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Home My WebLink About26-120Sod"`TMcb Industry Services Division County I 4822 Madison Yards Way Bayfield - Madison, WI 53705 P.O. Box 7302 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707 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 prov�iyw�e.bwttdrfs�ondary 13455 Scenic Dr. Iron River, WI purposes in accordance with the Privacy Law, s. 15.040 )(m), Stats. I. Application Information — Please Print All Information Property Owner's Name AUG 28 2026 Parcel H Mark Chisholm Et Al (Sherry Chambers) 12831 Property Owner's Mailing Address Bayfield Co. Property Location 13455 Scenic Dr. Planning and Zoning Agency Govt. Lot City, State Zip Code Phone Number Iron River, WI 54847 815-210-9256 NE ,,NW ySection 18 T46 N R 07 E or II. Type of Building (check all that apply) Lot is zI or 2 Family Dwelling — Number of Bedrooms 2 Subdivision Name D ublic/Commercial — Describe Use Block N o 1I O �g/a6 ❑Cityof State Owned — Describe Use - itlage of CSM Number Town of Delta Ill. Type of P0WVT'S Permit: (Check either "New" or"Replacement" and other applicable on line A. Check one box on line B. Complete line C i a licable.) :x. flVew System Replacement System Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B. Holding Tank In -Ground t -Grade fl Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before ❑Revision Change of Plumber ❑transfer to New Owner ist Previous Permit Number and Date Issued Expiration 24838 11.5.68 IV. Dispersal/Treatment Area and Tank Information: Design flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (sq I Dispersal Area Proposed (st) System Elevation 300 0.7 Existing to Remain Existing to Remain 91.63 Capacity in Total if of Manufacturer Tank Information Gallons Gallons Units V a to i New Tanks ExisangTanks v c ?I E $ i Septic or Holding Tank 750 750 1 Superior Precast ✓ Dosing Chamber jJ O V. Responsibility Statement- 1, the undersigned, assume responsibir for Installation of the 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, City, State, Zip Code) PO Box 66 Cable, WI 54821 I. County/Department Use Only Approved 0 Disapproved Permit Pee Date Is tied Iss g A Sig ure 9(1 0 Owner Given Reason for Denial $ 9 tRi/ O 3/� Conditions of Approval/Reasons for DisapprovalDisapproval dA Attach to complete plans for the system and submit to the County only on paper not less than 8 t12 a II inches in size SBD-6398 (R. 02/22) SR-o�Sa3 ACK Soil Evaluation Report •! 4 in accordance with SPS 385,Wrs.Adm Code E i TEST# 1a -c0, tr Wisconsin Department of Safely and Professional Servlsos Attach comolete site Dlan on Daoer not less than 8%2 X 11 inches in size. Paae: 1 of 6 Plan must include but not limited to: Vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, location and distance to nearest road. Please Print All Information Personal information you provide may be used for secondary purposes. (privacy Law,s.15.04(1)(m)). County: Bayfield Parcel I.D. 12831 Date: Property Owner: Mark Chisholm Property Location S18,T46N,R07W Property Owners Mailing Address: 51 N 8th Ave Site Address or CSM and Lot # 13455 Scenic Drive City Sturgon Bay IState I Zip Code I I I Phone Number: Town Delta Nearest Road: Scenic Drive r New Iv Residential Number of Bedrooms: 2 Code derived design flow rate: 300 Flood Plain if applicable RECEIV (i/ Replacement T Public or Commercial - Describe: Parent Material: Outwash Flood Plain if Applicable: 83 AUG 282 Bayfield Co General Comments & Recommendations: Planning and Zonin System Elevation: 96 Load F:at<≥ 07 Ground surface Elev: Depth to Limiting Factor: Boring #1 r Bor.I' Pit 98.4 Ft. 120 in. Elev. 88.4 ft Soil Application 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 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3M 0.6 1.0 2 4-28 7.5YR4/6 N/A LS 0SG ML CS 3M 0.7 1.6 3 28-120 7.5YR4/6 N/A MS 0SG ML N/A N/A 0.7 1.6 4 5 6 7 Boring # 2 r Bor.r pit Ground surface Elev: Depth to Limiting Factor: 98.95 Ft. 130 in. Elev. 88.12 ft Soil Application Rate: Horizon Depth in. Domm.Color Munseil Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary -Roots GPDfft2 *Eff#1 Eff#2 1 0-6 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3M 0.6 1.0 2 6-20 7.5YR4/6 N/A LS 0SG ML CS 3M 0.7 1.6 3 20-130 7.5YR4/6 NJA ` MS. 0SG ML N/A N/A 0.7 1.6 4 5 6 7 *Effluent #1 = BOD 5>30 < 220 mg/1 and TSS>30 5 150m *Effluent #2= BOD 5 < 30 mg/ and TSS < 30 mg/l CST Name (Please Print) Mark S. Thompson Signature ) CST Number: 877598 Address: 12006 N US Hwy 63 Hayward, WI 54843 Date alu onducted: Thursday, July 23, 2026 Telephone Number 715/699-4081 SBD-8330 (R04/21) iIP V Agency Proper tyl.Own�r..:. , „� Mark Chisholm Parcel I.D. 12831 Page: 2 of 6 4.' ter• .� '; Boring # 3 Ground surface Elev: Depth to Limiting Factor: �" Bores lit 98.6 Ft. 120 In. Elev. 88.5 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 0-5 7.5YR2.5/1 N/A SL 2MSBK MFR CS 3M 0�6 1.0 2 5-18 7.5YR4/6 N/A LS OSG ML CS .3M 3 18-120 7.5YR4/6 N/A MS OSG ML N/A N/A 4 5 6 7 Boring #4 Ground surface Elev: Depth to Limiting Factor: r Bores Pit t 0 Ft. 0 In. Soil A Rate App. Horizo" 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- Boris 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 Eiev: Depth to Limiting Factor: 1 ° Bork 0 . 0 In. 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 21kEC 3 • 4 ►t 026 5 6lanning an Zoning Age" 7 'Effluent #1 = BOD 5>30. 220 mg/land TSS>30 5 150mgA *Effluent #2= BOD 5< 30 mg/1 and TSS mg 30 mg/! The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777 sso-s3o(x.onoo) Soil Profile Sheet Page: 3 of 6 Owner. Mark Chisholm ISoil Tester Mark S. Thomason System Elevation: 96 Load Rate: 0.7 System Elevation: 91.5 To 96.07 101 B2 101 is 100 ------ 100 --------------- 99 ------------- 99 -------------- 98.5 98 ---- 98 --------------- 97 --9Z.2 97 RZ 01 96 ----------- 96 ------- 95 ----- 95 ------------- ------------ 94 -- - 94 ------------ 93 93 92 ------------ 92 --_ 91 91.12 91 ---- 90 — 90 ---- 89 - ------ 89 88 ---- 18.12 88 ------------ L.E. L.E. 87 ---- 87 --------- 86 — -- 86 ----_---_---- 85 ----------- 85 -------------- 84 -------- 84 --------------- 83 ----------- 83 ------_.__— 82 ------------- 82 -------------- 81 ------------- .81 -------------- 80 ------------- 80 --------------- 79 ---------- 79 -------- 101 Al 100 --------------- System ------_- Elevation 99 96 ------------- 96.07 95 94 --------------- 92 ------------- 91 ------------ 91,4 90 ----------- 89 ------ 88 L.E. 87 ----------- 86 --------------- 85 -------------- 84 ---- -- 83 --------------- 82 81 --------------- 80 --------------- ---------- AUG 2 8 2026 79 --------------- gayfield Co Planning and Zoning AgenCY Owner Information: Name: Mark Chic_holm Location: S1B T46N R87W Township: 11Elta County: aavneji Address: 1 45S Scenic Drive 4 — 11=40 ' LA BM=100: Nall w/ ribbon on the bgase of of treenear 83 W Scenic Drive 13455 Driveway BM B2 B3 Welt • Tank • Dmell Bottom = 9183 Only in Tested Area Lake Delta CST: Mark S. Thompson #877598 Bl- 96.4 82= 98S B3= gg$ Lake= 83 REGciVEi2 AUG 28 2026 Bayfield Co. Planning and Zoning Agency 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 Pg 2 of 4 Pg 3 of 4 Pg 4 of 4 Attachments: Index & Cover Sheet Plot Plan Dispersal Area Cross-SectioRSw Management Plan AUG 28 2026 Bayfield Co. Planning and Zoning Agency POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Chisholm Tank Replacement Owner Name(s): Mark Chisholm Et Al Owner Address: 51 N 8th Ave Sturge Project Address: Govt. Lot: Township: Delta n Bay. WI Phone: 815 -210 -9256 Zip: 54235 13455 Scenic Drive. Iron River, WI NE 1/4 of NW 1/4, Section 18 , T46 N -R07 E❑or w71 County: Bayfield Project Parcel ID #: 12831 Designer Information Designer Name: Jason Kuettel Designer Address: PO Box 66 Cable, WI E-mail: tim@andryras.com This space reserved for approval stamp. License Number: 675751 Phone: 715 798 -3355 Zip: 54821 Remarks: Signature: 7 Date: _ Original signature required on each submitted copy. Owner information BM=100: Nailw/ ribbon on the bgase of tree near 83 Name: Mark Chisholm Location: £18 T46N RO2W B1= 9BA Township: Della B2= 9&95 County: Bayfield B3= 9a,5 Address: 134555cenlcDrive Scenic Drive Lake= a3 13455 Driveway jvfd''21ar— ?,CAST' >- 0 BM 1 0Z,C'n C9-1 C..7t''n� B3 q' well 0 N 1 1 11(7. v C - Lake Delta 4 Onlyln Tested Area RECEIVED AUG 287076 Bayfiekl Co. planning and Zoning Agency 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 S 220 mgL"'; TSS ≤ 150 Inspection Checklist INSPECT EVERY 3 YEARS o type of use AUG 282026 o age of system o nuisance factors (i.e. odors, user complaints, etc.) Bayrieki Co. o mechanical malfunction (Le., pumps, valves, switches, floats, etc.) Planning and Zoning Agency o material fatigue (Le., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / 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 (113) 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_FT C TANK CROSS S - i=on .iiJ S. �i':11.AT1CTrS 4" +oPvC ngsP . pip 6 " HIfl, ABOVE (whe.r, t* leT. bc.riz.a ) J FINISHED GRADE 18" kEN.!! I FILET IC APPROVED PIPE 3' ONTO SOLID SO TL 3" APPP.(' D BEDDING UNNDEP. TANK; SPECIFICATIONS SEpTIc TAN Y? i r WU } A C !U R T-=:rIK SUES. SE?TIC 750 CAL. NOTES: APPROVED MANHOLE W/ L cp L,46 L. 4 " Mr11. OUTLET - r F6rin'Plb 67 APPLICATION FOR PERMIT for PURCHASE OR INSTALLATION OF A SEPTIC TANK (Sec. 144.03, Wis. Stats.) Wisconsin State Board of Health, A. OWNER OF PROPERTY Type or use BLACK ;rk Name Address (Street, City, Zip Code) ciV % C.lic6 D,. XL B. LOCATION OF PROPERTY WHERE SEPTIC TANK IS TO BE INSTALLED Check 1. City -` Mail address County one: 2. Vi lag0 3. Town O Z' Give license number held: C. INSTALLER Wisconsin Restricted -- Licensed Sewer Plumber /m/7'- ,!6a/ Services Name Address ` /%c'v'r Z2/½r''/s AUG 282026 D. SPECIFICATIONS OF SEPTIC TANK aeveeld co. Size in gallons: (Check one) 1. 500 gal. 4. 1,500 gal. 7. 4,000 gal. 2. :� 750 gal. 5. _ 2,000 gal. _ 8. 5,000 gal 3. 1,000 gal. 6. 3,000 gal. 9. It 'over 5,000 gal. give capacity Materials: 1. _ Prefab concrete 2. _ Poured concrete 3. • Steel E. TYPE OF OCCUPANCY 1. Single family residence �' 3. Commercial establishment t 2. _ Nul,iple family residence _ 4. Industrial establishment F. APPROT:L(.TE NUMBER OF PERSONS SERVED DAILY 4/ G. PERCOLATION TEST MADE 1. Yes 2. )< No Date By whom (To be completed by County Clerk) Date application is filed and fee paid // ✓r- d d Permit issued (date) //^f -a Permit Number ..75/93 V County e __ Clerk ty r_ ( 9e Note: The application cannot be considered for filing until all of the above questions are answered and the fee paid. County Cleric will forward application, the fee of $1.00, and Copy (b) of the Permit (yellow copy) to the State Board of Health. Checks and money orders should be made payable to the Wis. State Board of Health. Private Sewage System Maintenance Agreement DOCUMENT NUMBER 2O26R-6 1 3519 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED O8/28/2O26 AT 1:33 PM RECORDING FEE: $30.00 PAGES: 2 As owner, I (we) do hereby certify the private sewage system will be installed In accordance with the certified sail tester's report and approved plans and specifications on file with Bayfleld 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) Nt 1/4 of A' UL1/4 Section _[Township 6 N. Range 7W Additional Legal Description: SetS B 1`f732t?C_t� Town of PE —'77t (Acreage) 1 87D GoVt Lot Lot_ Block Subdivision Lot _ CSM # _ Vol. _ Page _ CSM Doc # RECE C) AUG 312026 Recording Area BayTIeI Cu. Return Tgslanning and Zoning Agency Planning and Zoning Department NIn -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: O Mound ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with 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 In -around 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 Bayffeld 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 collect ted as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) - Please Print Subscribed and sworn to before me an this date: Notarized Owner(s) - Signature(s) N taryPublic : My Comm' Sion Expires: St 11� Drafted by: �. e-L4A� Date: 1�r'i/t. ortldal Seal K%snE JEAN BEARD Notary Public, StMe of Illinois Proofed by: Commission No. 1012200 Elmyomndssion Expires June 17, 209*rm mtaryrseptirmaintenceagmement Revised July 2020 LEGAL DESCRIPTION An undivided one—half interest in The premises commonly known as: The East Half of the Northeast Quarter of the Northwest Quarter (E'A NEV. NW/), Section Eighteen (I8), Forty-si: (46) North, Range Seven (7) West, Town of Delta, Hayfield County, Wisconsin, LESS the West Quarter. AND LESS the East Quarter therreo ALSO LESS the parcel desaibed as follows: A parcel of lend located in the East Half of the said NE Y. NW '/. to locate the point ofbeg'oming. commence at the North quarter comer of said Section 18, which is marked by a2 Inch rapped iron pipe and rum North ST16'23" West, 178.66 feet along the North line of said Section 18; thence South 007555" West, 499 feet, more or less, to the waters edge of Everett Lake, which is the point of beginning; thence from mid point of beginning by metes and bounds. North 0075'55" East, 102.66 feet, more or less, to the South right -of --way line of old County Highway "H" thence South 8477'30" West, 59.03 feet along said South right-of-way line; thence South 0075'55" West, 90 feet, most or less, (passing though a 1 inch has pipe at 55.00 feet) to the water's edge of Everett Lake; thence Easterly, 59 fret, morn or less, along said water's edge to the point of beginning. RECEIVED AUG 312026 Bayfheld Co. Planning and Zoning Agency PHILIP L. JOHNSON, ATTORNEY AT LAW 14 SOUTH THIRD AVENUE P.O. Box 407 STURGEON BAY, WISCONSIN 54235-0407 Ross CHISHOLM AND PHYLLIS CHISHOLM 5014 ELM CIRCLEDRIYE OAK LAWN, ILLINOIS 60453 i of o Bayfield County Register of Deeds Document #2024R-604349 Page 3 of 3 13-Q 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: CHISHOLM ET AL, MARK 13455 SCENIC DR IRON RIVER, WI 54847 Description Certified Soil. Tests - Review & Filing Fee Submission Number: SR -00503 Transaction Number: SR-00503-4D24B Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 15100 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check. Transaction Date: 9/1/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. HAYFIELD 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: CHISHOLM ET AL, MARK SS -00829 13455 SCENIC DR IRON RIVER, WI 54847 Transaction Number: SS-00829-4D24C Description Private Sewage System (Septic Tanks) Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 15100 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 9/1/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-120S STATE SANITARY PERMIT OWNER: MARK CHISHOLM ET AL GOVT LOT: LOT: BLK: NE 1/4 NW 1/4 SEC: 18, T 46 N, R 7 TOWNSHIP: Delta SOIL TEST: 123-26 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: JASON KUETTEL TRACY POOLER DATE: 9/1/2026 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 #: 24838 LICENSE: # MP 675751 Condition: Properly Maintain System Per Recorded Agreement. Old System needs to be properly abandoned per SPS 383. THIS PERMIT EXPIRES 9/1/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION