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HomeMy WebLinkAbout24-63S Gumke^ -nmx :^^•'"^' <t@i5S5. Department of Safety & Professional Services, Industry Services Division CountyBayfield Sanitary Permit Number (to be filled in by Co.)w^^6 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 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. Project Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Name Lee & Corrine Gumke Parcel# 04-042-2-50-08-26-1 04-000-32000 Property Owner's Mailing Address 11970TouveRd, Property Location Go vt. Lot. Tax ID:38700 City, State Port Wing, Wl Zip Code 54865 II. Type of Building (check all that apply) B 1 or 2 Family Dwelling - Number of Bedrooms D PubIic/Commercial - Describe Use D State Owned - Describe Use Phone Number 715-684-9338 SE NE ',4. Section 26 v Lot #50 08T"" N R._EorW Block # D City of. CSM Number a Village of B Town of Port Wing ffl. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i applicable.) New System Replacement Systen D Additional Pretreatment Unit (explain) B.Holding Tank In-Ground (conventional) At-Grade Mound Individual Site Design c.n Renewal Before Expiration Revision of Plumber D Transfer to New Owner List Previous Permit Number and Date Issued IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd)300 Design Soil Application Rate(gpd/sf)N/A Dispersal Area Required (sf)N/A Dispersal Area Proposed (sf) N/A System Elevation Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer a: U ulS 3w uft ^'£ S Septic or Holding Tank 2000 2000 Wieser uDosing Chamber :n" V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Dean Blakeman iignature^MP/MPRS Number 1092768 Business Phone Number 715-682-6050 Plumber's Address (Street, City, State, Zip Code) 44941 State Hwy 13; Ashland, Wl 54806 VI. Couaty/Department Use Only wApprovedD Disapproved n Owner Given Reason for Denial Permit Fee$«4oo Date Issued /^w'ri.Issuing Agent Signature ^/10/i^ PJ: ;?^ 23'S Conditions ofA^pproval/Reasons for Disapproval --^^ ^ ^^ <J)1 ^£%S rr)G/v^c^c/^ P/M ^0 o^nc^. .TO(^ ^ ^ l3^^ ^'-fA^ ^^ op c^V^UcT Co^d\' 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) Wisconsin Department of Commerce Division of Safety and Buildings JUNO 32024 APR 172024SOIL EVALUATION REPORT Bayfield Co, Zoning Dept. i.</^\^:^:;]\ " '^ / Page. in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2x11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale ordimensions, 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)). County BAYFIELD Parcel I.D.38700 Reviewed by DateA\e^^ro HO Ij i H/-^/2.^ Property Owner LEE & CORRINE GUMKE Property Location Govt. Lot SE 1/4 NE 1/4 S 26 T 50 N R 8 ^or^w Property Owner's Mailing Address 11970TOUVEROAD Lot #Block #Subd. Name or CSM# TPty[J Village POT? T wn\m City State Zip Code Phone Number PORT WING | WI ] 54865 ^715 ) 977-0303 own Nearest Road I TOUVE New Construction Replacement Parent material Usefx'l Residential / Number of bedrooms n Public or commercial - Describe: FLUVIAL Code derived design (low rate 30(T ^GPD Hood Plain elevation if applicable General comments and recommendations:HOLDING TANK OR MOUND SYSTEM ELEVATION AT 96.8 ON 95.2 CONTOUR DESIGN LOAD RATE = .6 GPD/SQ. FT./ Boring #Boring pit Ground surface etev. 95.6 J . ft. Depth to limiting factor !6 in.Soil Application Rate Hor'izon Depth in. Dominant Color| Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots _GPD/ff *Eftff1 •EfW2 0-6 5YR3/2 SL 3MGR MVFR cw 3M 1.0 6-13 5YR3/4 LS OSG MVFR AW 3M 1.6 13-16 5YR4/6 OSG ML cw 2M 1.6 16-24 5YR4/6 C1D2.5YR5/8 OSG ML 2F 1.6 Boring #Boring PH Ground surface elev.95.6 / Depth to limiting factor 16 / Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cant. Color Texture Structure Gr. Sz. Sh. Cansistence Boundary Roots GPD/ff *Eff»1 *Efi»2 0-6 5YR3/2 SL 3MGR MVFR cw 3M .6 1.0 6-13 5YR3/4 LS OSG MVFR AW 3M 1.6 13-16 5YR4/6 oso ML cw 2M 1.6 16-24 5YR4/6 C1D2.5YR5/8 OSG ML 2F 1.6 • Effluent #1 = BOP, > 30 ^ 220 mg/L and TSS >30 ^ 150 mg/L * Effluent #2 = BOD ^ 30 mg/L and TSS ^ 30 mg/L -u^ CST Name (Ptease Print) BRUCE W BLAKEMAN CST Number 708148Address 64903 CHARLES JOHNSON ROAD ASHLAND, Wl54806 Date Evaluation Conducted 04/10/2024 Telephone Number 715-209-2569 ^A s>sr y^^7"^< JUNO 32024 Property Owner GUMKJE 38700 Boring #D Boring pit Ground surface elev..93.8 ParcellD#. ^ .ft. Depth to limiting factor.15 ; e u f APR 1 7 im Bayfie'd Co. Zcying Dep^t. Page _of.J in.Soil Application Rate Hon'zon Depth Dominant Color Munsell Redox Description Qu.Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *Eff#1 *EfB2 0-7 5YR3/2 SL 3MGR MVFR cw 3M .6 1.0 7-14 5YR3/4 SL 3MSBK MVFR AW 3M 1.0 14-15 5YR4/6 OSG ML cw 2M 1.6 15-22 5YR4/6 C1D2.5YR5/8 OSG ML 2F 1.6 Borings QBorin9 Pit Ground surface elev,Depth to limiting factor Soil Application Rate Horizon Depth in. Dominant Color| Munsell Redox Descnption Qu.Sz. Cont. Color Texture Structure Gr. Sz, Sh. Consistence Boundary Roots GPDIff *Efflill "EfBS Boring #Boring DFPit Ground surface elev._ ft.Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Colorl Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff»1 *Efl»2 * Effluent #1 = BOO > 30 $ 220 mg/L and TSS >30 <, 150 mg/L * Effluent #2 = BOD,^ 30 mg/L and TSS ^ 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. Ifyou 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. SBD-8330Tcsl (R.07/00) ^ -&nmK^ 3t N/£ SAfcTjT^/^-/? ^/v/ TQW/U Of: P,R.T V^^^ ,'^>^iS:Lh d/ ^,Y ft-wzs 5CAL^ _f' ==/ 9^/ / D i£! APR 172024 BayfielcfClfc'ZoFiingDept- i :::i .JUN 0 3/'Oy ; A-t^\' Ts-f- csf- r/^mp^A^ 30 /4&6v/c <5ie6LL^^l6P ? [^tLL. /VF 7^r$ T^f^i. . y/A/^ J^Uu^c^- ^sr-^-^w^? K/oMH- PK&P, L-UV^ PK-tVVD Pg1 of 4 Pg2of4 Pg 3 of 4 Pg 4 of 4 Holding Tank Plan i Index & Cover Sheet ! ;; Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Index & Cover Sheet Plot Plan Holding Tank Specifications Management Plan PAGE 1 OF 4 •JUNO 32024 Attachments: Holding Tank Detail Project Gumke - Enclosyres: POWTS Application for Review Soil Evaluation Report & Site Map (if applicabl Holding Tank Pumping Contract (if applicable) Holding Tank Agreement (if applicable) Name / Description 2000 Gallon Holding Tank Owner Name(s): Lee & Corrine Gumke Owner Address: 11970 Touve Rd, Port Wing, WI Phone: 715 _684 _9338 Zip:. 54865 Project Address: 11970 Touve Rd, Port Wing, Wl Govt. Lot:SE 1/4 of NE 1/4^ Section 26 , T 50 N-R 08 E |_| or W [• Township: Port Wing county: Bayfield Project Parcel ID #: 04-042-2-50-08-26-1 04-000-32000 Designer Information Designer Name: Dean Blakeman _ Phone: 715 -682 -6050 Designer Address: 44941 State Hwy 13, Ashland, Wl E-mail: kurt.blakeman@blakemanplumbing.com License Number: (M 2-?^ Remarks: Zip:, 54806 This space reserved for approval stamp. Signature:Date: 05/31/2024 Original sigffature required on each submitted copy. CHECK BOX AS APPLICABLE. SOIL EVALUATION SITE MAP PROJECT NAME: Gurnke - 2000 Gallon Hnlriing Tank PROJECT ADDRESS: 11970 Tniivp Rd Pnrf Wino Wl BM Symbol: -^- BM Elevation: 100.00' CHECK BOX AS APPLICABLE. Scale: 1"= 40' 40 60 80 ^PAGE@(S)R'4£ ^///////TTT);//////77/ 10s zs^ ^O SYSTEM !L PLOTPLAI^ .^N03Z024 DESIGN FLOW:300 GPD FT BM Description; .Tnp nfElpn+nnal Tran^fnrmer 30" AhnvF> Rmunri Slope Gradient(%)of tested Area:' ' 5S1 Well Symbol (if applicable): Q Indicate north by drawing an arrowon the approprite line. Attach design flow calculations fo'r'eotn'mefcial^lghs. 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. No Well on Site 8.4 Acres North Property Line 93.. 95.2 5% Slope Privy Proposed 4" SDR 35 Pipe <30' \ 97. Propicsed 2000 Gallon Septic Tank Ba- PAGE 3 OF 4 \ii! [^ i; ^'N 0 3 2024 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 12"Min. or 2.0 ft above Established Flood Elevation VentCap / ^P1031) Approved Locking Manhole 18"Min. (typical) ^ Inlet N •AirtightSeal Approved Joints with Approved Pipe 3 ft ontoSolid Ground with Warning Label Attached (typical) 4" Min. or 2.0 ft aboveEstablished Flood Elevation 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 ^1 (typical) \1/ \1/ Finished Grade 0--Watertight Plug TANK MANUFACTURER:Wieser 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 = \( 320 cu.ft. x 62.4 Ibs/cu.ft) - 15,370 |bs1x1.5= 6.897 Ibs Rco00 LTI< aIDco TANKS a0LJec INLET nin 2^" ^^ .^ ^Tff , >^->^^s^ 1_ ARE MANUFACTURED TO W2000-MR TANK SPECIFICATIONS DIMENSIONS:151" "^ ^ST-A-SEAL 4" CAST-A-SEAL -^\^\n^u^ WALL: 2 1/2" BOTTOM: SEPTIC 4"HEAVY DUTY 4" COVER: 6"MANHOLE: 24"PRECAST CONCRETE RISERHEIGHT: 66" O.D. LENGTH: 151" O.D. WIDTH: 86" O.D.BELOW INLET: 53" O.D.LIQUID LEVEL: 46"WEIGHT: 13,540 LBS. SEPTIC15,370 LBS. HOLDING INLET AND OUTLET: 4" CAST-A-SEAL BOOT OR EQUALFILTER OR BAFFLE -r /'// GASKET, CAST-A-SEAL BOOT OR EQUAL /// INLET AND OUTLET BAFFLE AND FILTER:-•^/ WISCONSIN, SEE DETAIL #10 _ ______ _ ^:y (OTHER STATES SEE CHART) LIQUID CAPACITY: 42.92 GAL/IN LOADING DESIGN: 8' 0" UNSAWRATED SOILTOP VIEW HOLDING TANK:OUTLET HOLE PLUGGED ACWAL CAPACITY: 2,146 GALLONS co =coin •!t- TANK CAN BE USED AS: [D^t- .__ SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER)TANK: MIX DESIGN ^10 (STRUCTURAL 0in CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETE SIDE VIEW EET OR EXCEED ASTM C-1227 REQUIREMENTS DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE; 'RODUCTS NEEDED BY; 0:1310|QJILJl0^!CL\. 0][ 11 '<^1<J Ldl—11<1U|t/3| n-1 s-1OQl tKIal u.§ d.^0D- >t^Jj <V. c 0.a^a?(-30 v<Q UJ^! tUJ;ua ( ;( : UJa;MBu|i!: I -£.s _[3 I _1< <2 uI— Q-Bt75 SHEET .OF as y u. U3in't00ILDCM(^ 0000 w: cr OJ r^o C^l'/r'^i Bayfield County, Wl M fliK(.r')Y°HiS(??y CSWVWSSGSCSKSESSS'ifaaBQfiSB'B (im@B;l:pR!13fflro!i?33%0(ES€Ei66t9 ftiW.l'it.oKWO'C) aifiiSQc'sBGGaaffissci®'iEB(E08EEG& Por-t Wing . •?S)?T?!;ls) i SIS13B3i?<321ibyfliiB2SEOCEOSaSD '^e^sm ?-^\ 6/10/2024, 11:35:27 AM Meander Lines i—: Approximate Parcel Boundary Section Lines Municipal Boundary Buildings 0 .0.01 0.01 0 0.01 0.03 Bayfield County Land Records Department https://maps.bayfIeIdGourtty.wt.gov/BayfieIdWAB/ Real Estate Bayfield County Property Listing Today's Date: 5/31/2024 JU?0 '..'0 3 Z Property Status; Current -Created On: 1/28/2022 1:50:45 PM Description Updated: 12/26/2023 a Ownership Updated: 12/26/2023 Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: ^Tax Districts 38700 04-042-2-50-08-26-1 04-000-32000 (042) TOWN OF PORT WING S26 T50N R08W PAR IN SE NE IN DOC 2022R-593025 0.000 8.400 0 Yes (AG-1) Agricultural-1 127 Updated: 1/28/2022 1 04 042 .044522 001700 ^' Recorded Documents STATE COUNTS TOWN OF PORT WING SCHL-SOUTHSHORE TECHNICAL COLLEGE Updated: 7/30/2009 H CORRECTION INSTRUMENT Date Recorded: 1/14/2022 a QUIT CLAIM DEED Date Recorded: 1/14/2022 E3 TRUSTEES DEED Date Recorded: 10/22/2021 B QUIT CLAIM DEED Date Recorded: 4/22/2019 B MFLAMENDED ORDER Date Recorded: 1/8/2009 Q MFLAMENDED ORDER Date Recorded; 1/8/2009 B WARRANTY DEED Date Recorded: 9/11/2008 2022R-593022 2020R-593025 2021R-591633 2019R-577152 2009R-524486 1008-560 2009R-524482 1008-552 2008R-522804 1002-634 LEE & CORRINE GUMKE Billing Address: LEE & CORRINE GUMKE 11970 TOUVE RD PORT WING WI 54865 PORT WING WI Mailing Address: LEE & CORRJNE GUMKE 11970 TOUVE RD PORT WING WI 54865 Site Address * indicates Private Road 11970 TOUVE RD Property Assessment PORT WING 54865 Updated: 5/28/2024 2024 Assessment Detail Code Acres Land Xmp. Gl-RESIDENTIAL 1.000 8,000 113,100 G6-PRODUCTIVE FOREST 7.400 8,100 0 2-Year Comparison 2023 2024 Change Land: 16,100 16,100 0.0% Improved: 0 113,100 100.0% Total: 16,100 129,200 702.5% Property History Parent Properties 04-042-2-50-08-26-1 04-OQO-3QOOQ Tax ID 35373 HISTORY Q Expand All History White=Current Parcels Pi nk= Retired Parcels B Tax ID: 28343 Pin: 04-042-2-50-08-26-1 04-000-20000 Lea. Pin:042105702000 H Tax ID: 28342 Pin: 04-042-2-50-08-26-1 04-000-10000 Lea. Pin:042105701000 B Tax ID: 35373 Pin: 04-042-2-50-08-26-1 04-000-30000 38700 This Parcel T Parents ^ Children OC%to Document Number/Plan I.D. No. Owner Name (s) „ A<*-t <^\JL [!^Tr\{)^. G>UY^^ Parcel Identifier Number (PIN) 397oo HOLDING TANK AGREEMENT Owner(s) Mailing Address Jl<?'7°TouLA;e^or[uJ^n)^ 5</9^ Agreement Date (same as Notary Date) We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Stats. £ 1/4 of ^ £. 1/4 Section ^ Township '?0 N. Range Town of ( ^OT\ (jj ) »^( Additional Legal Description: _ \C\ (.A^J >^£_ gj^^r^f^(_ Gov't Lot Lot ,Block__Subdivision__CSM#_ Lot _CSM #_Vol -Page _CSM Doc# DOCUMENT NUMBER2024R-603225 OANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. Wl RECORDED 05,13/2024 AT 1 1 ;35 AM RECORDING FEE: $30.00 PAGES: 2 Return To: Z^n/n^j MAK C)/!U/Z<J/'m As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stats., Bayfield County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats. 2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. 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. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days from the dale of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Stats., and Ch. NR 114, Wl's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, Wl's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the propeny where the holding tank is installed. Owner(s) Name(s) - Please Print /-T?^ (^OLF^^ _Orr~/nJ> <^u.r^/<<- Subscribed and sworn to before me on this date:Y1 ^ ^ /^^\/^OT^Notaftzed Owner(s) - §ignature(s) ^ \{^^!^^My Commission Expires: IH J-^c- <9&P1-/^\A</BL\° '\^''^•J?^l€s?'^^Drafted by:'^rr/^ C^//yy7^C- Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (l)(m)] Date-. S/n/^^ u/torms/sanitary/hofdingtankagreement.doc ©June 2018 EXHIBIT "A" HAi LEGAL DESCRIPTION A parcel of land located in the SE ,4 of the NE 'A of Section 26, T. 50 N., R. 8 W., in the Town of Port Wing, Bayfield County, Wisconsin, described as follows: To locate the Point of Beginning, commence at a 1" iron pipe at the E ',4 comer of said Section 26 and run, S 89°52'50" W, 60.00 feet on the E-W ',4 line of said Section 26, to the Point of Beginning. Thence from said Point of Beginning by metes and bounds: Continue on said E-W ',4 line, S 89°52'50" W, 378.50 feet. Thence leaving said E-W ,4 line, N 00°59'35" E, 916.05 feet, passing through a 1" iron pipe at 33.00 feet, to a 1" iron pipe. Thence S 89°54'51" W, 405.00 feet, passing through a 1" iron pipe at 114.00 feet. Thence N 00°59'35" E, 200.04 feet. Thence N 89°54'51" E, 534.13 feet, passing through a 1" iron pipe at 319.13 feet, to a 1" iron pipe. Thence S 00°30'48" W, 200.01 feet to a 1" iron pipe. Thence S 89°54'51" W, 85.81 feetto a 1" iron pipe. Thence S 00°30'48" W, 257.94 feet to a 1" iron pipe. Thence N 89°53'50" E, 325.83 feet to a 1" iron pipe. Thence S 00°30'48" W, 657.87 feet, passing through a 1" iron pipe at 624.87 feet, to the Point of Beginning. Said parcel is subject to easements, restrictions, reservations and rights of way of record or use, if any. Bayfield County Register of Deeds Document # 2022R-593025 Page 2 of 6 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 = _*-/^u _ 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, etc.) o material fatigue (/.e., leaks, breaks, corrosion, etc.) o neglect or improper use (/.e., exceeding design capacities, prohibited activities, etc.) o electrical components (/.e., wiring, connections, switches, controls, timers, alarms, etc.) o surface discharge of effluent 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: Blakeman Plumbing & Heating ph^e: 715-682-6050 Local government unit: Bayfield County Zoning _ phone: 715-373-6138 Local government unit address: 1 17 E 5th St. Washbum, Wl ^IP: 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 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 Abandonment If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code. «S'W? •^,7^,"1W HOLDING TANK SERVICING CONTRACT Contract Date 05lo^\^oy\ MA' This contract is made between the Holding Tank Owner(s) Name(s) :Cr^n piv&r Sep-f-^c / Le-e oun^d &rn^ Cumke 'f^^h/ ^uOn^T Pumper's Name (Pfint)£^c P>^5^Pumpers' Registration #^s^rn We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT LOCATION Legal Description: (Use Tax Statement) Tax IDff 3S'^o_ Section 2-^> , Township 5^0 _ N, Range OS? _ W Gov't Lot Lot ft CSMff Vol. Page CSM Doc ff Lot(s) No.Block(s) No. ^^_1/4, ^ £ 1/4, Town of: ^O^T [AKO^ Lot Size Acreagel^L Subdivision: -} 1. The owner agrees to file a copy of this contract with Bayfield County as required in SPS 383.55, Wis. Adm. Code. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local government unit which has signed the pumping agreement required by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) on a semiannuat basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. *"•""."'%. S|< m'tlgis4. This agreement wil'l remain in effect until the owner or pumper terminates this contract. In the ev^rf'^lp^&t^M contract, the owner agrees to file a copy of any changes to this service contract or a copy of jP'nevi'Service'cqntrafet with the local government unit and the County named above within (10) business days from th^ date' Q^1T.3<iflP,td\this';; service contract.r^\" Owner(s) Name(s) (Print) ^^ (^amk&rnru^(^U^A, Owner> Signature(s)Subscribed and Sworn' on this / day of ?-.7</B*-^J^i"-"^M/\Tsy Notary Public My commission expires on: /^J^ kSH Revised: May 2016 (©May 2018) Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (l)(m)] Drafted by BAYFIELD COUNTS SANITARY PERMIT (#04)-24^3S STATE SANITARY PERMIT OWNER: LEE & CORRINE GUMKE GOVTLOT: LOT: BLK: SE 1/4 NE 1/4 SEC: 26, T 50 N, R 8 W TOWNSHIP: Port Wing SOIL TEST: 38-24 NEW SYSTEM SYSTEM T^PE: Holding Tank PLUMBER: Dean Blakeman ALESSANDRO HALL Authorized Issuing Officer DATE: 6/11/2024 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. 1 68; 1979 c. 34,221 ; 1981 C. 31 4 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 1092768 Condition: Tank to meet all setbacks. Management plan to owner. Properly maintain system per recorded agreement. Tank to be located within 25' of all weather road. THIS PERMIT EXPIRES 6/11 ,2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION