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8/6/202510:30:21 PJsCablm Store 7157952324 2/2 Lras 4113 wnn wWnuyV vole.nuw..,,,......... -. - - , Notes 1 EJ Tkne Chance E°° C Other i rom zoni� oval I Phone Number • 7/.'- 77 - 92v - Plumber: J/rwi L= S CLr€"I.sl 5 Fax Number HOMO Owner. $C o T'T o s'..WAfrv.i.ic Saniisry a 3 S' Permit #: Plumdsr's Choke %oning Dept No eW onn d ,tt*@15!7fl I '11:30 am — 2:30 pm Wed. Glen) g / / 25 � 0:30 am --12:30 pm Tues. (Josh) I &30 am --12:30 pm Thurs. (Josh) Time: i Plumbers Choice n • . Immediate Phone Number rw Zoning Dept can callYou beck it nestled Township: �� i Address ii 6 Road Narna: ' S7070 w. ow i c i) & .kC J Or Directions •. To Sits• comments: piads: You must conflnn any change(s) that have been rtwde ptorto or mm /nsncstli not be sc*.dedJjyra memo Mil be sent vodkig the dnspecNoa Thank You! ` Plumber must veNly any change(s) by fax g no tttsaactfan_ Wdll bnchaduled LNCIf'.I7R1AP36TjNrQ�MYCI1110pMmpl` zo, ngOrutbtwDY. eM>+b2C<5 pEPMTM[yT Industry Services Division r ----.l lnfnrmation Private Onsite Wastewater Treatment Systems ( POWTS),Inspection Report (Attach to Permit) SCOTT & SHANNON VANDLEN 303 9TH AVE MONROE WI 53566 -- City T2nk Information setback to: TYPE I MANUFACTURER I CAPACITY I Prop. Line Well Building Air Intake Road Se tic e G Sri N/A DosingN/A Aeration Sn N/A Holdin • Pump! Siphon Information Pump Manufacturer Pump Model Demand Filter Manufacturer Filter Model GPM TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well /,f Town of: County /"L €,c Sanitary ermlt No: State Plan' Transaction ID#: Parcel Tax No: Die Elevation Data STATION BS HI FS ELEV Benchmark O,$C QJ Bldg. Sewer %2 Tank Inlet , qS p,:O9 Tank Outlet qy O Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface 7 5 3,d Final Grade X Pressure ❑ Yes ❑ No Depth Over I Depth Over I Depth of I Seeded / Sodded I Mulched Cell Center Cell Edges Topsoil j /❑ Yes 0 No ❑ Yes 0 No OMMENTS: (Include code discrepancies, persons present, etc.) X L9 1AI, ffl Std/en ►k' I,t� /% 4cLa;n l Ian revision required? 0 Yes 4 No I re other side for additional information. Date POWTS Inspector's Signature ! 3 License Number ;an_a71n rR flhI 1 Al Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373.61'38 Fax: (715) 373-0114 e-mail: zonino(a bavfieldcountv.ora Web Site: www.bavfieldcounty.oro/147 SCOTT & SHANNON VANDLEN 303 9TH AVE MONROE WI 53566 Bayfield County Courthous€ Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know 7r45 C/e4, was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: 1 • Tank was pumped by: • Tank was crushed / removed and pipes disconnected by: on at AM/PM On 777/2c at Z (AM /he above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: /w System was inspected and appears to meet all applicable code requirements. ❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. ❑ System could not be inspected because County could not respond to plumber's time constraints Comments: U formsfsanitarypropertyowner-input Apr,[ 2019 `„ Department of Safety & Professional. Services, County Bayfield Sarii[ary Permit Number (to be'Elled in by Co:) n- Industry Services Division r $ Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note Application forms for state -orated 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 )(m), Stats, 51070 W Idlewild Lake Rd !LAknkJtfnrn—Piesae PtistAR WLpmation Property Owner's Name Parcel 4 tS v Scott & Shannon Vandlen 04004-2-44-09-06-4 03-000-50000 Property Owner's Mailing Address Property Location 303 9th Ave Govt. Lot City. State Zip Code Phone Number Monroe, WI 53566 G(d$71'/192s> SW i SE A, Section 06 T 44 N R 09 Eo T$eefS (sieetlDthifappty) Lot= ® I or 2 Family Dwelling — Number ofBedrooms 2 Subdivision Name Block 4 ❑ Public/Commercial — Describe Use *Cityof - --� 0 Village of ❑ State Owned — Describe Use — CSM Number ® Town oe Barnes _ — r�.,y1%e F f '.,,r,,.e. ..y, 7 \. Id✓ ^_`.. 4 . Irv.. A. ❑ New System y ,,'Replacement System O Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) A• ❑ Holding Tank Ly 1n -Ground O At -Grade ❑ Mound ❑ Individual Site Desibm ❑ Other Type (explain) (conventional) C. ❑ Renewal Before O Revision O Change of Plumber O Transfer to New Owner List Previous Permit Number and Date. Issued Expiration Design Flow (gpd) Design Soil Application Rate(gpd:'sf) Dispersal Area Required (sf) Dispersal Area Proposed (si) System Elevation 300 I 0.7 428.6 446.6 93 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units a v c U — v — New Tanks Existing Tanks w im o s o ^ = U m tc Zw a. sepdeorfotdingTank 750 750 1 Wieser Dosing Chwnber V. • i Sbdippnt-- I, Ns.mde .:. ,...: . ,. . rsljusd, sunms reapoedbtNty for Imirgatioi of die POWTS shown on the slisktied p4ee.. Plumber's Name (Print) - Plumbers Signature MP/MPRS Number Business Phone Number �on Plumber's Address (Street, City;, State, Zip Code) - (( -ZApproved ❑ Disapproved Per mit Fee Date Issued 6 ` Is g I Si` turc S i'j(�j/3 7�2�" _✓ O Owner Given Reason for Demal t -j �� _ I�� 25 Conditions of Approval/Reasons for Disapproval �n5grc l fGi�G�G�Y�� anaen to complete plant mr me system and submit in me County only on paper not less than B 1/2,11 inches in size SAD -6398 (R. 03/22) Sco & Shannon Vandien. { : Property'Owners Name . 5'1070 W ;tdt witd Lake Rd Property Address 04O04-2-44-09-06-4 03-000-50000 Tax Parcel Number Ba : el -d County PAR IN SW SE DESC IN. DOC:.2623R-597809 :450C Legal Description .. : 6� ' f • Section - 44 Torn 9 Range Page index 1 Property Information 2 Data Entry '3 -Plot Plan .4 Drainfeld Cross -Section U'LW'- 5' Tank 'information 8 Maintenance Plan 7 Contingency Plan Name Keith :Wiley..Designer's __________________________________Designer's g r s . Signature D238P S Designer's License Number 218-451-2611 Designer's Phone Number . ,7/41.25::: late ``,�1i1\tlflliNqff(,, ••Iil• \'. ' ' '. ' ' ' Q23 ,' IIIIJItliit Page I of 7 In -Ground Soi.l Absorp ion for POWTSComponent Version -2.1. (May 2022-202:7 Manual Used 2 Number :of Bedrooms 48 : Percent Slope. (%) .84 depth to Soil Limiting Factor (in) .0;7 in Situ soil application rate 200: Estimated Wastewater Flow (9Pd) 300 Design Wastewater Flow (9Pd): 1 Number of System. Elevations 3: Proposed System Elevation #1 93 proposed System Elevation #2 Proposed System Elevation #3 . 96 Ongina! Grade #1. 6 ..: Finished Grade #1 .94.8 Original Grade #2 948 Finished Grade #2 Original Grade #3: Finished ed Grade #3: IWleser 750.: Septic Tank Pol. Iok PL -525 Effluent Flte€ Vandlen (2 bedroom) Gravity In -Ground Plot Plan North a X SCOTT & SHANNON VANDLEN 51070 W Idlewiid Lake Rd PAR IN SW SE DESC IN DOC 2023R-597809 450C S06 T44N R09W Town of Barnes 04-004-2-44-09-06-4 03-000-50000 5.170 acres Septic tank & drainfield to be abandoned per SPS 383.33 „ Well I, i, 4 Qb Two rows of iiinfiltrator Quick4Plus Standard chambers 96. 94' Scale 1:50 NOTES: x Bench Mark = Bottom of siding Elev = 100.0' Wieser W750 -MR w/ poly ink 525 filter P4 - Property lines not shown >50' from system area - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 3 of 7 47 feet Observation / Vent Pipes to be located at the ends of the distribution cells. Cross Section of a Two Cell In Ground Component Using Leaching Chambers Observation/Vent Pipes / 96.00 jFlnished Grade — '- ano __- FinishEdGlade< 94.80 Slope 5% - Ce - n I J 't . 96.00 Original Gta<le - >;. j)nginal Grade 94.80 94.00 Top of Chamber y " ' e iw ?op of Chamber 94.00 t9' l 93.00 System Elevation j �i. ` ? __ System Elevation 93.00 �, 'rreotrent .pod Dispersal zone I' •.— -^ M1 -- �- - ... Limiting Factor Observation/Vent pipes to be constucted and copped with approved materials for the particular use. r 47 feet Page 4 of 7 vu o M: TANV q=pP'rlPl-r�.-A n. n�c 4" CAST--A- POWTS OWNER'S MANUAL .& -MANAGEMENT PLAN Film INFORMATION .. . Fer Scott & Shan! on Vandlenit DESIGN PARAMETERS Number of Bedrooms 2 Q NA Number of Public Facility Units NA: Estimated (average) flow 200 allda Design (peak) flow = (Estimated x t.5) 30.0 gal/day in Stu Soil Application Rate 0.7 gal/day/ft -Standard Influent/Effluent Quality : Fats, OIL & Grease (FOG) Biochemical Oxygen Demand. (BODs) Total Suspended Solids .(TSS) Monthly average*. 530 mg/L ≤220, mg/L O NA ≤150 mg/L Pretreated Effluent .Quality Biochemical Oxygen Demand .(BODs) Total Suspended Solids (TSS): Fecal Co#iforrn (geometric mean) Monthly average ≤3o mg/L 530 mg/L 5104 cfu/l 0Oml i NA. Maximum Effluent Particle Size in dia. Q NA Other: 6a NA • *Valli tVDIca for domes *,4iittew8ter. and seotic tank` effilient: MAINTENANCE. SCHEDULE SYSTEM SPECIFICATIONS Page .f1 of Tank. Manufacturer Wi@S@r 0 NA ® Septic 0. Dose 0. Holding vol. 750 gal Tank. Manufacturer • NA Q Septic 0 Dose 0 Holding vol. gal Effluent Filter ManufacturerS.. Polylok DNA Effluent- Filter Model . 525 Pump Manufacturer .d NA Pump Model Pretreatment unit 1 • NA. O Sand/Gravel Filter 0 Peat Filter O Mechanical Aeration p Wetland o Disinfection Q Other:: Manufacturer Dispersal Cells) 0 N 6Z1 In -Ground (gravity) D in- Ground (pressurized) Q At -Grade 0 Mount, 0 Drip -Line L7' Other. Other: � - QI...NA •.Other; NA Service. Event Service: Frequesticy pevery Inspect condition of tank(s) At least once eve 3 month s ear{s (Maximum.3 gears) Q NA Pump alit contents`of tanks} When combined sludge and scum equals one-third ('f) of tank volume Q. Where the high water alarm is activated inspect dispersal. cell(s) At least once every: 3 morith(s) (Maximum 3 years) �d yea►(s): 0 NA Clean effluent filter At least once every* CJ month s) 3 year(s� . Q NA Inspect pump, pump controls & alarm At least once every. [ CI month s) NA Flush laterals and pressure. test At [east once every C] t3 month(s) NA Other: At least once every 0 rrionth(s} L7.ear ) y NA :Other... NA MAINTENANCE. INSTRUCTIONS. Inspections of tanks arid --dispersal cells shall be made by an individual carrying one of the following licenses orcertifications .. [Vaster Plumber Master Plumber. Restricted Sewer, POWTS Inspector, POUTS :Maintainer; Septage :Servicing : Operator (pumper). Tank inspections include:* visual inspection of the tank(s) to identify any missing or .broken hardware, identify :any cracks or leaks, measurethe volume of :combined :sludge and: scum and a check for any back up. or pooding of effluent on the .ground surface. The dispersal cell(s). shall be. visually inspected to check the effluent levels in the observation pipes and .to: check for any Bonding of -effluent on :the, ground surface. The pondfng of eitluerlt. on the ground surface may :Indicate :a. failing condition and requires the immediate notification .of the local regulatory authority. When the combined: accumulation of sludge: and scum inanytreatment tank equals one third ('f) or.more :of the tank volume, the: entire . contents: of the :tank shall be removed by a Septage: Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code: All :o€her services, including but not limited to the servicing of. effluent filters, mechanical at pressurized components, pretreatment units, and any servicing at: intervals of ≤12 months, shall be performed by :a certified POWTS Maintainer A service report Shall be provided to the local regulatory authority within 10 days of completion of any service event GMW (12!02) Page 7 of 7 STARTUP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal: cell(s). If high concentrations are detected have the contents of the tank(s) removed by:a septage servicing operator prior to use. System. start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power isrestored the excess wastewater will be discharged to the dispersal c. ells) in one large dose and may overload them resulting in the: backup or surface discharge of effluent To. avoid this situation have the contents of the pump tank removed --.by a-`Septage: Servicing Operator prior to::restoring power to the: effluent pump or contact a Plumber or POWTS Maintainer to assist' in manually operating thepumpcontrols to restore normal levels within the pump tank. Do not, drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feetdown slope of any mound or at grade soil absorption area. Reduction or elimination of thefollowing from the wastewater stream may improve the performance and prolong the life of. the POWTS:. antibiotics, baby wipes; cigarette butts; condoms cotton swabs; degreasers, dental floss, diapers; disinfectants; fat, foundation- drain (sump pump) discharge; fruit and vegetable peelings gasoline, grease; herbicides; meat scraps ; medications; oil; painting products, pesticides, sarntary.: napkins; tampons;. andwater ,softener. brine. • ABANDONMENT When the P.4WT8 fails and/or is permanently taken out of service the following steps shall be to insure that the: system Is properly • andsafeiy abandoned:in.cornp#lance: with chapter Comrn:83:33, Wisconsin Administrative:Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall beremovedand properly disposed of by a Septage Servicing :Operator. • After pumping, all tanks and pits shall be excavated and, removed . or their. covers :removed and. the void space filled with soil, gravel or:another..'inert solid material' CONTINGENCY:PLAN if the POINTS. fails and cannot be repaired the following measures have been, .or must be taken, to provide a code compliant replacement system: © A suitable: replacement area has been evaluated and may be utilized for thelocation of a replacement soil absorption system. The' replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines- and wells. Failure to protect the replacement area will result in the need for new: soil and site evaluation to establish a suitable replacement area Replacement systems must comply with the rulesin .effect at that time. o A suitable replacement area is -not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last :resort to replace the failed POWTS. l The. site: has not been evaluated to identify a suitable replacement area, Upon failure of the POWTS. a.soil and site evaluationmust be performed to locate a suitable replacement area If no replacement area Is available a holding tank may be installed as a last resort to replace the failed POWT$ Mound. and at -grade soil absorption systems maybe reconstructed in: place following removal .of the biomat at the infiltrative surface. Reconstructions of such systems must -comply with the rules: in ffect at that time: Ltd f h ! U <<WARNING . > SEPTiC; PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR iNSUFFICiENT OXYGEN: DO NOT ENTER.. A SEFRC PUMP OR OTHBR. TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUEOFA PERSON FROM THE iNTERIOR OF A.TANK MAY BE DIFFICULT OR:IMPOSSIBLE. ADDITIONALCOMMENTS. POWTS INSTALLER. POWTS MAINTAINER . Name Name /71 ;k �r P T> Phone )/ S 77-2 92 2 J:Phone, 71-.:yy SEPTAGE :SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name : i c Name gayfeki County Zoning Phone :7. :3 y 9 Phane71:5:-3s This document was drafted by the staffs of the .Gre_ en Lake;. Marquette and Waushara County; Zoning and Sanitation agencies in::com compliance with chapter 9 9 R aP Comm .83 22(2)(b)(1)(d)&(f) and 83:54(1) (2) & (3), Wisconsin Administrative Code. Private Sewage System Maintenance Agreement IMbc\c1tt c�L Sft+a Address ± Lote1OVW dIec Tax 10 41 fJ 1-, As As offer I (we) do ) hereby certify the private sewage system will be Installed In accordance with the certified sail testefs report and approved plans and speclficafons 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 belowtlsted location In accordanee with rules established in the WI Adm. Code, as from time to time amended. (CQMPIEE Legal Is required) St -ti 114 of_SE 114 Section _ Township r N. Range W. Additional t I Desatptlorl: Stet tMN S SCI ir7 ii Yawn of 1�/J• r-/Ui (Acreage) Gov't tot Lot BI6 Ii Subdivision CSM #_ Vol. Page,_„__,_ CSM Doc#'O 151 In -grad vlty ❑ in -ground dosed ❑ Mound O At -grade Sewage System DOCUMENT NUMBER 2025R-608281 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 07/14/2025 AT 1 1 :20 AM RECORDING FEE: $30.00 PAGES: 3 Return To: Planning and Zoning Department O In -ground pressure distribution Sewage System: O Other Area Senile Tank (system types A through E): The septic tank shall be pumped bya certified septage servicing operator within three (3) Yeses of the date of installation $n¢ at (east on� every three(3)years themafer unless. upon Inspection by a licensed n umber ar other person authorized to make such inspect€an, the tank Is found to have less than one-third (1/3) of the volume occupied by sludge and scum. BM -Ch m„ber (system types B. C. D, and E): The pump chamber shall else be rinsed and pumped out when the septic tank Is serviced as provided d above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. 809a Tank Effluent (system types A through E) The septic tank eSiuent filter shall be Inspected and maintained as necessary and in accordance with menu factwre3?a spe3ctlicatlorss. tamer maintenance reports shall be stetted to the County as required by SPS 383.53, toils. Admin. Coda. pl�(systemtypes A through E) The private sewage system dean cell shall be visually Inspected by a certified septage servicing operator, POWrS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years #hereafter to determine whether wastewateroreffluent from the system Is pending on the ground surface. gods. Af curia one) to -wound regure Svstt,�alg (system types C, o and E): The laterals shall be flushed out and swabbed N needed when thewstewahe'dintithullon cfl component is Inspected as provided above. Ownaris) agree that fad to comply wsh this agreement will result In action being taken to pay all charges and costs krouned by Bayhhetd County for lam. pumping,.hauling, or othoiwtse servicing and rnainte hrasg the private sewage system tank In such a manner as to prevent or abate any human .Jre ith hezedcausedhy.thesystem• BaylIeWLoun(yshallnqti4rShe ownerofanycosts whtchshaltbe paid bythe owner within thhfy(30} day* from the date of notice. in the event the owner doss not paythe costs-wlthln tldrty (30) days, the owners aciflcalyag vas that all the coats andcher may be placed on the tax rot/es especial assessment forthe abatement ofa human health hazard, and the taxshay be cot/actedes provided by hew. The temrs end conoltkans of the variance shall be binding uponand hrure to the beneft of a# cwnW and Mn owners of such Drafted by: t.. .t Date:�----J tJ L 1 52025 U Bayfield Co. Zoning Dept. vlte�m�alseilr cry/e�epticere aWeemeni Revised Jere 2018 EXHIBIT A A parcel of land located in the SW 1/4 -SE 1/4, Section 6, Township 44 North, Range 9 West, located in the Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the S1/4 corner of said Sec. 6; thence NO° 24' 40" W along the N -S 1/4 line, 1139.59 feet; thence 545° 00' E, along the Northeasterly line of a road, 811.56 feet to the point of beginning; thence N45° 00' E, 450.00 feet; thence S45° 00' E, 500.00 feet; thence S45° 00' W, 450.00 feet to the Northeasterly line of a road; thence N45° 00' W along said Northeasterly line, 500 feet to the point of beginning. And together with an undivided 1/6th interest in a roadway described as: A parcel of land located in the SW 1/4 of the SE 1/4, Section 6, Township 44 North, Range 9 West, Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the South 1/4 corner of said Section 6; thence S 89° 27' 36" E along the South line of the Section, 269.37 feet to the Northeasterly line of an existing road. Thence N 58° 50' W along said Northeasterly line, 164.02 feet to the point of beginning; thence continuing N 58° 50' W, 67.97 feet; thence N 450 00' E, 600.79 feet; thence N 45° 00' W, 711.61 feet to the North -South 1/4 line; thence N 0° 24' 40" W along said line, 94.02 feet; thence S 45° 00' E, 1626.78 feet to the South line of the Section; thence N 89° 27' 36" W, along said South line, 94.23 feet; thence N 45° 00' W, 714.97 feet; thence S 45° 00' W, 584.54 feet to the point of beginning. JUL 1 5 2025 Bayfield Co. Zoning Dept Bayfield County Register of Deeds Document #2023R-597809 Page 2 of 7 . Real estate Bayfield County Property Listing Today's Date: 7/8/2025 Z Description Updated: 1/24/2023 Ownership Property Status: Current Created On: 3/15/2006 1:14:45 PM Updated: 8/12/2022 Tax ID: 1580 SCOTT & SHANNON VANDLEN MONROE WI PIN: 04-004-2-44-09-06-4 03-000-50000 Legacy PIN: 000 Billing Address: Mailing Address: Map I SCOTT & SHANNON VANDLEN SCOTT & SHANNON VANDLEN nicipality: (004) TOWN OF BARNES 303 9TH AVE 303 9TH AVE STR: S06 T44N R09W MONROE WI 53566 MONROE WI 53566 Description: PAR IN SW SE DESC IN DO 22023R 597809 450C Site Address * indicates Private Road R 51070 W IDLEWILD LAKE RD BARNES 54873 Calculated Acres: 5.166 Lottery Claims: 0 Property Assessment Updated: 10/4/2016 First Dollar: Yes Zoning: (F-1) Forestry-i 2025 Assessment Detail ESN: 104 Code Acres Land Imp. Gi-RESIDENTIAL 5.170 14,300 27,400 ' Tax Districts Updated: 3/15/2006 2 -Year Comparison 2024 2025 Change 1 STATE Land: 14,300 14,300 0.0% 04 COUNTY Improved: 27,400 27,400 0.0% 004 TOWN OF BARNES Total: 41,700 41,700 0.0% 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE ' � M Property History -�, Recorded Documents Updated: 3/15/2006 ® CORRECTION INSTRUMENT N/A Date Recorded: 1/20/2023 2023R-597809 ® WARRANTY DEED Date Recorded: 7/28/2022 2022R-595710 ® CONVERSION Date Recorded: 373-347 �UL 1 52025 Bayfield Co. Zoning Dept. Wisconsin Departm ntof Safety .& ProfessionalSeniices — �� ge 1 r r ©wtslo indltstry S ; V.1 ee.: : : • . s_. C)IC=..EVALUATION :REPORT:. . • . • � :� '•• • .:... •. •.. .. � ` ' � • " (n accordance with SPS a85, Wis AdrnCowintY , Code': Attach Am :tete'site'plano+ apes not less than 8 912:x 1.1 Inche' in size Plan must Include : p.. P but opt limited fQ. vertical '.and ::hatizontar'reference point(BM);:#frectiart:'and-'percent sloped Parcel i:t scale or dintensionsnorth arrow aril location acid distance'to nearest road: 0400'2-44-09-06-4 03-000 5RQi3 . . Please print ally€nfor attony : : e Date, Personal information you provide may be used for :secondary'purposes :.(Privacy Lash; :s a'5.04(t')(m)}. Property bwt i r: : _ ; ... Property Locaion 0 Q• Scott & Shannon Vast io>ri: ". :.- : : : Govt Lot SW 4 SE ::.,' S .48' t.. 44" N : R ' ..09 • ' :. or): Property :. Site ' Address far CSM and of #t 51070 . • . 303 9th Ave :.. ...::.:1 / idlewild halt ' Rid .. . City State,:Zip :: Phone Number : .City _. ' Village Town : :. Nearest Road Monroe, II 3a€i ::. ..._..::.. Bares ' S70 Widlewild Lake :Ad ., ]:NewGonstructicn:' Use,:0 Residentiat/Numberof bedrooms 2 Code :'derived 'designf ow:rat :.: 3 :- p!3:':_ Replacement' : :0 Public .or'cstimmeird"sal" D'esonbe '.: : Flood Plah elevation if appitcable ` Rt/A fit.;. parent 'mateja1 Out v s : Rubicon :Series, >> General. comments ':an�d'reo.0 M' nd ations .. aorine # ': ' : 06oring MP. t Graund°surface' eiev. 967 __it. :' ' Depth to iI ntti tg factor _96 r: l.elev.." 8 . -• 'SoII'Arinliaa'ttori:fZafe' ;E jorizon...:: Pepth:; _• In... : Daannarit:Color '' Munsetf:..' .: Redox Description :: (iii.: Az. Cent, :Color'.' ' Texture, , :. ; Structure:. Gr Sz.Sh: : Ginsistence .= : Boundary ' . :ReoEs: - :: • .. : GPCrF 2 i .; Eff#2:::: 1: • - .. • • ::. 'o= :: .1 AYR 3! ::..' ....'.:. :.$: ;:.. :Qsg .:::.: : m[: :. cs:': :..:° 2t►1 a ' .: :. 1f'.:: . : -14 .'.:. :10YR.314.: s :.. Qsg. • .: ::. ml :.._::: 9 : : '...:lvf.:: b `:.:' :.:::-fi ..'.' 3::::.:': : ': :4: : : 7:5't�:14:'::::: : ' ::: : = Osg; : `' : ; : anti ::: :: : ' 9 w .': : ' ':lv?::::; 07 ..: :16; .:. . A:: ' : _ :2550: _ ' .... _ 1QYF 414 : :: -: o; :::: Osg ::: :: :: rni:. :..'. ': '.:aw: 07 ::::.:: '1 .: 50-96": ' •1OYA'6/4.:.s' ' Osg : ml " .. ,,:r . :0.7 ' 1___6____- 2__J Boring # ' Ground :surf'ace:elev,' 959___it Depth to limitth factor �6 €n t also, $T :9____it. I Soil Aontft, ffl fl Rte:. •.Horizon .' ':: flepth.:. In .': .:Dominant Color :. :tllls3nsetl: Reddox• Description :'' Qu: Az : Cent Color Texture .'.' " Structure Gi•: S ::Sh.: Consistent . • : Boundary :":.R ots GPf fr" "Eft#7 :*gff :.'. _2 �d::T 1=4: s:":' ml::': : gs 121: ' :0;7:: `•, 4'' 3 0- O1�R- / ;,,.. :Qs:• ml : 'Ctiv' f�fi: 16 '." .. .: ;:. 80M96 ' :: 0X.E :6.4.: .`"'• : ' . g ml ` . 07 ` ' , 1 CST Name.{BEeas' Pxll�#j'.. .Sigrifafu umi)er. 54• :. Address : ':. ' pat valuetlort.Conducted Telephone Number 1162 1= LarsonPrt.ake Nebagampn,'•WI 64 849 fl 5/20 26 218451-21l *:Effl{tent#1 ROD y' 30:s220 mglL andTS'S>:30. 'fiv ;ni91 :::. :Irt udrzt# :'ROD,30 mglL and .'T S' :3 mglE:.::; p0rfiig. -• Boring P.,i#.. Grpund. surface etev: Depth fomiting factor' ' in i stay_87:: :`' ft. . .. •.. oil<Ai�olleation :Efate Horizon:'. Depth .. In :: Dominant Color' -:Mons Ei. ': Redox Description Qi . Ax Cant:. Color , Texture: :. Structure Gr. Sz .Sb: : Consistence Boundary ,'Roots- ' .' GPDIFtR' :' .' . QG .:... :IR. 2l : .: :::. : ; 0�: : :: ml :: :' : c: ::: :mfg .:..0:.'. • :.::6= 2::- : ' :: 6-1 }::. , ' . 4YR 3/ ;'. '.: ..:: ; Osg:.. :. : I .... : N:': ::'irk/ f : :: 7' : 1;6 ' ` ' - `- 10-2S 7 SYYR-4/ '.:........ _ .. S ..: - .. :: Osg ;:.: ; .. ' 'MI : : as ::' .::2cbllf: 4:7 :: :::' 1 6 -: :::65-84 : = :' IOYR6/4-- .. ;: • : "„ ` : :: .::a.: ` : osg 1 : - : . , ,.:.; :..� : ' •; 07 . :' ''1.6 :. .:.:'Soling #. ,9 JU '�` plt :. ' . Ground s r#aae ley; . :ft ,..: •'.. Depth to mthng factOc etv;: : • . Borth ; # :. Pit Ground aurtace slay. ;.:. ft Depth to kmitlng factor in Lelev; Horizon - Depot. _° ftx, Dominant Color :1Utoitselt . `:E edox Ascription . U. Az Cont :Color. Texture••' . 'StiuctUre.: = Gr:.Sz Sh.: •-.Consistency:• '. Boundary - : Roots. : ' :. ' PD! t? , . etftuent#1. = BOD > 3It5:220_ tg/L an t TS '.30's:a 4 ntglL ::. '{ Efiiu�era = BOD, a:.rng/t, T $ 30mg/L'• :. Vandlen2:bedoQ:rn.�:• •••:. S " I Report Plot : a 4� A Plan ..a.ee' Department of Safety & Professional Services, Industry Services Division County Bayfield Sanitary Permit Number (to be filled in by Co.) •uai7_a-Z as- g3 S Sanitary Permit Application State Transaction Number 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 submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services Per :oral udi�rmatinn ,ou provide may he used for secondary purposes in accordance with the Privacy Law, s, 15 04 \.uk. 51070 W Idlewild Lake Rd . e.. -Ail Information. parcel # IS" o Scott & Shannon Vandlen —. -_ 04-004-2-44-09-06-403-000-50000 Property Owner's Mailing Address -- Property Location 303 9th Ave Govt. Lot City, State Zip Code Phone Number Monroe, WI 53566 6d$a/L/9y39 SW SE i section 06 T 44 N R 09 g Lot# 01 or2 Family Dwelling—NumberofBedrooms 2 Subdivision Name D 1i Block # ❑ Public/Commercial—DescribeUse_________________ 0 City of ❑ State Owned — Describe Use ❑ Village of CSM Number la yawn oeargyles "New" et "Reptneemeat" and ether applicable online A. - Check one box on line B. Complete tine C i A ❑ New System System O Other Modification to Existing System (explain) O Additional Pretreatment Unit (explain) B' ❑ Holding Tank �gReplacement t10 In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design O Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV.n asVflCaWteot' " Tank Information: Design Flow (gpd) Design Soil Application Rarc(gpd!st) Dispersal Area Required tat) Dispersal Area proposed tsf) System Elevation 300 0.7 428.6 446.6 93 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units a g Y Nov, Tanks Existing Tanks Y $ u u i U rn Ye n ito a Septic or Bold,nc Tank 750 - 750 1 Wieser Dosing Cheri i, fha underalgq wo oa the tiftow titian. Plumber's Name (Print) Pin 's Signature MP%MFRS Number Business Phone Number c n Plumber's Address (Surat, City, State, ip Code) Y ") JS21 g77 'XApproved ❑Disapproved Permit Fee Datelssued 6L Is eA ❑ Owner Given Reason for Denial T� %�� 25 i8i� nirc <3 Conditions of Approval/Reasons for Disapproval yst4 ieJ scat G,e4 00161. Attach to complete plans for the syattm and submit to the County only on paper not Itu than 8 12 a II lathes in size SBD-6398 (R- 03/22) WisconsinS2- DOzv5� +/ �''''p''!p�p 1 a °q; Department of Safety & Professional Services '—Z! age_of_3 Division of Industry Services T REPOT we WFS SOIL EVAl.UA ION r\ In accordance with SPS 385, Wis..Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must Include, but not limited to vertical and horizontal reference point (BM);, direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all. Information. 03-000.50000 , Date Property Owney Property Location U U Scott & Shannon Vandlen Govt. Lot SW 'A SE _¼S.06_1 44 N R Og E (or)Q Property Owner's Mailing Address Site Address or CSM and Lot #: 5107O W ldleWlld take Rd 303 9th Ave City, State, Zip Phone: Number ❑ city ❑ Village ® Town Nearest. Road Monroe, WI 53566 ( ) Barnes 570W ldlewild Lake Rd Q New Construction Use: U Residential/Numberofbedrooms 2 ®Replacement ❑ Public orcommercial — Describe: Parent material Outwash Sands (Rubicon Series) General comments and recommendations: Boring # DBoring Opit Ground surface elev. 96.7 fl. Code derived designflow rate - 3@U GPO Flood Plan elevation if applicable N/A ft. iiJi U U LUc7: Depth to limiting factor -96 in./elev.-88i7 fR. Sol]Aooll ication-Rate. Horizon Depth In. Dominant Color Munsell Redox Description Ou..Az. Cont, Color Texture Structure Gr. Sz. Sh. - Consistence Boundary Roots - GPO/Ft' 'Eff#1 'Eff#2 1 0-7 1 OYR 3/2 s Osg ml cs 2vf 0,7 1.6 2 7-14 10YR 3/4 s Osg ml gs 1vf 0.7 1.6 3 14-25 7,5YR 4/4 s I Osg ml gw 1W.0.7 T:6 ,4 25-50 1 0YR 4/4 — Cos Osg ml aw — 0:7 1.6 5 50-96 10YR 6/4 — s Gag. ml — 0.7 1.6 2❑ Boring # Boring < ®Pit Ground surface elev. 95.9 ft. Depth to limiting factor 96 in. ! elev. 87.9 fL Soil Soil Anoll Horizon . Depth In. Dominant Color Munsell Redox Description Qu. At Cont. Color Texture Structure Gr. Sz. Sh Consistence - Boundary Roots GPO/Ft' 'Eff#1 -Et(#2 1 0-4 10YR 2/2 �— S Osg ml es 1vf 0.7 1.6. 2 4.10 10YR 3/4 — s Osg ml gs 2m/2f 0.7 1.6 3 10-37 ` 7.5YR 4/4 — 5% GR) s Osg ml gw 1 of 0.7 1.6 4 37-6O 1 0YR 4/4 — SI osg ml cw — 0.7 1.6 5 60-96 10YR.614 "'-` a Osg ml — — 0.7 1.6 CST Name (Please Print) .Signatu ' j/� ..... Umber Keith Wiley 654921 Address Dat d valuation Conducted . Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 6/15/2025 . 218-451-2611 * Effluent#1 = BOO ❑.305220 mg/Land TSS.x 30:9 150mg/L ' Effluent #2 = SOD, 5.30 mg/L and TSS s 30mg/L SBD-8330 (R03122) O. Baring 3 .Boring # Pit.: Ground surface elev. 94.8 ft: Page 2 •-ai 3 .: . spa Depth to•84 limiting factor' in: a• eiev ft. SniLAnnlicatien :Rate • Horizon Depth . In: Dominant Color .Munseli Redox-Descdption Qu.'Azz. Cont Color Texture Structure Gr.:Sz:;Sh: Consistence Boundary Roots GPDIFtz . •Eff#1 `Eff#2 1 0-6 10YR:•212 ....: Osg m1 . cw. 2m12#:. 07 . 1.:6 . 2 6-10 9 OYR 3/4 s O g ml gw' : l rat/?f f .. 07' . 1:6 3. 10:25 75YR 4/4 : --- s Osg ml: as 2 0/1.. 07 1 4 29-65 I:OYR .4/4.:s Osg : ml : Cs..:.. - 0.7 1.6 5 65=84 1 }YR 6/4 - s 0sg ml ::. 07 ' -1 6 Borin a Boring # .0 []:Pit . Ground elev._�_ ___ft,. Depth:to limiting factor . in �slv, ft,- Boring:# [� :boring. - - - Q Pit:.. Ground surface eiev. ft. Depth to limiting'factor .i p _..- nt etev. ft Horizons .' Depth Dominant Color -:Redox Description - Texture •. Structure . :Consistence . Boundary- : Roots ' .. :. ' GPD1.Ft2 In: Munseil Qu. Az. Cont Color Gr. Sz SF .: *Eff#1 'Eff#2. • Vandlen 2 bedrooamj Sail. Report Plot Plan: North Page 1 of 7 In -Ground of Absorption for POWTS Version 2.1 Ma 2022-2027) Component Manual Used 2 Number of Bedrooms 4.8 Percent Slope (%) 84 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 200 Estimated Wastewater Flow (gpd) 300 Design Wastewater Flow (gpd) 1 Number of System Elevations 93 Proposed System Elevation #1 93 Proposed System Elevation #2 Proposed System Elevation #3 96 Original Grade #1 96 Finished Grade #1 94.8 Original Grade #2 94.8 Finished Grade #2 Original Grade #3 Finished Grade #3 Wieser 750 Septic Tank Pol lok PL -525 Effluent Filter Infiltrator Quick4 Plus Standard Chamber Type 12 Height of Chamber (in.) 20 sq.ft. per chamber(ESIA) 3.3 sq.ft. per end cap (EISA) 4 laying length of chamber(ft.) 1.5 length of endcap(ft.) 34 Chamber width(in.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 11 Number of chambers in first row 11 Number of chambers in second row Number of chambers in third row 22 Proposed Number of Chambers Used 428.6 Minimum Distribution Cell Area Required (sq.ft.) 446.6 Distribution Cell Area Proposed (sq.ft.) JULUd-,� Page 2 of 7 Vandlen (2 bedroom) Gravity In -Ground Plot Plan North SCOTT & SHANNON VANDLEN d 51070 W Idlewild Lake Rd PAR IN SW SE DESC IN DOC 2023R-597809 450C _ 506 T44N R09W , o Town of Barnes = 04-004-2-44-09-06-4 03-000-50000 II 5.170acres ,_. N Scale 1:50 NOTES: Bench Mark = Bottom of siding Elev = 100.0' Septic tank & drainfield to be abandoned per SPS 383.33 Wells o?. Two rows of 11 Infiltrator Quick4 Plus Standard chambers 96' 94' m OF 4.8% ST Wieser W750 -MR w/ poly lok 525 filter 6 - Property lines not shown >50from system area - All vent, observation & conveyance pipes 4" ASTM 01785 or code equivalent Page 3 of 7 Cross Section of a Two Cell In Ground Component Using Leaching Chambers Observation/Vent Pipes er 96.00 IFinished Grade --- Finish7sade, 94.801 Slope 5% Cell anon ' / 96.00 Original Grade _/ ? ; ' r'" nal Grade 94.80 94.00 Top of Chamber _ ' Top of Chamber 94.00 93.00 System Elevation y ia. System Elevation 3.00 •Treatnlentnd Dt9prsol Rope } • -- - _ - Limiting Factor Observation/Vent pipes to be constucted and copped with approved materials for the particular use, 47 feet 3 feet between cells flTt���[ 47 feet Observation ! Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 WLP750-MR TANK SPECIFICATIONS an 4" CAST -A -SC" 0 N co 4" CAST -A ---SEAL-` O an C Id as Iii INLET - _ _ -.� G _ I yr to 25" 2il -__J_-_-mssS PUMP PAD ANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS DIMENSIONS: WALL: 2 1/2' BOTTOM: 3' COVER: 5" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 54' OUTSIDE DIAMETER: 7-0" BELOW INLET: 42" LIQUID LEVEL 37" WEIGHT: BOTTOM 3,740 LBS, COVER 2,410 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACTY. 20.28 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 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 /I10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEW DATE I DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: w 0 OF POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE INFORMATION Owner Scott & Shannon Vandlen Permit # DESIGN PARAMETERS Number of Bedrooms 2 O NA Number of Public Facility Units ® NA Estimated (average) flow 200 aVda y Design (peak) flow = (Estimated x 1.5) 300 gal/day In Situ Soil Application Rate 0.7 al/da /ft2 Standard Influent/Effluent Quality Monthly average* Fats. Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BOD5) ≤220 mg/L 0 NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L ® NA Fecal Coliform (geometric mean) ≤10' cfu100ml Maximum Effluent Particle Size ',ti in dia ❑ NA Other: ® NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: El 3 months) ears (Maximum 3 years) ® ❑ NA Pump out contents of tank(s) ® When combined sludge and scum equals one-third ('1) of tank volume 0 NA 0 When the high water alarm is activated Inspect dispersal cell(s) At least once every: 3 ❑ month(s) year(s) (Maximum 3 years) ® O NA Clean effluent filter At least once every: 3 ❑ month(s) ® year(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s❑ year(s) ) ® NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) ® NA Other: At least once every: ❑ month(s) ❑ year(s) ® NA Other: ® NA SYSTEM SPECIFICATIONS Tank Manufacturer Wieser O NA 10 Septic ❑ Dose El Holding vol. 750 gal Tank Manufacturer ® NA ❑ Septic ❑ Dose ❑ Holding vol. gal Effluent Filter Manufacturer Polylok 0 NA Effluent Filter Model 525 Pump Manufacturer ® NA Pump Model Pretreatment Unit ® NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other: Manufacturer Dispersal Cell(s) Q NA ® In -Ground (gravity) JJI ll tn-Grbtihr l II u d (presstariied) ❑ At -Grade 0 MoundJ ❑ Drip -Line ❑ Other: Other: - _ NA Other: 12 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('A,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Page 7 of START- UP AND OPERATION Fol new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code; • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holdin to y be installed as a last resort to replace the failed POWTS. H �, ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat 1a he infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. II JUL 05 iDL� <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name a,4. (- Phone 7/C77 -z722 POWTS MAINTAINER Name 7> G Phone j� T79.g-3 / / 7 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name -. /< fP.77c NameBayfield County Zoning Phone 7 5. 7f5> 3 Phone 715-373-6138 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(1) and 83.54(1), (2) & (3), Wisconsin Administrative code. Private Sewage System Maintenance Agreement tr�l GUV one rwuhass 1u10 W ldkwtld Lake P4 DOCUMENT NUMBER 2025R-608281 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 1W O7/14/2O25 AT 11:2O AM RECORDING FEE: $30.00 PAGES:3 As owner, I (we) do hereby certify the private sewage system will be Installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated In such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) S 114 of SE E 114 Section Township N. Range W. Additional Legall Description: "sC06 n+ klti1 e lu St..SC SSG in (`�c- Town of___________ dO a3 (Acreage) '?/ Govt Lot Lot _ Blob{_ Subdivision Vol._Page_ Return To: Planning and Zoning Department ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Area Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within these (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 then 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 end pumped out when the septic tank Is serviced as provided above. The switches and pump controls shall also be Inspected and maintained to ensbre 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, cis. Admin. Code. Private S ll (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POW1'S 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 -wade. and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed It 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 Beyfield 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. Bay/lafd County shall notify the owner of any costs which shall be paid by the owner within ttdrty (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 roD ass special assessment faiths abatement of a human health hazard. and the tax shall be collected as provided bylaw. The terms and conditions of the variance shall be binding upon and inure to the benefit of all current and tmure owners r I�t Ill cored by: licit " Date: (O JUL 152025 Proofed br. _ Bayfield Co. Zoning Dept. a fo me Seri a yrtepllcma n enceag cement Revised June 2018 EXHIBITA A parcel of land located in the SW 1/4 -SE 1/4, Section 6, Township 44 North, Range 9 West, located in the Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the S1/4 corner of said Sec. 6; thence NO° 24' 40" W along the N -S 1/4 line, 1139.59 feet; thence 545° 00' E, along the Northeasterly line of a road, 811.56 feet to the point of beginning; thence N45° 00' E, 450.00 feet; thence S45° 00' E, 500.00 feet; thence S45° 00' W, 450.00 feet to the Northeasterly line of a road; thence N45° 00' W along said Northeasterly line, 500 feet to the point of beginning. And together with an undivided 1/6th interest in a roadway described as: A parcel of land located in the SW 1/4 of the SE 1/4, Section 6, Township 44 North, Range 9 West, Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the South 1/4 corner of said Section 6; thence S 89° 27' 36" E along the South line of the Section, 269.37 feet to the Northeasterly line of an existing road. Thence N 58° 50' W along said Northeasterly line, 164.02 feet to the point of beginning; thence continuing N 58° 50' W, 67.97 feet; thence N 45° 00' E, 600.79 feet; thence N 45° 00' W, 711.61 feet to the North -South 1/4 line; thence N 0° 24' 40" W along said line, 94.02 feet; thence S 45° 00' E, 1626.78 feet to the South line of the Section; thence N 89° 27' 36" W, along said South line, 94.23 feet; thence N 45° 00' W, 714.97 feet; thence 545° 00' W, 584.54 feet to the point of beginning. JUL 1 520250 Bayfield Co. Zoning Dept Bayfield County Register of Deeds Document #2023R-597809 Page 2 of 7 Real Estate Bayfield County Property Listing Today's Date: 7/8/2025 Property Status: Current Created On: 3/15/2006 1:14:45 PM 4 Description Updated: 1/24/2023 IS Ownership Updated: 8/12/2022 Tax ID: 1580 SCOTT & SHANNON VANDLEN MONROE WI PIN: 04-004-2-44-09-06-4 03-000-50000 Legacy PIN: 000 Billing Address: Mailing Address: Map I • SCOTT & SHANNON VANDLEN SCOTT & SHANNON VANDLEN icipality: (004) TOWN OF BARNES 303 9TH AVE 303 9TH AVE STR: 506 T44N R09W MONROE WI 53566 MONROE WI 53566 Desviption: PAR IN SW SE DESC IN DOC 20238- 597809 450C r S'de Address * indiotes Private Road R 51070 W IDLEWILD LAKE RD BARNES 54873 Calculated Acres: 5.166 Lottery Claims: 0 Property Assessment Updated: 10/4/2016 First Dollar: Yes Zoning: (F-1) Forestry -1 2025 Assessment Detail ESN: 104 Code Acres Land Imp. G1 -RESIDENTIAL 5.170 14,300 27,400 Tax Districts Updated: 3/15/2006 2 -Year Comparison 2024 2025 Change 1 STATE Land: 14,300 14,300 0.0% 04 COUNTY Improved: 27,400 27,400 0.0% 004 TOWN OF BARNES Total: 41,700 41,700 0.0% 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Property History Recorded Documents Updated: 3/15/2006 N/A 0 CORRECTION INSTRUMENT Date Recorded: 1/20/2023 2023R-597809 0 WARRANTY DEED Date Recorded: 7/28/2022 2022R-595710 0 CONVERSION Date Recorded: 373-347 ,tIL 1 52025 Bayfield Co. Zoning Dept. V-�AFIELD Property Owner: V.ANDLEN, SCOTT & SHANNON 303 9TH AVE MONROE, WI 53566 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Description Certified Soil. Tests - Review & Filing Fee Submission Number: SR -00285 Transaction Number: SR -00285-2F935 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 4012 Paid by: MICHAEL FOAT, 49755 E SHORE RD, BARNES WI 54873 Payment Type: Check Transaction Date: 7/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. $ 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: VANDLEN, SCOTT & SHANNON 303 9TH AVE MONROE, WI 53566 Description Private Sewage System (Septic Tanks) Submission Number: SS -00595 Transaction Number. SS-00595-2F84E Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 4012 Paid by: MICHAEL FOAT, 49755 E SHORE RD, BARNES WI 54873 Payment Type: Check Transaction Date: 7/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-83S STATE SANITARY PERMIT OWNER: SCOTT & SHANNON VANDLEN GOVT LOT: LOT: BLK: SW1/4 SE1/4 SEC:6,T44N,R9W TOWNSHIP: Barnes SOIL TEST: 77-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JAMES CLEMENTS TRACY POOLER Authorized Issuing Officer DATE: 7/24/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit Is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may Impede renewal. f. The sanitary permit is transferable. History -1977 c.168;1979 c. 34,221;1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 222924 Condition: Insulate where needed. Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 7/24/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION