Loading...
HomeMy WebLinkAbout24-05SRequest 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 ( 1 n�s 5 C !`�vtiLd3 1 Phone Number � �f S 3 Plumber: "—I L� �lwT/i p`� Fax Number `��iiGG,,,�"""" 1�R�, Let �! r AJ Email Address Homeowner: J��IJYv ' C) 5 S Immediate Phone Number So Zoning Dept Sanitary can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept ( _ (1/ l�J/// No Inspection(s) during this time Date: I OK Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zoning Dept Time: OK Township: Address # & Road Name: t7L1 J 6JLp® iJt'c1 PC or Directions To Site: Comments: ** Plumbers you must verify any change(s) by fax or email '* Notes from u/fortes/sanitary/requestforinspection Zoning Dept (®4/12104); ® June 2023 Private Onsite Wastewater Treatment > s� Systems ( POWTS) Inspection Report (Attach to Permit) Industry Services Division General Information JASON ROBERT & KATHERINE ELIZABETH BEE 31786 MAPLE COURT LAKE CITY MN 55041 T....1. InFnv iaeinn 1 ann uliv. TYPE llinHvl, MANUFACTURER• CAPACITY Prop. Lie Well Building Air Intake Road Septic (it I O -S C fAth N/A Dosing N/A Aeration N/A Holding cafhark fir C�Y Sanitary Pe No: ,a5S State Plan Transaction ID#: Parcel Tax No: /0703 Pump ( Siphon Information ump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Disnersal Cell Information DIMENSIONS WidTh Length #of Cells SETBACK FROM Prop. Line 4� Bui d'n N(ql� XX// OHW Type of Cell f4[4/ Manufacturer: Model Number: Pretreatment Unit Manufacturer. Model Number: licfrihntinn System Header I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length _ Dia Spac _ Spacing 0 Yes ❑ No Soil Cover Elevation Data STATION BS HI FS ELEV Benchmark 3_/ 7o373 Bldg. Sewer 9 , 3,& Tank Inlet o, Q' Tank Outlet Dose Tank Inlet Dose Tank Bottom 0 , 7 Inst. Contour Header/Manifold q', j 9 r) Distribution Pipe Infiltrative Surface , 73 Final Grade 0 ;,73 X Pressure Systems Only Depth Over Depth Over Depth of Seeded! Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes 0 No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons'pre%t, etc.) yews % /6c a�. ati G /c��liy�/�/ J, R L n e Mg t�d �e4 / Pfau! or d c,,ar- rr- 5 `�-e/ Plan revision required? . Yes Ly No Use other side for additional Informetion. rirnrwA c237 CRr1.R71n IR nw9ii Date POWTS Inspector's Signature License Number a Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373.0114 e-mail: zonina(a)bavfieldcounty.wi.gov Web Site: www bayfieldcountv.wi.gov/147 JASON ROBERT & KATHERINE ELIZABETH BEE 31786 MAPLE COURT LAKE CITY MN 55041 As you know onsite wastewater treatment system on your property described as: Notes: Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: ❑ •:• Tank was pumped by: .• Tank was crushed / removed and pipes disconnected by: on at AM/PM On at (AM / PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: ❑ System was inspected and appears to meet all applicable code requirements. ❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: U/forms/saniterypropertyowner-input April 2019 Department of Safety & Professional Service�s�, Industry Service L srki' Sanitary Permit Application In accordance with SPS 38321(2), Wis. Adm Code, submission of this form to the apropri sin Btao[ is required prior to obtaining a sanitary permit Note: Application forms for stateb 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), Stats. T Annt:n9Hnn Tnfnrmofinn _ Pinup Print All Tnfnrmatinn m,N1550W 5 IL Type of Building (check all that apply) Lot # ❑ 1 or 2 Family Dwelling— Number of Bedrooms 9 Blocl ❑ Public/Commemial — Describe Use Govt. Lot %d. Y., Section -after a ❑ City of ❑ State Owned — Describe Use O Village of ti CSM Number ,p Town of C�r able, M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one baton line B. Complete line C' a licable A. New System 0 Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank Y° In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design j ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration (at) I System 2/ Capacityin I Total I #f I manufacturer Tank Information Gallons Gallons Units a °..' o d IuL'3 New Tanks Existing Tanks u o out t p `� p.0 rn sepucornolmog rams r Dosing Chamber X I IooI / ilxi V. Responsibility Statement- I. the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Approved ❑ Disapproved . -- �} / \ ❑ Owner Given Reason for Denial(f'�� JL€ Q1 !�%/r37/3 Attach to complete submit to the County only on paper not less than 81/2 x SBD-6398 (R. 03/22) RECEIVED / � DEC 26 2023 Wisconsin Department of Safety & Professional Services I: S �,, Division of Industry Services Page! Bayfield Co. I S SOIL EVALUATION REP0RTP�n dTFIAAggiQfjo3 In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, 3L1 )!/=lELo but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. 04• c 'Z- Z_43" -`l7- 23 scale or dimensions, north arrow, and location and distance to nearest mad. Please print all information. Personal information you provide may be used for secondary Reviewed by Date LProperty Owner ,ras.>K Rata.:. r �C (Privacy Laws. Lo.04on(m)), A � .,�/ Property Location ksmEplil7C EL724g277 BL 'E Govt Lot V4 V4 Property Owner's Mailing Address S ZO T �� N R �7 E (o Site Address orCSMandLot#�� iNvodcr Q�ld, !on fv 3/7p.17W� MapCB P_dr/Rr Wi/rye River 1vr 7 ,N Qoc zaaza- 3 v3z9s i4 City, State, Zip Phone Number L&sc& C.' y "14/ Ss-, (50 ) D city� Vllage T°wn Nearest Road SILY 4!/tcit NewConstruction Use: Res dent al/Numberofbetlraorns ZJ ❑ Replacement — Code derived designflow rate_ Epp PD ❑ Public or commercial - Describe: Parent material Flood Plan elevation if applicable ft. General comments and recommendations: Recoinrr>zvtc{ 5/z lvLy d, �u{ar � aV O3//'! © Boring ❑Boring aPit Ground surface elev. 94 ft. Depth to limiting factor 79 in, / elev.`rd-57 areas or coe oac4J zh-p14C� ft' Horizon Depth Dominant Color Redox Description TextureStructureConsistence Boundary Roots Soil GPPD/Ft2 lication Rate In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. l O -J SIR �SZ NQ 'Eff#1 'Efl#2 3.2 ,$Y(7 '�/4 N//i S i ,w-1 cpt ! 2 :5 3 L7-34 S7ti 4. /VA (s lmsbk m C:1lC 3i '70 5VR 7 I. z % � SYs o / l rn s, g • 7,0r, 7 i.y H H II ___ Boring # OBoring 'j Pit Ground surface elev. 9.s- 3 it. Depth to limiting factor 78 28 in. / elev. � ft. 51Z Depth 4R2 Redox Description Texture Structure Soil Application Rate In. Qu. Az Cont. Color Consistence Boundary Roots GPD/Ft2 Gr. Sz. Sh. NA 'Eff#1 'Eff#2 s% rn/ci i /Z W S- 78 Fib yyP Sa IrnSGK Div r CST Name Address 'Y2GZS %URPna-li4h Ad • Date Evaluation Cond , < Cb /r! Wi gq 7 i o/z3 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L CST Number Telephone Number 7/5— 5_ [aZ S4 Effluent #2 = BOO, s 30 mg/L and TSS s 30 mg/L SBD-8330 (R03/22) Page �- at Z Boring # Boring Pit Ground surface elev. ft. Depth to limiting fV• 9or7.. DEC 26 20 5oil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Or. Sz. Sh. Consistence s t, Y MIAts Zoning q GPD/Ftz nCEft#1 Etf#2 i O* 5Y 20 NA s I cs c t nn , Cain/ 1i .5 :9' L 4-'c yg 441 NA s1 I sbpc n#' 4aQ Zor . 5 : 9 3 t5 YR HP 5Y - s Zm sbic my - y ! Z ❑ 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. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIF? -Eff#1 -Eft#2 ❑❑ Boring 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 Gr- Sz. Sh. Consistence Boundary Roots GPD/Ft2 -Eff#1 Eff#2 • Effluent #1= SOD > 30 s 220 mg/L and TSS > 30 s 150 mg1L * Effluent #2 = BUD, s 30 mg1L and TSS s 30 mg/L 7 4s0N Ro& r,fr SEE Ha rye-i/ V LGiz4rec toy S t= 3V7J I`IAPLE CRT LAke G/TY, /4I SSA, £t /0 90,3 frlooacR, sr %[,r r -o Mvltoe /Rfv' t.or 7 Sec, 23, Tg3.V, R07W TvWY/ Qg& C4RL& (3eynao Co,, L;,12. 11 1 N 5cQG.E. �N_�i a So/h. r,T' A VRP ca3wwh t S7z ;e ,eU-.vOPJ _ gP4,j46 94, 5'Y_5r�M�tG�YS, Upper? rprL-.7/Q'- 9y, 60 Lows- T r,%'c 13. cn ' esni ZZts'IG. ©cr 3g' n rr9 s 0N, flY s co P 1V cNaoi ff� Soil Profile Sheet v 41 Owner: �3 So i l Tester: t?E/A!!S4..5IGlj:s:A/ ,.O 7lPPh�Z System Elevation: q - i- Load Rate: • 5 System Range y I o S ---- 9� - 4PPcR " i') ( qg31) (R 9s----. .::::":::: -- _ _ 'H TI I ... .. 9a •�s' .... .� . PAGE 1 OF 5 In -Ground Dosed -Gravity Plan RECEIVED Index & Cover Sheet DEC 26 2023 Component Manual Design References: Bayfield co. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-0927), and Zoning Agency Pg1of5 Pg2of5 Pg3of5 Pg4of5 Pg 5of5 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Pump Tank Specifications Management Plan res: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): \(Boat rL KccW'ioi71.to I2. See Phone: 507- 3O /d, Owner Address: 3(7 rplecn Gt ,ntti Zip: r)5O t-1 I Project Address: Govt. Lot: .1/4 of 1/4, Section, T 43 N -R d7E ❑or W Township: (ctbte County: [ ae&� Project Parcel ID #: T /O9Q.3 Designer Information Designer Name: Designer Address: E-mail: License Number: X9_,30 Remarks: P,hoone:2/5S5FS- 173 / Zip:J,3\ -Phapproval sta n �� GOVN�Y -mow 1 i Signature: Date: Original signature required on each submitted copy. JAsoN Ro/3Rr SEE Ili z9c.?2i1vs LLlzA8tr/I Bit- 3/731 MAPLc CRrT ,GAke c/ry; I`?'V SSO / rd -x Z % , /0903 Waorc,Rto�r 492 ro MI/Loll Riv4 ,L or 7 scc, 23, T43,Ro7W TaW.X, Oft C4 G� N 4 4 N 5ci1�� So/L p',7' A'/RP lOO`k C PVVh h 7xkt: 014A/C /ai 95,3x' SYrgt-i EZ&$-7 " &/'fr&7: 7/rc-7Yct 9y Oo uW6:77ENU/ goo' \ S<y �a n� 03 o 2 IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) min. 12" SOIL COVER ("picas) TYPICAL TRENCH 12" TCROSS SECTION VIEW min. trench (No Scale) depth (typical) 4'• =� n 4. 3 (typical) Provide minimum 3 ft Highest Trench Lowest Trench (as applicable) separation between trenches. System Elevations =9 cy ft; 9 ft; 91.3 ft; ft; Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) r� (typical)-----�j�-------��--- tklR ---, B= j' ft (typical) INSTALL PER TRENCH: ZQ Quick4 Std -W @ 20 ff EISA/chamber = G ft2 + / Pairs of end caps @6 ft2 EISA/pair = ________ ft' = Proposed EISA per trench = ft2 ft Observation Pipe (typical) Install per manufacturers / Inswctions. TYPICAL TRENCH PLAN VIEW (No Scale) IA = 3.0 ft (typical) "—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. Required Infiltration Area = // � ft' x . ' trenches = Proposed Total EISA = /2 o� ft' 1 d� � N 03 c o Q r N E 7 Distribution Method: CJ1 PAGE 4 OF 5 GRAVITY -DOSED SEPTIC / PUMP TANK SPECIFICATIONS :rcEIVED 4'Ovent Plpe (No Scale) >10 ft tom Building Electrical must comply with DEC 26 2023 12' Min. or 2.0 ft above COMM 16 and NEC 300 Established Flood Elevation Weatherpnrof (tYPical) Extend manhole riser as n Plan ry. Bayfield Co ning Approved Junction Box and ZOnlf0 +, �, Approved Locking Manhole gen IMPORTANT: Vent Cap with Waming Label Attadted Anchor tanks) as necessary —Conduit (typi l) pursuant to SPS 383.43(8)(g) d' Min. or 2.0 ft above Established Flood Elevation (typical) Airtight seal ' Finished Grade Quick Disconnect CAPACITIES@ £2.29 gaUn , y : 18' Mln. (8Pi�l) 1 Depth (in) Volume (gal) A / / * Approved JdntswYh B 2.0 Liquid A Depth Approved Pipe a ft ab Hole add Grwud Force Main MWree [C] F)Ifer• Alarm � `Install and maintain pursuant D /O. S B on to manufacturer's instructions. c -OFF * Pump Tank Liquid Level = in �rfP oB ELEVATION = 93 ?_, ft Force Main Diameter =�in• .PUMP ° Concrete Block INSIDE BOTTOM ELEVATION = ft Force Main Length = �ft 3'Approved Bedding Material Beneath Tank Force Main Void Volume = t6 ,6,Z gal [C] Total Dose Volume (TDV) = /7 2 2. gal/dose ( ≤ 0.2X design flow + force main void volume) Vertical Lift = _ ft PUMP TANK: Volume = gal Manufacturer. L//i'P SL> 7 Pump Manufacturer. Z� e/�,o ✓ Pump Model: 02 (see attached pump carve.) Controls/Alarm Manufacturer. yr ?e- Controls/Alarm Model: /_a'/ w fr /nrm Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume = /2 /7!') gal Manufacturer(s): /r/i ]y c e Install approved force main filter pursuant to manufacturer's instructions./ r. I Filter Manufacture9/'c— %yb e Filter Model: 1F %7 jO 22 13'-8" • ________________x iii====______tea 11 I II I I' 1 4" CAST -A -SEAL II I 1 1 d Ifil 11 � � I HIT II � II-. II11 II. • I FILTER OR 1� 1 11 BAFFLELtnnnnnnnnnj 11 I II I nnnnntsi TANKS ARE MANUFACTU WLP1200/800-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER CAST -A -SEAL HEIGHT: 53" LENGTH: 13'-8" WIDTH: 8'-0" BELOW INLET: 41" LIQUID LEVEL: 36" WEIGHT: BOTTOM 14,800 LBS. COVER 8,170 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) TOP VIEW LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON 4" VENT COVER: MIX DESIGN 418 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) `° CUSTOMIZED TANKS: _ FOR CUSTOM TANKS CONTACT WII ( ICR d) Rtl FM OUTLET ^+-° N n -- -- - II o --- I _ET o� Ta 110 f0 n M a I t•0.V I - REVIEWED BY PUMP PAD REVIEW DATE SIDE VIEW DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: :ED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS PRODUCTS NEEDED BY: II r y V OF 1 I PSC-Series Biotube® Effluent Filters Optional float switch bracket ications ""C Appl° Handle Orenco PSC-Series Biotube Effluent Filters are dDnesignega r388 solids from effluent leaving wastewater tags. nin BayfiB1d Co General g find Zoning Agency Orenco's patent -pending PSC-Series Biotube Effluent Fitters are used to improve the quality of effluent from wastewater tanks. Improved effluent quality extends drainfield life in onsite dispersal systems and improves the performance of downstream treatment in effluent sewers. The Biotube filter cartridge fits tightly in the housing while being easy Biotube fitter to remove for maintenance. The passively self-cleaning design extends cartridge maintenance cycle intervals. Fitter mesh is available in 1/Bin or 1/Thin (3.2mm or 1.6mm) mesh opening sizes. The handle can be extended with PVC pipe (not included) for better access to the cartridge. A 3/4in (19mm) diameter tee handle is included. Models PSCS0621-18 and PSCW0621-18 are NSF 46 certified. Deflector plate Housing Orenco PSC-Series Biotube Effluent Filter Standard Models PSCS0621-18,PSCW0621-18,PSCPS0621-18,PSCPWO621-18 Product Code Diagram PSC 0 0 08 21-18-❑ Trioat s itch braci, t option: Blank = m (bat switch bracket installed A = float switch bracket instated B = forusewin Brenco M -series tanks AB = Boat switch bracket htstaled and br use with Oreso M -series tank; Ca,bidge Wght in (rim): 18 =18(457) Her Musing height, in (mm): 21 =21 (533) Gin (150mm) Inter diameter Outlet tee: W = ircludes adapWr far Type 3034 outlet S = 86 SCMdue 40 outlet tee ater mesh option, in (mm): Blank= 1/8(32) P = 1/16(1.6) PSC-series Biotube ° effluent tller Materials of Construction Housing PVC, ABS Biotube filter cartridge Polypropylene, DCPD Handle components PVC, stainless steel Deflector plate ABS Orenco Systems• • Soo -348.9903 • +1541-959-4449 • www.orenco.com Mp-FT-FTS-2 Bew.3O06/21 Page 1 oft ZECE1VED DEC 26 2023 B Planning anZoning Agency it Model PSCS0621-18 PSCPS0621-18 A. Overall height, in (mm) 22.7 (577) 22.7 (577) B. Housing height, in (mm) 21.0 (533) 21.0 (533) C. Cartridge height, in (mm) 17.75 (451) 17.75 (451) D. Outlet pipe diameter, in (mm) 4.5(114) 4.5(114) E. Outlet height to invert, in (mm) 13.5 (343) 13.5(343) F. Deflector plate diameter, in (mm) 6.63 (168) 6.63 (168) Mesh size, in (mm) 118 (3.2) 1/16 (1.6) Filter surface area, fP (m 6.3 (0.59) 6.3 (0.59) Flaw area, ft' (m)' 1.9 (0.18) 1.9 (0.18) ' Alter area is defined as the total surface area el all nthvlO (Slolubes within the after c2rt#dge. " flow area is defined as the total open area (or area of the mesh openings) Mall the indwdoal BiMubes within the otter cartridge. Nro-FT'R5-2 erenco Systems e • 800-348-9843 • +1 541-459-444.9 • www.orenco.cnm Rev.3 0 06121 Page 2 of 2 > z t to ntAU I AIAI.,I IT UUMVt MODEL "98" FLOW PER MINUTE TO7w. DYNaala na.anos IE. MINUTE ER.UWT MO OIWAteeNS CAPACITY HEAD UNfTSMIN FEET METERS GALS LIPS 5 132 72 273 ID 105 at 231 15 4,57 45 170 20 610 25 9s tack Yates 2J' I 11/2-11 1/2 NPT RECEIVED DEC 2 ® 2020 - ' Sf9arsrid eaelj rM Z Co. -- --B _ Doing AgenLy I I 35/a Install per manufacturers requirements. CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are evallab:e and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarm switches. Standard all models - Weight 39 lbs.. 'A H.P 98 Series Ceneol SN•etlon _ r Modal i Vell••Ph Me" Am a film 1•a Dy I" _ A03 . 1 I5 I Aisle 9.0 I orl&7 & 7 Nil! 115 1 Non 9.0 20r2&6 3oit63 096 270 1 Auto i as t or 1 6? E93 23O 1 Non - 4.5 20.266 30..65 16 '16 7 • Mercury float switches are available for controlling singleand three phase systems. • Double piggyback mercury float switches are available for variable level long cyc'.e controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required 2. Single piggyback mercury hoe: switch ot double piggyback mercury. float switch. Paler to FMO477. 3. Mechanical alternator 10-0072 Or 10-0075. 4. Sea FMO712. for correct model of Electrical Alternator. "E.Pak". 5. Mercury sensor Pont switch 10-0225 used es a control activator. speed duplex (3) or (4) float sysem 6. Four tq hote "J.Pak". function boa. for waleslgMconnecikln or wired -in sin,. pie. or duplex operation, 10-0002. 7. 'we t2) hots "J -Pak lot walaniiihl connection or splice. CAUTION FYnlaaa.sn an WNizh". F .., p.ocucw,Men to cWUppl WAG; hteclaotaw. FY:als, A,, InaWMibn M control., po&cton 4 ,ncee end wolny should be done by a 4wh. n'COrbaca Msr:uh S.nt:Mt. FMOa77; E. '.nc.1 Nwnald, Pal0487; Ar Simplex AMrnaor, 1W Itesn.es .I.Mrleya All sMarwal end 'Italy Red.. .Noun be Ietlw.d inelud- rucass A:ern Para g.. rMW!7 $l.'wP5le.ag• Baalro, PMDae1; and Sima4t Coned Oo., 1n, Ih. weal meal Ne1bnM Electra Cod. INEC) sae the Occupeuonet 5.1.r1 a e4 N.enh AM (OSNAI. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller puma. I. ZJTZZZ1f / MAIL TO: P.o SOx 16347 •, L(J IP Tune. x0 ON40Millers 41W L Manufacturers of p �SfIEP ra 3284 Y $0216 Caw Ea.11 0 Fjefig6 / 41'91/rr�&stos,five1939 reel 770..;7.17 • Far lieT n4.1574 Department of Safety & Professional Se Industry ServiFXXff C* 65S Sanitary Permit Application ` - _-_ Mate I ransaction Number In accordance with SPS 38321(2), Wis. Adm. Code, submission of this form to the propri_ � 1 is required prior to obtaining a sanitary permit Note: Application forms for state -o rP�1@ P�i82mftfed to Prujcct Address (if different than mailing addres the Department of Safety and Professional Services. Personal information you provide may be used for secondary 17 y3Q �� i�Cr. 8/ra. C?r• mtu)oses in accordance with the Privacy Law. s. 15.04(I)(m). Stets. I Property 5. G II. Type of Building (check all that apply) ❑ I or 2 Family Dwelling - Number of Bedrooms • Public/Commercial - Describe Use ❑ State Owned - Describe Use Lot # 51 Govt. Lot Section .29 tl ❑ City of ❑ Village of ig Townof Ca -bit III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on Hue B. Complete line C ii applicable.) A. New System 0 Replacement System ❑ Other Modification to Existing System (explain) [I Additional Pretreatment Unit (explain) B. ❑ Holding Tank 'In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration I Tank Information I V. Gallons ,Tanks Existing Tanks .k X tent- I, the undersigned, assume PI sS :ity, State, Zip Code) Approved O Disapproved ❑ Owner Given Reason for Denial z ons f AApprrovval/Reeas�opnssffoor Disapproval Total //of Gallons Units 2/ 6 U l in y u. U I,alcu W installation of the POWTS shown on the attached Date SBD-6398 (R. 03/22) to complete plans for the system and submit to on paper not less than 81/2 ill inches in size 12/26/23, 9:58 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 12/26/2023 Description Updated: 2/24/2022 Tax ID: 10903 PIN: 04012-2-43-07-23-2 00-319-00700 Legacy PIN: 012127502000 Map ID: Municipality: (012) TOWN OF CABLE STR: 523 T43N R07W Description: WOODCREST ADDITION TO WILDE RIVER LOT 7 IN DOC 2022R- 593295 1485 Recorded Acres: 0.740 Calculated Acres: 0.741 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 108 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE y� Recorded Documents Updated: 3/15/2006 0 WARRANTY DEED Date Recorded: 2/4/2022 2022R-593295 © TRUSTEES DEED Date Recorded: 9/1/2017 2017R-569846 © CONVERSION Date Recorded: 486291 387-316;767-1015;873- 668 O QUIT CLAIM DEED Date Recorded: 10/6/2003 2003R-486291 873-668 RECEIVED Property Status: Current Created On: 3/15/2006 1:15:10 PM DEC 262023 a Ownershigayld Co Updated: 2/24/2022 JAS ^�JEning Agency LAKE CITY MN KATHERINE ELIZABETH BEE LAKE CITY MN Billing Address: Mailing Address: JASON ROBERT & KATHERINE JASON ROBERT & ELIZABETH BEE KATHERINE ELIZABETH BEE 31786 MAPLE COURT 31786 MAPLE COURT LAKE CITY MN 55041 LAKE CITY MN 55041 P Site Address * indicates Private Road 17430 SILVER BIRCH DR CABLE 54821 ® Property Assessment Updated: 6/17/2020 2023 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 0.740 2,200 0 2 -Year Comparison 2022 2023 Change Land: 2,200 2,200 0.0% Improved: 0 0 0.0% Total: 2,200 2,200 0.0% S Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 In -ground Dosed -Gravity Management Plan IMPORTANT: DEC 26 2023 The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation an'pt�jhgq t9'!'94a' A pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, il%1sanc` c 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 = r�t9 gpd; BOD5 ≤ 220 mgL''; TSS ≤ 150 mgL-'; FOG ≤ 30 mgL'' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose 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: 7 /C Name of individual or company:',l p -t 'N7 Phone: / S 3 '-(073 Local government unit: c (JitiJQ7 TZnr-1i0 / /. , Phone: '715'373 —��3R Local government unit address: Q� �� UQ2SIt,bi f'm. IL17 ZIP: .5'189 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. RECEIVED Private Sewage System Maintenance Agreement ad uson -Y V� ki( t P X Plannln Owner(s) Mailing Address l.i `,f t..! 3i- , MtPc. Coo4 La<<e Ci+v -1 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil lestets report and approved plans and specifications on file with Bayfield County Planning and Zoning Department The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) 1/4 of 1/4 Section '22' Township N. Range 01 1 W Additional Legal Description: Town of C't„V/I fi (Acreage) f 11 ` Lot Block Subdivision U ()CcW tc Lot _ CSM # Vol.__Page__ Page _ CSM Doc # Gov't Lot 282023 layneld Co. DOCUMENT NUMBER and Zoning Age�02 3 R -6O1663 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI S RECORDED 12/26/2023 AT 1:28 PM RECORDING FEE: $30.00 PAGES:2 Return To: Planning and Zoning Department Area `r In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: O Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, 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 Baytield 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 bylaw. 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 J(&Son R. Bet - Subscribed and sworn to before me on this date: L Ext tOi227 Notarized Owner(s) — Signature(s) Notary Public My Commission Expires: 3O?3 ANGELA MARIE FOSS NOTARY PUBLIC MINNESOTA .:,..r•• My Cssion Ex�es 0113th Proofed by: Revised July 2020 BAYFIELD COUNTY SANITARY PERMIT (#04)-2405S STATE SANITARY PERMIT OWNER: JASON ROBERT & KATHERINE ELIZABETH BEE GOVT LOT: LOT: 7 BLK: SUBDIVISION: Woodcrest Addition To Wilde River 1/4 114 SEC: 23, T 43 N, R 7 W TOWNSHIP: Cable SOIL TEST: 09-24 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Strand, Ryan TRACY POOLER Authorized Issuing Officer DATE: 1 /24/2024 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 system per recorded agreement. THIS PERMIT EXPIRES 1/24/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION