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Home My WebLink About26-0530CS-.0019 • BAYFIELD COUNTY Zoning amm__ SANITARY PERMIT APPLICATION Lakes cuss 1. APPLICATION INFORMATION Soil Test County / _ O S 73 (Please Print AN Information) No: I Permit No d D Properly Owners Name: Brent J. & Tammy S. Diedrich County: Bayfield I Address of Property: Property Location: 56440 Wilderness CI i v, S 07 T 45 N, R 09 E (or) W Property Owners Mailing Address: Township: I Gov. Lot #: 300 Pine Hill Rd Barnes City, State I Zip Code I Phnne Number Lot# Block # CSM # CSM Dec # Subdivision Name Miliville, MN 55957 s,7 Nu of 53 Po Waeeemdd to II. TYPE OF BUILDING: (Check One) State Owned Tax ID#: RtCEIVED ❑ Public (Explain the use/purpose ) 4127 1 or 2 Famil Dwellin - No. of Bedrooms 3 TSEP 232076 Ill. TYPE OF PERMIT: (Check only one box on line A. Check box on line B. if apMcable) A) ® New ❑ Replacement ❑ County Private Interceptor Co. Planning and ZonIng Agency ❑ Reconnection ❑ Repair ❑ Revision " ❑ Transfer of Owner (List Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. Date Issued: IV. TYPE O.)PLUMB&NG SYSTEM: (Check One) • Replacements need previous permit number and date filled out above C) ® Pit Pri ❑ Vault Privy (Vault size: gallons or_cubic yards) Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet V. ABSORPTION SYSTEM INFORMATION. 1. Gallons I 2. Absorp. Area 3. Absorp. Area 4. Loading Rate I 5. Perc. Rate I 6. System I 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. I Day / Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK Capacity INFORMATION: In Gallons Total # of Manufacturer's Prefab. Site Fiber Exper. New Existing Gallons Tanks Name Concrete Constructed Steel Plastic App. Tanks Tanks glass Septic Tank or I me undersigned. assume responsibility Tor installation or me onsite sewage system shown on the attached plans. Owner's Name(s): (Pont) Ifeppy ng (a Senewncebove Owner's Signature( (No Stain Brent J. & Tammy S. Diedrich Plumber's Name: (Print) Ifapplying for Section A orB) above Plumbers Signature: (No Samps"R)T ) MP/MPRSW No: Plumber's Address: (Street, City State, Zip Code) Home Phone: Business Phone: Vlll. COUNTY! DEPARTMENT USE ONLY Disapproved Sanitary Permit/Transfer Fee: Date Issued: Issuing A 's S " nature / Date. Approved ❑ Owner Given Initial Ol Adverse Determination ll v IV; 3r jy 6 IX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: Plot Plan on reverse side Diedrich (3 bedroom) Soil Report Plot Plan North FA 4 91' BRENTJ & TAMMY S DIEDRICH 56440 WILDERNESS CT SHAWNEE ADD TO POTAWATOMI LOT 53 IN V.1150 P.506 2698 IN DOC 2026R-613129 S07 T45N R09W Town of Barnes 04-004-2-45-09-07-4 00-277-40000 1.121 acres Scale 1:40 4 — 0 NOTES: Bench Mark = SE corner of deck on shed - No well Elev = 100.0' RECEIVED SEP 232025 Bayfield Co. Planning and Zoning Agency CSC/ 000�� Page 3 of 3 Wisconsin Departrnent of SafetyBProfessional Services �o�� Page 1 of__3 Nno, \�Division of Industry ServicesSOIL 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. 04-004-2-45-09-07-4 00-277-40000 Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). Property Owner Property Location O ❑ Brent J. & Tammy S. Diedrich Govt. Lot A % S 07 T 45 N R 09 E (or)® Property Owner's Mailing Address Site Address or CSM and Lot *: 300 Pine Hill Rd SHAWNEE ADD TO POTAWATOMI LOT 53 City, State, Zip I Phone Number ❑ City ❑ Village ® Town I Nearest Road Millville, MN 55957 f Barnes I 56440 Wilderness Ct IU New Construction Use: Residential/ Numberof bedrooms 3 Code derived designflow rate 450 GPO ❑ Replacement ❑ Public or commercial —Describe: R91 t�lwr�rd�aCL7 1Ytion if applicable N/A R. Parent material Outwash Sands (Rubicon Series) General comments and recommendations: U SEP n3202C ❑Boring J Bays eaCo I 1 Boring # Pit Privy Pit Ground surface elev. 97.1 R. Plann1n L—_ ®�a113uYr1gth�fs¢yor � in. / elev.9D_1 R. Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 •E(f#1 •Etf#2 1 0-4 10YR 2/1 — s Osg ml Cs 1m/tf/ivf 0.7 1.6 2 4-10 10YR 3/2 — s Osg ml gw 1m/1f 0.7 1.6 3 10-16 1 0YR 4/6 — s Osg ml gw lm/1f 0.7 1.6 4 16-26 10YR 5/3 — (10%GR)r 0Sg ml gw 1f/1vf 0.7 1.6 5 26-60 10YR 4/4 — s 0sg ml gw 1f 0.7 1.6 6 60-84 10YR 6/4 — s Osg ml — — 0.7 1.6 Horizon 6 has ban s of lam Ilae I Z I Bonng # ❑Boring ®Pit Ground surface elev. 94_6 ft. Depth to limiting factor 96 in, / elev. 86.6 ana en,a;nthinn Die Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cant. Color Texture Structure Cr, Sz. Sh. Consistence Boundary Roots GPD/Ft2 •Eff#1 •Eff#2 1 0-2 10YR 2/1 — s 0sg ml as tvf 0.7 1.6 2 2-8 10YR 3/3 — s Osg ml cs 1Mtf/1vf 0.7 1.6 3 8-17 10YR 3/4 — s 0sg ml cs 2m/lf/lvf 0.7 1.6 4 17-48 10YR 5/4 — (5%GR) s 0sg ml CW lm/1f 0.7 1.6 5 48-96 1 0YR 6/4 — s Osg ml 0.7 1.6 CST Name (Please Print) Signalur CS umber Keith Wiley 654921 Address Date Evd1ation Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 9/20/2026 I 218-451-2611 Effluent#1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L • Effluent #2 = BOD, s 30 mg/L and TSS s 30 mg/L SSO-8330 (R03/22) ❑❑ Pit rig 3 Boring# ® Pit Paget of3 Ground surface elev. 92.4 ft. Depth to limiting factor 96 in. I elev. 84.4 ft. Soil Aonliralion Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/Ft' E11#1 -Eff#2 1 0-3 10YR 2/1 — s Osg ml as 1f/1vf 0.7 1.6 2 3-8 10YR 3/3 — s Osg ml gw 1f/1vf 0.7 1.6 3 8-13 1 0YR 3/4 — s 0sg ml cwIce/lot/if 0.7 1.6 4 13-30 1 0YR 5/4 — (5%GR) s 0sg ml gw 1co/2M1 0.7 1.6 5 30-96 10YR 6/4 — s Osg ml — — 0.7 1.6 Id ! Boring ❑ Boring Pit Ground surface elev. 93.3 ft. Depth to limiting factor 96 In. / elev. 85.3 ft. Soil Anoliration Rale Horizon Depth In. Dominant Color Redox Description Munsell Qu. Az. Cont. Color Texture Structure Cr. Sz. Sh. Consistence Boundary Roots GPD/FR •Eff#1 •Eff#2 1 0-5 1 0YR 2/1 — s 0sg ml as 2vf 0.7 1.6 2 5-15 10YR 3/3 — s Osg ml cs imllfliv 0.7 1.6 3 15-33 10YR 5/4 — (5%GR) s Osg ml gw 1 m/1 of 0.7 1.6 4 33-96 1 0YR 6/4 — s Osg ml — 0.7 1.6 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Snil Anntiratinn Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPO/Ft' •Efl#1 -Eff#2 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mgfL ' Effluent #2 - BOO, s 30 mg/L and TSS s 30 mg/L RECEIVED SEP 232026 Bayfleld Co. Planning and Zoning Agency PRIVY AGREEMENT (ATTAC: I ED TO TIIE SANITARY PERMIT APPLICATION, Brent and Tammy Diedrich 3t!t' Pme H!!! Rd n! I!vtlle. MN 1/4. _114, 4127 5C440'A'i!oerncss Cl S 07 T 45 N R 09 W Shawnee Add to Potawatomi Return To: ZONING 1. NO PLUMBING will be installed in the habitable building. RECEW/EC 2. NO PLUMBING includes: water closets, sinks, bathtubs or showers, laundry facilities, or any other fitttwR or receptacle receiving domestic waste, will be installed in the premises served by the privy unless a code compliant so.itJRotjjry5j9rn or holding tank exists, or a valid sanitary permit to install such a system has been issued 3 A privy vault I pit shalt maintain minimum setbacks as specified in Table 1. BeyBab Co �kY Table 1 Well Building Lake / Stream Additional County Setbacks OPEN PIT 50 FL 15 FL Min. 75 FL SEALED VAULT 25 Ft. 15 Ft. Min. 75 FL 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. Printed Owner(s) Name(s) Brent Diedr!sh Tammy Diedrich This instrument was signed before me in the State of 11 Ni1''l County of WaA9- On this _) 3 day Sa\ .20.-) by C4 Q— :71 . (X Notary Pu it My commission expires on: 1 — 3j r 'mot 0 d,'1 Drafted By (must be filled out by person submittin form) ) Mk�"'PATRICIA LAPPEL D,.cumnur 2012 wlonnsnil 'saarn Pnvylorm ' EOctoon 2019 NOTARY PUBLIC MINNESOTA rplbrnrrawn tzp.,e: An. 31.6 PRIVY AGREEMENT (ATTACHED TO THE SANITARY PERMIT APPLICATION) II Tammy Diedrich tjfef.+ jbif4Y 'c -h Mailing Address: Property Address 300 Pine Hill Rd Miliville. MN 5595 56440 Wilderness Ct Legal Description: Section, Township, Range 1/4, 1/4, S 07 T 45 N. R 09 W Gov't Lot Lot # CSM# Vol & Page CSM Doc. # 53 Lot(s) # Block(s) # Subdivision Shawnee Add to Potawatomi Tax ID # _ Date: 4127 1. NO PLUMBING will be installed in the habitable building. Return To: DOCUMENT NUMBER 2026R-61 3984 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 10/01/2026 AT 11:01 AM RECORDING FEE: $30.00 PAGES: 1 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 shag maintain minimum setbacks as specified in Table 1. Table 1 Well Building Lake /Stream Additional County Setbacks OPEN PIT 50 FL 15 Ft. Min. 75 FL SEALED VAULT 25 Ft. 15 Ft. Min. 75 Ft 4. Privies for public buildings shall comply with SPS 353.63. RECEIVED 5. Privies used for one- and two-family purposes shall be constructed in such a manner so as to exclude ft3rr M Mier vermin. Doors should be self -closing and vault ventilators should terminate at least one foot above the roof. Bayfield Co. 6. Privies as per SPS 391.12 (1) states as follows: Planning and Zoning Agency (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 shag 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. Printed Owner(s) Name(s) Brent Diedrich Tammy Diedrich This instrument was signed before me in the state of N\ �t. County of 030 -4 On this yday �� , 20 by-. - (b-l-fL-LXn Notary Puticl My commission expires on: I — 3 i — 61 d c"— (must be filled out by person submitting form) PATRICIA L APPEL December 2012 IlaryiP mt - ®October 2019 NOTARY PUBLIC T�rhn �141f 1C V MINNESOTA ;; NN Commmsiai Exprce5 hn. 31, M P ` YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-3734010 Property Owner: Submission Number. CS -00191 Transaction Number: CS-00191-56BCC Description Amount County Sanitary Permit: 1 $150.00 Total: $150.00 Payment Amount: $153.57 Reference: 4193278995 Paid by: Tammy Diedrich Payment Type: Credit Card 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 - Pit Privy SIGN - SPECIAL - BOA - No. 26-0530 Tax ID: 4127 Issued To: DIEDRICH, BRENT J & TAMMY S Location: S07 - T45N - R09W Town of BARNES BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: SHAWNEE ADD TO POTAWATOMI LOT 53 IN V.1150 P.506 2698 IN DOC 2026R-613129 Residential Structure in R-1 Zoning District For: Sanitation Permit — Pit Privy (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, takes, 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 1715) 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. Tracy Pooler, AZA Authorized Issuing Official October 02, 2026 Date