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HomeMy WebLinkAbout26-156SIf • O l Department of Safety & Professional Services, Industry Services Division County Bayfield Sanitary Permit Number (to be filled in by Co.) _ . Sanitary Permit Application State Transaction Number In accordance with SPS 3R3.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental wit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit Note Application forms ILr state-owned POWTS are submitted to the Department of Safety and Professional Seiyice, Personal information you pio\,de mnv he used Fr secondary purposes m accordance with the Privacy law. s i u411)Im). Stars. 53210 State HWY 27 I. Appfleatkin information —Insanee Print All (n - -- Progeny 0\\r,er s N.ii to Parcel N 30 O (> Bryan Grantors 04-004-2-45-O9-30.303.000-06000 Property' Owner s Mailing Address Property [.nation 11050 S Ellison Lake Rd - Govt Lot SW A• SW 'A' Section 30 p 45 N R 09 F. o City. State Zip Code Phone Number Solon Springs, WI 54873 218-330-7875 IL Types%Bs ldio8` a apP(Y)• ®1 or 2 Family Dwelling— Number ofBednronis 2 Lot Subdivision Name Blac ❑ Public/Commercial—Describe Use Ti 2D7n ❑ Cityof ❑ State Owned— Describe ils _ . 0 Village of CSM Number , ra limit m' Barnes Ill. Type ul'POW' l S Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable.) A O New System Ea ReplacementS' ❑ Other Modn icauon to kxistmg System Icaplam) ❑ Additional Pretreatment 1!nu (explain) B. ❑ Holding Tank ® in -Ground ❑ .4t -Grade ❑ Mound O Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision f O Change oPlumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV: nhspanavrrntmeut Area and Tank Information: Design Flow igpd) : Design Soil Application Ratgepdht) 300 0.7 Dispersal Area Required Is?) 428.6 Dispersal Area Proposed (sl) 446.6 System Elevation 95' - Capacity in Tank Information Gallons New Taatts Exis,inc larks I otal Gallons N of Manufacturer Upits a v U to $ = N y ito:. j 4 Septic or Holdinu Tank 750 — 750 i Weser X V. Responsibility Statement- D, the undersigned, assume re pomdbilily for installation oft e POW'TS shown on the attached plans. I'lumlict s Nan,,, t Prins, I'Iuml ."in utmc I7n(� ---- Vll',Ail'Itti Nwnber Rosiness Phone Number 3d 2 -9 - Pun,he Address IStreet. City. Sift, lip C'odeI °i(, Lai SVbZ VI. County/Depar(ment Use Only ppr,)Ved C' rl sappfoA"I Permit Fee I OBI' l"Iwd ❑ owner Given Reason for Denial 15J I gAgCl IgnB 32/3 onditions of Approval/Reasons for Disapproval Attach to romtacre plan for the system and submit to the t. ounry only on paper not toss than it i' a II inches in sire SBD-6398 (R. 03/22) sR-ooSa3 RECEIVED OCT 012026 Wisconsin Department of Safety & Professional Services i Division of IndustryServices Say5etaco . t Zoning Ag6CQI SOIL EV U3AiION REPOF In accordance with SPS 385, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 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. SOIL TEST # County Bayfield Parcel l.D. 7" 04 -004 -2A5 -09 -30 - Please print all information. Review 1 „f 3 W111III1116Ik 10111 Property Owner Property Location LJ U Bryan Granfors Govt. Lot SW Y. SW ''A S 30 T 45 N R 09 E (or)® Property Owner's Mailing Address Site Address or CSM and Lot #: 53210 State HWY 27 11050 S Ellison Lake Rd City, State, Zip I Phone Number O City O Village ® Town I Nearest Road Solon Springs, WI 54873 (218 ) 330-7875 Barnes 53210 state Hwy 27 ❑ New Construction Use: 6d Residential/Numberofbedrooms Z Code derived designilow rate JUU GPO m Replacement ❑ Public or commercial —Describe: Flood Plan elevation if applicable N/A ft. Parent material Outwash Sands (Rubicon Series) General comments and recommendations: ENTERED to ❑❑8orng 1 Boring # ®Pit Ground surface elev. 98.8 fl. Depth to limiting factor 84 in./ elev. 91_8 t. Soil Annlicatinn Rate Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FI' Eff#1 Eff#2 1 0-5 10YR 2/2 — s Osg dl as 1vf 0.7 1.6 2 5-12 10YR4/4 — S osg dl Cs if 0.7 1.6 3 12-31 10YR 5/4 ' — $ Osg dl cs 1m/If 0.7 1.6 4 31-45 10YR 5/4 — 5%FGR)s Osg dl cs 1f 0.7 1.6 5 45-53 1 0YR 4/4 — cos Osg dl cs — 0.7 1.6 6 53-84 10YR 6/4 — $ Osg dl — — 0.7 1.6 2 Boring# ❑Boring ®Pit Ground surface elev. 98_6 ft. Depth to limiting factor 84 in. / elev. 91_6 ft. Soil 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 1 0-4 1 0YR 2/2 - $ osg dl as 1vf 0.7 1.6 2 4-16 10YR 4/4 — s Osg dl CS Im/1f 0.7 1.6 3 16-41 10YR 5/4 — $ Osg dl cs 1f 0.7 1.6 4 41-74 1OYR4/4 — (5%FGR)ros Osg dl as — 0.7 1.6 5 74-84 10YR 6/4 — $ 0sg dl — — 0.7 1.6 CST Name (Please Print) I Signature / CST Number Keith Wiley v 654921 Address Date Evaluation Conducted Telephone Number 11623E Larson Dr. Lake Nebagamon. W 54849 9/26/2026 I 218-451-2611 Effluent #1 = SOD > 30' 220 mglL and TSS > 30 5150 mg/L - Effluent #2 = BOD. s 30 mg/L and TSS 5 30 mg/L SBD•8330 (R03/22) Page 2 of 3 LiiiBodng # ❑ Boring ® Pit Ground surface elev. 98_8 ft. Depth to limiting factor S4 in. / elev. 91_8 ft• Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' -Eff#1 -Eff#2 1 0-6 10YR2/2 — s Osg di as 1f/1vf 0.7 1.6 2 6-25 10YR4/4 — s 0sg dl Cs 1f/1vf 0.7 1.6 3 25-36 10YR 5/4 — s%FGR) s Osg dl CS 1 of 0.7 1.6 4 36-84 1 0YR 6/4 S Osg dl — 0.7 1.6 ❑ Boring # Boring o Pit Ground surface elev. ft. Depth to limiting factor in. / elev.ft. Soil Annlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •EfI#1 -Eff#2 Boring # o Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev._ft. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/F1' •Eff#1 Eff#2 Effluent #1 = BOD > 30 5 220 mg/L and TSS' 30 s 150 mg/L RECEIVED OCT 01 Z0Z6 Bayfield Co. Planning and Zoning Agency Effluent #2 = GOD, s 30 mg/L and TSS s 30 mg/L North `% 1 O Scale 1:40 Granfors (2 bedroom) Soil Report Plot Plan S Septic tank & drainfield to be ST abandoned per SPS 383.33 4 > X Bench Mark = Duplex nail w/ orange disc in 19" DBH Red Pine Elev= 100.0' RECE WED u%i fl U I 9.9 Bayfield Co. Planning and Zoning Agency Property line m 127 99.8' OWell 2 bedroom house Garage Garage Driveway to State HWY 27 A Bryan Granfors 53210 State HWY 27 2 PAR IN SW SW IN V.208 P.527 (1.033A) V.340 P.320 1315L S30T45N R09W Town of Barnes 04-004-2-45-09-30-3 03-000-06000 2.143 acres NOTES: CST 1 900002 -SP c� v y4 - Property lines not shown > 50' from tested area - Tested area level - Existing inlet elev 296.5' Page 3 of 3 START UP AND OPERATION Page 7 of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure tt-'iLproperly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. OCT 2 0 2026 • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operaaayfiem Co. Planning and 7 • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 6d The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name i'� �� % -aGA' % Name /f SAT/° /C Phone 7/S — 7y5 --< .902 z L Phone 7/r 7?? 3 Y % L/ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name -J< Sti° /C Namegayfield County Zoning Phone 7/S— 79,P `i 9 Phone715-373-6138 This document was drafted by the stalls of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(fl and 83.54(1), (21 & (3). Wisconsin Administrative Code. Scale 1:40 Granfors (2 bedroom) Gravity In -Ground Plot Plan North line Septic tank & drainfield to be abandoned per SPS 383.33 Wieser W750 -MR w/ polylok 525 filter S Bench Mark = Duplex nail w/ orange disc in 19" DBH Red Pine Elev = 100.0' OWell 2 bedroom house Two rows of 11 Infiltrator Quick4 Plus Standard chambers 4mZ a r. mirnrtfmrtrmnfmmm.. C�C.�I�lkLS Garage Garage -_ _ Driveway to State HWY 27 Ll t 20 2026 Bayfiald Co. Planning and Zoning Agency line Bryan Granfors 53210 State HWY 27 2 PAR IN SW SW IN V.208 P.527 (1.033A) V.340 P.320 1315L S30T45N R09W Town of Barnes 04-004-2-45-09-30-3 03-000-06000 2.143 acres NOTES: - Property lines not shown > 50' from tested area - Tested area level - Existing inlet elev 296.5' - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 3 of 7 Cross Section of a Two Cel; 1n Ground Component Using Leaching Chambers Observation/Vent Pipes V 3.80 Finished Grade - _-=-:- -- - Finished Grade. _L 98.60 Slope 0°% Call-S`eperation t 5.80 Orginal Gradg__ ? ; orginal Grade 98.60 I` lop of Chamber 96.00 System Elevation :. , , System Eievationl 95.00 �• . Yreot:gent' yindDispersal .Zone. _.._ _. _ .. _ _���_. Limiting Factor Observation/Vent pipes to be constucted and capped with approved materials for the particular use. 47 feet -- � - — �—'47 feet 3 feet between cells Observation / Vent Pipes to be located at the ends of the distribution cells. D 202026 Bayfield Co. I and Zoning Agency Page 4 of 7 4" CAST -A -SE W UI WLP750-MR TANK SPECIFICATIONS DIMENSIONS: WALL 2 1/2" BOTTOM: 3" CAST -A -SEAL COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54" OUTSIDE DIAMETER: 7-0" BELOW INLET: 42" LIQUID LEVEL' 37" WEIGHT: BOTTOM 3,740 LBS. COVER 2,410 LBS. INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET RECEIVED OCT 201026 Bayfield Co. Planning and Zoning Agency iMP PAD INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 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 WIESER CONCRETE REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: J I a L N0 F a w to 1 OF PRODUCTS NEEDED BY: POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of7 FILE INFORMATION Owner Bryan Granfors Permit # DESIGN PARAMETERS Number of Bedrooms 2 O NA Number of Public Facility Units 0 NA Estimated (average) flow 200 gal/day Design (peak) flow = (Estimated x 1.5) 300 gal/day In Situ Soil Application Rate 0.7 gal/day/1t2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BODs) 5220 mg/L O NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 530 mg/L Total Suspended Solids (TSS) ≤30 mg/L 0 NA Fecal Coliform (geometric mean) 5104 ctu/10oml Maximum Effluent Particle Size 'k in dia. O NA Other: 0 NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Imonth(s)2 Inspect condition of tank(s) At least once every: onths)®ears (Mmum years) axi3O 3o year NA Pump out contents of tank(s) 0 When combined sludge and scum equals one-third (''4) of tank volume O When the high water alarm is activated ❑ NA Inspect dispersal cell(s) At least once every: 3 0 year(s) (Maximum 3 years) O NA Clean effluent filter At least once every: 3 ❑ month(s) ® year(s)) O NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ year(s) ® NA Flush laterals and pressure test At least once every: ❑ month(s)0 ❑ year(s) NA Other: At least once every: O month(s) (s) 0 NA Other: RECEt O NA MAINTENANCE INSTRUCTIONS 0CT 20 Z026 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; POWTt,, n ptage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify an i PtlkeYrffdrdware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal calls) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding 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 treatment tank equals one-third ('14) 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent fitters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤t2 months, shall be performed by a certified POWTS Maintainer. SYSTEM SPECIFICATIONS Tank Manufacturer Wieser O NA 0 Septic O Dose ❑ Holding vol. 750 gal Tank Manufacturer 0 NA ❑ Septic O Dose O Holding vol. gal Effluent Filter Manufacturer Polylok O NA Effluent Filter Model 525 Pump Manufacturer O NA Pump Model Pretreatment Unit ® NA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) ❑ NA 0 In -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade O Mound ❑ Drip -Line O Other: Other: O NA Other: 0 NA A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) RECEIVED OCT 202026 Bayfield Co. Planning and Zoning Apcnc tn-Ground SoilAbsorption for POWTSComponent Version 2.1 (May 2022-2027 Manual Used 2 Number of Bedrooms 0 Percent Slope (%) 84 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 200 Estimated Wastewater Flow (gpd) 300 Design Wastewater Flow (gpd) I Number of System Elevations 95 Proposed System Elevation #1 Proposed System Elevation #2 Proposed System Elevation #3 98.8 Original Grade #1 98.8 Finished Grade #1 98.6 Original Grade #2 98.6 Finished Grade #2 Original Grade #3 Finished Grade #3 Wieser 750 Septic Tank Pol lok PL -525 Effluent Filter Infiltrator Quick4 Plus Standard I Chamber Type 12 Height of Chamber (in.) 20 sq.ft. per chamber(ESIA) 3.3 sq.ft. per end cap (EISA) 4 laying length of chamber(ft.) 1.5 length of endcap(ft.) 34 Chamberwidth(in.) 2 Rows of Chambers 3 Distance Between Cells (ft.) 11 Number of chambers in first row 11 Number of chambers in second row Number of chambers in third row 22 Proposed Number of Chambers Used 428.6 Minimum Distribution Cell Area Required (sq.ft.) 446.6 Distribution Cell Area Proposed (sq.ft.) Page 2 of 7 Granfors Property Owners Name ite HWY 27 Property Address 30-3 03-000-06000 Tax Parcel Number yfield County N SW SW Legal Description 30 Section 45 Town 9 Range Page Index 1 Property Information 2 Data Entry 3 Plot Plan 4 Drainfield Cross -Section 5 Tank Information 6 Maintenance Plan 7 Contingency Plan Keith Wiley Designer's Name Designer's Signature D2388PSS I Designer's License Number 218-451-2611 Designer's Phone Number Date RECEIVED .� K6RHWhEY _ OCT 202026 p238BPs5 WNSOTP Bayfield Co. ,_ Planning and Zoning Agenq Page 1 of 7 I3AYFIELD 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: GRANFORS, BRYAN SR -00523 11050 S ELLISON LAKE RD SOLON SPRINGS, WI 54873 Transaction Number: SR-00523-57A4C Description Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1141 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 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. IE34LY FIELD 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: GRANFORS, BRYAN 11050 S ELLISON LAKE RD SOLON SPRINGS, WI 54873 Description Private Sewage System (Septic Tanks) Submission Number: SS -00872 Transaction Number: SS-00872-5BD08 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 4054 Paid by: MICHAEL FOAT, 49755 E SHORE RD, BARNES WI 54873 Payment Type: Check Transaction Date: 10/21/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. • Private Sewage System Maintenance Agreement i t13tir n ST aN (rice n^i-o rS 1 -Jo _ 3.)o /;/w/----.27 2382A -,C wI Tax ID# -3 60 c, As owner, I (we) do hereby certify the private sewage system well 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) S CU 1/4 of S=114 Section .30 Township `7'SN. Range o 7 W Additional Legal Description: 2 PA i- S't+v, S w /4-'- VOL Z 02 Town of 63f}fe wES (Acreage) 2.I'/3 Govt Lot= Lot , Block Subdivision Lot,_, CSM # _ Vol. _ Page _ CSM Doc # jX In -ground gravity ❑ Mound DOCUMENT NUMBER 2026R-614308 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/23/2026 AT 1:10 PM RECORDING FEE: $30.00 PAGES: 3 Return To: Area Planning and Zoning Department;`.EWVED Z 6 2026 ❑ In -ground dosed ❑ In -ground pressure distribution Sewage%s%Mt"l ❑ 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 13) 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, 0, end E): The pump chamber shall also be rinsed and pumped out when the septic lank 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 pending on the ground surface. Mounds At-orade. and in -around 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. Hayfield 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 Ilia event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all file 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 (tore owners of such properly. Owner(s) Nam s)— Please Prig �, S.YAoJ GRp v o s Subscribed an, .p Of•,• is date: ; • ' .• No d Owner(s Si ature(s, L .tP� •• LJ 5 rsgio .� .... hr 111 l Drafted -by: Qr_, e: (;1 ,1. Proofed by _ Nto.malaanllary/aepticm tenceogreernent Re Revised June 2018 PERSONAL REPRESENTATIVE'S DEED Document Number THIS DEED, made between Barbara J McDonald as Personal Representative of the Estate of Patricia G Palmcluist a/k/a Patricia Palmouist ("Decedent"), and Kristian J. Granfors and Bryan P. Granfors, wife and husband, as survivorship marital property ("Grantee," whether one or more), Grantor, for a valuable consideration, conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in BAYFIELD County, State of Wisconsin ("Property"): See attached EXHIBIT A. DOCUMENT NUMBER 2026R-614109 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 1O/O9/2O26 AT 1O:18 AM RECORDING FEE: $30.00 TRANSFER FEE: $345.00 PAGES: 2 ELECTRONICALLY RECORDED Recording Area Name and Return Address Kristian & Bryan Granfors 11050 S. Ellison Rd Barnes, WI 54873 O 0CT 262026 Bayfield Co. envy nnino anAd Zoning 9 04-004-2-4$-09-30-3 03-000-06000 Parcel Identification Number (PIN) This IS NOT homestead property. (is) (is not) Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's Death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated: October Q , 2026 AUTHENTICATION Signature(s) authenticated on ..I'.',,,.. TITLE: MEMBER STATE BAR OF WI SIN . , A THIS INSTRUMENT DRAFTED BY- '. 'L/ Adam B. Rasmussen �U'�;•. l\`' /�- State Bar No. 1036896 c>2.>.... ..:'F ;"JISv [26-72928D] .. . PERSONAL REPRESENTATIVE: (SEAL) Barbara J. McDo ACKNOWLEDGMENT STATE OF WISCONSIN _„ __ r 1no COUNTY ) Personally came before me this 'lay of October, 2026, the above named Barbara J. McDonald to me known to be the person(s) who executed the foregoing instrument and acknowl ged the same. Y1,VDa.1 le &f *ieie L R A.entR Notary Public, State of Wisconsin a� My Commission (itpeaentXexpires lP Bayfield County Register of Deeds Document #2026R-614109 Page 1 of 2 RECEIVED OCT 262026 EXHIBIT A Bayfield Co. Planning and Zoning Agency Legal Description: Part of the SW 1/4 of the SW 1/4 of Section 30, Township 45 North, Range 9 West, Town of Barnes, Bayfield County, Wisconsin, described as follows: Commencing at the Northwest comer of said SW 1/4 of the SW 1/4; thence S 88° 43' E, 280.40 feet on the South 1/16 Section line of said Section 30 to the point where it intersects the Easterly right-of-way boundary line of State Trunk Highway 27; thence S 36° 47' E, 209.58 feet on said right-of-way boundary line to the point of beginning; thence continuing S 88° 43' E, 300 feet on a line that is 165 feet South of and parallel with the South 1/16 Section line of Section 30 to a point; thence S 36° 47' E, 190.53 feet on a line that is parallel with the Easterly right of way boundary line of said State Trunk Highway No. 27 to a point; thence N 88° 43' W, 300 feet on a line that is 315 feet South of and parallel with the South 1/16th Section line of said Section 30 to the point where it intersects the Easterly right of way line of said State Trunk Highway No. 27; thence N 36° 47 W, 190.53 feet on said right of way line to the point of beginning; AND part of the SW 1/4 of the SW 1/4 of Section 30, Township 45 North, Range 9 West, Town of Barnes, Bayfield County, Wisconsin, described as follows: Commencing at the Northwest comer of said SW 1/4 of the SW 1/4; thence 588° 43' E, 280.40 feet on the South 1/16 Section line of said Section 30 to the point where it intersects the Easterly right-of-way boundary line of State Trunk Highway 27; thence S 36° 47 E, 209.58 feet on said right-of-way boundary line to the point; thence S 88° 43' E, 300 feet on a line that is 165 feet South of and parallel with said South 1/16 Section line to the point of beginning; thence continuing S 88° 43" E, on a line 165 feet South of and parallel with said 1/16th Section line to a point 300 feet West of the East line of said SW 1/4 of the SW 1/4; thence South on a line parallel with and 300 feet West of the East line of said SW 1/4 of the SW 1/4 to a point which is S 36° 47' E from the point of beginning; thence N 36° 47' W, to the point of beginning. Bayfield County Register of Deeds Document #2026R-614109 Page 2 of 2 BAYFIELD COUNTY SANITARY PERMIT (#04)-26-156S STATE SANITARY PERMIT OWNER: BRYAN GRANFORS GOVT LOT: LOT: BLK: SW1/4 /4 SW1/4 /4 SEC: 30, T 45 N, R 9 W TOWNSHIP: Barnes SOIL TEST: 149-26 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: DOUGLAS MANTHEY TRACY POOLER DATE: 10/26/2026 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 230722 Condition: Properly Maintain System Per Recorded Agreement. Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 10/26/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION