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HomeMy WebLinkAbout23-72SRequest for Sanitary Inspection (Fax this form to Zoning Dept when you want an inspection — 373-0114) Note: I Time Change fl Discrepancy Other i Plumber: Phone Number T� l 'x\ Fax Number I i Home Owner: E' d CD t LL - Sanitary _ �� i Permit #: Plumber's Choice I Zoning Dept Date: \\ \,O\ I I I Plumber's Choice Zoning Dept Time: L. Township: r_ Address # : I c^ 2s Road Name: or _rO'1 \UL2.f tlC 9:30 am —12:30 pm Tues. (Tracy) 9:30 am —12:30 pm Thurs. (Tracy) 1 Immediate Phone Number so Zoning Dept can call you right back (if needed) Directions _- To Site: Comments: �y 1 Reminder: You must confirm any change(s) that have hi this inspection will not be scheduled and a memo willrLLL.cLQ '4{_ O-\ Ln5- Q eC CA Qua; Q ** Plumber must verify any change(s) by fax t - -- - - 'G...t_ - - oZO u/!amts/sanitary/requesllonnspedion 1//,'�y %;j•I2' t r41 Zoning Dept (O4112104) YnPrivate Onsite Wastewater Treatment >,L 3r3� Systems ( POWTS) Inspection Report "Ett¢xn� Industry Services Division General Information vn„ nmvide may be used for ELDCO LLC PO BOX 158 IRON RIVER WI 54847 Tank Information - TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road tic N/A sin L N/A ration N/A ldin (Attach to Permit) setback to: Village Town of: County Sanitary Permit No: State Plan Transaction ID#: Parcel Tax No: Pump / Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Distribution System Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface Final Grade X Pressure Systems Oniv Header! Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length _ Dia _ Spac Spacing 0 Yes 0 No Soil Cover Depth Over Depth Over Depth of Seeded! Sodded Mulched Cell Center Cell Edges Topsoil 0 Yes ❑ No 0 Yes 0 No COft�t�JE TT (Include cdscrepancies, persons present, etc.) U�"1 604 I" r Plan revision required? 0 Yes ❑ No IO Use other side for additional information. ,&3713 Date R RnS71 n (P mmi POWTS Inspector's Signature License Number Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning a(7bavfieldcountv.wi.gov 117 East Fifth Street Web Site: www.bayfieldcounty.wi.gov/147 Washburn, WI 54891 ELDCO LLC PO BOX 158 IRON RIVER WI 54847 As you know was contracted by you to install a private onsite wastewater treatment system on your property described as: Notes: Abandonment of Old System to meet all applicable code requirements: C. Tank was pumped by: C. 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: ❑/forms/sanitarypmpertyowner-input Apr' 12019 Department of Safety County J 7 JUN r L ? & Professional Services, U2J Sanitary Pem it tmr O�Icd in by Co.) Industry Services Division S - 0 ayfield C. J` Sanitaiy Permit Application State Tmnaoct on Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (ifdifferent than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary �S S. � � 7 �pp Al. purposes in accordance with the Privacy Law, a. 15.04(I)(m), Slats. `/lot) +Qi t•vr l✓ . SVl q� I. Application Information - Please Print AB Information Property Owner's Name Parcel # C/aGCo at -02Y-Z- ` p - fl -I- & '20000 Property Owner's Mailing Address Property Location ?o -3pX ,3Y Govt. Lot pt pt City. State I Zip Code Phone Number 1Z2le s- - 7'/3- 3993 �q 1)0%,A)? 'A• Section___ T a' N a 0 E OGi 11. Type of Building (check all that apply) Lot # ❑ I or 2 Family Dwelling- Number of Bedrooms Subdivision Name blic/Commercial- Descnbe Use �!�. Block # O City of _ ❑ State Owned - Describe Use ❑i Vllage of CSM Number /V --// Ulfawn of_ LION s�w6f Hi. 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 a lIcabl A Ncw System Y Re lacement System p y 0 Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. 0 (folding Tank In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ OtherType (explain) (conventional) C. ❑ Renewal Before 0 Revision ❑ Change of Plumber1st S 0 Transfer to New Owner Previous Permit Number and Date Issued Expiration TV. Dis ersaVrreatment Area and Tank Information: Design Flow (gpd) ✓ Design Soil Application Rate(gpd/sf ✓ Dispersal Area Required (so Dispersal Area Proposed (s System Elevation 390 55 64A 3P Capacity in Total #of Manufacturer Tank Information Gallons Gallons Units ` E C oNew d V „ Tanks Existing Tanks W 6 V Y 'rn v in N 4 IJ N 6 Septic or Bolding Tank /OOO /0O0 / W ien Dosing Chamber V. Responsibility Statement- f, the undersigned, assume res onsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbs ' i t MP/MPRS Number Business Phone Number 7iS Ctrs-oyS�Y Plumber's A rcss (Street, City, State, Zip Code) 3!S &�l.c., ,4rr /4 sf%. S/aaate sell' SS'dod VI. County/Department Use Only A roved O Disapproved Permit Fee Date issued issuing Issuing ge 'gnatum ' 2 OOwner Givea Reason for Deninl S -/'Q- Iv0 % ye Conditions of pproval/Reasons for Disapproval n ys�f,VVI jo fA a�� (� . 3')bid Ski W J) PAN Q bpi IC p S 3 /i Attach to complete plans for the system and .i,hn,tt ,n m. r.......--,.. r r ••••• •�•s •.•+•. o ,,.: a inches in size SBD-6398 (R. 03/22) RECEIVED Wisconsin Departmentof Safety and Professional Services Page 1 of C DivisionofIndustryServices JUN 272023 SpS SOIL EVALUATION REPORT Baylbld Co In accordance with SPS 385. Wis. Adm. Code ICo htq-r' . } niiI lenc/ Bayfield Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 19872 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). 1 t IJ I Property Owner Property Location ❑ ❑ ELDCO LLC Govt. Lot NW'.'. NEY. S29 T47 N RBW E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: O Box 158 725 S Gravel Pit Road City I State IZip Code I Phone Number City Village x Town I Nearest Road Iron River I WI I 54847 I ( ) Iron River IS Gravel Pit Road ❑ New Construction Use: ❑ Residential/Numberof bedrooms Code derived designflow rate GPO Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable R. Parent material General comments and recommendations: Topsoil was removed, fill was placed over original soil. Inground system below fill recommended. ❑ Boring 1 Boring 5aPit Ground surface elev. 97.4 ft. Depth to limiting factor 96 in.! elev_89.4_ft. I 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 E(f#2 1 8 .5yr33 ill sg •18 ¶yr4/4 dl sg 18.96 .5yr4/4 Isg ni a 7 1.6 2 Boring # Boring Pit Ground surface elev. 97 9 ft. Depth to limiting factor 96 in. / elev._89.9_ft. SoilAool Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' Eff#1 'EB#2 I -19 .5yr3/4 Fill sg 19-22 .5yr2.3/2 Fill 1 lsg 3 22-36 5yr4/4 I )sg 41 w •'a 7 1.6 36-96 7.5yr4/4 1 sg MI N a a 7 1.6 CST Name (Please P)ty Krystal Hagstrom ✓ Signature CST Number SP -03180001 Address 14840 FR 420A, Mason, WI Date Evalua onduc 5/16/23 Telephone Number 7l410 Effluent #1 = BOO > 30 s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = 800,s30 mg/Land TSS s 30 mg/L SBD-8330 (R0421) ¼LCEIVED Page of Boring I < Boring # ❑ Pit Ground surface elev.99 ft.JUN L 1 Q$d to limiting factor 961n. / elev._91_ft. Ba?fetd Co. Planning ai:C Zcnir 2 nnenc/ Soil Application Rate Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •E##1 'Eff#2 I -8 .5)T3/4 Fill 2 8.22 1.5yr4/G Fill 3 2-9G 7.5yr4/4 sg M1 Na 'a 7 1.6 EI Boring # ❑ Boring J ❑ 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 fl Boring it ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I etev._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=BOD > 30 s 220 mg/L and TSS' 30 5150 mg/L ' Effluent #2 = GOD, s 30mg/L and TSS s 30mg/L RECEIVED .3/5 JUN /1 2023 CHECK BOX AS APPLICABLE CHECX BOX As APPLICABLE, ❑✓ SOIL EVALUATION scale: 1- 't0' 80 r ❑ SYSTEM PAGE 2 OF g 40 60 SITE MAP PLOT PLAN PROJECT NAME: DESIGN FLOW: GPD (tonged) to' ELDC0 LLC Attach design flow calculations for commercial plans. PROJECT ADDRESS: 8725 S Gravel Pit Road. Iron River, WI Pipe Material I ASTM Standard (Tables 384.30-3 8 384.30-5) Sewer: I BM Synod: + BM Elevation. 100 FT PorceMah: i SMDesceptm: Concrete slab SE of Finishing room Indicaby Slope Gradient (%) 3O/ PP 0 dsawk an mw of Tested Area: O Well Syrrod (II a 6cable): Eno a p ro Me l on no apprpprpa Wa IMPORTANT: Show ground elevation contours at suitable Intervals. S. 3°I° Slope 9, PL I(ov' +/- 31 sz Tcn +o be. >25' Frog) IWtt/ SI(s)rt., +6 be- )7S'-*rp.-r, (d)a.11 Bayfield County, WI 5130/2023, 7:42:17 PM V''"'1 RQt. un:y 1:500 Meander Lines All Roads '—' Town Approximate Parcel Boundary Survey Maps Section Lines UnRecorded Map Municipal Boundary Building Footprint 2009-2015 Changed Existing Driveways Buildings 0 0.01 0.01 0.02 m 0 0.01 0.01 0.03 km eayrica county lend Betas appsunonl hnpsl/mnpeepykIdcOi ny,WIpwlayfi WMl INGROUND SOIL ABSORPTION DESIGN Index and Title Sheet Owner Name: ELDCO, LLC Mailing Address: PO Box 158 Iron River WI 54847 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES Legal Description: NW NE S29 T47N R08W SEE CORRESPONDENCE Township: Iron River County: Bayfield Project Address: 8725 S Gravel Pit Rd Iron River, WI 54847 Parcel ID #: 04-024-2-47-08-29-1 02-000-20000 Index Sheet Page 1 Cell Cross Design Page 2 Maintenance and Contingency Page 3 & 4 Tank cross section Page 5 Pump Curve — ---Page- S4ita' NIA Property Listing Page 7 Plot Plan Page 8 Soil Test Page 9 thru)( ii Designer: Tony Brown Signatur License #: 664303 Phone: 715-682-0444 Date: 6/15/2023 Designed pursuant to: In ground soil absorption for POWTS Component manual #10705-P (N.01/01) 0 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 June 26, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-6-26 Plan Review: PWTS-062301230-C Anthony Brown 315 Sanborn Ave Ashland, WI SITE: Eldco, LLC 8725 S Gravel Pit Road 4� ^a4gounty Town of Iron River NWXNE%S29T47R8W FOR: RECEIVED Teo Phone: 608-266-2112 JUN 2 7 2023 Web: htto:/1dsos.wi.eov i e Email: dsnstalwisconsin.eov PS Bayfield Co. ToEvers, Governor Planning and Zoning Agency y see- Dan Hereth, Secretary Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE Description: 390 GPO —96" 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 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 Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715) 634-5124 ioshua.rowley@wisconsin.gov CHECK BOX AS APPLICABLE. FV-� SOIL EVALUATION SITE MAP PROJECT NAME: ELDCO LLC CHECK BOX AS APPLICABLE Scale: 1"=40 SYSTEM PAGE 2 OF 0 40 60 so PLOT PLAN 1U2 QESIGN FLOW ��� (10 tt gndl CPO Attach design flow calculations for commercial plans. 8725 S Gravel Pit Road. Iron River. WI Pipe Material ! ASTM Standard (Tables 384.30-3 R 3Rr 30-5) PROJECT ADDRESS. N Sanitary Sewer: Sell '/0 i ?✓e - BM Symbol- 4SM Elevation. 100 FT Force Maln: ' BM Descric0on Concrete slab SE of Finishing room Indicate narth by IMPORTANT: Slope Gradient (3 3O1O Well Symbol (if applicable). Q drawlna an n ror+ Show ground elevation contours at suitable interval. of Tested Area: an the aaproprtte Gne. Tx /b: /98�e2, ?i,J . Oy c 2q- ' -y -r-29-/ -gro-(Z0000 1A(?. /t/P #!G 4'303 316-.'S , 6ain Az ..lc.e n *2o (7lo¢a,(aJ SS x '3 a bwF x i s'r 390jpd � i/o4/. 555 -►'4 _2 CAa,tbc4 X '/.jl. 6X2 �txele A ® APPV• uj..0 Loc. y"mil, yo PVC q "Soh 4a Pve- .i rft ct 0pn. PL 1(nr .tot ,h &ua su.a.S fa Zif4auAd S'eil AGs n ic+•► �t 2o&73 C Ilush 2.o) an.v,f wta/s j ( fir? "2 for I1jj1 SSb A/O?o-fl',-). O'/d/.) T kAl IN -GROUND GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Sepec tenk(eblrr. evs' Weser ��/��a/��/�Seunc (enk(si Vcmsi. 10ix aei _-_ 9er __ VM gel EIIIueM Fger kltlrlecm nr Pol ok EllueM Fab. lMdS 1 5525 at /2Z Provide mktlmum 3 It separnlvn between Irenrhwq Highest Trench Lowest Trench (as applicable) System Elevations -- 9'/. 4 R: 9q6 R. ft ft: Quick4 Standad-W wl End Cap (typical) (Shoal bcedon of Inter / outlet pice connection on plan view.) ( TYPICAL TRENCH '^r"""r'ecnn PLAN VIEW M.eeeora j----�f -------- -- T (No Scale) e= SL D Oulek4 Standard.W Chamber w (mid aY In creme. act -----m Oulek4 Std -W @ 20 R' E(SMtlumber = 423p... Rr imre Fw+ueni r menurecymes b.nudbn. T + . / _ Pairsor end caps a s f' EISMpa ., ✓.O R' = Pmpofed EISA pe. trend, = ' R' Required InPolmtion Area = fl e` ' +T-t� Distribution Htelhod: x - ptrenches = Proposed Total EISA = S*d e• branched manifold 4" CAST-A-SFAI 4" CAST-A-SFAt W Q a w INLET - OUTLET : rso Q I I - V) n ' U 1 ` 'n I h c' Q i I ID v I U o� 2�"4J 1 1 -------`-----� J -_ PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000-MR TANK SPECIFICATIONS v n n � DIMENSIONS: 1 WALL: 2 1/2' a BOTTOM: 3" COVER: 5" MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4' LENGTH: 8'-8' WIDTH: 7'-2' BELOW INLET: 42" LIQUID LEVEL: 36" `ol WEIGHT: 6.780 LBS. o.8E INLET AND OUTLET: I ;, o c 4' CAST -A -SEAL BOOT OR EQUAL GASKET m o _Q INLET AND OUTLET BAFFLE AND FILTER: a W WISCONSIN. SEE DETAIL #10 o o (OTHER STATES SEE CHART)) LIQUID CAPACITY: 27.83 GAL/4N N HOLDING TANK: _ Y OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1.085 GALLONS LOADING DESIGN: 8'-0' UNSATURATED SOIL a (f) TANK CAN BE USED AS: M I SEPTIC / HOLDING / PUMP OR SIPHON 0 2 CD COVER: MIX DESIGN #8 (NO FIBER) m N TANK: MIX DESIGN #10 (STRUCTURAL FIBER) h CUSTOMIZED TANKS: 3 FOR CUSTOM TANKS CONTACT WIESER CONCRETE J a a 1 o o a Z F REVIEWED BY REVIEW DATE w N DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NO. 1Or APPROVAL DATE: PRODUCTS NEEDED BY: Bayfield County, WI 7/10/2023, 8:28:38 AM 1:2,047 0 Nonmetallic Mine -- . Approximate Parcel Boundary --` Wetlands Road Type — Town Building Footprint 2015 a Building 0 0.03 0.05 0.1 ml I I I 0 0.04 0.08 0.16 km Bayfield co my Land 6ecmde cepanmenl Bayfield County Zoning AppIi Uon ntlpsllmapsbayfeldmunlywl.goi2onIngWAel 7/10!23 ,8:28 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 7/10/2023 Imo' Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: I Tax Districts I STATE 2 -Year Comparison 2022 2023 Change 04 COUNTY Land: 14,900 0 0.0% 024 TOWN OF IRON RIVER Improved: 89,800 0 0.0% 163297 SCHL-MAPLE Total: 104,700 0 0.0% 001700 TECHNICAL COLLEGE Property Status: Current Created On: 3/15/2006 1:15:34 PM Updated: 12/28/2022 a Ownership Updated: 12/28/2022 19872 ELDCO LLC IRON RIVER WI 04-024-2-47-08-29-1 02-000-20000 024108009990 (024) TOWN OF IRON RIVER S29 T47N R08W PAR IN NW NE V.1131 P.526 5.000 5.238 0 No (I) Industrial 118 Updated: 3/15/2006 Billing Address: ELDCO LLC PO BOX 158 IRON RIVER WI 54847 Mailing Address: ELDCO LLC PO BOX 158 IRON RIVER WI 54847 11 Site Address * indicates Private Road 8725 S GRAVEL PIT RD ® Property Assessment 2023 Assessment Detail Code Acres Land Imp. G3 -MANUFACTURING 5.000 0 0 IRON RIVER 54847 Updated: 10/25/2022 IV Recorded Documents Updated: 3/15/2006 property History © WARRANTY DEED N/A Date Recorded: 9/12/2014 2014R-555861 1131-526 ® AFFIDAVIT Date Recorded: 3/18/2009 2009R-525591 1013-117 © CONVERSION Date Recorded: 735-119 https://novus.bayrieldcountywi.gov/access/master.asp?paprpid=19872 1/1 Department of Safety County S S _ JUN 2 7 023 & Professional Services, Industry Services Division Sanitary Pem it Number (to be filled 'n by Co. fi. 3 BayeldC en -V, Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this four to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services, Personal information you provide may be used for secondary v..y�, 5- S. G/ j0./ . purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. OT /IoM Rt.u. i I. Application Information — Please Print All Information Property Owner's Name Parcel # �1 1/oGCo at w-on-z-S`-/-&- as Property Owner's Mailing Address Property Location ?o Sax I5' Govt. Lot Pr t of City, State I Zip Code Phone Number '�2oA.7 >(� �/Y.rf IZ �SI'✓E? —7"/3-39`13 D&'A. A '4• section T ' ' N R 08 E oG> II. Type of Building (check all that apply) Lot # Subdivision Name 0 1 or 2 Family Dwelling — Number ofBedrooms // sPublidCommemial—DescribeUse �• Block # ❑ Cityof ❑ State Owned — Describe Use of CSM Number �❑ �Village OiTown of 2o� oI Va' ci In. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box online B. Complete line C if applicabIeJ A. New System y Re lacement System p y ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) IL ❑ Holding Tank In -Ground ❑ At -Grade ❑ Mound 0 Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revisiong 0 Change of PlumberList ❑ Transfer to New Owner Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) ✓ Design Soil Application Rate(gpd/sf) I f Dispersal Area Required (st) I Dispersal Area Proposed (s System Elevation 390 . 55} g/ S4.2 sP y o Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o '$ u Ya — New Tanks P.xisting Tanks c 0. U in rn w V P. Septic or Holding Tank /OO L I , (.l%.S.-t Dosing Chamber V. Responsibility Statement- I, the undersigned, assume rea onsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' II MP/MPRS Number I Business Phone Number rljcau�n 44 "303 7iS 4s-s-o'v q Plumber's A ess (Street, City. State, Zip Code) 3'S SG.r 42a, 4or A. $64J. fVFo VI. County/Department Use Only ved �l 0 Disapproved Pa 't ttpF_/eee S Date tel�� Issued �� r Mgmiture ' `' 2 ❑ Owner Given Reason for Denial / Conditions f Approval/Reasons for Disapproval n (�(� N� ^N n,„ 3') bld sVs�em avawo1(!fL/ �Q,1V1 to M4u,�r au - 383DvLt- Aram ro comptere plans ror Inc system ma submit to the county only on paper not less than 8 55 x it inches In size SBD-6398 (R 03/22) RECEIVED Private Sewage System Maintenance Agreiento. Planning all ZzninnA^e y. Owner(s) Name Eldco, LLC Owner(s) Mailing Address PO Box 158 Iron River, WI 54847 Site Address 8725 S. Gravel Pit Road Iron River, WI 54847 Tax ID # 19872 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated In such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) NW 1/4 of NE 1/4 Section 29 Township 47 N. Range 48 W. Additional Legal Description: V. 1131 P. 526 SEE AT%H0, b5Ny Town of Iron River Lot Block Subdivision (Acreage) 0 Gov't Lot Lot _CSM #_____ Vol. 1131 Page 526 CSM Doc # DOCUMENT NUMBER 2O23R-599379 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O6/15/2O23 AT 2:2O PM RECORDING FEE: $30.00 PAGES:3 Recording Area Return To: Planning and Zoning Department 0 In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: 0 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, POWIS 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 Hayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future own Owner(s) Name(s) — Please Print Donald Rey601dO1MfRC G„gbu/j c:rn £LAcol&C Subscribed and sworn to before me on thi ate: HEATHER KA `� Note Pub ` State of Wist DO\ \2 2S ry ' Notarized Owners) Slgnature(s) Notary Public l\tS My Commission Expires - b IDZ 2O21 rafted by: D .&tN U S Date: Proofed by: l.A is nsin u/forms/sanitary/septicmaintenceagreement Revised July 2020 State Bar of Wisconsin Form 1-2003 WARRANTY DEED PATRICIA A OLSON BAYFIELD COUNTY, WI REGISTER OF DEEDS Document Number II Document Name II 2014R-555861 THIS DEED, made between U.S. Building & Properties, Inc., a/k/a U.S. Buildings & Properties, Inc., a Wisconsin corporation ("Grantor," whether one or more), and EldCo, LLC, a Wisconsin limited liability company ("Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): SEE ATTACHED EXHIBIT A 09/12/2014 01:30PM IF EXENPT 0: RECORDING FEE: 30.00 TRANSFER FEE: 331.50 PAGES: 2 Recording Area Name and Return Address Spears, Carlson & Coleman PO Box 547 Washburn, WI S4891 04-024-2-47-08-29-1 02-000-20000 Parcel Identification Number (PIN) This is not homestead property. W (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances except: easements, restrictions and reservations of record. Dated 9-&L• , 2014 U.S. BUILDING & PROPERTIES, INC.: (SEAL) (SEAL) * By: Sharon Gustafson, its Presided (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wisconsin ) ss. authenticated on Bayfield 9C_OUf� NTY ) -SIN 1P C' •••• Qdj.S�ativalIy came before me on , 2014 * :' • ttia: ' -named Sharon Gustafson, as President and of U.S. TITLE: MEMBER STATE BAR OF WISCON i ARf'$uil�iding&Properties, Inc. (If not, 'o i ie liown to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) % ns ' t and acknow ged the same. ��, fir•., � •. THIS INSTRUMENT DRAFTED BY: ''�if�rF OF �I1 , Attorney Jack A. Carlson, SBN 1016698 �11rt11ri.ttt►� Nbtby Public, State of Wisconsin 122 W. Bayfield St., PO Box 547, Washburn, WI 54891 My commission (' xpires:-g flj rf ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 1-2003 *Type name below signatures. V1131 P 5 26 INFO-PRO" Legal Forms • (800)655.2021 • Inloprofomis com EXHIBIT A - LEGAL DESCRIPTION "~ A parcel of land in the Northwest Quarter of the Northeast Quarter (NW'ANE'%), Section Twenty- nine (29), Township Forty-seven (47) North, Range Eight (8) West, Town of Iron River, Bayfield County, Wisconsin, more particularly described as follows: Beginning at the northeast corner of said NWl/4NEI/a, thence southerly along the east line of said NW'ANE'A, a distance of 810'; thence westerly on a line parallel to the north line of Section 29, a distance of 280'; thence northerly on a line parallel to the east line of said NW'/ANE'/4 to the northern border of the South Gravel Pit Road right of way, as such Road now exists; thence westerly and northerly along the northern and eastern border of said road right of way, to its intersection with the north line of Section 29; thence easterly along the north section line to the point of beginning. V1131 P527 POWTS OWNER'S MANUAL UAL & MANAGEMENT PLAN plan j.^' —a FILE INFORMATION Owner L C Permit # ncetrlu DAOAUfICTCQC n,rs-r,ti.r- Number of Bedrooms ❑ NA Number of Public Facility Units O NA Estimated (average) flow gaUcIya Design (peak) flow = (Estimated x 1.5) gal/clay In Situ Soil Application Rate al/da /ft2 Standard Influent/Effluent Quality Monthly average' Fats. Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOOS) ≤220 mg/L O NA Total Suspended Solids (TSS) ≤150 mgIL Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mglL CeNA Fecal Cotiform (geometric mean) ≤10' cfu'l00ml Maximum Effluent Particle Size ',� in die. O NA Other: A 'Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Tank Manufacturer Wu.sA4 ❑ NA @'Septic ❑ Dose O Holding vol. /OOO aai i NA Tank Manufacturer ❑ Septic O Dose O Holding vol. pal i Effluent Filter Manufacturer r?o(Y la k r NA Effluent Filter Model l Pump Manufacturer Pump Model Pretreatment Unit IA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) ❑ NA 'i"n-Ground (gravity) O In -Ground (pressurized) ❑ Al -Grade O Mound ❑ Drip -Line O Other: Other: ❑ NA Other: ❑ Nn MAINTENANCE SCHEDULE Service Event Service Frequency Inspectcondition of tank(s) s)((Maximum 3 years) At least once every: 3 Pyear(s) O NA When combined sludge and scum equals one-third () of tank volume ❑ NA Pump out contents of tank(s) ❑ When the high water alarm is activated Inspect dispersal cell(s) (Maximum 3 years) At least once every: 3 ear(s) [1 NA Clean effluent filter At least once eve ❑� oath(s) every: p'year(s) C1 NA _ month(s) OO Inspect pump, pump controls & alarm At least once every: Flush laterals and pressure test r(s)s) At least once every: a O Nn Other: O month(s) At least once every: O year(s) n Other: NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber: Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer: Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks. measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal call(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and requires the immedia!e notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (h) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW t2`C12' i� Pape START UP AND OPERATION For new construction. prior to use of the POWTS check treatment tank(s) for the presence of painting products. solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do b m act the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the 'OWTS S antibiotics: baby wipes; cigarette butts; condoms: cotton swabs; degreasers: dental floss; diapers: disinfectants: tat; foundation drag (sump pump) discharge: fruit and vegetable peelings: gasoline: grease; herbicides; meat scraps: medications: oil: painting prodi>rts: pesticides; sanitary napkins: tampons: and water softener brine. not drive or park over, or otherwise distu, or co p ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propnrhf and safely abandoned in compliance with chapter Comm 83.33. Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled '.'with so'+. gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails replacement system: l� O 0 and cannot be repaired the following measures have been. or must be taken, to provide a code como!ianl A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b;' required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank mad' be installed as a last resort to replace the failed POWTS. Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN`!. DO .1ST ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. 'RESCUE OF . PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS -- POWTS INSTALLER Name 3aOw*t P/e�..rr b �n� //V'4c- Phone 7is 42- OQy4 SEPTAGE SERVICING OPERATOR (PUMPER) Name ha _ /'<4 Se)* 5 UC Phone POWTS MAINTAINER Name Phone ?/`S- G8,t -OVA/`7'- LOCAL REGULATORY AUTHORITY Name 4fdd (u1 Zm? Phone 7, c --(/ ?P This document was drafted by the stalls of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with ohatstm" Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1). (2) 8 (3). Wisconsin Administrative Codc. BAYFIELD COUNTY SANITARY PERMIT (#04)-23-72S STATE SANITARY PERMIT OWNER: ELDCO LLC GOVT LOT: LOT: BLK: NW 1/4 NE 1/4 SEC: 29, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 67-23 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: Anthony (Tony) Brown MCKENZIE SLACK DATE: 7/13/2023 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 #: 298093/4348 LICENSE: # 664303 Condition: System to meet all setbacks. Management plan to owner. Properly maintain system per recorded agreement Properly abandon old system per SPS 383. Adhere to State requirements. THIS PERMIT EXPIRES 7/13/2025 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION