HomeMy WebLinkAbout26-94SIndustry Services Division
4822 Madison Yards Way
County
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Madison, WI 53705
P.O. Box 7162
Sanitary Permit Number (to be filled in by Co.)
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Madison, WI 53707-7 162
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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)
e l
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POW'I'S are submitted to
the Department of Safety and Professional Services. Personal information you provide may be used for secondary
qz SS 5 4{kJ O+'a it
V
purposes in accordance with the Privacy Law, s. 15.04(l)(m). Slats.
I. Application Information — Please Print All Information
Properly Owner's Name E TE
M ' cljc.4 s; �b
Parcel #
Property Owner's Mailing Address
Property Location
9t t/IS' BaYMld enOY
Govt. Lot
+ Nb ¼, Section a9
7' K}% N R 6 E orQ
City, State
OSG-eclo, t s
I Zip Code plane
5yoao
"tM�c4umber
112 —3sr7- a -21g
U. Type of Building (check all that apply)
Lot #
Subdivision Name
a1 or 2 Family Dwelling — Number of Bcdr oms
❑Public/Commercial — Describe Use
Block N
�City of
State Owned — Describe Use
Villagc of
CSM Number
� � �
®Town of tro-nx,i
111. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on line A. Check one box on fine B. Complete line Cif
applicable.)
A.
r%QNew System
I —I
I Replacement System
L❑Jln-Ground
DOther Modification to Existing System (explain)
Additional Pretreatment Unit (explain)
I-�Holding Tank
�w
flAt-Grade
Mound
Individual Site Design
Other Type (explain)
(conventional)
C.
❑ Renewal Before
Revision
jChange of Plumber
❑I'rnnster to New Owner
List Previous Permit Number and Date Issued
Expiration
W.DispersallTreatment
Area and Tank Information:
Design Flow (gpd)
Design Soil Application Rate(gpd/st)
I Dispersal Area Required (st)
I Dispersal Area Proposed (st)
I System Elevation
Capacity in
Total
N of
Manufacturer
'Tank Information
Gallons
Gallons
Units
E
U '$
New Tanks
300 1
Existing Tanks
�ooa
Sv n ts( rte
o
a U
.�I 2
y
?
ta. o
P
Septic or Holding Tank
Dosing Chamber
c
D
V. Responsibility Statement- I, the undersigned,
assume responsibility for installation of the POWTS shown a attached plans.
Plumber's Name (Print)
Plumbe Signature
MP P umber
Business Phone Number
Cor k r'
lo�a�
mc ti l3 lion
Plumber's A dress (Street, City, State, Zip Code)
1e3on 1�f�� 1 c/i 5 yS5t
ttic,Snvn >"'1� s�'�
VI. ounty/Department Use Only
Approved
0 Disapproved
Perm itFee
S
Date Issued G
m
Iss ng Agent Si + tore
( l
0 Owner Given Reason for Denial
rVl/�
ZQ
w
Conditions of Approval/Reasons for Disapproval
I
Attach to complete plans for the system and submit to the County only on paper not less than 8 V2 a 11 inches in size
SBD-6398 (R. 03/21)
s R- oaNSS
(
Soil Test # 9 Bayfield County
Z
Waiver of a Thorough Soil & Site Evaluation
(subject to 15-1-10(d))
l �%�.�'['�c� 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 t needed to make such a
determination. BRED
Property OwnerContractor
Property Address c (' Q rr- i Authorized Agent
?,p ?tviQ LA9 1 Agent's Telephone
Telephone
Accurate Legal Description is requested:
Written Authorization Attached: Y or N
11(1/4 of AC- 1/4 Section9 Township1-2N. Range W. Town of
Additional Legal Description: _ r O E PdY?! /
Govt. Lot Lot Block _Subdivision
Lot____ CSM# Vol. _ Page CSM Doc #
Volume Page _of Deeds Tax I.D# /g7t Acreage O
Indicate reasoning for your determination: r[- iL.Y(L, 1-k�
CLA�� -lam 3 ' T-.
Signatu a of ' " Soil Tester
Signature f ounty O ' i1j RECEIVED
JUL07f&0f9Cfe 082026
Date
LI--11-C)&o
Date
p-1sat(Arcro
Certification #
:(Submit P1111dt n & Fe
Bayfield co.
Planning and Zoning Agency
u/forms/soiitestwaiver(KLK)
June 2018
CHECK BOX AS APPLICABLE. r:'rr'K °OX AS APPLICABLE,
SOIL EVALUATION Scale: 1' = 40' SYSTEM PAGE 2 OF
SITE MAP 0 40 60 S° I -'LOT PLAN
PROJECT NAME (10 ft grid) a DESIGN FLOW: 0 () GPD
3 10
-%V&S• o r�i V/p'�{' Attach design flow calculations for commercial. plans.
PROJECT ADDRESS: Pipe Material / ASTM Standard (Tables 384.30-3 & 384.30-5)
N Sanitary Sewer.Gr,.. /
BM Symbol: BM Elevation: " FT Force Main: ''� I_'
BM Description:
Indicate north by IMPORTANT
Slope Gradient (%) Well Symbol (if applicable): 0 drawing an arrow Show ground elevation contours at suitable intervals.
of Tested Area: on the approprite line.
n I
L'1
x,k 1,dew
UL 062026
finning
04n9 AgenCY
IZ
.Jts4 h0 J .c.
0 I
ArcGIS Web Map
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
RECEIVED
JUL 082026
Bayfield Co.
Planning and Zoning Agency
Attachments:
Enclosures:
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
Owner Name(s):
Owner Address:
Project Address
°J
Govt. Lot: __ Jl i 1/4 of /) &114, Section, T 1'? N -R w E or W
Township: "j-rc^ f;vkt County:
Project Parcel ID #: ( 9 £70
Phone: - -
Zip:
plicable)
cable)
Designer Information
Designer Name: La't/ ≤Ciicel Phone: /j�-%Oe
Designer Address: /iO;c' /)casc•J c_c / Rd Zip: cyqS�
E-mail: cafe,.`(-ce:^-)
License Number: AVA5 — /Q3'
Remarks:
Signature: Date:
O • i sign u(required on each submitted copy.
❑
CHECK BOX AS APPLICABLE.
SOIL EVALUATION
40'
Scale: t'=40'
CHECK BOX AS APP (CABLE.
SYSTEM PAGE 2 OF
0
ao
SITE MAP
PROJECT NAME`: (10 nod)
c<GCC a 1 n r.. I , l —,
LOT PLAN
DESIGN FLOW: 30 0 GPO
Anarh rinsian flnw calculations for commercial nlans.
10,
PROJECT ADDRESS:
SM Symbol: ?
BM Description:
eGradient I%
Slope )
of Tested Area:
BM Elevation: — FT
Well Symbol (if applicable): Q
N
Indicate north by
drawing ananox
an the approprlte line
Pipe Material / ASTMSttandard (Tables 384.303 & 384.30-5)
Sanitary sewer._4'TQ( /
Force Maln: /
IMPORTANT:
Show ground elevation contours at suitable intervals.
V !
Co
Can
Xa
9
a�
�o
Cc
Q -
J
d
P
IlA
cam_
—
RECEIVED
JUL 0 8 2028
5ayield Go.
Planning and Zoning AgenC1
6/30/26, 7:55 PM
Gmail - (no subject)
I SUPERIOR LP3000 1 -Compartment Tank gSUPERIOR
Weiebt (in lb:)
Tank: 15.n "
Lid: 9.`4
Total: 24.902
Volume of C accrue
Total: 6.2 Yd'
Gallon, Per lack: 70S
313— Ld
Enlarged Derail
Conylon."'
APPROVED
PT OF 9•t'E9Y AND PROFESSIONAL
SFvv'Ct
an coteel.Ow®1¢
4' -
we
SIDE VIEW
28"
5rn it
L
Manhole Opening-
2-1 2" Taper
PoI!-et6vlene
Baffle
Mastic
Rope
—184'
— 178"
4.
9" Air Spit
• 4J" Liquid
, Depth
%" 102"
11 6
4p
Produced bySuperior Precast Concrete, LLC
PO Box 1390
Hayward, WI 54843
S
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 by
the purchasers licensed professional engineer for
suitability of use.
Configuration may change from drawing, consult with SPC.
IpWuq FJe Hc. I N... Cvi,d..LLC. I 0.I -192O241
RECEIVED
JUL 082026
Bayfield Co.
httn-//mail nnnnla mmfmoilh,iN9Ik=alcInangm&A?Pif'9.O(1FXermfhlddhraad_ar-'IZFgi9FRR91n9d7A74&cimnlemcn_ar_17QdR7974Q7797] oro
PAGE4OF4
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 = gpd
Inspection Checklist INSPECT EVERY 3 YEARS
o type of use
o age of system
o nuisance factors (i.e. odors, user complaints, etc.)
o mechanical malfunction (i.e., pumps, valves, switches, floats, etc.)
o material fatigue (Le., leaks, breaks, corrosion, etc.)
o neglect or improper use (he., 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. 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 componegt�o i4Wr jnaj!rtction to: 1(s (per I9
Name of individual or company: i Ft7" r'P v ae2+'rr CC�i :ms—µ Phone: �TS—�*'Z ' —r"�+
Local government unit: fie&n cI d COov� / 33l1 %-,e Phone: / i' . %'73 ) 3�
Local government unit address: ))> 6. 5-\! (.-It ch bu rn t-il ZIP: 5'1fl %
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 P0WTS 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.
RECE WED
JUL 0 8 2026
aayfield Co.
planning and Zoning Agency
HOLDING TANK — MANAGEMENT PLAN
The Private Onsite Waste Treatment System (POWTS) has been designed and is to be
installed and maintained according to SPS 383, Wisconsin Administrative Code,
Holding Tank Component Manual for Private Onsite Waste Treatment Systems
(SBD-1 0571-P)(R.6/99) and the Bayfield County Zoning Department Sanitary and Private
Sewage Ordinance.
This POWTS has been designed to accommodate a maximum daily flow of
3CT1) gallons of domestic wastewater per day.
The owner of this POWTS is responsible for system operation and
maintenance, locking device, alarm and access.
The owner or owner's agent is required to submit reports as required by SPS
383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department.
4. Design approval and site inspections before, during and after the construction
are accomplished by the county or other appropriate jurisdictions in
accordance with SPS 383 of the Wis. Adm. Code.
5. Maintenance Cycle. The holding tank must be serviced by licensed pumpers.
An alarm system is to be installed to activate when the tank is ≤ 90% full.
6. Performance monitoring. At the time of servicing, the service provider files a
report with the department of designated agent.
7. A User's Manual will accompany the component. It will include the names
and phone numbers of local health authorities, component manufacturer or
POWTS service provider to be contacted in the event of component
malfunction or failure.
8. In the event that this POWTS or a component of this POWTS fails and cannot
be repaired the owner will find in the User's Manual the names and telephone
numbers of property licensed individuals to contact for such repairs.
This agreement shall be binding on all assignees and heirs
NE 1/4 of NE 1/4 Section29 Township 47 N. Range 8
Govt.
Lot Lot Block
Additional
Su
Property Owners Signature RECEIVED
u/forms/ma n agemenlpla n
JUL 0 8 2026
W. Town of Iron River
07/06/2026
Date
CSM#
Revised: July 2013
Bayfield Co.
planning and Zoning Agency
h-Ob3C)�
TANK
DOCUMENT NUMBER
2O26R-6 1 285O
Michael S Sine 648 Kreekview Drive
Osceola, WI 54020
Parcel Identifier Number (PIN) Agreement Date (same as Notary Date)
04-024-2-47-08-29-1 01-000-10000 07/26/2026
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 Co. SPS 383,
Wis. Adm. Code or Ch. 145, Wis Stats.
NE 1/4 of NE 1/4 Section 29 Township 47 N. Range 8 W
Town of Iron River
Additional Legal Description:
Gov't Lot — Lot Block Subdivision CSM#_
Lot_CSM # Vol _Page CSM Doc#
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY. WI
RECORDED
O7/O8/2O26 AT 1O:32 AM
RECORDING FEE: $30.00
PAGES: 1
RECEIVED
JUL 092026
Return To: Bayfield Co.
Planning and Zoning Agency
2 1L -
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 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 by law.
3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Scats., 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 from 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
properly 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.
Owner(s) Name(s) — Please Print
Subscribed and sworn to before me on this date:
Michael Sine
TAMERAA. EHRLICHMAN
Notary Public
Minnesota
Notarized Owner(s) — Signature(s)
Notary Public
My Commission Expires:
Drafted by: Michael Sine
Personal Information you provide may be used for secondary puryoses [Privacy Law, a.15.04 Q)(m)1
Date:
07/06/2026
uKcoma/sanitarymddmgtankagreemant.doc ®.tune 2018
HOLDING TANK SERVICING CONTRACT
JUL 17 2026
Contract Date
Bayheld co.
07/14/2026
This contract is made between the vIannngandZcnin9A9eflCY
Holding Tank Owner(s) Name(s)
Michael Sine
Pumper's Name (P' t)
P imper's Sig ature
Pumpers' Registration #
We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions)
PROJECT
I Legal Description:
I IDp
NE NE
LOCATION
j (Use Tax Statement)
1 987 0
1/4 ly4
29 47 8
Town of:
I Lot Size
I Acreage
Section ,Township N, Range w
Iron River
J
40
Gov't Lot
Lot U
CSM II
Vol. Page
SM Doc U
Lot(s) No.
elock(s) No.
Subdivision:
1. The owner agrees to file a copy of this contract with Bavfield 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 agreement required by SPS
383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) on a semiannual basis. 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;
b. The name of the owner of the holding tank; Nif ER "t,�
c. The location of the property on which the holding tank is installed; �4 Q
q o
d. The sanitary permit number issued for the holding tank; NOT
e. The dates on which the holding tank was serviced; = ; '9 ' m
f. The volumes in gallons of the contents pumped from the holding tank for each serviar,p
g. The disposal sites to which the contents from the holding tank were delivered. =��' 0& ac
4. This agreement will remain in effect until the owner or pumper terminates this contract. In thepp0of,ih9� in this
contract, the owner agrees to file a copy of any changes to this service contract or a copy of a eurr rvice contract
with the local government unit and the County named above within (10) business days from the date of change to this
service contract.
vner(s) Name(s) (Print) I Owner's Signature(s) Subscribed and Sworn to me:
Michael Sine on this�dayof
by: —
otary ubt
My commission expires on:
Revised: May 2016 (®Mey 2018) Drafted by MS
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (I)(m)I
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfieid County Property Listing
'Today's Date: 2/16/2026
Description
Tax ID:
PIN:
Legacy PIN:
Map ID:
Municipality:
SIR:
Description:
Recorded Acres:
Calculated Acres:
Lottery Claims:
First Dollar:
Zoning:
ESN:
Tax Districts
1
04
024
163297
001700
Property Status: Current
Created On: 3/15/2006 1: 15:34 PM
Updated: 4/23/2025 Ownership Updated: 4/23/2025
19870 MICHAEL S SINE OSCEOLA WI
04-024-2-47-08-29-1 n1-00
0-10000
024108008000
(024) TOWN OF IRON RIVER
S29 T47N R08W
NE NE IN DOC 2025R-607154 585
40.000
39.344
0
No
(F-1) Forestry -1
118
' Recorded Documents
Billing Ad ress:
MICHAEL S SINE
PO BOX 415
OSCEOLA WI 54020
MaJffgAddre s;
MICHAEL S SINE
PO BOX 415
OSCEOLA WI 54020
Site Address * indicates Private Road
8855 S GRAVEL PIT RD
IRON RIVER 54847
Property Assessment
Updated: 8/2/2012
2026 Assessment Detail
Code
Updated: 3/15/2006
G6 -PRODUCTIVE FOREST
STATE
2 -Year Comparison
COUNTY
Land:
TOWN OF IRON RIVER
Improved:
SCHL-MAPLE
Total:
TECHNICAL COLLEGE
Updated: 3/19/2008
IN WARRANTY DEED Property History
Date Recorded: 4/14/2025 2025r-607154 N/A
® QUIT CLAIM DEED
Date Recorded: 6/15/2021 2021R-589300
® QUIT CLAIM DEED
Date Recorded: 2/23/2018 2018R-571989
® TERMINATION OF DECEDENT'S INTEREST
Date Recorded: 3/28/2014 20 14R-553734 1122-938
19 QUIT CLAIM DEED
Date Recorded: 11/2/2007 2007R-517365 982-937
RECEIVED
JUL 08 2026
Bayfield Co.
planning and Zoning Agency
Acres
Land
Imp.
40.000
60,000
0
2025
2026
Change
60,000
60,000
0.0%
0
0
0.0%
60,000
60,000
0.0%
hffnc-//nn.n,.. I.... ......... --..1- - - -
AFIELD 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:
SINE, MICHAEL S
PO BOX 415
OSCEOLA, WI 54020
Description
Certified Soil Tests - Review & Filing Fee
Submission Number:
SR -00455
Transaction Number:
SR-00455-4A3CC
Amount
$50.00
Total: $50.00
Payment Amount: $50.00
Reference: 1227
Paid by: Schaffers Well Repair LLC, 60300 Mason Delta Rd, Mason WI 54856
Payment Type: Check
Transaction Date: 7/20/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
JJA-YFJELD 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:
SINE, MICHAEL S
PO BOX 415
OSCEOLA, WI 54020
Description
Private Sewage System (Holding Tanks)
Total:
Payment Amount:
Reference: 1227
Submission Number:
SS -00786
Transaction Number:
SS-00786-4A3CE
Paid by: Schaffers Well Repair LLC, 60300 Mason Delta Rd, Mason WI 54856
Payment Type: Check
Transaction Date: 7/20/2026
Amount
$400.00
$400.00
$400.00
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
BAYFIELD COUNTY
SANITARY PERMIT (#04)-26-94S
STATE SANITARY PERMIT
OWNER: MICHAEL S SINE
GOV'T LOT: LOT: B LK:
NE 1 /4 NE 1 /4 SEC: 29, T 47 N, R 8 W
TOWNSHIP: Iron River
SOIL TEST: 90-26
NEW SYSTEM
SYSTEM TYPE: Holding Tank
PLUMBER: CORY SCHAFFER
EMILY MACGILLIVRAY
Authorized Issuing Officer
DATE: 7/20/2026
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: #
;ondition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all-
veather road.
THIS PERMIT EXPIRES 7/20/2028
MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION