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HomeMy WebLinkAbout26-37SIndustry Services Division Co 4822 Madison Yards Way $ Madison, WI 53705 SaMiiiry Pe Idt Number (to be filled in by Co.) SS- J S' 00% 3q P.O. Boy Madison, WI 53707707 —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(lXm), Scats. 117975 5 p1 I. Application Information — Please Print All Information Property Owner's Name !l I� Parcel # `e n n u} Z - Property Owner's Mailing Address Property Location Ln Id Co Govt Lot City, State Zip Code R ��487 — 58 o - oy3a N W ''•� Section C__ T l N R 09 E or Q. Type of Building (check all that apply) Lot # 0Ior2FamilyDwelling—NumberofBedraoms___�_ Subdivision Name �Block 'ublirlCommercial—Describe Use # State Owned —Describe Use tyof CSM Number of T Town -wn of Pavfl&5 M. 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 applicable.) System Y i—�_ i pl peeplacement System ❑Otter Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. Holding Tank ®In -Ground ❑4i -Grade Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision jChange of Plumber Dfransfer to New Owner tst Previous Permit Number and Date Issued Expiration IV. Dispersalffreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sl) Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation I 2'4 Capacityin Total #of anufacturer Tank Information Gallons Gallons Units 01 New lanes Existing Tads ' U °t 2 u �+ b 2 ca n. U in y y lE O a. Septic ar Holding Tank Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI a atom MP/MPRS Number Business Phone Number - --- _7Qeo,7is-- Plum s A (Street, City, State, Zip Codc) County/Department Use Only roved Firp 0 Disapproved ❑ Owner Given Reason for Denial Permit Fee $ TbO Date Issued 5 $ (s Issuing t ' aune Conditions of Approval/Reasons for Disapproval to comp ate pivas for the system and submit to The County only on paper not less than 8 112 s 11 inches in size SBD-6398 (R- 03/21) '°"•"`Pz Wisconsin Department of Safety and Professional Services ,57j? OOSI-7 Page_of_ r tB of flv (EOrvices \ =pa' SOIL EVALUATION REPORT oirt9 APR 222026 BAYFIELD .,•,,,,,,. In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan o R� 8gt less than 8 1/2 x 11 inches in size. Plan must include, Parcel I.D.but not limited to: Vie ical,a onzpg {ergfergnce point (BM), direction and percent slope, t L scale or dimensionsP r`row`and locaton and d g jq neele si. ,jj r,S_ . Tw �C 0 Z 3 7 ?— Please print all inf r 151 if Re 'e y �7 Datel/ Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). nJ I Z7 Property Owner Property Location ❑ ❑ 3sYe� 8. 3 I j e 71 Govt. Lol FJ W Y• S ZS T '49 N R D E (or)O Property Owner's AaIiing Address Site Address or CSM a d Lot #: S3zDn -T44t {;y Lv 1 1Qes4 o� Uw Ll City I State I Zip Code I Phone Number 0 City ❑ Village M Town I Nearest Road BarAec WI Igqgig (Sfp)o43Z 6ar✓Ies 47R -)�- Sr 14wf Z7 ❑NewConstruction Use:❑ Residential! Numberof bedrooms I Code derived designflowrate 1SOGPD IF Replacement lj'a'U.� ❑ Public or commercial —Describe: Flood Plan elevation if applicable ft. Fh1�R�a Parent material3 (Gctn ` SGv1ri.T o+U7aCI 1 General comments and recommendations: •15O'.Ic ccjdateI. 9�r Boring# ❑Boring G4.LF It 10Z qo.qq it Ground surface elev. ft. Depth to limiting factor in. / elev. R .K (GIy /j .,_ce,'r STC rc I IG.G�c .'__. V Soil Application Rate __ Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft' 'Ef##1 E##2 I isj-3 - _E n't FC .1 t.C. 2— _ zy r 4 11 I L it •• L4 3 icj_ 6 •r 4 — 5 •f •r a I d F .-1 6c —w •• c -- S r `t — — •7 L - (a V4 k 3 ° t� Boring # Boring 94.Ib (Co r 90.67 Pit Ground surface elev. ft. Depth to limiting factor_ in. / elev.ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftr •Eft#1 Eff#2 I 0-$ 1S3,6.. -- i s o -s rn k9 zu14 t Z -L$ •f _~/y `— cc •` •r tr 10 •'7 (• 3 i%-b''1//3 - r IL&C H s S rr - Ti l•b 1ou 5 -fink CST Name MERTON MAKI Signature CST Number 224901 Address 10869N SMITH COURT HAYWARD, WI 54843 I Date Evaluation Conducted tf.- 1 -24, Telephone Number (715) 634-8719 Effluent #1 = SOD > 30 S 220 mg/L and TSS > 305150 mg/L • Effluent #2 = SOD, s 30 mg/L and TSS S 30 mg/L SBD-8330 (R04/21) Boring # Page _ of __ ❑ Boring qq.2, p f 62- 9 0,7lp [� Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/FP 'Eff#1 Eff#2 I P-i ,s 3z -- 6-s A% to 2%,K , I, Z 7-3z ' 4 - µ 2-u(4 '7 1, p —4'p ,i 9 3 — 5 'r rr '1 I .1 f . (o 6, -,Oa. — 5 " Lb ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure j Cr. Sz. Sh. Consistence Boundary Roots GPD/F9 •Eff#1 Eff#2 U s d - 7c0Jcr tt — LO4i cQqtl0:ls tL Q ti14+-e ds = t t h a l (-u c i-L3 Q S0 oy5tf POlk �- Gr ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in.) elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munselt Redox Description Cu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 Eff#2 Effluent #1 = BOD > 30s 220 mglL and TSS > 30 s 150 mg/L ' Effluent #2 = BOD, S 30 mglL and TSS s 30 mglL RECEIVE© APR 222026 Bayfield Co. planning and Zoning Agency bW 4er 3., sUtie J.-»hnson 5 37-OQ ia4t p1Yle, (_h ?ctrnes, Lc9I 543-13 -115-.ice -0f32 f L3r`r`y / yP-etd Co, 64rrles Two_ r0 zt::'. Z3'fz-- Nwftiw S ZS -r LtUN ROR4J 'x-1915 Sf- t}wy z7 z-7 RECEIVED 4 -boo —qoo' APR 222026 � ��"" � Bayfield Co. M1 nlo{"4c xg1ePlanning and Zoning Agency T/c�; �> 1� I wuo� B J • Hi 4. e(er n c 3 Ex Pr.u1 A. 3oliow s;d n Sw Cor�er�oaw� I. 44.44' 2. 44.1 t,' 3. S9.Zro' S0;\�, Sys&wv et- 9L C tcuc'e 94-9(oZ5� Ed- S.T. iN G�t•Ci' 4ye\t navyf by 5O' Fro1,� n-v,� c,.'n.A z3 tcc s r r � o � ll -0 v l (p.' Csf ut+ao( 9L'Qb5'g=?9 I9'Qb 1,001 bb'0b =SB =„2Qr b ---� ab ; Qb F -_r - alLaQb 4 fib -0b— _ oewx-' - : I eeeeeeae I �-j i¢ BNwEla u2w 6uW B� ¢8 0� PI 1 ₹ e� 7 2 :' 9zoz z z H6 C t H: £4 '""`02 —r- G3N3D3'� I - s r -1 000 hb'Eb —»bh i�9LQb_�l � _ (j L -— a .j I bb yh �b "-1 —F— hh'bb j 9)Ibb2 l,hQ b9 Lb N!�s 57' 9b ' h b _ PAGE 1 OF 4 RECEWED In -Ground Gravity Plan MAY 012026 Index & Cover Sheet Component Manual Design References: planningandzomn9A cin-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: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s)Ja"11&6 6 flIi p 't sOSen Phone: 1 Sffo 0y3a Owner Address: 52POC1 ar4-prne tr) . Cx nts5.sg?r zip: 5 V7 Project Address: q7 97s 5:& f 4W '7 Govt. Lot: 1/4 of _ IjW 114, Section T L{ L/ N -R 09 E D or W Township: County: Project Parcel ID #: ` 1 -'x t a Designer Information Designer Name: j Designer Address: E-mail: License Number: 7g?Zo / Remarks: Phone: 7/Ss?- kl-tcL,Zip: 5yey.3 Signature: Date: /'2 7' rigi al signature required on each submitted copy. stamp. ;; 3., svt;3. •�0hnsov� s3zoo �cc�L�;nPi Ln U) 154313 its —can —c 15z 4600 -700` Brttoo 0 sw Cone.-bocL I. 2. 3, gq.z6' S0.tc, Sysfen1 et- 46. C to 5e. 94-96Zc') E5}- S.T. iy q-wr ,t„t, L,ekt �„st by So' &w� ✓12u.o '5i15 L Q•. vc _a. Cc, E34v1e5Twr. -1-c' zD. 234fz_ FJw/kiw S Z$ -r LtLIK) RbR4J 5,L: L11R75 54- d-wy Li 27 Z3 tac. r S5 0 N t � N RECEIVED MAY 012026 Bayfield Co. Planning and Zoning Agency rl IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with QuIck4 StandardW Chambers 3 -ft Trench (down -sizing credit) SOIL COVER milt, Iruhnh rinpplh (lyphml) Septic Tank(u) Manufacturer: Septic'I'anic(s) Volume(e) Qw get onl Y.,..., ., gal gal Effluen Filter Manufacturer: Effluent Filler Medal TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System L--levatlen = ft (typical) gl•Ilcic4 Stancktict-W WI End Cap (Show location of Inlet / outlet pipe conrieetlorl on plan view, (typical) I ) ( 11+1 i111I1t;z: ft (typical) INSTALL PER TRENCH: , _, „ c)ulak4 Std -W @ 20 ft' EISA/chamber = Z,.,�,• a ft° t nabs of end caps @ tl'ft� C1SA/pair = _L = Proposed EISA per trench = ft2 •o rt't C) aom m Provide rnlnimuln 9 (t ' N.) separation between trenches. 2 Ohaorvatlon pipe (typinnl) all Nor mnrwfacuuer's / Inalruclluna, TYPICAL TRENCH PLAN VIEW (No Scale) JA 1= 3.0 ft (typical) Chamber (mfd by inflllrntorC9slomn, Inc.) Inalall purcuani to rnanufeniurer'c (nahvcitana, Required Infiltration Area ft2 x , trenches = Proposed Total EISA = 6 ft2 Distribution Method: 10 M Cn8 O R�C�NED PAGE 4 OF 4 012026 In -ground Gravity Management Plan IMPORTAMC,xeia co. piannin9 and Zoning Agate 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 Operating Limits: Design Flow = /$o gpd; BOD5 ≤ 220 mgL''; TSS 5150 mgL' ; FOG ≤ 30 mgL-' 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 i drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (Le., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (Le., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under S. 281.48 Wis. Stats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company:.1'4/1J\ _3 d Phone: 715 -S-5 'S'/b,� Local government unit /) ( /�-h y Phone: 7/Sty?—&I 3S Local government unit address: ZIP: Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be 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 383.33, Wisc. Admin. Code. Filters 2irG`�VE� --- Peadte Orencn'SC iasSajute enij are designed toremOae Olvc5Omafdnentleavingv?as v 0 206 rink. floral hnp es Siobme anuer Hier, are s". a the quaRy of a cent fm used in 9ua6iy of cueni item ard„evr Tanis.pn)ved 0, Ent -- e�'e.; ndsdtainjaldlueinonsl2dispersalsYMEM and imprOw;s per nm�aru a or dewnstrzam ve�me p� thhent sir The i3iohfr a!u r Man. ge n ug in the -� ?lale beg to = latubs r easy rmwe iOr matt �naneQ. ho c>essuely se carbidae marrtena�e� cycle 5 �rvals Filter mesh is available i re1a s?mm nr 1 mmi mess Opening s¢es. The handle Van be Owennded Ewth PVC pipe (r L includdo belle access ie fie Varb1d9a. A 314fa ^ (19mm) diametertDa hardy i inVluded. u.' MadePSCSOC27-18 and PSc " 21-18 are i\SF CS062T-18, PSGkrVCB2T-T8, PSGpS8821-1S, P5 LPVJGo2T-18 Jaieft Optanal rTeai Wch use 8j= Its_2j P =caci Races, cai'dge PVc.ABS Poll'ramylene, OCv Handle ineOnenLs PIG staiNes2 ! cs1 terplaze ABS iTAFT-nrr-2 Pe 3@p6M Pogo1012 B - A. Overall heigh,4 in (mm) ------• rdLPJUbZ1-7ti B. Hour ng hfsghi in (mrn) 22.7 a r 227 (577) C. Cartridge heght m(mm) 2iA (5 3) 2L033) D. OuBet pipe &Mete , in (mm) '7.75(451) 17.75(451) E. Oul(e(heightto im9rt, in (mm) 4.5 (11 z) i3a (343) 13.5 (343) F. DeBector plate diameter, in (mm) 6.63 (168) 6.63 (168) Mesh sae, in (mm) 118(3.2) ltlfi (t.6y Filter surface area, to (m�° 6.3 (0.59) 6.3 (0.59) Rove area, tr? (rrr 1.9 (0.78) 1.9(0.18) tfJfl,e 11d dEa 3r•zass rgy+em�, "HaearaaisUarr�,7z:1ne rT�+�ea u?Itie m^sh saga aiiH ena7 JaizuPas=¢gen trt R�.�,2iugz NW -fl -k9.2 0912' Grano Systems' 0 880-348-9843 a +1541-459-4449 , vrwa4reacu.eem P3ge2 aft d' PaTO tanks eerion'n p{annin9 and The Infiltrator IM -540 is a lightweight strong and durable septic/pump tank. This watertight tank design is offered with Infiltrator's line of custom -fit risers and heavy-duty lids. Infiltrator injection molded tanks provide a revolutionary improvement in plastic tank design, offering long-term exceptional strength and watertightness. Reinforced watertight mid -seam gasketed connection IM -540 Features & Benefits • Strong injection molded polypropylene construction • Lightweight plastic construction and inboard lifting lugs allow for easy delivery and handling • Integral heavy-duty green lids that interconnect with TW" risers and pipe riser solutions • Structurally reinforced access ports eliminate distortion during installation and pump -outs • Reinforced structural ribbing offers additional strength • Can be installed with 6" to 48" of cover • Can be pumped dry during pump -outs • Suitable for use as a pump tank or rainwater (non -potable) tank • No special installation, backf'ilI or water filling procedures are required • No special water filling requirements are necessary • The tank may be backfilled with suitable native soil. See installation instructions for guidance. Protecting the Environment with innovative Wastewater Treatment Solutions INFILTRATOR IM -,540 General Specifications and Illustrations The IM -540 is an injection molded two piece mid -seam plastic tank. The IM -540 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM -540 is assembled and sold through a network of certified Infiltrator distributors. Must be backfilled and installed in accordance with Infiltrator Water Technologies, Infiltrator IM -Series Septic Tank General Installation Instructions and for shallow ground water conditions reference the Infiltrator IM - Series Tank Buoyancy Control Guidance. Please visit www.infiltratorwater.com/images/pdf/ ManualsGuides/TANK01.pdf for the latest information. Total Capacity 552 gal (2090 L) Length :_ Width 64.9" (1648 mm) 61.7" (1567 mm) Height 54.6" (1387 mm) Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth j 6" (152 mm) Maximum Pipe Diameter 4" (100 mm) Weight 169 lbs (77 ka) RECEIVED tiAY 012026 Bayfield Co. Planning and Zoning Agency INFILTRATOR` 4 Business Park Road P.O. Box 768 Old Saybrook, CT 06475 860-577-7000 - Fax 860-577-7001 1-800-221-4436 www.infiltratoiwater.com CONNECTION TOP VIEW „Icy ITYP.I 1.3871 EXTERIOR INLET CONNECTION TYP.I END VIEW SECTION A -A' CONTINUOUS GASKET TANK TOP HALF rSE AM CUP TANK rl INTERIOR AUGNMEM DOWEL TANK BOTTOM HALF MID -HEIGHT SEAM SECTION DETAIL TRAP PENING WITH LOCKING LID U.S. Patents: 4,759.661: 5.017,041:5.156.488; 5.328.011; S.40t.116: 5.401.459: 5.511.903; 5,]16,163: 5,saa,778: 5.839&14 Canadian Patents: l.329.959;2,%4,564 CNw patents pestling. Infiltrator, Equalizer, Ouick4, and $ideWmtler are registered trademarks of Infiltrator Water Technologies. infiKrat« is a registered trademark in Franca InrJtratcr Waler Technologies is a registered trademark in Mexico. Contour, a trademark , PolyTuff. Chambe F-TITE Mulegist PodIEttk, OuickCut, OTITE, ay, SnapLock and Soaghtlock are trademarks of Inidtratw Water Technologies. PolyLok is a trademark of PolyLok. Inc. TUF-TITS is a registered trademark of TUF-TITS, INC. Ultra -Rib is a trademark of IPEX Inc. IL 2013 Infiltrator Water Technologies. LLC. All rights raseved. Punted in U.S.A. IMl 11116 a..untact inrntraror vvater I ecnnoiogies' I ecnmcal Services Department for assistance at 1-800-221-4436 4714126, 727 AM Real Estate Bayfield County Property Listing Today's Date: 4/14/2026 Novus-Wisconsin Access rev. 12.0206 _r Description Updated: 2/12/2014 Tax ID: 2342 PIN: 04-004-2-44-09-28-2 02-000-20000 Legacy PIN: 004114108990 Map ID: Municipality: (004) TOWN OF BARNES STR: S28 T44N R09W Descnpuon: NW NW LYING W OF HWY 1N V.760 P.376 Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: LESS HWY V.168 P.303 23.760 23.770 0 Yes (F-1) Forestry -1 104 I Tax Districts Updated: 3/15/2006 Property Status: Current Created On: 3/15/2006 1:14:47 PM 4W Ownership Updated: 2/12/2014 JAMES B & JULIE J JOHNSON BARNES WI Billing Address: Mailing Address: JAMES B & JULIE J JOHNSON JAMES B & JULIE J JOHNSON 53200 JACK PINE LN 53200 JACK PINE W BARNES WI 54873 BARNES WI 54873 F Site Address * indicates Private Road 47975 STATE HWY 27 —BARNES 54873 J Property Assessment Updated: 10/4/2016 2026 Assessment Detail Code Acres Land Imp. Gi-RESIDENTIAL 1.000 5,000 30,100 G6 -PRODUCTIVE FOREST 22.760 30,700 0 1 STATE 2 -Year Comparison 2025 2026 Change 04 COUNTY Land: 35,700 35,700 0.0% 004 TOWN OF BARNES Improved: 30,100 30,100 0.0% 041491 SCHL- ND Total: 65,800 65,800 0.0% 001700 TECHNICAL CCOLL OLLEGE e. Recorded Documents Updated: 3/15/2006 06 Property 93 CONVERSION _ History Date Recorded: 760-376 N/A RECEIVED APR 2 2 2026 Bayfield Co. Planning and Zoning Agency https:/Inovus.bayriieldcounty.wi.gov/access/master.asp 11 OI O O of O v oI 0 '0 LYMUT CRIOX FOREST COMPANY uc 464 I.. A 4 . 1 T_..I .- ._ .. ._ IY ' - IVERGIN !t eARPFEt N Ruuux u __ . A YS fIW fl0 —D — S �- 1 [ •A6YY I mw wmY B CHERYLL - - I @tt LAPPFID I APPELOOAN �T@RANCEL �l IIBi[!YYp- 36 60 I PFASE '_�Aa N + j YMINI. O M UANYPINE '�"'° I ANTHONY Leh— —!!1 �-- i. 1 fit- - Y SYRN M MANAGEIIEH} llt ,. SUZANNE M . ! 1 I �•� �. —z I rtVaiU, N.1 nt T FORSRRr\\/I ,5.. 9 1x i 1 F _ ,Yl%5C/ •�- a �xwl Ncxa: MADRI E w9LL< 110 LLC NORTHERN I BRADY IIII - i IOUFMINP ' a x R I HRiHLAND5 i WISCONSIN DARNS I . __ -��� I T YWHT I ..�„ I x 1 _NMTCUC NORTHERN Sp MTC LLC \ \ II i{± RU E6 VU wAWFuIUII Il 2)T i NMTnIEC; .� OI 1_ 1 I P -A - .---- -- LLc • '- A .1- . a - lasmRl.. .r:;= � WCcNSIN H •!!•' %f \ '-_i IG NM619 _� '•l: L... 0 !DI 619 I .. LLCVII NORTH@\ NKTC UC NHTCUC I I RORERTL F41 JT4 ! 389 .': I GYNNILD . ... x � :NMESB KATHIEENL C I II I 'aIUUEj SENSKE I i 113 JOHNSON ITT •fir :I I Gy.tal *.'__"_— O PERIN U I Vi_ fl +� se- sr r�sz �^n�erer ..•- .:-r.•-.._.�:�. EN II? x Do.Ch Rd I iNiIOWi A RI EN;THOMAS A ••I t' - 1 DAVID T I I ERINH K ` I TRUSTFFS I O•BRIEN UYFIELD BAYHELD lulu _ I FINK@ I O BRIEN 'Fp is I 77 C0UNN coumy uNgx - "7'"37 . S9 1 F CA4Vb 629 64? �IM110Ny Q IIWNII�Y I 26 x .m. OF 1 NAACNA •9 .. CATHERINE )i' G % _%. SARNES, O•SRIEN O•BRIEN f. OUT18R, 404 1 119 I 119 T8 I•,L.• - IEWNNK i IOWIIAS, it ARty .AwA I -MR ! - tmm � ( O•BRIEN ; Twilaau' ' r • i•'Qaa tl1�17.1 _19_I 4D .YIpLUni l9 y g OUNCE RIV@ !------- .. _- __. _ SIDi WISCONSIN NORTHERN i JULIE CAMP4LLC I� HIGHLANDS NMTC OUNCE I 1 ow RICHARD IIOHNSON RUIDL' RIV@ I RrYFIFID 1 f N0LDRRN i 4TT TT 6I ' OUNCE RNER CAIAP i COUNTY' xWRAt� RUiH ASON I CAMP3 LLC SOS 27 I IWIZUc I P L 602•T9 '71 hn _?• i xn DE.:'RE I 1 JAARY 1 UNCE ORN@ I 34. -� U _ = wen I S IT S i MVID ; CAMP 2 LLC OUNCE E J9 I L 'dI K•I OUNCE RN@ P6 .r I COUNLD CAMP I uc a1 .I' oa116 I 51$ x Nr1 !. m-RaaxlaW I —L--� _ I x uurv, 9,p n�sr as ! I_ 1000 2000 3000 4000 5000 S:=a .3ARNES - SOLITTI Page 3G�o^�1�5 Sv£k Ce4er ( - 4Y aJ 2O fcc) C Private Sewage System y As owner, I (we) do hereby certify the private sewage system will oe mstaneo 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) NtJ 1/4 of /t) (J1/4 Section ______Township V/NI. RangegW Additional Legal Description: 52."C A,4+4 cc Town of / 44Nr≤ (Acreage) i/ Gov't Lot Lot _ Block Subdivision Lot_CSM#_Vol._Page_ CSM Doc# DOCUMENT NUMBER 2026R-6 1 2312 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED O5/29/2O26 AT 8:2O AM RECORDING FEE: $30.00 PAGES: 2 Return To: Planning and Zoning Department RECEIVER JUN 0 12026 In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution S&e4System: Planning and Zoning Agency ❑ Mound ❑ At -grade Sewage System ❑ Other Area 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 BPS 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 -trade. and In -around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be 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 Subscribed and sworn to before me on tj1i8 a "#h /h/ J %/LSan% Vv I I Z O Z to a0TAl3Y •• Notarized ign re(s) Notary Pu Ic 7 —'— My leg' mon Expires. , T� •-__- 6G9/OW/2O27 F t Drafted by: �ll Date: 2(o t art �i•i'I rlaj-e Proofed by: ulfonns/sanitary/septicmaintenceagreement Revised July 2020 I Document NO.:- 447:115 Recording Data: . 40 LtrS-CF/t'GFAC IL. -_LC" QUIT CLAIM DD REGISTER OF DEEDS '99 FEB 5 Rn 1156 REGISTER'S U'Fi':%C.% S. . BAYHELD COUNTY, WIS. Return to: Lein Law Offices P.O. Box 761 YYYYY Hayward, WI 54843 /640 Computer No.: 004-1141-08 JAMES B. JOHNSON, an adult married person, Grantor, quit -claims to JAMES B. JOHNSON. AND JULIE J. JOHNSON, husband and wife as survivorship marital property, Grantees, the following described real estate in Bayfield County, State of Wisconsin: All land lying West of State Highway 27 in the Northwest Quarter of the Northwest Quarter (NW( NWM), Section Twenty-eight (28), Township Forty-four (44) North, Range Ninei(9) West, Town of Barnes, Hayfield County, Wisconsin, LESS that portion of the premises conveyed to the State of Wisconsin Highway Commission by Warranty Deed recorded in the Bayfield County Registry on October 26, 1956 in Volume 168 of Deeds on page 383. This is not homestead property. Dated this 4th day of January, 1999. (seal) .A7 E JOHNSON STATE OF WISCONSIN l{ 1 es. SAWYER COUNTY j Personally came before me this 4th day of January, lS9S._tke—above named *1 s ;PUBLIC. ' ND Op w': THIS INSTRUMENT WAS DRAFTED BY: Curtiss N. Lein Lein Law Offices Post Office Box 761 . Hayward, WI 54843 and acknowledge the TRANSFER FEE IF[ SP7 RECEIVED JUN 0 12026 Hayfield Co. Planning and Zoning Agency V7fi+Qp3.7Q 13- --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: Submission Number: JOHNSON, JAMES B & JULIE J SR -00397 53200 JACK PINE LN BARNES, WI 54873 Transaction Number: SR -00397-44859 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 8924 Paid by: Merton Maki, 10869 N Smith Ct, Hayward WI 54843 Payment Type: Check Transaction Date: 4/27/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. p -...Y FIELD 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: JOHNSON, JAMES B & JULIE J 53200 JACK PINE LN BARNES, WI 54873 Description Private Sewage System (Septic Tanks) Submission Number: SS -00734 Transaction Number: SS -00734-45591 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3298 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 5/8/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-37S STATE SANITARY PERMIT OWNER: JAMES B & JULIE J JOHNSON GOVT LOT: LOT: BLK: NW 1/4 NW 1/4 SEC: 28, T 44 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 25-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND TRACY POOLER DATE: 5/8/2026 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 5/8/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION