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Request for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoninuObevfieldcountv.wi.gov Note Time Change fl Discrepancy Other �ylkh seka tZ Phone Number 7(s- ss8- s9`y Plumber: SI 12% 4tJ7 Fax Number Homeowner: S+e✓en L)nc(cr1 )ier9 Email Address 411L C.ki.4zIS&rc, /. C� Immediate Phone Number So Zoning Sanitary Permit #: Dept can call you right back (if needed) Plumber's Choice Zoning Dept No Inspection(s) during this time Date: 7 -Li- Z Ah • Tuesday (9 30 am - 12:15 pm) (Tracy) Plumber's Choice Zoni Time: I 1 �p 7 M • Township: Address #S RoadName: "X1I /7 S per, - �, or �x ; i3y�7 Directions To Site: Comments: ** Plumbers you must verify any change(s) by fax or email ** Notes from July 2025 C P$ Industry Services Division General Information Permit Holder's Name: Tank Information TYPE MANUFACTURER CAPACITY Prop. Line Well, Building Air Intake Road Septic N/A Dosing N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report lA++orh +n Permit) STEVEN R LINDENBERG o4 ll m) N5909 LAKE RD illage Town of: STONE LAKE WI 54876 to: County Sanitary Permit No: 2 5- toS State Plan Transaction ID#: Parcel Tax No: l347 Pump I Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width Len th # of Cells SETBACK FROM P?Line BuUjDg We 6. JJ 0HWM Type of Cell i2c€.K y // Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Elevation Data STATION BS HI FS ELEV Benchmark 1.31 Bldg. Sewer 3- 30 Tanklnlet 3 0 8. Tank Outlet 3-70 Dose Tank Inlet Dose Tank Bottom Inst Contour Header/ Manifold 5 C> 1.3J Distribution Pipe Infiltrative Surface 6_ a 1 3 Final Grade Distribution System X Pressure Systems Only Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia _ Length Dia Spac Spacing ❑ Yes O No auli uuvel Depth Over Depth Over Depth of Seeded! Sodded Mulched Cell Center Cell Edges Topsoil O Yes O No ❑ Yes ❑ No COMMENTS: (Include code discrepancies persons present, etc.) I� d G N� �u SPA w R•eiL5 I Plan revision required? O Yes,,No �g Use other side for additional information. /9z37 3 Date POWTS Inspector's Signature .can.74n ra nznn License Number Property Owner Information As you know _1 onsite wastewal Notes: BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonina(aibayfieldcountv.wi.00v Web Site: www.bayfieldcounty.wi.nov/147 STEVEN R LINDENBERG N5909 LAKE RD STONE LAKE WI 54876 treatment system on your property described as: Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: 0 C. Tank was pumped by: Tank was crushed I removed and pipes disconnected by: on at AM/PM On at (AM / EQe 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: Wfcits, s/sanEta rypropertyowner-input April2019 r r:, P n car I? E\ a 'U u arty Services Division County 4 I Way 11.E 1 e 4 d. 2 Madison Yards Or; rti ;Z/104'\. j(11J(Madison. WT 53705 Sanitary Pe .it Number (to be tilled in by Co.) \PS: / P.O. ox 7302 Bayf)eki Cul Zoning Dept Madison, WI 53707 25- \ o S State Transaction Number 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 p.-rmit. Note: Application forms for statcowned POWTS am submitted to Project Address (if different than mailing addre O.X for the Department of Safety and Professlon4J Services. Personal information you provide may be used secondary ff�� purposes in accordance with the Privacy Law, s. 15.04(1)(m), Scats. I Z L{ 1 S SGeY11 L It L Application infotmatlon - Please Print AB Information Property Owner's Name Parcel # S4evea\ Rer 01b-tog-6o-(D96v Property Owner's Mailing Address Property Location n tJ sci09 L0., -e RC. Govt.Lot NE'..SIA1 Section IZ T N R Eo City. Stale 5�Dy�f'. LQI�e W 1 Zip Coda / 51�1b Phone Number -T19-ZD__ bgi4b II. TypeofBailding(check aB that apply) Lot# I or 2 Family Dwelling -Number of Bedrooms Z Subdivision Namc Block bliclCommcrcial - Describe Uu a ❑Ciryof Estate Osmcd- Describe Use Villageof CSM. Number 1� 5lown of ye i IIL Type of POWTS Permit; (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line Cif a licable.) A. Mwew System I IDeplacement System ❑Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B' ❑voiding Tank Cin•Ground I kt•Grde Mound Individual Site Design OtherType(explain) mntentional) C. ❑ Renewal Before ❑Revision Change of Plumber ❑rronsrerto New Owner Ixt Previous Pemit Number and Date Issued Expiration I — IV. Dispersal f'rtatmeat Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sit LI2 Dispersal Area Proposed Is?) 49a System Elevation 0O .`f I G'G•S Tank Information Capacity in Gallons Tool Gallons #of Units Manufacturer 4 !_' NerTanks Existing Tanks v'o = to ••' N ,� d tz t7 L d or Nolding Tank -7 I Qtse .— tJ CI Dozing Chamber Q C V. Responsibility Statement- f, the undersigned, assume responslbillty.fopinstalladon of the PO\VIS shown on the attached plans. Plumber's Name (Print) Plumber's Si/_—' MPMIPRS Number Business Phone Number D kC 5k*- IS11,lvj I(S-SSg59oU1 Plumber's Address (StrceL City. State. Zip Code) ZD-16U-) 54ovic La.lde ", 54ovte- lac,WI SL County/Department Use Only ,VI. I Approved ❑ Disapproved Permit Fee Date Issued Issui gAg tS elute ❑ Owner Given Reason for Denial " L iJ <. Conditions of Approval/Reasonc for Dissppmvat y l l l IS ANen TO cympma p,ae. mr "say ........................... .......: ..... ....... D b-1 SBD-6398 (R. 02/22) �reRnrr.� Page of__ Wiscon liibipartmentpfSafetyandProfessionalServices �V11111111 a)A�'� 7 2025 v d Division oflndustlyServices Sr= SOIL EVALUATION RF�y In accordance with BPS 385, Ws. Adm. ode County AYFI E LD Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must include, parcel ID. — . q O 11 but not limited to: vertical and horizontal reference point (BM), direction and percent slope, 0 t 6 _ Q b scale or dimensions, north arrow, and location and distance to nearest road. Date Please print all information. Re d`i ,t -t --t' 1 Property Location Govt. Lot N1; '/. S(a ''4 S Add rCSM and Lot#• T4(o NRO$ E roperty Owners Mailing Address Sile ress d . R �6 P. rJ 590R Lace. +iS R,1 ac aej City I State I Zip Code Phone Number ❑ City 0 Village ® Town S_ Lke_ W 1 5zl gib ( zo91(oq% t>el6i wec'fr IaH7 a 5O New Construclion Use; ( Residentlai/Numberof bedrooms y Code derived designgow rate 3OO GPO El Replacement ❑Publicorcommercial —Describe: Flood Plan elevation If appilcable;-'ID ft. Parent material_sodt7 eokwask General comments and recommendations: .7 Goo, 5 9G SfGLvtge q3.S—Q' ) _ u 4e l7, 12'1 Ra Nearest Road Scent c. fLeA I 'J Boring# Soil Application Rate Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. ColorGr, Structure Sz. Sh. Consistence Boundary Roots GPDIFt' Eff#1 Eff#2 3 S.y- -y -Z fl. -62- I c 4 r b oae — -'S v � jex.lure a 8 " n zr4h• t 1.(e ___ '"I •t an nu ❑Boring 1011.1k SPit Ground surface elev._fI. Depth to limiting factor In./ elev.�ft. .I -r Uwnuy 'Z Boring # (spit Ground surface elev.--ft. Depth to limiting factor,_in. I elev.ft. Soil Application Rate Depth .Dominant Color Munsell Redox Description Qu. Az. Cont. Color Consistence Boundary Roots GPD/EP Horizon • E1f#1 EfflF2 'In. 0- 3H -u - s — oxturestr .r — (oE�'- .R Ito 14 Vc- Coof5 4o �rl CST Name MERTON MAKI signature CST Number 224901 Address 10869N SMITH COURT HAYWARD, WI 54843 Date Evaluation Conducted i.- — Zs Telephone Number (715) 634-8719 Effluent #1=BOO '303220 mglL and TSS>30s150 mg/L 'Effluent#2= BOO, s 30mg/LL andlTSS s sumgrl. o.,-au,n 9' I a\1 $SC.ao LAIIt12S R.u4 Boring ❑4g, 37 3 Boring # '� Pit Ground surface elev. ft. Page _ of f02h 898'' Depth to limiting factor "t i../ elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 -Ef#l2 2 3-S — (S b -s Ibt( w L E 1•l, 3 $ - Z 4 — ( s r� r, �t Zd FG .Z . 28-62 n '(/3 — 5 y tC .1 6•G $ &+L— tD g 3 S r n ] I.10 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 Eff#2 Z x e5 dl = 3o9cI =r So. = 4t C , r 42qrA'- z o' -t- = zc.Hs = 27- L,a b rs cec I z_(`+ C a -w. b�t.s fi etld ,Z a- ST —I SO r -7i6o u( T e ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 •Eff#2 i- wdry( 9v St C tOc — N.V. B Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = SOD, 5 30 mg/L and TSS 5 30 mg/L 'l J m 0w ers 5+eJev4 iZ, L Cn de burg IJ Sgoq Lo -e 2-d c- o vt e- L"V-e , k9. 9 Li $Z G S:} -e •. i1y15 5Cevn;c.. Dr. 8 lID JAN 172025 Co, 0 ci+li w e-Ayfi ". Zoning Dept. QIN: °t6—I09-bo-`i6O tu c/s w S' t 7, T' 'i b lD IL. o g td Foot 100L +o5Gc.le• t Soo' Rd o Sce✓ a� 1 ztn E -- SC& e- I �c Lf0 1 In.ow�.L a. +L 50[ Tes+ P�• P ty° F- skYl Z ba. et Well � (O so !0 40 3n too k }' to. O0 Z• /�0 3 ±t5 ±500 A, 6t-t%D0, 'Co t? e4-)eJ.l \€ -40 . 14L 3I. Ioo.(3 A4 2. Ra . 5 y Cr zz't g l 3. 11 so.{9 c'1≤ .€L. tb•�r rancic 1 iph P�q CST. l/\ -'% M ctCt Ow- : 9 Sys. t.cv CI 6•Jr Sys. R2r�c�--- to ---7 QIe1Esee&ev. 1oa,17 3Ic 5eoe.r — 99.Z (.4.R-_te. • 1 £s-trs.i (N Sic: 0 oO•13 Bel. QD R9.5$e{ q8.37 _100,13 I UIIU --- ---_ 5, s Lt ------- lUnlu JAS � 17 2025 L i -- --- ---- -- ( Bayfield Co. Zoning nJ2pt _P.3.3-7 sl --4---- \ 3 O Li ------- 2r:::J —4-- -1- et iirt_c..c ecj , 'f C14a5 PAGE 1 C In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: JAN 320Th In -Ground Soil Absorption for POWTS Version 2.1 (Mayi?9 a aningDept. Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: I Enclosures: POWTS Application for Review r Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): 9feievr, lL L. L-,-� c tvi ba-q Phone: -1 1 S - zoq - 694b Owner Address: hi 5909 LoLkc R-&. Zip: ✓�'it' Project Address: 12475 5c.fv c. Rc r L5e( 1-c W i Govt. Lot: NE 1/4 of 5 1/4, Section iZ , T Lt6 N -R D6 EDor W Township: bel-c County: 3ca , e l� Project Parcel ID #: O4 i bR bo — &90 Designer Information Designer Name: l4. So (n..i fZ Phone: `7CS -5' S'8 - _5D Designer Address: 7oZ(o w ocQ j -c-4 ,5 o0 -P c- 4ip: b'46-7 a E-mail: — C� n 5J- /f I S' e�" t ( Lai 1 This space ,ete.::ed for approval sca License Number: 15(la (Zr't Remarks: Signature: Date: pngjn signatur ui n each submitted copy. Ow er5 5±e'J-'4 Lih tlertbe'r J 5909 Lake t� S'fove LsV-e1 LJI 5`p ,-y( S L2y-75' 5cer c, Dr. tsoo kSfrttoo I. (00.13 2 , °IR . .i So.[s ccp+.al. ci S 1o. , unHtiL1 JAN "i 320Z5 c l l Co. Doi aiB�� ZZhh]ept VITJ: oL6—I©r7- 6D1(o0 .J&/SW S' it T Sb� fL 08W 500' To 5c2✓��<-R (7117 31 scc.le✓ t "= 4O koMc ah.L So.tTcs+ 0 l0 s0 3o 'to rie-6—ka�r L� IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER TYPICAL TRENCH CROSS SECTION VIEW (No Scale) 12" min. trench depth (typical) Highest Trench a' <. V34'_�I a• .. (typical) ., a... . � 'JSeptic Tank(s) Manufacturer: µe Ser Septic Tank(s) Volume(s): -16 0 gal gal gal -- gat Effluent Filter Manufacturer: FE l ok- Effluent Filter Model ll: SZ'S Provide minimum 3 ft separation between trenches. Lowest Trench (as applicable) System Elevations _, ft; ft; ft; ft; ___________ ft qulck4 Standard -W wl End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) uu�uilaual :1,li r B Sd ft (typical) INSTALL PER TRENCH: - I Z. Quick4 Std -W @ 20 iP EISA/chamber = z' O Pairs of end caps @ 6 fir EISA/pair = ft2 t = proposed EISA per trench = 2 4 � W Observallon Pipe (typical) Install per manufacturers lions. TYPICAL TRENCH PLAN VIEW (No Scale) TA= 3.011 13 (typical) D m lard -W Chamber w (typical) o (mfd by Infiltrator Systems, Inc.) —n Install pursuant to manufacturers Instructions. Required Infiltration Area= Lk 25\ ft2 x Z trenches = Proposed Total EISA = '4S2-. tr W Distribution Methodnn L z to �II o o w c�l(�J.7y tv .m In -ground Gravity IMPORTANT: Managem4t �A � llfl JAN13 3 AIDE OF 2025 L� y The owner of this in -ground gravity system shall be responsible for its perpetual opeFa le QonZthnthaeppursuant 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 = 300 gpd; RODS 5 220 mgL"'; TSS 5150 mgL"'; FOG 530 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or Improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (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: 5�C'�''� L. :�Cev\ 73e'r9 Phone: Local government unit: Co rn .. c Phone: 1(5 - 3,3 - (o l3�) Local government unit address: 13y SS U)c ckbur. lz) I ZIP: 5`10 t ti -j 15-'2"09 - 0 440 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. Real Estate Bayfield County Property Listing Today's Date: 1/2/2025 Description Updated: 3/1012021 Tax ID: 13467 PIN: 04-016-2-46-08-12-3 01-000-50000 Legacy PIN: 016109606960 Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: (016) TOWN OF DELTA S12 T46N R08W S 404.5' OF NE SW LESS THEREOF IN V.946 P.108 9.190 9.059 0 No (R-RB) Residential -Recreational Business 110 U u JAN 17 2025 [J Property Status: Current Created On: 3/15/2006 1:15:17 PM Bayflleld Co. Zoning Dept. a Ownership Updated: 7/27/2020 STEVEN R LINDENBERG STONE LAKE WI Billing Address: Mailing Address: STEVEN R LINDENBERG STEVEN R LINDENBERG N5909 LAKE RD N5909 LAKE RD STONE LAKE WI 54876 STONE LAKE WI 54876 W 1/2 OF W 1/2 Site Address * indicates Private Road 12475 SCENIC DR IRON RIVER 54847 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 016 TOWN OF DELTA 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE r Recorded Documents Updated: 3/15/2006 ® QUIT CLAIM DEED Date Recorded: 6/13/2006 2006R-507220 946-108 ® CONVERSION Date Recorded: 541-243 Property Assessment Updated: 8/29/2011 2024 Assessment Detail Code Acres Land Imp. GS -UNDEVELOPED 4.000 100 0 G6 -PRODUCTIVE FOREST 5.190 20,700 0 2 -Year Comparison 2023 2024 Change Land: 20,800 20,800 0.0% Improved: .0 0 0.0% Total: 20,800 20,800 0.0% 86 Property History N/A CO 6: ": DEEP LAKE A' INC -I L vx _.--4 78 T1M0ERO NRE] INC 5CHAEPER 39 30 USA 231, S9 25 USA 557 U5:A . B0 15 •r -1.3u :!ss . 36asMM 0 10 0- W W Dayfield Co. Zoning Dept. SEC LTR NAME ACRES SEC LTR NAME ACRES SEC LTR NAME ACRES A LOME. WICXPo6TOPV82Efl 18 01 A BROWN, MICHEALLB WNNAM W CI bANGEL ROBERT 4.._.._.._.1.03 MIS? TRUST, JOYCE I.._...41.49 12 12 0 1RUSTES ........................35.78 W W 03 CM SANDS. ROBERF❑B BONNE TOG01E(0......._....... UNOENBER6, STEVEN R-10.Cf 03 A MEINBM.]H. PoCHARDAB ..................._....................... CS] W CA Bol1RJAME6 T ............._11.40 t2 L 12 0 BCHMTIING, KEVIN F._ J-ZDffi OLDMS .......�_............... S.SO W 6 KLONS GPEIN 11C...__...1.62 03W WLLLPIAD _...0.5 12 F LINDENB['R .PSRV9v.J.m 02 G OLLAMEGONTElEPHONE 03 E LEOIN,ROBERT t2 G PROV06TETLRO ROSE CO W-0ERT NNIS......__SPJCTT8 W F BROWN, CENNISB BSUSANt54 ....................._...___.OIT UNDENBERG,MIZn A.._C LE..__..........._._.1035 W D TABBER7LET, WILBelRAB ._.._._. 12 H 12 I MOORS III TRUSTEE. - PATENS J.._............._...._i8S8 02 F MOTT,TMOTHYPB 03 G KANGA6 LLE,DONFLO"_._1.92 MILHPEJ_....._..__..1.82 73 PRUOFB ___....._.....4.10 W H GOON. W I CMAPBELL ROBERfABKAR N J_...._ -_a9 12 HEOBE REVTHUST. GEARS TRUST 02 G XARNIS'IRUSTEE,-i- T0..2 K i &UNDA R....._............._. _2ET ................_.............................2.25 W J ST GERMAW,PAT...... 12 L SOHIFSKY.TROY85hc- 03 A VE6TERSLGN, PAUL..........2,82 MPfiY C...__......__.._......_.aSO W K EBT. ROBERT �._...._........._.....___.SA M SMITK JAY D 8 M02S121&S 03 M BAYREID WUNTY..__...282 MELCMORSTRUSTEE6.CARLJ MNMPBLOOM ..-. BMARJOR02 12 l. 12 N PET.....ER C._..5+] 03 AS B MICHELLE M ....................258 W 0 RCNLM, ANTHONY t.W EIEENROERP EIEEENA_E_I JOSEPH ABMARY 03 Al PWKOLA CLYOEA........_.._1.45 ........................._.................... 03 P SASSETTTRUSTEE6. ROBERTE 12 o PATRICIPAJTASHAAA..R� •EL ......_2I W AO PAPACD VODDIA...-__._.._..___1.45 BJ0 ANN. _.._....._..._._._1.12 12 P PERIL .DAYlDNlBN'1YN W AE SLYUDFR I6ADOREC..:_...Ltt 03 O BOCHLERALWNOfl BARHLRA E _...............__._.. 1.]e .-,_......_.____._....._._.__iBB , 03 AF MDROSKI,BPoANBLEPNAM 0,43 03 R BOCHLER. BCOTTAhANN E1.E4 12 0 12 R PROVOSTTRUMR000ERL ................................._._....... . W AG K089.HEPP.JOHN hJANN ............_._..............__......... W 6 I80CHLFJ3 NANO TRUST. ROSE 5 ........__......... GM0N60R DAND G..__.._tA1 TRUSTEES-.._._......_.___. OA1 03 AN HOWD,USCM_....._..___._...1.t3 JOHN R._._.___._�_.._.1.63 OGLE, DEREKHh 12 S JPJESA 12 T REDMOIID, JOHNPB^ 19.T3 03 AI BAYRELD WUMY, NREV_.4.40 03 T U MAGeTROM GARY XREVTR3Uu MARGARET W AI NOLAN,T,OAMB & MARGARET 03 03 TRUSTEE. JAMESLA ..............._.._.._..........e......._ 0.15 W W RUFF, ROBERT LA ROBERFIM 13 A MOORS III 03 AK LOR9GETEF4LE RIG4ARD8 LOUSE..........................O.80 OT % CHRISTENSEN, OAND 80EBRA 13 0 HIJTRUSTEES..—............. SAT W AL BFNLER,BEREWBSIRbTRI1.� .._.KER ................. ............... ..................A44 03 Y HFLTACK PAULO...... ._O.BT 13 C BENPoJO, BRUCE —.135 ALAN 0.8KN0 P..... 03 NJ 5PoNKER BERNAPD T.._._. 08] PATRICK... 03 2 BPoNKERCAROLYND ........256 1] D G'UNIOMN ._._........ _...3D2 W AN BflINKER EUGENE 13 8 GARRET.. ELEVEN Al. ....__..__..............._....2.R 03 AO CARROLL, BUSViNA.._........1S' 0.70 04 A M USTEE.ANDp:JYO.1R TRUSTEE ................_.._...... 1Ti BRENDAM_.._...__._.__�66 13 F DEEP IAKEINCSO _._—._�)ZD W AP MWWJANMCXJL.._....._... W AO SROWNOWTTK&GNLT.3.18 03 M YNCTRUSEEE JOHN B., 6.80 13 G VISOCKY REV TRUST, IAWRENCEJflKATHY J...._1.10' W AR MIUNDSON. (ARM IFA.._...0.01 W AS TARIN.JWELYMVE..__...038 004 AS 4 f✓.14GNOTl, L'W BLESLIE 13 H LAABB. STEVEN P&MIIE TEL W AT MOTT,NMOTHYPfl M........_...,....... 03] ....._..._._....._.. __.__C_...281 _._.._._..__.._.._._.__.._.0.43 13 I ANDERSON PRUOENOB OJ AU 39CKLUNO, KE`ANW SDEfiM8 2.1REV W AD SAE OFIDEDEENREI6 ETU. .....260 A,ESRON ROSEMARY ................._.._..1.10 NKA 13 J MEPCNAM. JAMESRBC��LL 03 AV MAPoNC0. DANOA__...... 1.16 REV TRUST LE � � VISK7T��ET�. _6.45 LMNG TRUST ..... 13 K TABBERT. JAMES L8 1.Y 03 AN 04 AN DAVID, ANDREWM_._..._....4.53 ........_.._....._....—...._. .... ,.2A1 NANCY!......................,,..2,41 ................._.—.. NANCY W A% MRSCH, MATMEW hJE551AJ ........................121 01 N ORESEN, MICIUIELO..._.......240 04 AJ ORESEN,MICHAELDB F 13 L DIESING, g4R18TOPHERC. 13 M BENBORTHE COORS .._. .-......_.•.......... 03 AY ORAfi . MARCAL.._.._....191 GERAIDINE ...................t0.35 10.85 CAN_............_.......t0.ct i] O TOMKIN5. JOHN EB VAL'RIE 3E 03 A2 OL60N.CHARLESLBCYNTHI� 'LUa GLENC......_._...._ '__._......___.....__—_ -_ ...........___........._........_. O'NEH- MkWTflMNM.CZ W B O'NEILL, MARKT L SU.ANC131 04 AM SENLEN.ALIANJ---__....5Fx 04 AN SUUNAAMRKKBJENMFERJ 13 P CLARIK OM,WAY5EK.___ 926 ENGBT.........._.._..........._ 13 0 CLPRK.OERNPADJ._..........6.5.1 03 BA D.113 ...............3.33 R �9]e 03 BE DIETLER.CBNMSJLUNJ 04 AC MODGSON.JERRY BCANDAC T 13 S BOLANOER PMUPW_._. ._.........._...._........_...___.._.125 03 SC SEIUL GTRU6T,UPYDJ6 .._..................__..__. —. 04 AP JOHNS.OONALDBMIDREO 13 T HEDBERG, RYAN___.__t129 U BONNETT.TODD...__._._.352 JUNE E............................._tA1 80 TAPASEW4C2DAVEETPL..O.% TRUSTEES..........._..____.._. 21. 6IEPHENABJANE 13 L812<8 W 03 03 BE SELLNNG.KARAL............. 205 04 AD 6TiLGM 63 13 FONE KENNETH 03 OF N,UAANKLEO Al. SHARON DAB M AR JEN6FN. pAVID08MWLEM ....._._.--_.....___._._............._.___.._v_....�. . 558 1D A TOWN OF DELTA SCHWL TCM 03 BG BEEKGRA. CXPo6386MA.02 O4 A6 DAMS. SCOTT R B MWLLEL ....._.553 OF61._..._.._...._—...f J9 ......_. ................_....._......... IS BH LUND.6HAWNEBTPoGAJOANN 04 AT BAILU ...............__...—._..............023 JMESLETHWY.....aIa DOWMNG, 0.44 04 AV LOORi INE O_.16:5 W BJ WICK R DAVID...Y.AA...... 0,42 04 B MEUSNALE, MARIENE.......013 03 BK WICK. ROBIN LJAMT...... 04 C WUCHFAMILEGYLL�LA........ 03 BL MILLAR, THOMAS D.PAUl-0.47 0.:3 W C ......................JUOIT._.._...... ES SM Al 04 F ODNNELLBY,SSXANNON PATRICC n 03 BN OAB. KATTXERINEJET 050 ........._.............._.._._._..._._.0. .-U..........._UN._..._.R ..�.._.. R8 04 G VLASATY. DONALD B KAREN 03 BO PUFFER DUNLAN ........................_.._.. ..............1.52 ......083 STEPHAME6.....--""""' 04 H OLVIPo,JOHNCBBETHA....1.47 03 BP SWENSORWIUJAMAd 04 I ...........1,47 OAMM4AK._...__.._........__...0.04 SO THOMPSON.JOMTBMARY53 W K ERUISCH RREVNTTRU6T.1(EISIITW1t 03 NAPHYWSM......_..............102 ........._........I........_._—..__. 03 SR TRAUR. PATRICKM 8 PMA89A L................_.._......1.35 04 L US 60HLBNINA R,...795 03 03 WOC 20ti TRU6T...__.........4.15 08 LLL..._.4.W <� W BT JMGM PROPER 04 N MID EMAORE. TTMOMASJ.y CE 03 W BURNSIDE BWJCEHB 03a KARENK .........................._E.75 CYM50AA......:...:..:s.......... 04 O OM CRAIG ..................... M W 04 P ZAMBGCGREGORY.............•25 ISO. TRUST__.........._._.._......9.08 TRUST..- 04 D ELONENCOLLZENMRE RYE-- L86 W SN NGELW.JOM4NWTRUSTEE ..............._....._.._......._......0.65 04 R SCHMIDT STEVEN. LBLONAJ... 8.17 03 BX PO(ULL W" KATHYA...10.54 •. 03 BY KNEULL, PATPoCIA M............0.04 M S THYSERG, DOUGLAS E B • W Si PROHASKAJOSEPHRL NANCY A........._..._..........138 CAROL R ....... __....._..._......1.16 036 01 T FqPoR EES.SE.W� 03 L EMC, WNA M................1 F &BEMARE. 03 CB WN,JOHN ALOE REV TRUST HOYERJACKK ....................ASE ....- ....................................0.17 W CC JOHNSTON. JAMES RB MARY E W Ai V WALTERS ET . JEFFREY5 ..._._..........0.65 .1.10 CO MCWNNRJR.JOJR......._295 04 W RIC pp EMB.......1.04 03 03 CE GPFITNERJR JOFG W........2.65 . 04 K FCRNERIS.CPROLJO._._... 254 03 Cl' YOUNGON6f.ROBERT TRUSTEE..............................3.00 W Y OEBPoPE, THOMASEBXEU- .....D u SS -00S01 fl fern 1211lift 12 [l /e,r + e �',�. retry Services Division 2 Madison Yards Way Court 1 4 �1 F G ≥% F ,' '1 O�-t o i 1025 edison, WI 53705 -J Sanitary Pe it Number (to be filled in by Co.) is— P.O. Box 7302 Madison, WI 53707 i S Bayfield CoJ Zonin De25- Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govemmeeial unit Project Address (if different than mailing address) T' is required prior to obtaining a sanitary permit. Note: Application forms for stuc•owned POWTS arc submitted to for the Department of Safety and Professiong) Services. Personal information you provide may be used secondary puiposes in accordance with the Privacy Law, s. 15.04(l)(m), Stets. (Z y S SGev1l L n �`• Please Print Au Information L Application Information — Property Owner's Name Parcel # S -even R• Lv'Jer.ber olb—to9-60—fo9(oa Property Owner's Mailing Address Property Location �p (J scio9 Lca1Le P Govt.Lot Der /.,ski /. Sadon I Z. T N R O Eo Ciry, State Siov1c La\<C. w( I Zip Code 5Ligllo Phone Number —115-Za5— IRLIb Ii. Type ofBuilding(check allthat apply) La# Subdivision Name Mil or2 Family Dwelling —Number ofBedrooms Block # E'ublic/Commercial — Describe Use ❑City oC ❑state Owaed— Describe Use iilageor CSM Number ®'town of DEtti TM Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a liable.)1--1,, A. [Dew System ) up[eplacement System 1Other Modification to Existing System (explain) ❑Addi0onal Pretreatment Unit (explain) B. ❑Fioiding Tank �i( In•Ground a4t-Grade ❑Mound Individual Site Design pourer Type (explain) 1conventionai) C. ❑ Renewal Befog ❑Revision of Plumber ❑rramfer to New Own jList Previous Permit Number and Date Issued Expiration fChange ItD1spersaI1Treat1neutAraandTankInfotmation: Design Flow (gpd) Design Soil Application Rate(gpd/af) Dispersal Area Required (s0 ' Dispersal Area Proposed (at) 49z System Elevation S' 0O ,-i Lzq. I. 9( Capacity in Total # of Manufacturer u c Tank )nfolmarion Gallons Gallons Units = $ u te e o y e e u .`e i2 a Nes•Ta4s Existing Tanks i t: a rn iJ )orHoldinaTar1k -7 , — I Q s.n121 CIE DwingM.mi, O V. Responsibility Statement- T, the undersigned, assume nsponslbtlitysqplastalladoa of the POWTS shuwo on the attached plans. Plumber's Name (Print) Plumber's Si MP/MPRS Number Business Phone Number 1 D a �v1 Scl,\OI+z- IS(bia•t -7(S-SSB-54oLi Plumber's Address (street Ciry. Srate. Zip Code) -1D-Ibw LaV, WI SLf S4one Lake 54one VI. County/Department Use Only Approved ❑ Disapproved Pe S it Foe 1 Date Issued u lssei Ag save ❑ Owner Given Reason for Denial /J 7 �� ZYJ 1� Conditions of Approvalf/Reasone for Disapproval 1411112S & . Sc e c tc.c\-.J\ c..r&. . r Ire ,Ran a m t 11 Inehet In ttae m[ry[mm a...umnn to Mc —,".'v r, SBD-6398 (R. 02/22) If O) IM �i511 S R - 002o S i it -2S Wisconsin � ort9. sconsin Department of Safety and Professional Services U (lipe)DionofitrySices JAN 1 72025 Pageot_SOIL EVALUATION REP T AYFIELD ,rmmmvN In accordance with S. 385, Wis. Mm. ode County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must Include. but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. '. I l _ ! 0 q —b D J� S O I Li or dimensions, north arrow, and location and distance to nearest road. l2 Please print all Information. RB b Date ,l '-Lc-� I z / z> Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1) m)): Lv ❑ ❑ roperlyyOwner Property Location t SlleV2tr� R. l 'I b Govt. Lot I'%J ( 5L) >4 $ j Z T 4(a N R 0 g E (or)® roperty Owners Malting Address Site Address or CSM and Lot #: R� tJ 59oR a Ce 115_ R.1 ac 4e U.RLF6 P. loo (21S City State Zip Code Phone Number O city I ❑ Village IXI Town Nearest Road 4ivvle Lai« W I S4glb (z09)ICI(I- eI-LL (e)esi- 12y7S Scen` [Zcl. 5O New Construction Use: l5R Residential/Numberofbedrooms Z Code derived designflow rate 300 GPD ❑ Replacement ❑ Public or commercial -Describe: Flood Plan elevation if appilcebla-- No fl. Parent material s0d1 D,7 •I;W0.5� General comments and recemmendallons: 7 50" I S , _t 9 S r0. nq e '11 3. S It 1Jnonng Boring# ®pit Ground surface elev._ft Depth to limiting factor In. / elev._ft. Son Application Rate Depth Dominant Color RedoxDescriplion Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/FIT Horizon •Elf#1 ' Eff#2 In. Munsell Cu. Az. Cont. Color Z3f 1 I. G 1 o_9 _--( oie 2 4-1 —Z 7.5 4 — IS I -5 hs. IL W 'r yd'• i'" 1 1, 1. 3 4 z -b r 4? — v f caa'�s a 58 It•I Iv an nil 'f'{•>T Uconny 2- Boring # ®pit Ground surface elev._R. Depth to limiting facloi_in. / elev._ Soil Application Rate Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Gr. St Sh. Consistence Boundary Roots GPD/Ft° Horizon -EI#r7 'EfNF2 0- ` re -t5 r 3 .. 'F cr `� -- "1 -1 i5 I S -5 r, 1 ,1 w It — 4� zuFC lob-' I. (. t. vTr roots 4 5 1 __ __ Ii I_____ CST Name MERTON MAKI Signature 1,.- , ^ f '_ b om-' CST Number 224901 Address 10869N SMITH COURT HAYWARD, WI 54843 Date Evaluation Conducted I -3 - zs Telephone Number (715) 634-8719 Effluent #1=8OO>30 220 mg/i. and TSS> 305150 mg/L Effluent #2 = BOO, 530 mglL and Tsss au mgn. Poo a $ 5O.0o L 4 l 11125 &V4 ❑ Paring q 8. ?7 ❑ 3 Boring # Pit Ground surface elev. ft. Page..._of_ of _ fogh FSF.9> Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Color nsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 l o -3 jD0jmmuant o Zc r� 2- 3-S r3z — 1S 6-5°)o�( tv 2� 1.1O 3 $ — V — I s 't Zd FG .Z ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 Eff#2 lb.%cd = 3 = r 5d,15= 4z4 f rred 42 -9th -1--2c th`t = S = 2Z I. rS Cec l2 —QM ak.bw.s ( etiAc— — zta.ST —I 5O r -1(O0 q ( Z e ❑ Boring# ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 'Eff#2 Teri t WeAL Bn S, e % t0 Lc- ci,Y Effluent #1 = BUD > 30 5 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BUD, 5 30 mg/L and TSS 5 30 mg/L V J m Qw er.s � I S{-e\Ja \ �, L i v c1e q beta) J 5909 Lake 2-d S-ohe LV-e, Icl g97! 5i-et IzyF15 Scenc Dc. ±8 m 4- ty° f-- s�kl FI-lloo' 6 ty +500 (. loo•13 Z R9. S `1 3 °c8.3-1 .l 50.15 Scjs�. al. c6.S' Lravvcjc 93.5-9t) LDII JAN 1 72025 Co, D cl {4 W t yi1iicp. Zoning Dept. SIN: O 16— 1o9 _ Go —'%O tJ c(s w S r 2, T' `i b t9 n- O 0 u) + _Do' ,f Io5caIG + 500 to 5cen;c.2d Iz'c7 yn.r L% SC4le l �i0 C kcMc & 50.t Tesl- z 6d. rt ®l1 to so SO 40 0 ) Z. Nk se 3l 3 ±150 a e-F-ko�ruc l 4, • 1 e t-40 v- .-\ 4AC , fret Y\QL CST ZZ`fCOI I -3-z5 • owner 1 _ Oev. �7ed 4 `� . - _ z __ Sys: rmv 6•S g3,S Sys:.R&^g 9 to 7 ppII'' 11 pit, c eeke.V. ibD,11 (dg 5e.oeY ± 99,Z :,.4.tR-ate ' —j V 8c: 0 $eEaj 4q,S`I et. 98.31 bye--- —�--- n E C U D i _.. - -------- - -------j---- a Ci. S Ll .----�-__ ---- --- lun}J JAN 172025 r: I ----: St S<1.LLJ 8 5 l_ __ - i i1 • �1 c Imo_—_ - G- (I ��-t--- . 6--- 0000�ovo qt44 - I i ---i---- _---E--- __. --A---- ::::4:: PAGE 1 C In=Ground Gravity PI Index & Cover Sheet Component Manual Design References: U U JAN 3 CUT In -Ground Soil Absorption for POWTS Version 2.1 (MaYJW a2F7��ningDept. Pg 1 of 4 Pg2of4 Pg3of4 Pg4of4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan P0WTS Application for Review Soil Evaluation Report & Site M Project Name I Description Owner Name(s): Seievi. V- • L n b.erq Phone: -11 S - 2oq - bQ -L6 Owner Address: IJ 5904 La(4 2& �5-{bvie Cake cJ 1 Zip: S`t8-T(o Project Address: 1 L`t-75 5Gev�i c icc 1 Je-1 t 5 ' ' Govt. Lot: N E 1/4 of 5 1/4, Section Ii Z, T N -R o8 E O or W Township: be.l County: c1 e l� Project Parcel ID #: b I(c' I bR b0 — &9k0 Designer Information Designer Name:5;c,C-vo1 f z— Phone: `LCS - 5-9 - c9O Y Designer Address: 10i w 3Govie taL 4ZJ ; ( 41p: 51-f2)7(o E-mail: _ Y L 5'k -/f Z gu 1 L a� 1 This scacc reserved For approval scam License Number: I 51 f aR Remarks: Signature: Date: I- 8 - C) '1 V J C)w ers Pte. L C,,%8eYt be'rA f3 .JC0-/, L4.2 td. Sine L4V--e1 IA)'. S9$ri( SA -et Iz1r155C€\c. Dr. +Soo Ar BNl,%D0' I, loo•133, z. aa.sy . %.31 L ro-n 4- ;Jef To5≥. ja Leg 4I • JAN :j [GY5 lU Co, Dc a$I&ta. ZTI'% ept Jc/sw S tZ T'ibh9 R- 0S J k 5oc — To Scav��c.R I 1r731 5C4le: 1 `10 I LL P,ce avt(c1 O ID 10 3p yo *3150 p } Io. 834.L- y r1 B-Fkorzc¢ � e IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) lS.Il0t!le Septic Tank(s) Manufacturer: A) a $er -rte Septic Tank(s) Volume(s): 7b 0 gal gal gal gal I To I I o I' Effluent Filler Manufacturer: min, itY-- SZS (typical) Effluent Filler Model If: tz^ min. Ironch TYPICAL TRENCH aapin :.' (rypcaq „.c Provide minimum 3 ft CROSS SECTION VIEW — —I \a9?MtI: (No Scale) '; • separation between lrenrhes. , :' a Highest Trench Lowest Trench (as applicable) ft; ._---- fl; — ft System Elevations = cu,,II; — it; ---- k Quick4 Standard -W w/ End Cap (Show location of inlet 1 outlet pipe connection on plan view.) (typical) ------7/------------f--- r i � t, B = Sb ft (typical) INSTALL PER TRENCH: yp a° I Z. Quick4 Std -W B 20 TP EISAlchZ amber = rr _ Pairs of end caps @ 6 fV EISA/pair = W 6° = Proposed EISA per trench = il' x Z trenches = Proposed Total EISA = t{a2- n2 Observation Pipe (typical) Install per manufacturers --•...-lions. TYPICAL TRENCH PLAN VIEW (No Scale) IA=3.0it (typical) lard -W Chamber (typical) (mid by Infiltrator Systems, Inc.) Install pursuant to manufacturers Instructions. Required Infiltration Area = Z_ ft` tU G) m W O -n 4s rb � Inr Distribution Method oD�- -II o w (Tua o GtY�J.7y T o o ro p cr• l�>Ftl CD E OF In -ground Gravity Managemlt��a� /y IMPORTANT: JAN 1 3 20"L5 The owner of this in -ground gravity system shall be responsible for its perpetual 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 = 300 gpd; BODs ≤ 220 mgL"1; TSS ≤ 150 mgL"t; FOG ≤ 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: S}� �' L •waer 6e 9 Phone: -(ts-2O9-6446 Local government unit: Ba....1,i-I A C'.o 7Vvt c Phone: -715 - 313 - 6138 Local government unit address: 13Yf. 'S WcLykbovv', LUI ZIP: 59St9 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. E Real Estate Bayfield County Property Listing Today's Date: 1/2/2025 S Description Updated: 3/10/2021 Tax ID: 13467 PIN: 04-016-2-46-08-12-3 01-000-50000 Legacy PIN: 016109606960 Map ID: Municipality: (016) TOWN OF DELTA STR: 512 T46N R0SW Description: 5 404.5OF NE SW LESS W 1/2 OF W 1/2 THEREOF IN V.946 P.108 Recorded Acres: 9.190 Calculated Acres: 9.059 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 110 'J Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 016 TOWN OF DELTA 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE •:y Recorded Documents Updated: 3/15/2006 © QUIT CLAIM DEED Date Recorded: 6/13/2006 2006R-507220 946-108 ® CONVERSION Date Recorded: 541-243 IIJAN 1 12025 l / Property Status: Current Created On: 3/15/2006 1:15:17 PM Bayfield Co. Zoning Dept. S Ownership Updated: 7/27/2020 STEVEN R LINDENBERG STONE LAKE WI Billing Address: Mailing Address: STEVEN R LINDENBERG STEVEN R LINDENBERG N5909 LAKE RD N5909 LAKE RD STONE LAKE WI 54876 STONE LAKE WI 54876 P Site Address * indicates Private Road 12475 SCENIC DR IRON RIVER 54847 Property Assessment Updated: 8/29/2011 2024 Assessment Detail Code Acres Land Imp. G5 -UNDEVELOPED 4.000 100 0 G6-PRODUC IVE FOREST 5.190 20,700 0 2 -Year Comparison 2023 2024 Change Land: 20,800 20,800 0.0% Improved: 0 0 0.0% Total: 20,800 20,800 0.0% MProperty History N/A :MEB M s .: DEPLANE 193 A'ANCYA INCI .• Amy �, g� p�iGYM -RCL�EAjippMrs N . ne�A13 I L AMANDA • N1 BROWN 'YSBROWN I 58 H 41 A0CN1'ALL 3 DONRA 1 115 A BROWN TRU5TD5 I . _ _ l 159 MICHAEL � _ AU.' S � EN ... WISDOMI 0 40 11 D MUD x08& .�.A10. E 1 T penIDAA R F pARA5N DRI 100002 011312 K WLLNurn, ax03E5 OIIsxOLM ]3 0'05T 14 I u.. 32 w N DAVIDC _ (.N B DE SIMONSON ... 77 GROSS f.. 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WI I tv7 c CLe„ C b /) RECORDED D 7 •J / 03/24/2025 AT 1 1 :08 AM ' e2 Cl RECORDING FEE: $30.00 7 PAGES: 3 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil testers report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 114 of . 114 Section I Township N. Range 09 W. Additional Legal Description: S'Q1e Town of t)e!4o. Lot _ Block Subdivision (Acreage) 1. i9 Gov't Lot Lot _ CSM # _ Vol. _ Page _ CSM Doc # In -ground gravity ❑ In -ground dosed Return To: Recording Area and Z g h4rWt Vl E ll MAR 252025 ❑ In -ground pressure distribution Sewage System: ❑ 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. 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 Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWrS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds At -grade and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall nobly 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 bylaw. 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: Notarized Owner(s) — Signature(s) Note Pu /. �`` IlANO ....... My Com issio spires: : Y r �Q AR y l = �e� Drafted by. Data: J '. ST .PrgMed• . O?: 0 W�' ufforms/sanitary/sebOGlnpptterl,9a¢ieement RbW July 2020 PATRICIA A OLSON BAYFIELD COUNTY WI STATE BAROF WISCONSIN FORM 3-2000 REGISTER OF DEEDS QUIT CLAIM DEED 200SR-507220 Document Number This Deed, made between William 1 Lonie and Doris Jean Lonie. 06/13/2006 10:00:01AN husband and wife. es joint tenants Grantor, and Steven R Lindenberg Grantee. IF EIIDPT Is 8 Grantor quit claims to Grantee the following described real estate in �tDPD111G FEE: 1108 a el County, State of Wisconsin (if more space is needed, please attach addendum): was: 2 see addendum Together with all appurtenant rights, title and interests. Recording Area Name and Return Address Kirk Reese P.O. Bo#A Rhinelander, WI 54501 016-1096-06 960 and 016-1096-06 970 Parcel Identification Number (PIN) This ianc& homestead property. Dated this O? day of Juu I AUTHENTICATION Signature(s) William 1 Lonie authenticated this g, day of June 2006. ' p ,- -Kirk Reese TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY v446 ACKNOWLEDGMENT STATE OF WISCONSIN )ss. neid County Personally came before me this 8 day of Jsins, 2006 the above named Doris Jean Lonie to me known to be the persons who execu the foregoininstrument and acknowledged the same. Notary Public, State of W isc dj• -(EC,_ My Commission is permag {[f notate{&,",Q�piradon data: Ia ai -p 108 ::u`!y`:' Manes of persons signing in any capacity must be typed or printed below their signature. QUIT CLAIM DEED STATE BAR OF WISCONSIN ''•TC'::•.. FORM No.3-2000 MAR 252025 U Bayfield Co. Zoning Dept. 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 Of 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 P 109 ll MAR 252025 Bayfleld Co. Zoning Dept 4/11/25, 5:41 PM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-25-1 OS STATE SANITARY PERMIT OWNER: STEVEN R LINDENBERG GOVT LOT: LOT: BLK: NE1/4 /4 SW1/4 /4 SEC:12, T 46 N, R 8 W TOWNSHIP: Delta SOIL TEST: 11-25 NEW SYSTEM SYSTEM TYPE: 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 httnc•//wwwrarmnrivinr. rnm/PArmitAnn/PArmit Sinn ggny?Print=lgnArmitnnniri=7447 11'