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25-11S
Request for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note Time Change fl Discrepancy fl Other Phone Number 715-739-6868 Plumber: Doug Manthey Fax Number Email Address Homeowner: Meschievitz norpines@chegnet.net Immediate Phone Number So Zoning Sanitary 25-11 S Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept No Inspection(s) during this time Date: 06 5 N e Tuesday (9:30 am - 12:15 pm) (Tracy) I aL j Plumber's Choice Zoning Dept Time: Township: Cable Address # & Road Name: 44305 Trail Inn Rd (j Y,; or 3g 0 Directions To Site: Comments: Plumbers you must verify any change(s) by fax or email ** Notes from u/fonns/sanitary/requestforinspection Zoning Dept (©4/12104); ® June 2023 ��.ranrtyr� Private Onsite Wastewater Treatment °s kw Systems ( POWTS) Inspection Report q �F WpNI.I. (Attarh to Permit) Industry Services Division General Information HENRY S MESCI-IIEVITZ JR LE Personal information you prov( ET AL 5.04 (fl(m)] Permit Holder's Name: 44305 TRAIL INN RD village El Town of: CABLE WI 54821 CST BM Elev: insp"8101"tlev: — — BMies�HtIi�� // A�j/jllf/ �i U% Tank Information setback to: TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic 4y,9 N/A Dosing N/A Aeration N/A Holding County Sanitary Permit No: 2.5 -US State Plan Transaction ID#: Parcel Tax No: rump t sipnon mtormation Pump Manufacturer ump Model // Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total F7r,rin Length Dia Dist. To Well UHSmersal Cell Information DIMENSIONS Width Lengtth # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell (Si. /� Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Elevation Data STATION BS HI FS ELEV Benchmark , y D Z Bldg. Sewer Tank Inlet j y Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface 7. ,2 Fy CO Final Grade .ao son t:over Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No CUMMtN is: (include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes l No Use other side for additional information. Date canS71n to nzni POWTS Inspector's Signature License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(a)bavfieldcountv.wi.gov Web Site: www.bavfieldcountv.wi.gov/147 HENRY S MESCHIEVITZ JR LE ET AL 44305 TRAIL INN RD CABLE WI 54821 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know /2o'a /'"/q/et7 was contracted by you to install a private onsite wastewater tre ment system on r property described as: Notes: Abandonment of Old System to meet all applicable code requirements: Tank was pumped by: .• Tank was crushed I removed and pipes disconnected by: on at AM/PM On cIat t— (AM / the above -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. fl 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. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Ulformsfsanitaryprope rtyowner-input April2019 CC—re,cr-,1 ,-__J '-a I Department of Safety County Hayfield & Professional Services, Sqn my Permit Nnmhur(ln { filled in by l'0- ) SPS Div15i� Industry Serv's t 1� if� ) Sanitary Permit Application I MAR 1-0 L % 941 e'fransaetion Number In accordance with SI'S 383,21(2). Wis. Adm. Code, submission ofthis (am, to the "plannot_e nvemmenml unit Note Application forms Ior state-tuwnel TAAbiidtfeiftk} I ''P}Nject Address (i1'different than mailing address) is required prior to obtaining a sanitary permit the Department at' Std'dy and Professional Seniors. Personal information you provide may he Used for secondary purposes in accordance with ue I'dvucy Law. s. 13.14(1 Rat), Scats. I. Application Information — Please Print All Information Property (Tyner s Name Parcel a 38687 Henry $ MeschievitZ Jr LE ET AL 1'mpey Owner's Mailing Address property Location 44305 Trail Inn Rd Gowt I.at 6&10 %. Section City, State Zip Code 54821 Phone Number Cable, WI 970-227-7327 --- •1• 43 N It 07 13 or w' 11. Type of Building (check all that apply) tot a Subdivision Name 0 1 or fanny Uwclling—Numhcn+fBednmms 3 1 Block a Cl City of ❑ Public/Commercial — Descnhe Usc ❑ State Oomed— Describe Use ❑ Village or ('MM Number 2197 ®Tern of Cable f__ III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line R. Complete line C i autllcable.) A ❑ New System l Replacement System ❑ Other Modification to existing System (exphain) ❑ Additional Pretreatment Unit (explain) l)' ❑ Holding Tank ll In -Ground O At-(irude ❑ Mound ❑ Individual Site Design O Other Type(espla(n) (conventional) C. ❑ Nenn�al Ueforo ❑ Revision❑'1'rnnslbno O Change of Plumber New lhrncr .is' 14ewmus Permit Number and Date Issued t!%piration IV. Dispersalrl'reatment Area and Tank Information: Design Flow igpd) Design Soil Application Ra ctgpd/xn I Dispersll Area Require! (sn iflispersal Area I'mpoacd ts0 System lilevalo iun ! 450 0.7 j 642.9 650 ��• Capacity in (ballons Total Gallons a of Units Manufacturer u B Tank Informmton New'rmar ; rei,mla'raakx —u Stplie or aoldingTnnF 1000 1000 1 Wieser Concrete Posing Chamher 600 600 V. Responsibility Statement- 1, the undersigned, mytGae rasp nslblllty for imtellntiuu of the POWFS shown on the attached plans. Plumbers Name(i'rinU I'lu cr's igl ore MP/MI'RS Number Business Phone Number MP 230722 I 715-739-6668 Douglas E. Manche •� Plumber's Address (Street. City. State. Zip Code) - PO Box 196 Drummond, WI 54832 VI. County/Department Use Only Permit Fee Date Issued Issue sera fPih'ture Approved O Disapproved g , .. 1. /) }! O Owner liwan Reason Ow Denial Conditions ol'Approval(Reusons for Disapproval as Slat( " J k12c Jt"t3.�'n 5%(.{IukJ h1nularl e(•fl('6A..F;Iu� Zrd( —plait'{(Lvci&rl i. i l'nfuIU QbC11)4 1 fl( th j SL/Jf �n" } -(,l7lelf .�:L LiV SiI -I/� �('lllitYl5Ls{lUzlk� /10,1 ,�r� Sc ._r....., ...,r«....,�"�t nor lt,t rhtntllasll inters in But Allath la compitiepwas iar.............................................. S13D-,398 (Ii. (13.^22) 9Gfl 1 12 —?S Sp-- c�oZM ORIGINAL Sn' Wisconsin0epartmentofSefetY&PmfessWnalServ)ces Division ofindustryServloes SOIL EVALUATION REPORT In accordance with SPS 3&5, We, Adm. Code county Attach complete silo plan on paper not less than 81)2 x 11 Inches in size. Plan must Include, Parcel I.D. but not limited to vertical and horizontal reference point(SM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Revid / •ill Page! of l property Owner Property Location ' �R �gc- �: T yL GoyL Lot % '/•SOD T Y3 N Ro 7 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: itl o+r T-- 1 SM n Rd Lay �si°'r '7)fl I -- City, State, Zip Phone Number ❑ City ❑ Village IZTawn Nearest Road I]NewConstruction Lice:LaResldenliel/Numberofbedrooms_2 Code derived clesignflowrate____QGPD Replacement 11 Public or commercial — Describe.' Flood Plan elevation It applicable ft. Parent material _,Ch' &( ,ob,r •,Q %. / �/` (J Generalcommentsendrecommendetlons:.1 Tenoa1C 1.a/lZ-F(d,W I /� S y e,,� t�L, 041$4 v 7 Boring * OBormit Ground surface elev_____it. Depth to Iimiling facto In.,' aIev 2. Still Annl it, Hnn Rate I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz Sh. Consistence Boundary Roots . GPO/PP 'EII#1 EIT#2 / 4 � -g Q -X2 7.sn�z ,. yl y ?r;tg4S 5 L .fl j.sb1v /lf F G ry l-" LT w)!i /do errs t . G I.c' • Z eaLS cos p -S G & aZ iet 6w — -7 '7 /• 6 6. 41 S Yo - s S- •Yl u s ZBoring # Dueling ��yy ®Pit Ground surface elev./v- r , It Depth to I1ml11ng faotor1�� In.I elev$7 %,._ Sall Annliratlon Rate Horizon 2 3 Depth In. $- /,c-3& 3E -o Dominant Color Munsell Y/3 Y `/ Redox Description Qu. Az. ConL Color ctd srk g Texture Structure Cr. Sr. Sh. A, SSA' B -s Consistence v F lr< Boundary &4, 6-w 6-4-' Roots /✓e4 GPD/FP 'Eff#1 . • o '�ENk2 /.O 1.6 605 SG n.,G .9 _•C C b- D Signature Date Emuent #1 = BOD> 30 S 220 mg/Land TSS> 30 S ISD mgn. S/- 0/2lAIM) Telephone Number 7sfl- e8( -ii o Effluent#2 = ROD, 5 30 mgll. and TSS s 30 mglL aBD-8330 (,R03122) .a tso.00 '-tttslzozs 9-D Page of 3 []Boris 9 ,:% Cepth to limi#Ing fectar _____ elev�= Boring# Plt around s trface etsv..:....._Jt. Sotl AppliCation Rate aPD1Ff Domine t Cplcr Retlox Description ' Texture Stnictl�r+e Consistence Boundary Roos Horizon Depth l nse Cu. Az Cent. Color. Gr. Sz. 3h. 1 3 s Y G21 s'rR 7E2 " 4" ii.. sic o —'------- 41 Ys -zoo co s r6 se ___ ____ ____ _________- LIII] 8orrtt DP n.1 elev.� Ground surface eiev..___.__Jt. Depth llmtiflg torJ ail Altcsu� Texture Stnnture Consistence Boundary Roots GPQ1t: Korlrcn Depth DomiRent Color Description Car. Sz. Sh. 1 ln.. Mansell QU. Az. Cont. Color .Bring. in.1 eicy.�n. ❑ Pii Ground eutfece eil...S . . ... DeAth !o Ihnnfting isctor— r --U- pin Texture ,Cant;'Catot L�iitu�tit#'! B Q > s0 2ZQ.i!?SW1 andTSS • 30 ≤150 mgiL * E iluent#12 = SOD. s 30 mgILLend TSS 3D m9IL .;p•r;i : .i(D6?/ 3 fl terrY tat MAR 1 0 [0`6 Sc4fe: : °c yO� ytield ca Zoning Dap. -owner H6Hrrs Ntcrc/ilevilz Jf LE ETA. gyjo5- %rail $'M^ .ed ca61e, wx. 5ygz( - Leyal 70wsC4 cab/e- r4PY�•�td S os TY�� 19� lr Crcvr d.�s 6+e ,n Dmc4..S-t4Y2 Tax 22.41 38487 3 pdk Slfc Hv�+e y43ms rr /Shs iC( c..abte W. 5Yfat 121N AeSSwoue rv" Abetre ji-a a on oor 13A a /a0 A017c. 8-{ az Sc.Yf' ' n397,7Y a yr0UF� CL 8 f"o g,%fl.9y 3.e ExTST..i4 gs, 3Y s/Sfea.t Cl. Q i ' 92.25' 1$2 - 9G•S'f G o slepc s 9 2 7`f 4 t3 3 .r st /z S /l-Olzf Hof 2sc68I-I'&P 3 PAGE 1 OF 5 In -Ground Dosed -Gravity Plap f5 �� Index & Cover Sheet I'l MAR 102075 Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)lo Go. Zoning Dept. Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Pump Curve I POWTS Application for Review MANUFACTURER TANK SPECS Soil Evaluation Report & Site Map Project Name / Description Meschievitz Conventional w/Lift Owner Name(s): Henry S Meschievitz Jr LE ET AL Owner Address: 44305 Trail Inn Rd Cable, WI Project Address: 44305 Trail Inn Rd Govt. Lot: 6&10 1/4 of Township: Cable Project Parcel ID #: 38687 Phone: 970 227 7327 Zip: 54821 1/4, Section 08 J43 N -R 07 E ❑or W u County: Bayfield Designer Information Designer Name: Doug Manthey Phone: 715 -739 -6868 Designer Address: PO Box 196 Drummond, WI E-mail: norpines@cheqnet.net License Number: MP230722 Remarks: Zip: 54832 Signature: Date: 02/07/25 O' j nal signature re on each submitted copy. 1°e.^r'Y I�c�e Lois f Sctct/ I u` `iot I+f2nnYs/has�Iitevtfz y,Q he ETAt gflos- T. -at( 7'n.• ee 4 1b i,,a SS'7zt Pawn 4 eeeMc fYt%'tIA cecvn'Ey SosrgyvkoIw to7/eStw st.ZI?? to &6VTA.°fs 6{'� A Doc zortjc- S7t?Ye rQx 2C). w 38687 g odk ° - THe- No.H� gg3oS rrrr/Sh, iu. c.akte wz 3q(at PoC r 1C� &.t noitin 19" AaSSwood .� 19^A60V� ^�t�4..iE ott Nor#h Sick c7 aM. /oo .81 it; i II V I5 MAR 1 it 2025 Bayfleld Go. Zoning Dept. w'v/ � io L U.)) orntG — 2 cells corn'") G5, oS E2 FIota IYteoiir. 9rouAJ EL. / — All C'.n' A c -tom be �'hya 14'4 �1 -fl. Ex7,'sr:ot srsfe&„ & �_ 92.25' Q (o o s/o,oe/ Ii y ., t Q 17,""J do sjR 3s Pc. N -(s rU.wd &' e:<-pic,. der it .n' J.l (s); -s 9J Q �3 92.7Y IN -GROUND DOSED -GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) r ceox.ma I TYPICAL TRENCH SOILCOVER Ir CROSS SECTION VIEW niN. benN �, (No Scale) OBSERVATION PIPE DETAIL depib I (No soy) Ibpira0 (_ — 1 "` T .. FNwaende SOP Cap 0•on) (mtra•eaamd.e) System tlevatlon= 92.25 R ••'. eowcProa s' '1� romnleaar (typical) Provide minimum 311 ego o,'"• separation between trenches. (s)1N•r xo's-- O apart TYPICAL TRENCH (Show location ollnlet I outlet pipe connection on plan Now.) e•aMa PLAN VIEW (No Scale) 4.0 oe mva os• sm•F papa memdna•mm•Itifl.. 5 ft Perforated Lateral Observation Pipe (typical) (typical) (typical) ------------- B=65 ft (typical) INSTALL PER TRENCH: 6 10 -ft bundles @5011' EISNunit = 300 rt + 1 5 -ft bundles @ 25 If EISNunit= 25 ft' - Proposed EISA per trench = 325 0' ---- EA .0=3ftm y -I D -- ----INpisaO > 2: 3 {um :A C EZ1203H Bundle O (typical) 11 c. (old by lr IVaror Systems, Inc.) GJo (h Install pursuant to manufacturers Irelrvctans. Required Infiltration Area 642.9 it' Distribution Method: x 2 trenches = Proposed Total EISA = 650 fte branched manifold PAGE 4 OF 5 GRAVITY -DOSED SEPTIC / PUMP TANK SPECIFICATIONS;, ft (No Scale) Iltl MAR 1 2025 4Vent Pipe >10 fl from Building 12" Min. or 2.0 If above Established Flood Elevation (typical) . IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade CAPACITIES @ 16.76 gallin Depth (in) Volume (gal) A 18 301.7 B 2.0 33.5 [C] 6 100.6 D 10 167.6 *Pump Tank Liquid Level = 36 in Force Main Diameter= 2 in Electrical must comply win-i'.,l� Id Co. Lolni o 1J pi SPS 316 and NEC 300 —Junction manhole riser as necessary. Weatherproof Box Approved Locking Attached with Warning Label Attached (IYPlcal) __..__.. 4" Mln. or 2.0 B above Established Flood Elevation (rypica ) �Ainlghl seal JTT:: — Dulck Disconnect a. 1B'Mln. (typical) • Weep Approved Joints with Hose Approved Pipe 3 It onto A Solid Ground (typical) I1 B Alarm B tl—On PUMP -OFF Pump _o0 ELEVATION = 81.33 ft ° INSIDE BOTTOM { _______Concrete 91ock ELEVATION 80.5 ft Force Main Length = 140 ft 3"Approved Bedding Material Beneath Tonic Force Main Void Volume = 22.8 gal Pump 35 GPM TDH = 15.2 [Cl Total Dose Volume (TDV) = 100.6 gal/dose 11.5 + 3.7 friction loss = 15.2 L( ≤ 0.2X design flow + form main void volume) 11.5 Vertical Lift = ft PUMP TANK: Volume = 600 gal Manufacturer: Wieser Concrete Pump Manufacturer. Goulds Pump Model: EPO411 (See attachedpump curve.) Controls/Alarm Manufacturer: SJ Rhombus Controls/Alarm Model: SJE1025830 Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume = 1000 gal Manufacturer(s): Wieser Concrete Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Filter Manufacturer: Orenco Filter Model: 14B )1 t AGE 3 OF ' In -ground Dosed -Gravity Management Plari; rtah, _,,,'' IMPORTANT: The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to 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 = 450 gpd; BOD5 5 220 mgL"1; TSS S 150 mgL1; FOGS 30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (Le. 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 (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: HK Septic Phone: 715-798-3494 Local government unit: Bayfield County Zoning Phone: 715-373-6138 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. !GOULDS PUMPS Submevs ble Effluent Pump 38i1 05005 4 hi.. _ LUZ5 ;lJ . yfr cl Co. /oiullg Unt. APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 3/d° maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/f NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. •Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller. Thermoplas- tic Semi -open design with pump out vanes for mechanical seal protection. METERS ,FEET, ■ EP05 Impeller. Thermoplas- tic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP' Canadian Standards Association Goulds Pumps is ISO 9001 Registered. 0 7 ..... .._............... ......_ _. ...-... .._............ �._ .... ._......... • EP04 Single phase: 0.4 HP, `— 6 zoo 115or230V,60Hz,1550 +... .. .... automatic reset a ¢ ... ....... ..... .._...... _ EPOS • EPOS Single phase: 0.5 HP, li 115Vor230V,60Hz,1550 3 1;I____— RPM, ....-.... . automatic reset z I .._ • Power mrd:10 foot sT -- - . standard length,16/3 1 — 1 .......... .........__...._.__._....... ........... SITOWwiththreeprong C______,_1-,.__.__- _.-__ grounding plug. Optional 20 ° °o 10 20 30 40 so GPM —_. foot length,1613 SJTW with three prong grounding plug o 2 4 6 8 10 12 m'lh (standard on EPOS}. CAPAcm Goulds Pumps m 2002 Goulds Pumps ITT Industries Effective September, 2002 B3871 4' CAST -A -SEAL row'I4"1 ilIi) II f V. !11'd MAR 1 .'3 2025 1-/ 540,61d Cu A lln0 1 1 1 II ' I 3' -J 1L1 1 TANKS ARE MANUFACTURED TO MEET OR 4" CAST -A -SEAL 4VENT OUTLET WLP1000/600-MR TANK SPECIFICATIONS DIMENSIONS: WALL• T BOTTOM: S' COVER: 5' MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 51' LENGTH: 12'-6' WIDTH: 7'-O' BELOW INLET: 42' LIQUID LEVELJ6' WEIGHT: BOTTOM 9.500 1.95. COVER 5,470 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GALAN (SEPTIC) 16.78 GALAN (PUMP) LOADING DESIGN: 8'-D' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP, OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE LAA w,a a C as a o� < II O � REVIEWED BY S PAD REVIEW DATE a w 01 DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SBCET NC APPROVAL DATE: 1 / Or PRODUCTS NEEDED BY: Department of Safety County Bayfield IPs & Professional Services, ary• 1'cnnil Number (In be tilled in by Co ) Indust Serv' $1 flap ry lS II l� L5 2 S Sanitary Permit Application I1 MAR '10 2L Soy Tmnsaetion Number In accordance with SI'S 383.2112). Wis. Adam. Code, submission of this foal to the Oppmprinte gnvemmenml unit is squired prior to obtaining a sanitary permit. Note Application forms for stale anxncd fiQ�IfA'"s trC36bjb(Inlf@ tect Address Uf diRerent than mailin t address) the Department of Safety and Professional Services. Personal information you provide may be used for secondun• purposes in accordance with the Privacy Law. s. 15.(4118m), Slat. 1. Application Information — Please Print All Information Prnpeny Owner's Name Parcel N 38687 Henry S Meschievitz Jr LE ET AL I'ropertv Ouncr's Mailing Address Ikupaty Location 44305 Trail Inn Rd Gavt Lot 68110 08 City. State j Zip Code Phone Number Cable, WI 54821 970-227-7327 ----y.• A, Section 1 43 N R 07 li or N' 11. Type of Building (check all that apply) hit N Subdivision Name 0 1 or 2 Family Dwelling — Number ofHedroums 3 1 Block N ❑ Public/Commercial — Describe list ❑ City of ❑ State Owned — Describe Use 0 Village of CSM Number 2197 OTmmnof Cable_.___, Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one hoc on line B. Complete line C if anl.!1lcab1t.) A O NovNew System Rc pixzmenl SystemP O Other Modifculiun to ICsista System (explain) :" • ( •� p � 1 Additional I'telnalmem Unit (explain) Il' O Holding Tank ® In -Ground O At -Grade O Mound O Individual Site Design O Other Type (explain) (conventional) C. O Renewal Ikfore ❑ Revision O Change of Plumber ❑ Transfer to New (hymn •ist Previous Permit Number and Date Issued fixpiration IV. DLs ersaVfreatment Area and Tank Information: Design Ho"Ib'Iall Design Sail Application Rotetgp+Usll I Dispersal Arun Required Isll Dispersal Area Proposed (Si)System f:lcvmo ion Vii` i S 450 0.7 j 642.9 650 Capacity in Total N of Manufacturer d Tank Information Gallons Gallons Units a C d ° °+ _ 2 5 _ `� �ew'rodu I Pxion'rmL Sepiesoltolding'fank 1000 1000 1 Wieser Concrete X roxinp Caomber 800 I 600 V. Responsibility Statement- 1, the aodersigoed, a. u csp mibttity for Installation of the POWTS shown on the attached plans. Plumber's Name(1'rinU Men cr's .ig arc MP/MI'ItS Number Business Phone NumberDouglas MP 230722 715-739-6868 E. Manthe + 1 Plumber's Address ( Street. City. State. Zip Code) PO Box 196 Drummond, WI 54832 VI. County/Department Use Only Permit Fee Date Issued Issuin gem(? lure / 1 Approved D Disapproved . L/t Q Osmcr O.wn t(cason for temwl 94 Conditions ofApproval/Reasons for Disapproval w '•, L4L� �( ' l %ztu ✓ F''/fS+ o SCikVeikrl {1nrt Z lt./) - tjq*A, 'tr4r,(-Cihen — {ZM i�I!/C YYI . z5- �{�1 p�(•7('y, ClbLcr)t�CY1 a' P%1hj c/'�(e _ eaifI t .�Si I -In ' '�y+tii <rnwaw h0 Z.on _ .....__.____._..,._,.._n._r.....n..wo„m„re not Ina flm a is a it Inchrs in a¢r Auden TO romp¢c ho, a.r,-1...... 5131-6398 (K. (13122) Sg_- c�c 21'1 ORIGINAL WlsconalnDepartmentofSafety&ProfessionaiSarvices fir•` ' ti DWisionoflndustryServlces 0 SOIL EVALUATION REPORT �§ 1 In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less then 81)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. -_-._..-..e.-.-...,'-..--aa,en-..ndnnr n„mnaan iPrivacv Law. S. 15.04(t)(m)). I.D. Page!z of--_- 4te property Owner Property Location l,( c• / OcvL Lot `a Y. S D$ T Y3 N R 0 7 E (or) W 6pe tyo n• s !s?cst�.�v,>t2 4F G'T /JL Lail CSAi Property Owners Meting Address Site Address or CSM end Lot tk NN3o � Tn4S! 2'n r Rd , .r.... tit 3.9t ._ .c -..r tors 6r /0 r'n A0G.. 202//f -n/8Y2. City, State, Zip Phone Number ❑ City ❑ Village XTown Nearest Road _ rnG/ rmaI/xn.,.V t ❑New Construction Use: 9'Residentlel/Numberofbedrooms_ _ Code delved designflow rete__VS GPD I3Repiacement ❑Publicorcommercial- Describe: Flood Plan elevation It applicable ft. Parent material ,C`a-A( i9eTGtgG l/7 General comments end recommendations:.? T e.rrct6 ia/ EL-F/ow £7 02 $ sit • o l 'gad 7 Baring # ❑Boring gFit Ground surface elev7'•S ft Depth to limiting factor in.I elevS I Soil Aootcaton Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh.•Eff . GPO/FP tl •Eff#2 / O- ? s fl /z L5 •?.a Gee WConslstenceBlaundaqRoots •7 t.G Boring # ❑Boring ®Pit Ground surface elev�y 8. Depth to limiting rector/010 in./ elev$r%_`ift. Soil Aoolicatlon Rate Horizon ! 3 Depth In. O -a 38 -Go Dominant Color Munsell 7 rYR-/ Y Redox Description Qu. Az, Cont. Color c.zd srz g _e.sB-s- Texture '4 S L Structure Gr. Sz. Sh. .7 rS M sbk d Consistence nwAP Jr l{ Boundary �-w 6-4'/d<,d Uw 6-w Roots /aofl GPD/F E .? •G "° E t1#2 1. /.0 Go s& n. .7 .i co -in CST Name (Please Print) SignatureCST Number Rr, `Ie.j n , ,. IA o iz 1 0000 Address //370 .4Ond( dr Date Evaluation Conducted Telephone Number W2 S P2t o2 2 7/of- la8l-//io - Ettluent #1 = BOD > 30 s 220 mg/L end TSS > 30 S 160 mWWL - Effluent #2 = BOD, s 3o mgJL and TSS S 30 mgtL SBD-6330 (R03122) %A % ,c.0o LWSl2o2S RAN Page' of 08011n9 surface etev9 7._•.^ Depth to limttng faCtar ln. ! etsw�g,� i. [iI] Boring # Ground Soli A lication Rate Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ft3 Horixcn Depth Dominant Color i Redox Desdtptton Qu. Az. Cont Color '!?ff#1 ' Et2 In. ttrtt:eli 111 rii ., y/J S' ________ •?ate SB ptd F 6-41 1 r �' • !� ____ �'. ra 3 .. � pis st Y eG•2d ssrR s%' SK O �P w -- �G . D . ? �r�� �, s� cc ep Ps 6� LIIBoring# (a]pltft Ground surface etev._ ft. Depth to Rmitirtg factor___ En.! elev.—ft. Soil Pticstlan Rate Hattxo:t Depth Damintett Color Redox DesCrlPtbn Texture Structure Consistence Boundary Roots I GPDIFP hi. Mtmsef Qu. Az. Cant. Color Or. SL Sh. f'siui 'Effp2 0 Boring. Depth to lkrtliing fscxor.,___.tn. / eksv.^,_ft. eL_iorir<g # �] Pit Ground surface elev._._ —Jt. Sail Appllcatlon Rate consistence Boundary► Roots GPDiFF a Horizon Depth Dominard Color Rsdox Description Texture QStructure »Etm1 'E g !n. Muneep Qu. Az. Oont.ColorI EWuent #1 ¢ BOD 20 S 22D m91L acrd TSS > 30 9150 mg1L ' Eftiiuent #l2 SOD. S 30 mgjt. end 7SS s 30 mO& 54V s/u- o..tvvl .is -69i'- ll90 30f3 tecr'Y 2S%. Sca/c: / "c 510' 04/fl er Henrys Mcsc/t(evifz fl LE ErAI YY3cs rrai( rn" £d £+blc wx. fl2( -1e4 l Tow c f us b/a.. coc c sos7y3 Row 4oT lc Sa, �'�14R it GwT (efs L+2 in Dmc2mrtR`�l¢yi tax zD. d sun 3 4dk sl+e Home 4Y36s r.,.;/sn., red. e -a b /e wz SY4a t I C4' �RSS wove !v" Above p-aJe. On nor 8m/O0 131 7G Sr-( r3 9G . Yf a3 97, Pr yroara EL. B i'% �c22. HY 3ee Err. Sr in gs,3Y S%Sfe,c`L. Ql 92.25' • J u MAR 1 3 2025 -. f ayfield Co. Zornny Dept. • 62-96•S'( 927`f A 63 am Sr f� s / o/zIOor PAGE 1 OF 5 In -Ground Dosed -Gravity PlarrII!) Index & Cover Sheet � I MAR 102025 LU Component Manual Design References: in -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2Q2 �Id Co. Zoning Dept. Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review MANUFACTURER TANK SPECS Soil Evaluation Report & Site Map Project Name / Description Meschievitz Conventional w/Lift Owner Name(s): Henry S Meschievitz Jr LE ET AL Phone: 970 227 7327 Owner Address: 44305 Trail Inn Rd Cable, WI Zip: 54821 Project Address: 44305 Trail Inn Rd Govt. Lot: 6&10 1/4 of 1/4, Section 08 , T43 N -R07 E ❑or W❑✓ Township: Cable County: Bayfield Project Parcel ID #: 38687 Designer Information Designer Name: Doug Manthey Phone: 715 739 -6868 Designer Address: PO Box 196 Drummond, WI Zip: 54832 E-mail: norpines@chegnet.net ; iris space resened hrr approval stamp. License Number: MP230722 Remarks: �j. Signature: Date: 02/07/25 Original signature re re on each submitted copy. zocs Pert >' 1k4•� r �Z_ Sca/e: / u= 4O` 1( EIIVLSD MAR 1 02025 Bayfleld Co. Zoning Dept. HerrrtS /hesc/ti/evifz pe £6 ET Re gg3os r, ;! Tn.. wx. 5qn( Town c4 ueb/e S en rqy %' R o'iw coT / c ss.. -219? (n 6av7 ASs C1-4' in be c 4m2UC' .S'9t 4Yz O r,rx .T D. 38684 3 L3cI e SJ{c Howe Hy30s- r-01/Ton R(, cable wz 3Hy"r \ /i�� I *i -no t -in it fdgSSwoud 4bove p e oct nova:, Vic Sa Y339?,2y we,7 to6 IQ U O, wQr ` Z cells CO4cv� •�J GS oS E2 Flow fl eoLc. 9rccarj FL Au C '�.. UL srLU ito. �l/A82.Yy 3r� Err sr ih s ;q 92.25' 6l 6? / Ovly yRI4Lc 11ptNl 1r RJR 3S Pc Z,-bw t- ,1 A crpic 4cr PbaTs verse., at (5�»'S 9) �3 27y )rn 23b i 2-2 IN -GROUND DOSED -GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) mh.tr Geob°" I (mom TYPICAL TRENCH corer SOIL COVER CROSS SECTION VIEW 6-0. (No Scale) mu. vench OBSERVATION PIPE DETAIL depth `,.•:.:' sa.w.TroumSap No Bob) IHp frm.earea Ca p ccci.) System Elevation = 92.25' fr. • T°a°2 c°"' (typical) Provide minimum 3ft Tcp OICoio, �ialu r2 '- Inin+bm) separation between trenches. a,wamwevpwua..,. (r+M't O.i ® .p.a TYPICAL TRENCH (SnowlocatipnolNetlouelplpeconnectiononplen cv.) AnebMpp.m PLAN VIEW S�nm (No Scale) 4i� om n cn p . .,p. au, a Perforated Lateral maah.a, ft (typical) observation Plpe ("kal) (mil) ERLH4 B= 65 ft (lyplm) INSTALL PER TRENCH: 6 10 -ft bundles @ 50 fl EISNunit = 300 ft. + 1 5 -ft bundles @ 25 ff EISNunit = 25 ft2 = Proposed EISA per trench = 325 ft2 I A=3.0ft¢. -----J lNpkal) tT+ra Gi 3 m �W EZ1203H Bundle �- c m O (typical) 3 ro -n (mid by lrYliaala Systems. Inc.) ra N Install pursuant to manufacl s 1.Wctlons. GeClint �r m L.=1 Required Infiltration Area = 642.9 n' Distribution Method: x 2 trenches = Proposed Total EISA = 650 ft2 branched manifold PAGE4OF5 GRAVITY -DOSED � SEPTIC / PUMP TANK SPECIFICATION 4e Vent Pipe (No Scale) l MAR 102025 >10fl from Building 12' Min. or 2.011 above Established Flood Elevation (typical) IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade CAPACITIES @ 16.76 gal/in Depth (in) Volume (gal) A 18 301.7 B 2.0 33.5 [C] 6 100.6 D 10 167.6 * Pump Tank Liquid Level = 36 in Force Main Diameter = 2 in Electrical must comply vith 13aylield Co. Zoning Dept. SPS 316 and NEC 300 weatherproof Extend manhole riser as necessary. Junction Box Approved Locking Manhole with Warning Label Al lathed conduit 4" Mln. or 2.0 fl above Established Flood Elevation (typical) ,—Aidighl Seal Quick Disconnect 18' Min. * ( Weep Hole A I� � Alarm On I� Pump } b_a1 Blodc - Approved Joints with Approved Pipe 3 It onto Solid Ground (typical) PUMP -OFF ELEVATION = 81.33 ft INSIDE BOTTOM ELEVATION = 80.5 ft Force Main Length = 140 ft 3" Approved Bedding Material Beneath Tank Force Main Void Volume = 22.8 gal Pump 35 GPM TDH = 15.2 [C] Total Dose Volume (TDV) = 100.6 gal/dose 11.5 + 3.7 friction loss = 15.2 ( c o.2X design flow + form main void volume) 11.5 Vertical Lift = ft PUMP TANK: Volume = 600 gal Manufacturer: Wieser Concrete Pump Manufacturer. Goulds Pump Model: EPO411 (See altactretl pump verve.) Controls/Alarm Manufacturer: SJ Rhombus Controls/Alarm Model: SJE1025830 SEPTIC TANK(S): Total Volume = 1000 gal Manufacturer(s): Wieser Concrete Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Filter Manufacturer: Orenco Filter Model: 14B Float switches containing mercury are prohibited. In -ground Dosed -Gravity Management Plan'I! MAR i u ZUZ5 IMPORTANT: Hayfield Co. Zoning Dept The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to 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 = 450 gpd; BOD5 5 220 mgL-1; TSS S 150 mgL-'; FOG S 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: HK Septic Phone: 715-798-3494 Local government unit: Baytield County Zoning Phone: Local government unit address: PO Box 58 Washburn, WI 715-373-6138 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. [qGOULDS PUMPS A. -y APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: a/: maximum. • Capacities: up to 60 GPM. 'Total heads: up to 31 feet. • Discharge size: l'/i' NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. •Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor. • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V or 230V, 60 Hz, 1550 RPM, built in overload with automatic reset • Power cord: l0 foot standard length, 1613 SJTOW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller. Thermoplas- tic Semi -open design with pump out vanes for mechanical seal protection. MtItH! Pte 0 a W I z O Submersible Effluent Pump EPO4 3871 r1i MAR •i ti ZUZ5 L ■ EP05 Impeller: Thermoplas- tic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. Bayfleld Co. Zoning Dept. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING RCanadian Standards Association Goulds Pumps is ISO 9001 Registered. 10 12 mslh CAPACITY Goulds Pumps ®2002 Goulds Pumps ITT Industries Effective September, 2002 63871 fit/) L G L5 O V ! IfnI MAR 1 iJ 2025 9ayfeId Cu LOONIQ Dept OR 4' CAST -A -SEAL VENT 1 OUTLET i X -u El U 0. P } a ^ PUMP PAD WLP1000/600—MR TANK SPECIFICATIONS DIMENSIONS: WALL 3" BOTTOM: 3" COVER: 5' MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 51' LENGTH: 12'-6' WIDTH: 7'-0" BELOW INLET: 42' UOUID LEVEL: 36' WEIGHT: BOTTOM 9,500 LBS. COVER 5,470 CBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GAL/IN (SEPTIC) 16.76 GAL/IN (PUMP) LOADING DESIGN: 8'-0' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP. I OR SEPTIC/SIPHON I COVER: MIX DESIGN [8 (NO FIBER) 1 TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZEDQJSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE S � I J G o Z a REVIEWED BY oo REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NC APPROVAL DATE: 1 / PRODUCTS NEEDED BY: 1 Private Sewage System Maintenance Agreement DOCUMENT NUMBER 20258-606556 Casey D Meschievitz DANIEL J. HEFFNER REGISTER OF DEEDS Owner(s) Mailing Address BAYFIELD COUNTY. WI 44305 Trail Inn Rd Cable, WI 54821 Site Address RECORDED 44305 Trail Inn Rd 02/13/2025 AT 12,35 PM RECORDING FEE: $30.00 Tax ID # 38687 PAGES: 2 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 WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 114 of 1/4 Section 08 Township 43 N. Range 07 W. Recording Area Additional Legal Description: Retum To: Cable Town of (Acreage) Gov't Lot fi Planning and Lot _ Block Subdivision FEB 42 i 025 Lot CSM # 2197 Vol. 12 Page 424 CSM Doc # ❑ In -ground gravity ® In -ground dosed ❑ In -ground pressure distribution Sewage System: O 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 he 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 -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. 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 maybe 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 Subscribed and swom to before me on this date: Casey D Meschievitz Notarized Owner(s) — Signature(s) Notary Public • �`v 1G'St pires: Drafted by: Doug Manthey /25 /$•'' O1 AR y 2 _,i J Proofed by: ••••. PYx+�` u/loans/sanitary/septianalnlveaJul2020 Revised July 2020 3J13125: 12:00 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 2/13/2025 Description Updated: 11/1/2024 Tax ID: 38687 PIN: 04-012-2-43-07-08-4 05-006-13000 Legacy PIN: Map ID: Municipality: (012) TOWN OF CABLE STR: 508 T43N R07W Description: LOT 1 CSM #2197 IN V.12 P.424 Recorded Acres: Calculated Acres Lottery Claims: First Dollar: ESN: (LOCATED IN GOVT LOTS 6 & 10) IN DOC 2021R-591842 17.510 17.510 1 Yes 108 '3 Tax Districts Updated: 11/10/2021 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 'A Recorded Documents Updated: 3/18/2014 © QUIT CLAIM DEED Date Recorded: 11/3/2021 2021R-591842 0 CERTIFIED SURVEY MAP Date Recorded: 9/17/2021 2021R-590981 12-424 © QUIT CLAIM DEED Date Recorded: 2/6/2019 2019R-576323 © QUIT CLAIM DEED Date Recorded: 5/18/2016 2016R-563618 1160-659 93 QUIT CLAIM DEED Date Recorded: 3/30/2016 2016R-562764 1157-997 © WARRANTY DEED Date Recorded: 1/31/2014 2014R-553232 1121-199 0 CERTIFIED SURVEY MAP Date Recorded: 1/2/2014 2014R-552951 11-84 Property Status: Current Created On: 11/10/2021 11:35:15 AM W Ownership Updated: 11/1/2024 HENRYS MESCHIEVITZ JR LE CABLE WI JESSIE L MESCHIEVITZ LE CABLE WI CASEY D MESCHIEVITZ CABLE WI Billing Address: Mailing Address: HENRYS MESCHIEVITZ JR LE HENRYS MESCHIEVITZ JR LE ET AL ET AL 44305 TRAIL INN RD 44305 TRAIL INN RD CABLE WI 54821 CABLE WI 54821 P Site Address * indicates Private Road 44305 TRAIL INN RD CABLE 54821 B Property Assessment Updated: 3/14/2022 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 122,800 83,700 G6 -PRODUCTIVE FOREST 16.510 34,700 0 2 -Year Comparison 2024 2025 Change Land: 157,500 157,500 0.0% Improved: 83,700 83,700 0.0% Total: 241,200 241,200 0.0% Eli Property History Parent Properties Tax ID 04-012-2-43-07-08-4 05-006-30000 8539 04-012-2-43-07-08-4 05-006-11000 36861 EGEoVE 0 1111 FEB "i 42025 Bayfield Co. Zoning Dept HISTORY © Expand All History White=Current Parcels Pink=Retired Parcels U Tax ID: 8539 Pin: 04-012-2-43-07-08-4 05-006-30000 Leg. Pin: 012102307000 l Tax ID: 8547 Pin: 04-012-2-43-07-08-4 05-010-10000 Lea. Pin: 012102405000 © Tax ID: 8541 Pin: 04-012-2-43-07-08-4 05-006-20000 Leg. Pin: 012102309000 • Tax ID: 8540 Pin: 04-012-2-43-07-08-4 05-006-10000 Leg. Pin: 012102308000 38687 This Parcel T Parents 'S Children https://nows.bayfieldcountyvd.goviacress/master.asp 1/1 4/15/25,4:52 PM Carmody'"' BAYFIELD COUNTY SANITARY PERMIT (#04)-25-11 S STATE SANITARY PERMIT OWNER: HENRY S MESCHIEVITZ JR LE ET AL GOVT LOT: LOT: 1 BLK: CSM: 2197 1/4 1/4 SEC: 8, T 43 N, R 7 W TOWNSHIP: Cable SOIL TEST: 12-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Douglas E Manthey CECE RUDNICKI Authorized Issuing Officer DATE: 4/15/2025 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: 19770.168; 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: # 230722 Condition: SYSTEM ELEVATION SHALL BE > OR =1' BELOW TENSION SATURATED HORIZON - SYSTEM ELEVATION = 92.25'. PROPERLY ABANDON EXISTING SYSTEM PER SPS 383. CORRECTED SOIL TEST SHOWS SIL IN TENSION SATURATED HORIZON. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. THIS PERMIT EXPIRES 4/15/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION hone•//www r rmnrivinn rnm/ParmitAnn/Parmit Sinn ncnx7Print=1 Rnarmitnnnirr-74F;n 1/7