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HomeMy WebLinkAbout25-18SREMOTE CSID DURATION PAGES Request for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection —(715) 37341114 If you do not have a fax and must email the Inspection; you must email all staff members. Note fl Time Change fl Discrepancy fl Other Phone Number Plumber: /� p0 ,4) ry tlalsnwssen r -Sens —3.3cr Fax Number 7/5- 7qg- Homeowner; / f� I n r 'IQ nncZ �tST 1 ¢t Uuu Email Address ndrYras(�(�i m1 s , Qtdr QS. r8anitary. I Q Immediate Phone Number So Zoning Dept ran rail you right back (if needed) mit #: Plumber's Choice Zoning Dept Date: No Inspection(s) during this time Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice Zoning Dept /:oopnh A Township: Jrn Kwer Address # & Road Name; j Q c' T� 0 7 9 f or �9 +� lf/6c5L �illi2 �f Directions To Site: Comments: Plumbers you must verify any change(s) by fax or email *` Notes from Zen ulformslsanitaryhequesttorinspection Zoning Dept (®4/12/04); O June 2023 q� .fro ARflf i .SP Industry Services Division General Information Permit Holders Name: Information Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report rA*n^h +^ °ermit) JUSTIN J KAISER & LIANNA P FAGAN 68880 COUNTY HWY A IRON RIVER WI 54847 setback to: County Sanitary ermit No: State Plan Transaction ID#: Parcel Tax No: 2e'77 TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic "'2/ r% N/A Dosing N/A Aeration N/A Holding Pump / Siphon Information Pump 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 Widt ILen # of Cells SETBACK FROM Pro Building Well OHt Type of Cell Manufacturer: /415 Model Number. _i/ Pretreatment Unit Manufacturer: Model Number: )istribution System Header / Manifold Length Dia Disbibufl ipe(s) Length Dia L Spec X Hole Size X Hole Observation Pipes Spacing ❑ Yes ❑ No Soil Cover Elevation Data STATION BS HI FS ELEV Benchmark DA. 7 Bldg. Sewer 7 75. Tank Inlet Tank Outlet 6 Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold 7 ?/ 08 Distribution Pipe Infiltrative Surface 7d q _b Final Grade X Pressure Systems Only Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil O Yes ❑ No O Yes O No COMMENTS: (Include code discrepancies, persons present, etc.) %Cif ;fl uA.,Llts 4rc/21c,•+'' h:laIin j Li?i du� t, -ddb Plan revision required? ❑ Yes Use other side for additional inform lion. Ran1J9n /R migii Date POWTS Inspector's Signature License Number BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 • e-mail: zoninonabavfieldcountv.wi.00v 117 East Fifth Street Web Site: www.bayfieldcountv.wi.ciov/147 Washburn, WI 54891 JUSTIN J KAISER & LIANNA P Property Owner FAGAN 68880 COUNTY HWY A Information IRON RIVER WI 54847 As you know GlCl�i ¢ $oi5 S 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: 1 Tank was pumped by: C. Tank was crushed / removed and pipes disconnected by: on at AM/PM On 5% 2 at (-c�' (AM /c11e 1tfie 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: UHormslsanitarypropertyowner-input Apri12019 SS-OOs9 Industry Services Division County 0 4822 Madison Yards N'ac Bayfield •.. SP Madison. \1'I 537113 Sanitan Pennit.Nunthcr'pn he gilled in b> c t,.l $ P.O. Ili, 731)2 Madison, WI 53707 2S- Sanitary Permit Application Stale Tmnaclin \undxr In accordance n ith SI'S JSJ.3112), Wis. Adm. Code, submission of this Ibmt to the uppntpriate guvcmnxmal unit is required prior to obtaining a sanitary pennit. Note: Application romis for stmcmmned POWTS arc submitted to the Deportment orSafely and I'rorbssinnal Sen•iecs, Personal intonation you provide may he used for secondary Project Address (it di llerent than mailing address) purposes in accordance s n ce with the Privacy I.ov. . I5.01(l)(m). Scats. Same I. Application Information — Please Print All Information Property Owner's Nance Parcel a Justin Kaiser & Lianna Fagan 20797 Property Owner's Mailing Address Property location 68880 County Hwy. A Govt. Lot City. Stale Zip Code Phone Number Iron River, WI 54847 218-348-4632 yi. :AA. Section 08 T 47 N It 08 l or-' 11. Type of Building (check all that apply) Lot a IZI or 2 Family Duelling— Number offledrooms 9 Subdivision Name .PehlicK'nmmercial - Ikxritx Use Block a City o! ,.....-_-- 5tmc (hated - I hscribe I Jvivancor t :SM Number 'roan nr Iron River 111. Type o1POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if a licable. A. ❑New System ZReplacemcnt System Dother Mnditicmion in Existing System (explain) DAdditianal I'relrommcnt Bait (explain) B. ❑lhrldingTank In -Ground Di-(irade DMnund Jlndividunl Site l)esiwi Other Type (explain) (conventional) C. ❑ Renewal licliirtc Revision jchimgc of l'Imnher l Jlronsfer to New Owner List Previous Pennit Number and Date Issued lixpimlitm 16256 1974 IV. Dis ersnUTrentntent Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd'sl) Dispersal Area Required (slit Dispersal Area Proposed (s0 Systegallon 300 0.7 429 452 94.Capacit y in Total d of M:umlacturer Tank IntimnatiottGallons Gallons IhtitscNov 'Scpricm Tankx Fxisrmp Tanis ilolding Tank 750 750 1 Superior Precast ✓).KingC'hainlcr V. Responsibility Statement- 1. the undersigned, assume respunsil'I ly for Installation of the POWTS shown on the uuaclied plans Plumber's Name (Trial) Plumber's Signt NIPMPRS 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 0 Disapproved I'ennit Fee $''� C��'�• • Done Issued 4�[ l Isnr(tg a\gym Signmurc �(, ❑ thcner Given Reuan li+r Genial z5 CondilionsorApprnvaPlteasonsforDisapproyal ?o\c dbO.00 5$I2_S ?i r� b) c bo ) f O jU t'11 C . `cid tam q•)f{lQ Cora .wtaot m campicte plans for OIL' Spurn inn suUrn u1 to Inc I Tanry may un paper not Isms than a In s ii inch.. in ei,, SI3O.6398 (It. 02/22) sOUREO 5(Z-0022% i l!i-_ Soil Evaluation Report � r=ah m.aonm.rnm$P33$s.wuAemcaa /\i1)i ��' ^� 1N,cmWpepwvniWAl�yanehIX�ulen115m1u� Attach complete site plan on paper not less than 8'AX 11 Inches In size. Page: LVj�6: Plan must include but not limited to: Vertical and horizontal reference County: point (BM), direction and percent slope, scale or dimensions, north arrow, Bavfieid location and distance to nearest road. Parcel I.D. Please Print All information 207 7 Personal information you provide may be used for secondary purposes. R e By; Date: (privacy Law.s.15.04(mm)). hi fl/I irl l..r , 4] 7 -7) ,, \' Property owne r. .iuslin Kaiser & UanpI Fa an Property Owners Mailing Address: 68880 County .vim _ Property ovation SOS,T47N,ROSW Site Address or CSM and Lot # 68880 County Road A City Iron RiverYI State JZip Code i64847 Phone Number: 0 Town Iron River INearest Road: County Road p" New 17 Residential Number of Bedrooms: 2 Code derived desion flow rate• 300 i✓ Replacement r Public or Commercial - Describe: Flood Plain Ifaoolicable Parent Material: Flood Plain if Applicable: 0 General Comments & Recommendations: System Elevation: 24 Load ibte: o 7 Boring #1 i Bor.)r Rt 96.37 Ft. 120 in. Elev. 86.37 ft Ground surface Elev: Depth to Limiting Factor. Soil Application Rate: Horizon Depth in. Domm.Color Munsell Redox Description Qu. St Cont. Color Texture Structure Gr.Sz.Sh. Consistence Roots GPD/rt- 'Eff#1 Eff#2 1 0-4 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3F 0.1 1p 2 4-20 7.5YR2.5/3 N/A LS OSG ML CS 3M 0.7 L 3 20-120 7.5YR414 N/A LS OSG ML N/A IM 0.7 1,8 4 5 6 7 Boling # 2 f Bony At Ground surface Elev: Depth to Limiting Factor: 96.8 Ft. 120 In. Elev. 86.8 ft Soil Application Rate: Horizon Depth In. Domm.Color Munsell Redox Description Cu. Sz. Cont. Color Texture'Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/f' •Eff#1 Eff#2 1 0-6 7.5YR2.5/1 WA SL 2MSBK MFR CS 3F 0.6 1.0 2 6.12 7.5YR2.5/3 N/A LS 0SG ML CS 3M 0.7 1.6 3 12-120 7.5YR4/4 N/A LS OSG ML N/A 1M 0.7 1.6 4 5 6 7 Effluent #f = BDD 5>305220 mgll and TSS>3 ..c 150mgb -'Effluent #2 = BOO 5 < 30 M94 and TSS ≤ 30 mg0 CST Name (Please Print) SS Mark S. Thompson natu \ �� CST Number. 877598 Address: 12006 N US Hwy 63 Data Haywam, WI 04843 vaivaeo due d: Friday, April 18, 2025 I Telephone Number 7151699-0081 I SBD-8330 (R04/21) Paid $ 5O -cc, R[A-1 S1ld2S Property Owner. Justin Kaiser & Lianna Fagan Parcel I.D. 20797 Page: 2 ofnL 6 APR 2 1 2025 Boring # 3 Ground surface Elev: Depth to Limiting Factor: " r' Borr Fit 96.5 Ft. 96.5 in. Elev. 86.5 ft -i/lt'I'/ "0. 0 Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft' *Eff#1 Eff#2 1 0-10 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3F 0.6 1.0 2 10-24 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 24-120 7.5YR4/3 N/A LS 0SG ML N/A 1M 0.7 1.6 4 5 6 7 Boring # 4 Ground surface Elev: Depth to Limiting Factor: P Bores nt t 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 I 2 3 4 5 6 7 Boring # 5 Ground surface Elev: Depth to Limiting Factor: egr!fy at P 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 6 Ground surface Elev: Depth to Limiting Factor: rBores Rt - 0 Ft. Din. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 Eff#2 1 2 3 4 5 6 7 `Effluent #1 = SOD 5>30 < 220 mgA and TSS>30 < 150mg/I *Effluent #2 = BOD 5< 30 mg11 and TSS < 30 mg/1 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 irg, Uep'f. seo-e330(R.070o) APR 2 "i 1025 Dept. 100 ----------- 100 --------------- 100 --------------- - — — — System 99 ----- --------99 ---------- 99 ------- Elevation 98 -- ------------- 98 ----- 98 ------ --- ---------- -- 97.5 --------- — 97 ------------- 97 — — — 9 — — ----------- -------- 96.8 ------------ 96 ---------- 0.7 96 -----------• 0 96 ------------ 96.37 ----------• 95.5 $ --------- 95.8 ---------- -- 95 -------- 0_7 95 ---------- 721 95 -------- 0_7 ----------- —----------141 $ 94 ------- 94 — -- 94 ----------- 0.7 93 ---- ------ --- ----------- 93 --------------- 93 ------------- --------------- 92 -------------- ------------ 92 ------------- 92 ------------- --------------- 91 --------- ------------ 91 --------------- 91 ------------- -------------- ----------- 90.5 ------------- --------------- 90 ----------- 90 -------- 90 --------------- --------- 89.8 -------------- 89 ----------- T3' 89 - ---- — 89 ---- 89.37 88 ----------- --------------- 88 ------------ T3' 88 -------------- — -- 87.5 —-------- — — ------- 87 ---- L_F. 87 ------------ 87 ------------- --------------- ---------- 86.5 ----------- 86 86 ----------• L.F.. 86 ----- 96.37 -------------- ------------ L.F. - 85 ------------- 85 -------- 85 - ------- 84 ------------- -------- 84 ------------- -- 84 -------------- -------------- 83 ---------- --------------- 83 --------------- 83 ----- -------------- 82 ---- -------- 82 ------- 82 ------------- -------- 81 ------------ ---------- --------------- 81 - - 81 --------------- 80 --------------- ------- 80 -- ----- --------80 ------- -------------- 79 -------------- 79 - 79 ------------- Location: SOB,T47N.ROBW Township: Iron River County: Bavfleld B2 Bt Shed B3 Q 9T Existing Septic Tank Ground Elevation = 99.10 BM O �P U Well. 'A' BM=100: Bottom of siding on the NW corner of house Deiveway N Unable to locate existing drainfield WE s Only in Tested Area 20 80 BI= 96.37 B2= 95.8 B3 = 96.5 Lake= 0 x In -Ground Gravity Plan Index & Cover Sheet fLn E gT ISO 4 III. APR 2 1 2025 Component Manual Design References: jaYfield Co. Zoning Dept. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg I 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 Kaiser 2 Bed Owner Name(s): Justin Kaiser Phone: 218 348 _4632 Owner Address: 68880 County Hwy A. Iron River, WI Zip: 54847 Project Address: Same Govt. Lot: 1/4 of 1/4, Section 08 , T47 N -R 08 E ❑ or W ❑✓ Township: Iron River County: Bayfield Project Parcel ID #: 20797 Designer Information Designer Name: Jason Kuettel Phone: 715 798 3355 Designer Address: PO Box 66 Cable, WI Zip: 54821 E-mail: tim@andryras.eom This space reserved for approval stamp. License Number: 675751 Remarks: Signature: Date: i zt zs Original sign ur required on each submitted copy. BM=100: Bottom of siding on the NW corner of house Location: County: Lot #: O U SO8,T47N R08W Iron River BayfieId B3 Well0 "r r<, "Shed S'150 rc& r�rzcrJ T , L t ' tA) bLerC L/ BM I �~`�" B1 = 96_37 B2 = 96.8 B3= 96.5 SYs rtn— c`c - 94.S Deiveway I� N 05751 NUnable to locate existing drainfield o _ e ^ 1"=40Only in Tested Area -t0Z%/Z5 20 6d 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) min. 12" (typical) � a System Elevation = 94.5 (typical) Septic Tank(s) Manufacturer: Superior Precast Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer. Orenco Effluent Filter Model #: FT -0822 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) u1 Quick4 Standard -W w! End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r- -----------75'---------1/----- t---------------------;�--- F- s=46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft2 + Pairs of end caps @ 6W EISA/pair = 6 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) ®aeeu3E4L01,111 r R _I Quick4 Standard -W Chamber o (typical) o` (mid by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions.G D C m W O m = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 429 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 452 ft2 branched manifold PAGE4OF4 In -ground Gravity Management Plank IMPORTANT: j II APR 2 1 Z0C7 V The owner of this in -ground gravity system shall be responsible for its perpetual operation an maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. AdmIhd6tthiksysJthhi1ihall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 300 gpd; BOD5 S 220 mgL'1; TSS 5150 mgL 1; FOG ≤ 30 mgL' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (Le. 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 (he., 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 Phone: 715-798-3355 Local government unit: Bayfield Co. Zoning Phone: 715-373-6138 Local government unit address: 117 E 5th St. Washburn, WI 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- oo S2j-, Indusin Services I )it isiun Chan) SP - .1822 Madison Yards Way Madison. 11 'I 53705 Bayfield Saiilan Permit Number/lu be filled in M C.'., f I'D. Ilex 7302 Madison. WI 53707 2S" 1 Sanitary Permit Application In accordance with SI'S 383.21(2). \his. Adm. Code. submission of Ilils Ilxni In cite appropriate governmental unit is required prior to obtaining it sanitary pemtit. Note: Application fixes for slatwre tied I'Ol\TS are submitted to Project Addre,, (it dillerenl than mauling address) the lepartmeal of Salily mid Professional Services. Personal information )ou provide any be used cur secondary Same purposes in accordance with the Privacy Lac. s. 15.01(I)(mi. Scats. I. Application Information— Please Print All Information Property (hvncr's Name Parcel a Justin Kaiser & Lianna Fagan 20797 Property Owner's Moiling Address Froperty Location 68880 County Hwy. A Gmn, Lot City. State Zip cede I'M1om Number Iron River, WI 154847 218-348-4632 %• .. Section 08 T47 N R 08 IS orb 11. Type of Building (check all that apply) Lol it al or 2 Family Dwelling- Numberof0edrooms 2 Subdtviskrn Name ❑Pu li✓commercial - Describe Use Block a ❑City of ❑Slate Owned- Describe Use -_— - C'SM Number Villaeeof a'fotm or Iron River Ill. Type of PO\VTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one box online B. Complete line C if n disable. \' ❑New System �Replucemenl System Other Modification it, Existing System (explain) ❑Additional Pretreatment Unit (expluinl R. pl lolling Tank Olndiround Q\t4irdde ❑Mount hrd�sdwlmlesigi flfllher lain) Type • (explain) (conventional) C. ❑ Renewal BeforeRevision Change of Phnuher Drmnsrer to New Owner .tst Previous Pennil Number and Due Issued Expiration 16256 1974 IV. Dis ersal/Treatment Area and Tank Information: Design Fluw (gpd) Design Soil Application Rnle(gpdisq I Dispersal Area Required (s0 I Dispersal Area Proposed (sl) I Syskmi liletatirm 300 0.7 J429 1452 194.5 Capacity in Total a of Manufacturer ` Tank Information Gallons Gallons ttaiu Tanks F_xiwinF yanks v _ C d y •G t' 7 r Seplie is Ilnhlap'Ia,k 750 750 1 Superior Precast LU Using Chan'tai 11 L1 V. Responsibility Statement- 1, the undersigned. assume respnnsi '1 ly for installation of the POWYS shown on file attached plans. Plumber's Name IPrint) Plumber's Sign, MP/MPRS Number tiles 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 XApproved I ❑ Disapproved iIl emit Fee Date Issued Issw g Agy�nt Signature ❑ Owner Giren Reason fix Denial QQu' / Z jej L. Conditions ol•Apprtwal/Reasons for Disapproval bO.cc I2_S Tf 4Aj GbOnG1O!-1 Ci(r ftaicn-' In��r�l S�s�N Int\�k C1!eGU sea- ca c.\¢c�I cord to corn plele plans for Inc sysrrm and suhau to Inc ( nunly only an paper not dos than 8 I/a' 11 lochrs in site SBD•6398 (it. 02/22) suntrl SR -00222 ;;;•a \ Soil Evaluation Report i : Naps /P) Mamorbon i h SPS 305•arsfdm Cob v ^�� 1NfaCnW 0epuMl=WLreryaMq W ulmn5„nfrf Attach complete site plan on paper not less than 8f X 11 Inches in size. P API, I „I 1of6 ri_'i must mcmun out not limiCeD Co: vertical and horizontal reference County: point (BM), direction and percent slope, scale or dimensions, north arrow, 8avfield location and distance to nearest road. Parcel I.D. Please Print All Information 20797 Personal Information you provide may be used for secondary purposes. R %§ edr•BY: Date: (privacy Law,s.15.04(1)(m))• �r (1' '/.`..Lt,' // `7-- i 7/2'* Property Owner. Property oc6attion .Justjn Kaiser & Lianna Fa an SOB,T47N,ROBW Property Owners Mailing Address: Site Address or CSM and Lot # 68880 County Hwy A 68880 County Road A City State Zip Code Phone Number. Iron iver V,If 64847 Town jNearest Road: 0 Iron River County Road A j- New P Residential Number of Bedrooms: 2 Code derived desion flow rate: 300 Iv Re lacement Flood Plain If ayolicable p r FLbkc or Conerercial - Describe: Parent Material: Flood Plain if Applicable: 0 General Comments & Recommendations: System Elevation: 945 Load f:31e: n Boring #1 r Bor.� lit Ground surface Elev: Depth to Limiting Factor. 96.37 Ft. 120 in. Elev. 86.37 ft Soil Application Rate: Horizon De th in. p Domm.Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz Munsell Qu. St Cont. Color GrSz.Sh. 'Eff#1 Eff#2 1 0-4 7.5YR2.511 N/A SL 2MSBK MFR CS 3F 0.6 1,0 2 4-20 7.5YR2.5/3 N/A LS OSG ML CS 3M 0.7 1.6 3 20-120 7.5YR4/4 N/A LS OSG ML N/A IM 0.7 1.6 4 5 6 7 Boling # 2 f- Boer Fit Ground surface Elev: Depth to Limiting Factor: 96.8 Ft. 120 In. Elev. 86.8 ft Soil Application Rate: Horizon Depth in. Domm.Color Redox Description Texture Structure Consistence Boundary Roots GPO/fa Munsell Cu. Sz. Cont. Color Gr.Sz.Sh. •Eff#1 Eff#2 1 0.6 7.5YR2.511 N/A SL 2MSBK MFR CS 3F 0.6 1.0 2 6.12 7.5YR2.5/3 N/A LS OSG ML CS 3M 0.7 1.6 3 12-120 7.5YR4/4 N/A LS DSG ML N/A 1M 0.7 1.6 4 5 6 7 Effluent #1 = BOD 5>30 ≤ g 20 mg/! and TSS>30..< 150ing4 *Efuent #2 = 8005<30 mgll and 7SS S5 30m91 m91 CST Name (Please Print) Sf natu / �� CST Number: Mark S. Thompson 1 877588 Address: 12006 N US Hwy 63 Date valueUo due d: Telephone Number Hayward, WI 94843 Friday, April 18, 2025 7151899-4081 SBD-8330 (RO4/21) Para 5O.oa R{ -1 SI(c 2s P ES10 4U' Property Owner. Justin Kaiser & Lianna Fagan Parcel I.D. 20797 Page: n� 2S11 6 II p APR 21 2025 Boring # 3 Ground surface Elev: Depth to Limiting Factor: r Bores Fit 96.5 Ft. 96.5 in. Elev. 86.5 ft Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPDfft' *Eff#1 Eff#2 1 0-10 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3F 0.6 1.0 2 10-24 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 24-120 7.5YR4/3 N/A LS 0SG ML N/A 1M 0.7 1.6 4 5 6 7 Boring # 4 Ground surface Elev: Depth to Limiting Factor: Bores Rt t 0 Ft. Din. Soil App. Rate Horizon Depth in, Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft' *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring #5 1- Bores Pit Ground surface Elev: Depth to Limiting Factor: 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPO/ft' *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring #6 1- Bores Rt Ground surface Elev: Depth to Limiting Factor: 0 Ft. Din. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPO/ft' *Eff#1 Eff#2 1 2 3 4 5 6 7 *Effluent #1 = SOD 5>30 ≤ 2 20 mg/I and TSS>30 < 150mg/I *Effluent #2 = SOD 5< 30 mg/I and TSS < 30 mg/I 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 ing Dept. OD-B330(R.07)00) �. APR 2 "i 2025 Dept. 100 ----- 100 -------------- 100 -------------- ----------- - - System 99 -------- 99 ----------- 99 ----------- Elevation 98 -------- --------- 98 ------------ ----- 98 ---- --- ----------- -------- 97.5 -------------- ------------- 97 ------------ 97 -------------- 9 ------------- ------------ 96.8 --------- --------------- 96 ----- 0.7 96 ----• 0J7 96 96.37 - 95.5 S ---M 7U --- ---- 95 -- 0_7 95 - 0_7 95 - 0_7 EE EE:: ---------- ------------ 94.7 94 -- - 94 ------------- 94 ----------- 0.7 93 --------- ---------- 93 ------ 93 ---------- --- 92 ------------- ---- 92 -------------- ------------- 92 --------------- --------------- 91 ------ ---- -------------- 91 --------------- 91 --------------- ------------- -- --- 90.5 -------- --------- 90 --------------- 90 -------------- 90 ----- --------- -------------- ------- - - 89.8 ------------ 89 --------- rT 89 - 89 -------- 89.37 ---- 88 ------ - ------------- 88 ------- �3' 88 ------------ - - ----------- 87.5 --------- -- --------- T3' 87 ---------SL.F. 87 ------ -------- 87 --------------- ---- ---------- 86.5 ----------- 86 ------ 86 ----------- L.F.. 86 ------- 96.37 ------- L.F. --------------- 85 ----------- 85 ------------ 84 --------- ---- --------------- 84 ----- --------------- 84 ------------- 83 ----------- - ------------ 83 -------------- 83 --------------- - 82 - -------- - -- ------------- 82 ---------- -------------- 82 ------------ 81 - - ------------- 81 ----------- ------------ 81 - --- 80 -------------- ---- ----------- 80 -------------- ---------- 80 ------------ -- 79 ---------- - - ------ 79 ----- ------------- 79 BM=100: Bottom of siding on the NW comer of house O U S08.T47N.RO8W Iron River Bayfield 68880 County Road A B2 81 ®Shed B3 Existing Septic Tank Groug Elevation = 99.10 BM Well. Deiveway tie N Unable to locate existing drain field w L 5 1"=40Only in Tested Area 20 80 B1 = 96.37 82= 96.8 B3 = 96.5 Lake= 0 o - try 9 tV Gv]i � _ o N C cn00 uuu �: CD D E �PAG,I tO-4 In -Ground Gravity Plan L� Index & Cover Sheet APR 2 1 2025 Component Manual Design References: Bayfield Co. Zoning Dept. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) 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 Kaiser 2 Bed Owner Name(s): Justin Kaiser Phone: 218 -348 -4632 Owner Address: 68880 County Hwy A. Iron River, WI Zip: 54847 Project Address: Same Govt. Lot: 1/4 of 1/4, Section 08 , T47 N -R 08 E ❑ or W ❑✓ Township: Iron River County: Bayfield Project Parcel ID #: 20797 Designer Information Designer Name: Jason Kuettel Phone: 715 -798 -3355 Designer Address: PO Box 66 Cable, WI Zip: 54821 E-mail: tim@andryras.com License Number: 675751 Remarks: Signature: Date: / zt zs Original sign ure required on each submitted copy. BM=100: Bottom of siding on the NW corner of house C 2 S08.T47N.ROBW Iron River Ba yfleld B3 (z) Q' -(c' c"-4 Well0 t3, Shed 750 a') oaer'cv / BI = 96.37 B2= 96.8 B3= 96.5 S`t3Tr•A— ec - 54.5 Deiveway :v C!, y lnn N Unable to locate existing drain field o 0 N O W•E s v 1"=40' Only in Tested Area 20 ya / IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 12" min. trench depth (typical) (typical) System Elevation = 94.5 (typical) Septic Tank(s) Manufacturer. Superior Precast Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer. Orenco Effluent Filter Model #: 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) r------------/--------��---- L---------------------j�----- B= 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber= 220 ft' + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) A = 3.0 ft — — — — J (typical) W z '—Ouick4 Standard -W Chamber R (typical) N 0 (mfd by Infiltrator Systems, Inc.) 5' Install pursuant to manufacturers instructions.2 = Proposed EISA per trench = 226 ft' Required Infiltration Area = 429 x 2 trenches = Proposed Total EISA = 452 -C C) m uuc: W c O o C TI ft2 Distribution Method: ft2 branched manifold RESET PAGE 4 OF 4 In -ground Gravity Management Plan C IMPORTANT: J u APR 21 'L0Z5 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. Admi�r?NLod�f fhPs:sysjdm;shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 300 gpd; BOD5 5 220 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 (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 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 Phone: 715-798-3355 Local government unit address: 117 E 5th St. Washburn, WI 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 -022 ) Private Sewage System Maintenance Agreement �J USTI hl J (00880 CO V N T't "t -j—, .A I ?IDN tzw c rt, yv � Site Address s11Mc Tax ID# 7-079-7 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 rile 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) 1/4 of 1/4 Section aS Township u7 N. Range 06 W. Additional Legal Description: c Town of //ft' IZt U L%L_, (Acreage) /'Z O Gov't Lot LotZt-3 Block Subdivision Sw3 N'h e f NN'/v{ Stc 8 T4T It 0 -c'-an op ,1t -,J z -'eZ Lot CSM #_____ Vol._ Page CSM Doc # DOCUMENT NUMBER 2025R-607344 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 05/02/2025 AT 12:55 PM RECORDING FEE: $30.00 PAGES: 1 Return To: Area Planning and nib Op�rt4ej E D ft MAY 0Y2025 © 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-pumpea 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 manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: / 171 7/ aO as JvSTffJ \tAtt P" Notarized Owner(s) — Signature(s) Notary Public &� My Commission Expires: a/►�/aoa7 Drafted by: Tren (JJ'<_— Date: ry `/l7/`c Proofed by: u/forms/sanitary/septicmaintenceagreement Revised July 2020 Ruth Hulstrom From: tim@andryras.com Sent: Tuesday, April 29, 2025 5:16 AM To: 'CeCe Rudnicki' Cc: Ruth Hulstrom Subject: RE: Fagan Sanitary Hi Cece, I'll make sure this is taken care of this week. Thanks! Timothy J. Clark PE Manager — Septic Department Rasmussen uwmw o ' & Sons, Inc. '.4 Familt Osmed Business Since 1946" From: CeCe Rudnicki <cece@thesepticgal.com> Sent: April 28, 2025 4:13 PM To: Tim Clark <tim@andryras.com> Cc: Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> Subject: Fagan Sanitary Hi Tim, Are the owners taking care of the maintenance agreement for the Justin Kaiser and Lianna Fagan project? Permit issuance will be on hold until a recorded one is received by the county. Thanks! CeCe CeCe Rudnicki 715-403-0726 — call or text 5/6/25, 3:52 PM Carmody TM BAYFIELD COUNTY SANITARY PERMIT (#04)-25-18S STATE SANITARY PERMIT OWNER: KAISER, JUSTIN J & FAGAN, LIANNA P G OV'T LOT: LOT: BLK: SUBDIVISION: SUBDIVISION OF W 1/2 NW LOTS 2 & 3 LESS N 50' OF 1/4 NW1/4 SEC:8,T47N,R8W TOWNSHIP: Iron River SOIL TEST: 19-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Jason Kuettel CeCe Rudnicki Authorized Issuing Officer DATE: 5/6/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may Impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: 16256 LICENSE: # MP 675751 Condition: Properly abandon existing system. Install system in tested area. Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 5/6/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•//www a irmnrlvinr rnm/PPrmitAnn/Pcarmit Sinn ngnv')Print=I P nprmitanniri=7AR1 117