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HomeMy WebLinkAbout25-124SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note fl Time Change Discrepancy Other ,/� G ��tr �'1 Phone Number /J G Jr/� 7l� Plumber: Fax Number Homeowner: Ian ZV Email Address Sanitary G 2' `1 Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #: Plumber's Choice g Dept No Inspection(s) �- p 0 during this time Date: Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice o ' g Dept nDor\ Township: {�GL1�Y1 ffll J Address #& Road Name: 5 O p JS O £lJV\ , meS or Directions To Site: Comments: "t Plumbers you must verify any change(s) by fax or email'* Notes uforms/sanitary/requestforinspection Zoning Dept (®4/12/04); ® June 2023 RAYMOND J & JOYCE M ZIMM '(LE) ET AL �\ 50850 BORMAN RD BARNES WI 54873 Ind General trnomjacnn, )nsite Wastewater Treatment ( POWTS),Inspection Report (Attach to Permit) rn.:........ r....... Knnt1N...\l Permit Holder's Name: City 9 Village Town of Insp BM Elev: BM Description: 77� nn L Tonle Infnrnlafinn ------ -- - TYPE ------- - MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Se tic W/ a- -e ,Z D b IT N/A AeratDosingion N/A E Holdin _______ setback to: ° / Pump! Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information • DIMENSIONS Wi Le gth 2 # of Cell SETBACK FROM Prop.. Line B 'ling WQII� OHWM Tyge-gf Cell K VP/5 Manufacturer: Model Number. Pretreatment Unit I Manufacturer: Model Number: Elevation Data TION BS HI FS ELEV arkwerttlet p ,3_Jynk Inlet nk Bottom tour ManifoldI 7,50 fY� y Distribution Pipe Infiltrative Surface 9; S Final Grade stribution System X Pressure Systems Only Header I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Lenoth Dia _ Spac Soaclnp 0 Yes 0 No 3011 Cover Depth Over Depth Over I Depth of I Seeded I Sodded I Mulched ran Cantor Cell Fdnns Toosoil 0 Yes ❑ No ❑ Yes ❑ No COMMENTS: (include code discrepancies, persons pUresent etc.) ��� r? jan / TrQs' y reed Ian revision required? 0 Yes No I y ,a other side for additional inform on. I/(0 /9232/3 Date :Rn-A71n tR ❑Ql91' POWTS Inspectors Signature License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonino(a.bavfieldcountv.orp Web Site: www.bavfieldcountv.oro/147 RAYMOND J & JOYCE M ZIMM (LE) ET AL 50850 BORMAN RD BARNES WI 54873 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know /?-1 $4ctEr 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: fl Tank was pumped by: S Tank was crushed I removed and pipes disconnected by: on at _ AM/PM On at 7�ld / (AM I the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. ❑ 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: Ulformslsanilarypropenyowner-input April 2019 `%,,�� ,, (= �' 6� Industry Services Division 4822 Madison Yards Way County ..1 Sanitary Permit umber (to be ed in by Co.) Madison, WI 53705 P.O. Box 7162 Madison,WI 53707-7162 State Transaction Number Sanitary Permit Application In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. I. Application Information — Please Print All Information Property Owner's Name Parcel # , Z i rn -a1 - oggoo to Property er's Mailing Address Property Location 1 t '� Govt. Lot V4, Y., Section ity,State ae )y— la4fl)e& W Zip Code 5 `G 7J3 Phone Number —W `7�! �/ T (.11/ N R E ortJ H. Type of Building (check all that apply) Lot # or 2 Family Dwelling — Number ofBedrooms 3Subdivision Name &blictCommercial — Describe Use Block # ityof Dstate Owned — Describe Use Village of CSM Number r V, 1 ©14 G y 077 Sown of AU125 M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if a livable. A. pew System y Deplacernent System DOtherModilication to Existing System (explain) ❑Additional Pretreatment Unit (explain) B' Holding Tank In -Ground y� (conventional) [JAt-Crrdde IDMound Individual Site Design Other Type (explain) C. ❑ Renewal Before Revision JCba0ge of Plumber ❑Transfer to New Owner ist Previous Permit Number and Date Issued Expiration___________________ I _______________________________________ IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) L.f o__ Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (st) I &7 I System Elevation 9 Capacity in Total # of Manufacturer - Tank Information Gallons Gallons Units " a New Tanks Existing Tanks a U v1 W2 w C7 a Septic or Holding Tank f:.J / R Dosing Chamber c:j a V. Responsibility Statement- I, the undersigned, assume re onsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) fP1 a 's Si I MP/MPRS Number 1 Business Phone Number qi I-$-/b7L3 Plum 's Address (Strreett�CityState, Zip Code)pazk, 'i Th . Connty/Department Use Only Approved I 0 Disapproved Permit Fee Date Issued• L Si �7 0 Owner Given Reason for Denial — L2,VV Conditions of Approval/Reasons for Disapproval EC V D e d AUG 142025 Plan-n� Attach to complete plans for the system and submit to the County only on paper not less than 8112 x 11 inches in size SBD-6398 (R. 03/21) 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 I 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: Tank Specs POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map Tax Statement Project Name I Description Owner Name(s): RAYMOND J. & JOYCE M. ZIMM, et al Phone:'c-- 75-: A 7F • Owner Address: 50850 BORMANN ROAD, BARNES, WI Zip: 54873 Project Address: (SAME) Govt. Lot: NA 114 of _ 114, Section 08 , T 44 N -R 49 E ❑ or W ✓[ Township: BARNES County: BAYFIELD Project Parcel ID #: 04-004-2-44-09-08-105-002-09000 TAX ID: 1634 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, W1 E-mail: hollisterdesign@outlook.com License Number. 1859-007 Remarks: Phone: 715 - 426 _ 1775 Zip: 54893 O� ��.•' -'+.•. 'tip r , G • f T r' - = AUG 14025 \r Signature; - 08-09, 2025 g Date. Orig- ure required o�bach sued copy. Plot Plan Pie 3,of 4 PROPERTY OWNER:. SffiMOND -T 4 J0W Al. 21MM, t1 &I 1"== 40 FT. (except where noted) Legal Description: Lot 2, Y /045. f G 77 S0g, T9 11 R Oq W. TOW) or E = backhoe pit ?jS, A`IFt J.P &flsflY, WiSCu Slnl 1?w ID: !63/{ 0= h.amd j, OZb stCR+=S e8- O0z- 090cc! SO 850 $pNA �tMA_ R z w .[ INFILI'I411'OR 1060 �* g North C 4 1 {YO b Zlz + 7a % SwtMA* ?A4D AUG 14 2025 Site location: i IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) IIL�III iill�lllg min. 12" (typical) Septic Tank(s) Manufacturer: INFILTRATOR Septic Tank(s) Volume(s): 1060 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: 12" min. trench pth de (depth : • ' TYPICAL TRENCH CROSS SECTION VIEW (typic. al); .. (No Scale) System Elevation = 93.50 ft (typical) Quick4 Standard -W wl End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) --------------------t--- B= 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft2 1 Pairs of end caps @ 6 ft2 EISA/pair = 6 ft2 = Proposed EISA per trench = 226 ft2 O on x 3 trenches = Proposed Total EISA = 678 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3.0 ft (typical) "—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. Required Infiltration Area = 642.86 ft2 Distribution Method: branched manifold D O m W 0 m a RAYMOND & JOYCE ZIMM PAGE 4 OF 4 In -ground Gravity Management Plan IMt'ORTANT: 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 = 450 gpd; BOD5 5 220 mgL''; TSS $150 mgL"1; FOG 5 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: RYAN STRAND Local government unit: BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, B U RN , WI Phone: 715-558-1673 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replAB i Ou4sZ94to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area ofsuit, lsoi s.. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 4 -in. (100 -mm) Biotube® Effluent Filters Extendable Applications ii tee handle 0renco® 4 -inch Biotube® Effluent Filters are designed to remove sol- Vented top plate, ids from effluent leaving residential septic tanks. They can be used in standard new and existing tanks at flows of up to 1200 gpd. Blotube filter cartridge Biotube filter vault General Orenco 4 -inch Biotube Effluent Filters (U.S. Patents No. 4,439,323 and Biotubes 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield Ile. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle can be extended for easy removal of the cartridge. Standard Models FTSO444-36,F[SO444-36M,FTW0436-28,FlW0436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT[I[I04❑-❑-❑ Tow modulator and float switch bracket options: Blank = no options selected Flow modulation M = flow modulation plate installed A = float switch bracket Installed plate (optionaq Cartridge height, in. (mm): 28 = 28 (711), standard 36 = 36 (914), standard Filler housing height, in. (mm): Vault 36 = 36 (914), standard 44 = 44 (1118), standard 4 -in. (100 -mm) filter diameter outlettee: AUG 1 4 2025 Inlet holes w = fits type 30a4 outlet tee S = Pits Schedule 40 outlet tee Filter mesh option: Blank = ½-In. (3 -mm) fitter mesh P = ¼o -In. (1.6 -mm) filter mesh Biotube® effluent filter Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems • inc., 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843.541-459-4449 • www.orenco.com NTD-Fr-FrS-1 Rev. 3.0, © 05/18 Pagel of 2 renco S, Y S T E M S I n optional flow modulation plate) orifice (on optional flow modulation plate) AUG 1 4 2025 Specifications Model FTS0444-36,FTWO444-36 FTSO436-28,FTW0436-28 A-- Vault height, in. (mm) 44.00 (1118) 36.00 (914) B- Cartridge height, in. (mm) 36.00 (915) 28.00(710) C - Inlet hole height,' in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. (mm) 4.00 (100) 4.00.(100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, in. (mm) 4.00 (100) 4.00 (100) Filter surface area? ft2 (m 5.1 (0.50) 3.9 (0.40) Flow area, ft2 (ml 1.5 (0.15) 1.2 (0.12) Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) Inlet hole height can vary depending on the configuration of the tank Optimum hole height is 70% of the minimum liquid level. filter area Is defined as the total surface area of all individual Biotubes' within the filter carhidge. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Blot lies within the filter cartridge. RTU-Fr-FTs-1 0renco Systems ° Inc. ,814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.crenco.com Rev. 3.0, ® 05118 Page 2 of 2 4 I �r 4" CAST -A -SEAL )'. N I 1 FILTER ORS F n 0 1711 n CTS TOP VIEW - o C < car ao w INL T hnoN O ll N J p CCU 3j" FLLr-- Un SIDE VIEW 4" CAST -A -SEAL IDENTIFICATION TAG INSTALLED BY WIESER CONCRETE - OUTLET U M C, t'r 1 -v 1 0 N ry m m 3> <n r tJ'ti m TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 WEHD1000 Ia TANK SPECIFICATIONS a DIMENSIONS: o a a WALL: 3 1/2" BOTTOM: 5" COVER: 6" c MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 72 1/2" O.D. OUTSIDE DIAMETER: 7'-2 1/2" BELOW INLET: 54 5/8" O.D. LIQUID LEVEL 46 5/8" WEIGHT: TANK 7,000 LBS. a. WEIGHT: COVER 3,000 LBS. U o c INLET AND OUTLET: m o 4" CAST -A -SEAL BOOT OR EQUAL GASKET L7j INLET AND OUTLET BAFFLE AND FILTER: C WISCONSIN, SEE DETAIL #10 W c� (OTHER STATES SEE CHART) - W U LIQUID CAPACITY: 21.50 GAL/IN p HOLDING TANK: pxco OUTLET HOLE PLUGGED p 00 ACTUAL CAPACITY: 1,065 GALLONS C:7 I LOADING DESIGN: 12'-0" UNSATURATED SOIL / HS -20 o M TANK CAN BE USED AS: O SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #8 (NO FIBER) �■■ CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE a o 0 REVIEWED BY F REVIEW DATE a. DRAWINGS SUBMITTED tn FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 'j PRODUCTS NEEDED BY: OF 1 Real Estate Bayfield County Property listing Today`s Dane: 8/9/2025 Property Status: Current Created On: 3/15/2006 1:14:45 PM Description Updated: 11/7/2013 Ownership Updated: 9/8/2014 Tax ID: 1634 RAYMOND J & 30YCE M ZIMM LE BARNES WI PIN: 04-0042.44-09-08-105-002-09000 PATRICIA KRUEGER DULUTH MN Legacy PIN: 004107901000 GREGORY R CONNOR DULUTH MN Map ID: TERRI L RUBERG DULUTH MN Municipality: (004) TOWN OF BARNES BRUCE R CONNOR SUPERIOR WI STR: 508 T44N R09W Description: 2 PAR IN LOT 2 IN V.1045 P.677 474 BfflIflgAddress: Maltin� Address: (RAYMOND J & JOYCE M ZIMM LIFE RAYMOND J & JOYCE M ZIMM RAYMOND J & 30YCE M ZIMM ESTATES) (LE) ET AL (LE) ET AL Recorded Acres: 3.026 50850 BORMAN RD 50850 BORMAN RD Calculated Acres: 3.026 BARNES WI 54873 BARNES WI 54873 Lottery Claims: 1 First Dollar. Yes Site Adder * indicates Private Road Zoning: (R-1) Residential -1 50850 BORMANN RD BARNES 54873 ESN: 104 Tax Districts _-� Property Assessment Updated: 10/4/2016 Updated: 3/15/2006 1 2025 Assessment Detail 04 STATE COUNTY Code Acres Land Imp. 004 TOWN OF BARNES 61 -RESIDENTIAL 3.000 205,900 199,300 041491 SCHL-DRUMMOND 2 -Year Comparison 2024 2025 Change 001700 TECHNICAL COLLEGE Land: 205,900 205,900 0.0% Improved: 199,300 199,300 0.0% Recorded Documents Updated: 9/8/2010 Total: 405,200 405,200 0.0% © WARRANTY DEED Date Recorded: 8/27/2010 ? 0 i u R-5 34 2 s-1045-677 Property History N/A AUG 1=4 2025 Private Sewage System Maintenance Agreement Site Addressi , 8 7 5 �i Tax1D# ii As owner, I (we) do hereby cefify the private sewage system wcil be installed in accordance with the certified soil tester's report and approved plans and specifications on Be with Bayfeld 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 Wl Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 114 of 114 SectionTownship 9"t_N. Range C_W. Additional Legal Description: e .' i9irMs Town of_____________ 1 y (Acreage) Gov"t Lot Lot Block Subdivision Lot St CSM # Vol/j5age2l CSM Doc # s- coe DOCUMENT NUMBER 2025R-609035 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/04/2025 AT 11:45 AM RECORDING FEE: $30.00 PAGES: 3 Recording Area Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed 0 lr-ground pressure disiribuliion Sewage System: ❑ Mound ❑ At -grade Sewage System 0 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 (113) 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 titter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Fier maintenance reports shall be submitted to the County as required by SPS 383.55, WIs. Minis. Code. Private Sewage System Dispersal Call (system Types A tlrnough E): The private sewage system distribution cell shall be visually Inspected by a certified septagesemcang operator. POWS 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 pondrng on the ground surface. Mounds. At -grade, and In -mound 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. Owners) agree that failure to comply with This agreement will result in action being taken to pay all charges and costs incurred by Bayfeld County for Inspection, pumping, hauTmg, or otherwise seMcing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by Me system. Bayffeld County shall not y 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 fie costs witirai t irty (30) days, the owner specifzally agrees fiat ab the costs and charges may be placed on the tax rich as a special assessment for the abatement of a human health hazard, and the tail shall be collected as provided by law. The terms and condltivns of the agreement shall be binding upon and inure to the benefit of all cwrent and future owners ofsuch pmperty. Owner(s) Name(s) — Please Print a / Subscribed and sworn to before me an this date: fit. H.t, rnR ! //cZ s ' ed Owner f )� Sl natm(s) Notary PuJA My Commission Expl - s� o`1 O li 11 Dried by: r __11? Dater f EC tVED SEP 052025 Ba held Co. Planning and Zoning Ancncy ,,.•••',M multi �`,• •.,l '-.� Proofed W. - � TA •� (:1L2020 cn�►', AVB L'G OF WISO Exhibit "A" Parcel # 1: Part of of Two (2), Section Eight (8), Township Forty-four (44) North, Range Nine (9) West, described as fola.ows: Beginning at the meander corner where the East line'of said Lot 2 intersects the shoreline of Lakq on thence South on the East Line of said Lot 2, 450 feet to a point of beginning, thence West .300 feet, thence South 300 feet, thence East 300 feet to the East Line of Lot 2, thence North on the East line of Lot • 2, 300 feet to place ofbeginning. Parcel #2•: AlIthatT part of GovernmentLot Two (2), Section Eight (8) Township Forty-four (44) North, Range Nine (9) West,.more particularly described as follows: Commencing at the meander corner where the East, line of said Government Lot 2 intersects the shoreline of Lake Boney; thence South on the East Line of said Government Lot 2, 425 feet to the point of beginning; thence West 350 feet more or less to the Easterly boundary of the Town Road as presently existing and constructed; thence in a •�• Southerly direction along' the Easterly boundary of said Town Road, a distance of 65o feet more or leas to the South Line of aforesaid ov�epe�._LQ 2;,. .,� o the aforesaid South Line a distance. of 100 feet more or less to the Southeast corner of the aforesaid Government Lot 2; thence North on the East Line of aforesaid Govern- ment Lot 2 to the place of beginning, LESS the parcel of land des- cribed in Volume Two (2) of Certified Survey Maps, Page ].87, and EXCEPTING therefrom lands presently owned by the grantees herein pursuant to that certain Warranty Deed listing Fred C. Thompson and Alice B. Thompson, husband and wife, as grantors and Jim Dale L3ndbom' and Peggy Lindbom, husband and wife, as grantees, said deed having been recorded in Volume 258 of Records, page 280-281 in the Register of Deeds office for Bayfield County, WI. • Parcel #3: A small parcel of land on the West store of Boney Lake lying along the section line between Boney Lake and land owned by Olga Howard described in Deeds recorded in Dayfield County, Wisconsin, in Vol 96, page 385, dated Aug. 17, 1948, and Vol 126, page 12 dated February 8, 1935, in Government Lot 2, Section 8, Township 44 North, Range 9 West. V1045 P678 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: KRUEGER,PATRICIA SR -00317 5956 ARNOLD RD DULUTH, MN 55803 Transaction Number: CONNOR,GREGORY R SR-00317-34EB0 4716 PITT ST DULUTH, MN 55804 RUBERG,TERRI L 1884 OLD NORTH SHORE RD DULUTH, MN 55804 ZIMM LE, RAYMOND J & JOYCE M 50850 BORMANN RD BARNES, WI 54873 CONNOR,BRUCE R 614 N 23RD ST SUPERIOR, WI 54880 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3021 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 9/15/2025 it3MFI E LD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: KRUEGER,PATRICIA SS -00628 5956 ARNOLD RD DULUTH, MN 55803 Transaction Number: CONNOR,GREGORY R SS-00628-32CA3 4716 PITT ST DULUTH, MN 55804 RUBERG,TERRI L 1884 OLD NORTH SHORE RD DULUTH, MN 55804 ZIMM LE, RAYMOND J & JOYCE M 50850 BORMANN RD BARNES, WI 54873 CONNOR,BRUCE R 614 N 23RD ST SUPERIOR, WI 54880 Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3021 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 9/15/2025 S.j273() '�' • Vvsconsfint7�en#ofS SPrafessianaiServices I Page of %`•, Division of Industry Services TEST # .pj-�� SOIL EVALUATION REPORT IL In accordance with SPS 385, Ms. Adm. Code County ] Attach complete site plan on paper not less than 8112 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. 1≥C itt' I(,,gq scale or dimensions, north arrow, and location and distance to nearest road. 4'S. ©pr. f „ 2-'1- O'108..1 . oqc Please print all information, Rqyijwed Date Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04(1)(m)). I 9)'&?/2 Property Owner Property Location ❑ &NA*A\bj- joyeLA'�:M^) d � %. % S O T 4'/ N R �q €w Prooertv Owner's Mailing Address Site Address or CSM and Lot #: PAPr 71 o CityState, Zip Phone Number ❑ City O Village Town Nearest Road Rl�1. ►izX873 ( ) Gsb4W R ❑ Ne'Construction Use R al/Numberohedrooms .� Code derived rate designflow _GPD Replacement 0 Public or commercial —Describe:_________________ Flood Plan elevation if applicable ft. Parent material________________________ i�t� .. General comments and recommendations: ,T �Pt.PtCV�v Gp tJ4 T�1rN 0� �� L' 6113 9 R( L -tvXD Boring # ❑ sorin Gerund swfaee e1ev.gqbti. Depth to timiting factor 40 in. / eievW- D8. Soil Application Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *EfP01 °Efl#2 D-4 ?.5� Z. z I s N L I s -co 07 £(o 3O 7.s -� 9 _ -co D.z /4 75Y $ G-!.1 D.7 1.4' ring DP Ground surface etev.Rb.70 ft. to lire' ' fa Sq ❑ Depth fing dor ire. / elev f. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description In. Mansell Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 "`Efi#'t *Ef2 -7 T.5z5 a --- 5 d I 0.7 D.7 ,, 3 �f 15 -2. 7.i, 3 --' • g� 75Y " .S s 41 -- -- dl — -- D. i a7 14 , ______'a'.t `.•• LAN �.<o t.' ST Name (Please Print) Signatur4 xo� aMM CST Number WARY JO HUPPERT (Hoilister'S Soil Testing .gn) fV ItU 0assaoao2sPW rr ddress Date Evalua onducted Telephone Number 25720 Firefly Lane, Webster, Wl• 54883 0 9 D' Za,5 71-42-1775 -S* Efttuent #1 = BOD > 30 s 220 mglL and TSS > 30 5150 mglL BOD, s 30 mg/L and TSS s 30 mg/L SBD-8330 (R03122) Page of..±i_ E] Pit Ground surface elev.4 4# ft. Depth to limiting factor 26 in. / elev.W'T• ! r ft. I4ni1 Annfirafinn 1?nfn Horizon Depth • In. Dominant Color Munsell Redox Description Co. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 `Eff#1 ' Eff#2 / z 1_ zo 1.5%t�3 --- s d 1 ..-'4 0 • ? '4 3 -% 7, 344 — 41 --- �. Q. 7 /. 7 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I etev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ff2 *E `Eff#2 III Boring # ❑ Boring O Pit Ground surface elev. ft. Depth to uniting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Efft1 *ff Effluent #1 = BOD > 30 s 220 mgfl and TSS > 30 5150 mg/L * Effheent BOD. s 30 mg/L and TSS 30 mg/L AUG 142025 Plot Plan PROPERTY OWNER: Si I� OND I JOYU M : ;?I*M" d aI Legal Description: L,of Z, ly5 7SOS. 'R 6gt+�3 ¶O) or w�'r ■ir � a FtE(V C.oWisczi • '') VD:11.3'I 8 ,1- z- c? --1 tom- 0oz- D45o9 &MW i 1i 2tz' w w C/L 8pIMr Rao 12! ens p�y6ii� ite location. Ij Page .S of II ."_= 40FT. (except where noted) ' = bacld,oe pit . 0ib A grs North AUG T 4 2025 n 7 Real rate Bayfield County Property Listing Today Date: 8/9/2025 Description Updated: 11/7/2013 Tax ID: 1634 PIN: 04-004-2-44-09-08-105-002-09000 Legacy PIN: 004107901000 Map ID: Munidipaiity: (004) TOWN OF BARNES SIR: S08 T44N R09W Description: 2 PAR IN LOT 2 IN V.1045 P.677 474 (RAYMOND J & 30YCE M ZIMM LIFE ESTATES) Recorded Acres: 3.026 Calculated Acres: 3.026 Lottery Claims: 1 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 104 1 04 004 041491 001700 Recwded Documents ® WARRANTY DEED Date Recorded: 8/27/2010 Updated: 3/15/2006 STATE COUNTY TOWN OF BARNES SCFiI-DRUMMaND Property Status: Current Created On: 3/15/2006 1:14:45 PM Ownership Updated: 9/8/2014 RAYMOND 3 & 30YCE P4 ZIMM LE BARNES WI PATRICIA KRUEGER DULUTH MN GREGORY R CONNOR DULUTH MN TERRI L RUBERG DULUTH MN BRUCE R CONNOR SUPERIOR WI BffffnfLAdd Mang Addvess: RAYMOND J & JOYCE M ZIMM RAYMOND 3 & JOYCE I'4 ZIMM (LE)E'AL (LE)ETAL 50850 BORMAN RD 50850 BORMAN RD BARNES WI 54873 BARNES WI 54873 Site Address * ind'scates Private Road 50850 BORMANN RD BARNES 54873 Pr�operft A.ssessmerst 2025 Assessment Detail Code Gi-RESIDEN T1A.L B -Year Comparison TECHNICAL COLLEGE Land: Improved: Updated: 9/8/2010 Total: l� w�..=` ^ 5: i 2 zr'J 1045-677 Property History N/A Updated: 10/4/2016 Mares Land Imp. 3.000 205,900 199,300 2024 2025 Change 205,900 205,900 0.0% 199,300 199,300 0.0% 405,200 405,200 0.0% AUG 14 2025 BAYFIELD COUNTY SANITARY PERMIT (#04)-25-124S STATE SANITARY PERMIT OWNER: RAYMOND J & JOYCE M ZIMM (LE) ET AL G OV'T LOT: LOT: 2 B LK: CSM: V.1045.P.677 1/4 1/4 SEC: 8, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 121-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND TRACY POOLER Authorized Issuing Officer DATE: 9/15/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit Is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may Impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168;1979 c. 34,221;1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 798301 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 9/15/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION