HomeMy WebLinkAbout25-33S5S~OC)45'-(^-^
/-y '^,^'•. .^!;i --"•• ' ^iiYP« ti^--^'''".^^n^^
Department of Safety
& Professional Services,
Industry Services Division
County
Bayfield
Sanitary Permit Number (to be filled in by Co.)
SS-S3&
Sanitary Permit Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safety and Professional Services. Personal information you provide may be used for secondarypurposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats.
Project Address (if different than mailing address)
t925 Dana Rd.
I. Application Information - Please Print All Information
^92
Property Owner's Name
Hemy Hendricks Jr.
Parcel#
04-004-2-45-09-23-2-01-J
Property Owner's Mailing Address
401 Finvold St.
City, State
Woodville WI
Zip Code
54028
H. Type of Building (check all that apply)
1 or 2 Family Dwelling - Number of Bedrooms
a Public/Commercial - Describe Use
D State Owned - Describe Use
Phone Number
ni5-W-(f^
Property Location
Govt.Lot.
NE
"•SSws-
-',4,.NW _'/4, Section 23
Lot #T 45 _N R.09 _EorW
Subdivision Name
Block #
a City of.
CSM Number a Village of
of.
m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C i
applicable.)A New System D Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain)
B.D Holding Tank In-Ground
(conventional)
D At-Grade D Mound D Individual Site Design D Other Type (explain)
c.D Renewal Before
Expiration
D Revision D Change of Plumber D Transfer to New OwnerList Previous Permit Number and Date Issued
FV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
450
Design Soil Application Rate(gpd/sf)
1.6
Dispersal Area Required (sf)
643
Dispersal Area Proposed (sf)
652
System Elevation
95.5
Tank Information
Capacity in
Gallons
New Tanks Existing Tanks
Total
Gallons
# of
Units
Manufacturer IIS 3^s iiE: 0
Septic or Holdmg Tank 1000 1000 Wieser
Dosing Chamber
V. Responsibility Statement- I, the undersigned, assume responsibil^y for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Rick Brown
Plumber's Signature]>RS Number
231251
Business Phone Number
419-0739
Plumber's Address (Street, City, State, Zip
c°de) PO Box 637 Spooner WI 54801
VI. County/Department Use Only
Approved n Disapproved
D Owner Given Reason for Denial
Permit Fee$^)-
Date Issued
5-/56)/2^'W/5
Conditions ofApproval/Reasons for Disapproval S^a^W^/ Cju~d.
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD-6398 (R. 03/22)
SOHS?Lt 3>^~ s5_Wisconsin Department of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT
In accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on paper not less than 81/2x11 inches in size. Plan must include,
but not limited to: vertical and horizontal reference point (BM), direction and percent slope,
scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1 )(m)).
Page 1 of 2
CountyBayfield
Parcel I.D. ^~ty9^
04-004-2-45-09-23-2-01 -000-50000
%^/'/a37A \?/^
DProperty Owner
Henry Hendricks Jr.
Property Location
Govt. Lot NE y< NW 'A S 23 T 45 N R 09 E (or) W
Property Owner's Mailing Address
401 Finvold St.
Lot #Block #Subd. Name or CSM#
V.1017P.331 1184C
City
Woodville
State
Wl
Zip Code
54028
Phone Number
( )
D City Village [3 Town
Barnes
Nearest Road
54925 Dana Rd.
New Construction Use: S Residential/Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement |_| Public or commercial - Describe:
Flood Plan elevation if applicable N/A ft.Parent material
General comments and recommendations: conventional system 95.5
Boring #Boring
Pit Ground surface elev. 98.1 ft. Depth to limiting factor 96 in.
Horizon
1
2
3
Depth
In.
0-3
3-24
24-96
Dominant Color
Munsell
10yr4/1
10yr5/4
10yr7/4
Redox Description
Qu. Az. Cont. Color
Texture
Is
s
s
Structure
Gr.Sz. Sh.
osg
osg
osg
Consistence
dl
dl
dl
Boundary
cw
as
Roots
2fm
1m
Soil Application Rate
GPD/Ft2
*Efl#1
.7
.7
.7
*Eff#2
1.6
1.6
1.6
Boring #Boring
Pit Ground surface elev. 98.2 ft. Depth to limiting factor 96 in.
Horizon
1
2
3
Depth
In.
0-4
4-23
23-96
Dominant Color
Munsell
10yr4/1
10yr5/4
10yr7/4
Redox Description
Qu. Az. Cont. Color
Texture
Is
s
s
Structure
Or. Sz. Sh.
osg
osg
osg
Consistence
dl
dl
dl
Boundary
cw
as
Roots
2fm
1m
Soil Application Rate
GPD/Ft2
*Eff#1
.7
.7
.7
*Ef?2
1.6
1.6
1.6
* Effluent #1 = BOD, > 30 S 220 mg/L and TSS > 30 & 150 mg/L * Effluent #2 = BOD, > 30 S 220 mg/L and TSS > 30 S 150 mg/L
CST Name (Please Print)
Rick Brown
Address
PO Box 637 Spooner Wl 54801
Signature /^Date Evaluation Conducted
8/10/23
CST Number
231251
Telephone Number
715-419-0739
pcA t-S-O (cAe^G^y^) 5/^/25 HgfL SBD-8330(R04/15)
Boring #D Boring
S Pit Ground surface elev. 98.15 ft.Depth to limiting factor 96 in.
Horizon
1
2
3
Depth
In.
0-3
3-24
24-96
Dominant Color
Munsell
10yr4/1
10yr5/4
10yr7/4
Redox Description
Qu. Az. Cont. Color
Texture
Is
s
s
Structure
Gr.Sz. Sh.
osg
osg
osg
Consistence
dl
dl
dl
Boundary
cw
as
Roots
2f
2f
Soil Application Rate
GPD/Ft2
*Eff#1
.7
.7
.7
*Efl»2
1.6
1.6
1.6
Boring #Boring
Pit Ground surface elev.Depth to limiting factor in.
Horizon Depth
In.
Dominant Color
Munsetl
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr Sz. Sh.
Consistence Boundary Roots
Soil Application Rate
GPD/Ft2
*Eff#1 *Eff#2
Boring #Boring
Pit Ground surface elev.Depth to limiting factor in.
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Or. Sz. Sh.
Consistence Boundary Roots
Soil Application Rate
GPD/Ff
*Efi#1 *Eff#2
Effluent #1 = BOD, > 30 <, 220 mg/L and TSS > 30 & 150 mg/L * Effluent #2 = BOD, > 30 S 220 mg/L and TSS > 30 s 150 mg/L
CHECK BOX AS APPLICABLE.
SOIL EVALUATIONSITE MAP
PROJECT NAME:
Henry Hendricks Jr.
CHECK BOX AS APPLICABLE.
Scale: 1"= 40'
40 60 80
'r///////777^^////y
(10 ft grid)
77/
102
77.^
I SYSTEM PAGE 2 OF 4
PLOT PLAN
DESIGN FLOW:450 GPD
PROJECT ADDRESS:
BM Symbol: -^-
BM Description:
24925
BM Elevation:
Nail in 26"
Dana Rd.
100
norway
FT
Slope Gradient(%)of Tested Area: I •'Well Symbol (If applicable): Q Indicate north bydrawing an arrow
on the approprite line.
Attach design flow calculations for commercial plans.
Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
Sanitary Sewer:_4_ /.
Force Main:_ /.
IMPORTANT:
Show ground elevation contours at suitable intervals.
37^ ^v~{"
10/12/23, 8:02 AM
Real Estate Bayfield County Property Listing
Today's Date: 10/12/2023
Novus-Wisconsin Access rev. 12.0206
Property Status: Current
Created On: 3/15/2006 1:14:49 PM
i^ Description
Tax ID:
PIN:
Legacy PIN:
Map ID:
Municipality:
STR:
Description:
Recorded Acres:
Calculated Acres:
Lottery Claims:
First Dollar:
Zoning:
ESN:
Tax Districts
1
04
004
041491
001700
2738
Updated: 8/10/2009
04-004-2-45-09-23-2 01-000-50000
004118209000
(004) TOWN OF BARNES
S23 T45N R09W
PAR IN NE NW IN V.
7.200
7.200
0
Yes
(F-l) Forestry-1
104
- Recorded Documents
83 QUIT CLAIM DEED
/ 1017 P.331 1184C
Updated: 3/15/2006
STATE
COUNTi'
TOWN OF BARNES
SCHL-DRUMMOND
TECHNICAL COLLEGE
Updated: 5/20/2009
Ownership
HENRY HENDRICKS 3R
Billing Address:
HENRY HENDRICKS JR
401 FINVOLD ST
WOODVILLE WI 54028
Site Address * indicates
54925 DANA RD
i"3-a Property Assessment
2023 Assessment Detail
Code
Gl-RESIDENTIAL
G6-PRODUCTIVE FOREST
2-Year Comparison
Land:
Improved:
Total:
Property History
Updated:8/10/2009
WOODVILLE WI
Mailing Address:
HENRY HENDRICKS JR401 FINVOLD ST
WOODVILLE WI 54028
Private Road
Acres
1.000
6.200
2022
13,400
59,000
72,400
BARNES 54873
Updated:
Land
5,000
8,400
2023
13,400
59,000
72,400
3/25/2022
Imp.
59,000
0
Change
0.0%
0.0%
0.0%
B CONVERSION
Date Recorded: 3/15/2006
N/A
425-97;612-m;769-241
https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1
PAGE 1 OF 4
In-Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References:
In-Ground Soil Absorption for POWTS Version 2.1 (May 2022-2027)
Pg 1 of 4
Pg 2 of 4
Pg 3 of 4
Pg4of4
Index & Cover Sheet
Plot Plan
Dispersal Area Cross-Section & Plan View
Management Plan
Attachments:Enclosures:
POWTS Application for Review
Soil Evaluation Report & Site Map
Project Name / Description
Hendricks
Owner Name(s): Henry Hendricks Jr.Phone:
Owner Address: 401 Finvold St. Woodville Wl
Project Address: 549245 Dana Rd. Barnes Wl 54873
Govt. Lot:
Zip:. 54028
NE 1,4 of NW 1/4^ section_23 , T 45N-R 09_E Q or W \S
Township: Barnes
Project Parcel ID #: 004118209000 -f/^ ^^
County: Bayfield
Designer Information
Designer Name: Rick Brown Phone: 715 -419 -0739
Designer Address: PO Box 637 Spooner Wl
E-mail: rickbrown2004@hotmail.com
Zip: 54801
This space reserved for approval stamp.
License Number: 231251
Remarks:
Signature:Date: 10/7/23
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE.
SOIL EVALUATION
SITE MAP
PROJECT NAME:
Henry Hendricks Jr.
CHECK BOX AS APPLICABLE.
Scale: 1"= 40'
40 60 80
^///////777^77///>
(10 ft grid)
7Z2.
102
'/A
^
[SYSTEM PAGE 2 OF 4
PLOT PLAN
DESIGN FLOW:450 GPD
24925 Dana Rd.PROJECT ADDRESS:
BM Symbol: -^- BM Elevation: _100
BM Descrtptlon:
FT
Nail in 26" norway
sto£eGradle"t(%) 1-0 Well Symbol (tf applicable): 0ofTestedArea; l -u ..-..-,,„—. i,.-^..—»,-,.
Indicate north bydrawing an arrow
on the approprtte Ine.
Attach design flow calculations for commercial plans.
Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
Sanitary Sewen_^_ /.
Force Main:_ /_
IMPORTANT:
Show ground elevation contours at suitable intervals.
r"W
9£1^L
^ ''7'^
/)t
,\\^r^'-) ^
37^ 5^r
^ r-
^--
0^-'
^.
n.
K-
I^u
IN-GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with Quick4 Standard-W Chambers
3-ft Trench (down-sizing credit)
SOIL COVER
Wieser
Septic Tank(s) Manufacturer:
1000 gat
Polulock^
Septic Tank(s) Volume(s):
gal — gal
Effluent Filter Manufacturer:
gal
Effluent Filter Model #: PL-525
12"
min. trench
depth(typical)
^:'..34"; •. \... I ... •• •• •
(typical) •.••/ \ ' " ... .
TOPICAL TRENCHCROSS SECTION VIEW
(No Scale)
Quick4 Standard-W
w/ End Cap
(typical)
System Elevation = 95-5 ft
(typical)
(Show location of inlet / outlet pipe connection on plan view.)
Provide minimum 3 ft
separation between trenches.
Observation Pipe(typical)
Install per manufacturer's
instructions.
-^-------^----^^^^^^1
-y/- ------- ^-----^----
INSTALL PER TRENCH:
B= Z5_
(typical)
16
+ 1
Quick4 Std-W @ 20 ff EISA/chamber = 320
Pairs of end caps @ 6 ft2 EISA/pair = 6.0
ft
ft2
ft2
TYPICAL TRENCHPLAN VIEW
(No Scale)
-Quick4 Standard-W Chamber(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
-a>0mGO0
= Proposed EISA per trench =
x 2
ft2 Required Infiltration Area = 643
trenches = Proposed Total EISA = 652
ft2
ft2
Distribution Method:
branched manifold
PAGE 4 OF 4
In-ground Gravity Management Plan
IMPORTANT:
The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wise. Admin. Code. Pursuant to SPS 383.52 (2), Wise. Admin. Code, this system 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), Wise. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 45° gpd; BODs ^ 220 mgL-1; TSS ^ 150 mgL-1; FOG ^ 30 mgL-1
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (/.e. odors, user complaints, etc.)
o mechanical malfunction (/.e., pumps, valves, switches, floats, eto.)
o material fatigue (/.e., leaks, breaks, corrosion, ete.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes)
o neglect or improper use (/.e., exceeding design capacities, prohibited activities, etc.)
o extent of ponding in distribution cell prior to dosing
o dosing irregularities - if applicable (/'.e., pump re-cycling, float switch settings, ete.)
o electrical components - if applicable (/.e., wiring, connections, switches, controls, timers, alarms, ete.)
o distribution lateral or lateral orifice plugging (measure lateral distai pressure - compare to design specification)
o surface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stats, when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wise. Admin. Code.
o Effluent filterfsl shall be inspected every 3 years and shall be cleaned when necessary to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wise. Admin. Code. Report any component failure or malfunction to:
Name of individual or company: Badger SeptlC Service _ phone: 715-635-7243
Local government unit: Bayfield County Zoning _ phone: 715-373-6156
Local government unit address: PO box 878 Washbum Wl _ ZIP: 54891
Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wise. Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wise. 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, Wise. Admin. Code.
Contingency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be
abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wise. Admin. Code.
WLP1000-FDL
TANK SPECIFICATIONS Pl<a
ID c:
I"— -^DS£:—^
JL
^
d—
118"
*—a———li"^
FILTERORBAFFLE
;JB.nu
t :3
TOP VIEW
DIMENSIONS:WALL: 2 1/2"BOTTOM: 2 1/2"
COVER: 6"MANHOLE: 24" 1.0. PRECAST CONCRETE RISERHEIGHT: 54" 0.0.
LENGTH: 118" O.D.
WIDTH: 64" 0.0.
BELOW INLET: 40" 0.0.LIQUID LEVEL: 36 1/2"
WEIGHT: 8,000 LBS.
INLET AND OUTLET:4" CAST-A-SEAL BOOT OR EQUALGASKET, CAST-A-SEAL BOOT OR EQUAL(NLET AND OUTLET BAFFLE AND FILTER:WISCONSIN, SEE DETAIL #10
LIQUID CAPACITC: 28.00 GAL/IN
LOADING DESIGN: 8' 0" UNSATURATED SOIL
HOLDING TANK:OUTLET HOLE PLUGGED
ACTUAL CAPACin: 1,113 GALLONS
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
1^1^1
4" INLET c^:
'•tvn
•-KN•?'
•'' ;. '-L^ t '..0
PUMP PAD
-3 4" OUTLET
<cosiCM
SIDE VIEW
|eIS ^Is p:II Igv5 (E
CUSTOMIZED TANKS:TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
SHEET NO,0 OF 0
6 1/2" BALL CHECK
ACCEPTS 6"SCHD 40
FOR INLET EXTENSION
OUTLET BUSHING ACCEPTS
4"SCHD40&6"SCHD40
11.59
[29.4cm]
14.34
[36.4cm]
RETAINING CLIPS
PREVENT FILTERFROM FLOATING
PL-525-625 FILTER HOUSING
PART NO. - 30142-525
MATERIAL -
HOUSING - POLYPROPYLENE
OUTLET BUSHING - PVC
6.5" BALL-HDPE
2.00
[5.1 cm]
10.52
[26.7cm]
OUTSIDE DIAMETERACCEPTS 4"SCHD 40 SOCKET
OPTIONAL BUSHING(FOR 4" THIN WALL PIPE)
PARTN0.30142-ROR
(FOR 110 MM. PIPE)
PART NO. 30142.EUR
Private Sewage System Maintenance Agreement
Owner(s) Name
(4-c^ry ^C/nck^ Jl^.
iifing Address
01 /=y"n ^ D Id S^ / , Woo^^i/e, LO^
Site AddressWi^S Dan^ /Pazc/
Tax ID #^eCc)o^)As owner, I (we) do heTeby certify the private sewage system will be installed in
accordance with the certified soil tester's report and approved plans and specifications
on file with Bayfield County Planning and Zoning Department. The system will be
operated in such a manner as to meet the designed plans. I (we) agree to maintain said
private system at the below listed location in accordance with rules established in the Wl
Adm. Code, as from time to time amended. (COMPLETE Legal is required)
.1,4 of /l^ 1 ,4 Section .$?J? Township 4^f N . Range <^9 W.
Additional Legal Description: f^.r ^A/ A/^WTA! U 1017 t?^3t
DOCUMENT NUMBER2024R-604S99
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. Wl
RECORDED
09/27/2024 AT 8:00 AM
RECORDING FEE: $30.00
PAGES:3
Town
Lot
Lot.
of &r/l^3 '1^¥(L
(Acreage) _^_p<C^ Gov't Lot.
Block Subdivision
. CSM # _ Vol. In/PPaae ?7/ CSM Doc # //^^/C
Recording Area
Return To |D] LS B U I
Planning aij^||ZonjncL Department'ws^'Wzm
Bayfield Co, Zoning Dept-
gravity
D Mound
D In-grounct dosed D In-ground pressure distribution Sewage System:
D At-grade Sewage System D Other
Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of
installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authonzed to make
such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum.
Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided
above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components.
Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance
with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code.
Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified
septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three
(3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface.
Mounds, At-arade, and In-around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when
the wastewater distribution cell component is inspected as provided above.
Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for
inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any
human health hazard caused by the system. 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 agree s 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.
The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property.
Owner(s) Name(s) - Please Print
-H&fi£/ 1-^nd 'ncks Ji--
Subscribed and sworn to before me on this date:
^-2^Zt
Notarized Owner(sJ~>\Signature(s)Notary Public
Z^,^ ^.C'Mc<AA/i
My Commission Expires:
/'-7-27 "-iSSDrafted bv:/^ /b <-/C (lp^^ Date: ^? - /-^ /
DOCUMENT NUMBER
State Bar of Wisconsin Form 3
QUIT CLAIM DEED
JEfF.HENDracKS---a/k/^-JEEEEES:-T-HENDRICKS.-
quit-claim to ._HENRYHENDRICKSJR,
the following described real estate in BAYFI ELD COUNTY
State of Wisconsin:
A parcel of land located in the Northeast Quarter of the Northwest
Quarter, Section 23, Township 45 North, Range 9 West, bounded and
described as follows:
Commencing at the Northwest corner of said Section 23; thence South
87° 51' 41° East along the North line of Section, 1409.06 feet; thence
South 00° 40'13" West, 553.71 feet to the point of beginning; thence
South 87° 51' 41" East. 459.69 feet to the centerline of a 66 foot
roadway; thence South 06' 04" East along said centerline, 367.87 feet;
Thence South 27° 39' West along said centerline 365.5 feet; thence
North 87° 51' 41" West. 337 feet; thence North 00° 40' IS" East, 694.20
feet to the point of beginning.
Property Address: 54925 Dana Road, Barnes Wl 54925
-PATMCIA A QLSONBAYFIELD~COUNfY™'MREGISTER OF
S00SR—52&&1^
85/13/2009 10:0aAM
7FB(ENPT<: fl
RECORDING FEE: 11.%
PflGES: 1
Recording AreaRETURN TO
Charter Bank Eau Claire
1010 W Clairemont Ave
Eau Claire Wl 54701
S? 3n^f/4
"'swieio jiWiQ tJeot
day of ,April
This Is not homestead property.(Is) (Is not)
Dated this
Signed:
*
Signed:(Seal)
004118209
Tax Parcel Number
2009
(Seal)
Signed:
* JEFF HENDRICKS
Signed:
(Seal)
(Seal)
AUTHENTICATION
Signature(s)
Authenticated this day of
TITLE: MEMBER STATE BAR OFWISCONSIN
(If not,
Authorized by § 708,08, Wls. Stals.)
THIS INSTRUMENT WAS DRAFTED BY:
D BAUER/CHARTER BANK EAU CLAIRE
ACKNOWLEDGMENT
STATE OF MA )
)ss.COUNTf OF ^fT<?(-i- )
Personally came before me this 0& day of
APRIL , 2009 the above namedJEFF HENDR1CKS
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BAYFIELD COUNTS SANITARY PERMIT (#04)-25^3S
STATE SANITARY PERMIT
OWNER: HENRY HENDRICKS JR
GOVTLOT: LOT: BLK:
NE 1/4 NW 1/4 SEC: 23, T 45 N, R 9 W
TOWNSHIP: Barnes
SOIL TEST: 32-25
NEW SYSTEM
SYSTEM TYPE: Non-Pressurized In-Ground
PLUMBER: RICK BROWN
TRACY POOLER
Authorized Issuing Officer
DATE: 5/30/2025
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. 1 68; 1979 c. 34,221 ;1981 C. 31 4
Note: If you wish to renew the permit, or transfer ownership of the
permit, please contact the county authority.
PREVIOUS PERMIT #:
LICENSE: #231251
Condition: Properly Maintain System Per Recorded Agreement
THIS PERMIT EXPIRES 5/30/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION