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Home My WebLink About25-13S"" INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "" TIME RECEIVED REMDTE CSID DURATION PAGES STATUS May 20, 2025 at 8:00:55 a14 CDT 7157983470 37 1 Received MAY/20/2025/TUE 06:37 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) 3730114 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: Qncfry KQSi7Ui53Pn d— - 1S . —335'.5' Fax Number y 7/ Homeowner: nt .E[/ 1�O c�Yt� 1)'I �I -n Email Address �r1� nCFYy,QSFq,t flhIS9i'rthgcos. P an Immediate Phone Number So Zoning Sanitary �13 Dept can call you right back (if needed) Permit #: d Plumber's Choice Dept r �� No Inspection(s) during this time Date: /� J ��( /a w Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice ap Dept Township: Address # & Road Name: or Directions p 6�1.u�f To Site: Comments; Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: ulfonts/sanitaryfrequestfodnspection Zoning Dept (64/12/04); ® June 2023 Qp.PARtAfC Industry Services Division General Information Permit Holder's Name: Information Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report ,^4+,...r, 4- °ermit) WAYNE E NELSON 87260 EAGLE BLUFF DR BAYFIELD 54814 tillage setback to: County Q /� Sanitary 2-5-'3s ermit No: State Plan Transaction ID#: Parcel Tax No: TYPE I MANUFACTURER CAPACITY Prop. Line I Well Building Air Intake Road Se tic Oo'- O N/A Dosing N/A Aeration N/A Holding Pump I Siphon Information ump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Widtq Length # of Cells SETBACKFROM Prop. Line O Bung Wej' OHWM Type o Cell ,�, ( j�({%+5 < _/ Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number: )istribution System Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length Dia _ Spec Spacing ❑ Yes 0 No FT-1luse .11laA Elevation Data STATION BS HI FS ELEV Benchmark U A/j Bldg. Sewer Tank Inlet 3. Tank Outlet p3 0 Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manifold /t_7 scc Distribution Pipe Infiltrative Surface Final Grade (9D [ 3 X Pressure Systems Only Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes 0 No 0 Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.) l,cia / Irn,9-4o gj 2.zd ,.r /foea 7i' /ctc/kw/c4a,',ds Plan revisionrequired? ❑ Yes No Use other side for additionaHnformdVon. 2 2J Date POWTS Inspector's Signature Ace License Number .RRn_fh 1 n rR f 2IO1 A' Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonina(a)bavfieldcounty.wi.gov Web Site: www.bayfieldcountv.wi.gov/147 WAYNE E NELSON 87260 EAGLE BLUFF DR BAYFIELD 54814 Hayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know ) /t l 4-e S rre $ 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: Tank was crushed / removed and pipes disconnected by: on at AM/PM On 94172, at (PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: 9 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: Ulformslsanitaryproperlyowner-input April 2019 SS - cc \ Iii) in, ,�i� •� p: �; .I .; Industry Services Division 4822 Madison Yards Way County Bayfiield - I '. MAR 122025 K= B: ' L'f Madison. WI 5371)5 P.O. Box 7302 Sanitary Pemait Number Ira M filled in by Co.) Hiwiadd IA,, Zoning nknf Madison. \VI 53707 2S -I'S Sanitary Permit Application State Transaction Number In accordance with SPS 353 21(22). Wis. Mm Code, suhnussnm alibis loom to the appropriate governmental unit Project Address (if dtlTirent than mailing address) is required prior to obtaining a sanilaty permit. Note. Application limns far smte•oeand i'OW15 are submitted to the Department of Safety and Pmli ioml Services. Personal information you provide may he used for secondary Same purposes in accordance with the Privacy L.uw. s. 15.04(I)(m). Stirs. 1. Application Information — Please Print All Information Property Owner's Nome Parcel 0 Wayne Nelson 35742 Property Owner's Mailing Address Property Location 87260 Eagle Bluff Dr. (lint lot 2 City. Slam Zip Cade Phone Number Bayfield, WI 154814 715-209-5000 NW ,A_SW %. Section 02 y-50 N R 04 I: or W II. Type or Building (check all that apply) Lot a I or 2 Family Dwelling— Nunaher of Bedrooms R 1 SuWivision Name ❑Public/Commercial — Describe ilia Block a Cityor Village of State Omied — Describe Use CSM Number #1665 V10 P11 QTawworBayrteld Ill. Type orPO{VTS Permit: (Check either "New" or"Replacement" and other applicable on line A. Check one box on line ti. Complete line Ci applicable.) New System ❑ ) ❑lie laccnlent System p ✓ Idler Modlll@tiro( to pxlNllag System (explain) OAddlllaOat Prelfealnlclal Gllll (explain) Adding 4 Bedroom Capacity to existing system flIlolding'1'ank tIn-Ground jAt-Omde IQMound Individual Site Design Other Type (explain) (conventioml) C. ❑ Renewal Before ❑✓Rev'ision Chance of Plumber Drraasker to Nev Owner fist Previous Permit Number and Date Issued Expiration 06-183 9-13-2006 IV. Dlspersal/Treatment Area nod Tank Information: Design now (gpd) Design Still Application Rate(gpd'sl) I Dispersal Area Retaliated (s1T I Dispersal Area Proposed (sll I System Elevation 1200 0.7 11714 11764 93,8 Capacity in Total Nor ManuWctiner Tank Inlonuation Gallons Gullorw Units r o 7 Scw'Tmd< Exisoina'rnnk, Septic or l lnlding Tank 750 1000 & 1000 2750 3 Superior Precast (now) Nacsor toabanal ✓ Do,or4t k nunlwr O Q V. Responsibility Statement- I, tire undersigned, assume responsibility for Installation of the POW'I'S shown on the attached plans Plumbers Nnme (Print) I PluMher's Signature MI9MPIIS Number Business Phone Number Jason Kuettel� .r �._. -. 675751 715-798-3355 Plumber's Address(Street, City. State. Zip Coder PO Box 66 Cable, WI 54821 VI. County/Department trite Only rnApproved O Disapproved 14nnil Pee Date Issued Issuing )Irn : igno a : O Oevocr (oven Reason Ibr Ilrnlal Conditions tar ApprnynUlteasmis lbr Disapproval - Ei'u w e>Li *'} y *uk-c g21(> cam; d7 y1L�y Sfivrezc nl% yx nI f 01X't ' Ma Cj: rkchb•. GA -°x an,( c1v- e- ftkn G(i i' Ls 'tV (k4Lutt .tome, to complete plain rat the ss`ten. and subm4 m for ('aunt. only on poper not Inn Ilnm $ n] x 11 indin In star Pc6 %9oo.00 4I�II25 Rc 4 SBD-4395 (R. 1)2(2-2) $s -Q951) r^"^�bl,�! ti Industry Services Division 4822 Madison Yards Way County Bayfield MAR 122025 Sanitary Permit Number (to be filled in by Co.) l Madison, WI 53705 J `` �--- P.O. Box 7302 Madison, WI 53707 Baytleld Co. Zoning Dept �°�SWisMiC � 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(l)(m), Seats. I. Application Information — Please Print All Information Property Owner's Name Parcel # Wayne Nelson 35742 Property Owner's Mailing Address Property Location 87260 Eagle Bluff Dr. Govt. Lot 2 City, State I Zip Code Phone Number Bayfield, WI 54814 715-209-5000 NW % SW 'A, Section 02 T50 N R04 E IL Type of Building (check all that apply) Lot # JI or 2 Family Dwelling —Number ofBedrooms 8 1 Subdivision Name ❑Public/Commercial — Describe Use Block # City of Village of State Owned — Describe Use CSM Number #1665 V 10 P 11 aTown of Bayfield M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box online B. Complete line C if a licable. A. I�, ew System ON y ❑Re lacement System p y Odin er to System (explain) ❑Additional Pretreatment Unit (explain) Bedroom Adding 4 Bedroom Capacity to existing system B' Holding Tank In -Ground ❑4t -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 06-183 9-13-2006 IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) I Dispersal Area Required (at) Dispersal Area Proposed (si) I System Elevation 1200 0.7 11714 1764 93.8 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o u New Tanks Existing Tanks t .S te 0,0 wo, y C7 P. Septic or Holding Tank 750 100081000 2750 3 Supemer Precast(now) Wleser(existing) ✓ Dosing Chamber Eli 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 Signature MP/MPRS Number I Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Sheet, City, State, Zip Code) PO Box 66 Cable, WI 54821 VI. County/Department Use Only ❑ Approved I ❑ Disapproved Permit Fee I Date Issued I Issuing Agent Signature 0 Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval Armen to complete plans for Inc system and submit to the County only on paper not less than 8 In x 11 inches in size SBD-6398 (R. 02/22) MAR 1 2 2025 WIsconsin Department or Commerce SOIL EVALUATION REPORT Page / of S. Division of Safety and Buildings Bayfield Co. Zoning Dept. in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than B 1/2 x 11 Inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0 —lob - O -9 go Please print all Information. Reviewed by Date Personal Information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Govt Lot ,SC 1/4SC 1/4 S a T N R Lot # I Block # I Subd. Name or CSM# []City _ ❑ Village IX Town Nearest Road ❑ New Construction Use: Residential I Number of bedrooms Code derived design flow rate tnOD GPD IV Replacement /1 Public or commercial • Describe: Parent material Cg!-/9Gr /1L %ILL- Flood Plain elevation if applicable ft. Generalcomments Sys n-ni ' S791 and and recommendations: \.yn71JBnT7-I /IfL I / I ' Boring # Li Boring 9/ /,e pll Ground surface elev. ft. Depth to limiting factor :.>- 7c"in. �- Horizon Depth in. Dominant Color Munsell Redox Description Cu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/fl' •Eff#1 •Eff#2 0-Y nts c& 3O7 O,7 - gs c 3m r7 ,lam ,3 9 3rD cu2 j7or 7 /,h s 0 ,M Itic OF? Boring # UBoring Pp Pit Ground surface elev. -/tort) %p ft. Depth to limiting factor 5- in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr, Sz. Sh. Consistence Boundary Roots nMMueeuun Rdle GPD/ft' •Ef#11 •Eff#2 1 04 s ,es 3 O a - R w /. 90 ,e (, 5 kO 2r1 O7 i,6 - O G „. Iau_ wumgiL -tmuent az= tiuur< 3u mg/L and TSS <30m /L 9 CST Name (Please Print) Signal DENNIS L. BACHAND _ DST Numbe/r Address � ��/ ho e OX 5 Dale Evaluation Contlucled Telephone Number Washbum WI 54891 d ag o� 7iS- —a'07O SBD-8330 (R07/00 1111 MAR 12 [0[ Bayfield CO. Zoning DepL property Owner_______________ - Parcel ID # OO& 1W 0R99t7 /7 Boring ❑ Boring 3 # %S 6 .-7 E] pit Ground surface elev. it. Depth to limiting factor % 4 gin. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Si. Cont. Color Texture Structure Gr. Si. Sh.' Consistence Boundary Roots GPO/it' 'Eff#1 Eff#2 3 6 ≤-JVSYRCI& ___ C ml CO Sn) 127 o_ _________ O CU Cl? YRS O v - - Page of_ Soil Anolic do ❑ Boring # ❑ Boring ❑ it Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Si. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fl' 'Eff#1 Eff#2 ❑ Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Aoolic�ation Rafe I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Si. Cont. Color Texture Structure Gr. Si. Sh. Consistence Boundary Roots GPO/it' Eff#1 Eff#2 Effluent #1 = BOO,> 30 < 220 mg/L and TSS >30 < 150 mgt ' Effluent #2 = SOD, < 30 mg/L and TSS < 30 mg/L 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. 50 0.1330 (x.mroo) Page 3 of •3 BACHAND PLUMBING & HEATING P. 0. BOX 56 WASHBURN, WISCONSIN 54891 (715)373-2070 PLOT PLANU� FLY i = 40' MAR 1 2 2 I 1111. Uh 8ayfield Co. Zoning O .I 201 W. Washington Ave., P.O. Box 7162 sconsin Madison, W1 53707-7162 (608) 266-3151 rtment of Commerce Sanitary Permit Application In accord with Comm 8321, Wit Adm. Code, personal information you p�ovide maybe wed for secondary purposes Privacy Law, s15.04(11(m) turn . LI Aj: ' . . 11((.. Type of Building (check all that apply) or2 Family Dwelling —Number orSedmoms ❑ Public/Commercial— Describe Use ❑ State Owned— Describe Ux Property Location 5. 56'q - St A 5E,,, section__ 'I'�N; R red ❑City_❑Village ID. Type ofPerinit: (Check kkrrrronly one box on line A. Complete line B it applicable) A. ❑ New System yq Ro toccmct System ya p y ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. I O Permit Renewal ❑ Permit Revision ❑ Change of P O Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber OwnerI , Non—Pmiudud ln-Ground ❑Mound≥24 in. ofsuitabte soil ❑ Mound <24 in. of suitable soil ❑At -Grade ❑ Single Pass Sand Filler ❑ Constructed Weiland ❑ Pressurized In -Ground ❑ Holding Tank ❑Pat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Fitter ❑ Recirculating Synthetic Media Filler ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (oxplainl Gallons Gallons of units Concrete Constructed Glass New Exittwg Tanks Tanks SrpicosllaWiea.Tank r woos 2 Arabic Treatmem Unit losing Chamber VII. Responsibility Statement- 1, the reigned, assume rea risibility for Installation of the POWTS shown an the attached plans Plumber's Name (Print) P rs Signatu) MP/MPRS Number Business Phone Number Dennis L. Bachand 221446 715-373-2070 P. O. BOX 56 Washburn WI JA Approved I O Disapproved awuwy rump roc IsnOruue5 tsraunurmser Mete 1551100 1559111$ #IffIU err iry stamps) rcharge Fee) p r r �, 9 7 ❑Owner Given Reason forponial Z'� S ct/n_/cc ( f3�ob IX. Conditions of Approval/Reasons for Disapproval r safe -e^- CYti.r• ciz.3c ') (e.} Kec (_ .Wr— c> 1,,..i .:.+',r>) OLLLC& CM. i.: -'s'- Bz .'S S- G'rbr rs� Attach emplele plw.(to sae teeny rely) for the ayam oo paperuer ins than 81/2,11 baba Is sin C' �5' SBD-6398 (R. 01/03) ��eta!)a' story S BACHAND PLUMBING & HEATING P. 0. BOX 5G WASHBURN, WISCONSIN 54891 (715)373-2070 PLOT PLAN SCALE 1" = 40' Driveway F!O.W.1:s Omiliriuuul/i, e\ COUNy l- 1 E COp,�o 9Ei•1;++�� 22 Chambers OW Well 51! WIN 21041 - 1,000 gallon concrete tanks existing PL -122 Polylok filter in second tank Oak d Nail @ base Elev. 100.0 21 Chambers 96.0 95.0 I Four Bedroom Residence 727' PRIVATE ONSITE WASTE -TREATMENT S - EMS Nvisco/ sin (POWTS) Department of Commerce INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION Name: • I I O City ❑ village nip BM EVv: es /yueacupuu',. p Ioo .DQ AI(.- 1434y� a to 4 o Iw'in llvr TYPE V,l1.I(1.,..,. MANUFACTURER CAPACITY Septic 1% rntlsfi/l 7003 Dosing Aeration Holding uu>nete]11/.it ING(lMftl IF IN a1I•. vr. ter... TANK TO PIL .... ------ WELL BLDG aRlrrrtmre ROAD Septic :5"`r NA 1o' }t00` NA Dosing Aeration NA Holding PUMP I SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift ;Fncuoss System HeadForcemain Dia Dist To Well YIV, V1 --------o.. DIMENSIONS _.----- I Width 7i --.. Length I NootCeRs (Z(2z11 SETBACK P1 L Bldg Well 0HWM of Nav Waters INFORMATION CELL TO r !ao +1 ►LM ;LVI'11,0 -nI STATION Benchmark fidg.LInlet BS HI I t01''2- t FS I'' - ELEV t 0.Oo djc 11)1ssJ Dt Inlet {i f 4) Qr i Dt Bottom Installation 4t"� Contour Syy '11A Header I Man. Dist. Pipe e - Infiltrative Surface •p,yt, tqk. y — Final Grade 3 5v ti Type of System LEACHING CHAMBER Manufacturer'tot- /r ,1'I (4*w(*oN Number: Model �.UfAG t� A Fressure ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) !, , , U t�,` hvo ta. A gtucp 6d- ctfe • eec'X +-t _ DEdrJls r�nc� Aso V tuf�F- flod knr:[J*t, j44tt1 UAV t- l3Att tror( (1 tytDc1i.a- oaf? .EM -t e rJ Crtt•1 ofW%i ttua PUt•ci Mc -Oww. ZL Cb�4113Cx5 to SWtil fv-%ti Z( t4►utiEys trJ Ffii tt4o- Vol. PC►'IAnt•V <0i Plan revision requiredl0 Yes)5 No Io Zo 01 r Use other side for additional information Date POWTS Inspector's Signature Cart No Bureau. of Field Operations, PO Box 7302, Madison, WI 53701-7302 SB0.6710 (R.3/01) CaE OF 4 In -Ground Gravity Plan E G E � lQ � L� Index & Cover Sheet MAR 12 2025 Component Manual Design References: vorl �o. Zoning Dept. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022027 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: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Nelson Septic Upgrade Owner Name(s): Wayne Nelson Owner Address: 87260 Eagle Bluff Dr. Bayfield, WI Zip: 54814 Project Address: Same Govt. Lot: NW 1/4 of SW 1/4, Section 02 , T50 N -R04 EDor W 0 Township: /34-iFl t'' -'b County: Bayfield Project Parcel ID #: 35742 Phone: 715 -209 -5000 Designer Information Designer Name: Jason Kuettel Designer Address: PO Box 66 Cable, WI E-mail: tim@andryraS.com This space reserved for approval stamp. License Number: 675751 Phone: 715 -798 -3355 Zip: 54821 Remarks: Signature: Date: - 6 __ Original signature required on each submitted copy. QWptom- wp crJE NtISoN 87ZGo ta&t_c %SLL, ,C tbI2. ?A v1=itc-r, i s SWBItI S oZ Tsar2c94 vJ cot- t c St f /665 via ?LL N�rJw SCc I 4- r'" /SE 9- St St Sec Z i I' t X5'7 4 Z 8 3z� CAr�LCt1 L h vpG BLS (Gxrtn-6 22 chambers C' 9d r aM€E'S play. , Ia o l='' ya Driveway O Well p L 6RII nW941 MAR 12 2025 [Pi Bayfield Co. Zoning DepL - 1,000 gallon concrete tanks existing PL -122 Polylok filter in second tank I� (�YtiT/I`NG) TO w}N New SuPERI',i PZCC/Lr7- . /� no LJl/ O¢C-NLQ .4_i BM 10" Oak Nail @ base Elev. 100.0 96.0 poc'TLOC 't -7c DIr21tlTt o.N O oec 95.0 Four Bedroom Residence 727' IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 2" min. trench depth (typical) MAR 12 2025 Li I - (typlcal) Septic Tank(s) Manufacturer. Superior Precast (new) Wieser (existina) Septic Tank(s) Volume(s): 750 gal 1000 gal 1000 gal gal Jv00 El' tx Effluent Filter Manufacturer: Orenco Effluent Filter Model n: FT -0822 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Elevation = 93.8 ft (typical) ?o fa r�sL rv,,r = rso G1 .-c,..�S-. _ z s os . 6 6 �`-- Provide minimum 3 ft separation between trenches. W Co. Z !Pk4}§ tndard-w g3 oS W/ End Cap (Show location of inlet I outlet pipe connection on plan view.) ohse((tyapical) Pipe J_ (typical) Install per manufacturers Instructions. // h"YYw.wwYT w..w.Y 1 T ° I nI I A=3.0ft LauiIpuflu+=.tn s _—_--t-.______--�—_— aaY •..w.�.�.�.w.J (typical) B= 90 ft (typical) INSTALL PER TRENCH: 22 Quick4 Std -W @ 20 fly EISA/chamber = 440 ft2 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft' TYPICAL TRENCH PLAN VIEW (No Scale) `Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturefs Instructions. C) m W O m a = Proposed EISA per trench = 446 ft2 Required Infiltration Area = 1714 ft2 Distribution Method: tJ x 2 trenches = Proposed Total EISA = 892 N ft2 '' ` ,3oy� IflN R 7y CXv %('j SF Wtfzr' Con °L( 7Z TIC TANK 5 T70N AND SPECI-'ICATI0NS 4" Scd•4oeiC IrISe_ Pro6 Hrf{, P.3OVE GRAD:(pt)uu MAR 1 22025 (when %nle+ tr�eo e. 4s hu ied ayfield Co. Zoning DepL APPROVED MANHOLE FII•l=SHED GARDE W/ LCxK ( �. _ WAR ✓iNN LABEL U I w l" KIN. 18" HIN. I i•ILET APPRQ3 Q a4 -9E - FILTER APPROVED rtes. OV ev�co PIPE 3' ONTO SOLID I model n r-o9a-z- 3" APPROVED BEDDING UNDt'. TAM; SPEaFICATI ON5 5 EFT,ic TANK NPNUFACTUREx: WlSS&L UNcae TANJ( SITES: SI?TIC (60O GAL. &'CtSl 1 = /ouo G'— EMS-r7'1G NOTES: s-e2-lur- p(tecodr 75t OUTLET r PAGE O 4 In -ground Gravity Management PIar1!, MAR 1 ZZO 5 IMPORTANT: , ayfleld Co. Zoning Dept. 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 = 1200 gpd; BOD5 ≤ 220 mgL-1; TSS ≤ 150 mgL-1; FOG ≤ 30 mgL-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 (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 Phone: 715-373-6138 Local government unit address: 117 E 5th St. Washburn, WI Phone: 715-798-3355 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. SS - opsl l Iii, IE ; H G V• fs 11 • ' a' Industry Scn ices I)ivision County - 4622 Madison Yards WayB2yrleid Madison. WI 53705 tl I; MAR 12 2025 Sanitary Permit Numbernohe filled in by Co.) SP 5 P.O. Box 7302 Madison. WI 53707 F3246HId Co.Zoning Dept. 25—UIS Sanitary Permit Application State Transaction Number In accordance with SPS 333 21(2). µ'is. Mm Code. suhnussion of this torn, to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note. Application fines for stale -awned 14)\YIS are submitted to Project Address (if dilteent than mailing address) the U.7nnnaent of Safety and Pro fissional Services. Personal tnlamnalion you provide may be used for secondary Same purposes in accordance with the Privac • Law. S. IS oJ(I I6it). Slats. O 1. Application Information— Please Print All Information Property Owner's Name Parcel a Wayne Nelson 35742 Property Owner's Mailing Address Property Location 87260 Eagle Bluff Dr. ti11V1, or 2 City. State I Zip Code Mine Number Bayfield, WI 54814 715-209-5000 NW V.• SW V.. +r Dim, 02 T 50 N R 04 R or µ' It. 'type of Building (check all that apply) Lot a .1 or2 Pannly Uwellmg- Number of Bedrooms R 1 Subdivision Name [j'uhlic/e'ommereial - Describe Us' Block 0 OCin• of Village of Slate Owned- Describe Use CSM Number #1665 V10 P11 ❑✓ Tawaof Bayeeld 111. Type of 1'O\\"I'S 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 ❑Rc lacemcnt System p > ✓ )Ihcr \Indilicatiun to Fsisung System Icxplainl AJJitional Pretreatment Unit Des ainl pl ding 4 Bedroom Capacity to existing system B' iThlolding"onk t1ln-Ground DAI-Ovule IjJMound jlndividual Site Design Other Type(exptairl) (conventional) C. Li Renewal Before ✓❑Revisian 'lrange of Plumber D1'ansfer to Neu Owner bast Precious Pemrit Number and Date Issued nxpiralion 06-183 9-13-2006 IS'. Dispersallrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpdhD I Dispersal Area Required (s0 I Dispersal Area Proposed (sO System, Elevation 1200 0.7 11714 11764 J.8 Capacity in Total A of Munufaeltuer Toni Information Gallons Gallons Units C 'r New Tent r i.ihne Tank,. e p y . Septic or lblJmg Tank 750 1000 8 1000 2750 3 Supencr Precast lnm•)tvmser leasdng) ✓ Uuma Clamber Q V. Responsibility Statement- I, the undersigned, assume respansibitily tar Installatlm, of the 1'Gµ" bS shown no Ilie attached plans. P1 umber's Name (Print) I Plumber's Signatory Ni Pr\t I'RS Number Business phone Number Jason Kuettel .�% 675751 715-798-3355 Plumbers Address(StrKL Cn). Slate. %ipCode)��''— PO Box 66 Cable, WI 54821 VI. County/Department Use Only Approved ❑ Disapproved I Permit Fee I S t)ateIssued Issuing Therlyianawre \ ❑ U,mcr (liven Itenxm 1'ur Serial `/ Z Y— v Conditions of AppmyalAteas(nrs Sur Disapproval , f Sh'vC{7ti� -"l.lt,U 2 e>L(*Y y '%Qa,ka are (.tx�il ylti' L ' —�jo ctr� ht7 C(��j,Y4UI7%Y'L /'A a'( C.0 1t l e ( CCb +0 l2dJLL ,narlimnnnplem Plxn. Lit ilit epuom and .ul n:h I,, am('.,urn" 0,.a jn.f,.r nor lit. ib.rsi_. II �� cQ L ,ao. oo 412112s Reis SBD-6398 (1t. 0222) Wisconsin Department of Commerce Division of Safety and Buildings MAR 1 2 2025 SOIL EVALUATION REPORT g in accordance with Comm R5. Win Adm r.M. Ba�eld Co. Zoning DeptPa a of .3. Attach complete site plan on paper not less than B 1/2 x 11 Inches in size. Plan must County include, but 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. Parcel I.D. OD &,— lot— O _ a Reviewed by Date Please print all Information. Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Property Owner j, of Properly Locp s SC,c Govt. Lot SC 1/4SE 114 S T 6D N R L} (or W Property Owner's Mailing Address 'n D Gt-s 1ST Lot # Block # Subd. Name or CSM# Clt State Zip Code Phone Number Deity ❑ Village Town Nearest Road ❑ New Construction Use: Residential / Number of bedrooms Code derived design flow rate �Op GPD ,W Replacement Public or commercial - Describe: Parent material (st-Ac, AL 7 LL Flood Plain,, elevation if applicable ft. Geand recommendats �/-11�� Sys7�'r'j 8S 91 and recommendations: �pq7 Ue+�TI FiL 7 A)E E„jJFp a Boring # Boring 9 ,tie pit Ground surface elev. ft. Depth to limiting factor �7rin. I -� Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots y„w OUliflaic GPD/ft' 'Eff#1 'Eff#2 5Y,P3 3 Q,, 7 ho -@ syles a ml O& 3m 0,7 ,& ,3 '33& c& o,7 ,o s s ,lam —1w OF? u uonng Boring # �g Pit Ground surface elev. 9/n,t7 to ft. Depth to limiting factor 7' %S in. Horizon Depth In. Dominant Color Munsell Redox Description Qu, Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots vn nppnwuun Hate GPD1ft' 'Eff#1 Eff#2 o- sti 3t1 a - R w 3m 0,7 1, 0-&O R , S ,f.o 0,7 - — 0,7 b ••• - —s - _ "a"- I J.J , w myn. - cniuent ez = euu, < 3u mg/L and TSS < 30 mg/L CST Name (Please Print) Signatur DENNIS L. BACHAND _ CST Number Address 'nnu t Conducted ho e Nu 0� BOX 5 Dale Evaluation CTelephone Number Washburn WI 54891 gage 715-373-�n�n SBD-8330 (R0710C Property Owner /VEZSOA] Parcel ID # OP&— /GD8— 02-990 ❑ Boring # ❑ Boring ® pit Ground surface elev. 9.c,.s ft. Depth to limiting factor Horizon Depth in. Dominant Color Munsell Redox Description Qu. Si. Cont. Color Texture Structure Cr. Si. Sit- Consistence Boundary Roots GPD/f 2 'Eff#1 E##2 3ry p 6 CO 3 i S a kd ir a ,? ________ O V - - _,o-ics-rngI&, uflfl MAR 12 2u25 Bay!beld Co. Zoning Dept. Page _ of Soil Aool� Soil Rate I ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/f12 'Eff#1 Eff#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. It. Depth to limiting (actor in. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft° Eff#1 'Eff#2 Effluent #1 = SODS> 30 < 220 mg/L and TSS '30< 150 mg/L ' Effluent #2 = BOD, c 30 mg/L and TSS < 30 mg/L 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 608-260-3151 or TTY 608-264-8777. sea -8330 (a.elbe) BACHAND PLUMBING & P. 0. BOX $6 WASHBURN, WISCONSIN (715)373-2070 (n��I� PLOT PLAN uU SCALE 1" = 40' �IIII1111njFl� Page HEATING 54891 flU MAR 1 2 2U[5 LI Bayfield Co. Zoning Dept 3 of -3 I PFrr-h/rn ern n r ran p400(asootca4o4000a0000 iTwid'B(ii1dfflM)ivWioW L.UIJU County Wscqn�in 201 W. Washington Ave., P.O. Box 7162 f/t-2.D Madison,WI 53707-7162 Sanitary Permit Number filled i (to be of COmmBfCB (608)266-3151 0 -I93r� Sanitary Permit Application State Plan ID. Number In accord with Comm 83.21, Wis. Adm. Code, personal information YOU pride Address (if different than mailing address) may be used for secondary purposes Privacy law, s15.04(1Nm) --- I. Application Information— Please Print All Information Property Owner's Name 5LiP 1 : 2Q06 ! '•. U Pxul 8 Lot a Black a NIF ,n%2so ii) D -eta-9 Property Owner's Mailing Address ,. _ Dept Au £sc Property la:YlioO e7acD E s.s v €v.., Section Sat,, I Zip Code I Phone Number City, liAlnas,tar ISVBN-.S r W TN; R4 M Type of Building (check all that apply) Subdivision Name CSM Number tp�11.. t or 2 Family Dwelling— Number of Bedrooms 5/ /❑ Public/Commercial — Describe Use ❑City_❑VilIagefowmhip of ❑ State Owned— Describe Use 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System ktI Replacement System /❑- ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ permit Renewal Permit Revision O Change of I❑ Permit Transfer to New List Previous Permit Number and Dale Issued Before Expiration Plumber Owner Type of POWTS Sstem: Check all that a xxxIV. tat Non —Pressurized In -Ground ❑Mound≥24 in. ofsuitable soil ❑ Mound< 24 in. of suitable soil ❑At -Grade ❑ Single Pass Sand Filter O Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Fillet ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Flt" ❑ Leaching Chamfer ❑ Drip Line ❑ Gavel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) I Design Soil Application Ratc(gpdsf) I Dispersal Area Required (s0 Dispersal Area Proposed (sl) I System Elevation DD r S €3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic alfnWiag.Tw,k t coo Aerobic Tmuanl Unit Deigg Ciiarrbsr VII. Responsibility Statement- I. the reigned, assume res aaibility for installation or the POWTS shown on the attached plans. Plumber's Name (Print) P '5 Sigmt MP/MPRS Number Business Phone Number Dennis L. Bachand 221446 I 715-373-2O7O Plumbers Address (Street, City, State, Zip Code) P. O. BOX 56 Washburn WI 54891-OO56 VIII. County/Department Use Only A[t Approved ❑ Disapproved Sanitary Permit Fee (includes GroundwaterDate Issued Issui g i Si (N Stamps) -I ❑ Own" Given Reason for Denial rcharge Fee) eo S g/r zJ0(r' O 1 /1,31O IX. Conditions 01A roval/Reasons for Disapproval Qvr .._P Q�,xrwe+X.& i r JtS°'1 f)C+U,) _vt" L Co} Cu / -0t L 34s ✓`°flj4,ftA. el2mu#cot CLu) r. off? , L- L ire- .3 raeux& p G -r, &'Z c Arsach comperepaua.(rorbt Comp only) for rbc sYsam oo paper not In, than alts 11 lather lasix 0S SBD-6398 (R. 01/03) et8na/ Story Page 2 of 6 X\ BACHAND PLUMBING & HEATING P. 0. BOX 58 WASHBURN, WISCONSIN 54891 (715)373-2070 PLOT PLAN SCALE 1" = 40' P.O. W.1:S Cundinonally APPRCIIED , SfLAyFJELp OUNTY Ef�TS �o SME 22 Chambers Driveway O Well - 1,000 gallon concrete tanks existing PL -122 Polylok filter in second tank BM 10" Oak Nail @ base Elev. 100.0 21 Chambers 96.0 i Four Bedroom Residence 95.0 727' ` PRIVATE ONSITE WASTE- TREATMENTS EMS �1�sconsin (POWTS) F117 F0 Department of Commerce INSPECTION REPORT Safety and Buildings DiMMslon (ATTACH TO PERMIT) GENERAL INFORMATION 100.00 ❑ City O Village C5it5� 6F to" Of- *e TYPE M. fllllfl MANUFACTURER CAPACITY septic v�i� roc I%-rfyk q L003 Dosing Aeration Holding Inn,'--. -. TANK TO ._. . PIL ..-- ---- WELL --- BLDG iNinxe ROAD Septic TS l NA Dosing rya iioa NA Aeration NA Holding PUMP I SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Fricti oss System Head TDH Ft Forcemain L ngth Dia Dist To Well DIMENSIONS Wldfh Zi Length 7lSETBACK PIL Bldg :N01elts Ol1WM of NavINFORMATION WatersCELL TO� I IUN ST.7 r Cm J.VrnI.V.. wr.... STATION BS HI FS ELEV Benchmark toi 3Z f.2)1 100.00 Bldg. Sewer Stl Ht Inlet St I Ht Outlet i 1 rsD Dt Inlet fi 4't) P Tc t—' Dt Bottom - Installation tit+fit Contour Syi `�1-r� Header I Man. Dist. Pipe 6. Infiltrative Surface Final Grade �. 3 'it- (i.3 I -- ii' Type of System LEACHING CHAMBER Manufacturer. 1W iir.l 4-rvF-- ��. I (1�GAi(pN Model Number: (� `r x Pressure ❑ Yes ❑ No Dia COMMENTS: (Include code discrepancies, persons present etc.) ei*il7 1 f 1`� Y+'v r ok%iGn OA- �'kfe - ov tk, hif - &AiSi5 13 -recd POtYLOL� _ '., Off %� r e a +�, oeM %Mtoa Pfos 1jPoA kiii-fdkl, cten usWU- &44t t4 'it- ( kt-l6S-5 fa 5*M t &-' Z( c4jta( •s 14 44.14 1140 - t pL VL►,e4 00tfl (( s Plan revision required?❑ Yes )l No to Z0 Ob c 8 ¢ S p Use other side for additional information Date POWTS Inspector s Signat Cart Noure Bureau of Field Operations, PO Box 7302, Madison, WI 53701-7302 SSD-6710 (R.3/o1) y L. etb. aouoy -7-& P GE- OF4. In -Ground Gravity Plan n E G E D Index & Cover Sheet MAR 122025 Component Manual Design References:�o. Zoning Dept. In -Ground Soil Absorption for POWTS Version 2.1 (May 2021 027 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 Nelson Septic Upgrade Owner Name(s): Wayne Nelson Owner Address: 87260 Eagle Bluff Dr. Bayfield, WI Project Address: Same Govt. Lot: NW 1/4 of SW 1/4, Section 02 , T50 N -R 04 E U or W U Township: /3 7Fr e-\ County: Bayfield Project Parcel ID #: 35742 Phone:715 -209 -5000 Zip: 54814 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 Signature: Date: 3 6 25 Original signature required on each submitted copy. 0l-Ir'E�'� WA`(Nc NtISoN A -1 zesc : e?Zo EAGc - (xLL?ei ctR. j2A vr-tc'T, wi Sv91t1 L�Ga S o2 j sera i-O"l v�) tcI t c S,- #z /66S via ?" NWl,ft.l S'ec I 4- N6/sE c— St se J'cc Z SGP1C -M ACco�oytTC Qj 3Zca- ncrt Cc l'Th v?G tIt CS (sqsn'6) 22 Chambers Zt CH4MQiIJ - (t_J CrMnnBE�S' y'cptt I F (=yo' 90 Driveway OW Well EC�II WI MAR 122025 Ii Bayfield Co. Zoning Dept. - 1,000 gallon concrete tanks existing PL -122 Polylok filter in second tank (Ct%cr,N G) TO REMkt ) NtW 5u2trtlu,R Paec4.rr 7$O .Jj/ cac,LO rIL IZ7L S9 BM 10" Oak Nail @ base Elev. 100.0 96.0 pbtllo C_ S f 7A Di fz.aLnui Ua,c 95.0 �APL,s�sl Four Bedroom Residence 727' IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) ffljjfjj SOIL COVER 12' min. trench depth (typical) MAR 12 2025 min. 12" (typ.. ical) (typical) Septic Tank(s) Manufacturer. Superior Precast (new) Wieser (existing) Septic Tank(s) Volume(s): 750 gal 1000 gal 1000 gal gal NCN CK rK Effluent Filter Manufacturer: Orenco Effluent Filter Model #: FT -0822 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Elevation = 93.8 ft (typical) ) o Co. z&filSSU&�ndard-w 93,05 vJ7 End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r- -----------0--------- ---- I -----------_-------��--- B= 90 ft (typical) INSTALL PER TRENCH: 22 Quick4 Std -W @ 20 ff EISA/chamber = 440 ft2 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 TD rs r arc= Z�5° G4 � _. �- $oS 6 Ge"`-- ` Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3.0 ft (typical) "—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems. Inc.) Install pursuant to manufacturer's instructions. D G) m W O m = Proposed EISA per trench = 446 ft2 Required Infiltration Area = 1714 ft2 Distribution Method: Nc0 x 2 trenches = Proposed Total EISA = 892 ft2 11- ' yT_ _ _•n e _ ,___ �7v cXls�tNC� I�titr C-0 °LzZ EPTIC SS SECn_on AND s?ECI:ICArIctIS 12 4" Sc he44 UC ICT m p - 6 " Hi?!. ABOVE GR:D'(PT) MAR i 22025 (when �nie+ tr�c-��c�e Ps buried, j Bayfield Co. Zoning Dept FINISHED GRADE hr 18" fiH. I tILET O FILTER AP PROVED JIrlFc. Otncn PIPE 3' ONTO SOLID I model # cTo9a2- SOIL II 3" APPRQVED BEDDING UNDE.P, TA^IK SPEZ[FICATIONS SEPTIC TANK MA.NIUYACIURER: "IeS&L C.ONc/i€1-E Te4.NK SIZES: S_=TIC 1000 CAL. & Icr1&ca /0OU 6A -L- ec.-ISnr'G NOTES S9&-°" przccadr 750 APPROVED MANHOLE W/ Lcp W�fR✓iv� CBEL 4" HIM. OUTLET r ufl PAGE4O 4 In -ground Gravity Management Plan'! MAR 1 11015 IMPORTANT: sayfield Co. Zoning Dept. 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 = 1200 gpd; BOD5 S 220 mgL-'; TSS S150 mgU'; FOGS 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 (/.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 (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 Ra3muS8en & Sons Local government unit: Bayfleld Co. Zoning Phone: 715-373-6138 Local government unit address: 117 E 5th St. Washburn, WI Phone: 715-798-3355 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. Private Sewage System Maintenance Agreement DOCUMENT NUMBER Owner(s) Name 2025R-606965 VJAlNG NEL$oN Owner(s) Mailing Address DANIEL J. HEFFNER REGISTER OF DEEDS 8_1Z60 EAGLe UUL.hr tbs. RvAltz lam, .f`/6)L( BAYFIELD COUNTY. WI Site Address Sa - RECORDED 03/26/2025 AT 1:58 PM Tax ID # 3s.� `i .� RECORDING FEE: $30.00 PAGES: 1 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) /VIJ 1/4 of 3t^3 1/4 Section OZ. Township Co N. Range o4 W. Recording Area Additional Legal Description: Return To: Town of ig'f F I t_t7 (Acreage) ]' 5 Gov't Lot Lot_ Block Subdivision Lot I CSM# /6/05 VoLLPage it CSM Doc# 2cxn2-Szty6/Z Planning and Zoning Department m 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 (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 Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers 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.abaternent of a human health hazard, and the tax shall be collected as provided bylaw. EoWEThe terms and conditions of the agreement. shall be binding upd}tand inure to the benefit of all current and future owners of sp e4g Owner(s) Name(s) — Please Print ^r Subscribed and sw m to before me on this date: MAR E NEC.So '• 34 .� Bay field Co. Zo age=' N�-ot�arized Owna nature(s) - - � Notary Pu ��.� �Y My Commission Exp' es: Drafted by: 77,* t_LR-(l1'— Date: _3 /a /. c 025 ing Dept. Proofed by: ti/to rs/sanitary/septic maintenceagreement Revised July 2020 4/21/25, 3:06 PM CarmodyTm BAYFIELD COUNTY SANITARY PERMIT (#04)-25-13S STATE SANITARY PERMIT OWNER: WAYNE E NELSON G OV'T LOT: LOT: 1 B LK: CSM: 1665 1/4 1/4 SEC: 2, T 50 N, R 4 W TOWNSHIP: Bayfield SOIL TEST: 184-06 OTHER MODIFICATION SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL CeCe Rudnicki DATE: 4/21/2025 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 #: 06-183S LICENSE: # MP 675751 Condition: ENSURE EXISTING TANKS ARE WATERTIGHT: STRUCTURALLY SOUND. PROPERLY BED DISTRIBUTION BOX AND ENSURE FUTURE ACCESS TO ADJUST. PROPERLY MAINTAIN SYSTEM PER RECORDED AGREEMENT. THIS PERMIT EXPIRES 4/21/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•//www rarmnrlurinn rnm/PPrmitAnn/Parmit Sinn acne?Print=1 P.nPrmitannirl=7A9;A 117