HomeMy WebLinkAbout25-15SRRequest 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 zonino(a)bayfieldcountv.wi.aov
Note
fl Time Change fl Discrepancy fl Other
Phone Number
Plumber:
? `�
Fax Number
Homeowner:
/71/e //�
Email Address
Immediate Phone Number So Zoning
Sanitary
Permit M
S
Dept can call you right back (if needed)
Plumber's Choice
ing Dept
Date:
1 D (
No Inspection(s) during this time
Tuesday 12:15
Y
(9:30 am - pm) (Tracy)
Plumber's Choice
ij� Dept
Time:
1.30
11 .
Township:
gA �;l _I
G�l
Address #:
2 r I y A y I G � A
O h Gl GC
Q 7 4
Road Name:
or
/�
(J � S �r��/
J�
Directions
To Site:
Comments:
* Plumbers you must verify any change(s) by fax or email "*
Notes from
July 2025
Emily Macgillivray
From: Emily Macgillivray
Sent: Tuesday, January 27, 2026 8:28 AM
To: 'gregbrownplumbing@gmail.com'
Subject: Hytteko (87825 Brickyard Creek)
Hi Greg,
I'm still looking for a plan revision for Permit 25-15S, Hytteko (87825 Brickyard Creek). You switched from
two 2,000 gallon tanks to one 3,000 gallon tank.
If you could submit a plan revision ASAP, that would be great!
Thanks!
Emily Macgillivray (she/her)
Assistant Zoning Administrator
Planning and Zoning Department
Bayfield County
117 E 5`h Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3511
emily.macgillivrav?bayfieldcounty.wi. gov
Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have
received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our
office at zoni @bavf eld oounty.wur gov or 715 373-6138 with any questions or concerns.
POWTS HOLDING TANK INSPECTION REPORT
(ATTACH TO PERMIT)
GENERAL INFORMPTI^NI
Permit Holder's Name
HYTTEKOSLLC
Plan ID No. 3094 ATWOOD CIR
STILLWATER MN 55082
Sanitary Permit No.
Property dd ss If Avai able`
TANK INFORMATIG...
TYPE MANUFACTURER/MODEL# CAPACITY
e r=TM Ar'VQ
Property Line
Well
Water Service
Building
All -Weather
OHWM
Swimming Pool
Road
to
N -
DEVIATIONS FROM APPROVED PLAN
7 ,
COMMENTS (Persons present, discrepancies, etc.) _ I ��� Ott e� `� nA-
� 30D (te a t00o)
�a((V)
�QQ �2eddt n
rm
_,c'lernaJ a(a
(een� l eU`
LS v� 1oc� �nsFul
lw \tttn M ✓ ldI�1 t✓�,
n
COMPONENTS NOT INSPECTED
Plan evislon Required
Yes O No
Date:
I Signature oflInspeot :
dl
Cert. Number
C
Sketch on other side
10 of 13
u
Al
Property Owner
Information
As you know
BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT
Telephone: (715) 373-6138
Fax: (715) 373-0114
e-mail: zoning(dbayfieldcountv.wi.aov
Web Site: www.bayfieldcounty.wi.gov/147
— HYTTEKOSLLC
3094 ATWOOD CIR
- STILL WATER MN 55082
onsite wastewater treatment system on your property described as:
Notes:
Bayfield County Courthouse
Post Office Box 58
117 East Fifth Street
Washburn, WI 54891
was contracted by you to install a private
Abandonment of Old System to meet all applicable code requirements:
1
Tank was pumped by:
Tank was crushed / removed and pipes disconnected by:
ret
at AM/PM
On at (AM / PM) the above -mentioned plumber contacted our office to
condu 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.
flSystem 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: IVeW ail �+� �li/lD 3 O ( OD ova// /I -f(/i K l/1 /a(%ail
�_ IV1 �laSl r✓/1 l0(� n� I iP p� .
U/!arms/s anilarypropertyowner-input
April2019
_ n<e\ ...Industry services Division
county
4822 Madison Yards Way
tg \ Madison, WI 53705
Q
Sanitary pemjt umber (lo be filled in by Co-)
((
.cg-oosaoR P.O. 73 .Box02
•� �`S:, Madison, W15302 'NTERED
/
p2 S l 5 SP-
Sanitary Permit Application
State Transaction Number
In accordance with SPS 38311(2). Wise dmCode,Code. submission of this form to the appropriate governmental unit
a saniury permit. Note: Application fame for sure -owned POWTS are suborned to
Project Address (if differreent than tiling ad ,)L
C —IL
r
is required prier to obuining
the Department of Safety and Professional Services. Personal information you providemaybe used for secondary
'9 '7 $ S i .^I G
purposes in accordance with the Privacy law, s. 15.04(Ixm), Sots.
�R r,, �, �U ci
Qs &i
I. Application Information —Please.: Print All Information
Property Owner's Name
#qthPro
#
CZY7
Owner's Mailing Address
Property Location
3.09'! GU r7
Govt. Lot
..— _
�A �,a Section S)t2
City, State
/
S�, %///J
Zip Code
�5 (7 7
55t/
Phone Number
Qj
t� s/— 7 - S� Z
✓ .�
GAG
(J
/ /
T .� N R O E or Q
II:Type or Building (check a0 that apply) - - -
LoUt
Subdivision Name
or 2 Family Dwelling— Number ofBcdrooms
Block It
❑ Public/Commercial — Describe Use
❑ Cityof
❑ State Owned — Describe Use
❑ Village of
CSM Number
7
z62yiC-6o326
(�
j jown of bDii !
Vr /
W. Type of POWTS Permit.: (Cheek either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
aQEieabte,)
A.
New System
Replacement System
❑ Other Modification to Existing System (explain)
Additional Pretreatment Unit (explain)
B.
Holding Tank
fn -Ground
At -Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
Renewal Before
❑ Revision
Change of Plumber
Transfer to New Owner
Ass Previous Permit Number and Date Issued
Expiration
IV. Dis ersaliTreatment Area. and Tank Information: -.
Design Flow (god)
Design Soil Application Ratc(gpd/sf)
Dispersal Area Required (sf)
Dispersal Area Proposed (so )
System Elevation
Capacity in
Total
ft of
Manufacturer
Tank Information
Gallons
Gallons
Units
c
.3
NeaTanks
Existing Tanks
n
i4U
n.0
ti
e.
ScpticorttoldingTank
3 0 o o
3 OoQ
li
`-es-tr- C -A Afnc e.
Dosing Clamber
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.:
Plumber's Name (Print) Plumb7'7 Si
MP/MPRS Number
Business Phone Number
CsJ'-e�� Srvw�
,17? -7
77S -zoq-nib
Plumber's Alldress (Street, City, State, Zip Code)
(GGo 0 t{ - vz tti LA- ' w
VI: County/Department Use Only
Approved
O Disapproved
Permit Fee
Date Issued (f1�
Issuing t azure
❑ Owner Given Reason for Denial
t .-.
/3
/(3773 Z ��
Conditions of Approval/Reasons for Disappr�ovall�j�,
FEB
0 4 2026
Bayfeld Co.
Planning and Z,:nlnn e..sw
PAGE 1OF4
4
Holding Tank Plan
Index & Cover Sheet
y� I Component Manual Design References:
Holding Tank Version 2.1 (May 2022-2027)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Holding Tank Specifications
Pg 4 of 4 Management Plan
Attachments:
Enclosures:
POWTS Application for Review
Soli Evaluation Report & Site Map (if ap
Holding Tank Pumping Contract (if appli
Holding Tank Agreement (if applicable)
Project Name 1 Description
plicable)
cable)
Owner Name(s): N /elaS LG 1 Phone: £SJ - vgJ -/02
Owner Address: 305 ,v,n�(CLis1S iI1uaf4 �` A) Zip: crD Ba_
Project Address: 87 S .i S Rr; yGurj Gt Jt�R gg j j wT _ y giy
Govt Lot I - 1/4 of - 1 /4, Section D (o , T S)N-RBK�1�E ❑ or W
Township: g 1 z� „Q County; ay FJ c
Project Parcel ID #: -1-ny Z.D , L143I
..
.• litI IlitJ ulrn,.:t
Designer Name: w�-
Designer Addrress: (3(,(,o C(t - W
E-mail: r v'pr b� )"%,. l w.la�✓�Ai_ 1
License
Remarks:
Phone: 71 S - 20 - o
Zip: .SV84 7
This space reserved for approval stamp.
r:CE a'ED
3000 U nt FEB 042026
Bayfield Co.
P nning and Zoning Agency
Signature: /� Date: /� ��
original nrpuned an eath s,twmaed -
4
PAGE sC)
RECER'ED
-- _ FEB 042026
f
SS c� Bayfield Co.
: ,d Zoning Agenq
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OUTLET
m U
W3000 -MR
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 2 1/2"
BOTTOM: 4"
COVER: 6"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 71"
LENGTH: 15'-6"
WIDTH: 7'-9"
BELOW INLET: 57"
LIQUID LEVEL: 50"
WEIGHT: BOTTOM 12,260 LBS.
COVER 8,350 LBS.
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL GASKET
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 58.94 GAL/IN
HOLDING TANK:
OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 3,183 GALLONS
LOADING DESIGN: B'-0" UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC / HOLDING / PUMP OR SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT
WIESER CONCRETE
REVIEWED BY
REVIEW DATE
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
N
0
0
3
SS- 00520
• `i"i
Indus) Scn'iccs Division
Yards Way
Count
Id
4822 Madison
, ,I
Sanitaq Pennin l umber(lobefilled in by Co.)
PS
Madison. WI 5.1705
;,
P.O. Box 7302
.�•'w.,._yfi``
Madison, W15302
2s— t
5 S
Sanitary Permit Application
State Tronsaetio, Number
hi accordance wills SI'S 383.21(2). Wis, Adm. Coda, submission of )his farm to the appruprbite govenuitental unit
is required prior In obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safetyand Professional Services. Personal information you piovi"j t3 tAcO fdai;.aaooaary
Project Address (if different than moiln' address)
g 5-- }� r/ [;
purposes lit accordance with the Privacy law, s. 15.04(l)(m). Slots. '
ckyn �'% c_ekl
/ a Li 1,_).Xt,
1. AplicationInformation-PleasePrintAllinformation
Properiy Owner': Nanie - ,...
�-L C
Pare p
C)
t lay
4;L9
ro nyOwner's Moilinrg Addres'sr
Properly Location
I Q �' W C G� J`
(incl. Lot '
('sly, Slate I
Zip Cole
Phone Number
w -e►� ti
SSU
6c/ -V91 —S,$
• — . wanton 4 6
T N R O ); n0
11. Type of Building (check all that apply)
Loth
or 2 Family Dwelling- Number ofhednmms 3
Subdivision Name
Peg's Poi n -1} 1- SYwre.
Hlock, If
❑ l'ublidcomntercial - Describe Use
❑ City of
—
O Village of
❑ State Owned - Describe Use
CSNM Number
Town of _ __Y______
III. 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
a 1(cable.
A.
Neu• S stun
stem ttc laeement System Y
❑ Other Modification to Existing System (explain)
Additional 1'rrvcaunem Unit (explain)
If.
1(uldin� k
In -Ground
At -Grade
Muund
Individual Site Design
tlllier'I'ype )explain)
(convenlinnal)
C.
Renewal flefore
❑ Itevision
Change of Plumber
'fmnsfcr to Now Owner
List Previous Permit Number laid Date Issued
Expiration
IV. Dis ersalffrctdntent
Area and Tank Information:
Design Flow (gpd)
.._-
Design Soil Application Rnte(gpd/sO Dispersal Area Required (sf
I Dispersal Area Proposedksystell)tion
Cnpiicily in
Total
II or
Manufacturer
'tank h finnathm
/Gallons
Gallons
Units
NewTanis
Exlning Tanks
SepticorltoldingTank.vQ
1lnwing C7umb.•r
V. )responsibility Slatclnen - 1, the undersigned, assume res nsib Ity for Installation or (lie POWTS shown on Ilse attached plans.
Piumbcr'n Name (Print) P7Si'
c
MPIMPRS Number
Rosiness Phone Number
Gra w �
✓�' -
C'
P. -137
s - ry-o
,,Itsu.be Address (Street.City, State. Zip Code)
/:so Y
VI. County/Depnrinlent Use Only
ftnppmva,l
O Dlmppmved Pu�{n�dr P�v
❑ Given Reason for Denial S'jLU
Doe homed
4' Z Il L
1xndna A xtann
Owner
Conditions of ApprovallRcasons for Disapproval rat &400,00 512(2S fled
Ym=*�r,,�r 3/' ^ 40�Lo
J
Industry Services Division
4822 Madison Yards Wa
Count Q t
bq -
fA ns �\ 1 `LJ
Madison, WI 53705
Sant Permitl umber(to be illed in by Co.)
. F$ f J!
`_-=-�•b
P.O. Box 7302
WI 5302
\rfd�y]V�r�i¢
Madison,
Lary Permit Applic ����� ppr+ rr�� IISS
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this formlft/th&ajptdprl�te govdmnt nl. it
State Transaction Number
is to obtaining a sanitary Note: Application forms for owned POWTS are submt to
Project Address (if different th "mailin address)
required prior permit.
�
the Department Safety and Professional Services. Personal information yo vi4 j "r r q }cony
s Br,'c-Xyae.V ctjte,k
of
27 $ a
purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats.
a W y
11 Application!iifet"uiiititni—Please Print ABInformation &S
Property Owner' Name - '� .
Pare #
LL
Os
rop rty r's Mailing Address
vne
Property Location
l
-}-W B� �
Govt. I,ot
/O
r o
City, State
Zip Code
Number
\
il% -t��//t�Q r I' v
ScO
(Phone
fO ci- — jl
¼. /,Section
T Sd N R Bn�
1I Type of BuildinglefiriCk all that apply) :,.
Lot #
or 2 Family Dwelling — Number ofBcdroom3 s
Subdivision Name
Block/I
❑ Public/Commercial — Describe Use
❑ City of
❑ State Owned — Describe Use
0 Village of
CSM Number
//
STownof_ga1 F;+ W
111. 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
a licable.)
A.
New stein
Replacement System
❑ Other Modification to Existing System (explain)
Additional Pretreatment Unit (explain)
B'
Holdin, Tank
In -Ground
At -Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
Renewal Bcforc
❑ Revision
Change of Plumber
Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
IVY
Dispersal/Treutm'oni"Area
and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/sl)
Dispersal Area Required (sf)
Dispersal Area Proposed (sf)
System Elevation
Capacity in
Total
Hof
Manufacturer
Tank Information
Gallons
Gallons
Units
E
o
2
o
New Tanks
ExistingTanks
. q
. o
u
o
E
a m
m
a U
in w
rn
'w C7
n.
Septic or Holding Tank
lJ V
O O
��� / l.7C N
X
, `
Dosing Chamber
V. Responsibility Statement" I, the undersigned, assumes nsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plu b is Si a
MP/MPRS Number
Business Phone Number
6t -s5 @ -t'--------------_.
P, 937
s - a -a
Plumbe Address (Street, City, State, Zip Code)
/3660 cYfcn �� �`� . r3'297
V I. County/Department Use Only
Approved
0 Disapproved
Permit Fee
Date Issued
Issuing Agent Signature
0 Owner Given Reason for Denial
Conditions of Approval/Reasons for Disapproval
SR-co22o
Soil Test# )5,.�5
Bayfield County
Waiver of a Thorough Soil & Site
(subject to 15-1 -1 0(d))
Evaluation
I 11 Y �IiIC3 ��� a certified soil tester determine that in my professional
judgment the foil ing site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation Is not needed to make such a
determination.
Property Owner t 1 V 7 1 kCL5 LL(
Propey Address g%/gas 8V\pJCYCire�
Creek C� /I B;�PI� Sl8/Y
Telephone 1761 " qg,— s291
Accurate Legal Description is requested:
Section 06 Township SUN. Range 03 W Town of V
Contractor o}F'(''5" -
Authorized Agent �^�! &--
Agent's Telephone Tic c709 - m%1-
Written Authorization Attached:( or N
1/4 of 114
Additional
(7-1- I7(7V1 '-✓'
Govt. Lot 1.. Lot -
Lot GSM#_
Volume Page_
Indicate reasoning f
r111 A n
5 Block Subdil
Vol. Page
of Deeds Tax I.D#,
)r your determination: -
i. I) I
Signature of unty Official
4)zl Iz5
Date
ision ROV`S P(rT Short sv�
CSM Doc# oe
yagg Acreage /, 3
5M -e dos AM ivznf
Ai4
Signature of ertified Soil Tester
3/s/as
Date
)a13!s's
Certification #
(Submit a Plot Plan & Fee)
ri�uiioonsisoi8esovalverQ<.IO
Jl� APR •LUY:i June2018
Bayfield Co. Zoninq Dept. paso. (-tijs l2s R
SR- 00ro
� Soil Test #
'V Bayfield County
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
1 IY✓1 Ovk.s/1y& a certified soil tester determine that in my professional
judgment the follciWing site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Property Owner H V fl ekas LL C
Property Address g%Bois BAr1[ynrJ
Creek Pi 64AV WT swlel
Contractor bVkkkYt.. �Co.8�ltvchrtic
Authorized Agent 7j p�Vit!s I'v c
Agent's Telephone 7jS--7C9- 5%l8
Telephone 651- y9/- 5/e24 Written Authorization Attached:OY or N
Accurate Legal Description is requested:
1/4 of 1/4 Section 06 Township SUN. Range 63 W. Town of &V 2/
Additional Leaal Descri
Govt. Lot .1 Lot 5 Block Subdivision Ro s Syb
Lot CSM# Vol. Page CSM Doc # 00,2y-
��
Volume Page of Deeds Tax I.D# ycQy9 Acreage/i S3
Indicate reasoning for your determination: Si l e dooS A/of. n4eei A fi
r)l1 n 1 .. n .. r n.
Signature of County Official
Date
r�
AP /li:i
Signature of tfled Soil Tester
3/as/mss
Date
4/3Qss
Certification #
(Submit a Plot Plan & Fee)
u/forms/s oil? estwa iver(KLK)
June 2018
-.`
\ e'�
wI S -/$/Y CSfJ! 1a138ss '
APR u [025 � Svc
'i ,� r K C0.91NSRE 1 day=1 _ -
4 Z4a i
'I K ;w :6 C' rwr' :
6M�1�11 IF _ '�•,.
TPAVEL 0 1 0 Y
/
/�
P;, MARK 5 SILVER
PAGE 1 OF 4
Holding Tank Plan
Index & Cover Sheet
Component Manual Design References:
Holding Tank Version 2.1 (May 2022-2027)
Pg1of4
Pg 2 of 4
Pg 3 of 4
Pg 4 of 4
Index & Cover Sheet
Plot Plan
APR 1 `/ 2OZ5
3ayfield Co. Zoning Dept.
Holding Tank Specifications
Management Plan
Attachments:
Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map (if ap
Holding Tank Pumping Contract (if a i]
Holding Tank Agreement (if applicable)
Project Name / Description
Owner Name(s): /7 �T/�'�: — Phone: .57 I
Owner Address: SO c/t1 4*0j C /,1, SIr //wgle,, /y/U/ Zip: 5 SZt $
Project Address: '3 7 ? 2S R4rkvt rtQ- C k %cl &c-i >L, /cL Sit yJ
Govt. Lot: ( • 1/4 of -1/4, Section L ST CN-R C E ❑or W
Township: j / IA t County: CLh € lJ
Project Parcel ID #: 4-� Z. 92 - /9
plicable)
cable)
Designer Information
Designer Name: 6 V'-ec
Dabs
1
Phone: 7/5- - 30? - O) L
Designer Address
Ci rY7/s
1! z v 2v -<� kYZ, Zip: S ' ce9 `7
E-mail:
License
This space reserved for approval stamp.
Remarks:
Z � 000 or!
Signature: >4 n Date: 9//a/Zr
Origi signature required on each submitted copy.
fl APR 1 7 2025 E 3 O-
Bayfield Co. Zoning Dept.
DONE TANK SPECIRCAT?QNS
(No Scale)
S aNECrr Vs /
rr:
i�rs�a��Ofr�ava
3kkrnNov4 Etc a'¢on
¢ypk 1j
4—)
HOING TAPE
vow_
ANK MA UFAC 3 '€
'Audw talc as n�tav
rr
IRAPR 172075
HOLDING TANK e MANAGEMENT PLAN Bayfield Co.
Zoning Dept.
The Private Onsite Waste Treatment System (POWTS) has been designed and is to be
installed and maintained according to SPS 383, Wisconsin Administrative Code,
Holding Tank Component Manual for Private Onsite Waste Treatment Systems
(SBD-10571-P)(R.s/ss) and the Bayfield County Zoning Department Sanitary and Private
Sewage Ordinance.
1. This POWTS has been designed to accommodate a maximum daily flow of
gallons of domestic wastewater per day.
2. The owner of this POWTS is responsible for system operation and
maintenance, locking device, alarm and access.
3. The owner or owner's agent is required to submit reports as required by SPS
383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department.
4. Design approval and site inspections before; during and after the construction
are accomplished by the county or other appropriate jurisdictions in
accordance with SPS 383 of the Wis. Adm. Code.
5. Maintenance Cycle. The holding tank must be serviced by licensed pumpers.
An alarm system is to be installed to activate when the tank is < 90% full.
6. Performance monitoring. At the time of servicing, the service provider files a
report with the department of designated agent.
A User's Manual will accompany the component. It will include the names
and phone numbers of local health authorities, component manufacturer or
POWTS service provider to be contacted in the event of component
malfunction or failure.
8. In the event that this POWTS or a component of this POWYS falls and cannot
be repaired the owner will find in the User's Manual the names and telephone
numbers of property licensed individuals to contact for such repairs.
This agreement shall be binding on all assignees and heirs 1/4 of 1/4 SectionkTownshipf N. Range?N. Town of Qaa tp -i
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BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-15SR
STATE SANITARY PERMIT
OWNER: HYTTEKOS LLC
G OV'T LOT: LOT: 5 B LK:
SUBDIVISION: Roy
1/4 1/4 SEC: 6,T50 N, R 3 W
TOWNSHIP: Bayfield
SOIL TEST: 15-25
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: GREG BROWN
TRACY POOLER
Authorized Issuing Officer
DATE: 2/12/2026
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 #: 25-15S
LICENSE: # 699374
Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all-
weather road.
THIS PERMIT EXPIRES 2/12/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION
1E3--`YFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
Submission Number:
HYTTEKOS LLC
SS -00520R
3094 ATWOOD CIR
STILLWATER, MN 55082
Transaction Number:
SS -00520R -3D573
Description
Amount
Sanitary Revisions
$25.00
Total:
$25.00
Payment Amount:
$25.00
Reference: 3982
Paid by: Greg's Plumbing, 13660 County Hwy H, Iron River WI 54847
Payment Type: Check
Transaction Date: 2/13/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.