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HomeMy WebLinkAbout26-133S' S p c�! d fJ h l 1 J Department of Safety & Professional Services, Industry Services Division County (� /� 1Ja h•C� G� Sanitary Permit Number (to be filled in by Co.) f_ 13 3 s 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 purposes in accordance with the Privacy Law, s. 15.04(t)(m), Stats. 4 1 41 y 0 N or 8 e c lti.b y I. Application Information — Please Print All Information Property Owner's Name Parcel # TAX 1O: 3993 Er; Ch « n€ La lr%Cher S ova -�.y 07- ,l dO- y Property Owner's Mailing Address Property Location n `R c'1 W000den Shoe R8 Bayfield Co. Govt Lot i, '/.,Section a8 T N R O' 8o()W City, State Neenah Wz Zip Code Plan I S495Zo um er (00S-zils-(+30% II. Type of Building (check all that apply) l or 2 Family Dwelling — Number of Bedrooms Lj ❑ Public/Commercial—Describe Use Lot # 35' Subdivision Name Tetew &d( t4 l\s 2k) ?l,cse Block# ❑ City of ❑ State Owned — Describe Use 0 Village of CSM Number ,STownof Cable 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 if a licable. A. 'New System ❑ Replacement SystemExisting ❑ Other Modification to System (explain) ❑ Additional Pretreatment Unit (explain) p ) B. ❑ Holding Tank ha -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision 1st Previous Permit Number and Date Issued ❑ Change of Plumber ❑ Transfer to New Owner Expiration IV. Dispersal/Treatment Area and Tank Information: 1 Dui c K- /D u5 Cpom r e e ends _ Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation LOO O.I 1000 1038 9J.50 Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer u p. U c d C) in y u ti N , , t+. U m a, New Tanks Existing Tanks Septic or Holding Tank r `50 ! N o ( [� U n or Pn ecs4— Dosing Chamber V. Responsibility Statement- 1, the undersigned, assumey4onsibiity for into ation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb er' i ature MP/MPRS Number Business Phone Number Tt.,rs 9,+4crP;e1d (osa879 7r -G 3'( 8►"/l0 Plumber's Address (Street, City, State, Zip Code) ly39(ct,J S4cjc Road '7 )4a,ward WZ SY841 VI, County/Department Use Only d.pproved / 0 Disapproved 0 Given Reason for Denial Owner Permit Fee $ Da a Issued p 1 i&/Z-t01 „ Issui A Signature l6 Conditions of Approval/Reasons for Disapproval 9k WLIne o4 Attach to complete plans for the system and submit to the County only on paper not less than 8 12 x 1I inches in size SBD-6398 (R. 03/22) S-IZ-x0513 RECEIVEU p tv Wisconsin De artment of Safe & Professional Services SEP 15 2026 . Sy Division of IndustryServices Co. �SpS SOIL EVALUf� att(RI In accordance with SPS 385, Wis. Adm. Code `�bsroua�` Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. 'ersonal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(11(m)). Property Owner Property Location ❑ M Erich + ! r! Q i1 lC t the r Govt. Lot Y. Y, S a)3 T 93 N R 01 E (or) W Property Owners Mailing Address Site Address or CSM and Lot #: County Parcel I.D. Page I of_____ /3s-26 City, State, Zip Phone Number I ❑ City ❑ Village ® Town X NewConstruction Use: ® Residential/Numberofbedrooms '1 ❑ Replacement ❑ Public or commercial — Describe: Parentmaterial Ioarnyd.aes.! s e..er 5e.ndy nit Sk General comments and recommendations: I I I Boring # Nearest Road 9/ a/y0 Code derived designflow rate 1.00 GPD Flood Plan elevation if applicable ft. loPit Ground surface elev. 97.17 ft. Depth to limiting factor la D 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 a -t F I. L tq loYfaj I c.C. 1.0 3 t4.3 Y '1 — SI anab 0•!. 1.0 Y -- 15L1 Ire 0.9 1 . (s 5 ) O . SY R s/ -- 0 0/7 I. e Cob (+p4j, csursatnt5nnt ipr6,t. ❑Boring Boring # ® ®Pit Ground surface elev. ¶6.2 {ft. Depth to limiting factor I a 0 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 Ef#1 'Eff#2 I 0-15 F IL L IS -2O O1A2! — SI ...b r O. 1.0 -No-3L Y M m o.c. 1.0 7.5YRNlt rs S is 7.5Y1a 5/ S .? I. o.. s *1st cob 1e,.1 t arse nhqpeo.t .I�C CST Name (Please Print) Signatur CST Number jravls Guf'Fcr-�':eld SP -040a00003 Address Date Ealiion Conducted Telephone Number Iqylc,costRull bau wtS,BY I715 -63y —817 (e ' Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30s 150 mg/L * Effluent #2 = BOO, 5 30 mg/L and TSS S 30 mg/L SBD-8330 (R03/22) Page v1 of ri Boring # ❑ Boring ® Pit Ground surface elev.%.ft. Depth to limiting factor 1 a in.1 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 6-11_i a 19 -4 1b 3/a &bx e- W1. o.'. I. 3 3.. L0 YA N -- S % 6. co 1* 14 qo .4 O 7. S YR `l/a -- r S nn �� O. y 1 • to Co %-ThO 7•5WR57y �- S M1 0. 1 • OPNO" £!S0 Ceb Mc enc p1eora0 Boring # (clot PS) ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Soil Apolication 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 4cs tin t$O r o oPo % O 4 1-c,- a &6/i.'' a / 4' s c+ e,n a G� ❑ Boring # ❑ Boring O Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Soil Apolication 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 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L RECEIVED SEP 15 2026 Bayfield Co. Planning and Zoning Agency * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L d' 6 D) Ca a. HI o Q o rn gwrcs: Eric%% 4. Mel*^ Schle;Cker O1 Woe.. 5 oe R.6 P4e1t.g o WZ S'i 95lo G08- \IS-G3o7 To 96.00' Nordic Way Proposed Garage ELEVATIONS BM - 100.00' B1 - 97.17' B2 - 96.33' B3 - 96.58' Pond 85.00' 97.00' B3 a —2% Slope INB2 95.00' AB L.flL.NO 1-4ora:c Way Telemark Hills Plat Phase 2 - Lot 35 Sec. 28, T43N, R07W Town of Cable Bayfield County Tax ID: 39932 SCALE = 1:40 0 40 B1 1 /o lope f and * C STt / /TrZc.4e16 SQ- 61000000 3 f / BM = Nail w/ ribbon in 34" Pine SOIL PROFILE SHEET OWNER: Er ; e.y% v Me 4an Sch k ;chc rSOIL TESTER: I��v � S 13 v tfc 4•Y IG� SYSTEM ELEVATION: LOAD RATE: _SYSTEM SYSTEM RANGE: c'10.1""t to 9�►•S8 133 4� -- --- 01-7. )� ------ --- -- --- -- --- 9 t� .33 --- -- :::i 9y •ooh -- -- - -- --- � 9 43 -- -- I Lrleva'a►�► --- -- --- -- cli -- -- �o•-Q -- ) --- -- -- 3 S ITu &S3 ___ __ __ ___ 27.h1P7 -- --- 84-33 -- -- RECEIVED SEP 15 2026 Page of ±1 Bayfield Co. Planning and Zoning Agency PAGE 1OF4 4 In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10705-P (N.01/01, R. 10/12) 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 RECEIVED SFP 15 2026 Attachments: Enclosures: POWTS Application for Review planning and Soil Evaluation Report & Site Map Project Name / Description Schleicher - Nordic Way - Telemark Hills Owner Name(s): Erich & Megan Schleicher Owner Address: 6804 Wooden Shoe Rd; Neenah, WI Project Address: 41440 Nordic Govt. Lot: 1/4 of 1/4, Section 28 , T 43 N -R 07 Township: Cable County: Bayfield Project Parcel ID #: 04-012-2-43-07-28-1 00-343-35000 TAX ID: 39932 Phone:608 215 Zip: 54956 Designer Information Id Co. ?oning AgencY 6307 E❑or W ✓❑ Designer Name: Travis Butterfield Phone: 715 -634 8176 Designer Address: 14346W State Road 77; Hayward, WI Zip: 54843 E-mail: office@butterfielddrilling.com License Number: 652879 Remarks: Lot 35 Telemark Hills Plat Phase 2 Signature: Date: Oil al signature required on each submitted copy. Page 2 of 4 C 1) !J Ix rn Co N U LC) v N g a mo W N .a a - to Vordic Way PLOT PLAN 96 00' B3 g 2% Slope' /J To Be Vdo 0 j Insulated Proposed 4 Bdrrn B' Proposed o Dwelling Garage t % lope Proposed Well 97.00" ST = 1250ga1 prefab concrete septic tank made by Superior Precast w/ Lifetime LT -1/8 Filter AA = Absorption Area consisting of three cells, spaced >3ft apart, containing a total of 51 Quick -4 Plus , Chambers ELEVATIONS BM - 100.00' r B1 - 97.17 B2 - 96.33' B3 - 96.58' BM = Nail w/ ribbon in 34" Pine Pond 85.00' I y ►yy b Norac w�' 95 00' Pond Telemark Hills Plat Phase 2 - Lot 35 Sec. 28, T43N, R07W Town of Cable Bayfield County Tax ID: 39932 SCALE = 1:40 1 40 ---i *All piping is to be 4" PVC Sch40 ASTM F891 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER 12" min. trench depth (typical) Septic Tank(s) Manufacturer: Superior Precast Septic Tank(s) Volume(s): 1250 gal gal gal gal Effluent Filter Manufacturer: Lifetime Filter LLC Effluent Filter Model #: LT -1 /8 TYPICAL TRENCH CROSS SECTION VIEW (No Scale) System Elevation = 92.50 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) t 'cal ( YPI ) r -----------t------- fit--- L-------------------yam-- r B= 71 ft (typical) INSTALL PER TRENCH: 17 Quick4 Std -W @ 20 ff EISA/chamber = 340 ft2 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 = Proposed EISA per trench = 346 ft2 Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) -----n T I A=3.0ft - — — — — (typical) rn \ `Quick4 Standard -W Chambers (typical) . oo m (mfd by Infiltrator Systems, Inc.) �D Install pursuant to manufacturers instructiort. Q Required Infiltration Area = 1000 ft2 x 3 trenches = Proposed Total EISA = 1038 ft' 7J M C-) rn O Distribution Method: branched manifold D G) m C.J O m 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 = 600 gpd; BODS ≤ 220 mgL"'; TSS ≤ 150 mgL'; FOG ≤ 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) $EP 15 2026 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) Bayfield Co. o solids volume in anaerobic treatment tank(s) and any distribution appurtenances) i.qina e`.., zd s(r"� iorr/ 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 (he., 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: Local government unit: Bayfield County Planning & Zoning Butterfield Inc Local government unit address: Phone: Phone: 117 E 5th Street P.O. Box 58 Washburn, WI 715-634-8176 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed 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. SUPERIOR I 1250 1 -Compartment Tank SUPERIOR PRECAST CONCRETE PRECAST CONCRETE ff` .._ --- EL; SFP 15 2026 Weight (in lips) Tank 6.537 ifleld Co. lid: 4,238 Pahia„_.:c Zoning Age Total: 10,775 Volume of Concrete Total :. 2.7 Yd' Gallons Per Inch: 28.1 hot Wan Enlarged Detail TOP VIEWT SIDE ` W L 22" Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL 1" T^Iae 8" Air Space SERVICES DIVISION OF INDUSTRY SERVICES LUjtfld £t1 A'e4v Jr' 4J" I Death SEE CORRESPONDENCE I Manhole Openings Iii t ' Y 4" 73" 79" 62" 45 3" Taper Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 Polyethylene Baffle SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Aiattic Concrete Septic Tanks and WI SPS384.25, POWTS Holding Rope Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineerfor suitability of use. Configuration may change from drawing, consult with SPC. Product File No: I This is proprietary information. and remains the property of Superior Precast Concrete,LLC. I R.3 05-19-20241 BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) C7 Chcdkisi L'Original Sanitary Application (Submitted in Deed Holder's Name — not prospective buyers) (383.21(1)1.) LYI'ndex Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) L4'Original Plot Plan (383.22(2)2. 3. & 4.a) R/Cross-Section, Overhead Profile of the System and Schematic of Tank from Manufacturer -E Pump Tank Diagram, Alarm and Pump Curve (when applicable) C1 Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) gMaintenance Agreement (Owner's Original Signature(s)) (383.21(2)(c)(6) (Recorded at Reg. of Deeds) B b1ding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) .B -Welding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) ,®-NFe-Servicing Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) E/Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) L 1 o.mo:lete Set of Plans (Note: Sanitary Application — Maintenance Agreement & Service Contract are to be ndudcd i;i the copy packet) Q'Soiland Site Evaluation Report (383.22-3(2)(b)1.e.) —p-State Plan Review (when applicable) ZCCopy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following �Information) ®/I Application Information must include: LY (4 or 5 digit) Tax ID# -- (do not use 12 digits anymore --obsolete) f�Project Address or Road Name where driveway is/will come off of) K4Owners Phone Number) Q'II Type of Building F III Type of Permit S IV Type of POWTS System C 'V Dispersal / Treatment Area Information EY VI Tank Information Ci VII Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) W/ Signature and Plumber Information (o+\ti4FP°yc') C Surface Elevation of Body of Water Rv Direction and Percent Land Slope l Tank and Filter Information and Location C3/Wetlands / Navigable Bodies of Water C2' /Absorption Area (Proposed and Existing) d//////gggggE ench Mark (Location, Elevation and Description) omponent Manual Version RECEIVED SEP 15?�"1 a., , cW 1,0. Planning and Zoning Agency Address Number and Road H/North Arrow R(Contour Lines C3 Structures and Driveways fl Boring Locations [//Property Lines Is ell Locations Legal Descriptions 421 Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Cross -Section and Overhead Profile of the System: /Surface and System Elevation S Position of Observation and Vent Pipes H Dimensions and Depths Q"Make, Model & Number of Chamber Units in each Cell Property Information C9 How many systems will there be on this parcel of land? t l� Has this property been split? Kf 9 (Property Statement shows Property History) Fees: C9 Private Sewage System (Septic Tanks) ❑ Private Sewage System (Holding Tanks) $ 400.00 ❑ Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑/Return Inspection $ 50.00 Q Maintenance Agreements V $ 30.00 (check should be made out to Reg of Deeds) n Examples: located in part of Gov't Lot 4, Section 1, Township 23 N, Range 4 W, Town of Bayfield, described as a parcel in the NE Y of the SE'/, Section 1, Township 23 N, Range 4 W, Town of Bell u/forms/checklists/checklistforsanitaryapps (®8/5/2026) Private Sewage System Maintenance Agreement Erich Schleicher 6804 Wooden Shoe Rd ; Neenah, WI 54956 9%%190 t46t-a;C Lao. Tax ID # 39932 As owner, I (we) do nereoy cerury me 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) - -2S Township 43 N. Range- -0Z W. --. Additional Legal DescriptionlN DOC 2026R-611400 IN DEED DOC 2026R-611813 Town of Cable (Acreage) 3.050 Govt Lot Lot 35 Block subdivisionTELEMARK HILLS PLAT PHASE 2 Lot_CSM# Vol._Page _ GSMDoc# Return To: DOCUMENT NUMBER 2026R-6 1 3741 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/14/2026 AT 11:03 AM RECORDING FEE: $30.00 PAGES: 1 RECEIVED Planning and Zoning Department SEP 15 2026 Bayfield Co. ® 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 (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 inaccordance 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 -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. 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 maybe placed on the tax roll as a special assessment for the abatement ore 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 Subscribed and sworn to before me on this date: taki,H ). Sc1L4, GHEe 4u uW 3(,,202c Notarized Owner(s) — Signature(s) ��y �^ V Not Publi r�tf �qunnn s ��, M.. My Co fission 7 Tres• o� . �-/Zo3 •'ova Drafted by: Ron Spreckels Jr Date: 07/31/26 Real Estate Bayfield County Property Listing Today's Date: 9/8/2026 Desch on Updated: 4/27/2026 Tax ID: 39932 PIN: 04-012-2-43-07-28-100-343-35000 Legacy PIN: Map ID: Municipality: (012) TOWN OF CABLE STR: S28 T43N R07W Description: LOT 35 TELEMARK HILLS PLAT PHASE 2 IN DOC 2026R-611400 IN DEED DOC 2026R-611813 Recorded Acres: 3.050 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 108 Tax Districts Updated: 4/10/2026 1 STATE 04 COUNTY 012 TOWN OF CABLE 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents Updated: 4/10/2026 ® WARRANTY DEED Date Recorded: 4/16/2026 2026R-611813 ® PLAT Date Recorded: 3/12/2026 2026R-611400 Property Status: Next Year Created On: 4/10/2026 11:40:26 AM ' Ownership Updated: 4/27/2026 ERICH & MEGAN SCHLEICHER NEENAH WI Willing Address: Mailing Address: MEGAN SCHLEICHER MEGAN SCHLEICHER 6804 WOODEN SHOE RD 6804 WOODEN SHOE RD NEENAH WI 54956 NEENAH WI 54956 Site Address * indicates Private Road 41440 NORDIC WAY CABLE 54821 0 Property Assessment Updated: N/A 2026 Assessment Detail Code Acres Land Imp. N/A 2 -Year Comparison 2025 2026 Change Land: 0 0 0.0% Improved: 0 0 0.0% Total: 0 0 0.0% Is Property History Parent Properties Tax ID 04-012-2-43-07-28-4 01-000-10000 9108 HISTORY ® Fxpand All History White=Current Parcels Fink=Retired Parcels ® Tax ID: 9108 Pin: 04-012-2-43-07-28-4 01-000-10000 Leg. Pin: 012107505000 39932 This Parcel Parents Children 5EP 1 b Z07-fi Bayfield Co. Planning and Zoning Agency BAYFIELD COUNTY CHECKLIST FOR CERTIFIED SOIL TESTS Submit the Following (Use Permanent Ink): RECEIVED �f SEP 15 2026 lJ Check List Bayfield Co. -ldex Page / Title Sheet (Optional) Planning and Zoning Agency &/Original Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers) ['Original Plot Plan S Cross Section Soil Profile Sheet (optional) G/Additional Information (Warranty/Quit Claim Deed) (Optional) Soil Evaluation Report: (Include the following Information) VParcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used I� Pro a Owner's Information not prospective buyer's name) (Property Location (Accurate Legal Description with Sec/Twp/Range) S Road Name (where driveway is/will be coming off of) aFloodplain Elevation, Row Rate, Comments and Recommendations Complete Soil Boring / Pit Information ('Date Soil Evaluation was conducted 0 CST Name, Signature, Number, Address and Phone Number 0 *Date Stamp* Plot Plan: (Include the following information drawn to dimension or to scale) Bench Mark (Description, Elevation and Location) Contour Lines (Example = 98.0' /96.0' /94.0') CiProperty Location (Sec/Twp/Range/, Accurate Legal Description) Y/Borings (Locations and Elevations) Q Percent and Direction of Land Slope WWell Location (Including Neighboring Wells, if applicable) i� Location of Wetland Areas, Floodplain and Navigable Waters Q Buildings, Driveways, and Structures (Location and Descriptions) 13 Location of Property Unes Existing System Location LiAddress Number and Road Name l urrent Surface Elevation of Wetlands and Navigable Waters Owner and Property Information North Arrow 7certified Soil Tests - Review & Filing Fee $ 50.00 u/forms!sanitary/checldist/cheddistwrests �AFIELD 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: SCHLEICHER, ERICH & MEGAN 6804 WOODEN SHOE RD NEENAH, WI 54956 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00513 Transaction Number: SR -00513-557C5 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 9/16/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B-`-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: Submission Number: SCHLEICHER, ERICH & MEGAN SS -00845 6804 WOODEN SHOE RD NEENAH, WI 54956 Transaction Number: SS -00845-557C7 Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 5565 Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843 Payment Type: Check Transaction Date: 9/16/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-133S STATE SANITARY PERMIT OWNER: ERICH & MEGAN SCHLEICHER G OV'T LOT: LOT: 35 B LK: SUBDIVISION: Telemark Hills Plat Phase 2 1/4 1/4 SEC: 28, T 43 N, R 7 TOWNSHIP: Cable SOIL TEST: 135-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TRAVIS BUTTERFIELD SCOTT ROUSH DATE: 9/16/2026 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: # 652879 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 9/16/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION