HomeMy WebLinkAbout25-152SRequest 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(d)bayfieldcounty.wi.gov
Note
fl Time Change fl Discrepancy Other
Phone Number
Plumber:
Trcw s B04-krFe Id
715-G3Y-$17(a
Fax Number
Email Address
Homeowner:
Sf-c,,ucleme Fo,rSeasans
yers
G4ce@bj+kr41elddMll;n5.cowi
2cso,4 LLG
Immediate Phone Number So Zoning
Sanitary
Dept can call you right back (if needed)
Permit#:
\
≥ c- /5a
7S52-CoY7.a
Plumber's Choice
Zoning Dept
No Inspection(s) during this time
Date:
f ) 12/ac
Tuesday (9:30 am - 12:15 pm) (Tracy)
Plumber's Choice
Zoning Dept
Time:
Township:
AJo.€nct k&9
Address # &
Road Name:
L/ -3C, 7 C) (crtm} 1kv>t )D
or
y
Directions
JJJ
To Site:
Comments:
** Plumbers you must verify any change(s) by fax or email **
Notes from Zoning Dept:
July 2025
STAUDEMEYERS FOUR SEASONS
RESORT CC
44705 BIRCH POINT RD LDING TANK INSPECTION REPORT
CABLE WI 54821
GENERAL INFORMATION
Permit Holder's Name
❑ City ❑ Village ❑ Town of
Sanitary Permit No.
Plan ID No.
Tax Parcel No.
Property ddress If Avar able
TANK INFORMATION
TYPE
MANUFACTURER/MODEL#
CAPACITY
SETBACKS
Property IJne
Well
Water Service
Building
All -Weather
OHWM
Swimming Pool
DEVIATIONS FROM APPROVED PLAN
COMMENTS (Persons present, discrepancies, etc.)
rf
COMPONENTS NOT INSPECTED
Plan Revision Required
❑Yes❑No
Date:
—Signature of Insp
bt�a0tber
J�� 1
blcetcn on omer sloe - . v Ii v
10 of 13
DAYFIELD COUNTY PLANNING it ZONING DEPARTMENT
Telephone: (715) 373-6138 Bayfield County Courthouse
Fax: (715) 373-0114 Post Office Box 58
_ e-mail: zoning(cDbayfieldcounty wi 90V 117 East Fifth Street
<__ ._ _. Web Site: www.bayfieldcountv.wi.gov/147 Washburn, WI 54891
Property Owner
STAUDEMEYERS FOUR SEASONS
Information RESORT LLC
44705 BIRCH POINT RD
CABLE WI 54821
As you know 7 V U il' ) , w Ue 1i'ic(dl was contracted by you to install a private
onsite wastewater treatment system on your property described as:
Notes:
Abandonment of Old System to meet all applicable code requirements:
1
b Tank was pumped by:
Tank was crushed! removed and pipes disconnected by:
on
at _AM/PM
�
On `��/Zf at Z ' 3 (AM M he above -mentioned plumber contacted our office to
conduct a pre -cover inspection as required uhHer 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 $50 fee are required.
System could not be inspected because County could not respond to plumber's time constraints.
Comments:
Illformslsanitarypropetyownervinput
Apn120t9
Department of Safety
County
& Professional ServicesSanitary
Permit Number (to be filled m by Co.)
CILENTERED
Industry Services Division
ss-da6�9
C � 5�
Sanitary Permit Application
State Transaction Number
...;cordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
Project Address (if different than mailing address)
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats.
y3470 Cib vn, y \ . a y t)
I. Application Information Please Print All Information
—
Property Owner's Name
Parcel # TAX 1 p : 35'899
�o t,r S a e&4 L.LC C
-0193-.01 l rib4►4 ! o O
0-1 03'i 06
Property Owner's MailingAddress
Property Location
14 70g i3i t C.%1 P�' 94A
Govt. Lot
City, State I
Zip Code
Phone Number
Ga►.bIt1 WT_
C12.)
G30 - 7ya -'1434
'%, '/4, Section 1 L/
T 13 N R E -o
II. Type of Building (check all that apply)
Lot #
❑ 1 or 2 Family Dwelling — Number of Bedrooms
yak Li/3
Subdivision Name
'Public/Commercial — Describe Use 0$-' tc.set'u i; e
N6014)( e" £.a.X a Shone 5OD
Block #
0 Cityof
cop • S3 ? po 4.cr+5p
❑ State Owned — Describe Use
0 Village of
CSM Number
t Town of NA en et k di O -n
III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if
a licable.
A.
KNew System
El Replacement System
❑ Other Modification to Existing System S(explain)
❑ Additional Pretreatment Unit (explain)
B.
Holding Tank
❑ In -Ground
❑ At -Grade
❑ Mound
❑ Individual Site Design
❑ Other Type (explain)
(conventional)
C.
El Renewal Before
❑ Revision
El Change of Plumber
El Transfer to New Owner
ist Previous Permit Number and Date Issued
Expiration
IV. Dispersal/Treatment Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/st)
Dispersal Area Required (sf)
I Dispersal Area Proposed (sf)
System Elevation
Capacity in
Total
# of
Manufacturer
Tank Information
Gallons
Gallons
Units
c
o
New Tanks
Existing Tanks
aO
v� y
Cl)
wL
Septic a Holding Tank
1 r
-~-'
375
a
Sv a �s oc- Q sre
Dosing Chamber
V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signa MP/MPRS Number Business Phone Number
Tr ,.� 8.���,c��ie lei GS-aa-r9 7I5. 3'1-SO7(p
Plumber's Address (Street, City, State, Zip Code)
)y3yG w �c S+�Rated 77 3
VI .County/Department Use Only
Approved
0 Disapproved
Permit Fee
$
Date Issued ML
Iss ing nt Si ture
0 Owner Given Reason for Denial
W "
( ( / I �-5
// z
Conditions of Approval/Reasons for Disapproval
9,Lir 7a,'t 4
NOV 10 2025
Ba field Co.
—...P.— r......, •,_ .uu auuuua w we ..uuuiy unry on paper not less man a l/z x 11 inches in size running aria zoning Agency
SBD-6398 (R. 03/22)
REC�rD
Nov 10202b
Bayrield Co.
CONCRETE HOLDING TANK DESIGN Planning and Zoning Agency
Two Concrete Tank Option
INDEX AND TITLE SHEET
Project Staudemeyers Four Seasons Resort LLC - 43670 County Hwy D
Owner Staudemeyers Four Seasons Resort LLC
Address 44705 Birch Point Rd
Cable, WI 54821
SITE ADDRESS: 43670 County Hwy D
Legal Description Sec. 14, T43N, R06W
Township Namakagon County Bayfield
Subdivision Name NAMAKAGON LAKE SHORE Lot No. 42 & 43
Parcel ID Number 04-034-2-43-06-01-1 00-227-49100
Plan Transaction Number
Index and title sheet Page 1
Holding tank specifications Page 2
Site plan Page 3
Management & Continency Plan Page 4
Designer Travjs Butterfield
Signature ,
License Nu er 652879
Phone No. 715-634-8176
Date 11/10/25
Designed pursuant to:
Holding Tank Component Manual For POWTS (Version 2.1)
May 2022-2027
Version 7.1 (07/22) Page 1 of 4
HOLDING TANK SPECIFICATIONS
Two Concrete Tanks In Series
If one- or two-family, number of bedrooms
722 And/Or....Non-residential estimated flow per day
3610.0 Minimum holding tank volume required
3785.0 Total holding tank capacity proposed (gal)
2505.0 Tank 1 capacity (gal) I IX for round tanks
1280.0 Tank 2 capacity (gal)
Superior Precast Tank manufacturer
SJE Rhombus Alarm manufacturer
PS Patrol lAlarm model number
RECEIV [)
NOV 10 2025
Bayneld Co.
Planning and Zoning Agency
1.1
Anchor weight safety factor
Tank
in
Exterior Dimensions (in)
lbs
lbs
in
ft
Information
Liq Level
Length Width Height
Tank Wt
Anchor Wt
Soil Cover
Max Bury
Tank 1
36
183 102 57
23780
18483
17.1
8
Tank 2
30
115 102 50
14925
8372
12.3
8
Vent
12" min. cap 411 min
�- Vent pip'l1
HOLDING TANK CROSS SECTION
Manhole cover with locking
device and warning label
Blind plug to seal
outlet opening ._.,[1
Service alarm on
18.0 i
1280.0 gal r
Tank 2
unction box
Note: Manhole
and vent locations
Tether may be reversed.
weight Manhole diameter
is 23" min.
2505.0 gal
Tank 1
3 in. min. bedding under tanks.
Anchor tanks as necessary to negate buoyant forces.
Electrical as per NEC 300 and SPS 316.
Note: All tank joints, and joints between tank
openings and piping are sealed watertight.
Finished grade
'I,
18" min.
Inlet
Project: Staudemeyers Four Seasons Resort LLC - 43670 County Hwy D
Transaction Number: Page 2 of 4
11
C
N
o= Q
N V •�
N
IL
o x
ci! z E l
a LI
ii
A
�wttl+ng
at is
..�11
HT
sr+h /
t'.5O
L( SC.L.E
,1 I -s
o z,S SC
yc
43(.7o Co m4'y 4wy
I.ors y♦Li
NAM%Y,%6663 LPXIE 5140R"
Garr-a� c Thwn a F NQ.� a.V.&1 oii
13x7Cre Id Ccw,}y
Tow 10: 35'8t1q
Is
Wo mow" a:ti,c -rye.
G0°� ql
� y�s
HT I
14 T 1 = 115090.1. l3o )d"T&M(
Pat). *cwKs 4cc Aa be- arJe 01 preFob
Concrete by Supe r� csr Pcie c,&M- Co cnek.
Jt Ary rn -f k,are4 Qm- 40 be mlocCJed
0.6neces5aty
30
L'ilw= too. o o'
a)• g41°
, - 4M.sa'
91.75
Lc t
q�.0O
Pae
3 0� �
EG IVED
NOV 10 2025
HOLDING TANK MANAGEMENT PLAN
Bayfield Co.
This Private Onsite Wastewater Treatment System (POWTS) has been designed, and is to be ins 'a�lrec and'` '��z"�'
maintained according to SPS 383, Wis. Admin. Code, the Holding Tank Component Manual (SBD-10855-P
03/07, R.11/12), and the Bayfield County Sanitary Ordinance.
1. This POWTS is designed to accommodate a wastewater flow of 144.4 to 757.0 gpd.
2. The owner of this POWTS is responsible for system operation and maintenance, including all provisions in
the attached Holding Tank Servicing Contract and Maintenance Agreements.
3. Each time the wastewater in the second tank reaches a level of 12" below the inlet invert (at which time the
alarm will activate), the pumper listed in the current Servicing Contract must be called to empty the tank's
contents and dispose of them in accordance with NR 113, Wis. Adm. Code.
4. At each service event, the service provider should visually inspect the condition of the tank, risers and
manhole cover(s) and verify that the alarm system functions and manhole locking devices are present.
Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions
shall comply with the county sanitary ordinance and SPS 383 and 384 Wis. Adm. Code.
5. All service events or inspections of this POWTS shall be reported to the county within 30 days.
6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be
removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes
from this holding tank to the ground surface, including intentional discharges and discharges caused by
neglect, constitutes a failing POWTS and may result in issuance of correction orders or a citation by the
county or state.
7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank may
be installed in the same location (a new sanitary permit is required for such a replacement). Connection to
municipal services would also be considered at this time if they are deemed available to the property.
9. If this POWTS is replaced, or its use discontinued, components no longer in use it shall be abandoned in
accordance with SPS 383.33 Wis. Adm. Code.
10. If there is a problem with, or question about this installation, the following persons should be contacted:
a. Installer ...........................Butterfield Butterfield Inc Phone: 715-634-8176
b. Service Provider .................Scott's Scott's Septic Phone: 715-634-7279
c. County Zoning or Health Dept. Bayfield County Planning & Zoning Phone: 715-373-6138
11.
Project:
Transaction Number: Page 4 of 4
NCRSUPERIOER 1P2500 1 -Compartment Tank SUPERIOR
5PRECASTCOTE PRECASTCONCRETE
14.CL1VED TOP VIEW
NOV 10 2025 183"
Weight (in lbs)
Tank: 14,059 3ay.5af,i Co. 17T'
Lid: 9,664 Planning and %',(?� Agen
Total: 23,780
Volume of Concrete
Total : 5.9 Yd'
Gallons Per Inch: 69.6 " r"A Y 1
969, 102"
Lid
Wall
Enlarged Detail
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
$ R
SEE CORRESPONDENCE
Fnlel;
43"
SIDE VIEW k 2811
II 24"
10" Air Space
36" Liquid
Depth
3"
Manhole Openings
2-112" Taper
Polyethylene
'0 Baffle
Rope
Gasket
(Poured is Place)
4" Outlet
j!T'
41'
Produced by Superior Precast Concrete, LLC
PO Box 1390
Hayward, WI 54843
SUPERIOR
PRECAST CONCRETE
Design conforms to AS I M U1227, Specification for Precast
Concrete Septic Tanks and WI SPS 384.25, POWTS Holding
Components or Treatment Components.
The information provided on any Superior Precast Concrete
(SPC) drawing or document shall be verified by the
purchasers licensed professional engineer for suitability of
use.
Configuration may change from drawing, consult with SPC.
I Product File No: I This Is proprietary Information, and remains the property of Superior Precast Concrete. LLC. I R.3 05-19-20241
ITSUPERIOR I LP12501-Compartment Tank SUPERIOR
PRECAST CONCRETE " PRECAST CONCRETE
Weiht (m ibs)
Tank: 8,815
Lid: 6,109
Total: 14,925
RECEIVED
TOP VIEW
NOV 10 2025 I 10 99"19
Bayfield Co.
Planning and Zoning Age cy
Volume of Concrete
Total: 3.7 Yd3
Gallons Per Inch: 42.7
Lid
Wall
T�Nx a 96„ lo,.,
SIDE VIEW 28"
Enlarged Detail �. i_ 24"
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION
OF INDUSTRY SERVICES
R/
SEE CORRESPONDENCE
3 X70
9" Air Space
30" Liquid
Depth
3"
I II
rrr o.aww�.wwwwvwwa�wewwwiwwwwwws
Manhole Openings
2-112" Taper
Poh ethylene
Baffle
Mastiff
Rope
Gasket
(Poured in Place)
4" Oft
50'
35"
Produced by Superior Precast Concrete, LLC
PO Box 1390
Hayward, WI 54843
SUPERIOR
PRECAST CONCRETE
Design conforms to ASTM C1227, Specification for Precast
Concrete Septic Tanks and WI SPS 384.25, POWTS Holding
Components or Treatment Components.
The information provided on any Superior Precast
Concrete (SPC) drawing or document shall be verified by
the purchasers licensed professional engineer for
suitability of use.
Configuration may change from drawing, consult with SPC.
IProduct File No: I This Is proprietary Information, and remains the properly of Superior Precast Concrete, LLC. I R.3 05-19-20241
HOLDING TANK SERVICING CONTRACT
RECEIVED
F
Date
tco(aoas�
This contract is made between the
Holding Tank Owner(s) Name(s)
S�A+��ErtiE��f�S FOUR SGASa"JS RESORTLt- C.
NOV 10 2025
6ayfieid Co.
Planning and Zoning Agency
Pumper's Name (Print)
Pumper's Signature
Pumpers' Registration #
SCoO? 3
2813
We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions)
PROJECT
Legal Description:
Tax ID#
SS
1/4, 1/4,
LOCATION
(Use Tax Statement)
Section L.t '13 N, Range O(o. W
Town of:
Lot Size
LAcreage
,Township
NAMAx__o><J
.040
Gov't Lot
Lot #
CSM #
Vol. Page
CSM Doc #
Lot(s) Na.
Block(s) No.
Subdivision:
LIa1* t13
fIP ( O N (.RKE S HORS 5 Ut3
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: ```����K�1K�t
a. The name and address of the person responsible for servicing the holding ~wP�� PUB��C 4tt��t/
P tank; ,.. �
b. The name of the owner of the holding tank; O /y
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
f. The volumes which
in gallons of the cwas serviced;
contents pumped from♦tJ�
g. The disposal sites to which the contents from the holding tank were delivered. servicing; {';t . ��y
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 change to this
service contract.
Owner(s) Name(s) (Print) Owner's Signature(s) Subscribed and Sworn to me:
�?
on this l Off" day of Qo\r , __1 _
8ce c e 9e5 SA- f jGn�be!"
i2
by:
tary lic
l
My commission expires on: 3 (
Revised: May 2016 (®May 2018) Drafted by "4& 4.1.S T r
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)]
RECEIVED
HOLDING TANK — MANAGEMENT PLAN NOV 1 0 2025
Bayfield Co.
The Private Onsite Waste Treatment System (POWTS) has been designed and' i "J89b ' Z```""g Agency
installed and maintained according to SPS 383, Wisconsin Administrative Code,
Holding Tank Component Manual for Private Onsite Waste Treatment Systems
(SBD-10571-P)(R.6/99) and the Bayfield County Zoning Department Sanitary and Private
Sewage Ordinance.
1. This POWTS has been designed to accommodate a maximum daily flow of
2 gallons of domestic wastewater per day.
2. The owner of this POWTS is responsible for system operation and
maintenance, locking device, alarm and access.
3. The owner or owner's agent is required to submit reports as required by SPS
383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department.
4. Design approval and site inspections before, during and after the construction
are accomplished by the county or other appropriate jurisdictions in
accordance with SPS 383 of the Wis. Adm. Code.
5. ' Maintenance Cycle. The holding tank must be serviced by licensed pumpers.
An alarm system is to be installed to activate when the tank is < 90% full.
6. Performance monitoring. At the time of servicing, the service provider files a
report with the department of designated agent.
7. A User's Manual will accompany the component. It will include the names
and phone numbers of local health authorities, component manufacturer or
POWTS service provider to be contacted in the event of component
malfunction or failure.
8. In the event that this POWTS or a component of this POWTS fails and cannot
be repaired the owner will find in the User's Manual the names and telephone
numbers of property licensed individuals to contact for such repairs.
This agreement shall be binding on all assignees and heirs
1/4 of 114 Section 1' Township '13 N. Range O4 W. Town of_____________ a n
Govt.
Lot Lot 9 .9 Block Subdivision Nptt"te a &o t LAKE SH0RESu QCSM#
Additional Legal Description not aea • On g -,< Tw: : 3 Sa-
Property Owners Signature
u/forms/managementplan
Date
Revised: July 2013
BAYFIELD COUNTY
• CHECKLIST FOR SANITARY APPLICATONS
Submit the Following (Use Permanent Ink) (Title 15, Section 15-1-10(e))
1f"C)3eck List
Or' inal Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.)
L'Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) RECEIVED
S' Original Plot Plan (383.22(2)2. 3. & 4.a)
�C€qtt-6vei -1-kerd-Pr<e uf ti Schematic of Tank from Manufacturer
NOV 1 U 2025
❑ e) Sayfeld Co.
Planning and Zor-ing Agency
D Contingency Plan / Management Plan (383.22-3(2)(b)1.f.)
❑ Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds)
El Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds)
L Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5)
0 orded at Reg. of Deeds)
❑0 Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7)
U 2.CQmplete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached
Aoil
to all copies)
and Site Evaluation Report (383.22-3(2)(b)1.e.)
Copy of Warranty/Quit Claim Deed (Optional)
Sanitary Application: (Include the following Information)
dI Aplication Information must include: 0 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete)
�/Project Address or Road Name where driveway is/will come off of) (Owners Phone Number)
Type of Building
c3iII Type of Permit
o'IV Type of POWTS System
❑ V, DspersaJTreatnintkeainformation
Tank Information
GI4II Responsibility Statement (Plumber's Information)
❑ *Date Stamp*
Plot Plan: (To Scale or To Dimension)
Signature and Plumber Information
dsurface Elevation of Body of Water
Tank and Information and Location
"etlands / Navigable Bodies of Water
❑ // )
Bench Mark (Location, Elevation and Description)
2 mponent Manual Version
fCif 1 !: 1—.tt(�wr��` Lift_d l' L sll Ltl i .
VAddress Number and Road
L' North Arrow
Gentrbi
C7'Structures and Driveways
R Boring Locations
E Property Lines
L/W II Locations
Legal Descriptions
Turn Over ►
Document Number/Plan I.D. No. HOLDING TANK
AGREEMENT
Owner Name (s) Owner(s) Mailing Address
&TAu Qre neveA5 Fo i Lfg7O5 G;reh Po:ni (4
SeASOJ' S RESORT 1.1.. C C&L IC, W z 5L18a)
Parcel Identifier Number (PIN) Agreement Date (same as Notary Date)
W-G3q-a-k3-O&-+y-1 do•-411I)C
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 other
type of private onsite wastewater treatment system as permitted under Ch. SPS 383,
Wis. Adm. Code or Ch. 145, Wis Stats.
1/4 of 114 Section _I4Township N. Range 04. W.
Town of MLjt�J
Additional Legal Description: Oec. —lo4A0i31 TAx rn: 35 gq
.NAM1 K A GOAL
Gov't Lot_ Lot Block Subdivision L1igE.HORE Sub,. CSM#
Lot CSM # Vol - _Page. _CSM Doc#
DOCUMENT NUMBER
2025R-609924
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
11/ 12/2O25 AT 8:OO AM
RECORDING FEE: $3O.OO
PAGES: 1
Return To:
�Di✓jniC�
RECEIVED CENTEREDNOV 13 2025.
inc and Zoning Agency
As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above described pr(?ly, 1ve 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 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 services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats.
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 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. The owner agrees to contract with a person 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. NR1 13, 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. 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
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 mannpermit the existence of the
certification to be determined by reference to the property. �'�_.. PL19, 11
6. This agreement shall be binding upon the owner, the heirs of the owner, and assignjsfjtTe owner.NJhe4vner shall submit this
agreement to the register of deeds, and the agreement shall be recorded by the regi er de�j ic a m n p which will permit the
existence of the agreement to be determined by reference to the property where the hoIdqaf1k is %%
al ITTFRFIELD J
Owner(s) Name(s) —please Print
¶ c -c a 1�e s s : ,n �. - 1`1e,rr,b�. r -
Subscribed and s / t� efore me on t abT. �` I
1��� l,9l Oar' l
Notarized Owner(s) -- Signature(s)
/;3/t#.L I4,'le2e.e-zQ Ow�'tP�'
Notary Public
R .. r {,la
My Commission Expires:
Q
Drafted by: A Sic,rec141c Tr Date: 1 I 1 I61� ≤
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)] utforms/sanitary/holdingtankagreementdoc ®tune 2018
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:
STAUDEMEYERS FOUR SEASONS RESORT
LLC
44705 BIRCH POINT RD
CABLE, WI 54821
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00361
Transaction Number:
SR -00361-3871F
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 4909
Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843
Payment Type: Check
Transaction Date: 11/14/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
JFIELD
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:
STAUDEMEYERS FOUR SEASONS RESORT
LLC
44705 BIRCH POINT RD
CABLE, WI 54821
Description
Private Sewage System (Holding Tanks)
Submission Number:
SS -00679
Transaction Number:
SS -00679-38720
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 4909
Paid by: Butterfield, 14346W State Rd 77, Hayward WI 54843
Payment Type: Check
Transaction Date: 11/14/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
°"�ar."`r Wamonsin a artmentofSafety&ProfessionalServices Pa e 1 of 3
Prig Divisionof p Services SIk-O IL TEST # iW-�Sg
�SPg '` ENTERED SOIL EVALUATION REPORT
m,• ,I 1° as In accordance with SPS 385, Wis. Adm. Code
Attach complete site plan on pa of less than 8 1/2 x 11 inches in size. Plan must include,
but not limited to vertical and horizontal reference point (BM), direction and percent slope,
County
� 4
34 Y %
Parcel I.D. '%4f 3S
scale or dimensions, north arrow, and location and distance to nearest road.
OY-03
-O -D -I 00. Sal• Y 410
Revi we
7
/
Date
I
Please print all information.
Personal information you provide may be used for secondary purposes (Privacy taw, s. 15.04(1)(m)).
Property Owner
Property Location
❑ 6C'
f n
e ers �rSt aSty++5 RRe.5or4- LLC.
S eaidomF0
Govt. Lot 1/a
/. 514'
T 43 N R 04
E(or) W
Property Owner's Mailing Address
Site Address or CSM and Lot #:
y 7C c Porn} Rd
Ls#s 16 '13 Nann1C&qn LaXc 4hmt S b
City, State, Zip
Phone Number
❑ City ❑ Village
. Town
Nearest Road
93L7 0
%NewConstruction Use: ❑ Residential/Numberofbedrooms Code derived designflowrate 1033 GPD
❑Replacement 2 Public or commercial —Describe: See Q. Flood Plan elevation if applicable jig ¶ ft.
Parent material
General comments and recommendations: _
Boring #
❑ Boring
gPit Ground surface elev. RIoI .lft. Depth to limiting factor 3 in. / elev. ft.
SoilAooli
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eft#1
'Eff#2
1
0'
O%L3/Z
ys
ai.d
d. t.
1.O
&-Do
16Y 41
61
o. Co
t'. o
ao-
-/ 4 `1 y
—
I
.4•
0.-7
1. C.
4
3>fl
'I.SYRY y0—A.-619%5145A
Cs OV
G
❑Boring
Boring # �
NPit Ground surface elev. y s&.
1VUV I U LVLJ
Depth to Iimffi fadt6p. in. / elev. ft.
Planning and Zoning Agency
Soil Annllnatinn Rata
Horizon
Depth
In.
I Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
Eff#1
*Eff#2
L-
Q- le
oY a W
—
SIa
sbk.
M
OrC.
/. Q
t
de
_
I'
CST Name (Please Print)
S' atu a
CST Number
Bu�JCr el
45d87
Address
to valuation Conducted
Telephone Number
jLoRtw $t-dcf4 77 1% war Wx
y 3 It 107 aS-
77s-634-8/71.
* Effluent #1 = BOD > 30 5 220 mg/L and TSS > 305150 mg/L * Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L
SBD-8330 (R03/22)
o .
Boring #
Page � of '?✓
Boring
fJ Pit Ground surface elev. ft. Depth to limiting factor1 in. / elev. ft.
I Soil Anolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*Eff#2
(.
OYR 3 a
--•
M
O.&.
I. b
SYRSVI
Boring #
❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft.
-�— I Soil Aoolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. rttl�
:5;;iuy:r�e
Structure
Consistence
Bou days
Roots
GPD/Ft2
*Eff
*Eff#2
oiF
S�z+n
B w/
tc.e
s &&e
+ o 99
c.4-rc i%s
A
.
b;l•;
/
,r kliw +c.Sf,4,; a. id 1 f Ka ly 5M3 urou ld be
❑ Boring
Boring #
❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft.
I Soil Aoolication Rate
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/Ft2
*Eff#1
*Eff#2
* Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2= BOO, 5 30 mg/L and TSS s 30 mg/L
RECEIVED
Nov 1 0 2025
Bayfiala Co.
Planning and Zoning Agency
4,
CA
1 ORti�� ��--1
a c a • SO
431.?OCowniy14wvD
� St 314 , T1-13 N 1 R alo�J
1 D1 �► Lots y� f y3
l 3 HAm?ku6dM 1Aic$Ho4�"
on
J l3ay e 1d C.ar}y
%eA n
s 1
1 x 1fl : 3c89�i
Qjys 110;1
Ass �' ee T cct.
1.EJAT 1 a S3
wi l3
cv ¢ IL K♦ t3
_ cJ I
cD
C-- o 1 1
_
- 91.75
} O
o No Ex is r1N(s sysrLwm P,00 i
a l (W&6 C tosed a 1c.
9 9•
�. •c 44twe WG.S .rmvgaus SCp $C 1}
hwssinee been c6ba 6&r+ed)
' w
0,
?a,e3
a n
Weal Estate Bayield County Property Listing
Property Status: Current
P
Today's Date: 11/10/2025
Created On: 9/20/2010 10:04:59 AM
Description Updated: 7/2/2025
Ownership
Updated: 7/2/2025
Tax ID: 35899
STAUDEMEYERS FOUR SEASONS RESORT CABLE WI
PIN: 04-034-2-43-06-14-100-227-49100
LLC
Legacy PIN:
Map ID:
Billing Address:
Mailing Address:
Municipality: (034) TOWN OF NAMAKAGON
STAUDEMEYERS FOUR
STAUDEMEYERS FOUR
STR: S14 T43N R06W
SEASONS RESORT LLC
SEASONS RESORT LLC
Description: NAMAKAGON LAKE SHORE SUB LOTS 42
44705 BIRCH POINT RD
CABLE WI 54821
44705 BIRCH POINT RD
CABLE WI 54821
& 43 IN DOC 2025R-608021
Recorded Acres: 3.090
Calculated Acres: 3.090
' Site Address * indicates Private Road
Lottery Claims: 1
43670 COUNTY HWY D
CABLE 54821
First Dollar: Yes
Zoning: (R RB) Residential -Recreational Business
Property Assessment
Updated: 4/19/2011
ESN: 123
2025 Assessment Detail
Tax Districts Updated: 9/20/2010
Code
G2 -COMMERCIAL
Acres Land Imp.
3.090 139,500 222,900
1 STATE
04 COUNTY
2 -Year Comparison
2024 2025 Change
034 TOWN OF NAMAKAGON
Land:
139,500 139,500 0.0%
041491 SCHL-DRUMMOND
Improved:
222,900 222,900 0.0%
001700 TECHNICAL COLLEGE
Total:
362,400 362,400 0.0%
Recorded Documents Updated: 9/20/2010
® PERSONAL REPRESENTATIVES DEED
Property History
Date Recorded: 6/26/2025 2025R608021
Parent Properties
Tax ID
® TERMINATION OF DECEDENT'S INTEREST
04-034-2-43-06-14-1 00-227-49000 25109
Date Recorded: 6/26/2025 2025R-608020
® QUIT CLAIM DEED
Date Recorded: 6/14/2010 2010R-533140 1041-455
HISTORY E Expand All History White=Current Parcels Pink=Retired Parcels
® Tax ID: 25109 Pin: 04-034-2-43-06-14-100-227-49000 Leg. Pin: 034111401000
35899 This Parcel Parents Children
NOV 102025
Bay field Co.
Planning and Zoning Agency
' BAYFIELD COUNTY
CHECKLIST FOR CERTIFIED SOIL TESTS
Submit the Following (Use Permanent Ink): CIVD
Nov 10 2025
IVCheck List
Bay€leid Co.
Planning and Zoning Agency
❑I
riginal Soil Evaluation Report (Submitted in Deed Holders Name — not prospective buyers)
]"Original Plot Plan
❑ C-, -Seetie Soil Profile Sheet (optinnal)
Additional Information (Warranty/Quit Claim Deed) (Optional)
Soil Evaluation Report: (Include the following Information)
C/ Parcel Identification Number (must be 23 digit Tax ID#) DO NOT USE 12 digit, they are no longer being used
[,roperty Owner's Information not prospective buyer's name)
L9' Pr perry Location (Accurate Legal Description with Sec/Twp/Range)
Road Name (where driveway is/will be coming off of)
0 FI bdplain Elevation, Flow Rate, Comments and Recommendations
Co plete Soil Boring / Pit Information
iDa a Soil Evaluation was conducted
CAST Name, Signature, Number, Address and Phone Number
*Date Stamp*
Plot Plan: (Include the following information drawn to dimension or to scale)
L9`Bench Mark (Description, Elevation and Location)
❑ C --9&0'/96.0' /94.0')
I�Property Location (Sec/Twp/Range/, Accurate Legal Description)
L4orings (Locations and Elevations)
�1- and Dircctinn cf 1 -„l+ Slope
0 P//err---= -�---- -------•--- -- -----
lN' ell Location (Including Neighboring Wells, if applicable)
GYLocation of Wetland Areas, Floodplain and Navigable Waters
3 ildings, Driveways, and Structures (Location and Descriptions)
Location of Property Lines
❑ g yctcm Lu..aLiun
Address Number and Road Name
l 'Current Surface Elevation of Wetlands and Navigable Waters
, Owner and Property Information
North Arrow
N �♦
��NG�NlG
Fee:
l3Certified Soil Tests - Review & Filing Fee $ 50.00 U/forms/sanitary/checklist/checkiistforests
BAYFIELD COUNTY
SANITARY PERMIT (#04)-25-152S
STATE SANITARY PERMIT
OWNER: STAUDEMEYERS FOUR SEASONS RESORT LLC
G OV'T LOT: LOT: 42 & 43 B LK:
1/4 1/4 SEC: 14, T 43 N, R 6
TOWNSHIP: Namakagon
SOIL TEST: 144-25
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: TRAVIS BUTTERFIELD
TRACY POOLER
Authorized Issuing Officer
DATE: 1111412025
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: # 652879
Condition: Anchor tanks and insulate if needed. Properly Maintain System Per Recorded
Agreement. Must be within 25 ft of an all-weather road.
THIS PERMIT EXPIRES 11 /14/2027
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION