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HomeMy WebLinkAbout25-155SV.: T . _-VEt-r Department of Safety County Bayfield NOV 17 2025 & Professional Services, Sanitary Permit Number (to be filled in by Co.I Industry Services Division * Bayfiold Co. ! /1 ' 't J �� 'amµ Zoning Ag S.S'0064i� Planning and Ly $rate Transaction Number Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Note: Application forms for state-owned PORTS are submitted to Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. the Department of Safety and Professional Services. Personal information you provide may be used for secondary 65350 COUNTY HWY H purposes in accordance with the Privacy Law'. s 15.04(I)(m). Stars. I.Application lnf. sr alien —Please Print AB'W., you ParcelB 1/97 flgf3 Property Owner's Name r ENTERED 04A242-47-08-2 3 05-004-07000 DAVID E & GRETCHEN M BROUCH ) Property Owner's Mailing Address PropertyLocation 3719 CANDEUR DR Govt. Lot 4 28 City, State Zip Cade Phone Number NAPERVILLE IL 60564 7 1S_ p -7(, - $CC°°" T 47 N R 08 E or W 1. Type of Building (check all that apply) Lot # 1 Subdivision Name 3 01 or 2 Family Dwxlling— Number ofBcdrooms_ - Block 9 ❑ Cityof -. ❑ Public/Commercial — Describe Use ❑ State Owned — Describe Use -.--- O Village of CSM Number CSM #350 V.3 P.199 0 Town of Iron River 111. Type of 1'OWTS Permit: (Cheek either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i a liv�ab/le. A. Now System El Replacement System U Other Modiliration to Existing System (explain) ❑ Additional Pretreatment Unit (explain) L B, 0 Holding Tank Win -Ground ❑ At -Grade ❑ Mound 0 Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before0 0 Revision Change of Plumber ❑ Transfer to New Owner ist Previous Permit Number and Date Issued Expiration sntArea,and+Tank Information: .: - - •JS?.Dls Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation 450 0.7 j 642.8 646.6 J_!'&89' (gtrd5.8 daailbl reign) Capacity in Total 4 of Manufacturer Tank information Gallons Gallons Units 0 3 New Tanks Existing Tanks c r..1 = 2 $ a e 8epticorHoldiagTank 1000 — 1000 1 Wieser Dosing Chamber V. Responslbliky Statement- 1, the' undersigned, ass ti -asp ibility for installation of the PORTS shown on the attached plans. PI mbvr's Name Print Plum C s 1, t MPi\IPRS Number Business Phone Number 3 /_s -o w,, Ptthnber'ddress (Street, City, State, Zip Code) /36C C 'lI - N S` 8 'CbutifyfDepartment Use only Ap�ed���s0Disapproved Permitee Date Issued �' IssuinC Ae Si tore ////�/� — i i dS / �✓7� Conditions ofApproval/Reasons for Disapproval tttach to romptete plan, for the system and submit to me County only m paper oat ,as wit o v. a ii torso in v.c SBD-6398 (R. 03/22) RECEI�PED SOIL TEST # /-5 ;;0 Nav os2025 Et 1 2 Wisconsin Department of Safety and Professional Services ��t Division lndustryServices Page_Of ��/ , of Oay(�Id Co. SOIL EVALUATIO<+ QQR "in0A9e"cY '^ ;H// .SR -083S $ In accordance with SPS 385, Wis. Adm. Code County Sayrield Attach complete site 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. 04-024-2-47-08-28-3 05-00407000 7,c 7 78.! Please print all Information. Rev ew Date '/R37/ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l)(m)). 3 Property Owner Property Location ❑ ✓❑ David Brouch GovL Lot 4 ''A '/. s28 T 47 N R 08 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 3719 Candeur Dr 65350 County Hwy H City I State I Zip Code I Phone Number ❑ City ❑ Village 117 Town I Nearest Road Naperville I IL 160564 630276622/ Iron River I County Hwy H Q NewConslruction Use: ❑E Residential/Numberofbedrooms 3 Code derived designflow rate 450 GPO fl Replacement ❑ Public or commercial —Describe: Flood Plan elevation it applicable ft. Parent material Sandy and Gravely Outwash General comments and recommendations: Rocky soils. Less then 60% rock. Suitable for conventional system gravity flow DII Boring# OBoring Pit 90.6 Ground surface elev.ft. Depth to limiting factor in. / elev._ft. I Soil AoDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 •Eff#2 A 0-6 SYR 312 LS OSG-VF mfr AS 3f 0.7 1.6 B 6-36 SYR 4/4 S OSG-VF dsh AS 3f 0.7 1.6 C 36-56 SYR 6/4 S O -SG -VF dsh AS - 0.7 1.6 D 56-104 7.5YR8/4 S O -SG -VF ds - - 0.7 1.6 2] Boring# ❑Boring 99.4 — QPit Ground surface elev.ft. Depth to limiting factor in. / elev.ft. Soil Anolicellon Rate Horizon Depth In. Dominant Color Munsell Redox Description Ou. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/FI' •EB#1 •Elf#2 A 0-8 5YR 3/2 LS O -SG -VF mfr AS 1f 0.7 1.6 B 8-38 5YR 4/4 S O -SG -VF dsh AS - 0.7 1.6 C 38-57 5YR 6/4 $ 0 -SG -VF dsh AS - 0.7 1.6 D 57-102 7.5YR S 0 -SG -'/F ds - - 0.7 1.6 CST Name (Please Print) Signature —7 l-f CST Number Tim Dykstra l 1213855 Address Date Evaluation Conducted Telephone Number 10620 Eagle Lake Rd Iron River WI /0/3o/ar 715-209-5748 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 305 150 mg/L • Effluent #2 = BOD, 530 mg/L and TSS s 30 mg/L SBD-8330 (RO4/21) Page 2 of 2 ❑Boring Boring # Pit Ground surface elev. ft. 91 Deptto limiting factor _ in./ elev.ft, planning and Zoning Agency Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munselt Ou. Az. Cont. Color Cr. Sz. Sh. •Eff#1 'Eff#2 A 0-7 SYR 3/2 LS O -SG -VF mfr AS 3f -1m 0.7 1.6 B 7-37 5YR 4/4 S 0 -SG -VF dsh AS 3f 0.7 1.6 C 37-56 5YR 6/4 S 0 -SG -VF dsh AS - 0.7 1.6 D 56-104 7.5YR 8/4 S 0 -SG -VF ds - - 0.7 1.6 ❑ Bodng # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev.It. Soil Annliralion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Ou. Az. Cont. Color Cr. Sz. Sh. •Eff#1 •EH#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev.ft. Snit Annlil ration Rama I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Ou. Az. Cont. Color Cr. Sz. Sh. •Eff#1 'Ef#2 • Effluent #1 = SOD > 30 5 220 mg/L and TSS > 30 Si 50 mg(L • Effluent #2 = BOD, s30 mglL and TSS s 30 mglL 6S31c ce...E7NNyti ca: 148> l'y Actt Ivv-10 yt,C>, I\vtvir Li. SYa'YJ CST I.,132`rC / / /11 �- — i�uslcty Bay Luke Jw L— .' fr- Page 1 of 7 Pad?6 Co. P1 inning and Z ing [n -Ground of sorption for POWTSComponent Version 2.1 (May 2022-2027) Manual Used 3 Number of Bedrooms 20 Percent Slope (%) 102 Depth to Soil Limiting Factor (in.) 0.7 In Situ soil application rate 300 Estimated Wastewater Flow (gpd) 450 Design Wastewater Flow (gpd) 2 Number of System Elevations 91 Proposed System Elevation #1 89 Proposed System Elevation #2 Proposed System Elevation #3 93 Original Grade #1 93 Finished Grade #1 91 Original Grade #2 91 Finished Grade #2 Original Grade #3 Finished Grade #3 Wieser 1000 Septic Tank Polylok PL -525 Effluent Filter Infiltrator Quick4 Plus Standard Chamber Type 12 Height of Chamber (in.) 20 sq.ft. per chamber(ESIA) 3.3 sq.ft. per end cap (EISA) 4 laying length of chamber(ft.) 1.5 length of endcap(ft.) 34 Chamber width(in.) 2 Rows of Chambers 4 Distance Between Cells (ft.) 16 Number of chambers in first row 16 Number of chambers in second row Number of chambers in third row 32 Proposed Number of Chambers Used 642.9 Minimum Distribution Cell Area Required (sq.ft.) 646.6 Distribution Cell Area Proposed (sq.ft.) W Ager y Page 2 of 7 6 S 3 c ce.:..Fr Ht -y N % Row" k'x S"W/r-vi7 T-m d(' z. -o. asecr- 1 tc 9a: Igsc3 r.&:.y Ate t ) -re-c I,Ls IOSG f^as� �d rr '- iy.tr Wl `SYS92 CST* jacj'� !C/3O/2 C Two rows of 16 Infiltrator Quick 4 Standard chambers Scale 1:50 * Bench Mark = Nail in oak Elev = 100.0' Brouch (3 bedroom) Gravity In -Ground Plot Plan l i K) 1 / A) NOTES: - Property lines not shown > 50' from system area - All vent, observation & conveyance pipes 4" ASTM D1785 or code equivalent Page 3 O RECEIVED 17 2025 Cross Section of a Two Cell In Ground Component Using Leaching Chambers Observation/VentbserPipes 3.00 Finished Grade - ------ -_ - C - Finished/Gca de, _ 91.00 Zn Slope 20% Celt operation / 4t j47 .('y 3.00 Original Grade._,__ ,Y :� �iJfiginal Grade 91.00 f 2.00 Top of Chamber :___— y _4\10p of Chamber 90.00 I.00 System Elevation X14 _ , ' System Elevation 69.00 Treotrpent pnd dispersal Loge. . -j • s . _._ ............................. Limiting Factor Observation/Vent pipes to be constucted and capped with approved materials for the particular use. 67 feet n 4 feet between cells n 67 feet Observation I Vent Pipes to be located at the ends of the distribution cells. ≥Id Co. Page 4 of 7 4" CAST- INLET I v` c N m OR EXCEED ASTM C-1227 WLP1 OOO TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" 4" CAST -A -SEAL BOTTOM: 3" COVER: 5' MANHOLE: 24' I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4' LENGTH: 8'-8' WIDTH: 7-2' BELOW INLET: 42" LIQUID LEVEL: 36" WEIGHT: BOTTOM 6,790 LBS. COVER 3,195 �i�l,`T�0 INLET AND OUTLET: ` 4" CAST —A —SEAL BOOT OR EQUAL GASKET N0V 17 2025 Bayfield Co. planning and Zoning AgencY u INLET AND OUTLET BAFFLE AND FILTER: 4JI WISCONSIN SEE DETAIL #10 (OTHER STATES SEE CHART) ^a LIQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: I OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS �. o LOADING DESIGN: 8'-0" UNSATURATED SOIL 2 TANK CAN BE USED AS: W SEPTIC / HOLDING / PUMP OR SIPHON y i W COVER: MIX DESIGN 418 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) S CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE J 0 0 D BY F DATE w cn FOR APPROVAL APPROVED BY: SHEET NO. APPROVAL DATE: 1 7" OF PRODUCTS NEEDED BY: / 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6,7 FILE INFORMATION Owner DAVID E & GRETCHEN M BROUCH Permit # DESIGN PARAMETERS Number of Bedrooms 3 0 NA Number of Public Facility Units ® NA Estimated (average) flow 300 gal/day Design (peak) flow = (Estimated x 1.5) 450 gal/day In Situ Soil Application Rate 0.7 ayda Htz Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) ≤30 mg1L Biochemical Oxygen Demand (BODs) ≤220 mg/L O NA Total Suspended Solids (TSS) ≤150 mglL Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) 530 mg/L Total Suspended Solids (TSS) ≤30 mg/L 121 NA Fecal Corrform (geometric mean) ≤10° cfu/10oml Maximum Effluent Particle Size % in dia. O NA Other: ® NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Imonth(s) Inspect condition of tank(s) At least once every: 3O (Maximum 3 years) ® ears O NA Pump out contents of tanks) ® When combined sludge and scum equals one-third ('h) of tank volume O When the high water alarm is activated ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ month(s) 21 year(s) (Maximum 3 years) 0 NA Clean effluent filter At least once every: 3 ❑ month( years ® ') 0 NA Inspect pump, pump controls & alarm At least once every: ❑ month's) ❑ year(s) ® NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) ® NA Other: At least once every: ❑ month(s) O year(s) ® NA Other: ® NA SYSTEM SPECIFICATIONS Tank Manufacturer Weser 0 NA ® Septic O Dose O Holding vol. 1000 gal Tank Manufacturer ® NA ❑ Septic 0 Dose 0 Holding vol. gal Effluent Filter Manufacturer Polylok O NA Effluent Filter Model 525 Pump Manufacturer O NA Pump Model Pretreatment Unit ® NA ❑ Sand/Gravel Filter O Peat Fitter ❑ 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 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 canbined 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 tailing 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 (Y4) 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 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. RECEIVED GMW (12102) N0V 17 2025 Bayfleld Co. Planning and Zoning Agency Page of 7 STARTUP 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; [QWl�drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications �atGh ts; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT NOV 17 2025 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: Baytleld Co. Planning and Zoning Agency • 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. St 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. ❑ 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 POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name 2 St. ; G Name Bayfield County Zoning Phone 71S — -" 2_z_7- Phone715-373-6138 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. 10/30/25, 12:58 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 10/30/2025 Created On: 3/15/2006 1:15:34 PM Description Updated: 2/19/2015 Tax ID: 19853 PIN: 04.024-2-47.08-28-3 05-004-07000 Legacy PIN: 024107902000 Map ID: Municipality: (024) TOWN OF IRON RIVER STR: 528 T47N R08W Description: LOT 1 OF GSM #350 V.3 P.199 (LOCATED IN GOVT LOT 4) IN V.938 P.728 57861 Recorded Acres: 1.050 P Site Address * indicates Private Road Calculated Acres: 1.068 65350 COUNTY HWY H IRON RIVER 54847 Lottery Claims: 0 First Dollar: Yes ® Property Assessment Updated: 8/19/2024 Zoning: (R-1) Residential -1 ESN: 118 2025 Assessment Detail Code Acres Land Imp. I Tax Districts Updated: 3/15/2006 G1 -RESIDENTIAL 1.050 240,500 163,900 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 240,500 240,500 0.0% 024 TOWN OF IRON RIVER Improved: 163,900 163,900 0.0% 163297 SCHL-MAPLE Total: 404,400 404,400 0.0% 001700 TECHNICAL COLLEGE &I Ownership Updated: 2/19/2015 DAVID E & GRETCHEN M BROUCH NAPERVILLE IL Billing Address: DAVID E & GRETCHEN M BROUCH 3719 CANDEUR DR NAPERVILLE IL 60564 Mailing Address: DAVID E & GRETCHEN M BROUCH 3719 CANDEUR DR NAPERVILLE IL 60564 w' Recorded Documents ® CONVERSION Date Recorded: O WARRANTY DEED Date Recorded: 2/21/2006 Updated; 3/15/2006 ' Property History N/A 358-15;561-318 2006R-505198 938-728 RECEIVED NOV 032025 Bayfield Co. Planning and Zoning Agency https:l/novus.bayfieldcounty.vA.gov/access/master.asp?paprpid=19853 11 1-4YFIELD 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: BROUCH,DAVID E & GRETCHEN M SR -00358 3719 CANDEUR DR NAPERVILLE, IL 60564 Transaction Number: SR -00358-37D25 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 3367 Paid by: Timothy Dykstra, 10620 Eagle Lake Rd, Iron River WI 54847 Payment Type: Check Transaction Date: 11/3/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. I3AYFIELD 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: BROUCH, DAVID E & GRETCHEN M 3719 CANDEUR DR NAPERVILLE, IL 60564 Description Private Sewage System (Septic Tanks) Submission Number: SS -00682 Transaction Number: SS-00682-38B1F Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3934 Paid by: Greg's Plumbing, 13660 County Hwy H, Iron River WI 54847 Payment Type: Check Transaction Date: 11/18/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-155S STATE SANITARY PERMIT OWNER: DAVID E & GRETCHEN M BROUCH GOVT LOT: 4 LOT: 1 BLK: CSM: 350 V.3.P.199 1/4 1/4 SEC: 28, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 141-25 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: GREG BROWN TRACY POOLER Authorized Issuing Officer DATE: 11/18/2025 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: # MP699374 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 11/18/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION