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HomeMy WebLinkAbout25-47SRequest for Sanitary Inspection (24 Hrs. in Advance) Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection Fax (715) 373-0114 or Email zoning( bayfieldcounty.wi.gov Note fl Time Change fl Discrepancy fl Other Phone Number 715-739-6868 Plumber: Doug Manthey Fax Number Email Address Homeowner: Curtis Granzow norpines@chegnet.net Immediate Phone Number So Zoning Sanitary Dept can call you right back (if needed) Permit #: 25-475 Plumber's Choice Zo g ept Type text here Type i ;(�'zif No Inspection(s) during this time Date: 06/29/26 r Tuesday (9:30 am - 12:15 pm) (Tracy) Plumber's Choice Zo ept Time: 'h e 10:00 a Township: Drummond Address # & Road Name: 12525 County Hwy N or Directions To Site: Comments: ' * Plumbers you must verify any change(s) by fax or email ** Notes from July 2025 POWTS HOLDING TANK INSPECTION REPORT (ATTACH TO PFRMITI CURTIS GRANZOW ELIZABETH SERKES-GRANZOW 44 BRADSHAW AVE NE BUFFALO MN 55313 TANK INFORMATION TYPE MANUFACTURER/MODEL# CAPACITY u)f�SH (0-v.*' 1 QecV SETBACKS Property Line Well Water Service Building All -Weather Road OHWM Swimming Pool DEVIATIONS FROM APPROVED PLAN /Joe, e, COMMENTS (Persons present, discrepancies, etc.) %chj F COMPONENTS NOT INSPECTED Plan Revi Required ❑ Yes �te: Signature of In tor: Ce . Number Sketc n other side 10 of 13 Property Owner Information BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT Telephone: (715) 373-6138 Fax: (715) 373-0114 e-mail: zoning(a)bayfieldcountv.wi.gov Web Site: www.bayfieldcountv.wi.gov/147 CURTIS GRANZOW ELIZABETH SERKES-GRANZOW 44 BRADSHAW AVE NE BUFFALO MN 55313 Bayfield County Courthouse Post Office Box 58 117 East Fifth Street Washburn, WI 54891 As you know 015 "10 vl �4 Lp was contracted by you to install a private onsite wastewater treatment system on your pr erty described as: Notes: Abandonment of Old System to meet all applicable code requirements: o Tank was pumped by: o Tank was crushed! removed and pipes disconnected by: on at AM/PM On at / (AM /?the above -mentioned plumber contacted our office to conduct a pre -c ver inspection as required un er 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 Comments: W form slsanitaryprapertyowner-input April 20i9 1)� !! ('C V�cOa-S _ w �oQyxata`t�o� Department of Safety County '� �,�.•_r51J) Bayfield U& ProfessS JUN N 0 2 t J]5 ionalervices Sanitary Permit Number (to be filled in by Co.) �1 U Industry Serv>ces Div><s><o � � _ u 7 �v _ / c� airfield rn 7 mina De t. 1ffEI3 Sanitary Permit Application 2.5! 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 Project Address (if different than mailing address) 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(1)(m), Stats. 12525 County Hwy N I::Application tInformation ,, _Please;Prli tAil.Information:. ; Property Owner's Name Parcel # Curtis Granzow Elizabeth Serkes-Granzow 15111 Property Owner's Mailing Address Property Location 44 Bradshaw Ave NE Govt. Lot City, State Zip Code Phone Number Buffalo, MN 55313 612-360-0410 SW y4, SE 1/,, Section 36 IL:Type Ot]R'O O!A-t'(thogk"all 04capply) Lot # • T 45 N R 08 E or 0 1 or 2 Family Dwelling —Number ofBedrooms 2 Subdivision Name Block # D Public/Commercial —Describe Use O City of ❑ State Owned — Describe Use CSM Number O Village of la Town of Drummond III: : a of OW STPermlts Cbcckeittier:"New",or"Raplacement" ad�ottiec applicable on line ACheck4one,hoz`on,lu a B. -Complete Une C' A. ® New SystemReplacement yExisting System (explain) (explain) ❑ System ❑ Other Modification to ❑ Additional Pretreatment Unit B' ® Holding Tank ❑ In -Ground ❑ At -Grade 0 Mound ❑ Individual Site Design 0 Other Type (explain) (conventional) C. 0 Renewal Before ❑ Revision ❑ Change of Plumber 0 Transfer to New Owner List Previous Permit Number and Date Issued Expiration :IV this �ersalf teatmcptArea and-Tankinformatibm Design (gpd) i� pP Rate(gpd/sf) Dispersal Required ( fl Flow d Design Soil Application Rate d/s Area ulred s Dispersal Area Proposed {sfj System Elevation 300 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units ,� c '� •CJ New Tanks Existing Tanks u r.5.a to Septic or Holding Tank 2000 2000 1 Wieser Concrete X Dosing Chamber _.. -�x-•'�' r 1 - .:.. �. ' V Reis onslblli = tatement= I Htc>undersi red` as m res o 'ib i rl fellation of tke POWTSs ownon the attacked: per_ L . �Y� undersigned, EP tY �. Plumber's Name (Print) Plu er's ign re MP/1VIPRS Number Business Phone Number Douglas E. Manthey MP 230722 715-739-6868 Plumber's Address (Street, City, State, Zip Code) PO Box 196 Drummond, WI 54832 VI. CouiatyflD airtmentUse'QOnI Approved O Disapproved $errnit Fee (D o IssuedL Issu' g Age gna O Owner Given Reason for Denial // Conditions of Approval/Reasons for DisapprovalcSw _ . ll .e%o Attach to complete plans for the system and submit to the County only on paper not less than 8 112 x 11 inches in size SBD-6398 (R. 03/22) Govt. Lot: SW Township: Drummond Project Parcel ID #: 15111 PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet D I f E 1L1 Y 1 f Component Manual Design References: JUN 027025 Holding Tank Version 2.1 (May 2022-2027) Bayfield Co. Zoning Dept. 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 Attachments: Enclosures: Manufacturer Tank Specs 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 Granzow Holding Tank Owner Name(s): Curtis Granzow Owner Address: 44 Bradshaw Ave NE Buffalo, MN plicable) cable) Phone: 612 _360 -0410 Zip: 55313 Project Address: 12525 County Hwy N Drummond, WI 54832 1/4, Section 36 , T 45 N -R 08 E ❑ or w1 County: Bayfield 1/4 of SE Designer Information Designer Name: Douglas Manthey Designer Address: PO Box 196 Drummond, WI E-mail: norpines@chegnet.net License Number: MP230722 Remarks: Phone: 715 - 739 - 6868 Zip: 54832 This space reserved for approval stamp. Signature: Date: 05/30/25 Ori nal signature required an each submitted copy. • Cb 1 S 2. O( t ii2a�pG Ser1�es- GramZ o w m11'5 i t ; K 414 3 cc4 Lcat Aue ) F auV3Iv> IqW SS3%3 S +e 1�dOxess ! 1 Tc Sw Sas3L T9 N. R°8w nw w+O rrtc CotNr�\Y 3, L I.' A %3w : 1aa,1 ;r. Of aOVt -(�1 -q9.2. L•.eSer WL�A�oo 6-�mp-,evA mO�t4ta. Des" 9% j4u ��. -Tahk VeC510 h 2.t StQ 3c Page JUN 1) 22025 2025 Bayfield Co. Zoning Dept. c -/1A) Li PAGE 3 OF 4 1111 JUN 0 2 2025 Bayfield Co. Zoning Dept. HOLDING TANK SPECIFICATIONS (No Scale) Weatherproof 12" Min. or 2.0 ft above Junction and Approved Established Flood Elevation Alarm Box Vent Cap (typical) Electrical must comply with } Approved Locking Manhole SPS 316 and NEC 300 4"0 Vent Pipe with Warning Label Attached �—Conduit >10 ft from (typical) 4" Min. or 2.0 ft above Building Established Flood Elevation (typical) \L' \l/ Airtight Seal Grade Finished 18" Min. Ical= (typical) a TT Inlet Inlet Invert �-Watertight Approved Joints with Plug Approved Pipe 3 ft onto ' ' Max. 12" or 90% of total volume Solid Ground if more than one tank 4 Alarm -On 0 4 • HOLDING TANK VOLUME = 2000 gal c• •. • • a 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 lbs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( 500.5 cu.ft. x 62.4 Ibs/cu.ft) - 22230 Ibs] x 1.5 = 9001.2 Ibs • Holding Tank Management Plan � JUN 02 LY) IMPORTANT: Bayfield Co. Zoning Dept 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 = 300 gpd 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 (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: HK Septic Phone: 715-798-3494 Local government unit. Bayfield County Zoning Local government unit address: PO Box 58 Washburn, WI Phone: 715-373-6138 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. r. o c''' E 164" .---, J N f o U v4" CAST -A -SEAL 4" CAST -A -SEA �I li co a u u FILTER OR BAFFLE TOP VIEW _L SIDE VIEW OUTLET PUMP PAD ITANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS WLP2000-MR TANK SPECIFICATIONS DIMENSIONS: WALL: 3" BOTTOM: 5" COVER: 6" MANHOLE: 24" I.D. 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 DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: APPROVAL DATE: PRODUCTS NEEDED BY: ol m 0 0 0 o W V) SHEET NO. 1-" n hd ip n S$-0053'1 Revisoll s 101 Ii Department of Safety County Bayfield 0 S ") JUN 022025 & Professional Services, Sanitary Permit Number(to be filled in by Co.) P g / Industry Services Divisio t� J _ " 17 s De t. 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 Project Address (if different than marling address) 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(IXm). Stets. 12525 County Hwy N I. Application Information — Please Print All. Information Property Owner's Name Parcel # Curtis Granzow Elizabeth Serkes-Granzow 15111 Property Owner's Mailing Address Property Location 44 Bradshaw Ave NE Govt. Lot City, State I Zip Code Phone Number Buffalo, MN 55313 612-360-0410 SW A. SE y,, Section 36 T 45 N R 08 E or II. Type of Building (check all that apply) Lot # ® 1 or 2 Family Dwelling — Number of Bedrooms 2 Subdivision Name Block # ❑ Public/Commercial — Describe Use O City of ❑ State Owned — Describe Use ❑ Village of CSM Number ® Town of Drummond Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on One A. Check one box on line B. Complete line C i a licable. A. @ New System yp O Replacement System(explain) y ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit B' ® Holding Tank O In -Ground ❑ At -Grade O Mound ❑ Individual Site Design I ❑ Other Type (explain) (conventional)I C. ❑ Renewal Before ❑ Revision O Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal l'reatment Area and Tank Information: Design Flow (gpd) Design Soil Application ltate(gpd/st) I Dispersal Area Required (st) I Dispersal Area Proposed (st) Syslem Elevation 300 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units U no o ' v o New Tanks Existing Tanks c p a U b y to 'w 5 P. Septic or Holding Tank 2000 2000 1 Weser Concrete X Dosing Chamber V. Responsibility Statement- 1, the undersigned, ss31rn4respqp51bilityJ9r sf lIation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu er's ign re MP/MPRS Number Business Phone Number Douglas E. Manthey MP 230722 715-739-6868 Plumber's Address(Street. City, State, Zip Code) PO Box 196 Drummond, WI 54832 VI. County/Department Use Only Approved O Disapproved Fee Date L Issu g Age gnu $Permit llssued I 3 ./ ❑ Owner Given Reason for Denial `� Conditions of Approval/Reasons for Disapproval Lw Attach to complete plans for the system and su Innis to the County only on I ..1'I ml less than 8 u2 n 11 inohe. in sin SBD-6398 (R- 03/22) r?cy02qq €V,SQ1$ ___ AR�AI Wisconsin Department of Safety and Professional Services0 P of� d�FkT JUN J '2 2025 t' 1. Division ndustry Services SOIL EVALUATION REPORT sail TEST coon le Lo. G ' t. owe ~ in accordance with SPS 385, Wis. Adm. Code ! n - - Attach complete site plan a.pa er not less than 81/2 x 11 inches in size. Plan must include, Parcel I.D. 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. e e b n I Date Personal Information you provide may be used for secondary purposes (Privacy Law, s.15.04(1)(m)). Property Owner Property Location ❑ GUS �- Govt. Lot f %. �-~ % S T_ N R Q g E (or) Wmi• � t Property Owner's Mailing Address Site Address or CSM and Lot #: /-p f'_frhb.'4 _/Z"_______________________ Clty State Zip Code Phone Number O City ❑ Village IN Town I Nearest Road 1d4/, 111) Lcr213 ¼'i' ,.4/ New Construction Use:g Residential/ Numberof bedrooms Code derived designflow rat _______GPD ❑ Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material .g a/It4/ General comments and recommendations: FAQ j s� X;/ -C 5;" �Qys�rtT I JI' S r J ❑ Boring Boring # It Pit Ground surface ele !+ ft. Depth to limiting factor !� In. / elev ___ •'•ft. I Soil Aonlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 !!'4 ?• �Y� z S L .2 n+v� ' &w h • G % D 2 K q 'd Vi /vas 4, k iF - 1 2 ❑ Boring # ❑Boring ❑Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. I Soil Aonlication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 CST Name (Please Print) Signature CST Number Address ! 3 7U /3 a [�/p 4u1i' Date Evaluation Conducted --- vl� Telephone Number /s`- - f/2o 4 * Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOO, s 30 mg/L and TSS s 30 mg/L SBD-8330 (R04121) ___ ORIIGliNAL `Eq ra hci w A4"6 ,y6 L Lt 14al o .M4 i' 1 ?44 'e ( co c f Towi' e12 cu( sry,5,-& j&:S :5 1(1 1 j too c.. 2O1 L/Af'_o.Zt s a. rn'e ( ./- //' j,q4 . ./c1c) J! 17.2 4 s7 7i�-.,rot -efo o 11fl 111.1 JUN ()22025 Bayfield Co. Zoning Dept. PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet 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 1i uflfl fl JUN 0 2 2025 Bayfield Co. Zoning Dept. Attachments: Enclosures: Manufacturer Tank Specs POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appF Holding Tank Agreement (if applicable) Project Name / Description Granzow Holdinq Tank Owner Name(s): Curtis Granzow Owner Address: 44 Bradshaw Ave NE Buffalo, MN Phone:612 _360 Zip: 55313 Project Address: 12525 County Hwy N Drummond, WI 54832 Govt. Lot: SW 1/4 of SE Township: Drummond Project Parcel ID #: 15111 1/4, Section 36 , T 45 N -R 08 County: Bayfield Designer Information plicable) cable) 0410 EUor Wu Designer Name: Douglas Manthey Phone: 715 -739 _6868 Designer Address: PO Box 196 Drummond, WI Zip: 54832 E-mail: norpineS@chegnet.net This space reserved for approval stamp. License Number: MP230722 Remarks: Signature: Date: 05/30/25 Lo, nal signature required on each submitted copy. Ct.r½-ts Grahzow (z1i2o.1a� Ser .es- Grshzow m1y A-Mres. `I'1 3ro4sLo.� Aue NE iRusjSjo,1o) 1`(N SS?3t3 m Nj S; +e Y}oiciress : )255 C# -j kwy ►J Qn� Tax =D I S 1 Su' SE 5310—i`ISN RoEW II\S poe .2c H 9. - (po 22 S2 TO(.D , o . 0Rnrv,jL w Bay ct\O. CcNvAy 9" aalsctn.. above Jr� )OO.0 -L�1 - 9'l•�• U3.ese( WLP�000 Po ge ?.Ors i t 01 JUN 0 2 ?025 Baeld Co. Zoning Dept. aZ � StaA(e + t yo tr^ y P 31 • Gabe l.. oy n 9one,ra vx o -k De s sr Iu\dk�9 ?awk. Uecs\oh Mk eowweyc'KCt ; : � �. kt SC yo CV SD¢ 3S PsJc_ UI 4 /3] 23o 9 L2 -1jl/,/;z5 PAGE 3 OF 4 1111 JUN 022025 Bayfield Co. Zoning Dept. HOLDING TANK SPECIFICATIONS (No Scale) Weatherproof 12" Min. or 2.0 ftabove Junction and Approved Established Flood Elevation Alarm Box Vent Cap (typical) Electrical must comply with Approved Locking Manhole SPS 316 and NEC 300 4"0 Vent Pipe with Warning Label Attached Conduit >10 ftfrom (typical) 4" Min. or 2.0 ft above Building Established Flood Elevation (typical) Airtight Seal Finished Grade 18" Min. (typical) a. .. ° 8. a Intet Inlet Invert —.—Watertight Approved Joints with "i Plug Approved PIpe 3 ft onto Max. 12" or 90% of total volume Solid Ground M If more than one tank ." Alarm -On e HOLDING TANK VOLUME = 2000 gal 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser Concrete a 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= [( 500.5 cu.ft. x 62.4 lbs/cu.ft) - 22230 Ibs] x 1.5 = 9001 .2 Ibs n ECR'� E4OF4 Holding Tank Management Plan Illn1� JUN o 2 ?U Bayfeld Co. Zoning Dept 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 = 300 gpd 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: HK Septic Phone: 715-798-3494 Local government unit Bayfield County Zoning Phone: Local government unit address: PO Box 58 Washburn, WI 715-373-6138 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. WLP2000-MR , TANK SPECIFICATIONS _ a a N DIMENSIONS: w N 164° WALL: 3" ka a prLn o o BOTTOM: 5" c U -'COVER: 6" nUt `5 MANHOLE: 24" I.D. PRECAST CONCRETE RISER 0 HEIGHT: 55" O.D. _ ci LENGTH: 164" O.D. - - - - - � WIDTH: 96" O.D. a ,. BELOW INLET: 43" O.D. W 4" CAST -A -SEAL 4" CAST -A -SEAL iI LIQUID LEVEL: 36" WEIGHT: BOTTOM 14,060 LBS. / COVER 8,170 LBS. 0- c �2A f INLET AND OUTLET: o \ 4" CAST -A -SEAL BOOT OR EQUAL c$� rn :I I LO INLET AND OUTLET BAFFLE AND FILTER: FILTER OR BAFFLE I� WISCONSIN, SEE DETAIL #10 0 (OTHER STATES SEE CHART) LIQUID CAPACITY: 56.27 GAL/IN LOADING DESIGN: 8' 0" UNSATURATED SOIL 1,L1 caU TOP VIEW HOLDING TANK: Cr 'Cf 8 OUTLET HOLE PLUGGED v o I ACTUAL CAPACITY: 2,138 GALLONS a IC W/I WIC Cf, o TANK CAN BE USED AS: :co SEPTIC/ HOLDING/ PUMP OR SIPHON — — COVETANK: : MIX MIX DESIGN IGN#9 (8 SMALLNO BFIBER) R INLET _ _ OUTLET CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE Q d 3" a U - - T e . - w PUMP PAD DRAWINGS SUBMITTED FOR APPROVAL SIDE VIEW APPROVED BY: SHEET NO. PR0DUCf5 NEEDED BY: /OF '� TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS HOLDING TANK SERVICING CONTRACT Contract Date 1y1a. 131 o�� Holding Tank Owner(s) Name(s) Curti �r«vtou This contract is made between the JUN 0 2 CUY, Bayfield Co. Zoning Dept. Pumper's Name (Print) Pumper's Signature Pumpers' Registration # i Mef .��te We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT LOCATION I Legal Description: (Use Tax Statement) Tax 1D# I /S ' , St.) 1/4, SE 1/4, 3i J, T14ttEe .2 U Section 3O ,Township lS N, Range 09) 9) w Town of: I ((�� Lot Size I Acreage yo Gov't Lot Lot 4* CSM # Vol. Page CSM Doc # Lot(s) No. Block(s) No. 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 from the date of gbangeitq,this service contract. S EDW,4 P.......... Owner(s) Name(s) (Print) (LL 5 GnflzO� Owner's at e(s) Subscribed and Sworn to it _tt on this /Js) day of by: commission expires on: Revised: May 2016 (@May 2018) Drafted by Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)) State Bar of Wisconsin Form 00-2011 CORRECTION INSTRUMENT Under Wis. Stat. § 706.085 Document Number 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 ,Grantee, was recorded in Bayfield County, Wisconsin, on May 12 , 2025, in volume NA , page NA , as document number * ,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 0(1'''°`%�yl- O Recording Area Name and Return Address Bayfield Count Plari>�gn�Z �o h g ml D �� UU JUN 0 2 [U'L5 Bayfield Co. Zoning Dept. basis for Undersigned's personal knowledge is (check one): 15111 Undersigned is the Grantor/Grantee of the property described in the conveyance. Parcel Identification Number (PIN) 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 A copy of the conveyance (in part or whole) ®x is®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 gI to all ies 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 STATE OF WISCONSIN Bayfield COUNTY Personally came before me on Ju the aboyy��e named Curtis Granzow to meikrtbwn to bs the person wh o i —rf— t.N�.• '°L/BU' •: �_ the 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 FORM NO. 00.2011 "Type name below signatures. Document Number/Plan I.D. No. HOLDING TANK AGREEMENT 44 Bradshaw Ave NE Curtis Granzow Buffalo, MN 55313 Parcel Identifier Number (PIN) Agreement Date (same as Notary Date) 15110 j0511312025 on the tollovring 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 363, Wis. Adm. Code or Ch. 145, Wis Scats. NW 1/4 of SE v4 Section 36 Township 45 N. Range 08 w. Town of Drummond Additional Legal Description: 1115 in Doc 2024R-602252 Gov't Lot Lot_ Block_ Subdivision CSMk_ Lot CSM k Vol _Page _CSM Doc# DOCUMENT NUMBER 2O25R-6O7514 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, W RECORDED O5/19/2O25 AT 1 1:15 AM RECORDING FEE: $30.00 PAGES: 1 Return To: ptv.tn�rnq 4 ton IISS IIV= ,IJ �C yd G%.4j JUN 02 2025 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 a. 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 specificallyr agrees the tax thahat lthe l) be stsand collected charges provided sm yy ewlaced on the tax roll as a special assessment for the abatement of a human health hazard, 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. Bayfleld 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 properly 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 I permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. R0till,,,, , Owners) Name(s) — Please Print Subscribed and sworn to before me on this da`e SPRY t{: Curtis Granzow ' - �' .O /3 aDasZ= I Notarized N pry / / :%.. Drafted by: uvuy'oa '" Personal Information you prorlde nay be used for secondary purposes lPdyecy Lax, x.15.04 OxmM Date: 05/12/25 OF 'lilt ufomNsaniierymtl nglwkffq "°me tt a na 2010 Bayfield County Register of Deeds Document #2025R-607514 Page 1 of 1 Document Number Undersigned hereby states that a c Holding Tank Agreement executed between Curtis Granzow Bayfield County Zoning County, Wisconsin, on May 12 NA , as document number State Bar of Wisconsin Form 00-2011 CORRECTION INSTRUMENT Under Wis. Stat. § 706.085 Document Name :rtain document ("conveyance") titled as (type of document), and Grantor, and 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 DOCUMENT NUMBER 2O25R-6O7694 DANIEL J_ HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/02/2025 AT 1:06 PM RECORDING FEE: $30.00 PAGES: 2 Recording Area Name and Return Address Bayfield CountyflanI1 f,l�i L- JUN 0 3'LOLb The basis for Undersigned's personal knowledge is (check one): 15111 X Undersigned is the Grantor/Grantee of the property described in the conveyance. Parcel Identification Number (PIN) 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 Other (Explain): A copy of the conveyance (in part or whole)[@ is© 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 " tya}1 to all ies to the transaction that was the subject of the conveyance at their last known addresses. �j Dated June 02, 2025 AUTHENTICATION Signature of authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN authorized by Wis. Stat. §706.06) THIS INSTRUMENT DRAFTED BY: Douglas Manthey ACKNOWLEDGMEI f OTA"k`?%t. y ' STATE OF WISCONSIN ):o: ,- rn Bayfield COUNTY ) UBUG 'O Personally came before me on June 02 OF 1NR the abo a -named Curtis Granzow h III n n 1111 to me n wn to b the person who e u d the foregoing ins e t and kn ged * Douglas and anthev 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 -: Description Updated: 2/23/2024 Tax ID: 15111 PIN: 04-018-2-45-08-36-4 03-000-10000 Legacy PIN: 018114408000 Map ID: Municipality: (018) TOWN OF DRUMMOND STR: S36 T45N R0BW Description: SW SE 1116 IN DOC 2024R-602252 Recorded Acres: 40.000 Calculated Acres: 40.104 Lottery Claims: 0 First Dollar: No Zoning: (F-1) Forestry -1 ESN: 112 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 018 TOWN OF DRUMMOND 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE a� Recorded Documents Updated: 3/15/2006 © WARRANTY DEED Date Recorded: 2/16/2024 0 CONVERSION Date Recorded: 594-248;639-314;682-272 Property Status: Current JUN 0 L 2025 Created On: 3/15/2006 1:15:22 PM Mvfield Co. Zoning Dept Ownership Updated: 2/23/2024 CURTIS GRANZOW BUFFALO MN ELIZABETH SERKES-GRANZOW BUFFALO MN Billing Address: CURTIS GRANZOW E SERKES-GRANZOW 44 BRADSHAW AVE NE BUFFALO MN 55313 Mailing Address; LIZABETH CURTIS GRANZOW ELIZABETH SERKES- GRANZOW 44 BRADSHAW AVE NE BUFFALO MN 55313 Site Address * Indicates Private Road 12525 COUNTY HWY N DRUMMOND 54832 ® Property Assessment Updated: 9/22/2015 2025 Assessment Detail Code Acres Land Imp. G6 -PRODUCTIVE FOREST 40.000 50,000 0 2 -Year Comparison 2024 2025 Change Land: 50,000 50,000 0.0% Improved: 0 0 0.0% Total: 50,000 50,000 0.0% If Property History N/A I- 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 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00244 Transaction Number: SR-00244-2C9C3 Amount $50.00 Total: $50.00 Payment Amount: $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. --1 FIELD 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 Description Private Sewage System (Holding Tanks) Submission Number: SS -00539 Transaction Number: SS-00539-2D4F9 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 5259 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. BAYFIELD COUNTY SANITARY PERMIT (#04)-25-47S STATE SANITARY PERMIT OWNER: CURTIS GRANZOW ELIZABETH SERKES- GRANZOW GOVT LOT: LOT: BLK: SW1/4 SE1/4 SEC:36,T45N,R8W TOWNSHIP: Drummond SOIL TEST: 47-25 NEW SYSTEM SYSTEM TYPE: 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