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Home My WebLink About26-111SRequest 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 Time ChangefJ Discrepancy Other Plumber: 4i1*y I1QS1)!U;&'n r Phone Number Fax Number 7/5- '7:j - V 7r Homeowner; / IIISf?ISIQUtt< -fru≤ Email Address 7n{lCtrls�i'yii �t0C>yt iulio1 i1- r . ('crY1 Sanitary Permit M / ) 1 Immediate Phone Number So Zoning Dept can call you right back (if needed) Plumber's Choice g Dept Date: I Na Inspection(s) during this time Tuesday (9:30 am - 12:15 I pm) (Tracy) Time: Plumber's Choice o g Dept Towns ip: rn Address # & Road Name: or of c6 n y��✓ LA Directions To Site: /( O q U I Comments: ' * Plumbers you must verify any changes) by fax or email ** Motes from u/lorms/sanitary/revues tforinspection Zoning Oepl (@4/12104);® June 2023 s ue Private Onsite Wastewater Treatment ns ( POWTS),Inspection Report ALLISON D SLAVICK TRUSTEE (Attach to Permit) 20125 W CRYSTAL DR CABLE WI 54821 lnfnrmafinn setback to AAPIe 4.vtc County SanitaryPermit No: State Plan'Transectlon ID#: Parcel Tax No: TYPE MANUFACTURER CAPACITY Pro . Line Well Building Air Intake Road Se tic 4,9 fVet4-7P 7/o6 v N/A [5q. N/A Aeration N/A Holding Pump / Siphon Information 'ump Manufacturer uml GPM I V etn a'eI LI TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Wig / Length ,, # of Celis / SETBACK FROM I Prop.. Line I Building I Well OHH,WM I 'ter- _• __•. L CI Model Number. I' h 14 , Pretreatment Unit Manufacturer. Model Number: stribution System Header/ Manifold Distribution Pipe(s) Length Dia Lennth Dia Spac Elevation Data STATION BS HI FS ELEV Benchmark 2/7 )oZr7 Bldg. Sewer 7, 'lc- 6172 Tank Inlet s— if .1 Tank Outlet -2, 6 .06 Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manffold q 6 Distribution Pipe Infiltrative Surface 93 13. a Final Grade X Pressure Systems Only Soil Cover Depth Over I Depth Over I Depth of I Seeded / Soddec Cell Center I Cell Edges I Topsail j 0 Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.) A47 Pve),j ve'it 01 o'Ic. c'de o s v/ ,/c o -i 0 kv✓ Ian revision required? ❑ Yes 0 No ;e other side for additional information. Date P S Inspectors Signature RYes ❑ No •r Mulched 0 Yes ❑No l oos"1 License Number lRnA71n (P nfr911 Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoninoat(bavfieldcounty.ora Web Site: www.bavfieldcounty org/147 ALLISON D SLAVICK TRUSTEE - 20125 W CRYSTAL DR CABLE WI 54821 Hayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know ___________________________________________was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septiesearch.com Notes: Abandonment of Old System to meet all applicable code requirements: Tank was pumped by: • Tank was crushed / removed and pipes disconnected by: on at AM/PM On 1.-G at ti (AM P the above -mentioned plumber contacted our office to conduct a pr -c ver inspection as required u der DSPS 383. One of the following applies: rSystem was inspected and appears to meet all applicable code requirements. System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. ❑ System could not be inspected because County could not respond to plumber's time constraints. Comments: Ufforms/sanitarypropertyowner4nput April 2019 oFr""r"cyr Industry Services Division 4822 Madison Yards Way County Bayfield Sanitary Permit Number (to be filled in by Co.) (p-- - 0 19 Madison, WI 53705 P.O. Box 7302 a�* �, Madison, WI 53707 ` Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary Same purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. C I. Application iflfo5Jiiatton ?lease Pi nt All Informat>≤on . Property Owner's Name Parcel # AUG 8 2076 AUG t U u Allison D Slavick TrusteerllfEE 1 16890 Property Owner's Mailing Address _______ bytld Go. Property Location Planning and Zoning Agency 20125 W Crystal Dr Govt. Lot 3 City, State Zip Code Phone Number Cable, WI 54821 715-492-O059 ¼, ¼, Section 32 T'�' N R 06 E or W AI•' ypt ofBa1ldl f;(Check allthat ipply) _.. .-' Lot # Subdivision Name ZI or 2 Family Dwelling —Number of Bedrooms 1 Guest Cabin Opublic/Commercial —Describe Use Block # Cityof ❑State Owned — Describe Use jviiiage CSM Number IZiTown of Grand View ,,.. ,._..... _ t >„�,. _ w-.sse..:w•^ar r'^' -mac ...._ .s,x._•, •�qr i , a•. '. •=.+etiTr—,-:'.a.� xys.,x✓5' sfi. .yr.,. •...:— ....-;,:as�� III: Ty, eofO,Wyi'SPe�rmit (Check eithertNew orReplaceRticut"a`,ot4crsppllc$bl_ e�pn LQe A. Checkone'ho.on the B,;rCoglyligc>C, �. licab A. New System Replacement System Other Modification to Existing System (explain) 1[:]At-Grade Additional Pretreatment Unit (explain) B. Holding Tank ZIn-Ground Mound Individual Site Design flOther Type (explain) (conventional) C. ❑ Renewal Before Revision Change of Plumber l'I'ransfer to New Owner ist Previous Permit Number and Date Issued Expiration NA D' eiareatmeptArea,and�T$nkInformahori� _ . Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 150 . 0.7 214 226 J.0 Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer 'g •o New Tanks Existing Tanks w aU `" y iz,C7 rn �, rn a Septic or Holding Tank 320 320 1 Superior Precast [?J r'==i Dosing Chamber Q EJ Q Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Jason Kuettel 675751 1715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 - Approved O Disapproved Permit Fee Da Iss ed Issuing Age i lure O Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval WEaJwd 'a Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in sin SBD-6398 (R. 02/22) PAGE 1OF4 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg1of4 Pg2of4 Pg3of4 Pg4of4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & PlEM8,r Management Plan AUG 182026 Bayfield Co. Planning and Zoninc Agency POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Slavick 1 Bed Guest Owner Name(s): Allison Slavick Trustee Owner Address: 20125 W Crystal Dr. Cable, WI Project Address: Same Govt. Lot: 3 1/4 of Township: Grand View Project Parcel ID #: 16890 Designer Name: Jason Kuettel Phone: 715 -492 .0059 Zip: 54821 1/4, Section 32 J44 N -R 06 E U or W U County: Bayfield Designer Information Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: Phone: 715 - 798 - 3355 Zip: 54821 This space reserved for approval stamp. Signature: Date: Q/i 7 (z6 Original ure required on each submitted copy. IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) fjjtjfJ SOIL COVER +-FFF 12" min. trench depth (typical) -"� EIVED G'et~. 34"' (ryPicap AUG 18 2026 min. 12" (typical) System Elevation = 96.0 Septic Tank(s) Manufacturer: Superior Precast Septic Tank(s) Volume(s): 320 gal gal gal gal Effluent Filter Manufacturer: Orenco Effluent Filter Model it: FT -0822 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) ft &ayletd Co. (typical) and Zoninn9 Agency tKu�c�c4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r-------------------�f---- L-------------'--------;_ 6=46 ft (typical) INSTALL PER TRENCH: 11 QuIck4 Std -W @ 20 ff EISA/chamber = 220 ft' + 1 Pairs of end caps @ 6W EISA/pair = 6 ft Provide minimum 3 ft separation between trenches. Observation Pipe TYPICAL TRENCH (typical) Install per manuracturers PLAN VIEW / Instructions. (No Scale) A = 3.0 ft (typical) 1J — — — — J D \_ C) m `Quick4 Standard -W Chamber W (typical) O (mid by Infiltrator Systems, Inc.) -�-I Install pursuant to manufacturer's Instructions. = Proposed EISA per trench = 226 ft' Required Infiltration Area = 214 ft- Distribution Method: x 1 trenches = Proposed Total EISA = 226 ft2 branched manifold Name: Location: --G r=ao• LA Ontyin TestedArea 20125 BM=100: Naltw/ribbon on the base of tree near B3 '1' BM IMP Pis � f'r 32 AUG 18 2026 Plannin Bayfield Co. y and Zonino Agony Crystal Lake B1= 951s B2= 95,25 B3= 99.24 Lake= 5Z.59 I a '-I G QutCF, b( L:�cM5.e-rS B1 Mph?ns) e/i2/26 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 = 150 gpd; BOD5 5 220 mgL"1; TSS S 150 mgL''; FOGS 30 mgL Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system AUG 18 2026 o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Baytield 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 (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 leaned 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: Andry Rasmussen & Sons Phone: 715-798-3355 Local government unit: Bayfield Co. Zoning Phone: 715-373-6138 Local government unit address: 117 E 5th St. Washburn, WI 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 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. S�PT7C TAJIK COS- S' a - 0( ' tF-:J S 7CIi IaTIGNS C 4'i GCA.4O PVC INSP. 13T0P 6 11 HIU. ABOVE GRAD (Whe.n %nle+ 'rjnr-,', Oke ps burie-d , j Co�'t.) FINISHED GRADE 18" krN.II I FILET IC AP PROVED PIPE 3` O1 TO SOLID SOIL 3" APPRQJED BEDDING UHDR TM1 SPECIFICATIONS SEPTIC TAN TANK S 1 lES: SE'TIC 7'-' APPROVED H'HHO LE W/ L=4 t4" OUTLET MECE VED AUG 18 2026 Eayfeld Co. Planning and Zoning Agency - r Private Sewage System Maintenance Agreement Owners) Name �,3 UN '..1'c.4v Ir If IBC-�,oe ,43, tL1•>>�u (� L.ZiiSa1..3 ..S v,cK 7r r- Oner(s) Mailing Address 2 01 ZS W C. ?--r.17 i2 . C, , t�►-c 4(i 21 Site Address Tax ID# Jco 8 c 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 Adm. Code, as from time to time amended. (COMPLETE Legal is required) 1/4 of 1/4 Section Z Township Y "t N. Range 8 � W. Additional Legal Description: S tL iT► CL' b Town of ( f IN 7 y r t. W (Acreage) Gov't Lot 3 Lot Block Subdivision Lot CSM # Vol. Page CSM Doc # DOCUMENT NUMBER 2026R-613396 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, Wi RECORDED 08/ 18/2026 AT 2:48 PM RECORDING FEE: $30.00 PAGES: 2 Recording Area payz iq Co. Return T -6p i ing BF,d Zoning Agency Planning and Zoning Department In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System O 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, is. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -grade and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfreld 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 and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Drafted by: 17Tiit Date: Proofed by: u/forms/sanitary/sepflcmaintenceagreement Revised July 2020 Property Descriptions A parcel of land situated in Government Lot Three (3) of Section Thirty-two (32) in'Township Forty-four (44) North, Range Si)c (6) West, Town of Grandview, Bayfield County, Wisconsin, more particularly described as follows: Starting at the Southwest corner of said Lot 3 and measuring North on Section line 343 feet; thence N 60° 30' E, 660 feet to the PLACE OF BEGINNING; thence S 41° 45' E-, 308 feet to the shore of Crystal Lake at high water mark; thence N 46° 45' E, along the shore of CrystalLake 100 feet; thence N 27° W, 275 feet; thence S 60°,30' W; 178 feet to the Point of Beg'i'nning. Wisconsin Department of Safety and Professional SeMses Attach complete site plan on paper not less than 8% X 11 S R- ooL9 b Soil Evaluation Reps, in accordance with SPS 385 , Wis.Adm 1 L TEST # ,1 f,- _Z , inches in size. Page: 1 of 6 Plan must include but not limited to: Vertical and horizontal reference County: point (BM), direction and percent slope, scale or dimensions, north arrow, Bavfield Parcel I.D. location and distance to nearest road. Please Print All Information 16890 Personal information you provide may be used for secondary purposes. Reviewe Co Date: 2 (privacy Law,s.15.04(1)(m)). Zl Property Owner. Property Location Allison D Slavick S32,T44N,R06W Property Owners Mailing Address: Site Address or CSM and Lot # 2012.5 Crystal Drive 20125 W Crystal Drive City State I Zip Code Phone Number: Town Nearest Road: Cable WI I 4821 0 Grandview Crystal Drive New Residential Number of Bedrooms: I l�' l�' Code derived design flow rate: 150 Flood Plain if applicable R E C E IE r Replacement r Public or Commercial - Describe: AUG 18 202 Parent Material: Outwash Flood Plain if Applicable: 87.59 Bayfiald Co. Planning and Zoning A General Comments & Recommendations: System Elevation: 36 Load Rate: 07 ,_..:-' 1 ` _ _._ Bor. Ground surface Eiev: Depth to Limiting Factor: Boring #1 rl Soil Application Rate: 98.16 Ft. 110 in. Elev. 88.99 ft Horizon Depth in. Domm.Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 Munsell Qu. Sz. Cont. Color Gr.Sz.Sh. 1 0-10 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 4_0 2 10-20 7.5YR4/6 N/A LS 0SG ML CS 2M 0.7 1.6 3 20-110 7.5YR4/4 N/A MS 0SG ML N/A N/A 0_7 1.6 4 5 6 7 Boring # 2 r Bor.' Pit Ground surface Elev: Depth to Limiting Factor: Soil Application Rate: 98.26 Ft. 100 in. Elev. 89.93 ft Horizon Depth in. Domm.Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 Munsell Qu. Sz. Cont. Color Gr.Sz.Sh. 1 0-8 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 8-18 7.5YR4/6 N/A LS 0SG ML CS 2M 0.7 1.6 3 18-100 7.5YR4/4 N/A MS 0SG ML N/A N/A 01 1.6 4 5 6 7 *Effluent #1= BOD 5>30 < 2 20 mg/1 and 0 < 150mgA usnf #2 = BOD 5< 30 mg/1 and TSS < 30 mg/1 CST Name (Please Print) Sl atu CST Number Mark S. Thompson 877598 Telephone Number Address: 12006 N US Hwy 63 D aluati cted: Hayward, WI 54843 ay, August 11, 2026 715/699-4081 SBD-8330 (R04/21) ncy Property Owner: Allison D Slavick Parcel I.D. 16890 Page: 2 of 6 Boring # 3 Pit Ground surface Elev: Depth to Limiting Factor: rBor d " 99.24 Ft. 115 in. Elev. 89.66 ft Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ftz *Eff#1 Eff#2 1 0-10 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 2 10-22 7.5YR4/6 N/A LS 0SG ML CS 2M 0.7 116 3 22-115 7.5YR4/4 N/A ' MS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 Boring # 4 Ground surface Elev: Depth to Limiting Factor: F" Borj� Pitt 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 Z 5 Bayfield 6 _1_ cor mg 4 r 7 Boring # 5 Bor �; Pit Ground surface Elev: Depth to Limiting Factor: P r 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Stre ructu Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 6 Bores Pit Ground surface Elev: Depth to Limiting Factor: 0 F. 0 In. Soil A, Rate pp Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 *Effluent #1 = BOD 5>30< 2 20 mg/1 and TSS>30 < 150mg/1 *Effluent #2= BOD 5< 30 mg/I and TSS < 30 mg/I 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 9 SBD-8330(R.07100) Soil Profile Sheet Page: 3 of 6 Owner: Allison D Slavick SoilTester: MarkS. Thompson System Elevation: 96 Load Rate: 0.7 System Elevation: 92.93 To 96.49 101 100 -------------- 99 ----------- 99.24 98—�_ 97 -------------.97.41 $.IZ.Z 96 95 94 ------ 93 ------------- 92 91 ------------- 90 -------------- 89 88 87 ------- 86 --------------- 85 84 ------------- 83 -----_�___ 82 ------------- 81 ------------- 80 79 --------------- 101 B2 100 -------------- 99 --------------- 98 98.26 95 -------------- 94 93 -----_-------- 92 91 ---------- 90 --------------- -'------------- 89.93 89 88 --------------- 87 -------- 86 85 ------------- 84 ------------ 83 ------------- 82 81 80 79 --------------- 101 Bi. System 100 -------------- Elevatiol 99 8' ------------- 98.16 97 Q,Z 96 ----- 96.49 95 94 ------- 93 --------------- 92 -------------- 91.99 91 -------------- 90 -------------- 89 88 ------------ 87 ----- - 86 85 -- ------ AUG 18 2026 84 Bayfield Co. Planning and Zoning Agency 83 --------------- 82 81 80 79 Ii ' . BM=100: NallwMbhonon th hasp of tr n ar B3 Name: Allison. DSlavick Location: 332.T44N R0BW 81= 8H 1B Township: Grandvlew I B2- gg,2B County: aylleId 83= 924 Address: 2012 WQ_N_atal Drlvp Lake= $7 ,q C 20125 B3 BM \\rivewav T no 4 -► 1"= 400nlyin TestedArea AUG 18 2026 Plannin BaYfield Co, 8 and Zoning Agency C Welt Unknown Crystal Lake B1 CST: Mark S. Thompson HAYFIELD COUNTY SANITARY PERMIT (#04)-26-111 S STATE Q..A.,N1TA1,',v, PERMIT OWNER: ALLISON D SLAVICK TRUSTEE GOVT LOT: 3 LOT: BLK: 1/4 1/4 SEC: 32, T 44 N, R 6 W TOWNSHIP: Grand View SOIL TEST: 116-26 NEW SYSTEM SYSTEM TYPE: PLUMBER: JASON KUETTEL SCOTT ROUSH Authorized Issuing Officer DATE: 8/21/2026 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may Impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 C. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 675751 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 8/21 /2028 i!4 I.ATi MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION