Loading...
HomeMy WebLinkAbout25-31SRequest 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 Discrepancy riOther Phone Number 920-210-8746 Plumber: Adam Hupf Fax Number Lance Baillod Email Address ahupfplumbing@yahoo.com Homeowner: Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: 25-31s 920-210-8746 Plumber's Choice Zoning Dept No Inspection(s) during this time Date: 6/23/25 Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zoning Dept Time: 11:30 am Township: Lincoln Address # & Road Name: 56480 N Altamount Road or Directions I_To Site: Comments: Plumbers you must verify any change(s) by fax or email `* Notes from u/fonns/sanitary/requestforinspection Zoning Dept (©4/12/04); © June 2023 Private Ons.ite Wastewater Treatment ,a Ps Systems ( POWTS) Inspection Report (Attach to Permit) Indus Gem LANCE D AND KIMBERLEY A BAILLOD Persor N7360 BEAVER BAY DR poses[Privacy Law, s. 15.04 1 m Perms BEAVER DAM WI 53916 City Village Town of: Tank Information TYPE MANUFACTURER CAPACITY Pro . Line Well I Building Air Intake I Road Se tic '%,'lo ftTET J N/A Loosing N/A Aeration N/A Holdin ' setback County/�J/L Sanitary ermit No: State Plan Transaction ID#: Parcel Tax No: 2 zc53 Pump / Siphon Information Pump ManufacturerPump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Width Len th O # of Cells SETBACK FROM Prop. Line lbd Building o Well 0 N Type of Cell /3/4k Q/ Manufacturer. Model Number. Pretreatment Unit Manufacturer: Model Number. Dia Soil COMMENTS: (Include code discrepancies, persons present, etc.) r ell eft A. aycq�rtv; 5 plan revision required? 0 Yes [;$No a3 Jse other side for additional inform aaaaaaffffffiohhhhhh. Elevation Data STATION BS HI FS ELEV Benchmark g fcj. y Bldg. Sewer Tank Inlet 5a 7S 3 Tank Outlet r7 3 Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold 6 ?y 7O Distribution Pipe Infiltrative Surface 7 73 �® cA YS Final Grade X Pressure Systems Only X Hole Size X Hole ❑ Yes ❑ No ❑ Yes ❑ ❑ Yes ❑ No / .37/3 RRn171n /R n9/9j1 Date POWTS Inspector's Signature License Number Property Owner BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373.6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning(a).bayfieldcounty.org 117 East Fifth Street Web Site: www.bavfieldcounty.org/147 Washburn, WI 54891 Information LANCED AND KINIBERLE1 A B:UEEOD N7360 BEAVER BAY DR BEAVER DAM WI 53916 As you know was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: 1 • Tank was pumped by: •:• Tank was crushed / removed and pipes disconnected by: on at AM/PM On 2� at /i32( 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: U/forms/sanitarypropertyowner-input April 2019 I�l I� iN iC' I 55_0051� 11I ---- H 4=Madi>=Yar&Way a `� ftAPR 0 4 `2025 __.� M M53705 ssa ► x tm� m ►�.� Bavfield Co. 7_nnirQ D of Saaitaiy Permit Application `° 3a sccardaaoe with SAS 3&�.�#��;:4�ak, wtioo atthafoAa m> a�psapeemtcgrarcmateatal matt isroquiredptinr000 astm"tmypamitNot�App aBz�hcstatao dPOA1"i'SaFa dEa opt tit !tha!Ina1 ngaddr+as} theDapa>ctmoat ofSaid►su�Ptoli�i>sra�Ste[vkeo•at �yo�psa�v�daar�►br.� iiss>anoo�rY Sb 4g0 4 if ri -� Prcogertthsi�larao # S 2rf[ &r'fl,I . ��3 P "OMWs ,gAddrest pt+DPW11 tow417� - pa - __________ ay,s* I fCbdc Ph Nmonba /yam Ecv J3i ,f. ZFasmft7DI-- atBod;vo DM� -DOMWO GYM • " • S.� './ .i n.J..1� �IY�-1 .:J-�1_i�'i.:.C .}�: L''�9^V.� •� rLP'�!S...s•rX _� T�s..r..•s1r. a'i.� 'i �J •y ~+. .�. • r �yLi• •.•i1it^ A.c• l w 's �'�.'i' ��•� M.'o..'J, �. i_ Ta ^yt'..r-�: i. •'- •ah �„..w���,�.,�.. .t .s.t�� � Y`' � - �-t� -�T �ti S;..s,':.I-�'-� =•.w. �.•.��i.Y...:•iyt, ��_��•,:_., �` .:j . �y��j :�•a-= s' � rr-� ' .��.e'• yy •��Y.+JC•, �• wow. • •Li ai... •9d •.. ; J». }^S:�•,.i���'''..{... _�'tay.�t. .i . t'..' may... �1 .jf . �.� M.�. p.w.y3��i .i ..•�yw . �R., i�Ii+.. :L�i ,..Y �� . •�_.ir•i�.l �. ..S..r 1. • wSystzn D*wDIaSYsteiza th ���� �) $''1diTa* j3Lt.C�+amd aivEd�1S&oTt C• Reoctsral Bo RtsrstionJ3aicof2abcr O toWcw and Dabc 3sssad • � rift /afef�l M flfril�aryi / , c►m Toeat *of a c draw a Sq*orftftTm* - 6 S -U 1 �d •{Y'a {' Cn v'.yZ`.• -pop �- ice'=�'t{.. .'.s L:. P sstt) s ►Xr ig� - AG -87y4 Sys!"!' rJ �:,�.�i� =� v��sJa►��`-"a � i _•�.•,���•:� Y s=•�.ziL:'.£a��: 'i;��C �:=++N�+.�-'s.IA. " .�i-�'�s..w-�•�rj:+S:...q;f .-;.=•.�i'-q Acd 0 11'VC. 1100 ap 2 2s RaftiDMs Condi doffs ofApprOV 1/ e$$oDB for vsl 61 c5' Q ckPA darof SBD-6398 (L02122) fl(( ' ��p,Hr.,,, OCT152024 �: Wisconsin Department of Safety & Professional Services Page„__of .3. i s Divisional IndustryServices yfield Co. Zoning Dept. L, SOIL EVALUATION REPOR �+a,,�,ru.•�' In accordance with SPS.385, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. e 3 Please print all Information. Re low y I Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). /4'1A9 Property Owner Property Location ❑ Govt. Lot f Y� '/, S 1h S Q T L15 N R 5 E (or) W Pro Owners Mailing dress Site Address or CSM and Lot #: Ci . State. Zip Phone Number 0 City ❑ Village Town N arest Road i L m Lu I $391b (?Ae) 2 f D , j, lewConstruc"on Use:-Residential/Numberofbedrooins -." Code.derived designflow rate_7SOGPD 0 Replacement ❑ P blic or commercial — Describe: Flood Plan elevation if applicable ft. Parent material Jr General comments and recommendations: C•C L - IBoring # ❑Boring j9 Pit Ground surface elev. )1)L L 1 Cr F+ Depth to limiting factor lb Gin. / elev. li Ff Anil Anniirafinn Rafn Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 •Eff#2 r ini R3AY © r i rD ;- v o 6 - i i, 6 i�-coo e. ' a -- .. 1 . a Boring # ❑Boring Pit Ground surface eiev. I tQ. O F+ Depth to limiting factor 106 in. / eiev. T /, F -f- Snil Annllrafinn Rala Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft2 •Eff#1 •Eff#2 1 t? -' oy D . `T t , 6 Z, 7:. 7.5 o I j 11 .. 3b ID w S h CST Name (Please Prinfl I Mark Palmer - High Cliff -Consulting I Signature CST Number 22473.1 Address P.O. Box 176 Galesville, WI 54630 Date Evaluation Conducted I 9., / V- Telephone Number 608-582-2205 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = B0D, 5 30 mg/L and TSS S 30 mg/L • SBD-8330 (R03/22) i C7 ��t-(" ' OCT 152024 U Page Z of ❑ Boring Boring # $Pit Ground surface elev. ��6. _c8ayfi�uio tir4tiitb!o ! bL in. ! elev. Q F+ Sail Anntinaunn RIP Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#/1 'Eff#2 z _. Z ,. p 7 !• 3 --Ito o o i - — 17 1,.� L I Boring # O Boring O Pit Ground surface.elev. P4 Depth to limiting factor in. / elev. Fl Cell Annllw.�ll- Dw8.. 1 Horizon Depth In. Dominant Color Munsetl Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 "Eff#1 *Eff#2 a Boring # ❑ Boring O Pit Ground surface elev.___ F+ Depth to limiting factor in. / elev. F' Snll Annfhtatinn Rata I Horizon Depth In. Dominant Color Munsetl Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 Eff#2 Effluent #1 = B0D > 30 s- 220 mg/I. and TSS > 30 s 150 mg/I. ' ' Effluent #2 = BOO, s 30 mg/L and'TSS S 30 mg/L Notes: • Underground uUiNas notbretod as of His data. Put/her msoa„h is ',���' -�J 4 2 /ocnmmandod boron, any consfnrcUon or excavation. • Boundary Inronmatlon is based on appamnl pmpwtyhnas A survey is nU p 2 "T mwmmondad to determine Flue property/met . //� ✓�Kc� I. Location and oldveton of bWlding sawer(s) is beyond the scope of this mpo,t ...///�/////t-G • Pemnlshe=20ecros5 • Noi_Non site. Fuaaintlatladonmust comdyadh NR 8/1 & 612 4: a v 100.0 P1 No N 100.0 U 2 fiauC 100.0 P2 100.0 P3 100.0 Q /Lt) C C COQ e( Graphic Scale 9e 0 20 ea I I I ( in feet) 1 Inch = 40 ft. Lance Baillod ,NE 1/4 - SW 1/4, Section 9, 145N-R5W Town of Lincoln, Bayfield County, WI TPN # 22553 N Altamont Road, Mason, WI, 54856 atp NE'/ -SW% W Legend eenumnnnen = Property line P# = Pit Q = BM (grade @ steel post) HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608.582-2205 service@highcliffconsulting.com www.highcliffconsulting.com ate: Job: 9-14-2024 BAILLOD Lincoln Rd PAGE 1 OF 4 In -Ground Gravity Plan } to li •U r Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-20 � ield Co. Zoning Dept. Pg1 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: POWTS Application for Review � Soil Evaluation Report & Site Map Project Name I Description Owner Name(s): 4 611114 11 0 Owner Address: $i -� 3,60 ,,�,� eta Q' 1Qu..r u,,.., Project Address: N A 1 w^o .. Phone: (Z) -2. Ic' - So 9 Zip: 5'3 W7Z Govt. Lot: ____ N G 114 ofkv-114, Section ej T 1S N -R -9 E 0or wEIJ Township: U County: � 9 Project Parcel ID #: 2'i 5 5' . Designer Information Designer Name: idk%.- 1J vp, Phone: q? o -2(o _ 7 C 4 Designer Addre s: W 10 Ct u C-i A C v Lu- Zip: E-mail: £iiv ci Itn (,, ,,,� License Number: Remarks: %. {.)1 :14),prUVd1 ;.L1i1lk". Signature: Date: /a Original signature required o a submitted copy. NUi $crf5 ;- \j/ 14,') toO ,� ro' 3 ru-Yi I P ri CD Q Cif C�] a IN -GROUND GRAVITY DISPERSAL AREA Uniform. Elevation Trenches with EZ1.203HP Bundles 3 -ft Trench (down -sizing credit) In- min.i. • r Septi Tank(s) Manufacturer: .Sn s w i Septic Tank(s) Volume(s): 0 gal _ gal _ gal _ gal Effluent Filter Manufacturer: IL Effluent Filter Model #: S Z 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 4n 0 observation pipe shall be instated (No Scale) at Junction between two units. Perforated Lateral Observation Pipe (typical) — — (typical) .—. B= ft (typical) INSTALL PER TRENCH: 10 -ft bundles @ 50 ft2 EISA/unit = = ft2 + 5 -ft bundles ) 25 ft EISA/unit = ft2 OBSERVATION PIPE DETAIL (No Scale) Screw Type or - Slip Cap (loose) 40 PVC Pipe — Top of pipe to terminate at or above finished grade (4) 1/4-1 X 6 r Slots — @tlb ape ft (typical) Anchoring Device 1-A=3.0 ft C_ (typical) 0 "- EZ1203H Bundle (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's Instructions. = Proposed EISA per trench = ft2 Required Infiltration Area = = ft2 x trenches = Proposed Total EISA = ft2 — Finished Grade (mulched & seeded) — Topsoil Cover (min. 1 foot) Infiltration Surface co cZD r -.D Lr� ,nom r -D Distribution Method: ^D VJ m W O -n •PAGE40� !n- ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system pursuant to shall be considered a human health hazard if not maintained in accordance with this approved mans ementplan. shall Furthermore, all inspection and maintenance activities shall be performed by a regist edl-P g S i accordance with SPS 383.52 (3), Wisc. Admin. Code. D ) [ v 1 ` i in Maximum Dispersal Area Operating Limits: R11 MAR 18 2025 Design Flow = gpd; BOD5 5220 mgL-1; TSS S 150 -' 0F0gL4 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.) a 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 leaned 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: ' r b�v� Phone: 92 '2_I o ' .3 .7 Ct' Local government unit: U► ' Q u." - w v • Phone: ii S ? 73 -6.1 2> 8 Local government unit address: P 6 o`G c �S'1 b "'^ ZIP: $ `f S3 ol 1 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 1 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 ..�.�� I .I�1 I_I■ 1 Wl......��illl.n..i. If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Lot Line [ ¶Jj MAR d 2025 ayfie10 Co ton►ng L /,/ ! ..; v � %l \ter !i•�(�j- ) •,\ / J' t , . 146X4 t S. LJ 4 Name of Frontage Road ( ) 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the approximate location and size of the building. iM►PORTAN i DETAILED PLOT PLAN 3. Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -o) CO;V'PLE'ELY 4. Show the location of any lake, river, stream or pond if applicable. 5. Show the approximate location of other existing structures. 6. Show the approximate location of any wetlands or slopes over 20 percent. 7. Show dimensions in feet on the following: a. Building to all lot lines b Building to centerline of road c. Building to lake, river, stream or pond d. Septic / holding tank to closest lot line e. Septic/holding tank to building f. Septic 1 holding tank to well g. Septic / holding tank to lake, river, stream or pond h. Privy to closest lot line I. Privy to building j. Privy to lake, river, stream or pond k. Drain field to closest lot line 1. Drain field to building m. Drain field to well n. Drain field to lake, river, stream or pond o. Well to building Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 P' u/formslsanitary/bayleldcountysanitaryapplication Revise: June 2018 Proofed by: I' - 2� acmes 6�5,3 W(2A 0 ( \-r 3V\-Lcc��'" ���tdes \b 2v Ot-,\ D l� 9 �c� 11 •���' I� I� MAR 0 2025 L.; RayTieid Co Loiung Dept. zc ///// - it LY1�i+nn An•-i•' ►C N� G C C S S-nnHN WI V v V V — Ill ,_ } APR 042075 Made 7s3 o$ sauimy RNambe(mbelilled-may Cna =pS% P.O.Box7302 °' Bayfield Co Mndison,WI53707 as3/s �w.,t..�. Application_ SanitaryPMM tApplication st.mTmaetmeNamber In accordance with SP$383.2!(2), Wis. Adm. Coda sdmgssion of dWisi n to lbs a�prcgmetegovc>m2mm! »t is rtxloirtd ptiarm abtainmaenmmDr petmit.Not AppBmdoo M=farmta.ownS POWTS ammbmittd ID PmjeaAddmss(1[a�rntlmnns} addmss) the Dtrpanmtmt of Safety andPm!mional SavkecPem®al infvtmadaoyouptuvldemybeaoedforiaeaodety _ 1 ores is ecmrdanawab me lA a.Is mistsw. Sb'f 8� 1(J�I I• AlfzMovn� y.A 7ufor�ita�=rfeirc Pmpesty Osvneexs a Pmecte s if $ctr s 3 �v Property owner'sMdiggAddtet Prapetty Location ½ keza,er a (L - Cmvctat ✓ G S W ,y i city. Some Code PhmcNamber Jt S g7/ I a bh _ 5`0 T N A S . a._t_' =: Iat SubdivivdnNmne or2FmnilyDv tUingNuScrofB dmoms- ❑PublicfCommmsia!—DcsrnbcUse Black# t5t9 of ❑state Oaned—DasaThaUso �N - of 1mwnar Lt to& iIIaOoRT$ ot6erfcaVk6as wf:�°P�°16abt A' ewsystem ' tAwr syahmDotht.tOft"gSysem( ) PteaestmatUmt(t $) QodmgTZ ® (coavmtir� la"bslSiwDesip OdacType(aPl�i C. RsnewalBe£om QRcvisioo Qzar8aofPkwiba Q!}msfcmNew rimnovs P=ak Nembamd Date lseand Design Plow(gpd)... DesignSoil Appliwdmt s0 A� P�() D AteaPmPosnd('0 ISy+tr�mElowmo°. Capacityin 'lank Iafis matlon total [! o1l'i Mmnfaa t°e< & I NewTaabz 8datoyTmss u.V Sapda&Holdlaghok 6 cc : (-(rc f DosingCbamaa V nf9{Rlbal�G' ." P umbtda Name - s NS 9?ax 8W6 c,tfl PI Add=s ,UWAt ViPCode) /O l vn of e�✓er S �9/. m ] -i �f }`.Y,%(ln:w�, e —.s jv _I proved O Disappmed ,'^ t S'NOxbo •'o OOwt (XO RuwnfcrDmL7 .S u Condidona of eeoos firDfiapyoval a cttt i `-'s xec &xoj AtbMb in cnmpMaptsea for taepnme.n abmtto Um bampmpo•tspm amssa SBD-6398 (R. 0222) S0ILTESI o UUEOUU Wisconsin Departmentof Safety & Professional Services OCT 1 52024 Divisionnoting stryServices (` s SOIL EVALUATION REPO fyfield Co. Zoning Dept. in accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 Inches In size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location end distance to nearest road. eZ oZ ..5' 1 Please print all Information. Re f Personal Information you provido may be used for secondary purposes (Privacy Law. s. 15.04(1)Im)). Property Owner e/ Property Location ❑ � Z / > Govt. Lot Ng- '/. 5VV Y. S 9 T /•(, j' N R ,Y E (or) W Page_Lof 3 Mailing Site Address or CSM and Lot #: I Cii State, Zip Phone Number I U City U Village �C IZY Town,;N a/rast Ro�a,� /YJ:w�r_:. r s .s. _ t,�l ,. jqu, ( �i L.'121L`+5.rn V i,Z�.>1 -Yti I `I. LUa4 _..._w,. ,,New Construction User-Residential/Numberofbedrooms Jr Code derived designflow rate 75b GPD ❑Replacement ❑ Public or commercial - Describe: Flood Plan elevation if applicable N!A. ft. Parent material '4 o s-..E0.A. General comments and recommendations: • . 1 _ 17 R _ U n 71 l C2X..V -- Boring # ❑Boring gJPit Ground surface elev. Ft 0.0 Ft Depth to limiting Factor _I C C in. / elev. '91._7" Ff c..0 w_ -a --u-_ a"_ Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/F1' •Eff#1 •E##2 ipcjR.313 D .5- I,d z- Q 9 _4, ,'rn. .5 1.1) 33-10 v o P © `I 1•!0 -rod D .e.S b D — - ha wz Boring # ❑Boring ®Pit Ground surface elev. ItO. 0 F+ Depth to limiting factor D 6 in. / elev. 9/. 7__p(- Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 `Eff#1 •Eff#2 I 0- OV o 3 .1 I, 6 7 7.s o4i / 1, '3. 0 36 ' S 1, 6 6-rco r2 -- •,- I . o cy CST Name (Please Print Mark Palmer- High Cliff Consulting Signature I >72L-224736 CST Number Address P.O. Box 176 Galesville, WI 54630 I Date Evaluation Conducted I 9- / Telephone Number 608-582-2205 • Effluent #1 = BOO > 30 5 220 mg/L and TSS > 30 5150 mg/L ` Effluent #2 = BOD, 5 30 mg/L and TSS�5 330 mg/L �lil1'2L{ TI8B04330 (R03/22} ❑ Boring aBodng# $Pit 1 OCT 152024 U Page 2- of Ground surface elev. C'd. C c+BaylSOti)o liMlting tab) M 1 bb in. I elev. 9� F+ Soil Annlinatinn Pair Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •E##1 •Eff#2 ? t9.C ,ows/ia .G Fi- 7 1.4 Z 7.____In- ,'7 /• 3 a o o- ,i - '7 1, ❑ Boring # O Boring ❑ Plt Ground surface etev. Fl- Depth to limiting factor in. / elev. F+ Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots •wr^w GPO/F1' •Eff#1 •EH#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. F+ Depth to limiting (actor in. / elev. F+- c.m e...n..., I.... O.... Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FF •Eff#1 'Ef #2 Effluent #1 = BOD > 30 £ 220 mg/L and TSS > 30 5150 mg/L ' ' Effluent #2 = BOO, £ 30 mg/L and'TSS £30 mg/L m � Notes: • Underground uV11Nos not locarod as of Nis dna. Futtharrosamch Is �--� 2 .commended beam waycon&nxdw arescevegon. d . Boundary intomation is based on eppamnl properly line: A survey is l z [U o ` T � recommended to dolennine true pmpedylTos. I. Location and elevation or building saint(s) is beyond the scope of this .pant V S = p, .../NN/ti/ C • penal sire = 20 eues e • No wee on ale. Futum instellalion must comply with NB 8/18 812. V L^ C N N 100.0 P1 100.0 _ — o U fldLfl O 3 W IC 100.0 P2 fluf at e NEY44-SW'/a 100.0 11100.0 Q Graphic Scale as 0 20 e0 ea ( in feet) 1 inch = 40 ft. Lance Baillod NE'/4 - SW 1/4, Section 9, T45N-R5W Town of Lincoln, Bayfield County, WI TPN # 22553 N Altamont Road, Mason, WI, 54856 w Legend nnn.uuui■Iul = Property line P# = Pit Q = BM (grade @ steel post) HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@highcliffconsulting.com www.highcliffconsulting.com Drawn SJS ' Date: Job: 9-14-2024 I BAILLOD -J 0 O E vl(i. Lincoln Rd PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet MAR 1 82025 Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2Wj field Co. Zoning Dept 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 / Description Owner Name(s): Lgv.c:t h /Z; 4 1y � I tl b �� Phone: 9' Zy - 2 Ire - Sot/ Owner Address: fru_1' 4o 2,cQ. a&c Zip: S�3%I Project Address: N Rd Govt. Lot: l'1A1/4 _ 1/4 of 5 tv 1/4, Section'j , T I S N -R 5 E❑ or W a Township: Lrc IV\ County: cfi Project Parcel ID #: Z t 5 S Designer Information Designer Name: A &.nti N vv 1 - Designer Address: 'v'J 1 C `1tt C1 14 c E-mail: Cdlu J I'n d� C'1,ccty License Number: Remarks: Phone: 92.0 _2(O - C74, h'E Zip: S?Atc Signature: Giyi(/ /d Original signature rquired o a submitted copy. Date: —?J 1scwibjly N ---____j / / y" X d n pa MAR 1 8 2025 Bayfield Co. Zoning Dept. IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) it l r Sept! Tank(s) Manufacturer: H 1 _ Septic Tank(s) Volume(s): I DiJ gal gal gal gal Effluent Filter Manufacturer. Effluent Filter Model #: 5 Z 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) atju Perforated Lateral (typical) r- -------�--------- I------------------------ 6= ft (typical) INSTALL PER TRENCH: r� _____ 10 -ft bundles @ 50 f EISA/unit = 9>U ft2 + 5 -ft bundles @ 25 ff EISAlunit = ft2 = Proposed EISA per trench = �= ft2 OBSERVATION PIPE DETAIL (No Scale) Screw -Type or •,�,�, Finished Gmde SUp Cap Qoose)•(mulched & seeded) 40 PVC Pipe .: 4- Topao9 Cover Top of pipe to terminate (min. 1 foot) at or above finished grade (4)1/4'-1 "X6"SWts apart Anchoring Device A=3.0 ft' (typical) 0 0 EZ1203H Bundle o (typical) o (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's Instructions. Required Infiltration Area = 9� ft2 x CA trenches = Proposed Total EISA = ft2 Infiltration Surface Distribution Method: I. RESET In -ground Gravity Management Plan IMPORTANT: PAGE 4 OF 4 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 regist d S accordance with SPS 383.52 (3), Wisc. Admin. Code. ItIS ' Iri in 16 Maximum Dispersal Area Operating Limits: Dl] Design Flow = Sn MAR 18 2025 gpd; BOD5 S 220 mgL 1; TSS 5150 !le)d Co.f-I imgL-1 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e.. pumps, valves, switches, floats, etc.) o material fatigue (to., 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. Scats. when the volume of solids In the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wlsc. Admin. Code. Report anycomponentfailure or malfunction to: Name of individual or company: l d v V t f 1u'92k' LvL1 Phone: • Z) o - Local government unit: uy }Z e "o' -L1 ^ 2-O,n Phone: 11 S ' 73 -4/?.,8 Local government unit address: P 6os SLtJCA.411 bur H > _ ZIP: 5 `f f39 I Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department In accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Lot Line u11 MAR 1 d 2025 Bayfield Co. Zoning Cpt e- c JSo- (•) j` Name of Frontage Road 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the approximate location and size of the building. IMPORTANT DETAILED PLOT PLAN 3. Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -o) COMPLETELY 4. Show the location of any lake, river, stream or pond if applicable. 5. Show the approximate location of other existing structures. 6. Show the approximate location of any wetlands or slopes over 20 percent. 7. Show dimensions in feet on the following: a. Building to all lot lines b Building to centerline of road c. Building to lake, river, stream or pond d. Septic / holding tank to closest lot line e. Septic/holding tank to building f. Septic / holding tank to well g. Septic / holding tank to lake, river, stream or pond h. Privy to closest lot line i. Privy to building j. Privy to lake, river, stream or pond k. Drain field to closest lot line I. Drain field to building m. Drain field to well n. Drain field to lake, river, stream or pond o. Well to building Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/formslsa nitary/bayfieldcountysanita ryapplication Revise: June 2018 Proofed by: 20 acss fax a9 5S3 C �vF- ��s�a\l: c6. � (y„l 4e6F4 \ x \ern pl el'c 4 \C7X 2v S (Y\G CAiQ(•F cct4e)' U^Il\' € k t(\' v� �(UflCasM '24 4 Ok / / r f15) •Ufl MAR 187025 Bayfield Co. Zoning Dept. 3 Awc,lr k 1v?0OC"UH flj) MAR 18 ' 0Z5 Bayfield Co. Zon ng Dept. ci &i% >s1� O C eS I Private Sewage System Maintenance Agreement 9 As owner, I (we) 00 nereoy canny me private sewage system will De 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) N 4 &J 6 ,/4 of 114 Section Township MC N. Range 'C'W C Additional Legal Description: Town of L .. 4en /n (Acreage) 20 Gov't Lot Lot_ Block Subdivision Lot _ CSM # Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2025R-60751 3 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 05/ 19/2025 AT 8:05 AM RECORDING FEE: $30.00 PAGES: 2 Return To: Planning and Zoning Department Area W In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: O Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, 0, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent 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. Fitter maintenance reports shall be submitted to the County as required by SPS 383.55, Ws. 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, POWIS 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 condtions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such propfgn.rnnrnrrr MOLLt. Owner(s) Name(s) — Please Print tmterk� l Subscribed and sworn to before me on this date: .•` •. - = V.No. Notarized ner(s)—Signatures) Notary Public __ e My Commission Ear s: Drafted by: &i nr k. //, / Date: r/)1/2Y' L/ `t' ) lb U Cl LS MAY 2 0 2025 Bayfield Co. Zoning Dept. Proofed by: wrorms/sanitary/sehdcmaintenceagreement Revised July 2020 Dated this (l1 day of ! 4'1 k,4 _ , 20� C Print State of `AltsCkm1Cl ) ss. County of c� ) ACKNOWLEDGMENT Personally, came before me this day of 20. raC, , the above named LQncs ?o.\ loci to me known to be a person who executed the foregoing instrument and acknowledged the same. WITNESS my ha d and official seal. ?(h!aJ rru (Notary Signature) Notary Public, State of Ui isco n P4AQL tir Print N e My Commission is Permanent/Expires: 03( t('aoa/A . liii MAY 20 k0I� Bayfield Co. Zoning Dept. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-31 S STATE SANITARY PERMIT OWNER: LANCE D & KIMBERLEY A BAILLOD GOVT LOT: LOT: BLK: NE1I4 /4 SW1I4 /4 SEC: 9, T 45 N, R 5 W TOWNSHIP: Lincoln SOIL TEST: 166-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: ADAM HUPF TRACY POOLER DATE: 5/28/2025 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; 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: # 1000237 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 5/28/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION