Loading...
HomeMy WebLinkAbout26-0475CS-obII� BAYFIELD COUNTY SANITARY PERMIT APPLICATION Zoning District Lakes Class I. APPLICATION INFORMATION Soil Test County -1 15 't -,(Please Pr)ntAll Informatio n) _ No: Permit No: r6 �i _ Property Owner's Name: Candace N Rantala & Jordan A Rantala County: Bayfield Address of Property: Property Location: 3620 Copper Hill Rd, Iron River, WI 54847 SW '/< SE Y<, S 09 T 48 N, R 09 E (or)© Property Owner's Mailing Address: Township: Gov. Lot #: 3620Copper Hill Rd Oulu City, State Zip Code Phone Number Lot # Block #: CSM #: CSM Doc # I Subdivision Name Iron River, WI 54847 715-209-3871 L II. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) 26694 AUG 17 2026 ❑X 1 or 2 Family Dwelling - No. of Bedrooms 2 III. TYPE OF PERMI1jLCe.Is only one box on line A. Check box on line. B,. if applicable) ,„ ..,e .:- : _.. _ A) ❑ New ❑ Replacement ❑ County Private Interceptor Planning and Zoning Agency ® Reconnection ❑ Repair ❑ Revision '* ❑ Transfer of Owner (List Previous Owner below) B) ❑X A Sanitary Permit was previously issued. Previous Permit Number 17-102S Date Issued: 9-12-2017 IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) * Replacements need previous permit nurnberapd.date filled�ou,t above C) ❑ Pit Privy ❑ Vault Privy (Vault size: gallons or cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet V. ABSORPTION SYSTEM INFORMATION: 1. Gallons 2, Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. / Day / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) 300 429 431 , 7 97.0' VI. TANK Capacity Fiber INFORMATION: in Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel - glass Plastic Exper. App. New Existing Tanks Tanks Septic Tank or 750 750 1 Meser Concret X Holdin Tank Lift Pump Tank / Siphon Chamber VII. RESPONSIBILITATEMENT: .,;;• I the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner's Name(s): (Print) If applying for Section c above Owner's Signature(s): (No Stamps) Plumber's Name: (Print) if applying for Section A or B) above Plumber's i ture: (No Stamps) MP/MPRSW No: Dean Blakeman 7).... 1092768 Plumbers Address: (Street, City State, Zip Code) Home Phone: Business Phone: 44941 State Hwy 13, Ashland, WI 54806 715-682-6050 715-682-6050 VIII. COUNTY! DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit/Transfer Fee: Date Issued: 6 Issuing Agent's Signature / Date: ®/Approved ❑ Owner ven 9/�{7 I� /►/�. t'U �r' I etermtial Adverse Determination ,flY,h V� IX. CONDITIONS OF APPROVAL I REASONS FOR DISAPPROVAL: Plot Plan on reverse side Lot Line RECL1V' AUG 17 2026 Bayfield Co. Planning and Zoning Agency Name of Frontage Road 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N) 2. Show the approximate location and size of the building. IMPORTANT DETAILED PLOT PLAN 3. Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -o) COMPLETELY 4. Show the location of any lake, river, stream or pond if applicable. 5. Show the approximate location of other existing structures. 6. Show the approximate location of any wetlands or slopes over 20 percent. 7. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b Building to centerline of road j. Privy to lake, river, stream or pond c. Building to lake, river, stream or pond k. Drain field to closest lot line d. Septic / holding tank to closest lot line I. Drain field to building e. Septic/holding tank to building m. Drain field to well f. Septic / holding tank to well n. Drain field to lake, river, stream or pond g. Septic / holding tank to lake, river, stream or pond o. Well to building h. Privy to closest lot line Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/forms/sanitary/bayfieldcountysanitaryapplication Revise: June 2018 Proofed by: it So. I Bonn S I , j H -17$o rll��° I f LGnvn�-Tvna/ So. Cra�V r� `. Prgy:. wrvin ,n- Sc.4.l: I"_ -/o / / I SS norcd Eo rn (1+en4- Vii4n ua/ UStGI` p.D. ($.:-52.' .1�(ig°Norl.,oy . a fir•.,fCJ./ % Y<'sin. rvP,P=F -J. Ion.o sab_Ie3DS-PC11.Cy/A1;atojez) Y/I,j?R5-�22�ogB Sys+en 61tv.:97.o' C Sr 2z ! " 5Pf%�Tn k -S yS0 <%a 1l n W;Ese, Eon.;,r E,+G-B/" Y s l L'..8("Ul•0.nd �cTd� o fo38z'/S6L)e9gv3000 i (2 t f✓ovn bo--4- > � nw, kio -flow , le•i $-000Op1,Y' CLaa.n^Spe�5. 3Y"wdvh-�/$"Lan4n-lam µ..ly hT-8'FL. rYia>t: �m lLt trs..J, boj: S�la+ic lu{ t Cnfidf✓efcr& o K ! S#an qrl n "h;ti leaell Chmm5ara t n�•� ,r:cn e W:4 -A SPS3•S3 . 5zphc i-: ic av//et srAi-( . cftfroJc F;(r`ar..trenco-Ti,afi0Ge F7So4IS Soh 4o Pvc v:..o An/I9 DI -7g5 aclt SDR3' P✓C P.pz 's 457m b3o3y ap pre t≥- ?. pe — -- Cmp7 .c.r ✓3(✓2� \ Y ` ✓R k" a G kvA-r` r t SEP 012017 mp YaVs g6r �w e5 v Bayfleld Co. Zoning Dept. h>� 3011 I Y'/, 1"' s+a..L.L ZH t(+&4t. Selo 1,a.,..h •e rr-&..: L4 ylo lu S-I{to. DC - RECEIVED 5 a a.g' 9 X00 Z�b elL y'mankolew' lo.k:�i ra, n .;p/� AUG 17 2026 2 Bayfield Co. Planning and Zoning Agency Y So a rOc-. b g„ , . . �e,d �µrmyE 0 °o C�Ics' 3mo sr L Yz9 Tr+=d ai, 0 .7�pd/fix` 2.b4k:/c .ZI e Celll:11 c1,X2o'%I'x+sp'F'I=�a 1L°7'S=Zzs-Ff v.p, ".l c•`' 9Cc/fZz_70 ei K2e-#' +s-zft1�e .Laa;>r -o4' x fir' y o'1 -a / y3,crpr; o, 3` ,(•e..�amTr: y7' Call z n /ooLX-1t/v, 4 3'/e4c47s .- y3' v&h-1' La p mr 4°P. 0LS•rvaiirofl p•p�s e weAi G.-vaa+P.7e8 1 RR o I ,,a ,ProPe,�ly O new: La aj L scr''�amn, ,tFk' Nw? &retie °. J c< „vt'&S L, T u. t & 5 u/ y 5 E17 See T+/B N R 9 W � u o�` t. - + i [2Z n _ a app 0. 3$g� Da:G'[trrat�2 �SzS oful F S.Kgo of a «w,. C aao T 1J OGf: Sf+S(i-✓aforc or `gym tjt�- e Bs_6Y M -ros.,n o ou /, 1 ! thl4ti fl lG r ana $6'//O �.if ' Dt Be.-yi t -t jc' S'fan omrd t-QvuyP 1k5 13at-roan 0.f a4 o�o BAYFIELD COUNTY PLANNING AND ZONING Telephone: (715) 373-6138 Bayfleld County Courthouse Fax: (715) 373-0114 117 East Fifth Street e-mail: zoning(atbavfieldcountv.org Post Office Box 58 Web Site: www.bavfiieldcountv.org/zoning.asp Washburn, WI 5489RECER'EU SEPTIC SYSTEM INSPECTION FORM AUG 17 2026 Bayfield Co. Planning and Zoning Agency Requested by: rctAIat ,24 ,61cx County. (3M'W<-bw► Address: 3t, oA0 rofper fl//A Isd' Town, City, village: &ti [CA. City, State, Zip: fr` -i2*(JI WI flc1/7 Phone:y(C' 4j —.3B'7/ Legal Description: ¼o1 SC /4 Section _ 01 T (-jf N,!? _______ W Addt'I Legal: Septic Address, #, Name: Owner/Occupant: (tinAc4q d TQ/A[cn /&,4" Septic Serves: O11111?bttiii R Mailing Address: -,3(.o-0 (v r I yL f7� City, State, Zip: I govt tnf( cir"g 7 TaxID# t�ln(o°Iq SEPTIC TANK INFORMATION (ex. # of homes, barn, school, church, industry, etc.) Date of Construction: Number of Bedrooms: Information obtained from: POWTS Maintainer V ,itMt€. V aM& Master Plumber Tank Construction: io/Concrete _K Steel ferglass Other Tank Size: /9n r%IIONS Has the tank been pumped on a regular basis per county mairrr}}}t��,nancee agreement? Yesk. No Pumper'sname ��1�In i 011 Oc'�I Has the tank been pumped prior to the inspection? Yes _ No If Yes when? Was inspector on site during tank pumping? Yes _ No Was sludge/scum level greater than 1/3 of total volume prior to pumping? Yes _ No Evaluate condition of baffles: General condition of tank: Inlet Outlet i.e.: cracks/holes in cover. sidewalls. bottom Goody x Explain: _2a*YI. I S -Fm be Ito �1 cjc Need replacement f O1 6-416 l , NO V t;i. b)e C (OCri�i of Missing t/L CDVcxeie MANHOLES Is service cover more than 6" underground? Yes No . Is service port in code compliance? Yes _ No Is service cover above grade? Yes K No — Is service cover riser properly sized and watertight? Yes No Does cover have a warning label, chain and locking device if above grade? Yes J. No Is there a manhole riser on tank? Yes No Is there a 4" or larger inspection opening at baffle opposite service cover? Yes - No Is inspection opening or pipe at least 6" above grade? Yes _ No SEPTIC SYSTEM Conventional (circle one): In Ground Pressure At Grade Bed Trench Pit ..-L- ` s. Yc4 CJcS Other (explain): Approximate Age: gy& CS Total Area: 5C) sq. ft. Is septic tank and dosing tank in setback compliance from: Building? Yes - Well? Yes High Water Mark? Yes Lot Lline? Yes Pool? Yes Other? Yes Mound Privy No No No No No No Is there a dosing chamber? Yes _ No x Pump - floats - alarm siphon checked for proper operation? Yes Y, No Is absorption field in setback compliance from: Lot Line? High Water Mark? Pool? Well? (except for schools) Other? Yes_ No Yes No Yes No Yes No Yes No Distance in feet: t 0 NA Distance in feet: 'A -74 R+ Is there an approved vent present? Yes No Is there water present in the vent? Yes No # of inches _ AUG 17 49026 Is there existing soil site evaluation available? Yes TiES No _ eayfeld Co. Planning and Zoning Agency Was boring done by a CST (Certified Soil Tester]? Yes ^A No Unknown Is owner aware of any backups, surface seepage or discharge, odors, slow drainage, etc.? Yes _ No If yes explain I certify that the above information is true and correct to the best of my knowledge as observed on Uuqtis 20 `0%6 . Operational aspects and observations reported are based on the conditions noted at the time of inspection. This inspection does not in any way guarantee or warrantee the continued operation of the system described herein. toil -?T 517136 Inspector's Signature Credential Number Date Attachments required: 8"x10" plot plan of house, well, tank(s) and soil absorption system Approved plans # Soil test report Copy of maintenance records Revised: February 2017 u/forms/septicsysteminspection-verification form ace"•n"+> Industry Services Division 1400 E Washington Ave County ,y�.��� /3 Q d; i r IN P.O. Box 7162 Sanitary Pemri[ IIuinber (to be filled Madison, WI 53707-7162 ^` Sanitary Permit Application State Transaction Nun r In accordance with SPS 38321(2), Wit Atbn. Code, submission of this font, to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application Janos for slate -owned POWTS are submitted to Project Address (if different than moilingaddress) the Department of Safety and Professional Services. Personal inibnnntion you provide may be used for secondary purposes inaecordancewith the Privacy IAN s. 15,04(lXmk Stals. 342.0Ca // L Application Information —Please Print All Informmtlon -C✓14 r ci Property Owner's Name L Parcel!! Tames L3 tL o 63RD ?D70 •(o3000So e Property Owner's Mailing Address 3880 Drlk �trrcc.'e Property Location I i 5sZ9'ofW11zz ofS4800 541 ''/..�H(Sectta,�_ :t city,State I Zip Code PPimneNumber r L Q4 ranc JL+ B Lake MN SS!/O 4S�yz9 SZ5 T Na_t!__ o IL Type of Building (cheek all tha apply) LotLot!!ti l9 I or 2 Family Dwelling— Number OfBcdroon,s Z I Subdivision Nome Block Elpublic/Commerciol — Describe Use lyof ❑ State Owned — Describe Use CSM Etillage of t� Town. of (Do 1 't Number LOll 10. Type ofPermit: (Chock only one box on line A. Complete line B If applicable) A -I ❑ New System y ' Replacement System @Treatsncnt/kloldinglank Replacement Only ❑ Other Modification to Bxisting8yslcm(explain) B. ❑ Permit Ronmvai ❑ Permit Revision ❑ Change of Plumber g ❑ Penult Transfer to New List Previous Penult Number and Data Issued Before Expiration Own" IV. Type of POWTS S System/Component/Device; (Check all that apply) 11 Non -Pressurized h, -Ground ❑ Pressurized b, -Ground ❑ At -Grade ❑ Mound ≥ 24 in- of suitable soil 0 Mound <24 in. ofsuitable soil ❑Holding Tank ❑ Other Dispersal Component (explain)__________________________________ ❑ Pretreatment Device (explain) V. Dis crsal/freatment Area Information; Design Flow (gpt) I Design Soil Application Rate(gpdstt) Dispersal Area Required (soI Dispersal Area Proposed (sf) Systan Elevation 30o Pere✓chtl„� Vz �/3! 97.0 VI. Tank InfoCapacity in Gallons Total Gallons P of Units Manufacturer p u my �2r New Tanks I Etiniag Taake '.• Qpsae lJ[ 4, U rn Tr Co IL U' Septica-Weldixg Tauk — .LWrt3S R.✓ ON ue C ✓ loan„ g,ClaaA. — — VII. Responsibility Statement- 1, the undersigned, assume responsibility for Installation of the POWTS shorn od time attached plans. Plumber's Name (Print) I 4l1Qr, po/koskr I plumber's Si mturee dtW/MPRS Number BusinessPhoneNumber 71S .-. 22ooyo 37z-qlc<o Plumber's Address (Street, City, State, Zip Code) to. 3°K CZ -2- Iron 7 Iue.Irl u1J C %'7 VIIL County/Department Use Only Approved ❑Disapproved Permit Fee $ Dole Issued Issuing Ago gnatum X19 1(i ❑ Ow,nu Given Reason For Dunial I ��^ 9 -ID -IT; IX. Conditions of Approvnl/Reasmts for isapprovg - L (_ ,►-Ily Sk a-zztheJ jaoccnip Reed for issuance stack to &tmploto plow nor thoaystaoi and submit to the County only on paper not less titans box It ioehos io m RECFJVED SF-P l? L2011 �)6 S�ecretar%I Sta/14 ff) AUG 17 2026 0 Bayfield Co. Planning and Zoning Agency UhI I II II I I ill l fluE III I� U I � CHI I I I I I I IIIIII *2017R-569835 2* 5g Addr Eo cr kr1l l R� Private Sewage System PP Maintenance Agreement Parcel Identifier Number (PIN) Agreement Date (same as Notary Date) 0�1o38z49t,101 tD3000 So 00o ca -2L- /-7 As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil testers 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. 1/40! Town of 1/4 Section Township _N. Range W. Gov't Lot Lot _ Block_ Subdivision CSM# Additional Legal Description: —fv ho t. —'s^3 s 2017R-569835 DENISE TARASEWICZ BAYFIELD COUNTY, WI REGISTER OF DEEDS 09/01/2017 09:30A14 IF EXENPI 9: RECORDING FEE: 30.00 PAGES: 2 Return To: (o/kris - Zm KrA r R.✓e.v wls V7 Type of Private N (A) In -ground gravity ❑ (B) In -ground dosed ❑ (C) In -ground pressure distribution Sewage System: ❑ (D) Mound ❑ (E) 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 co:PHIVED 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 yy��ort�rt�3rSS.,4Vis. Admin. Code. AU I l LULU Private sewage system dispersal cell (System types A through E): The private sewage system distribution cell shall be visuBNyflospected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the datfWdnktgltatibdondjat4eas(r 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 privatesewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the variance shall be binding upon and inure to the benefit of all current and future owners of such property. Owners) Name(s) — Plea a Print JAnies duIA Subscribed and swam to before me on this date: GIo.RIA 3A4iA L &4r57 AG, 02O7% Notarized ner(s)— n refs) Notary Publip ICJ My Commissi n Expires: Drafted by: AIi'n P. / kos k, Date: U/D eb's Data/Forms/Sanitary/Septic MalntenanceAgreement 2009 EH 115 Rev.9/78 15 & REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:_Z,_%,Section -! ,T_N,R`_I E (orIYIL Township or Municipality , ^' Lot No._,Block No. _, County ' I Subdivision Name Owner's/Buyers Name: I TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS_.:` - PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT PFBCOLATIOM TF9TR TEST NUM' DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE INDIES THICKNESS IN INCHES SINCE HOLE HOLE INTERVAL PERIOD PERIOD PERIODS MIN/IN BER 1&T WETTED SWELLING LING IN MINUTES INUTE P- J I F P — En" nmmftvx rvorc TEST NUMBER TOTAL DEPTH INCHES DEPTH TO GROUNDWATER. INCHES. CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO OEDROCK IF OBSERVED IN INCHES OBSERVED ESTIMATED HIGHEST 8— 7 'v _ 7 _ B— B— e B— . _ ... .. _.. ,—......... r....,....mu mm• amp Givi I I, the undersigepd; Aereby certify that the soil tests reported on this form were, made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. ana smsame sou areas.) indicate on the plan the location and square feet of suitable areas. Name Name of. installer if known Copy D — File Copy For Soil Tester Certification No. CST Signature May. 5. 2017 10:41AM HAYFIELD CO PLANNING & ZONING No.9975 P. 3 PAGE 1 OF "7, Pg 1 of -7 Pg 2 of -? Pg3of-7 Pg 4 of 7 Attachments: In -Ground Gravity Plan Index & Cover Sheet Component Manuel Design References; Version 2.0, SBD-10705-P (N.01/01, R. 10/12) RECEIVED AUG 17 2026 hayfield Co. Index & Cover Sheet Planning and Zoning Agency Plot Plan sep+;c. (�n►<Cross-Section & Plan View Management Plan I Enclosures: 75 S o� -7 POWTS Application for Review (, Sn: o�nn -, Soil Evaluation Report & Site Map -7 D4 {'y14-. 4t.�GhG2 Ac vetw.en cz Project Name / DescriptioH4 3l.P U I 2017 ) Bayfield Co. Zoning Dept Owner Name(s): J op ey L_ Tk Phone: !PS( - t62 - S 7 7 Owner Address: 3 $ go o a jc l - r ✓<<pt l 1` c i3 e«-14se #NZip: 5 -fl, o Project Address: 3lr z o G° v n e - ! % ! ( tZ A. Szg"o Ful trzz a f 5190 o -f SuJ 5E 1/4, Section_, T ft N -R? E0or W Township: by Io County: 3vhy-i%-c t'� Project Parcel ID#: o a3 z f o o t{o too 000O Designer Information Designer Name• A I(an 7 / ko s k" Phone: 7/s- 7Z- L{! S(p Designer Address: P fl, a aK Saz roK ky erg tJ Z Zip: S -V 8V7 E-mail: i o n �yabe.ctr w At -to vf L o v✓1 This space reserved for approval stamp. License Number: _ zzO e 90 — Remarks: SEP 12 2017 L4'J2 Conditionally APPROVED copy- n W = 5�. 1 Bor. Ss I L'onv�n4≥anc ( Se 4dorp�'° Ccaaif; B:7: Po I,C_:::. PLanl. fns Scr.1e: 1". yo unl5 arm // o:' c'•.-2 $ n cl• (rr<Psn�nT ✓ironU<". Ilse.cl.; P.O. �. .. :.. � Bailin g'Nrway=. I t- t'. ti' wZ ',g 7 jF = p/n, r vRP=E.i J fom.o,' 5/3D-1G7D- ilf.4l/tilLlD/sZ 1"n1PR5-d22oolOo Sys+oni EI•e't 97.o CS $a.P };cTnk •s 7,S094�111on w%ese;-c=�cr e.{e-$Y"L-CY"W. and p..rc� i S�� 01Fo382+(86[lo9aoaOD '1z„$rolm 60-�-�?-,.,. at " ti k -%a 1a.[, l:n� : I< -l; 5" y C.ia•11�c.' p"4: 3'1 w•�+A-VI Len+.. -/2." -l..ly ,r-8' u.•Nfcni �e i�? ta...h fio�: S,Z.pf'rclrzn�ci Zn.}•l('vanda.tl'2..hl.leaclf•[IClnfua,rort�r.°.>�.,1:<.1.� w:+n SPS3, 3 p - %12t`r+•..S/- r.a r-< '/a: p ac./pra✓c& -%; (/z•Or+e.neo-IifatV b¢, F`i'5o•i l$ Soh do p'jLP:pt:'s AsTm Di185-- yeti SOR3S P✓C 1p.1''Z is A5Tm b3d3Y gpore.,e.Z p:pe �ftier.�l�l t.3�yo c77'r �. r Vr I 1. kaX�a r SEP 012017 0 i �GG Bayfleld Co, Zoning Dept. fi Q 30 ^T 4 `j"FF. 511 $fan Ga!{- Z.n'F. (fLG.TJr ata y,q....,6 •e rI-5tu: c4 yPl.. 5I�fo. RECEIVED K Y is AUG 17 2026 2lon 61L \ y me olewl lack t rc, �: el l Bayfield Co. l t `y.:, •,+r a pp•s: I+tir• �a L. Planning and Zoning Agency 0. S`rra e \ I. N4 Y �'�':r11• S h air C1C5. 7oa 7 o t f Zc I 1 Lc!<Jrf`i 00 zo+tV -2.1 eI, Gell l : 11 all Xz°•FI''+S.B'FfL�a �c,ps = A2z �r v2r-1 a1 Gcl/L=10 cl.Kzo-Ft`+S.B•ft'�e �'Lz [+fro o64t b-Ftz Z / / io't'a/•(31Fpr"P°' fN 71'q �C �o-l-a� 1�C^S-�'1 t 3' ,Y•e•<1«jr- '17' Cell z a /oc�X�i� "I• 3'/eti�[a7f ' Sz$' V%n+CaPar �,�ww-l.ar ProoA A° -p: o62r•m{ron p•2es TV � Laat .�escr. :a- . + 9 t � � 6 a Mv�,•` = m g 1 , S W� 5 E4 S e.c 9 T'/8 N R 9 W s n °'` i, 3fl0 DAICO. �err —e ESz3efuAlL 0fS.880'ofs ad ko: a oa.Y )� 8 (.f�/.yf '('•e Lea .y -J k -e- I'1'1 i' -ToNA of DU o y!` KI411 HIG •� v a.+� S/!O 11 scan p'nrd Qulck yP lu5 c 1.'0 L3 n2� •a CYO.r1 s. fSba ° '� C C N e n"1 CD TOP VIEW RECEIVED AUG 17 2026 Bayfield Co. Planning and Zoning Agency 4" CAST -A -SEAL WLP750-MR TANK SPECIFICATIONS rc 'o � DIMENSIONS: a a WALL• 2 1/2" BOTTOM: 3" a I COVER: 4" MANHOLE: 24" I,D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. OUTSIDE DIAMETER: 84" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 37" z o WEIGHT: 6,150 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL m „ GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: 'm WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN N HOLDING TANK: IW ACTUAL CAPACITY: 790 GALLONS OUTLET HOLE PLUGGED IL LOADING DESIGN: 6' 0" UNSATURATED SOIL C Z OPTIONAL FLAT COVER IS AVAILABLE FOR EXCHANGE FOR DOME COVER. INLET - OUTLET 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 W 2 I �, 0 W = DO �� a N V M V O N Q N N ) ' J e a Z S 5 PUMP PAD DRAWINGS SUBMITTED Q. W 5 FOR APPROVAL W SIDE VIEW APPROVED BY: SHEET NO. APPROVAL DATE: 1 PRODUCTS NEEDED BY: /OF 9 TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS P5 Y POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page L of� SYSTEM SPECIFICATIONS DESIGN PARAMETERS Number of Bedrooms Z ❑ NA Number of Commercial Units ® NA Estimated flow (average) gal/day Design flow (peak), (Estimated x 1.5) gal/day Soil Application Rate , 7 al/da /ft2 Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD5) 5220 mg/L Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality $ NA Monthly average** Biochemical Oxygen Demand (BOD5) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L Fecal Coliform (geometric mean) 510" cfu/100ml Maximum Effluent Particle Size t/a inch diameter MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months3 p year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third ('h) of tank volume Inspect dispersal cell(s) At least once every O months3EI year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months3 M year(s) . Inspect pump, pump controls & alarm At least once every - O months O year(s) M NA Flush laterals and pressure test At least once every O months O year(s) ll NA Other: At least once every O months O year(s) ® NA Other: At least once every O months O year(s) i& NA ank Capacity 7Crp • al 0 NA ank Manufacturer t,;eSe✓ ❑ NA n � Filter Manufacturer t 0re'Go g;04,,b Fmr o y /g NA ❑ NA Filter Model nk Capacity al M NA Pump Tank Manufacturer B NA Pump Manufacture ® NA Pump Model Ii IS NA Pretreatment Unit n1 em m NA ❑ Sand/Gravel Filter RIlter' ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection Bayfielg6..diling Dept. Manufacturer Dispersal Cell(s) IS In -ground (gravity) O In -ground (pressurized) ❑ At -grade ❑ Mound ❑ Drip -line O Other: * Values typical for domestic (non-commercial) wastewater aid septic tank effluent. Values typical for pretreated wastewater. MAINTENANCE INSTRUCTIONS: Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber: Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pending of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum In any tank equals one-third (%) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wis. Adm. Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatement components, and any other maintenance or inonitorinu at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. AUG 17 2026 Bayfield Co. planning and Zoning Agency BAYFIELD COUNTY SANITARY PERMIT (#04)-17-102S STATE SANITARY PERMIT OWNER: JAMES L JULA REV TRUST GOV'T LOT: LOT: BLK: 0 CSM: SUBDIVISION: 1/4 1/4 SEC: 9, T 48 N, R 9 W TOWNSHIP: OULU SOIL TEST: 842 REPLACEMENT SYSTEM RECEIVED AUG 17 2026 Bayfield Co. Planning and Zoning Agency 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 #: SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: ALLAN POLKOSKI JENNIFER MURPHY DATE: 9/12/2017 Authorized Issuing Officer LICENSE: # 220090 Condition: System shall be maintained per recorded agreement. Existing system shall be abandoned per code. THIS PERMIT EXPIRES 9/12/2019 POST IN PLAIN VIEW MUST BE VISIBLE FROM ROAD FRONTING THE LOT DURING CONSTRUCTION B-A�YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Description Private Sewage System Reconnection Submission Number: CS -00182 Transaction Number: CS-00182-4D5C4 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 34647 Paid by: Blakeman Plumbing & Heating INC Payment Type: Check Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required LAND USE - SANITARY - Reconnection SIGN - SPECIAL - CONDITIONAL - BOA — No. 26-0475 Tax ID: 26694 Issued To: RANTALA, CANDACE N & JORDON A Location: S09 - T48N - R09W Town of OULU BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: E 528' OF W 1,122' OF 5880' OF SW SE IN V.744 P.379 161A IN DOC 2023R-599791 Residential Structure in F-1 Zoning District For: Sanitation Permit — Reconnection [Previous Permit # 17-102S (09/12/2017)] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the department of natural resources wetlands identification web page or contact a department of natural resources service center 1715) 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction work or land use has not begun. Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. Emily Macgillivray, AZA Authorized Issuing Official September 4, 2026 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date