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HomeMy WebLinkAbout26-68Syp.yAtMfyp Industry Services Division 4822 Madison Yards Way County Bayfield Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) P.O. / _/ (p snaa WI 53702 Madison, 53707-7162 pCIO lj c 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 ate submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary 66176 North Point Drive purposes in accordance with the Privacy Law, s. 15.04(l)(m), Scats. _ L Application Information — Please Print All Information Property Owner's Name Parcel # Richard G. Tutewohl RECEIVED Tax ID 19633 Property Owners Mailing Address Property Location N4863 1169th St MAY 012026 Govt. Lot 21 City, State I Zip Code Ph 7Jur t��i Prescott, WI 54021 ____%, y,, Section T47 N R 08 EorW W IL Type of Building (check all that apply) Lot # 1211 or2 Family Dwelling —Number ofBedrooms 3 6 Subdivision Name Allison's Acres Block# ❑Public/conunercial — Describeuse acct ERE �cityof l--1,� i latate Owned —Describe Use CSM Number illageof Lug ElTo„r, of Iron River M. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i applicable.) A ✓ New System t_ t t--pceplacement System IEjln.Ground er Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. HoldingTank [] t-cmde []Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before 9Revisioo jChange of Plumber ❑transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. DispersaltTreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation 450 0.7 642.58 1678 192.00 ft Capacityin Total # of Manufacturer :: Tank Information Gallons Gallons Units 2 '- 0 '8 h New Tanks Existing Tanks G B u u, a E5 iZ O U in P. Septic or Holdiing Tank 1000 I 1000 1 Wieser ✓ nosing ChamberICCLJ V. Responsibility Statement- I, the undersigned, assume nsibifity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) PI bet' MP/MPRS Number Business Phone Number RYAN STRAND �` 798301 715-558-1673 Plumber's Address (Street, City, State, Zip Cale) 10571 N Town Industrial Park4d Hayward, WI 54843 VL ounty/Department Use Only kf'Approved I ❑ Disapproved P�trrlit FeeI Daly Issued p, Lj Ian.".' 4%..• c:......�«/.l.�- t�y� 7& ,/�v�It I0 Owner Given Reason for Denial 4 � e! t lllllr /!D L(l'r (�I'K� Conditions of ApprovaUReasons for Disapproval eJ, Attach to complete plans for the system and submit to the County only on paper not less than 8 I2 x 11 inches In size SBD-6398 (R. 03/21) ��CcIVE� # 33` �,1 1 1 MMAAY i4 �j&epartrnaM of safety B Professional Services o f _'•,::,•, :,'1f� tfrv'sion Services SR' TEST Page of of Industry sp ' Bayfield Co. SOIL EVALUATION REPORT and Zoning Agency .,, In accordance with SPS 385, Wis. Adm. Code County FIELD Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must ind �ey,��c,r but not limited to vertical and horizontal reference point (BM), direction and percent s10 .rrrrerlEY Parcel I D TiIK 1D. t.3 . �2._(.I�•—�8�-t,.Lj 60-jZ7 /a scale or dimensions, north arrow, and location and distance to nearest road. $/'/a,6 •� Please print all Information. Rjg'viewed.It1ae it ! lllfV D,,ate� I ct: ii •rsonal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(,)). _ Property Owner Property Location 0 e HAR G, TU, -Tr* 0Govt. Lot v %571 T L i7 N R dS Property Owner's Mailing Address Site Address or CSM and N48b ' M s'rgWT IhtLO, wsa s ,Ae4wS 1,017 n1ne i PQ r jx, Cmity state, Zip Phone Number 0 City ❑ Village Town Nearest Road Fllkas n1T [A)3 5' V_l (b51) 388 "J'iqThoi R\UEo Tit Po DRIP J'NewConstmdion Use: pr Residential/Numberof bedrooms 3 Code derived desgnilow rate 'r50 GPD ❑Replacement /❑ Public or commercial —Describe: Flood Plan elevation if applicableIIA_ft. Parent material" "� �(. ,.�rn / General comments and recommendations: Csj'( T01iRl' !%Yl N1h1 5 — £7 LR — g3, Da QP © Boring # Pit t .1i71 Ground surface elev.QSSO ft. Depth to limiting factor _in. / elev.f3804ft. 7 yz�F. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft' •Eff#1 •Et1#2 ( -4 7$1ez.5 z Is 41 cs 0.7 i.L 7.5YR '/ — 5 dl 35 0.7 l.lo 2241 -1.5 4R t/4 - e 1 .7 /. i..3 has' P0-161.qt/Ss y. Borings ❑Boring $�I PiI Ground surface elev.V46 ft. Depth to limiting facto, %0 in. / elevQO`tl. '7.60.4. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' Elf#1 •Eff#2 -IZ zsvez. - Is dl gs s4ccv .7 /.v a 1p -9O 7.5YR - at — I _co 0.7 i. CST Name (Please Print) Si CST Number MARY JO HUPPERT (Hollister's Soil Testing & De 'gn) 048900002 -SP Address Date Eyatuatio nduded Telephone Number 25720 FieRy Lane. Webster. WI 54893 d3 31,2926 S' Effluent #1 = BOD > 30 5 220 mg/L and TSS '30s 150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) l �WI.GW Page z of -I " Bores a`� �n ele�r.[ps�-fl- � to fvnilirg factor g� in. I elev.�.iL fl - , pit Ground surface z 50 • Boring # Soil Application Rate Horizon Depth Dominant CE()u. iption Texture _ S uctSzS Consistence Boundary GPDIFt� Roots �fF#1 •Eff#2 In, Munse Color5-co1 lJfl4O6YR3b dI - $ Uom ny Boring # � pg Ground surface elev. fl. Depth to limiting fador_m. I elev.ii. Soil Application Rate Depth In. Dominant Color Munsell Az Description Qu. u. Az Cont. Color Texture Structure Or. Sz. Sh. Consistence Boundary Roots GPDIF12 Horizon •Eff#1 • Efl#2 ❑ Boring # o Boring Pit Ground surface elev. ft. Depth to limiting factor in. I elev._fl. Sag Aoofication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Coni Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots I GPDIFF •Eff#1 •Eff#2 • Efluent #1 = BOD > 30 5 220 mgIL and TSS > 30 5150 mgWL �rCcIVED vP'( p 12026 W Ca. AgenCy planning ndzpning • Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mglL Plot Plan Page 3 of q ��jj �GLTrr wD�l L 1„ Ff _ PROPERLY OWNER: PfAi� (except where noted) Legal Description: Lhr &' ALl lEOnli5 {}ORES SZt Ty%N, ROSLt _ Q=backhoepit TDwu OrTROd WE-, cpuiUTV, Wl ns1 - 3. 7Yo ass 0Zq Z H7 D8 Z! H OD z7 coo1J/TAX ID i%33 North 6 76 Nom fo,AgD&uE m Al O ra �-ag3 oR�ve Way N6W bt 3 Q�DQOOM tM op iff 5 W (srAKGD� t ' TREE- -RIECEIVED MAY 012026 Bayreia co. Planning and Zoning Agency Site location: a • r _Y ifi ! � S t .�,a _ t' ;.1- r1 . _ v a I _ v .TI.s•' .. 4flrA t1 y qr&'a PL9j ' 3'y >]lOflt 6E'` st a.tvee r - a �� as ,.. ` RECEIVED PAGE 1 OF 4 MAY 012026 In -Ground Gravity Plan Index & Cover Sheet Planning and Zoning Agency Component Manual Design References: In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027) Pg 1 of 4 Pg2of4 Pg3of4 Pg4of4 Attachments: Tank Specs Filter Specs Tax Statement Index & Cover Sheet Plot Plan Dispersal Area Cross -Section & Plan View Management Plan POWTS Applic Soil Evaluation ** Project Name / Description PIKE LAKE for Review >rt & Site M I Tno SANITARY APPLICATION** Owner Name(s): RICHARD G. TUTEWOHL Phone: lost - 3$O - 57' Owner Address: N4863 1169TH STREET, PRESCOTT, WI Zip: 54021 Project Address: 66176 NORTH POINT DRIVE, IRON RIVER 54847 Govt. Lot: NA —114 of _ —114, Section 21 ,T 47 N -R 08 ED or W 0 Township: IRON RIVER County: BAYFIELD Project Parcel ID #: 04-024-2-47-08-21-4 00-328-60000 TAX ID: 19633 Designer Information Designer Name: MARY JO HUPPERT Designer Address: 25720 FIREFLY LANE, WEBSTER, WI E-mail: hollisterdesign@outlook.com License Number: Remarks: 1859-007 Phone: 715 - 426 - 1775 Zip: 54893 6 ""tl1t11110d1n`a-- Signature Qeu/i Date:-, 2026 gnature required o arh submitted copy. RECEIVED MAY 012026 Plot Plan Page Barfield co, Planning and Zoning Agency (-- l--' V - n PROPERTY OWNER: p 15 j MAjz p TaT EwML 1 sr• (except where noted) legal Description: Lbr to ALL150NIs M&s 9Z1,1247A3, RDSW,__ 0=backhoepit 'fowl oftR4v RW6g. 4WWIELJ) roluA1Tb� Wlsc_aisW ' 3,770aat-S py pz,4 Z ,l7 D8 x -1f DD 3z7 lol`XJ©D/tM ID I%33 North 610/7& °Noi PonrjDRIB 6 j,. t 1a Ly1Ot Rla•%O fqf°� Qs3 3h1OFN� � d'y DR�veM/py 3034 b �0 q55 New T IS' Opyn �1. 73tipeooM M I�EtLTe & iv' DF SCJ�1N L &TAK 1'sD Ur FPJM SEYf� T Vr, W f IN 0 4"RD^'� TRpI1JiE1� o,t ,TI - NUJ /0D.017 WIESEK 1000 TANK V/Fl -; S +l s Site location: IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) min. 12" (typical) Septic Tank(s) Manufacturer: WIESER Septic Tank(s) Volume(s): 1 000 gal gal gal gal Effluent Filter Manufacturer: ORENCO Effluent Filter Model #: 12" min. trench (typi al) 1 TYPICAL TRENCH CROSS SECTION VIEW yplcal) .. (No Scale) System Elevation = 93.00 ft (typical) Quick4 Standard -W w/ End Cap Show location of inlet / outlet pipe connection on plan view.) l�lpslsis)ssizplpsplslsisleP4nl�Msh> 11 S. a. o Provide minimum 3 ft separation between trenches. rn s Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) IA=3.0ft (typical) B = 46 ft (typical) 450 GPD / 0.7 LR = 642.86 FT. 2 Quick4 Standard -W Chamber 642.86 / 20 EISA = 32.15 UNITS OR (typical) INSTALL PER TRENCH: (mfd by InfiltratorSystems, Inc.) 33 X 4 FT. = 132 FT. Install pursuant to manufacturers instructions. _ Quick4 Std -W @ 20 ff EISA/chamber = 220 ft' (3) 3 FT. X 44 FT. TRENCHES + 1 Pairs of end caps @ 6 ft' EISA/pair = 6 ft' = Proposed EISA per trench = 226 x 3 ft2 Required Infiltration Area = 642.86 ft' trenches = Proposed Total EISA = 678 ft2 Distribution Method: branched manifold D C) G) O a RICHARD TUTEWOHL RECEIVED PAGE 4 OF 4 MAY 012026 In -ground Gravity Management Plan IMPO 1d % nd Zoning Agency 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 = 450 gpd; BOD5 ≤ 220 mgL; TSS ≤ 150 mgL-'; FOG ≤ 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) 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: Local government unit: Local government unit address: WASHBURN, WI RYAN STRAND BAYFIELD COUNTY ZONING Phone: 715-558-1673 Phone: 715-373-6138 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. WLP1 000 TANK SPECIFICATIONS 4" CAST - INLETI _Z. as a o -a " CAST -A -SEAL 'AD DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53 1/4" LENGTH: 8'-B" WIDTH: 7'-2" BELOW INLET: 42" UQUID LEVEL: 36" WEIGHT: BOTTOM 6,790 LBS. COVER 3,195 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) UQUID CAPACITY: 27.83 GAL/IN HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC / HOLDING / PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE REVIEWED BY REVIEW DATE 0 z o_ a � J U 0 w DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: SHEET NC APPROVAL DATE: 1 OF PRODUCTS NEEDED BY: 7 1 TO 4 -in. (100 -mm) Biotube® Effluent Filters Extendable tee handle Orencoe 4 -inch Biotube® Effluent Filters are designed to remove so - Vented top plate, ids from effluent leaving residential septic tanks. They can be used in standard new and existing tanks at flows of up to 1200 gpd. Applications General Orenco 4 -inch Biotube Effluent Fitters J.S.(1Patents No. 4,439,323 and Biotubes 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield Iffe, RECEIVED The Biotube cartridge fits tightly in the vault and is removable for Biotubea filter maintenance. The tee handle can be extended for easy removal of the cartridge MAY 012026 cartridge. eayriew Co. planning and ZotungAQa ' Standard Models FTSO444-36,FTSO444-36M,FfW0436-28,FfW0436-28M FTW0444-36, FfW0444-36M Biotube° filter vault Product Code Diagram FT0D040-❑-❑ modulator and float switch bracket options: Blank = no options selected Flow modulailon M = Bow modulation plate uatalled A = float switch bracket Installed plate (optionall ITFbw artridge height, in. (mm): 28 = 28 (7116 standard } 36 = 36 (914), standard Filler housng height, in. (mm): Vault 36 = 36 (914), standard 44 = 44 (1118), standard 4-n. (160-nm) filler diameter Outlet tee: Inlet holes w = fits Type 3034 outlet tee 3 = fits Schedule 40 outlet tee Filter mesh option: Blank = ½-in. (3 -mm) filter mesh P = As -h1. (1.6 -mm) filter mesh Biotube• effluent timer Materials of Construction Vault PVC Biotube® cartridge Polypropylene and polyethylene Handle components PVC, polyethylene, stainless steel Orenco Systems° Inc. , 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.orenco.com NID-FT-FrS-1 Rev.3.0, O 06718 Page 1012 (on optional flow modulation plate) TECENE® vm 0 1 Z02 Bayheld Co. planning and Zoning Agency ABC Specifications k - DH -+H orifice (on optional flow modulation plate) Model FTS0444-36, FTW0444-36 FTS0436-28, FTW0436-28 A - Vault height, in. (mm) 44.00 (1118) 36.00 (914) B - Cartridge height, in. (mm) 36.00 (915) 28.00 (710) C - Inlet hole height,' in. (mm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. (mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mm) 1.13 (29) 1.13 (29) Discharge orifice diameter, in. (mm) 4.00 (100) 4.00 (100) Discharge coupling diameter, in. (mm) 4.00 (100) 4.00 (100) Filter surface area,t Its (ml 5.1 (0.50) 3.9 (0.40) Flow area," ft' (ml 1.5 (0.15) 1.2 (0.12) Flow Modulation Plate (Optional) Number of discharge orifices 2 Discharge orifice diameter, in. (mm) 0.50 (12.7) Number of air vents 1 Air vent diameter, in. (mm) 0.50 (13) inlet hole height can vary depending on the configuration of the tank optimum hole height is 70% of the minimum liquid level. liter area is defined as the total surface area of all individual Biohrbes' within the filter cartridge. Flow area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge. NID-FT-F75-1 Orenco Systems® Inc., 814 Airway Ave., Sutherlin, OR 97479 USA • 800-348-9843 • 541-459-4449 • www.arenco.com Rev. 3.0, 0 05118 Page 2 oft Real Estate Bayfleld County Property Listing Today's Date: 9/11/2025 S Description Updated: 2/2/2021 Tax ID: 19633 PIN: 04-024-2-47-08.21-4 00-327.60000 Legacy PIN: 024105803006 Map ID: Municipality: (024) TOWN OF IRON RIVER STR: S21 T47N ROBW Description: ALLISON'S ACRES LOT 6 IN DOC 2021R- 586514 Recorded Acres: 3.770 Calculated Acres: 3.255 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 118 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE Recorded Documents 0 WARRANTY DEED Date Recorded: 1/15/2021 o QUIT CLAIM DEED Date Recorded: 6/17/2020 0 CONVERSION Date Recorded: 93 PLAT Date Recorded: 7/27/2004 Updated: 3/15/2006 2O21R-586514 2020R-582664 49319 172.2;523-189 2004R-493189 rs Ownership RICHARD G TUTEWOHL Mg Address: RICHARD G TUTEWOHL N4863 1169TH ST PRESCOTT WI 54021 kR Site Address * indicates 66176 NORTH POINT DR Property Status: Current Created On: 3/15/2006 1:15:34 PM Updated: 2/2/2021 PRESCOTT WI RICHARD G TUTEWOHL N4863 1169TH ST PRESCOTT WI 54021 IRON RIVER 54847 J Property Assessment Updated: 8/11/2024 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 3.770 86,500 0 2 -Year Comparison 2024 2025 Change Land: 86,500 86,500 0.0% Improved: 0 0 0.0% Total: 86,500 86,500 0.0% Nil Property History N/A co N y Ill o g i churc4 '}4'Q Private Sewage System Maintenance Agreement AS owner, I (we) do hereby cerbty the private sewage system will De 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) 114 of 114 IfSeection9 t�. _Township 47 N. Range 05? w. Additional Legal LDescription: Rtl t scpS Artre5 Lo l h Town of _Yr (Acreage) 3 177 Gov't Lot Lot_ Block Subdivision Lot _ CSM # Vol. _ Page _ CSM Doc # In -ground gravity ❑ Mound ❑ In -ground dosed DOCUMENT NUMBER 2026R-6 12627 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O6/19/2O26 AT 9:48 AM RECORDING FEE: $30.00 PAGES: 1 Return To: RECFJVED Planning and Zoning Department JUN 222026 nlry Bavfiield Co. ❑ In -ground pressure distribution Sewage System: ❑ 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 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, P0WTS 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. and swom to before me on My Proofed by: informs/sanitarylsepticmaintenceagreement Revised July 2020 IJAYFIELD 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: TUTEWOHL, RICHARD G N48631169TH ST PRESCOTT, WI 54021 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00403 Transaction Number: SR -00403-45775 Amount $50.00 Total: $50.00 Payment Amount: $51.95 Reference: 2847572655 Paid by: Mary Jo Huppert Payment Type: Credit Card Transaction Date: 5/12/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. CATALIS Payment Receipt Your transaction has been successfully completed!! Your Confirmation number is : 2847572655 Reference #: 260512090619347CABF6426051209061 Tuesday, 12 May 2026 09:10:34 [CST] Parcel Number: 19633 $50.00 Account Information Payment Type: Permit Payments Bill Payer Details Mary Jo Huppert 25720 Firefly Lane Webster, WI 54893 Payment Details Payment Amount: $50.00 Convenience Fee: $1.95` Total Amount: $51.95 Payment Method: VISA Card Number: XXXXXXXXXXXXX3922 Expiration date: 09/2030 © 2026 Value Payment Systems, LLC. 3M 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: TUTEWOHL, RICHARD G N4863 1169TH ST PRESCOTT, WI 54021 Description Private Sewage System (Septic Tanks) Submission Number: SS -00735 Transaction Number: SS -00735-44F73 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 3299 Paid by: Red's Septic Service & Repair, 41855 Namakagon River Rd, Cable WI 54821 Payment Type: Check Transaction Date: 6/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-68S STATE SANITARY PERMIT OWNER: RICHARD G TUTEWOHL L GOVT LOT: LOT: 6 BLK: SUBDIVISION: Allison 1/4 1/4 SEC: 21, T 47 N, R 8 W TOWNSHIP: Iron River SOIL TEST: 33-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: RYAN STRAND EMILY MACGILLIVRAY DATE: 6/23/2026 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 798301 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 6/23/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION