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Home My WebLink About26-12SUepartntent of SafeiN Bayfield • i & Professional Services, - — y BP �D Pcunq \„nlFcl nn he i,I1"J of b, Co I B Industn Services Division SS- oob7� / �� Sanitary P ERIHREf tplicad on Sin I lit aaol.hn.r t,nb SIN :s J 1121 \\ r. \dm ('n , 1i In... 1„1n, :n the appJr�.gn l.ra�e} _�,.coati n�• In1; _ ,ptfm la ohtanluc a 11111 fl p.11111 \u: I III. kn Nalr-,•"Ii 7nlC'�!'tl j�:p ahope! \d iii. nl Jtlkrcrt than maAmy addit i Ii1i IL •• 1?.atilt:.ndlI,It.sluu: I\cone. I. III (lullrll too n, i.,lc u1:n he Ii .c k. 1 ut .tiu,therrna:.I ,411 n,l 5580 Lyndale Bay Rd I. Application information —Please Print All Information tunic, l (aeon . Anlnc 1'reel Todd Eric & Elizabeth Carey Paulson _ ,. . R eIJ 04-004-2-44.09-11-1 05-003-60000 4opera unn¢t . \lion uic :lJJlcs, r I'1upc,o Locaool 1365 Ridgewood Drrrn_nnn� t;,,tt I,•I (c, Srna /:p(le ('lie \a:ni, 1 O LULU ---- 55987 \ten,ll, 11 Winona, MN � Bayfield co. - II. Type of Building (check all that apply) I ,n = Planning and honing W 44 N R 09 eL 1 0l _ I':nnlh baelknc - \umbel of Wdw.r,m 1 \:d•A1u.... \.one ❑loch C Public ('omni Iii ul — Urwi be I Mate (hand — Bemmbe I ., I,hin,:1 Barnes III. Type of PO\VTS Permit: (Check either "New" or "Replacement" and tither applicable on line A. Check one box on line B. Complete line C i applicable.) \ SSc' s; cn, Rcplacemmin S ',It•r, _j ti,.': \lo.itl i:au.m till vttoi_ \..Ien::.,pl.nn, ❑ \ Lltn,'nal P,:11:.nnmm I 'no leq•l.,mi IL O Iluhtm,'lank "In-limunl ❑ 'h -t 11.,,1: \io;m.l ❑hWn eloal \uc llraen 0t4hv, Iclx•ley,'.:... tehl,\till I''h a!• ( . U Reaci,ai Hclb- re k... na,,, fC'.:.r 1.:r I'I::a l,o ❑ I,.abttl I,. \et, I Pa •:. I i:c,rnu+Icrnl\umhcr.nd Uan• I..ucJ 3g9g7 s oa IV. Dis enaVT'reatment Area and Tank Information: mote,, l'Imry?pd l nc>1cn Soil \pplcanon kalelepd .'. 1 1'n.pci.:! \m.' P ey„ne..'IJ1 I).pr1.,: 1:ce''1npr.<d 1.i, I"'lCn, 11ennm, 150 0.7 214.3 226.6 92 rococo, It: 1::J :,,1 \Ln1,:.1;;;:1c: _ 1.m61min ma:un, ti.,tlon. ;t a, .,,' 1.11,1.- I t,1,:.• I:,tit. ' i l _ ,J ii la S. 540 — - 540 1 Infiltrator V. Responsibility Statement- 1. the undersigned. ass me rnp sill icy for installation of the PONTS shown an the attached plans. I'linnber•, Name (Pint I I lion IIll: • n me ,_.it' \II'l:? Combo I llp., n; ,. l'inne \un:her - (oq,31y "1(5-2oq—o1b hlnibc, \'d:e:r l Slice! . ('co Stale /1p l'a'ck W— V1 ('ountylDe artment Use Only \ppn cJ C Un.y+pnnni - re,:: /uh:�/�t./v, Itae I..mJ ryt _O44&%1.._ n \ I,re1 _fhin,Inv'11 ni ln,I,,,u.d _2./ic1 ' S/ Cnnditimis it .\ppros;il 4/ Rca- inks hr Di.appm, al -r rays w,,'>&A v e /�r�Y lx'/>rf�a /a S a �l u��/��i� V U/a.g/e5 (fPaM t�w,/�,, �el w.e I,// tew, v Py vsr Set &t&a Ghe Shad, ,n complete YUn. for Ike .s.,val;nul .oLmil l:. i.eIr ,nor. unl. ,,nu'i,rm not it,. than S I : , ii inche. to.ue slit )-6398 t R. 03 22, RECEIVED S K oo3SS Wisconsin Department of Safety& Professional Services [,L,( t' ZQL page 1 of 3 "��,uru"r 3� Division of lndu ices y ENiEgEp. SOIL EVALUATION REP ,Tyam aE TEST # l3�- a'F In accordance with SPS 385, Wis. Adm. Code County Bayfield Attach complete site plan on paper ess than 8 1/2 x 11 inches In size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 04-004-2-44-09-11-1 05-003-6 000 Please print all information. Re ew yA Date l/ arsonal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). O iv 14'23713 �L42p''z Property Owner Property Location u u Todd Eric & Elizabeth Carey Paulson Govt. Lot 'A Y. $ 11 T 44 N R 09 E (or) Property Owner's Mailing Address Site Address or CSM and Lot #: 5580 Lyndale Bay Rd 1365 Ridgewood Dr City, State, Zip I Phone Number ❑ City ❑ Village ® Town I Nearest Road Winona, MN 55987 ( I Barnes 5580 Lyndale Bay Rd [Z NewConstruction Use: d Residential/Numberof bedrooms 0 Replacement 0 Public or commercial —Describe: Parent material Outwash Sands (Rubicon-Sayner complex) General comments and recommendations: System for bathroom in house and garage. ❑Boring 1 Boring # ®pit Ground surface elev. 95.7 ft. Code derived design0ow rate IOU GPD Flood Plan elevation if applicable N/A ft. Depth to limiting factor 84 in. / elev. 88.7 fl. SoilAool Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFP Eff#1 'Eff#2 1 0-7 10YR 2/1 — s Osg ml aw +c+M+fl+ 0.7 1.6 2 7-12 10YR — s Osg ml Cw lmllf 0.7 1.6 3 12-31 7.5YR4/4 — Osg ml aw 1f/1vf 0.7 1.6 4 31-40 10YR 4/4 — (15%FGRIS Osg ml cw lvf 0.7 1.6 5 40-84 10YR 6/4 — s Osg ml — — 0.7 1.6 2❑ Boring # ❑Boring ®Pit Ground surface elev. 95.7 ft. Depth to limiting factor 84 in. / elev. 88.7 ft. Snil Annliralion Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. 5h. Consistence Boundary Roots GPDIFI' Eff#1 'Eff#2 1 0-4 10YR 2/1 — s Osg ml aw lc/lflvf 0.7 1.6 2 4-31 7.5YR 4/4 — s Osg ml aw zcorznwv+ 0.7 1.6 3 31-42 7.5YR 4/4 — cos Osg ml Cw if 0.7 1.6 4 42-84 10YR 6/4 — s osg ml — — 0.7 1.6 CST Name (Please Print) Sig CST Number Keith Wiley 654921 Address Date valuation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 10/5/2025 218-451-2611 Effluent #1 = BOD > 30 5 220 mg/L and TSS' 30 S 150 mg/L ' Effluent #2 = BOD. s 30 mg/L and TSS 5 30 mg/L SBO-8330 (R03122) • RI CEIveD ❑ Boring Liii Borirlg,tt L L ZlQL5 ®Pit Say5eld Co. .,.,A 7aning p. — wm Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 EH#2 1 0-5 10YR 2/1 - S 0sg ml aw 1co/tu1 0.7 1.6 2 5-30 7.5YR 4/4 — s 0sg ml aw 2m/lf/lvf 0.7 1.6 3 30-40 7.5YR4/4 — cos Osg ml cw if 0.7 1.6 4 40-84 10YR 6/4 - S 0sg ml — — 0.7 1.6 Page of 3 Ground surface elev. 93.1 ft. Depth to limiting factor 84 in.! elev. 86.1 ft. Snil Annll ication Rate I ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. It. Depth to limiting factor in. / elev. f. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 'Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev.ft. Depth to limiting factor in. / elev.ft. Snil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPDIFt2 •Eff#1 -Eff#2 Effluent #1 = BOO' 30 5 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = GOD. 5 30 mg/L and TSS 5 30 mg/L Paulson (2 bathroom) Soil Report Plot Plan North / / O ` LJ Upper Eau Claire Lake O. . Scale 1:50 92' 94' 96' 10.2% * Bench Mark = Duplex nail w/orange disc in 10" DBH poplar Elev = 100.0' Property line da\e BaV Pd 0 \�eWaV t°�Vn TODD ERIC & ELIZABETH CAREY PAULSON 5580 Lyndale Bay Rd PAR IN LOT 3 IN DOC 2020R- 585962 (SUBJ. TO EASE) 568 S11 T44N R09W Town of Barnes 10.207 acres NOTES: - Property lines not shown > 50' from tested area - Upper Eau Claire Lake Elev z 74' CST 119900002 -SP Page 3 of 3 ric & beth Carey Paulson Property Owners Nh gale Bay Rd Property Address 11-1 05-003-60000 Tax Parcel Number yfield County )OC 2020R- 585962 Legal Description 11 Section 44 Town 9 Range Keith RECEIVED FEB 18 2026 Barfield co. Planning and Zoning Agency Page Index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross -Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan Designer's Name -' f %/ Designer's Signature D2388PSS Designer's License Number 218-451-2611 Designer's Phone Number 10/14/25 Date KEITH WILEY D 2388 PSS ESKO MINNESOTA Page 1 of 7 In -Ground of sorption for POWTS Version 2.1 (May 2022-2027) Component Manual Used 1 Number of Bedrooms 10.2 Percent Slope (%) 84 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 100 Estimated Wastewater Flow (gpd) 150 Design Wastewater Flow (gpd) 1 Number of System Elevations 92 Proposed System Elevation #1 92 Proposed System Elevation #2 Proposed System Elevation #3 95.7 Original Grade #1 95.7 Finished Grade #1 93.1 Original Grade #2 93.1 Finished Grade #2 Original Grade #3 Finished Grade #3 Infiltrator IM540 Septic Tank Pol lok PL -525 Effluent Filter Infiltrator Quick4 Plus Standard I Chamber Type 12 Height of Chamber (in.) 20 sq.ft. per chamber(ESIA) 3.3 sq.ft. per end cap (EISA) 4 laying length of chamber(ft.) 1.5 length of endcap(ft.) 34 Chamber width(in.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 5 Number of chambers in first row 6 Number of chambers in second row Number of chambers in third row 11 Proposed Number of Chambers Used 214.3 Minimum Distribution Cell Area Required (sq.ft.) 226.6 Distribution Cell Area Proposed (sq.ft.) RECEIVED FEB 16 2026 Bayfield Co. planning and Zoning Agency Page 2 of 7 Paulson (2 bathroom) Gravity In -Ground Plot Plan North #-o- \J Upper Eau Claire Lake o'' 92 94' Infiltrator IM -540 w/ polylok 525 fire pit O Grade at house =97.8' „ / ]dvell / house Garage o.....a.n, r.. One row of 5 & one row of 6 Infiltrator Quick4 Plus Standard chamber RECENED FEB 18 2026 gayheld Co. Garage planning and Zoning Agency \/ co lYoda\e OaY Rd OreNaV \v 44 4 y'g.. TODD ERIC & ELIZABETH CAREY PAULSON 5580 Lyndale Bay Rd PAR IN LOT 3 IN DOC 2020R- 585962 (SUBJ. TO EASE) 568 S11 T44N R09W Town of Barnes 10.207 acres NOTES: Scale 1:50 t x Bench Mark = Duplex nail w/orange disc in 10" DBH poplar .Elev = 100.0' - Property lines not shown > 50' from system area - Upper Eau Claire Lake Elev z 74' - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 3 of 7 Cross Section of a Two Cell In Ground Compc MEIVE i Using Leaching Chambers Observation/Vent Pipes FEB 18 2026 Bayfield Co. Planning and Zoning Agency 95.70 Finished Grade - - — -- =_ - - / Finished Glade-_ 93.10 1 Slope 10% Ce115eperation / ) 95.70 Original Grade Y ,i%_f� ;; fJrginal Grade 93.10 93.00 Top of Chamber ti= 1 I Top of Chamber 93.00 92.00 System Elevation ':. J System flevationl 92.00 `.rreatrment'pnd Df9peraoi Zorle. ,r _, Limiting Factor Observation/Vent pipes to be constucted and capped with approved moteriols for the particular use. rams 23 feet n U___ 3 feet between cells n� —J L 27 feet Observation / Vent Pipes to be located at the ends of the distribution cells. Page 4 of 7 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. Infiltrators 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.infiltratorwater.com for the latest information. Total Capacity 552 gal (2090 L) Length 64.9"(1648 mm) Width 61.7"(1567 mm) Height 54.6' (1387 mm) Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6' (152 mm) Maximum Pipe Diameter 4"(100 mm) Weight 169 lbs (77 kg) (TYF.) mAP ,2,ISIDI &... ACCESS COEMNO WRn tncxiMoW RECEIVED C ONRHO 005 GAST GASKET TANKIOP 18 2026 HALFEB TNNN SEAM CUP INTERIOR Bayfield Co. Planning and Zoning Agency ALIGNMENT DOWEL HALF BOROFt HALF Contact Infiltrator's Technical Services Department for assistance at 1-800-221-4436 or info@infiltratorwater.com Tnfiltratolr Part Pull 0625 f~�7 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE INFORMATION OwnerTodd Eric & Elizabeth Carey Paulson Permit # DESIGN PARAMETERS Number of Bedrooms 1 O NA Number of Public Facility Units ® NA Estimated (average) flow 100 gal/day Design (peak) flow = (Estimated x 1.5) 150 gal/day In Situ Soil Application Rate 0.7 al/da /ft2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BODs) ≤220 mg/L O NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L ® NA Fecal Coliform (geometric mean) ≤70° ofu/100ml Maximum Effluent Particle Size ',(i in dia. ❑ NA Other; ® NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 months earls (Maximum 3 years) ® O NA Pump out contents of tank(s) ® When combined sludge and scum equals one-third (14) of tank volume O When the high water alarm is activated ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ month(s) year(s) (Maximum 3 years) ® O NA Clean effluent filter At least once every: 3 ❑ s) year(s ® year(s)) O NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ year(s) ® NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) ® NA Other: At least once every: ❑ month(s) ❑ year(s) m NA Other: ® NA SYSTEM Tank Manufacturer Infiltrator O NA ® Septic O Dose O Holding vol. 540 gal Tank Manufacturer ® NA ❑ Septic O Dose O Holding vol. gal Effluent Filter Manufacturer Polylok O NA Effluent Filter Model 525 Pump Manufacturer ® NA Pump Model Pretreatment Unit ® NA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection ❑ Other: Manufacturer Dispersal Cell(s) O NA ® In -Ground (gravity) In -Ground (pressurized) ❑ At -Grade hRCCEI� ound ❑ Drip -Line , ❑ Other: Other: FEB 10 NA Other: Bayfield Co. ® NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('14) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) Page 7 of 7 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ins Q'ED is properly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. FEB 182026 • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing CrCo. Planning and Zoning Ac cv • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filed with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. iS The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS _ POWTS INSTALLER POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Bayfield County Zoning Phone Phone 715-373-6138 This document was drafted by the staffs of the Green Lake. Marquette and W aushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(t)(d)&(f) and 83.54(l), (2) & (3), Wisconsin Administrative Code. I Private Sewage System Maintenance Agreement DOCUMENT NUMBER 2025R-609838 1] As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 1/4 of 1/4 Section IlTownship _N. Range 09 W. Additional Legal Description: rii1 LN r u ( r) /M D. I hh Town of 150.! 4,t5 (Acreage) 1/ 707 Gott Lot Lot _ Block Subdivision Lot CSM # Vol._ Page CSM Doc # DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 1 1 /04/2025 AT 12:00 PM RECORDING FEE: $30.00 PAGES: 2 Return To: EIVD Planning and zonCt pa went N0V 052025 Planning and Zoning In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Area Sentic Tank (system canes A thmuOh E): The septic tank shall be pumped by a certified septage servicing operato: 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 variance shall be binding upon and inure to the benefit of all current and future owners of such property. Omer(s) Name(s)—tR'lease Print ` Subscribed and sworn to before me on this date: 1O/ as ao�s Notarized gna refs) ota Public J0-nu_a-i- 3[ dao26 My Commission x fires: Drafted by: 9 r � Date: I I IY I Z� " JULIE JOANN SMITH }j r— v r-ee3 r0(n7� NOTARY PUBLIC- MINNESOT A �4 rq MY COMMISSION EWIRES 01/3 Pby: Revised June 2018 File Number: 158140 ADDENDUM/EXHIBIT A A parcel of land located In part of Government Lot Three (3), Section Eleven (11), Township Forty-four (44) North, Range Nine (9) West, Town of Barnes, Bayfield County, Wisconsin, bounded and described as follows: Commencing at the Northeast corner of said Government Lot 3; thence South 2° 29' 00" West, along the East line of said Government 3, 800.00 feet to the Point of Beginning; thence continuing South 2° 29' 00" West, 301.81 feet to a point 160.10 feet from the Southeast corner of said Government Lot 3; thence North 85° 30' 24" West, parallel with and 160 feet from the South line of said Government Lot 3, 1,767.58 feet to a point 20 feet, more or less, from the water's edge of Upper Eau Claire Lake; thence North 59° 40' 30" East, along the meander line, 206.78 feet; thence North 19° 33' 30" East, along a meander line, 135.08 feet to a point 5 feet, more or less, from the water's edge of Upper Eau Claire Lake; thence South 87° 28' 01" East, parallel with the North line of Government Lot 3, 1,553.03 feet to the Point of Beginning. RECEIVED NOV 0 5 ZOZi Bayfield Co. Planning and Zoning Agency Tracy Pooler From: Tracy Pooler Sent: Friday, November 7, 2025 10:09 AM To: Petzel, Katie - DSPS Subject: FW: Message from "RNP002673E71002" Attachments: 20251107095512097_NOV 04 2025.pdf; 20251107095256171_Department of Safety.pdf; 20200921085200342_INSPECTION REPORT (2).pdf Katie, Attached is an application for a 1 bedroom sized septic system. (map of proposed, application of proposed, and current system on -site) They are wanting to build an office in the garage with a bathroom and possibly add a bathroom in the house. The current house is a 3 bedroom dwelling. The questions - Can the house be attached to an undersized septic system? How does one prevent most of the waste stream from being sent to the undersized system? Tracy -----Original Message ----- From: MFP_Zoning <MFP Zoning@bayfieldcounty.wi.gov> Sent: Friday, November 7, 2025 9:55 AM To: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov> Subject: Message from "RNP002673E71002" This E-mail was sent from "RNP002673E71002" (MP C3504ex). Scan Date: 11.07.2025 09:55:11 (-0600) Queries to: MFP_Zoning@bayfieldcounty.wi.gov Paulson (2 bathroom) Gravity In -Ground Plot Plan :Ialre L e 1:50 n Bench Mark = Duplex nail w/orange disc in 10" DBH poplar NOTES: - Property lines not shown > S0from system area - Upper Eau Claire Lake Elev o 74' 1. Page 3 of 7 Tracy Pooler From: Tracy Pooler Sent: Tuesday, December 2, 2025 7:58 AM To: gregbrownplumbing@gmail.com Subject: FW: Paulson Private Interceptor Application Attachments: Paulson Private Interceptor Application.pdf Greg, How is this application different from the previous application How is the septic in the house to be divided between the two systems and not all focused into the undersized system? The new system will not be sized on a per -bedroom basis (2 bathrooms), it looks like it will need an affidavit as 383.22(2)(b)3. requiring plans for a POWTS that is to serve a dwelling where the design of the POWTS is not based upon the number of bedrooms within the dwelling shall be accompanied by information documenting that design condition on the deed for the property. Tracy From: Greg Brown <gregbrownplumbing@gmail.com> Sent: Monday, December 1, 2025 3:14 PM • To: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov> Subject: Paulson Private Interceptor Application Tracy Pooler From: Petzel, Katie - DSPS <katie.petzel@wisconsin.gov> Sent: Monday, November 10, 2025 11:06 AM To: Tracy Pooler Subject: RE: Message from "RNP002673E71002" Hi Tracy, This is kind of an odd one. Typically, I see people try to use multiple systems when they add bedrooms and that would have an impact on the existing system, but this is a little bit different. Here is how I suppose I would handle it - Since they aren't adding any bedrooms, the existing system is fine as it is and no changes to it are required. Here are a few options for the new wastewater sources - Can they do an ejector and private interceptor into the existing system? Since this isn't what is being proposed, I suspect that option has already been considered and won't work. Or as they are proposing - The new system will not be sized on a per -bedroom basis (2 bathrooms), so I would say that it needs an affidavit as 383.22(2)(b)3. requires plans for a POWTS that is to serve a dwelling where the design of the POWTS is not based upon the number of bedrooms within the dwelling shall be accompanied by information documenting that design condition on the deed for the property. The code allows for 383.41(3)(b)- A detailed estimate of wastewater flow based upon per capita occupancy or usage of the dwelling or per function occurrence within the dwelling. This is rarely used aside from the per capita. This wouldn't really be per capita, but more of the usage. For example, 2 bathrooms - one serving a bathroom for an office, and one for a bedroom. If they can attest that the system is sized large enough for that use and have the deed recording, they can probably proceed. This is assuming that those bathrooms will not produce greater than 100 gpd, estimated (150 design) flows. Does that sound appropriate to you? Katie Petzel I POWTS Plan Reviewer - Field Division of Industry Services Department of Safety and Professional Services Field Office - District 4 POWTS katie.petzel@wisconsin.gov I Cell: 608.574.1189 https://gcc02.safelinks.protection.outlook.com/?url=http%3A/o2 F%2Fwww.dsps.wi.gov/o2F&data=05/o7C02%7Ctracy.po oleryo40bayfieldcounty.wi.gov%7Cd88cd234d37a4735458d08de207b77fa yo7C145ec30e576940e28a4cfe09ea9581bfyo7C 0yo7C0%7C638983911843475091%7CUnknown%o7CTWFpbGZsb3d8eyJFbXB0eUlhcGkiOnRydWUsllYiOilwLjAuMDAwMCI sllAiOiJXaW4zM ilslkFOl joiTWFpbCIslld Ul joyfQyo3Dyo3Dyo7C0%7C%7C%7C&sdata=NZ3nbxq%2BkQs3kaW%2FLzcCOJe%2F 6V KTNyIVY8egku k84tY%3 D&reserved=0 The information and response presented above is a general code answer based on the question submitted. This response should not be construed as a formal code interpretation. To view approved plumbing product listings, search under the "Plumbing Products" tab using this link: https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2 Fesla.wi.gov%2Fapex%2 Fpubliclookup&data=05%7 C02%7Ctracy.pooler%40bayfieldcounty.wi.gov%7Cd88cd234d37a4735458d08de207b77fa%7C145ec30e576940e28a4cfe 09ea9581bf•%7C0%7C0%7C638983911843495348%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eUlhcGkiOnRydWUsllYiOil wLjAuMDAwMCIsllAiOiJXaW4zMilslkFOljoiTWFpbCIslldUljoyfO.%3D%3D%7C0%7C%7C%7C&sdata=EduQp84X68MefodGl %2BYamnQgvOCLNzBzjuL0OK13H5A%3D&reserved=0 -----Original Message ----- From: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov> Sent: Friday, November 7, 2025 10:09 AM To: Petzel, Katie - DSPS <katie.petzel@wisconsin.gov> Subject: FW: Message from "RNP002673E71002" CAUTION: This email originated from outside the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Katie, Attached is an application for a 1 bedroom sized septic system. (map of proposed, application of proposed, and current system on -site) They are wanting to build an office in the garage with a bathroom and possibly add a bathroom in the house. The current house is a 3 bedroom dwelling. The questions - Can the house be attached to an undersized septic system? How does one prevent most of the waste stream from being sent to the undersized system? Tracy -----Original Message ----- From: MFP_Zoning <MFP_Zoning@bayfieldcounty.wi.gov> Sent: Friday, November 7, 2025 9:55 AM To: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov> Subject: Message from "RNP002673E71002" This E-mail was sent from "RNP002673E71002" (MP C3504ex). Scan Date: 11.07.2025 09:55:11 (-0600) Queries to: MFP Zoning@bayfieldcounty.wi.gov Todd Eric & Elizabeth Carey Paulson BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) 0 Check List 0 Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) 0 Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 0 Original Plot Plan (383.22(2)2. 3. & 4.a) 0 Cross Section, Over -Head Profile of the System ngd Schematic of Tank from Manufacturer ❑ Pump Tank Diagram, Alarm and Pump Curve (when applicable) 0 Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) 0 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) O Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) ❑ Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) O ATU Servicing Agreement (Recorded at Reg. of Deeds) 0 Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 0 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all conies) 0 Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) O State Plan Review (when applicable) O Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) 0 I Application Information must include: O 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) 0 Project Address gr Road Name where driveway is/will come off of) 2111 Type of Building 0 III Type of Permit 0 IV Type of POWTS System 0 V Dispersal / Treatment Area Information 0 VI Tank Information 0 VII Responsibility Statement (Plumber's Information) gr *Date Stamp* Plot Plan: (To Scale or To Dimension) 0 Signature and Plumber Information 0 Surface Elevation of Body of Water 0 Direction and Percent Land SloDe 0 Tank and Filter Information and Location 0 Wetlands / Navigable Bodies of Water 0 Absorption Area (Proposed and Existing) 0 Bench Mark (Location, Elevation and Description) 0 Component Manual Version 0 IZ (Owners Phone Number) RECEIVED rd 1d 2026 Bayfield CO, Planning ar a Z.: i rigAgen�y 0 Address Number and Road 0 North Arrow 0 Contour Lines 0 Structures and Driveways 0 Boring Locations 0 Property Lines 0 Well Locations 0 Legal Descriptior Turn Over ► Cross -Section and Over -Head Profile of the System: IZ Surface and System Elevation iZ Position of Observation and Vent Pipes ig Dimensions and Depths 12i Make, Model & Number of Chamber Units in each Cell Property Information 19 How many systems will there be on this parcel of land? 2 ig Has this property been split? no (Property Statement shows Property History) Fees: * Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 ❑ Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor RECEIVED ❑ Return Inspection $ 50.00 1Z Maintenance Agreements + $ 30.00 FEB 18 2026 (checks made out to Reg of Deeds) Sayfield Co. planning and Zoning Agency u/fors/checklists/checkllstforsanitaryapps (10/2009);(&7/2011);(CS®2/2012)(OO5/2/2012-dc) Proofed by: BAYFIELD COUNTY Todd Eric & Elizabeth Carey Paulson CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): RECEIVED 1 'Check List OCT 22 2025 Bayfield O Index Page / Title Sheet (Optional) r Planning ar.1 � _0ninin9 hgenq 67 Original Soil Evaluation Report (Submitted in Deed Holders Name — nt prospective buyers) 12' Original Plot Plan ❑ Cross Section Soil Profile Sheet (optional) ❑ Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) g'Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used [ J'Property Owner's Information not prospective buyer's name) El Property Location (Accurate Legal Description with Sec/Twp/Range) El Road Name (where driveway is/will be coming off of) GY Floodplain Elevation, Flow Rate, Comments and Recommendations E r Complete Soil Boring / Pit Information ci Date Soil Evaluation was conducted ['CST Name, Signature, Number, Address and Phone Number E *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) "'Bench Mark (Description, Elevation and Location) Q'Contour Lines (Example = 98.0' /96.0' /94.0) (Y Property Location (Sec/Twp/Range/, Accurate Legal Description) EZ Borings (Locations and Elevations) ''Percent and Direction of Land Slope El Well Location (Including Neighboring Wells, if applicable) f 2'Location of Wetland Areas, Floodplain and Navigable Waters G7 Buildings, Driveways, and Structures (Location and Descriptions) E'Location of Property Lines El Existing System Location l;?'Address Number and Road Name c' Current Surface Elevation of Wetlands and Navigable Waters Et CST, Owner and Property Information 1W North Arrow Fee: EYCertified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checklistforests F 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: PAULSON, TODD ERIC & ELIZABETH CAREY 1365 RIDGEWOOD DR WINONA, MN 55987 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00355 Transaction Number: SR -00355-3740B Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1099 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 Payment Type: Check Transaction Date: 10/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B - 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: PAULSON, TODD ERIC & ELIZABETH CAREY 1365 RIDGEWOOD DR WINONA, MN 55987 Description Private Sewage System (Septic Tanks) Submission Number: SS -00678 Transaction Number: SS-00678-3E1C7 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3927 Paid by: Greg's Plumbing, 13660 County Hwy H, Iron River WI 54847 Payment Type: Check Transaction Date: 2/24/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-12S STATE SANITARY PERMIT OWNER: TODD ERIC & ELIZABETH CAREY PAULSON GOVT LOT: LOT: BLK: 1/4 1/4 SEC:11, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 138-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: GREG BROWN TRACY POOLER Authorized Issuing Officer DATE: 2/24/2026 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 #: 389487 LICENSE: # MP699374 Condition: Garage with office NOT permitted as a dwelling. No wastes from dwelling allowed without review by Zoning. Properly Maintain System Per Recorded Agreement. Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 2/24/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION