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Septic - county permit and final inspection, 2016

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Sanitary Permit and Report of Final Inspection
Oneida County Planning and Zoning, Rhinelander, Wisconsin. Private onsite wastewater treatment system. Specimen
layout: the boxes follow the county form but this is not a copy of it.

 PROPERTY
 OWNER                                 SITE ADDRESS                           MAILING ADDRESS
 Raymond C. and Margaret               8815 Skein Lake Road,                  1846 Hawkstone Drive,
 A. Ostrander                          Minocqua                               Madison, WI 53711
 TOWN                                  PARCEL NUMBER                          LEGAL DESCRIPTION
 Minocqua                              MI-2214-7                              Lot 7, Sundquist's Skein
                                                                              Lake Plat, Sec. 22,
                                                                              T39N, R6E

 PERMIT
 COUNTY PERMIT NUMBER                  STATE SANITARY PERMIT NUMBER           DATE ISSUED
 OC-16-0417                            716203                                 June 20, 2016
 TYPE OF PERMIT                        REASON                                 FEE PAID
 Replacement of a failing              Steel tank, 1958, failed               $425.00
 system                                inspection of June 6,
                                       2016

 SYSTEM
 BUILDING SERVED                       BEDROOMS                               DESIGN FLOW
 One-family dwelling,                  3                                      450 gallons a day
 seasonal
 TYPE OF SYSTEM                        SEPTIC TANK                            PUMP CHAMBER
 Mound, pressure                       1,000 gallons, concrete,               500 gallons, with high-
 distribution                          with effluent filter                   water alarm
 DISTRIBUTION CELL                     DISTANCE FROM THE LAKE                 DISTANCE FROM THE WELL
 6 ft by 75 ft                         112 ft to the ordinary                 84 ft; 50 ft required
                                       high-water mark; 75 ft
                                       required

 PEOPLE
 SOIL TESTER                           DESIGNER                               INSTALLER
 Lyle Ahonen, CST 224018               Lyle Ahonen                            Kangas Excavating &
                                                                              Septic, Wayne Kangas
 INSTALLER'S LICENSE
 MPRS 228866

 FINAL INSPECTION
 DATE INSPECTED                        RESULT                                 INSPECTOR
 August 26, 2016                       Approved                               D. Brandner
 ALARM TESTED                          AS-BUILT PLAN FILED
 Yes: red light and                    Yes
 buzzer on the post at
 the pump chamber

 MAINTENANCE REQUIRED BY THE COUNTY
 INSPECTION AND PUMPING                    REPORT                                     FIRST REPORT DUE
 At least once every 3                     The pumper files it with                   August 2019
 years, by a licensed                      the county within 30
 pumper                                    days
 EFFLUENT FILTER                           MOUND
 Rinse when the tank is                    Keep vehicles and trees
 pumped                                    off; mow

The owner must keep this permit. A system that is not reported on time is treated as failing until it is inspected.

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Septic - county permit and final inspection, 2016 Document · saved Aug 30, 2016

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only_in_file The facts kept in one file and nowhere else. The long-term care daily benefit ($272.27) is only on the schedule. The life policy's cash value is only on its statement. The cabin's wind deductible ($7,700) and its theft and tree limits are only on its declarations. The house policy's jewelry sublimit, water backup limit and the rule about leaving the house empty in winter (condition 6.4, on page 5 of 8) are only in the policy. Ray's LDL of 68 is only on the lab sheet. Adjusted gross income for 2025 ($116,640) and for 2024 ($109,870) is only in each year's summary. The truck's title number is only on the title (that there is no lien also follows from the purchase receipt's "no loan"). The value of Peg's IRA is only on its statement. The septic system's design and the county's three-year pumping rule are only on the permit.

attachments.yaml 
record: doc-cabin-septic-permit-2016
template: document
style: form
title: Sanitary Permit and Report of Final Inspection
body: 'Oneida County Planning and Zoning, Rhinelander, Wisconsin. Private onsite wastewater treatment
  system.

  **Specimen layout: the boxes follow the county form but this is not a copy of it.**


  | Property | |

  |---|---|

  | Owner | Raymond C. and Margaret A. Ostrander |

  | Site address | 8815 Skein Lake Road, Minocqua |

  | Mailing address | 1846 Hawkstone Drive, Madison, WI 53711 |

  | Town | Minocqua |

  | Parcel number | MI-2214-7 |

  | Legal description | Lot 7, Sundquist''s Skein Lake Plat, Sec. 22, T39N, R6E |


  | Permit | |

  |---|---|

  | County permit number | OC-16-0417 |

  | State sanitary permit number | 716203 |

  | Date issued | June 20, 2016 |

  | Type of permit | Replacement of a failing system |

  | Reason | Steel tank, 1958, failed inspection of June 6, 2016 |

  | Fee paid | $425.00 |


  | System | |

  |---|---|

  | Building served | One-family dwelling, seasonal |

  | Bedrooms | 3 |

  | Design flow | 450 gallons a day |

  | Type of system | Mound, pressure distribution |

  | Septic tank | 1,000 gallons, concrete, with effluent filter |

  | Pump chamber | 500 gallons, with high-water alarm |

  | Distribution cell | 6 ft by 75 ft |

  | Distance from the lake | 112 ft to the ordinary high-water mark; 75 ft required |

  | Distance from the well | 84 ft; 50 ft required |


  | People | |

  |---|---|

  | Soil tester | Lyle Ahonen, CST 224018 |

  | Designer | Lyle Ahonen |

  | Installer | Kangas Excavating & Septic, Wayne Kangas |

  | Installer''s license | MPRS 228866 |


  | Final inspection | |

  |---|---|

  | Date inspected | August 26, 2016 |

  | Result | Approved |

  | Inspector | D. Brandner |

  | Alarm tested | Yes: red light and buzzer on the post at the pump chamber |

  | As-built plan filed | Yes |


  | Maintenance required by the county | |

  |---|---|

  | Inspection and pumping | At least once every 3 years, by a licensed pumper |

  | Report | The pumper files it with the county within 30 days |

  | First report due | August 2019 |

  | Effluent filter | Rinse when the tank is pumped |

  | Mound | Keep vehicles and trees off; mow |


  The owner must keep this permit. A system that is not reported on time is treated as failing until it
  is inspected.

  '