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HomeMy WebLinkAbout24-184S** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS 16nuary 3, 2025 at 10;57;16 AM CST 7157983470 36 1 Received .JAN/03/7025/FRI 10:37 AM Andry Rasmussen & So FAX No.7157883470 P.001/001 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 fjTirne Change fl Discrepancy Other Phone Number Plumber: ^'' �i pp 4,10(7 A6,1TVSSPn r << 725 Fax Number 7/5- q' — Homeowner: / Email Address %t+r( nd✓ /asst t d-J-Tz m)Ss__Qrt-�r t S, t�6rrz Immediate Phone Number So Zoning Sanitary Permit #: c/— f Dept can call you right back (if needed) t Plumber's Choice Zoning Dept No Inspection(s) during this time Date: i (u /a ■ "� 0 .` Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice ZonVVVV ept Township: /aa b' ( Address # & Road Name: or i73 S ROiI n Qrr�i Directions To Site: Comments: Plumbers you must verify any change(s) by fax or email Notes from Zoning Dept: u/forms/sanitary/requestfodnspection Zoning Dept (@4/I 2/04); ® June 2023 1 Private Onsite Wastewater Treatment Y ospi Systems (POWTS) Inspection Report .4/ (Attach to Permit) Inc Gi JOSHUAA&THERESAMHINTZE Pe 43315 ROBIN LN purposes[Privacy Law, s. 15.04 (1)(m)) Pe CABLE WI 54821 City village Town of: Elev: Tank Information TYPE MANUFACTURER I CAPACITY Prop. Line Well I Building Air Intake I Road Se tic N/A DosingN/A Aeration N/A Holding flfloi �1 setback to: County Sanitary ermlt No: u- yS State Plan Transaction ID#: Parcel Tax No: /O/fl Pump / Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer liter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Width Len th # of Cell SETBACK FROM Pfrt Bm ip w ei r 0� , Type of Cell - ivModel Manufacturer: Number. Pretreatment Unit Manufacturer: Model Number: )istribution System Header / Manifold Distributio P' e(s) / X Hole Size X Hole Observation Pipes Length _ Dia Length Dia - Spac & Spacing ❑ Yes 0 No soil cover Elevation Data STATION j BS HI FS ELEV Benchmark 2. j L Bldg. Sewer Tank Inlet Tank Outlet C Z ys Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manifold Distribution Pipe Infiltrative Surface / k Final Grade Bp X Pressure Systems Only Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes 0 No 0 Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.) .- )/9/e lr' Gytlk�ucsac 4-t w 5e� t� i9,.,/� Plan revision require v O Yes No /� v1 Use other side for additional information, ( / OZ3 7/3 Date POWTS Inspectors Signature License Number RRfie7ln rR 071911 Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoninq(g bavfieldcountv.wi.gov Web Site: www.bayfieldcountv.wi.gov/147 JOSHUA A & THERESA M HINTZE 43315 ROBIN LN CABLE WI 54821 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know flgc/emC;e _ 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: Tank was pumped by: on at AM / PM Tank was crushed / removed and pipes disconnected by: On 2i l2 � at 2 (AM ye above -mentioned plumber contacted our office to condo tape -cover inspection as required ihfder DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. flSystem 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: Uttorms/sanitarypropenyowner-input April 2019 _'•""I IndustrySeniD1'isn j(• i ' 't �� 4 )' B FieId - - 4822Madiaifta 14u >' Madison. 1171,537Q5.�.. Spi)itary Permit Number tin he filled in by Co.) S �•e~,„; Inns l 5370 C 8 2024 .; :' Madison. WI 53707 Sanitary Permit Application "'" " s to Transaction Number In accordance with SI'S 383 21(2). Wis. Adm. Code. submission of this Ibnn to the appropriate governmental unit is required prior to obtaining a sanitary pemmit. Note: Application rooms for state•oaned POW's arc submitted to project Address (if different than mailing nddress) the Department of Safety and Professional Services, Personal information you provide may he used for secondary Same purposes in accordance with the Privacy I.aw. s. 15.04(11(m). Slats. I. Application Information — Please Print All Information Properly Owners Name r --. f..-- T ParcelN Joshua &Theresa Hintze 10183 Property Owners Mailing Address _ „. V. Property Location 43315 Robin Ln. Gae, I.ot 4 City.State Zip Code Phone Number Cable, WI 54821 262-225-3304 —'A• section 17 •f43 N R07 porW II. Type orBuilding(checkallthatapply) LotN ZI or2 Family D'Wling— Number oflicdnioms 2 10 Subdivision Name ❑PubliclCommcmial - Describe Use Block N OCily of Village of ❑State Owned - Describe Use CSM Number aTmvn of Cable Ill. Type or PoWTS Permit: (Check either "New" or "Replacement" and other npplicahle on line A. Check one has on line 13. Complete line C if applicable.) A. New System I?IReplacciucnt System t:IOlher Modification to lisisting S)siens (explain) ❑Additirmal Pttrcatmrnl Unit (explain) 8' ❑Duldin'Tank F �In-Gmund ✓Type Qkt-Grade Mound Individual Site Design OtherT (explain) (conventional) C. ❑Renewal before ❑Itevisian Change of Number ❑rransl'er to New Owner list Previous Permit Number and Date Issued Fspimdun 389600 8.22.02 IV. Dispersalfrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Ralc(gpd/sl) I Dispersal Arco Required (s0 I Dispersal Area Proposed (sl) I System F..leauiion 300 0.7 1429 1450 91.15 Capacity in Total not Manufacturer Tank Infomnatlon Gallons Gallons Units r c G - New Tanks I Exhting Parks 1U N v1 V. TU L SepncmlloldingTank 800 800 1 Rasmussen (Existing) ✓ Dosing Chamber O V. Responsibility Statement- 1, file undersigned, lissom reisponsi II y for insf Ilation of the YON"I'S shown on the attached plans. Plumber' Nam* (Print) Plumber's Sin MPRd PRSNumbcr Rosiness Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City. State. Zip Code) PO Box 66 Cable, WI 54821 VI County/Department Use Only \ Approved 0 Disapproved Pc it Pe S-7 Data lashed I3Ij3)7 Iss ll urn '� ❑ (honer Given Reason for Denial Candid of Approv0Vltcasons ror Disapproval �;r ,r;nl rC4�c�4.d ���,y4'� 4W 2f ccU s�lI � itr 4+ '' pe r�exishrj JUF' [..W�C! 4 /S J(617/IA C{�.� Alineh la eangdete pto," rot Ilw,stem and tai ndl to the County only on paper not lesv tl,m, s I/a s 1I inrl,n in stet :SOD -6398 (I3.02123) I 6. Rasmus n Am s•ra -- Well Ijj_..--- -------��—...- tel:. �:;a; �•7 - ...._ , '15 5 . ..Vabt'JLC�`SY�re�M . - b7571 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= 91.15 ft. (typical) min. 12" (typical) Septic Tank(s) Manufacturer: Rasmussen (Existino) Septic Tank(s) Volume(s): 800 gal gal gal gal Effluent Filter Manufacturer. Orenco Effluent Filter Model ir. FT -0822 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 4" 0 Observation pipe shall be Installed (No Scale) Perforated Lateral at junction between Iwo units. Observation Pipe —, (typical) (typical) -------------�f--------- r- L----------------------- I-- B= 45 ft (typical) INSTALL PER TRENCH: 4 10 -ft bundles @ 50 ff EISA/unit = 200 ft' + 1 5 -ft bundles @ 25 ff EISA/unit = 25 ft' ED OBSERVATION PIPE DETAIL (No Scale) Screw -Type or Slip Cap (loose) 4'0 PVC Pipe — Top of pipe to terminate at or above finished grade (4)1 W-1/2' X 6' Slots — @Ab span Anchoring Device — A=3.0 ft (typical) EZ1203H Bundle (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers Instructions. = Proposed EISA per trench = 225 ft2 Required Infiltration Area = 428 ft2 x 2 trenches = Proposed Total EISA = 450 ft2 — Finished Grade (mulched & seeded) — Topsoil Cover (min. 1 foot) Infiltration Surface o tam t� oW o O ti Distribution Method: branched manifold S ?TIC TANK CROSS S?CT:O.I AND S?ECI= ICATIONS SC4-40 PVC INSP_ PToE 6 " MEN. ABOVE G?.=_DZ.('OPi•) II II (when rule+ fnc .Fete Fs burled ) NOV 0 @2024 APPROVED GP,ADE Bayfield Co. Zoning Dept. MANHOLE FIP!_SHED WI Lid. LAB&C 4" KIN. 18" MIN. I NLET OUTLET A P P RQ3LZQ SA-F-ekE O FILTER APPROVED MEG. OVw1CU ( CdPY PIPE 3' ONTO SOLIDI I model R To922-. 3" APPROVED BEDDING UPID�.P, TA1ic 5PEZ.IFICATI ON S 5 EPTlC. TANK MANUFACTURER: /ZiirSA^Jtrt (JTI(J(7 TANK SIZES! S='TIC ES�'e GAL. NOTES: Wisconsin Department of Commerce SOIL EVALUATION REPQIkT ll ge / of .3 Division of Safety and Buildings u�J NOV 0 B 2Q Z4 ✓/ in accordance with Comm R5_ Wle_ Adm. fl d Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County F 8 include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 01Z — //78— 0 5" Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). Property Owner ti 11AROLO 4,qA.4 .4 4aise.wv Property Location Govt. Lot 1/4 1/4 S /7 T 93 N R 7 K(or) W Property Owner's Mailing Address 433/5 Roe's.' .1QWE - Lot # I Black # I Subd. Name or CSM# /0 G.t�tY/�-1yt .bc e�S City State Zip Code Phone Number C-4- ❑ City -❑ Village %Town Nearest Road k// S'y82/ ( 7/,i 798-32fl C4Set RoC3//Y Z4ry� ❑ New Construction Use: Residential / Number of bedrooms 2.. Code derived design flow rate 3 0© GPD R Replacement ❑ Public or commercial - Describe: Parent material 0644, 0 4'7&VLsS'fi" Flood Plain elevation if applicable A/A g. General comments and recommendations: K Co.* 10 Z d sh;4// ie srn mil/92.7s' Boring # U Boring L7 pit Ground surface elev. 97 25 t. Depth to limitinn fnnfnr /2/ ^ Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Dull nppucauon Kate GPD/fP *Eff#1 *Eff#2 / 0-s 7J)e314 >✓A 2rsbk m4i G LM • 5 •9 2 3 s-24 2G 7.5}f41% 7.sYR 9/ IVA NQ s/ cs Sbk &.sy flh4 m/ W It - r5 7 • /.4 4/- 2 sYR 414 NQ mays Asy m/ - - 7 I Boring # UBoring 1 4 1 a pit Ground surface elev. 3?4 'IL Depth to limiting factor // in. _� Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots wn..yynwuvu GPD/ft2 t\arc *Eff#1 •Eff#2 / o // 7sYR 3/4 /v6 s/ 2h4E trig, Zry •5 r9 Z //-2(. 7.sYR '°4 NA 3/ ZIJt mfr G rs `/ 3 24-:`3/ 5Yx 4/G --r76 N6 r,s 059 nr/ c - '7 /.4. 9 3/-'/s 7 -WA /VA cud s D rn l - '1 1.7- S S- / 7 7.SY/1 4L NA acts Osg m/ - ,i /,2 _...__...... -....s_ ,..,�o,,,, ,,,,, ,,,,,_ ,,J ,,,y,L-cmuentsz= tsuus≤30 mg/L and TSS<30 mg/L CST Name (Please Print Signa CST Number .D /N/,s 4sNussnl/ 4 _ _ _ _ 2.2 /S14 Address Date Evaluation Conducted ,°.&.&''44, • cad 4 , aJ / .TI/BT/ 00 -19 —at Telephone Number SBD-8330 (R07/001 .44 12113/24, 1:08 PM STATEMENT RE Rea[ Estate Tax Statement BAYFIELD COUNTY, WISCONSIN Printed: 12/13/2024 1:07:55 PM Ownership HINTZE, JOSHUA A & THERESA M Tax ID: 10183 Legacy PIN: 012117805000 PIN: 04-012-2-43-07-17-3 00-155-10000 Property Description Site Address: 43315 ROBIN LN Municipality: TOWN OF CABLE Description: (Not for use on Legal Documents) SW 517T43N-R07W Plat Name: CRESMEW ACRES CREST VIEW ACRES ON E 1/2 OF GOVT LOT 4 LOT 10 IN V.1140 P.509 3313 JOSHUA A & THERESA M HINTZE Document: 1140-509 2015R-558255 43315 ROBIN LN Acreage: 1.560 CABLE WI 54821 2024 Assessments Code Acres Land Impr. Total G1 - RESIDENTIAL 1.560 12,800 113,900 126,700 Total Values: 1.560 12,800 113,900 126,700 Estimated Fair Market Value: 194,800 JOSHUA A & THERESA M HINTZE 43315 ROBIN LN CABLE WI 54821 TAX RECORDS - KEY TO CODES RE = Real Estate SA = Special Assessments PF = Private Forest LC = Lottery Credit SC = Special Charges MFLO = Managed Forest Land Open FD = First Dollar Credit DU = Delinquent Utilities MFLC = Managed Forest Land Closed NNN THERE ARE NO PRIOR DELINQUENT PAYMENTS DUE NNN Tax Due: 1,881.54 (31.95) (0.00) 1,849.59 0.00 0.00 0.00 0.00 0.00 0.00 1,849.59 Tax Paid: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Balance: 1,849.59 0.00 0.00 0.00 0.00 0.00 0.00 1,849.59 Pay your 2024 taxes to TOWN OF CABLE Treasurer thru January 31, 2025. Tax ID 10183 Total Due For 2024 Tax: 1,849.59 Tax ID 10183 Total Due if paid on or before the last day of: December, 2024 v 1,849.59 If paid after July 31 contact the County Treasurers Office or Print a new statement from www.bayfieldcounty.wi.gov Pay 0.00 to this treasurer. Bayfield County Treasurer JENNA GALLIGAN, PO BOX 397 WASHBURN WI 54891 Phone: (715) 373-6131 Credit Card Pay Site https://w%w.bayfleldcounty.wi.gov/151/Treasurer Pay 1,849.59 to this treasurer. TOWN OF CABLE BOBBI MCCAULEY PO BOX 476 CABLE WI 54821 https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 G& Indusin Scrviccti Division 4822 Madison Yard. \\ CO Inw B� , u) Madison 1Fl:s 7qs, eld eE PO Box71021 1,: 082024 Sh tanPermit Number Uo he filial inhr Co. I ' I Madison. WI 53707 y -41 /.i._l , „v , Sanitary Permit Application 'StateTnnsaction Number In accordance with SPS 383.21(2). Wris. Adm. Code. submission ofihis form to the appropriate governmental una is required prior to obtaining a Sanitary permit. Note: Application forms ter state-owned l'OWTS are submitted to Project Address (if different than mailing address) the Department o1'Snfety and Professional Services. Personal information you provide may he used for secondary Same purpes in accordance with the Privacy Law. s. 15.04(18m). Scats. I. Application Information— Please Print All Information Property Owner's Name Parcel a Joshua &Theresa Hintze 10183 Property Owner's Mailing Address Property Location 43315 Robin Ln. Gat h m 4 City. Sate I Zip Code Phone Number Cable, WI 154821 262-225-3304 'V.. A• Section 17 II. Type or Building (check all that apply,) Iota T43 N R D7 nor ❑✓ 1 or 2 Family Dwelling- Number of0edroems 2 10 Subdivision Name Illock a ❑Public/Commercial- Describe List ❑City of ❑Stmt Owned- Describe Use CSM Number Village of OTon of Cable Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line R. Complete line C i a lieable.) A. QNewsystem �Replacenment System ❑Other Modification to Existing System (explain) ❑Additiamd Pretreatment Unit (explain) 0' ❑lluldingTank Oln-Ground aAt-(trade ❑Mound Individual Site Design OtherT ype (explain) (conventional) C. ❑ Renewal Before [3 Revision -hangs of Plumber ❑1'mnster to New Owner List Previous Permit Number and Date Issued Expiration 389600 8.22.02 IV. DispersaVfreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rawlgpdht) I Dispersal Area Required (50 I Dispersal Area Proposed (si) System Elevation 300 0.7 1429 1450 J,i.15 Capacity in Total a of Manufacturer Tank Infomation Gallons New Tanks I Existing % Gallen Units Z o Cr ' d ) v .. E 8 a U rn t. v, .Q G Septic orllotd,na lank 800 800 1 Rasmussen (Existing) 11211 Dosing Chamber Q a V. Responsibility Statement- 1, the undersigned, assume respond i Y bar inflation of the POWT.S shown on the attached plant llumber's Name (print) Plumber's Si MP/MPRS Number Ilusiness Phone Number Jason Kuettel 675751 715-798-3355 Plunder's Address (Street. Cay. Stale. Zip Cade) PO Box 66 Cable, WI 54821 VI County/Ucportment Use Only \ Approved ❑ Disapproved PC�'(�it Pe I ( Dale Issued 1V 3j d I' t arc C Owner Given Reason list Denial �7 V i Conditi • of AppmcaUReasons for Disu roval �d dial f"V"A -re ewiiH1 ci f Lan s e- �r i, d Aitach W annplem pin," for tlm system sad suirnrn to the ('aunt) only an paper not ins than E rZ a Ii Inches in site Sl3D-&398 (lt. 02/22) Private Sewage System Maintenance Agreement Owner(s) Name J bfLua A Ht rofzt Owner(s) Mailing Address 371 S lz-0 Vf-' C N Tax ID# iO1 89 ���lLytaa S`IZ1 As owner, I (we) do Hereby certlty 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 Adm. Code, as from time to time amended. (COMPLETE Legal is required) 1/4 of 1/4 Section 17 Township 4 3 N. Range 07 W Additional Legal Description: Town of Chi LL (Acreage) I. 5 6 Gov't Lot y Lot /0 Block Subdivision CRC STS It_- W I9'C cL f S Lot _ CSM # Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2024R-605858 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 12/10/2024 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Return To: [Dl C L u V fC D Planning d Zjj g ? ! (1 M rt Bayfield Co. Zoning Dept. Area ® In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ 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. 0, 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 -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 by law. 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 T03<1 H i3 tro i zc Notarized Owner(s) — Signature(s) Subscribed and sword to before me on this date: ��UNitiN�bq ULT ///i Nota blic Z P My Commissn Expir r 0 Drafted by: JiM LLB lL Date: /per Proofed by: u/fonns/sanita ry/septicmai nlenceagreem ent Revised July 2020 In -Ground Gravity Plan E VIFFW.0 Index & Cover Sheet NOV 08 ?o2a Component Manual Design References: Bayfield Co. Zoning Dept. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Pg 2 of 4 Pg 3 of 4 Pg 4 of 4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Hintze 2 Bed Drainfield Owner Name(s): Joshua & Theresa Hintze Owner Address: 43315 Robin Ln. Cable, WI Project Address: Same Govt. Lot: 1/4 of Township: Cable Project Parcel ID #: 10183 Phone:262 -225 Zip: 54821 -3304 1/4, Section 17 , T43 N -R 07 E ❑ or W 0 County: Bayfield Designer Information Designer Name: Jason Kuettel Phone: 715 798 -3355 Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: Zip: 54821 Signature: Date: 'it/6/-'f Original sig t e required on each submitted copy. IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) Geotextle Cover SOIL COVER 12" min, bench depth t (typical) System Elevation 91 15 . ft (typical) min. 12" (typical) Septic Tank(s) Manufacturer: Rasmussen (Existina) Septic Tank(s) Volume(s): 800 gal gal gal grit Effluent Filter Manufacturer. Orenco Effluent Filter Model is FT -0822 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 Observation pipe shall be Installed (No Scale) a at junction between two units. Perforated Lateral (typical) r- ----- -- ------�-------- (typical) INSTALL PER TRENCH: 4 10 -ft bundles @ 50 ft= EISA/unit= 200 ft' + 1 5 -ft bundles @ 25 f EISA/unit = 25 ft' OBSERVATION PIPE DETAIL (No Scale) Screw -Type or — Slip Cap (loose) 4"0 PVC Pipe Top of pipe to terminate at orabove finished grade .. (4)114"-V2" X 6" Sbts Jb apart Anchoring Device 10 ft A=3.0 ft 1 (typical) I Bundle (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. = Proposed EISA per trench = 225 ft' Required Infiltration Area = 428 ft' x 2 trenches = Proposed Total EISA = 450 ft' m C CD 0 O 0 Co '0O — Finished Grade (mulched & seeded) — Topsoil cover (min. 1 foot) Infiltration Surface D o �G) o Um Distribution Method: branched manifold In -ground Gravity Management Plan H IMPORTANT: uII NOV 082024 LI ff� The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenfi�e}s7, {1(bDept. 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 = 300 gpd; BOD5 ≤ 220 mgL"'; TSS ≤ 150 mgL-'; FOG ≤ 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 (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: Andry Rasmussen & Sons Local government unit: Bayfield Co. Zoning Phone: 715-373-6138 Phone: 715-798-3355 Local government unit address: 117 E 5th St. Washburn, WI ZIP: 54891 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. !g' 4.IG- SEPTIC SYSTEMS MAINTENANCE AGREEMENT PWcumd (gravity, dosed, and prewar dstriaa6on). X-grode, and Mound Syeznsf Propertyowner. I}ctvold Rev (o ft11tsoy1 Pr[V i; 8'1024 q33/5Robin La.vie Legal Description: LOT lo. Cyesfdre".i Qct#'c c r7,T4F3n) R 7uj Bayfield Co.•Zoning Dept. 'ibwvv oC Calole- Parcel ID # O1 z —11 -7 K OS Type of Private ® (A) In -ground gravity ❑ (D) Mound Sewage System: ❑ (B) In -ground dosed ❑ (E) At -grade ❑ (C) In -ground pressure distribution In the event the minimum standards contained in the applicable Wiscansn Administrative Code can be met and a sanitary permit is issued for the installation of a code compliant private sewage system, at the above listed lotion, the owner of the property hereby understands and agrees to maintain the system in a manner prescribed by the Bayfield County Private Sewage System Code and Comm 83, Wisconsin Administrative Code. (1) Septic tank (System types A and E): The septic tank shag 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. (2) Fume 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 (3) Septic tank effluent filter (System types A and 'c): 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 Comm 83.55, Wis. Admin. Code. (4) Private sewage system dispersal call (System types A and E): The private sewage system distribution cell shag be visually inspected by a certified septage servicing operator, PCWTS 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. (5) Mounds, At -grade, and in -around 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. (6) The owner of the septic system shall furnish the Bayfield County Zoning Department a copy of the inspection report verifying the condition of the tank(s), whether wastewater or effluent is ponding on the ground surface and the date of pumping and other service that was necessary whenever this information is required by the County. Reports shall be signed by properly licensed individuals. (7) When the title to the property is transferred, a copy of this agreement should be furnished to the new property owner(s). This agreement shall be binding on all assignees and heirs. r , Signature of Property Cwner Date UttbCataFonmjScm syn Mitt .4.�cc Angus: :000 Wisconsin Department of Commerce SOIL EVALUATION REPOT ❑ ageof 3 Division of Safety and Buildings NOV flU 20/4 in accordance with Comm 85, Wis. Adm. Code County 86yy1z.p 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 Parcel I.D.percent slope, scale or dimensions, north arrow, and location and distance to nearest road. o/Z — 1/79 — O Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner J IIh Property Location A/ZOLO +,e ObRga.Q (,(S�4Zo'v Govt Lot 1/4 114 S /7 T 43 N R 7 X(or) W Property Owner's Mailing/Address Lot # I Block #I Subd. Name or CSM# 433/.5 Roe/.V Ji&N.E /0 Ce Ty/yyt 44-5s City State Zip Code Phone Number flCity fl Village Town Nearest Road k// 5982/ ( 7/ 7%8-3296 I.2o3iiy New Construction Use: Residential / Number of bedrooms 2 Code derived design flow rate -3 00 GPD 0 Replacement Public or commercial - Describe: Parent material t 44d/,¢G OLITW.G S'f9' Flood Plain elevation if applicable /VA ft General comments and recommendations: ecmpQe�e� — n / j Boring # LJ pit Ground surface elev. 9y ZS ft. Depth to limiting factor /2,c,_ in. /5' Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots bon Application Rate GPD/ft' •Eff#1 'Eff#2 / 0-8 7.57/ 3/4 MA & 2csbk ml,- cw Zni .3. • 2. J s-24 26- to/ 7•sy 4/t. 7.sra 4/ /vb Na s/ %t1- /shk &s m m/ qw /1 - ,,5 .1 • /G. 4 41-/Z sYR 4/ 4% med.s Ofs m/ — — ,7 /.2 Boring # ILj Boring L7 Pit Ground surface elev. 94 •/i.i ft. Depth to limiting factor //7 in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots bou Application Kate GPD/tt2 Eff#1 'Eff#2 / o-1/ 7•5VR 3/4 n/6 s / 2Fbk nth, cw try • 5 s9' Z 3 //- 24 24-J"3/ 7.sy, 4% 5YR 4/r, 1v4 4,4 sl GS 2136 Os9 ml cw c If - s ' 7 9 I.4. 9 3/-5/s 7. s'k r6 /Yb mcd s 057 ,m / CMJ - 7 /•t .. s -/J7 7.SY//< /t /VA ,3cd.s Ds m/ — - /,z _ _— .,,,,.,rte—uvvs.oumyn.anol bbcaumg/L CST Name (Please Print) Signa CST Number —/ f'b �x 44 ead 4r �/ .S4/I>O$eiepnuue rvumoer '-Y /9-/97Ye-31- Property Owner #1" 1 4i/i ,-, Parcel ID #/Z [31 Boring #❑yBoring G3 Pit Ground surface elev. 9 7 .51. Depth to limiting factor 123 2.3 in. Page of 3 I Soil Annlientinn Rafe Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sr.. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 Eff#2 O-$ 7.syj. 9 /y >1 Z Ak ,nfr CW 3•» .5 . 2 i? 7•s`/x si Zn, / mycr 2 . S 9 3 ii— z8 5'7'RIN- NA _4 s d ml I. 2 L f Z9-5 7.s z b MA "'S O 0,1 4W '7 • �r ..r S'0-1237.syl JA 1: d a rn -- - , 7 /• Z Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Cnil Anniirafien Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 Eff#2 Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. RM Annlietatinn Rata Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 Eff#2 Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30<150 mg/L ' Effluent #2 = BODS ≤ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD.8330 (RO1/00) sEPr_C TA'/ CROSS s7Cr_0N ..-.N sPECTF ICATIChS Lj" SC4I.4OPVC INSP. PIPE 5 �� (When ?n(e.i Inc Ve�E fS MI1f. P.30VE burizCt GR:D'.(•6pT,� J 4 NOV 082024 U u FINISHED GRADE 18" HIN.I I A P P P. D BA-FFE — O FILTER -� APPROVED MFG. Ot•€nco PIPE 3' ONTO SOLID I I model e TTo9Zz SOIL II 3" APPRGVED BEDDING UNDF,P, TANK 5PECIFICATIOHS S EPTiC TANK MANUFACTURER: /Z/iSAA"J"i -" (-VtJnc-5G T;1( 5ILE SE'TIC Esbo GAL, NOTES: APPROVED Bayfieid Co. Zoning Dept. MANHOLE WI Lc4c4 W/fk�ivc LA6&L 4" HIH. OUTLET r- d _-I� t Cg_L9_I�• OF Pl _�I � •-u-! ± Sul �_- �I r � _ r�s I HII'4ThJ I1J± -L __ H 5 ' I III l._ _[.i. .: [l< -. .. S i9 aZ. 12/13/24, 2:01 PM Carmody"m BAYFIELD COUNTY SANITARY PERMIT (#04)-389600 STATE SANITARY PERMIT OWNER: JOSHUA A & THERESA M HINTZE G OV'T LOT: LOT: B LK: SUBDIVISION: Crest View Acres 1/4 1/4 SEC: 17, T 43 N, R 7 W TOWNSHIP: Cable SOIL TEST: 572 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL CECE RUDNICKI DATE: 12/13/2024 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 #: 389600 LICENSE: # MP 675751 Condition: System to meet all setbacks. Management Plan to Owner(s). Properly maintain system per recorded agreement. MATERIAL REMOVED FROM EXISITING DISPERSAL CELL SHALL BE PROPERLY DISPOSED OF ENSURE OUTLET FILTER IS OPERATING AS DESIGNED Adhere to State approval/conditions. THIS PERMIT EXPIRES 12/13/2026 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=7424 112