Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
26-52S
`,. Department of Safety & Bayneld County x < Y pS Professional Services, Sanitary Permit Number (to be filled in by Co.) t sr.oa�s� Industry Services Division a�-say Sanitary Permit Application mber PWeTransaction0600862-C PWTS-052600862-C In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary 77505 W Maple Rd purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stars. I. Application Information — Please Print All Information Property Owner's Name Parcel # BUTLER, TERRY A 31101 MAY 22 2026 Property Owner's Mailing Address Property Location 215 N I ST A VE E Bayfield Co. Planning and Za,,g Agency Govt. Lot_ City, State Zip Code Phone Number DULUTH,MN 55802 7152096414 NW /., SEA, Section 29 T49N R5EorW II. Type of Building Lot # I or 2 Family Dwelling Subdivision Name If! or 2 Family Dwelling— Number of Bedrooms 3 Block # Municipality If Public/Commercial— Describe Use If State Owned — Describe Use - Washburn CSM Number 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. New or Replacement System: Other Modification to existing System (explain) Additional Pretreatment Unit (explain) ew System B. System Type: Other Type (explain) Mound C Application Type: List Previous Permit Number Previous Permit Date Issued undefined undefined IV. Dis ersalrrreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) Dispersal Area Proposed (so System Elevation 450 0.7 642.86 643 96.50 Capacity in Gallons Total # of Tank Information Gallons Units Manufacturer Material Source New Tanks Existing Tanks Septic or Holding Tank 1200 0 1200 1 Wieser Prefab Concrete Septic or Holding Tank 0 0 Dosing Chamber 800 0 800 I Wieser Prefab Concrete V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumbers Signature MP/MPRS Number Business Phone Number Mike Wroblewski 1288503 (715) 373-0566 Plumber's Address (Street. City, State, Zip Code) 1491 County Hwy C, Washburn, WI 54891 VI. County/Department Use Only Permit Fee Date Issued Issuing Age igm ire sa 5Db- 5 192w Conditions of Approval/Reasons for Disapproval ad Attach to complete plans for the system and submit to the County only on paper not less than 8 ttz x II inches in size SBD-6398 (R. 03/22) SBD-6398, Sanitary Permit Application 5/5/2026 6:24:11 AM Introduction Wisconsin Department of Safety and Professional Services In accordance with Wis. Admin. Code sec. SPS 383.21(2), submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Upon completion, you will be emailed a copy of the completed form for submittal. Include a complete plan on paper not less than 8 1/2 x 11 inches. Check with your local POWTS authority about additional requirements and fees. Note that applications for state-owned POWTS are submitted to the Department via esla.wi.gov. (Rev. 02/26/2026) General Information Applicant Name: Michael Wroblewski Email: mike@biglakeplumbing.com Owner Name: Terry Butler Email: Phone Number: (715) 209-6414 Mailing Address Address Line 1: 215 N 1st Ave E Address Line 2: Unit 122 City: Duluth State: Minnesota Zip: 55802 Project and Site Parcel ID: 31101 RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency State Transaction Number: PWTS- Project Address Address Line 1: XXXXX W Maple Hill Rd Address Line 2: City: Washburn State: Zip: 54891 CSM and Lot Number: Subdivision: Block and/or Lot: Legal Description: Government Lot X PLSS 1/4 of: NW 1/4 of: SE Section: 529 Township: T49N Range (E or W): R05W Municipality Type: City X Town Village Municpality Name: Washburn County: Bayfield Building Type: X 1- or 2 -Family Dwelling Public/Commercial State -Owned Number of Bedrooms: 3 POWTS Permit RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency Permit Type: X New System Replacement System Other Modification to Existing System Additional Pretreatment Unit POWTS Type: Holding Tank In -Ground (conventional) At -Grade X Mound Individual Site Design Other Is there a previously issued permit?: Yes X No Dispersal/Treatment Area and Tank Design Flow: 450 GPD Design Soil Application Rate: 0.7 GPD / SF Dispersal Area Required: 642.86 Dispersal Area Proposed: 643 Square Feet System Elevation System Elevation: 96.50 Feet Tank Information Type: X Septic Holding Dosing New or Existing: X New Existing RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency Material: X Prefab Concrete Site Constructed Steel Fiberglass Plastic Manufacturer: Wieser Concrete Septic Tank Capacity: 1200 Gallons Type: Septic Holding X Dosing New or Existing: X New Existing Material: X Prefab Concrete Site Constructed Steel Fiberglass Plastic Manufacturer: Wieser Concrete Dosing Tank Capacity: 800 Gallons Total Capacity of Septic Tanks: 1200 Gallons Total Capacity of Holding Tanks: 0 Gallons Total Capacity of Dosing Tanks: 800 Gallons Total Capacity of All Tanks: 2000 Gallons Total Number of Tanks: 2 Responsibility Statement Signature Plumber Name: Michael Wroblewski RECEIVED MAY 222026 Baeld Co. Planning and Zoning Agency Plumber Email: mike@biglakeplumbing.com Phone Number: (715) 209-7521 Plumber Credential Type: X Master Plumber Master Plumber Restricted Service Credential Number: 1288503 - PM Address Address Line 1: 1491 County Highway C Address Line 2: City: Washburn State: Wisconsin Zip: 54891 RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency By inserting my typed signature below, I attest that the information provided is complete and accurate to the best of my knowledge and belief. I, as the licensed plumber, assume responsibility for installation of the POWTS shown on the submitted plans. Electronic Signature of Plumber: Michael Wroblewski Date: 5/5/2026 Wisconsin Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way Madison, WI 53705 May 15, 2026 CUST ID NO.: 1288503 MICHAEL J WROBLEWSKI 1491 COUNTY HIGHWAY C WASHBURN, WI 54891 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/15/2028 MUNICIPALITY: TOWN OF WASHBURN BAYFIELD COUNTY i o� Phone: 608-266-2112 Web: hurt://dsi)s.wi.gov S Email: dsosrirwisconsin.eov PS y Tony Evers, Governor sag°� Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-052600862-C Application No.: DIS-052618644 Site ID No.: SIT -159271 Please refer to all identification numbers in each correspondence with the Department. Conditionally G APPROVED q�+ DEPT. OF SAFETY AND PROFESSIONAL MAY 2QLU SERVICES U DIVISION OF INDUSTRY SERVICES SITE: Bayfield Co. Planning and Zoning Agency BUTLER MOUND SYSTEM XXXXX W MAPLE HILL RD WASHBURN, WI 54891 SEE CORRESPONDENCE W l/2 NW SE TOG WITH EASE IN DOC 2023R-601434 S29 T49N R05W FOR: Design Wastewater Flow Value: 450 Eljen GSF Mound Component Manual - 1-9-2025 Edition Bedrooms: 3 Limiting Factor(s): 33 inches Maintenance Required: Effluent Filter SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Eljen GSF Mound Component Manual for POWTS (Version 1-9-2025)". • The pressure network is to be constructed in accordance with publications "Pressure Distribution Component Manual for POWTS (Version 2.1); (May 2022-2027)" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)". • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Scats. • 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 '/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. I45.20(2)(d), Wis. Stats. • 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. 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 6 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 stars 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, Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Expected: $0.00 Timothy Zoromski r ,EIVED Division of Industry Services Phone: MAY 222026 Email: timothy.zoromski@wisconsin.gov Bayfield Co. Planning and Zoning Agency RECEIVED sco:sin Department of Safety and Professional Services s R.oa3 1,0 Division cf IUajvU ry,$y C O 'YI / LULSOIL EVALUATION REPORT Bayfield Co. In accordance with SPS 385. Ws. Adm, Code PL3nninu and Zoning Agency Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include. but not limiled to. vertical and horizontal reference point (BM), direction and percent slope. scale or dimensions, north arrow, and location and distance to nearest road Please print all information. ENTEB�D� Page i of 3 IL TEST#35 County BAYFIELD Parcel I D. 31101 Properly Owner Property Location ❑ TERRY A BUTLER Govt. Lot NW %. SE %S 29 T 49 NR 05 E (or) W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 215 N 1 sT AVE E UNIT 122 City Slate Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road New Construction Use: ® Residential/ Numberof bedrooms A Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial —Describe: Parer; material SANDY TILL Flood Plan elevation if applicable NA ft Genera! comments and recommendations: SITE SUITABLE FOR A MOUND SYSTEM ❑ Boring Li Boring # ® Pg Ground surface elev. 97.0 ft. Depth to limiting factor 36 in. Soil Application Rate Horizon Depth �nant Color Redox Description 1 Texture Structure Consistence Boundary Roots GPD/Ft2 In. Munsell Qu Az. Cant Color 1 Gr. Sz. Sh. -Eff#1 •Eft#2 t 0-11 7.5YR 4/6 NA s Osg dl cw 2m 07 1.6 2 11-24 7.5YR 5/8 NA s Osg oil dw 1f 0.7 1,6 3 2--36 17.5YR 6/4 if 0 7 1.6 NA s Osg dl cs 4 35-44 i 7.5YR 6/4 f2d 5YR 5/8 Is Osg mfr cw tvf 0.0 0.0 5 44-50_ 2 5YR 4/4 f2d 2 5YR 6f6 Is Osg ml NA l of 0 0 - _ _____ ___ ___iL_h:___ 2 Bonny ❑ Boring ® Pit Ground surface elev. 96,5 ft. Depth to limiting factor 33 in. — HorDepth Dominant Color Redox Description Texture i Soil Application Rate Tecn Boundary Roots I GPD/FP Structure Consistence In. Munsell Qu, Az. Cont. Color Gr. Sz. Sh. __ I •Eff#1 -Eff#2 1 0-10 ZSYR 4l6 NA s Osg dl cw 2m 10.7 1.6 2 10-24 ' 7 5YR 5/8 NA s Deg dl dw if 07 1.6 3 21-33 7.5YR 614 NA —_—_ s 4 33-444 L5YR &4 (2d 5YR Osg dl cs it 0.7 1.6 `_ 518 _ Is 5 44-56 2.5YR 4/4 f2d 2.5YR 6/6 Is Osg Osg mfr ml cw ivf 00 0.0 NA 1vf 0.0 0.0 _' Effluent #1 = HOD. '30 5 220 m 1L and TSS > 30 S 150 m /L ' Effluent #2 = BOD, '30 5 220 mg/L and TSS > 30 5. 150g/L CST Name (Please Print) Signature CST Number EDWARD J WROBLEWSKI _ __ SP -720_0013 Address Date Evaluation Conducted Telephone Number 84805 HATCHERY RD. BAYFIELD. WI 54814 8/8/2025 715-209-4055 SBD-8330 (R04/15) I 3 Boring # ❑ Boring ® pit Ground surface elev. 96.4 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description { Texture Structure Consistence Boundary Roots GPD/Ftz i In. Munsell Qu. Az. Cont. Color I Gr. Sz. Sh. 'Eff#1 'Eff#2 0-2 7.5YR 3/2 NA s i Osg dl cw 3m 0.7 1.6 2 2-12 7.5YR 4/6 NA s { Osg di cw 2m 0.7 1.6 3 2 -23 7.5YR 5/8 NA s Osg dl dw 1f 0.7 1.6 4 23-33 7.5YR614 NA S Osg dl cs 1f 0.7 1.6 5 33-45 7.5YR 614 f2d 5YR 5/8 i Is Osg mfr cw 1 of 0.0 0.0 6 45-60 2.5YR 4/4 f2d 2.5YR 6/6 Is I Osg ml NA 1vf 0.0 0.0 u Boring # Soil Application Rate Horizon 1 Depth In. Dominant Color Munsell Redox Description Texture Qu. Az. Cont. Color ! Structure Gr. Sz, Sh. Consistence Boundary Roots GPD/Ftz *Eff#1 Eff#2 I I I 1 ❑ Boring ❑ Pit Ground surface elev. _ ft. Depth to limiting factor _ in. I Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor _ in. Soil Soil A�on Rate Horizon { Depth In. { Dominant Color Munsell Redox Description Texture Structure Consistence Qu. Az. Cont. Color Cr. Sz. Sh. j Boundary { Roots GPO1F$ *Eff#1 Eft#2 i ' Effluent #1 = BOD, > 30 5 220 mg/L and TSS >30s 150 mg/L' Effluent #2 = BOD, >30s220 mg/L and TSS > 30 5 150 mg/L RzWEIVED MAY 222026 Bayfleld Co. Planning and Zoning Agency EDWARD J. PIRCSLEWSXI, CST NSP-72000013 SOIL TEST PLOT PLAN TERRY A BUTLER XXXXX W MAPLE HILL R W1/2 NW SE TOG WITH EASE IN DOC 20238-8'01434 S29 T49M R05W TOWN OF WASHSURN WI SCALE 1 = 60' A=em1&cuc..4 A RECNEO NAY 221026 Ravfiald CO. NORTH LOT LINE GSF WI MOUND DESIGN PROGRAM INDEX AND TITLE PAGE Project Name: Terry Butler- Mound System Owner's Name: Terry Butler Owners Address: 215 N 1st Ave E, Unit 122 Duluth, MN 55802 (715) 209-6414 Legal Description: W1/2 NW SE tog with Ease in doc 2023R-601434 S29 T49N R05W Township: Town of Washburn County: Bayfield Subdivision Name: Lot Number. Block Number. Parcel I.D. Number: 31101 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 GSF mound drawings Page 4 Lateral and dose tank Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications License Number: 1288503 Phone Number. (715) 209-7521 Designer. Michael Wroblewski Date: 5/5/26 Signature: Designed Pursuant to the 1-9-25 GSF Mound Component Manual (N. 00/46), and SSWMP Publication 9.6 Design Pressure Distribution Networks for STSAS (01/81) GSF Mound Version 2.5 RECEIVED MAY 2 2 2026 Bayfield Co. Planning and Zoning Agency Page 1 of 11 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES SEE CORRESPONDENCE GSF WI MOUND DESIGN PROGRAM DATA ENTRY Site Information R jResidential or Commercial Design Number of Bedrooms (optional) 450 Design Flow (gpd) 2.0% Site Slope (%) 96.50 Installation Contour Line Elevation (ft) JContour Length Available (ft) 33 JDepth to Limiting Factor (in) 0.7 In -Situ Soil Application Rate (gpd/ft2) EFF#2 Distribution Cell Information B43 Unit Used 8 Cell Width (ft) 3, 4, 5, 6, 8, 9 or 10 I 33 1= Dispersal Cell Length (ft) 2.0 Dispersal Cell Design Loading Rate (gpd/ft2) 2 Influent Wastewater Quality Are the laterals the highest point , in the distribution E ' Pressure Distribution Information network? EnterY or N C Center, End, No Manifold (Pump to Gravity), or Gravity (No Pump) 4 Lateral Spacing If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3 Estimated Orifice Spacing (ft) = I 13.20 ft2/orifice 1.5 Forcemain Diameter (in) 40 Forcemain Length (ft) Does the forcemain drain back? I 90 Inside Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 3.67 Forcemain Drainback (gal) 7.08 Vertical Lift (ft) 26.59 5x Void Volume (gal) 0.68 Friction Loss (ft) 30.26 Minimum Dose Volume (gal) 0.25 Add'! Fitting Friction Loss (ft) 13.11 System Demand (gpm) 11.26 Total Dynamic Head (ft) Project: Lateral Diameter Selection in. diam. options choice 0.75 x 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Septic Tank Information 1200 Se tic Tank Capacity (gal) Wieser Concrete IManufacturer Dose Tank Information 800 Dose Tank Capacity (gal) 22.22 Dose Tank Volume (gal/in) Wieser Concrete I Manufacturer Terry Butler - Mound System K-LCEirV5U MAY 2 2 2u'G Bayfield Co. planning and Zoning Agency Manifold Diameter Selection in. dia. options choice 1.25 1.50 2.00 x 3.00 J Gallons/inch Calculator 800 Total Tank Capacity (gal) 36 Total Working Liquid Depth (in) 22.22222 gal/in Effluent Filter Information Polylok Filter Manufacturer 525 Filter Model Number Page 2 of 11 RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency GSF WI MOUND DESIGN PROGRAM GSF MOUND DRAWINGS Mound Plan View iviounu �.omponeni ulmensons 13.92 in H B 33.00 ft F 7.00 in I 1 D 12.00 in G 0.50 ft J 5.90 ft W 25.38 ft 264.00 (ft2) Dispersal Cell Area 642.86 (ft2) Basal Area Available 13.64 (gpd/ft) Linear Loading Rate 3.30 (ft) 1/10 B Obs. Pipe Placement Finished 99 08 Grade f iI#. Q2 G H 98.08 (ft) <:::::: *�4i'•`' Dispersal Cell .,4.+ Lateral Invert 97.50 (ft) _1 it:: $ :; "�♦ Elevation Dispersal Cell ► :sls1 ,:::;:::: ::<€:!I:s :`.` € „ €i E€€€ € €€ 3 : is `•s's 1':€: ;€` €s€:`: :; s Elevation -> 96.50 (ft) q Contour Elevation 2% Site Slope Shading Key 1 + Topsoil Cap o 2 Subsoil Cap o a. ° 2 ft 3 ASTM C33 Sand v' 4 Tilled Layer z 5 GSF Media & Cell Header v o 0.5 ft /Footer SF Typical Dispersal Cell See Page 5 Geotextile Fabric --► F L..[/Z5 � 1 A See details on page 4 for number, size and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Terry Butler- Mound System Page 3 of 11 i ECE�VED MAY 222026 Bayfield Co. planning and Zoning Agency Float switch page was submitted in plan. SJE Vertical Master would be suitable for low dose Alarm Manufacturer Alarm Model Number GSF WI MOUND DESIGN PROGRAM LATERAL AND DOSE TANK End Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below All laterals identical, with wifrces Force nn connexion via tee or goes to manifold at any pant aqualy spaced. Onirices point up except every 5th e points on s dx+n for drainage. P SI Laterals & fwce main of P/C Sch 40 X X/2 Xl2 (par SPS Table 384.30-5 WAC) S =Turn -up wmall valve or deanout plug Numbers of Laterals Lateral Diameter Lateral Length (P) Lateral End (Z) Lateral Spacing(S) Lateral Flow Rate System Flow Rate Float Options Sedncal 4.00 Orifice Diameter 1.50 in orifice Spacing(X) 16.00 ft Orifices perLateral N/A ft Orifice Density 4.00 ft Manifold Length 3.28 gpm Manifold Diameter 13.11 gpm Forcemain Velocity 14.49 Pump Off Height DoseTank Information Tank a0%0nont is popedy vented Wieser Concrete Manufacturer Capacity 800 Gallons Volume 22.22 gal/inch Dimension Inches Gallons A 20.64 458.66 8 2.00 44.44 C 1.36 30.26 D 12.00 266.64 Total 36.00 800.00 Min. 3" Bedding under tank. iSi Rhombus SJE1067640 Pump Manufacturer Goulds Pump Model Number GOUPES1M Pump Must Delivery 13.11 jgpm at 11.26 ft Forcemain diemeterr =1.5 in TDH 91 Project: Terry Butler - Mound System Page 4 of 11 GSF WI MOUND DESIGN PROGRAM DISTRIBUTION MEDIA GSF Distribution Cell Media Layout ®Cell Width (ft) 2 ISidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Drag appropriate drawi ng to space below. ASTM C33 Sand/Mound Sand h .r A42 or 843 Module Si Lateral Turn -up (contained in Turn -up Enclosure) Distribution Cell Plan View Layout -Typical 8 CellWidth-A(ft) I33.00 Cell Length -B(ft) 8 B43 Modules Required per Row 16 843 Total Modules Required Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. RECEiVIEo MAY 2 2 20?6 Bayfield Co. Planning and Zoning Agency FORCE MAIN 6FTWIDE CENTER CONNECTION j Project: Tony Butler -Mound System Page 5 of 11 GSF WI MOUND DESIGN PROGRAM SYSTEM MAINTENANCE SPECIFICATIONS Mound System Maintenance and Operation Specifications Service Provider's Name Big Lake Plumbing 1phone r (715)209-7521 POWTS Regulator's Name Bayfield CountyZoning !Phone ! _(715)373-6138 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent ParticleSize 1/8 in Estimated Flow -Average 300 gpd Maximum BODS 30 mg/L Septic Tank Capacity 1200 gal MaximumTSS 30 mg/L Soil Absorption Component Size 264 ft' Maximum FOG 10 mg/L Maximum Fecal Coliform 10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Inspect and/or service once every 3 years Should inspect and clean at least once every 3 years Test once every 3 years Should test monthly Lateralsshould beflushed and pressure tested every 1.5 years Inspect for pondi ng and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to the standards, have a watertight cap, and are secured in a as shown in the Ellen mound component manual. 2. Dispersal cell media conformsto Eljen products approved for use with the Ellen Mound Component Manual approved August 2016. Ellen media is covered with the manufacturers geotextile fabric. 3. All gravity and pressure piping materials conform the requirements in thestatecode. 4. Til lage ofthe basal area isaccomplished plished with a mold board orchisel isel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail 6-8" DI, LAWN SPF FINISHEDGRADE - - - - LATERAL ENDS AT LAST 4" PERFORATED PIPE ORIFICE WHERE VARIABLE 4" END LENGTH CLEANOUT BEGINS CAP f DISTRIBUTION LATERAL Project: Terry Butler- Mound System R1VE11VED MAY 2 2 20?6 Baylield Co. Planning and Zoning Agency LATERAL CLEANOUT PLUG LONG SWEEP 90 OR TWO 45 DEGREE BENDS AS LATERAL _J Page 6 of 11 GSF WI MOUND DESIGN PROGRAM MANAGEMENT AND CONTINGENCY PLAN Mound System Management Plan ; General t u<a This system shall be operated in accordance with SPS 382-348 Wis. Adm. Code, and shall maintainedpLnra,CFoc gagcrcy with its' component manuals Eljen Mound Component manual August 2016 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components - Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 - inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and elm,d..e nnnu m, ilnfinn .n th, 1nnL The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by WI DSPS. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as required by nmduct annmval Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October -February) dictate that the mound be heavily mulched as protection from frar.7inn The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Fondling levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent mnn iMrinn Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to brino the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Terry Butler- Mound System Page 7 of 11 C w a w Ft INLET - N U a 3" TANKS ARE VED WLP1200/800-MR 13'-6" MAY 222026 TANK SPECIFICATIONS o a_I I Bayfield Co. DIMENSIONS: Liii (0 0 Planning and Zoning Agency WALL: 3" a .- BOTTOM: 3' COVER: 6' ej II MANHOLE: 24" I.D. PRECAST CONCRETE RISER a 4" CAST -A -SEAL Ill' a II 4" CAST -A -SEAL HEIGHT: 53" III Ij LENGTH: 13'-8' w 02dr — I ii I `� WIDTH: 8'-0" rc 0 BELOW INLET: 41" I ; LIQUID LEVEL • 36" i i II hr WEIGHT: BOTTOM 14,800 LBS. a 8 `-_' -'III COVER 8,170 LBS. ° 3 0 I u I I I FILTER OR I II I i INLET AND OUTLET: m o �i BAFFLE iii i 4" CAST -A -SEAL BOOT OR EQUAL GASKET J II fir-=— ------------------- __s. o -------------- -------- INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 W (OTHER STATES SEE CHART) TOP VIEW LIQUID CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL/IN (PUMP) rp g C 0 LOADING DESIGN: 8'-O" UNSATURATED SOIL O z pp TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON 4" VENT COVER: MIX DESIGNS (NO FIBER) cia TANK: MIX DESIGN #9 (SMALL FIBER) W N — CUSTOMIZED TANKS: --- FOR CUSTOM TANKS CONTACT WIESER CONCRETE - 3 OUTLET cn I l e a I U. V J D - I .I I � Q REVIEWED BY o o 'o PUMP PAD REVIEW DATE w SIDE VIEW DRAWINGS SUBMITTED FOR APPROVAL TO MEET OR EXCEED ASTM C-1227 APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: TECHNICAL BROCHURE BPE R1 PE FEATURES Corrosion resistant construction Cast iron body Thermoplastic impeller and cover. Upper sleeve and lower heavy duty ball bearing construction. Motor is permanently lubricated for extended service life. Powered for continuous operation. All ratings are within the working limits of the motor. Quick disconnect power cord, 20' standard length, heavy duty 16/3 SJTW with 115 or 230 volt grounding plug. Complete unit is heavy duty, portable and compact. Mechanical seal is carbon, ceramic, BUNA and stainless steel. Stainless steel fasteners SUBMERSIBLE EFFLUENT PUMP Lay.:_L,L C. planning and Zoning Agency GOULDS WATER TECHNOLcX._ a xylem brand \Aj�ater APPLICATIONS MOTOR Specially designed for the following uses: • Mound Systems • Effluent/Dosing Systems • Low Pressure Pipe Systems • Basement Draining • Heavy Duty Sump/Dewatering SPECIFICATIONS Pump - General: 'Discharge: 1 %2" NPT • Temperature: 104°F (40°C) maximum, continuous when fully submerged. • Solids handling: /211 maximum sphere. • Automatic models include a float switch. • Manual models available. • Pumping range: see performance chart or curve. PE31 Pump: • Maximum capacity: 53 GPM • Maximum head: 25'TDH PE41 Pump: • Maximum capacity: 61 GPM • Maximum head: 29' TDH PE51 Pump: • Maximum capacity: 70 GPM • Maximum head: 37' TDH PUMP INFORMATION Order Minimum Cord Discharge Minimum Maximum Shipping HP Volts Amps Circuit Phase Float Switch Style Length Connection Basin Solids Weight Na. Breaker Diameter Size lbs/kg PE31 M 0.33 115 12 20 1 Manual / No Switch 20' 1.5" 18" .S" 31 / 14.1 PE31 Pt Piggyback Float Switch PE41 M 0.4 7.5 15 Manual / No Switch PE41 P7 Piggyback Float Switch PE42M 230 3.7 10 Manual / No Switch PE42P7 Piggyback Float Switch PE51 M 0.5 115 9.5 2C Manual / No Switch PE51 P1 Piggyback Float Switch PE52M 230 4.7 10 Manual / No Switch PE52P7 Piggyback Float Switch General: • Single phase •60 Hertz • 115 and 230 volts • Built-in thermal overload protection with automatic reset. • Class B insulation • Oil -filled design • High strength carbon steel shaft PE31 Motor: • .33 HP, 3000 RPM • 115 volts • Shaded pole design PE41 Motor: •.40HP, 3400RPM • 115 and 230 volts • PSC design PE51 Motor: • .50 HP, 3400 RPM • 115 and 230 volts • PSC design co. Phmn ri art, Zl.nmB Agency AGENCY LISTINGS Tested to UL 778 and CSA 22.2 108 Standards By Canadian Standards Association c�0us File#LR38549 e.ccv Wastewater METERS FEET 40 - _ 7- PE51 35 10 30 PE41 O \` w 2 25 Q 20 Z 15 10 i E i= 0 —10 . __. 20 0 PERFORMANCE RATINGS PE31 Total Head (feet of water) GPM 5 52 10 42 15 29 20 16 25 0 5 PE41 Total Head (feet of water) GPM 8 61 10 57 15 46 20 33 25 16 MODELS: PE31,PE41,PE51 HP: .33, .40, .50 —► 2 GPM 1FT \\ I' 30 40 50 60 70 GPM 80 10 15 m3/h CAPACITY PE51 Total Head (feet of water) GPM 10 67 15 59 20 50 25 39 30 26 35 8 13y',I Co. P( -inning ano 2cnmc Agency PAGE 3 DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) •: �E3VED MAY 222026 Bayfield Co. Planning aria Zoning Agency xylem Let's Solve Water 12 Xylem Inc. 2881 East Bayard Street Ext., Suite A Seneca Falls, NY 13148 Phone: (866) 325-4210 Fax: (888) 322-5877 www.gouldswatertechnology.com Goulds is a registered trademark of Goulds Pumps, Inc. and is used under license. ® 2016 Xylem Inc. BPE Rt September 2016 :HARGE Wide-angle pump switches directly control pumps up to 3 HP at a.q...,.,..-..- r�...�...a--- I Mechanically SJE PumpMester WPS Activated Mechanically SJE PumpMaster Activated 11 HP, 230V I 13A, 230V I 85A, 230V , (18 - 91 cm) 1/2 HP, 120V 13A, 120V 85A, 120V 1 HP, 230V 13A, 230V 85A, 230V 7.36 in (18 - 91 cm) Mechanically 3/4 HP, 120V i 15A, 120V 85A, 120V 7-36 in SJE PumpMasteP Plus Activated 2 HP, 230V - 15A, 230V 85A, 230V (18 - 91 cm) SJE PumpMaster'SPDT Mechanically 1/2 HP, 120V 13A, 120V 85A, 120V •T-36 in (Single Polo, Double Threw) Activated 1 HP, 230V 13A, 230V 85A, 230V (18 -91 cm) Mechanically 15 FLA, 9OLRA 15A, 120V SOA, 120V 3-48 in Double FloatMaster Activated 120 or 240V 15A 240V 90A, 240V (7.8 -122 cm) MUST use if dose . 7" unless using VerticalMaster below Mechanically 11/2 HP, 125V 20A, 125V 120A, 125V -St- 24 In SJE AmpMester' Activated 3 HP, 250V ° 20A, 250V 120A, 250V (23-61 cm) SJE VerticalMaster Mechanically 1/2 HP, 120V 13A, 120V 60A, 120V .75 - 6.5 in =M,.+w.,aweMpYnumW Activated 1 HP, 230V 12A, 230V 1 60A, 230V (2 -17 cm) Use pump 10A, 12VDc 100A, 12VDC _. 8- 36 in SJE MlcroMa°ter'AD/0C Mechanically run and 10A, 12VDC BOA, 125V (20 - 91 cm) Activated start current SA, 250VAC 60A, 250V Use pump Mechanically { 13A, 125V 78A, 125V 8.36 in SJE MicmMastero Plus WS Activated run and 12A 250V 72A, 250V (20 - 91 cm) start current • Mar fy proh,ed by was. Scat § 9(2X,) Use pumpi Mechanically ' 13A, 125V 78A, 125V 8.36 in SJE HiTempMester'" Activated run and 12A, 250V 72A, 250V (20 - 91 cm) start current California Prop 65 requires the following: ®WARNING Cancer and Reproductive Harm - www.P65Wamings.ca.gov () SJE RHOMBUS. 888-DIAL-SJE (888-342-5753) 0 customer.service@sjeinc-com eCEIVED www.sjerhombus.com 95001365 07/20 0 2018 SJE. Inc. All Rights Reserved. MAY22 2026 SJE RHOMBUS Ise trademark of SJG, lnc. hayfield CO. Planning and Zoning Agency N TERRY A BUTLER MOUND SYSTEM PLOT PLAN XXXXX W MAPLE HILL R W1/2,NW SE TOG WITH EASE IN DOC 2023R-601434 S29 T49N R05W N00.T11 LOT LINE TOWN OF WASHBURN WI SCALE 1' = 80' 2.2%S.arE 1200x800 OowJ aI nTank A= EM 18' OM, NAIL N BASE 100' J ii 2h 3 ♦ 80 Private Sewage System Maintenance Agreement Cwreris; Malang Address 'LS e L uVilt \a OO _ Sale Address.--- -- MAv t I\\ R . x C _ - -- -- _ 3ti\o AS owner. twei do hereby certify tie private sewage system will se it Iles '.n accoroarce with tie certified scii testers report and aperoved plans and specifications I on file with Bayhelo County Planning and Zoning Department. Tie system wi;l cc operated in such a manner as to meet Inc designed plans. . we agree to rra•ntan: sa•lo private system at the below listed location in accordance with rules established i:i the Alw' AC.m. Code. as from time_ to time amendea. (COMPLETE Legar is required) t d of 14 Secticn l ..,r;nsh7!—p n Rang;: V `t/�` Vv A noial .oa Desc.oton W 1 W_61 !ny-L1/& 5e i 11 Po c — +t �l 1I_ Boo/434 Q.Sla�Gt (Acr g Soy: _ct Lot — -_ Bloch SubalvS:On Va.. Page CS,r-• Dec ❑ In -around gravity Mound rio DOCUMENT NUMBER 2026R-612170 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 05/ 15/2026 AT 8: 12 AM RECORDING FEE: $30.00 PAGES:1 BIG LAKE L PLMBINGj earn County Hiphwx.' C \Va..hhurn. \\ 15481' ❑ In.ground dosea I -groans pressure distribution Sewage System: ❑ .At grade Sewage System T OFter rvpe_c A ipouch 5 -...'-:- no a --a.-.. _--. -°rnd septagu „Srvlc:ng 0ooratn within three 13: years of the date !;r ovi.i...E.aSi once every three : - -r: .:oy a licensed master plumber Or ter person aufhotizec :p ^'..k..- _. tan§ :s found to na. H0/hl _ ::,plod by sludge and scum- __- _ astern tynes B. C. C . - ........a nhamt t s ni _ sea en;t pumped out whoa Inc septic tank it; se acer, as prwilted ties and pump cc`ku ., -_ a .- ;e ore zc .., of r.:; ccmponer.?_=. Fl;ter ,.,yat : s„ .:::. -. r'talrec as necessaryand m aces ar coresspecrficarc - .. - -.. - SPS 383.55. Wis. Admin. Code. ,:.. shall b;,' ISually inspec c, Jy + ,' nStallalOn and it least ors? t ' Mind -grace. and In-oroul .: -'... _.:E'- a-- -'. . - - - -. . • fiusned out and swabbed It nee0£C Dc tewater distribution cell ;.:: ,.I owner(si ➢ate? foal !allurr 'o:., -;, 8ll . nun eaii f' -.:pr sV . t. nd"au(, n .. ., • or ..r .. .. : � r .lie dcvC '.".. _. •. ...' ....7:, ii' ... .. .... t y be paced on the ra toil. as a s0euai asses, = r „n'r r ;,'..: !s.r : <r,.::, The- terms and :-ondit;ons of the apreemenr shall be n -ly >00nn " 't. u; lu E) Per e- i n: 1,:l ,?i _ tutors a:r"im .P property'. Oxnenst Namets) - Please Print Bubscnbed and sworn to actors me or to>'•aw y -30 -a- I. merry 3v -/r het o-2 e i. ^tamed Grmer(s: - Signature(s) - ' HID- 3DORGENE GOETSCH _—Notafy--1I�f3�ic-. .�� -r'res State of Wisconsin Dr-aeo by /J Dates: _$_I -_ e CJsl MAY 22 2026 Baytield Co. Planning and Zoning Agency BAYFIELD COUNTY CHECKLIST FOR SANITARY APPLICATONS Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e)) Check List Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(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) O Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) O Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) O ATU Servicing Agreement (Recorded at Reg. of Deeds) '\ Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) = Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all copies) Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) State Plan Review (when applicable) El Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) 1 I Application Information must include: V 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) `Project Address or Road Name where driveway is/will come off of) _(Owners Phone Number) Type of Building Type of Permit Type of POWTS System Dispersal / Treatment Area Information Tank Information Responsibility Statement (Plumber's Information) *Date Stamp* Plot Plan: (To Scale or To Dimension) Signature and Plumber Information ❑ Surface Elevation of Body of Water 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) Component Manual Version RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency kLi Address Number and Road North Arrow Contour Lines Structures and Driveways Boring Locations Property Lines Well Locations XLegal Descriptions -'ping iv aii iai 111 mr;naflon it ©rt. e:)ian e knn ualuding sewer line, material type and diameter) Turn Over ► Cross -Section and Over -Head Profile of the System: Surface and System Elevation Position of Observation and Vent Pipes Dimensions and Depths Make, Model & Number of Chamber Units in each Cell Property Information KI How many systems will there be on this parcel of land? X Has this property been split? OD (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) RECEIVED MAY 222026 Bayfield Co. Planning and Zoning Agency u/forms/checklists/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: 1YFIELD 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: BUTLER, TERRY A SS -00752 215N1STAVEE DULUTH, MN 55802 Transaction Number: SS -00752-464B6 Description Amount State Approved Plans (Mounds, Systems Requiring $500.00 Pre -Treatment, etc.) Total: $500.00 Payment Amount: $500.00 Reference: 2991 Paid by: Ed's Mechanical, 1491 County Hwy C, Washburn WI 54891 Payment Type: Check Transaction Date: 5/27/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-52S STATE SANITARY PERMIT OWNER: TERRY A BUTLER GOVT LOT: LOT: BLK: 1/4 1/4 SEC: 29, T 49 N, R 5 W TOWNSHIP: Washburn SOIL TEST: 143-25 NEW SYSTEM SYSTEM TYPE: Mound > 24 in. of suitable soil PLUMBER: MICHAEL WROBLEWSKI TRACY POOLER DATE: 5/27/2026 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 1288503 Condition: THIS PERMIT EXPIRES 5/27/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION