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Home My WebLink About26-0162BAYFIELD COUNTY Zoning District SANITARY PERMIT APPLICATION takes Class I. APPLICATION INFORMATION Soil Test County (Please Print All Information) No: I Permit No: a6 _ 016 3 - Property Owners Name: Jason & Cheryl Nohl Irrev Trust County: Bayfleld Address of Property: Property Location: 30190 Mission Springs Rd. x ¼ %, S 25 T 48 N, R 5 E (or) W Property Owner's Mailing Address: Township: I Gov. Lot #: same Barksdale City, State Zip Code Phone Number Lot # I Block #: I CSM # I CSM Doc # I Subdivision Name Bayfield, WI 54814 4 I 230 2021r-59266 II. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) 312 0 1 or 2 Family Dwelling - No. of Bedrooms 2 MAY 0 1 2026 III. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) ❑ New ❑ Replacement ❑ County Private Interceptor Planning and Zoning Agency ❑x Reconnection ❑ Repair ❑ Revision " ❑ Transfer of Owner (List Previous Owner below) B) F A Sanitary Permit was previously issued. Previous Permit Number: 6 S Date Issued: 8/3 I / 19%$ 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.) Proposed (Sq. Ft.) (Gals. / Day / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK Capacity INFORMATION: In Gallons Total Gallons #01 Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel Fiber - Plastic Exper. App' New Existing Tanks Tanks glass Septic Tank or Holding Tank 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) it applying for Section c above Owner's Signature(s): (No Stamps) Plumbers Name: (Print) it applying for Section A or B) above Plum er's Signature: (No Stamps) I MP/MPRSW No: Edward B. Redinger 221939 Plumber's Address: (Street, City State, Zip Code) Home Phone: Business Phone: 1015 11th Ave. E. Ashland, WI 54806 415-413-0122 715-292-6670 VIII. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit/Transfer Fee: I Date Issued: Issuin ant' Signature / Dat11'' Approved ❑ Owner Given Initial J Adverse Determination l7 IX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: Plot Plan on reverse side lr� Lot Line Iii v RECEIVED d MAY 012026 ( Bayfield Co. Planning and Zoning Agency A7 JL a Name of Frontage Road ( r); 5S for 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 3. Show the location of the well, septic tank and drain field. DETAILED PLOT PLAN IS NECESSARY, FOLLOW 4. Show the location of any lake, river, stream or pond if applicable. STEPS 1-7 (a -o) COMPLETELY 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: B4-YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Submission Number: CS -00157 Transaction Number. CS -00157-4503A Description Amount Private Sewage System Reconnection $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10728 Paid by: Superior Plumbing & Mech Inc 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 - Reconnection SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0162 Tax ID: 312 Issued To: NOHL TRUSTEES, JAYSON & CHERYL Location: S25 - T48N - R05W Town of BARKSDALE Legal Description: PAR IN GOVT LOT 4 IN V.327 P.12 (LOT 2 CSM #230 IN V.2 P.297) IN DOC 2021 R-592662 (JAYSON T & CHERYL L NOHL IRREV TRUST DTD 12/16/2021) 194D Residential Structure in R-RB Zoning District For: Sanitation Permit -Reconnection [Previous Permit # 11685 (8/31/1978)] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): 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 work or land use has not begun. 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. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are -violated. Tracy Pooler, AZA Authorized Issuing Official May 8, 2026 Date