HomeMy WebLinkAbout26-72SRequest for Sanitary Inspection (24 Hrs. in Advance)
Fax or email this form to Zoning Dept (24 Hrs.) prior to when you want an inspection
Fax (715) 373-0114 or Email zoning(aDbaVfieldcounty.wi.aov
Note
Time Change Discrepancy
Other
Phone Number
715-682-6050
Plumber:
Blakeman Plumbing & Heating, Inc.
Fax Number
Email Address
Homeowner:
Chase Hoven
stevenwaby@blakemanplumbing.com
Immediate Phone Number So Zoning
Dept can call you right back (if needed)
Sanitary
26-72S
Permit #:
715-685-4128
Plumber's Choice
Zo n t•
No Inspection(s) during this time
Date:
8/06/2026
Tuesday (9:30 am - 12:15 pm) (Tracy)
Plumber's Choice
Zoni
Time:
12:30pm
Township:
Mason
Address # &
62135 County Hwy E
Road Name:
Mason, WI 54856
or
Directions
To Site:
Comments:
Holding Tank Installation Inspection
** Plumbers you must verify any change(s) by fax or email **
Notes from
m i,, 9n9c
CHASE HOVEN
63770 FRANCISKOVICH RD
ASHLAND WI 54806 HOLDING TANK INSPECTION REPORT
- %_-_• --.------ ;-'_'--_1___- Z-uv1-1 I - - - -
GENERAL INFORMATION
Permit Holder's Name •❑
City ❑ Village ❑ Town of
Sanitary Permit No.
Plan ID No.
Tax Parcel No.
Property ddress If Av able
TANK INFORMATION
TYPE MANUFACTURER/MODEL # CAPACITY
c
SETBACKS
Property Line Well Water Service Building All -Weather OHWM
Road
Ljb4 "/2L IO'-4
DEVIATIONS FROM APPROVED PLAN
COMMENTS (Persons present, discrepancies, etc.) � ✓
h5de %arm GF�tIh.S d`4 � �n�.v�1r�� e
po u eA • c� i�+��4�lad� CA
ru c,acy Si -d �OcwtC
��cuw�r • �. p�s�u�lC�/1 J
COMPONENTS NOT INSPECTED
❑ Yes oiCc71TZ11I (kJc
S� etch on other side
10 of 13
BAYRELD COUNTY PLANNING & ZONING DEPARTMENT
\{ I
Telephone: (715) 373-6138 Hayfield County Courthouse
Fax: (715) 373-0114 Post Office Box 58
e-mail: zoning(a%bavfieldcounty wi aov 117 East Fifth Street
Web Site: www bavfieldcountv.wf.aovl147 Washburn, WI 54891
Property Owner
CHASE HOVEN
Information 63770 FRANCISKOVICH RD
ASHLAND WI 54806
As you know was contracted by you to install a private
onsite wastewater treatment system on your property described as:
Notes:
Abandonment of Old System to meet all applicable code requirements:
:• Tank was pumped by:
:• Tank was crushed! removed and pipes disconnected by:
on
at AM/PM
On at (AM I PM) the above -mentioned plumber contacted our office to
cond a pre -cover inspection as required under DSPS 383. One of the following applies:
System was inspected and appears to meet all applicable code requirements.
❑ System was inspected and appears to meet all applicable code requirements; however, a plan revision
is necessary because the installation was substantially different than the original approval.
❑ System could not be inspected because plumber covered prior to scheduled time of inspection.
❑ System could not be inspected because plumber was not ready at scheduled time of inspection.
County was unable to return to complete inspection.
System could not be inspected because plumber was not ready at scheduled time of inspection.
A re -inspection and $50 fee are required.
System could not be inspected because County could not respond to plumber's time constraints.
Comments:
U/forms/senitarypropertyowner-Input April 2019
Department of Safety
County
Bayfield
ss 7
& Professional Services,
Industry Services Division
Sanitary Permit Number (to be filled in by Co.)
- pd-�
Sanitary Permit Application
State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
Project Address (if different than mailing address)
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to
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(1)(m), Stats.
62135 County Hwy E
I. Application Information —Please Print All Information
Property Owner's Name
Parcel #
Chase Hoven lIITERFO
23375
Property Owner's Mailing Address .LL6
Property Location
63770 Franciskovich Rd
Govt. Lot
City, State
Zip Code
Phone Number
Ashland, WI
54806
715-209-5097
SW �' , SE - �'4, Section 09
T 46 N R Q E o
II, Type of Building (check allthat apply)
Lot #
Subdivision Name
® 1 or 2 Family Dwelling — Number ofBedrooms 2
E C E IV E D
i M
Block #
❑ Public/Commercial —Describe Use
JUN 2026
❑ Cityof
❑ State Owned — Describe Use
O Village of
CSM Number
Planning
Bayfield Co.
ai d Lci:;ny ACency
a Town of Mason
III. Type ofPOWTS Permit: (Check eltlier "New" or "Replacement" and other applicable on line A. Check one box on line B Complete line C i.
a licalzle:
A.
El New System
❑ Replacement System
❑ Other Modification to Existing System (explain)
❑ Additional Pretreatment Unit (explain)
B.
0 Holding Tank
❑ In -Ground
❑ At -Grade
❑ Mound
❑ Individual Site Design
❑ Other Type (explain)
(conventional)
C.
Renewal Before
❑ Revision
❑ Change of Plumber
❑ Transfer to New Owner
List Previous Permit Number and Date Issued
Expiration
..-
lspersa _ reatmeat
" "- an . a - ormatzon;
Design Flow (gpd)
Design Soil Application Rate(gpd/sf)
Dispersal Area Required (sf)
Dispersal Area Proposed (sf) I
System Elevation
300
Capacity in
Gallons
Total
Gallons
# of
Units
Manufacturer
o
Tank Information
New Tanks
Existing Tanks
U
r v,
r%i
w O
�.
Septic or Holding Tank
2105
2105
1
Superior Precast
✓
❑
Dosing Chamber
p ty
V. Responsibility Statement-
S shown on the attached "plans.
I, the ' undersigned, assume responsibility_- for installation of the POWTS _
Plumber's Name (Print)
tuber's Signa
MP/MPRS Number
Business Phone Number
Dean Blakeman
r
1092768
715-682-6050
Plumber's Address (Street, City, State, Zip Code)
44941 State Hwy 13, Ashland, WI 54806
, VI Count 7Deatnin nt Use Only' -
Approved
❑ Disapproved
Permit Fee
$
Date Iss ed
Issu' Age igna �/�
❑ Owner Given Reason for Denial
Conditions of Approval/Reasons for Disapproval
ed
Attach to complete plans for the system and submit to the County only on paper not less than 8 112 x 11 inches in size
SBD-6398 (R. 03/22)
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 JUN 172026
Pg 3 of 4 Holding Tank Specifications Bayfield Co.
p Planning and Zoning Agency
Pg 4 of 4 Management Plan
Attachments:
Enclosures:
Tank Specs
POWTS Application for Review
Soil Evaluation Report & Site Map (if ap
Holding Tank Pumping Contract (if appl
Holding Tank Agreement (if applicable)
Project Name / Description
Hoven Holding Tank
plicable)
cable)
Owner Name(s): Chase Hoven Phone: 715 -209 -5097
Owner Address: 63770 Franciskovich Rd, Ashland, WI Zip: 54806
Project Address: 62135 County Hwy E, Mason, WI 54856
Govt. Lot: SW 1/4 of SE .114, Section 09 ,T 46 N -R 06 E ❑ or W Q✓
Township: Mason County: Bayfield
Project Parcel ID #: 23375
Designer Information
Designer Name: Dean Blakeman Phone: 715 -682 -6050
Designer Address: 44941 State Hwy 13, Ashland, WI Zip: 54806
E-mail: dean@blakemanplumbing.com This space reserved for approval stamp.
License Number: 1092768
Remarks:
IIII1!i.,P !I-Zoup
Signature: Date:
Original signature required on each submitted copy.
CHECK BOX AS APPLICABLE.
CHECK BOX AS APPLICABLE.
LI SOIL EVALUATION
Scale: I = 400'
0 SYSTEM PAGE 2 OF 4
SITE MAP
I
40 60
80
PLOT PLAN
////////X7771
PROJECT NAME:
02
DESIGN FLOW: 300 GPD
(lo n sria)
Hoven Holding Tank
Attach design flow calculations for commercial plans.
PROJECT ADDRESS: 62135 County Hwy E, Mason, WI 54856
Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
N
Sanitary Sewer. 4" PVC j D3034
BM Symbol: + BM Elevation: 100 FT
Force Main: _________________/________________
BM Description: Top of well casing
Indicate north ev
IMPORTANT:
Slope Gradient (%) Well Symbol (if applicable): Q
drawing an arrow
Show ground elevation contours at suitable intervals.
of Tested Area:
on the approprite One.
Woods
2,000 -gallon holding tank
2 Bedroom Mobile Home
825'+/-toW lot line______
(line notto scale)
I,
1,1
Ir 1
645' to N- lot line
(line not to scale)
O
RECE.IVED
i
JUN 17 2-026_
sayfield Co.
Planning and Zoning Agency
62135 Driveway__1,775' +/- to County _Hwy _ E
-- _ _____462'toElotline --------
(line -not -to -scale)--- 1
. I
0 1
Well
575' +/-to S lot line
(line not to scale)
v I
Open Field
PAGE 3 OF 4
HOLDING TANK SPECIFICATIONS
(No Scale) RECEIVED
JUN 172026
BayfielJ Co.
Weatherproof 12" Min. or 2.0 ft above Planning and Zoning Agency
Junction and Approved Established Flood Elevation
Alarm Box Vent Cap (typical)
Electrical must comply with 3 Approved Locking Manhole
SPS 316 and NEC 300 4"0 Vent Pipe with Warning Label Attached
Conduit >10 ft from (typical) 4" Min. or 2.0 ft above
Building Established Flood Elevation
(typical)
\L/ \/H ___
Airtight Seal I 1L
Finished Grade
18" Min.
(typical) ' d o o
Inlet
Approved Joints with
Approved Pipe 3 ft onto
Solid Ground
Inlet Invert
Max. 12" or 90% of total volume
if more than one tank
Alarm -On
HOLDING TANK
VOLUME = 2105 gal
3" Approved Bedding Material Beneath Tank
v
A
A
itertight
Plug
TANK MANUFACTURER: Superior Precast Concrete
Anchor tank as necessary
pursuant to SPS 383.43(8)(g)
Ballast Weight = [(cu.ft.tank.vol x 62.4 lbs/cu.ft) - lbs.tank.wt] x 1.5
Ballast Weight = [( 281.4 cu.ft. x 62.4 lbs/cu.ft) - 16,216 Ibs] x 1.5 = 2,015 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 =
200
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of systemci�p;,�VED
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.) JUN I / 2026
o material fatigue (i.e., leaks, breaks, corrosion, etc.)
o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) co.
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. Stats.
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. Phone: 715-682-6050
Local government unit: Bayfield County Planning & Zoning Phone: 715-373-6138
Local government unit address: 117 E 5th Street, PO Box 58, Washburn, WI 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.
SUPERO R 2100 1 -Compartment Tank 57SUPERIOR
PRECAST CONCRETE PRECAST CONCRETE
TOP VIEW
Weight (in lbs)
Tank 9,427
lid: 6,789
Total• 16.216
Volume of Concrete
Total : 4.1 Yd'
Gallons Per Inch: 46.8
W
165,1
1 59'"
RECEIVED
JUN 17 2026
Baytie!d Co. ,'�," ,.t9„
Planning and Zoning Agency
2105 Gallons
SIDE VIEW '�'' ., "
Enlarged Detail l {, 4�
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
SEE CORRESPONDENCE
4n
JNei
rj
Manhole Openings
/ air Tauer
8" Air Sp e fj LL/
Depth Liiiit
ir s
Produced by Superior Precast Concrete, LLC
PO Box 1390
Hayward, WI 54843
Porethy1ene
Baffle
SUPERIOR
PRECAST CONCRETE
Design conforms to ASTM C1227, Specification for Precast
MLISIIC Concrete Septic Tanks and WI SPS 384.25, POINTS Holding
Rope Components or Treatment Components.
The information provided on any Superior Precast Concrete
(SPC) drawing or document shall be verified by the
purchasers licensed professional engineerfor suitability of
use.
Configuration may change from drawing, consult with SPC.
1 Product File No: I This Is proprietary Information, and remains the propertyof Superior Precast Concrete, LLC. I R.3 05-19-20241
HOLDING TANK SERVICING CONTRACT
Contract Date J1V 7 72026
� 6ayfi;rf;i Co.
This contract is made between
Holding Tank Owner(s) Name(s)
frrrmpar's Name+ I.Pririyl
TO I
Pumpers Sign ro
PumpersRegistration #
� vo
_
3Ynj
Ndc-ncjsyrledge the !ns all: tion Eat ;ai hol r't9 tthe id l rry,'iug piQp "rt%e. lt: ide COMPLETE legal d Scription51
PRG1F,it
t rc�:I UPS:tiptton• �� r' 1,[
'�JM �ilw`
/a, Ufa.
cy� l
ScLcan L_ Township P. RaRkr ��.
Tawn or_
Lot Sue
Auetpt
, .T ._. _-- - -
q6
Gov't Iat
Lai -
CSAt b
Vol, Palo
(SM Doc a
tot(c) PC.J:.
R::•sck(a) tdo.
4u th flan -
t. The oi'ir'e'r, agrees to file . copy of lhs. cur%tt'acL wi Bayfield County ids requ!red ri SPS 333 55. W Addrn. Code_
2. The ne-r at'giee loo have the Piciding1 innk1L;i .ycrkriced by the pumper raid gkJi'• .ante: s to permit the pumper to have=
cfc int to ente-r upon r a properly for the pcurpe o of ser�•icir.Ja the hha.li:inq ;ki: i. Tt%n t3:-rrri-rf afire ,; to r'r't lir tciii
the awccs5 road or drive so tho the pumper can service the rrctdinq tanktsi with the pumping equipment. The owner
fcirttler agree s to pay the purnper for L-11 chair.. cs 'ir�c rred in scr. ictrra the noldinq iankri as mum il'v -jc r eed ,,,pan bye
the owner,and pumper.
ti. The puiripeer agrees tD sum:t '.o the loc-ai gQ,.'ernnerit erne? 1vh r it .1a:?• signed the umpirng agreement required by SPS
383.5x?. . ,0is. Adm. Code_ and r e Ccirl:y, a repo1 for the ser'.'Icing of the t oicing iankls'r or a semi ca"w ujlj sis. The
pt;niper further agrees to include the lobo)• ing in the seirnannyjai report AS �TaA "s
a, Th;e t! .nie and ad�,•resS of ih Parson t S}aon•_ibie Ic SCf': v---i lu thi ii Adma to is,, ',�� ` • • TAQ • • I,
h. The name of ihir owner of the hol:i�ngr 1; it1K; ivi O •" k ••�
C. The tocat=ori of the r r wihi ,., the tiC ^ t s,. e +
f .� ,.Ic�ittc� t.,r7K irj.,,•3tl d; ,.��•••
i'i The jr this T_Sr ptemail ririr71t'►er 10 tl"`r;c t"iil: r1Cl t; lrr�; • : �G :
e. The dates on w~lia..i.c the hnldirrg t ink was rerVlred, % ••• V 3 i ;_
J f , , r r r -,•^ r �I • •
f. Ti,•, v€�iurne ire gr tlo-n s :),I thc, C rl 1,111s purrrfir_i1 f(en 1 11 ic: h�,l ing r; rik fi r ei7—ic _, r,�ir,►! , sJ► • •. .• • O '�.
q. T ie dis Josai sites to wh h the cor,ienti from ,..G holdirq 'aro% v e E: doti1'ere:e.
F 1••II1 luti${IN�t�
=i. T:rtiS agreement will remain: in effect urii!i trig? UY1rer or pumper terminal s this contract to 1hes event of a chanqe in this
contract, the owner agree to file a copy i-1t any criarrges to th<s service contract or a cop': of a new service contract
with the l ca` oo.: ernment unit and the County named above w►vrtliri (' ai business days from the date of i hanoA to this
service contract.
Owner(s) Name(s) Prjntt Owner's iar+c rttrc'is► Subscribed arir' Sworn to rie- II
14C%i th tia 01
c)ve.1
b4
Not -r P..ibt c
I I i:'y conimisirnn exi.-tirEs c,rr• p� ....11 - 2.! 'x•►'j1
F:cy .?•:! i�•i�ri :�? r7 t .= fa': y . t l' ? i DrRd 1y
rt •.df :lra ffriSi:3ri;•fi°. iF' tl'fly' .., ... ri Cf p.i Yr.Ir"'a^,► . 4:
Document Number/Plan I.D. No. HOLDING TANK
AGREEMENT
Owner Name (s) Owner(s) Mailing Address ��r ��
44611er)
o fall j>I
c6sd ) co,
Parcel Identifier I umber (PIN) Agreement Date (same as Notary Date)
3375 �7 ads
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. PS 383,
Wis. Adm. Code or Ch. 145, Wis Stats. It Cee. f /tt-jLed
1/4 of 1/4 Section Township N. Range W.
Town of
Additional Legal Description:
Gov't Lot — Lot Block Subdivision Lot
CSM # Vol Page CSM Doc#
DOCUMENT NUMBER
2026R-612601
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
O6/17/2O26 AT 1:49 PM
RECORDING FEE: $30.00
PAGES: 2
Return To:
OJd. Co "41
tf? SLR
pb g o x
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, Stats., 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 shail,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. NRI 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. Stats., 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
properly maintained.
�IIIl1II:,,
5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipb'I s 1l��rer�' iyate
onsite wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreern e.ca • d"y
executing and recording said certification with reference to this agreement in such manner which will pe�dnit e e ' tence••h1?�
certification to be determined by reference to the property. ' i' U
Ry .
6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. T V caner sTiMN•submit his E
agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a mSrlr w rl'quIermlythe..
existence of the agreement to be determined by reference to the property where the holding tank is installed. ;3'�►'•.,
%. I.; • •'.e��.�•
Owner(s) Name(s) — Please Print
Subscribed and sworn to before me on this date; WISCiQ `��`
(j&se 4-\ ye 'i
Un e. i •l tq
Notarized Owner(s) — Signature(s)
Notary Public 'L1r I
My ommission Expires:
zL1,2,v ..•
Drafted by: b 4
re ce ' o/ -en Date: call 7 %
Personal information you provide may be used for secondary purposes (Privacy Law. s.15.04 (I)(m)J u/forms/sanitary/HoldingTankAgreemeq W61 8 2026
Bayfieid Co.
Planning and Zoning Agency
State Bax of Wisconsin Form 12003
W . ( DEED
'Doaimcat N=MC
(" 'SIItOr," w or
title or more).
Grantor, fira valuable consideration, conveys to Grantee the following.descriibed real
estate, together with the rents, profits, fixtures, and: other appurtenant interests, in
BAYFXEU. County; State of Wisoon. ("Prep ty") (if mare space is
needed, please attach d&ka h);
Parcel 1: The Southwest Quarter of the Southeast Quarter (SW3. SE ),:Section Nine.
(9), Township Forty-six (46) North, Range Six (6) West, Town of Mason, Bayfield
County, w..:
(NOTE: Inces ,that portion of Lot• One (1), Certified. Survey Map No. 2091 as
recorded iri the Office .of the Register of Deeds for Bayfield County, .on August :8,
2019 in Volume 12 of.certified Survey Maps on Page 196 as Document No 2019R.
578581, la - in the dawn. of Mason, Bayf eldCouay, =Wisconsin.)
RcA
Name sad Retina ^AM=
Ciase.Hoven
63770 racislcovich Road
d s4sa6
-2043725
oa-O32-26.060903-o0o-i
.PamdI4=SftcasimN (PN)
s tames wo
Parcel 2 A non-exclusive easement for the benefit of Parcel 1, fQr -wrens, -eggs IS NOT d pcogrsty
and utilities over, lender and across .the North 30 feet of the North Half of the.
Southeast Quarter of the Southeast `Quarter (NSE'/SEY), Section Nine (9),
Township Forty -sue (46) ]Rbrd4 Range Six (6) West
Grantor waaagnts.that•the-timpty' goo to the Is ' Petd,�mdefeasi'blc is fee simple sgd free and clear of encumbrances kept
EASEMENTS, tESERV'ATION3 AND RESTRICTIONS OF RECORD.
mated 30. , , n /7' i
AUT1 MMC-ATTON
Signature(s)
authenticated on
• >-;....tom n•..:a�•
TITLE: MEIVb STATE BAR*OF WISCONSIN
(Ifnot, .
authorised by Wes. Star § ,7"."�
* Marc T. Bichanich atk/al
IK .... .. (SEL)
STATE OF WISCONSIN
Y(Jw_______COUNTY)
Pexsonalty.came beiare me on. t
the above -named Maic T. Bicha uch ad ja Mmc: Mai i ich
to me known, to be`the persons) who executed the foregoing
instrument and acknowledged the sauce.
THIS INSTRUMENTDRAFrED BY:
r
ATTORNEYMAX T. LINDSEY,. SB#1112865 b Star"e of Wisconsinn
Anicb. Wiclunan& Lindsev,`SC:; Ashland..1NI 54806 ' <
My Cotn,oaission {i erimau�tj epir+s `'' )
(SEgaatum may be autheaticat edar acka'fledged. Both are trot *eee *tya
NOTE IALS is -A STANDARD FORM. ANY MQDMCAT 4 IS'l`O Tfl S PORi1t SHOULD BE gXAUX 1D=-tu"2-
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JUN 18 2026
Bayfieli Co.
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B=YFIELD
Property Owner:
HOVEN, CHASE
63770 FRANCISKOVICH RD
ASHLAND, WI 54806
Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00427
Transaction Number:
SR-00427-47CFC
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 10756
Paid by: Superior Plumbing & Mech Inc,101511th Ave E, Ashland WI 54806
Payment Type: Check
Transaction Date: 6/16/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
OO UNTY
Property Owner:
HOVEN, CHASE
63770 FRANCISKOVICH RD
ASHLAND, WI 54806
Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Description
Private Sewage System (Holding Tanks)
Submission Number:
SS -00774
Transaction Number:
SS -00774-48D72
Amount
$400.00
Total: $400.00
Payment Amount: $400.00
Reference: 34559
Paid by: Blakeman Plumbing & Heating, 44941 State Hwy 13, Ashland WI 54806
Payment Type: Check
Transaction Date: 6/29/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
SR- ooL 7
Soil Test # C6_
Bayfield County J
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
r a certified soil tester determine that in my professional
judgment the following site kee below) is unsuitable for any treatment component other than holding
tanks. Due tq soil & site conditions, a thorough soil and site evaluation is not needed to make such a
determination.
Property Owner (e/I Contractor &"
Property Address J( �. i71Ly if- Authorized Agent ; LA,i'�
4)1-- Agent's Telephone l/.-�/
Telephone 7/32i 97 Written Authorization Attached: Y or N
Accurate Legal Description is requested:
≤t.J 1/4 of 1/4 Section? Township L N. Range t W. Town of d A
Additional Legal Description:
Govt. Lot Lot Block Subdivision
Lot CSM#_ Vol. __ Page _ CSM Doc #
Volume_ Page of Deeds Tax I.D# Acreage 4'O
Indicate reasoning for your determination: r' // ,eve1
ii: /Js a Q r'�a Jee rte.(
Signature of Certified Soil Tes er
Date
0
Til,> Certification #
Signature of County Official
(Submit a Plot Plan & Fee)
Date f' 12026
ulforms!soiltestwaIver(KLK)
�9,001d C% A9 cY June 2018
�,�a1�4n0 and ..o
SUPERIOR
PLUMBING MECHANICAL
(715) 278-3456
CST#221939
� " N0 F 1 s.:4le
PIN: 23375
40 Acres
Customer Name: Chase Hoven
Adress: 63770 Franciskovich Rd.
Ashland, WI 54806
SITE: 621335 co Hwy E Mason
Phone #: 715-209-5097
Email: @chaseh1486@Rmail.com
No Well on site
SWSE59 T46NR6W I
Town of Mason .4
Bayfield Co. 5 - - a
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BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-72S
STATE SANITARY PERMIT
OWNER: CHASE HOVEN
G OV'T LOT: LOT: B LK:
SW 1/4 SE 1/4 SEC: 9, T 46 N, R 6 W
TOWNSHIP: Mason
SOIL TEST: 56-26
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: DEAN BLAKEMAN
TRACY POOLER
Authorized Issuing Officer
DATE: 6/29/2026
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 6/29/2028
POST IN PLAIN VIEW
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION