HomeMy WebLinkAbout25-151SV /
Request 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
�,p� �� /� L �✓i�rG L`�
Phone Number
Plumber:
Fax Number
Homeowner:
`+ cps '
�' `
Email Address
Sanitary
— /c / $
Immediate Phone Number So Zoning
Dept can call you right back (if needed)
Permit #:
of
Plumber's Choice
nln Dept
Date:
i � S
a/
No Inspection(s) during this time
f/
Tuesday (9:30 am - 12:15 pm) (Tracy)
Time:
Plumber's Choice
Z Pept
Township:
cm
Address # &
Road Name:
�s C
l l� �%!&zz&ttZ 626or
Directions
To Site:
Comments:
Plumbers you must verify any change(s) by fax or email :.
from
u/formslsanitary/requestforinspection
Zoning Dept (64/12/04); ® June 2023
Private Ons,ite Wastewater Treatment
Systems ( POWTS). inspection Report
(Attach to Permit)
STALTER PROPERTIES
E4063 STATE RD 72 puoses[Privacy Law s.15.04 (1)(m)
MENOMONIE WI 54751 City Vllage fj Town of
CST BM Elev: map BM Elev: BM Description: : _ '
�.:1jt,n 5•p�,rir
ank Information setback to:
County
Sanitary ermlt No:
State Plan'Transectlon ID#:
Parcel Tax No:
TYPE
MANUFACTURER
CAPACITY
Prop. Line
j Well
Building,
Air Intake
Road
Se tic
��.
N/A
Dosin
N/A
Aeration
N/A
Holdin
Pump! Siphon Information
Pump Manufacturer
ump Model
Demand
GPM
Filter MsD1flcturer
CV(CA
Filter Model
ioTu(y' S 0 B'L
TDH
Lift
Friction Loss
Head
Total
Forcemain
Length
Dia
Dist To Well
Dispersal Cell Information
DIMENSIONS
Widtty
I Length,
# of Cells
SETBACK FROM
Prop., Line
I Building
Well
O W i
Type of Cell
Manufacturer:
Model Number
Pretreatment Unit
Manufacturer:
Model Number.
Elevation Data
STATION
BS
HI
FS
ELEV
Benchmark
2_„
Bldg. Sewer
Tank Inlet
po
Tank Outlet
of
Dose Tank Inlet
Dose Tank Bottom
Inst. Contour
Header/ Manifold
t(r_97
Distribution Pipe
Infiltrative Surface
Final Grade
stribution System X Pressure Systems Only
Header/ Manifold Distribution Pipe(s) X Hole Size X Hole Oyprvatlon Pipes
Length Die Length Dia Spac Spacing es ❑ No
Soil Cover
Depth Over Depth Over Depth of Seeded! Sodded Mulched
Cell Center Cell Edges Topsoil ❑ Yes ❑ No 0 Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc,)
i6 6 it,L\,' "l _4 t !S1nom.-y s.'r
cA. as ire } . P1no4oie c.ouw \j i€i d w v(:. L,
If
Ian revision required? D Yes 0 No
1e other side for additional information. l
Date WTS Inspector's Signature License Number
;Rn_n7in tR ngt911
Property Owner
Information
BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT
Telephone: (715) 373-6138
Fax: (715) 373-0114
e-mail: zoninp(bavfieldcountv.oro
Web Site: www.bavfieldcountv.orol147
STALTER PROPERTIES
E4063 STATE RD 72
MENOMONIE WI 54751
Bayfield County Courthouse
Post Office Box 58
117 East Fifth Street
Washburn, WI 54891
n`�
As you know I' l �� S t s/V" 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:
Tank was pumped by:
•3 Tank was crushed / removed and pipes disconnected by:
on
at AM/PM
On l ! Z i at �2 3 (AM /(PNy) the above -mentioned plumber contacted our office to
conduct a pre -c' ver inspection as required u er 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.
LIIISystem could not be inspected because County could not respond to plumber's time constraints.
Comments:
Uiformslsanitarypropetlyowneninput
April 2019
•
1'S =(,7EREDQRVEDv�
Department of Safety
& Professional Services,
Co
Sanitary P t Number (to be filled is by Co.)
PS ``
Industry Services Division
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
Project Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide maybe used for secondary
4Lt,/ /� q3 t i µ d�LQC
(� �
purposes in accordance with the Privacy Law, S. 15.04(1)(m), Stats.
/
L.Application Information — Please Print All Information
Property Owner's Name
Parcel # -7y Q — 5 j7
/ 1 '_r°'Property
(dir 02025
er's Mailing Add7Op1r4is
Property Location
ro.
1ft) �._(f-.. 126Q -72p(flflr1 Agcy
Govt. Lot
City, State Zip Code Phone Number
1ro uic v7-/ _.. f pZ�/ L/3
___
T R Q E 11)
Type. of Building (check -all that apply)
Lot # ..
Ct 1 or 2 Family Dwelling—14umber ofBedrooms 1
Subdivision Name
❑ PubliclCommercial — Describe Use
Block #
0 Cityof
O State Owned — Describe Use
0 Village of
CSM Number
1V Town of _(l __
II% Type of POWTS Permit: (Check either 'New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C a
a livable..)
A
[]New System
@Replacement System
DOtherModification to Existing System (explain)
❑ A "
B.
DHoIding Tank
11n -Ground
OAt-Grade
❑ Mound
Dlndividual Site Design
[]Other Type (explain)
(conventional)
C.
Renewal Before
jjRevision
❑Change of Plumber
Orransfer to New Owner
.iSt Previous Permit Number and Date Issued
Expiration
IV.
DispersallTreatment
Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpolsf)
Disp Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation
6,'gpCapacity
in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
New Tanks
Existing Tanks
U
rA co
W
wt7
Q.
Septic orHoid'mgTank
z ls,..O
JN
///,1._p
ii
Dosing Chamber
]
V. Responsibility Statement- I, the undersigned, assume responslbiht' for Installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signatu MP/MPRS Number Business Phone Number
jq 30!:
Pl s Ad/d�reess (Street, City, State, Zip Code)
1iflThiIL FaJL 4aqc21z (Z
fart
VL County/Dep rent Use Only
XAppmved
O Disapproved -
D Owner Given Reason for Dental
P$ermit Fee
Date Issued
Issuing A t Si �� S
Conditions of Approval/Reasons for Disapproval : s
•—---••r^'� r•^••" •"• •••- `•4.•-•••a•VNua7 vuty UU rtit4JCl" UUI IC33 IUUU a IIL x ll InCneS to SIZO
SBD-6398 (R. 03/22)
PAGE 1OF4
pV p 4 2025
Bayf1eld Co.
Age"cY
P4anning and Zoning ComponentComponent Manual Design References:
In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
In -Ground Gravity Plan
Index & Cover Sheet
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross -Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name 1 Description
Owner Name(s): FirPfQChj1 Phone: - IL/3i-9
Owner Address: fli, u Zip: 95 t15-/
Project Address: '' 4S CIV121M (A& Rd-,
Govt. Lot: 114 of 1/4, Section 1 , T - N -R AO k' E ❑ or W
Township: County:_________________
County:
Project Parcel ID #:
Designer Information
Designer Name: i
Designer Address:
E-mail:
License Number: 7'3O
Remarks:
Phone:
_� Zip:_ 6
for approval stamp.
Signature: Date:
riginal g are required on each submitted copy.
0j2 i7
Tcc 2 z50-z c
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12-r x{3.11 fL06�.c.�
Ae : �� f'b S x�'^ d,e i2
t�rncb 1 [i€- SC? ��•
......__...-
W'' Q Lo+ 8...DQt _..._._.
_...�. _....__._._........... �.........._. _.
-j!_\ \
. .
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eh toot Cor e- & L ) Covner of ciwel�iK�
old dew
B 49 •�'� r
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RECEIVED
:... _ _ . _ ........HT...
_ _....._ _ . NOV Q:'4w025._...... __.—
Bayfield Co...
Planning and Zoning Agency
IN -GROUND GRAVITY D➢ISPERSAL., AREA
Uniform Elevation Trenches With QWck4 Standard& Chambers
3 -ft Trench (downsizing credit)
SOIL COVER
min, Iranch
rloplh —(typloel)
m1n, 12"
(typical)
septic anit(e) Manufacturer:
septlo Tank(o) Volume(e);
� gal •��„�,., ....,, gel .o,..".,n 9a1 „,�,,.�.�., Ill
Effluent Filter Menufeoturer:
Effluent Filter Model
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
Syston'1 Llevatlon t.
.Z&. ft
(typical)
Gudek4 Standard•W
w/land cap (Show location of Inlet / outlet pipe connection on plan view,)
(typical)
111 .A�IM" Nl
"r (3= .ZS & ft
(typical)
INSTALL PER TRENCH:
Qulcic4 Std -W @ 20 ftz EISA/chamber
f• Pairs of end caps @ o:it°EISA/pail' = 6 ft'
Proposed EISA per trench = 6 r
-u
C)
Provide minimum 31t >
rcy
separation between trenched
Obaorvatlon Pipe
(typical)
A 3.011
(lyPloel)
TYPICAL TRENCH
PLAN VIEW
(No Scale)
'—Quicic4 Stanciard-W Chamber
(typloal)
(mfd by Inflltraler Systems, inc.)
Inufall pureuenl.io manulnolumi'e Inetrucllorie,
Required Infiltratlorf Area = ! ft'
x trenches = Proposed Total EISA
t
in
O)
O
.a.
Distribution Method, /%�
MPO a4 2025
1n ground Gravity Management Plan
PAGE 4.OF 4
The owner of thin � avlty system shall be •ts �,..
respensible frtiperpetual operation andnaintenance pursuant to
requirem d S 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 POD Wiaintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area OgratingjJlts:
Design Flow = gpd; BOD5 220 rngl' 1i TSSS 150 mgL 1; FOG 30 mgL 1
inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (ie. odors, user complaints, etc.)
o mechanical malfunction (La, pumps, valves, switches, floats, etc.)
o material fatigue (Le., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (Le., distribution I drop boxes)
o neglect or improper use (Le., exceeding design capacities, prohibited activities, etc)
o extent of ponding in distribution cell priorto dosing
o dosing irregularities - if applicable (Le.. pump re -cycling, float switch settings, etc.)
o electrical components - If applicable (Le. 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 Se tic and dose tanks 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 o€ contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent flIterIs shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturers 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 Wlsc. Admin. Code. Report any .component failure or malfunction to:
Name of individual or company: 3(172/\J2 Phone: 7i1/f o 7?
Local government unit Phone: 7l%-- (ar3'
Local government unit address: juts SIP:
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, Wise. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, 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.
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DEC ITR NAME - ACRES
DEC 4TR NAME ACRES
08
A EVAN, SCOTT ......7.13
13 0
(MORN. TED R B CAROLA0.01
13- 0.
IYANDREA MICHAELT6
12
A 0LOOM41UI6TLE IAV0NNE
5.aa
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TOMASf.IA GAVIDGE
12
........
B FOOARTY.JAMESP 130
KATHLEEN ... .082
12
C MCMILLAN,JMAES 0 &BONNIE J
13 I
WOODS MICHAEL K ...._2.43
.. 089
13 J
HLAVAOeIMOERLYTRUSIEE
12
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D RASMUSSEN. JOHN P & NANCY
..._._.. .. ...... 41]
J
KOLER.........._......._. 1.17
13 K
dNOLL. ANDREA TRUST
12
E RASMUSSEN, NANCY.. -...._.0.64
AGREEMENT .....................0.00
1.47
12
F PETERSON, TIMOTHY MB
13 L
NEMEC ET AL. PATRICIA.-.-
090
12
PATRICIA C ...........................1.12
0 ENGSTR0M TRUSTEES, JAY CS
13 M
13 N
STRMNN MONTE S......
UNDER, WAYNE E......._333
MARCEII.EA 1.16
13 0
EIORME ERIK C BSMBMkA
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J DARWIN TRUSTEES JEROLOL B
KARIN J......-,...................-,0.75
0.81
JUDITH F ....... _....325
13 O
(PH
12
K 6MIR3WILCOK,UNDAMAPoE
13 fl
CHLER,CONSTRUCTIONG&
KATHLEEN
TRUST.
AREV -.O.71
ITATWEEN APEV
12
......_.___..._._135
L HUGHESRDOIJOLA.G&
13 T
47
TRACY,BRIANP....._ _._OA7
JENNIFERP ................0.0
13 U
M OARYBUNM.4A6
12
M ALIEN VALLIPMJ 61AI1RA ,.
13 V
MORATH BEATRUbf
MO RAW
.....
._ ............................-3.01
12
B
N BNEILJOHN ... 0,00PN
13 X
d:RSONJAMESMB
139
12
0 BURRISURRIS. MEUESAA .... 140
KTHRYN ,J,..,,,,,,.,................
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P MAREKJOAPEHJ. ....0A1
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THOMPSONTROYAS
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0 BOMF$UWCE B._......... 0S7
JENNIFERA .. ..... __-.4.47
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R 1BL0ESRMJDT.1NOMpSM6
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RICHARD._ . .. ...... 1.03
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WHRRWNALDW3WENIY0
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T AMACHER,DONALD RB
17 0
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PATH,MATTHEWR.....N.._.4.00
12
BEVERLY J ...........................1.03
V EIGHME,ERIKC80MBAAAA
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OAYFIE.CTSVENTY.HW
17 O
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MILLER 6TEVEDbANN M..4.15
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..._.__.................__.__.__.t.4e
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XY PEIERSON.TIMOTHY M &
17 0
FEPEDAY BROW O BHEID 125
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PATRICIACTRUSTEES.. . 004
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SWRROBERT 0- ----._.1b5
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A HIUMANCOTRUSTEES
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CRLOOE,MLE A..._..__.4.)7
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MARANABJACOUEUNEA-1.80
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M PAENIERJEFFERVMB
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EFFINGWELL,MMLE AC8B2
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PATRICIAS...........................2,73
PATHICI PROPERTIES
AS JIM PPERTLLO. 259
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AC THOM60RBRMEA ....10.22
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TEASOALERE
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HARRYJE REV ICIAM
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FEILS,JOSEPHBBJEANM.I31
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OF MILLED, JAIAE8E6ANNEJ._....
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LANNO JOH.
LAURIE
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AG COOPER MICHAEL) 8
...........................0.37
20 0
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CANNON, JOHN FIV.. _2000
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Ml 6TIMMEL JACK E6DIANA L
24 A
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24 C
6511.1.0........................
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AKSH4FERYMRK.....................1A1
24 D
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JOYCE E.............._.......__... 1.)4
CRANOALLJRFRANKUNL.5,10
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Al. MORTRUD LAWRENCEA6
GERTRUFEI
24 E
3.23
TRAUSA.T0ODC......_...._.. 3.23
13
.......................1.85
Al. STATE0FACH
24 F
D'ANDREA.MICHAELTB
13
REVSIN.........0.]6
Ml REVTRUST,
...103
MAR3'E E..........................1,03
13
SUSAN EBACH
6ALANEBROOERA .......3AB
AN 14.0
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LINDSEYREALESTATE
13
C CONSTRUCTION
AO AFFORDABLE CONSTRUCTION
INVE8TMENi6MC. . .32S6
INC
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FROELICH CHRISTOPHER T6
13
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B ERICKSON. KAY...... ....0.01
JENNIFERM....................0.40
13
C MAREOHAELRS
MARGARET E...................0,03
30 A
COVERT FAMILYTRUST_ 1501
13
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D MAYERMICHAELRTRUSTEE
38 8
MERGEN,DAVID L6
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E M __ .____ 9.10
E SILL JOHN P6KATU.EENE
30 0
RICHAPDS pMHONY _... 40
RIOMAR
13
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PINGHOFER, BTEVENMI
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tube-- t
Haadte orencoPSG-SetiesBionme�iwercFf {s'a2d
�) p 4 2025 solids Dom euentI bt
rf?ned remaL�
Aso eavinn writes ie
iwYf1eId
i�c „id Zcnin9 A9� ` _ = Ofencas
- - - - pa Eni pending Pent om 8ioiube uear'rFulers are used fin
improve a quatuy ofi eiiueni Tram wastewaier tanks mrpaued e�ueni
fie1 ends dra nfieid life in ansite disp sys nu and imomves
fi = Pe amance or dov am imamalluerrt saw r
= c2iiCu
the &otuhe lliar ghiy in me housing while hang easy
rbtdge
he to remove mr mairieararice. The eassivaly sell cleaning ttesin emends
= cartridge maintena'ma cycle'a,iervals. Ffiar mesh is atAffable in ir2;n or iCi6in 4 a �nm or t6mm) mesh opening s¢e<s_
s r The acceha io e b J oe tended vviD! PVC pipe (not included? Tar beue-
caiiiidga. A3/din (19mm) dfauPertee handle is included.
ilhodels PSCS0621-18 and PSC4V0621-18 are ILSF .6 c ed•
= Standard Mods
PSCSD621 18 PSC(No621-18, PSCPS0621-i8 PSCPwD62i-18
Product Cone Ding
Da ec d pate
Uplionat
float sv tCJh
bmcfiet
Housing
Orenca PSC-Seder Biaiuhe El7uentcuter
PSG
F�w�hclm6,r,,,s1�:
aanr= na�Zi
P =116d u7
Materri6@§g41Won �pnoq
PVC, ADS
8idhmeidier�dge
+'dtS'Arnp)Ier,%DCPD
HandlR cmnponenfs
PVC S{a gle�S SLer
DeftaLyOf pialn
cute,-°+i 54i-45g-Wg ° yam., vrenco.cam
fiat at soY-r&2
OM
Page 1012
ECE[VED
NOV 04 2025
Bayrield Co.
Planning and Zoning Agency
V
A
F
M udef
t SC50624-18
PSCPS0621-18
A. Overall height, in (mm)
22.7 (577)
22.7 (577)
B. Housing height, in (mm)
21.0 (533)
21.0 (533)
C. Cartridge height, in (mm)
17.75 (451)
17.75 (451)
D. Ougetp40 damet in (mrtQ
4.5 (114)
4.5(114)
F Outlet heightta (nett, in (mm)
13.5 (343)
13.5 (343)
F. Deflector plat detmetr, in (mm)
6.63 (168)
6.663 (168)
Mesh size, in (rrvn)
118 (32)
1/16(1,61
Fitter surface area, 112 (m;r
6.3 (0.59)
6.3 (0.591
Flow ar a, 12 (or)^'
1.9i1
1.9O11
<7ersd.5rrY.as1f 1so*ceamar'211mcry 78S,TtCy W?er--_......_
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MU-Fr-FiS-2
Rev.3 6 QE!2] arenco Systems* o 800-848-9943= ,.1 641-s59-4449 o vrvnv crenco.com
Pagc2or2
M -Tan ksecve0
IM -1250
N0V 0 4 2025
Bay�eld Co.
n,,pning znd Zoning A9ea�Y
The Infiltrator IM -1 250 is a lightweight, strong and
durable septic tank. This watertight tank design is
offered with Infiltrator's line of custom -fit EZsnap
risers and heavy-duty lids. Infiltrator injection
molded tanks provide a revolutionary improvement
in plastic tank design, offering exceptional long-term
strength and watertightness.
Benefits
a
a
a
a
Strong injection molded
Lightweight plastic con-
Integral heavy-duty green
Structurally reinforced
polypropylene construc-
struction and inboard
lids that interconnect with
access ports eliminate dis-
tion
lifting lugs allow for easy
EZsnap risers, Safety Star
tortion during installation
delivery and handling
secondary safety lid sys-
and pump -outs
tern, and pipe riser
as
so
as
as
Reinforced structural
Can be installed with 6" to
Suitable for use as a septic
No special water filling re -
ribbing and fiberglass
48" (152 to 1,219 mm) of
tank, pump tank, or rain-
quirements are necessary
bulkheads offer additional
cover
water (non -potable) tank
The tank may be backfilled
strength
with suitable native soil.
TANK CUTAWAY
partition baffle wall
Infiltrator
EZsnap Riser
System
HEAVY DUTY LID CUTAWAY
Reinforced 24" structural access port
structural
bulkheads
MID -SEAM Cipfiltrator
CUTAWAY
Reinforced Water Technologies
water Part of MAW
tight
infiltratorwater.com - (800) 221-4436
ECL 1VED
IM -1250 General Specifications and Illustrations
NOV 042025
The IM -1250 is an injection molded two-piece mid -
seam polypropylene tank. The injection molded
design of thelM-1250 allows for a mid -seam joint that
has precise dimensions for accepting an engineered
EPDM gasket. The engineered mid -seam joint accepts
a continuous loop EPDM gasket. Infiltrator's EPDM
gasket design utilizes technology and materials from
the sanitary sewer pipe industry to deliver a reliable
watertight seal. The two-piece design is permanently
fastened using a system of molded -in alignment
dowels and locking
Must be backfilled and
L P'
installed in accordance
�ty�
with the Infiltrator IM-
• 'u
! KtS
and CM -Series Septic Tank
General
i '
Installation Instructions.
y.
rm,
For shallow ground water
conditions reference the
Infiltrator IM- and CM -Series
A
Tank Buoyancy Control
Guidance.
Please visit www.infiltratorwater.com or scan QR
code for the latest information.
IiPA4i
Working Capacity
1,278 GAL (4,839 L)
Total Capacity
1,480 GAL (5,602 L)
Airspace
16.30%
Length
154' (3,911 mm)
Width
61.7' (1,567 mm)
Length -to -Width Ratio
2.8 :1
Height
54.6" (1,387 mm)
Liquid Level
44" (1,118 mm)
Invert Drop
3" (76 mm)
Fiberglass Supports
4
Compartments
1 or 2
Maximum Burial Depth
48" (1,219 mm)
Minimum Burial Depth
6" (152 mm)
Maximum Pipe Diameter
4" (102 mm)
Weight
405 lbs (184 kg)
(fl.P) /LIFTING LUG (TYP.) 3!g ECTION (TYP.)
I Pang and Zoning Agency
— 152.3 [3,868] —
EXTERIOR LENGTH
LIFT
TANK TTOP r///� / G K/ IET
INTEGRAL ALIGNMENT
DOWEL
sEM1 cup
(7
Contact Infiltrator's Technical Services Department for assistance at
1-800-221-4436 or info@infiltratorwater.com
IM250625
Infiltrator
Part of A
m outgo (9W
tb
Private Sewage System Maintenance Agreement- I
Owner(s) Name
14t�r >c4P-S j,. LL.
Owner(s) Mailing Address 51751
3 i-t RA •7 Z ev o z�, d, z W
Site Address
t-1la415- C•�4cJeV\ kaki csc.10 k W 42I
I
Tax1D#2cd .
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 Bayffeld 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)
114 of 114 Section 1 1 Township '43 N. Range W.
Additional Legal Description: S kA \4 e- cA
Town oft4A.W4 Ek O V (Acreage) O -7 GoVt Lot
Lot Block Subdivision
Lot CSM # Vol. Page : CSM Doc #____________
DOCUMENT NUMBER
2025R-609466
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
10/06/2025 AT 8:00 AM
RECORDING FEE: $30.00
PAGES: 2
Return To:
Area
Planning and Zoning Department
Cr j 012025
In -ground gravity ❑ In -ground dosed O 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 one4hird (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 Fitter (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 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 -grade, 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 isinspected 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 Bayfeld 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. 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.
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
j LL(..
Subscribed and sworn to before me on this date:
0 t.k6+ cr a. b
Notarized Owners —Sign
Notary P brie
Tr Ste
1l
UV,
a6 a.
Drafted by 3srW Sb 1 ate: I 6 , ~ •��
A .
_ ��1111lf 1111111����
Proofed by:
Wtormsisanitarylsepucmaintenoeagreement
Revised July 2020
NAMAKAGON LAKE SHORE SUBDIV W 15' OF LOT 8 AND N EASTERLY 100' OF LOT 9 IN V.1002 P.818 TOG WITH EASE 715
jif- cep
o�1°vyrod Wisconsin Department of Safety and Professional Services
ic, D'cvision of !ndust Serves
..� SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adrn. Code
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include.
out 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.
rPrivacv Law. s. 15.04(1)(m)).
w;
t itu
perty Ownel
ity
] New Construction Use: l ResiderMal/NUm0eroyot rurihw �-
Replacement O Public or commerdal — Describe:
arent mated 5�.
ienerai comments and recommendations: � i. t t,'
OBodng
c g Pit
Horizon
71
Flood Plan elevation if
Page„_ _..ot_____,
Ground surface elev.. h Depth to limiting factor_ _3n• I eiev..�
]Boring
ru pit Ground surface elev.__—_.._.ft.
(, was_g�
�esI ele" .
Depth Dominant Color Redox Description Texture
In. Munsell Qu. Az. Cont. Color
E51 Zt rr 3 Z r S
—I_3 �s '—
z, .4A ir t4/j `�
Structure
Cr. Sz. Sh.
<<
to Crt sz-
Depth to limiting factor i n. l elev. _i :
Application
Consistence Boundary Roots I rurru
f *Ft 'Efi;2
IL t.c1 tuLj
a <c t" ='Z
44 - err Z!1 < 7)n mr ifl and T SS > 30 5150 mglL ` Effluent n2 = BOD. - 30 mglL and TSS. ≤ 30 mg/L
SBD-8330 (R04121)
L.IJ
Boring #
LI1Boring #
(] Boring
C] Pit Ground surface elev.fL
Boring #
❑Boring q 7.7 f
j(Plt Ground surface elev.___ft.
❑ boring
o Pit Ground surface eiev._______fL
9 b Page ._....of.........
Death to [[miring factor
SofAppUcation
sistenc a Boundary Roots L GPD/Ft2
"Eff#1 I-Eff#2
Depth to limiting factor�__in. / elev _
Depth to limiting factor___in. / etev.,ft:
' Effluent #1 = SOD > 30 29 220 mg/L and TSS > 30 lS0 mg& = Effluent #2 = SOD, 5 30 mg/L and TSS 5 30mg/L
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2025
5CcL [c• a 3d'
gsyileld Co. Zoning Dept.
o ID so s O
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1shtoo1 C0rtert?ip . cL Ne opiter'
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6/23125.1:08 PM Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Today's Date: 6/23/2025
Property Status: Current
Created On: 3/15/2006 1:15:49 PM
Description
Updated: 3/23/2009
al Ownership
Updated: 3/23/2009
Tax ID:
25075
WILLIAM 3 & DORIS V BERES REV TRUST ONALASKA WI
PIN:
04-034-2-43-06-12-4 00-227-13000
Legacy PIN:
034111005000
Billing Address:
Mailing Address:
Map ID:
WILLIAM J & DORIS V BERES
WILLIAM 3 & DORIS V BERES
Municipality:
(034) TOWN OF NAMAKAGON
REV TRUST
REV TRUST
STR•
512 T43N R06W
2268 QUARRY LN
ONALASKA WI $4650
2268 QUARRY LN
ONALASKA 1M 54650
Description:
NAMAKAGON LAKE SHORE SUBDIV W 15
OF LOT 8 AND N EASTERLY 100' OF LOT
9 IN V.1002 P.818 TOG WITH EASE 715
Site Address * indicates Private
Road
Recorded Acres:
0.700
-----____..__�,.----_.---_.--..___..__
24695 GARDEN LAKE RD
..-. _.._..._..____................______
CABLE 54821
Calculated Acres:
0.826
Lottery Claims:
0
�� : Property Assessment
Updated: 11/14/2007
First Dollar:
YesZoning:
(R-1) Residential-i
2025 Assessment Detail
ESN:
123
Code
Acres Land Imp.
Gi-RESIDENTIAL
0.700 207,000 119,500
Tax Districts
Updated: 3/15/2006
..- . -_.- .. _....._ .._ ..----
2 -Year Comparison
2024 2025 Change
1
STATE
Land:
207,000 207,000 0.0%
04
COUNTY
Improved:
119,500 119,500 0.0%
034
TOWN OF NAMAKAGON
.Total:
326,500 326,500 0.0%
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
-4, Recorded Documents
® WARRANTY DEED
Date Recorded: 9/15/2008
E QUIT CLAIM DEED
Date Recorded: 8/7/2012
93 CONVERSION
Date Recorded: 3/15/2006
Updated: 3/23/2009
2002R -522E 74 1002-818
20128-545105 1088-4
466-22+,630-312;733E92
t'1 Property History
N/A
JUL 2 L zol
Baylield Co. Zoning Dept.
1111 JUL 1 62025
Bayfeld Co. Zoning DepL
-, - . - ... -. .,___l_4_ 1/1
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12 O MCMIIINS,JAMPA O & OON1EJ
12 D RASMUSSEK JOHN P& NANCY
KONER.._.—__.—........1.17
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12 L HUGHES, DOUOIAS Oa
JENNIFER P._..._.._.....0 OB
12 M ALTEK WLUPSI J& LAURA 1 W
12 N SROESCKNEILJOILN. ._OA9
12 0 IIURRIS,MEUSSAA _1A0
12 P IMREN,JOSPEHJ __001
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12 R MIDEORANOTTIOMA,M&
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12 S HMIN.cIWOEa0RENDAL..__
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12 V EIOINE ERMCd0M0MAA
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MARY C.......................-
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FROEUCH, CHRIBTOPI HER IS
JENNIFERM ......................AA5
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RAND L.......__......._.......1,02
BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-151 S
STATE SANITARY PERMIT
OWNER: STALTER PROPERTIES
GOVT LOT: LOT: BLK:
1/4 1/4 SEC:12,T43 N, R 6 W
TOWNSHIP: Namakagon
SOIL TEST: 75-25
REPLACEMENT SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: RYAN STRAND
TRACY POOLER
Authorized Issuing Officer
DATE: 11 /7/2025
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: # 798301
Condition: Properly Maintain System Per Recorded Agreement. Old System needs to be properly
abandoned per SPS 383.
THIS PERMIT EXPIRES 11 /7/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION