ,=i 5-0-3 Models Minimum Sump Diameters Models 281. 283 14' Model 287 FACTORY SWITCH MODELS MODEL SETTINGS 2818283 287 Turn on level 13' 9.5" The Model 283 features a fully adjustable wide-angle float switch Ddfereetial adjust ire nn can be made easily by tethering the coat switch to the discharge pipe or one' rrcxrnung point Vertical Was swrtcl• Mood 287 is rot adjustable Performance Curve 60 Hz, 3450 RPM Liters Per Minute 0 19 38 57 76 95 114 133 151 170 169 206 227 246 2652 40 35 30 LL 25 C 20 I 0 15 10 10 15 20 25 30 35 40 45 50 55 60 65 7 US Gallons Per Minute MODEL 10' 25'(-2) 351-3) 50'(-5) 280HV Standard Optional Optional Options 281N':r Stn'iooro Oolo-dl Optional Optional 283HV Standard.. Optional : N/A,y 287HV Standard Optional N/A N/A 10 card length standard on all models. For optional lengths, add '-2. -3 or-Ssuffix to model number. Example for model 280HV with 35' cord, order 280HV-3 MODELS HP VOLTS PHASE AMPS AUTOMATIC SWITCH TYPE WEIGHT IN LBS 115: 1 8 No Manual 29 280HV 1/2 208-230 1 4 No Manual 29 ,115 1 8 Yes Integral Wide -Angle 29 281HV 1/2 208-230 1 Yes l,tteclral 10 —hii9ir 30 1 8 Yes Wide -Angle Piggyback 30 283HV 1/2 208-230 1 Yes Nnde-Angle Piggyback 30 1 8 Yes Vertical Magnetic Float 29 287HV 1/2 208-230 1 4 Yes Vertical Magnetic Float 29 consult engineering spec sheets for more gate. Speotcations tub1KI to Orange -M tfx,,t notice copyright C Liberty Pumps. Inc 2026 All rights reserved. LLITCoZ000-R03/26 10.7 94 3.0 15 12'-6" 4' CAST -A -SEAL j�--------------�Y*-1---------� 11 III; I I II �I I1 U r I I tiA Irll o I Ill / I I FILTER OR illi 1:. 1 i BAFFLE IIII I I' it �IiI II O W Lu INLET r ¢ n WLP1000/600-MR TANK SPECIFICATIONS a I DIMENSIONS: I - WALL• 3' nom. CAST —A —SEAL BOTTOM: 3" COVER: 5' MANHOLE: 24" I.D. PRECAST CONCRETE RISER o HEIGHT: 51" LENGTH: 12'-6' WIDTH: 7'—O' BELOW INLET: 42' LIQUID LEVEL 36" o WEIGHT: BOTTOM 9,500 LBS. 00 0 COVER 5,470 LBS. a INLET AND OUTLET: m o0 0 4' CAST -A -SEAL BOOT OR EQUAL GASKET iii o ¢ INLET AND OUTLET BAFFLE AND FILTER: a o k o W o - N 6 m WISCONSIN. SEE DETAIL /10 ill (OTHER STATES SEE CHART) o a LIQUID CAPACITY: 27.88 GAL/IN (SEPTIC) C U `B 16.76 GAL/IN (PUMP) C1 CD =OLO LOADING DESIGN: 8'-0' UNSATURATED SOIL C id a � w TANK CAN BE USED AS: SEPTIC/SEPTIC. SEPTIC/PUMP, C'4 OR SEPTIC/SIPHON 0'"1 .. p ENT COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: B _L FOR CUSTOM TANKS CONTACT WIESER CONCRETE OUTLET a= � ZQ I Z I � REVIEWED BY S AD REVIEW DATE w DRAWINGS SUBMITTED 3 FOR APPROVAL APPROVED BY: SHEET NO. 1 X APPROVAL DATE: OF PRODUCTS NEEDED BY: y' 1 MEET OR EXCEED ASTM Brunsvold (3 bedroom) Mound Plot Plan North �3 ® — B8' 122.01'z 31.17 mound w/ 100 x 3.25' GeoMat cell ►x No driveway at time of test • 100' C Go a 2" forcemain W C'- ASTM 01785 Pozen al site of 3 bedroom h se 1L N s 6 N Wieser W1000/600-MRtank o m w/polylok3014-PFfilter & Liberty 280 pump C �SS NOTES: Scale 1:60 $ Bench Mark = Nail w/ orange disc in 14" DBH red pine Elev = 100.0' Isaac Brunsvold #### Arenson Rd W 1/2 SE SW IN 20268-612495 402A 525 T49 R0SW Town of Washburn 04-050-2-49-05-25-3 04-000-20000 20 acres --------------♦ - No well - Property lines not shown > 50' from mound area - Site heavily wooded - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 10of10 Private Sewage System Maintenance Agreement Owner(s) Name Isaac Brunsvold 2181 140th Ave Saint Croix Falls, WI 54024 #### Arenson Rd I ' 30984 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 SW 1/4 Section eti25 Township 49 N. Range 05 W. W Additional Legal Description: 1/i. Town of Washburn Lot_ Block Subdivision (Acreage) 20 Gov't Lot Lot CSM # Vol. Page _ CSM Doc # DOCUMENT NUMBER 2026R-614200 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 10/16/2026 AT 1 1 :56 AM RECORDING FEE: $30.00 PAGES:1 RECENED Bayfield Co. Planning and Zoning Agency Recording Area Return To: Planning and Zoning Department ❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ® Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. 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, Ws. Admin. Code, Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -grade, and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. 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 aW "Ol gr�nr1r11II1j1 The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such propepq, dOUL/3T0 j, 4 Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: t Isaac Brunsvold ? : Z r�c�c��, i1` 13 1O7 - Notarize Owner(s)—Signatures) N ryPublic ' >`--f , My Commiss'on Expir s: rr"'r<rrer O7 Z3 ZQZ2 Drafted by: Keith Wiley, Designer Date: 10/2/2026 Proofed by: u/formslsanitarylsepticmainlenceagreement Revised July 2020 IYFIELD Bayfield County Planning & Zoning Department 117 E 5d, Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: BRUNSVOLD, ISAAC SR -00519 2181 140TH AVE SAINT CROIX FAILLS, WI 54024 Transaction Number: SR-00519-56EC6 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1119 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 Payment Type: Check Transaction Date: 10/2/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 13YFIELD 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: BRUNSVOLD, ISAAC SS -00864 2181 140TH AVE SAINT CROIX FAILLS, WI 54024 Transaction Number: SS -00864-57A72 Description State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 6176 Paid by: Jackson Plumbing, 24884 State Rd, Siren WI Payment Type: Cash Transaction Date: 10/19/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-153S STATE SANITARY PERMIT OWNER: ISAAC BRUNSVOLD G OV'T LOT: LOT: B LK: SE 1/4 SW 1/4 SEC: 25, T 49 N, R 5 W TOWNSHIP: Washburn SOIL TEST: 144-26 NEW SYSTEM SYSTEM TYPE: Mound >24 in. of suitable soil PLUMBER: CORY J JACKSON TRACY POOLER Authorized Issuing Officer DATE: 10/19/2026 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit Is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 824339 Condition: THIS PERMIT EXPIRES 10/19/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION