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Home My WebLink About26-90SIndustry Services Division County �$ 4822 Madison Yards Way Bayfield Sanitary Permit Number (to be filled in by Co.) - I Madison, WI 53705 P.O. Box 7302 Madison, WI 53707 �1— q0 $ Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailin address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary Same RECEIVED purposes in accordance with the Privacy Law, s. 15.04(1)(m), Slats, I. Application Information — Please Print All Information Property Owners Name Parcel # Mark L Dietrich Property Owner's Mailing Address roperty Lo lion Planning and Zoning Agency 87505 State Hwy 13 Govt. Lot_____ City, State I Zip Code Phone Number Bayfield, WI 54814 715-209-8081 'h /., Section 06 'r50 N R 03 E or W II. Type of Building (check all that apply) Lot # ❑✓ I or 2 Family Dwelling — Number of Bedrooms 3 18 Subdivision Name DALRYMPL Addition Block# Public/Commercial — Describe Use 85 pcity of III5tate Owned — Describe Use Village of CSM Number Town of Bayrield III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one box on line 13. Complete line C if a licable.) A. New System I?lReplacement System ❑Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. Holding Tank flln-Ground ❑4t -Grade IflMound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued Expiration NA IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) I Dispersal Area Required (st) I Dispersal Area Proposed (st) I System Elevation 300 NA NA NA NA Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units , 'g .. o New Tanks ExistingTanks v y — u . .L) m vi ii U a Septic or Holding Tank 3000 3100 1 Superior Precast ✓ Dosing Chamber a V. Responsibility Statement- 1, the undersigned, assume responsiins allation ofthe POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si 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 •i/I ga VI. County/Department Use Only ❑ Approved O Disapproved Permit Fee I Date Iss ed I Issuing Agent Signature $ /- [/� D S'Co ❑ Owner Given Reason for Denial ( ✓ Conditions of Approval/Reasons for Disapproval a)ttael,ea' eaxt Attach to complete plans for the system and submit to the County only on paper not less than 8 Ilex 11 inches in size SBD-6398 (R. 02/22) Soil Evaluation Repo1®�L TEST # In accordance with SPS 385 ,s.Adm Code d Wisconsin Department of Safetyand Attach complete site plan on paper not less than 8'/ X 11 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, Bayfleld Parcel I.D.�� location and distance to nearest road. Please Print All Information ! �_ ` t Personal information you provide may be used for secondary purposes. (privacy Law,s.15.04(1)(m)). R)viewed B 1a: yye�t ��lv �j// P I,I rop ocatio Property Owner: Mark L Dietrich 06,T50N,R03W Property Owners Mailing Address: Site Address or CSM and Lot # 87505 STH 13 87505 State Highway 13 City IState I Zip Code Phone Number: Town Nearest Road: Bavfield I WI I 54814 0 Bayfleld State Highway 13 Number of Bedrooms: 3 I✓ New J Residential Code derived design flow rate: 450 Flood Plain if applicable ��,V r Replacement r'" Public or Commercial - Describe: JUL 0.9 2026 Parent Material: Outwash Flood Plain if Applicable: 0 Sayfield Co. General Comments & Recommendations: Holding Tank is required on this site Planning and Zoning Agency System Elevation: 0 toad Rate 0 Bor. Ground surface Elev: Depth to Limiting Factor: Boring #1 r l�! At Soil A I pp ication Rate: 93.93 Ft. 6 in. Elev. 93.43 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 0-6 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0_6 1.0 2 6-14 7.5YR2.5/1 C2P7.5YR5/6 SCL 2MSBK MFI CS 2CO N.P. N.P. 3 14-24 7.5YR3/2 C2P7.5YR5/8 SCL 0M MVFI CS 2M N.P. N.P. 4 24-36 7.5YR5/6 C2P7.5YR6/3 CL 0M MVFI N/A N/A N.P. N.P. 5 6 7 Ground surface Elev: Depth to Limiting Factor: Boring # 2 r Bor. � Pit Soil Application Rate: 95.91 Ft. 4 in. Elev. 95.61 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 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0_6 1.0 2 4-16 7.5YR2.5/1 C2P7.5YR5/6 SCL 2MSBK MFI CS 2CO N.P. N.P. 3 16-26 7.5YR3/2 C2P7.5YR5/8 SCL 0M MVFI CS 2M N.P. N.P. 4 26-33 7.5YR5/6 C2P7.5YR6/3 CL 0M MVFI N/A N/A N.P. N.P. 5 6 7 *Effluent #1 = BOD 5>30 < 2 20 mg11 and TS 950mgA *Effluen #2 = BOD 5< 30 mg/1 and TSS < 30 mg/1 CST Name (Please Print) Signat CST Number: Mark S. Thompson 877598 Address: 12006 N US Hwy 63 Date lu Condu ed: Telephone Number Hayward, WI 54843 Wednesday, June 10, 2026 715/699-4081 I SBD-8330 (R04121) r Property Owner: Mark L Dietrich Parcel I.D. 5865 Page: 2 of 6 Boring # 3 Ground surface Elev: Depth to Limiting Factor: Borr' � 96:14 Ft. 4 in. Elev. 96.84 ft Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 4-10 7.5YR2.5/1 C2P7.5YR5/6 SCL 2MSBK MFI CS 2CO N.P. N.P. 3 10-20 7.5YR3/2 C2P7.5YR5/8 SCL OM MVFI CS 2M N.P. N.P. 4 20-28 7.5YR5/6 C2P7.5YR6/3 CL 0M MVFI N/A N/A N.P. N.P. 5 6 7 Boring # 4 Bor Pit Ground surface Elev: Depth to Limiting Factor: r t 0 Ft. Din. 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 2 3 4 5 Plann ng and ZoningAgency 6 7 Boring # 5 r- Borg' Pit Ground surface Elev: Depth to Limiting Factor: 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 *Eff#1 Eff#2 1 2 3 4 5 6 7 Boring # 6 Ground surface Elev: Depth to Limiting Factor: r Bor ry 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/I and TSS>30 < 150mg/I *Effluent #2= BOD 5< 30 mg/! and TSS < 30 mg/1 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(807/00) Owner Information: Name: Mark L Oletrich Location: S06.T50N.R031:' Township: flayfJW County: fiayilew Address: 87505Sta[ HI hw-v17 RECEIVED JUL 0 92026 Plannin BByfield Co. 9 and Zoning* Agency 1"=50' Only In TestedArea LA BM ip B3 BM=100: Nail w/rihhon on the base of small nine near auto shop B1= B2 = B3= Lake= 61 B2 Welt Drivewaay I 8750', CST: Mark S. Thompson PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan RECEIVED JUL 092026 Bayfield Co. Planning and Zoning Agency Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appE Holding Tank Agreement (if applicable) Project Name / Description Owner Name(s): Mark L Dietrich Owner Address: 87505 State Hu Project Address: Same Govt. Lot: 1/4 of 1/4, Section 06 , T 50 N -R 03 EUor W [Li Township: Bayfield County: Bayfield Project Parcel ID #: 8565 Dietrich Holdina Tank 13. Bayfield, WI plicable) cable) Phone: 715 -209 -8081 Zip: 54814 Designer Information Designer Name: Jason Kuettel Phone: 715 _798 -3355 Designer Address: 42940 US Hwy 63 S. Cable, WI E-mail: tim@andryras.com License Number: 675751 Remarks: Zip: 54821 fills sl,a;, r Signature: Date: z.c Origi I gnature required on each submitted copy. Owner Informatlon Name: Mark L Diet[lcb Location: S00 T50N RO3W Township: Bayfieid County: Bayfield Address: 87505 State Hiehwav 13 Tnx ib: 58G& BM=100: Nail /ribbon on the_base of small inn a near autoShnp IL,. 81= 23,9$ B2= 25,91 83= 98.14 Lake= 0 RECEIVED 81 Svrt`q-t•r� Pr ' 3ovo LP cw�a� V �^ JUL 092026 Bayfield Co. Planning and Zoning Agency 82 Well O B3 BM Ia S'cH y./sue Driveway ti a Onlyin TestedArea w n s !gyp ( )S 5i PAGE 3 OF 4 Electrical must comply with SPS 316 and NEC 300 18" Min. vj' (typical) I Inlet Approved Joints with Approved Pipe 3 ft onto Solid Ground HOLDING TANK SPECIFICATIONS (No Scale) RECEIVED JUL 092026 Bayfield Co. Weatherproof 12" Min. or 2.0 ft above Planning and Zoning Agency —Junction and Approved Established Flood Elevation Alarm Box (typical) Vent Cap Approved Locking Manhole 4"0 Vent Pipe with Warning Label Attached • Conduit >10 ft from (typical) 4" Min. or 2.0 ft above Building I Established Flood Elevation (typical) eAirlight Seal a Inlet Invert Max. 12" or 90% of total volume if more than one tank Alarm -On HOLDING TANK VOLUME = 3100 gal 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Superior Precast Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 lbs/cu.ft) - lbs.tank.wt] x 1.5 Finished Grade Plug Ballast Weight = [( cu.ft. x 62.4 lbs/cu.ft) - Ibs] x 1.5 = Ibs PAGE 4 OF 4 Holding Tank Management Plan IMPORTANT: The owner of this holding tank(s) 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 holding tank(s) 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. Estimated Daily Wastewater Flow = 300 gpd 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.) RECEIVED o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) JUL 092026 o surface discharge of effluent or sewage back-up into structure served Bayfield Co. Planning and Zoning Agency SERVICING FREQUENCY o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Stats. when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s). Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Andry Rasmussen & Sons Local government unit: Bayfield Co. Zoning Local government unit address: 117 E 5th St. Washburn, WI Phone: 715-798-3355 Phone: 715-634-8288 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 component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agecy for review and approval. System Abandonment If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. SUPERIOR I LP3000I-Compartment Tank SUPERIOR PRECAST CONCRETE PRECAST CONCRETE TOP VIEW Weieht (in lbs) Tank: 1,127 Lid: 9,77. Total: 24,902 Volume of Concrete Total: 6.2 Yd' Gallons Per Inch: 70.: IrgDe tail Condlfianally APPROVED ____ DEPT. OF SAFETY AND PROFESSIONAL 1 y SERVICES I �g DIVISION OF INDUSTRY SERVICES oGeEr' Raz/y 50" SEE CORRESPONDENCE L Manhole Openings 184" 178' SIDE VIEW 9" Air Space 4I Li4uid RECEIVED Depth JUL 09 2026 96" 102" 24„ 4" OueLEt 48" ------� ---E-a9ll₹ld-Cb------ 2-1f2" Taper Polyethylene Baffle Ma ttic Rope Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 S SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WISPS 384.25, POWTS Holding Components orTreatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineer for suitability of use. Configuration may change from drawing, consult with SPC. 1PmEud RW No: I This Ispmpdewry lntwmatlan,and remainst opmpenyof SuperlorPreeestConuNe,LLC. I 8.305-1920241 HOLDING TANK SERVICING CONTRACT Contract Date -- - oz 6 Holding Tank Owner(s) Name(s) pp rnQr r1h This contract is made between the Pumper's me (Print)p1 Pumper's Signet r Pumpers' Registration # Ala?�°le �°u''� We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT Legal Description: Tax IDg 1/4, 1/4, LOCATION (Use Tax Statement) Town of: Lot Size Acreage Section __ ,Township SG N, Range o3 w Gov't Lot Lot 4 I 6M g Vol. Page CSM Doc # Lot(s) No. Block(s) No. Subdivision: M i> A-�\ N V )8 8S ' 1. The owner agrees to file a copy of this contract with Bavfield County as required in SPS 383.55, Wis. Adm. Code. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local government unit which has signed the pumping agreement reQc�gired by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) onh th?t(liM. I1basis. The pumper further agrees to include the following in the semiannual report: n a ?n9r a. b. C. d. e. f. 9. The name and address of the person responsible for servicing the holding tank; U Jl The name of the owner of the holding tank; Bayfield Co. The location of the property on which the holding tank is installed; Planning and Zoning Agency The sanitary permit number issued for the holding tank; The dates on which the holding tank was serviced; The volumes in gallons of the contents pumped from the holding tank for each servicing; The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In contract, the owner agrees to file a copy of any changes to this service contract or a cc with the local government unit and the County named above within (10) business days frl service contract. on this Ld,2 c by: My commission on: Revised: May 2016 (®May 2018) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)] Drafted by Document Number/Plan I.D. No. HOLDING TANK AGREEMENT oocu 202E Owner Name (s) Owner(s) Mailing Address > tic1 0 ,Rm �l £44DANIE / c V oc1 l Parcel Identifier Number (PIN) Agreement Date anie as Notary Date) REGIS BAYFIE (�/ ,s We acknowledge that application is being made for the installation of (a) holding tank(s) F on the following property or that continued use of the existing premises requires that a O7/O9/ holding tank be installed on the property for the purpose of proper containment of RECORE sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Stats. 1/4 of 1/4 Section O.LTownship 5O N. Range 03 W. Town of Return To: Additional Legal Description: Lot Lotft_Block $5 Subdivision'b A Lp_1ArLt Lot ' N ( N % GoVt hh��N CSM It Vol Page CSM Doc# MENr NUMBER 5R-61 2872 U. HEFFNER TER OF DEEDS '.LD COUNTY. WI tECORDED !O26 AT 1O:5O AM ,ING FEE: $30.00 PAGES: t - �EIIWED JUL 10 2026 Plannin BaYfield Co. g and Zoning Agency As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above -described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in S. 254.59, Stats., Bayfield County may enter upon specialthe property and assessment for currethe ntnk or cause to have the service rendered. The charges will be k to be assessed as prescribed owner by s. placing6.0703, Stats charges on the tax bill as a 2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank In such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days of the date of notice. In the event the owner las a spec al ssess ent for the abatement of days, humane health hazard, dr specifically rthestax shall be colthat all the lected as providedand charges aby lawbe .aced on the tax 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days of the date of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Stats., and Ch. NR 114, WI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property Is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference rty where the holding tank is installed. 4�LI�L/L *1 DUANE u 6; sworn G Quo Drafted by: �^i` t �� Date: Personal Ydonnetim you provide may be used for secmdery Pjposes (Privacy La. 6.15.04 (Ixm)) Wfwm5/5anilmyMdNnBTenkA�Qeemem 4.2026 13 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: DIETRICH,MARK L 87505 STH 13 BAYFIELD, WI 54814 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00466 Transaction Number: SR-00466-49B6F Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 15092 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 7/17/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B-YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: DIETRICH, MARK L SS -00793 87505 5TH 13 BAYFIELD, WI 54814 Transaction Number: SS-00793-4A10C Description Private Sewage System (Holding Tanks) Total: Payment Amount: Reference: 15092 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 7/17/2026 $400.00 $400.00 $400.00 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-90S STATE SANITARY PERMIT OWNER: MARK L DIETRICH G OV'T LOT: LOT: 18 BLK: 85 SUBDIVISION: Dalrymple Addition 1/4 1/4 SEC: 6, T 50 N, R 3 W TOWNSHIP: Bayfield SOIL TEST: 89-26 REPLACEMENT SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: JASON KUETTEL EMILY MACGILLIVRAY Authorized Issuing Officer DATE: 7/17/2026 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations In force on the date of approval. c. The sanitary permit Is valid and may be renewed for specified period. d. Changed regulations will not Impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # MP 675751 Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all- weather road. Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 7/17/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION