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Home My WebLink About26-142SI S S - (DO 0 w s Industry Services Division 4822 Madison Yards Way Madison, WI 53705 P.O. Box 7302 Madison, WI 53707 County Bayfield Sanitary Permit Number (to be filled in by Co.) ltiJ _�� 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) Same RECEIVED 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(1)(m), Scats, I. Application Information — Please Print All Information Property Owner's Name # 2026 QParcel Dennis Nolan 4038 tayffeld Co. Property Owner's Mailing Address 2395 Island Lake Rd. Property Location Planning and Zoning Agency Govt. Lot yt 1, Section 17 T45 N R _09F or W City, State I Barnes, WI Zip Code 54873 Phone Number 763-443-8980 II. Type of Building (check all that apply) Loth Subdivision Namelor?Family Runningbears Add to Potawat Dwelling — Numberof Bedrooms2 �p ❑Public/Commercial — Describe Use ElState Owned — Describe Use p 39 38&39 Block# City of IVillage of CSM Number ✓❑Town of Barnes Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box online B. Complete line Cif applicable.) A. New System Replacement System ElOther Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. Holding Tank atn-Ground IjAt-Grade ❑Mound J Individual Site Design Other Type(explain) (conventional) C. []Renewal Before Expiration ❑Revision]Change of Plumber ❑Transfer to New Owner ist Previous Permit Number and Date Issued NA IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (so I Dispersal Area Proposed (st) I System Elevation 300 0.71428 452 91.5 Tank Information Capacity in Gallons Total Gallons 4 of Units Manufacturer d o v h New Tanks Existing Tanks Scptic or Holding Tank 750 750 1 Superior Precast ✓ Dosing Chamber O V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Jason Kuettel �. --sp--� 675751 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, WI 54821 VI. County/Department Use Only proved 0 Disapproved 0 Owner Given Reason for Denial Permit Fee Date Issued j l Conditions of Approval/Reasons for Disapproval wb&athd C oAd . Attach to complete plans for the system and submit to the County only on paper not test than 5 112 x 11 inches in size SBD-6398 (R. 02/22) S R- ooS l'b Soil Evaluation Report SOIL TEST #I�D-2-(, in accordance with SPS 385 , Wis.Adm Code Wisconsin Departmeotof5a}eryaodProfessiooalServises Attach complete site plan on paper not less than 8% X 11 inches in size. Page: 1_2f_ 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 4038 Personal information you provide may be used for secondary purposes. w y: Date: (privacy Law,s.15.04(1)(m)). /'/274'3 Property Owner: ($ ( f� D� �,,,.} Pro erty Location Todd A Zannacker «., (i31.!) S17,T45N,R09W Property Owners Mailing Address: Site Address or CSM and Lot # E10257 Greimel Road 2395 Island Lake Road City IState Zip Code Phone Number: Town lNearest Road: Baraboo I WI I53913 0 Barnes Island Lake Road Number of Bedrooms: 2 rNew ir t Residential Code derived design flow rate: 300 Flood Plain if applicable F Replacement r Public or Commercial - Describe: Parent Material: Outwash Flood Plain if Applicable: 0 'ENTERED General Comments & Recommendations: System Elevation: LOa- G^l 0 Ground surface Elev: Depth to Limiting Factor: Boring #1 r Bor. F PIt Soil Application Rate: 95.28 Ft. 110 in. Elev. 86.11 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 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3CO 0.6 1.00 2 8-18 7.5YR4/4 N/A LS OSG ML CS 3M 0_7 1.6 3 18-110 7.5YR4/6 N/A MS 0SG ML N/A N/IR ITLD1.6 4 5 6 Piano nd Zoning Agen Boring # 2 r Bor.F. pit Ground surface Elev: Depth to Limiting Factor: Soil Application Rate: 95.28 Ft. 108 in. Elev. 86.28 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 0-6 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3CO 0.6 1_Q 2 6-16 7.5YR4/4 N/A LS 0SG ML CS 3M 0.7 1.6 3 16-108 7.5YR4/6 N/A MS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 *Effluent #1= BOD 5>30 < 2 20 mg/1 and fflunt #2= BOD 5< 30 mg/1 and TSS < 30 mg/1 CST Name (Please Print) Signat r CST Number: Mark S. Thompson _J ) 877598 Address: 12006 N US Hwy 63 Date alu ion c Telephone Number Hayward, WI 54843 Tu sday, September 15, 2026 7151699-4081 I SBD-8330 (R04/21) Property Owner: Todd A Zannacker Parcel I.D. 4038 Page: 2 of 6 Boring # 3 Bor v Pit Ground surface Elev: Depth to Limiting Factor: 93.35 Ft. 115 in. Elev. 83.77 ft 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 0-10 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 10-20 7.5YR4/4 N/A LS 0SG ML CS 3M 00.7 1.6 3 20-115 7.5YR4/6 NIA MS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 Boring # 4 Ground surface Elev: Depth to Limiting Factor: r' Bore 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 5 6 7 Boring # 5 Ground surface Elev: Depth to Limiting Factor: r BorP 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 REM iwr 4 5SEP 212026 6 7 nnmg and 2 fling Age cy Boring # 6 r Bor r� Pit Ground surface Elev: Depth to Limiting Factor: 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 5 6 7 *Effluent #1 = BOD 5>30 < 2 20 mg/1 and TSS>30 < 150mg/1 *Effluent #2 = BOD 5< 30 mg/l and TSS < 30 mgA 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 SBD-8330(807/00) Soil Profile Sheet Page: 3 of 6 Owner: Todd A Zannacker ISoil Tester: Mark S. Thompson System Elevation: 91.5 Load Rate: 0.7 System Elevation: 89.28 To 91.68 101 81. 101 42 100 100 ------ ------ 99 - 99 ------------ 98 - 98 --------------- 97 97 -------------- 96 - 96 -------------- 95 8 95 95.28 94 --------------- 91 94 -------------- -- 93.78 $ �5 93 QZ 93 -------------- 92 --------------- 92 91 ------------- 91 --------------- 90 --------------- 90 --------------- 89 ---------89I11 89 --------------- 8918 88 --------------- 88 --------------- ±3------ 87 --------------- 87 --------------- 86 -------------- 86.11 86 --------------- 88.28 --------------- L� LE 85 --------------- 85 --------------- 84 --------------- 84 --------------- 83 --------------- 83 --------------- --------------- 82 -------------- 82 --------------- 81 -------------- 81 --------------- 80 --------------- 80 --------------- 79 --------------- 79 --------------- 101 83 100 --------------- 99 98 97 - System Elevation 96 - - 95 --------------- 9:Z 94 9,Z 93 93.35 92 02 --------------- 91.68 $ 91 --------------- 9,Z 90 a Pl�C!IV b 89 SEP 2:42026 88 --------------- Ba'field Co. Planning and Zoning Agency 87 --------------- - 86.77 86 85 --------------- 84 83.77 83 LE. 82 81 --------------- 80 79 -------__--- Owner Information: Name: Todd A Zannacker Location: S17.T45N.R09W Township: Barnes County: Bavtield Address: 2295 Island Lake Road 1"= 20' No Well Only in Tested Area RECENEb SEP 24 2026 BM=100: Naitw/ribbon on the base of tree near driveway Istand Lake Road 92 95' Circle Drive BM iP B3.. CS 2395 81 B1= 928 B2= B3 = 93 35 Lake= 0 Bayfield co. Planning and Zoning Agency PAGE 1 OF 4 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 Pg 2 of 4 Pg 3 of 4 Pg4of4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Pkie�✓��rer) Management Plan SEP 242078 Enclosures: POWTS Applic Soil Evaluation Project Name / Description Nolan 2 Bed Owner Name(s): Dennis Nolan Owner Address: 2395 Island Lake Rd. Barnes, WI Project Address: Same Govt. Lot: Township: Barnes Project Parcel ID #: 4038 1/4 of Designer Name: Jason Kuettel BaYgeldCo. Planning and Zoning Agency for Review & Site Ma Phone: 763 443 _8980 Zip: 54873 1/4, Section 17 , T45 N -R 09 E U or W 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: c zK Z� Original sigp tyre required on each submitted copy. Owner Information• Name: Totld AZannacker Location: S17.T45N.R09W Township: Barnes County: Bavfield Address: 23951s1antl Lake Roatl 4 1=20 LA No Welt Only in TestedArea BM=100: Naitw/rihbononthebase.ottreeneardriyewav Island Lake Road Circle Drive B3 RECEIVED SEP 242026 BM rT 75 tu4- 6,7S7s ( B1= B2 = B3 = Lake= RF� (7-) C L/ 6 ' Q. i Ut C l�+9nnrfRrS PlanningBand Zoning Agency IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) iitlfl SOIL COVER min. 12" (typical) Septic Tank(s) Manufacturer. $uoerior Precast Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer: Orenco Effluent Fitter Model #: FT -0822 12" min. trench depth typical TYPICAL TRENCH CROSS SECTION VIEW (tyP l) • (No Scale) System Elevation = 91.5 ft (typical) Quick4 Standard -W w/(End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) I- ----------- -------77----- I-----------7�-------�j---- B= 46 ft (typical) INSTALL PER TRENCH: 11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ft1 RECEIVED SEP 242o?fi Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / Instructions. TYPICAL TRENCH PLAN VIEW (No Scale) IA=3.0ft (typical) "—Quick4 Standard -W Chamber (typical) (mid by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. + 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft' Framing a o„' rW Aqerr#y = Proposed EISA per trench = 226 ft' Required Infiltration Area = 429 ft' x 2 trenches = Proposed Total EISA = 452 ft2 Distribution Method: branched manifold D C) m W O m a 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 = 300 gpd; BOD5 ≤ 220 mgL''; TSS ≤ 150 mgL''; FOG ≤ 30 mgL' Inspection Checklist INSPECT EVERY 3 YEARS RECEIVED o type of use o age of system SEP 2 4 2026 o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Bay1 Co. o material fatigue (i.e., leaks, breaks, corrosion, etc.) Pianning and zoningAgency 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 (Le., 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: Andry Rasmu83en & Sons Local government unit: Bayfield Co. Zoning Phone: 715-373-6138 Local government unit address: 117 E 5th St. Washburn, WI Phone: 715-798-3355 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. p' 5=?TIC TAjki',I CIO5S Sz':TIOtI r.PG S?cCI:I�4TiGP15 LI" SCI{,4OP'iC IPiSP. cror 6 " MIN. ABOVE GZ-.DZ.(opT.) (When. 1kLe+ ty\"%Fo\e Ps �ourizd APPROVED MANHOLE FTN_SHED GRADE W/ Lpc;K�. W�FR✓iti� cABEL II — 4" NUN. 18" HIN. I I jILET OUTLET r APPR •U BA-faE— O FILTER AP PROVEED MFG. Ot-Pnco PIPE 3' ONTO SOLID model I cTO91-L SOIL RECEIVED 3" A?PRtOi'ED BEDDING UNDEP, TANK SEP 242026 Bayfied Co. SPEC,IFICATI0NS Pla"k°°and Z°"'"y 'a="" SEPTIC TF11K MANUFACTURER: £111£dLoL j>2.CY:rsf7— T:'.NK SIZES: SE'TIC 'd GAL, NOTES: Private Sewage System Maintenance Agreement Owner(s) Name A/NtS (V0L40 Owner(s) Mailing Address Z 39S N:3 L&j t2W4tPCS 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) 114 of 1/4 Section /? Township ____N. Range O5 w Additional Legal Description: Town of %2) 7%(t" t5( (Acreage) tl rl ?- Gov't Lot '7�ppnn / To Lot,sm c��ock Subdivision RvVPlr"& U3ty 4 !n A.J Aron.; Lot CSM # Vol. _ Page _ CSM Doc # DOCUMENT NUMBER 2O26R-61 3893 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/24/2026 AT 1:27 PM RECORDING FEE: $30.00 PAGES: 1 Recording Area Return To: Planning and ZoylC�r 252026 In -ground gravity ❑ In -ground dosed ❑ jfleld C" and Zoning 'y In -ground pressure distributIr wage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pumo 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, Wiis. 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 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 mu unn Owner(s) Name(s)— Please Print Subscribed and sworn to before me on this date:''NE p.4 ••'% Notarized ner(s)—Sign Fur Notary Publi��'�i�i� p ocl My Commission Ex fires: -• 1f-3� '�'•,T-9pF----•SSG DraftecV i " / /b C-Vt' Date: C3 jib ,/t( Proofed by: u/Forms/sanitary/septicmaintenceagreement Revised July 2020 � 3FIELD 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: NOLAN, DENNIS 2395 ISLAND LAKE RD BARNES, WI 54873 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00518 Transaction Number: SR -00518-56C13 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 15187 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 10/1/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. P -4 YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: NOLAN, DENNIS 2395 ISLAND LAKE RD BARNES, WI 54873 Description Private Sewage System (Septic Tanks) Submission Number: SS -00850 Transaction Number: SS -00850-56C32 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 15187 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 10/1/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-142S STATE SANITARY PERMIT OWNER: DENNIS R NOLAN GOVT LOT: LOT: 38 & 39 BLK: SUBDIVISION: Runningbears Add To Potawat 1/4 1/4 SEC: 17, T 45 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 140-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL TRACY POOLER DATE: 10/1 /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 675751 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 10/1/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION