HomeMy WebLinkAbout25-48S.-^^"''i/.,
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SS-(9C75^5"
Industry Services Division
4822 Madison Yards Way
Madison, WI 53705
P.O. Box 7302
Madison, WI 53707
County
Bayfield
Sanitary Permit Number (to be filled in by Co.)
55-^3
Sanitary Permit Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
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.
Project Address (if different than mailing address)
88910 Mariner Mile. Bayfield, Wl
I. Application Information - Please Print All Information
Property Owner's Name
William D Van Atta Jr
Parcel #39310
Property Owner's Mailing Address
71083rd St.
Property Location
Govt.Lot.
City, State
La Crescent, MN
Zip Code55947
II. Type of Building (check all that apply)
11 or 2 Family Dwelling-Number of Bedrooms _2.
IPublic/Commercial - Describe Use
IState Owned - Describe Use .
Phone Number
540-460-6922 -'/<,.,'/4, Section 35
Lot #.51 _N R 04 _EorW
Subdivision Name
Block #
CSM Number
#2342V13P304
|r~|cityof_
I|villageof.
lTownofRusseH
III. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
applicable.)
A.few System I jReplacement System ther Modification to Existing System (explain) || [Additional Pretreatment Unit (explain)
B.[Holding Tank I In-Ground
(conventional)
I^t-Grade I Mound Individual Site Design I Other Type (explain)
c.Renewal Before
Expiration
DRCV 'hange of Plumber IList Previous Permit Number and Date Issued"ransfer to New OwnerINA
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)300 Design Soil Application Rate(gpd/sf)
0.7
Dispersal Area Required (sf)
429
Dispersal Area Proposed (sf)
452
System Elevation
94.5
Tank Information
Capacity in
Gallons
New Tanks Existing Tanks
Total
Gallons
# of
Units
Manufacturer
a: 0
uv.i 3co w
^s£ 0
Septic or Holding Tank 750 750 Superior Precast
Dosing Chamber [:^
V. Responsibility Statement- I, the undersigned, assume responsibiy^br installation of the POWTS shown on the attached plans,
Plumber's StgsatdTe,/^_/^Plumber's Name (Print)
Jason Kuettel -^
MP/MPRS Number
675751
Business Phone Number
715-798-3355
Plumber's Address (Street, City, State, Zip Code)
PO Box 66 Cable, Wl 54821
V^. County/Department Use Only
Approved D Disapproved
D Owner Given Reason for Denial
Permit Fee Date Issued
fc/K/AC>r^>L Issuing Ager^ign^ire
//w^^hr|
Conditions ofApproval/Reasons for Disapproval
<$<^- dC^f^C^cf ^U^,D) E!S U I
0 5 2025
Bayfjeld Co. Zoning Dept.
Attach to complete plans for the system and submit to the County only on paper not less than 81/2x11 inches in size
SBD-6398 (R. 02/22)
.-sy"5"^^yn^%.Iw ' "e SiO.Y's G•\^^^ —^^/ Wisconsin Department of Safety and Professional Sen/ises
^-OOLW
Soil Evaluation Report
in accordance with SPS 3SS , W/s.Adm Code t
Attach complete site plan on >aper not less thar 4X11 iches in siz
Plan must include but not limited to: Vertical and horizontal referenc
point (BM), direction and percent slope, scale or dimensions, north arrov
ocation 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)).
Property Owner:
William D Van Atta Jr
Property Owners Mailing Address:
710 S 3D St
City
La Crescent
State
WIN
Zip Code
55947 Phone
ff New |v Residential Number of Bedrooms:
F~ Replacement [~ Public or Commercial - Describe:
Parent Material: Outwash
Seneral Comments & Recommendations:
System Elevation: 94.5 Load Rate:
Boring #1
Horizon
1
2
3
4
5
6
7
Depth ir
0-2
2-8
8-30
30-120
Boring # 2
Horizon
1
2
3
4
5
6
7
Depth in
0-4
4-12
12-26
26-120
Effluent#1=BOD
;ST Name (Please
Mark
Ground surface Elev:Bor.|s?Rt --"—^"-^
Domm.Colorl
Munsell
7.5YR3/1
7.5YR5/2
7.5YR4/3
7.5YR4/6
Redox Descriptior
3u. Sz. Cont. Cole
N/A
N/A
N/A
N/A
Fextun
LS
SL
MS
MS
Ground surface Elev:Rt
96.9 Ft.
3omm. Color
Munsell
7.5YR3/1
7.5YR5/2
7.5YR4/3
7.5YR4/6
Redox Description
2u. Sz. Cont. Colo
N/A
N/A
N/A
N/A
'exture
LS
SL
MS
MS
•30^ 220 mg/1 and T^S>30 < 150mg/l
rint)
. Thompson]
Address: 12006 N US Hwy 63
Hayward, Wl 548431
ignattjre/%zz
lumber:0
2
Flood Plaii
01
12
Structure
Gr.Sz.Sh.
OSG
OSG
OSG
OSG
12
Structure
Gr.Sz.Sh.
OSG
OSG
OSG
OSG
7—T
ate S^qlugtion^efonducfed:
Thursday, May 29, 2025
Pag 1 of 6
bounty:
Bavfield
3arcel I.D.^_39310iVw^&W'WL rt^yDate:
37r^^/^-
'roperty Location
S35,T51N,R04W
Site Address or CSM and Lot #
88910 Mariner Mile
Town
Russell
Mearest Road:
Mariner Mile
Code derived design flow rate:
Flood Plain if applicable
Applicable: 0
E!eyatLon_Ra"ae. 90-02
ipth to Limiting Factor:
i. Elev. 87.2 ft
insistence I
ML
ML
ML
ML
Boundan
cs
cs
cs
N/A
Roots
3F
N/A
N/A
N/A
ipth to Limiting Factor:
I. Elev. 86.9 ft
insistence I
ML
ML
ML
ML
Boundary
cs
cs
cs
N/A
Roots
3F
N/A
N/A
N/A
[TI
Ill !.JU Ji
! II I I
u5/02c
H3yt!5i0 ..^;, L-uOiiiQ i
To 94,55
Soil Application Rate:
GPD/ft2
*Eff#1
OJ_
OJ
02.
0.7
Eff#2
L6
1.6
1.6
1.6
Soil Application Rate:
GPD/ft2
*Eff»1
OJ.
0,7
M
OJ
Eff#2
1.6
1^
MM
•EffKlSflt #2 = BOD 5 < 30 mg/1 and TSS ^ 30 mg/1
:ST Number:
"elephone Number
877598
715/699-4081
SBD-8330 (R04/21)
iU:
PY
Property Owner:William D Van Atta Jr Parcel I.D.39310 Page:2 of 6
Boring # '.
Horizonl
1
2
3
4
5
6
7
3epth i
0-2
2-10
10-24
24-121
Boring # A
Horizonl
1
2
3
4
5
6
7
)epth ii
Boring # 5
^rizonl
1
2
3
4
5
6
7
lepth ir
Boring # 6
forizonl
1
2
3
4
5
6
7
epth in
p. Ground surface Elev: Depth to Limiting Factor:
96.55 Ft. 96.55 in. Elev. 86.55 ft
3omm.Color|
Munsell
7.5YR3/1
7.5YR5/2
7.5YR4/3
7.5YR4/6
Redox Descriptio
Qu. Sz. Cont. Coli
N/A
N/A
N/A
N/A
Fextu
LS
SL
MS
MS
Ground surface Elev:" Bor |v? Pit t
0 Ft.
3omm. Color
Munsell
Redox Descriptioi
3u. Sz. Cont. Col(rextui
Ground surface Elev:Bar Pr Pit
0 Ft.
)omm. Color
Munsell
Redox Descriptior
3u. Sz. Cont. Cole extur
Ground surface Elev:Borp? Pit 0 Ft.
'omm.Color I
Munsell
tedox Description
(u. Sz. Cont. Cold extun
Structure
Gr.Sz.Sh.
OSG
OSG
OSG
OSG
3onsisten(
ML
ML
ML
ML
Bounds
cs
cs
cs
N/A
Roots
3F
N/A
N/A
N/A
Depth to Limiting Factor:
0 In.
Structure
Gr.Sz.Sh.;onsistenc 3oundai Roots
Depth to Limiting Factor:
0 In.
Structure
Gr.Sz.Sh.;onsistenc Soundar Roots
Depth to Limiting Factor:
0 In.
Structure
Gr.Sz.Sh.onsistena .oundar Roots
Soil App. Rati
GPD/ft2
•EfS1
QJ.
QJ.
QJ.
0.7
Em:
1.6
1.6
1.6
1.6
oil App. Rate
GPD/ft2
•Eff#1
Ib
JUil
Eff#;
I:
u :
oil App. Rate
GPD/ft2
Ef?1 :fW2
3il App. Rate
GPD/ft2
Eff#1 ;ff#2
"101
ZOZ5
"Effluent #1 = BOD 5>30<, 220 mg/l and TSS>30 <. 150mg/l affluent #2 = BOD 5 < 30 mg/1 and TSS ^ 30 mg/1
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access
services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777
SBD-8330(R.07/00)
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Owner Information:BM=100: Nail W/ Ribbon on the base of tree near B1 & woodline
I Name:
I Location:
ITownship:
[County:
I Lot#:
1 "=40'
William D Van Atta Jr
S35,T51N,R04W
Russell
Bavfield
88910 Mariner Mile
Only in Tested Area
3r^fe
B1 =
B2=
B3=
Lake=
97.2
96.9
96.55
0
^ ^-^^J
ai' c_. [ru^il
^ Cs-3)
i7r?H
!1~-C.c=>
Cnj=u
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg1 of 4
Pg2of4
Pg3of4
Pg4of4
Index & Cover Sheet
Plot Plan
Dispersal Area Cross-Section & Plan View
Management Plan
Attachments:Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Van Atta - 2 Bed
Owner Name(s): William Van Atta Phone: 540 -460 .6922
Owner Address: 710S 3rd st- La Crescent, MN
Project Address: 88910 Mariner Mlile. Bayfield, Wl 54814
Govt. Lot:
Zip:. 55947
1/4 of
Township: Russell
1/4, Section35 ,T51 N-R04
. County: Bayfield
or w[/|
Project Parcel ID #: 39310
Designer Information
Designer Name: Jason Kuettel _ Phone: 715 .798 -3355
Designer Address: po Box 66 Cable, Wl Zip:. 54821
E-mail: tim@andryras.com
License Number: 675751
Remarks:im
JUN 0 5 ZO'Zo
Bayfield Co. Zoning Dept
Signature:Date:
Original gfgnafture required on each submitted copy.
: ^/^
Owner Information:BM=100: Nail W/ Ribbon on the base of tree near B1 & woodline
Name:
Location:
Township:
County:
Lot #:
William D Van Atta Jr
S35,T51N,R04W
Russell
Bavfield
88910 Mariner Mile
•TW ^ . J°»7lo
(.UT I CS.-s •Z-^4Z Vi? T>?'-<
) , 5') A-c/'rJ
IF^^stu-<<« y^
IHO tJCO^
Q,J ?,u.''<a<-r<'/
B1 = 97.2
B2= 96.9
B3 = 96.55
^*fS-^^ <=<^- cy</.<>
5-^-t, A^^:^....,,^^/ ^^~^r '^"^^/c^r P{
1 "=40'Only in Tested Area ^p (,-?.? 7 5" \
(ff/^/iS
crz
C3
en
r-oc~~sroc-n
.CT3J
D=u=i!
(s^
LTUT1
D=u=E
^^
IN-GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
^T^^
II
SOIL COVER
[— mm. 12"
(typical)
Septic Tank(s) Manufacturer:
Suoerior Precast
750 gal
Orenco
Septic Tank(s) Volume(s):
gal _ gal
Effluent Filter Manufacturer:
gal
Effluent Filter Model #: FT-0822
12"
min. trench
depth(typical)TYPICAL TRENCHCROSS SECTION VIEW
(No Scale)
Quick4 Standard-W
w/End Cap
(typical)
System Elevation =^___ ft
(typical)
(Show location of inlet / outlet pipe connection on plan view.)
Provide minimum 3 ft
separation between trenches.
Jjca
ai
CL
co
'._rIt
Observation Pipe(typical)
Install per manufacturer's
instructions.
_c_»Trrji»'i»'»T» jjiWi »T»|»]1fjnfi ??nT»'»jri iii n vmnnill:[';[3llda **^ t*^ltt *_*i *tU|i»t ^^^U*yB!A*Ht|Uj
TYPICAL TRENCH
PLAN VIEW
(No Scale)
CD
u-'.
r^-;-CDr^i
c-r'
^
[nFi]
IS-d
Cnn;
D=u=l!
(typical)
INSTALL PER TRENCH:
11 Quick4 Std-W @ 20 ff EISA/chamber = 220
Pairs of end caps @ 6 ft2 EISA/pair = ^.
ft2
ft2
3.0ft(typical)
-Quick4 Standard-W Chamber
(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
n>0m
GO
0
= Proposed EISA per trench =
x2^
Required Infiltration Area = 429
trenches = Proposed Total EISA = 452
ft2
ft2
Distribution Method:
branched manifold
1, RESjETj
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, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. 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), Wise. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 30° qpd: BODs ^ 220 mgL1; TSS $ 150 mgL-1; FOG^SOmgL-1
Inspection Checklist INSPECT EVERY 3 YEARS jp! If ^ J J
o type of use jr^;
o age of system ^ ^ ..... i| !.i JUN U bZ025o nuisance factors (/.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) ^civfielu ;:\ ^usniifj \JMA
o material fatigue (/.e., leaks, breaks, corrosion, ete.) -,^v... . •.^m,y
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (/.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (/.e., pump re-cycling, float switch settings, etc.)
o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure - compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code.
o Effluent filterfs) 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 Wise. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Andry RasmuSSGn & Sons _ phone: 715-798-3355
Local government unit: Bayfield CQ. Zoning _ phone: 715-373-6138
Local government unit address: 117 E 5th St. 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.
Continqency 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, Wise. Admin. Code.
;Z:?TIC TAJ-(K CROSS SZCTION -.?3 SPZCIFTC1 CAT I
4" SC^OPVC^INSP. p^?E S^^MI?^. A30VZ G.^DZ.(opT.)
Cuhe-n ^nle-+ rrMi-tvV\o\e. t^'Vsu-v-i'e-d ,)
FINISHED GRADE
V-,
APPRO'/ED
PIPE 3-
ONTO SOLIDSO [L
-APPRDXED &A-F?:E—
OiS FILTER.
MFG. OKnc^
model Sf -FT082."2-
3" A.Fpp.oVED B^QDIHG UHI>£R TA^K
SPECIFICATIONS
SEPTAC
TA^;< HA.WFACTURE?.: ^'^<<'^0i^ ?^-t=-o^'T
TAW SIZSSJ SE?TIC '?S^ GAL.
APPROVEDHANHOLE
W/ LcckL4
WWw^ ae&L
-4" HIM.
OUTLET
» mi i g
JUN 0 5 2025 ^
Bayfield Co. Zoning Oepf.
NOTES:
S-09Q&
^io ITlQnn^r (%k z?^^^-^< ^^ ^^8»4
Private Sewage System Maintenance Agreement
Owner(s) Name
^^^ 0. [/^ A-U
Owner(s) Mailing Address
7,^ ^. 3<^ 5-^^ ^^^,^ ^79,
Site Address
Tax ID #J^i-o
As owner, I (we) do hereby certify the private sewage system will be installed in
accordance with the certified soil tester's report and approved plans and specifications
on file with Bayfield County Planning and Zoning Department. The system will be
operated in such a manner as to meet the designed plans. I (we) agree to maintain said
private system at the below listed location in accordance with rules established in the Wl
Adm. Code, as from time to time amended. (COMPLETE Legal is required)
1/4 of 1/4 Section Township N. Range w.
Additional Legal Description:
Town of /2.°^-<i
Lot ^
(Acreage) /•<y / Gov't Lot
Block_Subdivision ^7'^t'bt^- r"!~
Lot _1_CSM# ^3^? Vol. I 7 Paw^ CSM Doc # Z.&7M %-fcC?Zi/2.
DOCUMENT NUMBER2025R-607740
DANIEL J. HEF-FNER
REGISTER OF DEEDS
BAYFIELD COUNTY. Wl
RECORDED06/05/2025 AT 1 0:47 AM
RECORDING FEE: $30-00
PAGES: 1
Recording Area
Return To:@ I » 3 J g )^
Planning $j?|jj Zoning Departmentli!i JUN^
r-vwic.1;-! r.•'jn'nc \)'-t:
In-ground gravity
D Mound
D In-ground dosed D In-ground pressure distribution Sewage System:
At-grade Sewage System |_J Other
Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of
installation and at.least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make
such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum.
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-arade, and In-qround Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when
the wastewater distribution cell component is inspected as provided above.
Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for
inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any
human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days
from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges
may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law.
The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property.
Owner(s) Name(s) - Please Print
^i///&r^_ 0. t/^<\M+^ ^
Subscribed and sworn to before me on this date:
Notarized Owner(s) - Signature(s)
-./).iy C6mmission Expjres:/Q/Q1 /^^y~
«8Fr-
Drafted by: 77/iA (^Lj^ji-}<— Date: •-) } \' /'Z?
Proofed by:
u/forms/sanltar//septicmaintenceagree.ment
Revised July 2020
KAypiELD
[3
Property Owner:
VAN ATTA JR/ WILLIAM D
710 S 3D ST
LA CRESCENT / MN 55947
Description
Certified Soil Tests - Review & Filing
Total:
Payment Amount:
Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Fee
Submission Number:
SR-00260
Transaction Number:
SR-00260-2DODA
Amount
$50.00
$50.00
$50.00
Reference: 14712
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 6/11/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAyFIELD
B
Property Owner:
VAN ATTA JR/ WILLIAM D
710 S 3D ST
LA CRESCENT / MN 55947
Description
Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washbum, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Private Sewage System (Septic Tanks)
Total:
Payment Amount:
Submission Number:
SS-00565
Transaction Number:
SS-00565-2D686
Amount
$400.00
$400.00
$400.00
Reference: 14712
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 6/11/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit
BAYFIELD COUNTS SANITARY PERMIT (#04)-25^8S
STATE SANITARY PERMIT
OWNER: WILLIAM VAN ATTA JR
GOV'TLOT: LOT: 1 BLK:
CSM:2342V13P304
NW 1/4 NE 1/4 SEC: 35, T 51 N, R04W
TOWNSHIP: Russell
SOIL TEST: 48-25
NEW SYSTEM
SYSTEM TYPE: Non-Pressurized In-Ground
PLUMBER: JASON KUETTEL
CHAPTER 145.135(2) WISCONSIN STATUTES
a. The purpose of the sanitary permit is to allow installation of the
private sewage system described in the permit.
b. The approval of the sanitary permit is based on regulations in force on
the date of approval.
c. The sanitary permit is valid and may be renewed for specified period.
d. Changed regulations will not impair the validity of a sanitary permit.
e. Renewal of the sanitary permit will be based on regulations in force at
the time renewal is sought, and that changed regulations may impede
renewal.
f. The sanitary permit is transferable.
History: 1977 c. 168; 1979 c. 34,221; 1981 C. 314
Note: If you wish to renew the permit, or transfer ownership of the
permit, please contact the county authority.
PREVIOUS PERMIT #:
LICENSE: # MP 675751
TRACY POOLER
Authorized Issuing Officer
DATE: 6/11/2025 Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 6/11,2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION