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Home My WebLink About25-8S^ SE I tl f K, i^W to u ^ °| -SS- oo 5°^ FEB i 6 2025 Bavfieid Co. Zoning ID}3pt. Industry Services Division 4822 Madison Ynrris Way Madi&un, \\153705 P.O. Box 7302 Miidison. WI 53707 (-•oiunyBayfield Siiciury Pennii Nunibt'f no l>e iilled in bv Co.> 2S-8S Sanitary Permit Application Ill nccordiuicc willi SPS 3S.<.31(2). Wit. Adm. Code, subunt.sion ot'Uiis fonn In llie .ippropiiiite guvcnunental tliul ii rcqllim) prior in obl.unms a s;itunr>' pMinii. Nute: Ajipiicatiou funus for siiiK-ou-ned POWTS are subntilted to ilie Depannier.i ot'Sai'eQ' and Prot'cssional Sen'ices. Personal iufonuntinn y<ni ptoviile rn.iy bi; used for secondary puiposcs in (itfctftdnurc with ilie PrivBi'y Law, s. I :;.(M( 1 )(D», Slats, Sl.iie Triiasaction Number Project Address (it'dit'fercnl tlian mailing ad<!rcs7> 16855St.Hwy13Herbster I. Ayplicution Inronnntion - Please Print All lurormation Property Owner's NilnleMatthew & Tryst Anderson P.ircd?11338 Property Owncr'$ Mniling Address1471 140th St. City. StaleNew Richmond, Wl Zip Code54017 II. Tyiiu or Building (check all that apply) •|l or ,2 Family Dwellinis - Nltinbu ofBedmunu -^ ublic/Coniiiicrcial - Describe t 'se ISlalc Owned - Desi'rib; l-'se Property Lm'alion Govi. Ldl Phone Number651-468-1908 NE ,,SE ,^,.3 Lut=r 50 N R -goSubdivision Niillic ^ Block s CS.M Nuiuhct _]riiyuf. (Village tif 0To^ of CLOVER -LIII. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other appUcabte un line A. Check one box on line B. Comptete Une CUJ applicable.) A.0s'1""' Sy,'sleiu D'.epi.icmcin Syslrrn HlwrModiticaiion IA Existuse Systnn (explaui)lain > B.[_|Holdina Tauk nin.Orouud lconvcinicwall I^I-Gratitf IMoiuid Indivithul Site DtsijUl [Ollicr Type ttfxplaia) f.Renewal Bdbti; E\piralioil QRCVUIO Clsao?';c nl'Plumbct irninsfcr to New Owner!Li <t Previous Permit Number and Diitc Issued W. DMpersal/Ti-eatmcnt Area and Tnnk Information: DcsianFIow(gpiJ)450 Dcsien Soil Applic.iliun Rntetgpd/at'l .7 Dispersal Area Required (st'l642 Diipersal Area Proposed (st')678 Syslein Elevation 1100.5-101.5' Tank Iiitonnniion t'ap;icily ui G.llloui Nro TaiAt Scptvc ui HuUine Tank D^m» Clt<wih?j £x»tm,t T;«iL-\ Toial UiiUom 1000 sof t'nils Miiulitaclww Wieser Concrete V. Responsihility Statement- I, ttir undynlgned, SMinnr n'tponillrillty for Installntion nf (lie POWTS shown on (hr ntlnchtd plnui. Piiitnber'i Knne (PrinilEdward B. Redinger L^^TIZ^.PIuiilbtfr's Signiimre.MP/MPRS Niuubei221939 Business Phone Nurntw 715-292-6670 Plnuiher's AAIress (Sire<l, Ciiy. Siiiw, Zip Cud<l1015 11th Ave. E. Ashland, Wl 54806 VI,,County/UepartmentUstpnlv ill D nisapp«ivi;<i D t.nvner Ulvcn Rc.ison for Ucnl.il Pcnuit Fcf^cc^_U.nu Issued 2/2i?;2S i±^ unditions ot Approvai/Keasons lor uisnppfovni . ^ , . , ' . ; . '^^^Si^''3^'^ >t^^y^ ^ ^•' (^j^ ^^^ ^ilv^. ih^,^ .^^r <^t^cn -f>-<^ ^.L< ^^ t'^ /-;f <stf^' i^<'' •h Se-e- <O^Ve«A-\fl-<=\ C<^.<A . ••iBD-ft.m (R, U2!^) Attach (a fomplrtf plniw for Iltr i><trtu aud •»ubu>l> to the ("utittiv outy "» paper nu< Irit ihrtti 8 t/2 i It (ochn In <l2r ^oo.oo ^l2^o2.S ^SJ^ &.^.5T- 0060^ [Jj —V^S 15- FEB 1 y 2025 Ba'yfiBld Co. Zornny [^ Industry Services Division 4822 Madison Yards Wai Madison, WI 53705 P.O. Box 7302 Madison. WI 53707 CountyBayfield Sanitary Permit Number (to be filled m by Co.) Sanitary Permit Application Ill accordance with SPS 383,21(2), Wis. Adm. Code, submission of this form to die appropriate govenunental uuit is required prior to obtaining a saiiitaiy permit. Note: Application forms tbr state-owued POWTS are submitted to the Department of Safety and Professioual Services. Personal information you provide may be used for secondary purposes in accordance with die Privacy Law, s. 15.04(l)(m), Stats. State Transaction Number Project Address (if different than mailing address)16855 St. Hwy13Herbster I. Application Information - Please Print All Information Property Owner's Name Matthew & Tryst Anderson Parcel#11338 Property Owner's Mailing Address1471 140th St.Property Location Govt. Lot City, State New Richmond, Wl Zip Code54017 U. Type of Building (check aU that apply) •|l Of 2 Family DweUiue - Number ofBedrooius 3_ iblic/Couunercial - Describe Use IState Owned - Describe Use Phone Number651-468-1908 NE ., SE '4. Section Lot #r 50 _N R._EorW Subdivision Name Block # 'ityof. CSM Number rillage of RT<nvn of CLOVER UI. Type of POWTS Pennit: (Check either "New" or "Replacement" and other applicable on Bne A. Check one box on line B. Complete line C if | applicable.) A,• |New System D".eplaceiueut System [her Modification to Existing System (explaiu)idditional Pretreatmeut Unit (explain) B.I|Holding Tank nin-GroHud (couveutioaal) [|At-Grade IMound Individual Site Design [Other Type (explain) c.Renewal Before Expiration I Revision 'hange of Plumber 'ransfer to New Ownerl List Previous Permit Number aud Date Issued IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd)450 Design Soil Application Rate(gpd/sf) .7 Dispersal Area Required (sf)642 Dispersal Area Proposed (sf)678 System Elevation 100.5-101.5' Tank Intbnuatiou Capacity in Gallons New Tanks Existing Tanks Total Gallons ft of Units Manufacturer Septic or Holding Tank 1000 Wieser Concrete Dosiug Chamber V. Responsibility Statement- I, the undersigned, assume respousibility for InstaUaUon of the POWTS shown on the attached plans. Plumber's Name (Prmt) Edward B. Redinger Plumber's Signal^E,SeSX MP/MPRS Number221939 Business Phone Number 715-292-6670 Plumber's Address (Street. City. State, Zip Code) 1015 11th Ave. E. Ashland, Wl 54806 VI. County/Department Use Only D Approved a Disapproved a Owner Given Reason for Denial Permit Fees Date Issued Issuing Agent Signanire Conditions ofApproval/Reasons for Disapproval Attach to complete plans for the system and submit to (lit County only ou paper not less than 81/2x11 inches in size SBD.6398 (R. 02/22) PAGE 1 OF 4 In-Ground Gravity Plan 1 K • '^'¥ i' if Index & Cover Sheet j ro 21^ Component Manual Design References: ['^wnQi() Cr ' 'f-v.w^n D,; ni In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027f '""iliy ' bi" Pg 1 of 4 Index & Cover Sheet Pg2of4 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 3 Bed Quick 4 Infiltrator system with .7 loading Owner Name(s): Matthew & Tryst Anderson _ Phone: 651 -468 -1908 Owner Address: 1471 140th St. New Richmond, Wl _ Zip: 54017 Project Address: 16855 St. Hwy 13 Herbster, Wl Govt. Lot: _ NE Ql/4 of SE Ql/4, Section3 , T50 N-R7 E or W • Township: Clover _ County: Bayfield Project Parcel ID #: 11338 Designer Information Designer Name: Edward B. Redinger _ Phone: 715 _209 -6670 Designer Address: 1015 11th St. E. Ashland, Wl _ Zip: 54806 E-mail: ed@SUperiOrpmW.COm This space reserved for approval stamp. License Number: 221939 Remarks: Signature: ^-^J1^5 .T-^^-^~ _ Date: 2/17/25 Original signature required on each atfcmitted copy. lpyv SUPERIOR PLUMBING MECHANICAL (715)278-3456 Customer Name: Matthew & Tryst Anderson Adress: 1471140th St. New Richmond, Wl 54017 SITE: 16855 St. Hwy 13 Herbster, Wl Phone #: 651-468-1908 Email: archivesmusic@vaho.com (511 j FEB 1 a 2025 ?/ CST# 221939 Scale: 1" = 40' PIN:11338 5 Acres NE SE S3 T50N R7W Town of Clover Bayfield Co. ^•/J<J ^5^ _./ ^ . . / ^,^^^0 ^f V^Yy 2.6^ ^-il^ A 'B.^^/QO' r^^>6^ ^ ^h^^^J. »• 'iSdr/-^^<i » 7/^d'^ 3 7r<^A.e.l ^^-^b^5 /do.s-'/bl?' ^e^»<»< ^<eU ^1^^1 ^1.^o|.^lfl <1> b&'b i3:e^r^ 10^ V)r»^»a-/^y ^-^ <- IN-GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) _t-J—t—J^\l SOIL COVER 12" min. trenchTYPICAL TRENCH "depth" CROSS SECTION VIEW (typical) J_ (No Scale) ^TJt^L I— min. 12" (typical) Septic Tank(s) Manufacturer: Wieser Concrete ^22-gal Polv Lock Septic Tank(s) Volume(s): gal — gal Effluent Filter Manufacturer: gal Effluent Filter Model #:. 525 (typical) Provide minimum 3 ft separation between trenches. Highest Trench System Elevations = 102.5 ft;. 102 ft. 101.5 Lowest Trench (as applicable) ft; _ ft; _ ft Quick4 Standard-W w/ End Cap (typical) il Ui"a"B"B-iEJl (Show location of inlet / outlet pipe connection on plan view.)21 Observation Pipe(typical) Install per manufacturer's instructions. TYPICAL TRENCH PLAN VIEW (No Scale) -//-ml ;^Sjgj2Cj3(.JI<a|g{S(lp|11^B>|B(gjg)3(HJB|S(l|g|iJJS|Hpie(Bjg|g|S|ll? INSTALL PER TRENCH: -^-------^--- B= 44_ ft A =3.0 ft (typical) ^ (typical) a,. f~~}0 -Quick4 Standard-W Chamber ss=o TR! r<^ LnrJ Quick4 Std-W @ 20 ft EISA/chamber = 22° Pairs of end caps @ 6 ft2 EISA/pair = l^. ft2 ft2 (typical) (mfd by Inflltrator Systems, Inc.) Install pursuant to manufacturer's instructions. o 0' 3!23 ~D>0m co0 rp^^D = Proposed EISA per trench = 226 ^ Required Infiltration Area = ^42 ^2 Distribution Method: x ^_ trenches = Proposed Total EISA = 678 ft2 drop boxes PAGE 4 OF 4 In-ground Gravity Management Pl^i III Ij I i IMPORTANT:!9•^ / E 17^ i!!l-i'/if The owner of this in-ground gravity system shall be responsible for its perpetual operation anct-incymtgri^ncg_pyrsi^ntjo requirements of SPS'382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin:m (tffls^ 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), Wise. Admin. Code. MaximunLDispersaLArea Operating Limits: Design Flow = 450 gpd; BODs S 220 mgL-1; TSS S 150 mgL-1; FOG S 30 mgL-1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (/.e. odors, user complaints, etc.) o mechanical malfunction (/.e., pumps, valves, switches, floats, etc.) o material fatigue (/.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 (/.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (/.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (/.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 affluent 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, Wise. Admin. Code. o Effluent filteris) 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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Superior Plumbing & Mech. Inc. p^e: 175-292-6670 Local government unit: Ashland CQ Zoning _ phone: 715-682-7014 Local government unit address: 201 Main St. W #109 AsNand.WI ZIP: 54806 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-determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code. 5(Z>- oos<^8 a&u^if t\-7-2M Wii.consin Do|M>tnien! of Safe^ and P»o(a»i<u»al Surv»cas Division of Imlustry Servicos ff, 1C! I! if E FEB 1 8 Z0?5 'Pygs.'L.,,2 SOIL EVALUATION REPORWieid Co. Zoning Depl In accoKianeo with SPS 385. Wis. Adm. Code AlliiRH cumpfuta sile plun on papw nol IBSS Ihun 81/2x11 inchos in sau. Plan inust include. but not limited fu. verlical and t'oti^oniBl fefarence point (BM), direction and porconl slopo, au.ilc D! ffinunwionii. (iorlh nrruw, onil iDcation and (liatanca lo noaresi road Please print oil information. Pwsonal intttfmaliun yonprovidu niay bo used for secundaryfxirpo&os (Privacy Law, s 15.(M(1 Km)).\2uelz.!5 Propnrty Owm»Matthew & Tryst Anderson Ptoporty Location ' |_| [^ oovt. Lot NE •/. SE '/* S 3 T 50 MR? £ (or) W Prapwty Owner';, Mailing Address1471 140th St ' 651-468-1908 Sitd Address 01 CSM and Lol #16855 St. Hwy 13 Herbster, Wl CityNew Richmond StilluWl 2ip Code54017 Phone Number l._ J_ DenyClover a Vitlags S Town Nearest RoadSt. Hwy 13 Code ctenved desianllowratc 450 GPD Flood Plan olavation if upplicable_ft •jNi.'wCwilrdt.tion tjsul—1 Ru.'.idcniint/Numburoflxxlrooins 3 I Replacement I_I Puo!>c or comnwrcial - DiiscnUe py«,ni nwiw ai Sandv Ouhwash (,u,i.<,ii,,.on<,n»f>r.^«>.-^wm6ndai.o? Conventional system with .7 loading step trenches as needed 103.9'-100.5' 1 Born»y f»IBormyr«ipn 105.3 Giound surfaca olav_ft.60 1003Dopih to limiting factor ~ ""' in / elev ft Hunmn •t 2 3 4 5 Dt);>ih It, 0-9 9-32 32-60 60.64 64-72 DonunafH Color Mnnsail 5yr6/2 5yr 5/6 5yr6/3 5yr4/4 5yr 5/4 Rudox Dmcnption Ou Az. Con!, Color c2d 5yr 6/8 Tnxture Is s s is s Sliucturg Or. Sz. Sh 0 Osg Osg 0 Qsg Consistonce dl ml ml ml ml Boundary cw gw cw cw Roots 3co 2m 1f Sort Application N.i'u GPD.'F!-' •EIW1 .7 .7 .7 .7 .7 •Eti>?2 1.6 1,6 1.6 1.6 1.6 2 Bonntj a D8arl"tJ 105.9 jg]Pil QKIUIK) surtsce etav _tl 88 98 6Doplh to limiting factor _~L_~_in / "lev. n Moti,'i.>' 1 2 3 Otlj)t!l In 0-8 8-33 33-88 Oonunant Culci Munsull 5yr 6/2 5yr5/6 5yr 5/4 Rdilox Ooscriplian Ou Az Cunt Color Texturu Is s s Slructufe Gr Sz St) 0 Osg Osg Consislonce df ml ml Boundary cw gw Roots 3co 2m Soil Appticnlinp Kalu GPD/Fl- >tft»1 .7 .7 .7 •£«».> 1.6 11.6 1.6 CS T Nuniu (Pluay» Pnitl i Etlwaifi B. R&dingei AildtBMi 101511 th Ave E Ashlanu. Wl 5480G Doto Evuluution Conduclad7/15/24 CST Numbnr221939 Tstoplione Number715.292-6670 • Efflucn! ttt - BOO ;• 30 S 220 mg/L and TSS > 30 < 150 mg/t eniueni HZ = BOO. s 30 mg/L and TSS s 3Umg;L SBO-S330(R(M,'2t) I 3 : Boring # D Boring•pit Ground surface elev.-ft.ipfh to limi| Ill FEB . 0 ^UZ5 factor.88 in. / elev. Page ^-_ of 95.2. Horizon 1 2 3 Depth In, 0-4 4-28 28-88 Dominant Color Munsell 5yr 6/2 5yr 5/6 5yr 5/4 Redox Description Qu. Az. Cont. Color Texture Is s s ^tSW^ Or. Sz. Sh, 0 Osg Osg ^o,M&u dt ml ml 11'I cw gw Roots Sco 2m Soil Application Rate GPD/Ft'1 •EfWI .7 ,7 .7 'Eff#2 1.16 1.6 1.6 Boring #D Boringa pit Ground surface elev.Depth to limiting factor.in. / elev. Horizon Depth In. Dominant Color Munsetl Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 •Eff#1 •Eff#2 Boring #D BoringD Pit Ground surface elev.Jt.Depth to limiting factor._in. / elav. Horizon Depth In, Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft' •Eff#1 •Effi»2 • Effluenl #1 = BOO > 30 s 220 mg/L and TSS > 30 S 150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS <. 30 mg/L 0 SS 11 B IN^H t y zo?5 Customer Name: Matthew & Tryst Anderson 'Jay'ww ^-'Zoning Dept. A/ SUPERIOR PLUMBING MECMANICAI. (715)278-3456 ^-^AS.TC^- ^)//s-/^ Adress: 1471140th St. New Richmond. Wl 54017 SrTE: 16855 St. Hwy 13 Herbster. Wl Phone H: 651-468-1908 Email: archivesmustc@vahe.com CSTW221939 Scale: 1" = 40' PIN:11338 5 AcresNE SE S3 T50N R7W Town of Clover Bayfield Co. C^ft.^f^^iaf^.f 5y/^/»-? </<sj> 'TFc/i&A-ti^ «»s /i<^Jr«J /<*>X?^/AS..^ • / ^..O'U^/'WT^ A'Q.M^i^ ropxbf 57«^ ^h^c{/i^J. > 'i?dr-/^*(jf^ 8"3-">°?<:a- S^.^. -^>e-f OuUn-c-r' Q S^^HQ fl ?! r-r ,..,'i!' ^p 1 a ^yfete Co. zoning Qec 6.5" (16.51cm) SEALED BALL MATERIAL - HDPE 33.02 [83.9 cm] 4" (10.16 cm) B^LLTRAVEL 5.7^ [14.7 cm] ^ 20.71 [52.6 cm] FILTER CARTRIDGE MATERIAL - FILLED POLYPROPYLENE HOUSING MATERIAL-POLYPROPYLENE BALLPUSHROI:).. „ .<?FnTIHM A-^FACTORY INSTALLED 'Dc-^ ' "-"^ rt-/ MATERIAL- FILLED POLYPROPYLENE 4"AND 6" FACTORY INTALLED PIPE OUTLET MATERIAL-PVC POLYLOKPL.525-625CUTAWAY OPTIONAL BUSHING (FOR 4" THIN WALL PIPE) PARTN0.30142-R OR OPTIONAL FLOAT SWITCH (FOR 110 MM. PIPE) PARTN0.30142-EUR 4" CAST-A-SEAL III! ^,'tfO? • :^7 ff • TOP VIEW u^ Wi & fl! . „ ... i"^ a ^UISsi S OPTIONAL FLAT COVERIS AVAILABLE FOR EXCHANGEFOR DOME COVER. WLP1000-MRTANK SPECIFICATIONS DIMENSIONS:WALL: 2 1/2"BOTTOM: SEPTIC 3"HOU31NG 5" (ADD 1,300 LB.)COVER: 4"MANHOLE: 24" I.D. PRECAST CONCRETE RISERHEIGHT: DOME COVER 61" Q.D.FLAT COVER 53 1/4" O.D. LENGTH: 104" O.D. WIDTH: 86" O.D.BELOW INLET: 42" O.D. UQUID LEVEL 36"WBGHT: 6,790 LBS. INLET AND OUTLET:4" CAST-A-SEAL BOOT OR EQUALGASKET, CAST-A-SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER:WISCONSIN, SEE DETAIL j|l10(OTHER STATES SEE CHART) LIQUID CAPACITf: 27.83 GAL/IN HOLDING TANK:OUTLET HOLE PLUGGEDACTUAL CAPACITT: 1,085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS:WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET TANK CAN BE USED AS:SEPT1C/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN jjl8 (NO FIBER)TANK: MIX DESIGN f\0 (STRUCTURAL FIBER) CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETE PUMP PAD SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS JOB INFORMATION CUSTOMER: 308 NAME: DATE NEEDED: APPROVED BY: APPROVAL DATE; a-1301a-1 1> fjl y\ 01 mc: <' colin]S. ^j-\z 00]I^ Lpl3 CM I10 0|0|x 00 Iin=) u> r^g ec I s\ z|s ^1y plF= i51& ^1t7) tdl0:1 SHEET NO. /OF 1 Private Sewage System Maintenance Agreement Owner(s) Name (f^fW A^iDteiZ-So-i Owner(s) Mailing Address 4cf04 B/^ 1^r liricr ,ULJ'Z S^Sgo Site Address lfc8^5-l-k 13, , Hef^S-T^ b-X S4B44 Tax ID #\ \ 338 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with 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 W! Adm. Code, as from time to time amended, (COMPLETE Legal is required) _A^IM of 52T 1/4 Additional Legal Description: Town of Ll^rff^(Acreage) .Township S^ N, Range _^__W.jijL-^ii^^ Gov't Lot Subdivision Lot.CSM#.Vol.Page CSM Docff. OOCUMENT NUMBER2025R-606596 DANIEL J. HEFF-NER REGISTEF? OF DEEDS BAYF-IELO COUNTY, Wl RECORDED 02, 1 9/2025 AT 8:00 AM RECORDING FEE: $30-00 PAGES: 1 Recording Area Return To: Planning and Zoning Department In-ground gravity D Mound In-ground dosed D In-ground pressure distribution Sewage System: L] At-grade Sewage System Q 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 studge 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 eftluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Fitter 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-arade. 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. Ownerfs) agree thai failure to comply with this agreement will result in action being taken to pay ail charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and mainiaining the private sewage system tank in such a manner as to prevent or abate anyhuman health hazard caused by the system. Bayfie!d County shall notify the owner of any casts 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 bff collected as provided by law. The terms and conditions of (/ie 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 !AA<vrr A ^ OC '2-S^rj Subscribed and sworn to before me on this date: o^/o^/^o^e Notarized OwnerQO/- SljShature(s)Notary Publicitary Public ^tt^ ission fcxDires:My Comrrfissjon Expires: 0^/10 I^O.^ Drafted^: ^ TJ^^er Date: ^//-)/^5~^! Ill FEB ) l: ZOZ5 ^ Bayfieiu Co. Zoning iJepi. Proofed by: u/torms/sanitary/septicmaintenceagreementRevised July 2020 3/12/25, 10:37 AM BAYFIELD COUNTS Carmody™ SANITARY PERMIT (#04)-25^S STATE SANITARY PERMIT OWNER: MATTHEW & TRYST ANDERSON GOVTLOT: LOT: BLK: NE1/4 SE 1/4 SEC: 3, T 50 N, R 7 W TOWNSHIP: Clover SOIL TEST: 117-24 NEW SYSTEM SYSTEM T^PE: Non-Pressurized In-Ground PLUMBER: EDWARD B REDINGER 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: #221939 CECE RUDNICKI Authorized Issuing Officer DATE: 3/12/2025 Condition: SYSTEM ELEVATION SHALL BE > OR = T01 • BELOW GRADE AND < OR = TO 2' BELOW GRADE OF ORIGINAL CONTOUR. MAINTAIN PROPER SEPARATION FROM WELL AND EDGE OF STEEP SLOPE. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. THIS PERMIT EXPIRES 3/12/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION h+tns'//www narmndvinr' r.nm/P^rmitAnn/Pprmit cttnn acsnY'?Print=1Anftrmil-flnnirf=744.?t 1/9