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HomeMy WebLinkAbout25-71SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection - (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note Plumber: Homeowner: Sanitary Permit #: Date: Time: Township: Address # & Road Name: or Directions To Site: Time Change Discrepancy Doug Manthey Brad ley Lewis 25-71S Plumber's Choice 08/12/25 Plumber's Choice 10:00 ming Dept f?-f'ni Zoning Dept ??*f>»s Other Phone Number 715-739-6868 Fax Number Email Address norpines@cheqnet.net Immediate Phone Number So Zoning Dept can call you right back (if needed) No Inspection(s) during this time Tuesday (9:30 am -12:15 pm) (Tracy) Grand View 47300 Triangle Dr Cable, Wl Comments: i i i f t\0 ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: u/forms/sanitary/requestforinspectionZoning Dept (©4/12/04);® June 2023 Private Onslte Wastewafer Treatment Systems ( POWTS) Inspection Report (Attach to Permit) Industry Services Division /<_—_—I 1_C~-—-.<.:„„ idaiy purposes [ Privacy Law, s. 15.04 (l)(m) ] BRADLEY D & JEAN E LEWIS 4847 MEADOW CROSSING RD SW ROCHESTER MN 55902 |_J City D Village [_j Town of: BM Description^ Co ^^ ^' ff^iA^^ State Plan-Transaction ID# Tank Information"TYPT Septic Dosing Aeration Holding MANUFACTURER_ ^y->/"^) ^CAPACITY setback to: Prop. Line "WeT >w> Building y^< 'AH-Tnfake"Road N/A N/A N/A Pump / Siphon Information Elevation Data 3ump Manu^turer G-^t-J^ :ilfer Manufacturer 5^^-k^K TDH ?LifT Forcemain 'ufflp Model y/y^^J^f 'ilter Model Friction Loss Length Dia Head Demand GPM Total DistToWeil Dispersal Cell Information 'OIMENSIONS' SETBACK FROM 'Prop.. Line Twe°fcel" ,c^ lv^^t- ^K' Building # of Cells Well OHWM Manufacture; Model Number; / / Pretreatment Unit Manufacturer: Model Number: STATION Benchmark Bldg. Sewer Tank Inlef Tank Outlet Dose Tank Inlef Dose Tank Boffoi Inst. Contour Header/Manifolc Distribution Pipe Infiltrative Surface Final Grade -BS- ^.Ut^ _^_^:A-,. ^^~1 ~HT ML .'' ."X TS" ^ ^-^ ^•^^ "ELEV ./eye, i -» f ?/ 0 hi stribufion Header/Maj Length^ Soil Covejr Depth Over Cell Center Systemtifofd sti-Dia.3Z:u^Distribution Pipe(p) Length '5-^T Dia <~f t]~ Depth Over Cell Edges Spac_ iTefitt^Bf T7" J_X Pressure Systems Only X Hofe Size ^/-ZL X Hole Spacing / / Seeded/Sodded D Yes D No X- Observation Pipes /&Yes D No '-: ' / Mulched D Yes D No SOMMENTS: (Include code discrepancies, persons present, etc,) ^7<>-)-5 ^\ P-'fc^ / 2^< f^ ^ j^A^ - ^T.^"7 (2,^ Cc^ ^-,2^ -2. &^ /.4s J ^^<^w \/° lan revision required? D Yes D No se other side for additional information.T ,2.^< Date ~r POWTS Inspector's Signature /wrm License Number ^Rn-fiy-in CR ni/9ii BAYHEID COUNTY PlANNINfi & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715)373-0114 e-mail: zonina@bavfieldcountv.org Web Site: www.bavfieldcountv.orci/147 Bayfield County Courthou^g" Post Office Box 58117 East Fifth Street Washburn,WI 54891 Property Owner Information As you know BRADLEY D & JEAN E LEWIS 4847 MEADOW CROSSFNG RD SW ROCHESTER MN 55902 ^t>Ss ^10.^~^\v^ s^frpi .was contracted by you to install a private onsite wastewater treatment system on yo^fr property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Abandonment of Old System to meet all applicable code requirements: *:* Tank was pumped by: _ on at AM/PM Tank was crushed / removed and pipes disconnected by: On _^ /l z"/^C~at / !L> (AM^PM) the above-mentioned plumber contacted our office to conduct a pr^'-covei'mspection as requirWunder DSPS 383. One of the following applies: M ./ System was inspected and appears to meet all applicable code requirements. / 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/sanitaiypropertyowner-input April 2019 ~7 Department of Safety & Professional Services, Industry Services Division CountyBayfield Sanitary Permit Number (to be filled in by Co.) "") ^ c<. ^r7L^I-/' Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are subuutted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. State Transaction Number PWTS-062500114-1 Project Address (if different than mailing address)47300 Triangle Rd I. Application Information - Please Print All Information Property Owner's Name Bradley and Jean Lewis Parcel # 16776 Property Owner's Mailing Address 4847 Meadow Crossing Rd SW Property Location Govt.Lot_12_ City, State Rochester MN Zip Code 55902 II. Type of Building (cheek all that apply) B 1 or 2 Family Dwelling — Number ofBedrooms 3 a Public/Commercial — Describe Use Q State Owned - Describe Use Phone Number 5or}-y)^.-Wr]-l/4,_%, Section 27 Lot #D [ZTT 44 N R_6_^EorW" Subdivision Name Block # CSM Number 500 D City of. D Village of BTownofGrandview ffl. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if\ applicable.) A.D New System 0 Replacement System D Other Modification to Existing System (explain)0 Additional Pretreatment Unit (explain) B.D Holding Tank 0 In-Ground (conventional) a At-Grade Q Mound a Individual Site Design 0 Other Type (explain) c.Renewal Before Expiration Revision Change of Plumber Transfer to New Ownerl .ist Previous Permit Number and Date Issuedr){^4 !L ^oC-y ! iwO IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) 450 Design Soil Application Rate(gpd/sf) .67 Dispersal Area Required (sf) 672 Dispersal Area Proposed (sf) 675 System Elevation 100.8' Tank Information Capacity in Gallons New Tonics Existing Tanks Total Gallons # of Units Manufacturer "s !£1. -3'& 0 s Septic or Holding Tank 1000 1000 Rasmussen a Dosing Chamber 800 800 Rasmussen a a n a V. Responsibility Statement-1, the undersigned, as^u for inst^latiyn of the POWTS shown on the attached plans. Plumber's Name (Print) Doug Manthey NP/MPRS Number 230722 Business Phone Number 715-739-6868 Plumber's Address (Street, City, State, Zip Code) PO Box 196,Drummond Wl 54832 VI. County/Department Use Only Approved D Disapproved D Owner Given Reason for Denial Conditions ofApgroval/Reasons for Disapproyal fn^yfyt^ &6 Permit Fee /-/S)1- ^>Cr€- Date Issuedrfllb^~!ftll^ Issuing Agpt^Sij 0-^^.4 a-^{. -/^/? ^'/ JUN 2320% -4r h ". ' Ij Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size,; ; SBD-6398 (R. 03/22) BAYFIELD COUNTSCHECKLIST FOR SANITARY APPLICATONS Submitthe Following (Use Permanent Ink) (Title 15, Section 15-l-10(e)) Theck List "Origirial Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1.) Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 'Original Plot Plan (383.22(2)2. 3. & 4.a) BTross faction, Over-Head Profile of the System and Schematic of Tank from Manufacturer Q-'Pump Tank Diagram, Alarm and Pump Curve (when applicable) [T^ntingency Plan / Management Plan (383.22-3(2)(b)l.f.) 0 maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) D Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) D Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) D ATU Servicing Agreement (Recorded at Reg. of Deeds) B-fee (Make Check Payable to Bayfietd County Zoning) (383.21(2)(c)7) Comotetc Sets of Plans 0383.22(2X2.) (NQte:_Sd!iitarv,ADDiic3tiQna^ndMam^^ ro an copies) 0'Soil and Site Evaluation Report (383.22-3(2)(b)l.e.) 5-SEate Plan Review (when applicable) D Copy of Warranty/Quit Claim Deed (Optional) Sanitary Applications (Include the following Information) B'1 Application Information must include: D 23 diait Parcel ID# - fdo not use 12 digits anymore-obsolete) B^Foject Address or Road Name where driveway is/will come off of) O-^Qwners Phone Number) a"U Type of Building 0'lli Type of Permit Type of POWTS System ijji IF iu; lc li ^ ^ B^/ Dispersal / Treatment Area Information ml ,,,„,.-,„„ 'VI Tank Information 0^/11 Responsibility Statement (Plumber's Information) %vi''c ,, :'nin(j i f D *Date Stamp* Plot Plan; (To Scale or To Dimension) Signature and Plumber Information 0" Address Number and Road D Surface Elevation of Body of Water /B" North Arrow D Direction and Percent Land Slope D Contour Lines pTank and Filter Information and Location ^B^trucfcures and Driveways D Wetlands / Navigable Bodies of Water D Boring Locations D Absorption Area (Proposed and Existing) a"Prqperty Lines 0'^ench Mark (Location, Elevation and Description) B/1/Vell Locations D Component Manual Version B-te'gal Descriptions ' Turn Over > Cross-Section and Over-Head Profite of the System: B-Surface and System Elevation of Observation and Vent Pipes CHSimensions and Depths D Make, Model & Number of Chamber Units in each Cell Propert^lnformation B'flow many systems will there be on this parcel of land? ias this property been split? ^Q (Property Statement shows Property History) Fees: D Private Sewage System (Septic Tanks) $ 400.00 ^Private Sewage System (Holding Tanks) $ 400.00 D Mounds or Systems requiring Pre-Treatment $ 500.00 D Sanitary Revisions $ 25.00 D Private Sewage System Reconnection $ 50.00 and Private Interceptor D Return Inspection $ 50.00 D Maintenance Agreements f $ 30.00 lr','; |^ ^ |^ '| ^ '^ (checks made out to Reg of Deeds) i:' JUN 232025 u/forms/checklists/checklistforsanitaryapps(l0/2009);(®7/2011);(®2/2012)(®5/2/2012-dc) Proofed by: Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Mafeon Yards Way Madison, WI 53705 Phone:608-266-2112 Web: hi[E^Zdsi2s-Bd-£0£ Email: dsps@wisconsin.gov Tony Evers, Governor Dan Hereth, Secretary June 16,2025 GUST m NO.: 265824 CECE J RUDNICKI N5115 TRAILS END ST BRUCE, WI 54819 CONDITIONAL APPROVAL Identification Numbers Plan Review No.: PWTS-062500114-1 Application No.: DIS-062523622 SiteroNo.:SIT-146208 Please refer to all identification numbers in each correspondence with the Department. PLAN APPROVAL EXPIRES: 06/16/2027 MUNICIPALITY: TOWN OF GRAND VIEWBAYFffiLD COUOTY SITE: BRADLEY AND JEAN LEWIS 47300 TRIANGLE RD CABLE, WI 54821 GL 12 - S27-T44N-R6W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factors): 53 inches Maintenance Required: Effluent Filter CONDITIONALLY OEPT. OF SAFETY AND PROFESSIONAL SERVICES OF INDUSTRY JUN 2 3 2025 SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: s This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and ch. SPS 383, Wis. Adm. Code. • This system is to be located and mstalled in accordance with chs. SPS 382, 383, and 384, Wisconsin Administrative Code, except where the approved plans grant exception to these mles. ® The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber restricted service who is to be responsible for the mstallation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. ® The owner ofaPOWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). 9 A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. ® The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. OWNER RESPONSIBILITIES > ® The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for tfie POWTS described m this approval and Wis. Admin. Code § SPS 383.540). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for confonnance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constmcted and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. All pennits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely,Fee Required: $450.00 Fee Received: $450.00 Balance Due: $0.00 Refund Expected: $0.00 Heidi Eide Division of Industry Services Phone: Email: heidi.eide@wisconsin.gov 9 ^ 9i!/^ APPROVED£PT. OF SAFETY AND PROFESSIONAL SERVICESCIVfciOM OF INDUSTRY SERVCES — DISTRIBUTION COMPONENT SEE CORRESPONDENCE Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: Page Page Page Page Page Page Page Page 12 3456 7 8 Lewis Recore Bradley and Jean Lewis 4847 Meadow Crossing Rd SW Rochester MN 55902 Site Address: 47300 Triangle Rd GL 12 - S27-T44N-R6W Grandview Bayfield CSM 500 1 Block Number: 16776 Title and Index Project Description Plot Plan Cell Cross Section r' iV Laterals \'-!: •'" Pump Tank Cross Section |i ;1 System Specifications Management Plan 2 32025 Designer: Date: Signature: CeCe Rudnn 05/27/25 / /CCCEATESXY & ^~^\^f License Number: Phone Number: 1855-007 715-403-0726 >'""*wmS<*t'**'Dssigned pursuant to the In-ground Soil Absorption Component Manual for POWTS Version 2.1 May 2022-2027 , and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) Page 1 of 7 This is a recore of an existing in-ground pressure system originally installed in 1996. The system was installed as a 3 bedroom design and serves a 3 bedroom dwelling. The laterals have been blocked by roots. There is no evident biomat or failure at the rock/soil interface. And there is no other indication of other issues. Root invasion is the ONLY issue with this system. The soil test reveals there is 53" to a limiting factor. The system was approved to be <36" to the limiting factor in 1996 and was installed this way. With this recore, C33 sand will be brought in to bring the system elevation up to 100.8' so there will be 36" to the limiting factor. The recore will be to: 1) Carefully remove the topsoil and stockpile it for reuse. 2) Remove the laterals and rock and properly dispose of materials 3) Cut side of cell to make 6' wide cell. 4) Add ASTM C33 sand to 100.8' system elevation 4) Build 6' x 11 2.5' cell and pressure distribution network as shown on plans 5) Place fabric and cover material as shown on existing plans, seed and mulch. The addition of sand makes this request an individual site design. C33 sand has been proven to be an adequate treatment and dispersal media. JUN 2 3 ?0/; 1"= 40' ^~40'-0"-^j \ n ,/\/1/JSi U. A\/' if^\ Trapper Lake -90' 2 bedroom dwelling Existing 1000 septic tank Recore existing rock and pipe pressure system to 6'x 112.5' rock and pipe pressure system 2" Sch 40 PVC 1 bedroom dwellinc Existing 800 pump tank Replace pump and add pressure filter ^ fi\\ CoV.Oe^C<p<p^^ow SJ^qo PO^. l^'^" JUN 93ZO/3 ^ -Benchmark 100' Top of slab Vertical and horizontal reference •^ = Well '( Bradiey and Jean Lewis 47300 Triangle Rd Govv't Lot 12 - S27-T44N-R6W Town of Grandview Tax I D16776 Page 3 of 8 1N-GROUND PRESSURE DISPERSAL AREA Uniform Elevation Trenches with Washed Aggregate SOiL COVER 0.5" TO 2.5" WASHED AGGREGATE (min. 6.0" beneath distribution pipe - min. 2.0" over distribution pipe and covered with approved synthetic fabric) JLJL l__jL-t——l—i—^ Original Grade —--—r"—Ll__i_ \- mm. 12" T/PICAL TRENCH S01COVCT CROSS SECT! ON VI EW(typical)(No Scale) System Elevation = 100-8 ft. (typical)Provide minimum 3ft separation between trenches. TYPICAL TRENCH PLAN VIEW (No Scale) rz-~ I (Show force main, manifold, and flush valve locations on plan view.) 1.25 " 0 Schdl 40 PVC Lateral (typical) -^ Observation Pipe(typical) ^- B= 112.5 ft (typical) Required tnfiltrationArea= ^2 ft2 Proposed Total Infiltration Area = 675 y pgi. trench x J_ trenches = ^75, (typical)1 _ft -II -J .ft2 A= A.ft (typical) dUN -u>(Dm 0^ Q"n 05 DISTRIBUTION NETWORK SPECIFICATIONS , (No Scale) ,'UN ? 3 ?n% Orifice in ^ Center of Threaded Cap for Head Testing (optional) ;I Ball Valve (optional)\\ Orifices equally spaced:[check a) OR b) below] a).along bottom of lateral b) I_I along top of lateral with every th hole FLUSH VALVE DETAIL (No Scale) Valve Box Lateral Spacing S= 3 ft(insulation optional) \\ v Shield orifices for gravelless applications Lateral Length (P) = 55.25 ft Oriflces equally spaced along bottom of lateralFlush Valve -/ Assembly (typical - see detail) Last Orifice (typical)Orifice Spacing (X) =(typical) ^" _2_PVC -•> (riser pipes optional) ."0Schdl40 Manifold ,"0Schdl40 PVC Force Main (slope to pump tank for drain-back) ,^y • First Orifice (typical) facing down LATERAL INVERT ELEVATION = 101.3 (typical) Laterals to be level - Schctl 40 PVC Lateral 0 = 1.25 in (typical) Number of Orifices per Lateral = 17 Orifice Discharge Rate = .54 flpm Number of Laterals = 4 Lateral Discharge Rate = 9.18 gpm TOTAL DISCHARGE RATE = 36.72 GPM Oriflce Diameter = (typical)First Orifice (typical) OBSERVATION PIPE DETAIL (No Scale) Screw-Type orSlip Cap (loose) 4"0 PVC Pipe Top of pipe to terminate at or above finished grade (4)1/4"-1/2"X6"Slots @9B apart Anchoring Device Finished Grade (mulched & seeded) Topsoil Cover (min. 1 foot) Infiltration Surface ^rn: Check applicable box. X-(typical) First Oriflce(typical) 3D= END MANIFOLDCONNECTION ^ Manifold (riser pipe optional) Manifold (riser pipe optional) CENTER MANIFOLD CONNECTION ~u>0m 4^ 0TI 0) PAGE 5 OF 6 / PUMP TANK SPECIFICATIONS (No Scale) IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) 4"0 Vent Pipe >10 ft fromBuilding 12" Min.or2.0ft aboveEstablished Flood Elevation(typical)Approved Vent Cap Electrical must comply withCOMM 16 and NEC 300 Weathefproof -Junction Box \1/ \k- Finished Grade Extend manhole riseras necessary. Approved Locking Manhole with Warning Label Attached(typical) 4" Min. or 2.0 ft above Established Flood Elevation(typical) ^k. CAPACITIES 13.5 gal/in A B [C] D Depth (in) 41 2.0 8 12 Volume (gal) 553.5 27 108 162 *Pump Tank Liquid Level = Force Main Diameter = 63 \/ 18"Min. (typical) Approved Joints wShApproved Pipe 3 ft ontoSolid Ground (typical) Install and maintain pursuantto manufacturer's instructions. PUMP-OFF ELEVATION =86.1 INSIDE BOTTOM ELEVATION = 85-1 140Force Main Length = ___^__ft Force Main Void Volume = 22.82 gal [C] Total Dose Volume (TDV) = 108 gal/dose (5X total lateral void volume <. TDV i 0.2X design flow) + (force main drainback volume) 3" Approved Bedding Material Beneath Tank MIN. PUMP DISCHARGE RATE =37 _gpm 'UZn ft ft + Min. Supply Head = + FM Friction Loss = + Fitting Loss* = ([min. supply head x 0.3] + filter loss) = TOTAL DYNAMIC HEAD = 15.2 4.6 4.7 .5 25 _ft _ft _ft _ft PUMP TANK: Volume = 800 gal Manufacturer: _Rasmussen_ Pump Manufacturer: _GOLIIds Pump Model: _^J^L—_ (See attached pump cun/e.) Controls/Alarm Manufacturer: SJE Rhombus Controls/Alarm Model: AB Tank Alert- B Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume = 1000 ga| Manufacturers): _ Rasmussen Install approved force main filter pursuant to manufacturer's instructions, Filter Manufacturer: Sim Tech Filter Model: _A-100 ln°ground System Specifications Service Provider's Name .__^_^^^^^^^^ POWTS Regulator's Name | Bayfietd County Zoning Design Flow- Peak) Estimated Flow - Average] Septic Tank Capacityl Soil Absorption Component Size] Type ofWastewater| 450 3001000 643.50 Domestic Phone f 715-739-6868 Phone j 715-373-6138 gpd gpd gal Ft2 Dispersal System Influent Limits 11;JUN Maximum Influent Particle Size I Maximum BOD51 Maximum TSS Maximum FOG | Maximum Fecal Coliform | 1/8 "220 150 30 -10E6 n ng/L -Ww ng/L ng/L rfu/100 mL Service Frequency Septic and Pump Tank) Effluent Filterl Pump and Controls] Alarm I Pressure System] Dispersal Area] Inspect and/or service once •very 3 years Should inspect once a year and clean once every 3 years Test once every 3 years Should test monthly Laterals flushed and pressure tested Inspect in_ceeyer^2 snce every 1.5 years /ears Miscellaneous Construction and Materials Standards1. Observation pipes are slotted or perforated and materials conform to Table Corn m 84.30-1 , have watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Corn m 84.30 (6)(i), Wis. Adm.Code.3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm.Code. Lateral Turn-up Detail 6" Diameter Lawn Sprinkler Valve Box Threaded Cleanout Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Bends Same Diameter as Project: Lewis Recore Page 5 of 7 In-ground Pressure System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [In-ground Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintence 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 Comm 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 lightness 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. Bcposed 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 necessary. Pressure Distribution System No trees or shrubs should be planted on the distribution area. Plantings may be made away from the cell's perimeter, and the area shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than foot or for vegetative maintenance) on the area is not recommended since soil conpaction 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 mound be heavily mulched for protection against freezing. Influent qualityand flow into the distribution ceil may not exceed those specified on Page 5. 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 peformed 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continsencv 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 shall be immediately repaired or replaced with a component of the same or equal performance. If the distribution 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 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. Replacement in a suitable area nearby is also an option at which point a diversion valve wilt be installed between the old and new systems to allow distribution cell rotation at a schedule to be determined at the time of cell replacement. Questions on the operation or maintence of this system should be directed to your service provider or POWTS regulator listed on Page 5 of this plan. JUN Z JiU^;) Project: Lewis Recore Page 6 of 7 Wastewater 40 ~ 10 zu <§ $ QL. 1—-H—M MODELS: 10 20 30 40 50 PE31,PE41,PE51 .40, .50 60 70 80 10 CAPACITT 15 m3/h JUN 2 3W^ PE31 Total Head (feet of water) 5 10 15 20 25 GPM 52 42 29 16 0 PE41 Total Head (feet of water) 8 10 15 20 25 GPM 61 57 46 33 16 PE51 Total Head (feet of water) 10 15 20 25 30 35 GPM 67 59 50 39 26 8 PAGES 'v S /-.. Wisconsin Oepawnent of Industry, Labi-rand Human Relations Safety and Bmld.ngs Division (ATTACH TO PERMiT) Permit Holder"; Name: CST BMEIev.:: -I'*--. Insp.BM Elgv.:/yw'i' TTCiT7-D-Wlage .:Q Town oi: BM Description: -^/>'-^^ </..ifA/(^W i,/f" ^'> /-,»''iC-/ County: Sanitary Permit No.:Ay/^ State Plan ID No.: Parcel Tax No.: '? " • •••7 ,-'" TYPE Sept! c Dosing Aerstion Holding. MANUFACTURER t" /?,,-/y1 »^,. X' ...<•L W^/ i<A*s /(i/'<y ,7 ^"' &.S/i-^ CAPACITY /' oc^u TANK TO Septic Dosing Aeration Hqtdincr" P/L WELL BLDG.Vent toAir Intake ROAD NA —-RA NA Manufacturer Model Number TDH Lift Forcemain 2M6>3//-- FrictionLoss Length,,?' SystemMss± Dia. ,J '" ef Demand GPM. TDH Ft Dist. To Well >J"!2? STATION Benchmark Btdg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade pu/^P ^/i._ ^/^r^r BS ^-7 HI ,^7 FS /6^r /r7/ £1L- ^g_ ^/Y /^.M ^-HfSV. ,/^-r/ ^0^_^_ _D!MENSmNS_ SETBACK Widtt Length SYSTEM TO -TypeW; Sys-tem^3-._^_ P/L No. OfTrenches BLDG ^ ...tt_./' WELL -MT LAKE/STREAM No, Oi Pits LEACHIN6 OR UNIT Inside Dia Liquid Depth Manufacturer: Model Number: Header /Manjfold Length _ Dia Distribution Pipe(i) Length Oia.Spacing x Hole Size x Hole Spacing | Vent To Air Intake SOIL COVER Depth Over Bed /Trench Center x Pressure Systems Only Depth Over Bed/Trench Edges xx Mound Or At-Grade Systems Only xx Depth Of Topsoil xx Seeded/Sodded a Yes 0 No xx Mutched D Yes D No COMMENTS: (Inciude code discrepancies, persons present, etc.)• ^' 0/'i- JUN 2 3 2025 Plan revision required? Q Yes 0 No Use other side for additional information. SBD-6710(R 05/91) z:^_^ Date •-"y tnspectfff's Signature 1 y s?D ^ Cert No SAFETY 201 B. Washington Avenue P.O. Box 7969 Madison, WiscoBsin 53707 ©fWiseonsia June 10, 1996 20@ West First Street Route 8, Box'. .8072 Hayward VS1 54843 RASMUSSEN 6 SONS DENNIS P'O BOX 66 CABLE WI 54821 RE: PLM S96-20357 LAHTI, RAYE GL 12,27 44, 6W TOWN OF GRAND VIEW PRESSURIZED IN-GROUND SYSTEM FEE RECEIVED: COUNTY OF BAYBTELD 180.00 The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. Ml noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in. chapter ILER 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - This approval does not include plans for the general plumbing systems or sewer piping leading to the septic tank that may be required for this project. See section. ILHR 82.20, Wis. Adm. Code/ to determine if plan submittal and approval is required. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans -with the Department's staffip of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. Ml permits required by the eity, village, township or county shall be obtained prior to installation. JUN ^ ^ ^ suuA-utama. iu®«) SAFETY & 201 E. WashingtonAvenue P.O..Box 7969 Madison, Wisconsin S3707 of Wisconsin RASMUSSEN & SONS Page 2 June 10, 1996 PLAN S96-20357 Inquiries should be directed to me at the number listed below. Please refer to the plan. number 3howTi above. Sincerely, TJb.omaS L. Brauii Plan Reviewer (715) 634-3026 7:$5 - 4;30 5654R/ 2 JUN L -j A!/J .i-;^tnA,?Eh?xrR. Ttft^\.. SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State-of Wisconsin June 10, 1996 209 West First Street Route 8, Box 8072 Hayward WI 54843 RASMEJSSEN S SONS DENNIS PO BQX 66 CABLE WI 54821 RE: PLAN rJMBER . FEE RECEIWD: 80.00 G96-20137 LAKTI, RAYE TRIANGLE RD TOWN OF GRANDVIEW COUNTY OF BAYFIELD The plans and specifications for this project have been reviewed by the Section of General Plumbing for compliance with the applicable plumbing code requirements. The plans have been stamped "CONDITIONALLY APPROVED." This approval is based on Wisconsin Statutes and the Wisconsin. Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. All noted items are required to be corrected. All items .required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation is required to keep one set of plans with the department's stamp of approval at the construction site. When inspections can be made, the installer shall notify the appropriate inspector. This approval will expire two years from the approval date. If construction has not c'ommenced prior to the expiration date, new plan approval must be obtained. This approval is for the following: The building water service. The ins-ta.llation of the Sanitary Private Interceptor Main Se^Ter(s) . This approval does not include the private sewag? system. Plans for the private sewag'e. system are required to be submitted and approved before beginning construction, on this project. Inquiries should be directed to me at. the number listed below. Please refer to the plan number shown above. Since^ly, , ./ Th'omas L. Braun ' '' iU! i!- '•" l'': 3?lan Reviewer |[";! ,^.^(715} 634-3026 7:45 - 4:30 Hi JUN 2 3 W CC: KEN" PERTZBOKN . S,.y;k-.H .;. SBUA.nasdt.iwM) In accord with ILHR 83 05. Wii. Adm Code a Attach complete plans (to the county copy only) for the system, on paper not less than 81/2x11 inches in size. • See reverse side for instructions for completing this application The information you provide may be used by other government agency programs !PnvacyLaw,s. 1504(1)(m$). Safety and Buildings DivisionBureau of Building Water Systems 201 E. Washington Ave P.O. Box 7969IVIadison.WI 53707-7969 CouGty- State Sanitary Permit Number D Check il revision lo previous applicalion State Plan I.D- Number Property €>».vner. Name Property Location 1/4 1/4, S - . T -N,RX((?E(or)."W Propeay...Owfler'5NaiTing,Address-Lot Number Block Number dry;State ZipCodfi Phone Number D..-^')7. Subdivision Name or CSfV) Number II. (check one) D State Owned D Public ED 1 or 2 Family Dwelling-No. of bedrooms iD City0 Village „•B Town OF:- Nearest Road lil. BUILDING USE: W building type is pubiic. check al! that apply)Parcel Tax Number(s) 1 Q Apartment/Condo 2 D Assembly Hsl! 3 Q Campground 4 D Church/School 5 C] Hotel / Motel 6 Q Medical Facility /Nursing Home 7 D Merchandise: Sales/Repairs 8 Q Mobile Home Park .9. Q Office /Factory 10 D Outdoor Recreational Facility 11 C3 Restaurant/Bar/Dining 12 Q Service Station /Car Wash 13 Q Other: specrfy. IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B. if applicable) A) 1.g] New 2. Q replacement 3. [-] Replacement of 4. Q Reconnection of System ______ ~_ System. ___________^ J.ani<_<?nly_ ----__---.-- _TAX!stLn9 ^ystem- B) 5. D Repair of an .!E.X_l^tl19?^??[71 Q ASanitary Permit was previously issued. Permit Number Date Issued V. (Check only one) Non- Pressurized Distribution Pressurized Distribution 11 0 Seepage Bed 21 D IVIound 12 Q Seepage Trench . 2Z°g] In-Ground Pressure 13DSeepagePit UDSysiem-ln-Fill Experimental 30 D Specify Type Other 41 D Holding Tank 42 D Pit Privy 43 D Vault Privy VI. 1. Gallons Per Day 2. Absorp. Area Reg-uired (scj. ft.) 3. Absorp. Area Proposed (sq^ft.) 4. Loading Rate (Gals/cjay/sq. ft.) 5. Perc. Rate (Min./inch) 6. System Elev. Feet 7. Final Grade Elevation Feet Vil..Capacityin gallons NewTanks Existind _Tanks_ TotalGallons # ofTanks Manufacturer's Name Prefab. Concrete Site Con- rtructed Steel Fiber- glass Plastic Exper App. SepticTank or Holding Tank wn D D ,D D Lift Pump Tank /Siphon Chamber D D D D D VIII. I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Pftnt)Plumber's Signature: (No-Stamps)MP/MPRSWNO.:Business Phone Number: Plumber's Address (Street, City, State. Zip Code): ONLY, Datets?ue7 .0 Approved D Disapproved Q Owner Given Initial Adverse Determination Sanitary Permit Fee r"d"a^ G'oundwaie' Surcharge Fee) Issuing Agent Signature (No Stamps) OF FOR 5UO.S388 (H. OVIW DISTRIBUTION; Origin^ to C&ttnt^ Ofte copy To: Snfely & lEMhiiftc^ nsy^iGn, fSwner. Plumber g^ I '^ . f C ; . ^ ; ; ': ^ 9 :' ~ w ^ s i ' : ; . - " - i ;• < * ; . . . I.^ " i\ ^t > — » ^ - -M . « " , . -€ " ,- : . . ^ . - .• - - ^ - 1^ : . X - A E ^• . ^ • " " - ^M ' ^ ' ^ ' - : . I'. - ; . ' ; » — ; ' • • t . - • K .: A : ; oo o o o o o o ' ' ?^ t e n y * » < t o » o » - * . . W' ^ f ^ . W * C ! C t S * A * < » - n • I V • 0 »< v • r » y t • t» n < a . a w IS t r « * ' « - • '• i f t • r > » <» n i f t • W t 0 .. • » * • » 1 V 9 C I n < » • H f r * - » ® ® r > • P n • t ^ I t - * 0 ;- - • » p .. • « ^ .. f t I rt 0 >* ( ; 0 f t t» }- ^ : , ^ y ^ : :~ Fm ^c»rn w a" <:, . . . . C, 3 f.T : >UI A- .* ' : • - . - * ' • !. - « v . ' - ^ • • v Fr ' ^ ' ^ v ' ' " ^ • • : . •< . - : - r . '.s •^ F- 1 " ^ rs0<< ia 8 is *i la " - • < .. * • f " : - ^' •. - ^ •' A ' ' . " - . ' . . . ^; < ^ - - ' ? § • ' : ' • " • » * ' ' • • • ^ ^ ^ . " rtX 5 1 ^e-^f4 .? r I: •C Y . I ' b ) - ^ wto *> d0H) »: Y ^IM I*^ \i / - • ^ . . . . . v ' ' - ^ 7 ^ . - ; ' a & . . '. . . . A . - . ' . • . ' ; " ' ' • ^ • S . ^ ' » . ' ; ; : . . ' . ; ; •• - : • • , - ; . ; ^ • : . ; ; , ^ . - ' • a ^ ; ; : ^ ^ . •' • • ^ , ^ . ' ^ ^ ' • ^ . ^ * ; ^ • ; ' : - ^; ; ^, 1 I i s • g 1 to • " 8 I S ' § ^ i 8. ^ w i II ^ ~ ^ m Hi ^ }| s p a 4- - I . 1 . ( . - - ". *> ' ' «. . « \ - "» < ' .• ^ ' ^ ^ ^ ' • . ' • • - iI . - ^ J — A — . — . _ _ , . . . . . -^ f n F ' : ^ ' - • ' M ^ : . ^ t . . ^ •• 7 ^ - . ' . • , ' ' • . ' - ? • ' ; ^ - ^ ' " » " C ' - . ' ; " . ' • • • . ^ • ; ' " - ' - ' . ;- ' . ' • . • ' . - » . . . - * . - . . . • ^ . • » . . ^ . • - .. . h i • j - •/ • / - • ' , . : i ; i ; A - ' ' ^ . \ " * i - < - u ^ t - ^ . -£ . ^ - . - ^ ' • • - . . . . A " C ^ f ' t ' " . " - 1 •~ l ' t ^ . ^ ' ^ . ' A -; f c - A i s - k . ' ; s: : . ^ •* ' - t i . ;. r * r Wisconsin Department of industry. Labor and siuman Relations REVIEW APPLICATION Safety and Buildings Division Sureau of Building Water Systems [b Hayward O'ffice 20SW 1st Street Rt a,Box 8072 Hayward, Wl 54843Phone (715) 634-4804 Fax (715) 634-5150 La Crosse Office 2226 Rose Street LaCrosse,WI 546&3 Phone (608) 785-9334 Fax (6085 78S-9330 Madison Office 201 E. Washington Ave, P.O. Box 7969 Madison, Wl 53707Phone (608) 267-5119 Fax (608) 267-0592 Shawano Office 1340 E. Green Bay StreetSuite 300 Shawano.WI 54166Phone (715) 524-3626 Fax (715) 524-3633 Waukesha Office 401 Pilot Court, Suite C Waukesha.WI 53188 Phone (414)548-8606Fax (414)548-8614 INSTRUCTIONS: To save time, schedule your review with one of the officeslistedabovepriortosubmittal. Fill in all applicable data and submit this form together with fees and plans/information. Yoursubmittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Pleasecatlanyofthe listed offices if you need help filling out the form or have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side fOE your reference. (^ |Q| f^ Cj (\ ») j; 1. APPOINTMENT INFORMATION - if you have scheduled sn appointment, fili in the information requested below to save time: Appointment Date"r~//~-^Reviewer Name7^^__^_ Plan Identification Number JT^- 2.6.3 •^TZ- 2.If this review is a revision or extension to your existing plan identification number, provide that number here: Project Name /f^/^r /^/y7/ Project Location L.e»7~ •f— GOVLLOT /2. 1/4 _____ 1/4.5^ 7 T -9' ^ ,N.R <& X'(or)W D city D Village [3J Town Of County S&y^/s^ 3. FOR 4.FEE System Type (check one): A ! I At-Grade H [~] Holding Tank M [_] Mound N II Non-Pressurized In-Ground (Conventional) "P ; 1X1 Pressurized In-Ground 0 D Other: Building Type (check one): D i IZsl Dwelling, 1 or 2 Family P [j Public Building S [_] State-Owned Building Code Derived Daily Flow \^^/.gpd System Type 1 (incfude new and existing tanks} Up To 1,500gallonseptictank .................. S 110.00 1,501 - 2.500 gallon septic tank .................. S120.00 2,501 - 5,000 gallon septictank ....,....--,...... S160.00 5,001- 9,000 gallon septictank .................. S 200.00 S.Q01-15,000 gallon septic tank .................. S300.00 Over 15,000 gal Ion septic tank .................. SSOO.OO Up To 1.000 gallon dose chamber ............... $ 70.00 1,001 - 2,000 gallon dose chamber .. 2,001 - 4,000 gallon dose chamber 4,001 -^ 8,{ip0.-galj6»»!(|p5e chamber ............ S,0|lHS,6bo gallon dose chamber ............ Over 12.000 gallfia.d<Me':£hamber .......... . : Up To 5.000 gallon holding tank 5.001 -10,000 gallon holding tank ........... Over 10,000 gallon holding tank ............. Check H Replacing Existing System Experimental System (additional one time fee) Revisions To Approved Plan 2 ............... S 30.00 $100.00 St 20.00 S 140.00 S 160-00 S 60,00 S 100.00 S 150.00 S 300,00 S 60.00 //^ -7c' Petition For Variance Petition For Variance: Setback Site Evaluation Plumbing ..... Revision S 100.00 S 225.00 $225.00 $ 75.00 Groundwater Monitoring Groundwater Monitoring - Per Site (other than a proposed subdivision) S 60.00 [_] Site Evaluation in Lieu of Groundwater Monrtonng Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: Priority Review: Enter same amount as Subtotajr' MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total j€e:/^ 5. PARTY Telephone No, (include area code ^.extension) ( 7/T5 7Ty~3^s^ /^3i/-S7^\ Company Name /?^cyv/ i^s.^^'s.'sw ^ J^A^/ Contact Person ^^TS^y/.f No. & Street Address Or P.O. Box . /^.€>' ^S^x 64>. ^-^^ City. Town or Village, State. Zip Code r"€^.eur, ~^/ ' 'sr^S^, ' Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant toWis. Adm. Code, Chapter ILHR 2, and are subject to change annually. The information you provide may be used by other government agency programs (Privacy Law, s. 15-04 (1) (m)l. SBDW-6748 (R. 09/94) ,il)l'- OVER e§<i ,I ^\^x ^?^t-. .^^H ?^^^ \A! i^^Q^^(X 8-Iz ®3 §3»=> j TO^» r ^^I I ^^®a-0g ®0 < Hi <£ S ~ ^ s , s ID ^s^ K3i •sBf e . i ?1 ! Sf i .s f t l l 030 3024k tl j j p- ~ g fc - a Q I? I 1® ^ 5 •; * • a . •^ ^ W t y ! 0 §. 3i>IIi I \. vs0 -\8^ 1\r tl s ^I ?i n. ?\ k ^y ^. \s ^^•^^. J\^^t ^A s ^i -c .i ^^ ^^1a-*.t-^^^,^^^^^ I i>»»^/\ ' s I* -^Ih >»3T \!? -^ . ^u >»1 t ^.^. 1\^1 ');» - .T s^X^lA •+ -^<s i i c: "2 . r- - . ; p.^^L ^1i ^t ^^§•fr »I t. 1>»^ t &' /• <^^^:s^-^A5\^-1 . -f c ^ .1 4 •A 1§^A s^t^^-4 ^ iIi>>»f\s^t 1\i-A^^§t ^^5 ^€- ilIs 0 3' 1 ? E § • Is£g 0 0 i»fi s ?s w -* t h ffl tI<6 0g m sNl i? § i w's 8 ?3ad•a 3 /?. ./.&Q2 • I.D.S Boring # 3 ' Ground etev./2^ft Dspth to limiting factor -in. 4,-/.'^2/2 .'^ SOIL 4i^-^ ^7^ Pags -2- of. .?_ Boring # wjSSSSt Ground e!ev.^^V-^t. Depth to limiting factc -&fjn. Boring # rys Ground ete\»./^^t. Depth to timiting factor Boring # Ground elev. -ft. Depth to limiting factor -in. Hon'zon / ^ -y JE. Depth in. 6_L 7'/e> ^-j-S S-^5 Dominant Color Munssll 7.5 V^ 'J/Z- •T.sy/? i/4- SVM ^_ 2-S^ ^ MoWes Qu. Sz. Cont. Color 4// x:7" Texture -^L ,5- i£^ st Structure Gr. Sz. Sh. /^ ^)S^ Cs^. _0^ Consistence ^^ ^y±t ^>Tt-r ftf-fr Boundary ^w / Roots JL 2c_ 2r^ -seoffl2. Bed ,^-, <7 ^_ „$ Trench -fc . 8 ,5- -£ Remarks:- ^S " A/£> /Y^rTZ///^ fi)&/^y^ ~ <^y ^TV/SATED ^CW^/TZ^AK / ^ _^_ _^_ a-y r-23 S?-3j 5^ •7-SI^ ^ /^y< ^ ^y^_^_ z.^y/? 3/i. _/^_± ^ F//' ^-y/e'7^ 1L 1^-^ v-^s i£s^ 2.m^K zf^a 0£f f^^r- ml-^r _m^r W-/7- ^^ / TT z^_ 1^_ .s .7 .ST J^Us ^ .& . &, ^_ Remarks: Horizon _/_ •z 3 ±_ Depth in. ^-^ ^-^z 22-Sl ~8-&c Dominant Color Munsell T.S^ <^4 7.S^ 4// •^M_ %_^w^. Motties Qu. Sz. Cant Color A^ x///>/^ Texture ~^T _u_ ~j5_ ~^__ Structure Gr.Sz. Sh.Consistence Boundary Roots _GPD/fi2, Bed ,y' _z. L-S"_ / Trench ^ -^ ,& /y/^£ Remarks /?3^ ^ry/?^_~y'^ZZZ^ZZZ^ZZZ^ZZI3lZ3^2^^^^Z Remarks: SBOW-8330 (R. 08/95) .. - " • • ' .^ " I? s •^ 8 (" ^ x c? &t o t s ^m ^ ^ ^ / s ^ . < s^ a ; ^ ^ ^ ^ ~ ^ ; ^ .^ % i S § ^ t ? ^ 11 ^ IJ X Ib * - 6 y ^ ^ IU © ^^ s' ^0' D ©^ : ^\ s v ^ /\ ^c\ I .^^< ^tt ^ ^ . ^ Q t > % ^.§ 03 (B(- >®(X . c* - j- l . -4 ~s? ' tor* -Ml»ri -?tp.3!< »&« TJ t- 1a>(U0)® g 5 § gr . y s x i • I? ^ _ S t ; = E j& i ^ ^ I ' S S £? § t " 7 g ts e n " . o C i5 d ^ i ^ H ' % i ^ -0 w^ g y e o l "j g S [ g - ^ ' - 8 - 2 •a m co < S os CdCd <- n •E n ^^ s^• 2 0 ,^ VL ^ ^f t i N f d ? 'f i o t u x ^ ^ 'T ^ ^ ^ ^ ^ r ./ ' •< / - ^ : " 'v ^ \ . i ^ y ^ ^ ^ w ^ T^ R . i; ; . g ? $ s ^ ^^ . . f/ /^ • / /• ' . ^ l ./ '-A ^ ~s t . \ ^ ^ ^ ^h ^'t r ^/ . ^ &^ ^ ^ ' ^ s ^ ^ f ^ \ ^ ^ ti t ? < < ^ : u IT I i ^ J , 1 1 ^ ^ ' " j ^ t§ w ^ Si i ^ ^ r { Nt ^ p I i ' ?i ~ h (i . / i i r - ^ $ B ^ s' ^ !& ^.\ r: ^ . ^ ^^\1€ ^ ^ y ^ ^ kl ' ; . < c/ i i $ i ^KQ ^ ;1 ^ ih ' ' f ^ ;r ? Q t > ^&^&~ AX dL ^ _ ^ A _ / 'f ' y - ^ r a / ^ / / ^ . - e y ' • ( , , ' y ) ' - / ^ > " - 7 ^ / ^ A ^ .i ^ ^ u ^ t ^ ' ^ ; K s ? < i ^ s y ^ ^ r ^ g ^ t f , - i d ^ ^ ; t f i i ^ t4 f 9 U f - 9 ^ l 3 y f ^ y •X Ai( . < ^ * ^ t f ^ i ? '.i W r v . - i T . ^ v i r ^ ./ /^ . d' row C3 r~ o if f a f ^ ' ^ w . ^ / ^ v ' ' - y & s s " ^ A ' , } <J^ ^Ul '\^ '- , < \ • Wc ^ ' ^ , ( ^ U j •: ^ ^ ' ^ m . : : : , .' € • » ! • .W - » - , ^ r ^ ^ ^ f s ^ / /^ ^ y ^ - s s ^ s y <" - < ' C3 - J ? / ;; O f \^ A ^ W c a f ^ U L — „ s _: / :. - - - / ' T $y - s ^ A s y 7 / 0 ^ ^ / A / ^ ^ f » ' • ' • • I - ^ [ " - ' y - ~ ^ ~ ") a f ^ ' " ^ ^ ^ ~ ~ f ^ = ± - ^ ^^^^-^% c»c*€.nD In w « d > * = ? > e ' - v o v f _ • 9 - » " 0 w o » a . » o- i o <t r t < </ » o f n _ m & - IT ? 1C131- 0 JO|x I>11 ^\w In1^ » fo|C n li f t !! / >|n |n > !- <|0 <_ [p .y '0n Hi>.I " • " I . ' . » . ?' l s p r, •€ ? Curves Su&merslble Sffluent ^/ 'a, lOOr30r £-1 801 s ; a<S 201I 160t< aI x^['"K: -]j- 3. -5•SGPM JuoFL !SER!ES; 3885SIZE: W SOLIDSRPM: VARIES ! i ts3 i ; I 10 P^4^^c~5^~T~~<S: ;SZI I I.i j ^m S3:ZS1 •X i • I^—TH:~5THJ^JJ^—Y'^ZIXI SLZL_Li Qi. ' j Qir 20 :^l^rv :4—k—^t- ! i ' ! .1_!40 so 80 100 120 140 T60U.S.GPM f»f kSSd TECHNOU3G1ES GHOUPsaeci BUS "^Ew^cfx GMSFEET 35r 30t Q< OH:Uj <-"; 02< >Q 20 »J--1? 15 10 120h not 1001- 90j- 8Q^ 70|- 60F Y~T~-^T&x^- 3_\_- T~ZL±=±1Lsun=±=± TT~T zsfcs:JO? J. 20|- 0^ -5GPM -SFT^ XTZU"STZZL~ir\7T: T-1—-:ST1\ T~~J _:^—J——'^szn & ! \_I i /i__LT-zT -^—Ts: Ts:—J—TZ^: -3: -1i : :s^tzXjzzt^:T—l^s•-^— , ss J- IT~~ [ !- s i I :x 1-1 SERIES: 3885 :: vRPM: 3450i •-' I L.T i T,_L_1__.T—"T—j—r. J_L_T~s~T i . v •ITH. I ; I I ( i -L__ JUN / 3 ,f0/5 '0 10 20 30 40 50 60 70 . 80 90 100 110 120 U.S. GPM 10 20 30 tn3/h ® 1993 Goute Pumps. Inc. CAPACITY SPEC1RCAWNS ARE SUBJECT TO CHANGE WTTHOUT NOTICE.EBecaveJuly. 1SS3 PRINTED iN U.S.A.C38853450 ^-y-y ^w :~~~^^ [St i) W »g -o-d (MW A80N¥ •^7 ^s^w/sV » Ill» Agl •l,i,3ll » ff tyr" '& • a*^ *"t- "*' ^/^/ 7y^/ , fl/< © QSWi&.W -y^ayy . cw'sy •SASiyfS- ,^W^//AA vyf 'sr/v ^ /•ASr/V N d7 'I'^tff' <f!f /l<,t'M- "'*'• <yP C51- w;. CZL f~\:•^v', '^p^ AS5?t£77<?|> ^/^Q(7 ^7.^ /^ //^ 7. .7/<5g/ DEPARTMENT. OF (NOUSTRY, ' , LAEOR'AND . HUi4AN RLLATIONS REPORT ON SOIL BORINGS ANDPERCOLATION TESTS (115) (H63.09(1) & Chapter 145.045)^SAFETY & BUILDINGSDIVISION P.O. BOX 7969 MADISON, Wi 53707- LOCATION:'74 %SECTFON:TOlWiSH7p7Mywett&At+TY: fSM^^ea yy^s-M/ ILOTNO.:! 2. BLK. NO.:|SUBDIVISION NAME: e>/s' ^<av7'. Asy /2. COONTY7" .^•y/r [OWNER'S/BOYER'S NAMET \^/ii^. ^ As.&sc^^.rye- rMATUNG'AUDRESSF ^ J^.^^0 /^S^S ^.^^^, M// j5^B£^•/ USE.DATES OBSERVATIONS MADE LResidence NOTBEDRiVST^COMMEROAL DESCRIPTION: A^A B New D Replace PROFTLETSISCRTPTTONST 7 -&'as raTCOLATTOfTTESTS7 f- & -s& RATING; S° Site suitable for system U= Sif unsuitable for system TN^GROUND-PRESSURE:iONVENTIONAL:Dll MOUND:DuiQsau gYSTEM-nSMFTLLlHOTDTNGTANK01 LDS_RECOMMENDED SYSTEM:(oprional> c^&^w^". If Percolation Tests are NOT renuired under s.H63.09(5)(b), indicate: DESIGN RATE: A/A-If any portion of the tested area is in the Floodplain. indicate Floodplain elevation:^V-4 PROFILE DESCRIPTIONS BORINGNUMBER TomeiDEPTH IN.ELEVATION C.EPTH TO GROUNDWATER-tNCHES^ OBSER'VE~D--7-EST7mGHEST: e> - Z ^/.s/. 2. - <5" A%«< co^ /S - 2S ^^Of, yf. ZS -3o B/{ V»ZC^ ^0-J7CS, qr. J7.4/ -C. ^/-SO CS^r^_Sc_'.S»_-/S^-t CHARACTER OF SOIL WITH TH 1CKNESS;~COLOR7 TEXTURE. AMD DEPTH"TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- /7S A/o •7S f_^S^ ^0-J7CS, qr. J7.4/ .0. ^/-SO CS^^Sc_'&^^-^ge. -ieAs/. z. -j^en^ <;o4 /fr -<&^^^»^^-sS^S^-&-B-^^&6.8 \Si- \S/f/n-^S,,caja,£^'k& SA /-meef.s.-a~ B.-3 7^-72.o-<y ^s/. ¥-.as ffMf,ss'^7 Sfs ^-w«d,s, 37- ^4 /'-/ned.s, ^-fo Bf) me^.s,^£V^_72._ff^ ^-^ned^^ B.,.4-^f7./^'^0 o-/S 6/s/. /f'4,2. ^S^s/i 4f!-6f0^/s, c&£», ^e ~o^~a^/7~s^3£^^.s7f s^r- as'- v- s^ ~cs^f, c.O&f [AS '4-4 Bn cs ce^ 44^2 Sacs^ j»%? ^5 -o?-<:.sB^5B ^ ^s, B. ^*y OC&SSiZ'^S ^s/ /eases'PERCOLATION TESTS -TKTNUMBERzz p. & p.<? p. p- p- DEPTHtMCHES -i£^_SOJ^ WATER IN HOLE_A_FTE R SWELLING ^0^z~T TESTTiMEINTERVAL-M1N.^ "DROP IN WATER LEVEL-INCHES PERI OPT~~JW~ZSL / PERIOD 2_~J~ T%-JHE PERIOD 3 '3.~7%~ ^L.~7ST RAT6--MTNUTES~PER INCH-^-7- 7. Bo ^ . 30 PLOT PLAN: Show locations of percolstion tests, soil borings and the dimensions of suitable soil areas. Indicate sole or distances. Describe what are the hori zontal and vsrticai etevation refsrence points and show their location on the plot plan. Shi^tf^the surface elevation at all borings and the direction and percent of land slope.^^' ^_^'^__ „ .,^;4 v»y!t /e>£s'f®'7Q^ ay M -SW£-^SX^A^G. <s? ; Sc^tS/ /-"^-fo -' ~^. ^' <s UN 2 3 Z025 ~7^^^/y<ews ^ . ^KS. • ^ IN ;€<SMi>.ie>! , ' \ s^ <?V)0 <J <M i^ a:mv>a u•» > !\ ^^ <> . ^ t> r » . rf j s3 . -Dt)g H3 ° - S S 9. 7 4 . 5 6 ' 67 1 . 9 7 ' 3 0 - 2 . S 9 a,< n ,1<n .t t 'I Sw^s in i» » p t ^ i f l •( I , x r > t n . , ^D3} A > 0 OI ' M ? m k0 f e . • ' % ~ - ! T» ^ s^ s^ i a yi ' S ' E g? TR I A N G L E %^ V ^ J < 0 2 ; > i% ' ^ g ' . / n ? ^& ^ 'f l ^ m w ^ •^^-^-< 1^ Real Estate Bayfield County Property Listing tosicayVDate! 6/18/2025 Property Status: Created On: 3/15/2006 1:15:26 PM ffP Description Updated: 6/9/2011 Ownership Updated: 6/9/2011 Tax ID: PM: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar; Zoning: ESN: Tax Districts 1 04 021 041491 001700 16776 04-021-2-44-06-27-4 05-012-40000 021106103001 (021) TOWN OF GRAND VIEW S27 T44N R06W LOT 1 OF CSM #500 V.3 P.333 IN V. 1062 P.862 0.880 0.808 0 Yes (R-l) Residential-1 114 Updated: 3/15/2006 STATE COUNTi' TOWN OF GRAND VIEW SCHL-DRUMMOND TECHNICAL COLLEGE BRADLEY D & JEAN E LEWIS ROCHESTER MN Billing Address: Mailing Address: BRADLEY D & JEAN E LEWIS BRADLEY D & 3EAN E LEWIS4847 MEADOW CROSSING RD SW 4847 MEADOW CROSSING RDROCHESTER MN 55902 SWROCHESTER MN 55902 Site Address * indicates Private Road 47300 TRIANGLE DR Property Assessment CABLE 54821 Updated: 11/28/2007 2025 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 0.880 53,600 179,200 2-Year Comparison 2024 2025 Change Lands 53,600 53,600 0.0% Improved: 179,200 179,200 0.0% Total: 232,800 232,800 0.0% Recorded Documents B WARRANTf DEED Date Recorded: 5/27/2011 B TRANSFER ON DEATH Date Recorded: 5/24/2017 B CONVERSION Date Recorded: 3/15/2006 Updated: 6/9/2011 1062-862 649-169 Property History N/A 23W^ Private Sewage System Maintenance Agreement Owner(s) Name Bradley D Lewis & Jean E Lewis Owner(s) Mailing Address 4847 Meadow Crossing Rd SW Rochester, MN 55902 Site Address 47300 Triangle Dr Cable, Wl Tax ID # ^g^g 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 Wl Adm. Code, as from time to time amended. (COMPLETE;L:egal,is:requirei;l) ,1,4 of _1 ,4 Section 27 Township 44 ^ Range _06_W. Additional Legal Description: Town of Grand View (Acreage) 0-88 Gov'tLot. Lot _ Block____ Subdivision Lot 1 CSM # 500 vol. 3 Page 333 CSM Doc # 353098 DOCUMENT NUMBER2025R-60S252 DANIEL J. HEFFNER REGISTER OF DEEDS BAYF-IELD COUNTY. WI RECORDED 07, 1 1 ,2025 AT 1 1 :08 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: Planning and Zoning Department D In-ground gravity D Mound D In-ground dosed D At-grade Sewage System 0 In-ground pressure distribution 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 sep1jcu^inkis~servTced as pro\<ic above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components Septic Tank Effluenl£jjtei_(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 383.5^ J<y|%^/sJ(i.. 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-arade. and In-ground Pressure System Laterals (system types C, D and E): The laterais 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 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 agreement shall be binding upon and inure to the benefit of all current and future owners of such property, Owner(s) Name(s) - Please Print LrlcHjb^J^' £-6L-^^+ -J<.^" £. t_^^uil$ Subscribed and sworn to before me on this date: -y ^ "7 '^ ^ALC^/^?^ Notanzed Owner(s) - Signature(s) %^.^ Notary Public ^-Y jg-A^V- I?". A-t- ru-1-^ My Commission DARLAJbAN BUSHMAN NOTARY PUBLIC - MINNESOTA "^^^CoHimra^n^&gire^^fflT^J^'y Proofed by: Drafted by: DOU9 Manthey Date: 06/18/25 u/fonns/sanitary/septicmaintenceagreement Revised July 2020 ,/(;>'<""-l'"'i> ^_ "~^>\^'•» ,^&SS'Ai,vt^/ Department of Safety & Professional Services, Industry Services Division S5-00^i CountyBayfield Sanitary Permit Number (to be filled in by Co.) A5-7(3 Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for stateowned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. l5.04(l)(m). Stats. State Transaction Number PWTS-062500114-1 Project Address (if different than mailing address) 47300 Triangle Rd I. Application Information - Please Print AU Information Property Owner's Name Bradley and Jean Lewis Parcel#16776 Property Owner's Mailing Address 4847 Meadow Crossing Rd SW City, State Rochester MN Zip Code55902 U. Type ofBuUding (check all that apply) 13 1 or 2 Family Dwelling - Number of Bedrooms 3 D Public/Commercial - Describe Use 0 State Owned - Describe Use Phone Number •5ov)^^-Wr) Property Location Govt.Lot. _'/4,%, Section Lot # 1 T 44 N RJL Subdivision Name Block # CSM Number 500 D City of. D Village of BTownofGrandview m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other appUcable on Une A. Check one box on line B. Complete Une C if | applicable.) A.D New System 0 Replacement System D Other Modification to Existing System (explain) B.Q Holding Tank 0 In-Ground (conventional) Q At-Grade Q Mound a Individual Site Design a Other Type (explain) c.Renewal Before Expiration Revision lumber 0 Transfer to New OwnerlList Previous Permit Number and Date Issued^L\\io5 -ikl)W TV. Dispersal/Treatanent Area and Tank Information: Design Flow (gpd)450 Design Soil Application Rate(gpd/sf) .67 Dispersal Area Required (sf) 672 Dispersal Area Proposed (si) 675 System Elevation 100.8' Tank Infonnation Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer Septic or Holding Tank 1000 1000 Rasmussen Dosing Chamber 800 800 Rasmussen n V. Responsibility Statement- I, the undersigned, a^urn^ responybiUjy for ins^fiatipn of the POWTS shown on the attached plans. Plumber's Name (Print) Doug Manthey Plumber's Address (Street, City, State, Zip Code) PO Box 196, Drummond Wl 54832 Pit ;r's (Signal MP/MPRS Number 230722 Business Phone Number 715-739-6868 VI. County/Department Use Only Approved D Disapproved D Owner Given Reason for Denial Permit Fee //(%)- Date Issued 7////^5 Issui %?;v?^Ar Conditions ofApgroval/Reasons for Disapproval f^t^^t^ €t6 i?e^h,^(^k-cA^ cur^, JUN 23Z02: Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 n 11 inches in size , SBD-6398 (R. 03/22) BAYFIELD COUNPTCHECKLIST FOR SANITARY APPLICATONS Submitthe Following (Use Permanent Ink) (Title 15, Section 15-l-10(e)) :heck List "Origjrial Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1.) Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) "Original Plot Plan (383.22(2)2. 3. & 4.a) BTrossJaection, Over-Head Profile of the System and Schematic of Tank from Manufacturer Q^uinp Tank Diagram, Alarm and Pump Curve (when applicable) S'tontingency Plan / Management Plan (383.22-3(2)(b)l.f.) Q maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) D Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) D Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) a ATU Servicing Agreement (Recorded at Reg. of Deeds) B-fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) Complete Set^of Plans (383.22(2)(2.) (Note: Sanitary' Application and Maintenance Agreements are to be attached to all copies) 0'Soil and Site Evaluation Report (383.22-3(2)(b)l.e.) Plan Review (when applicable) D Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) QT. Application Information must include: D 23 diait Parcel ID# - (do not use 12 digits anymore-obsolete) 0'FFoject Address or Road Name where driveway is/will come off of) 0-(Qwners Phone Number) Bli Type of Building ETili Type of Permit B-TV Type of POWTS System ^}\ i? ^ il: !1 vl ^. B^/ Dispersal / Treatment Area Information :r;| ^^,-, r,-, 'VI Tank Information S^/II Responsibility Statement (Plumber's Information) , ^ - :.- D *Date Stamp* Plot Plan: (To Scale or To Dimension) Signature and Plumber Information 0" Address Number and Road D Surface Elevation of Body of Water /ET North Arrow D Direction and Percent Land Slope D Contour Lines P^Tank and Filter Information and Location ^B^tructures and Driveways D Wetlands / Navigable Bodies of Water D Boring Locations a Absorption Area (Proposed and Existing) ETProperty Lines 0'Bench Mark (Location, Elevation and Description) B^A/ell Locations n Component Manual Version B-tegal Descriptions 'iping Material Information (conveyance line, buiiding sewer line, material type and diameter) Turn Over ^- Cross-Section and Over-Head Profile of the System: B-Surface and System Elevation ;ition of Observation and Vent Pipes CHSimensions and Depths D Make, Model & Number of Chamber Units in each Cell Property Information S'flow many systems will there be on this parcel of land? ias this property been split? ^ (Property Statement shows Property History) Fees: D Private Sewage System (Septic Tanks) $ 400.00 J^ Private Sewage System (Holding Tanks) $ 400.00 n Mounds or Systems requiring Pre-Treatment $ 500.00 D Sanitary Revisions $ 25.00 D Private Sewage System Reconnection $ 50.00 and Private Interceptor D Return Inspection $ 50.00 D Maintenance Agreements ^ $ 30.00 ^ k ^ |? p i!^ |;:' (checks made out to Reg of Deeds) i1;' JUN 2 3 2025 u/forms/checklists/checklistforsanitaryapps(10/2009);(®7/2011);(®2/2012)(®5/2/2012-dc) Proofed by; Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 Phone:608-266-2112 Web: http://dsps.wi gov Email: dsDS/'uiwisconsin.gov Tony Evers, Governor Dan Hereth, Secretary June 16,2025 CUST D) NO.: 265824 CECE J RUDNICKI N5115 TRAILS END ST BRUCE, WI 54819 CONDITIONAL APPROVAL Identification Numbers Plan Review No.: PWTS-062500114-I Application No.: DIS-062523622 SiteroNo.:SIT-146208 Please refer to all identification numbers in each correspondence with the Department. PLAN APPROVAL EXPIRES: 06/16/2027 MUNICIPALITY: TOWN OF GRAND VIEW BAYFIELD COUNTS SITE: BRADLEY AND JEAN LEWIS 47300 TRIANGLE RD CABLE, WI 54821 GL 12 - S27-T44N-R6W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factors): 53 inches Maintenance Required: Effluent Filter CONDITIONALLY APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICESDIVISION OF INDUSTRY SERVICES v.f^.^C^bz eidehxmvn, 06/16/2025SEE CORRESPONDENCE JUN 232025 SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and ch. SPS 383, Wis. Adm. Code. • Tliis system is to be located and installed in accordance with chs. SPS 382, 383, and 384, Wisconsin Administrative Code, except where the approved plans grant exception to these rules. • The application for a sanitary permit shall be accompanied with documentation that the master plumber or master plumber restricted service who is to be responsible for the installation or modification of the POWTS, has completed approved training on the proposed POWTS technology or method or has documentation that approved training will be provided during the installation of the POWTS. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the components) utilized in the POWTS. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1). • In the event this soil absoqrtion system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely,Fee Required: $450.00 Fee Received: $450.00 Balance Due: $0.00 Refund Expected: $0.00^ Heidi Eide Division of Industry Services Phone: Email: heidi.eide@wisconsin.gov JUN 2 3 Zl!^ CONDITiONALLYAPPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICESDIVISION OF INDUSTRY SERVICES en / -^ /i eidehxmvn. 06/16/2025SEE CORRESPONDENCE PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: Legal Description: Township: County: Subdivision Name: Lot Number: Parcel I.D. Number: Plan Transaction No.: Lewis Recore Bradley and Jean Lewis 4847 Meadow Crossing Rd SW Rochester MN 55902 Site Address: 47300 Triangle Rd GL12-S27-T44N-R6W Grandview Bayfield CSM 500 1 Block Number: 16776 Page 1 Title and Index Page 2 Project Description Page 3 Plot Plan Page 4 Cell Cross Section Page 5 Laterals Page 6 Pump Tank Cross Section Page 7 System Specifications Page 8 Management Plan !^> IL:! hi 1? ir^ III! JUN 23/025 "'^"IK.,, Designer: CeCe Rudn^.90^ Date: Signature: 05/27/25 7^57CECE^^•fr\TESKY •; i 1»5S-007 : I Hf License Number: Phone Number: ^O^Z_'""f,.u,»,,,»»"Uesigned pursuant to the 1855-007 715-403-0726 In-ground Soil Absorption Component Manual for POWTS Version 2.1 May 2022-2027 , and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) Page 1 of 7 Project Description This is a recore of an existing in-ground pressure system originally installed in 1996. The system was installed as a 3 bedroom design and serves a 3 bedroom dwelling. The laterals have been blocked by roots. There is no evident biomat or failure at the rock/soil interface. And there is no other indication of other issues. Root invasion is the ONLY issue with this system. The soil test reveals there is 53" to a limiting factor. The system was approved to be <36" to the limiting factor in 1996 and was installed this way. With this recore, C33 sand will be brought in to bring the system elevation up to 100.8' so there will be 36" to the limiting factor. The recore will be to: 1) Carefully remove the topsoil and stockpile it for reuse. 2) Remove the laterals and rock and properly dispose of materials 3) Cut side of cell to make 6' wide cell. 4) Add ASTM C33 sand to 100.8' system elevation 4) Build 6' x 11 2.5' cell and pressure distribution network as shown on plans 5) Place fabric and cover material as shown on existing plans, seed and mulch. The addition of sand makes this request an individual site design. C33 sand has been proven to be an adequate treatment and dispersal media. JUN /3?0/' PLOT PLAN Trapper Lake -90' Existing 1000 septic tank 1"= 40' |<-40'-0"-^1 Recore existing rock and pipe pressure system to 6'x 112.5' rock and pipe pressure system Existing 800 pump tank Replace pump and add pressure filter\2" Sch 40 PVC ^ fi\\ te^^c< P*'PVCJ"^~o"P^.A''^" -fc-0^ |,»U JUN23? ^ -Benchmark 100' Top of slab Vertical and horizontal reference ^f = Well Bradley and Jean Lewis 47300 Triangle Rd Govv't Lot 12 - S27-T44N-R6W Town of Grandview Tax I D16776 Page 3 of 8 IN-GROUND PRESSURE DISPERSAL AREA Uniform Elevation Trenches with Washed Aggregate SOIL COVER 0.5" TO 2.5" WASHED AGGREGATE (min. 6.0 ° beneath distribution pipe - min. 2.0" over distribution pipe and covered with approved synthetic fabric) TYPICAL TRENCH PLAN VIEW (No Scale) rz-~.I L^_ TYPICAL TRENCHCROSS SECTION VIEW (No Scale) System Elevation = 100.8 ft. (typical)Provide minimum 3ft separation between trenches. (Show force main, manifold, and flush valve locations on plan view.) 1.25 " 0 Schdl40 PVC Lateral (typical) -^ Observation Pipe (typical) (typical)1 .ft ~^1 _^y_ B= 112.5 ft (typical) Required Infiltration Area = ^2 ^ Proposed Total Infiltration Area = 67£> ft2 per trench x i -J -1- A=_6_ (typical) ft trenches = 675 •!^ 2 3 /0/- -a>0m00Q-n 05 DISTRIBUTION NETWORK SPECIFICATIONS (No Scale) ,'iJN ') 3 ^}^ Orifice in ^ Center of Threaded Cap for Head Testing (optional) /IBall Valve (optional)\\ Orifices equally spaced: [check a) OR b) below] ) LI^J along bottom of lateral FLUSH VALVE DETAIL (No Scale) Valve Box (insulation optional) Lateral Spacing S= 3 ft Shield orifices for gravelless applications b) I I along top oflateral with every _ th hole 2 "(7i C^hrfl 40 PVC Force Main (slope to pump tank for drain-back) Lateral Length (P) = 55.25 ft First Orifice (typical) Laterals to be level - Schdl 40 PVC Lateral 0 = 1.25 in (typical) Number of Orifices per Lateral = 17 Flush Valve Assembly (typical - see detail) facing down LATERAL INVERT ELEVATION = (typical) 101.3 ft Last Orifice (typical) Orifices equally spaced along bottom of lateral <s^ Orifice Spacing (X) = 39(typical)in Orifice Diameter = 5/32 jn (typical) Orifice Discharge Rate = .54 gpm Number of Laterals = 4 Lateral Discharge Rate = 9.18 gpm TOTAL DISCHARGE RATE = 36.72 GPM OBSERVATION PIPE DETAIL (No Scale) Screw-Type or Slip Cap (loose) 4"0 PVC Pipe Top of pipe to terminate at or above finished grade (4)1/4"-1/2"X6"Slots @90 apart Anchoring Device Finished Grade(mulched & seeded) Topsoll Cover(min. 1 foot) Infiltration Surface First Orifice (typical) —^srrr Check applicable box. X- (typical) First Orifice (typical). :m= END MANIFOLD CONNECTION ^ Manifold (riser pipe optional) X- (typical) Manifold (riser pipe optional) (typical) -X CENTER MANIFOLD CONNECTION n>0m -^Q-n 0 PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) IMPORTANT: Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) ^/ \^ 4"0 Vent Pipe >10 ft from Building12"Min. or 2.0 ft above Established Flood Elevation(typical)ApprovedVent Cap Finished Grade Electrical must comply withCOMM16andNEC300 Weatherproof -Junction Box Extend manhole riser as necessary. , I (J |\! '/ 'J ) f]"/1; Approved Locking Manhole with Warning Label Attached(typical) 4" Min. or 2.0 ft above Established Flood Elevation(typical)^- CAPACITIES 13.5 gal/in A B [C] D Depth (in) 41 2.0 8 12 Volume (gal) 553.5 27 108 162 * Pump Tank Liquid Level = ^ Force Main Diameter = 2 \/ 18"Min. (typical) Approved Joints withApproved Pipe 3 ft onto Solid Ground(typical) * Install and maintain pursuant to manufacturer's instructions. PUMP-OFF ELEVATION =86.1 INSIDE BOTTOMELEVATION = 85-1 Force Main Length =140 ft 3" Approved Bedding Material Beneath Tank Force Main Void Volume = 2Z.82 gal [C] Total Dose Volume (TDV) = 108 gal/dose (5X total lateral void volume <. TDV < 0.2X design flow) + (force main drainback volume) MIN. PUMP DISCHARGE RATE =37 gpm ft ft + Min. Supply Head = + FM Friction Loss = + Fitting Loss* =. ([min. supply head x 0.3] + filter loss) = TOTAL DYNAMIC HEAD = 15.2 4.6 4.7 .5 25 Jt ,ft _ft _ft Volume = Manufacturer: PUMP TANK: 800 gal Rasmussen SEPTIC TANK(S): Total Volume = 1000 gal Manufacturers):Rasmussen Pump Manufacturer: Pump Model: PE51 Goulds (See attached pump curve.) Install approved force main filter pursuant to manufacturer's instructions. Controls/Alarm Manufacturer: SJE Rhombus Controls/Alarm Model: AB Tank Alert s Filter Manufacturer: Filter Model: Sim Tech A-100 Float switches containing mercury are prohibited. In-ground System Specifications ce Provider's Name 'S Regulator's Name Nor-Pines Plumbing Bayfield County Zoning Design Flow - Peak] Estimated Flow - Average] Septic Tank Capacityl Soil Absorption Component Size| Type ofWastewater| 450 300 1000 643.50 Domestic Phone | 715-739-6868 Phone ! 715-373-6138 gpd gpd gal ft2 ;j !1 !•-- !'. ' Dispersal System Influent Limits j['JUN 2: Maximum Influent Particle Size! Maximum BOD51 Maximum TSS I Maximum FOG | Maximum Fecal Coliform ] ^l78- ^2Q 150^^IOE6 n ng/L '-.i-,: ng/L Tig/L ;fu/100 mL Service Frequency Septic and Pump Tank | Effluent Filter) Pump and Controls) Alarm] Pressure System) Dispersal Area] Other! Inspect and/or service once every 3 years Should inspect once a year and clean once every 3 years Test once every 3 years Should test monthly Laterals flushed and pressure tested once every 1.5 years Inspect once every 3 years ^(.: Miscellaneous Construction and Materials Standards1. Observation pipes are slotted or perforated and materials conform to Table Comm 84.30-1 , have watertight cap, and are secured in as shown in the mound component manual.2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code.3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. Lateral Turn-up Detail Finished Grade 6" Diameter Lawn Sprinkler Valve Box Distribution Lateral mQ —Threaded Cleanout Plug or Ball Valve Long Sweep 90 or Two 45 Bends Same Diameter as Project: Lewis Recore Page 5 of 7 In-ground Pressure System Management Plan Pursuant to Comm 83.54, Wis. Adm.Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [In-ground Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintence 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 Comm 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. SeoticTank 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. Pumo 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 necessary. Pressure Distribution System No trees or shrubs should be planted on the distribution area. Plantings may be made away from the cell's perimeter, and the area shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than foot or for vegetative maintenance) on the area is not recommended since soil conpaction 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 mound be heavily mulched for protection against freezing. Influent qualityand flow into the distribution cell may not exceed those specified on Page 5. 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 peformed 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv PlanIf 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 shall be immediately repaired or replaced with a component of the same or equal performance. If the distribution 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 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. Replacement in a suitable area nearby is also an option at which point a diversion valve will be installed between the old and new systems to allow distribution cell rotation at a schedule to be determined at the time of cell replacement. Questions on the operation or maintence of this system should be directed to your service provider or POWTS regulator listed on Page 5 of this plan. .iUt^ 2 3 ZUZb Project: Lewis Recore Page 6 of 7 Goulds Water Technology Wastewater METERS FEET 10 xy2 bI OL j MODELS: |PE31,PE41,PE51 .50 10 20 30 40 50 60 70 GPM 80 PERFORMANCE RATINGS PE31 Total Head (feet of water) 5 10 15 20 25 GPM 52 42 29 16 0 PE41 10 CAPACITY 15 m3/h Total Head (feet of water) 8 10 15 20 25 GPM 61 57 46 33 16 Dl EISI 1 W ^ JUN23? Bayfi&lci C;. Zo'iing Liep PE51 Total Head (feet of water) 10 15 20 25 30 35 GPM 67 59 50 39 26 8 PAGE 3 Wisconsin Department of Industry, Labor and Human Relations Safety and Buildings Division GENERAL INFORMATION ('^&1^<. ^^. ^..^ »RIVATE SEWAGE SYSTEMINSPECTION REPORT (ATTACH TO PERMIT) Permit Hotder'sName: ^'.-/ /<•!</<; CSTBMEIev.:^/OD'Insp.BMEI^v.:7~06f D City D Village ;& Town of: 6-''—1'" J I / ^ ^ BM Description:-^' ^ ^^ County: /^•£. '-. Sanitary Permit No.:^-y/^ State Plan ID No.: .^99^ - c)u35> Parcel Tax No.: TANK INFORMATION ELEVATION DATA '^.3^ TYPE Sept! c Dosing Aeration Holding.— MANUFACTURER "/IS^^s/^"^ 5^*/<SL?/c^ CAPACITY /oo0 ^00 TANK SETBACK INFORMATION TANK TO Septic Dosing Aeration Holdi* P/L WELL BLDG.Vent toAir Intake ROAD NA iA NA PUMP / StPHGN INrORMAUOM Manufacturer Model Number TDH Lift Forcemain &o^^s ^>A53//^ FrictionLoss Length^ SystemRead [Dia.^ Demand GPM TDH Ft Dirt.ToWelpJ^? STATION Benchmark Bldg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot System Final Grade Pu/^P /^/S L^^cr^f^r' BS^HI ^6^7 FS ^^sr /j"7/ jTTf .^/ =?/-/ /0-"^< :v. /^^/ /OO.^D SOIL ABSORPTION SYSTEM DIMENSIONS SETBACKINFORMATION widtt Length SYSTEM TO Type 0^ Systemj^y. /-, P/L \^\ No. Ofjrenches BLDG ^JT WELL I^J>< -PTT DIMENSIONS LAKE/STREAM ^'"^ No. Of Pits LEACHING CHAMBER OR UNIT Inside Dia.Liquid Depth Manufacturer: Model Number: DISTRIBUTION SYSTEM Header/Manifold Length _ Dia Distribution Pipe(s) Length _ Dia. _ Spacing x Hole Size x Hole Spacing Vent To Air Intake SOIL COVER Depth Over Bed/Trench Center x Pressure Systems Only Depth Over Bed/Trench Edges xx Mound Or At-Grade Systems Only xx Depth Of Topsoil xx Seeded/Sodded a Yes a No xx Mulched D Yes D No COMMENTS: (Include code discrepancies, persons present, etc.) ^'O/^-.^S G^. -— ^['-i v.y ^ ^ JUN 2 32025 S-^yfielo i^r/;oiiing Dep '-') Plan revision required? D Yes J^No Use other side for additional information. SBD-6710(R 05/91) ^n_^ Date Inspectd^s Signature 1 /• p 0 s Cert No. SAFETY & BUILDINGS D.TVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations June 10, 1996 209 West First Street Route 8, Box'8072 Hayward Wl 54843 RASMUSSEN S SONS DENNIS PO BOX 66 CABLE TO: 54821 RE: PLAN S96-20357 LAHTI, RAYE GL 12,27 44,6W TOWN OF GRAND VIEW PRESSURIZED IN-GROUND SYSTEM FEE RECEIVED: COUNTY OF BAYFIELD 180.00 The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in. chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - This approval does not include plans for the general plumbing systems or sewer piping leading to the septic tank that may be required for this project. See section ILHR 82.20, Wis. Mm. Code, to determine if plan submittal and approval is required. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with th® Department's stamp of approval at the construction site, The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. rr\ ip if i^' !; W! \I i >£ Ul ^1 II JUN 2 320^ ?wi^1^ /..— SUUA-B82B 1R. 11V94) SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations RASMUSSEN & SONS Page 2 June 10, 1996 PLAN S96-20357 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, 9' Thomas L. Braun Plan Reviewer (715) 634-3026 7:45 - 4:30 5654R/ 2 Q ^'° i? li^ IS I! Ill JUN232U25 •^'\^iJ. !:. .SMn*.*rtf.»u r» I«A<^ SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O.Boit7&69 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations June 10, 1996 209 West First Street Route 8, Box 8072 Hayward WI 5 484 3 RASMUSSEN & SONS DENNIS PO BOX 66 CABLE WI 54821 KE: PLAN NUMBER v FEE RECEIVED: 80.00 G96-20.137 LAHTI, RAYE TRIANGLE RD TOWN OF GRANDVIEW COUNTY OF BAYFIELD The plans and specifications for this project have been reviewed by the Section of General Plumbing for compliance with the applicable plumbing code requirements. The plans have been stamped "CONDITIONALLY APPROVED." This approval is based on Wisconsin Statutes and the Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. All noted items are required to be corrected. All items required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation is required to keep one set of plans with the department's stamp of approval at the construction site. When inspections can be made, the installer shall notify the appropriate inspector. This approval will expire two years from the approval date. If construction has not commenced prior to the expiration date, new plan approval must be obtained. This approval is for the following: The building water service. The installation of the Sanitary Private Interceptor Main Sewer(s). This approval does not include the private sewage system. Plans for the private sewage system are required to be submitted and approved before beginning construction on this project. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Thomas L. ETraun Plan Reviewer (715) 634-3026 7:45 - 4:30 I1? ii'1 I'-^ ib E W!!!;1 JUN 23ZO^ CC: KEN PERTZBORN Rdyfelfl Co./.O^iPg !^P; suDA.ayynR. lo/Mi SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code • Attach complete plans (to the county copy only) for the system, on paper not less than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application The information you provide may be used by other government agency programs (Privacy Law, s. 15.04 (1) (m)]. 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Safety and Buildings DivisionBureau of Building Water Systems 201 E. Washington Ave.P.O.Box 7969" 'Madison, Wl 53707-7969 County—&^^/^ State Sanitary Permit Number D Check il revision to previous application State Plan IX»-Number .^ /' ^ .' -';!'' ';; ^> ner NameProper^Q?(vner,.N<ytTW- V&-&.. ^/t/ Property Location ^ 1/4 ' 1/4,5 /-,N,R)i<^£(or^W PropeLi^yJSwxier'sJVlstTing.Addres^- . . , .,^_ \'^ ^-?" ^O'/Cy_/-:.S /1^^". vj Lot Number/ -~/" 2 'jy / ^Block Number City; Sta.te.. — Cy^'—--'^'-'- Zip.^ode ,-''^, f^;/' Y6: -^ Phone Number<&i^nr!^!4^s0 Subdivision Name or CSM Number II:TYPE OF BUILDING: (check one) D State Owned ,, D Public 0 1 or 2 Family Dwelling - No. of bedrooms -1-/' CTCrt) a Village ,/-. ;-?/,; , , .^ ^ ;S Town OF ^-K/-'/./' -^ /''V, Nearest Road //?' '' &- ".^' ^i III. BUILDING USE: (If building type is public, check all that apply)Parcel Tax Number(s) A' /;-'. 1 Q Apartment/Condo 2 D Assembly Hall 3 D Campground 4 d Church/School 5 D Hotel/Motel 6 Q Medical Facility/Nursing Home 7 Q Merchandise: Sales /Repairs 8 d Mobile Home Park 9-.D Office / Factory 10 D Outdoor Recreational Facility 11 C] Restaurant/Bar/Dining 12 D Service Station/Car Wash 13 D Other: specify. IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. @ New S^tern^ B) 2. Q Replacement 3. Q Replacement of 4. Q Reconnection of 5. Q Repair of an ^Yit^!'l_----------^Jilp^J?nly------------J3Ax^rL9system--------T-Exist^^ A Sanitary Permit was previously issued. Permit Number Date Issued V. T/PE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution 11 D Seepage Bed 12DSeepageTrench 13DSeepagePit 14DSystem-ln-Fiil 21 D Mound In-Ground Pressure Experimental 30 d Specify Type Other 41 Q Holding Tank 42 d Pit Privy 43 D Vault Privy VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day '^"'^ t-/ 2. Absorp. Area Re.quired (sg. ft-) ^~ 3. Absorp. Area Proposed (sg^ft.) ^ ^> 2- . ~3 4. Loading Rate (G^ls/cjay/sq. ft-) y/61 5. Perc. Rate(Min./inch)6. System Elev. ^a Feet 7. Final Grade Elevation /ff^. / Feet VII. TANKINFORMATION Capacityin gallons NewTanks ExistindTanks' TotalGallons # ofTanks Manufacturer's Name Prefab. Concrete Site Con-strutted Steel Fiber- glass Plastic Exper. App. Septic Tank or Holding Tank Tff^/m"K-'. •^w-'^s.1./D D n^n_ lift Pump Tank /Siphon Chamber vt.nn/y.,.;1^^•^5/"^-^-:D D _D 0_VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation qf the onsite sewage system shown on the attached plans. Plumber's Name: (Pfint) Plumber's Signature: (No^tamps)MP/MPRSWNO.:Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/ DEPARTM ENT USTONLY <Q Approved D Disapproved D Owner Given InitialAdverse Determination Sanitary Permit Fee "ncludnG;ourldwAterSurcharge Fee) Date Issued Issuing Agent Signature (No Stamps) X^CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SUD-6398 (R. OMM)DISTRIBUTION: Original to County. One copy To: Safety & Buililin^t Oivinon. Owwner. Plumber Mtq 9?g! top. ^ ? .1 - ^ €< •^ • : en^>^I * •: ^ . ,- . 0 ' '^ • :' : . 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" . • . . : ] _- » _ A . 2 t - k - \ ,. . ^ - . ^ : — - — Wisconsin Department of Industry.Labor and ^uman Relations PRIVATE SEWAGE SYSTEM REVIEW APPLICATION Safety and Buildings Division Bureau of Building Water Systems ^ Hayward O'ftice 209 W 1st Street Rt8,Box 8072 Hayward.WI 54843 Phone (715) 634-4804Fax(715)634-S150 La Crosse Office 2226 Rose Street LaCrosse.WI 54603Phone (608) 785-9334Fax (60S) 785-9330 Madison OHice 201 E. Washington Ave. P.O.Box 7969Madison, Wl 53707 Phone (60S) 267-5119Fax (608) 267-0592 Shawano Office 1340 E- Green Bay Street Suite 300 Shawano.WI 54166 Phone (715)524-3626Fax (715) 524-3633 Waukesha Office 401 Pilot Court, Suite C Waukesha.WI 53188 Phone (414)548-8606 Fax(414)548-8614 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Yoursubmittal must be received at least one working day prior to the appointment at the off ice where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. 1. APPOINTMENT INFORMATION - If you have scheduled an appointment, fill in the information requested below to save time:0^57 Appointment DateT-//-^Reviewer NameT^^ ^.Plan Identification Number ^7^-2.^3^^- 2. PROJECT INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here: Project Name ^^//^ /^-//7/ Project Location GOVT. LOT /2_ ^r^- 1/4 1/4.S ^7 •[^ XR ^ VfoDW D City Q Village QT Town Of County B&y^/sift 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): n At-Grade D Holding Tank A H M N ^'1 0 Mound Non-Preuurized In-Ground (Conventional) Pressurized In-Ground D Other: Building Type (check one): 0 j TS^I Dwelling. 1 or 2 Family P n Public Building . S n State-Owned Buildip^ I' .' 1 Code Derived Daily Flow <'$/-^5'/ gpd II Check If Replacing Existing System System Type ' (include new and existing tanks) Up To 1,500 gallon septic tank .................. $110.00 1,501-2.500 gallon septic tank ................. S120.00 2.501-5,000galtonseptictank .................. S 160.00 5,001-9,000 gallon septictank ...........---.-. S200.00 9,001-15,000 gallon septic tank .................. $300.00 Over 15,000 gallon septic tank .................. $500.00 UpTo 1.000 gallon dose chamber ............... $ 70.00 1.001-2.000 gallon dose chamber ............... S 80.00 2,001-4,000gallon dose chamber ............... $100.00 4,001-L S.OpOgatje^iiJDse chamber ............... S 120.00 8.Q$1}-flB.?0 gallon dose chamber ............... S 140.00 Over IZ.OOO^gallga.done^bamber .............. S 160.00 . Up To 5,000'gatlon holding tank ................ S 60.00 5.001-10,000gallon holding tank ................ $100.00 Over 10,000 gallon holding tank ............... S 150.00 //6 ~7c- Experimental System (additional one time fee) Revisions To Approved Plan 2 $300.00 $ 60.00 Petition For Variance Petition For Variance: Setback .................. $ 100.00 Site Evaluation ........... $225.00 Plumbing ................. $225.00 Revision .................. $ 75.00 Groundwater Monitoring Groundwater Monitoring. Per Site .............. . $ 60.00 (other than a proposed subdivision) 1] Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: Priority Review: Enter same amount as Subtotaj MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total JF6e:/^ 5. SUBMITTING PART/ INFORMATION z: Telephone No (include area code ^extension) ( //r5 77^-3^5^ /W-S7^\ CompajnyName ^, ^ ^- //- i. /4/V<3?^ /^S^^'-<-<S-fi^/ ^7 c^^^^"/ Contact Person ^sv/y/.f No. & Street Address Or P.O. Box ^.C>- S^ G^. ^.a^^. City, Town or Village, State, Zip Code j^,^.e^ A^/ sr^-s^ ' Aerobicor prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis Adm. Code.ChapterlLHR2.and are subject to change annually The information you provide may be used by other government agency programs [Privacy Law. s. 15.04 (1) (m)|. SBDW.6748(R. 09/94) ^7n?"P JUN23/^ OVER ^'n Department of Industry, y Kyman Relations jf Safety and Buildings SOIL AND SITE EVALUATION in accordance with s. ILHR 83.09, Wis.</ff2ff Page \ 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. APPLICANT INFORMATION - Please print all information. Pereonal informatksn you provide nnay be used for secondary puiposes (Privacy Law, s. 15.04 (1) (m)). uoumy Parcel I.D. # ^s^<-/^^> /^/ Reviewed by Date Property Owner /^-y<£. /-^Z? Property Location Govt-Lot /Z 1/4 1/4.S ^^ T -^ ,N,R 4, 's^br) W Property Owner's'MaiIing Address .2SJ.3- £>c^£f/a^ rU-f-. J)r-. Lot # z Block*Subd. Name or CSM# City S>£>^10^ State Zip Code Phone Number ] ^3 ] &o^3 ] {7/S )D City D Village Town Nearest Road ±Q03 ) s-7S- V-V-^o New Construction Use: 0Residential / Number of bedrooms J> D Replacement D Public or commercial - Describe: Addition to existing building Code derived daily ftow ^5'^ gpd Recommended design loading rate _fL—bed, qpd/f? ' 7 trench. gpd/ft? Absorption area required _Z5^—bed, ft2 .^•^ .trench, ft2 ^ Maximum design loading rate _Z__bed, gpd/f? ' ^ trench, gpd/ft2 Recommended infiItraCon surface elevation(s) ^0.^,3. '' / ^0/'6C> _ft (as referred to site plan benchmark) Adcfitional design/site considerations ^'^ 7%SV<^/ 72? ^'7' <Lo^r<3^/2£ <=>^- ^/<:Z. S/^£: Parent material ^Si/^c/^^. /7^- _ Flood plain elevation, if applicable /V/-.ft S = Suitable for system U = Unsuitable for system Conventional Ds Mound Du In-Ground Pressure D u AT-Grade B's Du System in Fill 's D u Holding Tank Ds SOIL DESCRIPTION REPORT Boring # I/ Ground elev.I'QUVL Depth to limiting factor &&• in. Boring # l^iSS Ground elev.M&5< Depth to limiting factor £&_m. Horizon / -2. ^_ ±_ Depth in. o-C ^-/? 2^3 53-&& Dorrinant Color Munsell ^^M ^- 7-^W "^. £-VA^A 2^W % Mottles Qu. Sz. Cont Color //A /^ Texture sl ,5~s- vfs Structure Gr. Sz. Sh. _/^s^t_ /ws^r C^<s <r?^? r- Consistence f^-/-r JW1 ^i JUN 2 3Vfei,1 /:.' Boundary e^v/ 11 <;K/ 1.1 ) Wn Roots Im JH3: ! '!'• GPDffl2 Bed ^5~ ,7: . ¥; .^ Trench .<- •a •jr .s~ Remarks: / 2. J J"_ s 0.3 3 '3.1 y-^j 53-5t 5S-<^ 7.SYK 3/^"~T - ^ ^y/? % SYft ^ ^/A C t ^ J^W ^ st _LL_^/ne<e/.^ _^L ^rris-^ )m ^k 0^ 0 SQ rfni-r /»^ n -/ tn^-/ <$w d cvJ 4 t.t ~JL Im /^ .•£ .<. '7 '..S •^ "s- ^//b / . Remarks:^0 , LO ^CST Name (Please Print) Signature -Q^/^/S J^S^VSSS!^/ /^- Telephone No. (•7,^) 7^-J Address /{-T f &X /^ , ^/5^E, ^L5 ^y^/ Date jr-^-^ CST Number <oy_?<s PROPERTT OWNER ^), , /-^U^ • PARCEL I.D.» ^-/^, <$.^./Z. .^rt: SOIL DESCRIPTION REPORT ^^ /77^/ Pag3—z_of- <i_ Boring # :J ;: Ground elev./ol3bL Depth to limiting factor >5^ in. Boring # ys s^^%t?S^S Ground elev..^V^ft. Depth to limiting factc ^ in. Boring # -- • —.•• ^^.y^S^vi55% Ground etev. /<^^t. Depth to limiting factor Boring # Ground etev. -ft. Depth to limiting factor .in. Horizon / ^ -y ^2. _zL Depth in. ^-7 7-,^ '^-Jj s-^s Dominant Color Munsell 7.SV/? J/2- ;W/f ^ sy^ ^ 2^^ ^ MoWes Qu. Sz. Cont Color A// I: Texture ^L15 y^ ^/ Structure Gr.Sz. Sh. /^^ ^>7S^< c^. _0^ Consistence ^7t-/' _wy^ ^-/:r_ W-/7' Boundary ^^~ * f Roots JL Zc 2r^ GPD/ft2 Bed .5'' .7 jY_ .3 Trench •fc . s .5- _£ Remarks:- ^>S " ^3 /y^TTZ///^ ^€>W^!> — ^^y J'^Tt/^72SD ^cr^f^/77^fS / ^ _3_ J_ 0-5- ^•Z3^5^'U •7-s y^ -^ 7.^-y/s. 1^ ' JT//S ^ z-sy/? 34 A^ ^/y 's^^- ~7T _AL~TT ~^T //'<s^ 2/r'J^ Zf s^ 0^ /W/T- m^-fr- ^fr tYf-f-r ^.K/ ^ TT 2^ 1^ .s\^ .7 ','& .s- -^ N/fI ; Remarks: Horizon / rl ^ Depth in. 0-^ ^z 5^-^ Dominant Color Munsell 7.j-y^ -^ 7-sy/s. ^ ^^.s-y/z % 2.sv^ J/f MotUes Qu. Sz. Cont. Color^ /// J-/.e ^ Texture sl Is^^v^ Structure Or. Sz. Sh.Consistence '"• Remarks: /)-3^ ^r//?^ Boundary va fr- Roots |T.\ ii^iv r/n';'ri\L i GPD/ft2 Bed , Trench ,$• • .1^ ,T.^ ^ '^ ^_ Remarks: SBOW-8330 (R. 08/95) ^' .. / ' ' T^ A - ' / ^ 7 - ^ \ t . ^ ^ "^1'< & tl »* .^ c_~z - 1\ ~ ' -;< . c .-> - ' a ', c ^ [r ' , 7 rr . l ; 7 ^^ ^ -^ t ^ < » ^ f l ^ ^ ^ ^ f e ( ^ ^ l r ( ^ < ^ t ^ > < ^ ^ ^i T n T i Tf l l I I I ^ I •^ t l l ^ W < s ^ y * » - . ^ i * » ^ ^ •i j I 1 S^ < 4 ^ ^ ^ ^ v \ * % " ^ ti ! ^ . ^ $ ^ 'i r 6^ u' ^ 6 Ir» s' NI^M^' -c \ ^ y < A ^ ^ h < (/ 1^&! I ^ l ^ ^ ^^^ ^ ^'^^s '' ^3r/^ ANDRY RASMUSSEN & SONS, INC. -»•' •. ~- - .:'*. P18'"?.: c^.cr^e-??p^c Tanks PRESSURE SYSTEM DESIGN " '• "" ' _ ' ^Cable. W;S.'h .54821 Sellers ^211768 - Ph. 715-798-3355 For: />^£' ^.^ur/ Master Plumber ^ 3938 . ^z-./^^--a—a. - -^ , ./•'• Sizine: Residential..* 1$0 gal/day X 3 Bedrooms- ^/$"2:> 1' X **<^^ ft2 Goimnercial.... See H63 //Z'S' ^"—~ ^Loading raWs: _ !_^-... ——' - -: - - > - 6^0 min.^l.2/^.^^ • ' .. 10-30'HB^-.By a/^/ ^.,30^$ nd^^Z^-" ^ ^ • Ii5-60^m.n.a.tt ~ _ 'i -^...- 5'~>.2.' ^_ —.- --—^ Labaral lensth- ^9<^ _ Using central {or) 2nd Manifotel Bed or.Jirenstbllength- ^2's3 •"—^ ^ _-—-•'" —,^ ^ ^- Bed or^ trench^width- _5- ^ ^ ^.42. /' » :: "/ ~> 7 Lateral Dia. •z- " wA" holes every ^^ft. (See table 5) Total Discharge Rate: .5^_S_GPM/ lateral length w/ ^3 _ holes per lateral See table § /'/7 ^2^ =36.y^^/^1 . -ifcu&i^L'gize: (See table 7) ^L " tt^^dlv/ <^?(y7-S^<LM.mifol<i . @ \y i^ 'I Minimum Dose Volume; _^^_ga3.3.pns as per table U (aa?) See table U . _, li V JUN 2 32025Daily loading rate ¥£^ ^_ Gallons • ,.„,„„„,, , ,, ,„,U__ doses / day —'• ———— -~~~ ^ •.o'.'i'ci-.^ :. .^c,,!,i0 u&o' s^^^- . . ••" ' Total Dose VolmnB: /^S^S^ " Mia* dose Tol. + Drain baclc ( discharge pipe void volunie) /%?--5- + ^.2 (voidVol.«/^l:-linear ft. X ,/^-^gaVft.* / gallons} Hin. pump discharge:rate r No. of latsrals 2- X diaeharge rate/ lat./s^"' 2/ • s3y'^fiPM table 8 TOTAL DYNAMIC HiiAD: /<7' 7 VerticalJ5^_ft. Friction Loss (see,table 9) + Diatal Hd275- ft. /</<$? LJ't. X_^-SY _fri.ctLon Friction 2. /(^ ft. loss/lOQft.a ^^? aPM using TDH ~2. " discbaree- ±'/£> ft. of friction Laaa Pump Tank Size: Min. ?00 gallon or See Table ^13 in H63 Goimnercial... 2h hr. holding cap. above H.W. Alarm Float Setting: Uaina ^'W eallon pumo tank( ^•^ Gal/inch) ^. , Total D-ose Cyclevol. ,35-ST - 12,^' GaVia.-/^'/ " betveen "QN-OFf Pump Seledtion: Please see attached Pump Spec. sheet Model^ ^/^f.Mfg. ^^^ .^ ^f l ^i ^ /^ / / .^ " / /^ ' ' " !i ' ^ ^h& N?^s ^ ^ ^ ^ & ^ ^ ^ ( ^ ^ •^ ^ ^ ^ ^ ^ .' ? ! if I s. i ^ N ^ S& t . f t ^ - ^ ^ Eft ? 11 ^^(^ y ^ ^ £ ^ ' ^ ' K? '!^t^t< f\ -{ ^ ' ^ y ^ ^ ^ ( < fi^N?! ! (^ ?> ^ a ^ :^ ? Q ^ I" ^^^&' .L . V . - 1 - : / .T ^ ' - ' K ^J ^ A 2£ fv ,5 - S t ' I <^ 9 u f w y ^ 3 - /^ •/ y ^ ^ f . i r - e y ' , , r ) u y y ~ 7 ^ / ^ ^ J'. a . V i J l i ^ ^ V T J ^ ^ f W . ^ M S ^ ^ t l . f S W ^ ^ - ^ ^ W ^ W v W M J M ^ W i - W t^ i W A t u a . * * . r t k . ^ ^ n . ^ i n A l i M ^ i U ^ ^ u ; E T A W r ^ . ' - - ~ . t T - a ^ / ; - n . - . " - ; - f ; •< <^.• . w < * r ; i * . v » - . . i : ^ L f t a i - i T i •V ;'. c '^ * C'. ) 's " .c;0 c_d.z r\ 3 co r- ~ oC3 r~ o u" . Ln j - - ; •^ ^ [? u = ; Fu ' i l ut a C t y s G s / ^ - / „ s r C- y c ? j » - o / V ) ^f t w ^ 6 ' 7 / ^ - n s ^ —> r "J ^ " I ^>^d\to <j ^ = - = r ^ . ; ts W ' i ^ . ^ , u "W M » < > ' S i 5 ^ . ; , •X i * ' • ' ', ' \ • ~ ' 1 • ' ' • - > V ? ^ ' i ; ; ' j ' . ' r ^ - y e ^ ^ ^U T ^ s - ^ ^ y / / 9 A s r 2 / / ^. s . ' fn T - L rs o ] j ^ - , ' <- ^ - > . : _ ^ - r~ ~ ^ 'a < ^ s r^ ocr . ^ 'I - ' • ~ ^ ^ ^ ^ ' J s^ y - a y y y s ^ - '/ ^ s z s f t ^ s u y / ^ . r S w ^ ,1 - 0 i . } f > \£ f ^ < s o y y w ^ u . -y y v e u r y , , - g $y - a ^ A f y ? / < ? y ^ / ( ^ ^<^^<s » .^Oo u0c I rnncmn pl3»In —0 ; 0 3 E 3 0 oa ; o - i o <V t < < wo r n o - o a o Performance Curves Submersltije Pumps em METERS 30 FEET 100r a 1Uz d ? 20 10 80 x^.^^^ T~^ i ^6CH,fv%:c -5GPM -t-5FT ^_^—^^3-^7^sk ^ SERIES: 3885SIZE: }/<' SOLIDSRPM: VARIES 401-<^^^^^sz<^-<SJ_ -SK&r \ i^-T v 20 1T 40 60 80 100 120 140 160U.S.GPM Instil per manufactu^fi requirements. IGOULDS PUMPSJNCWATER TECHNOLOGIES GROUPSS'eCAWUS (CM 1CRC 3148METERS FEET Q ly 0s z a -I 0 35 30 25 20 15 10 12C 110 10C 9C 8C 7G 60 50 40 30 20 ^ 0 *^ _J____J:_:;,[ ' .1 ' I • i 1~%\ I Ift^ 1T\ I 1~XI T IT -»[_}<-5GPM ^-5J=T -1—T Xl I l .\j 1 T i.; i i r\ i i! ; ! ! \ i i . •' -(%^r?'s^ j i \ .1Ts:I "i \i.i- - I 'S— >s- i -' r 'Nt-' I -iXX: 1 I SER _RPJV T -T -- T I ^"] ES:3885WSOL1DS: 3450 I 'T I I :I I! I I !~T I LX !"\ L • ! .^' i ^T^TT/^ IS1^i I 1 I x-^ I s.x\^ ^. ^. iI I T— I t i 1~ 1_.,'_ f 10 20 30 40 50 60 70 - 80 90 100 110 120 |U/ ^in! JUN 2320Z5 U.S. GPM 10 20 30 m3'h 91993 Qoulds Pumps. Inc. CAPACrTY SPECIFICATIONS ARE SUBJECT TO CHANGE WTTHOUT NOTICE.Elective July. 1993 PRINTED IN U.S.A.C38853450 •?^- y- 7 StS^£ ^^L -^"^ lmv~w^u)IWS IM '<»(qi03 W Nog -o d SMOS CIWV N3$$ftmVS AaONV ^7 s^^yy/ wvyy^-\ uun^^wAw INII IN NWNNI t 'wwn 'AIUUWNN M •UW }vmm^ ^.oyw^? /y/7^ ^^^^•^/^/~ -yf/^/ 773M • 77%^ , ^ <S5 c^^»>>^ -wfliyy '. -yyw OGKP'/' VASLWS- ^ff&^/^ V ft •i^yy „ 7* ^M (9)('0^7g N d ro0)^s: wa-0 N0 0<D-0 -crz. c_ lT:Lnl §; (s"3 r\;' [Tu''J co .==-- ^ C£g [nnl fco r^0(M^pa> <J5 I c=>r~o u-> '<^_ A^<77<?^ '-17 f^ ny^(7 ^z^ /^/y-^7- ^/<^y DEPARTMENT OF INDUSTRY, LABOR AND .HUMAN RELATIONS REPORT ON SOIL BORINGS ANDPERCOLATION TESTS (115) (N63.09(1) & Chapter 145.045) f)^AFETY& BUILDINGSDIVISION P.O. BOX 7969 MADISON. Wl 53707 LOCATION:1^',4 V4 SECTION:^7 /T^N/R ^X<o<TOWNSfflP/MUNlCIPAUTY: A%A-»<tf> yy-firn/ ILOT N0.:| .2. |BLK7NO.:TSOBDIVISION NAME: 0^' ^dVT-. As.^- /2. COUNTY; ^y/*-. IOWNER'S/BUYER'S NAME: \^f/ti£^. ^- ^ssex^^rzFC MAILING ADDRESS^ ^ ^.^c /^^i-r ^ C^ff^e-^ ^// ^SZ^ USE.DATES OBSERVATIONS MADE [Residence NO.BEDRMS.:COMMERCIAL DESCRIPTION: A<4 S3 New D Replace PRO F I LED ESCRTPT 10 MS: y -&'QS IPERCCTLATION TESTST^- ^ -^s RATING; S= Site suitable for system U= Site unsuitable for system IN-GROUNWRESSUREF ISYSTEM-IN-FILLIHOLDING TANKICONVENTIOIMAL:^1 MOtJNDTDO I QS DU DU QUIDS [RECOMMENDED SYSTEM:(optional) <^-<a/v: If Percolation Tests are NOT required under s.H63.09(5)(b), indicate: DESIGN RATE: /VA-If any portion of the tested area is in the Floodplain, indicate Floodplain elevation:^^-4 PROFILE DESCRIPTIONS BORINGNUMBER TOTALDEPTH IN,ELEVATION DEPTH TO GROONDWATER-INCHESOBSERVE&gI ~EST. HIGHEST o - z ^/s/. a, -AS" ^»K<CO^ /.S • 2S6f9C^r, ^/: ZS-30 Bf{ \m-C£, -30-37 CS. ^r. 37-4, ^. 4/-SO CS^r. So'S^-^.S&'^ge.: CHARACTER OF SOIL WITH THICKNESS, COLOR.TEXTURE.AND DEPTHTO^BEDROCK JF OBSERVED (SEE ABBRV. ON BACK.) B. /?s ^.2^A/o 7S B, 2.&.&<y 7. so ^6 &-2 e^/, 2.-^ 0^/s,ce^ /«. -^<i. Qn r-ws. ^-s^e^S" ^9 /»-«, &ent».£2 'b» SM f-^xsd. £ B-7^-f 8.3£>'7^o-^ ^s/. ¥•' 9S ens/, a.S'^7 Sn /'-/m&^,.s/ 37- ^4 ^-rned.s, 44-£^o B/) /feed's, ^V- 72. 0^ ^-^rnsd.s.^ B-4^<97./£>^6 0-/S. 4&/S/, fg^jZ.ff/^S/n 4f-^0^/S,Ct3^, 6-tf B^s&^. ?€>s&o -»<9/s/, s- as'e^s/f xsr- A? - ^r- -s/? e.-s^^ c,o^, 3K-44 Bne.s.c.o^^ 44—S'2 A?cs, SX ^f ff^f w-c.s\ B. -ff ^ 6CC.«-'Sfo^&^ <S/ ^«mScs,PERCOLATION TESTS TESTNUMBER p- / p- & p.^ p. p. p. DEPTHINCHES 3(^ so \31y WATER IN HOLEAFTER SWELLING /s/o TEST TIME1NTERVAL-MIN.^ DROP IN WATER LEVEL-INCHES PERIOD 1~3W~7WT PERIOD 2~^ ~77a^s~ PERIOD_3 3 ,^%~ ~7^ RATE MINUTES"PER INCH~^~T /. 00 ^..30 PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suidrflle soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Shd^kthe surface elevation at all borings and the direction and percem of land slope. ^^' ..0.SYSTEM ELEVATION A W /Offf® TGft O'F £>ee^ j» ~ay£- <SbA<ws o Pem..^co.^ff/ /"^o / |S' -^ -4-.-.-'^1^ l!ir JUN 232025 T^s^wsw^ ^Ks \s^-^tN At-o iCOA.O : ' 7t>^£-^a,^/ccs^e^e> m ^ >< -^ K. , \^ <Ctto0 nM •O 0 11 52 . 55 N3 ° - ? 5 97 4 , 5 6 ' a tow0IId•o ^ -< -e7 t . 9 7 ' 0— - t - 30 2 . S 9 ' I I s ^£lr " ' "" s b :o 1 Ml w/ -T < g ) 0 ~ " " ' ~ ' ~ ~ ~ \t3 » r * > W ( f l ff ) X " t " 1 :^ n n X^ j 0 f c ' ~ . % ~ ~ ^ TA -: A S T > 2 . 8^ -> . » ? <? ' § < ^ ma oo r~ ~ . - f<u- \^ i ? L ^ 1 ^ ^ [ : ^ = = d g ^ . '' ^ T . . ^ '" ^ w ^ v L^ J ^0^^ Real Estate Bayfield County Property Listing Today's Date: 6/18/2025 Property Status: Current Created On: 3/15/2006 1:15:26 PM "fr' Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Tax Districts 1 04 021 041491 001700 16776 Updated: 6/9/2011 04-021-2-44-06-27-4 05-012-40000 021106103001 (021) TOWN OF GRAND VIEW S27 T44N R06W LOT 1 OF CSM #500 ' P.862 0.880 0.808 0 Yes 114 IV.3P.333 IN V. 1062 Updated: 3/15/2006 STATE COUNTS TOWN OF GRAND VIEW • Recorded Documents 0 WARRANTS DEED Date Recorded: 5/27/2011 SCHL-DRUMMOND TECHNICAL COLLEGE Updated: 6/9/2011 2011R-538650 1062-862 a TRANSFER ON DEATH Date Recorded: 5/24/2017 B CONVERSION Date Recorded: 3/15/2006 2017R-568481 649-169 Ownership BRADLEY D & JEAN E LEWIS Billing Address: BRADLEY D & JEAN E LEWIS Updated:6/9/2011 ROCHESTER MN Mailing Address: BRADLEY ID & JEAN E LEWIS 4847 MEADOW CROSSING RD SW 4847 MEADOW CROSSING RDROCHESTER MN 55902 swROCHESTER MN 55902 Site Address * indicates Private Road 47300 TRIANGLE DR —I Property Assessment 2025 Assessment Detail Code Gl-RESIDENTIAL 2-Year Comparison Land: Improved: Total: Property History N/A Acres 0.880 2024 53,600 179,200 232,800 CABLE 54821 Updated: 11/28/2007 Land 53,600 2025 53,600 179,200 232,800 Imp. 179,200 Change 0.0% 0.0% 0.0% JUN 2 3 ZUZ5 Private Sewage System Maintenance Agreement Owner(s) Name Brad ley D Lewis & Jean E Lewis Owner(s) Mailing Address 4847 Meadow Crossing Rd SW Rochester, MN 55902 Site Address 47300 Triangle Dr Cable, Wl Tax ID # ^g^g 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 Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) _1/4 of_1/4 Section 27 Township 44 ^. Range _0^_W. Additional Legal Description: Town of Grand View (Acreage! 0-88 Gov'tLot. Lot _ Block_ Subdivision Lot _1_ CSM # 500 vol. 3 Page 333 CSM Doc # 353098 DOCUMENT NUMBER2025R-608252 DANIEL J. HEFF-NER REGISTER OF DEEDS BAYF-IELD COUNTY. Wl RECORDED 07, 1 1 ,2025 AT 1 1 :08 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: Planning and Zoning Department D In-ground gravity D Mound D In-ground dosed 0 In-ground pressure distribution Sewage System: D At-grade Sewage System D 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 septfd^nk is^servTced as prb\i|i(] above. The switches and pump controls shall also be inspected and maintained to ensure operability of said componentsl 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 383.5^^^ft^flRJfi. 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-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. 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 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 agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) - Please Print ^r^jy^/_J\, t^&^\}\^>-{ -1-e.^ £. L^^J|'$ Subscribed and sworn to before me on this date: -7', "^ .^t,^. ^j&^Af^^r-^ Notarized Owner(s) - Signature(s)Notary Public ^^J^.^ a.o-^. t^ ^^. to-<-^ My Commission DARLAJhAN BUSHMAN NOTARY PUBUC - MINNESOTA t026Drafted by: DOU9 Manthey Date: 06/18/25 jan. 31. ^' Proofed by: u/forms/sanitary/septicmaintenceagreementRevised July 2020 BAyFIELD 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: LEWIS, BRADLEY D & JEAN E SS-00581 4847 MEADOW CROSSING RD SW ROCHESTER/ MN 55902 Transaction Number: SS-00581-2E5FF Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 5289 Paid by: A-Z Enterprises, Nor-Pines Plumbing, PO Box 196, Drummond WI54832 Payment Type: Check Transaction Date: 7/11/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit BAYFIELD COUNTS SANITARY PERMIT r#04)-25-71S STATE SANITARY PERMIT OWNER: BRADLEY D & JEAN E LEWIS GOVTLOT: LOT: 1 BLK: CSM: 500 1/4 1/4 SEC: 27, T 44 N, R 6 W TOWNSHIP: Grand View SOIL TEST: 4020 REPLACEMENT SYSTEM SYSTEM JVPE: Non-Pressurized In-Ground PLUMBER: DOUGLAS MANTHEY 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 #: 264163 LICENSE: # MP 230722 TRACY POOLER Authorized Issuing Officer DATE: 7/11/2025 Condition: Properly Maintain System Per Recorded Agreement. Insulate as required. THIS PERMIT EXPIRES 7/11,2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION