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HomeMy WebLinkAbout26-36SRequest for Sanitary inspection (24 Hrs, in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. (Vote Time Change Discrepancy fl Other c7 � Phone Number Plumber: j L Fax Number Homeowner: SCjrh 4 Sr f, q i i[!. �1,1{!'7i Email Address Sanitary f) r J Immediate Phone Number So Zoning Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept 5-1+94No 5-t Inspection(s) during this time Date: Tuesday (9;30 am.. 12:15 pm) (Tracy) Time: Plumber's Choice Z g Dept lJac P Township: t Address # & Road Name: or i a 5 c Co n� [ ! „, nn �°H i G(�VW /i 1 Directions To Site: Comments: Plumbers You must verify any change(s) by fax or email *1 Notes from u/corms/sanitary/requestiorinspection Zoning Dept (@4(17104); ®June 2023 4" Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zonino@bavfieldcountv.orp Web Site: www.bavfleldcountv.orol147 SAMUEL F & SHARLENE KURTH 10530 COUNTY HWY N DRUMMOND WI 54832-9724 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 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.septicssarch.com Notes: d � t�1 Abandonment of Old System to meet all applicable code requirements: • Tank was pumped by: e• Tank was crushed! removed and pipes disconnected by: on at AM/PM On J at (AM /�PM1the above -mentioned plumber contacted our office to conduct ape -cover inspection as required u er 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: Ufforms/sanitaryprcpertyowner-input April 2019 •Private Onsite Wastewater Treatment s Systems ( POWTS). Inspection Report (Attach to Permit) Inc GE SAMUEL F & SHARLENE KURTH Per 10530 COUNTY HWY N rases Pxivac Law 1 s. 15.04 m1 Pet DRUMMOND WI 54832-9724 City Li Village Town of Tank TYPE MANUFACTURER CAPACITY Prop. Ling Wel Building Air Intake Road Se ticftA5 0 9 N/A Loosing N/A Aeration N/A Holding setback to: County D J Sanitary em -lit No: State Plan'Transaction ID#: Parcel Tax No: Pump! Siphon Information Pump Manufacturer Pump Model Demand GPM [ter Manufacturer ilterModel g2. TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Disnersal Cell Information DIMENSIONS Width Len , # of Cells SETBACK FROM Prop. Line Buildings D Well OH Type of Cell Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number. Elevation Data tribution System X Pressure Systems Only eader I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes ength Dia Length _ Die _ Spec_ Spacing Yes ❑ No nil Cnvnr Depth Over Depth Over Depth of k Seeded / Sodded Mulched ran r•.antor Call Ednes Toosoil 3 _ ❑ Yes ❑ No ❑ Yes ❑ No "OMMENTS: (Include code discrepancies, persons present, etc.) (le&4 L,s Soh �sw► 1 '-' P �o J&4 �Q,ti 1P�ctc�t s fit. 4- f z an revision required? C3 Yes 0 No '� L�I I 7 I (°91! � I ;e other side for additional Information, Date POWTS Inspectors Signature License Number iRn-R71❑ rR ❑7/911 .�xn�rtt ' Industry Services Division 4822 Madison Yards Way County j1 $ Madison, WI 53705 Sanitary Permit ber (to be filled in by Co.) 4: -S.00�3� P.O. Box 7162 Madison, WI 53707 7162 a C- 3 Sanitary Permit Application S a' State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate gov ntal t is required prior to obtaining a sanitarypermit. 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 Project Address (if different than mailing address) C� purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. L Application Information— Please Print All Information Property Owner's Name Parcel # ?x,ii1 bi1ene 1i -r v-15o� Property Owner's Mailing Address ropertyLocation /OO &fl4flrtj 1iL fli Pimnin pn 7Bay5ejj Co. Govt. Lot City, Ste Zip Code Phone Number yrwi5ggo 1'5-590-075 '/i: YSeclion9 T VN RQE or IL Type of Building (che all that apply) Lot# El' or2 Family Dwelling—NumberofBedrooms .2.. Subdivision Name laublicCommercial—DescribeUse Block# City of EIState Owned—DescribeUse CSM Number // Q V. yt, yy i�$j≥P illage of own of],/1«X)\ III. Z pe of POWTS Permit: (Check either 'New" or "Replacement" and other. applicable on line A. Check one box on line B. Complete line:Cif. ble. if - A. [New System y �Replacement System Other Modification to Existing System (explain) QAdditional Pretreatment Unit (explain) B. Holding Tank In -Ground l._.I*t Grade Mound jlndividual Site Design Other Type (explain) (conventional) C. D Renewal Before RevisionP��Wge of Plumber Eirransfer to New Owner..ist Previous Permit Number and Date Issued Expiration IV. Dispel saVrreatment Area.and Tank Information; . Design Flow (gpd) Design Soil Application Rate(gpd/si) Dispersal Area Required (st) Dispersal Area Proposed (s� System Elevation ..r __ 6. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units y New Tanks Existing Tanks t3 t� u h '(13 9 W w e a Septic or Holding Tank (l Dosing Chamber Lii t-,._i i Q Q V. Responsibility Statement I, the undersigned, assume responsibr'lltyfor installation of the POWTS shown on the attached plans. Plumber's Name (Print) P berSi MP/MPRS Number 1 Business Phone Number I g irIIib Address (S Ctty, State, Zip Corte) 30/ I -/h7 Q Th County/Department Use Only Approved O Disapproved Permit Fee Date Issued issuing t S' ❑ Owner Given Reason for Denial_451)f. 5 i 7 L 7 Conditions of Approval Reasons for Disapproval c4'7c/ Attach ft. emmntntn ntnne Fm -i1,..,,., ... ...a IL. ----Y --J-- vu O YL A Ai U UC5 W 51" SBD-6398 (R. 03/21) PAGE 1 OF 4 RECEIVED In -Ground Gravity Plan MAY 0.1 2026 Index & Cover Sheet Component Manual Design References: Bayfield co. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Planning and Zoning Agency. 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: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name 1 Description Owner Name(s): EL,yM�Q 51 ,/- ,,, 14VE 4h Phone: 71 - Owner Address: Zip: ' 5L/ S? Project Address: 'J aril, �. Govt. Lot: ____ 1/4 of 1/4, Section; T N -R 0?' E LI or W Township: County: I Li Project Parcel ID #: TA :i - 1� � Designer Information Designer Name: (fl Designer Address: /d 5 7/1uy�;7��-f j�yp p��. E-mail: License Number: 98o1 Remarks: Phone:- / Tpproval stamp. Signature: / Date:4'c—& riginal ' gnature required on each submitted copy. _s :...r 5 Ctr eVi t4t Ir4k rti., iG l( Co ,. r} !MO✓i ,- •—rc5—sq0 .�.,bti1s c, VAII..P c tf L6. c5 v. (4 P .4Y, Todays L1<< a p 3M too`.. 10 itl - E )- (qc7sJ •- (---i ., - —: ___________ I 3 PlannPlanningand Zon g ggertLy TTT - i = oh'_vs h1 o G________ - -- -- - - ---= - ILi-1 I. .Fyn I IN-GROUNo GRAVITY DISPIERSAL, AREA Uniform Elevation Trenches with Quick Standard.w Chamber 3 -ft Trench (downsizing cred) Boll. COVER 1p1, min, Irultah rinpp111 (typlunl) �. lid ndnr 12° (typical) —; .. Bopflc Tank(a) Manufaaturar; Septla'1aiik(a) Valuma(e); ©�» gal � 9nl Gffluan Fil ar Manufriaturart Cffluant Filter Mcdol TYPICAL TRENCH CROSS SECTION 1/IEVV (No Scale) Syslon'I 131evatIon (typical) QUickh Standard -W W(byniddal) p (Show looritlon of Inlet / outlet pipe connactican on plan view,) Silt1I i1I1I17IiT1]p la=_CQ it (typical) INSTALL PER TRENCH: Qulok4 Std -W @ 20 fe EISA/chamber= F&1L fta _Z_Pairs " Pairs of end caps @ d'Cta LISA/pall'= ftL = Proposed EISA per trench = ftk 0 . m a n � m O Provide minimum 9 it g �' seperatlon between benches, Dbucrvatlan lslpa (typical) all per nlanufaolu s s / Inalruallann, TYPICAL TRENCH PLAN VIEW (No Scale) TA �= 9,o rt (lypinal) '—QLflcl(4 Stanclard•W Chamber (typical) (mid by Inflifratoy syalsms, Inn,) Install pursuanLto rnanufaplum,a instructlarls, Required Infllb'atiorl Area = ft' x trenches = Proposed Total EISA nmw Distribution Method: m rl 0 on 4. E ��D PAGE 40F 4 l ,AY 0.12026 Inground Gravity Management Plan w IMPORT • id CO. tng and Zoning AgencY The &r 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), Wise. Admin. Code, this system shall° be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWYS Maintainer in accordance with SPS 383.52 (3), Wise. Admin. Code. Maximum Dispersal Area Gperatina Li.. ; Design Flow = 00 gpd; BGD5 220 mgt:1; TSS S 150 mgL 9; FOG < 30 m.L'' inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (Le:; pumps, valves, switches, floats, etc.) 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 / droboxes o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) p ) o extent of pending in distribution cell prior to dosing o dosing irregularities - If applicable (Le., pump re -cycling, float switch settings, o electrical components - if applicable (Lei, wiring, connections, switches, controls, timers, alarms, etc o distribution lateral or lateral orifice piuggrng (measure lateral distal pressure-- com ) o . surface discharge of effluent or sewage back-up into structure served l t° design specification) .aintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Se tic and dose tanks shalt be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Staffs. when the volume of solids in the tank(s) exceeds one-third (113) the liquid volume of the tanks or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise Admin. Code. ,. tank(s) o went f shall be inspected every 3 years and shall be cleaned when necessary to remove an accumulated solids according to manufacturer's specifications. A servicing y months. period wilt always be greater than 12 System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Disc. Admin. Code. Report any component failure or malfunction to: Name of individual or company:13'U,(iJ\r ` _mss Phone: ��Z? Local government unit 20hi719�. �b1� Phone: Local government unit address:LtJ(J.5AJ)u.%c ZIP: J i9/ Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1). Wise. Admin. Cade. Repair or replacement of faked or malfunctioning components shall comply with SPS 383, Wise Admin, Cod Na product for chemical or physical restoration of the POWTS may be used unless approved by the department in e. accordance with SPS 384, Wise. Admin. Code. contingency Plan In the event that any failed treatment component of this POWTs S cannot be repaired, it shall be replaced pursuant a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal p ant to 'abandoned and replaced by acede-complying dispersal component in a pre -de rmined-aa ea of component sol maybe f - -- j1S. stern Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise Admin. n Code. MAY 01 2026 Bayfield Co. planning and Zoning A B C 6 Made) PSCS0621-18 PSCPS0621-18 t1.0verall haigiit, in (mm) _ 22[(' rrr' 227 (577) 8. Housing height, in (mm) 21.0 (533) 21.0 (533) C. Cartridge height, in (mm) 17.755 (451) 17.75 (451) B- Oullet pipe drnme;e, in (mm) 45(714) 4.5 (114) E OtNet he ghtt9 imam in (mm) 135(343) 13.5 (343) F. Detlbclurplate diameter. in (rrnn) 5.63 (i68) 6.53 (168) Mesh size, in (mm) 1/8(3.24 1/16(1.6) Filter sutThce aea ft2#n2r 6.3 (0.59) 6.3 (0.59) flow area, i (mj" 1.9(0a �r$Hxlr3 iS�as a2 aw"Tlsffta2arlaa c'-art1S+�E+'rffiG,tr-S,>�u.(`^"r;i`2 roL3r�rdd_oZ: -- '•flarar,rfsezfwa5atne2rdcaerrr�r�aea�rds�R r—""�. �ruauureu�r�ia�8₹u'�vs°sovnL`ssea�,moge Rew3T _ 9renca g - Rxa S ® 08/fl Systems o 09-349-9893 a -1541-459-4449 a wwvturenca.com Wge2of2 �„'.r+emVY—V- ".<a--t4c _ �Tcs.-Z ..ice —�}w ^-Si]� 'vs mow.ii _ ®vent- • RE CEWED hAT 012026 Bayheld Co. Planning and Zoning Agent Orenco PSC--s'eries &ioeu6e GWuentFi r ThnGe r&£uJate a Applications 4,zr,tai''G3iva,ce�nuertrsa dsiansdtDremoye :. olvs hum emuentieavFng wasteiank. Gene I Omnco pamm-yjen ft PSC-sedes Biotuubeer, are asedto snprone ule qualfy or orir uencjrom a pr ks. trprov re elirue,quy t Reexaga ainonsedispersaisYs;Enuarid knpmyes tie dawnstraara ue teahn„�„th, 3�e8iohd,a sliermwtd titan : �fr!≤s to re�:iQte r 9e , yin The hang die being easy mainiEnanee. +e passivety sefkleajnintg design extends maoder,a� cycle='r, uafs Ft�mssn is aa.�Mf-_:n ajUn `r ill6i i;rnrrr or #.o^nml rnssh Opening sizes. The Handle can be eXd:nded fwe=h PVC pipe (not motudwj orb access to the cartddga. A 31410 (i hmm) diameter tae handle i ncludctl. M o -dais PSCCsg6-a-18 and PSGViro6?1 i8 am i SF x6 cerd;iad. Saabs Mcdes PSCSos_Y8,PSGOlVB62i j8,PSGPSJ62T- SPSGpir1p�1_±s Pro&ca Co to Dart t Materials ofosmti1 C z' bbftft aratdge PRIX. Aw i�rr9e cmnRme„fs ro[jx,rap5lan%DMD G�lectarpiaie �� ���� ASKS 0 i41'JPl.Ci2nCe.COn: _ rdRt 1�T-Fr3-2 Page 1 ar+2 Ri-CEWED MAY 012026 Eayfield CO. Planning and Zoning Agency V 3S -i 6(4 Lack- f3a5i-n rn-oo�S3 Private Sewage System Maintenance Agreement Name Tax ID As owner, (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) Q 114 of 114 " Section 3LTownshlP '4S N. Range a O W. Additional Legal Description: £c≥ e. C3tf,)f'&i jj Acreage) Town of_Dry 1M,Ym YL1 L(a) Gov't Lot Lat __ Block Subdivision t. CSM #5 vpageL CSM Doc # 35'77 DOCUMENT NUMBER 2026R-61 1833 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFiELD COUNTY, Wi RECORDED 04/20/2026 AT 1O:17 AM RECORDING FEE: $30.00 PAGES: 2 Area Return To: • 1EPlanning and ZoningC IVED e a ent APR 21 Z026 Planning and Zoning Agency {i 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 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 -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 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 '+h Subscribed and sworn to before me on this date: Notarized Owner(s) — Signature(s) Notary Public Lcrc �.•`� .•.........•• 5qf1• N0 My Commission Expires: Co : q ____________________ 5&? w • 7 • Drafted by. te. /J&(2'•s 0,�'• .sue Sang V 1 L + u/formslsanitary/sep��tl*Ifiluintow ire' event Vu Revised July 2020 Volume 417 Page 174 —T— DOCUMENT NO. WARRANTY DEED THIS SPACE Re2ERYm FOR RECORDIND DATA II 3 95 n ^ 44 STATE BAR OF WISCONSIN FORM 2-1982 REGISTER'S OFFICE I 'J 9 6 Hayfield County y Wis. ii =- -------------- RECORDED AT. H. ...Gar��,. PHIL ; PSB?t1 ..DONNA M:.... �,rYps�. ................... ON JUN 21.1995 IN conveys and •warrants .to .•.S L.. F....K ..PAld..SM:9�IF+...... O ....................................»..............................................»......................... ............... ..............«............................................................... .......... RETURN S -C- L ................................................................................................................ ..stems �c.3?o_Pd. the. following described real.dstato in ....... —V 4 0.....................County, State of Wisconsin: Lot Two (2) of Bayfield County Certified Survey No. 000535 Tax Parcel No:.............» .............. as recorded in the Bayfield County Register of Deeds office in Volume 4 of C.S'.M., Pages 44-49, inclusive, being a part of Government Lot Six (6), Section Thirty-four (34), Township Forty-five (45) North, Range Eight (8) West. The above described real estate is being conveyed subject to the following restrictions: I • 1) All utility lines (including telephone and electric) servicing the above conveyed property shall be underground. 2) No mobile homes or house trailers shall be allowed upon the above described property at any time after three (3) years :from the date of this conveyance. These covenants shall be enforceable by the grantor and any other lot, owner of the above described Certified Survey Map. This property does not contain a rental unit as defined in Section 101.122, Wisconsin Statutes. This ... 4...Th4I.... .... homestead property. thi (is not) Exception to warranties: Easements, restrictions and reservations of record. Datedthis .........................................day of .................-----------................ .........., 19. .fir .. .... (SEAL) . ..... ........ ... .... ... ....... (SEAL) TRANSFER . G. W. Phillips ... ................ ... `�.', ..c.....^o... ............. (SEAL) ....�....... ........... (SEAL) FEE . Donna M. Phillips , ••, ............. .... .. .. AUTHENTICATION Signature(s)......».».......................»«.................. auth c reel is Q.MOF .I 19.E ..` . . .... . • ....................... TITLE: MEttM,, BER 8IN enthorised b ..a ens ne WI. Stars.) ..»...»........... ACKNOWLEDGMENT STATE OF WISCONSIN ....County.............. Personally came before me this ..............»day of June 19 8? the above named .... G. 44: - fi :ps_ and Donna M._»..... !) y to me known to be the person •. 8 •...... ••who executed •the foregoing instrument and acknowledge the same. 1 iI THIS INSTRUMENT WAS DRAFTED BY AMt,.. J$�k Ar.».(+$r4...«......:...... .... .... �Il�$ ? .»WI:...«54891.................................. Notary Public .....:.Bayfield •-......:...»County ,Wia. .... ... ........ (Signatures may be authenticated or acknowledged. Both My Commission fs permanent. (If not, state expiration • are not necessary.) dater .............................................., 19.........) Volume 417 .Page174 slNamo of persons elsalas it any espaclty should be typed or printed below their slsnstures.• WMCOM9MU Stock No. 13002 IlCtt3MeOse+puq® • FOAM No. a — 132 • a tofSafe and Professional Sery IL TEST Wisconsin Departm n ty • �3 Division of industry Services �,�� SOIL EVALUATION REPORT Page of ort� O In accordance with SF i 6, J P 1 Code Count • 1/2 x 11 inches in size. Plan must include Attach complete sit n paper not less than 8 Parcel I.D. but not limited to. horizontal reference point (BM), direction Rer @M �. 37 scale or dimensi ow, and location and distance to nearest road. Tax b- 1 SD I Please print all information. Bayfteld Co. Planning �ad Zoniln5q 0 1? R tewed Date I )24ZI., Personal information y secondary purposes ide may be used for Privacy Law, s. (m )). Property Owner 5k-( k Property Location Govt. Lot Y. '/. S 3(-f ❑ ❑ TLIS N R E (or Property Owner's Mailing Address s� ` �� 10✓r'3 Ce, f&w IV Site Address or CSM and Lot #• CSM L4z - ID /? City I State I Zip Code I Phone Number ❑ City ❑ Village Town I Nearest Road t, Dr%) w' w►on� I Lt9( f3 V ego -1. biisJ 1 v OLJCI tr ❑ New Construction Use:, I Residential/Numberof bedrooms 7.— Code derived designflow rate 3QYVGPD EXReplacement rr ❑ Public or c mmercial — Describe: Flood Plan elevation if applicable±gZ 7 ft. Parent material c b "i'0 dity S Lca Sb `cr • General comments and recommendations: •.-i ei IS cib•5 (rc.ac.g6— g7.s' I_Li Boring # ❑ Boring [aPit Q5 .b2- $6 11 4 2►qS Ground surface elev. ft. Depth to limiting factor in. / elev. ft. F Soil Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 b- -r• z •--•( S b_ za�t L. z — 15 " 1 n .7 L• 6 Z$ —0 `' S `` `r `� 1 v •1 1 _ A 4� -- 8� " 3 7r '� `� �( -- .? L. S $0 - a 3 r 5 n ---- - .7 u p J. Io ri_.I Boring # ❑Boring grt.37 7711 Z •CI to [it Ground surface elev. ft. •Depth to limiting factor in. / elev. ft. Soil Anolicatinn Rate Horizon Depth in. Dominant Color Munsell • Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 2... ,'if; Is z�—� �. -- k « <� I u .7 ,, '-' s S ii 1 W b .`7 c .� `z 1.S r g 5r5 ri K -rte' •__- N P •`7 tJ P LL CST Name MERTON MAKI Signature CST Number 224901 Address 10869N SMITH COURT Date Evaluation Conducted Telephone Number (715) 634-8719 HAYWARD, WI 54843 4 --- ?. 3 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2= BOO, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21) Sav 5� ccrLe✓!e l'ur'k oa 3c Co '� ` J'1 Iry Movtcj, t) 1 f9.— S1Z`t -Tcs. cw -sb15 RECEIVED t_[ ►. APR 2 a .2n cs '� e l Co • (J ro N� Oh T 026 , Y�+eld Co. tcc i. c• r ue✓ 1 Planning and Zoning Agency 3tt -r Is,J Q. 08 w Fes '- Gov L crf 4 '1.U7 P. i 1t L62.. C-1 .% p 41 -X I 0B I.B A 8K loo Tb? of WeA I • 3 fiic Jeak Leet re 3o Ct•11u'u-5 -cu Cro *-size ( DCtd'on o£ •Cir z.-'-° l -^ f�Grnes COUVA1 t4 w L14 Diu w�.nl --� • . $ v-4 kAPR 28 2026 ct:M V\ Gck t. to atann3n9 end Zoning Agency cyz _„c— X16 to �Z icJ Sr ov �$'`t :ate .`7 ,, a Ss+ E ci.1 . ! B ci, j c, ;'i 3 ci. t4 Qrs" [ • fq� rotf-Q± u T4*.. r •`+ ®mom . • q ____ iit • ovt� mss o �rr �w is —f- ' r fir 1T s--- +3 i 2 t m,aoee.• • � BOO MMMO. • • =. =+- ______ c z1e -4— ____ < i 6 • \. r ♦ 4/19/26, 9.02 PM r Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing. Property Status: Current Created On: 3/15/2006 1:15:21 PM Today's Date: 4/19/2026 Description Updated: 5/1/2025 Ownership Updated: 5/1/2025 15051 SAMUEL F & SHARLENE KURTH DRUMMOND WI Tax ID: PIN: 04018-2-45-08-34105-006-06000 018113902000 Silli g Address Mailing Address: Legacy PIN: SAMUEL F & SHARLENE SAMUEL F & SHARLENE Map ID: MD:lity: (018) TOWN OF DRUMMOND KURTH 10530 COUNTY HWY N KURTH 10530 COUNTY HWY N STR: 534 T45N R08W PAR IN GOVT LOT 6 IN V.417 P.174 (LOT orkuMMONO WI 54832-9724 DRUMMOND WI S4S32-9724 Description: 2 OF CSM V.4 P.44) 1081B SRe Address * indicates Private Road Recorded Acres: Calculated Acres: 0.981 0.981 10530 COUNTY HWY N DRUMMOND 54832 Lottery Claims: 1 First Dollar: Yes Property Assessment Updated: 5/5/2025 Zoning: (R-1) Residential -1 2026 Assessment Detail ESN: 112 Code . Acres Land Imp. Gi-RESIDENTIAL 0.981 102,000 124,200 Tax Districts Updated: 3/15/2006 1 STATE 2 -Year Comparison 2025 2026 Change 04 COUNTY Land: 102,000 102,000 .0.0% 018 TOWN OF DRUMMOND Improved: 124,200 124,200 0.0% 041491 SCHL-DRUMMOND Total: 226,200 226,200 0.0% 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 Mr Property History ®CONVERSION 417-174 N/A RECEIVED Date Recorded: APR 282026 Pl8nning an Zen Agcn r httn---Unevus.bavfleldcounty.Wi.90v/access/maste'rasP 1/1 BAYFIELD COUNTY SANITARY PERMIT (#04)-26-36S STATE SANITARY PERMIT OWNER: SAMUEL F & SHARLENE KURTH G OV`T LOT: 6 LOT: 2 BLK: CSM: V.4 P.44 #1081 B 1/4 1/4 SEC: 34, T 45 N, R 8 W TOWNSHIP: Drummond SOIL TEST: 30-26 REPLACEMENT SYSTEM SYSTEM TYPE: PLUMBER: RYAN STRAND TRACY POOLER Authorized Issuing Officer DATE: 5/7/2026 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit Is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168;1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 798301 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 5/7/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION