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HomeMy WebLinkAbout25-1SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax this form to Zoning Dept (24 Hrs.) prior to when you want an inspection — (715) 373-0114 If you do not have a fax and must email the inspection; you must email all staff members. Note fl Time Change fl Discrepancy fl Other Phone Number 715-413-0122 Plumber: Superior Plumbing & Mech. Inc. Fax Number Email Address Homeowner: Todd Bonney - Bayfield Prop LLC ed@superiorpmw.com Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: 25-1S Plumber's Choice g Dept No Inspection(s) during this time Date: 11/3/25 Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice a 'ng Dept Time: , 11:00 Township: Bayfield Address # & Road Name: 86405 St. Hwy 13 Bayfield or ✓� Directions To Site: Comments: Tank delivery is at loam ** Plumbers you must verify any change(s) by fax or email ** Notes from Wforms/sanitary/requestforinspection Zoning Dept (®4/12/04); ® June 2023 ,EpAM1TIftyT � ,,L� gPsak �xnumA� Industry Services Division General Information Private Onsite Wastewater Treatment Systems ( POWTS) Inspection Report (Attach to Permit) BONNEY-BAYFIELD PROP LLC PO BOX 10 C BAYFIELD WI 54814 Tank Information TYPE MANUFACTURER CAPACITY Prop. Line Well Building Air Intake Road Septic N/A Dosing N/A Aeration N/A Holding Privacy Law, s. 15.04(1) City fl Village setback to: of: County �1 Sanitary P I No: State Plan Transaction ID#: Parcel Tax Nod Pump I Siphon Information Pump Manufacturer Pump Model Demand GPM Filter Manufacturer Filter Model TDH Lift Friction Loss Head Total Forcemain Length Dia Dist. To Well Dispersal Cell Information DIMENSIONS Width Length # of Cells SETBACK FROM Prop. Line Building Well OHWM Type of Cell Manufacturer: Model Number: Pretreatment Unit Manufacturer: Model Number: Distribution System Elevation Data STATION BS HI FS ELEV Benchmark Bldg. Sewer Tank Inlet Tank Outlet Dose Tank Inlet Dose Tank Bottom Inst. Contour Header! Manifold Distribution Pipe Infiltrative Surface Final Grade X Pressure Systems Only Header / Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia Length Dia Spac Spacing ❑ Yes ❑ No Soil Cover Depth Over Depth Over Depth of Seeded! Sodded Mulched Cell Center Cell Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Plan revision required? 0 Yes 0 No Use other side for additional information. Date RRnA71n rR n' ni POWTS Inspectors Signature License Number Property Owner Information As you know BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(Wbayfieldcountv.wi.gov Web Site: www.bayfieldcounty.wi.gov/147 BONNEY-BAYFIELD PROP LLC PO BOX 10 BAYFIELD WI 54814 onsite wastewater treatment system on your property described as: Notes: Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 was contracted by you to install a private Abandonment of Old System to meet all applicable code requirements: C Tank was pumped by: •) Tank was crushed! removed and pipes disconnected by: on at AM/PM On at (AM I PM) the above -mentioned plumber contacted our office to conduct a pre -cover inspection as required under DSPS 383. One of the following applies: ❑ System was inspected and appears to meet all applicable code requirements. ❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision is necessary because the installation was substantially different than the original approval. ❑ System could not be inspected because plumber covered prior to scheduled time of inspection. ❑ System could not be inspected because plumber was not ready at scheduled time of inspection. County was unable to return to complete inspection. System could not be inspected because plumber was not ready at scheduled time of inspection. A re -inspection and $50 fee are required. ❑ System could not be inspected because County could not respond to plumber's time constraints. Uttorms/sanitarypropertyowner-input Apri12019 POWTS HOLDING TANK INSPECTION REPORT /ATTA!`LJ Tn otor�AIT\ BONNEY-BAYFIELD PROP LLC PO BOX 10 BAYFIELD WI 54814 TANK INFORMATION TYPE MANUFACTURER/MODEL# CAPACITY � I Hero n /"l0 OC I I F".J Property Line Well Water Service Building All -Weather OHWM Swimming Pool Road ` I DEVIATIONS FROM APPROVED PLAN COMMENTS (Persons present, discrepancies, etc.) cktDct tuh, 9acd dowI\i ( u huh czry Wi5C nee+ COMPONENTS NOT INSPECTED _40v*,# maKhdt1 eovfl f risers I lur S f `; Plan Revision equired ❑ Yes o a Signature of Inspe or: Cert. Number �UG4 Sketch on other side 10 of 13 M Ss - C 9Ccq industry Sen'ices Division Cumaw pgr^_ 4822 Madison Yards Way,. Bayfield I SolulaN Pennit Nualber 110 be filled in by Co.) .•�S - '. PSt.✓ Madison. WI$370$.r P.O. Box 7}p? Madison.WIS3�B7 DEC. 26 IU _^c as iJ Sanitary Permit Application State TransactiouNttmber In accordance with SPR 383.211_21. R'rs Adm. Colic. submission of this (oral to the appropriate ,_ovennentnl tutu is requited prior in obtaining a sanitary pemct. Note: Application loans for state-owned PO\VTS are submitted to Project Address tiif different titan mailing addressl the Department of Safely and Professional Services. Personal infomwtimn you provide nay be used (or secondary purposes in accordance "lilt the Privacy Lau•. S. 15.04(1 Mm). Sun. 86405 St. H 13 Bayfield wy I. Application Information — Please Print AB Information Propeay Owner's Nance y Parcel; Bonney-Bayfield PA* LLC 4605 Property Owner's Mailing Address Property Location PO Box 10 Oon. Lot City, Stan: Zip Code Phone Numhcr Bayfield, WI 54814 715-209-1645 NW , ,SE Section 12 T 50 N R 4 E or W I Tape of Building (check all that apply) Lout al or 2 Fancily Dwelling — Number of Bedrooms $ Subdivision Name fj'ubhc/c'onrnwicinl — Describe Use Block City of State Owned — Describe Use Village of CS?f Number Q✓ Town of Bayfield 1111. Type of PO\\TS Permit: (Check either "New" or "Replacement" and other applicable on tine A. Check one box on line B. Complete true C i n Ucable.) A• []xAr System 1--1_ I pceplacemenr System ❑Other Modification to Existing System texplaiul Additional Pretreatment unit lexplaiuI " ]Holding Tank Dhl•Gronml IDM-Grulr I�.Alound hidividual Site Design Other Type (explain) (conentionall '• Renewal Before ❑Revisiaa JChangc of Plumber Orransfer to New Owner 1st Previous Permit Number and Date Issued Expiration IV. D)s ercaVfreatnrent Ann and Tank Information: Design Floe lgpd) Design Soil Application Ratelgptt/sn I Dispersal Area Required Isfl lflispernal Area Proposed (all I System Elevation 450 NA INA NA NA Capacity in Total a or Manufacturer Tank Infannatilm-n Gallons Gallons Units * 2 , u Ne. Tank, Eshiiuptiok. •2 t E ! isC a seem. M Hmdh,a Tank x I 2000 1 Wieser Concrete lJ✓ Frotiuy CLmnLer V. Responsl6Nh• Statement- F. the undersigned, assume napoastblllty (or Installation of the POWIS shown an the attached plans. Plumbers Name 1Print) Plutber's Signature., I MIPAMPRS Number I Business Phone Number Edward B. Redinger 221939 1715-292-6670 Plumber's Address (Street, City. State, Zip ('ode) 1015 11th Ave. E. Ashland, WI 5 06 ment Use Only \ �'riapproved Drninl Sco tFet 5100 n ssud l'5)24u- lssui A tSi hire ruvr Ciiwn Hent+m five maVReasons for Disapproval Kof L'., t, ie { z s ` tCetom &L Ccarcck-- Attach to compute pba, for the iyztrm and mbmtt to the ('uoaty nob- nit paper uo, te,,, thou a 1,2 s r I ruche, ru do. SBD-6398 (R. 02/22) PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet JILL 2 L ZUL4 Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan cr: Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appli Holding Tank Agreement (if applicable) Project Name I Description 3 Bed Holding tank plicable) cable) Owner Name(s): Bonney- Bayfield Prop LLC Phone: 715 -209 1645 Owner Address: PO Box 10 Bayfield, WI Zip: 54814 Project Address: 86405 St. Hwy. 13 Bayfield, WI Govt. Lot: NW 1/4 of SE 1/4, Section 12 , T 50 N -R 4 ED or W ❑✓ Township: Bayfield county: Bayfield Project Parcel ID #: 4605 Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11th Ave. E. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone: 715 -292 -6670 Zip: 54806 Fhiph Signature: t Date: 12/26/24 Original signature required on each submilt copy. ILL I , II \i7 `-rrI' ? 99024 SUPERIOR PLUMBING MECHANICAL (715) 278.3456 CST# 221939 Scale: 1"=40 1 yd e PIN: 4605 7.7 Acres NW SE S12 TS0N R4W Town of Bayfield Bayfield Co. Jan -4JeI Customer Name: Bonney -Barfield Prop LLC Adress: PO Boc 10 Bayfield, WI 54814 SITE: 86405 St. Hwy 13 Barfield, WI Phone #: 715-209-1645 Email: bayfieldconstruction@hotmail.com P4 4 N ,066 rl Ih/d'1 t k Vi PAGE 3 OF 4 frr 2 52024 HOLDING TANK SPECIFICATIONS (No Scale) Electrical must comply with SPS 316 and NEC 300 Weatherproof 12" Min. or 2.0 k above —Junction and Approved Established Flood Elevation Alarm Box Vent Cap (typical) Approved Locking Manhole 4'"� Vent PI Pe with Warning Label Attached Conduit 10 ft from (typical) 4" Min. or 2.0 ft above Building Established Flood Elevation (typical) Airtight Seal Finished Grade 18" Min. v (typical) < . A __ 4.*:.:.A1 a.. G Inlet Inlet Invert —Watertil Approved Joints with f IPlug Approved Pipe 3 k onto Max. 12" or 90% of total volume Solid Ground If more than one tank d � Alarmlln .. HOLDING TANK VOLUME = 2000 gal 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser Concrete Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( cu.ft. x 62.4 Ibs/cu.ft) - Ibs] x 1.5 = Ibs PAGE 4 OF 4 Holding Tank Management Plan IMPORTANT: IL 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 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system Li - o nuisance factors (Le. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) 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: Superior Plumbing & Mech. Inc. Local government unit: Bayfield Co Zoning Phone: Local government unit address: 117 5th St. E. Washburn, WI Phone: 715-292-6670 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. ICD f 4" CAST -A -SEAL 24„ T 164" 4" CAST -A -SEAL FILTER OR BAFFLE TOP VIEW OUTLET 0 n :4j - V � � Q O - M U 7 a d - 0) � V PUMP PAD SIDE VW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP2000- MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: SEPTIC 3" HEAVY DUTY 5" (ADD 2,800 LBS,) COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" O,D. LENGTH: 164" O.D. WIDTH: 96" 0.0. BELOW INLET: 41" O.D. LIQUID LEVEL: 36" WEIGHT: BOTTOM 11,260 LBS. COVER 8,170 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) 'a¢ a a o G 'c LIQUID CAPACITY: 56.27 GAL/IN Lit 0 LOADING DESIGN: 8' 0" UNSATURATED SOIL HOLDING TANK: x CO C OUTLET HOLE PLUGGED z "t �I ACTUAL CAPACITY: 2,138 GALLONS ':7' z MN TANKS: WILL HAVE ONE VENT OVER OUTLET a U) AND WILL HAVE TWO VENTS IN COVER OVER INLET )(N1 � TANK CAN BE USED AS: '-0 W ■ SEPTIC/ HOLDING/ PUMP OR SIPHON COVER: MIX DESIGN #8 (NO FIBER) 9 TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE o. N' Z < m JOB INFORMATION: U CUSTOMER: IL UW) JOB NAME: w DATE HEEDED: D' SHEET NO. APPROVED BY: APPROVAL DATE: �pF 1 HOLDING TANK — MANAGEMENT PLAN DEC 2 o Y024 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. 1. This POWTS has been designed to accommodate a maximum daily flow -of gallons of domestic wastewater per day. 2. The owner of this POWTS is responsible for system operation and maintenance, locking device, alarm and access. 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 NbJ1/4 of ≤t114 Section] Township $=d N. Range W. Town of Govt. Lot Lot Block Subdivision CSM# Additional Legal Description erty Owners Sig informsfmanage mentpIan Da(e Revised: July 2013 HOLDING TANK SERVICING CONTRACT Contract Date This contract is made between the Holding Tank Owner(s) Name(s) Pumper's Name (Print) Pumper's ignatur Pumpers' Registration # We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT I Legal Description: Taa D / 4 1 1/4 0. 1/ LOCATION (Use Tax Statement) f� O [sm� Section ` a ,Township �O N, Range w Town of./ / J. Lot Size Acreage are id 47 2 Govt Lot Lot a rSM H Vol. Page CSM Dot U Lot(s) No. Block(s) Na. subd blon: 1. The owner agrees to file a copy of this contract with BaVfield 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. Name(s) (Print) Owner's Signature(s) Revised: May 2016 (®May 2018) Personal information you provide may be used for secondary purposes [Privacy Subscribed and Sworn to me: on this ^^ - day __of,,��'��,, QQ,,..� ���, `finn by (�GC./U3La JLiru.tztr/ . Cy Notary Public 101 My fission expires on: b/IOCF /obi (omst^�k Drafted by Tbb IX:1:i r -t Soi Test # Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) U 4 i 'i 3Ku t lam' Z?trih 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. Property Owner ��NuiY aYi-"i+ �d PKue. LLL Contractor Property Address 8 ,c5 Sr Hi.'Y 13 Authorized Agent fiiY f L4 D s ____ Agents Telephone, Telephone 7Is- 30V - I, 7t Written Authorization Attached: Y or N Accurate Legal Description is requested: NH/ 114 of 5£ 114 Section' Township ro N. Range `7' W. Town ofjsrtTF+" Lb Govt. Lot Lot Block Subdivision CSM# Volume Page of Deeds Parcel I.D# `/�&��-� Acreage `% Additional Legal Description Indicate reasoning for your determination: CL/It Si T'L 4 /IR4 wA/ Signature of County Official Date a- Signature o Certi ed Soil Tester 7/ 7�-) Date Certification # (Submit a Plot Plan & Fee) u/fouls/scdtestwarver(Kt K) Pabruaiy 2006 x,NNt vfx LD POP. t« IVW St 51..2 TS-o%rk'YGV 7L',' $fALb ,I3,jfzc ay 7..7 f}cKts tAs4&c 4a- CST#7''81VLF 1] p#in apfa uza S /f) \N G •1 / / std' €oP. LY05 // Document Number/Plan I.D. No. HOLDING TANK AGREEMENT Owner Name (s) ppy_'3q '� Owner(s) Mailing Address pQ5Jfx / � , Parcel Identifier Number (PIN) Agre ment Date (same as Notary Date) 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. AA1/4 of i5 1/4 Section/ S Township Co N. Range 9W. Town of Additional Legal Description: Ice Gov't Lot _ Lot_ Block_ Subdivision CSM#_ Lot_CSM # Vol _Page _CSM Doc# DOCUMENT NUMBER 2024R-606024 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 12/26/2O24 AT 2:57 PM RECORDING FEE: $30.00 PAGES: 3 I Return To: 13ay4'. e ld Car 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, Slats., 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, Stats. 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 by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR1 13, 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. Slats., 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 property 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. G Owner(s) Name(s) — Please Print A Subscribed and sworn to before me on this date: / C so -'- /©2' oo-oii'o`iY 1� atntyyG�Rt Notarized Owner(s) — Signature(s) No P blic \ s flI �, 5 Wisconsin My Commission Expires: O ONTY O1-06 oa � y Drafted by: 6 � n ac4 Date: /&-&�- . r - T _ 27 �)O74 Personal Information you provide may be used for secondarypurposes [Privacy Law, 5.1504 (J(m)I Wrorms/sanllerymmddingiankagreemenf.doc ®June 2018 — LenL Description s„ Parcel 1: That part of the North Half of the Northwest Quarter of the Southeast Quarter (NVaNWIASE'/a), Section Twelve (12), Township Fifty (50) North, Range Four (4) West, Town of Bayfield, Bayfield County, Wisconsin, lying west of the Dalrymple Boulevard as it crosses said Government Subdivision; LESS A parcel of land in the Northwest Quarter of the Southeast Quarter (NW'/4SE'/4), Section Twelve (12), Township Fifty (50) North, Range Four (4) West, Town of Bayfield, Bayfield County, Wisconsin, described as follows; Commencing at the Southwest Corner of the Northwest Quarter of the Southeast Quarter (NW'/4SEVa), thence running North along the quarter line 660 feet; thence running due East to the center of Highway 13; thence running Southwesterly along the center line of Highway 13 to the south line of said NWY45E'/a; thence West along the south boundary line to the place of beginning LESS the South 340 feet thereof. AND LESS A parcel of land In the Northwest Quarter of the Southeast Quarter (NWT/4SEVa), Section Twelve (12), Township Fifty (50) North, Range Four (4) West, Town of Bayfield, Bayfield County, Wisconsin, described as follows: Commencing 760 feet North of the SW corner of the NW'/aSEVa thence running South along the quarter line 100 feet; thence running due East to the center of Highway 13; thence running Northeasterly along the center of Highway 13, 100 feet; thence West to the place of beginning. DEC 2770Z4 ZUZ4 Real Estate Bayfield County Property Listing Today's Date: 12/26/2024 Lam' Description Updated: 9/25/2023 Tax ID: 4605 PIN: 04-006-2-50-04-12-4 02-000-20000 Legacy PIN: 006102705000 Map ID: Municipality: (006) TOWN OF BAYFIELD STR: 512 T50N R04W Description: PAR IN NW SE IN DOC 2021R- 590643 LYING W OF DAL BLVD 203 Recorded Acres: 7.770 Calculated Acres: 7.942 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 105 'S Tax Districts Updated; 11/19/2009 1 STATE 2 -Year Comparison 2023 2024 Change 04 COUNTY Land: 73,900 71,300 -3.5% 006 TOWN OF BAYFIELD Improved: Improved: 7,200 7,200 0.0% 040315 SCI-IL-BAYFIELD 81,100 78,500 -3.2% 001700 TECHNICAL COLLEGE 047060 PIKES BAY SANITARY Property Status: Current Created On: 3/15/2006 1:14:54 PM 40 Ownership Updated: 10/2/2020 BONNEY-BAYFIELD PROP LLC BAYFIELD WI Billing Address: Mailing Address: BONNEY-BAYFIELD PROP LLC BONNEY-BAYFIELD PROP LLC PO BOX 10 PO BOX 10 BAYFIELD WI 54814 BAYFIELD WI 54814 19 Site Address * indicates Private Road 86405 STATE HWY 13 BAYFIELD 54814 15 Property Assessment 2024 Assessment Detail Code GS -RESIDENTIAL G6 -PRODUCTIVE FOREST Updated: 3/18/2024 Acres Land Imp. 2.000 63,800 7,200 5.770 7,500 0 Recorded Documents Updated: 3/15/2006 property History 91 WARRANTY DEED N/A Date Recorded: 10/1/2020 2020R-584541 ® QUIT CLAIM DEED �1 Date Recorded: 12/29/2022 2022R-597620 U) L ���- b i 'Jl LS Date Recorded:{ CORRECTION INSTRUMENT 8/31/2021 2021R-590643 IJ �CL 271 1 CONVERSION Date Recorded: 505-145;548-95;505-145 Bay(leld CO. LGiilny Depl. Cw`1 1/6/25,1:50 PM STATEMENT RE Real Estate Tax Statement BAYFIELD COUNTY, WISCONSIN Printed: 1/6/2025 1:50:39 PM BONNEY-BAYFIELD PROP LLC PO BOX 10 BAYFIELD WI 54814 Ownership BONNEY-BAYFIELD PROP LLC, Tax ID: 4605 Legacy PIN: 006102705000 PIN: 04-006-2-50-04-12-4 02-000-20000 Property Description Site Address: 86405 STATE HWY 13 Municipality: TOWN OF BAYFIELD Description: (Not for use on Legal Documents) NWSE S12 T50N-R04W PAR IN NW SE IN DOC 2021R- 590643 LYING W OF DAL BLVD 203 Document: 2020R-584541 Acreage: 7.770 2024 Assessments Code Acres Land Impr. Total G1 - RESIDENTIAL 2.000 63,800 7,200 71,000 G6 - PRODUCTIVE FOREST 5.770 7,500 0 7,500 Total Values: 7.770 71,300 7,200 78,500 Estimated Fair Market Value: 121,900 BONNEY-BAYFIELD PROP LLC PO BOX 10 BAYFIELD WI 54814 TAX RECORDS - KEY TO CODES RE = Real Estate SA = Special Assessments PF = Private Forest LC = Lottery Credit SC = Special Charges MFLO = Managed Forest Land Open FD = First Dollar Credit DU = Delinquent Utilities MFLC = Managed Forest Land Closed NNN THERE ARE NO PRIOR DELINQUENT PAYMENTS DUE NNN Tax Due: 1,704.70 (83.67) (0.00) 1,621.03 0.00 0.00 0.00 0.00 0.00 0.00 1,621.03 Tax Paid: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Balance: 1,621.03 0.00 0.00 0.00 0.00 0.00 0.00 1,621.03 Pay your 2024 taxes to TOWN OF BAYFIELD Treasurer thru January 31, 2025. Tax ID 4605 Total Due For 2024 Tax: 1,621.03 Tax ID 4605 Total Due if paid on or before the last day of: January, 2025 V 1,621.03 If paid after July 31 contact the County Treasurers Office or Print a new statement from www.bayfieldcounty.wi.gov Pay 0.00 to this treasurer. Bayfield County Treasurer JENNA GALLIGAN, PO BOX 397 WASHBURN WI 54891 Phone: (715) 373-6131 Credit Card Pay Site https://www.bavfleldcounty.wi.gov/151/Treasurer Py 1,621.03 to this treasurer. TOWN OF BAYFIELD BILLIE HOOPMAN PO BOX 742 BAYFIELD WI 54814 Credit Card Pay Site https://www.govpaynow.com/gps/user/cygplc/a0038z https://novus.bayfieldoounty.wi.gov/access/master.asp 1/1 C Industry Services Division Commv 4822 Madison Y s Was, �.- Bayfield Sanilanl Permit Nunlberlto be tilled in by C'o.l $ Madison. 1V154/05 _ P.O. Box 7:11:! Madison. \1'153707 ��( 26 35 •1 CJ -1i Sanitary Permit Application Slat` Transaction Nader In accordance with SPS 3c3.2101. Wls Adm. Code, submission of this torn to the appropriate govenunental unit is required prior to obtaining a sanitary penult. Note: Application forms for stareowned POWTS ore submitted to Project Address (if different than mailing addre;cl the Department of Safety and Professional Services. Personal infonnatiotl you provide truly be used for secondary purposes in accordance with the Privacy Law. S. 13.0.11 Sin). Mats, 86405 St. Hwy 13 Bayfield 1. Application Information - Please Print Ali Information Property (hvner's Name ,ry> Parcel Bonney-Bayfield PLLC 4605 Property Owner's Mailing Address Property Location PO Box 10 Govl. Lot City, State Zip Code Phone Number Bayfield, WI 54814 715-209-1645 NW ,: sE section 12 '5° N R 4 E or W U. Type of Building (check all that apply) Lot n [at or 2 Family Dwelling -Number of Bedrooms.' Subdivision Name OhibhciConuneicial- Describe Use Block: iry of ❑State Owned- Describe Use 'illageof CS\t Number �✓ Town of Bayfield Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C 1 a 6cable.) A. <ve System r-7, l pcePlacemenl System DDther Modification to Existing System (explain) ❑Addnioual Preurnmrem Unit Iexplatnl ' ✓f noidia Tank g �In•Grouud �t. Grade \tonuJ ❑, Individual Site Design Other Type (explain) tconventional l ( • Renewal Before Revision jchange of Plusher ❑irmsfena New Groner in Previous Permit Number and Due Issued Expiration IV. DispenaVlreatment Area and Tank Information: Design Flow Igpd) Design Soil Application Rate(gpdsfl I Dispersal Area Required Istt I Dispersal Area Proposed(sn System Elevation 450 NA INA NA NA Tank hrfunnali(m Capacity in Gallons Total Gallons of Units Manufacturer m •9 $ 3 C 4 Nco Tulka Eannup Tint. cCa in s Lv a. Se,+1n «Hnldinp Tank x 2000 1 Wieser Concrete ✓ nouua Clulnhu O V. Responsibility Statement- I. the undenlgued, assume respouslblllty for lnstalatlun of the POWTS shown on the attached plans. Plumber's Name IPrintI Plumber's Signanzre. Edward B. Redinger &,_J I MP/MPRS Number 221939 I Business Phone Number 715-292-6670 P autber's Address (Street. City. State, Zip ('ode) 1015 11th Ave. E. Ashland, WI 5 06 41ountWIkpnflment Use Only tb 3.gonoyrd Disapplovei I Pee`Amrit Fro S `' QU y r sued I J Isms A 1 S1 true (honer Given aearm fir penui 5 LC for Disapproval(i�rLl,A.t:/1t %o�lAppnv%ibtReasons " �'� n- (. ..11.k- Oe ' c Z s' L' Sit C�I!\c CI wrlarn la rougnaeput ter it,, awew and ubuilt is the('Wmy only an paper nn lest 'hen 81n a 11 tnA+ra 1u its. SBD-6398 (R. 02122) ORIGINAL IJ_Te KOIWI Holding Tank Plan Index & Cover Sheet DEC 2 6 2024 Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan Bayfield Co. Zoning Dept. Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appli Holding Tank Agreement (if applicable) Project Name / Description 3 Bed Holdino tank Owner Name(s): Bonney- Bayfield Prop LLC Phone: 715 _209 Owner Address: PO Box 10 Bayfield, WI Zip: 54814 Project Address: 86405 St. Hwy. 13 Bayfield, WI Govt. Lot: NW 1/4 of SE 1/4, Section 12 , T 50 N -R 4 E ❑ or W C Township: Bayfield county: Bayfield Project Parcel ID #: 4605 plicable) cable) 1645 Designer Information Designer Name: Edward B. Redinger Designer Address: 1015 11 th Ave. E. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone:715 -292 -6670 Zip: 54806 Signature: Date: 12/26/24 Original signature required on each submitt copy. DEC262024 PAGE 3 OF 4 hDEC 262024 HOLDING TANK SPECIFICATIONS ieldCo.ZoningDept. (No Scale) Weatherproof 12" Min. or 2.0 ft above Junction and Approved Established Flood Elevation Alarm Box ypical) must comply with Approved Locking Manhole SPSEct31 SPS 316 and NEC 300 4'0 VentPipewith Warning Label Attached Conduit >1 (typical) 4' Min. or 2.0 ft above B Established Flood Elevation ' (typical) APpe " Alrtlght Seal °Finished Grade 18" Min. (typical) e; Inlet Inlet Invert 5: Approved Joints with —WaterlIght Plug _ Approved Pipe 3 ft onto Max. 12" or 90% of total volume Solid Ground If more than one tank e 4 HOLDING TANK VOLUME = 2000 gal y 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser Concrete Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( cu.ft. x 62.4 lbs/cu.ft) - Ibs] x 1.5 = Ibs 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 Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (Le., pumps, valves, switches, floats, etc.) 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: Superior Plumbing & Mech. Inc. Phone: 715-292-6670 Local government unit: Bayfield Co Zoning Local government unit address: 117 5th St. E. Washburn, WI 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. C] rut 164" ci 4" CAST -A -SEAL 4" CAST -A -SEAL 024"em FILTER OR BAFFLE TOP VIEW INLET - - - OUTLET ___ ___ .F. I PUMP PAD SIDE ME TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP2000-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: SEPTIC 3" HEAVY DUTY 5" (ADD 2,800 LBS.) COVER: 6" MANHOLE: 24" I.D. PRECAST CONCRETE RISER HEIGHT: 53" O.D. LENGTH: 164" O.D. WIDTH: 96" O.D. BELOW INLET: 41" O.D. LIQUID LEVEL 36" WEIGHT: BOTTOM 11,260 LBS. COVER 8,170 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: 56.27 GAL/N < o o 6 c LOADING DESIGN: 8' 0" UNSATURATED SOIL W HOLDING TANK: vgo 0If1 OUTLET HOLE PLUGGED co co ACTUAL CAPACITY: 2,138 GALLONS C7 0 MN TANKS: WILL N HAVE ONE VENT OVER OUTLET N') AND WILL HAVE TWO VENTS IN COVER OVER INLET W 2 I O � TANK CAN BE USED AS: O ro SEPTIC/ HOLDING/ PUMP OR SIPHON 0 COVER: MIX DESIGN #8 (NO FIBER) S TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: C FOR CUSTOM TANKS CONTACT WIESER CONCRETE o Z I o Q Z JOB INFORMATION: w a CUSTOMER: N w (f) JOB NAME: 0' DATE NEEDED: SHEET NO. APPROVED BY: APPROVAL DATE: ._-"OF 1 ECLEoVE D HOLDING TANK — MANAGEMENT PLAN DEC 261024 Bayfield Co. Zoning Dept. 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 Sd gallons of domestic wastewater per day. 2. The owner of this POWTS is responsible for system operation and maintenance, locking device, alarm and access. 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. 7. 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 1//31/4 of ≤e114 Section/a- Township Sd N. Range' W. Town of &y (Je Ad Govt. Lot Lot Block Subdivision CSM# Additional Legal pios&ty Owners Signatur ulfonnslmanagementplan Da e Revised: July 2013 HOLDING TANK SERVICING CONTRACT n Contract Date /?7 %'a21 This contract is made between the Holding Tank Owner s) Name(s) DEC 2_ t:2024 Pumper's Name (Print) Pumper's ignatur Pumpers' Registration # We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT I Legal Description: Taxi /,tt,�,�'� jVGJ 1y4, 1y4, LOCATION/ (Use Tax Statement) /�65 y5 /� Section ! d ,Township ≤C) N, RangeIN Town of: Lot Size Acreage d� I� 7 GoVt Lot Lot if CSM If Vol. Page CSM Dec if Lot(s) No. Block(s) No. Subd ision: 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 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. Owner(s) Name(s) Revised: May 2016 (®May 2018) Personal information you provide may be used for secondary purposes [Privacy Subscribed and Swom to me: on this day of _____________ ________ 3 by' Vr u.(t/ [. cH Notary Public GrT to My ission expires on: thOu ob s_ Drafted by /�• I�D tom' 'I r Soil Test # —� Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) _ IU24 I &ci L✓ L>LR1<fpV tA/ 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. Property Owner PcNutylAYfTs-L6 PcevY LLC Contractor Property Address ST I1W / /3 Authorized Agent l�SflY4f'G`ub . W 4t- .3 YS/y Agent's Telephone __ Telephone 7J5-- aog - /C cf S Written Authorization Attached: Y or N Accurate Legal Description is requested: NH/ 1/4 of SF 114 Section /a Township fo N. Range `y W. Town ofi3i4tu7 Lb Govt. Lot Lot Block Subdivision CSM# Volume Page of Deeds Parcel I.D# Acreage Additional Legal Description: f( '/ rf Indicate reasoning for your determination:_ CLAY sI 4 I7 T Zca/ii F Ss /%.tom V ., S£ftSch/�c_. /c%A7rvy. Signature o •Certified Soil Tester 7/z o2oa3 Date Certification # Signature of County Official (Submit a Plot Plan & Fee) Date uttormsfsoifesewawer(K LK) February 2005 NNF /-BaYfzl LD PAP. tic Pflc a a of ,uwsc_sizrsonr,�yw of 1 E 4.Lh ' 14tFFlcLd cry Ii I1 77 ncki 5 DL 2 uz4 7/24(23 zc 7$7Jc' a$1 LEIj 'RoP. L =£ r- 7 I.D. No. I HOLDING TANK DOCUMENT NUMBER 2024R-606024 •I Identifier Number (PIN) Agre ment Date (same as Notary 4%60 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. A 4J 1/4 of 5 1/4 Section/ a Township SO N. Range '9 W Town of e Additional Legal Description: - Ge ) Gov't Lot — Lot_ Block_ Subdivision CSM# Lot_CSM # Vol _Page CSM Doc# DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 12/26/2O24 AT 2:57 PM RECORDING FEE: $30.00 PAGES: 3 Return To: 1 i3ol.yC: e id CO Zrn Png 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 by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Scats., 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. Stats., 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 property 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. Owner(s) Name(s) — Please Print Subscribed and swom to before me on this date: - A��d a(-ava5/ y ZX of Notarized Owner(s) — Signature(s) NotaryP blic s Wisconsin My Commission Expires: G Drafted by: /c rii� icon g cL Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 ()(m)] _4�O Date: /07 - - �U a f.,EC 4 Wrormarmnitarymddingtankagreement.doc ®June 2018 Bayfield Co. Zoning Dept. Legal Description Parcel 1: That part of the North Half of the Northwest Quarter of the Southeast Quarter (N'/2NWI/4SE'/4), Section Twelve (12), Township Fifty (50) North, Range Four (4) West, Town of Hayfield, Bayfield County, Wisconsin, lying west of the Dalrymple Boulevard as it crosses said Government Subdivision; LESS A parcel of land in the Northwest Quarter of the Southeast Quarter (NW'/45E'/4), Section Twelve (12), Township Fifty (50) North, Range Four (4) West, Town of Bayfield, Bayfield County, Wisconsin, described as follows; Commencing at the Southwest Corner of the Northwest Quarter of the Southeast Quarter (NWV4SE'/4), thence running North along the quarter line 660 feet; thence running due East to the center of Highway 13; thence running Southwesterly along the center line of Highway 13 to the south line of said NW'/4SE'/4; thence West along the south boundary line to the place of beginning LESS the South 340 feet thereof. AND LESS A parcel of land in the Northwest Quarter of the Southeast Quarter (NW'/4SE'/4), Section Twelve (12), Township Fifty (50) North, Range Four (4) West, Town of Bayfield, Bayfield County, Wisconsin, described as follows: Commencing 760 feet North of the SW corner of the NWIASE'/4 thence running South along the quarter line 100 feet; thence running due East to the center of Highway 13; thence running Northeasterly along the center of Highway 13, 100 feet; thence West to the place of beginning. ULC 2 7 2024 Bayfield Co. Zoning Dept Real Estate Bayfield County Property Listing Today's Date: 12/26/2024 Description Updated: 9/25/2023 Tax ID: 4605 PIN: 04-006-2-50-04-12-4 02-000-20000 Legacy PIN: 006102705000 Map ID: Municipality: (006) TOWN OF BAYFIELD STR: 512 T50N R04W Description: PAR IN NW SE IN DOC 2021R- 590643 LYING W OF DAL BLVD 203 Recorded Acres: 7.770 Calculated Acres: 7.942 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 105 I Tax Districts Updated: 11/19/2009 1 STATE 04 COUNTY 006 TOWN OF BAYFIELD 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE 047060 PIKES BAY SANITARY Recorded Documents Updated: 3/15/2006 ® WARRANTY DEED Date Recorded: 10/1/2020 2020R-584541 E2 QUIT CLAIM DEED Date Recorded: 12/29/2022 2022R-597620 ® CORRECTION INSTRUMENT Date Recorded: 8/31/2021 2021R-590643 ® CONVERSION Date Recorded: 505-145;548-95;505-145 Property Status: Current Created On: 3/15/2006 1:14:54 PM s2 Ownership Updated: 10/2/2020 BONNEY-BAYFIELD PROP LLC BAYFIELD WI Billing Address: Mailing Address: BONNEY-BAYFIELD PROP LLC BONNEY-BAYFIELD PROP LLC PO BOX 10 PO BOX 10 BAYFIELD WI 54814 BAYFIELD WI 54814 1 Site Address * indicates Private Road 86405 STATE HWY 13 BAYFIELD 54814 ® Property Assessment Updated: 3/18/2024 2024 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.000 63,800 7,200 G6 -PRODUCTIVE FOREST 5.770 7,500 0 2 -Year Comparison 2023 2024 Change Land: 73,900 71,300 -3.5% Improved: 7,200 7,200 0.0% Total: 81,100 78,500 -3.2% If Property History UEC 272024 Bayfield Co. Zoning Dept. 1/6/25, 11:46 AM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-25-1 STATE SANITARY PERMIT OWNER: BONNEY-BAYFIELD PROP LLC G OV'T LOT: LOT: B LK: NW 1/4 SE 1/4 SEC: 12, T 50 N, R 4 W TOWNSHIP: Bayfield SOIL TEST: 102-23 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: Superior Plumbing & Mech., Inc. CECE RUDNICKI Authorized Issuing Officer DATE: 1 /6/2025 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: System to meet all setbacks. Management Plan to Owner(s). Properly maintain system per recorded agreement. Adhere to State approval/conditions. Service drive to be less than or equal to 25' from tank access THIS PERMIT EXPIRES 1/6/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION https://www.carmodyinc.com/PermitApp/Permit_Sign.aspx?Print=l&permitappid=7427 1/2