The URL can be used to link to this page

Home My WebLink About26-0528GS-Oo)u BAYFIELD COUNTY SANITARY PERMIT APPLICATION Zoning District Lakes Class Print All M t 'VC WZfC L — L,4c1 '° mt'J M - Address of Property: 1 12.uN fi. f o(pOS C. Ebar.2 C Z€ST Property Owner's Mailing Address: 7iakla $r( ?- City, State Zip Code Phone Number A SL.'i r+N, W Zip II. TYPE OF BUILDING: (Check One) ❑ State Owned ❑ Public (Explain the use/purpose ) M, 1 or 2 Family Dwellina - No. of Bedrooms 2 - No: lC3 -O7. Permit No: - ) County: Bayfleld /. Y.,S03 T LICo N,R OB'W E(or) Lo Block #: CSM #: C t# # Property owner email: It c. A) U New U Replacement U County Private Interceptor EZI Reconnection ❑ Repair ❑ Revision " ❑ Transfer of Owner (List Previous Owner below) B) A Sanitary Permit was previously issued. Previous Permit Number.? P SS 60 Date Issued: 71 z' C) ❑ Pit Privy ❑ Vault Privy (Vault size: gallons or cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet 1. Gallons 2. Absorption Area 3. Absorption Area 4. Loading Rate 5. Perc Rate 6. System 7. Final Grade Per Day Required (Sq. Ft.) Proposed (Sq. Ft. (GallonslDay/Sq Ft) (Mi Elevation(Feet) Elevation(Feet) 3e0 KZF (0 53 C&X r) ay-) 915.5 TO VI. TANK I Capacity INFORMATION: I In Gallons Total I # of IManufacturer's Prefab. I Site Steel Fiber- Plastic Exper. New I Existing Gallons I Tanks I Name I Concrete I Constructed App. Tanks Tanks CCU__ Septic Tank or /moo loom l 1Z.j4S Hnldinn Tank rr n onoc VII. RESPONSIBILITY STATEMENT: rianning ana honing agency I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner Name(s): (Print) if applying for Section C above j Owner Signature(s): (No Stamps) Plumber Nam:(Vnn�fapLLyWr¢ing for Section A or B) above Plumber ^gna e:(NO Stamps) mr�3KJVVNo: C1+W0 A l OI1arJrV Ou/ A 15i6Gv Plumber Address: (Street, City State, Zip Code) I Plumber Phone/Cell: I Plumber Email. c' r?Cx �(c C ?Cc,WI S'ttizt -7i1 djb 3:?S'S VIII. COUNTY I DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit/Transfer FitloP'4� I Date Issued: I Issuing Ae nt's Signature / Dat ❑ Owner Given Initial /a,atAdverse Determination X ;3 I . CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: on reverse Lot Line Name of Frontage Road: 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: NE® a. Building to all lot lines �CiE 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 2026 Q k. OC Drain field to closest lot line d. Septic / holding tank to closest lot line Septictholding tank to building co. IwI Drain field to building Drain field to e. BaYd10iogP'�rn. a well f. Septic / holding tank to well \Z1nla9 n. Septic / holding tank to lake, Drain field to lake, river, stream or pond Well to building g. river, streafi or pond o. h. Privy to closest lot line Email to: permits@bayfieldcounty.wi.gov or Mail to: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/forms/sanitary/BayfieldCountySanitaryApplicafion Revised 9/9/2026 Proofed by: of a to C c, -- -- ---- ��'��{� 'r I -- --a--�-- R ,_ r� air?_ _. .71 RECEIVED OCT 012026 Bayfield co. Manning and Zoning Agency Ge�Gr Cres+ trUG 4 �o ai � J l Uc Q u, D '• pvt G S tl p sw • s•eLW.�t< .l{',ao y(30` Safety and Buildings Division 00 7O(ou County 201 W. Washington Ave., P.O. Box 7162 iseonsin Madison, WI 53707 — 7162 Site Address Department of Commerce SOIL (�(g5 £ktltt Ci,,,d.F .Qrtue Sanitary Permit Application " t Nuarber In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ki 9SG� may be used for secondary purposes Privacy Law, 515. 1 (m ❑ Check if Revision I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name_I?_!- Parcel Number f(i Schelocan JUL 082002 I i t71( -/t(( i0 Property Owner's Mailing Address / Property Location fh Baylieln CO. Zoning Depi. City, State Code Phone Number Lot Number Block Number R �� _Zip A1 I'S 6 h �eLP,d z 5` r g C. Subdivision Name („p, ber . II. Type of Building (check all that apply) t0 1 or 2 Family Dwelling - Number of Bedrooms DCity ❑ Public/Commercial - Describe Use ❑Village b C 4"Q Nearest ❑ State Owned Nearest Road Road C.ec&a.r Cv€s 4 t)t(,i e III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 ❑ New 2 Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use System Tank Only Existing System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued RECEIVE® IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44,@Non -Pressurized In -Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Weiland OCT 012026 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line Ba Y6 Planning and Zoning ninging 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other Agenc V. DispersalJTreatment Area Information: Design flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate J System Elevation I Final Grade Required Proposed Rare(Gals./Days/Sq.FL) (Min./inch) .12 93.9 'I Elevadop e 95(, - ' 9s 9 - eeq5'. 1i 97. 1 VI. Tank Info Capacity in Gallons Total Gallons Number of Tanks Manufacturer Prefab Site Steel Fiber Plastic Concrete Constructed Glass New Enlisting sepne erNotmtQTa,k Tanks /exie9 Tanks - POod / Dosing Chamber VII. 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/ldPi1S Number I Business Phone Number Stn.< fi t�etsngss�a5 i �` 2 e 73 7c$ 19 —J'359' Plumber's Address (Street, City, State, Zip Cod `fa -9'(o call (03 Crstrit-c( tat s'(Fg1-i County/Department Use Only =APPmvcd0proved Sanitary Permit Fee (includes Groundwater Date ed Issuing Agent Signature (No Sgcam s)Surcharge Fee) —1.I -O2.zC / r Given Initial Adverse ZZSation // a 2 t� �' IX. Conditions of Approval/Reasons for Disapproval Sy5�ew. was ihs4all'nd Cvs -7-60, 02, prIor' ft aerrouc-C . S y5*ew. was vtck Ins pec ai, e\z .'c (cn..o �rov kedd 1109 tL6 n-� . .naeh rote& . nla . n.... r.._� _-......_ I 2002 SBD-6398 (R. 05/01) ........ a...uu uu tnper not less man ei,t x 11 Inches in size Secretariat Staff IN f2oSs .Sec SYST%7 17 FyyTi�/J II Ala SCALE OB5gcvArloll/ PIPE _ V T E 7--.A7El✓r DISPECSnL zo 4 — 02 f C/LCtcx4,(&s3.I c/t� S uRFnct ELEVArici RECEIVED OGT 12026 J eav�a co. y LEhaN wq CHAMQER M FGR, /c -t1 F, frkDsL !!—�U S., / Punning and Zone g �OTECi NAME 77�.cc SGlie iUd� rf 7G(. SIGNEtj `y dG �titat a�� E�uro • Wisconsin Departmentof Commerce SOIL EVALUATION REPOFT ., ..page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Qa the / Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must Include, but not limited to: vertical and horizontal reference point ), c)tsegpon(gngi p// a I I.D. percent slope, scale or dimensions, north arrow, and location an j to n r t a _ ( (p — — /0 j JUN 1 n 2002 leveed Please print all information. by Date Personal information you provide may be used for secondary purposes (tjl4cy Law, s. 15.04 (1) (m)). M. 1R.c_L.r ate— Z. oZ Property Owner / / Udy i' rbpe yltl6ddtie)y. foil -$ V!/Cre— cSCflt/trrh Govt. Lot 1/4 1/4 S 3 T ''/G N R Property Owner's Mailing Address Lot # j Block # I Subd. Name or CSM# &,g /c"A'— CJ i I IG4Cve'iF /% City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road S/,(at� �sSY&U6 (7i�s�-(„o7/(�� sec% C'ves# D� r� ❑ New Construction Use: Residential I Number of bedrooms 3 Code derived design flow rate SO GPD Replacement pp ❑ Public�pfr �commercial - Describe: Parent material C7 GC c«/ TwAL Flood Plain elevation if applicable 870 ft. General comments ( r and recommendations: Cotoe.tru-rc( c,,, Sj/S'fe n'i Q-12✓a 7L/' fe� — cell 4= 9�9 KECEt / / `"ei•1'= ffir 012026 I�ecvwr.vte G�aol zst n /oLc, t t� 7 (/ s cadt c= 9SY' OCT _ n Borino __.awn and Z�Inp ® it Ground surface elev. - ft. Depth to limiting factor ?/CS- in. car e...�e... Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots - GPO/ft2 *Eff#1 *Eff#2 o-2 7≤Y/t3!1 /2cne. L 5 Cosc, H, ( a s 2�-e- , 7 /., 2 -Oa 'sy y/6 nor-te_ LS Cisv ml cc , 7 /.c2 3 Qa- s-y,�'v/Y notc COs Ds� n -t( as /. `{9-s- y/ L1�5 Uryl — s .V Co C Ss7 7.sy1fY/tl rrDnc e_S 0cc' r� ( 7 (-2 G 7yfl 5 / LAS O m — _ -- — ,y ,c, Boring # [] Boring 9 ® pit Ground surface elev. / ft. Depth to limiting factor >7U in. r ��.R... I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPO/ft2 tEff#1 •Eff#2 0-7 7Sy,,P3/1 rtOMC GS psc tr+l a 5 ,CcO 7 _.2 -7(R 7s,PV/ LS Occ nil cs 2Fco 7 /S Y87sy2y/� fl '.c Cos y as 7 /4 -s(0 / fle. LIES Om — as — ..V - 6 .s0-Ga .sYCY/ ko X1-5 psi �s r ,-7 .2 G0 -7o SY/2 / LfS C) __ r — — .'° cniuem x 1 = 6UU5 - au < «u mgrs ano i Jb Feu < I Ou M91L - tnluent #Z = BOD5 < 30 mg/I.and TSS < 30 mg/I. CST Name (Please Print) Signature CST Number JOE ZIRN a3��9 Date Evaluation Conducted Telephone Number Address 28280 E Altamont Rd_ O-% 0? 7/5 -7G�Y'Cn D� Property Owner ® B ParcellD# C/G //// /O # ori ng //?? ® Boring ❑ pit Ground surface elev. ft. Depth to limiting factor >_ �5 in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPO/ft' `Eff#1 tEff#2 0-?' zc 3h 0 A S'L -b s/�/3 no « L-/ I !0.38 30-60 ?r%r / s 2O -W SYR ! nfJ ` US Page ` of 3 Soil Aool� ica Boring it ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPO/ft' tEff#1 tEff#2 RECI WED 001017076 Planning and oning Ag ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Anolr Icatinn Ratel Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 tEff#1 *Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD9 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. 50n-8330 (R.07/00) COUNTY RECEIVED OWNER rlanning and Zor PLUMBER _QSn USS.tn LIC. # Zz0/73 TOWN OF L LOCATED SEC_5T46IN;RS C AND/OR LOT BLOCK SUBDIVISION NP 389560 CHAPTER 145.135 WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the �prrivate sewage system described in the application for permit. Ibfy The approval of the sanitary permit is based on regulations in force on the date of issue, (c) The sanitary permit is valid for 2 years from original date of issuance and may be renewed for similar periods thereafter. Application for renewal shall be made through the county and shall comply with regulations in effect at the time. (d) Changed regulations will not impair the validity of a sanitary permit until the time of renewal. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought. Changed regulations may impede renewal. If) The sanitary permit is transferable. A sanitary permit transfer shall be obtained from the county authority. If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. AUTHORIZED ISSUING OFFICER - DATE 77-A OZ - THIS PERMIT EXPIRES 0--V -904-/UNLESS RENEWED BEFORE THAT DATE (TWO YEARS F POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT SBD-6499(R,04/96) DURING CONSTRUCTION 9/30/26, 2:13 PM Novus-Wisconsin Access rev. 12.0206 `Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 9/30/2026 Created On: 3/15/2006 1:15:18 PM Z Description Updated: 6/16/2020 4 Ownership _ - Updated: 6/16/2020 Tax ID: 13635 MITCHELL J & LACY M PUTNAM ASHLAND WI PIN: 04-016-2-46-08-03-4 00-143-15000 Legacy PIN: 016111110000 Billing Address: Mailing Address: Map ID: MITCHELL J & LACY M MITCHELL J & LACY M Municipality: (016) TOWN OF DELTA PUTNAM PUTNAM STR: S03 T46N R08W 71846 RANGE RD 71846 RANGE RD Description: CEDAR CREST PLAT SW NE NW SE LOT ASHLAND WI 54806 ASHLAND WI 54806 13 & 37 STRIP ON E SIDE OF LOT 13 IN DOC 2020R-582088 684 7� 1" Site Address * indicates Private Road Recorded Acres: 0.300 10605 CEDAR CREST DR IRON RIVER 54847 Calculated Acres: 0.881 Lottery Claims: 0 O Property Assessment Updated: 3/25/2026 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business 2026 Assessment Detail ESN: 110 Code Acres Land Imp. GI -RESIDENTIAL 0.300 89,500 53,800 'S Tax Districts Updated: 3/15/2006 2 -Year Comparison 2025 2026 Change I STATE Land; 89,500 89,500 0.0% 04 COUNTY Improved: 49,600 53,800 8.5% 016 TOWN OF DELTA Total: 139,100 143,300 3.0% 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 1* Property History -. Recorded Documents Updated: 3/15/2006 _ 2 WARRANTY DEED Date Recorded: 5/13/2020 20208-582088 O CONVERSION Date Recorded: 491446 163-149;564- RECEIVED 335;891-502 ® WARRANTY DEED 0CT 12026 Date Recorded: 5/18/2004 20048-491446 Bayfield Co. Planning and Zoning Agency https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=13635 1/1 Private Sewage System Maintenance Agreement Owner(s) Name Mitchell and Lacy Putnam 71846 Range Rd Ashland WI, 54806 10605 Cedar Crest Dr Iron River Wl, 54647 Tax ID # 13635 As owner, I (we) do Hereby certify the pnvate sewage system win pe mstanea 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) 1/4 of 1/4 Section 3 Township 46 N. Range 8 W. Cedar Crest Plat SW NE NW SE Lot 13+37' strip on E side of Lot 13 Additional Legal Description: Town of Delta Lot_ Block Subdivision (Acreage) .W1 Gov't Lot Lot_CSM# Vol._Page_ CSMDoc# DOCUMENT NUMBER 2O26R-61 3978 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/01/2026 AT 8:40 AM RECORDING FEE: $30.00 PAGES: 2 Recording Area Return To: Planning and Zoning te'ryED OCT 0 2 2026 P4'tiblflrgancjin Zonin arIn-ground gravity ❑ In -ground dosed ❑ In -ground pressure distribution Sewage Systel)cY O Mound ❑ At -grade Sewage System ❑ Other 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 manufacturer's 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. 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. fillri,, The terms and conditions of the agreement shall be binding upon and inure to the benefit of all current and future owners of such edt tL...... Owner(s) Name(s) —Please Print Spbscribed and sworn to before me on this P � L1acy Putnam Mit,iiell �,II na _ Nota�er(s)—Si refs) Notary ub / +. •' (ry�Av/— My Commissio Drafted by: Ti M C (A.f h Date: — r e -b Proofed by: _ u/forms/sanitary/seplicmaintenceagme ment Revised July 2020 EXHIBIT A Lot Thirteen (13), Plat of Cedar Crest Subdivision and an adjoining parcel of land located In the Northwest Quarter of the Southeast Quarter (NW'/.SE'/,), Section Three (3), Township Forty-six (46) North, Range Eight (8) West, Town of Delta, Bayfield County, Wisconsin, described as follows: Commencing at the Northeast comer of said Lot 13; thence Easterly along the Southerly right-of-way line of the existing road for a distance of 37 feet; thence in a Southerly direction along the edge of the swale to the water's edge of Murry Lake a/k/a Flynn Lake; thence Westerly along the water's edge of said Lake to the point of intersection with the most Southerly point of said Lot 13; thence Northerly along the Easterly boundary line of said Lot 13 to the point of beginning. Bayfield County, Wisconsin Reccrding Transmittal 20-02992 A FIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Submission Number: CS -00193 Transaction Number: CS -00193-56C12 Description Amount Private Sewage System Reconnection $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 15195 Paid by: Andry Rasmussen & Sons Inc. Payment Type: Check Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required LAND USE - SANITARY - Reconnection SIGN - SPECIAL - M•] IIii1[I] S BOA - No. 26-0528 Tax ID: 13635 Issued To: PUTNAM, MITCHELL J & LACY M Location: S03 - T46N - R08W Town of DELTA BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: CEDAR CREST PLAT SW NE NW SE LOT 13 & 37' STRIP ON E SIDE OF LOT 13 IN DOC 2020R-582088 684 Residential Structure in R-RB Zoning District For: Sanitation Permit — Reconnection [Previous Permit # 389560 (07/18/2002)] (Disclaimer): Any future expansions or 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. Tracy Pooler, AZA Authorized Issuing Official October 02, 2026 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date