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HomeMy WebLinkAbout25-127SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoning(aJbayfieldcounty.wi.uov Note ITime Change Discrepancy Other i�Vi eu. Cdd v ber 7(5-373-J7 Phone um3 Plumber: I[� UWl r�� CAOt f r Fax Number 7/373O Homeowner: �"`' baie' r'llmaU� Email n Address Cad ul /U�f 14 Sanitary `O Immediate Phone Number So Zoning Dept can you right back (if needed) Permit # Q -a5-la 7� C Plumber's Choice Mower i g Dept No inspection(s) during this time Date: Oct %/O� °+. Tuesday (9:30 am - 12:15 pm) (Tracy) Time: Plumber's Choice Zoni ept a.00 P () _________ Township: U (eli/ Address RoadName: 7 WO S±Q Ye ( J k)1 or Directions To Site: - Comments: MouJ Fuo ** Plumbers you must verify any change(s) by fax or email Notes from July 2025 Request for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 firs.) prior to when you want an inspection Fax (715) 373-0114 or Email zonlnurdlbavfieidcountv.wi.aov Plumber: Homeowner: Sanitary Permit #: Date: Time: Address # & Road Name: or Directions To Site: Comments Time Change_ ��jj❑ ci'U3 Ox uie) kledsnain Other ( Vt2 J d y Fax Number 7513 3_ Email Address Ccc�l Plvwr�jiiagQ �Q Immediate hone Number So Zoning Dept can call you right back it needed) Dept No Inspection(s) during this time Tuesday (9'.30 am - 12:15 pm) (Tracy) -U _ cc 7oo SAQQ w (3 ' 0 (a50/IAWT LOL ft -4 UI.specf1ocl `* Plumbers you must verify any change(s) by fax or email ** Notes from Zoning Dept: July 2025 DANIEL HE()EMANN 78400 STATE HWY 13 WASHBURN WI 54891 to Onsite Wastewater Treatment :ms ( POWTS). Inspection Report (Attach to Permit) ,tne.ma.,rr Permit Holder's Name: ' City 9 Village 9 Town of. CST BM Elev: Insp SM Elev: BM Descriptor: k 1Q Tank Information TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Se tic fl4iZ&) tLktc.,n jUD() N/A Dosing r N/A Aeration N/A Holding setback to: county ] p / /IV1l�' Sanitary ermlt No: State Plan'Transaction ID#: Parcel Tax No: Pump / Siphon Information Pum Manufacturer ump Model Demand Ll GPM Alterc rer Filter odel- �k b TDH Li Fdctlo� L s Heady r Total 1l` 5 Forcemain Len th Dl1l Dist. To Well Disoersal Cell Information FROM Type of Cell Pretreatment Unit Manufacturer: Model Number: stribution Manufacturer: Cells Elevation Data STATION BS HI FS ELEV Benchmark (i 6p Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom 7c a Inst. Cnntour Q Header/ Maniifold Infiltrative Surface Q Final Grade Header/ anifold ,�1� I Length uton_Pipe(s) p „1 I X ,��e I X cin'Jl I S'bervatiONoes Len `` Dia .� Len th :' Dial_ S act Spacing 'I LtlYes ❑ No Soil Cover 1(. Depth Over I Depth Over I Depth of I Spd8 / Sodded I Mylehed Cell Center Cell Edges Topsoil Yes ❑ No es ❑ No gjQMj I :.(Include code discrepancies, persons present, etc.) 'f `'I —dunk �v �� Q�� .�6 n� byds1� 1 �✓d a&4os K is .c�4iu awe (��t1 • b P Tdd I' Crier\ 4a" L ccci2.b .w11 4a14c ?,QQQa w'S LJ r h kvilc4 au IM Ioct / P S iVenklubevuuk t r tns fl(Pd Ian revision required? O Yes 9g re other side for additional informat on. () 6 � Q ( I 1 Ito _I Date POWTS Inspector's Signature License Number .nn. -n71 n rrs m/21 Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(dbayfieldcounty.org Web Site: www.bavfieldcounty.org/147 DANIEL HEDEMANN 78400 STATE HWY 13 WASHBURN WI 54891 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private onsite wastewater treatment system on your property (Tax ID# above). To know when your system will be due for servicing please go to www.septicsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: Tank was pumped by: Tank was crushed! removed and pipes disconnected by: on at AM/PM On at (AM / PM) the above -mentioned plumber contacted our office to cond t 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. LIIISystem could not be inspected because County could not respond to plumber's time constraints. M U/formslsanitarypropertyownerinput April 2019 Industry Services Division County 4822 Madison Yards Way tl SEP 10 2U25 Madison, WI 53705 • ,Sanitary Permit Num of(tobefilledinbyCo.) P.O. Box 7162 11. �J Madison, W153707-7162 1 1 Q5 "— , 0C State Transaction Number Sanitary Permit Application in accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit ' J - is required prior to obtaining a sanitary permit Note: Application forms for state.owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary OY"OOY•a �7"VY O Property Owner's Mailing Address l_3 City, State Zip Code J1 or2 Family Dwelling —Number ofBedrooms 2 IF'ublic/Commercial —Describe Use State Owned —Describe Use Govt Lot %., Section ---� wr fl i-:? n .firr eof A. IL�New System F7 eplacement System I❑0ther Modification to Existing System (explain) IuAdditionel Pretreatment Unit (explain) B. ❑holding Tank DIn-Ground ❑At -Grade Mound Individual Site Design Other Type (explain) (conventional) C. Renewal Before ❑Revision jChange of Plumber ❑Transfer to New Owner rat Previous Permit Number and Date Issued Expiration ,pp Design Soil Application Rate(gpd/sf) Dispersal Area Required (st) Disperse! Area Proposed (st) System Elevation52 Design Flow (gpd) Capacity in Gallons Total Gallons k of Units Manufacturer }}��i r' Tank Information r' 'w Now Tanks ExistiogTanks a ,{3 ti rn cT7 Septic or Holding Tank I /l"l.i.' 1 . I/' c I / I I!IIIII III=1II 2l? 37 I7tS37Y7S Plumber's Address (Street, City, State, Zi Code) 3((C) D �'v c tt 6-vo►fe kd Wa s 6%vvr'i i5ggi1 ❑ Disapproved Permit Fee Date Issued L 1s min A Si ro i il 9 pproved S ({yIb ❑ Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval Attack to complete plans for the system and submit to the County only on paper not enn_R10Q rP n1M11 Wisconsin Depanent of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 August 5, 2025 CUST ID NO.: 666459 EMERY J PALMER PO BOX 176 GALESVILLE, WI 54630 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/05/2027 MUNICIPALITY: TOWN OF BAYVIEW BAYFIELD COUNTY SITE: DAN HEDEMAN MOUND DESIGN AND SOIL TEST WASHBURN, WI 78400 STATE HIGHWAY 13 BAYFIELD, WI 54891 NW 1/4 SE 1/4 SEC. 21 T49N-R4W FOR: RECEIVED SEP 102025 Bayfeld Co. Planning and Zoning Agency Phone: 608-266-2112 Web: hitp:J/dsps.wi.gov Email: dsps(I)wisconsin.gov Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-082501727-C Application No.: DIS-072531152 Site ID No.: SIT -148550 Please refer to all identification numbers in each correspondence with the Department. /onditlonally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES /LiZ5 ?11 SEE CORRESPONDENCE Design Wastewater Flow Value: 450 EZflow Mound Component Manual, (May 2023-2028) Bedrooms: 3 Limiting Factor(s): 20" Below Grade Maintenance Required: Effluent Filter SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)". • This system is to be constructed and located in accordance with the approved plans and with the EZflow Mound Component Manual, (May 2023-2028) OWNER RESPONSIBILITIES • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code § SPS 383.54(1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, Matthew Janzen Division of Industry Services Phone: 715.340.0407 Email: matthew.janzen@wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 RECEWWED SEP 10 2025 Bayfletd Co. Planning and Zoning Agency RECEIVED SEP 10 2025 Daniel Hedemann and Zd Co. Planning Zoning Agency Mound System 78400 State Highway 13 Washburn WI 54891 1.93 Acres, Town of Bayview, Bayfield Co. S21 T49N R04W PIN 04-008-2-49-04-21-4 02-000-20000 Page 1-2: Bayfield Co. checklist for sanitary applications Page 3: Tax statement of owner Page 4-5: Conditional Approval letter from WI DSPS Page 6-9: Plot plan, Mound plan & Calculations Page 10: Tank section, Dose & Pump calcs Page 11: Tank Specifications Page 12: Pump curve details Page 13-14: POWTS Owners Manual & Management Plan Page 15: Maintenance Agreement Page 16-18: Soil Evaluation Report Page 19: Wisconsin sanitary application Reference material; component manual; Mound Pressure Dist V 2.1 May 22/27 These plans prepared by; Adrien Cady MP922139 31160 Birch Grove Road Washburn WI. 54891 phone:715-373 2378 fax:715-373-0646 ?ECE�VED BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS SEP 10 2025 Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) Bayfield Co. 1 ' Check List Planning and Zoning Agency Original Sanitary Application (Submitted in Deed Holders Name —mot prospective buyers) (383.21(1)1.) Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) R1 Original Plot Plan (383.22(2)2. 3. & 4.a) ZCross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer %f≤( Pump Tank Diagram, Alarm and Pump Curve (when applicable) Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) intenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) -S- o ding 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) �TU Servicing Agreement (Recorded at Reg. of Deeds) KFee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached t Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) 4'State Plan Review (when applicable) El-eopy of Warranty/Quit Claim Deed (Optional) S3nitary Application: (Include the following JInformation) I Application Information must include: Iz�23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) Project Address or Road Name where driveway is/will come off of) rjOwners Phone Number) )(II Type of Building % III Type of Permit ,(IV Type of POWTS System LV Dispersal / Treatment Area Information ' VI Tank Information `J VII Responsibility Statement (Plumber's Information) E4 *Date Stamp* Plot Plan: (To Scale or To Dimension) Signature and Plumber Information S -surface Elevation of Body of Water 'Direction and Percent Land Slope jrTank and Filter Information and Location Wetlands / Navigable Bodies of Water absorption Area (Proposed and Existing) &Address Number and Road ..S -North Arrow -Contour Lines .-Structures and Driveways Boring Locations a Property Lines //Bench Mark (Location, Elevation and Description) J -Well Locations f9 -Component Manual Version jgal Descriptions er'110 0-4A*r ttiMara+eut ( oil re8ce:line, bunging sewer IIne> aterialtjy atgds etr r) Turn Over ► Cross -Section and Over -Head Profile of the System: ECEVED SEP 10 2025 W Surface and System Elevation Bayfield Co. XI Position of Observation and Vent Pipes Planning and Zoning Agency l Dimensions and Depths -Make, Model & Number of Chamber Units in each Cell Property Information How many systems will there be on this parcel of land? -K Has this property been split? 11U (Property Statement shows Property History) Feel: w private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 kmounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 Maintenance Agreements i $ 30.00 checks made out to Reg of Deeds) u/fbrms/checkfists/checkljstrorsanitaryapps (10/2009);(O7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: /K. G.l.C VE D Real Estate Bayfield County Property Listing Today's Date: 8/29/2025 Description Updated: 4/29/2025 Tax ID: 6570 PIN: 04008-2-49-04-21-4 02-000-20000 Legacy PIN: 008102708000 Map ID: Municipality: (008) TOWN OF BAYVIEW SIR: 521 T49N R04W Description: PAR IN NW SE IN V.1074 P.56 LESS PAR FOR HWY IN V.277 P.145 206A IN DOC 2025R-607238 Recorded Acres: 1.930 Calculated Acres: 1.935 Lottery Claims: 1 First Dollar: Yes Zoning: (R RB) Residential -Recreational Business ESN: 106 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 008 TOWN OF BAYVIEW 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE Recorded Documents Updated: 1/10/201.2 O WARRANTY DEED Date Recorded: 4/22/2025 2025R-607238 ® TERMINATION OF DECEDENT'S INTEREST Date Recorded: 1/3/2025 2025R-606081 2 QUIT CLAIM DEED Date Recorded: 7/29/2024 2024R-604140 ® QUIT CLAIM DEED Date Recorded: 12/21/2011 2011R-541689 1074-56 ® TERMINATION OF DECEDENT'S INTEREST Date Recorded: 12/21/2011 2011R-541688 1074-51 Property Status: Current SEP 10 2025 Created On: 3/15120061:14:59 PM Bayfield Co. do Ong Agency Updated: 4/29/2025 DANIEL HEDEMANN WASHBURN WI Billing Address: Mailing Address: DANIEL HEDEMANN DANIEL HEDEMANN 78400 STATE HWY 13 78400 STATE HWY 13 WASHBURN WI 54891 WASHBURN WI 54891 Site Address * indicates Private Road 78400 STATE HWY 13 WASHBURN 54891 Property Assessment Updated: 8/8/2023 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.930 19,300 135,300 2 -Year Comparison 2024 2025 Change Land: 19,300 19,300 0.0% Improved: 135,300 135,300 0,0% Total: 154,600 154,600 0.0% N Property History N/A cE VED MOUND COVER SHEET SEP 10 2025 SYSTEM IS TO COMPLY WITH PROVISIONS OF SBD-10691-P (N.01/01; R. 10/12 Mound Component Manual for POWTS (Version 2.1), (M.ay 2022-2027) and Agency Pressure Distribution Component Manual (May 2022-2027) LOCATION: W/ v ! 1/4 TOWN: OWNER NAME/ADDRESS: S2I T49 NRA W COUNTY: jbondNlon,lly APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE 13 \,J1 S\ %91 DESIGNER NAME/ADDRESS: MARK PALMER - HIGH CLIFF CONSULTING PO BOX 176 GALESVILLE, WI 54630 LICENSE #: 1508-007 SIGNATURE: DATE: ___ i ATTACHMENTS: PAGE 1: PLOT PLAN PAGE 2: PLAN VIEW CROSS SECTION PAGE 3: PIPE LATERAL LAYOUT PAGE 4: TANK SPECIFICATIONS PAGE 5: PUMP CURVE / RISSY SPECIFICATIONS PAGE 6: MANAGEMENT PLAN DESIGN BY HIGH CLIFF CONSULTING LLC High Cliff Consulting LLC Phone: 608-582-2205 PO Box 176 Copyright O 2021 High Cliff Consulting LLC Galesville, WI 54630 Cr) w co Graphic ScaleIt 7 Be ( in feet) i1 Inch = 30 ft. w Notes: • Underground uflillses not located as of this date. Furtherreseamh is recommended before any conslwclion or excavation. • Boundary lnfomralion is based on apparent property lines. A survey is recommended to determine tme property lines. • Location and elevation of building sewer(s) is beyond the scope of this report j • Pereel size = 1.9 acres* 13 C Th t LL�c�25-1 N % G;X P I \ 551 eRa Legend •I•IUIUmUI■ = Property line -------- = Contour line (1' interval) 'N ®=Pit Q = BM (grade @ steel post) N xx% Dan Hedemann --I = Slope direction 629.3© = Well (Elevation at top) © = Septic tank cover CD = Fuel tank NW'/4 - SE Y,, Section 21, T49N-R4W Town of Bayview, Bayfield County, WI TPN # 6570 78400 State Hwy 13, Washburn WI 54891 w'LicJkt laaejbor7 om 625.2 4 SJ 627.4 HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@highcliffconsulting.com www. h i g h c l i ffc o n s u l t i n g. co m by: ' Date: I Job: 5.15 7-5-2(125 HFnFMANN �+J Mound Plan View & Cross Section -�- Cross Section unglna' y Approved fabric 9' E;vED SEP 10 2025 Site to be seeded and stabilized Bayfietd Co. ~'1 Panning and Zoning Agency Dlstsibugon cell �rface' •; �.. �i, � °�'`•Plowed soi --4 -�- -.� �� 'vim ��� ��\ Y y�\q ... ; . . Native soil .. _ . % Slope• Contour Co2'3 D ft Sys tem elevation (D25 - I E tl ft G! ft Lateral elevation F l..0 ft H 1.0 ft Plan View " Force main Jam'_ ' in length A 6.0 ft I ft K1( i ft B8≤ ft J=ft L1 ft W=ft (rl Minh Cliff Ccnsultlna LLC Detail (lateral end) Access cover --. Threaded cap Extend all lateral ends up within 6" of final grade. Last hole _ F from end of cell 10' V. Long sweep 90° Pipe Lateral Layout Not to scale Co)v IOUk Ca 2,.3:mot System elevation (P 25 ' Zn Lateral elevation tS t5- /2 "Diameter lateral (PVC Sch 40 at `( (' ____ " Holes ZO Holes per lateral 4 Gallons per minute discharge rate Observation pipe 'of i i/'2" " lateral 1.5' — Observation Pipe Detail Finished grade Watertight cap (mulched & seeded) 4" Sch 40 PVC pipe Top of pipe to terminate - at or above finished grade I opsoil cover (minimum 12") il O Four V°"-1/2" x 6" slots _.n N a T ro r1 in length Anchoring device 2 Native soil ' Hole spacing 7J5'of2"Sch 40 Force main Observation pipe (sr praj z" (l v-�, fi.+4o olC`ZQ- 10' holes at ^ CU Co GPM = - -(0 A gpm \37. "x '9- = 13 38 galllons X 5 - (P9 • !2, gallons minimum dose c� (El Koh CIIH Cons"llinc LLC E:cC;VED 1 Septic & pump specifications: Cross Section $EP 10 2025 Weatherproof Approved locking manho cover with warning label Baffle &l9 •-O Note: Pump and alarm are on separate circuits as per NEC and Wis. Admin. Code Tank Manufacturer: Zel.__P4�y Tank Size: 1000/600 Gallons Alarm Manufacturer: SJE Rhombus Model Number: Tank Alert 1101-01H Pump Manufacturer; Goulds Model Number: 3k3'(1 Edo Minimum discharge rate: -O GPM Bayffeld Co. yV�nnt pipe w/ opproved tap I and Zoning Agencv- n—, 0' from fresh air inlet Approved locking manhole co—ver�with warning label 4- In. 1S' - _ -_ _ On Number of doses: 5.4 Per day Gallons per dose Volume of backf low: 9 Gallons Total Dose Volume: S'Z.1 PI_ Gallons Capacities: A i`?`5 inches or 3? ` ?Gallons B 2 inches or 33'5`LGallons C 5_5 inches or 92 ' h P Gallons D 9 inches or (SO M Gallons Friction loss through filter: .................................................................... N.A. ft. Vertical difference between pump off and distribution pipe: ........... J'1 ft. Minimum required supply pressure: ......................................................... '3 • c ft. SS ft. of force main x t°94 Friction factor/100 ft ......................... l 'li ft. Total dynamic head = %O '3 ft. Depth of liquid Gallons/inch /6. "°"" Palmer Soil Testing & Consulting LLC W16623 Lindstrom Road, Blair, WI 54616 Drawn by: Date: palmersoiltesting@gmail.com Phone: 608-525-3723 Fox: 608-525-2000 Y4 12'-6" 4" CAST -A -SEAL I I I11I a II. 1 I 1111 lu I r �r—�� III , -- ` I. II j I II � I I I —rte —� II II . 1 I1 'II FILTERBAFFLE III I1' N Q U c :-1 '— o cL �+.� W w a INLET ti? N a V to E { _-- .T,- II ; r II � 1- iD II 5 I' •I �'� I I n. M WLP1 000/600 -MR TANK SPECIFICATIONS a Oi a a DIMENSIONS: o WALL: 3" a. 4" CAST -A -SEAL BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER o HEIGHT: 51" LENGTH: 12'-6" WIDTH: 7'-O"La BELOW INLET: 42" LIQUID LEVEL 36" o E WEIGHT: BOTTOM 9,500 LBS. o 0 COVER 5,470 LBS. 0 o INLET AND OUTLET: rII m a 4" CAST -A -SEAL BOOT OR EQUAL GASKET ,- INLET AND OUTLET BAFFLE AND FILTER: vii v ¢n WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.88 GALAN (SEPTIC) Wf.�. 16.76 GAL/IN (PUMP) x co o Lo LOADING DESIGN: 8'-O" UNSATURATED SOIL Q 0O0 TANK CAN BE USED AS: N SEPTIC/SEPTIC, SEPTIC/PUMP, 4" VENT OR SEPTIC/SIPHON 2 COVER: MIX DESIGN #8 (NO FIBER) III I OD TANK: MIX DESIGN #10 (STRUCTURAL FIBER) _1 CUSTOMIZED TANKS: II, FOR CUSTOM TANKS CONTACT WIESER CONCRETE PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS OUTLET U REVIEWED BY REVIEW DATE DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: SHEET NO. i7 OF 1 APPLICATIONS Specifically designed for the following uses: • Effluent systems •Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/4, maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size: 1'/z° NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/4' maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1W NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. :ECE VEO Gt Ulds SEP 10 2025 S i vent Bayrleid Co. A enti� gum Plenring and 7_oning.AgenGY 1 3871 EP05 • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: r EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 SJTO with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). METERS. FEET 0 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models Include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EP04Impeller. Thermo- plastic Semi -open design with pump out vanes for mechanical seal protection. ■ EP05 Impeller: Thermo- plastic enclosed design for improved performance. ■ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ■ Motor Cover. Thermoplas- tic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING @- Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) 0 '—► a s,,;� SGPIAf 0 5 0 III:.IIII...IIIIIIISIIIII en in — 20 30 40 5o GPM —5— , 0 2 4 6 8 10 12 m'/h CAPACITY POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of C2 FILE INFORMATION Owner 1 Permit # DESIGN PARAMETERS Number of Bedrooms O NA Number of Public Facility Units NA Estimated (average) flow gal/day Design (peak) flow = (Estimated x 1.5) gal/day In Situ Soil Application Rate gal/day/ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) ≤30 mg/L Biochemical Oxygen Demand (BOD5) ≤220 mg/L O NA Total Suspended Solids (TSS) ≤150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L O NA Fecal Coliform (geometric mean) ≤104 cfu/100ml Maximum Effluent Particle Size 'X, in dia. O NA Other: O 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) 1...year(s') (Maximum 3 years) O NA Pump out contents of tank(s) lWhen 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: ❑ month}s) (Maximum 3 years) year(s) O NA Clean effluent filter At least once every: O month(s) year(s ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) ($ year s)) O NA Flush laterals and pressure test At least once every: ❑ month(s) 3 9 year(s) O NA Other: At least once every: ❑ month(s) O year(s) ❑ NA Other: DNA SYSTEM SPECIFICATIONS Tank Manufacturer T e s e v O NA XSeptic O Dose O Holding vol. gal Tank Manufacturer (,) ! es eV' O NA ❑ Septic .Dose O Holding vol. 6pO O gal Effluent Filter Manufacturer j Ly' Iv It 0 NA Effluent Filter Model Pump Manufacturer IcLS O NA Pump Model Pretreatment Unit PLNA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration O Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) O NA ❑ In -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade 3..Mound ❑ Drip -Line O Other: Other: O NA Other: O 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 (%) 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. RECEIVED 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. SEP 1 0 2025 A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Bayfield Co Planning and zcny02)q J Page of 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 When 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: ❑ 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. ❑ 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. S 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. RECEIVE D ADDITIONAL COMMENTS SEP 10 2025 Bayfietd Co. nning an POWTS INSTALLER Narne/4 c1cxdi Phone ! j -- 7 _p322 POWTS MAINTAINER Name /rJ'vui (c/y Phone 7/-373- SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name i V' tA Vl'f Nameyf(jd Z Phone 7/ 5-- 3 v $3 Phone 7t - 7 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. 00/57 Private Sewage System Maintenance Agreement Owner(s) Name L_ct-el -ede ac 0 Owner(s) Mailing Address (10 Al by V y, 724 -Do 5 OO l4t4kmay 13 6'taf F7'_4-,_ -f_00 91-c�kwtz y 1? 9 Tax ID# ` - OIDS �a..-y9-© i- ?J- - Oa -000 -20coo 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) 1/4 of 114 Section —Township 1t'N. Range O . Additional Legal Description: 'S e I ,4742C. K' ci Town of_____________________ (Acreage) I ` Gov't Lot Lot Block Subdivision Lot CSM # Vol. ❑ In -ground gravity XMound Page CSM Doc # ❑ In -ground dosed ❑ At -grade Sewage System DOCUMENT NUMBER 2025R-609102 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, Wi RECORDED 09/10/2025 AT 9:47 AM RECORDING FEE: $30.00 PAGES: 2 Recording Area Return To: Planning and Zoning Department RECEIVED ❑ In -ground pressure distribution Sewage Sy pm , Co. PLAnni9 ari L c, r.; Ar,cy ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system Is ponding on the ground surface. Mounds. At -grade. and In -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 al! 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 Daj4ie, I dewcatuu Subscribed and sworn to before me on this date: _ _ aaS Notarized Owner(s) — Signature(s) Nqy Public '_ J1941(J My Commission Expires: Drafted by: Date: ANN M. HUYBRECHT proofedby: NOTARY PUBLIC info isaaitary/sepiicrnaintenceagreement STATE OF WISCONSIN Revised July 2020 File Number: 254450 ADDENDUM/EXHIBIT A A parcel of land In the Northwest Quarter of the Southeast Quarter (NW1/4-SE1/4), Section Twenty-one (21), Township Forty-nine (49) North, Range Four (4) West, Town of Bayview, Bayfield County, Wisconsin, described as follows: Starting at the Northwest corner of said forty; thence South along the East side of Highway 13, as now located, a distance of 525 feet, to an iron pipe place in the ground; thence East 210 feet to an iron pipe placed in the ground; thence North approximately 525 feet to the South side of the Houghton Road; thence West along the Houghton Road to the Place of Beginning; EXCEPT all that part of the NW1/4-SE1/4, Section 21, Township 49 North, Range 4 West, as described in Volume 227 on Page 55, lying within the boundary of 5TH 13 right of way, which is described as follows: Beginning at the South quarter comer of Section 21, Township 49 North, Range 4 West; thence 89°04'33" West, 150.0 feet; thence North 46°02'52" East, 141.42 feet; thence North 1°0252" East, 1261.65 feet; thence North 1°11'04" East, 3503.92 feet; thence North 0°54'59" East, 293.36 feet; thence North 44°15'21" West, 140.99 feet; thence South 89°25'43" East, 150.78 feet to the North quarter corner of said Section 21; thence South 89°20'44" East, 49.22 feet; thence South 0°54'59" West, 394.11 feet; thence South 1°1104" West, 1664.43 feet; thence South 10°07'32" East, 101.98 feet; thence South 1°11'04" West, 150.0 feet; thence South 12°29'39" West, 101.98 feet; thence South 1°11'04" West, 650.00 feet; thence South 4°31'35" East, 100.5 feet; thence South 1°11'04" West, 150.0 feet; thence South 6°5342" West, 100.5 feet; thence South 1°11'04" West, 489.60 feet; thence South 1°02'52" West, 1361.02 feet; thence North 89°34'40" West, 50.0 feet to the Place of Beginning. Bayfield County Register of Deeds Document #2025R-607238 Page 2 of 2 V�*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: HEDEMANN, DANIEL 78400 STATE HWY 13 WASHBURN, WI 54891 Description State Approved Plans (Mounds, Systems Requiring Pre -Treatment, etc.) Submission Number: SS -00648 Transaction Number: SS -00648-34B98 Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 006579 Paid by: Cady Plumbing and HVAC LLC, 31160 Birch Grove Rd, Washburn WI 54891 Payment Type: Check Transaction Date: 9/16/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Wisconsin Department of Safety & Professional Services # SOIL TEST Page/of_____ of �of IndustryServices (1('sPT) SOIL EVALUATION REPORT pgeccY in accordance with SPS 385, Wis. Adm. Code County Attack ,?etsite plan on paper not less than 8 112 x 11 Inches in size. Plan must Include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. (p' Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner , Property Location Govt. Lot N L/ SE y S Z I T L4 Property Owner's Mailing Address /I , j , Site Address or CSM and Lot #: City, State, ip �I Phone Number ❑ City ❑ Village Town (3 Pew / NR &j E (or) W Nearest Road SH 13 0 NewConstruction Use:igResidentiai/Numberofbedrooms '3 Code deriveddesignflowrate„ GPD W Replacement 0 Public or commercial — Describe: Flood Plan elevation if applicable #, Parent material e General comments and recommendations: exec.-at� (ij" S N L1 VT s r Boring # ❑ Boring ®Pit Ground surface elev. Z ..•F�• Depth to limiting factor .-b In. / etev. (Ptzk Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots —�.• r��aY/wgNYll RgiG GPD/Ft2 In.Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Elf#1 *Eff#2 L i Q Ir 3 •- 4� 8 I ,o •O ____ ≥�frZcs,yjz ____ _______ Boring # Boring �� IRPit Ground surface elev.�Q�ZZ1• F+ Depth to ilmiting factor 2' in. / elev.' "l F+ Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eft'#1 *Eff#2 I I c, a /a / _ n� ________ • �t , " o S , //yL L i• P a-• za , s 2 s �..iiic }zo,l -d4i •c&y / L/ &h CST Name (Please Print "�"'� Mark Palmer High Cliff Consulting Signature CST Number - 224.736 Address Date Evaluation Conducted Telephone Number P.O. Box 176 Galesville, 'WI 54630 7- 608-582-2205 * Effluent #1 = SOD > 30 £ 220 mg/L and TSS > 30 £150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L AA SBD-8330 (R03/22) • :E �V D SEP 10 2025 o. [�Jjwlhle-z",On�lriq Agency Page — ofd Boring . Pit Ground surface elev. f Depth to limiting factor b .1 in./ elev. _Z-'0 I Horizon Depth Dominant Color Redox Description In. Munsell Qu. Ai. Cont. Color Texture .rr..w-.V....4 Structure Consistence Boundary Roots I GPD/F12 Gr. Sz. Sh. I I;3f _____ L '' O 7i V� ________ ____ �.+F M(,P aBoring # O Boring' ❑ Pit. Ground surface elev. Ff Depth to limiting factor in.! efev. FR Horizon Depth Dominant Color In... Munseli. Redox Description Qu. Az..Cont. Color. Texture Structure Consistence Boundary Roots GPD/Ft2 . .Or..Sz. Sh. .*Eff#1 *Eff#2 Boring # ❑ Boring - . 0 Pit Ground surface efev. Ff Depth to limiting factor in. / elev. F{' Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#i *Eff#2 * Effluent #1= BOD > 30!9 220 mg/L and TSS > 30 S 150 mg/L * Effluent #2 = BOD, S 30 mg/L and TSS S 30 mg/L Graphic Scale 30 0 10 30 00 (in feet) ii Inch = 30 ft. .rs t i tU2025 3�0 field CO. ■ d Zoning Agency • �' ■ ■ ■ P3 ■ ■ ■ ■ N ■ ■ ■ ■ S ■ ar_ u,. ■ yi' ■ Gw t ;mow N Notes: ■ • Underground utilities not located as of this date. FUrtherresearch is j recommended before any construction or excavation. • Boundary Information Is based on apparent preperty lines. A survey Is recommended to determine true property lines. a • Loon and elevation of building sewer(s) Is beyond the scope ofthis report • Parcel size = 1.9 aaes t a • `♦ ��.r+��M7.t'i �t i.Irel `♦ rtii? N -S. • ■ ■ \ C R a 6255.2.0 .• X62@� 1�� 1 ■ 1 1 a Legend •IUI■I■i■i■i■ = Property line \\ -------- = Contour line (1' Interval) ® =Pit �\ Q• = BM (grade @ steel post) X r s. --.•- = Slope direction 629.3e °'`' ■ ® = Well (Elevation at top) o Q = Septic tank cover Fuel tank Dan Hedemann NW '/4 - SE 1/4, Section 21, T49N-R4W Town of Bayview, Bayfield County, WI TPN # 6570 78400 State Hwy 13, Washburn WI 54891 HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@highcliffconsulting.com www.highcliffconsulting.com Drawn by: I Date: Job: r� .r SJS I 7-5-2025 I HEDEMANN SANITARY PERMIT (#04)-25-127S BAYFIELD COUNTY STATE SANITARY PERMIT OWNER: DANIEL HEDEMANN G OV`T LOT: LOT: B L K: NW 1/4 SE 1/4 SEC: 21, T 49 N, R 4 W TOWNSHIP: Bayview SOIL TEST: 93-25 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: ADRIEN CADY TRACY POOLER Authorized Issuing Officer DATE: 9/16/2025 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 922139 Condition: Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 9/16/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION