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25-74SR
Request for Sanitary Inspection (24 in Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zonmfl^baYfieldcount^whQOY Note Time Change Discrepancy Other Tr^i'5 '^^^fi'ci^ Plumber: Phone Number •7j^- i^n- r/7A- ^|/ Pa^-Number -7/S~- ^y^-7^z/ Homeowner:^W i Caftim Lu^<^Email Address o-pfi&e^hU^r^-e^i^///^ , d ^^z^ Sanitary Permit #:Z5-- "ILIS^L Immediate Phone Number So Zoning Dept can call you right back (if needed) -74~- ^i-f^l Date: Plumber's Choice t i \z^\z<> Zoyma Dept No during Tuesday (9:30 am -12:15 pm) (Tracy) Time: Plumber's Choice [-L.^0 f<^ Township:13wn^5 Address # & Road Name: or Directions To Site: ^U |o |2A/^ 1^1 a /"1 a ]^} U "' Comments: ' you Ay fax or Notes from Zoning Dept: July 2025 ¥fc... ^'£/Private Onslte Wastewater Treatment Systems ( POWTS). Inspection Report (Attach to Permit) Ini Gi Pc p( -CST CHAD & CAITLIN 5061RILEY LANE LARSON 3W ROCHESTER MN 55902 BM Elev:Insp BM Elev; jmpqses [ Pnvacy Law, D city BM DescriptionFi^L s. 15.04 (l)(m)1 D Village [] Town of; in County fi< Sanitary Permit No: State Plan-Transaction A. ID#: Parcel Tax No: Tank Information setback to: "TYPE" Sepfc Dosin.q Aerad'on Holding "MANUFACTURER Aw.fldT "CAPACnT Prop. Line Wet Building Air Intake Road N/A N/A N/A Pump / Siphon Information Elevation Data 3ump Manufacturer ^MirrJI* TDH .?t Forcemain 3ump Model :ilter ModelLC'U action Loss Length Dia Read Demam GPh Total Dist. To Well ./ Oispersal Cell Information fit / DIMENSIONS SETBACK FROM FypeofCell Qa^GI N) 'refreatmenf Unit Manufacturer; Wyth ).. Linew 6 .-Len£ Building JofCel^ ^.,w OHWM. Mgnufactyrpr; ModelVlumber; Model Number: -STATION- Benchmark Bldg, Sewer Tank Inlef Tank Outbf Dose Tank Inlet Dose Tank Bottoi Inst. Contour Header/Manifola Distribution Pipe Infiltratlve Surface Final Grade BS 1 ~HT 1C '-i FS JHTrtf7_ II"/: J3^7 7W / ~ELE y13 ^_s-7? 31 3.(J ^ '' y ^ I stribufion System Header/Manifold Length. . Dia. Soil Cover _, Depth Over Celi Center Distribution Pipe(s) Length _ Dia, Depth Over Cell Edges Spac. Depth of Topsoii X Pressure Systems Only X Hole Size X Hole Spacing Observation Pipes ayes a No .'• •/-; 1_LSeeded/Sodded . a Yes D No Mufched a Yes a No' 20MMENTS: (Include code discrepancies, persons present, etc.)l~^w^ ^bdcs ^£haiAC> ft» 0(\ u^if, ^ ft\A cap lan revision required? D Yes ie other side for additional information, ^ ^-io^^i^^ohys II ii 9^ Date ^ M^.id^ I [_i^y^ POWTS Inspector's Signature License Number :!Rn-R7-in /R nq/9'lt BAYHEID COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715)373-0114 e-mail: zonina0.bavfieldcountv.ora Web Site: www.bavfieldcountv.ora/147 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn,WI 54891 Property Owner Information CHAD & CAITLIN LARSON 5061RILEY LANE SW ROCHESTER MN 55902 As you know .was contracted by you to install a private onsite wastewater treatment system on your property (Tax IDS above). To know when your system will be due for servicing please go to www.septicsearch.com Abandonment of Old System to meet all applicable code requirements: *:* Tank was pumped by: _ on Tank was crushed / removed and pipes disconnected by: 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: t7 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: WW l^ffC.^.^ ^ Optn H4U'a^^ k IH<! •^^ U/forms/sanUarypropertyowner-lnput April 2019 ;| ss-oe^^Department of Safety & Professional Services, ndustry Services Division County >c<^^'c / d Sanitary Permit Numbef- (to be filled in by Co.) SS-^I-S^ Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to 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(l)(m), Stats. I. Application Information - Please Print All Information Project Address (if different than mailing address) ^//(5 R\</er^ Cno?^yv Property Owner's Name CV^ ^ ^>GL.k^^ Lsr^c>/l. Parcel# ^.^ ,^/ ^^^y^ CV-06y-^^V-69-n>3 flS'OO;-g360h Property Owner's Mailing Address S^\ ^CyLdntf^ Property Location Govt. Lot City, State Roc^&^f, MM Zip Code 5-S^O^ H. Type of Building (check all that apply) 1 or 2 Family Dwelling — Number of Bedrooms D Public/Conunercial - DescribeUse D State Owned - Describe Use Phone Number SW-1^-40^_%,_%. Section (*? Lot #T 1H N R 0^ -eo^) Subdivision Name Block # CSM Number CS>t^ i4 ^331 D City of _ a Village of IXTown of BA.PMC^ DI. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if | applicable.) A.ISCNew System D Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain) B.D Holding Tank ^Jn-Ground (conventional) D At-Grade D Mound Individual Site Design D Other Type (explain) c.D Renewal Before Expiration •K^e D Change of Plumber Transfer to New Owner .ist Previous Permit Number and Date Issued S>S-7HS 07/14 /o»S' TV. DispersaI/Treatment Area and Tank Information; *f^ G)>-ACK-^ Vlu& C^oj^bee w/ ^ s<a+A o^ O Design Flow (gpd) 6»0& Design Soil Application Rate(gpd/sf) G.-7 Dispersal Area Required (sf) &S2 Dispersal Area Proposed (sf) 3<?^ ^ System Elevation 94.00 Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer IIfi u 3 m 'S rP ^a y h Septic or Holding Tank IStsT-S 13>i0 $upe r'» 6 <* ^(t <^ S^- Dosing Chamber V. Responsibility Statement- I, the undersigned, assun^esponsibility/or^hstallation of the POWTS shown on the attached plans. Plumber's Name (Print) TrA^»& Ou+4<:r/2e/ri Plumber's Address (Street, City, State, Zip Code) ^/ MP/MPRS Number 6SS>87<) Business Phone Number 7/5-63^-8/76 /<7'3^LJ S^r ftc'i.tl 77 ^yu/Ar<»,(Asr 5^ 8 ^3 VI. County/Department Use Only Approved D Disapproved D Owner Given Reason for Denial Permit Fee s<a5- Date Issued /o/f6/^B /^ Conditions ofApproval/Reasons for Disapproval OCT 06? I^W.4.i(\, ^liiii,!!; ;'n;|..';.,.:; Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD-6398 (R. 03/22) PAGE 1 OF 4 In-Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg2of4 Plot Plan Pg 3 of 4 Dispersal Area Cross-Section & Plan View Pg 4 of 4 Management Plan Attachments:Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Larson - River Rd . Chad & Caitlin Larson Dh«r^. 507 _319 _4062Owner Name(s): unaa & l-allun Laryon _ Phone: Owner Address: 5061 Riley Lane SW; Rochester, MN _ ^jp; 55902 Project Address: _River Rd (no fire # yet) _ Govt. Lot: _ __1/4 of 1/4, Section^__, T__41_N-R_°_9 _E Township: Barnes _ County: Bayfield or W Project Parcel ID #: 04-004-2-44-09-17-3 05-001-83000 (TAX ID:39249) Designer Information Designer Name: Travis Butterfield _ Phone: 715 _634 .8176 Designer Address: 14346W State Road 77; Hayward, Wl _ Zip: 54843 E-mail: office@butterfielddrilling.com This space reserved for approval stamp. License Number: 652879 Remarks: REVISION TO 25-74S w/ new Soil Test (116-25) OCT u [j m Baviii.'i'.i i:«. i'h.nii.n;] ;-n,'•:•,•„. /; . .;. Signature: ^^- i/^i/^ ^_> _ Date: o^l^f^ 'Original signature required on each submitted copy. -0 Q<0CSL Q^ uu> OL 0 cd SCALE = 1:50 I—i—i—i—l-0 10 25 40 50 75 100 Lot 1 CSM # 2327 Sec. 17, T44N, R09W Town of Barnes Bayfield County Tax ID: 39249 PLOT PLAI^ Property Owners: Chad & Caitlin Larson Neighbor's Well to north approx. 75-100ft from AA 4"PVC Sch40 ASTM F891 Middle Eau CIaire Lake Wetland (non-navigable) -s. ST = 1250gal prefab concrete septic tank made by Superior Precast w/ Lifetime LT-1/8 Filter AA = Absorption Area consisting of two cells, spaced >3ft apart, containing a total of 44 Quick—4 Plus Chambers w/ two sets of ends BM = Nail w/ Ribbon in Tree near driveway and B3 ELEVATIONS BM = 100.00ft B1 = 96.25ft B2 = 98.80ft B3 = 98.05ft Page 2 of 4 IN-GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) u 22 SOIL COVER Septic Tank(s) Manufacturer: Superior Precast 1250 gal Septic Tank(s) Volume(s): gal _ gal gal Effluent Filter Manufacturer:Lifetime Filter LLC Effluent Filter Model #: LT-1 /8 12° min. trench depth (typical) 34"s •:."-:• (typical) TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Quick4 Standard-W w/ End Cap (typical) System Elevation = 94-00 ft (typical) (Show location of inlet / outlet pipe connection on plan view.) Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturer's instructions. sffl -^--------^- T/PICAL TRENCH PLAN VIEW (No Scale) (typical) INSTALL PER TRENCH: Quick4 Std-W @ 20 ff ElSA/chamber = 44° Pairs of end caps @ 6 ff EISA/pair =6 ft2 ft2 A =3.0 ft (typical) -Quick4 Standard-W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. n>0m 03 0TI -1^ = Proposed E1SA per trench = ^"^ x ft2 Required Infiltration Area = 858 ft2 Distribution Method: trenches = Proposed Total EISA = ^_ ft2 branched manifold PAGE 4 OF 4 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. 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), Wise. Admin. Code. Maximum Dispersal Area Operatinfl Limits: Design Flow = 60° flpd: BODs <. 220 mgL-1; TSS ^ 150 mgL-1; FOG^30mgL-1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (/'.e. odors, user complaints, etc.) o mechanical malfunction (/'.e., pumps, valves, switches, floats, etc.) o material fatigue (/'.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 (/.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (/.e., pump re-cycling, float switch settings, ete.) o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, efc.) 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, Wise. Admin. Code. o Effluent filterfs) 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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Butterfield Inc _ p^ 715-634-8176 Local government unit: Bayfield County Planning & Zoning _ p^e: 715-373-6138 Local government unit address: 117 E 5th Street P.O. BOX 58 Washbum, Wl ^ 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise. Admin. Code. ' Contingency Plan . OCT 0 6 20Z5 In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replacecj'pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal co'mp6'rjeht''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, Wise. Admin. Code. c300 •u ~0) '% coQQ V k .-li^l-V- 'i.^"!!%^•^•i'ii tliiJf-ll>-'."3b 'fLWA^lyilsi^ 1,^w^'?m it^ai^it'i WisconsIn'Departmonl of Safety and Profossional Sep/tMs Division ol Indusliy Services Soil Evaluation Report In accordance m'lfl SPS 385 , WsMm Code Attach complete site plan on paper not less than 8% X 11 inches In size. Page; SC'I TEST III,. 3.5 SEP 0 2 2025 Bayfield Co. FlEOAfef) and Zoning Agency Plan must include but not limited to: Vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrov xation 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)). Property Owner: Chad & Caltlin Larson Property Owners Mailing Address; 5061 Rilev Lane City Rochester State MM Zip Code 55902 'hon fs? New ff Residential Number of Bedrooms: F~ Replacement F Public or Commercial - Dsscribe: Parent Material: 3eneral Comments & Recommendations: System Elevation: 94 Load Rate: Boring #1 1 2 3 4 5 6 7 Depth i Q-A 4-12 12-24 24-50 50-12C Boring # 2 ^rizon 1 2 3 4 5 6 7 3epth i( 0-6 6-10 10-26 26-40 40-125 Ground surface Elev:Bor.J,7Rt ——^-^ )omm.Color Munsell 7.5YR2.5/3 7.5YR4/6 7.5YR4/4 7.5YR4/4 7.5YR4/6 :<edox Descriptic !u, Sz. Cont. Co N/A N/A N/A N/A N/A ©XtU SL SL LS MS MS Ground surface Elev:Rt 98.8 Ft. omm.Colorl Munsell '.5YR2.5/3 7.5YR4/6 7.5YR4/4 7.5YR4/4 7.5YR4/6 ledox Descriptio u. Sz. Cont, Got N/A N/A N/A N/A N/A ixtur SL SL LS MS MS affluent #1 = BOD 5>30^ 2 20 mg/l and T^S^Sft 5 1SOmg/l ST Name (Please Print) MarkS. Thompson I Address: 12006 N US Hwy 63 Hayward, Wl S4843| lumber: 0 4 Flood Plain 07 Structure Gr.Sz.Sh. 2MSBK 2MSBK OSG OSG OSG ;ounty: Bayfield 'arcel I.D. 39249 igyipw^By:,late: roperty Location S17,T44N,R09W Lot; Block: 0 Town Barnes Subdivision Name or CSM # learest Road: River Road Code derived design flow rate: 0 applicable: _0_ I 'I.1;", id. )ii r!niK|i\ °1 .iS 'I1') 'M 'l"i pth to Limiting Factor: 120 In. MFR MFR ML ML ML Bounda cs cs cs cs N/A Roots sco 2M 1F N/A N/A Depth to Limiting Factor: 125 In. Structure Gr.Sz.Sh. 2MSBK 2MSBK OSG OSG OSG ^~T5^Z^_te ^aluqlT&n^gnduct^d: '^-WIonday, August 25, 2025 / insistence] MFR MFR ML ML ML ioundar cs cs cs os N/A Roots 300 2M 1F N/A N/A Soil Application Rate: GPD/ft2 *EffiS1 MM 03. 0.7 0.7 Eff#2 Lfi 1.0 16 1.6 1.6 Soil Application Rate: GPD/ft2 *Eff»1 MM 0.7 QJ. 02 Ef?2 M 1A 1.6 IS. L6 •fluent #2 = BOD S< 30 mg/1 and TSS ^ 30,mg^ '. i".; \ , ^T "H'~^ ~ " ^ .^ lephone Number "w 715/699-408.1,,,,;,,,,,,],,, ^SBD-S930,(F{Off/1§) i Property Owner:Chad & Caitlin Larson Parcel I.D.39249 Page: !'<t=Ufc»VEU 2 of 6—SHP 0 2 2025 -Ba Boring # lorizonl 1 2 3 4 5 6 7 )epth 0-8 8-1' 14-3 30-6 SO-1; Boring # • orizonl 1 2 3 4 5 6 7 'epth Boring # { irizonl 1 2 3 4 5 6 7 spth i Soring # 6 rizonl 1 2 3 4 s 6 7 ipth ii Ground surface Elev:Borf/ Pit 98.05 Ft 3omm.Color| Munsell 7.6YR2.5/3 7.5YR4/6 7.5YR4/4 7.SYR4/4 7.5YR4/6 Redox Descriptii 3u. Sz. Cont. Co N/A N/A N/A N/A N/A 'exti SL SL LS MS ME Ground surface Elev; 0 Ft. )omm.Color| Munsell :tedox Descriptic }u. Sz. Cont. Col exti Ground surface Elev:Bar f7 Pit "'""' •"—-"--— 0 Ft. omm.Color I Munsell (edox Descriptio u. Sz. Cont. Coli iXtU Ground surface Elev:Bar Is? Pit Ft. )mm.Color Munsell edox Descriptior j. Sz, Cont. Cole xtur Depth to Limiting Factor: 120 In. Structure Gr.Sz.Sh. 2MSBK 2MSBK OSG OSG OSG ^onsister MFR MFR ML ML ML Sound; cs cs cs cs N/A Roots sco 2M 1F N/A N/A Depth to Limiting Factor: 0 In. Structure Gr.Sz.Sh.;onsisten ioundE Roots Depth to Limiting Factor: 0 In. Structure 3r.Sz.Sh.onsisten<ounda Roots Depth to Limiting Factor: In. Structure 3r.Sz.Sh.insistenc aundai Roots Plannina ;3oil App. Raf GPD/ft2 *EffS1 M 0,6 0.7 07 0.7 =fffl 1,C 1.C uu 1.6 .oil App. Rat GPD/ft2 'EffiM :.ff#. oil App. Rate GPD/ft2 EffiM fffii >il App. Rate GPD/ft2 Ef?1 W2 .Seld Co. zoning Agency "Effluent #1 = BOO 5>30;< 2 20 mg// and TSS>30 ^ YSOmg// "Effluent #2 = SOD 5 < 30 mg// and TSS .< 30 mg// OCT ?J 8 '? The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material In an alternate format, please contact the department at 608-266-3151 or TH' 608-264-8777 i !.,vn .u /;,, SBD-83301R.07/00) Owner: System ~99~ 98 97 96 95 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79 78 77 Soil Profile Chad & CaitFin Elevation: 94 ~B2 98.8 0.7 ^96.63 $ 07 91.8 ±3: 88.8 L.F. Larson Load Rate: ~99^ 98 97 96 95 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79 78 77 Sheet [Soil Tester: 0-7 I System Elevation: -g3~ 98.05 OJ. -^95.55 $ O^L 91.05 ;• 88.05 L.F. Page: Mark S: 91.8~w 98 97 96 -: "95 94 93 92 91 90 89 88 87 86 85 84 83 82 —- 81 80 79 -—- 78 77 ~-—- Sag3of6 Thompson To 94,25~n -• System -.——. Elevation 96.25 ——- 94.25 $ 0.7 88.83 ^y 85.83 L.F. OCT I,!, ;'il.!!iil!iri: ^P 0 2 2025 Bayfield Co. "D and Zoning Agency 0 6 ZOZ5 •iifcld Co. (! /(.liilfHI/\l!ii,i'.y Owner Information: Name: Location: Township: County: I Lot #: Chad & Caitlin Larson S17.T44N,R09W Barnes Bavfield Q A BM=100: Nail w/ ribbon on the base of tree near driveway & B3 B1= B2= B3= Lake= 96.25 98.8 98.05 0 Middle Eau CIaire Lake t N 1 "=4Q'Only^n^TesteTS^Area CST: Mark S. Thorn 715.699.4081 -0 s" 33Is£1^a f-0 <5 " >U3 00m-a C3 r\3 roC3r~o e.n rn 0 r^C^~l 8/25/25, 5:'01 PM .Real Estate Bayfield County Property Listing Today's Date: 8/25/2025 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/26/2024 2:48:28 PM ••&!' Description Tax ID: PIN; Legacy PIN: Map ID; Municipality; STR: Description: Recorded Acres; Calculated Acres; Lottery Claims: First Dollar; ESN: Tax Districts Updated: 5/28/2024 •*a Ownership 1 04 004 041491 001700 39249 04-004-2-44-09-17-3 05-001-83000 (004) TOWN OF BARNES S17 T44N R09W LOT 1 OF CSM 2327 IN DOC 2024R- 603201 2,220 2,259 0 No 104 Updated; 3/26/2024 STATE COUNTI' TOWN OF BARNES SCHL-DRUMMOND TECHNICAL COLLEGE CHAD & CACTLIN LARSON Billing Address; CHAD & CATTLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 Updated; 5/28/2024 ROCHESTER MN Mailing Address: CHAD & CATTLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 Site Address * indicates Private Road N/A Property Assessment 2025 Assessment Detail Code Acres Land Gl-RESIDENTIAL 2.220 261,900 2-Year Comparison 2024 2025 Land: 0 261,900 Improved: 0 0 Total: 0 261,900 Updated: 5/19/2025 Imp. 0 Change 100.0% 0.0% 100.0% Recorded Documents S WARRANTY DEED Date Recorded; 5/10/2024 83 CERTIFIED SURVEY MAP Date Recorded: 3/7/2024 83 MFL WrTHDRAWAL ORDER Date Recorded: 3/26/2021 S3 CERTIFIED SURVEY MAP Date Recorded; 4/22/2020 Updated; 8/4/2020 2024R-603201 2024R-602519 13-273 2021R-587783 2020R-581852 Property History Parent Properties 04-004-2-44-09-17-305-001-81000 04-004-2-44-09-17-3 05-001-82000 HISTORY S3 Expand All Histor/ Tax ID 38249 38250 White=Current Parcels Pink=Retired Parcels Q Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Leg. Pin: 004111402990 Q Tax ID: 38250 Pin: 04-004-2-44-09-17-3 05-001-82000 63 Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Lea. Pin: 004111402990 83 Tax ID: 38249 Pin: 04-004-2-44-09-17-3 05-001-81000 39249 This Parcel¥parents ^ Children Sh'P 022025 Bayfield Co. Planning and Zoning Agency D!:! U6ZU2[ i!;l'ni.'U ; :o https;//novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=39249 1/1 Real Estate Bayfield County Property Listing Today's Date: 9/25/2025 Property Status: Current Created On: 3/26/2024 2:48:28 PM Description Updated: 5/28/2024 Ownership Updated: 5/28/2024 Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres; Lottery Claims: First Dollar: ESN: Tax Districts 1 04 004 041491 001700 39249 04-004-2-44-09-17-3 05-001-83000 (004) TOWN OF BARNES S17 T44N R09W LOT 1 OF CSM 2327 IN DOC 2024R- 603201 2.220 2.259 0 No 104 Updated: 3/26/2024 STATE COUNTS TOWN OF BARN ES SCHL-DRUMMOND TECHNICAL COLLEGE CHAD & CAITLIN LARSON Billing Address: CHAD & CAITLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 ROCHESTER MN Mailing Address: CHAD & CAITLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 Site Address * indicates Private Road 49110 RIVER RD * Property Assessment GORDON 54838 Updated: 5/19/2025 2025 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.220 261,900 0 2-Year Comparison 2024 2025 Change Land: 0 261,900 100.0% Improved: 0 0 0.0% Total: 0 261,900 100.0% v*1' Recorded Documents E3 WARRANTY DEED Date Recorded: 5/10/2024 B3 CERTIFIED SURVEY MAP Date Recorded; 3/7/2024 63 MFL WITHDRAWAL ORDER Date Recorded: 3/26/2021 63 CERTIFIED SURVEY MAP Date Recorded; 4/22/2020 Updated; 8/4/2020 2024R-603201 2024R-602519 13-273 2021R-587783 2020R-581852 Property History Parent Properties 04-004-2-44-09-17-305-001-81000 04-004-2-44-09-17-3 05-001-82000 Tax ID 38249 38250 HISTORY E3 Expand All History White=Current Parcels PInk=Retired Parcels H Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Lea. Pin: 004111402990 B Tax ID: 38250 Pin: 04-004-2-44-09-17-3 05-001-82000 a Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Lea. Pin: 004111402990 B Tax ID: 38249 Pin: 04-004-2-44-09-17-3 05-001-81000 39249 ThisParcelT Parents-^Children OCT Oi) /W) BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-l-10(e)) leck List 0 priginal Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1.) B'Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) Original Plot Plan (383,22(2)2. 3. & 4.a) ;ross Section, Over-Head Profile of the System and Schematic of Tank from Manufacturer D P^Qip-faflk-Bie^Hsm, Alarm and Pump Curve (when applicable) /Contingency Plan / Management Plan (383,22-3(2)(b)l.f.) [Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) ^- ^'}€6 ^ OM-jfv^l ^ D hlokiiog-Faflk^gcefiment (383.21(2)(c)(5) (Recorded at Reg. of Deeds) Jy,^ Pe^*—' D Hsyw§-FaTTk-S5TVrce<:ontract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) D ATt3~SEnnCing'Agreement (Recorded at Reg. of Deeds) =ee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) I ^.Complete Sets of Plans (383.22(2)(2,) fNote: Sanitary Application and Maintenance Agreements are to be attached ' to all copies') D Soil and Site Evaluation Report (383.22-3(2)(b)l.e,) D StdLe Plan-ftevre\/\T[When applicable) D Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) Application Information must include: B-^3 digit Parcel ID# - (do not use 12 digits anymore-obsolete) Address or Road Name where driveway is/will come off of) D-(t)wners Phone Number) [yij Type of Building CflII Type of Permit IV Type of POWTS System ^ Q Q 'ZO'Zb 'y, Dispersal / Treatment Area Information p,,.,;ii;i,i(,n. 'VI Tank Information ^.w^w""-'1-"-" CS^/P Responsibility Statement (Plumber's Information) 0/ * Date Stamp* Plot Plan: (To Scale or To Dimension) D-^ignature and Plumber Information QjAdress Number and Road Swface Elevation of Body of Water C^orth Arrow Direction and Percent Land Slope D Contour Lines Fank and Filter Information and Location \S Structures and Driveways 'Wetlands / Navigable Bodies of Water [yBoring Locations D'~/bsorption Area (Proposed and Existing) [Vppoperty Lines iench Mark (Location, Elevation and Description) [yWell Locations 'Cpfnponent Manual Version CLfegal Descriptions )iping Material Information (conveyance line, building sewer line, material type and diameter): Turn Over > Private Sewage System Maintenance Agreement Ownar(a) Name Chad Larson Owner(s) Mailing Addtess 5061 Riley Lana SW; Rochester, MN 55902 Site Address River Rd (no fire # yet) T8XID# 39249 As owner, I (we) do hereby certify the private aewago system will bs Installad In accordance wflh the certified soil tastar's raport and approved plans and fipfldfteations on fila with Bayfleld County Planning and Zoning Dapartment. The system uvilt be operated In such a manner as to meet tha cfealgnsd plans, I (we) agree to maintain said private system at ths below lisled kscallon In acconlance wKh rules established In the Wl Adm. Code, as from lima to Dma amended. (COMPLETE Legal la required) .1/4 of _1/4 Section 17 Township 44 N. Range 09 W. AddHtonal Leflat DaBcrtptton; DOC 2024R-603201 Town of Banies _ (Acresge) 2.259 Gov'tLoF- Lot _ Block_ Subdh/teion Lot J_ CSM # 2327 Val. 13> Page ^73 CSM Doc # ^<?Z^ l^.- (f0t-c11 DOCUMENT NUMBER 2025R-608038 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, Wl RECORDED 06/27/2025 AT 1 1:01 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To; Planning and Zoning Department El In-ground gravity D Mound D In-flround dosed D tn-ground pressure distribution Sewage System: D At-grada Sewage System d Other, Septto Tank (system types A through E): Tha aeptlc tank shall be pumped by a certified ssptaga servicing operator within three (3) ysare of tha date <rf instalallon and at least once way (hraa (3) years thereaftor unlsss, upon Inspection by a licensed master plumber or other person authorizBd to make auch InspocUon, the tank Is found to have loss Ihan om-thlrd (1/3) of the volume occupiBd by studge and »cum. Puma Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumpwJ out when tha saptfc lank Is swvlced ss provUBd above. The switches and pump controls shall also be inspected and malntalnad to ensure operablllty ofsald components. Seotlc Tank EflIuenLE|ttec.(sytte»n typoa A through E); The aoptic tank efflUBnt filter ehall bo Inapccted and malntainad aa necessary and in acconlancs with manuteoturer's speciflcattons. Filter malrtonancs reports shall be submlttad to the County as required by SPS 383.SS, Wls. Admln. Code. Prtvata Sewaaa System Dlaoeraflt Call (system types A through E); The private sewage system distributton cfltl shall be visually inapectad by a certlfiad Mptago aaiviclng operator, POWTS Inspector, or licensed master plumber within thrae (3) yeare of the data of installation and at teast ones eveiy three (3) years tharMltflf to datannliw whether waatawatar or affluent from the system Is ponding on ths ground surfaoe, Mounds. At-aradB. and In-around Pressure Syatem Laterab (system types C, D and E): The laterals shall bs flushed out and swabbed If neoded when the wartawater dlsUbutlon cdl component la Intpectsd as provided above. Otwwfa) agnw Ihsi fatore to comply with this agmsmenl will resuft In action being taken to pay afl chargM and casts Incuirail by Bayfivld County far .iiuifncVon, pumping, twullng, or olhewisa seivlclns 'and malntalnlna ths ^ivste sewage system tsink In such a mamer as to prewnt or abate any Iwnwn fiMlth hazard causod by <f» aystsm, Baytwld County shall notify tha owner of my costs which shall bo paid by UM ownar within thirty (30) daya from tt» <W» afno6c9. In th« »vwt th» wnw dow not p»y the coats within thirty (30) daya. the owner epwsmoaHy agrees (hat <rf tha costs and chfiyes may be ptoct/ on ths tax ivH w » special assssamant hr the abatement of a human health hazard, and the tax shall tw coHwted as provkfwi by tow. 77w twrm and condfttons o/ Ow aflrwmsnl sftsX <» Und/nff upon and Inure to the bvnein of off cunwtf and HHurv ownefs of such f»opei1y, Chwer(e) Namefe) - Ptoa— Print 1a.c\ T- 1-oirso^ Subscribad and sworn to befora me on this data; ^ ^ ^°^ NoIartjKH} Owiw(s) - SlBn»tun(e) ?>7~ Notaiy Public JOHN MICHAEL LECHNER •hiMc-MlmtNoto Drafted by. RonaM A Spreckels Jr paie: 05/30/25 u/fonns/sanllaiy/SBpdunalntanoeagreenitnt RevlMd July 2020 Bayfield County Register of Deeds Document #2025R-608038 Page 1 of 1 s^oym Department of Safety & Professional Services, Industry Services Division County iWW4-Sanitary Permit Nuhiber (to be filled in by Co.)a 5-7^/5 Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to 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(l)(m), Stats. State Transaction Number I. Application Information - Please Print All Information Project Address (if different than mailing address) R;v«r R^ <'neA<^ Property Owner's Name _C^o^i 4- Cc>,;+/i'n Z-<acson Parcel # ^.^ ,0; 3^3^^ ^'^H-s'w'w-n -3 e5.toi-aao&& Property Owner's Mailing Address SOL\ R'._Uy Une S»/v) Property Location Govt. Lot City, State BoCVttf&^cr / M^ Zip Code 5^6S II. Type of Building (check all that apply) ~1 or 2 Family Dwelling - Number ofBedrooms D Public/Commercial - Describe Use D State Owned - Describe Use L^ Phone Number %...'/<, Section /7 Lot #T Ht/ N R 09 B-oi^O Subdivision Name Block # CSM Number Csn+t 53^7 a City of _ D Village of fSftovm of j^Q-r r>tf. m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on Une A, Check one box on line B. Complete line C if | applicable.) A.^ New System D Replacement System Other Modification to Existing System (explain)D Additional Pretreataient Unit (explain) B.D Holding Tank ^In-Ground (conventional) D At-Grade Mound D Individual Site Design Other Type (explain) c.D Renewal Before Expiration D Revision D Change of Plumber D Transfer to New Owner,.ist Previous Permit Number and Date Issued IV. Dispersal/Treatment Area and Tank Information:^ ^? Gu;c«-<?' P/yfi ^^»&^brrA M< -3 s&^s o/: sx.cis Design Flow (gpd) 600 Design Soil Application Rate(gpd/sf) 0.7 Dispersal Area Required (sf) g<£8 Dispersal Area Proposed (sf) ^i8 ^ System Elevation 9S.OO Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer -@i I§ .8& 0 s V<3l w rS S'& y V p-1 Septic oi- Holding Tank 155^12)^0 >uper»off'Prcc<t&^-J<_ Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) TfWS Qul-1-c^-f Id Plumber's^gnature MP/MPRS Number 6»SS07<? Business Phone Number '7/S-63f8»'?G Plumber's Address (Street, City, State, Zip Code) lt/3t^C.^ 5^^- (^oftd 77 /-/c^wAr^, t^a= 5'9Z^3 nYL.County/DepartmentUse Only Approved a Disapproved D Owner Given Reason for Denial Permit Fee ^••t)0- Date Issued ,l,.i m 6^- ?.5 Issuing A]igngfure 7/?/^ Conditions ofApproval/Reasons for Disapproval ^ oCttw^d^ C-M^L D) W; i1 JUN 1 7 2025 BayfieldCo, Zoning Oepl, Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 Inches in size SBD-6398 (R. 03/22) PAGE 1 OF 4 gn-Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-202^ Pg 1 of 4 Pg 2 of 4 Pg 3 of 4 Pg4of4 E E 111 Index & Cover Sheet I' !J JUN 1 7 2025 Plot Plan Bayfjeld no, /oning i )epl Dispersal Area Cross-Section & Plan View Management Plan Attachments: Septic Tank Information Property Information Project Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Name / Description Owner Name(s): chad & caitlin Larson Owner Address: ^^ W\ey Lane SW; Rochester, MN Project Address: Govt. Lot: Phone: 507 -319 -4062 Zip:. 55902 River Rd (no fire # yet) 1/4 of 1/4, Section 17 T 41 N-R 09 or W Township: Barnes County: Bayfield Project Parcel ID #: 04-004-2-44-09-17-3 05-001-83000 (TAX ID: 39249) Designer Information . Travis ButterfieldDesigner Name: Designer Address: 14346W State Road 77; Hayward, Wl E-mail: office@butterfielddrilling.com Phone:715 -634 -8176 Zip:. 54843 This space reserved for approval stamp. License Number: 652879 Remarks: Signature: Original signature required on each submitted copy. Date: 6<,/o^/2>S' p-n-n R-nJI <s^> n-n-n rC=3~ SCALE = 1:50 I—j—i—5—f0 10 25 40 50 75 100 Lot 1 CSM # 2327 Sec. 17, T44N, R09W Town of Barnes Bayfield County Tax ID: 39249 PLOT PLAN Property Owners: Chad & Caitlin Larson Middle Eau CIaire Lake Proposed Well BM = Ribboned nail on the base of ribboned tree near B1 Proposed Garage Proposed 4 Bdrm Dwelling ELEVATIONS BM= 100.00 ft B1 = 98.77ft B2 = 97.97ft B3 = 98.85ft Lake = 88.26 ft S1*A\ _ _ 4"-PVC Sch40 ASTM F891 ST = 1250 gal prefab concrete Septic Tank made by Superior Precast w/ Lifetime LT-1/8 Filter AA = Absorption Area consisting of three cells, spaced >3ft apart, containing a total of 45 Quick-4 Plus Chambers Page 2 of 4 IN-GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) u SOIL COVER Septic Tank(s) Manufacturer: Superior Precast Concrete 1250 gal Septic Tank(s) Volume(s): gal — gal gal Effluent Filter Manufacturer:Lifetime Filter LLC Effluent Filter Model #: LT-1 /8 12" min. trench depth (typical) ••A- • . •^ :' I" —>—\—^ . .• • • • • (typical) TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Quick4 Standard-W w/ End Cap (typical) System Elevation = 95-00 ft (typical) (Show location of inlet / outlet pipe connection on plan view.) Provide minimum 3 ft separation between trenches. ~//~ ~//~ B = 63.00 ^ Observation Pipe (typical) Install per manufacturer's insh-uctions. TYPICAL TRENCH PLAN VIEW (No Scale) INSTALL PER TRENCH: + ^ _ Quick4 Std-W @ 20 ff EISA/chamber = 30° Pairs of end caps @ 6 ftz EISA/pair = ft2 ft2 A =3.0 ft (typical) •Quick4 Standard-W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. n>0m co 0-n 4^ = Proposed EISA per trench = ^^ft2 Required Infiltration Area = ^^ x trenches = Proposed Total E1SA = 918 ftz ft2 Distribution Mettis-d: branched manifold ^ PAGE 4 OF 4 jn-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. 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), Wise. Admin. Code. Maximum DispersaLArea Qperatmg Limits: Design Flow = 60° gpd; BODa ^ 220 mgL-1; TSS S 150 mgL-1; FOG ^ 30 mgL-1 Ill JUN 1 7 2025 Inspection Checklist INSPECT EVERY 3 YEARS i^ K fp s 11 \V/"o"type of'use""" ""' ~-' -'~'" ~ ' ~""~ |0j E ^l E 11 ^ o age of system o nuisance factors (/'.e. odors, user complaints, ete.) o mechanical malfunction (/.e., pumps, valves, switches, floats, etc.) o material fatigue (;.e., leaks, breaks, corrosion, etc.) ' HayfJKlri G(.)./unitK.) Oepi o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (/,e., exceeding design capacities, prohibited activities, efo.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (/.e., pump re-cycling, float switch settings, etc.) o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, efo.) 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, Wise. Admin. Code. o Effluentfilter(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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Butterfield Inc _ p^ 715-634-8176 Local government unit: Bayfield County Planning & Zoning _ p^ 715-373-6138 Local government unit address: 117 E 5th Street P.O. BOX 58 Washbum, Wl ^ 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise. Admin. Code. Contingencv 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, Wise. Admin. Code. 12501-CompartmentTank PRECASTCDHCRETEPRECASTCaNCRETE TOP VIEW Jliy 1 7 2025 Weight Cm ]bs) Tanks 6.S37 Lid; 4,2^8 Totals'10.775 o, /oniiuj Df-ip Volume of Concrete Total; 2.7 YcP Gallons Per Inch: 28,1 1267 Gallons VIEW Enlarged Detnil I S" ltd ThirfeTWK Condition allyAPPROVED DEPT. OF SAFEr/ AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES 5" HGCT llSUJSDESE. Ma.nhok Openiags Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 Polyethylene Baffle Gasfcsf (Poured is. Place) SUPERIOR PRECASTCONCRETEDesign conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and Wl SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineerfor suitability of use. Configuration may change from drawing, consult with SPC. This is proprietary informatton, and remains the property of Superior Precast Concrete, LIC.R.3 05-19-2024 Real Estate Bayfield County Property Listing Today's Date: 6/3/2025 Property Status; Current Created On: 3/26/2024 2:48:28 PM Description Updated: 5/28/2024 Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: ESN; 39249 04-004-2-44-09-17-3 05-001-83000 (004) TOWN OF BARNES S17 T44N R09W LOT 1 OF CSM 2327 IN DOC 2024R- 603201 2.220 2.259 0 No 104 ^Tax Districts 1 04 004 041491 001700 Updated: 3/26/2024 STATE COUNTi' TOWN OF BARNES SCHL-DRUMMOND TECHNICAL COLLEGE Ownership CHAD & CAITLIN LARSON Billing Address: CHAD & CAITLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 Updated; 5/28/2024 ROCHESTER MN Mailing Address: CHAD & CAITLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 a Site Address * indicates Private Road N/A Property Assessment Updated: 5/19/2025 2025 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.220 261,900 0 2-Year Comparison 2024 2025 Change Land: 0 261,900 100.0% Improved: 0 0 0.0% Total! 0 261,900 100.0% 14l Recorded Documents B WARRANTY DEED Date Recorded: 5/10/2024 E3 CERTIFIED SURVEY MAP Date Recorded: 3/7/2024 B MFL WITHDRAWAL ORDER Date Recorded: 3/26/2021 a CERTIFIED SURVEY MAP Date Recorded: 4/22/2020 Updated: 8/4/2020 2024R-603201 2024R-602519 13-273 2021R-587783 2020R-581852 Property History Parent Properties 04-004-2-44-09-17-305-001-81000 04-004-2-44-09-17-3 05-001-82000 HISTORY E3 Expand All History White=Current Parcels Pink=Retired Parcels 83 Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Leg. Pin: 004111402990 E3 Tax ID: 38250 Pin: 04-004-2-44-09-17-3 05-001-82000 E3 Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Leg. Pin: 004111402990 E3 Tax ID: 38249 Pin: 04-004-2-44-09-17-3 05-001-81000 39249 This Parcel "^ Parents ^ Children •^ It; a;i JLiN 1 lyfield Co iim /OllllKj Tax ID 38249 38250 )(-ipi. BAYFIELD COUNTY CHECKLIST FOR SAND-ARY APPLICATPNS Submit the Following (Use Permanent Ink) (Title 15, Section 15-l-10(e)) H/Check List Sanifary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1,) B^Index Page / Title Sheet (Signed by Plumber) (383,22(2)69(c)) 'Original Plot Plan (383,22(2)2. 3. & 4.a) Cross Section, Over-Head Profile of the System and Schematic of Tank from Manufacturer D Ptmp-fefl^BtagfamTfttem-and-Pump Curve-(when applicaNe) Contingency Plan / Management Plan (383.22-3(2)(b)l.f.) D Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) D+teW+n9-FankTQ^feeiTOF*<383.21(2)(c)(5) (Recorded at Reg. of Deeds) D Holding Tank Scr-vrce-CefrtFact (Original Signature of Pumper and Property Owner) (383,21(2)(c)5) D ATU Servicing Agreement (Recorded at Reg. of Deeds) D Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) .Complete Sets of Plans f383.22f2)f2.) CNote: Sanitary Application and Maintenance Agreements are to be attached to all copies) El^Soil and Site Evaluation Report (383.22-3(2)(b)l.e.) D Stete-Ptefl-Revtew (when applicable) D G&py-efWarranty/Qtiit Claim Deed (Optional) Sanitary Application: (Include the following Information) I Application Information must include: S 23 digit Parcel ID# - (do not use 12 digits anymore-obsolete) Address or Road Name where driveway is/will come off of) 3 (Owners Phone Number) 'II Type of Building eflll Type of Permit sflV Type of POWTS System riv Tank Information V Dispersal / Treatment Area Information EE JUN 1 7 ^025 Bayfielcl Co, Zoning Dept. VII Responsibility Statement (Plumber's Information) ^ *Date Stamp* Plot Plan: (To Scale or To Dimension) and Plumber Information <OQ W<"x ft»^&) st Address Number and Road ^Surface Elevation of Body of Water rf North Arrow Direction and Percent Land Slope Q Contour Lines Tank and Filter Information and Location 13 Structures and Driveways Wetlands / Navigable Bodies of Water 3 Boring Locations B absorption Area (Proposed and Existing) B Property Lines Cf Bench Mark (Location, Elevation and Description) ^ Well Locations Component Manual Version 0 Legal Descriptions Piping Material Information (conveyance line, building sewer line, material type and diameter)' Turn Over > Private Sewage System Maintenance Agreement Owner(s) Name Chad Larson Owner(s) Mailing Address 5061 Riley Lane SW ; Rochester, MN 55902 Site Address River Rd (no fire # yet) Tax ID ft 39249 As owner, I (we) do hereby certify ths privala sewage system will ba Installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfleld County Planning and Zoning Dspartment. 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 Uma amended. (COMPLETE Legal is required) ,1/4 of.J /4 Section 17 Township 44 N. Range 09 W. (Acreage) 2.259 Qov't Lot Additional Legal Dsscriptiorr, DOC 2024R-603201 Townof__Baf(ies_ Lot _ _ _ Blocks _ __ Subdivision Lot J_ CSM # 2327 Vol. JJL Page ^73 CSM Doc # 2.0Z^ |^- ^OV^n OOCUMENT NUMBER2025R-60Q03a OANIEL.J. HEF-FNER REGISTER OF DEEDS BAYFIELD COUNTY. Wl RECORDED 06/27/2025 AT 1 1 :01 AM RECOFSDING FEE: $30.00 PAGES: 1 Recording Area Return To; Planning and Zoning Department El In-ground gravity D Mound D In-ground dosed D In-ground pressure distribution Sewage System: D At-grads Sewage System d Other. Septic Tank (system types A through E): The ssptic tank shall be pumped by a certified septage servicing opsrator within IhrQS (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspoction by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-fhird (1/3) of (he volume occupied by sludge and scum. Pump Chamber, (system types B, c, D, and E): The pump chamber shall also be rlnsed and pumped out when the septte tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operabllity of said components. Septla Tank Effluent Filter (system types A through E); The geptic tank effluent filter shall be inspected and maintained as necessary and in accordance with manirfaoturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wls. Admin, Code. Private Sewage Svslem DtepBrsat Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septags ssivicing operator, POWTS inspector, or Kcenssd master plumber within three (3) years of (he date of installation and at least once every three (3) years thereafter to determine whether wastewatar or affluent from the system Is ponding on the ground surface, Mounds, At-arade, and In-pround Pressure Svsiem Laterals (system types C, D and E): The laterals shall be flushed out and swabbedIf needed when the wastewater distribution cell component is inspected as provided above. Ownw(s) agree that faiiwe to comply with this agreement will result In aotion being taken to pay all charges end costs inoumd by Bayfleld County far insspeofhri, pumping, haulhig, or othemlss S9i'v!cing and inaintainliig ?e prtvale s6v\-age system toi-)k In such a manner as lo prevent or abate any human health hazard caused by the aysletn, Oayfield County shall notify the owner of any costs whioh 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 speclfloally agrees that all the costs and charges may be placed an the tax roll as 9 special assessment for the abatement of a human health hazard, and tha tax shall be oolleoted as pmvJded by law. The terms and conditions of the agreement shall be binding upon and Inure to the beneftt of all current and future owners of such property, Owners) Nameje) - Please Print \o^(\ T- L-oiooin No(ari?aq Owner(s) - Sfgnature(s) Subscribed and sworn to before me on this date; (^-(/\° /^) Notary Public Drafted by:Ronaid A SPrecke!s Jf_ Date: JLS/3S/§L JOHN MICHAEL LECHNER "Notary Public-Minnesota My Commission Expires Jan. 31, 2029 iv~w ,jl)N '^'? v!! ; ^ ,._ /,i,ii;,<l i.)l;l)i u/torms/sanltary/septlcmainienceagreBment Revised July 2020 Wisconsin Department of Safaty and Professional Services Division oflndusliySewlcss Soil Evaluation Report In accoRlanca with SPS SSS.WisMm Oodo S7?\ff(.SOH TEST. '76 -3-5_ Attach complete site plan on paper not less than 8% X 11 inches In size. Plan must include but not limited to: Vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, location and distance to nearest road. Please Print All Information Personal Information you provide may be used for secondary purposes. (privacy Law,s.1S.04(1)(m)). /j Page:1 of 6 County: Parcel I.D. ^ 39249 [Date: jProperty Owner;'roperty Location D Patrick & Marlys A MccyUoyflh S17,T44N,R09W Property Owners Mailing Address: 15810 Square Lake Trail Lot: Block:z Subdivision Name or CSM # City Sfillwafer StateMN Zip Code 55082 Phone Number; 0 Town lames Nearest Road; River Road F-New W Residential Number of Bedrooms: F Replacement f~ Public or Commercial - Describe: Code derived design flow rate: Parent Material:Flood Plain If Applicable;88,26 ,600, -\^ fi General Comments & Recommendations; System Elevation: 85 Load Rate:OJ.hlaVs'iinn H:i|l(]0:91 is!')I'o W.02 Boring #1 r Bor.yy ra Ground surface Elev: 98.77 Ft. Depth to Limiting Factor: 0 In.Soil Application Rate: Horizon Depth in Domm.Color Munsell Redox Description Qu. Sz, Cont, Color Texture Structure Gr.Sz.Sh. Conslstence Boundary Roots GPD/ft2 *Ef?1 EfW2 0-6 7.6YR2.S/1 N/A SL 2MSBK MFR os 300 0,6 1.0 6-20 7.5YR4/6 N/A SL 2MSBK MFR cs 2M M M 3 4 20-120 7.5YR4/4 N/A OSG ML N/A N/A 03.L6 Boring #2 FBor.F'Ptt Ground surface Elev: 97.97 Ft. Depth to Limiting Factor; 0 in. Soil Application Rate: Horizon Depth in Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Conslstence Boundary Roots GPD/ft2 *Ef?1 BWZ 0-8 7.5YR2.5/1 N/A SL 2MSBK MFR cs sco 8-18 7.5YR4/6 N/A SL 2MSBK MFR cs 2M 18-120 7.5YR4/4 N/A OSG ML N/A N/A MMM 1,0 ifi _M_ affluent #1=BqDS>30^. 22^mg^ and TSS^SO^ 16pmg/l tEffl^ent#2 = BOD 5 < SOmg/land TSS ^ 30 mg/t Address: 12006 N US Hwy 63 JUL 1 b'ZUZi) ^ Bayfield Co. Zoning Dept Property Owner: D Patrick & Marlvs A Mccullouqh Parcel I.D.39249 Page:2 Of 6 Boring i ep 0- 10 ;2- Soring ^ rizonl 1 2 4 5 6 7 ipt oring # izonl ) ; i t i 3th 3ring # i zon| 1 V th 'ent#1=B pj^ Ground surface Ele 98.85 'omm. color I Munsell '.SYR2.5/1 7.5YR4/6 7.5YR4/4 ^edox Descrip iu. Sz, Cont. ( N/A N/A N/A e Ground surface Ele'Pitt 0 F >mm.Color Munselt edox Descrlpl j. Sz. Cont. C •> Ground surface ElevBorlvr Pit 0 F nm. Color | yiunsell idox Descripti . Sz. Cont. Cc d Ground surface Elev; 3or. im.Colorl unsell Jox Descriptlc Sz, Cont. Col ;t 3$ 220 mg/1 and TSS>30 5 750mc Depth to Limiting Factor: 0 In. Structure 3r.Sz,Sh. 2MSBK 2MSBK OSG onsist MFF MFF ML ;OUI c c N, Root 3CC 2M N/A Depth to Limiting Factor: 0 In. itrucfure ir.Sz.Sh.>nsiste >un Roots Depth to Limiting Factor; 0 In. tructure r.Sz.Sh.nsistei Line Roots Depth to Limiting Factor; In. •ucture Sz.Sh.slsfen'nd. "Effluent #2 = BOO 5 < 30 mg/1 a/ (ootss ioll App. Rate | -GPD7ft2- 'Efffil M 0, QJ. :fl#2| silApp.Rate] ~GPD/fP SffiM ilApp. Rate) GPD/ft2 f?1 App. Rate] 3PD/ft2 ?1 TSS^OW? The Department of Commerce Is an equal opportunity service provider and employer, If you need a^§^J||fg;§cg^ services or need material in an alternate format, please contact the department at 608-266-3151 or TTf 608-264-8777 BBD-8330(R.07/00) Owner: 3 Patrick System Elevation: SL Marlvs 95 Soil Profile Sheet A Mcculloua|Soil Tester: Load Rate: U.7 | System Elevation: Page: MarkS: 91.85 Tof6 Thompson To 97.02 ^9 98 97 96 95 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79 78 77 B3 B.85 0.6 ———.97.02 $ 0.7 91.85 ±3: 88.85 LF, JUL15W5 Bayfield Co. Zon^ DePl- . / Owner Information:BM=100: Ribboned nail on the base of ribboned tree near B1 B1= B2= B3= Lake= 98.77 97.97 98.85 88.26 D Patrick & Marlys A Mccullouah S17,T44N,R09W Barnes Douglas 0 Name: Location: Township: County: Lot #: Middle Eau Claire Lake ST: Ma^ S. Thompson N 1 "=40'Only in Tested Area 55^ 715/634-3139 Real Estate Bayfield County Property Listing Today's Date: 6/3/2025 Property Status: Current Created On: 3/26/2024 2:48:28 PM Description Tax ID: PIN; Legacy PIN: Map ID: Municipality; STR: Description: Recorded Acres: Calculated Acres; Lottery Claims: First Dollar: ESN: I,Tax Districts 1 04 004 041491 001700 Updated: 5/28/2024 39249 04-004-2-44-09-17-3 05-001-83000 (004) TOWN OF BARNES S17 T44N R09W LOT 1 OF CSM 2327 IN DOC 2024R- 603201 2.220 2.259 0 No 104 Updated; 3/26/2024 STATE COUNT/ TOWN OF BARNES SCHL-DRUMMOND TECHNICAL COLLEGE Ownership CHAD & CAITLIN LARSON Billing Address: CHAD & CAITLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 Updated: 5/28/2024 ROCHESTER MN Mailing Address; CHAD & CAITLIN LARSON 5061 RILEY LANE SW ROCHESTER MN 55902 Site Address * indicates Private Road N/A Updated: 5/19/2025Property Assessment 2025 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.220 261,900 0 2-Year Comparison 2024 2025 Change Land; 0 261/900 100.0% Improved: 0 0 0.0% Total: 0 261,900 100.0% W Recorded Documents B WARRANTY DEED Date Recorded: 5/10/2024 El CERTIFIED SURVEY MAP Date Recorded: 3/7/2024 B MFL WITHDRAWAL ORDER Date Recorded: 3/26/2021 a CERTIFIED SURVEY MAP Date Recorded: 4/22/2020 Updated: 8/4/2020 2024R-603201 2024R-602519 13-273 2021R-587783 2020R-581852 Property History Parent Properties 04-004-2-44-09-17-305-001-81000 04-004-2-44-TO-17-3Q5-001-82000 HISTORY G3 Expand All History White=Current Parcels Pink=Retired Parcels a Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Lea. Pin: 004111402990 S3 Tax ID: 38250 Pin: 04-004-2-44-09-17-3 05-001-82000 63 Tax ID: 2046 Pin: 04-004-2-44-09-17-3 05-001-80000 Leg. Pin: 004111402990 83 Tax ID: 38249 Pin: 04-004-2-44-09-17-3 05-001-81000 39249 This Parcel ^ Parents ^ Children E to JUN OtlliH-i Tax ID 38249 38250 BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-l-10(e)) B/Check List "Original Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1.) [ylndex Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 'Original Plot Plan (383.22(2)2. 3. & 4.a) Cross Section, Over-Head Profile of the System and Schematic of Tank from Manufacturer D Pfcffnp-Fafl^BtegiWTTAtefffl-oftd Pump Curvo-(wbeo-appl4€abte) Contingency Plan / Management Plan (383.22-3(2)(b)l.f.) D Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) D+teyif>g-Fan1<-A§feemefrt-(383.21(2)(c)(5) (Recorded at Reg. of Deeds) D Holding Tank Service Centrwt (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) D AT-U Servicing Agreement (Recorded at Reg. of Deeds) D Fee (Make Check Payable to Bayfleld County Zoning) (383.21(2)(c)7) Comeiete Sets of Plans (383.22(2)(2,) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) 0/Soil and Site Evaluation Report (383.22-3(2)(b)l.e.) D State- Ptan Rewew (when applicable) D Gopy-ofWarranty/QuitClaifft-Deed (Optional) Sanitary Application: (Include the following Information) I Application Information must include; 0'23 digit Parcel ID# - (do not use 12 digits anymore-obsolete) 'Project Address or Road Name where driveway is/will come off of) Hr (Owners Phone Number) Type of Building efv ^f VI B/II rim Type of Permit @flV Type of POWTS System Dispersal / Treatment Area Information Tank Information VII Responsibility Statement (Plumber's Information) eT *Date Stamp* Plot Plan: (To Scale or To Dimension) and Plumber Information (o^ Wtfv fia^c) 0/'Surface Elevation of Body of Water Direction and Percent Land Slope Tank and Filter Information and Location Wetlands / Navigable Bodies of Water absorption Area (Proposed and Existing) Bench Mark (Location, Elevation and Description) Component Manual Version ^ tIS Vs Ill JUN G( Mll'f' 72025 zoning ue (///I17/ Jress Number and Road North Arrow Contour Lines Structures and Driveways Boring Locations Property Lines Well Locations Legal Descriptions Piping Material Information (conveyance line, building sewer line, material type and diameter); Turn Over > Private Sewage System Maintenance Agreement Owner(s) Name Chad Larson OOCUMENT NUMBER2025R-60S03S OANIEL J. HEFFNER REGISTER OF DEEDS Owner(s) Mailing Address 5061 Riley Lane SW ; Rochester, MN 55902 Site Address River Rd (no fire # yet) TaX ID » gg^g As owner, I (we) do hereby certify the private sewage system will bo 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 Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) J/4 of_1/4 Section 17 Township 44 N. Range 09 W. Additional Legal Description; DOC 2024R-603201 Town of Barnes _ (Acreage) 2.259 Gov'tLot. Lot __ Block_. Subdivision Lot J_ CSM # 2327 Vol. _ljL Page AD CSM Doc # 2^L^J^-^n BAYFIELD COUNTY, Wl RECORDED 06/27/2025 AT 1 1:01 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To; Planning and Zoning Department In-ground gravity D Mound D In-ground dosed D In-ground pressure distribution Sewage System; D At-grade Sewage System D Other. Septio Tank (system types A through E): The septio tank shall be pumped by a certified aeptage 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 ringed and pumped out when the septto lank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said compQnants. Septlc Tank Effluent Filter (system types A through E): The aeptic tank effluent filtsr shall be inspected and maintained aa 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 Dteoersat 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 data of Installation and at least once every thres (3) years thereafter to determine whether wastewatsr or effluent froin the system is ponding on the ground surface. Mounds. At-arade, and In-around Pressure SvsSem Laterals (system types C, D and E): The laterals shall be flushed out and swabbed If needed when the wastewater distribution cell component is Inspscted as provided above. Owner(a) agree that failure to comply wiili this agi-eement will result In action being taken to pay all charges and costs incurred by Bayfleld County for intipsotkin, putt'ipSfig, ha'Mlnif, or olhemise issivlwig ancs mairitalnlng the privatv s6r;age systein tank In such a mawiw as io prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs whioh 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 speolal assessmgnt for the abatement of a human health hazard, and the tax shall be wlieoted 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- L-AfSoin Nolari^at) Owner(s) - Signature(s) Subscribed and sworn to befora me on this date; L-W(° ^ ^1 Notary Public JOHN MICHAEL LECHNER My Commission Q|Notary Public-Minnesota My Commission Expires Jan. St, ! Drafted by: Ronald A Spreckels Jr pate: 05/3q/^5 ^ (,„ (i; ^ y!j ^-T-^TT-^ w "•^7^^\lj Proofed by: II IS ufforms/sanKaiy/saptlcmaintenceagreemant Revised July 2020 iiuud IJCS'i B-^yFIELD El Property Owner: LARSON/ CHAD & CAITLIN 5061 RILEY LANE SW ROCHESTER / MN 55902 Description Certified Soil Tests - Review & Filing Total: Payment Amount: Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Fee Submission Number: SR-00271 Transaction Number: SR-00271-2E312 Amount $50.00 $50.00 $50.00 Reference: 14757 Paid by: Andry Rasmussen & Sons/ PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 7/15/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit ^AypIELD 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: LARSON/ CHAD & CAITLIN 5061 RILEY LANE SW ROCHESTER / MN 55902 Description Private Sewage System (Septic Tanks) Total: Payment Amount: Submission Number: SS-00578 Transaction Number: SS-00578-2E311 Amount $400.00 $400.00 $400.00 Reference: 4519 Paid by: Butterfield/ 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 7/16/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTS SANITARY PERMIT (#04)-25^4S STATE SANITARY PERMIT OWNER: CHAD & CAITLIN LARSON GOV'TLOT: LOT: 1 BLK: CSM: 2327 1/4 1/4 SEC:17,T44N,R9 TOWNSHIP: Barnes SOIL TEST: 70-25 NEW SYSTEM SYSTEM TYPE: Non-Pressurized In-Ground PLUMBER: Butterfield.Travis 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: # 652879 TRACY POOLER Authorized Issuing Officer DATE: 7/16/2025 Condition: Property Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 7/16/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION BAYFIELD COUNTS SANITARY PERMIT (#04)-25^4SR STATE SANITARY PERMIT OWNER: CHAD & CAITLIN LARSON GOVTLOT: LOT: 1 BLK: CSM: 2327 1/4 1/4 SEC:17,T44N,R9 TOWNSHIP: Barnes SOIL TEST: 116-25,70-25 NEW SYSTEM SYSTEM TYPE: Non-Pressurized In-Ground PLUMBER: TRAVIS BUTTERFIELD 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 #: 25-74S LICENSE: # 652879 TRACY POOLER Authorized Issuing Officer DATE: 10/15/2025 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 10/1 5/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION