HomeMy WebLinkAbout26-60S..r`Industry
I
Services Division
4822 Madison Yards Way
County
Bayfiield
Sanitary Permit Number (to be filled in by Co.)
Madison, WI 53705
P.O. Box 7302
Madison, WI 53707
(7 — q) s
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
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
55455 Little Sand Island Rd. Barnes, WI
purposes in accordance with the Privacy Law, s. 15.04(I)(m), Slats.
-
tb
I. Application Information — Please Print All Information
Properry Owner's Name
Parcel #
Stanley Turben
(:111:)
3376
flAY 292026
Property Owner's Mailing Address
Property Location
205 Railway Ave.
Govt. Lot
Planning arid Zo;d mC. AOen„
City, State I
Zip Code
Phone Number
Soldiers Grove,% W1
54655
608-632-3202
' %. Section 17
T45 N R 09 E or W
II. Type of Building (check all that apply)
Lot #
1711 or 2 Family Dwelling— Number of Bedrooms 2
8
Subdivision Name
Blackfood Add to Potawatomi
Block
❑Public/Commercial — Describe Use
LI City of
State Owned — Describe Use
Village of
CSM Number
Town of Barnes
III. Type of POW'IS Permit: (Check either "New" or"Replacement" and other applicable on line A. Check one box on line B. Complete line C if
applicable.)
A.
IZINew System
❑Replacement System
Other Modification to Existing System (explain)
❑Additional Pretreatment Unit (explain)
B.
Holding Tank
In -Ground
I:I&t-Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
❑ Renewal Before
[I] Revision
lChange of Plumber
❑fmnsfer to New Owner
List Previous Permit Number and Date Issued
Expiration
IV.
Dispersal/Treatment Area and Tank Information:
Design. Flow (gpd)
Design Soil Application Rate(gpd/sf)
I Dispersal Area Required (st)
I Dispersal Area Proposed (at)
I System Elevation
300
0.7 1428
1452
94.5
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
u
o 'B
New Tanks
I Existing Tanks
v c
o
y
—
v
s
y
ii. U
ca
Septic or Holding Tank
750
750
1
Superior Precast
Uusing Chamber
O
\'. Responsibility Statement- 1, the undersigned, assume responsibility f r installation of the POWTS shown on the attached plans.
Plumber's Name (Print) 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
Approved
❑ Disapproved
Permit Fee
Date Issued xmh
Is A[ S/i�alure
❑ Owner Given Reason for Denial
'Cjt2t
Conditions of Approval/Reasons for Disapproval
shed ow -
Attach to complete plans for the system and submit to the County only on paper not less than 8 is x 11 inches in size
SBD-6398 (R. 02/22)
Wisconsin Department of Safety and ProfessionalServises
Attach complete site plan on paper not less than 8% X 11
Soil Evaluation Report
in accordance with SPS 385 , ws.Adm Code
SOIL TEST #55-2
SR-eo`l�3
inches in size. Page: 1 of 6
Plan must include but not limited to: Vertical and horizontal reference
County:
point (BM), direction and percent slope, scale or dimensions, north arrow,
Bayfield
Parcel I.D.
location and distance to nearest road.
Please Print All Information
3376
a ieDate:
.
Personal information you provide may be used for secondary purposes.
(privacy Law,s.15.04(1)(m)).
/
Property Owner:
Property Location
Stanley C Turben
S17,T45N,R09W
Property Owners Mailing Address:
Site Address or CSM and Lot #
206 Railway Ave
55455 Little Island Road
City
IState
I Zip Code
Phone Number.
Town
INearest Road:
Soldiers Grovee
WI
I
0
Barnes
Little Island Road
p New pResidential Number of Bedrooms: 2 Code derived design flow rate: 300
_
Flood Plain if applicable RECEIVE
r-'" Replacement r Public or Commercial - Describe:
ENTERED ift 29 Z0
Parent Material: Outwash Flood Plain if Applicable: 0
Bayfield Co.
Planning and Zoning A
General Comments & Recommendations:
System Elevation: 94.5 Load Rate: 007 Elevation Range 93.06 To 95.1
Ground surface Elev: Depth to Limiting Factor:
Boring #1 r Bor.' At
Soil Application Rate:
98.39 Ft. 100 in. Elev. 90.06 ft
Horizon
Depth in.
Domm.Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
Munsell
Qu. Sz. Cont. Color
Gr.Sz.Sh.
1
0-2
7.5YR2.5/3
N/A
SL
2MSBK
MFR
CS
3CO
0T6
1.0
2
2-10
7.5YR414
N/A
SL
2MSBK
MFR
CS
3CO
1.0
3
10-100
7.5YR4/6
N/A
MS
0SG
ML
N/A
2M
0•_7
1.6
4
5
6
7
Boring # 2 r Boer Pit Ground surface Elev: Depth to Limiting Factor:
Soil Application Rate:
96.84 Ft. 110 in. Elev. 87.67 ft
Horizon
Depth in.
Domm.Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots
GPD/ft2
*Eff#1
Eff#2
Munsell
Qu. Sz. Cont. Color
Gr.Sz.Sh.
1
0-4
7.5YR2.513
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
2
4-12
7.5YR4/4
N/A
SL
2MSBK
MFR
CS
3CO
0_6
1.0
3
12-110
7.5YR4/6
N/A
MS
0SG
ML
N/A
2M
0_.7
1.6
4
5
6
7
*Effluent #1= BOD 5>30 < 2 20 mg/I nd TSS>3 < 15 g/1
*Effluen = BOD 5 < 30 mgA and TSS
≤ 30 mg//
CST Name (Please Print)
Si tur
ST Number:
Mark S. Thompson
877598
Address: 12006 N US Hwy 63
Date E I ti�DKP—nducte&o'
Telephone Number
Hayward, WI 54843
ursday, May 14, 2026
7151699-4081
SBD-8330 (R04/21)
sncy
Property Owner: Stanley C Turben Parcel I.D. 3376 Page: 2 of 6
Boring # 3
r` Boris Pit Ground surface Elev: Depth to Limiting Factor:
96.27 Ft. 108 in. Elev. 87.27 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/ftz
*Eff#1
Eff#2
1
0-6
7.5YR2.5/3
N/A
SL
2MSBK
MFR
CS
3CO
0,_6
1.0
2
6-14
7.5YR4/4
N/A
SL
2MSBK
MFR
CS
3CO
0.6
1.0
3
14-108
7.5YR4/6
N/A
MS
0SG
ML
N/A
2M
0_7
1.6
4
5
6
7
Boring # 4
Ground surface Elev: Depth to Limiting Factor:
r Borr Pitt t
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 # 5
r Borr7 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
MA'
29Z026
4
-
5
.,'
ayfield Co.
6
7
Boring # 6
r Borry Pit Ground surface Eiev: 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
*Effluent #1 = BOD 5>30 < 2 20 mg/1 and TSS>30 < 150mg/l *Effluent #2= BOD 5< 30 mg/land TSS < 30 mg/I
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.07/00)
1
Soil Profile Sheet Page: 3 of 6
Owner: Stanley C Turben ISoIL Tester: Mark S. Thompson
System Elevation: 94.5 Load Rate: 0.7 System Elevation: 93.06 To 95.1
101
Bi
101
B2
101
B3
100
--------------
--------------
100
---------------
---------------
100
---------------
---------------
99
99
---------------
99
98
---------------
Mn
98
--------------
98
----------- System
---------------
9.6
Elevation
97
--------------
97.56
97
--------------
97
-------- -----
-----0.7
96.84
---------------
96
---------------
96
---------------
9,5
-------- 96.27
---------------
95.84
95
--------------
9S
.lL.Z
95
--------- �..1
------------
--------------
--------------- 9ZZ
94
---------------
94
-------------
94
---------------
93
---------------
--------------
93.06
93
---------------
---------------93
---------------
-----------
92
---------------
92
---------------
92
-------------
---------------
±3
---------------
---------------
91
---------------
91
---------------
91
---------------
9QZ
---------------
90
--------------
90.06
90
---------------
90
--------------- 90.27
89
-
89
89
-
---------------
---------------
88
--------------
88
--------------
--
88
---------
---------------
87.67
87
--------------
87
---------------
L
87
--------------- 87.27
---------------
---------------
--------------- LSE.
86
---------------
86
---------------
86
---------------
85
-------------
85
------------85
-------
83
---------------
83
MAY 2 9 2026
---------------
83
---------------
Bayfield Co.
82
---------------
82
---------------
82
Planning and Zoning Agency
81
---------------
---------------
81
---------------
81
80
------------
80
---------------
80
--------------
79
-------------
79
---------------
79
--------------
owner Information•
Name: St_ y T orh n
Location: 517 T45N R09W
Township: Byrnes
County: Baytleld
Address: 55455 Little I land Road
33
BM=100: Nail w/Ribon on the base of tree iear Ri
2 Bedroom House
RECEIVED
B1I MAY 292026
96BM 98' Bayfiekl Co.
?A Planning and Zoning Agency
Little Island Road
�.
1"=40' Only in Tested Area
No Well
Driveway
CST: Mark S. Thmmgcnn
B1= 9R 39
B2 = 96.84
B3= 9622
Lake= 0
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)
Pg 1 of 4 Index & Cover Sheet
Pg 2 of 4 Plot Plan
Pg 3 of 4 Dispersal Area Cross -Section & Plan View
Pg 4 of 4 Management Plan
Attachments: Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Turben 2 Bed
Owner Name(s): Stanley Turben Phone: 608
Owner Address: 205 Railway Ave Soldiers Grove, WI Zip:
Project Address: 55455 Little Island Rd. Barnes, WI
Govt. Lot: 1/4 of 1/4, Section 17 , T45 N -R 09 E ❑ or W
Township: Barnes
Project Parcel ID #: 3376
MAY 292026
Planning and Zoning Agency
632 -3202
54655
Designer Name: Jason Kuettel
County: Bayfield
Designer Information
Designer Address: PO Box 66 Cable, WI
E-mail: tlmt7p andryras.com iiis space reserved for approval stamp.
License Number: 675751
Phone: 715 -798 -3355
Zip: 54821
Remarks:
Signature: Date: S 29 a
Original s' re required on each submitted copy.
Owner Information
Name:
Stanley C Turben
Location:
S17d45N R09W
Township:
Barnes
County:
Baylield
Address:
55955.L_ittle Istand.Road
BM=100: Nail w/Ribon on the base of treeneatB1
71
w/ Gtat.&co ryt.72K
'4"so Ha PAL No Well
/U
I I� Z 2 4b' cQ� c
BI t(c tea -Je—s
B1
96BM 98' Driveway
iP
Little Island Road
4
1"=40' Only in Tested Area
B1=
B2= 96x$4
B3 = 96,27
Lake= 0
•e=t-- - 9 v•5
RCtCLJVED
MAY 292026
Bayfeld Co.
Planning and Zoning Agency
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard -W Chambers
3 -ft Trench (down -sizing credit)
SOIL COVER
2
min.trench
RECC(VI g
MAY 2 9 2026
Bayfield Co.
Planning and Zoning Agency
mm. 12
(typical)
f 34.
(typical)
System Elevation = 94.5
(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)
-------------------t----
-------------------��---
B = 46 ft
(typical)
INSTALL PER TRENCH:
11 Quick4 Std -W @ 20 fly EISNchamber = 220
+ 1 Pairs of end caps @6 ft2 EISNpair = 6
ft2
ft2
Provide minimum 3 ft
separation between trenches.
Observation Pipe
(typical)
Install per manufacturers
/ instructions.
TYPICAL TRENCH
PLAN VIEW
(No Scale)
IA=3.0ft
(typical)
—Quick4 Standard -W Chamber
(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
= Proposed EISA per trench = 226
ft' Required Infiltration Area =
428
ft2
Distribution Method:
x 2
trenches = Proposed Total EISA =
452
ft2
branched manifold
D
C)
m
W
O
m
a
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 mgU1; TSS ≤ 150 mgL-1; C�Q.C6i 0�ngL"'
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use MAY 29 2025
o age of system
o nuisance factors (i.e. odors, user complaints, etc.) Bayfield co.
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Planning and Zoning Agency
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / 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 (i.e., 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.
Stats. 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 filter(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.
S?PTIC TANK CROSS SrCT=0N r.WD SPECI:ICATIONS
4" Gcd,4oPVC INSP. Pro: 6 TI Hlrr A3OVE. GR.-.DE.(oPT.)
(When 1nIei' i'nt -� We ?C burie[L ) J
FINISHED GRADE
II
?8" MIN.I
APPROVED
MANHOLE
W/
W4R,ili 6. L.48&
4" HIN.
I NLET jI—I) 1 1 �1� j
�-1� _OUTLET
APPROVED
PIPE 3'
ONTO SOLID
SOIL
APPPC BE
FILTER O l F' I�L TE R�-�
rlFG. Oc ncg
model & TogZz-
3" APPROVED BEDDING UI{DF.R TANK
SPEZIFICATIONS
EPTiC
TANK HAWUFACTLnRER: ____? _
TANK SIZES: SE'TIC 75d_ GAL.
NOTES:
RECEIVED
MAY 292026
Bayfield Co.
Planning and Zoning Agency
r
Private Sewage System Maintenance Agreement
Owner(s) Mailing Addr ss
ko ova cUc WI
Site Address
&Sc L,71La /ta L E2d
Tax i0 #
As owner, I (we) do`hereby`certify the private sewage system will be installed in
accordance with the certified soil tester's 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)
1/4 of 114 Section Township N. Range O i W.
Additional Legal Description:
Town of $stets
(Acreage) Gov't Lot _____
Lot 1 Block Subdivision l?LiEi,�T -m Fe ti4J1flii:
Lot CSM # Vol. Page CSM Doc #
In -ground gravity ❑ In -ground dosed
DOCUMENT NUMBER
2026R-612336
DANIEL J. HEF'F'NER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
05/29/2026 AT 1:50 PM
RECORDING FEE: $30.00
PAGES: 1
Return To:
Planning and Zoning Department
❑ In -ground pressure distribution Sewage System:
❑ Mound ❑ At -grade Sewage System ❑ Other
Area
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 (113) 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 ln-ciround 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 al! 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. Bay#eld 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 shag be binding upon and inure to the benefit of all current and future owners of such property.
Owner(s) Name(s) — Please Print
≤T&L Ct 4 f!'
Notarized Owners) Signatures)
¶&.f AfL.(,,
Subscribed and sworn to before me on this date: t I i r r
II,' P. G..1
�; a a a .'
ARy
Notary Pub . T
PUBLIC
My Commission Expires:161 �4••..
Drafted by: TfA- Ci-*'t. Date: S�s A6
Proofed by:
Bayfield County Register of Deeds Document #2026R-612336 Page 1 of 1 .. .
ILM FIELD Bayfield County
Planning & Zoning Department
117E 5th Street
P.O.. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
TURBEN, STANLEY C
205 RAILWAY AVE
SOLDIERS GROVE, WI 54655
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00423
Transaction Number:
SR -00423-47C39
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 15065
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 6/15/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
P A FIELD 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:
TURBEN, STANLEY C
205 RAILWAY AVE
SOLDIERS GROVE, WI 54655
Description
Private Sewage System (Septic Tanks)
Submission Number:
SS -00755
Transaction Number:
SS-00755-46BB5
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 15065
Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821
Payment Type: Check
Transaction Date: 6/15/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-60S
STATE SANITARY PERMIT
OWNER: STANLEY C TURBEN
GOVT LOT: LOT: 8 BLK:
1/4 1/4 SEC: 17, T 45 N, R 9 W
TOWNSHIP: Barnes
SOIL TEST: 55-26
NEW SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: JASON KUETTEL
TRACY POOLER DATE: 6/15/2026
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 6/15/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION