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HomeMy WebLinkAbout25-55S^^l"/^;.. (^ £'%^// rrirn JUN 1 1 2025I \Vi Department of Safety /ENTERED & Professional Service^// j/^j Industry Services JMvisiol^(ffi^""8"" County ^7 ^-1 '?^te^ Sanitary Permit Number (to be filled in by Co.) 95-553 Sanitary Perniit 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 NA I. Application Information - Please Print All Information Project Address (if different than mailing address) (SAME) Property Owner's Name MICHAEL W. & SHARON L. WICK Property Owner's Mailing Address 11380 RESETTLEMENT ROAD Parcel # 04-018-2-44-08-14-2 01-000-11000 TAX 1^: 36187 Govt.Lot City, State DRUMMOND, WI Zip Code54832 II. Type of Building (check all that apply) Q^or 2 Family Dwelling - Number of Bedrooms 'Public/Commercial - Describe Use Phone Number ^-ns 9-^%^ Lot # D State Owned - Describe Use *NA N64 NW V*, Section T 44 N R °8 W 14 Btck#NA CSM NumberNA Subdivision Name NA D City of _ a Village of DRUMMOND ffl. Type ofPOWTS Pernyfc, (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C ifl applicable.) A.sm replacement System Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B.Holding Tank X^i-Ground (conventional) At- Grade MOU Individual Site Design Other Type (explain) c.Renewal Before Expiration Revision Change of Plumber ^ransfer to New Ownerl .ist Previous Permit Number and Date Issued NK FV. Dispersal/Treatment Area and Tank Information: Design Flow(gpd)300 Design Soil AppUcation Rate(gpd/sf) 0.7 Dispersal Area Required (sf)428.68 Dispersal Area Proposed (sf) 452 System Elevation 89.50 FT. Tank Information Capacity in Gallons New Tanks Existing Tanks Total Gallons # of Units Manufacturer .0 Ki N& sa: 0 It m ~S S3 3:° 5E 5 Septic or Holding Tank 750 750 750 WIESER Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. -9-Plumber's Name (Print) DENNIS A. RASMUSSEN MP/MPRS Number221516-PM Business Phone Number 715-580-0254 Plumber's Address (Street, City, State, Zip Code) 42625 KAVANAUGH ROAD, CABLE, WI 54821 VI. County/Department Use Only ^( Approved D Disapproved D Owner Given Reason for Denial ?ermit Fee '^00- Date Issued 6//3/A?/nfti-Issuing A;Hgn^y^^W/7 W^ Conditions ofApproval/Reasons for Disapproval ^c cached Q^rd^ 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. 03/22) s-oom ,^!if?%CR\^('2^^ \]<-?&jWisconsin Department of Safety & Professional Services Division of Industry Services ~— SOIL EVALUATION REPORT /:u. .'.-IVilft page-Jsefp^- •.^,^^ _^2>-"3.^ 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 honzontal 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)). County SfiVT^e^ Parcell.D. _ •T,2>CtD; 3fct8-7Of( - 018- Z-44 -O? -/4 -Z. ^<900- ((DoO Date ^.7/J? I 4%^- Property Owner^'r^ACL V^. \ smw L. ^i^Property Location 'eOTt-t:ot AjE % /VM/ % S j^ T^^ N R ()g> &(ef)-W Property Owner's Mailing Address1(3^) ^S£TOaV\^r^OAD Site Address or CSM and Lot #: (^fi^-e.) City, State, Zip DK(A/H^ DA)fi, (4^ 5^q Phone Number ( ) D City D Village JSQ Town OlOLMMO^D Nearest Road ^Esem^MSW 1^o Q New Construction Use:j&l Residential/Numberof bedrooms ^S Replacement D Public or commercial - Describe: Parent material 5A/J D Y OWT WAS*4 Code derived desianflow rate y^-> Qpp Flood Plan elevation if applicable /^ ft. General comments and recommendations: CoeJUet^h'IOlMf-7^-&^C>W^ TltSl^d?-^~ (>~l <-K.-<2^,50-^<?^5C Boring #D Boring1 Pit Ground surface elev. <M.30 ft.Depth to limiting factor 100 in. / elev. 8&.?7ft. V. 35ft- Hon'zon I z -i_ Depth In. ~Q^~ s-^(ft ^-,00 '^0»U2A 5<w^ Dominant Color Munsell 7.5W2.</» /7.5VH^ .sw "/s J5 H4-S ^ t/ tC^^f ^T Redox Descnption Qu. Az. Cont. Color K/ETS QP <'09 ^£9 Texturess. s, Structure Gr. Sz. Sh. l^vsbK lM-&sb/< -&_ Consistence ^\^r mn\/Fr ml Boundary c-s IS. Roots 5^-co Z-rf^tf l<f-^ Soil Application Rate GPD/Ft2 *EW1 6.2, 0.2- 'Eff#2 6^~w Boring #QBoring Ground surface elev.<?3.50 ft.Depth to limiting factor W in. / elev.Sfc.b? ft. IMf Hon'zon T ^ $ Depth In. fl-lfl (0.2? z^3? 3S-W Dominant Color Munsell 7.5YRi.i/s> 7.o^ 9ln5^4 .'5VRA/(» 5fywe QvJ ^V t Redox Description Qu. Az. Cont. Color 6s 3^-6^CS TexturesSL ^ Js_ Structure Gr. Sz. Sh. ^^2^ *pabK^ Consistence oi^Fr rn^r mfr rtll Boundary c^ A39 tCS Roots 3<^<c 2<f-^ »Mp-'n Soil Application Rate GPD/Ft2 *Ef?1 o.i^ D.tft _^T_ *Ef?2^ fi.8 /.D _f^_ CST Name (Please Print) MARY JO HUPPERT (Hollister's Soil Testing & De| Signal,ign) / I /MUJ V^U^i CST Number 048900002-SP Address 25720 Firefly Lane. Webster, Wl 54893 Date EvalualToh Conducted O&'ZS.ZJDZS Telephone Number 715-426-1775 -S* Efiluent #1 = BOD > 30 s 220 mg/L and TSS > 30 £ 150 mg/L * Effluent #2 = BOD, £ 30 mg/L and TSS £ 30 mg/L SBD-8330 (R03/22) a II v8IAK ^vg IA 8 m aII IAs B>&sIA8 'i 0 P 5 F p "c o ff S w3- 1 DD3!ss.^ s> .1 Q- 3 0 c'^o!III? (S j? 3»DD g •^ 1^ N ^^ 0 w 8 ^rf f 1\ ^ CT su S\ l : m'0(C . •p ^-w - ' ^ 3D [n n ] ^ 1\ » s, enff ^ y j e s r ^ ^ 0 u ^ (J \ J:X>F H 0I*?>^1^5 ^^I?§n&|b lc > Fa i IS . 5? t< n 1^ IJ = ' |l A ]^HI. C - l- c - te "0s-0m m30 1^|3 >&»6. "0s "D OT3 CD a. i'^ t [p ? t i (s ^ tT m i ; <Q r^ 3C3 r^ > 0' c - n <D "0 [n j r i -^ zZ ^ T V4 9,^ ^==, sBuipimg yplOA ^tMV^S ^-73^^^ C3r-o<-rl 0=in] =SAeM8AUQ Bui)six3 p9L|SI|OUJ30 paBueio SIOZ-600Z luudiooj 6u!p|ing Ajepunog |edpiun^ |— saun uoipsg r- L-_. Ajepunog laojed aieiuixojddv saui-i jspuea^ IWtZ:9(Ht '9ZOZ/9Z/S y- ^ *\.^M -•.s;6;'/-1;^'1' , ,'••^t" ! .'t4te^if ?""'' ^•^^ : am ^,,,, ; ^.'•^SS's'y^.. €J'^^i^^ f ^*y- '••:-. '••* ,. "^ 1"— f*'^ T.**' .?»•-• •^^•^^^^•^ff"" ' :' iShi^' B- ... "4.U. 'xgKWBRSgB£6?3-&836 "• r "a-W- ..A.^ .';k, •": ^'- -;, "f ^ ^'"^tr'-fiX' '''-^'i&x- ' ^ :,^ , ^ :fc"'"; '-.'ff^^:^' ~^"'-^'^^'^" .^,y x-^^' ^:,•'' ' ' '--V ^, " .-rtgr i?-'^-^-*^1^?;^ .s; ' .'' "M ^:y -^^ "r-. ;T. -^•^; y ^.I. -'w>. A; HKllULUI' 1(] 1.-?tl .,-, ^ \,-^r ^ k 'Y •• s^i .4 ^-^ IAA 'Aiunon poiiAeg eoomztw 03.S3 Fu=[i ^IM ;\J-' G=vT;i co % -^r ^ ^'^ l-~s^ <^ PAGE 1 OF 4R «n» P JUN 1 i 2025 Component Manual Design References: ^^u - . . r,.^In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2WT "onll!u ueP' In-Ground Gravity Plan Index & Cover Sheet Pg1of4 Pg2of4 Pg3of4 Pg4of4 Index & Cover Sheet Plot Plan Dispersal Area Cross-Section & Plan View Management Plan Attachments: Tank Specs Filter Specs Tax Statement Project Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Name / Description Owner Name(s): MICHAEL W. & SHARON L WICK Phone: 2/^:-^2_-_^22. Owner Address: 11380 RESETTLEMENT ROAD, DRUMMOND ^y 54832 Project Address: (SAME) Govt Lot: NA NE ____ 1/4 of Nw 1/4. Section u . T_44_N-R_08_E D or W [• Township: DRUMMOND _ County: BAYFIELD Project Parcel ID #: 04-018-2-44-08-14-2 01-000-1^000 TAX ID: 36187 Designer Information Designer Name: MARY JO HUPPERT p^ne: 715 -426 .1775 Designer Address: 25720 FIREFLY LANE, WEBSTER. Wl E-mail: hollisterdesjgn@outlook.com Zip:54893 License Number: Remarks: 1859-007 ' '\ •V Signature: \/ JM Date: 05-26,2025 <^^ 1C W E S T - ^ i - ^ 7^ A ^ A J T A A / / < ^ V W T K K u ^^^> ~7 ^ _ <^ T g]II 0 °0 f J;»v 10I*?1^^Ls Is i g[G ? It ?10 b?R^1&^^\- f r It A fi cH1- c - u?b? I'0m Q s ^i^1^BO&I? - 1^ 03~< ^ ,(f > -0 11^ -os: '^ 0w r- ^ : C3 [n j : D (s = S !j = u = a D= u : - U ?»9,J: IN-GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard-W Chambers 3-ft Trench (down-sizing credit) SOIL COVER WIESER Septic Tank(s) Manufacturer: Septic Tank(s) Volume(s): gal _. gal Effluent Filter Manufacturer: gal Effluent Filter Model #: 12" min. trench depth(typical) 34' ^~-' "^ :' (typical) TYPICAL TRENCHCROSS SECTION VIEW (No Scale) Quick4 Standard-W w/ End Cap(typical) System Elevation = 89-50 ft (typical) (Show location of inlet / outlet pipe connection on plan view.) Provide minimum 3 ft separation between trenches. Observation Pipe(typical) Install per manufacturer's Instructions. Bit TYPICAL TRENCH PLAN VIEW (No Scale) |BjS|B|!JJHjB|!Sjg|SjBjejHji|!SjBjB|g|ISjH|l; INSTALL PER TRENCH: -^------- ^--- B= 46 A =3,0 ft (typical) ft ;-<- G. (typical) + 11 Quick4 Std-W @ 20 ff EISA/chamber = 22° Pairs of end caps @ 6 ft2 EISA/pair = ^ 300 GPD / 0.7 LR = 428.58 FT. 2 428.58 / 20 EISA = 21.43 UNITS OR, y 2W TlnTS)?4^.=T^HE?r pureuant to -^^—^. | -Quick4 Standard-W Chamber (typical) '(mfd by Infiltrator Systems, Inc.) '=SQi c_ r^cr ..__•z- -s"^' —^ i.nj-ii C3r~o n>0m00 Q-n ^a'ft? ft2 = Proposed EISA per trench =226 ft2 Rfinuired Infiltratinn Area = 428.58 ^ JL trenches = Proposed Total EISA = 452 ft2 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, 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° gpd: 8005^220 mgL-1; TSS S 150 mgL-1; FOGS 30 mgL-1 Inspection Checklist INSPECT EVERY 3 YEARS ^ |i (g | S I ^^1 o type of use ^'.<,o age of system || JUN 1 H02b !u' o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (/.e., pumps, valves, switches, floats, etc.) Bayficii'J ; Zo.'r'ii DeP' o material fatigue (/.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 (/.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, ete.) 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 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 Wise. Admin. Code. Report any component failure or malfunction to: Name of individual or company: DENNIS RASMUSSEN _ p^ 715-580-0254 Local government unit: BAYFIELD COUNTY ZONING _ phone: 715-373-6138 Local government unit address: WASHBURN, 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. Actmin. 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 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. 4" C A S T - A - S E A L TO P V I E W 4" C A S T - A - S E A L WL P 7 5 0 - M R TA N K S P E C I F I C A T I O N S DI M E N S I O N S : WA L L : 2 1 / 2 " BO T T O M : 3 " CO V E R : 5 " MA N H O L E : 2 4 " I . D . P R E C A S T C O N C R E T E R I S E R HE I G H T : 5 4 " OU T S I D E D I A M E T E R : 7 ' - 0 " BE L O W I N L E T : 4 2 " LI Q U I D L E V E L : 3 7 " WE I G H T : B O T T O M 3 , 7 4 0 L B S . CO V E R 2 , 4 1 0 L B S . IN L E T A N D O U T L E T : 4" C A S T - A - S E A L B O O T O R E Q U A L G A S K E T IN L E T A N D O U T L E T B A F F L E A N D F I L T E R : WI S C O N S I N , S E E D E T A I L ^ 0 (O T H E R S T A T E S S E E C H A R T ) LI Q U I D C A P A C I T Y : 2 0 . 2 8 G A L / I N HO L D I N G T A N K : OU T L E T H O L E P L U G G E D AC T U A L C A P A C I T Y : 7 9 0 G A L L O N S LO A D I N G D E S I G N : 8 ' - 0 " U N S A T U R A T E D S O I L TA N K C A N B E U S E D A S : SE P T I C / H O L D I N G / P U M P O R S I P H O N CO V E R : M I X D E S I G N # Q ( N O F I B E R ) TA N K : M I X D E S I G N ^ 1 0 ( S T R U C T U R A L F I B E R ) CU S T O M I Z E D T A N K S : FO R C U S T O M T A N K S C O N T A C T W I E S E R C O N C R E T E :- ± y = n i7 w ] PU M P P A D IJ ' T J ' T j SI D E V I E W TA N K S A R E M A N U F A C T U R E D T O M E E T O R E X C E E D A S T M C - 1 2 2 7 R E Q U I R E M E N T S 1^ - > .; - r \ Cn T E RE V I E W E D B Y RE V I E W D A T E DR A W I N G S S U B M I T T E D FO R A P P R O V A L AP P R O V E D B Y : AP P R O V A L D A T E : PR O D U C T S N E E D E D B Y : ^- C O i^ l i" ! ll r ) , l s ( N I ". t ^ ~ > 00 I 0 0 vs Q;0inr~ . <3<2upGLLd(7 ) SH E E T N O . 1 OF 1 Orenco Technical Data Sheet 4-jn. (100-mm) Biotube® Effluent Filters BiotubeP filter — \ cartridge Extendable tee handle Vented top plate, standard BiotubesFD) I E I IS JUN 1 1 20Z5 Bavfieid Co, Zoning Dept Biotubtf filter vault ••^ 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 Filters (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 FTDD04 Flow modulator and float switch bracket options: Blank = no options selectedM = flow modulation plate installedA = 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 4-in. (100-mm) filter diameter Outlet tee: W = fits Type 3034 outlet teeS = fits Schedule 40 outlet tee Rlter mesh option: Blank = 1/s-in. (3-mm) fitter meshP = 1/n-in. (1.6-mm) filter mesh Biotube* effluent filter Materials of Construction Vault Biotube® cartridge Handle components PVC Polypropylene and polyethylene PVC, polyethylene, stainless steel Orenco Systems® Inc., 81 4 Airway Ave., Sutheriin, OR 97479 USA • 800-348-9843 • 541 -459-4449 • www.orenco.com NTD-FT-FTS-1 Rev. 3.0, © 05/18Page lot 2 OrencoSYSTEMS Technical Data Sheet 1-^J ABC ^ %1 Air vent (on optional flow modulation plate) Discharge orifice (on optional flow modulation plate) Specifications h-D-H JUN 1 1 2025 yaynelc! Co /oninQ Dept Model A - Vault height, in. (mm) B - Cartridge height, in. (mm) C - Inlet hole height,* in. (mm) D - Nominal diameter, in. (mm) Number of inlet holes Inlet hole diameter, in. (mm) Discharge orifice diameter, in. (mm) Discharge coupling diameter, in. (mm) Filter surface area,+ ft2 (m2) Flow area,** ft2 (m2) Flow Modulation Plate (Optional) Number of discharge orifices Discharge orifice diameter, in. (mm) Number of air vents Air vent diameter, in. (mm) FTS0444-36, FTW0444-36 44.00(1118) 36.00(915) 21.25(540) 4.00(100) 8 1.13(29) 4.00(100) 4.00(100) 5.1 (0.50) 1.5(0.15) 2 0.50 (12.7) 1 0.50(13) FTS0436-28, FTW0436-28 36.00(914) 28.00(710) 19.25(489) 4.00(100) 8 1.13(29) 4.00(100) 4.00(100) 3.9 (0.40) 1.2(0.12) * Inlet hole height can vary depending on the configuration a! the tank. Optimum hole height is 70% of the minimum liquid level. + Filter area is defined as the total surface area of all individual B/ofafies® within the filter cartridge. " Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge. NTD-FT-FTS-1 Rev. 3.0, ©05/18Page 2 of 2 Orenco Systems* Inc., 814 Airway Ave., Sutheriin, OR 97479 USA • 800-348-9843 • 541 -459-4449 • www.orenco.com Real Estate Bayfield County Property Listing Today's Date: 5/25/2025 "* Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description; Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: ESN: ) Tax Districts 1 04 018 041491 001700 36187 Updated: 11/30/2011 04-018-2-44-08-14-2 01-000-11000 (018) TOWN OF 514 T44N R08W NE NW LESS W 783A 29.290 29.290 1 Yes Ill DRUMMOND 1/4 IN V. 1061 P.276 Updated: 11/17/2011 STATE COUNTT TOWN OF DRUMMOND SCHL-DRUMMOND TECHNICAL COLLEGE < Recorded Documents B TRANSFER ON DEATH Date Recorded: 4/20/2016 0 QUn-CLAIM DEED Date Recorded: 4/26/2011 Updated: 11/17/2011 1158-885 1061-276 Property Status: Current Created On: 11/17/2011 7:51:12 AM ffl Ownership MICHAEL W & SHARON L WICK Updated: 11/17/2011 DRUMMOND WI! Billing Address: MICHAEL W & SHARON L WICK11380 RESETTLEMENT RDDRUMMOND WI 54832 Mailing Address: MICHAEL W & SHARON L WICK11380 RESETTLEMENT RDDRUMMOND WI 54832 Site Address * indicates Private Road 11380 RESETTLEMENT RD .-•ia-j Property Assessment 2025 Assessment Detail Code Acres Gl-RESIDENTIAL 2.000 G6-PRODUCTIVE FOREST 27.290 2-Year Comparison 2024 Land: 52,900 Improved: 75,600 Total: 128,500 fff Property History Parent Properties .;-; o1- 1.1. ';; DRUMMOND 54832 Updated: 8/9/2021 Land 12,000 40,900 2025 52,900 75,600 128,500 Imp. 75,600 0 Change 0.0% 0,0% 0.0% Tax ID JUN 1 'i '^O'^ Bayrieid Co. Zoning Dept. HiSTbRYB 0 Tax ID; ' 36187 • pill: ^•••",, This Parcel White=Current Parcels Pink= Retired Parcels Parents J.eg^ Pur [^ ^Children ^S-QCW Private Sewage System Maintenance Agreement Owner(s) Name MIC^A^- W. W^ck: ^d. <S^^ L. W/dc Owner(s) Mailing Address / is ?o ^£rf^MW ^ . iRum^o^i s^\4-Site Address ^fo^^rru^^i^rTih.iRum^k V/f^^i TaxlD#^/^"7 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 /V W 1/4 Section Additional Legal Description:1^65 Township '7*7 N. Range w '/-/w. Town of Lot Lot !^MMWA (Acreage)^0 Gov'tLot Block Subdivision CSM#Vol.(ou Page 3^ CSM Doc#^M^M^-f4 OOCUMENT NUMBER2025R-60763 1 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. Wl RECORDED05/28/2025 AT 9:50 AM RECORDING F-EE: $30.00 PAGES: 1 Recording Area Return To: Planning and Zonj% Department .' //5T- m" BIS1)811 MAY29Z025 SayfieidCu.ZoinngDept 03 In-ground gravity D Mound In-ground dosed D In-ground pressure distribution Sewage System: D At-grade Sewage System D 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 authonzed 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 fitter 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-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. 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 Mi^H^i- W. -^icj^ ^W L- WfCK •«*<W".""""»<1/^•^{/^T^J .Subscribed and sworn to before me on this date: ?\ lyl^ 27,Z6)Z.S Notarized Owner(s) - Signature(s) sjn^A^jjLu). UML^\ \ ^'i^^'.'-^^L ^</BLIG%^--d^9 Of .."..^r.Q Nptary|3i Drafted by: v5/^A?A/ /-. W/<;K pate: ^•^fe^'.5.0^' ./^Y^UA lol^il-z-oz-S Proofed by: u/forms/sanitary/septicmaintenceagreementRevised July 2020 B^yFIELD ra Property Owner: WICK/MICHAEL W & SHARON L 11380 RESETTLEMENT RD DRUMMOND/ WI 54832 Description Certified Soil Tests - Review & Filing Total: Payment Amount: Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washbum,WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Fee Submission Number: SR-00262 Transaction Number: SR-00262-2DA6E Amount $50.00 $50.00 $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. B^ynELD H Property Owner: WICK, MICHAEL W & SHARON L 11380 RESETTLEMENT RD DRUMMOND/ WI 54832 Description Private Sewage System (Septic Tanks) 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 Submission Number: SS-00559 Transaction Number: SS-00559-2D714 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 COUNTS SANITARY PERMIT (#04)-25^5S STATE SANITARY PERMIT OWNER: MICHAEL W & SHARON L WICK GOVTLOT: LOT: BLK: NE 1/4 NW 1/4 SEC: 14, T 44 N, R 8 W TOWNSHIP: Drummond SOIL TEST: 53-25 REPLACEMENT SYSTEM SYSTEM TfPE: Non-Pressurized In-Ground PLUMBER: DENNIS RASMUSSEN TRACY POOLER Authorized Issuing Officer DATE: 6/16/2025 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