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Industry Services Division County 4822 Madison Yards Way 1.;•., S ,� _ �77 a Madison, WI 53705 P.O. Box 7162 Sanitary Permit lumber (to be filled in by Co.) tSs Madison, WI 53707-7162 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 is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) 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(1 )(m), Slats. T��7 /e Ld, C. — (�o r�, f /� Mir �' "`T ` `-� 1. Application Information —Please Print AB Information Property Owner's Name Parcel # I �j' i-. Li (L E 4ERED _ C' 's Property Own s Mailing Address Property Location 9®1 Govt. Lot City, State I Zip Code Phone Number Sf✓i/v — /✓'�l� %, ¼, section (/ j O T 93 N R E or U. Type of Building (check all that apply) Lot # I G' pl or 2 Family Dwelling— Number of Bedrooms k.fI— ' 1(5 f'f Subdivision Name E}'ubliclCommcrcial — Describe Use Block# ity of ❑State Owned — Describe Use Village of/'� CSM Number Town of______________ e, 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 if applicablea A. IN ew System 1 1--1pceplacemem System ' [lOther Modification to Existing System (explain) UAdditional Pretreatment Unit (explain) Holding Tank jn-Qmund tt-Grade Ij Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision hange of Plumber ❑Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. DispersaVPreatmentArea and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sl) I Dispersal Area Proposed (st) System Elevation Capacityin Total #of Manufacturer Tank Information Gallons Gallons Units `O 9 " v New Tends EzislmgTanks u of A a 4 U r2 rn 'uu.. O w Septic or Holding Tank /a / Dosing Chamber C V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P 's S I MP/MPRS Number Business Phone Number 38/ /S _/�--7/� Plum rsA (Street' City, State, Zip Code) 1tzc&&PaticMaqunni,tcsysv VL County/Department Use Only Approved ❑ Disapproved Permit Fee Date Issued L ❑ Owner Given Reason for Denial MLssuigAg Conditions of ApprovallReasovs for Disapproval RECEIVED athGlcI'd Cewd - MAR 902020 B Planning aand Zoning A;ency plans for the system and summit to Inc County only on paper not less than 81/2 z II inches in size SBD-6398 (R. 03/21) S R-oo3' I Wisconsin Department of Safety and Professional Services 6 c Division of IndustryServices ed��v IL TEST # SOIL EVALUATION REPORT '•.,.,,,,.�,, In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include. but not limited to: vertical and horizontal reference point (BM), direction and percent slope. scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. rsonal information you provide may be used for secondary purposes (Privacy law, s. 15.04(1)(m)). RECEIVED JAN 222026 Bayfield Co. lain I and Zoning Ann, nh, BAYFIE SO Pageof 15rtq 1A °roperty Owner G f sho ccS er LtSt Le v-tcI o Property Location Govt.Lot %. Y. S i9 ❑ ❑ T43 N Rt'7 E(or)6) Property Owna s Mailing Address 90 Cerrohe 6(2 Site Address or CSM and Lot #: (S Tc/en4ark (ii'!is P 5a 1 I.63ac City I S1 Riot State I 1J Zip Code I 5Cj9 Phone Number (899)082'1 O city ❑ Village 'Town £c-b(e I ocr Nearest Road 'T"4 Ie Line. New Construction Use: Residential/Numberofbedrooms 3 Code derived designflow rate L±EO GPO Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable.h At. Parent material SaV14 rcwG IL O t.J 4.5 In General comments and recommendations: ©[]Boring c('j.�64 1OS" OT�Dr[ Boring St £'-�Dr[Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft' 'Eff#1 'Eff#2 I 0-.7 —tS 'z — 5 0 P- W ZutC r-7 (.(o Z 7-30 n Yf3 — 45 it u u fUR .5- 1.0 3 30—.10 % L/4 r5 lug 7 I.(o 2 Boring# Mrc1 ❑Boring cit. 1-1 [aPit Ground surface elev. (t. 40 97 Depth to limiting factor in. I etev.ft. Soil Application Rate Horizon Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPO/FL' •Eff#1 EO#2 -T.S r z — I5 0-S N c.� 2u • 7 1.(.e4 jDepthDominant ;--5r(U s 1.O N '-t/., r ra .r — t- .Z ( • (7 CST Name MERTON MAKI ( -, Signature M .0 tc '—t,,a� CST Number 224901 Address 10869N SMITH COURT HAYWARD, WI 54843 I1 Date Evaluation Conducted —S —2-Ca Telephone Number (715) 634-8719 ' Effluent #1 = BOO > 30 5 220 mg/L and TSS > 305150 mg/L ' Effluent #2 = BOO. 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21) IhAR 3 0 2026 Bayfield Co. Planning and Zoning Agency ❑❑Boring QOa .37 3 Boring # W 2S+ a] Pit Ground surface elev. ft Horizon Depth Dominant Color Redox Description Texture In. j Munsell Qu. Az. Cont. Color I Z 1.5 r3 L — 2i 7_2.Ha i S 3 u_ n .t •/c. _ of -c ❑ Boring # Page _ of (It s17.oy Depth to limiting factor in. / elev._ft. Structure I Consistence I Boundary I Roots Gr. Sz. Sh. b ❑ Boring ❑ Pit Ground surface elev. ft. Soil AppIicatiofl Rate GPD/Ft2 'Eff#1 'Eff#2 •s `f I.p t./o Depth to limiting factor in. I elev._ft. Soil Application Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont Color Texture Structure Gr. Sz. Sh. Consistence IBoundary Roots Rate GPD/Ftz 6 L s ! .; Q 0° = � � 3 (' u 'Eff#1 'Elfin �,q3i ree aoj L Q Qt = 3z r�.,cks fl t5 C, {— 4 be. A.%c = 4-2- J +t cc 6 I] Boring # ❑ Boring ❑ Pit Ground surface elev. ft Depth to limiting factor in. / elev._fL Soil Application Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Rate GPD/FP 'Eff#1 Eff#2 ' Effluent #1 = BOO > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = SOD, 5 30 mg/L and TSS 5 30 mg/L o t.J ✓\26 , Chris+o k,e .. SSc.L'1er1 Lisa Le41 c1 Cacco(( A'o2 - c---&ul, (VJ_SSia`f S.e; LotTap1.e.. L.tw Es - Lo _ VEO 302026 Bavlielu Co. Agency • LT C d 1 _ a K( o gnioo I t i Q0. _ JA` (44 Bca.Ra)a Co., CaI4e iu'f Tex Zb. 3c -z 0 5 LS T L131J FL (97 /w Lo+ 15 T,eIt-m" �� r -h1( PLc-c t ♦Bt- 6Q a d1c(bbo3` Ea.s+sde i` Oak 31. wtvt` Z. 3_ 11/5crz(. �iz5-9S,S` 12 f ST t*J 'E I0 t—io5' aF gtzeF pG�G�tD✓� 0� k sic 4pfco ` X owa= l�iS�tifr r LeK�%w �y== ���y G cc G�.y mLC� Gi7 a Q8,31 3e!® ' l i 3--- --= 46,37 I q� c'3 k` G7 ►r 6 3 liv MAR Plannin,r- 1 A. 9S= 93 -1-3 l • / _ I IosE =35,n5 48`'. S,�7 = Gil _ 17/17/25 7A9 PM Novus-Wisconsin Access rev. 12.0206 Property Status: Next Year Real Estate Bayfield County Property Listing Created On: 2/18/2025 4:46:59 PM Today's Date: 12/17/2025 Updated: 2/18/2025 Ownership updated: 3/18/2025 - _ .-- -- - Descrp ition _ _.. ----- — — - -- ST PAUL MN CHRISTOPHER FISCHER Tax ID: 39526 04-012-2-43-07-28-5 00-340-24000 LISA LENDWAY CABLE WI PIN: Legacy PIN: Billing Address: Mailing Address: Map ID: (012) TOWN OF CABLE CHRISTOPHER FISCHER CHRISTOPHER FISCHER AVE Municipality: 901 CARROLLAVE 901 CARROLL cm: S28 T43N R07W ST PAUL MN SS104 ST PAUL MN 55104 Description: LOT 15 TELEMARK HILLS PHASE 1 IN DOC 2025R-606333 Recorded Acres: 1.630 Site Address * indicates Private Road Calculated Acres: 0.000 N/A Lottery Claims: 0 First Dollar: No -` 7 Updated: N/A Property Assessmerrt Zoning: (R-RB) Residential -Recreational Business - ----- 108 2025 Assessment Detail ESN: Code Acres Land Imp. Tax Districts Updated: 2/18/2025 N/A ------------------ 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 0 0 0.0% 012 TOWN OF CABLE Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 0 0 0.0% 001700 TECHNICAL COLLEGE • Recorded Documents Updated: 2/18/2025 3;. Property History ® WARRANTY DEED Parent Properties Tax ID Date Recorded: 2/27/2025 2025--606678 - `- -_-•=3 i-2d 01-000-14000 39511 13 CORRECTION INSTRUMENT Date Recorded: 2/19/2025 20258-605597 a WARRANTY DEED I A `9' Date Recorded: 1/28/2025 2025R-606634? ��t((U// S PLAT Date Recorded: 1/27/2025 2025P-606333 / , /5 L� 6 HISTORY C Expand .411 History White=Current Parcels Pink=Retired Parcels 04-000-10000 01210740< ...YCE ED ©Tax ID: 9100 Pin: 04012-2-43-07-28-": Leg. Pin: �_t_�:.v�..00C i-� .. siyi OTax ID: 9095 Pin: 04.012-2-43-07-28-1 01-000-10000 Leg. Pin: 012107401000 rax TD: 9097 Pin: 04-072-2-43-07-26-1 02-000-10000 i.est- Pin: 012107403000 MAR 3 0 20'6 ` ® Tax ID: 39400 Pin: 04-012-2-43-07.28-1 02-000-12000 ® Tax ID: 39455 Pin: 04012 -?-43-07-28-1 02-000-16000 Bayficid Co. 0 Tax ID: 9099 Pin: 04-012-2-43-07-28-1 03-000-_0000 Leg. Pin: 012107405000 planning a d Zoning Agency 39526 This Parcel It Parents W Children .. - ,,__. __ L....CNA,.,.•,n1., nnvfarrnce/mactnr.as0 MAR 302026 TELEMARK HILLS PHASE 1 E- ; ,1 ce A BAYFIELD COUNTY COUNTY PLAT, Plannin_ . .. _ ning AgeOCJ/ DOCUMENT# 2023R-600914, LOCATED IN THE NW 1/4 - NE 1/4, NE 1/4 -NE 1/4, SE 1/4 - NE 1/4 AND THE SW 1/4- NE 1/4, OFSECIION 28, T43N, R7W, TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN T40B' ? R714' \ 1 \ amm, a ` aa.am -I--FS R%,Lf751J43 .LllLfl SK)T Ii I!714 Ui S293SIS7 l; f sinrn a,! Ill LJISWWWW J'S Mlflr U? slflflfl 1I3 -u w $ w ue ICTI! wW nm C \`� of unn ry ;� oo \�.. NB NE /0.l''.. N202n 1 NW -NE -RE \ P08 wesexfw `- — nttiw 6 \ w \,-, a x a 3-xE 10 \ \ 9 11 sNw a r a, , b ,:,a,aw u 12 — it 14 / \ P>• $0!? LOINNMBFF ,y / t. ' \ aeaes . 18 `\ 17\ ass '�® fi 16 a A 19 "" pp \�� K .�Pw :: •i3 dTiM''�.o.oa `� W 20 a.NIC u.�i,xwra"C 4 .sarpa�:,rsup.,a�artapn..0 w sIl,S �rt ""..vvrvv[ g�i. _ nrr.awuym e^oeaaa _ CS2 •-v�W^�m:a. n pa 0 w maa'S a Bayfield County, WI DANIEL'JODA Ta IDN 395]5 RECEIVED MAR 3 0 2026 TIMOTHT:LEE': MORSE• IRANDT'3 MARY SHELERl1D 'TaywIDR 19526 Bayfield Co. 1'ew,IDp.39525' Planning and Zor;!ng P.gar.ry - 6 361' :r (ri;.fL.fim8 All''& VER? SCHROEOER:RESNICF lop 39528 IbCSIIPAE� TN TELEMARK IIIlL5ALD Tar IOR 39514 •D. VTOPHER [MICHAELDAVIDIPE5NICK Tax 109 39527 ✓ w tP •~' tlr4444 w'n a n �,� 'J �lrC it i ` .` T., WF IDIF 39401 TeeIDp99401. 12/23/2025, 12:25:35 PM Meander Lines L..a Approximate Parcel Boundary Section Lines © Municipal Boundary I.ECO 0 0.01 0.01 0.03 ml 0 OET 0.03 0.06ITT Beyfeld County Lend Records Department MlprAmepe.inyfoldwunlywl pm1D39(aMW WTl Bayfield County, WI Lc9-I I15 ~ tiker(�Ga- t$ o �a� Bayfield County, WI 12/17/2025. 7:51:24 PM PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: P0WTS for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): C&` LOI f f:5dy, Li SiLeI'V'00e Phone: (U— - Q27 Owner Address: 9oi '-.'/c'( e Zip: 615 / O y Project Address: 0 &f -/,,-A »,-A !l /5j T (eftar/c h"as Govt. Lot: 1/4 of 1/4, Sectionn, T YS N -R (77 E ❑ or W ZI Township: C(LU it County: I�Ct_ Project Parcel ID #: tpX rp# '3 5g2(o Designer Information Designer Name:'T'ufl ty/i? Designer Address:/()57/N Ttio,i'.J v&a rzP Pn11 21J E-mail: License Number: 7730 I Remarks: Signature: iginal s gn ure required on each submitted copy. Phone:%/S $ /&73 Zip: SlfI3 aglA)l/Za! reserved I ,r appruvai stamp. RECEIVED MAR 302026 Bayfield Co. Planning and Zoning Agency Date:.. 3'-17-3-7 IItil4C3ROUNDi GRAVITY DISPERSAL AREA i..inubrm Elevation Trenches With Quick4 Standard W Chambers 3,4 1i"rernch (down -sizing credit) SOIL COVER 12" min, trench dopplh (lypklal) ruin, ID (typinal) r•d r •r I ., , A,• Septic Tank(s) Manufacturer; Sept to I•ank(a) Volunlo(s); Z'h?t, gal „ ....ry,.,. Sal 9611 Effluent Filter Manufacturer: Effluent Filler ModellkptQ TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Elevation = F ft (typical) Aulak4 Standard -W wtl nd Cap Show location of inlet / outlet pipe connection on plan view,) {typical) ( pp• I I T1TTI11J a=_? ,.ft (typical) INSTALL PER TRENCH: Qulck4 Std -W @ 20 fe FISA/chamber = 1ItQ, fta t• ,�k „ Pairs of end caps @ G' -ft' EISA/pair = tta Proposed EISA per trench = ft' ECEI\'ED MAR 302026 Bayncld Co. Planning and Zoning F.- Provide minimum 3 ft separation between trenches, Obaarvallonplpo (typical) Install per manufaalurora / Inalruallona, TYPICAL TRENCH PLAN VIEW (No Sc71e) 1A = 3,0ft (typical) Chamber (mid by Inflllrator eyetema, Inc,) Inulall pureuant.to rnnhufnnlurer'e Inatruotlona, Required Infiltration Area T lv ft2 Distribution Method; x trenches = Proposed Total EISA = f%9? ft' .. _ ru c O .§`.a. In -ground Gravity Management Plan PAGE 4 OF 4 IMPORTANT. The owner of this in -ground 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), 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 €3perafing t !mils: Design Flow = L/ 6p 9pd; SODa 5 220 mgL-'; TSS 5150 mgL1;..., . a - X30 MgUj inspection Checklist INSPECT EVERY 3 YEARS o type of use i'i;1i� 30 2026 o age of system o nuisance factors (i.e_ odors, user complaints, etc.) Bwoid Co o mechanical malfunction (i.e., amps, valves, switches, floats. etc.) Planning end Zoning Agency o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenances) (i.e., distribution I drop boxes) o neglect or it proper use (Le., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irreguiariiies - 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 MAINTAil4 EVERY 3 YEARS (or when necessary) o Septic and dose tank(st shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stars, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code. o Ef#luen t filter) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's speci₹ications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper total government unit in accordance with SPS 333.55 Wise. Admin, Code. Report any component failure or malfunction to: Name of individual or company: -) Phone: Local government unit � Q 'Z � Phone:p: 7j%" '/3 Local goverment unit address: Po n �' - / zip:Y O 7_ Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), WISG Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Adntin, 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 Plain In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to ₹he appropriate agency for review and approval. A failed in -ground dispersal component maybe 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 38&33, Wisc. Admin. Code. PSCsSerj iotub ® Effluent FH_ ers due-0mal rloat stxtcn Orencn PSC Series Stain/ye EfuengF,ljr drano Sirs ciEi so c FnILSARnnn� +iaatlte Oznca PSC-Sedce 8 ; unnt F ter are d5innsd trenjg6 olds fiom effluent leaving wasiewa tanks. &oral 8ioiiue m er W.Wdge \R 302026 0renco's Palest-pendiw PSC-Sedes 8iozube Effluent Filters am used to Improve the quaky of effluent from westewatar tanks. 6hipmved e87uent quafrty a.:iends draum52M life in ensile dispersai systems and nnamves the petfomance of domzueam zems,xin efluemtseWr� ma 3iotube Byer cartridge itta itr :By In the housing wtvle being easy to remove for maatenance.7he passive'seti-leaping desIgn extends rn nteerraree cycle intervai& Ftier mesh is available in 1/Pin or 1116ia ≥;.2mm or i.6mmi mesh opening sizes. The hanala can be exterujed uvf h PVC Pipe (not included} for better access to the ttarbidge. A 3/'ur (IBmm) diametertoee horde t included. Models PSC50621-18 and PSCW0621-18 are NSF46 certtned. 8ayfield Co. 32nd Zcning Agencw,a r a t s PSCSo621-18, PSMY0621 ,8, PSCPSD621-18, PSCPMGZt-18 Prockigi Cone Diagram rfeclor plate PSI;- - .5:4La3.3. ohrtc= P =+n6 1 =x:88 ; a nifConsySE3aCdTu PVC. ASS at tfsrrxrutdge � dte+am�ments go °WJ]eme D 7i M. stair,,= Seat Degactar elan= ABS Sax as Gem Page 1012 F _ C ECEtv%u MA;; 302026 Bayficld Co. Planning and Zoning Agency Mode! PSGS0624-i8 25CP50621-?0" A. Overall height, in (mm) 22.7(577) 22.7(577] B. Housing height, in (mm) 21.0 (533) 21.0 (533) C. Cartridge height. in (mm) 17.75 (451) 17.75 (451) D. Ouiet pipe duameter, in (mrn) 4.5(114) 4.5(11' E 0ullet height m invert• in (rim) 13.5(343) 13.5 (343) F. Deflector plate dlarnelre in (mm) 6.63 (168) 6.63 (168) Mesh sae• in (mm) 1/6(34 1/16(1.6) (i.6) Filter surface area, (m2' 6.3 (0.59) 6.3 (0.59) Flour area, f (nr 1.9 @.18) 1.9(0.1 ''M`erana fsd as rtz tawsma:wmu r.or,*' nJ&ae �-. ii*, ira fries rnCca •'frvvame is demeda: me2l uaararw(,:seaeffuenmh Egam" efaPu'Wfrureidtn:lfi ssx,itNn me Th camm'aa Rea 3 ®ee21 Orenco Systems' a See -34@-9843 a +1 541-459-4449 www.omngo.com 49 o wwrenco.eom Page 2 of 2 d• WLP1000-MR TANK SPECIFICATIONS a MAR 3 U Luca TOP VIEW lit _ N Co U a CD 24" a n A —SEAL Bayfield Co. planning and Zoning Agency DIMENSIONS: WALL: 2 1/2" BOTTOM: SEPTIC 3" HOLDING 5" (ADD 1,300 LB.) COVER: 4" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. LENGTH: 104" O.D. WIDTH: 86" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36" WEIGHT: 6,790 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: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET OPTIONAL FLAT COVER AND WILL HAVE TWO VENTS IN COVER OVER IS AVAILABLE FOR EXCHANGE FOR DOME COVER. TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) OUTLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) J n PUMP PAD CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE II CUSTOMER: II JOB NAME: SIDE VIEW II II DATE NEEDED: IIAPPROVED BY: TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 0 U, 0 J N zO<Q O OO H w 5 1n w w SHEET NO. /DF1 In- Oo--a-'1 Private Sewage System Maintenance Agreement Christopher Fischer & Lisa Lendway 901 Carroll Avenue, Saint Paul, MN 55104 TBD •"" "' " 39526 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil testers report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 1/4 of 1/4 Section Township _N. Range W. Additional Legal Description: LOT 15 TELEMARK HILLS PHASE 1 Town of Cable (Acreage) 1.630 Gov't Lot Lot_ Block Subdivision Lot _ CSM # Vol. _ Page CSM Doc # DOCUMENT NUMBER 2026R-610700 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O1/15/2O26 AT 8:OO AM RECORDING FEE: $30.00 PAGES: 1 Area Return To: �� Planning and Zoning DecC RhtQr} 1VED JAN 162026 runnIng ma Zoning x❑ In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a,certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B. C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers 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-arede. 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 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 Christopher Fischer Lisa Lendway Subscribed and sworn to before me on this date: d 7 .0 24 Notarized Owner(s) - Signature(s) NotTT Public 3 Z�Z� My Commission Expires: 1 Drafted by: (:hl(tS R( Date: Ut- 2_a Ott - to AIDA M PINERO Proofed by: Notary Public ! Minnesota u/formnary/septirmaintenceagreement My Commission Expires Revised July 2020 Jan 31, 2027 B YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: LENDWAY, LISA TELEMARK HILLS CABLE, WI 54821 FISCHER, CHRISTOPHER 901 CARROLL AVE ST PAUL , MN 55104 Description Private Sewage System (Septic Tanks) Submission Number: SS -00720 Transaction Number: SS-00720-431AA $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3284 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 4/10/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-27S STATE SANITARY PERMIT OWNER: CHRISTOPHER FISHER G OV'T LOT: LOT: 15 B LK: SUBDIVISION: Lot 15 Telemark Hills Phase 1 1/4 1/4 SEC: 28, T 43 N, R 7 TOWNSHIP: Cable SOIL TEST: 7-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND TRACY POOLER DATE: 4/10/2026 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 4/10/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION