HomeMy WebLinkAbout24-66S Olson-/n -.f/,
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Department of Safety
& Professional Services,
' Industry Services Division
County Bayfield
Sanitary Permit Number (to be filled in by Co.)
/'. / 0.Q^/'' i/i fl ls">-yt iy
Sanitary Permit Application
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
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(l)(m), Stats.
State Transaction Number
Project Address (if different than mailing address)
I. Application Information - Please Print All Information
Property Owner's Name
Brad & Melinda Olson
Parcel #6658
Property Owner's Mailing Address
31985Peacy Rd.
City, State
Washburn, Wl
Zip Code
54891
II. Type of Building (check all that apply)
Q 1 or 2 Family Dwelling-Number ofBedrooms
D Public/Commercial - Describe Use
/
a State Owned - Describe Use
Phone Number
612-372-8855
Lot #
Property Location
Govt. Lot
NE •/,. SE '/,. Section 30
T 49 N R 4 Eor^V
7
Subdivision Name
Block #
CSM Number
a City of.
a Village of
B Town of Bayview
m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on Bne A. Check one box on line B. Complete line C i
applicable.)
A.S New System D Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain)
B.S Holding Tank D In-Ground
(conventional)
D At-Grade D Mound D Individual Site Design D Other Type (explain)
c.D Renewal Before
Expiration
D Revision D Change of Plumber D Transfer to New Owner!,ist Previous Permit Number and Date Issued
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
150
Design Soil Application Rate(gpd/sf)Dispersal Area Required (sf)Dispersal Area Proposed (sf)System Elevation
Tank Information
Capacity in
Gallons
New Tanks Existing Tanks
Total
Gallons
# of
Units
Manufacturer
3G 0
31
.n ^3t£ 5
Septic or Holding Tank 2000 Wieser Concrete
Dosmg Chamber
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Edward B. Redinger
Plumber's Signature
^^^A^.^^-^-7'
f\
MP/MPRS Number
221939
Business Phone Number
715-292-6670
Plumber's Address (Street, City, State, Zip Code)
1015 11th Ave. E. Ashland, Wl 54806
VI. County/Department Use Only
^Approved E3 Disapproved
a Chvner Given Reason for Denial
Peni?it,Fge10 Date Issued[e-iW Issuing Agent Signaturefi^^/d^O^lzLyfe' 1<1K'Si'^
;onditions ofApproval/Reasons for Disapproval
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Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 mches in size
SBD-6398 (R. 03/22)
SR-OOOt-11 ^
Wisconsin Department of Safety and Professional Services
Division of Industry Services APR 29'Z024
SOIL EVALUATION REPORT gavfield Co. Zoning Dept
?ge_1 .3of
In accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on paper not less than 81/2x11 inches in size. Plan must include,
but not limited to: vertical and horizontal reference point (BM), direction and percent slope,
scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1 )(m)).
CountyBayfield
Parcel I.D.6658
,SOIJ,TE3I/"p^n•L'f W^ <-*-^-
XT%,^6 ^}\_?/^/^D'
E (or) W
Property OwnerBradley Melinda Olson Property Location
GovLLotNE Y4SE y< s 30 T 49 N R 4
Property Owner's Mailing Address31895 Peacy Rd Site Address or CSM and Lot #:
same
City
Washburn
StateWl Zip Code54891 Phone Number372-^855 D City D Village
Bayview
Town Nearest Road
Peacy
[•] New Construction Use: B Residential/Numberof bedrooms 1
Public or commercia] - Describe:
parent material Sandy lacustrine/outwash
General comments and recommendations: Holding Tank due to high ground water in area
Code derived designflow rate 1 50 GPD
Flood Plan elevation if app!icabte_ft.
Boring #DBo""9 99.4
• (Pit Ground surface elev._ft.Depth to limiting factor8 98.74
in. / elev. ft.
Horizon
1
2
3
4
Depth
In.
0-8
8-13
13-24
24-60
Dominant Color
Munsell
2.5yr 2.5/1
2.5yr 5/1
7.5yr4/6
5yr 5/2
Redox Description
Qu. Az. Cant. Color
Gleyed
c2d 5yr 5/8
water seepage into hole at 34" filled hole
Texture
Is
fs
grs
cos
Structure
Gr. Sz. Sh.
0
Osg
Osg
Osg
Consistence
ml
ml
ml
ml
Boundary
cw
cw
cw
Roots
Sco
2m
Soil Application Rate
GPD/Ft2
*EfW1
.7
.7
.7
.7
*EfW2
1.6
1.6
1.6
1.6
Boring #QBoringDPit Ground surface elev.__ft.Depth to limiting factor.in. / elev._ft.
Horizon Depth
In:
Dominant Color
Munseli
Mo Ms>i
Redox Description
Qu. Az. Cont. Color
-^ y^>/^ r
i~<, ^e^^s>/^
Texture
c-Tt? t^ST"
Structure
Gr. Sz. Sh.
^ ^^
Consistence
?<3~/v^-& <
Boundary
rvi^r-^
Roots
»e- <=
Soil Application Rate
GPD/Ft2
*Ef?1
f•HTE--
*Eff#2
CST Name (Please Print)
Edward B. Redinger
Address
1015 11th Ave. E. Ashland, Wl 54806
Signature ^—>_"/?SC^J7\ITZ-^-^.~yDate Evaluation Conducted4/22/24
CST Number221939
Telephone Number
715-292-6670
* Effluent#1 = BOD > 30 5 220 mg/L and TSS > 30 & 150 mg/L * Effluent #2 = BOD, & 30 mg/L and TSS s 30 mg/L
SBD-8330 (R04/21)
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D) IEIIN
APR z^m^B
SUPERIOR
PUIMB1NS MECHANICAL
(715) 278 "3456
^L^AJ.T^^
Customer Name: Brad & Melinda Olson
Adress: 31895 Peacy Rd
WashbyrrLWI 54891
Phone #: 612-372-8855
Email: mellomom345(S)vahoo.com
Sayrield Co. Zoning Dept.A/^
CST# 221939
Scale: 1" = 40' . Lft>
PIN:6658
5 Acres
NE SE S30 T49N R4W
Town of Bayview
Bayfieid Co.
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4
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Attachments:
PAGE 1 OF 4Holding Tank Plan
Index & Cover Sheet
Component Manual Design References: ' ''.."^
Holding Tank Version 2.1 (May 2022-2027)
Index & Cover Sheet
Plot Plan
Holding Tank Specifications
Management Plan
Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map (if applicable)
Holding Tank Pumping Contract (if applicable)
Holding Tank Agreement (if applicable)
Project Name / Description
New 1 Bed Holding Tank
Owner Name(s): Brad & Melinda Olson _ phone: 612 _372 .8855
Owner Address: 31985 Peacy Rd. Washburn, Wl _ zip: 54891
Project Address: same
Govt. Lot: _ NE Ql/4 ofSE 1/4, Section 30 , T 49 N-R4 _E I[or wf^]
Township: Bayview _ county: Bayfield
Project Parcel ID #: 6658
Designer Information
Designer Name: Edward B. Redinger _ Phone: 715 .292 -6670
Designer Address: 1015 11th Ave. E. Ashland, Wl _ Zip: 54806
E-mail: ed@superiorpmw.com _ This space reserved for approval stamp.
License Number: 221939
Remarks:
Signature: ^L^J-\3 .TZ^L-^- _ Date: 6/6/24
Original signature required on each sfibmitted copy.
SUPERIOR
PU1MBINS MECHANICAL.
(715)278-3456
Customer Name: Brad & Melinda Olson
Actress: 31895 peacv Rd
Washburn. Wl 54891
phone #: 612-372-8855
Email: mellomom345@vahoo.com
.!'!1: '••'• ' /J/lt<
^
CST# 221939
Scale:!" =40' . tib'
PIN:6658
5 AcresNE SE S30 T49N R4W
Town of Bayview
Bayfieid Co.
