The URL can be used to link to this page

Home My WebLink About25-0837Nov Q72025 BAYFIELD COUNTY �:/ Zoning District SANITARY PERMIT APPLICATION Lakes class Bavfieid Co..-^, ('.C— 00'iS b I. APPLI A ON Soil Test I County c o't 3 (Please Print All Information) No: Permit No: J Property Owner's Name: County: Bayfield Addre4s of Property: Property Location: 7�tj� C''end/ vs // Ad NW v. NE '/.. S I �' T91 N,R j(#/ E (or) Property Owner's Mailing dress: Township: I Gov. Lot #: fo-r.'.nd. c -t l r AZ vr' ✓ City, State I Zip ode I Phone Number Lot ft I Block #: CSM #: I CSM Doc # I Subdivision Name tv.c44 rn w ' 5-7/d9/ 7icir -st / II. TYPE O BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose /7 V1 r 2 Family Dwelling - No. of Bedrooms (O i Ill. WPE OF PERMIT: (Check only one box on lin A. Check box online.& if applicable) - A) ❑ New ❑ Replacement ❑ County Private Interceptor D' econnection ❑ Repair ❑ Revision - ❑ Transfer of Owner (List Previous Owner below) r 7 q fi B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. X35 3 Date Issued: 5" IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) * Replacements need previous permit number and date filled out above C) ❑ Pit Privy ❑ 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 I 5. Perc. Rate 6. System 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. / Day / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK Capacity Fiber INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel - glass Plastic Exper. New Existing Tanks Tanks Septic Tank or Ow Holding Tank Lift Pump Tank / Siphon Chamber 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 Owner's Signature(s): (No Stamps) Plum er's me: (Print) ifapplying5 r Section or above Plu be Signatu : (N tamps) MP/MW No: OPRS Plumber's Address' (Street. C y State, Zip Code) Home Phone: GIVe �,b dovu ?'5y -o65 Business Phone: 7l S- a37 *1St C^'YI\TY 1 V._^AR'1'AEI.T VJE V?\LY ❑ Disapproved Sanitary Permit(Transfer Fee: Date Issued: Is uing Agent's Signature! Date: Approved I__I Owner Given Initial I It113(a'Das - rn(j 1flu Adverse Determination /( J CJ� D(. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: Plot Plan on reverse side RECE%VED } NOVA g yfield Co. planning nd Zoning Agency Lot Line D O Name of Frontage Road ( `:tnJ4y Va Nt, kJ ) 0 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 -c) 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 foiiowing: 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 ioi'title d. Septic / holding tank to closest lot line I. Drain field to building e. Septici i0iding 'tank to building m. Drain feed to well f. Septic / holding tank to well n. Drain field to lake, river, stream or pond g. Septic / holding tank to lake, river, scam or pond a. Alell to building h. Privy to closest lot line Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 uiforms/sanitary/bayfieldcountysanitaryapplication Revise: June 2018 Proofed by: BTFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Description Private Sewage System Reconnection Submission Number: CS -00138 Transaction Number. CS -00138-386C0 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1137 Paid by: Braydon & Sarah Wiemeri Payment Type: Check 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 — Reconnect SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0837 Tax ID# 6474 Issued To: WIEMERI, BRAYDON & SARAH Location: Section 18 Township 49 Range 04 Town of BAYVIEW Legal Description: PAR IN NE SW LESS PAR IN V.608 P.134 & PAR IN NW SE 139 IN DOC 2024R-604699 Residential Structure in AG -1 Zoning District For: Sanitation Permit — Reconnect (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): 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. Emily Macgillivray, AZA Authorized Issuing Official November 13, 2025 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date