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HomeMy WebLinkAbout26-0270117 E 6'" Street I3 -A YFIELD Health Zoning PO Box 403 Submission # STR-00 Washburn, WI 54891 Fee Paid 5a o0 (715)373-6109 I Refund permitsc bayfieldcounty.wi.gov I Permit # -O -10 Date Issued Short -Term Rental Application Packet This application packet contains information for both a Tourist Rooming House license through Bayfield County Healt Department and a Short -Term Rental permit through Bayfield County Planning and Zoning DeREO(Vceted iE�IED application and applicable fees can be mailed/emailed to the address/email above. Eti3//j� City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County Health epartment is requ r Please review and fill out pages 1-4. Bayfield Co. Planning and Zoning Agency All Other Towns: A license through the Health Department and permit through the Planning and Zoning Department are required. Please review and fill out pages 1-5. SECTION A: ESTABLISHMENT INFORMATION Establishment Name Base Camp Bayfield Establishment Tax ID // 29154 Town/City of Town of Russell Establishment Street Address 31400 State Highway 13 City State WI Zip 54814 SECTION B: OWNER INFORMATION Property Owner Brandon and Kristine HerberHerbertj Email Address bwherbert@gmail.com Phone Number 608-279-2072 Owner Mailing Address 1605 Wimbleton Way City Waunakee State WI Zip 53597 SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, LLP, or Inc.) FFB913 LLC Email Address bwherbert@gmail.com Phone Number 608-279-2072 Licensee Street Address 1605 Wimbleton Way City Waunakee State WI Zip 53597 Agent Name (if applicable) Email Address Phone Number Agent Street Address City State Zip SECTION D: RENTAL UNIT INFORMATION (see ke below) Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms I Cabin C P/N P P 1 w/ loft 1 1 2 3 4 Structure Type: House (H) Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe Heating Source: Electric Natural Gas G Propane (P) (Wi Fuel (F) Other (O), please describe Water Source: Public/Municipal (M Private Well (P) �S�anaaLrly Source: unici al (M) Private Onsite Wastewater System P) Bayfield County Health Department — State Lodging License Health Department (State Lodging License): All rental units require a Tourist Rooming House license through the State of Wisconsin Department of Agriculture, Trade and Consumer Protection (WDATCP) or their authorized agent (Bayfield County Health Department. RECEIVED ➢ Bayfield County Health Department issues permits on behalf of the State of WDATCP under ATCP 72, 73, 76, 78 and 79. MAi( Q32026 2026 Z ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses. Planning ea a Zoning Co. Agency D Bayfield County Ordinance Title 9 — Chapter 2 Food Protection Lodging Pools Campgrounds Recreational/Educational Camps, Tattoo and Body Piercing Establishments outlines the licensing program and the authorized agent agreement between the Bayfield County Health Department and the State of Wisconsin. ' ATCP 72.03(20): "Tourist rooming house" means all lodging places and tourist cabins and cottages, other than hotels and motels, in which sleeping accommodations are offered for pay to tourists or transients. It does not include private boarding or rooming houses not accommodating tourists or transients, or bed and breakfast establishments regulated under Ch. ATCP 73. )- Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees have been paid." ➢ Wis. Stat. § 97.605 (1)(a) "No person may conduct, maintain, manage or operate a hotel, restaurant, temporary restaurant, tourist rooming house, vending machine commissary or vending machine if the person has not been issued an annual license by the department or by a local health department that is granted agent status under s. 97.615 (2)." )r Within 30 days after receiving a complete application for a license, the department or its agent shall either approve the application and issue a license or deny the application. If the application for a license is denied, the department or its agent shall give the applicant reasons, in writing,for the denial. ➢ A license shall not be issued to an operator without prior inspection. Y Tourist rooming houses license expires on June 30"'. ATCP 72 requires an annual renewal application and fee. Failure to maintain proper permitting will result in penalties. Licenses are non -transferable, except to immediate family members as allowed in ATCP 72. , 9\t'3 �. rladdL z..5 Ltwa t^nhh(1 'i6tr` �T .V1/ Check or money order payable When will your rental be in ❑ Summer ❑ Winter' County Health Department N"Year-Round .1$575 — License Fee�($275) Pre -Inspection Fee includes bacteriological sample analysis for have already paid for this prior to chasing the property. See attached water ❑ Rush Fee ($50) — A one-time $50 rush fee will be charged for inspections requested within 7 business days. However, depending on scheduling, staff may not be able to accommodate all rush requests. Your signature below will acknowledge you have received information as to where to obtain a copy of the code and will comply with applicable Wisconsin Administrative Code(s). Personally identifiable information you provide may be used for purposes other than that for which it was collected (Wis. Stat. § 15.04 1 )(m)). Signature: '1 L ty Date: See attached Surtace Water Data Viewer Print-out for Floodplain and Wetland Information Site Plan Show location of: Driveways 5l Frontage Roads (include name) ® Existing Structures El Well (W) O Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River IN Stream/Creek 0 Pond U Floodplain W Wetlands ❑ Slo ers over 20% N RECEIVE MAR 0 3 20 Oayfeld co. Planning and Zoning Unnamed Creek Private Ponds Ex. Storage Structure Cabin Unit Septic Tank Well Driveway Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline 225 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 175 ft. ft. Side Lot Line 1 120 ft. ft. (North East South West, circle one) Side LotLine2 (North East South West, circle one) 1200 Rear Lot Line 1080 ft. ft. Septic/Holding Tank 25 ft. ft. Drainfield NA ft. ft. Privy NA ft. ft. Well 40 ft. ft. Existing Structure/Building 75 ft. ft. Wetland NA ft. ft. Elevation of Floodplain NA ft. ft. Ordinary High -Water Mark (OHWM) NA ft. R NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. gency Bayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS 1. Is the property in the shoreland, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater? ❑ Yes No O Unsure 2. Is there a wetland located on the property? Yes ❑ No O Unsure 3. Is there a floodplain located on or near the property? ❑ Yes St No O Unsure 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use O Special Use 0 Variance 5. Did you contact the town to see if any ermits/re uirements apply to your ro'ect? Yes ❑ No Zoning Department Use Permits: Short -Term Rental permits through Bayfield County Planning and Zoning Department are non -transferable, except as per the exemptions identified in ATCP 72.04(3). Short -Term Rental permits are regulated by Bayfield County Ordinance Section 13-1-35. APPLICATION FEES Check or money order payable to Bayfield County Planning and Zoning I unit : $500 2 unit: $1,000 3 unit: $1,500 4 unit : $2,000 To ensure your application is complete and can be processed by the Department, check you have the following items: 9( Applicant Information (Page 1) DECEIVED . Site Plan (Page 2) MAR 0 3 2026 Floor Plan(s) — Provide sheet for each floor within each unit. Fees aid Bld Co. P Planning and Zoning Agency I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have access to the above -described property at any reasonable time for the purpose of inspection. I 1 11 1 Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: Date: -ylg l7.6 NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. RECEIVED V V 0 250 500 1,000 1,500 2,000 National Flood Hazard Layer FIRMette :pEMA Legend MAR 037026 90,-fiJd Co. SEERS REPORT FOR DETAILT� EPLEgAltal r�x`z,(q(,�typV1 flFyJt1EL LAYOUT Without Base Flood Elevation (BFE) Ian AV. ASS SPECIAL FLOOD With BFE or Depth Z. M.. se. AR. mm HAZARD AREAS I Regulatory Floodway 0.2% Annual Chance Flood Hazard, Areas of 1% annual chance flood with average depth less than one foot or with drainage areas of less than one square mile zone �® Future Conditions 5% Annual 1�� Chance Flood Hazard zone V / d Area with Reduced Flood Risk due to OTHER AREAS OF / ' Levee. See Notes. Zone a FLOOD HAZARD ''J Area with Flood Risk due to Levee: -e o xoecaEEN Area of Minimal Flood Hazard zonnx II Effective LOMRs OTHER AREAS Area of Undetermined Flood Hazard ion GENERAL - — - - Channel, Culvert, or Storm Sewer STRUCTURES 1111111 Levee, Dike, or Floodwall a am Cross Sections with 1% Annual Chance !Td Water Surface Elevation e - - - Coastal Trensect —.'u—. Base Flood Elevation Line (BEE) Limit of Study Jurisdiction Boundary Coastal Transect Baseline OTHER - — Profile Baseline FEATURES Hydrographic Feature E Digital Data Available N No Digital Data Available MAP PANELS D Unmapped The pin displayed on the map Is an approximate point selected by the user and does not represent an authoritative property location. This map complies with FEMA's standards for the use of digital flood maps If It Is not void as described below. The basemap shown complies with FEMXs basemap accuracy standards The flood hazard Information is derived directly from the authoritative NFHL web services provided by FEMA. This map was exported on 2/18/2026 at 10:29 PM and does not reflect changes or amendments subsequent to this date and time. The NFHL and effective Information may change or become superseded by new data over time. This map Image Is void if the one or more of the following map elements do not appear basemap imagery, flood zone labels. legend, scale bar, map creation date, community identifiers, FIRM panel number, and FIRM effective date. Map Images for unmapped and unmodernized areas cannot be used for regulatory purposes. easemap Imagery Source: USGS National Map 2023 WISCONSIN DEPARTMENT OF NATURAL RESOURCES RECEIVED MAR 0 3 E WY: Surface Water Data Viewer (SWDV VS Abp) Service Layer Credits \\t 0 470 840 Feet DNR Basic Feature VII (1$/TM): Wisconsin Department of Natural Resources, GIS Section, Latest Leaf OH: , Moir t surface Water (cached): WiDNR, USGS, and other data. Wetland Inventory NWI (Dynamic): Calvin Lawrence, N 0 170 240 Meters Dennis Weise, Nina Rihn Leendal,�a�.ierap—fira,,,w,l Wetland Class Points Excavated pond to Wetland too small to _L delineate ElWetland Class Areas -- . Rivers and Streams -- Intermittent Streams Open Water -- Rivers and Streams - - Intermittent Streams Open Water 24K Intermittent Streams 24K Lakes and Open Water 24K Streams and Rivers Cities, Towns & Villages Civil Town Latest Leaf Off Index Latest Leaf Off Imagery Notes: 11,15 r5 ua 0m aenntadSO nnR web meoW,R aeviailon This map is for informational purposes only and may not haw been prepared for or be suitable for IegaL engineering or surveying purposes. The user IS solely responsible lot writ ing the accuracy of information before sing For any purpose. By using this product to, any purpose useragrees to be bound by an disaainefs found here: ietami/dncwlsmnsineovl1. . Dote Printed: 2/18/2026 4:15 PM Map Location B-YFIFLD Hea(pt, Pepta ew(- Healtily people, cnrnmmnities and environment for a superior Saylieh County. Environmental Health Drinking Water Laboratory Bayfield County Health Department 117E. Sixth St., P.O. Box 403 Washburn, WI 54891 (715) 373-6109 Request for Water Analysis Department Use Only s:? P'tt Date/Time Received: t2-`9-)'5 Amount Paid: r� **Samples are ONLY accepted Monday -Wednesday from 8am to 4pm** 4 Check tests desired Each test is $25 MAR 0 3 2(lEb 4 Sample collection fee $150.00 If a Bayfleld County employee collects sample y. zAyco. S Checks may be made out to planning and Zoning Agency Bayfleld County Health Department (BCHD) i Sample collection instructions are on the back of this form 4 All Samples MUST be submitted within 24 hrs AND delivered on ICE, Sample Collection Information (Please Print) Bacteria (E-CoI1) _ Surface Water or Quantification (Coliform/E-Coll Count) I ?y (MUST bring In on Ice) **Please Note: Water test results will be kept on file for 5 years.** Ow ers Name (required) R I; `�1V P, be k I c� 1& .Date Collected 12I8/w7s Time Collected -Circle One 2:U0 (M, ev '-.Jq" ..,o... ; s ? iL X) %k �vJ� ('� City VvA5)C14 Collector's Name K�;Stille E-I-erlc ,r-+ Mailing Address - City, State T�p ampling Point (Kitchen, bath sample tap, lake name, etc.) Wsampllng Point (Kitchen, bath, sample tap, etc.) Reporting Method (check one) ❑ Mail my results El Fax t' 1n'fi TP K b r i n c k S 2 L qty.! -CONt Well Type (check one) ❑ Drilled ❑ Jetted 0 Other ❑ Driven Point 0 Dug Well Driller ID# (for new wells only) Well Construction Date Unique Well # (If known) Reason for Sampling (check one) ❑ Routine Sample 0 Investigative ❑ Other 0 Real Estate Transaction FOR LABORATORY USE ONLY Sample ID # BAY I 3Lo 6 S 0 D - Bacteria Results (Total Collform) Safe Unsafe Coll Absent 0 E. Coll Present SampleID#BAYN la Las01 Nitrate Result: &404 `tt�1- SAFE C' . ❑ UNSAFE - Exceeds Health Advisory Limit of 10 mg/L MDL: O -)alit (Minimum detection limit for laboratory) Sample ID # BAY Surface Water/Quantification Collform: MPN E -Coll: MPN Wisconsin DATCP Laboratory Certification Number 277579-D3 Lab ID Number 105-486 Certified by Wisconsin DNR under NR 149 Laboratory ID# 804075250 RECEIVED Eau Claire City -County MAR 03 2026 720Seeo ealthdd Aye, pEar meClant.org 54703 www.echealthdepartmentorg Health Department P.715-839-4718 Bayfield Co. F: 715-839-1674 O Below is more information about your water test result. If you have additional questions, please contact our office at 715-839-2870. For more information on well construction, safe water tips, and financial assistance for contaminated private wells, visit the DNR's well page at: https://dnr.wisconsin.goy/topic/Wells/homeowners.html What is Arsenic? Arsenic is a naturally occurring element found in Wisconsin's groundwater. Exposure to high levels of arsenic can increase the risk of certain types of cancer, affect the skin and nails, damage the nervous system, and may impact learning and development in children. Your water test results: ARSENIC LEVEL: 1-10 µg/L This is LOWER than the drinking water health standard, but elevated. If your result is No Detect (ND) —1µg/L: • Water is safe for all use purposes. q -sue If your result is 1-10 µg/L: �1-X�1 • Water is safe for all purposes, but the level is elevated and should be monitored. If your result is 10 µg/L or higher: • Water is not safe for drinking, cooking, or use with infant formula. • It is especially important that infants, children, and expectant mothers do not drink this water. • Water is okay to use for bathing and household chores. Test your arsenic level again in 5 years. Test your arsenic level again in 1 year. Water treatment system and/or alternative sources should be considered. Keeping people in all Eau Claire City/County communites safe and healthy Eau Claire City -County - Health Department RECEIVED 720Second Ave. Eau Claire. WI54703 www.echealthdepartment.org MAR 0 3 2026 e715-839-4718 © CJ F. 715.839.1674 d Bayfield Co. LABORATORY TEST RESULTS Planning and Zoning Agency DATCP Lab #001 DNR Lab #618019820 Mail To: BAYFIELD COUNTY HEALTH DEPARTMENT PO BOX 403 WASHBURN WI 54891 Well Address: 31400 STATE HWY 13 Owner Name: KRISTINE HERBERT BAYFIELD WI 54814 OwnerAddress: 31400 STATE HWY 13 Sample Location: KITCHEN TAP Owner City_State_Zip: BAYFIELD WI, 54814 Collection Date: 12/8/2025 2:00:00 PM Date Received: 12/17/2025 1:13:00 PM Sample Identifier: Lab Sample Number: 25-3558 Date Time Drinking Water Analysis Result Units Advisory Level Analyzed ARSENIC - EPA 200.8 1.4 ug/L 10.0 12/19/2025 Results may not be used for Safe Drinking Water (SDWA) compliance sample requirements. ND = Not Detected. Additional information attached. Date Reported: 12/19/2025 Responsible Party: Matt Steinbach, Environmental Sciences Manager If you have questions or would like clarification on your test results, please contact the front desk at (715) 839-4718. SI desea ayuda para entender este documento en espanol, por favor (lame a Alicia (715) 271-8841. Yog koj vav tau key pab kom koj nkag siab tsab ntawv nov zoo, hais ua lus Hmoob, thov hu rau Evnam Muas (715) 828-6607. Land Use Permit Application Review Checklist Submission#: STR-poi?l Tax ID: hg Jsq S -T -R: 1t- Si- 4 Town: US.e) What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Does lot meet the zoning dimensional requirements or is it substandard? Deed of record: ❑ Yes PKNO Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? ❑ Yes %No Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? *,Yes ❑ No Does the project require sanitary? Sanitary Permit U: Z°I-l$6 1 Public System: # of bedrooms: 2oo0 ti( hb�C1 n ❑ Yes XNo Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit #: Number of Units: ( Number of Bedrooms: Number of Bathrooms: Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected �S� by: Date of Inspection: �eW��S � Inspection Notes Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: ✓'5- \ , Date of Approval: Condition(s): Mown/State/DNR/Federal may require permitting. ❑ This permit cannot be transferred if property is sold. ❑ A Bayfield County Health Dept permit is required. ❑ Check with Town regarding room tax. (� Short -Term Rental is for a maximum occupancy of C5 persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: B-AYFIELD 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: HERBERT, BRANDON W & KRISTINE L 1605 WIMBLETON WAY WAUNAKEE, WI 53597 Description 1 unit Submission Number: STR-00328 Transaction Number: STR- 00328 -41D0A Amount $500.00 Total: $500.00 Payment Amount: $511.90 Reference: 1042981595 Paid by: Molly Larson Payment Type: Credit Card Transaction Date: 6/11/2026 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 -X SANITARY - 297861 SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0270 Tax ID: 29154 Issued To: HERBERT, BRANDON W & KRISTINE L BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S18 - T51 N - R04W Town of Russell Legal Description: SE SW LESS PAR FOR HWY IN DOC 2026R-610596 212 Residential Structure in A-1 zoning district For: [1 -Unit] Short -Term -Rental (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Town may require permitting. Short -Term Rental is for a maximum occupancy of 8 persons. 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. Desi Niewinski Authorized Issuing Official June 18, 2026 Date