Loading...
HomeMy WebLinkAbout26-13SERED Department of Safety County Od y A/ c(c) .�� �� = 1 I � Uu �' & Professional Services, Industry Services Division Sanitary Permit Number (to be filled in by Co.) Ss-ooM RECEIVED ry .y Sanitary Permit Applicatiol"�f�08 pp 2025 State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the'bppropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit Note: Application forms for statc-owne&PQWfl.re submitted to the Department of Safety and Professional Services. Personal information you j'n jcc' e9dary purposes in accordance with the Privacy Law, s. 15.04(1 )(m), Stats. L Application Information - Please Print All Information Property Owners Name D, F Ma.hMeW a. 6t rvel/i0o Parcel # O -OK- -j j -O7-/5 3 j%36 o2-oo0-t3cxD6 Tax 3Wq) Property Owner's Mailing Address Property Location ,O.. Box 5'9 - Govt Lot / '/ SW / sect on /S T 43 N R O 7 E6) City, State I caber / WL• Zip Code SAla2/ Phone Number 2/8-393-4S4a IL Type of Building (check all that apply) Lot # / Subdivision Name 11or2FamilyDwelling-NumberofBedrooms 3 NA Block # ❑ Public/Commercial — Describe Use ❑ Cityof ❑ State Owned — Describe Use O Village of CSM Numberz364 doe 2o25Ro89L l;Townof III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on fine A. Check one box on Hue B. Complete line C' a licable A. RNew System ❑ Replacement System ❑Other Modification to Existing System (explain) ❑ Axnlaini B. ❑Holding Tank 1Ground ❑At -Grade [1 Mound Dndividua] Site Design ❑Other Type (explain) (conventional) C. enewal Before ❑ Revision❑transfer ❑Change of Plimrber 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/sf) I Dispersal Area Required (so I Dispersal Area Proposed (sf) I System Elevation %s O 3- 7 . oo _ s o Capacityin Total # of Manufacturer Tank Information Gallons Gallons Units , ui°. o .0 o u o New Tans\ Fxsring Talcs 0. U rn w y iC C7 ii. Septic or Holding Tank ff& / S b Dosing Chamber 0 „ I, i'iFLHHE V. Responsibility Statement— I, tbg undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) 11'I um Signature MP/MPRS Number Business Phone Number ✓j)erint-S-Romussen L ----- zz/S/ G 71s-S8a ozc4 Plumber's Address (Street, City, State, Zip Code) ' ` r 'F24Pz5 Cable, kavan h Rd. pkf I 55'J'2/ VL County/Department Use Only Approved ❑ Disapproved Permit Fee Date Issued gl Issuing A Si lure '7 ❑ Owner Given Reason for Denial O ^ lD Conditions Approval/Reasons of or Disapproval (%41lcrG, IJ �/4/14 �� %'� %r, ,3e pe/�J l&e H P 22C 4 Attach to campktc plans for the system and submit to the County only on paper not less than 8 t/2x II Inches in size SBD-6398 (R. 03/22) �q@.�R7311t fi1 VYrsconsin Depertrnent of Saaiy La- t Pagea _._. SOIL EVALUATION REPORT rax Z DEC 062025 in accordance with SPS 385, No. Adm. Code County / Attach complete site pla not less than 8 112 x 11 Inches in sirs. Plan must include, Parcel I.D. o�—oIz_Z-g►3 -07-- but not limited to ; tee rence point (BM), direc tton and percent slope, scale or dtrnensiona;nom% arrow. and location and distance to nearest woad. Z - - /3 Please pNni aq trlfionita�on. Re � Personal infaimation you provide may be used for secondary curooses (Privacy Law, a.1&Qd 1)(m)). /? L/� Property Owns Ja.� (14 1), . Mafthguu I 5iJsaiJI,b Property Owls Maims Address p•t',• 9ox s49 City, State, lip Phone Number 'Ca b4, G!l/ 5,49Zf. (2/S) 3?3 -4548 a NewOonntruction ❑ Replacement Parent materiUL„_ General continents and recammendatlans: /n .3 I rec Fi I Boring # Property Location ❑ govt. Lot /Vyf % .10W Y. S 1 ' T 93 N R 07 E (i SRO Address or t SM and Lot# I .&V 2 3(p lcsc. in /roc 2O *off 2. D city O b Village Town Nearest Road Use: ❑ Resldentlail Numberof bedrooms j - Code derived decgniiaw r ate '5 GPD ❑ Public or commercial-Descrrbe: Flood Plan elevation Iapplicabte — ft riches al t s fo ,�/, o -rf) clams ('2k - zc [Boring 9M sg„ ro ISM Ground surlhce slay t. Depth to runiting factor in. I etev.IL Horizon Depth In. Dominant Color Redox Description Texture Structure Consistence Boundary Rats outc puceuon teas: GPDIF Munsell Qu. AL Cont. Color Gr. Sz. Sh. l o-4 5V s4 /VA .S Zm SM lni w 'in 'Etf#t s ,E ,q 2 5YR ¢G _ l5 2m sic try r S R AI A ml rkW Irn • 7 1.2. It -1 • 174 cY4 5 � YR 3�4 A14 A CS 5 osy vs m1 ml e Guy , 7 .7 1. I. V 4 1*7S SYR 416 A 15 os iny Gam/ • . 1.z 7 178-'t sya 4 � MA ,S cis m/ - . - i . Z 2. ( Boring # DBoflna Ground sujfacee1av•('50 Depth to llmitirrg factor 78in, I eiev. �4. tt. Horizon Depth In. Dominant Color Munseit Redox Description Qu. Az. Cord. Color Texture Structure Or. S . Sh. Consistence Boundary Roots a U1& J9W jJ(&UQ iUli I % LCr GPDJFtx ,E ,Eff#2 6 -4 61R ZV AIA Sl 2 FM y 3 .6 if 3 -2a •o-3 y 2.Y34 2n Sh. y r GW 2 ui 7 07 1.Z !•Z 4 3.6- 43 5YR - /.z. 53-5' Sys 9 i� S ,s 01 i. x �i 2.517 i>: r 7 I.2 7 5YR N� S - . ? I.2. CST Name (Please Print) Signatu benni.r I1?as vnt�s�e» Address Date Evacuation Conducted /2*Z5 en y/i 4.1 &4(. li /1/O1/2 5 CST Number P-"8?g" E3 Telephone Number Ws-52a-azs4 ' Efliuent #1 = HOD > 30 s 220 mg1L and TSS > 30 s 180 rnglL * Effluent #2 c SOD, s 30 m L and TSS S 30 rrtg!L SBD-8330 (R03122 Ts,/vA I' iwraW saunV9 ,,...� c2.. .S,02 fie C4&e, ! • 59S 2 / -. " 4-C•lsirdlYN, R67 i/ LOT! estl 23 06 bEsc 14' Doc 202-6043 92 A , G v,vt�f /dd'(rof' p,,) P2 ,.3d'' w P3 94.65' �,_, q8,�s 077 eAC14 7�RErny/ 7 CS/N&, rD 4L/ W? ?!f 4tI.Srl. C,1r r3 6f'si' ''i TP Nch' U'S' SP -o8 z4c+33 96.so, • ,1►4r� c r �a�ric ECEWEI DEC 0 8 Z025 planni °n A�� Soil Profile Sheet Owner. �orsc/%4o Soil Tester: _De;"n1.r .5r»utri System Elevation. �`f• Load Rate: • 7 System Range. T� to Pl1(97.,) PZ(9.3) P319S•45�} t 98 I ---- ...... ..... .... .. ...._.. ............ ........... :_aa,ia' .. ---- .... i.... .. .... •-- ...._ ..... ..... N.. ..N. ...... ..... N• ..... • N_... .... ..... • ...... N.... .... ..... .... .... ..• { . . -- ..... RECEIVED UCU.62025 pWo-Ing and Zonm9 A8wW Soil Profile Sheet Owner: r sal//»a Soil Tester: / ,ins ets / 4 S;S1n System Eievat{on: Load Rate: System Range: f9.I$0 ?$S1' jq� . - . t . ..-- _._ 9J • .. .... ........... :: :�: .... ..... q4 - I - .... ..... K w.. _ .... .... .. �� ... .... - .... ..... .... ...-- i---- ----- ..... ... .... _. .... .-•-- _. ... __ .... ..... PAGE 1 OF 5 RECEIVED In -Ground Dosed -Gravity Plan DEC 08 2025 Index & Cover Sheet Component Manual Design References: sayfield co. A p -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) planning and Zoning Pg 1 of 5 Index & Cover Sheet Pg 2 of 5 Plot Plan Pg 3 of 5 Dispersal Area Cross -Section & Plan View Pg 4 of 5 Pump Tank Specifications Pg 5 of 5 Management Plan Attachments: Enclosures: Pump Curve POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): Z15#41A £ f/It'/errg{Ew gor5j/iiJo Phone: �> - 33- ¢5g Owner Address: I`' 0 • Box S7. b/e k'T Zip: 61 8 Z / Project Address: K/N,S E Y Rt Govt. Lot: )VW .1/4 of SW 1/4, Section IS , T 4.3 N-R_LE for W Township: C/Bta County: Project Parcel ID #: O -Ot2-2-4.3 -O7-/5-3 O2-OO® /,3 (mx.s 394/q Designer Information Designer Name: L if vwis ??d≤HusscN Phone: 7/,S -.5 - 0254 DesignerAddress: 4Z �Z.S KAYA4ngt F RD. , LOB Wt Zip: 5r�J E-mail: �tei'1 na s r:k71.{ c≤c,, /94(0 7mI. c ooi T is space reserved. or approval stamp. License Number: 2 Z% SI 6 Remarks: Signature: Date: /J/2!/ZS Original signature required on each submitted copy. i C4&E, 1AIr Sd/82 / 6zC./5,Tg3AV, fi'67VI L.OTI e3/7'Z366 bEsc / ' Doc 20zc-60,3392 A Lc --v, ,a r- V/a P I Ii S. (�3 B2._ /0 c) (TOE "P'P& 97,/6' 74,30' 9s. 65' ?8.45' 9B -l5' /%/OTt ,' EACH 7RENCN TC .8E LIE S/C-)h h Tiro 4LIC-N vii f h' .&X'/51./ Co;yroq 5 6Ysr . l .c" t&V4 T/ tips TertVc% 2 - 95,Sa' r C N N /" =9.0` 72' 9� \ , F,-«' 4' lG.on 96,Y.o MA, H fj �.trQ��;.i clFlf- /25P/75� C" C. ( scpAc/pQ,,,p) IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) IrffU UI 'I'' Ill lilt min. , 2" SOIL COVER (typical) 2^ min. tre{___ nch depth (typical . Highest Trench System Elevations = 95.50 ft; 94.00 ft; ft; TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Lowest Trench (as applicable) ft; ft Quick4 Standard -W w/ End Cap (Show location of inlet! outlet pipe connection on plan view.) (typical) r-----------7�-------��---- ------------------- --- (typical) INSTALL PER TRENCH: 19 Quick4 Std -W @ 20 ft' EISA/chamber = 380 ft2 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ftZ E 1 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) IA=3.0ft (typical) 450 GPD / 0.7 = 750 FT. 2 "—Quick4 Standard -W Chamber 750 / 20 EISA = 37.5 OR 38 UNITS (typical) (mfd by infiltrator Systems, Inc.) 38 X 4 = 142 FT. Install pursuant to manufacturer's instructions. (2) 3 FT. X 76 FT. TRENCHES = Proposed EISA per trench = 386 ft2 Required Infiltration Area = 750 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 772 ft2 branched manifold .EF,FTLII JOSHUA & MATTHEW BORSELLINO PAGE 4 OF 5 RECF-NEA GRAVITY -DOSED JOSHUA & DEC 082025 SEPTIC / PUMP TANK SPECIFICATIONS MATTHEW (No Scale) BORSELLINO sa ld Zonmg Agent 4 0 Vent Pipe >10 ft from p%annin9 and Building 12" Min. or 2.0 ft above Established Flood Elevation (typical) Approved IMPORTANT: Vent Cap Anchor tank(s) as necessary pursuant to SPS 383.43(8)(g) Finished Grade CAPACITIES @ 16.12 gal/in e, Depth (in) Volume (gal) A 33.0 483.60 B 2.0 32.24 [C] 6.00 96.72 D 12.00 193.44 * Pump Tank Liquid Level = 53 in Force Main Diameter = 2 in Force Main Length = 57 ft Force Main Void Volume = 9.29 gal [C] Total Dose Volume (TDV) = 106.01 ( < 0.2X design flow + force main void volume) Electrical must comply with SPS 316 and NEC 300 -n Weatherproof Junction Box Conduit 4... Seal Weep Hole Extend manhole riser as necessary. Approved Locking Manhole with Warning Label Attached (typical) 4" Min. or 2.0 ft above Established Flood Elevation (typical) Quick Disconnect } 18' Min. (typinl) 1 - Approved Joints with Approved Pipe 3 ft onto Solid Ground (typical) PUMP -OFF ELEVATION = 91.00 ft mcrete . INSIDE BOTTOM Block ELEVATION = 90.00 ft 3" Approved Bedding Material Beneath Tank gal/dose Vertical Lift = 4.50 ft + 0.50 INVERT + 0.79 FRICTION FACTOR = 5.79 TDH PUMP TANK: Volume = 750 gal Manufacturer: WIESER Pump Manufacturer: ZOELLER Pump Model: 98 (See attached pump curve.) Controls/Alarm Manufacturer: SJE RHOMBUS Controls/Alarm Model: AB TANK ALERT Float switches containing mercury are prohibited. SEPTIC TANK(S): Total Volume = 1250 gal Manufacturer(s): WIESER Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Filter Manufacturer: ORENCO Filter Model: RECEIVED 5 C PAGE.COF DEC 082025 In -ground Dosed -Gravity Management Plan PI'a�1TiR -- The owner of this in -ground dosed -gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. 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 P0WTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow= 4'≤'O gpd. BODS 5 220 mgL-'; TSS 5 150 mgL'; FOGS 30 mgL' Inspection Checklist INSPECT EVERY 3 YEARS o ! type of use o age of system o nuisance factors (La odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (Le., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc) o electrical components - if applicable (i.e.,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 tankisi shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Scats, 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, Wisc. Admin. Code. o Effluent filter(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 shall be submitted to the proper local government unit in accordance with SPS 333.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Den fix /KJ eSmafJ�r1 Phone: 1 / /�- -� O€J9� Local government unit. 3 .Y// e/d W Phone: `Sot' 3% '—y- / J p Local government unit address?) G Zip: "✓ ���� Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement 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, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this P0WTS 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 use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. RECEIVED CW ftl r1tAU UAVALIIY L:UHVt DECG $ ` MODEL "98" t t S CMSONS I to J 511 160 0 FLOW PER MINUTE TOLL 0NAM!C we.3 Ww Re ua,WWE EHWEgT av oawssa 3 CAPACITY READ ONTTS,,NlN FEET METERS GALS Lifa S 1.52 72 273 10 3.05 at 231 IS 4.57 45 170 20 ate 25 e3 240 ' s/e ...1 1 1/2—l! 7/2 UP? j Install per manufacturers eD requirements. CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and suppled with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarm switches. Standard all models - Weight 39 Iba. -1G H,P _ 5.d.• covet Selective Model Volta -Ph Am s St!e tae I Duplex MS3 . I15 1 9.0 10!137 New .115 _ 7 Non �Akulo 9.0 2012&6 3or4a0 Osa : 230 1 4.5 tart 6 7 — E tl 1 Non 4.5 2ar26a 30r460 Fa Wwn—al on add.ssnai ZY47 paCKa,Ner b raabOon Coma lNbn Sara.. F1A:51 , F" Cachet. Mt.t, eW e. FMOtl7: E ec'At MamNq r Fu0aee; • rice A'mm nr, FUOca5. A„n Peciaaeoe. xkA 3 3 Si'-eSe..ege Basin. FMoee7; t Smyex CenL-o Bas, 011737 7 /e he I5 • Mercury float switches are available for controlling singleand three phase systems • Double piggyback mercury float switches are available for variable level long cyc'e cort•ols. SELECTION GUIDE I. Integralfoat operated 2 pole mechanical switch. no macros control requuec 2 Single Piggyback mercury tea: awi:ch or double piggyback mercury, loot s'Mte 1. Aeler to FMO477. 3. MechaNral alternator 10-0072 a, 10-0075. 4. See FM0712. ter correct mode! of Erecuicat Aiterrator. "E -Pak". 5. Mercury sensor float switch 10-02'15 used as a control activator. spec*; duplex (3) or (4) tips; system 6. Fpm (a) hole ".LP" junction box. lar watefighlconneclion or wired.in am- plax or dupbx operation, 10-0002 7. 'vro (2 hole"J-PM", for water ghl conneorbn or splice. CAUTION A, Im4Wden N eoneal., pN.etien dr... and -noq Moab be Rem by . Ow!' - Ind Y naK N.cYNWn AS Nedncal .M Yt.tr cods eKouW be toUew.d united. bit the pea recant hdloa r Eracun Cm• MEC) 1M the etcup!iwa! $.I.n .rid teal! Art (easel RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pumo. MAIL T& P.0 Box 16347 (' ////—I //{/ -r— tociswtie. KY 40235-034? Manodcrurers of ZZ71-ZZI-R 1 L/ . / SHIP TO: 328004 vats Lard 11 D i.. tpai$viut. Kr Ig216 Qwr7Tr Pawn S,wct /939 ,. AM 17447..1 O F4Yrtn7i »1.7!71 SUPERIOR I 1250/750 2 -Compartment Tank SUPERIOR PRECAST CONCRETE PRECAST CONCRETE RECEIVED DEC 08 2025 Weight (in lbsi 13d: 6,?89 nning and ZOfling AWICY Total: 1,451 \'olnme of Concrete Total : 4.4 'V Gallons Per Inch: 46.8 Lid. Enlarged Detail Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE !l' - Manhole Opening: L \� -"'1113" Taper a e Polyethylene Baffle Mastic Rope TOP VIEW 165" ,, 97" II-- 60" 1_'3 Gallons 28.28 GPI 7 Gallons i - 17.15 GPI SIDE VIEW 28" h ,4n _ 8"Au Space I t 2 45 ryy 73_ 7r 62" 48" r 1 Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 4M SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineer for suitability of use. Configuration may change from drawing, consult with SPC. I Prcauct File No: I This is proprietary information, and remalostpe property of supedarPrecast Concrete. LLC, I R.305-1&30341 PSC-Series Biotube® Effluent Filters RECEIVED DEC 08 2025 Bayfield CO. Planning and Zoning A9«tC1 Optional '` float switch bracket Handle Biotube fitter cartridge Deflector plate Housing Orenco PSC-Series Biotube Effluent Filter Applications Orenco PSCSedes Biotube Effluent Filters are designed to remove solids from effluent leaving wastewater tanks. General Orenco's patent -pending PSC}Series Biotube Effluent fitters are used to improve the quality of effluent from wastewater tanks. Improved effluent quality extends drainfield life in onsite disperse] systems and improves the performance of downstream treatment in effluent sewers. The Biotube filter cartridge fits tightly in the housing while being easy to remove for maintenance. The passively self-cleaning design extends maintenance cycle intervals. Filter mesh is available in 1/bin or 1/16b (3.2mm or 1.6ntm) mesh opening sizes. The handle can be extended with PVC pipe (not included) for better access to the cartridge. A 314in (19mm) diameter tee handle is included. Models PSCS0621-18 and PSCW0621-18 are NSF 46 certified. Standard Models PSCS0621-18,PSCW0621-18,PSCPS0621-18,PSCPWO621-18 Product Code Diagram PSC ❑lilies 21-18-❑ Tk-atsimeWetOP&M 6'anh= noRipsla➢ed P. =ts-aiirh Mcke( insmlled B = rorusavr,Lh Oren,-0Msviatanks AS = rtrt sti4h bm atnsta,"ed mid (or u= xhorv,zM-xresrar. Cwl*a r�ghr in (rom): 18=18(45) Rter hmst4h gM. in emit 21 =21 (r33) Gin (150mm),i%er diameter Ceuetme' w= t' sad�tEr taT)pe 3os4o iet S = n5sCF_>Qola4 millet tea t(nesh 8ABnn. n (ins): 8m=ll8 (321 P = PSCsais8bttSs0 oh�tae/ner Materials of Construction Housing PVC, ABS Biotuhe filter cartridge Polypropylene, DCPD Handle components PVC, stainless steel Deflector plate ABS Orenco Systems® = 84n-398-9843 a t1 541.459-4449 , xww.orenco.com tTO-FT--firs-2 Rev. 3 Q 0621 Page 1 of 2 'rrenc, o MiLila Sheet REGtIv aiv DEC 0 Bayfx Planning and Made! A. Overall heighi, in (mm) PSCS0624-18 PSCPS0621-18 0. tiausmg he ght in (mmj 22 i 5 ri 227 (577) C- Cartidge height m (mm) 21.0 (533) 21.0 (533) D. OuOet pipe dbmea, in (mm) 17.75 (451) 17.75 (457) E Ouilet height to invert in (mmj 4a (i 14) 4.5(114 F. De0ec6 it plate To-, r, in (mm) i 3.5 (343) 13 5 (343) Mesh size. in (:nm) 6.63 (168) 6.63(168) Flter surface area, r', (m�' 1.18 (3.2) 1/16(1.6) Row area, t'R (rrt)" 6.3 (0.59) 6.3 (0.59) ' i-iL, Pl2rE8 tS tl≥£(� 25 �2 �u +.r5RJ'68 iID f �-fl!tITJI^�rb'.'J�1.�iS I'vT�JI Js (lIG'isf!/ICCa_ 1.9 (0.78) 1.9 (018} Aovarea is aemita3the teat c7narzafr aGi (ftElfti^.yi WoliJlQ5f of am Vta Jltl0Jeu]iltiTS:L'IiYn.782Aar ,1frya fdTD-:-7 FfS2 RM 3 O 06121 Orenco Systems' 0800_348_9843 - +1 541-15994M a www.oreneo.com Pag°2 oil Sic ..006t9 Private Sewage System Maintenance Agreement DOCUMENT NUMBER )Name 2O26R-61121O vVJ•1,1 v • r • r •N, vv DANIEL J. HEFFNER Owner(s) Mailing jjAddress /��l,., , '�r� ��)�J /� Lox 5y9 Cable 1k W— &-1$2 1 REGISTER OF DEEDS �, BAYFIELD COUNTY. WI Site Address �,( 1 ' 1 , 10'1 ,43x35' {\i yl YJ2 11'' !e •W j� S'7ad-1 RECORDED �'V � 02/26/2026 AT 1 1 :50 AM Tax ID# 3rRECORDING FEE: $30.00 PAGES: 2 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) Ii) 114 of I 1/4 Section Township -r 1 N. Range 7W. Recording Area Additional Legal Description: Town of Cu.b 1 C (Acreage) 1OI Gov't Lot Lot _ Block Subdivision Lot _ CSM # 236(pVoi. j Page 3 CSM Doc # 121 In -ground gravity O Mound Return To: Planning and Zoning 1k G AWED ENTERED FEB z7 Zo2s a planning amp ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWIS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system Is ponding on the ground surface. Mounds, At -grade, and In -around Pressure System Laterals (system types C. D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and Inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: No Own s —Signatures) No ry Public` / /,/1 �j 4, .••' My Com`Sissi9^ Expires: / ? Z-(2-710 y) � U Drafted by: 54 Date: ulfonns/sanitary/septianaintenceagreement Revised July 2020 1 - s : h. . _ ,'-i r":`� ! A • . .. 1:,�: C�•_'f7 ..mot _..r rril: �' ft. - .'.i- .r, '- •.� r- 'i'c ... (i"if1:f':'!•'i ;1:�":i .. _ J �i :r- I .l'. { '. JL( r,':°. , •il: S :r: l'�::I .... ii ,1.t: i.. r.t :i'•iS_!`I! , ''. G'- r... .`.;iN. .i :'. .. "•i - :. •.j .� t .ir, . ,'i'.•P:. -'! ii 'i.. . -] � "r -- •. ..I _" _� is - ... .''' - �t: ., ... .. .:i :... - 7 - fly ,S_' ...;1 r:iltt::'_ i.1'.. '1'i;S7i7:'• - - — __ - ..._... -• - - ._.._.. - -- -- , ' t'...�:.{�� �vi.. �!{i'.i(• ",I• : `-W!_l.1 �ii:S. -.S :f'.;�i�! �i_: ^'%SS .1•!�; !�k r 1 ' iYl Y' /t _ -. 1.7.; .. . � 1• ' ,t .s r r r i .1 1�. 1c .. S .t;• - . ,. 'r rL , r � .l1S .•'! J'. { t'?f{i ( 1 i �1=•l U ='•{ ✓5]r I. t , t '•�, ...r_ 's ,7 r i.(f! ) r (•5,J':u (;,' i r; ,5 t - •�{C ,:7 "':1. f" r•..ai„. ' :,s. tt r-. ti rt• •�l' fit { ' .o- '_ '"-S:: ,I?:,2 .i.- : ir_ 1' 'r .r• I •7 �i7 t � ::1:1.=1 ittli ;,t �->,';: t: ►; 1; �.� r1 J1. {�!�? _ •' '` ' •t -�' l al.. 7 { {I (� i .,i ;i i c, �• ..�.t 'h l.-? +,':Ir. r,,� 1) `!s: Sr ;srJ })tl 117 S7 rs.�fjr�4r-•il .? t �:;fr,_ I. .s'i i 7 y t _ _ _. �t I•. I, ..:(Y .i� fi: f - :''•r_• r.. . 'L. I t. 'i :S -i :r• !I' -1:,.:t "s �,•..f t: �l�[., t, e:l .. '.' �-�lf.. .. _. •, � , ..i. st._•.l. '' �i�i!_ r:, r:7' i .- ; :Ili .t :• ....\j) '* ; I .S t',i:., ._ .. iiY'r ri.-. - t � _ -.: �; :{ ,�ui -.'.•� ! _ S .•-'- --'-^' 1. , ; ..r, v�L: lil '.. 'I+. f• '-I�t� - .. '!/: •'l_-:.:r.i7 (� �ii.._'y.:t:?' 1 . - .�.) i•f 4•, it'i.•�U �'. ..11 t:r. .. t . ... - �J.. .. •�•. i',J 3 ..: )•,?.s i)1 Vic: ;vi; �r,„(.,i .:(ifi ]i+Y .1 fjl -I :, :7- _ .. J• �L iJi1..f..1 .., . - j�i•,+ '1 .. _ f, i •1:' .. 1-i �tl..:1') _ :lt 's .:7 :i-7'•: .:i.. J {�' .r :r', !ti •:1.i.:7 l. '.L .l 1•`k'�• _? i s:.r. •s) r, ; , ' ,'\ :'r:i1 .. �`':. �..'1: _.". .. .'7•r iSi_ i ,i _'�]: � = .. .- s. ... . . . . , ,. C .,;,t .F•', �. .. . :.'... . :� _ is is: >f ) n, C' ,1. 1 I . :I! `!'.,. _t .'t�- r.'. .•`7� :1 'sri }• '-ti!1. `:r • , is ')•' .i i12:'` it 'i. 1"' `.t.•1'.: 's :i- :S•.ist r•��„ S.. _'. - ' , ��.yfr ::i::.'.r C.:H.-.-• _ - :i :. ._. t. ..s'.s,_ -_---__- - - - -----. 1_—i 2/13/26, 11:40 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 2/13/2026 E Description Updated: 8/18/2025 Tax ID: 39419 PIN: 04-012-2-43-07-15-3 02-000-13000 Legacy PIN: Map ID: Municipality: (012) TOWN OF CABLE STR: S15 T43N R07W Description: LOT 1 CSM 2366 DESC IN DOC 2025R- 608392 Recorded Acres: 7.010 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 108 J Tax Districts Updated: 10/18/2024 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents Updated: 2/19/2010 0 QUIT CLAIM DEED Date Recorded: 7/21/2025 2025R-608392 0 CERTIFIED SURVEY MAP Date Recorded: 10/4/2024 2024R-604999 13-366 0 QUIT CLAIM DEED Date Recorded: 12/18/2009 2009R-530551 1032-268 0 CERTIFIED SURVEY MAP Date Recorded: 12/2/2009 2009R-530248 10-40 Property Status: Current Created On: 10/18/2024 1:05:12 PM Sl Ownership Updated: 8/18/2025 JOSHUA D & MATTHEW R BORSELLINO CABLE WI Billing Address: Mailing Address: JOSHUA D & MATTHEW R JOSHUA D & MATTHEW R BORSELLINO BORSELLINO PO BOX 549 PO BOX 549 CABLE WI 54821 CABLE WI 54821 In Site Address * indicates Private Road 43235 KINZIE LN CABLE 54821 ® Property Assessment Updated: 3/27/2025 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 2,100 700 G6 -PRODUCTIVE FOREST 6.010 12,600 0 2 -Year Comparison 2025 2026 Change Land: 14,700 14,700 0.0% Improved: 700 700 0.0% Total: 15,400 15,400 0.0% Is Property History Parent Properties Tax ID 04-012-2-43-07-15-3 02-000-12000 35640 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels 39419 This Parcel T Parents 'W Children https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 C ATA L I S Payment Receipt Your transaction has been successfully completed!! Your Confirmation number is : 7452382895 Reference #: 260305105644030DCE 11526030510564 Thursday, 05 March 2026 11:08:48 [CST] Parcel Number: 39419 $50.00 Account Information Payment Type: Permit Payments Bill Payer Details Dennis Rasmussen 42625 Kavanaugh Rd Cable, WI 54821 Payment Details Payment Amount: $50.00 Convenience Fee: $1.95* Total Amount: $51.95 Payment Method: . Card Number: XXXXXXXXXXXXX4485 Expiration date: 03/2031 © 2026 Value Payment Systems, LLC. I 13M 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: BORSELLINO, JOSHUA D & MATTHEW R PO BOX 549 CABLE, WI 54821 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00371 Transaction Number: SR-00371-3FBD6 Amount $50.00 Total: $50.00 Payment Amount: $51.95 Reference: 7452382895 Paid by: Dennis Rasmussen Payment Type: Credit Card Transaction Date: 3/5/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. p -LYFI E LD 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: BORSELLINO, JOSHUA D & MATTHEW R PO BOX 549 CABLE, WI 54821 Description Private Sewage System (Septic Tanks) Submission Number: SS -00689 Transaction Number: SS-00689-398FF i!.utn!ItII $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3162 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 3/5/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-13S STATE SANITARY PERMIT OWNER: JOSHUA D & MATTHEW R BORSELLINO GOVT LOT: LOT: 1 BLK: CSM: 2366 NW 1/4 SW 1/4 SEC: 15, T 43 N, R 7 TOWNSHIP: Cable SOIL TEST: 12-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: DENNIS RASMUSSEN TRACY POOLER Authorized Issuing Officer DATE: 3/5/2026 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: # 221516 Condition: Properly Maintain System Per Recorded Agreement. Old cabin without plumbing to be removed before June 2026 as per Joshua 1/5/26. THIS PERMIT EXPIRES 3/5/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION