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Home My WebLink About25-10S^s-oosol» ^ & ^ R^ Bayfield Co 2025 isuy Serrices Division 2 Madison Yards Way ^) {-1 radison.WI 53705 P.O. Box 7302 Zoning DeDtMadiso"-w53707 CQU3S.' r\. ?&V't-> e Sanitary Penhit Number (to be filled in by Co.) 2C^\ o^ Sanitary Permit Application In accordance wiih SPS 383.21 (2), Wis. Adm. Code, submission of thi» form (o (he appropriate governmental unit is required prior to obtaining a swiitaiy pennii. Nolc: Application forms for sac-owned POWTS are submiucd to tht Depanmen! of Safety andProiKSion^) SCTvices. Pcisona) inrormalion you provide may be used For secondaryouiposes in accordance with the Privacy Law, s. 15.04( 1 )(ffi). Stats. Slate Transacuoa Number I. Application Information - Please Print AU Information Project Address (if different than mailing address)r<^(241S~ ^ev^cRA Vy<o7 Parcel^ 0\b-\0f\-^0-loc\^0 Pmfiwy Owner's Name . Lt*^dev^ Property Owner's Mailing Address <J sc^oci L^\<~e R<L Propsny Location Govr.Lot Ciiy, Stau $Ue La\<e U I Zip Code5M^ II. Type of Building (check aH that apply) |1 or2 Family Dwclling-NumberofBedrooms. iblic/Commercia! - Describe Use ite Owned - Describe Usa z- Phone Number ~l\5-2Dci-^Uk Lot S t^^'/^SUj '/.. Section I "2- T Hlo N R_a&Eort Subdivision Name Block^ CSM Number jQcityof. 1|jviliageof ^gTown ofJ^eliS. IIL Type ofPOWTS Pennit; (Check dther "New" or "Rqilacement" and ofter applicable on line A. Check one box on line B. Complete line C if] applicable.) A.iew System &.eptacement System ler Modification to Existing Sysiem (explain) ||_jAdditional Pretreatment Unit (explai( B.lolding Tank [In-Oround (conventional) I JAt-Orade IMound Individual Site Design [Other Type (explain) c.Renewal Before Expiration I Revision mge of Plumber [Q-nasfer to New ChvnerjList pw"ous pe"nit N»rober sad D8te ksued IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) 300 Design Soil Application Ralc(gpd/sf)n Dispersal Area Required (st) 42.R. ^ Dispersal Area Proposed (st) 4^ 2-ijh System Elevation^.^ Tank Infonrcinon Cepacity in Gallons 'VwTvSs Exitting Tank.< Total Gallons f of Units Manufacturer IIH .3£ !J 1—T(Scpti^ or Holding Tank ~7fa0 3UL \AI)e.\^e\aDoting Chamber CD n-j V. Responsibility Statement-1, the Bndm»gne<l,assBtnc respowSiWy.tytastaSztios of the POWTS shown on ttie attaclied plans. Piumbcr'sName (Print) iia.f\ $<s.L^o^T2i- MP/MPRS Number lS't^|2-(i Business Phone Number -7/S'-.5-<5B-S9o4 piumbcPs'Addrcss (Sireei. City. Stale. Zip Code) // -)o~! fcuJ> $~^e Lp.k&A, s4one LA|A£,LJI WQ-Ks VL^ounty/Pepartment Use Only Approved 0 Disapproved D Owner Given Reason for Denial PenpitFeaa£j Dale Issued 3J2&/?y3l7. Issuii)g AgyfJlSiSGatcreM'^jp <-^Conditions of Approval/Reasons for Disapproval <^<,cAt<^<^^ ^f^. ^niJz-s AUuh to complclc plant for (he syticro »nd tnbmll to (he County only en piper not ItU than 81/2x11 Inches in (in SBD-6398 (R. 02/22) •» 0 nn-; li. Bayfield Co| istry Services Division 22 Madison Yards Way (^ p ^ fadison, WT 53705 P.O. Box 7302 Zoning DepLMadison'WT53707 County ^\ 'Ayt > € Sanitary PerAit Number (to be filled in by Co.) Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for statc-owned POWTS arc submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary puiposes in accordance with the Privacy Law, s.J5X)4(l)(m), Stats. State Transaction Number I. Application Information - Please Print AU Information Project Address (if different than mailing address) l2Ln5" ^£VMC R.A Property Owner's Name . Li^d&v^ ^>-evc\ ParccTW 0\b-\Oci-l^O-(Dci(oO Property Owner's Mailing Address (J 5<^0ci Lct\<-^ R(\. City, State $+oiA^Lct\<G Lc>l Property Location Govt.Lot. Zip Code 9>4gn6, II. Type of Building (check aH that apply) |1 or 2 Family Dwelling- Number ofBedrooms 'ubIic/Commercia! -Describe Use IState Owned - Describe Use 2- Phone Number -n^-2o^-^fc Lot # N)E''/,.5'U 'A Section I z- T ^ N R O^Eo^) Subdivision Name Block # CSM Number Qcity of. I[village of ^Town of C>€ HL Type ofPOWTS Permit: (Check either "New" or "Replacement" and other appEcable on BneA. Check one box on fine B. Complete line C if applicable.) A.lew System I iReplacement System ther Modification to Existing System (explain)[Additional Pretreatment Unit (explain) B.lolding Tank IIn-Ground (conventional) I^t-Grade D'Mound (Other Type (explain) c.I I Renewal Before Expiration DRevision ige of Plumber 'ransfer to New Ownerl[List Previous Permit Number and Date ksued IV. DispersaI/Treatment Area and Tank Information: Design Flow (gpd)300 Design Soil Application Rate(gpd/sf)n Dispersal Area Required (sf)42-cl ffi.Dispersal Area Proposed (sf)LnziA System Elevation^.^ Tank Information Capacity in Gallons New Tanks /Scptii) or Holding Tank Existing Tanks Total Gallons # of Units Manufacturer s-a S•sl3 II8 §s a§i•fc 0 ~lb0 Dosing Chamber ~l{^\A')e\<>€\ V. Responsibility Statement- I, the undersigned, assume responsibnits.fyiastallation of the POWTS shown on the attached plans; Plumber's Name (Print) ^S^^\ 5^(/\o^ Plumber's Si MP/MPRS Number l^((plz(i Business Phone Number -7^-?<5B-S<?o4 Plumber's Address (Street, City. State. Zip Code) / / '}o~7fct^' $-^<L L£tk^4&", $4o«4e Lft^,Lji ^8-7^ VI. Connty/Department Use Only Approved D Disapproved D Owner Given Reason for Denial Permit Fees Date Issued Issuing Agent Signature Conditions ofApprovaI/Reasons for Disapproval Attach to complete plans far the system and submit to the County only on paper not less than 81/2x11 inches in size SBD-6398 (R. 02/22) 808M11-2:5 Wisconsin Department of Safety and Professional Services Division of Industry Senices S^.- 0020S roi g e g 111 M -\ / 2025 SOIL EVALUATION REPORT ,..,,3avifeld i;o. Zoning Oept. orc3' Page. of_ In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 Inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope,scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1 )(m)). County :IELD Parcel. I.D.G\^~\0f\ -bO -^(oO \^^} Rev p^n,W(?^-Datet>2^[Property Owner s4-eu-e.v\ R.. L-incl^^b<rq Property Location GovlLot (Jt? '/<.StJ '/' S /2- T 4fc» N ROfi D [Property Owner's Mailing Address Kl -S'qpQ La^e. M ^±SL i Address or CSM and Lot #:<?.T^c"^ed M.q^ P.10& lZ^nS<r<^<J ^ City State W{ Zip Code -s^n^ Phone Number (ao<?)^q^ D City D Village D9 Town Oelk LJes-t _ ^ 12,17 S- Nearest Road Scenic- R^cL New Construction Use: Vj& Residential/ Numberof bedrooms D Replacement D Public or commercial - Describe: Parent material.So.wdi O-^-t-OA'y^ Code derived designdow rate 300 GPD Flood Plan elevation if applicable* HO ft. General comments and recommendations:,7 $o:ls.<c.<^ el. c?<-.5''(/ro.^e <?3.$--c?^')_^t Boring #a BoringQ Pit too. /3 Ground surface elev,. ft. ,2.0 Depth to limiting factor.Jn. / elev.. q6. (3 -ft. Horizon _L 2-_ 3M 5' Depth In. o -* 4--7 -7-2-3 z-i-6-z 62--1-2 Opnunanl Color Munsell ^ -t.^*- 3/2- - y«/ - -< (//? 3 <Y«- 1S;A Redox Description Qu. Az. Cont. Color O-Z.tfyt \1-(- f0£»+5 Texiure _L$_\$ -i- _5_ D ?g> Structure Or.Sz. Sh. 0^~^» •t <1 Consistence ~^\_ n ^L A. Boundary <^tL> '< 11 Roots 3L^ Z-tf-^ t^( Soil ApplicationRate GPD/FC •Efffil .-I _!. .1 .1 •Effff2 l.(- ±Je- J_^_ _u^ Boring #QBoring[gPit <^ci.5tf Ground surface elev... ft. t(q'f <slo.oH Depth to limiting factor.._m. I elev.._ft. Horizon _^_ 3_ _yL Depth In. °^1_ •^--1 ^5^ J^f-U^J Dominant Co.lor Munsell <TO -?*5yr- 3/2- .. *//<4^T Redox Description Qu. Az. Cent. Color S.^t'\ UJF- ra<>^? Texture (•5 <? ^. ~Ta~' Structure Gr. Sz. Sh. 0 -5-5 •( ^ II IZr Consistence J^J_ •t << Boundary ^ (*1 n Roots jz^if^H- i^Vf- Soil Applieallon _Rate: GPD/Ft2 "EfflM .-I ^ •-T "E.Wt-2 -L^_ JJ-- J_^_ CST Name MERTON MAKI Address 10869N SMITH COURT HAYWARD, Wl 54843, si9nature^^^. KJ- Date Evaluation Conducted 1-3 -2.5" CST Number 224901 Telephone Number (715) 634-871 9 Efftuent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluenl #2 = BOO, s: 30 mg/L and TSS £ 30 mg/L SBD-8330 (R04/21 ) ?c.\<^ ^so.oo ^n\ 12s R^^ SR- 0029& Department of Safety and Professional Services lustry Services SOIL EVALUATION REPC In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). OTVG^ Page_of_ County nogjosp Parcel. I.D.b\^-[0^ -b0 -k>c\^0 Reviewed by Date [Property Owner i-r-e.^\ K.. L'l^d^^b-er-g Property Location Govt.Lot |J (7 % SlJ ,43 /2. T 4fc> NRQfi E (or) property Owner's Mailing Address N) SW La\<e. (L<1 -US' Site Address or CSM and Lot #:(?.l1^c S)^ \».c^ P.IO& City M-€- L<=L^e- State \^\ Zip Code ^^~]b Phone Number (3-oc^)W(ff D City D Village El Town l^l-k \^}&^ 4t- (2.475- Nearest Road Scenic- R-d. New Construction Use: 1$S Residential/Numberofbedrooms, n Replacement D Public or commercial - Describe: Parent material ^ Sa.v^.C^s^ 0 »J -^<J>JA. ^^ General comments and recommendations: .2=_Code derived desianflow rate 3d0 GPD Flood Plan elevation if applicable^ Li0 ft. .7$o;l$.<^,, el. ^4.5-Yrcx^e <73.5--9^'<)-^\ Boring #D BoringQ Pit ioo.S5 Ground surface elev. ft. 12.0" cl^(5 Depth to limiting factor_in. / elev._ft. Horizon I z 3 •4 ^_ Depth In. 0-4 4--? -1-^3 Z3-^ (&2--1^ Dominant Color Munsell ~1.^^ ^ yty - •* H/f i ^^ '5/j Redox Description Qu. Az. Cont. Color o-2.«v^ v-^- roo*^-? " Texture Is _IA-JL _5_0 ^& Structure Gr.Sz. Sh. _b_ >\ •k •I Consistence jvj_ •<> Jl _*L Boundary UJ '( •I Roots zo^ Z-V^A l^f Soil ApplicationRate GPD/Ft2 *Eff#1 .-( .7 .^ •-L *Eff#2 l.(- J_^_ _\_^_ (.6, Boring #QBoring[gpit qfc?.S^ Ground surface elev._ft. liq " Giff.oH Depth to limiting factor_in. / elev._ft. Horizon \ 2- 3_ J^_ Depth In. o-3 "^--1 -7.5^ Jtf-t^ Dominant Color Munsell <"0 ^'5y^ 3/z_ «' ^ 5-,^ Redox Description Qu. Az. Cont. Color 2-^>'\ u(- roof? Texture (<? (? ^_ ~To~- Structure Gr.Sz. Sh. <!> - 5<1~^~ « ^r Consistence K/ •( 1( Boundary C\ LJ^a Roots _2^ •2-d^ N(-^ Soil ApplicationRate GPD/Ft2 *Ef?1 .-I .-7 ••7 *Efi#2 l.(^ f.t» 1.^ CST Name MERTON MAKI Address 10869N SMITH COURT HAYWARD, Wl 54843 Signature /.,_ . p . Date Evaluation Conducted I - 3 - ^ CST Number 224901 Telephone Number (715)634-8719 • Effluent #1 = BOD > 30 £ 220 mg/L and TSS > 30 & 150 mg/L * Effluent #2 = BOD, S 30 mg/L and TSS < 30 mg/L SBD-8330(R04/21) 3 Q Boring c?5.?7 Page..of^ >Yl Boring #I Pit Ground surface elev._ft. fo^n ^c?.y7 Depth to limiting factor_in. / elev._ft. Horizon 2- ^_J-L 5- Depth In. 0 '. ^-<s> 8-2-8 28-(>2. &2.-lv7 Dominant Color Munsell < -r.^t- y^^« •//? y? Redox Description Qu. Az. Cont. Color ^'o 2-c.'<->, Texture ~TT _[_?_^^ Structure Gr.Sz. Sh. 6'^ 1\ •t •f Consistence ^T t\ •( >1 Boundary t^> •< It Roots 2-^C 2.0 <-C T.-^ Soil ApplicationRate GPD/Ft2 *Eff#1 M- .-I .1 .-7 *Eff#2 _LG_ (.(^ l.G» t .6, Boring #D BoringD Pit Ground surface elev._Depth to limiting factor.in. / elev. Horizon 2_b4/ ^^ Depth In. . 'X. ,5-1 42-^ f^c ^ <S»T Dominant Color Munsell )qpd - tA — ZC 12-G>M ^-TS-0^ Redox Description Qu. Az. Cont. Color lldtS rt~ ^~1^0^[ < Texture ^^] 2.\ .4S e-i/Lci r + Structure Gr.Sz. Sh. ^= 4-2^ zz. 5 ^ ^ C: L4e* Consistence tft. C<e^L ^(->C^»vih-< ^_ Boundary ll^&C^ rS Roots Soil ApplicationRate GPD/Ft2 *Efl#1 *Ef?2 Boring #D BoringD Pit Ground surface elev._Depth to limiting factor_Jn. / elev._ft. Horizon Depth In. ^u^,.U^^r; Dominant Color Munsell -t- UJ<£-\(. Redox Description Qu. Az. Cont. Color 0^N •^t"+<; Texture T-To Structure Gr.Sz. Sh. &-<^ P<=t.v< Consistence 3: Boundary Roots Soil ApplicationRate GPD/Ft2 *Eff#1 *EfW2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS > 30 s; 150 mg/L * Effluent #2 = BOD, & 30 mg/L and TSS & 30 mg/L f^ - * ? > 0^ \ < 1 . — < P li i i ^ j ' s . I^ J s s ^ I ? . i " 1 ^•J ^^^ t16^ ^u\00 g^ L t L ^ ( < e r ^^- tf odK t ^T T 5 ^ I 8 ^' 1 - a ^ ? V - - g 0- .' J : V . • . ^ ' 0 ^ 00 ^'0 0 \0p ^<p•^ cf? 1+0 0 GO^1F ^' ?-»-^^j»(^ ^hL-c •> . (7 ^»^?0 ?,0 (• t -w0 0.\, ^\v ~ 1+00 ?, n^ J> " ( ^ S <J ) rt <.(° 0^>rp ^ r -c » -I^ A ^ ^ »& j ? s - rt » p- ; ? I?LS Imte na> ^ '. " ' 0 J : CP u ^ 1 ^ <r /b -, \J > i 4 o o ^ r&0 6» - . - . » . -n ,. r \K J ., L . ^)-c u~ • I I I I I• I O/ t t » * t • < * < I I I I t <2 > ff ^<i > -^ J .. £• I I I • • I I I I I I -p^.J L . bi _ G ^ -S ) 4- •O s l — ^^€a- i -T^\M -/ q - J-•^ ^- JS >^ G" • I • I S i -H - H - i j I I ' I {•- » — I I • i 4 w•• • < ^^^* > A .S L . . . . . ^ ^ ^ { < 1 i 3 -l - " " t - I j co ft \w' -h^-)^^J? ..I . . ! j I • .- ^ f o ™ . * . . ( ^ . — ^ * . . - . ^ ' > ^ h " t " SJ ^^ y t ^ ^ ^ f s ! ^ <. < ^ ( " -£ }®- |( T ) 1( 9 - lA i 15 lu " ^ Kga'u .< / 1 0 ^ Y \ ?yy ^-QM I? \h^t?^Y^ In-Ground Gravity Pia^ PAGE 1C §ndex & Cover Shee? Component Manual Design References: u u In-Ground Soil Absorption for POWTS Version 2.1 (May^ggj^Cg CT ^ Pg1 of 4 Pg2of4 Pg3of4 Pg4of4 ^ 'L^L~) 2?^ning Depi Index & Cover Sheet Plot Plan Dispersal Area Cross-Section & Plan View Management Plan Attachments:Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): ^€^(L^\ ^~- U^A-e-v} b^<~^ Phone: It'T- '2-0? - fc^^-b Owner Address: U 5C\OC\ Lc^ (LA. ^o^ie^l^ ^o>/ Zip: S'^g'T^ Project Address: _/247S" <5c^\c (^6 , t>e-[ -k ^J < Govt. Lot: Township: b^-l-^y M(? 1/4 of 5CJ 1/4, Section 12. , T ^ N-R 0& E County: B^v-P.e I'd- or W y Project Parcel ID #: Ol(o - \W- bo - kcHoO Designer information Designer Name: t>^[c^y\ <:^'c.^J\,\~\ Designer Address: To~l6? E-mail: — License Number: I 5~/b (2-c( Remarks: Phone: -US' -5-^g - 9c^t^1^ ^^l^lTZ- Phone: ^5"-5-9B- ^ LJ S-jo^c. L^l^ ^ ^\ov\^tA<-^ C^ip: S14&'7(o ly/<^\ >k-^ /•f-^1 ^ C^l ^ ( ^ ^f^\ This space reserved for •i »y approval stam Signature:Date:/-y-^5- Origjn^fsignatu each submitted copy. Qt-01'ler.S •• 5-t-(?\i'e'v\ P^. L i'v\ Jevy b-eN~<^ t^5^o<i L=.^-& e-d. ^>^.€. L^V-e^ L<J I 5'<-i V~i^ S:^-. 12.^-75' 5cer\ 'ic Dr. L&^l-. Sv^&ici ct<?, &el-fea^ig-ei:z& fl^J-- Olfc-IO'l- fc0-cl&0 jJC/SW 5" l-L TLtbl^ 12. ^8UJ J:8oo: A: (2-0 sWp ?K(oo A £l«.£l-.-6-6^ ^ - ±Sod A&h^lOO* Top»-F-uJ&-tl &(. (oo.(3 2. <^-5^ 5. ^-^ .1 ^o'.lf S^.&.l. CCk.^ C^^C <l5.5—ci-)t) z.^^4- +0^0.1 &- Ujeif I ^a.t- pr'r Z- ^d. t 500" To 5c&^<- 5Ccd^ I '= 40 i\ koi^<^e>_>^<i. ^e>\[ T'f. f\,-v-e^. sx^. IL, i, ± 1.50 |sl^4-+o^&«l,<£.^ IN-GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) SOIL COVER 12" mln. trenchTYPICAL TRENCH depihCROSS SECTION VIEW <lvplcal) (No Scale) Highest Trench Sepllc Tanl<(s) Manufacturer: We_LS-ev~_ ~Jt>0 ^ Pol^ot Septic Tank(s) Volume(s): gat — gat Effluent Filter Manufacturer: gal Effluent Filter Model H:s-^s' 4 '<; (lyptcal) Provide minimum 3 ft separation between trenches. System Elevations = clfc.(> ft: c1^-ft; Lowest Trench (as applicable) ft; _ ft; Qulck4 Standard-W w/ End Cap (typical)(Show location of inlet / outlet pipe connection on plan view.)Observation Pipe(typical) Install par manufaclurei's Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) INSTALL PER TRENCH: IZ. Quick4 Std-W @ 20 ft2 EISA/chamber = '2-q 0 ft2 + ^ Pairs of end caps @ 6 ft2 EISA/pair = _L. ft2 Quick4 Standard-W Chamber (typical) (mfd by Inflltralor Systems, Inc.) Install pursuant to manufacturei's Inslructlons. n>Qm 000-n^ = Proposed EISA per trench 2.4^ft2 Required Infiltration Area = 4ZC\ x 2— trenches = Proposed Total EISA = 4C(2- ft2 01I Distribution Method:o •J p ^v~cuj<-r^/ ^s3 ^&L (d0(D% In-ground Gravity Managerrx IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual ope^!^?!ghaon2iJ1Wrep0@pfpursuant 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 = 3°° _gpd; BODs < 220 mgL"1; 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, 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, ete.) 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 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 filters) 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: .S^CV^'-VY L. i^e. v\ ^ €^ _ Phone: ~ltS'-^-0<1 - 4>9 4<p Local government unit: BCLV/C^I.(I, C.O ~7zej^^^ _ Phone: "7(5 - 3~?3 - <o I Sfi Local government unit address: By €<S> lc'c.^kbo'"^ ^0\ _ ZIP: Scf&l^ 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. Real Estate Bayfield County Property Listing Today's Date: 1/2/2025 TITIT JAN 11 20Z5 ^ Property Status: Current Created On: 3/15/2006 1:15:17 PM Bayteld Co. Zoning 5§pt ?s?l!ISP Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres; Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: r''1 Tax Districts 1 04 016 041491 001700 13467 Updated: 3/10/2021 04-016-2-46-08-12-3 01-000-50000 016109606960 (016) TOWN OF DELTA S12 T46N R08W S ^04.5' OF NE SW LESS W 1/2 OF W 1/ZTHEREOF IN V. 946 P. 108 9.190 9.059 0 No (R-RB) Residential-Recreational Business 110 ~'<n-:v Recorded Documents E3 QUIT CLAIM DEED Date Recorded: 6/13/2006 B CONVERSION Date Recorded: Updated: 3/15/2006 STATE COUNTY TOWN OF DELTA SCHL-DRUMMOND TECHNICAL COLLEGE Updated: 3/15/2006 2006R-507220 946-108 541-243 Ownership STEVEN R LINDENBERG Billing Address; STEVEN R LINDENBERGN5909 LAKE RDSTONE LAKE WI 54876 Site Address * indicates 12475 SCENIC DR Property Assessment 2024 Assessment Detail Code G5-UNDEVELOPED G6-PRODUCTEVE FOREST 2-Year Comparison Land: Improved; Total: liSff Property History Updated: 7/27/2020 STONE IAKE WI Mailing Address: STEVEN R LINDENBERG N5909STONELAKE RDLAKE WI54876 Private Road Acres 4.000 5.190 2023 2C.,800 0 20,800 IRON RIVER 54847 Updated: 8/29/2011 Land Imp. 100 0 20,700 0 2024 Change 20,800 0.0% 0 0.0% 20,800 0.0% 19i99i99'9i9s9mv99^9[9-9^9-9s9"» » • - ID) gEilii R\ <- .IK-r'-''-.".;^'!' F^":^.-":• -, .•'""y.^1- '•/-;,•^^^I??C<•, 57 tWStsl.?EGCTUhnowE^;3050»i S»NU^-?;'^^5 .;f>£iAro)AJ""1"SBitOWNt™*";"4(""i ° i I MICHAEL |yWISDOM40 BASSWOOCIAKE I ^ :wss^.- ^<s w<LU^LU5a;m[/3 T.46N.-R.8W. DELTA - WEST ~M 1 / 2025 W Ba^ieid Co. Zoniiig G3^ SEC LTR NAME ACRES SEC LTR NAME ACRES 01 A BROWN, MICHEALL 8, DONNA M TRUSTEES.......................... 35.78 02 A KLBNSMITH, RICHARD A i (3LENDA................................ 3.S402 B KLEIN-S CABIN LLC............... 1.5202 C CHEQUAMEGON TELEPHONE CO-OP INC........................... 10.3502 D TABBERTLET,WILBURA& ARLENE J............................ 16.9902 F MOTT. TIMOTHY Pi. PRUDENCE WI........................4.1002 G HARRIS TRUSTEE. SCOTT D ...... .,..2.25 03 A VESTERSTBN, PAUL............ 1.0703 AA BAYF1ELD COUMTr.............. 2.8203 AB MELCH10RS TRUSTEES. CARL J S MICHELLE M ...................... 2.53 03 AC PYYKOIACLYDEA..............S.S403 AD RAPACZ.JOSEPHA8.MARY STODOLA.............................. 1.46 03 AE SZNAIDER, ISADOR6 C........ 1.1103 AF ANDROSKI.BTOAN&LEANAM ........0.4303 AG KOHLHEPP.JOHN&JANN TRUSTEES........................... 0.41 03 AH HOWD,USAM.......................1.1303 Al BAYFI6LD COUNTY. HWY.... 1.4003 AJ NOLAN, THOMAS & MARGARET ,0.3503 AK LORSCH6TCR LE, RICHARD & LOUISE.................................. 0.8003 AL BEARD, WAYNE W & SUE STROM ...,1.S2 03 AM BRINKER.BERNAROT......... 0.0703 AN 8RINKER, EUGENE PATRICK...... ... 2.52B3 AO CARROLL.SUSANNA............3.22 03 AP MCGOWAN.VICKIL.............. 0.7003 Ad BROWN, STOTTKi SAIL T. 3.16 03 AR AMUNDSON, KARIN LEA....... 0.6103 AS TANIN. JUUE LYNNE............. 0.2803 AT MOTT, •nMOTW P 8, PRUDENCE M........................ 0.9703 AU BACKLUND>KEV1NW&DE8RAA .2,1803 AV MARINCEL,DAV1DA.............1.1903 AW FOWELL REV TRUST LE, NANCY E ...............................2.4103 AX HIRSCH. MATTHEWS JESSICA J .1,27 03 AY GRANLEY.MARCIAL............1.9103 AZ OLSON, CHARLES L & CYNTHIA .2.8503 B O'NBU-^RKTi.SUSANCZ.OS03 BA BOYLE. TERRY L& ANN M ... 1.3103 8B DIET2LER.D6NNISJ8.UNDAJ ....1.2503 BC SELLUNG TRUST. LLOYD J& JUNE E................................... 1.4103 BD TARASEWICZ. DAVE ETAL.. 0.66 03 BE SEU-UNG, KARA L................ 2.0503 BF NAUMANN. LEO A & SHARON0.8803 BG BEEKSMA. CHRIS S S, SANDRA J .0-2603 BH LUND. SHAWN E 8, TRICIA JOANN .0.23 03 Bl WATIAND,LEROYAJR........0.11 03 BJ WICK, R DAVID...................... 0.4403 BK W1CK.ROBIND&JANET......0.4203 BL MILLAR, THOMAS DA PAULA M ,0.47 oa BM CZAPLEWSKI, JUDITH.......... 0.5303 BN LEONIDAS, KATH6R1NE J ET AL ...0.5003 BO PUFFER. DUNCAN R i STEPHANIE S.............:.......... 0.8803 SP SWENSON.WILUAMA8. DANNA K............................... 0.8403 BQ THOMPSON. JOHN T& MARY D.2,5303 BR TRAUTT. PATRICK M& AMANDA L............................. 1.35 03 BS WDC 2011 TRUST................. 0.1S03 BT JMGM PROPERTIES LLC...... 4.0803 BU BURNSIOE, BRUCE H & CYNTHIA A.....;..,:..:..::.......... 0.9403 BV DOTT.L.OIS A SURVIVORS TRUST................................... 9.0803 8W FUGELSO, JOHN N CO TRUSTEE ..0.6503 BX POSPYCHAUAKATHYA...31.4603 BY KUKUU-, PATRICIA M............ 0.5403 BZ PRQHASKA, JOSEPH R i CAROL R............................... 1.18 03 C ZIVIC, DONNA M.................. 10.3603 CB DOTI'. JOHN &LOIS REV TRUST .......0.1703 CC JOHNSTON. JAMES R S. MARY E ,.1.10 03 CD MCCONNEU-ETAL.JR......... 0.96 03 CE GRITrNERJR,JOHNW........2.6503 OF YOUNGOUIST, ROBERT TRUSTCE...............................3.88 03 Cl SKINGEL, ROBERT J.............1.0303 U RILEY TRUST. JOYCE I.......41.4903 CM SANDS, ROBERT D & BONNIE ........0.57 03 DA BOUN.JAMEST.........— ....11.4003 DB MURRAY, DANIELW.............1.94 03 DC CHOPP,WILUAMD...............0.15 03 E LEDIN. ROBERT................... -9.7603 F BROWN. DENNIS B& SUSAN T.3.84 03 G KANSASLL£,DONALD........1.26 03 H B1DON,MICHAEL.....,...,.........1.9203 I CAMPBELL, ROBERT A & KAREN.2.8103 J ST GERMAIN. PATRICK C& MARYC..................................3.5003 K BLOOMQUIST, ERIC ROBERT & ANNMARIE...........-.,..,,..........2.6103 0 RONCHL ANTHOMY S MARJORIE,1.0203 P BASSETT TRUSTEES, ROBERTS &JO ANN ...............................1.1203 Q BOCHLER. ALVIN G 4 BARBARA E........................... 1.7603 R BOCHLER, SCOTT A S. ANNS .......1.5403 S 80CHLER LIVING TRUST, JOHNR..,,...................,..........1.S303 T OGLE.DEREKH&KIMM......4.4S03 U HAGSTROM, GARY H REV TRUST.3.4503 W RUEF, ROBERT L & ROBERTA E ..1.6403 X CHRISTENSEN, DAVID &DEBRA -.0.44 03 Y HALTVICK.PAUL8................0.87 03 Z BRINKER, CAROLYN D.........2.S4 04 A MULLOZZI, ANTriOi.'Y D JR TRUSTEE.............,.............,...1,7704 AA ^aANION TRUSTEE, JOHN S MARYJO................................e,96 04 AB MANION.HELEN....................3.9204 AC GANGNON. MICHAEL W&LESUE .3.1504 AD S2NAIDER. ISADORE C.........2.8704 AE MODEENLE. JANET L...........2.80 04 AF VISKOE. THEODORE J.......... S.82 04 AG BARTLETTTRUSTCTAL......4.45 04 AH DAVID,ANDREWM...............4.5304 AI DRESEN, MICHAEL D............2.4004 AJ DRESEN. MICHAEL 0& GERALOINEF......................10.35 04 AK KACVINSKY, EVA L............. 12.62 04 AL MILLER, GLEN C..................10.8S 04 AM BENSEN. ALLAN J................. 5.5;04 AN SULLIVAN, KIRK Kii JENNIFER J ...3.3:04 AO HOOGSON. JERRY i CANDACE .1.7:M AP JOHNS, DONALD S. MILDRED TRUSTCES.............................2.3..04 AQ STROM, STEPHEN AS JANE R.4.3:04 AR JENSEN.DAVIDDANICOLEM,5.5;04 AS OAVIS. SCOTT R S. NICOU-E L5.£304 AT BAYFIELOCOUNrr,HWY..,..6.E304 AU C|RILU,JAMESLETAL......18.'.304 AV DOWNING, LORRA1NE B.....16.:504 B M6USKALE.MARLENE........O.i3 04 C ZAMBORI.EDWAROA...........O.-3 04 D LUUCH FAMILY LLC..............O.- 5 04 E K6RNAN.BARBARAL...........O.-504 F DONNEU-Y, SHANNON PATR1C <.O.i704 G VLASATT, DONAI-D & KAREN.1.5204 H OUJIRI,JOHNC&BETHA....2.2B04 I JOHNSON, HAZEL M............. 1.47 04 J VESTERSTEIN. PAUL............ 1.0004 K KRUTSCH REV TRUST. KENNE TH N8,PHYLUSM...,....,.............10204 L FOX, RALEIGH L & NINA R CO. TOUSTCES................:............ 7 9804 M THYBERG,THEODOR6R.....<.4S04 N MIDOENDORF, THOMAS J& KAREN K...............................-E.7S D4 0 OLEON.CRA1S......................'.93 04 P ZAMBO, CAROLYN................' .2504 Q ELONEN, GREGORY E S COLLEENM...........................:L8604 R SCHMIDT.STEVENL&LONAJ... .',. 7704 S THYBERG, DOUSIAS E 8. -- NANCY A................................ 1.3804 T VARISCO TRUSTEES, BERN/.RD F t ROSEMARIE.................... 2.4S 04 U HOYER, JACK K..................... 3.8804 V WALTERS ETAL. JEFFREYS .....0.6504 W GRIMSRUD, DIANE M 8. RICHARD A........................... 1.0404 X FORNERIS, CAROL JO......... 2.5404 Y DEBRIAE, THOMAS E & HEL;N D ....3.20 SEC LTR NAME ACRES 12 A LQNIE. WIUJAM J & DORIS J S.-.612 B BRINKER. CHR1STOPKER E & TOSHKO.......................-.......S.C312 C UNDENSERG.ST£VCNP»-.<[3.S3 12 D SCHANNING, KEVIN F...........-SAS12 E MULUN, LUKE P& MARY J-22.0312 F UNDENBERG. STEVEN R.....-s.n12 G PROVOST eTAL.RODQERSi ROSE......................................0-7712 H UNDENBERG,M]CHAS.A...-9.S312 I MOORE III TRUSTES.JiWSSC 12 J FRANZ, THOMAS J-.........—.3^912 K HEDBERSRBVTRUST.DSAN3 & UNDA R ............................2S-7712 L SCHIFSKY.TROY1SHSLAM .3.K112 M SM]TH,JAYD8,M1CHELLEL4.S:12 N FREIBURSER. PETER C S EILEENA............................-...;.-!?12 0 PAJTASH.TCRRySa PATRICIA A............................Z"12 P PERTZSCH. OArTON I & SVSL'fN ..2-SS 12 Q CHAUDHRY, PEGGY ............35712 R PROVOST TRUST. ROSGER4 ROSE S ..................................S££ 12 S SIMONSON. DAVID C......-...-1.S-.12 T REDMOND,JOHNP&JA!SSA.-19.73 13 A MOORE III TRUSTEE. JM«£S C ..1.<S13 B HUGO. DALE NOR NANCY A TRUSTEES..........................-.6.47 13 C BENRUD.BRUCER.........-...1.2S13 D BRINKMAN.ALANR&KARIA..... ..,.3.0213 !i SARREFr.STEVENAt. BRENDA M .............................2.65 13 F DEEP LAKE INC #3................ 72313 G VISOCKY REV TRUST,LAWRENCE J & KATW J.......1.10'13 H LAA8S, STEVEN P i MtETK'- .0.013 I ANDERSON LE. MTRON A & ROSEMARY.....................-......-I.IO13 J MEACHAM. JAMES R & 30NNA L REV LIVING TRUST ...............0.5S13 K TABBERT, JAMES L & ChSSYL •-.5.7813 L DIESINS,CHraSTOPh'ERC...2.S7 13 M BENSON. THEODOR2 A........2-ZT 13 N' KNAPP.DAN,.............. -.......-.0.«13 0 TOMKINS.JOHNE&VALEUSL ..10-36 13 P ENSSTROM,WAYNEX.....-S36 13 Q CLARK. BERNARD J.............. 8.S3 13 R MOHR,JOHN&MLYN....-....-S,<5 13 S BOLANDER.PHIUPW...........9.72 13 T HeDBERS.RYAN..-...........-.ll-29 13 U BENNETT.TODD..................45213 V KRIENKE. DENNIS R.......-....1SS,13 W RASPOTNIK, KENNETH L S DARLSNE G..............-....—...2-43 30 A TOWN OF DELTA, SCHOOL DISTRICT ffl...........................' S3 ^ Private Sewage System Maintenance Agreement Owner(s) Name ^rr^-^^,i^~\ Owner(s) Mailing Address N5^ L^e iU,$^/^e,^ ^W^ Site Address iz<p<r SLC^C ^r Tax ID #1-W7 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 _1/4 Addittonal Legal Description: Town of b& / Section 1 <~ Township 7<? N. Range ^€ /^V^jL^ (Acreage)Z If Gov't Lot Lot.. Block_ Lot CSM#. Subdivision Vol...Page.CSMDoc#_ DOCUMENT NUMBER2025R-606Q24 DANIEL J. HEFFNER REGISTEK OF DEEDS BAYFIELD COUNTY, Wl RECORDED03/24/2025 AT 1 1 :08 AM RECORDING FEE: $30.00 PAGES: 3 Recording Area Return To: J'lanning and Zofting pepartmentf^^^G "I A-' :: •: (S^. In-ground gravity d Mound Q In-ground dosed D In-ground pressure distribution Sewage System: D 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 ofinstallation 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. Seotic 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 DispersalCell (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. 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 anyhuman 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 ^^i^^/^l^^l-^^ Subscribed and sworn to before me on this date: kA^-^.SK^ . Notarized Owner(s) - Signature(s)^s^!^M s("~v y"-''— i^LA?61 -r'l* ^^5 ST^o \hRy ^ »^»- Drafted bv-5nfc^_-<</^Z^7^---Date: 3 /^^/^^/ '/~^xfw^-^/ ^^•propf?d'x?L '////-.^ OF '•Nv3^'u/forms/sanitai I July 2020 Document Number STATE BAR OF WISCONSIN FORM 3 - 2000QUIT CLAIM DEED This Deed, made between William J. Lonie and Doris Jean Lonie. husband and wife. as joint tenants Grantor, and Steven R. Lindenbere Grantee. Grantor quit claims to Grantee the following described real estate in iavfield County, State of Wisconsin (if more space is needed, please attach addendum): see addendum Together with all appurtenant rights, title and interests. Dated this 6^ day of June.2006. J^^-.*WilliamJ. Lonie 'jif-t^uc •Doris^ean Lonie ^r g.7^ fe^%^\Q~>UJZ AUTHENTICATION Signature(s) William J. Lonie authenticated this 8. day of June, ?006.~^JL^Lee^-— *Kirk ReeseTITLE: MEMBER STATE BAR OF WISCONSIN (Jf not, _ authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY .Reese Attgmev at Law PATRICIA A OLSOBBAYFIELD COUNT?, HIREGISTER OF S00&R—5e>-7aS0 a6/i3/20a6 ia;ee:eiAM TF aapT«: B RECORDIN8 FEE: 13.W PflSES: 2 Recording Area Name and Return Address Kirk Reesey P.O. Boi/A Rliinelmder, WI 54501 pq7€^ MS& 016-1096-06 960 and 016-1096-06 970 Parcel Identification Number (PIN) This is not homestead property. P.O. Box A Rhinelmder. WI 54501 V 946 SignzLtures may be authenticate^!_or acknowledged Both are not necessary.)^ ACKNOWLEDGMENTSTATE OF WISCONSIN ) )ss. OneijdaCounty ) Personally came before me this 8 day of June, 2006 the above named Doris Jean Lonie to me known to be the person s who execu^ji the foregoing instrument and acknowledged the same.Id d A^L * Notary Public, State of Wisc^jsirf^- ^KC,^ ,n -i o n1My Commission is pennagyt^Ifno^tetS^piration date: /^'iST'SOQ'j-Pl08 ' ^S&^' *Names of persons signing in any capacity must be typed or pnnted below their signature. QUIT CLAIM DEED STATE BAR OF WISCONSIN W:yk. FORM No. 3-2000 ^ Attachment for parcel numbers: 016-1096-06 960 and 016-1096-06 970 The West 494.8 feet of the North 800 feet and the East 315 feet of the North 800 feet of the Northwest One-quarter of the Southwest One-quarter (NW 1/4 SW 1/4); the West 274.8 feet of the North 800 feet df the Northeast One-quarter of the Southwest One- quarter (NE 1/4 SW 1/4); the East One-half of the West One-half of the Southeast One- quarter of the Southwest One-quarter (E 1/2 W 1/2 SE 1/4 SW 1/4); and the South 404.5 feet of the Northeast One-quarter of the Southwest One-quarter (NE 1/4 SW 1/4) LESS the West One-half of the West One-half (W 1/2 W 1/2) thereof, all in Section Twelve (12), Township Forth-six (46) North, Range eight (8) West. V946 P109 5 2QZb 4/11/25,5:41 PM BAYFIELD COUNTS Carmody™ SANITARY PERMIT (#04^-25-108 STATE SANITARY PERMIT OWNER: STEVEN R LINDENBERG GOVTLOT: LOT: BLK: NE 1/4 SW 1/4 SEC: 12, T 46 N, R 8 W TOWNSHIP: Delta SOIL TEST: 11-25 NEW SYSTEM SYSTEM TfPE: Non-Pressurized In-Ground PLUMBER: Dylan Schultz CECE RUDNICKI DATE: 4/11 ,2025 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 C. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: #1516129 Condition: Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 4/11 ,2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION hftns'/AAAAAA/ narrnnrh/inn r:rtrrt/PprmitAnn/P<=>rmit ftinn ?isnY9Prinf=1An<armit;inniri==7447 1/9