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23-128S
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 fl Time Change fl Discrepancy fl Other Phone Number Plumber: S Mtom 5+5 1 1I5 -9F -9c'10'7 Fax Number Email Address Homeowner: L-u4he#YL L,G_ _ _�n hc�U Immediate Phone Number So Zoning Sanitary 23-128S Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept No Inspection(s) during this time Date: OK Zoning Dept Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Time: I,00p OK Township: Address # & 34&1S FacSt CL Road Name: or Directions To Site; Comments: `* Plumbers you must verify any change(s) by fax or email ** Notes from ulforms!sanitary/requestforinspectlon Zoning Dept (®4112/04); D June 2023 oe�.an� °�EX+mvn�• Industry Services Division General Information Pam FAITH PARK INC PO BOX 86 MASON WI 54856' Tank TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic '75' ' N/A Dosing N/A Aeration N/A Holding Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) j City U Village ft '!M Description: setback to: Town of: County Sanitary Permit No: '3_A?8s State Plan Transaction ID#: Parcel Tax No: Pump I Siphon Information Pump Manufacturer ump Model Demand GPM filter Manufacturer re Filter Model - TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width , Length iI # of Cells SETBACK FROM I Prop. Line Building Well OHWM /pI 7l Type of Cell Manufacturer: ynwitor Model Number: r Pretreatment Unit Manufacturer: Model Number: Distribution System Elevation Data STATION BS HI FS ELEV Benchmark a 1OO Bldg. Sewer CJ� S Tank Inlet .35 9 .s Tank Outlet 95 Dose Tank Inlet Dose Tank Bottom Inst. Contour Header I Manifold Distribution Pipe Infiltrative Surface .3ur—. 9 . Final Grade X Pressure Systems Only Header! Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length _ Dia Spac Spacing J Ys 0 No Soil Cover Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ,21es ❑ No ❑ Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes E o Use other side for additional information. / 7 / Date POWTS Inspector's Signature Ran-A7ln /R n'L9l1 License Number BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Sayfield County Courthouse Fax: (715) 373-0114 Post Office Box 5B e-mail: M0einet®bavfeldcounty.ont 117 East Fifth Street Web Site: www bavtiaidcounty ora1147 Washburn, WI 54891 Property Owner FAITH PARK INC PO BOX 86 Information MASON WI 54856 C' .1) 1ct1' 'b' As you know£dA c}Yc was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To knowwhen your system will be due fororvlcing please Bo to www seoticseareh.com Notes: Abandonment of Old System to meet all applicable code requirements: D•S Tank was pumped by: on at AM I PM 4- Tank was crushed I removed and pipes disconnected by: tan cfir. on 2 at /.O9 (AM /•!'the above -mentioned plumber contacted our office to conduct pr •cover inspection as required un !)SPS 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: Worms,senllarypreperlyovmer-Input Apr112019 • y1Mttri. , Department of Safety county BAYFIELD Ffk;' - & Professional Serv.'ftEIV Industry Services DivisionSEP �ni Permit Number to be tilled is b '� ( __- r, = 4'��14h1\'tom ii 20 � Sanitary Permit Application tale Transaction Number i3ay6eld h,. In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropri�Umggw tal is required prior to obtaining a sanipermit Note: Application forms for state-oowned POWTS are sub fitted it tart PP � PWTS-092301977-C i ect 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. 15.04(l)(m), Scats. 22505 FAITH CHURCH RD L Application Information — Please Print All Information Property Owner's Name Parcel # FAITH PARK INC, (LUTHERAN CHURCH 04-032-2-46-06-22-3 01 -000 - Property Owner's Mailing Addre Property Location 020000 P.O. BOX 86 Govt. Lot NA 22 City, State I Zip Code Phone Number MASON, WI 54856 (J, i -7(ps' ! �a -rte— cW '/., Section T 46 N R 02 E or W IL Type of Btulding (check al that apply) - Lot # ❑ 1 or 2 Family Dwelling — Number of Bedrooms 3 NA Subdivision Name ❑ XPeublic/Commercial—Describe CHURCH NA Block# NA Us❑State O City of Owned—DescribeUse ❑ Village of CSM Number NA ❑ Town of_____________________MASON III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete Hue C ' a lcable. A. New System It Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B' ❑ Holding Tank X In -Ground ❑ At -Grade ❑ Mound 0 Individual Site Design ❑ Other Type (explain) (conventional) C. 0 Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration NK IV, Dispersal/Treatment Area and Tank Information: Design450 (� Design Soil0Applicatiog)tate(gpd/st) Dispersal Area Required (st) ✓ Dispersal Area P�(s1) System Elevation 642.86 678 >�I 94.25 FT. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units a o $ T' B o New Tanks I Existing Tanks e w`U v ti « m rn a un wC7 w Septic orHolding Tank 1000 1000 1 WIESER X Dosing Chamber V. Responsibility Statement— I, the undersigned, assume responsibility for Installation of the POWTS shows an the attached plans. Plumber's Name (Print) Pltpb Signature MPMIPRS Number Business Phone Number -_� 19&3o/ umb s Address (Street, City, State, Zip Code) 1ud i7--- Q/' VL County/Department Use Only Approved I O Disapproved Permit Fee I Date IssuedIs Issuing cut " tore ❑ Owner Given Reason for Denial Conditions ofApproval/Reasons for Disapproval 3) old &p w& M Pe a tt ns1 to Yh,PU- ail jzjta rci con i Pet' S '5n Mlfflo ,W pki9 iv e,zu 4)Adhtft to jwe a,narocfu. Attach to complete plans for the system and submit to the County only on paper not less than 81/i ill inches in size SBD-6398 (R. 03/22) • Wisconsin Department of Safety B Professional Services Division of Industry Services sP, SOIL EVALUATION REPORT \tCE/l/ge 1 of SFP In accordance with SPS 385. Wis. Adm. Code v'otinty Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, Parcel LD. 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. 04-032. Reviewed by Please print all information. .___..� ..a......nr,....,.vl nrnviee may be used for secondary purposes (Privacy law, s. 55.04(11(m)). Property Owner Property Owners Mailing Address City, State, Zip Phone Number Property Location Govt. Lot NE SW S Site Address or CSM and Lot # 22505 FAITH CHURCH ROAD ❑ City ❑ Village MASON 22 T 46 NR 06 V177: P106 l C ) Town Nearest Road Date )Br M W 23 ❑ NewConstruction Use: ❑ Residential/ Numberof bedrooms Cale derived designflow rate 450 GPD ® Replacement D Public or commercial — Describe _CHURCH_(25 PARISHIONERS) Flood Plan elevation if applicable NA ft. Parent material SANDY OUTWASH 50 SEATING CAPACITY IN KITCHEN AREA MAINLY USED General comments and recommendations' CONVENTIONAL IN -GROUND TRENCHES — 0.7 FOR SUNDAY COFFEE. 1 X/YR BREAKFAST AX 5 GPO O = -. -- — _ - - _ —. •- .GpDVATH2.FEOO FR.DRAINS' r r r - ❑ Bonng I. Bonng # n Pit Ground surface alai. 96.65 ft. Depth to limiting fads 76 in. I elev._90.32_fl. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color TextureV0s9dI StructureBoundary Cr. Roots GPD/Ft' 'Eff#1 Eff#2 1 3 0.8 8-20 2040 7.5YR2.5/2 7.5YR3/3 7.SYR4/6 5YR414 _ — — -- Is Is ss s g a cs cs 34 -co 2vf-co lvf-co — 0.7 0.7 0.7440-76 0.7 1.6 162 16 1.6 5 76-84 5YR414 fid 5YR4/6 sl lfabk dh — — 0.4 0.7 horizon 3 tas r. horizon 4 ha some cos s & gr horizon 1 s fill r '1 Bonng # OBoring ©Pit Ground surface elev. 96.95 ft. Depth to limiting factor 72 in. / elev._90.95_ft. 6.00 ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Mansell Redox Description Qu, Az. Cont Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft •Eff#1 Eff#2 1 0-10 7.SYYR2.5/2 — Is lfsbk ds cs 3vf-co 0.7 1.6 2 10-20 7.5YR3/3 — Is os9 dl 9W 2v1 0.7 1.6 3 20-40 7.5YR3/4 — s Os dl lvf 0.7 1.6 4 40-72 7.SYR4/6 -- s osg dl as 1vf- 0.7 1.6 5 72-81 5YR4/4 mid 10YR5/6 sic lfabk mefi — — 0.0 00 horizon has a layer of cost Name (Please Print) Signature Zi 77 Ar umber 224832 ARY JO HUPPERT (Hollister's Soil Testin 8 Design) 4 ress [257T20 Date Evaluation C STelephone Number 715-426-1775 FIREFLY LANE. WEBSTER. WI 54893 07- 28 20023I Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, s 30 rrglL and TSS s 30 mg/L SBD-8330 (R03/22) FAITH LUTHERAN CHURCH Page _2_ of_4 Boring LLEI 3 BOdfq # lPh Ground surface elev 96.99 f VEpitfto IimNng faaar _in. / elev._90.7a_h SFP iJ 7r"'1 6.25 ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture SRucture ; Cr. Sz. Sh. . Cons1stencey Boundary Roots GPD/Ftr 'EfI#1 ER#2 1 0-12 7.5YR2.52 - Is lfsbk dl 3v1 -co 0.7 1.6 2 12-22 7.5YR3/3 - is Osg dl gs 2vfco 0.7 16 3 22-30 7.5YR3/4 - s dl a lvf 0.7 1.6 4 30-75 SYR4/4 - s osg dl as lvf-f 0.7 16 5 75-80 SYR4l4 f1d 10YR5/6 sic lfabk mefi — — 0.0 0.0 some on/ bs ❑ Boring # 0 Boring O Pit Ground surface elev _______ft. Depth to limiting factor in.! elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/F12 Eff#1 EIf#2 ❑ Boring # o Boring o Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Corn. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/FN 'EE#1 Eft#2 Effluent #1 = BOO' 30 s 220 mg/L and TSS >30s 150 mg/L ' Effluent #2 = BOD. s 30 mg/L and TSS s 30 mg/L Plot Plan PROPERTY OWNER: 5t* rTt1 SARK Tgi[ . FARti LLyt*.R*n1 CHURCH Legal Description: PLIL ;ii NIc NEVY CC Tiff SW'A , 5Z2, T4l lNJ R &&s Tou11J cf rVWcnn1 `.FELN Cowcn', i,ytsftnsln. t =1L- 'f-rre ( t ,c cv t L A ��r-44uR:H L ire �1G,.50 ;ite location: Page ofd. 1" — 40 FT. (except where noted) = backhoe pit 5,00 AC. a North RECEIVED SEP & P023 Piannirt9a ��"9® ' 7b Fas, p)L t A 17+1 (_LCI fE$$-4N Bayfield County, W �tRaRCH 6)17/2023.95807 AM 1:500 Meander Leas As Roads Building Footprint 2009-2015 0 001 001 o o2 r. Approximate Parcel Boundary Town Existing o 001 pot 003W t--1 Survey Maps Driveways J Sedan Lines • e..tie UnRecordetl Map • Municipal Boundary Buildings Ba CMY Lard I6tW .i l '.p +.a bl.n&a..l., 1o.w,mav� PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: 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 SEp Pg 3 of 4 Dispersal Area Cross -Section & PIapnYiewr Pg 4 of 4 Management Plan Attachments: Enclosures: Tank Specs POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map T'w STATE MENT Conditionally APPROVED Project Name / Description SERVICES DIVISION OF INDUSTRY SERVICES FAITH PARK INC. (Church) oUC Owner Name(s):Phone[ GFr-nnppr pnunFurr Owner Address: P.O. BOX 86, MASON, WI Zip: 54856 Project Address: Govt. Lot: NA Township: Project Parcel ID #: 22505 FAITH CHURCH ROAD 01/4 of SW U1/4, Section 22 T 46 N -R 06 E MASON County: BAYFIELD 04-032-2-46-06-22-3 01-000-020000 Designer Information or W Designer Name: MARY JO HUPPERT Phone: 715 - 426 - 1775 Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: 1859 - 007 Remarks: i iTS x 5 (,P Q = 250 CoALLLIV� t 2 FLC{R Di`rii3S C !?+PA it 1.5 4 571 c pa Tuo"L Zip: 54893 25 PERSON PARISH W/COFFEE KITCHEN & 50 SEAT CAPACITY'. SERVE 5 1 &encriistj y&n Signature: Date Original nature required on aubm copy. F MARY JO y iC: Wisconsin Department of Safety and Professional Services r� Phone: 608-266-2112 Division of Industry Services 4822 Madison Yards Way i t s ! Web: htlp://dsps.wi.eev Email: dspsidwisconsin.aov PO Box 7302 Madison, WI 53707 ` Tony Evers, Governor Dan Hereth, Secretary September 11, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-9-11 Plan Review: PWTS-092301977-C Mary Huppert 25720 Firefly Lane Webster. WI SITE: Faith Park Inc 22505 Faith Church Rd Bayfield County Town of Mason NE '/4 SW '4 S22 146 R6W FOR: Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE RECEIVED SEP 13 2023 6Nannin BaYfeld Co. g and Zoning Agency Description: 450 GPD —72" to limiting factor — In -Ground Soil Absorption Component Manual 5/22 - Effluent Filter - Maintenance required — 5/27 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • If using the existing septic tank, it must be inspected for watertightness and structural soundness, size and baffles, and must be brought into conformance with the requirements of ch. SPS 383, Wis. Adm. Code. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive z copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, c zaa'RoWle , RECEIVED Joshua Rowley �J' SEP 1 Z 2023 POWTS Plan Reviewer, Division of Industry Services eayeeid co. (715) 634-5124 ioshua.rowley wisconsin.gov planing and Zoning Agency Plot Plan PWSk of* - PROPERTY OWNER: fit. CTt1 FAR1c I<. TARti Ltnt.E*n% 1" = 40 FT. C N u1Zg-ii (except where noted) Legal Description: PdL IN 1440 i\&; OF -ntt SW'I' s ZZ 14", gti,It, = backhoe pit TAI }j of NAyky,14 t'$ Ft> (0LANTV� 1 u .mr. Sum - 5.tt' ACK&S oq - 032' 2 -46-0(� ZZ-3 01- 000 2000c/ ?.z-Sk5 FAITPt CNpRr-0 E0A.D North 'i f^ I RECEIVED SEP 13 2023 Pin SaYfeld Co. ing and Zoning Agency ` Iy0� l To&ArrOL- BM TOY OF ELL=IW.WFT. r�JV& r,���u es +t5.u� N wlEse2 I ac0 ��WNK s%s 38'•.33 WIS AyN• COLE. l�.lg ( �poPs '�� V C� i; O. •Q TY�.I�V --y Site location: IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 1T (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 000 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: 0621 - 18 12" min, trench depth (typical) • TYPICAL TRENCH 34•• �'� . CROSS SECTION VIEW F (typical) r . . .. (No Scale) System Elevation = 94.2C ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r-----------��-------��---- — — — — — — — — — — — — — — — — — — — — — B= 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft' + 1 Pairs of end caps @6 ft= EISA/pair = 6 ft' Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TA=3.0ft (typical) 7/. -0 TYPICAL TRENCH PLAN VIEW (No Scale) 450 GPD / 0.7 LR = 642.86 FT. Quick4 Standard - W Chamber 642.86 / 20 EISA = 32.14 UNITS OR rd- 33 UNITS X 4 FT. =132 FT. (mid by Infiltrator Systems, Inc.) s o (3) 3 FT. X 44 FT. TRENCHIE�" pursuant to manufacturers instructions. = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 642.86 ft2 x 3 trenches = Proposed Total EISA = 678 ft2 Distribution Method: branched manifold Eli RESET C' a El t(1A' 4" CAST -A -SEAL IN T -]1_LIbQMIkE1 ' 21" a � ,, 0 v PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS N WLP1000—MR N TANK SPECIFICATIONS DIMENSIONS: O_ m WALL• 2 1/2" Lo f BOTTOM: SEPTIC 3" € HOLDING 5" (ADD 1,300 LB.) COYER: 4" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: FLAT COVER 53 1/4" O.D. LENGTH: 104" 0.0. WIDTH: 86' 0.0. BELOW INLET: 42" O.D. LIQUID LEVEL 36" WEIGHT: 6,790 LBS. INLET AND OUTLET: 4' CAST -A -SEAL B00T OR EQUAL GASKET. CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL I/10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8' 0' UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FiBER) TANK: MIX DESIGN /10 (STRUCTURAL FIRFRI CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMITTED APPROVAL FORAII APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: 0 o co 0 J � a z r v�renco PSC-Series Biotube® Effluent Filters $bat txacket • .d Applications Orenco PSC Series Bowe EttkrerN Fitters are desrgretl to rem,�w solids tram effluent leaving wastewater tanks General firenco's ;agent-penWlg PSC-Series Biotube Effluent Ftters are used o ima;we .; a quality of etfkient trom wastewater tarots knpoued effluent quality emnds d mnfield Me in ortsite dispersal systems and improves the oertormarue of ddwrstremn treaht!ent �� etfluen; sewers The B;otuoe filter rartrdge fits tightly in the txxsag white being easy Ba!uhe tine to remove for mantenance The passively self cleaning design extend; car�9e nantenar> a cycle intervals. Fitter mesh c avadable in 1/Bin or 1;16ir :'nrr. or 1.6mm) mesh oroinq saes. The Handle can oe extended with PVC aipe root rtickbeM for better access to the cartridge. A 3/4in (19rnm) diameter tee handle is induced. Motets FSGSil7 i '8 and PSCW6621-18 are NSF 46 ceritfwd Standard Models FSCS0621•i8.PScWfki21-18.PSCPS0621-18 PSCPW0621-18 Product Code Diagram SEP Q3?023 PSC 06 21-18-,_. Plamm�a��zoco Rr wr xoa xen. ro fl will vaw tat - wtl ntt t. cwait.: F Yr aG o4wrareu :F b n.Ilauq kilt+ W 1e01 Pwca U -n mla 8oebe efe carvdge I lade w0weM5 Orenco PSC-Series Rfolube Elf/van Filler 0e9ectar ofale wc. AAA PoNprdpv!� ocve PVC. shat im Sleet ABS erenco Systems • 800-348-%43 • +1 541.059.4449 • www.ofrco.com Yr6i' i1S-2 Ala f 0 01/21 haI d2 1 if � t C - < f C _ 1 C is � 1 RECEIVE SEP t32023 . 9anAZc,„_ Model PSCS0621-18 PSCCPS0621-1B S J'atk a'ea ' L'PF FNW are2 n..,r, .. . 4 1, __ S'nlSQ^'*CJf .'tP'a Atn IY.,Na -',.-,-a. S--2ytcsr'"e ^"•:_ *r "ffV b'u 5 r'rM 1 i wJ/{N' fl 'Y Mn r M: _!DY'n�i.•' jt w<rt-E• ,q-'c•'r'rC'v Bayfield County, WI 9/14/2023, 10:46:18 AM 1:1,187 Approximate Parcel Boundary Road Type — Town Building Footprint 2015 Building 0 0.01 0.03 0.05 mi 0 0.02 0.04 0.09 km Bayfield County Land Records Depznment Bnyfeld County Zoning Application nttpsl/maps bayfeldcountywi.gov/ZoningWABI Real Estate Bayfleld County Property Listing Today's Date: 8/17/2023 -e Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: 1 04 032 041491 001700 Property Status: Current Created On: 3/15/2006 1:15:45 PM Updated: 5/20/2003 'r Ownership Updated: 3/15/2006 23623 FAITH LUTHERAN CHURCH 04-032-2-46-06-22-3 01-000-20000 032104303000 Blllina Address: Mailing Address: FAITH LUTHERAN CHURCH FAITH LUTHERAN CHURCH (032) TOWN OF MASON 522 T46N R06W PAR IN NE NE SW IN V.177 P.106 377 5.000 4.995 0 No (AG -1) Agricultural -1 122 Updated: 3/15/2006 STATE COUNTY TOWN OF MASON SCHL-DRUMMOND TECHNICAL COLLEGE 00000 00000 C' to * o N C Site Address indicates Private Road Ui N/A -00 W .-� Property Assessment Updated: 3/15/2006 O lit C. - m S tt 2023 Assessment Detail a Code Acres Land Imp. X4 -EXEMPT OTHER 5.000 0 0 2 -Year Comparison 2022 2023 Change Land: 0 0 0.0% Improved: 0 0 0.0% Total: 0 0 0.0% • Recorded Documents Updated: 3/15/2006 Property History D CONVERSION N/A Date Recorded: 177-106 31 L Department of Safety County BAYFIELD Tffi 'L _ & Professional Serv►QA!!wcE'v Industry Services DivisioSEP &ni Permit Number (to be filled in Sanitary Permit Application tare Transaction Number ee-I In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropri511aggyen4g4 asIt, ryi6 is to Note: Application forms for POWTS PWTS-092301977-C Address different required prior obtaining a sanitary permit. state-owned are sultan ect (if that/ 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. 15.04(I)(m), Slats. 22505 FAITH CHURCH RD L Application Information — Please Print All Information Property Owner's Name Panel # 3 g3 FAITH PARK INC. (LUTHERAN CHURCH 04-032-2-46-06-22-3 01 -000 - Property Owner's Mailing Addre Property Location 020000 P.O. BOX 86 Govt. Lot NA W City, State I Zip Code Phone Number MASON, WI 54856 1—'(ps-��-f V., Section 22 T 46 N R 02 E or W IL Type of Building (check all that apply) Lot # O 1 or 2 Family Dwelling — Number of Bedrooms 3 NA Subdivision Name ❑ XPublic/Commenial — Describe CHURCH NA Block # NA Use ❑Cityof ❑ State Owned— Describe Use O Village of MASON CSM Number NA o To" of M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if .! liable.) A. New System Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B' ❑ Holding Tank X In -Ground ❑ At -Grade []Mound ❑ Individual Site Design I ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber g ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration NK IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd 450 Design Soil Ap lirstio ate(gpd/sf) 0.?1 Dispersal Area Required (sf) ✓ Dispersal Area Prop (st) System Elevation 642.86 678 I 94.25 FT. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units y u� c o '$ v �' u v New Tanks Existing Tanks 6 U tflcom iC O 44 Septic or Holding Tank 1000 1000 1 WIESER X Dosing Chamber V. Responsibility Statement -I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) IPI Signature MP/MPRS Number I Business Phone Number `�9 7/S SS87'b lumb s Address (Street, City, State, Zip Code) To (/Jt .l(��/� �� [��'�� 2 a� / W Vic /a4- r C'i/'..�"C/` yam_' v L�J VI. County/Department Use Only A roved ❑ Disapproved Permit Fee Date Issued Issuing A eat lure ❑ Owner Given Reason for Denial CV q l5- Conditions Approval/Reasons for Disapproval oo rnzk ciii qta4's-3)0181 &t9k4M k 122 atunaa% M See Card for Qdc ( P ' Attach to complete plans for the system and submit to the County only on paper not less than S 12 x Ii inches in size SBD-6398 (R. 03/22) RECEIVED AUG 012023 Bayfield Co. Private Sewage System Maintenance 4lgreemeyl' Ming a d Zoning Agency Mme, .wwrr Ol 3 630 As Dormer, t (we) do hereby c-rtiy the private sewage system will be v -stalled in accordance with the certified soil tester's report and approved plans and specifications. on file with Bayfield County Panning and Zoning Department The system will be operated in such a manner as to meet the designed plans. I (tee) agree to maintain said Private system at the below listed location in accordance with rules established in the WI Adm. Code, as from tune to time amended. (COMPLETE Legal is required) 114 of 14 Sectio n -af.:t , /Toumahip "L& Range( wV p_. Adddiomaftegal Desctfphon:2! 3I/1 JN /yi✓S X V.J t2s S Tovm of Na Son (Acreage) �[� Gov Lot_Biadt Suodiaion„See iziached .L - Rehan To: DOCUMENT NUMBER 2O23R-599847 N DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 07/28/2023 AT 1 1:06 AM RECORDING FEE: $30.00 PAGES: 3 Planning and Zoning Department Let_CSM#_ VOI._Page_ CSMDoc* !n -ground gravity Q In -ground dosed [} In -g imund pressure dishibutinn sewage System: Mound [;E Ai -grade Sewage System Q Other fic ank. (system types A through E)_ The septic tank shall be, pumped bye certified septage servicing operator within three (3) years of the date of installaaon 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. ?unto 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 Dump consols shall also be inspected and maintained to ensure operability of said components. Seotic Tonle Effluent Filter (system types A through E): The septic tank effluent fitter shall be inspected and maintained as necessary and in accordance will, manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewaoe System Disoereal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified seplage 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 pending an the ground surface_ Mbuntls At-orade, and ht -mound Praseure S\rs em t tom- (system types Cr D and E): The laterals shall be flushed out and swabbed if needed when the vrasteaeter distribution cell component is inspected as provided above_ Owner(s) agree that fel/ore to comply with this agreement w ii result in action being taken to pay c//charges and costs incurred by Bay/laid 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 Bayr7eld County shall notify the owner of any costs which shall be pa/ti by the owner within thirty (30) days may be on the tax rot/asa spec/al assessment for the abatementofa human health hazard, and the tar shall be es-thco//ecatedaspmat) themvided by la ors The arms and condtions of the variance shall be binding upon and inure to the beneGf ofa/t current and future owners ofsuch property. Drafted by: Proofed by: ulfarmNsar+�rNseCdcmRnvised Jn2010 Revised June 20t8 .. � 106 This Indenture, hlEfadeb, West Mason Lutheran Pree Church, formerly West Mason Lutheran Oongregation, by its Trustees. grantor— . at Bayfield Gann#. Wtecoaam. hecebs quit•datma to Paith Lutheran Church erect.e — , ct Bayfield County, Wtaaansln, for the sum of One Dollar ($1.00) and other valuable consideration me folhowhna asst at fend m Bayfield Ooanty, Gists of Wleaomdn: Commencing at poet in center of Section twenty—two (22), Township forty—six (46), Range six (6), thence west a distance of 475 feet, thence eouth a distance of 458 feet, thence east a distance of 475 feet, thence north a distance of 458 feet to the point of beginning. Said parcel being located in the North —$set corner of the NE K of the SWX of Section 22, Township 46, Range 6.': This conveyance requires no revenue stamps. IN WPTN&4B WHEREOF, the said aentos— ha n hereunto at its band — end teal — this 2 da10: May A. D.. It 61 . Wand and 8eeled mn Presence at WEST MASON LUTHERAN FREE CHURCH (SEAL) Wyona Weetlund By Nola Reiten aw Nels Reiten, Trustee) Peggy Hogstrom Ted Hanson (a>est) Ted Hanson, Trustee STATE OF Wt5CONU , HarryRahn eL Harry Rahn, Trustee Hayfield ooimty. Peremaatly came betas me. ta:a 2 day of May . A. D., It 61. tt.abawnamed Nola Reiten, Ted Hanson and Harry Rahn to m.lmown to be 00 person a who executed the forgoing last:ument and salmawf dried the same. Received far Record mss 2 day of Charles E. Squires May ►. D., m61, at 10:3vesoah A Notarial Dtoersy Pub!lia, Hayfield County, Wit. Earl Pedersen ass:tx of Deeds. Seal a4 oammiseloa ,) sa oat . 6 A. D., u 63 Dspaty. Drafted by Robert N. Ledin, Attorney, Washburn, Win. SI I LI • • I 1U'l p. • QUIT CI.411M DsaD.___ST4T OF No. I7 ------ .., .._ C • • I I This Indenture, Medab, West Mason Lutheran Free Church, formerly the Western Mason Scandinavian Evangelical Lutheran Church, by its trustees, • pasta? - . at Bayfield oo�q. WJ.00astn. has W aaa-ddwe m Faith Lutheran Church xantse- . of Bayfield Oo=tj. Wtscaeata. far the sus of One Dollar ($1.00) and other valuable consideration the tQu°wifl slat of law to Bayfield qty. of : Commencing at the center of Section No. Twenty-two (22) in Township No. Forty-six (46) North, Range No. Six (6) West, thence south along the center line of said section 208.71 feet, thence due east 208.71 feet, thence due North 208.71 feet, thence due west 208.71 feet to place of beginning, said tract containing one acre, more or less. It is hereby agreed by the grantors and grantee hereto, that if the above premises be used as building ground for a church, said church may be at convenient times allowed opened for Lutheran ministers of other Lutheran Synods or Lutheran Assooia than the "Lutheran Free Church". This conveyance requires no revenue stamps. Di WPPxIBS WBR EOY. the satd cantor — ha a huesanto u t doe ae May d. D.. IO 61. Btgnsd sad Bautsd fn Prssaaae of Wyona Westlund Peggy Hogstrom STATE of WISP(. Bayfield Oom y. PmoQatyosmebdareme.thle 2 its hued — sad essi —this 2 WEST MASON LUTHERAN FREE CHURCH CL) By Nola Reiten) Nela Reiten, Trustee Ted Hanson OM) Ted Hanson, Trustee R�eeW Baba HHarry Rahn, Trustee daof May .*.D..1561. theabowasmud Yale Reiten, Ted Hanson and Harry Rahn, toms ]mawa•to be tag pasaa a who az>eetad the foregoing mat sad sahowladged the sums. 8eoelred for Record thts 2 day of Charles B. Squires A. May M. 1961 . at 10: 3tlootc Am Notarial xota:: Pobllo. Bayfield coma. WL. Earl Pedersen Ragtsl»reDssds. Seel • j Mr oammtsdoa a 10/6 • L D. u63 Drafted by Robert N. Lading Attorney, Washburn, Wis. PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = Inspection Checklist INSPECT EVERY 3 YEARS RECEIVEo o type of use o age of system SEP 12 2023 o nuisance factors (i.e. odors, user complaints, etc.) '..7 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) p�nn. Bariety(, 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 box2's) 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 450 gpd; BOD5 5 220 mgL 1; TSS 5150 mgL 1; FOG 5 30 mgL-' 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: RYAN STRAND Local government unit: BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, WI Phone: 715-558-1673 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. BAYFIELD COUNTY SANITARY PERMIT (#04)-23-128S STATE SANITARY PERMIT OWNER: FAITH PARK INC GOVT LOT: LOT: BLK: NE 1/4 SW 1/4 SEC: 22, T 46 N, R 6 W TOWNSHIP: Mason SOIL TEST: 128-23 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Strand, Ryan MCKENZIE SLACK DATE: 9/15/2023 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 798301 Condition: System to meet all setbacks. Management plan to owner. Properly maintain per recorded agreement. Old system to be abandoned per SPS 383. Adhere to State Conditions. THIS PERMIT EXPIRES 9/15/2025 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION _ � 8 Department of Safety & Professional Se . ' ) Commy BAYFIELD ` nitary Permit Number (to be filled m by Co + t Industry �= y Services Drvlslo ars' Sanitary Permit Application fate Transaction Number In accordance with SPS 38321(2), Wis. Aden Code, submission of this Ram to the Bayfie�r �"' appropri6d8gq pmmeufa")tlwt:: PWTS-092301977-C Pro ect Address (if different than mailing address is required prior to obtaining a sanitary pet Note: Application forms for sttowned PO WTS am submitted'to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Scats. 22505 FAITH CHURCH RD 1.Application Information — Please Print All Information Property Owner's Name Parcel// FAITH PARK INC. UTHERAN CHURC 04-032-2-46-06-22-3 01 -000 - Property Owner's Mailing Addro Property Location 020000 P.O. BOX 86 Govt Lot NA City, State Zip Code Phone Number MASON, WI 54856 l tal(ast%ba s SW %a Section 22 T 46 N R 02 E orW H. Type of Building (check al that apply) 3 Lot/I Subdivision Name ❑l or2 Family Dwelling— NamberofBedrooms NA ❑XPubEdCommemial—Describe CHURCH NA Block/I NA Use ❑ City of O State Owned —Describe Use ❑ Village of MASON CSM Number NA o Town of 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 it licable.) A. New System R lacement System ep y ❑ Other Modification to ExistingSystem (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank X In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber 0 Transfer toNew Owner sit Previous Permit Number and Date Issued Expiration NI{ IV.Mlspersaltrreatment Area and Tank Information: Design Flow (gp 450 ) Design Sol Ap licatio te(gpd/sf) 0.�/ Dispersal Area Required (sf) 642.86 Dispersal Area P7(st) Sysmm Elevation ✓ 678 94.25 FT. Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer o w v , w v u ti New Tanks Psisting Tanks Septic orHok_ng Tank 1000 1000 1 WIESER X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pluwbs Signature MPMIPRS Number I Business Phone Number Ii9 t 7/5 5S&1b s Address (Street City, State, Zip Code) Olumbb /�(/Jt .({���/ ,r ]'�' / Y— o P a*- r "�,Lt-.- i. VI. County/Department Use Only A ed O Disapproved Given Reason for Denial Permiitt� Fes 0 • Date Issued J5 I LssuingA ent titre 'r' .. / a pproval/Reasons for Disapproval ;;2OOwner to Yhji,+ a.21 jtaWs. 3)0ld 12e asanated & M rtfr Ii' 8WIh U' raz�v. Attach to complete plans for the system and submit to the County only on paper not less than 8 5/2 x 11 inches In size SBD-6398 (R. 03/22) " f Safety& Professional Services �Cl:`Page of_ Division of Industry Services SEp SOIL EVALUATION REPORT .� In accordance with SPS 386, Wis. Adm. Code County' BAYFIELD Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include. Parcel I.D. 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. 04-032-2.46-06-223 01-000 2 Please print all information. Reviewed by Date personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04(1)(m)). ❑ 'roperty Owner PropertyLocation 13 FAITH LUTHERAN CHURCH(MlTtl w.e c TAB• Govt. Lot NE '6 SW '. S 22 T 46 N R 06 )B(Q0 W 'roperty Owner's Mailing Address Site Address or CSM and Lot #: 23(023 _ (1* 22505 FAITH CHURCH ROAD V177: P106 ( 780 ;ily, State. Zip Phone Number ❑ City ❑ Village Lii Town Nearest Road _. _ _ . MASON FAITH CHURCH ROAD ] NewConsiruction Use: ❑ Residential/Numtlerofbedrooms Code derived desgn0ow rate 450 GPD 3 Replacement [2Public or commercial - Describe: _CHURCH_(25 PARISHIONERS) Flood Plan elevation if applicable NA ft. Parent material SANDY OUTWASH 50 SEATING CAPACITY IN KITCHEN AREA MAINLY USED General comments and recommendations: CONVENTIONAL IN -GROUND TRENCHES — 0.7 FOR SUNDANCOFFEEE. 1 X R BREAKFAST X 5 GPO = — .— 2S'41.5 SAFETY Frtc'TCrc s I. •. ❑Boring 76 in.1 elev_90.32_ft. 1 Boring # [] Pit Ground surface elev. 96.65 ft. Depth to limiting factor Soil Application Rate Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structuoms Gr. Sz. GPD/FtrHorizon •Eff#1 `EIf#21 0 8 8-20 20-40 7.SYR2.5/2 7.5YR3/3 7.5YR416 5YR414 — —0 -' Is $ $ tfsbkvf Osgvf-co Osg4-co440-76 0s— co 0.7 0.7 7 0.7 1.6Is 1.62 1.63 165 76.84 5YR4/4 fld 5YR4/6sl lfab0.4 0.7 horIzon31 s gr.horizon 4 h some cos s& gr horizon 1 s fill 2 Boring # QBoring ©pit Ground surface elev. 96.95 ft. Depth to limiting factor 72 in. / elev._90.95 ft. 6.00 ft. Soil Aarlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Efl#2 1 0-10 7.5YYR2.5/2 — Is lfsbk ds cs .3.Foo 0.7 1.6 2 10-20 7.5YR3/3 — Is osg dl 9w 2vfc 0.7 1.6 3 20-40 7.5YR3/4 — S Os dl cs i 0.7 1.6 4 40-72 7.5YR416 __ s sg dl as 1v?- 0.7 1.6 5 72 -BC 5YR4/4 mid 10YR5/6 sic ltabk map — 0.0 0.0 horizon has a layer of CST Name (Please Print) MARY JO HUPPERT (Hollister's Soil Testin Signature & Design). r' 4u{C um f 224832 Address Date Evaluation' C ed one Number 25720 FIREFLY LANE, WEBSTER, WI 54893 07.28 20023 • Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 150 mg/L - Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L SBD-8330 (R03/22 FAITH LUTHERAN CHURCH [] Boring IIJ3 Boring # (A Pit Page _2„_ of_4 Ground surface elev.ft ` "{M ,1tito limning factor in. I elev. 50.74 ft. qPP 1 q -4 6.25 ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Corn. Color Texture St cture ;.. Gr. Sz. Sh. Consistence; Boundary Roots GPDIFt2 *Eff#1 'Eff#2 1 0-12 7.SYR2.512 — Is lfsbk dl cs 3vf-co 0.7 1.6 2 12-22 7.5YR3/3 -- Is Osg dl 9s 2v1 -co 0.7 1.6 3 22-30 7.5YR3/4 — s dl cs lvf-ci 0.7 1.6 4 30-75 5YR4/4 — s Osg dl as 1vf-f 0.7 1.6 5 75-80 SYR4/4 lid I OYR5/6 sic lfabk mall -_ — 0.0 0.0 some ri obs Boring # ❑ Boring [] Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. I Sod Apolication Rate Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cord. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 Boring # 0 Boring O Pit Ground surface elev. ft. Depth to limiting factor in. I etev. ft. I Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az- Cord. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 'Eff#1 •Efl#2 • Effluent #1 = BCD > 30:5 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BCD. s 30 mg/L and TSS s 30 mg/L Plot Plan PROPERTY OWNER: fit* rl+t lam.w TAml._„LQff;SAIJ Legal Description: P@L.. ! 'Tit SW t 2.2 lla, &o T09 ' Qq • 031 2 -4*-© - :3 1 OO 2Df ?.z AITtt -yam' � Q ��' • �5 � �c� ' lite location: Page'of( 1= 40FT. (except where noted) #y = baoe pit 5jt L -� North I SEP 2023 13ra; iJ �, r l clot gyp)&.. 8/17/2023, 8:58:07 AM 1:500 Meander Lines All Roads I. —I Town Approximate Parcel Boundary Survey Maps Section Lines 0 UnRecorded Map Municipal Boundary f AiT4-f t —U1 fpe1:-kN Lhe. Ct� G•m..d:..6..0 r'•,. ..R.. %ALp Building Footprint 2009-2015 Existing Driveways Buildings a o.o1 001 0.02m -,� a 0.01 0.01 0.03km ar$Wp Ce4I Lana n.maau owaana, MM lnnapa b.,s awelr,ganxµr'*I4WMI PAGE 1OF4 4 In -Ground Gravity Plan Index & Cover sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) fi[ 4 Pg 1 of 4 Index & Cover Sheet S Pg 2 of 4 Plot Plan £p ,�20 Area Cross -Section & Vi , 23 Pg 3 of 4 Dispersal P Pg 4 of 4 Management Plan Attachments: Enclosures: Tank Specs POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map ST$TEAA Conditionally APPROVE® DEPT. OPSMFrYAw PROFESSIONAL Project Name I Description SERVICES DIVISION OF INDUSTRY SERVICES . INC. (Church) -���✓����� Owner Name(s): FAITH PARK Phone: Owner Address. • P.O. BOX 86, MASON, WI Zip: 54856 Project Address: Govt. Lot: NA Township: 22505 FAITH CHURCH ROAD EI1 /4 of SW R114, Section 22 , T 46 N -R 06 E D or w MASON County. BAYFIELD Project Parcel ID #: 04-032-2-46-06-22-3 01-000-020000 Designer Information Designer Name: MARY JO HUPPERT Phone: 715 - 426 - 1775 Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 54893 E-mail: hollisterdesign@outlook.com License Number. 1859 - 007 Remarks: W0 '� ;t. 1. 4. aW Cif iT L'" . 25 PERSON PARISH W/COFFEE KITCHEN & 50 SEAT CAPACITY 5PU-5 i S1EMTTJ )JtF ww O � •w ',.. i` f ;fie n► • .. tfss Signature: Date. On i _ nature required an ssubm ed copy. Wisconsin Department of Safety and Professional Services Division orIndustry Services 4822 Madison Yards Way PCB Box 7302 ` Madison, WI 53707 September 11, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-9-11 Plan Review: PWTS- 092301977-C Mary Huppert 25720 Firefly Lane Webster, WI SITE: Faith Park Inc 22505 Faith Church Rd Bayfield County Town of Mason NEXSWXS22T46R6W FOR: Y e Phone: 608-266-2112 Web: http://dsps.wi.gov ! %$p Email: dsps ahwisconsin.gov $ Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL. SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE SEP U 2023 rn'tin Bayfield Co. a„ . Zoning Ager: Description: 450 GPO — 72" to limiting factor — Effluent Filter - Maintenance required — In -Ground Soil Absorption Component Manual 5/22 - 5/27 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • If using the existing septic tank, it must be inspected for watertightness and structural soundness, size and baffles, and must be brought into conformance with the requirements of ch. SPS 383, Wis. Adm. Code. A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. G A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities • The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of.the POWTS. Sincerely, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 ioshua.rowleyc wisconsin.gov SEP 1 Z 2023 3ayne!d Co P$ar,iing and Zcilt:l9 A.7ri!Gy Plot Plan PROPERTY OWNERL EAMA lAFk• &C , TA tt Lti LgaI Description: u,'.a '1.. t . IVE SU ' Z2 T4b &I, •Ibb1 D AMtM11 • i14 i32- % -7- -mss Al w• oc•- 2A J 2z. 6 Fkt1f atIu tt ageof- 1"=40FT. (except where noted) .= = aackhoe pit North � ........ . •;—....r.r.�...� .�._ ..� .e+z. r.....:s.--7-_a-•t--�-mss r ..�. • SEP 1 z0 '• 8aY�efd - 0 >`4 ;;;ding arld flrnW "•gen , w \ l BM TOP of hu.=i ooFT. ' ,fit tr-'-• ;� I{ r 1 i I '2- Ii ;%/ a.w / 1 j� T �'J A �J i +� • t. i :: site location; { 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) • r' ia '• (typical) " a•'a' Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: 0621 - 18 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Elevation = 94.2C ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) ---------- ------ Br 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft2 + 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. �A=3.0ft (typical) TYPICAL TRENCH PLAN VIEW (No Scale) a: �W 450 GPO /0 7 LR = 642.86 FT. Quick4 Standard -W Chamber 642.86 /20 EISA = 32.14 UNITS OR (typical) 33 UNITS X 4 FT. =132 FT. (mfd by infiltrator Systems, Inc.) (3) 3 FT. X 44 FT. TRENChi29" pursuant to manufacturer's instructions. = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 642.86 ft2 x 3 trenches = Proposed Total EISA = 678 ft2 Distribution Method: branched manifold El PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow 450 gpd; BOD5 S 220 mgL 1; TSS 150 mgL"'; FOGS 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS w .w o type of use ., 7 •; o age of system SEP o nuisance factors (i.e. odors, user complaints, etc.) 7 20Z3 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)r=�, 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 boxe) 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: Local government unit: RYAN STRAND BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, WI Phone: 715-558-1673 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. N WLP1000-MR N H K SPECIFIC TfONS _1A tiJ4" % �� DIMENSIONS: -_____ WALL: 2 1/2" BOTTOM: SEPTIC 3" HOLDING 5" (ADD 1,300 LB.) COVER: 4" - -� MANHOLE: 24" I.D. PRECAST CONCRETE RISER �� HEIGHT: FLAt COVER 53 1/4" O.D. LENGTH: 104 0.0. 4" CAST -A -SEAL 4" CAST -A --SEAL WIDTH: 88" O.D. BELOW INLET: 420 O.D. O2a. LIQUID LEVEL: 38" x WEIGHT: 6,790 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL FILTER OR BAFFLE GASKET, CAST -A -SEAL BOOT OR EQUAL. \ INLET AND OUTLET BAFFLE AND FlLTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 STRUCTU Al P1FFR1 I' ,tea OUTLET M PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM 0-1227 REQUIREMENTS CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE FOR APPROVAL. APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: 9 CL W V1 PSC-Series Biotube® Effluent Filters Applications I if fQ a zAuee fitter — cam• U! ! !. tai float switct tt racket ... Deflector c r. tixts:nu Orenco PSC Sexes Wotuhe Ettkcent Filters are deigned to remove solids from effluent leaving wastewater taxis General Orenco's patent -pending PSC-Senes Bietube Effluent fillers are used .o imprc ve t_e quality of effluent from wastewater tanks- hnproved effluent quality extends drainitdd file in onsfte dispersal systems and improves the peilormance of downstream treatment ht effluent sewers. The 6 onuoe filter cartridge fits tightly in the housing will being easy to remove for maintenance. The passively self-cleaning design extends maintenance cycle intervals. Fillet mesh is available in 1i8in or 1116cn 3._'mm or 1.6mn11 mesh cpening sizes. Inc handle can be extended with PVC pipe (riot includedl for better access to the cartridge. A 3l4in (19mm) diameter tee handle is wduced. Models PSe..S06_21 18 and PSCWC)621-18 are NSF 46 cenifed. Standard Models PSCSO621-18.iPSCW:0621.18,PSCPS0621-18 PSCPWO621-18 Product Code Diagram SEP 1 zoz3 PSC L L 06 21-18-LiP ann: eayfi=ta T' corny Aq.. Fxs.-ro RIC sxrnarxr r 11X, i 6 4..�raiQmro k4 :rrt •i7s ( j Ae H J 2v�la; L :. v x+d fo, ms Materials of Construction Fialcny PVC.AV.. tflCtuhE titer rarsaigz Polypropylene. DCPtl N.a:tl:9 G'uTM'1;+r8S _.. _. - - - ._—PVC.#:.: Sim Orenco PSC-Sevles Bioiube Effluent Filter OetleCVS alai€ A9S &WI Sya*w' • M3494M3 • +1 911.439.4449 • WM1Yw.tNttrrc0.com NTo3 -FrS2 Mr.3 t�e[r21 P 1442 - n m 1O C' s ue A1 '+ .ro a .... 3 °3i I7 13 ; d I L4 I i rL }; 4 I`I 4• I I II I I 000000 na 000io 00000 oaoo n oatloaoo 00Q(1u0Cflonoa00000annnnruoon0000a00000 \• Oo 000, o CI COO 000 CO 0 O 00000000000000(1000 eeeee»ee«eroeooer,00 e«o«eeoeooeooeeeo 444 to AUUUJ 4CJLIlU10C0S 4 4 HOC 4F A0 440 00000000 00000C O)O] 000000600Y 00 00 0 hno on i 11 ,nnaaoo cL oua n noonoonaooaan( f! 0000 0000 JO 000000(000 0000Oaoa0000000 F00000 0«00«««««0«ne onnneer.r.eeeeeael ac o0 t 0000000 oaoo« o ouen0a000coaaoo lolInov.tp>)L (10110004) ViJ00000o000 J40 t, nnam0 oaoouonon .,al 000c 0000000 g ' I m .. 0- -WI ao as 000.� 10010000 .00000 000 00000I.. 00000000 ,««n00 one 00 O000 :0000 naanao0con 000110 00000000000000 aesseeweeeeo In000aoe no co nn 0000000000o0e0 1000000000000004 � 1� Bayfield County, WI 9/14/2023, 10:46:18AM 1:1,187 -! Approximate Parcel Boundary Road Type Town Building Footprint 2015 * Building 0 0.01 0.03 0.05 ml 0 0.02 0.04 0.09 un Bayfield county Land Records oepanment Bayleld county zoning Application Mips:/heaps.beylleldmunty.wtgov/ZonlngWAe/ Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 8/17/2023 Created On: 3/15/20061:15:45 PM Description Updated: 5/20/2003 Ownership Updated: 3/15/2006 Tax ID: 23623 FAITH LUTHERAN CHURCH PIN: 04-032-2-46-06-22-3 01-000-20000 Legacy PIN: 032104303000 fflLngAddress Mailing �ddrew Map ID: FAITH LUTHERAN CHURCH FAITH LUTHERAN CHURCH Municipality: (032) TOWN OF MASON STR: 522 T46N R06W 00000 00000 Description: PAR IN NE NE SW IN V.177 P.106 377 N' Recorded Acres: 5.000 Site Address * indicates Private Road ...._.._._ c� �`' Calculated Acres: 4.995'Q_........... ___ _...._..._..._...... ___.-_ ..._ _.._......__._......_...-._.._ .._.......... :u { T Lottery Claims: 0 - Property Assessment Updated : 3/15/2006 Zoning: (AG-i) Agricultural-i �._.__..__ _...... _._ __. _..�_ ESN: 122 2023 Assessment Detail Code Acres Land Imp. Tax Districts �......_...._.__.�..,..____.._._._.___._..___._..�__.__..._... Updated: 3/15/2006 _.�._._.__._..____.__.__.. X4 -EXEMPT OTHER 5.000 0 0 1 STATE 2 -Year Comparison 2022 2023 Change 04 COUNTY Land: 0 0 0.0% 032 TOWN OF MASON Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 0 0 0.0% 001700 TECHNICAL COLLEGE ., Reeerded Documents Updated: 3/15/2006 Property History ® CONVERSION _ ._....-.._.. _.._._..._...-._...._......._ __._ _ .-..__..._. _ ._... .... ......._ .... Date Recorded: 177-106 N/A RECEIVED IUi eld Co. fxff/L Lu1h Y fr' (JL. eCa}MangA&fre OBpjcFAG.+ [a 5c's FziIA £h w1f Ii'aiL i,..ir L33o As ovate: i (J do hereb r ceij the piii,ata sewage slfstare witie hrstaUed in a� 't f � sal tester's s f aatd.Vps p#a and cafion Onile � B fd ( P a g ne j s3stn will I �bssc asmnare3rasfi+csle a doaw. t a tosnaicrfair�said tP��at.tlrebetw dbwfanftatxor s�durthe�i+ltf Cade; as r nerlrled �F- at i ragtfted� j ____'tf4of 114 Set _ Tom_ . tea CD iltf_ Ref=TD: TT_C6M__ . Vol-_ PagB CS4r1. ffca.# DOCUMENT NUMBER 2O23R-599847 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 07/28/2023 AT 1 1 :06 AM RECORDING FEE: $30.00 PAGES: 3 # In -M WmW 0 FmWaund dosed In groom press€on Swage Ste.; Mound Q At.grade Sewage system 0 Other stalEatFcrs2nQ o sep1i tank shall ba.puas bye certifier€ septage every three A) �s g3 rupon �g ogre tt (3) years of ed dale of sack iaspecl;c�s . t%e tams Es wrtd fay fags ane t E t3 �ite wiuma ss bn by a %sad master plumber crofher tea autf errad to make by slime an:d srurri. rna a tarnh Elm types % C D. and 4: The pump chambershaj also -be rind ans! above- -the swikcks al d P tins f aFso be wd m� to pumped cf ca r fs serviced a3 provided IStefn4es ' t t EJ: ThF-segticrtmk e i rshat be A and nfa d as sped %tta� i+<I€efrrra� r €s sly fie subati f to rate Ca"y as d by gpg M Y'fI Acft Codetxoratance VB�A thmugb Ek The pduabr sewn es ithia a� FOy mow.. crfansed rtradf�er phnnber mim three bra oftcrc cell strait ire- trafly inspected try a car fed a dew v beffw vanteiiater ar ei errt frmrt ti (3) Yeats ogmu thedate crf isrstaka attt ai i�st crzc every three � is paadFeg arc ifieg� � and Inorornut Ptrssu d. and The sis sFiaEt tarpfl� out and sib, ifmeted tuherr the �fertfisfn'� C&C0Mpenent is. kmp cW as pmvkted abm frispec Qwnesp n it faf7srra to anmptywftlzthlsa ment my iess tAt scuba be gta&entr, pay all l � or use g and ma irg the pate set safzd cons as d by Rayirefd eoumtytor. buxf a &W&fazantfaata by7hasgsie& Bay&"Counfrskalfn thee sro waftsnob he a manner [a ttres►�f or a any if erffieteteofnej rnmeevenemeow e a'vsz Lira Q ~� t�Q3 Ys heFtaceaForrlFrafaoctarasaspe�frurfl3aabarttotahamarrfseQitbfiaz-a dnf�abb�, fs The tot and ccnri o fhewancesIrJbe bindJag tPorf anof r t(D 1 raba iaff arall'cua t oral fuCrjm av+nermcfsuch �� �Tt/;��it.7 I�'!� f G'r'I C. �J r%Y�" f�r+�n� an thFsda�;• r�llt�F��Cl1AL'�CY. Q3e.e.+.Q.��L�e � •' '~ i. -.� Pmafucfby. �sceag�ement Revue Juae20fs 1106 This Indenture, nsaeby West Mason Lutheran Free Church, formerly West Mason Lutheran Oongregation, by its Trustees. gmntor— , at Bayfield acunty. Wlaeoaatn, hereby quttitatara to Faith Lutheran Church I �antaa — .f Bayfield County. Wtscoazht, for the sum of One Dollar ($1.00) and other valuable consideration th• fnuawtag:cant of land to Bayfield ca=ty, State of wsaooneta; Commencing at post in center of Section twenty—two (22), Township forty—six (46), Range six (6), thence west a distance of 475 feet, thence south a distance of 458 feet, thence east a distance of 475 feet, thence north a distance of 458 feet to the point of beginning. Said parcel being located in the North—East corner of the NE of the SWi6 of Section 22, Township 46, Range 6.': S This conveyance requires no revenue stamps. . • IN wmmsa wanasos, the eeid grouter— bee hateunto sat its beret— cad ,.el — thla 2 • day of May A.D.,1961. 61 . stgn a and Sated to Presence of WEST MASON LUTHERAN FREE CHURCH (SAD) Wyona Westland By Nela Reiten tesen) Peggy Hogetrom Nels Reiten, Trustee • Ted Hanson (SW) Ted Hanson, Trustee Harry Mahn STATE of w1SCQran! I as Harry Rahn, Trustee �) Bayfield aarmt7 Paracasetycam.befarum.,than 2 day of May .A.D.,1g 61. eraabounsmid Nels Reiten,Ted Hanson and Harry Rabn tome ]maws to be the parson a who ex.cnted the fa a etng bsetrumeat and ec]mawI.dged the Mma. I B.odtndforBecordera 2 day of Charles B. Squires Play A, D..1961 ,at 10:3Watack Ax. Notarial xasar, Pabuo, Bayfi el d taunt. Wb- Earl Pedersen EBsgicterofDeeds. • Seal bpr ooanartastaa eaptru Oct . 6 A. D•. 1963 Deputy. Drafted by Robert N. Zedin, Attorney, Washburn, Wia. ' r lu•' i • I -s QUE? C&AM Dom, ff ATh of W18CONSIN—FORM Ha 13 NUMBER This Indenture, lrsdsby West Mason Lutheran Free Church, formerly the Western Mason Scandinavian Evangelical Lutheran Church, by its trustees, sz, nsar _ . of Bayfield oaoaty. wlscaastn. haceby gals-dsiazs so 226113 Faith Lutheran Church • • I. axint's- . of Bayfield Ocstat', W1zc sua. fa tho so= of One Dollar ($1.00) and other valuable consideration ah.foIIcwlnstisotofhmdIn Bayfield Ooxo.t1, staso of Wtaaaaatn: Commencing at the center of Section No. Twenty—two (22) in Township No. Forty —sic (46) North, Range No. Six (6) West, thence south along the center line of said section 208.71 feet, thence due east 208.71 feet, thence due North 208.71 feet, thence due west 208.71 feet to place of beginning, said tract contal one acre, more or leas. It is hereby agreed by the grantors and grantee hereto, that if the above premises be used as building ground for a church, said church may be at convenient times allowed opened for Lutheran ministers of other Lutheran Synods or Lutheran Associa than the "Lutheran Free Church". This conveyance requires no revenue stamps. IN W1TNs88wuansoF, the add zeamr — ha s haosunto set it a band — sad s al —this 2 dq at May A. n..29 61. fined =d sastod inPseasae. of WEST MASON LUTHERAN FREE CHURCH 00") Wyona Westlund By Nels Reiten (SEAl) Nela Reiten, Trustee Peggy Hogstrom Ted*Hanson cam) Ted Hanson, Trustee STATE a8 wtscoNSIN, Harry Hahn Bayfield Oamaty. I" Harry Rahn, Trustee PanaaaB7amsbsfarstno,thit 2 loyal May ,A•D.,I9 61. te.aboonaxn.d Hels Reiten, Ted Hanson and Harry Rahn, to ass lmowa•to b. the paraem a who as.saud the fcredotag iataumtaat sad scimowhjdpd *4 aama Readnd for 8acmd thus 2 day at Charles B. Squires May A. D.,1o61 , at 10:3 2fick NL Notarial Nots�Publuc, Bayfield Conn y, WIi. Earl Pedersen a.1st.,ofD eds. Seal My cosamtadaa asps:. 10/6 A• n., 2963 n.pouq► Drafted by Robert N. Ledin, Attorney, Washburn, Wis.