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Request 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 fl Time Change fl Discrepancy fl Other K1 ed5 C Phone Number Plumber: t' 7 `9 5 Fax Number A "" C& Ids Email Address Homeowner:! Sanitary a 5 .r'J/ Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #: Plumber's Choice jj9ept /0/1�/°Z, • No Inspection(s) during this time Date: Tuesday (9:30 am - 12:15 pm) (Tracy) Time: lumber's Choice Zo ' Dept r Township: i✓� _ ._� Address # & Road Name: or L' 9Yo30 &k'ne /DES[ , LO Directions To Site: Comments: Plumbers you must verify any change(s) by fax or email Notes from Zoning Dept u/forcnslsanitaryhequesiforinspection Zoning Dept (®4112/04); ® June 2023 a S ION�� Industry Services Division General Information Private Ons.ite Wastewater Treatment Systems ( POWTS),Inspection Report (Attach to Permit) FYI MARK A & KAREN CHILDS 453 138TH AVE N E HAM LAKE MN 55304 Timm: unumlduun— setback TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Se tic P 5 Q '% D N/A Dosing N/A Aeration N/A Holding County Sanitary ennit No: State Plan'Transaction ID#: Parcel Tax No: 2G Pump I Siphon Information ump Manufacturer Pump Model Demand Filter Manufacturer Filter Model GPM TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Widtjt Lenz # of Cells,f SETBACK FROM Pro .. Line Bui ding Wel(r\ O Type of Cell I Manufacturer: I - 11 ii If _ I Model Number: Pretreatment Unit Manufacturer. Model Number: stribution Header/ Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length Dia Spac_ Spacing ❑ Yes O No foil Cover Elevation Data X Pressure Systems Only ❑ Yes ❑ No I ❑ Yes ❑ No 3OMMENTS: (Include code discrepancies, persons present, etc.) //96hN Jy 4 rrn4 ' apace-S1�� an revision required? El Yes No 0 / /237/3 fe other side for addltlonai inform on. Date POWTS Inspector's Signature License Number :RMA71n to nar9li Al Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61$8 Fax: (715) 373-0114 e-mail: zoning(a.bavfieldcountv.org Web Site: www.bavfieldcountv.org/147 MARK A & KAREN CHILDS 453 138TH AVE N E HAM LAKE MN 55304 Bayfield County Courthous€ Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know ,Rf/I5 94"c- was contracted by you to install a private onsite wastewater treatment s stem on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: 4 • Tank was pumped by: Tank was crushed / removed and pipes disconnected by: on at AM/PM On z at /E719 ( 4M) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. flSystem 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: Ulforms/sanitarypropertyowner-Input April 2019 Department of Safety County BAYFIELD & Professional Services, Sanitary Permit Number (to be filled in by Co.) Industry Services Division - 7L S Sanitary Permit Application State Transaction Number In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit NA is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 48630 STONE ROAD L Application Information -- Please Print All Information Property Owner's Name Parcel # 04-004-2-44-09-20-1 05-002-020000 MARK A. & KAREN CHILDS IAX ID: 2204 Property Owner's Mailing Address 453 138TH AVENUE NE Govt Lot NA City, State Zip Code Phone Number HAM LAKE, MN 55304 y1 1��*7 qq 'r3 3 6 I %i '/,, Section 20 T T 44 N R 0 9 W II. Type of Building (check all that apply) Lot # or 2 Family Dwelling — Number ofBedrooms 3 2 Subdivision Name Bck# I NA Public/Commercial — DescribeUse NA O City of O State Owned — Describe Use CSM Number D Village of V588, P215 BARNES dv III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable. A. IwSystem ys X Replacement System Other Modification to Existing System Additional Pretreatment Unit (explain) (expo) B" Holding Tank X In -Ground At- Individual Site Other Type (conventional) Grade M°mod Design (explain) C. Renewal Before Revision Change of Plumber Transfer to New Owner st Previous Permit Number and Date Issued Expiration [1i NK IV. Dispersal/Treatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) I System Elevation 450 0.7 642.86 652 82.25 FT. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units 2 o 'g I. °' a New Tanks I Existing Tanks w aU m GO w(7 p. Septic or Holding Tank 1000 1000 1 WIESER x Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility f fnst$Ilation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plum is Signature MP/MPRS Number tBusiness Phone Number DENNIS A. RASMUSSEN 221516 -PM 715-580-0254 Plumber's Address (Street, City, State, Zip Code) 42625 KAVANAUGH ROAD, CABLE, WI 54821 VI. County/Department Use Only Date Issued Issu' Ag ign 7 Q /�'/ OUND droved Permit Fee p.' /% ip�/G ❑ Owner Given Reason for Denial (� _- 7 lg 5 o ditions of A proval/Reasons for Disapproval �► JUN 2 4 2025 Attach to complete plans for the system and submit to the Countyonly on paper not less than 8112 x 11 incheiii6 *C' (; U: % !-; ! r U Dept SBD-6398 (R. 03/22) PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Component Manua! Design References In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) [E i j Pg 1 of 4 Index & Cover Sheet �j JUN 2 42025 LI) Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Sermon & Pla if' ever D e L Pg4of4 Management Plan Attachments: Enclosures: Tank Specs POWTS Application for Review Fitter Specs Soil Evaluation Report & Site Map Tax Statement ***12 PAGES TOTAL*** Project Name I Description Owner Name(s): MARK A. & KAREN CHILDS Owner Address: 453 138TH AVENUE NE, HAM LAKE, MN Project Address: Govt. Lot: NA 1/4 of 1/4, Section 2=, T 44 N -R 09 E or W [ Township: BARNES County: BAYFIELD Project Parcel ID #: 04x-2-44-09-20-1 05-002-020000 7y ). 48630 STONE ROAD, BARNES, WI Phone: 6 - 3�. Zip: 55304 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: 1859-007 Remarks: Phone: 715 - 426 - 1775 Zip: 54893 1 2tPft tail;s�. ' !ft'" Signature: Date: 06-21,2025 Ojaignahire ued copy- Plot Plan PROPERTY OWNER: P4 A IJ4cwsJ G44+ i_ u_ _ is .. ._ ,.. i r.+i.i i •�- �.•: � -w s Q: zz.oy Page -A of Y 1" = 40 FT. (except where noted) II = badchoe pit 0.863 J44RCS -nIpD % 6 LAAC North $5 t " PJ\ _nj I JUN L Q LULJ o NEW F+ 3 &WW ggpgpON� $hL lww bssiS psswnFDIX4V -0 ;ite location: 1 CMD 6S►;ice) � sus 3$��eoV W'S �. IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) iiilll�ll� JUN 2 42025 min. 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 1 000 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: FT0822 12" min. trench depth typican TYPICAL TRENCH CROSS SECTION VIEW (typical) . a. , (No Scale) System Elevation = 82.25 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) u:"H a Fi:'Hm ii B= 66 ft INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 ff EISA/chamber = + 1 Pairs of end caps @6 ft2 EISA/pair = (typical) 320 ft Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacture's / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA=3.0ft (typical) 450 GAD /0.7 LR = 642.86 FT. 2"--Quick4 Standard -W Chamber 642.86/20 EISA = 32.15 UNITS OR (typical) 32 X 4 FT. = 128 FT. (mfd by Infiltrator Systems, Inc.) 2 (2) 3 FT. X 64 FT. TRENCHE$nstall pursuant to manufacturer's instructions. 6 ft2 = Proposed EISA per trench = 326 ft2 Required Infiltration Area = 642.86 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 652 ft2 branched manifold MARK & KAREN CHILDS PAGE 4 OF 4 In -ground Dosed -Gravity Management Plan IMPORTANT: The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BODS S 220 mgL 1; TSS S 150 mgL 1; FOGS 30 mgL'' Inspection Checklist ecklist INSPECT EVERY 3 YEARS o type ! l \ \[\ o age of system G11 t1 o nuisance factors (i.e. odors, user complaints, etc.) 1; 25 �._l o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)JUN 2 4 2 o material fatigue (i.e., leaks, breaks, corrosion, etc.) , , �{, 7nu Dept. o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (ire idistnbUtton / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids In the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be leaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Local government unit: DENNIS RASMUSSEN Phone: 715-580-0254 BAYFIELD COUNTY ZONING Phone: 715-373-6138 Local government unit address: WASHBURN, WI ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 8'-8" 4" CAST -A -SEAL a ¢? r 4, 4" CAST -A -SEAL N I 1 FILTER OR T11]__ _I_ OUTLET PNyd to PUMP PAD WLP1 000 TANK SPECIFICATIONS o 0. DIMENSIONS: a o WALL: 2 1/2" °' BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4" LENGTH: 8'-8" WIDTH: 7'-2" BELOW INLET: 42" LIQUID LEVEL: 36" WEIGHT: BOTTOM 6,790 LBS. CI COVER 3,195 INLET AND OUTLET: � m o a 4" CAST -A -SEAL BOOT OR EQUAL GASKET 5 INLET AND OUTLET BAFFLE AND FILTER: a cvn a o o WISCONSIN SEE DETAIL #10 W o (OTHER STATES SEE CHART) a to LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: Li�gco OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS o LOADING DESIGN: 8'-0" UNSATURATED SOIL M wirO1 TANK CAN BE USED AS: OR SIPHON o SEPTIC / HOLDING / PUMP z a0 COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) j CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE ti JUN 24 20 5 2 L REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: Ci O O Z O a w 1 � OF 1 TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 4 -in. (100 -mm) Biotube® Effluent Filters Extendable Applications tee handle Orencow 4 -inch Biotube' Effluent Afters are designed to remove sol- Vented top plate, ids from effluent leaving residential septic tanks. They can be used in standard new and existing tanks at flows of up to 1200 gpd. Biotubefilter cartridge Biotube' filter vault General Orenco 4 -inch Biotube Effluent Alters (U.S. Patents No. 4,439,323 and Biotubes 5,492,635) are used to improve the quality of effluent edting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle can be extended for easy removal of the cartridge. Standard Models FfS0444-36, FFS0444-36M,FrW0436-28,FTW0436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT[I004❑-❑'❑ Tow modulator and float switch bracket options: Blank = no options selected Flow modulation M = flow modulation plate installed plate(optional) A = float switch bracket installed I cartridge height In. (mm): 28= 28 (711), standard 36 = 36 (914). standard alter housing height, in. (mm): Vault 36 = 36 (914), standard 44 = 44 (1118), standard 4 -in. (100 -mm) filter diameter Outlet tee: Inlet holes W = filsType3034oullettee S = fits Schedule 40 owlet tee After mesh opfion: Blank = Ye-In.(3-mm)filter mesh P = 'Attn. (1.6 -mm) filter mesh Biotube• effluent filer Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems • Inc., 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com NTO-FT-FTS-1 Rev. 3.0, © 05118 Page 1 of 2 k-D..l .: Mc .svter..emn nal flow modulation plate) (on optional flow modulation plate) Ifb L L `a I� ft JUN 2 4';;. Bayfit Specifications Model FTS0444-36, F1W0444-36 FTSO436-28. FIW0436-28 B - Cartridge height, in. (mm) 36.00 (915) 28.00 (710) C - Inlet hole height,' in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. (mm) 4.00 (100) 4.00 (100) Number of inlet holes Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, In. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, In. (mm) 4.00 (100) 4.00 (100) Filter surface area,* ft2 (mT 5.1 (0.50) 3.9 (0.40) How area," it2 (ml 1.5 (0.15) 1.2 (0.12) Row Modulation Plate (Option' Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) • Inlet hole height can vary depending on the configuration of the tank Optimum hole height is 70% of the minimum liquid level. 1 fiiherarea is defined as the total surface area of a0 individual Biobrbes• within the filter cartridge. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge. Nrn-F1-Frs-1 Orenco Systems^ Inc. ,814 Airway Ave., Suthedin, 08 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com Rev. 3.0, ® 05/18 Page 2 of 2 tsayneia �.ounry, vvi 6/20/2025, 3:17:49 PM Rivers EEl Section Lines Survey Maps Existing Lakes -- Government Lot UnRecorded Map Driveways Meander Lines C Municipal Boundary Recorded Map Buildings Approximate Parcel Boundary All Roads Building Footprint 2009.2015 Private Demolished � Ay��i 1:783 I �r`�{�o a.ot a.ot 0 001 003 JUN 24 2025 BryOek Bayfleld Co. Zoning Uep' eaA,Nk Cuunly L Real Estate Bayfeld County Property Listing Property Status: Current Today's Date: 6/20/2025 Created On: 3/15/2006 1:14:47 PM Description Updated: 9/4/2013 84 Ownership Updated: 9/4/2013 Tax ID: 2204 MARK A & KAREN CHILDS HAM LAKE MN PIN: 04-004-2.44-09-20.105-002-02000 Legacy PIN: 004112804000 IIIIOQAdd MalUgg Addreu Map ID: MARK A & KAREN CHILDS MARK A & KAREN CHILDS Munidpality: (004) TOWN OF BARNES 453 138TH AVE N E 453 138TH AVE N E SIR: S20 T44N R09W HAM LAKE MN 55304 HAM LAKE MN 55304 Description: PAR IN LOT 2 IN V.588 P.215 723H5 Recorded Acres: 0.900 P Site Address * Indicates Private Road Calculated Acres: Lottery Claims: 0.863 0 48630 STONE RD * BARNES 54873 First Dollar: Yes r, Zoning: (R-1) Residential -1 Proper Assessment Updated: 10/4/2016 Dl ` �1� c ESN: 104 202S Assessment Detail r Code Acres Land Imp. JUN 24 2025 Tax Districts Updated: 3/15/2006 Gi-RESIDENTIAL 0.900 183,500 67,200 1 STATE 2 -Year Comparison 2024 2025 Change 04 004 COUNTY TOWN OF BARNES Land: 183,500 183,500 0.0% 041491 SCHL-DRUMMOND Improved: Total: 67,200 67,200 0.0% 250,700 250,700 0.0% 001700 TECHNICAL COLLEGE ; Recorded Documents Updated: 3/15/2006 s 9 ® CONVERSION Property History Date Recorded: 280-153;436-250+;588.215 N/A Private Sewage System Maintenance Agreement Owner(s) Name Owner(s) Mailing Address Tl-Q&k W�� PI AJ T� Ta Site Address `f oo O Tax ID # 2 2 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 Bayfleld County Planning and Zoning Department The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established In the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) 114 of 1/4 Section2..P Township44 N. Range 1 W. DOCUMENT NUMBER 2025R-608302 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 07/15/2025 AT 9:48 AM RECORDING FEE: $30.00 PAGES: 2 V. Recording Area Additional Legal Description: P4Q JAI LAV 2 i r l S5 Q LI.< 723 Town of 'b 1V 6S Return To: (Acreage) D,, aO Gov't Lot Planning and Zoning Department Lot Block______ Subdivision Lot CSM # Vol. Page CSM Doc # In -ground gravity ❑ In -ground dosed O In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is pending on the ground surface. Mounds. At -grade. and In -ground Pressure System Laterals (system types C. D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such pert. C E O Owner(s) Name(s) — Please Print fAt 2C44 (Lb≤ Subscribed and sworn to before me on this date: _[J JUL 1- ot, 1O15 <artfi_ehrfd≤ .�u! Bayfield Co. Notarized Owners) — Signature(s) 6 Notary Public J41L (1uiO4' y Commission Expires: 62025 Zoning Dept Drafted by: 1 1 �- C { L1;?5 Date: _ 7/ 2 / '2 6Z5 *iti�aar r SAMUEL IG0R IRETY GOUCI40LA Notary Public Proofed by: Minnesota 13Nll.1UdbUdl.db.11hUlliI1I1h My Commission Expiv *rm nitary/septicmaintenceagreement .�� Jan 31, 2029 Revised July 2020 v5RRP215 DOCUMENT NO. WARRANTY DEED j Tilts s'ACS "mot""`° Fos woeofDtwe DATA STATE BAR OF WISCONSIN FORM 8-1982 I • 0 . __�. __vol.DF PAGE4A/.L__ .....P�i•p� �; � .E...It9,� s-�..r....pxeseat;.y...knobta..as._»............. .................._Patric..E_..L ynch.................«.._............._............... REGISTER OF DEEDS conveys and -warrants •to ..Idsr:L A...--�a3.Kai .r3 lC "M....., '93 JUL 27 Alf 33 «•huaband••a.d•t+r3c ... as•-e-i;_�ws:_C-ra43-a?�`.�-•-....--•- REGISTER'S OFFICE/S.S. ................._.---.......««..»._.......«.........--.......--........»-----...................... .......................»................._................................ .._....................«......... BAYFIELD COUNTY, ...............».....»...._....»....«.................. ........»....«..»___«.....«....... 1„ -1 /o,.t7A ..................«............._......................usr�r-•----................_....«., the following described real estate in ....«..::_............».. «............0......Coun tyState of Wisconsin: Tax Parcel No: A parcel of land located in governiaent Lot Tiro (2) , Suction TeFrnty (20) , Township Forty- four (44) >ko� rli, Range Hine (9) :Tart, sore particularly &•tacribed as follows: Commencing at an iron pipe, which Starks to intersection of the Tit line of Government Lot Two (2) , Section 20, T.4411. , R.9t1., end the South shore of IS; ddle Lau Claire Lake, which is also the point of beginning; 4 ng; thence 5.6° 03' ri. along the East line of said Government Lot Two (2) , 250.0 feet to an iron pipe; thence 5.03°57'U., 83.0 feet to an iron pipe; thence iP.66°16'lP. ,40.42 feet to an iron pipet thsnco 72.6°06'9., 360.0 foot to an iron pips located on the South shore of Middle Eau Clrirs Lake; hence Southea3terly along the shore of Middle llau Claire Lake to the hioint of beginning. FEE l Elci=a PT LIII . JUL '1 6 2025 -. RENTAL WEATHERIZATION YEs o eso •EXEMPTM s BayfleId Co. Zoning Dept. This ---is......-----... «.—. homestead property. (Is) (is not) Exception to warrantica: easatterts, reservations, and iestrictiona of record. Datedthis .....................................day of _, .. ............................ j � C ..---...».--....................--.-»....»-.----.-------.....(SEAL) P...... »........ ...« ) _..........................._«...----....._.—.-»--.-.._---- . Patricia n..._.• .....................«..........._..............._..........»_. (SEAL) ._..................».......................* ...... (SEAL) •...............................----•-•......._................... • ............................_ ........»................... AUTHENTICATION ACKNO_WLE QMENT STATE OF fPi§C�•O S>:N o as. ........der of .............._.....».. 19...--. Personally came baton me this ». 2',tdaY of authenticated this Y -� ....... _.1 ...... }}rr ►.....................«, 19..9.L. the above natnet) TITLE: MEMBER STATE BAR OF WISCONSIN ......._... If not, b..>~. . . f full " authorised by § 996.08, Wis.•Stata:).�—...«.....w... to =6 a 1�ZJE Lf�Ikd98Q50 0 ted the orecp! f LOSANGEL,E8� u THIS INSTRUMENT WAS CRAFTED OY urco se�sawElju%tQt}01 Lein Law Offices _ j:...± _ �..otary Public...... (Signatures may be authenticated or acknowledged. Both My Ccmnussion— is permanent. (If riot, state expiration are riot necessary.) date: .......')11..+..»......._......_ .., 'Name of peno°s s[antn[ Is anl► copaclty sboela be aTad or printut blow thctr sla°aturas. WIl4RANrr nSSn STATH DAR OY WISCONSIN Yrlsconiln Lepsl @link Co. Ilu tnPat fo, a-- t••T' ktihattekoc.SMa,el°tht u) JUN 2 4 2025 L1 P . t .y rs�t `rte__- of /��! . gcorisrflD�S0f Ifr r.•L'•. Lu '''!t Det.,l a SOIL. -- ��trs EVACUATION REPORT ' in accordance with SPS 385, Ws. Adm_ Code c° 1Y Attach complete site plan on paper not less than 8112 x 11 inches in size. Planrat include, Parcel I.D. bid not limited to vertical and horizontal reference point(BM), d'nectian and percent ,j„ i +Z�.+O scale or dimensions, north arrow, and location and distance to nearest road. Date Please print all information. /'3 I ?3)3 personal information you provide may be used for smeary purposes (Privacy Law, S. 15. (1Xm)}. Ti property Location Property Owner Cat .tt % % S 20 PK a K R ! Property Owner's Mailing Address Site Address or CSM and Lot t 53 (3S' /g43o 9rO 3 ?oAP, El City► ❑ Village as Town City, State, Zip Phone Number Tqq N R v I S4e0 W GP, us L.OT 2 Nearest Road NewConstructian ll+mberoibedroorrrs Code derived designflowrate_ GPD 4�Reptacement 0 Public or commer ;ial — Describe: Flood Plan elevation it applica1 e A !i#. Parent material 30 1=7 GK IZA6- 5, • General moments and ions: i l4W, W L1- OBodag ,Pit Ground surface elev..--/& Depth to uniting factor -10-1n. i devilt1 fL Salt Aonlic ation Rate Horizon Depth In. Dominant Color Munsel Redox Description Qu. Az Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDI TfI# E11#2 15vL2* ________ 51 O r 4 •, to Z. L'.z.7 T. if s -" 51 2 A� 1.0 3 A7 -3R 7.6 - s d 1 W -co D i 14 LI 5t -so 7.s � 4 — m 1 a- Ground swiace elev- —IffL Depth to limiting factor _it.! elev 111 t . 7 ,f7f. Snil Ann tine Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az Cant Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 'Eff#f ''Ef 2 4-L Z 516 ---- S1 MK 6. V.& Lb A 6-u 1..5W3/. + '�m.csIa5 w i. V . o U' ". 7 F — s al ,�. _ __ f(/cfDf1_______________ CST Name (Please Print) Sig MARY JO HUPPERT (Houisters Sol Testing & De Address Date Ev 25720 Firefly Lane, Webster, WI 54893 fir+ CST Number 0489 090 2 -SP Telephone Number .5 E#iiuenl #1= DOD > 30:5 220 mg►L and TSS > 30 5150 mglL ` Efiluent#2 = BOD, s 30 mglL and TSS 5 30mglL M14A• � yam, Q s °' _.__of 14 Ground surface a e1ew. 8 .ft. Depth to uniting factor g,._im ! e3evX ft. 7.584;• Soil Ammon Rate Dominant Color Mural Redox Description Au. Az. Cont. Color Texture Structure Gr. Sz. Sfi. Consistence E RootsGPD/Ft2 Horizon Depth In. 'EW 'Ef_2 — r — s is S s% ' all di Vim- l� — b �o Wf..co -- e.lo /.0 Z 3 ,, .J4 ,53 534j z `� 6 L.7 o.? o.z ,i 1. P 14 JBori# O Boring [] Pit Ground surface elev. ft. Depth to smiting factor in. / slew. ft. Snit Annkation Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Stu. Consistence Boundary Roots GPD1Ft2 'Eft D ❑ Bo Q Pit Ground surface elev #t. Depth to ring factor in. I elev. IL I Soil Annkraiinn Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Cord. Color Texture Structure Gr. St. Sh. Consistence Boundary Roots GPDJFtz •E 'Eff#2 •Effiuent#1800> 30 220 mg1L and TSS > 30:9150 mgll ' Ef errt 02 = BOD. s 30 mg/L and TSS s 30 mg/L i, (t' i ;P . JUN 1 4 t¶:_, oyek (, _tLlltg 'le ti ai � r Plot Plan PROPERTY OWNER: &AWA.�K&VjW UIDs I M1'j .-- - - L'j Site location: P.$Swtabi't*W' I El OR a Page 1"=4OFT. (exceptwher+e noted) E[= badthoe pit 061(0 3 C5 !n J1i JUN 24 ?01s i3ayfiCk1 �_,ci ormg D pi I .d'""� 3 -00 b Department of Safety fr s & Professional Services, "\ 4 Industry Services Division Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Ada. 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 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. 15.04(1 Xm), Stats. 453 138TH AVENUE NE City, State HAM LAKE, MN BAYFIELD itary Permit Number (to be filled in by Co.) as -76S e Transaction Number NA 48630 STONE ROAD Parcel # 04-004-2-0409-20-1 05-002-020000 Govt Lot NA Phone Number 4715 ,7�1q 3383 ,, section 20 AA no ..................6 ,-........... ...o. -rrvr 1 _-," 2 s rz n 1' -- w Subdivision Name or 2 Family Dwelling- Number ofBedrooms e k# NA Public/Commercial - Describe Use NA ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of V588, P215 ..3I BARNES M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i s liable. A. I*w System S X Replacement System y Other Modification to Existing System Additional Pretreatment Unit (explain) (explain) B' Holding Tank X In -Ground At- olmd Individual Site Other Type (conventional) Grade M Design I (explain) C. Renewal Before I Revision I Change of Plumber I Transfer to New Owner ist Previous Permit Number and Date Issued Expiration NK IV. Dis ersal/Treatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (all I Dispersal Area Proposed (sf) I System Elevation 450 0.7 642.86 j 82.25 FT. 652 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units a F °o 's u y o m m rZ ce:'. V New Tanks I Existing Tanks i v a Septic or Holding Tank 1000 1000 1 WIESER X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility f installation of the POINTS shown on the attached plans. Plumber's Name (Print) I Plum is Signature MP/MPRS Number I Business Phone Number DENNIS A. RASMUSSEN 221516 -PM 715-580-0254 Plumber's Address (Street, City, State, Zip Code) 42625 KAVANAUGH ROAD, CABLE, WI 54821 VL County/Department Use Only Issued Issu Ag i 7 OUND Lp q$roved gemdl Fee (rl�- El'g Wofflitions �*W j ❑Owner Given Reason for Denial — s q ~��/3 of A proval/Reasons for Disapproval (jrq JUN 2 4 2025 LI —Luau w comp,nc ptaas me me system aim suomn to Inc county only on paper not less Nan 8 1/2 x Il inchetld?aelcl (,0. LOning uept SBD-6398 (R 03/22) • /�~� JUN 2 41025 J y 6O07 Page v _ of Safety & Professional Services _,sonoi� ///��� Soil TESL' U"li I_ fi !s - SOIL EVACUATION REPORT — In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan mast indude, Parcel l -D - but not limited to vertical and horizontal reference point (BM). direction and percent slope, A 1 : ZZOR scale or dimensions, north arrow, and location and distance to nearest road. }f Date Please print ail information. /%?32'31 Personal information you Provide purposes be used for secondary PuPs (Privacy Law, s- 15_t34(1)(m)). '4 Property Owner Property Location 14AP4c A. 4 kppCC..tt (t LD.5 Gov '/� '/4 S 20 T4q N R E(� � Property Owner's Mailing Address Site Address or CSM and Lot #: L07 Z 1i p?.�ry X53 (g4# u� 1� Sj 3o 5t'o-M Rte. Sii*j &5. PhNumber 0 City ❑ village 1 Town Nearest Road City, State, Zip one - --. �., .. `.� f0JVG ❑ New Cordon Use: ' 1 Number of bedrooms 3 Code derived designflow rate GPO A�acernent 0 Public or commercial —Describe:_________________ Describe: Flood Plan elevation if applicable 'J ( - Parent material 9At( i)At 027 LK , 8Z.Z5 General comments and mss: �i fl W 31116�+F'a�u1 0 S'd '� # it Ground surface elev.„ ft. Depth to limiting factor= in. / elev-74.1 0. I Snit Anelication Rate Horizon Depth M. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots -Z. GPD/F12 *Eff81 `Eff82 ,i ___ ____ c; �i1 -• 51 7tF Ls 1.o 3 '7-3R .6 i 'r s e Al W _co 7 1.G'I 'MtO 7.6YP"j'I _________ __ ml _____ ___ .7 /4 _oh' � G� s a 0 o Ground surface elev �s. t Depth to limiting factor m.1 elev.. .71 it. I7f1• I Scut Annttion Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Cont- Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ftz Effp1 'E 0.90 15,4% -- 61 s 0J, 1.6 b•1t 1.5'v3f.. -. I t ds y 'fy7o 7.F4 5 d1 _ .. CST Name (Please Print)I_Sgnatqfdj_- CST Number MARY JO HUPPERT (Hamsters Sod Testing & 4t 048900002 -SP Address Date Ev tided Telephone Number 25720 Firefly Lane. Webster. Wl 54893 O1.— It. ZOZ6715.425-1775 -W Effuent #1 = BOO' 30 5 220 mgiL and TSS > 30 s 150 mg/L ' Effluent #2 = 6OD, s 30 mg/L and TSS s 30 mg/i- SBD-S330 (R03/22) Ms4'QA. #iR�i auw _aof! Ground surface ele++., 6.ft. Depth to limiting factor in. I etev*IO_tt. 7.5$44• Soil Application Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Mi1 Eff#2 s a4 W( Is eD 04 a eD wf-c0 - D .7 Q.? o.? /.{o !. L !.6 Z 3 �{ 14L ,53 3'3qj X5 6 rK - .. 1 s S goj sWi cSs o11 41 c0 --- /a6s/rtQ5 _________________ OBoring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Sniff Ammon Rate Horizon Depth In. Dominant Color Munselt Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 Eff*1 'Eff#2 IBoring #t ❑fig ❑ Pit Ground surface elev. ft. Depth to m u ring fader in. / elev. ft. I Soil Ana&icatinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont.. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 "Eff*1 'Eff#2 ' Effluent *1 = BOD > 30 5 220 mglL and TSS > 30:9 180 mglL • Eft *2 = BOD. 5 30 mg/L and TSS s 30 mglL [iIi) [::.iH JUN BateI Plot Plan Pageof PROPERTY OWNS A. RYAS ! 4UZ5 i � ::.lid ! �� ► � :.� _ �, M$4J Site location: PPS v i V 91v r" 1"== 4OFT. (except where noted) E[ = badthoe pit 0,q3 ,4c.RC5 [ti JUN 2 4 ?020 PAGE 1 OF•4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet ft JUN 2 4 2025 Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan"\fl 7oning Dept. Pg 4 of 4 Management Plan Attachments: Enclosures: Tank Specs POWTS Application for Review Fitter Specs Soil Evaluation Report & Site Map Tax Statement ***12 PAGES TOTAL*** Project Name I Description Owner Name(s): MARK A. & KAREN CHILDS Owner Address: Project Address: Govt. Lot: NA Township: 453 138TH AVENUE NE, HAM LAKE, M 48630 STONE ROAD, BARNES, WI 1/4 of BARNES Phone: 5' -7 yy - ' N Zip: 55304 1/4, Section 20 , T 44 N -R 09 E County: BAYFIELD Project Parcel ID #: 04-004-2-44-09-20-1 05-002-020000 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: 1859-007 Remarks: or W Phone: 715 - 426 - 1775 Signature: lnature• Date: 0tf-21,2025 o^gu�a ions 'eai cwy. Plot Plan O PROPERTY OWNER: P (RSA. fl 4RE,J 6 1S flItaLnR Page a of 1" = 40 FT. (except where noted) Q = badchoe pit b•$b3 ,4daC5 IM i D: uo'j / North JUN 2 4 2025 LI Bayfield Co. Zoning Dept. .%' Of h' 303'1 mew P JE& ow.a (boo 3 &%4w 4 s i BEnavoM c�7�D $►►L NSW Gtr i '(DPaFL�-g 3 CNOT 5H' flssW EpI»M' c \ G Site location: / i IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER ULflN11j JUN 2 4 2025 Bayfield Co. Zoning Dept. min. 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: FT0822 12" min. trench (r pcal) TYPICAL TRENCH CROSS SECTION VIEW 34" typical) (No Scale) System Elevation = 82.25 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r g = 66 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 ff EISA/chamber = 320 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3.0 ft (typical) 450 GPD / 0.7 LR = 642.86 FT. 2 Quick4 Standard -W Chamber 642.86! 20 EISA = 32.15 UNITS OR (typical) 32 X 4 FT. = 128 FT. (mfd by Infiltrator Systems, Inc.) ft2 (2) 3 FT. X 64 FT. TRENCHE8,stall pursuant to manufacturer's instructions. + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 = Proposed EISA per trench = 326 ft2 Required Infiltration Area = 642.86 ftz x 2 trenches = Proposed Total EISA = 652 ft2 Distribution Method: branched manifold MARK & KAREN CHILDS D C) m W O —n .a, PAGE 4 OF 4 In -ground Dosed -Gravity Management Plan IMPORTANT: The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 450 gpd; BOD5 S 220 mgL 1; TSS 5150 mgL'; FOG 530 mgL"1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use i5\ f U I� o age of system LS U o nuisance factors (i.e. odors, user complaints, etc.) lUN 2 42025 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) �rtCn 77oninp Dept. o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) ( :vf5tYrtxifion / drop boxes) o neglect or improper use (Le., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: DENNIS RASMUSSEN Local government unit: BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, WI Phone: 715-580-0254 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. WLP1 000 TANK SPECIFICATIONS 4" INLET d a c N a De DIMENSIONS: WALL: 2 1/2" ° 4" CAST -A -SEAL BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4" LENGTH: 8'-8" WIDTH: 7'-2" BELOW INLET: 42" LIQUID LEVEL: 36" WEIGHT: BOTTOM 6,790 LBS. .- COVER 3,195 n ¢ INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET I N OUTLET `ra a N0 O1 'AD INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE ftf [!1I JUN 2 4 2025 Bayfield Co. Zoning Dept. DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: J 0 o z 0 0 m 0 IL w I • 4 -in. (100 -mm) Biotube® Effluent Filters BiotubfP filter cartridge Bioh/bes filter vault Extendable *•,-V tee handle Vented top plate, standard Applications 0rencoe 4 -inch Biotube® Effluent Filters are designed to remove sol- ids from effluent leaving residential septic tanks. They can be used in new and existing tanks at flows of up to 1200 gpd. General Orenco 4 -inch Biotube Effluent Fitters (U.S. Patents No. 4,439,323 and Biotubes 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle can be extended for easy removal of the cartridge. Standard Models FTS0444-36,FTS0444-36M,FTW0436-28,FTW0436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT[I[104❑-❑-❑ I. modulator and riserMich ketepbons: Bttt* = no options selected Flow modulation M = Raw modulation plate installed plate (optionaQ A = float switch bracket installed Cartridge height. at. (nun): 28 = 28(711).standard 36 = 36 (914), slan�rd Fitter housing height, in. (mm): Vault 36 = 36 (914). standard 44 = 44 (1118), standard Oat. (I 00 -mm) filter diameter Outlet tee: Inlet holes W = rtsType3034outletbee s = fits Schedule 40 outlet tee Filter mesh option: Blank = 'A -in. (3 -mm) fitter mesh P = ¼e -in. (1.6 -mm) fitter mesh r� n r� � n n � IIS? Il�l9- IISS 1 'VII BioNbe" effluent filter D Materials of Construction JUN 24 Z02D Vault PVC yfield Co. Zoning Dept. Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems• Inc., 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9643 • 541-459-4449 • www.orenco.com Nf0-Fr-FTS-1 Rev. 3.0, ® 05/18 Page 1 of 2 m optional flow modulation plate) orifice (on optional flow modulation plate) JUN 2 4 2025 Bayfield Co. Zoning Dept. Specifications Model FTS0444-36, FFW0444-36 F1S0436-28, FTW0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (9141 B - Cartridge height, in. (mm) 36.00(915) 28.00(710) C - Inlet hole height,* in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. (mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13(29) Discharge orifice diameter, in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, in. (mm) 4.00 (100) 4.00 (100) Fitter surface area, t fta (m2) 5.1 (0.50) 3.9 (0.40) Row area," 1t2 (ml) 1.5 (0.15) 1.2 (0.12) Row Modulation Plate (Optional) Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) • Inlet hole height can vary depending on the configuration of the tank Optimum hole height is 70% of The minimum liquid level. Filteraea is defined as the total surface area of at) individual Biohrbee within the filter cartridge. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge. taro-FT-FTS-1 Orenco Systems® Inc. , 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com Rev. 3.0, 0 05118 Page 2 of 2 is Bayfield County, WI 6120/2025, 3:17:49 PM Rivers E11Section Lines Survey Maps Lakes -- Government Lot UnRecorded Map Meander Lines 0 Municipal Boundary Recorded Map Approximate Parcel Boundary All Roads Building Footprint 2009-2015 Private Demolished Existing K KamI4" 1,tt o Driveways D 0 Buildings JUN 242025 Bayfield Co. Zoning Dept. 1:783 0.01 0.01 001 003 &Mee e.rt+e County Lur Real Estate Bayfield County Property Listing Today's Date: 6/20/2025 Property Status: Current Created On: 3/15/2006 1:14:47 PM I Description Updated: 9/4/2013 ' Ownership Updated: 9/4/2013 Tax ID: 2204 MARK A & KAREN CHILDS HAM LAKE MN PIN: 04-004.2-44-09-20-1 05-002-02000 Legacy PIN: 004112804000 @fj(Da Address: Mailing Address: Map ID: MARK A & KAREN CHILDS MARK A & KAREN CHILDS Municipality: (004) TOWN OF BARNES 453 138TH AVE N E 453 138TH AVE N E SIR: 520 T44N R09W HAM LAKE MN 55304 HAM LAKE MN 55304 Description: PAR IN LOT 2 IN V.588 P.215 723H5 Recorded Acres: 0.900 IL Site Address * Indicates Private Road Calculated Acres: 0.863 48630 STONE RD + BARNES 54873 Lottery Claims: 0 First Dollar: Zoning: Yes (R-1) Residential -1 J Property Assessment Updated: 10/4/2016 D ¶ C ESN: 104 2025 Assessment Detail Code Acres Land Imp. JUN 242025 Tax Districts Updated: 3/15/2006 GS -RESIDENTIAL 0.900 183,500 67,200 Bayfield Co. Zoning Dept. 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 183,500 183,500 0.0% 004 TOWN OF BARNES Improved: 67,200 67,200 0.0% 041491 SCHL-DRUMMOND Total: 250,700 250,700 0.0% 001700 TECHNICAL COLLEGE • Recorded Documents Updated: 3/15/2006 +� Property History © CONVERSION N/A Date Recorded: 280-153;436-250+;588-215 Private Sewage System Maintenance Agreement C,A1t.+�S rl'i 14CU30 <T %, ,42&E V 1 W f 91-S?? Tax ID# 220t4 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil testers report and approved plans and specifications on file with Bayfield County Planning and Zoning Department The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established In the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) 5L4) 1/4 of______ Section 2)> Township 44-N. Range 9 W. Additional Legal Description: P4Q IN Lay Z i 1u V. 685 PLIc 72305 Town of lift lJ _$ (Acreage) C Liw Gov't Lot Lot _ Block Subdivision Lot_CSM#_ Vol __Page_ CSM Doc# DOCUMENT NUMBER 2025R-608302 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 07/15/2025 AT 9:48 AM RECORDING FEE: $30.00 PAGES: 2 Return To: Planning and Zoning Department Area ] In -ground gravity ❑ In -ground dosed O In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Fitter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -wade and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfleld 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 end inure to the benefit of all current and future owners of such pfert Owner(s) Name(s) — Please Print Mfitziz CN (Lb≤ //-- IIJJ ru"h Subscribed and swom to before me on this date: fl JUL 1 u ez 20z5 I K//4 ro, i (U S � If Bayfield Co. Notarized Owner(s)—Signatures) /� dos Notary Public �tef' ,J 6o o1h I� y Comm Tan Expires: � k//�'1 +(�,r Drafted by: Wktg )t — C 41 L c Date: _2! 2! 2 62,f OH 62025 Zoning Dept. SAMUEL GOUCNOLA y Notary Public Proofed by: Minnesota J> I My Commission Expiodsnn nitary/sepdcmaintenceagreement Jan 31, 2021 Revised July 2020 a - I v5R8P215 I w DOCUMENT NO. ' WARRANTY DEED I .". ",Ce ""`5550 ,`. "","5S OATS IISTATE BAR OF WISCONSIN FORM 2-1952 ...................m&tricia..E...Lynch.................................................... prnveyt and earreate to -Nar ....Ctri.1i.rni.Eaa a-Lhi]<1S_,..__.- •-.husbnnd..and-wl;Ea--as..e+ i.e:ig-mrzslara9*sag-..-....... VOL OF&1PAGEmLl REGISTER OF DEEDS '93 JUL 27 HI9.2A 33 REGISTER'S OFFICE/S.S. BAYFIELD COUNTY. WIS. ......_.......-_----..........._....-..-----------------_---------------__ -__ -I -�. -• /F d4 -4V ....................._............_.-----............... a..._...IL..._... Tuai�u_w, P,r 1e .................. _..... the following deambed real mla[e in.........:......................................County, Scats of Wluondn: Tax Pored No: parcel of land located in Govrrtiwunt Lot Two (21, Section Twenty (20), Township Forty - cur (44) North, Range Nine (9) :)cent, Ncre particularly deucribed as follows: Celmlencing t on iron pipe, which marks .`ainr_cection of the Sast line of Government Lot Two (2), action 20, T.44N., R.9'.7., and the South shorn of (Ldt'e Eau Claire Lake, which is also the oint of beginning; thence S.6v03' D- along the Rest Sinn of said Government Lot Two (2), 50.0 feet to an iron pipe; thsnca 5.033°57'w., 03.0 feet to an iron pipe; thence N.65°15'tl. 40.42 feet to an iron pipe; t anco X.6°06':7-, 360.0 feet to an iron pipe located on the outl shore of Middle Eau Claim Lab=; t:enca Soutbaasterly alcug the shore of Middle Eau lairs Lake to the point of begiuniug. PEE FEE E)SAPT S RENTAL WEAT7ERIZATION YES 0 NO .EXEMPTION This ....is..-..-...._.-_.--- )Iameateed property' (Ix) (is not) Ereapdaa to warranties: ensadentz, reservations, and rostrictiono of record. Dated this _.......-SaC.l.C._...._.........:....... dey of .. -..................................193 ........_............._........._.............._......._.... .(SEAL) WC__ . Patricia 3. Raaman___. _. _.... AUTHENTICATION Sigeatar2(a) antbenteated this ___day oL.____-__.. 19-_._ TITLE: MEMBER STATE BAR OF WISCONSIN authorized by 9 700.00, Wien State.-) THIS INSTNYMSNT WAS ..AFTER BY Lein Law Offices in not ureaneceu be outbentioated or arknovleBothtad. Bo AOENOW LED OMENT em ft STATE OF WISOTiBItO r Oe. County. Personally Tama before me this ... ..-BZey a1 --TfA.L.Y_------------ ...........19.91.. the above named ._.._ -_..-.-..--._ ..............._:....._._............_..._.-_ to me the uufduu D liii JUL 162025 Bayfleld Co. Zoning Dept. e_=---V5R8-F •Nus at 0®va tla is Ie w aatlb WwW he Ba,l Sr mNld WABnSNrT a® Sears sate BY W19cowMw gl WBaaln Legal Blink Ga_ lea-. 4 aM ::o. O— n^ eiFumlkae. Wi rnluln -��. YFILLD 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: CHILDS, MARK A & KAREN SR -00274 453 138TH AVE N E HAM LAKE, MN 55304 Transaction Number: SR-00274-2EC57 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 2962 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 7/18/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Iz YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: CHILDS, MARK A & KAREN SS -00584 453 138TH AVE N E HAM LAKE, MN 55304 Transaction Number: SS-00584-2EAE9 Description Private Sewage System (Septic Tanks) Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 2962 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 7/18/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-76S STATE SANITARY PERMIT OWNER: MARK A & KAREN CHILDS GOVT LOT: LOT: 2 BLK: CSM: V588, P215 1/4 1/4 SEC: 20, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 71-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: DENNIS RASMUSSEN TRACY POOLER DATE: 7/18/2025 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described In the permit. b. The approval of the sanitary permit Is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not Impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 221516 Condition: Insulate where required. Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 7/18/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION