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HomeMy WebLinkAbout24-01S* INBOUND NOTIFICATION ; FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS • December 16, 2024 at 9;53;04 AM CST 7157983470 36 1 Received DEC/16/2024/M0N 09:33 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 fl Discrepancy fl Other Phone Number Plumber: /t pp + nciry 11i23n1 ssen rr - 77s 5-`7Q) —3.353— Fax Number %/S- 7qf- Homeowner: W t P1 Q ev $ orIIQ S l Email Address �rr�,Q rid /4SP�t o- to ,n rnis (�8 as,e6,,, Immediate Phone Number So Zoning Sanitary Permit #: rY D� /� Dept can call you right back (if needed) Plumber's Choice Zonin Dept No Inspection(s) during this time Date: i )11� Yk Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zo ' pt Time: R Township: - Address # & Road Name: or ��cin S l [it/Yt� �Y tr Directions To Site: Comments; ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept; Wlvnns/sanitarylrequesttorinspection Zoning Dept (04/12)04); 0 June 2023 s P�' �'491p%��') Industry Services Division General Information Personal information you prov WINDETT REV TRUST 14852 102ND ST CIRCLE N STILLWATER MN 55082 Ta�tlnrormanon TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic /t700 f N/A Dosing N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) City UVillage Town of nfl Vutl, : Oa setback to: Pump I Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell / Y/9/t€5 �// t€5 Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Distribution System Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer IJ' (y_ Tanklnlet . 93 Tank Outlet 7 /3 ___ Z Dose Tank Inlet Dose Tank Bottom Inst. Contour Header I Manifold $,1 7y Distribution Pipe Infiltrative Surface 9- 55 Final Grade X Pressure Systems Only Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length Dia Spac _ Spacing ❑ Yes O No Soil Cover Depth Over Depth Over Depth of Seeded I Sodded Mulched Cell Center Cell Edges Topsoil El Yes ❑ No ❑ Yes ❑ No CO MENTS: (Include code discrepancies, persons present etc.) /4/77 cm fr rankjusrk' j,v4wJaY cJJA .n Plan revision required? O Yes'`ONo '� Use other side for additional information. '- Date can.a7ln tP nan1\ POWTS In ector's Signature 37 License Number 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@bayfieldcounty.wi.gov 117 East Fifth Street Web Site: www.bayfieldcountv.wi.gov/147 Washburn, WI 54891 WINDETT REV TRUST 14852 102ND ST CIRCLE N STILLWATER MN 55082 As you know /(J' /(( ,i&4 t1A) was contracted by you to install a private onsite wastewater treatment system on your property described as: Notes: Abandonment of Old System to meet all applicable code requirements: ❑ Tank was pumped by: on at AM! PM ❑4. Tank was crushed I removed and pipes disconnected by: On / r at 3o (AM I ?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/s anits rypropenyowner-input April 2019 ''lc; Vi 41 er""ste+•r¢ F Industry Services Division County 4822 Madison Yards Way Bafield Sanitary Permit Nber (lo be filled in by Co.) DEC 212023 6 t'' Madison, WI 53705 P.O. Box 7302 �r'+avnsa Bayfield o. Madison, WI 53707 ✓ D/ S Saul nmlerm>t ppiieation 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 may be used for secondary purposes in accordance with the Privacy Law, s. I5.04(l)(m), Stats. 66105 Co. Hwy H. Iron River, WI 54847 1. Application Information— Please Print All Information Property Owner's Name Parcel # Windett Rev. Trust 19622 Property Owner's Mailing Address Property Location 14852 102nd St. Circle N. Govt. Lot City, State I Zip Code Phone Number Stillwater, MN 55082 651-335-4752 ', Section 21 T47 N R 08 Eor 11. Type of Building (check all that apply) Lot ❑✓ I or 2 Family Dwelling— Number of Bedrooms 3 5 Subdivision Name ❑Public/Commercial — Describe Use Block # — flCityof __ ❑State Owned — Describe Use Village of CSM Number #235 V3 P4 0✓ Tow, of Iran River III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable. A. New System ❑Replacement System Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) Holding Tank Zin-Ground L}At-Grade ❑Mound Individual Site Design Other Type (explain) (conventional) C. [J Renewal Before []Revision JChange of Plumber ❑Transferto New Owner List Previous Permit Number and Date Issued Expiration NA IV. Dispersal/freatment Area and Tank Information: Design Flow (gpd) ✓ Design Soil pplieation Rate(gpd/sf) I Dispersal Area Required (sf) ✓ Dispersal Are roposed (sf) System Glevati 450 0.7 643 652 93.0 /;p D Capacity in Total # of Manufacturer Tank Information Vi, ltat d G { P Gallons Gallons Units 2 o New Tanks Existing Tanks 12 0 -o Septic or Holding Tank 1000 1000 1 Wieser ✓ Dosing Chamber O V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's SignatureI MP/MPRS Number I Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) ,✓' PO Box 66 Cable, WI 54821 VI. County/Department Use Only Approved I ❑Disapproved Permit Fee Date I sued Issuing Agent m ❑ Owner Given Reason for Denial 4OLJ oW onditions o pproval/Reasons for Disapproval )Mo paw p\n ow'w• Attach to complete plans for the system and submit to the County only on paper not less than 8 12 x 11 inches in size SBD-6398 (R. 02/22) DEC 2 12023 arc j- Wisconsin Deparimeni o; Safety and ProfessionaiServices BaYfield Co. Don in Depstty SeitolS Planning and Zoning Agency Page of_____ '3a SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Aidm. Code county BAYFIELD Attach complete site plan on papa not less than 8 1/2 x 11 inches in size_ Plan must include, but not limited to: vertical and horizontal reference point (SM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. -r elt b 19 (p Z Z Please print all information. Reviewed by Date Property Location 1 0 e J- v + caovc rat A, i s y 7 IY R ( h e(or Ep roperty Owne s Mailing Address T J ) z (O2Y7 P 4. C l SiteL-Address or CSM and lot # L S Cs 0.3 Pt # z3S City I State Zip Code Ph2L Number ❑ City ❑ Village I5ftown Nearest Road „ r, 7I-; LI.iD4 - j I-{ 't rich' Q7 (?zc)u-7r, r__ a' - tl _ ... NewConstrudion UseA. Residential/Numberofbedroons ?i Code derived designflow rate W50GPD l/$ Replacement ❑ Public or commercial — Describe Rood Plan elevation r applicable $ f Parentmatetiat Sahp t +wa.s k - General Comments and recommendations; �-f s D 1 C nng# O80Mg uPit Ground surface elev. }t Depth to limiting factor gs in. / efev S$_i Ztt, . - Sol Application Horizon Depth Dominant Color Mhalsell , S 3 7- �+ Redox D Qu_ At. Cant.pCl;n •- j Texture - s Structure Gr. Sz. Sh. rr Consistence n Boundary tc Roots Rath GPD/Ft2 •Efl#•1 •EfFN2 z"l G. 1 — , b $e�o Ayran ego <',' .A 7 I Boring # Boring it Ground surface elev. Depth tt fimiting far qb tr in. / elev SH dE Horn z Lg Depth In. 6 -2S tf Dominant Color Munsell ,� 4 3 t{ y I Redox Description Qu. Az Cent Color -- Texture r5 Structure Gr. St Sh. ° � 1 I Li Consistence tt t( ri Boundary I i I u t Roots 7'j.i Z^C (I,T lI) Sol Application Rata GPD/Ft2 .T [.e L-(, h .Q y r j We D ST Name MERTON MA19 ✓ signature . C57 Number 224901 .ddress 1 yyB CO T Date Evaluation Conducted (715)- 634-8719 HAYWARD r Z — G _ ' Z3 I TJephone Number r / fliuent#1= BOO >30≤220 mg/L andTSS ≤150 mg/L * Efuent=2=BOD, ≤ 30 mg/Land TSS ≤ 30m 92 SBD-8330 (RO4l21) Page of a Soring (� �-J �f I h I Botirtg # j� i�tt Ground surface edew. Y Depth to limiting factorw tD "in. / etev. ,C) Soil Appftc;ation Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu. Az. Corr. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roofs GPD/Ff2 'Efi#1 Eff#2 Z 3 -^T 1 --≥J z9 — Z - J! . o -s 11 �t 7t7 q z t � ,� & t. f� Ucf ElBonng # O Borg ❑ Pit Ground surface elev. ft. Depth to limiting factor in. ! elev. R Soli Appric ort Rate Horizon - ? fJ'X Depth In. Dominant Color Mansell ts-n Redox Description Qu. Az. Cont Color s o Texture yZ Structure Gr. Sz. Sh. o; . Consistence 6 43 Boundary -v-- Roots GPD/Ft2 'Eff'#1 'EfiifE2 ,`j.3-3j5..)L7,4fJ___ mac. Z T r I, s __ __ __ s do L 1 Bering # Q Boring O Pit Ground surface elev. fL Depth to limiting far in. / elev. It MApplication Horizon Depth In. Dominant Color Mansell ' Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence ( Boundary Roots GPD/Ft2 „Eff#1 *Ef2 H. -f._ __ _ *Effluent #4 = SOD > 30 s 220 mg/L and TSS > 30 1 S0 mg/L * Etriuent 42 = BOD, s 30 mg/L and TSS 30 mg/L RECVD L?j: DEC 212023 w i vt d e - Re T us -�- 6 f e Cd. Co_ . y_ _ r° Vl ► .p ntn 9 1d c Agency 152 Nr ,e tJ x Iw ZZ S•{- ,J ck - 1✓4i D eZ � �, l -r Lrr N V, O S; &10 C d � Lo+ 5 , CS l -1 J.3 p. j Z 3S -'L654- L- --�-✓ ,►�,1�d•- doh � � r- 212-4 Q0 % Jcivj 36� _ pro pp5e� I 4 .f 'u' r ' '1- � 1 L - 1. l' �7 So: 1.5 5cs A. S3 o . w t *e e e+ Cod.- seek. * sou - .�- o o , r-} ECEIV,,„- er±.®t..-�� V 7r : - Sys: Bayfield Co. .i . " 3;L Planning and Zoning Agency Bey&Q '' e.C� cj ,►( Cts _4 ]{ ✓ � z -9 J it -_r ...»..a--..• =moao ooe. 3ci � 1 i-ti :-E t -- :::t::: qo--- 3 rib--- t ---- ���-=---- 3 •3 = +3 A fo/ � Sys LI SSW =-_. �5 `( -7, �� 9 -?------I---- —4--- qe " 1, c z -- W r 7 i :ECmAQ_U1 OF 4 In -Ground Gravity Plan DEC 212023 Index & Cover Sheet Bayfield Co. Component Manual Design References: Panning and Zoning Agency In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Pg 2 of 4 Pg 3 of 4 Pg 4 of 4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan ures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Windett 3 Bed Owner Name(s): Windett Rev Trust Owner Address: 14852 102nd St Circle N. Stillwater, MN Project Address: 66105 Co. H% Govt. Lot: 1/4 of Township: Iron River Project Parcel ID #: 19622 H. Iron River, WI 54847 Phone: 651 -335 -4752 Zip: 55082 1/4, Section 21 ,T47 N -R08 E❑or W❑✓ County: Bayfield Designer Information Designer Name: Jason Kuettel Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: Phone: 715 798 -3355 Zip: 54821 s Signature: _ Date: / 2- Original signature required on each submitted copy. (, tet+ Rev -crt,s+ t -Le, . 4ozPD St CL'rc-Ie l'J 54-. L( c3cc &t 1 MU SSoi�JZ se (o&1 os Co Eiw ll- L65+ LAC RECEIVE® DEC 21 zua L e` 4� sarfiem co. Tub lb IRr 2Z LaES, CS N( 0.3 P. `f #23c f: 38' "LeAA-er t« F 6oy4 ` IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) mIn. 12' SOIL COVER (typical) 12" min. trench depth (typical) (typical) '..•� .� .. System Elevation = 93.0 (typical) Septic Tank(s) Manufacturer. Wieser Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: Orenco Effluent Filter Model it FT -0822 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) ft Quick4 Standard -W w/ End Cap (Show location of inlet ) outlet pipe connection on plan view.) (typical) -----------77--------77----- L-----------t--------��--- B= 70 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 if EISA/chamber = 320 ft' + 1 Pairs of end caps @6 ft' EISA/pair = 6 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA= 3.011 (typical) `Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems. Inc.) Install pursuant to manufacturers instructions. = Proposed EISA per trench = 326 ft2 Required Infiltration Area = 643 ft' x 2 trenches = Proposed Total E SA = 652 RESET Distribution branched manifold D O m W 0 m "P in C 05 m D 2 Na v RECEIVED DEC 212023 . S.t_C TANK CROSS SECT=0N AUD Doing Agenq '... 4" Sct4,40 PVC IPISP. Drop 6 KIN. ABOVE GRADE. O (when tkIt+ tv�c �oe Fs burizd� P'� APPROVED H.4HHOLE �*I"71HED GRADE W/ Lc� _WAIR,�IV"_ L466L 18" NI?I . Ip!LLOUTLET APPR D DA•F£ E- O FILTER)_l APPROVED rlFG. 0KrjcO PIPE 3' ONTO SOLID model n T0$2.'_ SOIL 3" A.PPRt5JED BEDDING UHD�.P, TANK SPECIFICATIONS SEPTIC, TANK ?'MANUFACTURE W7tSL'1 Cce-' TANK S?LES: S??TIC (O00 GAL, UP' NOTES: r Bayfield County, WI 112!2024.9:51:55 AM 1:1,827 i- - Wetlands Approximate Parcel Boundary — Town 0 0.02 0.04 0.09 ml Rivers Road Type Building Footprint 2015 0.04 0.07 0.14 km Lakes -- County t Building Raybee County Land Ramos Cepann,ent Bayueld County Zoning Appll®ran MipsIlmapabayreI4munty.wI.g v/ZonIn9WAal 1/2124, 9:53 AM Novus-Wisconsin Access rev. 12.0206 Real' Estate Bayfield County Property Listing Property Status: Current Today's Date: 1/2/2024 Created On: 3/15/2006 1:15:34 PM i Description Updated: 7/1/2022 Tax ID: 19622 PIN: 04-024-2-47-08-21-3 04-000-40000 Legacy PIN: 024105707000 Map ID: Municipality: (024) TOWN OF IRON RIVER STR: S21 T47N R08W Description: LOT 5 OF CSM #235 IN V.3 P.4 TOG WITH SECOND PAR IN DOC 2022R- 595218 476A Recorded Acres: 4.700 Calculated Acres: 4.688 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 118 ''P Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE IS Ownership Updated: 7/1/2022 WINDETT REV TRUST STILLWATER MN Billing Address: Mailing Address: WINDETT REV TRUST WINDETT REV TRUST 14852 102ND ST CIRCLE N 14852 102ND ST CIRCLE N STILLWATER MN 55082 STILLWATER MN 55082 P Site Address * indicates Private Road 66105 COUNTY HWY H IRON RIVER 54847 ® Property Assessment Updated: 8/2/2012 2023 Assessment Detail Code Acres Land Imp. GI -RESIDENTIAL 4.700 71,300 38,500 2 -Year Comparison 2022 2023 Change Land: 71,300 71,300 0.0% Improved: 38,500 38,500 0.0% Total: 109,800 109,800 0.0% LV Property History y. Recorded Documents Updated: 3/15/2006 N/A 0 QUIT CLAIM DEED Date Recorded: 6/24/2022 2022R-595218 O CORRECTION INSTRUMENT Date Recorded: 10/29/2021 2021R-591758 0 WARRANTY DEED Date Recorded: 4/12/2021 2021R-588041 0 LAND CONTRACT Date Recorded: 1/13/2014 2014R-553047 1120-538 0 CONVERSION Date Recorded: 233-485;322-162;488-236 https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=19622 1/1 es,""`"n•, • RECD Industry Services Division County 4822 Madison Yards Way Bafield DEC 212023 Madison, WI Sanitary Permi` Number (to be filled in by Co.) P.O. Box 7302 o�`'^oxws 4s Bayfield o. Madison, WI 53707 Sam ry ermit 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 may be used for secondary 66105 Co. Hwy H. Iron River, WI 54847 purposes in accordance with the Privacy Law, s. 15.04(l)(m). Sats. I. Application Information — Please Print All Information Property Owner's Name Parcel # Windett Rev. Trust 19622 Property Owner's Mailing Address Property Location 14852 102nd St. Circle N. Govt. Lot City, State Zip Code Phone Number Stillwater, MN 55082 651-335-4752 A ¼, Section 21 II. Type of Building (check all that apply) Lot # T47 N R 08 E or I?Jl or 2 Family Dwelling— Number of Bedrooms 3 5 Subdivision Name Block # ❑Public/Commercial — Describe Use ❑Cityof State Owned — Describe Use CSM Number Village of #235 V3 P4 ❑✓ Townof Iron River 111. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line Cif app icable.) A. ew System Ieplacement System Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) ' Holding Tank ZIn-Ground EJAt-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 IV. Dispersalirfreatment Area and Tank Information: Design Flow (gpd) Design So.1 plication Rate(gpd/sf) Dispersal Are Required (st) Dispersal Are mposed (st) System Elevati 450 ✓ 0.7 ✓ 643 652 93.0 t% LI 1V r n 0 Capacity in Total # of Manufacturer o Tank Information 11�ViY Gallons Gallons Units f 0 9 0 W U New Tanks Existing Tanks iZ d m a`U in N rn '4U Septic or Holding Tank 1000 I 1000 1 Wieser ✓ Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's Signamr MP/MPRS Number Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 VI. County/Department Use Only Approved ❑ Disapproved Pe'� ^it 'Fee Date Issued Issuing Aecm . ue jwn❑Oer Given Reason for Denial l''I-'tions Approval/Reasons for Disapproval a)Maw%W \DS 1 ownu' Attach to complete plans for the system and submit to the County only on paper not less than 8 iR x II inches in size SBD•6398car02/2 6IF WM1 t ngoxamJC /t%J RECEIVED Private Sewage System Maintenance AgreemetfC 291 fin/1NtbtTT 1 fit.S F Planning and )'iB5Z yoznd Sr. ciiZCL€ /N. S'TlLLuiri-et p,,.,j Site,Address lo(pi0.5 (0#/."fl rrWi YY. ON It)vt/L, w.= TaxtD# /56 2Z As owner, I (we) do hereby certny 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 fisted location in accordance with rules established in the WI _ Adm. Code, as from time to time amended. (COMPLETE Legal is required) DOCUMENT NUMBER 2O23R-601 636 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 12/21/2023 AT 1: 1 6 PM RECORDING FEE: $30.00 PAGES: 1 114 of 114 Section -7 t Township 4 L N. Range 00 W. Additional Legal Description: Town of /rZotI y'tl✓en-s Block Subdivision (Acreage) 4"? Gait Lot Lot 5 CSM # z75 Vol. .7 Page 41 CSM Doc # 3M'400 Return To: Planning and Zoning Department Area a In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other eotic 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 statation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make ich inspection, the tank is found to have less than one-third (113) of the volume occupied by sludge and scum. imo 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 Love. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. antic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance th manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. ivate Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified •ptage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three I years thereafter to determine whether wastewater or effluent from the system is pending on the ground surface. ounds At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be gushed out and swabbed if needed when e wastewater distribution cell component is inspected as provided above. vner(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 rpection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any man health hazard caused by the system. Bayfreld County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days m 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 ay be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the lax shall be collected as provided by law. e leans and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. > AIJ tr,rt .l'tsCi a(s) aftedby '7"7A4 Gr_Ait< Gile: __ fs v7 and sworn to before me on this date �is r. c _ _ `�"'�`�° Qa��'��'•`{1,�S�LIZANNE M WINDETT i 99-00 71 It NOTARY PNSLIC — _-�� -MINNESOTA My Commntim E'Yn 2wMry 31. a12S ...'OA 9Q)F 4 In -ground Gravity Management Plan DEC 212023 IMPORTANT: Bayfield Co. Planning and Zoning Agency 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 = 450 gpd; BODS ≤ 220 mgL'1; TSS ≤ 150 mgL''; 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 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 (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 filters) 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 Phone: Phone: 715-798-3355 Local government unit address: 117 E 5th St. Washburn, WI 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 If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Deb Kmetz From: Mckenzie Slack Sent: Friday, January 5, 2024 2:33 PM To: Tim Subject: RE: 66105 County Hwy H Got it, thanks!! McKenzie From: Tim <tim@andryras.com> Sent: Friday, January 5, 2024 2:31 PM To: Mckenzie Slack <mckenzie.slack@bayfieldcounty.wi.gov> Subject: RE: 66105 County Hwy H My apologies. I may have checked the wrong box there. He is completely removing the trailer and it will be a replacement system. Thanks, Timothy J. Clark PE Manager — Septic Department Rasmussen & Sons. Inc "A Family Owned Business Since 19x6" From: Mckenzie Slack <mckenzie.slack(dbayfieldcounty.wi.gov> Sent: January 05, 2024 2:28 PM To: Tim <tim@andrvras.com> Subject: RE: 66105 County Hwy H This one states new system, but we are already tracking a system on the property. Will there be two systems on the property or is this application for a replacement system? McKenzie From: Tim <tim@andryras.com> Sent: Tuesday, January 2, 2024 10:10 AM To: Mckenzie Slack <mckenzie.slack@bayfieldcounty.wi.eov> Subject: RE: 66105 County Hwy H Hi Mckenzie, They must still have it at Register of Deeds. I'm sure I hand delivered that one. Hope all is well! Thanks, Timothy J. Clark PE Manager - Septic Department Rasmussen A--�; w-mw or & $ous.lnc A Family Osmed Business Since 1946" From: Mckenzie Slack <mckenzie.slack@bayfieldcountv.wi.gov> Sent: January 02, 2024 10:10 AM To: Tim Clark <tim@andrvras.com> Subject: 66105 County Hwy H Hi Tim, Hope you had a good holiday season! I am missing the maintenance agreement for Windett Trust. Just so you're aware. Best, McKenzie Slack Assistant Zoning Administrator Hayfield County Planning & Zoning 117 E Fifth Street PO Box 58 Washburn, WI 54891 P: 715-373-3511 E: mckenzie.slack rrbayfieldcounty.wi. ogv BAYFIELD COUNTY SANITARY PERMIT (#04)-2401S STATE SANITARY PERMIT OWNER: WINDETT REV TRUST GOV'T LOT: LOT: 5 BLK: SUBDIVISION: Csm #235 1/4 114 SEC: 21, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 04-24 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL MCKENZIE SLACK DATE: 1 4 2 4 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: # MP 675751 Condition: System to meet all setbacks. Management plan to owner. Properly maintain per recorded agreement. Properly abandon existing system per SPS 383. THIS PERMIT EXPIRES 114/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION