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HomeMy WebLinkAbout24-21S/ED 5 at 9;46;07 AM CDT 71579ai ,D 08:22 AM Andry Rasmussen & So DURATION PAGES STATUS 37 1 Received FAX No.7157983470 P 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: /� __rr .Aithpp'y 11Q51'niis4Pn r < j S —33S Fax Number 715- 'ns'- Homeowner: a- l fy Krrnkvy /)Ql/� l Address E lei,-d.tor �r7�n nDiP /"aScrCriri JL1n1( MISS s. toni © to ccvi Came 9flJ14Y1ui Immediate Phone Number so Zoning Sanitary Permit #: � Dept can call you right back (if needed) Plumber's Choice Zoning Dept Date: ( i No Inspection(s) during this time Tuesday (9:30 am -12:15 pm) (Tracy) Time: Plumber's Choice Dept Township: Address # & Road Name; or caliv er R� Directions To Site: Comments; * Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept u/fortns/sanitary/roquestfodmpection Zoning Dept (04/12104); ® June 2023 ;ie�\. Private Onsite Wastewater Treatment 1�S ^: Systems ( POWTS) Inspection Report �n,�,� (Attach to Permit) Industry Services Division General Information n.,..'.. 1;ns nnntinn vm, nrovide maybe used for secondpurposes[Privacy Law, s. 15.04 (1)(m)] City Village 9TowTi of: GREGORY J & KIMBERLY A DALBEC 7201 OAKLAWN AVE BM Description: EDINA MN 55435-4142 1 a r e a Lv�� — NR. ,ht/,r T...1. i.Cw.....wL'wn I all" wwuuuawu TYPE MANUFACTURER' CAPACITY __..___.- _. Prop. Line Well Buildin9 Air Intake Road Se tic N/A Dosing N/A Aeration 2/^c-4 G D ,2 ' N/A Holding Q Sanitary Pe No: S State Plan Transaction ID#: Parcel Tax No: �e3 Pump I Siphon Information Pump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well ❑isnersal Cell Information DIMENSIONS I Widtit,� Leggtth # of Celli / 'J SETBACK FROM Projp,Line Building Welj, 0 W Type of Cell f/re Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: lie1iiku+inn 5dve4am Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length _ Dia _ Spac _ Spacing ❑ Yes ❑ No Elevation data STATION BS HI FS ELEV Benchmark /o' g'c) Bldg. Sewer Tank Inlet 3. Tank Outlet /0,; fl" Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold Distribution Pipe 7, ? Infiltrative Surface i y / Final Grade rt- - iit X Pressure Systems Only Call envnr Depth Over Depth Over Depth of Seeded / Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes 0 No 0 Yes ❑ No COMMENTS: (Includefode discrepancies, persons present, etc.) 1 i b4l� /',i egg/C'd)Y /'�` e1'1aw s e .-e- 3dytv/as7'�i�r oc%# s�l4n — '✓er ee�.e✓c� � sr y�rfq f i%s ehlce 5947147$ tell- a 11 Ill rlan�e y Plan revision required? ❑ Yes ❑ No y /t /2 � 3/ / 3 Use other side for additional Information. Date POWTS Inspector's Signature License Number QRn.R71 n rR nw911 Property Owner Information As you know onsite wastewater treatment system on your property described as: BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373.6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoninp(&bavfieldcountv.wi.aov 117 East Fifth Street Web Site: www bayfieldcountv.wi.aov1147 Washburn, WI 54891 GREGORY J & KIMBERLY A DALBEC 7201 OAKLAWN AVE EDINA MN 55435-4142 Notes was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: 1 Tank was pumped by: :• Tank was crushed 1 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. ElSystem 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: lllforms/sanitarypropertyowner-input April 2019 NOV 01202 BayCo.fiea I 4822 Madison Yards Way Madison, WI 53705 P.O. Box 7302 Madison, WI 53707 Baytleld Sanitary Permit Nu her (to be filled in by Co.) t'I s a r / an'9fary ermrt Application In accordance with SPS 383.21(2), Wis, Adm. Code, submission of this form to the appropriate governmental unit State Transaction Number PWTS- 102302512-C is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide maybe used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. Project Address (if different than mailing address) TBD -Fahrner Rd. Barnes WI , 1. Application Information —Please Print All Information Property Owner's Name Parcel # Gregory & Kimberly Dalbec 1283 N Property Owner's Mailing Address 51835 Fahrner Rd. Property Location - f^. Govt. Lot y., section T44 N R 09 EorW City, State I Barnes, WI Zip Code 54873 Phone Number 612-709-7593 IL Type of Building (check all that apply) I or 2 Family Dwelling— Number of Bedrooms Lot # Subdivision Name ZPublic/Commercial—DescribeUse Campground State Owned — Describe Use Block # — ❑Cityof L-JCSM Number Village of Townof Barnes Ili. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line Cif a licable. A. ❑✓ New System ❑Replaceme4Systemer Modificationto Existing System (explain) ❑Additional Pretreatment Unit (explain) ❑Holding Tank jIn-GroundGrade lflMound Individual Site Desi gn ype(explain) OtherT(conventio C• ❑ Renewal Before Revisionnge of Plumber flI'rensfer to New Owner List Previous Permit Number and Date Issued Expiration NA 1260 10.7 1800 11800 111.4 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units v New Tanks Existing Tanks „�., g c •' m U O .O. 4 U Do H en lunIa Septic or Holding Tank 1800 1800 1 Wieser ✓ Dosing Chamber 1100 1100 1 Wieser C El V. sesponsiontry bratement- 1, the undersigned, assume Plumber's Name (Print) Plumber's S Jason Kuettel - Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 ❑ Disapproved I $ ❑ Owner Given Reason for Denial for Installation of the POWTS shown on the / MP/MPRS 1t 675751 and submit to the County in she 715-798-3355 SBD-6398 (R. 02/22) RECEIVED NOV 012023 Wisconsin Department of Safety and Professional Services Page 1 of 3 Division of Industry Services Bayfield Co. %ly'%n^ % SOIL EVALUATI01�°n'ng Agency In accordance with SPS 385. Wis. Adm. Code County Bayfield Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must inctude, I Drcel -.but not limited to: vertical and horizontal reference point (BM), direction and percent slope. el 44-09 03.2 05-007-80000 scale or dimensions, north arrow, and location and distance to nearest road. PPaarc0 14 Please print all Information. Reviewed by 72-2/ Property Owner Property Location ❑ ❑ GregoryJ. & Kimberly Dalbec Govt. Lot 7 %. Y. S 3 T 44 N R 9 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 7201 Oaklawn Ave City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Edina I MN I55435 61 709-7593 I I Barnes j Fahmer Rd ® New Construction Use: ❑ Residential/Numberofbedrooms — Code derived design flow rate 1350 GPD ❑ Replacement ® Public or commercial — Describe: 20 sewered campground shower building Parent material Outwash Sands Flood Plan elevation if applicable Nom// fL General comments and recommendations: Boring # ❑ Boring ® Pa Ground surface elev. j9Q ft. Depth to limiting factor In. Snil Annll irarinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' Eff#1 ¶lf#2 1 0.6 10YR 2/1 - LS Omsg ml gw 3f 0.7 1.6 2 6.51 1 OYR 4/3 S Omsg not gw 2m 0.7 1.6 3 51-75 10YR5/3 — $ Omsg ml — Im 0.7 1.6 2❑ ❑ Boring Boring # ® Pit Ground surface elev. 113.6 ft. Depth to limiting factor 80 in. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sit. Consistence Boundary Roots GPD/FP •Eff#1 -Eff#2 1 0-3 1 OYR 311 — LS Omsg ml gw 3f 0.7 1.6 2 3-28 1 OYR 3/4 S Omsg ml dw 2m 0.7 1.6 3 28-51 7.5YR 4/6 S Omsg ml dw 2m 0.7 1.6 4 51.80 10YR4/3 S 0msg ml — If 0.7 1.6 enn - -.n< 'on mnn and TSs > In < t Fn mn/I - Fff,pnl a7 = Finn > In < 770 mn/I and TSS > Ins 150 ma/L CST Name (Please Print) Signature CST Number Keith Wiley _ 654921 Address Date Evaluation Conducted Telephone Number 11623 E. Larson Dr. Lake Neba amon WI 54849 4/2/2021 218-451-2611 Boring # ❑ Boring ® Pit Grour<d'surface etev.116.8 ft. Depth to limiting factor 9Q In. Snit Annliratinn Ratp 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 1 .0-4 1 OYR 2/2 -- LS Omsg ml 9w 3f 0.7 1.6 2 4-13 IOYR 3/2 --- S 0msg ml 9w 3m 0.7 1.6 3 13-51 1 OYR 4/4 -- S 0msg ml cw 2m 0.7 1.6 4 51-90 1 OYR 5/3 — COS Omsg ml -- 0.7 1.6 4t I Boring # ❑ Boring _____ ® Pit Ground surface elev.10ft. Depth to limiting factor $0 In. Soil Application Rate GPO/Ft= Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots •Eff#1 •Eff#2 1 0-3 10YR 312 --- LS Omsg ml gw 3f 0.7 1.6 2 3-9 IOYR 4/4 — S 0msg ml cw 3m 0.7 1.6 3 9-15 1OYR 2/2 — S Omsg ml gd 2m 0.7 1.6 4 15-60 10YR 316 — S Omsg ml cs 1 m 0.7 1.6 5 60.80 1OYR 514 — S Omsg ml — 1vf 0.7 1.6 1 Boring # O Boring ® Pit Ground surface elev. iQj ft. Depth to limiting factor 80 In. Soil Application Rate GPD/Ft2 Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots *Eff#1 •Eff#2 1 0-2 1 OYR 3/1 - LS 0msg ml 9w 3f 0.7 1.6 2 2-10 1 OYR 3/3 --- S Omsg ml gw 2m 0.7 1.6 3 10-80 10YR 5/4 — S 0msg ml --- --- 0.7 1.6 • Effluent #1 = BOD, > 30 5 220 mg/L and TSS > 30 S 150 mg/L ' Effluent #2 = BOD, > 30 s 220 mg/L and TSS > 30 s 150 mg/L 473.39' Notes: No well at time of test Scale 1:50 Property lines not to scale Bench mark = nail in 28" diameter white pine w/ orange ribbon Q m Elev = 100.0' lii a N s, 'Iii o N o SM O 9 Page 3 of 3 Soil Profile Sheet Owne, . d +� 1ctlb-e. $or I TQ.SCer; K�1 �� Wl System Ele•rat%on'. IlL Load Rate: 4-7 Sy�tern Range../Tt,3 to 1(2 4, ia'Ceo) 3 Its Ira / ...... e eV. 111.3 t oq , aq-'- 3 3 10 103 A- L Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PD Box 7302 Madison, WI 53707 October 27, 2023 CUST ID NO.: 1476757 TIMOTHY J CLARK 42940 US HIGHWAY 63 CABLE, WI 54821 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/27/2025 MUNICIPALITY: TOWN OF BARNES BAYFIELD COUNTY SITE: ROBINSON LAKE CAMPGROUND FAHRNER RD. BARNES, WI 54873 PAR IN GOVT LOT 7. S03 T44N R09W FOR: Design Wastewater Flow Value: 1260 1260 gpd Campground Limiting Factor(s): 75" Maintenance Required: Effluent Filter RECEIVED o = 1SPS N0V 01 2023 BaYfield Co. Phone:608-266- 112 Web: htlo:/ldsns.wi.uov Email: dsoscmwisconsin.eov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-102302512-C Application No.: DIS-092340895 Site ID No.: SIT -121495 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES rrat ea /N,o Ma SEE CORRESPONDENCE In -Ground Soil Absorption Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to i canon by authorized representatives of the Department, which may include local inspectors. A Department electrons stafp r q�1`' signature shall be on the plans which are used at the job site for construction. Q ,ajlV).l��a 7 O The following conditions shall be met during construction or installation and prior to occupan or use: Q N • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 OWNER RESPONSIBILITIES fm • The current owner, and each subsequent owner, shall receive a copy of this letter including instructs s r a i r�lpP i and maintenance of the system. Owners shall receive a copy of the appropriate operation and maint anual ku owner's manual for the POWTS described in this approval and Wis. Admin. Code li SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a healt r hazard, the property owner must follow the contingency plan as described in the approved plans. 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, stars. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of industly 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. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, t//l2lA //i/..QOQ4ll'7 Travis Wagner Division of Industry Services Phone: 608-598-0715 Email: travis.wagner@wisconsin.gov Fee Required: $325.00 Fee Received: 5325.00 Balance Due: $0.00 Refund Expected: $0.00 RECEIVED_ ;_ In -Ground Gravity Plan NOV 012023 Index & Cover Sheet Baaco. Component Manual Design References. �""kVardZoninggq y In -Ground Soil Aosorption for POWTS Version 2.1 (May 202_-'_0271 Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Conditionally Pg 3 of 4 Dispersal AA'i R'©VE'D�` Plan View Pg 4 of 4 (`6xfy AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Attachments: I Enclosures: Soil Evaluation Report & Site Map SEE CORRESPONDENCE Project Name / Description Owner Nama(s):�eyrc�ti1 ,J, k n+b�rly bnl6eC Phone: (el'Z - - Owner Address: 7z( Cakl4.w,4 i4Ve. Eth a, 4%KJ Zip: SS4S" Project Address: Bahrnr ail lbant4snj iwi Govt. Lot: 1/4 of 114, Section 3 T '1't N -R C7 E❑or v'/ Township: TL.'rf�.eS - County: T��ctLd — Project Parcel ID #: I- Si Designer Information Designer Name: cJASo:1 uu- f44 Phone: 7 t9 -"1'/.3' -3 Designer Address: C - Q0Ic &L Ott E-mail: +(m C [ts1L(rUv'c5. e-ewl License Number: Lf7S7 S( Remarks: Zip: S `ty L/ PMi. o Conditi APPRonally 0\/ 560 I �Z � O\. 11 ter„l / -.- - > ,yd, -�/ �-1-leauoIIa s]ta1W1- twxd mw—� oon/JJD1 y'531M 1�� 'y MM1IiId My LhL ;)h�,/I I ._;- tlSA )°v 1 In>m°r wIiit SiInnnlu.,I i,oi vhv .ame.. LMiumnovYw�ta.i;nv„ir�lsa..ai: n. uns^nsuu..ii..;I 1 I Ifl : 31 is U U 11,1)1):) - t 1,11 YwL N i.i Ills 1W.S/Nt3 d J WU4 d l Ln r, �s.vu, a a ua wa1,t of t a �9i 7p 1E}f�« ti Ii m ZIS 7L_ 91 4-1 (1 s�i s d ao11/ - U bw 6 \--" 4k& - �,....«,_,.. u ji ?flay 1P"1 1 _ Q,� ,B •ml •f.9 Can0��.9£11 Y"'1»£4tZ5�,o�)�av9� n'4Y1=ZE7 {Y•IIl- �anvnwu°wnv�.r.- 5 - P'^—TVnTI� PexJ1N11�„S,P_e:)LI¶0)04:dl v.V)I1t00 .x,:»w+:>»nxr serve n.rxo N 9y /M .sat wwt -ta J>tl >IL(1 ?,m'+1 'WVIQ_IgZ u) �`vl'i ,001=WQ�. ne ^+�Iww rm+ laxtll are.sa / IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) Geotextile Cover SOIL COVER {{{ Ire i min. trench IF) depth t (typical) System Elevation/ I1 I • ft. (typical) s ' min. 12' (typical) Septic Tank(s) Manufacturer: Septic Tank(s) Volume(s): 100 gal 1100 gal gal gal Effluent Filter Manufacturer: ©r-e.tn C,� Effluent Filter Model #: 'PT 0 S r2.2,.. TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Provide minimum 3 ft separation between trenches. TYPICAL TRENCH (Show location of inlet f outlet pipe connection on plan view.) PLAN VIEW (No Scale) 4" 0 Observation one shall be batafed Perforated Lateral at junctinbetvesenlwo units. — — t Observation Pipe ical ( YP ) (typical) 8= 10 ft (typical) INSTALL PER TRENCH: 9 10 -ft bundles @ 50 ff EISAlunit = 4• V ft' + 5 -ft bundles @ 25 ff EISAlunit = ft' =Proposed EISA per trench = 4Sb ft' OBSERVATION PIPE DETAIL (No Scale) Screw -Type or Shp Cap (loose) ,•. I',nished crane • • (mulched 8 seeded) L•O PVCP Pe_447t.t J- • ToPm�I Coo Tap of pipe to tamlerate •:-• r, is ; (nret i moot) at erabove finished grade (<) d,e'Sbls $e apart Anon Andronng Davco •• Surface ( '+.��aca ft (typical) = I A=3.0 ft l _ J (typical) j m G) dLo Q3 A m EZ1203H Bundo < O (typical) I W 0 (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. Required Infiltration Area = ft' x -f trenches = Proposed Total EISA = ft' Distribution Method: l-fewaer MaM t Wo (d t'' PAGE 4 OF 4 `..., r_ ap-ground Gravity Management Plan IMPORTANT: The owner of this inground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 3827304, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health fhazard 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 = IZ4ed gpd; BODS S 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. Scats. 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.Of. Report any component failure or malfunction to: Name of individual or company: PaKnL(&kn .&Yt S Phone: '-r 7 q ka"33. ( Local government unit: ��--4'\ Phone: 'Ifs 373 r3 Local government unit address: W0tSL '() W Z ZIP: .f9 / Any defective part of this system shalt 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 P0WTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 15'-4" a �a 3" -Jr TANKS ARE 4" VI VI 11 II .I I. C-1227 REQUIREMENTS TOUI5T N0 a." I WLP1 800/1100 TANK SPECIFICATIONS DIMENSIONS: WALL 3" BOTTOM: 5" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 62 3/4" LENGTH: 15'-4" WIDTH: 8'-6" BELOW INLET: 50" LIQUID LEVEL• 43" a', p m WEIGHT: BOTTOM 18,017 LBS. s _, COVER 9,300 LBS. 2.8 ,. INLET AND OUTLET: o m 4^� Q 4" CAST -A -SEAL BOOT OR UAL AG SKET- INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 41.86 GAL/IN (SEPTIC) 25.58 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP, OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE � SY NOES: O1 CONCRETE OR EZ-SNAP RISERS O2 OPTIONAL 2' OUTLET 16" UP FROM BOTTOM OF TANK REVIEWED BY REVIEW DATE II DRAWINGS SUBMITTED APPROVAL FORA APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: 1 ./iii✓/,,/^/ [V,' 1 \ — : :' - \ 1 I l 1 \ \ ! I I / : IN' //) / l/ v 1 \' 1 I. iH vL - 1 s ? _ WATERSHED OVERVIEW e a = Robinson Lake Can,pgrmind - i � Greg Dalbec Tmno/earns - eayaela coney. wl / y-1 ! — T I , 1 1 I � Fill I , Ili ll , WESLIE Engineering Group may' j/ . 2 oyanv .-------- __ a oN.rere 111 fri r•^I // JJJ N '/ 7' N DRAINAGE OVERVIEW Robinson Lake Campground Greg Dalbec Town or Bombs BbylkM County, WI o IS OF W.N1 SEAL AR INFILTRATION BASIN TYPICAL NTS NOTES'. I. SNOT RVAL VEGETATE WFURAtpx RA]RI UMM1 ENIPF SEE N.S ACHIEVED 75% OR GREASER VEGEIAION COVERAGE. WRIRAIEN BETA STARE! IESfECEO WISH WEGOT OFT R4 NAME5Ef0lAR. 9. MRIRAION RA NN EF6IJG SHALL TECOMPLETEDM IHE'ALL Al WRMANI TEASING PRIOR TO SNOW FALL OR W THE EFH IYG BETWEEN MAY I A.Z. JEER A SIDE STOOPS SHALL RE EROSION MATTEOWITH WECOT URBAN IEEE A EROSION ALAI S. ESEONLVAJT5 COWAWNG EXCLUSNAYORGAMC IARTERIAL INOPLAIICI INOR NEAR WATERWAYS OR OSIER SENBIME AREAS, SOME EROSION MAT PRCCVCI5 CAN NAVE DETRIMENTAL EFFECTS ON LOCAL WRgEE PLASTIC NEIMG WITHOUT NDEPENDDII MOVINHJt OP STRANDS CAN EMIT ENT P SMALL ANIMALS MONNG TNRCWCHIXFAREA.IFASINGtODEEAVSEN ON. DESICCATION, AND EVENTUALLY MORIAIRY. NESTING. SUCH AS UPoAN MAT GIEGONT S. INNS COMANS BOMGRACARLETMMD W IIH THE "LEND" OR 'GAUZE WEAVE ICOElAWI BRANDS THAICANAgVE WWHABRLYI I W ISTEELEAST TWA. ON WRIXIIE R EROSION MAPWG Wit REUSED. USE TIE FCALOWEOMASTEJG ICE SOME,NN G SIMIARI: AMERCA N IXCEISOR DRRENA NEFRRF GE NEIFREE PRODUCTS: EAST COAST SECESSION EODFGRADAELEMEPRODUCTS: EROSION TECH EOOEGRADA&E JUIEPROD]CIS'. SROMNI CONTROL&INRE:.GOMWWEGRAWLLEI£NOWEAVE RODSCTS: NORTH AMERICAN GRLRISISBN.SI5MN.5CISENN GRCILBNLCR WESTERN IXCELSTR'ALL NATURAL' PRODUCTS. ELEV. TINT ROCK FILTER CHECK DAM SECTIONS CONSTRUCT ROC[RIERDAM STENO ANPO' MEFOLLONWG ET M'E]FECPICAIN%R IEROM W GIRIECN STANDARD 155211 WELL -GRADED REAL ANGULAR STONE WHN A 0501 OF] NCNB ORGREAIER WISE NO MORE IRAN 5% PASSING TEA RN S. IiWILAYRCf IJCX 5151 WASHED SICNEOVER] IO N,NCNCI4R LT.. 3. ANGOUR51CAEMIDNOIME GRAOAIEN FOPRES OT 5PE5ACATNN]IRSSECICANSN ORLCCAL ROE NALDrt. L 4 SOD 8F1 Apron Endwalls for Culvert Pipe 6 METAL APRON ENDWALLS PPE DA. 180!Ti MN, 116CX. IRCMeI ALLY. OMiNLpAS X B x Itl'1 IWXJ If l'1 M10E*& L fl' LJ L2 IM •G) If TI SLOPf , Q .066 ,060 6 6 6 81 N li PI to 1 IPC. 5 .MA .1060 i 0 6 M N 419, 90 / to 1 ifs, 0 .066 J%/J 55— 6 31 6 OW' i6 /to 1 IPc, 21 ,M .060 9 @ 6 ]6 A 49 - IO I IPM 26 . 5 .5 10 tl 6 I9 31/ M o IPM XI .003 ,W04 St IN 9 51 51 IB 52'/. SO Y 101IPC, Y .019 .. N N 9 5 B, SR. 5 Y/ f0 12 Pc, 44 ,MC9 W IS 8 FA M 95 a / l0 1 2 Pc. AS -LIST .105 N Z, 12 H N 61 90 /tO I I Pc. 56 ,IB9 .b5 II SO I4 BA So BS 104 2 0 5 Pc. 60 ,IB9. ,IBSX Y 3] IA W1542101 — — 3 Pc. 56 .&S .IBS. Y ]6 Y Bi — — 120 4 10 1 ] PC, 44 .10911.105.0 ]9 0 81 — — VIM 4 10 I I PC. 18 .10911.105' IS 42 0 6 — — 134 Y o I ] PC. 06 ,109. ,105 IB 45 0 P 8i — — ISO I/t1 3 PC, 90 ,959 ,105 b 31 I2 Bi 44 DUO 1 3 PC 96 .HN ,105 N 35 81 610 t0 1 3 Pe. EXCEPT CENTER PANEL SEC GENERAL NOTES BOB ORCEO EDGE ICES SECTION, A -AI PLAN VIEW END CORNER PLA,ES MAY BE FASTENED TO APRON PNMER BY BOLTS. RVETS, ER RESISTANCE SPOT WELDS N.C. WILL HOLD TIC SURFACES ,pxttY W. IOEETIER END UR PLATE ENER 4 4 L Y FT{ BDNA,ROLES ,POPE — ---1_— y AND RATE RAWE,MCWN55 BOLTS OR RIVETS — AND EEEAL AE APRONILMALL IY C -C YAI. SPACING I N • 2Y I BE FONTHEO AMEN CALLED END VIEW FOR CIA TIE PEAK SMCU.OER $UCH L T QI NIA• P ILOR O Y E O T SIDE ELEVATION METAL ENDWALLS REINFORCED CONCRETE APRON ENDWALLS PPE DIMENSIONS TOMOVRI AP%90x, IOU NJ 1 A B C 0 E 6 SLOPE r 2 r 26 a 3 10 1 IS 6 21 . 6 R ] So ]0 E ] l0 1 N 9 21 66 1 lEAk ] to 21 2 9 ]6 ]T& TJ O1SULI 1 243 3Z 4] 30 TD 66 3 J to I 2i ] 10 69 6 1 56 ] 3101 ]0 3 I 56 19 1 CS 3101 6 A_,52_ N 9] J to 1 A 21 6] 2S 18 66 5 24 72 M ,,it 986 M 5 J 10 1 59 5%t 21 65 - gP - 96 5%L 2�to 605 60 39 99 96 S 2 to 1 6621 6%W4-�W XT 99 102 9%4 2 I I 12 1♦ 99 ICU 6 2 to 1 18 1'/24.21 99 24 6%2 2 10 I 21117/ 120 6%L 1'h10 190 'h 24 OH Bx uh 7/2101 OPTIONAL DESIGN PLAN 1' ROE. I 00. 0.109' 1 IRICRIGALVAMOED STRAP WITH STANDARD 6' x'y BAIU BOLT AN NIT t ALTERNATE FOR TYPE ICONNECTION END SECTION CONNECTOR STRAP MBERDEO 'h' CIA, RW WT POUND LLLVERT 6 IWWE11 CORRECTOR TAN TYPE CORRECTOR LUE LW OR ALTERNATE CONECTOR STRAP 1SEE CETALI MEASURED LENEIN OF CULVERT TYPE I FOR 12' THRU 24CORK. PIPE TMREALED PL' 010, ROD ;WSOVER TOP CF SPRIGµ SIDE PRON 00 HOLDER IO BE LOFTED TO GS OFCULVE LEND CF CULVERT TYPE 2 FOR 30' TACO 96' CORR. PIPE MEASURED LENGTH CEIPLNE BANG CIS CLLVER, REWR[D T CONECTOR SEC IO CONNECTOR SECTION RVEIFO OR TO BE PAID FOR AS BOLTED PART OF END SECTION TYPE 3 FOR 6Y TICS 96' CORAL PPE gYPLED 011 CORRUGATED -'h x 6' C.L.BAND �„SRA .. BAND BOLTS a RIVETED BM, ED AT MEASURE. DMPLES I6' S'C-C FCC LENGTH [OPN,6A,E0 RAID, OP CULVERT 1%j R END VIEW TYPE 5 ALTERNATE TOR: ALL SIZES CORRUGATED CRCLLAR PPE GROOVED END W CUTLET END SECTION TONGUE END ON ,NET END SECTOR CULVERT� RITuoPE EARED LENGTH I OF OF CULVERT 1,0 g11IA _NEST MINI LSALONGITUDINAL SECTION CONCRETE ENDWALLS NOTE: OWLET BAND FITS OVER WISpf W ENWALL. ANT CORRUGATED RAID FITS RISEE ENDWALL. DIMPLED RAW MAT BE USED WITH HELICALLY DOMINATED PIPE, FOR CRCUMWEREN 1IALLY CORRUGATED PPE USE EN. ALL CONNECTION OETAIS L 2, ] DR 5 AS APPLICABLE. FOR NLNALLY CORRUGATED PPE USE EWWALL CONNECTION DETAILS L2 OR 5. FOR HELICALLY CORRUGATED PIPES MTM TWO CRCUIEERENTIAL CORRUGATIONS AT EACH END USE EWRALL CORRECTION DETAILS 4 2 OR 3. CONNECTION DETAILS TRIOS GALV.STEEL OR TRIPE ALUMINUM APRON e' IN, WETS PACO SIXWLLL 6' C -C SINE, 0.0.3 0,019' THICK CALV. STEEL OR 0.015' TIlES ALUM, TABARD SLIPPED OVER SHEET AND RIVETS FRIAR TO FAYR- CATON M TIE END SECT N 34' 010.2 /f GALS. SIEFL E4 '__Al.. 0U110N2AD PoVETS ft y.1 SPACED AT 6' CC. OVER- TLENGTH OF RYST 10,18' Wi$CE CF APRON SAWMILL SWEET EDGE OF SNEWALL SHEET 10025504 A' DIA.GALV. STEEL ROD ROLLED SNUGLY AGAINST OR RD. 4 GALS. RFINF ER[WL BAR ft STELE flSO L LI /e'IAPPROX., SECTION A -A GENERAL NOTES DETAILS OF CONSTRUCTION, MATERIALS AND WORKMANSHIP NOT SHOWN ON INS DRARNG SMALL CONFORM 10 TIE PERTINENT REQUIREMENTS OF IMF STANDARD SPECVEA11016 AND 1N APPLICABLE SPECIAL PROVISIONS. CONCRETE CULVERT EIIRALLS MAY NOT BE USED WITH OALVAHOED STEEL OR ALIINNN CULVERT PIPE OR VISE VERSA. GALVANIZED STEEL OR ALUMINUM ENDWALLS SMALL NORMALLY BE NSTALLEO ON CULVERT PIPE OF THE SAYE METAL. ALL THREE PIECE STEEL APRON flpRALLS FOR 60' DIAWETER POSE AM LARGER SHALL HAVE 0,109' SEES AND 0.138' CENTER PAWLS. ALL THREE PACE ALUMIAM APRON ENDWALLS FOR 60' DIAMETER PIPE AND LARGER SMALL HAVE 0.105' SIDES AND 0.06' CENTER PANELS. PE WITH OF CENTER PANELS SMALL BE LNEATER THAN 20 PERCENT OF TIE PIPE PERME TER, LAP SEAMS SHALL BE TIGHTLY JWED BY GALVANIZED RIVETS OR BOLTS FOR STEEL CUTS AND ALWNLY RIVETS RIO BOLTS FDA ALUMINUM UNITS. FOR THE 60' THROUGH 96' DIAMETER APRON EMBRALL SEEES, TIE RERF RCEO EDGES AND CENTER PANEL SEAMS SMALL BE MRIER RENFRKFD WIN EALVANZED STEEL OR ALUMINA STIFFENER ANGLES. THE ANGLES SHALL BE ATTACHED BY GALVANIZED NUTS AND BOLTS FOR STEEL MIS AND ALUMINUM BUYS AND BOLTS FOR ALWINIY UNITS. WHERE 1R0 ON MERE PIPES ROTH APRON ENTRAILS ARE LAID ADJACENT TO EACH OTHER. THEY SMALL BE SEPARATED BY A DISTANCE SUFFICIENT TO PRESTOS A MMMW CLEARANCE OF 6 INCHES BETWEEN APRON ENGWALL5. Q FOR PPE SIZES UP TO 60' DIAMETER. A IBM ROLLED EDGE WY BE USGO MIEAD OF STEEL BED REINFORCEMENT. SEE SECTION A -A. APRON ENDWALLS FOR CULVERT PIPE STATE OF WISCONSIN DEPARTMENT OF TRANSPORTATION LL ED O ... S CICT ROAM.; IO[V6w(1R [NDIEN 0 SDD 08E14 Tracking Pad B EUSTYNG FIELD ENTRANCE P GEOTFS11IS SECTION B - B GENERAL NOTES DETAILS OF C-0NBTN VCTICN. LATER IL8 AN D VAR NNANSHIP NOT 8NGEN ON TIES ORALl1NG SHALL CONFORM TOTXE PERTINENT REOMIRE ME HTS OF THE STANDARD SPECIFKATTNB ANC THE APPLKABLE SPECIAL PRWIBKND. TRACKNG PADBHJLL BE INSPECTED DAILY_ DEFCIENTAREAS SHALL BE REPAIRED ON REPLACED INNECNTELY. TRACKING PAD TO ES REMOVED ASTER CONSTRICTION ISCONPLEIED. TMCNMG PAD SHALL RE THE PULLNIOTH OF THE EGRESS RNHT, SURFACE WATER MEAT ES PREVENTED FROM PASSING THROUGH THE TRACKING PAD, FLOWSBMALL BE DNERTECAWAY,AROUNDORCONYEYED UNDER THE CRADLING PAD, CULVERT PIPE OR OTHER BMP USED TO INERT WATER AWAY, AROUND OR UNDER THE TRACKING PAD SHALL BE DESIDNEDTO CONVEY THE2Y YEAR- 24 HOUR EVENT, THE COST OF ADORIXAL BMP TO O V ERT W ATER ARE INCIDENTAL TO THE TRACKING PAD RID ITEM. B VARIES OEOTESIILE FABRK-/ `CLEAN SELECT \._ EYD11RO C RUSHED MATERIAL GROUND SECTION A - A TRACKING PAD STATE OF WISCONSIN DEPARTMENT OF TRANSPORTATION 6 SDD 08E09 Silt Fence 6 JJJILQJJ.LLfILL1LLL1 INSLOPE DP P061 **OEOrt%111£FABRIC GROUND NE SECTION A - A IfYPIGO PLAN VIEW TYPICAL APPLICATION OF SILT FENCE NOTE. ADOIIwxAL POST DEPTH ON T uE EAOKSS M VY RE RFONIRED TRENCH ANN EXCAVATED SOIL ATTACH I HE FABRIC TO THE POSTS WITH WIRE STAPLES OR NOCOEN LATH AND NAILS IE0 SILT FENCE - .-RDAOWV- . SIWLERA tL JTrLIJTr CIII�CIIAO�E BA OS LOS B ROAONAV SITUATION f SHOULDER SH Lii iEI t CII I [II 1E WLOER ROARNAY SITUATION 2 PLAN VIEW SILT FENCE AT MEDIAN SURFACE DRAINS FWD EDTEITILE ERA RARE ARENITT Q�❑ :OIEFI&£ AND \VTR O Wi W-� WOOS POST TILE FABRIC FABRIC TWIST METHOD * NOTE BPACINGAuw.EE IF A WOVEN OEOTFXNLE FABRICS USED. HOOK METHOD JOINING TWO LENGTHS OF SILT FENCE GENERAL NOTES DETAILS OFCOVSFRUCTION NOTSHOMJ ON THIS ORFWING SHALLCONF0RM TOTE PERTINENT REQUIREMENTS OFTHE STANDARD SPECIFICATIONS AND ABLE SPECML PROJ610NS, XOTRCNTAL BRACE REDNREO VAH?XCW000EN LIAISE OR EOUNALENT ATTCP OF POSTS. OE FOR MANUALINSTADATINS ME TIENCH SHALL BE AUINIMUN OFE NTOE AND F DEEP TO BURY AND ANCHOR THE OEOTERPLE MERIT. POL➢MATERIAL TO FR TRENCH AND EACHPILL AND COMPACT TRENCH K H EXCAVATED SOIL. It O POSTS SHALLBEAMINIMUM SQL OPUS-ERA-OFDAIS OR HICKORY. Oi SILT FENCE TO EXTEND ACROSS TNETWOFTXE AWE. OS CONSTRUCT SILT FENCE FROM A CONTINUO S ROLL IF POSSIBLE BY CURING LENGTHS TO AV DU RRNR. IF A JOINT IS NECESSARY USE ONE OF ME POLLEMp TVA METXOW: N DUERLAR THE END NETS ANDTLMST, W ROTATE, AT LEAST IBOEGREES, BIXCOA THE ENDOFFACHSILTFESE LENGTH, DEOTEXTILE FABRIC FLOW DIRECIIDA EECE88 FABRIC J TRENCH DETAIL p TIEBACK BETYEEN FENCE POST A ND ANCHOR FLOW BWECfpXE \`ANCIIOR STARE MIN. IF LOAD SILT FENCE TIE BACK MRIEN REOLIIREO BY THE ENGINEER) SILT FENCE O W STATE OF VASCONSIN CO DEPARTMINT OF TRANSPORTATION O APPROJEO EANCNNwRA ANTE CBRNWflENLSETIT O MOUSER V) r- UrJOFFIQFA •329S84 REGISTER'S OFFICE ) S.S. Boyfield County. Wit,p) RECORDED AT_3y Jl ON AUG 23 1979 Vol. 3 o'c P'n 0 REGISTER or DEEDS cowl. S A 0' EX.L IREIS ,t nPV z N� . �• $� ep /�✓ w \ SCALE- 1 100' o - SET I" X 24 IRON PIPE, MIN. WT. 1.13 LBS./LIN. FT. CERTIFIED SURVEY NO. 0002 8 6 SURVEYOR'S CERTIFICATE I, Duane A. Marten, Registered Land Surveyor, hereby certify: That I have surveyed, divided and mapped that part of Gov't. Lot 2, Sec. 4-TI14N-R9W, Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the NE corner / of said Sec. 4; thence S7° -30'E along the East line of said Sec. 4, 649.66 feet to the point of beginning; / thence 567°-40'W, 294.50 feet to a point 41 feet, more or less, from the water's edge of Robinson Lake; thence S23° -10'E along a meanderline, 150.02 feet to a point 22 feet, more or less, from the water's edge of Robinson Lake; thence N67° -40'E, 182.43 feet; thence N190 -40'-30°E, 148.53 feet to the East line of the Section; thence • W" N7° -30'W along said East line 41.00 feet to the point of 1 W beginning. Said parcel contains 0.9 acres of land, more or less. Including all lands lying between the above described meanderline and the water's edge of Robinson 8 Lake. That such plat is a correct representation of all exterior boundaries of the land surveyed and the sub- division thereof made. That I have made such survey, land division and map by the order and under the direction of Mr. Gene Fahrner. That I have fully complied with Chapter 236 of the Wisconsin Statutes and the subdivision %yGOfi j r land belief. gulaatieof Bayfield County to the best of my know - a1... -"—..Y/.. M , MARTEN tM AN A. ART GIS LAND SURVEYOR �r1�Y� VACATIONLAND SURVEYOR'S, INC. SOLON SPRINGS, 9 kh WIS. / SOLON SPRINGS, WIS. SUR'4{ CERTIFIED SURVEY MAP 8 -fl.- 9 OF LANDS LOCATED IN GOVT, LOT 2 I APPROVED BAYFIELD CO. ZONING COMM. SEC. 4-T44N-R9W, TOWN OF BARNES, DATED Z3 fl. u r fit' BAYFIELD COUNTY, WISCONSIN DAVE LEE12a.Aa k ks._ ADM. Novus-Wisconsin Access ting Property Stc..az Current Created On: 3/15/2006 1:14:44 PM Updated: 6/13/2018 Ownership Updated: 6/13/2018 12bs - GREGORY J & KIMBERLY A DALBEC EDINA MN 04-004-2-4409-03-2 05-007-80000 iN: 004104803990 Billing Address: Mailing Address: .p ID: GREGORY J & KIMBERLY A GREGORY J & KIMBERLY A Municipality: (004) TOWN OF BARNES DALBEC DALBEC SIR: S03 T44N R09W 7201 OAKLAWN AVE 7201 OAKLAWN AVE Description: PAR IN GOVT LOT 7 IN DOC 2018R- EDINA MN 55435-4142 EDINA MN 55435-4142 573264 Recorded Acres: 4.000 10 Site Address * indicates Private Road Calculated Acres: 4.265 N/A Lottery Claims: 0 First Dollar: No ® Property Assessment Updated: 10/4/2016 Zoning: (R-RB) Residential -Recreational Business ESN: 104 2023 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 4.000 12,500 0 Tax Districts Updated: 3/15/2006 1 STATE 2 -Year Comparison 2022 2023 Change 04 COUNTY Land: 12,500 12,500 0.0% 004 TOWN OF BARNES Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 12,500 12,500 0.0% 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 Is Property History D WARRANTY DEED N/A Date Recorded: 6/11/2018 2018R-573264 D CONVERSION Date Recorded: 804-277 https;//novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=1283 1/1 0 N 9eCC N 57' 1L0, •(•Y '7- RCL,CIVLL Industry Services Division County NOV 202 4822 Madison Yards Way Madison, WI 53705 Bayfield Sani P f 0 1 Permit umber to be filled in b Co.) ryryry ( y _ P.O. Box 7302 Madison, WI 53707 w Bayfield Co. an faflOrt' ermrt Application StateT rannsa ctionNumber In accordance with SPS 383.21(2), Wis, Adm. Code, submission of this form to the appropriate governmental unit PWTS - 1 02302512-C is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1 )(m), Scats. TBD -Fahrner Rd. Barnes, I I. Application Information — Please Print All Information Property Owner's Name Parcel # Gregory & Kimberly Dalbec 1283 Property Owner's Mailing Address Property Location 51835 Fahrner Rd. Govt. Lot C� City, State I Barnes, WI Zip Code Phone Number 54873 612-709-7593 "t• ¼• Sec T44 N R 09 EorW 11. Type of Building (check all that apply) Lot ❑I or 2 Family Dwelling— Number of Bedrooms Subdivision Name Public/Commercial — Describe Use Campground Block # ❑Cityof State Owned — Describe Use Village of CSM Number Town of Barnes ❑I. 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 applicable.) A �✓ New System ❑Replacement System Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B• Holding Tank ljjIn-Ground E4t-Grade Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued Expiration NA IV. DispersaVfreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) I Dispersal Area Required (sf) I Dispersal Area Proposed (st) System Elevation 1260 0.7 11800 11800 jjil.4 Capacity in Total # of Manufacturer Tank.+.,formation Gallons Gallons Units L 2 New Tanks I Existing Tanks u c o `? _ au in H h r= 0 a Septic or Holding Tank 1800 1800 1 Wieser ✓ Dosing Chamber 1100 1100 1 Wieser Q fl 1J' V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number I Business Phone Number Jason Kuettel 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 VI. County/Department Use Only Approved ❑ Disapproved Permit Fee �� I11.1t77� ed L Issuin Agent atur L ❑ Owner Given Reason for Denial , 7 3 onditions of pproval/Reasons for Disapproval AdMI - Au -i3 -DO) Attach to complete plans for the system and submit to the County only do paper not 1e4 Oil 8 I/2 x 1101hes in size SBD-6398 (R. 02/22) Private Sewage System M Y F4Lc?FC_ FEti 97024 uwner(s) Melling Address Bayfield Co. Zoning Dept. 5/$35 F4t1ZNe L (e?. frf}tZNE5. r SYl7T Tab lctq H ,z . Q' -2r cs w r Tax ID# As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below fisted 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 O3 Township 9'1 N. Range O`7 W Additional Legal Description: Set. ,t1ti1c�tiTh Town of jc/ZI4 S (Acreage) g,O GoVt Lot Lot Block Subdivision Lot _ CSM # Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2024R-602 180 DANIEL.I, HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 02/08/2024 AT 1 : 1 2 PM RECORDING FEE: $30.00 PAGES:2 Recording Area Return To: Planning and Zoning Department ® In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound O 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 Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfleld County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: ME `) �gP Notarized Owner(s) — Signature(s) Not ublic _I _ 0� ,.() , Mtom- My Commission Expires: _ ( "_ ___ Drafted by' CLfi.t't- Date: 2 zevi Proofed by. „tinny/c,.nilnn,loamirmimmnrn.nrue,nn.a State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Ntanber Document Name THIS DEED, made between Thomas Krob and Nina Krob, Melvin Pedersen and Sherry Pedersen, and Gladys Krob, as Joint tenants ("Grantor," whether one or more), and Gregory J. Daihec and Kimberly A. Dalbec. and wife. as survivorship marital property - ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Hayfield. . County, State of Wisconsin ("Property") (if more space is needed, plcase attach addendum). A parcel of land loeated.ln Government.Lot Seven (7), Section Three (3), i owrtshlp Forry-our (M) North, Rartg'e Nine (9) West;. in the Town of Barnes, Bayfield County, Wisconsin, described as follows: Commencing at eNort west corner of said SectIen 3; thence along the section brie S7'3009"E, 610.17 feet to an iron pipe and the Point of Beglnnlrtg;.thence N89'41'07E, 74.97 feet to an iron pipe; thence N89'45'04"E, 450.00 feet along the South Rile of Certified Survey Map Number 325 to an iron pipet thence South 391.25 fact to the South One of the North 1000 fact of Government Lot •7; thence N89'4T01"W; 473.39 fast along the South Una of the North 1000 feet of Government Loh7, to -an iron pipe and the section line; thanda N8'59w, 30.20 fed to an iron pipe; thence N7'2W48"W, 279.09 feet to an iron pipe: thrnee N7'2T54'W, 80.42 feet along the East tine of certiiied Survey Map No. 54 to an Inn pipe and the Point of Beginnhig. *2018R-573254 3* 2018R-573264 DENISE TARASENICZ BAYFIELD COUNTY, WI REGISTER OF DEEDS 06/11/2018 11:00AM IF EXEfPT 5: RECORDING FEE: 30.00 TRRNSFER FEE: 30.00 PR&ES 3 Recordiag.Area Name and Rya Address Northern Land Title Co. 1.109 Tower Avenue. superior, Wi 54880 S asC 04-004-2.4a-09-03-2 05-007-80000 Parcelidentifccation Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Subject to easements, exceptions, reservations and restrictions of record. Dated 6 g (S) * Thomas Krob _ . (SEAL) 5 NnaK'ob AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN . (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Stephen J. Olson of Maid. Ledin. Sick & Olson, S.C. 1109 Towel Avenue, Superior, Wt 54880 (SEAL) # k%\���tt►tuuitrriii gPF1��,,,,� ' . * =may TA _ACKNOWLEDGMENT cn p, L1c STATE OF VU 1 CA -3n nyi COLTNI`Y } '',,i�rr W I SG Personally came bere me on 1t P• ? > the above -named AOY taX 1., n►... MMll/tikat.. to me known to be the persons) wno executeu the toregomg instrent +ledg,Od the same. Notary Pdblic, State of -61]' 4ji S C� My coainiissioa (is permanent) (expires: (Signatures may be authenticated or acknowledged, Both -are ant necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM NO. 2-2(103 *Type name blow signatures. it PRO ftpvfams can BAYFIELD COUNTY SANITARY PERMIT (#04)-2421S STATE SANITARY PERMIT OWNER: GREGORY J & KIMBERLY A DALBEC GOVT LOT: 7 LOT: BLK: 1/4 1/4 SEC: 3, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 23-21 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL TRACY POOLER DATE: 2//26/2024 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow installation of the private sewage system described In the permit. b. The approval of the sanitary permit Is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not Impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal Is sought, and that changed regulations may Impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 675751 Condition: System to meet all setbacks. Management plan to owner. Properly maintain system per SPS 383. Adhere to State approval. THIS PERMIT EXPIRES 2/26/2026 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION