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HomeMy WebLinkAbout25-111S pt2ujiscansin2.DILHRoepHRTmEnT OPiriDUSTWr'.LRBOR S HUFHf^n PIELRTIOnS | APPLICATION FOR SANITARY PERMIT (PLB 67)^//%f2/)-COUNTY UNIFORM SANITARY PERMIT #5^7^ —Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than SYzx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER £'^^^L AT^.A^TT/^-Y MAILING ADDRESS ^r- 2 <^A^r^s-.A// ^~^s^/ PROPERTY LOCATION 1/4 1/4. S /^-,T4^N,R 4>&WflD TOWN OF: LOTNUMBER &3^f BLOCK NUMBER SUBDIVISION NAME /1/^-m^wj Z?A^/^ NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER <sy-<ff> (p^o -/° TYPE OF BUILDING OR USE SERVED 23 1 or 2 Family Number of Bedrooms: 7~W £>a Public (Specify):/^^ THIS PERMIT IS FOR A: D New System B Replacement Soil Absorption System B Alternate System B? Tank Replacement D Revision D Reconnection [_! Repair D Privy D Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. D Seepaye Bed D Seepage Trench LJ Seepage Pit D System-ln-Fill D In-Ground Pressure D Vault Privy D Existing, For Which A Previous Permit Is On File, Permit #. D Holdind Tank D Pit Privy issued. D An Existing System That Has Been I nspected And Is Compliant As Far As Soil Conditions. Septic Tank Capacity TotalGallons # of Tanks Prefab. Concrete Site Constructed Steel Fiberglass Plastic Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM C01V1PLETE THIS BLOCK: 0 Mound D In-Ground Pressure Septic Tank Capacity TotalGallons eec? -#of Tanks / Prefab. Concrete Site Constructed Steel Fiberglass Plastic Lift Pump/Siphon Chamber S~£>a Manufacturer;/^' ^s/na^e-^ PERCOLATION RATE(Minutes per inch): -s. 30 ABSORPTION AREAREQUIRED (Square Feet): z^o ABSORPTION AREAPROPOSED (Square Feet): S<S-6» WATER SUPPLY: [3 Private D Joint D Public , the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.^^Name of Plumber (Print):. /:?D e^^</ ^a^ /^) c^s^e. ^ Signati MP/MPRSW No.: 3^3 S' Phone Number: 7/s\ -7^e-33ss^ Plumber's AddrSss: y /y.^.&x^^^ <f^4-/ ^ -?-^^y Name of Designer: ^72 ^Lf^c/^s'^'^j COUNTY/DEPARTMENT USE ONLY Signati^ of Issuing Agent:w ^^^- Reason for Disapproval: Fee:•i!^^Date: /^/7-^/Approved Disapproved Owner Given Initial Adverse Determination Alternate course(s) of Action Available:® 1^ JL 2 8 2025 DILHR-SBD-639S (R. 5/82)DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber i.' uep1 E2DILHR sircuswv.u^BonsMumanna^monsi SANITARY PERMIT GROUNDWATER SURCHARGE County. Sanitary P»rmt1 No.^7^ On May 4,1984,1983, Wisconsin Act 410 was signed into law. This legislation is more com- monly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The surcharge took effect on July 1,1984. All of the water that is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. lsw"%2 f.&-^-' Groundwater Fee: '^,ss',s£- Date:/o-/7-0c/ Grouni Wisco<buried] Mirt':li fflui! Jui 28^5 !l!i/y/. :'€^M^.^ ":%- ,D General Plumbing Plans Private Sewage Plans Safety and Buildings Division Bureau of Plumbing P.O Box 7%9 Madison, Wl S3707 Telephone: (608)266-3815 .,;^ l.fJ^'&^.Cfe.. :tKca^=£L,SiX (5^( ^ a< '""!';A;-" ^oj6ct?me • : I^^^.i^js^vjr^^ ^_ Project Location - Street No. or Legal Description L,(..3^, > 4, ',3. &^ ^^<^%^ '?. .' :v':" "::," f|:,City;S Village ^own of: /^AMA<M<^' iL^.-^.,_'^ ^>,.__ . :"' '""^\^ ^vS^.^ ^ I^e'i.pturfibing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is ,<8as6d'on Cha!pter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval ,4s.{Stfntingent upon, compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the s.'gft^i.village, 'tdwfiship or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of .; ptenSiii/ith the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be nVde^'.-' "•..•..•;•'" : • ,' '•••••, , ;:K]"¥OR CENERAI. PLUMBING PLANS: \^''". i:'\ ^Tfits appiroval.will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. 'ftlR NSWE SEWAGE PLANS: : ^ This approval will expire two years from the daTe'approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary ;,:',:: ^.permit expires. CoKTimehts; ^' •,.)'• •:,;.. ' • • . -:"" "• . ' 6y> .',;.,'- \ /^ '" ^^yyei&y.jt IDj "U'IHE ^ JuL 2 8 2025 James Sargent';, fiureau,Director ,'i,{i;Questions Contact e^ Plans Approved By: ~t D H&R & Rec. San. Section D Facilities Need Analysis Sectiur D Department of Agriculture ec: I'.. DILHR-SBD-6099 (R. 01/B4) D a ows 'County UW-SSWMP Owner D D D D DPS Local Pl Plumber Other a:^'.' ^-il'-sn>!sA<6feg^s^fa IK, .."<A,4A6<£>-^u> .^,n , . .. i-,^;- .-, -f, i!^v[%^S^^^i!^^S^^i^^fed.!i^!^J<SSi^ ,atf»utA,bt.«.te-<»«».— p.u'^^.ite sysrf.M HKSIGN ..^..^..^^»,....^.^^.^^^.,<^^^^^^tC^&>,i;;S^fe2&^^^^^^^% ...' ,'^:.-^^^^^i;l{>^^SS,'' ..\ ^ „• ;'•' it;.^-)'l" ';, •^'^-fy^eip^w}":'!y:''fS&si^S. AfJDRY RASMUSSEN & SOMS,1K'%5S¥S Pig. - 1-tti' - Concrete ?"ptic TanhsiG,-^''I-''^';<a%:| C3Ue, Wis. 54S2L- 7 :^;^ •^•''^•^J;" y, 'I y^; . /r~^^/_ /•<-/<s.^/ 7'^,^. y" "Z-A..^/.-", 1^7, Sellers ^ 211768 - Ph. 715-798.3355"..; Master Plumber & 3938 ,<9,.^-••? ,/'• 1..-.'^;•av— ^^^izin^i i'esirienbL-a... lr-;0 ^W^->y X^l^^ Cormorcial.... See R^3 ^y^f^r^Nii-lin'-- T'a+PiR' " -/(^!»W 'B,-;»Loiriin'- rate SL. 0-10 mid.= 1.2,.^ 10-30 nun.= .'8 30-h5 min.3 .72 h^-60 mn.'-.h •^/^•' - ,^^ i /-^^•i^'- -r-t-^'—-'*-—-<———.. ^^^fc2.. f^.^/f/?/c^^c^\ <^y-~.<«*..-'.\''J;-- . 4 —-•^^Sfc—. ^- ,-.-^o ; 3o. •-^k-.' :^ ^^.:--,^•Ifc",;;'";"^fi^.~";X¥''^ .. WM^y"La^ral lenffch- IA .•'-?'" \ / j^^^contral (or) &nd Manifoi-a Be^f 'or trenchlenp fch- 3 --" ^^ \ Bed or trench width-_^_^-'' s ., ... C<^),/ ..^c'i£s5^7^^vi^^^W. '~^* ^ .'_. ,. , , ^''^f'/^ 7^-^./^J^^ ^?':fce^ Literal Dia. L_" wAi" holes evsiy '1-" ft. (^ee fcable $) " ^; ^, •^•1^ rsw^.^-^\y^'^ ''- '^" :/ Total Gischarpe Rate: 1,5 "'PVV Literal lengbh w/ ^ _ holes par late ral, "••, See table 5 /^ ,„ i/^ • _ :• ; .'-S;!:^ M..I }^, /)) IAl- 1 '> \- Mani.fold, size: (;3ee table 7) -^"^^3Manifold w/ Cn-,'r-^ ^ ..Manifblri^ .?--';Si?Siy'.'i£BP-%?1 t^nimum Dose Volume: "/s> '^ga^pns as per table 11 (or) See table 11 » Daily loadi-n?-; rate y>oc' '''i""~:SSSo^S^yi "?-dose s "/day Gallons ••^BiicHii .Total Dose Volume; ^•^ void volume T / '^'•^^•wM = Min. dose vol. + Drain back ( clisi^ajE^j'ip^^^jj^^^^ 'c //.r'•fc ••W;..F?' '*: .'' ^<^.'~> •'~.f'l[-[-\\'' '; "• i^^^ivr:.<9"&:^?k'.^?^(voi.d vol.= 2^1.3i"enr ffc" x A—gal/ft">4> —(^l^-Jgallon^/Nal%^'SH •>'.' • ^'-'•^^-'^'i^A:--' Min. pyrap discharge!rate ? No. of lafcerals Uble 8 ;l- TOFAL DYNAMIC H&AD: _/--5_Vertical <$'3.^ffc. -+ Distal Hd^.^ ft. Fricbinn /./t> fb. T3H 7 v^ _t .Ft. ^^^%%tS^&loss/lOQft ^:<^^^l^WQ_2-J1 cliscbar^^j^.r^^^ of friction ..lass .•:-;a.:!:."^'-'-:;'S '-S^'^ ^.^ '. f'.--' •'".- •.t7\'-- : Pump -fankJSize: Min. ?00 pallon or See Cable U3 in H63^ ~— Commercialo.. ?h hr. holdins cap. above H.W. Alarm n^^w ^ ^:^pu°^?(f-3^^.. Pump Soledfcion'. ['loa-n SBG aLtachrtd P;CTP opuc. shoe t Model// ^_^.^^ M ff, • - <s"c-i<^-S. _. :M?'¥^%St":S%8 ^-^ ••"' • bb 't,wa^;;^":(Si.^% ^^fVs ^s^ ,is-.i-T*,y-^aet f-^-^riwuync-j-.;!^^-'r-.^.^•^:.''^'.'-': '•: 1-<—^05 -'•~-^s^\ [r'Cn.l 9= re^; f\3 Ln-nJ co ;==. ^' .—--.=cr> :;=.=-'I^J<~n [nn3 ^^?v.uc^^t^s /-f>';" ~" .'^"-•t"';:t^^^S:!~'K{liiilNil?i'"?y;;5''' BSIW[KrS^.^SiS^S:S/S^:i^;^£^':M'-c!h':^S'^\:WM1!V^ T': ^•,^''"i^^w^^^M^.^w^^:s- ^SM^:!:i^:''y:M\f^'£^^^^yw!^^,^i''-j^:'i^ff^^wfi^1'''M^Kiv'^K- y'^':'!'B8BiSi1^?^'^Sr''':'3ii.\^'^ :':*»f ss'^^y'-^' 9ftK'-^'!:'^^SlteSI^II 'iSSSSi^MIBIitSi^^'l ISRJISI-^!liiS1®%P^•^^Mfc.^)^^ ^.-iiii^KiyM^ ";riiiilS!li:t'!l vS!Sys:-f^':^1^":^ ,i ••i:.y'iyZfi'i";~':'-:'ffr^ •;; \ (<>,;"!1ifellilifc:;^ELiiSii^K^':|:Iyii'.'^l^%|-:%^^;;y^^^yy :^i"1Ii^^.';sl-^-';'^^^::'.: ;si^!lwi!l&iI .alSIII!^U'&^&F i .SS^i^K'^&i^! ^ .RECEIVED. 06} SEP 211384 '^•^€^^•1}-'''':7i-\rT"^''^ i ':^- •v:'',-^'^: I^VSK I/'w'^" -1911 .".•"^..^l^-i •:• ^.'^:'^-1•'.^'SSS]'•^^s\.;:fe.^@ttl • ^W:^^si?• :s:aw:.Mli^&:si•'^'^^^'^^e:?""'• •••^'^^'^^^^.ff w^'^^^s.^^£^JSSi: ';."<f'..•..". '^W^^^i^^': •^^^••'^.•i"^^!^!?^ 7.'^TT-,.^S-,l:KT, ..'.•„ •^.^W'^K^^w^a^ 1 • '•'',•. •..d.A'ff.-tS- ^•rW''Tn!W"-ro.TO^B.!»g(^,.,CT,^^ '" "I! Vs' > r'. •' *,' '. •, ' t. iuni.BSfrA'dW.i-.^ ""• . • it.. l:ii.5;!';'jfcS)'aas /-^<^v-^/..-:-y-\ </6r z\ (^.L^ -^/f ^^s^l m . -. r~\\' < .'.y^'^^ix^'^-'^. '^..imii '.?i..r f' .' ••, ^"•^-'•s "-K \. "! 7<fSR'iSC;: j'^//'^SS'SiSi^•^•••^:'^l%iS;i'?%SS:'l..;/:...;:^: '• ^^^^^'11%. { ':. w\- :.v- ^'""'A^j.njfaSaS^. ...^ ^ t.0^ .^,^NDRy RASMUSSEN & SONS, INC. :y-' ^ pig- x mg -, Comets Septic Tanks ",-,^,; ' Cable, Wis. 54821 , ,'^SeKerg ^211768 . Ph. 715-798-3355 !-% -,^.,. 'Master Plumber ^ 3938 ;*.h •:;--^r;:j—77r"T-^'-M;:' '-/ ^' ^ ..y^tr(vW-Ht ^ L ^^fcy M^sWM^y" •'\W-^::9y;^SS^&'^ai; ''•^^'•:^&S!^^Jtf9SSiSs-':' y^^.^'^.'^ .'t;. i?^S^^!V\'^':^',,''.;,/ Z&^%?SfK^^?i."""^ ^•i':' :! '•'^"'•.•:(!'^ywsKWSf!''^SS>:^/^:?^^9wi9f^K ^"'ii^-"' ":f'f'^':-: i:..v"' ^1::^.;''; ..•"• .^i|,^3^r':^,;,;:-:::;,:'A^-;^'iT:ti;-:.:A".:'^:.; :;.^.-\:';.^,,^</y. ;;";;:?.;\ ^.''-.^ •s'..',t^:. ••,,;,':.:—- '"e"''^:i':"'-"''-.:-::'--'^^:'- '•: ' ••.••••: ^•i^^^N':;'. '^'••- .^'•:,;Y;;;,.:'. .;,^',' '•:.<'^'. •• ':'•''' ..^•'•^••••••',.r'..~- •^ ..!?;-> Porforated Pipe Detail .-'}>)".%-H 4-0 f1-:.''^.'"^-"''^'"'-.'"';1'..-"-.'..^.v'^^M^^'^.'^' "'{::..f-^'^'^"rivt^. ^',/' ^:i 's.:'\' /^< ."^s^;^,^^End.c°<>?,^<^^&liff^ttf:/(^Vi- -:- ••..-..'•^ .' ..•-'- '•':-,:' - '^ ''-• .' v 1: nd View Per(orated PVC Pipe .<, ;w. .•'..;.»-^ .,,,':'';":^/^.^ '.^';A:JO/ ^•'>• '. >'>- ^"•-. ^'^^' ""-^~.-^ />' ~^< J.iA.^&;,:^:^:: ! 3-'^^^-':^J^',^.71.^\;%,c- ^,'/^ 'V: y -^<?ps^"'....^-><'.,. ""^ .-<-^'^" .-'.-'' P'/C rcrce Main /-? From Pump \. ^ .0 ~^ ^ \" .'-' PVC ,. Manifold Pipe ~^^.^^ ^^''..•-•^•; S^"'' ^.'Y- :••".';- I 1''?%, '</^^,t^'j^ Lost Hole. Should 8 ^^fV'fK.':: ,;','^,w'' •" 'Next To End Cop'^^.'.""•f^^"^':'^:;^^ -r.'^K^'jy^^€^^v--^'']\,/''' 'S^^'K.-:,: .^ •Iil%^'-."^ .:•'!:'Distribution Pipe Bo Distribution Pipe Layout ^.•y w- -^^^yssssiSUM'ws" ®i '^^s.^eiixss,-i^^:M PLUMBIN ^^^:V^~^',.-..,i ^A-/^t.'^f lt'^''J^ ' '' -' ' ''^S^i^ff^^^^ ';"-fS^'.St,!^ •Q"'^'.'. •'/s;^. l^%j;'^"is/'^fe^v '•.'•":"-\',': '-" ;.:: "1Si&t%ai^ ;^—1''"';/'si^SSl^^^7 ;.^'!':'- .^^SWff:'sy''^'ii^'.:-''-''^': .• '^s^'.^^^K^i". ••/: '^: '' •,:t'SJS&%y'';;%^';"..;' '•i^ ...' -!"X:/:i:WMVy':''^ ^Ky: .." '•9,?'l:i;.'''::%Siitt;'€?:^,?;<-;"'^%:'..- , -"-' M?^;^?!^^'!'^?''^;^"^ ''*'" 'f'!BBii®S^^/;£^?''-''':'' ^iiS&S''W^^'''..!"" •^%l%i.^Si^^':.<;;i,^: : '•y''w^y.,^'it^i..: v^'.':; '•• '— •%5?^%i?;":-^':^:;";?":: ^. ;!S^ip^^y '^ ;:;;:•: -. '•; ^;; • ""'y 3'^KyK ,';"'"•"•' .-":•".;:^?^^'-^i^:^t^:€.F'^^':' ^."'•.;:^%|$i:%;S!i,^:-i:i,,;^ Figure 4 Straw, Marsh Hay, Or Synthetic Covering^ -Distribution Pipe ,.liiil%lt:L^::,^;'^aKS^SK'^:::- ':&'..^'iKS?l£ll.:;:::i.::^• '•''^^s^ ^"^ '•- •; •^. '.•• •:. 'si9^S&-^i' .Medium Sand- Topsoit •— €^^=Q}- Bed Of'y-'2 ^ •i-^'^ ^'^^^^^ANDRY RASiVlUSSi^&'SONS^S^J^?\g.» mg'-'ConCTet9;Septic"f^iJS^^^': Cable, Wis.'- 54821: -^Ssllsrs ^ 211768 ^..<v' t>-f •^^.?^^^i:sis& tj • \r^" '•• '^.'i ^ '_ •' ,I-?^f\..' ''.-'-••l^'-"-* "^'' <a^?f<!St-~f;,!'.':. IsK^./ '^:l!i%3i :::'"' ^'S^''sS? ^^.^.•.^M*^'"1'''^ '^^": ':'':TS'S •:.$'.ife :- -::^l<:'iPl ;Y-;i^:.^^y'"^:;^ } m :•- :.";.^.7^^*. •w :^ ^t^ ,''w -'.•^-^^.^^•^{ l'^,;^:%^':.;:Uiii&^^Force Main From Pump Plowed . Layer '--^A' ^^^ .^ '^-r. :'! in y A Mound System Using RECEIVED ',' ,|":?':' ySMS![ 1 SEP". 1384 ^.Jl. |?g| I ^ ^,';. ju^'^""t:'r^i;c!S! i:^?"? • '.^^•- L/^'^^t^'.f y ^',\\ .7. -'——.- -.^ ^<&. - ~ -....-—.- .------^-^.-^,^-<^^^,^ r^° . -: -':<'.fi^:^2S ^^),__1,._.__^ ^t?f'l''!:'l;l%'SS The Absorption Area ^7 ^ -iL. scrvadon Pipe //^-s'\-[•^y'•Q-}-- — ) «j -.„-_„-__..._ ___-__„„ Distribution Pipe Aggregate Observation Pipe i:^'';'-:?^"/ ••i'y'":1' '..:••:"•^ ^'w,;t;. ^ '' •^"^ '.' ^ :''"iS@il.w:^l.'^^p^^''^^syftiSSSW^^-^'iSS&S^S^;iS|^%|t^'^^^3i8KSSl:^R!^l^.^^^^•^£..y----^c^y—..... —]iS&i!S^'\'SKSi^ss^, H^'i:;'^I3^:? '.•.rMy"^s\ :..;. ':^i'^"^'i^^. •.../^^^^.-•"^'^r,i ^',.'.^@ ^-} ^.^w^'. ••M'"i;yC'""'..''-;4';.-^^f^',^?'''':'''IS®^'•'SK:^;1S'^M1^-^'^SiSS,SWSffi! ^& '&;*?? '^ft''"^ -^%NI%tl '•;'.'^. lt?58t%^:4.; ,/[:. .i'S-..-'^'.;t' IS;y'HTiS?@ i^l-.^^r.^^ j•e- wr''.-'t -'':'-.:-: Force MaiA^.^MSiii:\^\W3^':ffS^..—-U From Pump;.'-,^^^;^';,^^. iw's^M&i-.e^ :'':''ri. h'^.'^^M' ii;s%.^?-i§:s;s^i•"^f'^:;"?l^'^:?, isW^.':':-^ ;'¥^:!\ T".; :11 "^tSS^^'^''^.:- •'' .'^SSS^h- / :%.;^ : ^'\.PIon View Of Mound Using A Bed For ,T.,her;A^sqiupf]icW( |$rej>;%l^^^',,^y': ':^^:"~^- ""'." "'"'"' '""":' " ~"~'''" i[jj"^'Tj~!nr^ ^' ^^tswK^ •l";'y::^- ^:.".'"' ^S^ijsl&l^',^^-"^'..'-'""l^^:';;,.,)^^^^^"?";" ^_ .^ ,.,.2,^^'S^;^' '^rf?/:..."'"'''^isA^^s'^'^^ i.;';:/'•!..." ^y%^ 'y^^.^f' '&•/••"• •••"•- '••Ss&i-S^isS^^' W^ SS&^sS^^^-s: •«^^i /'..• / •'• N JUL28202b I|LiL .':... '•&;^^'..^/S!^'.^£i^ I.^^'^f'^'^'^^ii' I':\"^s^SSSi? I:.:- '-'^SyMSfMK^S&^'^Sff 0® •4^j5|||0|fgil:^SSjSy^S!• ''i'!":'^. "' '''..'.-;. .'.'•' :i'',''^:/.\..•'••.; ••.;-'* •^ i;"''::?^&. ')'<::'L^ '. ...•f'.:^_u!-%'l''/'-^_^^^ v-" • ,;! ,::»'r kfi,^^-^^ j .:^:""'' % :Wi:•"^-1^.^:'-','.L< ly'^;;" •*;*••.;';' ^t€A^.;. A^-vw ^r - y:iis^r^^ ;€^^^ u)i '•^%^:,^li'<^.^^^ ./w^i^^:'^t •:•-•''•''' ^'^^a-^:'^i^ ^ ifr:y^^"^a/^'^5>^ ^-^' v^^£>/^ <^ukd. •^^^e&^:/-^^r^^ /?& ^/ -s^i^yyow^.^s fe>^^i^^!^:'s.^^.^"•'^^'''•^3 -s:'•ys'^St'sss i^y/-^/^^st':^^:'-^ '••• 'J'W'i':S;t¥.^ i.':'\: :...'. '..;'";;.:^''"';-': ; ' •: ^-s!f-^ .'•• •"•^f'^^:':i'-V-i"^. ..M^S^:^'&^/^'^.^^^'•"^'tKy"'''''. •^lit;;';rfi'; :s&'\•^y^'^^'w'•S9%^SBN^:%Ki^w-'fiX:^i^.'^::: ^iSM€^::'::'^.^•i1'-? :":-..^"r ' .-'• ' ' '''';i';'":?;^^^"i-'^;:::w'"^i'i'^&^^^A^^':: •"•.•;;./.,-/•.. •;:-.^,^'^:?.'' '•>, ^' ••„; "': ...Vrf'-ii-.',:v^) N ^1:.'.'-''- ' • '"'••: "I; ' .."'• ^"•.f^h.-5'-^'. SC^<^'.' /ns~ >S2'i5G^S^. <&a^^s <SOQ-£f\^ SfSyyz^: '"!^<:^-^'^":'' ,,,m'>'-''^"'^..«- V;SKi>&". :^^ •»-/,.• •• .; ..to ,^'.^T •-^'.•' '. 4 V/Lfi ,00 / <S> ^orrs/Vs^e-SW^ /Sy •ss>/<t- ^s^.^^G-.. ^r-Z^V. ^B/ - 99^^ '"'^•^ ^; 'y^-^c. ..^'',"^;Jl''-*,, 0^. - f^.^S- /''^^"!~J%'..B: ©S^. -9-f.^ '•^?^y^ W. ^ey. —. //>/. ,0 .' ••^•; •.^^^' ^C^SJ -•''Vtw:- '.&.-. -f-'.'.-"''^^v'^r^f:.. .''.-'!- •_./^@§,^11ffiSs-iMIJUL-;2i8-2®:::t-: ^;?yTie^t;o ./•oi'iiDgFje^' :f;' ;^".—'!. • • ?''-»•»'-;....;'-'•.••^<' I ANDRY RASMUSSEN t SONS, SNC/;^ « Rtg - Concrets Septic^nB; Cable, Wis. :54821 ;;; .P^§e!lsrS^ 211768 . Ph/7is.?98.3^?Master Plumber'^^938'^" DEPARTMENT OF INDUSTRY, LABOR AND. 'rlLj-MAN RELATIONS REPORT ON SOIL BORINGSPERCOLATION TESTS (115) (H63.09(1) & Chapter 145.045) SAFETY &BUILPINGS^ DIVISION P.O. BOX 7969•g S r] MADISON, Wl 53707 ' LOCATION:\t1/4 1/4 SECTION://"/T^N/R ^.S\TOWNSH I P/IVH^HeH:>A-fclT¥: ) A/fi-m^k's-'jo ^ iLOT NO .^]^3,^4\BLK.NO.:ISOBDIVISION NAME: \ft/d. mA.l^-i'Lfo ^ ^A-^.^X< COUNTY:S^y^e^ lOWNER'S/ab&iSR'S NAME: ^3f-/ A/&/-1^A^/ MAILING ADDRESS:M- ^ ^///^ ^)/ V5-^-z/ USE ~r DATES OBSERVATIONS MADE NO.BEDRIVB.T J- COMMERCTAT7DESCR1 PTI ONT A/^D New [ZlReplace PROFILE DESCRIPTIONS: ^-^.^ -Q4 PERCOLATION TESTS: jr'^^s^ RATING: S= Site suitable for system U= Site unsuitable for systemICONVaMTIONAL:DS MOONOT IN-GROUND-PR6SSURE:gui' asQU IDSBUISYSTEM-IN-FILLIHOLDING TANK: (— (V//%%.V7'<»/7 DA RECOMMENDED SYSTEM:(optional) If Percotation Tests are NOT required under s.H63.09(5)(b). indicate: DESIGN RATE: A2-If any portion of the tested area is in the Floodptain, indicate Floodplain elevation: BORINGNUMBER B- / B- ^ B.J B- B- B- TOTALDEPTH IN, tt 2^ ^ ELEVATION 7?-^ ^f. ^/ ^ ^/ PROFILE DEPTH TQGROUNDWATER-INCHESOBSERVED .^7^^ "j EST.HIGHES /=-/=^/Vcy' ',—\ ^^^,0/-W^7 DESCRIPTIONS CHARACT-ER-OF-SOrL WITH THICKNESS, COLOR, TEXTURE, AND DEPTHTO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)_ ^-•^•" B/s/^ '-/--•z.z. ff^f ry^'s-cf s <^J/' ^^^ ^€17- ©>/7 " o-& ^5-/-s/\ S ~^4 ^rt-s/ ff4~ri 7 <SO<^5' Q-£ <S'/-S// -5"^-7.4t ^"^ /73e^/S (/'/o &/^/^/^ /s^^=- ^70'T-^ .ZO PERCOLAT10N TESTS TESTNUMBERIZZ P- 3- p- \? p- p- p- DEPTHINCHES l-s— /L. /<-- WATERTNHOLE A/-^ c ~r_ TEST TIME /^ /^? ,0 "DROP ~HS7&z^~7W- -[N-WATERTEVEL-ir\ PERIOD 2~^wT^r / 9/& CHES PERIOD^~^w ~79^~ "RATETVUNUTESPER INCH ^-.^ S .00 7.27. PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale pr. distance. Cte$crib^'.wl^t arp.\the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at ^Ti'bortlqgs^d'Ctheidirfectfen ^ percent of land slope. SYSTEM ELEVATION 4 v^P/ool(s> \ <%OTZ^ or&f^A/e- \ » ,Sb/<^ ,G'o^-y^& WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONSDIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of _ ^ff^^i/) Location ^ 1/4, 1/4, Sec. /^ > T ^ N, R -^ ^ (or) W Town or Municipality Hfl/^^ff^^ __ Street Address Lot No. 6^^ , Block _, Subdivision /^ffMWft^^ ^^: J//^^' 2'^. Landowner's Name: /W/ /^WT^V . The application for this site is for: ;_inew construction use. replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: i. 1 to have one of the first five approvals guaranteed for this year. This is number - - of those applications. (Use one of the first five quota numbers issued to you.) E lone of the applications needing a quota number. The quota number assigned to this application 1s _-_-_. Dfor one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, 01- first cousin. l.~]for an Individual lot for which a sanitary permit was -issued but was later ruled unsuitable due to new or changed soil criteria established by the department. L.Jfor an applicat-ion on file pnor to February 1, 1980. LJ for a lot that meets the criteria for a conventional private sewage system. If this-'-is a REPLACEMENT SYSTEM USE, the alternative private sewage system 1s replacing:^ ^ Qa failing conventional soil absorption system. , ' |^' i ! i • ' ;: ;, [_]a holding tank that was installed and -in use prior to February^, 1)^0^ 0 L[]L:1, ,1 a privy that was installed and in use prior to February }, 1980. If this is a REPLACEMENT SYSTEM USE and the lot meets the criteria for a ;"^VT!":';|'; ul!, ;'ii"!r'L; ;j°o', I : conventional private sewage system, check he re.[| I certify that the above infot'matlon is true and accurate to the best of my Jl knowledge. J Name _^ffllhfl> ^ /^^/f/? S'ignature <y/S^^^^9' ^0^t^^-J ' TCounty Off Ida 1~) - 7f 7 7rI Title fil/} _______________________ Date ^--2^-^I ! -_.^.1 —~~~—— — ~^I ' DILHR-SBD-6158 (R 12/82) d^,' BAYFIELD COUNTY ZONING DEPARTMENT Telephone [715] 373.2392[715] 373.2878 Bayfield County Conrthouse Post Office Box 58 117 East Fifth Sh-eetWASHBURN, WISCONSIN 54891 September 20, 1984 Division of Safety & Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Gentlemen: This is an on-site for the Earl Manthey property located in Lots 63 & 64 of Namakagon Lake Shore Subdivision, Section 14, Township 43 North, Range 6 West, Bayfield County, Wis- cons in. Two borings were conducted in the area of a proposed mound. Limiting conditions were encountered at 17 inches and 20 inches. The estimated percolation rate is less than 10.minutes per inch. I feel that this site would be acceptable for a mound if the 24 inch requirement can be waived and the fill depth increased accordingly. Sincerely, Raymond J. Klump Asst. Zoning Administrator RJK: j j S?OZ5 -* 3 L > A > - y . ' s .- . ii ? ^,\ W t l L & t t A J l ' ? ' l - * 1. ^ ^ 1: i & . { " ' l^ - l IU^I State of Wisconsin \ Department of Industry, Labor and Human Relations UCtOUt-r J* ('•.184 ^FETY&BUJLfitNGS DIVISIONQu re du at i'luiiiou<9 201 £asi Washington Ave. P.O. Box 7969 had 1 son, Wlseonsiff 53/07 Mr. Ear! Manthey Noyte 2 Cshie, MI 54821 Petitiyn Nu. 84-Obv40-P Dear »f»1r. Nanthe.y: 8": Earl ^nnthe^ - Residence Private S«waae Sjrsteffl Lots 63 ard b4,14,43»6w Town of Namakagon, Bavfteld County. NJ T!w petitiofi for a variance requested to sect.ion ILW 83.23 (1) (a} 01 the yiscunsin Adm-trilstrative Coue was constdereti on Sfeptonuer '?1, 1984. The petition has bfcgn cond'itiop.y} {>• dppruveJ. Tttc ciittu! Uot» bfci^ t;«»it. In tfafc event of failure, the ?oan<i s^-stew shall w. replaced with a t>o}din(} tank or other off-lot systeea* The rule reqyires that a wun?! sjsteii! have d Bin1®ti% of 24 1rcha:'s of su1to>>ie natural soil. The variance requested uas to install a rcpUeen^Rt niQuno syste® on a, site with V/ inches of suitable natural so11. At} of the oata dmj stateaents sobfaHte^ on De?.a5f of the petifiorier were considered. This vdriance is specific to the sutyc-ct petiU&fi an<i carmot &e used ror <SRJ atidltfonal »o<JificattQns. Sincerely, Joiaes Qu in lan. Chief Section of Prlvafee' Sewage JQ:PEP:J& ec: Cjirt Uppert, Prlvdte ^ewaafc ConsuHant - uistr1<;t 9, Ashlaoo 'ffavui U»f», Zoning Administrator - Bayflelst County Andr^ Rsswussen ID) JUL 2.8 2025 Bayfietd Co. Zoning Depi DILHR-SBD-6423 (N. 04/81) IS^DtLHR PLAN APPROVAL D General Plumbing Plans Private Sewage Plans Safety and Buildings Division Bureau of Plumbing P.O Box 7969 Madison, WI 53707 Telephone: (608)266-3815 :M:r K^^HJ- ^"")<.. <^^ :c:::^.-^,^.)V. ^ ^^^ )^a\ OFFICE USE ONLY Plan. Identification No.l:.;l^£^£b. Gallons Per Day 13i^© 7 PRIORITY PLAN REVIEW ONIY Plan Review ^•^;^D^ BgetJtion For fvtodifieatioh i_ Project Name UJ\vJT^ ^ Project Location - Street No. or Legal Description ^<o3.<o^. 14^3,^4 A^AW D City D Village *^<Town of: AJAM/1 •<A<$^1^3 Cour \^\^\.r-~, The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. D FOR GENERAL PLUMBING PLANS: This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. £3 FOR PRIVATE SEWAGE PLANS: This approval will expire two years from the dale approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. Comments: By: [iy ''<t^7S<SW^T^"" \\\ JUL 2 8 /'O^ 1^ Bavfieid Co. Zoninq Uepr lames Sargent lureau Director •I./'•' ^/' //• If Questions Contact 4' Plans Approved By:.-'' //•/f^ ^ /^?(/.^ ^.^ €. ^W^-' -7<-^ A^pro^ed: .^ 3D-6099 (R. 01/84) ec: ;BI OWS -^S? County D UW-SSWMP D Owner D DPS D Local Pl D Plumber D Other a H&R & Rec. San. Section D Facilities Need Analysis Section D Department of Agricult-ure Qctober 16, 1984 Dennis Rasmussen Cable, WI 54821 Dear Denniss I've just receivfed notification that the Bureau of Plumbing has granted a Petition for Modification and approved plans for the installation of a mound system at the Earl Manthey residence located in Lots 63 & 64 of Namakagon Lakeshore Subdivision in the Town of Naraakagon. The permit for the private sewage system can now be issued as soon as we receivedtfaa following items from you: 1) An EH 115 form. 2) A PLB 67 form. 3) A copy of State Approved Pd&ns. 4) The EH 115 filing fee and the State Sanitary permit fee totaling $76. Please submit these items at your earliest convenience. Thank you. Sincerley, kMwel 9f/X^/^' David K. Lee Zoning Administrator DKLijJ Irt ! ^ 11 W ^iL^ ^ irl JUL 2 8 202? ., ^oni11^ r-ioln' SEPT/C TANK INSPECTION FORM I. APPLICATION INFORMATION (Please Print All Information) Soil Test No: State Sanitary Permit No: (Required) Property Owner's Name (YlnJp t)r\^^^ \<3PM£^-\y ^;1 County ^y\Bayfield Address of Property^99^^,/^PProperty Owner ^ lClaiT?iaAddressJ3^ ^r^^^cJ City, State / Zip Code rA\. L^r ^fi2i Property Location: 1/4 1/4,S ^ ,T ^3 Township: ^}c\^cJ(^\cy^ Gov. Lot #: City, Stqte ^ S>-W<?h^v. L'J *>- ZigJ^odeSsmII. TYl>E OF BUILDING: (Check One) Phone Number^09-S31-/JIS-1 Lot #Block #M CSM#:CSMDoc#Subdivision Name: D State Owned D Public (Explain the use/purpose 0 1 or 2 Family Dwelling - No. of Bedrooms Tax Number(s): c?4 o3S ^ S3 <^ tS io6 xyi ^ 0 ooo INSPECTION STATEMENT: (1) Does the septic tank cover or inspection manhole(s) terminate above grade? Yes ei. No a If Yes; is the tank or manhole cover securely locked? Yes j< No a If No; is there sufficient soil cover over manhole? Yes D No a /U»l (2) Is/Are the cover(s) cracked or broken? Yes D No f^ (3) Is a filter present? Yes a No<d<. (4) Has the filter been cleaned? Yes a No a (5) Does the tank appear to be water tight? Ye&tS No a (6) Is there flow back into the tank from the drain field or dispersal unit? Yes«g^ No a (7) Are the baffles in place and functioning properly? Yes 6^ No a (8) Are all the inspection pipes covered? Yes j^ No a' (9) If a vent is present; does the vent pipe have an approved vent cover? YesiA No D (10) Is/Are there any other conditions or problems that hinder the proper operation of the sanitary system that need to be Corrected? Yes D NoiSt. If Yes; explain: (11) Date of Inspection:r)l^l '1<S~1 —?T^ T- y ^^ Volume in tank at time of inspection: ftoo/ ^ Ui; Time of Inspection: _,y(,o0 Date Estimated to be Pumped: T)l lbt\ Does Tank need to be pumped? Yes a No p^ T IV. RE^PQNSIBILITY STATEMENT: the ydder^igned, assume responsibjlity for the inspection of the onsite sewage system. (Print)Lic^sed/0i-edje'ntiq)e9)l5^p^5tor Naijhe: (Pri/yr^v^y//!Licensed/Cred^ffljaled Ijispegto^Sigpjature: (No Stamps) IS^ic^/A<> License/Credential No: ^3of).XZ In^pector'^Addre^s: (Street, Cit/State, ZIR Code) S^&5^. | Home43hone: / | Business Phone: .5^0^.s~.^__L^^-^..<(^^j^L -1 ^--^o"^'o '' W-W-(^%t)V. COUNTY/ DEPARTMENT USE ONLY' ' D Approved D Disapproved Owner Given Initial Adverse Determination Date Issued:Issuing Agent's Signature / Date: VI. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:^ R il ^ [? Ir^ID) i iKUi j i£ l!ii This form must be returned to the Bayfield County Planning and Zoning Dept, if you do not have a i^r namsj ar@ |*a^%ord-1-^u/forms/puiVi[i)ersin's|!)ebtion?orm (June 2018) -'3VT!e!aCi. ?umngURDt. BAYFIELD COUNTSSANITARY PERMIT APPLICATION Zoning District. Lakes Class ^T. APPLICATION INFORMATION (Please Print All Information)(Please Print All Information) Property Owner's Name: MO^C- L ^fVrt^o.^ f ^<->5<:v>/trA-<y S. Ql^of Soil Test No:SNO.-^?/'A)O/ C County:Bayfield Address of Property: J/3<??^ Co HL^ 0 0^1^ UI: Property Location: y< %, S/5 T^/J N,R 5(^ E (or)( Property Owner's Mailing Address: i3^ S\>r <^cA ^ Township: /<JCLV1/<C^CI^OC\ Gov. Lot #: City,.State C^Ao i^^L^&^i (/3 r^II. TYPE 8t= BUILDfNG: (Check One) Zip Code£^S~S<f Phone Number ^•y-a-i^ Lot #Block #:-CSM#:CSMDoc#Subdivision Name [_] State Owned D Public (Explain the use/purpose @ 1 or 2 Family Dwelling - No. of Bedrooms I Tax ID#: 3got).S- III. T^PE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A)D New II Replacement II County Private Interceptor Reconnection Repair II Revision ** II Transfer of Owner (List Previous Owner below) B) |_] A Sanitary Permit was previously issued. Previous Permit Number.Date Issued: IV. Tl'PE OF NON-PLUMBING SYSTEM: (Check One) * Replacements need previous permit number and date filled out above C) II Pit Privy \_] Vault Privy (Vault size:lallonsor .cubic yards) II Portable Privy II Camping Transfer Unit Container [__] Composting Toilets II Incinerating Toilet V, ABSORPTION SYSTEM INFORMATION: Gallons Per Day 2. Absorp.Area Required (Sq.Ft.) 3. Absorp.Area Proposed (Sq. Ft.) 4. Loading Rate (Gals. / Day / Sq.Ft) 5. Perc. Rate (Min. Inch) 6. System Elev.(Feet) 7. Final Grade Elev. (Feet) VI. TANKINFORMATION: Capacity In Gallons New Tanks Existing Tanks Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel Fiber glass Plastic Exper. App. Septic Tank or Holding Tank ^00 g(DO ^IH^Cl^^ Lift Pump Tank / Siphori Chamber Sx)0 SCO ^it.wtzSSf*^y ^•l^ VII. RESPONSIBILirr STATEMENT:AI the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner's Name(s): (Print) If applying for Section C above Owner's Signature(s): (No Stamps) er's fSign/Hure^)(ljfo Sta/tipPlLyn^er'S Name: (Print} {{applying for Section A or B) above > o^; ^ ^ ^atfLey^_ MP/MPRSWNo: ^69^5 Plumber's Address: (Street, City State, Ziff^Code) \1- -Shoes' YU. L^O^ Or Dr^m^J^f^S^ 1-l^me Phone: '2 Business Phone: 9/5>-W^8G VIII. COUNTy / DEPARTMENT USE ONLY ^Approved/ Disapproved Owner Given Initial Adverse Determination Sanitary Permit/Transfer Fee: ^.^yIX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPFfOVAL: Date Issued: 1-S'cSl Issuing Agent's Signature / Date /ywi}^sf!^\r-., ic ;- ^ I ^9 ^ ifID) 6 ^ u"' |!| R 7071 Plot Plan on reverse side ,V^!i-' '"„, "Tii-nC; l..;K;-" ^ - =ARCE- r... -1"'y ,! ,^ "OWNSHIP 43 NORmRANGE 6 WEST, ;;;. V- . ':SCONSIN. D. 1 K" I.P.I66'39'09"E-1.25' ••ROM R.O.W. (S30'i2'E)N30°Q3'45"W 16.93'fie.92') •"^ ^ ^<^|i;r"-£L-._ OX. ORDINARYWATER MARK :ft" ..^' ^.- ...->' '/' ^V^YO^S f ;^ ^S^AR. .-?' -: J. r^^'^^- ^OA^R.O.A'.: <f?, FD. 1"!.' W/2"NI LINE T/ R ic ;r: K^ ia E !n LINE L1TT BEARIN N45°52'40' N45°50'51' •-. ^ ':"K~^ MARK '3 AfWQXiMATE AND ^ C •'.'L''', •> ;/^/(JZ5 iy Rqyfieicf Co. Zoning Dept SURVEYOR'S CERTfFlCATE; I. PATRICKA AfCKUEN, WISCONSIN PROFESSCERTIFY THAT THIS MAP WAS MADE AT THE £ABOVE DESCRIBED AND MAPPED PARCELS, /CORRECT AND ACCURATE TO THE BEST OF AMINIMUM STANDARD REQUIREMENTS FOR St