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020-639-11-5409-SAN-2021-337 . �'� � q���� - ,�� � � � ��. ,..�,"� �.4 µ,�4. Officc of �� �� Saw er Coun Zonin Administration ��; � �.� Y tY , g. . 10610 Mam Street Surte 49 � �������� Hayward, Wisconsin 54843 � ��R C� (� (715)634-82R8 '�� G�� FAX(715)638-3277 r�� �(�j �Q% �,J��j wwwsawvcrcountvQov.ore � t�i� �tA i ;' = __ ��� E-mail:zoningsec d�sawycrcounty og v orQ ��Q O� V ^� /�o ��,- � �o� Tolf Free Courthouse/General Information 1-877-699-4ll0 � �, � � �����=�r= S �j� i�r2,�����?= � 2p��v��y�R�� �1 , S�oNs; �.,� � 3 �' Mj��ST n/�-�, R�T�oN . SAWYER COUNTY SANITATION DEPARTMENT TEMPORARY EMERGENCY TANK IN5TALLATION APPROVAL ' PROPERTYOWNERSNAME: Vivlc2�.� d �bnnq �� 1 1f �`,<,�.�s� TOWN OF: ����`�`'O� G�� �� a-�l� ADDRESS: � �O�N �G`^-+ �t ��� I, C�2t� �` � , a Wisconsin Licensed Plumber, authorized by the owner, o hereby acknowledge that I am receiving temporary approval to install a septic tank/holding tank without a soil and site evaluation, or existing system evaluation, and private sewage system plan review due to inclement weather and/or health and/or safety emergency. Further, I acknowledge that a soil and site evaluation, or existing system evaluation, and private sewage system plan review will be conducted by the deadline stipulated by the permit issuing agent, or as soon as weather conditions or circumstances permit. If the private sewage system is found to be failing as defined in s. DSPS 381.01 (92), Wisc. Adm. Code, corrective measures will be taken as such that the private sewage system complies with all applicable requirements of chapter DSPS. 383, Wis. Adm. Code, within 90 days of this agreement. I further acknowledge that failure to comply by obtaining all necessary permits after the deadline date may result in the issuing of a citation, under Section 11.3 [2) Sanitary Permits], of the Sawyer County Citation Ordinance. , DEADLINE FOR THIS AGREEMENT SHALL BE: �a 7 a 1 Signed: �,�'�;/ ���`�� "---� Date: X �I � ' 0.2 ( Accepted by: _o�� l�/G/J l-�._ Date of temporary emergency approval: � ' � �a � Rev. 03/26/13 9/7/2021 Real Property Listing Page Rea) ESt�te Sawyer County Property �isting Property Status: Current Today's Date: 9/7/2021 Created On: 2/6/2007 7:55:36 AM -1 �Description Updated: 11/4/2019 '� Ownership Updated: 11/4/2019 _ _ _ _._._. ___ _. _. ___ ___..-- Tax ID: 21144 VINCENT D&DONNA M VISONE � WINTER WI PIN: 57-020-2-39-06-11-5 05-004-000090 Legacy PIN: 020639115409 Billing Address: Mailing Address: Map ID: :4,9 VINCENT D&DONNA M VINCENT D&DONNA M Municipality: (020)TOWN OF OJIBWA VISONE VISONE STR: 511 T39N R06W 6668N DAM RD 6668N DAM RD WINTER WI54896 WINTER WI54896 Description: PRT GOVT LOT 4 LOT 6 CSM 8/222 #1692 Recorded Acres: 3.290 � Site Address * indicates Private Road _._ _____--- �.- Calculated Acres: 3.414 6668N DAM RD WINTER 54896 Lottery Claims: 0 First Dollar: Yes � Property Assessment Updated: 8/20/2013 Waterbody: Chippewa River 2021 Assessment Detail Zoning: (RR2) Residential/Recreational Two Code Acres Land Imp. � ESN: 427 G1-RESIDENTIAL 3.290 36,700 72,500 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2020 2021 Change 1 State of Wisconsin Land: 36,700 36,700 0.0% 57 Sawyer County Improved: 72,500 72,500 0.0% 020 Town of Ojibwa Total: 109,200 109,200 0.0% 576615 Winter School District 001700 Technical College �Property History _____ _---- . _ _ __._ � Recorded Documents Updated: 4/10/2015 N/A QUIT CLAIM DEED Date Recorded: 3/9/2015 394661 QUIT CLAIM DEED Date Recorded: 8/24/2012 380332 WARRANTY DEED Date Recorded: il/27/2000 287942 723/195 tas.sawyercountygov.orglsystem/frames.asp?uname=Eric+Wellauer 1/1 � r . ` y� Y+ '� �.b ' t : .�y �t t 4 ��' '�."'� . 4 C I yi ���Y� 1'�i y ���,� �3r ����R��}4,� t' �.�}A'S�Y �..; � ;�,/��,q�. �.- • Z �� Y� �*�, � �•�� ����N+�� �?��� sTa � «Y���� • �. � f,�� � Lr�p�J Q+ ��� '' � ��t4. 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I i �---. ;, 3-�� .�.��� , �N � -����'"T"���%�, PRIVATE ONSITE WASTE TREATMENT county ��� � S aw er X����Sp ��'1 SYSTEMS y � $ � ( POWTS) 'i%V\\�_-CP`/,. ��'--�'�'�% INSPECTION REPORT sanitary Permit ivo: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION a ( r �37 Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)] Permit Holder's Name: ❑City ❑ Village �Town of: State Plan Transaction ID#: Vlti Ce�t� �!%s o�sL j�J�n�,�,A �— Insp BM Elev: BM Description: Parcel Tax No: (00.0 I `�O O� (nr2.`( O�. a •. 6'�✓� ��� '�y�9 TANK INFORMA ION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic i,,,�e�..�r- po� Benchmark � ,a 7S' I o I• 8�S �a.o ' Dosing '" Aeration Bldg. Sewer L f,� ` �('7�g� Holding St/Ht Inlet t.� ' g'�,78� � TANK SETBACK INFORMATION St/Ht Outlet �. 3S ' `t7,S � TANK TO P/L WELL BLDG VENT TO ROAD Dt Inlet AIRINTAKE Septic +a.S` �-�..5� 7� }-'] ' NA Dt Bottom Dosing NA Installation Contour Aeration NA Header/Man. Holding Dist.Pipe PUMP 1 SIPHON INFORMATION Infiltrative i � Surface �7-S 9`(,�j Manufacturer Demand Final Grade Model Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W L #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv � Aggregate INFORMATION P/L Bldg Well Waters o GP ❑ Chamber Model Number: ❑ EZFIow CELL TO ❑ Mound � Other -- - - - — --— -- — DISTRIBUTION SYSTEM X Pressure Systems Only _- - - - - Header I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length Dia _ Length Dia _ Spac � Spacing ❑Yes ❑ No SOIL COVER r Depth Over Depth Over Depth of Seeded/Sodded Mulched � Cell Center Cell Edges Topsoil ❑Yes ❑ No 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present,etc.) s�-� s�,� � �,�►(�� ��� �a ► ��l-0� � S ;�, r�Pl�cew�.�a�� Plan revision required?❑Yes❑ No I,.,3 0$ a� II � 1,�,,�;��C��^-- -- — � 6�1 ��'6 � — Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A��ITIONAL COMMENTS ANO SKETCH SANITAAY PERMIT NUMBEA:___�I-��___. ��j L�"�pR-�wa ('CJLcr �3'7 p�.�t� _ , 3,��,�, , . ,� �� ��� �� `�; � \�opO a�`` w i�.T. � \ �� ����f' � ` � �—� �.5� � � �� �� \ ��fi�..� �� ' � � G�,�e, � +�-t� �� � �-�,�( c D� � ���� � � �a �a� '�`� . � �66E�`