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