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HomeMy WebLinkAbout25-60S^^ *":;/, .-'JS~;/' "'r^''- \'/... *•._ ,/.^ /'~'^^=^'s>''^^\[71\;^^''S3-oo^^ Industry Services Division 4822 Madison Yards Way Madison, WI,5,37^5 „. ]i ..if;P.O.IpoxfeoBn 1c ;1 ^ Madisd^WF 53707L I County Bayfield 1^ m- Sanitary Permit Number (to be filled in by Co.) ^5^03 Sanitary Permit Application'JliN L L State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate govemii^t^ luirt' is required prior to obtaining a sanitary permit. Note: Application forms for state-owrie^ l-'QWTS 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. Project Address (if different than mailing address) 10990 Eagle Lake Rd. Iron River, Wl I. Application Information - Please Print All Information Property Owner's Name Mark & Julie Tanin Parcel # 13332 Property Owner's Mailing Address 4467 Shooting Star Ave. City, State Middleton, Wl Zip Code53562 II. Type of Building (check all that apply) 1 or 2 Family Dwelling - Number of Bedrooms _2_ 'ublic/Commercial - Describe Use IState Owned - Describe Use Phone Number 608-628-9677 Property Location Govt. Lot. SE Lot #-46 •/4. SE -/4. Section °3 _N R °8 _EorW Subdivision Name Block # CSM Number |Villageof Townof_De!ta_ III. 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.Jew System |Replacement System )ther Modification to Existing System (explain)[Additional Pretreatment Unit (explain) B.[__]Holding Tank IIn-Ground (conventional) I|At-Grade I Mound Individual Site Design [Other Type (explain) c.Renewal Before Expiration Revision [Change of Plumber 'ransfer to New Ownerll.ist Previous Permit Number and Date IssuedNA IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd)300 Design Soil Application Rate(gpd/sf) 1.6 Dispersal Area Required (sf)188 Dispersal Area Proposed (sf)210 System Elevation 91.5 Tank Information Capacity in Gallons New Tanks Septic or Holding Tank 750 Dosing Chamber Existing Tanks Total Gallons 750 # of Units Manufacturer Superior Precast V. Responsibility ^tatement- I, the undersigned, assume responsibihty for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Jason Kuettel Plumber's Signal; z ^'''—-^' :^—':-Y]^f^ MP/MPRS Number675751 Business Phone Number 715-798-3355 Plumber's Address (Street, City, State, Zip Code) PO Box 66 Cable, Wl 54821 ~T VL County/Department Use Only Approved D Disapproved D Owner Given Reason for Denial Permit Feew Date Issued ^ISL'm?L Issuing f^ejHS\^lrfW/3 ^A Conditions of Approval/Reasons for Disapproval SucC^Oi^rfi iA^. Attach to complete plans for the system and submit to the County only on paper not less than 81/2x11 inches in size SBD-6398 (R. 02/22) /^€ ^.i^s.. I Q fi\- Go^yl '\'\1>'« n •^ ~^y Wisconsin Department of Safety and Professional Sen/isesvv's"ssy Attach complete site plan on paper not less than 8% X 11 inches in size. so>l%^5_ Soil Evaluatido-Report^-—" in accordance with SPS 385.Wis.Adm Code Page: d Li f" 1 of 6 Plan must include but not limited to: Vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, location and distance to nearest road. Please Print All Information Personal information you provide may be used for secondary (privacy Law,s.15.04(1)(m)). Durposes. Property Owner: Julie Lvnn & Mark Julian Tanin Property Owners Mailing Address: 4467 Shooting Star Ave CityMiddleton StateWl Zip Code53562 3hone Number:0 r New W Residential Number of Bedrooms: [^ Replacement P Rjblic or Commercial - Describe: Parent Material: Outwash Seneral Comments & Recommendations: System Elevation: 91.5 Load Rate: Boring #1 r Bor.p m G—dsurfa^ Horizon 1 2 3 4 5 6 7 Depth in. 0-4 4-18 18-120 Domm.Colc Munsell 7.5YR2.5/; 7.5YR4/4 7.5YR4/6 ^edox Description }u. Sz. Cont. Color N/A N/A N/A Fexture SL LS LS Ground surface Elev:Boring # 2 r Bw-^ n Horizon 1 2 3 4 5 6 7 Depth in. 0-6 6-20 20-120 Domm.Colc Munsell 7.5YR2.5/; 7.5YR4/4 7.5YR4/6 ^ectox Description }u. Sz. Cont. Color N/A N/A N/A Texture SL LS LS affluent #1 = BOD 5>30^ 220 ii}g/l and TSS>30 5 ISOmg/1 CST Name (Please Print) MarkS. Thompson I Address: 12006 N US Hwy 63 Hayward, Wl 548431 i^re; A •I-' i ~- 2 Flood Plain Q_7 120 Structure Gr.Sz.Sh. 2MSBK OSG OSG 120 Structure Gr.Sz.Sh. 2MSBK OSG OSG bounty: Bavfield 3arcel I.D. 13332 {ipwyyBy^/^j3ate:J7/3 /^^<T :>roperty Location SE1/4SE1/4,S03,T46N,R08W Site Address or CSM and Lot # 10990 Eagle Lake Road Town Delta Nearest Road: Eagle Lake Road Code derived design flow rate: Flood Plain if applicable Applicable: 0 Elevation Range: 88,3 iepth to Limiting Factor: n. Elev. 85 ft Consistencel MFR ML ML Boundary cs cs N/A Roots 3M 3M N/A •epth to Limiting Factor: in. Elev. 85.3 ft Consistencel MFR ML ML Boundary cs cs N/A Roots 3M 3M N/A 300 To 91,65 Soil Application Rate: GPD/ft2 *Eff#1 M OJ. 0.7 Ef?2 10 L6 1.6 Soil Application Rate: GPD/ft2 *Eff#1 M OJ 07 Ef»2 LO L6 L6 affluent #2 = SOD 5 < 30 mg/1 and TSS 5 30 mg/1 ^ late Evaluation Conducted: Tuesday, June 10,2025 CST Number: Telephone Number 877598 715/699-4081 SBD-8330 (R04/21) Property Owner: Julie Lvnn & Mark Julian Tanin Parcel I.D.13332 Page:2 of 6 Boring # 3 Horizonl 1 2 3 4 5 6 7 Depth in. 0-8 8-20 20-120 Boring # 4 Horizonl 1 2 3 4 5 6 7 Depth in. Boring # 5 Horizon I 1 2 3 4 5 6 7 Depth in. Boring # 6 Horizon I 1 2 3 4 5 6 7 Depth in p. p^ Ground surface Elev: Depth to Limiting Factor: 93.6 Ft. 93.6 in. Elev. 83.6 ft Domm.Color Munsell 7.5YR2.5/3 7.5YR4/4 7.5YR4/6 Redox Description Qu. Sz. Cont. Color N/A N/A N/A Texture SL LS LS Ground surface Elev:F~ Bor F Pit t 0 Ft. Domm.Colorl Munsell Redox Description Qu. Sz. Cont. Color Texture Ground surface Elev:r~ Bar P? Pit 0 Ft. Domm.Color] Munsell Redox Description Qu. Sz. Cont. Coloi Texture Ground surface Elev:F' Borff Pit 0 Ft. Domm.Color Munsell Redox Description Qu. Sz. Cont. Coloi Texture Structure Gr.Sz.Sh. 2MSBK OSG OSG Consistence MFR ML ML Boundary cs cs N/A Roots 3M 3M N/A Depth to Limiting Factor: 0 In. Structure Gr.Sz.Sh.Consistence Boundary Roots Depth to Limiting Factor: 0 In. Structure Gr.Sz.Sh.Consistence Boundary Roots Depth to Limiting Factor: 0 In. Structure Gr.Sz.Sh.Consistence Boundary Roots Soil App. Rate GPD/ft2 *Eff#1 M 0^ 0^ Eff#2 LO L6 M Soil App. Rate GPD/ft2 *Eff#1 Eff»2 Soil App. Rate GPD/ft2 *Eff#1 Eff#2 Soil App. Rate GPD/ft2 *Eff:#1 Eff#2 affluent #1 = BOD 5>30<. 220 mg/1 and TSS>30 <. 150mg/l affluent #2 = BOD 5 < 30 mg/1 and TSS 5 30 mg/1 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777 SBD-8330(R.07/00) J UN Soil Profile Sheet Page:3 Of 6 Owner: JulieLynnS Mark Julian Tanin | Soil Tester:MarkS. Thompson System Elevation:91.5 I Load Rate:0.7 | System Elevation:88.3 To 91.63 101 100 99 98 97 96 95 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79 B2 95.3 Q^ 93.63 I: 0.7 88.3 t3- LR 101 100 99 98 97 96 95 94 93 92 91 90 89 88 87 86 85 84 83 82 81 80 79 Bl 101 Owner Information:BM=100: Edge of top step coming up from garage I Name: I Location: ITownship: I County: I Lot #: Julie Lvnn & Mark Julian Tanin SE1/4SE1/4.S03.T46N.R08W Delta Bavfield 10990 Eagle Lake Road B1 = B2= B3= Lake= 95 9&3 916 0 :?.c-l, 1 "=20'Only in Tested Area CST: MarifS. Thompson ^^"/. ^'^ "' '/.-L/^- #877598 ------- /• 715/699-4081 c- ''^- [i-U-ll PAGE 1 OF 4 In-Ground Gravity Plan Index & Cover Sheet ? g Cnmoonent Manual Design References: :^ I' i ^>y^ \^i"s- \}j - G(^y^'~'^) (='i2jC'6^AA^ ,.lij7 Pg 1 of 4 Index & Cover Sheet Pg2of4 Plot Plan Pg 3 of 4 Dispersal Area Cross-Section & Plan View Pg 4 of 4 Management Plan Attachments:Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map Project Name / Description Tanin 2 Bed Owner Name(s): Mark & Julie Tanin _ Phone: 608 .628 -9677 Owner Address: 4467 Shooting Star Ave. Middleton, Wl _ Zip: 53562 Project Address: 10990 Eagle Lake Rd. Iron River, Wl Govt. Lot: _ _SE1/4 of SE 1/4, Section_03, T^6_N-R^ E |_| or W [/ Township: Delta _ County: Bayfield Project Parcel ID #: 13332 Designer Information Designer Name: Jason Kuettel _ Phone: 715 .798 .3355 Designer Address: PO Box 66 Cable, Wl _ Zip: 54821 E-mail: tim@andryras.com i M; ,„ , -er ;. „ 4,, , i; .1, License Number: 675751 Remarks: Signature: _.. '^/f^^ _ Date: 6/(^/^ Original signSture required on each submitted copy. Owner Information: I Name: Location: [Township: [County: I Lot#: Julie Lvnn & Mark Julian Tanin SE1/4SE1/4.S03.T46N,R08W Delta Bavfield 10990 Eaale Lake Road ^BM=100: Edge of top step coming up from garage 5~'PfcA-vt"t- P(2ci^v"i-~7sto \jj/ d^r'cc.' /=•<•<_! B1 = B2= B3= Lake= 95 95.3 93.6 "72. t BM_ d ,Jn ai.v'ct-^' BI / ^^STt-<-\ d- - <=^\ ,<S'o On-? ^ir-.* g Z\K J°' iS6^ --rj.cr.'j 1 "=20'Only in Tested Area ^ ^'^ * l^j\z-/^ ^ 1LJ EljenGSF System Date; Site Address: Designer: 6.12.2025 Client Name: jim ' /' zUt Wl Design Program .\/:f—^' , , , .';••. t-;\ Mark Tamn 10990 Eagle Lake Rd. Iron River, Wl Jason Kuettel Note: This worksheet is provided to assist the Planner in sizing the number ofElJen GSF Modules required for a specific project. The calculations here in are explained for each output. The success of the overall design is based on the Planners Inputs and considerations outside of this worksheet. System Sizing (Total Number of Eljen GSF Modules Required) 1.1 Site Characteristics: Total Number of Bedrooms DDF per Bedroom (Daily Design Flow per Bedroom) DDF (Daily Design Flow) Application Rate Required Basal Area (DDF -Application Rate) Unit Used ( Usually B43) Unit Install Width Square Footage per Unit 1.2 Module Quantity Analysis: Minimum Number of Eljen GSF Modules Required (Required Basal Area - Square Footage per Unit or Bedrooms x (5 for B43s| or 6 for A42); whichever is greater) Amount of Eljen GSF Modules Used Must be greater than or equal to Minimum Number of Eljen GSF Modules Required 1.3 Distribution Cell Design: Number of Distribution Cells/Trenches (Program supports up to4Trenches| or 1 Cell) Number of Laterals inside Cell (Program supports up to 4) A. Distribution Cell Width (If cell is red. Cell Width is greater than 10 ft and needs to be revised.) B. Distribution Cell Length C. Lateral to Lateral Spacing (Multiple lateral systems) D. Lateral to Edge Spacing (Multiple lateral systems) Units per Row (if red, adjust number of modules to make rows equal) Total Square Footprint 2 150 300 1.6 187.5 6Pd gpd gal/ft2 ft2 B43 5 20 10 10 ft ft2/unit units units 1 2 10 21 5.00 2.50 ft ft ft ft 5 210 "ft^ Design Notes and Comments Effluentffl Application Rate 0.7 gal/ft2 Equivalent Effluent #2 Application 1.6 gal/ft2 A. Width 10 Length 21 C. Late 5.00 Lateral Spacina 2.50 D. Lateral to Edge Spacing (ft) "r^i. A. Width . 10 C. Late 5.00 Lateral Spacina Wt2.50 c- -A- D. Lateral to Edge MINI 2" OF CLEAN FILL 6" n yn GSF Wl IN-GROUND DESIGN PROGRAM ;[ MANAGEMENT AND CONTINGENCY PLAN i!j?' • <; yH/'r, System Management Plan General This system shall be operated in accordance with SPS 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals Eljen In-Ground Component manual November 2019 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water lightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as In-Ground and Pressure Distribution System No trees or shrubs should be planted on the system. Plantings may be made around the system's perimeter, and the system shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the system is not recommended since soil compaction may hinder aeration of the infiltrative surface within the system and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the system be heavily mulched as protection from freezing. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective components) shall be immediately repaired or replaced with a component of the same or equal performance. If the in-ground component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: ~)~^lJ\!^ SEPT 1C T.AJ-!;<CROSS SZCTION Ah'D S?^C^.;'rc.•:>.TIO^i:: 4" SC^OPV-C INSP. p^?;: 6^"^I,1^. A30VZ G?^.D;:.(opT.^ Ctoh°o ^nle-+ ^o-+\\\fi\& T^^u-n'&dy JUN i c J;'^ FINISHED GRADE F; APPROVED PIPE 3' ONTO SOLIDSOIL -APPROY-ED BA-E-EfeE Ot( FILTER. MFG. OKnCo mods 1 if .FT082.'2- T7 .3" APPP.OVED BrUDIHe Uh1)£R TAh'K SPECIFICATIONS SEPT-iC ^ ^,^_ ^ ,^_^TANK'MA.WFACTVRE?.: ^?fc!2-u^. "^.^^CAn TANK SIZSSJ SE?TJEC ^0 GAL. _ APPROVED KANHOLE W/ Lcck.4. W^'W^ ^Q^ -4" HIM. ..OUTLET NOTES: S$~<90?^/5NTEREO> ^-(fl-< !ni Private Sewage System Maintenance Agreement Owner(s).Namef^ft^ ftr^O ^UUG Owner(s) Mailing Address <y^"7 ^KCCTV^ -^M^S. r?^67', ^/'D'P^—rW/iAJ^: 55S-6Z-. Site Address7S^ e^^ po.^^cf^^ Tax ID #/•^-^ As owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the Wl Adm. Code, as from time to time amended. (COMPLETE Legal is required) ^<- 1/4 of S< 1/4 Section ^ "^ Township ^^ N. Range c8 W. Additional Legal Description: S(?fc- ^7~T>iK-Pfr- Town of i^>£*-~n^ Lot (Acreage) 0 • -?3> Gov'tLot. Block Subdivision Lot CSM#Vol..Page.CSMDoc# ii ¥ JUN I & ZUZ? DOCBMENTjStoMBBR2025R-Q07S5S DANIEL J. HEFFNER REGISTER OF DEEOS BAYFIELD COUNTY. W! RECORDED 06, 1 3/2025 AT 1 ;02 PM RECORDING FEE: $30.00 PAGES: 2 Recording Area Return To: Planning and Zoning Department In-ground gravity D Mound D In-ground dosed D In-ground pressure distribution Sewage System: |_] At-grade Sewage System Q Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At-arade. and In-around Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Ownerfs) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically 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. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. ,.ir';!:'"".. .^' M\ '' Owner^) Name(s) - Please j»rijit'^W/A/ <WU& TH-^/V Subscribed and sworn to before me on this date: '5'uM^ C? ^-=» 2-<5 •^J2; 0' Notary Public B-^L^O- fWr^f^ ^^v^-\ ^^,:^ " My Commission Expires: Ua^ ^ . '7^£>'L€\•/.u ^ """-'„, \i \- jn,^-'Qf^vr^^^ ^ Proofed by: u/forms/sanitary/septicnnaintenceagreement Revised July 2020 Drafted by:"7^. ft^^- Date: ^A/ 2-S (\ \ DOCUMENT NO. THIS INDENTURE,Madeby. WARRANTY DEED STATE OF WISCONSIN — FORM 10 LST of Ashland, Inc. 458937 ^ VOLZ^OF^^AGEiyr <^& a Corporation duly organized and existing under and by virtue of the Wisconsin, granior, of _Asn-l-ana Wisconsin, hereby conveys and warrants to Mark Julian Tanin and laws of ihe State of County Julie Lynne Tanin, husband and wife, as survivorship marital property grantf sum o($140,000.00 County, Wisconsin, for the Bayfield County,the following tract of land in State of Wisconsin; A parcel of land in the Southeast Quarter of the Southeast Quarter (SEi-;SEi), Section Three (3), Township Forty-six (46) North, Range Eight (8) West, Town of Delta, Bayfield County, Wisconsin, more particularly described as follows: Commencing at the southeast corner of said Section 3; thence North on the East line of the above mentioned section, township and range for a distance of 981.86 feet to a brass pipe and the point of beginning. Thence turning left at an angle of North 75° West for a distance of 213 feet 5 inches (passing through an iron pipe set 10 feet from.. the shore of Murray Lake); thence turning left along the shore of said lake 60 feet; thence turning left through an iron pipe set 10 feet from the shore of said lake. South 75" East for a distance of 239 feet 3 inches to the East line of said Section 3; thence due North along the East section line for a distance of 58 feet 8 inches to the point of beginning. • ' Fc^; REGISTER OF DEEDS '00 RUG 15 nn 3 53 REGISTER'S C FF I CL/;,.•.. BAYFIELD COUNTY, V/!o.. THIS SPACE RESERVED FOR RECORDING DATA [! NAME AND RETURN ADDRESS I 1 JTV, - i&C^T ^ i^r \fi/T ^/a.aQ T/^ WcM /^-016-1084-03 PARCEL IDENTIFICATION NUMBER l..i- •> ••••} ID] ^ F JUN "TRANSFER FEE,<^3^^) 11 f?ILJ ^2025 iL Subject to easements, reservations and restrictions of record. ([F NECESSAKT. CONTINUE DESCRimON ON REVERSE SIDE) In Witness Whereof, ihe said grantor has caused these presents lo be signed by ., its President, and coumersigned by its Secm-ary, at Ashland^L day of.August ., Wisconsin, and its corporate seal to be hereuniu affixed ihis SIGNED AND SEALED IN PRESENCE OF .A.D.M 2000. LST OF ASHLAND. INC.^^^^^^^nrL^-7 Prcsidem COUNTERSIGNED: Secretary State of Wisconsin, .___... Aahlaad _ County. J ^v'^p ^c'"'% IVisoti.illy <"j(ru' Ix'fnre me, lliis _/^'\b^J ' * *(fciv(5f.O'^-s'. • —^ — / • "%, •-•Luis CT. •Kova4 'res'u^yr,^ V783 P 889 Augus t , A.D., K 2000. Secretary' of llir abiivc nann-tt Curpuralion, to me known&^lh^ers^ \^ ex^fid the foreguing instrument, and lo me known to be such Presidfni ami Scmwy of said Corporaiion, and acknowlSl^^h^.he7Sce(^ed.'t§Gregoing instrument as such ofRcetS as the deed of said Curpucaiion, by iis authority. ^.^ .^ ^ .'^, ^L^^ •^yptoAAA ft-^U V'^^ "ID! l/in^ k td^TfO^THIS INSTRUMENT WAS DRAFTED BY Attorney Keith W. Dallenbach Dallenbach Anich & Haukaas, S.C. Ashland, WI 54806 Notary Public,Ashland -My-comnussion.(expires) (is) /Vfl/^///) ^ Cnumy, Wis, iviiixit'i^ •>)U It'm»- wist-tHisinSiatuK-'.pdiviili.-iiluiall insimnu'nisio be rcronlcd shall liavc ptainly prini<d or typcwrinen thereon ihc names of th( Rraniors, fininiecs, witnessrs anJ nut.in- .^tt'-,.l '.I I ..I..,.!.., 1) l,4i.r,,ll...l ll,i. lu.l..' ,.1 ll;,. pn.*.n »lw. ur sux.in.mn.d agmcy whidi, Jnhcil iurh'lraimmenl.'sfch b.i'prinidjyp'twnum sumi)?d''orw'ri5i,n"ihtnon'ir i \VA)Ut,\MV 11(11;- Hv E »i|».T;ui»m STATE OF WISCONSINFnnn Nil. 10 [ypewritien. Stamped or wrinrti ilicrcon in a lc^ibtf manner) Wisconsin Lega) Blank Co , Inc.Milwoukea. W>s BAypiELD 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: TANIN, MARK JULIAN 4467 SHOOTING STAR AVE MIDDLETON WI, WI 53562 TANIN, JULIE LYNNE 4467 SHOOTING STAR AVE MIDDLETON, WI 53562 Submission Number: SR-00267 Transaction Number: SR-00267-2DE83 Description Certified Soil Tests - Review & Filing Fee Amount $50.00 Total: Payment Amount: $50.00 $50.00 Reference: 14726 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI54821 Payment Type: Check Transaction Date: 6/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. KA^piELD 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: TANIN, MARK JULIAN 4467 SHOOTING STAR AVE MIDDLETON WI, WI 53562 TANIN/ JULIE LYNNE 4467 SHOOTING STAR AVE MIDDLETON, WI 53562 Submission Number: SS-00574 Transaction Number: SS-00574-2E15A Description Private Sewage System (Septic Tanks) Amount $400.00 Total: Payment Amount: $400.00 $400.00 Reference: 14726 Paid by: Andry Rasmussen & Sons/ PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 6/23/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit BAYFIELD COUNTS SANITARY PERMIT (#04)-25^0S STATE SANITARY PERMIT OWNER: TANIN, JULIE LYNNE &TANIN, MARK JULIAN GOV'TLOT: LOT: BLK: SE 1/4 SE1/4 SEC: 3, T 46 N, R 8 W TOWNSHIP: Delta SOIL TEST: 56-25 REPLACEMENT SYSTEM SYSTEM JVPE: Non-Pressurized In-Ground PLUMBER: JASON KUETTEL TRACY POOLER Authorized Issuing Officer DATE: 6/23/2025 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 675751 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 6/23/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION