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HomeMy WebLinkAbout24-172SRequest 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 fl G Phone Number Plumber: $6�Cur,71 Std a≥J '?l c43v-gVIR Fax Number Homeowner: E 71 �G 'rJCt-f Email Address Immediate Phone Number So Zoning Sanitary � / l Dept can call you right back (If needed) Permit #: �` Plumber's Choice Zo ' ept / l A No Inspection(s) during this time Date: ` / j Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Pt tuber's Choice i. Dept rbt� Township: 6zele Address tl Road Name:: 5 P/ C -e LaRrio L eLe or Directions To Site: Comments: �a x �J *umbers you must verify any change(s) by fax or email *` 3 Notes u/(onns/sanitary/requestforinspec Zoning Dept (O4112/04); v0 d - Ulaflfr r. Private Onsite Wastewater Treatment Systems (POWTS) Inspection Report (Attarh to Permit) Industry Services Division General Information BENJAMIN & MEGAN POPP Personal infonnatioa ou provide Permit Holders Name: 14 1 m NORTH RD Slage Town of. PRIN GBROOK Wi 54875 PRIN CST BM Elev: nTsp�M Elev: BM Description: 7o jlvG k- Tank Information setbac to: TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic l!L i N/A Dosing N/A Aeration r3p N/A Holding County Sanitary ermit No: cUfliS State Plan Transaction ID#: Parcel Tax No: 3n y/ Pump! Siphon Information Pump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Widtl3 Le t # of Cells SETBACK FROM Prop. Line Building Well OHWM Typeof Cell (iir I� /© Manufacturer: 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 O/, f Bldg. Sewer 2r A�6 Tank Inlet $7 Tank Outlet /,427 v/fly Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe ?s Infiltrative Surface Final Grade X Pressure Systems Only Soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes ❑ No ❑ Yes 0 No COMMENTS ,k/Include cod discrepancies persons present, etc.) ,//r 1,7�s o,1pant /Af Plan revision required? ❑ Yes $ No / 11 Use other side for additional inform P Date POWTS Inspectors Signature RRnS71n /R (Q1911 License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715)373-0114 e-mail: zoning(dbayfieldcountv.wi.00v Web Site: www.bavfieldcountv.wi.aov/147 BENJAMIN & MEGAN POPP N8056 NORTH RD SPRINGBROOK WI 54875 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 //i As you know ° L/S JG L 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: Tank was pumped by: o Tank was crushed / removed and pipes disconnected by: on at AM/PM On ll at /f 3D (AM / 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 $50 fee are required. ❑ System could not be inspected because County could not respond to plumber's time constraints. Comments: tl /IG 3 L-2 5 Ham( i 97QLb �v( me y1cyPcr'C r2_ UHorms/sanitarypropertyowner-input Apn12019 Department of Safety C°"°ty & Professional Services 1 r$ Industry jnf]ll8trj'Se S i's SamtaryP rit umer be filled in by Co.) WTIt"'Nuadyer Sanitary Permit Application tIll SEP 302024 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 ,})r� 'aed Project Address (if t thanmailing address) the Department of Safety and Professional Services. Personal information you provide ma pid� LO �' purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. Y I. Application Information — Please Print AR Information Property Owner's Name Pamel # �x �d-38� r �c �o Property Owner's Mailing Address Property Location 5 Govt Lot % %, Section City, State j'�- %/, Zip Code Jo Phone Number V`•'7 wr I s 7/ =.r _ 3 ilS 7 ✓ 07, R. a of 'ding (check all that apply) Lot # T N R Eo) 0 1 or2 Family Dwelling -Number of Bedrooms Subdivision Name 1 Block # ❑ Public/Commercial—DescribeUse ❑Cityof ❑ Village of ❑ State Owned — Describe Use CSM Number C t17 .I 3 I)&own of Ca. talk. S III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable. A NcW System DReplocemem System ❑Other Modification to Existing System (explain) ❑ A ' B. r ❑Holding Tank ® In -Ground ❑ At -Grade ❑ Mound �--t, �dividual Site Design I ❑Other Type (explain) (conventional) C. [jtenewal Before ❑Revision ❑Change of Plumber ❑transfer to New Owner rst Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Desi Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (st) Dispersal Area Proposed (st) System Elevation 5 - Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer u w c $ s New Tanks Existing Tanks o. U vi rn is. O Septic arHolding Taok — JzsDosing ChamberJII3I H H 6 V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumbers Name '°t) Plumbs 's Signature MP/MB'RS Number Business Phone Number (fin nls K$srn us n .. 2 z! L16 7/S ZtOC2SZJ Plumber's Address (Street, City, State, Zip Code) '/z/.,� Kann Cable 14/7. S'/SW V4 County/Department Use Only Approved 0 Disapproved Pemu Fee at Iss ed Issu; gAgent Signs ,/ 0 Owner Given Reason for Denial C ndt f Approval/Reasons for Disapproval CayL Avaca to complete plans for the system and submit to the County only on paper not less than 8 t2 sir Inches In size SBD-6398 (R. 03/22) Wisconsin Department of Safety& Professional Services Division of Industry Services asp `+ SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code 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, scale or dimensions, north arrow, and location and distance to nearest road. /ax Z.A. County egg 1/i Parcel l.D. c4 - a1": - flu EP 30 Please print all information. Review Date Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04(1)(m)). �7by /t. Property Owner Property Location ❑ ®' B:/) /,n/n L. I Me a/n l/ p, " Govt Lot A/4! Y.. SW 1.4 S 22 T 43 N R o'l E (or) W Property Owners Mailing Adress Nzos(� Nor RJ Site Address or CSM and Lot#. / C3/`% 2/31 i/> Soo zozog — 3 5 City, State, Zip Phone Number ❑ City O. Village Town Nearest Road S r/ a / a (us ) -r 0VI pr y- lake_FIre [l New Construction Use: ❑ Residential! Numberofbedrooms Code derived designflow rate 4 CC) GPD ❑ Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable /VA ft. Parent material General comments and recommendations: ( 0CC Z.s7Ova1j Coa&k ym/ .<-W GO/ C S / 9/'-Z me/ Boring # ❑ Boring $y /o Pit Ground surface elev. ft. Depth to limiting factor Y$ in. / elev. r % ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh" Consistence Boundary Roots .mow, nppnuauun nave GPD/Fe Eff#1 *Eff#2 2 d -Y 9.23 SIR L$/ 5WT 3 N4 NA sl Is 2msbk 2c -!k m , mfr cvj cW /,. If -3 7 -9 /, 2 3 23 9S 5 YR NA ds #y-7 1 / aBoring # ❑Boring',tS ®Pit Ground surface elev. &/,% ft. Depth to limiting factor77 in. I elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' tEff#1 •Eff#2 2 a-$3 Z¢ SYR 2' / 5 q4 NA 'VA -si is 2msbk' 2 c sd/1 m r m r cvd CuJ of 2;» , 5 3 2¢•-7 5R 4¢ NA D- m! - .7 /.Ca CST Name (Please Print) �niNis (Z/NU5.>"�.f/ I Signatu � --� CST Number Z2/C/4 Address HZGZ5 K4VANA(1,1# . Ci4ilL lily Date Evaluation Conducted 3c30?. oct. 2O2 Telephone Number CiA 49/ Effluent #1 = BOO > 30 5 220 mg/L and TSS > 30 s 150 mg/L t Effluent #2 = SOD, s30 mg/L and TSS s 30 rg/L SBD8330 (R03/22) Boring I3 1 Boring # Pit Ground surface elev.' Page_L of 4 Depth to limiting factor, $ in. I else. ?4t. Horizon Depth In. Dominant Color Munseu Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots fQ7Yu rwPaR quVii Fww GPD/Ft2 * *Eff#2 a-1 y ' r s G_ 2 . Z-i © ic VR Z s1X ni r 4 Ui 2+ 1 .r I. G. 3 5y C� r in .- - .7 1. aBoring # ❑Boring ❑Pit Ground surface elev.ft. Depth to fmiting factor In.! elev.ft. 1 0.,il A...,tF•..4i.... Ca.ar. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *E *Eff#2 II Boring # ❑ Boring ❑ Pit Ground surface eiev._It. Depth to limiting favor In.! elev. ft. ICntt Annftnt}IA•f Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPDIFt2 *E * Effluent #1= BOO > 30 s ?20 mg/L and TSS > 30 s 150 mglL ' Effluent # 2 BOD, 30 mgIL and TSS s 30 mgfL /� GENT? rY/// I N So s6 Nan/ Rp . JPR/,vyCROO/C Z POPP + 3oo tr — ?o NORTW 5osLa, /"4a' ll SEP 302024 CLvGeRo. Lt=vc-L 9735- 'A '9k' NW, Jw,SZZ,T43Ne7tiy /a> / Cs'! z/5/ C,ett (36YF/ZLO �•/ wr A VP /Oo' GTOP /" Pit P/Pt S SEs/G P/T ` REV, O P/ 891/6' Le\i.� pZ 07,6' N LLEv� P≥ al.$o' ' .s/5i rr CCeV 84. $6v !ENN/S t&SflQSSEN c s rM 2 2/s/c I Co. Zoning Dept. 414 [O) CHV 9 ll SEP 302024 Soil Profile Sheet Bayfield Co. Zoning Dept. Owner. 5EN 11A41W Popp Soil Tester: Sew sijs -BSMQSSE4 System Elevation: 84Sp' Load Rate: • 7 System Rangr. S4.Cto $4.25 L�9 ......... aY�o' .......- ...... ..... ............ Sr3� a5�.ao' yr SI PAGE 1OF4 4 In -Ground Gravity Plan E G E 0 W E Index & Cover Sheet SEP 302024 Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2tFd�7fjeld Co. Zoning Dept. Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name I Description Owner Name(s): Owner Address: Project Address: E? Phone: )5 -SS� tW-ZZip: JLj?7S Govt. Lot: ►kj1 /4 of 5L&) 1/4, Section 2�, T t/ 3 N -R Q 7 E u or W2 Township: Ca tile County: ; e_(d Project Parcel ID #: j2 — 3`(� 22 Designer Information Designer Name: 1)enAl; Xas)yt ysiii Phone: 7/ 5' -Sao - ozs4 Designer Address: Y2.6zs 4a.unna 9h R. ,C44 WI Zip: 59911 E-mail: ej<n n+s rnlissen /qgG aq/yt1'/, C it1 this space reserved for approval stamp. License Number: 2zi c /4 Remarks: I Conditionally APPROVED BAY FIEL QI�NTY Signature: — Date: CT/Z6/z,/ Original signature required on each submitted copy. / ll SEP 302024 Bayfield o. Zoning Dept. N»l,.Sw,Sze,r43N97vj `� l /a/ / CS/V 2/5/ e«« 7-6fV SAV,P (j6YFf.�f n Gwi/�r :. A V/qaO/oo'&?i-op/"PYCp/fr �ToP /" PYG P/P& n Ses/G P/% t ELev, O P/ 89,16' �1ev.� p7 e7.66' fLctf� P,• and' .s/st r fWV 84.5-0 _1________ � pWr/6 Y(t°per` 1 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) Geotextile Cover SOIL COVER 12" min. trench depth (typical) System Elevation- .. ft. (typical) min. 12" (typical) Septic Tank(s) Manufacturer: Septic Tank(s) Volume(s): /2 &gal gal gal gal /� Effluent Filter Manufa turer: 6 Effluent Filter Model #: % O �'22 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Provide minimum 3 ft separation between trenches. TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.) PLAN VIEW 4r 0 Observation pipe shall be installed (No Scale) at ju--:--� ..-"-•._...-'- Perforated Lateral (typical) B= 6o ft (typical) INSTALL PER TRENCH: 6 10 -ft bundles @ 50 fF EISA/unit= 3o O ft2 + 5 -ft bundles @ 25ff EISA/unit = ft2 = Proposed EISA per trench = 3OO ft2 OBSERVATION PIPE DETAIL (No Scale) Screw -Type or Slip Cep (loose) . rinishod Grade (mulched 8 seeded) 4°0 PVC Pipe Topsoil Cover Top of pipe to terminate (mm. 1 fool) at or above finished grace (4)1/4"-1/xz" %6" Sbts @ l0 apart Anchoring Device Infiltration Surface A=3.0 ft (typical) `— EZ1203H Bundle (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. Required Infiltration Area = &57 ft' x 2 trenches = Proposed Total EISA = 9mo ft2 Distribution Method: C) W O a C] IIIII�p1810 I�IUIIiIHI�IIIIIIIIIDllMllffl #2 0 583282 3• BAYFIELD COUNTY CERTIFIED SURVEY MAP # 07. 13! A DIVISION OF DEED DOCUMENT # 2019R-580002, LOCATED IN THE NW 1/4 - SW 1/4, SECTION 22, T43N, R7W, TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN. YMUMEMfD Ip9IN 1149 ED. I LI-o.a IRUI PIPE Nw1/.lwuI �u WI/4 CORNER POR 332.47 SEC 12 T43N 2020R-583282 DENISE TCOUNTYI� (� BAYFIELD COUNTY, �w LS REGISTER OF DEE 07/23/2020 02:5 SEP 302024 TF EXEMPT #: RECORDING FEE: 30.D0 PAGES: 3 hayfield Co. Zoning Dept. \iol.i' CSM . R>W S. S. 1118 $ A. oAa^ ♦ A�L 1LNL TO(jD(DTkCn.AL . A L Z9 a A.,Y4 Ilk ¢ z A HAWis. TW a� WIS. , iii Ij m 8 LOTS GRAPHICSCALE QFT a 2.1835 0 $ 154 F m FAQDOIIK. RPW Y R-O-WAREA 5935DFT C .01 AC RES 1 Inch =1508. CUR lIE DATA LINE DRIA L S - N41 IO154 101.93' CD-NI8`5556'W L1-N60LSDl'E Sr.A' C-114.83 L3-N19.5873E 112.74' $ 14-N10.1SY13Y 1W36' ¢L6 L-IV.97 LS-S61.11S5'f , T-6D4T' L6-1041'2015`829.57 FF A 36.34M0' L)- N41'2o'IS1 )237 r u L8-N01'0151'W 5857 CD-N10.56D8'W C-4006' EASEMENT NNE DESDUPOON R-18197 LI- N/I•20'15W 101.9r L-4014' 12-N60457TE 57.79• T-2415' L3-NM'5823-E 112.1' A 12'31'15` L4-Nhl•ISon 10736' 0 L5- 5627155`f 100.22. CD- N12'38NB'W C-)610' R-181.9, L-1866' r-389 4C424bm25` TOTAL ACRES co - N21.50'21'W 891,619 SOFT C-18286' 1914 ACRES R-82@' f.CCWDINGRBW i L- 1 1375 7-98)5' R-0.WARF A A M73'31` T a . )BdCRF5 RAO9ES CO-N367719'W C-9360• 30807 T-44.011 ' ' T-4338' I 417'2916` IEGEND •S/ xIrsQ1AcwROD, WT Q FOONDI I/I`0.D. IRAN PAY OR NOTED PISS CORNER (A5 NOTED) � ^ r rN IRDNPN4 • wrl.1336.OO WT. 1.,31/FT PROPERTYINE SUMYED A. APPR010MATE WETU10S (X1000 RECORDED AS OR NOTED i8i rota- Ne,sYs MwL IMRYl4n/MNIdI yL 01L'IMSE.EIP MRP3MTEe.Ne4EEEl,Po ISO NmDEL:4eaaa >• .Arl 216.94' Vq- ?%1I-as9 EARe11Rv 58916536`2. 114Sl' ISfND]l•w LISP . IOUNTYM4P 4NU1 to d LOr2 29s99E 4.61 ACRES g 8 Iqn ran WNNLF SRBW'SrE 239)5 $ i EASEMENT IESSAND ry LOT3 424.649 SOFT 9.75 ACRES EXLIUDJNGR-W R-OWAREA 33.051 SOFT 7)AOEES 17Ss9' 91.17 38897' .AAh"1 E.. EN1^ro"P&n (P3921 lw eue9;MV.. coulflt lw4aw F44%5j L1 MOVUMPITFDSdRIIUNE0F 1NENWI/I-5WIA I TJ PD. 3ALUM. LAP SURVEYDY: T"ll Lti DP S W CORNER TOODC GOOID- ALE 2449 SEC 21, T42N RT9 SHEEP 0FSHEET 3 DATEDTHLi 23N LMYOFIUNC 2020 W1250 -MR TANK SPECIFICATIONS 4" CAST - DIMENSIONS: WALL: 2 7/16" CAST -A -SEAL BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 64 1/2" LENGTH: 8'-8" WIDTH: 7'-2" BELOW INLET: 53" LIQUID LEVEL: 47" WEIGHT: 7,220 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 26.81 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,340 GALLONS LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON 1 OUTLET N A U 1 � Q O 'AD COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE A I J 0 ruu-� REVIEWED BY N 0 n -0 REVIEW DATE r3 w 0 0 o DRAWINGS SUBMITTED 3 o Q FOR APPROVAL CD . . APPROVED BY: SHEET NO. APPROVAL DATE: 1 / PRODUCTS NEEDED BY: / OE 1 i!i[J ;] ri i! ci' 117 11Ib Applications Handle Blutubs filter ca'iddge Deflector plate Optional float switch bracket are - Housing Orerrca PSC-Series Siotube Effluent Filter Orenco PSC-Series Bionrbe Effluent Fitters are designed to remove solids from effluent leaving wasi LS ly pp General eaI� p U Orenco's patent -pending PSC-Selic B' n9� 24 improve the quality of effluent from E �i h�%rs are used to quaLry extends drainfield life in onsite 1�J1 auent the performance of downstream treatmentin effluent sewers. raves The Biotube filter cartridge fits tightly in the housing while being easy to remove for maintenance. The passively self-cleaning design extends mafntenaf-,ce cycle intervals. Filter mesh is available in VBin or 1/16in (3.2mm or 1.6mm) mesh opening sizes. The handle can be extended with PVC pipe (not indudeo7 for better access to the cartridge. A 3/41n (19mm) diameter tee handle is included. Models PSCS0621-18 and PSCW0621-18 are NSF 46 certified. Standard Models PSCS0621-18,PSCWO621-18,PSCPS0621-18,PSCRV0621-18 Product Code D9agram PSG [lea 21-18-❑ gists= enlsxlutlsr;ssL:'5 ++ =m L i1h Oreor.t ssseixo B = rorusav�iai arena &4-526a t1k, = nzl nvich bzwe-: ='tsaY� sat fur rdM grdf.:o AFsErw Ca.lnd18 gat jf Te=1iv1w1, I 8(457r t h,".rlsryq,+J R�chhCn(ncn): 2I=2l533) 21 p;3r f s�i 65mam�srcn�zr = s::zkns abPtuI-ewe effi aAa` 5;m fcwm. grr,.i; Peat= uaa 1. P=1n6ne7 PSC-a &htae e5:eM h6er Materials of ConsthjctIt " uo y PVC,ABS S obfbe liter can idge Potypmpytene, DCPD Handle components PVC. shainIess ales! Deflector UB - ..uv-..•�o-Pate "+1 ai-as44g5 a www.amnco.cam rrrD+-r--FM2 Rev s®06/21 Pagel oft �---- F —_I 1 D V 9EUUIIUUD SEP 302024 Bayfleld Co. Zoning Dept. Model PSGS0621-18 PSCPS0621-18 A. Overall height, in (mm) 227 (077) 22.7 (577) B. Housing height, in (mm) 21.0 (533) 21.0 (533) C. Carhldge height, in (mm) 17.75 (451) 17.75 (451) D. Outlet pipe diameter, in (mm) 4.5(114) 4.5 (114) E 0ufet height to irwert, in (mm) 13.5(343) 13.5 (343) F. Deflector plate diameter, in (mm) 6.63 (168) 6.63 (168) Mesh size, in (mm) 118(3.2) 1/16(1.6) Alter surface area, IF (m 6.3 (0.59) 6.3 (0.59) Arne area, ft2 (mp` 1.9 (0.18) 1.9(0j Fdlera m fs d2!rkties as mW seleCE aaa of 211 ifu/GIP!$'USYS Iv*bb the fihrirbiCg2. "Row area the (0121 FTNl22e is af23 d rile m cfrM OfaU u e ht1ildwl e3n162s ::SdIT111"c filler ,,V is Rev.3 +is2 Orenco Systems' - 800-348-9843 a +1 541-459-4449 a www.orence.cem Rev. 3®06121 PagE2 of 2 9/?6/?t,4:24 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 9/26/2024 Created On: 9/1/2020 2:16:36 PM Description Updated: 9/1/2020 a Ownership [j- LULJLTax ID: 38294 BENJAMIN L & MEGAN M POPP u U PIN: 04-012-2-43-07-22-3 02-000-22000 Legacy PIN Map ID: Municipality: (012) TOWN OF CABLE STR: S22 T43N R07W Description: LOT 1 CSM #2131 (LOCATED IN W 1/2 NW SW) IN DOC 2020R-583595 Recorded Acres: 4.790 Calculated Acres: 4.790 Lottery Claims: 0 First Dollar: No ESN: 108 Tax Districts Updated: 9/1/2020 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE y" Recorded Documents Updated: 9/1/2020 O QUIT CLAIM DEED Date Recorded: 8/10/2020 2020R-583595 O CERTIFIED SURVEY MAP Date Recorded: 7/23/2020 2020R-583282 12-287 it ing Adder: Mailir8y3�'AditlS. Zoning Dept BENJAMIN L & MEGAN M BENJAMIN L & MEGAN M POPP POPP N8056 NORTH RD N8056 NORTH RD SPRINGBROOK WI 54875 SPRINGBROOK WI 54875 T Site Address * indicates Private Road N/A ® property Assessment Updated: 3/30/2021 2024 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 4.790 20,600 0 2 -Year Comparison 2023 2024 Change Land: 20,600 20,600 0.0% Improved: 0 0 0.0% 20,600 20,600 0.0% yTotal: Cam' Property History Parent Properties Tax ID 04-01204-012-23-07-22-3 02-000-20000 07-22-3 9014 HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID: 9014 Pin: 04-012-2-43-07-22-3 02-000-20000 Leg. Pin: 012106406000 38294 This Parcel t Parents 1 Children ���'5sFs�3o�l https:/Inovus.bayfeldeounty.wi.gov/accesslmaster.asp Ill Department of Safety County & Professional Services, Sanitary P 't be filled in TIIdllStf'y Se S 1 S r, fl um r by Co.) o v a - flIs Sanitary Permit Application DII SEP 302024 Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is nt to obtaining a sanitary permit. Note: Application info formmobs for �� mailingaddress) Department provide(if of you may purposes in accordance with the Privacy Law, s. l5.04(1)(m), Slats. Y L Application Information — Please Print All Information Property Owner's Name I Parcel # -y 3O -Ory� / J O 7 `% 'Pi gg 4 ?opp Property Owner's Mailing Address Property Location Govt. Lot w �' �w' f y City, State I Zip Code Phone Number ScbiybtcJft-, W -L S 7i - s' - 3 v,.5� )A Fi seceon _^? T t 3 N (/ E o IL of 'ding (check all that apply) Lot q O I or 2 Family Dwelling — Number of Bedrooms _J Subdivision Name O Public/Commercial — Describe Use Block H O Cityof OVillageof O State Owned —Describe Use CSMNumberCfl)'a. 5 g own of Ca fit. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable.) A. &ew System ❑ Replacement System ❑Other Modification to Existing System (explain) ❑ Ait (exnlain'I B. ❑Holding Tank ®ln-Ground ❑At -Grade 0 Mound Ondividual Site Design ❑Other Type (explain) (conventional) C. [)enewal Before ❑ Revision ❑Change of Plumber ❑Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank information: Desi Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation S Capacityin Total N of Manufacturer Tank Information Gallons Gallons Units o'g v o New Tanks Existing Tanks 'j is s) 4 0.0 m ti IZA P. Septic w Hold'mg Tank — u/ r -e., Dosing Chamber FL H H H V. Responsibility Statement— I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe 's Signature MP/MPRS Number Business Phone Number �nnIst�4srnusse-n ----� 22/S1ee 7/S -960oa&'j Plumber's Address (Street, City, State, Zip Code) £/24z≤ kannaaqb 9$. Cabie kh• syaz/ County/Department Use Only Ito Approved ❑ Disapproved Pcrmit Fee $ Date Issued Issu', g Agent Signato ❑Owner Given Reason for Denial I I / / Conditions Approval/Reasons for Disapproval !J� Carct Attach to complete plans for the system and submit to the County only on paper not less than 8 In a II inches to size SBD-6398 (R. 03/22) PAGE 4OF4 In -ground Gravity Management PIa E (� E 0 V E D IMPORTAi1IT: I SEP 302024 The owner of this in -ground gravity system shall be responsible for its perpetual operation and : rf pf1E&ewdagJg�b - 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), VVisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 6do gpd; BOD3 5 220 mgL''; TSS 5150 mgL-'; FOG 5 30 mgL'1 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 (Le., 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. Scats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, 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 component failure or malfunction to: Name of individual or company: ul7ttN\.l S 2Q'5lksjS i' ) Phone: '1/S S 5J o Local government unit Local government unit -7lS-37:3- toi? ZIP: 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. 0wner(s)Name(s) — Please Print ( ) fOp • O Subscribed and swum to before me on this date: ,,`,��• P l0, Notarized Owner(s)—Sign Notary Public Rdnr ► — My Commission Fix Ima: fires; l 2pzs N9. Drafted by: 'O£.fN rq� Date: 1-111,Z2-1 Private Sewage System Maintenance OCT L[ 2024 Bayfield C. Zoning Dept. ,uarea� CC L (o No r Hs 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 WI �Ad�m. Code, as from time to time amended. (COMPLETE Legal is required) LV W 114 of 5 w 1/4 Section 2 Township —N. Range 09w. Additional Legal Description: Town of Ca 6 __ (Acreage) 5 Gov't Lot Lot _ Block_ Subdivision Lot(CSM LVoI.Lk.Paget3j( CSM Dod#t4t3C9 In -ground gravity ❑ Mound Return To: DOCUMENT NUMBER 2024R-605212 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/23/2024 AT 11:01 AM RECORDING FEE: $30.00 PAGES:1 Planning and Zoning Department ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ At -grade Sewage System ❑ Other Area 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 pending 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 specific -ally agrees that all the casts and charges maybe 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 shalt be binding upon and inure to the benefit of all current and future owners of such property. Np r r n l p r rhrrrrr',,' Tw, ..... 01Fp ARl- BL'G :' ?- Op u/forms/sanitary/septicmaintenceagreement Revised July 2020 1117/24, 8:39 AM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-24,172S STATE SANITARY PERMIT OWNER: BENJAMIN L & MEGAN M POPP G OV'T LOT: LOT: 1 B LK: SUBDIVISION: Csm #2131 NW 1/4 SW 1/4 SEC: 22, T 43 N, R 07 W TOWNSHIP: Cable SOIL TEST: 152-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Dennis Rasmussen TRACY POOLER Authorized Issuing Officer DATE: 11 /7/2024 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 221516 Condition: System to meet all setbacks. Management plan to owners. Properly maintain system per recorded agreement. THIS PERMIT EXPIRES 11/7/2026 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=7410 1/2