HomeMy WebLinkAbout25-158Sn* IN60UND NOTIFICATION : FM RECEIVED SUCCESSFULLY "
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
December 31, 2025 at 8:22:36 AM CST 7157983470 37 1 Received
DEC/31/2025/WED @7:53 AM Andry Rasmussen & So FAX No.7157983470 P.001/001
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
Time Change flDiscrepancy flOther
Plumber:
.i1iJi'i hQ3IiWSSc"n r.`C-rns
Phone Number
7 rl ✓SS^
Fax Number
Homeowner:
j
fdIdVYIQS 77 Il
Email Address
�rrindry�QS��rri
?>7fssQrrlr sr c'
Sanitary
r.5 /58
a
Immediate Phone Number So Zoning
Dept can call you right back (if needed)
Permit #:
Plumber's Choice J Zoning Dept
Date:
j 1 579 ,p
No inspection(s) during this time
Tuesday (9:30 am -12:15 pm) (Tracy)
Time:
Plumber's Choice J Zo Dept
Township;
Address # &
Road Name;
or
�N/nn �
-<`f5 sod nl°vti
Directions
To Site:
Comments:
5
*'
Plumbers you must verify any change(s) by fax or email *'
Notes from
ulformslsanliaryhequsstforinspao8on
Zoning Dept (@4/12/04);
Q Juno 2023
V£1'PPTAIF�T
THOMAS B THIEL
EL
22235 SISKIWIT LAKE RD
CORNUCOPIA WI 54827
..'Private Onsite Wastewater Treatment
:ms ( POWTS). Inspection Report
(Attach to Permit)
County
eJcL
sanitary ermltNo:
State Plan'Transaction ID#:
Parcel Tax No:
X35
TYPE
MANUFACTURER
CAPACITY
Prop. Line 1
I Building
Air Intake
Road
Se tic
N/A
Dosin
N/A
Aeration
N/A
Holding
Pump I Siphon Information
Pump Manufacturer
Pump Model
Demand
GPM
titer Manufacturer
Filter Model
TDH
Lift
Friction Loss
Head
Total
Forcemain
Length
Dia
Dist To Well
Cell
GModel Number.
Pretreatment Unit
Manufacturer:
Model Number.
Dia
Dia
Elevation Data
STATION
BS
HI
FS
ELEV
Benchmark
Bldg. Sewer
Tank Inlet
6
9 Sg
Tank Outlet
' , 3
37
Dose Tank Inlet
Dose Tank Bottom
Inst. Contour
HeaderI Manifold
710'
Distribution Pipe
Infiltrative Surface
C7 b
—�
Final Grade
S
Vj
❑Yes ❑ No
wu IauveI
Depth Over Depth Over Depth of Seeded / Sodded Mulched
Cell Center Cell Edges L Topsail ❑ Yes ❑ No 0 Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
6r�o sy//J,
w.yK r,fa�s ,vo O&ks 4t4,+s Le 1/l9/C(7 -
Ian revision required? ❑ Yes` No I
reothersideforadditionalinform ti`on.
Date POWTS Inspector's Signature
3RMR]1n /R ngr911
License Number
Al
Property Owner
Information
BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT
Telephone: (715) 373-6138 Bayfield County Courthouse
Fax: (715) 373-0114 Post Office Box 58
e-mail: zoning a(�bavfieldcountv.oro 117 East Fifth Street
Web Site: www.baviieldcountv.ora1147 Washburn, WI 54891
THOMAS B THIEL
22235 SISKIWIT LAKE RD
CORNUCOPIA WI 54827
<f ll t LL(LJCiPi 1 As you know N 'f �� S was contracted by you to install a private
onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due
for servicing please go to www.septicsearch.com
Notes:
Abandonment of Old System to meet all applicable code requirements:
1
o Tank was pumped by:
3 Tank was crushed I removed and pipes disconnected by:
on
at AM/PM
On !l at Ce ( / PM) the above -mentioned plumber contacted our office to
conduc a pre -cover inspection as requied 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: / / ./� J aJ "K er1een
Ulforms/san] laryproperly own er-input
April2019
•
I
IsJENTEREDMadison,
Industry Services Division
4822 Madison Yards Way
WI 53705
County
Bayfield
Sanitary Permit Number (to be filled in by Co.)
SS- 00
46 Madison, WI 53707
5—/5' 5
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
Project Address (if different than mailing address)
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
Same
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
I Application Information— Please Print All Information
Property Owner's Name
Parcel #
Thomas Thiel
3- Sbo
Property Owner's Mailing Address
Property Location
60795 Soderlund Rd.
Govt. Lot
City, State
Zip Code
Phone Number
Mason, WI
54856
218-428-5123
NE �i., NE r,, Section 19
T46 N R 06 E or W
IJjyPe of Bu ld ng (c eck-all;that apply)
Lot #
al or2 Family Dwelling— Number ofBedrooms 2
Subdivision Name
(Public/Commercial — Describe Use
Block #
❑Cityof
State Owned— Describe Use
Village of
CSM Number
Town of Mason
III:` e,�of PO_ , _ �ermit (Check either "New" or "Re 'laceinent" andrather a hcable�onsl'iie A::Clieck ii`` e, o ` on�l' B x ' w `
r-3 ( P _ n one . C.om lets 2 C t
'.- .
A.
IZINew System
Replacement System
(Other Modification to Existing System (explain)
Additional Pretreatment Unit (explain)
r
B.
Holding Tank
[JIn-Ground
(At -Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
❑ Renewal Before
(Revision
Change of Plumber
(Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
NA
`ears ' re entlr
eaariid TnkTriform hon _.
Design Flow (gpd)
Design Soil Application Rate(gpd/sf)
Dispersal Area Required (sf)
Dispersal Area Proposed (sf) System
Elevation
300
0.7
428
500 95.0
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
o
New Tanks
Existing Tanks
w
a U
n
iv
cn
w Q
a
Septic or Holding Tank
750
750
1
Superior Precast
[?J
[-=1
Ij
Dosing Chamber
V_ ResAo�nsibilitj►�Sat
ement yl tde undrslged,, assume reslsonsibil for insallaHon„�af�thcPtiO Ssho a Qn !ie'1itachedryg
a s�4 _
Plumber's Name (Print)
Plumber's Signature J j
MP/MPRS Number
Business Phone Number
Jason Kuettel
675751 1715-798-3355
Plumber's Address (Street, City, State, Zip Code) /
PO Box 66 Cable, WI 54821
fine Use Only
Approved
❑ Disapproved
$Permitt'Fee
Date Issued m J
I ui g A Si re "#3-
❑ Owner Given Reason for Denial
V
5 Z5
Conditions of Approval/Reasons for Disapproval
/c th? M" &/7Of. DEC 052025
BayficU Co.
Planning and ?1;r,
ntW1:11 w cun.p.cIc puns wr tae system unu suomir to me w.ounry omy on paper not Tess than a iiz x 11 inches in size
SBD-6398 (R. 02/22)
In -Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg1of4
Pg2of4
Pg3of4
Pg4of4
PAGE 1 OF 4
Index & Cover Sheet
Plot Plan
Dispersal Area Cross -Section & Plan View
Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Thiel 2 Bed
Owner Name(s): Thomas Thiel
Owner Address: 60795 Soderlund Rd. Mason, WI
Project Address: Same
Govt. Lot: IN
Township: Mason
Project Parcel ID #: 23560
1/4 of NE
Phone:218 -428 -5123
Zip: 54856
1/4, Section 19 , T 46 N -R 06
County: Bayfield
Designer Information
Designer Name: Jason Kuettel
Designer Address: PO Box 66 Cable, WI
E-mail: tim@andryras.com
License Number: 675751
Remarks:
Euor W u
Phone: 715 -798 -3355
Zip: 54821
This space reserved for approval stamp.
wed
DEC 052025
E ayr. ) Cc'.
P!ann;n,j and
Signature: Date: is/S zi
original gnature required on each submitted copy.
Owner Information:
Name: Thomas B Thiel
Location: N 1/4N 1/4.S3 T46N R05W
Township: Mason
County: Bayfigiri
Address: 60795 Soderl nd Road
La; ' : Z025
jAoency
•, eN' y0 Pte+`
Onlyin TestedArea Z e. y5 i EZ PLCU
BM=100: Nail with ribbon on the base of tree near B3
B1= 916
B2= 913
B3= 95,25
Lake= 0
-'Driveway to Soderlund Road-'
60795
No Well
1.y (07S7f�
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3 -ft Trench (down -sizing credit)
■rrrr-arm
■rr�rrrrr�r
rr� i 1 r,
..;Iii . _ ■..�
_ • • r�rrr
r'
•
Septic Tank(s) Manufacturer.
Superior Precast
Septic Tank(s) Volume(s):
7_ gal ._ gal gal _ gal
Effluent Filter Manufacturer
Orenco
Effluent Filter Model #: FT -0822
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
Provide minimum 3 ft
separation between trenches.
TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.)
PLAN VIEW
4" 0 Observation pipe shall be Installed
(No Scale) at junction between two units.
Perforated Lateral Observation Pipe
(typical) (typical)
B=4=ft
(typical)
INSTALL PER TRENCH:
4 10 -ft bundles @ 50 fl2 EISA/unit = 20_ ft2
+ 1 5 -ft bundles @ 25 ftZ EISA/unit = 25 ftZ
= Proposed EISA per trench = 225 A2
0Z025
Co.
.n9 A0eacy
OBSERVATION PIPE DETAIL
(No Scale)
Screw Type or
Slip Cap (loose)
.r•
•'
W •
:W
Finished Grade
(mulched & seeded)
4'0 PVC Pipe
' •�
s -
: ;ice •
Topsoil Cover
Top of pipe to terminate
`
t } ;•
(rnin.1 foot)
at orabove finished grade
:
(4)1/4--1/2- X 6- Slots
@&D apart
•y H
,.•
1
Anchoring Device
•S:
..
Infiltration
Surface
10 ft
(typical)
A=30 ft
(typical)
EZ1203H Bundle
(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
Required Infiltration Area = 50_ ft2
x 2 trenches = Proposed Total EISA = 500 ftZ
Distribution Method:
branched manifold
D
G)
m
WW
O
-P
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, 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 POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow =
300
gpd; BOD5 ≤ 220 mgL"1; TSS ≤ 150 mgL"1; FOG ≤ 30 mgL''
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Andry Rasmussen & Sons
Local government unit: Bayfield Co. Zoning
Local government unit address: 117 E 5th St. Washburn, WI
Phone: 715-798-3355
Phone: 715-373-6138
ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils ,.-
System Abandonment
ULU 052025
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc: Admin. Code -y;;,,;+; co.
P' crH :.rd ZcninjA,�1cy
Private Sewage System Maintenance Agreement
j Owner(s) Name
:L
Owner(s) Mailing Address
`Z. ZZ.- 3 S Lac R. w z
Site Address
(o19S SoL -) . AA N. W
TaxiD#
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 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 WI
Adm. Code, as from time to time amended. (COMPLETE Legal is required)
AJC 114 of I'. E 1/4 Section —_Township /N. Range _ —W.
Additional Legal Description: t1i E 31) ((41 PL'C /Oft d .' /.s
yr of ry /9y� (/ Doc
Town of /V( SD h (Acreage) Z%C GoVt Lot
Lot Block Subdivision
Lot CSM # Vol. Page CSM Doc #
DOCUMENT NUMBER
2025R-609923
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
11/10/2025 AT 2:14 PM
RECORDING FEE: $30.00
PAGES: 1
Recording Area
Return To: RECEIVED
Planning and Zoning Department
NOV 12 2025
Bayfield Co.
In -ground gravity ❑ In -ground dosed ❑ in -ground pressure distribution Sewage System:
❑ Mound ❑ At -grade Sewage System ❑ Other
Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of
installation and at.least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make
such inspection, the tank is found to have less than one-third (113) 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 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 -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when
the wastewater distribution cell component is inspected as provided above.
Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield 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
Subscribed and sworn to before me on this date:
Notarized Owner(s) — Signature(s)
Notary Public
My Commission ExP'ires:'-
Drafted by: f /M C ""* — Date:
Proofed by:
u/forms/sanitary/septicmaintenceagreement
RPviced .h ih, 7n9n
SOIL TEST
4n.
Wisconsin Department of Safetyand Professional Setvlses
nffarth rs,mnlata cita nlan nn naner not less than RI/ X 11
S R- °036q
Soil Evaluation Report
In actor .anco with SPS 385,Wis Adm Coda
inches in size. Pace:
•• r
1_ of 6
Plan must include but not limited to: Vertical and horizontal reference
point (BM), direction and percent slope, scale or dimensions, north arrow,
location and distance to nearest road.
Please Print All Information
Personal information you provide may be used for secondary purposes.
(privacy Law,s.15.04(1)(m)).
County:
Bavfield
Parcel I.D.
23560
e ' w �/
Date:
3
Property Owner
Thomas B Thiel
Property Location
NEI/4NE1/4,S19,T46N,R06W
Property Owners Mailing Address:
22236 Siskiwit Lake Road
Site Address or CSM and Lot #
60795 Soderlund Road
City
Cornucopia
IState
I I
I Zip Code
I 64827
Phone Number.
0
Town
Mason
INearest Road:
Soderlund
Number of Bedrooms: 2
New ` Residential Code derived design flow rate: 300
Flood Plain if applicable
r Replacement r Public or Commercial - Describe:
Parent Material: Outwash Flood Plain If Applicable: 0
General Comments & Recommendations:
System Elevation: 9a Load Rate: 07 Elevation Range: 93.83 To 95.42
Boring #1 r Bor. Fit Ground surface Elev: Depth to Limiting Factor:
97.6 Ft. 88 In. Elev. 90.83 ft
Sol] Application Rate:
Horizon
Depth In.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-6
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
6-48
7.5YR5/2
N/A
LS
0SG
ML
CS
3F
0.7
1.6
3
48-88
7.5YR4/6
N/A
SL
1 FSBK
MFI
N/A
N/A
0.4
0.7
4
5
6
7
Boring # 2 r Bor.Ground surface Elev: Depth to Limiting Factor:
�' Pit
97.9 Ft. 90 in. Elev. 90.4 ft
Soil Application Rate:
Horizon
Depth in. •
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-8
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
8-50
7.5YR5/2
N/A
LS
0SG
ML
CS
3F
0.7
1.6
3
50-90
7.5YR416
N/A
SL
1FSBK
MFI
N/A
N/A
0_4
4
�a0_7
� C
5
6
ZX
*Effluent #1=
BOD 5>30 ≤ 2 20 mg/l and TSS>30
g//
*Effluen = BOD 5<30 mg/l and TSS ≤ 30 g/f' a' �d Zca:r:8 ≤3
CST Name. (Please Print)
Mark S. Thompson
Signature
ST Number: 877598
Address: 12006 N US Hwy 63
Hayward, WI 54843
ucte
Date Eva=esday,October 29, 2025
Telephone Number
715/699-4081
'
SBD-8330 (R04/21)
Property Owner: Thomas B Thiel Parcel l.D. 23560 Page: 2 of 6
Boring # 3
Ground surface Elev: Depth to Limiting Factor:
F" Bore° 96.25 Ft. 92 in. Elev. 88.68 ft
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-10
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
10-48
7.5YR5/2
N/A
LS
0SG
ML
CS
3F
0.Z
1.6
3
48-92
7.5YR4/6
N/A
SL
1FSBK
MFI
N/A
N/A
0.4
•0.7
4
5
6
7
Boring #4
r' Bor s Fitt Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/fF
*Eff#1
Eff#2
1
2
3
4
5
6
7
Boring # 5
'"" Pit Bor Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil A Rate
App.
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
2
3
4
5
6
7
Boring # 6
r BorPv' Fit Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
I
2
3
4
5
6b
C
7
9VE)
052025
*Effluent #1 = BOD 5>30 < 2 20 mg/I and TSS>30 < 150mg/1 *Effluent #2 = BOD 5< 30 mg/I and TSS ≤ 30 mg/1
Bayfekl Co.
PICnritn fd and Zontrrg
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access
services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777
SBD.8330(R.07100)
Soil Profile Sheet Page: 3 of 6
Owner. Ihotas L'Thiel SoitTester: Mark S. Thompson
System Elevation: 95 Load Rate: 0.7 System Elevation: 93.83 To 95.42
101
B3
101
101
100
--------------
100
--------------
100
99
--------------
�-
99
----------•---
--
99
System
Elevation
98
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DEC 05 2025
} y1)kiCo.
Owner Information:
Name: Thomas B mini
Location: N 1/4N 1/4R1RT46NRnsw
Township: Mason
County: 6ayflold
Address: 60795 cod rt and Road
4
1"=40'
LA
Pr
97'' BM
96 \
Onlyin Tested Area
5
Id
S
"A" BM=100: Nail with ribbon on the base of trnear Al
81= 9Zfi
B2= 91$
B3= 96.25
Lake=
-'Driveway to Soderlund Road-'
60795
No Welt
CST: Marks Thompson
715/-99-409
BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-158S
STATE SANITARY PERMIT
OWNER: THOMAS B THIEL
G OV'T LOT: LOT: BLK:
NE 1/4 NE 1/4 SEC: 19,T46N,R6W
TOWNSHIP: Mason
SOIL TEST: 149-25
NEW SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: JASON KUETTEL
TRACY POOLER DATE: 12/5/2025
Authorized Issuing Officer
CHAPTER 145.135(2) WISCONSIN STATUTES
a. The purpose of the sanitary permit is to allow installation of the
private sewage system described in the permit.
b. The approval of the sanitary permit Is based on regulations In force on
the date of approval.
c. The sanitary permit is valid and may be renewed for specified period.
d. Changed regulations will not Impair the validity of a sanitary permit.
e. Renewal of the sanitary permit will be based on regulations In force at
the time renewal is sought, and that changed regulations may Impede
renewal.
f. The sanitary permit is transferable.
History: 1977 c.168;19790.34,221; 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 675751
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 12/5/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION