Loading...
HomeMy WebLinkAbout26-32Sos""TMwra Industry Services Division County 4822 Madison Yards Way Madison, WI 53705 Sanitary Pe umber (to be filled in by Co.) rfi S.J ' O O% P.O. Box 153302 �� Ed Madison, W 15302 _ y t 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 /o?dZC /V11 -/t £oe.s cn ' purposes in accordance with the Privacy Law, s. 15.04(1 Xm), Stats. RC _ t I. Application Information — Please Print All Information Property Owner's Name APR 28 2026 Parcel # 19X r//Z /v 75 t1 &:20-1-96- owo Property Owner's Mailing Address Bayfield Co. Property Location annng andZoning Agency Govt. Lot City, State Zip Code Phone Number '/. %., Section 7/S, 09' y, T S" N R O1. E or IL Type of Building (check all that apply) Lot # Subdivision Name MI or 2 Family Dwelling — Number of Bedrooms Block # ❑ Public/Commercial — Describe Use Cl City of ❑ State Owned — Describe Use O Village of CSM Number ❑ Town of (14,ga (14.u.A 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 a licabl A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. 0 Holding Tank In -Ground ❑ At -Grade 0 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/sf) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation o •�I oqa.Da" Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units New Tanks I Existing Tanks 'la e v , m 'a 0.O in y ti n. O Septic or Holding Tank , iijp 1 Dosing Chamber V. Responsibility Statement- I, the undersigned, assum pons' Bity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s MP/MPRS Number Business Phone Number Plumber's ddress (Street, City, State, Zip Code) / /c rt4 . ! V County/Department Use Only pproved ❑ Disapproved Permit Fee Date Issucd L Iss ' g A t Sinre O Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval n �! y SBD-6398 (R. 02/22) O WsconstnDSpaentofSefetyandPto!essio SesvloesSOIL EVALUATION REPORT APR 28 2026 in accordance with SPs 385, WEs.Adm. Code cd Attach complete site plan on panarnatless than 8112 x 11 fiches in alma. Plan must lndudut, Price! {.D. but not limited to: yed tstence point (BM), direction and percennt slope. scale or disnenslons, E� wewl di tens to nearest mod. 18012 Please printall information. personal h orrnatton you provide maybe used for seexlsrdaryputpose3s tPen►acy Law. a.15.04(1 m. / n PageJ_.,of_k-- Date 157 rcperty Owner Property Lescatlon D ulanle and Douglas Raspohtik Govt. Lot '/. ¼ S20 145N N R 8W E (a4 W roperty Owner's Mailing Address Site Address or CSM and Lot S: 20825 N Sweden Road 0055 US Hwy 2 City State Zip Code Phone Number U City L! Village old Town Nearest Roar! Ashland W1 "BOB ( ) Grand View N Sweden Road NewConshictIbn Use: R ReddentfaI/Numberofbedrooms 3bed future have Code derived des1gnflow rate_4 0 _GPD gwugm now I3 Replacement ❑ Public or commercial — Describe: a wl bafhsoaFlood Flood elevation if applicable NA ,IL Parent material Glactalacustrine Perm to qrovidosesystem.Appx 15' of TDH Sys elev appnc 42' deep General comments and recommendaffons: BM 100' GROUND SURFACE ADJACENT TO 01. LAKE ELEVATION IS 18' LOWER THAN BM Li eo Deozlag Plt Ground surface elev,� OA U. Depth to lmltkg factor 96in.1 etev.8 It I Sag Amffm tan Rye Horizon Depth In. Dominant Color Munseii Redox Description QtL Az. Cont. Color Texhae Structure Gr. Sz. Sir. 10SG Consistence Boundary Roots GPDIFt; Eth71 OEff#2 1 0-8 5YR312 LS ML CW 3m .7 1.6 2 8-28 7.5YR4/2 S OSG ML IML CW 2F .7 1.6 3 " 28-44 5YR4/4 S OSG ML CW 1VF .7 1.6 4 44-96 5YR4/6 COS 0SG NA .7 1.6 a Boring Ground surface eIev 1 AU Depth to Firming factor gU rt.1 eiev 7 f I snrfltt1nn RatA Horizon Depth In. Dominant Color Munselt Redox Description Qu. Az. Cont. Color Texture Struot,ra Gr. Sr- Sh. Consistence Boundary Roots GPDIF12 .Eff1 1 0-5 5yr3/2 LS OSG ML CW 3M .7 1.6 2 5-28 7.5YR412 S OSG ML CW 2F .7 1.6 3 28-43 5YR4/4 S OSG ML CW IVF .7 1.6 4 4390 5YR4/6 COS OSG ML . 1•b CST Name (Please Prfrd) Stgnatal' , CST Number Calvin Rowley � SP -0724000025 Address Date Evelusilon Conducted Telephone Number 69710 Island Blvd, Iron River, WI 5/18126 716-979-1042 Effluent #1 a SOD > 30 S 220 mglL and TSS > 30 S 150 mgIL E'trent s12 w BODE s 30 mg1L and TSS s 30 mglL SBD-8330 (R04121) page2_of ti ___®Bo '10. DepthI*ffMm 1wor90.jn.Ieiev.7-..f. EIi Baring # ON Ground swiaoe eiev SO Applicatton Rate Horizon Depth In. Dominant Color Munseil Redox DesalpUon Gu. Az. Cont Color Teodure Structure Gr. Sz. Sh. Consistence Boundary Roots c!urrr •Ef 1 'Effp2 1 0-8 5YR312 LS OSG ML CW 3M .7 1.6 2 8-28 7.5YR412 S OSG ML CW 2F .7 1.6 3 28-42 5YR414 S OSG ML CW 1VF .7 1.6 4 42-90 5YR416 cos OSG ML .7 1.6 ❑9 ❑Pit Ground surface elevJL Depth to UndUrrg factor,_ tn. I etev. % Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots tn. Mussefi Qu. Az. Cont. Color Gr. Sz. Sh. Sag Application Rate GPD1Ftz EfI#1 *EtM2 Boring s D Bodn9 0 Pit Ground surface elsl v.____R Depth to limning lactorrtn. I etev..ft. 1 1 Y1 �1I �, I 11 :/.r i:v 71 !! -i1t1 I M 1 :c: r: ./ t•1 �111� -, rr• EffhtM #1- BOD > 30 S 220 mg/L and TGS > 30 S 150 mgrs. " EMwd 42 s BOD. S 30 mglt. and TSS S 30 mglL RECE WED APR 282026 Bayfield Co. Planning and Zoning Agency s O Bayfield County, WI 5(18/2025.4:19:01 PM Rivers ® Section Lines _ Driveways Lakes Municipal Boundary Buildings Meander Lines Survey Maps Approximate Parcel Boundary 0 Recorded Map RECEIVED APR 282026 Bayfield Co. Planning and Zoning Agency •JUK,Aipte Fill n DFCT w n, I0 150)9 0 1:783 0.01 0.01 0.03ml 0.01 0.03 0.06 km emlew 9e1TW county Lane Rases Oq l M1RCf r/mtp6)b�lpwm'yR�.xwMe illeinvna.: 611$1Z6, 5:25 PM Now$-WISocnslnAa:ass rev. 12.0208 9 0c r Reel Estate Bayfleld County Property Listing Today's Date: 5/1812,025 �' Description __ _ a4/??/P25 Tax 1D: 18012 Piet: 04-0212-45-06-20.100-295-30000 Legacy PIN: 021118202003 Map ID: Munldpallty: (021) TOWN OF GRAND VIEW SIR: 520 T45N ROEW Description: PLAT OF TANK LAKE COVE LOT 3 IN DOC 2021R-586682 Recorded Acres: 4.501 Calculated Acres: 4.501 Lottery Claims: 0 First Dollar: No Zoning: (F-1) Foreshy-1 ESN: 115 1 STATE 04 COUNTY 021 TOWN OF GRAND VIEW 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE AP Remrxted Doatcnents Up. / /2011 ® QUIT CLAIM DEED - Date Recorded: 213/2021 2tf21R-5Rfz8H�t- © QUIT CLAIM DEED Date Recorded: 2/13/2025 2025r-60655 ® WARRANTY DEED Date Recorded 1/15/2021 2021R-586515 ® TRUSTEES DEED Date Recorded 6/14/2011 2011R-538867 1063-599 ® QUIT CLAIM DEED Date Recorded: 5/13/2009 20a9R 526524 1017-378 Property Status: Cun+eat Created On: 3/15/20061:15:29 PM In pm p _ Updated: !4/?? f 2025 3UTAINE R RASPOTNIK ASHLAND WI DOUGLAS A RASPOTNIK ASHLAND WI fliflfnn Ad Malflnci Addre:_ 3ULAINE R RASPOTNIK 3ULAINE R RASPOTNIK 20055 US HWY 2 20055 US HWY 2 ASHLAND WI 54806 ASHLAND WI 54806 F SitaAddress * !ndiaates Private Road N/A Property Assess nt Updated: IIM/2007 2025 i` Da U Code Acres Land Imp. G1 -RESIDENTIAL. 4.500 14,000 0 2 -Year Comparison 2024 2025 Change Larch 14,000 14,000 0.0% Improved: 0 0 0.0% Total: 14,000 14,000 0.06 N/A RECEIVED APR 282026 Bayfield Co. Planning and Zoning Agency hitps l/Wows.bayfieidoa:mtx .govtaocess[msster. ?paprp=180'i2 111 TANK LAKE COVE. A� 11 A BAYF1ELD COUNTY SUBDIVISION PLAT WAlf,E `w - . 1'°000• LOCATED.IN THESE 1/4 -SE 1/4 SECTION 17, T45N, R6W, GRAPHtc SCALE susE a1' ,Mae. mast. AND:THE NE .1/ -NE 1/4 SECTION 20, T45NI, R6W �"' - S '°° �° �,...----•� Es�TNd Y --••w_ ..---r' TOWN OF GRAND VIEW, RAYFIELD COUNTY, WISCONSIN. AT Y!/S sAallton r,• I i snulalalts a N1/I$1(- t-•-�-'"_._._..--`�0 1• sa► N 7F4 cO``R ,NON or* tE sti011t.a/ TAM( 'tAI4 331.73 AIONo+.I_- I FAIm11t.UMt TO AN 1fl0EkD Nall CF N AT A IMAI�oslt, ca 30A 10311 tie aaaa or:wx was N1'13'O!'M•3ti24'. n CFf W BARttttlCC A ttt43WL t TO m 43W• tROM'aJMRL six AT --A IIUtCLR CORtQ 73± (TOM AIL NNat Or • ! t FL O n 1Wi macs' MsN Iri 4373$• U lbi upi-m tot TO AM NON MR: ISA' NEAINal =Ntpt t4"!< I9toti TIt r SQ Z 1/4'zTO N. ScOUt aHOR; 1WIM IINI4'i, cc I4V5ix4S .40;231' M.OIA tIt ML OZ 4,171/121. FL SIORL �•� wix mix im ON & sam s.Y RAtROIo RQ/ia1E: AiI01CC•l108'32$0Y At.S4' NATO 20 lift tOR m AN (ION ML am i iR Is Otm 3AItAx 110E"rapt"OF of C11R1outAtCGr A M ME to ThE Iaait t1[ Rs•0i8>� L3V of 1.I ZiltD ti 4FAslt 4O1 rmm- 4E w. am •tlg`mm Or -CLMC to All short e+W-t}mu-swoo'tS'E 1fftww 1'o = POW of etmntatio. �'�� rdt Aat'Ot9CRIRn rArAn ooi aara s>d ACITO CF LAW MONO X10 LC IARTOCII '$110 E'•ar; .lilt 1JL INN ttCitolt TON lilt. APR 28 ������j 1)5 tI BET >MIR WOE d1' COMPWIITO x1111 a MPICU A3$ Or jlq ca i�ND: a►rnta� 110S 7, V747/Nxi4 BaYfield AND TIIN I tIYlIiIalYEo. 011Iom A11D 1WIFaAt1E1Aso nnin slaloM MN IMP TO s>o .RplltsTtlagiorl g and Zoning Agency OF1M' AIIMkx fIiLE IO MM' CF Vt 030100303 All? M,SLW 1MOt i1► 7)1 201)500)1 00)1 CF FA»tN1t $FCC" LOCASiO553 k 1AI m xssnoMSM =int _. _ a 1IX945O5 to RCATE CE1t1 iTCAe1 t 4 w NB 1 ♦'/.7I//�i tit ► lOwlTr sacAOMM aMmm" c ttu► i . ND tAST OR 7100#3 OR ASEt6YOITa OAYrittp -Downy TW>islill OA L•••••«•••_•••—•�•'._ .. SC, BENUtN M'O 101.tcT•CEA:iOY 01001 1 CARITO 011'0° OLSL1!#D ON A� NAT To 01C SUFM NO . u"I Atm ZO ATTO R OM AtL Pt/R 6/.sue A STATS a 1 MTOI) tr�atiwebAmyam to N .176 030. IM Lbw MGMMMHMMw11w t�.w4 NO wi.dM w ,, w waww�Ta..wa WI. Q8SQIYFO ON OUSE or SURVEY 0/17/01 rIus1 s°�en'teo M°1' s LIARATIED INNS at moo NON 1300.53' 17__ IlOUfli td1E f 11E -[ft: ��' "�' jQ pqj '••• ✓�► I " 1c•w>zss t Q1 ia4i. 4A7 AR. .t tfttse is 4.601 AC. a r .�* = '.034 41s N\' SSI'43'Ob'N 1• 1I• IcOTN IAt 1. C AdIAMSURM ro., 15618WHW. — .,so HAYWARD WI 34843 7156343435 715-934.2739 FAX "i50* 40x26 1 F 1 t j 1 TO l � � 1 . .�. `1 \` SOi•43V" — 103W ii M966 - EtaOOR CUENT xy1t. w PATRICK H'. EDWARDS- SHEET I OF I 0,11 C01o9405/13M INGROUND SOIL ABSORPTION DESIGN Index and Title Sheet RECEIVED Owner Name: Julanie and Douglas Re's(JoL..k APR 28 2026 o. Mailing Address: 20055 US Hwy 2 Bayfield o Zoning Planning and Zoning Agency Ashland, WI 54806 Project Legal Description: Sec. 20 Town. 45N Range 06W Township: Grandview County: Bayfield Project Address: 20825 North Sweden Rd Grandview, WI. Parcel ID #: 04-021-2-45-06-20-1 00-296-30000 Index Sheet Pagel Cell Cross Design Page 2 Maintenance and Contingency Page 3-5 Tank cross section Page 6 Plot Plan Page 7 Property Listing Page 8 Designer: To wn Signatur . License #: 664303 Date: 4/23/26 Phone: 715-682-0444 Designed pursuant to: In ground soil absorption for POWTS Component manual #10705-P (N.01/01) D -o 'nom N on O0 N a IN -GROUND G NO Stepped Elevation Trenches M h W DISPERSAL AREA 3 -ft Trench Quidc Standard -W Chambers (down-shfigcredit)� sonoovt AFillf TYPICAL TR EN VI CROSS SECTION VIEW w"'a (No Scale) .. �Hl9hh Trench Systematlmn . 1 Q h aswm:F.yru(�x:.: e+ 1�/y�r��� Us .� SfAawe The, taonnss,rt Etthuet Fit ar ekddt. ""roomeebehvW 3ft rench. T T - Lowest Trench (as tPPerable) Mpiml)� (Show filmdom o1 Mkl / oudat pipe meme plan wew) e= fl —7 --- ft RrFMpt. m'a!m!naan.en TYPICAL TRENCH PLAN VIEW (No Scale) IA•3.ga brmtml `°'amN Stanaaraw Chamber Qul[k4 Std -w ��1: f btnaeeb Papa of ons man@ e.Irea '' -'C^ low -- z = Proposed EISA peritard1e -j ci .s� Required Innareyar Area m i r Proposed " trentes - - Tola1 EISA = 2, Dlstr� flop Method: branched manifold G) m Ca) a PAGE 4 OF 4 In -ground Gravity Management PI n IMPORTANT; The owner of this in -ground Day system shall be responsible for as perpetual operation an maintenance pursuant to rrlqukernents of SPS 388384, Wins. Admin. Code. Pursuant to SPS 38342(2). Wise. Mm4n. Code, this system shall be bonaldered a human health hazard If not maintained In accordance with this approved m4agement plan. Furthemwre, all Inspection and maintenance activities shell be performed bye registered P�WTS Maintainer in • accordance with SPS 383.52 (3), Wisc. Admln. Code. Maximum Dispersal Area Ooeratina Limits: pp���� .. 4� Design Rowe gpd; SOD. S 220 mDL"; TSS S 150 mgL"; IRiMG xhElE' T`! blisoseaon Checklist INSPECT EVERY 3 YEARS o type of use o ego of system o nuisance factors (to. odors, user compldrA etc.) o mechanical malfunction (to., pumps, valves, switches, floats, etc.) o malarial fatigue (to., leeks, breaks, corrosion, eta.) o solids volume In anaemdc treatment tank(s) end any distribution appurtenanos(i o neglect or Improper use (te., exceeding design capacities, proddbiled actwldes, e o extent of pending In distribution ceg prior to dosing o dosing hrogulad0as • 8 applicable (/.e., pump re -cycling. float SWIM settings, etc o electrical components • ifapplllcable (to., wiring, connections, switches, controls, o distribution lateral or lateral odflco plugging (measure lateral distal pressure - cot o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when o Saatlo and dosstanktal shall be pumped by a cenlfed saptags servicing op State, when the volume of solids In the tank(s) exceeds ons4hlyd (113) the as requkod by local ordnance. Disposal of contents shall be pursuant to NR' o Effluent Aaerfat shall be inspected every 3 years and shell be cleaned when accumulated solids accortng to manufacturer's speelication. A servicing pe months System msinenance reports shell be submitted to the proper local government unIt SPS 383.65 Wise. Admin. Code. Report any component failure or malfunction to: Name of Individual or company: S,)rxfth 4"/rufl/Luw oa,//�✓rfZ Phone:. Local go ernme f unit Baylield County Zoning Phone:. Local govemment urdt address: 117 E 5th St. APR 28 2026 Bayheld Co. I and Zonlnj A ency don /drop boxes) alarms, etc.) to design specification I .onsed under s. 281.48 Wls volume of the bedx(s) or c. AdMn. Code. fiery to remove any always be greater than 12 54891 with Any detective pan of this system shall be repaired, replaced. or removed pursuant to SPS $3.51(1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SP5 3, Wise. Admin. Code. No product for chemical or physical restoration of the POWTS maybe used unless approvedby the department In accordance with SPS 384, Wfac. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall t4e replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed In -ground drape component may be abandoned and replaced bya code -complying dispersal component Ina prs-0etermined are4 of suitable soils_ System Abandonment If use of this POWTS Is discontinued, it shall be abandoned in accordance with SPS 383.33, frsc. Admin. Code. . <f/6 y303 fl'SUPERIOR I 1000/6002 -Compartment Tank I rSUPERIOR PRECASTCONCRETE PRECAST CONCRETE RECEEIVEL) Weight tin ibs) APR 282026 Tank: 9.160 Bayfield Co. Lid: 5.854 Planning and Zoning Agency Total: 15,044 Volume of C oncrere Total : 3.8 Yd' Gallons Per Inch: 40.6 ♦'+�uL Lid R'cll Enlarged Detail Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES 7"doe R.ec4, SEE CORRESPONDENCE L'IE; iI II rJ. Manhole Openings 2-1 2" Taper n Polyerh'iene Baffle A1asHc Rope TOP VIEW 143' 21' 83-1 2" 5: i '" 1031 Gallons 6?4 Gallons 24.54 GPI 14.85 GPI SIDE VIEW I '3" 9' Air Space -4. I-2" 4. rLiuid Depth th 731. 79" 4" Outlet I � II 60" Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 S SUPERIOR PRECASTCONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shalt be verified by the purchasers licensed professional engineer for suitability of use. Configuration may change from drawing, consult with SPC. P:oduc IFie Nc I 1T!5 is pmp"etary nto,mallon.and 'emains lie property oI Super'or P•ecaSICO.CreIE. Llc. P.305-09303< RECEIVED APR 282026 Bayfield Co. Planning and Zoning Agency Dose Tank Information Electrical as per NEC 300 and 0 SPS 316.300 WAC Tank component is properly vented Weiser Concrete Capacity 1000.00 Volume 40.60 Manufacturer Gallons gal/inch Dimension Inches Gallons A 16.77 680.69 B 2.00 81.20 C 1.86 75.71 D 4.00 162.40 Total 24.63 1000.00 Bedding And T A B C As Per Manufacturer Alarm Manufacturer Se tronics Alarm Model Number EZ Plugger Pump Manufacturer Liberty Pump Model Number 283 Pump Must Deliver I 29.08 gpm at I 12.18 ft TDH Locking cover with warning label and locking device and sealed watertight -T 4 in. min. Note: Switches containing mercury may not be used in this system. Alternate outlet location Forcemain diameter flil 1.5 in. Weep hole or anti - siphon device Pump off elevation (ft) 96.33 Dose tank elevation (ft) 96.00 ' liberty Pumps® A Family and Employee Owned Company RECEIVED 1/2 hp 1-1/2" Discharge 3/4" Solids handling Features • Liberty Pumps unique, one-piece Uni-Body" casting • Stainless steel hardware • Stainless steel rotor shaft • Permanently lubricated upper and lower bearings • Oil -filled, hermetically seated motor with thermal overload protection • Stainless steel removable bottom screen • Quick -connect power cord allows replacement of cord in seconds without breaking motor seat Available switches: • Manual (No switch) • Heavy-duty Vertical Magnetic Float (VMF) Integral wide-angle float • Wide-angle float with piggyback plug SSPN� �Sp�s APR 282026 Bayfield Co. Planning and Zoning Agency Max Fluid Temperature 140°F (60°C) Intermittent 104°F (40°C) Continuous duty Power Cord Type SJTW (10' and 25models) SJTOOW (35' and 50' models) Motor Housing Class 25 cast iron Mechanical Shaft Seal Carbon ceramic Bearings Upper and lower ball bearings Motor Specifications Oil -filled, thermally protected Permanent Split Capacitor (PSC) Dimensional Data Height: 13" Major Width: 10' (Model 287) Card Lengths MODEL 10' 280 Standard Optional Optional Optional 281 Standard Optional Optional Optional 283 Standard Optional Optional N/A 287 Standard Optional N/A N/A 10' cord length standard on all models. For optional lengths, add '-2, -3 or -5" suffix to model number. Example: for model 280 with 35' cord, order 280-3 Minimum Sump Diameters Models 281, 283 i4" Model,287 10" FACTORY SWITCH MODELS MODEL SETTINGS 2818283 287 Turn on level 13' 9.5' Turn off level 7' 4' The Model 263 features a fully adjustable wide-angle float switch. Differential adjustments can be made easily by tethering the float switch to the discharge pipe or other mounting point. Vertical float switch Model 287 is not adjustable. Performance Curve RECEIVED60 Hz, 3450 RPM Liters Per Minute APR 282026 400 19 38 57 76 95 114 133 151 170 189 208 227 246 265 Bayfield Co. 35 Planning and Zoning Agency 30 LL 25 C 20 I 15 ti 10 5 0 \■■■■i■■■■■■■ ....,........ ......,1...... ........e'l.... .........''... ............. ............" l i 25'(-2) 35'(-3] 50'(-5) MODEL 10' Models US Gallons Per Minute 25'(-2) 35'(-3) 50'(-5) 280HV Standard Optional Optional Optional 281HV Standard Optional Optional Optional 283HV Standard Optional Optional N/A 287HV Standard Optional N/A N/A 10' cord length standard on all models. For optional lengths. add '-2, -3 or -5" suffix to model number. Example: for model 280HV with 35' cord, order 280HV-3 MODELS HP VOLTS PHASE AMPS AUTOMATIC SWITCH TYPE WEIGHT IN LBS 280 1/2 115 1 8 No Manual 29 280HV 1/2 208-230 1 4 No Manual 29 281 1/2 115 1 8 Yes Integral Wide -Angle 29 281HV 1/2 208-230 1 4 Yes Integral Wide -Angle 30 283 1/2 115 1 8 Yes Wide -Angle Piggyback 30 283HV 1/2 208-230 1 4 Yes Wide -Angle Piggyback 30 287 1/2 115 1 8 Yes Vertical Magnetic Float 29 287HV 1/2 208-230 1 4 Yes Vertical Magnetic Float 29 consult engineering spec sheets for more data Specifications subject to change without notice. Copyright ® Liberty Pumps, Inc. 2026 All rights reserved. LLIT002000-R03/26 121 10.7 91 C 4.6 3 H 5.0 BAYFIELD COUNTY APR 261026 CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) old planning and Zoning Agenq Check List f3/Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) V/Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) C3 Original Plot Plan (383.22(2)2. 3. & 4.a) l'Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer '/Pump Tank Diagram, Alarm and Pump Curve (when applicable) 2 ontingency Plan / Management Plan (383.22-3(2)(b)1.f.) 'Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) [!f'jiplding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) S/'Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) 0 AATU Servicing Agreement (Recorded at Reg. of Deeds) 11 Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) LIE1"2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached tQ all copies) Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) iwjate Plan Review (when applicable) Q Copy of Warranty/Quit Claim Deed (Optional) Sanitary A > >lication: (Include the followii Information) I App/ration Information must include: l� '?digit Parcel ID# -- (do not use 12 digits anymore --obsolete) l� Project Address or Road Name where driveway is/will come off of) [i7/(Owners Phone Number) E '5I Type of Building IEJ/III Type of Permit ES IV Type of POWTS System L 3/V Dispersal / Treatment Area Information E°J VI Tank Information /y.II Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) M"Signature and Plumber Information RAddress Number and Road Ud urface Elevation of Body of Water EB' North Arrow E!f Direction and Percent Land Slope Contour Lines '"/Tank and Filter Information and Location EBtructures and Driveways 2/Wetlands / Navigable Bodies of Water lB"BBoring Locations LM Absorption Area (Proposed and Existing) "Bench Mark Elevation Description) @'Property Lines Cpl W II Locations (Location, and LS/Component Manual Version al Descriptions 12'Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Crass -Section and Over -Head Profile of the System: Q Surface and System Elevation RECEIVED d'Position of Observation and Vent Pipes APR 2 82026 ipimensions and Depths Bayl eld Co. rn1Make, Model & Number of Chamber Units in each Cell Planning and Zoning Agency Property Information J)tbw many systems will there be on this parcel of land? I (Fl Has this property been split? (Property Statement shows Property History) Fees: "Pate Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 ❑ Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 ❑ Maintenance Agreements i $ 30.00 (checks made out to Reg of Deeds) u/forms/checklists/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: Ss-57d� Private Sewage System Maintenance Agreement DOCUMENT NUMBER 2026R-611916 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 1 O4/28/2O26 AT 1O:OO AM W W 1 RECORDING FEE: $30.00 PAGES: 1 As owner. I (we) ao nereoy canny me pnvate sewage system win oe instaneo In accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) 1/4 of 1/4 Section 30Township'4 'N. RangeO Lo W. Recording Area Additional Legal Description: ` Return To: t� Town ofayT).vndV IC(Aa (Acreage) •501 Govt Lot RECEIVED Lot Black Subdivision 2\ _K 1 ccT�� Planning and Zoning Department #— 10.X. APR 297026 Lol_CSM# Vol._ Page CSM Doc# Bayfield Co. 2 In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Seotic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, 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 pending on the ground surface. Mounds. At-0mde, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print ^r Subscribed and sworn to before me on 1h date: 4 O 6 `-r' O` O KAMERAE ZINNECKER Notary Public Notarized ner(s) — Signature(s) Notary ubr M ommission xpires. Drafted by: 1L- Date: 'k W�o Proofed by: utforms/sanitary/septicmainlenceagreement Revised July 2020 • AFiELD 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: RASPOTNIK,DOUGLAS A 20055 US HWY 2 ASHLAND, WI 54806 RASPOTNIK, JULAINE R 20055 US HWY 2 ASHLAND, WI 54806 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00398 Transaction Number: SR -00398-452B2 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10412 Paid by: Brown Plumbing & Heating, 315 Sanborn Ave, Ste A, Ashland WI 54806 Payment Type: Check Transaction Date: 5/6/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B ,YFIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: RASPOTNIK,DOUGLAS A SS -00729 20055 US HWY 2 ASHLAND, WI 54806 Transaction Number: RASPOTNIK, JULAINE R SS-00729-452EE 20055 US HWY 2 ASHLAND, WI 54806 Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount $400.00 Reference: 10414 Paid by: Brown Plumbing & Heating, 315 Sanborn Ave, Ste A, Ashland WI 54806 Payment Type: Check Transaction Date: 5/6/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-32S STATE SANITARY PERMIT OWNER: JULAINE R RASPOTNIK GOVT LOT: LOT: BLK: 1/4 1/4 SEC: 20, T 45 N, R 6 TOWNSHIP: Grand View SOIL TEST: 27-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TONY BROWN TRACY POOLER DATE: 5/6/2026 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: # 664303 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 5/6/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION