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Home My WebLink About25-53S^-ff^i Department of Safety & Professional Services, Industry Services Division Counly Bayfjeld Sanitary Pnrmil Number (lo bo rtl led in by Co,) 25 -^S Sanitary Permit Application In accordance with SI'S 383.21(2), Wis. Adm Code, submission oflhis t'orm iu the approprialc govcrnmunlal unit fs required prior io obtaining a sanitnrs' permit. Note: Application forms for statc-uwned POWTS aiif submilled (o the Departinenl of Safety and ProfcSiionnl Scfvices Peisonal infonnaHan you provide muy be used For secondaiy purposes in pucoidance wilii the Privacy Law, s. I5.04(l )(ni), Stats. State Trniisaction Number |^«S'l@^®l!^fti^|l?aoi^<]i(HB^ Project Address (if dilTcn;hl ihan mailing liddrcssy 2150 South Shore Rd Property Ownet's Name Timothy L & Judith L. Mcleod etal POTdfl t-i^\ 04-004-2-44-09-20-2 05-004-1-4000 Property Owner's Mailing Addrtiss 38 Alder Lane Cily, S(a(e Esko.MN Zip Code 55733 0 I or 2 Family Dwelling-Number ofBedrooms D Public/Commercial - Describe Use D Stale Ovmcd - Describe Use Property Location Govt Lot Phone Number 218-391-4368 Lott/ 1 </i.__ _'/<. Section. ,N R P9 E oil 20 T 44 N R 09 SuIidiVision Nuinc BfocU CiSM Number 0007700V.6P.192 D C'tiypr. a Village of 0 Town of D) IEE1; -jyN-&-3^e%- ?XZQmagJ3epL. 8S^SBMSs®SS3SK®8s§it£SS®s^^l3K8iSR8^S^^wy^^uw^^^ D ;New System (eplacemcnt System D Otlicr Modilicatioh lo Existing Syslem (explain)Q Adilitjonul Prctrealment Unit (explain) B.D Holding Tank In-Grouriil (conventional) D Al-Grade D Mound D Individual SilbDesign D Other Type (explain) c,D Renewal Before Expiration D Revision D Change of Plumber D Transfer to New Owner List I'revious Permit Niuttbcr and Date Issued Design Flow (gptl) 300 Design Soil Application Ratefgpd/fif) 0.7 Dispersal Area Required (sf) 428.6 Dispersal Area Proposed (st) 446,6 Syslehi Elevation 99.5, 100 Tank Information Capacify inGallons New Tanks Kxisdng Tanks Total Gallons «»[ Units Manuracturer ^1".§•S 0 I?8-° sK to Sepiic or Holding Tank 750 750 Wieser xDnsinB Chamber iK^^^^S'ilW'isli^flWlills^^w^'i^ Plumber's Name (Pnnl)Plumber's Signatured <^<^ ^^ ^CQ^^sr I y-^w I <^":%w^/ W/MPRS Number Business Phone Number Pluit)ber'sA'tl3reSs~(Street, Cily, State, Zip:C6de) ^5'^-^ S-^^^^-7 ^^-<.<^d^^:^^^ %Approved D Disapproved D Owner Given Reason Fur Denial Permit File$w Dale Issued.^^' ^Lssuing^fgent Slgrialweig^ent SJ^halwei^D^/T ^/2^ Conditions of Approval/Reasons for DisapproijaJ i^ / i-(^1^'f^ ^^^ ^^ t^/^VP^^ y^ dr^ ^/ S^L cdfce^ (^ojr^, /<<lnch (o cnmpltte plans fdr Ihc (.yslehi and submll fa the County only <in paper hut lis.i than 8 Itt x 11 inchtt In she SBD-6398 (R. 03/22) ^f^o^^^y SCTTESTsd^S_ Wisconsin Department of Safety & Professional Services Division of Industry Services SOIL EVALUATION REPORT JUNO 42025 ^Page. Bayfield Co. Zoning Dept _of_ In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). County Bayfield Parcell.D. ZZ-Z-L/04-004-2-44-09-20-2 05-004-14000 7^77/bT^/^ Property Owner Timothy L. & Judith L. Mcleod etal Property Location Govt. Lot %,4 S 20 T 44 N R 09 D E (or) D- Property Owner's Mailing Address38 Alder Lane Site Address or CSM and Lot #:Lot 1 of CSM #000770 City, State, ZipEsko, MN 55733 Phone Number (218) 391-4368 D City D Village 0 Town Barnes Nearest Road2150 South Shore Rd Q New Construction Use: El ResIdential/Numberof bedrooms. E2 Replacement D Public or commercial - Describe: Code derived desianflowrate 300 GPD Flood Plan elevation If applicable N/A ft. Parent material Sandy and loamy till (Keweenaw-Sayner-Vilas complex) General comments and recommendations: Boring #D BoringE pit Ground surface elev.101-9 ft.Depth to limiting factor 84 In. / elev. 94.9 ft. Horizon 1 2 3 4 Depth In. 0-4 4-14 14-55 55-84 Dominant ColorMunsell 10YR2/1 7.5YR4/4 7.5YR 5/4 10YR6/4 Horizon Horizon Redox Description Ou. Az. Cont. Color has bands of stral has bands of lam< Texture Is cos s s Red san< llae Structure Gr. Sz. Sh. Osg Osg Osg Osg Conslstence mi ml ml ml Boundary as cw as Roots 2vf 1f Soil Application Rate GPD/Ft2 *EfW1 0.7 0.7 0.7 0.7 •EffiK 1.6 1.6 1.6 1.6 Boring #QBoringQPit Ground surface elev. "J£"' ft.Depth to limiting factor 84 in. / elev. 95-7 ft. Horizon 1 2 3 4 Depth In. 0-3 3-28 28-50 50-84 Dominant Color Munsell 10YR3/2 7.5YR4/4 7.5YR 5/4 10YR6/4 Horizon Redox Description Qu. Az. Cont. Color 4 has bands of larr Texture Is s s s sllae Structure Gr. Sz. Sh. Osg Osg Osg Osg Consistence ml ml ml ml Boundary cw gw gw Roots 2f/2vf 1m/1mCf 1f Soil Application Rate GPD/Ft2 *Efl»1 0.7 0.7 0.7 0.7 *Eff»2 1.6 1.6 1.6 1.6 CST Name (Please Print)Keith Wiley Address11623 E Larson Dr. Lake Nebagamon, WI54849 s"~u^^-^'"' Date Equation Conducted5/18/2025 CST Number 654921 Telephone Number 218-451-2611 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOD, & 30 mg/L and TSS & 30 mg/L SBD-8330 (R03/22) Boring # D BoringE! Pit Ground surface elev. 10 Di I W E P P...-^ i|)ft-JUN 0 ^gfi8^1irAwhgfactor__8i_ln./elev._9i_ft. Horizon 1 2 3 4 Depth In. 0-1 1-6 6-47 47-84 Dominant Color Munsell 10YR3/2 7.5YR4/4 7.5YR 5/4 10YR6/4 Horizon Redox Description Qu. Az. Cent. Color 4 has bands of larr Texture Is s s s sllae Bayfield Structure Gr. Sz. Sh. Osg Osg Osg Osg ;o. Zoning Dept. Consistence ml ml ml ml Boundary GS cw aw Roots 1vf 2m/2f 2f Soil Application Rate GPD/Ft2 *Efi»1 0.7 0.7 0.7 0.7 *Efl»2 1.6 1.6 1.6 1.6 Boring #D BoringD Pit Ground surface elev..-ft.Depth to limiting factor.Jn. / elev.__ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *Efl»1 *Effif2 Boring #D BoringD Pit Ground surface elev..-ft.Depth to limiting factor_in. / elev._ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *Efl»1 *Effi»2 * Effluent #1 = BOD > 30 S 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS & 30 mg/L Mcleod (2 bedroom) Soil Report Plot Plan North Middle Eau Qaire Lake p-n-n Sse a&o ^s- IUU1 '.r->>>JC3- r*~j ^ar C3z-3—i 0en fi g -o<tFc=; Scale 1:50 <•NOTES: Timothy L & Judith L Mcteod 2150 South Shore Rd LOT 1 OF CSM #000770 V.5 P.192 S20T44NR09W Town of Barnes 04-004-2-44-09-20-2 05-004-14000 9.120 acres CAUTION Buried power fine X Bench Mark = Duplex nail w/ orange disc in 14" DBH pine Eiev= 100.0" - Property lines not shown > 50' from tested area - Middle Eau Claire elev " 86' CST119900002-SP Page 3 of 3 Timothy L, 2150 & Judith L.Mcleod etat South Shore Rd 04-004-2-44-09-20~2 05-004-14000 Lot 1 Bayfield of CSM#000770 20 ~44~ 9 Property Owners Name Property Address Tax Parcel Number County Legal Description Section Town Range Page Index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross-Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan JUN 0 3 2025 Bayff'ejd Co,Zoning De ~^ Keith Wiley D2388PSS 218-451-2611 5/20/25 /y^h ^/ K0THV"?Y D23&8PS5 esi<o,^(.JESOTA ^Siii^""flftlTnl'i'*'"* Designer's Name Designer's Signature Designer's License Number Designer's Phone Number Date Page 1 of 7 In-Ground Soil Absorption TOr POWTS^ Version 2.1 ^Mav 2022-2027L^ • ^0 -84 ~QT 200 300^wo "99.5 102:7 102:7~W[^ 101,5 Component Manual Used Mumb6r of Bedrooms Percent Slope (%) Depth to Soil Limiting Factor (in.) n Situ soil application rate Estimated Wastewater Flow (gpd) DesignWastewater Flow (gpd) dumber of System Elevations opposed System Elevation #1 _' • 3roposed System Elevation #2 'ropQsed System Elevation #3 )riginal Grade #1 :inisheci Grade #1 )riginalGrade#2 mished Grade #2 )riginalC3rade#3 'inished Grade #3 Wieser750 PotylokPL-525 SepticTaink Effiuent Filter Bayfiefd Co, Zoning.De.pt. Infjltrator Quick4 Plus Standard _j Chamber Type~n 20 - 3.3 4 t6 34 - 2T7T3I ^2~ 428.6~44p~ Height of Chamber (in.) 3q,ft.perchamber(ESIA) iq.ft. per end cap (E(SA) j aying length of chamber(ft;) engthof eridcap(ft.) chamber wi^th(in.) ^ow§ of Chambers distance Behween Cells (ft.) dumber of chambers in first row dumber of chambers in second row dumber of chgmbers in third row 'roposed Number of Chamber? Used /linimum Distribution Cell Area Required (sq.ft.) )istribution Cell Area Proposed (sq.ft.) Page 2 of 7 Mcteod (2 bedroom) Gravity In-Ground Plot Plan Timothy L & Judith L Mcleod 2150 South Shore Rd LOT 1 OF CSM #000770 V.5 P.I92 S20T44NR09W TownofBarnes 04-004-2-44-09-20-205-004-14000 9.120 acres CAUTION Buried power, line Middle £au Claire Late Wieser precast- W7SO-MR W/polylokS2S filter Two rows of 11 Infiltrator Q.uick4 PIu&Standard chambersSeptic tank.& drainfield to be abandoned per SPS 383.33 NOTES: Scale 1:50 •*- ^ Bench Mark = Duplex nail w/ orange disc in 14" DBH pine Etev= 100.0' - Property lines not shown > 50' from.system area - Middle Eau Claire elev a 86' -All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 3 of 7 Cross Section of Q Two Cell in Ground Component Using Leaching Chambers . ^ p ^ p „ QJ) gID! 11?E U I l^ Observation/Vent Pipes^--•-^ 11 JUNO 32025 Bayfjeid Co. Zoning Dep 102.70 iFinished Grade Slope 10% 102.70 161.00 Original Grada... 100.00 (system ElevaUon Finished G.rade J,, 101.50| |Top of Chamber j , ^"J;^^\ ,xt"^-<A,^,,,. f,;.."-,. ">•; .K j&figina) Grade ^'_^'fop of ChamberV;-'< System Elevation 101.50 100,50 99;50j k',-". •'.. i.-ft'pa^ent^pfKl'OJepersoi ,^w\m •: • " :.'\ •'<'"*' •«..•'.'''.'.'.';".' •*•:'''- i' • .• '•;'•;••'•-.,' •' ' '{1:;<^-.;^.^ ''"/:; '^'^:"< y:^.'-*"':."' ^ I..-? :.;-7.''.. ^. ••,'.<.. '•.'•:•'•'.'.'•^ "•.'^.';' .'•''• .'; ..^.-^_t^___'.^,f Limiting Factor Observotion/Vent pipes to be <?6nstucted and capped With approved mdtAriots for the particular use. Diagrams Not To Scale 47 feet 47 feet Observation/Vent Pipes to be located at the ends of the distribution celte. Pgge 4 of 7 4" CAST-A-SEAL^CAST-A-SEAL TQP_ VIEW PUMP PAD SIDE VIEW ANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUlREMB'fTS WLP750-MR TANK SPECIRCATIONS DIMENSIONS; WALL: 2 1/2" BOTTOM: 3" COVER: 5" MANHOL& 24B 1.0. PRECAST CONCRETE RISERHEIGHT: 54" OUTSIDE DIAMETER: 7-Q" BELOW INLET: 42" UQUID LEVEL: 37" WEIGHT: BOTTOM 3.740 U3S.COVER 2,410 LBS. INLET AND OUTLET: 4" CAST-A-SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE ANDFILTER:WSCONStN. SEE DETAIL #10(OTHER STATES SEE CHART) UQM1D CAPACin': 2Q.28 6AL/IN HOLDING TANK:OUTLET HOLE: PLUGGEDACTUAL CAPACITY: 790 GALLONS LOADING DESIGN: S'-O' UNSATURATED SOIL TANK CAN BE USED AS:.SEPT1C / HOLDING / CTJMP OR SIPHON COVER: MIX DESIGN ^8 (NO nBER)TANK: MIX DESIGN ^10 (STRUCTURAL FIBER) CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT W1ESER CONCKETE UJ UJI &3 ^(£l-;S"U~>.i's^"icoM1:^ ff 1 .0.'^.0x 00 REVIEWED BY REMCTDATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED.BY: APPROVAL DATE: PRODUCTS MEED.ED BY: ^ uQ3 P^ iw SHEET NO.1 ^OF 1 Q10 < FILEjNFORMATION POWTS OWNER'S MANUAL & MANAGEMENT PLAN SYSTEM SPtdFICATtONS Page ._6_ of ]__ owinet Timothy L & Judith L. Mcleod etal Permit # DESIGN PARAMETERS Number of Bedrooms Number of Public Facility Units Estimated (average) flow Design (peak) flow = (Estimated x 1.5) In Situ Soil Application Rate Standard Influent/Effiuent Quality Fats, Oil & Grease (FOG) Biochemioal Oxygen Demand (BOD5) Total Suspended Solids (TSS) Pretreated Effluent Quality Biochemioa) Oxygen Demand (BODs) Total Suspended Solids (TSS) Feca! Colifbrm (geomBtric mean) Maximum Effluent Particle 812$ Other: 2 ONA 0NA 200 gai/day ,300_ .gaj/day 0.7 gat/day/ft2 Monthly average* S30mg/L <220 mg/L D NA <l50mg/L Monthly average s30mg/L <30 rng/t- 0 NA <;10'lcfu/100ml % in dia. D NA EZINA Values typical for domestic wastewater and septic iank effluent. MAINTENANCE SCHEDULE Tank Manufacturer WiSser 0 Septic D Dose 0 Holding vol.750 DMA Qal Tank Manufacturer D Septic D Dose D Holding vol. BNA gat Effluent Filter Manufacturef Polylok EMluent Filter Model 525 DNA Pump Manufacturer Pump Model 0NA Pretreatfnent Unit D SancVGravel Filter Q Mechanical Aeration D Dlsinfectjon Manufacturer 0NA D Peat Filter WeUanc Ihd Dispersgl Cell(s) 0 In-Ground (gravity) D At-Grade a Drip-Une ym-^ 3ijnd^pres5Uriz<TieFcT Co: TWricfDeDf'O'Mound D Other: Olher;0NA Other:0NA Service Event Inspect condition of tan)<(s) Pump'out contents of tank(s) Inspect dispersal cell(s) Clean efdueht tilter Inspect pump, pump controls & alarm Flush taterals and pressure test Other: Other: Service Frequency At least owe every; 3 g ^g)s) (Maximum 3 years) a NA 0 When combined sludge and scum equals Qne-thlrct (!6) of tank volumea When the high water alarm is activated At least once every: 3 Si"eSIsj8) (Mdxjr"um 3 years) D NA At least once every; 3 !J(S§3) _0 NA At teast once every: _ggjjs?5" • 1^ .. ^ . ^, . 0NA At least once every: aS$js) B_NA_ At-teast once every; §3§s> & NA EZINA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an indjviduat carrying one of tKe following licenses pr certifications: MasterPlumber; Master Plumber Restricted Sewer; PQWTS Inspector; POWTS Mamtainsr; Septage Servicing Opfiratpr (pympw). Tank inspections must Include a visual inspection of the tank(s) to Identify any tnjssing or brpRen hartiware, identify any cracks pr leaks,measure the volume of combined sludge and scum qnd acheGkfor any back up or ponding of effluei-it on the ground suriace. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to checK (or any ponding of efdyenton'th^ ground surtsce. The ponding of effluent on the ground surface may indicate a failing conclltton and Fequtres the Immediate notification of the local regulatory authority. When the combineti siccumuiation of sludge and scum in any treatment tank equals one-third (!&) or more of the tank volume, the entire contents of the tank sbal) be re,mpved by a Septage Serylcing Operator and disposed p( in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluentfilters, mechanical or pressyrlzed components, pretreatment units, and any servicing at intervals of $12 months, shall be performed by a certified POWTS Mainlainer. A service report shall be provided to the Iqcal regulcrtory authority within 10 days of completion of any service event, GMW (12/02) Page..ofSTART UP AND OPERATION For n&w conairyction, prior to use of the POWTS check treatment tanl<(s) for the presence of painting products, solvents or other chemicals that may impede the treaitment process and/or damage the soil dispersal ceil(s), If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the intirtrative surface. During extended power outages pump tanks may fill above normal hlghwater levels. When power is restored the excess wastewater will be discharged to th$ 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 effluerrt 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 moynci or at-grado $oi! gbsorption area, Reduction or elimination of the foHowing (rom 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 softerier brine, ABANDONMENT When the POWTS fait? and/or is permanently taken out ot service the following steps shall be taken to insure and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing (@)3^t|%^.Co. Zonina Det • 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: D A suitable replacement area has been evaluated and may be utilized for We location of a replacement soil absorption system, The replacement area should be protected from disturbance and corn paction ancl should not be infringed upori 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 n?w soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules In effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologya holding tank may be installed as a last resort to replace the failed POWTS. Ef The site has not been evaluated to Identify a suitable replacement area. Upon failure of the PQWTS a soil andsiteevafuation musl be performed to locate a suitable replacertieht areg; If no feplacemeni area is avaitabte a holding tank may be installed as g last resort to replace the failed POWTS. a Moynd and at'grade soil Absorption systems rmy be feconstructed in place foltowing t'eftiova! of ?9 biomat at the intiltrative surface. Reconstruclions of such systems must comply wilh the rules in effect at that time. «:WARNING:>;>SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL <3AS@ES AND/OR INSUFFICIENT OXY6EN. DO NOTENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY GIRGUMSTANCES. DEATH MAY RESU1.T. RESCUE OF APERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITONALCOMMENTS POWTS Name Phone INSTALLER /W. -7/S-^- -7 j^M^r A 1 a.2 Z- 9EPTAGE SERVljClNG OPESATOft^UMPER) Name //-/_/ .$^^77^ Phone •7/r- 7W ?^^^ POWTS MAINTAINER Name fi- f^ s^/}r/c phone ,_Z^l2:%,f 3^Ll^L l-OCAl. REGUU^TORY AUTHORin NameBayfleld County Zoning Phone71S-373-6138 This dbcurnenl was drailed by the staffs pl the Green Lake, Marquette and Waushara County Zoning aiid Sanitation agencies In conrtpllance with chapter Comm Ei3.22(2)(b)(1)(d)&(() and 83,S'((1), (2) & (3), Wisconsin Administrative Code. ^^-00^-L ^ Private Sewage System Maintenance Agreement Owner(s) NameTS^H^ ^J^d.-t-^ Owner(s) Mailing Address~"3^""(:? YcT^c LA ^ ^ 1£s^om -0 ' Site Address ^ , ^ ^—,l _ .-TriTo CSoo^ S'V\Q-<^ l^d Tax IDS ^^^L H As owner, I (we) do hereby certify the private sewage system mil 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 Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) •su^ 1/4 oTA/d^ 1/4 Section ^ 0 Township Y^ N. Range 9 _w. Additional Legal Description: Town of Ofit^^/^^ (Acreaael CT f ^2 Gov'tLot_^_ A Lot Block _ Subdivision . CSM fj ' ' ' "Vol. S~ Page /^ CSM Doc # '_^SS^ac_L/0^0)^- DOCUMENT NUMBER2025R-607763 OANIEL. J. HEFFIMER REGISTER OF DEEDS BAYFIELD COUNTY, Wl RECORDED 06/09/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: Planning and Zoi^g DepaUW ^ [:' I JUN 10? 1^ Wr"^ a^muOep' In-grouny-^ravity D Mound D In-ground dosed D In-ground pressure distribution Sewage System: At-grade Sewage System D Other Septic Tank (system types A through E): The sept'c tank shall be pumped by a certified septage servicing operator wlhm 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 senfldng 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-arade. 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. Ownerfs) 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 seivicing 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 chargesmay 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 T;--^o^ •3'oc)^ nv±-^o< arized Owner(s) - Signature(s)^•'^1 sJVYX^-^-J<^ Subscribec^and swon^to before me on th( 5X2.y/^o2-$~-~ ; / / ^Noteiy PublrcJS y/^ ^^t^lf) ^^7^- f^^ </ ^<- ELLIOTT WAYNE HOUpH Notary Public State of Wisconsin) My Commissioi)»ExpirQ-VI \/7-0 Drafted by: /^/A^ ^^-/~~ Date: -^1^?~2.^~ Proofed by: u/forms/sanltary/septicmaintenceagreementRevised June 2018 B-A-YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washbum, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: MORSE/BENJAMIN 4177 GOTHENBERG RD DULUTH/ MN 55803 MORSE/DANIELL 4177 GOTHENBERG RD DULUTH/MN 55803 MCLEOD/ TIMOTHY L & JUDITH L 38 ALDER LN ESKO, MN 55733 Submission Number: SS-00562 Transaction Number: SS-00562-2DA48 Description Private Sewage System (Septic Tanks) Amount $400.00 Total: Payment Amount: $400.00 $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 COUNTS SANITARY PERMIT f#04)-25-53S STATE SANITARY PERMIT OWNER: BENJAMIN MORSE ETAL GOV'TLOT: LOT: 1 BLK: CSM: 000770V.5P.192 1/4 1/4 SEC:20.T44N,R9W TOWNSHIP: Barnes SOIL TEST: 51-25 REPLACEMENT SYSTEM SYSTEM TfPE: Non-Pressurized In-Ground PLUMBER: JAMES CLEMENTS TRACY POOLER Authorized Issuing Officer DATE: 6/13/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 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