Loading...
HomeMy WebLinkAbout26-0543CS-ooI7N BAYFIELD COUNTY Zoning District SANITARY PERMIT APPLICATION Lakes Class 1. APPLICATION INFORMATION Soil Test County l / ' (Please Print All Information) No: Permit No: O'l7'0JC13 Property Owner's Name: J-AMES NtTZ County: Bayfield Address of Property: Property Location: '-(BogO �r..irO Coe= A ¼,S T 'iL( N,R CS I ) E(or) tJ Property Owner's Mailing Address: Township: Gov. Lot #: ZciI o_5 Li'-) A NJ VEt2 f3 City, State Zip Code Phone Number Lo Block #: CSM #: CSM Doc Subdivision Name LItTLL C,NA�R, ,uts.,l 55i &'IZ - ' o t# # II. TYPE OF BUILDING: (Check One) ❑ State Owned Property owner email:R� Tax ID: ❑ Public (Explain the use/purpose ) i°/t/6 I b -3 3/ 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.) A) New ❑ Replacement ❑ County Private Interceptor rF❑//flll Reconnection ❑ Repair ❑ Revision ** ❑ Transfer of Owner(List Previous Owner below) B) A Sanitary Permit was previously issued. Previous Permit Number. ) 3 7q Date Issued: i 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. Absorption Area 3. Absorption Area 4. Loading Rate 5. Perc Rate 6. System 7. Final Grade Per Day Required (Sq. Ft.) Proposed (Sq. Ft.) (Gallons/Day/Sq Ft) (Minutesfinch) Elevation(Feet) Elevation(Feet) NA N A NA N 4 VI. TANK Capacity INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel Fiber- Glass Plastic Exper. App. New Existing Tanks Tanks Septic Tank or Holding Tank 1000 oo IZ h}fft^"S<CN k Lift Pump Tank/ (CI 01 ZUZU Siphon Chamber VII. RESPONSIBILITY STATEMENT: Y Co. 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 Owner Signature(s): (No Stamps) Plumber Name: (Print) if applying for section A or B) above P mbe Sign�y,re:(NoStamps) MP/MPRSWNo: C� A-� 7v hr rn� i'umberP-- /'f3 (,(00 Plumber Address: (Street, City State, Zip Code) Plumber Phone/Cell. Plumber Email: ? i3'x 4.6 Cfh7Lt=:, k S7vz) VIII. COUNTY! DEPARTMENT USE ONLY -�'nt's ❑ Disapproved Sanitary Permit/Transfer Fee: Date Issued: Issuing Signature / Date: pproved ❑ Owner Given Initial 1�/C6'� ly �6 /© Adverse Dete /�rmination Z, I5(. CONDITIONS OF APPROVAL t REASONS FOR DISAPPROVAL Plot Plan on reverse side Lot Line Sic H�T��x 4 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 followir1gE��'vEG. a. Building to all lot lines R 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 por®CT 01 2026 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 Bayf*eb Co. m. Drain field to well __:_n and Zoning Agency 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 Email to: permits@bayfieldcounty.wi.gov or Mail to: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/forms/sanitary/BayfieldCountySanitaryApplicaffon Revised 9/9/2026 Proofed by: 1S Lt Lip C^I�LC, i�►� (I' A IL 33'1 Gz.4Mbwt-IN 72 &Yn 2n_ c ,, l�Ji / — /a0•rs ANDRY RASMUSSEN & SONS, INC. Pig. w Mtg - Concrete Septic Tanks Cable, Wis. 54821 Sellers 0 211768 , Ph. 715.798.3355 Master Plumber # 3938 6IJA a I�3 �il,i•U S MLE /'=40' RECEIVED OCT 012026 Barfield co. Planning and Zoning Agency flop' G N' ptvt5`� ONO�N � p P g9P Gcr;lA Gp4�CNcl;.al,as q � s� .v� c�a Gt{=a✓N_ �' GE<7G�04J �f'f JEL �✓�.b R�nlE I-f,/Gcr^RE/'�".'.. RECE WED OCT O12076 Bayfied Co. Planning and Zoning Agenm J 7. LE 1:7,0A-V70VE11 _- C olQEPE Tor -'?z q .80c✓ &'-. 4L _ /OOO cam.; E. -C m n a, c J7 � O HOLDING TANK SERVICING CONTRACT Contract Date This contract is made between the So.tttsc Omper's Name (Print) C ccotti -r- ame(s) I Pumper's Signature <<JCA) Lc -L' cs L -.c -- Pumpers' Regi: —I`17�5L We acknowledge the installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) I Tax IOM PROJECT I Legal Description I 1/4 1/4. LOCATION (Use Tax SlatemenO Town of: I Lot Size Acreage Section , rownship ____L________ N, Range eS W t.7 ! Q�•r„� view 7. O Gov't Lot lots CSMC Vol. Page f$M Oocp _ Logs) No. Block(s) No. Subdivision: 1. The owner agrees to file a copy of this contract with Bayfield Counties 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; RECEIVED b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed: OCT 0 '12026 d. The sanitary permit number issued for the holding tank: e. The dates on which the holding tank was serviced: Sayfield Co. f. The volumes in gallons of the contents pumped from the holding tank for each servicing; Planning and zoning Agency 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 (1O) business days from the date of change to this service contract. Nnneer•r(ss)+) Name(s) (Print) �` Owner's Signatures) Subscribed and Sworn to me: •:J(Jtmes C-• lV on this ' day of dt rmtia y r�a,G,. My ccmn fission expires a.•,iss,r. May 2016 (l ,lay 2u18} � Dr iHEIBI,L HEELER Pcrsanal informa0nn you provide may he used 1'.,, Ser rry lery uun:cs:'s :' ,v1': I Lae:. S 15 fit ,apn)l [ NOTARY PUBLIC -MINNESOTA ' '" ,,, MY Commission Expires Jan. 31.2030 9/15/26. 1:10 PM Novus-Wisconsin Access rev. 12.0206 R2al Estate Bayfield County Property Listing Today's Date: 9/15/2026 rw Description Updated: 9/8/2004 Tax ID: 16334 PIN: 04-021-2-44-05-19-4 05-008-10000 Legacy PIN: 021101410000 Map ID: Municipality: (021) TOWN OF GRAND VIEW STR: S19 T44N R05W Description: W 150' OF E 1600' OF GOVT LOT 8 IN V.806 P.593 117C Recorded Acres: 3.000 Calculated Acres: 1.748 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 114 '3 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 021 TOWN OF GRAND VIEW 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE aJ Recorded Documents Updated: 3/15/2006 O CONVERSION Date Recorded: 467608 579-59;802-947;806- 593 Property Status: Current Created On: 3/15/2006 1:15:25 PM '*1 Ownership Updated: 3/15/2006 JAMES F & TAMI M NETZ LITTLE CANADA MN Billing Address: Mailing Address: JAMES F & TAMI M NETZ JAMES F & TAMI M NETZ 2915 COSTA LN 2915 COSTA LN LITTLE CANADA MN 55117 LITTLE CANADA MN 55117 P Site Address * indicates Private Road 48020 ATKINS LAKE LN CABLE 54821 Property Assessment Updated: 4/22/2025 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 3.000 136,300 86,900 2 -Year Comparison 2025 2026 Change Land: 136,300 136,300 0.0% Improved: 86,900 86,900 0.0% Total: 223,200 223,200 0.0% Lam' Property History N/A RECEIVED OCT 01 2026 BayFeld Co. Planning and Zoning Agency https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=16334 1/1 1 ' 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: Description Private Sewage System Reconnection Submission Number: CS -00194 Transaction Number: CS-00194-573AC Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 15188 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 - CONDITIONAL - yAt BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0543 Tax ID: 16334 Issued To: NETZ, JAMES F & TAMI M Location: S19 - T44N - R05W Town of GRAND VIEW Legal Description: W 150' OF E 1600' OF GOVT LOT 8 IN V.806 P.593 117C Residential Structure in R-1 Zoning District For: Sanitation Permit — Reconnection [Previous Permit # 41374 (06/28/1983)] (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 otherpenalties 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. Scott Roush, AZA Authorized Issuing Official October 08, 2026 Date