HomeMy WebLinkAbout26-34Srfr
Request 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 zonlnp bayfieldcountv.wi.aov
Note
Change Discrepancy ❑ Other
jj
//�JJTime
/ G
�-05/ k t
Phone Number
)1C 91% IJOt
Plumber:
Fax Number
Homeowner:
�ppn�
Email Address
ImmediatePhoneNumber So Zoning
Sanity
Permit#:
6
Dept can call you right back (d needed)
Plumber Choice
Zoning Dept
No Inspection(s) during this time
Date:
Tuesday (9:30 am - 12:15 pm) (Tracy)
Plumber's Choice
Zoning Dept
Time:
I V`1
Township:
Address # &
,, f
Road Name:
5H ( b t
or
Directions
To Site:
Comments:
** Plumbers you must verify any change(s) by fax or email **
Notes from
July 2025
a` Private Onsite Wastewater Treatment
c -� ms (POWTS). Inspection Report
(Attach to Permit)
TIMOTHY E & M DR V K HOOPER
County
Sanitary ermlt No:
State Plan'Transaction ID#:
Parcel Tax No:
roiU TYPE..rr.MANUFACTURER
CAPACITY
Prop. Line
Well
J Building
Air Intake
Road
Se tic
U C
O0
N/A
Dosin
N/A
Aeratlon
N/A
Holding
Pump I Siphon Information
Pump Manufacturer
um p Model
Demand
GPM
Filter Manufacturer
Filter Model
TDH
Lift
Friction Loss
Head
Total
Forcemain
Length
Dia
Dist To Well
Pretreatment Unit
Manufacturer:
Model Number.
titivation uata
STATION
BS
HI FS ELEV
Benchmark
2,
Bldg. Sewer
3 q2
Tank Inlet
L tj7 16
Tank Outlet
Dose Tank Inlet
Dose Tank Bottom
Inst. Contour
Header/ Manifold
o(5S
Distribution Pipe
Infiltrative Surface
�R 3_
Final Grade
t -Q z7
stribution System X Pressure Systems Only
Header I Manifpld ti Distribution Pip6(s) // X Hole Size X Hole j 0 pservalion Pipes
I anath 1 h. Die Li Lenath )t7 Dia iL. Spec Spacing • _ es ❑ No
soil Cover • z
Depth Over I Depth Over I Depth of j Seeded I Sodded Mulched
Cell Center Cell Edges I Topsoil ❑ Yes ❑ No 0 Yes ❑ No
JOMMENTS: (include code discrepancies, persons present, etc.) ��r �� 22 l/r $ r of 4i. I 6 Q
`
c� ITV�Sti"/ I! J ✓ ekrVCD\G•,ct4'
Vek (tes ok( �l.thje.
an revision required? *Q: EI No yV )W /oq5(
;e other side for addltionannforrmatlon.
Date POWTS Inspector's Signature License Number
ZRn.R71n ER ng1911
Al
Property Owner
Information
BAYFIELD COUNTY PLANNING & ZONING DEPARTMENT
Telephone: (715) 373-6138 Hayfield County Courthouse
Fax: (715) 373-0114 Post Office Box 58
e-mail: zoninatibbavfieldcountv.orn 117 East Fifth Street
Web Site: www.bavfleldcountv.org/147 Washburn, WI 54891
TIMOTHY E & MARY K HOOPER
54160 N SWEDEN RD
GRAND VIEW WI 54839
As you know Ot< ✓ c N was contracted by you to install a private
onsite wastewater treatment ystem on your property (Tax ID# above). To know when your system will be due
for servicing please go to www.septiesearch.com
Notes: C.
a-.
Abandonment of Old System to meet all applicable code requirements:
• Tank was pumped by: on at AM / PM
• Tank was crushed / removed and pipes disconnected by:
On 2 u at / (AM /the above -mentioned plumber contacted our office to
conduct a pre -co er inspection as required under 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:
Uttonnslsanitarypropertyowner-Input
Apil2019
,�t^ � `�"�'
��
Department of Safety
Coun f
1'
& Professional Services,
Sanitary P rmit Number (to be filled in by Co.)
Industry Services Division
SS -00-710
S wit� Permit Application
State Transaction Number
In accordance with SPS 381'.211 jiii 'A'8 i. ode, submission of this form to the appropriate governmental unit
Project Address (ifdiflerent than mailing address)
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
the Department of Safety and Professional Services. Personal information you provideptt� l ft Didary
66
purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats.
I. Application Information —Please Print All Information
Property Owner's Name APR
A4&r, goc�
Parcel #
�0.� ) 1 10,3
-Qr'
Property Owner's Mailing Address �
/\"
,O__
Planning oral Zar��ca;; Arancy
Property Location
4 1.eJly
Govt. Lot
f
City, State
Zip Code
s
Phone Number
O
604J t�O!/ + 04 7 O
�`—'—%•,— --/a, Section
"f N R AE o W
IL Type of Building (Chick all that. apply)::
Lot #
t.1 or 2 Family Dwelling - Number ofBedrooms_—
ETEREP
Subdivision Name
❑ Public/Commercial
Block #
— Describe Use
---,
O City of
❑ State Owned — Describe Use
O Village of
CSM Number
VTown of 14&d u.
III*. TypeofPOWTS Permit: (Check either- "New or- "Replacement" and other applicable on line A. Check one box on line B. Complete line C it
annlicahle-)
A.
❑ New System
A Replacement System 1
❑ Other Modification to Existing System (explain)
❑ Additional Pretreatment Unit (explain)
i3.
❑ Holding Tank
ln-Ground
❑ At -Grade
❑ Mound
❑ Individual Site Design
�
❑ Other Type (explain)
(conventional)
I
C.
❑ Renewal Before
Expiration
I ❑ Revision
❑ Change of Plumber
❑ Transfer to New Owner
List Previous Pennit Number and Date Issued
�j
g
093
i -s Y. uisuersau i rearmenr area ana s anic lniormanon:
Design Flow (gpd)
Design Soil Application Rate(gpd/sl)
Dispersal Area Required (sl)
Dispersal Area Proposed (st)
System Elevati
L4 45 o
ya e4
qo.00
Capacity in
Total
# of
Manufacturer
t
Tank information
Gallons
Gallons
Units
v
w
c -a
New Tanks
Existing Tanks
at c
v
v
cis
ct
Septic or Holding Tank
00 t
Jo1
Q)
.C fQ�ti t
ST'
Dosing Chamber
V. -Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown the attached plaits.
Plumber's ,Name (Prints Plum) is Signature MP PRS umber Business Phone Number
&ry Je jor. ill j'oo
Plumber's Mtlress (Street, City, State, Zip Code)
- Sao o � � �� �hsa n c�L ggsg
VT. Cotlnty/Depai tment Use Only :'
pproved O Disapproved Permit Fee a ec Issued y�LJ issui g A t Si ature
❑ Owner Given Reason far.De.nial �V
Conditions of Approval/Reasons for Disapproval 4 '�I
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x ii inches in size
SBD-6398 (it. (13/22)
• ,,���, SOIL TEST #o'?&c
Wisconsin Department of Safety& Professional Services 2 fiPage 1
Division of lridustryServices ADD 29 Z0 of
./
SOIL EVALUATION REPORT
Bayfeld Co.
►� In accordance with SPS 385, Wis. Adm. Code County n� "
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. ! P7
Please print all Information. Reviews /
Personal information you provide may be used for secondary
Property Owner
17mdnL 4
cy Law, s. 15.d4(1)(m)).
Property Location . t t
Govt. Lot(.Qj S
Site Address or CSM and Lot #:
State, Zip, y Phone Number
1-. V 1, 9 _ I. 11 CCLX' City ❑ Ilaae T,
New Construction
eplacement
Parent material„
General comments an
177 Boring #
[I1
Boring f
Horizon
Use: esidential/Numberofbedrooms
Public or commercial -- Describe:
�h�c�,nr1 "—'I L�r
d recommendations:
Boring
T
ate
O
NR(O : E(or)W
Yearst Road
Code derived designflow rate GPD
Flood Plan elevation if applicable ft.
�Ato
)Wit Ground surface elev. fL Depth to limiting factor In. / elev. ??.
MPlt Ground surface elev. ft, Depth l
J` to limiting factor � in. I elev �,
Depth Dominant Color Redox Description Texture Structure Consistence SOII Application Rate
In. Munsell Qu. Az. Cont. Color Boundary Roots GPD/Ft2
Gr. Sz. Sh.
.1.-- �Q. y'Yl � C, `Etl'#1 *Eff
38 #2(g 7 £/ - (9 PY p -p - 0
CST Name (Please
* Effluent #1 =8OO>30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2= BOD, 5 30 mg/L and TSS 5 30 m /L
g
SBD-8330 (R03/22)
Page of
❑ Boring r y II r1 —
3] Boring # PIt Ground surface elev. ft. Depth to limiting factod '_in. / elev.S?•e ft.
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
/
ff
IM 213
cs
i'ic
_____ri
i.€.
—
___
$C.i
9L
_____
twa.
C5
-
6
___
b
r
■
19
¶/JOIio?
_________
____
C45
O
_m
__
I i Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. I elev. ft.
Horizon
Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
'VII r%lipR LIUI1 male
GPD/Ft2
*Eff#1
*Eff#2
L f • Boring #
❑ Boring
❑ Pit Ground surface elev. ft.
Depth to limiting factor In. I elev. ft.
Horizon Depth
In.
Dominant Color
Munsell
Redox Description
Qu. Az. ConL Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
aon Hppucazron state
GPD/Ft2
*Eff#1
*Eff#2
* Effluent #1 = B0D > 30 5 220 mg/L and TSS > 30 5150 mg/L * Effluent #2= BOD, 5 30 mg/L and TSS 5 30 mg/L
.�
■■.■M■ ■ ■■■.
■MEM®®®M®■®
2/16/26, 2:06 PM, Novus-W€sconsin Access rev 12.0206
Y` `, tie • r
Real Esthte Bayfield-County Property Listing , ' Property Status: Current
Today's Date: 2/l6/026' Created On: 3/15/2006 1: 15:28 PM
Tax ID:
PIN:
Legacy PIN:
Map ID:
Municipality:
SIR:
Description:
Recorded Acres:
Calculated Acres:
Lottery Claims:
First Dollar.
Zoning:
ESN:
7 Tax Districts
Updated. i/23/2026
Ownershnp
Updated, l/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
8706
5.000
Site Address * indicates Private Road
5.017
0
Yes
(F-i) Forestry -1
115 2026 Assessment Detail
Code
Updated: 3/15/2006 G1 -RESIDENTIAL
54160 N SWEDEN RD GRAND VIEW 54839
Property Assessment Updated: 4/2/2019
Acres Land Imp.
5.020 15,000 6,000
1
' 04
STATE
2 -Year Comparison 2025
2076
Change
021
COUNTY
TOWN OF GRAND VIEW
Land: 15,000
15,000
0.0%
041491
SCHL-DRUMMOND
Improved: 6,000
Total: 21,000
6,000
21,000
0.0%
0.0%
001700
TECHNICAL COLLEGE
Recorded Documents
Updated: 3/15/2006
1Z property History
® WARRANTY DEED
Date Recorded: 1/20/2026
2026R-610758
N/A RECEOVED
® TRANSFER BY AFFIDAVIT
Date Recorded: 12/26/2025
2025R-610487
2.9 2026
® TRANSFER BY AFFIDAVIT
Date Recorded: 12/26/2025
202SR-610486
Bayfield Co.
pisnning eW ZoningA96RCy
1 CONVERSION
Date Recorded:
259-427;784-111
hffne•IInnveea h....fol.d.....,.,h....;.....j............1.......a_____
PAGE 1 OF 4
In -Ground Gravity Plan
Index & Cover Sheet
Component Manual Design References: .9 2026
In -Ground Soil Absorption for POWTS Version 2.1 (May 2022- �
Bayf eld 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:
Enclosures:
C ' e i
POWTS Application for Review
SO,.^ AP
Soil Evaluation Report & Site Map
D" s -'-Project Name I Description
Owner Name(s): 1 Oo Phone: t_- i -1f3
Owner Address: 5(160 Al ��,,,� aj Zip: SL1 &39
/, 1)
Project Address:
Govt. Lot: '?4jy JJ 1/4 of 114, Section / c1 , T L% c N -R 06 E Liii or W
Township: 2QJI\t 11County: 7I�
Project Parcel ID #: j' ( 2
Designer Information
Designer Name:L11 )( J4/ Phone:
Designer Address: COYcV 4j?I Net'SOK (,2
N/5q/3 -1>00
Zip: SYfS56
E-mail: -Uw�� S 1c.Q) ,� re crvec� tt�; j t f !i. �'Y• - �� :y'1 7j�:i1.' .1 Stilz:i4.).
License Number: '`S -. do
Remarks:
• Signature: • Date:
Origin attire required on each submitted copy.
2/18/26, 8:37 AM
IMG_3254.jpeg
5 SUPERIOR
Lid: 3,683
Total: 9,49:4
GJiloa3 P.rloichs 24.4
1,000 1 -Compartment Tank
TOP VIEW
891^"
83-112'
INK 29 2026
Bayfield Co.
tanning and Zoning Agency(I
7r 79~
1020 Cis
Enlarsod Detail
�r
APPROVED
DEPT. OF SAFETY Tutu PROFESSOKAI. 4'
rxWfs ON of INDUSTRY sE"Ces
R"AW A.-4
47"
GEE OORRE$PoNDEtce
ManhokOp.n1ng
2-1R- Taper
Pobvdoie e
Baffle
Mastic
Rope
Si 't VIEW 2r
9" Air Space
qaid
Dapth
dl
SUPEERIOR
160"
4
Produced by Superior Precast Concrete, LLC
P4 Box 1390
Hayward, WI 54843
SUPERIOR
PRECAST CONCRETE
Design contorms to ASI M O1227, Specification for
Precast Concrete Septic Tanks and WISPS 384.25,
POWrS Holding Components or Treatment Corm onents.
The Information provided on any Superior Precast
Concrete (SPC) drawing or document shall be verified by
the purchasers licensed professionatenglneerfor
sultabilityof use.
Configuration may change from drawing, consult with
SPC.
IraisI><opMaryb�fo:rt�Mr4aweam mtraprop"ofsupasWiftecutcaocrato.La
https:/lmail.google.com/mail/u/o/?tab=rm&ogbl#inbox?projector-1 .I„
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3 -ft Trench (down -sizing credit)
��������� •try. ����,�f1���f/��
r r.
i. -;
•
Septic Tanks Manufacture:
v -e! ' f
Septic Tank(s) Volume(s):
`_ gal gal _ gal gal
Effluent Filter Manufacturer:
/)ciyink_______
Effluent Filter Model #: S ��
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) Perforated Lateral atiu
(typical)
B= _ ft
(typical)
INSTALL PER TRENCH:
10 -ft bundles @ 50 ft2 EISA/unit = C) 0 ft2
+ 1 5 -ft bundles @ 25 ff EISA/unit = ________ , ft2
OBSERVATION PIPE DETAIL
(No Scale)
Screw -Type or
•+ • •. Finished Grade
Slip Cap (loose)
(mulched & seeded)
40 PVC Pipe
_ 4.. Topsoil Cover
Top of pipe to terminate ''•
�, (min. 1 foot)
at or above finished grade ' r
'�`
(4)114"-112" X 6" Slots
@ go apart
Anchoring Device
-o
U
)
(typia
A=3 ft
"-- EZ1203H Bundle > o,
(typical)
(mfd by Infiltrator Systems, Inc.)
Install pursuant to manufacturer's instructions.
= Proposed EISA per trench = as_ ft2 Required Infiltration Area == ft2
x = trenches = Proposed Total EISA = O ft2
Infiltration
Surface
n
C)
rn
a
Distribution Method:
-0
O
m
W
O
m
PAGE 4 OF 4
In -ground Gravity Management Plan
IMPORTANT:
The owner of this in -ground gravity system shall be responsible for its perpetual operation and main n2d po&nt to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved managemen0plar4 Co.
Furthermore, all inspection and maintenance activities shall be performed by a registered POW'MI1ri�i9e"�
accordance with SPS 383.52 (3), Wisc. Admin. Code.
Maximum Dispersal Area Operating Limits:
Design Flow = 1S° gpd; BOD5 5 220 mgL'1; TSS ≤ 150 mgL"1; FOG S 30 mgL'1
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 any component failure or malfunction to: Name of individual or company: c, J -�/ Phone: 7/4
J Y/3 % OO
Local government unit: �L d c - 2 'r Phone: r 1 c 313 C/3z'
z'
Local government unit address: 11 / fh5'1r4-4 PO rn u ZIP: 5 7
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.
• n'1 oo 2.3 Q
` Private Sewage Sys! Maintenance Agreement
Owner(s) Name
1Lloopf
Owner(s) Mailing A.�t1ss
59 1 &o rJ S-Aer• Izd J
Site Address
jI ,i
Tax ID# ��7ga3
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)
_ 1/4 of S e 1/4 Section I 1_Township N. Range 4 W.
Additional Legal Description:
Town of ) rc r-1 tii .e c,.J (Acreage). r Gov't of
Lot Block Subdivision
Lot CSM # Vol. Page CSM Doc #
DOCUMENT NUMBER
2026R-61 13O1
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
O3/O4/2O26 AT 12:34 PM
RECORDING FEE: $30.00
PAGES: 2
Recording Area
Return To:
Planning and Zoning I O iPVED
MAR 052026
Bayfield Co.
Planning ana tonIng Agency
In -ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage System:
❑ Mound ❑ 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 filter 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 Baytield 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 a# the costs and charges
maybe 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.
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
Subscribed and sworn to before me on this date: y Al
2v
_Notarized
Owners) — Signature(
Notary Public ••
My Comm sio xpires: ® p� L Zf> AN9�►.•. e�/C
u/forms/sanitary/septicmaintenceagreement
D...$..,..4 l..w. 11r%nn
RECEIVED
MAR 052026
gBayfield Co. AA��
DOCUMENT NUl{ViH1ER�oy
2026R-610758
State Bar of Wisconsin Form 1-2003
WARRANTYDEED DANIEL J. HEFFNER
REGISTER OF DEEDS
Document Number Dow o BAYFIELD COUNTY, WI
THIS DEED, made between Kevin K. Kissel
("Grantor," whether one or more),
and
("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
RAVRiT 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'/48W¼), 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 corner
of Section Nineteen (19), Township Forty-five (45) North, Range Six (6) West, thence
South 272'4" 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%SW%), 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 corner of
Section Nineteen (19), Township Forty-five (45) North, Range Six (6) West, thence South.
272'4, thence East 805 feet, thence North 272'4", 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 e4�,Y :l� • •.,, , ':
EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. is r�• +•_
• •G-
Dated • r. • f. Q ,
(SEAL)'. : Z
* *Kin K. Kissel ,
(sue) _(SEAL)
* *
RECORDED
O1/2O/2O26 AT 12:O5 PM
RECORDING FEE: $30.00
TRANSFER FEE: $75.00
PAGES: 1
ELECTRONICALLY RECORDED
Recording Ara
demo and Return Address
Timothy B. Hooper and Mary K. Hooper
54160 North Sweden Road
Grand View, WI 54839
20741-25
04-021-2-45-06-19-3 03-000-30000
04-021-2-45-06-19-303-000-20000
Parcel Identification Number (PIN)
This IS NOT homestead property
(() (ta nct)
AUTHENTICATION
Signature(s)
authenticated on
i
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not; -
authorized by Wis. Stat. § 706.06)
ACKNOWLEDGMENT
STATE OF 1 )
)sL
COUNTY
Personally came before me on _ \ _ )" 9
the above -named - Kevin K. Kissel
tome known to be the person(s) who executed the foregoing.
instrument and acknowledged the same.
THIS INSTRUMENT DRAFTED BY:
* _p'- 1\tw_y
Attorney Max T. Lindsey SBN 1112865
nieh, Wickman & Lindsey S C., Ashland, WI 54806 Notary Pu 'q fate of
A
` My Commission (is pernoanen l expires' ' � - -Q - )
•y r
(Signatures may be anthentated or acknowledged. Both are not necessary.)
NOTE: THIS 1IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DIED O2CO3 STATE BAR OF WISCONSIN FORM NO. 1-2003
'Typo come below signatures.
Bayfield County Register of Deeds Document #2026R-610758 Page 1 of 1
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-345
STATE SANITARY PERMIT
OWNER: TIMOTHY E & MARY K HOOPER
GOVT LOT: LOT: BLK:
SW 114 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 DATE: 5/7/2026
Authorized Issuing Officer
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 EXPIRES 5/7/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION