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HomeMy WebLinkAbout25-42SNOV, TIME RECEIVED REMOTE CSID DURATION PAGES STATUS November -'12, 2023 at 12:48:03 PM CST 7157983470 45 1 Received /2025/WED 12:19 PM 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 fljime Change fl Discrepancy fl Other Plumber: (0/ 11r�i Y &Sfllu59Pn v •i ns Phone Number 7/5 -'7L28 --335s Fax Number — %/5- 7yfgy� Homeowner: �9 rr a/4ebA y Email Address r111ssy�c�>r�n s, � Sanitary r1 h - 1 a Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #; �!!✓ Plumber's Choice Zoning Dept No Inspection(s) during this time Date: 113 j a5 YW Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice Dept Township: / ver Address # & Road Name: or 1 bb,S O .� v1 y s /Ok l,t n I Q ' Directions To Site: Comments: jet Zl Plumbers you must verify any change(s) by fax or email "LL' Notes from Zoning Dept; u/forms/seniiary/requestforinepection Zoning Dept (t4N12J04); ©June 2023 Private Ons,ite Wastewater Treatment - Systems ( POWTS) Inspection Report (Attach to Permit) Industry Services Division General Information r JEFF E & ANGELA K COLBY 717 WILSON AVE CLEVELAND WI 53015 Tank Information I TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic N/A Dosing N/A Aeration N/A Holding City I I Village setback to: of: County Sanitary emit No: State Plan Transaction ID#: Parcel Tax No: Pump I Siphon Information Dispersal Cell Information DIMENSIONS Width t Length I `( # of Cells SETBACK FROM ProLine Bujldlii qg W ib O±MF Type of Cell Manufacturer: K` u - (� tk 5. Model Number. Pretreatment Unit Manufacturer: Model Number: Die Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet ,lia.7 Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface 9� 1 Final Grade X Pressure X Hole ❑Yes ❑No =`I Cell Center I Cell Edges I Topsoil I O Yes ❑ No I ❑ Yes O No XMMENTS: (Include code discrepancies, persons present, etc.) fUW �� cupclG�n can Secud Qw (yS sour 4htrd n�FSlwk64 (t'-> 1*&Afakor 1000.61w, Ian revision required? EI Yes iilNo I I a� se other side for additional information. Date 3Rn_RR71❑ (P n7/O1) PO S Inspector's Signat re License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(a)bayfieldcounty.wi.pov Web Site: www.bayfieldcounty.wi.gov/147 JEFF E & ANGELA K COLBY 717 WILSON AVE CLEVELAND WI 53015 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know 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: o Tank was pumped by: o Tank was crushed I removed and pipes disconnected by: ml at AM/PM On at (AM / PM) the above -mentioned plumber contacted our office to condd ct 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 $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Vow Sydem • I IL4A) 1144 ett dwnv14 n c ychlrv7 OJJrKcn VA ad rcw. Ulforms/sanitarypropertyowner-input April 2019 55-dd Sal o,RT,��.4T • ED PS Industry Services Division 4822 Madison Yards Wa Madison, W 70 L (J \4T P.O. Box 02 Madison, 3701AY 2827 �� _ County Bayfield SJ)UY Permit Number (to be filled in by Co.) u j — 7 IS Isansaction Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the app ro�j d:�$vt i7llr4rpxsiit}�iit ` is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted% 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. Number i- Project Address (if different than mailing address) 10685 Angus Lake Rd. Iron River, WI 54847 I. Application Information — Please Print All Information Property Owner's Name Parcel # Jeff & Angela Colby 19218 Property Owner's Mailing Address Property Location 717 Wilson Ave Govt. Lot NW ,,, NE ySection 10 T 47 N R 08 E or W City, State Cleveland, WI Zip Code 53015 Phone Number 920-629-2451 II. Type of Building (check all that apply) Lot # Subdivision Name Z1 or2 Family Dwelling— Number ofBedrooms 3 Opublic/Commercial — Describe Use State Owned — Describe Use Block # UCityof Village of CSM Number Town of Iron River III. Type,of POWTS'Permit: (Check either "New" or "-`Replacement" and other applicable online A. Check one box on :lineB _ Compiete'line:G if a licable: A.ew System []Replacement System ❑Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. [Holding Tank IJIn-Ground ❑At -Grade Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before Expiration Revision Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued NA IV. Dis ersa'Vrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 0.7 642 678 95.5 Tank Information Capacity in Gallons I Total Gallons # of Units Manufacturer = e aU , o V in 5 a 2 iz0 0 A. New Tanks Existing Tanks I Septic or Holding Tank I 1000 I I 1000 I 1 I Superior Precast 11✓ l I III 1 I [If1i Dosing Chamber L111] U V. Responsibility Statement- I, the undersigned, assume responsibility for installationofPOWTS shown on the attachedplans. Plumber's Name (Print) Plumber's Signature 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. County/Depalrfinent'Use Only Approved 0 Disapproved PermitFeeDate Issued Issu' g A Signature g S ,,/ /� ❑ Owner Given Reason for Denial $ 1 OO ~ )y L5' 1�A�r!/% �.Y3D/7 , ( Conditions of Approval/Reasons for Disapproval SQ oc4 cwc Attach to complete plans for the system and submit to the County only on paper not less than 8112 x 11 inches in size SBD-6398 (R. 02/22) PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system 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 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 = 450 gpd; BOD5 ≤ 220 mgL"'; TSS ≤ 150 mgL-1; FOG ≤ 0pigI Inspection Checklist INSPECT EVERY 3 YEARS U y' o type of use o age of system f SAY' U 25 o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) V.aytteld Go. Zoning Dept, 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 1 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: Bayfteld 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. 5�?TIC '?'IK c�oS s s T T o1`i : r�� S?c.rIF IG:QTi cras y" Sct�.LfO PVC nisP. PT?E 6 11 MIN. ABOVE G=.DE.('cpT.) c f ii E ii (when �nle+ tno.�,.�ho1e �c buv-+za MAY Z C1APPROVED . HAYHOLE FINISHED GRADE 18" I MEET TclJ—_ APPROVED PIPE 3` ONTO SOLID SOIL i ayfjejcj Co. W/ Lcc:.K cj Zoning Dear L- w• ______________ APPR D B E -F E O FILTER MFG. O fCU model 9 L' 311 APPR-Jt✓`D B.EDD1146 UHDEP, TMIc. SP.EKIIFICATIONS SEPTIC TANK M A NU F AC TU'R ER TANK SIZES. SE?TIC jocro GAL. OUTLET t _r- PAGE 1 OF 4 In -Ground Gravity Plan fjD f C V E Index & Cover Sheet MAY 2 8 2025 Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-20% Id Co. Zoning Dept. Pg1of4 Pg2of4 Pg3of4 Pg4of4 Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Colby 3 Bed Owner Name(s): Jeff & Angela Colby Owner Address: 717 Wilson Ave Cleveland, WI Phone: 920 -629 - 2451 Zip: 53015 Project Address: 10685 Angus Lake Rd. Iron River, WI 54847 Govt. Lot: NW Township: Iron River Project Parcel ID #: 1921€ 1/4 of NE 1/4, Section 10 , T47 N -R 08 County: Bayfield Designer Information Designer Name: Jason Kuettel Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: E❑or W❑✓ Phone: 715 -798 -3355 Zip: 54821 This space reserved for approval stamp. Signature: Date: Original sign ure required on each submitted copy. Owner Information: Name: Jeff & Angela Colby Location: NW1/4NE1/4.S10.T47N.ROBW Township: Iron River County: Bayfield Lot #: 10685 Angus Lake Road Well Existing Hous BM 11� N 97 99 Co N 7 O1 C Q B3 B2 Q¼J(V1 H C e-Mf sc-v6 hi1 Only in Tested Area • Shed Old well to be abandoned 1 BM=100: Top of 2nd step of sidewalk half way down S'.aP� Kati Pte ° (°uV O/CEf"La /-fC'TL'r�— q"fcI 4t' MP (nS-'S 7 B1 = 98.63 B2 = 98.74 83 = 97.56 Lake= 88.86 ) 1Srevb, L -C - 95.50 ® v nrl a IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 2" min. trench depth (typical) min. 12" (typical) Lu (typical) ••'^ e... System Elevation = 95.5 (typical) Septic Tank(s) Manufacturer Superior Precast Septic Tank(s) Volume(s): 1000 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 (Show location of inlet I outlet pipe connection on plan view.) (typical) r�-----------X/--------��---- L►►►►----------�--------77---- I. B= 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 fly EISA/chamber = 220 ft2 + 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 manufacturer's instructions. = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 642 ft2 O7 D rn 3 ln�r M p ry ti't W o ¢ o O c u] r:. J Irnr" CD a Distribution Method: x 678 trenches = Proposed Total EISA = 678 ft2 branched manifold IM -Tanks IM -1060 The Infiltrator IM -1 060 is a lightweight strong and durable septic tank. This watertight tank design is offered with Infiltrator's line of custom -fit risers and heavy-duty lids. Infiltrator injection molded tanks provide a revolutionary improvement in plastic septic tank design, offering long-term exceptional strength and watertightness. Benefits a Strong injection molded polypropylene construc- tion as Reinforced structural ribbing and fiberglass bulkheads offer additional strength TANK CUTAWAY Partition baffle wall as Lightweight plastic con- struction and inboard lifting lugs allow for easy delivery and handling so Can be installed with 6" to 48" of cover Infiltrator EZsnap Riser System Integral heavy-duty green lids that interconnect with TW' risers and pipe riser solutions as Suitable for use as a septic tank, pump tank, or rain- water (non -potable) tank Inlet Side Structural bulkheads MID -SEAM CUTAWAY Reinforced water tight mid -seam gasketed connection Structurally reinforced access ports eliminate dis- tortion during installation and pump -outs L —J No special water filling requirements are necessary HEAVY DUTY LID CUTAWAY Reinforced 24" structural ;s port Infiltrator Water Technologies Part of ///f infiltratorwater.com . (800) 221-4436 IM -1060 General Specifications and Illustrations The IM -1060 is an injection molded two piece mid -seam plastic tank. The IM -1060 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM -1060 is assembled and sold through a network of certified Infiltrator distributors. Must be backfilled and I. ;;;' E � installed in accordance Ji•:. s o with the Infiltrator TM - and CM -Series Septic Tank General Installation Instructions. i;:" For shallow ground water conditions reference the Infiltrator IM- and CM -Series Tank Buoyancy Control Guidance. Please visit www.infiltratorwater.com or scan QR code for the latest information. .I Working Capacity 1094 gal (4141 L) Total Capacity 1287 gal (4872 L) Airspace 16.5% Length 127" (3226 mm) Width 62.2(1580 mm) Length -to -Width Ratio 2.3 to 1 Height 54.7" (1389 mm) Liquid Level 44"(1118 mm) Invert Drop 3" (76 mm) Fiberglass Supports 2 Compartments 1 or2 Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6" (152 mm) Maximum Pipe Diameter 6" (152 mm) Weight 320 lbs (145 kg) 0411021 PVC 003 AE5 INLET TEE (TYPICAL) UFTNGSIRAP R PICALI • PER 30 C - 1761 SUPPORT (TYPICAL] TANK TOP HALF TANK INTERIOR ALIGNMENT DOWEL Contact Infiltrator's Technical Services Department for assistance at 1-800-221-4436 or info@infiltratorwater.com IM02 0625 54.7 [13891 FXsGm 024(6101 ACCESS OPENINGSWITH LOCIONO LIDS (2) 0411021 PVC ON ABS OUIIETTEE CODE LI 5.8 11181 SPPOLTss .IOUIU SUPPORT )EPM WH RBAFAFFLE WITH WALL WHERE REQUIRED CONTINUOUS GASKET SEAM CLIP TANK BOTTOM HALF 6nfiltrator Part of //" 5S-00537 I Industry Services Division County '`ty—L7I 4822 Madison Xrds Way Madison, W1IB70 M Ba leld S i try Permit Number (to be filled in by Co.) P.O.Box02ll�J9 Madison, 3707 — 2 S 11Sanitary Ay 28 2O2 Permit Application s Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the app le\p Zpjpjjgpt roject 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(1)(m), Stats. 10685 Angus Lake Rd. Iron River, WI 54847 1. Application Information — Please Print All Information Property Owner's Name Parcel # Jeff & Angela Colby 19218 Property Owner's Mailing Address Property Location 717 Wilson Ave Govt. Lot City, State I Zip Code Phone Number Cleveland, WI 53015 920-629-2451 NW W, NE y,, Section 10 T 47 N R 08 E or W 1I. Type of Building (check all that apply) Lot # Subdivision Name ZI or 2 Family Dwelling- Number ofBedrooms 3 ❑Public/Commercial - Describe Use Block # City of State Owned - Describe Use Village of CSM Number Town of Iron River Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line Cif applicable.) A. New System I ]Replacement System Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B. ❑Holding Tank Zln-Ground DAt-Grade Mound ❑ Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision Change of Plumber Jfransfer 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 Rate(gpd/st) I Dispersal Area Required (at) Dispersal Area Proposed (at) I System Elevation 450 0.7 642 678 95.5 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units P o $ o New Tanks Existing Tanks v eo v u cu Septic or Holding Tank 1000 1000 1 Superior Precast ✓ 0EJ El Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on fire attached plans. Plumber's Name (Print) I Plumber's Signature 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. County/Department Use Only Approved 0 Disapproved Permit Fee I $ Date Issued L Issuing A t Si ure 0 Owner Given Reason for Denial 4lNM /N ;j YY /9'.Q),/ Conditions of Approval/Reasons for Disapproval Cad. Attach to complete plans for the system and submit to the County only on paper not less than 8 ht x II inches in size SBD-6398 (R. 02/22) $cDOZ53 '��� Soil Evaluation Report 0 TE5� D in aorordence with SPS 385 , V1 &Adm Code `ti Wlsconstn Department of Safety and Professional services f Attach complete site plan on paper not less than 8% X 11 inches in size. Page: 1 ,a MAY 28 2025 Plan must include but not limited to: Vertical and horizontal reference County: point (BM), direction and percent slope, scale or dimensions, north arrow, Bayfield location and distance to nearest road. Parcel I.D. Please Print All Information 19218 Personal information you provide may be used for secondary purposes. Review /Date: L� h fnrivnr_v I nw c 15-r14f111m11_ A I 7,3 ,/4 / Property Owner. Jeff & Angela Colby Property Location NW114NE1/4,S10,T47N,R08W Property Owners Mailing Address: 717 Wilson Ave Site Address or CSM and Lot # 10685 Angus Lake Road City Cleveland lState I Wl I Zip Code I Phone Number: 0 Town Iron River lNearest Road: I Angus Lake Road Number of Bedrooms: 3 J New lv Residential Code derived design flow rate: 450 Flood Plain if applicable r— Replacement r Public or Commercial - Describe: Parent Material: Flood Plain if Applicable: 88.86 General Comments & Recommendations: System Elevation: 95.5 Load Rate: 0_7 Eievation Ranoe: 9174 TO 95.':: Bolin #1 r Bor.P' pit Ground surface Elev: Depth to Limiting Factor: Boring 98.63 Ft. 120 in. Elev. 88.63 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 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 4-24 7.5YR4/6 N/A LS 0SG ML CS 3M 0.7 1.6 3 24-120 7.5YR5/1 N/A MS 0SG ML N/A IF 0.7 1.6 4 5 6 7 Bor.' pit Ground surface Elev: Depth to Limiting Factor: Boring # 2 98.74 Ft. 120 in. Elev. 88.74 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 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 4-26 7.5YR4/6 N/A LS 0SG ML CS 3M 0.7 1.6 3 26-120 7.5YR5/1 N/A MS 0SG ML N/A IF 0.7 1.6 4 5 6 7 *Effluent #1 = BOD 5>30 < 2 20 mg/1 and 30 5 150mg/I *E f #2 = BOD 5 < 30 mg/1 and TSS < 30 mg/1 CST Name (Please Print) Mark S. Thompson Si tur CST Number: 877598 Address: 12006 N US Hwy 63 Hayward, WI 54843 Date at n ndu a uesday, May 20, 2025 Telephone Number 715/699-4081 I SBD-8330 (R04/21) ept. {QAc /y698 Property Owner: Jeff & Angela Colby Parcel I.D. 19218 Page: lfli 15 ll U D9 MAY 2 8 2025 Boring # 3 r Pit Ground surface Elev: Depth to Limiting Factor: Bores 97.56 Ft. 97.56 in. Elev. 87.56 ft s9Ay$Md tP 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 0-6 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0,_6 1.0 2 6-22 7.5YR4/6 N/A LS OSG ML CS 3M 0.7 1.6 3 22-120 7.5YR5/1 N/A MS OSG ML N/A 1 F 0_7 1.6 4 5 6 7 Boring # 4 r- Bore' Pitt 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 # 5 Ground surface Elev: Depth to Limiting Factor: C" BorF 0 Ft. 0 In. Soil App. Rate Horizon Depth in.GPD/ft2 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 !" j" It Ground surface Elev: Depth to Limiting Factor: Bor �0 Ft. 0 In. Soil App. Rate ffHorizonpth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 Eff#2 2 3 4 5 6 7 *Effluent #1 = BOD 5>30 < 2 20 mg/land TSS>30 < 150mg/! *Effluent #2= BOD 5< 30 mg/! and TSS 5 30 mg/! 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 zoning Dept SBD-8330(R.07/00) till MAY 28.2025 Soil Profile Sheet Page: Uo. Zoning Dept, Owner: Jeff & Angela Colby Soil Tester: Mark S. Thompson System Elevation: 95.5 Load Rate: 0.7 System Elevation: 91.74 To 95.73 101 B2 101 B1 101 B3 100 --------------.. 100 --------------- 100 ---- _.._ _-- System 99 ------------ 99------- 99 Elevation 98.74 98.63 ---- - ---- 98 ----- 98 --------------- 98 ----------- _— --- 97.56 97 ----------- 00.7 97 -----------. 0_7 --------------- -- 96.57 96.63 96------�---- 0.7 96 -- ---- 0.7 96 ------------ 0.7 --- 95.73 95-�-�--- 95 -------------� 95 ------- 0_7 94 --------------- 94 --------------- 94 --------------- 93 93 93 _ 92 92 92 --------- ---------- 91.74 ---------- 91.63 --------�--- 91--------------- 91 --------------- 91 --------------- ______ --------------- ----- 90.56 90 ----- T3' 90 --------- T3' 90 -------_____�_ 89 89 -------- 89 T3' ------------ 88.74 ----------- 88.63 -------------- 88 ------ L.F. 88 ------------ L.F. 88 --------------- --- 87.56 87 - 87 --------------- 87 ----------- L.F. 86 86-�---- 86 85 ------------- 85 ---------85 --------------- 84 - --- 84 -------- 84 -------------- 83 --- 83 ------ 83 - 82 --------------- 82 --------------- 82 --------------- 81 --------------- 81 --------------- 81 --- ------ 80 80 --- 80 79_--- 79 _--- 79 Angus Lake z L. to I C n Iz A N J O z "' ac D y W w A m a o O wc 11(0 J II z a O 1O. m � O a � a o o o CD ■it n Driveway }` (71 is ,do(]ouuuoi o_)piayAeg /L', 4 7, AVW W ONO W 11 II II II Im Im Ia Iw 4 PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system 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 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 = 450 gpd; BODS ≤ 220 mgL"1; TSS ≤ 150 mgL"1; (�F G}�≤ 0pgL1 Inspection Checklist INSPECT EVERY 3 YEARS D D o type of use o age of system MAY - tl C 025 o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Beyfield Co. Zoning Dept 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 I 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: Local government unit: Bayfield Co. Zoning Phone: 715-373-6138 Rasmussen & Sons 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. S=?TTC ?rhI< CEDSS S=CT_OF( P.FFT_ '-' :L..TICFIS 4" 9CA-40PVC INSP. �-r 6 }fr;/, ABOVE ma..,. G. .D-. O n l9 � 0 \% D _ ilJnuj (when enle+ �o�e Ps bLL Iza - �' MAY 282025 APPROVED MANHOLE H RAD•. pt.. W/ L�c1. �1fR'VIAIE. LAe&L I 4" MIN. 28" HIH. INLET OUTLET APPR D BA -P- E 0 FILTER APPROVED MFG. Ok-encg PIPE 3' ONTO SOLID model R cTogaz SOIL 3" n.PPP.O'JED BEDDING UHDeR TANK SPECIFICATIONS SEPTIC TAN;( }1ANUFACTURER; S 4E3ttLt ETns- TANK SIZES: SE?TIC rocs CAL. NOTES: PAGE 1 OF 4. In -Ground Gravity Plan C U V Index & Cover Sheet MAY2820Z5 8 2025 D Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2WOld Co. Zoning Dept. Pg 1 of 4 Pg 2 of 4 Pg 3 of 4 Pg 4 of 4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Colby 3 Bed Owner Name(s): Jeff & Angela Col Owner Address: 717 Wilson Ave Cleveland, WI Phone: 920 -629 -2451 Project Address: 10685 Angus Lake Rd. Iron River, WI 54847 Govt. Lot: NW 1/4 of NE Township: Iron River Project Parcel ID #: 19218 Zip: 53015 1/4, Section 10 , T47 N -R08 E❑or WIIZI County: Bayfield 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 Signature: Date: 5A -/f eG Original sign ure required on each submitted copy. Owner Information Name: Jeff & Angela Colby Location: NW1/4NE1/4.S10.T47N.RO8W Township: Iron River County: Bayfield Lot #: 10685 Angus Lake Road BM=100: Top of 2nd step of sidewalk halfway down -b - Well Existing .Cu Hous Shed BM a 1 10685 97 Cu J 41 C C Q B3 (1: R (3)e96 82 Q" tcF '1 C Only in Tested Area S Old well to be abandoned SvPLaLla` e&e 4cr CO" °2.�rcG fI(.rz-vl— t, rCN K°CMG MP BI = 98.63 B2 = 98.74 B3= 97.56 Lake= 88.86 f`1 Sreeo, E L - 9.5. So CD o. 0 io v v IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 12" (typical) Septic Tank(s) Manufacturer. Superior Precast Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: Orenco Effluent Filter Model #: FT -0822 12" min. tench depth (typical) • ' TYPICAL TRENCH CROSS SECTION VIEW f' (tyPcai) • (No Scale) System Elevation = 95.5 ft (typical) Quick4 Standard -W w/ End Cap (Show location typical) of inlet / outlet pipe connection on plan view.) ( r---------------------�f ---- --------------------��--- B= 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 If EISA/chamber = 220 ft2 + 1 Pairs of end caps @6 ft EISA/pair = 6 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) I A=3.Oft (typical) > a l� � P �a m Quick4 Standard -W Chamber ry 9 W (typical) r .a O (mid by Infiltrator Systems, Inc.) 3_ O —n Install pursuant to manufacturers instructions. r— m a Q = Proposed EISA per trench = 226 ft' Required Infiltration Area = 642 x 678 trenches = Proposed Total EISA = 678 ft2 Distribution Method: ft' branched manifold Private Sewage System Maintenance Agreement Owner(s) Name JEFF LOLLY 9— ANGELA C-OL)3 f %1-) (,j1LSon, AVE. GLr=vt=wr.,as, ii- S3o\s Site Address /o68S ANGuJ Lc11 fit /gory r\✓Et,, Tax ID# I5. za6 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 fisted location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) tt P 1/4 of N E 1/4 Section /0 Township y L N. Range 08 w Additional Legal Description: SEC ATr."}cnt Town of /ftON N iz W &'L (Acreage) Z• 0' Gov't Lot _ Lot_ Block Subdivision Lot _ CSM # Vol. _ Page CSM Doc # DOCUMENT NUMBER 2025R-607640 DANIEL J_ HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 05/28/2025 AT 2:59 PM RECORDING FEE: $30.00 PAGES: 2 Return To: Area Planning ar((�Z0219TI �(r1lt(� Il1111u L5MAYY 292025 In -ground gravity ❑ In -ground dosed ❑ Sayfleld Go. Zoning Dept. In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic lank 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. 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 manufacturers 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, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -grade. and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for Inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system lank 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 maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of suct Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: `5 LFF Cu LL7,Y AtGELA Cc'&'7 No�ttaa1;rii'zeedddOwner(s)—Signatures) to Public • Lvl v IS �t • ; v My Com i ion sires: Drafted by: CLr11ZIL Date: 4-Zb - 2S Proofed by: utfoeoslsanitary/septicmaintenceagreement Revised July 2020 EXHIBIT A That part of the Northwest Quarter of the Northeast Quarter (NW1/4NE¼) of Section 10, Township 47 North, Range 8 West, located in the Town of Iron River, Bayheld County, Wisconsin, described as follows: Commencing at the North 1/4 corner between Section 10 and Section 3, Township 47 North, Range 8 West; thence East along the section line a distance of 1,300.8 feet to an iron pipe; thence angle to the right 90° a distance of 1,216.2 feet to an iron pipe; thence angle to the right 90° a distance of 807.3 feet to an Iron pipe; thence angle to the left 5°12' a distance of 111.0 feet to an Iron pipe located on the lakeshore of Angus Lake, which is known as the place of beginning; thence retracing on the same line a distance of 111.0 feet to an iron pipe; thence angle to the right 5°12' a distance of 807.3 feet to an Iron pipe; thence angle to the right 90° a distance of 100 feet to an iron pipe; thence angle to the right 90° a distance of 904.8 feet to an iron pipe located on the east side of Angus Lake; thence northerly along the lakeshore a distance of 100 feet to the place of beginning. All angles given are deflection angles. W4-YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: COLBY, JEFF E & ANGELA K SR -00253 717 WILSON AVE CLEVELAND, WI 53015 Transaction Number: SR-00253-2CE03 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 14698 ($50 for soil, $400 for sanitary) Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 6/ 4/ 2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BYFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: COLBY, JEFF E & ANGELA K SS -00551 717 WILSON AVE CLEVELAND, WI 53015 Transaction Number: SS-00551-2CE05 Description Private Sewage System (Septic Tanks) Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 14698 ($50 for soil, $400 for sanitary) Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 6/4/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-42S STATE SANITARY PERMIT OWNER: JEFF E & ANGELA K COLBY GOVT LOT: LOT: BLK: NW1/4 NE1/4 SEC: 10,T47N,R8W TOWNSHIP: Iron River SOIL TEST: 42-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL TRACY POOLER DATE: 6/4/202 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 6/4/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION