The URL can be used to link to this page

Home My WebLink About26-0327GS- ool 6$ BAYFIELD COUNTY Zoning District SANITARY PERMIT APPLICATION ta¢esclass 1. (^PLICATION INFORMATION Soil Test County / 7 Please Print Al Information) No: . Permit No: V l/ Property Owners Name: �t' M rI\ y Teri o L � More County: Bayfield Address of Property: Property Location: rfJ IV&'/. 5E '/.,S T //9 N,R o5 Property Owners Mailing Address: I,tr} aq'15-5 Cou1) Hi c Townshi Wtas�.�u��/v Gov. Lot #: City State I Zip Code I Phone Number Lot # I Block #c CSM # I CSM Doc # Subdivision Name (fri shbu('1 LkL iii5 21&-t12.3 II. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) � •3rf I / I ENMW J [J 1 or 2 Family Dwelling - No. of Bedrooms III. TYPE OF PERMIT: (Check only one box on line A Check box on line B. if applicable) A) New ❑ Replacement ❑ County Private Interceptor ❑ Reconnection ❑ Repair ❑ Revision "' ❑ Transfer of Owner (List Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous PerrnitNumber. Date Issued: IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) `Replacements need previous permit number and date filled out above C) ❑ Pit Privy ❑ Vault Privy (Vault size: gallons or cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container Com osting Tis i [1Incinerating Toilet V. ABSORPTION SYSTEM INFORMATION: 1. Gallons I 2. Absorp. Area I 3. Absorp. Area I 4. Loading Rate I 5. Perc. Rate I 6. System I 7. Final Grade Per Day Required (Sq.Ft) Proposed (Sq. Ft) (Gals. / Day I Sq.Ft) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK Capacity Fiber INFORMATION: In Gallons Total Gallons #of Tanks Ma ufacturer's Name Prefab. Cortcrde Site Cortstnx;4ed Steel - glass Plastic Exper. APP- New E>astirtg Tatks Tardcs Septic Tank or Holding Tank 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): (Pint) if appfyfagforSecuonCabove Owner's Sig u s): (No stamps) Rark.k8 O 4hennt L Mtlie, Plumber's Name: (Print) napPiymg for sewon A or!?) above Plumber's Signature: (No Stam MP/MPRSW No: Plumber's Address: (Street, City State, Zip Code) Home Phone: Business Phone: VIII. COUNTY! DEPARTMENT USE ONLY Approved ❑ Disapproved [1 Owner Given Initial I Sanitary Permit/Transfer Fee: j Date Issued: 7/9 /e Issuing is ignatture / Date: A ��%37/3 Adverse Determination 0 CEI ED IX. CONDITIONS OF APPROVAL! REASONS FOR DISAPPROVAL: Lift Svu MAR Ece/ Sep2V6y 1 " JUL 077026 Bayfield Co. Planning and Zoning Agency O nl ouR 1 FRR" PROPERTY z 775 5 Co . C PWRK CRT/tY MOREY 1. 2. 3. 4. 6. 7. Lot Line F-- 9$O —4 1/00 Fr�co /Nok-flarfAt& ACCF-T50RY sTRvcrv- 8� 77 'too _ 350/ N �Y1 75 spry c.f rL & Ore/6'Er/it t O r ' Name of Frontage Road ( CO. '-"W ) r^C ► 'rr 5a Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). Show the approximate location and size of the building. IMPORTANT \� DETAILED PLOT PLAN Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -c) COMPLETELY Show the location of any lake, river, stream or pond if applicable. Show the approximate location of other existing structures. Show the approximate location of any wetlands or slopes over 20 percent. Show dimensions in feet on the following: a. Building to all lot lines b Building to centerline of road c. Building to lake, river, stream or pond d. Septic / holding tank to closest lot line e. Septic/holding tank to building f. Septic / holding tank to well g. Septic / holding tank to lake, river, stream or pond h. Privy to closest lot line i. Privy to building j. Privy to lake, river, stream or pond k. Drain field to closest lot line I. Drain field to building m. Drain field to well n. Drain field to lake, river, stc�gt pF pond o. Well to building K�I,CtVED Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 JUL 072028 Bayfield Co. Planning and Zoning Agency WIorms/sanitarylbayfieldcountysanitarya pplication Revise: June 2018 Proofed by: PRIVY AGREEMENT (ATTACHED TO THE SANITARY PERMIT APPLICATION) Property Owner(sl: /VvxrK fr 9, Uct Ile -trot, 1 Mofr NL) 1/4, SL 1/4, S CAl T 7 N, R 05 W Block(s) Tax ID # See 1. NO PLUMBING will be installed in the habitable building. I I Return To: DOCUMENT NUMBER 2026R-6 1 2846 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 07/07/2026 AT 1:50 PM RECORDING FEE: $30.00 PAGES:2 ZONING Jut gayftela co_ 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 Ft. 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 of 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 by the Register of Deeds in a manner, which allows its existence to be determined by reference to the property where the privy is installed. Printed Owners) Namejs Mnrk A' r L. M r'e This instrument was signed before me -. In the State of_1ili SC0/Lf/'L - - Countyof .13aej Aii/aL - - - On this 7 day 2r2,' by. i'LGd./.Llt //d){% ,M/4/e ,/(1//Notary Ppubll Mycomnussion expires on• _____________ Drafted BE'' - ' 9 ` '((rust be filled out by person submitting form) ® December 2012 RECEIVE® e JUL 0 8 2026 sa rA. A9anc/ Planning and Zonm9 Parcel 2 That part of the Northwest Quarter of the Southeast Quarter (NW ¼ SE ¼), Section Twenty-one (21), Township Forty-nine (49) North, Range Five (5) West, Town of Washburn, Bayfield County, Wisconsin lying west of County Trunk Highway "C" LESS the Southeast Square One (1) acre thereof and LESS the portion described as follows: Beginning at the C I/< corner of said Section; Thence South along the North -South Quarter line a distance of 462.00 feet; Thence East on a line parallel to the East-West Quarter line to the West right-of-way line of County Trunk Highway "C"; Thence Northwesterly along said right-of-way line to the East-West Quarter line; Thence West along the East-West Quarter line to the Point of Beginning. Tax Parcel No: 04-050-2-49-05-21-4 02-000-22000 This is not homestead property II --'FIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Description County Sanitary Permit: 1 Submission Number: CS -00168 Transaction Number: CS-00168-49A5A Amount $150.00 Total: $150.00 Payment Amount: $150.00 Reference: 1016 Paid by: Catherine L Morey / Mark A Morey Payment Type: Check 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 - SANITARY - Composting Toilet SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0327 Tax ID: 37214 Issued To: MOREY, MARK A & CATHERINE L Location: S21 - T49N - R05W Town of WASHBURN Legal Description: NW SE W OF CO HWY C LESS 1 SQ ACRE PAR IN SE CORNER IN V.731 P.214 & LESS PAR DESC IN V.1146 P.812 Residential Structure in A-1 Zoning District For: Sanitation Permit — New [Composting Toilet] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): NSE SUN -MAR EXCEL SER. NO. 28764 1200 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) 665-2900. 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. Tracy Pooler, AZA Authorized Issuing Official July 09, 2026 Date