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Home My WebLink About26-147S/@?SN. I 74'les '- Department of Safety County BAYFIELD SS D V & Professional Services, Sanitary Permit Number (to be filled in by Co.) 'byr�w�F Industry Services Division Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Ada Code, submission of this form to the appropriate governmental unit NA 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(lXm), Sims (SAME) I. Application Information — Please Print All Information Property Owner's Name Parcel # (TAX ID: 811) BRANDLE & DENISE RUBERG RECEIVED 04-002_24"05-34400-234-06000 Property Owners Mailing Address Property Location 28785 CHEERYVILLE ROAD OCT 0 8 2026 Govt. Lot NA 34 City, State I Zip Code Phone Number . Ba a Co. ASHLAND, WI 54806 sn 49041 ingA9 cY• SE 'Z Section T 48 N R 05 w Lot# U. Type of Building (check all that apply) Lot # Subdivision NameBhk or 2 Family Dwelling— Number ofBedmoms 4 4 ji I NEUM"S ENTERED Public/Commercial — Describe Use NA to 0 City of ❑ State Owned— Describe Use CSM Number ❑y Village of #361, V498, P130 E&w BARKSDALE Ill. 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 applicabIe4 A. I*w System x Replacement System Other Modification to Existing System Additional Pretreatment Unit (explain) (explain) Holding Took x111-Gmtmd Al- Mound Individual Site Other Type (conventional) Grade I Design j (explain) C. Renewal Before Revision Change of Plumber Transfer to New Owner ist Previous Permit Number and Date Issued Expiration NR IV. DispersaUTreatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (st) I Dispersal Area Proposed (sf) I System Elevation 600 0.7 I 857.15 I918 95.70 FT. Capacity in Total # of Manufacturer Tank lnfonnation Gallons Gallons Units m w 0 $ 0 New Tanks I Existing Tanks p; ,, Septic m Holding Tank 1250 1250 1 WIFSER X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum is Si MP/MPRS Number I Business Phone Number RYAN STRAND 798301 715-558-1673 Plumber's Address (Street, City, State, Zip Code) 10571 INDUSTRIAL P AD, HAYWARD, WI 54843 County/Department Use Only Approved FODZsapp-7vd Permit Fee Dat Lssu Issuing A Si 7r GivReason for Denial J0 1/� Conditions of ApprovaLfReasons for Disapproval c(e. 4 d. Attachto complete plans for the system and submit to the County only on paper not less than 8112x x 11 inches in size SBD-6398 (R 03/22) au17 2026SOIL TEST #'IS-ZG Wisconsin Department of Safety & Professional Services, Page 1 of 3 B $ P ^ t Division of Industry Services $ (xJ SOILEVALUATION REPORT n accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not x 11 inches in size. Plan must include, Bayfeld but not limited to vertical and horizontal int (BM), direction and percent slope. Parcel I.D. scale or dimensions, north arrow, and to distance to nearest road. 811 Please d all rinformation. purposes le� Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(7)(m)). 7 Property Owner Property Location ❑ [] Brandle & Denise Ruberg Govt. Lot w ws 34 T 48 N R 5 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot 1: 28785 CherryvilleRd 28785CherryvilleRd City, State, Zip Phone Number City Village X Town Nearest Road Ashland, WI 54806 (218) 290-9996 Barksd a Cherryville New Construction Use: X Residential/Number of bedrooms 4 Code derived deslgnftow rate 600 GPD X Replacement Public or commercial -Describe: Flood Plan elevation if applicable n. material Fluvial IGenerat comments and recommendations: Conventional System- Benchmark is nail in Power Pole 6" offground = 100' System Elevation @ 95.7 for gravity conventional Boring it Boring E 1 X Pit Ground surtace elev. 98.7 ft.— . Depth to limitingfactor inJelev. - ft. Sail Anoli�Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. At. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft -Effu1 -Effr2 1 0-11 7.5yr211 - LS OSG mvfr CW 2m .7 1.6 2 11-24 7.5yr3/4 S OSG ml CW 2m .7 1.6 3 24-32 7.5yr4/4 - S OSG mvfr CW if .7 1.6 4 32-97 7.5yr5/4 - S OSG ml .7 1.6 Boringa x pit Boring .. 2 X pit Ground surface elev. 98.35 ft. Depth to limiting factor in./elev. ft. SailSail Anolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az.Cont.Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/Ft •EHYS •Eff#2 1 0-12 7.5yr2/1 - LS OSG mvfr CW 2m .7 1.6 2 12-24 7.5yr3/4 - S OSG ml CW 2m .7 1.6 3 24-46 7.5yr4/4 - S OSG mvfr CW if .7 1.6 4 46-109 7.5yr514 - S OSG ml - .7 1.6 CST Name (Please Print) Signature CST Number Ryan Van Ornum ✓^— ��--- 11011 Address Date Evaluation Conducted Telephone Number 65907 Jolma Rd Marengo, WI 7/10/2026 (715) 413-0074 Effluent #1 BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L •Effluent P2- BOD, 530 mg/L and TSS s 30 mg/L SBD-8330 (1103/22) Page 2 of 3 Bormg# 3 Poring X X Pit Ground surfaceelev. 97.05 ft. Depth to limiting/actor InJelev. — ft. Soil Anon lication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/Ft 'Eff#1 -Eff#2 1 0-11 7.5yr2/1 - LS OSG mvfr CW 2m .7 1.6 2 11-20 7.5yr3/4 - S OSG ml CW 2m .7 1.6 3 20-28 7.5yr4/4 - S OSG mvfr CW 11 .7 1.6 4 28-108 7.5yr5/4 - S OSG ml - - .7 1.6 Boring ft Boring Pit Ground surface elev. ft. Depth to limiting factor In./elev. ft. I Sail Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft •Eff#1 'Eff#2 Boring If Boring Pit Ground surface elev. ft. Depth to limiting factor In./etev. ft. Snit Annlir Snit Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/Ft ER#1 •Eff#2 `Effluent #1=BOO > 30 s 220 mg/L and TSS >30 s150 mg/L Effluent #2= BOO, s 30 mg/L and TSS '30 mg/L VtCEiVED JUL 172026 Dayfeld Co. Planning and Zoning Agency II _^ICI .----_I li I i IY I iH 1IIIIIIIIIII II ►- �� I _ TEELfEEEE ,Ii I iJI _-� - TT 11L1 E i C I I II I I i I f l l I - -__---LLJ H .Ct( 4I CF LI _ l IU o Jl 370j 2°t n� 4, N '�'� 1H I 1 01 �, I .1� r� _� 4•�. a� ^ v l PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet RECEIVED Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2937. 08 2026 Bayfield Co. Pg 1 of 4 Index & Cover Sheet Planning and Zoning Agency Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: Filter Specs POWTS Application for Review Tank Specs Soil Evaluation Report & Site Map Tax Statement AEfLt1lL Project Name / Description Owner Name(s): BRANDLE & DENISE RUBERG Phone: 218 - 290 - 9996 Owner Address: 28785 CHERRYVILLE ROAD, ASHLAND Project Address: Govt. Lot: NA Township: 1/4 of SE BARKSDALE Zip: 1/4, Section 34 , T 48 N -R 05 E ❑ or W County: BAYFIELD Project Parcel ID #: 04-002-2-48-05-34-4 00-234-06000 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: 1859-007 Remarks: TAX ID: 811 Phone: 715 - 426 - 1775 Zip, ,.54893.„ a trtcb WI z �(� '011Jnll11n111�\t\� Signature: Date: 10-03, 2026 0dgSS4gnatum required ch submdted copy. i rnJe cvc .14_Li: 4t 53 L1 Li F0c�_�_5c4 F 4D 7 I C QED I 11 ,A M � N Paucv Polk rb I I $ `` • Planning and onin A I__ . . if VrJ -+:J11i:ir'J __________ )tUt , It I 1 t , i_I— r il, I -�� - f _ I I � I •, ;it' ' t T L� i I *1: LH-±H I ___ ___ Nita - .- IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 1250 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: FT 822 12" min. trench depth vpi�en TYPICAL TRENCH CROSS SECTION VIEW (typioal) (No Scale) System Elevation = 95.70 ft (typical) Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) llq'91O IiOt,ll(Iltif)o> i> $= 90 ft RECEIVED 0CT 082026 Bayfield Co. Plannin Provide ill Agency separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA=3.0ft (typical) (typical) Quick4 StadardW Chamber 600 GPD / 0.7 LR = 857.15 FT.2 n INSTALL PER TRENCH: 857.15/20 EISA = 42.86 or 44 (typical) - UNITS (mfd by Infil(tySystems, Inc.) Install pursuant to manufacturers instructions. 22 Quick4 Std -W @ 20 ft EISA/chamber = 440 ftz 44 X 4 FT. = 176 FT. (2) 3 FT. X 88 FT. TRENCHES 1 Pairs of end caps @6 ft2 EISA/pair = 6 ft2 = Proposed EISA per trench = 446 ft' Required Infiltration Area = 857.15 ft2 x 2 trenches = Proposed Total EISA = 892 ft2 G) m W O n a Distribution Method: branched manifold 0 BRANDLE & DENISE RUBERG 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; BOD5 5 220 mgL 1; TSS 5 150 mgL 1; FOG 530 mgL 1 Inspection Checklist INSPECT EVERY 3 YEARS ��CC��6 o type of use o age of system 8 2026 o nuisance factors (i.e. odors, user complaints, etc.) 0CT o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) ea�ia co. encY o material fatigue (i.e., leaks, breaks, corrosion, etc.) �rsa„aZ«,m9A9 o solids volume in anaerobic treatment tank(s) and any distribution appurtenanc(NS i5.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 (113) 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: RYAN STRAND Phone: BAYFIELD COUNTY ZONING Phone: Local government unit address: WASBURN, WI 715-558-1673 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. WLP1 250 -MR TANK SPECIFICATIONS C i nnl" 4" CAST -A -SEAL d� n TOP VIEW Ji = RI - m� N N inaD O' a $ Ln INLET N . I u 23 J• a a OUTLET M TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS DIMENSIONS: WALL: 2 1/2" BOTTOM: SEPTIC 3" COVER: 5' MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 52 1/2' O.D. LENGTH: 120 1/4" O.D. WIDTH: 84" O.D. BELOW INLET: 41" O.D. LIQUID LEVEL38" WEIGHT: 8,810 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 34.81 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,323 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WESER CONCRETE DRAWINGS TED APPROVAL FORI� APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: 4 -in. (100 -mm) Biotube® Effluent Filters Extendable Applications tee handle 0renco® 4 -inch Biotube® Effluent Filters are designed to remove sot- r-' Vented top plate, ids from effluent leaving residential septic tanks. They can be used in standard new and existing tanks at flows of up to 1200 gpd. Biotube filter cartridge Biotube filter vault General Orenco 4 -inch Biotube Effluent Fitters (U.S. Patents No. 4,439,323 and Biotubes 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle ran be extended for easy removal of the cartridge. Flow modulation plate (optional) Vault • 0 Q' Inlet holes RECEIVED OCT 082026 Bayfield Co. Planning and Zoning Agency Standard Models FTSO444-36, FTS0444-36M, FTW0436-28, FTW0436-28M FTW0444-36, FfW0444-36M Product Code Diagram FT[J[I04❑-❑-J] TFlvx nwdulator and float switch bracket options: Blank = no options selected M = flaw moan aeon plate installed A = float switch bracket Installed cartridge height. in. (mm): 28 = 28 (711), standard 36 = 36 (914), standard Filler housing height, in. (mm): 36 = 36 (914), standard 44 = 44 (1118). standard 4 -in. (100 -mm) fitter diameter OWet tee: W = fits Type 3034outiet tee S = fits Schedule 40 outlet tee Filler mesh option: Blank = V -in. (3 -mm) fitter mesh P = rAein. (1.6 -mm) filter mesh Biotube • effluent filler Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems ° Inc. , 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com NT0-FT-FTS-1 Rev. 3.0.0 05/18 Page 1 of 2 A 1 Specifications k -DH n optional flow modulation plate) orifice (on optional flow modulation plate) kECEIVED OCT 082026 Bayfield Co. ping and Zoning Agency Model FTS0444-36, FTW0444-36 FTS0436-28, FTW0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (914) B - Cartridge height, in. (mm) 36.00 (915) 28.00 (710) C - Inlet hole height,in. (mm) 21.25 (540) 19.25 (489) 0 -Nominal diameter, in. (mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, In. (mm) 4.00 (100) 4.00 (100) Filter surface areas ftr (m9 5.1 (0.50) 3.9 (0.40) Flow area," it' (m') 1.5 (0.15) 1.2 (0.12) Flow Modulation Plate (optional) Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) Inlet hole height can very depending on the configfaadon of the tank Optimum hole height is 70% of the minimum liquid level. 1 Fgterarea is defined as life total surface area of all individual Biolubee within the filter cartridge. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge NTO-FT-Pis-1 Orenco Systems Inc., 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com Rev. 3.8. ® 05/18 Page 2 of 2 8/3126, 241 PM News -Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing PropertyStati Current Today s Dot 8/3/2026 Crested On: 3/15/2006 1:14:43 PM DesoriN Ter ID. PIN: Legacy PIN Map ID: Municipality STR: First Dollar: Zoning: ESN: -4 Tats Distrito 1 04 002 046027 001700 Updated: 5/17/2004 gd Ownership 811 BRANDLE & DENISE RUBaG 04-002-2-48-05-34-4 00-234-06000 002107508000 (002) TOWN OF BARKSDALE 534 T48N ROSW NEUMAN'S SUBDIV N 1/2 SE LOT 4 IN V.498 P.130 361 10.000 10.038 1 Yes (R-1) Residential -I 103 RECEIVED OCT 0 8 2026 Bayfield Co. planning and Zoning Agency htlpsl/nowsbayfSia,.ml wL.gov/aslmeatw Updated: 3/15/2006 STATE ODUNTY TOWN OF BARKSDALE SOIL-WASHBURN TECHNICAL COLLEGE tlpdated: 3/15/2006 ASHLAND WI SWIM Addr�: mgt BRANDLE & DENISE RUBERG BRANDLE & DENISE RUBERG 28785 CHERRWILLE RD 28785 CiERRWILLE RD ASHLAND WI 54806 ASHLAND WI 54806 rG SRO Address * indicates Private Road 28785 OIHkRYVOSE RD ASHLAND 54806 '--) Property Assessment Updated: 6/24/2021 2026 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.000 16,500 224,300 G6 -PRODUCTIVE FOREST 8.000 12,800 0 2 -Year Comparison 2025 2026 Change Land: 29,300 29,300 0.0% Improved: 224,300 224,300 0.0% Total: 253,600 253,600 0.0% Updated: 3/15/2006 Ei Property Hwy 127-596;498-130 ��N..//A 1/1 Bayfield County, WI �Y 1 W L� �rt M1 o .r�Lrar_flc,M II-ED;_•P.E H!'I U,q F. JOIJ 1 'a-„=TE=FT ° HFUL _ -HOE :PIE UI nlll •sl ..,. --a,w: dems•. I, rt1 ((tY / 4 yR ��. tY •spy 1 �, EF.a4 D.c ,DEI FF'J6EF ;?,.' ✓JI rl P W N �.__ d� y /' I+ f, a '�• 1 � 'S4T � .�X1�' `' 1 3i ti:. , lip u.l.. .I. r, fF.1y F.jl':, II F'. ;.c .4 m- 003'd - Private Sewage System Maintenance Agreement Owner(s) Name U Owner(s) Mailing Address Site Ad rasa y I^ S'ct a Lli ` l 5H30C) Tax ID# 8 ' 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 Bayfteld 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 J�JTownship 4P.,N. RangeO.S_W. Additional Legal Description: Town o' l'Y r kS (a -. (Acreage) U—/'�. Govt Lot Lotg Block 3 bdivision u,ma 'r `-� 'in Lot CSM # _ Vol Pag CSM Doc # DOCUMENT NUMBER 2026R-61 3739 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O9/14/2O26 AT 9:50 AM RECORDING FEE: $30.00 PAGES: 1 Recordino Area cECEIVED Return To: Planning and Zoning Depntl 5 2026 Bayheld Co. Planning and Zoning Agency ❑ 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 in accordance 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 gushed 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 maybe 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 shell be binding upon and inure to the benefit of all current and future owners of such property. er(s) Name(s) — Please Print 6 -qLI,L'RJ r Subscribed and sworn to before me on this date: SPf /�'1(�P✓ A ?c -Q& Notarized Owner(s)—SI nature(s) Note Public My Cornmis64d Expires: Drafted by: UtLV t S2.KtAOQ,`(0y Date: `14\ or0 a& Proofed by: _ Worms/sanitary/septicmaintenceagreement Revised July 2020 L3-' YFIELD Bayfield County Planning & Zoning Department 117 E 5a, Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: RUBERG, BRANDLE & DENISE SR -00473 28785 CHERRYVILLE RD ASHLAND, WI 54806 Transaction Number: SR -00473-4A470 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 109 Paid by: Northwoods Soil & Site, 659 Jolma Rd, Marengo Payment Type: Check Transaction Date: 7/21/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. I3A YFIELD Bayfield County Planning & Zoning Department 117 E 51 Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: RUBERG, BRANDLE & DENISE SS -00860 28785 CHERRYVILLE RD ASHLAND, WI 54806 Transaction Number: SS-00860-577ED Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3510 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 10/12/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-147S STATE SANITARY PERMIT OWNER: BRANDLE & DENISE RUBERG GOVT LOT: LOT: 4 BLK: CSM: #361 v498, P130 1/4 1/4 SEC: 34,T48 N, R 5 W TOWNSHIP: Barksdale SOIL TEST: 95-26 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND TRACY POOLER DATE: 10/12/ 026 Authorized Issuing Officer CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit Is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit Is based on regulations In force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not Impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 798301 Condition: Properly Maintain System Per Recorded Agreement. Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 10/12/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION