HomeMy WebLinkAbout25-38S** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY **
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
--_•July 17 2025 at 8.10:39 AM CDT 7157983470 37 1 Received
1UL/17/2025/THU 0R:45 AM Andry Rasmussen & So FAX No, 7157983470 P. 001/001
Request for Sanitary Inspection (24 Hrs. in Advance)
Fax this form to Zoning Dept (24 Hrs.) prior to when you want an Inspection — (715) 373.0114
If you do not have a fax and must email the inspection; you must email all staff members.
Note
fj Time Change r1Discrepancy fl Other
Phone Number
Plumber:
Q�
i ridr y Itr`1Si?utSSen r ,Sayj$
35.5
Fax Number
Homeowner:
d F n
(!( via-�
Emali Address
o�mIr,yydy eo-4
miswvcyras. eon
Immediate Phone Number So Zoning
Sanitary
Dept can call you right back (if needed)
Permit #:5
Plumber's Choice
Dept
�r 03
No Inspection(s) during this time
Date:
y J (
i
Tuesday (9:30 am - 12:15 pm) (Tracy)
Time:
Plumber's Choice
Z in� pt
�1►
•
Township:
2
�JLI
Address # &
Road Name:
or
Q
uJp Lame
Directions
To Site:
Comments;
** Plumbers you must verify any change(s) by fax or email **
from
u/forms/sanitary/requestfodnspaction
Zoning Dept (®417104); O June 2023
o Private Onsite Wastewater Treatment
>� PS Systems ( POWTS) Inspection Report
(Attach to Permit)
EDWARD D HOOVER
PO BOX 24 u oses Prig
MAYBELL CO 81640 City
rs
r
Tank Information setback to:
TYPE
MANUFACTURER
CAPACITY
Prop, Line
Well
Building
Air Intake Road
Be tic
L54/IV"-
7f9
v
5
aD
N/A
Dosing
N/A
Aeration
6'
N/A
Holding
Town of
County
Sanitary
ennit No:
State Plan'Transaction ID#:
Parcel Tax No:
3702W
Pump! Siphon Information
Pump Manufacturer Pump Model Demand
Filter Manufacturer Filter Model GPM
TDH Lift Friction Loss Head Total
Forcemain Length Dia Dist. To Well
Dispersal Cell Information
DIMENSIONS
Widt
Ley
# of Cells
SETBACK FROM
Prop.. Line
Bull "
We
£T of Cell / Manufacturer:
r �,//L / �// S Model Number.
Pretreatment Unit 1�
Manufacturer:
Model Number:
stribution
Header I Manifold I Distribution Pipe(s) X Hole Size X Hole Observation Pipes
Length Die Length Die 3 Spac S Spacing O Yes O No
3o11 Cover
Elevation Data
STATION
BS HI
FS ELEV
Benchmark
3 $
O3^ f
Bldg. Sewer
Tank Inlet
7 Uc
947'6
Tank Outlet
Dose Tank Inlet
Dose Tank Bottom
Inst. Contour
Header / Manifold
7 3
Q�S
Distribution Pipe
Infiltrative Surface
r
Final Grade'
X Pressure
Cell Center I Cell Edges
COMMENTS: (Include code discrepancies, persons present, etc.)
(are-c/P4 Ow 5-ce
(4] i 1/o4 d cAa t ;
❑ Yes ❑ No
Ian revision required? O Yes'No ��
,eotherside fir additional Inform lion.
Date POWTS Inspector's Signature
❑ Yes ❑ No
ly,��7r3
License Number
:Rn.fl71n rR m(21\
BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT
Telephone: (715) 373-6138 Bayfield County Courthouse
_ Fax: (715) 373-0114 Post Office Box 58
e-mail: zoning(a)bavfieldcountv.wi.pov 117 East Fifth Street
Web Site: www.bayfieldcounty.wi.gov/147 Washburn, WI 54891
Property Owner
EDWARD D HOOVER
Information _ PO BOX 24
MAYBELL CO81640
As you know / ? 4F(aG"C Jf `4 7 ///42 was contracted by you to install a private
onsite wastewater treatment system on your property described as:
Notes:
Abandonment of Old System to meet all applicable code requirements:
1
Tank was pumped by:
> Tank was crushed! removed and pipes disconnected by:
on
at AM/PM
On at (AM /t ie 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.
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:
U/tormslsanits rypropenyowneainput
April 2019
owpn><ruFyr
SS -r) 5 b
`` + pa V
Industry Services Division
4822 Madison Yards Way
Madison, WI 53705
County
Bayfield
Permit Number (to be filled in by Co.)
(�
P.O.Box7 lU1F ti
Madison, WI0
s8s
S�tt1�tl`�
Sanitary Permit Application MAY 2, 1 202
' St ransaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate overnmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned P8; sritbmTt#t litfgL1jbct
Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
2388 Raven Ln. Solon S rim s, WI
P g
I. A plication Information — Please Print All Information
Property Owner's Name
Parcel #
Edward D Hoover
39408
Property Owner's Mailing Address
Property Location
PO Box 24
Govt. Lot
City, State
Zip Code
Phone Number
Maybell, CO
81640
970-629-1441
�i%. Q1/., Section 17
T45 N R 09 E or W
II, Typeof Building(check all that apply)
Lot #
IJ1 or 2 Family Dwelling —Number ofBedrooms 2
1
Subdivision Name
Opublic/Commercial — Describe Use
Block #
City of
❑State Owned — Describe Use
Village of
CSM Number
#2359 V13 P351
CI✓ Town of Barnes
III:'1 pe of POWTSPeitmits (Check either "New" or' arid -;other. applicable-an4linerA.._Ctieck one tiox onaine B.;:Com fete llne�C=i
licatile
.ew
r
System
Replacement System
Other Modification to Existing System (explain)
❑Additional Pretreatment Unit (explain)
Holding Tank
R]ln-Ground
IJAt-Grade
Mound
Individual Site Design
TJOther Type (explain)
(conventional)
C.
❑ Renewal Before
Revision
Change of Plumber
Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
NA
IV. Dispersal/Treatment
Area and .Tank Informationt:
Design Flow (gpd)
Design Soil Application Rate(gpd/sf)
Dispersal Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation
300
0.7
428
452
95.5
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
New Tanks
Existing Tanks
w
a` U
v�
iw C7
0.
Septic or Holding Tank
750
750
1
Superior Precast
LU
Dosing Chamber
V Responsibility`;Statement- I .the undersigned,'assume=responsibilityfo , in = .: "
..._..:.. _ .._ r, sta[I lion of'tttp FOW'≥ Sisho, ±on.the ittachedpl $•
Plumber's Name (Print)
Plumber's Signatur
MP/MPRS Number
Business Phone Number
Jason Kuettel
675751
715-798-3355
Plumber's Address (Street, City, State, Zip Code)
PO Box 66 Cable, WI 54821
.VI ounty/Department Use Unly:/1
Approved
❑ Disapproved
Permit Fee
$
A O
Date Issued L
Iss ng A ignature
L/11
O Owner Given Reason for Denial
"fO�.
l
Conditions of Approval/Reasons for Disapproval
o
,�
d
SBD-6398 (R. 02/22)
PAGE 1OF4
In -Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In -Ground Soil Absorption for POVVTS Version 2.1 (May 2 202
D
Pg 1 of 4 Index & Cover Sheet 1111 MAY 2.1 2025
Pg 2 of 4 Plot Plan Bayfield Co. Zoning Dept.
Pg 3 of 4 Dispersal Area Cross -Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name I Description
Hoover 2 Bed
Owner Name(s): Edward D Hoover
Owner Address: PO Box 24 Maybell, CO
Project Address: 2388 Raven Ln Solon Springs, WI
Govt. Lot: _
Township: Barnes
1/4 of
Project Parcel ID #: 39408
Designer Name: Jason Kuettel
Phone: 970 -629 -1441
Zip: 81640
1/4, Section 17 , T45 N -R 09
County: Bayfield
Designer Information
Designer Address: PO Box 66 Cable, WI
E-mail: tim@andryras.com
License Number: 675751
Remarks:
E❑or W❑✓
Phone: 715 .398 .3355
Zip: 54821
This space reserved for approval stamp.
Signature: Date: 5' ' "��
Original ignature required on each submitted copy.
Owner Information:
Name:
Edward D Hoover
Location:
S17.T45N.R09W
Township:
Barnes
County:
Bayfleld
Lot #:
2388 Raven Lane
'Sc tom/
0rin.0 po-i
BM=100: Nail wl ribbon on the base of tree near B3
(L
0.45' q.n cc - u c%< h cJC
O
G
(D
0)
Bi =
98_02
B2 =
99.33
B3 =
98.25
Lake=
0
S" "1 e`
W
CD
m
d
2388
Q
N Raven Lane
v
rM'
N
�
W E
,p
G'
N
cr
llW
S
1 "=50Only in Tested Area
^„r 6�57S1
20' 40' 80' s /z. /25
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard -W Chambers
3 -ft Trench (down -sizing credit)
SOIL COVER
12"
min. trench
depth
(typical)
min. 12"
(typical)
I �"-
(typical)
System Elevation = 95.5
(typical)
Septic Tank(s) Manufacturer.
Superior Precast
Septic Tank(s) Volume(s):
750 gal gal gal gal
Effluent Filter Manufacturer.
Orenco
Effluent Filter Model #: FT -0822
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
ft
Quick4 Standard -W
w/ End Cap (t(Show location of inlet / outlet pipe connection on plan view.)
ypical)
r • -----77--77-------------
lJlnmkwnluflfliilnmng.
I-------------/--------��---
g= 45 ft
(typical)
INSTALL PER TRENCH:
11 Quick4 Std -W @ 20 ft EISA/chamber = 220 ft'
+ 1 Pairs of end caps @6 ft' EISA/pair = 6 ft'
= Proposed EISA per trench = 226 ft'
Provide minimum 3 ft
separation between trenches.
Observation Pipe
(typical)
Install per manufacturers
/ Instructions.
TYPICAL TRENCH
PLAN VIEW
(No Scale)
--r--- TT
�A=3.0ft
(typical)
- — — — —
nMi
WI
\
Cb
0
Z r
m
`Quick4 Standard -W Chamber
^
CIO
(typical)
o
2
_'_:
Q
(mfd by Infiltrator Systems, Inc.)
oN C
-n
Install pursuant to manufacturers instructions.
p
ir.
CD
Required Infiltration Area = 428 ft'
x 2 trenches = Proposed Total EISA = 452 ft'
Distribution Method:
branched manifold
PAG41O,4
Ye In -ground Gravity Management PIar ti \I 1
IMPORTANT: MAY 21 2025
The owner of this in -ground gravity system shall be responsible for its perpetual operation and
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; BOD5 5 220 mgL''; 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 (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: Andry Rasmussen & Sons
Local government unit: Bayfield Co. Zoning
Local government unit address:
117 E 5th St. Washburn, WI
Phone: 715-798-3355
Phone: 715-373-6138
ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
C7OS S S 7" l ON AND S?zCT; ICATIONS
fl
I'Sc'+o P'IC rase. PTPE 6 " M± N. ABOVE GRADE.(r
(tohe.n %r,l e+ Mc--a��nok2 ps buried v T' 1111 MAY 2 1 ZOl5
APP
Bayfield Co. Zoning Dept. ROVED
1HOLE
c TNISHED GRADE WI Lcc.
w 4" MrN.
J1 if
I HL
APPRC
PIPE
ONTO
Son
311 APPR OTT D BED. DI NG U 1DEP. TMIr
SPEC,I F IC�i I O N S
S EPT'hC.
TANK ?iAWUF ACTU'RE R: Scr 6a a �- 2C4?
Try,NK S GES: S ?T C 7 °
MOTES:
OUTLET
- r
7
SSUO
Industry Services Division
4822 Madison Yards Way
County
Bayfield
Madison, WI 53705
P.O.Box7 (P
Permit Number (to be filled in by Co.)
Madison, WI 0 vv
5— Op9
as-
Sanitary Permit Application MA
ransaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriategovernmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned P8 .Q CLbnat(LBIBg
ct Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(I)(m), Stats.
2388 Raven Ln. Solon Springs, W
1. Application Information — Please Print All Information
Property Owner's Name
Parcel #
Edward D Hoover
39408
Property Owner's Mailing Address
Property Location
PO Box 24
Govt. Lot
City, State I
Zip Code
Phone Number
Maybell, CO
81640
970-629-1441
1/4, /a, Section 17
1 45 N R 09 E or W
II. Type of Building (check all that apply)
Lot #
I or 2 Family Dwelling — Number of Bedrooms 2
1
Subdivision Name
[Public/Commercial — Describe Use
Block #
City of
State Owned — Describe Use
CSM Number
Village of
#2359 V13 P351
❑✓ Tnwnof Barnes
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
applicable.)
A.
New System
❑Replacement System
Other Modification to Existing System (explain)
DAdditional Pretreatment Unit (explain)
Holding Tank
jIn-Ground
❑4t -Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
❑ Renewal Before
Revision
Change of Plumber
Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
NA
IV.
Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Ratc(gpd/st)
I Dispersal Area Required (sf)
I Dispersal Area Proposed Is
I System Elevation
300
0.7
428
452
95.5
Capacity in
Total
# of
Manufacturer
Information
Gallons
Gallons
Units
2Tank
o c
New Tanks
Existing Tanks
c
v V
v
0._u
cn
A
ii- U
Septic or Holding Tank
750
750
1
Superior Precast
LU
Dosing Chamber
V. Responsibility Statement- 1, the undersigned,
assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plumber's SignaturI
MP/MPRS Number I
Business Phone Number
Jason Kuettel
I
675751
715-798-3355
Plumber's Address (Street, City, State, Zip Code)
PO Box 66 Cable, WI 54821
VI ounty/Department Use Only
Approved
0 Disapproved
Permit Fee
$
Date Issued
Iss ng A Ignature
I ❑ Owner Given Reason for Denial
'?00, AO
��
Conditions of Approval/Reasons for Disapproval
- J
inc sp,em and suomn to the County only on paper not less than a Ins 11 inches in size
SBD-6398 (R. 02/22)
{ Sail T S 5 Z
Soil Evaluation Report
( 1 0R' -1 in accordance with SPS 385,Wrs.Adm Code
Yk Wisconsin Department ofSafetyacdProfessionalSen4ses
A if..n0. ww.r. r.l+n ciin ntnn An nannr not Inca than Rlh X 11 innhPC in Ai,'
Pang -
[b IIfl
liii MAY 2-i 2UZ5
_.. ]ofb
Plan must include but not limited to: Vertical and horizontal reference
point (BM), direction and percent slope, scale or dimensions, north arrow,
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:
Bavfield
Parcel I.D.
. 39408
Rev! w )
/
Date:
3.�
Property Owner.
Edward D Hoover
Property Location
S17,T45N,R09W
Property Owners Mailing Address:
PO Box 24
Site Address or CSM and Lot #
2388 Raven Lane Gam`f ,R3s
City
Maybell
State
Co
I Zip Code
81640
Phone Number:
0
Town
Barnes
Nearest Road:
Raven Lane
J New fv Residential Number of Bedrooms: 2 Code derived design flow rate: 300
Flood Plain if applicable
r Replacement "" Public or Commercial - Describe:
Parent Material: Outwash Flood Plain if Applicable: 0
General Comments & Recommendations:
System Elevation: 95.5 Load Rate: 0_7 Elevation Range. 92 33 To 95.52
Boring #1 r- Bor. Pit Ground surface Elev: Depth to Limiting Factor:
98.02 Ft. 120 in. Elev. 88.02 ft
Soil Application Rate:
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-12
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0_6
1.0
2
12-30
7.5YR4/2
N/A
LS
0SG
ML
CS
3M
0.7
1.6
3
30-120
7.5YR4/4
N/A
MS
0SG
ML
N/A
IF
0_7
1^6
4
5
6
7
Boring # 2 r Bor•iv` Pit Ground surface Elev: Depth to Limiting Factor:
99.33 Ft. 120 in. Elev. 89.33 ft
Soil Application Rate:
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-10
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
10-28
7.5YR4/2
N/A
LS
0SG
ML
CS
3M
0_7
1.6
3
28-120
7.5YR4/4
N/A
MS
0SG
ML
N/A
IF
0.7
1.6
4
5
6
7
__----_
*Effluent #1 = BOD 5>30< 220 mg/I and TSS>30=< 150mg/I
/ *Effluent #2 = BOD 5< 30 mgand TSS
< 30 mg/1
CST Name (Please Print)
Mark S. Thompson
lgnatur f
CST
CST Number: 877598
Address: 12006 N US Hwy 63
Hayward, WI 54843
Date a uatlon, , o du d:
1 Tuesd , May 13, 2025
Telephone Number
715/699-4081
SBD-8330 (R04%21)
Property Owner: Edward D Hoover Parcel I.D. 39408
Page: D
!I
MAY 21 2025
Boring # 3
r- BorI It Ground surface Elev: Depth to Limiting Factor:
98.25 Ft. 120 in. Elev. 88.25 ft
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-14
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
14-25
7.5YR4/2
N/A
LS
0SG
ML
CS
3M
3
25-120
7.5YR4/4
N/A
MS
0SG
ML
N/A
IF
0.7
1.6
4
5
6
7
Boring #4
' Ground surface Elev: Depth to Limiting Factor:
r" BorkPitt
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
2
3
4
5
6
7
Boring # 5
r- Borr� Pit Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
2
3
4
5
6
7
Boring # 6
Ground surface Elev: Depth to Limiting Factor:
r BorP Pit
0 Ft. 01n.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
2
3
4
5
6
7
*Effluent #1 = BOD 5>30< 2 20 mg/I and TSS>30 < 150mg/I *Effluent #2 = BOD 5< 30 mg/i and TSS < 30 mg/I
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access
services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777
ing Dept.
SBD-8330(R.07100)
1b IIfl
ll MAY 21 2025
h d
Soil Profile Sheet Page: 3 of
Owner: Edward D Hoover Soil Tester: Mark S. Thompson
System Elevation: 95.5 1 Load Rate: 0.7 System Elevation: 92.33 To 95.52
101 B2 101 B3 101 B1
100 ---------------
100 ---------------
100 -----------•
System
--------
---
levation
99
------- 99.33
99------�---�-
99
98 ---------------
--
---------------
98 ------------
98.25
98,V"------•
-------------
98.02
-
0.7
97 -__-97
97-----------�--
97
---
96
95.52
94
94
94
93
93
93
92
92.33
92
92
91 ---------------
91 ---------
91.25
91
91.02
90
90 -------------
90 -----
-
------------
T3'
------------
T3'
89 ------------
89.33
89 ---------------
89----------�__
-------�-
L.F.
88
88 ------------
88.25
88
----• 88.02
_
L.F.
L.F.
87
87
--
87 -----
86 --------------
-
86
-
86
85---------�--
85
85 --
84
84
84
83
83 -------------
83
82 ---------------
82 ---------------
82 ---------------
81 ---
81
81
---------------
80 ---------------
79
-
79 -----
-----
79 ---------
Co. Zoning Dept.
Owner Information:
Name:
Edward D Hoover
Location:
S17.T45N.R09W
Township:
Barnes
County:
Bayfleld
Lot #:
2388 Raven Lane
Only in Tested Area
BM=100: Nail w/ ribbon on the base of tree near 83
81 =
98_02
82=
99.33
B3 =
98_25
Lake=
0
rc
O
Co r3
o
CD
20 40' 80'
PAGE 1 OF 4
In -Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In -Ground Soil Absorption for POWTS Version 2.1 (May 022722
J L�22
Pg 1 of 4 Index & Cover Sheet ll MAY 212025
Pg 2 of 4 Plot Plan Bayfield Co. Zoning Dept.
Pg 3 of 4 Dispersal Area Cross -Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Hoover 2 Bed
Owner Name(s): Edward D Hoover Phone: 970 -629 -1441
Owner Address: PO Box 24 Maybell, CO Zip: 81640
Project Address: 2388 Raven Ln Solon Springs, WI
Govt. Lot: 1/4 of 1/4, Section 17 , T45 N -R09 E❑or W ❑✓
Township: Barnes County: Bayfield
Project Parcel ID #: 39408
Designer Information
Designer Name: Jason Kuettel Phone: 715 -798 -3355
Designer Address: PO Box 66 Cable, WI
E-mail: tim@andryras.com
License Number: 675751
Remarks:
Zip: 54821
hIs space rescrvcti Iur approval stamp.
Signature: ✓ " Date: 6 z + ti5
Original Signature required on each submitted copy.
Owner Information
Name:
Edward D Hoover
Location:
Si 7.T45N.R09W
Township:
Barnes
County:
Bavfield
Lot #:
2388 Raven Lane
hi
BM B2
.T.
SvP 'cL WGcy)r
d r.e c.
Only in Tested Area
Raven Lane
'A' BM=100: Nail wi ribbon on the base of tree near B3
98'
• \
cg \` r"
J ,
I.
Well
20' 40' 80'
CL
e45' Qstc,c-y aah.cIc
0
CD
CD
81 =
98.02
B2 =
99.33
B3 =
98.25
Lake=
0
Srlrre� t'-
#1-
p 2flS1
S�zt/2S
w
CD
CD
e
C)
N
lr�
N
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o
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IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard -W Chambers
3 -ft Trench (down -sizing credit)
SOIL COVER
12'
min. trench
depth
(typical)
34"
(typical) .,
System Elevation = 95.5
(typical)
Septic Tank(s) Manufacturer:
Superior Precast
Septic Tank(s) Volume(s):
750 gal gal gal gal
Effluent Filter Manufacturer.
Orenco
Effluent Filter Model #: FT -0822
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
LL
Quick4 Standard -W
w/ End Cap (Show location on of inlet / outlet pipe connection on plan view.)
typical)
I-----------7 -------1f-----
��uu AAAA
B= 45 ft
(typical)
INSTALL PER TRENCH:
11 Quick4 Std -W @ 20 fig EISA/chamber = 220 ftz
+ 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft'
Provide minimum 3 ft
separation between trenches.
Observation Pipe
(typical)
Install per manufacturers
/ Instructions.
TYPICAL TRENCH
PLAN VIEW
(No Scale)
IA=3.0ft
(typical)
"—Quick4 Standard -W Chamber
(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturers instructions.
03
3
art
m
NEiiFti
(h)
NI
O
N
c
T�
cn
zrt.
-p
= Proposed EISA per trench = 226
ft2 Required Infiltration Area =
428
ft2
Distribution Method:
x 2
trenches = Proposed Total EISA =
452
ft2
branched manifold
PAGn O 4
In -ground Gravity Management PlanUY
IMPORTANT: l)i MAY 2 1 [025
The owner of this in -ground gravity system shall be responsible for its perpetual operation and m$g ®,p7�19ipgi6ii9pt•
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 S 220 mgL 1; TSS 5150 mgL"; 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 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 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Andry Rasmussen & Sons
Local government unit: Bayfield Co. Zoning Phone: 715-373-6138
Phone: 715-798-3355
Local government unit address: 117 E 5th St. Washburn, WI
ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
?TC TPNK 03055 S5CT:Oii APiu S?t Y:ICATIOHS
4" GCI{•40PVC INSP. PIPE 6 " HIN. ABOVE
(When, tale+ ivmco-'Se\e Ps IoLLried J
FINISHED GRADE
(fr
18" 1IN.
I FILET
APPR •D BA4eekE—
AHLO FILTER
APPROVED IMFG. 04ej-ICO
PIPE 3'
ONTO SOLIOI I model R .FTOP2.1.
SOIL II
3" APPROVED BEDDING UHDi P, TANK
SPECIFICATIONS
SEPTIC
TANK HANUtACTLJRER: fC Pc {ate �2Cc7Yi
TANK S!LES: SE?TIC 7S° GAL.
NOTES:
1111 MAY 21 2025
Bayfield Co. Zoning Dept. APPROVED
MPNHOLE
W/ Lid.
W RAIJ'VE LAB6L
4" HIfl,.
OUTLET
55 - 40N2
Private Sewage System Maintenance Agreement
Co
23
A5 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 Deparlinent 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 fisted location in accordance with rules established in the WI
Adm. Code, as from time to tkne amended. (COMPLETE Legal is required)
1/4 of 114 Section I_Township q5N_ Range (99W
Additional Legal Description:
Town of _ &Oyk &) (Acreage) Govt Lot
Lot_ Block Subdivision
'22 zozsZ-
Lot�CSM#Z VoI.�Pagej51 CSM Doc# _
DOCUMENT NUMBER
2025R-607560
DANIEL,)_ HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
05/21/2025 AT 12:47 PM
RECORDING FEE: $30.00
PAGES: 1
Re O1�1g ZUg fiment
MAY 2.2 2025 UU
Area
$j In -ground gravity
❑ In -ground dosed
O
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 (113) 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 he inspected and maintained to ensure operability of said components.
Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance
with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code.
Private Sewaoe System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified
septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three
(3) years thereafterto determine whether wastewater or effluent from the system is ponding on the ground surface.
Mounds At -tirade, 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 8ayfield County for
inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any
human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days
from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges
may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected es provided by law.
The terms and conditions of the variance shall be binding upon and inure to the benefit of alt current and future owners of such property.
Owner(s) Name(s)—Please Print
Subscribed and sworn to before me on this date:
Eaujc utf O. Hcouev'
ct4ty 22) 2025
Notarized )
7
Notary Public
My Commission Expires:
Dratted by: TiA-' c L AR-1Date:
Proofed by:
71NGRIID—LAUNR—H—� ATEF COLORADO
ARY ID 20244013107
CO*Ilutow 11W1l8 Ole2d0L
u/ormalsanilarylseplicmaintenceagmement
Revised June 2D18
BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-38S
STATE SANITARY PERMIT
OWNER: EDWARD D HOOVER
G OV'T LOT: LOT: 1 B LK:
CSM: 2359
1/4 1/4 SEC: 17,T45 N, R9 W
TOWNSHIP: Barnes
SOIL TEST: 38-25
NEW SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: JASON KUETTEL
TRACY POOLER DATE: 6/3/2025
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: # MP 675751
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 6/3/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION