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Home My WebLink About25-12S,-'!• ^""^1^-1^ss^—'/'-»/^-tex^'•'.'<™n»v- SS-00<oto Department of Safety & Professional Services, Industry Services Division / t'aunlv Bayfield .Siiiuian I'fnnii Ninnhi.T Ho t'c 1'illcd in 1>\ C'r 1 -2S-12S ^=-Sanitary Permit Application Sialc TraitSiiclnm Number In aixoruancc wnli SI'S 3S.12 I (2). Wis Adin C'odc. subinissnm ot' lhi5 form lu ihu appmpi i.ilf gin'crnmcnial unit is required prioi m uhlnimns a snniian' pennil Note AppliCiition limns for slatc-owin.-il I'OWtS arc .submnted I" (lie Repurlmcnl ol'.Sal'uly anil I'tufcssional Scn'iccs I'l.'r.sonal inlbnnuljon you providi; in;n Iw uscil I(H sccontlaiy purposes in acuordawc willi llu' Privacy l.aw. s I S <>•<( I )("i). Siuts I. Application Information - Please Print All Information I'm.iucl Aililicss (JI'dilTcrciK than malting uddruss) ^ef ^. Property Owner's Name Tim Zwickey Parcel ft 3<?4^ Propeny Omici's M.iilinj; Address 1807 Savannah Circle PiopL-nv l.iif.unm (iini l.oi City, Slaii; Marshfield, Wl /.ip ("ixlc 54449 H. Type of Building (check all that apply) (3 I dr2 F.imily Hwiilling-Numbcrot'Bcdroiwis a Public/Commcrciat - Describe Use 0 Slate Ownei) - ncsenbc l.'se I'hunv NumKT 651-269-7547 ^t^ ^ .5- -^, <Scclion 17 LIH il T 44 N K.P9.' ,,Eof^1. Snbdivi.sion Naiikij; ,r-, ;^ niuck 11 r C.SM Niunlicr2^ a cm. >n" a \'tH»sv rf 0'1'nmmi' -LI,. " A 'fl'.'l,> lh;\" U ^ ,/IJ;"'' Barnes IU. TypK! ofPQWTSPBnnit: (Check either "New" or "Replacement" and other applicable on line A. Check one box m line B. Complete line C i' applloble.)A New .Svsicm D Rcplaccmunl Syslrm D Otlicr ModificiHinn to l;\i.slini; .Syslcm Irxplaini a Atlililinnsil t'rclrcaimem Unit (cxpliiinl B.D Holding Tank In-GruuniJ (convcnlinn;il> D Al-Gradc D Mound D Iniliviilu.il Sue Itoiyn D Ullicr Type (c'iplain) c.D Rimcwal Hcforc ti\pir.nii)i) D Rcvi D Chanac ot'Plumbcr D 'I ransl'cr If New 0\vnw .isi I'ri'Mnus I'crmn Number anU Oaif Issued IV, DbptnaI/Tttatment Ana and Tank Infurmation: Design l:lou'(gpd)300 Design Soil Appliealiun Raiclgpd/sl) 0.7 Dispersal Area Kuquir(;tl (sl') 428.6 Dispersal Area 1'iopiMud (sl) 446.6 Svslcm Hcvalinn 103.1 Tank lnlbmialinn Capacity in Gallons New Tiinks LMStifi^I l.ttt^ Total Gallons #»f I 'Hits Manulactuin •e S•1J IIV. f.IIiS U Scptie or Hottiinji Tiint.750 750 Wieser xDosinit Chamber V. Rttit»n»U»IUty Statement-1, tkt nndcralgncd, aaaumc nspontibUity for inslaUation or the PO^VTS ahown on the •tfchtd plans. Plumber's Name (I'rint) r^ vh&^ C I &}^-\i^ I'lumbc/'sSijinalurc s; ft^-uijj^ ^^-P.m-^'^. •aP/MI'KS Numhci^^ 7 ^ Husjness t'tmne Numlx'r ^0^-A-^/ Plumber's Address (SKCC!, Ciiy. Slate, Xip L'oiic) 'Je-3t(<.n < •+. A/L.^ ^,-7 P,^..,,^ f^,,, ^UW-^VL Cunnty/DtpHrtmcnt Use Only Approved D Disapproved 0 Owner Ciivcn Reason ttil l')i:i>}iil I'ermil Fee s J /.'•^C-v Diile Issiltfit^h\26 Issuing^utfBb.Signalwc 'Xi AJ y ~L Conditions nfApproval/Rcasons for Disappmviil ^ ^ .^ , ^/,;,,^SiIi"T^i^'^';^"^ ^ 3^.3<-!^'Xc, <^a^ G^cv<-W<Sk p<2^Tr\\Y Cc^^ . SBD-;,398(R. 03/22) Anach la cnmpltlc plain, for the syilcm and subminu llir ('ounl) iinly un |upcr not tc.u than S t.t» I Utitliw in shep^i^oo.oo'q/^-l/^S ft^ Department of Safety & Professional Services, Industry Services Division County Bayfield Sanitary Permit Number (to be filled in by Co.) 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(1 )(m). Stats. I. Application Information - Please Print All Information Project Address (if different than mailing address) 2230 Ge^E L^&4-t Property Owner's Name Tim Zwickey Parcel #Wf Property Owner's Mailing Address 1807 Savannah Circle Property Location Govt. Lot City, State Marshfield, Wl Zip Code 54449 U. Type of Building (check all that apply) 0 1 or 2 Family Dwelling-Number ofBedrooms D Public/Commercial - Describe Use D State Owned - Describe Use. Phone Number 651-269-7547 e5^ ,/, s^_Section 17 Lot # 1 T 44 NR,4?9 ;r. rt£o®| '; Block # Subdivision NaimjJ; V, I'" !^ !1 !'•' ;? iH -^A. CSM Number2.3% D City of _ a Village of oavri^'i 0 Town of Barnes •" ^.uz.;? -Ulii.K.; .J,.' m, Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applicable.) A.New System D Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain) B.D Holding Tank [n-Ground (conventional) D At-Grade D Mound D Individual Site Design D Other Type (explain) c.D Renewal Before Expiration D Revision D Change of Plumber D Transfer to New Owner:IList Previous Permit Number and Date Issued IV. DispersaI/Treatment Area and Tank Information: Design Flow (gpd)300 Design Soil Application Rate(gpd/sf) 0.7 Dispersal Area Required (sf) 428.6 Dispersal Area Proposed (sf) 446.6 System Elevation 103.1 Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer s S£ _S£ 0 uii 500 w £ SE 5 Septic or Holding Tank 750 750 Wieser xDosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for instaUation of the POWTS shown on the attached plans. Plurobe^'s Signature ^£t^t^^ f^^/YT-^^^ Plumber's Name (Print) ^ m ^.^ C / &yTn^.t, 4®-/MPRS Number ^7^, Business Phone Number^0-M^^Plumber's Address (Street, City, State, Zip Code) ^^ ^ G d ^ 't.__ /-^^^L^ ~7 P> t,, ^^^ U ^ >' . i5"c/' <^ 7 ? VI, Coijnity/Department UM Only D Approved n Disapproved D Owner Given Reason for Denial Permit Fee$Date Issued Issuing Agent Signature Conditions ofApproval/Reasons for Disapproval Attach to complete plans for the system and submit to the County only on paper not less than 81/2x11 inches in size SBD-6398 (R. 03/22) ^^JM-2.S SR-- oozn ^y~"tS^ Wisconsin Department of Safety & Professional Services*y'\4\, Division of Induslry Services SOIL EVALUATION REPORT ^iM.'^^' In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 indies In size. Plan must include, but hot limited to vertical and horizontal reference point (BM). direction and percent slope,scale or dimensions, north arrow, and location and distance lo nearest road. Please print all Information. Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04(1 )(m)). ;:t: ^ ;H! MAR 1720Z5 pa^_ _;^y/t^lil<. '.u. .a>ni' ]\;j^;.'- -or. Counly Bayfield Parcel 1.0. y^ ^^ Revheyfe^y.•ei'cn^."-oav>e.i-^lz^ Property OwnerTim Zwickey Property Localion Govt-Lot^V '/< J?'1A/ '/ S 17 T 44 N R 09 E Property Owner's Malting Address1807 Savannah Circle Site Address or CSM and Lot #:{^ er ^.oad Lot #1 ,C^ ^^^ City, State. ZipMarshfield.WI 54449 Phone Number ( 651 ) 269-7547 D City D Village EZ Town Barnes Nearest RoadRiver Rd NewConstruclion Use: G3iResidential/Numberofbedrooms _2_ D Replacement D Public or commercial - Describe. Parent material Outwash sands (Rubicon-Sayner complex) General comments and recommendations: Ground surface elevations are for original grade. Sand has been brought in to level site Code derived designflow rate 300 ppp Flood Plan elevation if applicable^. N/A ft. Boring #[BoringI Pit Ground surface elev. '""'•*• ft.Depth to limiting factor.96 Jn./elev.9S.2 ft. Horizon 1 2 3 4 5 Depth!ri. 0-7 7-21 21-51 51-60 60.96 Dominant ColorMunsell 10YR2/1 7.5YR 3/4 7.5YR4/4 10YR5/4 10YR 5/4 Reclox Description Qu. Az. Cent. Color Texlure Is s s s cos Sliucture Gr, S2. Sb. Osg Osg Osg Osg Osg Consistence ml ml ml ml ml Boundary cw gw gw cw Roofs 1m/1f/1^ 1m/1f/2v 1m Soil Application Rate GPD/FC 'Ef»1 0.7 0.7 0.7 0.7 0.7 •E(W2 1.6 1.6 1.6 1.6 1.6 Boring #QBoringQPit Ground surface elev.106-1 ft Depth to limiting factor 96 In. / elev.98'1 ft. Horizon 1 2 3 4 5 Depth In. 0-5 5-32 32.40 40-57 57-96 Dominant ColorMunsell 10YR2/1 7.5YR4/4 7.5YR4/4 10YR 5/4 10YR 5/4 Redox Description Qu. Az. Cent. Color Texture Structure Conslslence Gr. Sz. Sh. Is_Osg s I Osg cos s cos Osg ml ml ml Osg ! ml Osg ml Boundary aw aw aw cw Reals 2vf Im/lf/IV 1vf Soil Application Rate GPD/Ft' •Ef»1 0.7 0.7 0.7 0.7 0.7 •Effitt 1.6 1.6 1.6 1.6 1.6 CST Name (Please Print)Keith Witey Address11623 E Larson Dr. LaKe Nebagamon. Wl 54849 Signature /<^ ^-y-"y^ --^ Date Evaluation Conducted "11/2/2024 -C'ST Number 654921 Telephone Number 218-451-2611 • Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L " Effluent #2 = BOO, s 30 mg/L and TSS s 30 mg/L%A""^f2.<3 iSo. 00 "RaV " ~ SBD.B33D(R03^) $R~ 072.1 ? Wisconsin Department of Safety & Professional Services Division of Industry Services %)Cj E« SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 81/2x11 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, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1 )(m)). MAR 1 7 20^5 ^e- Savfield Co. Zoning Oe"-1:. _of_ County Bayfield Parcel I.D. Reviewed by Date Property Owner Tim Zwickey Property Location Govt. Lot 1/4 y< s 17 T 44 N R 09 Property Owner's Mailing Address1807 Savannah Circle Site Address or CSM and Lot #:Lot #1 City, State, ZipMarshfield.WI 54449 Phone Number ( 651 ) 269-7547 d City D Village Town Barnes Nearest Road River Rd New Construction Use: 0Residential/Numberof bedrooms 2 D Replacement U Public or commercial - Describe: Parent material Outwash sands (Rubicon-Sayner complex) General comments and recommendations: Ground surface elevations are for original grade. Sand has been brought in to level site Code derived designflow rate 300 GPD Flood Plan elevation if applicable N/A ft. Boring #D BoringE Pit Ground surface elev. '"~r-'-ft.Depth to limiting factor 96 in. / elev. 96.2 ft. Horizon 1 2 3 4 5 Depth In. 0-7 7-21 21-51 51-60 60-96 Dominant Color Munsell 10YR2/1 7.5YR 3/4 7.5YR 4/4 10YR5/4 10YR5/4 Redox Description Qu. Az. Cont. Color Texture Is s s s cos Structure Gr. Sz. Sh. Osg Osg Osg Osg Osg Consistence ml ml ml ml ml Boundary cw gw gw cw Roots 1m/1f/1v 1m/1f/2v 1m Soil Application Rate GPD/Ft2 *EfW1 0.7 0.7 0.7 0.7 0.7 *Eff#2 1.6 1.6 1.6 1.6 1.6 Boring #QBoring0pit Ground surface elev.106-1 ft.Depth to limiting factor 96 in. / elev. ft Horizon 1 2 3 4 5 Depth In. 0-5 5-32 32-40 40-57 57-96 Dominant Color Munsell 10YR2/1 7.5YR 4/4 7.5YR 4/4 10YR5/4 10YR5/4 Redox Description Qu. Az. Cont. Color Texture Is s cos s cos Structure Gr. Sz. Sh. Osg Osg Osg Osg Osg Consistence ml ml ml ml ml Boundary aw aw aw cw Roots 2vf 1m/1f/1v 1vf Soil Application Rate GPD/Ft2 *Eff#1 0.7 0.7 0.7 0.7 0.7 *Efl^2 1.6 1.6 1.6 1.6 1.6 CST Name (Please Print) Keith Wiley ;ST Number 654921 Address 11623 E Larson Dr. Lake Nebagamon, Wl 54849 Date'Evaluation Conducted11/2/2024 Telephone Number 218-451-2611 * Effluent #1 = BOD > 30 ^ 220 mg/L and TSS > 30 s 150 mg/L Effluent #2 = BOD, S 30 mg/L and TSS •£, 30 mg/L SBD-8330 (R03/22) Buring # D Boring E Pit © IEIIN!Page.of. Ground surface elev. J ^8 ^R 1 / 7 Q^h t^imiting factor 120 in. / elev. 98.0 ft. Horizon 1 2 3 4 5 Depth In. 0-4 4-18 18-32 32-56 56-120 Dominant Color Munsell 10YR2/1 7.5YR 3/4 7.5YR 4/4 10YR5/4 10YR5/4 Redox Description Qu. Az. Cont. Color Texture Is s s s cos BayfieJfa Cc Structure Gr. Sz. Sh. Osg Osg Osg Osg Osg Zoi-iing uiep; Consistence ml ml ml ml ml Boundary cw cw cw cw Roots 1vf 2co/2m/2f 2f 1f Soil Application Rate GPD/Ft2 *Efi#1 0.7 0.7 0.7 0.7 0.7 *Ef?2 1.6 1.6 1.6 1.6 1.6 Boring #D BoringD Pit Ground surface elev.._ft.Depth to limiting factor_Jn. / elev.__ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. A2. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *Eff#1 *EfftK Boring #D BoringD Pit Ground surface elev..-ft.Depth to limiting factor.in. / elev.ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/Ft2 *Ef(#1 *Efft»2 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 £ 150 mg/L * Effluent#2 = BOD, £ 30 mg/L and TSS s 30mg/L North^1 ^ ^|SlHt|'\i'? lu!^ft ^ ^ielQW'Ay^naiW 108' Zwickey (2 bedroom) Soil Report Plot Plan Scale 1:20 <- X Bench Mark = Duplex nail w/ orange ribbon in 9" DBH oak Elev = 100.0' ^ NOTES: ^ No well Property lines not shown > 25' from tested area Middle Eau Claire Lake Elev K 75' System area leveled with sand CST# 654921 Page 3 of 3 Zwickey BAYFIELD COUNTYCHECKLIST FOR CERTIFIED SOIL TESTS R. 1^ (i! i? HI 1^ ji^Submit the Following (Use Permanent Ink): |ui l5 ly ^ " y lb j| 1111 MAR -S 7 20?R iu Bf Check List P^Vifeld Co. Zoninq Depi:.H Index Page / Title Sheet (Optional) ' " ' ' Q' Original Soil Evaluation Report (Submitted in Deed Holders Name - not prospective buyers) B' Original Plot Plan D Cross Section Soil Profile Sheet (optional) D Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) 5f Parcel Identification Number (must be Zl^igit Tax ID#) DO NOT USE 12 digit, they are no longer being used 53/Property Owner's Information (not prospective buyer's name) S3'Property Location (Accurate Legal Description with Sec/Twp/Range) 53'Road Name (where driveway is/will be coming off of) SyFtoodplain Elevation, Flow Rate, Comments and Recommendations l\y Complete Soil Boring / Pit Information E7 Date Soil Evaluation was conducted E^CST Name, Signature, Number, Address and Phone Number yf *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) Q/Bench Mark (Description, Elevation and Location) 5, Contour Lines (Example = 98.0',96.0',94.0') E7 Property Location (Sec/Twp/Range/, Accurate Legal Description) Gf Borings (Locations and Elevations) E^Percent and Direction of Land Slope 0'Well Location (Including Neighboring Wells, if applicable) 57 Location of Wetland Areas, Floodplain and Navigable Waters E7 Buildings, Driveways, and Structures (Location and Descriptions) 5/Location of Property Lines Bf Existing System Location S7 Address Number and Road Name E7 Current Surface Elevation of Wetlands and Navigable Waters QfCST, Owner and Property Information [\/North Arrow Fee: [^Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforcsts Tim Zwickey River Rd Bayfield Lot #1 17 44 9 Keith Wiley - ^^-2^ ^-^ D2388PSS ^ 218-451-2611 1/2/25 ,,,,in'"""»,,,^^2^"\/^^ ^\^\^/ ^^ \ 'i 02^ss ) J;S«0_^ / ^^0^ / ^ '^°^^"""")7iiTn'r*1*1' Property Owners Name Property Address Tax Parcel Number County Legal Description Section Town Range Page Index 1 Property Information 2 Data Entry 3 Plot Plan _ _ ^ ,,^^. ^ ^ 4 Drainfield Cross-Section ^; :y ' ! " 5 Tank Information ^ M^ Q / ^y, 6 Maintenance Plan 7 Contingency Plan "' ..ic; ,; ,„;;;; g Designer's Name Designer's Signature Designer's License Number Designer's Phone Number Date Page 1 of 7 n-Ground Soil Absorption Tor PUW l y Version 2.1 (May 2022-2027)2^96 0.7 ^2QQ 300^ 1 103.1 103.1 104.2 10T 108 110 Component Manual Usec Mumber of Bedrooms 3ercent Slope (%) Depth to Soil Limiting Factor (in.) n Situ soil application rate Estimated Wastewater Flow (gpd) Design Wastewater Flow (gpd) Mumber of System Elevations 3roposed System Elevation #1 :>roposed System Elevation #2 3roposed System Elevation #3 original Grade #1 finished Grade #1 3riginal Grade #2 rinished Grade #2 3riginal Grade #3 :inished Grade #3 Vieser 750 >olylok PL-525 Septic Tank Effluent Filter ifiltrator Quick4 Plus Standard ^\T ^20 3.3 4 1.5 34 2 3 12 10 ^22 428.6 446.6 Chamber Type ^eight of Chamber (in.) ,q.ft. per chamber(ESIA) .q.ft. per end cap (EISA) aying length of chamber(ft.) sngth ofendcap(ft.) chamber width(in.) ?ows of Chambers )istance Between Cells (ft.) lumber of chambers in first row lumber of chambers in second row Jumber of chambers in third row •roposed Number of Chambers Used linimum Distribution Cell Area Required (sq.ft.) )istribution Cell Area Proposed (sq.ft.) i'-; \\ \:'.? '\, '• Mp; 'L Page 2 of 7 Zwickey (2 bedroom) ~ Gravity In-Ground System Plot Plan North/^ \J:':. C--JC3<'~J ^ =.- ' C—^ L.—One row of 12 Infiltrator Quick4 Standard ctiambers Property line 108' nnnmmnnmnmununmuuunnTmmiiuu §^7 Garage One row of 10 Infiltrator Quick4 Standard ch^'fnbers ^" ^..--A°y.^/'^v-/''0<-\-/'" Scale 1:20 <- X Bench Mark = Duplex nail w/ orange ribbon in 9" DBH oak Elev = 100.0' Wieser precast W750-MRtank w/ polylok 525 filter NOTES: ^ Jo well - Property lines not shown > 25' from system area - Middle Eau Ctaire Lake Elev " 75' - System area leveled with sand - Maintain 10' building and 5' property line setback to drainfield - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 3 of 7 Cross Section of a Two Cell In Ground Component Using Leaching Chambers Observation/Vent Pipes 108.00 iFinished Grade Slope 0% 104.20 104.10 Original Grade_ Celt-Seperation >s. I 3 Ift^t</>'.'——7J 103.10 |System Elevation —1 ./' Finished ^rada J 110.00| Top of Chamber 108.00 '?\..-A,^~X' X ) ~^s ,^ J&ffginal Grade --'_' ^/"Top of Chamber|^~>"" ^-'" System Elevation I 103.10| 104.10 '••• "'•..•''.•-•-.:•'.."/ •'.• ••'••• ~.\ ' . .••."•".• i.TTeatnsent'pnd'plErperedt ^oqe • ' . . 1:''^;^.-^.:::1.^'':':^-'-:1/ „. l.'-._._ ..;._:^-_J.'"^.- ••-'-^ ".:.?'.. ;_.,_,_^': •-^". ' LirLimiting Factor Observation/Vent pipes to be constucted and capped with approved materials for the particular use. Diagrams Not To Scale 51 feet Ip or~] ciof-101 43 feet Observation / Vent Pipes to be located at the ends of the distribution cells. 111 iil -12025 i .:;.01ii?ly L;d;_'. ^ Page 4 of 7 4" CAST-A-SEAL TOP VIEW 4" CAST-A-SE-AL PUMP PAD SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP750-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54" OUTSIDE DIAMETER: 7'-0" BELOW INLET: 42" UQUID LEVEL: 37" WEIGHT: BOTTOM 3,740 LBS.COVER 2,410 LBS. INLET AND OUTLET: 4" CAST-A-SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER:WISCONSIN, SEE DETAIL #10(OTHER STATES SEE CHART) LIQUID CAPACITT': 20.28 GAL/IN HOLDING TANK:OUTLET HOLE PLUGGEDACTUAL CAPACITY: 790 GALLONS LOADING DESIGN: 8'-0" UNSATURA-TED SOIL TANK CAN BE USED AS:SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN j^10 (STRUCTURAL FIBER) CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: ^ CDi§l^1luSISCNI'ml0 I00I 03 00^1 CK2 Q10s <3 u &(7) SHEET NO. 1 OF 1 FILE INFORMATION POWTS OWNER'S MANUAL & MANAGEMENT PLAN SYSTEM SPECIFICATIONS Page..of Owner Tim Zwickey Permit # DESIGN PARAMETERS Number of Bedrooms Number of Public Facility Units Estimated (average) flow Design (peak) flow = (Estimated x 1.5) In Situ Soil Application Rate Standard Influent/Effluent Quality Fats, Oil & Grease (FOG) Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) Pretreated Effluent Quality Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) Fecal Coliform (geometric mean) Maximum Effluent Particle Size Other: 2 D NA 0 NA 200 gal/day 300 gal/day °-7 gal/day/ft2 Monthly average* <30 mg/L <220 mg/L D NA <150mg/L Monthly average <30 mg/L $30 mg/L 0 NA <104cfu/100ml ^ in dia. D NA 0 NA Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Tank Manufacturer Wieser EZ] Septic D Dose D Holding Tank Manufacturer D Septic D Dose D Holding Effluent Filter Manufacturer Effluent Filter Model Pump Manufacturer Pump Model Pretreatment Unit D Sand/Gravel Filter D Mechanical Aeration D Disinfection Manufacturer Dispersal Cell(s) E In-Ground (gravity) D At-Grade D Drip-Line Other: Other: vol. 750 vol. Polylok 525 D Peat Filter D Wetland D Other: D 0 a 0 0 D NA gal NA gal NA NA NA NA D In-Ground (pressurized) D Mound D Other: EZI 0 NA NA Service Event Inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) Clean effluent filter Inspect pump, pump controls & alarm Flush laterals and pressure test Other: Other: Service Frequency At least once every: 3 ^ I^alr(s) (Maximum 3 years) D NA El When combined sludge and scum equals one-third (16) of tank volume ^ ^^ D When the high water alarm is activated , ,. ,. ,L At least once every: 3 § ^ea^s) D!(MstocirrtU?3 years) ^|NA At least once every: 3 g ^?) ^ •^,,i: , ^ UNA At least once every: SmS§} .-.....,.. .„„„...0NA At least once every: H %°anrS)(s) 0 NA At least once every: g f^f Q NA 0NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (<6) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Page 7_ __ of Z_START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be diycharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: D A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. D Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING»SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT pXYG^N. DO NftTENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH M^Y RESULT. ftESCUE Ofs|APERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. I;, jijl ADDITIONAL COMMENTS "' ^r! POWTS INSTALLER POWTS MAINTAINER Name ^f/€^ /-^? ^ Phone 7/S-^5T~^3^ Name A//A^ ^^^ Phone -7 / ^ ~7^^y^^ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name /^/<,-S~S^P H € Phone -7/^-7^^ y yf^/ Name Bayfield County Zoning Phone 715-373-6138 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. BAYFIELD COUNPfCHECKLIST FOR SANITARY APPUCATONS Zwickey Submit the Following (Use Permanent Ink) 0'itle 15, Section 15-l-10(e)) Ef Check List 0 Original Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.21(1)1.) 0 Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 0 Original Plot Plan (383.22(2)2. 3. &4.a) 0 Cross Section, Over-Head Profile of the System and Schematic of Tank from Manufacturer D Pump Tank Diagram, Alarm and Pump Curve (when applicable) 0 Contingency Plan / Management Plan (383.22-3(2)(b)l.f.) 0 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) D Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) D Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) D ATU Servicing Agreement (Recorded at Reg. of Deeds) 0 Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 0 2 Complete Sets of Plans (383.22(2)02.') (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.) a State Plan Review (when applicable) D Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) 0 I Application Information must include: D 23 diqit Parcel ID# - fdo not use 12 digits anymore-obsolete) Ef Project Address or Road Name where driveway is/will come off of) El (Owners Phone Number) 0 II Type of Building Ef III Type of Permit 0 IV Type of POWTS System 0V Dispersal / Treatment Area Information ,,, ;;: ;p p 11 '" n 0 VI Tank Information 0 VII Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) 0 Signature and Plumber Information 0 Surface Elevation of Body of Water 0 Direction and Percent Land Slope 0 Tank and Filter Information and Location 0 Wetlands / Navigable Bodies of Water 0 Absorption Area (Proposed and Existing) 0 Bench Mark (Location, Elevation and Description) ;v?i-.\ I / ... 0 Component Manual Version 0 Address Number and Road 0 North Arrow 0 Contour Lines 0 Structures and Driveways 0 Boring Locations 0 Property Lines 0 Well Locations 0 Legal Descriptions 1?!pjrt^yati^[l|1g; building s6yi/er line; material type and diameter) Turn Over > Cross-Section and Over-Head Profile of the System: 0 Surface and System Elevation 0 Position of Observation and Vent Pipes 0 Dimensions and Depths 0 Make, Model & Number of Chamber Units in each Cell 1 Property Information 0 How many systems will there be on this parcel of land? Ef Has this property been split? rto (Property Statement shows Property History) Fees: 0 Private Sewage System (Septic Tanks) $ 400.00 0 Private Sewage System (Holding Tanks) $ 400.00 D Mounds or Systems requiring Pre-Treatment $ 500.00 D Sanitar/ Revisions $ 25.00 D Private Sewage System Reconnection $ 50.00 and Private Interceptor D Return Inspection $ 50.00 0 Maintenance Agreements ^ $ 30.00 (checks made out to Reg of Deeds) u/forms/checklists/checklistforsanitaryapps(10/2009);(®7/2011);(®2/2012)(®5/2/2012-dc) Proofed by: Private Sewage System Maintenance Agreement Owner(s) Name Tim Zwickey • s y---.<—i(uu^ .^^Kii - 1807 Savannah Circle, i^&hh^, ^ ^(-iLf^r: Site Address River Rd Tax ID #-mw\ i^-S. ^sSf-f^, ri.. '(^is-:/ -G^-- Ti.Si^fjy. -^(S¥^»^ 'Ci'rS. "p^&'-4Si,LC7. '^^i/^E^. '^f.aWl'ii- ' i^^t "i./S?- Ti'-JS^i-WU. ~"'i 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) 1/4 of .1,4 Section 17 Township _44_N. Range O9 W. Additional Legal Description: Town of Barnes Lot __ Block_ (Acreage)Gov'tLot Subdivision Lot 1 CSM # ^^5vol. '3 Page1' 11 ~4'3 CSM Doc # ^o25R.-^(o362> DOCUMENT NUMBER2025R-606974 DANIEL J. HEFF-NER REGISTER OF DEEDS BAYF-IELD COUNTY. Wl RECORDED 03/27/2025 AT 2:26 PM RECORDING FEE: $30.00 PAGES;2 5^c=i-S-W<tf-t*-, "tSi.Ttisa Return To: £i E . ii \i?i I? fn'*Planning and |Zoning (His|J§rtHnerit E js n MAR /)8 ? '^ ^^tipici; :,•> /nnina Pen'. In-ground gravity Mound In-ground dosed D In-ground pressure distribution Sewage System: C] At-grade Sewage System D Other Sectic Tank (svstem tvoes A ttii-ouoh E\: The seoSc Eankshaiibe tiumaed bv a certified seotaQ& sen'ics'c ooeratef v.'ithin tfa.'ee /3) veareeftheeiateof installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's SDedfscat.'Qns- Fsiter tna'ntenar'.c-s rasarts sh-aiS tie suh?"'fsd tc the Cau"tv as ras'jirsd b" SPS 3S3.5S. Wis. AdRiin. Ccda- Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three(3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At-arade, and In-around 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 fhis agreement will result in action being taken to pay all charges and costs incurred by Bayfteld County for inspection, pumping, hauling, or otherwise sen/icing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. BayReld County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days. the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) - Please Print Tim Zwickey Notarized Owner(s) - Signature) ^7,/ / Subscribed and sworn to before me on this date:^ee ad^d) lo<-c^ no-^vi Notary Public My Commission Expires: 1^&CJ| \^©f1v) Drafted bv:~T\inr» 2uo'l(4C&^Date: Wl//>S~7 T Proofed by: u/fc rms/sanit5rv/ssst;cm3; "tsn csac rsemsnt Revised July ZD2CT Clear Form Ju rat Certificate WELLS EARGO State of Florida County of Volusia ^ Sworn to (or affirmed) and subscribed before me this 4 day of February , 20 25 , by means of [x] physical presence or Q online notarization Tim Eugene Zwickey making statement). Personally known to me ]x| Produced Identification Type of Identification Produced Wisconsin Driver License Notary Signature Title Notary Public My appointment expires (name of person ^^k. f^u^a.~T ^ I A • Place Seal Here ^^a\m RUTH QUIJADA „! Notary Public - State of Florida Commission if HH 529590 My Comm. Expires May 22, 2028 Description of Attached document Type or Title of Document Private Sewage System Maintenance Agreement Document Date 02/04/2025 Number of Pages 1 Signer(s) Other Than Named Above N/A © 2024 Wells Fargo Bank, N.A. All rights reserved. DSG3018FL/595500 (Rev 04 - 09/24) Ruth Hulstrom From: Tim Zwickey <timzwickey@live.com> Sent: Friday, March 14, 2025 10:26 AM To: Ruth Hulstrom Cc: tzwickey@msn.com; Linda Coleman; Cindy Puent; tzwickey@msn.com Subject: Sanitary Maintenance Agreement and payments Ruth, A Quit Claim Deed was recorded by the county on 2/17/25 (guessing you are aware) transferring ownership of Lot #1 of CSM 2385 to me/us. We also had on file an Authorization for me from my brother for activities prior to that date. Hopefully Linda will respond also to the email that nothing needs to be done to get the permitting and Sanitary Maintenance Agreement process moving forward. Cindy's cousin, Mike Foat called us after he tried to get a permit (as a novice to the processes, whatever he needs to do) to install the septic tank and lines for the gravity fed inground septic system. Not sure what if anything else is needed to get Mike the permitting he needs so he can proceed as soon as the frost is out of the ground. Please advise at your earliest convenience and hope the winter treated you well. Tim Zwickey and Cindy Puent 651.269.7547 From: Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> Sent: Friday, March 14, 2025 9:47 AM To: Tim Zwickey <timzwickey@live.com> Cc: tzwickey@msn.com <tzwickey@msn.com>; Linda Coleman <linda@washburnlawyers.com> Subject: FW: Sanitary Maintenance Agreement and payments Tim, Apologies for the delay. I reached out to the Register of Deeds office regarding recording a document that was signed prior to official ownership. Below is their response. It may be good to consult with your legal counsel prior to giving us direction on whether we should record the existing agreement. Please let us know what you would like to do. Thanks, Ruth Hulstrom, AICP | Director Planning and Zoning Department 117E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax:715-373-0114 EmaU: _mth,hulstrom.(a>bavfieldcounty.wi. eov B^YFIEI.D From: Dan Heffner <Dan.Heffner@bayfieldcounty.wi.gov> Sent: Friday, March 14, 2025 9:45 AM To: Ruth Hulstrom <ruth.hulstrom(a)bayfieldcounty.wi.gov> Subject: RE: Sanitary Maintenance Agreement and payments Hi Ruth, I cannot speak to the legality of that, but it would not hinder recording. Dan Heftner Bayfield County Register of Deeds ® 715-373-6119 From: Ruth Hulstrom <ryth.hulstrom@bavfieldcountv.wi.gov> Sent: Friday, March 14, 2025 9:37 AM To: Dan Heffner<Dan.Heffner(a)bayfieldcountv.wi.Rov> Subject: FW: Sanitary Maintenance Agreement and payments Dan, Would you be able to record a document if it was signed by someone prior to them acquiring an official ownership of a property? I have someone who previously signed an agreement that needs to be recorded but they were not the property owner until recently. So, their signature predates their official ownership. Thanks, Ruth Hulsttom, AICP | Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax:715-373-0114 Email: ruth.hulstrom@bayfieldcounty.wi.gov B^yFIRT.D From: Ruth Hulstrom Sent: Monday, February 10, 2025 2:45 PM To: Tim Zwickey <timzwickey@live.com>; Linda Coleman <linda@washburnlawyers.com>; tzwickev@msn.com Subject: RE: Sanitary Maintenance Agreement and payments Tim, I will have to ask Register of Deed's whether the date you signed off on the maintenance agreement matters. Ruth Hulstrom, AICP | Director Planning and Zoning Department 117E 5th Street, PO Box 58 Washbum, WI 54891 Phone: 715-373-3514 Fax:715-373-0114 Email: ruth.hulstfom(%bavfieldcozinnT.wi.eov BA~VFIEI^D From: Tim Zwickey <timzwickev@live.com> Sent: Monday, February 10, 2025 1:56 PM To: Ruth Hulstrom <ruth.hulstrom@bavfieldcounty.wi.gov>; Linda Coleman <linda@)washburnlawyers.com>; tzwickey@msn.com Subject: Sanitary Maintenance Agreement and payments Ruth, Thank you for the response. Can you proceed with processing of the sanitary permit application under my name using the attached letter of authorization from Todd Zwickey. If not, could you please hang onto the funds and notarized application we forwarded until the transfer of ownership is completed? I spoke with the Bayfield County Register of Deeds office and did confirm the Certified Survey Map (CSM) submitted by Todd Goold on our behalf has been "recorded". I am also contacting Linda Coleman to assist us with the change in ownership of Lot #1 on Bayfield County Recorded CSM 2385. Thank you for your continued assistance, Tim Zwickey and Cindy Puent Cc: Linda Coleman Todd Zwickey From: Ruth Hulstrom <ruth.hulstrom@)bavfieldcounty.wi.gov> Sent: Monday, February 10, 2025 12:43 PM To: Tim Zwickey <timzwickey@live.com> Cc: Tracy Pooler <tracv.pooler@bavfieldcountv.wi.gov>; Trent Wiesner <trent.wiesner@bavfieldcounty.wi.gov>; Savannah Piffoavannah.Diff0bavfieldcountv.wi.gov> Subject: Sanitary Maintenance Agreement and payments Tim, We received the attached sanitary maintenance agreement and two checks one for the recorder's office and one for us for a sanitary application. Has the sanitary application been submitted yet. Do you own the property described in the maintenance agreement yet? Thanks, Ruth Hulstrom, AICP | Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax: 715-373-0114 Email: ruth.hulstrom(2)bavfieldcoun^.wi.eov B^yFIEI.D 4/21/25, 2:13 PM BAYFIELD COUNTS Carmody™ SANITARY PERMIT r#04)-25-12S STATE SANITARY PERMIT OWNER: TIM E ZWICKEY GOVTLOT: LOT: 1 BLK: CSM: 2385 1/4 1/4 SEC: 17, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 14-25 NEW SYSTEM SYSTEM JVPE: Non-Pressurized In-Ground PLUMBER: JAMES CLEMENTS 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: # 222924 CECE RUDNICKI Authorized Issuing Officer DATE: 4/21/2025 Condition: INSTALL BUILDING SEWER PER SPS 382.30(11)(c). PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. THIS PERMIT EXPIRES 4/21/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httr><i-//www nprmnrlvinr- rTtrn/PprmitAnn/Pftrrrtif ftinn aRnY7Print=1^nprmit;tnniri=74?t'^1/9