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Home My WebLink About25-0347cs-oojoq dm) BAYFIELD COUPMAY 2 9 2025 SANITARY PERMIT APPLICATION Davfield Co. Zoning Dept. Zoning District Lakes Class L APPLICATION INFORMATION Soil Test County 25 Lj7 (Please Print All information) No: Permit _ No: �.J 03 Property Owner's Name: ,/� U re County. t L� -el „/ Bayfield //y Address of Prop Property Locatl : n r I I QOi SE '1% S'E '/.. S (y T (/7 N. R f E (or Property Owner's Ma Ding Address: Township: Gov. Lot ZO1 Z Iron i2Jfrcr City tateu _ Zi Co Phon Nu/mbbeer �j "715-3D8 Lot# Block#: CSM#: CSM Doe # Subdivision Name It lX 11. TYPE. OF BUILDING: (Check One) ❑ State Owned Tax lD# go 22 ❑ Public (Explain the use/purpose All _ I -©9 --ow -L{ (- t„)r't t or 2 Famil Dwellin - No. of Bedrooms 30) III. TYPE OF PERMIT:: Check only one box on line A. Check box on line .B,ita llcable A) ❑ New ❑ Replacement ❑ County Private Interceptor Reconnection ❑ Repair ❑ Revision " ❑ Transfer of Owner (List Previous Owner below) l'II B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. 7 Date Issued: 41 2 `Y I. T YPE.OF NON -PLUMBING SYSTEM:. (Check One); 'Replacements need previous permit number and date filled out above C) ❑ Pit Privy ❑ Vault Privy (Vault size: gallons or _cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet V. ABSORPTION SYSTEM JNFORMATION: - - - - - - - - 1. Gallons 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. I Day I Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) 3_0 3,s %n I-aco IO&(p Oa VI. TANK INFORMATION: Capacity In Gallons Total Gallons #of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel Fiber - Plastic Exper. App. New Existing Tanks Tanks glass Septic Tank or /00O /odO Holdin Tank _ Lift Pump Tank / (goo &; O'-, Si hon Chamber t VII. RESPONSIBILITY STATEMENT: I the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner's Name(s): (Pdnyy,, If applying for Section C above Owner's Signature(s): (No Stamps) COVtci & k4oh Plumbers am rlpt) ffapplyingftrSactialAwetabove Plumbed Si re: (N m /1 / MP/MPRSWNo: Plumber's Address: (Street, City State, Zip Code) 7 Hom Phone: P.D.x Io I k i 64730 -1 S Lea -u15S Business Phone: VIII. COUNTY/ DEPARTMENT": USE ONLY -. - _ - -- -. ❑ Disapproved Sanitary Permit/Transfer Fee: Date Issued: Issuing enl's SignaturDate: %APProved ❑ Owner Given Initial 614/3 Adverse Determination V /k7 - . CONDITIONS OF, APPROVALjgEASONSFOR Pint Plan on reverse side MAY 2 9 2025 Bayfield Co. Zoning Dept. 3 1 ' ItF.x._ '. � i , i 1 SY ' L 18� ._n__ .-. .._.. tt':? s+ii ( y —1 a b ,:.,. � BM IclN I ,. - EL (°4 i•�I—I j . _ t y_ ' I ...LHT1. i:rvr I — I :4: 4. _ _ __ nmx. m,NlVrt.paw+, e,n, i. n 4IAI,NI, mrnm CS-00kj j PIS BAYFIELD COUNTY �. APR 172025 ` SANITARY PERMIT APPLICATION old Co. Zoning D APPLICATION.INFORMATION - (Please Print All Information) So:l Test County Property Owner's Name: No:I Permit No: Ur Ficon County:en Bayfield Address of Prop Property L�o+caati : C•� r lid SS �A JG '�• S (D T t%7 N. R 00 E (or Property Owner's Mailing Address: Township: 1 Gov. Lot M, City Late u /1 I Zt�� , _7ifigne Nummbeer Lot # Block #: CSM #: CSMDoc# # Subdivision Name 11. TYPE OF BUILDING: (Check One) 5 SOS' ❑ State Owned Tax ID#: ❑ Public (Explain the lliguse/purpose o`70/' / uOPOV49a/OOOi 1 or 2 Famil Dwellin- No. of Bedrooms Q (/� 711. TYPE. OF PERMIT: Check only one box on line A. Check box on line B, if a lca e A) ❑ New ❑ Replacement ❑ County Private Interceptor Reconnection ❑ Repair ❑ Revision `• ❑ Transfer of Owner (List Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. Date Issued: TYPE OF NON -PLUMBING SYSTEM: (Check One) ' Replacements need previous permit number and date filled out above C) ❑ Pit Privy ❑ Vault Privy (Vault size: _gallons or _____cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet V. ABSORPTION $YST,EM INFORMATION: .. 1. Gallons 2. Absory. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System 7. Final Grade Per may Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. / Day / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) I. TANK �15 Capacity �O . a(0 OO • �Q ai INFORMATION: In Gallons Total #of Manufacturer's Prefab. Site Fiber New 6eatins Gallons Tanks Name Concrete Constructed Steel - Plastic E. . Tanks Tanks glass gyp• Septic Tank or Holding Tank /000 /DOO wje, o�- Lift Pump Tank / Siphon Chamber VII. RESPONSIBILITY STATEMENT: - -- - I the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner's ame(s): (Print', I/ appryingrorSection c above Owner's Signature(s): (No Stamps) �OY (aik40K) Plumber's ame: d t IfappryfngrorSectionAorB)above PlumbeY Si re: (N m MP/MPfjSWNa: Plumber's Address: (Street, City State, Zip Code) -7 Htner Business Phone: ►o I UT ai-730 Vlll. COUNTY I DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit/Transfer Fee: Date lssued:J Issuing Agent's Signature / Date: ❑ Approved ❑ Owner Given Initial Adverse Determination IX. CONDITIONS OF APPROVAL I REASONS FOR DISAPPROVAL: Plot Plan on reverse side cHfl iJiJ APR ? 7 2025 Bayfield Co. Zoning Dept. Ali,kA4AI/ SA,vJoI-e Elt sth .Sd..T.V7 ........... ..__...........:_.._ _:I. ..I........_......_L.._..._..........._.................�... _ III i S.4.... a....e .... y... _ ,._. r .t.._ r_ ..y ......._ ... r— 3..... -3—i........ — j :... ` fq. .0 yz ,� .... _.......... _ - - tSc— I ¶N BB . r .....— I { .. i-. . .I GM 1O�octN EL .\.I..I, J'— ---- �_ _a —='— — -- -- f -- --�- —� — — 1 rr TL Li r I.,.......... �:�..:... --.h. ,_._ °. - ,. i .. wryMl c .t i-.Oa-W.•1.1 OOwfa4::l1IA+I0113.E - 0O2h Wisconsin Departmen of Safety & Professional Services S ( ' Division of IndustryServices Bs SOIL EVALUATION RE T ps r; In accordance with SPS 385, Wls. Adm. Code tmuu� Attach complete site plan on paper not less than 8 1/2 x 11 Inches In size. Plan must indude, 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, a. 15.04(1 m)). i Property Owner e )) Property Location /I ❑ 3 4L�i>L fj / J Govt. Lot 5E y. SFY. S l9 T 14.7 N R `8 S(or)® Property Owner's Mailing Ad ress Site Address or CSM and Lot #: 7,9 &O /� h -13&S S J /lb -Z QL)Ar11I{r /✓). it ID City, State, Zip Phone Number ❑ City ❑ Village Town Nearest Road EiL4 balk WT S'1737 j( ) c,.JZiv.r Auerlerfth,k 2D IDS E999 E MAY 13 2UZZgeof 2 Bayfield Co. Zoning Dept County f3 a Parcel I.D. nu-n,u.1)- -000- NewConstruction Use: Residential/ Number of bedrooms `Z Code derived designftow rate 30D GPD ❑ Replacement ❑ Public or commercial - Describe: Flood Plan elevation if applicable� - .v A ft. Parent material -0 4 'HO 4,5A— 1 C7 General comments and recommendations: V1t F: H { , cA,: - Jpu TO e +r i /t c., L �G Boring # [Boring ❑ Pit t Ground surface elev. /0)'2$ft. Depth to limiting factors in. / elev.ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. ConL Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 -Eff#2 -3-7 L'/L - L5 Z 7-20 7. ,fs/ - LS 3 Zo-yS 7.5V L - S `ic sq 7,S Y/- - El Boring# IJeonng I ❑Pit Ground surface elev. 99.511 ft. Depth to limiting factor 5 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/Ft' 'Eff#1 'Eff#2 I o -[P zcTh2 2 - IS Z —I2 5Yt3 — Ci S 3 l Z- I0 75-Yt& j, — ;> c 5 S (r7L Fl 7- Q 5} R'S Jcs Ce 7(,- LZD7 ' CST Name (Please Print) Signature ` CST Number Address CSST#-062200 8 Date Eval atlon Conducted S-32025 I Telephone Number • Rr$h[eryi'/(7. OD >30 s 220 mg/L and TSS > 30 5150 mg/L • Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) .�1.P/LI zsTo �.0 I * 22o io W f/L Fx // p �ro PaSe.G� mbo g Z wed K "4rj ; IDD.5' SyS+40\ Jflc.1,AJ.:.3'? q9.9 p s X3a std X dap PS - 7 62 x19'9'. S$' ®cwr-l( J11 .w- ySfe o 13 20 3i yo 1''s LiD Goccy z ,nobl,� G;bs.'r- 'o vv,— of Vro,t— /2vV6 r ?q cpo C) L('1 .o, /n;k trt CST -Joey Kinderman CST# -06220018 5033 Gust Rd, Fall Creek WI 54742 715- 0-6542 �-3_Zo2S� 4 t? rHWYA"w o C-) Cs� o T w o m o ee a4;b&Rb LAor sandd)uRe o °sey, SOIL AND SITE EVALUATION REPORT S 5� y Page_of Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY. Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan! m stdu 'ber til R o not limited to vertical and horizontal reference point (BM), direction and % of ski , scalear P I ELI.. A dimensioned, north arrow, and location and distance to nearest road, II r . j! I, fI MAY Jc . REVIEWED BY DATE APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION r I rnVrcn l , wnrCn. ' ^^ -a . ///n O e A ./ ( A l/De .P C I GOVT. LOT 'n c,114SZ 1/4,S f T y' AR t &00 V I ...-..-..-... /Po YL� wl s13.;j Ye92 Vu:y G / DN //v4 H4'Y. f) N New Construction Use (X] Residential I Number of bedrooms 2 [ ] Addition to existing building A.4 [ ] Replacement . [ ] Public or commercial describe A-4 Code derived daily flow D 0 gpd Recommended design loading rate _7 bed, gpd/112 trench, gpd/it2 Absorption area required wed, ft2 375` trench, tt2 Maximum design loading rate • 7 bed, gpolft2 -? trench, gpdttt2 Recommended infiltration surface elevation(s) 98.83' ft (as referred to site plan benchmark) Additional design / site considerations FGi .s .r M4&— a c P',* pep rp r1—.5 rr- p s i re (r/IGH.P 6 Parent material (PG,/c ,.r' [ 7i r.c Flood plain elevation, if applicable %-"!>t ft S = Suitable for system CONVENTIONAL MOUND IN -GROUND PRESSURE AT•GRADE SYSTEM IN FlLL HOLDING TANK U=Unsuitableforsstem S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U SOIL DESCRIPTION REPORT Boring # Ground elev. �Sft. Depth to limiting lac2 „ Boring # z Ground elev. Depth to limiting factor Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft Bed rerdl df3~ SYR3 ,tzn .≥i D. in '2j •7 g 0.23 s YR • s/b cos acs � s 7 S -3 3 7.5Ye.s% s a — g _______________ Remarks: e c a g 7,f/if, -- 1-s — — — — .8 yz iP - S - - - - 7 ' ? <7-/rtntj' y.SYR a 20 y �S �' -- - - Remarks: CST Name: —Please P' /PT Phone: (S 3 ress: nr /ex / ?/ k// fl'Fr S gnawre: Date: —, 9 9 y/ CST Number GSsfo 3S2 PROPERYQ.YNER 1Al VSOIL DESCRIPTION REPORT Page . of` • Boring # Ground etev. Depth to limiting factor Ground etev. / aitt Depth to limiting [actor c1,. Boring # Ground elev. /aP_.El ft Depth to - limiting factor /� J l•, Boring # 0 Ground elev. ft Depth to limiting factor Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz Cant Color Texture Structure Or. Sz. Sh. consistenceY Roots GPD/ft Bed fladi G-2' ZsY44 L,S o.#'SL Y/'4 GS Z 7 ,t 2 -Y s y — Cec oCS� ,-j, C -s .8' 3 — oQ s 1/ C-j — .� ' k GZ.O—�yy� ,c Z.sHd/( F/ GS — •'/ ..S-' Li JJ F\I'13'025 _7 Remarks: , c 4'NO� iayliciu uu. LUnlny uept. 2 8il sye y! - �f - - - JJtJ 7syr /l - __ L, ff%? Y . czp z,sy _ _ �s Remarks: / o-2' 7s7i34 a 23 7.sy.c c — s - r 7, Remarks: /3 I C f'o J - SBD.833O(R.O5192) E SE S il8w A & A PLUMBINGJ I I /,*w I? , ,�, Route 1 Box 54-A e,�exr►eVsvTEo PORT WING, WISCONSI, 1865 �� ,y��,� _____ __ (7151 774.3668 GKECKE .e y Bgp111 MCAT cG^.vLl(mCI4H.. io UY Roe1 1ruE,mmmu ]34YFIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Submission Number: CS -00109 Transaction Number. CS-00109-2C7D4 Description Amount Private Sewage System Reconnection $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 22998 Paid by: H&H PLUMBING, LLC, PO BOX 10,200 BREMER AVE, STE D, COLFAX, WI 54730 Payment Type: Check Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required LAND USE - SANITARY - Reconnect 227847 SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0347 Tax ID# 19022 Issued To: GIBSON, COREY R & ROBIN K Location: SE '/4 of SE 1/4 Section 6 Township 47 N. Range 8 W. Town of Iron River in Doc # 2023R-601285 Residential Structure in an R-1 Zoning District For: Sanitation Permit: Reconnection (1 1000 -gallon & 1 600 -gallon Wieser Tank) (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): To meet all setbacks. To be constructed per plan. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the department of natural resources wetlands identification web page or contact a department of natural resources service center )715) 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction Tracy Pooler, AZA work or land use has not begun. Authorized Issuing Official Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. June 04, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.