HomeMy WebLinkAbout25-47S,-. 11 \\!1 IL"SS-Wf\ ^.-S;Q^
^V^K1^>>/^r'%^'•. .'t%ss'^'<%^y
il\\1\JUN 11 Z W"
Department of Safety
& Professional Services,
Industry Services Divisioi3?ffiri
County Bayfield
Sanitary Permit Number (to be filled in by Co.)55-^73
Sanitary Permit Application ^^J5
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 secondary
purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats.
State Transaction Number
I. Application Information - Please Print All Information
Project Address (if different than mailing address)
12525 County Hwy N
Property Owner's Name
Curtis Granzow Elizabeth Serkes-Granzow
Parcel#15111
Property Owner's Mailing Address
44 Bradshaw Ave NE
Property Location
Govt. Lot
City, State
Buffalo, MN
Zip Code
55313
II. Type of Building (check all that apply)
0 1 or 2 Family Dwelling-Number ofBedrooms
D Public/Commercial -Describe Use
a State Owned - Describe Use.
Phone Number
612-360-0410
Lot #
SW 1/4. SE ^ Section 3_6_
T 45 N R 08 E or(
Subdivision Name
Block #
CSM Number
D City of.
a Village of
0 Town of Drummond
m. Type ofPOWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if|
applicable.)
A.New System Replacement System D Other Modification to Existing System (explain)D Additional Pretreatment Unit (explain)
B.Holding Tank In-Ground
(conventional)
D At-Grade Mound D Individual Site Design D Other Type (explain)
c.D Renewal Before
Expiration
a Revision D Change of Plumber D Transfer to New OwnerlList Previous Permit Number and Date Issued
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
300
Design Soil Application Rate(gpd/sf)Dispersal Area Required (sf)Dispersal Area Proposed (sf)System Elevation
Tank Information
Capacity in
Gallons
New Tanks Existing Tanks
Total
Gallons
# of
Units
Manufacturer
^ti §£, _S£ 0 I?ilm ~s -s sE 0
Septic or Holding Tank 2000 2000 Wieser Concrete x
Dosing Chamber
V. Responsibility Statement- I, the undersigned, ai isibilityjpr installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Douglas E. Manthey
Plu:MP/MPRS Number
MP 230722
Business Phone Number
715-739-6868
Plumber's Address (Street, City, State, Zip Code)
POBox196Drummond,WI 54832
VI. County/Department Use Only
Approved D Disapproved
D Owner Given Reason for Denial
Permit Feesw-Date IssuedG'//o/95 mfc^-/^i57/3 ^7f
Conditions ofApprovaVReasons for Disapproval <^€^(^t^^£^ C-A^f
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)
^,R-WW
/ff^ ~-'<^\ Wisconsin Department of Safety and Professional Services
V.:.\ Division ofjndustrv Services^ '!»/ );<!:iCCPtJ;l"%v^/<£n^
^s.
SOIL EVALUATION REPORT
M E E I ifiC"." .."U
JUN n 7- ?025
U/_.t.
SOH TEST
In accordance with SPS 385, Wis. Adm. Code
Attach complete site plart<6(Lpapfer 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)).
countygyiie'c i •.tygyi^C i :o^C! •'w ^"^%^'s^/ ^'-^
Parcel I. D.^£^///
(MS^-/^^ \y^
[Property Owner
^^Lr ^//&t^^ 5e^s-(^^^
property Owner's Mailing Address
\¥¥ ^w^^Lsu^ >^^ /s^-"
Property Location
,Govt. Lot SC^ VA ^^~~ V, S J> ^ T ^$~ N R £) Q E (or)w
Site Address or CSM and Lot #: /^^/l/
^uf^b Statel/w Zip Code
^r3l3
Phone Number
( )
D City D Village ^
^
Town Nearest Road^/A/
New Construction
Replacement
Use: ^&1 Residential/ Numberof bedrooms
Public or commercial - Describe:
Parent material 6r/a^^^/ /^»^u/^lt^s,L
General comments and recommendations. ^^ -/^y S£^^/&
</^<; T^^.^-^
^_
^^>^
Code derived designflow rate:
Flood Plan elevation if applicable.
<<^t«//A^.S t /^e.
_GPD
Jt.
C<5>^*,e.-^/ <\
Boring #Q Boring
'it Ground surface eleJ^l Depth to limiting factor ^ in. / elev<^6^ • "ft.
Horizon
J_
Depth
In.
~0^~
Dominant Color
Munsell
?^Y^- ^
Redox Description
Qu. Az. Cont. Color
~^~^y^ W
r?^/-r
Texture
S L
y^L
Structure
Gr. Sz. Sh.
•?^<^£-
/^^•^Jfk.
Consistence
^L'^'€
^1^^
Boundary
6ri^>
Roots
fe^t/^
/^y
Soil Application Rate
GPD/Ft2
*Eff#1
•^
,2
*Eff#2
/'^
_^_
Boring #QBoringDPit Ground surface elev..Depth to limiting factor_Jn. / elev,
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture Structure
Gr.Sz. Sh.
Consistence Boundary Roots
Soil Application Rate
GPD/Ft2
*Eff#1 *Eff#2
CST Name (Please Print)
tr^^^l^< ^K,
Signature ^y CST Number
^/!L0^5. ( oc?^^
Address//.? t)0 fSc^f^c,^ f^/CC^l^ l^/ /^^(Date Evaluation Conducted\-^s-Telephone Number7/^-^f ~//^
* Effluent #1 = BOD > 30 < 220 mg/L and TSS > 30 & 150 mg/L Effluent #2 = BOD, S 30 mg/L and TSS < 30 mg/L SBD-8330(R04/21)
s5^^
?
r
^
VP
^
^
S
^
'
?
^
^0
?
,
^
'M
<
S
^
-•
^
N
u
-
,>^£
»^A.c
—
"
ft
\
A
^r
r
)
^
^'
s
IV
L
?£
s
If
^-
^
^
§
¥
^i
^?
s
iL
^
-
k
^?
&
t^
:
^
>
^
£?
:
§
"
^
I^
VA
^j
^
9
?
^s
J!st
1
Ai -.»
,
^If
r
-
c>Trt ^?^,6
^'
n^K>
-1
:^^Q6s
^
^
$
"
^'
^j
-^^/
^
^
<
^
r
t
w
^
,
<
s
1f
t ^^^0u
Wf
'
/
V
S
7
^
s
3
-
-
t
c
?
H
t
^
Y
Ku •^Q
i ft
^=
3
.
G'T
J
T
.
i
,\
^
1~
N
-
:
\
^0<jr
j^
Pg1 of 4
Pg2of4
Pg3of4
Pg4of4
Attachments:
Holding Tank Plan
Index & Cover Sheet
Component Manual Design References'.
Holding Tank Version 2.1 (May 2022-2027)
Index & Cover Sheet
Plot Plan
Holding Tank Specifications
Management Plan
Enclosures:
PAGE 1 OF 4
ID) !!! IE! ^ il ifi
il'i ,JUN D 2/ii/')
l':!v"!eiu .:,,;/.-;if,^ '.'OR!
Manufacturer Tank Specs POWTS Application for Review
Soil Evaluation Report & Site Map (if applicable)
Holding Tank Pumping Contract (if applicable)
Holding Tank Agreement (if applicable)
Project Name / Description
Granzow Holding Tank
Owner Name(s): Curtis Granzow Phone: 612 -360 -0410
Owner Address: 44 BradshawAve NE Buffalo, MN
Project Address: 12525 County Hwy N Drummond, Wl 54832
Govt. Lot:
Zip:. 55313
sw
Township: Drummond
1/4 of SE 1/4, Section 36 , T 45 N-R08E
County: Bayfield
or W /
Project Parcel ID #: 15111
Designer Information
Designer Name: Douglas Manthey _ Phone: 715 _ 739 -6868
Designer Address: PO Box 196 Drummond, Wl _ Zip: 54832
E-mail: norpines@cheqnet.net This space reserved for approval stamp.
License Number: MP230722
Remarks:
Signature:
Original signature required on each submitted copy.
Date: 05/30/25
0•s
-
3>^-P
c^^)
p^0^
>
.
d
I (p I .0 -3
^?3
^
1
r
-
?
.
Qn
^
^
0
I
?
•
0
r
*
'C
A
^
,
u
-$
-
r
to
?
f
^
^
f
-
1
/
>
^
a
5
^
^.
^
p
%.
_
^
v
s
•
0
p
w
?<^
??
0CD^
r1
^
8'
^
T<
n
i
s?
a<
n
>
fc
yr
.
.
0
?
^
^
^
t
\
%
^
^
?
-
^
-
s
rj
-
°
5
0
l
/
l
D^5=
.
G
?^
l
-nf -z
:
?v^y)
r"
:
:
$2
-
(<
*
_
5&
J
?t
!s
?
^
f
f
l
i?
w
D^^^^
^
??
^1fj
^?N0c
^
T^
h
/
(
+
^
^
-
?
^
w
<
y
?
^
9
^
d
PAGE 3 OF 4
^ !l'fl 1^ !i ^ ^ \\ini i^ r;
JUN 0 2 '^^ Ii[!l
l-'-'v
HOLDING TANK SPECIFICATIONS
(No Scale)
Electrical must comply withSPS 316 and NEC 300
\L^ \^
tO Weatherproof
•Junction and
Alarm Box
Conduit
4"0 Vent Pipe
>10 ft from
Building
Approved
Vent Cap
18"Min.
(typical)
^ Inlet
N
Airtight Seal
Approved Joints wth
Approved Pipe 3 ft onto
Solid Ground
12" Min. or 2.0 ft above
Established Flood Elevation(typical)
Approved Locking Manholewith Warning Label Attached(typical) 4" Min. or 2.0 ft aboveEstablished Flood Elevation
Inlet Invert
^>-
— Max. 12" or 90% of total volume
if more than one tank
Alarm-On
HOLDING TANK
VOLUME = 2000 gal
3" Approved Bedding Material Beneath Tank
^1
(typical)
\1/ \1/_
Finished Grade
0-Watertight
Plug
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) - Ibs.tank.wt] x 1.5
Ballast Weight = [( 500.5 cu.ft. x 62.4 Ibs/cu.ft) - 22230 |bs] x 1.5 = 9001.2 Ibs
Holding Tank Management Plan
IT, ih i!^ pAC^EI^
:^\ . . . ::j'j:il JUNl'^^'
IMPORTANT:
!^'Vi^;;' ^- ..:.1;^':' :!'~'r'
The owner of this holding tank(s) 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 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), Wise. Admin. Code.
Estimated Daily Wastewater Flow = _^uu _ gpd
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, etc.)
o material fatigue (/.e., leaks, breaks, corrosion, eto.)
o neglect or improper use (/.e., exceeding design capacities, prohibited activities, etc.)
o electrical components (/.e., wiring, connections, switches, controls, timers, alarms, eto.)
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 Wise. 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, Wise. 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: HK SeptJC _ Phone: 715-798-3494
Local government unit: Bayfield County Zoning _ phone: 715-373-6138
Local government unit address: PO BOX 58 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 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, Wise. Admin. Code.
^V!
ZJ'L:" '';—,
:~3
~";J
164"
r
4" CAST-A-SEAL 4" CAST-A-SEAL
^1
FILTER OR BAFFLE
^_
TOP VIEW
PUMP PAD
SIDE VIEW
WLP2000-MRTANK SPECIFICATIONS
DIMENSIONS:WALL; 5"
BOTTOM: 5"
COVER: 6"MANHOLE: 24" 1.0. PRECAST CONCRETE RISER
HEIGHT: 55" O.D.
LENGTH: 164" O.D.
WIDTH: 96" O.D.
BELOW INLET: 43" O.D.LIQUID LEVEL: 36"
WEIGHT: BOTTOM 14.060 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/IN
LOADING DESIGN: 8' 0" UNSATURATED SOIL
HOLDING TANK:OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 2.138 GALLONS
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
COVER: MIX DESIGN #8 (NO FIBER)TANK: MIX DESIGN #9 (SMALL FIBER)
CUSTOMIZED TANKS:FOR CUSTOM TANKS CONTACT WIESER CONCRETE
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
DRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
ml1st
1>^ILJ <|a a
^1y|
010
•tID
co|ind: ^-1z co!1§$ 1013 CM Ii-o I1°Q]0x 00]in3
's
Q£
0Q0c^a-
<=3z<
0p
Q,UJ(7)
SHEET NO.
1 .OF 1
HOLDING TANK SERVICING CONTRACT 1'i Iipl IE li ^ I fnl
Contract Date
p^ )2' ^°^5~
!. I' S> !^ • i '-^ h dUI\! .! /:
This contract is made between the
^•-v
Holding Tank Owner(s) Name(s)
1-1 S (?•-fCfci^ZOLj
Pumper's Name (Print)
ke^,^ i^cfc^ey
Pumper's^Signature.
W-i^-C
Pumpers' Registration #
05^
We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions)
PROJECT
LOCATION
Legal Description:
(Use Tax Statement)
TaxlDtt /si\\
Section 3^ , Township H^' _ N.Ranee 0 f\ W
Gov't Lot Lot ft CSIVHt Vol. Page CSMDoctt Lot(s) No.Block(s) No.
>l?_l/4, ^E 1/4,
Town of:
nvmyvioi
Sjd-T4£
lot Size
d-efu
Acreagew
Subdivision:
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
service contract.
days from the date of.Gl?aiiiQ6'tf»;thism^^
Owner(s) Name(s) (Print)
.ur^rcs Cr^-^z^
Owner's 3ignatyre(s)Subscribed and Sworn to OietS? ^*~' 1/\/^, \
on this ^ day of O^i./l^^O^IS
y6LIC
My commission expires on:
Notary Pistol K^CO^t//"7""*v^n: 8/^7^5'
n'-
Revised: May 2016 (®May 2018)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (l)(m)]
Drafted ^Mh
Document Number
State Bar of Wisconsin Form 00-2011
CORRECTION INSTRUMENT
Under Wis. Stat. § 706.085
Document Name
Undersigned hereby states that a certain document ("conveyance") titled as
Holding Tank Agreement _ (type of document), and
executed between Curtisj3ranzow .Grantor, and
J3ayfield County Zoning
County, Wisconsin, on May 12
^NA_ , as document number *
, Grantee, was recorded in Bayfield
, 2025, in volume NA , page
_, and contained the following error:
*2025R-607514
Incorrect Property Description
Undersigned makes this Correction Instrument for the purpose of correcting the
conveyance as follows:
Parcel Identifier Number 15111
SW 1/4 SE 1/4 S36 T45N 08W
The basis for Undersigned's personal knowledge is (check one):^<
~'f\^
^'^i{>><^ °^
^
Recording Area
Name and Return Address
Bayfield C^unt^ Plaimiijig & joi^g
|ni JUN 0 '/. W
15111
|Undersigned is the Grantor/Grantee of the property described in the conveyance.
iUndersigned is the drafter of the conveyance that is the subject of the Correction Instrument
Undersigned is the settlement agent in the transaction that is the subject of this Correction Instrument
Other (Explain):
Parcel Identification Number (PIN)
A copy of the conveyance (in part or whole) @isQ is not attached to this Correction Instrument (if a copy of the conveyance is not
attached, attach the legal description).
Undersigned has sent notice of the execution and recording of this Correction Instrument byjJS-dgsSipay to allpatties to the
transaction that was the subject of the conveyance at their last known addresses.
Dated June 02,2025
Signature of
authenticated
*
on
AUTHENTICATION
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,.
authorized by Wis. Stat. §706.06)
TfflS INSTRUMENT DRAFTED BY:
Douglas Manthey
* Curtis Granzow ^^,H,,^EAL)^s^01^
ACKNOWLEDGM^r-\ ^A ^ %-.<
STATE OF WISCONSIN
Bayfield
"I^OTA/^--^
)E§( -<»- ;$
COUNTY \&^-.,fiUQ\.\^ ,^;
Personally came before me on June 02
the aboy.e-named Curtis Granzow
to me/fai^wn to b? the person who es
instrjSmelt andjt&kiy
tuff^-
.^•^.-^2 '^.OF'W^'^'
'///finn\\<'
* Douglas Edward I^Snthey
flgedl
'i^{
id the foregoing
Notary Public, State of Wisconsin
My Commission (is permanent) (expires: August 24,2025 •)
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY ffiENTIFIED.
CORRECTION INSTRUMENT STATE BAR OF WISCONSIN
* Type name below signatures.FORM NO. 00-2011
Document Number/Plan 1.0. No.
Owner Name (s)
Curtis Granzow
Parcel Identifier Number (PIN)
15110
HOLDING TANKAGREEMENT
Ovmer(s) Mailing Address
44 Bradshaw Ave NEBuffalo, MN 55313
Agreement Date (same as Notary Date)
05/13/2025
We acknowledge that application is being made for the installation of (a) holding tank(s)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 othertype of private onsBe wastewater treatment system as permitted under Ch. SPS 383,
Wis. Adm. Code or Ch. 145, Wis Stats.
NW 1/4 of SE _1/4 Section 36 _Tovmship 45 .N. Range 08 -w.
Town of Drummond
Additional Legal Description:
Gov't Lot_ Lot_Block_
_CSM #_
1115 in Doc 2024R-602252
Lot_-Vol
Subdivision
-Page.
_CSM#_
.CSMDoc#.
DOCUMENT NUMBER2025R-607514
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, Wl
RECORDED
05,19/2025 AT 11:1 5 AM
RECORDING FEE: $30.00
PAGES: 1
Return To:
PlouiMn">»<vo c ^on
So^tcKl Co^"
1 is
JUN 0 ^ !.^'
^
I^Y"6!.U^ .:C;^\'.'
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 property 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, Stats., 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 semces rendered. The charges will be assessed as prescribed by s. 66.0703, Stats.
2. Owner agrees to pay alt 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.
4.
6.
The owner agrees to contract with a pereon 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. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfietd 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
The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Stats., and Ch. NR 114, Wl'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.
This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private
onsitewastewater treatment system that complies with Ch. SPS 383, Wl'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.
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. ^\\^' '^"i/,,^^RDC^.Subscribed and sworn to before me on this date>\ V.-'""""--.7'fl
C3'.-'' . •».-"•Owners) Name(s) - Please Print ^O^Ry 'i3> ws- (si ^Curtis Granzow^7 CY PUB\V".
^OF^//,t:. OF N'?^'//")7i"u^°
Drafted by: Douglas Manthey
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 0)(w)1
Date:05/12/25_
u/fomislsanitaiyholdingtankagreeroentdociajune 2016
Bayfield County Register of Deeds Document #2025R-607514 Page I of 1
SJ-(?3^
Document Number
State Bar of Wisconsin Form 00-201 1
CORRECTION INSTRUMENT
Under Wis. Stat. § 706.085
Document Name
Undersigned hereby states that a certain document ("conveyance") titled as
Holding Tank Agreement _ (type of document), and
executed between Curtis Granzow , Grantor, and
Bayfield County Zoning
County, Wisconsin, on May 12
NA , as document number *
, Grantee, was recorded in Bayfield
, 2025 , m volume NA , page
_, and contained the following error:
Recording Area
Name and Return Address
*2025R-607514
Incorrect Property Description
Undersigned makes this Correction Instrument for the purpose of correcting the
conveyance as follows:
Parcel Identifier Number 15111
SW 1/4 SE 1/4 S36 T45N 08W
The basis for Undersigned's personal knowledge is (check one):
(Undersigned is the Grantor/Grantee of the property described in the conveyance.
|Undersigned is the drafter of the conveyance that is the subject of the Correction Instrument
|Undersigned is the settlement agent in the transaction that is the subject of this Correction Instrument
I Other (Explain):
DOCUMENT NUMBER2025R-607694
DANIEL-J. HEF-F-NER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
06/02/2025 AT 1 :06 PM
RECORDING FEE: $30.00
PAGES: 2
Bayfield County Planning ^^lii^
I I '-I ','ll'->>~>JUI'< U 0 ^U^^iij!.i
15111 bavneia;... .•luiin.u LIUP^
Parcel Identification Number (PEN)
A copy of the conveyance (m part or whole) ^ is Q is not attached to this Correction Instrument (if a copy of the conveyance is not
attached, attach the legal description).
Undersigned has sent notice of the execution and recording of this Correction Instrument by l;S-dg8§jpa»l to allpaflies to the
transaction that was the subject of the conveyance at their last known addresses.
Dated June 02,2025
AUTHENTICATION
Signature of
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,.
authorized by Wis. Stat. §706.06)
THIS INSTRUMENT DRAFTED BY:
Douglas Manthey
^UUU^AL)
ACKNOWLEDG
STATE OF WISCONSIN
Bayfield
'r^^^^-^
=°': '^_' :^
\s°\ ^*^^ ;1<.
_ COUNTY ia^&-..^BL\0,.^^?/^L".^c^Personally came before me on June 02 ^. OF W1R^\NN
the aboYe-named Curtis Granzow
wn to b^ the person who e
* Douglas E^vard IS-Bmthey
Notary Public, State of Wisconsin
My Commission (is permanent) (expires: August 24, 2025 )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
CORRECTION INSTRUMENT STATE BAR OF WISCONSIN
* Type name below signatures.FORM NO. 00-2011
^
Real Estate Bayfield County Property Listing
Today's Date: 5/30/2025
^ H I ^ 1? Iffi
lit JlJNO^fc Property Status: Current
Created On: 3/15/2006 1:15:22 PM
i"e'c'<...7 X'W
£•*' 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
018
041491
001700
15111
Updated: 2/23/2024
04-018-2-45-08-36-4 03-000-10000
018114408000
(018) TOWN OF
S36 T45N R08W
SWSE1116 IN
40.000
40.104
0
No
(F-l) Forestry-1
112
4 Recorded Documents
Q WARRANTY DEED
Date Recorded: 2/16/2024
0 CONVERSION
Date Recorded:I
DRUMMOND
DOC 2024R-602252
Updated: 3/15/2006
STATE
COUNTT
TOWN OF DRUMMOND
SCHL-DRUMMOND
TECHNICAL COLLEGE
Updated: 3/15/2006
2024R-602252
594-248:639-314:682-272
mership
CURTIS GRANZOW
ELIZABETH SERKES-GRANZOW
Billing Address:
Updated:2/23/2024
BUFFALO MN
BUFFALO MN
Mailing Address:
CURTIS GRANZOW ELIZABETH CURTIS GRANZOW
SERKES-GRANZOW44 BRADSHAW AVE NEBUFFALO MN 55313
P Site Address * indicates
12525 COUNTS HWY N
Property Assessment
2025 Assessment Detail
Code
G6-PRODUCnVE FOREST
2-Year Comparison
Land:
Improved:
Total:
Property History
N/A
ELIZABETHGRANZOW
SERKES-
44 BRADSHAW AVE NEBUFFALO MN 55313
Private Road
Acres
40.000
2024
50,000
0
50,000
DRUMMOND 54832
Updated:
Land
50,000
2025
50,000
0
50,000
9/22/2015
Imp.
0
Change
0.0%
0.0%
0.0%
B^yFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
GRANZOW, CURTIS
44 BRADSHAW AVE NE
BUFFALO, MN 55313
SERKES-GRANZOW/ELIZABETH
44 BRADSHAW AVE NE
BUFFALO/ MN 55313
Submission Number:
SR-00244
Transaction Number:
SR-00244-2C9C3
Description
Certified Soil Tests - Review & Filing Fee
Amount
$50.00
Total:
Payment Amount:
$50.00
$50.00
Reference: 5280
Paid by: A-Z Enterprises/ Nor-Pines Plumbing, PO Box 196, Drummond WI 54832
Payment Type: Check
Transaction Date: 6/10/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BJLynELD Bayfield County
Planning & Zoning Department
117 E 5^ Street
P.O. Box 58
Washbum, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
GRANZOW, CURTIS
44 BRADSHAW AVE NE
BUFFALO, MN 55313
SERKES-GRANZOW/ELIZABETH
44 BRADSHAW AVE NE
BUFFALO, MN 55313
Submission Number:
SS-00539
Transaction Number:
SS-00539-2D4F9
Description
Private Sewage System (Holding Tanks)
Amount
$400.00
Total:
Payment Amount:
$400.00
$400.00
Reference: 5259
Paid by: A-Z Enterprises/ Nor-Pines Plumbing/ PO Box 196, Drummond WI54832
Payment Type: Check
Transaction Date: 6/10/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit
BAYFIELD COUNTS SANITARY PERMIT t#04)-25-47S
STATE SANITARY PERMIT
OWNER: CURTIS GRANZOW ELIZABETH SERKES-
GRANZOW
GOVTLOT: LOT: BLK:
SW 1/4 SE 1/4 SEC: 36, T 45 N, R 8 W
TOWNSHIP: Drummond
SOIL TEST: 47-25
NEW SYSTEM
SYSTEM T^PE: Holding Tank
PLUMBER: DOUGLAS MANTHEY
TRACY POOLER
Authorized Issuing Officer
DATE: 6/10/2025
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: # MP 230722
Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all-
weather road.
THIS PERMIT EXPIRES 6/10/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION