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028-742-22-5612-LUP-2012-230 f^ / . e/ • 1� Application for Grading in Excess of 10,000 Square Feet � ' .-� County of Sawyer County . � 10610 Main St. Suite 49 — Hayward WI 54843 �� 715/634-8288 I CONSTRUCTION SHALL NOT BEGIN UNTIL A IN SIGNATURE OF PROPERTY OWNER IS REQU RED. USE BL ACK NK OR PENCSL UED. Richard Uihlein Owner Tea2Architects 5208 Dundee Rd. Contractor —� Mailing Address 2�24 West 43`d St. g Mailing Address � Edina MN 55436 Minneapolis MN 55410 � City, State, Zip City, State, Zip � (952) 920-9029 �612) 929-2800 CD Daytime Phone Daytime Phone � MATTSONCa�TEA2ARCHITECTS COM cu Email Email Site address: 10776W Busse Ln (Fire number& name of road) Govt. Lot pR /4, � O /4, of Section 22 , Township 42 North, Range 7 West � � m Calculate grading area: (Total area disturbed including excavation, fill, grading, landscaping, � equipment rutting, and/or other areas vegetation will be removed resulting in exposed soil) � � � Determine width of disturbed area in feet: ft. x by depth of disturbed are in feet: ft. � Total sq ft. _ 31,640 � c � Date activity will begin if permit is issued: ; be completed: �D �' Attach engineering design or complete the following (Use additional sheets if necessary): Describe how you intend to carry out the project, including methods, materials, and equipment. � � Describe your proposed construction schedule and sequence of work. �� Q � N �D � � � � � � ti � � N � , � Describe what temporary and permanent erosion control measures will be used, and the location of any N disposal area for excavated materials. (Excavated material shall not be placed in wetlands or shoreline buffer area). Silt fence will be installed around the area to be disturbed as shown on the site map. 0 v � c� � � N O � N � - - - - ,' , Application for Grading in Excess of 10,000 Square Feet . County of Sawyer County � 10610 Main St.Suite 49—Hayward WI 54843 �.i. . 715/634-8288 .� � List seeding rate per acre and type of cover crop and permanent seeding.Fertilizer type and application .r rate if applied.Mulch type and application rate. Earth Car et Brand—Combination of the Blue Car et and Carefree seed mix which is a combo Blue rass and fescue seed.It will be applied at a rate of approx. 101bs per 1000 sq.ft. Attach Photographs which illustrate the entire project site in pre-construction condition and the relationship t nearby water resources(if applicable). Plan view sketch of project area including location of any wetlands or watenvay(indicate are between grading project and water body to be left undisturbed),flood plain boundary,location of all stormwater and erosion control practices,benchmark(include location,description,and elevation)drawing scale, north arrow. See attached Cross sectional view of project area including the existing and proposed slope of the bank,water level of any existing waterway,elevation of the 100-year floodplain,horizontal and vertical scale. See attached The undersigned certifies that the listed information and intentions are true and correct,that all work shall be perFormed in compliance with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin.The undersigned person(s)hereby give permission for access to the property for onsite inspection. �c ,�-r-r�cr��rE,JT� Original Signature of property owner(or agent with Power of Attorney). Permit Fee: $300 -- — — � State of Wisconsin Water Resources Application for Project Permits � Department of Natural Resources Form 3500-053 (R 08/09) Page 1 dnr.wi.gov - _ Use this form for (check all that apply): Notice: This form is used to apply for coverage under the state construction site storm water runoff general permit, ❑ Work in public waters (DNR — ch. 30, Wis. Stats.) and to apply for a state or federai permit or certification for ❑ Work in waters of the U.S (Corps of Engineers) waterway and wetland projects or dam projects. This apptication form is authorized by chs 30 and 31 , Wis. Stats, for Alterations to Public Waterways, ch. 281, Wis. Stats, for ❑ Permit for Wetland Fill (DNR or Corps of Engineers) Wetland Fill and s. 283.33, Wis. Stats., for Storm Water ❑ Storm water NOI — New land disturbing construction activity Discharges. Personally identifiable information on this form ❑ Storm water NOI — Renewal FIN # may be used for other program purposes and may be made ❑ Dam projects (DNR or Corps of Engineers) available to requestors under Wisconsin's Public Records laws and be posted on the Department website. This form Read all instructions provided before completing. If additional and any required attachments constitute the permit space is needed, attach additional pages. application. Failure to complete and submit this application form may result in a fine and/or imprisonment or forfeiture under the provisions of applicable faws. Section 1 : A licant Information Applicant Name (Indiv., Org. or Entity) Authorized Representative Title tZ1 VI � OWiv��v4. Mailing Address City State Postal Code �'✓-20 qUtJ1�V� 1�-+O �1 N 14 N1 � S'S'�-k 36 E-mail address Telephone Number (include area code) Fax Number (include area code) SZ� Za -' OZ Section 2: Landowner Information if different than Applicant) Name (Organization or Entity) Contact Person Title �1 L1�f�o VI }'r1.�11J Mailing Address City State Postal Code E-mail address Telephone Number (include area code) Fax Number (include area code) Section 3: Other Contact Information (check one : �Consultant or Plan Preparer ❑ Contractor ❑ Agent ❑ Other If Other, specify: Name (Organization or Entity) Contact Person Title T��P2 I�`� c�ot.� MP o� pn� A'!�'Nf�� Mailin Address City State Postal Code 2� �w � ��'• M�rvN�I�a.� s /h n/ 5S�'�-t r o E-mail address Telephone Number (include area code) Fax Number (include area code) MP f[3orl�; T�'?-P�� I T�Et'.� bl Z .ZS� Section 4: Pro'ect or Site Location Site Name (if any) County Municipality SAW Y�� Lf'�1�� Location Address/Description � o ? b W P.aSSSG l.-�1 ❑ City ❑ Village �Township Section 5: Location Information Create a map depicting the perimeter of the construction site (land disturbance) and relationship to nearby water resources using the Surface Water Data Viewer http://dnr.wi.qov/orq/water/data viewer.htm or a 7.5-minute series topographic map. You can print the map and then draw the location on the map. Provide the section, range, township information and if available, the Latitude and Longitude information. PLSS Public Land Surve S stem Method Quarter-Quarter Quarter Section Township Ran e Direction If this site is not wholly contained ❑ NW ❑ NE ❑ NW ❑ NE n E on the quarter-quarter section, 22 �2 N � .�•W more description: ❑ SW ❑ SE ❑ SW ❑ SE � , Water Resources Application for Project Permits - Form 3500-053 R 08/09 Pa e 2 ApplicanUProject Name: R-1 G}�}{�r1.✓J lll}��1J County: ��[ ,�. ' Latitude and Lon itude Method if available De rees Minutes Seconds Method of Determinin Latitude ❑ GPS ❑ DNR's Surface Water Data Viewer Longitude ❑Other(specify): Section 6: Waterwa s and Wetlands see Instructions about potential additional a plication re uirements) Name (description if unnamed) of closest waterbodies Type Special status c.�� Lake ❑ Stream ❑ ORW/ERW ❑ 303(d) listed Yes No Wetlands: ❑ Wetlands will be filled excavated, or disturbed during construction or as part of this project. -� The presence of wetlands has been evaluated using: (check all that apply) ❑ Wisconsin Wetlands Inventory ❑ Wetland Delineation (attach report) ❑ Wetland Locator Tool ❑ Soils (NRCS maps) ❑ Other(specify) http://dnr.wi.qov/wetlands/locatinq.html Section 7: Pro'ect Information Attach additional sheets as necessa ) Duration: Anticipated Project Start Date(montnidayiyear� Projected Project End Date�montniyear� po/�ot,� '?.d12 4°1 Zol� Photos: Provide photographs of the"before"condition. Date of Photographs: Narrative of the Project: Provide a one to two paragraph description of the proposed project, including land and water alterations and intended use(s) of the project. M�w P-�I t��v� -� 1��.-C�I.P�--l� �cIS�I� �P�N. Section 8:Attachments and Permit Access (Include appropriate attachments for each proposed activity.) The following attachments, together with this form, constitute this permit application: (include all that apply) Attachment Name(s) I have obtained a copy of the construction site storm water runoff general permit from the department's Internet site. t ://dnr.wi.qov/runoff/pdf/stormwater/permits/construction/construction permit S067831-3.pdf Section 9: Certification 8� Permission Certification: I hereby certify that I am the owner or authorized representative of the owner of the property which is the subject of this Permit Application. I certify that the information contained in this form and attachments is true and accurate. I understand that failure to comply with any or all of the provisions of the permit may result in permit revocation and a fine and/or imprisonment or forfeiture under the provisions of applicable laws. Permission: I hereby give the Department permission to enter and inspect the property at reasonable times, to evaluate this notice and application, and to determine compliance with any resulting permit coverage. Name of Owner/Authorized Representative (Print or Type) Title Telephone Number Gfx�'.�-i /tiaT1�+`� 2 A�ftIT�� {��S/►'►P�/PC�+�. 6l2°12�j.28ao Signature Date Signed O� 23 2a\2 LEAVE BLANK-AGENCY USE ONLY Date Received Fee Received Construction Site ID# Docket# Corps# $ Initial screening: ❑ Completeness ❑ Historic checked ❑ Rare species (NHI) checked ❑ Wetlands checked State of Wisconsin Attachment - Grading Department of Natural Resources General Permit Application Packet (R1-09) � www.dnr.wi.gov page 1 of 5 - This is your GRADING GENERAL PERMIT The Grading General Permit (GP) Attachment is to be used in conjunction with the "WaterResourcesA�plication for ProjectPermits (WRAPP)"and will not be accepted if submitted separately. Use this form when there is land-disturbing activity(e.g.grading,filling, removing or disturbing soil) more than 10,000 square feet on the bankofa public (navigable) waterway. Be advised the "Construction Erosion and SedimentControl"attachment is needed in addition to this General Permit Attachment if the land disturbing activity is one acre or more and the project is required to have an erosion and sediment control plan. Please fill out the form below. After you clearly demonstrate the project is eligible for the GP, this permit application is "Approved"once it is signed and dated by an authorized Wisconsin Department of Natural Resources employee. Section 1 : Project Description Landowner (Applicant) Name County Waterbody Name X?�u-4� v► � � �wY�►�. cov�T�1 �-t��- �� Total Area of Construction Site (acres) Total Estimated Disturbed Area (acres) � .� � P� C� � sr�� o .�$ ��r� C3i ,6yos�� Section 2: Permit Eligibility To qualify for this GP, your project must meet certain eligibility standards. Please review and certify"Yes"the project has been designed and will be constructed in compliance with all of the following GP eligibility standards. If your projectdoesnotmeetalloftheeligibilitystandards,youwillneedtoapplyforanlndividualPermit (IP). Beadvisedthe Department has the final discretion to determine GP eligibility and may require information in addition to the initial permit application submittal or require an Individual Permit (IP) if site-specific conditions require additional review. General Permit Eligibility Standard Yes The grading site is not located adjacent to any of the following: a state natural area designated or dedicated � under ss. 23.27 to 23.29, a federal wild and scenic river designated under s. 30.27, Stats., or 16 USC 1274(a)(8) and a state wild river desiginated under s. 30.26, Stats. The project meets or exceeds the stormwater management technical standards of s. NR 151 .11 and 151 .12, � Wis. Adm. Code for stormwater discharges. The technical standards are found at: http://dnr.wi.aov/runoff/stormwater/techstds.htm The project maintains or establishes a vegetated buffer that meets the protective area distances below, which are also outlined in NR 151 .12(5)(d) 1 .a. to c. for lakes and streams and in NR 151 .12(S)(d)1 .a or d. to f. for wetlands. � For Outstanding Resource Waters (ORW) and Exceptional Resource Waters (ERW), and for wetlands in Areas of Special Natural Resource Interest (ASNRI), as specified in NR 103.04, the vegetated buffer must be at least 75 feet. � For perennial and intermittent streams identified on a U.S. geological survey 7.5 minute series topographic map, or a county soil survey map, whichever is more current, the vegetated buffer must be at least 50 feet. � � For lakes, the vegetated buffer must be at least 50 feet. � For highly susceptible wetlands, which includes the following types: fens, sedge meadows, bogs, low prairies, conifer swamps, shrub swamps, other forested wetlands, fresh wet meadows, shallow marshes, deep marshes and seasonally flooded basins, the vegetated buffer must be at least 50 feet. � For less susceptible wetlands, which are degraded wetlands dominated by invasive species such as reed canary grass, the vegetated buffer must be at least 10% of the average wetland width, but no less than 10 feet nor more than 30 feet. NOTE: Vegetated buffer determinations for the protective area adjacent to wetlands must be made on the basis of the sensitivity and runoff susceptibility of the wetland in accordance with s. NR 103.03. State of Wisconsin Attachment-Grading Department of Natural Resources General Permit Application Packet(R1-09) www.dnr.wi.gov page 2 of 5 � The difference in elevation between pre-and post-construction contours does not exceed 5 feet within the bank area. � NOTE: The difference in elevation between pre-and post-construction contours may not exceed 10 feet for areas immediatley adjacent to exposed or walkout basements within the bank area. The grading does not disturb or create a slope that exceeds 20%within the bank area. � A re-vegetation plan will be implemented and monitored for one year after project completion that provides a self-sustaining vegetative cover of at least 70%for all pervious areas,and is sufficient to provide � for bank stability,maintenance of fish habitat and filtering of pollutants from upslope overland flow areas under sheet flow conditions. To stop the spread of invasive species and viruses from one public waterway to another public waterway, all equipment or portions of equipment used for constructing,operating,or maintaining the project will be � decontaminated for invasive species and viruses before and after use or prior to use within another public waterway Section 3: Submittal Requirements Yes I have submitted a $300 PERMIT APPLICATION FEE, in the form of a check,payable to"Wisconsin DNR:' � I have prepared and submitted DETAILED PLANS AND/OR DRAWINGS,which clearly illustrate the project � has been designed and will be constructed in compliance with all of the General Permit Eligibility Standards. I have submitted LEGIBILE SITE MAPS,which clearly illustrate the perimeter of the construction site and � relationship to nearby water resources(e.g.lakes,rivers,streams,wetlands)and major landmarks and roads. I have submitted CLEAR PHOTOGRAPHS,which illustrate the entire project site in pre-construction � condition and the re�ationship to nearby water resources. I have submitted a COMPLETED GENERAL PERMIT ATTACHMENT and provided 3 COPIES of the entire `� 1��.r application package. Section 4: Certification Yes I hereby certify that I am the owner or authorized representative of the owner of the property which is the � subject of this permit application. I certify that the project has been designed and will be constructed in compliance with all of the General � Permit Eligibility Standards. I certify that the information contained in this application submittal is true and accurate and understand � that failure to comply with any or all of the provisions of the issued permit may result in permit revocation,a fine and/or imprisonment or forfeiture under the provisions of applicable laws. I understand that I am responsible for obtaining all necessary local (e.g.city,town,village or county) � and U.S.Army Corps of Engineer permits or approval in addition to this state General Permit and prior to commencing any work at the project site. State of Wistonsin Attachment-Grading Department of Natural Resources General Permit Application Packet(R1-09) www.dnr.wi.gov page 3 of 5 - Section 5: Permission Yes I hereby give the Department permission to enter and inspect the property at reasonable times,to � evaluate this notice and application,and to determine compliance with any resulting permit coverage. Section 6: Landowner or Authorized Representative Signature Please sign below. By signing you are certifying that all of the requested items contained in this permit application attachment has been fulfilled and the appropriate documentation is attached. Name of Owner/Authorized Representative(please print) Title Telephone Number Goudy Mf�'1�'('Sor�1 �o'�" N►PNP6� �61 Z�°�?�j-ZSGt� Signature Date Signed 07�� iz DEPARTMENT OF NATURAL RESOURCES USE ONLY PLEASE DO NOT MARK UP SECTIONS 7-9 Section 7: Findings of Fact 1. The Department has determined that the project site and project plans meet the standards in s.30.206,Stats. and ch.NR 341,Wis.Adm.Code.,to qualify for this General Permit. 2. The proposed project will not injure public rights or interests,cause environmental pollution as defined in s. 299.01(4),Wis.Stats.,or result in material injury to the rights of any riparian owner,if constructed in accordance with this permit. 3. The Department and the applicant have completed all procedural requirements,and the project as permitted will comply with all applicable requirements of Section 30.206,Wis.Stats.,and Chapters NR 102, 103, 150,299,310 and 341. Section 8: Conclusions of Law 1. The Department has authority under ch.30,Wis.Stats.,and ch. NR 341,Wis.Adm.Code,to issue a permit for the construction and maintenance of this project. 2. The Department has complied with s. 1.11,Wis.Stats. Section 9: Permit Conditions 1. The permit does not authorize any work other than what is specifically described in the application and plans dated as listed below and as limited by the conditions of the permit.A permittee shall obtain prior written approval of modifications from the department before modifying a project or amending permit conditions. O1 DATE OF PLANS: Oz7 /'L� / Z��Z 2. The permittee shall notify the department at telephone number listed below before starting construction and again not more than 5 days after the project is compfete. WDNR PHONE NUMBER: ( _____ ) _ - ___ State of Wisconsin Attachment-Grading Department of Natural Resources General Permit Application Packet(R1-09) � www.dnr.wi.gov page 4 of 5 � " 3. The permittee shall post a copy of this permit at a easily observed location on the project site visible from the waterway,beginning at least 5 days prior to construction and remaining at least 5 days after construction.The permittee shall also have a copy of the permit and approved plan available at the project site at all times until the project is complete. 4. Upon reasonable notice,the permittee shall allow access to the project site during reasonable hours to any department employee who is investigating the project's construction,operation,maintenance or permit compliance. 5. The permittee shall complete the project on or before the expiration date listed below.If the project is not completed by the expiration date,the permittee shall submit to the department a written request for an extension prior to the expiration date of the permit.The request shall identify the requested extension date and the reason for the extension.The department may grant a permit extension for good cause shown.The permittee may not begin or continue construction after the original permit expiration date unless the department grants a new permit or permit extension in writing. PERMIT EXPIRATION DATE: O�I / Ov1 / �� ----- ----- -------- 6. The permittee shall submit a series of photographs to the department within one week of completion of work on the site.The photographs shall be taken from different vantage points and depict all work authorized by the permit. 7. The permittee shall maintain the project in good condition and in compliance with the terms and conditions of the permit,this chapter and s.30.206,Stats. 8. The department may modify or revoke the permit if the project is not completed according to the terms of the permit or if the department subsequently determines the activity is detrimental to the public interest. 9. Acceptance of a general permit and efforts to begin work on the activity authorized by the general permit signifies that the permittee has read,understood,and agreed to follow all conditions of the general permit. 10. This project shall comply with all conditions identified in Wisconsin Administrative Code NR 341,and identified in the Instructions for the General Permit application. 11. Invasive species decontamination activities shall be performed by taking actions specified in a.to c.or h.Decontamination shall include either d.,e.,f.,g.,or h.for any equipment,or portions of equipment,that is used in non—frozen navigable waters when the air temperature is above 19 degrees Fahrenheit at the time the decontamination procedures take place. a.Inspect all equipment used for constructing,operating,or maintaining the project and remove all plants and animals,and other mud,debris,etc. b.Drain all water from equipment used in navigable waters. c.Dispose of plants and animals in the trash.An operator may not transfer plants or animals or water from one navigable waterway to another. d.Wash equipment at a temperature of not less than 212 degrees Fahrenheit water(steam clean). e.Wash equipment with soap and water or high pressure water of not less than 2000 pounds per square inch. State of Wisconsin Attachment-Grading Department of Natural Resources General Permit Application Packet(R1-09) www.dnr.wi.gov page 5 of 5 � " f.Allow equipment to dry thoroughly for not less than S days. g.Disinfect equipment with 200 parts per million(0.5 ounces per gallon)chlorinefor not less than 10 minute contact time.Every effort should be made to keep the disinfection solution and rinse water out of surface waters. h.Follow the most recent department approved disinfection protocols or department approved best management practices for infested waters.The department shall maintain on its website and make available at its offices a list of the most recent disinfection protocols or department approved best management practices for invasive species and viruses. THIS PERMIT APPLICATION IS APPROVED WHEN IT IS SIGNED AND DATED BELOW BY AN AUTHORIZED DEPARTMENT OF NATURAL RESOURCES EMPLOYEE. DEPARTMENT OF NATURAL RESOURCES USE ONLY Date Application Received Docket Number Date Application Completed Fee Received $ NHI Checked? Archaeological&Historic Checked? ASNRI? PRF? PNW? Wetlands? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No State of Wisconsin Department of Natural Signature Date Signed Resources forthe Secretary Issued by Print Name Title Page 1 of 2 ,` Tim Seidl From: EHagman@uline.com Sent: Tuesday, July 31, 2012 1:42 PM To: Tim Seidl Subject: RE: Grading pic2 Tim - The grass seed specs are below: Earth Carpet Brand Combination of the Blue Carpet and Carefree seed mix which is a combo of blue grass and fescue seed. It will be applied at a rate of approximately 10 Ibs per 1000 square feet. If you do need any additional information please let me know. Thanks again. Eric Hagman Uline Inc. 651-688-3495 ehagman@uline.com ! ::;.. "Tim Seidl"<Iwtech@sawyercountygov.org> To <EHagman@uline.com> Datc; 07/31/2012 0127 PM Sub;e�?� RE:Grading pic2 Hi Eric, I have the maps showing the grading area and silt fence location and the cross-section. Thanks, 7� S� Assistant Conservationist Sawyer County ZAC Office:715-634-6463 Cell:715-644-8631 From: EHagman@uline.com [ � !r� ] 7/31/2012 , State of Wisconsin Fee for Applications to Alter Lakes, Streams or Wetlands , . Department of Natural Resources Ri-o� www.dnr.wi.gov Form 3500-053A page 1 of 2 � � FEE INFORMATION Information about Fees for Applications to Alter Lakes,Streams or Wetlands State law requires that the Department charge a fee for processing your request to make changes to public waters and wetlands. The Department begins review of each application for completeness only after the correct fee is received. Please review the application information for the activity you are applying for in order to determine the correct fee. This information is available on the Department's web site at www.dnr.wi.gov under the topic Waterway and Wetland Permits. �Please see Page 8 of this Application for Applicable Fees* *�OMPLETE BOTH SIDES OF THIS FORM AND SUBMIT WITH YOUR APPLICATION* For purposes of determining permit application fees,a"single project"is defined as an activity that affects a single waterway, waterbody or wetland within a single county. After exemption determinations and general permit deadlines are met, individual applications are reviewed on a first in-first out basis. An optional expedited decision process is available for a supplemental fee of$2000. The expedited permit review guarantees a decision by a mutually agreed-upon date between the applicant and the Department. If you wish to request an expedited permit review,submit a letter with your application describing the time frame that will meet your needs, along with a check for the applicab►e permit fee and a separate check for the supplemental fee. Supplemental fees are based on county boundaries. If your project involves alterations to the landscape in 2 separate counties your supplemental fee will be$4,000. (The supplemental fee funds permit reviewers specifica►ly designated for expedited decision-making). Within twenty days we will respond in writing,specifying any additional information needed for an expedited decision on your proposal,and the date by which we can make a decision once the application is complete. After-the-fact applications,for permits or approvals submitted after work has been commenced or completed,require twice the usual fee.Projects started or completed without obtaining the appropriate permits are subject to enforcement actions(e.g. monetary forfeitures,mandatory abatement,mandatory restoration). Refunds of standard fees are made only if the applicant withdraws their application and requests a refund before we determine that the application is complete. Note: Personally identifiable information on this form is not used for any other purpose than filing of this application but it may be made available to requesters under Wisconsin's open records law[s.1931-1939,Wis.Stats.]. Activity Applied for Amount Enclosed C��.- C��►n�e 1'��h� �� S �,,,o� ��'�'W �� Make checks payable to"Wisconsin DNR" LEAVE BLANK—DEPARTMENT OF NATURAL RESOURCES USE ONLY Fee Received $ �Check � Money Order ChecWOrder Number Received by Docket Number State of wisconsin Fee for Applications to Alter Lakes, Streams or Wetlands � �� Department of Natural Resources Ri-o� • www.dnr.wi.gov Form 3500-053A page 2 of 2 ` Please review the permit application materials closely to see if your project is eligible for a General Permit(GP)or an Individual Permit(IP). This will make a difference in your fee,and in the permit processing time. For projects that require multiple permits or approvals,use the right hand columns to calculate your total fee.The following projects do not require fees: Waterway projects funded in whole or in part by any Federal or State agency,dam or wetland projects conducted by any Federal or State agency. • • . • GP for biological shore erosion control structure GP for boat landing(public only) GP for clear-span bridge GP for dredging-manual or less than 25 cubic yards from a river or stream GP for dredging-plant and animal nuisance removal in"outlying waters" GP for dredging-previously permitted drainage district maintenance GP for dry fire hydrant GP for fish crib,half log,spawning reef,tree drop,wing deflector) GP for ford GP for piling GP for pond-landscape(not located in a wetland) GP for pond-wildlife/wetland conservation(meeting criteria in NR 353.04 and NR 353.05) GP for new riprap on moderate and high energy lakes and flowages GP for riprap repair or replacement on inland lakes and flowages GP for seawall replacement or seawall replacement with riprap or vegetated armoring GP for temporary in-stream crossing GP for weed rake GP for wildlife habitat structure(nesting structure) Boathouse/fixed houseboat repair certification Total Quantity x$50 =$ . � ... . . ,�,o GP for a new culvert GP for dredging-each open trench utility crossing or dredging a previously dredged area GP for grading greater than 10,000 square feet on the bank 1 GP for intake-outfall structure GP for pond-stormwater Total Quantity ' x$300 =$ ?,prj ��a; �.. �. .� ' Individual Permit(IP)far fish/wildlife habitat structures IP for non-metallic mining in Marathon County IP for piling Boathouse certification for an exception single project $300 =$300 �� All Individual Permits(IP)unless otherwise specified Dam construction or modification approval Dam transfer ownership and/or financial responsibility approval Declaratory rulings Municipal bulkhead line approval Water level or Flow order Water Quality Certification(e.g.wetland draining,dredging,filling) single project $500 =5500 Subtotal 5 After-the-fact Permit Fee:double the applicable fee(these fees are non-refundable) $ Optional Request for Expedited Permit Decision:Supplement Fee of$2000 per county 5 Make checks payableto"Wisconsin DNR"TOTAL $ �jd0 � 'N % � ' r �. ��..��":�•�,�*,: fix. � ,,�.�f��. 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SE78 = ARE MEAS AW TO W EA4E LINES `,N' or S 81 4O� .. `3,9 tags wr, wta I III1\0 I R10 1 f l 1! \ \ \ \ \ \ \ \ - - — wra Q k4l}11\\ \III\ \\\Il \y f1EARTOF 7f/ENORTH R12 1 \ \I1� 1\ \\I\ \ SURVEYINCw NAYWARI m �\ \\ \ \ 1 / l r�• 846 14 \\ �\\ \\ � 1 I � f! /// r z-- �_—�• 9 r< ice'/ ; �.__�� x a f } wr I\ ti�1111 } .} 11 } I \ BEARINGS ARE CONRNUED w1e w' r+ \\ 11\ } } } FROM CSM 4154. r0 or Il 1 SMAE GARAGE- GARAG / , / � — � � RETAIANK awls \ \A / \ \ ", •� �,j\\I.I\ 1 SURVEYOR'S CERTIFICATE `� d } } y ; y 1 y } \ \ • - / c� - yll y y\yy 1, LARRY T NELSON, REGISTERED LAND 5URVEYOR IN THE STATE OF WCSGYJNSIN, HEREBY CERTIFY:-63.gdl THAT ON THE ORDER OF RICHARD UIHLE7N, I HAVE MADE A TOPOGRAPHIC 1� 1 } / \1 1 lyl\ \ \ 1 ` \ i W- r f 1 1 1 \ 1 \ \ } \ \ \, n,r\ ors �� _ o SURVEY AND MC AP OF CSM NO. J05 AND PART OF CSM NO. 4154, LOATED ® IN GOV7 LOT 6. SECTION 22, T. 42 N., R. 7 W. IN THE TOWN OF SPIDER � � � \ `,\\\ y 1 }\ � 1 \ � / 1 I 1 - � - = � / J 1 � LAKE, S4WrFR COUNTY, WISCONSIN,°-1 \ ` - l eTrJ DRIVEWAY I 1 / y� o THAT THIS MAP IS A TRUE REPRESENTA71ON OF S41D SURVEY; AND \ I I / \ - - _ _ _ ti + , rrc THAT SAID SURVEY AND MAP ARE CORRECT TO THE BEST OF MY KNOWLEDGE 12 A- AND BELIEF. LARRY T. NELSON RLS - 1276 LEGEND ® FOUND IRON PIPE, AS NOTED FOUND 1-114' IRON PIPE O 2.5' D1A. TANK COVER ® LP TANK O TELE. PED. O LIGHT POLE SAUNA SCALE: ONE INCH = 40 FEET 40 0 40 80 DECIDUOLIS TREE DR ANSPECIES NOTED CLIENT R/CHARD U/HLE/N M WELL AS - AS-0Rw - RED APPLE ® SEPTIC VENT 0 - BATCH SW - SUGAR AMPLE JOB. H111022 FILE.• T42NR7WISEC22 M 4' CAST IRON PLUG CONIFEROUS TREE DA. AND SPECIES NOTED SCALE. 1' = 40' ACAD. HI I-022 a- 84.5411S - S DRAFTED BY. JRN PAC. S22427 e - cam w - Afff PNE R - RED AWE REVISED: 2127112 NO. S-189/PG.24 ,' Al 81;i4 40' W � orp I 012 $a rT � 0 / I 21 C4PAW A?aV I HEART OF THE NORTH SURVEYING OF HA YWARD, INC. 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