002-940-35-5210-LUP-2023-287 SUBMIT COMPIE'fE0 AVPLICATION AND
FEEro: APPLICATION FOR LAND USE PERMIT
SawyerCounty S-�a.y.`y r,Z 3
��
Zoning&Conservation Depart. � ��P�dlKe«�p�� � . V l ��� --------^--�--.--.Y �
1/SO Main St Suite 49 . -^ _'-•, C��u y �
Ha ard.WI54843 �I �`.—'�!��� "�'! �� � l t I�-1 �
pisleaa-SZae � j'� �
�=� J U!. 1 7 2023 Rcpt# a 3� S o�
INSTRUCr,.�v; ryo permits will be issued until all fees a e pa d �,, ______ _^ . `
Che[ks a e made payable to:Sawyer Counry Zo g Department , ._ �
�\i:�y"
0o vo :.�� �i a r �„���vr�.�qt. Fann� .av eF ti ��� D �aao icArof 7 ��Or�lrral'rOpi�cation MUST be submittrd Flll OUT IN INK (NO PENCIL)
,�em�na������� a�P��a�o� ��,P�oF, , e �«,�ac�,�„�:��n�ntir��s�r„�T�;or�
— — --- __ _ _
I Ownehs)Name: � Contnaorjs�Name -���� j
I
ADAM& NATASHA COULMAN I SAME
� -- - __--—
_---- _ T_.._ _
:, MailingAddress: �, MailingAddress.
' 5954 STEELE ROAD,BURLINGTON. WI 5310b_ ! _
ono�e: 815-388-5229 vne�:
rEmail: __ �9 ._... ���I Email:
� natasha.coulman mail.com
I ����: ''7583N WHITE BEACH ROAD,HAYWARD,WI 54843I, Oroatea�liediw:
i . . ..... — � --�----
!; i�,PiNK ,57-002-2-40-09-35-5-05-002-000100__ � T�,af; i BASS LAKE
f-- - — ---—
.� Permi[delhery Method i �Call Owner j�t Mail Owner n Gall Contractor ❑Mail Con[ractor
.,.---_... . _.__—:_____._ . .... . _--- �
X Is Property/land within 300 feet of River,Stream pna. Distance Structure is irom Shoreline� � •�•- •vrc^^^y �
� i,rc..m;rt.�e� � �' ".'�' "-� Arewetlands
�85' feet mFlaodplain
Creek or landward side of Floodplain? if yes--continue � Present?
�Shoreland �-.�_ -_.-- zone?
I Yes Ves
�. Is Property/Land within 1000 feet of Lake,Pond or Flowage DisWnce Structure is hom Shareline: No
'�. ',syas...mnF..�,�,,� --� feet �' No �
'i i
�.i NWI-SIWRIi11A
Describe Project
Value at Time of Total#of
Project type Foundation What Type&Capacity is the
Completion (House,garage,shed,deck, Number bedrooms
ofStories (Basement, f��t Sewer/SanitarySystem�s)
� - Additioa,etc._) Crawispace, i �cns;r„cc�on
" L List sepanteM Slab) i
5
Dwdling
GARAGE ONE SLAB
S 30,000+/- I I
Accessory BWg f
S E1
nddNon/aeeranrn
Neight:
TMaI Square Lowest
FooWge Grade to
Proposed Use � Proposed Strudure Dimensions (mukiply per Highest
story) Peak
Residence ( X ,
Ft.
with 2nd story or loft � X �
Ft.
with Basement ( X ,
Ft.
Attached Garage ( X �
� Residential Use Ft.
X Accessory Structure lex�a�n� ( � x �!C'i � 1,q40 SF
❑ Agrieultural �a""n`ez"'e°','n`°',°°""°°u',.=`� Li Ft. 15
U52 ( X �
Temporary Guest Quarters or Bunkhouse(circie cype� Ft.
Deck/Porch/Patio ' X '
_ �ommercial/ Ft.
Industrial Use ( X �
(2nd)Detk/Porch/Patio Ft.
C Municipal Use ( X �
Othef(explain) Ft.
� Other ( x 1
i PfIOGPaI SLNCIU�O(Agricuhural,Commercial,Municipal,Etc.) Ft.
I
( X )
Addition/Alteretion(e■plain) � � Ft.
Total Non-habitable square feet: 1,440 SF
�'� Total habitable Square feet: (decks,patios,garoges,sheds,storage area&other structures)
I
Originai Applicatian MU57 be sub�?`".'ed
Attach a v!an or Skcrc*your Property on 8.5"x li"or 8.5"x 14"paper.•MusN Include location and setback af proposed and existing strudures,rwds, �
� driveway,sanlhry components,well,bke,river,stream,and wetlands.
� ._—_ ___._ -- ---___._._ _. _ _ _
� ! Sethack I _ _ i Setback
Desaiption Measureme�ts j ��Pt�� Meawrements
__ _. _ —.� ._._ ...— , ----__ _ i
Setback from the Centerline of Platted Road and/or � Feet i Setback from the Lake(ord��ary n��gn-w.«.m,�k) ' �85 feet
—. _ ..__ _. ..._.__
Setback from the Established Right-of-Way �Feet j � Setback from the River,Stream,Creek Feet
___ _ _
'j I Setback from the Bluff��r aovi-���bie _ Feet
__._ _
Setback from the North�ot Line I 76 feet� ,
—_ __ --- __ _ .
Setback from the Sou[h Lot Line ' S Feet�_Setback from Wetland Feet ��.
Setback from the West Lot line ' �g5 Feet Slope within area of construction/disturbance �� 9G Slope �
Setback from the East Lot Line '�. �5 � Feet Elevation of Floodplain � � Feet '
I _ I ` ___. __..
. � i
__.__ .._ _. ._
Setback to Septic Tank or Holding Tank �Q Feet i Setback to Well 75 Feet
Setback to Drein Field Feet �
�Setback to Privy(Portable,Composting) e o a Feet '�_ J
��. I.e'S)fee[., aary.r.c frCf'whlch'�e setback r^urt be rmeasureC must bev�'�'���^ -�^e
I . . �C m,ner . . a.ttie cwner s eapense,
I .�'.�ceme c co.-t.� . (a st�u;tu�=�nore than fve(5 eet b . .�� a [ , ���`e t.o. h �nimum reQu�red setback,[he boundary n o oa n h T a<nt„N�k,o��e�oe
�.st he visiEle fro�one pre i sly��rveyea corr.er to;he�[he � ,sly s�rveyec�,o.n e"fable cy the Departm¢nt hy use ot a�orrected
I .. !of t�e proposed s�te o1;�he uc.ure,orm s;be ma�ked b�.a'�_�:ee s�rveyo�at:hzeowne�'s expense
I
( Calculate impervious surfacex(Roofed,concrete,paved,and other wAaces that water cannot penetrote.The Zaning OfNce can hefp you determine If a �
surface is considered impervious) I
' Calculate lot a�ea:
iIndicate lo[size from CSM or NOVUS(circle one):___,_ 0.630 Acres;Mukiply by 43,560=Lot area: 2��442.80 Square Footage
i
� W Iculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): ��'�� sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves):����� sq k.
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: 0 sq ft. il
Add these measuremenLt to determine total impervious surfates:,�r b�Y_!,____._,s4 k. ��
, Calculate impervious lot percentage
� 3 ��_, �� 3a� l3 `�
! Total impervious surface:_ � =Lot area_r Sq ft.X 100=impervious surface %
� (Mitigatlon is required if tobl ezceeds 35%)
•'•Notice a separate grading permk needs to be obtained H disturbed area is within the Shoreland dirtrict as inditated on previous page and meets criteria below•"
Groding on a slope greater than 20% � • Grading of more than 1,000 Sq.Ft.on 12%-20%slopes �
_ . �� Grading of more Ihan 2,000 Sq.Ft.on Slopes less than 12% • Grading is in exress of 10,000 Sq.Ft.
II(we)declare that this application(induding any accompanying information)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,mrrect and
�' complete.I(we)ac wledge that I(we)am(are)responsible for Me detail and accuracy of all information I(we)am(are)providing and that it will be relied upon by Sawyer
Courrty in determi ' whether to issue a permit. (we)further acce0t liabilrcy which may be a resuR of Sawyer County relying on this��nformation i(we)am(are)providing in or .
with this applicati n. we)consent to counry o � Is charged wRh administering county ordinances to have access to the above described property at any reasonable time for the ���.
u se f ins ection.Additionally unders�gne son(s)hereby give permission for access to Me property for onsite inspedion by Municipal Officials.
pw�r wner NATASHA COULMAN Date 7/10/2023
��., Signa Pn d�wme
�' uo*�,:'. .�.� , . ..... .. �
Vou are responsib�e fo�complying with[he require�ments of the Sawyer Counting Zoning Ordinances and law and regu!afions of the State of Wismnsin.Vou are also responsible for I
complying with State and Federal laws wncerning construction near or on wetlands,lakes,and streams.Failure to comply may resuR in removal or modfication of constniction
that violates the law or other penalties or cosu.For more information,visit the department of natural resources wetlands identification we6 page or contact a department of
�� natural resources service center(608)267-3125
� Issuance Information(County Use Only) Sanitary Number. I n of bedrooms:
� Permit Oenied(DateJ: Reason for DeniaL � � —i
i
�' Permit tt: Issuing agent�—� Oate: �I
� � I
� �� � � �� '� r �-�° �,-�-".-�_ �/a��2�3 �
-- -- -- -�----- ,
� Is Parcel a Sub-Standard Lot ''Yes (oeed ot aewra� y,No
1. ! Mitigation Required ; '�.!Yes o
II Is Parcel in Gommoa Ownership �!Yes (Fused/Corrciguous Lot�sp .�,No ';, Mi[igation Attached i i�Yes �No 'i
Is StruRure Non-Conforming ���'Yes ��No � �
i
�� Gra ten d by Variance(B.O.A.) � ��'��, Granted by Conditional Use
� ''�Yes XNo Use N: ' �_Yes�'No Gse p:
�� . ___..____.. �— /'_,
i
Was Parcel Legally Created �ves No Were Property Lines Represented by Owner Ya '.:i No
IWas Proposed Building SRe Delineated I4�Yes No Was Property Surveyed � �Ya �:No
i /
I �ceGomments---- �—�----� � ZoneDistrict: I fee:
j �\l. SP��C`..
Hold For Sanitary: Hold forTBA: Hold For Affidavit: Hold For Fees � I
B7an2o2a
R2dl EStdte Sawyer County Property Listing Property5tatus: Current
Today's Date:7/27/2023 Created On:2/6/2007 7:55:08 AM
�Description Updated:8/3/2020 �Ownership Updated:8/3/2020
_ __
7ax ID: 4068 ADAM F&NATASHA J COULMAN BURLINGTON WI
PIN: 57-002-2-40-09-35-5 OS-002-000100
Legacy PIN: 002940355210 Billing Address: Mailing Address:
Map ID: :2.13 ADAM F&NATASHA J ADAM F&NATASHA]
Municipality: (002)TOWN OF BA55 LAKE COULMAN COULMAN
STR: 535 T40N R09W 5954 STEELE RD 5954 STEELE RD
BURLINGTON WI53105 BURLINGTON WI53105
Destription: PRT GOVT LOT 2 LOT 2 CSM 9/303
#1995
Remrded Acres: 0.630 w Site Address *indicates Private Road
Calculated Acres: 0.619 7583N WHITE BEACH RD * HAYVJARD 54843
Lottery Claims: 0
First Dollar: Yes J property Assessment Updated:9/13/2012
Waterbody: Schoolhouse Lake 2023 Assessment Detail � �� �
Zoning: (RRl)Residential/Recreational One Code Acres Land Imp.
ESN: 407 GI-RESIDENTIAL 0.630 94,500 176,000
��Tax Districts Updated:2/6/2007 2-year Comparimn 2022 2023 Change
—
1 � ��� �� � State of Wisconsin Land: 94,500 94,500 0.0%
57 Sawyer County Improved: 176,000 176,000 0.0%
002 Town of Bass Lake Total: 270,500 270,500 0.0%
572478 Hayward Community School District
001700 Technical College
�Property History
a Recorded Documents Updated:8/3/2020 N�q �� �� � �� -
.._. ...._... _. .._._ _. ._ .
WARRANTY DEED . .. .... ............
Date Recorded:7/2/2020 424819
DESIGNATION OF TOD BENEFICIARY
Date Recorded:1/12/Z017 404692
WARRANTY DEED
Date Recorded:1/16/1984 189949 358/492
CERTIFIED SURVEY MAP
Date Recorded:6/13/1983 187169
SCHOOLHOUSELAKE
89'
100'
15'
30' EXISTING HOUSE
'
23�� WELLO
SEPTIC 238'
45'
10'
5' 48'
PROPOSED GRAVELDRIVEWAY
30' METAL GARAGE
30X48
30'TO ,-,J i.. �� ;���r�-, :,,ran
PRIVATE
EASEMENT
/ 129' COULMAN,ADAM/NATASHA
- 7583N WHITE BEACH ROAD
���vpo5-ed G-ra�v►��
�
�iv � �1,�� J y ,o � 9
�' � d�(La l ��•
� 3 , � �
� o
P.o.B. i5 /9So�NoRTH
" ioo.o'EnaT op
S.E, CORNER - GovT LoT /
SECT/oN 3S-4o-9
ziz.as� . P.o.B.
8G'�E__'
L 0 h3 �.°
1"" 4 W 6y o
J� o �
�! /G ibL'
\ SS, 00
BRt . � � O
� � N
�
Z��V y� � /2S73aD 0
o�' 2.d9AC. P
�Z y �
�
SCHooLHouSE \ .�� � h� a .
\ '��� /iZ.J' �
js�
Z �1.
�u y` � �
. a
:.r� y '�''!
=p �• � �
,,� :
.
�.
•i . .s.• o . zae.ir
t
b' °',,. �+'° <
3'� 2 �
rye s. z�roo�' "
D,./e. D.L3�IC. ry rf.
/ �f p tiW
P
LnKE l� taiac � W
0 3 QQ' 2
0
�� �Soopa• `o' o
3e' C"fTi1C. Q h 7
G. h
_l. `S )J•p r. 0�'il Q
� s.r J N
�� � 2JG(o V.
0
�70 lz 4 �siaJ
n �%� �a 5 40o e' ` '
1� 1 1 6 J �_.i wl D.J/1C ' Syq�
��� u. ��p�
. :..^•9 O:.'.ce � N �� o f � S
. . ,�..:G�.:�.;/ �� .
.;..��:<«__:j�;, I3 d�yo� SCALE /" _ /oo FF£T
�� ¢� Aol3f✓m �c�cio�: O 2RoN PiPE iN CCACE
��: . .,���ad'uval� � /"x24'IRoN PIPE PLACED
���2tf• �e+. 000uvn3o3-3�Y e��w n..
_�� -���JiJ, %
£. `lti._` �'-..-... �,y=,
� � .r "•�.
;,..,.,,�. / i ; - S i ' 'Nr-^;.�,.. �
' asu�x • -; - ?.'•; -
��.,,.. ,r.,.,� �' .. . �� .
.� G, �..�, u,l,�
J�,:, ' �
�,..,...o�1e-i �
p Page 1 of 2 pages .
C':.r"nd Strr.?) i�,•� �/ 9.� RL.�-,..C�...�.....r+...
c-i.f-.+.> .=s 0 3
fi � 4.
�{�I I�'� �' ' Sl _. �.� � � .' ���:.
Aiw J � ii M.w=� ' ��i i 4„-.:. � �
- % �` s 4� .�` f� i. t':
,,,. — y �� �� r �,�. � �.�,..
i t — 5 T .; � � . R ; s '
g 'f+� �a..�6'� '. "X . > . 1� $' {�'Y . ,.
� � a. - : ,�� tt � �%b' >s�k.� `:_.
` i � �kro F xy Y � � � � '_ u U' "+:; ��`.e4:�� �� � +_ � � ��� �n } za
� � f � %. ✓ ' � ��.�. � �� 1 k, \,� t�' �lF'
�� - � ��� , 'r � � `� � �,
. . � x{ �� v .� 1 . � £ �
1� b r .. � F � 'i k}F�'-"
� }*�'r' ' � �V �`` . �,'s �£�� �` ¢� ae�- r � �"��`�I ��, r � .y:.
}� r �"s:,. � ��� . �♦ "p�:: - � t ! ��:�yM�°;. �-. I.
�'; ,
�F..r . .s` ' :b ._ .
�,�p �W � -as.,
� 7' R "f.' ��! S. F_:; 9-+^w .xa' w,p - _ . .
�ayy-- �F.:' . _._. � ..
�� } a �1F � ��� sx� '�5' �
� £k f'
-J �' �-� s �i .w' � �n �- i.
.S � Y� K�6 �3,:yG e � t2.. �� t� g� � 3'
� � r
t' ? . �,>-~ "r� :-- s �'r�r) `a'�� � ., -s
,� � y , e _� ..* ».,n.'� �� _ "3�fsr � ✓�e �t'd*. ' �S . '�o.
.r '" � �' r � }�� '. .�� J'c'
T �E_. f !�"a� �'V4r� t yiy M �h �
Y �� l- � /� !� ' ;F,�. ) lt�f�y`��T� �c��c
� � .� �-"� o S X"�.r� r ''` �''F3�f��sr'Y , ti
� -�y �r �` r f � �6 r Y w :'�{ S _��'F ��` r�. _
'� y k.r ...� �. .�x-*iz.yy'g 'i�"` yj� f" t• '^'•' y
f � ' �o '� � �. g,�� �
,.r ` � ti ,,,.�' 2 � ,.� :�'v � rl�hR`s<a � �.°7` z. `.'Y ,`'r'�I.PS'.;� y� $-�,..,"'y_��.
f�:S4,�' 'Yr "� � � �a`�frN��t �' `
.�+ ,i'� "37,�„1 zF .� x �'�` '#^- t r 7�:o rin t-�-•"!f�`c >"!.3i}
'� �s, � t ,yw� K�"5s� s f 1�7 ,xy..+- � t."t,'C y'�rc"',.:3.
-+^'R- T:'.. lb��,k SY, ti.. .ry� 1 � �3K ,!w ��w+ �.
���#���T �� { � � ��,.
sr � ' ,� . �� .�:.
:.a, - <�;�r �
i- �� � ta� �)" F :- .
,t � ,
. l � a.N'.��}�� X �� J ..
' � a S
�� �.q �ry' i r-�- ,xt;r¢.�5f,�� .i �._.
: �t �,`Jl �' C�r �' �:, x _ � + , ,-`��r'"r- �" ' �� f FW��'
j y,dy����_;}t y+� ' . ' �¢:� �.. _
T �� r*�� - ) _ r .
Jy�{E � � "'` `'a� - _ <� ' '� '.< r >.`� � . �C�
�)�' �s � ���.� �k6 i. _* � ���:
f v^y �fi � �
x
'�� � ���.. � '
! 1 f�':t
�� � �
n �{ � i1F �-.}'F
y �"
wJ� '.i, A � �Oy
4 �. } �
' } '
Y' e
1- J.
i.1�?. .l aY
�
�p:''
�t'
`C
�.
Surface Water Data Viewer Map - - ��� Legend
�i- , �� �`- -- 2D Water Surface Elevation
�-_�
- r��, Grid
: � . �
�- _ -_'_ _ _ .
-� � --
�• ^..--� . : �L. �,j ■ High :937.629
�� � �;* 1:
1--� �-,
'�``l,.-� �` ,,-�,� Low:853.184
I ^YI
� �• Dams
F ,{ �. ,
�r � h �� ��� ■ Dam
f ��_�_�
�� � � FERC and FERC Exempt Dam
� �.w. ,�,� � ■ Cranberry Dam
� - _'. .. .. •w....""_wu�,�,�. �
� � � '�^ � ^ Removed Dam
r'�_' •�^'h�.��+�..�=:,._ . _
�rf -----�....�,�-^,.,_.��, ■
( r ■ Structure not on Wa[erway
3 j
� <all other values>
�� c � — Levees
k t Geomarks
�i ' Floodplain Analysis Lines
l ■■■ Q �y � Case by Case Anatysis for
�� ��� � ��' j �� �� . Development in Floodplain
. ��•�
�� ��� t t '�� ���� Dam FaiWre Analysis
1 .:
� � � f� � ��� � � �� EncroachmeNAnalysis
.� � •� _
�� � /��{ J 1 �l L(� � � Flood Insurance Study
� � i f•i S t 1 �.,.,,,,.
�� �•�� � �..�,✓ • Flood Storage Analysis
4 � ---__.
� �� �� ,,77`,,,, ;"'^-� Floodplain Study(Locally
`► � + � Funded)
� �1 !k 1 1
� � TT � [ �; � � — Hydrology/Hydraulics developed
r � � at a Dam
� � all othervalues>
----.� :-� r � � � <
�{.�r�r/ + Flood lain Anal sis
.� � ���;4 F � ,.. �� � �i � . J y. � Catchments Y .
� � �""ti ff}— - � � � Floodplain Analysis Points
��� � -� � � � � , �� � Case by Case Anatysis for
� � Development in Floodplain
1! Dam Failure Analysis
1}
� "" ' � EncroachmentAnalysis
♦,
�.� Flood Insurance Study
�
Flood Storage Analysis
�```r�+--��...���'''���---/// �� � � � Floodplain Study(Locally
� � � Funded)
~`� a •�, � Hydrology/Hydraulics developed
� � .
t � i
• .
� � � Notes
0.3 � �.�.3 �.3 MII05 DISCLAIti1ER Tl��e intormahon shown on these maps has bcen ob�ained�rom vanous
sources. and ;ui; ot varying aye, reliabiLty�nd resoWtion_ Thene maps are not intended to be
used For navigation, nor are[hese maps an au[hontative source of informatlon about legal IanA
ownership or public access. No warranty,ezpressed or implied. is made re9arding accuracy.
NAD_t983_MARN_�Vis�oi�5i��_TF.^. 1 : 7 920 �pplicabiliry for a particular use,completeness,or legahry of the information depided on this
� rna�p. For morr. information see ihe DNR Legal Notiees w�b p��yo h!�p�.r�dnr wCgov'legal,