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HomeMy WebLinkAbout25-7SRequest 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 flOther J �Diiscrepancy 51 75 Phone Number Plumber: S'�T7 1/5-43 t -9Y/; its c ,,/ j' GIG Fax Number �! l(toav-4 ��' (C -t Email Address Homeowner: Sanitary 'T-5 -7 9 Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept Date: Y\da /hyn� " V No Inspection(s) during this time Tuesday (9:30 am - 12:15 pm) (Tracy) Time: tuber's Choice Zoni Dept rwan Township: TI? r Road Name: I —( `?5 t r Kiy r►sci 1`CX. — ea bt2 I iDt or Directions To Site: Comments: *" Plumbers you must verify any change(s) by fax or email ** Notes from Zoning u/forms/sanitary/mquestforinspecUon Zoning Dept (@4/12104); O June 2023 . oEe.�cnrt,�,r Private Onsite Wastewater Treatment P S ,J Systems ( POWTS) Inspection Report (Attach to Permit) Industry Services Division General Information WILLIAM B & BEDA M Personal information you providei MCKINNEY REV TRUST !")(m) Permit Holder's Name: 14805 MCKINNEY RD age Town of: PO BOX 96 CST BM Elev: CABLE WI 54821 ICW ai,j e/ }f Tank Information sstba to: TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic 7 p5bf7N/A Dosing N/A Aeration N/A Holding County &H f ►el c Sanitary Permit No: 2S- i S State Plan Transaction ID#: Parcel Tax No: 39 /7 Pump! sipnon Intormation Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Wii Len th #of Cells SETBACK FROM Pr Line Buil(��g N(G#I O)9} Type of Cell II I i7 I Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Elevation Data STATION BS HI FS ELEV Benchmark L Bldg. Sewer fOA7.7 Tank Inleti.(afCs Tank Outlet q Dose Tank Inlet _ Dose Tank Bottom Inst. Contour Header/ Manifold a, � 33 Distribution Pipe Infiltrative Surface O e Final Grade )istribution System X Pressure Systems Only Header/Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length Dia Spac Spacing 0 Yes 0 No tintu•rw1 Depth Over Depth Over Depth of Seeded I Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes 0 No ❑ Yes ❑ No OOMMEN I S: (Include code discrepancies, persons present, etc.) tl/ 5ret'i r� rf�s-���r�7'-t s/��c� 4 td`fak ��� y w;Je �toleRd9edon Plan revision required? 0 Yes No Use other side for additional information. Date POWTS Inspector's Signature License Number CRn_R71n /R min11 A' Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(abayfieldcountv.wi.gov Web Site: www.bayfieldcounty.wi.gov/147 WILLIAM B & BEDA M MCKINNEY REV TRUST 14805 MCKINNEY RD PO BOX 96 CABLE WI 54821 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 / Jr As you know (_n 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: LII o Tank was pumped by: Tank was crushed I removed and pipes disconnected by: on at AMIPM On /..R2y at 2 :a (AM / Iieabove-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. LIISystem could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints Comments: U/form s/sanitarypropenyowner-input April2019 p SS c�o�p(o Department of Safety & Professional Services, Sps Industry Se siPJsl Sanitary Permit Application flif 1 '1 2(125 In accordance with SI!S 333.21(2). Wis. Adm. Code, submission of this fom, to the apq�u prior governmental unit is required prior to obtaining a sanitary permit. Note: Application forms forsmte-own tfl)t 18E'Siirtlt lWljiN (Ij( the Department ofSalty and Professional Scnices. Personal infbnnm(on you provide may he used for secondary putpcses in accordance with the Privacy Law, s. I idW(l)(m). Smts. I.Appi(cntl In Infnrmatinn_plenm Pri.d All r"r .......,__ O! - II. Type ofBuilding (check all that apply) I.ot V O 1 or2 Family Dwelling- Numbernl'Bcdnx,ms —2.._.._ ❑ PubliciCbmcrcial- Describe Use BhwkN m 2$ - Cm•l. Lot &H 4-c:73a-51 i')et Ca_Gr w. Sctaion 3 ❑ City of ❑ State Owned - Describe Use (1S'1Numhrr O1'iilagem'_,__ a'3►vs wn nfp lu ti I.l(a f_.. _. Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on (line B. Complete line C If applicable.) _ A. .tern S ri U RiTlacement System I U Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (cspiuin) 0 B. Iloiding•rank In -Ground ❑ AI -Grade Iconvcntionall U Mound ❑ InJlridual SiteDesig„ ❑ Other 'fvpc(explain) C. 0 Renewal Before 0 Revisimt U Change of Plumber ❑'TransfertoNew Owner List l'n:vious Pcmt(t Number and Date Issued Expiration 'Tank Intonation Gallons I Unit. V. Responsibility Statement- I, the undersigned. assume responsibility for Installation or the POWTS shown on the attached plans. Plumber's Name (Prim) I'Inmbor•7s Signature MP/MPItS Number I Business Phone Number Numb s Address (Street, City. State, Zip Code) 051 t.1 TOW t J. Ydqukiir/1thfl 5YRccs VI. County/Department Use Only 'Appmved ❑ Disapproved IS'Cnnit Fee Date Issued Issuing At)Si, urc (7 Owner Given Reason fur Deniul ! OQ" Z I `, G►J t / �u/� Conditions otAppravaVReasons for Disapproval fr_ sec.. c..c rc sysrem in the County only on paper not to Ihnn It I,! x SBD-6398 (R, 03/22) PAGE 1OF4 4 In -Ground Gravity Plan Index & Cover Sheet FEB 1 1 Z025 U Component Manual Design References: 5eld Co. Zoning Dept. Soil Absorption for POWTS Version 2.1 (May 2022-2tl0 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 / Description Vii ' Pte, 4 r3et cc lam- V1tG'wl�ie Owner Name(s): mot[?&zGJIP r cusF hone: %/S 7 33/c Owner Address: ?OL c 90 dlir w..J Zip: 5V9-_-,2/ Project Address: Govt. Lot: 1/4, Section .-3 i , T-J'/N-R 67 E Township: T7if u4rnflNUY\CQ County: Project Parcel ID #: Designer Information Designer Name: J Designer Address: E-mail: License Number: r1? Remarks: Signature: - Date: t1 /0 'L-Sc /,riginal signature required on each submitted copy. L.. WILLIAM McKINNEY REVOCABLE TRUST PO BOX 97 CABLE WI 54821 715/798-3314 M McK1NNEY PARCEL LOCATED AT N\ LOT 1 CSM S32 T44NR7W TOWN OF CABLE PIN 04-018-2-44-07-32-4 05-004-50000 DM TOP OF A 1" IRON PII'E THAT IS 40" TALL tl SYSTEM ELEVATION RANGE 98.35'TO9650' SCALE I"=40' SIZED AT 0.7 9' 40' PAGE 3 OF 3 McKINNEY FEB 1 12025 Co. Zoning 0e. PROPOSED NO WELL I 2 BEDRM B1 101.60' 'a 102.50' 102' n\ � B3 0 o 101.40' B2 O Q 99.85' Bbl 100.0' PROPERTY LINE 1 1t INmGRQUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 12' min. rranch da 111 (typiraap min. 1V (lypinal) Septic Tank(s) Manufacturer: Septic Tank(s) Volume(s): %5 6 gel °.. ___. gal ._ got ni Effluent Filter Manufacturer Effluent Filter Model i); TYPICAL TRENCH ";a,;•, CROSS SECTION VIEW tq ,t (No Scale) Provide minimum 3 it System Elevation = Q ft separation between trenches, (typical) Qulok4 Standard -W WIEndCap Show location of Inlet / outlet I e connection on plan view,) (typical) ( p p p_ y6 ft —7f-- (typical) INSTALL PER TRENCH: QUIokc4 Std -W @ 20 fP EISA/chember = its Pairs of end caps © 6�RaEISA/pair = A fta = Proposed EISA per trench fig 0bso(tyrlonl) 1po TYPICAL T REPNCl-I Install ) per mmnufacnuoes PLAN VIEW Insiruallona. (No Scale) I1IItIA Y�7 (y i al) +� H `—QuIcic4 Standard -W Chamber o CO (typical) o —•. f _, Q (mid by InflllmlorS4alomc, Inc.) o --; -N Install pumueni.to mehtiiopiuror's instructions, C car, utl �. -3 Required Infillretlori Aroa = n x �?trenches = Proposed Total EISA =J Distribution Method: III 4, t1F 4 'r In -ground Gravity Management Plane IMPORTANT: Ii FEf3 1 2025 - The owner of this in -ground gravity system shall be responsible for its perpetual operation and mafhteriaftce pil?i3L!rltk& 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 5 220 mgL-'; TSS 5150 mgL-'; FOG 530 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 (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. Stats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Local government unit: Bayfield County Zoning Phone: 715-373-6138 RYAN STRAND Phone: 715-558-1673 Local government unit address: PO Box 58 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. S R- 002.0-1 Wisconsin Department of Safetyand Professional Servfres FEW 1-'i 2625 D/ Division of Industry Services SOIL EVALUATION REPOF F S 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. Please print all Information. Co. 13 Page of Parcel I.D. 04-018-2-04-07-32-4 05-004-50000 Reviewed by I Dale Property Owner Property Location L_I Id WILLIAM B McKINNEY & BEDA M McKINNEY REVOCABLE TRUST Govt. Lot % % $ 32 T 44 N R 07 E (or) W Property Owner's Mailing Address She Address or CSM and Lot #: PO BOX 97 LOT 1 CSM 2365 City Slate Zip Code Phone Number ❑ City ❑ Village III Town Nearest Road CABLE WI 54821 715798331. DRUMMOND MCKINNEY RD MNNewConstruelbn Use:❑Residential/Numberof bedrooms 2 Code derived designiovi rate 300 GPD QReplacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material General comments and recommendations: SYSTEM ELEVATION RANGE 98.35' TO 96.50' SIZED AT 0.7 I 9 I Boring # Daring L " 1 �t>it 102.50' >108" '93,50' Ground surface elev. ft. Depth to limiting factor in./ etev.ft. Snit An.Jin�l(nn Osb Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cool. Color Texture Structure Gr. Sr. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 E8#2 1 0.3 7.5YR 313 SL 3FGR MVFR AW 3VF-CO 0.6 1.0 2 3-10 7.5YR 4/3 LS 3MSBK MVFR CS 2F -CO 0.7 1.6 3 10-46 7.5YR4/4 S OSG ML CS 1M 0.7 1.6 4 46-108 7.5YR 416 S OSG ML — 0 0.7 1.6 aBoring 4 boring 99.85' >84" >92.85' ®Pit Ground surface elev.ft. Depth to limiting factor in./ cloy. ft. SnilSnil Ann Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sr. Sh. Consistence Boundary Roots GPDIFtz 'Efi 1 •Eff#2 1 0-5 7.5YR 313 SL 3FGR MVFR AW 3W -CO 0.6 1.0 2 5-18 7.5YR 413 LS 3MSBK MVFR CS 2F -CO 0.7 1.6 3 18-36 7.5YR414 S OSG ML CS IM 0.7 1.6 4 36-84 7.5YR 4/6 S OSG ML — 0 0.7 1.6 CST Name (Please Print) Si CST Number KEVIN MCKINNEY �•�:, 224234 Address Date Evaluation ucted Telephone Number 11130 LEONARD SCHOOL RD CABLE WI 54821 12/28/2024 715-798-3494 Effluent #1 = BOD > 305220 mg/L and TSS' 305150 mg/L 'Effluent #2 = SOD, 530 mg/L and TSS s 30 mg/L S80.8330 (R04/21) ❑ Boring Boring # ® Pit 2 : Page o3 f . 101.40' >96" >93Ao' Ground surface etev. ft. Depth to limiting factor In. I elev. it. I Snit AnnilmtInn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDJFt2 'Eft#t Eff#2 1 0-5 7.5YR 3/3 SL 3FGR MVFR AW 3VF-CO 0.6 1.0 2 5-18 7.5YR 4/3 LS 3MSBK MVFR CS 2F -CO 0.7 1.6 3 18-38 7.5YR 4/4 S 0SG ML CS IM 0.7 1.6 4 38-96 7.5YR 4/6 S 0SG ML - 0 0.7 1.6 11111 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / etev. ft. Snit Arentirtinn Rate Horizon Depth In. Dominant Color Munseil Redox Description Cu. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft2 Eff#1 Eff#2 ❑ Boring # ❑ Boring Pit Ground.surface etev. ft. Depth to limiting factor In. /elev. ft. I Solt Annttcatlon Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 Eff#2 ' Effluent #1 = SOD > 30 5 220 mg/L and TSS > 30 S 150 mg/L ' Effluent #2 = HOD. :930 mg/L and TSS 5 30 mg/L • WILLIAM B McKINNEY AND A M McKINNEY REVOCABLE TRUST PO BOX 97 CABLE WI 54821 715!198-3314 PARCEL LOCATED AT LOT 1 CSM 2365 S32 T44N R7 W TOWN OF CABLE PIN 04-018-2.44-07-32-405-004-50000 13M TOP OF A I" IRON PIPE THAT IS 40" TALI. SYSTEM ELEVATION RANGE 98.35' •1'O 96.50' SIZED A'1' 0.7 PROPOSED 2 BEDRM 101.60' B3 101.40' A NO WELL PAGE 3 or 3 KINNEY EN''i2025 Ft SCALE I' 0' i 3 BI 102.50' IC 60 SLOPE"A B2 A 99.85' BM 100.0' Toning Dec. WLP750- MR o TANK SPECIFICATIONS o ti DIMENSIONS: 'may o— WALL 2 1/2" iV BOTTOM: 3" 't^ r COVER: 4' _ Cod' 7 MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. Data - FLAT COVER 53 1/4" O.D. Ct CAST -A -SEAL\ OUTSIDE DIAMETER: 84" O.D. INLET: 42" 4" CAST-A-SEALBELOW LIQUID LEVEL: 37"O.D. WEIGHT: 6,150 LBS. INLET AND 4" CAST —A — SEAL BOOT OR EQUAL GASKET, CAST —A —SEAL BOOT OR EQUAL FILTER OR BAFFLE INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL b10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: TOP VIEW ACTUAL CAPACITY: 790 GALLONS OUTLET HOLE PLUGGED LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET OPTIONAL FLAT COVER TANK CAN BE USED AS: IS AVAILABLE FOR EXCHANGE SEPTIC/ HOLDING/ PUMP OR SIPHON _ FOR DOME COVER. COVER: MIX DESIGN #8 NO FIBER) INLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) OUTLET CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE TE U ^ M `* � a a PUMP PAD JOB INFORMATION: CUSTOMER: SIDE VIEW 308 NAME: DATE NEEDED: APPROVED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS APPROVAL DATE: J p Q N n p ¢ Q 7 00 F V) VW) w Opt-0nal floatsirch bracket nrenc Haae Biotube filler cartridge Deflector plate Orenca PSC-Series Biotube Effluent Filter [ A CU C E pPllca>ilara� �ll� FEH 1 1 202 Orenco PSC-Series Biotube Fluent filter solids from efluent tearing svastewa ertanic�. General Orenco's Patent -pending PSC-Series Biotube Effluent Filter are used to improve the quality of effluent from wastewater tanks. Improved effluent quality extends drainleld rde in ensile dispersal systems and improves the performance of downstraam treatment in effluent sewer. The Biotube filter cartridge fits Vghth/ in the housing while being easy to remove for maintenance. The passkey sell -cleaning design extends maintenance cycle intervals. Filter mesh is available in Vain or 1/16h (3,2mm or 1.6mm) mash opening sizes. The handle can be extended with PVC pipe (not included) for better access to the cartidge. A 3/4tn (19mm) diametertee handle is included. Models PSCS0621-18 and PSCW0621-18 are NSF46 certified. Stdard Modes PSCS0621-16, PSC7W0621-18, PSCPSO621-18, PSCPW0621-18 Pieacact Code Diagrani PSC I� 06 21-18-❑ TT tszj VKa= w rstr..•.hi F.vzl taa-y A =Fstr..ihh6ra�eiNstree B = fonnan5Yh neefiesl,p =(Wsa3�i-a:.�tE�.;a:sdetW kr n1ia-aM-rct, is 1cc7B lltt 2t fife (iBfsnbt)tryarcrdn3u CVY--_: ti -Iry .t d.--.lar Irl lta p 5 6 c P = tnfitigt ?5C -r, S!ru+ e;,zirtar Matefi akk of Co spffA ji®t9 - PVC, ABM BtohfhemercarMdge Polyprowene,OCPD daft le coma,, PVC, stwam steal Deflector ABS flai;o-na4:aaa 0 vr.'n',oranco.com tr-ie-Fr-Firs-2 • aeu 3 6 BB121 Page 1012 I' — r liii FEB Bayfield Co. Zoning uopi A Otterall heigfi4 in (mm) r5Cg0621-Y8 PSCP50621-YS B. Housing height. In (mm) C. Cerhidae height, In (mm) 21.01a- 21.0 (533) 0. Gullet pipe diameter, in (mm) 17.75 (451) 17.75 (451) E Outlet height to Invert ii (mm) 4.5(114) 4.5(114) f. Defectvrplate diameter, in (nun) 13.5(343) "0.63 13.5 (343) Meer site, in (mm) (i68) 6.63 (168) Alter surface area, ;,z 116 (3?} Rost area T (m)^ t F rs sc:iaeaxa r'arir. +i. r&btuCnsr.C.151liea�uCycr�iCc.. •.Ro;ra2aLSG:5r,�Yzslblhafot3 1.9 (0.18) ix.vara ewheds .. cpsaraa ta= o£ !ha ma:h j2'-p8da0d_ftww w :eft, mefl ca ]a. Z.3 B QE12t Oracco Sys mss a 8n0-348-9843 - Tt 547-459-4449 < tm�m.oranco.com a9=2u12 m SS c�a5p(o Department of Safety & Professional Services, Industry Servesfpisn V Sanitary Permit Application JUl FEB 1 'I 2(125 In accordance with SI'S 383 21(2). Wis. Adm. Code, submission of this foram to the apq�atpriate govertunenral unit is required prior to obtaining a sanitary permit, Note: Application forms for statc.owne3Pi) i'5 < mgr the Department of Safety and Professional Services. Personal information you provide may be used or secondary purposes in accordance with the 14ivacy Law, s. IS IW(i)(m)Stars 1. Aoolleation infnrmntlnn _ Ptnnen P..s All r..r ___s__ ZS fwy&C.l I? Parcel q Property Owner's Mailing Address ° ?Q Property Location G City. State Zip Code (lout. Lm Cab!, 1 . W.t 5 G" • '— 790 ._ J _—Y•---¼. Section H. Type of Building (check all that apply) Lot a 'I' N R Q E o V ❑ I o2 Family Dwelling - NumbcrofBcdrunms Subdivision Name ❑ PublictCommcrciol - Uesenbc Use Block ii - ❑ City of ❑ State Owned - Describe Usu ---- C'•�'SM Number O Village of •_y _ In. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line Q. Complete line C if a Itcable. A. u�tt ps.Nciv System U Replacement System U Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) ❑ Holding Tank W -Ground ❑ :1[radu U Mound ❑ Individual Site Design ❑ Other'rypc (explain) (conventional) C. 0 Renewal Before ❑ Revision ❑ Change of Plumber is1 Precious Permit Number and Date Issued Expiration S ❑ transfer to New Owner Tank Information Gallons Oulbtu Urdu 1 z -r 2 7 Nco� Ii Tagfs xislinp 7mtks e n y c Septic or Uutding'fank 7 ' 1 Desrite Chamber V. Responsibility Statement- I, the undersigned. assume responsibility for Installation or the POW7S shown on the attached plans. Plumber's Name (Print) I PlumhnrcSk,nan,,.. KI Approvtd I ❑ Disapproved Semut Dale Issued Lcsuinp A9Si Si nit ^ / ❑ Owner Glum Reason for Denial �OQ Z I `,� z J Q .�f� _ Conditions of Approval/Reasons for Disapproval XX-- so complete pinto for the system and submit to the County oat' on paper not ins than 8 11a 1 r SBD-6398 (R. 03/22) PAGE 1 OF 4 In -Ground Gravity Plan p E C E d 0. Index & Cover Sheet FEB 1 120Th Component Manual Design References: field Co. Zoning Dept In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2 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 / Description W1 U1. fy\, P� C ti 13ect0. M, Y e twvte Owner Name(s): [K?J((ILbW "i isl- "Phone: 7/SX/R'-33/cj Owner Address: ?Q o c'y 0 (l -J Zip: SLS2/ S / Project Address: ) Lj 1 i2i2 Govt. Lot: 1/4 of 1/4, Section ,-3 , , T_'-)'9 N-RCF7Eflor W j Township:tY\IYNC'Y�c county: / __ Project Parcel ID #: UH— Designer Information Designer Name: Designer Address: E-mail: c� License Number: �V . M Remarks: Phone: %/S `S≥ 5 c' 1� Zip:__ stmnp. Signature: Date: �5— ¢riginal signatu required on each submitted copy. L V: WILLIAM McHINNEY REVOCABLE TRUST PO BOX 97 CABLE WI 54821 715/798-3314 PARCEL LOCATED AT LOT 1 CSM 2365 S32 T44N R7W TOWN OF CABLE PIN 04-018-2-44-07-32-405-004-50000 BM TOP OF A 1" IRON PIPE THAT 1840" TALL SYSTEM ELEVATION RANGE 98.35' TO 9630' SIZED AT 0.7 PROPOSED NO WELL 2 BEDRM B1 A10250 B3 101.40' A N SCALE 1"=40' 0' 40' 102' B2 1 99.85' BM 100.0' PAGE 3OF3 McKINNEY FEB 1 1 2025 Co. Zoning Dept PROPERTY LINE \ IN -GROUND GRAVITY DISPERSAL, AREA Uniform Elevation Trenches with Quick4 Standard&W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 12" min, trench depth (typical) On. 12" (typical) Septic Tank(s) Manufacturer; Septic Tank(s) Volume(e): % o gal gel get Effluent Filter Manufacturer; Effluent Fitter Model f{; TYPICAL TRENCH ;,;•, CROSS SECTION VIEW (No Scale) System Elevation t9,7 ft (typical) Qulck4 Standard -W wl End Cap (typical) (Show location of Inlet / outlet pipe connection on plan view,) iii a=y6 ft (typical) INSTALL PER TRENCH; 4Z Quick4 Std -W @ 20 to EISA/ohamber = ,,Lr,L ft2 H Pairs of end caps @ 6R2 EISA/pair = v. A„,,, fta = Proposed EISA per trench = .z zThL 6 fta Provide minimum 3 ft separation between trenches, observation Pipe (typical) Install per nianufeclurar'o / Instruollona, TYPICAL TRENCH PLAN VI'aW (No Sce'e) � A=3.0ft (typical) Chamber (mfd by Infiltrator systems, Inc.) Install pursuant to manufacturer's instructions. Required Infiltration Area = „ ft2 x trenches = Proposed Total EISA W 0. T m 1�e r� 5 rt tCA J o "fl ti Cr ti Distribution Method: In -ground Gravity Management PIar�D� IMPORTANT: 1111 FEB 11 2025 The owner of this in -ground gravity system shall be responsible for its perpetual operation and ma'k" 6f'eOii it R6 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; BODS 5 220 mgL"1; TSS 5 150 mgL"'; FOG 530 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 (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: Local government unit: Bayfield County Zoning Phone: 715-373-6138 Local government unit address: PO Box 58 Washburn, WI RYAN STRAND Phone: 715-558-1673 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. _ ,`�\ Wisconsin Deparfinentof Safetyand ProtesslonalServices FEB 112025 Page of •, Division of Industry Services SOIL EVALUATION REPO 3-2 I9Id Co. Zoning Dept S In accordance with SPS 385, Wis. Adm. Code minty '— Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, BAYFIELD but not limited to: vertical and horizontal reference point (BM). direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 04-018-244-07-324 05-004-50000 Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). I Property Owner Property Location i:ia WILLIAM B McKINNEY & BEDA M McKINNEY REVOCABLE TRUST Govt. Lot i Y S 32 T 44 N R 07 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: PO BOX 97 LOT 1 CSM 2365 City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road CABLE WI 54821 715798331. DRUMMOND MCKINNEY RD Q NewConstnrction Use:Q Residential/Numberof bedrooms 2 Code derived designflow rate 300 GPD ❑Replacement []Public or commercial —Describe: Flood Plan elevation if applicable ft. Parent material General comments and recommendations: SYSTEM ELEVATION RANGE 98.35TO 96.50' SIZED AT 0.7 Boring# []Boring t " 1 IEPit 102.50' >108" -93.50' Ground surface etev._ft. Depth to limiting factor in./ elev._ft. Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/F' •Eff#1 •Eft#2 1 0-3 7.5YR 3/3 SL 3FGR MVFR AW 3W -CO 0.6 1.0 2 3-10 7.5YR 413 LS 3MSBK MVFR CS 2F -CO 0.7 1.6 3 10-46 7.51R414 $ 0$G ML CS 1M 0.7 1.6 4 46-108 7.5YR 416 8 OSG ML — 0 0.7 1.6 aBoring# ❑Bating 99.85' >84" -92.85• ®Pit Ground surface elev.ft. Depth to limiting factor in. l elev._ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft •Eff#1 •Eff#2 1 0-5 7.5YR 313 SL 3FGR MVFR AW 3VF-CO 0.6 1.0 2 5-18 7.5YR 413 IS 3MSBK MVFR CS 2F -CO 0.7 1.6 3 1836 7.5YR 4/4 S OSG ML CS IM 0.7 1.6 4 36-84 7.5YR416 S OSG ML — 0 0.7 1.6 CST Name (Please Print) S"I CST Number KEVIN MCKINNEY224234 Address Date Evaluation uded Telephone Numbor 11130 LEONARD SCHOOL RD CABLE WI 54821 12/28/2024 715-798-3494 Effluent #1 - BOD > 30s 220 mg/L and TSS > 30 S 150 mg/L • Effluent #2 = BOD, 5 30 mg/L and TSS s 30 mg/L SBD-8330 (R04!21) Page 2 of 3 D Boring 101.40' >96" >93Aa LiBaring # ® Pit Ground surface etev. ft. Depth to limiting factor In. / elev. ft. Soft Annilcation Rate Horizon Depth In. Dominant Color Munsel Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft2 •Efl#1 'Eff#2 1 0-5 7.5YR 313 SL 3FGR MVFR AW 3VF-CO 0.6 1.0 2 6-18 7.SYR 413 LS 3MSBK MVFR CS 2F -CO 0.7 1.6 3 18-38 7.5YR 414 S OSG ML CS IM 0.7 1.6 4 38-96 7.5YR416 S OSG ML — 0 0.7 1.6 11111 Boring # D Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / etev. ft. e.,il e...�lss ;-.. Dnle Horizon Depth In. Dominant Color Munsell Redox Description Qu. Am Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#'1 Eff#2 Boring # a Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. / eiev. ft. Q.u't An.d..thL... Dale Horizon Depth In. Dominant Color Munsett Redox Description Qu. Am Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 Effluent #1 = SOD > 30 220 mg/L and TSS > 30 S 150 mg/L • Effluent #2 >= BOD. S 30 mg/L and TSS 5 30 mglL WILLIAM B McKINNEY AND A M McKINNEY REVOCABLE TRUST PO BOX 97 CABLE WI 54821 715/798-3314 PARCEL LOCATED AT LOT I CSM 2365 S32 T44N R7W TOWN OF CABLE PIN 04-018-2-44-07-32-405-004-50000 BM TOP OF A I" IRON PIPE THAT IS 40" TALL SYSTEM ELE VA'I'ION RANGE 98.35' TO 96.50' SIL.ED RI' 0.7 PROPOSED 2 BEDRM 101.60' B3 101.40' A NO WELL PAGE 3 OF 3 \Tai H _ __ , tKINNEY 2025 N 1' SCALE I" = 40' 0' 40' //aay?3' BI A 102.50' 102' 6% SLOPE B2 A 99.85' BM 100.0' Zoning Dept PROPERTY LINE \ WLP750-MR d TANK SPECIFICATIONS DIMENSIONS: c WALL: 2 1/2" `- iV BOTTOM: 3" `_ d COVER: 4" w U MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. CAST -A OUTSIDE DIAMETER: 84" O.D. BELOW INLET: 42" O.D. -SEAL 4" CAST -A -SEAL LIQUID LEVEL: 37" WEIGHT: 6,150 LBS. T� INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL \ GASKET, CAST -A -SEAL BOOT OR EQUAL FILTER OR \ BAFFLE INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: TOP VIEW ACTUAL CAPACITY: 790 GALLONS OUTLET HOLE PLUGGED LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET OPTIONAL FLAT COVER TANK CAN BE USED AS: IS AVAILABLE FOR EXCHANGE SEPTIC/ HOLDING/ PUMP OR SIPHON FOR DOME COVER. COVER: MIX DESIGN #8 (NO FIBER) INLET — TANK: MIX DESIGN (/10 (STRUCTURAL FIBER) _ — _ OUTLET CUSTOMIZED TANKS: ¢ Jo,f< FOR CUSTOM TANKS CONTACT WIESER CONCRETE 2}" U jj g _____ h PUMP PAD JOB INFORMATION: CUSTOMER: SIDE VIE JOB NAME: DATE NEEDED: APPROVED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS APPR0VAL DATE: DC N z F w V) 5 K SHEET NO. �OF S _ Optional a float sivdch bracket Orenco PSC-Series Biotube Effluent Filter arinco Sus -n,° a enn_o� Applications H FEB 1 1 2025 L Handle Orenco PSC-Sefles Bioiube Effluent Biers sit solids from effluent leaving wastewater tenR. ��WIDOPL Genera! Orenco's patent -pending PSC-Seder Biotube Effluent Fryers are used to Improve the quality of effluent from wastewater tanks. Improved effluent quality extends drainfield fife in onsite dispersal systems and improves the Performance of downstream treaRnentin effluent sewers_ The Biohrbe niter cartridge fits tightly in the housing while being easy 8iotribe fitter to remove for maintenance. The passively self-cleaning design extends carbfdoe maintenance cycle intervals. Fdter mesh is available in 1/Bin or 1/16io (3.2mm or 1.6mm) mesh opening sizes. The handle can be extended with PVC pipe (not indudeo) for better access to the cadddge. A 314in (19mm) diameter tea handle is included. Models PSCS0621-18 and PSCW0621-18 are NSF 46 certified. Standard Models PSGS0621-18,PSCW0621-18,PSCPS0621-18,PSCPW062i-18 Product Code Diagram eiieciur plate Housing PSC 0 06 21-18-❑ r1T 1 P;ts:3abrac:a xics Cez.Yh=nog isrrlrh lv..cta[r. Yay'.-7 il! A ais*'sh5a9et aulaaee B = rnuwAtmesa 4f-:�v lE s PS = mi thstrhiz+�zt=_arA;irtc nTh Omit tera tmas 18 18(45 pb7 riaaq h3m'[. n (mm): 21=21(533) i a`m lY„fimf)�[iti„mw \'i = :tiE'.:s x'•E-r la �i=.iO3daLr S = �-+Sct�t�SOct(titN asn Bkat 1tc = NB Mnd P = 1/16(1.) ?SC.e — Bitte= eFNst•,2 r Materials of ConsIitact€on Hwsmg PVC, ABS bef(erGartridge Pd(yprapylene, DCPD Handle components WC. stemless steel Deflector plate ASS - —I .M*.' vas-gaa`J a iWflLUmfCO.Com ..ero-Fr-t7S.2 ae:! 39 Gam Page 1 of 2 �t� �EcEovE0 FEB 1 1 [OZ5 Bayfield Co. Zoning Dept Mode! A Duerall he!gVt in (mm) PSCS0624-18 PSCPS062i-78 B. Housing height, in (mm) 227 (577} 227 (53) C. CarMdge height, m(mm) 21.O(53 21.0 (5333) D. Outlet pr(e dames m (mm) 17.755 (451) 17.75 (451) 4.51114) 4.5 (114) E Outlet height to imel in (mm) 13.5 (3431 ,n v F. DeOacfor plate d99new,, hi w3 `1'" ( 6.63 (768) 6.63 (169) Mesh size, in (mm) 118 (3?) 1/16(1.6) Filter suiace ama, ft2 (m 6.3 (0-59) 6.3 (0.59) Flow area, 8= (m)" 1.9(0.16) werarfsd7asHa 5�7sufsaare3 r-�v:W;irAplButrs i�ri�Tuc=rcaadm.. - P.(fv&-u6 sdz ffie wL sn,ea r of Ste nw.di Lila 95f Gr i9 to hzWFikiQl B11te :cfG�,Yrt ID-ir areAJ3. MAFr-F(S2 Rev.3 ® 96!21 Orenco Systems° o 990.449-9843 a +1 541459-4949 a www.erenco.eem Rage 2 oft 2/11/25,12:16 PM Novus-Wiscon i Ac ss rev 12.0 6 D �i. Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 2/11/2025 ��, FEB 1 1 20L7 —L7' On: 10/4/2024 11:23:45 AM Imo' Description Updated: 2/3/2025 ' owne %*1d Co. Zoning Dept Updated: 2/3/2025 Tax ID: 39417 WILLIAM B & BEDA M MCKINNEY REV CABLE WI PIN: 04-018-2-44-07-32-4 05-004-50000 TRUST Legacy PIN: Map ID: Billing Address: Mailing Address: Municipality: (018) TOWN OF DRUMMOND WILLIAM B & BEDA M WILLIAM B & BEDA M STR: 532 T44N R07W MCKINNEY REV TRUST MCKINNEY REV TRUST Description: LOT 1 CSM 2365 DESC IN DOC 2024R - 14805 MCKINNEY RD 14805 MCKINNEY RD 604771 (WILLIAM B MCKINNEY & BEDA PO BOX 96 PO BOX 96 M MCKINNEY REV TRUST DTD CABLE WI 54821 CABLE WI 54821 2/14/2017) Recorded Acres: 6.420 r Site Address * indicates Private Road Calculated Acres: 0.000 14775 MCKINNEY RD * CABLE 54821 Lottery Claims: 0 First Dollar: No ® Property Assessment Updated: N/A Zoning: (R-1) Residential -1 ESN: 112 2025 Assessment Detail Code Acres Land Imp. N/A Tax Districts Updated: 10/4/2024 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 0 0 0.0% 018 TOWN OF DRUMMOND Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 0 0 0.0% 001700 TECHNICAL COLLEGE a" Recorded Documents 0 CERTIFIED SURVEY MAP Date Recorded: 9/19/2024 O WARRANTY DEED Date Recorded: 5/10/2024 O QUIT CLAIM DEED Date Recorded: 1/4/2013 O CONVERSION Date Recorded: Updated: 3/15/2006 2024R-604771 2024R-603208 2013R-547575 1098-746 445-318 O PERSONAL REPRESENTATIVES DEED Date Recorded: 12/31/1986 367929 445-318 a QUIT CLAIM DEED Date Recorded: If Property History Parent Properties Tax ID 04-018-2-44-07-32-4 05-004-40000 14184 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID: 14184 Pin: 04-018-2-44.07-32-4 05-004-40000 Leg. Pin: 018104803000 39417 This Parcel t Parents 4 Children https://novus.bayfeldcounty.wl.gov/access/master.asp 1/1 Private Sewage System Maintenance Agreement Owner(s) Name (✓1 r<��tgih Tax ID it As owner, I (we) do nereby certify the private sewage system will be installed in accordance with the certified soil testers 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 TownshipPIN. Range IZ 7 W Additional Legal Town of Ti2 q - - I Return To: g (Acreage) (0 r2- Gov't Lot Lot —. Block — Subdivision — LotJ__ CSM # a36SVol. 13 Page-CSMDoc# # Z.OLLF R— (SO t DOCUMENT NUMBER 2025R-606540 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 02/11/2025 AT 1 :53 PM RECORDING FEE: $30.00 PAGES: 1 and Zgnjpg Area In -ground gravity ❑ In -ground dosed ❑ Bavfleld C. Zoning Dept. In -ground pressure distribution ewage Sys em: ❑ 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, 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 manufacturers 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 . LJ *1 I 1 r q.,n, I3• nw M l la W Vj tZ Lt!± E Subscribed and sworn to before me on this date: a" t3Ecln Al. MCKINIJ It —I. Yebrv-K- /1 702 i� %'"• Notarized Owmer(s)— Signatures) a rn �k ryP Itc _ A w- • Expires: s �y J� 6MCorn'`�si Drafted by: W t NQ k t A) ate: Y- y - a0 tr Proofed by: utfonnsrsanitary/se pticmaintenceagreement Revised July 2020 2/20/25, 3:11 PM Carmodyt' BAYFIELD COUNTY SANITARY PERMIT (#04)-25-7S, STATE SANITARY PERMIT OWNER: WILLIAM B & BEDA M MCKINNEY REV TRUST GOVT LOT: LOT: 1 BLK: CSM: 2365 1/4 1/4 SEC: 32, T 44 N, R 7 W TOWNSHIP: Drummond SOIL TEST: 3-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Ryan Strand CECE RUDNICKI Authorized Issuing Officer DATE: 2/20/2025 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: Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 2/20/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•//umjwr.armnrh,inrnnm/ParmitAnn/Parmit Oinn ngnv?Print=l)nArmitannirl=744n S/��