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`° INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY °TM TIME RECEIVED REMOTE CSID DURATION PAGES STATUS July 18. 2025 at 7:17:28 AM CDT 7153724159 39 1 Received Jul 18 2025 22:37 HP Faxpolkosld Plumbing 7153724159 page 1 Request 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. Plumber: Homeowner: Sanitary Permit #: Date: Time: Address # & Road Name: or Directions To Site: Comments: Time ChangeL±ELepancy entf �oI kvSk1 Te/JCocJc /Y1.��laeI Loh5L- r� 25'-7 3 S U1 i:° Frvl yr ° FZ. ✓-ei. Other Phone Number -71 C a c/ a -7/S 3 -7Z -41S --j -raPly&beams?J:Iekta' . rmfnaulaws rnone Number So Z< Dept can call you right back (ff r •7 1 S-• Z 9 z-'-((. '-6 %rs— ri°� r -e `F"kli Corfp 5 SOU J c 1. sp.`d. /cc ,`mod. 6o G�/y/J 1 ;� n i�S r t s r Sf e o K J CtiJ4`7 I e 1F77/5-tt). 1�e 7, , ** Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: u/forms/sanitary/requaetfcj nspection Zoning Dept (64/12104); ® June 2023 �ocPnPrhGyT ti, Industry Services Division ,Private Ons.ite Wastewater Treatment Systems (POWTS) Inspection Report (Attach to Permit) MICHAEL D & TERRI L LONGBERG I U City 7715 W SPIDER LAKE RD IRON RIVER WI 54847 Tank Information I TYPE I MANUFACTURER I CAPACITY I Prop. Line Well I Building Air Intake I Road Septic ` N/A Dosing O N/A Aerafion j I N/A Holding setback to: Town of. County &wMeJdLl Sanitary Lrmit No: State Plan'Transaction ID#: Parcel Tax No: /?fl Pump! Siphon Information Pump Manyf cturer O / Pump Model ' Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist To Well Dispersal Cell Information DIMENSIONS Width L9 # of Cells SETBACK FROM Pro .. Line Bui ding Well OHWM Type of Cell X 4/' t //� Manufacturer: Model Number. Pretreatment Unit Manufacturer: Model Number: Dia Over Distribution 20MMMENTS: (Include code discrepancies, persons present, etc.) 4* Cfou -i',tNk , , w/ /oo444 it47res G ' S � /4CC 1/4 e j /r„, 1We55 u, /S .4 4s t/ 7hd,7L I en rside for added? ❑ Yes o � /� O7 3 ;e other side for additional infor a n. Date POWTS Inspectors Signature License Number Elevation Data STATION BS HI FS ELEV Benchmark �� Z Bldg. Sewer i S3 Tank Inlet $3 Tank Outlet 7, 9 $R g' Dose Tank Inlet Dose Tank Bottom o 79, Inst. Contour Header/ Manifold , 7 S Distribution Pipe Infiltrative Surface Final Grade /..7 X Pressure ❑ Yes ❑ ❑ Yes ❑ No I ❑ Yes ❑ No i RrLR71n IR M1711 Al Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoninp(c bavfieldcountv.org Web Site: www.bavfieldcountv,orp/147 MICHAEL D & TERRI L LONG BERG 7715 W SPIDER LAKE RD IRON RIVER WI 54847 Bayfield County Courthouse' Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know ____ 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.septicsearch.com Notes Abandonment of Old System to meet all applicable code requirements: a • Tank was pumped by: :• Tank was crushed I removed and pipes disconnected by: on at AM/PM On / _ % at / (AM / Qhe 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. ❑ System 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: U/forms/sanits rypropertyowner-input April 2019 INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY "` TIME RECEIVED REMOTE CSID DURATION PAGES STATUS August 13, 2025 at 8:53:24 AM CDT 7153724159 30 1 Received ug 14 2025 00:14 HP Faxpolkosld Plumbing 7153724159 page 1 .- ` C E CEi`D ELEVATIONS AUG 13 2025 Complete this form hayfield, Co. Fax (715) 373-0114 to Zoning Dept Planning and zoning Agency Was Inspector Present for Sanitary Installation: Yes O No + I + Property Owner 101 c hcte./ f -r L ot^5 L,e 1r5 r Township T,. n Sanitary Permit # D y— Z ≤— 7 3 S Benchmark ofl4= C.?- CT J = ° o . Z Septic Tank #1 Holding Tank Inlet 17 • Outlet 1 ,io ng Tan le t Building Sewer /11" - System Elevation Ce li y, Z7 s 3 S, 7 Header Finish Grade 1 - -7 k— FRlet-- Top of Block 10,7 Comments .P (•e c S P a, i •e ! 6 (VAC V.l' u/oamleleval ons "'Me Department of Safe Z 2025 County Ba eld & Professional Services, Samtan Permit Number list he filled in by Co.) �� S !.. Industry Services Division / 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 Project Address (if dilicrent than mailing address) is required prior to obtaininga sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may he used ftr secondary purposes in accordance with the Privacy Law. s 15.04(l)on). Scats. SAME I. Application Information —Please Print All Information Property Owner's Name Parcel # 1 ptq a'7 Michael D. & Terri L. Longberg 04-024-2.47-08-19-1 05-001-20000 Property Owners Mailing Address Property Location 7715 W Spider Lake Rd C,t Lot Coy, Stale I Zip Code Phone Number Iron River, WI 54847 763-242-0884 v, V. Section 19 f 47 N R 08 F n w H. Type of Building (check all that apply) Lot # Subdivision Name ®Io: 2 Family Dw'elling— Number ofBedrooms 3 Block # ❑ Public/Commercial — Describe Use ❑ Cityof O Village of ❑ State Owned— Describe Use — CSM Number la Town of Iron River Ill. Type of PORTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C T e jppltabl) A ❑ New System SReplacerneni System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ('In -Ground D Ac -Grade ❑ Mound ❑ Individual Site Design g ❑ Other Type (explain) yes p (conventional) C. ❑ Renewal Before O Revision ❑ Change of Plumber ❑ TrOwner ansfer to New L is( Previous Permit Number and Date Issued Expiration IV. D6 nal/Treatment Area and Tank Information: Design Flow(grid) Design Sod Application Ratc("_pd/sq I Dispersal Area Required Isi) Dispersal Area Proposed tsf) System Elevation 450 0.7 642.9 675.6 96,95,94 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units o o n — — v o New Tanks Esistinu tanks Septic or i folding Tank 1000 1000 1 Wieser Dosing Ctvlater 1 600 - 600 1 Wieser V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plane. Plumbers Name (Print) ,/ / Plumber's igr turn s 4 _r ��G�L� S'.TIPRS Number Business Thane Number AiI -a /koski Zzma�fo ZtS2g2—°�lS{o t. Plumber's Address (Street, City, State, Zip Code) ?v fro R. ✓ ar w i r'cf7 S zz n Vi. Coon /Department Use Only Approved O Disapproved Permit Fee I Dale Issuedmb L Issuin Ag ign ❑ Owner Given Reason for Denial O — 7 i5 2S Conditions of Approv'al'Reasons for Disapproval // Attach to complete plans for the system and submit to the County only on paper not has than 8 to, s ''inches in 18e SBD-6398 (R. 03/22) (' y S D T 7 May. �. 201/ 1U:41AM BAYFIELD CO PLANNING & ZONING No. 9975 P. 3 PAGE 10F9 9 Pg 1 of 9 Pg2afq Pg3ofq Pg4of`j In -Ground Gravity Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-1 0705-P (N.01 /01, R. 10/12) Index & Cover Sheet Plot Plan pf'.1i4. Craw Section & Plan View- Z s Management Plan Attachments: Enclosures: .co.cof POWTS Application for Review(544 54 f s-f-q' Soil Evaluation Report & Site Map ` ifl p•. $ R bra#^I e Cross Sic .ten Yq qProiect Na e % 61scl-�AD-Itliwn Owner Name($): M c L 4 x -r-e, r r, L a Phone: 7 !P 3_ Owner Address: 17/.'1J'J. /✓o ,., *g. ti -e -p- w Zip: S `' ' V 7 Project Address: 5 a 4 ' s 4 L 0 u� Govt. Lot: 1- f 4 rLe( • n t,_ Section _, T N -R E Q or W Township: v o n ? County: � � r 12 r -e Id - Project Parcel lD #: © 1(_O%(o o Z a o o h Designer Information Designer Name; A 1/1 7c / ko s 1c - Phone: 7/S^ R 7z - V / S^�p Designer Address: P & 3 ? Szz yr� `(� ( v�e� V1. Zip: S_'V7 E-mail: -"o `► L/ b ems. vj uce-a't o This space reserved for approval stamp. License Number: Z2 - o o 7 p Ljj Remarks: t j[ tI 2 2025 Sign atu re. Date: . b Oaginal signaWro require on each submitted copy. Ln BAYFIELD COUNTY Michael D. & Terri L. Longberg CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) 21 Check List td Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1,) 21 Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 0 Ot iginal Plot Plan (383.22(2)2. 3. & 4.a) 0 Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer ❑ Pump Tank Diagram, Alarm and Pump Curve (when applicable) 0 Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) 21 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) ❑ Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) ❑ Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) 0 ATU Servicing Agreement (Recorded at Reg. of Deeds) 0 Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 0 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) 0 Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) ❑ State Plan Review (when applicable) ❑ Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) 21 I Application Information must include: 0 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) 21 Project Address or Road Name where driveway Is/will come off of) 21 II Type of Building 21 III Type of Permit 21 IV Type of POWTS System 91 V Dispersal / Treatment Area Information 2 VI Tank Information 21 VII Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) 21 Signature and Plumber Information 21 Surface Elevation of Body of Water 21 Direction and Percent Land Slope 0 Tank and Filter Information and Location 21 Wetlands / Navigable Bodies of Water 21 Absorption Area (Proposed and Existing) 21 Bench Mark (Location, Elevation and Description) 21 (Owners Phone Number) L J//025 -,t 21 Address Number and Road 0 North Arrow 21 Contour Lines 21 Structures and Driveways 21 Boring Locations 21 Property Lines id Well Locations • Component Manual Version 0 Legal Descriptions 21 Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Longberg (3 bedroom) Lift to Gravity In -Ground Plot Plan North I Centel ofWSpl� _ke d MICHAEL D & TERRI L LONGBERG °• 7715 W SPIDER LAKE RD PAR IN GOVT LOT 1 DESC IN V.1067 P.252 417P 519 T47N ROSW Town of Iron River "__ 04-024-2-47-08-19-1 05-001-20000 a °.a 1.060 acres 2 a pole bldg 99, 9T �— 'r""" .' ""111111 " Three rows of 11 Infiltrator Quick4 Pius Standard chambers 95' 14.2% s 2" forcemain ASTM D1785 Wieser precast WLP1000/600-MR w/ Myers Me 40 pump ' & polylok 525 filter P Septic tank & drainfield to be abandoned per SP 383.33 c (/Pd' 1. rQto be insulated per SPS 382.30 Garage bedroom house Well Jl lJ 2 2025 f v G L LJ Trail down to lake 1, n 4 OHWM S NOTES: - Spider Lake Elev a 83' Scale 1:40 - All vent, observation & conveyance pipes �-— 4" ASTM 01785 or code equivalent It Bench Mark = Duplex nail w/ orange disc in 9" DBH Maple tree Elev = 100.0' Aopraved Manbo'e (.aver$ Wt?, Wa---y - ... and Locking Device / dMin Above c'^c! C'ar'e Weather Proof Junction Sox Electric ner NEC 300 & COMM. 4" Sch. 40 Vent ' . ^6.28 WAC >or= to12" W Above Final Grade rI Inlet { i i Alternate Outlet Location 1jL--- .g W/Approved 4' Sleeve 2 inch forcemain Polylok PL -525 A eleD Hole or Anti Siphon Device C Wieser 10001o"OOLP Vertical Difference Between Pump Off and Inlet to Chamber Length of Forcemain(ft.) Inches Gallons Forcemain Diameter (in.) Friction Factor per 100ft. Friction Loss Total Dynamic Head TOTAL 36.0 603.4 Number of Doses per Day Gallons per Dose (Not to exceed 20% of Daily Design Flow) Volume of Forcemain Backflow Total Dose Volume Pump Tank Capacity (Gallons) Pump Tank Volume (Gallons / Inch) LLquid Level (in) A 18.5 310.2 B 2 33.5 _ C D 4.J 11 0( 75.3 184.4 - Tank Alert 1 C2'1025 Alarm C a 5 CAPACITY [BERT PER MINUTE CAPAcaY GALLONS PER MINUTE ti 150" 4" CAST -A -SEAL FILTER OR BAFFLE TOP VIEW a a INLE' CV 0 - SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 4" CAST -A -SEAL VENT OUTLET CJD M PAD WLP1 000/600 -MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 56" O.D. LENGTH: 150" O.D. WIDTH: 84" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36" WEIGHT: 14,970 LBS. INLET AND OUTLET 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 6 .88 76 GAL�} N (PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: N I- O N o z o o a V)i W5 U) w w SHEET NO. OF / 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE INFORMATION Owner Michael D. & Terri L. Longberg Permit # fFCI[.N PARAMETERS Number of Bedrooms 3 O NA Number of Public Facility Units ® NA Estimated (average) flow 300 aVda Design (peak) flow = (Estimated x 1.5) 450 gal/day In Situ Soil Application Rate 0.7 aVda /ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BOD5) ≤220 mg/L 0 NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODO) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L ® NA Fecal Coliform (geometric mean) ≤104 cfu/100ml Maximum Effluent Particle Size in dia. ❑ NA Other: ® NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Tank Manufacturer Wieser 0 NA ® Septic 0 Dose ❑ Holding vol. 1000 gal Tank Manufacturer Wieser O NA ❑ Septic ® Dose 0 Holding vol. 600 gal Effluent Filter Manufacturer Polylok O NA Effluent Filter Model 525 Pump Manufacturer Myers O NA Pump Model ME40 Pretreatment Unit ® NA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) ❑ NA ® In -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade O Mound ❑ Drip -Line O Other: Other: ® NA Other: ® NA Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 ❑ month(s) (Maximum 3 years) ® year(s) O NA Pump out contents of tank(s) ® When combined sludge and scum equals one-third ('') of tank volume ❑ NA O When the high water alarm is activated Inspect dispersal cell(s) At least once every: 3 ❑ month(s) (Maximum 3 years) ® year(s) O NA Clean effluent filter At least once every: 3 ❑ month(s) ® year(s) O NA Inspect pump, pump controls & alarm At least once every: 3 ❑ month(s) ® year(s) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) ® NA Other: At least once every: s)® p year(s) NA Other: ® NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measire the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintainer. '.�i A service report shall be provided to the local regulatory authority within 10 days of completion of any service vent. L) t Ll Z025 1.� GMW (12/02) Private Sewage System Maintenance Agreement _p-ts- ale s - �.n RI ve.- Pr / k c�. t c'J2 5-i�S d L.-4. j'2. P,Tax ID # F 19 1 qcl, q 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 time to time amended. (COMPLETE Legal Is required) 114 of 114 Section 2Township N. Range $ W. Additional Legal Description: 52.€..'O Ito tj i Town of JYa 41. 5`P- (Acreage) Gov't Lot _____ Lot Lot______Block Subdivision Lot___ CSM #_____ Vol. Page _ CSM Doc # DOCUMENT NUMBER 2025R-607955 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/23/2025 AT 1 1 :32 AM RECORDING FEE: $30.00 PAGES: 2 Recording Area Return To: • 13'r' TID ID S /<< ' '3c)( 5Z -Z in -ground gravity ❑ in -ground dosed ❑ in -ground pressure distribution Sewage System: OMound O At -grade Sewage System ❑ Other SemioTank (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 (113) of the volume occupied by sludge and scum. Pumo 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. seat c 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 Call(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 pending on the ground surface. Mounds. At-�irade. and u d Pressure Systeme (system types C, D and E): The laterals shall be flushed out and swabbed If needed when the wastewater dlotrihution. cal! 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 Bayffeld 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 coats and charges may be placed on the tax roll ass special assessment for tement of a human health hazard, and the tax shall be collected as provided by law. ....N�f�gfi,,._ The terms and conditions of the agreement sheMr, "tlb%kpp��pyr Owner(s) Name(s) — Please Print p ,4 • • 0p WISit ""'m11" Drafted by: AMY S `C f Date: 4) to the benefit of all current and future owners of such properly. noea ana sworn to before me on this date: J We . r N -1i, z(Jz F U r mmTs Expires: t,oi ih. J/ A �� L t U6 �i Proofed by: u/forms/senttary/septicmalntenceagreeman a Revised July 2020 • State Bar of Wisconsin Form 3 - 2003 QUIT CLAIM DEED Document Number Document Name THIS DEED, made between ("Grantor," whether one or more), and Michael D. Longberg and Terri L. Longberg, Husband and Wife ("Grantee," whether one or more). Grantor, quit claims to Grantee the following described real estate, together with' the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): East Half (El/2) of a parcel of land in Government Lot one (1), Section Nineteen (19), Township Forty-seven (47) North, Range Eight (8) West, described as follows: Starting at the 1/16th line intersecting the East and West section line between Sections Eighteen (18) and Nineteen (19) at the iron marker; running thence South from this point along the town road a distance of 408 and 2/3 feet to an iron marker, thence West 160 ft. to an iron marker and the point of beginning. Running thence South to the shore of Spider Lake to an iron marker; thence West along the shore line 280 feet to an iron marker; thence North to the town road; thence East 280 ft. of beginning. O o 4� Dated August 19, 2011 r "'f� • (SE * Barbara . Carlson ''o,,e�e0 * PATRICIA A OLSON BAYFIELD COUNTY, WI REGISTER OF DEEDS 201 1R-539960 08/26/2011 09:55AM IF EXEMPT t: 8 RECORDING FEE: 30.00 PAGES: 1 Recording Area Name and Return Address Michael and Terri Longberg 3441 Placer Ave. Anoka, I 55303 024-1047-08-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) (SEAL) (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on Bavfield COUNTY) Personally came before me on August 19, 2011 the above -named person * Barbara A. Carlson TITLE: MEMBER STATE BAR OF WISCONSIN to me own to be the person(s) who executed the (If not, foreg g trument cknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: *Pe Barbara A. Carlson Notary Public, State of Wisconsin My Commission (is permanent) (expires: 11/19/20L&) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED STATE BAR OF WISCONSI 1067 P252 FORM No. 3-2003 *Type name below signatures. Coldwe➢ Banker East West Realty PO Box 714 Iron River. WI 54847-0714 Phone: 715.372.4090 Fax: 715.372.4041 Carlson Peery Kman Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zioLogix.com JUL 022025 Cron Section of a Three Cell Ingrouod Component Using I,eecbing Chambers Finished Grade 97.50 Original Grade 97.50 1 i4SO6�aadaaNc4� Top of Chamber 96.00 ` System Elevation 95.00 Finished Grade 99 \ Slope 14% epa . Finished Grade 96.50 �3 Feet 6.00 System Elevation r.[[!�.���".,:.'�" �...L. Y y System Elevation 94.00 a ... ob-K"W a'Vmt pi to h- _mans.. ad apped With 4PPI°.d mrri$h Cdr pvocuty we. 47 feet X47 feet ri a 47 feet / Vent Pipes to be located at the ends of the distribution cells 3 feet between cells h8 &rfl fl n- roun of sorption Version ay Component Manual Used 2022-2027 3 Number of Bedrooms 14.2 Percent Slope (%) 76 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 300 Estimated Wastewater Flow (gpd) 450 Design Wastewater Flow (gpd) 3 Number of System Elevations 96 Proposed System Elevation #1 95 Proposed System Elevation #2 94 Proposed System Elevation #3 99 Original Grade #1 99 Finished Grade #1 97.5 Original Grade #2 97.5 Finished Grade #2 96.5 Original Grade #3 96.5 Finished Grade #3 Wieser 1000/600LP jCombo tank or pump tank Polylok PL -525 jJEffluent Filter inftratorQuick4PiusStandardJ Chamber Type 12 Height of Chamber (in.) 20 sq.ft. per chamber(ESIA) 5.2 sq.ft. per pair of end caps (EISA) 4 laying length of chamber(ft.) 1.5 length of endcap(ft.) 34 Chamber width(in.) J"J Rows of Chambers Distance Between Cells (ft.) 11 Number of chambers in first row 11 Number of chambers in second row 11 Number of chambers in third row 33 Proposed Number of Chambers Used 642.9 Minimum Distribution Cell Area Required (sq.ft.) 675.6 Distribution Cell Area Proposed (sq.ft.) 7y 9 a�9 F `• i��+ �� �'' i`� it - � � JUL 022025 3 O ja A. Wisconsin Department of Safety & Professional Services Page__1 of Division of Industry Services p r(� =1 t '� ' • 1 .i�? SOIL EVALUATION REPO T In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, Bayfield but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. j.'l (4 4 7 scale or dimensions, north arrow, and location and distance to nearest road. 04-024-2-47-08-19-1 05-001-20000 Please print all information. R d Date ,t, Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). /4&37/3 I Property Owner Property Location ❑ ❑ Michael D. & Terri L. Longberg Govt. Lot 1 % 'r, S 19 T 47 N R 08 E (or)Q Property Owner's Mailing Address Site Address or CSM and Lot #: 7715 W Spider Lake Rd 7715 W Spider Lake Rd City, State, Zip j Phone Number ❑ city ❑ Village ® Town INearest Road iron River, WI 54847 I ( 763 ) 242-0884 Iron River 7715 W Spider Lake Rd ❑ New Construction Use: Ef Residential/Numberof bedrooms 3 Replacement ❑ Public or commercial — Describe: Parent material Outwash plains (Rubicon-Sayner complex) General comments and recommendations: Lift to Gravity In -Ground ❑ Boring Bonng # Pit Ground surface elev. 98.4 ft. Code derived designflow rate 450 GPD Flood Plan elevation if applicable N/A ft Depth to limiting factor $4 in. I elev. 91.4 ft Snil Annlicatinn 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 *Eff#2 1 0-2 5YR 2.5/2 — s 0sg ml cw 2f/2vf 0.7 1.6 2 2-18 7.5YR 3/4 s 0sg ml aw 1m/1f/1vf 0.7 1.6 3 18-33 5YR 4/4 — (5%GR) s Osg ml as 1f 0.7 1.6 4 33-57 5YR 4/4 —' s 0sg ml as — 0.7 1.6 5 57-84 1OYR 5/3 — fs Osg ml — -- 0.5 1.0 Boring # Boring Pit ®Pit Ground surface elev. 95.5 ft Depth to limiting factor 84 in. /elev. 88.5 ft. Sail Aenlicatian 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 *Eff#2 1 0-3 5YR 2.5/2 — s Osg ml as 1vf 0.7 1.6 2 3-22 7.5YR 4/4 — s Osg ml gw 1 co/2m/1 0.7 1.6 3 22-43 7.5YR 4/4 — (5%GR) s Osg ml cw I of 0.7 1.6 4 43-76 1OYR 5/4 -- s osg ml as — 0.7 1.6 5 76-84 1OYR 6/4 —' fs Osg ml -- -- 0.5 1.0 CST Name (Please Print) Signature- — CST Number Keith Wiley= 654921 Address Date valuation Conducted I Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 5/31/2025 I 218-451-2611 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Page 2 of 3 O Boring 3 Boring # ® Pit Ground surface elev. 99.2 ft. Depth to limiting factor 84 in. / eiev. 92'2 ft. Rnil Ann[iratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD1Ft2 *Eff#1 *Eff#2 1 0-17 10YR 2/2 0' S Osg ml cw 2m/2f/2v 0.7 i 1.6 12 17-38 7.5YR 414 —'" s Osg ml �gw lm/1f 0.7 1.6 - 3 38-50 5YR 4/4 --- s Osg ml cw 1 f 0.7 1.6 4 50-74 1 OYR5/4 — s 0sg ml as 1 of 0.7 1.6 5 74-84 10YR 6/4 — t fs Osg 1 ml I -- v 0.5 1.0 ' L__i Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Texture . Structure , Qu. Az. Cont. Color Or. Sz. Sh. i Consistence Boundary Roots GPD/Ft2 Eff#1 *Eff#2 i i - , i ' i I ____ _____ _____ I _________ ____ I ______ t ______ _____ ___ ____ I UBoring # ❑ Boring O Pit Ground surface elev. _ft. Depth to limiting factor in. I ellsv. ft. --- I Rnil Anntiratinn Rate i Horizon Depth Dominant Color In. 1 Munsell j Redox Description I Texture Structure Qu. Az. Cont. Color Gr. Sz. Sh. Consistence Boundary i Roots GPD/Ft2 *Eff#1 *Eff#2 i � I � E __ 1 -! __________ ____-- * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD. S 3D mg/L and TSS s 30 mglL Longberg (3 bedroom) Soil Report Plot Plan North 5 �deT take __ i Genter� �f„W--P MICHAEL D & TERRI L LONGBERG pu 7715 W SPIDER LAKE RD u PEAR IN GOVT LOT 1 DESC IN w g V.1067 P.252 417P . S19 T47N R08W u N , Town of Iron River N Je N �, 0i4-024-2-47-08-1.9.2 05-001-20000 1.060 acres CL N a pole bldg 99' :• U N 371 N 95, 11 J 14.2% b I I A JJ % r u / u I b / n � tl 11 F 11 II II II 11 11 r � JI ' JI Septic tank & drainfield to be_______ abandoned per SPS 383.33 ; ST Garage Trail down to lake - ; ' -o 0 ID ID ... .. `��l II S ONWM 1 E ;:tsL U LUL5 U Co. 7onuig Dept Scale 1:40 $1 Bench Mark = Duplex nail w/ orange disc in 9" DBH Maple tree NOTES: Elev = 100.0' - Spider Lake Elev N 83' CST 119900 02 -SP � - •lc 3 of 3 _ . P uflfl th Ss-D05Vci ' 4 0 2 2025LB I ° II Department of Safe County Bayfield �£ & Professional Services, Sanitary Permit Number (to be filled in In Col a5 -73s Bayfield Co. Zoning De t. Industry Services Division Sanitary Permit Application State Transaction Number In accordance with SPS 383 21(2). W is Adm Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary pent Note Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safeiv and Professional Services Personal inlbrmation you provide may he used for secondary purposes in accordance with the Privacy 1 aw: s I i U4( I II ml Salts SAME 1. A lication Information — Please Print All Information Property Owner's Name Parcel fl I oq a 7 Michael D. & Terri L. Longberg 04-024-2-47-08-19-1 05-001-20000 Property Owner's Mailing Address Property Location 7715 W Spider Lake Rd Govt Lot City. State F Zip Code Phone Number Iron River, WI 54847 t 763-242-0884 v., v., Section 19 T 47 N R 08 E o W (I. Type of Building (check all that apply) lni # Subdivision Name 010: '_Family Dwelling- Number offedruums 3 Block # ❑ Public/Commercial — Describe Use ❑ City of ❑ State Owned -Describe Use_ _ - 0 Village of CS\I Number 0 Town of Iron River (It. Type of POUTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable. x ❑ New S.. stmt S7 Replacemem System ❑ Other Modification to Existing System lexpl:un) ❑ Additional Pretreatment Unit (explain i B' ❑ Holding Tank gin -Ground ❑ At -Grade ❑ Mound 0 Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before 0 Revision ❑ Change of Plumber ❑ Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. Dis ersaVfreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required Ist) F Dispersal Atea Proposed (sn System Elevation 450 0.7 642.9 675.6 96,95,94 Capacity in I Total # of F Manufacturer Tank Information Gallons Gallons Units I c v g o $ ;. g New Tanks Ex,snnp Inks ! ^- Hr u n , tr r r Sepnc or Holding Tank 1000 1000 1 Wieser 600 — 600 1 Wieser V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. P1.... '. Vane (Pnnll Plumbu ., Sigi wrc p- r kos� NI IRS Number Business Phone Number AiIst Te 1 r —�� ZZo®70 Plumber's Address (Street. City State. /p (' Idc1 7' j r ( S Z ---"z Cr o rr i2 • ✓ fir c J L 5— `' v7 VI. County/Department Use Only Approved C Disapproved Permit Fee Date Issuedm& L Issuing Ag . ign re 0 Owner Given Reason for Denial —' 7,;5j 2,5 37 Conditions of Approval/Reasons for Disapproval has w/a w , t . t/u, ft.)S a- M;b hl eon -it!. &rash to complete plain for the system and submit to the Count only on paper not less than b b1 r 11 inches in rue SBD-6398 (R. 03/22) , 5 D 1 7 9rtooz77 JUL UL 022025 1 . Wisconsin Department of Safety & Professional Services Page of Division of Industry Services ' y � t SOIL EVALUATION REPORT r ', I , $ . In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, Bayfield but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. P1(4 7 scale or dimensions, north arrow, and location and distance to nearest road. 04-024-2-47-08-19-1 05-001-20000 Please print all information. R d p Date. t, Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). l 27 7/3 I Property Owner Property Location El ❑ Michael D. & Terri L. Longberg Govt. Lot 1 ,% Y. S 19 T 47 N R 08 E (or)® Property Owner's Mailing Address Site Address or CSM and Lot #: 7715 W Spider Lake Rd 7715 W Spider Lake Rd City, State, Zip Phone Number ❑ City ❑ Village ® Town Nearest Road Iron River, WI 54847 (763 ) 242-0884 Iron River 7715 W Spider Lake Rd ❑ New Construction Use: Residential/ Numberof bedrooms 3 Replacement ❑ Public or commercial — Describe: Parent material Outwash plains (Rubicon-Sayner complex) General comments and recommendations: Lift to Gravity In -Ground # ❑ Poring Boring ® Pit Ground surface elev. 98.4 ft. Code derived designflow rate 450 GPD Flood Plan elevation if applicable N/A ft. Depth to limiting factor 84 in. / elev. 91.4 ft. Sail Annlication 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 *Eff#2 1 0-2 5YR 2.5/2 — s 0sg ml cw 2f/2vf 0.7 1.6 2 2-18 7.5YR 3/4 — s Osg ml aw 1m/1f/1vf 0.7 1.6 3 18-33 5YR 4/4 — (5%GR) s 0sg ml as If 0.7 1.6 4 33-57 5YR 4/4 — s 0sg ml as — 0.7 1.6 5 57-84 10YR 5/3 -- fs Osg ml — -- 0.5 1.0 L.I1 Boring # ❑Boring ®Pit Ground surface elev. 95.5 ft. Depth to limiting factor 84 in. I elev. 88.5 ft. Snil Annlicatinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-3 5YR 2.512 — s Osg ml as 1 of 0.7 1.6 2 3-22 7.5YR 4/4 — s Osg ml gw lco12m/1 0.7 1.6 3 22-43 7.5YR 4/4 — (5%GR) s 0sg ml cw 1 of 0.7 1.6 4 43-76 1OYR 5/4 — s 0sg ml as — 0.7 1.6 5 76-84 1OYR 6/4 — fs 0sg ml — — 0.5 1.0 CST Name (Please Print) Signature CST Number Keith Wiley-'� 654921 Address Date Evaluation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 5/31/2025 218-451-2611 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOO, s 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Boring # Page 2 of 3 ❑ Boring ® Pit Ground surface elev. 99.2 ft. Depth to limiting factor 84 in. / elev. 92.2 ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 2 0-171 1OYR 2/2 17-38 7.5YR 4/4 — —" ► s s Osg Osg ml ml cw gw 2m12f/2v 1m/If 0.7 0.7 1.6 1.6 - 13 38-50 5YR 4/4 --- S T0sg ml cw 1 f 0.7 1.6 4 50-74 10YR5/4 --- s josg ml as 1 of 0.7 1.6 5 j 74-84 10YR 6/4 — fs 0sg ml j — — 0.5 1.0 __________ _________ ______________ 1••• ________________________ __________ _______I ________ ________ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Fture ` Structure i Consistence Qu. Az. Cont. Color . Gr. Sz. Sh. Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 I i t1 ii Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft. Soil Application Rate Horizon i Depth { Dominant Color ; In. Munsell l Redox Description j Texture Structure Qu. Az. Cont. Color ' Gr. Sz. Sh. Consistence Boundary f 1 Roots GPD/Ft2 *Eff#1 *Eff#2 1 j 1 - i i i I � "Effluent #1 = BOD > 30 ea 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = Boo. s 30 mg/L and TSS s 30 mg1L : 1025.'1 Longberg (3 bedroom) Soil Report Plot Plan North XO1 - ► Nr r o{ w 5p'a` `alke Cente�i ,r �► MICHAEL D & TERRI L LONG BERG � v 7715 W SPIDER LAKE RD PAR IN GOVT LOT 1 DESC IN V1067 P.252 417P S.9 T47N R08W Nµ ° Town of Iron River Di N' x c4-024-2-47-08-19-1 05-001-20000 Npa 1,1.060 acres a pole bldg "N NN 99' 97' " N N r N 95' M 14.2% Septic tank & drainfield to be abandoned per SPS 383.33 Trail down to lake II U OHWM Jh ;_ L r_U`l5 LJ ;O DLi Scale 1:40 Bench Mark = Duplex nail w/ orange disc in 9" DBH Maple tree Elev =100.0' CST 119900 02 -SP NOTES: - Spider Lake Elev z 83' P; �c 3 of 3 May, h, 1011 10:41AM BAYPILLD CO PLANNING & ZONING No. 9975 P. 3 PAGE 1 0r9 In -Ground Gravity Plan Index & Cover Sheet Component Manuel Design References: Version 2.0, SBD-1 0705-P (N.01/01, R. 10/12) Pg 1 of 9 Pg2ofq Pg3of9 Pg4of9 Index & Cover Sheet Plot Plan el,ci rjeRt.�-rr..ss Section & Plan View z s Management Plan Attachments: Enclosures: {///�JJJ1 $of POWTS Application for Review(, Sn-k i a Soil Evaluation Report & Site Map nIc. v-Fc,nGnc'e A vetn_en aa l�rc.. c.e C✓055 Sec .o i t1I ri 5o4 1 0..�:.�..a u_ _ I _ _u✓ Y. :ry pe✓ry fAr�� OwnerName(s): cL4 f Te et- Loridevc Phone: 7(3 ZY2- Owner Address: 77/f4. SA- 6 e J=.--1 :utt ip: CYTY7 Project Address: So e ca s 4 Lout Govt. Lot: I- Section 19 , T? N -R E ❑ or W Township:Z�o -i (2; ✓e&- County: i' p ;£ /d ProjectParcellD#: 0t-0Yz Z- ! 7-o�-I`/-loS=Co( zoOc"D Designer Information Designer Name: A 11 r Fo / ko s /c - Phone: 7/S -372- V / S�P Designer Address: Pc.'o C -n y✓o.,`R:o-ev- ujy Zip: S-VRV7 E-mail: -l-o h eu) o Co r'"1 This space reserved for approval stamp. License Number: Z"Z o O c7O I1 Remarks: JUL 0 2 2025 Hayfield Co. Zoning Dept. Signature: Date: h / Z S Ofiginal signaturO require on each submitted copy. BAYFIELD COUNTY Michael D. & Terri L. Longberg CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) 0 Check List ig Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) 0 Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 0 Oi iginal Plot Plan (383.22(2)2. 3. & 4.a) 0 Cross Section, Over -Head Profile of the System n≤i Schematic of Tank from Manufacturer ❑ Pump Tank Diagram, Alarm and Pump Curve (when applicable) * Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) 0 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) ❑ Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) ❑ Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) ❑ ATU Servicing Agreement (Recorded at Reg. of Deeds) * Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 0 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) 0 Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) ❑ State Plan Review (when applicable) ❑ Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) 0 I Application Information must include: ❑ 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) 0 Project Address or Road Name where driveway is/will come off of) ffi II Type of Building 0 III Type of Permit ffi IV Type of POWTS System 0 V Dispersal / Treatment Area Information • VI Tank Information • VII Responsibility Statement (Plumber's Information) 9 *Date Stamp* Plot Plan: (To Scale or To Dimension) 0 Signature and Plumber Information 0 Surface Elevation of Body of Water QI Direction and Percent Land Slope 0 Tank and Filter Information and Location 0 Wetlands / Navigable Bodies of Water 0 Absorption Area (Proposed and Existing) 0 Bench Mark (Location, Elevation and Description) m (Owners Phone Number) li V �JL b Z 2025 Bayfield Co. Zoning Dept. 0 Address Number and Road 0 North Arrow DI Cnntour Lines 0 Structures and Driveways 0 Boring Locations 0 Property Lines 0 Well Locations 21 Component Manual Version 0 Legal Descriptions E?„ .. 1tiafInformation (conveyance line, building sewer line, material type and diameter) Turn Over ► Cross -Section and Over -Head Profile of the System: 1Z Surface and System Elevation 1Z Position of Observation and Vent Pipes 0 Dimensions and Depths 0 Make, Model & Number of Chamber Units in each Cell Property Information 0 How many systems will there be on this parcel of land? 1 1 Has this property been split? no (Property Statement shows Property History) Fees: {d Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 ❑ Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 1Z Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) u/fortes/checkDists/checktistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: Longberg (3 bedroom) Lift to Gravity In -Ground Plot Plan North ke Cznterline of wF MICHAEL D &TERRI L LONGBERG 7715WSPIDERLAKERD PAR IN GOVT LOT 1 DESC IN 6V.1067 P.252 417P S19T47N R08W Town of Iron River O4-024-2-47-08-19-105-001-20000 1.060 acres pole 61dg 99' 9T Three rows of 11 Infiltrator Quick4 Plus Standard chambers 95' 14.2% 2" forcemain ASTM 01785 Wieser precast WLP1000/600-MR w/ Myers Me 40 pump , & polylok 525 filter r Septic tank & drainfield to be , abandoned per SPS 383.33 ST to be insulated per SPS 382.30 Garage - - I bedroom house Well Iii it .: JI. 022025 Bayffeld Co. Zoning Dept. Trail down to lake ft m OHWM NOTES: Scale 1:40 K Bench Mark = Duplex nail w/ orange disc in 9" DBH Maple tree Elev = 100.0' - Spider Lake Elev z 83' - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent C Sch. 40 Vent >or— to it Above Final Grade Inlet tl_ Baffle Aoprovea Mnnno,e .Duero w.•^ w^-- - ... and Locl?n, Oev'ce ; 4" !Air bcv, °fnc' :•cde Weather goof Junction Thor Eleetrnc ner NEC 300 4t C['MM '6.28 WAr. �q 1 1 'y j j 1 U W/#ppte Outlet epotton W�Approvad a' Sleeve �I I 2 inch forcemain Polylok PL -525 A �-_+ Rep Hole or Anti Siphon Device C Wieser t000ro00LP Vertical Difference Between Pump Off and Inlet to Chamber Length of Forcemain(ft.) Inches Gallons 2 Forcemain Diameter (in.) 1.39 Friction Factor per 100ft. 1.39 Friction Loss 6.89 Total Dynamic Head A 18.5 310.2 B 2 C 4.5 _33.5 75.3 D 110 184.4 TOTAL 36.0 603.4 Number of Doses per Day Gallons per Dose (Not to exceed 20% of Daily Design Flow) Volume of Forcemain Backflow Total Dose Volume Pump Tank Capacity (Gallons) Pump Tank Volume (Gallons / Inch) Liquid Level (in) Pump Type CAPACITY LITERS PEN MINUTE - Tank Alert 1 ,'UL 322025 dyfield Co. Zoning Dept. Alarm c Z CAPACIY GAnnONS PER MINUTE 3 i 1 N V N .� o o 150" c 4" CAST -A -SEAL I� ro l FILTER OR BAFFLE TOP VIEW 4" CAST -A -SEAL N o 4" VENT ¢ Ui INLET r1 __tOUTLET _ N N ____LJfl N U M U PUMP PAD SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP1000/600-MR TANK SPECIFICATIONS DIMENSIONS: WALL 3" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 56' O.D. LENGTH: 150" O.D. WIDTH: 84" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL: 36" WEIGHT: 14,970 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 16.76 GAL/iN (SEPTIC) (PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: `W r N W c x (o oL0 w� C z 00 a t0 � N IIV2 1 ', ; Do — N of fl J K J Q O z O Q o U o F a O N ) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of 7 FILE INFORMATION Owner Michael D. & Terri L. Longberg —� Permit # DESIGN PARAMETERS Number of Bedrooms 3 ❑ NA Number of Public Facility Units ® NA Estimated (average) flow 300 aVda Design (peak) flow = (Estimated x 1.5) 450 gaVday In Situ Soil Application Rate 0.7 avda /et2 Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BODs) ≤220 mg/L ❑ NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODO) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L ® NA Fecal Coliform (geometric mean) ≤10" ofu/100ml Maximum Effluent Particle Size ''4 in dia. ❑ NA Other: ® NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 month(s) year(s) (Maximum 3 years) ® ❑ NA Pump out contents of tank(s) ® When combined sludge and scum equals one-third ('6) of tank volume ❑ NA ❑ When the high water alarm is activated pAt Inspect dispersal cell(s) every: least once❑ month(s) (Maximum ears 3 3 ® year(s)years) ❑ NA Clean effluent filter At least once every: 3 ❑ month(s) ® year(s) O NA Inspect pump, pump controls & alarm At least once every: 3 ❑ month(s) ® year(s) ❑ NA Flush laterals and pressure test At least once every: ❑ years ❑ month(s) ® NA Other: At least once every: ❑ month(s) ❑ year(s) NA Other. ® NA SYSTEM SPECIFICATIONS Tank Manufacturer Wieser O NA IZ Septic O Dose O Holding vol. 1000 gal Tank Manufacturer Wieser ❑ NA ❑ Septic ® Dose ❑ Holding vol. 600 gal Effluent Filter Manufacturer Polylok ❑ NA Effluent Filter Model 525 Pump Manufacturer Myers O NA Pump Model ME40 Pretreatment Unit ® NA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection O Other: Manufacturer Dispersal Call(s) ❑ NA ® In -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade O Mound ❑ Drip -line ❑ Other: Other: ® NA Other: ® NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('b) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Ail other services, including but not limited to the servicing of effluent filters, mechanical or pressurizedcomponents, pretreatment units, and any servicing at intervals of ≤12 months, shall be performed by a certified POWTS Maintained V 2 A service report shall be provided to the local regulatory authority within 10 days pf completion of any servic�vent. ii r'.JI_ z [025 i GMW (12102) Bayfield Co. Zoning Dept. I75 y D f 9 Page 7 of 7 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT Wher. the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. + The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: o A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. 0 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name (( a bfD s f� Phone SEPTAGE SERVICING OPERATOR (PUMPER) Name -rO h . v t? gr Phone POWTS MAINTAINER Name A !(cr ra l��' f/�• Phone '7 / , $ Z -_ -- '(I LOCAL REGULATORY AUTHORITY Name Bayfield County Zoning Phone 715-373-6138 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Private Sewage System Maintenance Agreement I MI'ckae/ 7err, -WI...-....5''U'y ��I%ow �r Z r� f1L r W -r t flS'P � r G4 kr ae a. wT �g4-x T-715 W e g-(-- Jp r dew 49. k Rc Tax ID# F7(S I %qUq -7 As owner, I (we) ao hereby cerafy the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfleld 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 et the below listed location in accordance with rules established in the WI Adm. Cade, as from time to time amended. (COMPLETE Legal is required) 1/4 of 1/4 Section_il__Township ______N. �Ranae V W. Additional Legal Description: 5�7oito wI hf 7,ee1 / Town of J_✓o In 91Lna✓ (Acreage) Gov't Lot Lot _Block Subdivision Lot_CSM#_ Vol._ Page_ CSM Doc# DOCUMENT NUMBER 2025R-607955 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/23/2025 AT 1 1 :32 AM RECORDING FEE: $30.00 PAGES: 2 Return To: mLY 7'o/(Cork:, ) DL 6 o g S z_z In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ Mound ❑ At -grade Sewage System ❑ Other Seg,(i Tan (system types A through E): The septic tank shall be pumped by a certified eeptage 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 pending 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 'Sete eter d!ch!bution cell cemponent Is Inspected as p evlded 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 Baygeld County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system lank in such a manner as to prevent or abate any human health hazard caused by the system. Baytield 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 m? ment of a human health hazard, and the tax shall be collected as provided by law. /r The terms and conditions of the agreement shall �y8"4Udrp r4pyre to the benefit of all current and future owners of suchproperty. - - � � Owner(s) Name(s) —Please Print kl;ehac( LpO ll/er , •,O 9'. 9 Subscribed and sworn to before me on this date: -v�, w,e (N-h,zozc o Notarized 0 er( — i nature(a) q�r7j� -PP N¢ ary u OF t�$GO3g\\��• My Commis fatpires: _ rr. _I_. CM uraneuoy:Son( TCrf•lc,".)Kr Date: W —// —C-y � V ,,,L u [ ZUT5 Bayfield Co. Zoning Dept. Proofed by: 1 n" tI u/forme/sanitary/septicmaintenceagreemen o KO5k Revised July 2020 State Bar of Wisconsin Form 3 - 2003 QUIT CLAIM DEED Document Number Document Name THIS DEED, made between and Michael D " whether one or more), ("Grantee," whether one or more). Grantor, quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): East Half (E1/2) of a parcel of land in Government Lot one (1), Section Nineteen (19), Township Forty-seven (47) North, Range Eight (8) West, described as follows; Starting at the 1/16th line intersecting the East and West section line between Sections Eighteen (18) and Nineteen (19) at the iron marker; running thence South from this point along the town road a distance of 408 and 2/3 feet to an iron marker, thence West 160 ft. to an iron marker and the point of beginning. Running thence South to the shore of Spider Lake to an iron marker; thence West along the shore line 280 feet to an iron marker; thence North to the town road; thence East 280 ft. 1aO WI t of beginning.=��Z$'� �9sB� 4t Q" n ee OBD c DatedAugust 19, 2011 �, r //JD 0 (SEAL) AUTHENTICATION Signature(s) authenticated on * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: * PATRICIA A OLSON BAYFIELD COUNTY, WI REGISTER OF DEEDS 2011R-539960 08/26/2011 09:55AM IF EXEMPT t: 8 RECORDING FEE: 30.00 PAGES: I Recording Area Name and Return Address Michael and Terri Longberg 3441 Placer Ave. Anoka, MN 55303 024-1047-08-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) ID uz5 Bayfield Co. Zoning Dept. ACKNOWLEDGMENT STATE OF WISCONSIN ss. Hayfield COUNTY) Personally came before me on August 19, 2011 the above -named person (SEAL) (SEAL) to me ilWown to who executed the same. * Pefl M: KM&n Barbara A. Carlson Notary Public, State of Wisconsin My Commission (is permanent) (expires: 11/19/2013 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO TIM _FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED STATE BAR OF WISCONS 1 6 7 P 2 5 2 FORM No. 3-2003 'Type name below signatures. Coldwea Banker Eat Wen Realty PO Boa 714 Iron River, WI 54947.0714 Phone: 715.372.4090 Fax: 715.372.4041 Carlson Peggy (man Produced with ZipFom,® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 yew eioLoaix.com Li t i Ll u JUL 022025 0 bayfield Co. Zoning Dept. Cross Section of a Tree Cell Inground Component Using Leaching Chambers Finished Grade 97.50 Original Grade 97.50 Top of Chamber1 96.00 Typwal ObserveeowVent Pipe System Elevation 95.00 Finished Grade 99 Slope 99.00 Origin; 97.00 Top of 14% Grade ,Y rr ✓ �X _' Original Grade 96 50 ............. .. .� •. •(;✓ .� Top of Chamber 9500 ....• � . .. .yam.... . '•:.,.q, • •• ••••••••••. System Elevation 94.00 i *6WwWoaNett .............. Elevation Feet rams Not 47 feet 47 feet Vent Pipes to be located at the ends of the distribution tells Finished Grade 96.50 I 3 feet between cells PS �y��fy ]3M FIELD 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: LONGBERG, MICHAEL D & TERRI L 7715 W SPIDER LAKE RD IRON RIVER, WI 54847 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00277 Transaction Number: SR -00277-2F996 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1092 Paid by: Coyote Septic Works LLC, 11623 E Larson Dr, Lk Nebagamon WI 54849 Payment Type: Check Transaction Date: 7/15/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B=--YFIELD 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: LONGBERG, MICHAEL D & TERRI L SS -00589 7715 W SPIDER LAKE RD IRON RIVER, WI 54847 Transaction Number: SS-00589-2F72B Description Amount Private Sewage System (Septic Tanks) $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 6207 Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847 Payment Type: Check Transaction Date: 7/15/ 2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-73S STATE SANITARY PERMIT OWNER: MICHAEL D &TERRI L LONGBERG G OV'T LOT: 1 LOT: B LK: 114 1/4 SEC: 19, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 69-25 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: ALLAN POLKOSKI TRACY POOLER DATE: 7/15/2025 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: # 220090 Condition: Properly Maintain System Per Recorded Agreement. Insulate where required. THIS PERMIT EXPIRES 7/15/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION