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Home My WebLink About26-34SDepartment of Safety ('"" I as a & Professional Services, 0. re/ t by Sanitary Pcnnit Number Ito be filled in by Co Pg Industry Services Division 32026 SS-oo-l30 Sapiihr • Permit Application Slate Transaction Number In accordance with SPS 38,421 yldti ode, submission of this loon to the appropriate governmental unit Project Address ((di flerent than mailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Depunmcnt of SuI ty and Professional Services. Personal inlimnation you provide ��/iMtdary purposes in accordance with the Privacy Law, s. 15.0911 Hnf. Stars.��-- I. Application Information — Please Print All Information Property Owner's Name f� APR My Parcel P l -f, I q 03 / 100 R,rfkw rr, I� Property Owners Mailing Planning and Zoning Agency Property Location 5A116O / ./ t-JG_______. C� Govt. Lot j City. State Zip Code Phone Nu nber Cara �2o;u� W 5N�39 �t / 906 ao1—RVO `' section iJ.cN R Q4..__E ut w Ii. Type of Building (check all that apply) Lot # Subdivision Name •`� �I or'_ Family Dwelling - \umber ol'Redraoms 3 Block # ❑ Public/Commercial - Describe Use O City of ❑ State Owned - Describe Use O Village of CSM Number �lown of__ rGnJu, cc,!_ Ill. 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 aJpplkablj___ A. ❑ New System Replacement System ❑ Other Modification to Existing System (explain) — ❑ Additional Pretreatment Unit (explain) ❑ Holding lank .In -Ground 0 At -Grade 0 Mound 0 Individual Site Design ❑ Other Type (explain) (conventional) C. 0 Renewal Before Expiration ❑ Revision ❑ Change of Plumber 0 Transfer to New Owner List Previous Pennit Number and Date Issued �� % 0 '-_g () 093') IV. Dispersal/Treatment Area and Tank Information: Design Flow (gpd) Design Soil Application kate(gpd,A) Dispersal.\rea Required (s0 -' Dispersal .1rca I'ruryued is!) System Iilevati t t u�o I .7 6yd •8� ≤co o ('apaciI) in l'otal d of Manufacturer _ 'Iank huonnatiun Gallons Gallons Units — New tanks Existing ranks `v o =' 2 v =° IC P- ScpticurNohhngTank 3 00 0.i i05 41 ti �'b' �BCaes`)<• _ Dosing Chamber V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown the attached plans. ---� Pltu�n]ber':.Name (Print r Plant is Signature MI' t PRS anther I Busnwss Phone Number Plumber's Address (Street, City, Sbue, Zip Code) x'0300 l'�c�o� 4-74 or 5Yg5c VI. County/Department Use Only ppmved O Disapproved Pennu 1 —D `ee ate Issued yy Iswi g A • t Si awn 5zd ❑ f honer (liven Reason for Denial o- 5hm Conditions of Approval/Reasons for Disapproval Se- Attach to complete plans fm' the system and submit to the County only Ott paper not teas than 8 Ile x 11 inches in SBD-6398 (R. 03:22) SOIL TEST #Z-c?� € ECEIVED 4 Wisconsin Departmentof Safety& Professional Services ° Division of IrtdustryServices APR ft 29 2026Page ! of SOIL EVALUATION aodo REPORT l ayfeld Co. In accordance with SPS 385, Wis. Adm. Code County a Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 1 Please print all information. Reviewe y + Personal information you provide may be used for secondary pu oses P ' Property Owner State, rp ( nvacy Law, S. 1S.04(1)(m)). Property Location. � f Govt. Lot C (�t'/. <'�,�• S T Site Address or CSM and Lot #: Phone Number ❑ City ❑ Villaae Tn,.►n Weplacement ew Construction Use; esidential/ Numberof bedrooms t Public or commercial — Describe: Parent material '1 1 General comments and recommendations: DBoring # Boring Ait Ground surface elev.gsatt, Horizon F21 Boring # Horizon 3 .I aDate N R(O E(or) W '1e�ar Road V.. ,i/, �/ Code derived designflow rate GPD Flood Plan elevation if applicable ft. Depth to limiting factor, in, / elev. 7• Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application F n Rate In. Munsell Qu. Az. Cont. Color / t2 Gr. Sz. Sh. -i' 3 *Eff#1 *Eff#2 r,1 - i— -Il 1LZ TPI F _ ii iii I ❑Boring it Ground surface elev. , {t, Ls�L Depth to limiting factor in. / eleI. . Depth Dominant Color in. Munsell Redox Description Texture Structure Qu. Az. Cont. ColorBoundary unds Soil Application Rate Roofs GPD/Ft2 - i �,, + Gr. Sz. Sh. n ,r-- c-3�- �'1�1�(.. 0,insistence' #Eff#1 *Eff#2 r t`" � C7 r r �► te L 4f '4 � l w i "lame (Please --- ---_�..1nu,I.a,u 1C" >Jus l50 mg/L "' Effluent #2= BOO, 5 30 mg/L and TSS ≤ 30 mg/L SBD-8330 (R03/22) • Page C of ❑ Boring Boring # Pit Ground surface elev. ft. Depth to limiting factori In. / elev.g7i ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 v1 cS hic C0 ____ t(d Lilt! $CL Si'L rYWQ C5 - __ _� a O) Q � ______ ___ g_O-ft, ic _Ji' $1_m Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application 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 L_iil Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / eiev. ft. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Gr. Sz. Sh. Consistence __ I_________ Soil Application Rate Boundary Roots GPD/Ft2 *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 S 150 mg/L * Effluent #2= BOD, 5 30 mg/L and TSS 5 30 mg/L 2/16/26, 2:06 PM Novus-Wisconsin Access rev.12.0206 Real Estate Bayfield-County Property Listing Property Status: Current Today's Date: 2/16/2026' - Created On: 3/15/2006 1:15:28 PM UP Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: 7 Tax Districts Updated: 1/23/2026 Ownership Updated: 1/23/2026 17403 TIMOTHY E & MARY K HOOPER . GRAND VIEW WI 04-021-2-45-06-19-3 03-000-30000 021112104000 Billing Address: Mailing Address: TIMOTHY E & MARY K TIMOTHY E & MARY K (021) TOWN OF GRAND VIEW HOOPER HOOPER S19 T45N R06W 54160 N SWEDEN RD 54160 N SWEDEN RD PAR IN SW SW IN DOC 2026R-610758 GRAND VIEW WI 54839 GRAND VIEW WI 54839 870B 5.000 P Site Address * Indicates Private Road 5.017 0 Yes (F-1) Forestry -1 115 2026 Assessment Detail Code G1 -RESIDENTIAL 54160 N SWEDEN RD 09 Property Assessment GRAND VIEW 54839 Updated: 4/2/2019 Acres Land Imp. 5.020 15,000 6,000 1 04 STATE 2 -Year Comparison 2025 2026 Change 021 COUNTY TOWN OF GRAND VIEW Land: 15,000 15,0 0.0% 041491 SCHL-DRUMMOND Improved: 6,000 Total: 6,000 0.0% 001700 TECHNICAL COLLEGE 21,000 21,000 0.0% Recorded Documents Updated: 3/15/2006 Property ® WARRANTY DEED History Date Recorded: 1/20/2026 2026R-610758 N/A tiECEIVED ® TRANSFER BY AFFIDAVIT Date Recorded: 12/26/2025 2025R-610487 ,i' 2.9 2026 ® TRANSFER BY AFFIDAVIT Date Recorded: 12/26/2025 2025R-610486 Bayfield Co. pnnine and Zoning Agency ® CONVERSION Date Recorded: 259-427;784-111 / https://novus.bavfieldcountv.wi.cov/access/maRtAr acn B*YF T]i _ .. Bayfield Gounty.. Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: HOOPER, TIMOTHY E & MARY K 54160 N SWEDEN RD GRAND VIEW, WI 54839 Description Certified Soil Tests - Review & Filing g Fee Submission Number: SR -00400 Transaction Number: SR -00400-452B3 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 1413 Paid by: Schaffers Well Repair LLC, 60300 Mason Delta Rd, Mason WI 54856 Payment Type: Check Transaction Date: 5/7/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. PAGE 1 OF 4 In -Ground Gravity Plan Index & Cover Sheet RECEIVED Component Manual Design References: ppu 2 9 20:6 In -Ground Soil Absorption for POWTS Version 2.1 (May 2022-2t27 Bayfield Co. Planning and Zoning Agency Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross -Section & Plan View Pg 4 of 4 Management Plan Attachments: CAvu Sa. • "re POWTS Application for Review Soil Evaluation Report & Site M D0.s(�L pc- Project Name / Description Owner Name(s): ' l I m 5-1 frL y Dope/ Phone: 9CC - - 01 y Owner Address: S`(l GO A/ w ec fjti Qd Zip: sar S`1 e6's9 n u Project Address: Govt. Lot: iJ r J 9 1/4 of /4, Section 19 , T N S N -R 06 E ❑ or W Township: £oa \ jp County: h Project Parcel ID #: Designer Information t� �,o Designer Name: _ /y' c 'fl// „, , Phone: 15 q 3 - II�O Designer Address: bbd 4'.cor. ae�,IU /Vl"OK L'J Zip: SY&5C E-mail: License Number: MPR5 —2oy, V Remarks: Signature: ______ Date:27 07� Origin azure requved on each submitted copy. 2118/26, 8:37 AM IMG_3254.jpeg SUPERIOR I 1,0001 -Compartment Tank SUPERIOR PICCAITCIUCRIII `a.: L*12 Lid: 3,683 Total: - \olu Total: TOP VIER' 59.12_" 53-1 2- 9- C AP DEPT. OF WE 1 WISION OF II� i ✓`Yth s_i1 4T SEE CORREBFONOFXCE 1 3,1 Manhole Oplp1Y Lj Taper Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, Wl 54843 -� PohztM•ku� _ / BaB1e S SUPERIOR PRECAST CONCRETE Design conforms to ASI M C1221, Specification for Nfa:ru Precast Concrete Septic Tanks and WISPS 384.25, R°P. POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified by ,V the purchasers licensed professional engineer for suitability of use. C'a:kn Configuration may change from drawing, consultwith PPound m Place) SPC. IPA1w..Nb: i 1Np'p.q.,YlpmpNnunElrnu,xrMpope!ryolSuP,,EF..,emnneuC I .,_..�...i https://mail.google.com/mail/u/O/?tab=rm&ogbl#inbox?projector-1 1/1 IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) Geotextile Cover ____ SOIL COVER 12" min. trench depth t (typical) System Elevation = ft. (typical) min. 12" (typical) Septic Tank(s) Manufacture: Septic Tank(s) Volume(s): boo gal gal gal gal ffluent Filter Manufacturer: �lJn�1//n� Effluent Filter Model #: 5 aS- TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Provide minimum 3 ft separation between trenches. TYPICAL TRENCH (Show location of inlet I outlet pipe connection on plan view.) PLAN VIEW 4" 0 Observation pipe shall be installed (No Scale) atry Perforated Lateral (typical) EE4E=I?TFIIIIIIIIIIE H B= C4ft (typical) INSTALL PER TRENCH: 6 10 -ft bundles @ 50 ft' EISA/unit= 3()0 ft2 + I 5 -ft bundles @ 25 ff EISA/unit = ac ft2 = Proposed EISA per trench = 3_S ft2 OBSERVATION PIPE DETAIL (No Scale) Screw -Type or . Slip Cap (loose) 4"0 PVC Pipe — Top of pipe to terminate at or above finished grade (4) 1/4"-1/2" X 6" Slots — @ Io apart Anchoring Device A=31) ft 1 (typic5lg o n m o EZ1203H Bundle 3 (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturer's instructions. Required Infiltration Area = ______ ft' x 2. trenches = Proposed Total EISA = 50) ft2 ,5(m(mulched & seeded) Topsoil Cover (min. 1 foot) Infiltration Surface rn C3 rn Z M a Distribution Method: D m W O m a RESET PAGE 4 OF 4 In -ground Gravity Management Plan IMPORTANT: r,ECEIVED The owner of this in -ground gravity system shall be responsible for its perpetual operation and main n269p?6Mnt to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Co e, this system shall be considered a human health hazard if not maintained in accordance with this approved managemenoptacW co. Furthermore, all inspection and maintenance activities shall be performed by a registered POWP�" Mthtft "rFiN °11 ' accordance with SPS 383.52 (3), Wisc. Admin. Code. Maximum Dispersal Area Operating Limits: Design Flow = LSQ gpd; BODS S 220 mgL'1; TSS 5 150 mgL-'; FOGS 30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors (i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, etc.) o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e., distribution / drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities - if applicable (i.e., pump re -cycling, float switch settings, etc.) o electrical components - if applicable (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. o Effluent filter(s) shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report nany component / failure or malfunction to: Name of individual or company: LUy//24'41 e/ Phone: 7/5"7/3 1)00 Local government unit: � (L - c COO✓r4/ Zon'rj Phone: %7JS 3?3 b137≤ L Local government unit address: ii / 5T^ Seamy PC gin uZ ZIP: 70 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 treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in -ground dispersal component may be abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils. System Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. n1-oo?-39 Private Sewage Owner(s) Maintenance Agreement gj19rc..v�Itjf?w 1t ,I Tax ID# ngo3 AS owner, I (we) do hereby certify the private sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal Is required) C!w1/4 of Sto 1/4 Section I Township 'IC N. Range 4 W Additional Legal Description: Town of 0Z rc-r.d Vre t-' (Acreage) Gov't of _ LotBlock Subdivision � Lot _ CSM # Vol. Page _ CSM Doc # XIn -ground gravity ❑ Mound DOCUMENT NUMBER 2026R-61 1 30 1 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 03/04/2026 AT 12:34 PM RECORDING FEE: $30.00 PAGES: 2 3�SERED Recording Area Return To: Planning and Zoning tJEfJIVED MAR 052026 ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System: ❑ At -grade Sewage System ❑ Other Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent fitter shall be inspected and maintained as necessary and in accordance with manufacturer's specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator, POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system is ponding on the ground surface. Mounds, At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayrleld County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. 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 he collected as provided by law. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) Name(s) — Please Print 1� Subscribed and sworn to before me on this date: ti d( (�— D ors �q / �ii H l�( Notarized Owne s) —Signature( Notary Public nn te/f T fCoN/,Gv My Comm sip%expires: P Z L (20 � � r* u/forms/sanitary/septicmaintenceag roement Revised July 2020 RECEIVED MAR 052026 Bay fie ld Co. PlanninCUMEI<<T� DONUMn`9EAancy 20268-610758 State Bar of Wisconsin Form 1-2003 WARRANTY DEED Document Number I Document Mama THIS DEED, made between Kevin K. Kissel ("Grantor," whether one or more), and Timothy E. Hooper and Mary K. Hoover, husband and wife. as survivorship marital pmt arty ("Grantee," 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 RAYFTFT n County, State of Wisconsin ('Property") (if more space is needed, please attach addendum): Parcel 1: A parcel of land in the Southwest Quarter of the Southwest Quarter (SW'/ASW'/4), Section Nineteen (19), Township Forty-five (45) North, Range Six (6) West, Town of Grand View, Bayfield County, Wisconsin, described as follows: Commencing at the Northwest comer of Section Nineteen (19), Township Forty-five (45) North, Range Six (6) West, thence South 2724" to the point of beginning, thence South 418 feet, thence East 523 feet, thence North 418 feet, thence West 523 feet to the point of beginning. Parcel 2: A parcel of land in the Southwest Quarter of the Southwest Quarter (SW'4SWV4), Section Nineteen (19), Township Forty-five (45) North, Range Six (6) West, Town of Grand View, Bayfield County, Wisconsin, described as follows: Beginning at the Northwest comer of Section Nineteen (19), Township Forty-five (45) North, Range Six (6) West, thence South 2724", thence East 805 feet, thence North 2724", thence West 805 feet to the point of beginning Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances exeeck{,:� EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. c '` ., Dated QQYh(LQAti �3_091i7 s /�/ _ ur a rn (SEAL) ��- 7`r_ (AI'Y•. a ' Kevin K. Kissel DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED O1/2O/2O26 AT 12:O5 PM RECORDING FEE: $30.00 TRANSFER FEE: $75.00 PAGES:1 ELECTRONICALLY RECORDED flame and Return Address Timothy E. Hooper and Mary K. Hooper 54160 North Sweden Road Grand View, WI 54839 20741-25 04-021-245-06-19-3 03-000-30000 04-021-245.06-19-3 03-000-20000 Parcel Idendfcatioo Number (PIN) This IS NOT homestead property (i) Cu not) Signature(s) authenticated on 7 TITLE: MEMBER STATE BAR OF WISCONSIN ACKNOWLEDGMENT STATE OF m" ) )_____________________COUNTY Personally came before me on 1-1 the above -named Kevin K. Kissel (If not, to me known to he the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: r\ a S. IItYA Attorney Max T. Lindsey SBN 1112865 Notary PubGc,State of cvvti Anich, Wickman & Lindsey, S.C., Ashland, WI 54806 My Commission (is permanent) (expires: i )—` - IUD (Signatures may be authenticated or acknowledged. Both are not necenary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O 2003 STATE BAR OF WISCONSIN FORM No. 1-2003 a Type came below signatures. Bayfield County Register of Deeds Document #2026R-610758 Page 1 of 1 13 YFIELD 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: HOOPER, TIMOTHY E & MARY K 54160 N SWEDEN RD GRAND VIEW, WI 54839 Description Private Sewage System (Septic Tanks) Submission Number: SS -00730 Transaction Number: SS -00730-44A90 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 1413 Paid by: Schaffers Well Repair LLC, 60300 Mason Delta Rd, Mason WI 54856 Payment Type: Check Transaction Date: 5/7/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-34S STATE SANITARY PERMIT OWNER: TIMOTHY E & MARY K HOOPER GOVT LOT: LOT: BLK: SW 1/4 SW 1/4 SEC: 19, T 45 N, R 6 W TOWNSHIP: Grand View SOIL TEST: 28-26 REPLACEMENT SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: CORY SCHAFFER TRACY POOLER Authorized Issuing Officer DATE: 5/7/2026 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 #: 20934 LICENSE: # 1037 Condition: Old System needs to be properly abandoned per SPS 383. Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES5/7/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION