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HomeMy WebLinkAbout26-106SSP S Department of Safety & Professional Services, Industry Services Division Sanitary Permit Application 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 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(l)(m), Stats. I. Application Information — Please Print All Information EIVED Promnty Owner's Name 16166 W. DEER LANE City, State Zip Code HAYWARD, WI 54843 II. Type of Building (check all that apply) CMor 2 Family Dwelling— Number ofBedrooms 3 Public/Commercial — Describe Use ❑ State Owned — Describe Use y BAYFIELD ry Permit Number (to be filled in a�-ib63 13320 HOLLY LAKE ROAD Parcel # (TAX ID: 33993) Baygeld Co. Govt. Lot NA e um cr S� NW %., Section 30 T 47 N R 06 w 2 Subdivision Name NA NA ❑Cityof r O Village of #1451, V8, P370 LoDRUMMOND Low III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on lice B. Complete line C i a licable X M w System Replacement System Other Modification to Existing System Additional Pretreatment Unit (explain) (explain) B. Holding Tank X In -Ground At- Individual Site Other Type (conventional) Grade Design (explain) C. Renewal Before Revision Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. DispersaliTreatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Dispersal Area Proposed (si) System Elevation 450 0.7 642.58 93.00 FT. 652 Capacityin Total #of Manufacturer L Talc Information Gallons Gallons Units e U v '2 New Tanks existing Tanks c Septic or Holding Tank 1000 L000 1 WIESER X Dosing Chamber V. Responsibility Statement- I, the undersigned, assn a responsibility for installation oldie POWTS shown on the attached plans. Plumber's Name (Print) ber' ature MP/MPRS Number Business Phone Number RYAN STRAND 798301 715-558-1673 Plumber's Address (Street, City, State, Zip Code) J A 1��ppmv�� Permit FFee a Issued , D Issmng A t gnatum O Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval P I b' 2, Attach to comnlete plans only on oaoer not less than S in a 11 inches in size SBD-6398 (R. 03/22) SOIL TEST # 622 1 + 2 `',,� �•L Wisconsin Department of Safety and Professional Services Page of Division of industryServices SOIL EVALUATION REPORT ��rte, L` ,t'` .J'"� O� In accordance with SPS 385, Wis. Adm. Cade County tta mplete site plan on paper not less than 81/2 x 11 inches in size. Plan must include. Bayfield 1 led to: vertical and horizontal reference point (BM), direction and percent slope. Parcel I.D. ensions. north arrow, and location and distance to nearest road. 33993 Please print all information. Review y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Co o tss I ( Property Owner Property Location ❑ El Longtine Trust DTD Govt. Lot ' ' 'A % S 1 � T 144 N R ! E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 16166 W Deer Lane City I State Zip Code Phone Number ❑ City ❑ Village 9 Town I Nearest Road Hayward WI 154843 7155 i820Drummond Holly Lake Rd Q New Construction Use: E1 Residential/Numberof bedrooms 3 Code derived designflow rate 450 GPD ❑Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material Sandy Outwash REW FIVE General comments and recommendations: Site suitable for conventional system JUL ozozc E[] Boring # UBonng 90.2 []Pit Ground surface elev. ft. Deptci1 t h factor in.! elev. ft. PIannina an.,i Zoning Agency ISoil Anolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/F12 Eff#1 Eff#2 A 0-8 5YR 2.512 LS 0-gr-vf mfr gw 2f -2m 0.7 1.6 B 8-39 5YR 5/6 S 0-sg mfr cs if 0.7 1.6 C 39-64 5YR 5/8 S 0-sg mvfr cs - 0.7 1.6 D 64-120 5YR 5/4 S 0-sg mvfr - - 0.7 1.6 LI] Boring # ❑Boring 93 OPit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Anil Anniiratinn Rata 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 A 0-7 5YR 2.5/2 LS 0-gr-vf mfr gw 2f -lm 0.7 1.6 B 7-38 5YR 5/6 S 0-sg mfr cs if 0.7 1.6 C 38-65 5YR 5/8 S 0-sg mvfr cs - 0.7 1.6 D 65-125 5YR 5/4 S 0-sg mvfr - - 0.7 1.6 CST Name (Please Print) Signature CST Number Tim Dykstra I 11213855 Address I Date Evaluation Conducted I Telephone Number 10620 Eagle Lake Rd Iron River WI 7/6/2026 715-209-5748 • Effluent #1 = BOO > 30 s 220 mg/L and TSS > 30 s 150 mg/L • Effluent #2= BOD. S 30 mg/L and TSS 530 mg/L SBD-8330 (R04121) Page 2 of 2 ❑ Borng 92.1 3] Boring d ® Pit Ground surface elev. ft. Depth to tinting factor hi. / elev._fl. Horizon Depth In. Dominant t Color Mind Redox Description Gu. Az. Cont Color Texhre Strucue Cr. SL SR Consistence Bour*Wy Roots GPD/FF f ,E A 0.8 6YR 26/2 LS O-gr-vt mfr 9w 21.2m 0.7 1.6 B 8-39 5YR 516 S 0-sg mfr cS 1f 0.7 1.6 C 3983 6YR 518 S O-sg mvfr cs - 0.7 1.6 D 63-129 5YR 514 S Dag mvfr - - 0.7 1.6 ❑ soft is ❑ Boring ❑ Pit Ground surface elev. k Depth to limiting factor in. / elevR SM AnlnMannn Pate 1 Horizon Depth In. Dominant Color Mansell Redox Description Du. Az. Cont. Color Texture Structure Cr. Sr. Sh. Consistence Boundary Roots GPO/F? •EB¢1 •Eft32 ❑ Boring S O Boring ❑ Fit Grand surface elev. ft. Depth to limiting factor_If. I eleu=ft Horizon Depth In. Dominant Color Morsel Redox Description Qa AL Cont Color Texture Structure Cr. Sr. Slt Consistence Boundary Rods GPD/Ft' -Ett61 -Efp2 Effluent #1 a BOD > SOS 220 mg/L and TSS '30 s ISO mg/I. I Effluent #2 = BOD. 5 30 mg/L and TSS 5 30 mg/L RECEIVED JUL 24 2026 &aIfield Co. �an"kVandzpNrpA" y , OVG q v - -vim •�ti ►33.10 No//y !fie rt Dtummona a ll• 5'41/32 fx fl: 33943 "rwn of 1rUMM0.1 RECEIVED JUL 24 2026 eayfeld Co. plemInp and ZonN Agenq +oo �,y tFxr Ra . 104,?J E4bk LA a rx,r rron eve' WI s'hr#7 csr A 1a138ss 7/b/≥6 X31 a' -7% --®B3 s+ope 5ydka.. teal 0,. !qa, l '1S R7.od' Purposed * yo ks -11 Pei vane PAGE 1OF4 4 RECE WED JUL Z 4 2026 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -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: Filter Specs POWTS Application for Review Tank Specs Soil Evaluation Report & Site Map Tax Statement *13 pages total (including sanitary app) Project Name / Description Owner Name(s): LONGTIME TRUST (STEVE & JODI) Phone: 715 - 558 - Owner Address: 16166 W. DEER LANE, HAYWARD, WI Zip: 54843 Project Address: 13320 HOLLY LAKE ROAD, DRUMMOND 54832 Govt. Lot: NA SW 1/4 of NW 1/4, Section 30 , T 47 N -R 06 E ❑ or W ✓❑ Township: DRUMMOND County: BAYFIELD Project Parcel ID #: 04-018-2-44-07-19-2 02-000-15200 TAX ID: 33993 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: Remarks: 1859-007 Phone: 715 _ 426 - 1775 Zip: 54893 �r���11 11 l l Y1NtNt1�d` Signature; i/i` Date: 07-14, 2026 nginal sj nature required on ch submitted copy. ,,Lan: Plot Plan PROPERTY OWNER: LDN&TWg Itwsr STEVE t -70.01 Legal Description: Ltr 2 e6M-*/4{5/ VS P3701 --V)A 6Ffiig/UWA 530 Ttf7A, fZ obuJ, TowtJ OF DRammoNDi SflYPW4D CDun)TY IAU Dy018 Z-`t1I-o714-2 07- 4oO-137.00 / T* t3::' 33443 ) 33 ro Horyy l �'D TO pNgo Oc���i <s4�GEi04'�;d 3`3 n WW 4 A RECEIVED JUL 2°4 2026 pWnnk,o and is s ne V Site location: Page Z of '1 1" == 40 FT. (except where noted) ® = backhoe pit a g3l act.- s North >TS' FROM- SEPrt1 i58' FRi ' Orat F(& Lo J IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER RECEIVED JUL 242026 Bayfeld Co. plaming and Zonklg Agency min. 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 1000 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: FT 0822 12" min. trench (na°05i) TYPICAL TRENCH CROSS SECTION VIEW (typlca•(No Scale) System Elevation = 90.00 ft (typical) Quick4 Standard -W w/End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) LLKNI I--------------------��--- ------------- ��--- Br 66 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 fl2 EISA/chamber = 320 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA=3.0ft (typical) "—Quick4 Standard -W Chamber 450 GPD / 0.7 LR = 642.86 FT. 2 (typical) 642.86 / 20 EISA = 32.15 UNITS (mfd by Infiltrator Systems, Inc.) ft2 OR 32 X 4 FT. = 128 FT. Install pursuant to manufacturers Instructions. (2) 3 FT. X 64 FT. TRENCHES ft2 = Proposed EISA per trench = 326 ft2 Required Infiltration Area = 642.86 ft2 x 2 trenches = Proposed Total EISA = 652 ft2 Distribution Method: branched manifold D GD m w 0 -Ii a RESET LONGTINE TRUST (STEVE & JODI) PAGE 4 OF 4 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 = 450 gpd; BOD5 5 220 mgL"'; TSS 5150 mgL4; FOG 5 30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use RECEIVED o age of system o nuisance factors (i.e. odors, user complaints, etc.) JUL 24 2026 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) Bayfiekf Co. o solids volume in anaerobic treatment tank(s) and any distribution appurtenancef4'1<Ilf�tP ?11 M �W ftrop 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 (i.e., 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: RYAN STRAND Local government unit: Local government unit address: WASHBURN, WI ZIP: 54891 BAYFIELD COUNTY ZONING Phone: 715-558-1673 Phone: 715-373-6138 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. WLP1 000 TANK SPECIFICATIONS 4" CAST - N a TANKS ARE MANUFACTURED TO MEET DIMENSIONS: WALL 2 1/2" CAST -A -SEAL BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4" LENGTH: 8'-8" WIDTH: 7'-2" BELOW INLET: 42" LIQUID LEVEL: 36" WEIGHT: BOTTOM 6,790 LBS. COVER 3,195 INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET :ENED JUL 24 2026 Bayfiekl Co. Planning and Zoning Agency _ - - -LI1PrI OUTLET CD * I U I M 11\-1 L, PUMP PAD INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: W S N W = m Lo C z v aLo N M o I O 1 Z OF 1 • 4 -in. (100 -mm) Biotube® Effluent Filters Extendable Applications tee handle Orenco® 4 -inch Biotube® Effluent Filters are designed to remove sol- Vented top plate, ids from effluent leaving residential septic tanks. They can be used in standard new and existing tanks at flows of up to 1200 gpd. Biotube° filter cartridge Biotubd° filter vault 11� General Orenco 4 -inch Biotube Effluent Filters (U.S. Patents No. 4,439,323 and — Biotubes 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle can be extended for easy removal of the RECEIVED cartridge. JUL 242026 Barfield Co. Planning and Zonng Agency Flow modulation plate (optionaq Vault Inlet holes Standard Models FTS0444-36, FTS0444-36M, FTW0436-28, FTW0436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT 04❑-❑-❑ TFkw modulator and flour much bracket opdions: Blank = no options selected M = flow modulation plate installed A = float switch bracket installed cartridge height, in. (mm): 28 = 28 p11), standard 36 = 36 (914), standard Fitter housing height, In. (mm): 36 = 36 (914), standard 44 = 44 (1118), standard 4 -in. (lm -mm) fitter diameter outlet tee: W = fits Type 3034oullet tee S = fits Schedule 40 outlet tee Filter mesh option: Blank = %-In. (9 -mm) fitter mesh P = Y,e-In. (1.6 -mm) filter mesh I Biotube" effluent filter Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems • Inc. .814 Airway Ave., Sethertin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.arenco.com NTO-FT-FTS-1 Rev. 3A, O 05/18 Page 1 of 2 (on optional flow modulation plate) Discharge orifice (on optional flow modulation plate) RECEIVED i.UL 2`4 2026 BaYfield C. Ptennin9 and Zonln9 Agency IF ABC IL k -DH Specifications Model FTS0444-36, FTW0444-36 FTS0436-28, FTW0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (914) B - Cartridge height, in. (mm) 36.00 (915) 28.00 (710) C - Inlet hole height,* in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, In. (mm) 4.00 (100) 4.00 (100) Number of Inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, in. (mm) 4.00 (100) 4.00 (100) Fitter surface area,t ft2 (m2) 5.1 (0.50) _ 3.9 (0.40) Flow area, ftz (m2) 1.5 (0.15) 1.2 (0.12) Flow Modulation Plate (Optional) Number of discharge orifices 2 Discharge orifice diameter, In. (mm) 0.50 (12.7) Number of air vents Air vent diameter, in. (mm) 0.50 (13) Inlet hole height can vary depending on the configuration of the tank. Optimum hole height is 70% of the minimum liquid level. r Filter area is defined as the total surface area of all individual Biotubes® within the fitter cartridge. •' Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge. NTO-FT-FTS-1 Orenco Systems° Inc. , 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com Rev. 3.0. O 05/18 Page 2 of 2 ArcGIS Web Map - lrwrs� 4' ci;'zi , 'j' �w �'�j • t, >r � � �}yam ��, C:� _ �y.... tf.,q�u 81tt� 1. "• H. n i1♦• 1+:: [ M1 ♦ N.. i !M1.� A ' .Sl1l ~ ,,. n�� } „tt'& �, � �, tt ,n � -Nyd • n� ;^�.".R•; , Y ' " ,� �'4 a1LONGTINE TRUST DTD 51712020 lit,' c #Tax ID 33993 ^ J: .t .. 1M ;f4*Att[4'*flf/O)'. �,�.�+ LONGTINE`TRUST�DTD 51712020 �� * 4i.. 4� J •Ii Zl Y. C '� �1, �. 3F• .t, ,� SY S f ! 7/1412026, 10:32:05 AM 1:1,946 RECEIVE© a o.ot 0.02 0.04 ml Survey Map Driveway Parcel Dimensions Iy ,_I I • Recorded CSM Approximate Parcel Boundary Wetlands Jul- 24 2026 0 0.02 0.04 0.07 km All Roads Q Municipal Boundary Lake BayfieidCo. — Town Section River Plannkro and Zoning Agency Real Estate Bayfield County Property Listing Today's Date: 7/6/2026 Property Status: Current Created On: 6/15/2006 9:10:57 AM is Description Updated: 1/9/2025 4A Ownership Updated: 1/9/2025 Tax ID: 33993 LONGTIME TRUST DID 5/7/2020 HAYWARD WI PIN: 0+018-2-44-07-19-2 02-000-15200 Legacy PIN: Billing Address: Mailing Address: Map ID: LONGTIME TRUST DTD LONGTIME TRUST DTD Municipality: (018) TOWN OF DRUMMOND 5/7/2020 5/7/2020 STR: 519 T44N ROJW 16166W DEER LANE 16166 W DEER LANE Description: LOT 2 GSM 1451 IN V8 P370 IN DOC HAYWARD WI 54843 HAYWARD WI 54843 2006R-505864 IN DOC 2025R-606044 (LONGTINE TRUST DTD 5/7/2020) F` Site Address * indicates Private Road Recorded Acres: 5.431 13320 HOLLY LAKE RD DRUMMOND 54832 Calculated Acres: 5.431 Lottery Gaims: 0 I_ Updated: First Dollar: No Property Assessment 8/9/2021 Zoning: (F-1) Forestry -1 2026 Assessment Detail ESN: 112 Code Acres Land Imp. G1 -RESIDENTIAL 5.431 53,300 0 Tax Districts Updated: 6/15/2006 2 -Year Comparison 2025 2026 change 1 STATE Land: 53,300 53,300 0.0% 04 COUNTY Improved: 0 0 0.0% 018 TOWN OF DRUMMOND Total: 53,300 53,300 0.0% 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE B Property History 'aRecorded Documents Updated: 6/15/2006 Cl WARRANTY DEED Parent Properties Tax ID Date Recorded: 1/2/2025 2025R-606044 04-018-2-44-117-19-2 02-000-10000 13887 Cl TRUSTEES DEED Date Recorded: 2/16/2023 2023R-598101 Cl QUIT CLAIM DEED Date Recorded: 6/22/2006 2006R-507405 946-924 RECEIVED Cl TRUSTEES DEED Date Recorded: 6/22/2006 2006R-507404 '946-922 JUL 242026 Cl CERTIFIED SURVEY MAP Date Recorded: 3/30/2006 2006R-505864 8-370 Bayfexi Co. Planning and Zoning Agency HISTORY O Exoand All History White=Current Parcels Pink=Retired Parcels Cl Tax ID: 13887 Pin: 04-018-2-44-07-19-2 02-000-10000 Leg. Pin: 018101810000 33993 This Parcel t Parents 3 Children HOLLISTER'S SOIL TESTING & DESIGN LLC Mary Jo Huppert 25720 FIREFLY LANE WEBSTER, WI 54893 RECEIVED t.4 JUL 24 2026 Bayfield Co. Statement #: Planning end Zon Agency Date: JULY 14, 2026 Customer ID: Phone: 715-426-1775 Fax: E-mail: hollisterdesien Bill To: RED'S SEPTI, EMAILED FOR: C LONGTINE TRUST/TOWN OF DRUMMOND Date Type Invoice # Description Amount Terms: Please pay Amount Enclosed: Thank you! DESIGN $150.00 PLEASE LET ME QUESTIONS. MARY JO HOLLISTER'S SOIL TESTING & DESIGN LLC Mary Jo Huppert 25720 FIREFLY LANE WEBSTER, WI 54893 :;dement RECEIVED JUL 24 2026 Bayfield Co. PMnMng and ZoEng Agency Phone: 715-426-1775 Fax: E-mail: hollisterdesign Statement #: Bill To: RED'S SEPTI' Date: JULY 14, 2026 Customer ID: EMAILED FOR: C LONGTINE TRUST/TOWN OF DRUMMOND Date Type Invoice # Description Amount Terms: Please pay Amount Enclosed: Thank you! DESIGN $150.00 PLEASE LET ME QUESTIONS. MARY JO ffl-oO-5° Private Sewage System Maintenance Agreement DOCUMENT NUMBER Owner(s) Name 2O26R-61 3186 h 61 J� u%2o , DANIEL J. HEFFNER (yOwr.eri,$Mailing Address REGISTER OF DEEDS D W lker a m' BAYFIELD COUNTY. WI Site Addre e's s �� '�'� tr�� /337L/ laic h d rua4a(OH A f LZ i3A. RECORDED 0Q 4r 08/03/2026 AT 10:02 AM Tax ID# 2 zn0y RECORDING FEE: $30.00 PAGES: 1 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI m.1 e, as frro Im t to time amended. (COMPLETE Legal Is required) — — ri1 W1 �1/4 of ry i0 �l Section 1 ( Township _ _ N. Range 7W. Recording Area _ Additional Legal Description: - -_ _ - — — Return To: Town of 2f &IM &0111-1 (Acing.) 5' 'J! Gov't Lot_ Planning and Zoning Department Lot _Block SubdiQvision RECEIVED Lot Z. CSM # 141 Vol. Page 3-b CSM Doc # ?2t)PQ ^S7)SWI ABU p42026 ® In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution yiyd System: Planning and Zoning Agency ❑ 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 (113) 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. Alter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds. At -grade. and Inaround 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 Bayfleld County for inspection, pumping hauling, or otherwise senekand and maintaining the private seweoe system tank in such a manner ns tn_pmvapr nr m env — - Truman -health hazard th�iW5ji7MTijstem. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms end conditions of the agreement shall be binding upon end Inure to the benefit of all current and future owners of such property. Owner(e) Name(s) - Please Print — rl t i,— j, {zn2 Subsc bed end sworn to before me on this tlgt� /q2Oz�{�a Ste' .p Nofapzad Owner(s) - 9nature ) Tr S �G `e-/ir/'-� Ilc '/ !//1 w • � sit G r io /G KG.S'/� My Commiselon Expires: o es: L. ( t}I 1 z Drafted by: Date:_______ `���JN :•:•• '`rR /i o. Proofed by: ulformWaanitary/seplicmalntenceagreement Revised July 2020 Notarial Officer by Wis. State, 140.10 (1) (f) and (2) County Clerk P I'FIELD Property Owner: LONGTINE TRUST, DTD 5/7/2020 16166 W DEER LANE HAYWARD , WI 54843 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Description Private Sewage System (Septic Tanks) Submission Number: SS -00805 Transaction Number: SS-00805-4AC12 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3395 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 8/6/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-106S STATE SANITARY PERMIT OWNER: LONGTINE TRUST DTD 5/7/2020 G OV'T LOT: LOT: 2 B L K: CSM:1451, v8,p370 SW 1/4 NW 1/4 SEC: 19, T 44 N, R 7 W TOWNSHIP: Drummond SOIL TEST: 83-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND SCOTT ROUSH DATE: 8/6/2026 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described In the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 798301 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 8/6/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION