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Home My WebLink About26-148S0\MPr4{Pl J - Department of Safety County Bayfield x ; & Professional Services, Sanitary Permit Number (to be filled in by Co.) * - / `j B S b �� SS.nb 8 s / (O Industry Services Division 3�rNMt 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 purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. ' ••. VED - applied for,Carlson Rd, Ashland 30 '1 a L Application Information — Please Print All Information Property Owner's Name . rED OCT 0 5 2026 Parcel # Daniel & Sandra Dugger t� 7` 15653 Property Owner's Mailing Address Bayfield co.Property Location 65410 W Lake Ahmeek Rd Planning and Zoning Agency Govt. Lot NW NE 13 City, State I Zip Code Phone Number Iron River, WI 54847 715-681-1182 ,i, y, Section T 47 N R 5 E r W 11. Type of Building (check all that apply) Lot # E I or 2 Family Dwelling — Number of Bedrooms 2 Subdivision Name Block # ❑ Public/Commercial — Describe Use O City of 13State Owned — Describe Use OVillage of CSM Number O Townof Eileen III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on tine A. Check one box on line B. Complete line C if a licable A. New System y ❑ Replacement System p y 0 Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. 0 Holding Tank ❑ In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design I ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision ❑ Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (sf) I Dispersal Area Proposed (sf) I System Elevation 300 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units 4 yg v �' u_ NewTanks Existing Tanks �= G y v a a U rn rn w C7 R. Septic or Holding Tank j ❑ 2000 1 Wieser ❑✓ ❑ ❑ ❑ ❑ 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 Signature I MP/MPRS Number I Business Phone Number Edward B. Redinger �� 221939 715-292-6670 Plumber's Address (Se S City, State, Zip Code) 1015 11th Ave. E. Ashland, WI 54806 VI. County/Department Use Only Approved ❑ Disapproved Permit Fee I Date Issued Issuing A Si rare O Owner Given Reason for Denial tt l� v e U/Z2 /G� E Conditions of Approval/Reasons for Disapproval ei Gc�ded ��d Attach to complete plans for the system and submit to the County only on paper not less than 8 In x ti inches In size SBD-6398 (R. 03/22) } �dtYART.N�ti. ,,.-• ,,. '�.� Wisconsin Department of Safety and Professional Services Page of kl wY Division of Industry Services SOIL EVALUATION REPORSOVL TEST # 150-�p SOO5z5 P In SPS 385, Wis. Adm. Code County accordance with Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, Bayfield 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. 15653 Please print all information. Date /73 I �;;//v� Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location ❑ ❑✓ Daniel & Sandra Dugger Govt. Lot NW v NE v S 13 T 47 N R 5 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 65410 W Lake Ahmeek Rd 715-681-1182 Carlson Rd, Ashland WI City State I Zip Code I Phone Number ❑ City ❑ Village 0 Town I Nearest Road Iron River I WI 154847 I/ Eileen I Carlson Rd Q New Construction Use: [1 Residential/ Numberof bedrooms 2 Code derived designflow rate 300 GPD ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material Clayey till over loamy sand General comments and recommendations: Holding tank or mound on 98' contour. 0.4 loading rate Boring # ❑Boring ❑■Pit 98.55 9 97.8 Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Cnil D.tGn I 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 0-5 5yr 3/3 - sil 2mabk ml cw 3co .6 .8 2 5-9 5yr 4/3 - sicl 2mabk dl gw 3m .4 .6 3 9-12 5yr 7/2 5yr f1f 7/6 sicl 2mabk mvfi gw 2m .4 .6 4 12-24 5yr 4/6> - sic Om mvfi - 2f 0 0 Boring # ❑Boring 98.55 8 97.88 fj]Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Cnil Annllr,finn I fn I 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 3/3 - sil 2mabk ml cw 3co .6 .8 2 4-8 5yr 4/3 - sicl 2mabk dl gw 2m .4 .6 3 8-24 5yr 4/6 - sic Om mvfi - 2f 0 0 OCT )52026 CST Name (Please Print) I CST Number Planning and Zoning Agency Edward B. Redinger 221939 Telephone Number Address Date Ev u ion C ducted 1015 11th Ave. E. Ashland, WI 54806 1715-292-6670 Effluent #1 = BOO > 30 5 220 mg/L and TSS > 30 S 150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS ≤ 30 mg/L SBD-8330 (R04/21) i 3_J Boring # Page 2 of 3 ❑ Boring 10 94.77 I] Pit Ground surface elev. 95' 6 ft. Depth to limiting factor in. / elev. ft. Anil Annlirmfinn Pnfc 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 0-6 5yr 3/3 - sil 2mabk ml cw 3co .6 .8 2 6-10 5yr 4/3 - sicl 2mabk dl gw 2m .4 .6 3 10-24 5yr 4/6 - sic Om mvfi - 2f 0 0 ❑ Boring # ❑ Boring ❑ 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 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. IQ...l A ....It....ai.... M..4 . 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 V!® z6 Bayfleld Pktrui8 a ing Agency * 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 Page 3 of 3 i L EAST PROPERTY LINE -i WOODED SITE NO WELL ON SITE I PROPOSED HOME e-1 8-10%SLOPE $ I B-3 SLOS p� I B.M. = 1D7 ELEV. I NAIL IN 24- WHITE PINE 1ABOVE GROUND I 8-2 I 307./- TO CARLSON RD Lii RECEIVED Wu r a a OCT 052026 Sayfield Co, Planning and Zoning Agency CONTACT INFORMATION PARCEL #:15653 n Plot Plan PHONE:715-681-1182 40 ACRES 1 1' =40'-0" EMAIL:duggersd53@gmail.com TOWN OF EILEEN NW1/4 NE1/4 513 T47N R5W DANIELBSANDRADUGGER Plot Plan SUPERIOR C 1 00 PLUMBING "" Date 9/24/2026 (715) 292.6670 ASHLAND, CARLSONRD ASHNDWI Drawn by JCR Checked by ED REDINGER, CST#:221939 Scale 1 = 40-0" PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10855-P (N. 03/07; R 01/12) RECEIVED Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan OCT 052026 Bayfieldco. Pg 3 of 4 Holding Tank Specifications Planning and Zoning Agency Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appl Holding Tank Agreement (if applicable) Project Name / Description 2 Bedroom Holding tank Owner Name(s): Daniel & Sandra Dugger Owner Address: 65410 W Lake Ahmeek Rd, Iron River, WI Project Address: (applied for) Carlson Rd, Ashland WI Govt. Lot: NW 1/4 of NE Township: Eileen Project Parcel ID #: 15653 plicable) cable) Phone: 715 _681 1182 Zip: 54847 1/4, Section 13 , T 47 n County: Bayfield Designer Information Designer Name: Edward Redinger Designer Address: 1015 11th Ave. W. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: 5 EEIorW❑✓ Phone: 715 .292 _6670 Zip: 54806 Thu space reserved Ior apprncaI stamp. Signature: ��• C��e�':✓2w/ Date: 10/5/2026 Original signature required on'h submitted copy. WOODED SITE NO WELL ON SITE I- 300'-/- TO CARLSON RD Plot Plan 1" 440'-0" a-10%SLI B-2 Page 2 of 4 EAST PROPERTY LINE --i RECEtVD OCT 0 5 2026 Barfield Co Planning and Zoning Agency GAL WIESER TANK 5L0� I NAIL IN 24" WHITE PINE 1' ABOVE GROUND II N CONTACT INFORMATION PHONE:715-681-1182 EMAiL:duggersd53@gmai1.com PARCEL #: 15653 40 ACRES TOWN OF EILEEN NWI /4 NEI /4 513 T47N R5W DANIEL a SANDRA DUGGER Plot Plan SUPERIOR PLUMBING """""""` CARLSON RD Date 10/05/2026 C100 00 (715) 292-6670 ASHLAND, WI Drawn by JCR Checked by ED REDINGER, CST 0:221939 Scale 1 = 40'-0" PAGE3OF4 HOLDING TANK SPECIFICATIONS (No Scale) 40 Vent Pipe Weatherproof >10 ft from Junction and Alarm Box Approved Building Electrical must comply with Approved Locking Manhole With Warning Label Attached Vent Cap I 12' Min. or 2.0 ft above Established ry Flood 4" Min. or 2.0 ft above SPS 316 and NEC 300 (typical) Conduit I FTT (al) Established Flood Elevation (typical) Airtight Seal Finished Grade 18' Min. (typical) -• . ' '!:' 4. Approved Joints with - Approved Pipe 3 ft onto Solid Ground (typical) Inlet Invert Max. 12" or 90% total volume if more than one tank Alarm -On Compartment 1 Vol = 1250 gal Compartment 2 Vol = 750 gal TOTAL HOLDING TANK VOLUME = 2000 gal 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 lbs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( cu.ft. x 62.4 lbs/cu.ft) - Ibs] x 1.5 = Ibs Plug RECEIVED OCT 0 5 ZRZ6 P Planning anZoning Age�c, PAGE4OF4 Holding Tank Management Plan IMPORTANT: The owner of this holding tank(s) 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 holding tank(s) 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. Estimated Daily Wastewater Flow = 300 Inspection Checklist INSPECT EVERY 3 YEARS F(ECEIVED o type of use o age of system 0CT 0 5 2026 o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) sayrea Co. o material fatigue (i.e., leaks, breaks, corrosion, etc.) Planning and Zoning Agency o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o surface discharge of effluent or sewage back-up into structure served SERVICING FREQUENCY o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Stats. when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s). Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Superior Plumbing & McCh. Inc. Local government unit: Bayfield Co Zoning Local government unit address: 117 5th St. E. Washburn, WI Phone: 715-292-6670 Phone: 715-372-6138 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 component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agecy for review and approval. System Abandonment If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. 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" square RECEIVED plastic post or 4" pipe/conduit for mounting Automatic alarm reset and green power on indicator OCT 052026 Flush mount horn silence/alarm test switch Bayeea 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 PSP2120V, Wisconsin, assembly kit (2.0 inch) 1018434 PSP2 120V, TAAB indoor alarm, with post 1011551 Assembly Kit (riser extension coupling and washers) 4 SJE RHOMBUS.. U.S Patent No. 9472,932 and D780,703 W emovable Cover oming Alarm - Power Incoming Pump Power Pump Plug Pump Float Plug PSP Cord Receptacle Optional Assembly Kit W1250/750 -MR TANK SPECIFICATIONS .GC DIMENSIONS: WALL: 2 1/2" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT. 66" 0.0. LENGTH: 155" O.D. WIDTH: 86' O.D. BELOW INLET: 53" O.D. LIQUID LEVEL: 48" :T -A -SEAL WEIGHT: 14,860 LBS. SEPTIC 0CT 052026 TOP VIEW Bayfield Co. Planning and Zoning Agency QIS r4" VENT a: OUTLET 0.III �� H ii ,� I '—PUMP PAD TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS INLET AND OUTLET: 4" CAST —A —SEAL BOOT OR EQUAL GASKET, CAST —A —SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 27.66 GAL/IN (SEPTIC) 16.12 GAL/IN (PUMP) I (A' 'I ol C ` o I y C W LOADING DESIGN: 8' 0" UNSATURATED SOIL W s� MN TANKS: x WILL HAVE ONE VENT OVER OUTLET ®.7 AND WILL HAVE TWO VENTS IN COVER OVER INLET o I TANK CAN BE USED AS: LO SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON W I? COVER: MIX DESIGN #8 (NO FIBER) TANK: O 03 MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WAESER CONCRETE N 1 G Q 2 JOB INFORMATION: „ F a CUSTOMER: N 5. ]0B NAME; w D: DATE NEEDED: SHEET NO. APPROVED BY: / LPPROVAL DATE: � OF HOLDING TANK SERVICING CONTRACT Contract Date `7/30/ZCQ This contract is made between the Holding Tank Owner(s) Name(s) j.ra. t J c1 We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT Legal Description: TM tD#tD# 4/hI 1/4, �F 1/4, LOCATION (Use Tax Statement) f it / 3 -7 H 5 Town of: I Lot Size I Acreage Section , Township / N, Range w 1 -e /J 'VU 'Ii U Gov't Lot Lot # CSM # Vol. Page CM Doc U 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 tarRa EI1bfEOmping 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. OCT 0 5 2026 3. The pumper agrees to submit to the local government unit which has signeroping agreement required by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing ctuh®r�oldi¢a k*71y(^,),jon 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; NISNOOSIM dO 31111S c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; OI'if3fld AUV10N e. The dates on which the holding tank was serviced; LHVHN138 'W VNll 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. 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. o�j�t9ry�rure Subscribed and Swom to me: �7N�Dt� on thisOdayof ,Jpn ,aiJa�a /Aa')iv ,/Y/. Qom, 1-t. My commission expires on: Revised: May 2016 (®May 2018) Drafted by Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)j HOLDING TANK — MANAGEMENT PLAN The Private Onsite Waste Treatment System (POWTS) has been designed and is to be installed and maintained according to SPS 383, Wisconsin Administrative Code, Holding Tank Component Manual for Private Onsite Waste Treatment Systems (SBD-10571-P)(R.6/99) and the Bayfield County Zoning Department Sanitary and Private Sewage Ordinance. This POWTS has been designed to accommodate a maximum daily flow of Ob gallons of domestic wastewater per day. RECEIVED 2. The owner of this POWTS is responsible for system operation and OCT 052026 maintenance, locking device, alarm and access. yneld Co. Planning a and Zoning Agency 3. The owner or owner's agent is required to submit reports as required by SPS 383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department. 4. Design approval and site inspections before, during and after the construction are accomplished by the county or other appropriate jurisdictions in accordance with SPS 383 of the Wis. Adm. Code. 5. Maintenance Cycle. The holding tank must be serviced by licensed pumpers. An alarm system is to be installed to activate when the tank is < 90% full. 6. Performance monitoring. At the time of servicing, the service provider files a report with the department of designated agent. A User's Manual will accompany the component. It will include the names and phone numbers of local health authorities, component manufacturer or POWTS service provider to be contacted in the event of component malfunction or failure. 8. In the event that this POWTS or a component of this POWTS fails and cannot be repaired the owner will find in the User's Manual the names and telephone numbers of property licensed individuals to contact for such repairs. This agreement shall be binding on all assignees and heirs 4/U% 1/4 of /1/C 1/4 Section Township'/7 N. Range.5 W. Town of 47 /t-cvl Govt. Lot Lot Block Subdivision CSM# Additional Legal 9-f( 'ate Date u/forms/ma n agem a ntp Ian Revised: July 2013 Document.Number/Plan I.D. No. HOLDING TANK AGREEMENT Owner Name (s) Owner(s) MailingAddress 5a�-dtaL W4 (osy/o W J-O4c /Ihrneck 12d Irna a.& trcfl WX SN8N7 Parcel Identifier Number (PIN) Agreement Date (same as Notary Date) /7 —no- L' 7f U5'l 9UL poD•g7ppD I .)(J Of W 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 �o�r Ch. 145, Wis Stats. �1/4 of /Y C 1/4 Section 13 Township N. Range _S W. Town of E I c c n Return To: Additional Legal Description: DOCUMENT NUMBER 2026R-61 4039 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 1O/O5/2O26 AT 1:O6 PM RECORDING FEE: $30.00 PAGES: 1 Gov't Lot Lot_ Block_ Subdivision CSM# kN h 1 /Lq Lot_CSM # Vol _Page _CSM Doc# As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, 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 b County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date �ThietW-hMlliWent 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 provid, Ia 2026 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Scats., and chapter NR 1114 m. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the q�l9ti� nty. 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 couK lthin 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. Z TINA M. RE- I R NOTARY PUBLIC STATE OF WISCotyg swom to oetore me on Drafted by: Date: 1130%2fe Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (I)(m)] u/foms/sanitarytholdingtankagreement.doc ®June 2018 Bayfield County C OUNTY Property Owner: DANIEL E & SANDRA J DUGGER 65410 W LAKE AHMEEK RD IRON RIVER, WI 54847 Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00525 Transaction Number: SR-00525-575BD Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10958 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806 Payment Type: Check Transaction Date: 10/12/2026 Receipt of payment does not .guarantee eligibility of permit and is not proof of issuance of a permit. 3 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: DANIEL E & SANDRA J DUGGER 65410 W LAKE AHMEEK RD IRON RIVER, WI 54847 Description Private Sewage System (Holding Tanks) Submission Number: SS -00856 Transaction Number: SS -00856-57A81 $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 10958 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806 Payment Type: Check Transaction Date: 10/12/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-148S STATE SANITARY PERMIT OWNER: DANIEL E & SANDRA J DUGGER GOVT LOT: LOT: BLK: NW 1/4 NE 1/4 SEC: 13, T 47 N, R 5 W TOWNSHIP: Eileen SOIL TEST: 150-26 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: EDWARD REDINGER TRACY POOLER Authorized Issuing Officer DATE: 10/12/2026 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. Must be within 25 ft of an all- weather road. THIS PERMIT EXPIRES 10/12/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION