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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