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Home My WebLink About26-0540C5 -o011 BAYFIELD COUNTY ZaNna Dstrlct_ SANITARY PERMIT APPLICATION Lakes Claw 1. APPLICATION INFORMATION Soil Test I County L QS 0 (Please Print All Information) No: Permit No: V Property Owner's Name: Wilderness Inquiry, Inc. County: Bayfield Address of Property: Property Location: 33095 Little Sand Bay Rd, Bayfield, WI 54814 SW r. NW i, s 33 T 52 N, R 4W E (or) W Property Owner's Mailing Address: Township: I Gov. Lot*. 930 E 80th St Russell City, State I Zip Code I Phone Number Lot # I Blodc #: I CSM A I CSM Doc # I SubdMsion Name Bloomington, MN 155420 612-676-9400 1 1745 j R CCIVED II. TYPE OF BUILDING: (Check One) State Owned Tax IDp: ❑ Public (Explain the usetpurpose ) 36212 AUG 0' 4 2026 ❑ 1 or 2 Family Dwelling - No. of Bedrooms III. TYPE OF PERMIT: Check only one box on line A. Check box on line B. if applicable) Yd CO. Ong Agency A) ® New ❑ Replacement El County Private Interceptor ❑ Reconnection El Repair ❑ Revision -' ❑ Transfer of Owner (List Previous Owner below) Composting Privy #1 (�I tqq Ma k&vv WA 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: gallons or _cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ® Composting Toilets ❑ Incinerating Toilet V. ABSORPTION SYSTEM INFORMATION: 1. Gallons 2. Absorp. Area I 3. Absorp. Area I 4. Loading Rate I 5. Perc. Rate I 6. System 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals./Day /Sq.Ft) (Min. Inch) Elev.(Feel) Elev. (Feet) V1. TANK Capacity Rber INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Sl eal glass P�stfc Exper. App. Now E>astlng Tanks I Tanks Septic Tank or Holding Tank Lift Pump Tank! Siphon Chamber VII. RESPONSIBILITY STATEMENT: I the undersigned, assume responsibility for installation of the onsite sewage system shown onnthe plans. Owner'sName(s): (Print) dapWyingrorsecaoncabove Owner's O'S (N m sI Wilderness Inquiry, Inc.; Erika Rivers �attached Plumber's Name: (Print) ff ingrorSecaonAare)atove Plumber's Signature: (No Stamps) MP/MPRSWNo: Plumber's Address: (Street, City State, Zip Code) Home Phone: Business Phone: Vlll. COJJNTY / DEPARTMENT USE ONLY Disapproved I Sanitary Permit/Transfer Fee: Date Issued: Issuing Agents Signature / Date: Approved I❑ Owner Given Initial I O/ b/a6 /{1 Adverse Determination �,1 (� �/ DC CONDITIONS OF AtIPPROVALI REASONS FOR DISAPPROVAL: Ll\1Anc,jf tgjyfd P(r Plot Plan on reverse side rr . Lot Line See Attached Plot Plan RECEIVED AUG 0 4 2026 Bayfield Co. Planning and Zoning Agency 4 Name of Frontage Road 1 ) -?► I. 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. Septictholding 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 utfonns/sanitarylbayfieldcountysanitaryapplication Revise: June 2018 Proofed by: RECEIVED AUG U4 2026 Bayfield Co. Planning and Zoning Agency S 89'2922" E P CNC . C� x privy 1310.24' privy #2 privy #1 \omPosun privy #7 0 Moved from existing location I Q ex j I � i BEARINGS ARE BASED ON THE SOUTH LINE OF THE NW 1/4 OF SECTION 33, BEING N 8923'09' W ro M PRIVY AGREEMENT (ATTACHED TO THE SANITARY PERMIT APPLICATION) Wilderness Inquiry, Inc. Mailing Address: Property Address 30 E 80th St, Bloomington, MN 5542 33095 Little Sand Bay Road, Bayfield, WI SW 1/4, NW 1/4, I 52 S 33 T N R4 W 1745 110-194 12011 Return To: 36212 19/22/2026 1. NO PLUMBING will be installed in the habitable building. DOCUMENT NUMBER 2026R-613925 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/28/2026 AT 1 1 : 1 0 AM RECORDING FEE: $30.00 PAGES: 1 ZONJECEIVEC SEP 292026 planning and Zoning Agency 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 1 Well Building Lake/Stream Additional County Setbacks 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. Printed Owner(s) Name(s) Erika Rivers I Executive Director I I This instrument was signed before me in the State off1✓t Y\PSO11r\ County of 4-I11 eVIV&J r OOn is 23 day SenT, 20 by: Notary Public My commission expires on: , G .1 r 3 ( -03.c 1 Drafted By: Bryan Karban (must be filled out by person submitting form) :-.._ I" M. 1= '_TT1 'j� uitonns/senitary/pnvyform -®October 2019 { tmil `' �• •_/• - '— _•12 It3AYFIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Submission Number: CS -00173 Transaction Number: CS -00173-4B548 Description Amount County Sanitary Permit: 2-5 $300.00 Total: $300.00 Payment Amount: $307.14 Reference: 1397485895 q Paid by: Justin Mortenson lo GO'JZ c GS — O a y l 3I O O\ 1 S I oo 1' 61 $ o o m' 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 - Composting Toilet SIGN - SPECIAL - CONDITIONAL - No. 26-0540 Tax ID: 36212 Issued To: WILDERNESS INQUIRY INC Location: S33 - T52N - R04W Town of RUSSELL BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 1 CSM #1745 IN V.10 P.194 (LOCATED IN SW NW) Residential Structure in R-RB Zoning District For: Sanitation Permit — New [Composting Toilet] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Maintain as required per SPS 391. 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 (7151 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction Emily Macgillivray, AZA work or land use has not begun. Authorized Issuing Official 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. October 06, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.