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HomeMy WebLinkAbout24-41S Norton^w ,'. /' Department of Safety & Professional Services, Industry Services Division CountyBayfield Sanitary Permit Number (to be filled in by Co.),^w^ Sanitary Permit Application 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 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. State Transaction Number Project Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name Matthew Norton Parcel # (^4-028-2-47-07-19-2 03-000-10000 Property Owner's Mailing Address 66695 Crooked Lake Rd. Property Location Govt.Lot^ Tax ID: 22145 City, State Iron River, Wl Zip Code 54847 II. Type of Building (check all that apply) H 1 or 2 Family Dwelling - Number ofBedrooms D PubIic/Commercial - Describe Use D State Owned - Describe Use Phone Number 612-805-1192 SW^NW ,, section 19 Lot #47 N R 07 Subdivision Name Block # D City of _ CSM Number D Village of a Town of Keystone m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if] applicable.) A.D New System Replacement System L^J Other Modification to Existing System (explain)Addition to existing drain field D Additional Pretreatment Unit (explain) B.Holding Tank In-Ground (conventional) 1 At-Grade D Mound D Individual Site Design c.Renewal Before Expiration D Revis Change of Plumber D Transfer to New OwnerlIList Previous Permit Number and Date Issued 1432-S 06-25-2014 IV. DispersaI/Treatment Area and Tank Information: Design Flowj^gpd)300 v^Design Soil Application Rate(gpd/sf) 0.7 ^ Dispersal Area Refluired (sf)429 Dispersal Area Pro^xsgd (sf) 446(+445 Existing) ^.System Elevatioi^ l [94-5^^^ ^,3.^ Tank Information Capacity in Gallons New Tanks Septic or Holding Tank Existing Tanks 750v^^ Total Gallons 750 # of Units Manufacturer Wieser Concrete D" ~^ cd•£ 5 Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibUity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Dean Blakeman MP/MPRS Number 1092768 Business Phone Number 715-682-6050 Plumber's Address (Street, City, State, Zip Code)44941 State Hwy 13, Ashland, Wl54806 VI. County/Department Use Only Approved-UWL n Disapproved D Owner Given Reason for Denial Permit Feesrrnil^'SWs'LDate Issued •du Issuing Agent Signature /Sd 7^/3 Conditions ofApproval/Reasons for Disapproval QS'pMto \MroM MO(MS- f)/\fwa(^{ ^^ ^^' ^ Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 03/22) Ar'K r (.. /'U//l -isconsin Depyrtment •^ S^4-e-+i «'»<! 'P^ofe£^G''wil ^f.v-^K.-es SOIL EVALUATION REPORT ;;i;ii:?i Page _ f of J in accordance with '5^5 3 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north airow, and location and distance lo nearest road. Please print all information. Personal information you provicte may reused for secondary purposes (Privacy Law, s. 15.04 (I) (m)). county-g>^^ {<^ Parcel 1.0. _^y & 2-S'2.1/7<9-7 /c^ •2,0 3 £> o <s/_0_^°Q Reviewe^-by'——3 Date W^2.^ !^S-:i<-|iProperty Owner ^'L^-/-1^^ c^. ^io^0^ Property Location pa v <_-«'-( « ^ ^-Y' 5 t^'?^fe<. Govt.Lot 5U/1/4J^IV1/4 S l^ T '/•? N R ^ ^(Sr)® '^I^JT Property Owner's Mailing Acidress -Z/ ^ kJ &s-t L.^ k-es^ v"si- _ ^ ^ Lot #Block i?Subd, Name ai- CSMff City State Zip Code Phone Number (^cckujo&J l-ii/^ JL\ k 00/3, (?'/f)j-7&-63/3 Odly D Village jgl Town K^Y 5 'f-o<-e Nearest Road <^o,sl^,[lA^<,^.V New Construction Use: 0 Residential / Number of bedrooms „ 2- D Replacement . D Pubiic or commercial - Describe: Code derived design flow rate 3 ''3 &GPD Parent material 6-1 CiU d \"V] /Flood Plain elevaiion if applicable ln;:"• ft. General comments and recommendations:'Hs JUN 2 3 2014 "/j csayj.cN i...ij, As'inijt''! LsKnt. BoringBoring «Ground surface elev. I t <Pit Depth to limiting factor jt Soil AiiplicaUon Rate Horizon Depih in. Dominant Colorl Munssll Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Effff1 *E(W2 Q^loYi^ z/i ^Jc.*J^$^T?3R mu^<J'zC.^7 7-23 -^.^z^Al^ i^e L^S 0 M L.C.S 2^L -7 _Ljp_ 3 22>A1 5-r?- siS /Jfe^-a.^0 //v> t-/^L?.l:L z BoringBoring #pit Ground surface elev, 7 °' Horizon f a ^ Depth in. L^riL It-^/j1M?1 Dominant Color Munsell /od^S^ y^llk 5-^ S-/(o Redox Description Qu. Sz. Cant. Color /OO^A; ^. ^ /Jo/v£ Depth to limiting Texture SL. 1^ s Structura Gr. Sz. Sh.T^TkT !.^^^ 0 actor -'' Consistence t^H U-\-v yy\. t/<•/-(•'- rvi L- Jn. Boundary ^y C5 Roots 3J^- 2-^ / vsr Soil Applictition Rate^ GPD/ff *Efffi1 ./ .7 ..-? *E(»2 _^z_ it 6 /..^ * Effluent #1 = BOD, > 30 .< 220 mg/L and TSS >30 £ 150 mg/L affluent #2 ° BOP; ^ 30 mg/L and TSS 5 30 m9/L_ CST Name (Please Print) , , Ali^^\ po/^s/c/ Sigp^ture^M CST Number 2-z-ooc/*o Address ^ - ' Date Evaluation Conducted p0. Box 5-2-^ -J-^ ^ ^ ^.^ ^3: ;^/Y7 _S~^-^/ Telephone Number -? fs- yrL-^ is-^ to tQ'Ss^ - ^~>a T0 wrt-...(.. ^-.pcf 9 (\..-.-—_...^_ . f,-^..-'... —;. ."L.-.-..._-.„...—^..^W^""^T~"J '"•"~^:;^y""-~ •iv'pj P^njOvi:^il•^1 n._. I I' ^^y,,.--^,.. ^ { 'A';"' j S-nf^/i y?l '••?5 P^ '"\'-.9 ^-{ *t I ^".°WU'^/.-Jvl'n^t '.-^i- ^/.o 'ff'o'? * ' ' fl^jlj'^^ i^^s^j'n ^»^o ' ^ ^. 5 -^ }° v^^- ' "v ' ^ ! ' '' "~&-i; ••£w'i I i ...",". .'-?s?'1/l';'""^? '^^i 1^ I yg.,.J . ,i .H. Bf.. - •3:.| •y,,<? ,?-^_-^_^<._J._ ^tS.ij VO^.i.lJr.J's-ff'' --^.- t.-.,-, ^ •-_ _ .^ >A i_*rtr<n "^t'~~" ^,^.5 /^/7 -/-*" "'' l'WI' ^0. ' ....-./. /^..l^ ^Q ^^S^^ 4?^ ^^'? 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' 17 ^ ISiy - I?y -}6's-1^ jr - 1] < i^[^fF C/ 20 ^- 0 ^- 101= n C- &OQyroCT ? <- < - 3>-D :- v rv ; rv - Surface Water Data Viewer IVIap ^.« ""\il (3^1 •<xl /" 34C3A 0.5 0.28 0.5 Miles NAD_1983_HARN_Wisconsin_TM © Latitude Geographies Group Ltd. DISCLAiNIER: The infonnation shown on these maps has been obtained from varioussources, and ore of varying age, rotiability and resolution. These maps are not intended to beused for navigation, nor are these maps an authoritattve source of infonnsiion about Isgsi landownership or public access. No wsn-anty, expressed or implied, Es made aregarding gccuracy,applicability for a particular use. complete menss. or legality oftho information depicted on thismap. For more information, see the DNR Legsl Notices web page!; http://dnr.wi.gov/org;isga!/ Legend NRCS Wisconsin Soils Q Soil Mapping Unit 0 wate1' Rivers and Streams II Open Water Notes Norton soils In-Ground Gravity Plan n Index & Cover Sheet Component Manual Design References: '. In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) PAGE1,,OF4 APR 222024 Pg1 of 4 Pg 2 of 4 Pg 3 of 4 Pg 4 of 4 Index & Cover Sheet Plot Plan Dispersal Area Cross-Section & Plan View Management Plan Attachments:Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Norton - Gravity Conventional Expansion Owner Name(s): Matthew Norton phone: 612 -805 -1192 Owner Address: 66695 Crooked Lake Rd.Zip: 54847 Project Address: 66695 Crooked Lake Rd. Iron River, Wl 54847 Govt. Lot: _ sw Township: Keystone 1/4 of NW 1/4, SectionlO_, T47 N-R07 E county: Bayfield or W Project Parcel ID #: 04-028-2-47-07-19-2 03-000-10000 Designer Information Designer Name: Dean Blakeman _ Phone: 715 -682 -6050 Designer Address: 44941 State Hwy 13 Ashland, Wl E-mail: dean@blakemanplumbing.com License Number: 1092768 Remarks: Zip . 54806 This space reserved for approval stamp. Signature:Date: 04/19/2024 Original signature required on each submitted copy. CHECK BOXAS APPLICABLE. SOIL EVALUATION SITE MAP PROJECT NAME: Norton, Gravity Drained In-Grnund Cnnventional PROJECT ADDRESS: RR69S Crnnkfiri laks Rd Iron Rivfir, Wl CHECK BOX AS APPLICABLE. Scale: 1" = 40'l| APR 'i 'L !1<^\ SYSTEM PAGE 2 OF 4 40 60 80 y///////77,777/7A77A^7/\ 102 PLOT PLAN DESIGN FLOW: 300 GPD Attach design flow calculations for commercial plans. BM Symbol; -^- BM Elevation: 100 00'FT BM Description; _NsiUJn_'L?r> Ahnyp Qrntjnd in PnplarTrftfi Well Symbol (if applicable): QSlope Gradient (%)of tested Area:' ' 2Q°l indicate north by drawing an arrow on the approprite line. Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) Sanitary Sewer: 4" PVC / SDR 35 Force Main: _____ / IMPORTANT: Show ground elevation contours at suitable intervals. /^ iNa Existing 91' of Inflltrators tOO.ti0 IM = 5' North of B3 1 T A&ova Ground > 100' to Crooked Lake Rd. Proposed 88' of Quick4 Infiltrator Chambers •4" Observation Pipe Proposed 4" SDR 35 Pipe 3' Seperation Between Cells Existing-HWO Gallon Septic Tank m&750 66695 Driveway IN-GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) JL_L SOIL COVER TYPICAL TRENCH CROSS SECTION VIEW (No Scale) 12" mln. trench depth(typical) 34"—(typical) Wieser Septic Tank(s) Manufacturer: 750 gal Polvlok Septic Tank(s) Volume(s): gal — gal Effluent Filter Manufacturer: Effluent Filter Model #: PL-525 Provide minimum 3 ft separation between trenches, gal Highest Trench System Elevations = 94.5TT Quick4 Standard-W w/ End Cap (typical) ft. 93.5 ft; Lowest Trench (as applicable) ft; _ ft;ftT2 (Show location of inlet / outlet pipe connection on plan view.) _ __ _ _^___ _ — _— _ ^- —— _ —^ ^_______^___-^——-—= Observation Pipe(typical) Install per manufacturer's instructions. TYPICAL TRENCH PLAN VIEW (No Scale) (typical) INSTALL PER TRENCH: 22 + Qulck4 Std-W @ 20 ff ElSA/chamber = 44° Pairs of end caps @ 6 ft2 EISA/pair = 6. ft2 ft2 A = 3.0ft (typical) -Quick4 Standard-W Chamber(typical) (mfd by Infiltratar Systems, Inc.) Install pursuant to manufacturer's instructions. T?>0m co0 = Proposed EISA per trench = 446 ft2 Required Infiltration Area = "'^S—^ ft2 trenches = Proposed Total EISA Distribution Method: branched manifold ;A2 existing, combined EISA^ 893ftA2-,;/ PLUS CHAMBWSVSTEMS INFILTRATOR@ water technologies APR 2 m-i <;; The Plus Chamber The Quick4 Plus Standard Chamber offers maximum strength through its two center structural columns. This chamber can be installed in a 36-inch-wide trench. Like the original line of Quick4 chambers, it offers advanced contouring capability with its Contour Swivel Connection™ which permits turns up to 15-degrees, right or left. It is also available in four-foot lengths to provide optimal installation flexibility. The Quick4 Plus AII-in-One 12 Endcap, and the Quick4 Periscope are available with this chamber, providing increased flexibility in system configurations. Maximum Strength iluick4IRIuslStaii(lai|(lsGlianit)eK g>|iecificatK)ns| Size 34"Wx53"Lx12"H (864 mm x 1346 mm x 305 mm) Effective Length 48" (1219 mm) Louver Height 8" (203 mm) Storage Capacity 47 gal (178 L) Invert Height 0.6" (15 mm), 5.3" (135 mm), 8.0" (203 mm), 12.7" (323 mm) Quick4 Plus Standard Chamber Benefits: • Two center structural columns offer increased stability and superior strength • Advanced contouring connections • Latching mechanism allows for quick installation • Four-foot chamber lengths are easy to handle and install • Supports wheel loads of 16,000 Ibs/axle with 12" of cover Quick4 Plus AII-in-One 12 Endcap Benefits; • May be used at the end of chamber row for an inlet/outlet or can be installed mid-trench • Mid-trench connection feature allows construction of chamber rows with center feed, as an alternative to inletting at the ends of chamber rows • Center-feed connection allows for easy installation of serial distribution systems • Pipe connection options include sides, ends or top Quick4 Plus AII-in-One Periscope Benefits: • Allows for raised invert installations • 180° directional inletting «12" raised invert is ideal for serial applications Certified by the International Association of Plumbing and Mechanical Officials (1APMO) APPROVED in Bayfield County, Wf ynwrMKftwyj ^MWIELb'COUNTf.?g£I?/T»X tt)>»%190 ^TTHEWC NORTON 4/24/2024, 8;08;07 AM w Wetlands i —'Approxim. Rfvers Road Type Lakes "" Town ate Parcel Boundary Building Footprint 2015 Budding 1:3,507 0 0.04 0,09 0 0,05 0,1 0.17 ml 0.2km WWCouMyLandR^Departmenl Bsyffof 4/24/24, 8:08 AM Real Estate Bayfield County Property Listing Today's Date: 4/24/2024 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:40 PM is?l!!SP Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Tax Districts 1 04 028 020170 001700 22145 Updated: 3/7/2023 04-028-2-47-07-19-2 03-000-10000 028104204990 (028) TOWN OF S19 T47N R07W KEYSTONE PAR IN SW NW LYING W OF CROOKED LAKE RD IN 2023R-597795 336A 13.000 19.872 1 Yes (F-l) Forestry-1 120 "'»r-^ Recorded Documents B WARRANTS DEED Date Recorded: 1/19/2023 S WARRANTS DEED Date Recorded: 3/4/2013 i Updated: 3/15/2006 STATE COUNT*' TOWN OF KEYSTONE ASHLAND SCHOOL TECHNICAL COLLEGE Updated: 3/22/2013 2023R-597795 2013R-548447 1102-175 •h Ownership MATTHEW C NORTON SUZANNE L NIEMI Billing Address: NORTON, MATTHEW C & NIEMI, SUZANNE L 66695 CROOKED LAKE RDPO BOX 127IRON RIVER WI 54847 Site Address * indicates 66695 CROOKED LAKE RD Property Assessment 2024 Assessment Detail Code Gl-RESIDENTIAL G6-PRODUCTIVE FOREST 2-Year Comparison Land: Improved: Total: Property History N/A Mailing Updated IRON IRON Address: : 3/7/2023 RIVER WI RIVER WI NORTON, MATTHEW C & NIEMI,SUZANNE L66695 CROOKED LAKEPO BOX 127 IRON RIVER WI 54847 Private Road Acres 2.000 11.000 2023 20,800 110,600 131,400 RD IRON RIVER 54847 Updated: Land 6,500 14,300 2024 20,800 110,600 131,400 5/16/2019 Imp. 110,600 0 Change 0.0% 0.0% 0.0% https://novus.bayfieldcounty.wi.gov/access/master.asp7paprpids22145 1/1 BAYFIELD COUNTf CHECKLIST FOR SANITARY APPLICATONS APR 2'2 ?m Submit the Following (Use Permanent Ink) (Title 15, Section 15-l-10(e)) '0 Check List ' '""•"'1' "'; ' '";in!' 1;";!;! Original Sanitary Application (Submitted In Deed Holders Name -not prospective buyers) (383.21(1)1.) P Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 0 Original Plot Plan (383.22(2)2. 3. & 4.a) ^..- Cross Section, Over-Heacf Profile of the System and Schematic of Tank from Manufacturer ru' D Pump Tank Diagram, Alarm and Pump Curve (when applicable) ^ Contingency Plan / Management Plan (383.22-3(2)(b)l.f.) D Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) n Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) D Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) D ATU Servicing Agreement (Recorded at Reg. of Deeds) Kl Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) D 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) i^,Soil and Site Evaluation Report (383.22-3(2)(b)l.e.) D State Plan Review (when applicable) D Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) I Application Information must include: ^ 23 diait Parcel ID# — Cdo not use 12 digits anymore—obsolete) M Project Address or Road Name where driveway is/will come off of) /j^ (Owners Phone Number) T3(ll Type of Building 5f III Type of Permit IX IV Type of POWTS System ri^V Dispersal / Treatment Area Information E^ VI Tank Information bd VII Responsibility Statement (Plumber's Information) <K *Date Stamp* Plot Plan: (To Scale or To Dimension) {^Signature and Plumber Information f^f Address Number and Road ^ Surface Elevation of Body of Water i^Morth Arrow Direction and Percent Land Slope Q»-Contour Lines ^-Tank and Filter Information and Location ^.Structures and Driveways feCwetlands / Navigable Bodies of Water E? Boring Locations ti. Absorption Area (Proposed and Existing) ^Property Lines ^-Bench Mark (Location, Elevation and Description) tf-Well Locations D Component Manual Version IS- Legal Descriptions pipi|g'ilVIate|ial;ln^gniatjoo|(ecB@%t^^ Turn Over > Site Address (o(s^ a-oo-i<.ss> L/^C u Owner(s) Name ^•7T]^€V° ^^V/^ Parcel Identifier Number (PIN) oi-oz^^-^-o-7-n-? 03^ Private Sewage System Maintenance Agreement Owper(s) Mailing Address,-•Z^^UU^SHO)'^.OAK-vliooPit:hit^X(,'"^ Agreement Date (same as Notary Date) ^-30/4 & Z<9l4 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 Bayfleld County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established In the Wl Adm. Code, as (rom time to time amended. 1/4 of. 1^^1/4 Section __L_!_Township T 7 N. Range ^ I W. Town of Lot. ^<C^ro^(r QoVt Lot . Block.Subdivision .CSMff_ Additional Legal Description: ^-r A^'UJ. »'•{"• G^V^'^1^^ 1-4-^e. PATRICIA A OLSON8AYFIELD COUNTY, WIREGISTER OF DEEDS 06/16/2014 03:30PMTF EXEWT it: RECORDIN8 FEE: 30.00 PftOES: 1 Recording Area Return To: Type of Private Sewage System: B (A) In-ground gravity a (D) Mound 0 (B) In-ground dosed D (E) At-grade Sewage System a (C) In-ground pressure distribution a Other • Seotic tank (System types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years o( the date of installation and at least once every three (3) years thereatter 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-ihird (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 a!so be inspected and maintained to ensure operabiiity of said components. -'~- Seplic tank affluent filter (System types A through E): The ssptic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Fiiter maintenance reports sha!! be submitted to the County as required by Comm 83.55, Wis. Admin. Code. K 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 affluent from the system is ponding on the ground surface. Mounds, At-arade, and In-around pressure system laterats (System types C, D and E}: needed when the wastewater distribution cett component is inspected as provided above. The laterals shall be flushed out and swabbed if Owner(s) agree that iailure to comply with this agreement will result in action being taken to pay ail 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. Bayfietd County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the dale 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 variance shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) - Please Print /l^TT}^)^ ^ /V^ rvAV Notarized Owner(s) - Signature(s) Subscribed and sworn to before me on this date: \-&^L^<-^ \[^ l/^LA^^ONotary Public / r i /^.^/^ My Commission Expires: Drafted by: A//<;n f?c,!kc,sk, U/Defa'sData/Forms/Sanitai-y/SepticMalntenanceAi SANDRAMVACKAR"OFFiCIAL SEAl^_Notary PublTc, State of Ijlinore"CommissionjxpiresU0ctob^29,2016 Date:,yj/^u V11Z6 P46§w PAGE 4 OF 4 In-ground Gravity Management Plan, c IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. 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), Wise. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = ___30?____ gpd; BODg <. 220 mgL-1; TSS $ 150 mgL-1; FOG^30mgL1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (/.e. odors, user complaints, etc.) o mechanical malfunction (/.e., pumps, valves, switches, floats, etc.) o material fatigue (/.e., leaks, breaks, corrosion, eto.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (;'.e., exceeding design capacities, prohibited activities, ete.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (/.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, ete.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification) o surface discharge of affluent 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, Wise. 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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Blakeman Plumbing & Heating phone: 715-682-6050 Local government unit Bayfjeld County Zoning _ phone: 715-373-6138 Local government unit address: 1 17 E 5th St. Washbum, Wl ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise. Admin. Code. Continaency 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, Wise. Admin. Code. BAYFIELD COUNTS SANITARY PERMIT (#04)-24^1S STATE SANITARY PERMIT OWNER: MATTHEW C NORTON GOVTLOT: LOT: BLK: SW 1/4 NW 1/4 SEC: 19, T 47 N, R 7 W TOWNSHIP: Keystone SOIL TEST: 40-14 OTHER MODIFICATION SYSTEM TYPE: Non-Pressurized In-Ground PLUMBER: Dean Blakeman MCKENZIE SLACK Authorized Issuing Officer DATE: 5/6/2024 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 wilt 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 #: 14-32S LICENSE: #221123 Condition: System to meet all setbacks. Management plan to owner. Properly maintain system per recorded agreement. THIS PERMIT EXPIRES 5/6/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION