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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