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HomeMy WebLinkAbout25-113SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoninpObavfieldcountv.wi-gov Note Time Change fl Discrepancy fl Other 1?c-- T&o.,s Phone Number -7_s-5_a-0it3 Plumber: /09 dney i" < Fax Number /j.'/c1 cvi s'rs3y Email Address Homeowner: 4/,q4& 4-n Z '+k 5e yQt.4 5 tticch+- mil, ..J Immediate Phone Number So Zoning Sanitary 113'S Dept can call you right back (if needed) Permit #: d5 Plumber's Choice Zoning Dept ('lb ( �� No Inspection(s) during this time Date: Tuesday (9:30 am - 12:15 pm) (Tracy) Plumbe oice Zoning Dept Time: Township: Address#& /7010 Cw i3lc S✓nsC' { R&( Road Name: ��6ft w= StiF:zl or X033 Directions To Site: Comments: " Plumbers you must verify any change(s) by fax or email "' Notes from IZPrivate Onsite Wastewater Treatment a Systems (POWTS). Inspection Report (Attach to Permit) NATHAN & SHANNA BORTH PO BOX 353 IRQA[WOOD Ml 49938 aiyl3utposesfPflVacyLaw,s.15.04 1 m City flVlllage fliownot setback to: County Sanitary ermlt No: State Plan'Transaction ID#: Parcel Tax No: TYPE I MANUFACTURER CAPACITY Prop. Line Well I Budjng Air Intake Road Se tic E W'" a UMM N/A Rosin I N/A Aeration ir N/A Holdin Pump I Siphon Information Pump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Disnersal Call Information ' DIMENSIONS Length YL # of Cells 2 - SETBACK FROM Pr ,lone in tQfeN /{ of Cell TI. - l /k / f (�j q I moael Number. Pretreatment Unit Manufacturer: Model Number: Dia Dia Elevation Data STATION I FS ELEV Benchmark z Z 07 Bldg. Sewer Tank Inlet Tank Outlet C_, d �%. Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold 99; qz Distribution Pipe Infiltrative Surface Final Grade X Pressure Systems X Hole Size lx ❑ Yes ❑ No foil Cover Depth of ❑ Yes ❑ No DOMMENTS: (Include code discrepancies, persons present, etc.) 1 UPS cPtJeI7 fI14 S.�7& Ian revision required? ❑ Yes No I / l �7/ mother side for additional information. /d �Y ❑ Yes ❑ No Date POWI'S Inspectors Signature iRn_R79n rR n'Lv11 License Number Property Owner BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61$8 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zonino(�bavfieldcountv.org 117 East Fifth Street Web Site: www.bavfieldcounty.oro/147 Washburn, WI 54891 NATHAN & SHANNA BORTH Information PO BOX 353 IRONWOOD MI 49938 As you know %Bt7ce Y5 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.septiesearch.com Notes: Abandonment of Old System to meet all applicable code requirements: Tank was pumped by: o Tank was crushed / removed and pipes disconnected by: at AM/PM On d < at 72, (AM I t e 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: U/forms/sanitarypropertyowner-input April 2019 `yptrARf17L1!� '3 �iy�S�V•`i Department of Safety & Professional Services, Industry Services Division County e' Sanitary Permit Number (to be filled in by Co.) anitary Permit Application State Transaction Number In accordance with S 3.21(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 Professiorial Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1Xm), Stats. -� �y �,q (3� Sr.+n S�t� t6�Jt eAb4 r.+� i I. Application Information — Please Print All Ilforniation Property Owner's Name Parcel # • sM4.n a— OW— Property Owner's Mailing Address Property Location `� •O : 'a )g 7T-3 Govt, Lot '/, Section 1 City, Stale I Zip Code Phone Number / T 143 N R E o M. Type of Building (check all that apply) Lot # 1 or 2 Family Dwelling — Number ofBedrooms L4 1 Subdivision Name ❑ Public/Commercial — Describe Use Block # O City of ❑ State Owned — Describe Use O Village of CSM Number fR Town of�3Le 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 if a licable. A. New System ❑ Replacement System El Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. 0 Holding Tank � In -Ground ❑ At Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) I I C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV Dispersal/Treatment Area and Tank Information: Design Flow (gpd) d® Design Soil Application Rate(gpd/sf) C) 1�J Dispersal Arepa-Required (sf) �J � Dispersal Area Proposed (sf) 94j ._ System Elevation �. V Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer o w atgtl oa awC7 u " c, t?, New Tanks Existing Tanks Septic or Holding Tank Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS on the attached plans. Plumber's Name (Print) �EG••1A.•r�v S' Plumber's Signature P PRS Number Business Phone Number I7,_4_I7 Plumber's Address (Street, City, State, Zip Code) / t / 6 qr 1 RaJ 1-/;i1Le1 VI County/Department Use Only Approved O Disapproved O Owner Given Reason for Denial 400 Permit Fee `_' Date Issued Issuin Age ign we /'' ✓ Conditions of Approval/Reasons for Disapproval '-et aJ7€Tci cI II/0? v L AUG 192025 Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 lnches'fn s'fzo'• �0fl!no Derr( 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 Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map /'i.4-,,_/ 74A.+J Project Name I Description Nathan Borth In -Ground Gravity Owner Name(s): Nathan & Shanna Borth Owner Address: PO Box 353 Ironwood MI Phone: 906 285 9022 Zip: 49938 Project Address: 13010 Cable Sunset RD Govt. Lot: 114 of 114, Section 18 , T 43 N -R7 E ❑ or W Q✓ Township: Cable County: Bayfield Project Parcel ID #: 04-012-2-43-07-18-200-116-01700 Designer Information Designer Name: Beau Youngs Designer Address: 109 Cary Rd Hurley WI E-mail: beau @youngsmechanical.org License Number: 1208204 Remarks: Phone: 715 .862 .0113 Zip: 54534 This space reserved for approval stamp. f) f Ii ?9 i [[I] AUG 1 920Th 8ayf'efrl Co Zon rig Dept. Signature: e � • ' �� g Original t e required on each submitted copy. Date: �7 CHECK BOX AS APPUCABLE. CHECK BOX AS APPUCABLE. F' SOIL EVALUATION Scale: 1" = 40' © SYSTEM PAGE 2 OF SITE MAP 0 40 60 80 PLOT PLAN PROJECT NAME: 102 DESIGN FLOW: �.e e _ GPD VA Attach design flow calculations for commercial plans. PROJECT ADDRESS: / ?Osy (.4 731. A Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) NSanitary Sewer. l BM Symbol: -i+, 8M Elevation: /00 FT Azlog Force Main: _/___________ BM Description: 'fie " L r7 a rir1 ice_ Indicate north by IMPORTANT: Slope Gradient (°.6) i•Z Well Symbol (If applicable): Q drawing an arrow Show ground elevation contours at suitable intervals. of Tested Area: on the approprite line. LI 2 - rot.,. i o r j ,Uri I00 I,1 ' ( i(i 1r� AUG 19 202. V�i� lrf Co L0l Dept IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) L. cc SOIL COVER min. 12" (typical) Septic Tank(s) Manufacturer: Septic Tank(s) Volume(s): )ay gal gal gal gal Effluent Filter Manufacturer: �y14I3tc Effluent Filter Model #: ca 12" min. trench depth (typical) TYPICAL TRENCH • a. ,. CROSS SECTION VIEW (typical) c •` •(No Scale) System Elevation = ��. ft (typical) Quick4 Standard -W w/End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) -/L wit — — — B= lr'i ft (typical) INSTALL PER TRENCH: )2- Quick4 Std -W @ 20 ff EISA/chamber = ' u ft' + 2 Pairs of end caps @6 ft2 EISA/pair = ft2 = Proposed EISA per trench = Z ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. HI I A = 3.0 ft 'Yl—J (typical) TYPICAL TRENCH PLAN VIEW (No Scale) `Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. Required Infiltration Area = Vr7.1-Ift2 x 2 trenches = Proposed Total EISA = ?a. ft' Distribution Method: C) m W 0 n a PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground 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 = 600 gpd; BODS ≤ 220 mgL"'; TSS ≤ 150 mgL"'; FOG ≤ 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / 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 (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: Beau Youngs Local government unit: Bayfield County Zoning Local government unit address: 117 E 5th St Washburn WI Phone: 715-862-0113 Phone: 715-373-6100 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 c pqr e�t �yl U r abandoned and replaced by a code -complying dispersal component in a pre -determined area of s blue s tl . U IN) AUG I9ZO15 System Abandonment -� u,n,ng Dept. If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 4" CAS I TET N � V TANKS ARE I') SIDE VIEW EXCEED ASTM C-1227 CAST -A -SEAL J- OiT :.a U s I WLP1 250 -MR TANK SPECIFICATIONS DIMENSIONS: WALL• 2 1/2' BOTTOM: 3' COVER: 5' MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 52 1/2' G LENGTH: 10'-0 1/4' WIDTH: 7'-0' BELOW INLET 41' LIQUID LEVEL• 36' WEIGHT BOTTOM 4.845 LBS. COVER 3.865 LBS. INLET AND OUTLET: 4' CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN. SEE DETAIL X10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 34.81 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY 1,323 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 J Ca REVIEWED BY t3 REVIEW DATE pF, DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 PRODUCTS NEEDED BY: / 1 M-C)OH_5 Private Sewage System Maintenance Ag Owner(s) Na e CiL Owner(s) Mailing Address (� c' - ';-> Site Address } v Q) (e LL- RA Tax ID# b4-UIZ-Z-L15-07-Ig -2vy-1(G-oiZo 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) 1/4 of 1/4 Section Township 14"? N. Range 1W Additional Legal Description: Town of CL AAOL t (Acreage) �� 1 Gov't Lot Lot Block Subdivision Lot t CSM #_4 V Vol. 6 Page ._Si$ CSM Doc # ZZ DOCUMENT NUMBER 2025R-608844 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 08/20/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, 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 affluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufd`cturefs 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 Iq�Elye (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. rr Mounds, At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabb?if ?e�lTn the wastewater distribution cell component is inspected as provided above. , uu Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by OB ,l&nt f2 inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as ?c00bf mPiy� human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print I\J akhavi P,oYtk- Subscribed and sworn to before me on this date: o�da2 Notan d Owner Signature(s) Notary Publi My Commissi xpires: Drafted by: (Date: NOTARY PUBUC•GOGEBIC COUNTY MI MY COMMISSION EXPIRE,�S 0/05 I28 Proofed by: ACTING IN COUNTY OF tai u/f ms/sanitary/septicmaintenceagreement Revised July 2020 00 �rnsrwi�'i -. Wisconsin Departmentof Safetyand Professional Services Sal TEST Page � Division of Industry Services 3_ of x0 frl '` tp tSOIL EVALUATION REPORT fi; srt,Z In accordance with SPS 385, Wis. Adm. Code County BAYFIELD Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (SM). direction and percent slope, Parcel I.D. 1 Oo33 scale or dimensions, north arrow, and location and distance to nearest road. 04-012-2-43-07-18-2 00-116-01700 Please print all information. Revi w y �3�/3 Date I _ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). .� Property Owner Property Location El NATHAN & SHANNA BORTH Govt. Lot. S W/ Y ) ic/Y. S 18 T 43 N R. 07 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: PO BOX 353 CSM 903 LOT 1 13010 CABLE SUNSET RD City I State Zip Code I Phone Number ❑ City ❑ Village IJ Town Nearest Road IRONWOOD I MI 49938 I 906285902; CABLE CABLE SUNSET J New Construction Use: Residential/Numberof bedrooms 4 Code derived designflow rate•600 GPD ❑Replacement O Public or commercial— Describe: Flood Plan elevation if applicable ft. .Parent material General comments and recommendations: SYSTEM ELEVATION 98.0' SIZED AT 0.7 ril Boring # ❑Boring Pit 100.90' >84" >93.90' Ground surface elev. ft. Depth to limiting factor In.1 eiev. ft. I Sail Andiicatidn 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 1 0-10 7.5YR 314 S 0SG ML CW 3VF-M 0.7 1.6 2 10-38 7.5YR 414 S OSG ML CS IM 0.7 1.6 3 38-84 7.5YR 514 S 0SG ML — 0 0.7 1.6 2_J Boring # ❑Boring 104.0' >108" >95.0' ®Pit Ground surface elev. ft. Depth to limiting factor in.1 elev. ft. Soil Annlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-12 7.5YR 3/4 S 0SG ML CW 3VF-M 0.7 1.6 2 12-38 7.5YR 4/4 S 0SG ML CS IM 0.7 1.6 3 38-108 7.5YR 5/4 S 0SG ML — 0 0.7 1.6 f f-+:__ ____________ ____ ______ ____ n nHvnatn r 7....:.._ n_ - CST Name (Please Print) Sign a �.— CST Number MCKINNEY 7KEVIN 224234 Address Date Evalua(ion Conducted Telephone Number 11130 LEONARD SCHOOL RD CABLE WI 54821 07#13/2025'' 715-798-3494 Effluent #1 = BOD > 30 5220 mg/L and TSS > 30 5150 mg/L Effluent #2= BOO, 5 30 mg/i. and TSS s 30 mg/L SBD-8330 (R04121) Boring # 2_.- 3 Page ❑ Boring 100.10' >84' >93.10'' ® Pit Ground surface eiev. ft. Depth to limiting factor in. / elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots vV.1 vAJjfI,1%,"UV1 I I C1 GPD/Ft2 'Eff#1 'Eff#2 1 0-10 7.5YR 3/4 S 0SG ML CW 3VF-M 0.7 1.6 2 10-42 7.5YR 4/4 S OSG ML CS 1 M 0.7 1.6 3 42-84 7.5YR 5/4 S 0SG ML - 0 0.7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. _. _ _ - Cni�dnnlir�tinn R�1n Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPDIFt2 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in./ elev. ft. I Soil Annlicatinn Rafe. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Elf//I 'Eff#2 ' Effluent #1 =9O1)> 30:9 220 mg/L and TSS > 30 s 150 mg/L Effluent #2 = BOD, s 30 mglL and TSS S 30 mg/L o� 15 Ba�I PAGE 30 3 BORTH NATHAN & SFIANNA BORTH PO 130X 353 IRONWOOD MI 49938 906-285-9022 13010 CABLE SUNSET RD LOT 1 OF CSM 4903 S18 143N IZ07W TOWN OF CABLE PIN 04 20"l�i �'3 J 2 00-116-01700 BM TOP OF 24" TALL 1" IRON PIPE SYSTEM ELEVATION 98.0' SIZED AT 0.7 N y'2 L/ SCALE 1"=40' 0' 40' PROPOSED 4 BEDRM TOP OF GRADE BASEMENT '--110.10' PROPERTY LINE 12% 04.U' 13M B 1 100.0' 100.90' B3 100.10' JUL 222025 CABLE SUNSET RD BAYFIELD COUNTY SANITARY PERMIT (#04)-25-113S STATE SANITARY PERMIT OWNER: NATHAN & SHANNA BORTH GOVT LOT: LOT: 1 BLK: CSM: 903 1/4 1/4 SEC: 18, T 43 N, R 7 W TOWNSHIP: Cable SOIL TEST: 85-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: BEAU YOUNGS TRACY POOLER DATE: 8/25/2025 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow Installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not Impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may impede renewal. f. The sanitary permit Is transferable. History: 1977 c. 168;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 1208204 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 8/25/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION