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008-1096-80-500
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name- Brandon & Angela Walczak City Village Township TOWN OF EAU GALLE CST BM Elev- Insp. BM Elev- BM Description - TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing goo a� `j.`j POWA �Zs TANK SETBACK INFORM—r') -RES LzNE (�JE) TANK TO P/L LL BLDG. Vent to Air Intake ROAD Septic q 0-< P D 6( 1 %Z �0i Dosing /moo i PUMP/SIPHON INFORMATION Manufacturer Ae Demand GPM �2 5d 0 Model Number E-C— 21 ce TDH Lift Friction Loss System Head TDH Ft .1 0.53 1 y. c, 1'2-. �3 Forcemain Length Dia. Dist to Well OD 3k.� 2 OLD\ ins . SOIL ABSORPTION SYSTEM ELEVATION DATA County- St. Croix Sanitary Permit No- 651212 State Plan ID No - Parcel Tax No- 008-1096-80-500 Section/Town/Range/Map No: 34.28.16.520A-50 STATION BS HI FS ELEV. Benchmark 'z-I 102.1 100.co Alt. BM I rr c5 E Co2miZ of Bldg. Sewer ll��s 0i�.ti5 St/Ht Inlet t filet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover CD klrD uf�_ o. 0 q BED/TRENCH Width Length No. Of Trenches PIT DIM SIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I' SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer - INFORMATION CHAMBER OR UNIT v� Y sPE Type Of System: t � D (� �D 1 << 1 n51, Model Number- DISTRIBUTION SYSTEMM DAP Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ,� Length -I Dia I.S Pipe(s) Length �, 72 Dia 1 .S Spacing L�l 3 I °o SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center rench ges Fe Topsoil I ❑� Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Location: 2494 PIERCE ST CROIX RD 1.) Alt BM Description = 2.) Bldg sewer length = 14' +v di4wo,4, 2; -6 4-mk - amount of cover = > i$' 4 , Plan revision Required? ❑ Yes No I Use other side for additional informati n. Date SBD-6710 (R.3/97) Inspection #2: 9�\Aj 1gsje, I[&4 4 ' 1*e, of Final 145pa rn. I $S t9 (,1`4 LJA �.q(3 in Insepctor's Signature Cert. No. W A ILI 0 4 x 4P as 11 : itary Pest Amber (to be filled in by -Co INV& Industry S M ^IRA^ Sanitary Permit Application I I lul j State Transaction Number �n accordance with SPS 383.21(2), NV is. Adm. Code, submission of this form to tie approppiate Zovemmental unit PVTS - © liz-3 0 0 5'015 � � .i roquired prior to obtaining a sanitary permit. Note: Application Corms for state wned PQW-1z9_h_kXs6t6dq4j"'to pro lect Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you prcvidaiWb-tLtikq/fiie� - purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. Application Information —Please Print All Information PropM-22— , Owner's U060' I jPW 16 1 11roPerty Owner's Mailing Address /J_3 / WMENOMMOMMM IV4 L z It City, State I Zip Code Phon4 U. Type of Building (check all that apply) Lot IX I or 2 Family Dwelling - Number of Bedrooms ?arcei 4 009 - 16 qw/ - Re - 1.0,6 Property Location Govt. Lot Section 3Y T 0?0' N R. 106 Subdivision Name Cl Public/Commercial - Describe Use 0 City of 0 State Owned - Describe Use Number 0 Village of 2- —�d�TL 7z j XTown of 6-,4u b,4 .11 z- L H1. Type of POWTS Permit: (Check either "New" or "Replacement" and other appticable on line A. Check-- one box on lin—eB. Complete Hine C ap a ej A. 54 Neu- System F1 Replacement System Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) Holding Tank in -Ground At -Grade (conventional) C. Renewal Before Revision Expimtion Ll Individual Site Design []-Other Type (explain) I List Previous Permit Number and Date Issued F1 Change of Plumber Transfer to New 0,%,ner IV. Dispersal/Treatment Area and Tank Information: 1 y- tillp-, A 9.!' Design Flow (gpd) Design Soil Application Ratc(gpd/st) Dispersal Area Required (st) Dispersal Area Proposed (so System Elevation /0 7..*J' 6Aj 5V.6 e-d,,,j r4mA. Capacity in i Total of Manufacturer Tank Information Gallons Gallons Units P. 'view Tanks Existing Taaks 2 Ln Septic or 11AWwzx-mk /06? 1.7,6,0 Dosing Chamber l - 2? V. Responsibffity Statement- 11 the undersigned, assume respopflhp�oor__installaflon of the POWTS shown on the attached plans. Plumber's Name (Print) Plu er's,Signa �,IM—Pa&ek4; Number Business Phone Number qX 13 A U CA 71,5 Plumber's Address (Street, City, State, Zip Code) SYSTEM OWNER: I - Septic tank, effluent filter and dispersal cell must be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code / ordinances. SBD-6398 (R. 03/22) 4-, L L LftAA-fr_bqS EA -AL h � P� V1k a uv,,k -Af fite� 0-to— aip -t- Lut' t7tj t 3 A-+5- Lt) t+k 917, Attach to complete plans for the system and submh to the County only on paper not less than 8 1/2 z I I inches in size Wisconsin Department ot'Safety and Professional Services Division oflndustTy Sen'ices 4822 Madison Yards 'Alay P0 Box 7302 Madison, W1 53707 April 25, 2023 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2025-4-25 Plan Review: PWTS-042300595-C Chris Bauer N6483 Dorwins Mill Rd Durand, WI SITE: Peidt 2494 Pierce- St Croix Road St Croix County !own of Eau Galle SE X SE X S34 T28N R16W FOR: Description: 4 Bedroom-600 GPD mound-14" to limiting factor- Effluent Filter - Maintenance required. Plione: 608-266-2112 web: 11tip: Email- wisconsillz'gm Tony Evers, Governor Dan Hereth, Secretary Conditionally APPROVED DEPT, OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES V SEE CORRESPONDENCE Mound Component Manual — Ver. 2.1, Sl3D- 10691-P (5/22-5/27) Pressure Distribution Component Manual — tier. 2.1 (May 2022-2027) Verify proper dose is achieved and system is not being over dosed. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, scats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Round site. If necessary, use only tracked equipment, during dry conditions., with minimal passes, to avoid :oMpaction. Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with ffie requirements of Sec. 145.19.. Wis. Stats. Inspection of the private sewage system installation is required. Arrangements for inspection shad be mace with the designated county official in accordance with the provisions of Sec. 145.20(2)(d).. Wis. Stats. A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.54(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, j /20�v� Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)634-5124 Joshua.rowlevwisconsin.gov Pnvate Onsite Wastewater Treatment Systern- Index and Title Page Project Name: Ago< I-e f o r .. Y-4, (�r&j Owner's Name: Conditionally Owner's Address: APPROVED 4A0 4 4) 67. ."_,.--DEP-T-,-Q"AF-F.-T-Y-AtAD- SIONA,L SERVICES DIVISION OF INDUSTRY SERVICES I egal Description: "�4unlclpahty: County: Lot Number: Subdivision Name. �& OF 3 4 4J Town, V44age, g.4y of Z74 kir_ SEE CORRESPONDENCE ft-..M 6 r. �'4 olx 41 Block Number.- CSM Number. /�- Yq%�C� � y 51 Al — /0/,C A 4 4r. — '5r. 11*f'o /;c A0. Parcel I.D. Number: — 0!q-4? - 16 9Z- - g4o - .166 Par I Index and Title Paga Page 2 Plot Plan Page 3 Cross -Section & Plan View Page 4 Pipe Lateral Layout Page 5 Septic Tank / Purnp Chamber Cross -Section & Spedfirations Page 6 Pump A. u i IMELnCe Informati or, Page 7 POWTS Owner's Manual & Management Plan Page 8 POWTS Owner"s Manual & Management Plan Page 9 Filter InT-Ormatlorl, Name of Designer: C�A t.1 Signature: }i'aw, 1� License #: /' - o?o?4.1 2,,,/ Datc: 51 muant tw� i n S Component Manual and --DSP.J S Mound Component Manual fpg�POWTor POWTS" Verslon 2.1 (May 2022.202'," Pressure Distribution Component Manual for POWTS"' Version 2.1 (May 2022-202-� Atmehment: Soil Evaluation Repor. 0'1$ l v. r=o p •fig ovn ,W 2 � � .7y -. fA S, r -r�' W �1,r/J <, og/<7d 7 Do/ j.phl CA 'T e C SO'S 7 7 Y 17A a� OA Are (*rip rt o7l o it �` } it gh 'Ir7:F 7poe Za or 1,1/Y - WM" JMal '3 !rlxl 473 Oo/ Q IV *02 x•vy,> U - �977PT7 IVY YO `4 017X Y�� --jY 7 V,7.11 /.7 Y ;Yl)lbl AdOO 0'1$ l S1 �v� am a • � p 77.:?7 W7O.Y x P J ! j.phl CA 'T e C SO'S 7 7 Y 17A a� OA Are (*rip rto7l o -C) Arof� it (R9 rIV for A?2 I' 1py gh 'Ir7:F 7poe Za Ljr.�... �., V111.JJ� vv Mcl '3 V 473 Oo/QI,/ *02 xivy,> U - ' 977PT7 IVY YO `4 Y�� --jY 7 V,7.11 4 /.7 Y ;Yl)lbl 017X 0 1-01 .1 /' By ft E — e 7 ft F ft + - , .' :et MOW A :Et 1B �iw+ .ri•®r m75 ft I m ft j = ft K Mae* ft L ft IN 31.3 ft 4w -9ch. 40 PVC observellon pipe 1.5 ft 0.5 ft r- r Le 4wrNFA-11 ASTM C-33 SAND F;L1- TOP SOIL Page 3 of q UPTURNED LAI R FLAL & ACCEW BOX 086ERVATt0K*'.'1 WE & WATERTIGHTW 0fSTRH3UM!*, - Ays:pAL ( In. sch. 40 PVC 02666) Systea) El.� 8 7. 85 ft Contour EL= Se. 0 tt j PLOWED SURFACE ap loop 0 1 40 r % SLOPE FORCE MAIN (2" sch. 40 PVC D2665) MSTRIBUMN CgLL ft x 74r '- ft = 0/04 W (W-2XVaggrega is Min. Required= 48164 .0 1 — 460 ft2 Observation pipe Obserw4ion pipe 44 3 T. , .4 llwi` 4x 4f Tj 1, A- t%trftfion Coll Distribution pipes 1/6B ft (%!-2%"a99mgate) IV- ft If In. sch.40) 75 OX:2 UPturned Lateral wIth A, tss Box Farah Ihance and vehicle fr&(" .ithin 16 ft of downslope too. Beealkea-- o?3.Lftx 75 -A*-ft- 742..fft2 Min. Required 6 6 + A_ AL-1-A In, sch. 40 PVC 02666) M19-LA19BALIAY Q.., UT- (End Manifdd with Aggregate) ROLE DIANSUR jj in. LATXPJLL D r ^"' in. MRIFOLD DIA. = f in. (Sch. 40 PVC � FOACZ MIN ID IA. = in. pipe Qom) +xe 10 F � 7 fit. ft. 001 X � fit, OL p x y oe f A-O'Oep t. je "ANIF(XD sch. 40 PVC t?2885) FARCE MAIN (2' sch. 40 PVC D2685) Page `/ of ...9_.._ rAccess HOLES LOCATED eVENLY ON 801 TOM OF PIPE. Minimum Number of Dales C6 j) � Ie + 12 SO Holes al� Holes Lateral x 2 Laterals -- ..�. ( T/3-7 Hales x 0.5ygp m l ( 3.7M) thole = *17 Gpm = SYSTEM FLOW RATE r11' ' VOLUME � ..���w_.,. ft. Laterals (total) x 9.092 galflt. = J.O?S x 5 = d . GAL WN AA OOSPVOLUME �U PIPE INVERT ELEVATION � 1$80-3-'L fit. W7k.-1qFeT11-7-.T§73 Page "i 1 0 • I lei 111''r sigh 0112 MANHOLE RISER 9 COVER fpt lockingdc-.-i manho,, t. rhw at> necassary.) M M 4* W. SdL 40 PVC Tank Vad 'd hxualfwt 1 grade of 24- &bove R"icrwl Fk*d Ekvadon JUNCTION 12 (comply with SPE and NEC 300 40 Min. Sch, 40 PVC Tank Vent bated 120 above grade or 248 above Regional Flood FJevafion MINIMUM OF 3"OF SUFTA8LF- BEDDING BENEATH TANK & MAXIMUM BURY DEPTH OF 96- Anchoring of tank may be required per SFAS 383.43(8)(g) 7'ank ManufacWrier / Z-,j1,rjfA e"', -1 ... bftwa� 0 ,, -, .>eOfictPump Size: /04 66 --awfons Alarm Manufacturer. 54r,4 r,44,we-s Model Number. /Y rlr 1 Switch Type: Effluent Pump Manufacturer. Model Number 9 Ar-6 Minimum Discharge Rate: a? 7. o GPM Vertical lift (Pump off to lateral invert)............- 7. IV it IV* System head (distal pressure 3. 5- x 1.3 ft), -to %I I- o?S ft Force main x / 7 /100 friction factor- ft Filter friction loss ...................................... ft Total Dynamic Head (TDH): Ld ft plvp" VWft vown eld ulow Alam Fl= On Roof Daily Wastewater Flow (DWF): GPD N umter of daily doses.- 09..� Force main volume; 7 S' ft x 1 gauft gay Actual dose volume: /P?4:1 gal - Y. / . gal (total dose volume - volume of force main) ,DQfiE TAT K..CAPA,QJTIE, . 1: Reserve above alarm o?4- 6 in = #54. 1 gal (D) Alarm float above on float � in - .1'gal (C) On/Off float measurement. in 1;4 qat (5, Off above tank bottom in= 17Z _ _ gal," D0§K JANK !2IM9NNON1 Length //P 41 in Outlet height 34 in Width 94 in GallonsAnch v?2,,,2� Fiffalso ENGINEFRIPIG DATA 0 `AA-1 r"A LG 9;C-CIA-S�S MM) 10.7"( 71 MM) I �T[ � 8 9" -(226 mm) 84* QW mm) -)EC-CIA-RF 9EC-CIM P-7 (226 ffmnm) &A' (214 mm) -.-- PERFORMAN(EDATA -1 30 40 iO 60 ,AWTrY - ON Franklin Electric H�flr* I 803-M-764 I IrwilUkK 'NF PaMun F fLUEN -1 30 40 iO 60 ,AWTrY - ON Franklin Electric H�flr* I 803-M-764 I IrwilUkK 'NF PaMun F fLUEN "The rnoo!asti, Motor Housing -Foxy-coated cast Ifor) impuer matorial elastomer ImpellerTypf, _�_jhermoplastic Non -clog _Volute j Ewxy-coated cast iron I t-Moto- Shaft Steel ii ical SW Seal '4itrife with carbon and ceramic Fastmers -'tA sleeve and lower bad bearing Power Cord �Sjiy"51TOW On SFS ffW&qS " On 3V 9EC-CIA-RF ow 9H-(Im moft Page ` of POVM OW IM'S MANUAL AND MkNAGEM12ff PLAN FME INFO A'1'i01it oww A&.K.. Eia r Pit # DESIGN PA�TEES Nth of Ecdrooms Nor of Cv Estimated f V w (Ave) (L 00 1 � i Re -sip lbw (DVf�F} x 1.5 too gpd Soil Applicafion Rye f Influ Effiueat Quality (13 NA) 1Vlonthly Average Fats. Gil & Grease (FOG) _< 30 mg/L Biochemical oxygen Demukd (Bow � { 220 mgfL Total Swpended Wids (TSS) } c 15() Mg/L Pretreated Effluent sty (9 NA) Monibly AvwWi BiOxygen Demand :5 0 mg/ oW Suqmmded Solids (TSS) E 30 W49/L Fecal: Coliform UMM) S 10 cfal100ML Maxunum E#Evaut Particle Size l/$ inch diestteter Dhpaud 11nk hflkJM0dW Nervier: Ca�aas: SYSTEM. SPECIFICATIONS Se p ' Tenk rroa See'c Tsnk Curet l fl�E'.Se,, 46'j a. Q NAB Effiluat Filtw Dieu 1,6L Yl et X Q NA ue� Fier %rf L .� - � Q NA ' y gal M A Pump Tank Manufacturer ELM mamdacturw z i rn s 61wi r Q N EMR Model CI N hetlVeatrammi Unit (® NA) Ci Sand/Chwel Filter C7 PeatFilter C3 Mechanical Aeration Q Wedand C3 Disinfection a Other: Man fWn er. Model: Soil A n Component (0 NA) Q b-Vwnd (gravy) C� $round �preasurized Q A"pmde 0 Mowd f Q Drip -time Q Gthw. ertical Distance TankBo too Service Pad: ff Rjstg = T s to Service Fad: ft Soll Dopezzal End Cap (lisped Una EMKI h Width y gL...,�_..3� — ttTruts or Total ,th of 75 a nw_cirjr_1 i j"n ra, 101 i ... @� 1 O " �� esip C�oanpo t �a1 �r tassum (cw Gravity. version 3.0 (May 2022-2027) of � NCtwDrks fOr S%dc Tank -Sod AbscuPtion Systems." Publication 9.6 Maulal CI "F.Z Flow Moues C4 Q "FA -Ground M�" Vegan 1,�t SiZQI 7 (A 20 18-2Q2.�) a CampGnCntMUPMIfur POWTS" Version 2.1 (May 2022-2027) 3 "Mound Cmponent Mamal for POWTS" Vasion 2.1 (May 2022-2 27) A sl i" POWTS." Vcmion 2.1 (May 2022-2027) Q Other Q NA Ai+t � U - AriCE AND NiARAGEMENT SurwXua Evew aspeEwssKsh dean $her At ksa once . 3 13 months 9 3 a Other: 22atwm ft& peoft"tam t emit : At once . l m $I 3 NA Fly and kterais e Q At kast once evay, 0 month 95 3 years 0 Nh For new ' M p to using the POWTS check # umu hmk(s) for the pms=e of painting �ncts or ati c6amitads tW may inapede die IN P. N tMent process an&0r dam- ap the calks). If coa�cesctrations am the contents of the umk(s) tmwved by a .. r acted have at ° vperata pear to . Syrtmatastupshaltnotercur when sod an fto= The property owOar is Lreawlle the aP� and of the POWTS and mbmissba of �Y � a a a the � �- guns sty ate' fx cs a ,g of tics of POWTS. 'f`S. T' of water-uvrAF.V ad �. Alv tie brims or wasicfrom wa#nr sow, iron resnQ ,,, O&W char water tic W3M d WI= wd &ains shodd be, is to at g o d nufa c whenever . �; ' isohde � P 911r. p�k t "Thin systeim is &Sig to bandlc ,however, the ' seeds, bones, and food solids, such as �oac �P� of l'avd based greases, oils, vegatable�fnut pft�, be disch the by a � should be minimized Toilet tiasuc is the only paper that should sySUM Other non-b ie items, such as baby wipes, ,sanitary napkins cI c and � deaW floss, won swalm sbvuM not ewer the system Chemica1s, such as petrolamn products, Paimt, peefioidas, antibiotics, solvents: CW., should not be Eushed iso the s b . y� try C.Sti �y ymr POWTS and leyou r drin water �lY• �n a rq1uhr steady now by ial t w+xk. Avoid v ansystewehic a traffic ove- t& of ova the dispersal uritnW cause it to frv*m up. 8 irin.king water supply. )Maintain a regular steady flow b spreading gage = p . of 9 -- y Y P tng laundry �vashtng throughout the week. Avoid Vehicle traffic over qs i sys�rn componenLs_ Compaction ofsnow overthe dispersal unit may cause it to fr-e eze up. _NSP:ECTIEO-NS & A_INTENANCE. Inspection shti.11 be made by an individual carrying wernticaElons: Master Plumber. master plumber Restricted Sewer, POWTS Maintainer, arryino one of the following licenses or tanner, or Sep{age Servicing Operator (per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify �denti f do cracks or leaks. �y missing or broken hardware, f Y Y measure the volume of combined sludge and scum and check fo,- any backup or ponding of" effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed - .areater than R inches in diameter shall he secured with effective locking devices to prevent accidental or unauthoruc P openings _ d entry the tanks. When the combination of sludge and scum in any tank exceeds one-third (l /3) or more of the tank volume, - 'ank shall be reTnovcd by a Se t e Servicin me, the entire contents of the l Op for and d t~� o d . ,_. ,. - , � of in accordance with Ch_ t Imo, VSlisconssn Admin. Code. T%citic sciv icing mechanic% must he provided if`r-ertical is > 15 feet or if horizontai is > 150 feet and instructions to be v" vro idea below. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids accordingto manufac r . ` washed from the filter shall be retained to the tank. Filter cleaning may be necesstit at more to ersspecit�cations,Solads Y � ore frequent intervals than stated in the maintenance schedule to keep the system operating. :%)arms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service _T'l�t�:rr is normally 3 l dayreserve tinder reQ ace POWTS ,rular operating conditions, however water should be conserved until any problems with the system arc corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently taken out of service the jbllowinQ steps shall he taken io r � ,r the system is p yperly and safely abandoned in compliance %iili Ch. SPS 'I S 1* �.1� Wisconsin Admin. . �od� es�su. c �i,.� . -s � � y n ■ All piping to tanks and pits shall be disconnected and the abandoned Pp openings � e o nin scaled. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing operator. After pumping, all tanks and pits shall be excavated and removed or their covers rcmovcd and the voids ace filled with soil gravel, or other inert solid material. P (.'*O NTINGENCY .PLAN: If the POWTS )'ails and cannot be repaired the following measures have been, or must be taken, to provide a :ode compliant mplacenictit system: 0 A suitabic rt;placcnierit area has bccn evaluated and may be utilized ror the location of a replacement soi replacCmetit area should be protected rrom disturbw)cc and Compaction and should not P i . �, , l absorption system. The ti•c�m existing and prcaposed structure, lot lines and wells. Failure to protect the be nlrti�gcd upon by required setbacks p he replacement area renders it unusable. Replacement systems must comply witii the rules in effect at the time of replacement. 0 A suitable replacement arca is not available due to setback and/or soil limitations. Barring advances in POWTS tcchnolo a holding tank may be installed as a last resort to replace the failed POWTS. gY The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a A soil and site evaluation sntist be perfonned to locate a suitable replacement area, if no replacement area is available a holdin; tank may be installed as a last ,csort to replace the tailed POWFS, Mound and at -grade soil absorption systems may be reconstructed in place foIlowin removal f h g othe bsomat at the infiltrative .qurface. Reconstructions ofsuch SVStCMS Tzlust e.o.mDly with the rules in effectat that time. WARN ii Gre,: SEPTIC, PUMP, ANI) OTHER TREATME.Nrr T4NKS NIAY CGNIUN LETHAL GASSES AND/OR 1 SUFF1C1r—'N OXYGEN. DO NOT ENTER A SEPTIC, PUMP, OR OTHER TREATMENT TANS UNDER ANY CIRCUMSTANCES. DEATU, MAY RESULT. RESCUE OFA PERSON FROM THE INTERIOR OFA TANK MAYBE DIFFICULT OR IMPOSSTBL�., ADDITIONAL COMMENTS: POWTS INSTALLER Name. L SEPTAGE SERYICtNC OPERATOR Pum cr ? ----.---- - - — - P ... Name. - Phone: POWTS MAtNTA_INER Name: Phone. _71 LOCAL REG U LATORY AUTHORITY Name: a leyrr j&u� Phone. !S 384 — V496 INSTALLATION INSTRUCTIONS Zabel wasusaw 40*XZ A D*"w r4 P r�,f t" 11 PLw122/PLw525/PLm625 FILTER I L Step 1: (A) Locate the outlet of the septic tank. (B) Remove tank cover and pump tank if necessary. Q- C*~wd to 04SF/ St ii ANSI andard 46 Center filter witJ1 Opening i ce Z' U.0, Additional pipe or Polylok Extend & Lok" for centering. Step 2: (A) Before installation, place the filter housing on to the outlet pipe. (B) Make sure that the housing is positioned so the filter can be removed from the tank for maintenance and service. Stop 3: (A) Gue the filter housing on tne outlet pit. (6) Insert the filter cartridge in the housing, making sure the filter cartridge is properly aligned and completely inserted in the housing. I - I 1L. i reThwL 1111101111iiiiiiii I DO NOT USE PLUMBING WHEN FILTER ISREMOVED USE RUBBER, GLOVES WHEN CLEANING FILTER Stop 2: (A) Remove tank cover and pump if necessary. (B) Pull the filter out of the housing. (C) Hose off the fifter over the septic tank. Make sure all solids fall back into the septa - Step 3: (A) Insert the filter cartridge bates into the the housing making surc- the filter is properly alighec and completely inserter (B) Replace septic tank cove- Polylok® Inc, 3 Fairfield Blvd. Wallingford, CT 06492 Toll Free: 877,765,9565 Fax: 203.284.8514 www. poly lok. con-, '�� Pre. ... ° :' L + 9 �l•.�.' .. - t r r W R 4 °}1 r. 1 •µ t , =w y I ww IS jil .7Y ti S T. C 1Z 01 X I Csi 0. U N T Y SANITARY SYSTEM File #: Office Use Only — — OWNERSHIP/ADDRESS FORM Created 212027 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. If you would like to view your issued sanitary permit online, you can do so by using the Property Files Scanned weblink. Owner/Buyer Mailing Address City/State/Zip OWNER/BUYER INFORMATION -P'la .4-Brar vtoc vat 5-L�- Phone Number (required) 'c&l 2.5-32. U-i 0 1 Email Address (required) CkAt?UG-e i , Parcel Identification Number 002- 5-oc? (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION 'SE 1 /4 Sec Town of Etac3aik?— Property Location5e 1/4 1 .3 Tn N R W1 I tj Subdivision Plat: , Lot # Certified Survey Map # Volume 32. Page # 7?0q;a Warranty Deed # (before 2006)Volume 9 Page# Number of bedrooms Spec house E3 yes 01�no Lot lines identifiable 0 yes 0 no � New Property Address (Staff Initials) OFFICE USE ONLY R atl lx Rib G 's (Verification of new address required from Community Development Department for new constructien.) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System: Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4680 St. Croix County Government Center 715-245-4250 Fax cdd2sccw1.q.0v 1101 Carmichael Road, Hudson, W1 54016 www.sccwi . . C70 in 7 . . 7 'V'ISIDNV t NOCIN'VN 0G 4 IS JIM k op ti J U N 09 ?a23 ..� 47 3 Wisconsin Department of 4C;on1nj";* ty, SOIL EVALUATION REPORT page of Division of Safe and 1 01,06qs in accordance with Comm 85, Wis. Adm. Code County �" Attach complete sfte plan on paper n©t less than 8 1/2 x 11 inches in size. Plan must I �,,.J1 - �'� 1-0 include, but nct limited to: verfical and horizontal reference point (13M), direction and Parcel 11, percent slope, scale or dimensions, north arrow, and location and distance to nearest road. t C �(P' - r - sa 'lease print all information. Reviewed by Date Personal information you Provide may be used for secondary purposes (Privacy La,..v, s. 15.04 (1) (m)) Property 0,&nor Property Location El El Govt. Lot !SC- 11/4�f 1/4 S j T N R E (or) W Property Owner's laili;�,4dQs Lot # Block # Subd. Name or CSMW OtoIccSt. City State 23p Code Phone Numb L.P'ity VillagNearest Road 1W — 1 11 Town e T 4 00 '6,014-t;460 E(U-2 (2 8 11 New Construction User"" Residential i Nurnber of bedroorns Code derived design now rate GPD U" Rleplacernent [] Public or commercial - Describe -- Parent material Flood Plain elevation if applicable General comMents and recommendations. Xlk C- 60 Z jV,00tAf 23 + r2l r L i P -1V!X Boring WOW' B- I Bodng # pit Ground surface elev. ft. Depth w 1w lung n3dor ;n' I I;r)il Annfination Ram I Horizon Depth in. Dominant Color Munsell Redox Descriptions Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots QPD)ff *Eff#1 *Eff#2 7 19 4r W Boring # Us Boring (0 11 Pit Ground surface elev. ft. Depth to limiting factor In. Setif Amlir-ati©n Mate Horizon Depth in. Dominant Color Munso, Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD;W *Eff#1 *Eff#2 A np Nl- t*-JON 4�11 r A? 9-� 10j4A • 4 4 "T SLq4o Sl 1 2. r 2,F I A > < I %. Effluent #1 = BOD30 5 220 rng/L and TSS >30 < 150 mN� EVuetk#2 = BOD5�5 30 mg!L and TSc'< 30 mg/L CST Name (Please Pdnt) d n CS7Nuntw Lewis Bjork_ 253976 Address Dke EvakMi6n6orgi Telephone Number I E781 8 County E Menomonie W1 54751 29- Zo z "I 5-AOI-31-7375 Q Property Owner o- I cry✓ Parcel ID Page of 3 B - ' Boring # OUVITIg pit Ground surface elev. ft. Depth to limiting factor / in. Fq—oil AnNination Rate I Horizon Depth in. Dominant Color Munsell Redox Description Ou. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft' *Eff#1 *Eff#2 Ae Qq..3( -A iLf A �,5�4, A* 3Vns Boring # Boring Ground surface elev. k Depth to limiting factor in. Pit I Soil Anolication Rate Horizon Depth in. Dominant Color Munsell Redox Description Chu. Sz. Cont. Color Texture Structure Gr. Sz. Sh, Consistence Boundary Roots G PC Iff Eff# 1 "Eff#2 Boring # Boring Ground surface elev. ft. Depth to limiting factor in. Pit —Snit AnNir-qtinn Pqttq Horizon Depth in. Dominant Dolor Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr- Sz. Sh. Conosistence Boundary Roots QPD/ff *Eff# I Eff#2 Effluent #1 = BOD5 > 30 < 220 mgA- and TSS >30 < 150 mg/L Effluent #2 = BOD5< 30 rrxlL and TS,"; < 30 mg/L The Department cif' Commerce is an equal opportunity service provider and employer. I fyou need assistance to access services or need inaterial in an altemate foniiat, please contact the department at 608-266-3 151 or TTY 608-264-8771 7. SBU-8330i of (R 07W 27.06.2922 16:36:21 retarm Faxolution frog angela.Walczak@rate.caor For Guaranteed Rate f � 3/4 CEATlPIED SURVEY MAP PART OF THE SOU1HW QUARTER Of THE SOUTHEAST QUARTER OF' SECTION 349 TOWNSHIP 28 NORTHo RANGE 15 WEfiT, TOWN OF EAIJ GALL.E, ST. CROIX COUNTY, W13CONSIN; MW L013 1 AND 4 Of CERWIED SURVEY MAP VOLUME 19, PAGE 4920, DOCt,3I E14 NUMBER 785004. AND OUTLOT 1 OF CERI FOW SURVEY MAP VOLUME 19. PACE 4919, 0=4410 WMKR 785903 SURVEYOWS CERTIFICATE 1, l0randon W. KBnp, VMS Prohssor►al Land Surveyor. hemby der* that I hams Surveyed. &Mad and mapped a parcel of land In put dtio 5oulwad Queftr of the Sculhe" Cktartor of Sacdon 34, Township 28 North, Rama 18 VfVsst. Tom of Eau Gallo, St Cron County, Wfaoonsin, described as follows AN of Lot 1 and Loot 4 of CoMed Survey Map %/Mums 19. Pepe 400. Doaum w t Number 73SW4, and aF of 000 1 of Cwftd Survey N*p Volurm 10, Page 4919, Document Number 755903. Subject to PbM*-M Cn* Rand AqW of way, NAOM to 250th Ntst ftM of way and fubject to al! easerna to and red"ons of r+000rd. That I have me& such swvey, land dhf*m and map by the won of Aufk Feldt, wpr~ft wl W of Bald lend, that such m9p b IN corract teprw on of 8w odMw boundsAn of the imd sunnyed and 1w map rue* therrof and fhst I hays idly cornpbd v1h #w St. Cm* County Sella WWon Ordhancs and the pmWslons of Ch*pW 238.34 of the VMc ma n Stales In sura*ig. dividing and cr "ping the same. W' 1 s 4&V^4^ 2022 8mn4w W. ling &2S32 Wlsoonan Prof"Wonal Land 8ur"Ver N$24 County Road D Esu Gde, Wl 54737 <� �G O�VS r 7� Beam w. 7� King "32 r E'u Gsbe a, 41 4D s U It ThW mrp Oe • ooneoIII -11 of e� l0v pwo"t a pocllan of Lot 4 to awft LOi 3 and s portlon of 1,.v(4, and @A of Lot 1 OW Outbt i to crgM@ Lot 8. No a 1* we berg aeried ma d" Cwwbo SurAy SL Ctok Co" Eung0m Eiae Vftn wt%d under 360M 13,19. 3. a.S) of Vw St. Cron Cm* Land Div OM Qt+d mm and Section MAS M tat (4) of the Vftcompin wIP041.'..i� ff!l F,?Aw!1 1 R oN irimc LAND s4ujj v$YfNq, LLC DATE of FlELD WORK: 1 / 18/2022 PREPARED FOR: PHONE.: 715-639-5243 DATE OF MAP: 1 /t 9/2022 ARIK F'EIDT OF t DATE OF LAST REt WN: 3/ 15/2022 1531 MALLARD AVE EMAtL. hlcts - .com FILE NAME: FaldULdwo SALDMIIN, W! 34002 SI JITS _. .,ws ^ el 01 Jun.27.2022 09:51 AM P 3 ...- , odt 14 ld4r ti •� '3 1 4 o�an�n Deperbnin of SOIL, EVALUATION REPORT p% 1 0t 3 aMv0lft cw f Vft Agri. Ccft v� Ate'root 1a bm e 112 x 1 t In WtWA y ho tag im bA not um �wd vd ow pbm 4w tiff mby Day Im v ow b. WW fw socall l Pam• n ► , �. M" M Eourww CIVIGn MW Me GM i A+aa�d Pin ern Epps R, �1I> Zz Pit �ro�exd eiw. CKxWQ Pft n wrmunter 253976 715231-7375 �q% �� Fit f 8717K � ` awng .1 - 0 _PR OMWWAVw-beev. win HWUM i- Denth namimni ?%jbwj DAA..r h. PA'Awbirmig- Toile iA d(A 2AI Pit Ltd aAm elov. tknerth tsom�ns� Comer tic of s Pft GmLMd sine 91OV. Hen i 090 tenet Redox De h M C�u� SL f it f ID 0 P 3 I DWh to &r*kw fimlr MOM M a i), 301 220 MOL 8W TSS M 150 M9& STOLM nt # = BODj 130 M90L and 'TSB 5 30 mg1L The Deparumt of os mesce is !1A equal o rtun ettv�ce provider and employ r. if you mod assistance to access wrviees or nmd natoW in an ante format, picso contra the dqmrtmwt at 608-266-3) S Z or T Y 6W;64-5777. i a"= WX AD APPLAos" L EVALUATION SITE AAgp A PROJECT NAhft 4' MM AG APFUrA" ❑ SYSTEM PAGE 2 OF PLOT PLAN D3 on" momp. Mach - opo Row wic for um H PIML ABT&f (TWW 38430M & 384JO45) W*LW Mr*xn at stouft rr 007-3 has i t PAW OF IM YZAV W" 4 �* or OW *%a. at !. A or N Wow or� UN 0 k Imoor c uw mm moo " mt am valmr Von& nommLar ���► NMI m �� � Comm � �s.M. �. �a �. �. eau jRj&W We M Lo If mww IV, I, FM CWAPM Sri le 4"Awa 1 "r a," sit ft" � t Ir f Q" • • l • + • +y.r i • r..l► a ram. i� t � �� • N`.� �„'... arts; 'r. �► Uff 11 4F 1 TOM fS{ I 'ry V64ou OUT iIJVJMM All rjw RIM, Nit sMEIM� 1150272 MH VM T a otim ST,CRM ctxoW1 oft jkj!Cj,,%" =/I P" XUWAM Mot VOWNE.- 32 P "n RIC PM 30.00 FARMM s �. A-NW1W4 i SM 2727P44t$W mw poW or j"MM Potty M Nwr "Mi • Peet MUNU MUM7 CW ++ alien ft Y man 301) ON ft 3w F 1 0 FOW 4�4=ftw RMOMMM r � �m LOU GOVr At WM y� � S MCOM AS DUMON 001n4 r, 1 Jun.27.2422 49:51 AN State Bar of Wisconsin Form i --2003 WARRANTY DEED Document Number 11 Document Name BY THIS DEED, Arik G. Feidt and Whitney O. Feidt, husband and wife (hereinafter "Grantor," whether one or more), convey and warrant to Brandon Walczak and Angela Walczak, husband and wife as survivorship marital property (hereinafter "Grantee," whether one or more), the following described real estate in St. Croix County, State of Wisconsin: Lot 5 of Certified Survey Map filed March 18, 2022, in Vol. 32 of C.S.M., pg. 7092, as Doc. No. 1150272; located in part of the Southeast Quarter of the Southeast Quarter (SEA/of the SE'/) of Section 34, Township 28 North, Range 16 West, in the Town of Eau Galle, St. Croix County, Wisconsin; being part of Lot 4 Certified Survey Map filed January 26, 2005, in Vol. 19 of C.S.M., pg. 4920, as Doe. No. 785904. Exception to warranties: easements, restrictions and covenants of record; highway and street rights of way; and Municipal and zoning ordinances and agreements entered under them; and further except real estate taxes accruing in the year of this conveyance. 1168104 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 06/ 21/ 2023 01:39 PM EXEMPT#: REC FEE 30.00 TRANS FEE 90.00 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area ................................................ _ . - Name and Return Address St. Croix County Abstract & Title Co., Inc. 575 N. Knowles Ave,, Suite #B New Richmond, WI 008-1096-80-500 Parcel Identification Number (PIN) This IS NOT Iiohie� Aid. C)TAF? ' r Le _0 a 3 Da'.d t -W 5 0\11- r r (SEAL(SEAL) * k1rik G. Feidt *Whitney O eidt AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) (SEAL) ACKNOWLEDGMENT STATE OF WISCONSIN r St. Croix. COUNTY THIS INSTRUMENT DRAFTED BY: St. Croix County Abstract Title Co., Inc. by Amy Monson at the direction of the Grantor. 23-S36477 (SEAL) Ss. Personally came before me on the day of June, 2023 , the above --named Arik G. Feidt and Whitney O. Feidt, husband and wife to one known to be the person(s) who executed the foregoing i•tist T yeti t and acknowledged the same. _....... .............. _ Notary Public, State of Wisconsin M Commission is permanent) (expires: y ( � (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM, ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 * Type name below signatures. St, Croix County 1168104 Page 1 of 1 r ate maranteed Rate ansel tal elm "coa for oil f r 01m I ot or. -TV, PACT, DEEDS REG151f R Of o I I I)EEI 5-f. CROIXrlY4 Ike .Coftt) )2%59 P" 9AP SECrO14 03118 y MAP Tjr Ujkvr VOEUJY 5'T CRW CC Ism TIT FIE F li,,IE S �JEA! EAU G ALLE E_ VOLUMv S2 ((Yvt4 or-, 'D SURYLAY Otp %100j VIES,(# I D PAGY-', 70192 as,OF tieSOUIHE,61QU A OF CERTIFIE "rOWASMIP 2a t4'01"" LGIUh�aFR 7850()-�eElt4c Tt785904, t4ulAsuk ITY wiscot4s�Or _19- [)OCUMEtAlout, A6z 492o, C 'UMF4 9 SLjWey MAP VOLUMt.: 1% follt4t) 7/8w 'Wt4 Roo .......... ncH mor4 785903. po%n'D '0AwION1),RA Eo EItZ %F0,L4D s3vi1v4 G. I4D, 92 F4j"C4FROG 1g.P 0- 1o,t4 3, COR4ER LS o1eSj,45a C.S4L. Do 7503 4T26N khGWN. 9.kMa9�q.�pt'q. tl)'7i%34-0- B 7emSET pN Q joa* WlDr, C,4 0 Vo�. 19, P EAS a Ito FROM lc)07 *ICE 07 t;5- 114 4. t4WI�fjj_ WF Roo QES 3,0.114.. Fovo 67-14•15' E '77238) SF-G. 34-77EN.Rj6w 772-41' " V, �mf 5 UN6_AX0 L MIN UN F. S L10% FE PR LO -s c of Ott FOR PRCWERIX l stc,1014 DA*lk atq BT 14'15" sm cou'�" V�l 011Z E 101.919 SUR Cq*7— v C 114 33 , 114 ' 6E _.--,mot LOT 6 a4 5, v "10 U Z P% vo�: 5,5304 z -06 ils 1, D . 41 IN l%ll uA UJ LOTUl CA rql) U-W v) (RA. 11,14 I , 14 NIN W pplA 2'605'361 ST. SSC,,4.T27N-Rl6\�l OLZ. NIE 114 - NE A14 GS" T2Tr4.1�16- )Rt4SR P Fj - � �"' 5- 4 SOUT"EAST R L 34, VOIJND LOT P ReAS LOT 5 5v tXG t4tlL FRO Nk� polt4T rM 114 . NF. 114 k-0-T 6 TOTAL 3.T27N'fklBV' 154,81 ol Sq. Fe*t SEC. rrOTAL OZA" 3,5511 &crts G51INID OF WAS. TOTAL AR-e k k. LJO 4 '8140, Sq. 3-5 54 hcrp Y. C r 0 tv I S-- IRON n 0 5T Sq. '.01 AI Tito Feet RO 0?18() Sq Eiaot Acre$ 1.5c) Les/1-r. farandon W- FOUND V4 t: mc�ED- swum LESS Rmr: 1ND rw CALC. GOVT CO Eau tulle I INV )U114 LIME ID PkS 011,"SION -0 HE SC W 0 SC(:n()N 341 REG1111), tj�Nls latAIRI�4�Q�U EIR 1#0 REFER04C op, FENCE R5,�.k.14 Of�CpFiggk-m SYSTC" FENCBG U3 i;o y Rl 611 W5'VA IS Nlt4 () "T s fig jj- T 12-ISN. C tA co rOR' of im ------- 1/18/2022 kRIK FEW WORK'. S RET6, (N-ND. 1531 MA\lLAp'0 lf, , ET% WE (.)F sELO 1/19/% 1g Zva+ YI�+TG2022 54002 LL C OF 0P*- CAS1014.. 3/15/2-o2*2 em-olv4p lei!LAST IR 00,11 f'\6 OF LAND D NAME: dw(j ()IV rJ241 IreldtA. I A _j_639-. silc@ sm till x0m BlylAIL', bkl « Aft 00000 I)c COUNTY NO. (�5� 2,12- ... .... ..... ... ....................... 2L�l FtffeC06 5`r.cR6/x RD. .... . .. ........ NOo -t zux Nit 1pilmnux `V" I q0 J` U 3 V V I R d OWNER epcoDoi i Arli AV oil L 1 Uff-'r M I E' 5h n E9 R �. L.- 91 dps.. W VY N 0"""" " F: � sr-ju 911 2 N 1 2� B"D L %d J% C AND/ xx LIU CSC q32---;bct2.)RDCF%.'9. Xk5b2,.'�2 SUBDIVISION L —>IXA AUTHORIZED ISSUING OFFICER. .. .. . . . . . .. .................... ............ - Ne y 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 a � � Y ]P Y 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: 1f you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. 1� TH"IS PERMIT EXPIRES 2oo- UNLESS RENEWED BEFORE THAT DATE . .. . .. ......... . SBD-06499 (RI 1/20)