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Home My WebLink About26-22SI Department of Safety County Bayfield $'rofessionat Services, Sanitary Permit Number (to be filled in by Co.) SE -O0-7)-7 Industry Services Division o� ( — Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. 47400 Triangle Dr, Cable, WI 54821 1. Application Information — Please Print All Information x RC E EDProperty Owner's Name Parcel # Loon Haven Holdings LLC EN EflED 16774 Property Owner's Mailing AddressMAR 24 2026 Property Location 1131 Limerick Ln BayfieldCo. Govt. Lot City, State I Zip Code PIlS61NOmSd Zoning Agency Hartford, WI 53027 414-807-5483 ¼.¼, Section 27 T 44 N R 06 E o I1. Type of Building (check all that apply) Lot/I e I or 2 Family Dwelling —Number of Bedrooms 3 Subdivision Name Block/I ❑ Public/Commercial — Describe Use ❑ Cityof ❑ State Owned —Describe Use ❑ Village of CSM Number M Town of Grand View III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable. A. New S stem y Re lacement System p y ❑ Other Modification to Existing System (explain) 0 Additional Pretreatment Unit (explain) ❑ Holding Tank ❑ In -Ground ❑ At -Grade t] Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (sf) Dispersal Area Proposed (s0 I System Elevation 450 1.0 450 450 109.9' Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units u New Tanks I Ia Existing Tanks Combination d S H i v a Septic or Holding Tank 1000/ 1600 1 Weiser Concrete 121 ❑ Dosing Chamber 600 El V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) er's Sign MP/MFRS Number Business Phone Number Dean Blakeman / 1092768 715-682-6050 Plumber's Address (Street, City, State, Zip Code) 44941 State Hwy 13, Ashland, WI 54806 VII. County/Department Use Only 6p Approved I - ❑ Disapproved Permit Fee Date Issued r Issd g t S' nature ❑ Owner Given Reason for Denial t — 3 t/ /YI/fe Conditions of Approval/Reasons for Disapproval (9 C2,ze) 6:,ft Wv 109f2 - S%O/ v17 f dt' HMf wen r6$,z 0-7 4; Attach to complete plans for the system and submit to the County only on paper not less than s 12 x 11 inches in size SBD-6398 (R. 03/22) Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 March 16, 2026 WED MAR 242026 Phone: 608-266-2112 Web: httn://dsos.wi.gov Email: dsos(wisconsin.gov Tony Evers, Governor Dan Hereth, Secretary CUST ID NO.: 1092768 Identification Numbers DEAN BLAKEMAN Bayfield Co. Plan Review No.: PWTS-032600302-C Planning and Zoning Agency 44941 STATE HIGHWAY 13 Application No.: DIS-022608584 ASHLAND, WI 54806 Site ID No.: SIT -156681 Please refer to all identification numbers in each correspondence with the Department. CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/16/2028 MUNICIPALITY: TOWN OF GRAND VIEW BAYFIELD COUNTY SITE: LOON HAVEN HOLDINGS LLC 47400 TRIANGLE DR CABLE, WI 54821 S27 T44N R06W FOR: Design Wastewater Flow Value: 450 Bedrooms: 3 Limiting Factor(s): 10 Inches Maintenance Required: Effluent Filter CONDITIONALLY APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES eidehxmvn, 031IW2026 SEE CORRESPONDENCE Mound Component Manual - Version 2.1 (May 2022-2027) • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • Preserve dispersal area prior and during construction to avoid disturbance, compaction and use of the site. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Abandon Existing System per SPS 383.33 • Pump Floats to be set and verified per approved plan. Any channes may result in pump resizine to meet TDH and GPM Specifications. • Divert surface water from POWTS Area. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30(1 l)(c) • Tank Installation to follow all manufacture's recommendations. • Verify property line(s) prior to installation. • ' Well setbacks to meet chs. NR 811 & 812. Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal areaof the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code & SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, RECEIVED Fee Required: $250.00 Heidi Eide MAR 0C. 4 'LOZS Fee Received: $250.00 Balance Due: $0.00 Bayfield Co. Refund Expected: $0.00 Planning and Zcr:ng Agency Division of Industry Services Phone: Email: S 2'DO2sO 4 � a� 2�� ' 1 3 Wisconsin Departmentof Safetyand Professional Services MAY 2 7 2025 Rage of =r � t% DlvisionoflndustryServices SOIL EVALUATION REPORT Co. Zoning Dept. \a._./ In accordance with SPS 385, Wis. Adm. Code County gBAYFIELD Attach complete site plan on paper not less 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. 7/} fE i scale or dimensions, north arrow, and location and distance to nearest road. 04-021-2-4t-06-27 05-01230000 Please print all information. R vi y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location a LOON HAVEN HOLDINGS LLC Govt Lot / Z S T 44 N R 06 E (or) W Property Owner's Mailing Address Site Ar'&--- --" M and Lot#. 1131 LIMERICK LN 4740011) O#� LAKE RD City I State I Zip Code I Phone Number ❑ City O Village 0 Town Nearest Road HARTFORD WI 153027 I 1114-$07-54 GRAND VIEW TRAPPERS LAKE RD oNewConstruction Use:L_i Residential/Numberof bedrooms 3 Code./lerlved designlow QReplacement ❑ Public or commercial —Describe: Flood Plan elevation INpl Parent material General comments and recommendations: MOUND ELEVATION 110.70' MAR 2 4 2026 U Boring # uw^"a Iue.UD tanning and Zoning Agency L / lua.re' Pit Ground surface elev._ft. Depth to limiting factor in. I elev._f. A..n A .Lath.., R..r.. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. St. Sh. Consistence Boundary Roots GPD/FP 'Eff#1 'Eff#2 1 0-5 7.5YR 3/4 SIL 3FGR MVFR CW 3VF-00 0.6 0.8 2 5-12 7.5YR42 SIL 2FBK MVFR CW 3F -CO 0.6 0.8 3 12-27 7.5YR4/3 SIL IMBK MFR AW 1M 0.4 0.6 4 27-45 7.5YR4/3 2.5YR4/6F1F SL 0M — — 0 0.2 0.6 FREE WATER AT40" LIJ Boring # OBoring 109.95' 27111 107.70' ®Pit Ground surface elev._ft. Depth to limiting factor / in./ elev._f. Anil 4nnnn=enn R=1e Horizon Depth In. Dominant Color Mundt Redox Description Qu. Az. Cent Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 1 0-6 7.SYR 3/4 SIL 3FGR MVFR CW 3VF-CO 0.6 0.8 2 6-18 7.5YR42 SIL 2FBK MVFR CW 3F -CO 0.6 0.8 3 18-27 7.5YR4/3 SIL 1MBK MFR AW 1M 0.4 0.6 4 27-48 7.5YR4/3 2.5YR 4/8 FlF SL GM — — 0 0.2 0.6 FREE WATER AT 45" CST Name (Please Print) Si CST Number KEVIN McKINNEY — 224234 Address Date Evaluation Coned Telephone Number 11130 LEONARD SCHOOL RD CABLE WI 54821 05/21/2025 715-7983494 • Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L • Effluent #2 = BOD,5 30 mg/L and TSS 5 30 mg/L C ��0� pa.Ic 4' o bl-ij� M SBD-8330 (R04/21) c ing D®Boring MAY 272025 109.40' `around surface elev. ft. Page__ of 26" 107.23' Depth to limiting factor in. I elev.ft. Soil Annliratinn Rate Horton d'!ttQ In. 499rQiW&ior Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/FP Eff#1 Eff#2 1 0-6 7.5YR 3/4 SIL 3FGR MVFR CW 3VF-CO 0.6 0.8 2 6-15 7.5YR 412 SIL 2FBK MVFR CW 3F -CO 0.6 0.8 3 15-26 7.5YR4/3 SIL IMBK MFR AW 1M 0.4 0.6 4 2648 7.5YR4/3 2.SYR416F1F SL OM - - 0 0.2 0.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in.I elev. ft. SoilAudl Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •E1f#1 -Eff#2 REC C MAX 24 L Planning ac f Zoning Age cy ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Anniication 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 • Effluent #1 = BOD > 30 s 220 mg1L and TSS > 30 s 150 mglL * Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mgll - A)e'T 3ag9ectiu$o So,/ rp�65 L " 9a,/ Veit Sa�i%C to re/4 ra ` 4&uye Na TdA,q/r'c -taes ,per c4)Lrfi/R. TdDDHOGEN LOON HAVEN HOLDINGS LLC 1131 LIMERICKLN HARTFORD WI 53027 414.807-5483 PARCEL LOCATED AT 47400 TRIANGLE DR TOWN OF GRAND VIEW S27 T44N R06W PIN04-021-2-44-06-27-4 05-012-30000 3% SLOPE p ECO MAY 2 7 2025 D Bayfield Co. Zoning Dept BM TOP OF WELL MOUND ELEVATION 110.70' 109' B3 109.40' B2 Q 109.8 B1 108.95' GARAGE RETAINING WALL BM WELL 100.0' 3BEDRM N WALKOUT WALKOUT ELEVATION 91.80' I PAGE 3 OF 3 HOGEN N 0 40' SCALE 1" =40' y y PROPERTY LINE \' RECEIVED MAR 24 2026 Bayfield Co. Planning and Zoning Agency TRAPPERS LAKE 86.50' +/- RECEI'V'ED „R 247026 Bayfield County, WI tl'id"T RONALU'HEL5TERN TR '� 5' "i 00" r.¢jll LE DF Ifr._ ,."`. N ,r••J 't°,y' 7l1I�R .s''�'. 1jF.. 'MENZ .'✓ '�.. 'r- pIb/rT I 774' `'f' ,.�.�r�,�, - LOON HAVEN HOLDING S�LLC Yr N' TRAPPER LAKE CONDIflONALLY APPROVED PAGE 1 OF 6 DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY Mounryyd Y I a n Index & Cover Sheet m, 0311612026 SEE CORRESPONDENCE Component Manual Design References: Mound Version 2.1 (May 2022-2027) & Pressure Distribution Version 2.1 (May 2022-2027) Pg 1 of 6 Pg 2 of 6 Pg 3 of 6 Pg 4 of 6 Pg 5 of 6 Pg 6 of 6 Index & Cover Page Plot Plan Mound Cross -Section & Plan View Distribution Network Specifications Pump Tank Specifications Management Plan Pump Curve POWTS Application for Review Septic Tank Soecs Soil Evaluation Report & Site Map Effluent Filter Specs Pump Switch & Alarm Project Name I Description Loon Haven Holdings LLC 3 BR Mound Owner Name(s): Loon Haven Holdings LLC - Todd Hogan Owner Address: 1131 Limerick Ln, Hartford, WI Project Address: 47400 Triangle Dr, Cable, WI 54821 Govt. Lot: 1/4 of 1/4, Section27 J44 N -R 06 E Q or W ✓❑ Township: Grand View County: Bayfield Project Parcel ID #: 04-021-2-44-06-27-4 05-012-30000 RECEIVED MAR 242026 Bayfield Co. Planning and Zoning Agency Phone: 414 -807 -5483 Zip: 53027 Designer Information Designer Name: Dean Blakeman Designer Address: 44941 State Hwy 13, Ashland, WI Zi • 54806 E-mail: dean@blakemanplumbing.com License Number: 1092768 Phone: 715 -682 -6050 Remarks: 1- This space reserved for approval stamp. Signature: Date: 2/27/ZO2% Original signature required on each submitted copy. CHECK BOX AS APPDCABIF. CHECK BOX AS APPUCABLE. ❑ SOIL EVALUATION Scale: 1' =40' 0 SYSTEM PAGE 2 OF 6 0 40 60 80 SITE MAP PLOT PLAN PROJECT NAME: (loft grid) , DESIGN FLOW: 450 GPO fD Loon Haven Holdings LLC 3BR Mound Attach design flow calculations for commercial plans. PROJECTADDRESS: 47400 Triangle Dr, Cable, WI 54821 Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) sanitarySewer. 4" PVC / D3034 BM Symbol: 4- BM Elevation: 100 FT Force Main: 2" PVC / D1785 BM Description: Top of WeII casing Slope Gmtllent(%) p Indicate north by of eden: 3 /o Well Symbol (Inapplicable)', 0 drawing an anew on the approprite line. 109.95' 109' X -B1 108.95' 2" Sch80 PVC Force Heavily Wooded Site 30of 4" 3034 pipe h�d5�o O 1000/600 Septic Tank S Lot Line is Lake Shore Approx 300' (line not to scale) \L? IMPORTANT: Show ground elevation contours at suitable intervals. R-ECEIVEG MAR 242026 Sayfield Co. Planning and Zoning Agency insulated 3034 gravity drain pipe Well @4 - Yard Clearing Trappers Lake Ft G`IVED MAR 247076 Bayfield Co. 0.5" TO 2.5" WAStk J ®ted'R`P@Agency (min. 6.0" beneath distribution pipe - min.2.0" over distribution pipe and covered with approved synthetic fabric) ASTM C-33 SAND FILL Plowed Surface min. 0.5 ft SINGLE -CELL MOUND DISPERSAL AREA fjijjJj MIN. 6.0" OF TOPSOIL COVER min. 1.0 ft n F - A= = 6.00 ft —H Surface Contour Elevation = 109.9 ft (Show force main, manifold, and flush valve locations on plan view.) 3.00 % slope D= .833 ft E= 1.01 ft System Elevation = 110.7 ft Lateral Invert Elevation = 111 .2 ft PLAN VIEW (No Scale) 1.25 " 0 Schdl 40 , PVC Lateral J = 5.75 ft 7.5 ft (typical) I (typical) r-------- — I-----_-----7----- ----------- ----------------------------- -- , I G Observation o I —------------- —------- —------- —------- — ----- — — Pipe (ryplcall — — — — I L -------------------------------------- ------------J w= 20.75 ft t B= 75 ft = 9 ft K= 8 ft (typical) Bend as necessary to follow contour DOWNSLOPE TOE I L= 91 ft Prohibit disturbance and vehicular traffic within 15 feet of downslope toe. Reset Page D m W O -n rn DISTRIBUTION NETWORK SPECIFICATIONS : allo Scale) MAR 24 2026 FLUSH VALVE DETAIL gayfield Co. (No Scale) planning and zoning Agency Orifice in — — Valve Box Center of Threaded Cap (insulation optional) for Head Testing (optional) r \ t ) \ Ball Valve (optional) / Lateral Spacing S = 3.00 Shield orifices for gravelless applications (tiU 21 ) Lateral Length (P) = 36.80 ft (riser pipes optional) 1.25 „0 Schdl 40 PVC Manifold 2.00 „O Schdl aQ 80 PVC Force Main (slope to pump tank for drain -back) irst Orifice (typical) Laterals to be level Schdl 40 PVC Lateral 0 = 1.25 in (typical) Number of Orifices per Lateral = 12 Orifices equally spaced: [check a) OR b) below] a) 0 along bottom of lateral Orifices equally spaced Flush Valve along bottom of lateral b) O along top of lateral Assembly �\\ with every th hole (typical- see detail) facing down Last Orifice (typical) Orifice Spacing (X) = 38.4 in LATERAL INVERT ELEVATION = 1 1 1 .23 ft (typical) (typical) Orifice Diameter= •156 in OBSERVATION PIPE DETAIL (No Scale) Screw -Type or W . Finished Grade ��' Slip Cap (loose) W :W�.. (mulched & seeded) 40 PVC Pipe ,'-j Topsoil Cover Top of pipe to terminate (min. I foot) at or above finished grade (4) 1/4"-1 e2" X S" Slots @90 apart Anchoring Device Infiltration Surface Orifice Discharge Rate = .54 gpm Number of Laterals = 4 Lateral Discharge Rate = 6.48 gpm TOTAL DISCHARGE RATE = 2'55.92 GPM (typical) First Orifice (typical) x END MANIFOLD (typical) CONNECTION Check applicable box. Manifold (riser pipe optional) D First Orifice (typical) G) I m x l X/2 x/2 -I--x -I p (typical) (typical) Manifold a CENTER MANIFOLD 0 (riser pipe optional) CONNECTION PAGE 5 OF 6 SEPTIC / PUMP TANK SPECIFICATIONS (No Scale) a"O Vent Pipe MAR 242026 >10 ft from Building Electrical must comply with 12" Min. or 2.0 ft above SPS 316 and NEC 300 Bayfield Co. Established Flood Elevation Weatherproof Extend manhole riser as ni llsl`ii?ig acid Zoning Agency (typical) Junction Box Approved Approved Locking Manhole Vent Cap with Wamin Label Attached IMPORTANT: 9 Anchor tank(s) as necessary (typical) Conduit pursuant to SPS 383.43( 8)(g) ab Mh. or o nabove Established Flood Elevation (typical) �Aidlghl Seal \I/ \ i / Finished Grade CAPACITIES @ 11.82 gal/in 4 Depth (in) Volume (gal) A 30.31 358.26 B 2.0 23.64 [C] 6.45 76.26 D 12 141.84 * Pump Tank Liquid Level = 51 in Force Main Diameter = 2 in Force Main Length = 180 ft Force Main Void Volume = 29.45 gal r *T A lilt] Pump Quick Disconnect I 18' Mln. (typical) Weep . ` Approved Joints with Hole Approved Pipe 311 onto Solid Ground (typical) Alarm On PUMP -OFF Off ELEVATION = 90.00 ft 3" Approved Bedding Material Beneath Tank [C] Total Dose Volume (TDV) = 76.26 gal/dose L (5X total lateral void volume STDV S 0.2X design flow) + (force main drainback volume) MIN. PUMP DISCHARGE RATE = 25.92 gpm PUMP TANK: Volume = 600 gal Manufacturer: Weiser Pump Manufacturer: Gould Pump Model: WE0511 H (See attached pump curve.) Controls/Alarm Manufacturer: SJE Rhombus Controls/Alarm Model: PSP2 Float switches containing mercury are prohibited. INSIDE BOTTOM ELEVATION= 89.00 ft JcalHead=ad = 21.23 ft + Min. Supply Head = 3.5 ft + FM Friction Loss = 2.67 ft + Fitting Loss* = 1.05 ft *(min. supply head x 0.3) = TOTAL DYNAMIC HEAD = 28.45 ft SEPTIC TANK(S): Total Volume = 1000 gal Manufacturer(s): Weiser Install approved effluent filter at the septic tank outlet immediately upstream of the pump tank inlet. Filter Manufacturer: Polylok Filter Model: PL -122 PAGE 6 OF 6 Mound Management Plan IMPORTANT: The owner of this mound 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), Wisc. 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 POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow= 450 gpd; BODS ≤ 220 mgL"1; TSS 150 mgL"'; FOG ≤ 30 mgL"' EG(vEO Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system MAR 2 4 2026 o nuisance factors (i.e. odors, user complaints, etc.) Bayfield Co. o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Planning and Zoning Agency o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities (i.e., pump re -cycling, float switch settings, etc.) o electrical components (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 tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, 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. o Distribution laterals shall be flushed once every 3 years or when necessary. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Blakeman Plumbing & Heating, Inc Phone: 715-685-6050 Local government unit: Bayfield County Zoning Phone: 715-373-6138 Local government unit address: 117 E 5th St, Washburn, WI ZIP: 54891 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 POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed mound dispersal component may be re -constructed within the originally approved area after removal of all failed components. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. Wastewater APPLICATIONS Specifically designed for the following uses • Homes, Farms, Trailer Courts, Motels, Schools, Hospitals, Industry, Effluent SysterRE(^EIVE[�, SPECIFICATIONS MAR 242026 Pump • Solids handling capabilities:'/4' 1raxr nilid in g YfB Agency • Discharge size: 2" NPT • Capacities: up to 140 GPM • Total heads: up to 128 feetTDH • Temperature: 104°F (40°C) continuous, 140°F (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. MOTORS • Fully submerged in high-grade turbine oil for lubri- cation and efficient heat transfer. • Class B insulation on h- 11/2 HP models. • Class F insulation on 2 HP models. Single phase (60 Hz): • Capacitor start motors for maximum starting torque. • Built-in overload with automatic reset. • SJTOW or STOW severe duty oil and water resistant power cords. • h - 1 HP models have NEMA three prong grounding plugs. • 11h HP and larger units have bare lead cord ends. Three phase (60 Hz): • Class 10 overload protection must be provided in separately ordered starter unit. • STOW power cords all have bare lead cord ends. • Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously with- out damage when fully submerged. • Bearings: Upper and lower heavy duty ball bearing construction. • Power Cable: Severe duty rated, oil and water resis- tant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Option- al lengths are available. • O-ring: Assures positive sealing against contami- nants and oil leakage. AGENCY LISTINGS S �, Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association File #LR38549 c u5 • • 1 • I: _.---a-__s ___•.____I__.__. • ■■■■■■■■■iN■ :, , ■■ b.■.C■■■■■m■■�■■■■■ ■..■■■■■■■.■■. ■- ■■.n.■.■■■■■■■ii■■.■ .1 I■■■1•..■■■■■ ■..■■■■■.■■■■■ .mm�■■■■■■■■.■ .. . .1..n■■■. .■..■■■■■C. .■■. �.■■o■■■■■. ol� Al ■loo■■■■■■■. ■■ ■■.■ ■.■■■■ ■ ■■■■.. 0 5 10 15 20 25 30 35 m3/hr CAPACITY PAGE 2 r 0 < Ui 114j" 4"\ ST -A -SEAL" FILTER OR 1111 BAFFLE 1111 TOP VIEW SIDE VIEW 4" CAST —A —SEAL RECEIVED MAR 242026 Bayfieid Co. Planning and Zoning Agency VENT OUTLET IT ' PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS W1000/600- MR TANK SPECIFICATIONS DIMENSIONS: WALL 2 1/2" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 69 1/2" O.D. LENGTH: 114 7/8" O.D. WIDTH: 93" O.D. BELOW INLET: 57" O.D. LIQUID LEVEL• 51" WEIGHT: 12,380 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 19.61 GAL/IN (SEPTIC) 11.82 GAL/IN (PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEP11C/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMIT FOR APPROVAL APPROVED BY: APPROVAL DATE: 1101014gStI1 'g11L'Y i J D Z Q 0 F d w In POL4O]C Inc Innovations in Precast Drainage �y Zabel' & Waste water Products I A Division of Polylok Inc. PL -122 Filter RECEIVED MAR 242026 PL -122 Effluent Filter Bayfield Co. Planning and Zoning Agency The PL -122 was the original Polylok filter. It was the first filter on the market with an automatic shut-off ball installed with every filter. When the filter is removed for regular servicing, the ball will float up and prevent any solids from leaving the tank. Our patented design cannot be duplicated. Features: • Offers 122 linear feet of 1/16" filter slots, which significantly extends time between cleaning. • Has a flow control ball that shuts off the flow of effluent when the filter is removed for cleaning. • Has its own gas deflector ball which deflects solids away. • Installs easily in new tanks, or retrofits in existing systems. • Comes complete with its own housing. No gluing of tees or pipe, no extra parts to buy. • Has a modular design, allowing for increased filtration. PL -122 Installation: Ideal for residential waste flows up to 3,000 gallons per day (GPD). Easily installs in any new or existing 4" outlet tee. 1. Locate the outlet of the septic tank. 2. Remove the tank cover and pump tank if necessary. 3. Glue the filter housing to the outlet pipe, or use a Polylok Extend & Lok if not enough pipe exists. 4. Insert the PL -122 filter into tee. 5. Replace and secure the septic tank cover. PL -122 Maintenance: The PL -122 Effluent Filter will operate efficiently for several years under normal conditions before requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped, or at least every three years. 1. Do not use plumbing when filter is removed. 2. Pull PL -122 cartridge out of the tee. 3. Hose off filter over the septic tank Make sure all solids fall back into septic tank. 4. Insert filter back into tee/housing. Polylok offers the only filter on the market where you can get more GPD by simply snapping our filters together! Patent Numbers 6,015,488 & 5,871,640 www.polylok.com Filter Ready Adapter Connects to Septic Tank Wall septs 1/2" PVC tension Handle Alarm Switch (Optional) 122 Linear Ft. of 1/16" Filtration Slots ilter Housing with '& 4" Pipe Adapter 1/16" Filtration Slots 3,000 GPD NSF. Gas Deflector Automatic Shut -Off Ball it Outdoor SmartFilter® Alarm Polylok Zabel & Best filters accept the SmartFilter® switch and alarm 1-877-765-9565 These mercury and mechanically activated pump switches provide automatic control of pumps in non -potable water and sewage applications. They are well -suited for confined applications requiring a large pumping range. They are not sensitive to rotation or turbulence. The Double Float • and Double Float' Master pump switches consist of two floats. Each float contains a heavy-duty mercury or mechanical switch. The float assembly contains a holding relay which enables the floats to function in series. The holding relay eliminates pump chatter in turbulent conditions allowing the Double Float • and Double Float' Master pump switches to operate relay control panels for larger pump applications. Mechanically activated switch. • Adjustable pumping range of 3 to 48 inches (7.6 to 122 cm) with increased pumping range up to 6 feet (1.8 meters) available. Five-year limited war C,I ED MAR 242026 Bayfield Co. Planning and Zoning Agency PREVENTATIVE MAINTENANCE • Mercury activated switch. • Adjustable pumping range of 1.75 to 48 inches (4.45 to 122 cm) with increased pumping range up to 6 feet (1.8 meters) available. • Five-year limited warranty. • Periodically inspect the product. Check that the cable has not become worn or that the housing has not been damaged so as to impair the protection of the product Replace the product immediately if any damage is found or suspected. • Periodically check to see that the float is free to move and operate the switch. • Use only SJE Rhombusreplacement parts. • The Double Float' pump switch contains mercury and MUST be recycled or disposed of according to local, state, and Federal codes. Five -Year Limited Warranty. For complete terms and conditions, please visit www.sjerhombus.com NOTICE! Products returned must be cleaned, sanitized, or decontaminated as necessary prior to shipment to ensure that employees will not be exposed to health hazards in handling said material. All applicable laws and regulations shall apply. Double Float' pump switch is a registered trademark of SJE Rhombus'. ELECTRICAL SHOCK HAZARD Disconnect power before installing or servicing this product. A qualified service person must install and service this product according to applicable electrical FittLIcIlfll EXPLOSION OR FIRE HAZARD Do not use with flammable liquids. Install in accordance with ANSVNFPA 70. Suitable for usage with intrinsically safe circuit ` • •r➢. jr t and plumbing codes, extensions as defined by UL 898A. Failure to follow these precautions could result in serious injury or death. Replace product immediately if switch cable becomes damaged or severed. Keep these Instructions with warranty after Installation. This product must be installed In accordance with National Electric Code, ANSVNFPA 70 so as to prevent moisture from entering or accumulating within boxes, conduit bodies, fittings, float housing, or cable. For detailed specifications on this product, or for the complete line of SJE Rhombus' panel, alarm, and switch products, visit our web -site at www.sjerhombus.com. Failure to mount floats as outlined below may inhibit switch operation. 1. Determine pumping range for installation as shown in Figures B & C. 2. If floats are mounted less than 16 inches (40.6 cm) apart, mount floats at a 90° angle from each other as shown in Figure B. 3. Place cord into clamp as shown in Figures A and B. 4. Locate the clamp at the desired activation level and secure to discharge pipe as shown in Figure A. NOTE: Top and bottom floats are labeled. Ensure they are mounted per Figures B & C. 5. Tighten the hose clamp using a screwdriver. Over tightening may result in damage to the plastic clamp. Make sure the float cable is not allowed to touch the excess hose clamp band during operation. 6. Mount the top float in a similar manner. Stow excess cable away from float operation. 7. Check installation. Allow system to cycle to insure proper operation. NOTE: All hose clamp components are made of 18-8 stainless steel. See your SJE Rhombus supplier for replacements. Figure A 3.5 inch (9 cm) minimum tether length • Electrical outlet must not be located in pump chamber. • Electrical outlet voltage, piggy- back plug voltage, and pump voltage must match. 1. Follow steps 1 through 6 of "Mounting The Switches." 2. Insert 120 VAC piggy -back plug into 120 VAC outlet or 230 VAC piggy -back plug into 230 VAC outlet. 3. Plug pump into piggy -back plug as shown in Figure B. 4. Check installation. Allow system to cycle to insure proper operation. Figure B - Double Float® switch plug pump plug top 1. Follow steps 1 through 6 of 'Mounting The Switches." 2. Wire switch as shown below. NOTE: Switch voltage and supply voltage must match to ensure proper operation of switches. 3. Check installation. Allow system to cycle to insure proper operation. Figure C - Double Float® Master If floats are mounted less than 16 inches (40.6 cm) apart, mount ,ats at a 90' angle from each athi _ G N L7 JUNCTION bottom float POWER BOX SOURCE Q LOAD VI1 G N Lt If floats are mounted less than I W*IiwPx.t JUNCTION 16 inches (40.6 cm) apart, mount G L2 L7POWER BOX lets at a 90° an le from each other SOURCE ISIOIOI ng to the load Is sly condition exists if W I disconnect on .11230 VAC circuits. ``ECEWED MAR 242026 4 SJE RHOMBUS. Technical Support: +1 800-746-6287 Bayfield Co. Planning and Zoning Agency techsupport@sjerhombus.com www.sjerhombus.com Technical Support Hours: Monday - Friday, 7 A.M. to 6 P.M. Central Time PH 1017691) ov2o 0 2020 SJE Inc. All Rights Reserved. SJE RHOMBUS is a trademark of SJE, Inc. Provides convenient wiring connection and system monitoring for pump station applications. The PS Patrol • system features a built-in high water alarm and provides a convenient location to connect all wiring required for a pumping station installation. The PS Patrol" system employs a receptacle to accept a 120 VAC pump and piggy -back style pump switch. The sleek, angled design of the clear enclosure includes a removable cover for easy access for field wiring. All internal components are sealed within the cover for protection from the elements. The red LED illuminates the cover in an alarm condition for easy 360° visual identification. Available with or without 32" mounting post. Shown with Mounting Post U.S. Patent Nos. 0 780.703 and 9,472.932 • Controller meets Type 3R watertight standards and is designed for ALARM VOLTAGE: 120 VAC outdoor use • Built-in high water alarm PUMP VOLTAGE: 120 VAC • Removable cover provides greater access for field wiring and service ENCLOSURE SIZE: Controller can be purchased with standard 5' square plastic post Controller with5"• X 39" Controller without ut post post Xt 5" " X 5" x 6" or can be mounted on 4" schedule 40/80 PVC pipe or conduit (customer supplied) RECEPTACLE: 120 VAC - NEMA Type 5-15 • Automatic alarm reset, horn silence and alarm test • 360° visual alarm: audible alarm AUXILIARY CONTACTS 120 VAC 0.5 amps max., 50/60 Hz • Red LED illuminates cover in alarm condition (circuit not supervised) • Green Power On light ALARM HORN: 82 decibels at 10 feet • Auxiliary alarm contacts included for easy attachment of remote alarm ALARM FLOAT: SJE SignalMaster° control switch with mounting clamp • Receptacle for easy connection of pump and piggy -back pump switch • Cord seal included for sealing switches and pump cable • Electrical potting cavity provides easy reliable method to seal power cables. (User to provide duct seal) • CSA Certified ode CtJVED • Ave -year limited warranty 4RNNl� {aR 2 4 I0Z6 Bayfieid Co. • Mercury or mechanical pump switches Planning and Zoning Agency • Various cord lengths • Riser assembly adapter • Dual alarm (2nd alarm input - Yellow LED illuminates cover in alarm condition) • Elapsed Time Meter (ETM) • Pump circuit breaker • Available with or without 32" post SJE RHOMBUS. California Prop 65 regulres the following: ZEWARNING cancer and Reproductive Harm- www.P65Wamings.ca.gov 1-888-DIAL-SJE • 1-218-847-1317 1-218-847-4617 Fax SEE REVERSE SIDE FOR ORDERING INFORMATION, email: customer.service@sjeinc.com SEE PRICE BOOK FOR LIST PRICE. www.Sjerhombus.com B.73 B.74 e.se visit www.sjerhombus.com Tr the most current information. PSP2 120V [ MODEL PSP2 MODEL Q 120V STARTING DEVICE 1 = SJE PumpMaster' pump switch (0-13 FLA) • 2 = SJE PumpMaster Plus pump switch (0-15 FLA) • 3 = 120 VAC Double Float• pump switch (0-15 FLA) 5 = Super Singlepump switch (120V = 0-15 FLA) 6 = No pump switch 7 =120 VAC Double Float' Master pump switch (0-15 FLA) • FLOAT SWITCH APPLICATION BH = pump down (select 17 option) X = no floats OPTIONS Listed below CODE DESCRIPTION R1J Duo alarm inputs 1V Vertical Reed Switch (must select 1J) 8A Elapsed time meter 1OX No Mounting Post 15_P Pump breaker specify 0 or 1 after number 15 followed by letter'P' 0 15 amp breaker (0-7 FLA) 1= 20 amp breaker (7-15 FLA) (Ex. 151P = 20 amp breaker, 715 RM RECEIVED uaR 242026 Bayfield Co. Planning a._ ?cuing Agency CODE DESCRIPTION 16A 10' cord in lieu of 20' (per float) (Does not apply for Double Floar or Double F1oarMaster pump switch) 16B 15' cord in lieu of 20' (per Float) 16C 30 cord in lieu of 20' (per float) 16D 40' cord in lieu of 20' (per float) 17A SJE SignalMaster / pipe clamp (alarm float) • 17J Sensor Float' / pipe clamp (alarm float) 22F PSP Assembly Kit • Mechanically -activated A Mercury -activated Part Number Model Number Description FLA Ship Weight 1022728 PSP212OVSH17A PSP2120V, no pump switch 20' SJE SignalMester. with mounting post 0-15 13 lbs. 1019021 PSP2120V6H151P17J PSP2120V, no pump switch 20' Sensor Float, 20A circuit breaker, with mounting post 7-15 13 lbs. 1022676 PSP2120VGHBA17A PSP2120V. ErK 20' SJE SignalMaster•, with mounting post 0-15 14 lbs. 1022677 PSP2120V6H1JVBA17A PSP2120V Duo alarm, ETM, 20 SJE SignalMester 6 VHS, with mounting post 0-15 15 lbs. 1018434 PSP2ABSH1GBl7A PSP2120V. m alarm no pump switch rerrote TAAA 15' SJE SigraMaster, with moulting post 0-15 16 lbs. 1011551 Assembly Kit Riser Extension Coupling and washers r✓a 10 lbs. 4 SJE RHOMBUS- www.sjerhombus.com customerservice@sjeinc.com 95000866 -SPEC 10/19 0 2018 SJE. Inc. All Rights Reserved. SJE RHOMBUS is a trademark of SJE, Inc. SS-oo711 Private Sewage System Maintenance Agreement vwnerts) namc - ovir , Rc v.en f Olc( .S LL_C- Todd Hogen / Manager —. I 47400 Triangle Drive, Cable, WI 54821 Tax ID # 16774 As owner, I (we) do hereby certity the pnvate 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 114 Section 27 Township 44 N. Range 6 W. Additional Legal Description: see attached Warranty Deed and Survey Town of Grand View Lot Block - Subdivision (Acreage) 7.6 Gov't Lot 11 & 12 Lot _ CSM #_ Vol. _ Page CSM Doc # 2022R-596607 DOCUMENT NUMBER 2026R-61 1 524 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O3/24/2O26 AT 12:32 PM RECORDING FEE: $30.00 PAGES: 4 Area Return To:REC_ Planning and Zoning Depaartmeennt'VE® MAR 252076 ❑ 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 shal; be pumped by a certi ed septage ser.,cmg operator within three (3) year of the data ci 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 places on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided bylaw. 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 swom to before me on this date: Loon Haven Holdings, LLC Todd Hogen, Manager \RO%€-�-r u $ Yp Notarized Owner(s) — Signature(s) Nota Public .••' My Commissior x fires: I Drafted by: Todd Hogen, Mantagef Date: 2/8/2026 Revised July 2020 RECEIVED MAR 252026 Bayfield Co. Planning and Zoning Agency State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number 2022R-596607 Daniel J. Heffner Document Number Document Name Register of Deeds Bayfield County, WI THIS DEED, made between Mark J. Rinderle and Debra S. Rinderle. husband one or more), ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in BAYFIELD County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): See the annexed Exhibit A. Recorded 10/04/2022 at 9:48 AM Recording Fee: $30.00 Transfer Fee: $990.00 Pages: 2 Electronically recorded Recording Area Name and Return Address Loon Haven Holdings LLC 1131 Limerick Lane Hartford, Wf 53027 17044-22 04-021-2-44-06-27-4 05-012-30000 Parcel Identiticalion Number (PIN) This IS NOT homestead property Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. Dated SPI)12Vv1�.[/L 3D1 9tr) ) A n / i /I l\ f AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE B (If not, authorized by Wis. Stat. THIS INSTRUMENT DRAFTED * Debra S. Rinderle (J ACKNOWLEDGMENT ,;r OF Wr ss. COUNTY Personally carne before me on . 3O, XO1 II1� the above -named Mark J. Binder a and Debra S. Rinderle to me known to be the person(s) who executed the foregoing instrumen d acknowledged the same, N,,,,,0•' .T1�L 0 ATTORNEY MAX T. LINDSEY, SB#1112865 Notary Public, State of Wisconsin / Anich, Wickman & Lindsey, S.C., Ashland, WI 54806 My Commission (is permanent) (expires: /_) (Signatures may be authenticated or acknowledged. Both are not necessary) --""ll NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 • Type name below signatures. Bayfield County Register of Deeds Document #2022R-596607 Page 1 of 2 RECEIVED MAR 252026 Bayfield Co. EXHIBIT "A" Planning and Zoning Agency A parcel of land in Government Lots Eleven (11) and Twelve (12), Section Twenty-seven (27), Township Forty-four (44) North, Range Six (6) West, Town of Grand View, Bayfield County, Wisconsin, described as follows: Commencing at angle point 14, as established during the U.S.G.L.O. Resurvey of said Section 27, in 1922; thence running S.3°02'W., 382.65 feet to an iron pipe, which is the point of beginning; thence from said point of beginning by metes and bounds: S.3 °57'E., along the East right of way line of town road, 224.71 feet to a point; thence S.13 °41'W., along said right of way 266.19 feet to a point; thence S.6°34'E., along said right of way 210.39 feet to a point on the east right of way of town road and north side of outlet of Trappers Lake; thence N. 75 °32'E., along the north side of outlet, 353.55 feet to a wooden post; thence northeasterly along water's edge of Trappers Lake, 466.10 feet, more or less, traverse at which is as follows: N.49°52'E., 109.44 feet to a point; thence N.43 °51'., 235.10 feet, to a point; thence N.28 °47'E., 121.56 feet to the northerly line of this parcel; thence N. 67 °56'W., 674.07 feet to the point of beginning. ALSO, a parcel of land in Government Lots Eleven (11) and Twelve (12), Section Twenty-seven (27), Township Forty-four (44) North, Range Six (6) West, described as follows: Commencing at angle point 14, as established during the U.S.G.L.O. Resurvey of said Section 27, in 1922; thence running S.3°02'W., 382.65 feet to an iron pipe, which is the point of beginning; thence running N.3°02'E., retracing the last course described, 101.46 feet; being along the easterly side of town road; thence running 8.67 °56'E., 707.90 feet, more or less, to a stake on the shore of Trappers Lake; thence running S.14 °34'W., being a traverse along the shore of said lake, 91.52 feet to a stake; thence running N. 67 °56'W., 674.07 feet, more or less, to the point of beginning. Together with at lands lying between the boundary lines extended to the water's edge of Trappers Lake and to the outlet creek thereof. Bayfield County Register of Deeds Document #2022R-596607 Page 2 of 2 �-<ECEIVED MAR 257026 Bayfield Co. lning d._:'::nn ,ale. MAP OF SURVEY A PFJWR OF IMIO WONTED IN COVEHNNEHI WTS 11 & 12 OF SECTION 27, T. H N. H. 6 IF., H THE TnMI Or CMND WW. 10,00X3➢ COUNT?. NRCONSIN -..S 89'J592- f ......... .. .......109.5.99' .. bar A S/N l0 6 { F x/P 5¢1) 1sx 7 Iv 1 5(0.21nc. -IW &La<¢ CVMU CL0. WE Imo; '• I. s'wnD 6556 vary I I I 1�8 ISn1Hw F11ae0nw 0mm9-W1111(TD IR X}14 - 1. ITS 5110"Im17 m10NNs f9A-0 " B. SItEm N I 4 M SM Nb9w aIavrns CW9Y 0 L 10106 6. Ilm61OWL 'fib 910!006 N n< hilT Cl lit T I rc vw 15541x0 II l(40 921(106 FYEa it 1)11 II • IS V roll 27. 1.«X- I. 6 v. x ISO 1CM 6 IXYp Y4\ WIlED ro 6TT, lS9S v awR14x 1 166 IN? ,¢uai wlimniM mm: No +'.. IWI YO WH6WwN� t9YFCI TO LIE 6m U Al DOC. NO.I2022R-596607 TOTAL AREA i 331,700SQ. FT.± m � 7.61 AC. f 6 �/ S / j — �y-5>x�j P4 T 5 8 5i. / I I N. � I 1ms 6U N a 1106 063 II5 leol u1w 19[ MMI ar 1NfPW wB a Nem9Nrz 210 rv6 MFaOCE .26115x5 II.?. Mt INS YLI M tl¢DWl1 WN 64106 IH Q A WB CP AMKIH[ SMDI 655910110 lIt ry9C 106'4' N IU0*011A1ER nNl 6 55110610 11011 NnEE I. 55[10611 TV 1)4 STALE 216191061. 004.1PINGIOCVf HARL*ORIOxs TIa I2TSWw¢].IwN.9t11-x06 1101060 11011X. BAITED 061111.!10 St vmm Al 1002101 TO IIGIC 11[ 1061161LMG O[VOQ N A r :61001) OLD WMl( Al 1K LIST I/A a Is $b 4tlw LINO RIM xAN]a 1151E IQ1Mn0 LIST -6611 I/A 91Q SOT I/4' wax 1)c M 1)c 6ml lml v w D lN5> 19wo1 111t- �' 6 / 066 SC (61811 104 V w 11C 1 004(1T I. OLIT OUT 10 A I• *111SIL TIC POlIO 060661100 IIER IIW YD ROI C'PBJ.CIT 10106 NO it vLito C 03555106¢? 91506 NC I 1 WIY33 0x039INCIEA 3/T loll 065.,.aw{gW. 41*31 6 x WI 3'z$ ( II FIST, IOE 50 IWS Fill M LMWN ICI x016 WE 051OYRa LW!. 11(X5 w A IOARn LAO LOA SIC 411 ACT MN CO IX. 5 19163] Y. 91® FEI 10 A 1/2. 91 0404E 61062 3 471(14' 0 11141 Ff01)x A 1-I/I' lOll PPE 60660 51fIIY R 5%01 IT 10* 1-1/f WW WE 1)0413 11514? I, 17077 lET ill IT/4' Mw FR 0111001 01101, 11051 N M31a' II. '6 iRl. YC1F IS 163 FY56 YD N[W9I 1[1 19106 IM. 110611 IUNIO YIO VINT9I 10Ai�PoI1'INE'1150Sxa131060 41'' Nl1356103W110 OF 10011111 FlIT, 0. 1.0.9160! SIC flAT IMC (I 0041110 lls WTEq'm WNwS IOTJJML �AE NO lM CSIWA(5[11051 4611 IKV 141141 LIMO 15225141 n[ 5SIN3AI a /101021113 TO 9.00613x10161'I1a LAO. row L NC lIt 1304+ BA-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: LOON HAVEN HOLDINGS LLC 1131 LIMERICK LN HARTFORD, WI 53027 Description State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Submission Number: SS -00717 Transaction Number: SS -00717-42B54 Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 34465 Paid by: Blakeman Plumbing & Heating, 44941 State Hwy 13, Ashland WI 54806 Payment Type: Check Transaction Date: 3/26/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-22S STATE SANITARY PERMIT OWNER: LOON HAVEN HOLDINGS LLC G OV'T LOT: LOT: B LK: 1/4 1/4 SEC: 27, T 44 N, R 6 W TOWNSHIP: Grand View SOIL TEST: 41-25 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: DEAN BLAKEMAN TRACY POOLER DATE: 3/26/2026 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: # 221123 Condition: Old System needs to be properly abandoned per SPS 383. Garage with 1 bath - storage not for human habitation or sleeping (23-0262) THIS PERMIT EXPIRES 3/26/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION