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Home My WebLink About25-23SRequest 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. Note fl Time Change fl Discrepancy fl Other Phone Number 715-413-0122 Plumber: Superior Plumbing & Mach. Inc. Fax Number Email Address Homeowner: Rebecca Curland ed@superiorpmw.com Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: 25-23s Plumber's Choice g Dept No Inspection(s) during this time Date: May a- Friday ept Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Time: *D \ ____ Township: Bell Address # & Road Name: 23650 St. Hwy 13 Cornucopia 2 773 d or Directions To Site: Comments: ** Plumbers you must verify any change(s) by fax or email ** Notes from ulforms/sanitarylrequestforinspection Zoning Dept (O4112104); 0 June 2023 REBECCA CURLAND & TRAVIS PANSCH 1768 BLAIR AVE ST PAUL MN 55104 POWTS HOLDING TANK INSPECTION REPORT (ATTACH TO PERMIT) GENERAL INFORMATION Permit Holders Name I ❑ City ❑ Village ❑ Town of 1 Sanitary Permit No. Plan ID No. Tax Parcel No. Property ddress if Avai cable DG I Df1VrxJ Property Une Well Water Service Building All -Weather Road OHWM Swimming Pool v — DEVIATIONS FROM APPROVED PLAN COMMENTS (Persons present, discrepancies, etc.) Sorb bedcvas -aluni Ul ' ^ iz, (ttt VU rtaM4 ✓`pis al�I " YlSQ�S on b$sv\ (k locust C " S'0'3 \"s lied ctu(5tnnLr uc14 _ Q r� \A 2vYal . _ fed < '3 �tn�ecx` y ul(wea iiwi road COMPONENTS NOT INSPECTED Plan Rbvisfon Required ❑ Yes ❑ No D Signature of In ector: Cert. u ber Sketch on other side 10 of 13 v v 1 BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT flTelephone: (715) 373-6138 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 58 e-mail: zoning(a)bavfieldcountv.wi.aov 117 East Fifth Street Web Site: www.bayfieldcounty.wi.gov/147 Washburn, WI 54891 REBECCA CURLAND & TRAVIS Property Owner PANSCH 1768 BLAIR AVE Information ST PAUL MN 55104 As you know _ was contracted by you to install a private onsite wastewater treatment system on your property described as: Notes: Abandonment of Old System to meet all applicable code requirements: I •% Tank was pumped by: C. Tank was crushed / removed and pipes disconnected by: on at AM/PM On at (AM / PM) the above -mentioned plumber contacted our office to condu a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could not respond to plumber's time constraints. Comments: IOnK iy c4/a(l d . man h4 ewkS// `1 IO'/ C ff ft/laly?l (b - iXI)(U rD Lolrrc iA<-iII,o4 rnJ.P(Ah 0 nDl ihin Ie,�9tr. N Y1-! /. J(!// rnStalU ulhdh dry In1(ior Ottonnslsanilarypropertyowner-input April2019 ► •� r v, • Department of Safety �'t1tn11} C� _ egos 2-) ' �` •" & Professional Services, Bayfield . Sanirlq• Pcrntit Numher(to be filtl;tlitthy c).;, Industry Services Division 5 2.'S Sanitary Permit Application St:tteTrinsaction Number in uccoitlsutee ►►ith SI'S 383.21(2), Wis. Adtn. Code. suegnuss +' .. u n c t this lotto tti the a{tpnpri:ar goterruucntul unit is required prior to tie►twining a .anitar permit. Note: Application lbrms ti r state-owned TOOTS are submitted to the I)ep.trntneat of ti:ttety and Professional Services. Personal intarnlittion you pnwide may be used for aceondaty Project Address (if•dif%rent than mailing addressI u epee: nt accordance With the Privacy Lill►. \. 13.1)4(1 1(ni). Slats. 23650 St. Hwy 13 Cornucopia, WI I. A >lllctttlutx Information - Please Print, Alt inrorin�ttion l'ropeny Owner's Name Parcel 11 #r ' r, r r .; Rebecca Curlartd ;i}� 7738 !, i'ropetty ()wner's Mailing Address , ' ' Property Loeatioi� APR �, ?� fy [lr! 1768 Blair Ave. Cowl. Lot ssc3�'t,'.`;: i (; ; r .'f if liti; ; Dept City. State Zip Code Phone Number St. Paul, MN 55104 612-845-2710 sW _i,,, SE '.i. seetiun 26 -r 51 N R 6 I: or 11.'i puf BBt ilding (cheek all that: apply) Lou # I or 2 Vatttily I)welling - Number oflkdrooms 3 Subdivision Name ❑ I'ubliklcoitunrreial - Describe Use Hioek � 0 City of ❑ Stan Owneel - Describe t use 0 Village• of CSht Number J Town or Bell 1111. Type of POW'1'S Permit: -(Check either "New" or "Replacement" and.other applicable on litre A. Check one box on line 8. Complete line.C'If u lkable.) A. xi New System ,] I Rephicenlent Systeln UOther Modification to Existing Systein (explain) 0 Additional I'retre:ttment Unit (expt:tia) i3. X} Holding Tank L ire-Clround _ L At -tirade 0 Mound €.a Individual Site Design i Other Type (e'tpliain) (conventional) C. t ' Renewal !ieliire Revision of Plumber ..' Transter to New Owner Liti71'reh loos Permit Number and Uutc Issued Expiration 11'. Dh iersnUTreathient Arca and.Tank Information: 1)exign Mow (gptl) LA•sign Soil Application RatOppd/sf) Dispersal Area Retluired 1.11 Dispersal Area Ptopascd (sf1 System Iilc►:ltilln Capacity in Total # of Manufheturer Tank !norm ation (lotions Gallons Units New Taub tsitiilg Iui:l.+ S.prir.a holding elute, x 2000 1 Wieser Concrete X l)41i1Ig Ctwiutb. ( _________ _________ V. Responsibility Statement- 1, the undersigned, assume responsibility ror installation of the POUTS shown on the attached plans. s'lumber's Name (Print) !'lumber's Signature MPIMI'RS Number Business Phone Number Edward S. Redinger 221939 715-292-6670 Plumber's Address (Strews. City. State. Zip Code) 1015 11th Ave. E. Ashland, WI 54806 V1:.Ctiunly/Daparlinent Use Only rlpplul'ed ❑ f)isappni►•ed ❑ t)wner (fiver Reason for Denial Pennit Fee 4OO Date issued z7 L haul Agynt Siflat ire ► Conditions of Approval/Reasons list Disapproval � �L\00, piD Sf t'�`^\ --5i&�V t CtCCe 5 3 ' + j L J ` rtfJ�v I1'1G�1 lc t c c.1r'A co - ......u. ... .u..... r.....i._ _. . _ ' - ... ««« .w•.«•..,..•.. �.VN.i.. .IN.v grog t.ay,r; F hell Iliad it 1ri % 11 lacnell in Sue 513D -3'S (it. 03/22) Department of Safety Coanty Baytield '0 p & Professional Services, Sanitary Permit Number (to be filled in by Co.) S 01) ndustry Services Division 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. I5.04(l)(m), Stats. Ia Applications Information — Please Pl�intAlI Information 23650 St. Hwy 13 Cornucopia, WI Property Owner's Name Parcel # [[ \I� Rebecca Curland (�' I� �� Property Owner's Mailing Address 1768 Blair Ave. City, State Zip Code Phone Number St. Paul, MN 55104 612-845-2710 U. Type of Building (checkall that apply.) Lot # 6a I or 2 Family Dwelling — Number ofBedrooms 3 Block # O Public/Commercial — Describe Use 7738 n) I Property Location ► APR 24 2025 Govt. Lot oavfield Co. Zoning Dep[ SW ''v4, SE '/4, Section 26 T 51 N R 6 E or W O City of O State Owned — Describe Use 0 Village of CSM Number ® Town of Bell M. Type of POWTS ;Permit:- (Check either "New" or "Replacement" and other ;applicableon4line A Check one box on line B. Complete line C If a livable. A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. Holding Tank 0 In -Ground ❑ At -Grade ❑ 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. ss ers rea men ... rea pan , : an .- - ti tram on: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation Capacity in Total # of Manufacturer , Tank Information Gallons Gallons Units L) $ -a New Tanks Existing Tanks U vt iZ 4 Septic or Holding Tank X 2000 1 Wieser Concrete X V. Responsibility Statement- I, the undersigned, assume responsibility afor installatilon:of the POWTS shoava1oa,the .attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Edward B. Redinger 221939 715-292-6670 Plumber's Address (Street, City. State, Zip Code) 101511th Ave. E. Ashland, WI 54806 'VI. County/Departm.. t TtTseOnly. ❑ Approved O Disapproved Permit Fee Date Issued Issuing Agent Signature O Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval .saww av ww u..w pauau ,ur •uv syilc[u anu suomUL to we l.oumy only on paper not less than 11 112 x 11 Inches In size SBD-6398 (R. 03/22) f. ti a Wisconsin Department of Commerce SOIL EVALUATION REPORT 4fr131 Page 1 Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel l.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. j),., )f59..91/ Please print all Information. Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1)(m)). ) f Q Property Owner Property Location wl , �} kf Govt. Lot 31/4 1/4 S T N R Property Owner's Matting Address Lot # Block # Subd. Name or CSM# M State Zip Code Phone Number o City [] Village X Town Nearest Road n New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate U.t71/DWA) GPO ❑ Replacement JJ Public or commercial - Describe: CAf,C'( DU.Ul5 Parent material . CJ _ L i i.-Le Flood Plain elevation If applicable ft. General comments and recommendations: Ih 7L F.?I 4X TAT $ Y$ t 1, / Boring # ❑ Boring RZPit Ground surface eiev. _ ?fi' ft. Depth to limiting factor In. Q9 e.,..u...,a..,, o...,. Horizon Depth In. Dominant Color Munsell Redox Description Qu, Sz, Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 O-- 5I 3 �1 ZL g Ci 3 0 o ^� vl ) S-/ _LoLc C th3- 1LL W 0, 17 0 /3n D 3&2A f4gF/ ~- 1a) D1 0 7 ( Boring # ❑ Boring �� ► IM I Pit Ground surface eiev. jy J, L, ft. Depth to limiting factor 7 in. Qil Ann Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fN *Eff#1 *Eff#2 , 3 SL 'u d "- -I . S S G 1, & 2M 0,0 D, 0 3 JA G C 6A,e 0 v n V - cnnuenr ff1 = GUU6 > iU < ZzU mg1L ana 15b >3U < IOU mglL w Effluent #2= BOD6 <30 mglL and TSS < 30 mg/L CST Name (Please Print)Signature CST Number , $ , ,q4) Address Date Evaluation Conducted Telephone Number Po_IJOXs� hMs NBf�th , sVifI9i _1 .�,? (7) 3?3 M2o SBD-8330 (R07/0C Property Owner Parcel ID # _ a'o-- lDPage r of _ _ Boring # ❑ Boring Ji pit Ground surface elev. ID1, ft. Depth to limiting factor - Q• ` - In, I Still Anntln2ffnn Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 D -f 5)'3J? .6- L IM,44 F C & m O, 0,3 3-/d 5,3 C dv Jsy, ;/ S/GL I % a1) VAI o o O a 3 j JpJ YR5M_ & ,-�j -. jp i,o Boring # ❑ Boring M Pit Ground surface eiev. _ 1i2 6 ft. Depth to limiting factor / In. Sall At�nlicatian Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 -- 3 x Q Ci 3 0,07 £93 _g Q 3h _..s4 Sjtj., I / _ LJ 3141 de 0 4c Boring # Boring t Ad, pit Ground surface elev. �j/ 9j/7 _ft. Depth to limiting factor in. Safi AnnUmfinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 O-5 Ld S/ � Vl -i ≤y4e.l..il.+ 42 io R. * Effluent #1 = BOD6 > 30 < 220 mg/L and TSS >30<150 mg/L * Effluent #2= BOD5 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD.8330 (R.07100) I PLOT PLAN • 1" = 10O' BACHAND "PLUMBING & HEATING P. 0. BOX 56 WASHBURN, WISCONSIN 54891 (715)373-2070 ,q -r B4 -t- 104110 Page 3 of 3 (Jp Rni 1 hnri nas done on North ado 1 PAGE 1 OF 4 • Holding Tank Plan Index & Cover Sheet Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan APR 2 4 ZU?% Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appli Holding Tank Agreement (if applicable) Project Name / Description 3 Bed Holding Tank plicable) cable) Owner Name(s): Rebecca Curland/ Travis Pansch Phone: 612 -845 -2710 Owner Address: 1768 Blair Ave. St. Paul, MN Zip: 55104 Project Address: 23650 St. Hwy 13 Cornucopia, WI Govt. Lot: ___ SW 114 of SE 1/4, Section 26 , T 51 N -R 6 E Dor W ✓0 Township: Bell County: Bayfield Project Parcel ID #: 7738 Designer Information Designer Name: Edward B. Redinger Phone:715 -292 -6670 Designer Address: 1015 11th Ave. E. Ashland, WI Zip: 54806 E-mail: ed a@superiorpmw.com rhis space resrvcd b r approval stamp. License Number: 221939 Remarks: Signature: Date: 4/7/25 Original signature required an ea submitted copy. PAGE 3 OF.4 HOLDING TANK SPECIFICATIONS (No Scale) 4"0 Vent Pipe flTln Weatherproof >10 ft from Junction and Alarm Box Approved Building Electrical must comply with Vent Ca 12" Min. or 2.0ftabove Approved Locking Manhole I P Established Flood Elevation with Warning Label Attached (typical) 4" m. or 2.0 ft above SPS 316 and NEC 300 (typical) 1 Established Flood Elevation Conduit I (typical) Airtight Seal � Finished Grade 18" Min. (typical) •."• ° • d Inlet d Intel Invert Approved Joints with I --Watertight Plug Approved Pipe 3 ft onto Max. 12" or 90% of total volume Solid Ground If more than one tank (typical) Alarm -On 4, A. Compartment 1 Vol = 1200 gal Compartment 2 Vol = 800 gal a TOTAL HOLDING TANK VOLUME = 2000 gal 'd• 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser Concrete Anchor tank as necessary = pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 lbs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( cu.ft. x 62.4 Ibs/cu.ft) - Ibs] x 1.5 = Ibs - _� Department of Safety ('"only BS SS— C� 27 & Professional Services, Bayfield Sanitary Permit p s Industry Services Division Number N, It, filled in by Co I 25-2 s Sanitary Permit Application Sat¢TmiL aelit""'°""er lit accordance nuts SI'S 383.21121. Wis. Adin, Code, subnassum of ibis fi+nn to the appropriate govemnlcntal unit i. Hymned poor to ohtaming a umhaty penun. Note: Application tints lorsmm•owned POWTS arc subinitled to Protect Address (if dilicrent than nlailmg address) the IX'patlnwoi of Salve} and Pml'essional Service.. 1'ersmlul anumlalion you provide may he used li,r.nunduty pu ruses in aeeord.uive uith the Privacy Lass... I3.MI I I(m1. Sou,. 23650 St. Hwy 13 Cornucopia, WI 1. Application Information — Please Print All Information Property th nor'% Nine Parcel II Rebecca Curland 7738 Properly (loner's Mailing Addles% i'ropeay Location ,\ik 1768 Blair Ave. (invl. Lot '',Yufr•I 1) it <'ity. Sane Zip Code Phone Number-� Si. Paul, MN 55104 612-845-2710 SW_':. SE ._ '.,. Section 26 T 51 N R 6 E or 3� II. Type or Building (check all that apply) Lot 9 6d I or 2 Family [)%%citing - Nand eru'fkalnxuns 3 Subdivision Nance ❑ I'uhiicfCommereinl- Describe Use Block ft O City of O Village of ❑ Slave Owned— Describe Use CSM Number W 1'onn of Bell Ill. l'vpe of I'OWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if applicable.) A. xi Nos Neetelll I_i Ice i;mee eI11 N'aeill p } C ither Mrahneelml to Existing System ll (explain) L..i Additional Pretreatment Unit (expkiinl o. Oil Hnlding'I mile . In-(imund .:\nlimde i_ Mound 'J Individual Site design ❑ Other Type (explain) Ieonvcnttunatl r,e%al Refire _ Revision ('lunge of Plumber __ Transfer to New Owner List Previous Permit Number and Date Issued \Puation IV. Dis ersaVfreatment Area and Tank Information: Design Flow (gpo) Design Soil Application kalclgpd/sn Dispersal Area Required Ism Dispersal Area Proposed (sn System Elevation Capacity in total It of Manufacturer 'I'mlk Inlinneniou (lnilons (Iallons Unit u Neu Iwik. FaiNh,gI unk. n _ o 3 ` y d tV'. Lc., U+7 V: LL L ..'pne w iluLlmg ('auA x 2000 1 Wieser Concrete X Ihn,ng IIumhe+ V. Responsibility Statement- 1, the underslgmd, assume responsibility for Installation of the POWTS shown on the attached plans. Pluulteis Name (I'rint) Plumber's Signature I MP/MFRS Number Business Phone Number Edward B. Redinger 221939 715-292-6670 Plumber's Address (Sneer. City. Stine, Zip (-ode) 1015 11th Ave. E. Ashland, WI 54806 VI, County/Department Use Only • Apposed 0 uisappmved ❑ (liven Reason I'emdl Fee ii F e�(-.��— Date Issaud Z z5 I.I. A I Si ire ash Ostler fir Denial Conditions of Approval/Reasons for Disapproval V¼4&�r 4�00. OO Sit 'Z, 1Yl L ) __ x i&. (ti.y.e sf Sd. ?5' Chi ntnhCkC `-J "tarn to rompkte pion, tar the s}sirm and suhmlt to the Counts one nn paprr Hui its, than It III % II indict In sus SBD-1398 (R. 03/22) C� _ Mr �� Department of Safety co County JBayfield J BS & Professional Services, Sanitary Permit Number (to be filled in by Co.) PS ndustry Services Division 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(I)(m), Stats. 23650 St. Hwy 13 Cornucopia, WI I. Application Information — Please Print All Information Property Owner's Name Parcel # D Rebecca Outland 7738 u Property Owner's Mailing Address Property Locatia APR 2 4 2025 1768 Blair Ave. Govt. Lot Bayfield Co. Zoning D�n� City, State I Zip Code Phone Number St. Paul, MN 55104 612-845-2710 SW '., SE /., Section 26 T 51 N R 6 E or \k II. Type of Building (check all that apply) Lot #1 63 I or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name Block # ❑ Public/Commercial — Describe Use ❑ City of 0 Village of ❑ State Owned — Describe Use CSM Number ld Town of Bell 111. 1\pe mf 1'O\\'TS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C If 1 mlicable.) New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) It. ® Holding Tank ❑ In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design I ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber g ❑ Transfer to New Owner List Previous Permit Number and Date [sued Expiration IV. Dis ersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation Capacity in Total N of Manufacturer Tank Information Gallons Gallons Units S°i o d o C v S 2 'm ni Now Tanks I Existing Tanks 6 u in ti tEC7 a Septic or Holding Tank X 2000 1 Wieser Concrete X Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature I MP/MPRS Number Business Phone Number Edward B. Redinger 221939 715-292-6670 Plumber's Address (Street, City, State, Zip Code) 1015 11th Ave. E. Ashland, WI 54806 VI. County/Department Use Only ❑ Approved ❑ Disapproved Permit Fee I Date Issued I Issuing Agent Signature 0 Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval Amen to complete plans for Inc system and submit to the County only on paper not less than 8 in x 11 Inches In size SBD-6398 (R. 03/22) Wisconsin Department of Commerce SOIL EVALUATION REPORT 4137'. Page l Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 Inches In size. Plan must Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 49/49.-. f f� ..� /• Please print all Information. Reviewed by Date Personal Information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). i-fC l Property Owner Property Location W Govt. Lot/4 1/4 S T N R W ,J ke ' Si.)StsF' s/ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# /9iq la - ❑ City ❑ Village X Town Nearest Road New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate_________________________ GPD ❑ Replacement jo Public or commercial - Describe: C&IL&-1 ou,Ub Parent material GI L 77,.1... Flood Plain elevation If applicable ft. General comments and recommendations: 1 0L AI aG TA Ak $ YS re t1, Boring # ❑ Boring 17 Pit Ground surface elev. ft. Depth to limiting factor . in. Snil Onnilratinn Rala Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 O5# 5I 5/L C1,O 3y c K D s -/r I mes Ci, /'-i. W 0,0 aU 3 J.�-30 G e. 1 D o o. Boring # ❑ Boring Y pit Ground surface elev. __________ft. Depth to limiting factor_ In. Snil nniirtafinn RIc Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 SL i 3,i v a,3 S cV≤SiLCu) 2M p.o O O a- D �c SB,C' D o n JLi-_6Vd__ * Effluent #1 = BODE > 30 <220 mg/L and TSS >30 < 150 mg/L * Effluent #2= BOO. < 30 ma/L and TSS < 30 ma/L CST Name (Please Print) SignatureCST Number c ` G � � (p Address Date Evaluation Conducted Telephone Number P. BaxS6 a4sN8a4'x), yr ..cL/ i SBD-8330 (R07/0I .__a Property Owner Parcel ID #_i90— /1759 t731 Page of Boring # ❑ Boring JJ pit Ground surface eiev. /Of, It, Depth to limiting factor Q . in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 D-4 .73/ R $ n. C Oi 0,3 �• R 5,3 C7 S e S/GL c o?ii D D Q a 3 /2 io47k voSeG G / --1F Oo 0 Boring # ❑ Boring 14 pit Ground surface eiev. /mr ' ft. Depth to limiting factor__________ in. Soil Anplication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 4 gYe3IL/4 �4 c 0 3it 0 a -F3 5'YQ3 a s s- 51ii. tlA 341 0.o Do . - a o AP I -fri Boring # Boring Pit Ground surface elev. ? r t ft. Depth to limiting factor -J. in. Soil Aopgcation Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sr.. Sh. Consistence Boundary Roots GPD/fta *Eff#1 *Eff#2 O-5 • Q3 of 5/i. a -/≤y4e. -) * Effluent #1 = BOD6 > 30 < 220 mglL and TSS >30<150 mg/L * Effluent #2 = BOD6 < 30 mglL and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07100) PLOT PLAN 1" = 100' .' L. o trnmrnrr_ Page 3 of 3 P. 0. BOX ss WASHBURN, WISCONSIN 54891 (715)373-2070 I T,,1,., 7 11111 rn or cJftj13i o Soil borings done on North X60' -r BAe,_ -it,. 1OO1 o $'W #&y 12 PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan APR 2 S 2025 Bayfield Co. Zoning Dept. Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appl Holding Tank Agreement (if applicable) Project Name / Description 3 Bed Holding Tank plicable) cable) Owner Name(s): Rebecca Curland/ Travis Pansch Phone: 612 -845 -2710 Owner Address: 1768 Blair Ave. St. Paul, MN Project Address: Govt. Lot: Township: Bell Zip: 55104 23650 St. Hwy 13 Cornucopia, WI SW 1/4 of SE 1/4, Section 26 , T 51 N -R 6 E ❑ or w F county: Bayfield Project Parcel ID #: 7738 Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11th Ave. E. Ashland, WI Phone:715 -292 -6670 Zip: 54806 E-mail: ed@superiorpmw.com n>.F,.,, n,rnr.l rur appnna stamp. License Number: 221939 Remarks: Signature: /L -.-J -z. Date: 4/7/25 Original signature required on ea submitted copy. PAGE 3 OF 4 HOLDING TANK SPECIFICATIONS (No Scale) 4"0 Vent Pipe Weatherproof >10 ft from Junction and Alarm Box Approved Building Electrical must comply with Approved Locking Manhole Vent CEstablished Flood aP 12' Min. Fl 2.fl above Elevation 4' Min. or 2.0 ft above SPS 316 and NEC 300 with WarninyLabel Attached (tpical) (typical) Established Flood Elevation —Conduit I (tyPica l) . .; IE1ii,' AMSeal Finished Grade 18" Min. (typical) '.. + •:' 4. ., Inlet Inlet Invert / Approved Joints with J --Watenighl Plug Approved Pipe 3 ft onto Max. 12" or 90% of total volume Solid Ground if more than one lank +i (typical) Alarm -On d, ' Compartment 1 Vol= 1200 gal Companmenl 2 Vol= 800 gal TOTAL HOLDING TANK VOLUME = 2000 gal 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser Concrete Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( cu.ft. x 62.4 Ibs/cu.ft) - Ibs] x 1.5 = Ibs Q ��J CD D TuT o � P N.., uuu N 0 0 3 r -c C C (0 NC o U t CD PAGE 4 OF 4 Holding Tank Management Plan IMPORTANT: The owner of this holding tank(s) 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 holding tank(s) 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. Estimated Daily Wastewater Flow = 450 gpd IInII k E Q V E D Inspection Checklist INSPECT EVERY 3 YEARS 111 APR 242025 o type of use o age of system Bayfield Co. Zoning Dept o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o neglect or Improper use (i.e., exceeding design capacities, prohibited activities, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o surface discharge of effluent or sewage back-up into structure served SERVICING FREQUENCY o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Scats. when the wastewater in the tank(s) reaches a level of one foot below the Inlet invert of the tank(s). Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis. Admin. Code. Report any component failure or malfunction to: Name of Individual or company: Superior Plumbing & Mech. Inc. Phone: 715-292-6670 Local government unit: Bayfield Co Zoning Local government unit address: 117 5th St. E. Washburn, WI Phone: 715-372-6138 ZIP: 54891 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 component of this holding tank(s) cannot be repaired, It shall be replaced pursuant to a plan submitted to the appropriate agecy for review and approval. System Abandonment If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. WLP1 200/800 -MR TANK SPECIFICATIONS rn Np INLET _E Y) Lfl 3" 164" II 4' CAST -A -SEAL 'Il`'Ill IIII �I 024" O /11 IIII FILTER OR I I BAFFLE �I I(I I� I C ITTu Till r^1 SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" 0.0. LENGTH: 164" O.D. WIDTH: 96" 0.0. BELOW INLET: 41" O.D. 4" CAST -A -SEAL LIQUID LEVEL 36" WEIGHT: BOTTOM 12.000 LBS. COVER 8,170 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL B00T OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 33.46 GALAN SEPTIC) 22.24 GAL/IN (PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON 4" VENT COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE M0)1 W. 0) l C) PUMP PAD P N ' DRAWINGS SUBMITTED NJ �- c N FOR APPROVAL O O °' D n APPROVED BY: ° a APPROVAL DATE: PRODUCTS NEEDED BY: J z Z Q 0 I.- 0 w (I) 1 HOLDING TANK — MANAGEMENT PLAN The Private Onsite Waste Treatment System (POWTS) has been designed and is to be installed and maintained according to SPS 383, Wisconsin Administrative Code, Holding Tank Component Manual for Private Onsite Waste Treatment Systems (SBD-10571-P)(R.6/99) and the Bayfield County Zoning Department Sanitary and Private Sewage Ordinance. This POWTS has been designed to accommodate a maximum daily flow of %SO gallons of domestic wastewater per day. 2. The owner of this POWTS is responsible for system operation and maintenance, locking device, alarm and access. 3. The owner or owner's agent is required to submit reports as required by SPS 383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department. 4. Design approval and site inspections before, during and after the construction are accomplished by the county or other appropriate jurisdictions in accordance with SPS 383 of the Wis. Adm. Code. 5. Maintenance Cycle. The holding tank must be serviced by licensed pumpers. An alarm system is to be installed to activate when the tank is c 90% full. 6. Performance monitoring. At the time of servicing, the service provider files a report with the department of designated agent. 7. A User's Manual will accompany the component. It will include the names and phone numbers of local health authorities, component manufacturer or POWTS service provider to be contacted in the event of component malfunction or failure. 8. In the event that this POWTS or a component of this POWTS fails and cannot be repaired the owner will find in the User's Manual the names and telephone numbers of property licensed individuals to contact for such repairs. This agreement shall be binding on all assignees and heirs X1/4 of X1/4 Section 2J Township \N. Range W. Town of S cI Govt. Lot Lot Block Subdivision CSM# Additional Legal °'/c? C124� Property Owners Signature u/forms/ma nagementpla n Jl c Date Revised: July 2013 Document Number/Plan I.D. No. HOLDING TANK -0)38 AGREEMENT CC4- Cu.r( a,Ftot fl -09 B t w.r'v ,4'e S#. Pau! , MN 551 o'f Parcel Identifier Number (PIN) - Agreement Date (same as Notary Date) 0'1•-010-2-Sf -ob-'- 01-0oo-200OO 4'/ii/AC on the following property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment o1 sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, / Wis. Wi Adm. Code or Ch. 145, s Scats. L•J5 114of S l' 1/4 Section Zto Township SI N. Range to W. Town of f41 Additional Legal Description: Gov't Lot — Lot_ Block_ Subdivision CSM#_ Lot_CSM # Vol _Page CSM Doc# DOCUMENT NUMBER 2025R-607269 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED O4/24/2O25 AT 1:28 PM RECORDING FEE: $30.00 PAGES: 1 Return To: Z3myC'e/cfc THV APR 2 5 2025 As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above gree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner fails to have the holding tank property serviced in response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Scats., Bayfield County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Scats. 2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. 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. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Scats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days from the date of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Scats., and Ch. NR 114, WI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. Owner(s) Name(s) — Please Print Subscribed and swom to before me on this date: Afol l I;* 2e6ec.c a. CN.nI a ..n A- G Notarized Owner(s) — Signature(s) l;, / C.-L?/G/li tr?4 ytmmission Expires: 00,1\ 316* 2,tq,. Drafted by: IZebeco Cc1r- tam d Personal information you provide may be used for secondary purposes [Privary Law, s.15.04 (I)(m)I •"'_" RAYMONDAJOHNSON Date: r- ` Notary Public arcorms/sannerymol LdoSJc,Qi201�5Ion Expires •.ya, 5 Jan 31, 2028 uflfl hi') HOLDING TANK SERVICING CONTRACT APR 2 4 LULL Bayfield Co. Zoning Dept. Contract Date 4! Yj I a-0 2S This contract is made between the Holding Tank Owner(s) Name(s) R ecc_ Ck,-L a1 chat Davis PahJcl� Pumper's Name (Print) _ 2 $ t tRAWo1St Lxcciµa4In,JNC. Pumper's igignature /l. Pumpers' Registration # We acknowledge acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT LOCATION I Legal Description: (Use Tax Statement) Taa 1DlI T J �(�i L3/4, 1/4, t�/ PS �' �2. Section 2 _ ,Township—N,Range (.0 w Town of: I Be( r� LLot Size t**ten S 00 30 Acreage 1fr.3`1 Gov't Lot Lot # CSM U Vol. Page CSM Doc It Lot(s) No. Block(s) No. Subdivision: 1. The owner agrees to file a copy of this contract with Bayfield County as required in SPS 383.55, Wis. Adm. Code. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local government unit which has signed the pumping agreement required by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the local government unit and the County named above within (10) business days from the date of change to this service contract. P,ebecCa Cutrlah4 Thk(vis PRvisck Owner's Signature(s) tuSubscribed and Sworn to me: ccL �iz,9J9 on this ALtyday of ____ My commission expires on: 3kk Revised: May 2016 (€May 2018) RAYMOND A JOHNSON Drafted by Personal information you provide may be used for secondary purposes (Pri 04 (I)(r4fptary Publlo Minnesota My Commission Explrn Jan 31, 2028 Ruth Hulstrom From: CeCe Rudnicki <cece@thesepticgal.com> Sent: Tuesday, April 29, 2025 4:34 PM To: Ruth Hulstrom Subject: Re: More Approved Plans Hi Ruth, For the airport, I had just used the waiverforthe other holding tanks issued for the airport. There are some from 2024 and I did one in February also. There was also a soiltest done by Mary Jo Huppert on a nearby lot indicating fill as well. That whole area has been disturbed and is not suitable for in -ground dispersal. Let me know if there is an issue. Sorry about the Curland property. I saw there was a bunkhouse and figured there was an old soil test or waiver for this. I will check with Ed and let you know. CeCe Rudnicki 715-403-0726 — call or text www.these0ticgal.com From: Ruth Hulstrom <ruth.hulstrom@bayfieldcounty.wi.gov> Sent: Tuesday, April 29, 2025 10:23 AM To: CeCe Rudnicki <cece@thesepticgal.com> Subject: RE: More Approved Plans CeCe, Holding tanks are a system of last resort in Bayfield County. Can you confirm that you did not require a soiltest or waiver for Cable Union Airport applications because there was an existing soil test or waiver for the site? Is there a reason that a soil waiver at a minimum was not required for the Curland application? There was an old soil report for the site from 2002. Did you review this associated with the Curland application? The plumber did not include with the paperwork. Maybe I missed something. Thanks, Ruth Hulstrom, AICP I Director Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3514 Fax: 715-373-0114 Email: mth.hulstrom(7ne.bavfieldcounty.wi.gov 5113125, 4:18 PM Carmody"" BAYFIELD COUNTY SANITARY PERMIT (#04)-25-23S STATE SANITARY PERMIT OWNER: CURLAND, REBECCA D & PANSCH, TRAVIS W G OV'T LOT: LOT: B LK: SW1/4 SE1/4 SEC:26,T51 N,R6W TOWNSHIP: Bell SOIL TEST: 127-02 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: EDWARD B REDINGER CECE RUDNICKI Authorized Issuing Officer DATE: 5/13/2025 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: # 221939 Condition: Service access to be less than or equal to 25' from manhole. Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 5/13/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION httnc•l/www rarmnrivinr. rnm/ParmitAnn/Parmit Sinn acny2Print=1 AnArmitannir1=7AA7 1/2