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HomeMy WebLinkAbout25-144SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection —(715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note fl Time Change fl Discrepancy fl Other Phone Number Plumber: Fax Number Homeowner: r S�� IAS& (t'����� Email Address Immediate Phone Number So Zoning Sanitary W �� Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept No Inspection(s) during this time Date: Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zoning Dept Time: Township: Uyj 4' Vf Address # & Road Name: ' pZ l 7 70 K) P?VaA j Lip or Naa Directions To Site: Comments: Plumbers you must verify any change(s) by fax or email ** Notes from u/formsisanitarylrequestforinspection Zoning Dept (@4/12/04); 0 June 2023 Private Onsite Wastewater Treatment gas Systems POWTS Ins ection Report Inc Ge JED J & LISA E WEBER REV Pe TRUST purp0ses[Privacy Law, s. 15.04 1 m) Pe 21770 W RYANS LN jj City Village Town of: CABLE W1 54821 dy- setback to: County Sanitary ennitNo: State Plan'Transacton ID# Parcel Tax No: TYPE MANUFACTURER CAPACITY Prop. Line Well J Building Air Intake J Road Se tic L ✓,. <` 2/to 7 /t0 Ste' N/A Dosing N/A Aeration N/A Holding Pump / Siphon Information Pump Manufa turer rump Model Demand C` cv 6' 7 GPM Filter Manufacturer Filter Model TOH Lifts Friction Loss Head Total L Forcemain Length , Dia / r Dist To Well Dispersal Cell Information • DIMENSIONS Width Length # of Cells 2= SETBACK FROM Prop.. Line Building Well OHWM i Type of Cell Manufacturer. _., Ei r'/c> Pretreatment Unit Manufacturer: Model Number. stribution System Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet Tank Outlet -7,/c 2 Dose Tank inlet Dose Tank Bottom ;jzf 9cj,oNq,l, Inst. Contour Header/ Manifold Y..6 Distribution Pipe Infiltrative Surface 5 Final Grade Header/ Manifold I Distribution Pipe(s) I X Hole Size I X Hole bservation Pipes Length _ Dia Length Dia _ Spec Spacing es 0 No foil Cover Depth Over I Depth Over I Depth of I Seeded / Sodded I Mulched Cell Center I Cell Edges I Topsoil I ❑ Yes ❑ No j0 Yes 0 No 3OMMENTS: (Include code discrepancies, persons present, etc.) i e L� i,� Y) 1, L_ .. J � 1 I s tylU '�uvllC Cu-tV e�'�`. .1 [' 5'i l{•C YR N� 8 ' Ian revision required? ❑ Yes t 4Jo ) b L y -Z to other side for additional inform on. S Date POWTS Inspector's Signature License Number 3Rn_n71n (P n4/911 • BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning(EDbavfieldcounty.org 117 East Fifth Street Web Site: www.bayfieldcountv.org/147 Washburn, WI 54891 Property Owner JED J & LISA E WEBER REV Information _ TRUST 21770 W RYANS LN — / CABLE WI 54821 8 As you know `L G d\ C-1 ! r L 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: 1 .• Tank was pumped by: • Tank was crushed / removed and pipes disconnected by: on at AM/PM On at � A( VI / PM) the above -mentioned plumber contacted our office to conduct •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: Uttorms/sanitarypropertyownerAnput April 2019 vNTl&tt ►I Department of Safety County BAYFIELD & Professional Services, �� P 2025 10 Industry Services Division (to be filled in Co. Sanitary PermitNumberbyCo.) uq L4 pyritic} an 3 Z �Janitary Permit Application t o 116/4 State Tr�anTsaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate go enlal unit lr is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submittyd to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. (SAME) I. Application Information — Please Print All Information Property Owner's Name Parcel # 2 _2-44.06-21-4 05-003-11200 JED J. & LISA E. WEBER REV TRUST Address: 21770 W RYANS LN Govt. Lot 3 City, State I Zip Code Phone Number CABLE, WI 54821 715-794-2396 '/�, Section 21 �4� II. Type of Building (check all that apply) Lot # 'y T 44 N R 0 6 L ar W [ 1 or 2 Family Dwelling — Number ofBedrooms 2 NA Subdivision Name Block # NA Public/Commercial — Describe Use NA l7 City of ❑ State Owned — Describe Use CSM Number O Village of NA GRAND VIEW III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C ' applicable.) A. lacement System System y Ocat�gystem Additional Pretreatment Unit (explain) [.......(explain) JHoldin �V llll ttV t' 11 B. Holding Tank X�-d (GEOMAT) ❑ At -Grade ❑ Mound Individual Site Design 0 Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner 1St Previous Permit Number and Date Issued ExpirationI I NK IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf)_J System Elevation 300 0.6 500 500 91.80 FT. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units New Tanks1.0 Existing Tanks 1diilJ. Q � v� w w �, iii C7 Septic or Holding Tank 2000 000 1 WIESER x V. Responsibility Statement- I, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number DENNES E 221516-P 715-580-0254 Plumber's Address (Street, City, State, Zip Code) 42625 KAVANAUGH ROAD, CABLE, WI 54821 VL County/Department Use Only Approved JO Disapproved Permit Fee Date IssuedAge L ❑ Owner Given Reason for Denial �� {, ��j Conditions of Approval/Reasons for Disapproval Attach to complete plans for the system and submit to the County only on paper not less than 8 112111 Inches in size SBD-6398 (R. 03/22) PAGE 1 OF 5 In -Ground Dosed -Gravity Plan 0CT 10 zQZ5 planning and Zoning Age'► In -G Pg1of5 Pg2of5 Pg 3 of 5 Index & Cover Sheet Component Manual Design References: round Soil Absorption for POWTS Version 2.1 (May 2022-2027) Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Tank Specs Soil Evaluation Report & Site Map Filter Specs Tax Statement Owner Name(s): Owner Address: Project Address: Project Name I Description JED J. & LISA E. WEBER REV TRUST 21770 W RYANS LANE, CABLE, WI (SAME) Govt. Lot: NA 1/4 of Township: GRAND VIEW Project Parcel ID #: Designer Name: Phone: 715 - 794 - 2396 Zip: 54821 1/4, Section 21 , T 44 N -R 06 E ❑or w11 County: BAYFIELD 04-021-2-44-06-21-4 05-003-11200 Designer Information MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: holiisterdesign@outlook.com License Number. 1859-007 Remarks: /uik/$ 5/1Mi add pi1'it41' &JJ_t Phone: 715 - 426 - 1775 Zip: 54893 t.&.- ,$,99.!$\ . RV JO .. '* HLPP RT : r .1 Signature: Date: �2225 mat final signature requi on each submitted copy. WEIR OCT10 p 2025 s and l00 LAKE I�NOTTNG ptann�9 93.95' -N- 2 BEDRM CRAWL SPACE 's 101 Si)' B2 iB I .� e 100.65' 101.55'y'BM A;o0 SN F> kowrowvi,lP ' 100.0' HOLDING TANK INLET 9815' GARAGE SLAB GARAGE SLAB s PRIVATE DRIVEWAY I:'=.SEMfT:`' JED J & LISA E WEBER REV TRUST 21770 W RYANS LN } CABLE WI 54821 715-794-2396 21770 W RYANS LN S21 T44N R06W TOWN OF GRAND VIEW PIN 04-021-2-444)6-21-4 05-003-11200 BM BOTTOM OF GARAGE SIDING } MAXIMUM SYSTEM ELEVATION 99.80' SIZED AT 0.6 +1- TO RYAN LN N SCALE 1"=40' o' 40' `� IN -GROUND DOSED -GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) Geoovere I Cover min.12" (typical) TYPICAL TRENCH SOIL COVER CROSS SECTION VIEW 1r '' (No Scale) ' min. trench OBSERVATION PIPE DETAIL depth L_ ' w (typical) — — — w , . r •' , • ; + Screw -Type oev (No Scale) Finished Grade Slip Cap (loose)(mulched & seeded) 99 80 System Elevation = _ft. a•0 Pvc tripe (typical) Provide minimum 3 ft Top of pipe to terminate • ,; Topsoil Cover (min. 1 foot) at or above finished grade separation between trenches. (4)114% "X6"Slots 9 TYPICAL TRENCH @ apart (Show location of inlet/ outlet pipe connection on plan view.) Anchoring Device :• .•• •. ;.' Infiltration PLAN VIEW Surface (Nn Scl) 411 0 Observation pipe shall be installed at junction between two units. Perforated Lateral Observation Pipe (typical) (typical) (typical) 300 GPr / 0 t LR - 500 FT 2 INSTALL PER TRENCH: 10 -ft bundles @ 50 ff EISA/unit = 250 ft2 + 5 -ft bundles @ 25 ft EISA/unit = ft2 10 ft (typical) ft (typical) 500 / 50 EISA = 10 UNITS " EZ1203H Bundle 10 X 10 FT. = 100 FT. (typical) (2) 3 FT. X 50 FT. TRENCHES (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. = Proposed EISA per trench = 250 ft2 Required Infiltration Area = 500 ft2 x 2 trenches = Proposed Total EISA = 500 ft2 Distribution Method: branched manifold O m w O -n (31 PAGE 4 OF 4 cct 10 2025 In -ground Dosed -Gravity Management Plan lMPJeq plan The owner of this in -ground dosed -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 POINTS 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 (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure -- compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (113) 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: Local government unit: DENNIS RASMUSSEN BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, WI Phone: 715-580-0254 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. CEIVED 10 2025 layfield Co. and Zoning Agency "DOEL 9e w cyca Feet Gaaoa Mitts Wrs s n is 773 +o s+ a+ ]1 1S tl as IA 10 ki tan rule 32 1 1/2-11 1/2 NPT SAM CONSULT FACTORY FOR SPECIAL APPLICATIONS 16 16 Eledficet allernafofs, for dtaplex systans, am au®iabie and • Variable level Boat scathes am avaiewe for catYoifg single suppled ical Do aflwrwkrrs, for duplex sissrni . am avaiaifle • D MeeoSAe pigggybark vaielle level Boat s,,viiches am avaiable with or wNhotd alarm sal tcha for variable level kxg cyde aw*Ss. Standard all models - Weight 39 lbs. - M. H.P. l flrin Ca_Y I S@kCM a lot W,fa711 Sere 108 115 1 Aub eA 115 1 Na, 9.4 72.246 3ar4&5 DOa 238 1 M 4.7 a-t E48 230 1 Nan 4.7 3a4t5 SFIEC7DN GUIDE 1. LlleprJ kelapraled 2 pole artfrniraiasit . nordearrlfineN mcluved. 2. 5YaWe piclWthwk vad " heal Sin aaid,ardaf . ptgpltrckvrimbialelai, 16daairJL &lo -s rm477. S iragarierr airrrtr1000 w100,75. 4. See Fir071Z faeatadimdSd9rJtid Allanrla. 5. Cmrol switch 10072. tfnd ae a carol ,drawn. eluryy dlpaef (3) or (4) 'in-Ta-n E Far(4)hole 4-Pakieu.Sm Inc for lot coamdba vAmdi+ ..rga. orteyMeaperat..160002 7. Two (2) Ice 4 -Pt. forrssYrlb d connectionalspirt: ,;AUfl1N1 ilirrr8raeaidlaaf ae ,—---eeaYl. ier .iat- 10 1 11 tad_.. drr, AN installation of controls. protection devices and :inin9 should be done by a qualified IRr 3oAYnrer ri018Ri1atrot/raatar gOl Se.,flsapania,R0187; hangedtlectrician. All elecideal and safely codes should be followedhtl-Nng the most ijf4reSfglafrPup(iMRn5 M=ftdaar RlMM POWERED recent National Electric Code (NEC) and the Occupational Safety and Heath Act (051W. RCE iE .pE POWERED SiG? 9 For tmusual cotidrfiorls a reserve safety fattr is engineered into the design of every Zoeller purrtp. / Yit7[kP.R(itV(181l7 rte, �I�IU tsirltRr4t1Hf1f81 .�atrn7'fi11nF..uar .� afµyl.r sa.,raca.. AWW" !O_ I t� FAif7 44n4 PAGE 4 OF 5 ouT 10 2o25 Planning and Zoning GRAVITY -DOSED QED & LISA WEBER SEPTIC / PUMP TANK SPECIFICATIONS 4"O Vent Pipe (No Scale) >10 ft from Building Electrical must comply with 12" Min. or 2.0 ft above COMM 16 and NEC 300 Established Flood Elevation fl —fl jNeatherproof end manhole riser as necessary. (typical) Approved I ' f Junction Box IMPORTANT: Vent Cap Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) I Finished Grade CAPACITIES @ see chart gal/in Depth (in) Volume (gal) A 28.9 337.0 B 2.0 22.0 [C] 6.0 61.0 D 8.0 55.0 4 II Liquid A Depth B I * Pump Pump Tank Liquid Level = 44 in D Force Main Diameter = in Force Main Length = 21 ft Force Main Vold Volume = 3.42 gal Approved Locking Manhole with Warning Label Attached (typical) ondult 4" Min. or 2.0 ft above Established Flood Elevation (typical) Airtigrh7t Seal I I _ (luick Disconnect Neep Hole — Force Main Filter* 18" Min. (typical) Approved Joints with Approved Pipe 3 ft onto Solid Ground (wad) Alarm * Install and maintain pursuant On to manufacturer's instructions. PUMP -OFF Off A ELEVATION= 92.67 ft 3" Approved Bedding Material Beneath Tank INSIDE BOTTOM 4_. ELEVATION = 92.00 ft 21 FT. X .163 = 3.42 GALLONS FLOW BACK [C] Total Dose Volume (TDV) = 64.43 gal/dose ( ≤ 0.2X design flow + force main void volume) 7.92 7.13 LIFT + 0.5 INVERT + .29 FRICTION FACTOR = 7.92 TDH Vertical Lift = ft PUMP TANK: Volume = 540 gal r: INFILTRATOR Manufacture Pump Manufacturer: ZOELLER 98 Pump Model: (See attached pump curve.) Controls/Alarm Manufacturer. SJE RHOMBUS Controls/Alarm Model: AB TANK ALERT Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume= existing gal Manufacturer(s): Install approved force main filter pursuant to manufacturer's instructions. Filter Manufacturer: CLEARFLOW Filter Model: 324 I rG1,kII eTCAD TOP VIEW TANKTOP�F I CONTINUOUS GASKET TANK INTERIOR SEAM CLIP (44) 61.7 (1567] EXTERIOR WIDTH ALIGNMENT DOWEL (22) TANK BOTTOM HALF {, MID -HEIGHT SEAM SECTION DETAIL .. - .-I A/.I.CL►@ Anr\US12 {a.ITL1 LOCKING LID O.2151W THICKNI N au N U O 1— u c) NOTES: SECTION A - A' • 1. ALL DRAWING DIMENSIONS IN INCHES (MILLIMETERS) OR AS NOTED. 2. EXTERIOR OF ACCESS OPENING LID INCLUDES THE FOLLOWING WARNING IN ENGLISH. FRENCH & SPANISH: 'DANGER DO NOT ENTER: POISON GASES.' 3. TANK MARKINGS WILL INCLUDE: MANUFACTURER NAME. MODEL NUMBER, LIQUID CAPACITY, • 1 DATE OF MANUFACTURE CODE, MAXIMUM BURIAL DEPTH, INLET, AND OUTLET. 4. MAXIMUM BURIAL DEPTH IS 48 In (1218 mm). 5. MINIMUM BURIAL DEPTH IS 6 In (152 mm). 6. TANK IS FOR NON -TRAFFIC APPLICATIONS. 7. NOMINAL WALL THICKNESS IS 0.20 In(5 mm]. CPIU VIEW CLIP CAL) SIG STRAP (n'PICAL) ISOMETRIC VIEW tanks INFILTRATOR WATER TECHNOLOGIES 4 Business Park Rd., Old Saybrook, CT 06475 (800) 2214436 APPROVED IM-5�I0 Pump/Siphon Tank Confgurallon By Glen Schlueter at 10:56 am, Jun 23, 2D22 i Drawn by: EMB Chocked by: DJL Data: 05.30-13 201301 82A RECEIVED £ yne d Co. ptannirty and Zoni ige Infiltrator IM -540 Tank Volume as a Function of Liquid Level in 1 -Inch Increments Liquid Level Above Bottum of Tank inches Centimeters Volume Gallons Liters 0 0 0 0 1 3 3 11 2 5 8 30 3 8 14 53 4 10 21 80 5 13 29 109 6 15 37 140 7 18 46 173 8 20 5S 207 9 23 64 243 10 25 74 279 11 28 84 317 12 30 94 356 13 33 105 396 14 36 116 437 15 38 127 480 16 41 138 523 17 43 150 566 18 46 161 611 19 48 173 656 20 51 186 702 21 53 198 749 22 56 210 796 23 58 223 843 24 61 235 891 25 64 248 939 26 66 261 988 27 69 274 1,038 28 71 287 1,088 29 74 300 1,137 30 76 313 1,185 31 79 326 1,233 32 81 338 1,281 33 84 351 1,328 34 86 363 1,375 35 89 375 1,421 36 91 387 1,466 37 94 399 1,521 38 97 411 1,555 39 99 422 1,598 40 102 433 1,640 41 104 444 1,681 42 107 455 1,722 43 109 465 1,761 44 112 475 1,799 45 114 485 1,835 46 117 494 1,871 47 119 503 1,905 48 122 512 1,938 49 124 520 1,970 50 127 528 1,999 51 130 53S 2,026 52 132 542 2,050 53 135 547 2,071 54 137 551 2,087 55 138 552 2,090 1oft RECEIVED NEW SEPTIC SOLUTIONS CLEARFLOW F L.OW FILTER OCT 10 2025 Bayfield Co. Pkannia9 and Zon►n9 Agency INSTALLLATION AND SERVICE INSTRUCTIONS MODEL NO. NSSCFF324 --� FILTRATION 1/16" (.062" diameter holes) --[5.50 FLOW RATE 83.8 gallons per minute @ 1psi. TDH Increase the total dynamic head loss by .05 feet of head to overcome friction loss from the filter Address: N6643 Blue Lagoon Lane City, State, Zip: Casco, Wi 54250 Telephone: 608-333-3610 Email: info@newsepticsystems.com Website: www.newsepticsolutions.com INSTALLATION The NSSCFF324 ClearFlow is made to fit on the discharge port of any pump with a 2 -inch NPT discharge. The filter can be adapted to fit pumps with a smaller diameter discharge. Install the filter in a position where it will be easy to service. • Place a 2 -inch Schedule 40 PVC male adapter (MIPT x socket) on the end of filter. • Measure the amount of Schedule 40 PVC (tail section) needed between the filter and pump. Cut the pipe to the desired length and insert into the pump & filter. • The filter housing has a 2 -inch Camlock coupling connection to the force main. DO NOT REMOVE FILTER IF WATER LEVEL IS ABOVE FILTER CANISTER The length of time required between service intervals is unique to every application. As such, we recommend the filter be checked within 12 months of installation to determine future service intervals. Systems with known or suspected high volume usage should be checked six months after installation. DO NOT USE PLUMBING WHILE FILTER IS REMOVED 'LL°SCREN DO NOT ALLOW SOLIDS TO FALL INTO FILTER CASE • Unscrew the 4 -inch cap and remove the screen from the filter housing. • Taking proper protection, clean the screen using a hose with a spray connection. • After cleaning, inspect the screen for damage or corrosion. (Replace if necessary.) • Place the screen back into the filter housing and screw the cap back on, taking care not to cross the threads. QUALITY The filter housing, cap and coupling are made of heavy-duty ABS injection molded plastic. Injection molding insures the first part made and the ten thousandth part are virtually the same, insuring consistently high quality in every part. The stainless steel screen is made of 316L ((L stands for Low — meaning low carbon) 316L stainless contains molybdenum, an alloy which increases strength & hardness and enhances resistance in areas high in salt air and chloride, giving it the nickname 'marine grade' stainless steel. ITEM NO. PART NUMBER I filter Body 2 Cam Lock 3 FitterCop 4 . Large Gasket 5 Screen Ti?fer ITEM NO. j SW -File Nome(Fde Name) i 1 screen 2 Flange 3 Wire handle 4 Large Flange �,Z2�1Z5 Private Sewage System Maintenance Agree nti c°^ FncY co a LIsw l>JL=gL!Z LV. s4 Owner(s) Mailing Address D t `1l 0 W 9-VAAwS LA a )11u ti-) -M!�as i pLi Wet s�gaj TaxID# �gN�a As owner, I (we) do hereby certify the private sewage system will be Installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfleld County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location: In accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) 1/4 of 1/4 Section ) 1 Township N. Range W. Additional Legal Description: S Q S4 A4 T A ck ( b t' r Town of G r A (_'W (Acreage) D, `� 3 S Gov't Lot Lot Block Subdivision Lot CSM # Vol. Page CSM Doc # M, -O C) 1-6 a DOCUMENT NUMBER 2025R-609 129 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/ 1 1/2025 AT 10:37 AM RECORDING FEE: $30.00 PAGES: 2 Recording Area Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such Inspection, the tank Is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, 0, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be Inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution call 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. Mounds. At -grade. and In-rround 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 Sayfreld County for Inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayffeld County shall nofi fy 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 specrf/cafly agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print r l u 57'e Subsc and sworn to before me on this date: / p L j•' Nola d er(s) — I turee(s) Not Public o�v 7' My Commis Ion pares: I1rafted by: L•' t; is L I Ir tbA U ShtiCDate: ....9j, b1 I Y '` H 4 j 9S 0 * . t� ti•._ r Proofed by. us/sanitarsepUcmdntenceagreemcnt rms/sanitarylsepUcmdntenceagreement Revised July 2020 SEP 12 2Q25 Bayfield `Co. pger�cy Legal Description: p►arini«9 ac,u A PARCEL OF LAND LOCATED IN GOVERNMENT LOT 3 OF SECTION 21, T. 44 N., R. 6 W, IN THE TOWN OF GRAND VIEW, BAYFIELD COUNTY, WISCONSIN, DESCRIBED AS FOLLOWS: TO LOCATE THE POINT OF BEGINNING, COMMENCE AT A U.S. G.L.O. MONUMENT AT THE SOUTHEAST CORNER OF SECTION 21 AND RUN N 87°18'00" W, 1076.70 FEET ON THE SOUTH LINE OF SAID SECTION 21 TO A 1" IRON PIPE, WHICH IS THE POINT OF BEGINNING. THENCE FROM SAID POINT OF BEGINNING BY METES AND BOUNDS: CONTINUING ON SAID SOUTH LINE, N 87°18'00'W, 270.00 FEET, PASSING THROUGH A 1 "IRON PIPE AT 170.00 FEET THENCE LEAVING SAID SOUTH LINE, N 02°42'00" E, 336.00 FEET TO A POINT WHICH IS S 02°42'00" W, 19 FEET, MORE OR LESS, FROM THE ORDINARY HIGH WATER LINE OF LAKE KNOTTING. THENCE ON A MEANDER LINE NEAR SAID ORDINARY HIGH WATER LINE, N 73°55'19" E, 105.62 FEET TO A 1" IRON PIPE MEANDER CORNER, WHICH IS S 02°42'00" W, 25 FEET, MORE OR LESS, FROM SAID ORDINARY HIGH WATER LINE. THENCE N 73°33'37" E, 179.95 FEET TO A 1" IRON PIPE, WHICH ISS 02°42'00" W, 11 FEET, MORE OR LESS, FROM SAID ORDINARY HIGH WATER LINE. THENCE LEAVING SAID MEANDER LINE, S 02°42'00" W, 429.00 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 108,500 SQUARE FEET, MORE OR LESS, WHICH IS 2.49 ACRES, MORE OR LESS, INCLUDING THAT LAND LYING BETWEEN THE MEANDER LINE AND THE ORDINARY HIGH WATER LINE OF LAKE KNOTTING AND THE EXTENSION OF THE LOT LINES TO SAID ORDINARY HIGH WATER LINE. THE ABOVE DESCRIBED PARCEL OF LAND IS BASED ON THE UNRECORDED PLAT OF GOVERNMENT LOT 3 OF SECTION 21, T. 44 N., R. 6 W., IN THE TOWN OF GRAND VIEW, BAYFIELD COUNTY, WISCONSIN, DATED MAY 19, 1962 PERFORMED BY T.W. NELSON, PLS - 263. For Informational Purposes Only: Address: 21770 W. Ryans Lane, Cable, WI 54821 Tax Key No. 04-021-2-44-06-21-4 05-003-11200 jmrlclients\weber, jed & lisalreal estatelcable -legal description.docx Bayfield County Register of Deeds Document # 2022R-595153 Page 2 of 2 A-n SI3 Wisconsin Department of Safety and Professional Servicesg-. Page `• Division of Industry Services %", SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County BAYFIELD Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel 1.D. scale or dimensions, north arrow, and location and distance to nearest road. 04-021-2-44-06-21-4 05-003-11200 Please print all information. Re 'ew by Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). ( Date., Property Owner Property Location 0 JED J & LISA E WEBER REV TRUST Govt. Lot _/. ' S 21 T 44 N R 06 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 21770 W RYANS LN 21770 RYANS LN City State Zip Code Phone Number ❑ City O Village I Town Nearest Road CABLE WI 54821 17157942391:GRAND VIEW RYANS LN ElNewConswction Use:lJ Residential/Numberof bedrooms 2 Code derived designflow rate 300 GPD Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material (7' S o General comments and recommendations: MAXIMUM SYSTEM ELEVATION -99=0 SIZED AT 0.5 U Boring # ❑Boring MPit 101.55 >60" >96.55' Ground surface elev. f. Depth to limiting factor in. / elev. ft. Snil Annlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Efl#1 •Eff#2 1 0-7 5YR 312 SIL 3FGR MVFR AW 3VF-CO 0.6 0.8 2 7-16 5YR 316 SIL 2MSBK MVFR CW 3F -CO 0.6 0.8 3 16-30 5YR 4/6 SIL 2MBK MVFR AW 2M 0.6 0.8 4 30-50 5YR 4/6 LFS 0M --- AS 0 0.5 1.0 5 50-60 SYR 4/4 SL 0M - 0 0.2 0.6 aBoring # []Boring 100.65' >60" >95.65' ®Pit Ground surface elev. fL Depth to limiting factor in. ! elev. ft. Snil Annlicatinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 *Eff#1 •Eff#2 1 0-7 5YR 3/2 SIL 3FGR MVFR AW 3VF-CO 0.6 0.8 2 7-28 SYR 413 SIL 2COBK MVFR AW 317-M 0.6 0.8 3 28-34 SYR 416 GR LFS 0M - AW 0 0.5 1.0 4 34-52 5YR 416 LFS 0M -- - 0 0.5 1.0 5 52-60 5YR 4/4 SL 0M - - 0 0.2 0.6 CST Name (Please Print) I CST Number KEVIN MCKINNEY i 224234 Address Date Evaluation Conduc d'? I Telephone Number 1113 Ei-4FC LE WI 54821 06/27/2025 715-798-3494 V'\ JUL B> 30 5 220 mg/L and TSS > 30 s 150 mg1L 'Effluent #2= BOD. 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04121) Bayfield Co. Zoning Dept. I _!J Boring # O Boring 101.80' ® Pit Ground surface eiev. ft. r. Page Page of ____ >60' >96.80- . - -, Depth to limiting factor in. / elev. ft. Snil Anntiratinn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 Eff#2 1 0-7 SYR 3/2 SIL 3FGR MVFR AW 3VF-CO 0.6 0.8 2 7-32 5YR 4/3 SIL 2MSBK MVFR CW 3F -CO 0.6 0.8 3 32-55 5YR 416 IFS OM - AS 0 0.5 1.0 4 55-60 5YR 414 SL OM — -- 0 0.2 0.6 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Co. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / eteev. ft. I. Soil Aoolicatlon Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Eff#2 Effluent #1 = BOD > 30.,", 220 mglL and TSS > 30 6150 mg/L ' Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L o EC I v LIII JUL 2.i 2025 Bayfield Co. Zoning Dept. LAKE KNOTTING 93.95' +1- PAGE 3 OF 3 WEBER 2 BT DRM CRAWL SPACE B3 102 101.80' B2 d A 100.65' 131 101.55' HOLDING TANK INLET 98.25' PRIVATE DRIVEWAY JED J & LISA E WEBER REV TRUST 21770 W RYANS LN CABLE WI 54821 715-794-2396 21770 W RYANS LN S21 T44N R06W TOWN OF GRAND VIEW PIN 04-021-2-44-06-21-4 05-003-11200 BM BOTTOM OF GARAGE SIDING MAXIMUM SYSTEM ELEVATION 9$ q 9 SIZED AT 0.5 T; �aaya3y :0 fpe4 BM Inn n+ O WELL GARAGE SLAB 1200'+/-TORYANLN Ufl5 liii JUL 21 20Z5 Bayfield Co. Zoning Dept. N SCALE 1" = 40' 0' 40' Q • ar l l r'F _ 4M • v I l.lI l.a .v I t. V VWN, -4+n ^La.. :..i.;;AQRI•`T IMLl'tr In �' :1 `' BAYFIELD COUNTY SANITARY PERMIT (#04)-25-144S STATE SANITARY PERMIT OWNER: JED J & LISA E WEBER REV TRUST GOVT LOT: 3 LOT: BLK: 1/4 1/4 SEC: 21, T 44 N, R 6 TOWNSHIP: Grand View SOIL TEST: 78-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: DENNIS RASMUSSEN TRACY POOLER DATE: 10/16/2025 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;1979c.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: # 221516 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 10/16/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION