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032-540-30-5108-PVY-2022-004 -c) SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION � � 10610 Msin Street,Suite 49 i Hayward,Wisconsio 54843-0676 �� (715�634-8288 ,� www.sswvercountveov.ore ' NON-PLUMBING SANITARY PERMIT APPLICATION � In accordance with Chapter DSPS 391,W is.Adm.Code and � Sawyer Counry Private Sewage System Ordinance Q APPLICATION INFORMATION-TVPE OR PRINT PAGE: of � PmpcnY Owner Name Propmy I.egal Deserip�ion �ci��r �-. E � �'�dl' ,�� , ���1i.��`�<"�r� c��_v. i, sJC� .T�'(�� N.R � �.���, � y Oxnci s il'��B�ddrcss . I.o1 Number Blodc Number � �- J� `� iG l�lY�' �-��i_ � � ��iY.Stota I ZripCod,C, PhonoNumber SubpivisionNunemCSMNumber�j(7C,��r�.�,� -fC' '�i.(' �r��;(r'�, , ��I��: �r; �'� � (�,�, )�i",�-y� .r�� !'l�'e" �lii(�j�� u2����lif� TYPE OF BUILDING:(Check one) State Owned ���r I mea ? ❑Public �l or 2 Family Dwelling-No.of bedrooms i ❑vi��' � �_ v� ', �lV��� �'r1� G G �i' — �'ownof �v �i ( � FiteNumber# u'W PUBLIC BUILDING/LAND USE:[sxpain uK�pu�pc�e�«mis Parcel Ta:Number:(12 digit legacy number) permi6li.e..campgnwnd.fativd.mrcuiaNeMcnainmrn�event nc.11 .. - . _ . L�_�_�. �� 1` _i �=-�,I`- � TYPE OF PERMIT: TYPE OF NON-PLUMBING DEVICE/SYSTEMlfO1LETNNIT: Privy•Pit Toile[(CSTN 4S-�S9 ) �Non-Plumbing(Privy,Toilet,Restroom,Etc.) Privy•Vault Toilet(200 gal. min.capecity roquired) (Veult siu:_gailons or cubic yards ❑Other: Vault Privy Type:�Concrcte 0 S[eel OPolyethylme�Other ❑Composting Toilet System ❑Incinerating Toilet Device ❑Portable Resaroom Unit ❑Other RESPONSIBILITY STATEMENT: 1,the undcrsigned,assumc rcsponsibiliry for�hc insialluion of Ihe non-plumbing sanitary rystem for which this p�mmit is issued. 1 funha aBce thet any daclling in rnnjunclion with this pem�il Hill not be p�ovided with indoor plumbing and/or wa�tt haokup. 1 will usc Ihc non-plumbing rys�em indicated as a mcans of wastc disposel,anJ 1 will wrry wnlcr to und from thc structurc. I undersland�hw bcforc indoor plumbing end wmer hook ups orc inunllcd,thc proper S�a¢wd County I'crmiu will bc applicd for. 1 funher uadcYswnd�hat nny Jcvimions from Ihn above will constitulc a violu�ion of Sowyor Coun�y Ordinnnces end would subjccl mc�o�he penalties of ihc Ordinanc�s.lly signing this npplica�ion,I am alsu gtaming petmission lo thc mnins dcperimcnt persunncl lo rnt«my property nt any reawnable time for thc purpou of inspection lo acwrc complimcc with thc zoning md seniu�ion Isws reletive to the iuuana of�his permit. s N�ne:(Ptim1( , � �� Omsr/s Sipiaurc: ,,,�'�I` (�, r���I,�i7 �� •_� 'L�>Cd - i OFF C USEONLY: � S'$�� Disopproved f4mmit Fa: CST No. Duc Issued luui�Agent Si�rwe �Approved O�*�Given InitiJ S I 50.00 C�S-O� S�S I 2� -�Q����� �12�� {�7'{/ Advcrse Daamin��ion COMMENTS: "Expires 2 yean from date af issue •NO REFUNDS AFTER ISSUE OF PERMIT SHOREL�7�PROPER7'Y:❑YES�NO If"Yes,"Nartie of the bod of water: CONDITIONS OF APPROVAUREASONS FOR DtSAPPROVAL: �S-,c��+,r-��. ����Gi�.� ��� G �,�._� ;�, �,�L �sT ��- ���) � , � `:, , `------ Rev.04/29/Ib NO REFUNDS AFTER ��'��d''"''�'`��, ISSUE OF PERMIT zUtviNG aDn�tii����t'r,�.i:.:�' 3l�3`I o '�N� NON-PLUMBING SANITARY PERMIT APPLICATION PAGE:� of 3 Privy Plot Plsa Hc �nLvck avc•� 7ZoQol �� ! � q S' —� Iv � i � � 23U' i ; I � } � I H . � lIJ F-- --- _�_.- -�� � �, � '��s'—a �p e-- s s`--� � I � � � 1 S ' I ,1 , Z4S� � 1 y ' _ �c i�' �7 Ba� �ef LGke Please iaciude t6c followiag informatioa with distances on thc above plot plan: o North Arrow , o Nearest Road - ��e w�I a� � �+�,���, k<x,c( o Site Address - G �p Ilc�.l �V� - -rl✓C v�ti rHG�� .�---- I�G�" IUGk N4vCv� �UGc�, Gf/,N��- o Structures - �►v K c o Wel) - v�v �c o Propeny Lines o Lake, Rive�and/or Stream - Q����� L� +�c o Wetlands Minimum Setback Requirements: • l0' from any slab construeted accessory building- � a�c • 25' from any habitable building -,�c r y G� �� �cs�- 1 G6 � - �,�%y�� �u c a s� �S� • 45' from any property line • 50' &om any water supply well - � ��c • ?5' from the ordinary high water mark of navigable waters • 130' &om the centerline of state hibhways or 66' from ri�ht-of-way line,whichever is greater Rev.04/29/I 6 wsconsin oeparcme�t ot��d�Sc�y. S�1 L A N D S I T E ED A L U AT I O N R E P O RT Page�of� Labor and Human Relations • � �on of Safety a Building� in accord with ILHR 83.05,Wis. Adm. Code COUNTY Attach complete site plan on paper not foss than 8 1�2 x 11 inches in size. Plan must include,but s``�'`� �r , not limited to vertical and horizontal reference point(BM),direction and%of slope, scale or PARCEI LD. (�r r dimensioned, north arrow, and location and distanco to nearest road. , <J �1 _�j ; � � — ' �---- APPLICANT INFORldATION-PLEASE PRINT ALL INFORMATION R�VIE4V�OBY DATE M�J f,,la.� S-2..4 J °rlOPc�TY OWN�R: PROPERTY LOCATION . �� ���v C°G� : � � GOVT LOT v4 ` �' :$f'.C'.�.•c`�' Ct-� L�y __._ cS� St" 1/4,S���T �/O ,N,R �-Elor� p�OP�RT'f OWN�n:S��1AI�.1 G AODRESS LOT� j ?'OCK� ' ��9� fvA1�!�Oa CS���!;. " -�'"'���T�� h��%� � � 1 l � C! �.S�A"� ZIP CO�c P�O�;��l,";�=a C TY �VILLAGE �'0'�V�J i UEA��S'F-fi�A� �^ ` � � � � � �:k l� CK /�G2.� '�New Construction Use�Residential�Number of bedrooms ,� ( ) Addition to exis6ng building O Rep►aoement j ] Publfc or commercial describe_ — ---------- ----�------.__ CcJe derived daily flov��DU gpd Recommended desian loading rate .,�bed.gpd�h2 , � trench,gpd�ft2 i Absorption area required�04 bed,ft2"�L� trench,ft2 Maximum des+gn loading rate_��bed,gpd,ft2 , � trench,gpd,ft2 Recommended infiltration surface elevation{s?___����________.__ _ ._ .n (as reterred to site plan benchmark) Additional design�site considet tions_ Parent material_���� o- Flaod plain elevation,if applicable__1,�� ft S=Suitable for syslem OUVc�tiT10NA! �.'.OUND � 'J G"nOUyD PRE55URE ( AT GaAD= SYST=!: IN rILL hOLDI�G TAUK U=Unsuitable for s stem S ❑U S ❑U � �S O U �S ❑U ❑S� U � ❑S �U SOIL DESCRIPTtON REPORT Depth Dominant Color Motties Structure I � GPD/ft Boring # Norizon . Texture Consistence'Bour�iary Roots�ged ;Trencfi in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. f -�Q� �'_--�_ __�f�;'f�u f� ______- �-`--- ____ _ s-�-�- - � -.s ts'�r �n l-f/�' _ L-°cc%��_l , `�_.' �,s � , . , �� .--- S 1. 1 - ��/ �� �l� i- �c - Y , > � Ground ' - �' �, '� L, .S hi - ,fl� � � (�EL /"/�' � a - + 3__ _ y Y ----,7-Y------_-- _ ___- --- �"�'-- _ �f ��- `���elev. ,tt. c. y � � � ti: )' LS -S -� i - ' I ..� � _f � 1 7 - ` - �---- , �. _ � Depth to 1 _ : limiting - - -- � i _ _� .�- - tactor •�-- -� n,�� �` --� , - ��� � , �,� � Remarks:�� _ ` �y`?�5 ?� �'� J��`1� �1�5 Boring # � . � : � � � � � "°=�_ -���:� -.��`'-�----------____ _ : S G,_ �— -�(�ts �c Z' '� � �t .�_.�� � �-,�rl ''f y ��'" � S i L �� — —S/�' /V:Y!r�! G� ' .% , . ; � . _ ; — ? . y, I .--- i � . Gr�und �� ly� _ y � S �?_-/� f ��i'��I (pw if-��I,�. � l:_ �l�` �; _ • � , - - - ---- ------. - -- --._ �. _---j e�e�:. _� ~ `��l ----- � .f i G --� /�/1 L � ..r. ��. � -- �� 9 � �t. ; . I � De th to --- --_.. _---- ------ i _. -_ --_.. -----;----�__--- P -- � l � limiting I � ' ( I � � f�ctar I i -- Z��'�� I � � ( �.� ` Remarks: CS?Name•—Please Print � — Phone� � � -�---����''����--- ,��,1_�-- .2�': � --- __ Acdress T %L-_� =���� L./9'�/�� GUl'.J. j----f �°---� ---- S�gnature � Date: �+/ CST Nu/mbe+ � "—/.�9 � �/ .f'O LG � - _� "�S— /> �F- .� . r �� � � ,s�s' .� a-y,� l Q� � t � . � . ^ �_ O +...� . �--� A ' .� � � . � _ c � � � ,i� � � � t � � - �1 � , -�, � � � � . � � � � . 9' d d� oon? o �- �. �-- � ,. � ' 1 '��m o^! c.� yt . � - , � . � ���a���(Q OA! a �� � . � � � � � /b� .. � � s�v 4 . ,��,� � � �� , , � sa�{�� ` Q . . � ' . yo1��j ��� e�1��y � ¢� ? � ��-Sb°' � $ 9 �S � � h � 0 $� � � ��d�tM�'� l( £ �9v �a��� . , �G � .� � �� s� � da N�ai'� -� ►"� � � s �0 1��s � � � � � �� . �».s2!" °hl ��rs �3 ?1 ��Q�� �, aa�d�°? � � - as-�� tii�m s �P �' �� • � _ � d0 ,. ,_.,� . 5/3/22, 10:09 AM Real Property Listing Page Real EStat2 Sawyer County Property �isting Property5tatus: Current Today's Date: 5/3/2022 Created On: 2/6/2007 7:56:00 AM , --� �'Description Updated: 9/17/2021 � Ownership Updated: 11/3/2021 _ ___ -- ---__ Tax ID: 36370 ROGER L&TRACY A KNUTSON RUSHFORD MN PIN: 57-032-2-40-05-30-5 OS-001-000080 Legacy PIN: 032540305108 Billing Address: Mailing Address: Map ID: :1.8 ROGER L&TRACY A ROGER L&TRACY A Municipality: (032)TOWN OF WINTER KNUTSON KNUTSON STR: S30 T40N R05W 44578 OAKVIEW LOOP 44578 OAKVIEW LOOP RUSHFORD MN 55971 RUSHFORD MN 55971 Description: PRT GOVT LOT 1 �OT 2 CSM 17/27 #5199 1� Recorded Acres: 1.400 r Site Address * indicates Private Road ___._ _ _ _ - - -- _ __..___ Calculated Acres: 1.404 N/A Lottery Claims: 0 First Dollar: No � Property Assessment Updated: 10/10/2016 Waterbody: Barker Lake 2022 Assessment Detail Zoning: (RRl)Residential/Recreational One Code Acres Land Imp. ESN: 421 G1-RESIDENTIAL 1.400 71,700 0 � Tax Districts Updated: 2/6/2007 2-Year Comparison 2021 2022 Change ___ _. _.. -. _ __ ___. ___ _ ._ _-- 1 State of Wisconsin Land: 71,700 71,700 0.0% 57 Sawyer County Improved: 0 0 0.0% 032 Town of Winter Total: 71,700 71,700 0.0% 576615 Winter School District 001700 Technical College �Property History .. _ _ _ � Recorded Documents Updated: 11/3/2021 N/A WARRANTY DEED _ _. Date Recorded: li/2/2021 435665 TERMINATION OF DECEDENTS INTEREST Date Recorded: l0/5/2020 426997 WARRANTY DEED Date Recorded: 11/2/1998 272048 CERTIFIED SURVEY MAP Date Recorded: 3/31/1995 247110 https://tas.sawyercountygov.org/system/frames.asp?uname=Eric+Wellauer ��'� � r ,s y �l ,� '.t,�1+. ��'•,r. �Y k . � . i i�.. .v �'4 �i-�� ne . 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