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PAGE 3 OF 4
,iUN U ^,^u/y
HOLDING TANK SPECIFICATIONS
(No Scale)
Electrical must comply withSPS 316 and NEC 300
\1/ \^
[0 Weatherproof
•Junction and
Alarm Box
Conduit
12" Min.or2.0ft above
Established Flood Elevation
VerntCap / ^'^
Approved Locking Manhole4"0 Vent Pipe ^ / with Warning Label Attached>10ftfrom-^1—fy / (typical) 4"Min. or2.0ftaboveEstablished Flood ElevationBuilding
18"Min. Y
(typical)
^ Inlet
zy,N
-Airtight Seal
Approved Joints with
Approved Pipe 3 ft onto
Solid Ground
Inlet Invert
^-
I— Max. 12" or 90% of total volume
if more than one tank
Alarm-On
HOLDING TANK
VOLUME = 2000 gal
3" Approved Bedding Material Beneath Tank
y_
(typical)
Nl/ \1/
Finished Grade
_^1
Watertight
Plug
TANK MANUFACTURER:Wieser Concrete
Anchor tank as necessary
pursuant to SPS 383.43(8)(g)
Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - Ibs.tank.wt] x 1.5
Ballast Weight = [(.cu.ft.x62.41bs/cu.ft)-lbs]x1.5=Jbs
-^
B(0co
?
- 4" CAST-A-SEAL^'T(?
t_
164"
4"
FILTER OR
CAST-A-SEAL
BAFFLE
=^
-^
-^
^A
TOP VIEW
WLP2000-MRTANK SPECIFICATIONS
DIMENSIONS:WALL: 3"
BOTTOM: SEPW 3°HEAVY DUTY 5" (ADD 2,800 LBS.)
COVER: 6"MANHOLE: 24" I.D. PRECAST CONCRETE RISERHEIGHT: 53" O.D.
LENGTH: 164" 0.0.
WIDTH: 96" 0.0.
BELOW INLET: 41" O.D.LIQUID LEVEL: 36"WEIGHT: BOTTOM 11,260 LBS.
COVER 8.170 LBS.
INLET AND OUTLET:4" CAST-A-SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:WISCONSIN, SEE DETAIL ^0(OTHER STATES SEE CHART)
LIQUID CAPACITY: 56.27 GAL/IN
LOADING DESIGN: 8' 0" UNSATURATED SOIL
HOLDING TANK:OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 2,138 GALLONS
MN TANKS:WILL HAVE ONE VENT OVER OUTLETAND WILL HAVE TWO VENTS IN COVER OVER INLET
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
COVER: MIX DESIGN ffB (NO FIBER)TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETE
PUMP PAD
SIDE VIEW
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
3 OB INFORMATION:
CUSTOMER:
308 NAME:
DATE NEEDED:
APPROVED BY:
'APPROVAL DATE:
^
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u~>CM InI0000
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000CM
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SHEET NO.
1 .OF'1
PAGE 4 OF 4
Holding Tank Management Plan
IMPORTANT:
The owner of this holding tank(s) shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. Code, this holding tank(s)
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), Wise. Admin. Code.
Estimated Daily Wastewater Flow = _' <-'u gpd
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (/.e. odors, user complaints, ete.)
o mechanical malfunction (;.e., pumps, valves, switches, floats, ete.)
o material fatigue (/.e., leaks, breaks, corrosion, ete.)
o neglect or improper use (/.e., exceeding design capacities, prohibited activities, ete.)
o electrical components (/.e., wiring, connections, switches, controls, timers, alarms, etc.)
o surface discharge of effluent or sewage back-up into structure served
SERVICING FREQUENCY
o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wise. Stats.
when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s).
Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code.
Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis.
Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Superior Plumbing & Mech. Inc. p^ne: 715-292-6670
Local government unit: Bayfield CQ Zoning _ p^ne: 715-372-6138
Local government unit address: 117 5th St. E. Washbum, Wl _ ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise. Admin. Code.
Contingency Plan
In the event that any failed component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a
plan submitted to the appropriate agecy for review and approval.
System Abandonment
If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code.
HOLDING TANK - MANAGEMENT PLAN
The Private Onsite Waste Treatment System (POWTS) has been designed and is to be
installed and maintained according to SPS 383, Wisconsin Administrative Code,
Holding Tank Component Manual for Private Onsite Waste Treatment Systems
(SBD-10571-P)(R.6/99) and the Bayfield County Zoning Department Sanitary and Private
Sewage Ordinance.
1. This POWTS has been designed to accommodate a maximum daily flow of
/€^ gallons of domestic wastewater per day.
2. The owner of this POWTS is responsible for system operation and
maintenance, locking device, alarm and access.
3. The owner or owner's agent is required to submit reports as required by SPS
383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department.
4. Design approval and site inspections before, during and after the construction
are accomplished by the county or other appropriate jurisdictions in
accordance with SPS 383 of the Wis. Adm. Code.
5. Maintenance Cycle. The holding tank must be serviced by licensed pumpers.
An alarm system is to be installed to activate when the tank is ^ 90% full.
6. Performance monitoring. At the time of servicing, the service provider files a
report with the department of designated agent.
7. A User's Manual will accompany the component. It will include the names
and phone numbers of local health authorities, component manufacturer or
POWTS service provider to be contacted in the event of component
malfunction or failure.
8. In the event that this POWTS or a component of this POWTS fails and cannot
be repaired the owner will find in the User's Manual the names and telephone
numbers of property licensed individuals to contact for such repairs.
This agreement shall be binding on all assignees and heirs
4/^11/4 of^ll/4 Section^_Township_^_N. Range^__W. Town of '(^^yy^uj
Govt.
Lot Lot Block Subdivision CSM#
Utiipnal Leg^kBeseripti
So t^<-s (s!-<^
Property Owners ^ignatu^ ftate
u/forms/managementplan
Revised: July 2013
HOLDING TANK SERVICING CONTRACT
Contract Date
^W^y This contract is made between the
Holding Tank Owner(s) Name(s)
<3rzJ/^/ -^ /%/^ ^/^^
Pumper's Name (Print)6.'^^^^f^^Pumper's Signature^^-^-Pumpers' Registration #
10.^
We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions)
PRCUECT
LOCATION
;'LeBal!:Deserit>tibrt::::;':::::::;/'
!Use:Tax::Statemetrt)':.. : :;•
:Tax:ro#:
ii-mi^^^^^^^^^^^^^^^^
.:Section!:.|_2^_lS ';:::^:<?::1 ::::^' :/1:: ^ :N. RanKe::::::^'^/.: 11::1:1 ^ :.:::"1::'::.1: •W,
Gqv'tl.ct .lotfr;:::::::;.;;:::::!:l::'CSlVlft iyol;::Page ;CSMRQC#tot(s):No, :EHoc k{s) No.
:W.^^:lf^
Town of;
Vy^ie^
tot Size Acreage
.Subdivision;^::.: ':: .:.;11::1.':::.': :;Y:'::::':'\:',1.:.:11 :;:-1:1:1:'::::::;;1:.:,::::::::1:,1^
1. The owner agrees to file a copy of this contract with Bayfield County as required in SPS 383.55, Wis. Adm. Code.
2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have
access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain
the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner
further agrees to pay the pumper for all charges incurred in sen/icing the holding tank(s) as mutually agreed upon by
the owner and pumper.
3. The pumper agrees to submit to the local government unit which has signed the pumping agreement required by SPS
383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) on a semiannual basis. The
pumper further agrees to include the following in the semiannual report:
ANN M. HUYBRECHTNOTARY PUBLICSTATE OF WISCONSIN
a. The name and address of the person responsible for servicing the holding tank;
b. The name of the owner of the holding tank;
c. The location of the property on which the holding tank is installed;
d. The sanitary permit number issued for the holding tank;
e. The dates on which the holding tank was serviced;
f. The volumes in gallons of the contents pumped from the hoiding tank for eacM^^v'icing;
g. The disposal sites to which the contents from the holding tank were delivered..;'
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this
contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract
with the local government unit and the County nameji above with;n (10) business days from the date of change to this
service contract.
Owner(s) Name(s) (Print)
(^»>Z,^1-«-7(
^cli^^^
Subscribed and Sworn to me:
on this d^lday of ITl C^A .QW^
y^qn Hl.dLy&^UNotaryJ^blic
My commission expires on: Ul ' Jt^J o
Revised: May 2016 (®May 2018)
Personal information you provide may be used for secondary purposes [Privacy Law, a.15.04 (l)(m)]
Drafted by
\':.L
^//l'',~//'^
Document Number/Plan I.D. No.
Owner Name (s)13^^"^'^
€)ko^.
Parcel Identifier Number (PIN)us-^
HOLDING TANK
AGREEMENT
Owner(s) Mailing Address?/y%T ^^ty l^t-
i^^h ^<--v.> iui sy^f/
Agreement Date (same as Notary Date)r/3^i/
We acknowledge that application is being made for the installation of (a) holding tank(s)
on the following property or that continued use of the existing premises requires that a
holding tank be installed on the property for the purpose of proper containment of
sewage. Also, the property cannot now be served by a municipal sewer, or any other
type of private onsite wastewater treatment system as permitted under Ch. SPS 383,
Wis. Adm. Code or Ch. 145, Wis Stats.
1/4 of ^E 1/4 Section % Township <?/<9 N- Range _^__W.
Town of iy^f Vt <<-«—'
Additional Legal Description: ^J /Z/ ^/Z- (_^ /Z
Gov't Lot_ Lot_Block_Subdivision.
Lot_CSM #_ Vol _Page.
_CSM#_
_CSMDoc#
DOCUMENT NUMBER2024R-603465
DANIEL. J. HEFFNER
REGiSTE-R Oi" DKEDS
BAYF-iELD COUNTY \N\
RECORDED
06/-'04.''202.-4 AT 10:23 AM
Rfc:CORUING - EE: -f.30.0C
PAGES: 1
Return To:
rs^.U ^ 2<^/v<<r
i i ;; ! : •>11; ;• ! ~'M
i| " •!.!,! .' i -:,,-.'-J UN (! :: ,024
Nbj^flzed Owner(s) - (ignature
As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, we agree to do the
following:
1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and
maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfield County or the
Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stats., Bayfield County may enter upon
the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a
special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats.
2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and
maintaining the holding tank in such a manner as to prevent or abate any human healtn hazard caused by the holding tank. 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.
3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Actm. Code, to
have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County.
The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within
30 days from the date of change to the service contract.
4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3; Wis. Stats., and Ch. NR 114, Wl's Adm. Code who shall
submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to
investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being
properly maintained.
5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private
onsite wastewater treatment system that complies with Ch. SPS 383, Wl's Adm. Code. In addition, this agreement may be cancelled by
executing and recording said certification with reference to this agreement in such manner which will permit the existence of the
certification to be determined by reference to the property.
6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this
agreement to the register of deeds, and the agreement shall bs recorded by the register of deeds in a manner which will permit the
existence of the agreement to be deteripined by reference to the property where the holding tank is installed.
Subscribed and sworn to before me on this date:
R\^L^^D^_
itary Publ*A&vnzrHaq-lw/lA
/ commission bxpires:'!y Commission Expires:'
rA-so-'^^n
Drafted by: /Date
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (i)(m)]
: 5'/^y
u/forms/sanjtary/11
ANN M.HUYBRECHT
NOTARY PUBLIC"WATEWWSCONSIN
BAYFIELD COUNTS SANITARY PERMIT ^04)-24-66S
STATE SANITARY PERMIT
OWNER: BRADLEY P & MELINDA S OLSON
GOV'TLOT: LOT: BLK:
NE 1/4 SE 1/4 SEC: 30, T 49 N, R 4 W
TOWNSHIP: Bayview
SOIL TEST: 60-24
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: EDWARD REDINGER
Alessandro Hall
Authorized Issuing Officer
DATE: 6/14/2024
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: #221939
Condition: Tank to meet all setbacks. Tank to be within 25' of all weather road. Managemen plan to
owner. Maintain sytem per recorded agreement. Insulate building sewer per state code.
THIS PERMIT EXPIRES 6/14/2026
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION