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HomeMy WebLinkAbout25-51SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoning(aDbayfieldcounty.wi.gov Note fl Time Change fl Discrepancy fl Other Phone Number 715-634-8176 Plumber: Travis Butterfield Fax Number Email Address Homeowner: Patrick Duffy office@butterfielddrilling.com Immediate Phone Number So Zoning Sanitary 25 51 S Dept can call you right back (if needed) Permit #: 715-558-6472 Plumber's Choice 4i g Dept No Inspection(s) during this time Date: 10/28/25 Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice ing Dept Township: Barnes Address # & Road Name: or 5435 James Rd Directions To Site: Comments: NOT SURE IF THIS IS TRACY'S OR NOT, IF IT IS WE CAN SCHEDULE AFTER 12:15 ** Plumbers you must verify any change(s) by fax or email ** Notes from July 2025 8 � Industry Services Division (_nnnral Information PATRICK T DUFFY 16269W RADIO HILL RD HAYWARD WI 54843 Infnrmatinn Private Ons,ite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) City Li Village LJ Town Shack toff County p Sanitary ermit No: State Plan'Transaction ID#: Parcel Tax No: /A`/3 TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road septic yyr 1,Z N/A Dosin N/A Aeration N/A Holding Pump / Siphon Information Pump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Type of Cell Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number: Elevation Data STATION BS HI FS ELEV Benchmark 0 b eO Bldg. Sewer 3 5 7 y �3 Tank Inlet Tank Outlet 'r" c, 6 7 g Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manifold , o Cl Distribution Pipe Infiltrative Surface , Final Grade Header/ Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length Dia Spac Spacing ' ❑ Yes ❑ No Cell Center I Cell Edges Topsoil 0 Yes 0 No 3OMMENTS: (Include code discrepancies, persons present, etc.) 0/aq AN of yy,h ;K lwtG Tan1W/Jae/44 A4ii /3d)l- Covered w/a:r' Ian revision required? ❑ Yes No IO �� ;e other side for additional inform ion. I 1257 k2f2tt.t14__I Date POWTS Inspector's Signature :an.F71n (P nv21i ❑ Yes ❑ No License Number A Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61$8 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning(a)bavfieldcounty.ora 117 East Fifth Street Web Site: www.bayfieldcounty.org/147 Washburn, WI 54891 PATRICK T DUFFY 16269W RADIO HILL RD HAYWARD W1 54843 As you know /iU.//er &&/L was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes Abandonment of Old System to meet all applicable code requirements: Tank was pumped by: Tank was crushed / removed and pipes disconnected by: on at AM/PM On __D 'Z✓ at /21.7 (AM /& he 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/(arms/sanit arypropertyowner-Input April 2019 f' ,.�nM`T"F�o,� � Department of Safety County ;.75 " OO 5j & Professional Services e I d Sanitj P t Nu ber (to be filled in by Co.) sj ! Industry Services D' aP is Sanitary Permit Applicationuu AY 2 �ran&tion Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit L is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS d s bi 3tftt(to ss (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(l)(m), Stats. 5c3,5 �'rAin c s RJ I. Application Information — Please Print All Information Property Owner's Name Parcel # T Y 10. 1 a y -3 Property Owner's Mailing Address Property Location • Govt. Lot £_ City, State I Zip Code Phone Number lady W&rA W� aY3 -71S- 3Lly i'/s,_ `/., Section bZZ H. Type of Building (check all that apply) Lot # T.' / N R 04 r W )(1 or 2 Family Dwelling —Number ofBedrooms Subdivision Name Block # ❑ Public/Commercial — Describe Use 0 City of ❑ State Owned — Describe Use CSM Number 0 Village of ���'► # 1� Town of &r•ne5 von. fl .�c.5 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 aplicabIe.) A. ❑ New System Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank 'In -Ground 0 At -Grade ❑ Mound 0 Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber El Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: QJ 41% r a.,i .s.tj df cnd Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sf) Dispersal Area Proposed (sf) I System Elevation 300 0.7► 44 ag f 9$: 93.00 Capacity in Total # of Manufacturer , Tank Information Gallons Gallons Units New Tanks Existing Tanks Q..O ri ,,, ce W C7 P. Septic or Holding Tank .7 75O ' er4Q Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for in tallationof the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ature MP/MPRS Number Business Phone Number 'r'no1usr,�'ie Id G5a879' 715-103'1-81"7 Plumber's Address (Street, City, State, Zip Code) /4'3'/t w Sta+c Road 7i Hayw�crd, W= 64 By3 VI. County/Department Use Only Approved 0 Disapproved Permit Fee Date Issued Issu'ng A i re ❑ Owner Given Reason for Denial qoo— Conditions of Approval/Reasons for Disapproval , ,,Q -aC U &t C( - Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 Inches in size SBD-6398 (R. 03/22) PAGE 1OF4 4 In -Ground Gravity Plan 115)E G E 1 1 E Index & Cover Sheet MAY .2 3.2025 Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 202 15 ° Zoning Dept. Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS App lication for Review Soil Evaluation Report & Site Ma Project Name / Description Duffy - James Rd Owner Name(s): Patrick T Duffy Owner Address: 16269W Radio Hill Rd; Hayward, WI Phone: 715 - 296 _ 3443 Zip: 54843 Project Address: 5435 James Rd Govt. Lot: _____ NW 1/4 of SE 1/4, Section 02 , T 44 N -R 09 E ❑ or W ✓ Township: Barnes County: Bayfield Project Parcel ID #: 04-004-2-44-09-02-3 05-004-06000 (TAX ID: 1243) Designer Information Designer Name: Travis Butterfield Designer Address: 14346W State Road 77; Hayward, WI E-mail: office@butterfielddrilling.com License Number: 652879 Phone: 715 _ 634 _ 8176 Zip: 54843 This space reserved for approval stamp. Remarks: Signature: Date. os / I Original signature required on each submitted copy. t PLOT PLAN SCALE = 1:40 �EE g� '.n 0 0) 0 10 25 40 50 80r C M o N 5435 James Rd Lot 1, CSM #14 v.1 p.265 Sec. 02, T44N, R09W' � m Town of Barnes o Bayfield County TAX ID: 1243 BM = Nail w/ Ribbon in 14" Red Pine Proposed Well UPPER \� EAU CLAIRE \ LAKE N BM B3 ST = 750 gal. prefab concrete septic tank made by Superior Precast with Lifetime LT -118 Filter AA = Absorption Area consisting of two cells, spaced >3ft apart containing a total of 22 Quick 4 Plus Chambers ** Existing system is to be properly abandoned o a, 4" PVC Sch 40 ASTM F891 To James Rd --3 ELEVATIONS BM=100.00ft BI = 97.75 ft B2 = 97.00 ft B3 = 97.50 ft Lake = 88.50 ft Page 2 of 4 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) ,ll��lll • min. 12" (typical) Septic Tank(s) Manufacturer: Superior Precast Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer. Lifetime Filter LLC Effluent Filter Model #: LT -1 /8 12" min. trench depth (typical)7�� •' TYPICAL TRENCH CROSS SECTION VIEW (NoScale) System Elevation = 93.00 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) rt/u1L------------�---------�--- g= 47 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft2 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. A = 3.0 ft i (typical) TYPICAL TRENCH PLAN VIEW (No Scale) �—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 429 ft' x 2 trenches = Proposed Total EISA = 452 ft2 G) ry m 3 to N t O o m 5 NZ 1' 1-a CO ti o CD Distribution Method: branched manifold El I/,j�_ 11{G��//�E r4OI4 F 4 In -ground Gravity Management PI4 I IMPORTANT: 1111 MAY 2 3 2025 The owner of this in -ground gravity system shall be responsible for its perpetual operation and3 to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 300 gpd; BOD5 ≤ 220 mgL"1; TSS ≤ 150 mgL"'; 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 tanks) 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: Butterfield Inc Local government unit: Bayfield County Planning & Zoning Local government unit address: Phone: 715-634-8176 Phone: 715-373-6138 117 E 5th Street P.O. Box 58 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. C —00 Department of Safety S S5�(� Services, & Professional IS Z7�n Industry Services Di 'sitlltl l5 County 1 e I d P it Nu fiber (to be filled in by Co.) �5-Sl S Sanitary Permit Application MAY 2 n ion Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS $ByfeIdtQ(10 ss (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(l)(m), Stats. (� 593. Tlem e _s Pct I. Application Information — Please Print All Information Property Owner's Name Parcel # Tex 1 D t 14,43 r: e.V T •o� Property Owner's Mailing Address Property Location ILGtd tVi R Govt. Lot._ a/ City, State I Zip Code Phone Number ward WT $Y3 71 S• )9 (.- 3 y y 3 l "A. C /a, Section b AIlI-la T N N R pg•ce rW II. Type of Building (check all that apply) Lot# Subdivision Name V1 or2 Family Dwelling— Number of Bedrooms e1 1 Block # ❑ Public/Commercial — Describe Use O City of ❑ State Owned — Describe Use O Village of CSM Number C� n ly tl^��j WTown of L7r^. r11e 4 III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box online B. Complete line C if applicable.) A. ❑ New System Replacement SystemExisting ❑ Other Modification to System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank '!n -Ground ❑ At -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 IV. Dispersal/Treatment Area and Tank Information: 1 Caly; CK 4 Plus C-,caabe is earla xta oP end Design Flow (gpd) Design Soil Application Rate(gpd/st) I Dispersal Area Required (sf) I Dispersal Area Proposed (st) I System Elevation 30O 0.`7 4439 SSJ 93.0O Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer m " m °o U '�„ p; rn .o ^ 9 m New Tanks Existing Tanks Septic or Holding Tank — 750 1 upeor 1' ,/7 Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for in collation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's amre I MP/MPRS Number I Business Phone Number Y u:s $u4}er1e ld G5a879 715-6034 8)7 Plumber's Address (Street, City, State, Zip Code) /5'396 ev Sta+e Rose► 77 Hayt.✓crd, W2 5''} 813 VI. County/Department Use Only Approved ❑ Disapproved ❑ Owner Given Reason for Denial Permit Fee Q0 Date Issued ��L k) Lssu'ng A fig re Conditions of Approval/Reasons for Disapproval lt�y k�l/'� aA-r Vl /'�•/ ac Attach to complete plans for the system and submit to the County only on paper not less than 8 In x I1 inches in size SBD-6398 (R. 03/22) Wisconsin Department of Safety & Professional Services J, . Page_Lof '/ Division of IndustryServices MAY 2 5 ti SoI r.s SOIL EVALUATION REPORT Barfild Co. Zoning Dcpt �UL In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, t3G td but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. T A9► 1O t 1 'i3 scale or dimensions, north arrow, and location and distance to nearest road. ._ajg. Please print all information. R Date IPersonal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). % O, Property Owner 9a�IrIeK T Property Owner's Mailing Address 1 c0 a 9 • 1a: > City, State, Zip I Phone Number •4a WS ( 'il5) a96 • Property Location Govt. Loth N W 1/4 S '/ S O a T I4 N R u 9 E (or) W Site Address or CSM and Lot #: Lrs+lri M N 14 vo1.1 ., Sy ❑ City ❑ Village Town Nearest Road T&se C S `S C1 ❑ New Construction Use: 0 Residential/ Numberof bedrooms Code derived designflow rate 30o GPD Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material Se ey b.,1 esa.s General comments and recommendations: Neon t &C.2 I n G' ua Boring # ❑ Boring Pit Ground surface elev.9'7•7Sft. Depth to limiting factor ?J C& in.1 elev. ft. Sail Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 o-' 3/ .... Cr- 0.7 1. y J Di 0.7 !. � - jog 7.5t R s/Y S 1 J4 C. 1. # DBoringBoring Pit Ground surface elev. g%uOft. Depth to limiting factory 10D in. / elev. ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 S *Eff#2 _ 1 O Y R 3/a -- ca _►s 0.7 I. 3 •%. 3`! R 41 1 r 5 ( b.7 J. �p N /Y M — ) O.7 I.(., CST Name (Please Print) Signature dg'1a CST Number G G 8 $ Id A itTh / Address Date aluation Conducted Telephone Number )Li td r k1S y 719- 3'I -$17 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOD,.5 30 mg/L and TSS s 30 mglL SBD-8330 (R03122) .0d A5o (d'45 . ❑ Boring 3• Boring # Pit Siltij Page of Ground surface elev. °�'7. jh JOE ) in. / elev. ft. liii HAY 231U1 hf/i Soil Aaolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consi i e t . E ch i aoe voots GPD/Ft2 - *Eff#1 *Eff#2 -� 1 0`tR�/ td iv.� .l� v•7 f. 1. Y 4 —1c C fir'•. oi i • iv 3 ig.S1. • j -� S r• 1 o .'P I.( 7.SYR s/q —5 ��,w — �F .�r % . Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Soil AoDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1:1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 s 220 mglL and TSS > 30 5150 mg/L * Effluent #2= BOD, 5 30 mglL and TSS 5 30 mg/L SCALE = 1:40 0 10 25 40 50 8 a 5435 James Rd �' Lot 1, CSM #14 v.1 p.265 Sec. 02, T44N, R09W u Town of Barnes nnn Bayfield County �� c TAX ID: 1243 o G' BM = Nail w/ Ribbon in 14" Red Pine UPPER \� EAU CLAIRE \ LAKE Proposed Well Proposed 2 Bdrm Dwelling oc A BM 63 v� OAer: ?'Ie . T111 �d 1 I. a�4 w �t�. M 7i'S -��c.-34443 f B1 lsr a 4 01$.lam/ate A S ee.&g&45 r 14 3N l.L+� $ k Road 7 I�c�ywa�a.wt S^-!8'13 715 -4,3W-517 (P To James Rd ELEVATIONS BM=100.00ft BI = 97.75 ft B2 = 97.00 ft B3 = 97.50 ft Lake = 88.50 ft Pr 7a 304Y SOIL PROFILE SHEET MAY 2 3 2 025 OWNER: ?a}e;cK 'i 1.�"�C �t�� SOIL TESTER: Bayfield Co. Zoning Dept. SYSTEM ELEVATION: LOAD RATE: ____SYSTEM SYSTEM RANGE: 9l. C�C� to 95. CSO cc cr7175 -- Se4v == Sy.s __ -------- 9-- � -- --- __ -- --- __ q�.00 - 3FT-- --- ------ --- 4 N S %Ili -- --- -- --- 90 Sn1L __ --- -- 89 ____ ____ -- LA14E L.EV EL.:: -- --- —__ —-- Feel- -- --- j)a A4 --- 27 8� -- -- ------ -- --- Page L of L SUPERCONCRIUER 1,000 1 -Compartment Tank[13) SUPERI®R PRECAST TE OP A CD BETE TOP VIEW 1111MAY 2.3 Z U 15 s9-lr�?'► ~u oning'Dept. Weight lm lbs) Tank ,81: Lad: 3,683 r ts. by 1 Product File No: This is proprietaryinformation. and remains the propertyof Superior Precast Concrete, LLC. R.3 05-19-2024 • II Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 5/14/2025 MAY 2 Z 0 l h Created On: 3/15/2006 1:14:44 PM ifyfield Go. Zoning Dept. L Description Updated: 10/30/2024 Ownership Updated: 10/30/2024 Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Tax Districts 1243 PATRICK T DUFFY HAYWARD WI 04-004-2-44-09-02-3 05-004-06000 004104503000 Billing Address: Mailing Address: PATRICK T DUFFY PATRICK T DUFFY (004) TOWN OF BARNES 16269W RADIO HILL RD 16269W RADIO HILL RD S02 T44N R09W HAYWARD WI 54843 HAYWARD WI 54843 LOT 1 CSM #14 V.1 P.265 (LOCATED IN GOVT LOT 4 & NW SE) IN V.901 P.425 Site Address * indicates Private Road 358C IM 2004R-494345 IN DOC 2024R 5435 JAMES RD BARNES 54873 605227 2.083 2.083 Property Assessment Updated: 10/4/2016 0 2025 Assessment Detail Yes Code Acres Land Imp. (R-3) Residential -3 Gi-RESIDENTIAL 2.090 222,700 67,100 104 1 04 004 041491 001700 ' Recorded Documents 2 -Year Comparison 2024 2025 Change Updated: 3/15/2006 Land: 222,700 222,700 0.0% STATE Improved: 67,100 67,100 0.0% COUNTY Total: 289,800 289,800 0.0% TOWN OF BARNES SCHL-DRUMMOND TECHNICAL COLLEGE ®' Property History N/A Updated: 3/15/2006 ® WARRANTY DEED Date Recorded: 10/24/2024 2024R-605227 ® TERMINATION OF DECEDENT'S INTEREST Date Recorded: 10/24/2024 2024R-605226 ® CONVERSION Date Recorded: 494345 226-342;901-425 PAGE 1OF4 4 In -Ground Gravity Plan 1 6 d E D Index & Cover Sheet uV MAY 2 32025 Component Manual Design References: RRaavvi� t o. Zoning Dept. In -Ground Soil Absorption for P0WTS Version 2.1 (May 20ZZ�2� Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: POWTS Application for Review Soil Evaluation Project Name / Description Duffy - James Rd Owner Name(s): Patrick T Duffy Owner Address: 16269W Radio Hill Rd; Hayward, WI & Site Ma Phone: 715 296 3443 Zip: 54843 Project Address: 5435 James Rd Govt. Lot: NW 1/4 of SE 1/4, Section 02 , T 44 N -R 09 E ❑ or W 0 Township: Barnes County: Bayfield Project Parcel ID #: 04-004-2-44-09-02-3 05-004-06000 (TAX ID: 1243) Designer Information Designer Name: Travis Butterfield Phone: 715 -634 _8176 Designer Address: 14346W State Road 77; Hayward, WI E-mail: office@butterriielddriIIing.com License Number: 652879 Remarks: Zip: 54843 This space reserved for approval stamp. Signature: Date: os / 19 / a s Original signature required on each submitted copy. SCALE = 1:40 l� :v m 0 10 25 40 50 80 C M N 5435 James Rd nn` , a U Lot 1, CSM #14 v.1 p.265 w^ S Sec. 02, T44N, R09W Town of Barnes Bayfield County TAX ID: 1243 BM = Nail w/ Ribbon in 14" Red Pine UPPER EAU CLAIRE LAKE I'] Proposed Well I ST = 750 gal. prefab concrete septic tank made by Superior Precast with Lifetime LT -1/8 Filter AA = Absorption Area consisting of two cells, spaced >3ft apart containing a total of 22 Quick 4 Plus Chambers A, 1 tI ** Existing system is to be properly abandoned Existing Garage Driveway i2 i /q�so a L sed STs B1 rming 5aQi �. 4" PVC Sch 40 ASTM F891 BM B3 To James Rd ELEVATIONS BM = 100.00 ft 81 = 97.75 ft B2 = 97.00 ft B3 = 97.50 ft Lake = 88.50 ft Page 2 of 4 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 17 (typical) Septic Tank(s) Manufacturer: Superior Precast Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer. Lifetime Filter LLC Effluent Filter Model a: LT -1 /8 12" min.trench depth (typical)IL \\J 'J< ' TYPICAL TRENCH CROSS SECTION VIEW I ° (No Scale) System Elevation = 93.00 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (t 'cal) YPi L--------------------7'--- B= 47 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft2 + 1 Pairs of end caps @6 fe EISA/pair = 6 ft2 = Proposed EISA per trench = 226 ft' Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers ctions. TYPICAL TRENCH PLAN VIEW (No Scale) TA=3.0ft (typical) lard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. Required Infiltration Area = 429 x 2 trenches = Proposed Total EISA = 452 O rTl a 9 v ?Th O W a N N C U9 v r ft2 Distribution Method: ft' branched manifold El RESET Si AGE4OF4 In -ground Gravity Management PIA ! C d D IMPORTANT: a Li MAY 232025 The owner of this in -ground gravity system shall be responsible for its perpetual operation anc idiMIanEer4ing it to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 300 gpd; BOD5 ≤ 220 mgL 1; TSS ≤ 150 mgL-1; FOG 5 30 mgU1 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: Butterfield Inc Phone: Local government unit: Bayfield County Planning & Zoning Phone: Local government unit address: 117 E 5th Street P.O. Box 58 Washburn, WI ZIP: 54891 715-634-8176 715-373-6138 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. ss- Private Sewage System MaAltenlance Agreement W -Wed:b N111 SS'3S Te4rnes As 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 Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) Mtt1 1/4 of X1/4 Section O'A Township 4'j N. Range b_W. Additional Legal Description, Wy.4ot P.4JS MIc_ tw2Inryr•-41414C IM Dec aoays-6osaW7 Town of Sac at S (Acreage) J•ob3 Gov't Lot L1 Lot Block Subdivision Lot%CSM#P4 Vol. 1 Page JI, 5 CSM Doc # .tr4P33' S ® In -ground gravity ❑ Mound DOCUMENT NUMBER 2025R-60771 1 DANIEL.. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O6/O3/2O25 AT 1 1 :O3 AM RECORDING FEE: $3O.OO PAGES: 1 -Return To: Planning aI Z4irg r�p1rtVer JUN 042025 ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ At -grade Sewage System ❑ Other Area Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. 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 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 -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall 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 o_atMJJa posts within thirty (30) days, the owner specifically agrees that all the costs and charges maybe placed on the tax roll as a special assessft4a�tpgMtqent of a human health hazard, and the tax shall be collected as provided by law. E\ /C Iff The terms and conditions of the agreement slr�i/I4' O ding up nd r*jje to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print \(E, Subscribed and sworn to before me on this date: Pab �: c c T C)"O%, v�E�F\E 51 i z Notarized Owner(s) — Signature(s) 11 f OF Vd Notary Public "1Smc. My Commission Expi ,, : 3 a(o Drafted by: _ Date: Os/is/as Proofed by: _ u/forms/sanitary/septicm aintenceagreement Revised July 2020 13MFI ELD 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: DUFF?, PATRICK T 16269W RADIO HILL RD HAYWARD, WI 54843 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00248 Transaction Number: SR-00248-2D89D Amount $50.00 Total: $50.00 Payment Amount: $50.00 • Reference: 4459 Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 6/12/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. I3-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: DUFFY, PATRICK T 16269W RADIO HILL RD HAYWARD, WI 54843 Description Private Sewage System (Septic Tanks) Submission Number: SS -00544 Transaction Number: SS-00544-2D8D7 $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 4459 Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 6/12/ 2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-51 S STATE SANITARY PERMIT OWNER: PATRICK T DUFFY GOVT LOT: LOT: 1 BLK: CSM:14 V.1 P.265 NW1/4 SE1/4 SEC:2,T44N,R9W TOWNSHIP: Barnes SOIL TEST: 50-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TRAVIS BUTTERFIELD TRACY POOLER DATE: 6/12/2025 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: # 652879 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 6/12/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION