The URL can be used to link to this page

Home My WebLink About26-93SSS -00")q7 • ...uuauy ad vacs urvisron Unitary - JUL 14 2026 4822 Madison Yards Way Ar F t Unitary. I S �, Madison, WI 53705 Sanitary Permit Number (to be filled in by Co.) /// Bayfield CA. P.O. Box 7302 \syu a fanning and Zoning Agency Madison, WI 53707 2 /- 9 s Sanitary Permit Application StateTransaction Number 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 stateowned POWTS are Project Address (if different than mailing address) 8 3 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. I5.04(1)(m), Stats. I. Application Information —Please Print All Information �ykU� ; Property Owner's Name C Parcel # 2\nF—L/ N DF, Su l' e_qw Property Owners Mailing Address ,k37- W. /4 Property Location - O;1—O0O—)OOOO J6 Govt. Lot City, State Zip Code Phone Number 1nlj\S1-16UR 4 W S 4 c 91 -715 GA 1,J N W v.. S_ v, section _ Iv T N R to H. Type of Building (check all that apply) Lot N I or 2 Family Dwelling —Number ofBedroores 3 el W Subdivision Nsure bEdCommerei - DesNume Block if E ❑City of () ❑State Owned — Describe Use CSM Number illage of ®Town of_________________________ IM Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if livable s A. NewSystem 1-- I,, i µ.eplecement System [jOQt-Grade War Modification to Existing System (explain) ❑Additional Pretreatment Unit (explain) LIlln- B• f—laaldin Tank LJ" 8 Ground Q t -Grade ❑ Mound Individual Site Design Other Type (explain) (conventional) C• ❑ Renewai Before ❑Revision Change of Plumber ❑Transfer to New Owner ist Previous Permit Number and Date Issued Expiration IV. Dis ersal/Treatment Area and Tank Information: Design Flow (gpd) 5o Design Soil Application Rate(gpd/st) p Dispersal Area Required (St) Dispersal Area Proposed (s0 System Elevation '35. a5 5' Tanklnfonnation Capacity in Gallons Total Gallons N of Units Manufacturer New Tanks Existing Tacks 'o �° .+a y 8 a a iii rn w 5 a Sepucor Bolding Tank oc r�� —ICJ ) Dosing Chamber Lj C 0 Lu V. Responsibility Statement- i, the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans. PI `°It is Name (Print) Plumber's Si MP/MPRS Number I Business Phone Number Plumber's Address (Street, City, State, Zip Code) 3iJtoO g1vcu &vmu't d clhn)r.4-i lo/ S'89'( VI. ounty/Department Use only Approved ❑Disapproved Permit Fee Date Issued Issuing Ago Si tu,a ❑ Owner Given Reason for Denial % /,7 /l / 1O Conditions of Approvai/Reasons for Disapproval Atm.htnenmd.and,....c..a.....,.........j...,.—,........ ,,.._�___.. puprruuurssmanejRrii e SBD-6398 (R. 02/22) SZ oogM RECEIVED =p" Wisconsin Department of Safely & Professional to/ab rygg_�p !=%� �,)� Division of IndustryServices OT 6L TEST # 6$'ctp fip1 1=I SOIL EVALUATION REPORT pWnnin BandZlonCn Agency -// "•�.-g:.�i In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than B 1/2 x 11 Inches in size. Plan must include, but not limited to vertical and horizontal reference point (SM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. %S Date Please print all Information. R%� w/ed by / Personal information you provide ma a used for socondary pu os s Privacy Law, s. 15.04(1)(m)). ` ae !/ I Property Owner Properly Location U Li ❑ Govt. Lot f/ k''ASL- Y. S Zia T,,58 N R 4 E (or) W Property Owners Mailing Address f Site Address or CSM and Lot #: e2 v CitXX, State, .$"jr�S% / Phone Number ❑ City ❑ Vg Town Nearest Road &2)i. ws (7/t) zag.r<Visa?O Gii C ,New Construction Use:. Residential/ Numberof bedrooms Code derived designiow rate Y5O GPD ❑ Parent Replacement _ Pyplic or commercial Flood Plan elevaption if applicable R. Parent material .J�"QC2rrC ha, General comments and recommendations: (l �1L.L,LxiR.C7� +[�ivp-L{µG Boring q Boring # ❑ Pit Ground surface elev. /r7L' 0 F+ Depth to limiting factor S/S in. / elev. ?c3 £jr Soil Annlication Rale Horizon Depth In. Dominant Color Munseti Redox Description Ou. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/FP Eff#1 •Eff#2 / D /4 Z G - y c/a ❑Boring /7 O O Boring # SPit Ground surface elev. T _7• uz' Fi- Depth to limiting factor ___ in. / elev. _ F'{ Soil Annlir•.atinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' 'Eff#1 'Eff#2 l o R r✓ /Fn• .s' 1.0 7- 4-3, &R 6 O /n.i ,S /' o 3N z ,e A •s /, O CST Name (Please Print) Mark Palmer - High Cliff Consulting I SignatureI I 1224736 CST Number Address P.O. Box 176 Galesville, WI 54630 Date Evaluation Conducted _ //- z Telephone Number 608-582-2205 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L 'Effluent #2 = ROD. £ 30 mg/L and TSS 5 30 mg/L SBD-8330 (R03/22) jN Page L of .3 El Boring Boring # ❑ Pit Ground surface elev./00. QFf Depth to limiting factor in. / elev. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rools GPD/Fir 'Etf#1 Eff#2 / -S ovRJ "' 2- ≤ -3 r R 6 .3 z3t5'.' " R 6 'f 390 R5 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. Fr Depth to limiting factor in. Ley. E1 SoilAoollcatlon Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFt2 Eff#1 'Eff#2 ❑ Boring It ❑ Boring ❑ Pit Ground surface elev. Ft Depth to limiting factor in. I elev. Ff- Soil Aoolicalion Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Fir Eff#1 Eff#2 Effluent #1 = GOD > 30 5 220 mg/L and TSS > 30 5150 mg/L . Effluent #2 = BOD. 5 30 mg/L and TSS s 30 mgIL RECEIVED JUN 0 82026 Bayfield Co. Planning and Zoning Agency 7A,J- u S`Jz W q tL t .5-i 69i O/N 7'57/ fl 3(e C� , tJ :�2: CL r Ct1QED Jill 7 4 26 - P�nnle e!o w -.3 - Al NW SE Y ✓ SarsoNR6w NO_Q - `!'� SITE .iC.G.. NO V@ � ON SITE �._ ;-"� w TTT ST O 1 P �� I �I9 i iI MUST �J �.-_i.,3 i- a"tivfu: 3t3� Pi ❑� Oa.ic-}c 7°c' 2t J4 \ jc7 t � � C tS 3c 41 Melinda Suef%ow & Michael Wright kCC�iV��S 3 bedroom Conventional septic system PIN 04-010-2-50-06-26-4 02-000-10000 jj 14 2026 83310 County Highway C Cornucopia WI 54827 6aYfied Co. ppnninP and Z°" �≥ Page 1: Wisconsin sanitary application Page 2-3: Bayfield County checklist for sanitary applications Page 4: Tax statement (for informational purposes) Page 5: Plot plan Page 6: System elevation view Page 7: Tank information Page 8-10: Soil and site evaluation Page 11-12: POWTS owner's manual, management and contingency plan Page 13: POWTS maintenance agreement Reference material; component manual SBD-1 0705-p (R 10/12) These plans prepared by ; Adrien Cady MP922139 31160 Birch Grove Rd Washburn WI. 54891 phone:715-373 2378 fax:715-373-0646 Glc-C' Lin 422 J cat w 4`3z W. y 4- fit. t t� PI o c n loco' n Ga -/'1N 7,37/ g3.3ic RECEIVED JUL 14 2026 8ayfield Co. planning and Zoning Agency (O Dhl CIzj NN,'* SE s,E 7•,sonr R w NO WELL ON SITE WELL SITE MUST COrPL4; 700' UJJJti Icec c�a.Q, _ f•' 3c' 30 �+ rL�i'sN jUu�5 • -,_.4f nry/ - /A'fQj 2L7:1 !!-,ZCc > ICc' a.M IN -GROUND GRAVITY DISPERSAL AREA Uniform Elevation Trenches with EZ1203HP Bundles 3 -ft Trench (down -sizing credit) :dell_ 1 c r • b Septic Tank(s) Marvnfacturer. Septic Tank(s) Volume(s): gal gal gal gal Effluent Filter Manufacturer. FbLyLoW Effluent Filter Model It. PL TYPICAL TRENCH CROSS SECTION VIEW (No Scale) Provide minimum 3ft separation between trenches. TYPICAL TRENCH (Show location of inlet / outlet pipe connection on plan view.) PLAN VIEW 4e4J Observation pipe shall be Instated (No Scale) Perforated Lateral (typical) ------- ------------ ----------------f-------- B= 1OO ft (typica) INSTALL PER TRENCH: l O 10 -ft bundles @ 50 if EISA/unit = 5cC) ft2 OBSERVATION PIPE DETAIL (No Scab) Saew-Type or ..:,c „ Finished Gatle stp Cap (loose)(mulcted 6 seede 4'e Pvc Pye • Topsot Cover Top of pipe to terminate ' •i,t (min.1 toot) ator above finished grade (4)1/4'-1 X6'Sbts � apan Anchoring Devi •.' htf'.radon surface �3yfao -Et t131Crux EA=3.0 ft (typical) oN CamVRS i Bundle (typical) (mfd by Infiltrator Systems, Inc.) Install pursuant to manufacturers instructions. + 5 -ft bundles @ 25 ff EISA/unit = ft2 = Proposed EISA per trench = Soo ft2 Required Infiltration Area = 9CXZ ft x -- trenches = Proposed Total EISA = /' fta Distribution Method: WLP1 TANK SPECIFICATIONS a I 4" CAST -A -SEAL 0 w a� w 4" CAST -A -SEAL INLET - T OUTLET M v - Lp t r,,, Q I 1*tr I 2"---J----- -.-.-- �-J `PUMP PAD SIDE VIEW LTANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS DIMENSIONS: L o WALL: 2 1/2" a a BOTTOM: 3" COVER: 5" MANHOLE: 24" I.D. PRECAST CONCRETE RISER a HEIGHT: 53 1/4" LENGTH: 8'-8" WIDTH: 7'-2" BELOW INLET: 42" LIQUID LEVEL: 36" WEIGHT: 6,790 LBS. -.- E II 3 \ INLET AND OUTLET: 0 4" CAST -A -SEAL BOOT OR .EQUAL GASKET m o a INLET AND OUTLET BAFFLE AND FILTER: WISCONSIN, SEE DETAIL #10 N o o (OTHER STATES SEE CHART) Im1■1 0 LIQUID CAPACITY: 27.83 GAL/IN W Ln HOLDING TANK: OUTLET HOLE PLUGGED ACTUAL CAPACITY: 1,085 GALLONS LOADING DESIGN: 8'-0" UNSATURATED SOIL z a � N TANK CAN BE USED AS: SEPTIC HOLDING PUMP o W / / OR SIPHON >.. _ COVER: MIX DESIGN #8 (NO FIBER) cn TANK: MIX DESIGN #10 (STRUCTURAL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE J z o 0 Q REVIEWED BY o o REVIEW DATE w DRAWINGS SUBMITTED FOR APPROVAL APPROVED BY: I SHEET NO. APPROVAL DATE: 'j 7" PRODUCTS NEEDED BY:1 ,,.-'OF POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I ofa FILE INFORMATION Owner Mel;udct.S.SS bt'1' Permit # DESIGN PARAMETERS Number of Bedrooms ❑ NA Number of Public Facility Units u -NA Estimated (average) flow 3OO gal/day Design (peak) flow = (Estimated x 1.5) gal/day In Situ Soil Application Rate gaVda /ft Standard Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) 530 mg/L Total Suspended Solids (TSS) 530 mg/L IRNA Fecal Coliform (geometric mean) 510° cfu/100ml Maximum Effluent Particle Size 14 in dia. O NA Other: O NA `Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 40❑ months) ears(Maximum 3 years) )) ❑ NA Pump out contents of tank(s) .aWhen combined sludge and scum equals one-third ('A) of tank volume O NA O When the high water alarm is activated Inspect dispersal cell(s) At least once every: 0 year(s) e) (Maximum 3 years) O NA Clean effluent filter At least once every: ❑ month(s) year(s)) ❑ NA Inspect pump, pum o s ala At least once every: ❑ month(s) p years)) NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) O,NA Other: JUL 1 4 2Q16At least once every: ❑ m a(s) r( s) ❑ year(s) ❑ NA Other: Bayld Co. Planning and Zoning Agency ❑ NA SYSTEM SPECIFICATIONS Tank Manufacturer (n91 eset" ❑ NA f Septic O Dose O Holding vol. (60O gal Tank Manufacturer NA ❑ Septic O Dose O Holding vol. gal Effluent Filter Manufacturer (), ( /OL ��CJ ❑ NA Effluent Filter Model Pump Manufacturer fNA Pump Model Pretreatment Unit .LIA ❑ Sand/Gravel Filter O Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection O Other: Manufacturer Dispersal Cell(s) E Flow ❑ NA jn-Ground (gravity) 0 In -Ground (pressurized) ❑ At -Grade O Mound ❑ Drip -Line O Other: Other: ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third (%) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (12/02) START UP AND OPERATION Page A of - For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF_A TANK MAY BE DIFFICULT OR IMPOSSIBLE, RE ADDITIONAL COMMENTS CEIVED UJL 142026 a,,,Fain r� Planning and Zoning Agency POWTS INSTALLER POWTS MAINTAINER Name V ec-L ¼/ Name kclvt e( -c Phone 7/5-373--37 Phone 7/537337 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name B7vck c-t-yeef Se "1) t C Name `o a z 1 t Phone 7/373..5 Phone This This document was drafted by the staffs of the Green Lake, Marquette and Waushara County Zoning and Sanitation agencies in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Private Sewage System Maintenance Agreement Owner(s) Name MEUNDA V- sib Owner(s) Mailing Address 2 rnMJpS/tbwtn wi s�v Site Address 83314 CBu t+t4 [+MiC, Corny�1 ucaoia W As owner, I (we) do hereby cerlty the pnvate sewage system will be installed in accordance with the certified soil tester's report and approved plans and specifications on file with Bayfield County Planning and Zoning Department. The system will be operated in such a manner as to meet the designed plans. I (we) agree to maintain said private system at the below listed location in accordance with rules established in the WI Adm. Code, as from time to time amended. (COMPLETE Legal is required) NW 1/4 of SE 1/4 Section Zit Township O N. Range O w. NW SE (nl OOG 2—SO4Jo351I S Additional Legal Description: PrUt&C MCI_—Wp54A 1S rec— j'c'v'il 33i Town of SELL (Acreage) Gov't Lot Lot Block Subdivision Lot _ CSM # Vol. _ Page _ CSM Doc DOCUMENT NUMBER 2026R-612925 DANIEL._ HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O7/14/2O26 AT 12:13 PM RECORDING FEE: $30.00 PAGES: 1 Return To: Planningtarrd T,ppigg J]Epartment JUL 15 osylleip Ie d, j(In-ground gravity ❑ In -ground dosed ❑ In -ground pressurepchnfr %Wlri �r 19 n3�rstem: ❑ Mound ❑ At -grade Sewage System ❑ Other Area Septic Tank (system types A through E): The septic tank shall be pumped by a certified septage servicing operator within three (3) years of the date of installation and at least once every three (3) years thereafter unless, upon inspection by a licensed master plumber or other person authorized to make such inspection, the tank is found to have less than one-third (1/3) of the volume occupied by sludge and scum. Pump Chamber (system types B, C, D, and E): The pump chamber shall also be rinsed and pumped out when the septic tank is serviced as provided above. The switches and pump controls shall also be inspected and maintained to ensure operability of said components. Septic Tank Effluent Filter (system types A through E): The septic tank effluent filter shall be inspected and maintained as necessary and in accordance with manufacturers specifications. Filter maintenance reports shall be submitted to the County as required by SPS 383.55, Wis. Admin. Code. Private Sewage System Dispersal Cell (system types A through E): The private sewage system distribution cell shall be visually inspected by a certified septage servicing operator. POWTS inspector, or licensed master plumber within three (3) years of the date of installation and at least once every three (3) years thereafter to determine whether wastewater or effluent from the system Is ponding on the ground surface. Mounds, At -grade, and In -ground Pressure System Laterals (system types C, D and E): The laterals shall be flushed out and swabbed if needed when the wastewater distribution cell component is inspected as provided above. Owner(s) agree that failure to comply with this agreement will result in action being taken to pay all charges and costs incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the private sewage system tank in such a manner as to prevent or abate any human health hazard caused by the system. Hayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from 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 bylaw. The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such property. Owner(s) N me(s) Plea nt me Subscribed and sworn to before me on this date: �4eft�v�elrr� ARYf nilniIy 9 o W,'sC6srh 1 r �(&Mj! J U)rt k 6 + o� �o%e N a' ed Ow r(s) re(s) T} tary Public I/ L—�lti•—� Commission Expires: '2-- is-- 20a' ,N. Drafted by: Kku SdtkcOU Date: Proofed by: u/forms/sanitary/septicmaintenceagreement Revised July 2020 Reai Estate Bayfield County Property Listing Today's Date: 7/3/2026 Z Description Updated: 1/8/2026 Tax ID: 7571 PIN: 04-010-2-50-06-26-4 02-000-10000 Legacy PIN: 010104301000 Map ID: Municipality: (010) TOWN OF BELL STR: 526 TSON R06W Description: NW SE IN DOC 2023R-598035 (35 ACRES MFL-CLOSED 25 YRS- YR OF ENTRY 2008) 337 Recorded Acres: 40.000 Calculated Acres: 39.256 Lottery Claims: 0 First Dollar: No Zoning: (F -I) Forestry -1 ESN: 107 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE h y' Recorded Documents Updated: 10/28/2015 0 MFL WITHDRAWAL ORDER Date Recorded: 12/4/2025 2025R-610175 0 QUIT CLAIM DEED Date Recorded: 2/10/2023 2023R-598035 0 MFL AMENDED ORDER Date Recorded: 10/25/2021 2021 R-591653 0 MFL TRANSFER ORDER Date Recorded: 9/21/2021 20218-591041 0 MFL TRANSFER ORDER Date Recorded: 3/10/2016 2016R-562570 1157-262 0 WARRANTY DEED Date Recorded: 10/26/2015 2o15R-560950 1151-12 Property Status: Current Created On: 3/15/2006 1:15:02 PM S Ownership Updated: 4/5/2023 MELINDA L SUELFLOW WASHBURN WI MICHAEL D WRIGHT WASHBURN WI Billing Address: Mailing Address: MELINDA L SUELFLOW MELINDA L SUELFLOW 432 W 4TH ST 432 W 4TH ST WASHBURN WI 54891 WASHBURN WI 54891 P Site Address * indicates Private Road 83310 COUNTY HWY C CORNUCOPIA 54827 L- Property Assessment Updated: 9/22/2022 2026 Assessment Detail Code Acres Land Imp. W6-MFL - CLOSED AFTER 40.000 56,000 0 2004 2 -Year Comparison 2025 2026 Change Land: 56,000 56,000 0.0% Improved: 0 0 0.0% Total: 56,000 56,000 0.0% MProperty History N/A RECEIVED JUL 14 2026 Bayfield Co. Planning and Zoning Agency BAYFIELD COUNTY JUL 14 2026 CHECKLIST FOR SANITARY APPLICATONS Submit the F III (Use Permanent Ink) (Title 15, Section 15-1-10(e)) C1 Bea Zonm9M'Y V Original Sanitary Application (Submitted in Deed Holders Name — not prospective buyers) (383.21(1)1.) 0 Index Page / Title Sheet (Signed by Plumber) (383.22(2)69(c)) 2/original Plot Plan (383.22(2)2. 3. & 4.a) H Cross Section, Over -Head Profile of the System and Schematic of Tank from Manufacturer dump Tank Diagram, Alarm and Pump Curve (when applicable) Contingency Plan / Management Plan (383.22-3(2)(b)1.f.) 0 Maintenance Agreement (Owner's Original Signature) (383.21(2)(c)(5),(6) (Recorded at Reg. of Deeds) ❑ Holding Tank Agreement (383.21(2)(c)(5) (Recorded at Reg. of Deeds) ❑ Holding Tank Service Contract (Original Signature of Pumper and Property Owner) (383.21(2)(c)5) ❑ ATU Servicing Agreement (Recorded at Reg. of Deeds) ❑ Fee (Make Check Payable to Bayfield County Zoning) (383.21(2)(c)7) L'2 Complete Sets of Plans (383.22(2)(2.) (Note: Sanitary Application and Maintenance Agreements are to be attached to all conies) ['Soil and Site Evaluation Report (383.22-3(2)(b)1.e.) ❑ State Plan Review (when applicable) ❑ Copy of Warranty/Quit Claim Deed (Optional) Sanitary Application: (Include the following Information) ❑ I Application Information must include: O 23 digit Parcel ID# -- (do not use 12 digits anymore --obsolete) ❑ Project Address or Road Name where driveway is/will come off of) ❑ II Type of Building ❑ III Type of Permit ❑ IV Type of POWTS System ❑ V Dispersal / Treatment Area Information ❑ VI Tank Information ❑ VII Responsibility Statement (Plumber's Information) ❑ *Date Stamp* Plot Plan: (To Scale or To Dimension) ❑ Signature and Plumber Information ❑ Surface Elevation of Body of Water ❑ Direction and Percent Land Slope ❑ Tank and Filter Information and Location ❑ Wetlands / Navigable Bodies of Water ❑ Absorption Area (Proposed and Existing) ❑ Bench Mark (Location, Elevation and Description) ❑ Component Manual Version ❑ (Owners Phone Number) ❑ Address Number and Road ❑ North Arrow ❑ Contour Lines ❑ Structures and Driveways ❑ Boring Locations ❑ Property Lines ❑ Well Locations ❑ Legal Descriptions ❑ Piping Material Information (conveyance line, building sewer line, material type and diameter) Turn Over ► Cross -Section and Over -Head Profile of the System: 91 ❑ Surface and System Elevation ❑ Position of Observation and Vent Pipes ❑ Dimensions and Depths ❑ Make, Model & Number of Chamber Units in each Cell ❑ How many systems will there be on this parcel of land? ❑ Has this property been split? (Property Statement shows Property History) Fees: ❑' Private Sewage System (Septic Tanks) $ 400.00 ❑ Private Sewage System (Holding Tanks) $ 400.00 ❑ Mounds or Systems requiring Pre -Treatment $ 500.00 ❑ Sanitary Revisions $ 25.00 ❑ Private Sewage System Reconnection $ 50.00 and Private Interceptor ❑ Return Inspection $ 50.00 R Maintenance Agreements + $ 30.00 (checks made out to Reg of Deeds) u/forms/checklists/checklistforsanitaryapps (10/2009);(®7/2011);(®2/2012)(®5/2/2012 -dc) Proofed by: C O U N T Y Property Owner: SUELFLOW, MELINDA L 432 W 4TH ST WASHBURN, WI 54891 WRIGHT,MICHAEL D 432 WEST 4TH ST WASHBURN, WI 54891 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 (Septic Tanks) Submission Number: SS -00797 Transaction Number: SS-00797-4A2B7 Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 006790 Paid by: Cady Plumbing and HVAC LLC, 31160 Birch Grove Rd, Washburn WI 54891 Payment Type: Check Transaction Date: 7/17/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-93S STATE SANITARY PERMIT OWNER: MELINDA L SUELFLOW GOVT LOT: LOT: BLK: NW 1/4 SE 1/4 SEC: 26, T 50 N, R 6 W TOWNSHIP: Bell SOIL TEST: 69-26 NEW SYSTEM SYSTEM TYPE: Non -Pressurized In -Ground PLUMBER: ADRIEN CADY EMILY MACGILLIVRAY DATE: 7/17/2026 Authorized Issuing Officer 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: # MP 922139 Condition: Properly Maintain System Per Recorded Agreement THIS PERMIT EXPIRES 7/17/2028 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION