Loading...
HomeMy WebLinkAbout21-41S** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS October 25, 2021 at 8:11:04 AM CDT 7156850785 54 1 Received From:Brown Plumbino 7156650795 10/25/2021 08:25 #046 P.001/001 Request for Sanitary Inspection (Fax this form to Zoning Dept when you want an inspection — 373-0114) Note; Time Change fl Discrepancy fl Other From Zoning Dept ACJ Phone Number Plumber: Fax Number -pis s:�5 Home Owner: Sanitary Permit #: Plumber's Choice Zonin Dept No inspection during these times Date: ck t t 9:30 am —12:30 pm Tues. (Tracy) 9:30 am -12:30 pm Thurs. (Tracy) Time: Plumber's Choice Zont t -A O /� Immediate Phone Number so Zoning Dept can call you right back (if needed) Township: RoaeNsL(i Road Name: lE� t,�rr b l I /21°/�� GQ Ton or Directions y/�3 Ahie t/ %f/Rj ./4I / ry 1O `� To Site: ] J/j/xt, calf (9 Comments: li.Q ,f /�f .J�k C.k S \ i —,/' Reminder. You must confirm any change(s) that have been made prior to or this inspection will not be scheduled and a memo will be sent voiding the inspection. Thank You! ** Plumber must verify any change(s) by fax or no inspection will be scheduled ** u/tones/sanitary/requestfonnspection Zoning Dept (@1/12/04) ® June 2018 PRIVATE ONSITE WASTE TREATMENT SYSTEMS ` 4sconsln (POWTS) Department of Commerce INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION Persona] information you provide may be used for secondary purposes f Privacy Law, s. 15.04 (f)(m) I it Holder's Name: ❑ City V Town of: CST BM Elev: Insp SM Elev: BM Description: TANK INFORMATION TYPE I MANUFACTURER CAPACITY Septic 1 ; B ) Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG VENT To AAKE IRINT ROAD - Septic NA Dosing NA Aeration NA Holding PUMP! SIPHON INFORMATION Manufacturer (li,r Demand GPM Model Number EPO TDH Lift Friction Loss System Head TDH Ft Forcemain Length j Dia Dist. To Well DISPERSAL CELL INFORMATION DIMENSIONS I Width Length No of Cells SETBACK P/L / L Bldg Well OHWM of Nav INFORMATION I i Waters CELL TO `o S 4Ci O SYSTEM Depth Over Cell Center I Cell Edges I )O,MMENTyS:: (Include code discrepancies, persons present, etc.) /IC11l /0 /1/Gjli IG L t/1't`St td fry fc 7Te.42-/il'I /f/1`I/a{f 1E��g k /kA. C) ``9 ELEVATION DATA STATION BS HI FS EL]J6 Benchmark o, Bldg. Sewer St/Htlnlet St / Ht Outlet Dt InletDt Bottor�.,�, o, Installation Contour Header I Man. Dist. Pipe Infiltrative Surface '7 ' 9A, $ q Final Grade // Type of System LEACHING Manufacturrer: G Cat/ /CHAMBER Model Number: X Pressure X Hole Size ❑ Yes ❑ No Observation Pipes ❑ Yes ❑ No ❑ Yes ❑ No Ian revision required?Yes ❑ No lv' 2 3 7 / 13 se other side for additional information Date POINTS Inspector's Signature / Cert No lureau of Field Operations, PO Box 7302, Madison, WI 53701-7302 q r/21/26 p `,_ l�6lzto LO V, 5?at- (kv`Gr� fL'4CI%¢ — ?6CLKr&d i 11w ;BD -6710 (R.3101) ,��,tY+►tirFty; County �1. Industry Services Division Bayfield ' s j j 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 ts ,..,,.. Madison, WI 53707-716 Sanitary Permit Application State Transaction 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 the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) -Hart (e 4 Q 1 S purposes in accordance with the Privacy Law, s. 15.04 1 m Stats. 95 Lake Road Iron River, WI 54847 I. Application Information — Please Print All Informatt Property Owner's Name Parcel # David and Becky Bretting MAY' 1, ZU 1 04-024-2-47-08-22-3 05-004-11000 ¢'3 (, 3 3 Property Owner's Mailing Address Bayfield Co. Zoning Dept Property Location 4101 Summit Road, Ashland, WI 54806 Govt. Lot '/., '/4, Section 22 City, State I Zip Code Phone Number Ashland, WI 54806 715-292-0029 (circle one) T47N ; R08W EorW II. Type of Building (check all that apply) Lot # Subdivision Name ® 1 or 2 Family Dwelling — Number of Bedrooms j ❑ Public/Commercial — Describe Use Block # ❑ City of ❑ State Owned — Describe Use ❑ Village of CSM Number ® Town of Iron River III. Type of Permit: Check only one box on line A. Complete line B if applicable) A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal O Permit Revision ❑ Change of I ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) Non -Pressurized In -Ground 0 Pressurized In -Ground O At -Grade ❑ Mound ≥ 24 in. of suitable soil O Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) System Elevation 750 Rate(gpdsf) I 1,071.42 sf I 1,116 sf 89.5 -88.5 0.7 VI. Tank Info Capacity in Gallons Total Gallons # of Units Manufacturer a ;, b V New Tanks Existing Tanks a U in in ii C7 e. Septic or Holding Tank 1500 gal 1500 1 Wieser 1500/900 combo tank Dosing Chamber 900 gal 900 1 Weiser 1500/900 combo tank VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Ton Brown 664303 715-292-0029 Plumber's Address (Street, City, State, Zip Code) 315 Sanborn Ave, Ashland, WI 54806 VIII. County/Department Use Only Approved ❑ Disapproved I Permit Fee I Date ssued I Issuing Agent Signature . ii2f I ❑ Owner Given Reason for Denial I $ 40O S - i2 - l I it d K)o{ 917 0 IX. Conditions of Approval/Reasons for Disapproval f2a ; A i/J/e4s 1Qi, -,cL-." Attacn to compmete pians for me system ana suumit to the county oniy on paper not mess than a in x ii mncnes in size SBD-6398 (R03/14) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County BAYFIELD Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 38363 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Lew. s. 15.04 (1) (m)). Property Owner Property Location [J a DAVID BRETTING Govt. Lot 4 1/4 1/4 S 22 T 47 N R 8 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 4101 SUMMIT ROAD 1 City State Zip Code Phone Number ity ® Village ■Town Nearest Road ASHLAND WI 54806 ( ) IRON RIVER HART LAKE Q New Construction Uses Residential / Number of bedrooms__3 OR 4 Code derived design flow rate 450-600 GPD Q Replacement Public or commercial - Describe: Parent material FLUVIAL Flood Plain elevation if applicable ft. General comments CONVENTIONAL and recommendations: STEP SYSTEM 2 FEET IN GROUND DESIGN LOAD RATE = .7 GPD/SQ. FT. TREES TO BE REMOVED LIFT PUMP WILL BE NEEDED 1 Boring # Boring a Pit Ground surface elev. 91.6 ft. Depth to limiting factor >46 in. Horizon . Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff "Eff#1 *Eff#2 1 0-6 5YR3/2 LS 0SG DS CW 3M .7 1.6 2 6-20 5YR4/4 S 0SG DL CW 3C .7 1.6 3 20-96 5YR4/4 S 0SG DL - 2F .7 1.6 2 Boring # U Boring 91.6 >96 0 it Ground surface elev. ft. Depth to limiting factor in. A__.__.__ Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 Eff#2 1 0-7 5YR3/2 LS 0SG DS CW 3M .7 1.6 2 7-24 5YR4/4 GRS 0SG DL CW 3C .7 1.6 3 24-96 5YR4/4 S 0SG DL - 2F .7 1.6 tmuenr 1 = tluU > SU < lLU mg/L ano i S >3U < 1 bU mg/L ' Effluent #2 = BOD 130 mg/L and TSS < 30 mg/L CST Name (Please Print) Signaturef CST Number BRUCE W BLAKEMAN /C. 708148 Address Date Evaluation Conducted Telephone Number 64903 CHARLES JOHNSON ROAD ASHLAND, WI 54806 05/05/2021 715-209-2569 Property Owner DAVID BRETTING Boring Parcel ID # 38363 Bonn # g El Pit Ground surface etev. 85.7 ft. Depth to limiting factor >96 in. 2 3 Page of Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence ' Boundary Roots GPO/if *Eff#1 •Eff#2 1 0-6 5YR3/2 LS OSG DS CW 3M .7 1.6 2 6-20 5YR4/4 S OSG- DL CW 3C .7 1.6 3 20-96 5YR4/4 S OSG DL - 2F .7 1.6 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. r Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. She Consistence Boundary Roots GPD/ff •Eff#1 •Eff#2 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Cnil Annlin.��inn Darn Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 •Eff#2 •Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD5 ≤ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD•8330Test (R.07100) 'BRETtw6- Govt LOT '/ 5,22 Tjy7 ivg 8 L✓ luw,U of r,,on/ RSv P,mv 4L& CT?c LL 51, acs Sc.4Le- 1'rgo" PsTs c,/3r1ckwo1 ♦ 1, NAzC /g",4Ba✓t Glut NQ Z'1/ Xz�Bu,t U ,20 " Rib P= w _ !U o No kkLL Ar Ttz5 7 M€. . Govt L07- 4/ So22 r17 //R 8 L✓ IOWA) of ri Rn' R %tY ,,u erti '57 €s ON a.2a 241 08 as 3 or-ooy-a000 SCkLQ- 1'=410" P-rs Z"'Atc-Kwor ♦-' ,st- N+re- 19",48oVt &Pocuv4 rV Xzg&A' €A ,Zo " Rib PT w t = too tJo Lt LL ,AT 7;tz5 7n7€.. X33(95 4MRT L 4t4 RA. -S'ls1,2o,2 / f c L' cr 7fl/YB i� �axr� ��caso3 .34Snhnn '4k. .4e%tee sy"at Soo ypd S anafsd u%asfasu.ctc+/Anc-v 7so5pet peen„/oad/a7 ° /,oW.V /o7asg/2oflr=s3.cor S4ch.ml&s Se/cA x 414 r 2/b?S�go7,un, A 8y 3 ttnc4„ - 7z' ?RoPoseb wtF lX' 2 b, ,,Ud Rusana1-4. Sor/ArsnP1ws { , ?o u7s (✓,ssaa» 2 o) Qmptuwit t Zutccab SBDVto:hs PA). 000b Kant) 2" SeA yo Ficctm $3. 85.7 133 aB.y -qv,9 9.2 ZO 8.41 INGROUND SOIL ABSORPTION DESIGN Index and Title Sheet Owner Name: David and Becky Bretting Mailing Address: 4101 Summit Road Ashland, WI. 54806 Legal Description: NW NW Sec. 22 T47N RO8W Township: Delta -°" k, i`! County: Bayfield 449'5 Project Address: 33195 Hart Lake Road Iron River, WI. 54847 Parcel ID #: 04-024-2-47-08-22-3 05-004-11000 Index Sheet Property Description Cell Cross Design Maintenance and Contingency Tank cross section Pump Specifications Plot Plan Property Aerial Soil Test Designer: Tony Brown Signaturev'... License #: 664303 Date: 5/10/2021 Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9-11 f5 flflfl 1111 MAY 112021 Bayfield Co. Zoning Dept P.O.W.tS Conditionally APPROVED BAYFIELD COUNTY See Comments Phone: 715-682-0444 Designed pursuant to: In ground soil absorption for POWTS Component manual #10705-P (N.01/01) 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) l Irro M'�-1 Highest Trench System Elevations _ 89, 6Q n _______ it; T9Mw)Me. Wieser /500/ -YAOL gel Septic Tank(s) Vdlane(s): gel gal - gel Polylok Effluent Filter mar`A ertec Effluent FMter Medel #: 525 Provide minimum 3 ft separation between trenches. Lowest Trench (as applicable) It; n 0uick4 Standard -W W/ End Cap (typical) (Show location of inlet / outlet pipe connection on plan view.) f 7�/ 6= —,_ fl (typical) Pairs of end ceps © 6 ft' EISA/pair = ft2 oe..nnry ,ape I— InataN per mwIervaere lreescea6 TYPICAL TRENCH PLAN VIEW (No Scale) Standard -W Chamber = Proposed EISA per trench = ei - ft' Required Infiltration Area = _IJ22L ft' Distribution Method: X , trenches = Proposed Total EISA = // /l4_ it' branched manifold PAGE 4 OF 4 In -ground Gravity Management Pi in IMPORTANT: The owner of this In -ground gravity system shall be responsible for its perpetual operation an maintenance pursuant to requirements of SPS 382-384, llifisc. Admin. Code. Pursuant to SPS 383.52 (2), Wlsc. Adn i. Code, this system shall be considered a human health hazard If not maintained in accordance with this approved ms agement plan. Furthermore, all inspection and maintenance activities shall be performed by a registered P WT'S Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dtsoersal Area_ 9oerating Limits: Design Flow = ....+5O_____ gpd; BOD5 S 220 mgL''; TSS 5150 mgL''; FOG 30 mgL'' Insuectton Checklist INSPECT EVERY 3 YEARS o typed 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 pending 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 (le., wiring, connections, switches, controls, tim rs, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compr a to design specification) o surface discharge of effluent or sewage back-up Into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when nece ry) o Septic and dose tanks) shall be pumped by a certified septage servicing operator Ii ensed under s. 281.48 Wis. Scats. when the volume of solids In the tank(s) exceeds one-third (113) the ltquii volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, W Admin. Code. o Effluent tilter(s1 shall be inspected every 3 years and shall be cleaned when nece ary to remove any accumulated solids according to manufacturer's specifications. A servicing period wil always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit In iccordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company u!!t Phone: Local government unit Bayfield County Zoning Phone: 7 5-373-6138 Local government unit address: 117 E 5th St. Z : 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 3 .51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 3, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved ry the department in accordance with SPS 384, Wisc. Admin. Code. Continaencv Plan In the event that any failed treatment component of this POWTS cannot be repaired. It shall replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispe ial component may be abandoned and replaced by a code -complying dispersal component in a pre -determined arer of suitable soils. System Abandonment it use of this POWTS is discontinued, it shall be abandoned In accordance with SPS 383.33, Allsc. Admin. Code. - ah4VICJ 0 w QQ 0 w oc �----------------------Iii-------------<� 4" CAST -A -SEAL II"114" CAST -A -SEAL I ( IIII I z IIII � 0 1111 � �IIlI I I I 9"x9 iili FLOW III THRU IIII III 1. WLP1 500/900 -MN TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 5" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 55 3/4" LENGTH: 15'-3 1/4" WIDTH: 8'-5 1/4" BELOW INLET: 43" LIQUID LEVEL: 36" WEIGHT: BOTTOM 15,977 LBS. COVER 9,300 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET INLET AND OUTLET BAFFLE AND FILTER: AS SHOWN LIQUID CAPACITY: 41.67 GAL/IN (SEPTIC) TOP VIEW 25.00 GAL/IN (PUMP) LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC COVER: MIX DESIGN #8 (NO FIBER) 4" VENT TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE tE:::: ii ... •.. . .. ____ - - - - - i - - _ OUTLET I I I ^U I I 1-4 r -3,,r-------- ---1--- -�-I. ,�--.---------J stiro REVIEWED BY to REVIEW DATE TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 0 L - a 0 W ix o 1 0 U 0 m o0 oLI W 3 0 0 0 W p U � Ln p�0OO0 p�U) a N 0 Who '■i:Ii 'co W 1 Z OF 1 End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Number of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing (S) Lateral Flow Rate System Flow Rate Orifice Diameter Orifice Spacing (X) Orifices per Lateral Orifice Density Manifold Length Manifold Diameter Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and 0 SPS 316.300 WAC Tank component is property vented Weiser Concrete Capacity 900.00 Volume 42.92 Manufacturer Gallons gal/inch Dimension Inches Gallons A 11.99 514.80 B 2.00 85.84 C 2.97 127.68 D 4.00 171.68 Total 20.97 900.00 And Alarm Manufacturer Se tronics Alarm Model Number EZ Plugger Pump Manufacturer Liberty Pump Model Number FL70 A B C As Per Manufacturer Pump Must Deliver I 37.16 gpm at 26.80 ftTDH Locking cover with warning label and locking device and sealed watertight Note: Switches containing mercury may not be used in this system. 4 in. min. Alternate outlet location Forcemain diameter 1.5 in. Weep hole or anti - siphon device off elevation (ft) 77.331 Dose tank elevation (ft) 77.00 Project: Fish Processing and Production Building Page 4 of 9 Ii64iPumps. 0 80 H- 70 60 50 d m0 4 A a x 30 26.80 20 10 0 + 0 FL70_PI 8102412017 38 Flow (Liters Per Minute) 76 114 151 189 227 265 303 341 379 rI I I Ii 1 i I 24 21 18 15 9 11 3 rteI I I I I 0 10 20 30 40 50 60 70 80 90 100 Flow (GPM) 3. i6 CCopynght 2017 Liberty Pumps Inc All nghis reserved. Spenhw0ons subject to change without notice. Real Estate Bayfield County Property Listing Today's Date: 5/10/2021 Property Status: Current Created On: 11/2/2020 12:00:11 PM life Description Updated: 2/1/2021 a Ownership Updated: 2/1/2021 Tax ID: 38363 DAVID BRETTING ASHLAND WI PIN: 04-024-2-47-08-22-3 05-004-11000 Legacy PIN: Map ID: Municipality: (024) TOWN OF IRON RIVER STR: S22 T47N R08W Description: LOT 1 CSM #515 IN V.4 P.1 (LOCATED IN GOVT LOT 4) IN V.523 P.191 LESS PAR DESC IN DOC 2021R-586441 Recorded Acres: 0.000 Calculated Acres: 5.689 Lottery Claims: 0 First Dollar: No ESN: 118 J Tax Districts 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE Updated: 11/2/2020 Recorded Documents Updated: 2/5/2014 0 TRUSTEES DEED Date Recorded: 1/11/2021 2021R-586441 0 LAND CONTRACT Date Recorded: 10/21/2020 2020R-584949 0 CONVERSION Date Recorded: 3/15/2006 523-181 0 PERSONAL REPRESENTATIVES DEED Date Recorded: 1/6/2006 2006R-504319 935-986 0 CERTIFIED SURVEY MAP Date Recorded: 7/26/1984 354562 4-1 Billing Address: Mailing Address: DAVID BRETTING DAVID BRETRNG 4101 SUMMIT RD 4101 SUMMIT RD ASHLAND WI 54806 ASHLAND WI 54806 11 Site Address * indicates Private Road 66915 HART LAKE RD ® Property Assessment IRON RIVER 54847 Updated: N/A 2021 Assessment Detail Code Acres Land Imp. N/A 2 -Year Comparison 2020 2021 Change Land: 0 0 0.0% Improved: 0 0 0.0% Total: 0 0 0.0% = Property History Parent Properties Tax ID 04-024-2-47-08-22-3 05-004-10000 19673 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels 0 Tax ID: 19673 Pin: 04-024-2-47-08-22-3 05-004-10000 Leg. Pin: 024106110000 38363 This Parcel t Parents 4 Children Bayfield County, WI 5/10/2021, 3:26:55 PM 1;763 Ashland Co Parcels Approximate Pemel Boundary State 0 Recorded Map 0 0.01 0.01 0.03 ml I Douglas Co Parcels O Sedbn Lines County Comer TO Sheets 1 ' 1 ' 'i 0 0.01 0.03 0.06 km RNBM -- Government Lot — Town Sedlon Comer Monument on File —CFR Sedlon Comor Monument Reletenced on Survey Lakee el Boundary Bayfield County, Hayfield County Land Records Building Pe ones '— Red Reservation Boundary Cliff -"' Private C angeFootpdnl200&2016 Changed Meander lines All Roads Survey Maps — Federal 0 DnRecorded Map Demcl,bed Bayflld County Land Records Department Mtpelrnaps.bayflsgcounlyorglBrygeldwAB' County Industry Services Division Hayfield 1400 E Washington Ave Sanitary PermitNumber be filled in by Co.) = \D 1=1 P.O. Box 7162 (to ISPS' I Madison, WI 53707-716p Sanitary Permit Application ____ State Transaction 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 the Department of Safety and Professional Services. Personal information you provide may be used for secondary Project Address (if different than mailing address) purposes in accordance with the Privacy Law, s. 15.04O(m). Stats. %3495 -Hart Lake Road G 4 91 5 Iran River, WI 54847 I. Application Information — Please Print All Informs U Property Owners Name Parcel # I av David and Becky Bretting MAY 11 2021 04-024-2-47-08-22-305-004-11000 393&3 Property Owner's Mailing Address Zoning Dept Property Location P 4101 Summit Road. Ashland, WI 54806 Bayfieid Co. Govt. Lot 4, 'A, Section 22 City, State I Zip Code Phone Number Ashland, WI 54806 715-292-0029 (circle one) T47N RO8W EorW II. Type of Building (check all that apply) Lot # Subdivision Name 0 1 or 2 Family Dwelling - Number of Bedrooms $ / ❑ Public/Commercial - Describe Use Block # ❑ City of ❑ State Owned - Describe Use ❑ Village of CSM Number s/ 2 ® Town of Iron River 111. 'ype of Permit: Check only one box on line A. Complete line B If applicable) A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System/Component/Device: (Check all that apply) Non -Pressurized In -Ground ® Pressurized In -Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound <24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation 750 Rate(gpdsf) 1,071.42sf 1,116sf I 89.5-88.5 0.7 VI. Tank Info Capacity in Gallons #of Manufacturer v ,��+� e New Tanks Existin Tanks 8 Gapons Units a -U in h itO a Septic or Holding Tank 1500 gal 1500 I Wieser 1500/900 combo tank Dosing Chamber 900 gal I 900 I Weiser 1500/900 combo tank VII. 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 Business Phone Number Tony Brown 664303 715-292-0029 Plumber's Address (Street, City. State, Zip Code) 315 Sanborn Ave, Ashland, WI 54806 VIII. County/Department Use Only Approved ❑ Disapproved Permit Fee Date Issued Issuing Agent - 2 ❑ Owner Given Reason for Denial S ^ S- -a 1I Signature i,i4 K)or el/ / 9 0 IX. Conditions of Approval/Reasons for Disapproval �na,M1 .- sys�,� Air fu�..� Arisen to complete plans for the system and submit to the County only an paper not less than 81/2 x 11 inches in size SBD-6398 (R03/14) II I hl III II II I III II Lift III lJ 1111 Ih *2021R 588605 3* Private Sewage System Maintenance Agreement ,e r.u,n ess 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 W Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 114 of 1/4 Section _______Township N. Range W. Additional Legal Description PQ h11PC k c Town of (Acreage) Gov't Lot Lot Block Subdivision Lot _ CSM # Vol. _ Page CSM Doc # 2021R-588605 DANIEL J. HEFFNER BAYFIELD COUNTY, WI REGISTER OF DEEDS 05/11/2021 09:29AM TF EXEMPT #: RECORDING FEE: 30.00 PAGES: 3 Return To: Planning and Zoning Department In -ground gravity ❑ In -ground dosed ❑ in -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Area 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 -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) -!Please Print �vc '"� (h� C�, Subscribed and sworn to before me on this CINDYJ Notary Notarize wner(s)-SI ture(s) NotaryPublic 5iaie0 S ake- o,e 1.4)- sCo n.si v.. My Commission Expires: I-al-oa- Drafted by: let, • rDate: ti r 11 -21 ; NIEBE lublic scohs in Proofed by: u/forms/sanitary/septicmaintenceagreement Revised July 2020 *2021 R-586441 1* State Bar of Wisconsin Form 7-2003 TRUSTEE'S DEED Document Number 11 Document Name THIS DEED, made between John O. Swanstrom, as Trustee ofthe Family Trust under the will of John E. Swanstrom, Jr., deceased, ("Grantor," whether one or more), __________________________ and_�OZ:t i k ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty, 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): Lot 1, Certified Survey Map No. 000515, filed in Volume 4 of Certified Survey Maps, page 1, being a part of Government Lot 4, Section 22, Township 47, Range 8, EXCEPT that portion described as follows: Commencing at the South Quarter corner of said Sec. 22; thence South 89 degrees, 55 minutes, 20 seconds West along the South line of the Sec., 1297.22 feet; thence North 2 degrees, 31 minutes, 10 seconds East, 1307.61 feet; thence South 89 degrees, 53 minutes, 30 seconds West, 144.95 feet to the Northwesterly line of Hart Lake Road and the point of beginning; thence South 46 degrees, 44 minutes, 58 seconds West along said Northwesterly line, 42.00 feet; thence North 84 degrees, 45 minutes, 33 seconds West, 308.08 feet to a point 2 feet, more or less, from the water's edge of Lake Millicent and the North line of GoVt. Lot 4; thence North 89 degrees, 53 minutes, 30 seconds East along said North line, 337.38 feet to the Northwesterly line of Hart Lake Road and the point of beginning, Town of Iron River, Bayfield County, Wisconsi Tax Key No. 04-024-2-47-08-22-3 05-004-10000 TAX ID: 38363 20218-586441 DANIEL J. HEFFNER BAYFIELD COUNTY, WI REGISTER OF DEEDS 01/11/2021 02:10PM IF EXEMPT #: RECORDING FEE: 30.00 TRANSFER FEE: 750.00 PAGES: 1 Recording Area Name and Return Address Parcel Identification Number (PIN) Dated (SEAL) (SEAL) * O. Swanstrom, rustee (SEAL) (SEAL) * AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT +� DRAFTED BY: , %% , 111 u 1l60646 - ACKNOWLEDGMENT STATE OF WISCONSIN ) t_ )ss. OJ {!�( COUNTY ) Personally came befpre me on \.ttc\'f) .IK 'SJ?tQ the above -named J o\(1 C), Vii 6sS-)1-Co to me known to be the person(s) who cuted the foregoing instrument and ackndivledaed the salve J4- ,c16`"�' *k5MX'..DC V-61r�Q ku y �,� ':`14Rlpt y Public, State of Wisconsin _ a� c��4 r �� d� �<` . vl Commission (is permanent) (expires:`"U% ) (Signatures may bd uthen dated or a wledged. Both are not necessary.) NOTE: THIS IS A STANDARD�FO#2M. ANY Ml11FICAf [0$5 TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED .' '++ 0 2003 ST4,f OF WISCONSIN FORM NO. 7-2003 i/A* Type name below signatures. '+"r �� •++++++++ 1t�/ % • . O .� ti� .��,flto//1tlllOrt 5/11/2021 Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 5/11/2021 Created On: 11/2/2020 12:00:11 PM Z Description Updated: 2/1/2021 Ownership Updated: 2/1/2021 Tax ID: 38363 DAVID BRETTING ASHLAND WI PIN: 04-024-2-47-08-22-3 05-004-11000 Legacy PIN: Billing Address: Mailing Address: Map ID: DAVID BRETTING DAVID BRETTING Municipality: (024) TOWN OF IRON RIVER 4101 SUMMIT RD 4101 SUMMIT RD STR: S22 T47N R08W ASHLAND WI 54806 ASHLAND WI 54806 Description: LOT 1 CSM #515 IN V.4 P.1 (LOCATED 10 IN GOVT LOT 4) IN V.523 P.191 LESS Site Address * indicates Private Road PAR DESC IN DOC 202111-586441 66915 HART LAKE RD IRON RIVER 54847 Recorded Acres: 0.000 Calculated Acres: 5.689 Property Assessment Updated: N/A Lottery Claims: 0 First Dollar: No 2021 Assessment Detail ESN: 118 Code Acres Land Imp. N/A Tax Districts Updated: 11/2/2020 2 -Year Comparison 2020 2021 Change 1 STATE Land: 0 0 0.0% 04 COUNTY Improved: 0 0 0.0% 024 TOWN OF IRON RIVER Total: 0 0 0.0% 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE � Property History Recorded Documents Updated: 2/5/2014 ® TRUSTEES DEED Parent Properties Tax ID Date Recorded: 1/11/2021 2021R-586441 04-024-2-47-08-22-3 05-004-10000 19673 ® LAND CONTRACT Date Recorded: 10/21/2020 2020R-584949 ® CONVERSION Date Recorded: 3/15/2006 523-181 ® PERSONAL REPRESENTATIVES DEED Date Recorded: 1/6/2006 2006R-504319 935-986 ® CERTIFIED SURVEY MAP Date Recorded: 7/26/1984 354562 4-1 HISTORY ® Expand All History White=Current Parcels Pink= Retired Parcels ® Tax ID: 19673 Pin: 04-024-2-47-08-22-3 05-004-10000 Leg. Pin: 024106110000 38363 This Parcel Parents Children httpsJ/novus.bayfieldcounty.wi.gov/access/master.asp 111 BAYFIELD COUNTY SANITARY PERMIT (#04)-21-41S STATE SANITARY PERMIT OWNER: DAVID BRETTING GOV1 j LOT: CSM: SUBDIVISION LOT: BLK: Csm #515 1/4 1/4 SEC: 22, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 49-21 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. NEW SYSTEM Ne,EVIOUS PERMIT #: SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TONY BROWN LICENSE: # 664303 TODD NORWOOD Authorized Issuing Officer DATE: 5/18/2021 Condition: Maintain per recorded agreement. THIS PERMIT EXPIRES 5/18/2023 POST IN PLAIN VIEW MUST BE VISIBLE FROM ROAD FRONTING THE LOT DURING CONSTRUCTION