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HomeMy WebLinkAbout25-156SRequest 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. Note Time Change Discrepancy Other Phone Number ,Adn.t.u) Cady -1 l S 3 3 23"7 e) Plumber. C n'ftic7 t-tViA C LAC Fax Number 7t5 3"122 otogb Email Address ?'1 fte- < vda k t� ptWfl J D'r '1 ost'llit't-f 5 Immediate Phone Number So Zoning Dept can call you right back (if needed) ,ZCj ' 15(0 Q I I CUl ii S 29 2 U OPe mber's Choice Zonin Dept No Inspection(s) during this time (O f >5mber's Tuesday (9:30 am - 12:15 pm) (Tracy) Choice Zoning Dept &fttk L2 -pm IIZ Township: Address # & Road Name: 3 1 1 35 StdG�wa. 13 / $ or ,2d wl s�t�i� Directions To Site: Comments: 1` t {,L rn-It- ** Plumbers you must verify any change(s) by fax or email ** Notes from utlomulsanitaryfrequestforinspedion Qt 1 It G[5 Zoning Dept (tW12104); e June 2023 .�ppMrnrgyr KARLEE N DUNLAP In 21695 STATE HWY 13 G CORNUCOPIA WI 54827 Private Onsite Wastewater Treatment is ( POWTS). Inspection Report (Attach to Permit) County Sanitary ermlt No: State Plan'Transaction ID#: Parcel Tax No: TYPE MANUFACTURER CAPACITY Prop, Line Well I Building Air Intake Road O N/A Dosing.' N/A I *Holdln N/A Pump! Siphon Information Pump Manufacturer ump Model Demand GPM Filter Manufacturer Filter Model TOH Lift Friction Loss Head Total Forcemain Length Die Dist To Well Dispersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop.. Line Building Well OHWM Type of Cell Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number. Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header/ Manifold Distribution Pipe Infiltrative Surface Final Grade X Pressure Header! Manifold I Distribution Pipe(s) I X Hole Size I X Hole Observation Pipes Lengthh,______ Dia _ Length _ Dia Spac_ Spacing j O Yes 0 No Soil Cover Depth Over j Depth Over I Depth of I Seeded I Sodded . Mulched Cell Center I Cell Edges I Topsoil j ❑ Yes ❑ No 0 Yes 0 No COMMENTS: (Include code discrepancies, persons present, etc.) _1 ISPr nha tt •i 0 i liI�}' 1�s1 ( C 'GV\ 6nS�-Q(RUric Wln ra JV+ e fR — tst tm,A A mk ff — 6 ( aL S fr _ 4 vela- * o $5etuct " etas Ian revision required? D Yes 0 No 1I other side for additional information. l� �l 'j- 30 �< Date POWTSIn pectol's Signature License Number 3RRe71n lR w911 Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-61$8 Bayfield County Courthouse Fax: (715) 373-0114 Post Office Box 5B e-mail: zoning a(�bavfieldcountv.ora 117 East Fifth Street Web Site: www.bavfieldcountv.oral147 Washburn, WI 54891 KARLEE N DUNLAP 21695 STATE HWY 13 CORNUCOPIA Wl 54827 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.seaticsearch.com Notes: Abandonment of Old System to meet all applicable code requirements: • Tank was pumped by: • Tank was crushed I 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. System could not be inspected because County could not respond to plumber's time constraints. Comments: I�CIi��� �t1\� �(�1 �;\ �`l1\ 1 I U/formslsanitaryproperiyowner-input April2019 Vtgn4T11� yr RECEIVE Industry Services Division CountyBAYFIELD ° 4822 Madison Yards Way Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) NOV 14202 jam P.O. Box 7302 Madison, WI 5302 �1 a s J 5 (p -==ate/ Bay C;r, Qllith nPlef ii t Application Sg- oo6 q,0 State Transaction jNumber J 2 " 2i) In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to t Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary 31135 STATE HIGHWAY 13 BAYFIELD WI 54814 purposes in accordance with the Privacy Law, S. 15.04(1)(m), Slats. q I. Application Information — Please Print All Information Property Owner's Name JOSHUA AND KARLEE HUDACHEK ltlKee�� Joshua and Karlee I Property Owner's Mailing Address 21695 HIGHWAY 13 City, State CORNUCOPIA, WI Zip Code Phone Number 54827 715-226-0847 II. Type of Building (check all that apply) Lot # X 1 or 2 Family Dwelling —Number ofBedrooms 3 O Public/Commercial — Describe Use Block # Property Location Govt. Lot NW '/., NW %., Section 19 T51 N R04 W O City of O State Owned — Describe Use CSM Number O Village of X Town of RUSSELL M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A, Check one box on line B. Complete line C if applicable.) A. ❑ New System Replacement System El Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank ❑ In -Ground ❑ At -Grade E Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before El Revision ❑ Change of Plumber El Transfer to New Owner List Previous Permit Number ad Dafe Issued Expiration /' I$ 6 O /0/I It� Da 1 IV. Dispersal/Treatment Area and Tank. Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 .6 450 480 101.5 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units U New Tanks Existing Tanks c w a j5 A, Septic or Holding Tank 1250 750 1Q00 1 WIESER X Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbe ' i e MP/MPRS Number Business Phone Number ADRIEN CADY (",j922139 715-373-2378 Plumber's Address (Street, City, State, Zip Code) 31160 BIRCH GROVE ROAD WASHBURN WI 54891 V County/Department Use Only Approved ❑ Disapproved PPermit Fee Date Issued Is uin ent Signature ❑ Owner Given Reason for Denial Sao !! /13 /0115 / £ /3'/3 /iJ�' Conditions of Approval/Reasons for Disapproval Attach to complete plans for the system and submit to the County only on paper not less than is 1R x ii inches in size SBD-6398 (R. 02/22) Wiscqnsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 November 13, 2025 CUST ID NO.: 666459 EMERY J PALMER PO BOX 176 GALESVILLE, WI 54630 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/13/2027 MUNICIPALITY: TOWN OF RUSSELL BAYFIELD COUNTY SITE: HUDACHEK, JOSH MOUND RUSSEL BAYFIELD STATE ROAD 13 BAYFIELD, WI 54814 NW 1/4 NW 1/4 S19 T51N-R4W FOR: Design Wastewater Flow Value: 450 . Bedrooms: 3 Limiting Factor(s): 20 inches Maintenance Required: Effluent Filter •mot+ Phone: 608-266-2112 Web: http:lldsps.wi.goy 0' ..,, a Email: dsps(i)wisconsin.ov n Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-112502682-C Application No.: DIS-102546563 Site ID No.: SIT -153093 Please refer to all identification numbers in each correspondence with the Department. Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE EZ Flow Mound Manual -Version 2.1 (9/7/23) REC E I CE D NOV 14 2025 Bayfield Co. SITE REQUIREMENTS Planning anal Zoning Agency • 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, (9/7/2023) • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a' -inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. o A. state -approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 • Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet chs. NR 811 & 812 • Tank Installation to follow all manufacturer's requirements. Verify property line(s) prior to installation. • Pump Floats to be set and verified per the approved plan. • Areas that are occupied with rock fragments, tree roots, stumps and boulders reduce the amount of soil available for proper treatment. If no other site is available, trees in the basal area of the POWTS Dispersal Area must be cut off at ground level. A larger fill area is necessary when any of the above conditions are encountered, to provide sufficient infiltrative area. • With new construction, it is recommended not to activate the pump in the dose tank until the tanks are pumped prior to homeowner occupancy. • Any tall grasses, leaves and shrubs shall be cut short and removed prior to tilling the surface for installation to prevent matting under the dispersal area. All loose organic material to be removed from POWTS Dispersal Area. • Provide surface water diversion around the treatment tanks and mound dispersal component. o The design indicates 6 niches of ASTM C33 sand plowed into the system area prior to construction. • All SPS Table 383.43-1 and WDNR setbacks to be met. 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, J � 1� !O;r✓ Timothy Zoromski Division of Industry Services Phone: Email: timothy.zoromski(a,)wisconsin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 RECEJVEr NOV 14 2025 Say;i•,!%i Co. Ptann;r)J 2r;ci:%„r.s�i�;�c�enGy Josh and Karlee Hudachek Mound System 31135 State Highway 13 Bayfield WI 54814 40 Acres, Town of Russel, Bayfield Co. SIECE VED S 19 T51N R04W PIN 04-046-2-51-04-19-2 02-000-10000 Nov 1 4 2020 Bayfield Co planning and Zoning Agr--ncy 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 6-8: Plot plan, Mound plan & Calculations Page 9: Tank section, Dose & Pump calcs Page 10: Tank Specifications Page 11: Pump curve details Page 12-13: POWTS Owners Manual & Management Plan Page 14: Maintenance Agreement Page 15-17: Soil Evaluation Report Page 18: 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 BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS 4 2025 Submit the. Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) s�,;t,.:, heck List Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) -�1 Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) Original Plot Plan (383.22(2)2. 3. & 4.a) Cross Section, Over -Head Profile of the System and 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.) Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) olding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) o ding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) '-E-ATU-Servicing Agreement (Recorded at Reg. of Deeds) A Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) 2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copied Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) 4 State Plan Review (when applicable) o laim Deed (Optional) Sanitary Apalication:_ (Include the following Information) Application Information must include: 'W3 igit Parcel ID# -- (do not use 12 digits anymore —obsolete) zoject Address or Road Name where driveway is/will come off of) ,'(Owners Phone Number) ❑ II Type of Building ❑ III Type of Permit 0 IV Type of POWTS System ❑ V Dispersal / Treatment Area Information ❑ VI Tank Information ❑ VII Responsibility Statement (Plumber's Information) 0 *Date Stamp* Plot Plan: (To Scale or To Dimension) ❑ Signature and Plumber Information ❑ Surface Elevation of Body of Water 0 Direction and Percent Land Slope ❑ Tank and Filter Information and Location ❑ Wetlands / Navigable Bodies of Water ❑ Absorption Area (Proposed and Existing) ❑ Bench Mark (Location, Elevation and Description) ❑ Address Number and Road ❑ North Arrow ❑ Contour Lines ❑ Structures and Driveways ❑ Boring Locations ❑ Property Lines ❑ Well Locations ❑ Component Manual Version 0 Legal Descriptions ❑'ir''ifomlafln'(nve�yacel(�e, b�ildigis`e,v�li� �anaternai? . �e arrt'�tlia nt�rj Turn Over ► Cross -Section and Over -Head Profile of the System: ❑ Surface and System Elevation RECEED ❑ Position of Observation and Vent Pipes NOV 1 -4 202b ❑ Dimensions and Depths Bayfiel%i Co. ❑ Make, Model & Number of Chamber Units in each Cell Planning and z'rg : ge ncy Property Information ❑ How many systems will there be on this parcel of land? ❑ Has this property been split? (Property Statement shows Property History) Fees: ❑ 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 ❑ Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) u/forms/checklfists/checklistforsanitaryapps (10/2009);(®7/2011);(02/2012)(®5/2/2012 -dc) Proofed by: Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 11/13/2025 Created On: 3/15/2006 1:16:01 PM 1.1 Description Updated: 12/12/2018 Ownership Updated: 12/12/2018 Tax ID: 29182 KARLEE N DUNLAP CORNUCOPIA WI PIN: 04-046-2-51-04-19-2 02-000-10000 Legacy PIN: 046102701000 Billing Address: Mailing Address: Map ID: KARLEE N DUNLAP KARLEE N DUNLAP Municipality: (046) TOWN OF RUSSELL 21695 STATE HWY 13 21695 STATE HWY 13 STR: S19 T51N R04W CORNUCOPIA WI 54827 CORNUCOPIA WI 54827 Description: NW NW LESS PAR FOR HWY IN DOC 2018R575684 224 Site Address * indicates Private Road Recorded Acres: 41.290 31135 STATE HWY 13 BAYFIELD 54814 Calculated Acres: 40.705 Lottery Claims: 0 Property Assessment p U dated: 4/22/2024 First Dollar: Yes Zoning: (AG -1) Agricultural -1 2025 Assessment Detail ESN: 128 Code Acres Land Imp. G1 -RESIDENTIAL 1.000 5,500 100 Tax Districts Updated: W15/2006 G6 -PRODUCTIVE FOREST 40.290 64,500 0 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 70,000 70,000 0.0% 046 TOWN OF RUSSELL Improved: 100 100 0.0% 040315 SCHL-BAYFIELD Total: 70,100 70,100 0.0% 001700 TECHNICAL COLLEGE Recorded Documents Updated: 12/12/2018 Property History ® PERSONAL REPRESENTATIVES DEED N/A Date Recorded: 12/7/2018 2018R-575684 NOV 142025 Bay 5a; Co. Planning and ?:_�ciny Ager.cy ______________ // Notes: o • Underground utilities not located as of this date. Further research Is . * recommended before any construction or excavation. �0 I.. ba ed t U A 1 Y Boundary filvrmativn s s on apparen Property nes surveys recommended to determine true property lines. a Location and elevation of building sewer(s) is beyond the scope of this report 0 Parcel size = 41 acres 4Z510/`15OII f'Y tom. x 2 -99- - `------------r\ \\`�.. Legend -------- = Contour line (1' Interval) ® = ptt j \ � t- 4 = BM (grade ©steel post) = Stope direction ® = Well (Elevation at top) : •24 ® 83.4 tOY 7 4 2025 6a1;i- !d Co. - r,.. �:;., inAgency Graphic Scale 40 o zo 4o so ( in feet) 1 Inch - 40 ft. Josk.- Hudachek NW 1/4 - NW 1/4, Section 19, T51 N-R4W Town of Russel, Bayfield County, WI Tax ID:29182 31135 State Hwy 13, Bayfield WI 54814 HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@highcliffconsuiting.com www.highcliffconsulting.com Drawn by: I Date: Job: I ..3... SJS I 10-3-2025 I HUDACHEK Mound Plan View & Cross Section Cross Section Site to be seeded and stabilized Plan View A,_ 6.0 ft tuft K j_ft B `.-_. ft J_ i ___ ft LM ft W ____ ft V D t l i 4 2025 ,iki Co. 2 " Force main 200, in length © High Cliff Consulting LLC Cleanout Detail (lateral end) Access cover — isThreaded cap Extend all lateral ends up within 6" of final grade. 6' Last hole from end of cell rd Long sweep 90" Pipe Lateral Layout Not to scale RECEIVED N0V 1:4 2025 Bayneld Co. Planning and Zon ng Agency C� ; ouR . ICIp System elevation Lateral elevation I o2 - Observation Pipe Detail Finished grade Watertight cap (mulched & seeded) 4" Sch 40 PVC pipe Top of pipe to terminate — at or above finished grade cover m 12") Four Y:' Yd' x6 slots 1 1/2 " Diameter lateral (PVC Sch 40 at 76 ` in length Anchoring device Native soil 3116 "Holes Holes 20 Holes per lateral 4 'Hole spacing 26.4 Gallons per minute discharge rate Observation pipe 76 'of of 1 '/2 " lateral 3.0' 1.5' 1sthole2'from -to OI end of cell of 2" Sch 40 Force main Observation pipe 2" "Manifold per Designer 40 holes at 0.66 GPM = 26.4 gpm I 152 "x .092 = 13.98 galllons X 5 = 69.92 gallons minimum dose RbCEWEUC & PUMP CHAMBER CROSS SECTION vent Pipa with Cp 1C). From door, window Approved Iocleirmg rrrhriiioie n NOV 14 2025 cover w/ %vnrt rlri Isnt�el or rr'e5it air irtcike Bayfie{J Co. Go'r'e'`' .•rte✓/ , Wencher Proof J vent C.ip ming and Zo: iir.c• Agency Warning l�htrei Junction Box on covers , 18 tiiit,l r r i i• •. r " A t -j•' v 'fit j- 1 I tvili i Y( Approved Joint , fl (4.4') State Approved Filter on Outle ;= '� Baffle 11 Quick Disconnect 18' MIN 1/d' We ep Provide ` Hole Airtight r seal r ' If Approved AlarimV _ Joincs Li On C I •Off' �' `'' ll 11, Colic. U i Block r , ,,i .1. 3' approved i:edding maCerLal uncler tank SPECIFICATIONS ELEV. ft Lor 6L• !o24 Note: Pump aid alarm are on separate Number of Doses: 15414 Per Day circuits as per ILI IR 16.28 Wis. Adin. Code Gallons Per Day /it of Doses: '3 Gallons Volume of Backflow: 3Z•oo Gallons Tank Manufacturer: �'5 Total Dose Volume: 12.0 ' 9 Gallons Tank Size: '?$o Gallons Alarm Manufacturer: R>!4om evS Capacities: A $ 'S. inches or 4 59.4ZGallons Model Number: tot ©1 14 M CRA/YVZA _ 8 inches or 3.4 Gallons C ? S inches or E •9 Gallons Pump Manufacturer: GOULDS D 1 0 inches or ! (o 1.2, Gallons Model Number:3%%S W Eo 514. Minimum Discharge Rate: 'Z -Co' GPM •Vertical Difference Between Purnp Off and Distribution Pipe'............: Zt•3Ft. Minimum Required Supply Pressure: ................................................ + 3 •S Ft. "�.• Ft. of Force Main x i9d� Friction Factor/100 Ft ..................+ + 3'9 Ft. Total Dynamic plead = 2S'7 Ft. ' � _, Depth of l irtuic] 4-% G11ULON/inch +Z �? W1250/750 -MR TANK SPECIFICATIONS 12'-11" DIMENSIONS: WALL: 2 1/2" 4" CAST -A -SEAL 4" CAST -A -SEAL BOTTOM: 3" COVER: 6" --�-------=_-_� MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 66" 11110.. \� LENGTH: 12 -11 WIDTH: 7'-2" BELOW INLET: 53" LIQUID LEVEL' 48 O� WEIGHT: BOTTOM 8,740 LBS. N �� � Yf t yi COVER 6,120 LBS. f I t l 1 ii INLET AND OUTLET: >� FILTER OR i i i i r 4" CAST -A -SEAL BOOT OR EQUAL GASKET BAFFLE II I I .__j__- INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 L C E V t (OTHER STATES SEE CHART) TOP VIEW NOV 1 4 2025 LIQUID CAPACITY: 27.66 GAL/IN (SEPTIC) 16.12 GAL/IN (PUMP) Bayfield Co. LOADING DESIGN: 8'-0" UNSATURATED SOIL Planning and Zoninz Agency ``' TANK CAN BE USED AS: 0 4" VENT SEPTIC/SEPTIC, SEPTIC/SIPHON, Lu OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) ___ -L 1 TANK: MIX DESIGN #10 (STRUCTURAL FIBER) INLET - OUTLET CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE a 1 _ i� I'•1 b _j I io 1 D w 1 1 N n_ 1 u� I 1'1 v I �• .-- I ta =23 1 `n I I •1 '�' I REVIEWED BY V PUMP PAD REVIEW DATE TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 0 w w - SHEET NO. 17 OF 71 APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluentsystems SPECIFICATIONS Pump: • Solids handling capabilities; D/n" maximum. Discharge size: 2" NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide.rotary seat/silicon carbide -stationary seat, 300 series stainless steel metal parts, BUNA-N elastomels. • Temperature: 104°F (40°C) continuous 140°F(60°C) intermittent. • Fasteners: 300 series stainless steel. • Capabiebf running dry. without damage to • components. - Motor • Single phase:'/3 HP, 115 or 230 V.60 Hz, 1750 RPM; • 12 HP,116V,60Hz, 3500 RPM; -%z HP —11/2 HP, 230 V, 60 Hz,: 3500 RPM. Built-in overload with automatic reset. Class B insulation. ( of lcls 5'-. Eli' It ZE:r� oly�L7 I I' i L Ii ( ' I l H, (H [;. NOV 14 2025 I 1 Ba3 C°. 3885 Pln lsnn_i annd Zo'. .IrU v.'=, CANADIAN STANDARD ASSOCIATION gp • Three phase: '/2 HP.—. 11,4 HP 200/230/460 V; 60 Hz, 3500 RPM, Class B Insulation, overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel. • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase: Ys and''/2.HP —16/3 SJTO with three prong plug.' -1Y2 HP 14/3 STO with bare leads. Three phase: ½'1½ HP —14/4STO with bare leads. On CSA listed models 20 foot length SJTW and STW are standard. METERS F 0 ti FEATURES • Impeller: Cast iron, semi - open, non -clog with pump- out.vanes for ,mechanical seal protection. Balanced for smooth operation. Silicon •bronze Impeller available as an option. Casing: Cast Iron'volute type for maxim um efficiency. 2" NPT discharge adaptable for slide rail systems. Mechanical Seal: Silicon carbide vs. silicon carbide. sealing faces. Stainless steel metal parts, BUNA-N elastomers. Shaft: Corrosion -resistant stainless steel. Threaded design. Lockout on three phase models to guard against component damage on accidental reverse rotation. •Motor: Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage. Bearings: Upper and lower heavy duty ball bearing construction. Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. 0 -ring: Assures positive sealing against contaminants and oil leakage. ■sn..■u■.■■ ■■■ ■ ©S'e■■■e■ ■■■. ■�e■■\�■■■■1 ■ ■■■■■■■ ■210,■■■sue■e■■■ae■■■e■■■■■ •'em's ®sue■� ���G��■�s ��®®ME ■■■\'■■eB■■■■e■■ WIlI iwim I o\ems\■■■■■■■■■■ .e ■■■■■e■■■■es_!a■■■■e■e■■e 0 CAPACITY OGPM l 10 m3/h Goulds Pumps, Inc. POINTS OWN ER'S MANUAL & MANAGEMENT PLAN Page_Lof-, FILE INFORMATION Owner d CQ a di Vo Permit # n=QIrM1 DARAMFTFRS Number of Bedrooms 0 NA Number of Public Facility Units (flA Estimated (average) flow 3Q0 gayl/da Design (peak) flow = (Estimated x 1.5)-( O al/da In Situ Soil Application Rate aVda /ftz 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 (BOD5) ≤30 mg/L Total Suspended Solids (TSS) ≤30 mg/L ❑ NA Fecal Coliform (geometric mean) ≤104 cfu/100ml Maximum Effluent Particle Size '/a in dia. ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tanK etnuent. cV TFM RPFCIFICATIONS Tank Manufacturer ❑ NA Septic ❑ Dose 0 Holding vol. gal Tank Manufacturer 7�:) 0 NA ❑ Septic Dose 0 Holding vol. gal Effluent Filter Manufacturer Pol 10 0 NA Effluent Filter Model 7 S 5 Pump Manufacturer /' _Oo 145 ❑ NA Pump ModelC� Pretreatment Unit 0 NA ❑ Sand/Gravel Filter 0 Peat Filter ❑ Mechanical Aeration 0 Wetland ❑ Disinfection 0 Other: Manufacturer Dispersal Cell(s) 0 NA ❑ In -Ground (gravity) 0 In -Ground (pressurized) ❑ At -Grade g1 Mound ❑ Drip -Line 0 Other: Other: ❑ NA Other: 0 NA MAIN I CNA11%o+fGLIV1.V- Service Event Service Frequency Inspect condition of tank(s) At least once every: 3 year(s)s) (Maximum 3 years) 0 NA 0 When combined sludge and scum equals one-third ('f) of tank volume ❑ NA Pump out contents of tank(s) ❑ When the high water alarm is activated Inspect dispersal cell(s) At least once every: ❑ month(s) 3 ETyear(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ months) 3 �, year(s 0 NA pump, pump controls & alarm At least once every:3 monthInspect �. y(s) ear(s)onth(s) ❑ NA Flush laterals and pressure test -- : At least once every: o years)CJVEt ❑ NA Other: At least once eve ry: ❑ month(s) ❑ year(s) 0 NA Other: NOV 14 2U2 0 NA t�ayn e u Co. MAINTENANCE INSTRUCTIQN$ning and Zoning Agency 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. 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. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) 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 t teWGAVr perly 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. NOV 1 4 2025 • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.Bayfield Co. Planning are • 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. 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 ASEPTIC, 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 4�1y�(/t C4'I Name Cciy Cl Phone �� •� --a, 3 7 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name 1TII&k ' 4vte; Name tyJ9 LiG Z,u" fiL Phone Z 5.3 33 Phone f - 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. Private Sewage System Maintenance Agreement DOCUMENT NUMBER Owner(s) Name a lee 14Uc1 e 2025R-609988 v _ Owner(s) Mailing Address co V., VCO jc DANIEL J. HEFFNER REGISTER OF DEEDS WI BAYFIELD COUNTY, Site AddresyEeU `� 3✓ f� H`Gt11/14/2O25 RECORDED 8:38 AM AT Tax ID # — ���, _a Oa..O0o .► !a OO 0 RECORDING FEE: $30.00 PAGES: 1 As owner, I (we) do herbt'�tflify the private sewage system will be installed in accordance with the certiflec} soi tester's report and approved plans and specifications on file with Bayfield County PI'nning and Zoning Department. The system will be in such a manner as to meet the designed plans. I (we) agree to maintain said operated 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 jJU" _1/4 Section �—tTownshipS 1 N. Range1N. Recording Area Additional Legal Description: 1Z� S pyi.by"` 'a 7 Return To: Town of RI' l' 55e II (Acreage) L/DGov't Lot Planning and Zoali?y1ent Lot Block Subdivision Lot CSM # Vol. Page CSM Doc # NOV 11 2025 [Ei In -ground gravity ❑ In -ground dosed ❑ In -ground pressure oyfi&ci &. distriB i'i�n eWl 'yst%em: Mound 0 At -grade Sewage System 0 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 -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print Subscribed and swam to before me on this date:ir' !3-0�Wil tc eE' 0j4ec Notary Notarized Owner(s) — Signature(s) Public �.: �J e My Commission Expires: �'• L1 sco�s rafted by: Date: 102 i pro�f��iby'� u/forms/sanitary/septicmaintenceagreement Revised July 2020 SOL TEST #/V"75 F�'FRER '�i . Wisconsin Department of Safety & Professional Services : r2 8 Page of Division of IndustryServices 0, w �' Bayfield Co. x' 083 6 SOIL EVALUATION REPO4 ing and zoningAgenc+/ �nua In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must Include, Parcel I.D. but not limited to vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. • 9' Please print all information. Re I we Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Ownerj,, /� Property Location Govt. Lot f l) W% NW % S T 5/ N R Al E (or) W Property Ow � ` ailing Addre s t Site Address or CSM and Lot #: ity, State, Zip j y��. i 3 Phone Number ❑ City 0 Village Town Nearest Road 31135 L� 1 (71s) -O .STIS 13 ''New construction Use:.'Residential/ Numberof bedrooms .3 Code derived designflow rate 'ISO GPD 0 Replacement P lic or co a cial — Des ibe: Flood Plan elevation if applicable —' ft. Parent material General comments and recommendations: �J �-I .de ❑Boring Boring # D tD 'It Ground surface elev. F+ Depth to limiting factor In.! elev. 9 Soil Annilcatinn Rate Horizon Depth I Dominant Color In. Muunseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots L GPO/Ft2 *Eff#1 I *Eff#2 1f' Ia,o bZ 2'.I I75 tJt/ flcd.t41 ___________ - ___ 6 Ii.O i _________ ji3 ______________ I Boring # []Boring It Ground surface elev. 9 7+ Q F+ Depth to limiting factor oZ In. / elev. 9.L QZF-f- I Snll Ahnllcaflnn RAtA Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 J ._j&z 9" zz 71 5-4 "_' 1• CST Name (Please Prin# Mark Palmer - High 81iff Consulting Signature CST Nu ber 224736 Address Date Evaluation Conducted • Telephone Number P.O. Box 176 Galesville, WT 54630 %/ - 3 608-582-2205 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) Page •Z- of .3r ❑ Boring .N Boring # igPit Ground surface elev.' O R Depth to limiting factor._, � in. / elev. 1+ Soil Annllcatinn Rate Horizon Depth In. Dominant Color Munseil Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 ) . o -r /e / j I& a 4 / L ?—� Fa 1Q jtr fl Boring #r' ❑ Boring ❑ Pit Ground surface elev. - l4 Depth to limiting factor In. / elev. Ff Soil Annllcatinn Rate Horizon Depth In. Dominant Color Munseil Redox.Descriptlon . ( u. Az. Cont. Color Texture Structure ', Gr. Sz. Sh. C,pnsistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 ❑ Boring Boring # ❑ Pit Ground surface elev.__________ F•f Depth to limiting factor in. / elev. P(' Soil Annllcatinn 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 *E * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS S 30 mg/L Notes: • Underground utiflftes not located as of this date firntherresearch is recommended before any construction orexcavatlon. • Boundary Information Is based on apparent property line A survey Is recommended to determine true property tines. • Location and elevation of building sewer(s) is beyond the scope oftrls report • Penal size - 41 acres t' w �•� i ci � 1 j '. ----------rte Legend roe,` -------- =Contour line (1' Interval) ® = Pit • = BM (grade® stud post) = Slope dIredfon ® = Well (Elevation at top) Josh.': Hudachek NW 1/4 - NW 1/4, Section 19, T51 N-R4W Town of Russel, Bayfield County, WI Tax 1D:29182 31135 State Hwy 13, Bayfield WI 54814 HIGH CLIFF CONSULTING LLC P.O. Box 176, Galesville, WI 54630 608-582-2205 service@highcliffconsulting.com www.hfghcllffconsulting.com Drawn by: Date: Job: 3 .� SJS 10-3-2025 • HUDACHEK 11 /5/25, 10:00 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfleld County Property Listing Today's Date: 11/5/2025 }'^ Description Updated: 12/12/2018 Tax ID: 29182 PIN: 04-046-2-51-04-19-2 02-000-10000 Legacy PIN: 046102701000 Map ID: Municipality: (046) TOWN OF RUSSELL STR: S19 T51N R04W Description: NW NW LESS PAR FOR HWY IN DOC 2018R575684 224 Recorded Acres: 41.290 Calculated Acres: 40.705 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 128 V Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 046 TOWN OF RUSSELL 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE Recorded Documents Updated: 12/12/2018 ® PERSONAL REPRESENTATIVES DEED Date Recorded: 12/7/2018 2O18R-575684 Property Status: Current Created On: 3/15/2006 1:16:01 PM Ownership Updated: 12/12/2018 KARLEE N DUNLAP CORNUCOPIA WI Billing Address: Mailing Address: KARLEE N DUNLAP KARLEE N DUNLAP 21695 STATE HWY 13 21695 STATE HWY 13 CORNUCOPIA WI 54827 CORNUCOPIA WI 54827 130 Site Address * indicates Private Road 31135 STATE HWY 13 BAYFIELD 54814 Property Assessment Updated: 4/22/2024 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 5,500 100 G6 -PRODUCTIVE FOREST 40.290 64,500 0 2 -Year Comparison 2024 2025 Change Land: 70,000 70,000 0.0% Improved: 100 100 0.0% Total: 70,100 70,100 0.0% l Property History N/A � ye'i 5')? ? bttns-//nnvus_bavfieldcounty wLciov/access/master.ase?oaoroid=29182 1/1 BAYFIELD COUNTY SANITARY PERMIT (#04)-25-156S STATE SANITARY PERMIT OWNER: KARLEE N DUNLAP G OV'T LOT: LOT: B LK: NW 1/4 NW 1/4 SEC: 19, T 51 N, R 4 W TOWNSHIP: Russell SOIL TEST: 147-25 REPLACEMENT SYSTEM SYSTEM TYPE: Mound 224 in. of suitable soil PLUMBER: ADRIEN CADY TRACY POOLER DATE: 11/18/2025 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 19770.168; 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 #: 21-186S LICENSE: # MP 922139 Condition: Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 11 /18/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION