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HomeMy WebLinkAbout26-3SDepartment of Safety & Professional Services, County itary P tit Number to be filled in by Co.) Industry Services Division Sanitary Permit Applicatia CE State Transaction Number In accordance with SPS 38321(2), Wis. Mar Code, submission of this foam to the appropriate govmental unit is required prior to obtaining a sanitary permit. Note: Application forms for stateo'flg4 P( bmitied to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you pm may a used for secondary N_ 75' I _ /_ K a _ 1v. 1_ purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. Cr LLilfUr�r ti lfJ L Application Information - Please Print All Information oninp.gpa' Property Owner's Name Parcel # L, a . Dorctua -r":Fvv- S'3a Per�tyy++Owner's Mailing Address Property Location innr 0' 1''J eA . . Gov Lot City, State Zip Code Phone Number r St f�jr�, , `, /O≤ — — G' ✓ r�V... Y., Section 03 T 4 ✓ N R ®7 E o IL TypeofBuiding (check all that apply) Lot # { ❑ 1 or 2 Family Dwelling— Number of Bedrooml s ' Subdivision Name ❑ Public/Commercial — Describe Use Block # 0 Cityof ❑ State Owned — Describe Use ❑ Village of CSM Number 847-I VetO /^_! jTownof Cabot RW III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applicable.) A- System Replacement System ❑Other Modification to Existing System (explain) ❑ A B. OlO -New 1_pfolding Tank !n -Ground ❑A4Grade ❑ Mound Qndividual Site Design ❑Other Type (explain) (conventional) C. [Jtetewai Before ❑ Revision ❑Change of Plumber Clfransfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Ratelgpd/sf) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation /5o • `- Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units w o $ G 2 New Tanks I Existing Tanks ' p E y u 4 rn .0 O C. U e ii. Septic or Holding Tank n V / �gi, I Dosing Chanter FL H H V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signature MP/MPRS Number I Business Phone Number 8 lS X070 Plumb s dress ( treet, City, State, Zip Code) nAA�� Qd ! all - VI. County/Department Use Only Approved ❑ Disapproved P it Fee Date Issued �b L Lssui Age ignature / (7 ❑ Owner Given Reason for Denial ( 6 3 Conditions of Approval/Reasons for Disapproval Attach to complete plans for the system and submit to the County only on paper not less than 8 In x I I inches in size SBD-6398 (R. 03/22) • REIVEDb. 0O353 Eo /s oECCT 13 2025 SOIL TES)jT/ #1S .,.. \. Wisconsin Department of Safety and Pro;essional Services Division ofindustryServices Bard Co. Page _of SOIL EVALUATION REPORTandzontngApency ori,°, In accordance with SPS 385. Wis.Adm. Code ICcumy BAYFIELD Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mustincfude, 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. Z3-7-- Trtix — p Please print all information. w 'r Personal information you provide may be used for secondary purposes (Privacy Law, S. 15.04(lxm)), 'roperty Owner .2 /� * Property Location❑ ❑ 11lGw f r'1, V0 0kU Govt. Lot h is 03T 43 N Cl E(or)95 roperty Owner's Mairm Address Site Address or CSM and Lot# I5 We le Ve, Lt S Cfl-i t-iaf 1%.10 P HHZ L1r3eac. City I State Zip Code Phone Number ❑ City O Village Town I Nearest Road ra0� I MN SSIDS ( ) ble. #45775- lu.(7ko4- Lke MNew Construa ton Use: Pl Residential/Numberofbedrtwrrs I Code derived designflow rate_300 OGPD, Replacement ❑ Public or commercial -Describe Flood Plan elevation if applicable ±3 3 Oft. Parent material savid,1 O u+Wc s i General comments and recommendations: -1 ' ` Ste• 5 5 .Slle .e(_ GY.St .e q3- 9S,S r I I goring# ❑Boring q -L'7 /00 `f gq, 37 1 J I!Pit Ground surface elev. ft Depth to limiting factor in. / elev_R Horizon Z 3 Depth In. 0— 8-8 2,8 —coo Dominant Color Mansell —1$ r 3 nLf3 t y • Redox Description Texture Az. Qu. ACont Color i I►S I I Structure Consistence Gr. Sr.SSh. 5 V Mi4) n Boundary ' Roots j ZJ loh+t Soil Application Rate PDrL t2 Efts1 I E 1. c6 -� U it I Boring „ Boring c19.S-6 " f 0$ sc. SS CxPit Ground surface elev. ft. Depth to limiting factor In./ elev. R Soil Application Rate Horizon 1 Z Depth In. O '-i -S%.l 1R- to Dominant Color Munsell -I S r 3 L 4 '4/3 4 y Redox Description I Texture I Qu. Az. Cont Color - I — IS — 5 Structure Gr. Sr. Sh. 0 S 4 tr Consistence Boundary y t I 4% rr I tr 1 -- Roots L^ Z.J 41 I01to, t' 4 GPD/Ft' -cif I I r 5 I 'Efrm2 ( L.b I I f coo I +o4q Y STName MERTON MAKI signature _ I`A I Number 224901 ,ddress 10869N SMITH COURT Date Evaluation Condupled Telephone Number (715).634-8719 HAYWARD, W1 54843 0 — S — LS fluent m1 = BOO > 30 5 220 rng/L and TSS > 30 S 150 mg/L * Effluent,'# = BOO. 5 30 mg/L and TSS s 30 mglL SBD-8330 (R04/21) L31D0a# ❑Boring q,.b1 9►PI! Ground surface ccv. R. @__._at loo Depth to ilmiUrtg factor in. ! elev._,,.`fit. Soil ApplfCatton Rate Horizon Depth In. Dominant Color MunseIl Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD!Ft2 Eff#9 'n#2 t 04 _ ; -- 15 b - s qt.42 f .1 I. Z 6 it 'f 1 if 'f i j++ 3 4 w 10 i t - C ,, y, 4 rookf Li1# ❑ Boring ❑ Pit Ground surface elev,__,ft. Depth to limiting factor In.! elev,_ft. =Application Horizon 1 6 Depth In. 1 Dominant Color Munseti •: Redox Description Qu. Az. Corry Color Z S O'JS Texture 21 Structure Cr. Sz. Sh. r< Conte t v� Boundary Roots GPDIF , 'Eli 2 _____ l 't L -t' e. _4(1 l..ovt ,e 1 5[ a S.'t- 32-0 a0 o.1 boa S I1 Boring # O Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In.! elev._...�,It. Soil Appion Rate Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cant Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ftz -Eft#1 'Ef2 Effluent #9 a 8OO:1, 30 S 220 mg!L and TSS > 30 S 950 mg!L • Effluent #2 = BOD, s 30 mg/l. acid TSS s 30 mgf . Ow her. T�ovt Q L, gar'a A. bOn.1otive 2tSl Wellesley Owe. s(- c(nJ1 MW 5"S�O5 -fs7i s TQkLOd4I Irk€ Ri. u sc4e I = `f'o / • , £frt loo,r lW cov,ner o•F new C46,h slab E's, q7.7' z tisss' 3. g7.bt' ,1 so:k, s15feL. 'rif.S` (.rL-vje q3'- acs ) $ Suite $ of 'j[J5S--eg('nn4 B& et&Col C46le- ��•'�� Tray X' Fir...' coiz.-.loo-30 —.c0OO 5'b3 T 43,a 12 o -111v Loft C$'— 1'77-1 t1, 10 P. t4z. 6qz •.��--r J RECEIVED OCT 13 2025 Bayfield Co. Planning and Zoning Agun y tgoo - S Mteciov\ j-'\n.lCi csr .z.4SDt to—e-T�5. L4s77S M e �r+ I ln, r tJ To ssz �ry,S Sys X37 t_____ bi. 6 98.;c L CL G `t ( 1 RECEIVED a--- --- --_ OCT 13 2025 ,---=- -- SaYfield Co. : [ --- - planning and Zoning Agency — fi`i Ca eoo' �eoao I I i _ k --I —t--- \0O0 *emOaooe=OG:�caOG 11 9S — g qS ; r e. �ta /oo - 8.33; `99 3-1 I eoeeeeee G z• 5 5 41 C2 Za +3' ,L3 eee °e� •• eOi 108 =q S�,5S 29 loo 5.33 PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet RECEIVED Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) JAN 162026 Bayfield Co. Planning and Zoning Agexry Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s). I I1i)W15 L A�2Ybrtt z j PCM1)kue_ Phone Owner Address: Project Address: Govt. Lot: 1/4 of 1/4, Section CS , T N R07E U or W Township: CjLA7it County:Ucaj2t(Q Project Parcel ID #: fiT% J) ' O'I - 7i - cam - Zip: 55/as Designer Information Designer Name: Designer Address: E-mail: License Number: Remarks: Phone:% /b?? Layxdzjp: 7 {% Il,in C rc:cned Inr ilvnvel riamh. Signature: Date: //3- Original signature required on each submitted copy. . ow he'c: I\\ r -.�oo- mL, Dctv.6`r�v'4r A. bcvtoku2 1..A S1 LOeU.e5 tey Acne sk ?t, 1-AlJ s'S1o��5 ff f( p 5th. tfs7-1S 1QvLG-d4✓1 LIIl[,'" Iv 1e 40` o o m ao yo c / B&eU.Co1 C46e ? Tay :.-D E53Z ?,N (0lz_ioo-3o--g000 5'b3 -r 43t) Y- D -1w t_O-i-1 C -5M 1 `7 z-1 U. ro P_ tqz 64z` S S.,_.2 r / I O e decoy % RECEIVED JAN 167026 Bayfield Co. Planning and Zoning Agency g4� $. 4.577S t #880 �8M IDO,tJt� Cov 1ec- of nPsv Cab K slmb g6, a7.7' 4855` 3. R -y.' Crave 93 R5S") * Sazp, f.oc$wo4 - 't IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 ;standard -VV Chambers 3-t't Trench (down• -sizing credit) SOIL COVER 12'• tuft,, Iranon doln (typluoq min, 12" (lyplool) Septic Tank(s) Manufacturer: soptlo rank(s) volunte(s): gal a.e ,, dal gat Effluent Filter, nufecturer: Effluent Filter Modal ik�a TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Uevetlon =2,.c{'t (typical) Clulok4 Standard -W w(ypical) d Cap (Show tocatlon of Inlet / outlet pipe connection on plan view,) I1I1TIIJJiii H p= ft (typical) INSTALL PER TRENCH: Qulok4 Std -W cQ 20 ft EISAlohamber = ,, a Pairs of end caps @ 61t' EISA/pair _ , ft° Proposed EISA per trench = ?Z ftk 71 �m z m Nn Q1 m C Provide rnlnimum aft o �' o rn separation between trenches, rn O 2 Obsorvallonplpo (typical) install per manufaouoo,'s / Inalrucllona, TYPICAL TRENCH PLAN VIEW (No Scale) TA = 3,0 ft (Iypinal) "—Qulcic4 Standard•W Chamber (typical) (mfd by Infiltrator 5gsloma, Inc,) Install purouanl.lo rnanufualumes Instruouano, Required Infiltration Area = 244 ft` x , j/� , trenches = Proposed Total EISA = ft' Distribution Method: C) C,) O 11 a In -ground Gravity Management Plan PAGE 4 OF 4 MPORTANT: The owner of this in -ground gravity system shalt be responsible tr its perpetual operation and- liainienance pursuant to requirements of SPS 382-384, Wise. Admin. Code Pursuant to SPS 383.52(2). Wise. Adman: Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wise_ Admin, Code. Maximum Dispersal ,area C9pratine r emits: Design Flow = gpd; SOD5 S 220 mgL-1; TSS 5150 mgt.1; FOG S 30 rtgL'j lrtspection Checklist INSPECT EVERY 3 YEARS RECEIVED o type of use o age of system o nuisance factors (ie_ odors, user complaints, etc.) JAN 16 2026 o mechanical malfunction (Le., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) Planning and Zoning Agency o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (Le., distribution / drop booces o neglect or improper use (to., exceeding design capacities, prahi�ited activities, eta) ) 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 elect is at components - if applicable (Le., 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 tanks) shalt be pumped by a certified sep₹age servicing operator licensed under & 281.48 Wis. Stats_ when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code. - o Effluen�r(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 shalt be submitted to the proper local government unit in accordance with S'S 383.55 Wisc, Admin, Code. Report any component failure or malfunction to: Name of individual or company: (9® Local govemment unit Phone: ij7 /, 3 Local government unit address ( >�Qy! �j 1 (n s� -- ZIP: 5Ui� Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1). Wise, Ad Code. Repair or repiacemen₹ 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, Wise. Admin. Code. cOntinp� envy 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 us; of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code. Real Estate Bayfield County Property Listing Today's Date: 10/1/2025 t9 Description Updated: 10/11/2010 Tax ID: 8322 PIN: 04-012-2-43-07-03-1 05-001-70000 Legacy PIN: 012100309000 Map ID: Municipality: (012) TOWN OF CABLE SIR: $03 T43N R07W Description: LOT i CCM #1721 IN V.10 P.142 (LOCATED IN GOVT LOT 1) IN V.1048 P.444 33B Recorded Acres: 4.380 Calculated Acres: 4.380 Lottery Claims: 0 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 108 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 048020 TAKODAH LAKE Property Status: Current Created On: 3/15/2006 1:15:03 PM 4 Ownership Updated: 10/11/2010 THOMAS L & BARBARA A DONOHUE ST PAUL MN Billing Address: THOMAS L & BARBARA A DONOHUE 2151 WELLESLEY AVE ST PAUL MN 55105 Mailing Address: THOMAS L & BARBARA A DONOHUE 2151 WELLESLEY AVE ST PAUL MN 55105 W Site Address * Indicates Private Road 45775 TAHKODAH LAKE RD CABLE 54821 r Property Assessment Updated: 6/17/2020 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 4.380 138,800 292,400 2 -Year Comparison 2024 2025 Change Land: 138,800 138,800 0.0% Improved: 292,400 292,400 0.0% Total: 431,200 431,200 0.0% Property ax Recorded Documents Updated: 10/11/2010 N/A © WARRANTY DEED Date Recorded: 10/4/2010 201OR-534981 1048-444 13 QUIT CLAIM DEED Date Recorded: 9/27/2010 91 CERTIFIED SURVEY MAP Date Recorded: 9/27/2010 © WARRANTY DEED Date Recorded: 6/13/2008 ® CONVERSION Date Recorded: 3/15/2006 20108-534847 1047-948 201OR-534847 1047-948 2008R-521305 997-520 304-330;689-209 ri-.'.# D . 13ZUZ3 Bayfield Co, Planning and Zoning Agency O a BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. 142/ PART OF GOV'T. LOT 1, SECTION 3, T. 43 N., R. 7 W., IN T 3 "' ;;7j OF CABLE, BAYFIELD COUNTY, WISCONSIN. SEC' J &C• J4 G 44 N. R 7 N N I/4 CDR. ® S 6956'56' E ,. 'r� NWL IKW SEC. J L 4J N. R. 7 W 04-017-2-43-07-03-01 05-001-60000 S 1276 '1E - I / / / >HLA j I9IN 1 GARAGE , / % ®® r\�I / 140$57 I ` \\j3 _ti / 3 C,4 EXISTING ACCESS EASEMENTS -�� \ . , PER M. 997 PG. 520. - EASEAI£NT WIDTH UNDEFINED. CS ARE REfEREN TO AORRI UNE 07 TH RIE 4 Or SEC J. ASSUMED BEAR S 8976'58'C. S 01'01'16' 900.00' 24.96'-- Ii C J C LOT 1 ` 190,850 50. FT. t $ 4.38 AC. f g (EXCLU01W ROAD R/W) .----- N U N CL 1047 PC 948 664.51' 24.97' N BT5731" W 880.31' ......_.._....._.�..._...—_ 1_1X4 1R PIN - 04-017-2-4J-07-03-01 05-001-80OW �` b LINE ineLE 1 �; UNE BEARIN • DISTANCE [it N 323942 E 41.61 �,d. Tm,r CURVE ARC DELTA RADIUS CND. 01ST. CN. BEARINGS CI 60.13 652630' 52.64 56.91 N 153015 W C2 145.66 775450 114.46 136.03 N 34'48'I6' TI ONE INCH = 700 FEET - - - _. OOvi. LOT I GOVT. LOT 2 - 0 100 200 PIN - 04 -012 -2 -4J -07-0J-01 05-002-20000 PIN - 04 -012 -2 -4J -07-0J-01 05-001-90000 SURVEY BY: LARRY T. NELSON - RLS #1276 8400 N 352630' W PIN - 04 -012 -2 -43 -07 -03 -Of 05-002-10000 Si CA TAHKOOAH LAKE RD. - - - - Ci NSIONS ARE OUTSIDE DIAMETER - - - 0 ICLIENT.' JEFFREY GIBBONS 101 W. WINSIRE NELSON SUITE 207 0 1' IRON PIPE, UNLESS NOTED JOB NO. NIO/129 FILE: TIO-012/SECJ Fl(£.• NIO_0179 ASHLAND. I$ISCON5 682-2692 SURVEYING j �(7 1-1/q (00) X !8' IRON PIPE, WT. = 1.681/FT. GRAFTED BY: JRN DATE: 9/15/2010 NB. NON B-20/PC. 151 5 INCORPORATED RISCONSIN SINCE C VENT/CLEAN OU7SHEET I OF 2 SHEETS SURVEYING NORTHERN 1964 10!6/25, 6:39 AM Property Summary Report Code A Description Categon! 16 DOUGLAS COUNTY OTHER DISTRICT LOCAL OTHER DISTRICT 1491 DRUMMOND AREA SCHOOL DIST REGULAR SCHOOL 0102 EMERGENCY SERVICES OTHER DISTRICT 1700 NORTHWOOD TECHNICAL(VTAE) TECHNICAL COLLEGE No Associated properties were found Building Information Assessments RECEIVED OCT 13 2025 hayfield Co. Planning and Zoning Agency Estimated Fair Market Value: 0 Assessment Ratio: 0.0000 Legal Acres: 1.620 2025 valuations Class Acres Land Improvements Total G1 - RESIDENTIAL 1.620 68400 72100 140500 ALL CLASSES 1.620 68400 72100 140500 2024 valuations Class Acres Land Improvements Total G1 - RESIDENTIAL 1.620 68400 72100 140500 ALL CLASSES 1.620 68400 72100 140500 Taxes Taxes have not been finalized for the year 2025 Document History All documents are verified as of 4/30/2025 .49 8518 TOO SO_00 0 938852 CORR 50_00 1 896852 OCD 5130/2018 561.650.00 1 877052 OCO 10/7/2015 $0_00 1 808798 WD $000 0 713157 TERM JT SO_00 0 454932 WD 2581170 SO_00 0 Property Summary Report 1Q/fi/2S. 6:39 AM ,• SearthpoueredW Douglas County Web Portal - Property OGCS Summary c 1991,013 Property: HI4iH8-00441-00 Tax Year Prop Type Parcel Number Munk;p U.y Property Address Billing Address MIC1.4AEL 0 HoUUNAM JACQUELINE LEAH 2025 Real Estate HI -016-Q0441-00 016 - TOWN OF 14388 E HJALMER BJORK HIGHLAND BLVD 4224 S CONWAY AVE LOT 100 MISSION TX 78572 Tic Veer L ageod: 4 = osw p ym taxes Ina rot assessed �} ¢ rtat taxedDelinquent Current Summary Property Summary Parcel #: HI -016-00441-00 Alt Parcel #: Parcel Status: Current Description Creation Date: Historical Date: Acres: 1.620 Property Addresses • Address 14388 E HJALMER BLVD Solon Springs 54873 Owners HOULIHAN, MICHAEL D CURRENT OWNER BJORK, JACQUELINE LEAH CURRENT CO-OWNER HOULIHAN, MICHAEL & SHARON FORMER OWNER SMITH, MARCELLA I FORMER OWNER Pa ent Parce's No Parent Parcels were found Child P: -';s No Child Parcels were found Abbreviated Leg x: i�.�:;;:� (See recorded documents for a complete legal description) LOT B, CSM #1, VOL 1 PG 1, PT GOVT LOT 12445-10 Public Land Su,•}• . ,' : . . 4ctton AL Town Range Qtr4O Qtr160 eov Lot BbcklCondo Bldg 24 45N 10W 1 Interest JT JT A LOT B VOLIPGI PG 1 atlps"1/gcs chug untywthi /gcswebportaUPmpertySummaryRepor aspx 112 Bayfield County, WI ° IM -540 tanks JAN 162026 eayfield Co. Planning and Zoning Agenq Features & Benefits Strong injection molded The Infiltrator IM -540 is a lightweight strong and durable septic/pump tank. This watertight tank design is offered with Infiltrator's line of custom -fit risers and heavy-duty lids. Infiltrator injection molded tanks provide a revolutionary improvement in plastic tank design, offering long-term exceptional strength and watertightness. polypropylene construction • Lightweight plastic construction and inboard lifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with TW" risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump -outs • Reinforced structural ribbing offers additional strength • Can be installed with 6" to 48" of cover • Can be pumped dry during pump -outs • Suitable for use as a pump tank or rainwater (non -potable) tank • No special installation, backfill or water filling procedures are required • No special water filling requirements are necessary • The tank may be backfilled with suitable native soil. See installation instructions for guidance. Protecting the Environment with Innovative Wastewater Treatment Solutions INFILTRATOR' RECEIVED IM -540 General Specifications and Illustrations The IM -540 is an injection molded two piece mid -seam plastic tank. The IM -540 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM -540 is assembled and sold through a network of certified Infiltrator distributors. Must be backfilled and installed in accordance with Infiltrator Water Technologies, Infiltrator IM -Series Septic Tank General Installation Instructions and for shallow ground water conditions reference the Infiltrator IM - Series Tank Buoyancy Control Guidance. Please visit www.irtfiltratorwater.com/images/pdfl ManualsGuidesfTANKol.pdf for the latest information. JAN 16 2026 CONNECHON TOP VIEW II YE) 0W) END VIEW SECTION A - A' MNKTOPSEAMCUP TANK INTERIORALGNMENTnova )5K" - KBOROM HALF 4 Buaness Park Road MID -HEIGHT SEAM P.O. Box 768 SECTION DETAIL Old S7i700 CFT x 475 g.A i yy I N E I L 86O e6p-ST-]6p1 @ r6 AT ¼/N 00-22/4436 ' .., _ -_ ww Jnfiliratomatencom IMP 'aaNHo PATH LOCKING Un US Patents: 4]54661x5017041; 5.156088:533601] $ap1116 5.401,459: 5.511.903; 5,]16,163:5,566,)]6:5.839,8;4 Canadim� Patents: 1,329.959; 2,004,584 Other patents pending, Infiltrator, Equalizer, Quick4, and SideWinder are registered trademarks of Inkluator Water Technologies. Infiltrator is a registered trademark in France. lnfdiratcr WaterTechnologies Is a registered trademark in Mexico. Contour, MiaoLeaching, PolyTuff. ChamberSpecer, MUKiPort. PosiLock, OuckCut, OuickPlay, SnapLock and StreghtLock are trademarks of Infdtrator Water Technologic s. PolyLok is a trademark of PdyLok, Inc. TUF-TITE is a registered trademark of TUF-TITE, INC. Ultra -Rib is a trademark of IPEX Inc Q 20131nftrator Water Technologies, LLC. All rights reserved, Printed m USA IM11 1116 vent (on optional flaw modulauan plate) Disdiarge ontice (on optional flow modulaation plate) RECEIVED JAN 16 2026 Bayfield Co. Planning and Zoning Agency BC •i� k -0 'l Specifications Model FTSO444-36, F7W0444-36 FTSO436-28, FTW0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (914) B - Cartridge height, in. (mm) 36.00(915) 28.00 (710) C - Intel hole height. • in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. (mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13(29) 1.13(29) Discharge orifice diameter. in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, in. (mm) 4.00(100) 4.00 (100) Fitter surface area,t ft2 (ma) 5.1 (0.50) 3.9 (0.40) Flow area." ftz Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12. Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) ' )Net hale heipnf in vary *eflip m me cnr nlm of the fat t ,Amum hole height is 70% of The minimum /w d M. Rte, area is defied as the IofarMbw a a of all ilMm"ral aglubes within tie Idler cadir dga. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Brotubes vAMm the rifler radrldge. N1D-FT-F75-1 Dreoco Systant Inc. , 814 Airway Ave., Sueterlin, OP 97479 USA • ee0-348-9843 • 541-459-4449 • www.orenco.com Anc 3A, ID asna PSC-Series Biotube® Effluent Fitters Applications REDE%VED JAN 16 2026 8ayiteld Co. planning and Zoning Optional that AWtcr. 3'acket Orerco PSC Series Biotuge Emuent Fdters are de-Aywd to retrtoye solids iron effluent leaving wastewater tanks General Orenco's gatent-Deriding PSC-Series Biotube Effluent Fitters are used :o impr,ve 'Fe quality of effluent trom wastewater tanks Improved effluent quality extends drainfield fife in onste dispersal systems and i1TIO!" ks the performance of dovms1ream trmtnw! in effluent sewers. -ne P,:C ube fitter cartrilge fits tighdv in the haus:rg wHe being easy tine 13 remove for maintenance design extend: ornjye�e maintenance cycle inter aals..Fi ter rmsh cs avadade in 1/&n or 1/1& 'Auyy.. of 0�W.y .�i _TT ,r 1.bRirrl) inQ5� ^^""g sues handle can be extended with PVC ape That mckrtledl for better access 'o the cartridge- A 3/4Th 119ntmt diameter he handle is induced. Mcdets PSCS(621 18 and PSCd40671-18 are NSF 46 certified Standard Models PSCS0621-18.PSC#)621-18.PSCPS0621-18 PSCPWOC2- !8 Product Code Diagram PSC _ 06 21-18 A • row ani ti d 8 am..n QwroM vfre urYu Liic• "ernrap n yr� _ Y � rY' Y.rtm Mn bn�eb b r uM'ee t Materials of Construction __/ rRr Htbttbe fib rerdtdge P yp ?e. � I ar canoenotes PW. stfla steel :Jrenco PSC-Series Hatube Effluent Fitter rm-s--fns-: grmr:o systems • 800-:i6ft-9843 • al 5a7-4534449 • wwworenco ct,n' 30 01171 ns.1e? lE�,. 9f17as • Private Sewage System Maintenance Agreement Owners) Name fl o n o h k -e , NW 15 -775 Tan Kodak Lr,k Poe fi taiyfr TaxID# As owner, I (we) do hereby certify the private sewage system will be installed hi accordance with the certified soil testers 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 LegalIsrequired) 114 of 1/4 Section 03 Township '!J N. Range 07 W. Additional LLeegal Desccription: Lc -t i C $M ' 11�722)gf)J V. )i) .i? 147... Town of Cllbl & '°! 4, 3b Gev Lot Lot I Block_ Subdivision h 'r Lot 1 CSM #' Vol. / 0 page %�Z CSM Doc # ?016 ,F - 631 5- DOCUMENT NUMBER 2025R-609178 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED O9/15/2O25 AT 1 1 :4O AM RECORDING FEE: $30.00 PAGES: 1 Pattern To: Planning and Zoning Depart 16 2025 7 Sayfleld Co. and Zoning Agency 0 in -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ 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 (113) 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 Fi ter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and In accordance with manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 363.55, Wiis. Admin, Code. Private Sewage System Dispersal Call (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 pending on the ground surface. Mounds At -grade and Inaround 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 Sayfield 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. Sayfield 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 eta 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 atoll current and future owners of such props tv. Owner(s) Name(s) — Please Print 'hania5 L. 60nbhue, Subscribed and sworn to before me on this date: — &,rba.rA A. loonoh M/JLEG' /$� IJz re(s) �� Not�a/rry,/r�P/uNic/'� ��� v `OOwner(s)—$Ig My Commission pxpires: /a f't-rCYLIQ Q.?lVrc7Oc29 ------I Drafted by: T-Af'bara gsnontrfDate: 'iii 1a pas Proofed by: ulbnnsisanitary/septiaraintanceagreemef Revised Jdy 2020 T Il dIks # &rjcr... 1S 77T6kod-ft4eke eL. !w61 Pre t,y3v,)o310 ©v17OcW) Lo;cf�;�r� i'j,S;31— g3i4i 7L) ' r Ql- e5:�s 1vii.+ IcY. IPQ-1c4#J w f�G�tlsc�i�/J1/IJ�-Sc�. 19- i Tom' . 0rinI3 c tb.z i /'e/' e7rr� ;C)9-3 s . F1. ?.. (,e IC J W//& S,h ,,Jf" T tJ,. ='`�ST ^5 �Le►s. �Q s;. I w AIOO PITT r' 71h k'Ji1 /a-vP +�ides'dssr7q 13 '--YFIELD Bayfield County Planning & Zoning Department 117 E 5"h Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: DONOHUE, THOMAS L & BARBARA A SR -00353 2151 WELLESLEY AVE ST PAUL, MN 55105 Transaction Number: SR -00353-36830 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 8847 Paid by: Merton Maki, 10869 N Smith Ct, Hayward WI 54843 Payment Type: Check Transaction Date: 10/16/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 13-M'FIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: DONOHUE, THOMAS L & BARBARA A 2151 WELLESLEY AVE ST PAUL, MN 55105 Description Private Sewage System (Septic Tanks) Submission Number: SS -00700 Transaction Number: SS-00700-3BA22 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3204 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 1/16/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-3S STATE SANITARY PERMIT OWNER: THOMAS L & BARBARA A DONOHUE GOVT LOT: LOT: 1 BLK: CSM: 1721 V10 P142 1/4 1/4 SEC: 3, T 43 N, R 7 TOWNSHIP: Cable SOIL TEST: 137-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND TRACY POOLER Authorized Issuing Officer DATE: 1 /16/2026 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 798301 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 1/16/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION