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HomeMy WebLinkAbout26-23SRequest for Sanitary inspection n26 Hr. i, v Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 3730114 If you do not have a fax and must email the inspection; you must email aui s e d raee3„ ecs. Note fj Time Change fl Discrepancy fl Other ,'J�G F "c Phone Number Plumber. r � , Fax Number Homeowner: IL r m ( G b� t � 1 y EJY1�C�t. � 3o Email Address Sanitary (^ .i. Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept Date: 'r"l�en`coc"' Noinspection(s) during this time Tuesday (9:30 am - 12:15 pm) (Tracy) I 3 Time: Plumber's Choice Zoning Dept U30 --flo Township: (� Address # & Road Name: G' 33 5 / . �y 7/'2 G or J Directions To Site: $gam Comments: Plumbers you must very any change(s) by ftx or email Notes from W(ormslsanitarylrequestforinspectlon Zoning Dept (@4112104); O June 2023 O TMc'l'} . - .,Priva,te Onsite Wastewater Treatment Systems ( POWTS). Inspection Report (Attach to Permit) MICHAEL G & MONICA A GIGO �sw 0¼fl w IC)U W KU &3rpurpDSes[Privacy Law, s. 15.04 (1)m) ASHLAND WI 54806 I []city 9 Village 9 Town of: CSTBM Elev: Insp SMElev: BM Description: Tank Information TYPE MANUFACTURER J CAPACITY Prop. Line J Well Building Air Intake Fio�d Se tic W, �S� 15b) /O0 D N/A Dosing N/A Aerafion N/A Holding setback to: Pump! Siphon Information ufacturer Pump Model Demand GPM Manufacturer Ofwt cv FTDH Filter Model db r✓ ift Fdotlon Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Length # of Calls SETBACK FROM Proq.. ' e' 1 Building Well OHWM Type of Cell Manufacturer: n `1 Model Number. Pretreatment Unit Manufacturer: Model Number: Dia Elevation Data STATION BS HI FS ELEV Benchmark 9i e Bldg. Sewer 5'z9 Tank Inlet 1-ta 1 Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold 9, ¶ I Distribution Pipe Infiltrative Surface / Final Grade X Pressure ❑No �. Soil Cover Depth Over I Depth Over I Depth of I Seeded I Sodded I Mulched Cell Center I Cell Edges I Topsoil j 0 Yes El No 0 Yes ❑ No COMMENTS: (include code discrepancies, persons present, etc.) Ian thers revision fo a required? ❑Yes . l d ;e other side for additional info tlon. Date PO S Inspectors Signature License Number 7 7 3RfL_R71n tR M1711 Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning( labavfieldcountv.ora Web Site: www.bayfieldcounty.org/147 MICHAEL G & MONICA A BIGO 63350 SCHWIESOW RD ASHLAND WI 54806 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: Tank was pumped by: Tank was crushed / removed and pipes disconnected by: on at AM/PM On at (AM / PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: ❑ System was inspected and appears to meet all applicable code requirements. ❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: Ulforms/sanitarypropertyowner-input April 2919 • -Industry Services Division County I 4822 Madison Yards Way ° t) cs- oo7ll Madison, WI 53705 c P.O. Box 7162 Madison, W1 53707 716 Sanitary Permit Application " In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate gornefiinit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to P the Department of Safety and Professional Services. Personal information you providexp for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. p = S.r $�� ;. L Application Information —Please Print All Information PropertyOwner's Name BAR 1 2 202 L ransaction Number in than mad 7IU7, Property Owner's Mailing A p en C"i Property Location 50 ifr1 (zi i57W ,g, � c pla • Govt. Lot_ ____ City, State I Zip Code Phone Number (%. ¼, Section /7 H. Type of Building (check all that apply) • Lot # T N R 07E o) 1 or 2 Family Dwelling — Number ofBedrooms Sub 'vision Name Block # Dublic/Commercial—DescribeUse • ivy of ❑State Owned— DescribeUse CSM Number JVillage of %/ U/7 7-43 Q�aTown ofJ` G1�— IIL Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on tine B.'Complete line C it a licable. A. New System E Replacement System Dother Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. Holding Tank In -Ground Et -Grade ❑Mound jlndividuat Site Design Other Type (explain) (conventional) C. ❑ Renewal Before [Revision Change of Plumber IJTransfer to New Owner st ivions Permit Number and Date Issued Expiration W. Di ersal/Treatment-Area and Tank.Information: Design Flow (gpd) Design Soil Application Rate(gpols f) I Dispersal Area Required (st) IDispersal Area Proposed (sf) I System Elevation Q Iio, e • Capacityin Total # of Manufacturer Tank Information Gallons Gallons Units •New Tanks Existing Tanks• m y b I y Septic or Holding Tank S V Dosing Chamber D a V. Responsibility Statement- 1, the undersigned, assume for htstalladon of the POWTS shown on the attached plans. Plumber's Name (Print) PJoer's Si MPIMPRS Number Business Phone Number J7I7uSu#r4cc2 Vai qii Zl5e&'i VL County/Department Use Only • Approved D Disapproved Permit Fee I Date Issu:'- ]su❑Owner Given Reason forDenial $"7 �^ ; )Qz a 1,41 .4 2 71 2 Conditions of ApprovalfReasons for Disapproval snacm to compicre peens for inc system ana submit to too c:ounly only on paper not less than 811E x 11 Inches in size SBD-6398 (R. 03/21) PAGE 10F4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027;}- z kf a D PEAR 12 2026 Pg 1 of 4 Index & Cover Sheet Bayfield Co. Pg 2 of 4 Plot Plan Planning ning Agency Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name I Description Owner Name(s): jTL Phone: - 02 Owner Address:(,1SW , JS/L(t7Ad.C.�1c�� t� n� c Zip. Project Address: I5s PVIiWI'9,-fr (i u fi, Govt, Lot:____ 1/4 of 1/4, Section47___, TVN-R E D or wJ] R Township: -4;— County: Project Parcel lD #: Designer Information Designer Name: Designer Address: E-mail: License Number: 7Qo Remarks: Phone: 1S -S _ Zip:5i11,3 i1.3 approval stamp. Signature: Date: Ori€ ig tore required on each submitted copy. W ' 1a33S-0�I��e5�w T^c.��c d8Z1 b . pr • ■ •+.,erartM.._.� _v. . ....ti...-ar..w_v.._. Rsu_wewv.W+N�_ww+tirw_w....nwrL_..�•.a.[�s+._+wvn.a^�r+ ...wtti•.r_, `...w.. w.f a�•.wr..�•.wv.'rra•v.•.-. C;«l�. Lot- Z �SM .l �. _...• -t ��...?.D:3... __.. . 6 MAR 12 202 ...... _.. L off L w... .. .._.._ ...._.._, _. __... .... . Day field CO. t'i ?n!lng :._Jning Agency ___ - \ • �3 .. _....w_+a_.•�..r. .._iu_.w• .«.._ ._.... .. _... ___. ... ._. - .. _ .... ... •/_w M.. ...v.a.._4.wri_+v: -i • Y..rr wry M_.«r_.�+_«_-_. _-r...w.r •... . - _. ..- _ - _ _ .._ ...�_.-., ..... _-....._. :--. - .. - rwN/r+e�_.• _ _.. .�.._ .__. .. .. ../- / .. _. -.._ u .. �Ir�raa(�I.++1Ylr:ownlsYMW+.Vw1..WI,Mr.M.Vr.�_.rw. ..•... r-. .. ....-. v/qi�.- _.. .-.. .. .. .. •. •.• s. Cv .w.�_..v__sw. .r ._.. _..v_��Yr�law..•.0.a MY.'. s. •.. .i ..._.. -. r_.s r - -----A►'�c . top t A c46 V6 s% :c5.1 . . . : hi 131 • : ( /-- it3eU 2cf �• � p ae&" - / P[ -fro ! ce •-�-6 S^ IN -GROUND GRAVITY DISPERSAL. AREA Uniform Elevation Trenches with Quick4. Standard.UWW Chambers 3 -fit Trench (ftim-sizing credft) minr'12 (typlauI) Septla Tenlc(a) Menufaaturerl r � '�j Sepllo 'I'antc(s) VoIunte(s)I wdid4 el 'nmwovw„,w, Oral r..�w.,..q gal ru.�wwmw.w gal Effluent Miter Effluent Filter Madel Y/I t--r— min, nIih " TYPICAL TRENCH 'w CROSS SECTION VIEW (tyloau ° 4 'I (No Scale) Provide minlrrlum 0 ft Systen'I Elevatlan =,,,Z,,,, ,,, ft separation between trenches. (typicni) 4luloM Standard•W wo fl) p (show Iocrltlan of Inlet / outlet pipe eonneollorl an plan view,) (typ 7r iii IITIITICII (typical) INSTALL PER TRENCH) Quiok4 Std•W @ 20 ft EISA/ohamber = f0 ,4,_,_ Pairs of end caps @ &R. LISA/pair = , _, fte = Proposed EISA per trench r 366 ft" obsarvallon Pipe (Iypmal) all per nlahafaoaaoAa / Inslrualiona, TYPICAL TRENCH PLAN VIEW (No Scale) TA= 3.0 ft (lyplanl) Chamber (mid by Inflllratar 6yelemn, Ina) Install purauenl.lo manufealureea inatruollona, Required infiltration Area x ft2 x 3 m� trenches = Proposed Total EISA Distribution Method: N Il Ingrou nd Gravity Management Plan The owflerthsga gravity system shoo be _ requirements of SPS 382-384, Wier.. AcMm. Code. P ad rfts perPetual operation andnahtwance pursuant to be considered.a human health hazard notr ntafned n accordance �_ s� Adrn; - Codssyewm:i ii Furtermore, all inspection and maintenance acfvilfies shall be pe by a orned a?l vred POWMai plan �rdance with SPS 383.52 (3), Wisc. Adrnin. Code, :. registered p �g ,"her in eximum Dls Asa Area O erg n j#nits: ' t DesIgn Flow= _........._ gpds BODs 22o ni L'• . 'l -1 15O MQ0 31_ ..,...s OG3O,- inspection Chen- INSPECT EVERY 3 YEARS o type of case o age Of systemMAR 1:22025 o nuisance factors (Le. odors, user complaints, eta) o 1'11eclhanlcal malflunction (La., PunipS, valves, switches, flBayfield Co. o material fatigue (Le., leaks, breaks floatseft) Planning and Zoe: ngAge,lcy o solsds vo#cry in anaerobic treatment o negil or any d�stribu on appur€enance(S) (i.e., di buffon I drop boxes proper use (Le , exceeding desk, capacities, pcoi�ibited activities, ) o eta of ponding in distribution cell e%) o dosing �gu�E�eS .. � pr�or•to dosing applicable (i.e., pump re -cycling, float swims seiiings, eta) o e#ecWc al c0mpostents- ifappiicable jW.j wirings connections switches, controls, a distutivn lateral or lateral orifice plugging.`(measure burners, alarms, etc.) o surface discharge lateral distal pressure_ [Damp ; desk Specification) of efuent or sewage back-up mm structure served alneena Ice Chet st MAl1tlTAj EVERY 3 YEARS (or when necessa�yy o tIc and doses ) shall be pumped by a certified septage servicing o Stets. when �e volume of sods in the tank(s) operator licensed under s. 281.E Wis. as required by local ordnance. f3ispo o€ contents shall (113) the liquid volume of a be{s) or pursuant to NR 113, Wisc. Admin. Coda entffitjers shalt be inspected e accurn�ated solids according to mangy u3�r�s shall be cleaned when rem to remove months. P©ns. A servicing prod always be greater than 12 .System ;maintenance reports shall be submitted to the proper local avern : - SPS 383.88 sc. Admin. Cade. R rt an g rrcent in in a rdarece with y,component failure or malfunction to: Name of individual or company;32)i jJ\ 5-!12?Jj4. g Phon e€mm�ent f5 u Localov nitL{74W Phone: f ��/ Local government unit address: Any defective part of this system shag be repaired, replaced, or removed pursuant to SPS 383.5 1(1), W. Admin. Code. Repairer replCem of fatted or malfunctioning components shall comply with SP loo product �r chemi or pb restoration o€ POWTS maybe used unless a S 383, i> Sc. Adcr €t. Code. accordance with SpS 384, Esc. Admire Code. pprotved by the department in Cntingency Plan In the event that any failed treatment componentof this POW's cannot be repaired, it shag 4a peon submitted � the appropriate agengyfor review and a be replaced pursuant to abandoned and replaced PProval. A failed mound dispersal component may be pla by a cue -complying dispersal component in a pre det►ned. a of sctable soils. men Abandonment !f use of this POWtS is discontinued, it serail be abandoned in accordance with SPS 383.33, Wlsc. Admin. Code .4 Property status : Current Real Estate Bayfleld County property Listing created On: 3/•15/2006115:05 PM Today's Date: 2/4/2026 Updated: i 622/2026 _ abed: 1/22/2026 _ ..... _.. _. OwnesiuP U _. _ _ -- - •- - WI DwwAption .-_ ... -_ . _ ....... - - V MICHAEL G & MONICA A BIGO ASHLAND Taos ID: 8821 PIN: 04-012-2-43-07-17-4 02-000-60000 Bi [inq Address: Mailln - ' dre' Legacy PIN: 012104304002 MICHAEL G & MONICA A iairo�tMICHAELtG°&�EONICA A Map ID: (012) TOWN OF CABLE Munidpat'tty:ASHLAND 33so sCR%An9 pW • RD B1G0 s6335O5CHWIESOW RD WI 54806 gTP 517 T43N R07W ,-:. OF'2 O? CSM #1165. IN V,.7 P.203. . LAND wz-54806 Description: LOCATED IN NW SE) ' IN' 2022R 593551 Site Address * indicates Private Road IM 2026R610713 .. * _ CABLE 54821 Recorded Acres: 2.130 43335 AUGUST CIR ' Calculated Acres: 2.107 Lottery Claims: 0 Property Assessment Updated: 6/i12o10 First Dollar: No Zoning: (R-RB) Residential -Recreational- BusinessAcres 2026 pssesntesrt`Detail' Land Imp. ESN: 108 - Gld-RESIDENTIAL 2.130 _" 15,300 .0 Tax DiisWcbs Updated: 3/15/2006 2 -Year Comparison' 2025 2026 Change = STATE Land: " 15,300 15,3L30 • 0.04 1 04 COUNTY TOWN OF CABLE improved: 0 0. 0.0% Total: 15;300 15,300 0.0% 012 SCHL-DRLJMI�IOND 041491 TECHNICAL COLLEGE 001700 Property�Hutory _ -- - Recorded Documents Updated. 3/15/2006 N/A _ ® WARRANTY DEED Date Recorded: 1/15/2026 2026R-61(173.3 .� {,� ss ° , i i/ :�', ® WARRANTY DEED. 2022R-593 551 MAR 12 2026 Date Recorded: 2/25/2022 ® CONVERSION Date Recorded: 500265 83.4206;921-668 Ba etd Co. ® WARRANTY DEED 20Q5R-500255 -7/6/2005 Date Recorded: Na 915.A R . � 1J � 1' 1:• � 1OMnfl jj Qv/• wr�r • AUG 0.2 2001 IP) 5!«k '' No. 26273 'Ba Uefd Co. Zot!lt$ Beet. • BAYFIELD CO. CERTIFIED SURVEY MAP' 1110. l LOCATED IN THE NWI/4 -S EI/4, SEC. 17-T43N-R7Y4 TOWN. OF . CABLE, BAYFIELD COUNTY, WISCONSIN.' [u au. P„33" i� b ' CURVE LOT ARC • RAD. • CO. t.. • CH. I$o. • DOLTA A TAN: ago. 1-2 242. DO.00' J 60.00 ri874) i.' -,T774.V Nsit se Vj 2 12 o aoo.7' Mrrsa r.4r'-as •' h 121.0E 30.00 53.37 82x4.2! -os'B a M. x . BEARINGS ARE R EFERENCFD iO N -S 1/4 • SeQ'LE - J5' ! INE - ASSUMED 70 BEAR N2° -41.59W. • s;i4 CORNER 0 - 150` SEC. r7-T4SJ-AZw ' EX. COUNTY MON., • OUANE A •"•� EXISTING ' 2!/2 CAPPED- PIPE •N 3 r SOLig • I. •= EXISTING 2' •IRON PIPE'•.37• Iyyl.' 1.• r � • .' o. • sir I'••x• 2a" IRON PIPE, •gj�:R�1�.t� N Q Q W cc lags„ TOP VIEW U) M SIDE VIEW 4" CAST -A -SEAL OUTLET U) PUMP PAD _i TANKS ARE MANUFACTURED • TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS W1565 —MR TANK SPECIFICATIONS DIMENSIONS: a WALL: 2 1/2" I BOTTOM: SEPTIC 3" a. a HOLDING 5" (ADD 1,500 LB.) o MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 69 1/2" O.D. LENGTH: 109 1/2" O.D. WIDTH: 93" O.D. BELOW INLET: 57" O.D. LIQUID LEVEL: 51" N WEIGHT: 10,840 LBS. INLET AND OUTLET: iiia O 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) o• W LIQUID CAPACITY: 30.69 GAL/IN tn HOLDING TANK: W OUTLET HOLE PLUGGED ., g ACTUAL CAPACITY: 1,657 GALLONS (U LOADING DESIGN: 8' 0" UNSATURATED SOIL © to 0O MN TANKS: WILL HAVE ONE VENT OVER OUTLET It) AND WILL HAVE TWO VENTS IN COVER OVER INLET N TANK CAN BE USED AS: ' SEPTIC/ HOLDING/ PUMP OR SIPHON OI COVER: MIX DESIGN #8 NO FIBER) (STRUCTURAL 00 0 gn TANK: MIX DESIGN #10 FIBER) Co CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE JOB INFORMATION: CUSTOMER: 306 NAME: DATE NEEDED: APPROVED 6Y: APPROVAL DATE: .- J � J N Z a a � LiJ (')w PSCSenessiotuuiFfflueiF,iiii.. - MR 1 2 2026 Say d Co. planning and Zodno A^encY opIdda] rleatst a Oranco FSC-series NOME E,`9ueniF,lsr nr'anros�s�rs� a sQSQ handle 0rencaSG,'Setias ic;: uuerflthifr d-:.srntd to remm�= solids from anuertieaving wasfewartanim, Drenec's parr-panding PSP-Se;ies aidube uer8lters are used to improve the qua* of eMi ueritem was(ewaior marks 3mpraved a Uuani quefrl` extends drainfield Toe in rarsde dispersal st ns and immuves the peffonnance df dotYnst wze& otin The Bfotiha a'Fercarfi;dgerma iig hlyia the hosing while being easy 8idldham r td lLrtnGM mrmamlenarrce. iha passk*$elP-le3nl0 car•:ddde mamterw'ry;e :n r-erva15. Filter .. g9n er, lends rn srt is avd7able in ilaln or lll6in 132nm ur i.virrmash operimg sizes. The handle can he extended; iJh PVC pipe (not mcluddj for batter access a thecaraidge.A 3!'f (1Jmm) diameierta handle is tecJude1. ii4odefs PSCS0621-1S and i'Sci O62i i8 are i<SF=6 cerllfied S1ar4&i Madeis 21T18. PSCW0621 ;8, PSCPSoG21-is, pSCFWO6pi-1S Product Code D ww '�ste{»!ale n +•.... - -lf a:[-Vntl-tl4pg a YaRF7.Qi8QCe.CQiQ PSG Oft 21 -18 -fl gG'-F=,m lcas5 �..Tatesurl i'uiiac$'L�7 &-V-,ElWviB7((-a'--'ice -�J3i.itrv'cn:.'''111urIC- j iicie(nag It Pi=≥tom tks�.6,3 aterials icon` aeb"gon Hodsing Pt1C, ABS clothe tTmiMim.'dae idilo<oP9iare DM iimdle �Pr?rte+iL, PIIC. s�nte� s�f O nec�rptaie LU a6:a©ertS Page Y ut2 h' a 12 202`. I Mode! P3C5062 -1s PSCPs0621-18 A Overall haighhy in (mm) 22.7(577) 22.7(577) 8. Housing height, in (mm) 21.0 (533) 21.0(533) C. Cartridge heigh=a in (m 17.75 (451) 17.75 (461) D. OuBet pipe drme�, in (rmnj 45(]14) 4.5 (1 14} E Otrllet heightio mvart, in (mmj i&5(34 13.5(343) (343) F. De6aciorplate diameter, m (mmj 6.63(16 6.63(166) Mesh size, in (rnm) t!83.2) 1/1&(L6) Filter surface area, (m 6.3 (0.59) 6.3 (0.59) flogs area, i (mt*` 1.9(0i8) 1.983181 Rev, a Branco Sysiems3 = 800-348-9843 - _1 541-459—".449 - www.orenco.cam Rev.3 ® aar2i Page2of2 SS-ooltt r I Private Sewage System Maintenance Agreement I Owner(s) Name Michael Bigo 63350 Schwies+ow Rd Ashland, WI 54806 Site Address 43335 August Circle Cable, WI 54821 I Tax ID # 8820 & 8821 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) DOCUMENT NUMBER 2026R-61 1661 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 03/26/2026 AT 12:19 PM RECORDING FEE: $30.00 PAGES: 1 1/4 of 114 Section _______Township N. Range W. I Recording Area Additional Legal Description: Town of Cable Lot Block Subdivision (Acreage) 4.22 Gov't Lot Lot 1 &2 CSM # 1165 Vol. 7 Page 203-204 CSM Doc # 467097 Return To: RECD j1V D Planning and Zoning Department MAR 27 Z026 3/e7/J Baylield Co. [i In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Senile 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 Fitter (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 maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and Inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Michael Bigo Subscribed and sworn to before me on this jrdate: #ja GJ1: Notarized O r s) — t My Com Iss xpires: c; �' • ' fir /1� ;•+ t = /4. C) Drafted br Michael Bigo Date: . �' ''• _.t Proofed by: ulrormslsanitarylsepttcmaintenceagreerdent Revised July 2020 • SOIL TEST /F?O �"T��'��o� Wisconsin Department of Safety and Professional Services Services M AR Q Z Z0Zs Page of _ -- . Division of Industry • fl) k _ o SOIL EVALUATION REPORT avSield Co. Q9 '(+ � �� ° �� lac ninJ - ^;� • (ENE0" ''�•n,,,,,�4 In accordance with SPS 385, Wis. Adm. Code' Cour,�v ' FIELD Attach complete site plan on paper not less than 81/2 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. ib $ 8Z 1 scale or dimensions, north arrow, and location and distance to nearest road. q Please print all information. R by 13 at Personal.lnformation you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). .. O ❑ Property Owner Property Location (Vi gl !Gkc e 1 G. AA o ✓lt c 1k. i o Govt. Lot % r 4• $17 T t{3 N R bZ E (or)() Property Owner's Mailing Address t 33So ScInw'1es w -lc Site Address or CSM and Lot#: 4,333 VS -E` tircle `�Z City sLk State IWI Zip Code I 5 Phone Number (2°q )oz -t( ❑ City ❑ Village (!*Town Ga61.e. W Nearest Road � Vs`t C tics!( New Construction Use: )& Residential/ Numberof bedrooms 5 Code derived designflow rate�GPD Replacement O Public or colm ercial — Describe: Flood Plan elevation if applicable_ tJ 4ft. Parent material _Q Lie 1, i i la c)#t.jCtS General comments and recommendations: `-� sQ : 5 2 �'!�.►1 q, e Boring # Boring i(2. W.5•b'5 Ground surface etev._t, Depth to limiting factor in. / elev. ft. . Z SoIl Rate Application Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz *Eff##1 'Eff#2 i o -3 — ozv- 1 33-9 ?s lr3Z f 15 b -S zv-(- r Si 1j13 j5 s, 11 n i v - b0 rf q — .5 << rl rt i U .1 1 •_ 14 60 =IIZ. 4 -f - S --- .� L. ID 4t4 10 0 Vr. e ti c'v c Boring # ❑Boring L.3 Spit Ground surface elev. . ft. 12-49 Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 `Eff##2 1 b3. cb�-e E 3 7� �- 3 (s. V - -C- ,T ! • c 3 31-51 r r.5 < rf t t .7 C7 -12h, it G1 i 3Jcq_±_ioa c v Go CST Name MERTON MAKI Signature CST Number 224941 Address 10869N SMITH COURT .HAYWARD, WI 54843 Date Evaluation Conducted )-- L`f - Telephone Number 715) 634-8719 ' Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mglL 'Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21) :M 122026 BaYfeld Co. ��lannin�j a-�nu��g9enCy Page of O Boring!�t SCI 3 f Boring # Pit Ground surface elev. ft Depth to limiting factor In. / alev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Cr. Sz Sh. Consistence Boundary Roots GPD/Ft2 *Eff1 *E I O.3 _ �c (5 b-5 v( - 2-4 !. ta I 3..c1 `1 -7S z ---- 21 '_. t I o____ ____ ko-'2__/'f. .iq3 ob. _____••____ ___ L__I Boring # ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor In.! elev. ft. Soil it Application Horizon Depth • In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture • J Structure jCr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eif#2 S = ,o ( -.- !o Z c vt tor- 2O 4 R ee, 3 t�4 -r I ____ ______ + s i4 ____________ _______ Boring # ❑ Boring ❑: Pit Ground surface elev. ft Depth to limiting factor In. / elev. •ft Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Efi#i *Eff#2 N c,%1k3tP�-- — 'e J I a..- s Q a -f.-- r s- a c eej * 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 • 633` G Q T '�/ S �ffr� . .......-r_w.•,.:.awns.w..•wea � � G� � .wa� ni.«i ,•...•:...a...•..�a•. �. a -...r :.swa+•..nriar.•�n v.r � �..c.x�«sar..w:r�.w_••:a»rw-v.-�......,..v..•.-.x,......-.�..-a..w..•....•.w:awevx...«a.r.a..•u.,..a .n>a..... ---.. ___.__ 433 :us4 C<< (e Lof L Cs~i . 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J. ��//1/� ." j t ••••1 w-•�••:•. �.1�,��•a.»w•�,� • srw +a�.:.xaLrwr.'l:N2y.*.wrr..0 n.a-a•...atn�i�J.Y�t:Y+eii.e: -ur.w �sie�vs+,yrk. rn+1.oan+•w••.,.tw.sia-.syi.w.ramie.ra..e.1...•..arJ�w:�.•.rarnr,,,se.•..�. , � r�•yW �r [�/�\ s.+wi•++*a..w�w..+ht�tn+w_.ar•.s,^_._a... ....... •r�•i i ' • s .. r TwKL6._.(t♦.yF..i,.rr._R':a•C•i•.b_.-n+s H ._ .. ., ::. ._. _ .. __._. .r a .. .. --_ --•-� ?�c�l.��P l_____"�o��et`E' (fie ��`�S � �_.-------...___----•--- .--�_...._ ......__. _ ..__.._._--•-----'--- ' r j2;f VV'cJZi'• Oi cSD _••. RgciE7 _____ s -__- - tcrL 4e-' .ctci S L S :-r - _____________ B%:. ' g57q rr bi • � r sir t e '/y► 4 r L ' 4.. +ob— q :• / -h •� �`� MAR 12 2026 'I �, - :��. �.�..�� - Bayfield Co. planninG ar d woning A9011Cy a it ' 3 L= s 1 . Gj2� S t `ON e p -I-- ____ *1 90 W ` TI: . —1-- --Ot�ocM (� • ; ocx�0oi:omcsv 1 +3 *3 -1-3'C `Z iiT } s � .rwLw—� .r _S • oo9 I x.33 = g 120 10 4 BAYFIELD COUNTY SANITARY PERMIT (#04)-26-23S STATE SANITARY PERMIT OWNER: MIGHAEL G & MONICA A BIGO GOVT LOT: LOT: 2 BLK: CSM: 11 65,V.7,P.203 1/4 1/4 SEC: 17, T 43 N, R 7 W TOWNSHIP: Cable SOIL TEST: 11-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND TRACY POOLER DATE: 3/27/2026 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: # MP 798301 Condition: Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 3/27/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION