HomeMy WebLinkAbout26-8SstskTl4tt
Department of Safety
County
ate ld
:'i8 t RECE
& Professional Services,
,
tN
Sanitary Permit Number (to be filled in by Co.)
pg
Industry Services Division
&S-oo69s
a6 -9
Sanitbwoecw4Application Il
1
State Transaction Number
In accordance with SPS 383.2l2 ea�, submission of this form to the appropriate em unit
Project Address (if different than mailing address)
is required prior to obtaining a mtaty permit. Note: Application forms for state-owned POWTS are mined to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. I5.04(1)(m), Stats.
4 7 A/aO Ti..': n P.,n65 I.n
I. Application Information — Please Print All Information
Property Owner's Name
Parcel # -r wr 1 D t 3954 1
Kc.skoF<c 5 4 PakS3 Lead
o'&os.aq4'p4qH C5.obf.floob
Property Owner's Mailing Address
Property Location
30ltt TCCCtCaVieW L W
Govt. Lot
City, State
Zip Code
Phone Number
M4pie %rove, MN
SS3)1
¼,¼, Section .%9
T 7' I N R O(o f?v
II. Type of Building (check all that apply)
Lot t{
IC I or 2 Family Dwelling —Number ofBedroonis /
1
Subdivision Name
Block #
❑ Public/Commercial — Describe Use
0 City of
❑ State Owned — Describe Use
0 Village of
CSM Number
CSM W I3 I
Town of &iandjieh1
V. 13 .'1 S
M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
applicable.)
A.
❑ New System
y
� Replacement System
❑ Other Modification to Existing System (explain)
❑ Additional Pretreatment Unit (explain)
B'
❑ Holding Tank
In -Ground 6eawi
❑ At -Grade
❑ Mound
❑ Individual Site Design
❑ Other Type (explain)
(conventional)
C.
❑ Renewal Before
❑ Revision
❑ Change of Plumber
❑ Transfer to New Owner
ist Previous Permit Number and Date Issued
Expiration
IV.
Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/st)
I Dispersal Area Required (so
I Dispersal Area Proposed (so
System Elevation
(v00
1. (a / a. O
37.5 / 300/___
90.50 Cf
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
U B
`v
L
New Tanks
I Existing Tanks
w
v
0.0
N
i. ia
c.
Septic or Holding Tank
`
`SO
e�
—
lasts
1
(�
c or Pre Cis{ •
)C
Dosing Chamber
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plu er's Signature_
MP/MPRS Number
Business Phone Number
1 ra.l;s v ertt/d
{')1,�It
GSJ879
7/ -e,3Y-817
Plumber's Address (Street, City, State, Zip Code)
1y3y4w 5Mt Ra 77 I -(c, ward, WS 5'y9y3
VI County/Department Use Only
Approved
0 Disapproved
Permit Fee
Date Issued b
Issuing t Si amrc
❑ Owner Given Reason for Denial
(7 —
/ Z$
rya
1y �p
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 12 x II inches in size
SBD-6398 (R. 03/22)
a°f.n�rugyro Wisconsin Department of Safety& Professional ServicRECE1tlED
Division of Industry Services
51- cot? 7 SOIL EVALL1491 !G0RT
In accordance with SPS 385��jggl. Code County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in si eP(154�t10$t4rRLN)@�g"'Y
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.
Please print all information. Rev'ew by
Page I ofd
TCCT
Auld
tP x 10,
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).
N
I
Property Owner
Property Location
❑
: k cc 5 r Pc.}ki
6 LG0.
Govt. Lot Y. '/. S a9
T yy N R Ott' E(or) W
Property Owner's Mailing Address
Site Address or CSM and Lot #:
807D T<rcaccv;ct,..t
Ln N
Lth CsH o .,.
L -1
City, State, Zip
Phone Number
Cl City ❑ Village ® Town
Nearest Road
HGCb Craps. MtJ .55311
(l)4L.4. it—,,
f f -...,.A .......1
T...,— 0._.— I —
® NewConstmction Use: Residential/Numberof bedrooms t'/ Code derived designflow rate &OO GPD
❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable — ft.
Parent material So.1dy 1' L )
General comments and recommendations:
❑1 Boring
Boring # ❑
®Pit
Ground surface elev.95.08 ft. Depth to limiting factor `It 0 in. / elev. 85Atft.
Snit Gnnlinnfinn Pntn
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
*Eff#2
O-7
oY 3/
ss
.ut
0.7
(.
7-D
s
—
ICS
d1r'r
f•�.
d.5
1.0
3
,SO.11.
)o9A 1
—
Ivir
der
C
O•`r
0.4.
at —s1
tSwlt '//
—ics
4f
�.f4.
tF
o.s
ho
51-IIV
tS'A./H
—
S
d'T
I.
Boring #
❑Boring
Pit Ground surface elev. R' ' ft. Depth to limiting factor L L%O in. / elev. t5.7 ft.
Soil Aoolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu, Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
'Eff#2
1
O -L
tav_3/_
—
fwd
Lt
o.
1.4
P -/q
IC.
nw-Cr
c.c
!.0
17-
O`+R RJY
—
s
J. O
1�-9
Y.SMR`114
-
IS
ml
0.1
&�O
l.5SAs/Y
-
S
1
-
:7
I.C.
CST Name (Please Print)
ISign re
CST Number $P" O 9 OOOOOO 3
Tnv;s t3..aa<rF.�rd
�5a879
Address
Date Evaluation Conducted
Telephone Number
193 td 5+R 77 Mwar�, tor 54843
1 I / u /a 5'
7/5- (.3 9 -817
Effluent #1 = BOD > 30 ≤ 220 mg/L and TSS > 30 S 15 mg/L ' Effluent #2 = BOD, ≤ 30 mg/L and TSS ≤ 30 mg/L
SBD-8330 (R03122)
Page
3 Boring #
❑ Boring
® Pit Ground surface elev.g9•4a ft.
Depth to limiting factor Z 108 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
GPO/Ft'
'Eff#1
-Eff#2
1
o -a
a.rt
o. -f
1.1r
-1
1 5r
—
Ics
(D
..rte
1.6
3
-s3
to4 91
a
m
0.5
t•O
33-48
7.5'(.'1)M
1
fo
M1
Ic
,
l.(,
S
-10 $
7•SY r/ti
—
S
—
a 7
1 .
❑ Boring# ❑Boring
❑ 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
GPO/Ft'
'Eff#1
Eff#2
❑ ❑ Boring
Boring #
❑ 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
GPO/Ft'
*Eff#1
'Eff#2
* Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L
RECEIVED
JAN Os 2026
Bayfield Co.
Planning and Zoning Agency
* Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L
SCALE = 1:40
47420 Twin Pines Ln
Lot 1 CSM#2391 v.13 p.425
Sec. 29, T44N, R06W
Town of Grand View
Bayfield County
Tax ID: 39561 /
Property Owners:
Kristofer & Patti Leaf , //
/old cabin to
(lie rempbed
Diamond
Lake /.
Co
OD
p N
z Cg
a.
`ra�cs i!o'rte� sId++csaa�y
5P-oeOO 3
P]
Wetland
IL 0 40
BM = Nail w/ Ribbon in 18" Hemlock
Page 3el �1
RECEIVED
SOIL PROFILE SHEET JAN 082026
OWNER: )lo iskJec 1t PcJ4 Lea•F SOIL TESTER: Tra- ,ts II,2a �r W Co.
ing Agency
SYSTEM ELEVATION: LOAD RATE: o.7 I i.t, SYSTEM RANGE: 3S . 4 1 to 90.8 3
97 t— —r— —r—
95.08
fm
M
9ti.Lla
$s. tia
Page -1- of Jf
Real Estate Bayfield County Property Listing
Today's Date: 12/11/2025
Description Updated: 3/31/2025
Tax ID:
39561
PIN:
04-021-2-44-06-29-4 05-001-33000
Legacy PIN:
Map ID:
Municipality:
(021) TOWN OF GRAND VIEW
STR:
529 T44N R06W
Description:
LOT 1 CSM 2391 DESC IN DOC 2025R-
606677
Recorded Acres:
14.490
Calculated Acres:
0.000
Lottery Claims:
0
First Dollar:
No
ESN:
114
\ Tax Districts Updated: 3/31/2025
1 STATE
04 COUNTY
021 TOWN OF GRAND VIEW
041491 SCHL-DRUMMOND
001700 TECHNICAL COLLEGE
a` Recorded Documents Updated: 3/15/2006
0 CERTIFIED SURVEY MAP
Date Recorded: 2/27/2025
0 CERTIFIED SURVEY MAP
Date Recorded: 6/13/2023
0 WARRANTY DEED
Date Recorded: 7/1/2022
0 CONVERSION
Date Recorded:
2025R-606677
2023R-599341 V.13 P.178
2022R-595351
476347 776-686;830-295;835-
285
REC ENE® Property Status: Next Year
Created On: 3/31/2025 3:25:30 PM
JAN 0; 2026
am Owners vi p� Updated: 3/31/2025
KRIS i& Q9[PTi Ht $LF MAPLE GROVE MN
Billing Address: Mailing Address:
KRISTOFER 3 & PATTI B LEAF KRISTOFER 3 & PATTI B LEAF
8072 TERRACEVIEW LN N 8072 TERRACEVIEW LN N
MAPLE GROVE MN 55311 MAPLE GROVE MN 55311
P Site Address * indicates Private Road
47420 TWIN PINES LN GRAND VIEW 54839
47435 TWIN PINES LN GRAND VIEW 54839
® Property Assessment Updated: N/A
2025 Assessment Detail
Code Acres Land Imp.
N/A
2 -Year Comparison
2024
2025
Change
Land:
0
0
0.0%
Improved:
0
0
0.0%
Total:
0
0
0.0%
Lam' Property History
Parent Properties
Tax ID
04-021-2-44-06-29-4 05-001-31000
39056
04-021-2-44-06-29-4 05-001-32000
39057
HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels
0 Tax ID: 16800 Pin: 04-021-2-44-06-29-4 05-001-03000 Leo. Pin: 021106307000
C
39561 This Parcel -W Parents 't Children
BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink):
4'CCheck List
E Index Page / Title Sheet (Optional)
L9'Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
R/Original Plot Plan
Cross Section Soil Profile Sheet (optional)
@1Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
RECEIVED
JAN 0 tr 2026
Bayeea Co.
Planning and Zoning Agency
LParcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
I "Property Owner's Information (not prospective buyer's name)
F Property Location (Accurate Legal Description with Sec/Twp/Range)
S'Road Name (where driveway is/will be coming off of)
❑ low Rate, Comments and Recommendations
h3' Complete Soil Boring / Pit Information
Date Soil Evaluation was conducted
E{CST Name, Signature, Number, Address and Phone Number
I! *Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
IlBench Mark (Description, Elevation and Location)
/Contour Lines (Example = 98.0' /96.0' /94.0')
WProperty Location (Sec/Twp/Range/, Accurate Legal Description)
M/lBorings (Locations and Elevations)
Cf/Percent and Direction of Land Slope
19 Well Location (Including Neighboring Wells, if applicable)
rS'Location of Wetland Areas, Floodplain and Navigable Waters
LM"Buildings, Driveways, and Structures (Location and Descriptions)
[/Location of Property Lines
E(Existing System Location
"Address Number and Road Name
C3"Current Surface Elevation of Wetlands and Navigable Waters
E'CST, Owner and Property Information
i! North Arrow
Fee:
I�Certified Soil Tests - Review & Filing Fee 50.00 u/forms/sanitary/checkiist/checMistforests
INDEX AND TITLE PAGE
All Water Treatment Systems To Be Removed From System
Owner Info
Project Name: Leaf - 47420 Twin Pines Ln
Owner's Name: Kristofer J & Patti B Leaf
Owner's Address: 8072 Terraceview Ln N
RECEIVED
Maple Grove, MN 55311
JAN 082026
Bayfeki GO.
Property Info
Property Address: 47420 Twin Pines Ln
Legal Description: S 29 T 44 N
R 6 W
Township Grandview County: Bayfield
Subdivision Name:
Lot Number: 1 Block Number:
CSM#: 2391
Parcel I.D. Number: 04-021-2-44-06-29-4 05-001-33000
Plan Transaction No.:
n M7ages
Page 1 Index and title
Page 2 Data entry
Page 3 GeoMat dist. cell drawings & calculations
Page 4 Lateral and cell cross section
Page 5 Management & contingency
Page 6 Maintenance & specifications
Page 7 Distribution media
Page 8 Plot plan
Travis Butterfield
Date: 01/05/26
Signature:
Designer Stamp:
License Number:
Phone Number:
652879
715-634-8176
State of Wisconsin Approval Stamp:
Designed Pursuant to the
GeoMat In Ground Component Manual May 2024
Page 1 of 8
In Ground and Dosing Distribution Component Design
Design Worksheet
All Water Treatment Systems To Be Removed From System
Site Information
R Residential or Commercial Design
400.00 Estimated Wastewater Flow (gpd)
1.50 Peaking Factor (e.g. 1.5 = 150%)
600.00 Design Flow (gpd)
12.00 Site Slope (%)
90.50 Prop. System Elevation (ft) Sand & Native soil Contour
108.00 Depth to Limiting Factor (in)
1.60 In -situ Soil Application Rate (gpd/fe)
94.42 Lowest Original Grade Ele. In System Area (ft)
95.06 Highest Original Grade Ele. In System Area (ft)
85.91 Limiting Factor Elevation (ft)
3.08 Depth Below Grade
NN ISD Required?
RECEIVED
JAN 082026
Bayfield Co.
Planning and Zoning Agency
Dis i•ibution Ce nforma ion
3.25 Cell Width (ft) I 21 Number of Cells
2.00 Dispersal Cell Design Loading Rate (gpd/f?)
2 Influent Wastewater Quality (1 or 2)
Distribution Information
E Center or End Manifold, Dist. Box or Drop Box
Number of Laterals System dosed N
4.25 Lateral Spacing (ft)
System not dosed
Manufacturer Information
Treatment Tank Information Effluent Filter Information
1250.001 Septic Tank Capacity (gal) Lifetime Filter LLC Filter Manufacturer
Superior Concrete IManufacturer LT 1/8 Filter Model Number
Project: Leaf - 47420 Twin Pines Ln Page 2 of 8
2 cell GeoMat
..................................................
............................................... .
°o°o°o°o°o°o°o°0 0 0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°0°
°o°o°o°o°o°o°o°o°
••
o°O°O°O°O°OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO°O°O°O°OOOOO°OOO
,g OOOOO°OOOOO°OOO°O
®1�-
,•
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..................................................
..................................................
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o°o°o°o°o°o°o°
0000000
:
•.
o°o°o°o°o°o°o°o°o°o°o°O O O,o°o°o°o°o°o°o°o°o°o°o°o°o4�°o°o°O°OO°OOOO
00000000
OOO
OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO
J
RECEIVED
JAN 082026
Beyfield Go.
Planning and Zoning Agency
1 1.00
K 1
S 1.00
ft
ft
ft
A
3.25
B
47
L
49
W
9.50
Basal Area Calculation
GPD Loading Rate
600 1.6 gal/sq ti/day
Totall 375 ft2
Number of Cells 2
Cell Length
47.00
Min. Cell Length
46.2
Cell Spacing
1.00
ft
ft
ft
ft
ft
ft
ft
Basal Area Required
375
Basal Area Proposed
446.5
Lineal Feet of GeoMat Required
92.3
Lineal Feet of GeoMat Proposed
94
System Elevation
90.5
Limiting Factor
85.91
Separation
4.59
NOTE: Min S dimension = 1'
ft
ft
ft 2'Min
ft2
ft2
Directions:
Play with cell length to get desired cell spacing, length and width. Remember system SHOULD be longer than it is
wide, It must also Satisfy basal loading rate and GeoMat cell loading rate.
Project: Leaf - 47420 Twin Pines Ln Page 3 of 8
L , - Ends. onnectionLateral Layou.;Qiagrann
Hole spacing is every 12" , 1/2" hole at 4 & e O'clock, starting 4 O'clock 6" from end and
8 O'clock Holes at 12" from end. 4" Perforated pipe may be used.
Pipe Length = GeoMat Length
Lateral Spacing 4.25 ft Pipe Diameter I4" in
RECEIVED
JAN Lid 2026
Bayfield Co.
Planning and Zoning Agency
Distribution Cell Cross Section
3.08It — Sd av - :.:•
4" in -► Fipeiha Uiu
Fa6rie
of geomat to be at or ; • .
CEOMAi
w original grade
2�ASfM 93 Bea I I I, I I
Cotopcora
III III
InflhllGve Sw6
V_A TIVE.SOIG_=!_�tfrmthpPsdrf
108in
Observation Pipes
12" Min.
42" Max.
90.5
Project: Leaf - 47420 Twin Pines Ln Page 4 of 8
Notes/ Maintenance Requirements
RECENED
MANAGEMENT PLAN
This private onsite wastewater (POWTS) has been designed, and is to be installed and maintained in accordance with SPS'383, Wis. Admin.
Code, the in -Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0 S&0 P
(N.01/01). GeoMat in ground Component manual April 2019 VersionpIaaiMqand Zoning Agency
1. This POWTS has been designed to accommodate a maximum daily flow of 60QdPRons of wastewater per day. The quality of
influent discharge into the POWTS treatment or dispersal component shall be equal to or less than all of the following.
A monthly average of 30 mg/L fats, oil and grease
A monthly average of 220 mg/L 8OO5
A monthly average of 150 mg/L TSS
Wastewater shall not discharge to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement
standards and preventative action limits specified in ch. NR 14oTables 1 & 2 at a point of standards application, except as provided in DSPS
383.03 (4), Wis Admin. Code.
2. The owner of this POWTS is responsible for system operation and maintenance.
3. Defects or malfunctions identified during maintenance described above shall be repaired in conformance with SPS383 Wis. Admin. Code,
and the pertaining county Private Sewage Systems Ordinance. The user's manual, provided to the owner of the POWTS includes the names
and telephone numbers of the properly licensed individuals to contact for such repairs.
5. No product for chemical or physical restoration or chemical or physical procedures for POWTS may be used unless approved by the Dept.
of Commerce in accordance with SPS. 384, Wis. Admin. Code.
6. If the POWTS is replaced, or its use discontinued, it shall be abandoned in accordance with SPS 383.33, Wis. Admin. Code.
NOTES
Two Effluent Filters to be installed where possible 1 to be installed in ST, and or 1 in pump tank in
order to insure particle size less than or equal to 1/8". Filters should be cleaned once in spring, and once in fall. Also, strainers in sinks in
the building shall be maintained, so that solids and fats are minimized to flow into system.
A minimum of 2 observation pipes per cell shall be installed. These pipes shall be located approximately at the end of each cell.
The plumber, or county shall see to it that a copy of these plans including this page, maintenance folder, and maintenance agreement is
given to the homeowner.
This system may contain a dose chamber. If a pump, float, electrical outage causes the dose tank to fill, the homeowner should see to it that
the effluent level in the tank is brought down gradually and not all dosed to the system at once. One large dose could cause damage.
Contact a pumper or your installer if this problem occurs.
The homeowner is responsible for formulating a water conservation plan that will ensure the system is rarely overloaded. I.E. spread laundry
out over time, not 6 loads in 2 hours, while everybody showers, and uses the toilet, ETC.
CONTINGENCY PLAN FOR COMPONENT FAILURE
A. Septic Tank. Any structural failure resulting in cracks or leaks in the tank must be corrected by replacement of the septic tank component.
Leaks in the joints between manhole risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water-
tight.
B. Outlet Filter. The outlet filter shall be replaced or repaired when it is either no longer capable of preventing the discharge of particles larger
than 1/8 inch or when it has become permanently degraded by clogging so as to interfere with the design flow out of the septic tank.
C. Dosing chamber and pump. The dosing chamber shall be replaced if any structural failure is found. Leaks in joints between manhole
risers or covers shall be repaired by replacing faulty seals with approved materials to make joints water -tight. The pump and controls shall be
replaced when they are no longer capable of functioning according to the design plan.
D. Pressure Distribution Piping. Partial clogging of the distribution network may result in unduly long dosing cycles. The ends of the
distribution laterals may be exposed and the threaded end caps removed. The piping can be disconnected on the outlet end of the pump.
The distribution piping may then be back flushed to cleanse any accumulated matter from the piping. It is recommended that the dosing
chamber then be pumped by a licensed plumber.
E. Soil Absorption Cell. The discharge of sewage or wastewater to the ground surface is strictly prohibited due to the human health hazard
created by the effluent. All failures created by surface discharge shall immediately be reported to the appropriate county. The pump shall
then be immediately disconnected to prevent further discharge to the ground surface via the soil absorption cell. The existing septic tank and
dosing chamber shall be used as a temporary holding tank until the necessary repairs to the soil absorption cell can be achieved. The
replacement shall be initiated only after any necessary plan approvals have been obtained from the
appropriate plan review authority and the required sanitary permit is obtained from the county.
Project: Leaf - 47420 Twin Pines Ln Page 5 of 8
- •Ground System Maintenance and Operation Specifications.
Service Provider's Name Butterfield Inc Phone 715) 634-8176
POWTS Regulator's Name Bayfield County SPIA- Zoning Department Phone 715 373-6138
System Flow and Load Parameters
Design Flow- Peak 600 gpd Maximum Influent Particle Size 1/8 in
Estimated Flow - Average 400 gpd Maximum BOD5 30 mg/L
Septic Tank Capacity 1250 gal Maximum TSS 30 mg/L
Soil Absorption Component Size 152.75 fiz Maximum FOG 10 mg/L
Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank
Effluent Filter
Pump and Controls
Alarm
Pressure System
In Ground
Inspect and/or service once every
3 years
Inspect and clean as necessary
at least once every 3 years
Test once every 3 years
Should test periodically
Laterals should be flushed and pressure
tested every 3 years
Inspect for ponding and seepage once every 3 years
Miscellaneous Construction and Materials Standards
I. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap
and are secured in as shown in the GeoMat In Ground Component Manual Ver. April 2019.
2. Dispersal cell media conforms to GeoMat products approved for use with the GeoMat In Ground Component
Manual Ver April 2019. Media is covered with an approved geotextile fabric.
3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code.
4. Scarification of basal area is accomplished with a rake or other tool.
5. All disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetratiorREC EIVED
Lateral Turn -up Detail
6-8" Diameter �° °ct o' 2&bo0�'Finished Xcn 00000 Threaded Cleanout
Lawn Sprinkler °b4ao0404040404c Grade ,400°0°0 Plug or Ball Valve
oro_o=o=o_o=o=o_o=o_o_o oo=oo_o_ - -000 o, -" Vent If I of Dosed
Lateral Ends at Last Orifice Where '040_0_
tiYam Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Distribution Lateral Lateral Cleanout
90.5 Feet
JAN 082026
Bayfied Co.
Planning and Zoning Agency
Project: Leaf - 47420 Twin Pines Ln Page 6 of 8
RECEIVED
JN -J 8 2026
GeoMat Distribution Cell Media Layou BaYWGA
3.25 I Cell Width (ft) 2.63 Sidewall to Lateral (ft) Planning and Zoning Agency
Distribution Cell Cross-section Arrangements
Zo oOo 00000000000000000000 00000000000000000000
00000000000_00-
0 Distribution Pipe
GeoMat is covered with approved geotextile fabric as per the their product approval.
Distribution Cell Plan View Layout - Typical
3.25 I Cell Width - A (ft) I 47.00 ICell Length - B (ft)
End Connection Lateral Layout Diagram
Typical Dispersal Cell -
Finished Grade '("y'* N' '4"Y
I_..�. `.'. -_.._.:.; 42 naanri' L�dLevd
smdCo tr.
taffitretive
Pir utss 'r Fe6rie
_� GEDMAT
I I I I 2 ASTM 33 £an I l 1, I t I f l cunpOctat
Za5Itative Sarface
timitineP nz
See details on page 4 for number, size, and spacing of laterals.
Project: Leaf - 47420 Twin Pines Ln Page 7 of 8
SCALE = 1:40
47420 Twin Pines Ln
Lot 1 CSM#2391 v.13 p.425
Sec. 29, T44N, R06W
Town of Grand View
Bayfield County
Tax ID: 39561
Property Owners:
Kristofer & Patti Lead
I
i-i
Co
•011
0
uott
I'
—,
/old cabin)o
1�e remq ed
3
PLOT PLAN0
40
/7j/
Wetland
Ilv
Proposed
Well •Li
�p
GAG °e 1i'
.a 4
pJ' O
M
qA'
Proposed
T
4Bdrm
r
Garage
6..�w/
yrra
\N\B1
PP
ELEVATIONS
BM =
100.00ft
=
94.92 ft
B2 =
95.08 ft
B3 =
94.42 ft
ST= 1250ga1 prefab concrete septic tank made
Superior Precast w/ Lifetime LT -1/8 Filter
AA = Absorption Area consisting of a 9.5' x 49.
containing 94 feet of Geomat 3900
Existing system is to be properly abandoned
BM = Nail w/ Ribbon in 18" Hemlock
Garage
Page 8 of 8
15'SUPERIOR 1250 1 -Compartment Tank SUPERIOR
PRECASICONCRETE
PRECAST CONCRETE I
Weight (in lb s,
Tank 6,537
Lid: 4,238
Total: 10,77:
Volume of Concrete
Total : 2.7 Yd'
RECEIVED
JAN U U
oayrea Co.
Planning and Zoning
Gallons Per Inch: 28.1
lJ
Waf
Enlarged Detail
Canairionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
9d4Axa
SEE CORRESPONDENCE
Manhole Openings
TOP VIEW
103
37
SIDE \ fl
28"
73' 74"
'���rtu�ncrrmsrrzx��
-
3" Taper
Polyethylene
y Baffle
Gasket
(Poured in Place)
Mastic
Rope
Produced by Superior Precast Concrete, LLC
PO Box 1390
Hayward, WI 54843
SUPERIOR
PRECAST CONCRETE
Design conforms to ASTM C1227, Specification for Precast
Concrete Septic Tanks and WI SPS 384.25, POWTS Holding
Components orTreatment Components.
The information provided on any Superior Precast Concrete
(SPC) drawing or document shall be verified by the
purchasers licensed professional engineerfor suitability of
use.
Configuration may change from drawing, consuttwith SPC.
Pmduu I1 I This Is proprletarylnformatlon, and remains the property at Superior Precast Concrete, LLC. I R.3 05_1W20241
SS- oo69S
Private Sewage System Maintenance Agreement
Kristofer J Leaf
Owner(s) Mailing Address
8072 Terraceview Ln N; Maple Grove, MN 55311
47420 Twin Pines Ln
'" 39561
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 Bayfleld 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)
-I 1/4 of 1/4 Section 29 Township 44 N. Range 06 W,
Additional Legal Description:
Town of Grand View (Acreage) 14.49 Gov't Lot
Lot Block Subdivision
Lot I CSM # 2391 Vol. 13 Page a.5 CSM Doc # 2025R-606677
DOCUMENT NUMBER
2O26R-61O829
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
O1/27/2O26 AT 10:50 AM
RECORDING FEE: $30.00
PAGES:1
Return To: ��++
Planning and Zonin pcPYRt�++���� E® ERTERED
JAN 282026
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 (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 pending on the ground surface.
Mounds. At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when
the wastewater distribution cell component is inspected as provided above.
Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for
inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any
human health hazard caused by the system. 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
maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property.
Owner(s) Name(s)—Please Print
Subscribed and sworn to before me on this date: f'j.
����//''''��
Lean"
Notarized Owner(s)—Signature(s)
Notary Public
My Commission Expires:
/3/•Za30
Drafted by: %.,a). S9n4X 1s 7 ('Date:
ALLISON H CRESS
Notary Public
Minnesota
My Commission Expires
Jan 31, 2030
Proofed by:
Revised July 2020
13 YFIELD 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: Submission Number:
LEAF, KRISTOFER J & PATTI B SR -00377
8072 TERRACE VIEW LN N
MAPLE GROVE, MN 55311 Transaction Number:
SR-00377-3C81F
Description Amount
Certified Soil Tests - Review & Filing Fee $50.00
Total: $50.00
Payment Amount: $50.00
Reference: 5009
Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843
Payment Type: Check
Transaction Date: 1/28/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
33 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:
LEAF, KRISTOFER J & PATTI B
8072 TERRACEVIEW LN N
MAPLE GROVE, MN 55311
Description
Private Sewage System (Septic Tanks)
Submission Number:
SS -00695
Transaction Number:
SS -00695-3C826
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 5009
Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843
Payment Type: Check
Transaction Date: 1/28/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-8S,
STATE SANITARY PERMIT
OWNER: KRISTOFER J & PATTI B LEAF
GOVT LOT: LOT: 1 BLK:
CSM: 2391 V.13 P.425
1/4 1/4 SEC: 29, T 44 N, R 6
TOWNSHIP: Grand View
SOIL TEST: 6-26
REPLACEMENT SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: TRAVIS BUTTERFIELD
TRACY POOLER DATE: 1 /28/2026
Authorized Issuing Officer
CHAPTER 145.135(2) WISCONSIN STATUTES
a. The purpose of the sanitary permit is to allow installation of the
private sewage system described in the permit.
b. The approval of the sanitary permit is based on regulations in force on
the date of approval.
c. The sanitary permit is valid and may be renewed for specified period.
d. Changed regulations will not impair the validity of a sanitary permit.
e. Renewal of the sanitary permit will be based on regulations in force at
the time renewal is sought, and that changed regulations may impede
renewal.
f. The sanitary permit is transferable.
History: 1977 c. 168;1979 c. 34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of the
permit, please contact the county authority.
PREVIOUS PERMIT #:
LICENSE: # 652879
Condition: Properly Maintain System Per Recorded Agreement. Old System needs to be properly
abandoned per SPS 383.
THIS PERMIT EXPIRES 1/28/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION