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HomeMy WebLinkAbout26-7S./4( aspv„` SS - oO7o a-. Industry Services Division 4822 Madison County ' Yards Way Bayfield S I Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) P.O. Box 7302 ENTER D Madison, WI 53707 p - 7S ' Sanitary Permit Application State Transaction Number 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 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(I)(m), Slats. 60525 U S Hwy 63. Mason, WI I. Application Information — Please Print All Information C Property Owner's Name Parcel # Jacob & Haley Wammer JAN 27 39712 Property Owner's Mailing Address Property Location 68890 Pine Creek Rd. Barfield Co.Planning and Zoning A en Govt. Lot City, State I Zip Code Phone Number Ashland, WI 54806 715-292-1071 SE NE 'A Section 24 T46 N R 06 E or W It. Type of Building (check all that apply) Lot# ❑� I or 2 Family Dwelling— Number of Bedrooms 3 Subdivision Name ❑Public/Commercial — Describe Use Block # City of State Owned — Describe Use CSM Number Village of Town of Mason 111. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable online A. Check one box online B. Complete line C i applicable.) A. ' jNew System ' I I--IReplacement System L❑ln-Ground Other Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) B. Holding Tank ❑At -Grade Mound Individual Site Design Other Type (explain) (conventional) C. ❑ Renewal Before Revision Change of Plumber Transfer to New Owner List Previous Permit Number and Date Issued Expiration NA IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rate(gpd/st) Dispersal Area Required (s0) Dispersal Area Proposed (st) System Elevation 300 NA NA NA NA Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units d o a o New Tanks Existing Tanks w e o a G n 2 i w.. a" a U cn y Co iZ U Septic or Holding Tank 2000 2000 1 Superior Precast 111211 1-i C 111111] r'r Dosing Chamber V. Responsibility Statement- 1, the undersigned, assume responsibili for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signal i MP/MPRS Number Business Phone Number Jason Kuettel •� -. 675751 715-798-3355 Plumber's Address (Street. City, State, Zip Code) PO Box 66 Cable, WI 54821 VI. County/Department Use Only ApprovedTODisapproved Permit Fee Date Issued MQj Issuin Agen atur ��o Owner Given Reason for Denial ( 2$ Conditions of Approval/Reasons for Disapproval See Attach to complete plans for Inc system and submit to the County only on paper not less than a 112x 11 inches in size SBD-6398 (R. 02/22) ;, IL TEST # 153- s Soil Evaluation Report a J1S in accoManc. with SPS:�►�'. 1•. c% W,sconYn Deportment at Saleryand Protass,onal Sams., Attach complete site plan on paper not less than 8'r X 11 inches in size. Page: 1 of 6 Plan must Include but not limited to: Vertical and horizontal reference County: point (BM), direction and percent slope, scale or dimensions, north arrow, Bavfield Parcel I.D. 2�g.7 location and distance to nearest road. Please Print All Information `23659.9 —II I P._- Re ie B Date: Personal information you provide may be used for secondary purposes. (privacy Law,s.15.04(1)(m)). I/ 'ee Property Owner: Property Location Jacob & Haley Wammer SE1l4NE114,S24,T46N,R03W Property Owners Mailing Address: Site Address or CSM and Lot # 68890 Pine Creek Road 0 City Istate I Zip Code IPhone Number. Town INearest Road: Ashland WI I I 715.292.1071 Mason US Hwy 63 r New r Residential Number of Bedrooms: 3 Code derived design flow rate: 450 Flood Plain If applicable • F Replacement r Public or Commercial - Describe: : DEC 05 202 Parent Material: Till Flood Plain if Applicable: 0 General Comments & Recommendations: P:an� :._ ".,,inA System Elevation: 0 Load Rate: Borin #1 r Bor. r FIt Ground surface Elev: Depth to Limiting Factor: g99.48 Soil Application Rate: Ft. 14 in. Elev. 98.31 ft Horizon Depth in. Domm.Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' •Eff#1 Eff#2 Munsell Qu. Sz. Cont. Color Gr.Sz.Sh. 1 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 4.14 7.5YR4/4 WA SCL 2MSBK MVI CS 1F 0.4 0.6 3 14-30 7.5YR5/6 F2P7.5YR4/6 SC 3CABK MVFI NIA N/A N.P. N.P. 4 5 6 7 Boring # 2 r Bor.Ground surface Elev: Depth to Limiting Factor. Soil Application Rate: 100.31 Ft. 12 in. Elev. 99.31 ft Horizon Depth in. Domm.Color Redox Description Texture Structure Consistence Boundary Roots GPO/ft' •Eff#1 Eff#2 Munsell Qu. Sz. Cont. Color Gr.Sz.Sh. 1 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 4-12 7.5YR4/4 N/A SCL 2MSBK MVI CS IF 0.4 0.6 3 12-30 7.5YR5/6 F2P7.5YR4/6 SC 3CABK MVFI WA N/A N.P. N.P. 4 5 6 7 -Effluent #1 = SOD 5>30 < 220 mg/! and TSS>3 •Effluent #2 = BOD 5 < 30 mg/1 and TSS < 30 mg'7 CST Name (Please Print) Signatu CST Number: Mark S. Thompson z 877598 Address: 12006 N US Hwy 63 Date a onducted: Telephone Number Hayward. WI 54843 • Thursday, November 20, 2025 7151699-4081 SBD-8330 (R04/21) icy Property Owner: Jacob & Haley Wammer Parcel I.D. 23659 Page: 2 of 6 Boring # 3 Ground surface Elev: Depth to Limiting Factor: (— Bores 100.56 Ft. 20 in. Elev. 98.89 ft Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 'Eff#1 Eff#2 1 0-4 7.5YR2.5/3 N/A SL 2MSBK MFR CS 3CO 0.6 1.0 2 4-20 7.5YR4/4 N/A SCL 2MSBK MVI CS 1F 0.4 0.6 3 20-38 7.5YR5/6 F2P7.5YR4/6 SC 3CABK MVFI N/A N/A N.P. N.P. 4 5 6 7 Boring #4 Ground surface Elev: Depth to Limiting Factor: r BDr l Rc t 0 Ft. 0 In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Si. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/R2 Eff#1 Etf#2 1 2 3 4 5 6 7 Boring #5 Ground surface Elev: Depth to Limiting Factor: F Bore at 0 Ft. 0 In. Sail App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Si. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 Eff#1 Eff#2 2 3 4 5 6 7 Boring # 6 Ground surface Elev: Depth to Limiting Factor: f Bor Pt 0 FL o In. Soil App. Rate Horizon Depth in. Domm.Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr.Sz.Sh. Consistence Boundary Roots GPD/ft2 -Eff#1 Eff#2 1 2 3 4 5 6 7 'Eff/uent #1 = BOD 5>30c 2 20 mg/7 and TSS>30 ≤ 150mg0 Effluent #2 = 8OO5< 30 mg// and TSS < 30 mg/1 The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access G services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777 DLU 0 5 /025 SBD-0030(R O7100) OwnerUnlormatlon: Name: lacob&JialeyWammer Location: SE1f4NE1/A S24.L46N905W Township: Mason County: Baylield Address: 0 4 0 1'=40Only in Tested Area LA DEC 052025 BM=100:Ni1LwLribhoaoathe_Caecatlrec.ncathl CST: Mark Son x87759 1581 81 = 82 83 = Lake= 8948 100.31 180.58 0 State Bar of Wisconsin Form 1-2003 WARRANTY DEED DOCUMENT NUMBER 2025R-609709 DANIEL J. HEFFNER Document Number Document Name REGISTER OF DEEDS ii BAYFIELD COUNTY, WI THIS DEED, made between Clayton L. Tutor and Kay M. Tutor. Husband ("Grantor," whether one or more), and Jacob M. Wammer and Haley R. Wammer. husband and wife. as survivorship marital property C'Granlee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in BAYFIELD County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): See the annexed Exhibit A. RECORDED 1O/24/2O25 AT 1:13 PM RECORDING FEE: $30.00 TRANSFER FEE: $105.00 PAGES: 2 ELECTRONICALLY RECORDED Recording Area Name and Remm Address Jacob M. and Haley R. Wammer 68890 Pine Creek Road Ashland, WI 54806 II 20671-25 -46.0 -24.1 04.000.10000 artof ' ,uJ USN bcr(PIN) Thismeitc L'Ity Grantor warrants that the tide tothe Property is good, indefeasible in fee sim/ 'I� plL•e1tR OI r of encu ranees except: EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. Dated O+obcf- -Z9+" 2OZ-C (SEAL) (SEAL) i AUTHENTICATION Signatures) authenticated on Y TITLE: MEMBER STS (If not, authorized by Wis. THIS INSTRUMENT DRAFTED BY: ATTORNEY MAX T. LINDSEY, SB#I112865 Anich, Wickman & Lindsey, S.C.. Ashland, WI 54806 ACKNOWLEDGMENT STATE OF WISCONSIN ) / ss. ________________COUNTY ) Personally came before me on OCrotzl ZHf) 20 2S7 the above -named Clayton L. Tutor and Kay M. Tutor to me known to be the person(s) who executed the foregoing ins nt and ackwledged the same. cco Q. &resor- Notary Public, State of Wisconsin My Commission (is.pesmaaem')-(expres: / /2(e (Signatures may be authentlmled or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O2003 STATE BAR OF WISCONSIN FORM NO. 1.2003 • Type name below signatures. Bayfield County Register of Deeds Document #20258-609709 Page 1 of 2 EXHIBIT "A" A PARCEL OF LAND LOCATED IN THE SE - NE OF SECTION 24, T. 46 N., R. 6W., IN THE TO WN OF MASON, BAYFIELD COUNTY, WISCONSIN, DESCRIBED AS FOLLOWS: TO LOCATE THE BEGINNING, COMMENCE AT A GIN SPIKE AT THE E 1/4 CORNER OF SAID SECTION 24 AND RUN N 89°43'41" W, 60.00 FEET, ON THE E -W 1/4 LINE OF SAID SECTION 24, TO THE WEST RIGHT OF WAY LINE OF U.S. HIGHWAY 63, WHICH IS THE POINT OF BEGINNING. THENCE FROM SAID POINT OF BEGINNING BY METES AND BOUNDS: CONTINUE ON SAID E -W 1/4 LINE, N 89°43'41" W, 467.16 FEET. THENCE LEAVING SAID E -W 1/4 LINE, N 00°06' 16" E, 467.16 FEET. THENCE S 89°43'41" E, 467.16 FEET TO THE WEST RIGHT OF WAY OF U.S. HIGHWAY 63. THENCE ON SAID WEST RIGHT OF WAY LINE, S 00°06'16" W, 467.16 FEET TO THE POINT OF BEGINNING. U''%, FlClq( Gopy Hayfield County Register of Deeds Document #2025R-609709 Page 2 of 2 PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan RECEIVED JAN 277026 Bayfield co. Planning and Zoning Agency Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appl Holding Tank Agreement (if applicable) Project Name / Description Wammer Holding Tank Owner Name(s): Jacob & Haley Wammer Owner Address: 68890 Pine Creek Rd. Ashland, WI Project Address: 60525 Highway 63. Mason, WI Govt. Lot: SE 1/4 of NE Township: Mason Project Parcel ID #: 39712 Designer Name: Jason Kuettel Designer Address: 42940 US I E-mail: tim@andryras.com License Number: 675751 Remarks: Phone:715 _292 Zip: 54806 plicable) cable) 1071 1/4, Section 24 , T 46 N -R 05 E ❑ or W ❑✓ County: Bayfield Designer Information 63 S. Cable, WI Phone: 715 _798 _3355 Zip: 54821 Signature: Date: i z_ ��- OriginAl signature required on each submitted copy. r5UPERIOR 2100 1 -Compartment Tank SUONCRETE PERIOR PR RECTOP VIEW RECEIVED JAN 272026 165" eiehr fm !b s) 159' Id co. Tank 9,4.7 I —P Zoning Agency Lid: 6,789 Total: 1616 Volume of Concrete Total : 4.11 tY Gallons Per Inch: 46.8 73' 79" 2105 Gallons W IEW �8" Enlarged Detail s j a pule co"adio fty r745 Spy APPROVED IF DEPT. OF SAFEf AND EPROFESSIONAL - SERViCDIVISION OF INDUSTRY SERVICES d 62. 5 Depth 48" SEE CORRESPONDENCE 3 s Manhole Openings J \ 3" T Polyethylene Baffle Ma tic Rope 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 orTreatment 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. wrooua rac No: I This bproptletatlinroimatlon, and iemairethe properb SIIpenorPTECEConcme, LLC. I R30St9-20241 RECEWE[) Qwaer Information: Name: Jacob & Haley amm r Location: SE1/4NE1/4 S24 T46N ROSW Township: Ma50O County: BayQald Address: Q 4 1 1"= 40Onlyln TestedArea BM=100: Nail w/ ribbon on the base of tree near Si BM 81., .. $2 'p �0 WEU— ow '-0T 100.06 B3� Contour JAN 272026 Bayfield Co. Planning and Zoning Agency B1= 9948 82= 100.31 B3 = 100.5.8 Lake= Q Zrpp 64t y„fk H0 9 NO E.N. Driveway PAGE 3 OF 4 HOLDING TANK SPECIFICATIONS :EWED (No Scale) JAN 272026 Bayfield Co. Planning and Zoning Agency 12" Min. or 2.0 ft above FWeatherproof Junction and Approved Established Flood Elevation Alarm Box Vent Cap (typical) Electrical must comply with Approved Locking Manhole SPS 316 and NEC 300 4"6 Vent Pipe with Warning Label Attached —Conduit >10 ft from (typical) 4" Min. or 2.0 ft above Building Established Flood Elevation (typical) Airtight Seal Finished Grade 18" Min. •' Y . 4Inlet 41!et Invert Approved Join ---Watertight Plug Approved Pipe 3 Max. 12" or 90% of total volume Solid Ground If more than one tank 4 ' Alarm -On e HOLDING TANK HI VOLUME = 2100 gal 3' Approved Bedding Material Beneath Tank TANK MANUFACTURER: Superior Precast Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 lbs/cu.ft) - lbs.tank.wt] x 1.5 Ballast Weight = [( cu.ft. x 62.4 Ibs/cu.ft) - Ibs] x 1.5 = Ibs PAGE 4 OF 4 Holding Tank Management Plan IMPORTANT: The owner of this holding tank(s) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. 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), Wisc. Admin. Code. Estimated Daily Wastewater Flow = 300 RECEIVED Inspection Checklist INSPECT EVERY 3 YEARS JAN 2 7 2026 o type of use o age of system Say(,eld Cu o nuisance factors (i.e. odors, user complaints, etc.) Planninc =-c ZcningA6enW o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) 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 Wisc. 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, Wisc. 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: Andry Rasmussen & Sons Local government unit: Bayfield Co. Zoning Phone: Local government unit address: 117 E 5th St. Washburn, WI Phone: 715-798-3355 715-373-6138 ZIP: 54891 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1), Wisc. Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383, Wisc. 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, Wisc. 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, Wisc. Admin. Code. HOLDING TANK SERVICING CONTRACT RECE WED Contract Date /I-c2t, This contract is made between the Holding Tank Owner(s) Name(s) 3a c Qh flu, E /e / i, /4Javn kn Prr JAN 272026 Bayfield Co, Planning and Zoning Agency Pum er's Mme (Prinq. �fOh Pumper's Sig re Pumpers' Registration # Po(k ckt We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT Legal Description: Tax ID# C �. 2 SQ-WgA',1 -fc LOCATION (Use Tax Statement) i ) G1 X1/4, L 1/4, �f 1� Section roc ' _ �J N, Range W Town o.fy. Lot Size Acreage ,Township _ //l4Strn .s•d Gov't Lot Lot # CSM # Vol. Page GSM Doc it Lot(s) No. Block(s) No. 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 from the date of change to this service contract. Owner(s) Name(s) (Print)/' , Owner's Signature(s) �yy� ' / Subscribed and Sworn to me: 5U cob %✓) . f/vGvnm �✓ 1 w C1/��✓R " ��i' ` on this c y `w 1 I waMrnt/ by l�Q I e7 Notary Public My commission expires on: N /S 7f Revised: May 2016 (®May 2018) - Drafted by 7" L-' Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)] HOLDING TANK as -vaa ydgall va,D J /-i9-�,6 z 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. 3t. 1/4 of &L114 Section ____Township ____N. Range 06 W. Town of %YIGSb✓1 Additional Legal Description: PQ✓'IA S£ AJL 08gc,.i4c ?&SC - 6o970q Gov't Lot — Lot_ Block_ Subdivision CSM# Lot_CSM # Vol _Page _CSM Doc# Return To: DOCUMENT NUMBER 2026R -62026R-610840 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O1/27/2O26 AT 1:44 PM RECORDING FEE: $30.00 PAGES: 2 J!CE1Vtu Er1iERE0 JAN 28 Z026 I Bayfield As an inducement to Hayfield 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 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, Scats., 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, Scats. 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. Scats., 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 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. Scats., 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 property 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 manner which will permit the existence of the certification to be determined by reference to the property. 6. 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. Owner(s) Name(s) — Please Print t'a cab /7?. 4Janimtr Subscribed and swom to before me on this date: 4 /c j>Ja s n, ar 4614104Ay 19, ,>26. 4 Notariz Owner(s)— Slgnature(s) _ Not P a MtcComrfllsion ExpI s: Drafted by: TiM U44- Date: r/ts /7_V Personal m(ormaeon you provide may be used for secondary purposes IPdvacy Law. s.15.04 (I)(m)i WomclsantaryO ngiankagreementEoc eJune 2058 EXHIBIT "A" A PARCEL OF LAND LOCATED INTHE SE - NE OF SECTION 24, T. 46 N., R. 6 W., INTHE TOWN OF MASON, BAYFIELD COUNTY, WISCONSIN, DESCRIBED AS FOLLOWS: TO LOCATE THE BEGINNING, COMMENCE AT A GIN SPIKE AT THEE 1/4 CORNER OF SAID SECTION 24 AND RUN N 89°43'41" W, 60.00 FEET, ON THE E -W 1/4 LINE OF SAID SECTION 24, TO THE WEST RIGHT OF WAY LINE OF U.S. HIGHWAY 63, WHICH IS THE POINT OF BEGINNING. THENCE FROM SAID POINT OF BEGINNING BY METES AND BOUNDS: CONTINUE ON SAID E -W 1/4 LINE, N 89°43'41" W, 467.16 FEET. THENCE LEAVING SAID E -W 1/4 LINE, N 000061160 E, 467.16 FEET. THENCE S 89°43'41" E, 467.16 FEET TO THE WEST RIGHT OF WAY OF U.S. HIGHWAY 63. THENCE ON SAID WEST RIGHT OF WAY LINE, S 00°0616" W, 467.16 FEET TO THE POINT OF BEGINNING. F ECEIVED JAN 2 8 2026 Bayfield Co. Planning and Zoning Agency Bayfield County Register of Deeds Document #2025R-609709 Page 2 of 2 12/5/25, 2:06 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 12/5/2025 +Z Description Updated: 6/24/2004 Tax ID: 23659 PIN: 04-032-2-46-06-24104-000-10000 Legacy PIN: 032104610000 Map ID: Municipality: (032) TOWN OF MASON STR: S24 T46N R06W Description: SE NE 405 Recorded Acres: 40.000 Calculated Acres: 39.574 Lottery Claims: 0 First Dollar: No Zoning: (AG -1) Agricultural -1 ESN: 122 Tax Districts Updated: 3/15/2006 Property Status: Current Created On: 3/15/2006 1:15:45 PM a Ownership Updated: 3/15/2006 CLAYTON L & KAY M TUTOR MASON WI Billing Address: Mailing Address: CLAYTON L & KAY M TUTOR CLAYTON L & KAY M TUTOR 60815 US HWY 63 60815 US HWY 63 MASON WI 54856 MASON WI 54856 P Site Address * indicates Private Road N/A ® Property Assessment 2025 Assessment Detail Code G6 -PRODUCTIVE FOREST Updated: 4/22/2014 Acres Land Imp. 40.000 52,000 0 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 52,000 52,000 0.0% 032 TOWN OF MASON Improved: 0 0 0.0% 041491 5CHL-DRUMMOND Total: 52,000 52,000 0.0% 001700 TECHNICAL COLLEGE -v Recorded Documents Updated: 3/15/2006 W Property History © CONVERSION N/A Date Recorded: 495-253;507-216+ 55// hops:/Inows.bayfieldcounty.wi.gov/access/master.asp?paprpid=23659 1/1 Real Estate Bayfield County Property Listing Today's Date: 12/19/2025 Z Description Updated: 12/18/2025 Tax ID: 39712 PIN: 04-032-2-46-06-24-1 04-000-12000 Legacy PIN: Map ID: Municipality: (032) TOWN OF MASON STR: S24 T46N RO6W Description: PAR IN SE NE DESC IN DOC 2025R - 609709 405 Recorded Acres: 0.000 1t �� Site Address indicates Private Road Calculated Acres: 0.000 N/A Lottery Claims: 0 First Dollar: No ® Property Assessment Updated: N/A Zoning: (AG -1) Agricultural -1 ESN: 122 2025 Assessment Detail Code Acres Land Imp. Tax Districts Updated: 12/18/2025 N/A 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 0 0 0.0%Z, 032 TOWN OF MASON Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 0 0 0.0% 001700 TECHNICAL COLLEGE o� Recorded Documents Updated: 3/15/2006 Property History 91 WARRANTY DEED Tax ID Parent Properties Date Recorded: 10/24/2025 2025R-609709 04-032-2-46-06-24-1 04-000-10000 23659 © CONVERSION Date Recorded: 495-253;507-216+ White=Current Parcels Pink=Retired Parcels HISTORY ©Expand All History O Tax ID: 23659 Pin: 04-032-2-46-06-24-1 04-000-10000 Leg. Pin: 032104610000 39712 This Parcel t Parents Children Property Status: Next Year Created On: 12/18/2025 3:59:43 PM 4V Ownership Updated: 12/18/2025 JACOB M & HALEY R WAMMER ASHLAND WI Billing Address: Mailing Address: JACOB M & HALEY R WAMMER JACOB M & HALEY R 68890 PINE CREEK RD WAMMER ASHLAND WI 54806 68890 PINE CREEK RD ASHLAND WI 54806 B- FIELD Hayfield 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: Submission Number: WAMMER, JACOB & HALEY SR -00370 68890 PINE CREEK RD ASHLAND, WI 54806 Transaction Number: SR -00370-3A024 Description Amount Certified Soil Tests - Review & Filing Fee $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 14907 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 12/16/2025 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. I Y FIELD 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: WAMMER, JACOB M & HALEY R 68890 PINE CREEK RD ASHLAND, WI 54806 Description Private Sewage System (Holding Tanks) Submission Number: SS -00702 Transaction Number: SS-00702-3C7F7 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 14960 Paid by: Andry Rasmussen & Sons, PO Box 66, Cable WI 54821 Payment Type: Check Transaction Date: 1/28/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-7S, STATE SANITARY PERMIT OWNER: JACOB M & HALEY R WAMMER GOVT LOT: LOT: BLK: SE 1/4 NE 1/4 SEC: 24, T 46 N, R 6 TOWNSHIP: Mason SOIL TEST: 153-25 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: JASON KUETTEL TRACY POOLER Authorized Issuing Officer DATE: 1 /28/2026 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. Must be within 25 ft of an all- weather road. THIS PERMIT EXPIRES 1/28/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION