HomeMy WebLinkAbout25-0106BAYFIELD COUNTY 2oning Dlstrlct
SANITARY PERMIT APPLICATION'S 1 �� taxes ctasa
I. APPLICATION INFORMATION
Soil Test
�N ?
I 06
(Please Print All Information)
No:
ennit No: LJ tJ/�
Properl er's Name:
DW
County: ZCntng Bayffeld
„/ ,
�jgtd�
(,iV4 C vY
Address of Property: �f
• Property Location:
n`I10 sGri ve. �kz'L
Y4 A. S �3 T S) N, R
Property Owners Mailing Address:
Township:
Gov. Lot M r
CStale
Zity,,
Zip Code
'LA
Phone Number
Lot #
Block #:
CSM #:
CSM Doc #
Subdivision Name
(r+' 1, N)
S i
( 7 3�Y
I. TYPE OF BUILDING: (Check One)
State Owned
Tax ID#:
❑ Public (Explain the use/purpose )
76 Y y
`Qor 2 Family Dwelling - No. of Bedrooms
Ill. TYPE OF PERMIT: Check only one box on line A. Check box on line B. If applicable)
A) ❑ New ❑ Replacement ❑ County Private Interceptor
Re�eclion ❑ Repair ❑ Revision " ❑ Transfer of Owner (List Previous Owner below)
,�O'
B) � A Sanitary Permit was previously issued. Previous Permit Number. f"% Date Issued:
IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) ' Replacements need previous permit number and date filled out above
C) ❑ Pit Privy ❑ Vault Privy (Vault size: _gallons or _cubic yards)
❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet
V. ABSORPTION
1. Gallons
SYSTEM INFORMATION:
2. Absorp. Area
3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System 7. Final Grade
Per Day
Required (Sq.Ft.)
Proposed (Sq. Ft.) (Gals. I Day / Sq.FL) (Min. Inch) Elev.(Feet) Elev. (Feet)
I�`>.
�5
5-n) /vo. y
VI. TANK
INFORMATION:
Capacity
In Gallons
Total
Gallons
# of
Tanksame
;Manufacturer's
Prefab.
Concrete
Site
Constructed
Steel
Fiber
-
glass
Plastic
Exper.
App.
New
Existing
Tanks
Tanks
Septic Tank or
Z ll
�iJ
j��.l
✓
Holding Tank
Lift Pump Tank /
Siphon Chamber
VIi. RESPONSIBILITY STATEMENT:
I the undersigned, assume responsibility for installation of the onsite sewage system st owi on the aU#che `plans.
OwnersNaye(s): (Prinq rrapct»ngarsocroncabove Owner'sSfgnatu s): (No ps)
Plumber's Name: (Print) u apptyrng rar sechon A wB) above Plumber Signature: No MP/MPRSW No:
2z 93'
'dulw J dI
Plumber's Address: (Street, ity State, Z)PJC 0) Home hone: Business Phone:
715-2V- 4670
lip5 /�` —^�, G
VIII. COUNTY / DEPARTMENT USE ONLY
Disapproved Sanitary Pennit/Transfer Fee: Date Issued: Issu1ing Agent's Signature / Date:
Approved ❑ Owner Given Initial h�'
sC)
Adverse Determination J 3 Z
IX. CONDITIONS OF APPROVAL 1 REASONS FOR DISAPPROVAL: k2
QaM Qr` ;vat i)�tle��
r`ntY, -t'Ge- e,ep
N ' ck&vil CIO. (�rj Ahj a-t' �igrotle of — offj Ssc7 U( .e" DA _
czY�
Plot Plan on reverse side
Lot Line
JAI\i `Z 8 YG'C5
Bayfield Co. Zoning
Name of Frontage Road ( ) ►
1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N)
2. Show the approximate location and size of the building.
IMPORTANT
DETAILED PLOT PLAN
3. Show the location of the well, septic tank and drain field.
IS NECESSARY, FOLLOW
STEPS 1-7 (a-o) COMPLETELY
4. Show the location of any lake, river, stream or pond if applicable.
5. Show the approximate location of other existing structures.
6. Show the approximate location of any wetlands or slopes over 20 percent.
7. Show dimensions in feet on the following:
a. Building to all lot lines i.
Privy to building
b Building to centerline of road j.
Privy to lake, river, stream or pond
c. Building to lake, river, stream or pond k.
Drain field to closest lot line
d. Septic / holding tank to closest lot line I.
Drain field to building
e. Septic/holding tank to building m.
Drain field to well
f. Septic / holding tank to well n.
Drain field to lake, river, stream or pond
g. Septic / holding tank to lake, river, stream or pond o.
Well to building
h. Privy to closest lot line
Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI W91
utformslsanitarylbayrieldcountysanitaryapplica8on
Revise: June 2018 Proofed by:
I — 00I00BAYFIELDCOUNTY M (� Zoning District
�
sANITARY PERMIT APPLtAt�ll7iN j �y �'lll Lakes Class
�.v5'U�
I. APPLICATION INFORMATION 111119M
-
Soil Test �A
SS to 2-
(Please Print All Information)
No: '
ermit No:
Pro pert ner's Name:
Z1�09
,4/,,�
County: �yjjgld� Bayrield
W
Address of Property:
Property Location:
J 7
Y. Y.,S�3 T �I N,R U� E (o W
!i0IL
/ i%GtO��l�
Property Owners Mailing Address:
Township:
Gov. Lot #:
_
(D i �v�_
ae //
l
City, State
Zip Code
Phone Number
Lot #
Block #:
CSM #:
CSM Doc #
Subdivision Name
r1� F"J, /Vv
_c
r2if 7 3�10
I. TYPE OF BUILDING: (Check One)
❑ State Owned
Tax ID#:
❑ Public (Explain the use/purpose
or 2 FamilyDwelling- No. of Bedrooms , 5,
/
III. TYPE OF PERMIT: Check only one box on line A. Check box on line B, if applicable)
A) ❑ New ❑ Replacement ❑ County Private Interceptor
Reconnection ❑ Repair ❑ Revision " ❑ Transfer of Owner (List Previous Owner below)
B) � A Sanitary Permit was previously issued. Previous Permit Number. 'Z-00? s Date Issued: 7 Z -2-
IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) ' Replacements need previous permit number and date filled out above
C) ❑ Pit Privy ❑ Vault Privy (Vault size: _gallons or cubic yards)
❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet
_V. ABSORPTION
SYSTEM INFORMATION:
1. Gallons
2. Absorp, Area
3. Absorp. Area
4. Loading Rate
5. Perc. Rate
6. System
7. Final Grade
Per Day
Required (Sq.Ft.)
Proposed (Sq. Ft.)
(Gals. / Day / Sq.Ft.)
(Min. [rich)
Elev.(Feet)
Elev. (Feet)
G7i
/56'J
100
VI. TANK
Capacity
Fiber
INFORMATION:
In Gallons
Total
Gallons
# of
Tanks
Manufacturer's
Name
Prefab.
Concrete
Site
Constructed
Steel
-
glass
Plastic
Exper.
App
New
Existing
Tanks
Tanks
Septic Tank or
Holding Tank
12,00
12jo
I�L'!f(i✓ l
Lift Pump Tank /
8z)
P)
Siphon Chamber
VII. RESPONSIBILITY STATEMENT:
I the undersigned, assume responsibility for installation of the onsite sewage system sho on the attpched'plans.
Owner's Na s): (Print) Ifapplying forSectionCabove
Owner's Signat F s): (No pS)
C
Plumber's Name: (Print) If applying for Section Aora)above
Plumb-Signatu . No s
MP/MPRSWNo:
Fd4&,r,J Q
2!7,/937
Plumber's Address: (Street,City State, Zip ode) Home Phone:
Business Phone:
fors /nAe E A_- . 1_1�
7i5-2V- 66-70
Vill. COUNTY i DEPARTMENT USE ONLY
❑ Disapproved
Sanitary Permit/Transfer Fee:
Date Issued:
Issuing Agent's Signature / Date:
❑ Approved
❑Owner Given Initial
Adverse Determination
IX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
Plot Plan on reverse side
Lot Line
p E G E � V E [�
JAN 2.8 206
Ba)field Co. Zoning
Name of Frontage Road
1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N)
2.
Show the approximate location and size of the building.
IMPORTANT
DETAILED PLOT PLAN
3.
Show the location of the well, septic tank and drain field.
IS NECESSARY, FOLLOW
STEPS 1-7 (a-o) COMPLETELY
4.
Show the location of any lake, river, stream or pond if applicable.
5.
Show the approximate location of other existing structures.
6.
Show the approximate location of any wetlands or slopes over 20 percent.
7.
Show dimensions in feet on the following:
a. Building to all lot lines i.
Privy to building
b Building to centerline of road j.
Privy to lake, river, stream or pond
c. Building to lake, river, stream or pond k.
Drain field to closest lot line
d. Septic / holding tank to closest lot line I.
Drain field to building
e. Septic/holding tank to building m.
Drain field to well
f. Septic / holding tank to well n.
Drain field to lake, river, stream or pond
g. Septic / holding tank to lake, river, stream or pond o.
Well to building
h. Privy to closest lot line
Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891
u/fors/sanitary/bayfieldcountysanitaryapplication
Revise: June 2018 Proofed by:
Department of Safety
ly
& Professional Services, . Wn
anh�y Permit Number (m be fifirl�lcd in by Co.)
PS '�'
Industry Services Division
Sanitary Permit ApplicationNumber
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate' governmental unit
D D
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submittedto
Project Address (if dif�ema thanpm, ailinlg address)
't
the Department of Safely and Professional Services. Personal information you provide may be used for secondary
a3ol,o F .�iJxl'��' pthr,
purposes in accordance with the Privacy Law, s. IS.W(l)(m), Stals.
I
CbM\uC (-,
L Application Information — Please Print All Information
Property Owner's Name �
oh� 60, 6, - 1\
Aucel 8
-7649
Property Owner's Mailing Address
Property Location
O 1 s}v\ XJ e. NE
t
`o
Govt. Lot
City, State
Zip Code
Phone Number
C�Ca Pocks I Nib
58WI
-1g1-36y0
/. A, Section a3
T S I N R Oe E or
IL Type of Building (check all that apply)
Lot N
XI or 2 Family Dwelling- Number ofBedmoms
Subdivision Name
❑ Public/Commercial - Describe Use
Block N
❑ City of
❑State Owned -Describe Use
❑Village of
CSM Number
pp
Town of g@ \ 1
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
a licable.
A.
New System
❑ Replacement System
❑ Other Modification to Existing System (explain)
❑ Additional Pretreatment Unit (explain)
B.
❑ Holding Tank
❑ In -Ground
❑ At -Grade
Mound
❑ Individual Site Design
❑ Other Type (explain)
(conventional)
C.
El Renewal
Renewal Before
Revision
❑ Change of Plumber
El Transfer to New Owner
List Previous Permit Number and Date Wand!
Expiration
IV.
Dispersallheatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rat gpd/st)
Dispersal A= Rcqu,
Dispersal Area Proposed (so
System Elevation
1
00
o.y
/sob t
/shoo ✓
/00.90
Capacity in
Total
8 of
Manufacturer
Tank Information
Gdlons
Gallons
Units
v 11
of
„
New Tacks
Existing Tanks
15
P, U
ti
A
iz E5
a
Septic or Bolding Tank
laoo
1
m
x
Dosing Chamber
abo
8bb
1
1
O
Y
X\
V. Responsibility Statement- f, the undersigned, assume respo ibtity for installation or the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Si c
MP/MPRS Number
Business Phone Number
`Ic
a88So�
its-aa�t-75a1
Plumber's Address (Stint, City, State, "Lip Code)
t W W Sys
VL County/Department Use Only
%Approved
❑Disapproved
Permit FCC
J^
�
D�DateIssu/ed
Issuing Agen 'gnamn:
7 c2f
❑Owner Given Reasoncason for Denial
aj1J1✓
Conditions of Approval/Reasons for Disapproval 1 �.
s to wfi tee has 3),e to cow'
Attach m compute prams for the system and smhmil to the County only an paper not less than 8 tax /1 imam in sine
SBD-6398 (R. 03/22)
SUPERIOR
PLUMBING MECHANICAL
(715) 278 - 3456
CSTif 221939 \
Scale-pals:^/ef Te%qIe \
PIN: 7649
9.5 Acres
2 Par in Gov Lot 1 in Doc 2024R-604580A
Town of Bell
Bayfield Co.
'Z, S/!,?
/7-1kl0-1u
"ke- S.-�.� �a r
Customer Name: Jahn Claybur¢h
Adress: 23910 E Spirit Point Rd.
Phone
TS1N R6W
.Nep''
i bB"
Vvat
J9
ti
XHN E CLAYBURGH
MOUND SYSTEM PLOT PLAN
M010 E SPIRIT POINT RD
2 PAR INGOUT LOT 1 N DOG
2021R30T541402A
NE1N SE114
M TS1N ROSW
TOWN OF BELL, WI
SCALE r-4a
♦.air wrnr>�xuwaxe, we
P YFIELD Bayfield County
Planning & Zoning Department
117 E 5thStreet
P.O. Box 58
Washburn, W1 54891
Phone: 715-373-6138
Fax: 715-373-4010
Property Owner:
Description
Private Sewage System Reconnection
Submission Number:
CS-00100
Transaction Number:
CS-00100-25CD6
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference:146
Paid by: SPIRIT POINT RD LLC, 2810 N CHURCH ST STE 91087, WILMINGTON,
DE 19802
Payment Type: Check
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
"REVISED" ® (3/3/2025-3:52 PM)
Bayfield County Planning and Zoning Committee
Public Hearing and Pub/ic Meeting
Thursday, March 20, 2025
4:00 P.M.
Board Room, County Courthouse, Washburn, WI
This meeting will be held in the Bayfield County Board Room. The public will be able to participate in the
meeting in person or via voice either by using the internet link or phone number below.
Microsoft Teams Meeting
Join the meeting now
Meeting ID: 221 566 241 29
Passcode: f P9oJ9Xs
Dial in by phone
+1 715-318-2087..125451786# United States, Eau
Claire
Find a local number
Phone conference ID:125 451 786#
Committee Members: Chaffy Ray Chair Fred Strand Vice Chair, Dennis Pocernich, James Crandall, & Madelame
Rekemeyer
1. Call to Order of Public Hearing:
2. Roll Call:
3. Affidavit of Publication:
4. Public Comment — [3 minutes per citizen]
5. Review of Meeting Format — (Hand-out slips to Audience)
6. Public Hearing: (open forpublic comment)
A. Head Space HQ, LLC (Barksdale) — [Rezone] — rezone Tax IDS 139 & 140 from A-1 to
F-1
B. Bolder Point LLC (Russell) — [Rezone] — rezone Tax ID 29359 and part of Tax IDS
29362 & 29363 from F-1 to R-RB
C. Bolder Point LLC (Russell) — reclamation plan for part of Tax ID 29362
D. Bolder Point LLC (Russell) — [Conditional Use] — continue non-metallic mining
operations (sand, rock, gravel & temporary crushing) for part of Tax ID 29362
7. Adjournment of Public Hearing:
S. Call to Order of Planning and Zoning Committee Meeting:
9. Roll Call:
10. New Business: (public comments at discretion of Committee)
k/Wagenda/2025/3march
Prepared by: reh (2/2112025-10:40am) Proofed By:
Zoning Committee
A. Head Space HQ LLC (Barksdale) — [Rezone] — rezone Tax IDs 139 & 140 from A-1 to
F-1
B. Bolder Point LLC (Russell) — [Rezone] — rezone Tax ID 29359 and part of Tax IDs
29362 & 29363 from F-1 to R-RB
C. Bolder Point LLC (Russell) — reclamation plan for part of Tax ID 29362
D. Bolder Point LLC (Russell) — [Conditional Use] — non-metallic mining/NR 135 for part
of Tax ID 29362
11.0ther Business
D. Minutes of Previous Minutes: (February2o, 2025)
E. Zoning Code Rewrite Update
F. Discussion and Possible Action regarding appointing members to the stakeholder group
for the zoning code rewrite
G. Discussion and Possible Action regarding the repeal and adoption of new model
Floodplain Ordinance
H. Discussion and Possible Action regarding Fee Schedule
I. Committee Members discussion(s) regarding matters of the P & Z Dept.
I Monthly Report / Budget and Revenue
13.Adjournment Ruth Hulstrom, AICP / Director
Bayfield County Planning and Zoning Department
Note: Any aggrieved party may appeal the Planning and Zoning Committee's decision to the
Board of Adjustment within 30 days of the final decision.
Any person wishing to attend who, because of a disability, requires special accommodations,
should contact the Planning and Zoning office at 373-6138, at least 24 hours before the scheduled
meeting time, so appropriate arrangements can be made.
Please Note: Receiving approval from the Planning and Zoning Committee does not authorize the
beginning of construction or land use; you must first obtain land use application/permit card(s) from
the Planning and Zoning Department.
k/zc/agenda/2025/3march
Prepared by: reh (2/21/2025-10:40am) Proofed By:
Zoning Committee
Town, City, Village, State or Federal
Permits May Also Be Required
LAND USE -
SANITARY — Reconnection 23-89S
SIGN -
SPECIAL -
CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0106 Tax ID# 7649 Issued To: SPIRIT POINT LLC
Location: Section 23 Township 51 N. Range 6 W. Town of Bell
in Doc # 2024R-604580
Gov't Lot 1
Structure in a R-1 Zoning District
For: Sanitation Permit Reconnect of Permit 23-89S
(Disclaimer): Any future expansions or development would require additional permitting.
Condition(s): To meet all setbacks. To be constructed per plan. Install cleanout immediately upstream of
private interceptor main sewer. No additional daily flows are approved - accessory use only.
You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or
modification of construction that violates the law or other penalties orcosts. For more Information, visa the department of natural resources wetlands identification web page or contact a department of natural resources service center (715) 685-2900.
NOTE: This permit expires two years from date of issuance if the authorized construction
work or land use has not begun.
Changes in plans or specifications shall not be made without obtaining approval.
This permit may be void or revoked if any of the application information is found
to have been misrepresented, erroneous, or incomplete.
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
CeCe Rudnicki
Authorized Issuing Official
91KI&V
Date