HomeMy WebLinkAbout25-41SRequest 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
fl Time Change fl Discrepancy fl Other
Phone Number
715-682-6050
Plumber:
Blakeman Plumbing & Heating, Inc.
Fax Number
Email Address
Homeowner:
Tasty Plunderer LLC
steven.waby@blakemanplumbing.com
Immediate Phone Number So Zoning
Sanitary
Dept can call you right back (if needed)
Permit #:
25-41
715-292-1361
Plumber's Choice
Zonin Dept
No Inspection(s) during this time
Date:
07/07/2025
�
Tuesday (9:30 am - 12:15 pm) (Tracy)
Plumber's Choice
Zo Dept
Time:
11:00am
Township:
Bell
Address # &
Road Name:
89775 W Sunset Dr, Cornucopia, WI 54827
or
Directions
To Site:
Comments:
Inspect Holding Tank Installation
** Plumbers you must verify any change(s) by fax or email **
Notes from
u/fors/sanitary/requestforinspection
Zoning Dept (®4/12104); ® June 2023
POWTS HOLDING TANK INSPECTION REPORT
(ATTACH TO PERMIT)
TASTY PLUNDERER LLC
3173 SUNNYSIDE ST
STOUGHTON WI 53589
TANK INFORMATION
TYPE MANUFACTURER/MODEL# CAPACITY
91� I�NfilIVA1 illW4r, IpSf),-isO
SETBACKS
Property Line
Well
Water Service
Building
All -Weather
Road
OHWM
Swimming Pool
40
O
1OO4-
DEVIATIONS FROM APPROVED PLAN
COMMENTS (Persons present, discrepancies, etc.) 1
�QYIi�aV,huhl V wdtny-�.0�"5 �porJ1 I(avk hale QuJc, fuvC1
G11 (UJ&ccr")
&4'j 104 j — pl Imo. 'ii (a U4 pUaq (,.A
nsc✓s;addpc( by, k'pm
k'UCi C '4 "S . added by fap ri'. 1.10"* ' t �J4 f fff 4CAMC.
llatc flL
UlnaIn f{(IMN�I Q15f(hS
v*q
Alarm
Ci UWlS oh' Ulna ca Pe nca nskll ed
COMPONENTS NOT INSPECTED
Plan Revisio equired
❑ Yes No
D a
Signature of Inspec r:
Cert. Number
SKCetch on other side
10 of 13 �J
4:
Property Owner
Information
As you know
onsite wastewater treatment system on your property described as:
BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT
Telephone: (715) 373-6138
Fax: (715) 373-0114
e-mail: zoning(dbayfieldcounty.wi.gov
Web Site: www.bayfieldcounty.wi.gov1147
TASTY PLUNDERER LLC
3173 SUNNYSIDE ST
STOUGHTON WI 53589
Notes
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:
•o Tank was pumped by:
Tank was crushed! removed and pipes disconnected by:
on
at AM/PM
On at (AM I PM) the above -mentioned plumber contacted our office to
cond t 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 becauseCountycould not respond to plumber's time constraints.
Comments: �1�� ? V 1 41 t1l1K tIIS�U1f6� f pl(AI,
Ulforms/sanitaryprapeayowner-input Apri12019
i¶1Vl5S -0055
` a�pARmmi - -'
MAY I'- 9 202
Industry Services Divisio j
4822 Madison Yards Way
County
Bayfield
Sanitary Permit Number (to be filled in by Co.)
pS
Madison, WI 53705
P.O. Box 7302
t° f
Co. Zoning�ept
Madison, WI 53707
�r
t2S - 41/ JBayfielci
Sanitary Permit Application
State Transaction Number
In accordance with SPS 383.2I (2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
Project Address (if different than mailing address)
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
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(l)(m), Stats.
89775 W Sunset DrCornucopia, WI 54827
,
I: Application Information — Please Print All Information
Property Owner's Name
Parcel # 3�136GL
Tasty Plunderer LLC C
04-010-2-51-06-21-1 05-001-04100
Property Owner's Mailing Address
Property Location
3173 Sunnyside St
Govt. Lot 1
%� %, Section 27
City, State
Stoughton, WI
Zip Code
53589
Phone Number
612-965-2076
T51 N R 06 E or
R. Type of Building (check all that apply)
Lot/I
Subdivision Name
Jl or 2 Family Dwelling —Number ofBedrooms 3 _
Block/I
❑Public/Commercial — Describe Use
OCity of
❑State Owned — Describe Use
JVillage of
CSM Number
aTown of Bell
III. -Type of POWTS P&initi (Check either "New" or "Replacement" andother applicable on line A. Check ohe box on line B C6mplete`lme'C'
a - l*cable.
A.
✓ INew System
OReplacement System
jlOiher Modification to Existing System (explain)
Additional Pretreatment Unit (explain)
B.
Holding Tank
IIIn-Ground
lkt-Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
[JRenewal Before
Revision
Change of Plumber
❑Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
IV. DispersalfrreatmentArea.and
Tank: Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/sf)
Dispersal Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation
Capacity in
Total
# of
Manufacturer
,
o
Tank Information
Gallons
Gallons
Units
?
'►° 8
y
y
New Tanks
Existing Tanks
U
va H
cn
w C7
P-4
Septic or Holding Tank
1250/750
2000
1
Weiser
✓
Dosing Chamber
c
V. Responsibility Statement ; I,'the undersigned, assume responsibility for lnstallahon of the POWTS shoyy on the attached plans
p lh' 8 �,.
Plumber's Name (Print)
Plumber's Signature
Ti>—
MP/MPRS Number
1092768
Business Phone Number
Dean Blakeman
715-682-6050
Plumber's Address (Street, City, State, Zip Code)
44941 State Hwy 13, Ashland, WI 54806
.^County/D'epartineat.Use
Only
Approved
O Disapproved
Permit Fee
Date IssuedL
n Agent Signatur jj
❑ Owner Given Reason for Denial
14 c)o
(Q/'1/a
Conditions of Approval/Reasons for Disapproval
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x I I inches in size
SBD-6398 (R. 02/22)
PAGE 1 OF 4
Holding Tank Plan
Index & Cover Sheet
Component Manual Design References:
Holding Tank Version 2.1 (May 2022-2027)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Holding Tank Specifications
Pg 4 of 4 Management Plan
ill] MAY272025
7 2025 J
Bayfield Co. Zoning Dept.
Attachments:
Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map (if ap
Holding Tank Pumping Contract (if appli
Holding Tank Agreement (if applicable)
Project Name / Description
Tasty Plunderer LLC / Holding Tank
plicable)
cable)
Owner Name(s): Jeremy & Ben Peyer Phone: 608 -877 -6894
Owner Address: 4745 Beard Ave. S Minneapolis, MN Zip: 55410
Project Address: 89775 W Sunset Dr, Cornucopia, WI 54827
Govt. Lot: 1 1/4 of 114, Section 27 , T 51 N -R 06 E Oor W ✓V
Township: Bell County: Bayfield
Project Parcel ID #: 04-010-2-51-06-27-1 05-001-04100
Designer Information
Designer Name:
Dean Blakeman Phone: 715 -682 -6050
Designer Address: 44941 State Hwy 13, Ashland, WI Zip: 54806
E-mail: dean @bl akeman pl u m bi ng . com This space reserved for approval stamp.
License Number: 1092768
Remarks:
Dahl Construction is submitting HT pumping contract,
HT agreement, and sanitary permit fee.
Signature.• I -- Date: c/27/2015'
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLIC E. E P ^L A YC&
F-1SOIL EVALUATION Scale: 1" RI = 20'
SITE MAP0
Za 30 4o PLOT P NMAY 27 202:
PROJECT NAME: (5 ft grid) 52 DESIGN FLOW:
R�Vfiwlr�Q� 2onj.,�l�gg
Tasty Plunderer LLC VA Attach design flow calculations for commercial puns.
PROJECT ADDRESS: 89775 W Sunset Dr, Cornucopia, WI 54827 Pipe Material I ASTM Standard (Tables 384.30-3 & 384.30-5)
Sanitary sewer. 4r1 / SDR 35
BM Symbol:- BM Elevation: 100 FT Force Main:________________I________________
BM Description: Top of well casing
Indicate north by IMPORTANT:
Slope Gradient (%) Well Symbol (if applicable): 0 drawing an amaw Show ground elevation contours at suitable intervals.
of Tested Area: on the approprite One.
_ ts2
P
I
1
i
2�'-�
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liii MAY 2 7 2 025
Bayfield Co. Zoning Dept.
PAGE 3 OF 4
HOLDING TANK SPECIFICATIONS
(No Scale)
'CO Vent Pipe
Weatherproof X10 ft from
Jundian and Alarm Bmc Approved Building
12' Min. or 20 ft above
lApproved
Electrical must comply with
Loddng Manhole Vent
vAth arning Label Attached Established Flood Elevation 4' Min. or 20 ft above
Flood Elevation
SPS 316 and NEC 300
(typical)Established
(typical)
(typical)
-Conduit
Airtight Seal
`
t
Finished Grade
f
18'
Min.
(typical)
y. ;4 f; q, ,•
• .
inlet
Inlet Invert
--Watertight
PlugApproved
Joints
Approved Pipe 3 ft onto ,
Max. 12 or 3096 of total volume
If more than one tank
Solid Ground I
(typical)
Alarm -On
b,
i•
Compartment I Vol =11372.68gsl
Compartment 2 Vol 0 773.76 gal
• TOTAL HOLDINGTANK
VOLUME= 2,101.5 gal
1
3' Approved Bedding Material Beneath Tank
TANK MANUFACTURER: Weiser
Anchor tank as necessary
pursuant to SPS 383.43(8)(g)
Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - lbs.tank.wt] x 1.5
Ballast Weight = [( 280.93 cu.ft. x 62.4 lbs/cu.ft) - 14,860 lbs] x 1.5 = 4,005.10 lbs
Holding Tank Management Plan 1111 MAY 272025
IMPORTANT: tBay#ieid Co. Zonirro Dept
The owner of this holding tank(s) shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this holding tank(s)
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.
Estimated Daily Wastewater Flow =
300
gpd
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 neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o surface discharge of effluent or sewage back-up into structure served
SERVICING FREQUENCY
o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Stats.
when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s).
Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis.
Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Blakeman Plumbing & Heating, Inc. Phone: 715-682-60550
Local government unit: Bayfield County Zoning Phone: 715-373-6138
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 component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a
plan submitted to the appropriate agecy for review and approval.
System Abandonment
If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
s
D ( m'
1111 MAY 2? ZU1b,
6a eid Co. Zoning Dept.
TANK SPECIFICATIONS
DIMENSIONS:
WALL 2 1/2"
BOTTOM: 3"
COVER: 6"
MANHOLE 24 I.D. PRECAST CONCRETE RISER
HEIGHT: 66" O.D.
LENGTH: 155" O.D.
WIDTH: 86" O.D.
BELOW INLET: 53" O.D.
LIQUID LEVEL • 48"
4" CAST -A -SEAL WEIGHT: 14.860 LBS. SEPTIC
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL
GASKET, CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 27.66 GAL/IN (SEPTIC)
16.12 GAL/IN (PUMP)
LOADING DESIGN: 8' 0" UNSATURATED SOIL
w 4" VENT
co
INLET - -_ OUTLET
—
�•
N
I II
PUMP PAD
SIDE VIEW
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
TANK CAN BE USED AS:
SEPTIC/SEPTIC, SEPTIC/PUMP
OR SEPTIC/SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #10 (STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT MESER CONCRETE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
SHEET NO.
�F1
55 -Doss
��ovr""'"ew,
2 9 202
Industry Services Divisi �—
4822 Madison Yards WayN_..........'
County
MAY
Madison, WI 53705
Sanitary Permit Number (to be filled in by Co.)
Bayfield Co. Zoning
P.O. Box 7302
ept Madison, WI 53707
a$ - 4/S
Sanitary Permit Application
State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
Project Address (if different than mailing address)
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
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(l)(m). Studs
89775 W Sunset Dr, Cornucopia, WI 54827
I. Application Information — Please Print All Information
Property Owner's Name
Parcel #'?y%c6
Tasty Plunderer LLC
04-010-2-51-06-21-1 05-001-04100
Property Owner's Mailing Address
Property Location
3173 Sunnyside St
Govt. Lot 1
City, State I
Zip Code
Phone Number
Stoughton, WI
53589
612-965-2076
___'A,_¼. Section 27
T51 N R06 E or
II. type of Building (check all that apply)
Lot #
Subdivision Name
I or 2 Family Dwelling — NumberofBedrooms .1
IIIIPublic/Commercial — Describe Use
Block #
City of
❑State Owned — Describe Use
Village of
Pz,
CSM Number
Town of Bell
Ill. Type of POWTS Permit: (Check either "New" or"Replacement" and other applicable online A. Check one box on line B. Complete line C i
a licable.
A.
✓ New System
❑ Y
Re lacemcnt
❑ P System
they Modification to Existing System (explain)
Y� ( p )
Additional Pretreatment Unit ex lum
❑ (' P )
Holding Tank
thIn-Ground
❑4t -Grade
❑Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
❑ Renewal Before
❑Revision
JChange of Plumber
❑transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/st)
Dispersal Area Required (so
Dispersal Area Proposed (at)
System Elevation
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
a
U o v
V
u
Ta
New nks
Existing Tanks
v e
y
m
Septic or Molding Tank
1250/750
2000
1
Weiser
fl
Dosing Chamber
V. Responsibility Statement- I, the undersigned,
assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Dean Blakeman
I Plumber's Signature
T—
MP/MPRS Number
Business Phone Number
1092768
715-682-6050
Plumber's Address (Street, City, State, Zip Code)
44941 State Hwy 13, Ashland, WI 54806
V County/Department Use Only
Approved
❑ Disapproved
Permit Fee
I Date Issued L
'ne Agent Signa[u
❑ Owner Given Reason for Denial
4ov
(p a
Conditions of Approval/Reasons for Disapproval
Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x It inches in also
SBD-6398 (R. 02/22)
prr 2
D - .r ` I1 . I Soil Test #
2.0 2 z Bayfield County
MAY Waiver of a Thorough Soil & Site Evaluation SO4 TEST _
Ba field Co. Zoning Dept. _ _ # 3+ - a5
y (subject to 15 1 10(d))
I RV1 0MY7 a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Property Owner /45i P/OM Owls C.— Contractor
Property Address '977c4 97 7 c ,es,,5d ,0r Authorized Agent
.Copt P_2.' Agent's Telephone
Telephone/ (4!Ll) -,9,2 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
114 of 114 Sectional 2 Township /N. Range t W. Town of /
Govt.
Lot I Lot Block Subdivision CSM#�/
Volume Page of Deeds Parcel I.D# 3 e 9 Acreage
Additional Legal Description:
Indicate reasoning for your determination:
"A Lk,r; zoi' I, i5 ,' 5" ,o $&cs*/
Si ature of Certified Soil Tester
-j°J-- 22
Date
Y7 -1J
Signature of County Official 62
Date
Ii17 //
Certification #
(Submit a Plot Plan & Fee)
u/forms/soiltestwaiver(KLK)
February 2005
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PAGE 1 OF 4
Pg 1 of 4
Pg 2 of 4
Pg 3 of 4
Pg 4 of 4
Attachments:
Holding Tank Plan
Index & Cover Sheet
Component Manual Design References:
Holding Tank Version 2.1 (May 2022-2027)
Index & Cover Sheet
Plot Plan
Holding Tank Specifications
Management Plan
HECEvW D
MAY 272025
Bayfield Co. Zoning Dept.
POWTS Application for Review
Soil Evaluation Report & Site Ms
Holding Tank Pumping Contract
Holdina Tank Aareement (if a
Project Name / Description
Plunderer LLC / Holdina Tank
Owner Name(s): Jeremy & Ben Peyer Phone: 608 -877
Owner Address: 4745 Beard Ave. S Minneapolis, MN zip: 55410
Project Address: 89775 W Sunset Dr, Cornucopia, WI 54827
Govt. Lot: 1 1/4 of 1 /4, Section 27 , T 51 N -R 06 E ❑ or W ❑✓
Township: Bell County: Bayfield
Project Parcel ID #: 04-010-2-51-06-27-1 05-001-04100
[1
Designer Information
Designer Name: Dean Blakeman Phone:
Designer Address: 44941 State Hwy 13, Ashland, WI
d blk 1 '
It,.'
e-mail; can , a
ulull g.com This space reserved for approval stamp.
License Number: 1092768
715 -682 -6050
zip: 54806
Remarks:
Dahl Construction is submitting HT pumping contract,
HT agreement, and sanitary permit fee.
Signature:• '� — Date: c/27/2O2c
2O2S
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE. CHECK BOX AS APPLIC . IP
❑ SOIL EVALUATION 0 scale: 1 o 2D 30 40 0 SYST SS Ni5l11inJ CX NL/V4F
SITE MAP PLOT P NMAY 272025
PROJECT NAME: (e re grid)
5' DESIGN FLOW: B In sfor miner, 29eq
Tasty Plunderer LLC Attach design flow calculations for commerdral pl8ns.
PROJECT ADDRESS: 89775 W Sunset Dr, Cornucopia, WI 54827 Pipe Material I ASTM Standard (Tables 384.30-3 & 384.30-5)
Sanitary Sewer 4 / SDR 35
BM Symbol: BM Elevation: 1 00 FT Force Mahn: /
BM Description: Top of well casing
Indicate north by IMPORTANT:
Slope Gradient (%) Well Symbol (If applicable): 0 drawing an enwu Show ground elevation contours at suitable intervals.
of Tested Area: on the epproprhe tne.
2S -0 5S /;
-- 2,
I ooI
( on
o
6
z I X S1'
I r
I L i
2
O
400 OI =
fl
core' 111111
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mnm '`
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m
1111 MAY 272015
Bayfield Co. Zoning Dept
PAGE 3 OF 4
HOLDING TANK SPECIFICATIONS
(No Scale)
Eledd®I must mmply with
SP5316 end NEC 200
1eMin.
(trpl®)
Approved Jolnla with.
Approved Pipe 3 ft only
6olld Ground
(wdl)
—Jundlen and Alarm Box
Approved Wdiip Manhele
with Warning Label Atladmd
(tyd®0
a.
Max. 1? or90%of loW volume
If more than one tank
Compadmanl I Vol =1,37168 d
4'0 Vent Pipe
NO ft from
Building
Min. or 2.0 If above
had Flood FJevallon 4•µm. or 2.0 ft above
MW1I Sdabli ied Fbod 9eveti
Compadmant2Vd= 773.76 gal
TOTAL HOLDING TANK
VOLUME 2,101.5 gal
3' Appmred Beddbg Malarial Beneath Tank
TANK MANUFACTURER: Weiser
Anchor tank as necessary
pursuant to SPS 383.43(8)(8)
Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - lbs.tank.Wt] x 1.5
Ballast Weight a 1( 280.93 cuff. x 62.4 lbs/cu.ft) - 14,660 Ibs] x 1.5 = 4,005.10 lbs
!fl'F4
Holding Tank Management Plan Jf MAY 2720z5
2025
IMPORTANT: Bayfield Co. Zoning Dept.
The owner of this holding tank(s) shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this holding tank(s)
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.
Estimated Daily Wastewater Flow =
300
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 neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o surface discharge of effluent or sewage back-up into structure served
SERVICING FREQUENCY
o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Scats.
when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s).
Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis.
Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Blakeman Plumbing & Heating, InC. Phone:
Local government unit: Bayfield County Zoning Phone:
Local government unit address: 117 E 5th St, Washburn, WI
715-682-6050
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 component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a
plan submitted to the appropriate agecy for review and approval.
System Abandonment
If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
TOP VIEW
DII MAY 2 7 ZOZb
Bayfleld Co. Zoning Dept.
W1250/750 —MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 21/2"
BOTTOM: 3'
COVER: 6"
MANHOLE 24' I.D. PRECAST CONCRETE RISER
HEIGHT: 66" O.D.
LENGTH: 155" O.D.
WIDTH: 86" O.D.
BELOW INLET: 53' O.D.
LIQUID LEVEL: 48"
4" CAST -A -SEAL WEIGHT: 14,860 LBS. SEPTIC
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL
GASKET, CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 27.66 GAL/IN (SEPTIC)
16.12 GAL/IN (PUMP)
LOADING DESIGN: 8' 0" UNSATURATED SOIL
a
w
4" VENT
OUTLET
INLET
—
—
1J
I.I
j
PUMP PAD
TANKS ARE MANUFACTURED
REQUIREMENTS
TANK CAN BE USED AS:
SEPTIC/SEPTIC, SEPTIC/PUMP
OR SEPTIC/SIPHON
COVER: MIX DESIGN 18 NO FIBER)
TANK: MIX DESIGN /10 STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
FOR APPROVAL
APPROVED BY:
PROVAL BATE:
ODBCTS NEEDED BY:
5
U
F
02
V 1
Document Number/Plan I.D. No. HOLDING TANK
AGREEMENT
Tasty Plunderer LLC,
Ben Peyer , t'1,bent,
3173 Sunnyside ST Stoughton WI 53589
Parcel Identifier Number (PIN) Agreement Date (same as Notary Date)
04-010-2-51-06-27105-001-04100 5- Iy -'.$
We acknowledge that application is being made for the installation of (a) holding tank(
on the following property or that continued use of the existing premises requires that a
holding tank be installed on the property for the purpose of proper containment of
sewage. Also, the property cannot now be served by a municipal sewer, or any other
type of private onsite wastewater treatment system as permitted under Ch. SPS 383.
Wis. Adm. Code or Ch. 145, Wis Stats.
1/4 of
Town of Bell
Additional Legal Description: LOT 1 CSM #2145 IN V.12 P.317 (LOCATED IN GOVT LOT 1)
1/4 Section 27 Township 51 N. Range 06 W•
Tax ID #38369
Gov't Lot 1_ Lot, Block_Subdivision CSM#_
Lot 1 CSM # Vol _Page _CSM Doc# 2020R-585117
DOCUMENT NUMBER
2O25R-6O7495
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
05/16/2025 AT 10:50 AM
RECORDING FEE: $30.00
PA&S:
C 6 IVE
111 MAY 192O
2O
Return To:
Planning and Zoning Department
As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, we agree to do the
following:
1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and
maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfield County or the
Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Slats., Bayfield County may enter upon
the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a
special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats.
2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and
maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield
County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the
owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax
roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Adm. Code, to
have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County.
The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within
30 days from the date of change to the service contract.
4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Slats., and Ch. NR 114, WI's Adm. Code who shall
submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to
investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being
properly maintained.
5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private
onsite wastewater treatment system that complies with Ch. SPS 383. WI's Adm. Code. In addition, this agreement may be cancelled by
executing and recording said certification with reference to this agreement in such manner which will permit the existence of the
certification to be determined by reference to the property.
6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this
agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the
existence of the agreement to be determined by reference to the property where the holding tank is installed.
Dn
Per
HOLDING TANK SERVICING CONTRACT
1111 MAY "1 62025
Contract Date
S- IL/-�5
This contract is made between the
Holding Tank Owner(s) Name(s)
Cr-L1 tot Sc o4 4, 3er. ?e'lev�
Bayfield Co. Zoning Dept
Pumper's Name (Print)
Pumper's Signature
Pumpers' Registration #
We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions)
PROJECT
Legal Description:
Ta*lek
314, 314.
LOCATION
(Use Tax Statement)
3 O�V�
-�l
Li
Town of:
Lot Size
Acreage
Section ,Township 1 N, Range C rd W
i.�
175oo
Gorr( Lot
Lot#
CSM It
Vol. Page
CSM Dock
Lotls) No.
Block(s)No.
Subdivision:
1. The owner agrees to file a copy of this contract with Bayfield County as required in SPS 383.55, Wis. Adm. Code.
2. The owner agrees to have the holding tank(s) serviced by . umper and guarantees to permit the pumper to have
access and to enter upon the property for the purpose of J g the holding tank(s). The owner agrees to maintain
the access road or drive so that the pumper can service th tank(s) with the pumping equipment. The owner
further agrees to pay the pumper for all charges incurred in s cl the holding tank(s) as mutually agreed upon by
the owner and pumper. S
3. The pumper agrees to submit to the local government unit which has slthe pumping agreement required by SPS
383.55, Wis. Adm. Code, and the County, a report for the servicing of th g tank(s) on a semiannual basis. The
pumper further agrees to include the following in the semiannual report:
a. The name and address of the person responsible for servicing the holding tank;
b. The name of the owner of the holding tank;
c. The location of the property on which the holding tank is installed;
d. The sanitary permit number issued for the holding tank;
e. The dates on which the holding tank was serviced;
f. The volumes in gallons of the contents pumped from the holding tank for each servicing;
g. The disposal sites to which the contents from the holding tank were delivered.
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the
contract, the owner agrees to file a copy of any changes to this service contract or a copy
with the local government unit and the County named above within (10) business days from t
service contract.
OWner(s) Nam(s) (Print) Owner's Signature(s) Subscribed and Sworn to(*7S 7S Box's >'
� on this day of - � t�,.a'2 by:
3 .tjt- otary Public Pu My commission expires on: v 7 1161 Z1
Revised: May 2016 (®May 2018)
Personal information you provide may be used for secondary purposes [Privacy Law. s.15.04 (I)Im))
Drafted by
System Explorer
5/23/2025
Real Esaze
• Pe venal Proverty
tS Unk To Treasurer p00s
To Pay 2nd half or Past Yeartaxes
only by CreditCard, Emedt, or Debit
Card mNe eayleld County Treasurer
use se this link.
{Y Par Barfield County Treasum By
Crefft Cad
For Credit Cad or Edreck payment to
the following mundpallnes use the
munkipality link below.
December and January
Jurisdiction
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Town or HHay d ----
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Public Access
Real Estate
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Tax10:
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Name:
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TASTY �'"°ALL`
3173SUNNYSLDEST
MAY
27 7025
Site Address;
S:
Road:
STOUGHTON WI 53589
Search Results- Records Found: I I Property I Tax Records I Tax Bill I Statement I DocumerBaj,fifto. AonI1 "Dent
DD2-51-us27-1 o5-001-04100 Real Estate Bayfield County Property Listing
4Tax DISWcta Updated: 11/12/2020
18369 1.700 At
Today's Date: 5/23/2025
0.0600
TASTY PWNDn1ER LLCDescription
Updated: 11/12/2020
31735UNNYSiDE ST
Tax ID:
38369
STOUGHION WI 53509
PIN:
04-010.2-51-06-27-105-001-04100
89775W SUNSET 0R
Legacy PIN:
Map 10:
Munidpalitic
(010)TOWN OF BELL
Slit
527 ISIN R06W
Description:
LOT ICSM#2145 tN V12 P317
(LOCATED IN GOVT LOT 1)
Recorded Aaes:
1.780
(akuleted Agee:
1.780
Lottery Calms:
0
not Ddiar.
No
ESN:
107
1
STATE
04
COUNTY
010
TOWN OF BELL
044522
SOILrAl1THS-ORE
001700
TIOINICAL COLLEGE
O Recorded Documents
Updated: 1/7/2020
B CERTIFIED SURVEY MAP
Date Recorded: 10/29/2020
202UR SSSSl 17 12-317
El QUITCLAIM DEED
Daze Rec ded: 12/26/2019
2019R-500393
Property Status: Current
Created On: 11/12/2020 1:39:17 PM
a Ownership Updated:11)12/2020
TASTY PLUNDERER LLC STCUGHFON WI
0ll(ling dp dress:
Malline Addrtls,
TASTY PLUNDERER LLC
TASTY PLUNDERER LLC
3173 SUNNYSIDE ST
3173 SUNNYSIDE ST
STOUGHTON WI 53589
STWGHION WI 53589
T Site Address ' Indicates
Private Road
89775W SUNSET DR
CORNUCOPIA 54827
® Property Assessment
Updated: 9/22%2022
2025 Assessment Detail
Code
Ayes Land Imp.
GL -RESIDENTIAL
1.]80 44,500 0
2 -Year Comparison
2024 2025 Change
Land:
44,50] 44,500 0.0%
Improved:
0 0 0.0%
Total:
44,500 44,500 0.0%
Is Property History
Parent Properties Tax ID
04.010-2-50-00-27-1 05-00t-04 Jno
04-010-2-50-00-27-1 05-001-050007744
04-0162-51-0627-105-00106000
04-010-2-51-06-27-105N1-0]000 nSI
HISTORY C$9_mpress All 0(or VAdte=parent Parcels pnk=Retired Parcels
® Progress: I Print I II
�c��
BAYFIELD COUNTY
CHECKLIST FOR SANITARY APPLICATONS MAY 272025
Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) Bayfield Co. Zoning Dept
Check List
Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.)
Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c))
Original Plot Plan (383.22(2)2. 3. & 4.a)
❑ Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer
Pump Tank Diagram, Alarm and Pump Curve (when applicable)
Contingency Plan / Management Plan (383.22-3(2)(b)1.f.)
❑ Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds)
❑ Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) ('fr .. pr,,,wr 5
❑ Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) (EEDM Owna/')
❑ ATU Servicing Agreement (Recorded at Reg. of Deeds)
❑ Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) Kfm. �a4( (m5E,
R 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached
l to all copies)
'IA Soil and Site Evaluation Report (383.22-3(2)(b)1.e.)
❑ State Plan Review (when applicable)
❑ Copy of Warranty/Quit Claim Deed (Optional)
Sanitary Application: (Include the following Information)
$ I Application Information must include: 14 23 digit Parcel ID# -- (do not use 12 digits anymore —obsolete)
$ Project Address or Road Name where driveway is/will come off of)
N II Type of Building
III Type of Permit
IV Type of POWTS System
0 V Dispersal / Treatment Area Information
10 VI Tank Information
I VII Responsibility Statement (Plumber's Information)
❑ *Date Stamp*
Plot Plan: (To Scale or To Dimension)
.A Signature and Plumber Information
Surface Elevation of Body of Water
Direction and Percent Land Slope
Tank and Filter Information and Location
10 Wetlands / Navigable Bodies of Water
th\Absorptlon Area (Proposed and=Existing)
(Owners Phone Number)
Address Number and Road
North Arrow
Contour Lines
11 Structures and Driveways
ABoring Locations
P4 Property Lines
Bench Mark (Location, Elevation and Description) Well Locations
$ Component Manual Version ' Legal Descriptions
`iping Material Information (conveyance line, building sewer line, material type and diameter)
Turn Over ►
Cross -Section and Over -Head Profile of the System: I i [ U V
❑ Surface and System Elevation p6J MAY / Z0P5
El Position of observation and Vent Pipes ga
field Co. Zoning Dept
❑ Dimensions and Depths
❑ Make, Model & Number of Chamber Units in each Cell
Property Information
1p How many systems will there be on this parcel of land? _I__
Has this property been split? S (Property Statement shows Property History)
Fees:
❑ Private Sewage System (Septic Tanks)
$ 400.00
❑ Private Sewage System (Holding Tanks)
$ 400.00
❑ Mounds or Systems requiring Pre -Treatment
$ 500.00
❑ Sanitary Revisions
$ 25.00
❑ Private Sewage System Reconnection
$ 50.00
and Private Interceptor
❑ Return Inspection
$ 50.00
❑ Maintenance Agreements +
$ 30.00
(checks made out to Reg of Deeds)
u/forms/checklists/checklistforsan taryapps (10/2009);(07/2011);(®2/2012)(®5/2/2012 -dc) Proofed by:
BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-41 S
STATE SANITARY PERMIT
OWNER: TASTY PLUNDERER LLC
G OV'T LOT: 1 LOT: B LK:
1/4 1/4 SEC: 27, T 51 N, R 6 W
TOWNSHIP: Bell
SOIL TEST: 36-25
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: DEAN BLAKEMAN
TRACY POOLER
Authorized Issuing Officer
DATE: 6/4/2025
CHAPTER 145.135(2) WISCONSIN STATUTES
a. The purpose of the sanitary permit is to allow installation of the
private sewage system described in the permit.
b. The approval of the sanitary permit is based on regulations In force on
the date of approval.
c. The sanitary permit is valid and may be renewed for specified period.
d. Changed regulations will not impair the validity of a sanitary permit.
e. Renewal of the sanitary permit will be based on regulations in force at
the time renewal is sought, and that changed regulations may impede
renewal.
f. The sanitary permit is transferable.
History: 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: # 1092768
Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all-
weather road.
THIS PERMIT EXPIRES 6/4/Z022
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION