HomeMy WebLinkAbout26-155SRLLE VED
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Department of Safety
& Professional Services,
County
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a Yom' OCT1 5 2026
Industry Services Division
Sanitary Permit Number (to be filled in by Co.)
/ _ / S
Ss - ooh 6
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BacaDa1 YPermit Application
planning a
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
I/
purposes in accordance with the Privacy Law, s. I i.04(I)(m). Stars.
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L Annlicatinn infnrmatinn —Please Print All Information
CA.rivrooke.r I Sheri Ct>v"A TM 36649-7
Property Owner's Mai mg Address Property Location
Oac SckaNciaI Lake O Ida Govt Lot 3
City, State Zip Code Phone Number
L,orcn-o /A AV ICS3S7 763-2-32-3857 A' A, Section
II. Type of Building (check all that apply) Lot aY T 99 N R 4 E
SFl I or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name
Block o ED
❑ Public/Commercial — Describe Use
%oils ab O City of
❑ State Owned — Describe Use CSM Number ❑ Village of
'p3f� ipToamof Od'ItAtn
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i
a licable.
A. b New System
y 0 Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain)
B. i Holding Tank ❑ In -Ground ❑ AI -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain)
(conventional)
C ❑ Renewal Before ❑ Revision ❑ Changc of Plumber ❑ Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
'-15O
Capacity in
Total
II of
Manufacturer
Tank Information
Gallons
Gallons
Units
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New Tanks
Existing Tanks
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Septic or Holding Tank
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W Iese1r-
Dosing Chamber
V. Responsibility Statement- 1, the undersigned,
assume responsibility for inst radon of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plum Cr Signature `
*t MPRS Number
Business Phone Number
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Plumber's Address (Street, City, State, Zip Code)
Pa Sox s-zz. r,, R;ver- 1,,,-r-
�yAa_1
proved O Disapproved Perm S4__
Fee Date Issu d Mrr Issuin Agen 'gnamre
$ 1 ° G
O Owner Given Reason for Denial �� �:% �j � 2
Conditions of Approval/Reasons for Disapproval
Sc-c
on paper not less than 8 i2 x 11 inches in size
SBD-6398 (R. 03/22)
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OCT 15 2026 Soil Test #/5,_..
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Bayfield Count Bayfield Co. �/ y
Planning and Zonin9A9encY Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1 -1 0(d))
TovLy P.P0 IkoS k a certified soil tester determine that in my professional
judgment the following site (see below) is unsuitable for any treatment component other than holding
tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
. ED
�aISf�6
Property OwnerC.krophec .k Slier) Contractor
Property Address Authorized Agent
Agent's Telephone,
Telephone `7 (y i — 2_3 � - 36 572 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
1/4 of 1/4 Section Township N. Range W. Town of
Additional Legal Description: See rxi-re 4aAed se-JnetJ✓1Q C____
Govt. Lot Lot Block Subdivision
Lot CSM# Vol. Page CSM Doc #
Volume Page of Deeds Tax I.D#
366'9 :
Acreage
7
Indicate reasoning for your determination: All
.3 1e..Si p ;T's
CJ " 36
"
Signature of Certified Soil Tester
!D
Date
11a 68-sT-
Certification #
SignatuOof County Official
!o 4D 2C
Date
(Submit a Plot Plan & Fee)
u/forms/soiltestwaiver(KLK)
June 2018
OCT 15 2026
gayfield Co. SCHEDULE C
Planning and Zoning AgencY
LEGAL DESCRIPTION
LOT 2 OF CSM #1839 RECORDED AS DOCUMENT #2013R-548794 IN VOL. 11 OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY REGISTRY, LOCATED IN GOV'T LOT
3, SECTION 5, TOWNSHIP 49 NORTH, RANGE 9 WEST, TOWN OF ORIENTA,
BAYFIELD COUNTY, WISCONSIN.
Combined Soil Evaluation Plot Plan - System Plot Plan
Component Manual Design References:
Holding Tank Version 2.1
Owner: Christopher & Sheri Gray
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1d
Site Address: N/A o N <
ii d
Tax ID: 36697
Legal Description: LOT 2 OF CSM #1839 RECORDED
AS DOCUMENT #2013R-548794 IN VOL. 11 OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY
REGISTRY, LOCATED I
TOWNSHIP 49 NORTH,
ORIENTA, BAYFIELD Ci
Soil Evaluated
Plumber: Allan
By: Tony
Polkoski -
' LOT 3, SEC1
9 WEST, TOI
WISCONSIN.
Lake Superior
Elevation 67.7'
0 50 100 ft
It 111111111 N
++-++r,r+rrrrr+ r+•rr • •r + ++
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• Proposed 3
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• Bedroom Home -�
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No existing wells on Property
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,
Wieser WLP2500
All piping shall conform to
•
SPS Table 384.30-3 and
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SPS Table 384.30-5 I
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•� Garage
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WLP2500
TANK SPECIFICATIONS
1834"
II 4" CAST -A -SEAL 4" CAST -A -SEAL II II
Ili
jYP / l
FILTER OR
BAFFLE
TOP VIEW
U T
DIMENSIONS:
WALL' 3"
BOTTOM: 5"
COVER: 6"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 55 1/4" O.D.
LENGTH: 183-1/4" O.D.
WIDTH: 101-1/4" O.D.
BELOW INLET: 43" O.D.
LIQUID LEVEL: 36"
WEIGHT: TANK - 15,527 LBS.
COVER 9,300 LBS.
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 69.44 GAL/IN
HOLDING TANK:
OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 2,639 GALLONS
LOADING DESIGN: 8' 0" UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
SIDE VIEW APPROVED
By Glen Schlueter at 8:23 pm, May 30, 2022
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
J
DRAWINGS SUBMITTEDI
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
Holding Tank Plan
Index & Cover Sheet
Component Manual Design References:
Holding Tank Version 2.1 (May 2022-2027) RECEIVED
Page 1 - Index & Cover Sheet OCT 15 2026
Page 2 - Plot Plan
Page 3 - Holding Tank Specifications pBane:oco.
ng
Page 4 - Management Plan g g�aen�
Enclosures:
Holding Tank Servicing Contract, Soil Evaluation
Report, Sanitary Permit Application, Wieser
WLP2500 approved tank specifications, Soil Test
Checklist, Sanitary Application Checklist, $450
check
Project Name I Description
PAGE 1 OF 4
Owner Name(s): CHRISTOPHER J & SHERI J GRAY Phone: 763-232-3857
Owner Address: 8025 SCHENDEL LAKE DR, LORETTO, MN 55357
Project Address: NIA
Legal Description: LOT 2 OF CSM #1839 RECORDED AS DOCUMENT
#2013R-548794 IN VOL. 11 OF CSM'S ON PAGES 21 - 22 IN THE BAYFIELD COUNTY
REGISTRY, LOCATED IN GOV'T LOT 3, SECTION 5, TOWNSHIP 49 NORTH, RANGE
9 WEST, TOWN OF ORIENTA, BAYFIELD COUNTY, WISCONSIN.
Township: Orienta
Project Tax ID #: 36697
County: Bayfield
Designer Information
Designer Name: Allan Polkoski
Phone: 715-292-4156
Designer Address: PO Box 522, Iron River, WI 54847
E-mail: tony@bearguidenorth.com tony@soil2septic.com
License Number: PMRS220090
Remarks: Holding Tank Agreement sent to Register of Deeds
Return to: Planning and Zoning Department.
Signature: (29,_ ( t D- Date: I
Original signature required on each submitted copy.
Combined Soil Evaluation Plot Plan - System Plot Plan
Component Manual Design References:
Holding Tank Version 2.1
Owner: Christopher & Sheri Gray
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Site Address: N/A
ry
Tax ID: 36697
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Legal Description: LOT 2 OF CSM #1839 RECORDED
AS DOCUMENT #2013R-548794 IN VOL. 11 OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY
REGISTRY, LOCATED IN GOV'T LOT 3, SECTION 5,
TOWNSHIP 49 NORTH, RANGE 9 WEST, TOWN OF
ORIENTA, BAYFIELD COUNTY, WISCONSIN.
Approximate Property Line
® Benchmark - Screw in Spruce Tree
Elevation - 100'
o Soil Test Pits:
1 - Elevation - 98.6
2 - Elevation - 98.5
3 - Elevation - 98.3
Lake Superior
Elevation 67.7'
0 50 100 ft
N
Proposed 3 03
Bedroom Home -
02
No existing wells on Property
01
Wieser WLP2500
All piping shall conform to
SPS Table 384.30-3 and
SPS Table 384.30-5
��x Proposed
�� Garage
may �3
'- Skate N�Oh
Soil Evaluated By: Tony Polkoski - 11068 -ST
Plumber: Allan Polkoski - PMRS 220090
RECEIVED
OCT 152026
Bayfield Co.
Planning and Zoning Agency
HOLDING TANK SPECIFICATIONS
(No Scale)
PAGE 3 OF 4
12" Min. or 2.0 ft above
Junction and Approved
JEWeatherproof
Established Flood Elevation
Alarm Box Vent Cap
(typical)
Electrical must comply with
l
Approved Locking Manhole
SPS 316 and NEC 300
4"0 Vent Pipe
with Warning Label Attached
—Conduit >10 ft from
(typical)
4" Min. or 2.0 ft above
Building
I
Established Flood Elevation
(typical)
\/
Airlight Seal "
Finished Grade
18" Min.
(typical)
.: < .
E.
e
InletII
Inlet Invert
Approved Joints with
Watertight
Plug
Approved Pipe 3 ft onto
Max. 12" or 90 h of total volume
Solid Ground
if more than one tank
a
° Alarm -On
A
HOLDING TANK
VOLUME = 2500 gal
3" Approved Bedding Material Beneath Tank
TANK MANUFACTURER: Wieser
Anchor tank as necessary
pursuant to SPS 383.43(8)(g)
PAGE 4 OF 4
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 =
450
gpd
,5ECEIVED
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use OCT 15 2026
o age of system
o nuisance factors (i.e. odors, user complaints, etc.) hayfield Co.
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Planning and Zoning Agency
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
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:
Local government unit: Bayfield County Zoning Phone: 715-373-6138
Local government unit address: Washburn, WI ZIP: 54891
Iron River Septic
Phone: 715-372-4006
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.
- CEiVED
HOLDING TANK SERVICING CONTRACT
Contract Date
This contract is made between the
Holding Tank Owner(s) Name(s)
CHRISTOPHER J Gray & SHERI J GRAY
OCT 15 2026
Bayfield Co.
Planning and Zoning Agency
Pumper's Name (Print)
P er's Signature
Pumpers' Registration #
Thomas Polkoski
81271
We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions)
PROJECT
Legal Description:
Tax ID#:
LOCATION
SEE ATTACHED SCHEDULE C
1/4, 1/4,
Town of:
Lot Size
Acreage
Section
, Township N, Range W
Gov't Lot
Lot #
CSM #
Vol. Page
CSM Doc#
Lot(s) No.
Block(s) No.
Subdivision:
1. The owner agrees to file a copy of this contract with Barfield 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.
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.
iwner(s) Name(s) (Print)Subscribed and Sworn to me:
CFJf2a�� G & SHERI J GRAY ~
on this_day of , QCQ P
l K /J by:
sAe,; J y ((// otary Public
My commission expires on: t —3 i tai
.7a
Revised: May 2016 (Q+May 2018) DrJf I' ORKENES
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)] ,. + : NOTARY PUBLIC -MINNESOTA
3 My Comm. Exp. Jan. 31, 2030
SCHEDULE C
LEGAL DESCRIPTION
LOT 2 OF CSM #1839 RECORDED AS DOCUMENT #2013R-548794 IN VOL. I 1 OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY REGISTRY, LOCATED IN GOV'T LOT
3, SECTION 5, TOWNSHIP 49 NORTH, RANGE 9 WEST, TOWN OF ORIENTA,
BAYFIELD COUNTY, WISCONSIN.
RECEIVED
OCT 15 2026
Bayfield Co.
planning and Zoning AgenCY
DOCUMENT NUMBER
2026R-614031
Owner Name (s)
CHRISTOPHER J Gray & SHERI J GRAY
8025 SCHENDEL LAKE DR
LORETTO MN 55357
Parcel Identifier Number (PIN)3669 7 Agreement Date (same.: as. Notary Date,)
04-036-249-09-05.4 05.003-14000 Cf (-,' — 7 (r,
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 Stats.
1/4 of 1/4 Section_ Township _N. Range ______W.
Town of
Additional Legal Description: See attached Schedule C
"G t Lot= Lot_ Block_Sw�aw1sion CSM#_
Lot_CSM # Vol _Page CSM Doc#
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
1O/O5/2O26 AT 9:53 AM
RECORDING FEE: $30.00
PAGES: 2
Return To:ZO>,lr� 17 �IDar Tmev�T
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r P.
Iron River, WI 54847 -
As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described property, we agree to do the
following:
1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holdin tank installation and
maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by jjdl®the
Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Stats., Bayfield County may enter upon
the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the char es on the tax bill as a
special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats.(CT 0 6 2026
2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or othery$pykyOlicing and
maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by IM frk101Qi9®dtgokinga I
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. Stets., 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. State., 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. �/vw,nNN
Owner(s) Name(s) — Please Print
Subscribed and swum to before me on this date:
CHRISTOPHER J Gray & SHERI J GRAY
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Notary Public
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Drafted by: Tony Polkoski Date: 8-28-26
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Personal infom,ation you provide maybe used for secondary purposes IPdvacy law, s.15.04 (I)(m)I uHm os/sanitaryMdtlingtankagreement.doc ®June 2
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SCHEDULE C
LEGAL DESCRIPTION
LOT 2 OF CSM #1839 RECORDED AS DOCUMENT #2013R-548794 IN VOL. 11 OF CSM'S
ON PAGES 21 - 22 IN THE BAYFIELD COUNTY REGISTRY, LOCATED IN GOV'T LOT
3, SECTION 5, TOWNSHIP 49 NORTH, RANGE 9 WEST, TOWN OF ORIENTA,
BAYFIELD COUNTY, WISCONSIN.
RECEIVED
OCT 062026
aayfield Co.
Planning and Zoning Agency
13A FIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
GRAY, CHRISTOPHER J & SHERI J
8025 SCHENDEL LAKE DR
LORETTO, MN 55357
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00535
Transaction Number:
SR-00535-5BC44
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 6377
Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847
Payment Type: Check
Transaction Date: 10/20/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
HAYFIELD 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:
GRAY, CHRISTOPHER J & SHERI J
8025 SCHENDEL LAKE DR
LORETTO, MN 55357
Description
Private Sewage System (Holding Tanks)
Submission Number:
SS -00867
Transaction Number:
SS -00867-57E79
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 6377
Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847
Payment Type: Check
Transaction Date: 10/20/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-155S
STATE SANITARY PERMIT
OWNER: CHRISTOPHER J & SHERI J GRAY
GOVT LOT: LOT: 2 B LK:
CSM: 1839
1/4 1/4 SEC: 5, T 49 N, R 9 W
TOWNSHIP: Orienta
SOIL TEST: 156-26
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: ALLAN POLKOSKI
SCOTT ROUSH
Authorized Issuing Officer
DATE: 10/20/2026
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: # 220090
Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all-
weather road.
THIS PERMIT EXPIRES 10/20/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION