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HomeMy WebLinkAbout24-123SW, Request for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note fl Time Change fl Discrepancy fl Other Rcds Sr& Phone Number Plumber: Fax Number So LkCVY) Email Address Homeowner: Sanitary L LI — / °� ?J o� Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #: Plumber's Choice Dept ` No Inspection(s) during this time Date: Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zo ' Dept Time:. r :J,_ Township:Address # & Road Name: /��1�6�� a 74 hod LA -492c0 or Directions To Site: Comments: ** Plumbers you must verify any change(s) by fax or email ** Notes from u/forms/sanitary/requestforinspection Zoning Dept (@4112/04); ®June 2023 pEP�Pid,�.T psPs�� Industry Services Division General Information Permit Holders Name: Tank TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic cfi �d /Q N/A Dosing N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report JAMES F ULM 3304 HIGHLAND DR ISLAND LAKE IL 60042 of: County Sanitary ermlt No: a4 -123S State Plan Transaction ID#: Parcel Tax No: Pump I Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total J�cgp ain Length Dial Dist. To Well Dispersal Cell Information DIMENSIONS Widt Len # of Cet SETBACK FROM Prop ine Building Well OHWM Type of Cell (�,( %/ f/ Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number. )istribution System Header! Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length Dia Spac Spacing ❑ Yes ❑ No Elevation Data STATION BS HI FS ELEV Benchmark 5; o Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom is; 7 Inst. Contour Header / Manifold Distribution Pipe 6^f0 g- 5 Infiltrative Surface 7� j Js Final Grade 5p ('('Otto X Pressure Systems Only Soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes O No ❑ Yes O No COMMENTS: (Include code discrepancies, person present, etc.) -7W,A W Plan revision required? O Yes No I ( �,J g Use other side for additional inform2tion. ( ✓ _ /� 7 Date RRnR71n /R nZ/911 POWTS Inspector's Signature License Number Property Owner Information BAYFIFID COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonina(Wbayfieldcountv.wi.00v Web Site: www.bayfieldcounty.wi.gov/147 JAMES F ULM 3304 HIGHLAND DR ISLAND LAKE IL 60042 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know ,'3c -d5' SB/%/C C was contracted by you to install a private onsite wastewater treatment system on your property described as: Notes: Abandonment of Old System to meet all applicable code requirements: ❑ r Tank was pumped by: on at AM / PM o Tank was crushed I removed and pipes disconnected by: On at l i 3rD (AM / Qthe above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Wlarmslsanitarypropenyowner-input Apnl 2019 Department of Safety Con I 2024 ftj& Professional Services, fndus ServicesDivisiyT4?� a S Mary Pe t er ( be filled in by Co.) �W O au- �,3S Sanitary Permit Application State Transaction Number In accordance with SPS 38321(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 Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary N /p purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. L Application Information — Please Print AB Information Property Owner's Name Parcel # Property Owner's Mailing Address mperty Location Govt. Lot Ci ,Site Zip Code Phone Number 9oogg '7 „-,C?ll O ¼.¼, SectionQ T N R ifType of Building (check all t apply) Lot # Y1 or2 Family Dwelling— Number ofBedrooms✓ Subdivision Name ❑ Public/Commercial — Describe Use ` `- Block# ❑ City of 4.. /i ❑State Owned —Describe Use ❑Village of CSM NumberL'}O Win 7 O "cj C. ownof .G(�[J W III. Type of POWTS Permit- (Check either "New" or "Replacement" and other applicable on tine A. Check one box on line B. Complete line C if appB.c�..rra---yyyyyybrrttttle���. A. 'pew stem Sy ❑Replacement System ❑Other Modification to Existing System (explain) ❑ A ' B. ❑Holding Tank t7Wr-Ground T_ ❑At -Grade Mound I l Lpndividual Site Design I❑Other Type (explain) (conventional) C. [tenewal Before ❑Revision ❑Change of Plumber ❑transfer to New Owner List Previous Permit Number and Date Issued - Expiration TY. Dis ersalffreatment Area and Tank Information: Design Flow ( pd) Design Soil Application Rate(gpd/sf) _Dispersal Area (51)I Dispersal Area Proposed (st) System Elevation 1 r Capacity in Manufacturer Tank Information Gallons c y �' u v New Tanks Existing Tanks wU 'Du rn Sepdc or Holding Talc Q Dosing Chamber O I ttf'l H H H V. Responsibility Statement- I, the undersigned, assume respoi1lbili for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu 's Signam MP/MPRS Number I Business Phone Numbeer1r P umb s Address (Street, City, State, Zip Code) r� fin+,, �/� ,lam; WG 1 h ImILU CX ..f. -V Z VI. County/Department Use Only ssu Issuing Ag Approved ❑ Disapproved E�i a er Given Reason for Denial nditiom of App al/Reasons for Disapproval eA C v. -•••r•-•• r• null 111111 To Inc wunry only oo paper not less roan a V2 x II inches in size SBD-6398 (R. 03/22) S\-,JVv`�J L&yr' b � aL T /I \ Wisconsin Department of Safety& Professional Services , �' "' page of 4 'r� 1 Division of Industry £,i ,' Pg %�l SOIL EVALUATION REPORTx r .v. /o/q4 `�roena^`a n accordance with SPS 385, Wis. Adm. Code County 8AY%/sz b Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. o4.O/2.2.49 •07.03-i scale or dimensions, north arrow, and location and distance to nearest road. mo— 14f— OyOOO Please print all information, Reviewy Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I Property Owner r Property Location ❑ C/.o•ME`s 7 ' UL+�f Govt Lot Y. flS)3 p 3 t43 N R O'7 E (or Lw Property Owner's Mailing Address Site Address or CSM and Lot #:7 +v3 /iv Ooc4KeNT 1oZZg S 57ffi7$¢ 3304 N✓ee4/4d4rV0 OR- grsrl&ea VZOA&. City, State, Zip Phone Number ❑ Clty ❑ Village ® Town Nearest Road 504TH .1SG.4it/0 /-4149 Z4 400¢Z ( L947) 343- 94%¢ C•4e 7A/{/(0PA//-Lk..D/2• rvew¼,onsuucoon Use: S Residential/Numberofbedreoms � Code derived designflowrete i°1r5d GPI) ❑Replacement ❑Publicorcommercial— Describe: Flood Plan elevation if applicable Na g. Parent material a-I4,aM Qu7W4,SW General comments and recommendations: ❑( Boring # ❑ Boring 11Plt Ground surface elev./— / ft. Depth to limiting factor %8 in. / elev. y$.4fL Horizon / 2 4 Depth In. �-/� /o -2a Zv'•35 35.78 Dominant Color Munsell J/y 2, . 5YR f sx/2 S SYR s b Redox Description Qu. Az. Cont. Color N Nit Nit Nit Texture I is Is S Structure Gr. Sz. Sh. Z m s�k Zm56k _ 0s Consistence m y r /YIV r M in! Boundary tan/ G1N Gvd Roots /VP 1m _ - Soil Application Rate GPD/Ft2 •Ef#1 •Efr#2 '7 /. 2 7 1. 7 / r Z .? '.2.- U Boring # ®Boring Horizon CST Depth Dominant Color Redox Description Texture Structure In. Munsell Qu. Az. Cent Color Gr. Sz. Sh. u -g sya 2• y s S -/C- 5 Yd2 f/8 an i.e Prl RQs Address I Date Evaluattgn Conducted 4z&&g v2/t.3tcgh Rd 651 & /rz 4 Effluent #1 = BOD > 305220 mglL and TSS > 30s150 150 mglL C j4r Wr S4 S2,/ uepm TO limiting factor is in. I elev.Y3•zr+ ft. Consistence I Boundary I Roots Soil Application Rate GPD/Ft2 *Eff#1 •Eff#2 r7 12- '7 ,7 .7 1.2_ /.Z /.'Z '.7 - CST Number 22/ SIG Telephone Number 7/S-SSO-oz54 Effluent #2= BOD, S 30 mg/L and TSS s30 mg/L SBD-8330 (R03/22) • Mss P 41 33a I /f/crt«'v 1J/� 1SLS/'Lb ARE, £6 4oaq� for 9 rsr 4e 548b see. 03, r43.,v. R67 w ToiVy ob C&Dte o5AY -,1 Co r,PPSCA/I/N VR, /oto.od'O PRopakrY S do/L E3c�t/lV� /prT aE'( C . Q / — ue, /o L LeV. 0z ` /O0./6 & EV. ' - 83 - /oo , 5o SYsis'T &EV ` ?,Sa ' �dkr La/El ± 85" �Rupos�0 lr 14.) tUti Sc to / "=4a' ,VN/SAtUf<<=hf CSTM 2/Sl4 or/3E IZ4 Li)¢1� LHi JUL l0:M4 Soil Profile Sheet Owner: 'I tEs ULM Soil Tester:-JeyMjs RasMNssa.✓ System Elevation: 97. S Load Rate: • 7 System Range: 7' to (a! /ay. i) S2 (loo. i) .42 (lod.a) ro! ia0 ...."— tdi. -- rat.!' /466.310 .. 9 ....... 8 ........... --• --.... ..... ........ -- 96.�0 ..... ......... ..._ .... 93.too' ......-. 2 ......--.. ........... ........... ............ PAGE 1 OF 5 to In -Ground Dosed -Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): � F, U. m Phone:RL."�-3y Owner Address: ng t t IG41VDA f)r1 ISIkM I LP Pe, Zip: (G DG ; Project Address: j Govt. Lot: Township: Ca - Project Parcel ID #: Designer Name: Designer Address: E-mail: 1/4 of 1/4, Section Q3 , T YI-R07E for W County: eft eM ,- Ic Designer Information License Number: Remarks: Phone -167-25 - %[7%� J_ Zip: Ski a� j1Nf100 Ql9tdX' Signature: Date: 7 J�� Original signature required on each submitted copy. stamp. 3/4 VAMPS P L/LN! 33a4 /1/Gr/LM/D k JUL )0 Li)1 ISLM/b ARE, a o&4Z Lo7 9 z4STldk, S4EL` See, ©3, T43N, Raj w ?r'i 7 o1& c ee /3,eypiej a. 11/fSCDAl51N 4 VI?, /ao oo' PRoPakrY so/L w,v /Pi r Lt -V G / i — L?LEV. -' - /00./a tl ev. U 133 - /ao jo' SYs a€y 97,s2' 't `, c /aml4,Qo CaMBO F� �CV�Z. 85 , / �7 /°o� I / 2 e rza ea r/Rvv Scare /";40' 3 IN -GROUND DOSED -GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) yams." TYPICAL TRENCH SOIL COVER CROSS SECTION VIEW (No Scale) min. trench ltdepthl a O - (typical) Provide minimum 3 ft separation between trenches. t System Elevation = ft C (typical) Quick4 Standard -W wi End Cap (Show location of Inlet / outlet pipe connection on plan view.) (typical) B=- ft (typical) INSTALL PER TRENCH: Quick4 Std -W @ 20 ft' EISAlchamber = 22 D ft= + / Pairs of end caps @6 ft2 EISAlpair = ft2 = Proposed EISA per trench = 2i. 6' ft' Observation Pipe (typical) Install par manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) A= 3.0 ft (typical) '-Qulck4 Standard -W Chamber (typical) (mid by infiltrator Systems. Inc.) Install pursuant to manufacturer's Instructions. Required Infiltration Area= ,4'Q2 ftr x . trenches = Proposed Total EISA = I7S ft' -U D G) m W O Ul Distribution Method: at.. c4 £4#'t SI , PAGE 4 OF 5 10 GRAVITY -DOSED SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) 40 Vent Pipe >1011 from Building 12" Min. or 2.0 ft above Established Flood Elevation (tvoicall IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade CAPACITIES @ /1. 74 gal/in Depth (in) Volume (gal) A 3! B 2.0 g 3.5' [c] s D /e' /67.6 Approved Vent Cao a Electrical must comply with SPS 316 and NEC 300 II Weatherproof I Junction Box ii { *T IAA JJ__ Alarm B [1t ] y Puml *Pump Tank Liquid Level =_3 in ITT D Force Main Diameter = 2_ in Force Main Length = z 2 Sr ft Extend manhole riser as necessary. Approved Locking Manhole with Warning Label Attached (typical) 4* Min. or 2.0 ft above Established Flood Elevation (typical) seal Gate Valve/ *Quick D'smured • Walertighl Phg I Min. Depth =tea_ in (below frostline) Watertight Gasket On PUMP -OFF off __ELEVATION= C. j^ 2 ft Block 3"Approved Bedding Material Beneath Tank Important: Bury force main below frost line or insulate as necessary pursuant to SPS 382.30(11)(c), W.A.C. [c] Total Dose Volume (TDV) = /z . C/ gal/dose (< 0.2X design flow - NO DRAINBACK w/ check valve) Vertical Lift = / ft PUMP TANK: Volume = 6Glj gal Manufacturer: w",'Yp ¢/ Pump Manufacturer: Pump Model: /4,7 (See attached pump arrve.) Controls/Alarm Manufacturer: �,T L�.9 Controls/Aalrm Model: // /,fl/ INSIDE BOTTOM ELEVATION= ft SEPTIC TANK(S): Total Volume = /,vpn gal Manufacturer(s): 4- , Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Filter Manufacturer: /3i`e _ Filter Model: I 22 Float switches containing mercury are prohibited. 7/2124, 2:46 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 7/2/2024 Created On: 3/15/2006 1:15:08 PM _i �' Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: 1 Tax Districts 1 04 012 041491 001700 048020 10 Updated: 11/30/2022 10194 04-012-2-43-07-03-1 00-169-09000 012117907000 (012) TOWN OF CABLE 503 T43N R07W EAST LAKE SUBDIVISION LOT 9 63 IN DOC 2022R-596754 1.000 0.751 0 No (R-RB) Residential -Recreational Business 108 Updated: 3/15/2006 STATE COUNTY TOWN OF CABLE SCHL-DRUMMOND TECHNICAL COLLEGE TAKODAH LAKE + Recorded Documents Updated: 3/15/2006 0 WARRANTY DEED Date Recorded: 10/13/2022 2022R-596754 0 TERMINATION OF DECEDENTS INTEREST Date Recorded: 4/8/2013 2013R-548946 1104-470 0 CONVERSION Date Recorded: 501-55;628-177;682-74 0 QUIT CLAIM DEED Date Recorded: 9/27/1996 429605 682-714 Ownership JAMES F ULM Billing _Address: JAMES F ULM 3304 HIGHLAND DR ISLAND LAKE IL 60042 Updated: 11/30/2022 ISLAND LAKE IL Mailing Address: JAMES F ULM 3304 HIGHLAND DR ISLAND LAKE IL 60042 Site Address * indicates Private Road N/A U Property Assessment Updated: 6/1/2010 ------------....--- -_. 2024 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 45,000 0 2 -Year Comparison 2023 2024 Change Land: 45,000 45,000 0.0% Improved: 0 0 0.0% Total: 45,000 45,000 0.0% Ii Property History N/A https:llnovus.bayrieldcounty.wi.gov/access/master.asp 1/1 150" 4" CAST -A -SEAL FILTER OR BAFFLE TOP VIEW O 4 Lii F 4" CAST -A -SEAL 4" VENT TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000/600-MR TANK SPECIFICATIONS DIMENSIONS: a F WALL: 3" w rc O o BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER I HEIGHT: 56" O.D. LENGTH: 150" O.D. `a WIDTH: 84" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36" WEIGHT: 14.970 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL w GASKET, CAST -A -SEAL BOOT OR EQUAL N a INLET AND OUTLET BAFFLE AND FILTER: m a § WISCONSIN, SEE DETAIL #10 z ' '. (OTHER STATES SEE CHART) rc a LIQUID CAPACITY: 27.88 GAL/IN SEPTIC) (PUMP) i41 16.76 GAL/IN r ac LOADING DESIGN: 8' 0" UNSATURATED SOIL =.§ Y tn MN TANKS: C8 WILL HAVE ONE VENT OVER OUTLET � D I AND WILL HAVE TWO VENTS IN COVER OVER INLET I TANK CAN BE USED AS: (n N SEPTIC/SEPTIC, SEPTIC/PUMP c OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) i 000 TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE J � Q O Z 4 to JOB INFORMATION: g F CUSTOMER: 3 N JOB NAME: DATE NEEDED: SHEET APPROVED BY: ___ 1 Applications Handle Biotube filter cartridge _ .. Deflector plate OPtrona) float sutrch bracket - .. =-- Housing 0renca PSC-Series Biotube Effluent Filter Branca Syslzrns� = Fen -393-9843 0 �; 541-059-4449 e tuwwxarznco.c0m Orenco PSC-series Blotube Effluent Filters are designed to remove solids from effluent leaving wastewater tanks. General Orenc 's patent -pending PSC-Sedes Biotube Effluent Filters are used to improve the quality of effluent from wastewater tanks. Improved effluent qualify extends drainfield fife in onsite dispersal systems and improves the performance of downstream treatment in effluent sewers. The Biotube fitter cartridge fits tightly in the housing while being easy to remove for maintenance. The passively self-cleaning design extends maintenance cycle trrtervats. Filer mesh is available in i/8in or 1/16in (3.2mm or 1.6mm) mesh opening sizes. The handle can be extended with PVC pipe (not included) for better access to the cartridge. A 3/4Th (19mm) diameter tee handle is included. Models PSCS0621-18 and PSCWo621-18 are NSF 46 certified_ standard Models PSCS0621-18,PSCW0621-1 B.PSCPS0621-18,PSCPW0621-18 Product Code Ciagrat PSC [j 06 21-18-O T 1 Rmtn•.ith b=tetCpg,, emcr=not&izth m at kefrecs A = 3mt n,P+,_h haet htstzled B = brush •r.'N Oren:o M-seris Iaa,ab w1h disco i4-'ef s tasks ICMdk- I ghj s (Mr m&I tq . in (nfl 21=2l(33 61911-C-am)ad-r&anst r Caste: SV = at�sss ad E, torrlya 303: 05S S = frs&h=tla=4O,Eea FcSflI hCPKM in owli: BbIA= 1131321 P vl6ns PSO._T- &M:ta- ea6.ra4 (jet Materiais of ConstnActrion Housng PVC, ABS Biotube filter cartridge Polypropylene, DCPD Handle components PVC. stainless steel Deflector plate ABS WID-Fr-FTS-2 Rev. 3 ® 06/21 Page 1 0t 2 Rliodel PSCSO621-18 PSCPS0621-18 A Overall height, in (mm) 227 (5 77) 22.7 (577) 8. Housing height, in (mm) 21.0 (533) 21.0 (533) C. Cartridge height, in (mm) 17.75 (451) 17.75 (451) D. Outlet pipe dlarnelar, in (mm) 4.5 (114) 4.5 (114) E. Outlet height to invest in (mm) 13.5 (343) 13.5 (343) F. Defecfir plate diameter, in (mm) 6.63 (161) 6.63(768) Mesh sae, in (mm) 1/8(3.Z 1/16(1.6) Filter surface area, fl(m2' 6.3 (0.59) 6.3 (0.59) Flow area, ft! (m 1.9 (0.18) 1.9 (0.18) Rterzrea is dz6tk-das @a Mzrsalece am efjjin er@usbss i:ffi`1n &a hiC-cruiCge. ••Rmrarea isdem uas the m rpnm fb ae ai the meb opa* lei u e kuf,jii21 afiYf6r'S :5ith an' , GNioga ND-F1-FTS 2 Orenco Systems' 0 800348-8893 a +1 541-459.4449 • www.oranco.com Rev.3 ® 0921 Paget oft .. 0 l0 •1CRU l-Al'MU I Y UUHVt MODEL "98" 30 401 I I fi0 FLOW PEA MINUTE tatty o.awc aWttCre K. wain! eirwtut Ma atWAtt*NG CAPACITY NEAR WIITSMIN FEET METERS Mid LTA4 5 152 72 D3 to aW Of 271 IS 4.57 45 170 m Alo 25 u loyAVaN. ?,' 240 a5/e H 7 ra '16 7/2-11 I/2 NPT \ J Install per manufacturers eo requirements• CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are availabte and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarm Switches. Standard all models - Weight 39 lbs. -'/a H•P 98 Sarin Control Seleeiton _ r ModN i Vett•Ah Mod• Amps Sim n Duplex M93 _'115 1 Auto 9.0 im7 Si N9e_ t15 _-- 1 Non 9.0 201218 3of4a5 0d 170 1 Auto 4.5 10(167 E34 ,230 I Non 4.5 2m2AA 3x465 Fa Nlamuon on add.Xca 2det, pxuea lsly to CWUg on Con,el,Mkn Sl.nu. FMOat4; PN9ybtt. Ms,Cuh Switch, FMOI77; E.Cical AAnnMat. FMO.OO; MW,wica Mon iuogol. Arun P.ee.O.. tk05I3 Su' oSaw.ge Sal FMoae7; and 5wples COALS �M3rJ7 16 • Mercury float switches are available for controlling singleand three phase systems. • Double piggyback mercury float switches are available for variable level long cyc'e controls. SELECTION GUIDE I. Integral PAM operated 2 pee mechanical awilch. no external control required 2. Single piggyback mercury roe: switch or double piggyback mercury. loot swllot peter to FM0477. 3. Mechankal altern.tm to -Cola a.10-0075. 4. Sea 1M0712. for correct mode; of Electrical Alternator. "E -Pak". 5. Mercury sensor float swttch 10.0225 used as a control activator. specify duplex (3)01(4)110.1 system 6. Faro (4) hots "J -Pak", Junction box- or walelaght connection or wired.in mm - plea or duplex operation, 1041002. 7. Two (2) hcte "J•Pak", for watertighl connecln or splice. CAUTION An In.l•n•Ilon W imbU., prSC4. n den,cre end wiling should be don• by a quilt - bad Ikaneec .I..Lltlan. Alt .Mpnoel sad nifty codes sNe4 id be Tallow. Includ- Ins i.e Snail "cent Nellaaa El cu. Cod. [NEC) sad W. Occupational am.iy .nd heath A•1 I0SN.q. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller puma. / p MAIL TO: P.5 65X 16347 (i.) �Oizzt-, 4Li Louis PTO.,3KY4l155.0317 / Idanulacruren_al SHIP T5:3165 KY 0216 lane n laJsvi0 rAt Isn 6Quunr puvs S7,ct 772.77,( • Fdr r;nT n4, 7i)[ 7/28/74, 2:43, PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfeld County Property Listing Today's Date: 7/28/2024 _1 Description Updated: 11/30/2022 Tax ID: 10194 PIN: 04-012-2-43-07-03-1 00-169-09000 Legacy PIN: 012117907000 Map ID: Municipality: (012) TOWN OF CABLE STR: 503 T43N R07W Description: EAST LAKE SUBDIVISION LOT 9 63 IN DOC 2022R-596754 Recorded Acres: 1.000 Calculated Acres: 0.751 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 108 i Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 048020 TAKODAH LAKE + Recorded Documents Updated: 3/15/2006 ® WARRANTY DEED Date Recorded: 10/13/2022 2022R-596754 O TERMINATION OF DECEDENTS INTEREST Date Recorded: 4/8/2013 2013R-548946 1104-470 0 CONVERSION Date Recorded: 501-55;628-177;682-74 0 QUIT CLAIM DEED Date Recorded: 9/27/1996 429605 682-714 Ownership JAMES F ULM Billing Address: JAMES F ULM 3304 HIGHLAND DR ISLAND LAKE IL 60042 Property Status: Current Created On: 3/15/2006 1:15:08 PM Updated: 11/30/2022 ISLAND LAKE IL Mailing Address: JAMES F ULM 3304 HIGHLAND DR ISLAND LAKE IL 60042 P Site Address * indicates Private Road N/A 4J Property Assessment Updated: 6/1/2010 2024 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 45,000 0 2 -Year Comparison 2023 2024 Change Land: 45,000 45,000 0.0% Improved: 0 0 0.0% Total: 45,000 45,000 0.0% 1li Property History _ N/A VIII llfll curl 1 5 2024 Bayfieltl Co. Zoning Dept. https://novus.bayreldcounty.wi.gov/access/master.asp 1/1 Department of Safety Co o s & Professional Services, PS I� Industry Divisi l�NTfgfD t S nary Pen : er ( be filled in by Co.) 01, TI, I�3S 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 Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary ^ 1 / n purposes in accordance with the Privacy Law, s. 15.tk1(IXm), Stats. I V t"I )( X S. T L Application Information — Please Print All Information Property Owners Name Parcel # Property Owner's Mailing Address Location IGovt. Lot Ci , State Zip Code Phone Number oo p� —3Y37CJ't Y. ' Sec6onQ T N R 07 E o IL Type of Building (check aB t at apply) Lot # or 2 Family Dwelling — Number of Bedrooms_ Subdivision Name Block # 0 Public/Commercial — Describe Use ❑ Cityof 0 State Owned— Describe Use ❑ Village of CSM Number Lf 9 (a5 OL t O nq '. ?own of `2-12Ie A." Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on tine Check one box on line B. Complete line CII a licrabblle. A. p5yvew System El Replacement System flother Modification to Existing System (explain) ❑ A B. QHolding Tank sn-Ground QAt-Grade I [1 Mound ❑Individual Site Design I DOWer Type (explain) T(conventional) C. [)tenewal Before � Revisions QChamge of Plumber ❑Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. DispersaVrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (at) I Dispersal AreaProposed (sf) System Elevation 1 /l� urJ t Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units 2 u o 'd _ New Tanks Existing Tanks c U m y i., U P. Septic or Holding Tank O 0 i lthesea'- Dosing Chamber O O i 15'i f1 F H E V. Responsibility Statement— 1, the undersigned, assume respo Ib for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI 's Signatu MP/MPRS Number Business Phone Number 301 -1b7 P umb s Address (Street, City, State, J I Uti ►� u CX "(. VI. County/Department Use Only Approved ❑ Disapproved Permit Fee D Issu d Issuing Age na[ Owner Given Reason for Denial for Disapproval tlitions offAA }ovval/Reasons S v Attach to complete plans for the system and submit to the County only no paper not less than 8 In a II inches in size SBD-6398 (R 03/22) IQ PAGE 4 OF 4 in -ground Dosed -Gravity Management Plan IMPORTANT: The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. 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), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow= 7 4t0 gpd; BOOS ≤ 220 mgL^; TSS ≤ 150 mgL^; FOG 5 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent 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 (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. 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 Wisc. Admin. Code. Report any n. component failure or malfunction to: Name of individual or company: �( /✓) y!^Qit/"� Phone: �_ Local government unit �f'/• (l d(d1y y Z�J7�/�Q Phone: i D —k,1 Local government unit address: Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. 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, Wisc. Admin. Code. Contingency 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, Wisc. Admin. Code. SS -oO3X5 Private Sewage System MainteMnce Agreement Owner(s) Name i c • ULM Owner(s) Mailing Address 3'5ot///lb//1AAJDD2.(sLA4a LAl' TLL / Qnu2 Taxlu# /0/9'-/ 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 WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 1/4 of 1/4 Section 03 Township 113 N. RangeQ7 DOCUMENT NUMBER 2024R-604352 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O8/ 1 4/2O24 AT 1 1 :OO AM RECORDING FEE: $30.00 PAGES: 2 Recording Area Additional Legal Description: t/ -)S7 h -ft Ie U 1 RI Vi 3 (C Al LOl '/1 hV Return To: {� Town of (4 R It (Acreage) L Gov't Lot GPlanni an Zthir Departure U Lot A Block Subdivision R 5' �e t AUG 1 51024 Lot CSM#Vol._Page_ CSM Doc# _ ❑ In -ground gravity IN In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System 0 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, POWrS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -grade. and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print S scribed a me on thi date: t9 /' I /20241 Official Seal TJ Jnt � 5 f` 4 I A L rn Notary Public - State of Illinois My Commission Expires Mar 9, 2027 Notarized Owner(s) — Signature(s) Notary Public My Commission Expires: q 2021 Drafted by. 'LL"fl F 141e1 Date: R 4/' /- oZ 24' Proofed by: ulrorms/sanitary/septicmaintenceagreement Revised July 2020 8/27/24, 10:25 AM CarmodyN BAYFIELD COUNTY SANITARY PERMIT (#04)-24.-123S STATE SANITARY PERMIT OWNER: JAMES F ULM GOV'T LOT: LOT: 9 BLK: SUBDIVISION: East Lake Subdivision 1/4 114 SEC: 3, T 43 N, R 7 W TOWNSHIP: Cable SOIL TEST: 119-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Ryan Strand TRACY POOLER DATE: 8/27/2024 Authorized Issuing Officer 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: # MP 798301 Condition: System to meet all setbacks. Management plan to owner. Properly maintain system per recorded agreement. THIS PERMIT EXPIRES 8/27/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION https://www.carmodyinc.com/PermitApp/Permit_Sign.aspx?Print=l &permitappid=7345 1/2