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Home My WebLink About26-70SDepartment of Safety County Bayfield Professional Services, Sanitarynary Permit er Industry Services Division D a Sanitary Permit Application care Inotation.. rvumoer In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit Note: Application forms for stale -owned POWTS are submitted to Project Address (if different than mailing the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Slats. _ _ — 23025 STATE HWY 13 8019 Randolph W Krause & Debra D Krause NTEIIEC JUN 16 Property Owner's Mailing Address Property Location 4594 200th Ave Barfield co. Plannino and Zoning Money Govt. Lot City, State I Zip Code Phone Number Zumbrota, MN 55492 507-421-1364 NW h, NW v., Section 35 IL Type of Building (check all that apply) Lot # T 51 N R 6 E o e I or 2 Family Dwelling —Number of Bedrooms 2 2 Subdivision Name Block # ❑ Public/Commercial — Describe Use O City of ❑ State Owned— Describe Use O Village of CSM Number 845 S Town of Bell III. Type of POWTS Permit: (Check either "New" a r licable. or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if `t' ❑'� New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B. Holding ❑ Tank In- round ❑ G ❑At -Grade ❑ Mound ❑ Individual Site Design ❑ Other Type (explain) (conventional) C. ❑ Renewal Before O Revision ❑ Change of Plumber ❑ Transfer to New Owner ist Previous Permit Number and Date Issued Expiration Dispersal Area Required (st) I Dispersal Area Capacityin I Total #of Manufacturer Tank Information Gallons Gallons Units 'C 2 o u New Tanks Existing Tacks u$ u 2 u a A m a V in w in iz O a septic orlimmng Ianr I 2100 I 12100 I 1 I Superior Precast I i.±JLi Dosing Chamber ❑ V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) I Plumber's Signal MP/MPRS Number Business Phone Number Dean Blakeman �._ 1092768 715-682-6050 Plumber's Address (Street, City, State, Zip Code) 44941 State Hwy 13, Ashland, WI 54806 Approved I O Disapproved Permit Fee Date Issued L Issuing Agent granite /�y1/r ❑ Owner Given Reason for Denial S i3 �, ( 1llv DWW i Conditions of Approval/Reasons for Disapproval I t atfac/4 a_ .1 nar1, 1.rnv,ntetr.nl ncfarrheav:rimandennmlr wrap rm,nry nnlvnnnnnp.nnr True d,on s m. SBD-6398 (R. 03/22) x;� pp�3a SOIL TEST # ,53- Uo Wisconsin Department of Safety & Professional Services Page 1 of 3 $ Division of Industry Services (EMR SOIL EVALUATION REPORT In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on p r not less than 8 112 x 11 inches in size. Plan must include, Bayfield 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. 8019 Please print all information. Reviewed b Dat� /�/O`� Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). v Property Owner Property Location ❑ ❑+ Randolph W Krause&Debra D Krause Govt. Lot 2 Y. ws 35 T 51 N R 6 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 4594 200th Ave 23025 State Hwy 13 Cornucopia, WI 54827 City, State, Zip Phone Number City Village Town Nearest Road Zumbrota, MN 55492 1-507-421-1364 Bell St Hwy 13 X New Construction Use: X Residential/Number of bedrooms 2 Code derived deslgnrlow rate 300 GPD Replacement Public or commercial -Describe: Flood Plan elevation if applicable ft. recommendations: Holding Tank only. Clay site does not meet A+4 code. Boring it Boring X Pit Ground sudace elev. ft. Depth to Limiting factor inJelev. it. Soil Application Rate Horizon Depth In. Dominant Color Munsetl Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft •Effll •Eff#2 1 0-5 5yr3/2 - Scl lmsbk mvfr cw 3m .2 .3 2 5-11 5yr4/2 cif5yr4/6 Sc 2csbk mfi cw 1vf .2 .3 3 11-50 2.5yr4/4 cif5yr4/6 C 3vcabk mvfi - - .2 .3 Boring9 Boring 2 Pit Ground surface elev. ft. Depth to limilingfactor in./elev. ft. Soil Soil Aootication Rate I Horizon Depth In. Dominant Color Munsetl Redox Description Qu. Az. Cont. Color Texture Structure Gr. Si. Sh. Consistence Boundary Roots GPO/Ft •Efffi •Effa2 1 0-4 5yr3/2 - sl lmsbk mvfr cw 3m .2 .3 2 4-8 5yr4/2 cif5yr4/6 Sc 2csbk mfi cw 1vf .2 .3 3 8-40 2.5yr4/4 cif5yr4/6 C 3vcabk mvfi - - .2 .3 tLCi:(t/ D JUN 0 2026 CST Name(Please Print) Signature CST Number Bayfleld Co. ` t/, _(% Planning and Zoning Agency Ryan Van Ornum 11011 Address Date Evaluation Conducted Telephone Number 65907 Jolma Rd Marengo, WI 5/29/2026 (715) 413-0074 Fit Effluent B1 -B00> 30 S 220 mg/L and TSS> 30 s 150 mg/L • Effluent e2= B0D, s 30mg/L and TSS s 30 mg/L SBD-8330 (803/22) pg.dof3 Soil Test # Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1 -1 0(d)) I Ryan Van Ornum a certified soil tester determine that in my professional judgment the following site (see below) is unsuitable for any treatment component other than holding tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a determination. Property Owner Randolph W Krause & Debra D Krause Contractor Property Address 23025 State Highway 13 Authorized Agent Cornucopia, WI 54827 Agent's Telephone Telephone 1(507) 421-1364 Written Authorization Attached: Y or N Accurate Legal Description is requested: 1/4 of 1/4 Section 35 Township 51 N. Range 06 W. Town of Bell Additional Legal Govt. Lot 2 Lot Block Subdivision Lot CSM# Vol. Page CSM Doc # Volume Page of Deeds Tax I.M. Indicate reasoning for your determination: Yll�l( ll✓-cc Signature of C unty Offs ial Date 8019 Acreage It is a clay site Does not meet a+4. Signure of Certified Soil Tester 6/1/2026 Date 11011 Certification # (Submit a Plot Plan & Fee) Ft UL'vLb JUN U L gqonrts/si esRvaiver(KLK) LUL June2018 Cayfm:' Lo Pznnlrga.__.. . PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Component Manual Design References: Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan Attachments: I Enclosures: RECEIVED JUN 16 2026 Bayfield Co. Planning and Zoning Agency POWTS Application for Review Soil Evaluation Report & Site M Holding Tank Pum Holding Tank Agre Project Name / Description Krause Holding Tank Owner Name(s): Randolph W Krause & Debra D Krause Owner Address: 4594 200th Ave, Zumbrota, MN applicable) Contract (if applicable) it (if applicable' Phone: 507 _421 Zip: 55492 Project Address: 23025 State Hwy 13, Cornucopia, WI 54827 Govt. Lot: 2 1/4 of 1/4, Section 35 , T 51 N -R 6 E❑or W Q✓ Township: Bell County: Bayfield Project Parcel ID #: 8019 Designer Information Designer Name: Dean Blakeman Designer Address: 44941 State Hwy 13, Ashland, WI E-mail: dean@blakemanplumbing.com License Number: 1092768 Remarks: Phone: 715 _682 Zip: 54806 1364 6050 This space reserved for approval stamp. Signature: r Date: is 6 1 ! 12C� Original signature required on each submitted copy. CHECK BOX AS APPLICABLE. CHECK BOX AS APPLICABLE. ❑ SOIL EVALUATION Scale: "" 40' 60 8D Q SYSTEM PAGE 2 OF4 0 40 SITE MAP PLOT PLAN PROJECT NAME: (lOftgrid) 1p, DESIGN FLOW: 200 GPO Krause Holding Tank Attach design flow calculations for commercial plans. PROJECT ADDRESS: 23025 State Hwy 13, Comucopla, WI 54827 Sanitary Sewer: 4" PVC / 03034 Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5) BM Symbd: BM Elevation:_________________100 FT Force Main: / BM Description: Top of well casing Slope Gradient ( % ) Well Symbol (If applicable): 0 of Tested Area, Indicate north by drawing an arrow on the approprite line. State HWY 13 A 100'to centerline of State Hwy 1t3 Well /� I \ I IMPORTANT: Show ground elevation contours at suitable intervals. 2000 -Gallon Holding Tank \ I 0 60'to E Iotline 4" 3034 PVC Pipe/ RV - - - - - 7 70'to W lot line 280to S Ibt line I I � I yr2 (CLEARED LOT) I \I/ W ECE1VED JUN '16 2026 Planning and Zoning Agency PAGE 3 OF 4 HOLDING TANK SPECIFICATIONS (No Scale) Electrical must comply with SPS 316 and NEC 300 18" Min. (typical) Inlet Approved Joints with Approved Pipe 3 ft onto Solid Ground 4 a Weatherproof 12" Min. or 2.0 ft above Junction and Approved Established Flood Elevation Alarm Box Vent Cap (typical) Approved Locking Manhole 4"0 Vent Pipe with Warning Label Attached onduit >10 ft from T (typical) a" Min. or 2.0 ft above Building Established Flood Elevation 1 / (typical) !night Seal 71 ILJITI. e Invert — Max. 12" or 90% of total volume if more than one tank HOLDING TANK VOLUME = 2105 gal 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Superior Precast I Finished Grade �i,JIII—.,I I II_Watertk Imo+ Plug JUN 16 2026 B Planningnd Zoning Agency Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight = [(cu.ft.tank.vol x 62.4 Ibs/cu.ft) - Ibs.tank.wt] x 1.5 Ballast Weight = [( 281 cu.ft. x 62.4 Ibs/cu.ft) - 16216 Ibs] x 1.5 = 1978 lbs PAGE 4 OF 4 Holding Tank Management Plan IMPORTANT: The owner of this holding tank(s) shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this holding tank(s) shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc. Admin. Code. Estimated Daily Wastewater Flow = 300 M. RECEIVED Inspection Checklist INSPECT EVERY 3 YEARS o type of use JUN 16 2026 o age of system o nuisance factors (i.e. odors, user complaints, etc.) Eayfeld co. o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) Planning and Zoning Agency o material fatigue (i.e., leaks, breaks, corrosion, etc.) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o electrical components (i.e., wiring, connections, switches, controls, timers, alarms, etc.) o surface discharge of effluent or sewage back-up into structure served SERVICING FREQUENCY o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Scats. when the wastewater in the tank(s) reaches a level of one foot below the inlet invert of the tank(s). Disposal of contents shall be pursuant to NR 113, Wisc. Admin. Code. Tank pumping reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wis. Admin. Code. Report any component failure or malfunction to: Name of individual or company: Blakeman Plumbing & Heating, Inc. Local government unit: Bayfield County Zoning Administration Local government unit address: 117 E 5th St, Washburn, WI Phone: 715 682 6050 Phone: 715 373 6138 ZIP: 54891 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 component of this holding tank(s) cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agecy for review and approval. System Abandonment If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33, Wisc. Admin. Code. SUPERIOR 2100 1 -Compartment Tank SONCRETE I PRUPERIOR PRECAS Weight (in lb s) Tank: 9,427 Lid: 6,789 Total: 16.216 Volume of Concrete Total : 4.1 Id' Gallons Per Inch: 46.8 lid TOP VIEW 165" 15.9" JUN 16 2026 Bayfield Co. Planning and ZoningAger 2105 Gallons ''-'----SIDE NIE 28„ Enlarged Detail zdDuchiess conammaM 8n Air Space 4" Of¢lx APPROVED - DEPT. OF SAFETY AND PROFESSIONAL t SERVICES DIVISION OF INDUSTRY SERVICES 45e b2. SEE CORRESPONDENCE 5I I I Depth w1 Manhole Opeuings- iiI 3" Taper Polyethylene Baffle Mastic Rope Gasket (Poured in Place) Produced by Superior Precast Concrete, LLC PO Box 1390 Hayward, WI 54843 SUPERIOR PRECAST CONCRETE Design conforms to ASTM C1227, Specification for Precast Concrete Septic Tanks and WI SPS 384.25, POWTS Holding Components or Treatment Components. The information provided on any Superior Precast Concrete (SPC) drawing or document shall be verified bythe purchasers licensed professional engineerfor suitability of use. Configuration may change from drawing, consult with SPC. Product FEE No: I Tds is proprielaryinformatlon, and remainsIRe properyofSupedor Precast Concrete, LLC. I R.305-]9-20241 HOLDING TANK SERVICING CONTRACT Contract Date zCz6 This contract is made between the HQIding Tank Owner(s) Name(s) KaadielP[� U) Ke&w6e Dj'Ara. Pumper's Name (Print) Pumper's Signature Pumpers' Registration # Ca p " We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT Legal Description: Tax ID# 1/4, 1/4, LOCATION I (Use Tax Statement) Town of:I Lot Size I Acreage Section ,Township N, Range W Gov't Lot Lot # CSM # Vol. Page CSM Doc # Lot(s) No. Block(s) No. Subdivision: 1. The owner agrees to file a copy of this contract with Bayfield County as required in SPS 383.55, Wis. Adm. Code. 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local government unit which has signed the pumping ac regulred by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) o'4tJeri�Mt41ibasis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; JUN 1 6 2026 b. The name of the owner of the holding tank; Bayfield Co, c. The location of the property on which the holding tank is installed; Planning and Zoning Agency d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the local government unit and the County named above within (10) business days from the date of change to this service contract. Dwner(s) Name(s) (Print) Owner�ure(s) ..el ri Subscribed and Sworn to me: l.. on this �.o day of • C?RXL Notary expires on: _ Revised: May 2016 (®May 2018) Personal information you provide may be used for secondary purposes Drafted by L2d44ib"at'* TICOR TITLE INSURANCE COMPANY COMMITMENT SCHEDULE A Number: TIB-1802 LEGAL DESCRIPTION Parcel 1: Lots One (1) and Two (2) of Certified Survey Map No. 000845 recorded in the Bayfield County Registry in Volume 5 of Certified Survey Maps on Page 339 as Document No. 414465, being a part of the Northwest Quarter of the Northwest Quarter (NW'/. NW'/.), Section Thirty-five (35), Township Fifty-one (51) North, Rangi Six (6) West, Town of Bell, Bayfield County, Wisconsin. ar 12: A parcel of land located in Government Lot One (1), ton Thirty-four (34), T ship Fifty-one (51) North, Range Six (6) West, n of Bell, Bayfield County, Wt nsin, described as follows: To locate the Point o ginning, commen at the NE corner of said Section 34 and run S. 000 27' 51" W. 42 feet alo the East line of said Government Lot 1, to a 11/." iron pipe on the Southe me of Wisconsin Highway No. 13, which is the Point of Beginning. Thence from said Point Beginning by mete nd bounds: N. 88° 11'40" W., 134.44 feet along sai outherly R/W line; thencIeqptinuing along said Southerly R/W line, along therc of a curve to the left, having a dius of 1095.955 feet, a central angle o 8° 39' 41" and a chord which bears S. 8 p' 28" W., and measures 1 .52 feet, 165.68 to a 11/4Iron pipe; thence leaving -.sad Southerly RIW line, S. 44' 12" E., 275.73 feet to a 11/4' iron pipe; thence S. 000 2)54W., W., 36.21 feet, rallel with the East line of said Section 34, to a 11/4' iron pipe; then? S. 88° 42)45" E., 200.00 feet, parallel with the North line of said Section 34, to a 11/4"heff ipe on the East line of said Section 34; thence M. 00° 27' 51" E., 301.58 feet along said East line to the Point of Beginning. Tax Key Numbers: 010-1084-06, 010-1084-07 and 010-1077-06 RECEIVED JUN 16 2026 Bayreld Co. Planning and Zoning Agency SCHEDULE A ALTA Commitment -Wisconsin Form 567A (Rev. 4/91) Ticor Title Insurance Company TOWN OF BELL, TREASURER JANICE OLSON PO BOX 239 CORNUCOPIA .t 54827 Phone: (71.. 209-0454 E -Mail: tobtreas@beliwi.gov STATE OF WISCONSIN -. BAYFIELD COUNTY REAL ESTATE PROPERTY TAX BILL FOR 2025 RANDOLPH W & DEBRA D KRAUSE 4594 200TH AVE ZUMBROTA MN 55492 Please include self-addressed, stamped envelope for return receipt. Please Inform your treasurer of any billing address chanaes. RANDOLPH W KRAUSE TOWN OF BELL PAYMENTS should reference: Tax ID: 8019 DOCUMENT RECORDING, or anything else should reference: PIN: 04-010-2-51-06-35-2 02-000-20000 Alternate/Legacy ID: 010-1084-07 000 Ownership: RANDOLPH W KRAUSE DEBRA D KRAUSE *2 total nwnerc Important: Be sure this description covers your property. Note that this description is for tax bills only and may not be a full legal description. See reverse side for Important information. Prooy Description / Location of Prop Site Address: 23025 STATE HWY 13 Description: Sec 35 Tn 51 Rg 06 LOT 2 (3M #845 IN V.5 P.339 (LOCATED IN NW NW) IN V.970 P.514 IN DOC 2023R-599448 5238 Acreage: 0.990 riMmmant. Yn94D_CDDAAO Assessed Value Average Net Assessed Value Real Estate Tax: 642.49 Land Improved Jt1 Assessment Ratio Rate First Dollar Credit: -77.03 (Dae"OTreflectlottery Lone adit- —_— — .__ -0.100 $19,800 $8,900 $28,700 0.57325 or first dollar credit) Net Real Estate Tax: 565.46 0.022386395 Total Due: 565.46 Estimated Fair Market Value An "X" means unpaid School taxes reduced by Land Improved Total prior year taxes. school levy tax credit. For payment in full $34,500 $15,500 $74.62 Pay to TOWN OF BELL TREASURER by $50,000 January 31, 2026 Estimated State Aids % Tax Allocated Tax District Net Tax Change Warning Taxin Jurisdiction COUNTY 2024 55,669 2O25 58,316 2_04 2025 175.37 If not paid by due dates, installment 145.51 20.5 TOWN OF BELL 271,463 289,103 102.92 101.69 -1.2 option is lost and total tax is delinquent SCHL-SOUTHSHORE 176,469 191,946 334.93 353.91 5.7 and subject to interest and if applicable, TECHNICAL COLLEGE 85,656 95,982 10.18 11.52 13.2 penalty. (See reverse) Pca' 17. Ss Totals 589,257 635,347 593.54 642.49 8.2 L 4' a 3 First Dollar Credit 87.19 77.03 ;11.7 Lottery & Gaming Credit 0.00 0.00 0.0 Net Property Tax 506.35 565.46 11.7 ....., ..I.nl runrwo vnt.T - voter-wpproveo iemporary lax increases Total Total Addnl Taxes Year Taxing Jurisdiction Addnl Taxes Applied to Property Increase Ends SCHL-SOUTHSHORE 299,400 80.78 2045 RECEIVED JUN 162026 Bayfiald Co. Planning and Zoning Agency in-Ooa$d- Dozument Number/Plan I.D. No. HOLDING TANK AGREEMENT OLQer Name I Owner(s) Mailing or (�i �O' 4bt y9Sy?Y o7�t Ace 2L o as We acknowledge that application is being made for the installation of (a) holding tank(. on the following property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onsite wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Stats. 114 of 1/4 Section _Township N.. Range W. Town of 5 4 % A Additional Legal Description: Gov't Lot — Lot_ Block_ Subdivision L t CSM # Vol Page CSM Doc# DOCUMENT NUMBER 2026R-612471 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/08/2026 AT 11:03 AM RECORDING FEE: $30.00 PAGES:3 =NED �1L11Y J U L'uZ6 Bayfield Co. Return To: Planning and Zoning Agency ➢. Coctn4'Zoa>#j )17 fS 97' k1t,sh6cJrt1 Wi s"fS?/ As an inducement to Bayfield County to issue a sanitary permit for a holding tank on the above -described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank installation and maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfield County or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Scats., Bayfield County may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats. 2. Owner agrees to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days of the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be 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. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Stats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR1 13, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days of the date of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Scats., and Ch. NR 114, WI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being property maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. sworn to before me on Oert D Kea.taSe *( $ANDRA)* Drafted by: ( 7P'_/`t y ew Date: J case-Z,_2t9,?.C'mNoiir Personal Information you provide maybe used for secondary purposes (Privacy Law, s.15.04 (I)(m)l u/forms/sanitary/HdtlingTenk ,greement 4.2026 TICOR TITLE INSURANCE COMPANY COMMITMENT SCHEDULE A Number: TIB-1802 LEGAL DESCRIPTION Parcel 1: Lots One (1) and Two (2) of Certified Survey Map No. 000845 recorded in the Bayfield County Registry in Volume 5 of Certified Survey Maps on Page 339 as Document No. 414465, being a part of the Northwest Quarter of the Northwest Quarter (NWY4 NWY4), Section Thirty-five (35), Township Fifty-one (51) North, Range Six (6) West, Town of Bell, Bayfield County, Wisconsin. Pa el 2: A parcel of land located in Government Lot One (1), Section Thirty-fo (34), wnship Fifty-one (51) North, Range Six (6) West, Town of Bell, Ba,fiTa County7Wjsonsin, described as follows: To locate the Polntof Beginning, commence at the NE9GrI&f said Section 34 and run S. 00° 27' 5 '4N. 26.42 feet along the Easjiittiof said Government Lot 1, to a 1'/4" iron pipe on the Sburly R/W line of . consin Highway No. 13, which is the Point of Beginning. Thence from said Point of BegpnThgbymetes and bounds: N. 88° 11'40" W., 134.44 feet along said Sout ly R/W lind; theqe continuing along said Southerly R/W line, along the arc curve to the left, havihga radius of 1095.955 feet, a ceZangleof of 08° 41" and a chord which bears3 7° 28' 28" W.,andme5.52 et, 165.68 to a 1'/4" iron pipe; thence le 'ng said Southerly R/Wlin4' 2" E., 275.73 feet to a 1'/4" iron pipe; thence S. ° 27' 51" W., 36.21 feewith the East line of said Section 34, to a 1'/4" iron pipe, ence S. 88° 42'00.00 feet, parallel with the North line of said Section 34, to a ' iron pipEast line of said Section 34; thence N. 00° 27' 51" E., 301.58 feet n saie to the Point of Beginning. Tax Key Numbers: 010-1084-06, 010-1084-07 and 010-1077-06 JUN � 9 2026 BaMf 'Cn9 mend) FW01n9 and Z00 SCHEDULE A ALTA Commitment -Wisconsin Form 567A (Rev. 4/91) Ticor Title Insurance Company I3-' -YFIELD 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: KRAUSE, DEBRA D 4594 200TH AVE ZUMBROTA, MN 55492 KRAUSE, RANDOLPH W 4594 200TH AVE ZUMBROTA, MN 55492 Description Certified Soil Tests - Review & Filing Fee Submission Number: SR -00430 Transaction Number: SR -00430-47075 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 105 Paid by: Northwoods Soil & Site, 659 Jolma Rd, Marengo Payment Type: Check Transaction Date: 6/12/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. B A-YFIELD 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: KRAUSE, DEBRA D 4594 200TH AVE ZUMBROTA, MN 55492 KRAUSE, RANDOLPH W 4594 200TH AVE ZUMBROTA, MN 55492 Description Private Sewage System (Holding Tanks) Submission Number: SS -00771 Transaction Number: SS -00771-487E7 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 34569 Paid by: Blakeman Plumbing & Heating, 44941 State Hwy 13, Ashland WI 54806 Payment Type: Check Transaction Date: 6/23/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-70S STATE SANITARY PERMIT OWNER: RANDOLPH W & DEBRA D KRAUSE GOVT LOT: LOT: 2 BLK: CSM: 845 SUBDIVISION: Csm #845 NW 1/4 NW 1/4 SEC: 35, T 51 N, R 6 W TOWNSHIP: Bell SOIL TEST: 53-26 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: DEAN BLAKEMAN EMILY MACGILLIVRAY Authorized Issuing Officer DATE: 6/23/2026 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 #: LICENSE: # 1092768 Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all- weather road. THIS PERMIT EXPIRES 6/23/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION