HomeMy WebLinkAbout24-55S Orthmann/*,'\"i!:K';
"',\
'\//\'^,w-Department of Safety
& Professional Services,
Industry Services Division
M A\. 1
County Bayfield
Sanitary Permit Number (to be filled in by Co.)^M^6S_
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 Ntimber
Project Address (if different than mailing address)
I. Application Information - Please Print All Information
Property Owner's Name
Jeffery & Sandra Orthmann
Parcel #
221128
Property Owner's Mailing Address
64305 Pezderic Rd.
Property Location
Govt. Lot
City, State
Mason,Wl
Zip Code
54856
H. Type of Building (check all that apply)
63 1 or 2 Family Dwelling - Number of Bedrooms 3
D Public/Commercial - Describe Use
a State Owned - Describe Use
Phone Number
715-413-2120
Lot #
NE ,^ SW ./,. Section 36
T_47_ _N R_ 6_x_EorW
Subdivision Name
Block #
a City of.
CSM Number D Village of
B Town of Keystone
ffl. 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.)
D New System B Replacement System D Other Modification to Existing System (explain)D Additional Preb-eatment Unit (explain)
B.B Holding Tank D In-Ground
(conventional)
D At-Grade D Mound D Individual Site Design D Other Type (explain)
c.D Renewal Before
Expiration
D Revision D Change of Plumber D Transfer to New OwnerList Previous Permit Number and Date Issued
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)wa Design Soil Application Rate(gpd/sf)Dispersal Area Required (sf)Dispersal Area Proposed (sf)System Elevation
Tank Information
Capacity in
Gallons
New Tanks Existing Tanks
Total
Gallons
# of
Units
Manufacturer
& u
iis §E 5 I
Septic or Holding Tank 2000 Wieser Concrete
Dosing Chamber
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Edward B. Redinger
Plumber's Signature^^A5:^^MP/MPRS'Number
221939
Business Phone Number
715-292-6670
Plumber's Address (Street, City, State, Zip Code)
1015 11th Ave. E. Ashland, Wl 54806 . 1
VI. County/Department Use Only ^z:,7
'^'-.^-^
LI Disapproved
D Owner Given Reason for Denial
Da)& Issued / //|'^\3'sy-4\~7ZIssuing Agent Sjguature
J ^ /^7<y/^
mditions of'Approval/Reasons for Disapproval \ ^, i . .'.. '^^W^rtv mM- '(^u ^loaas ^M^ /kf01^ ^ b^ oa^r^w
&.D^-' ^ ^ 302.^] ^iW^W^WW w ou^w-
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)
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Ou»u»^lam<! («ty^y^^f^'^y-^/^f<-fn\
W ^ 2- ^7 ^ %-3 0^6^-/^oa ^-(fi -if
HOLDING TANKAGREEMENT
Paccl Uanlifet Numbei (PIN)
j Owm<a»Ml8iln8^ddni»t • jW3(^ ^€^^Ar'w^f ^/ws^,
i AyeiTnmt Date {tame at Noiary Dato i
We ad<na'*ledt)B thai apofcaliim B being maife far tha iiutaltalhn of (a) hdUing tiu*(»)an lb» toltowng propeBy or Ihai aartlinued u<n ol tht! •Bailing premisw* rBquires thall ahddng famk be iiT.triled on thti prDpcrty for tie purpdnn of ptopcr cotilainmont af
scvngc Also tho prapcrtv cannot mw hi •cned by a munkipal nmer, or any ottlKlypa rf (xfamte onsite wniliialiy Srcahlwil Hyman ttt pemiiited undcf Ch. SPS 383.
W». Adm. Code W Cb US. Wi* StalB.
J»of_5ii!/_1.f4 SeBfon
^J^LH&bj^.Town ^
^J0_Tcn»nthip 4'7_N. Bangs ^(?__W.
^AddiUoiuHagal^wcnpUa,: /frS^ V ^Z^ ^»^^ •'/^W:U^k<(^
GuVltct_Lot..
Ltd_CSM j»_
Bloik Subdnrision
^ Vai ___Pa9c _C.SM Oacft.
CSM8
DOCUMENT NUMBER2024R-603263
DANIEL. J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, Wl
RECORDED
05,16/2024 AT 1 1 :55 AM
RECORDING FEE: $30.00
PAGES: 2
Rciurr)
MAY 172024 B
As an mdueenwnl to Sayflehi County K> issue a aaiiriary pem-iX fur a haMlng twik an Uic 9bwci.<le»it<it>c<l pfc»|<s-ty.: wfr jaciwc to do aa
jodawlm.
1. Owner agraas to canftirm to aft appteabte rf-juirwnwta d Cd. SPS 383. Wia.. AiJkri. Code feiatoig to huletag tank «n»latefc» wd
ntainlaikance. If tit* cmnw rate to haw the hcfcling tan*. property swifetd In rwponao to owten issued by BayReW County or thfDispartment <rf Comneioe to prevent or abate a human heath haard as dcsCTtbed In 8. 254.59, State., Bayfleld County may cntet upon
ilw pfopwty and teft'iee lb» *anl( or tausa to haw (te lack to be swvtecd nnd cMarga th* owner By ptoaflg ibft ctwgw on ffia Ux bB *s a
apedat afiessment to eun»t saivicea i'ef>de»*<t- The <*ar9fi& will be assessed as (xeacrlbfd by a- 66.0703;. State
2. Owiiw agrees to pay all ctiaigca am) oo*ta Incumml t>» Baytiahil Couifly fw InsptCUon, (lumping, nading, or atOerwto sef/ict'iy and
inatntaiitihg UN! hoMine tank in such a IIHUIHM a* to pfftvefH or abate any human heallh Hazard caused by »e noKtny tank. Bayllem
Cdunly alia! mtity (be owner (rf any caste wtfch ahaH be paid by Ihc ciwritf williin tWrty (30) days frotii the dale o< rtobft*. In tto <wnl Ih*
owrnf Ausa i»at (lay th* caata watiin tlwly (30) days, ttie ciwriw apeciHcally agfeos Bial d Ihe cada and cfiafyit may lie jBlaaBO on Ifw (ax
nil«» a apedal a»a«a»mwt tar ttie atotunenl d a huinan lieanh hauwd, and Bitt tax ahaH be coKueO a* prowdttd by lan.
3. The awnar agraes to cnntrac* ftih a pnraoowhe Is Itceraed purauart to s.261.17 (3) Wia. State., and ctwpler MR 114 Wls. Arim. Cafe, to
have lh& holding tank sei^ued in acewdaoes with Ch. NR113, Wla. Adni- Code, and to file a ccpy <rf the conbact wilh 8a><ieM County.
The umier further agreiy* lo Kte a copy d oif changei to Ih* •ffnfce coimacl, or a copy of a liew torvice contract, wih (ha cuutity within30 daya ftwn the dale d! ctiange to ttie swvloft conteatt-
4. Tne owner ayees to (.ceitraa •nith a peraon feWM-d puraaartl to s. 2Bt.4B <3? Wia. Stats.. and Ch. HH 114. Wfs Adm. Code virtiu ahaBsubmit to nic Miunly >m»w 30 days a report iletarilng Uw swncdg ol t»w hotding lank. Bayftskt County »nay entef upao Bta proptrty ta
mveibgate the condition of (1*6 hotding tank rrtwn (M.nnpang tcpurti ai-nl mater feadlng* may indkcale that the haldlng tank Is riul being
(iropcrly ntatntaiitftd.
5. TO* ayecinwH wig ffsnain m effect only unu BayfitW Ccwilly cerWes IttBt Bw pro(»fty is »e»wd by ftXhef s ffMnlcfpat »<»me» or a priu-at*
analte wastewalw Iraauitwt system thirt cofnpdca witti Ch. SPS 383, Wl's Adm. CudB. In adtWcn, tt»» agrwsment may bft cwoalled ByexjBCuling and fwwdlng said cwttficalioii wilh ?{ewoee to Uiia agduefnent In aucti mannw tktiieh wB penmlt Itin txrslercfc ot tt»
oertiticalicn to to ifetemiln&d by irhrwee to Die propefly-
8. This agwoitiBiH ahefi be IHmihg ujiun the amw. the heirs cH Ihfr (wwi<sf, find assignees of sm owinar. The owiai shall aubntt thisagfoaftient to tl*e (tgfstw crf deeds, and Ifii- aciwemert stuill trt reeiWuti by Ihe nsglster o( de«j& in » manner wnidi will permH tlie
axla.lwio- of the ayeeffnwt to tie (teiermitsi'd by (CfereitSe Id the (MOMrty whwe the huUing tank is inatallpd,
Sutitcrbtd mvS nwofrt to btilom me on Ihii daleChmn-1,1/ Hafn«(a). Plu— Print^
Itottrited Owner<s) - Stgiurtunf)
Orated by. ^/ft^Ji±€{. <^/7^^<A_
i;;^ra.an3( < r*T,w<*y£ift yw pr-'wde "swf tn' tujwwt t'ot' .i«'ii3Ariu»>-'p.".^pulMMi ^r'vswy U», «. t^ IN !1!.^rT{i
^^--e^^^__7n<3 W /i^nJhL
t-.Z3-^
-1
ISfCMnMswn Expires: ., y
Date:^^-2^
^?!CT<»^^ret«^es^^flfciBla<tnw?»!«s^.<l3tttA^»iE^<S
- DOCUMENT NO.
398705
I M 556PAGE208
WARRANTY DEEDII STATE BAB OF WISCONSIN FORM 2—1982
Cecilia M. Pezderic, widow of Joseph Pezderic
'Grantor,"
convw'a^warrante'tsRobert:l^^^":;^n3:;De!^e::
K. Pe^zderic,...as ^marital.. s.urviv^^^^
.Grant&es,
the .following described real estate in .-.BaY-fl.S;!-.d...................-......Courity,
Stiite of Wisconsin:
koiJ3teF^PAgE^
^A'^^--
REGISTER OF DEEDS
P2nflY 8 flf) Hi 3
[E61STER-S OmCE7s..S.
PAVFIELD'COUNTY. WI'S.
RETURN TOT
f/rfVy- U. /7t^-
y::''^^'^^^^^^^^^
<Cec.i,:L.i..a..y.,...PezS&rl.c.....................
.(SEAL)
[•-TRANSFER-FEE-
l.<
-•FEe'BCEMPT"d^S
?1£NTAL WEATHEfflZATOW.CODE••YES-n-Nfl^PliPfclPWtlM-*-^//"-.(SEAL)
AUTHENTICATION
Signature (s)
ACKNOWLEDGMENT
STATE OF WISCONSIN
mV&vajal^si this ........day of..,..Ma^........-...., 19..5.2
-BaX£l.e!-.d.......— ....County.
PwsonaITy came before me this ..'........—...day of
19........ fcHe abbve named
TITLE: MEMBEB STATE BAB OS WISCONSIN
(If riot, —..-.;....sutliorized By .§: 706.06, Wis. Stats.)to me known to be the person ........... who executed the
foregoing insfa-ument and acknowledge the same.
TWIS INSTRUMENT WAS DR'AFTfiO BY
-.3'.tl6fflaS...I!il,...AB-i:ch...5BWi...24:7.3..73...6.C_
••&n.t.Cb...S...P.e.te.!:.5.0A-£a.w..O-££A:C.e.5............ Notary Public ....,-...„.............—...........— -County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (H not, state erfpiratioi,
are not necessary.) _ j^; __..._.__..................................... 19.......-.)^VOL - 556PAGE208
PA. 10, »c -TRi^tC S
Tai Parcel No:A parcel of land located in the NE;i< of the SWb and the SEb of tH'e
SWs of Sectib.h 36, Town '47 North, Range. 6 West, in the Town- of 'Keystone,
Bayfield County, Wisconsin, de'scribed as follows:
• To locate the Point of Beginning, commence at the SW corner of said
Section 36 and run N 90°00'00" .E, 2630.46 feet to the South \ corner
of said Section 36; Thence N 0<>10'40" W, 1068.64 feet to the Point
of Beginning.
Thence from said Point of Beginning by metes and bounds :
S 89°49j20" W 466.6-8 feet to a 1-!;" iron pipe; Thence N 0°10'40i" W,
466.68 feet,to a l-k" iron pipe; Thence N 89°49'20" E, 466.6.8 feet;
Thence S 0"10'40" E, 466.68 feet to the'Point of Beginning. ;]
Parcel Contains 5.0 acres, including that land lying within the right- ',
of-way line of Pezderic Road. • . i|
Attached and incorporated by refererce .is a map of survey prepared ,j
by'Larry T. Nelson, WI Land Surveyor (S-1276) covering the,above land jj
description which survey was made on April 27, 1992. . !i
I;
This ....iS,.;nnt—.-..—homestead property. '' ^A^\J ^ f ''/ Pt 'SLi'"•"""^'"(is'not)"""""""'"'""'"'" . • . : F1AY I / /.Ll|
ji
Exception to .warranties:
|!ISubject to easaments, reser-fratio'ns' and restrictions of record. ;'
:j
Dated this -..l-...--...;.-£Tn/,--............ day of .................. MaX........................................... 19.. ..?.2. .;
.(SEAL) ;|
?amw of pnaom aienica in any capacity should be tyyvd or imntcd b<low their aignatuTcg.
WAItItANTT SEED Wisconsin Legah Blank Co., Inc.
Milwaukee-, Wisconsin
MAY 1 b'Z 02^1
HOLDING TANK SERVICING CONTRACT
1Contract Date
This contract is made botwean the
Hofdteg Tank Owners) Name<s)
J^frC/ f! 5cL,\.(S.^^ Ortt^C^-H «-_1
Pumper-a Name (PHitt)j Puqn»<'s Sigi
ffZ Syih^^^jVc^-^
Pumpers' Registratkm #
0^0^
We adknowledgB the installaMcwi of (a) holding tank(s) on the tollowAng property; (F^owde COUPl^g legal dhascriptwns)
-WKNHT.111.toomoN /tN'!»^"'^;-'^:1^.";,<Mi><'^«ai»««i«l«ft'-:1^Wii?M!i^3£5.^^^"^^
SmrtUt wf1;'CWM-"W—*;J1 CSMDoc*un»H»^.['••itWim-
i^lt^i
•jsMe 'Una—.-1.1'1.
siNritem^; .•:':' .- •^,"..; " ";1.;1-.1" .,-'.'1;^'w
1. The owner agrees to We a copy of this contracl with Bavfield County as requ>rsd in SPS 383.55. Wis. Adm Code.
2. The owner agrees to have (he holdmg lank(s) serviced by the pumper and guarantees to permit (be pumper to have
access and to enter upon the proaarty for the purpose of s«vicing the holding tanklsl. The owner aarees to maintain
the access road or drive so (hat (he pumper can sflnrice the holding tank(s) with the pumping equipment. The ownerfurther agrees to pay Iha pumper for alt chargas incurred m ser/icing the holding !ank(s) as mutually agreed upon by
the owner and pumpw.
3. The pumpcr agrees to submit to th® locai govemment unit whidi has signed the pumping agreement required by SPS
3B3.55, Wis. Adm. Cod«, and BIB County, a report for ttw sArwcing of Uia holdmg (ank(s) cwi a semiannual basis. The
purnpflr (urthar agrees to include the foilowing in the semiannual report:
a. Tn<? name and address of she person responstble for servicing the holding tank;
b. The name ofthe owner of the hotelmg tank;
c. The location of the property on which the holding tank »installed;
d. The sanitary permit number issued (or the holding tank;
e. Tile dates on which the haiding tank was senfead;
f. The volumes in gallons of the contents pumpad from Uw holding tank for each samcmg;
g. The disposal sites to which the contents from (he holding tank were ddivared.
4. This agre&ment will remaan in effect until the owner or pumpar terrwnates (his contract In ths event of a change in this
contract, the owner agrees to file a copy of any changes to this sen/ice contract or a copy o( a new service contract
with the tocal government unit and the County named above wittiin (10) business days from the date of change to ihis
ssrvice contract.
Owners) Nam^s) (Prtnt)
fm^^t iy^w/i^
Owners SignaiMrets)Subscribed and Sworn co me:
on tWs/j^^day at ^^Li °" IN^^dayot WLUJL^J.LJz^ -m°'^'ji^-
'^-t-' "' hictary Publlc"
dtytommlBslon expires on: ~T"_c,
Rewsad: Way 2)16 (•Bttey 201S)
Pwsonal infamiitticn ffn.s pnnide may tae UMid !w accandary purpcnesi privacy Law, a-1 S 04 (l)ji"n,i]°"»—ii>y --X^l
MAY i c'^
H,<>,lL^INg.TAN,K,,,-,MANAGEIIENT,PyW.
Th® Private Onsite Waste Treabnent System (POWTS) has been designed and is to be
installed and maintained according to SPS 383, Wisconsin Administrative Code,
Holding Tank Component Manual for Private Onsite Waste Treatment Systems
(SBD-10571.P}(RA'99) and the BaydeM County Zoning Department Sanitary and Private
Sewage Ordinance.
1. ThJsJ3pWTS has been designed to accommodate a maximum daily flow of
j21^,^j|aUons of domestic wastewater per day.
2. The owner of this POWTS is responsible for system operation and
maintenance, todring device, alarm and access.
3. The owner or owner's agent Is required to submit reports as required by SPS
383.55(1), Wis. Mm. Code, to the BayfieM County Zomtvg Department
4. Design approval and site inspections before, during and after the construction
are accompltshed by the county or other appropriate jurisdictions in
accordance with SP8 383 of the Wis. Adm. Code.
S. Maintenance Cycte. The hokiing tank must be serviced by licensed pumpers.
An alarm system is to be installed to activate when the tank is < 90% full.
6. Performance monitoring. At the time of servicing, th® service provider files a
report with the department of designated agent
7. A User's Manual wiU accompany the 6ompor»nt. It will indude the names
and phone numbers of local health authorities, component manufacturer or
POWTS service provider to be contacted in the event of component
matfunctkwi or failure.
8. tn the event that this POWTS or a component of this POWTS fails and cannot
be repaired the owner wilt find in the User's Manual the names and telephone
number's of property licensed individuals to contact for such repairs.
This agreement shaft be binding on ail assignees and heirs
/j^[l/4 ot^c/1/4 SBcBon^^ Township</7N. Range (%W. Town ot T
GQVt.
Lot_ _Lot_ __ Block _Subdivision ______ ,^^^^^^^^^^^^^^^^,
Additional Legal Description.
^^^^^L^_ .^J^LL2L.Property Owners Signatun Dat*
utfann*AniKiag«m>Bntipa»B
Rnismt: July 2013
PAGE 4 OF 4
Holding Tank Management Plan
IMPORTANT:
The owner of this holding tank(s) 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 holding tank(s)
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.
Estimated Daily Wastewater Flow = _~t'JU _ gpd
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, ete.)
o material fatigue (/".e., leaks, breaks, corrosion, etc.)
o neglect or improper use (/.e., exceeding design capacities, prohibited activities, eto.)
o electrical components (/.e., wiring, connections, switches, controls, timers, alarms, etc.)
o surface discharge of affluent or sewage back-up into structure served
SERVICING FREQUENCY
o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wise. Stats.
when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s).
Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code.
Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis.
Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Superior Plumbing & Mech. Inc. p^ne. 715-292-6670
Local government unit. Bayfield GO Zoning _ ph^e: 715-372-6138
Local government unit address: 117 5th St. E. 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.
Contingency Plan
In the event that any failed component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a
plan submitted to the appropriate agecy for review and approval.
System Abando nment
If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code.
BAYFIELD COUNTS SANITARY PERMIT (#04)-24^5S
STATE SANITARY PERMIT
OWNER: JEFFREY M & SANDRA N ORTHMANN
GOVTLOT: LOT: BLK:
NE 1/4 SW 1/4 SEC: 36, T 47 N, R 6 W
TOWNSHIP: Keystone
SOIL TEST: 53-24
REPLACEMENT SYSTEM
SYSTEM T/PE: Holding Tank
PLUMBER: EDWARD REDINGER
MCKENZIE SLACK
Authorized Issuing Officer
DATE: 5/24/2024
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 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: #221939
Condition: All setbacks must be met. Management plan to owner. Properly maintain system per
recorded agreement. Properly abandon existing system per SPS 383.
THIS PERMIT EXPIRES 5/24/2026
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION
\"W ::,:'^K, ,
Wisconsin Department of Safety and Professional Services
^ Division of Industry Services MAtJ M024 Page.-L-3
^ \^*.^'^y SOIL EVALUATION REPORT
In accordance with SPS 385, 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 arrow, and location and distance to nearest road.
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1 )(m)).
Property OwnerJeff & Sandra Orthmann
CountyBayfield
Parcel I.D.22128
Reviewed by (V\5
Property Location
Govt. Lot NE y- SW y. s 36 T 47 N R 6
Date\5^a^a E
E (or) W
Property Owner's Mailing Address63405 Pezderic Rd Site Address or CSM and Lot #:same
City
Mason,
StateWl Zip Code54856 Phone Number
( )
D City D Village B TownKeystone Nearest RoadPezderic
Code derived desianflow rate 450 GPD
Flood Plan elevation If applicable_ft.
II New Construction Use: B Residential/Number of bedrooms 3
.•jReplacement I I Public or commercial - Describe:
Parent material ClaveV Till
General comments and recommendations: Mound On 96' Contour .4 loading - Interpretive Determination Report needed
Boring #Daoring 98.8
• |Pit Ground surface elev._ft.10 9797.Depth to limiting factor ' ~ in. / elev._ft.
Horizon
1
2
3
Depth
In.
0-10
10-14
14-18
Dominant Color
Munsell
5yr4/2
5yr4/4
5yr4/4
Redox Description
Qu. Az. Cont. Color
f1f5yr7/1
Texture
sict
sicl
c
Structure
Gr. Sz. Sh.
2mabk
2mabk
2mabk
Consistence
ml
ml
ml
Boundary
cw
gw
Roots
3f
1vf
Soil Application Rate
GPD/Ft2
*Efl#1
.6
.4
0.0
*Efi»2
.8
.6
0.0
Boring #QBoringgJPit Ground surface elev.98.8 Depth to limiting factor.
98.05
.in. / elev._ft.
Horizon
1
2
3
Depth
In.
0-9
9-14
14-18
Dominant Color
Munsell
5yr4/2
5yr4/4
5yr4/4
Redox Description
Qu. Az. Cont. Color
f1f5yr7/1
Texture
sil
sicl
c
Structure
Gr. Sz. Sh.
2mabk
2mabk
2mabk
Conslstence
ml
ml
ml
Boundary
cw
gw
Roots
3f
2vf
Soil Application Rate
GPD/Ft2
*Eff#1
.6
.4
0.0
*Eff#2
.8
.6
0.0
CST Name (Please Print)
Edward B. Redinger
Address
1015 11 th Ave. E. Ashland, Wl 54806
Signal
Date Evaluation Conducted4/24/24
CST Number221939
Telephone Number
715-292-6670
* Effluent #1 = BOD > 30 £ 220 mg/L and TSS > 30 s 150 mg/L Effluent #2 = BOD, s 30 mg/L and TSS £ 30 mg/L SBD-8330 (R04/21)
Boring #
2 .3of_
D Boring _ ... 94.5. „_„ „...„. 10 93.67g] Pit Ground surface elev." " ~ ft. |v|^y 'iD^Ih^l^nitina factor 'w in./elev. """ ft.
Horizon
1
2
3
Depth
In.
0-10
10-14
14-18
Dominant Color
Munsell
5yr4/2
5yr 4/4
5yr 4/4
Redox Description
Qu. Az. Cent. Color
f1f5yr7/1
Texture
sil
sicl
c
Structure
Or. Sz. Sh.
2mabk
2mabk
2mabk
Consistence
ml
ml
ml
Boundaiy
cw
gw
Roots
3f
2vf
Soil Application Rate
GPD/Ft2
*Ef»1
.6
.4
0.0
"EW2
.8
.6
0.0
Boring #D BoringI Pit 94.5Ground surface elev. ~ ~ ~ ~ ft.Depth to limiting factor.93.75in. / elev. ft.
Horizon
1
2
3
Depth
In.
0-9
9-14
14-18
Dominant ColorMunsell
5yr4/2
5yr 4/4
5yr4/4
Redox Description
Qu. Az. Cont. Color
f1f5yr7/1
Texture
sit
sicl
c
Structure
Gr. Sz. Sh.
2mabk
2mabk
2mabk
Consistence
ml
ml
ml
Boundary
cw
gw
Roots
3f
2vf
Soil Application Rate
GPD/Ft2
*Eff»1
.6
.4
0.0
*Efl»2
.8
.6
0.0
Boring #D BoringD pit Ground surface elev._-ft.Depth to limiting factor._in. / elev.
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence Boundary Roots
Soil Application Rate
GPD/Ft2
*Ef»1 *EfRf2
* Efftuent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS £ 30 mg/L
SUPERIOR
PLUMBING MECHANICAL
(715)278-3456
^-—AS.T^—,
Customer Name: Jeff & Sandra Orthmann
Adress: 63405 Pe2deric Rd.
Mason. Wl 54856
Phone #: 715-413-2120
Email:
CSTft 221939
Scale:!" =40' ^
PIN:22128
35 AcresNESWS36T47NR6W
Town of Keystone
Bayfield Co.
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Attachments:
Holding Tank Plan
Index & Cover Sheet
Component Manual Design References'.
Holding Tank Version 2.1 (May 2022-2027)
I ndex& Cover Sheet
Plot Plan
Holding Tank Specifications
Management Plan
Enclosures:
PAGE 1 OF 4
POWTS Application for Review
Soil Evaluation Report & Site Map (if applicable)
Holding Tank Pumping Contract (if applicable)
Holding Tank Agreement (if applicable)
Project Name / Description
Holding Tank 3 Bed Home
Owner Name(s): Jeffery & Sandra Orthmann
Owner Address: 64305 Pezderic Rd. Mason, Wl
Phone: 715 .413 _2120
Zip: 54856
Project Address: same
Govt. Lot:NE 3l/4 ofsw 1/4, Section 36 , T 47 N-R6 _E D or W [•
Township: Keystone county: Bayfield
Project Parcel ID #: 22128
Designer Information
Designer Name: Edward B. Redinger _ Phone: 715 .292 -6670
Designer Address: 1015 11 th Ave. E. Ashland, Wl _ Zip: 54806
E-mail: ed@superiorpmw.com _ This .space reserved for approval stamp.
License Number: 221939
Remarks:
Signature: ^^*-^-^\^.Date: ^//^/^
Original signature required on eacta'Submitted copy.
SUPERIOR
PLUMBING MECHANICAL
(715)278-3456
Customer Name; Jeff & Sandra Qrthmann
Adress: 63405 pezderic Rd.
Mason, Wl 54856
Phone #: 715-413-2120
Email:
MAY ' (:'/li^!
CST# 221939^ ^Q^ /^/ot<^ T^/< - Fi^C^ {Afi^^AScale: 1" = 40' c^
PIN: 22128 *^"^^.35 Acres •—^—II.
NESWS36T47NR6W
Town of Keystone
Bayfield Co.
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PAGE 3 OF 4
HOLDING TANK SPECIFICATIONS
(No Scale)
Electrical must comply withSPS 316 and NEC 300
\1/ \^
0 Weatherproof
•Junction and
Alarm Box
Conduit
4"0 Vent Pipe
>10 ft from
Building
Approved
Vent Cap
12"Min. or 2.0 ft aboveEstablished Flood Elevation
(typical)
18"Min. v
(typical)
^ Inlet
•Airtight Seal
:D<>m
Approved Joints with
Approved Pipe 3 ft onto
Solid Ground
\n
^/
Approved Locking Manholewith Warning Label Attached
(typical)
Inlet Invert
^-
— Max. 12" or 90% of total volume
if more than one tank
Alarm-On
HOLDING TANK
VOLUME = 2000 gal
3" Approved Bedding Material Beneath Tank
y_
4"Min. or 2.0 ft above
Established Flood Elevation
(typical)
^k.\1/
Finished Grade
»-Watertight
Plug
TANK MANUFACTURER:Wieser Concrete
Anchor tank as necessary
pursuant to SPS 383.43(8)(g)
Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - Ibs.tank.wt] x 1.5
Ballast Weight = [(.cu.ft.x62.41bs/cu.ft)-lbs]x1.5=Jbs
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WLP2000-MR
SEPTIC MANUAL
REVISED JAN. 2010
UIIESER cnncRETE
W3716 US HWY 10 MAIDEN ROCK, Wl 54750
800-325-8456
DRAWN BY: SME
DATE: JANUARY_201p_
SCALE: 1/4"=1'-0"
~REV7
_DATE:
IPRE-POUR:
IPOST-POUR:
FILE: W2000-1|R