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HomeMy WebLinkAbout25-60SIN60UND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS July 28, 2025 at 8:31:01 AM CDT 7157983470 36 1 Received JUL/28/2025/M0N 07:05 AM Andry Rasmussen & So FAX No, 7157983470 P. 001/001 Request for Sanitary Inspection Fax this form to Zoning Dept when you want an inspection — 373-0114 If you do not have a fax and must email the Inspection; you must email all staff members Note fl Time Change fl Discrepancy fl Other Phone Number Plumber: pN-D t1 .ftA-fA4vJJ'C'v:. `t— Fax Number i Home Owner: i v /v N i N Sanitary Permit #: 7 C Plumber's Choice Zoning Dept No inspection during these times Date: ca 7, U `r 9:30 am —12:30 pm Tues. (Tracy) 12;00 pm — 2:00 pm Wed. (Todd) 9:30 am —12:30 pm Thurs. (Tracy) Time: Plumber's Choice Zoning Dept Immediate Phone Number so Zoning 7 Dept can call you right back (if needed) Township:Address #& & Road Name: I oG ei-&.E Cn± lCC v.' or Directions To Site: Comments; old(1i�j ro` sdtiJ` RC 71✓ pofc.r ei Reminder: You mustT confirm any change(s) that have been made prior to or this lnsoectlon will not be scheduled and a memo will be sent voiding the Inspection. Thank You! From ** Plumber must verify any change(s) by fax or no inspection will be scheduled ** u/forms/sanitaryhequestforinspec8on Zoning Dept (64/12104) ® August 2021 o. Private Onsite Wastewater Treatment Systems (POWTS) Inspection Report a,da (Attach to Permit) Industry Services Division General Information "' ' oses [Privacy (fl(m)] s. 15.04 m City 9 Village 9 Town of: JULIE & MARK TANIN 4467 SHOOTING STAR AVE MIDDLETON WI 53562 Description: 'off e, i Tank Information set ack to: TYPE MANUFACTURER I CAPACITY Prop. Line Well Building Air Intake Road Se tic p D N/A Dosing N/A Aeration N/A Holding Pump / Siohon Information Elevation Data County SanitaryPermit No: State Plan'Transection ID#: Parcel Tax No: /33 ump Manufacturer Pump Model Demand Filter Manufacturer Filter Model GPM TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Wilt Length # of Cells i SETBACK FROM Prop. Line Building d WeI 2 r 35 Type of Cell / Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number: stribution Dia Soil Cover X Pressure Systems Only X Hole Size I X Hole I Observation Pipes COMMENTS: (Include code discrepancies, persons present, etc.) G,,ew-4Ow/flOe4e' a. `rat d �i I v1jr SRS t file w,s c��d ,-e4 18 (9/d lack -(•� �r4,',if��d ❑ Yes ❑ No ❑ Yes ❑ No I ❑ Yes ❑ No Ian revision required? ❑ Yes 0 No 2>, ae other side for additional information. Date POWTS Inspector's Signature :Rns7ln rR mr91) I /t237/Y License Number I. A., Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61$8 Fax: (715) 373-0114 e-mail: zoninana bavfieldcounty.oro Web Site: www.bavfieldcounty.ora/147 JULIE & MARK TANIN 4467 SHOOTING STAR AVE MIDDLETON WI 53562 Bayfield County Courthous€ Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know /FC5/4IO! t' A/ 4- was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your s�fstem will be due for servicing please go to www.senticsearch.com Notes Abandonment of Old System to meet all applicable code requirements: 1 3 Tank was pumped by: Tank was crushed / removed and pipes disconnected by: on at AM/PM On at A 362 (AM I F 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 $50 fee are required. ❑ System could not be inspected because County could not respond to plumber's time constraints. Comments: Ulformstsanitwypmpertyowner-input April 2019 V�RTArtyr�l IndCoun v ustry Services Division ty •4822 Madison Yards Way Bayfield A$ Madison,bWI5,37 �j (� Sanitary Permit Number (to be $ t' K SS -O 0 J -7 L P.O. x 30 Madis ff� 3707 t� 5 ^ to of Sanitary Permit App1icatioi1 220 L State Transaction Number In accordance with SPS 383.21 (2), Wis. Adm. Code, submission of this form to the app�rQ�r� Svertt n is required prior to obtaining a sanitary permit. Note: Application forms for state-ovRie� PO� are submed to Project Address (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(1)(m), Stats. 10990 Eagle Lake Rd. Iron River, WI g I. Application Information — Please Print All Information Property Owner's Name Parcel # Mark & Julie Tanin 13332 Property Owner's Mailing Address Property Location 4467 Shooting Star Ave. Govt. Lot City, State I Zip Code Phone Number Middleton, WI 53562 608-628-9677 SE ¼, SE f/., Section 03 II. Type of Building (check all that apply) Lot # T 46 N R 08 E or W 1?11 or 2 Family Dwelling — Number ofBedrooms 2 Subdivision Name Opublic/Commercial — Describe Use Block # Cityof ❑State Owned — Describe Use CSM Number Village of Town of Delta 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 i ..7icable. a' A. []New System Replacement System ❑Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B' ❑Holding Tank PlIn-Ground DAt-Grade IIJMound Individual Site Design lijOther Type (explain) (conventional) C. ❑ Renewal Before Revision JChange of Plumber I Transfer to New Owner List Previous Permit Number and Date Issued Expiration NA = ----'spay&iaImen&rea anu lanK iniormauon: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 300 1.6 188 210 91.5 Capacity in Total # of Manufacturer Tank Information Gallons New Gallons Units o Tanks Existing Tanks a.0 W y wC7 f1. Septic or Holding Tank 750 750 1 Superior Precast ✓ Dosing Chamber LI c:j a V. Responsibility Statement I, the undersigned, assume responsibility for installation of the a POWTS;-shown on the attached plans: Plumber's Name (Print) Plumber's Signa MP/MPRS Number Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 ;. V. County/Department Use Only Approved ❑ Disapproved Permit Fee Date Issued L Issuing a Si re ❑ Owner Given Reason for Denial YdD a3 a� � �3T 3 Conditions of Approval/Reasons for Disapproval i uacn w compfeie plans for the system ano submit to the county only on paper not less than 3 1/2 x 11 inches in size SBD-6398 (R. 02/22) PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Cnmoonent Manual Design References: 6S W .i 1..i - UL ' . JUN 12 1 O?`J P Bayfiejd Cu Z'on�ng 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 Application for Review Soil Evaluation Report & Site Map Project Name 1 Description Tanin 2 Bed Owner Name(s): Mark & Julie Tanin Owner Address: 4467 Shooting Star Ave. Middleton, WI Project Address: 10990 Eagle Lake Rd. Iron River, WI Govt. Lot: SE Township: Delta Project Parcel ID #: 13332 1/4 of SE Designer Name: Jason Kuettel Phone: 608 - 628 - 9677 Zip: 53562 1/4, Section 03 , T46 N -R 08 E U or W 0 County: Bayfield Designer Information Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: Phone: 715 -798 -3355 Zip: 54821 This space reserved for approval stamp. Signature: Date: __ ____ Original sign ture required on each submitted copy. Owner Information: BM=100: Edge of top step coming up from garage Name: Julie Lynn & Mark Julian Tanin Location: SE1/45E1/4,S03.T46N,R08W I B1 = 95 Township: Delta I B2 = 95.3 County: Bayfield I 63 = 93.6 Lot #: 10990 Eagle Lake Road Pact -r-iS6 Lake= 72.1 S Pt�aAor vJ/ c)Z�Ncv Ftu-eti S tSTtM c� - ci1,5n 93' B2 q'SCH KY OJL \ • �O w WeLt p50' N�n411 CD Tv/ SCALE (f of 7J! 'A1 W Only in Tested Area MP 67475 1 (l,, �fIz�2S -� � I1 lllfllllf� F) 1\41 egen Eljen GSF System WI Design Program COR►ORATION .�.�..�..�.�,....._„�..� Bayfield Co. Zonis Date: 6.12.2025 Client Name: Mark Tanin Site Address: 10990 Eagle Lake Rd. Iron River, WI Designer: Jason Kuettel Note: This worksheet is provided to assist the Planner In sizing the number of Ellen GSF Modules required for a specific project. The calculations herein are explained for each output. The success of the overall design is based on the Planners Inputs and considerations outside of this worksheet. System Sizing (Total Number of Eljen GSF Modules Required) I Design Notes and Comments 1.1 Site Characteristics: Total Number of Bedrooms 2 DDF per Bedroom (Daily Design Flow per Bedroom) 150 gpd Effluent #1 Application Rate 0.7 gal/ti? DDF (Daily Design Flow) 300 gpd Equivalent Effluent #2 Application 1.6 gal/ft2 Application Rate 1.6 gal/ft2 Required Basal Area (DDF + Application Rate) 187.5 ft2 Unit Used ( Usually B43) 843 Unit install Width 5 ft Square Footage per Unit 20 ft2/unit 1.2 Module Quantity Analysis: Minimum Number of Eljen GSF Modules Required (Required Basal Area _ Square Footage per Unit or Bedrooms x (5 for B43s or 6 for A42); whichever is greater) 10 units Amount of Eljen GSF Modules Used Must be greater than or equal to Minimum Number of Ellen GSF Modules Required 10 units 1.3 Distribution Cell Design: Number of Distribution Cells / Trenches (Program supports up to 4 Trenches or 1 Cell) 1 Number of Laterals Inside Cell (Program supports up to 4) 2. A. Distribution Cell Width (If cell is red, Cell Width is greater than 10 ft and needs to be revised.) 10 ft B. Distribution Cell Length 21 ft C. Lateral to Lateral Spacing (Multiple lateral systems) 5.00 ft D. Lateral to Edge Spacing (Multiple lateral systems) 2.50 ft Units per Row (if red, adjust number of modules to make rows equal) 5 Total Square Footprint 210 ft2 A. Width 10 B. Length 21 C. Late 5.00 Lateral Spacing 2.50 D. Lateral to Edge Spacing (ft) Dept j # I! E� JUN 1 2 ? O5 A. Width . 10 C. Late 5.00 Lateral Spacing tftl 2.50 D. Lateral to Edge MIN 12" OF CLEAN FIL[ __________________ L 6" D _ L C D A GSF WI IN -GROUND DESIGN PROGRAM D L !I 11 MANAGEMENT AND CONTINGENCY PLAN �i JUN ,I L 025 System Management Plan bay 'hey c Go. Zoiq Dep[. General This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals Eljen In -Ground Component manual November 2019 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 - inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as In -Ground and Pressure Distribution System No trees or shrubs should be planted on the system. Plantings may be made around the system's perimeter, and the system shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the system is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the system be heavily mulched as protection from freezing. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the in -ground component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: +9 N t SE?TT.C T&?1< C?OSS AND S?crz; ^?Tl0HS Gc-O PVC INSP. PTDE 6 T' MIN. ABOVE a� 1 L J1r Ic I (whe -% tnl e.+ rki1 . ii JUN 1 2 1UL5 J APPROVED hzyfreld co._'i�r;u s� Dept. HOLE j. F TNISHED GRAD, w/ L 1 .I p1L APPRC PIPE ONTO SOIL 3" APPROW D BEDDit G UHDep. TANK SPECIFICATIONS SEPT C. TANK !iANUFACIUREF . LANK s E iES sTIc ISO, GAL. OUTLET ., r 55%OD5?L1 Private Sewage System Maintenance Agreement Owner(s) Name o 'ToLoe Th'vi'iJ Owner(s) Mailing Address '/4t7 ≤I4 c >7`/r'1 f7 . 4'?/DP1 , Ws&Z_ ED JUN 1 b L U[3 >D i4WM1 mint uM 2025R-607858 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI Site Address/ o a �(` D 6A& j 4J y T let)M RECORDED 06/13/2025 AT 1:02 PM Tax ID # S�; PA GES: FE 230.00 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) Se 1/4 of S t 1/4 Section o3 Townshipq N. Range eB W. Additional Legal Description: S LEA• {3—T'r, _P`C c� Town of i F_L (Acreage) © ' 33' Gov't Lot Lot Block Subdivision Lot CSM # Vol. Page CSM Doc # Recording Area Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed 0 In -ground pressure distribution Sewage System: 0 Mound ❑ 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 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. Bayfreld 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 bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. � �� ��""' i► Owner(s) Name(s) — Please Pri Subscribed and sworn to before me on this date:14L �84.e _______________ No r(s) — a s Notary Public My Commission Expires: ,n %\ 7 n._ Drafted by: 77µ d L4)(- Date: 2.5 Proofed by: u/forms/sanitarylsepticmaintenceagreement Revised July 2020 DOCUMENT NO. THIS INDENTURE, Made by WARRANTY DEED STATE OF WISCONSIN - FORM 10 LST of Ashland, Inc. a Corporation duly organized and existing unflerh�anc� virtue of the laws of the State of Wisconsin, grantor. of . County Wisconsin, hereby conveys and warrants to Mark Julian Tanin and Julie Lynne Tanin, husband and wife, as survivorship marital property grant...__., of County, Wisconsin, for the sum of $140,000.00 the following tract of land in Bayfield County, State of Wisconsin: t 5 458937 \cj vDa of $AGE j' 24 REGISTER OF DEEDS To flUG 15 w1 9 53 REGISTER'S t,=)TIC r;.'.:. B.AYFIELD COUNTY, vi'I t., THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS (A -re - (,#&p 2)7 A parcel of land in the Southeast Quarter of the d Southeast Quarter (SE}.SE*), Section Three (3), i Township Forty-six (46) North, Range Eight .(8) West, Town of Delta, Bayfield County, Wisconsin, more particularly described as follows: Commencing at the I{C ,4'/'/c; L T.'r/•o Southeast corner of said Section 3; thence North on the East line of the above mentioned section, township 016-1084-03 and range for a distance of 981.86 feet to a brass PARCEL IDENTIFICATION NUMBER pipe and the point of beginning. Thence turning left at an angle of North 75° West for a distance of 213 ' ' 4 feet 5 inches (passing through an iron pipe set 1O 1. .•.'i•' feet from.. the shore of Murray Lake); thence turning left along the shore of said lake 60 feet; thence turning left through an iron pipe net 10 feet from the shore of said lake, South 75° East for a distance of (L1'j 1 239• feet 3 inches to the East line of said Section 3; thence due North along the East section line for a JUN of 58 feet 8 inches to the point of JUN 1 b' 2025 beginning. . LITRANSFER FEE Bayfield Lo. ZOrnrnr Dept Subject to easements, reservations and restrictions of record. (IF NECESSARY, CONTINUE DESCRIPTION ON REVERSE SIDE) In Witness Whereof, the said grantor has caused these presents to be signed by its President, and countersigned by its Secretary. at Ashland . Wisconsin, and its corporate seal to be hereunto affixed this �� day of August , A.D.,_ 2000, SIGNED AND SEALED IN PRESENCE OF LST OF ASHLAND, INC. Corporate Name p-L,d w �1' �— preswen COUNTERSIGNED: Secretary State of Wisconsin, =S. 7 8 p 8 8 9 — ._ AShI_and County. ```sOPp t►u*,�r�'',/ V Perstlllally e -.tint• before nle, this ' ' 'ehy '.. Au us t , A.D„ L.t) i S M. V q resl�e ir,• Ql % , Secretary of the above named Corporation, to me known$i a shyers wlT� ettl tEd the foregoing instrument, and to me known to be such President and St t rrtary of said Corporation, and acknowli;cf d� d 1regoing instrument as such officers as the deed of said Corporation, by its authority. THIS INSTRUMENT WAS DRAFTED BY * SIP_ iA_7ZZcL.(7 `s� �� Attorney Keith W. Dallenbach �IIttl++ts` t ln()Y/C1k ii1 DvcO Dallenbach Anich & Haukaas, S.C. Notary Public, Ashland County. Wis. Ashland, WI 54806 .My-commissfon.(expires) (is) OCo (01L4 t%.. t.•u to sI I1 r aI arr ww.wntn tl Insn,mrots to be recorded shad love manly ptfntrd ors tun therms the sans of the d'rantots, grantees. witnrnes SOJ noury Satron W '.1 I ..n.dal? r.,p.nr. tl. i dee trn.w ul dw Iwn,rn who. or Yurnrcrnsl aseney which, d aft sock Inurutoetp• shall be printed. lypew itten, stamped or wrhtrn thereon in a kphle stunner) STATE OF WISCONSIN WecorrAn Lagat Blank Co. Inc. %V,%RItAN IV 111.11: - thy I ,oprualsun Farm No. 10 . Mlwaukea. WIS. 'ti •,r Wisconsin Department of Safety and Professional SeMAses 0�I l0 Attach complete site plan on paper not less than 814 X 11 SOLITEST Soil Evaluatid in accordance with SPS 385 ,Wis.Adm Code D E ( E \ JUN 1 2 LUL5 inches in size. Page: baYtieA-of�6'. Zotlr,lq; Dept. Plan must include but not limited to: Vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, 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: Bavtleld Parcel I.D. 13332 i w y Date: Property Owner: Julie Lynn & Mark Julian Tanin Property Location ' SE1/4SE1/4,S03,T46N,R08W Property Owners Mailing Address: 4467 Shooting Star Ave Site Address or CSM and Lot # 10990 Eagle Lake Road City Middleton State WI I Zip Code I 53562 Phone Number: 0 Town Delta Nearest Road: Eagle Lake Road " New P Residential Number of Bedrooms: 2 Code derived design flow rate: 300 Flood Plain if applicable r` Replacement r Public or Commercial - Describe: Parent Material: Outwash Flood Plain if Applicable: 0 General Comments & Recommendations: System Elevation: 91.5 Load Rate: 0_7 Elevation Range. 88.3 To 91.63 Ground surface Elev: 'Depth to Limiting Factor: Boring #1 r Bor.P 95 Ft. 120 in. Elev. 85 ft Soil Application Rate: Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3M 0.6 1.0 2 4-18 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 18-120 7.5YR4/6 N/A LS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 v. Ground surface Elev: Depth to Limiting Factor: Boring # 2 Bor.r pit 96.3 Ft. 120 in. Elev. 85.3 ft Soil Application Rate: Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 0-6 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3M 0.6 1.0 2 6-20 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 20-120 7.5YR4/6 N/A LS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 �. *Effluent #1 = BOD 5>30 < 220, g/l and TSS>�0 ≤ t50mg,l � *Effluent #2 = BOD 5< 30 mg,1 and TSS < 30 mg// CST Name (Please Print) Mark S. Thompson i nit r CST Number: 877598 Address: 12006 N US Hwy 63 Hayward, WI 54843 Date Evaluation Conducted: ,' Tuesday, June 10, 2025 Telephone Number 715/699-4081 ' I SBD-8330 (R04/21) Property Owner: Julie Lynn & Mark Julian Tanin Parcel I.D. 13332 Page: 2 of 6 \i L [I JUN 2 Boring # 3 v Pit Ground surface Elev: Depth to Limiting Factor: Bor C" 93.6 Ft. 93.6 In. Elev. 83.6 ft E� rfi it Sol p_ Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 0-8 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3M 0.6 1.0 2 8-20 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 20-120 7.5YR4/6 N/A LS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 Boring # 4 Ground surface Elev: Depth to Limiting Factor: 1 Bor r � t 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 5 1- Bor 17 Pit Ground surface Elev: Depth to Limiting Factor: 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 6 r` Bork lit Ground surface Elev: Depth to Limiting Factor: 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 I 2 3 4 5 6 7 *Effluent #1 = BOD 5>30. 2 20 mg/I and TSS>30 < 150mgi *Effluent #2 = BOD 5< 30 mg/l and TSS < 30 mg/1 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777 Zof1ng Dept SBD-8330(R.07100) L) L JUN Soil Profile Sheet Page: 3L�fS1e10 Owner: Julie ynn & Mark Julian Tanin ISoll Tester: Mark S. Thompson System Elevation: 91.5 Load Rate: 0.7 System Elevation: 88.3 To 91.63 101 $2 100 99 -- 98 -- 97 --------------- 96 -- 95 94 02 93 02 92 91 --------------- 90 -- 89 88 $$, 87 86 --------------- 85 $ 84 83 82 -- 81 80 79 101 $1 100 99 98 97 --------------- 96 --------------- 95 ------------- 95 94 07 93 QLZ 92 91 --------------- 90 --------------- 89 88 $$ 87 86 --------------- 85 85 ! 84 83 82 81 80 79 -- 101 B3 100 --------------- 99 --------------- 98 --------------- -- 97 System ------------- Elevation 96 -------------- 95 --------------- `� 93 —------------- 92 ------------- QZ 3 91 ------------- 02 90 --------------- 89 --------------- 88 --------------- 87 --------------- 86 --------------- 85 ------------' 84 --------------- 83 -------------LFt 82 81 --------------- 80 --------------- 79 --------------- Ci)Illl�(j UE}�i Owner Information Name: Julie Lynn & Mark Julian Tanin Location: SE1/4SE1/4.S03.T46N.R0BW Township: Delta County: Bavfield Lot #: 10990 Eagle Lake Road fl Only in Tested Area BM=100: Edge of top step coming up from garage B1 = 95 B2 = 95.3 BS= 93.6 Lake= 0 93' B2 B3 B1 M Driveway Well 10990 CST: Mark'S. Thompson f #877598 - - 715/699-4081 9ov= ay.y Industry Services Division County 4822 Madison Yards Way Bayfield Madison WI 7 5 E � V Sanitary Permit Number (to be filled in by Co. -I P.O. x 0 U a5_�os SS -0061 4' Madis W 3707 Sanitary Permit Applieati 122025 L State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the,anPpor¢&qR��tt��ggQv5¢rpA{� p is required prior to obtaining a sanitary permit. Note: Application forms for stateos47Rbh�1W'PS'ar�sS6att`fted to)t Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary 10990 Eagle Lake Rd. Iron River, WI purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 9 I. Application Information — Please Print All Information Property Owner's Name Parcel # Mark & Julie Tanin 13332 Property Owner's Mailing Address Property Location 4467 Shooting Star Ave. Govt. Lot City, State I Zip Code Phone Number Middleton, WI 53562 608-628-9677 SE ,a SE ya, Section 03 I1. Type of Building (check all that apply) Lot # T46 N R 08 E or W ZI or 2 Family Dwelling — Number of Bedrooms 2 Subdivision Name Block # Public/Commercial — Describe Use ❑City of ❑State Owned — Describe Use CSM Number Village of HTown of Delta Ill. 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 applicable.) A. ❑New System Replacement System jOther Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' Holding Tank ZIn-Ground Drt-Grade Mound J Individual Site Design JilOther Type (explain) (conventional) C. ❑ Renewal Before ❑Revision Change of Plumber JI'ransfer to New Owner List Previous Permit Number and Date Issued Expiration NA IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) System Elevation 300 1.6 188 1210 91.5 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o $ u New Tanks Existing Tanks W � v a,� Septic or Holding Tank 750 750 1 Superior Precast Dosing Chamber D0 !L E1 V. Responsibility Statement- I, the undersigned, assume responsihilit for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signat MP/MPRS Number Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 Approved 0 Disapproved ..., .., • " •,"•� ,°."." rb L. t�an,„s „ we /��� 0 Owner Given Reason for Denial S 'r-iQD 1 023 a$ /423,7/,.3 Conditions of Approval/Reasons for Disapproval /y p k/J Attach to complete plans for the system and submit to the County only on naner not less than a in. I I inches in sba SBD-6398 (R. 02/22) PAGE 1 OF 4 Pg 1 of 4 Pg 2 of 4 Pg 3of4 Pg4of4 Attachments: In -Ground Gravity Plan Index & Cover Sheet C:nmoonent Manual Design References: oECEoWE� ll _JUN 12z025 2025 Bayfield Co. Zoning Dept. Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Tanin 2 Bed Owner Name(s): Mark & Julie Tanin Owner Address: 4467 Shooting Star Ave. Middleton, WI Project Address 10990 Eagle Lake Rd. Iron River, WI Govt. Lot: SE 1/4 of SE Township: Delta Project Parcel ID #: 13332 Phone: 608 -628 -9677 Zip: 53562 1/4, Section 03 T46 N -R 08 E U or W U County: Bayfield Designer Information Designer Name: Jason Kuettel Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: Phone: 715 798 .3355 Zip: 54821 Signature: Date: a/I2/ZS Original sign ture required on each submitted copy. Owner Information Name: Julie Lynn & Mark Julian Tanin Location: SEl/4SE1/4,S03,T46N.R08W Township: Delta County: Bayfield Lot #: 10990 Eagle Lake Road o.cX'1- QL 'A" BM=100: Edge of too step coming up from garage SAP Lk)ko ppc2arr'7So wl CJZtNGc p.c7et 4'Scw4e OJL I' • Well 61, S A't.a 93, B2 B1 B1= 95 B2 = 95.3 B3 = 93.6 Lake= 7Z,1 .c'i5-rt - e (lo') E7a, N 1343 'Nw—J Lt)(1°' At Y -.1 Driveway 10990 W J m m Q Z n (7 w F. ON 2 5. N G C CO N 1=20' Only in Tested Area MP 67 S7 S 1 0 `rGv9 III:/as e jen Eljen GSF System WI Design Program ---- ----- Bayfield Co. Zonin Date: 0.12.2025 Client Name: Mark Tanin Site Address: 10990 Eagle Lake Rd. Iron River, WI Designer: Jason Kuettel Not. This worksheet is provided to assist the Planner In sizing the number of Eljen GSF Modules required for a specific project. The calculations here In are explained for each output. The success of the overall design Is based on the Planners Inputs and considerations outside of this worksheet. System Sizing (Total Number of Eljen GSF Modules Required) I Design Notes and Comments 1.1 Site Characteristics: Total Number of Bedrooms 2 DDF per Bedroom (Daily Design Flow per Bedroom) 150 gpd Effluent #1 Application Rate 0.7 gal/ft' DDF (Daily Design Flow) 300 gpd Equivalent Effluent #2 Application 1.6 gal/ft2 Application Rate 1.6 gal/ft' Required Basal Area (DDF _Application Rate) 187.5 ft' Unit Used ( Usually B43) 843 Unit Install Width 5 ft Square Footage per Unit 20 ft'/unit 1.2 Module Quantity Analysis: Minimum Number of Ellen GSF Modules Required (Required Basal Area a Square Footage per Unit or Bedrooms x (S for 843s or 6 for A42); whichever is greater) 10 units Amount of Ellen GSF Modules Used Must be greater than or equal to Minimum Number of Ellen GSF Modules Required 10 units 1.3 Distribution Cell Design: Number of Distribution Cells /Trenches (Program supports up to 4 Trenches or l Cell) 1 Number of Laterals Inside Cell (Program supports up to 4) 2 A. Distribution Cell Width (If cell is red, Cell Width is greater than loft and needs to be revised.) 10 ft B. Distribution Cell Length 21 ft C. Lateral to Lateral Spacing (Multiple lateral systems) 5.00 ft D. Lateral to Edge Spacing (Multiple lateral systems) 2.50 ft Units per Row (If red, adjust number of modules to make rows equal) 5 Total Square Footprint 210 ft' A. Width 10 B. Length 21 C. Late 5.00 Lateral Spacinq 2.50 D. Lateral to Edge Spacing (ft) Dept. A. Width . 10 � lug JUN C. Late 5.00 1 2 2025 Lateral Spacina (ftl 2.50 Bayfield Co. Zoning Dept. D. Lateral to Edge MIN 12" OF CLEAN FILL A D A GSF WI IN -GROUND DESIGN PROGRAM I� V I5 � U I� D MANAGEMENT AND CONTINGENCY PLAN In UM JUN 1 2 2025 System Management Plan Bayfjeld Co. Zoning Dept General This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals Eljen In -Ground Component manual November 2019 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 - inches In diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as In -Ground and Pressure Distribution System No trees or shrubs should be planted on the system. Plantings may be made around the system's perimeter, and the system shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration, Traffic (other than for vegetative maintenance) on the system is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the system be heavily mulched as protection from freezing. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the in -ground component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: I +9 a t rJ SEPTIC _TAN CROSS SECTION AND SP=CI.iCPTIOHS 4" GC4.40PVC INSP. PIPE 6 " MIN. ABOVE GP-.D:.opt) (When. 1nle+ me-nVole i5 buried J FINISHED GRADE 18" HIN. I APPROVED PIPE 3 ONTO SOLID SO IL -APPR D BASF --E- 0 FILTER --� MFG. fl-enco model R To$Z2 3" APPR0W5D BEDDING UNDCP, TR'r7K SPECIFICATIONS S EPTiC TANK MANUFACTURER: Su?e *a ?Z_ CAJT T.HK SIZES: SEDTIC ISo CAL. NOTES ilfi JUN 1 2 2025 U APPROVED WIHOLE Bayfiejd Co. Zoning Dept P W/ Lpc. ih/r}R IW- L,46E.L 4" MI?!. OUTLET 55-005�� HUH DII JUN 16 ZUZj Private Sewage System Maintenance Agreement vwnerta, Name _ L 6Z Site Address / O 92D 64s- ZAK& 120. t f t-s�Us,>u-7 �1/•""—ll As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil testers report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) S C 114 of SE 1/4 Section o3 Township y\\6 N. Range t18 W, Additional Legal Description: Sc—& 4Tr9P-t>'c Town of 00-_ri (Acreage) © ' 33 Gov't Lot Lot_ Block Subdivision Lot _ CSM # Vol. _ Page _ CSM Doc # L�Y#tsidtEimr�ioi (, 2025R-607858 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/13/2025 AT 1:02 PM RECORDING FEE: $30.00 PAGES: 2 Recording Area Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ 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, 0, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wls. 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 -wade, and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is Inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system 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 bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. ••,.•'•" ' "' •., , Owner ) Name(s)— Please ri t Subscribed and sworn to before me on this date: ,--� L ;; O.O- •<S rid °z. o Not r(s)— a s Notary Public - My Commission Expires: , /7�2 UA� y 2,�2q Drafted by: Tµ (u4(24— Date: 25 cc /',"'nut nw,,•r,' DA J C'-°' a</t' 1U/L. Proofed by: u/forms/sanitary/septicmaintenceagreement Revised July 2020 WARRANTY DEED STATE OF WISCONSIN — FORM 10 DOCUMENT NO. THIS INDENTURE, Made by LST of Ashland, Inc. a Corporation duly organized and existing un er grad by vinue of the laws or the State of Wisconsin, grantor, of Vhland County Wisconsin, hereby conveys and warrants to Mark Julian Tanin and Julie Lynne Tanin, husband and wife, as survivorship marital property gramee_, Gl County. Wisconsin, for the sum of $140,000.00 the following tract of land in Bayfield County, State o1 Wisconsin: A parcel of land in the Southeast Quarter of the Southeast Quarter (SE} -.SE}), Section Three (3), Township Forty-six (46) North, Range Eight (8) West, Town of Delta, Sayfield County, Wisconsin, more particularly described as follows: Commencing at the southeast corner of said Section 3; thence North on the East line of the above mentioned section, township and range for a distance of 981.86 feet to a brass pipe and the point of beginning. Thence turning left at an angle of North 750 West for a distance of 213 feet 5 inches (passing through an iron pipe set 10 feet from. the shore of Murray Lake); thence turning left along the shore of said lake 60 feet; thence turning left through an iron pipe set 10 feet from the share of said lake, South 75' East for a distance of 239 feet 3 inches to the East line of said Section 3; thence due North along the East section line for a distance of 58 feet 8 - inches to the point of i begion rag. $TRANS, . FERFEE �pjCJj1 �f�LL�!! 458937 li CVVO%OLLZ'j 'OFF ',SAGE gf f REGISTER OF DEE 'GO RUG 15 AN 9 53 REGISTER'S CFFICE/G,'. RAYFIELD COUNTY. W.I. THIS SPACE RESERVED FOR ,µ RECORDING �/DATA W R 11 NAME AND RETURN A ESS f / - `/VJ7 V'/I I✓ 2 b Un V2T '/-/c; t� 016-1084-03 PARCEL IDENTIFICATION NUMBER Subject to easements, reservations and restrictions of record. (IF NECESSARY. CONTINUE DESCRIPTION ON REVERSE SIDE) 1111 JUN 162025 Bayffeld Co. Zoning Dept. In Witness Whereof, the said grantor has caused these presents to be signed by ,its President, and countersigned by , n rcrcrsp; m Ashland , Wisconsin, and its corporate seal to be hereunto affixed this `Tl day of August ,A.D..a 2000, SIGNED AND SEALED IN PRESENCE OF Stale of Wisconsin, as. Ashland County. .\PNuu�*.,, I'cianmlly tame before tile. this 0O r• rLy� Luis C. Key04 �q'4nsirUe•i of the above named Corporation, to me knownio jh e wiff and Secretory of said Clrp+mtion, and aeknowl$l�ihyryhee by its authority ' 3% '.4' Q INSTRUMENT WAS ORAFTEO BY �AAO * $T P� .,$' � rSaaA /' fl THIS f Attorney Keith W. Dallenbach N6r114...untt\s Ltd Ina ✓/Il k tL�- IVTOyT Dallenbach Anich & Haukaas, S.C. stAL Notary Public, Ash n County, Wu. Ashland,_WI 54806 - .Myrommfsslon (expires) (Is)� r.l.•^*A+Is' me,nmmmumsr rteo ad its' l t�W,,y ram,ais ml,e,tan .5 nama,lieRraavn. q.m ,.;I .*J.ea.sn,.m Y�ii Via, o.iury ..N:.•n a11w,s' .Inv.le,v,,.le. �, Fv,nl,m,mu agny v4ATE OLFI ISONSINa dullhplmN.IrR"mNn. vunlW v,Yw. 1,..on m: lep* ". ,) STATE OF oCONSIN WOCpNM Legal an Ca.lrc n5\NN \N IV III'l l: - lli l .nPmurnn V.I. No. In wsaAa wa LST OF ASHLAND. INC. Corporate Name � p President COUNTERSIGNED: V783 P 889 August A.D., W 2009 , Secretary foregoing instrument, and to me known to be such President g Instrument as such officers as the deed of said Corporation, b -7 SSol TESTS ONoil Evaluatid in axodanaa with SPS 385,WPs.Adm Code Wlsconstn Department of Safety and Professional Servlscs Attach complete site plan on paper not less than 8Y X 11 inches in size. Page: JUN 12 ?u�� , E ayfi 6Zoning Dry,; Plan must include but not limited to: Vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, 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: Bayfed Parcel I.D. 13332 i w y Date: Property Owner. Julie Lynn & Mark Julian Tanin Property Location SE1/4SE114,S03,T46N,R08W Property Owners Mailing Address: 4467 Shooting Star Ave Site Address or CSM and Lot # 10990 Eagle Lake Road City Middleton State WI I Zip Code 53562 Phone Number: 0 Town Delta Nearest Road: Eagle Lake Road r New r' Residential Number of Bedrooms: 2 Code derived design flow rate: 300 Flood Plain if applicable J' Replacement r Public or Commercial - Describe: Parent Material: Outwash Flood Plain if Applicable: 0 General Comments & Recommendations: System Elevation: 91.5 Load Rate: 007 Elevation Range: 88.3 To 9163 Bor. Ground surface Elev: ,Depth to Limiting Factor: Boring #1 l✓ Ft 95 Ft. 120 in. Elev. 85 ft Soil Application Rate: Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ftz *Eff#1 Eff#2 1 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3M 0_6 1.0 2 4-18 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 18-120 7.5YR4/6 N/A LS 0SG ML N/A N/A 0, 7 1.6 4 5 6 7 Boring # 2 Ground surface Elev: Depth to Limiting Factor: j"'� Bor.r`v_ '. At 95.3 Ft. 120 in. Elev. 85.3 ft Soil Application Rate: Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 0-6 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3M 0 6 1.0 2 6-20 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 20-120 7.5YR4/6 N/A LS 0SG ML N/A N/A 0.7 1_6 4 5 6 7 *Effluent #1= BOD 5>30 < 2 20 gA and TSS>�O < j60mgll •\ *Effluent #2= BOD 5<30 mg/! and TSS < 30 mg/I CST Name (Please Print) Mark S. Thompson nit r &.4. - ------_.____.... _ CST Number: 877598 Address: 12006 N US Hwy 63 Hayward, WI 54843 Date Evaluation Conducted: Tuesday, June 10, 2025 Telephone Number 715/699-4081 'I SBD-8330 (R04/21) 1 Property Owner. Julie Lynn & Mark Julian Tanin Parcel I.D. 13332 Page: LPL JUN Boring # 3 r Boriv Pit Ground surface Elev: Depth to Limiting Factor: 93.6 Ft. 93.6 in. Elev. 83.6 ft So'f�d�p� (Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 0-8 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3M 0.66 1.0 2 8-20 7.5YR4/4 N/A LS 0SG ML CS 3M 0,_7 1.6 3 20-120 7.5YR4/6 N/A LS 0SG ML N/A N/A 0.7 9^6 4 5 6 7 Boring # 4 Ground surface Elev: Depth to Limiting Factor: rBorP Pitt 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 5 Ground surface Elev: Depth to Limiting Factor: r Borry Pit 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ t *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 6 r Borr Pit Ground surface Elev: Depth to Limiting Factor: 0 Ft. 0 in. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 *Effluent #1= BOD 5>30 < 220 mg/1 and TSS>30 < 150mg/1 *Effluent #2= BOD 5< 30 mg/1 and TSS < 30 mg/1 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777 Valli a Dept SBa8330(R.07100) lb ' b 1111 JUN Soil Profile Sheet Page: 3!�f 6f etc' L Owner: Julie Lynn & Mark Julian Tanin JSoiL Tester: Mark S. Thompson System Elevation: 91.5 Load Rate: 0.7 System Elevation: 88.3 To 91.63 101 82 101 81 101 B3 100 - 100 - 100 --------------- 99 --------------- ---- 99 - 99 - 98 - 98 - 98 --------------- 97 --------------- --------------- 97 --------------- ------------- -- 97 ------------- System ------------- Elevation 96 --------------- 96 --------------- 96 -------------- 95 � 95 --------------- 88 95 --------------- ---- 94 Q2Z 94 -Q1/"94 93 ------------- 02 93 ------------- �Z 93 --------------- 92 --------------- --------------- 92 --------------- ------------- 92 --------------- --------------- --------- - ------------- 91.63 $ 91 --------------- 91 --------------- 91 ------------- 91Z 90 --------------- --------------- 90 --------------- --------------- 90 --------------- --------------- 89 - 89 - 89 --------------- 88 ------------- 8& 88 ------------- $$ 88 ----------- 87 - 87 ---------------- 87 ------------- ------------- ------------- $ 86 --------------- 86 --------------- 86 --------------- 85 - -85I 85 - $8 85 --------------- 1 ------------- -------------LELE--------------- 84 --------------- 84 --------------- 84 --------------- --------------- -------------- ------------- 83� 83 --------------- 83 --------------- 83 ------------- LF 82 _ 82 _ 82 --------------- --------------- 81 _ 81 _ 81 --------------- --------------- 80 --------------- --------------- 80 --------------- --------------- 80 --------------- --------------- 79 _ 79 _ 79 --------------- --------------- ( r : , i I_) Owner Information: Name: Julie Lynn & Mark Julian Tanin Location: SEII4SE1/4.S03.T46N.R08W Township: Delta County: Bayfield Lot #: 10990 Eagle Lake Road N N C C C LL Only in Tested Area BM=100: Edge of too step coming up from garage B1 = 95 82 = 95.3 B3 = 93.6 Lake= 0 93' 82 83 B1 Well M Driveway 10990 CST: MarWS. Thompson #877598 715/699-4081 a b FIELD 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: TANIN, MARK JULIAN 4467 SHOOTING STAR AVE MIDDLETON WI, WI 53562 TANIN, JULIE LYNNE 4467 SHOOTING STAR AVE MIDDLETON, WI 53562 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00267 Transaction Number: SR-00267-2DE83 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 14726 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 6/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. $ -YFIELD Property Owner: TANIN, MARK JULIAN 4467 SHOOTING STAR AVE MIDDLETON WI, WI 53562 TANIN, JULIE LYNNE 4467 SHOOTING STAR AVE MIDDLETON, WI 53562 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Submission Number: SS -00574 Transaction Number: SS-00574-2E15A Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 14726 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 6/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-60S STATE SANITARY PERMIT OWNER: TAN IN, JULIE LYNNE & TAN IN, MARK JULIAN GOVT LOT: LOT: BLK: SE 1/4 SE 1/4 SEC: 3, T 46 N, R 8 W TOWNSHIP: Delta SOIL TEST: 56-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL TRACY POOLER DATE: 6/23/2025 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: # MP 675751 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 6/23/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION