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Home My WebLink About26-0142BAYFIELD COUNTY Zoning District ag- Doigq SANITARY PERMIT APPLICATION j Lakes Class tCAPPLICATION INFORMATION Soil T V ti1 County a 6- °1 Ka - (Please Print All Information) No: Permit No: Property Owner's Name: Row/fl-P HwTmA County: Bayfleld Address of Property: Property Location: £.S63S s. TROY L kE D S ' NE 'IN• S ? f T 47 N, R 47 E (or) W Property Owner's Mailing Address: Township: I Gov. Lot #: So3 1t , t E LN- w, Hu G S I 2/3 City, State Zip Code Phone Number Lot # Block #: CSM #: CSM Doc # Subdivision Name 10 vi sfli.V 65 9 rRDuro�+�� ,4372& II. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: `Q 9Oq RECEIVED Public (Explain the use/purpose ) /0 0� _ 0/S 1 or 2 Family Dwelling - No. of Bedrooms .. APP 002026 III. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) ❑ New ❑ Replacement County Private Interceptor aYfield Co. Planning Band Zoos ni g A Reconnection ❑ Repair ❑ Revision ** ❑ Transfer of Owner (List Previous Owner below ENT$lE yid B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. Lb93O Date Issued: arIcS Id 00(1 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 2. Absorp. Area I 3. Absorp. Area I 4. Loading Rate I 5. Perc. Rate I 6. System I 7. Final Grade Per Day Required (Sq.Ft.) I Proposed (Sq. Ft.) I (Gals. / Day / Sq.Ft.) I (Min. Inch) I Elev.(Feet) I Elev. (Feet) Bt �� VI. TANK Capacity Fiber INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel - glass Plastic Exper. App. New Existing Tanks Tanks Septic Tank or Holding Tank MiQ 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 Sfgnature(s): (No tamps PONALb Plumber's Name: (Print) If applying for Section A or al above I Plu er's ig tur (No Stamps) MP/MPRSW No: - iosaPH PI 6eYsAddress: (Street, Cit., State, Zi Code) Home Phone: Business Phone: D7 Li i lS- 3 - e140� VIII. COUNTY DEPART NT USE ONLY Approved ❑ Disapproved I Sanitary Permit/Transfer Fee: I Dat Issued: Isssuino' A nt's Signature / ate: mAM MucI"t ( UGt'tr� ❑ Owner Given Initial"' Adverse Determination (gyp l/ - cc sri..iCiJsS _/Q1 IX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: jntAUA4 O.S (e bU t r( tn. Plot Plan on reverse side Lot Line 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/bayfieldcountysanitaryapplication Revise: June 2018 Proofed by: 1(ZDVILcI�-c O�D l E.eta a-& ctc 3aS 7or wa "use VP/�qq Ri CEIVED %? APR 242026 OaySedPzmi;an Lc.,, 4tr J yy. I 5Out t-gl4L- C)(i✓,_ frv4ft . FROM : Ft1LF1JSI:I PLISIBINC FAX NO. : 71S3724159 Aug. 26 20104 08:31AI1 P1 5c( 44bsorpft1 1 /¢/./ ty: olYosa: Ffrm�:.,: S,.c.ie: I..-v^�u.�e.'.5 n•,..1 C „ PG ♦: o.�L[/v ! a.%:+L't'agk= t~w. ua., .e.nf^ /Y)ano'.( ✓Sed• r... n+ei w;.`'+: fi7 14 - {3.M. J JRP= i:.ie.� low.¢. L b-ios u7-PLR•b/y5) /H( ,. 5. "a2 oago £y54-¢.•. t icy: 93.0 yt s.p+ c.'ra.K :5/00(J9allan w•e:e. Lo•Cxa+c._!4Y fl J. and Pareal IC'' Oat'/0(a$ -0/ NZ Try..: 6of%-..,t-! r>. ¢a .(� la .. !:.-t.;-le v^W.C+:•-'/ �¢n r`, ��N.l nA 7r~•.flwn. (r/� }.,r...46r7 �r //�ptci� 3. ,t� 8' !� !'1 % 8 � Scl%l•: c. 'fan r, i /1Ti �f re7�or „�iw,..barst '44( ICCGlf�"g�.r�a+p6l/art +p es.-,+!:cw 2 .+..,' cos-. SG(.!•.C Tw+:<:. our' er...jsA ;.wr{ :r.::f i4pra# 4: %ftr- "a Sr $;. 4. Lq lo=.air--av+-(o vah if 'e.J 6 S� �--pZ a 4r�`�; U aP� ••. Esc I ^ i Qr La_ Puflcse'A s.t:de«.a SRun* RECEIVED r pia APR 0 9 2026 Bayfield Co. Planning and Zoning Agency �oGE 6GG_j:-9*Ab 5/TE rstltrjV :/Wn•Lr: 1tor`cU 4. f'Ev(+rncri 5o'3'i LM W. Skovt Jl ml rn Al SS/Z(. rj �L'a.+5a1 b;1)-;4: 5E yNCk ;sczrr'4'N R T W 6oJYle-f "u3 Lo•t'e9 jre,:tdc/e S„b:vSe, fts.fl af 14J5 £..s ,lacy e.ld. Co. wwFcr?noF Qa(+. ;3a-ri-o'. y� C=: Emily Macgillivray From: Emily Macgillivray Sent: Tuesday, April 14, 2026 12:14 PM To: 'ron hultman' Subject: County Sanitary Application Hi Ron, I hope things are good with you. I'm reviewing your County Sanitary application and I don't have a phone or email to contact your plumber, Tyrel, but before the application can be approved, I am going to need him to submit an updated map that accurately shows the site (i.e. a proposed 2 bedroom house and an existing sauna with a bathroom already connected to the system). Also, I'll need his permission to change the type of permit from Reconnection to County Private Interceptor (since the sauna is already connected to the system, you are doing an intercept, not a reconnect). If you can share this email with Tyrel or send me his contact information, I would appreciate it. Thanks! Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E 5a' Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivrayc21bayfieldcounty.wi. gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire anyfunds. Please contact our office at zoning@bavfield&_ounty.wi.¢ov or 715 373-6138 with any questions or concerns. P 'FIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Description Private Interceptor Submission Number: CS -00149 Transaction Number. CS -00149-4333D Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 6465 Paid by: Payton Customs LLC 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 - Private Interceptor SIGN - SPECIAL - CONDITIONAL - No. 26-0142 Tax ID: 18909 Issued To: HULTMAN, RONALD L & MARIBETH Location: S25 - T47N - R09W Town of HUGHES BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PLAT OF TROUTDALE LOT 9 LOCATED IN GOVT LOTS 2 & 3 AND THE SE NE Residential Structure in R-3 Zoning District For: Sanitation Permit - Private Interceptor [Previous Permit # 425330 (9/03/2004)] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Insulate as required. 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 Emily Macgillivray, AZA work or land use has not begun. Authorized Issuing Official 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. May 5, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.