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HomeMy WebLinkAbout25-55SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note Time Change fl Discrepancy fl Other Pe/v�j 5� Phone Number (L�zs six. gXCi. j 7/593 3 y9 Ali Plumber: S 7/; YZL• Fax Number I 7°( CJ 1 i e. Email Address Homeowner: 55 �' S c . Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: Plumber's Choice Zoning Dept .7 1 — No Inspection(s) during this time Date: r„1 rr t%rs Qi Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice Zo ng Dept 16 Y36 — 11001D i ■� Township: p9 Address # & Road Name: I I 381D 11L�`J f�L rvtz iti' t` or Directions To Site: Comments: "' Plumbers you must verify any change(s) by fax or email '"' Notes from Zoning Dept: uforms/sanitary/mquestforinspection Zoning Dept (64/12104): ® June 2023 Private Ons.ite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) Industry Services Division r MICHAEL W & SHARON L WICK 11380 RESETTLEMENT RD DRUMMOND WI 54832 Tank TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Se tic 2l r 7D b N/A Ding NIA Aeration N/A Holding Pump / Siphon Information 'ump Manufacturer Pump Model II r Manufacturer Filter odel TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well setback to: Town of. Si -co o,41 County Sanitary ermit No: State Plan'Transaction ID#: Parcel Tax No: Elevation Data 135 t (00 nand I STATION I BS I HI FS ELEV GPM Benchmark , raj DIMENSIONS Width L ngth # of Cells SETBACK FROM Prop. Line Building Well OHWM Ia.f Type of Cell (1kcdc,y (`JAS Pretreatment Unit Manufacturer: Model Number: stribution System Dia Bldg. Sewer — K t.� R474, Tank Inlet — au.S1 Tank Outlet— N u Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/Manifold_ ia/(7 6 - Distribution Pipe. Infiltrative SurfacQ �� t Final Grade X Pressure Systems X Hole Size I X ❑ Yes ❑ No Soil Cover Depth Over I Depth Over I Depth of I Seeded / Sodded I Mulched Cell Center I Cell Edges I Topsoil I O Yes O No O Yes O No ;.OMMENTS: (Include code discrepancies, persons present, etc.) -�u11ee t� hoc IswAe t\uwcy. LUK1i cp4u_ vti d �' O � red wl Pty j t_ J -1 s, ', ! ., f/✓ ! tax `� - IIA+LI�gtrS i rtS°S tin U- 1 t) .\- V1(e 11.A@'- QuSln�_ Ian revision required? D Yes LINO v--' i ( se other side for additional information. au(jIfl/ l Date POWTS Inspector's Signature License Number QRn-R7tn rR naoa\ Al Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-51$8 Fax: (715) 373-0114 e-mail: zonino(a)bavfieldcountv.oro Web Site: www.bavfieldcounty.org/147 MICHAEL W & SHARON L WICK 11380 RESETTLEMENT RD DRUMMOND WI 54832 Bayfield County Courthous€ Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.senticsearch.com Notes: Abandonment of Old System to meet 1alll applicable licode requirements: o Tank was pumped by: I -f I4, �( t L on O7/I(/ac at AM / M • Tank was crushed / removed and pipes disconnected by: 1Z9d On at (AM! PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: System was inspected and appears to meet all applicable code requirements. flSystem was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. System could not be inspected because plumber covered prior to scheduled time of inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. System could not be inspected because County could / not respond to�plumber's time constraints. � Comments: I�IS� CAI I Pl1 plan. krj `) ay S C&W lle 6 / ad (gp, I t)7'(1%f cJu/lc1 cji�jC chi✓,4 ✓tee Ulfarms/sanitarypropertyowner-input April 2019 r,�,"T`►t.,r O \VJ t_ Department of Safety ENTERED County ,;� I2,ILc 0 • ) & Professional Service k,'II,' Sanitary Permit umber (to be filled in by Co.) S JUN 1 1 2025 Industry S rvices ivisio p5-553 V. L_.) ' '' `, 1J•`' amtary permit Application State Transaction Number In accordance with SPS 383.2I (2), Wis. Adm. Code, submission of this form to the appropriate governmental unit NA Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. (SAME) I. Application Information -- Please Print All Information Property Owner's Name Parcel # MICHAEL \W. & SHARON L. WICK 04-018-2-44-08-14-2 01-000-11000 Property Owner's Mailing Address TAX �-3 6187 11380 RESETTLEMENT ROAD Govt. Lot A 14 City, State I Zip Code Phone Number DRUMMOND, WI "-'3 9— 54832 1I" -'k N, Nw ¼, Section 44 0 T 44 N R8 w H. Type of Building (check all that apply) Lot # yppp y) or 2 Family Dwelling — Number ofBedrooms 2 NA Subdivision Name IB ek# Tublic/Commercial � I NA — Describe Use NA City of O State Owned — Describe Use CSM Number O Village of NA l&w DRUMMOND III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i applicable.) A. I*w System 1 Replacement System I Other Modification to Existing System Additional Pretreatment Unit (explain) IX (explain) B. Holding Tank XIn-Ground At- Mound Individual Site Other Type I(conventional) Grade Design (explain) C. Renewal Before Revision Change of Plumber Transfer to New Ownerr Previous Permit Number and Date Issued Expiration NK IV.-Dispersal/Trestment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Dispersal Area Proposed (sf) I System Elevation 300 0.7 428.68 452 89.50 FT. Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o o New Tanks Existing Tanks w o a U a rn in Septic or Holding Tank 750 750 750 1 WIESER X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl '&Signature MPIMPRS Number Business Phone Number DENNIS A. RASMUSSEN 221516 -PM 715-580-0254 Plumber's Address (Street, City, State, Zip Code) C� 42625 KAVANAUGH ROAD, CABLE, WI 54821 VI. County/Department Use Only Approved 1 ❑ Disapproved ermit Fee J ^ Date Issued s< Issuing Age gna D Owner Given Reason for DenialJ loo Conditions of Approval/Reasons for Disapproval. Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size SBD-6398 (R. 03/22) In -Ground Gravity Plan Index & Cover Sheet PAGE 1 OF 4 [ (j [ 1 I [ ll) JUN 1.1 2025 Component Manual Design References: . In -Ground Soil Absorption for P0WTS Version 2.1 (May 202221d Coinning Dept.69'Y, Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: Tank Specs POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map Tax Statement Project Name I Description Owner Name(s): MICHAEL W. & SHARON L. WICK Owner Address: Phone: 1/-9 23 11380 RESETTLEMENT ROAD, DRUMMOND Zip: 54832 Project Address: (SAME) Govt. Lot: NA NE 1/4 of NW 1/4, Section 14, T 44 N -R 08 E ❑ or W E Township: DRUMMOND County: BAYFIELD Project Parcel ID #: 04-018-2-44-08-14-2 01-000-11000 TAX ID: 36187 Designer Information Designer Name: MARY JO HUPPERT Phone: 715 - 426 - 1775 Designer Address: 25720 FIREFLY LANE, WEBSTER, WI Zip: 54893 E-mail• hollisterdesign@outlook.com ?"'' ` • itli • License Number -007 . �. ; • At: , . 1859 Remarks: :: ti Signature: 7t/(Date: 05* 1025 ina ionature req eat submitted copy. llflll5)pelLl Plot Plan n JUN 1 1 20' fiayfieicj Cc, Looninn No 50 oPERTY OWNER: +6 A i" = AO FT. Phi � > � ) Legal Dscription:1L Th t1 £At g 374, S1i1h1 badthoe pit C0WR'fi ��. zQ. tq0 ,4 .oc8— Z8-1 x oi ,t T�x'MO 3bt87 1138 mSAM 1 I 5D ite location: SHED IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) min. 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: 12" min. trench tlepth (typcal) ° TYPICAL TRENCH CROSS SECTION VIEW 34 (h/Pica) ° ' .. (No Scale) System Elevation = 89.50 ft (typical) Quick4 Standard -W w/ End Cap (typical) (Show location of inlet / outlet pipe connection on plan view.) li F of 'l'�:. i it i /c i i I L xw�li INSTALL PER TRENCH: Quick4 Std -W @ 20 if EISA/chamber = + 1 Pairs of end caps @6 ft2 EISA/pair = Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturer's / Instructions. A=3.0ft (typical) TYPICAL TRENCH PLAN VIEW (No Scale) 46 ftCL (typical) Quick4 Standard -W Chamber O 300 GPD / 0.7 LR = 428.58 (typical) 428.58 / 20 EISA = 21.43 UNITS OR 22 UNITS X 4 FT. = 88 FT. �s (mfd by Infiltrator Systems, Inc.) 220 ft2 (2) 3 FT. X 44 FT. TRENCH99tall pursuant to manufacturer's instructions. Q 6 ft' II� —. m a9 O ry cr. = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 428.58 ft2 Distribution Method: x 2 trenches = Proposed Total EISA = 452 ft2 branched manifold PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 300 gpd; BOD5 5 220 mgL''; TSS 5150 mgL''; FOG 5 30 mgL'' p r Inspection Checklist INSPECT EVERY 3 YEARS n rF. U \ o type of use LU) o age of system III JUN / 1 20'Lb o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Bayfie►d Cu. zoning Dept. o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Local government unit: DENNIS RASMUSSEN BAYFIELD COUNTY ZONING Local government unit address: WASHBURN, WI Phone: 715-580-0254 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 4" CAST -A -SE ' 0 w 0 w INLET to Un c"E 1� d' lM WLP750-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" 4" CAST -A -SEAL COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 54" OUTSIDE DIAMETER7'-0" OUTLET II N0 a. D PUMP PAD I TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS oL a 0 BELOW INLET: 42" LIQUID LEVEL: 37" WEIGHT: BOTTOM 3,740 LBS. o COVER 2,410 LBS. -� INLET AND OUTLET: 3 o 4" CAST -A -SEAL BOOT OR EQUAL GASKET o a INLET AND OUTLET BAFFLE AND FILTER: a 3 WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 20.28 GALAN W HOLDING TANK: �L � OUTLET HOLE PLUGGED ACTUAL CAPACITY: 790 GALLONScO O a z LOADING DESIGN: 8'-0" UNSATURATED SOIL Q U) TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON o I UIpo s ao COVER: MIX DESIGN #8 (NO FIBER) U cn TANK: MIX DESIGN #10 (STRUCTURAL FIBER) o CUSTOMIZED TANKS: ® FOR CUSTOM TANKS CONTACT WIESER CONCRETE Z REVIEWED BY ^0 c� , REVIEW DATE w C) N DRAWINGS SUBMITTED U' FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 7 PRODUCTS NEEDED BY: / OF 4 -in. (100 -mm) Biotube® Effluent Filters Biotubd1S filter cartridge Biotube filter vault Extendable tee handle Vented top plate, standard Blotubes Eros E1 Ylls fl JUN -i 1 iuZi ayfield Cu. Zoning Dept. Flow modulation plate (optional) Vault Inlet holes Applications Orenco® 4 -inch Biotube® Effluent Filters are designed to remove sol- ids from effluent leaving residential septic tanks. They can be used in new and existing tanks at flows of up to 1200 gpd. General Orenco 4 -inch Biotube Effluent Fitters (U.S. Patents No. 4,439,323 and 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle can be extended for easy removal of the cartridge. Standard Models FTS0444-36,FTS0444-36M,FTW0436-28,FfW0436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT 040 -❑-[J low modulator and float switch bracket options: Blank = no options selected M = flow modulation plate installed A = float switch bracket installed Cartridge height. in. (mm): 28 = 28 (711), standard 36 = 36 (914). standard Filter housing height, in. (mm): 36 = 36 (914), standard 44 = 44 (1118), standard 14 -in. (100 -mm) fitter diameter Outlet tee: W = fits Type 3034 outlet tee S = fits Schedule 40 outlet tee Filter mesh option: Blank = Y -in, (3 -mm) filter mesh P = 'He -In. (1.6 -mm) filter mesh I Biotube • effluent fitter Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems- Inc. , 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.arenco.com NTO-FT-FTS-1 Rev. 3.0, © 05/16 Page 1 of 2 k -D -►I n optional flow modulation plate) orifice (on optional flow modulation plate) It It It Ii riI JUN 1.1 2025 Bayfeld Cu Zoning Dept Specifications Model FTS0444-36, FTW0444-36 FrS0436-28, F1W0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (914) B - Cartridge height, in. (mm) 36.00 (915) 28.00 (710) C - Inlet hole heightIn. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. (mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, In. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, In. (mm) 4.00 (100) 4.00 (100) Filter surface area,! ft2 (m'i 5.1 (0.50) 3.9 (0.40) Flow area," ft' (m 1.5 (0.15) 1.2 (0.12) Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) Inlet hole height can vary depending on the configuration of the tank Optimum hole height is 70% of the minimum liquid level. r filter ama Is defined as the total surface area of all individual 81oWheO within the filter cartridge. Flow area Is defined as the total open area (or area of the mesh openings) of all the individual eiotubes within the filter cartridge. RT0-Fr-m-1 Orenco SystemsInc., 814 Airway Ave., Sutherlin, 0897479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com Rev. 3.0, O 05118 Page 2 of 2 Plot Plan PROPERTY LegalDesaiption: Pct. IM ME AJ IH WWj4, SI%1'I41 ROAM, -ftlXO OF DRttMMOMb 3AYFta-fl COWXTV, L&1 5Ct$15tM. pq o(8 2 44-of-tq- z ottoo-tt000/TAXfl' 3648'71 i t38O ' rr a MEi'Jr ppM) m Site location: It 1 x 50 Page $fL4 50 1 A FT. (except where noted) E= badchoe pit z4. z.0 ,4s Department of Safety & Professional Service! JUN 1120251 v — In ustry S rvices ivisio namuuy rermtuvmnoer tm oe nuea m oy eu.) amtary erlmt Application State T ansact on Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit NA is required prior to obtaining a sanitary permit- Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) 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. �.S'4ME� 1. Application Information — Please Print All Information Property Owner's Name Parcel # MICHAEL W. & SHARON L. WICK 04-0I8-2-44-08-14-201-oao-11000 Property Owner's Mailing Address TAX IIj7 11380 RESETTLEMENT ROAD Govt. Lot A City, State I Zip Code one Number DRUMMOND, Wi 54832 s" 7 9 3 � xt, i '/. Nil. NW , Section 14 T 44 N R 0 8 w II. Type of Building (check all that apply) t # or 2 Family Dwelling —Number ofBedrooms 2 NA Subdivision Name a ck# NA Public/Commercial — Describe Use NA ❑ Cityof ❑ State Owned — Describe Use CSM Number ❑ Village of NA ow DRUMMOND M. Type of POWTS Pe • (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C If a livable A. Mw System eplacement System Other Modification to Existing System Additional Pretreatment Unit (explain) X (explain) B. Holding Tank XI -Ground At- M O Individual Site Other Type conventional) Grade Design (explain) C. Renewal Before Revision Change of Plumber I nsfer to New Owner ist Previous Permit Number and Date Issued Expiration I Mc IV. DispersaVrreatment Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation 300 0.7 I 428.68 452 89.50 FT. Capacity in I Total I # of I Manufacturer I Tank Information Gallons IGallonslUnitsi 15 New Tanks Existing Tanks '°- a a•) m y `� 'ei' 750 V. Responsibility Statement- 1, the undersigned, assume responsibility for Instal stion of the POWTS shown on the attached plans. Plumber's Name (Print) Plu s.Sianature MP/MPRS Number Business Phone Number DENNIS A. RASMUSSEN 221516 -PM 715-580-0254 Plumber's Address (Street, City, State, Zip Code) — ' 42625 KAVANAUGH ROAD, CABLE, WI 54821 Vi. County/Department Use Only permit Fee Date Issued C Issuing Ag gna /Approved ❑Owner ved a /L p0 11 ❑ Owner Given Reason for Denial ( & 3 taeJtttE*f4flfl1 Attach to complete plans for the system and submit to the County only on paper not less than a In a SBD-6398 (R. 03/22) V' `✓ O 26 2 FlRERED "`'nxW�gh Wisconsin Departmentof Safety& Professional Services - Division of IndustryServices SOIL EVALUATION REPORT 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. Please print all information. canal information you provide may be used for secondary Purposes (Privacy Law, s. 15.04(1)(m)). UJ s, a�, IS fl U I n1 Ili JUN r LUZ`J Page Bayiieltl Co. Zoning o t S -z -44 -OS -14-Z Property Owner Property Location u MAEL w. 4 SNLUiQ� L %.&tefS 4uvtrt of N E '% NH('i S I`(. T tf y N R p 8' Fh9-W Property Owner's Mailing Address Site Address or CSM and Lot V. City, State, Zip I Phone Number I U City _ U Village ,ESI Town I Nearest Road o New Construction User Residential/Numberofbedrooms Z Code derived designflow rate 300 GPD 4' Replacement ❑ Public or commercial -Describe: Flood Plan elevation if applicable ft. Parent material 5A*ADY OtcTWA51{ General comments and recommendations: CpAfVF*rrnlsic- TN-&RoWUD T,a3at' S- 0'7 t.R - 2kt 50- S.F 15c Boring l Boring # mil Pit Ground surface elev. Qy,3(1 ft. Depth to limiting factor 100 in.) elev. $5.1?ft. I Soil Annl Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. ContColor Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 -Eft#1 -Eff#2 0-' v 5 Zs lrns A( yyivfr' Gs co La. 64 5-M0 7. syg 3r4 — -451 I - s6K vmKr ts z -rD b.Ze A4' %-too 5YR y�3 5 ml — tv'F-m '%lot S P S OG eat 01102 J 9 Boring # ❑Boring �rlPit Ground surface elev.95.50 ft. Depth to limiting factor 11 in. / elev.2k b% ft. / 7.qs Rnil Annliratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •EfF#1 *Etf#2 d-10 7.5Y a sl 3FsbK S 3 A0 O.Y 1p -2S 7.5Y 3/4 I x% rn r ao 2 -ev D.`! a.2 Zt.33 55va a 4 zr4'a4K us rA 0.4' /. 0 YK MI — .7 I..lo 09x2 s CST Name (Please Print) I SignaDdV7 CST Number MARY JO HUPPERT (Hollister's Soil Testing & De ign) 048900002SP Address I Date Evalua on Conducted Telephone Number 25720 Firefly Lane, Webster, WI 54893 I Q5 -Z 202$ -S- Effluent #1 = BOD >30s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOO, s 30 mg/L and TSS s 3D mg/L SBD-8330 (R03122) C 9NARCB �g V1�ACK D E E Page yof �{ 3 ❑ «x+Gmund su face elev.�4i� U N 1 1 2 0 0 0 for in. f elev. %.OQn. B�r!9 s 1 Bayfleld Co. Zoning Dent. Soil Application Rate Horizon Depth In. Dominant Color Mansell Redox Description Ou. Az Cent Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2- 'Efftl 'Effs2 1 e_$ — e� _nnsbK rh�r� ciij -eo OS At z zO 7.3 YS 3/N fsi y�_aebl( nfY�v 6W zl� OM 0.8 3 20-!6 11R4/4 sl Ow m.ls y _ s 'vR V rv� l - 0.7 1.6. ❑ Boring # o Boring o Pit Ground surface elev. R. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munself Redox Description Cu. Az. ConL Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 Eff#1 Effk2 ❑ Baing • ❑ Boring Pd Ground surface elev. f. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Cu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 ¶f#1 •Eff#2 Effluent •1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L ' Effluent #2 = BOD. s 30 mg/L and TSS s 30 rng/L Plot Plan JUN 1 1 2025 Bayfield Co. Zoning Dept. n� 50 PROPERTY OWNER: /► 4IzAP-L VJ 4- SIMRw4 L uJitx 17= 4O FT. (except where noted) Legal Description: PCL IN L}!6 V'( DF'TttC NW 4, SiH14tirJI RosWIE3=Idioepft z4. L4o ,4aF�'g OF DRIAMMOIJ wt- C0MD!, IAIISCCASt►J. W, pIf .-ot- 2.'i± -U8 -I9- z ot-poo-xtpor'JTAXID.' 36187/ i inc ) TTL6 MErJ? PAID North r, -5D, V Site location: r Lppar- A 1 1Sti o� �Dyxt:Ds3,�s SP9'��vti V Baytield County, WI 5125/2025. 11:05:21 AM Meander Lines Building Footprint 2009-2015 Approximate Parcel Boundary Changed C� Section Lines Demolished Municipal Boundary lsoo KIEL SE4AI.LN WIGS 0.01 001 Existing n� Driveways o 0 001 001 C N O Buildings N Bay1dd non O U @ BxyfNd ca.'ny Las PAO&- gjya 1111 JUN 112025 Bayfield Co. Zoning Dept 0• VP PAGE 1 OF 4 In -Ground Gravity Plan E C E d V E D Index & Cover Sheet JUN 1 1 2025 Component Manual Design References: a. Id Co. Zoning Dept. In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2b f Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: Tank Specs POWTS Application for Review Filter Specs Soil Evaluation Report & Site Map Tax Statement Project Name I Description Owner Name(s): MICHAEL W. & SHARON L. WICK Phone: 1/5-- Owner Address: 11380 RESETTLEMENT ROAD, DRUMMOND Zip: 54832 Project Address: (SAME) Govt. Lot: NA NE 1/4 of NW 1/4, Section 14 , T 44 N -R 08 EQor W C Township: DRUMMOND County: BAYFIELD Project Parcel ID #: 04-018-2-44-08-14-2 01-000-11000 TAX ID: 36187 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: 1859-007 Remarks: Phone: 715 - 426 - 1775 Zip: 54893 Signature: 11tLI T G Date: 05-28, 2025 inn ignature req irna, each submitted copy. Plot Plan JUN 1 1 2025 Bayfieltl Co Zonin flan* 5D PROPERTY OWNER: /► �i� Art- 6 4- SIARa1 L. WICK . g eP r = JAO FT. r ... ?'1v___j 4-San'--ruia,snaI qt.' .O18- 2-4 `i-UE-19 - 2 Site location: TAX 2t3.' 3L18t/ I 138D rn,E MEnlr pp# 9 , /L50 O= badchoe pit Zq. LqO ,4cLg IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) min, 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 750 gal gal gal gal Effluent Filter Manufacturer ORENCO Effluent Filter Model #: 12° TI 1r min. trench depth (typical) 1 TYPICAL TRENCH CROSS SECTION VIEW F (typical) (No Scale) System Elevation = 89.50 ft (typical) Quick4 Standard -W wlt End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r. :s: ------------j ---------- INSTALL PER TRENCH: Provide minimum 3 ft separation between trenches. Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) TA (typical) ft B= 46 ft (typical) 11 Quick4 Std -W @ 20 ft= EISA/chamber= 220 + 1 Pairs of end caps @6 ft2 EISA/pair = 6 300 GPD / 0.7 LR = 428.58 FT. 2 Quick4 Standard -W Chamber o 428.58/20 EISA = 21.43 UNITS OR (typical) NJ 22 UNITS X 4 FT. = 88 FT. �g (mfd by Infiltrator Systems. Inc.) 0 ft2 (2) 3 FT. X 44 FT. TRENCHffa1I pursuant to manufacturers instructions. m 0 ft2 -n = Proposed EISA per trench = 226 ft2 Required Infiltration Area = 428.58 ft2 x 2 trenches = Proposed Total EISA = 452 ft2 5N m W j' r o Distribution Method: branched manifold PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to, requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = 300 gpd; BOD5 5 220 mgL 1; TSS 5 150 mgL"1; FOG 530 m�gL-1 Inspection Checklist INSPECT EVERY 3 YEARS U o type of use U o age of system JUN 1 1 2025 o nuisance factors (Le. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Bayfield Co. Zoning Dept. o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (Le., 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, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Local government unit: Local government unit address: WASHBURN, WI DENNIS RASMUSSEN BAYFIELD COUNTY ZONING Phone: 715-580-0254 Phone: 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. WLP750- MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" 4" CAST -A -SE C w O TOP VIEW in N Ijn Ni SIDE VIEW PAD 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 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 W In H W U LD = co 67w o � a N IaI�M O Cn=o W_ ^ J Q C lu LO o Z REVIEWED BY F it REVIEW DATE a N DRAWINGS SUBMITTED FOR APPROVAL APPROVED SHEET NO. APPROVAL DATE: PRODUCTS NEEDED BY: / OF 1 V 11 4 -in. (100 -mm) Biotube® Effluent Filters. Biotubcm filter cartridge Biotube® filter vault Extendable Sr tee handle ` Vented top plate, standard Biotubes EGflVE JUN 11 2U2b ayfield Co. Zoning Dept. Flow modulation plate (optional) Vault Inlet holes Applications Orenco® 4 -inch Biotube® Effluent Filters are designed to remove sol- ids from effluent leaving residential septic tanks. They can be used in new and existing tanks at flows of up to 1200 gpd. General Orenco 4 -inch Biotube Effluent Fitters (U.S. Patents No. 4,439,323 and 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance, The tee handle can be extended for easy removal of the cartridge. Standard Models FTS0444-36,FTS0444-36M,FTW0436-28,FTW0436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT[I[]04❑-❑-T❑ I Plow modulator and float switch bracket options: Blank = no options selected M = flow modulation plate installed A = float switch bracket installed cartridge height, in. (mm): 28 = 28(7111. standard 36 = 36 (914), standard Fitter housing height, in. Imm): 36 = 36 (914), standard 44 = 44 (1118), standard 4 -in. (1 00 -mm) filter diameter Outlet tee: W = fits Type 3034 outlet tee S = fits Schedule 40 oulet tee Filter mesh option: Blank = /n -in. (3 -mm) filter mesh P = V,s-in. (1.6 -mm) filter mesh Biotube• effluent litter Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco SystemsInc. , 814 Airway Ave., Su8lerlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com NTo-FT-FTS-1 Rev. 3.0, O 05/18 Page 1 of 2 n optional flow modulation plate) orifice (on optional flow modulation plate) liii JUN 1 1 2025 Bayfield Co. Zoning Dept. Specifications Model FTS0444-36,FTW0444-36 FTS0436-28,FTW0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (914) B - Cartridge height, in. (mm) 36.00 (915) 28.00 (710) C - Inlet hole height,* in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, In. (mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, In. (mm) 4.00 (100) 4.00 (100) Filter surface area,t ft2 (ml) 5.1 (0.50) 3.9 (0.40) Flow area," ft2 (m2) 1.5 (0.15) 1.2 (0.12) Flow Modulation Plate (Optional) Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) Inlet hole height can vary depending on the configuration of the tank. Optimum hole height is 70% of the minimum liquid level. 'Filter area is defined as the total surface area of all individual BioWbes® within the filter cartridge. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotbes within the filter cartridge. NTO-FT-FTS-1 Orenco Systems` Inc., 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com Rev. 3.0, ® 05/18 Page 2 of 2 Real Estate Bayfield County Property Listing Today's Date: 5/25/2025 Property Status: Current Created On: 11/17/2011 7:51:12 AM r' Description Updated: 11/30/2011 4" Ownership Updated: 11/17/2011 Tax ID: 36187 MICHAEL W & SHARON L WICK DRUMMOND WI IS PIN: 04-018-2-4408-14.2 01-000-11000 Legacy PIN: 8ffli 9 Address: Mailing Address: 3UN 1 `I 225 Map ID: MICHAEL W & SHARON L MICHAEL W & SHARON L Municipality: (018) TOWN OF DRUMMOND WICK WICK RESETTLEMENT RD Bayfield Co. Zoning Dept. STR: 514 T44N R08W 11380 RESETTLEMENT RD 11380 Description: NE NW LESS W 1/4 IN V.1061 P.276 DRUMMOND WI 54832 DRUMMOND WI 54832 783A Recorded Acres: 29.290 '� Site Address ' indicates Private Road Calculated Acres: 29.290 11380 RESETTLEMENT RD DRUMMOND 54832 Lottery Claims: 1 First Dollar: Yes l Property Assessment Updated: 8/9/2021 ESN: 111 2025 Assessment Detail i Tax Districts Updated: 11/17)2011 Code Acres Land Imp. G1 -RESIDENTIAL 2.000 12,000 75,600 1 STATE G6 -PRODUCTIVE FOREST 27.290 40,900 0 04 COUNTY 018 TOWN OF DRUMMOND 2 -Year Comparison 2024 2025 Change 041491 SCHL-DRUMMOND Land: 52,900 52,900 0.0% 001700 TECHNICAL COLLEGE Improved: 75,600 75,600 0.0% Total: 128,500 128,500 0.0% Recorded Documents Updated: 11/17/2011 ® TRANSFER ON DEATH Date Recorded: 4/20/2016 2016P. -S62986 1158-885 A Property History ® QUIT CLAIM DEED Parent Properties Tax ID Date Recorded: 4/26/2011 2011R-538181 1061-276 04 -018 -2 -44 -OS -14-2 01-000-10000 HISTORY DL.. Al White=Current Parcels Pink=Retired Parcels i 110 Leg. Pin: 018109610000 36187 This Parcel 4 Parents i Children Private Sewage System Maintenance Agreement �.,,,,. a..,a M►2iii9L 1A1. Vck ma. Sl Pzg L, W,�c (3 Tax ID# 3&l,07 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 WI Adm. �Code, as from �tim(e to time amended. (COMPLETE Legal is required) p NE' 1/4 of !V W 114 Section L ___ JTowns'hiip `Y4 N. Range Of W. Additional Legal Description: 4rG.5 "v V'1T/I Q Town of DROM Moud (Acreage) 2q.,2 D Gov't Lot Lot Block Subdivision Lot CSM # Vol. (f b( Page 276 CSM Doc # 40I 6R' DOCUMENT NUMBER 2025R-607631 DANIEL J. HEFFNER REGISTER OF [DEEDS BAYFIELD COUNTY. WI RECORDED 05/28/2025 AT 9:50 AM RECORDING FEE: $30.00 PAGES: 1 Area Return To: Planning and ZonR DEIlya r�nentt E D MAY 292025 CK In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (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 -grade, and In -ground 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 Mu U415L W, v�iCiC e0fl%tfhWttrQ O�GKY k1l�• rSubscribed and swom to before me on this date: p'\ wici < a� �s ,, Z-7, Zoz5 _i . T , i Notarized Owner(s) — Signature(s) ;' tary ub' r �- - L c C# yN� ,, L '1%;...________________________ . ,M nmi on Expi /0/z°,/Zozs Drafted by: SltAEOAW Wtck Date: i'Z /,o'� ,,,,� Proofed by: _ u/forms/sanitarylsepticmaintenceagreement Revised July 2020 R• VFIELD 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: WICK,MICHAEL W & SHARON L SR -00262 11380 RESETTLEMENT RD DRUMMOND, WI 54832 Transaction Number: SR-00262-2DA6E Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 7623 Paid by: Hollister's Soiling Testing & Design, 25720 Firefly Lane, Webster WI 54893 Payment Type: Check Transaction Date: 6/13/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. FAtYFIELD 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: WICK, MICHAEL W & SHARON L SS -00559 11380 RESETTLEMENT RD DRUMMOND, WI 54832 Transaction Number: SS -00559-2D714 Description Private Sewage System (Septic Tanks) Total: Payment Amount: Amount $400.00 $400.00 $400.00 Reference: 2913 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 6/13/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-55S STATE SANITARY PERMIT OWNER: MICHAEL W & SHARON L WICK GOVT LOT: LOT: BLK: NE1/4 NW1/4 SEC:14,T44N, R8W TOWNSHIP: Drummond SOIL TEST: 53-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: DENNIS RASMUSSEN TRACY POOLER DATE: 6/16/2025 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: # 221516 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 6/16/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION