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HomeMy WebLinkAbout26-0243cs-ool6� BAYFIELD COUNTY SANITARY PERMIT APPLICATION Zoning District Lakes Class I. APPLICATION INFORMATION Soil Test I — County // _O�/l (Please Print An Information) No: I Permit No: V Property Owner's Name: "/ ToS i LL k i IKtes County: Baylfeld W 61S/ Add/rress of Property: Property Location: NA '/4 /., S a5' S' E (or) W T c(6 N. R O Property Owner',Mailing S Township: kelly Gov. Lot #: 03 s City, State4S(la Tip Code rw-o Phone Number 4'c'nd-Ngc'l Lot # I Block #: I CSM #: I^' CSM Doc # Subdivision Name II. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) 397o 7o JUN 052076 1 or 2 Family Dwelling - No. of Bedrooms 0 IS. TYPE OF PERMIT: (Check only one box on line A. Check box on line B. if a icable A) ® New ❑ Replacement ❑ County Private Interceptor Planning and Zoning Agency ❑ Reconnection ❑ Repair ❑ Revision e" ❑ Transfer of Owner (List Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. Date Issued: IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) • Replacements need previous permit number and date filled out above C) ❑ Pit Privy 9 Vault Privy (Vault size: 300gallons 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 6. System I 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. FL) (Gals. / Day / Sq.FL) (Min. Inch) Elev.(Feat) Elev. (Feet) VI. TANK Capacity INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel Fiber - Plastic fir' App, New Existing Tanks Tanks glass Septic Tank or Holdi Tank 3 po "'" 3 0 0 ( f� 1 A K ln6)uS�n`aj 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) gapplying Sr Section C above Own is re(s): (No Stamps) Tostak hC kes Plumber's Name: (Print) if applying for Suction .4 or B) above Plumbers S' re: (No Stamps) MP/MPRSW No: Plumbers Address: (Street City State, Zip Code) Home Phone: Business Phone: VIII. COUNTY I DEPARTMENT USE ONLY ❑ Disapproved Sanitary PermitiTransfer Fee: Date Issued:Issuing boys Sig nature / Date: pproved [I] Owner Given Initial Adverse Determination 1 26 CONDITIONS OF APPROVAL I REASONS FOR DISAPPROVAL: Lot Line < u -a' `tr I7ie/7eaty %'e 1 y tfctwe Sfi�c?ure I I Poor `to pr_y I, RECEIV JUN05 5 Bayfield Co. Planning and Zoning (e4Ifn 0c- Ord 5 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 p4891 Real Estate Bayfield County Property Listing Today's Date: 4/27/2026 Property Status: Current Created On: 10/9/2007 12:43:12 PM Description Updated: 1/29/2024 -" Ownership Updated: 1/29/2024 Tax ID: 34670 JOSIAH WILKES ASHLAND WI PIN: 04-026-2-46-05-25-2 01-000-30000 Legacy PIN: Billing Address: Mailing Address: Map ID: JOSIAH WILKES JOSIAH WILKES Municipality: (026) TOWN OF KELLY 513 5TH ST E 513 5TH ST E STR: S25 T46N ROSW ASHLAND WI 54806 ASHLAND WI 541i08—C't�E® Description: 1/2 NE NW IN DOC 2023R- 59799a ' Site Address * indicates Private Road JUN 052026 Recorded Acres: 10.000 N/A Calculated Acres: 9.967 BO field Co Planning and Zoning Agency Lottery Claims: 0 Property Assessment Updated: 4/8/2024 First Dollar: No Zoning: (AG -1) Agricultural -1 2026 Assessment Detail ESN: 119 Code Acres Land Imp. G4-AGRICULTLIRAL 2.750 500 0 I Tax Districts Updated: 10/9/2007 G5 -UNDEVELOPED 7.250 4,400 0 1 STATE 2 -Year Comparison 2025 2026 Change 04 COUNTY Land: 4,900 4,900 0.0% 026 TOWN OF KELLY Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 4,900 4,900 0.0% 001700 TECHNICAL COLLEGE 4 Recorded Documents Updated: 10/9/2007 0 TRUSTEES DEED Property History Parent Properties Tax ID Date Recorded: 2/6/2023 2023R-597998 04-026-2-46-05-25-2 01-000-10000 21381 0 TRUSTEES DEED Date Recorded: 7/10/2007 2007R-514944 974325 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels 0 Tax ID: 21381 Pin: 04-026-2-46-05-25-2 01-000-10000 Leg. Pin: 026105105000 34670 This Parcel t Parents 1 Children PT/% NO. PM! "6CRIPIIOH AENSFON 0KW AKS30213 ILLINOIS SEPTIC/300 GALLON/20" LID 001 11/22/05 5" HOLE W/JONESTITE- OUTLET 4 SCH40 PIPE) GAL. SIDE ONLY 20' COVER (9" 4 SCH40 PIPE) JUN P 5 2026 PIannin to Co. 9a Zoning AgeiC. B.O.M. AKS30000 300 SEPTIC PLAIN AKR30550 (2)4" JONES-TITE FITTING AKS11200 20" COVER AKR30330 (2)4" SCH 40 TEE AKR43180 SCH 40 PVC PIPING AKS10030 GASKET PACK FOR 20" LID AKR30510 GAS DEFLECTOR oRwxI N M.OLIVAREZ POLYETHYLENE I+/— 0.25 UNLESS SPECIFIED OTHERWISE I ma�>uae EVERYDAY LOW PRICE AK Industries 300 Gallon Pump Tank Model Number: AK530213 I Menards • SKU: 6890650 RECEIVED JUN 052075 Bayfield Co. Planning and Zoning Agency $599.99 11% REBATEGoad miough 5/326 $66.00 VALUE $ 99 AFTER 533 @aCll REBATE* You Save $66.00 After Mail -In Rebate* d $50.00 / mo. payments (total $599.99) with 12 equal monthly payments Terms Aooly • Check your local, county, and state code for approval before purchasing. • Dimensions = 55.75" x 55.7" x 51' (LxWxH) • If installing in Indiana a septic filter is required. See AKS13200 View More Information FREE SHIPPING TO STOREII Pick Up At Store Available By 05/14/2026 Available for Special Order at 590edor Delivery Available �a Share Description & Documents At AK Industries, it is our goal to be recognized by our customers as leaders in quality rotational molded products. We pursue this by embodying a company philosophy that is founded upon honest customer service, superior design, and a commitment to continuous improvement. We use high-grade polyethylene, which is the basis for our consistent product strength. Combining excellent raw materials with advanced engineering design, we are proud to offer the only limited lifetime warranty in the poly -septic market We invite you to put our products to the test and see for yourself what 30 years of committed customer service, engineered design, and consistent quality assurance has achieved for us. In addition to high quality raw material and excellent design, we have focused on simplicity as a company goal. We have seen less than 1 in 1000 tank failures over the past 30 years. When we say we're committed to the quality of our product, we stand by it for the lifetime of the product, which will be around for generations to come. Strength Efficiency Service Features RECEIVED • Check your local, county, and state code for approval before purchasing. • Dimensions = 55.75' x 55.7" x 51" (LxWxH) JUN 05 20Z6 • If installing in Indiana a septic filter is required. See AKS13200 • If installing this tank in Wisconsin you must have a permit # before you sell this tank or else it will not be shipped from the manufacturer sayfield Co. • Includes Cover, Riser Sold Separately Planning and Zoning Agency • Engineered Ribbed Design, High quality polyethylene, Lightweight Plastic (<1000 Ibs) vs. Heavier Concrete Tanks (>20,00D Ibs) • Designed without need for internal skeleton for support • Only company offering a limited lifetime warranty, Less than 0.1% failure rate, Maximum bury depth is 24" to top of tank • Suitable for light lawn traffic no vehicles, Green safety lids available. • Approved for sale as septic tank" in these states: AR, KS, MI, MO, OK TX W0, and WI. If using "as septic tank" outside of these states, please consult your local sanitarian or health department for approval & permitting prior to purchase. Please visit a Menards store in your area for in-store purchase. • This item is not for sale to these Provinces, States, or Territories: AK HI Additional Resources Technical Specifications Installation Instructions Warranty. Brand Name: AK Industries ® FU.S.A. U.S.A. Specifications Actual Length 56 inch Actual Width S2 inch Capacity 300 gallon (US) Material Polyethylene Manufacturer Warranty Limited Lifetime year Product Type Single Compartment Septic Tank Special Features May be used as Pump Tank Weight 135 pound Shipping Dimensions 55.75 H x 55.75W x 51.50 D Shipping Weight 135.0 lbs Return Policy Special Order Merchandise (view Return Policy) Optional Accessories II �ency cs-oo) a DOCUMENT NUMBER PRIVY AGREEMENT 1243 2O26R-6 3 1 243 (ATTACHED TO THE SANITARY PERMIT APPLICATION) Property Owner(s): DANIEL J. HEFFNER ' t� �y" REGISTER OF DEEDS VVSIQ„X W f I/t e5 BAYFIELD COUNTY. WI Mailing Address: ASAGw•d iv= Property ,/ Address RECORDED (; i, s -'X Sf E ry8o6 'Y 4 06/05/2026 AT 5:53 AM Legal Description: Section, Township, Range RECORDING FEE: $30.00 ct tA /Y40 /4, NI"114, s a_ T Vt N, R cc W PAGES: 1 Return To: �IIN ING Tax ID# 2UL Date' \f` r' " )4 0E 2026 ,/ / V 70 ^ / Bavfiou n_ rmnmpD alvZoninpggwi 1. NO PLUMBING will be installed in the habitable building. 2. NO PLUMBING includes: water closets, sinks, bathtubs or showers, laundry facilities, or any other fixture or receptacle receiving domestic waste, will be installed in the premises served by the privy unless a code compliant soil absorption system or holding tank exists, or a valid sanitary permit to install such a system has been issued. 3. A privy vault / pit shall maintain minimum setbacks as specified in Table 1. Table 1 Well Building Lake / Additional County Setbacks Stream OPEN PIT 50 Ft. 15 Ft. Min. 75 Ft SEALED VAULT 25 Ft 15 Ft. Min. 75 FL 4. Privies for public buildings shall comply with SPS 353.63. 5. Privies used for one- and two-family purposes shall be constructed in such a manner so as to exclude flies, rats and other vermin. Doors should be self -closing and vault ventilators should terminate at least one foot above the roof. 6. Privies as per SPS 391.12 (1) states as follows: (a.) The storage chamber of a vault privy shall conform with the requirements of s. SPS 384.25 relating to holding tanks and shall have a minimum storage capacity 01 200 gallons or one cubic yard. (b.) The storage chamber of a pit privy shall be sited and located in soil recognized to provide treatment and dispersal in accordance with s. SPS 383.44 (4)(b). 7. The privy shall be kept dean and sanitary. The contents of the pit or vault shall be disposed in accordance with NR 113, Wis. Adm. Code. 8. This agreement shall be binding on the owner, their heirs and assignees. This document shall be recorded Deeds in a manner, which allows its existence to be determined by reference to the property where the privy Printed Owner(s) Name(s) This Instrument was signed before Sosrt A W.1K,eS Inthe State of ru _N' pie Countyof SLA_d ��''• -tr, 0 •..... On t I _day 20 WI Owner(s) Signature: 1hniii by: Notary Public My commission expires on: '7_— Ito - D(GMC/ by: 'of',F4 w/Ikts Town, City, Village, State or Federal Permits May Also Be Required LAND USE - SANITARY - Vault Privy SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0243 Tax ID: 34670 Issued To: WILKES, JOSIAH Location: S25 - T46N - R05W Town of KELLY Legal Description: E 1/2 E 1/2 NE NW IN DOC 2023R-597998 Residential Structure in AG -1 Zoning District For: Sanitation Permit — Vault Privy [300 Gallon] (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. Scott Roush, AZA Authorized Issuing Official June 9, 2026 Date