HomeMy WebLinkAbout26-98Scrc- cootocv
Industry Services Division
4822 Madison Yards Way
Count I II
6 L C
Sanitary Pe t Number (to be filled in by Co.)
®S =
•, P$
Madison, WT 53705
P.O. Box 7302
•,,� '�
Madison, WT 53707
_ /] Q
a e'� J
Sanitary Permit Application /6
State Transaction Number
In accordance with SPS 383.2112), Wis. Adm. Code, submission of this form to the appropriate go i[
Project Address (if different than mailing address)
is required prior to obtaining a sanitary permit. Now: Application forms for state-owned POWTS arc, cd to
the Department ot'Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.0411)(m), Stats.
/ 1 pn
I—ZO I� ^ I
O✓t- 34 S4 uK G4 -
I. Information Please Print All Information
Application — e, x --- r�
Property Owner's Name
Parcel #
\ I
0 VeoeJo a n -t Ll-C,
Tay, rt) 1oc4Z
Property Oil er's Mailing Address t-' /
Property Location
P0 ac 14 -..
Govt. Lot
L3
City, State
ph��
Zip Code i'I81suMtgCi.••••�+'�"
S e L -ke- l.J (
SLt An6
5b1-696 - Z81Z
'• A. Sudan
T 43 N R 0 7 E or
Type of Building (check all that apply)
Lot #
RII.
l 7tlI or2 Family Dwelling- Number ofBedrooms Z+Sub
s-�
q �
ivisio¢ Name .a J
w nee.- $dd.'-fo kLtLc
�tlblic/Commercial - Describe Use
Rroer (-0+q J. t f501 c a
Block 4
City of
❑State Owned— Describe Use
Jvillage of
C
CSM Number
Townof e
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i
a lifcaabbte.)_
A.
I New System
l --1
I Irceplacement System
Other Modification to Existing System (explain)
Additional Pretreatment Unit (explain)
B.
Holding Tank
® In -Ground
ICI -Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
Renewal Before
Revision
jChange of Plumber
❑transfer to New Owner
List Previous Permit Number and Date Lssued
Expiration
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/sf)
Dispersal Area Required 1st)
I Dispersal Area Proposed (sf)
I System Elevation
L4 q z
Lss2s
Capacity in
Gallons
Total
Gallons
p of
Units
Manufacturer
Tank Information
` S
$
B
New Tanks
Existing Tanks
2°
o.U
—u, o
to
en
r2
O
Q
a.
pt or Holding Tank
—'(s
—
S�
125CY—
Dosing Chamber
O C
V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) rr .,([
Plumber's Si attire
MP/MPRS Number
Business Phone Number N[
b 14h 5c-kot`"Z—
)Sj%IZ-I/
Plumber's Address (Street, City. State. Zip Code)
-70-7 fo 54one "Ve- P� n e- lh t J 1 StF 876
VI. County/Department Use Only
Stpproved
❑ Disapproved
Permit Fee
5 jm-
Date Issued
`t 1?' zs
Issuing Agent Sign
❑ Owner Given Reason for Denial
Conditions of Approval/Reasons for Disapproval e1,9
KKUl
1✓t
Attach to complete plans for the system and submit to the County only on paper not teas than 8 12 x II inches in size
SBD-6398 (R. 02/22)
Wisconsin Department of Safety and Professional Services SO O L TEST # Page
of
Division of Industry Services
SOIL EVALUATION REPORT
D �f'l
In accordance with SPS 385, 'Ms. Adm. Code County BAYFI E LD
Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must include, Parcel I.D.
but not limited to: vertical and horizontal reference point (BM), direction and percent slope, 10g7
scale or dimensions, north arrow, and location and distance to nearest road. TC X .ZD
Please print all information. Reviewed
Date
I ?
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Gpy Fors 7
t 2
roperty�O�w+ner
Property Location
❑ ❑
j�
t it, V e Ve� 0 e L LC
Govt. Lot ''A ''A S 23 T (43 N R __E
(or) )V
Property Owner's Mailing AdJress
Site Address or CSM and Lot #: woo d. cresf 4 lit- +o L, Id_t
PO a x l 4•S 50-7
fit oevr Lem • L1 So P• so 8
City
State
Zip Code I
Phone Number
0 City ❑ Village I Town
I Nearest Road
-4vie- Lake
_k
SY870
>z
64, � le- ovI
IEdS4.
C4 -
New Construction Use: Residential/Number of bedrooms Code derived designflowrate, 3OO GPD
tJ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable N F ft. MT
p 7/l3 2�
Parent material a L QV W __ ..v
ED
General comments and recommendations:` .,� ST
`i 0 2026 «s' cmt).f.�"
1 Boring # LJ tsonng `z Z• Z- - —
Q2 Pit Ground surface elev: ft. 6,YqLq0t o limiting factor in. / elev. ft.
PL ,nninn and Zonina Aaencv
Soil Application
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
I
o-
-1.s 3/
.-
b-5
1
t"
.1
I.
2-
e _ ZS
H Lfy
----
15
11
•
ft
luc'.c
7c-./
C
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.
5-
r-
'+
--
C rDtT&c
-i- S
N
Boring #
❑Boring (?q.3
pPit Ground surface elev. ft.
Depth to limiting factor in. / elev. ft.
Soil Application
Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*Eff#2
o-1
I S
d S
wl
W
(U -CC
,1
i• L
Z-
7-a.9
hi{ --C
•i
3
ft I/5
-
________
________
_______
k(-
.
_____
______
_____
CST Name MERTON MAKI
Signature ,
CST Number 224901
Address 10869N SMITH COURT
HAYWARD, WI 54843
Date Evaluation Conducted
,-24 -1 (o
Telephone Number (715) 634-8719
* Effluent #1 = BOD > 30 s 220 mglL and TSS > 30 s 150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R04/21)
x) 1 �cveo�uhen� LLQ
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RECEIVE®
JUL 102026
Ptatlnin9ayfiekl
td Z !nOflg A
9ency
Ai-ttoo nC-Lo jr bLon 3'o 5o.4h
5.'d.e l 2 t P'I'ple-
Et. qqq t
1_ qq3`
.l sa.R, srsf: eteu 85.29'
C —
e4 S i � �►, 96.E
�cdg <<
z� a44L v h f Pao 11
Wet I WI Cede Sf KF
1 ll
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ps Q. -7S•. 1o,sS
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Bayfield County, WI
6/2312026, 9:30:47 AM
1:500
Tie Lines
Section Lines All Roads
0 0.01 0.01 0.02 ml
Meander Lines
C Municipal Boundary Town
0 0.01 0.01 0.o3IaB
--.. Approximate Parcel Boundary
J
—
77
C1
N
Beygeld cowry land Records oepamnent
.s.a,
(U
ntrosImaps. bayfeldcamty.'agoN6aNeldWABI
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2
In -Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg1of4
Pg 2of4
Pg3of4
Pg4of4
Attachments:
Index & Cover Sheet
Plot Plan
Dispersal Area Cross -Section & Plan View
Management Plan RECEIVED
JUL 10 2026
Bayfield Co.
7 and Zonlnc
POWTS Application for Review
Soil Evaluation Report & Site M
Project Name / Description
Owner Name(s): t'0-4( Phone: So'7 - b5b - 7__1z --
Owner Address: ?o$x 145- Lcd I Zip: 548-Ve
Project Address:
Govt. Lot:
1/4 of 1 /4, Section 2-3 , T r-%3 N-R67E U or W tX
Township: (.c County: cL I4
Project Parcel ID #: 14 ti LnR g7
Designer Information
Designer Name: 1Jc, ScL J ( 6 7 Phone: W SSB s�o`F
Designer Address: —lo7c, $#off 7COrl? Lk ui( Zip: ctei-rt,
This space reserved for approval stamp.
E-mail:
License Number: I S/ 61 i
Remarks:
Signature:
Date:
Ori k gnature required on eac m' copy.
Po ax t' -1s
5+o,t.e Lac\ e, tD i s4 a,
01 _ bqb- Z.Q>lZ
Sal -c. on E'd≤ c -
1_ega ( •. 2/?
C.o.C&bla 1wp
Tax D tog 5z.
z- 3 T L!3 1d 2 0`[ LO
ld'ooc crr s+ Rdd. +-o Lc (c.e P-�vev-
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W
P N
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_%_ -78
—L BcIsas Ct
RECEIVED
JUL 10 2026
Bayfield Co.
Planning and Zoning Agency
'$NtoO na. \,r, 66o,., 3'e? So✓1-h
s:ac t -v` P'Pple-
P>t. 94.9s'
Z. 54.3`
3.%Ls'
l $615,,5(gst eeu 95.29'
C c&vt3e. q'E,— Ci
(5sf ST
't'(J15 5(2C E Ioc-,4oh `211 pro't/
Well -Ea wlett Cod- cM<f
IN -GROUND GRAVITY DISPERSAL AREA
' Trenches with Quick4 Standard -W Chambers
Stepped Elevation •
3 -ft Trench (down --sizing credit)
SOIL. COVER
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
12°
min. trench
depth
(typical)
34. 4-- —� ' e' 4 • �o
(typical) .d . e •
A
Septic Tank(s) Manufacturer:
Septic Tank(s) Votume(s):
%- gal ......_ gal - gal gal
Effluent Filter hllanufacturer:
Pal Lo
Effluent Filter Model U:
Provide minimum 3 ft
separation between trenches.
Lowest Trench (as applicable)
Highest Trench
System Elevations = • 15. __ ft; fS' Z5_ ft; ft;
ft; ft
Quick4 Standard W
w/ End Cap (Show location of inlet / outlet pipe connection on plan view.)
(typical)
B P_ ft
(typical)
INSTALL PER TRENCH:
Z Quick4 Std -W @ 20 ft2 EISA/chamber = _______ ft2
+ �__ _, Pairs of end caps @ 6 ft2 EISA/pair ft2
Proposed EISA per trench = _ 112
x 2.- trenches = Proposed Total EISA = ±Z_ ft2
Observation Pipe
(typical)
Install per manufacturer's
/ instructions.
TYPICAL TRENCH
PLAN VIEW
(No Scale)
JA = 3.0 ft
(typical)
\--Quick4 Standard -W Chamber
(typical)
(mfd by Infiltrator Systems, Inc.)
install, pursuant to manufacturer's Instructions.
Required Infiltration Area = Lt2_ 1 ft2
Distribution Method:
G)
m
W
O
n
-P
PAGE OF
In -ground Gravity Management Plan
IMPORTANT:
The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 300 gpd; BODs ≤ 220 mgL''; TSS ≤ 150 mgL-'; FOG ≤ 30 mgL7'
Inspection Checklist INSPECT EVERY 3 YEARS RECEIVED
o type of use
o age of system JUL 10 2026
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) eayfield Co.
o material fatigue (i.e., leaks, breaks, corrosion, etc.) Planning and Zoning Agency
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / 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 (he., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist 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:
Dij4L
"Dau LL -L
Phone:
S 07 -- 6'I 6— zs IZ
Local government unit: 541cutv—
Co zo.� .K�
Phone:
TfS-63t( —12 Z9
Local government unit address:
10616
Mail - X44 4G-11
w Qr' i L&J I
ZIP: Sg i-3
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.
5/21/26, 11:42 AI
Real Estate y(Ield County Property Listing
Today's Date: 5/21/2026
Description
Updated: 12/16/2025
Tax ID:
10992
PIN:
04-012-2-43-07-23-2 00-319-09600
Legacy PIN:
012128401000
Map ID:
Municipality:
(012) TOWN OF CABLE
SIR:
S23 T43N R07W
Description:
WOODCREST ADDITION TO WILDE
RIVER LOT 98 IN V.1150 P.508 1576 IN
DOC 2025R-610317
Recorded Acres:
0.910
Calculated Acres:
0.881
Lottery Claims:
0
First Dollar:
No
Zoning:
(R-RB) Residential -Recreational Business
ESN:
108
f Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
012
TOWN OF CABLE
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
Recorded Documents Updated: 3/15/2006
O WARRANTY DEED
Date Recorded: 12/15/2025 2025R-610317
O QUIT CLAIM DEED
Date Recorded: 10/1512015 2015R-560814 1150-508
O CONVERSION
Date Recorded: 409-169;769-187
Property Status: Current
Created On: 3/15/2006 1:15:10 PM
Ot�ateMh U�dabed• 12/16/2025
TIMBERDOODLE LAND CO LLC CHIPPEWA FALLS
WI
Billing Address: Mailing Address:
TIMBERDOODLE LAND CO LLC TIMBERDOODLE LAND CO LLC
17681 120TH AVE 17681 120TH AVE
CHIPPEWA FALLS WI 54729 CHIPPEWA FALLS WI 54729
}�f Site Address * indicates Private Road
N/A
. P went
Updated: 6/17/2020
2026 Assessment Detail
Code
Acres
Land
Imp.
GI -RESIDENTIAL
0.910
2,700
0
2 -Year Comparison
2025
2026
Change
Land:
2,700
2,700
0.0%
Improved:
0
0
0.0%
Total:
2,700
2,700
0.0%
N/A
L,4 --
RECEIVED
JUL 10 2026
Planning aa,d Zon n9 Agey
https://novus.bayfieldcounty.wi.gov/access/REAL%20ESTATE/listing.asp?tid=911523&pid=10992&tyr=2025 Page 1 of•
CHARLES LLC 34 Grays Trailer
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Document Number II
Drafted by: Tov a�
PRIVATE SEWAGE SYSTEM
MAINTENANCE AGREEMENT
Document Title
Y
DOCUMENT NUMBER
2026R-613084
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
07/28/ 2026 AT 8:00 AM
RECORDING FEE: $30.00
PAGES: 2
Recording Area
Name and Return Address
BAYFIELD COUNTY ZONING
Parcel Identification Number (PIN)
THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE.
This information must be completed by submitter: document title, name & return address, and PIN (if required). Other information such as
the granting clause, legal description, etc., may be placed on this first page of the document or may be placed on additional pages of the
document.
WRDA Rev. 12/22/2010
Private Sewage System Maintenance Agreement
L)T 5`s,� 7
( B,Icc ovA Cb1e,Ls
As owner, i (we) CO nerepy canny me private sewage system will De instanea in
accordance with the certified soil tester's report and approved plans and specifications
on file with Bayfield County Planning and Zoning Department. The system will be
operated in such a manner as to meet the designed plans. I (we) agree to maintain said
private system at the below listed location in accordance with rules established in the WI
Adm. Code, as from time to time amended. (COMPLETE Legal is required)
1/4 of 1/4 Section Township K3 N. Range 67 W
Additional Legal Description:
Town of 00.-0\e (Acreage) ' `'9- ,1 Gov't Lot
Lot Block Subdivii�sio
of\n
IW L,C U1-4 ?r!! TO w 1(
Lot CSM#_ VoLt(J.upege� CSMDoe # b "'%(a�/
Recording Area
Return To:
Planning and Zoning Department
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-orade 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 specificefly agrees that all the costs and charges
may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property.
Owner(s) Name(s) — Please Print
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u/forms/sanitary/septicmaintenceagreement
Revised July 2020
]3YFIELD Bayf field 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:
DUFFY DEVELOPMENT LLC
• 5702 N HAM LAKE LN
STONE LAKE, WI 54876
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00468
Transaction Number:
SR -00468-4A675
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 8964
Paid by: Merton Maki, 10869 N Smith Ct, Hayward WI 54843
Payment Type: Check
Transaction Date: 7/22/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
3 -4-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:
DUFFY DEVELOPMENT LLC
5702 N HAM LAKE LN
STONE LAKE, WI 54876
Description
Private Sewage System (Septic Tanks)
Submission Number:
SS -00800
Transaction Number:
SS -00800-4A053
Amount
$400.00
Total: $400.00
Payment Amount:
Reference: 1407 & 1475
Paid by: JD Excavating LLC, 16880W Metcalf Rd, Stone Lake WI
Payment Type: Check
Transaction Date: 7/29/2026
$400.00
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-98S
STATE SANITARY PERMIT
OWNER: DUFFY DEVELOPMENT LLC
G OV'T LOT: LOT: 98 B L K:
1/4 1/4 SEC: 23, T 43 N, R 7 W
TOWNSHIP: Cable
SOIL TEST: 98-26
NEW SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: DYLAN SCHULTZ
SCOTT ROUSH DATE: 7/29/2026
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 1516129
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 7/29/2028
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION