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HomeMy WebLinkAbout26-0494BAYFIELD COUNTY SANITARY PERMIT APPLICATION Zoning District Lakes Class I. APPLICATION INFORMATION Soil Test I County t Gl , (Please Print All Information) No: _ o Perm(t.No: __ll 1 Property Owner's Name: $ S `� County: Bayfleld i Address of Property: Property Location: n �r r2C 7 3 3b0 O b OL 1y— K '/. Y.. S T N,R E (or) W Property Owner's Mailing Address: Township: Gov. Lot #: SdP S I I lty. State I Zip Code I Phone Number Lot # I Block #: CSM #: I CSM Doc # Subdivision Name II. TYPE OF BUILDING: (Check One) I I I1vEp ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) 5— AUG 28 2026 CJ 1 or 2 Family Dwellin - No. of Bedrooms III. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) �ew ❑ Replacement ❑ County Private Interceptor PWnnin9 ❑ Reconnection ❑ Repair ❑ Revision ** ❑ Transfer of Owner (List Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. 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 0C' gallons or _cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating 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 / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK Capacity Fiber INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel - glass Plastic Exper. App. New Existing Tanks Tanks Septic Tank or Holding Tank Lift Pump Tank I Siphon Chamber VII. RESPONSIBILITY STATEMENT: I the undersigned, assume responsibility for installation of the onsite sewa tern show o he att c pl s. Owner's Name(s): (Print) If applying for Section C above O er igna ure o St ps;t: -Z9; LL Plumber's Name: (Print) If applying for Section A or B) above Si Plumber' n ture: (No St ps) P/M SW No: Plumber's Address: (Street, City State, Zip Code) Home Phone: Bu ' hone: VIII. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit/Transfer Fee: I Date Issued: I Issuing Agent's Signature / Date: Approved ❑ Owner Given Initial 9/I sldoa6 o1/� Adverse Determination v 1 lc ! di1� IX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: Plot Plan on reverse side Lot Line 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the approximate location and size of the building. IMPORTANT DETAILED PLOT PLAN 3. Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -o) COMPLETELY 4. Show the location of any lake, river, stream or pond if applicable. 5. Show the approximate location of other existing structures. 6. Show the approximate location of any wetlands or slopes over 20 percent 7. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b Building to centerline of road j. Privy to lake, river, stream or pond c. Building to lake, river, stream or pond k. Drain field to closest lot line d. Septic / holding tank to closest lot line I. Drain field to building e. Septic/holding tank to building m. Drain field to well f. Septic / holding tank to well n. Drain field to lake, river, stream or pond g. Septic / holding tank to lake, river, stream or pond o. Well to building h. Privy to closest lot line Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/forms/sanitary/bayfieldcountysanitaryapplication Revise: June 2018 Proofed by: Real Estate Bayfield County Property Listing Todfy's Date: 8/28/2026 Description Updated: 12/4/2020 Tax ID: 28952 PIN: 04-046-2-51-04-04-3 04-000-40000 Legacy PIN: 046100507006 Map ID: Municipality: (046) TOWN OF RUSSELL STR: SO4 TS1N R04W Description: LOT 6 CSM #1389 IN V.8 P.239 (LOCATED IN SE SW) IN DOC 2020R- 585308 Recorded Acres: 9.420 Calculated Acres: 9.961 Lottery Claims: 0 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 128 'S Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 046 TOWN OF RUSSELL 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE -4' Recorded Documents Updated: ® WARRANTY DEED Date Recorded: 11/9/2020 2020R-585308 91 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 5/22/2020 2020R-582229 93 TRANSFER ON DEATH TO BENEFICIARY Date Recorded: 4/13/2020 2020R-571730 ® CONVERSION Date Recorded: 500470 601-374;802-616+ ® CERTIFIED SURVEY MAP Date Recorded: 7/14/2005 2005R-500470 Property Status: Current Created On: 3/15/2006 1:16:00 PM a Ownership Updated: 12/4/2020 THOMAS MARSH FRITZ MOUND MN Billing Address: THOMAS MARSH FRITZ 5875 PAINTER RD MOUND MN 55364 Mailing Address: THOMAS MARSH FRITZ 5875 PAINTER RD MOUND MN 55364 Site Address * indicates Private Road 33280 OLD COUNTY HWY K ® Property Assessment 2026 Assessment Detail Code Gi-RESIDENTIAL G6 -PRODUCTIVE FOREST BAYFIELD 54814 Updated: 7/20/2026 Acres Land Imp. 1.000 6,600 35,600 8.420 15,200 0 2 -Year Comparison 2025 2026 Change Land: 15,400 21,800 41.6% Improved: 0 35,600 100.0% Total: 15,400 57,400 272.7% G Property History N/A RECENED UG 28 NN Bayfield Co. planning and 100109 AgeOCy PRIVY AGREEMENT DOCUMENT NUMBER Document Number Document Title II 2026R-6 1 3804 DANIEL J. HEFFNER REGISTER OI--DEEDS BAYFIELD COUNTY. WI RECORDED 08/28/2026 AT 8:39 AM RECORDING FEE: $30.00 PAGES:2 Recording Area Name and Return Address Zoning Parcel Identification Number (PIN) RECEIVED AUG 31 2026 Bayfield 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 • PRIVY AGREEMENT • (ATTACHED TO THE SANITARY PERMIT APPLICATION) �/7 86 D 23%Sz- Legal Descrip io@ S-yS3,,r ection, Township, Range 1/4, 1/4, S T N, R W RECEIVED Gov't Lot Lot #� CSM# 1 Vol & Page CSM Doc. # to l 3 ,'3 `1 JR Z37 z�{o bC -` b AUG 312026 Lot(s) # Block(s) # Subdivision Bayfield Co. Planning and Zoning Agency Tax l9 #, Date: _ 2 Return To: 1. NO PLUMBING will be installed in the habitable building. Zoning 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 I 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 clean 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. This instrument was signed before me in the State of (., c.nn.c, Countyof 4 C On this a /�}� dayby:�YQ•o2 �i' cIh j7 'Notaryy O Pub1' My commission expires on: _)`P/ ^G V _ out by peisea-ssbrnitting form) © December 2012 I = YFIELD 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: Submission Number: CS -00185 Transaction Number: CS-00185-4CFF8 Description Amount County Sanitary Permit: 1 $150.00 Total: $150.00 Payment Amount: $153.57 Reference: 1047408475 Paid by: Molly Larson Payment Type: Debit 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 — Vault Privy SIGN - SPECIAL - CONDITIONAL - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0494 Tax ID: 28952 Issued To: FRITZ, THOMAS MARSH Location: S04 - T51 N - R04W Town of RUSSELL Legal Description: LOT 6 CSM #1389 IN V.8 P.239 (LOCATED IN SE SW) IN DOC 2020R-585308 Residential Structure in R-RB Zoning District For: Sanitation Permit —Vault Privy [200 Gallon] (I?isclairner): Any iuture expansions of development would require additional permitting Condition(s): 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) 685-2900. 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. Emily Macgillivray, AZA Authorized Issuing Official September 15, 2026 Date