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HomeMy WebLinkAbout26-144Sa,,pxrM,Nr Department of Safety County S & Professional Services, Bafield Sanitary Permit Number (to be filled in by Co.) ! -S - Industry Services Division !Mme 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 mailing address) the Department of Safety and Professional Services, Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stars. 3585 Copper Hill Rd., Iron River I. Application Information — Please Print All Information Property Owner's Name Parcel # MICHAEL R QUAM SR ET AL SEP 282026 26693 Property Owner's Mailing Address Baylield Co. Property Location 4414 E 2nd St. Planning and Zoning Agency Govt. Lot City, State I Zip Code Phone Number Superior, WI 54880 SW , SE ¼, Section 9 T 48 Z N R 9 EE or W H. Type of Building (check all that apply) Lot # ® 1 or 2 Family Dwelling —Number of Bedrooms 3 Subdivision Name D Public/Commercial — Describe Use Block# 1ENTERED 01 O City of D Village of D State Owned — Describe Use CSM Number DTownof Oulu III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one box on line B. Complete line C if a licable. A 0 New System y 0 Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. ❑ Holding Tank 0 In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design I ❑ Other Type (explain) (conventional)I C. 0 Renewal Before ❑ Revision 0 Change of PlumberList g 0 Transfer to New Owner Previous Permit Number and Date Issued Expiration IV. DispersallTreatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) I Dispersal Area Required (sf) j Dispersal Area Proposed (st) I System Elevation 450 0.7 643 1652 98' Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units ''• o New tanks I Existing Tanks d9 os, fl a U b., Septic or Holding Tank ❑� ❑ 1000 1 Wieser Z ❑ 11❑ Dosing Chamber ❑ ❑ ❑ ❑ ❑ O ❑ V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Edward B. Redinger Plumber's Signature MP/MPRS Number I Business Phone Number vi_4'$ 221939 715-292-6670 Plumber's Address (Street, City, State, Zip Code) 1015 11th Ave. E. Ashland, WI 54806 VI. ounly/Department Use Only Approved O Disapproved Permit Fee Datee IIssued2'l Issuing Agent Signature p/ 100q ❑ Owner Given Reason for Denial �-- I �/D Qr'ntij a C t ✓ 01,0�(d We Conditions of Approval/Reasons for Disapproval .0 .u,.,p,ew pans mr me sysam ana suama to me county only an paper not less than 8 In x l l Inches in size SBD-6398 (R. 03/22) S R- ooSO% ARTrutt T SOIL TEST # )%1()f -Wisconsin Department of Safety and Professional Services Page of {l ' Division of Industry Services SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Bayfield Attach complete site plan on paper not less than 81/2 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. 26693-ffot�.c Please print all Information. Re iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). L. 1/610Y.10 _ Property Owner Property Location ❑ 0 MICHAEL R QUAM SR ET AL Govt. Lot SW / SE ¼ S 9 T 48 N R 9 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 4414 E 2nd St. 3585 Copper Hill Rd., Iron River, WI City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road Superior WI 154800 1(910)d 1Oulu Copper Hill Rd Q New Construction Use: 0 Residential/Numberof bedrooms 3 Code derived designflow rate 450 GPD ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material_ OutwaSh Sands General comments and recommendations: Conventional system with infiltrators @ 36" below grade. 0.7 loading. Boring # OBoring 96.32 80 89.65 [!]Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. 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 0-8 5yr 5/2 - s 0 ml cw 3co .7 1.6 2 8-36 5yr 4/4 - s 0 ml gw 3m .7 .6 3 36-80 5yr5/4 - s 0 ECEIVE - 1vf .7 1.6 EP 282W6 Plan Ing and zoning P ency aBoring # ❑Boring 95.92 84 88.92 (]Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. 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 0-8 5yr 5/2 - s 0 ml cw 3co .7 1.6 2 8-39 5yr 4/4 - s 0 ml gw 2m .7 1.6 3 39-84 5yr 5/4 - s 0 ml - - .7 1.6 CST Name (Please Print) I CST Number Edward B. Redinger 221939 Address 101511th Ave. E. Ashland, WI 54806 Date Evaluation I Telephone Number 715-292-6670 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2 = BOO, ≤ 30 mg/L and TSS s 30 mg/L SBD-8330 (R04/21) ❑ Boring Boring # ❑� Pit Page 2 of 3 90.82 Ground surface elev. 98.32 ft. Depth to limiting factor 90 in. / elev. ft. I Snil Annlication 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 0-4 5yr 5/2 - s 0 ml cw 3co .7 1.6 2 4-36 5yr 4/4 - s 0 ml gw 3m .7 1.6 3 36-90 5yr 5/4 - s 0 ml - - .7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Snil Annlication 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Soil Anolication 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 CP 23 2026 Ba Co. * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2= BOD, s 30 mg/L and TSS 5 30 mglL Page 3 of 3 NORTH PROPERTY LINE �` B.M. = 100ELEV. NAIL IN 16' ASPEN TREE I' ABOVE G.E. G.E. AT ADDITION = 99.92' 20D i/- TO EAST PROPERTY LINE RECEIVED SEP 282026 eayeeia Co. Planning and Zoning Agency 140' i/- TO SOUTH APPROXIMATE WELL LOCATION CONTACT INFORMATION PARCEL #:26693 OPlot Plan PHONE:920-840-1750 5.3 ACRES 1- = 60'-0" TOWN OF OULU SW1 /4 SE1 /4 59 T48N R9W MICHAEL R QUAM SR ET AL Plot Plan SUPERIOR PLUMBING MECFPMGL 3585 COPPER HILL RD Date 9/28/2026 C 1 00 (715) 292.6670 IRON RIVER, WI Drawn by JCR Checked by ED REDINGER, CST #:221939 Scale 1 = 60'-0" 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 & PwgiY ICED Pg 4 of 4 Management Plan SEP 2 8 20?R Attachments: Enclosures: eayfiea Co. Planning and Zoning Agency POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description 3 BEDROOM HOME/0.7 LOADING Owner Name(s): Michael R Quam Sr Et Al Owner Address: 4414 E 2nd St, Superior, WI Phone: 920 840 j750 Zip: 54800 Project Address: 3585 Copper Hill Rd, Iron River, WI Govt. Lot: SW 1/4 of SE 1/4, Section 9 , T48 N -R 9 E ❑ or W ❑✓ Township: Oulu Project Parcel ID #: 26693 County: Bayfield Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11th Ave. E, Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone: 715- 292 6670 Zip: 54806 This space reserved for approval stamp. Signature: Date: 9/28/2026 Original signature required on ea submitted copy. Page 2 of 4 NORTH PROPERTY LINE DB DRAIN FIELD LOCATION 2 TRENCHES W/INFILTRATORS STEPPED ON SLOPE / 36BELOW GRADE MIN 3' SPACING 5 O B.M. = 100' ELEV. NAIL IN 16" ASPEN TREE 4" PVC GRAVITY FEEDING INFILTRATORS 1' ABOVE G.E. D -BOX 4" PCV GRAVITY FEEDING D -BOX NK R-3 1000 GAL WIESER SEPTIC TANK \ J G.E. AT ADDITION = 99.92' 2 -WAY C.O. PROPOSED RECEIVED ADDITION 3 BEDROOM HOME® 0.7 LOADING SEP 28 2026 QUICK 4 INFILTRATORS yOd OFF 2 TRENCHES 2 64' yO.yF BaY�ieId CA REQUIRED INFILTRATION AREA • 643 SF planning and Zoning Agency PROPOSED INFILTRATION AREA • 652 SF 200'+/- TO EAST PROPERTY LINE 140 +/- TO SOUTH PROPERTY LINE APPROXIMATE WELL LOCATION CONTACT INFORMATION PARCEL #:26693 QPlot Plan PHONE:920-840.1750 5.3 ACRES = 609-0" TOWN OF OULU SW1 /4 SE1 /4 S9 T48N R9W SUPERIOR PLUMBING MECFUNICAL (715)292.6670 MICHAEL R QUAM SR ET AL 3585 COPPER HILL RD IRON RIVER, WI Plot Plan Date 9121 Drawn by Checked by ED REDINGER, CST JCR C100 1" = 60'-0" IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard -W Chambers 3 -ft Trench (down -sizing credit) min. 12" SOIL COVER (typi�) TYPICAL TRENCH lli112* CROSS SECTION VIEW min. trench depth (No Scale) (typical) ta (typical) . e . e. •• Provide minimum 3 ft Highest Trench Lowest Trench (as applicable) separation between trenches. System Elevations = 98 ft. 97 ft; ft; ft; Quick4 Standard -W w/ End Cap (Show location of inlet / outlet pipe connection on plan view.) (typical) r-------------------��---- L-------------------��--- g= 64 ft (typical) INSTALL PER TRENCH: 16 Quick4 Std -W @ 20 ff EISA/chamber= 320 ft' + 1 Pairs of end caps @6 ft' EISA/pair = 6 ft' RECEIVED SEP 282026 Planning aarid Zoning Agcy IL Observation Pipe (typical) Install per manufacturers / instructions. TYPICAL TRENCH PLAN VIEW (No Scale) IA = 3.0 ft (typical) "—Quick4 Standard -W Chamber (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. = Proposed EISA per trench = 326 ft' Required Infiltration Area = 643 ft' x 2 trenches = Proposed Total EISA = 652 ft' Distribution Method: distribution box C) m W O 1l W 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 ≤ 30 mgL-' Inspection Checklist INSPECT EVERY 3 YEARS RECEIVED o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) SEP 28 2026 o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) sarfiea o material fatigue (i.e., leaks, breaks, corrosion, etc.) Planning andzonin envy o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution % A op boxes) o neglect or improper use (he., 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: Superior Plumbing & McCh. Inc. Phone: Local government unit: Bayfield Co Zoning Phone: Local government unit address: 117 5th St. E. Washburn, WI 175-292-6670 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384, Wisc. Admin. Code. Contingency Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 41ua6y 03 �g 844wey .ZOZ 9 Z d3S 03AGoa3j A A 6.5" (16.51 cm) SEALED BALL -- MATERIAL - HDPE 4" (10.16 cm) BALL TRAVEL — 5.78 14.7 cm POLYLOK PL- 525 - 625 CUTAWAY 33.02 :83.9 cm 20.71 ::52.6 cm HOUSING FILTER CARTRIDGE MATERIAL -POLYPROPYLENE MATERIAL - FILLED POLYPROPYLENE BALL PUSH ROD SECTION A -A FACTORY INSTALLED MATERIAL - FILLED POLYPROPYLENE 4" AND 6" FACTORY - OPTIONAL BUSHING INTALLED PIPE OUTLET (FOR 4" THIN WALL PIPE) MATERIAL - PVC PART NO. 30142-R OR OPTIONAL FLOAT SWITCH - (FOR 110 MM. PIPE) PART NO. 30142-EUR The newly enhanced PS Patrol® system features all the same functions you have come to expect, plus so much more over other traditional pedestal -style alarms. The PS Patrol® features a built-in high water alarm and provides a convenient location to connect all wiring required for a pumping station application. It employs a receptacle for easy connection of a 120V pump and piggy -back pump switch. The sleek, angled design of the clear enclosure includes a removable cover for easy access for field wiring and viewing components. All internal components are sealed within the cover for protection from the elements. The red LEDs illuminate the top of the cover in an alarm condition for easy 360° visual identification. Available with or without 32" mounting post. FEATURES • Enclosure meets Type 3R water -tight standards • Innovative design allows alarm to accept a 5" squaECEIVED plastic post or 4" pipe/conduit for mounting • Automatic alarm reset and green power on indicatot�EP 28 2026 • Flush mount horn silence/alarm test switch Barfield Co. Planning and Zoning Agency • Auxiliary alarm contacts included for easy attachment of remote devices • Includes cord seal for sealing switch and pump cables • Electrical potting cavity to provide easy, reliable method to seal power cables (electrical duct seal not included) • Options include various switch cord lengths, riser assembly adapter, dual alarm, and elapsed time meter PART # DESCRIPTION _ 1022728 PSP2 120V, no pump switch, with post 1019021 PSP2 120V, no pump switch, 20A breaker, with post 1022575 PSP2 120V, ETM, with post 1022577 PSP2 120V, DUO alarm, ETM, with post 1037095 PSP2 120V, Wisconsin, assembly kit (2.5 inch) 1067640 PSP2 120V, Wisconsin, assembly kit (2.0 inch) 1018434 PSP2 120V, TAAB indoor alarm, with post 1011551 Assembly Kit (riser extension coupling and washers) C SJE RHOMBUS.. U.S Patent No. 9472,932 SA„ and D780,703 R Pz Removable Cover Incoming Alarm Power Incoming Pump Power Pump Plug Pump Float Plug PSP Cord Receptacle Optional Assembly Kit i a TOP VIEW WLP1000-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 2 1/2" BOTTOM: SEPTIC 3" HOLDING 5" (ADD 1,300 LB.) COVER: 4" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: DOME COVER 61" O.D. FLAT COVER 53 1/4" O.D. 4" CAST -A -SEAL LENGTH: 104" O.D. WIDTH: 86" O.D. BELOW INLET: 42" O.D. LIQUID LEVEL• 36" WEIGHT: 6,790 LBS. INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL RECEIVED INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) SEP 282076 LIQUID CAPACITY: 27.83 GAL/IN Bayfield Co. HOLDING TANK: Planning and Zoning Agency OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8' 0" UNSATURATED SOIL MN TANKS: WILL HAVE ONE VENT OVER OUTLET OPTIONAL FLAT COVER AND WILL HAVE TWO VENTS IN COVER OVER IS AVAILABLE FOR EXCHANGE FOR DOME COVER. TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) OUTLET TANK: MIX DESIGN #10 (STRUCTURAL FIBER) N N U 2 M J iYII M SIDE VIEW L PUMP PAD TANK$ ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE JOB INFORMATION: CUSTOMER: 108 NAME: DATE NEEDED: APPROVED BY: DATE: 1OF 1 Private Sewage System Maintenance Agreement As owner, I (we) do hereby certify the private sewage system will be 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) ,a 114 of r-1/4 Section _Township YQN. Range ( W Additional Legal Description: 5'iy0 t A 7-' %v S28' Town of fl4t /1 A--_ (Acreage) S, _ Gov't Lot Lot Block__ Subdivision Lot __ CSM # __ Vol. — Page _ CSM Doc # DOCUMENT NUMBER 2026R-614038 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 10/05/2026 AT 1:06 PM RECORDING FEE: $30.00 PAGES: 1 Return To: Planning and Zoning Area ® In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ 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 G&VLP& date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorize to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. OCT 062026 2026 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. Bayfield Co. Planning and Zoning Agency Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, 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 -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided 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 on this date: (O -a -)g} (o ef, Sim IMICHAEL K. SCHNEEBE Notarized Owner(s) — Signature(s) Notary Public INOTARY PUBLIC ` S TATE OF WISCON My Commission Expires: S - a2 co — 0 Drafted by._.s6o- Date: /O- Oa -p_ RGER Proofed by: ulformslsanitarylsepticmaintenceagreement Revised July 2020 A FIELD Bayfield County A Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: QUAM,MICHAEL RJR 3700 RIDGEVIEW LN KAUKAUNA, WI 54130 GOEKE,NICOLE 68455 N GEORGE ST IRON RIVER, WI 54847 QUAM ,MICHAEL RSR 4414 E 2ND ST SUPERIOR, WI 54880 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00521 Transaction Number: SR-00521-56BAF Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10950 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806' Payment Type: Check Transaction Date: 10/8/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B-AYFIELD Property Owner: QUAM,MICHAEL RJR 3700 RIDGEVIEW LN KAUKAUNA, WI 54130 GOEKE,NICOLE 68455 N GEORGE ST IRON RIVER, WI 54847 QUAM ,MICHAEL RSR 4414 E 2ND ST SUPERIOR, WI 54880 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Description Private Sewage System (Septic Tanks) Submission Number: SS -00853 Transaction Number: SS -00853-57617 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 10950 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806 Payment Type: Check Transaction Date: 10/8/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-144S STATE SANITARY PERMIT OWNER: MICHAEL R QUAM SR G OV'T LOT: LOT: B LK: SW 1/4 SE 1/4 SEC: 9, T 48 N, R 9 W TOWNSHIP: Oulu SOIL TEST: 146-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: EDWARD REDINGER EMILY MACGILLIVRAY LLIVRAY DATE: 10/8/2026 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: # 221939 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 10/8/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION