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HomeMy WebLinkAbout25-53SU ** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS Augottt 6, 2025 at 11:30:35 AM CDT 7157952324 46 2 Received 8/6/2025 10: 1 PJs Ca Im Store 7157952324 1/2 (Fax this form to Zoning Dept when you want an mepectwn - ata•ul14) NQt 17 Time Change Discrepancy ❑ Other From Toning Dept Phone Number Plumber: ; �%h S CL�'an E t S cauNumber Home Owner , %//n '- vp y, Mc G Cn tj Sanitary S-- 53 S Permit #: Plumber's Choice pt h10 irtanectlan during these 6mee Date: a 11:30 am -2:30 pm Wed. (Jan) �. "�� S✓ r 9:3q am —12:30 pm Tues. (Josh) 8.30 am —12:30 pm Thurs. (Josh). Time: Plumber's Choice ; c� Fd�i Dept �' Unttlediate Phone Number so Zoning Dept can call you back if needed Township: Read Name:. '{�/�; S0 r!! �� S HD h:t d&2 or j III Direu$ons ' Tb Site; Comments; B vthv You must confirm any change(s) that have been meda pdorto _ or a memo wdtbe sent voiding the inspection. Thank You! Plumber must veeify any changes) by fax rr no lnspeaiwi will be scheduled W lor^15J5Ddarrttap2e6AWineAtzor 2oror9 Da* :.:t2r0e! aray 2r:s (s), Industry Services Division General Informatinn Private Onsite Wastewater Treatment Systems ( POWTS). Inspection Report (Attach to Permit) Pe TIMOTHY L & JUDITH L MCLEOD 38 ALDER LN CS ESKO MN 55733 Tank TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Se tic (t/re25t,752 4flf N/A DosinL44/4g N/A Aeration D N/A Holdin Pump / Siphon Information City 77 it ill setback to: County p /� Sanitary ermit No: State Plan'Transaction ID#: Parcel Tax No: Pump Manufacturer ump Model Demand GPM Alter Manufacturer Filter Model TOW Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Disnersal Cell Information DIMENSIONS I Width I Length flat Cells SETBACK FROM Prop..Line Buil in Wg1l, yy OHS Type of Cell A? / /2 Manufacturer:mi Model Number. Pretreatment Unit Manufacturer: Model Number: stribution Dia Center Dia Elevation Data STATION BS HI I FS ELEV Benchmark I Bldg. Sewer Zn6 Dpi Tank Inlet /87.3/ Tank Outlet 62 Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface L) to Final Grade X Pressure X Hole She ❑ Yes ❑ No ❑ Yes ❑ No I ❑ Yes ❑ No DOMMENTS: (Include code discrepancies, persons present, ejc.) Ali,, rM N rl� 71,1 V l'00, t✓c Air, •44 q//,,,, an revision required? 0 YestNo 2jj 62a_ ;e other side for additional informmafon. Date POWTS Inspector's Signature License Number 3 Rn_R7in !R nZ%11 AS Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(dbavfieldcounty.oro Web Site: www.bavf[eldcounty.oro/147 TIMOTHY L & JUDITH L MCLEOD 38 ALDER LN ESKO MN 55733 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know qm,G5 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.septiesearch.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 at (AMhe 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/forms/sanEta rypropoily own ar-input April 2019 • r Department of Safety County & Professional Services Hayfield SanilaryYermil Number (to ho Idled'in yCo,l . Industry' Services Division 25-53S Sanitary Permit Application Scala'fmnsaelon Number In accordance with $PS 383.21(2), Wis. Adm Code, submissionorthis form to the appropriategovornmenial unit Is required prior to obtaining a sanitary permit Note: Application forms for suite -owned POWfS arc submitted to Project Address(ifditferdd than mailing address) the Department of Safety and Professional Services. Personal inronnaiton you provide maybe used ror secondary g uses in oceordamti will the Privacy Laws 15.04(1)(m) SWLS 2150 South. Shore Rd Y itr'd' ftd1K rtfo PtfoU r,' <, Property'Oivner' :Nam. .. � Pared H ZZZLi Timothy. L. &Judith L. Mcleod etal 04-004.2-44-9-20-205-004.14000 Property Owner's Mailing Address Property Location 38.Alder Lane Govt : Ira City, Stale Zip Code Phone Number - ESko,MN 55733 218-391-4368 — A. Sections 20 T 4,4 N R 09 .. 6 li 14 lati Rii G VIA .: Loll! l or2 Family thvefling— Number orucdronuu 2 1 Subdivision Ham1. BMekH Q,Public/Comrnercicl- Describe Use ciClyot 1 JUN 032025 ❑ Vilingp of ❑Stale Owned — Describe Use -- — CSM Number - 0007700 V.5 P.192 ®Tram o!_„_.rlrOJ_r�11lQ.jJE(hl _ . `elHur `New" or Replacement unrl)rlQaer appbyabteoilfidt Dae box onibe B. Complete line C if A. ❑New System 'Replacement System ❑ tither Maditicatlun to Existing System (e.spinrn) ❑ Addditlonal Peclreawent Unit (explain) 'Q Hold' Tank m8 t�ln-Ground- ' 0 Al -Grade b Mound '� Individual Site Design d Other Type jexplain) (conventional). C.. 0 Renewal Before 0 Revision ❑ Change orPlunlber _.... to New Owner tat Prwrous Permit Number and Date issued Expiration UpSU*VTnSUntnt Arts and Tank lafolma 3_r`.x'y`e-*/ W d -d" -t 'rr.'•: .: Design Flow (gpd) Design Soil Application Rate(gpd/SD Dispersal Arta Required (of) Disperwl Area Proposed (so System btevalion 300 0.7 A.428a: 446.6 89.5, 10 - - Coppacrly in Total Gallons. ' llor (lulls Manuracturer - - Tank information Gullpns. {{ „ 3 NewTwJs' Kh1ingTbJs u Q r, U p. septic or HoldingTonk 750 — 750 1 Weser. Dubs .Cheinhd. '' &swmatbMl'_$tcacntl,ibtadpsW&dassumertSpDIII'for ImtaOatipq vfrhe POWT§ shasvo an lticartached pims Plumber's Name (Feint) plumber's Signature (l/lIPRS Ngnrber Busaus Phofte.Nllmbef. -. C ctnRc.n d- S a. / D_.. thee Z1ress (Street City Sint, Zip Code) -' - - £WiVb3wtaDaIAitU'e 6n)y - hi.'2�.^ M' +. mss,. ._.si � � Z �permitFm- Approved ❑ pisspproved - " Da e.lssged C .tom sealing ent5`notuie ❑owner Given Rgcomformnlai D 6�¢ Nr5 CondilionsofApproval/Reasons for Disappm'al - / _ Q 4w 4UOK/ rr7 a f �/4Ke 4 ve rg/r 4/f j wee .a; aCW c Attach ed complete ldane for the dysued, dad piibnrll to die county only on paper not Also than a rrrhi l l ind,eslo sire SDD-6398 (R. 03/22) s/ -mss •a+°'rM��r`"'o Wisconsin DeparlmentofSafety& Professional Services liii JUN 0 42025 Page 1 of 3 S� Dlvlslan oflndusbyServices SOIL EVALUATION REPORT Bayfield Co. Zoning Dept. in accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must Include, Bayfield but not limited to vertical and horizontal reference point (BM), direction and percent slope, parcel I.D. ZZZ.t.1 scale or dimensions, north arrow, and location and distance to nearest road. 04-004-2--9-20-2 05004.14000 Please print all Information. v wed Date Personal Information you provide may be used for secondary purposes(Privacy Law, a. 15.04(1)(m)). _ 117 T Property Owner Property Location ❑ ❑ Timothy L. & Judith L. Mcleod etal Govt. Lot '/. S 20 T 44 N R 09 E (or)0 Property Owner's Mailing Address I Site Address or CSM and Lot #: 38 Alder Lane I Lot I of CSM #000770 City, Stele, Zip Phone Number ❑ city ❑ Village ® Town Nearest Road Esko, MN 55733 (218) 391-4368 Barnes 2150 South Shore Rd ❑ NewConstructlon Use: Residential/Numberofbedrooms 2 Code derived deslgnftowrate 300 GPD ®Replacement ❑ Public or commercial —Describe: Flood Plan elevation If applicable N/A a Parent material Sandy and loamy III (KeweenawSayner-Vllas complex) General comments and reconsnendations: NJ Boring# ❑Boring ® Pll Ground surface elev.101.9 ft. Depth to Wailing factor 84 In. / dev. p4.9 R e„u Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots __....rte..""'...._._ GPD/FP •EH#1 Eft#2 1 0-4 1 0YR 2/1 — Is Osg ml as 2vf 0.7 1.6 2 4-14 7.5YR414 — Cos .0sg ml ow 11 0.7 1.6 3 14-55 7.5YR 514 — s 0sg ml as — 0.7 1.6 4 55-84 10YR 6/4 — s osg ml — — 0.7 1.6 Horizon has bands of stmt fled san Horizon has bands of laml Ilae 2❑ Boring # ❑8odng ®Pot Ground surface elev. 1027 R Depth to limiting factor 84 In. / elev. 95.7 p,. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr. Sz Sh. Consistence Boundary Roots GPD/FN 'Eff#1 - •Etf#2 1 0-3 1 0YR 3/2 — Is 0sg ml ow 2f/2vf 0.7 1.6 2 3-28 7.5YR 4/4 — s 0sg m1 gw tcdtmm 0.7 1.6 3 28-50 7.5YR5/4 — s 0sg ml gw 1f 0.7 1.6 4 50-84 1 OYR 6/4 — s 0sg ml — — 0.7 1.6 Horizon 4 has bands of Ian ellee CST Name (Please Print) Signature— CST Number Keith Wiley 654921 Address Date Eivation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 5/18/2025 218-451-2611 •Effluent#1-BOD> 30 220 mg/. and TSS> 305160mgfL • Effluent#2 BOD, s 30mglLand TSS530mg/L SBD-8330 (R03/22) r LI1 Boring # Page 2 of 3 ❑Boring Pit Ground surface elev.10 fl. JUN Q 4D ?b iIrdt1g factor 84 In. I elev. g_ it. Bayfield co. Zoning Dept. Soil Annffcalfan Rate Horizon Depth In. Dominant Color Munsell Redox Description Du. Az. Cent. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 "Efl'#2 1 0-1 1OYR 3/2 -- Is Osg ml cs 1vf 0.7 1.6 2 1-6 7.5YR 4/4 — s Osg ml cw 2m/2f 0.7 1.6 3 6-47 7.5YR 5/4 — s Osg ml aw 2f 0.7 1.6 4 47-84 1 OYR 614 — s Osg ml — — 0.7 1.6 Horizon 4 has bands of lar ellae F -T Boring # ❑ Boring ❑ Plt Ground surface elev. ft. Depth to limiting factor in. l elev. ft. I Snil Annffrafinn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 Eff#2 LII Boring # a Bow O Pit Ground surface etev. ft. Depth to limiting factor, In. / elev.ft. I Snft Annffnaffnn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cent Cater Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/PP *Eff#1 •Eff#2 Effluent #1 == BOD > 30:9 220 mg/L and TSS > 30:9 150 mg/L ' Ef luent #2 = BOO, s 30 mg/L and TSS s 30 mg/L Mcleod (2 bedroom) Soil Report Plot Plan North Middle Eau C(stte take MW Ln C3Ia (1 3+x:4 O d II septic tank & d,alaffeld to be abandoned perSPS 38333 Wetla<td ri WTI v cabIafR1\ Scale 1:50 x Bench Mark= Duplex nail W/ orange disc In 14" DBH pine Elev = 100.0' Timothy L & Judith L Mcleod 2150 South Shore Rd LOT 1 OF CSM #000770 VS P.192 S20T44N R09W Town of Barnes 04-004-2-44-09-20-205-004-14000 9.120 acres CAUTION Bw ted paver [irte I NOTES: - Property tines not shown >50' from tested area - Middle Eau Claire elev' 85' CST119500002-SP Page 3 of 3 Page 1 of 7 Page 2 of 7 Mcleod (2 bedroom) Gravity In -Ground Plot Plan. North f2\ 1 Middle Eau Clare take 1 Timothy'L &•Judith L. Mcleod 2150•S.outh•Shor e ,Rd � min ' • . �� LOT :1 OF .GSM'#00p770 P1 V.5 .192 ' S2.0-T44N R09W �► - Town of Barnes: M o• ..0 004-2-44-09-20-2 05-004-14000.: :. . z • well • 9:120 acres Wieserprecast•W750-MR •T ill W/ polylok S2S•'filter cabin CAUTION Buried •power.lirie . iiell f. cabin' Septic tank.&•drainfield w be Twa rows of - I Inktrator Ctuick4 PIUSStandard chaintiers• . abandoned perSPS38333 ; 1095 - : • • • hed• ' - 103' Wedar►if ♦ � O NOTES:, Scale 1:50 - Property lines hot shovun> 50' frorn.system area : - • - Middle .Eau Claire elev. $6' Bench Mark = Dupiexnail w/ orange disc ih'14" DBH• pine -• All •vent, observation & conveyance pipes -Eleev =1000' 4' ASTM D1785 or code equivalent Page '3 .of 7 47 feet Observation /Vent Pipes to belocated at`the *ends of the distribution cells. Cross Section of a Two Celf 1n Ground Component Using Leaching Chambers . D JUN 0 3 2025 Observation/Vent Pipes Bayfield Co. Zoning Dep 102.70 IFinishecU3rade . _ _--, M '-_W Finished 9ade.J.101. Slope 10% COO eretien f1 k( ____ 102.70 original .Gtad _ .._ • �' �,�� •a. * ' tiglnal Grade 101:50 101: Top of.Charnber ; �� �•�, �__ ' �.j"lapof Cfta►triber 10G.�0 1 100.00 S slem.Elevation 4. • ~• ' �'' System IevaIknI 99.0 _•': +Ii eotr et ; d' 0)ep rriif 44 e: + .• . ; ' is '•.�' ' ' ' ••� • •• �...1...%,: . . •., l l.lmltin9 Factor N.. r • c.}4 •.L • +�. i •..ii�•.'i1-ter--S • Observation/Vent pipes to- be constucted and capped with aipproved moterials for the particular. use. , Diagrams Not To Scale 47 feet . Page 4 of 7 . 4 CAST -A -sr WLP750--; M -R' - TANK SPE-CI:FIEATI'ONS - a Lc, •a' . DIMENSJONS: j ' o WALL: 21%2" a a BOTTOM: 3' ' CAST —A —SEAL • `� r COVERT 5' • c� o. MANHOLE:.. 2 i.D. PRECAST'CONCRETE= RISER NQGHT 54"-• ' .UTSIDE .DIAMETER: 7—O" • - BELOW INLET: 42" ••LIQUID- LEVEL • 37" • o . 'WEIGHT: BOTTOM: 3.740-. LBS. COVER .2,410 .LBS. : • INLET AND OUTLET: _ a {L c, ' CAST -A SEAL' BOOT OR EQUAL: GASKET a INLET AND OUTLETBAhFL,E. AND' FILTER . o :' .. WISCONSIN; SEE DETA►!L' X1.0 . (OTIiER •ST ' •SEE CHART) .'a <,c a o LIQUID -CAPACITY:-2Q.:2&. GALAN-.1 :. HOLDING 'TAN.,K,:, Q ''' QU11XI HOLE: PLUGGED . . .. ACTUAL CAPACITY: 790 GALLONS " Q' Q a d= :� ro LOADING DESIGN: 8.•-=n'' �UNSALlURATED •SOIL: w. tfi TANK •CAN. BE USED. AS:.. N SEPTIC / HOLDING / PUMP' OR,'SIPHON Q•' w COVER .MIX DESIGN j8. (NO FIBER) .. .: :a TANK: X. DESIGN itO. (STRUCTURAL FIBER) �� m CUSTOMIZED • TANKS:: • OUTLET FOR CUSTOM TANKS CONTACT WIESER ' CONCRETE LIMP- PAD. ANKS ARE MANUFACTURED' TO MEET OR. EXCEED. AS1M C-1227' REQUIREMENTS FfE%gEWED BY. .' RErIEW .DATE .' Ir DRAWINGS SUBMITTED FOR APPROVAL APPROVED• BY: S1�EET' N0. APPROVAL -DATE: 'j :PRODUCTS NEEDED BY: OF •1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE.JNFORMATION erTimothy L & Judith L. Mclt od etal Perrnit # rceirsni deoeiuIP I V to • Number of Bedroonts •. 2 . 0 NA Number of Public Facility Units 0 NA• Estimated -(average) flow I 200 aNda Deeign (peak) flaw (Estimated,x 1.5) 300 pal/day. Irt Situ. Soil Application Rate , • 0.7 allda Standard lnfluent/Efffuent' Quality Monthly average' • Eats, Oil & Grease (FOG) ≤30'mg/L Biochemical. Oxygen Demand (BODs) 5220 mg/L 0 NA •Total: Suspended Solids . (TSS) 5150 mgiL Pretreated Effluent Quality` Monthly everage Biobhemioe) Oxygen* Demand: (BOD6) - s3d•mg/L Total Suspended Solids (TSS) 530 mg/L ® NA • Fecal Conform (geometric mean) 5104 cfuti Ot)ml Maxfmuni*Efflzent Pertrole.S.ize 15 to die.. . ❑ NA 'tither: "Vatuss typical for•domesitc wastewater and septic tanx ewuent. WRT1M SPPflfP1f ATIBMS Tank Manufacturer • Wi ser , DNA' i Septic 0 Dose .0 Holding vol. 750 gal Tank Manufacturer • ® NA - U Septic 0 Dose 0 Hntding vol. gal Effluent •Filter Manufacturer Polylok O NA Effluent Filter Model 525 Pump Manufacturer • Primp Model . Pretreatment Unit O- NA• O Sand/Gravel Filter • 0 'Peat Filter Q Mechanics! Aeration rPeti 0 '/J I C1 Qtsinfeatton Ifl) Manufacturer • Dispersal Gerl(s) •JUA ..0 In -Ground (gravity) {�e`c{ o. L0t1f11s uept.) p At -Grade O Mound p Drip�Une ' O Other: OIh5fl®NA Oilier: is WA Service Event Service Frequency. Inspect condition of tank(s) At least once every : 3. m tlt Sat (Maximum 3 years) aC Cf. NA :When combined sludge and scum equals One-third ('6) of tank volume , Q NA P.uni outcontents of tank'' t 0 When the high water alarm. Is activated Inspect dispersal-cetl(s) At least once every . 3 D mrith S) (axmum' year;) ® yeaY('s�3 i M 17 NA clean effluent (liter At least once every,: 3 D month s) ® e�tr s : . . O NA Inspect pump, pump controls & alarm At least once • every: motl►h e) . era RNA Flush laterals and pressure test At least once every; O � h(s) ® NA other: • At least • once every; 5 eoth(s) t I .NA Other: 14 NA' MAINTENANCE (INSTRUCTIONS Inspections: of tanks and disperse$ cells shall be niadt3 by• an individual carrying one of the following licenses or certifications! - Master Plumber, Master Plumber .Restricted 'Sewer; POWTS. Inspector;POINTS. Maintainer; Septage • Serviding Operator (pumper).: 'Tank inspections must= Include :'a:visual Inspection of the .tank(s) to identify any missing- or brgken hardwa?e,'Identify, :any cracks or leaks, measure .the volume of• combined sludge.: and scum; and a check for gny..batk up or ponping of effluent oh the ground surface .• • .The dispersal cell(s) sheriff be visually trl peoted to check tht3 effluent levels in theobservation. pipes and to check for any poiiditig: of effluent on the ground. surface:. The ponding of effluent on the ground surfacemay indicate a falling condition and requires . the lhrttriediate • notification of th8 tocal-reOuiatory authority. When the combined accumulation of sludge and scum in any •treatment tank equals one-third (IE,) ormore of the tank volume, the;entire contents;cf•the tank shall be removed by a Septega Servicing Operator and •disposed .of•In.accordance with Chapter NR 113, Wisconsin Administrative Code, All other services, -including W. not limited to the servicing of affluent fillers, mechanical. or pressurized components, pretreatment units, and any =servicing at intervals of $12 months, shalt be performed • by-a:dertified POINTS Maintainer .. - A :service report shall be provided to the IoCsl'regulatory authority- within 10 days of completion pf any service event, GMW (12102) page 7 of 7 START UP AND OPERATION Fcr now conairuction, prior to ust3 of the POWT$ check treatment tank(s) for the presence of painting products, solvent$ or other chemicals that may (mpede'.the treatrttent process and/or damage the soil dispersal cell(s). it high concentrations. are detected have the contents of the tank(s) removed by a septage'servicing operator prior to use: System start up shall not occur when soil conditions are frozen at the infiltrative surface: During extended power outages pump tanks may fill above normal highwater levels. When power Is restored the excess wastewater will be discharged to the dispersal cell(s)'In one large dose and may overload.them resulting in the backup or surface.dischage of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring: power to the effluent. pump or. contact a Plumber or POWTS Maintainer to, assist in manually operatingthe .pump controls to restore normal levels within 'the•pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade salt absorption area. Reduction or ellrrfiination of ttitO following from the wastewater stream may improve the performance and prolong the life.of the PtWT5: antibiotics;baby wipes; cigarette butts; condoms; cotton swabs, degreasers ;• dental floss: diapers, disinfectants; fat, foundation drain: (sump••pump) discharge; fruit and vegetable peelings; .gasoline; grease; herbicides; moat. scraps; medications; oil; paintingproducts; pesticides; sanitary napkins; tampons; and water•soitener brine. ABANDONMENT When the POWTS fa€1s -apolor is permanently taken out of service the following steps shall. be •taken to incur aid5y l pre and safely abandoned in-corilp0$nce•with chapter Comm 8333, Wisconsin Admintstrative'Code. • Ali piping to tanks and pits shall be disconnected and the'abanubned pipe openings sealed. U U JUN- 0 3 2025 o The conterits--of all tanks•artd pits shall be removed and properly disposed of by a.Septage servidng fl#l.Co. Zoning Dept. • 'After pumping, all tanks and pits 'shat • be excavated and removed or their covers removed and the void space filled With soil, gravel or another Inertsolid material. CONTINGENOY PLAN If the POWTS falls and cannot, be repaired the following measurds have beer,, or must be taken, to provide a code compliant replacement•systein: 0. A suitable replacement area has been evaluated and may be utilized for the.location of a replacement soft absorption. system, The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing arid- proposed' structure, lot lines and wells, }allure to protect the replacement area will result In the need for a now soil 41tfd- site 'evaluation to establish a suitable replacement area. Replacement systems must . comply with the rules In'effect'at that time. - 0 A suitable'repiacelrient area is not available due'to setback and/or soil, limitations. 'Barring :advances in POWTS technology a holding tank itmay be installed as a last resort to. replace the failed POWTS, .' The :site has trot been evaluated to'ldehtify a suitable replacement. area. Upon failure Of the POWTS a soil, and site evaluation .mist be performed to locate a sttltabfe replacement area: If no replacement area is available a holding tank may be installed €ts a last resort to'replace the failed POWTS. • O Mound arid'at•grade soil absoiption systems may be reconsitucted in -place folloMng•.refrfpval;of the biomat at the iitfiitratitie surface. Retl5truadbns of•such'systems•must oomplyWilh the rufes.in effect.at.that,time; SEPTIC, PUMP AND OThEiR TREATMENT TANKS MAY CONTAIN'LETf iAL,GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENYFR A.$EPTIC; PUMP OR OTER'TREATMENT TANK UNDER ANY ClRCUMSTANCES, DEATH MAY RESUI,`c. RESCUE OP A PERSON FROM THE• INTERIOR OF A TANK. MAY RE DIFFICULT OR IMPOS$iBLE;• ADDITIONALCOMMENTS' POWTS INSTALLER POWTS MAINTAiNE Hama fril v ' Name f• hone 7Jf 795 927— Phone , AGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUThOAITy Name /1-4 f/aT C N[ameBayfieId' County Zoning. Phone 7i r' 79ff 7 9 9 J Phone 715-S73-613$ This document was drafted by the staffs of.the `Green lake, Marquette • and Wauchara County Zoning aitd.SenitBtlort agencies in compRaricewith chapter Comm 83.22(2)(b)(11{d)8(t) fold 83.54(1); (2) & (3), Wisconsin Administrative Code. SS-©OS7Z Private Sewage System Maintenance Agreement Owner(s) Name i ^noJ udcHm McLtacd Owner(s) Mailing ress c32 \�\& C 21 o £cxi-W 5 I,aceM Tax ID# Aas y 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 Bayfleld 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 mles established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) -Sw 114 of AIW 1/4 Section owl O Township Vi" N. Range 9 W Additional Legal Description: Town of L3 44 Lu.Cf (Acreage) d% Govt Lot N Lot __Sad Subdivision CSM #Q0077Vol. I Page Jam, CSM S DOCUMENT NUMBER 2025R-607763 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/09/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Area Return To: f2��l�I Planning and Zo n g DepatthLJ1 V I l JUN 10 2025 ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: O Mound N, ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such Inspection, the tank is found to have less than one-third (113) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank Is serviced as provided above. The switches and pump controls shall also 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 3113.55, 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 pending on the ground surface. Mounds, At -grade, and In -ground Pressure System Laterals (system types C, 0 and E): The laterals shall be pushed 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 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. The terms and conditions of the variance shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) `,-` Please Print 1^ ,Mrs - e ( n f1.1 J t,7 n +' 1 Y ' '"—e-O G� JJ SubscribeQand scup to before me on 0, 57z9 �2p Z� ELLIOTT Notary Public State of Wisconsl Own s)-Signature(s) ! P Notary Public 2 O,/f w. y ML -►�``�(1 / My Comrnisslo ire L�tC D-1 1 l 2d 2 Drafted by: _,,'i$Par Date: Proofed by. _ uaormshanitarylsepticmaintenceagreement Revised June 2018 SS-oo��z (gII c $�/, \ Department of Safety & Professional Services, Industry Services Division County Hayfield Sanitary iPermit Number (to be Idled in by Co.) 25 -53 S Sanitary Permit Application Shale Transaction Number In accordance with $I'S 383.21(2), Wis. Ado, Code, submission of this form -to the appropriate governmental unit Is required prior to obtaining.a sanitary permit. Note: Application forms for state-owned POWYS arc submitted to the Department of Safety and Professional Services. Personal inlunnabun you provide may be used for secondary purposes in accoid: nce will, the Privacy l_nw.s. l5.04(I)Om), Stats. project Address (if different than mailing address) 2150 South Shore Rd 1. Application Information -Please Print All Information Property ChImer's Name Timothy. L. & Judith L. Mcleod etal Pared P 2•ZZcI 04-0-2-44-69-20-2 05-004-14000 Prnpedy Owner's Mailing Address Property Location 38 Alder Lane Govt. Lm City, Stale - Zip Code Phone Number Esko, MN 55733 218-391-4368 v• A, Section 20 T 44 N R 09 E odWi I1, Type of Building (check all that apply) 171 or2 Fwnity Dwelling— Number ofUedronms 2 O,Publie/CammelciiJ—Describe Use _ - Lot II 1 Subdivision Nair - �� �j � l� l9 ''' Il 11'' ((�� U LS Bloek# - ❑ City of •Wr,r_0JTO O Stale Owned —Describe Use _... ___. __— 0 Village of CSM Number - 0007700 V,5 P.192 ® Tmsn nF__.,___r,3L.7_OllltltJ.t]Qp1,.. III. Type of POSVTS Permit: (Check either "New". or "Replacement" and other applicable on line A. Check one boson line B. Complete line C i licable. :.. A. ❑ New System Y i'Re laccmcm System P >'• i] Other Modification to existing System (explain) S)' P ) (explain) ❑ Additional Pretreatment Unit (explain) B' 0 Holding Tank M'In-Ground- 0 At -Grade ❑ Mound 0 Individual Site Design a ❑ OlhcrT Type (explain). (conventional). C. ❑ Renewal Before ❑ Revision 1]Change ol•Pluniber ❑ Transfer to New Owner 1st Previous Permit Number and Date Issued 13xpiration -TV.Dia enal/freatmtntAr a.andTieklnfoi nation: Design Flow (gpd) Design Soil Application Rnte(gpd/sf) Dispersal Area Required (af) Dispersal Area Proposed (sl) System Elevation 300 0.7 428.6 446.6 99.5, 100 Tank Information Capacity in Gallons Total Gallons #of Units Manufacturer '� `yy' 6 U u N Yn _ u N a W 1.7 Py New Tanks RxisliogTanks SeptieorHoldtugTank .750 — 760 1 - Wieser Dosing Cnnndwr 4MpnnsibWiy 6 `MLSEienf-1, the.undersigmed, assume respoadblllty for installation of(he PORTS shown oa the attached plans. Plumber's Name (Print) Plumber's Signature 1e1MPy�RSINNgolbcr Business Pimnc Number. Plu ,hcr•s are (Street, City, Starc; Zip Cede) - c-' ci f3 YE CewdyjlJapafl4st 11$ Only XQApprovcJ OUtsappmvcJ ❑ Owner Given, Reasonfor Denial Pcnnd Fee S O__ Ona Issued (- p'>% /3 %5 Stilling cot Si `nature �j 77/7 (0 /'J / Conditions of Approval/Reasons for DisapploX al y uvw o&��oar�r,'ue "�fr"- a(t-r"le4/1 -Qo a� ��lOv tdac l Attach to eompkle plans for the system sad submit to the County only on paper nil Ins, not. It Ills 11 Inches in sire SBD-6398 (R. 03/22) Page 1 of 7 hGroufld SoilAbsorption for POWTS Version 2.1 (May 20222027) Component Manual Used '2 Number of Bedrooms 10 Percent Slope (%) . 84 - Depth to Soil Limiting Factor (In.) Q,7 in Situ soil application rate Estimated Wastewater Flow (gpd) E200 300 Design .Wastewater Flow (gpd). 2 Number of System Elevations 100 Proposed System Elevation #1 995 Proposed System Elevation #2 Pro Deed System Elevation #3 102..7 Original Grade #1 102.7: Finished Grade #1 101::5 Original Grade #2 101,5 Finished Grade #2 Original Grade #3 Finished Grade #3 1111 JUN032025 3 2025 Bay field Co. 'Zoning -Dept. 15fflueht-Filted FWieser:750,Se tic Tarok Pol Iok. PL -525 ' . Infiltrator Quick4. Plus Standard I Chamber .Type 12 Height of Chamber in) 20 sq:ft: per.chamber(ESIA) 3:3 sq,ft,'per end ca (EISA) 4 laying length of chamber(ft) 1;5 length of endca -(ft} 34 Chamber width in:) 2 Rows of Chambers 3 Distance Between Cells (ft.) 11 Number of chambers an. first row 11 - Number of chambers in second row Number ofchambers in third row . . 22 Proposed Number of Chamber. Used 428:6 Minimum Distributioh Cell. Area Required (sq.ft.) 446.6 Distribution Cell Area Proposed (sq.ft) Page 2of7 Mcleod (2 bedroom) Gravity In -Ground Plot Plan. North Middle Eau.C,laire Lake 1 Q o I,r Wieser precast W750 -MR O W/potylok 525filter cabin ell cabin ST Septic tank.& drainfield to be ." abandoned perSPS383.33 ; r 10% hed Wetland 7 Scale 1:50 Bench Mark =Duplex nail w/ orange disc in 14" DBH pine Elev = 100.0' Timothy L &Judith L Mcleod 2150.South.Shore-Rd COT �1 OF CSM'#000770 V.5 P.192 S20 T44N Ro9W Town of Barnes 04004 2 -44 -o9 -2o-205-004-14000 - 9.120 acres cAuTloiy Buried power lire j. Two rows of 11 Infiltrator Quick4 PlusStandard chambers 103' 101` e - NOTES: - Property lines not shown > 50' from system area - Middle Eau Claire -elev = 86'. -All vent, observation & conveyance pipes 4 ASTMO1785 or code equivalent Page 3 of 7 • Cross Section of o Two Cell In Ground Component Using Leaching Chambers E JUN 0 3 2025 Observation/Vent Pries Bayfield Co. Zoning De -102.70 Finished Grade . - --: ~_ _:� r��----- ...... �.. - .. Finished Grade, 101.50 Sla a 10% . Call4eperation 102.70 Original Orad �._..,Y�� .•, { ',tiginal Grade 101.50 y 101.00 Top of Chamber :�,, �__,,�_ 11,�"Top of Chamber 100.50 100.00 System Elevation 1 4. . , _ System Elevation 1 99.50 'l'gne •. _+ y� �� w a '!I !:.� s . . -`: _ 3 . ' L4ntti09 Factor 0bservotlon/Vent pipes to be oonstucted and capped with approved materials for the particular use. 47 feet ---> 47 feet Observation / Vent Pipes to be IQcated at the ends of the distribution cells. 3 feet between' cells Page 4 of 7 o 4" CAST -A --SEAL 4" CAST -A -SEAL _ a • III 1~� 0 w v w fNLET d Loa to U 2" J i::.s. __ OUTLET rYrr�w ) PUMP PAD SIDI= MEW ANKS ARE MANUFACTURED TO MEET OR EXCEED.ASTM C-1227'REQUIREMENT-S WL 75b M -R. TANK SPECI FI CA.TI-0NS a ' DIMENSIONS: Q •a. o WALL: 2 1/2" a •� BOTTOM: 3" FV COVER:5" o .MANHOLE 24' -I.D. PRECAST CONCRETES RISER . Q HEIGHT:. 54"' OUTSIDE DIAMETER: 7-0" BELOW INLET: 42' a . m UQUID LEVEL 37"' ' . : = 'WEIGHT: BOTTOM' 3,740-;LQS. _ . 0 COVER :Z410 .LBS. �. INLET AND OUTLET: 4. CAST -A -SEAL• BOOT OR EQUAL GASKET } . INLET AND OUTLET- BAFFLE AND ALTER: WISCONSIN' SEE:DETAIL': lO - (OTHER -STATES -SEE CHART) , LIQUID CAPACITY 20.28". GAL/IN _ HOLDING TANK: QL .* OUTLET HOLE: PLUGGED. ACTUAL CAPACITY:. 790 GALLONS ` d'' Q:Z . LOADING DESIGN: 8-'-0" UNSATURATED SOIL '. gN ' TANK SCAN. BE USED. AS:. Q SEPTIC / HOLDING / PUMP OR. •SIPHON ~ o - COVER: •.MIX DESIGN. '#8. (NO ABER) � TANK: MIX. DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED ' TANKS:: •.• . FOR CUSTOM TANKS CONTACT WIESER 'CONCRETE' Q REV[EWELi BY .REVIEW DATE .''. .• W •DRAWINGS SUBMITTED, FOR APPROVAL APPROVED. BY: ' SHEET NO. APPROVAL DATE: • 1 :PRODUCTS NEEDED BY: • OF ' / 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE INFORMATION wnerTimothy L. & Judith L. Mcleod etal Permit # ncrr:w DeaetUTAS Number of Bedrooms 2 O NA Number of Public Facility Units 0 NA - Estimated (average) flow .200 aVda Design (peak) flow = (Estimated x 1.5) 300 - gal/day. In Situ. Soil Application Rate 0.7 al/da Iff? Standard Influent/Effiuent Quality Monthly average' Fats, Oil & Grease (FOG) S30 mg/L Biochemical Oxygen Demand (BODY) 5220 mg/L O NA Total Suspended Solids. (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand. (SOD6) -s30-mg/L Total Suspended Solids (TSS) ≤30 mg/L l NA Fecal Collfcrm (geometric mean) 510° cfu/100ml Maximum Effluent Particle Size 16 In dia.. . O NA 'Other: ® NA *Values typical for -domestic wastewater and septic tank effluent. I AIniTCMAP ( cnurxniil Service Event Service Frequency inspect condition of tank(s) At least once every: 3 1 3 ear ss} (Maximum 3 years) O. NA Pum out contents of tanks) 0. When. combinedsludge and scum equals one-third (16) of tank volume O When the high water alarm_ is activated p NA Inspect dispersal cell(s) At least once ever y� ❑ mofith(s) MaxImum 3 years) ® year{s O NA Clean effluent filter At least once every: EI month s) 3 ® e� s�: 0 NA Inspect pump, pump controls & alarm At least once every: O ' p month s) ears 521 NA Flush laterals and pressure test At least once every; 0 rmonth(s) ® NA . Other: At least once every: d month(s) ear s). ' 21 .NA Other: NA SYSTEM SPECIFICATIONS Tank Manufacturer Wieser O'NA ® Septic ❑ Dose Q Holding vol. 750 gal Tank Manufacturer O NA. O Septic O Dose O Holding vol. gal EffluentFilter Manufacturer Polylok O NA Effluent Filter Model 525 Pump Manufacturer Q. NA . . Pump Model Pretreatment Unit NA O Sand/Gravel Filter O Peat Filter O Mechanical Aeration ett n 1 II #. O Disinfection 1Ih c: Manufacturer Ii Dispersal Cell(s) A ..0 In -Ground (gravity) f }��ieQct tuo n g UepV) Q At -Grade ❑ Mound O Drip -line O Other: Other;, ® NA Other: 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by, an individual carrying one of the following licenses or certifications i _ Master Plumber; Master Plumber Restricted Viewer; POWTS Inspector; POWTS. Maintainer; Septage Servicing Operator (pumper) Tank inspections must Include.`a .visual inspection of the .tank(s) to identify any missing or broken hardware, ' identify :any cracks or leaks, measure the volume ofcombined sludge and scum: and a check for any back up or ponding of effluent on the ground surface The .'dspersai cell(s) shall be visually Inspected to check the effluent levels in theobservation. pipes' andto check for any pondtng of effluent on the ground. surface. The pending of effluent on the ground surface. may Indloate a failing condition and requires the immediate notification of the local'regulatory authority. When the combined accumulation of sludge and scum In any treatment tank equals one-third (16) or more of the tank volume, the entire contents of thS tank shall be removed by a Saptego Servicing operator and disposed .of inaccordance with chapter NN 113, Wisconsin Administrative Code. All other services, including butnot limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by -a certified POINTS Maintainer. A :service report shall be provided to the focal regulatory authority within 10 days of completion of any service .event. GMW (12/02) Page . of START UP AND OPERATION For n9w construction, prior t9 use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may Impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage 'servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface: During extended power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may 'overload.them resulting in the backup or surface. discharge of effluent. To avoid this situation have the contents of the pump tank removed by a .Septage Servicing Operator prior to restoring power to the effluent- pump or contact a Plumber or POWTS Maintainer to- assist in manually operating the .pump controls to restore normal levels within the*pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or eflrllnation of the following from the wastewater stream may improve the performance and prolong the life.of the POWTS: antibiotics;. baby wipes; cigarette butts; condoms; cotton swabs;- degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; .gasoline; grease; herbicides; meat. scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water.softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shallbe taken to incur atEJyer1 i pr e and safely abandoned in chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. U U JUN 03 1 2 5 • The contents:of all tanks and pits shall be removed and properly disposed of by a.Septage Servicing fftMiI.Co. Zoning Dept. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: Q. A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. `The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and-proposed'structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must . comply with the -rules in'effect-at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring 'advances in POWTS technology a holding tank may be installed as 'a last resort to. replace -the failed POWTS: SY The site has not been evaluated to* Identify a suitable replacement area. Upon failure of the POWTS a soil, and site evaluation must be performed to locate a suitable replacement area: If no replacement area is available a holding tank -may be installed as a lost resort to replace the failed POWTS. o Mound and at -grade soil absorption systems may be reconstructed in place followingrerpval .of the biomat at the infiltrative surface. Reconstructions of -such systems -must comply'wlth the rules in effect.at that time: «WARNING SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN. LETHAL. GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER ASEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A 'PERSON FROM THE- INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ,44/ k1 Phone. cS 2 �i 2?— POWTS MAINTAINER Name L:. Phone. s f J G -SEPTAGE SERVICING OPERATOR .PUMPER LOCAL REGULATORY AUTHORITY Name £ ['TI < Name 8ayfle{d County Zoning Phone - 9 V Phone 715-373-6138 This document, was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitslion agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. 5/f-Oo�5Y l -mss soa1 Wsconsln Department of Safety& Professional SeMces ("l JUN 0 42025 1 of 3 01v age 11 fI d S I s on o n uatry ary eas Bayfield Co. Zoning Dept. SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must Include, I Bayfield but not limited to vertical and horizontal reference point (BM), direction and percent slope, I Parcel I.D. ZZZL. scale or dimensions, north arrow, and location and distance to nearest road. I 04-004-2.44-09-20-2 05-004-14000 Please print all Information. I${vfewe / - Date Property Owner Property Location ❑ ❑ Timothy L. & Judith L. Mcleod etal Govt. Lot V. r 8 20 T 44 N R 09 E (or) Property Owner's Mailing Address Site Address or CSM and Lot#: 38 Alder Lane Lot 1 of CSM #000770 City, State, Zip Phone Number ❑ City ❑ Village ® Town Nearest Road Esko, MN 55733 (218) 391-4368 Barnes 2150 South Shore Rd ❑ NewConstruction Use: Residential/Numherofbadrooms 2 Code derived deslgntowrate 300 GPD ®Replacement ❑ Public or commercial —Describe: Flood Plan elevation If applicable N/A n. Parent material Sandy and loamy 811(KeweenawSayner-Vllas complex) General comments and recommendations: Boring # ❑ Boring ® Pit Ground surface elev. 101.9 ft. Depth to limiting factor 84 In. I clay. 94.9 ii.. 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 0-4 1OY 22/1 — Is osg ml as 2vf 0.7 1.6 2 4-14 7.5YR 4/4 — COS Gag ml CW 1f 0.7 1.6 3 14-55 7.5YR 514 — s 0sg ml as — 0.7 1.6 4 55-84 1 OYR 6/4 — $ Gag ml — — 0.7 1.6 Horizon has bands of strat fled san Horizon has bands of lam llae 2❑ Boring # ❑Boring ®Pit Ground surface elev. 102.7 ft. Depth to limiting factor 84 in. / elev. 95.7 ft. 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 0-3 1 OYR 3/2 — Is 0sg ml ow 2f/2vf 0.7 1.6 2 3-28 7.5YR 4/4 — s Gag ml gw +col+mrzr 0.7 1.6 3 28-50 7.5YR 5/4 — s 0sg ml gw 1f 0.7 1.6 4 50-84 1 OYR 6/4 — s 0sg ml — — 0.7 1.6 Horizon 4 has bands of la ellae CST Name (Please Print) Signature CST Number Keith Wiley 654921 Address Date aluadon Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54649 5/18/2025 218-451-2611 • Effluent #1 = BOD > 305220 mg/L and T5S > 30 5150 mg/L • Effluent #2 = BOD. 530 mglL and TSS 5 30 mg/L SBD-8330 (R03122) T r " v Page 2 of 3 ❑ Boring 3 Boring # ® On Ground surface elev.10 ft. J4 Q 4 b II Ili g factor 84 €n. ! elev. 84 ft. Bayfield Co. Zoning Dept. Soil AoailcatIon 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 0-1 1OYR 3/2 -- Is Osg ml cs 1vf 0.7 1.6 2 1-6 7.5YR 4/4 — s Osg ml cw 2m/2f 0.7 1.6 3 6-47 7.5YR 5/4 -- s Osg ml aw 2f 0.7 1.6 4 47-84 1 OYR 6/4 — s Osg ml — — 0.7 1.6 Horizon 4 has bands of lar ellae ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in.! eiev, ft. Cntl Annfinafh n 1Jnfn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 *Eff#1 *Eff#2 LIII Boring # ❑ Boring ❑ PIt Ground surface eiev. ft. Depth to limiting factor In. I elev. ft. Cntl dnntt..ofle.n Of.. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIF12 *Eff#1 *Eff#2 ` Effluent #1 = SOD > 30 S 220 mg/L and TSS > 30 s 160 mglL * Effluent #2 = BOO, 5 30 mg/L and TSS 5 30 mg/L Mcleod (2 bedroom) Soil Report Plot Plan North Middle Eau Claire take rE s CII (1 cc II Septic tank & drainfteld to be abandoned perSPS38333 Wetland E well 0 Scale 150 X Bench Mark = Duplex nail w/ orange disc in 14" DBH pine Elev = 100.0' Timothy L & Judith L Mcleod 2150 South Shore Rd LOT 1 OF CSM #000770V.5 P.192 S20 T44N R09W Town of Barnes 04-004-2-44-09-20-205-004-14000 9.120 acres CAUTION Buried power line NOTES: - Property lines not shown >50' from tested area - Middle Eau Claire elev a 85' CST 119900002 -SP Page 3 of 3 SS -©0s&2 Private Sewage System Maintenance Agreement Ow ig (s) Name I I rno L JU d L t -h CY\cLecc Owner(s) Mailbg Aodmss 32 \C Lan�ES� J 55� 521Address 70< hcfl\a I ax lua o2 as L/ 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) SW_1/4 of N4Q 1/4 Section a 0 Township / L/ N. Range 9 W Additional Legal Description: Town of (Acreage) 9I2 Gov't Lot �/�J Lot_ Block Subdivision CSM F c� Vol. s Page 122. CSM S DOCUMENT NUMBER 2025R-607763 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/09/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Return To: IIgI �1l�22pp I�rk p� Planning and Zo f g Zpir J U E D �lll� JUN 102025 ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound I ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (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 Sewace System Dispersal Call (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-orade. 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. Owners) 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 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 variance shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) �L,— Please Print 1 �, tf�f� 1 l cr\pt h9] J Lr+• 1 `I 1 che.0 Q Subscribb .and swo to before me on th 5/ Gy 720 Z� St YNE HOU ELLIOTTNotary J Pub ic State of Wisconst rized Owner(s) - Signature(s) Notary yPPub[ L -l�uC MyComm re D-1 ( ( 2d 2 - Drafted by: /t i&9 J rSY Date: Proofed by: _ u/fonnslsanitary/septicmaintenceagmement Revised June 2018 I! {YIELD 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: MORSE,BENJAMIN SS -00562 4177 GOTHENBERG RD DULUTH, MN 55803 Transaction Number: MORSE,DANIELL SS-00562-2DA48 4177 GOTHENBERG RD DULUTH, MN 55803 MCLEOD, TIMOTHY L & JUDITH L 38 ALDER LN ESKO, MN 55733 Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 4005 Paid by: MICHAEL FOAT, 49755 E SHORE RD, BARNES WI 54873 Payment Type: Check Transaction Date: 6/13/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-53S STATE SANITARY PERMIT OWNER: BENJAMIN MORSE ET AL G OV'T LOT: LOT: 1 B LK: CSM: 000770V.5 P.192 1/4 1/4 SEC: 20, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 51-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JAMES CLEMENTS TRACY POOLER DATE: 6/13/2025 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: # 222924 Condition: Properly Maintain System Per Recorded Agreement. Do not plow snow off of or park/drive upon drain field. THIS PERMIT EXPIRES 6/13/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION