HomeMy WebLinkAbout26-25S,, Industry Services Division County
�a -
4822 Madison Yards Way Bayfield
.� Sp Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.)
.SS'P.O. Box 537
Madison, WI 53707 - a 5 S
- OU-j I
Sanitary Permit Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
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 mayy�be used for secondary 88690 Glacial Shores. Ba leld, WI 54814
purposes in accordance with the Privacy Law. s. 15.04(11(m). Scats. i-r Ff"'w 1'V9f� Yf
Property Owner's Name
Gregory & Annalora Fremouw
EParcel
/�q1ED MAR 272026 7
#
39338
Property Owner's Mailing Address
327 20th Ave.
Bayfield Co.
lanning and Zoning Agency
Property Location
Govt. Lot
City, State I
Zip Code
Phone Number
Menomonie, WI
54751
715-441-7187
Y4. Y4, Section 35
II. Type of Building (check all that apply)
Lot #
T 51 N R 04 For W
zI or 2 Family Dwelling —Number of Bedrooms 2
2
Subdivision Name
IIlPublic/Commercial — Describe Use
Block #
City of
State Owned — Describe Use
CSM Number
Village of
2351 V13 P330
❑✓Town of Russell
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
applicable.)
A.
✓few System
❑Replacement System
Other Modification to Existing System (explain)
❑Additional Pretreatment Unit (explain)
B'
❑Holding Tank
ZIn-Ground
❑4t -Grade
Mound
J1ndividua1 Site Design
Other Type (explain)
(conventional)
C.
❑
Renewal Before
❑Revision
1Change
of Plumber
EI'ransfer to New Owner
ist Previous Permit Number and Date Issued
Expiration
NA
IV.
Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/sl) I
Dispersal Area Required (s1)
I Dispersal Area Proposed (st)
I System Elevation
300
0.7
429
452
95.5
Capacity in
I Total
I # of
I
Manufacturer
Tank Information
Gallons
Gallons
Units
j
I
e
I v
New Tanks
lixiscing Tanks
.
'.
y
v
`m
t:
0.O
in H
ti
Septic or Holding Tank
750
750
1
I
Superior Precast
I ✓ I
I
I- I
n
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) I Plumber's Signature MP/MPRS Number Business Phone Number
Jason Kuettel 675751 715-798-3355
Plumber's Address (Street, City, State, Zip Code)
PO Box 66 Cable, WI 54821
VI. County/Department Use Only
AA Approved ❑ Disapproved Permit Fee Date Issued VoL Issuing A St lure
P ❑ Owner Given Reason for Denial $��^ y'��j /'/237!3 A/
I.
Conditions of Approval/Reasons for Disanoroval
to complete plans for the system and submit to the County only on naner not less than 8 12 x 11 inches in size
SBD-6398 (R. 02/22)
S f�� Oo390
Soil Evaluation Report TEST�—
1 ; in accordance with SPS 385 Ws.Rdm Code
Wisconsin Department of Safety and Professional Services TEST
Attach complete site plan on paper not less than 81,4 X 11 inches in size. Page: 1 f 6
Plan must include but not limited to: Vertical and horizontal reference County:
point (BM), direction and percent slope, scale or dimensions, north arrow, Bavfield
location and distance to nearest road. Parcel I.D.
Please Print All Information 39338
Personal information you provide may be used for secondary purposes. Re iew B Date-
9 ��
(privacy Law,s.15.04(1)(m)).
Property Owner: Pro erty Location
Gregory Allen Fremouw S35,T51 N,R04W
Property Owners Mailing Address: Site Address or CSM and Lot #
327 20th Ave 88690 Glacial Shores
City
IState
I Zip Code
Phone Number: Town
Nearest Road:
Menomonie
I WI
I 54751
0 Russell
Glacial Shores
Number of Bedrooms: 2
l ' New r Residential Code derived design flow rate: 300
Flood Plain if applicable -- r- - ;-
r"' Replacement r Public or Commercial - Describe: 'LTERED _, f i.
PEAR 27
l,
Parent Material: Outwash Flood Plain if Applicable: 0 =
General Comments & Recommendations:
System Elevation: 95.5 Load Rate: 0O.7 Elevation Range 92.87 To 95.57
Ground surface Elev: Depth to Limiting Factor:
Boring #1 r Bor. r' Pit
Soil Application Rate:
98.2 Ft. 100 in. Elev. 89.87 ft
Horizon
Depth in.
Domm.Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPD/ftz
*Eff#1
Eff#2
Munsell
Qu. Sz. Cont. Color
Gr.Sz.Sh.
1
0-6
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
6-12
7.5YR4/6
N/A
LS
0SG
ML
CS
3F
0.7
1.6
3
12-100
7.5YR4/4
N/A
MS
0SG
ML
N/A
2F
0.7
1.6
4
5
6
7
r Bor. r pi{ Ground surface Elev: Depth to Limiting Factor:
Boring # 297.07
Soil Application Rate:
Ft. 115 In. Elev. 87.49 ft
Horizon
Depth in.
Domm.Color
Redox Description
Texture
Structure
ce
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
Munsell
Qu. Sz. Cont. Color
Gr.Sz.Sh.
1
0-16
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0, .6
1.0
2
16-18
7.5YR4/6
N/A
LS
0SG
ML
CS
3F
0.7
1.6
3
18-115
7.5YR4/4
N/A
MS
0SG
ML
N/A
2F
0.7
1.6
4
5
6
7
*Effluent #1 = BOD 5>30 < 2 20 mgA TSS>30 < 950
*Effluent #2= BOD 5< 30 mg/land TSS
< 30 mg/1
CST Name (Please Print)
Si at
CST Number: 877598
Mark S. Thompson
Address: 12006 N US Hwy 63
Dat u nducte .
Telephone Number
Hayward, WI 54843
Thursday, March 5, 2026
715/699-4081
SBD-8330 (R04/21)
JL6
Property Owner: Gregory Allen Fremouw Parcel I.D. 39338 Page: 2 of 6
Boring # 3
Ground surface Elev: Depth to Limiting Factor:
Bores �t
98.35 Ft. 120 in. Elev. 88.35 ft
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
0-12
7.5YR2.5/1
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
12-26
7.5YR4/6
N/A
LS
0SG
ML
CS
3F
0.7
1.6
3
26-120
7.5YR4/4
N/A
MS
0SG
ML
N/A
2F
0.7
1.6
4
5
6
7
Boring #4
Ground surface Elev: Depth to Limiting Factor:
T Borr Pitt
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft?
*Eff#1
Eff#2
1
2
3
4
l
27202 2
5
6
f'lanri.1n
3yneia Uo.
;a.
ncv
7
Boring # 5
r Bore Pit Ground surface Elev: Depth to Limiting Factor:
0 Ft. 0 In.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
2
3
4
5
6
7
Boring # 6
r Bor Pit Ground surface Elev: Depth to Limiting Factor:
0 Ft. 01n.
Soil App. Rate
Horizon
Depth in.
Domm.Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr.Sz.Sh.
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
1
2
3
4
5
6
7
*Effluent #1 = BOD 5>30 < 2 20 mg/1 and TSS>30 < 150mg/1 *Effluent #2= BOD 5< 30 mg/1 and TSS < 30 mg//
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access
services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777
SBD-8330(R.07100)
Soft Profile Sheet Page: 3 of 6
Owner: GregoryAtlen Fremouw SoitTester: MarkS. Thompson
System Elevation: 95.5 Load Rate: 0.7 System Elevation: 92.87 To 95.57
101
B.i
100
-------_�__
99
---------------
98
--------------- 98.35
97
---------------
--------------- 01
96
--------------- 96.18 $
02
95
----------
94
---------------
93
---------------
92
---------------
91
---------------01225
90
---------------
89
88
---------------0035
87
86
---------------
85
---------------
84
---------------
83
---------------
82
. --------
81
---------------
80
--------------
79
--------------
101
01
•100
99
98
98.02
97
96
-QZ
95
94
93
---------------
9222z
92
-------------•-
��
91
90
89.87
89
L
88
87
86
85
84
83
82
81
80
79
101 82
100
99 -System
Elevation
98
97.07
1 96
--------------- �Z
9:Z
-----•--------- 95.57
95
-------------- 12
93
-_
MAR 2 ZOOM
92
�
Bavfield Co
91
---------------
90
90.49
89
88
87
87.49
86
85
84
83
82
--------------
81
80
79
---------------
Owner Information:
Name: GregoryAllen Fremoew
Location: S35.T51N.R04W
Township: Russell
County: Bayfield
Address: 88890 Glacial Shores
CST: Mark S. Thompson
598
71 99- 081
1"= 40' Only in Tested Area
BM=100: Nail w/ribbon on the base of tree near BI
B1= �$.2
B2 = 9707
B3= 98_35
Lake=
rte,...._.__
CZE�A-✓A.e .. i[
MAR 272025
Bay: :c
flfti
PAGE 1 OF 4
In -Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)`T.�
Pg 1 of 4
Pg2of4
Pg 3 of 4
Pg4of4
Attachments:
MAR 272026
Index & Cover Sheet Bayfield Co.
Plot Plan Planning an 7-cning Agency
Dispersal Area Cross -Section & Plan View
Management Plan
res:
POWTS Application for Review
Soil Evaluation Report & Site Mar)
Project Name / Description
Fremouw 2 -Bed
Owner Name(s): Gregory & Annalora Fremouw
Owner Address: 327 20th Ave. Menomonie, WI
Project Address: 1755 Buchman Rd. Barnes, WI
Govt. Lot:
1/4 of
Township: Russell
Project Parcel ID #: 39338
Phone: 715 -441 .7187
Zip: 54751
1/4, Section 35 , T51 N -R 04 E
County: Bayfield
Designer Information
Designer Name: Jason Kuettel
Designer Address: PO Box 66 Cable, WI
E-mail: tim@andryras.com
License Number: 675751
Remarks:
or W
Phone: 715 -798 -3355
Zip: 54821
I his sp;rcc reserved for approval stamp.
Signature: Date: 3 z ___
Original signature required on each submitted copy.
kEECEIVED
MAR 2 7 2026
Ownednformatlon: BM=100: Naltw/ribbon on thp base of tree near BI Bayfield Co.
Name: QregVry Allen Fr orw ��� Planning and Zoning Agency
Location: 535 T51N R04W
B1= 9L2
Township: Russell
82 = 910210Z
County: 9 ietd
83 = 88.36 Address: 0640Cacta1$horeS Lake= 0
Empty Lot No Well
ze y6' C�utcl� 4 C
** tstope r G
SVp&u
y"jc"NO
pvc
Only in TestedArea
S
fa/ O1LLNCA Pr
VtTom/
P G7 -Is 's I
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard -W Chambers
3 -ft Trench (down -sizing credit) RWi-1.4E i
SOIL COVER
2"
min. trench
depth
(typical)
MAR 27 2026
Bayfield Co.
'.2nd Zoning Agency
_
ftvplcicaq
System Elevation = 95.5
(typical)
Septic Tank(s) Manufacturer:
Superior Precast
Septic Tank(s) Volume(s):
750 gal gal gal gal
Effluent Filter Manufacturer.
Orenco
Effluent Filter Model #: FT -0822
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
ft
Quick4 Standard -W
w/ End Cap (Show location of inlet / outlet pipe connection on plan view.)
(typical)
I w•w ewawwws. —
--— -------------
I e I
( a••uu•.u•.�_•�rrrrr
B= 46 ft
(typical)
INSTALL PER TRENCH:
11 Quick4 Std -W @ 20 ff EISA/chamber = 220 ftz
+ 1 Pairs of end caps @6W EISA/pair = 6 ft'
= Proposed EISA per trench = 226 ft'
Provide minimum 3 ft
separation between trenches.
Observation Pipe
(typical)
Install per manufacturers
/ Instructions.
TYPICAL TRENCH
PLAN VIEW
(No Scale)
TA
(typical)
'—Quick4 Standard -W Chamber
(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
Required Infiltration Area = 429 ft2
x 2 trenches = Proposed Total EISA = 452 ft2
Distribution Method:
branched manifold
GD
m
W
O
m
RESET
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 300 gpd; BOD5 ≤ 220 mgL''; TSS ≤ 150 mgL"1; FOGS 30 mgL"1
Inspection Checklist INSPECT EVERY 3 YEARS he . EI JED
o type of use
o age of system PIAR ?_ 12026
o nuisance factors (i.e. odors, user complaints, etc.) Bayfield Co.
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Planning ar.t .-- .,o agency
o material fatigue (Le., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution I drop boxes)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (Le., wiring, connections, switches, controls, timers, alarms, etc.)
o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Scats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code.
o Effluent fitter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Andry Rasmussen & Sons Phone: 715-798-3355
Local government unit: Bayfield Co. Zoning Phone: 715-373-6138
Local government unit address: 117 E 5th St. Washburn, WI ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code.
No product for chemical or physical restoration of the POWTS may be used unless approved by the department in
accordance with SPS 384, Wisc. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code.
SEPTIC T
CROSS SECTION AUD S?ECr• iCArICtiS
4" Sci•4-oPVC INSP. pr or 5 " KIN. ABOVE GR-,t�'.(opt)
(when te nle+ mc.v 0�Ys buried ) J
APPROVED
MANHOLE
F1N_IH=D GRADS W/ Loc ,}.
-- W'�FR ✓into L.48EL
I - 4" Hill.
18" HIM.
I pILET
TIJj OUTLET
APPR D B,4F-CE—
O FILTER pct"4 EIVED
APPROVED MFG. 04!rco MAR 272026
PIPE 3'
ONTO SOL[O model # c-r-o9≥n-
Bayfi.c Co.
SOIL Planning Zur, ng Agenq
3" APPROVED BEDDING UHDEP, TANK
SPECIFICATIONS
SEPfC
TANK YiAWUFACIURER: .cu P C-1Gvt- r2cc.Q-t7—
TN,PIK 5IiES S TIC "So CAL,
NOTES:
r
SS _ 007
Private Sewage System Maintenance Agreement
&r ar, /4/(e, 1-? FpiOv
Owner(s) Mailing A ress
:Z7 Zo• A0E )bteNOAnmM/c wZ- CH7S'1
Site Address
'�S 6So 6LAC.'fl-c J'.i`aaeS QArFir2t. e
39 338
As owner, i (we) co nereby certlry me pnvate sewage system will be installed in
accordance with the certified soil testers 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)
1/4of 1/4 Section 3 -5Township S i N. Range O -f W
Additional Legal Description:
Town of )2V 5-V E LL (Acreage) Z Govt Lot
Lot Block Subdivision
Lot Z CSM#7Js) Vol. Page33U CSM Doc# 2oZ`taa•• 6038'74
DOCUMENT NUMBER
2026R-61 1576
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
03/27/2026 At 2:4O PM
RECORDING FEE: $30.00
PAGES:1
Area
Return To:
Planning and Zoning 1niM VED �fiiTERto
3 5%
MAR 302026
f
In -ground gravity
❑ In -ground dosed
❑
and &1inAuef1
In -ground pressure distribution Sewage System:
❑
Mound
❑ At -grade Sewage System
❑
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 manufacturers 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 bylaw.
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
iyAe&oR tl Al2 -EA/ rRMW'v&J
Subscribed and sworn to before me on this date: �'C. Nq
/YQ l � f �.od. (e�� `' NOTARY
Notarized Owner(s) - Signature(s)
Note lic
`�
_ * : ^:�
- '•, PUSLIC
'i
p
Y ion Expir s: �� '�O
, �i r. _,
�r � -F W,5
Drafted c: .v1 ccSV1L- Date: ;V1th_&
,
F, I
aaaaa
Proofed by:
Wfonns/sanitary/septicmaintenceagreement
Revised July 2020
]3AFIELD 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:
FREMOUW, GREGORY ALLEN
327 20TH AVE
MENOMONIE, WI 54751
FREMOUW,ANNALORA MARRIA
327 20TH AVE
MENOMONIE, WI 54751
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00390
Transaction Number:
SR-00390-42ED3
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 15004
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 4/2/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
P 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:
FREMOUW, GREGORY ALLEN
327 20TH AVE
MENOMONIE, WI 54751
FREMOUW,ANNALORA MARRIA
327 20TH AVE
MENOMONIE, WI 54751
Description
Private Sewage System (Septic Tanks)
Submission Number:
SS -00718
Transaction Number:
SS-00718-42ED2
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 15004
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 4/2/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-25S
STATE SANITARY PERMIT
OWNER: GREGORY ALLEN FREMOUW
GOVT LOT: LOT: 2 BLK:
CSM: 2351 V13 P330
1/4 1/4 SEC: 35, T 51 N,R4
4
TOWNSHIP: Russell
SOIL TEST: 19-26
NEW SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: JASON KUETTEL
TRACY POOLER DATE: 4/2/2026
Authorized Issuing Officer
CHAPTER 145.135(2) WISCONSIN STATUTES
a. The purpose of the sanitary permit is to allow Installation of the
private sewage system described in the permit.
b. The approval of the sanitary permit is based on regulations In force on
the date of approval.
c. The sanitary permit is valid and may be renewed for specified period.
d. Changed regulations will not impair the validity of a sanitary permit.
e. Renewal of the sanitary permit will be based on regulations In force at
the time renewal is sought, and that changed regulations may impede
renewal.
f. The sanitary permit is transferable.
History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314
Note: If you wish to renew the permit, or transfer ownership of the
permit, please contact the county authority.
PREVIOUS PERMIT #:
LICENSE: # MP 675751
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 4/2/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION