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