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HomeMy WebLinkAbout25-135SRequest 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 zoning a(�baVfieldcountV.wi.gov Note Time Change fl Discrepancy Other Phone Number X51 a�1-NI1 Plumber: rjiCDlas us Fax Number Email Address Homeowner: Ll d� 1 ei Eraxt� ni CIS Q COci pt KKW(b i . C Immediate Phone Jumber So Zoning Sanitary Permit#: (4PO4) Dept can call you right back (if needed) -�5-135S Plumber's Choice Zonin ep No Inspection(s) during this time Date: lb/s( /'5 Sa_vta Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zon' Time: Township: mar rtz S Address # & Road Name: or 5.yyQ La ke Rd �1 Directions To Site: Comments: T-. (1 )t s1D 2 Gi7Ovl /YI - (aroujcuc1 ** Plumbers you must verify any change(s) by fax or email ** Notes from In July 2025 Dnsite Wastewater Treatment BRANDY J LIDDLE ; (POWTS). Inspection Report 982 FAIRCHILD DR (Attach to Permit) IndL RIVER FALLS WI 54022 Get Personar uuotmauon au - rovide ma be usecifor secon uses f Privacy Law, s. 15.04 (1)(m)3 Permit Holder's Name: I J City jj Village Qrown of: Q)rc-d� k-I&lC jar nes BM Description: CST BM Elev: Insp BM Elev: (one fe S1o47 T2nlr lnfnrrri finn cathark tn' TYPE MANUFACTURER CAPACITY Prop, Line Vllell Building Air Intake Roadiii Se tic zhA-I3�r 0(oa 1 30 5� N/A. Ti Dosing N/A Aeration N/A Holdin County &q-fiel�L­ SanFory ermlt No: ZS-l?SS State Plan'Transaction ID#: Parcel Tax No: 31551( Pump I Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer 1 Filter Model 5;6 TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width, Length # of Cells , LtsSETBACK FROM Prop.. Li ne Building Well OHWM Type of Cell • Manufacturer:r,1 �� Model Number: Pretreatment Unit Manufacturer: Model Number: stribution System Header / Manifold I Length Dia jjngth Distribution Pipe(s) r'r21l3+? t 95' Dia Spac Depth Over Depth Over Depth of Cell Center Cell Edges Topsoil COMMENTS: (include code discrepancies, persons present, etc.) — -�'Gw\V- ► n ' Covti' — ;,n eS tih I l cwc K C ogvre-A bsc�v�,fi1�• t' Vt� -t • ON a d, c6•( fed Elevation Data STATION BS HI f FS ELEV Benchmark � .' c gyp, Bldg. Sewer 5. o' '1(, f1(O Tank Inlet (Q. OS Tank Outlet . 3O (9 s Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold Distribution Pipe Infiltrative Surface ii. g 01 L. O Final Grade I I }• rt X Pressure Systems Only X Hole Size X Hole Seeded / Sodded ❑ Yes ❑ No Ibservation Pipes Yes ❑ No Cl Mulched ❑Yes ❑No — Ab ' ►� oScd to a Q c-eJ DS►- P ? Ian revision required? ❑ Yes No to 1 rl 51 I ,-e other side for additional inform on. T3T a_ Date POWTS Inspector's Signature r-' License Number K75 �Rn_A71n rR ngi,i t Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonino(aDbavfieldcountv.ora Web Site: www.bayFeldcounty.oro/147 BRANDY J LIDDLE 982 FAIRCHILD DR RIVER FALLS WI 54022 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: r Tank was pumped by: ) Tank was crushed / removed and pipes disconnected by: on at AM/PM On at (AM / PM) 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: U/forms/san it arypropartyown ar-input April 2019 rrF-,sueQ1%leM S-S-06&�N Department of Safety County BAYFIELD SE P 2 5 2 025 & Professional Services, ' 'BaeidC. Ste, Permit Number(to be filled in by Co.) I U Industry Services Di .., ....; r n .� " r Sanitary Permit Application ,a - State Transaction Number In accordance with SPS 383.21(2), Wis. Aden. Code, submission of this form to the appropriate tai unit NA ___ 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(lxm), Stats. 52440 LAKE ROAD I. Application Information — Please Print All Information Property Owner's Name # � 4-2-45-09-34-4 02-O00-22000 BRANDY J. LIDDLE Property Owner's Mailing Address Property Location '55 t' 982 FAIRCHILD DRIVE Govt. Lot NA �7 City, State Zip Code Phone Number RIVER FALLS, WI 54022 715 - 760 -1700 NE y,, SW'h, section 34 T 45 N R 09 V6 W IL Type of Building (check all that apply) Lot# Subdivision Name C 1 or2 Family Dwelling —Number ofBedrooms 2 NA NA Block# ❑ Public/Commercial — Describe Use NA ❑ Cityof O State Owned — Describe Use O Village of CSM Number NA Townof BARNES III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line Cif a licable. A. �; New System y� ❑ Replacement p System 0 Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit lain ( ) B. ❑ Holding Tank XIn-Ground At -Grade ❑ Mound ❑ Individual Site Design 0 Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber O Transfer to New Owner List Previous Permit Numberand Date Issued Expiration IV. Dispersal/I'reatment Area and Tank Information: Design Flow (pd) Design Soil ,application Ratc(gpd/st) Dispersal Area Required (st) Dispersal Area Proposed (st) I System Elevation 300 0.7 428.58 450 90.00 FT. Capacity in Gallons Total . Gallons # of Units Manufacturer Tank Information New Tanks I Existing Tanks I O Septic or Holding Tauk - 1060 1060 1 INFILTRATOR x Dosing Chn nbcr ._I_I_I___________ L L_L V. Responsibility Statement- I, the undersigned, assume responsi for installation of the POWTS shown on the attached plans. Plumber's Name (Print)J Plumber's Si MP/MPRS Number Business Phone Number NICOLAS DUSEK 104745 651 - 261 -— Plumber's Ad (Street, City, State, Zip Code) to I 7 .c )a r vi. cduntylDepar6nent Use Only ApprovedLE3 Disapproved Permit Fee $ Date Issuedjh, .. nt Owner Given Reason forDenial Conditions of Approval/Reasons for Disapproval ' f2etm.'7≤ ,i,,,f Je A- c'q J- j4 ,tieied W/as7 h'/d Attach to complete plan far the system and submit to the County only an paper act tess thm s ra: 11 lathes in size SBD-6398 (R. 03122) SOIL TEST # /°6- 5 V1FLsconsinO ep ntofS BProfessionalServrcesf'7 Page LP arm► Divislon of tndustrY Services SOIL EVALUATION REPORT 3 d 00 3 (4 I niAgn P1a•nr•inr '' In accordance with SPS 355, Wis. Adm. Code County Attach complete site plan on paper not Less than 8112 x 11 inches in size. Plan must include. w0c IDs 3 Sji but not Ctmited *to vertical and horizontal reference point (BM). direction and percent slope. Parcel I.D. scale or dimensions, north arrowand location and distance to nearest mad. ^ O0 "Z: �5" 4 12" 0D- Please print.all information. Rev . / f Dale Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04(11(m)). r ! I 4 'Z Property Owner Property Location r��SM64 II C)L -6ev -=at __ Y.stN T _N R Eifel'! W Property Ow�nefs Mailing Address Site Address or CSM and Let #: `�$'z iFC# 'LD t6 •5i1 .0 LA1 RDA City, State. Zip Phone Number ❑ city ❑ village .g Town Nearest Road Lam. u.� A 5'Yo (7iu )740-170 . ,� �s t RMD NeviConstrucMton Use- Residenti&/Numberofbedraoms Code derived designflowrato_. 3(D GPD 0 Replacement ❑ Public or commeru;iat.—Describe: Flood Plan elevation If applicable—J,j.__ft. Parent material SkA1�V fls General comments and recommendaffons: CpPlYPA i1I IL EZ rLO W TR€J4alv-5 ."7 LPi r s.�• at,tY) PL 173$ BoringQ Boring grit Ground surface el •20 ft. Depth to limiting factorS 1 in. / eieir.` ` ft. Anil Annrtmflnn Ra1P Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Conk Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots. GPD/Ft2 +Eff#1 p - it r. 5YR - is IPsbK 4s i 1 -co '.7 1. 2. ID -3a .5`1R`4 ' s a d l . Cu) Y -01 Dc7 1. to F;q Boring ;¢ $Boring Pit Ground surfaceetev.'Th.O ft. Depth to limiting iactor_)_fn. / elev3 ft. Sr ern Anntradin Horizon Depth In. Dominant Coiat Mansell Redok Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIF12 •Eff#i I JO 1.51 & 3(y — . is Ic5cil 4o p.7 t h z It' iY do to t4r.r 0.7 toy At -- ('cc 0 . (4 _ CST Name {PleasePrino 6I ' 7 GST Htgnber MARY JO HUPPERT (i-Io1lster's Soil Testing & De igiij i f. i = 0489W00SP Address Date i3ra on Conducted Telephone Number 25720 FIrefly Lane: Wehsier. Wt 54893. D ZQA5... 7j5424775 • EfiuentWl - BO0 > 30 s 220 mglL and T$S a' 30 s 150 molt. - Eflittcntll2 = BOD, 30 m cgfL and TSS s 30 aeL SBD4XW (802122) cD//4L, OUI�JA/ SEP jZ25 # SBO Pit Bayfield Co. planning and Zoning Agency Page 7' of Ground surface etev i ft. Depth to rrafrttg factor in. / etev. W. ft. 1.oDP,L. I Horizon Depth In. . - Dominant Color Munsell Redox Description Cu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 .E� .. ?. 3 Z S �rn i1ro Dal :- -2a k 5 s £.7 r. i to s p r .. 0 1• b El Boring # ❑ Boring ❑ Pit Ground surface etev. ft. Depth to limiting factor in./elev. a. Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots yV...,�. NVV NV\a•W GPD/Ft2 •Eff#1 'Eff#2 LIIBoring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to rrmiting factor m./elev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cant Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots �uu a ppucauon rate GPD/Ft2 •Eff#1 'Eft#2 Effluent #1 a BOD a 30 S 220 argil. and TSS y 30 S 150 n�git. • Effluent 1F2 a: SOD. 5 30 mg/L and TSS S 30 mgnL - ECE2VED • S.EP 252025 Bayfield Co. Planning and Zoning Agency Plot• Plan PROPERTY OWNER; �DY 1-!DDL� Legal Description: PCI. 1Af 16#E. &F'i'#1G SwYg N W `I DF lUg5 4, .v3 f r 5iJ, Rnqiil, TD A)IJ a? 1!a s I2M i Cbuj5TY. WI54 c 5fP -VV�t--z. Jr o� ✓'H ol, m J rAy- to: 35-5(t Site location: .G 0P T. t L Page 3 of I 1" -- - FT. (exceptwhere noted) backhoe pit 1 aZWOM _ LJ A%BW {116f ) 4600 1 o'0. HBO, saw Qr r rVED SEP 25 2025 BayI Go. Planainy arnd Agency PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for P0WTS 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: Tank Specs POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map Tax Statement ***14 PAGES TOTAL*** includin sanitary applicatio, Project Name I Description 1) Owner Name(s): BRANDY J. LIDDLE Phone: 715 - 760 - 1700 Owner Address: 982 FAIRCHILD DRIVE, RIVER FALLS, WI Zip: 54022 Project Address: 52440 LAKE ROAD Govt. Lot NA NE 1/4 of SW 1/4, Section 34 , T 45 N -R 09 E ❑ or W Z✓ Township: BARNES County: BAYFIELD Project Parcel ID #: 04-004-2-45-09-34-4 02-000-22000 TAX ID: 35511 Designer Information Designer Name: MARY JO HUPPERT Designer Address. 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: 1859-007 Remarks: Phone: 715 - 426 - 1775 Zip: 54893 it �S;s� • Wi Signature: ! Date: ed t• I .SE? 252025 Bayf*ld Co. Planning and Zoning Agency Plot Plan PROPERTY OWNER: t3vvi J LIDDLE Legal Description: Ft. iN 1'H6�j/r,*OF-'f�� SWfg NdhOF -Miv 5E4, �3 � r154 R na�1 TDVJi1 aP Rhm&-;s HEtD C�u, Y, vJI c cK5t�• f -Db--Z.-45- V ---3+-9 OZZZObD tX. tD • 355(1 5z`f `fa L.qkr Rokt Site location: 4 te51-2 (e -14 1P- 7 P P 104 714510 Page c ofI �H=FT. (except where noted) = backhoe pit �, op I}cRC S North I. 4' I 3e;%, a5•Z ' 0 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) ■..ter.■ ._af l r: ■■■r. ;�IIR?1i1 11 ,re•re .•� ••ya • •er••', �••e•eerr •••e•ee �•ree•r, •0 ti0 • Septic Tank(s) Manufacturer. INFILTRATOR Septic Tank(s) Volume(s): A 1060 gal gal gal gall Effluent Filter Manufacturer POLYLOK Effluent Filter Model #: 525 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Provide minimum 3 ft separation between trenches. TYPICAL TRENCH (Show location -of inlet! outlet pipe connection on plan view.) PLAN VIEW 4" o Observation pipe shall be Installed (No Scale) al junction between two units. Perforated Lateral Observation Pipe (typical) (typical) �---- - 4 B= 5 45 ft (ty lcal) OBSERVATION PIPE DETAIL (No Scale) Screw -Typo or Stip Cap (home) 4"0 PVC Pipe - Top of pipe to terminate at orabove finished grade (4)114=1 X6"Slots — @00 apart 10 ft (typical) Anchoring Device -� ft (typical) — Finished Grade (mulched & seeded) Topsoil Cover (min.1 foot) Infiltration Surface p 300 GPD / 0.7 LR = 428.58 INSTALL PER TRENCH: 428.58/50 EISA = 8.58 UNITS OREZ1203H Bundle (typical) 4 @ 200 2 9X10FT. =90FT. - 10 ft bundles 50 fta ElSNunit = ft (2) 3 FT. X 45 FT. TRENgf5jj by Infiltrator Systems, Inc pursuant to manufacturers Instruct ions. + 1 5 -ft bundles @ 25 ff EISA/unit = ft2 = Proposed EISA per trench = 225 ft2 Required Infiltration Area = 428.58 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 450 fta branched manifold BRANDY LIDDLE "0 0 m W O m O RF.CEIVED P 2 5 2025 PAGE 4 OF 4 SE In -ground Gravity Management Plan geld Co. P Agency 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 = 300 gpd; BOD5 5 220 mgL"'; TSS 5150 mgL'1; FOGS 30 mgL 1 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 (Le., 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 pending 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: CODY PLUMBING Local government unit: BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, Wi Phone: 715-749-3354 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 replaced pursuant to 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 of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. .ICEW ED Planning•-=Zcning Agencq._ tanks The Infiltrator IM -1060 is a lightweight strong and durable septic tank. This watertight tank design is offered with infiltrators line of custom -fit risers and heavy-duty lids. Infiltrator injection molded tanks provide a revolutionary improvement in plastic septic tank design, offering long-term exceptional strength and watertightness. Inlet Side TANK CUTAWAY Infiltrator TW Riser Partition baffle w - Structural bulkheads • Strong injection molded polypropylene construction • Lightweight plastic construction and inboard lifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with T WTM' risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump -outs • Reinforced structural ribbing and fiberglass bulkheads offer additional strength • Can be installed with 6• to 48" of cover • Can be pumped dry during pump -outs • Suitable for use as a septic tank, pump tank or rainwater (non -potable) tank • No special Installation, backfill or water filling procedures are required MID -SEAM CUTAWAY Reinforced water tight mid -seam gasketed connection Protecting the Environment with Innovative Wastewater Treatment Solutions HEAVY DUTY LID CUTAWAY Reinforced 24" structural access port k INFILTRATOR` SEP 2 5 2025 P'M'iii�erahspecificafions and Illustrations The IM -1060 is an injection molded two piece mid -seam plastic tank. The IM -1060 injection molded plastic design allows for a mid -seam joint that has precise dimensions A for accepting an engineered EPDM gasket Infiltrators t gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM -1060 is assembled and sold through a network of certified Infiltrator distributors. Must be backfilled and installed In accordance with Infiltrator Water Technologies, Infiltrator IM -Series Septic Tank General Installation Instructions and for shallow ground water conditions reference the Infiltrator IM - Series Tank Buoyancy Control Guidance. Please visit www.infdtratorwater.comfimages/pdf/ ManualsGuides/TANK01.pdf for the latest information. lh5IiI.1i Warkkg Capacity 1094 gal (4141 L) Total Capacity 1287 gal (4872 is Airspace 16.5% Length 127"(3226 mm) Width 62.2" (1580 mm) Length-laWidth Ratio 2.3 to I Height 54.7" (1389 mm) Liquid Level 44"(1118 mm) InvertOrop 3"(76m) Fiberglass Supports 2 Compartments 1 or2 Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6" (152 mm) Maximum Pipe Diameter 6" (152 mm) Weight 3201bs (145 kg) 6 nvra Pmt lint] s., rm Old -TIROtioc& CT 004Th INFILTRATOR" ,W o-TETFB5 • 6w E6rraC01 wuAwn iVC!uT.:'C`!i •s wvr-Inneedme*wa earn odd1. and 3deN4tlrc wed 6mlmkaolb,W ab WemeT«iP:ob Comes. Mmotaadvg. P6NTM, Oait.. c+. SI.IMa. P0a4 .O.ac Ml,isa a dewr1 of edytM. M.TUF-TIIE sneSsed 6a®ahaT 020161 Want T"nWdl. Lit. MI4nl awt RYeml ne5A it GSTIIM ,MGtl TOP VIEW END VIEW V!10 0OY ITW1I A 04 1Q21 PVC Cl Ms fNIIETPF! TANKTOP CONTINUOUS HALF GASKET TANK INTERIOR SEAMCLIP ALIGNMENT DOWEL TANK BOTTOM HALF MID -HEIGHT SEAM SECTION m, x^ 1116 PAtSOW. INSTALLATION INSTRUCTIONS .,W.pthu�yhaoo;�„,k PL-122/PL-525/PL-625 FILTER INSTALLATION )NSTRUCTI)N: Step 1: (A) Locate the outlet of the septic tank. (B) Remove tank cover and pump tank I 4, if necessary. c<rars<arn �I1 NSFIANSI SIandanl<51 MAINTENANCE INSTRUCTIONS step 1: Locate the outlet of the septic tank. .• s USE RUBBER GLOVES WHEN CLEANING FILTER Centerfilter wi h opeI ning �; (.. �� JJ 'Ata-if�S?,r IiLO Additional pipe or Poybk Extend & Lok^ Glue for centering. Step 2: (A) Before installation, place the filter housing on to the outlet pipe. (B) Make sure that the housing is positioned so the filter can be removed from the tank for maintenance and service. Step 3: (A) Glue the filter housing on the outlet pipe. (B) Insert the filter cartridge in the housing, making sure the filter cartridge is property aligned and completely inserted in the housing. � Ov 14V 1_ I@Jt6`v8 (Ilt�' lN, ... 'i iCV£'I is above ilil l:'alfiQ: Step 2: (A) Remove tank cover and pump if necessary. (B) Pull the filter out of the housing. (C) Hose off the filter over the septic tank Make sure all solids fall back into the septic tank, not into filter housing. Step 3: (A) Insert the filter cartridge back into the the housing making sure the filter is properly alighed and completely inserted. (B) Replace septic tank cover Polylok, Inc 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877.7659565 Fax. 283284.8514 www.potylok.com 2.00 [5,1 cm] OUTSIDE DIAMETER ACCEPTS 4"SCHD 40 SOCKET OPTIONAL BUSHING (FOR 4" THIN WALL PIPE) PART NO. 30142-R OR (FOR 110 MM. PIPE) PART NO. 30142-EUR OUTLET BUSHING ACCEPTS 4"SCHD 40 & 6" SCHD 40 PREVENT FILTER FROM FLOATING PL -525 -625 FILTER HOUSING PART NO. - 30142-525 30142-625 o O 14.34 [36Acm] W aF ;u '°o r 1471 11.59 a. ' [29.4 cm] I ©I L NO. I 'FILMIT (F&' 8.10 [20.6 cm] PAYO. O. all UGA PAY. MD. -SO mot �--� CEPTS 6" HD 40 PIPE R INLET TENSION BALL CHECK 10.52 [26.7 cm] 33.02 [83.9 cm] 18.31 [46.5 cm] LABEL ILLUSTRATION Ft -{ �� 1F `Z. t I 3 rt ( i Ia'a Real Estate Bayfield County Property Listing Today's Date: 8/26/2025 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Tax Districts 1 04 004 041491 001700 Updated: 5/21/2019 -*a Ownership 35511 BRANDY JLIDDLE 04-004-2-45-09-34-4 02-000-22000 P! 1r19 Address: BRANDY J LIDDLE (004) TOWN CF BARNES 982 FAIRCHILD DR S34 T45N R09W RIVER FALLS WI 54022 Property Status: Current Created On: 4/20/2009 7:21:42 AM Updated: 5/21/2019 RIVER FALLS WI M1liBgAddress: BRANDY 3 LIDDLE 982 FAIRCHILD DR RIVER FALLS WI 54022 PAR LOCATED NE SW & NW SE DESC IN DOC 201SR 577436 Site Addy tes Private Road 0.000 52440 LAKE RD 0.000 0 Yes - ` Property Assessment (F-1) Forestry -1 2029 Assessment Detail 104 Code Acres Gi-RESIDENTIAL 5.000 Updated: 4/20/2009 _. __ ..._- .. __ 2 -Year Comparison STATE Land: COUNTY Improved: TOWN OF BARNES Total SCHL-DRUMMOND TECHNICAL COLLEGE BARNES 54873 Updated: 3/25/2022 Land Imp. 14,000 110,800 2024 2025 Change 14,000 14,000 0.0% 110,800 110,800 0.0% 124,800 124,800 0.0% U. •� Recorded Documents Property History - Updated: 4/20/2009 © WARRANTY DEED Parent Properties Tax ID Date Recorded: 5/14/2019 201OR-577436 04.004-2-45-09-34.3 01-000-1 Un00 3.142 © WARRANTY DEED ti°t-004•'-45- � 4.4 rzZ:000-2rirtaa 12 Date Recorded: 12/1/2008 2nnf, ) 1006-777 HISTORY © Expand All Hi,tor white=Current Parcels Pink=Retired-Parcels © Tax ID: 3150 Pin: 0•i -00.1-::--}5-X19-'141 U2-UOit•?Q(1QU teg_pin�fli�:1?1(150(IU © Tax ID: 31.12 Pin: 04-004-2-•15-09-34-3 01-000.10000 Lg. Pin: 00412 1809000 35511 This Parcel 't Parents * Children ® a; c o Ln g N 9/24/25, 1:54 PM �c B 'v f!@dd County Zoning Application 1. - E ��� Last Name, Address, Parce Q `"'.`,'� y;•n� ti• vim` 1 ; �1 x r 5l' a;; 1I' __ ,_1182 Bayliield County Zoning Application 1.4 Iznnn;a:_n 8Aj}4 lx 1 r ly Sr �0 _ r M 't N -trs; x: M1K Elf _•.w ..ii-� + r ud ti'�.j3' �f -'i1t �� a N r: • .'4� r t ""t„L."^.�.. r Y P — 1TF { Le,fy, fin/ l9 '" wt t'N� 127 } �& :n t-. a s • "'� y I �� �1 -k . \ate e '.` ).. ' ti1 -"^Q... -- •r - " •t� . .. ._ , __.._ uL�11NOLL₹'awaY$. i.2fiLlrS?�ta"3itl https;//maps.baylleldcounty.wi.gov/ZoningWAB/ 1/1 / Private Sewage System Maintenance Agreement Owner(s) Name 138-Au� L►tflLE Owner(s) Mailing Address q8& F,AIlzCH/Lb D1la FALC, wz syDzZ 521ItAKE ROAD IdAlv*r 355// As owner, I (we) do hereby certify the private sewage system will be Installed Id accordance with the certified soil tester's report and approved plans and specifications on file with Bayleld County Planning and Zoning Department The system will be 4P C- 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 regqufred) M 114 of 5� 114 Section 3� Township 46 N. Range W. Additional Legal Description:? N !>' /4 OF S Eth Town of P1AR/UOD Gov't Lot �" S (Acreage) �. Lot — Block Subdivision Lot . CSM # Vol. Go Page 222 CSM Doc # Ulill RU IIU 11111 1111111 HllhII I IIllhII IIIIIIIIllhI 019R 51i83d 3t 20198-577634 DENISE TARASEWICZ BAYFIELD COUNTY, WI REGISTER OF DEEDS 06/03/2019 08:07AM TF EXERPT if: RECORDIHO FEE: 30.00 PAGES: 3 Recording Area Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: O Mound ❑ At -grade Sewage System ❑ Other Septic Tank-(system-types-A-threuugh-E): The -septic tank -shall -be pumped by a-certifred-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. Pumo 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 Svstemfllsnersal 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 pending on the ground surface. I unds. At crrade- and ln-nroun_ d 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 Baylleld County for inspection; pumping, hauling, of otherwise- servicing• and maintaining the private sewage system tank in such a• manner as -to preventor abate any human health hazard caused by the system. Baylield 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 maybe placed on the tax roll as a special assessment forthe abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the variance shall be binding upon and inure to the benefit of all current and future owners of such property. 3me(s) — Please Print Subscribed and swam to no nonr&o&e: Jaime Elizabeth Rehbel i. 'L Notary Public r2_� _ Minnesota wners —Signatures) Notary Public ) My mission Expires: // / }U2-HgVP qtr Date: i7 --2,0 l`1 Proofed by: ulfotmslsanitaryfsepticmatMenceagreement Revised June 2018 i EXHIBIT "A" A parcel of land located in the Northeast Quarter of the Southwest Quarter (NE/4NW¼) and the Northwest Quarter of the Southeast Quarter (NW'/45E¼), Section Thirty-four (34), Township Forty-five (45) North, Range Nine (9) West, Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the East Quarter corner of said Section Thirty-four (34); thence North 80 21' 16" West along the East-West Quarter line, 1953.39 feet to the point of beginning; thence South P, 34' 58" East, 300.00 feet; thence north 890 21' 16" West, 792.69 feet to the Easterly line of Lake Road; thence North 38° 46' 2" West along said Easterly line, 65.72 feet; thence along said Easterly line on a curve concave to the NE and having a radius of 377.97 feet (the chord which bears North 18' 22' 36" West, 263.39 feet) a distance of 269.03 feet to the East-West Quarter line, thence South 89 21' 16" East along said East-West Quarter line, 908.59 feet to the point of beginning. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-135S STATE SANITARY PERMIT OWNER: BRANDY J LIDDLE G OV'T LOT: LOT: B LK: NW 1/4 SE 1/4 SEC: 34, T 45 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 126-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: NICOLAS DUSEK TRACY POOLER DATE: 9/30/2025 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: # 1047456 Condition: Permits may be required for campsites and land -use permit needed with cabin build. Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 9/30/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION