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HomeMy WebLinkAbout25-6S KaiserOCT 7.^'iWA Department of Safety & Professional Services, Industry Services Division -SS- 004-7^ t'ouniy 'i^A Sanilnry Permit Nflmburdubc lilled in by Co.) 2S-fcS Sanitary Permit Application In accordanu; with SI'S .1!i3.21(2), Wis. Mm. Code, submis.sion ol'this I'nnn to llic appnipriiiltf govemmcnlat unh is required prior to obiainint: a sanilary permit. Nule: Applicuiion forms Ibr slalc-umicd ItlWTS aic subniiitcd lo the Oepartmcnl orSafcly anii I'rufrssionat Scrk'iccii, Pcrsoniit inl'urmatiun you provide m;iy be used for secondary purposes in accordance with llie Privacy Law. s. 15.04( 1 )(m). Suns. Stiite Tr-msaction Number Prujccl Address (Jl'dillurvni ihun mailing addrcs.s) I. Application Information - Please Print All Information Prupcny Owner's Name €^m^ p^i ^^^roi ^. ^.^r >wncr's Maili"!: Address Parcel li T^^K> ^5d<?/ •ropcrty Owner's Maili"!: Address H?)W T/rrwz^ul^ P^- Propeny Loealiun (itivl. U)l City. S(alc CaJol^. uJ^ Zip Cixlc6^^1 U. Type nfBuilding (check all thai apply) D I or 2 family Uwelling - Numberon)ctlnx»ms D I'ublic/C'nmmcrcial - Dcscribf lisc__ a Slate Owned - Describe ISsc Pltunu Numhcr 7^-7^-c^^-'/•.-"i. Section Lot #T 1^ _N K 0^-} C. ofw) Suhdivisiun Name Block n ^ ^ WJ^QA^'if}WMS4^^^ a cuy or. a Village of l^Towi or b^Lt^JtJ^L^CrT\ III. Type ofPOWTS Permit: (Check either "Ncn" or '•Replacement" and other applicable on line A. Check one box on line B. Complete line C ii applicable.) A.!ew Sy.sicm J@Replaucnu:ni Sysicm [Olher Modificutiun lo 1-jiisling System (explain)a.^Editional Pn'tn?atmcnl Unit /t*xn!;iin) B.'tank In-Grouml (convcninmal) lAt-Gradc Muund Individual Situ Ucsijin Qoihur Type (explain) c.n^cnuwal Btflbiv Expiration Revision IC'hangc nlTtumbcr ll'wnsfcr to New Owner!List Previous Pemiit Numbrr and Dutf )a<ued IV. Dispersul/Treatmcnt Area and Tank Information: Design Flow (gpd)J^C3 llesign Soil Applicalinn Rale(gpd/sl1 . ? Dispersal Area Required (sn ^•s.<s llispenal Area I'niposcd (sf)System litevaiinn /d>^.o, l.ink Infnmialinn t.'apai.iiy in (ialkms Ni;w Tanks lixisiing Tiinkis Tolal (i.illnns fi of Unils Miinuraclurer -o e!s gII SJIIV. 7.A JZz u 0- 0- Seplic or HoUinp 'I ank Qexs?^^^A^^2 ^Hosing Chainln-T s^a?^S-QW \ /tf&d ^ V. Responsibility Statement- 1, the undfrslfincd, assume responsibility for installallun of the I'OWT.S shuwn nn the attached plans. number's Name (Print) ^iftn^^rcL^^ I'lumberH; Address (Slroel. t'ily. Slate, MP/MPRS Number^SSOf Husincss Phone Number •liy-Wsr-^-^ I'lumberH; Address (Slroel. t'ily. Slate, Xipt"odc> J067JN T^OY\ '^vhi^i^ Pa^ W. k-^co^r^', ia^'^^^i^ VI. County/Oepartment Use Only ^Approved 0 UJsappnnct) D Owiur Given Rca.sun I'ur Uunial I'cnnii I-'cc s4oo-n^^sDate Issued "c/" Conditioii?^!' Approval/Rcasuns for Disapprovalivai/Kcasuns lor Uisapprov,T5Hf:"i3<%'' -- Uty^'cc^fw^ ^'^ Ayj^-a'~^ o± > Hot ^ ^1 ^f\^e €^v^ 'kin ^ t.s- ^rud^ulUj ScCr-4 ^'t^L'^^-h^T^^ i^^^^ ^^p 5h^' udou^o^ i^i^'r^ />i^ rf^ cM-:Y)^ a^ 6?^r 5/ ^h^^ aM^^ji^^ -^ f^'^ -er^^n €>(- L^u^xr bfi^^^f^- -~ SJ.CL-C^A U&. Attach to romplrfc plans for I hr iiMcm and aubntil In the t'onnly nnl.t un paper nnl k.is thau 8 H2 x II inchn in si/v SBD-6398(R.03/22) In-Ground Dosed-Gravity P[a% Index & Cover Sheet Component Manual Design References: In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027);,, PAGE 1 OF 5 OCT 2^024 ^ Pg1of5 Pg 2 of 5 Pg 3 of 5 Pg 4 of 5 Pg 5 of 5 Index & Cover Sheet Plot Plan Dispersal Area Cross-Section & Plan View Pump Tank Specifications Management Plan Attachments: Pump Curve Enclosuies: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s)^A (^, ^^{ ^. '^t^T Phone: ^l-7f^-_^ Owner Address: U^^i^ 77,^^^ W- fW^UCftL Zip: f=>l/.g-^/ Project Address: ^f^tKf^ Govt. Lot:1/4 of Township: \^iy^JtL£ur\(TV\ 1/4, Section /3 , T^3 N-R or w[^] \(TY\ __________ County: ^CjLL^ji i°L^l Project Parcel ID #: -^{^6 3^0 ^^ 0<? / Designer Information Designer Name: "V^ ^ff\ a4^L^i ________ Phone^iS~ 'S-5^-/^73 Designer Address:^')^/ MT?AXJY\ t/A^g^A^ RU^-W^ , Zip: ^U^S E-mail; ^VK[fAi'.f'iVys't?'\ Inr approv.-il "-tamp License Number: ^^^^0 I Remarks: Signature: Original signature required on each submitted copy. Date: /^-^l-^/ ^ ^ 5 S " ^ ,» ' ^ 3 . 5 ^ i ^ § ' ' ^ ^ ' ^ ^ ^ v' ^ 9 - ^ > ^ FB ^ » T , ^ ^ ^ % > •g ^ ^ ^ \ ^ , !^ " " ^ & ? iN i P I . < n^ ^ : ) ^ j^ / \ > - ^ ^ ^ / . ^ V Y " ^ ' ^j / / v > & - r \ ^ il / ' ~ . , . ' : ^ . ^ / - %^^^ " , ^ ^ jS ^ s i Jt ? •y " ^ - • » < it ' ' s C> ( ^ - ^ ?^ s^ s ^ 5f ? i^ i ^ ^$ $ ' , 1^ 1 B ' ?? ^ i N $£ ' S @ n ^ •^ ^ ^' ? . ^ ^ ^§ ; ? ^ K °' ? ^ ^is H L< S »^ i? . 1 ^ y §l t l ^ ' - l i ^ s </>^- •• s t))t-\ ^ ^ j 1. 1 1 -" ^ \ ^' ? 5» ^ ^ ? ^ dN ^ -- ^ ^ & § ? y ^ 0 I ' F - •~ ~ > , . . - ro — -! ^ !' <0 . . : f^ - ' -& > . IN-GROUND DOSED-GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) SOIL COVER ir m)n, t'CTdldepthWFlCTlf System Elevation =/^'c??ft(typical) TYPICAL TRENCHCROSS SECTION VIEW (No Scale) Provide minimum 3 ft separalton between tranches. Quick4 Standnrd-W wl End Cap (typical)(Show location of Intel / outlet pipe connection on plan view.)ObsoivnltonPlpa(lyplcall lnslull noi manufijr.lDio/'i insKuellnnB, lj»j(!^^|?li^y»i?W(^- it':i:^o^^i^i.![:!ii"':r,....'kiW'tlt^&a'liM.flil&teB -//-'R»?^."B»;^it'Wp't!>??'»~?*<(|ip [?iUK^!j!t»)tmtjirtiau» INSTALL PER TRENCH: _^-__ _. _ _ _ -.^- B= y< fi (typical) 'R»?^."B»;^it'Wp't!>??'»~?*<(|ip /ll^.''::;jlfi"i. ^ I'" '.'d'!l 1A=: l,jC;»niijaAu»iafn<|baAB>i»., TYPICAL TRENCHPLAN VIEW (No Scale) // QuicM Std-W @ 20 ff EISA/chamber = J2L&JS2 fl;! + / Pairs of end caps @ 6 ff EISA/palr = ,,,,^. ft2 , = 3.0 n (lyplcnl) -Qufck4 Standard-W Cl-iamber ; :(lypical) ^ (infti by fnmirntor Systoms, Inc.) lnslall pursuanl to innnufaclurBi'.t ItWtrucllutis. — f-0 r~<.'C3r~o -&". "u>0m 000T1 Cn = Proposed EISA per trench = S&Ss^a.ft Required Infiltratton Area = ,f^,i^, ft Distribution Method: trenches = Proposed Total EISA == ^^SrJf ^^4^ i^-^^^a- UlSiLJ PAGE 4 OF 5 GRAVIP^-DOSED ^ S I - ^ SEPTIC/PUMP T7MSIK SPECIFICATIONS! OCT ? ^0^ ? 4"0 Vent Pipe>10 ft from Building 12" Min.or2.0ft aboveEstablished Flood Bevafen(typical)ApprovedVent Cap Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) (No Scale) Eleclrical must comply mtftSPS 316 and NEC 300 Weathefproof -Junction Box IMPORTANT: \1/ \l/ Rnished Grads Extend manhde rissr as necessary. Approved Locking Manhote with Warning Label Attached(typical) 4" Mm-or 2.0 ft above• EstabGshed Rood Etevalion(typical) \1/ CAPACITIES @ /€> gal/in A B Ec] D Depth (in) 31.€~ 2.0 A^L /£> Volume (gal) ^/^- 2.0^< 7C9CL Pump Tank Liquid Level = '5~^? Force Main Diameter = Force Main Length = £/f) ft Force Main Void Volume = ^ ^~^2-s gal [C] Total Dose Volume (TDV) = ^ ^^2. gal/dose ($ 0.2X design flow + force main void volume) 18'Min. (typical) Approved Joints with Approved Pipe 3 fl ontoSolid Ground (typical) PUMP-OFF ELEVATION = 7^. ;2- ft INSIDE BOTTOM ELEVATION = 3" Approved Bedding Material Beneath Tank Vertical Lift _8_ft PUMPTANK: Volume = ^2?<<9 gal Manufacturer ^«^ SEPTIC TANKCS): Total Volume = <g? ^^_ gal /€^Manufacturers): Pump Manufacturer ^ef-^//-^^' PUmp Model: A/ ^ ft) (Seeauached pump curve.) Controls/Alarm Manufacturer ^S'^/^^f^^'.lt^s. Confrols/AJarm Model: /<0 ^MlJ ^ jS-/ee-^ n^v Float switches CQntajnjnci mercury are prohibited. Install approved effluent filter at the sepBc tank outlet immediately upstream of the pump tank inlet Filter Manufacturer ^//g>-5 ^^t"/^ Filter Model: PAGE 4 OF 4 in-ground Dosed-Gravity Management Plan ^ '^ ^ j '••' ^ ^ HV1PORTANT: flil ,.., .-, ,^^ ;!i!nC; 2 42024 L''. The owner of this in-ground dosed-gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-364, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wiscl'Admiri. C0.d@,;thi& ,[ system shall be considered a human health hazard if not maintained in accordance vw'th this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Wlaintainer in accordance with SPS 383.52 (3), Wise. Admin. Code. Maxi'mum Djspersai Area Operating Limits: Design Flow = S <OQ ______ gpd; BODs ^ 220 mgL-1; TSS & 150 mgL-1; FOG <. 30 mgL-1 Inspection Checklist INSPECT EVERY 3 YEARS c type of use o age of system o nuisance factors (/.e. odors, user complaints, era) o mechanical malfunction (/.e., pumps, valves, swtchss, floats, ete.) o material fatigue (/.&., leaks, breaks, corrosion, ete.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (/.e., exceeding design capadiies, prohibited activities, ete.) o extent of ponding in distribution cell prior to cfosina o dosing irregularities - (f applicable (<'.©., pump re-cycling, float switch settings, etc.) o electrical components - if appiicable (i.e.. wiring, connections, switches, controls, timers, alarms, etc.) o distribution taterat or lateral orifice plugging (measure iateral distel pressure - compare to design specification) o surface discharge of effluent or sewage back-up into structure served IVIaintenance Checklist MAINTAiN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septags 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, Wise. Admin. Code. o EfRuentfiIterfe) shall be inspected every 3 years and shall be deaned when necessary to remove any accumuiated solids according to manufacturer's specifications. A sen/iclng 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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: [/\^)jjr\ ^^^V^ _ Phone: /!^~~ '??)c5S~/(s7^5 Local government unit ^yJJfA-eSH OAjiA^Vf "2,^^ Phone: ^1-^5'- .^-7.'9 —^/ 3^ Local government unit address:'^ S^Az ^ \6/i5kbljU^L^ ci^ ZIP: '5^^^, Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wise. Admin. Code. 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-dstermined area of suitable soils. System Abandonmeni If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admi'n. Code. SR.' 001 ^ .^—"•^ Wisconsin Departmentof Safety S Professional Services ^'B \^. Dhnston of Industry Services!z{\£[Sslls B ^ sli ^L^-±- ^-~-^f/~w no-24 SOIL EVALUATION REPORT -n^:.^^^^ |j. In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 inches In size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Ptease print all informatton. Personal information you provide may be uaed for secondary purposes (Privacy Law, s. 15.04(1 )(m)) County Parcell.D. o^-o^- 2-4J-<i>^ -/^-<2 "</d - 22-7- 2a<Aa» Revi DatezlWS Property Owner. reo ^_f_ Cwoi.kAf^s^.. Property Location Goirt. Lot %T% S /3 T ^? N R dX& E (or) W Property Owner's Mailing Address <f3S/y 7o/^A,5Z><A _/Q? Site Address or CSM and Lot ft i <-5/^ \/.<f. ft '27 C./c<:s./^/^ '^ 2.2. ^f N^fa/^MA 6cW ^e jy/^feE- y^^ City, State, Zip C^Qi.^ \fJl fs'/BZj Phone Number(7/^)7^-^&e D CKy D Village d Town ^rf^^AG-W Nearest Road G-^OBA/U^e QD D Naw Construction Use: D Residanb'al/Numberof bedrooms 13- Replacement D Public or commercial - Describe: Parent material. General comments and recommendations:C.f/:7STAr/^ - £ZffV< ?S,BC^ Code dewed designflowrate__3o^_GPD Flood Plan elevation if applicable 15<"?^ ft. l^a^-A as- fky;,:(-<n^ 01; loo.s' Boring »D Boring »U?.5A-/ Ground surface etev._ _ ft.Depth to limiting factor 90 in. / etev. ft. Horizon / 2E~3~ J_ Depth In. £J.7 -F-ZS; 26 - 7, 71- ?£> Dominant Color Munsell •5fk ^,2. ffw i^fsw ^6'W ^ Redox Description Qu. Az. Confc Color /SA- -&/A-NA _^L Texture 7LjL A./n<id^ Structure Gr. Sz. Sh. 2lMSb\ Z^^bk QSf 6s'<f~r Conslstence jwfrM^~SL mi Boundaiy €^4cw <r(A/ Roots 3^-w Soi! ApplicaUon Rate GPD/FP *EfBM '7 _z_.7 ZT_ *E(»2 ,.2 f'.i t't h-i Borings QBoring /<53.$5" 'it Ground surface elev._ft.Depth to limiting factor SQ in. / elev ft. Horizon Tz 7 .JA Depth In.^"T -^-^7 2.7-5^i^^ Dominant Color Munssll J-//S % ff1R ^ S-Vff ^LT5W? y& ] Redox Description Qu. Az. Cent. ColorA/VA A/A. A/A Texture JK. A-s fft-CS Structure Gr. Sz. Sh. Z^sik •1c M €>w~r CST Name (Please Print)^"?%5^%^.^=X/ Address Htt,'t.? ^ansitfjfk R^.CaA^Vl^. Sign^tije <: —.^-d- Date Evaluation Conducted^//3/2rf Conslstence ^t-Fr rh\if-rwL~~mT Boundary _^-wCU <f^ Roots 2w 2f -r SoilApplicattonj^ate GPD/FP *EWM~T .7 '7jZ 'E1W27^~ ,,2, i.2, /••^ CST Number 22.,^,^ Telephone NumberT/S-ff^^~<1^<y^^• Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 S 150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS s 30mg/L SBD-8330 (R03/22) -of. Ing /^.5"6 Boring ff Ground surface elev..Depth to llmfUng factor_2L-h. / etevT^ Horizon / _2^ 3_ A- Depth In. Zl«^ 4--%. 24.-4.Z £4-^1 Dominant ColorMunseli sin. ^h ^R 4/4- 5^? ^ .^K ^ Redox Description Qu.Az.Cont Color _M-_/^L-M4: jv£ Texture JLJZ _^_w«^ Structure Gr.Sz.Sh. Conslstence Boundary Roots Soil Application Rate SPD/W *EfRM <7 «7 _l7: •I *Effi»2 1^ /.z. /.z- h-^- Borings D BoringDm Ground surface elev..Depth to nmfflng factor.i. / etev..Jt Horizon Depth in. Dominant Color MunseH Redox Description Qu. Az. Cont Color Texture Structure Gr.Sz.Sh. Constetence Boundaiy Roots Soil Application Rate GPD/FP "Efltl *EfB2 Borings D BoringQPtt Ground surface etev,Depth to limtting factor_hi. / etev.. Horizon Depth tn. Dominant Color Munsell Redox Descrtptlon Qu. AZ. Cont Color Texture Strocture Qt. St. Sh. Conslstence Boundary Roots Soil Application Rate GPD/R2 •EfflM *E(BK * Effluentfl = BOD > BOs 220 mgfl. and TSS > 30 si50 mg/L * Effluent#2 = BOD, S 30 mgfl. and TSS s 30mg/L j^' ^'Ms •^ ^ ? 5 & l s ^ ^i 3 ? ^ S j ? i f? ^ M ! IP ^ I ^ -- . $ . ^ ^ s ^ ^ 9 1 ^ ? i ' S . ^H ^ l ^ ~ { ' / < v . "• ^[ / It / ;I / ^ ^/ •/ - . \- . ^ ( S . s^^ K&^ » ^. ? f s ' ^ - j ^ t< r t 2 " - ^ >^ ' : I s ' ?- * j?^ I ' ^ ,^ i ^ ^i j ^ ^• t ^ ^1 1 ^ ^ Nt ^ !? i ^ ?n ^ ^ ^ ^ % ' ^ ^' I > ^ ^&B >. I </> <r ~ "^•^tli^- L \ ^& ^ l ^ ~n l ^ x ^? -s a - °^ ?f t l O i^ <^^? £ ^§j 2: - ^ 00 (C ?ti 0t~ J .'V ) I'^ S -t a . .^/< '1 '? - /^- ,^3'- iln [JCT ^ ^OZ4 Soil Profiie Sheet -.,,.,...-..--;-- Owner:-?r£0 ^ ^RQL ^LfS^ SoH TyCer:_ P^^'S 7?A^^^V f ^Sritem Elevation-. /^>.^ Load Rate: • 7 System Range-.^^Sj.o ^f.ffZ' P/ (^3.3^) py_ C/6?. SS'} /7? ( ^2' ^ Qra^e- --'-'" /^- j^r- lcd— ^ eft>. <77- ^•- ^r- c f4- i—f3.S^/ ^- ^.^ A y ^f4.2sz" <f&,-i€ 3" 7S.2.-Z. K' i = !p t ? S : S $" < u . s i ? . < d >i i r 3 : - o ^ (U la 0 !s $ ? fl " ! U . ' ' 1 V . '' s \ S r s , & ^ '^ " • j » g i s I |K i S toa3a. CD«»a. 0) i0a1( 0S3 'n 'r o .• D ss ' i ? i M s ' a s? i l ji t t ^ S Z t 5 " I I i t s gl l j s. ^ & & Hi ! 11 1 1 (- , ! ; = Wf - t [ M M i K : » ! ; A . - , e Hl - 1 S 3 ? » 9tI•strt<B u>§I t'0 -sIa> ID w3-0 1^ 1 1 ii l l S < t i s 5 Il l I un ^P i f* . « > . w 06 wPi ii n d30 tocra>sa u> r iHn 03-aw013§01nrp- ID>t j 3tou>3(0 <B . (UI -n030 0) •Dm0>r->-0•or-0§02{/ ) II 8 EJ 3 3 " ! E t» ^ p - SS i S J S ! N6 S S J B. s a § J 3:I IIII53 0f il£sII!III II'$m we n <t> J3c (D3a"<- »0 3w,s n<D-130»3c 0)ac ^ ,/ y ^ - ^ ' • tt >w "£ ;s "^ ' iy ' f ^ . . \ ( ^ '' C - i / 7 T X ' ^ ¥¥ i ' r ' /^ ^ / ^ / / L i , ^ ^K - ' l i ? '. t t - • < • ) / — - - ! - : - l - o PT * (, / k - . ^ — ^ Pressure Filter "iCHiiesr'tsiQ o; < ecn,"uce.i opeor,iC$tscj'.:...,.,,,^,,uy ....;... a^.^y^^^y^. iH nn- ? ^n?4 L:/ (shown with optional union attached) SSf&B B^tS^ ©Anua 2-2024 Bu"fr:;;(i Co. Zi~'^,ri U&i:! The Pressure Filter is highly effective in protecting the distribution laterals from debris and blockage within many pressure dose systems such as a Wisconsin mound. Benefits: • The premier line of defense under ali conditions • Prevents solids carry-over • Keeps pipe network and distribution holes free of debris and blockage • Protects without high head loss, only.21 psi (about .5-ft) • Takes less than 5 minutes to service • Extended maintenance interval due to vortex action and open area • May be manifolded together for higher flow rate applications • Multiple filtration sizes available - from .004" to .0625" 888.999.3290 • simtechfilter.com SimJiTTech 10/21/24,1:16 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfidd County Property Listing Property Status: Current •:VI•ss Description Tax ID: PIN: Legacy PIN: Map ID: Municipality; STR: Description: Recorded Aaes: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: ^ Tax Districts 1 04 034 041491 001700 Updated: 3/8/2006 25091 04-034-2-43-06-13-2 00-227-28000 034111202000 (034) TOWN OF NAMAKAGON S13T43NR06W LOT 2 CSM V.4 P.137 (LOCATED IN LOT22 OF NAMAKAGON LAKE SHORESU8DIV) IN V.665 P. 135 SUB] TO EASE IN V.620 P. 199 728A 0.600 0.607 1 Yes (R-l) Residential-1 123 Updated: 3/15/2006 STATE COUNTI' TOWN OF NAMAKAGON SCHL-DRUMMOND TECHNICAL COLLEGE » Recorded Documents Updated: 3/15/2006 B CONVERSION Date Recorded:476-l41;620-210;665-i35 OH :/ ^J^ ,- Ownership : TED R & CAROL A KAISER BjOjng Address: TED R & CAROL A KAISER43815 TOMASUIA RDCABLE WI54821 Updated: Mailing Address; 3/15/2006 CABLE WI TED R & CAROL A KAISER43815 TOMASULA RDCABLEWI: Site Address * indicates Private Road 43815 TOMASULA RD * ^~7>-j Property Assessment 2024 Assessment Detail Code Gl-RESIDENTIAL 2-Year Comparison Land: Improved: Total: Property History N/A Acres D.600 2023 187,200 118,000 305,200 [54821 CABLE 54821 Updated: Land 187,200 2024 187,200 118,000 305,200 6/13/2008 Imp. 118,000 Change 0.0% 0.0% 0.0% https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 Owner(s) Name \r^^^C^i A-. K^'s^r Private Sewage System Maintenance Agreement 2SSyw/6' -T Site Address Grm\^ "(WCL^^L- ^ (ab^^i. TaxTDs?^Q^ ( As owner, t (v/e) do heisby certiiy the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specificationson file w8h BayfieM County Pianning and 2bnmg Department The system wB! be operated in such a manner as to meet the designed plans, t (we) agree to maintain saidprivate system at the below fisted location in accordance with rutes established in the Wl Adm- Cade, as fnsm time to time amended. (COMPLETE Lega! is required) J/4 of __1/4 Section | "^ Tcn.^.'nsWp _^,2_N- Range OfiS W. AdcTSonal Legal Descriplion:. Town of /WLftsA/lt&WVI (Acreage) < jL2—_ GovtLot. Lot__ Btock_Subdhrisipn ^ti^tXaOp^ ^A*^f £^^ Lot (? CSM^SP^T'^OI.^/ Page/? 7 CSMOocS^ DOCUMENT NUMBER2025R-606541 DANIEL J. HEF-FNER RKGISTKR OF DfcKDS BAYFIELD COUNTY. Wl FiECORDED 02/1 1/2025 AT 1:53 PM RECORDING F tE: "530,00 PAGES; 1 Reconiing Ares Return To: Planrff^ afB Z^nS'g t)^(imai1[! Ir' 11 FEb 1 'Z 'Z025 ^ D In-ground gravity Mound D D In-ground a'osed At-grade Sewage System D a o^f,^ r\-, 7^n!n^nnnt{;; ly "t/py^T tn-ground pressure distribution Sewage System: Otter Seotic Tank (sysiem types A through E): The sepBc tank shall tie pumped by a certified septage senricmg operator wiUiin ihree (3) years of the date ofinstallation and at least once eveiy three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to makesuch 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 ths septic tank is serviced as provided above. The switches and pump controls shall also be inspected and mainlafned to ensure operabitiiy of said components. Septic Tank Effiuent Rlter (system fypes A through E): The sepfic tank efiluent fiiter shaB be inspected and maintained as necessary and in accordance with manufadurer's specifications. FBter maintenance reports shall be submitted to the County as required fay SPS 383.55, Wis. Admin. Code. Private Sewage System Disoerea) Cell.(syste»n types A through E): The pfivate sewage system distnliulion ceil shaB be uisualiy inspected by a certified septage servicing opaator, POWTS inspector, or licensed master plumber wiUwi Ihrae (3) years of the date of installation and at least once eusvy three (3) years thereafterto delemiine whether wasteivater or eRuent from the system is ponding on the ground surface. Mounds. At-orade. and In-around Pressure System Lalerate (system types C, D and E): The laterals shail be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Ovmerfs) agree that f&ilura to comply w9h Ihis asreement mil rasun in action being taken to pay an diaiges and casts incuirsd by Bayileht County for mspscSon, pumping, hauling, or othemise sen/fcing and maintaining Ihe prwate sev/age system tank in such a manner as fo prevent or abate any human health hazaiti caused by the system. BayRshS County shaft notify the owner of any costs which shall bs paid by the owner w?!n ttiiriy (30) daysfrom the date of notice. In (he event the owner (foes no? pay the costs witfiin Wrty (30) days, the owner spedfjeaVy agrees ttiat all Use costs and charges may be placed on the tax mS as a special assessment for Ihe abatement of a human health hazard, and the tax shall be coHeotad as piovlded by law. The teims andcowSSons offte vsriance shall be binding upon and uiure to She beneRt of alt current and future owners of such pmpsrty. Owners) Nsme{s)-Ptesss Print ^- ^ /-r-^, ^ K^^ ^c ^^«- /c^ OaT^ V^'ser Cfc^ \-<(oju^/ Subscribed and sworn to before me on this date: f/it/^-f c^ ^"^^A^^^^S^•t.Notarized Ovmer(s) -Signature(s)Nofeiy Public _ ^ , f .^V' ''•1^// r- /^^^TNOTA^ T My Conynissipn Expires:^ /2 /i^^ 6 \*\ pUBUC ^myDrafted \fi:C^{i\ j^^^y Date: /"/,% "^S"^&'—^5y'S^"C>F^S2^r^??r uffiimisteam'taryfsepficmalntsnceagnsementRevised June 2018 National Flood Hazard Layer FIRMette ^-E"'FEMA Legend 91"4'9"W 46°12'54"N OSMir<4?W£w£K3KHAZARD SEE FIS REPORT FOR OETAILED LEGEND AND INDEX MAP FOR FIRM PANEL LAYOUT SPECIAL FLOODHAZARD AREAS OTHER AREAS OFFLOOD HAZARD OTHER AREAS GENERALSTRUCTURES KX] Feet 91°3'32"W 46°12'29"N 250 500 1,000 1,500 2,000 1:6,000 Basemap Imagery Source: USGS National Map 2023 OTHER FEATURES MAP PANELS Without Base Flood Elevation (BFE)ZoneA,V,A99 With BFE or Depth Zone AE, AO. AH, ve, AR Regulatory Floodway 0.2% Annual Chance Flood Hazard, Areas of 1% annual chance flood with average depth less than one foot or with drainage areas of less than one square mile Zone x Future Conditions 1% Annual Chance Flood Hazard Zone x Area with Reduced Flood Risk due to Levee. See Notes, zone x Area with Flood Risk due to Leveezone o NO SCREEN Area of Minimal Flood Hazard zone x I""" I Effective LOMRs Area of Undetermined Flood Hazard Zone D Channel, Culvert, or Storm Sewer Levee, Dlke, or Floodwall Cross Sections with 1% Annual Chance Water Surface Elevation Coastal Transect Base Flood Elevation Line (BFE) Limit of Study Jurisdiction Boundary Coastal Transect Baseline Profile Baseline Hydrographic Feature DD Digital Data Available No Digital Data Available Unmapped N^ The pin displayed on the map is an approximate point selected by the user and does not representan authoritative property location. This map complies with FEMA's standards for the use ofdigital flood maps If it is not void as described below. The basemap shown complies with FEMA's basemap accuracy standards The flood hazard information is derived directly from theauthoritative NFHL web services provided by FEMA. This map was exported on 2/16/2025 at 4:03 PM and does not reflect changes or amendments subsequent to this date andtime. The NFHL and effective information may change or become superseded by new data over time. This map Image Is void If the one or more of the following map elements do not appear: basemap imagery, flood zone labels,legend, scale bar, map creation date, community identifiers, FIRM panel number, and FIRM effective date. Map Images forunmapped and unmodernlzed areas cannot be used for regulatory purposes. ^ <SSB 25091 ^^ ^ ©•• "^m ?:F" t. :t,'-:,^. 2/20/25, 1:22 PM BAYFIELD COUNTS Carmody™ SANITARY PERMIT (#04}-25-6S STATE SANITARY PERMIT OWNER: TED R & CAROL A KAISER GOVT LOT: LOT: 2 BLK: CSM:V.4R137 1/4 1/4 SEC:13,T43N,R6W TOWNSHIP: Namakagon SOIL TEST: 170-24 REPLACEMENT SYSTEM SYSTEM TYPE: Non-Pressurized In-Ground PLUMBER: RYAN STRAND DATE: 2/20/2025 CECE RUDNICKI 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: # 798301 Condition: BFE = 1398' - LIDAR CONTOURS SHOW SYSTEM AREA AT >1401 • MSL. ENSURE EXISTING TANK IS STRUCTURALLY SOUND AND WATERTIGHTAND BAFFLES ARE IN PLACE.SLOW VELOCn-Y OF INFLUENT INTO THE CHAMBERS AT LEAST 5' AHEAD OF CHAMBER INLET TO PREVENT EROSION OF CHAMBER BOTTOM. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. OLD SYSTEM NEEDS TO BE PROPERLY ABANDONED PER SPS 383. THIS PERMIT EXPIRES 2/20/2027 POST IN PLAIN VIEW httn<;-;/uuwwrarmnrluinf rnm/PermitAnn/Permit Sinn fl<;ny?Print=1Xnermitannirl=74":tfl 1/9