HomeMy WebLinkAbout25-57S5$-C9<95'fod
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Department of Safety
& Professional Services,
Industry Services Division
CountyBayfield
Sanitary Permit Number (to be filled in by Co.)
55-5'?^
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.
I. Application Information — Please Print All Information
Project Address (if different than mailing address)
41540 US Hwy 63
Property Owner's Name
Douglas P & Merlena K Wegener ID!Parcel #
9697
Property Owner's Mailing Address
41390 US Hwy 63
jmrwznzs
City, State
Cable, Wl
Zip Code
54821
II. Type of Building (check all that apply)
0 1 or 2 Family Dwelling - Number of Bedrooms
D Public/Commercial - Describe Use
a State Owned - Describe Use.
?OAeNumt»gf;!':-:; '-'c^'
612-817-9235
Property Location
Govt. Lot
sw _'/4,.NW ,/, section 25
Lot #T 43 N R 08 _EorW
Subdivision Name
Block #
CSM Number
a City of.
D Village of
0 Town of cable
m. 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 New System D Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain)
B.D Holding Tank B, In-Ground
(conventional)
D At-Grade D Mound a Individual Site Design D Other Type (explain)
c.Renewal Before
Expiration
Revision D Change of Plumber D Transfer to New OwnerlList Previous Permit Number and Date Issued
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
450
Design Soil Application Rate(gpd/sf)
0.5
Dispersal Area Required (sf)900 Dispersal Area Proposed (sf)932 System Elevation95.5
Tank Information
Capacity in
Gallons
New Tanks Existing Tanks
Total
Gallons
# of
Units
Manufacturer
^ s
0(C 0
0 •§S 5 E 5
Septic or Holding Tank 1000 1000 Wieser Concrete x
Dosing Chamber
V. Responsibility Statement- I, the undersigned, q^su^e responsijfUity forjja,st^ation ofljjhe POWTS shown on the attached plans.
Plumber's Name (Print)
Douglas Manthey ^MP/MPRS Number
MP 230722
Business Phone Number
715-739-6868
Plumber's Address (Street, City, State, Zip Code)
PO Box 196 Drummond, Wl 54832
VI^County/Department Use Only
Approved D Disapproved
D Owner Given Reason for Denial
Permit Fee
m-
Date Issued
\^ll(elc »r>hi.
^5
Issuii Sig^^J7/3 ^//v^
Conditions ofApproval/Reasons for Disapproval
Se-^ ^t/ncA^ ^^
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2x11 inches in size
SBD-6398 (R. 03/22)
In-Ground Gravity Plan
Index & Cover Sheet
!UI s '^
PAGE 1 OF 4
!P Ts n^ ^w
ff n ';OA lit;Q '^
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:
Wieser Tank Specs
Property Listing
Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Wegener Conventional
Owner Name(s): Douglas & Merlena Wegener
Owner Address: 41390 US Hwy 63 Cable, Wl
phone: 612 -817 .9235
Zip: 54821
Project Address: 41540 US Hwy 63 Cable, Wl
GovtLot:_ sw
Township: Cable
Project Parcel ID #: 9697
1/4 of NW 1/4^ section^5_, T 43 N-R08 or W /
County: Bayfield
Designer Information
Designer Name: Douglas Manthey _ Phone: 715 _ 739 .6868
Designer Address: P0 Box 196 Drummond, Wl
E-mail: norpines@cheqnet.net
Zip: 54821
This space reserved for approval stamp.
License Number: MP230722
Remarks:
Signature:
Origihysi^adture required on e^^saBinitted copy.
Date: 06/03/25
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PAGE"? OF y
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|H| JUN0920Z5
Y-'^^W} : . . UinPQ '^t
PROPOSED
3BEDRM
4^-y^
3%
AB2
98.99'
NO WELL
f
DOUGLAS & MEKLENA WEGENER
41390 US BWY 63
CABLE WI 54821
612-817-9235
PIN 04-012-2-43-08-25-2 03-000-10000
S 25 T 43N R 08W
TWON OF CABLE
41540 US HWY 63
BM NAH. AT BASE OF RED PINE 8" DBH
SYSTEM ELEVATION 95.5'
SIZED AT 0.5
CO^QO^V^
Xn- (yrcxj-^c^ S=>\\ ^loso,rp-i-'.o/\.^>r ^>^T5
Ni
0'40'
SCALE 1"= 40
BM-^-
100.0'
\)ef5^E>^ l.\ C S/^.2- ^/2.f))
^vr^2^r)z^
(^('2 /^$~
IN-GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
±-t.. i.-i
SOIL COVER
Septic Tank(s) Manufacturer:
^/Vieser Concrete
1000 gal
Orenco
Septic Tank(s) Volume(s):
gal — gal
Effluent Filter Manufacturer:
gal
Effluent Filter Model #: PSCS0621-18
12"
mln. trench
depth(typical)
-.4 :<
34" ". \...\ ., •• ••(typical)
TYPICAL TRENCHCROSS SECTION VIEW
(No Scale)
System Elevation = 95.5 ^
(typical)
Provide minimum 3 ft
separation between trenches.
(Show location of intet / outlet pipe connection on plan view.)
Quick4 Standard-W
w/ End Cap
(typical) v*-.."" ——,. -. .,..— »»>.». ^,^^ ,.,.^^~,. ^,. ,-.>-.. ..^.../ ^^ permanufacturei's
instructions.
•---^---------7^-- ------ - f -J T.
A =3.0 ft!ljl(gi8is|a|gjsMsij»jsNiaNi^ij ^|>!(3Jfii;!JnJOHiJBi3Je(li|nl;jli!Bi3!BJ!;illf
Observation Pipe(typical)TYPICAL TRENCH
PLAN VIEW
(No Scale)
INSTALL PER TRENCH:
-^--
B= 94
----^----^(typical)
(typical)
ft
Quick4 Std-W @ 20 ff EtSA/chamber = 460
Pairs of end caps @ 6 ft2 EISA/pair = ^.
ft2
ft2
-Quick4 Standard-W Chamber(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
rrxc^.
c^ ^^
Li":.^]
r~^U- ;Tij=T;(
i^F::=::::=5"]
-0>0m00Q-n
-t^
= Proposed EISA per trench = 466
x2_
Required Infiltration Area = 900 ft2
trenches = Proposed Total EISA = 932 ft2
Distribution Method:
branched manifold
,P/\F| ^OF 4In-ground Gravity Management Pl8n^ jt jji^
IMPORTANT: N! JUNOR/'i^ "-'
The owner of this in-ground gravity system shall be responsible for its perpetual operation and roamtenance 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 = __450___ gpd; BODs S 220 mgL1; TSS S 150 mgL-1; FOGS 30 mgL1
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (/.e. odors, user complaints, etc.)
o mechanical malfunction (/.e., pumps, valves, switches, floats, etc.)
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, ete.)
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 laterat 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 tankfs) 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: HK SeptJC Service _ phone: 715-798-3494
Local government unit: Bayfield County Planning & Zoning phone: 715-373-6138
Local government unit address: PO BOX 58 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.
Continciencv 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.
BAYFIELD COUNTSCHECKLIST FOR SANITARY APPLICATONS i[l1 E ip HJ f F R
Submit the Following (Use Permanent Ink) fTitle 15, Section 15-l-10(e)) ? j! ;^^ ^ ^ ^
'Check List
[7T6riginal Sanitary Application (Submitted in Deed Holders Name - not prospective buyers) (383.12f(l)l.) i1"'; "-r
[TTndex Page / Title Sheet (Signed by Plumber) (383.22(2)69(c))
CTOriginal Plot Plan (383.22(2)2. 3. & 4.a)
B<ross Section, Over-Head Profile of the System and Schematic of Tank from Manufacturer
D Pump Tank Diagram, Alarm and Pump Curve (when applicable)
B'fontingency Plan / Management Plan (383.22-3(2)(b)l.f.)
D Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds)
D Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds)
D Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5)
D ATU Servicing Agreement (Recorded at Reg. of Deeds)
0^e (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) VOO.O 0
a ^ Complete Setl^of Plans (383.22(2)(2.) ('Note: Sanitary Application and Maintenance Agreements are to be attached
to all copies)
B-Sbil and Site Evaluation Report (383.22-3(2)(b)l.e.)
D State Plan Review (when applicable)
D Copy of Warranty/Quit Claim Deed (Optional)
Sanitary Application: (Include the following Information)
I Application Information must include: D 23 diqit Parcel ID# - (do not use 12 digits anymore-obsolete)
B^Project Address or Road Name where driveway is/will come off of) B-fOwners Phone Number)
Type of Building
Ill Type of Permit
'IV Type of POWTS System
IZ^V Dispersal / Treatment Area Information
(ZTVI Tank Information
Responsibility Statement (Plumber's Information)
D *Date Stamp*
Plot Plan: (To Scale or To Dimension)
and Plumber Information /D Address Number and Road
D Surface Elevation of Body of Water [^North Arrow
)irection and Percent Land Slope [^Contour Lines
rank and Filter Information and Location P-'Structures and Driveways
D Wetlands / Navigable Bodies of Water Bearing Locations
Q^bsorption Area (Proposed and Existing) G-Property Lines
I^Bghch Mark (Location, Elevation and Description) D Well Locations
O^omponent Manual Version ETlegal Descriptions
Material Information (conveyance line, building sewer line, material type and diameter)
Turn Over >
Cross-Section and Over-Head Profile of the System: . ,|U; - tis ) '
face and System Elevation "n' . / .-.;^; .HIN 0 9 ?!15osition of Observation and Vent Pipes '
ETDimensions and Depths ^ ':;^
Q/MSl<e, Model & Number of Chamber Units in each Cell
Property Information
[ZTTfow many systems will there be on this parcel of land?
Has this property been split? 'VJU (Property Statement shows Property History)
Fees:
Private Sewage System (Septic Tanks) $ 400.00
D Private Sewage System (Holding Tanks) $ 400.00
D Mounds or Systems requiring Pre-Treatment $ 500.00
D Sanitary Revisions $ 25.00
D Private Sewage System Reconnection $ 50.00
and Private Interceptor
D Return Inspection $ 50.00
D Maintenance Agreements ^ $ 30.00
(checks made out to Reg of Deeds)
u/forms/checklists/checklistforsanitaryapps(10/2009);(®7/2011);(®2/2012)(®5/2/2012-dc) Proofed by:
$^-0oo^.
/^-,$-' ^<$\ Wisconsin Department of Safety and Professional Services
,''-?\ n \$' Division of Industry Services
^t's SOIL EVALUATION REPORT
!iEn::^v!S^LA
.UN 0 Q ?026 il;'_oC
<ln;^gcorda()ce with SPS 385, Wis. Adm. Code
Attach complete site plan on paper not less than ^'1/2^x 1;1 ip<^ies~in^ze.;@an must include,
but not limited to: vertical and horizontal references<poinf;(BM);'][ii.^ior»^nd percent slope,
scale or dimensions, north arrow, and location and distance to'~neaFest'road.
l-^.Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)).
Cotirit^BAYFIELD
Parcel I.D.04-012-2-43-08-25-2 03-000-10000
Reviewed by.7^-^</Date
D B
E (or) W
Property OwnerDOUGLAS & MERLENAWEGENER Property Location
Govt. Lot %y, s 25 T 43 N R 08
Property Owner's Mailing Address41390 US HWY 63"Site Address or CSM and Lot #:41540 US HWY 63
CityCABLE StateWI Zip Code54821 Phone Number$12^1792:D CityCABLE D Village B Town Nearest RoadUS HWY 63
[•] New Construction Use:® Residential/NumberofbedroomsS,
'lacement I_I Public or commercial - Describe:
Parent material_
General comments and recommendations: SYSTEM ELEVATION 95.50' SIZED AT 0.5
Code derived desianflow rate 450 GPD
Flood Plan elevation if applicable_fit.
Boring #DBoring 98.25'
IPit Ground surface elev._ft.
>g4" >91.25'
Depth to limiting factor_in. / elev._ft.
Horizon
1
2
3
4
Depth
In.
0-12
12-22
22-38
38-84
Dominant Color
Munsetl
5YR 3/1
5YR4/4
5YR 4/4
5YR4/3
Redox Description
Qu. Az. Cont. Color
Texture
SL
SL
VGRLS
CB COS
Structure
Gr. Sz. Sh.
3FGR
2MSBK
OSG
OSG
Consistence
MVFR
MVFR
ML
ML
Boundary
AW
cw
cw
Roots
3VF-M
1F-M
0
0
Soil Application Rate
GPD/Ft2
*Ef?1
0.6
0.6
0.7
0.7
*Ef?2
1.0
1.0
1.6
1.6
Boring #QBoring 98.99'
|B|Pit Ground surface elev._ft.
>84"
Depth to limiting factor_in. / elev..
Horizon
1
2
3
4
Depth
In.
0-5
5-23
23-45
45-84
Dominant Color
Munsell
5YR 3/2
5YR 3/4
5YR 5/6
5YR 4/4
Redox Description
Qu. Az. Cont. Color
Texture
LS
LS
FS
CB COS
Structure
Gr. Sz. Sh.
3FGR
OSG
OM
OSG
Consistence
MVFR
ML
ML
Boundary
AW
cs
AW
Roots
3VF-F
2F
0
0
Soil Application Rate
GPD/Ft2
*Ef»1
0.7
0.7
0.5
0.7
*EfW2
1.6
1.6
1.0
1.6
CST Name (Please Print)KEVIN McKINNEY
Address
11130 Leonard School Rd Cable, Wl 54821
9w^c 'n'k~
Date Evaluation Concluded ^05/25/2024
CST Number224234
Telephone Number715-798-3494
* 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 mg/L SBD-8330 (R04/21)
Page ^_of.
Boring*
Q BoringI Pit Ground surface elev.9^1'ff „. ,^ ^ I " ^pt|to^fng >84" >92.31'
factor ~ in. / elev.__ft.
Horizon
1
2
3
4
Depth
In.
0-7
7-26
26-52
52-84
Dominant Color
Munsell
5YR3/1
5YR 4/3
5YR 5/6
5YR 4/4
Redox Description
Qu. Az. Cont Color
Tesdure
SL
SL
FS
CB COS
i'"
StructureGrSz^h.
3FGR
2FSBK
OM
OSG
f
'u /r/"~
Consistews
MVFR
MVFR
ML
Boundary
AW
AW
AW
Roots
3VF-F
2F
0
0
Soil Application Rate
GPD/Ft2
*Ef»1
0.6
0.6
0.5
0.7
*EffiS2
1.0
1.0
1.0
1.6
Boring #D Boring
D Pit Ground surface elev.-ft.Depth to limiting factor.jn. / elev.__ft.
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence Boundary Roots
Soil Applrcatiorr Rate-
GPD/Ft2
*Eff#1 *Ef»2
Boring #D BoringD Pit Ground surface elev. ft.Depth to limiting factor_in. / elev._ft-
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr. Sz. Sh.
Consistence Boundary Roots
Soil Application Rate
GPD/R2
*Ef»1 *Ef»2
* Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * EfRuent #2 = BOD, < 30 mg/L and TSS s 30 mg/L
iLIJ E n:' j? H^ in^PAGE 3 OF 3IIIJWEGENER
JUN 0 9 Z0>.
3%
AB2
98.99'
PROPOSED
3BEDRM
NO WELL
DOUGLAS & MERLENA WEGENER
41390 US HWY 63
CABLE WI 54821
612-817-9235
PIN 04-012-2-43-08-25-2 03-000-10000
S25T43NR08W
TWON OF CABLE
41540 US HWY 63
BM NAIL AT BASE OF RED PINE 8" DBH
SYSTEM ELEVATION 95.5'
SIZED AT 0.5
NI
^ r s
's^'1' ''.-^
0'40'
SCALE 1"= 40'
^r^^-•^^39
BM^-
100.0'
4" CAST-A-SEAL 4" CAST-A-SEAL
TOP VIEW
w<
Jjx
2>UJa:
t^LD
tt-))
INLETjN^t-
-T;fS
a-.,=>'~^-
2^"-
tr
i0
"'?'.;-«.''i:; ;•: ••
in4->
T£ro
SIDE VIEW
n-^1
-PUMP
Tw^"^ 0
°:--;D --<4-
PAD
OUTLET
01ro
WLP1000
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 2 1/2"
BOTTOM: 3"
COVER: 5"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 53 1/4"
LENGTH: 8'-8"
WIDTH: 7'-2"
BELOW INLET: 42"
LIQUID LEVEL: 36"WEIGHT: BOTTOM 6,790 LBS.COVER 3,195
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 CAPACITT: 27.83 GAL/IN
HOLDING TANK:OUTLET HOLE PLUGGEDACTUAL CAPACITY: 1,085 GALLONS
LOADING DESIGN: 8'-0" UNSAWRATED 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
-v'a
Cr~^]
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
REVIEWED BY
REVIEW DATE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
0;!310]Q-lILJ|0:10-1
aynl01a-]I1—1sl0-1
>CD
s^l<
000 <
uFa.Qw
SHEET NO.
1 OF 1
Private Sewage System Maintenance Agreement
Owner(s) Name
Douglas P Wegener & Merlena Wegener
Owner(s) Mailing Address
41390 US Hwy 63 Cable, Wl 54821
Site Address
41540 US Hwy 63 Cable, Wl 54821
Tax ID #9697
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)
sw 1/4 of_NW_1/4 Section ^S_Township _43_N. Range °8 W.
Additional Legal Description; See Attached Additional Description
Town of Cable _ (Acreage) 31.98 Gov'tLot.
Lot _,_ Block Subdivision
Lot _ CSM # _ Vol. _ Page _ CSM Doc #.
DOCUMENT NUMBER2025R-60-7-7S3
DANIEL-J. HEFFIMER
REGISTER OF DEEDS
BAYFIELD COUNTY, Wl
RECORDED
06/09/2025 AT 11 :35 AM
RECORDING FEE: $30.00
PAGES: 3
Recording Area
Return To:
Planning and ZolTtrag l^p^tr^enE ^ |^ []'Ni!!i JUN 1 02026 i!-;l
0 In-ground gravity
Mound
D In-ground dosed
At-grade Sewage System
D In-ground pressure distribution 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-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.~^w^^Owner(s) Name(s) - Please Print
Douglas P Wegener
Merlena Kay Wegener
Not^azesi Owner(s),- Signati
,s.^L°"y>a^^
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Drafted by: Doug Maitfhey ' pate: 06/03/25
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My Commission Expires:
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ANGELA M. KINDERMAN
Notary Public
State of Wisconsin •
Proofed by:
forms/sanitary/septicmaintenceagreement
Revised July 2020
\ s? ^ E H f II In'M ^.r\l[| JUN 1 U/U7o luj
Legal Description
SW NW LESS 1A RR;HWY IN V.207 P.lll NLY 40 STRIP ACROSS PART OF
NW SW IN 2022R-594207 954 (NANCY K KELLEY LIFE ESTATE)
K fi" V \\. "i; IS In;[D| 1^ !!5 ^ !i W !^ jfli
tl JUN 1 U ZOZs P
Legal Description ^avnei.i; -o .•-;^H'L! rec
Southwest Quarter of the Northwest Quarter (SW% NW%), Section Twenty-five (25), Township Forty-
three (43) North, Range Eight (8) West, less railroad right-of-way; less highway described in Volume 207
of Records, Page 111.
AND
Northwest Quarter of the Southwest Quarter (NW% SW%), Section Twenty-five (25), Township Forty-
three (43) North, Range Eight (8) West. less railroad right-of-way; less highway described in Volume 207
of Records, Page '111; less property described in Volume 527, Page 416; and less parcel described in
Volume 711 of Records, Page 260.
Less Parcel in 527 Page 416 described as follows:
A parcel of land located in the Northwest: Quarter (NWJt) of che
Southwest Quarter (SWJs), Seccion Twenty-five (S25), Township
Forty-Chree North (TA3N) Range Eight West (R8W) more particularly
described as follows:
Starting at Che inCerseccion of Highway SixCy-three (63) EasCern
Right of Way and Che Souchern line of said forty , Chat being the
Point of Beginning. Thence easCerly along the Souchern line of said
forty Co Che Western railroad right of way, Chence northerly along the
Railroad right of way described in V228 P101 of records 500 ft to a
point, chence westerly in a line parallel Co Che southern boundary
of the above described forty to a point on Che eastern right; of way
of Highway Sixty-three (63), Thence southerly to the Point of
Beginning. Highway Righc of Way Described in V 207 Pill of
records.
Less Parcel in 711 Page 260 described as follows:
Parcel located in the Northwest Quarter of the Southwest Quarter
(NWi SWl), Section Twenty-five (25), Township Forty-three (43)
North, Range Eight (8) West, described as follows:
Commencing at the Northwest corner of the NWi SWi; thence.
N89°25'38"E, along the North line of said NWi SWi, 103.82 feet to
a U" iron pipe on the East line of the right-of-way of Highway
63; thence Southerly along the Easterly right-of-way, 424.47 feet
to a U" pipe as the point of beginning; thence continuing
Southerly on said right-of-way, 10 feet to a point which is point.
A; thence go back to the point of beginning; thence N89°25'38"E,
117.11 feet to a li" iron pipe; thence South 0°34'24"E, 10 feet'
to a point, thence S89°25'36"W, approximately 117.11 feet to
point A; thence Northerly along said right-of-way, 10 feet, more.
or less, to the point of beginning.
B^yFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washbum, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
WEGENER, DOUGLAS P
41390 US HWY 63
CABLE/ WI 54821
WEGENER/ MERLENA KAY
41390 US HWY 63
CABLE/ WI 54821
Submission Number:
SS-00569
Transaction Number:
SS-00569-2D777
Description
Private Sewage System (Septic Tanks)
Amount
$400.00
Total:
Payment Amount:
$400.00
$400.00
Reference: 5292
Paid by: Merlena Wegener/14372 N US Highway 63, Cable WI 54821
Payment Type: Check
Transaction Date: 6/16/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit
BAYFIELD COUNTS SANITARY PERMIT (#04)-25^7S
STATE SANITARY PERMIT
OWNER: KELLEY, NANCY K LE & WEGENER, MERLENA KAY
ETAL
GOVTLOT: LOT: BLK:
SW 1/4 NW 1/4 SEC: 25, T 43 N, R 8 W
TOWNSHIP: Cable
SOIL TEST: 106-24
NEW SYSTEM
SYSTEM TYPE: Non-Pressurized In-Ground
PLUMBER: DOUGLAS MANTHEY
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: # MP 230722
Condition: Property 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