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HomeMy WebLinkAbout25-148SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoning bayfieldcounty.wi.gov Note fl Time Change fl Discrepancy fl Other Phone Number Plumber: \_ sly, CIS-ao ��a1 Fax Number R�deew Ehrmo�.t\ a— Email Address Homeowner: sc, , sAe E .1:e b, Lke�L4olr ' r Immediate Pho a Number So Z�Aing Sanitary Permit #: 'S S Dept can call you right back (if needed) I S -2o9- -75a 1 Plumber's Choice Zo Dept ■a�g No Inspection(s) during this time Date: X113 ga \ ■� Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choices Dept ■ Township: `c+\ Address # & Road Name: o 35'195S 3\ue. (u ii W or I W= Directions To Site: 377�'7 Comments: ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: July 2025 EHRMANN, ANDREW & ALLISTER, ELISABETH 4433 320TH ST W NORTHFIELD MN 55057 DING TANK INSPECTION REPORT GENERAL INFORMATION Permit Holder's Name ❑ City ❑ Village O Town of Sanitary Permit No. Plan ID No. Tax Parcel No. Property ddress If Avai able INK INFORMATION TYPE MANUFACTURER/MODEL# CAPACITY SETBACKS Property Line Well Water Service Building All -Weather Road OHWM Swimming Pool 4. IQ4 DEVIATIONS FROM APPROVED PLAN COMMENTS (Persons present, discrepancies t) p + spa v --&v) v\ck COMPONENTS NOT INSPECTED I Plan Revislor/Required ❑Yes o Sketch on other side 10 of 13 Signature of lnsppctor: Property Owner Information As you know onsite wastewater treatment system on your property described as: DAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(o)bavfieIdcounty wi nov Web Site: www bayfieldcounty.wi.gov/147 EHRMANN, ANDREW & ALLISTER, ELISABETH 4433 320TH ST W NORTHFIELD MN 55057 Notes: Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: ❖ Tank was pumped by: on at AM/PM Tank was crushed! removed and pipes disconnected by: On at (AM / PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. ❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Uttorms/sanitarypropelyowner-input April 2019 RECEIVED OCT 17 2025 Department of Safety & Professional Services, Industry Services Divi ' SS- oo( 7 E county Sanitary Permit Number (to (tbe filled in by Co.) S— I q S 3 P a nnin } J prmit Application lot 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 stateowned 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. Slate Transaction Number Project Address(if different than mailing addrgss) 35y95- tae Lk11. I 1)\.4 / ate CW I ' I ,Applicafion'Info�ma6hn - Please Print AlfTit"[ormation'-' Property Owner's Name EbrMa a- ;zOi E: Parcel # 3-776-7 Property Owner's Mailing Address y4 Iao+h S* W Property Location Govt. Lot ? '/., '/., Section10 J T SO N R 09 Eor& City, State \ 1 1 IV Zip Code J5So Jr' gPhonleNumbero l7 V — �o -J /CL, �� II,Type, of Building.(ceck. all that apply) l or 2 Family Dwelling - Number ofBcdrooms ❑ Public/Commercial - Describe Use ❑ State Owned - Describe Use Lot# Subdivision Name Blockfl O City of ❑ Village of _�-�tt Town of k JCA� �t P\sue CSM Number a 6 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 if _applicable.) A. ,New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. y.,' 'Holding Tank /t ❑ In -Ground (conventional) ❑ At-GradeDesign ❑ Mound ❑ Individual Site ❑ Other Type (explain) C. ❑ Renewal Before Expiration ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner Est Previous Permit Number and Date Issued IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Sop Design Soil Application Rale(gpd/st) I Dispersal Area Required (st) I Dispersal Area Proposed (sf) I System Elevation Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer W 2 ` o 0O v d e2 in m y (fl -e o. U j ro 0.. New Tanks Existing Tanks Septic or Holding Tank a.o0 O oQ ' \n� l - Dosing Chamber C o © a V. Responsibility Statement- I, the undersigned, assume responsibility for ins1p41at1on of the POWTS shown on the attached plans. Plumb s Name (Print) Plumber's 5 re /1[c aek Wro \ewsk; �� MP/MPRS Number 1a88so3 Business Phone Number 7/s ac ���1 Plumber's Address (Street, City, State, Zip Code) VR c0 �, ��jc'\_/ C W�&L N Rt sgaq VI. County/Departrnentklse Only Approved O Disapproved O Owner Given Reason for Denial Permit Fee $ — Date Issued L JlssumgA / 0 2,3 ZD2rJ' Signature/»9 37 Conditions of Approval/Reasons for Disapproval eL Attach to complete plans for the system and submit to the County only on paper not less than Sin x 11 inches in size SBD-6398 (R. 03/22) RECEIVED OCT 17 2025 BaYfield Co. CONCRETE HOLDING TANK DESIGN Planning and Zoning Agency Single Tank Option INDEX AND TITLE SHEET Project Andrew Ehrmann & Elizabeth Allister - Holding Tank Owner Andrew Ehrmann & Elizabeth Allister Address 4433 320th St W Northfield, MN 55057 (970) 389-5416 Legal Description Lot 2CSM#2028inV.12P.55S23T50N R04W Township Bayfield County Bayfield Subdivision Name Lot No. Parcel ID Number 37767 Plan Transaction ID Number Index and title sheet Page 1 Holding tank specifications Page 2 Site plan Page 3 Maintenance and contingency plan Page 4 Soil test Page 5 Soil test plot plan Page 6 Holding tank agreement Page 7 holding serviicing contract Page 8 Holding tank specifications Page 9 Designer Michael Wroblewski r r Signature ri.)�{ % Phone No. (715) 209-7521 License Number 1288503 Date 10/17/25 Designed pursuant to: Holding Tank Component Manual For POWTS (Version 2.0) SBD-10855-P (N: 03107, R. 01/12) Version 7.0 (11/12) Page 1 of 9 HOLDING TANK SPECIFICATIONS 2 J Number of bedrooms Non-residential estimated flow (gpd) 2000.0 IMinimum holding tank volume required (gal) 2000.0 1Pposedhoidigjank capacity al) Wieser concrete 1 Tank Manufacturer WLP2000-MR Tank model number SJ Electro systems jAlarm manufacturer WH101 lAlarm model number RECEIVED OCT 17 2020 Bayfield Co. Planning and Zoning Agency Tank Dimensions and Data Tank Anchor Calculations X for round tank 22230 lbs Weight of tank and cover 43.0 Liquid depth below inlet invert (in) 1.10 Safety factor 8.0 Maximum de th of soil cover (ft) 12166 Ibs Weight of anchor required 55.0 Height (in) I Outside 13.4 in Soil cover req. for anchor or 164.0 Length (in) i ensions r Dimensions 3.0 yd3 Concrete counterweight 96.0 Width (in) Only junction box. conduit bl sg outlet HOLDING TANK CROSS SECTION manhole cover with /"� locking device and finished warning label grade 4" min. Jr 23 in. Manhole and vent locations may be reversed. tether weight service alarm on A Electrical as per NEC 300 and SPS 316 3 in. bedding under tank. 12.0 in. 31.0 in. Note: All tank joints, and joints between tank openings and piping are sealed watertight. All pipe and vent materials comply with SPS 384. Tank is anchored as necessary to negate buoyancy. vent cap 12" min. vent pipe f 18" min. building sewer inlet Project: Andrew Ehrmann & Elizabeth Allister- Holding Tank Transaction Number. Page 2 of 9 ANDREW EHRMANN AND ELISABETH ALLISTER HOLDING TANK PLOT PLAN 35495 BLUE WING BA' RD 85114 NW114 LOT 2 CSM #2028 IN V.12 P.55 (LOCATED IN GOVT LOT 2) INDEED DOC 2022R-597351 S23 TSON R04W TOWN OF BAYFIELD. WI SCALE 1 a 50' OCT 17 2025 Bayfield CO. Planning and Zoning Agency A = BM NAIL RIBBONED MAPLE NAIL IN BASE 100 CI 1 2 311 40' 50T SHEET 3 OF 9 RECEIVED OCT 172025 HOLDING TANK MANAGEMENT PLAN Bayfield Co. Planning and Zoning Agency This Private Onsite Wastewater Treatment System (POWTS) has been designed, and is to be installed and maintained according to SPS 383, Wis. Admin. Code, the Holding Tank Component Manual (SBD-1 0855-P N. 03/07, R. 01/12), and the Bayfield County Sanitary Ordinance. 1. This POWTS is designed to accommodate a wastewater flow of 40.0 to 400.0 gpd. 2. The owner of this POWTS is responsible for system operation and maintenance, including all provisions in the attached Holding Tank Servicing Contract and Maintenance Agreements. 3. Each time the wastewater in the tank reaches 90% of the tank(s) capacity or a level of 12" below the inlet (at which time the alarm will activate), the pumper listed in the current Service Contract must be called to empty the tank's contents and dispose of them in accordance with NR 113, Wis. Adm. Code. 4. At each service event, the service provider should visually inspect the condition of the tank, risers and manhole cover(s) and verify that the alarm system functions and manhole locking devices are present. Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions shall comply with the county sanitary ordinance and SPS 383 and 384 Wis. Adm. Code. 5. All service events or inspections of this POWTS shall be reported to the county within 30 days. 6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes tank to the ground surface, including intentional discharges and discharges caused by neglect, constitutes a failing POWTS and may result in issuance of correction orders or a citation by the county or state. 7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. 8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank may be installed in the same location (a new sanitary permit is required for such a replacement). Con- nection to municipal services would also be considered at this time if they are deemed available to the property. 9. If this POWTS is replaced, or its use discontinued, components no longer in use it shall be abandoned in accordance with SPS 383.33 Wis. Adm. Code. 10. If there is a problem with, or question about this installation, the following persons may be contacted: a. Installer ......................... Big Lake Plumbing Phone: 715-209-7521 b. Service Provider ............... Birch Street Sepiic Service Phone: 715-373-5683 c. Co. Zoning or Health Dept. Bayfield County Planning & Zoning Phone: 715-373-6138 11: Project: Andrew Ehrmann & Elizabeth Allister- Holding Tank Transaction Number. Page 4 of 9 HOLDING TANK AGREEMENT Document Number Document Title DOCUMENT NUMBER 2025R-609420 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/01/2025 AT 8:21 AM RECORDING FEE: $30.00 PAGES: 2 Recording Area Name and Return Address Big Lake Plumbing 1491 County Highway C Washburn, WI 54891 Parcel Identification Number (PIN) RECEIVED OCT 17 2025 Bayfield Co. Planning and Zoning Agency THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE. This information must be completed by submitter: document title, name & return address, and PIN (if required). Other information such as the granting clause, legal description, etc., may be placed on this first page of the document or may be placed on additional pages of the document. WRDA Rev. 12/22/2010 Document Number/Plan I.D. No. HOLDING TANK AGREEMENT Owner Name (s) Arc uj i kkmc Owners) Mailing Address 1433 ao ik zW I e 11 s4e r a ps j ssos-� Parcel Identifier Number (PIN) 3-7-16-1 Agreeme 1Io)ac t Date (sae as Notary Date) We acknowledge that application is being made for the installation of (a) holding tank(s) on the following property or that continued use o€ the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Slats. 1/4 of 114 Section a Township 6ON. Range o'1 W. . l Town of Additional Legal Description: Gov't Lot va Lot Block Subdivision CSM# Lot _ CSM # _ Voi ,. Page SS CSM Doc# �► O i $ R --.1 I $� Francisco E Murillo Pondano rA= Notary Public Minnesota �'�-+•"��� • Icy Commission Expires January31, 2028 Return To: IBIG LAk1491 CountyHighway C irjPW MB N G Washburn, WI 54891 As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner falls to have the holding tank properly serviced in response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Slats., Bayfield County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats. 2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield 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. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the c��c�" County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service c , wi tie county within 30 days from the date of change to the service contract. Q� � � Z0Z5 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Slats., and Ch. NR 114; INI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County ma a the property to Investigate the condition of the holding tank when pumping reports and meter readings may indicate t being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either ®e iniaip�al199ir or a private onsite. wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will pidYeoexistence of the certification to be determined by reference to the property. Planning and Zoning Agency 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owners Name(s) -- Please Print C 1i s a Ld1#" MI4iZ Subscribed and sworn to before me on this date: Oc /a� /aaa Notariz Owne ) -- Signatures) Notary Pu is My Commission Expires: Drafted by: i\2_ C p l �1 •Sk Date: a� Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (lxm)) pro►msrsanitazymold lka ementdoc auno 2018 • HOLDING TANK SERVICING CONTRACT Contract Date II This contract is made between the Holding Tank Owner(s) Name(s) AeLJ Ew' £1 oQk A)1I4er- RECEIVED oc 17 2025 Bayfield Co. Planning and Zoning Agency Pumper's Name (Print) Pumper's Signature Pumpers' Registratlon # g � We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) Tax1D# PROJECT. Legal J escrt._,.ation ^-� j 11,. 3/ LC)CA'IZON. (Use TaxStateinent) t .iiJ• Tiown of LotSKe Acreage , seetiori . , Townsihlp O N, Range 7 w. z Govt Lot loth GSM # Vol Page : CSM Doc tt ; Lot(s)No. Block(s) No. :Subdivisions 1. The owner agrees to file a copy of this contract with Bayfteld County as required in SPS 383.55, Wis. Adm. Code. 2. •The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local government unit which has signed the pumping agreement required by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: Francisco E Murillo Ponclano a. The name and address of the person responsible for servicing the holding tank; LJ Notary Public b. The name of the owner of the holding tank; Minnesota c. The location of the property on which the holding tank is installed; �• it..• °MYCiSOnEXP«asJanuary 31, 2028 d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the local government unit and the County named above within (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) O ees Sig ure(s) Subscribed and Sworn to me: {-�v► v-C� Chi K K n� 4` 1*40- on this__ da , by: Notary Public My commission expires on: 3f� Revised: May 2016 (®May 2018) Drafted by ___%„ Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)I w ¢D w INLET t7 L U f � 3" 13'-8" I I �� I1 1 � II 1r4" CAST -A -SEAL I l a I I U � I ul FILTER OR I II I I I I BAFFLE I Ii I IIII 4" CAST -A -SEAL RECEIVED OCT 1 / 2025 Bayfield Co. Planning and Zoning Agency 4" VENT T1iJTII � I cfl `t I'•I "� U I I I.Ia_ I '� :---�-- ------ J .I -- . — I M OUTLET U Q, d1 MP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1 200/800 -MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" LENGTH: 13'-8" WIDTH: 8'-0" BELOW INLET: 41" LIQUID LEVEL 36" WEIGHT: BOTTOM 14,800 LBS. COVER 8,170 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 CAPACITY: 33.46 GAL/IN (SEP11C) 22.24 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE APPROVED BY: M 0- a. Ii U) 0 0 w Ix o E 1 _ o all 3 00 m 0 U OC Q J U) 00 W to IN W U) Ln ozo 'nn w o Uj a N W �CIIo m 00 WD IIT 1 V OF 1 BAYFIELD COUNTY RECEIVED CHECKLIST FOR SANITARY APPLICATONS OCT 17 2025 Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) Bayfield Check List Planning and Zoning Agency Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) 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 ❑ Pump Tank Diagram, Alarm and Pump Curve (when applicable) jl Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) \❑ Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) X Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) 10 Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) ❑ ATU Servicing Agreement (Recorded at Reg. of Deeds) Fee (Make Check Payable to Bayfleld County Zoning) (383.21(2)(c)7) t Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) '❑ State Plan Review (when applicable) ❑ Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) XI Application Information must include)�l 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) J Project Address or Road Name where driveway is/will come off of) ] II Type of Building III Type of Permit IV Type of POWTS System V Dispersal / Treatment Area Information tt VI Tank Information VII Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) XE Signature and Plumber Information ❑ Surface Elevation of Body of Water )I Direction and Percent Land Slope !'Tank and Filter Information and Location ❑ Wetlands / Navigable Bodies of Water ❑ Absorption Area (Proposed and Existing) X] Bench Mark (Location, Elevation and Description) Manual Version X(Owners Phone Number) Address Number and Road North Arrow Contour Lines p( Structures and Driveways 0 Boring Locations Property Lines Well Locations Turn Over ► Cross -Section and Over -Head Profile of the System: ❑ Surface and System Elevation ❑ Position of Observation and Vent Pipes ❑ Dimensions and Depths ❑ Make, Model & Number of Chamber Units in each Cell Property Information 1How many systems will there be on this parcel of land? I Has this property been split? r (Property Statement shows Property History) Fees: ❑ Private Sewage System (Septic Tanks) $ 400.00 Private Sewage System (Holding Tanks) $ 400.00 ❑ Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 ❑ Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) RECEIVED OCT 17 2025 Bayfield Co. Planning and Zoning Agency u/forms/checktlsts/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: Aconsin Department of Safety and Professional Services Cil���,�S Page 1 of 3 D'A ision o lndugoft- �� " ^ " s� t7O 3.% SOIL EVALUATION REPO In accordance with SPS 385, Wis. Adm. Code County• BAYFIELD Attach ccmpiete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include. but iiot limited to vertical and horizontal reference point (BM), direction and percent slope. I Parcel I.D. s�n1. or dimensions. north arrow, and location and distance to nearest road. 137767 Please print all information. Pcpeiy Owner _— ANDREW EHRMANN & ELISABETH ALLISTER Pro; 1; Q.!tn _ is Mailing Address City State Zip Code ._NCRTHFLELG __ _- ± MN 155057 Phone Number (970) 389-5416 Revi-•ved Date :Law. s. 15.44 1 m }__ . -. _ v 1 P/3 gj—� Property Location 0 Govt. Lot SET Y4 NW Y S 23 T 50 N R 04 E (or) W Lot # , Block # Subd. Name or CSllr]# 2028 0 City ❑ Village :. Town Nearest Road — l — BAYFIELD BLUE WING BAY RD J Ne ve Cons'r:iction Use: [ Residential/ Number of bedrooms 3 Code derived design flow rate 450 GPD ❑ #:'-placer'..i:l'. ❑ Public or commercial — Describe: i Pa,:r;.I Sandy outwash or sandy residium from brownstone Flood Plan elevation if applicable NA ft. Generai .=—r,rne;rits and recommendations: Site suitable for a mound system EE-] Boring ❑ Boring i . Pit Ground surface elev. 99.0 ft. Depth to limiting factor 14 in. Horizon E Depth Dominant Color Redox Description Texture In. Munsell I Qu. Az. Cont. Color 1 0-3 j 7.5YR 3/2 j NA is 2 3-1; 7.5YR 6/4 NA s 2 &'cr!nq # Horizon Depth Dominant Color In, I Munsell 1 _.. _»-0 ' 7.5YR 312 —_ b± ___ ' 3 15-19 7.5YR 6/4 Structure I Consistence j Boundary Gr. Sz. Sh. ! 1 - — 0sg d -1 , cw ❑ Boring ED Pit Ground surface elev. 98.0 ft. Redox Description Qu. Az. Cont. Color M Texture IA Structure Gr. Sz. Sh. Consistence NA s 0sg I dl c2d 7.5YR 712 i s Osg di ' i I --___ ,et.► „i = BOD. > 30 s 220 n-Y/L and TSS > 305 150 m /L Effluent #2 _ CST t'J me (Please Print) ! Signatur EDAR13)1 Vd?0BLEWSKi A a Date Evaluation Conducted 8fi0� t :ATCHERY RD. BAYFIELD, WI 54814 1 8/8/2025 Soil Application Rate Roots j GPD/Ft2 ^I r 'Eff#1 'Eff#2 i 2m 0.7 1.6 2f' 0.7 ► 1.6 Hi 07 1.6 Depth to limiting factor .JL in. Soil Application I Rate Boundary Roots _ 'Eff#1 _ 1 *Eff#2 cw 1 -2m . 0.7 YL1.6 cw 2f � 0.7 -� 1.6 30 ≤ 220 mg!L and TSS Pl ftn � hd'Z ln� gertcy CST Number I Telephone Number_[ -•__.. _-____ _...__ 715-209-4055 - SBD-8330 (R04115) Sorir.g # ❑ BoringJ Pit Ground surface elev. 97.1 ft. Depth to limiting factorjL in Sci Apf cat oi: Rate 'r•ionzr: Depth ; Dominant Color Redox Description i Texture Structure Consistence Boundary Roots GPD/Ft= In Munsell Qu. Az. Cont. Color Gr. Sz. Sh. - - i i ;Eff#1 i 'Eft#2 0-3 7.5YR 3/2 i NA Is Osg di cw 2m 0.f -j 1.6 i 2 3 5 T5Yl? 61� . NA I s � Osg t di crrr 2f 0.7 11.6 7.4YR 6/4 — I c2d 7 5YR 712 s 0r____ sg Boring ❑ Boring _ ❑ Pit Ground surface elev. ft Depth to limiting factor __,_ in. Soil Application Rate H*rc r,n Depth t Dominant Color Redox Description 4 Texture Structure I Consistence Boundary '• Roots ' lr'. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. — Eft#1 'Efin2 LT __ i1IJ ring ❑ Boring Bo ❑ Pit Ground surface elev. ft. Depth to limiting factor in. horizon Depth ! Dominant Color Redox Descri tion p p In l Munsell Qu. Az. Cont. Color Texture Structure i Consistence Boundary Gr. Sz. Sh. Soil Application Rate Roots I GPD/Ft' `Effr1 ' 'Ef 2 E+•r,uent #1 = SOD, >30 ≤ 220 mglL and TSS > 30 S 150 mg/L ' Effluent #2 = BOD, > 30 ≤ 220 mg/L and TSS>30 30 S 150 mg/L RECEIVED SEP 19 2025 Bayfeld Co. P18ttnlag and Zoning Agency EDWARD i CST �SY "'••" :''3 SOIL TEZ'. ANDi! 3 34i.7S.•:::r Iei Trl r1I L:S�ER ?322P i � S2?MI dl'•r:c TOlN:! C: r i' i•.:: .ii SCAU i as le. litYFUVII./3i h'J.]i 1 aXI�.5V/`!G 3 BEDROOM house 'CO TO 3L:JT: i LOT LINS I4o SLOPE U.I. tl_'VPPU.i. `rAL i•'! L4ASEL 1Jti" I1• i 1 AL V RECEIVED SEP 19 2025 BaYfeld Co. Wg and Zoning Agency Eit�ET3OF3 BAYFIELD COUNTY SANITARY PERMIT (#04)-25-148S STATE SANITARY PERMIT OWNER: EHRMANN, ANDREW & ALLISTER, ELISABETH GOVT LOT: LOT: 2 BLK: CSM: 2028 1/4 1/4 SEC: 23, T 50 N, R 04 W TOWNSHIP: Bayfield SOIL TEST: 127-25 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: MICHAEL WROBLEWSKI TRACY POOLER Authorized Issuing Officer DATE: 10/23/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations In force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may Impede renewal. f. The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 1288503 Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all- weather road. THIS PERMIT EXPIRES 10/23/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION