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Home My WebLink About24-81S DeMeyerDepartment of Safety & Professional Services, Industry Services Division County Bayfield Sanitary Permit Number (to be filled in by Co.) ZH-V<. 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(1 )(m). Stats. I. AiiipliCationInfnrniation-Please Print All Information Project Address (if different than mailing address) 2290 N Golden Eagle Trl Property Owner's Name Lanie DeMeyer Parcel # t/f ^ 04-004-2-45-09-17-2 00-317-09000 Property Owner's Mailing Address 1865 Island Lake Rd Property Location Govt. Lot. City, State Barnes, Wl H; Type of Building (check all that apply) 0 1 or 2 Family Dwelling-Number ofBedrooms D Public/Commercial - Describe Use D State Owned - Describe Use Zip Code 54873 Phone Number ^jrr' w/-'/<, Lot #p 45 _N R _'/4, Section 09 E oSW) 17 22 Subdivision Name n; /? Block #^ y. ft .,Whiterabbits add to Potaw^tdhij^j£- CSM Number a City of. a Village of 0 Town of Bames_ 'II u/?0?4 I 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.)^;mq^m :ement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain) B.D Holding Tank [n-Ground conventional) D At-Grade D Mound D Individual Site Design D Other Type (explain) c.d Renewal Before Expiration Revision D Change of Plumber D Transfer to New Owner Mst Previous Permit Number and Date Issued IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) 300 Design Soil Application Rate(gpd/sf) 0.7 Dispersal Area Required (sf) 428.6 Dispersal Area Proposed (sf) 446.6 System Elevation 96.5 Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer s ^£ -S&: 0 IsS 3m ~n S 5 Septic or Holding Tank 750 750 Wieser xDosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plinnber'^/Signature Plumoer'; PlumbQ.'s Name (Print) S^^W f^s. -^-ie ^^-^..Plumoer's Addre^? ^Strecc, City, State, Zip Codey< T ^?^ ^-^. e Sb Wj> /' o .-r s/ te5? ,MP7MPRS Number ^-^ 9%1 ^-8^-^^^«.L; Business Phone Number VL.CbuntyiDepattment Us/ Only w/LAApproved D Disapproved D Owner Given Reason for Denial Permit Fee$^Date Issued1\tW \Issuing AgC^fSigaflRire /^/? ^1 Conditions ofApproval/Reasons for Disapproval <^e- cAte.d^d p<2-rmt+ co^rct Attach to complete plans for the system and submit to the County only on paper not less than 81/2x11 inches in size SBD-6398 (R. 03/22) ^iwSw I! IIWisconsin Department of Safety & Professional Services U U Division of Industry Services SOIL EVALUATION REPO?ei 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)). MAR 1 42024 . Zoning Dep. '/, S 17 T 45 N R 09 Property Owner Lan ie DeMeyer Property Location Govt. Lot y< Property Owner's Mailing Address1865 Island Lake Rd Site Address or CSM and Lot #:Whiterabbits Add to Potawatomi Lot 22 City, State, Zip Barnes,Wl 54873 Phone Number ( ) D City D Village El Town Barnes Nearest RoadN Golden Eagle Trl [_| New Construction Use: M Residentic B Replacement D Public or commercial - Describe: Parent material Sandy OUtwash (Rubicon Series) Genera] comments and recommendations: Code derived designflow rate 300 GPD Flood Plan elevation if applicable N/A ft. Boring #Q BoringEl Pit Ground surface elev.98.1 Depth to limiting factor.96 in. / elev.90.1 Horizon 1 2 3 4 Depth In. 0-5 5-9 9-44 44-96 Dominant Color Munsell 10YR2/2 7.5YR 3/3 7.5YR 4/4 10YR5/4 Redox Description Qu. Az. Cont. Color Texture Is s s s Structure Gr.Sz. Sh. Osg Osg Osg Osg Consistence ml ml ml ml Boundary cb cw cs Roots 1vf 1co/1m/1f 1co/1f Soil Application Rate GPD/Ft2 *Eff#1 0.7 0.7 0.7 0.7 *Eff#2 1.6 1.6 1.6 1.6 Boring #QBoringE]pit Ground surface elev. 98-9 ft.Depth to limiting factor 96 in. / elev. 90-9 ft. Horizon 1 2 3 4 5 Depth In. 0-5 5-26 26-32 32-41 41-96 Dominant Color Munsell 10YR2/2 7.5YR 3/4 7.5YR 4/4 7.5YR 3/4 10YR5/4 Redox Description Qu. Az. Cont. Color Texture Is s cos s s Structure Gr. Sz. Sh. Osg Osg Osg Osg Osg Consistence ml ml ml ml ml Boundary cs cw cw cs Roots 1vf 1m/2f 1vf Soil Application Rate GPD/Ft2 *Ef?1 0.7 0.7 0.7 0.7 0.7 *Eff#2 1.6 1.6 1.6 1.6 1.6 CST Name (Please Print) Keith Wiley Address 11623 E Larson Dr. Lake Nebagamon, Wl 54849 s18""^^^^" Date 9/25/2023 & 2/13/2024 CST Number 654921 Telephone Number 218-451-2611 * Effluent #1 = BOD > 30 fi 220 mg/L and TSS > 30 £ 150 mg/L * Effluent #2 = BOD, £ 30 mg/L and TSS £ 30 mg/L SBD-8330 (R03/22) 9f] ^50 L/'^I/ ^c Boring # d BoringE Pit Ground surface elev. ^o.o ^; ^ Page ^ of itb toeing ^l|tor 96 m. / elev. 90-8 ft. Horizon 1 2 3 4 5 Depth In. 0-5 5-14 14-50 50-56 56-96 Dominant Color Munsell 10YR2/2 7.5YR 3/3 7.5YR 3/4 10YR5/4 10YR6/4 Redox Description Qu. Az. Cont. Color Texture Is s s fs s Structure Gr.Sz. Sh. Osg Osg Osg Osg Osg Consistence ml ml ml ml ml 1 iji-Ot. Boundary cw gw as as Roots 1f/1vf 2f/1vf 1m/1f Soil Application Rate GPD/Ft2 *Eff#1 0.7 0.7 0.7 0.5 0.7 *Eff#2 1.6 1.6 1.6 1.0 1.6 Boring #D BoringEl pit Ground surface elev. 98.9 ft.Depth to limiting factor.96 in. / elev.90.9 Horizon 1 2 3 4 Depth In. 0-4 4-14 14-39 39-96 Dominant Color Munsel] 10YR2/2 7.5YR 3/3 10YR5/4 10YR6/4 Redox Description Qu. Az. Cont. Color Texture Is s s s Structure Gr.Sz. Sh. Osg Osg Osg Osg Consistence ml ml ml ml Boundary cw gw gw Roots 1f/1vf 1co/1f 3m/1f Soil Application Rate GPD/Ft2 *EffS1 0.7 0.7 0.7 0.7 *EfW2 1.6 1.6 1.6 1.6 Boring #D Boring D pit Ground surface elev._-ft.Depth to limiting factor_Jn. / elev.__ft. 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 *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 £ 220 mg/L and TSS > 30 £ 150 mg/L * Effluent #2 = BOD, & 30 mg/L and TSS £ 30 mg/L DeMeyer (2 bedroom) Soil Report Plot Plan North a^<c 200.0'Property line Scale 1:30 <- % Bench Mark = Top of iron pipe Elev= 100.0' ^-. 7 ^ .<? '•<?• Lanie DeMeyer 2290 N Golden Eagle Trl WHITERABBITS ADD TO POTAWATOMI LOT 22 S17 T45N R09W TownofBarnes 04-004-2-45-09-17-2 00-317-09000 0.464 Acres NOTES: Property lines not to scale No well Site level CST#654921 Page 3 of 3 BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Lanie DeMeyer Submit the Following (Use Permanent Ink): Sf Check List D Index Page / Title Sheet (Optional) ;;, SJ Original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers) 5^ Original Plot Plan D Cross Section Soil Profile Sheet (optional) D Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) ID) IE !i; ^ Jl t! IE inH ^ "' n i! v " iii!Hi - If!MAR 14 20^i ^ onino uept ^ E3/ Parcel Identification Number (must be Z3_dicjrt Tax ID#) DO NOT USE 12 digit, they are no longer being used [^Property Owner's Information (not prospective buyer's name) sy Property Location (Accurate Legal Description with Sec/Twp/Range) E,y Road Name (where driveway is/will be coming off of) E/fFloodplain Elevation, Flow Rate, Comments and Recommendations 0'Complete Soil Boring / Pit Information E7 Date Soil Evaluation was conducted E7CST Name, Signature, Number, Address and Phone Number V( *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) 5^ Bench Mark (Description, Elevation and Location) Sf Contour Lines (Example = 98.0796.0' ,94.0') [\/Property Location (Sec/Twp/Range/, Accurate Legal Description) 0' Borings (Locations and Elevations) S/ Percent and Direction of Land Slope 0'Well Location (Including Neighboring Wells, if applicable) Sy Location of Wetland Areas, Floodplain and Navigable Waters 5y Buildings, Driveways, and Structures (Location and Descriptions) S/Location of Property Lines 0'Existing System Location E7 Address Number and Road Name E7 Current Surface Elevation of Wetlands and Navigable Waters S)/CST, Owner and Property Information S/North Arrow Fee: E7 Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforcsts Lanie DeMeyer 2290 N Golden Eagle Trl 04-004-2-45-09-17-2 00-317-09000 Bayfield Property Owners Name Property Address Tax Parcel Number County Whiterabbits add to Potawatomi lot 22 Legal Description 17 Section Town Range 45 Page Index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan M ^ ^ w \ flAY o?^1\i[]! Keith Wiley ^t^D2388PSS 218-451-2611 2/15/24 .t"'"l"."."""».^£?^ VSei^.--""""imw^"' Designer's Name Designer's Signature Designer's License Number Designer's Phone Number Date Page 1 of 7 n-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)2^96 0.7 200 ^00^ T 96.5 98.1^8T -98^ ^8T Component Manual Used lumber of Bedrooms 3ercent Slope (%) Depth to Soil Limiting Factor (in.) n Situ soil application rate Estimated Wastewater Flow (gpd) Design Wastewater Flow (gpd) Mumber of System Elevations ^reposed System Elevation #1 :)roposed System Elevation #2 :)roposed System Elevation #3 original Grade #1 finished Grade #1 Driginal Grade #2 finished Grade #2 Driginal Grade #3 rinished Grade #3 i/Vieser 750 Polylok PL-525 Septic Tank Effluent Filter Infiltrator Quick4 Plus Standard^2 20 3,3 4 1.5^2 3 11TT ^2 428.6 446.6 Chamber Type Height of Chamber (in.) sq.ft. per chamber(ESIA) sq.ft. per end cap (EISA) aying length of chamber(ft.) ength of endcap(ft) Chamber width(in.) Rows of Chambers Distance Between Cells (ft.) Number of chambers in first row Number of chambers in second row Number of chambers in third row Proposed Number of Chambers Used Minimum Distribution Cell Area Required (sq.ft.) Distribution Cell Area Proposed (sq.ft.) li'\, ^ :• •iU,i ' • ' •' ^v /,./, Page 2 of 7 DeMeyer (2 bedroom) Septic System Plot Plan North 200.0' WieserprecastW750-MR w/polylok 525 filter Two rows of 11 Infiltrator Quick 4 Plus Standard chambers Property line Scale 1:30 <- )( Bench Mark = Top of iron pipe Elev = 100.0' Lanie DeMeyer 2290 N Golden Eagle Trl WHITERABBITS ADD TO POTAWATOMI LOT 22 S17T45NR09W Town ofBarnes 04-004-2-45-09-17-2 00-317-09000 0.464 Acres NOTES: - Property lines not to scale - No well - Site level - All vent, observation & conveyance pipes 4" ASTM D1785 Page 3of 7 Cross Section of a Two Cell In Ground Component Using Leaching Chambers Observation/Vent Pipes 98.10 | Finished Grade Slope 0% 98.10 97.50 Original Gca.de_ Top of Chamber 96.50 [System Elevation J iperation , | ->^ I 3 \W -/' ->. Finished G^rade, _|_ 98.80| /-y^)>" /< ^>ffginal Grade ,--'\ ..-'Top of Chamber'—^—\-': System Elevation 98.80 97.50 96.50| < . • <-.„..•. -• - —- - . • "<•*-' • • * „ . • • ^ . ~. : . • . :•'• ' • ~ < •-^1 •' ; ; •T''eotnient^pnd" Dlaperec^ ^orie • ^ " . ; * ' ' '.- '• •' •..• ' . ~ •' ' '•' '• • '••'•„* '.'.. •I i.;^A.^'^-4- •; -•.:..?'.. ^' :: -../":::''; •:Limiting Factor '7~)i'II]1 Observation/Vent pipes to be constucted and capped with approved materials for the particular u^fejl !/?0^ Diagrams Not To Scale 47 feet 47 feet Observation / Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 |Z1^\w 1^1>-n1>I"1^Is1^Is Is |XIn |y 0 MM•^70PI0 3Is AS RE Q U I R E D 0>. LO-I >P- 7 / in • ' • ' • m> 00dqt/ ]zm3md DO-< -073I pI >-0-0Im0 c? T|073 >-0 -u^0<>I- IHzD(/ ) inc:GO3MymD II m m p o li ° -< Qil 'N 5 t/ ) 0 > ( / ) tr t ??u>8 0 ^s Impi OS - 1 wIp i- ! i 1^og ) m m — i SS R 1^ s° § ^30 "^7^n °S 5 ^ t ^ ^. ' ^ 1 = , -" 3 D P -i 3 I m 0 s 0 00 050m v(/ ?m30 Q N e n 1>|z1^^-a - o m ^ J 0 C J 1 0 0>=j0zco ^0 WL P 7 5 0 - M R SE P T I C M A N U A L UI I E S E R C D R C R E T E W3 7 1 6 U S H W Y 1 0 , M A I D E N R O C K , W l 5 4 7 5 0 80 0 - 5 2 5 - 8 4 5 6 SC A L E : 1 / 4 " = 1 ' - 0 " DR A W N B Y : W C P DA T E : 0 0 / 0 0 / 0 0 RE V . DA T E : IP R E - P O U R : IP O S T - P O U R : FI L E : w l p 7 5 0 - m r 6 7 FILE INFORMATION POWTS OWNER'S MANUAL & MANAGEMENT PLAN SYSTEM SPECIFICATIONS Page.of Owner Lanie DeMeyer Permit # DESIGN PARAMETERS Number of Bedrooms Number of Public Facility Units Estimated (average) flow Design (peak) flow = (Estimated x 1.5) In Situ Soil Application Rate Standard Influent/Effluent Quality Fats, Oil & Grease (FOG) Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) Pretreated Effluent Quality Biochemical Oxygen Demand (BOD5) Total Suspended Solids (TSS) Fecal Coliform (geometric mean) Maximum Effluent Particle Size Other: 2 D NA E2 NA 200 gal/day 300 gal/day 07 gal/day/ft2 Monthly average* <30 mg/L ^220 mg/L D NA $150mg/L Monthly average <30 mg/L <30 mg/L El NA <104cfu/100ml ^ in dia. D NA EZI NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Tank Manufacturer Wieser D NA D Septic D Dose D Holding vol. 75Q gal Tank Manufacturer D Septic D Dose D Holding Effluent Filter Manufacturer Effluent Filter Model Pump Manufacturer Pump Model Pretreatment Unit D Sand/Gravel Filter D Mechanical Aeration D Disinfection Manufacturer Dispersal Cell(s) 0 In-Ground (gravity) D At-Grade D Drip-Line Other: Other: vol. Polylok 525 H Peat Filter D Wetland D Other: ;,;/ 13'NA gal D NA E/NA E'NA DNA D In-GrolAd (pressurized) D Mound D Other: 0 NA 0 NA Service Event Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) Clean affluent filter Inspect pump, pump controls & alarm Flush laterals and pressure test Other: Other: Service Frequency At least once every: 3 ^I^alr(s) (Maximum 3 years) D NA 0 When combined sludge and scum equals one-third (16) of tank volume ^ ^^D When the high water alarm is activated At least once every: 3 ^ IJe*^^ (Maximum 3 years) D NA At least once every: 3 §';e°anrt(hs()s) D NA At least once every; g r?S(hs()s) E NA At least once every: H ^°anrt(£SS) 0 NA At least once every: § i"eoanS£)(s) 0 NA S NA MAINTENANCE INSTRUCTIONS 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 affluent 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 (16) 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. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Page Z_ofZ_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 tol'rtsure 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. Ll / cij?d , • 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: D 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. D 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. D 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 APERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name^/^^c-^ }=^/f-T Phone -7/^- 7^J- ^f^ POWTS MAINTAINER Name /-^ ^ ^^-/S17~^ c- Phone ^ /Jf- ^9JF--3 ^cf <•/ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name /^ /^ Phone -7/J' 7^?- JJ ^<y <^ NameBayfield County Zoning Phone 715-373-6138 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)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. .BAYFIELD_90UNTY-.. __„- LanieDeMeyerCHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): 0'Check List D Index Page / Title Sheet (Optional) 0' Original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers) 0' Original Plot Plan D Cross Section Soil Profile Sheet (optional) D Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) 5^ Parcel Identification Number (must be 23 digit Tax ID#1 DO NOT USE 12 digit, they are no longer being used 53/Property Owner's Information (not prospective buyer's name) iy Property Location (Accurate Legal Description with Sec/Twp/Range) l\y Road Name (where driveway is/will be coming off of) , EjFloodplain Elevation, Flow Rate, Comments and Recommendations :u! 0'Complete Soil Boring / Pit Information : MAY E7 Date Soil Evaluation was conducted SycST Name, Signature, Number, Address and Phone Number ^ *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) 5^ Bench Mark (Description, Elevation and Location) 53''Contour Lines (Example = 98.0796.0794.0') S/Property Location (Sec/Twp/Range/, Accurate Legal Description) Q' Borings (Locations and Elevations) S/ Percent and Direction of Land Slope 0'Well Location (Including Neighboring Wells, if applicable) E/Location of Wetland Areas, Floodplain and Navigable Waters E7 Buildings, Driveways, and Structures (Location and Descriptions) 5, Location of Property Lines Q/Existing System Location E7 Address Number and Road Name E7 Current Surface Elevation of Wetlands and Navigable Waters 0'CST, Owner and Property Information ly North Arrow Fee; 0'Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforcsts Ruth Hulstrom From: Ruth Hulstrom Sent: Monday, July 1, 2024 2:51 PM To: cmfoat@cheqnet.net Cc: Tracy Pooler Subject: RE: DeMeyer Sanitary Application - Tax ID 4167 Michael, Following up again since I have not heard back. See message below from last week. Thanks, Ruth Hulstrom, AICP | Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washbum, WI 54891 Phone: 715-373-3514 Fax:715-373-0114 Email: ruth.hulstcorn(%bavfieldcount\'.wi.£ov B^TFIEI.D From: Ruth Hulstrom Sent: Thursday, June 27, 2024 10:06 AM To: cmfoat@cheqnet.net Cc: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov> Subject: DeMeyer Sanitary Application - Tax ID 4167 Michael, As a follow up of our phone conversation today, please see the attached sanitary permit application for the Lanie Demeyer property identified as Tax ID 4167. You indicated on the phone that there is not existing POWTS on the subject property, only a privy. Can you verify that the department can update pg. 1 attached sanitary application noting that this is a new system and not a replacement system given that there is no existing POWTS on the property? ffl. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check < applicable.) A B. c. D New System D Holding Tank D Renewal Before Expiration splaccmcnt System In-Ground T Revisionr D Other Modification to Existing System (explain) D At-Grade D Change of Plumber D Mound D Transfer to New Owner D Additiona D Individual List Previous 1 IV. Dispcrsal/Treatment Area and Tank Information: Desien Flow (esd) I Design Soil Application Ratc(fipd/sft | Dispersal Area Required (st) Thanks, Ruth Hulstrom, AICP | Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax:715-373-0114 Email: rudi.hulstrom(2)bavfieldcounn-.\vi.eov I Dispersal Area Proposed (sf B^yFIET^D 7 A l^ 1 ^^: Ve^^f^^ 5^T^/ ^^ T^-Y ^ p ^,^7 T/^-^.^-^ /.$' /^ /=i^i^^/ o ^ 'Py^oP/c^tt^y 13 ^ r^s- ,^4-0 /^o c? 'n-f-e^ s^-^/ r/s-^^ &yS ^- -^ 5 ^-^~ ^^-^^ ,^ ^^ /^ ^ ^ ^^ ^ ^ Q.^r/^s- ^^.a ^>w^ . r/^j> ^/a^ ^ ^ ,4- ^ ff€0^0t3'^ S/€^J7c S^^y-g-^7 ^^/^^ ^£^WS1 77^' ^>^iuy i^iT/^ /^ ^'^^^ ^,/^y / A^ ^-^^0 .. /^^y- ^?^/Zs'^7<?^^ ^^SA^^ <^..^ W/^i£ ^^r- ^ 7/^-7^^^^ -- ^/-x^/^ y s v - ^1//^s • / 11/1/23, 9:21 AM Real Estate Bayfield County Property Listing Today's Date: 11/1/2023 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:14:53 PM ^6' Description Tax ID: 4167 Updated: 10/24/2023 PIN: 04-004-2-45-09-17-2 00-317-09000 Legacy PIN: 004133709000 Map ID: Municipality: (004) TOWN OF STR: S17 T45N R09W Description: WHITERABBITSLOT 22 DESC IN Recorded Acres: 0.464 Calculated Acres: 0.464 Lottery Claims: 0 First Dollar: Yes BARN ES ADD TO POTAWATOMI 2021R-592431 1915 Zoning: (R-l) Residential-1 ESN: 104 Tax Districts 1 04 004 041491 001700 •if;'* Recorded Documents a WARRANTY DEED Date Recorded: 9/28/2023 Grantee: LANIE DEMEYER Sale Price: 0 a WARRANTY DEED Date Recorded: 12/6/2021 Grantee: DELICIA M & STEVEN A HANSEN Sale Price: 0 Updated: 3/15/2006 STATE COUNTi' TOWN OF BARN ES SCHL-DRUMMOND TECHNICAL COLLEGE Updated: 9/15/2016 2023R-600639 0 Acres 2021R-592431 0 Acres Q TERMINATION OF DECEDENT'S INTEREST Date Recorded: 6/16/2017 2017R-568777 63 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 6/16/2017 Q CONVERSION Date Recorded: 3/15/2006 Q WARRANTS DEED Date Recorded: 12/29/1997 2017R-568776 726-293 438292 721-205 Ownership LANIE DEMEYER Billing Address: LANIE DEMEYER 1865 ISLAND LAKE RD SOLON SPRINGS WI 54873 Site Address * indicates 2290 N GOLDEN EAGLE TRL Property Assessment 2023 Assessment Detail Code Gl-RESIDENTEAL 2-Year Comparison Land: Improved: Total: S3t' Property History N/A Updated: 10/24/2023LO/24/2023 SOLON SPRINGS WI Mailing Address: LANIE DEMEYER 1865 ISLAND LAKE RD SOLON SPRINGS WI 54873 Private Road BARN ES 54873 Updated: Acres Land 0.460 3,200 2022 2023 3,200 3,200 6,100 6,100 9,300 9,300 10/4/2016 Imp. 6,100 Change 0.0% 0.0% 0.0% https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 Private Sewage System Maintenance Agreement Owner(s) Name AV\\L Owner(s) Mailing Address. i^ [^<s i^rW \j^i ^ ^W[H \A ^^ Site AddressZW N h0\d^l\ Z^ ^L ^m^s ^1 Tax ID # 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 Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) _1/4of^Section Jownship .N. Range Additional Legal Description: UL> l-f~/ /%' ^>/3'f!> fi, 7~^ ^£) 0 Town of /-^ ^/i-k-^/S. <, (Acreage) 0_f_H^H Gov't Lot Lot ;??Z Block, __ Subdivision fs 7711</^»-7>-^-/ is'S ^/^r/F S Lot -?2'.CSM#-2^"'/l?Vol..Page_ CSM Doc ^ as^ "S'y^ ^/ Tf/s- DOCUMENT NUMBER2023R-60101S DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. Wl RECORDED 10/30/2023 AT 1 1 :05 AM RECORDING FEE: $30.00 PAGES: 1 ^^^~ NBCWVtO OCT 31 2023 BayfieklCo.Ptanntng and Zoning Agency Recording Area Return To: Planning and Zoning Department In-ground gravity D Mound D In-ground dosed D In-ground pressure distribution Sewage System: [_3 At-grade Sewage System D Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three '(3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At-arade. and tn-around Pressure System Laterals (system types C, D and E): The laterals shali be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the 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 Notarize^pwner(s) - Sit(nature(s) ^yy/^yh^^^' Subscribed^and sworX'to before me on this date: ^/^/^€>^ Notary Public ^-^/^^- <^J^^f^ -7^^^My Commis^Con Expires: ^ -^^////7^^ Drafted by:-^//e'/r ^y^^ Date: ,^-^-27 ~r~r ELLIOTT WAYNE HOUGH Notary Public State of Wisconsin Proofed by: u/forms/sanitary/septtcmaintenceagreement Revised June 2018 BAYFIELD COUNTY SANITARY PERMIT # 24-81S STATE SANITARY PERMIT I TRANSFER/RENEWAL PREVIOUS NO. OWNER: Lanie DeMeyer PROPERTY LOCATION: Town of Barnes Lot 22, Whiterabbits Add to Potawatomi SEC 17, T45N, R9W PLUMBER: James Clements LIC. #: 222924 Tracv Pooler _ 7/2/2024 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 a 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. (t) 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. AUTHORIZED ISSUING OFFICER DATE Condition: Management plan to owner. Properly maintain per recorded agreement. System to meet all setbacks. THIS PERMIT EXPIRES 7/2/2026 UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURD4G CONSTRUCTION SBD-06499 (R. 06/23)