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HomeMy WebLinkAbout25-9S-I «d " ^Ui^SS- oosoq iljj ^'^ b u vl " I FEB 2 32025 Bay!is!d Co. Zoning Q^ Indu.stry Stfrvicus Divj.sion -1822 Madison Yards Wav Miidison. \VI 53705 P.O. Box 7302 Mndisnn. \VI 53707 t'nunlv Bayfield Sanilary I'crmjt Number (lo k- rillud in bv Co ) 2S- ^ Sanitary Permit Application Skite Tmn.saction Numbt'r In accordance willi SI'.S .183.21(2). Wis Atlm Cuilc. submission ol'lliis lonn lo thi; ilppropri.ilc govfnnrn;n!al unit is rcqujrcj prior lu ublaunnu a s.milar)' pcnnil Nou Application Ibnn.s l'"r sliilc-nnnctl l'()\\TS arc snbmillcii lo llic Rcpanmeni »r.S;il"i;ly and I'rofosinn.il Scnicc.s I'<rsurul tntbnn.nion ynu proviilc may tie tisctt tiir swondiir} purposes in accoriliinw willi llic I'rivacy l.inv, s 15.04(1 )(m). Sluis, I'roicci Address (if tlitl'tfrcnl Ihiin ntailini; aiidrtfss) Same 1. Application Infurmntion - Please I'rint All Inrnrmatiun I'ropuny Owner's Name Timothy & Steph dark Rircu!»19536 t'ropeny Owner's Muilini; Address 7775 Spider Lake Rd. t'ily,.Slate Iron River, Wl Pnipcny l.oeation <inM 1.111 3 7.j|»rotlc54847 II. Type ofBuiltling (check all thai apply) I nr2 l;amilv Divtfllinj;- Nuinbtfr ot'lle<lroonts ^. IPuWic/Conimi.Tcial - Dc'icribt.'Usc IStalc Owned - 15e»;rihi: Use Plwnc Numbi.'r 715-209-4377 SE „ SE '/>. Section 19 Lolfl1 1-47 N |< 08 |,.,^') •Subdivisinn Name Block » CSM Number #1346V8P154 3|cil\ ul'. I|Villaucor p})o»,i«f Iron Riw III. Type ofl'Om'S I'crmil: (Check either "Nov" or "Replacement" und other applicable on line A. Check one ba\ on line B. Complete line C' ifj applicable.) I) [NCM Syslcn tfplacctnnn Syslem Ithcr Moilillualion to R'iislini: Syslcm (explainl [Addilinrot Prclreaimcnl (3ni| (explain) B.[jlloldins'r.ink lltl-Graund (convtfiilional) r~|.\t.(irade 0\lnumi Indirlilu.lt Silc OtfSiliH |0lltcr Typctcxpl.iin) c.Renewal Buli'fc Expinnirn Kcvisinn Ch:ui;a; olTlumlw [I runstcr lu Nciv Ownerl .ist Previous Peritiii Numlwaihi I);iti: Issucil 1371576.11.1990 IV. Dispcrsal/Treaimcnt Area and Tank Inronnntion: Design I'lou(ypii)450 Design Soil Appliculion K;nc(gpil,'st'| 0.7 tltspcrsal Area Kfiimwl (.sf)642 Dispcrisil Arc.i I'mposftl (sll738 Sysleni Flcv-atum 95.0 Tank Inlbnnatum t'apacitv in Gallons N'^w Tnnk.s I:M;ititii;T;m^ •lirt.il (latlnns ft of HIIILS Manufaciurcr -° §11 en <si 1—f II .Scptic »r 1 lolditii; 'f'{»n^1000 1000 Roth Plastics z Uosins t'liilinbct mmsiQ V. Rcspunsibilil.v Strttcmcnt- I. the undyr'iianrd, as.sumr rtspunsibilip for inslalhitiun of UK POWI S sho»n on Iht attachcit plan!.. t'lumlw'sNaintf(l'rinl» Jason Kuettel I'luink-r's S\j»KUs /.2^\y^'fjW MRMI'RS Ntnnlw 675751 Rusincs.s I'lunitf NunitK-r 715-798-3355 number's Ailtlress (Sln.-cl. Cily. Sliile. /«p Codi;) PO Box 66 Cable, Wl 54821 VI. Counly/Ucpnrtroent Vse Only 'Apl'rovrd D Ri.'i.tppnnol D O^oer Given Rimiia*) for IX'iimil I'crmit l-'cc ^OC^- time Issued 2J21zf&IZ5 Issuiiut Aecnt Sr(MM Cuiwlilit)ns<>t'Approv;il/Rca.s<>n.<twl)isappryvnl , /- I . , , / . i / , i7 . . .... ..^-^s>^rl'^l^u"''K^ ^ i^^i.^^ ^^ b.^^^^ ^^^^ -~BAi< 5^ ^ ^ ^^'^ b^-y^de — Se«^ °^<-e\.Y'iA SI}U-()398(R. 02/22) Allarb to cmn))lflc plain fnr Ihc wslcm and sulnnil tr Ihc ('nunn unl» nn pu|>rr not Ir-t than » ifl x 11 inches in aijtf ^i^po.oo -^n^ozs ^\\ JLlL SS-OO^oq^^^/£?'', "^>..f. II FEB 2 52025 ( ^.y-</'.<.'»[<l<;i\'.UMlsld Co. £o»l"3 uet| Industry Services Divisio; 4822 Madison Yards Wf Madison, WI 53705 P.O. Box 7302 Madison, WI 53707 County Bayfield Sanitary Permit Number (to be filled in by Co.) Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this fonn to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. Project Address (if different than mailing address) Same I. Application Information - Please Print All Information Property Owner's Name Timothy & Steph dark Parcel# 19536 Property Owner's Mailing Address 7775 Spider Lake Rd. Property Location Govt. Lot City, State Iron River, Wl Zip Code54847 II. Type of Building (check all that apply) |1 or2 Family Dwelling-Number of Bedrooms 3 IPublic/Commercial - Describe Use [State Owned - Describe Use Phone Number 715-209-4377 SE . SE -/4. Section 19 Lot #.47 _N R 08 1 _EorW Subdivision Name Block # IQcity of. CSM Number #1346V8P154 IVillageof 7lTownoflronRiver III. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i applicable.) A.few System teplacement System )ther Modification to Existing System (explain) B.[Holding Tank In-Ground (conventional) IJAt-Grade I Mound Individual Site Design I Other Type (explain) c.Renewal Before Expiration Revision ;hange of Plumber ransfer to New OwnerlIList Previous Permit Number and Date Issued [1371576.11.1990 IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) 450 Design Soil Application Rate(gpd/sf) 0.7 Dispersal Area Required (sf» 642 Dispersal Area Proposed (sf) 738 System Elevation 195.0 Tank Information Capacity in Gallons New Tanks Septic or Holding Tank 1000 Dosing Chamber Existing Tanks Total Gallons 1000 # of Units Manufacturer Roth Plastics V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Jason Kuettel y-y^^.^ MP/MPRS Number 675751 Business Phone Number 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, Wl 54821 VI. County/Department Use Only D Approved D Disapproved D Owner Given Reason for Denial Permit Fee$Date Issued Issuing Agent Signature Conditions ofApproval/Reasons for Disapproval Attach to complete plans for the system and submit to the County only on paper not less than 81/2x11 inches in size SBD-6398 (R. 02/22) PAGE 1 OF 4 In-Ground Gravity Plan ,- , ^ ^, Index & Cover Sheet I s ® ^ ®i | Component Manual Design References: !! 'l[ Fr^ ''52025 ^ In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) " ~ '"& •-^w^ Pg1of4 Index & Cover Sheet Pg2of4 Plot Plan Pg3of4 Dispersal Area Cross-Section & Plan View Pg4of4 Management Plan Attachments:Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description dark 3 Bed Owner Name(s): Timothy & Steph dark _ Phone: 715 -209 -4377 Owner Address: 7775 Spider Lake Rd. Iron River, Wl _ Zip: 54847 Project Address: Same GovtLot:^_SE 1/4 of SE 1/4, Section19 , T47 N-R08 EQorwl/] Township: Iron River _ County: Bayfield Project Parcel ID #: 19536 Designer Information Designer Name: Jason Kuettel _ Phone: 715 .798 .3355 Designer Address: PO Box 66 Cable, Wl _ Zip: 54821 E-mail: tim@andryras.com Tins ?pacf resc'rve.i 101- .ippruvai siamp License Number: 675751 Remarks: Signature: _'^^-/(^S^ _ Date: ^/Q/</ '-iS Original sj^naCure required on each submitted copy. 0J11.1 V CHECK BOX AS APPLICABLE.CHECK BOX AS APPLICABLE. d SOIL EVALUATION SITE MAP PROJECT NAME: r.Lfi^-^ "3 Ut-^ Scale: 1"= 30' 30 45 60 ^//////////^''///A (7.5 ft grid) 7ZZ 7.52 77, / / 3BS;spTEME' ^Wto1 PLOT PLAN 8ayfield Co. Zoning ^0DESIGN FLOW:GPD PROJECT ADDRESS,: ^7225J l?i^e<_LA<£ ^ BM Symbol: -^- BM Elevation: ^° ' _ FT BM Description:/3o~T7?>/\^ JT i~^\^(- C<"L-^ <=^<^- tTOuJi? Attach design flow calculations for commercial plans. Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) Sanitary Sewer fc7 5 <-^'A<>1 Force Main:^^t- Slope Gradtent (%)of Tested Area:Well Symbol (if applicable): Q Indicate north bydrawing an arrow on the approprite line. IMPORTANT: Show ground elevation contours at suitable intervals. o^i^lc^- -I 'T^A^O'IT^^ 4--hr?^kJ_.cj^^^ _|__|_i ^y^G^~ i 4-^45' I-s^/ d>^c|- J^ie I A J (!(^-<^Ji2-^cyU/-JJS:: 3^u^_L/MZ&_!1;iTLco^-iJ <•! ^' /c?Ml<~i^l 'it———— • • }• '-I- I! I I ! ! I i ! i i! ! I I ! I i i i-j—I-—^—j_M i 4-7-1 ?i c^ f^-ii^d, ^simnTTm s Th st' ~rev\jj^ \oF] /(Zjoj^ j ^1^(^.1 j n^^-i^L^ ^>\ ±^'44^ZN.I.JKS--^ ^•13^ !S-t^^^L <?$t'/jo ^CI^IT-'I °n I nl Q^l*:'\-aj^^w-y. —.F_-^..— 'tLo-rH i^"^ "^^.^..^^•^W/-'0^f-<i I..... j _. -.]_... .J.._ _.i_|_^£J^y^i<_ic_.J/p.L^.c^LA^i=-.-^ ..l-"V^T'f/L-^i •• .... 3o^- ^-L IN-GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) 1_JL SOIL COVER 12" min. trench depth (typical) i—t—LJ t \1 34"(typical) \"- I— min. 12"(typical) Septic Tank(s) Manufacturer:Roth Plastics Septic Tank(s) Volume(s): Effluent Filter Manufacturer: Effluent Filter Model #: FT-0822 .4 ". TYPICAL TRENCHCROSS SECTION VIEW (No Scale) Quick4 Standard-W w/ End Cap (typical) System Elevation = »^-u ft (typical) (Show location of inlet / outlet pipe connection on plan view.) Provide minimum 3 ft separation between trenches. Observation Pipe(typical) Install per manufacturer's instructions. -----------^---------^---------^-n -T _____^____ TYPICAL TRENCH PLAN VIEW (No Scale) (typical) INSTALL PER TRENCH: 12 + 1 Quick4 Std-W @ 20 ff EISA/chamber = 240 Pairs of end caps @ 6 ft2 EISA/pair = ^ ft2 ft2 A = 3.0ft (typical) -Quick4 Standard-W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. (T:;)C9 &^3 CS-71 -n PH.-X3 •-•0 L.." r~<'CT C~7 [^^"'i \ :3 rnnl T>>0m GO0-n -t^C? = Proposed EISA per trench = x3_ Required Infiltration Area = trenches = Proposed Total EISA = 738 ft2 ft2 Distribution Method: branched manifold :i4X>lf:4 In-ground Gravity Management Plai||?kFEF 2^i I7' IMPORTANT: 3&p8id Co. Zon«y L'E,^' The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. 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), Wise. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 45° apd: BODs^ 220 mgL1; TSS ^ 150 mgL-1; FOG ^ 30 mgL-1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (/.e. odors, user complaints, ete.) o mechanical malfunction (;.e., pumps, valves, switches, floats, ete.) 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, eto.) o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, ete.) 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 sen/ed 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 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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Andry RasmuSSen & Sons _ phone: 715-798-3355 Local government unit: BayfJeld CQ. Zoning _ phone: 715-373-6138 Local government unit address: 117 E 5th St. Washbum, Wl _ ZIP: 54891 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. SCT-(SST_t_l°^S-SR.-002-1-2-. ._<.V]-l""l^ ^•-- • •-• n. : Ip g g (?'si Wisconsin Department of Safely & Professional Services Division of Industry Services |]!| r-m ,; •,1171; -.1 (.'.I?.'ISOIL EVALUATION REPORT" Page._of_ In accordance with SPS 385. Wis. Adm. cQSe/a9^^sm^u^ Allach 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 stope, ] Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Rsv" Personal jnformallpn you provide may be used for secondary purposes (Privacy Lay/, s. 15.04(1)(m)). 0/an Fit'*- fb n<>3G ^r/T7w^-.DateWi?6 Property Owner 7,.^ •'TH'?5'nL <? >-) c<-''W<. Property Location Govt, Lot Ki '/- S /c? T<-|-7 N R (}<.;^E (or) W Property Owner's Mailing Address >77.S Sf> &C.^- u'-hi.c (?b Site Address or CSM and Lol #; ?'n<s j'?.<'>&- t^<^ <^b. ^&T i cj^\ -/f //j y^ ^ ^..^ City, State, Zip ^c/^ fL\vl^^.,1^3~ J^&'/l Phone Number ^•s )j^- ^'n D Cily D Village /|Z.<;/~> jT-WC'/Z- Town Nearest Road S<?> ^C/t- <L.^^f /Z^ Q New Construction Use: [S Residential/ Numberof bedrooms D Replacement D Public or commercial - Describe; Parent material r»<.-n->.-^ h- General commants and recommendations: JL 'bt5 »fc^ Code derived designfiowrale <^tf»Q GPD Ftood Plan elevation if applicable .1^^ ft. •n o .'> I I Boring #D Boring I Pit Ground surface e\ev./7^~? ft.Depth lo limiting factor ^ 1?S in. / elev.%)'t'^ft. Horizon f 2. _3_ Deplh In. u- £ 6-Z.& u- ^ Dominant Color Munsell -).<. ^^A 7X ^ "h 7.5 ^ iik Redox Description Qu. Az. Cont. Color Texture L<. s ? -^J^r~7 Structure Gr.Sz. Sh. O.J(. <:L£(. t.1 cS<^ Consistence /Vvlj^L /Kl Boundary GvJ^ Pools ^•f- ll^t-( 1=L Soil Application Rate GPD/Ft2 •E(f#1 c^2 o.~? 0 .1 'EffS2 l.k 1^- l.<fl ^ i Boringff QBoring Ground surface etev.77'/'7 fl.Depth to limiting factory 7g in. / elev.^'('/ft. Horizon I -z. _1_ Depth In. Q"<0 6 ?-(<? Zk- 7Q_ Dominant Color Munsell '7.S^iJ/l ^ ^ l'/y 7.J T^VJ Redox Description Qu. Az. Cent. Color Texture LAs ^ t.J/3/Sw~7 Slfuclure Gr. Sz.Sh. o'bC' Oj(r/ I 0&^ Consislence /v\ \ ^1~^L Boundary ^••J C?^J Roots lUT ^1^ iL. Soil Application Rate GpD/n2 •Eff#1 p."? 0.7 0-~> •6ff#2 /.fc \,^7<^ CST Name (Please Print) •-r^ UL^I^- Signature CST Number o"?no<?o-z6 Address po /3cy. fcfc O^Lt-.^-v Dale Evaluation Conducted<7Ao/-^Telephone Number 7\S--?^f;-73SSYT• Effluenl ff1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L • Efffuent #2 = BOD, S 30 mg/L and TSS S 30 mg/L 4>S°-00 SI^T-OZS ft.<^\ ' SBD4330(R03/22) Wisconsin Department ofSafety & Professional Service? Division of Industry Services SOIL EVALUATION REF In accordance with SPS 385, Wis. Adm. Cl: 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. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). ^iiii| p 2 52026 Page.. .onmguyp',. iQ/V~(Fie^-t^ Parcel I.D./?S36> Reviewed by Date Property Owner -n^ ^Trt-*?S^-JT±?^ C^-^-t<- Property Location Govt. Lot 1/4 TJ 1/4 S /c) T^-? N R 0(& E (or) W Property Owner's Mailing Address >77,S ^(3>^c-<i-u^-tL-^ (2-b Site Address or CSM and Lot #:v %>"?-)•$ je,T>e?_L^U£ (2-b . ^-"T I ^-^ -^ //?'/<" ^^ City, State, Zip ),-^.^ ,7-1 ^(r^, ^/T J--/8-71 Phone Number (?iS )Z^-',777 City D Village [/! Town ffLc,/^ ]L\^€jt- Nearest Road S?> ^c/t- Z./^^f/^b Q New Construction Use: 0 Residential/Numberof bedrooms Replacement 1—1 Public or commercial - Describe: Parent material ^^n~> -y h~ General comments and recommendations: _!_ ^•iS ib^ T?0 Code derived designflow rate i^^>0 GPD Flood Plan elevation if applicable^ H^VY ft. .') Boring #d BoringI Pit Ground surface elev.,Depth to limiting factor •> f?Sjn. / elev.5&.&8ft. Horizon IT _3_ Depth In. 0-8 6-Z-8 LS~ S'S Dominant Color Munsell 7.^ r^3-5'/ 7,c^ ^^ 7.5 ^ i<h Redox Description Qu.Az. Cont. Color Texture L<. s fw/l/"~r Structure Or. Sz.Sh. C.)G c^G =-Lci^ Consistence /^\7T ^K| Boundary G^ fci^ Roots ^-f- 1^-Z-C J^_ Soil Application Rate GPD/Ft2 *Ef»1 6.7 o:~) 0:1 *Eff#2 _1_^_ }.(. f.(c\ Boring #QBoring 'it Ground surface e\e\/.^7-)~1 ft. Depth to limiting factor ^'7^ in. / etev.9^'<'?ft. Horizon I TJ Depth In. 0-<£> (s- Z<p i-k- ^8 Dominant Color Munsell -7.S^/< ?.^ ^ ^1 7.J^V.7 Redox Description Qu.Az. Cont. Color Texture _^LT 5^~r Structure Gr.Sz. Sh. ©s6 oj^~oT^ Consistence /^{ j^-L/^/ Boundary 3^^ Roots zS/£ ^1-^s: Soil Application Rate GPD/Ft2 *Eff#1 0^ 0-"? £> 0 *Eff#2 ,.6 /. ^ i.(^ CST Name (Please Print) cj^vyL/c^f^. Signature CST Number 6'7|°?QOOZ6 Address /7Q /3cy. Jydp d/Y3 L£. \^ ^ C5Ste Evaluation Conducted7/^>At/// / * Effluent #1 = BOD > 30 & 220 mg/L and TSS > 30 s 150 mg/L Telephone Number >5^9^~^^-s- * Effluent #2 = BOD, < 30 mg/L and TSS < 30mg/L SBD-8330 (R03/22) !_Boring # D BoringI Pit Ground sftrface elev./^' l-'./_ft. Page 2- of Depth to limiting factory ~><> in. / elev.S^O-^^ft. Horizon _Lzz Depth In. 6-& 8- z& ZSo - -73- Dominant Color Munsell -76^^ ^.r^ i1/i 7,J/A >fh Redox Description Qu. Az. Cont. Color Texture L-S _^_ ^ y^/G/b^" Structure Gr. Sz. Sh. QSG OJ6 e.( 6^^ Consistence /^\-7J~ /w Boundary -3^L .°3^ Roots ^s ^v)-F7f~ Soil Application Rate GPD/Ft2 *Eff#1 0^ 0 . ~? 0.-1 *Eff#2 /,(^ t.C^ 1.0- Boring #D Boring D Pit Ground surface elev.Jt.Depth to limiting factor..in. / elev.__ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *Eff#1 *Eff#2 Boring #BoringD Pit Ground surface elev._Depth to limiting factor_in./ elev. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS > 30 < 150 mg/L * Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L (SUfi ip ^ I- FEB 2.5»J!SCHEC-< BOX A3 APPLICABLE. Ld SOIL EVALUATION SITE MAP PROJECT NAME: C'L^JUL 3 S£^ -OX AS APPLICABLE. Scale: 1"= 30'3oi3syii@^Co.ZQitigB©pI SYSTEM PAGE 2 OF //7////7777, (7.5 77//^ : grid) 7ZZ 7.5' 77, ^ 'PLOT PLAN DESIGN FLOW:c/?6 3PD PROJECT ADDRESS: ")~~>'>^ -^ i^ CT— L'^'-C- ^b BM Symbol: -^- Bhl Elevation: /oa • ° _ FT BM Description. /7oTT&/-^ S \ b>»^ G ( c.^b^— t+0^3'C Slope Gradlent (%) ^$-^' Well Symbol (if applicable): Q Indicate north bydrawing an srrow en lhe approprite line. Attach design flow calculations for commercial plans. Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) San [tan/ Sews r. _ /. Force Main:_ / IMPORTANT: Show ground elevation contours at suitable intervals. -n^^r^f -j-^M^-rt1 ^(A^ j I j j I i__U 1-t- j^^bs-1 ^r> ^e4 Lh-^^ k^\ _^^ ^l^LjL'lUr"-r i ^~] i—^—j-—^—-jjjj-—j-^ — ^_zn__pi^4__^_4—l_L-J_! ! i !T~I—.—T—I—i—' —i—T—S—T _0^c^-^f^^z^S -LLL ^7^y7n-Mt[7 j 'Iiyri | | i rrn jL^I^L.li^--t^b^i i2-io%i^ I 4;Tt 1 4s~^tsLd^_ki.__h^[T TT f~^A ^)/3^i^^! I i I I I f [[1 f jIT i i i i !i i i i n I ^T-rT~7-T-rTT-'~j'"-r7-~TT t^-r +5&] [{^ -J 10^,0 j ^o4,-vJ .s[->i^& jvyuLcd J<^<kT i ! •ffl ^ c?r?. T-? j i [ ^ -\ c?p. ti ! !1^7%.hl i I d~ sU^kd- <?^'i0'_LJ..-dLJ.Jr^—f~"-1'~T~L:~1 ~bt/|{G/<jj -rq 0 'p | e\rr •r]'^ • ^ -..5o'-^..-!... ie>0' cf\ g ISIiw.lj . SofIProfiI&^eet ' . . H FEB 2.5^ 1 O^r.^n^^rWu^a^ So,i Tester: -H/^ Ct./W!?^ coa 25;ffl^ D^ System El CYation:j^S__0_ Lo^d Rale; (3 , ~7 Sy^m Ranger J7^ ^•J,8 B -Ql '(^ (?J . <0 <1 e\~t.c:i~l C£ 9S"o f-~(5r-t-^^ <=-l °^, 8-3 yo.«e <£-. ©s " r- - 1 GO.n G£ C?S'. o y'r-S'?/^^ t*^- CT3.(. •? ^o.fc? CL ">& " . <Ey (.. S 7 G^~~ ^^0 c?-3 .<».'t- 3' afo.^z- €- ?-<>'" Private Sewage System Maintenance Agreement Owner(s) Name j(^or>-n c.u^-a-^ Owner(s) Mailing Address 7-?'?s S~^<^LA^LG (2_^».j (i-o^ '^^•(c^-/ W7- Site Address s^^e Tax ID #/c?.57<o 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 Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) ^€ 1/4 of -Ct 1/4 Section Jownship (-/-7 N. Range w. Additional Legal Description: Town of //Zo^ ,2-^fc"rt- (Acreaae) Z.S''^?' Gov'tLot^_3_ Lot.Block_Subdivision Lot / CSM# /^(f Vol. 6 Page/$''/ CSM Doc# ZCwl<f2-~ i)''?6Cc7c? DOCUMENT NUMBER2025R-606655 DANIEL J. HEFTNER REGISTER OF DEEDS BAYFIELD COUNTY. Wl RECORDED 02/25/2025 AT 8:1 5 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: ip; JC ^1 jc^ jj |i/; l[- [^Planning s^ Z61nirf^ D^p^rtifleri' Ijj n _^~ ' '!!i? ^ ZUZ5 ^'! >i!! i! WQIG'-•^. .a'f!in§ ysp^ In-ground gravity C_| Mound In-ground dosed D In-ground pressure distribution Sewage System: At-grade Sewage System D 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 manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At-arade. and Inoround 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 /1^. <?n+T Subscribed and sworn to before me on this date:.i^:"'^^_ '^ir"f^ im<A'ry ^^'?I^A^T ,tKR^-.^ Notarized Owner(s) - Signature(s Notary [^a^ilic^~ina^?-J- 0' [ :'s- ^ ,p:^| ly Cpmmisgion Expires:1 ^^8 ^.p^^\^^rr^\^?&Drafted by:e.t^\jT-'Date: ^/t'-//zo TS- Proofed by: u/forms/sanitary/septicmaintenceagreementRevised July 2020 3/12/25, 3:31 PM BAYFIELD COUNTS Carmody™ SANITARY PERMIT f#04)-25-9S STATE SANITARY PERMIT OWNER: TIMOTHY J & STEPHANIE M CLARK GOVT LOT: 3 LOT: 1 BLK: CSM: 1346 SE1/4 SE1/4 SEC: 19, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 10-25 REPLACEMENT SYSTEM SYSTEM TfPE: Non-Pressurized In-Ground PLUMBER: JASON KUETTEL 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 #: 1371 57 LICENSE: # 675751 CECE RUDNICKI Authorized Issuing Officer DATE: 3/12/2025 Condition: SEE TANK APPROVAL LETTER FOR BEDDING AND BACKFILL REQUIREMENTS. TANK SHOULD BE < OR = TO 36" BELOW GRADE. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. OLD SYSTEM NEEDS TO BE PROPERLY ABANDONED PER SPS 383. THIS PERMIT EXPIRES 3/12/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION h+tn<:-/AA/wwr;?rmnrivinr' r'nm/PprinifAon/Pftrmit c?inn ?iRnY'?Pnnt=1^nftrmifflnnirt==744ci 1/9