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HomeMy WebLinkAbout26-128S- Safety and Buildings Division 84 S S OO`b� 201 W Madison, I 53707-7162 7162 Sanitary Permit Application T°' on Number In accordance with BPS 383.2 1(2), Wit. Adm. Code, eabmiadon of this farm to the eppta{eieto governmemal unit is the De,anmemlred anwod prior obtaining a eendmy permit. Note: Apply tknfams for wte owned POWTS to submitted to Project Addma (ifdi F.tvat an me moteecoaaden withthe Privacy I Saftty and and Serviea. an you provide may be used for secondary / 1805 V✓. -Povz k ' -1A f atr. state -LAF I Govt. Lat PhomNumber -may �j ys section dmle IL of Building (check aD that apply) Lot # T , R B a� IKI or 2 Family Dwelling — Number of' Bedrooms g Subdivision Name ❑ Pub&t0mmemid — Block # Describe Uae ❑ City of ❑ State Owned — Describe Use CSM Number viusge of M Town of S M IlL Typc ofPermit: (Check only one box on line A. Complete line B If applicable) A. Now System ❑ Replaeement System ❑ Tr beemmo tding Tonic RepLoulo..y ❑ t)mer Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Pemrit Revision ❑ gnmge ofplumber ❑ pertL� Previous Permit Number and Date Issued Before Expbatlon Owner Llf Non--Pmssuriaed In -Ground ❑ Pteestn°,ed In -ground ❑ At -Grade ❑ Mound≥ 24 in. of suitable soil ❑ Masud <24 it of suitable soil 0 Holding Tank 0 Other Dispersal sal Compmem (explain) ❑ Prretlmrad Device (explain) V. NanartalfrnahnmM a..a ea"_ Gallons I Units Approved I ❑ Disapproved il1ib 237/2 AUG 312026 Bryeeld Co. Planning and Lamina An. S R- ooS°ti • �pARTdi(..fr Wisconsin Department of Safety & Professional Services Page 1 of 5 Division of IndustryServices SOIL EVALUATION REPOF6O1L TEST #/3/-cL(, In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 Inches in size. Plan must include, Byflld 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. 12839 Please print all Information. R e Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). /9?J Property Owner ENTERED Property Location ❑ O Erin Hynes ) Govt. Lot NW % NW %s 18 T 46 N R 7W E (or) W Property Owner's Mailing Address 91j1 Site Address or CSM and Lot #: 13240 Scenic Drive 61805 W Fork Road City, State, Zip I Phone Number ❑ City ❑ Village ® Town Nearest Road Iron River, WI 54847 I ( ) Delta 1W Fork Road g New Construction Use: M Residential/Numberof bedrooms Code derived designflow rate GPD ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material ( l irialai it i istrinP General comments and recommendations: BM 100' base of Trees Boring # ❑ P tnng Ground surface eiev. 98'5 ft. Depth to limiting factor 120 in. / elev. 88.5 ft. Anil Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-10 Fill 2 10-17 10YR2/2 LS OSG ML C .7 1.6 3 17-26 5YR3/4 S OSG ML C 1.6 4 26-120 7 YRI4 S OSG ML .7 1.6 Boring # ❑Boring 99.25 120 89.2 ®Pit Ground surface eiev, ft. Depth to limiting factor in. / eiev.. Rnil Annii;atinn Rata Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 0-22 FILL 2 22-30 LS SG ML C .7 1.6 3 30-120 7.5YR3/4 S OSG ML .7 1.6 •lP T.ry.v W CST Name (Please Print) I Signature I CST NumberPlanning cirwi lAB A98 Calvin Rowley I Ci)" I SP -072400025 Address I Date Evaluation Conducted I Telephone Number 69710 Island Blvd, Iron River, WI 54847 18-3-26 1715-979-1042 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L SBD-8330 (R03122) � ❑ Boring .! 3 I Boring # Page 2 of 5 Ground surface elev. 99.5 ft. Depth to limiting factor 120 in. / elev. 89.5 ft. Soil ADDlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 1 STRIPP D 2 0-120 7.5YR3/4 S OSG ML .7 1.6 I Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Annlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Sniff Annlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 • Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2= BOD, s 30 mglL and TSS 5 30 mg/L RECEIVED AUG 3.12026 • Bayfield Co. Planning and Zoning Agency CL Co -c W Cl) (D U E 0 N 0 N :CENED 312026 3ayfieid Co. 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 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Tank information Filter Information Project Name / Description Owner Name(s): Erin Hynes Phone: - Owner Address: 13240 Scenic Drive, Iron River, WI Zip: 54847 Project Address: 61805 W Fork Road Govt. Lot: NW 1/4 of NW 1/4, Section 18 , T46 N -R7 EQor W ❑✓ Township: Delta County: Bayfield Project Parcel ID #: 12839 Designer. Information Designer Name: T r3 . „• Phone: 1LS - Z9? - Designer Address: Sts 5a, by n 4.a Zip: ,54?0L E-mail: +ou-�r'��/our�I•wA � ia� 6yvJIii spar reservcIforappioaldamp. License Number: (rL43o3 Remarks: RECEIVED AUG 312026 Bayfield Co. Planning and Zon;ng Agency Signature: Date: ?/So/z[o O1NS signature required on each submitted copy. O O � N � _ N � y 71 . Y T• a/ �.� %_ Pt N O 4,.i y. p y ' < C "`^ Bayfield Co, Planning and Zoning Agency IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) SOIL COVER min. 12" (typical) Septic Tank(s) Manufacturer Superior Precast Septic Tank(s) Volume(s): 1250 gal gal gal gal Effluent Filter Manufacturer: Polvlok Effluent Filter Model #: PL -122 min. trench depth. (typical) TYPICAL TRENCH 3b - CROSS SECTION VIEW I (typical) .. (No Scale) System Elevation = 95 ft (typical) Quick4 Standard -W w/ End Cap (typical) (Show location of inlet / outlet pipe connection on plan view.) _!_►—�sxIfxer�e-------��-------77"---- — _ idi,�a IH(ILal��t�i1 t�,ta L_ t-Ynns- -------------- g = 90 ft (typical) INSTALL PER TRENCH: 22 Quick4 Std -W @ 20 ft' EISA/chamber = 440 ft2 + 1 Pairs of end caps @ 6 ft' EISA/pair = 6 ft' = Proposed EISA per trench = 446 ft2 inIi[fit Q N O c r Provide minimum 3 ft 111 0) . separation between trenches. = 0 - Observation Pipe (typical) Install per manufacturers / instructions. A=3.0ft 1 (typical) TYPICAL TRENCH PLAN VIEW (No Scale) `Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions, Required Infiltration Area = 857 ft2 x 2 trenches = Proposed Total EISA = 892 ft2 Distribution Method: branched manifold D n m CA) O ii :..ESET _,` 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 = 600 gpd; BOD5 5 220 mgL''; TSS S 150 mgC; FOG 530 mgL"1 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: ewfl i�1.....)b., i G Phone:-11S-(t'Oti{ Local government unit: Bayfield County Zoning apartment Phone: 715-373-6138 Local government unit address: Washburn, WI ZIP: 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 RECEIVL+p If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. A hi 4 &2Q26 Planni aaVAeW Co. n9 ono ZunjnQ Agec , SUPERIOR I LP1250 1 -Compartment Tank I SUPERIOR PRECAST CONCRETE PRECAST CONCRETE TOP VIEW SS'eli-ht (in Ibs) Tani: 8,816 Lid: 6,109 Total: 14,9233 Volume of Concrete Total : 3.7 Id' Gallons Per Inch: $2.7 Mastic lid wall Enlarged Detail cordllbnally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES 9-r SEE CORRESPONDENCE 4' 3 7" 115" I. 109" SIDE VIEW 1 28" 9" Air Space 30" Liquid Depth 3" ------�. (.--------------------- Manhole Openings 2-1.2" Taper Polyethylene i Baffle Mastic Rope Gasket (Poured in Place) 96" 102" 4" Outlet 5I 35r' Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, W1 54843 RECEIVED AUG 312026 8ld Co. SUPERIOR PlanningandZoning Age PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by the purchasers licensed professional engineerfor suitability of use. Configuration may change from drawing, consult with SPC. I Product The No: I This is proptletarylnlomiallon, and remains the property of Superior Precast Concrete, llC. I RR nsn n -,a' l 20.35 [51.7 cm] 20.35 [51.7 cm] 19.60 [49.8 cm] 13.24 [33.6 cm] 122 LINEAR FEET(37.18 METERS) 6.00 [15.2 cm] OF 1116'(.158CM) SLOTS TYP. 1fluuilUll FRONT VIEW 12 INDENTS FOR ULTRASONIC WELDING 4.90 [12.4 cm] - WATER LINE W o > N o OPTIONAL FLOAT SWITCH PART NO. 3014B oo�00000000000��00000000000oo��oai��oU�oOo�oo�0��0���00000�000000flffl �0ff000fflfflfflWllfl SIDE VIEW PL -122 FILTER CARTRIDGE PART NO. - 30141 MATERIAL - POLYPROPYLENE COLOR - BLUE 2" X 3 3/8" HANDLE (5.08CM x 8.57CM) O ' 4.18 [10.6 cm] HOLE TO ACCEPT 112" SCHD. 40 PIPE FOR HANDLE. R 1.09 2 RIBS TO KEEP BALL IN POSITION TOTAL FILTER AREA - 2.52 SQ. FT. (2341 SQ CM) LINEAR FT. OF 1/16" SLOT -122 FT LINEAR METERS OF .158 CM SLOTS - 37.18 METERS 4.23 [10.7 cm] 4.00 [10.2 cm] TOP VIEW 3.32 [8.4 cm] TYP. BOTTOM VIEW 2.97 [7.6 cm] 25° TYP. .25 TYP. [.6 an] .--I HOLDING TANK SERVICING CONTRACT Contract Date This contract is made between the Holding Tank Owner(s) Name(s) L Y-i n \�� eS Pumper's Name (Print) Pumper's Signature Pumpers' Registration # We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT Legal Description: Tax ID# LOCATION (Use Tax Statement) 1/4, 1/4, Town of: Lot Size Acreage Section ,Township N, Range W Gov't Lot Lot U CSM 4 Vol. Page GSM Doc I Lot(s) No. Block(s) No. Subdivision: 1. The owner agrees to file a copy of this contract with Bayfield 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 required by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding.tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. RECEIVED AUG 317026 Bayfield co. Planning and Zoning Agency 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the local government unit and the County named above within (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) E' 'H Owner's Signature(s) Vv 1 I n Subscribed and Sworn to me: onthi da KAMNoLNNE ������'G'G'Glll��� Notata ry Publl ER ota PublicSthtC of WiscorIn My commission expires on: ak Revised: May 2016 (®May 2018) Drafted by Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)] Document Number/Plan I.D. No. HOLDING TANK AGREEMENT Owner Name (s) Owner(s) Maill Address \-J�-i�',2/ttC Lf X. kri lcvCS tvt)7- llLe��11 Parcel Identifier Num er (PINAereement Date (same as Notary Date) We acknowledge that application Is being made for the installation of (a) holding tank(! on the following property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of 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 Scats. N W 1/4 of N W 1/4 Section Township �\pN. Range 1 W. Town oft Additional Legal Description: Gov't Lot Lot_ Block_ Subdivision CSM#_ Lot (_CSM IMMVol rPag¢i'SM DocrrOwlR'�{L DOCUMENT NUMBER 2026R-61 3563 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 08/31/2026 AT 2:40 PM RECORDING FEE: $30.00 PAGES:1 Return To: SEP 012026 As an inducement to Bayfield County to issue a sanitary permit for a holding tank on t�1$gyendt3Bt,WB�d prdperty, 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, Scats., Bayfield County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Scats. 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 from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Scats., 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 from 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. Scats., 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 to the property where the holding tank is installed. Owner(s) Name(s) — Please Print Subscribed and sworn to before me on this date: Notarized Owner(s) — Signature(s) NotaiG Publ KAMERAE ZINNECKER %� Co sion xpires: State of Wisconsin Drafted byfCOYr1v.1 ✓(Ovav Date: 3 \ - U Personal information you provt4jhnay be used for secondary purposes IPdvacy Law. s.1S.04 (p(m)] uttomisJsanitarytholdinglankagreement.doc ®Juno 2018 Real Estate Bayfield County Property Listing Today's Date: 8/26/2026 Property Status: Current Created On: 3/15/2006 1:15:16 PM Description Updated: 4/7/2026 Tax ID: 12839 PIN: 04-016-2-46-07-18-2 02-000-30000 Legacy PIN: 016103506004 Map ID: Municipality: (016) TOWN OF DELTA STR: S18 T46N R07W Description: LOT 4 CSM #1312 V.8 P.82 (LOCATED IN NWNW;W 1/2 NE NW; SW NW&SE NW) IN V.1031 P.865 IM 2004R-493541 IN DOC 2026R-611587 Recorded Acres: 2.600 Calculated Acres: 3.001 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 110 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 016 TOWN OF DELTA 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents Updated: 2/3/2010 ® WARRANTY DEED Date Recorded: 3/30/2026 2026R-611587 ® QUIT CLAIM DEED Date Recorded: 12/14/2009 2009R-530443 1031-865 M Ownership Updated: 4/7/2026 ERIN HYNES IRON RIVER WI Billing Address: Mailing Address: ERIN HYNES ERIN HYNES 13240 SCENIC DR 13240 SCENIC DR IRON RIVER WI 54847 IRON RIVER WI 54847 1p Site Address * indicates Private Road 61805 W FORK RD IRON RIVER 54847 8 Property Assessment Updated: 8/29/2011 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.600 44,100 0 2 -Year Comparison 2025 2026 Change Land: 44,100 44,100 0.0% Improved: 0 0 0.0% Total: 44,100 44,100 0.0% O Property History N/A R!C fVeo AUG 3.12026 Piannin Bayfield Co. 9 and Zoning Agency 1,4,A,Y FT E D 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: HYNES, ERIN 13240 SCENIC DR IRON RIVER, WI 54847 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00504 Transaction Number: SR-00504-4DDB7 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10416 Paid by: Brown Plumbing & Heating, 315 Sanborn Ave, Ste A, Ashland WI 54806 Payment Type: Check Transaction Date: 9/11/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 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: HYNES, ERIN 13240 SCENIC DR IRON RIVER, WI 54847 Description Private Sewage System (Septic Tanks) Submission Number: SS -00831 Transaction Number: SS-00831-4D25E Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 10416 Paid by: Brown Plumbing & Heating, 315 Sanborn Ave, Ste A, Ashland WI 54806 Payment Type: Check Transaction Date: 9/11/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-128S STATE SANITARY PERMIT OWNER: ERIN HYNES G OV'T LOT: LOT: B LK: NW 1/4 NW 1/4 SEC: 18, T 46 N, R 7 W TOWNSHIP: Delta SOIL TEST: 131-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: TONY BROWN TRACY POOLER DATE: 9/11/2026 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: # 664303 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 9/11/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION