HomeMy WebLinkAbout26-14SRi
Industry Services Division
County
4822 Man, onW Way
BSa d
LV,.
5370ards
Madison, WI 53705
i ary P
Sanitary Permit Number (to be filled in by CoJP.O.
Box 7302 Madison, WI 53707
a{p l ii S!L..
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
8765 North Shore Dr. Iron River, WI
purposes in accordance with the Privacy Law, s. 15.04(I)(m), Scats.
1. Application Information — Please Print All Information
Property Owner's Name EWi'ER D
Parcel #
Logan Trautt q,/dg�j�
38423
Property Owner's Mailing Address
Property Location
10775 Scenic Drive
Govt. Lot 2
City, State
Zip Code
Phone Number
Iron River, WI
54847
218-391-2480
____¼,_'i, Section 08
T47 N R08 EorW
IL Type of Building (check all that apply)
Lot
Subdivision Name
❑� I or 2 Family Dwelling —Number of Bedrooms 3
4
II1Public/Commercial — Describe Use
Block #
City of
State Owned — Describe Use
Village of
CSM Number
2153 V12 P333
Ir l`nwnnf Iron River
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one box on line B. Complete line C i
a licable.
A.
New System
❑Replacement System
❑Other Modification to Existing System (explain)
❑Additional Pretreatment Unit (explain)
B.
flHoldin Tank
Z In -Ground
❑At -Grade
Mound
Individual Site Design
g
Other Type (explain)
(conventional)
C.
❑ Renewal Before
❑ Revision
x/ hange of Plumber
❑transfer to New Owner
lst Previous Permit Number and Date Issued
Expiration
26-14S 3.5.26
IV.
DispersalTreatment
Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/st)
i Dispersal Area Required (sf
I Dispersal Area Proposed (si) I
System Elevation
450
0.7
1642
1652
95.0
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
NewTanks
Existing Tanks
d°. c
m o
v
wv
la
a` U
in
rn
v. V
Septic or Holding Tatdc
1000 I
1000
1
Superior Precast
Dosing Chamber
V. Responsibility Statement- 1, the undersigned,
assume responsibility for Installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
I Plumber's SignatureI
MP/MPRS Number
I Business Phone Number
Jason Kuettel
675751
715-798-3355
Plumber's Address (Street, City, State, Zip Code)
PO Box 66 Cable, WI 54821
St County/Department Use Only
Approved
0 Disapproved
Permit Fee I
Date Issued -
Issuing Agent Signature
❑ Owner Given Reason for Denial
$
G'
9/3 3
Conditions of Approval/Reasons for Disapproval tj
R�
4 e-BV1 d AUG 282026
-
Planning Bay
Zoning Agency
Attach to complete plans for the system and submit to the County only on paper not less than S nix 11 inches in size
SBD-6398 (R. 02/22)
SOUL TEST #
S �' 003 N ENTERED
�T::•°"'• Wisconsir,Depadmenlof Safety & Professional Services
DlvisionoflndustrySeMces
p ' SOIL EVALUATION REPORT
,m,,,o•° In accordance with SPS 385, Wis. Aden Code County
Attach complete site plan on paper not less than 8 1/2 x 11 Inches In size. Plan must Include,
but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D.
scale or dimensions, north arrow, and location and distance to nearest road.
Please print all lhtorinatlon. " ' "R !
,sonInformation You orovide may be used for secondary pumosea'IPrivao4 Lew, a. 15.04(1)(m)).
Prpppfty Owner .........Property Location - 9—
aaa -t' Traur Vot"'to p 5133
Prooedv net's Mailing Address She Address or CSM and Lot #:
Page I of 4 `0utr)
Plannnl a
City, State, Zip Phone Number U City U Village 1f•) Town Nearest Road
TL ^, Rli e. r W S. SNS(i1 Pa3Q r' a49y "Cry n Rh'e/ Notch Slteit %ar.Iv
X NewConsbucdon Use: W Residential/Numberofbedrooms —_ Code derived des)gntlowrate 1 -2[JGPD
❑Replacement 0 Public or commercial —Describe: Flood Plan elevation If applicable ft.
Parent material Sn %&.j O1 W&S
General comments and recommendations:
�� Boring u''1 p� Q
I I Boring # ] pit Ground surface elev; l / Depth to limiting fadorj2_1_In. I e1e40•______ft
Soil Applcation Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Du. Az. Cont. Color
Texture
Structure
Cr. Sz. Sh.•E8#1
ConsistenOnn
GPO/Ft'
Eg#2
I
o-'7
id R
'-
L
I4bIc
nw4c
,
1-3
s ti—
L.S
0.k
rnvs
[:]Boring o ``,,�� Planning and Zoning Agency
Boring 5EPil Ground surface elevC�,7gs•wg. Depth to tinging fador in.lelevu.n.
Soil Application Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Ou. Az. Cent. Color
Texture
Structure
Cr. Sz. Sh.
Consistence
Boundary
Roots
CPU/Ft'
Eff#1
EN#2
O"S.
IoR
—
Sf..
I4,k
mt4t
a
.4-t
0.
V
S
-,
CST Name (Please Print) $tc j07
natu-7 ��
I _ 5
CST Number 11069
Atldress
Date Evalu lion Conducted
Telephone Number
I V
..11-7S
3--
' . -
SYa4�
Effuent#1a BOD> 305 20 mg/i. and TSS> 30s150 mg/i. ' Eltluent#2= SOD, S 30mg/L and TSS 530mg/L
SBD•8330 (R03/22)
Page. of
❑Bering ep
• a Boring S A'] fit Ground surfaceelev7,fI . Depth to Gmitng facto __,In, / afl.
SellAnnl
Horizon
Depth
In.
Dominam'Cdo1
MUrlse(I..
Redox Description
Cu. At Cant Color
Texture
Structure
Gr. Sz Sh.
Consistence
Boundary
Roots
GPO/F1'
•Ef011
,Efff2
I
o -E
ibf/L-
sjaM&kk
m$
Lo
2
a
s
x
'-
S
IsCabk.
rnL
—
a ;.
--
❑ Boring S ❑ Bering
❑ Pit Ground surfaceelev,_fl• Depth to IsNting factorbt / elev.ft
I ' Sonl Avofeatlon Rate
Horzon
Depth
In,
Dominant Color
Munsell
Redox Description
Cu. Az Cont Color
Texture
Structure
Gr. St Sh.
Consistence
Boundary
Roots
GPDIFtr
•Em
¶1182
.
III]Boring # ❑ Boring
❑ Ground surface elev. ft. Depth to (uniting factor _trL / elav_fl,
I Seti
Horizon
Depth
In.
Dominant Color
Munseti
Redox Description
Ou. Am Cant Color
Texture
SWchaa
Gr. Sz. Sh.
Consistence
EI
Boundary
Roots
GPD/Ftz
EIB1
•E0S2
Ba
field Co.
dl
1 Doing Ag
my
Effluent#1 30s 220mg/L and TSS>30s160mg/L • Effluent S2= BOD,s 30mg/L and TSSs 30mg/L
Soil Evaluation Site Map - System Plot Plan
In -Ground Soil Absorption for POWTS Component Manual V_2.1
Site Owner: Logan W. Trautt
Site Address: 8765 North Shore Drive, Iron River, WI 54847
Legal Description: LOT 4 CSM 2153 IN V12 P333 (LOCATED IN GOVT LOT 2) IN DOC 2024R-606027
Tax ID: 38423
CST: Tony Polkoski 11068 - ST RECEIVED RECEIVED
Plumber: Allan Polkoski - PMRS 220090
FEB 242026
AUG 282026
Baylield Co.
Planning ar,d Zoning Agency
Bayfield Co.
Planning and Zoning Agency
205'
0 40 80f1
o wells on property N
o neighboring wells < 50' from property lines
a
N
0
L
ro
L
t
O
a
�
plea -•
5% Sotp»°t''"861♦••
r� �° ♦sB
5831015.5 �
1016
ank-WieserWLP-1000MR •• Pipe MatedalIASTMStandard
Filter- PolyLoc PL -525 Effluent Filte ""' p (Tables 384.30-3&384.305)
Sanita - Sewer. ASTM F789
Proposed
3 Bedroom
Home
w
0
w
Driveway % BM - Nail in Red Pine - Elevation 100'
A SBI - Elevation 97.95'
SB2 - Elevation 98.05'
SB3 - Elevation 98.1'
— Property_Line
— Elevation Contours
205'
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 -Section & Plan
Management Plan
POWTS Application for Review
Soil Evaluation Report & Site Map
AUG 282026
Bayfield Co.
Planning and Zoning Agency
Project Name / Description
Trautt - 3 Bed
Owner Name(s): Logan Trautt
Owner Address: 10775 Scenic Dr. Iron River, WI
Phone: 218 391 -2480
Zip: 54847
Project Address: 8765 North Shore Dr. Iron River, WI
Govt. Lot: 2 1/4 of 1/4, Section 08 , T47 N -R08 E❑or w ❑✓
Township: Iron River County: Bayfield
Project Parcel ID #: 38423
Designer Information
Designer Name: Jason Kuettel
Designer Address: PO Box 66 Cable, WI
E-mail: tim@andryras.com
License Number: 675751
Remarks:
Phone: 715 -798 -3355
Zip: 54821
This ;i,„rr r'scrVd toy a[)i1WVdi SLimp.
Signature:=\G� Date: S z4
Original si at re required on each submitted copy.
Soil Evaluation Site Map - System Plot Plan
In -Ground Soil Absorption fury POWTS Component Manual V_2.1
Site Owner: Logan W. Trautt
Site Address: 8765 North Shore Drive, Iron River, WI 54847
Legal Description: LOT 4 CSM 2153 IN V12 P333 (LOCATED IN GOVT LOT 2) IN DOC 2024R-606027
TaxID:38423
RECE:IVLo
AUG 282026
205'
o wells on property
o neighboring wells < 50' from property lines
/CO %rr/ o,tc]vC0
E r (L O
L
rq
O
O
z
Planning Co.
n9 no Zoning Agency
0 40 801t A Z cL 6 r
N G7 rcKr/
e bAF3.e.1S
y/
eso PbsocP}`p° ce - d
p�6
//fl
O Pipe Malarial IASTM Stantlarc
(Tables 384.30-3 & 384.30.5)
Sande Sewer: ASTM F789
Proposed
3 Bedroom
Home I W
O
W
Driveway % BM - Nail in Red Pine - Elevation 100'
SB1 - Elevation 97.95'
SB2 - Elevation 98.05'
SB3 - Elevation 98.1'
— Property_Line
— Elevation Contours
205' _
8116/26
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard -W Chambers
3 -ft Trench (down -sizing credit)
min. 12"
SOIL COVER (tyolcal)
12"
min. trench
depth
(typical) TYPICAL TRENCH
CROSS SECTION VIEW
(typical) (No Scale)
System Elevation = 95.0 ft
(typical)
Quick4 Standard -W
w/ End Cap pical) (tY(Show location of inlet / outlet pipe connection on plan view.)
Septic Tank(s) Manufacturer:
Superior Precast
Septic Tank(s) Volume(s):
1000 gal gal gal gal
Effluent Filter Manufacturer:
Orenco
Effluent Filter Model #: FT -0822
-----------/--------�f----
------t
_----
H B= 66 ft
(typical)
16 Quick4 Std -W @ 20 If EISA/chamber = 320 ft2
+ 1 Pairs of end caps @ 6 ft' EISA/pair = 6 ft'
= Proposed EISA per trench = 326 ft2
RECEIVED
AUG 28 2026
Bayfield Co.
Planning and Zoning Agency
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.
Required Infiltration Area = 642 ft'
Distribution Method:
x 2 trenches = Proposed Total EISA = 652 ft2 branched manifold
GD
m
W
O
m
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 =
450
gpd; BOD5 S 220 mgL'; TSS S 150 mgL''; FOG 530 mgL-1
Inspection Checklist INSPECT EVERY 3 YEARS RECEIVED
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.) AUG 2 8 2026
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) liayfreid Co.
o material fatigue (i.e., leaks, breaks, corrosion, etc.) Planning andzoningAgency
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution I 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 (Le., 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.
SEPTIC TAB!
DOSS SECTION .-.UD S?=CI:ICATIOiS
4„ Gcrl'fOPVC INSP. PTE 6 " M_TN. ABOVE C—RAD'Cart)
(When 1nte+ flnc.'11D`c PS bc&rit[I
FINISHED GRADE
18" IN .11
I NLET
APPROVED
PIPE 3'
ONTO SOLID
S0 IL
-APPR aA-F-PtE-
O FILTER
MEG. Ohe&ncc)
model R T092Z-
3" APPRoVa BEDDING (JHDCP, TANK
SPECIFICATIONS
SEPTIC
TANK HANUFACTUREv : SuPt'� (cn— PYZ2c e —
TANK SIZES. SEPTIC 1000 GAL.
NOTES:
APPROVED
MANHOLE
W/Lock¢
W/fR✓inlc L466L
4" HI!.
RECEIVED
AUG 2 8 2026
e
Planningand Zoning Agency
LET
State Bar of Wisconsin Form 3-2003
QUIT CLAIM DEED
Document Number 11 Document Name
THIS DEED, made between Patrick M. Trautt
"Grantor," whether one or more),
and Logan W. Trautt
("Grantee," whether one or more).
Grantor quit claims to Grantee the following described real estate, together with the
rents, profits, fixtures and other appurtenant interests, in BAYFIELD
County, State of Wisconsin ("Property") (if more space is needed, please attach
addendum):
Lot Four (4) of Bayfield County Certified Survey Map No. 2153 as
recorded in Volume 12 of CSM on Pages 333-334 as Document No.
2020R-585946, located in the Town of Iron River, Be f ld County,
Wisconsin. t('•EI I)
FEB 242026
Bayfield Co.
pia❑aia9 a:d;�ntapA9r9'
I Patrick M. Trautt
Recording Area
Name and Return Address
Logan W. Trautt
10775 Scenic Drive
Iron River, WI 54847
04-024-2-47-08.08-4 05.002-24000
Parcel Identification Number (PIN)
This IS NOT homestead property.
(is) (is not)
RECEIVED
AUG 28 2026
Bayfield Co.
Planning and Zoning Agency
(SEAL) (SEAL)
* *
AUTHENTICATION
Signature(s)
authenticated on
NoTARk
TITLE: MEMBI
(If not, _
authorized
''''III'"..
THIS INSTRUMENT DRAFTED BY:
Attorney Max T. Lindsey SBN 1112865
Anich, Wickman & Lindsey, S.C., Ashland, WI 54806
STATE OF WISCONSIN
) ss.
ASHLAND COUNTY )
Personally came before me on 7E I2, ZO2&,
the above -named Patrick M. Trautt
to me known to be the person(s) who executed the foregoing
instrument and acknowledged the same.
Apt5�R P0G-/34
* Abigail E. Elza
Notary Public, State of isconsin
My Commission (is permanent) (expires: 07/04/2026
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SIIOULD BE CLEARLY IDENTIFIED.
QUIT CLAIM DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 3-2003
• Type name below signatures.
Private Sewage System Maintenance
DOCUMENT NUMBER
2026R-61 1168
DANIEL J. HEFFNER
REGIST ER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
02/24/2026 AT 1 1 :03 AM
RECORDING FEE: $30.00
PAGES: 1
As owner, I (we) do nereby canny the pnvate sewage system will oe 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)
114 of 1/4 Section Township _N. Range W.
Additional Legal Description:
Town of Tr iron. A VQ.r (Acreage) 1. 9 I Gov't Lot
Lot_ Block Subdivision
Lot CSM #u Vol. Page' CSM Doc
Return To:
Planning and ZoP(R®OZe' I!ftij
Bayfield Co.
planning and Zcning Agelicy
Area
W In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System:
O Mound ❑ At -grade Sewage System ❑ Other 'C_1
Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator witRE eC^CrA nVED 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. Al 2 0 2O2c
Pump Chamber (system types B, C. D, and E): The pump chamber shall also be rinsed and pumped out when the septic lank is serviced as provided
above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Bayfield Co
Planning and Zoning Agency
Septic Tank Effluent Filler (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 Sewaoe 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 pending 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
maybe placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shalt be collected as provided by law.
yp,tllt/1lrgh
The terms and conditions of the agreement shall be MlrlO oh.anrt,A4re to the benefit of all current and future owners of such property.
S
Owner(s) Name(s) — Please Print
f3"- ' j A ° .
9�
6yrbscribed and swom to before me on this date:
JGy(� ?f Gytn I �
is . 7(C
= of /%�'/OC(/ �lU
Notarized Owner(s) — Signature(s)
I /
: 1 -. BL '
��� 9r
lfbtary Public
�
if.W-,t�/! I
Ln
�siGAL
����i�Frs,. wtlSG`yy�`
My Commission Expires:
�
Drafted by: Date: e' i ^ 1 -1 - a 6 tA'`l e 12r CC'.
Proofed by:
u/formslsenitarylseplicmaintenceagreement
Revised July 2020
B -'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: Submission Number:
TRAUTT, LOGAN W SS -00708R
10775 SCENIC DR
IRON RIVER, WI 54847 Transaction Number:
SS-00708R-4D03F
Description Amount
Sanitary Revisions $25.00
Total: $25.00
Payment Amount: $25.00
Reference: Cash
Paid by:
Payment Type: Cash
Transaction Date: 8/28/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-14SR
STATE SANITARY PERMIT
OWNER: LOGAN W TRAUTT
G OV'T LOT: 2 LOT: 4 B LK:
1/4 1/4 SEC: 8, T 47 N, R 8
TOWNSHIP: Iron River
SOIL TEST: 13-26
NEW SYSTEM
SYSTEM TYPE: Non -Pressurized In -Ground
PLUMBER: JASON KUETTEL
EMILY MACGILLIVRAY LLIVRAY DATE: 9/3/2026
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 #: 26-14S
LICENSE: # MP 675751
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 9/3/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION