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Home My WebLink About25-0807CS-Ool3S (00 BAYFIELD COUNTY Zoning District SANITARY PERMIT APPLICATION Lakes Class I. APPLICATION INFORMATION Soil Test I County _ O%07 (Please Print All Information) No: I Permit No: J Property Owner's Name: e et7 County: Bayfield A ress of Property: Property Location: t ) NQJ'1 Al E Y•, S/)L/ T 'i' .19 E (o4%" 'or!','za.a Road I PadUX44 f t ZjpCodp rl Phone Number Lot # Block #: ¶ CSM #: CSM Doc # Subdivision Name 11. TYPE OF BUILDING— (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) I1f 1hr 2 Family Dwellino - No. of Bedrooms A) New L Replacement ❑ County Private Interceptor ��eb ;�pgeMy aoM9 a�Zo. ❑ Reconnection ❑ Repair ❑ Revision *' ❑ Transfer of Owner Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. Date Issued: IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) * Replacements need previous permit number and date filled out above ICJ) ❑ Pit Privy IM Vault Privy (Vault size:gallons or _cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet V. ABSORPTION SYSTEM INFORMATION: 1. Gallons I 2. Absorp. Area I 3. Absorp. Area I 4. Loading Rate 5. Perc. Rate I 6. System I 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. / Day / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK I Capacity Fiber INFORMATION: In Gallons Total # of Manufacturer's Prefab. --Site Exper. New Existing Gallons Tanks Name Concrete Constructed Steel - Plastic App. ITanksITanksI I I I Iglass Septic Tank or VII. RESPONSIBILITY STATEMENT: I the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner's Name(s): (Print) if applying for Section C above I Owner's Signatuire(s): (No Stamps) If applying for Section A or B) above • L (No Plumber's Address: (Street, City State, Zip Code) Home Phone: Business Phone: VIII. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit/Transfer Fee: Date Issued: Iss 9"/0.3/7V is Signature I Date Approved ❑ Owner Given Initial �ZS Adverse Determination IX. CONDITIONS OF APPROVAL I REASONS FOR DISAPPROVAL: t25 Refk/tel Pew Plot Plan on reverse side Lot Line / C - 11t)/2v/2 j-- U/ �j S i Name of Frontage Road 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the approximate location and size of the building. IMPORTANT DETAILED PLOT PLAN 3. Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -o) COMPLETELY 4. Show the location of any lake, river, stream or pond if applicable. 5. Show the approximate location of other existing structures. 6. Show the approximate location of any wetlands or slopes over 20 percent 7. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b Building to centerline of road j. Privy to lake, river, stream or pond c. Building to lake, river, stream or pond k. Drain field to closest lot line d. Septic / holding tank to closest lot line I. Drain field to building e. Septic/holding tank to building m. Drain field to well f. Septic / holding tank to well n. Drain field to lake, river, stream or pond g. Septic / holding tank to lake, river, stream or pond o. Well to building h. Privy to closest lot line Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/forms/sanitary/bayfieldcountysanitaryappl ication Revise: June 2018 Proofed by: SEP 17 2025 ev&.1d G% Agency Planning and Z°n ryullc7 9 fife PRIVY AGREEMENT CS- o o) SS (ATTACHED TO THE SANITARY PERMIT APPLICATION) Property Owner(s):^ A trtene. Mailing Address: ?0 tk7 M wZ 2roperty Address Gov't Lot Lot # I CSM# #- I $lec-k(s) #-- Tax ID S o T V T N, RO_ W Page Return To: 1. NO PLUMBING will be installed in the habitable building. DOCUMENT NUMBER 2O25R-6O9646 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/21/2025 AT 8:00 AM RECORDING FEE: $30.00 PAGES: 2 Zoning 2. NO PLUMBING includes: water closets, sinks, bathtubs or showers, laundry facilities, or any other fixture or receptacle receiving domestic waste, will be installed in the premises served by the privy unless a code compliant sp ystem or holding tank exists, or a valid sanitary permit to install such a system has been issued. FFCCC� 3. A privy vault / pit shall maintain minimum setbacks as specified in Table 1. OCT 222025 Table 1 Well Building S earn Bayfield Additional County Setbacks Planning and Zonl OP 50 Ft. 15 Ft. Mi /75 Ft. 2 \ prev2 , We J $EP SEALED VAU 251 1 Min. 75 Ft. �l I C 4. Privies for public buildings shall comply with SPS 353.63. Agency 2025 Bayfiea co. Plaftiing and Zoning A cy 5. Privies used for one- and two-family purposes shall be constructed in such a manner so as to exclude flies, rats and other vermin. Doors should be self -closing and vault ventilators should terminate at least one foot above the roof. 6. Privies as per SPS 391.12 (1) states as follows: (a.) The storage chamber of a vault privy shall conform with the requirements of s. SPS 384.25 relating to holding tanks and shall have a minimum storage capacity of 200 gallons or one cubic yard. (b.) The storage chamber of a pit privy shall be sited and located in soil recognized to provide treatment and dispersal in accordance with s. SPS 383.44 (4)(b). 7. The privy shall be kept clean and sanitary. The contents of the pit or va shall be disposed in accordance with NR 113, Wis. Adm. Code. 8. This agreement shall be binding on the owner, their heirs and assignees. This document shall be recorded by the Register of Deeds in a manner, which allows its existence to be determined by reference to the property where the privy isinstalled. Printed Owner(s) Name(s) N Owne//��r s) Signa ure: ��/ This Instrument was signed before me in the State'ooff L/) tt('5(f)49g V1 County of ( d n this _____day Oc er .2o25 byQ`j InY Notary Public M. TRIBYS Drafted By: a/it t' _ s 4 `oX/p i.wt be filled out by person submitting for ) NU u/forms/sanitaryprivyform-00aMerr! 155�� __ STATE 0 December 2012 /25, 3:06 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 10/20/2025 L" Description Updated: 6/26/2025 Tax ID: 27875 PIN: 04-042-2-49-08-04-1 02-000-10000 Legacy PIN: 042101109000 Map ID: Municipality: (042) TOWN OF PORT WING SIR: SO4 T49N R08W Description: NW NE 100 IN DOC 2025R-607882 Recorded Acres: 42.370 Calculated Acres: 38.547 Lottery Claims: 0 First Dollar: No Zoning: (AG -1) Agricultural -1 ESN: 127 r Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 042 TOWN OF PORT WING 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE -a y Recorded Documents Updated: 3/15/2006 ® WARRANTY DEED Date Recorded: 6/17/2025 2025R-607882 12 CONVERSION Date Recorded: 452-209;503-399;534-23 RECEIVED OCT 2 2 2025 l,y ld CO. Planning and Zoning Agency W Ownership ELI E & LIZZIE R SHETLER Property Status: Current Created On: 3/15/2006 1:15:57 PM :d: 6/26/2025 VIROQUA WI Billing Address: Mailing Address: ELI E & LIZZIE R SHETLER ELI E & LIZZIE R SHETLER E6646 COUNTY RD NN E6646 COUNTY RD NN VIROQUA WI 54665 VIROQUA WI 54665 T Site Address * indicates Private Road 81850 MORRISON RD PORT WING 54865 ® Property Assessment Updated: 9/7/2021 2025 Assessment Detail Code Acres Land Imp. GS -UNDEVELOPED 40.000 2,500 0 G6 -PRODUCTIVE FOREST 2.370 1,900 0 2 -Year Comparison 2024 2025 Change Land: 4,400 4,400 0.0% Improved: 0 0 0.0% Total: 4,400 4,400 0.0% = Property History N/A https://novus.baytieldcounty.wi.gov/access/master.asp?paprpid=27875 1/1 P •YFIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Description County Sanitary Permit: 1 Submission Number: CS -00135 Transaction Number: CS -00135-351A6 Amount $150.00 Total: $150.00 Payment Amount: $214.00 Reference: 4432 Paid by: Eli Shetler Payment Type: Check L kr& $6K 1'o Gavcr LO -o19%. Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required LAND USE - SANITARY — Vault Privy SIGN - SPECIAL - CONDITIONAL - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0807 Tax ID# 27875 Issued To: SHETLER, ELI & LIZZIE Location: NW '/4 of NE 1/4 Section 04 Township 49 N. Range 08 W. Town of Port Wing Legal Description: NW NE 100 IN DOC 2025R-607882 Residential Structure in AG -1 Zoning District For: Sanitation Permit —Vault Privy [275 Gallon] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Maintain as required per NR 113. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the department of natural resources wetlands identification web page or contact a department of natural resources service center (715) 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction work or land use has not begun. Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. Tracy Pooler, AZA Authorized Issuing Official October 27, 2025 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date