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Home My WebLink About26-107StARTvI Department of Safety s 'w x alb= & Professional Services, S Q ' Industry Services Division "44 IslxR Sanitary Permit Application 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 state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide maybe used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stats. I. Application Information — Please Print All Information Rebecka Olson Property Owner's Mailing Addres 32635 State Hwy 13 Bayfield, WI 54814 1715-200-4116 II. Type of Building (check all that apply) Lot # 01 or 2 Family Dwelling — Number ofBedrooms 1 Block # 0 Public/Commercial — Describe Use County -10'79 ion Number 32555 State Hwy 13, Bayfield 39709 Govt. Lot NW ,- SE r., Section 20 T 51 N R 04 DorW ❑ Cityof Q State Owned — Describe Use O Village of CSM Number M Town of Russell III. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on fine A. Check one box on line B. Complete line C if a licable A. New System ❑ Replacement System ❑ Other Modification to Existing System (explain) ❑ Additional Pretreatment Unit (explain) B' 0 Holding Tank 0 In -Ground ❑ At -Grade ❑ Mound ❑ Individual Site Design gn ❑ Other Type (explain) (conventional) C. ❑ Renewal Before ❑ Revision 0 Change of Plumber ❑ Transfer to New Owner List Previous Permit Number and Date Issued Expiration Design Plow (gpd) Design Sal Application Rate(gpd/st) Dispersal Area Required (sI) Dispersal Area Proposed (sf) System Elevation 150 Capacity in Total # of Manufacturer Tank Information Gallons Gallons Units 2 o •g v m 2 New Tanks Existing Tanks Septic or Holding Tank O 2000 1 Wieser n n n n n V. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number I Business Phone Number Edward B. Redinger 221939 715-292-6670 Plumber's Address (Street, City, State, Zip Code) 1015 -11th Ave. E. Ashland, WI 54806 'Approved I 0 Disapproved Permit ree I Date Issued ) Issuing Agent Signature c t" ./Y1cC (lc bl �c ❑ Owner Given Reason for Denial � Conditions of Approval/Reasons for Disapproval $E0i�V fb Ct `' lQ d 'Mc. Macs O S 2028 Bayfwld Co. Planning and Zoning Agency Attach to comolets mans for the system and ,nhmit to the Gnntv only an naner not it,, than R in • II innhoa in aivn SBD-6398 (R. 03/22) 5� Soil Test # �6-a Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) I Edward Redinger 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 Rebecka Olson Property Address 32555 State Hwy 13 Bayfield, WI Contractor Superior Plumbing & Mechanical Authorized Agent's Telephone Telephone 952-200-4116 Written Authorization Attached: Y or N Accurate Legal Description is requested: NE 1/4 of SE 1/4 Section 20 Township 51 N. Range 04 W. Town of Russell Additional Legal Description: Govt. Lot Lot Block Subdivision Lot CSM# Vol. Page CSM Doc # 2025r-609708 2gj Volume Page of Deeds Tax I.D# 39709 Acreage 5 Indicate reasoning for your determination: Mottling near surface. ii VED Signature of Certified Soil Tester iUL 082026 7/7/2026 B°YBeld Go. Date plannlnJ ni,d -otilrg Agent' 221939 Signature,. CounW4Dfficiajl Date Certification # (Submit a Plot Plan & Fee) u/forms/soiltestwai ver(KLK ) June 2018 Wisconsin Department of Safety and Professional Services c Division of IndustryServices (=l=P= /� SOIL EVALUATION REPORT � In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 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. 39709 Please print all information. Reviewed by rsonal information you provide may be used for secondary purposes (Privacy Law. s. 15.04(1)(m)). 12 Page of______ Date Property Owner Property Location ❑ 0 Rebecka Olson Govt. Lot NW V SE i S 20 T 51 N R 04 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 32635 State Hwy 13 715-200-4116 32555 State Hwy 13 Bayfield. WI City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road Bayfield WI 54814 ( ) Russell State Hwy 13 Q New Construction Use: ❑9 Residential/Numberofbedrooms 1 Code derived designflow rate 150 GPD ❑Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable ft. Parent material l ak Plains General comments and recommendations: Holding tank due to mottling close to Surface oring 1 Boring # lP ■ Ptit 12 Ground surface elev. ft. Depth to limiting factor in.! elev. ft. Soil Aoolication 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 1 0-12 5yr3/2 - sit 2mabk ml cw 3cc .6 .8 2 12-30 Syr 5/4 c2d Syr 6/8 sl 1 fabk ml cw 1 m .4 .7 3 30-36 5yr4/4 - sic lfabk mvii - - 0 0 ED ❑ Boring # JUG 08 2026 oPitring Bay Ca i. o Agency Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Aoolication 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 CST Name (Please Print) ISi azure CST Number Edward B. Redinger 221939 Address I Date Evaluation Conducted Telephone Number 1015 11th Ave. E. Ashland, WI 54806 717/2026 715-292-6670 Effluent #1 = BOD > 30 5 220 mg/L and TSS > 30 5150 mg/L 'Effluent #2 = BOD, 5 30 mg/L and TSS S 30 mg/L SBD-8330 (R04/21) Page 2 of 2 sT i _� PROPOSED B.M. = TOP OF RV PLUG OUTLET HOME_ BOX AT ELECTRICAL PED. BM -100 160' ./- TO EAST PROP. LINE CB -1 1 P n- 1 ASUPERIOR iRUYGMO 1ucn.wicu (715)292-667O 400' .1- TO SOUTH PROP. LINE CONTACT INFORMATION PHONE: 952.200-4116 EMAIL: rebeckakrueger@yahoo.com N PARCEL #:39709 5 ACRES TOWN OF RUSSELL NE1 /4 SE1 /4 S20 T51 N R04W OLSON, REBECKA Plot Plan 32555 STATE HWY 13 Date 7/7/2026 ON BAYFIELD, WI 54814 Drawn by JCR Checked by ED REDINGER, CST #:221939 1 Scale 1" = 60'-0" PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Component Manual Design References: Version 2.0, SBD-10855-P (N. 03/07; R 01/12) 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: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appF Holding Tank Agreement (if applicable) Project Name / Description 1 Bedroom Holdina tank Owner Name(s): Rebecka Olson Owner Address: 32555 State Hwy 13 Bayfield, WI plicable) cable) Phone: 952 200 4116 Zip: 54814 Project Address: 32555 state Hwy 13 Bayfield, WI Govt. Lot: NW 1/4 of SE 1/4, Section 20 , T 51 N -R 04 E ❑or W ❑✓ Township: Russell County: Bayfield Project Parcel ID #: 39709 Designer Information Designer Name: Edward Redinger Designer Address: 1015 11th Ave. W. Ashland, WI E-mail: ed@superiorpmw.com License Number: 221939 Remarks: Phone: 715 -278 _3456 Zip: 54806 This space reserved for approval stamp. AUG 032026 Bayfield Co. Planning and Zoning Agency Signature: Date: 7/28/2026 Original signature required on each submitted copy. Page 2 of 4 WIESER 2000 GAL 160 ./- TO EAST PROP. LINE 08 1 EDNot Plan 1" = 60'-0" eSUPERIOR PWMGM3 M[CMAMUL (715)292.6670 400' +1 -TO SOUTH PROP. LINE CONTACT INFORMATION PHONE: 952-200-4116 EMAIL: rebeckakrueger@yahoo.com OLSON, REBECKA 32555 STATE HWY 13 BAYFIELD, WI 54814 N PARCEL #:39709 5 ACRES TOWN OF RUSSELL NE1 /4 SE1 /4 S20 T51 N R04W R!C!?V E D Plot Plan Plannln Date 7/7/2026 Drawn by JCR Checked by ED REDINGER, CST #:221939 Bayfield Co. C100 PAGE 3 OF 4 Electrical must comply with SPS 316 and NEC 300 18"Min. (typical) Inlet Approved Joints with -✓ Approved Pipe 3 ft onto Solid Ground (typical) HOLDING TANK SPECIFICATIONS (No Scale) p Weatherproof —Junction and Alarm Box Approved Locking Manhole with Warning Label Attached (typical) Finished Grade Max. 12" or 90% of total volume if more than one tank 40 Vent Pipe >10 ft from wed Building 12" Min. or 2.0 it above Cap Established Flood Elevation 4" Min. or 2.0 ft above / (typical) Established Flood Elevation ?T / (typical) Compartment I Vol = 1250 gal Compartment 2 Vol = 750 gal e TOTAL HOLDING TANK VOLUME= 2000 gal .• 3" Approved Bedding Material Beneath Tank TANK MANUFACTURER: Wieser 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 = [( cu.ft. x 62.4 lbs/cu.ft) - Ibs] x 1.5 = lbs Plug 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 = 150 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 (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. 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: Superior Plumbing & McCh. InC. Phone: 715-292-6670 Local government unit: Bayfield Co Zoning Local government unit address: 117 5th St. E. Washburn, WI Phone: 715-372-6138 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. RECEIVED AUG 032028 Bayfield Co. Planning and Zoning Agency WLP1200/800-MR TANK SPECIFICATIONS 164" I>D DIMENSIONS: A co WALL'S' BOTTOM: 3' — 91 o� .! o COVER: 6" o MANHOLE: 24" I.D. PRECAST CONCRETE FFER Q HEIGHT: 53" 0.0. ¢ LENGTH: 164" O.D. WIDTH: 96" O.D. 4" CAST -A -SEAL 4"' CAST -A -SEAL BELOW INLET: 41" O.D. LIQUID LEVEL: 36" X24" WEIGHT: BOTTOM 12,000 LBS. COVER 8,170 LBS. rn TY� O INLET AND OUTLET: 4" CAST -A -SEAL BOOT OR EQUAL GASKET, CAST -A -SEAL BOOT OR EQUAL FILTER OR INLET AND OUTLET BAFFLE AND FILTER: BAFFLE WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) LIQUID CAPACITY: 33.46 GALAN SEPTIC) 22.24 GAL/IN PUMP) LOADING DESIGN: 8' 0" UNSATURATED SOIL m a a w INIET 9 TOP VIEW i7 SIDE VIEW TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS 4" VENT m M PUMP PAD MN TANKS: WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON COVER: MIX DESIGN #8 (NO FIBER) TANK: MIX DESIGN #9 (SMALL FIBER) CUSTOMIZED TANKS: FOR CUSTOM TANKS CONTACT WIESER CONCRETE JOB INFORMATION: CUSTOMER: ]0B NAME: DATE NEEDED: APPROVED BY: PPROVAL DATE: W III N W U Qo LO 00 00 - � M Ws l Waco Qo N z z a F w a v: W U S 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-10571-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 J5y gallons of domestic wastewater per day. 2. The owner of this POWTS is responsible for system operation and maintenance, locking device, alarm and access. 3. 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 IN_1/4 of _1/4 Section Township_ N. Ran9eW. Town of !1� Govt. Lot Lot Block Subdivision CSM# Additional Legal Description Property Owners Signature Date u/forms/m anagementplan RECEIVED Revised: July 2013 AUG 0 37026 Bayfield Co. planning and Zoning Agency 3. The owner or owner's agent is required to submit reports as required by SPS 383.55(1), Wis. Adm. Code, to the Bayfleld 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 'L1/4 of.1/4 Sectionw Township6t N. Range�W. Town of Qlisc _6! Govt. Lot _Lot _Block ..'_Subdivision CSM#_ Additional Legal 1.. 7 - Property Owners Si nature Date ulomn/managementpNn Hevaed Jul, 2013 HOLDING TANK SERVICING CONTRACT Contract Date 7-2?- 4 This contract is made between the „rr_1-, S crtilr�I Th 12R? RECEIVE AUG 032026 I3ayfetd Co. "..:Planning and Zoning Agency We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) Legal Doscrioton: InJ R PBATIO . y)q lfq LOCATION IUse Tax Statement) ^^--- ' Town of: Lot sit. A4aaga Section F' ,Township 'fl ( N, Bang. 7 W Gov't Lot Lot B CSM if vol. Page CSM Doc if Lotttl No, Block(a) No. Subdivision: 1. The owner agrees to file a copy of this contract with Bavfleld 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; c. The location of the property on which the holding tank is installed; 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. Revised: May 2016 (i May 2018) Drafted by Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (I)(m)) Document Number/Plan I.D. No. HOLDING TANK AGREEMENT Owner Name (s) Owner(s) Mailing Address Parcel Identifier Number (PIN) Agreement Date (same as Notary Date) oNU 2-5 _oH zv Noe-aro 3wdo 7/z3JioZCR We acknowledge that application is being made for the installation of (a) holding tank(s) 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 onslte wastewater treatment systrmias permitted under Ch. SP9 383, Wls. Adm. Code or Ch. 145, Wis Stats. N111111111/; sA.MA,, Ii' NorgRy ��! c,: LG1U ' //1111111 11111 F"--YFIELD Property Owner: OLSON, REBECKA J OLSON 32635 STATE HWY 13 BAYFIELD, WI 54814 Bayfield County Planning & Zoning Department 117 E 5a, 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 -00458 Transaction Number: SR -00458-49A55 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10824 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806 Payment Type: Check Transaction Date: 7/16/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. HOLDING TANK AGREEMENT DOCUMENT NUMBER Document Number Document Title 2026R-61 3 1 99 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 08/03/2026 AT 2:43 PM RECORDING FEE: $30.00 PAGES: 5 Recording Area Name and Return Address Zoning Parcel Identification Number (PIN) RECEIVED AUG 0 42026 gayfield Co. Planning and Zoning Agency THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE. This information must be completed by submitter: document title. name & return address, and PIN (if required). Other information such as the granting clause, legal description, etc., may be placed on this first page of the document or may be placed on additional pages of the document. WRDA Rev. 12/22/2010 Document Number/Plan t.D. No. HOLDING TANK AGREEMENT Owner Name (s) Owner(s)Malunu Address Ck'G' Gt JZ(D' S17J4( Uovp hoc Parcel Identifier Number (PIN) Agreement pate (baffle Os Notary Palo), 0H-vH4 -2-51-oH 10 Noe-ooy 3icno 7/z312oZCa We acknowledge that application is being ritade for the Insiallallori of (a) Ilolding'lank(s) on the follovrinu property or that continued use of the existing premises requires that a holding tank be Installed on the properly for the purpose of proper containment of sewage. Also, tire property cannot now be nerved by a municipal sower, or any other type of private onsiie wastewalerlreatntent system as Permitted under.Ch. SPS 3y3, Wls, Adm. Code or Ch:1.45, Wia Slats,, - t RECEIVED AUG 042026 sayrerd GO. Planning and Zoning Agency N�1114 ol5Sd 1/4 Section 2TownshlIfrY,N. Range Town of �I"4_�fi GLG Additional Legal Description: Return To: Gov't Lot Lot_ Block_ Subdivision Lot_CSM #_ Vol _Page _CSM Doc# 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, Ws. 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. 86.0703, 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. Slats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, 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. 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. 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 onslte 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: % Jul cQ3rraO (o Notarized er(s)— Signature s� My Commission Expires: tece►nb ►113 1Qoa7 Drafted by: Qa b-t'c/L d/son Date: Personal Information you pmMe may be used forsecondary purposes lPdaacy Law, s.15 04 (p(m)i RECEIVED AUG 042026 Bayfield Co. Planning and Zoning Agency ulfomelsanllarylholdinglsntegmemenl,doc tJune 2018 11111Iftryy7jZ' NOT,q,;.�j_ -at \ O ICL State Bar of Wisconsin Form 3-2003 QUIT CLAIM DEED 'Documad Number 11 Docunicnl Name THIS DEED, made between Joanna R. Koran Jeffrey D Koran, wife and_ hnslmnd and Scott R fllcnnYasjoint tenants ("Grantor;' whether one or more), and ("Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in BAYFIELD County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): A parcel of land located in the NW 1/4 - SE '/4, Section 20, Township 51 North; Range 4 West, Town of Russell, Bayfield County, WI more particularly described as follows: Commencing at the South 'A corner of said section; Thence N00°09'27"E along the west line of the monumented SE'/4 a distance of 2,190.20 feet to the Point of Beginning; Thence N00°09'27"E and continuing along said west line a distance of 427.84 feet to the monumented C'/4 corner; Thence S89°12'40"E along the north line of the SE'/4 a distance of 293.55 feet to the westerly right of way of S.T.H. "13"; Thence S45°50'02"E along said right of way a distance of 437.14 feet; Thence S30°47'03"E and continuing along said right of way a distance of 149.75 feet; Thence N89°12'40"W a distance of 684.98 feet to the Point of Beginning. Dated ( 0$ Q c 7 J c� -- AUTHENTICATION Signature(s) ,,,t1IIIlh, r` ILL authenticated on `v TITLE: MEMBER STAT (if not, %9p authorized by Wis. Stat. THIS INSTRUMENT DRAFTED BY: ATTORNEY MAX T. LINDSEY SB#I 112865 Anich Wickman & Lindsey, S.C., Ashland, WI 54806 DOCUMENT NUMBER 2025R-609708 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/24/2025 AT 12:49 PM RECORDING FEE: $30.00 TRANSFER FEE: $18.60 PAGES: 2 ELECTRONICALLY RECORDED Recording Area and Return Rebecka J. Olson 32635 State Highway 13 Baylield, WI 54814 This IS NO'r homestead property. (is) (is not) RECEIVED AUG 0:4 2026 Bayfield Co. planning and Zoning Agency ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ASHLAND COUNTY ) Personally came before ale on OQ.jf)bnx 7LX-2—V the above -named Jeffrey n Koran and to me known to be the person(s) who executed the foregoing. instrument and acknowledged the same. * Abiga E. Elza Notary Public, State of Wisconsin My Commission (is permanent) (expires: 07/04/2026 (Signatures may be authenticated or nclumwledged. unit, arc nut necessary.) NOTE:'rHl5 IS A STANDARD FORM, ANY MODIFICATIONS TO T111S FORM SHOULD llli CLEARLY IDENTIFIED. QUIT CLAIM DEED @2003 STATE LIAR OF WISCONSIN FORM NO.3-2003 `'Type name below signatures. ti I Dated this 7._ day of t4 {.__, 2025. oanna R. Koran ACKNOWLEDGMENT State of Wisconsin ) ) ss. County of Ashland ) Personally came before me this 24 day of 1 eg —, 2025, the above -named Joanna R. Koran, to me known to be the person who executed the foregoing instrument and acknowledged the same. Notary'public, State of Wisconsin My commission expires: Op 4I2b7,lp ��111 11111, ' rP'• pllE1_�U ::C��'_ RECEIVED AUG 041026 Bayfield Co. Planning and Zoning Age"cy BAYFIELD 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: OLSON, REBECKA J OLSON 32635 STATE HWY 13 BAYFIELD, WI 54814 Description Private Sewage System (Holding Tanks) Submission Number: SS -00810 Transaction Number: r $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 10858 Paid by: Superior Plumbing & Mech Inc, 1015 11th Ave E, Ashland WI 54806 Payment Type: Check Transaction Date: 8/11/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD COUNTY SANITARY PERMIT (#04)-26-107S STATE SANITARY PERMIT OWNER: REBECKA J OLSON GOVT LOT: LOT: BLK: NE 1/4 SE 1/4 SEC: 20,151 N, R 4 W TOWNSHIP: Russell SOIL TEST: 86-26 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: EDWARD REDINGER EMILY MACGILLIVRAY DATE: 8/11/2026 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: # 221939 Condition: Properly Maintain System Per Recorded Agreement. Must be within 25 ft of an all- weather road. THIS PERMIT EXPIRES 8/11/2028 MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION