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Request for Sanitary Inspectionr(o4hHr - want Advance) Fax or email this form to Zoning Dept (24 Hrs.) p ection Fax (715) 373-0114 or Email zoning(a)ba fieldcounty.wl•a0V Note J P1 Time Change Plumber: C'ac£� �I,u,rm�lq tSanitary ner:`' I'Nvtew P xaf tE39qSQs Plumber's Choice Zonin Dept Date: Time: Township: Address # & Road Name: or Directions To Site: .2-7 3 -f S 1{vI� C tv"14wt wl 51Ogt Other is Dept can call you right back (if 'ft% 2-92-ojas No Inspection(s) during this time Tuesday (9:30 am - 12:15 pm) (Tracy) Comments: fj t,C J LAc911(C.c-t. ** Plumbers you must verify any change(s) by fax or email ** Request 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 zoninglatbayfieldcountv.wi.gov Note Time Change Discrepancy riOther Phone Number Plumber: gyp n £!4 7is-Aqa.-�5 Fax Number Homeowner:/h'/q', nR 777 /SO /_ / ��` /V V EmailAddress Immediate Phone Number So Zoning Sanitary Permit #: J / s Dept can call you right back (if needed) Plumber's Choice Zoning Dept No Inspection(s) during this time Date: 1 , / Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zoning Dept Time: Township: Address # & Road Name: / J /J Ik/y 913'/5 e l• or "V � Directions To Site: Comments: * Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: July 2025 e I•." y e ;°per.. -;, HEIDI ARNSON 27345 COUNTY HWY C WASHBURN WI 54891 Tank Inform TYPE MANUFACTURER CAPACITY Prop. Line I Well Building Air Intake Road Se tic t7 f N/A I Dosing N/A Aeration j N/A Holdin Private Ons.ite Wastewater Treatment is ( POWTS). Inspection Report (Attach to Permit) U City U Village 3M Descrl ton: Gra do setback to: Town County (� / / l VJIN Sanitary ermlt No: State Plan'Transaction ID#: Parcel Tax No: 3555v Pump / Siphon Information Pump Manufacturer ump Model Demand GPM Filter Manufacturer Iter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Disoersal Cell Information Type of Cell Manufacturer: Ef/Q14/ Model Number. Pretreatment Unit Manufacturer: Model Number: Elevation Data STATION BS I HI FS ELEv Benchmark 17 /0-3 Bldg. Sewer 3 4 %l $- Tank Inlet 7 Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold 5 /02, Distribution Pipe Infiltrative Surface O Final Grade O' stribution System X Pressure Systems Only Header/Manjtold Distribution P e(s) X Hole Size X Hole Ob eeation Pipes Length Dia _. Length Dia JJL1. Spec 3/56 Spacing 9 t 'es ❑ No soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edoes Topsoil ❑ Yes ❑ No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 2iAry Id%yJ ' , Tldk59 JAk/� �a//9 f , vt -lac( 4ch4,- e%lenI. 46/11 m/) hv,ygle', `sjvr $6. fr6 4l Ian revision $qurred7 0 Yes f No D 2 c ;e other side for additional inform n. Date POWTS Inspector's Signature N )37 3 License Number 20.11_e71n (P 07/911 Al' Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning(abavfieldcountv.oro 117 East Fifth Street Web Site: www.bavfieldcounty.org/147 Washburn, WI 54891 HEIDI ARNSON 27345 COUNTY HWY C WASHBURN WI 54891 As you know 4 ♦ was contracted by you to install a private onsite wastewater trey ment system on you operty (Tax ID# above). To know when your system will be due for servicing please go to www.septics#ih.com Notes: Abandonment of Old System to meet all applicable code requirements: o Tank was pumped by: Tank was crushed! removed and pipes disconnected by: on at_ AM/PM On at X (AI>✓ the above -mentioned plumber contacted our office to conduct aprecover inspection as required under DSPS 383. One of the following applies: flSystem 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/forms/sanilarypropertyowner-input April 2019 $nFjna:,,cyro Industry Services Division 4822 Madison Yards Way WI 53705 County, it , /!% Sanitary Permitl' ulttber (to be tilled in by Co.) C Madison, iI c'>" �51 P.O. Box 7162 rYt S —/o3 E j Madison, WI53707-7162 Sanitary Permit Application State Tmnsaetion Number 2 l - In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Note: Application forms for state-owned POWTS are submitted to ` Project Address (if different than mailing address) is required prior to obtaining a sanitary permit the Department of Safety and Professional Services. Personal information you provide may be used for secondary oses in accordance with the Privacy Law, S. 15.04(i)(m), Stats. Parcel#�I,F _OSO'y�—'Q$—ai' oZ PropertyOwner's Name _ > Property Owner's Mailing Address Property Location \ Govt Lot ,- Uv 'h, J 1 VAi/ %s Section <. City. State Zip Code Phone Number ^'�d I q 33 hodl...., fj T N R - E or:UV Lot # _.' Subdivision Name ' I"1 or 2 Family Dwelling —Number of Bedrooms -.7 Block # abiic/Commercial—Describe Use (—I„ityof 0State Owned —Describe Use CSMNumber illageof - - grown of �. c' --iv A. ENew System jRePlacement System [}Other Modification to Existing System (explain) jAdditional Pretreatment Unit (explain) [j[-Iolding Tank ❑]In -Ground Dkt-Grade - Mound Jindividual Site Design Other Type (explain) (conventional) C. Renewal Before ❑ Revision hangs of Plumber Dransfer to New Owner tst Previous Permit Number and Date Issued C g �O0 Expiration 38� Ig DI9 .S.4�P..' ,fro - h elf .,:r •t !fd .'t! ..^.. P (..P�! .'...;' ",. {t. - Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Dispersal Area Proposed (st) System Elevation Design Flow (gpd) Capacity in Total # of Manufacturer U Gallons - Gallons Units Tank Information S NewTanks Existing Turks g R 2 N S K, co Septic or Bolding Tank jGG' /[Cc� %�;'./_<��.'-✓ Dosing Chamber LO� (i te', CJ Plumber's Name (Print) Plumber's S' afore Cry MP/MPRS ! Number Business Phone Number - 75-7523& i e� Plumber's Address (Street, City, State, Zip Code) 3l I (oO �i✓clot &voUe �d UJx54L2uvu 1,2U X 84/ Approved ❑ Disapproved Permit Fee Dete Issued L Issuing Age ign S�DO ❑ Owner Given Reason for Denial — q S Conditions of Approval/Reasons for Disapprovalclef '4 RECEIVED AUG 292025 Attach to complete plans for the system mu moms m me v .•--••---_ Bayfreld Co. Planning and Zoning Agency Wisconsin Department of Safety and Professional Services pivision bf Industry Services 4822 Madison Yards Way Madison, WI 53705 August 5, 2025 CUST ID NO.: 666459 EMERY J PALMER PO BOX 176 GALESVILLE, WI 54630 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 8/5/27 MUNICIPALITY: TOWN OF WASHBURN BAYFIELD COUNTY SITE: HEIDI ARNSON MOUND DESIGN AND SOIL TEST BAYFIELD, WI 27345 COUNTY HIGHWAY C WASHBURN, WI 54891 NW 1/4 NW 1/4 SW1/4 N/W 1/4 SEC. 21 R5W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 21" Maintenance Required: Effluent Filter Phone: 608-266-2112 Web: htte//dsps.wi.gov Email: dsosrwisconsin.aov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-082501734-C Application No.: DIS-072531150 Site ID No.: SIT -148548 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE T49N- Mound Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. necel1/a® • Inspection of the private sewage system installation is required. Arrangements for inspection shall bgfft '' b25 the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. eay'feid Co. Planr�1ny and Zoning Agency Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.0 1(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 10 1.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Fee Required: $250.00 Fee Received: $250.00 CJiiui*, RiJJ4ei4 Balance Due: $0.00 Joshua Rowley Refund Expected: $0.00 Division of Industry Services Phone: Email: joshua.rowley@wisconsin.gov R!C 1V D AUG 29 2025 Sayfield Co. Planning and Zoning Agency Heidi Arnson Mound System 27345 County Highway C Washburn WI 54891 27 Acres, Town of Washburn, Bayfield Co. S21 T49N R05W PIN 04-050-2-49-05-21-2 02-000-11000 Page 1-2: Bayfield Co. checklist for sanitary applications Page 3: Tax statement of owner Page 4-5: Conditional Approval letter from WI DSPS Page 6-9: Plot plan, Mound plan & Calculations Page 10: Tank section, Dose & Pump calcs Page 11: Tank Specifications Page 12: Pump curve details Page 13-14: POWTS Owners Manual & Management Plan Page 15: Maintenance Agreement Page 16-18: Soil Evaluation Report Page 19: Wisconsin sanitary application Reference material; component manual; Mound Pressure Dist V 2.1 May 22/27 These plans prepared by ; Adrien Cady MP9221.39 31160 Birch Grove Road Washburn WI. 54891 RECEIVED phone:715-373 2378 RE fax:715-373-0646 73 -0646 AUG 29 2025 Bayfield Co. Planning and Zoning Agency BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) 42( Check List `Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) Original Plot Plan (383.22(2)2. 3. & 4.a) )l Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer Pump Tank Diagram, Alarm and Pump Curve (when applicable) 'Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) molding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) —ATU Servicing Agreement (Recorded at Reg. of Deeds) 2� Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) $mil 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all conies) kj'Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) Icl State Plan Review (when applicable) .B-Eopy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) 9I Application Information must include:; 3 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) Project Address or Road Name where driveway is/will come off of) 't\(Owners Phone Number) _/II Type of Building MIII Type of Permit 'PI'IV Type of POWTS System `V Dispersal / Treatment Area Information YVI Tank Information 46 VII Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) Signature and Plumber Information Surface Elevation of Body of Water -? /Direction and Percent Land Slope Tank and Filter Information and Location /Wetlands / Navigable Bodies of Water L7J Absorption Area (Proposed and Existing) Bench Mark (Location, Elevation and Description) omponent Manual Version -eAddress Number and Road `Q North Arrow Contour Lines f Structures and Driveways F] Boring Locations RECEIVED 'Property Lines AUG 292025 Well Locations 6ayfieW Co. Legal Descriptions Planning and Zoning Agency Turn Over ► x '' Cross -Section and Over -Head Profile of the System: Surface and System Elevation J( Position of Observation and Vent Pipes f Dimensions and Depths Make, Model & Number of Chamber Units in each Cell Property Information How many systems will there be on this parcel of land? Has this property been split? (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) AUO 2.9 2025 aayreld Co. Planning and Zoning Agency u/forms/cheddists/check stforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: 4z' Reel Estate Bayfield County Property Listing Today's Date: 8/29/2025 9 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Tax Districts Updated: 1/13/2025 ffi Ownership 35550 HEIDI ARNSON 04-050-2-49-05-21-2 02-000-11000 (050) TOWN OF WASHBURN S21 T49N R05W NW NW IN V.894 P.701 LESS TOWN RD & LESS PARCEL DESC IN V.1013 P.812 SUB] TO EASE 27.000 0.000 0 Yes (AG -1) Agricultural -1 130 Updated: 1/7/2010 Property Status: Current Created On: 1/7/2010 12:10:44 PM Updated: 1/13/2025 WASHBURN WI Billing Address: Mailing Address: HEIDI ARNSON HEIDI ARNSON 27345 COUNTY HWY C 27345 COUNTY HWY C WASHBURN WI 54891 WASHBURN WI 54891 Site Address * Indicates Private Road 27345 COUNTY HWY C WASHBURN 54891 Property Assessment Updated: 3/13/2025 2025 Assessment Detail Code 5m AGRICULTURAL FOREST G1 -RESIDENTIAL G4 -AGRICULTURAL 1 STATE 2 -Year Comparison 04 COUNTY Land: 050 TOWN OF WASHBURN 046027 SCHL-WASHBURN Improved: 001700 TECHNICAL COLLEGE Total: Recorded Documents Updated: 1/7/2010 Property History WARRANTY DEED Date Recorded: 3/19/2009 2009R-525605 1013-182 Parent Properties D 04-050-2-49-05-21-2 02-000-10000 EASEMENT Date Recorded: 3/19/2009 2009R-525606 1013-184 HISTORY D Expand All History White=Current Parcels Pink=Retired Parcels D Tax ID: 30927 Pin: 04-050-2-49-05-21-2 02-000-10000 Lea. Pin: 050103608000 35550 This Parcel Parents Children Acres Land Imp. 19.000 14,800 0 5.000 27,200 288,200 3.000 700 0 2024 2025 Change 42,700 42,700 0.0% 259,000 288,200 11.3% 301,700 330,900 9.7% Tax ID 30927 RECEIVED AUG 29 2025 Bayfield Co. Punning and Zoning Agency MOUND COVER SHEET SYSTEM IS TO COMPLY WITH PROVISIONS OF SBD-10691-P (N.01/01; R. 1.0/12) Mound Component Manua] for POWTS (Version 2.1), (May 2022-2027) and SBD-10706-P(N.0J./01) Pressure Distribution Component Manual. (May 2022-2027) r I N: I 1/4 Nw 1/ S Z'j T 42 N RJ W LOCATION: W O �� TOWN: COUNTY: V 1 • OWNER NAME/ADDRESS: htit% Ut k?,N Cc 4 i\5 CouNry Hwy t AstA a`� \ 0 s4{a3 DESIGNER NAME/ADDRESS: MARK PALMER - HIGH CLIFF CONSULTING PO BOX 176 GALESVILLE, WI 54630 LICENSE #: 1508-007 SIGNATURE: DATE: 711-2 '5 ATTACHMENTS: PAGE 1: PLOT PLAN PAGE 2: PLAN VIEW CROSS SECTION PAGE 3: PIPE LATERAL LAYOUT PAGE 4P TANK SPECIFICATIONS its PAGE 5: PUMP CURVE / RISSY SPECIFICATIONS PAGE 6: MANAGEMENT PLAN DESIGN By HIGH CLIFF CONSULTING LLC .. 0 .. •�nw_ ... .. .-I-CC r�.__..la:..— 1 1 P Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE RE CE:.IVED AUG 2 9 2025 Bayfield High Clif htjIWgcJM Ag Phone: 608-582-2205 � PO Box 176 '�'� Galesville, WI 54630 -. , v , & s srlr I fnIVS r I .� fry / I 1 n I I S iz4 / \ i Garage ,eo_ �/ /' Notes: • Underground utilliiies not located as oiMls date. Further research /s recommended before any cons inaction or excavation. • Boundary Information Is based on apparent property lines. A survey/s — _ _ — recommended to determine We property lines. __— --_ _-- —• Location and elevation ofbuilding sewer(s) Is beyond Me scope ofthis repot. • Parcel size=27ecme± yvi=FPC4. P. .819.8 -' E,•ZF Inoue 817.8 Co a 9J<j ZJ.' s,0 s'Ysi #v N i�a/ *IE 110 z'FvttMQ1>I wE l/ I / 1Sw 314 SW'/. AUG 292025 Bayfield Co PIWningand Zoning Aynncy' /4 ^' / Legend ,1O/� cC'------ --= Contour line (1' Interval) _LE?#1 =F = BM (grade @ steel post) 0 x = Slope direction —lnsu late4s needed © = Well (Elevation at top) Graphic Scale. (In feet) - / ! ' 1 Inch 30 R. - S,W%-SW'/. Heidi Arnson NW 1/4 - NW'/., SW 1/. - NW'/,, Sec. 21, T49N-R5W Town of Washburn, Sayfteld County, W1 TaxID:35550 27345 County Hwy C, Washburn WI 54891 /) 5823.9 HIGH, CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@hlghcliffconsulting.com www.hlghcliffconsulting.com Drawn by: Date: Job: Mound Plan View & Cross Section Cross Section Site to be seeded and stabilized ivatrord bull . _% Slope Contour �•� � � Dh5ft System elevation Lz�. 6' E ' 4 $ ft Lateral elevation 2I. O' F 1.0 - ft Plan View A 6.0 ft I ft K 1(_ft B 8d ft J ft LIO2_ft G 0.5 ft H 1.0 ft 2.. " Force main k 10 ' in length RECEIVED W2Co ft AUG 2 9 2oz BaYfield Co. Manning and Zoning Agency C) Hioh Cliff Consulting LLC Cleanout Detail (lateral end) Access cover--. Threaded cap Extend all lateral ends up within 6" of final grade. Last hole 2'" from end of cell 6r rio. Co Na 0 Na CJt Long sweep 90" Pipe Lateral Layout Not to scale ff r System elevation 2O. Lateral elevation %ti 4O Observation Pipe Detail Finished grade Watertight cap (mulched 6 seeded) 4" Sch 40 PVC pipe Top of pipe to terminate at or above finished grade .. cover im 12") Four Y4%Y." x 6" slots 1 1/2 " Diameter lateral (PVC Sch 40 at 76 in length _ Anchoring device Native soil 3/16 "Holes 20 Holes per lateral 4 'Hole spacing 26.4 Gallons per minute discharge rate Observation pipe 76 'of 1 'A "lateral 1.5' 1.5' let hole 2' from end of cell N Observation pipe 10 80 40 holes at 0.66 GPM = 26.4gpm 152 "x .092 = 13.98 galllons X 5 = 69.92 gallons minimum dose 110'of2"Sch 40 Force main " Manifold C High Cliff Consulting LLC 44' Septic & pump specifications: Cross Section Weatherproof junco n box Vent pipe w/ approved cap 111-1 i-z10from fresh air inlet Notes; Approved locking manhol cover with warning label Approved locking manhole cover -with warning label 4' tnln. _ lii.., IrIoa31 - .II ____ __ ____ Baffle Note: Pump and alarm are on separate circuits as per NEC and Wis. Admin. Code Tank Manufacturer:, Tank Size: 1000/600 Gallons Alarm Manufacturer: SJE Rhombus Model Number: Tank Alert 1101-0111 101-0111 Pump Manufacturer: Goulds Model Number: 5c-tl 1OA Minimum discharge rate: 24p °4 GPM e � r��i��i��i��i��i `�i,u1 • rk. ii approved Number of doses: `� ' 5 Per day Gallons per dose Volume of backflow; 1 i • 3 Gallons Total Dose Volume: ))_5E Gallons Capacities: A S 9 inches or 3 i8'44Gallons a inches or 33 b 2 -Gallons C &' inches or tD'% Gallons D 3 inches or i 50 - %Gallons RECEIVED Friction loss through filter: .................................................................... N.A. ft. AUG 2.9 2025 Vertical difference between pump off and distribution pipe:........... 9.5 ft. yfield Co. Minimum required supply pressure: ......................................................... 3'� ft. PlanningeannZoning Agency Il © ft, of force main x I.94 Friction factor/100 ft.......................... 2 ft. Total dynamic head r l *4 ft, iI Depth of liquid -� Gallons/inch /6.76 Palmer Soil Testing & Consulting LLC "' W16623 Lindstrom Road, Blair, WI 54616 Date: palmersoiltesting@gmail.com Phone: 608-525-3723 Fax: 608-525-2000 12'-6" 4" CAST -A -SEAL •II.Il U r. I� -�` �� c:* ` 4 I FILTER OR II I I. II II. BAFFLE It -I I F O w or w cr s tn 4" CAST -A -SEAL 4" VENT I OUTLET U s IP PAD TA$ KS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000/600-MR TANK SPECIFICATIONS DIMENSIONS: aaee RR < Oi w a WALL: 3" > N a o 0. BOTTOM: 3" N : N COVER: 5" `l MANHOLE: 24" I.D. PRECAST CC REiBRIS o HEIGHT: 51" LENGTH: 12'-6" WIDTH: 7'-0' a. cc BELOW INLET: 42" UQUID LEVEL: 36' o E WEIGHT: BOTTOM 9,500 LBS. 1 o 6 COVER 5,470 LBS. Q o 0 INLET AND OUTLET: =a o a 4 CAST -A -SEAL BOOT OR EQUAL GASKET 0 3 INLET AND OUTLET BAFFLE AND FILTER: o <- WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) W o to UQUID CAPACITY: 27.88 GAL/IN (SEPTIC) Wes.. N 16.76 GAL/{N (PUMP) co LOADING DESIGN: 8'-0' UNSATURATED SOIL 0 00 TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTiC/PUMP, M OR SEPTIC/SIPHON __ of COVER: MIX DESIGN #8 (NO FIBER) 00 TANK: MIX DESIGN #10 (STRUCTURAL FIBER) W CUSTOMIZED TANKS: - � 0 FOR CUSTOM TANKS CONTACT WIESER CONCRETE o o � Z c0 � I • REVIEWED BY o U REVIEW DATE a DRAWINGS SUBMITTED N FOR APPROVAL APPROVED BY: SHEET N0. APPROVAL DATE: 1 PRODUCTS NEEDED BY: OF / 1 APPLICATIONS Specifically designed for the following uses: • Effluent systems •'Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a' maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size: 1 V? NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: . 104°F (40°C) continuous 140°F (60°C) intermittent • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: %' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1W NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor. • EP04 Single phase: 0.4 HP, 115 or 230V, 60Hz, RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset • Power cord: 10 foot standard length, 16/3 SJTO with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). METERS FEET iol G:.ulds Trifle flt Pump t I C 3871 EP05 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models Include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04 Impeller Thermo- plastic Semi -open design with pump out vanes for mechanical seal protection. ■ EP05 impeller. Thermo- plastic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover Thermoplas- tic cover with integral handle and float switch attachment points. o Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING 03• Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) 30 1EE ► .rc• " {8& ��J7rri'a 5 0 — Afti Iof___ TiTiiii94'ciiiT. e--;- 0 10 20 30 40 5 —5— :D Bayrield Co. 0 2 4 6 8 10 FLiarhiJwJZSq,,Agency CAPACITY POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page_of FILE INFORMATION Owner „e 'd r vu SO Permit # DESIGN PARAMETERS Number of Bedrooms O NA Number of Public Facility Units NA Estimated (average) flow 3O Q gal/day Design (peak) flow = (Estimated x 1.5) gal/day In Situ Soil Application Rate 1.0 al/da /ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BOD5) ≤220 mg/L O 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) ≤104 cfu/100ml Maximum Effluent Particle Size '4 in dia. O NA Other: O NA *Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Tank Manufacturer W Lo 5 e i O NA Septic O Dose ❑ Holding vol. 1060 gal Tank Manufacturer (Al ( ti°is O NA ❑ Septic Dose O Holding vol. 60 O gal Effluent Filter Manufacturer (y /O j S D NA Effluent Filter Model 5, 5r Pump Manufacturer ��-O , 5 O NA Pump Model Pretreatment Unit A ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) O NA ❑ in -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade ,Mound ❑ Drip -Line O Other: Other: O NA Other: O NA Service Event Service Frequency Inspect condition of tan At least once every: 3 ❑ month(s)k(s) ears (Maximum 3 years) O NA Pump out contents of tank(s) 'When combined sludge and scum equals one-third () of tank volume O When the high water alarm is activated O NA Inspect dispersal cell(s) At least once every: 3 year(s(s) (Maximum 3 years) O NA Clean effluent filter At least once every: 3 O month(s) year(s) O NA Inspect pump, pump controls & alarm At least once every: ❑ month s) year(s� ❑ NA Flush laterals and pressure test At least once every: 3year(s) ❑ month(s) ❑ NA Other: At least once every: O month(s) O year(s) ❑ NA Other: DNA 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 (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 Administrative Code. • All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, prer'e trrygryt LU�J and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. IU�ljj GG yy ZU A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Barfield Co. PlanningdWani�gency a� K START UP AND OPERATION Page • of 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 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 holding tank may be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<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 RECEIVED AUG 2.9 Z025 Sayfield Co. POWTS INSTALLER POWTS MAINTAINER Planning and Zoning Agency Name —f e4 Name,11dvg (cli Phone 715 73— Zk , 7 Phone 7/5 " SEPTAGE SERVICING OPERATOR (PUMPER) Name BTVC'LA -f Phone 1t '3 7- LOCALL REGULATORY AUTHORITY Name 1t. 1 J v i )y i Phone 73 13 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)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. r �b151 c9VE® Private Sewage System Maintenance Agreeitnti co. Owner( Name r14Sou Owners) Mailing Address _yam Co Site Address U16r-Usc.j- 7y, -et rd Oa-C)OO - I1fOG 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) tJ 1/4 of _I"11J11/4 Section , f, —Township q1N. Range QIW. Additional Legal Description: L,cSS r vs h m V,iiiipgi 2-e a lR Town of EWV U (Acreage) ____ Gov't Lot Lot Block Subdivision Lot CSM # Vol. Page CSM Doc # DOCUMENT NUMBER 2025R-608985 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFiELD COUNTY. WI RECORDED O9/O2/2O25 AT 8:OO AM RECORDING FEE: $30.00 PAGES: 3 Recording Area Return To: Planning and Zoning Department ❑ In -ground gravity O 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 Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of Installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds. At -grade. and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges 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 �t�t Subscribed and sworn to before me on this date: `����ull l llinlrl ..���``�CADp Notarized Owners) — Signature(s Notary Public _ e G�xr. LAG o missI n Expires: ��•..-t 1 6 s-i r r. Drafted by: ` Date: ash �— 2"liE /iI:IIIl%t Proofed by: ulformslsanitary/septicmaintenceagreement Revised July 2020 'APB 0 3 2025 Bayfield Co. State Bar'of Wiscoz$iiPT A9 WARRANTY DEED Document Number II Document Name THIS DEED, made between Heidi Arnson ("Grantor," whether one or more), and Glenn R Peavey ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): See attached Exhibit A. PATRICIA A BAYFIELD COUNTY, MI REGISTER OF DEEDS 2009 R-S2S60S 03/19/2009 08:10AM IF EXEMPT t: RECORDING FEE: 13.00 TRISFER FEE: 60. FRWES: 2 Recording Area Name and Return ' IeIUL I. .ea.r/, ll / tei ke // 14sh1t4t4 of 5kflc7 (v Part of 04-050-2-49-05-21-2 02-000-10000 Pared Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: municipal and zoning ordinances and agreements entered under tin& v is and reservations of record, and general taxes levied in the year of closing. JEFFREYGKD7AK Noy P M nesota .Dated)44 A13, q 19*CWM&0=Jan 31,2011 W (SEAL) try (� (> * * Heidi Arnson - (SEAL) (SA) Z m � AUTHENTICATION ACKNOWLEDGMENT m. R{ Signature(s) =+ — STATE OF MINNESOTA ) Z authenticated on )ss. m C7 COUNTY Personally came before me on______________________ , TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Heidi Arnson (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Michael S. Hines WSB #1002916 y 1013 P18 to me known to be the person(s) who executed the foregoing instrument d ackno ledged the same. Notary Public, State of Minnesota My Commission (is permanent) (expires: 1 i ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED m 2003 STATE BAR OF WISCONSIN FORM NO.2-2003 * Type name below signatures. EXHIBIT A Parcel 1: SEP 0 3 2025 Bayfield co. Planning and Zoning Ager+<.y A parcel of land located in the Northwest Quarter of the Northwest Quarter (NW'/ NW'/), Section Twenty-one (21), Township Forty-nine (49) North, Range Five (5) West, Town of Washburn, Bayfield County, Wisconsin, described as follows: To locate the point of beginning, commence at a 1 inch iron pipe at the Northwest comer of said Section 21 and run South 89°54'22" East, 647.09 feet along the North line of said Section 21, to a 1'/ inch iron pipe, which is the point of beginning; thence from said point of beginning by metes and bounds: Continue along said North line, South 89°54'22" East, 660 feet to a 1'/ inch iron pipe at the West 1/6 corner; thence leaving said North line and along the East line of said NW1I NW'/, South 00°59' 18" West, 660 feet to a 11/ inch iron pipe; thence leaving said East line, North 89°54'22" West, 660 feet, parallel with the North line of said Section 21 to a 1 % inch iron pipe; thence North 00°59'18" East, 660 feet, parallel with the East line of said NW1/ NW'/ to the point of beginning. U1013 P183 r $ °-YFIELD Property Owner: ARNSON, HEIDI 27345 COUNTY HWY C WASHBURN, WI 54891 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 -00308 Transaction Number: SR -00308-317C9 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 006521 Paid by: Cady Plumbing and HVAC LLC, 31160 Birch Grove Rd, Washburn WI 54891 Payment Type: Check Transaction Date: 8/8/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 13A FIELD Property Owner: ARNSON, HEIDI 27345 COUNTY HWY C WASHBURN, WI 54891 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 State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Submission Number: SS -00642 Transaction Number: SS -00642-345E6 Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 006568 Paid by: Cady Plumbing and HVAC LLC, 31160 Birch Grove Rd, Washburn WI 54891 Payment Type: Check Transaction Date: 9/9/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 4 t .C Ep 11 Oo::: Wisconsin Departmentof Safs & Professional Services Division of IndustryServices g� •-- Page �of_J SOIL EVALUATION REPORT S A� -0(730 S In accordance with SPS 385, Wis. Adm. Code County 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 (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). ev ! ;3 I 0 Property Owner Property Log lion 0 is • 1�w Nw Govt. Lot jV W'/• /v W `. S ,Z T N R 5' E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: City, State, Zip ✓ Phone Number ❑ City ❑ Village IN Town Nearest Road y (7/S ) z4z-2o q DNewConstructicn Use: 0 Reel dential/Numberofbedrooms 3 Code derived designflowrate 5'O GPD ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation If applicable ft. Parent material _,c.�- General comments and recommendations: b • Boring # ❑ Boring pit Ground surface elev. I rU F+ Depth to limiting factor 2 1 in. / elev.'? f7 O i Q-11 A--u--u-- -&- Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 ,Eff#1 OF_H'#2 f#k 4 q 2' • 2 a YA ,n1 .-,A4 1yF 4 ' 3 g '2A' z 4k ____ -, ___ ___ Boring # Boring Pit Ground surface etev. ' $ F+ Depth to limiting factor. in. / elev. S� ' F-(- CnmI A-mr, #1-- 0--6- 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 / p .4 <<O ` _.tDy ________ J/ 4, R _____ ...- CST Name (Please Prints 1 High Cliff Signature CST Nu ber Mark Palmer - Consulting 224736 12025 Address Date Evaluation Conducted Telephone Number P.O. Box 176 Galesville, WI 54630 75_ 608-582-2205 Bay field Co. ' Effluent #1 = BOD > 30 s 220 mg/I and TSS > 30 s 150 mg/L ' Effluent #2 = BOD. 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) ! .l Q -• w Page 2+ of ..3 ❑ Boring � Bating # P Ground surface elev Ff Depth to limiting fector,.•2! In. / etev. 'C7 P+3a 1 Sall Annffeallan Rate Horizon Depth In. Dominant Color Munsell • Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff1 *ffH d _ a ,e I •6 ___ • 4 Tr • 4 9 4 _____ ______ _� Baring #• • O .._. ❑Poring _ .._-_� f ] PIt Ground surfaceeieK=rr F,h Depth b I6nEtinfsatcr,— fn1-etev. -- —f-- 'I ntI AnnaaMlnn Rate Horizon Depth • In. ' Dominant Color Munsell. Redox Description Qu. Az. Cont. Color Texture • Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFL: *Eff€I1 *Efi#2 # ❑ Boring ❑ PIt Ground surface elay. _ F•Depth to tirrtftirrg factor tn.1 elev. FrI' I Sall Annttmtian Rate Horizon Depth irr. Dominant Color MunseO Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFF *Eff#1 *Eff#2 * Effluent#1 = BQD > 30 s 220 mgll. and TSS > 30 s 15O mglL * Etltuent #2 = ROD. S 30 mglL and TSS s 30mg1L rr SI I TI Water • Underground udilities not located as of this date. Funheresearch is recommended before any constrvcdon ' excavation. • Boundary Information Is based on apparent popedy O'nes A survey is _ _ mm recommended to detane twopope11y Gnes. o _ _ _ - _ , _ - ' • Location and elevation of building sewer(s) Is beyond the scope a/this repot U _ • Parcel size=27eoesx o r irr ♦� .r .r ♦r.�820-'"� `___-P3 819.8 ♦ ♦ ------0819.0 B10 — 819.0 P1 'a 819.0 i 'I I 'I I P2 817.8 I I _ !I I I S I �9 SI r / W rECE1VED JUL 312025 Bayficid CC-,. Planning end 7a,0inp P.,+ Legend ------- = Contour line (1' interval) l = Pit i = BM (grade @ steel post) x Y` = Slope direction ® = Well (Elevation at top) Graphic Scale ]0 0 1a ]0 00 ( In feet) 1 Inch = 30 R Y4 —s7 II l4 Heidi Arnson NW 1/4 - NW ¼, SW 1/4 - NW 1/4, Sec. 21, T49N-R5W Town of Washburn, Bayfield County, WI Tax ID:35550 27345 County Hwy C, Washburn WI 54891 M' HIGH CLIFF CONSULTING LLCI P -O. Box 176, Galesville, WI 54630 608582-220servicethlghcliffconsuhlghcliff onsultting.comtting.com xI 7-5-2025 1 ARNSON BAYFIELD COUNTY SANITARY PERMIT (#04)-25-120S STATE SANITARY PERMIT OWNER: HEIDI ARNSON GOVT LOT: LOT: BLK: NW 1/4 NW 1/4 SEC: 21, T 49 N, R 5 W TOWNSHIP: Washburn SOIL TEST: 94-25,145-01 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: ADRIEN CADY TRACY POOLER DATE: 9/9/2025 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 #: 389568 LICENSE: # MP 922139 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 9/9/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION