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002-121-15-1500-LUP-1989-340 , 11pp1icaLioii Lor Land Use Permit � County of Sawyer � �, < 7't�e undersigned hereby makes application for a Land Use Permit and agrees � that all work shall be done in accordance v,ith tlie requirements of the Sawyer ;;, County Zoning Ordinance �nd t}�e laws and regulations of the St1te of Wi�c�nsin. , PRINT - USE ONLY BLACK INK/PLNCIL �lY1e�'�_�t� �. ��r��i� u u A�ber}ir� �'o,rnes }�-�. E}Ux Fratnk Ca�r �. Owner Builder p 1��. � �ox 213 3 � �.�4. 5 3G x Szoq `0 mailing address mailing address ITayWArc,�, �11 5�{'843 �0�4WAr� yV1 5�84�3 city, state, zip city, tate, zip Building Land Use Zone District . (�-J New ( ) P'illing ( ) Addition � �� ( ) Dredging Lot size ((�� ,_ �';'� ' rr � ( ) Alteration ( ) Grading �, ,R.,' ( ) Moving on ( ) ncres , �-�3 ( a- ,. : r {., '� ( ) N � New Construction + f� � Size 2.� ft wide ft wide � � s- 32. ft lo�ig ft long C � Floor area 7(qg sq ft sq ft � � � Total hgt � to peak to peak x � Stories � m Ui -�- fi No. of bedrooms � - ' rear lot line or waterline , - . �_.,�� ; (year round) or (seasoiial) � � '; Type of bldg or addition � i � ' � ( ) Dwelli�lg �':•� 34� � G ��-+ (x) Garage (1) 2) car � __�__ � � O Storage building i - --"" - � f a r i r• O ( ) Boathouse i �- .�';• --�i �• rt ( ) Livingroom i ��' � �' l,.`i i r� ( ) Bedroom 4-- -> ���5' ����, i o i :,��,�e i ( ) Kitchen-dining i � ii n ( ) Porch - enclosed/roofed � � -- � • o O Deck - open i 1 i ; � O i i M ( ) i � : � � , , , ' ' � I or Type of construction � i -> ¢ (� Frame ( ) Block �` i '- ?- ` � i ( ) Lo9 - ( ) Coiicrete � �Oi '��_ '�=1-' i O Pole � ) Steel � i i�* � i_ _ __ � i ( ) Metal � � �i�t � i ••� i c �- _i n��`"� � �' i i� i u, #-.,__� , ' i ! �n Construction cost � �� - - �� � t' N � $ 00. � '� � _ ���=->-�. , � it+� ���i' � i 1 !", Vol �<��`=, P9 4.`� of deed � �. - i _ G! i , � �� ' � � CSM Vol Pg � � i ro i N i a i i � n Cer. Soil Test �� -��� i � z � i n � w � � � Sanitary Permit �� - I � ----------CL road ------------------- o z O Issued �� �p����,ry���, (��j� Denied � # �I�Q�t�t�t�� �—�G 2�7 � o -}- � ' � i ^�--�, '-� " ���uti�= � n( l s ;� � — �� ur� �, — owner Zoning Administiator O N ��y (�, SANITARY PERMIT APPLICATION �°�"T''- -- -- - - � ��� LI �ILHR SAWYER . c In accord with ILHR 83.05,Wis. Adm. Code STATF SANITARY PERMIT# ► --1 C CST 88-177 114437 � Attach complete plans (to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER ' 8Yz x 11 inches in size. See reverse side for instructions for completing this application. pE7i7ioN APPUCANT INFORMATION-PLEASE PRINT ALL INFORMATION. Foct vARi/+NCE �vES D No - —_ _ _ _ ___ _ _ ----- --- ROPERTY OWNER PROPERTY LOCATIUN Ja M �s .4 �6ci-�..� - �/4 - Y4, g 3�p T 4p, N, R 8 (or) W —__ -- _ __------ __ - -- NOPERTY OWNER'S MAILING ADDRESS LOT NUMQER BLOCK NUMBER SUB IVI ION NAMF� � S-��/, o woc�ds c c� �� .Z, �o x -2-/3-3 /S-ZO �S ���n�+tu n: �j�zcl� _/Sdd•_ _ _- -- - 11�/STATE ZIPCODE PHONE NUMBEH CITY NPAitFS(ROl�D,IAKE OR LAhDMARK h•2Yw t� kf/ S�B Sl3 I VILLAGE : B.7.sS �z�4. (�/u�Ie nc� •�✓�, . I. TYPE 04 BUlLDING OH USE SERVED: Jumber of Bedrooms ii 1 or 2 Famil �N� �� OR �_-� Public (Specify): Y- -��-yv�d�------ -�-�-�-�•r II. PURPOSE OF APPLICATION: (Check oniy one in#1. Check#2,3 or 4,if applicable) � �( r� �� Repair of an 1. a. �_l New b. �Tl'Fieplacement c. LJ Replacement of d. �_ � Reconnection of e. System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued _ _ ______ __ _ _ _ _ 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Cop�. V. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. �Conventional b. � Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill 1-ank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. _ Seepa�c e Bed b. ❑See a e Trench c. ❑ Se�a�Pit __ _ __ __.____ __________ ___—___—_- � PERCOLATION RATE 3. ABSORPTION AREA 4 ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: , (Minutes per inch� REQUIRED(Squar Fee): PROPOSED(Square Feet) �1 � �/6 ,�oS �y/�� 3 70 ���� 9.S•g� Feet �Private I-1 Joint �J Public ' CAPACITY Site YI. TANK �n allons Total #of Prefab. Fiber- Exper. �- - Manufacturer's Name Concrete Con- Steel 9�ass Plastic APp INFORMATION New xistfng Gallons Tanks structed Tanks Tanks -- - ---- ----- -� ❑ ❑ ❑ ------ - — �� � � -- - --- o � ���.ss� �e Up c Tank or Holdin Tank _ � _ - --(� - n itt Pum Tank/Si hon Chamber u `�' � � � ❑ Vil. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for instailation of the private sewage system shown on the attached plans. �lumber's Name(Print P�umber's Signature:( Stamps) MP/MPRSW No.: Business Phone Number ,4,�o�c y ��,�.,Uss�/ 3y3� �_7�s � 7y��%�3ss 'lun:ber's Address(Street,Cily,State,Zip Code) `�- ------------ Name of Designer' ��,�67C le�v C'•�B t.�-� /�..// SSl� z� ����v�s �.Lc'.�.uss�--n/ JIlI. SOIL TEST INFORMATION ____ _ _ _ __ _ _ _ _- —---- -- _ _ _ - - ------ -- CS7# ertified Soil Tester(CST) 3me 43�� Dc-�//✓�-s �bf'/`-f L!S 1'c'� --- --- --- _- __ _ :ST's ADDRESS(Street,City,State,7_ip CodeL, I Phone Number: � /�T• �� �a X /li � �AB�'j �/ S��z--/ � ( ?/S ) 79'�-3T�� PARTMENT USE ONLY j IX. COUNTYID� — -— ----- — _ -- ----- —- _ i�I D�sapproved Sanitary Permit Fee Groundwater ate Iss�mg Agent Signature(No Stamps) I SurchargeFce �� A������ed C] oW�e�G��e�i��t�di $90 . 00 $25 . 00 9-12-88 � Adverse Detenninntion' X. COMMEPITS/REASONS FOR DISAPPROVAL: ' F�D-6398((ormerly Pib-67)(R.03/8G) DiSTRIBUTION: Original to Counry,One Copy To:Bureau of Plumbing,Owner,Plumber DEPARTMFNT uF INDUSTf?1 INSPECTION REPORT FOR SAFETY&BUILDING . ` I AI30R'8 HUMAN RFI ATIt�"i'. DIVISION ,,�, ��h ;�,,;,, ON-SITE SEWAGE SYSTEMS u�F�ci uf r�ivisioN cooFs x nPr�ucnTioN Pv"ADISON \1'I 53��% StateP�anl.D Number �CONVENTIONAL �,-�1 ALTERATNE Ofassigned) • I Holding Tank � � In-Ground f'ressurc � � Mound -_ --- � i i�,, �, � �i,-�. -^�:;� - � ���ADDRESSOFPERMITHOIDER� - INSPECTIONDATE' R, ., � E �-r�r� _�_�--�.a �x �t33_ �Y�R� 9 -(a- � M�s l� e� _ _ _----,-- -- i i .....hi �..,�..... ,... . � . ��. �. . :��k I�fli�FFRt NT FRO�v1 P,�N �RFF Pi FI EV.-.� CST RFF 'i FLE�/.� Cov�.� w E�� p �T loo - -- - - - . - - - __ _ - -- -- -,,,�,., ,i{�.,,,., A1P ti V HSW Nn �C ��y Sanitary'ermrt NUmber I ANORY R�s�vss��l _ 3�38 _L - - -- - __-- 88_�6s�i� u437 �; 7iC TANK/NOLDING TANK: _ _ ___ - I -- �.� � i��, �,, ��- �- � � � � � —��IC �,�F 4C�1� TANK!N�.�1 E I J IANK OUTI ET ELEV- WARNING LABEL �UCKING COV�� Q q PHOVIDED�. HOVIDED�. 9�RS�`1 VSS E� I a DD i ! �• S ; r 7 • � �YES_O NO CJ YES C)NO , . ��i ' � �� I �YE�Tf H �� NUMBER OF � -��'�- � �F RUPERTY WFI L� � BUILDING VtNT TO�RESH r .� u,;. �•, _• • r,i�r{wn � � IINF � � AIRINLEi� �li , „nRM � FEET FROM � / I, _YES l_1 S L;NO I NEAftEST--�� � bO > �O ?� _ _ — --- -- --- -- �S DOSING CHAMBER: _ „ -- P�vYES ❑NO PCR,° ---- ..---- JOW�, .�.�.�I;; ,�,ii1 PIIMPMODCi 11'liMl'/SIPHONf - ------ ,KINGGOVfR .�� � �', ��I%��.�Uftt R WnRNINU LABEL �"U�,JIDED�. 1 ALL ONSFPFiR CY`Cl�YE S ..;NO 1 rpUMP AND COhTROI S OPERATIONl�.I� NUMBER OF PHOPERTY WELL- BUILDING YES CJ NO — . .. -_— __._ _ U E- �. VENT TO FRFSH �f)IFF FHFNCf E3E i Wf f N � FEET FROn1 ��NF nia wi Er PUMP ON AND OFF� ____ __�__ �J YES LJ rvo NEAREST—♦�_ SOIL ABSORPTION SYSTEM. Ch��ch th��su�l�no�sturc at thc depth ol plow�nq FORCE ���t r.r,rf� ��ninMfrra nnnTFaini nNn nnnRKiNG or excavation (If soil can be rolied into a wue.construction shall cease unli� ' the soil is dry enough to cnntinue.) MAIN , i , ' _ i . --- __ _ _ -- CONVENTIONAL SYSTEM: ...- I -- � t q ir�', } , �INSIDE DIA- a PITS-. LIQUID 8ED/TRENCH � � t ,ui r1FS ' /, ,(, �tnit +.. I PIT DEPrH �JIOIH LENCTti � O� ..DISTR PIPF.4 . .. ((�bFFi ( I DIMENSIONS III � ] _ 3 S 1 �j I_�I Q^�'�� _ 1_ HI.'oW PIF IIAe�)�� E - � �� � � � , � �NUMBER OF �PROPERTV �Vd'!l � BUII DIN� VENTTOFFESH �� I rI � 6 . S V �� i FEET FROM ���NE� 1 i �( AIR INLET.�[ � t,HAVEt DEPTH Flii DEPi�� US�'.R FI�C DI �.iFt FiF[ � NO DIS7H !��� H ��CV iNi i �E�r_�� FN(� iPE� �NEAREST—��_ I O _�S I �1 �� S 7 —�__�—St —- --- —_. MOUND SYSTEM: � - — _- -- - ---- _ _ _ --T ------- Mound site plowed perpendicular to Check the texture ot the fill material for �I PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: I mound systems to make certain that it j ON REVERSE SIDE. SHOW [ I vES C I NO �i meets the criteria for medium sand. � ELEVATIONS MEASURED. i � - --- SOIL COVER � �txi�`�E F�t�+�:+nNt_Ni htn!-�i-t„ i� ��SEHvn'iON WFL�S _--—_ I I YES ; i NO I _ _u YES (�NO - --- - - i�CPIHOVEHTRFNCH-HED �DFPTHOVERTRENCHBE.�) DEPTHSOFTOPSOIL SODDED SEEDED MULCHED�. ' �NTER '�EDGFiS � __ _ 1 _ _ I __ L�YES I 'NO I CI YES C]NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: ____ -------- - --- --- - - --- -- TWIDTH � LENGTH�—�VC` OF LATERAL SPACWG GRAVEI_DEP N BEl i?`TJ PIPE� FiLL DEPTH ABOVE COVER�. BED/TRENCH ( rFf'vc;FiES DIMENSIONS � I ��iAN�f�c�'�F) PUMP Mr1Nl�(11 D DISTR PIPE MANift�l D M�TFRI�� r N�� fiISTR DISTR PIPE DISTRIBUTION PiPE MATERIAL 8 MAFKING' ��LI EV Ll CV UII� f I GV I'll'f'� I71A E�EVATION AND OISTRIBUTION I _ I �II.'11 ;9�k. H(11k51'/�CWG I1ft11111�CUfiltlt.IlY t�.�)��II ".;:�I�t'.%�,' � VCHiI(�IIIFTCONRESPONDS70 INFORMATION � APPROVED Pt_ANS ' ll I ❑YES I 1 NO n YFS [-1 NO -- . - — -- i P�HMANtNt M�HKtHS UBStHVAIIVN WtLL. NUMBER OF NHOPEHTY WLLL BUILDIVG� C�JMMENTS: FEETFROM 'iNF I �YES � �'�NO � i I YES I I N'J NEAREST—� �� �1 v �bers �'I �-� �� I a� �v�S`���� �D �S D rQ u.� h RNta�n m co;mty tile for audit tit.�rtch Systern oi� —----- I��:verse Side "`, �" i��r}\� • � � 1 ;i�l)6i101fi (lti'fti;�� I � _ /S/oovaa�.o .S v�e . — �� — — N���I � a',�i.� ��� z�^ �" 3 0 �D i a? A �1 � h � b�,y��N �° � � o C� �R � hN� c � ,� p�� . , z i�� u�w y. --- �L� e p � � � �- � � �.4 , '� �F_ O `k� � P�. . o n� � ti , r S1 w � /Q'O� � � � _ � �g �_ � e t� � x R � n � wN_ N h m 0 ' � � ���. � ** � � � * � e � � � � oA a uF � : �'pka � �� w ' i � wN � � \. 8 ` � �� I� I ( � � �' � � � � � � � � � � � � . � � oS, oh � � . . a� . . � Z �� � � ��� . Sawycr Cout►ty Zoning ndminisr � a � �on r Inspection Report '� . . te M OWnOT _ Nancy J . and James H. Albcrtin__ _ __ _ � ta Address Route 2 Box 2133 Havward _ __WI 54843 � . H Name of business N/A _____ ___ z Bui1dCT Frank Cain ____ � Address Route 5 Box 5209 H�ward__ _ WI __.__ 54843 — y Pluwber N1A x Address ___ _—_ . — Inspection (./�Private ( ) Public ( ) Froperty ( ) Sctback-lakc H Violation ( ) DMelli.nt; ( ) Sethack-road p O Nobi] e Ihu O S tback-lot line � ( ) Sanit&ry ( ) Zoning ( ) Garagc ( .�veraRe road setb ck o ( ) Privy ( ) for renlacement p rn garage M V 308 P 45 . RR-2 . 100 ' x 180 ' _ . 41 ac - --- m w F-� N l,n N N ['� O W � T' � I � b0 ►+ ft' WUob�. ry ----- ...-------- � - __— _ I r-1 O tn � 4.5.5' Yi. I r+ I C o �2' L��1�a:� 24'x24� I o' r+ ; �p� G �� urn9r. To �E � p' � �- - �2oolu�<�9y �; � ' . � 34' p.r) �a� x sz' C " � o i � p :o� ' ,,, � � ry �\_I_=,. '° p I r• i o , I /I r 1� ( � ^ I' . � NO 1�1�1/yA9r S�t h .1Lry r1U�n �Le � � � i �S• O � 00 M+ I/d.riVlhLt l.ui, l,/PW '�w�A��2 �.� ,1! � . .. - _ --- I' �Ino rPA.uivaJ ' --- . � � I � I �� ' �' I y I , o a- aro N p � r� l�,iscussed with o���ncr ( ) r�a biscussed wit}� builder ( ) ~ r Discussed xith plumber ( ) ~'• ' � Discussed with '�� �0 o v+ Dste 26 September 1989 _._ iv � �� o � Signaturc of Officcr �.r.�:� �_ David Heath , ZA � I � � �'il� �N ��.`-- I�C�F-O � � I ,l �F��e>> �? 8 W � �' ---- --, rr Li� H)�� ',�Ic�i��r-l_.`> � L��l��"� nG_�5 ' � � � O A k. ST�� Fi-DR�Nc�. � NORo��m / f�:���_�,N � Hbiv2. 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J DCUN��D � �l - -CNc�F��� 11� l�(7tuA�0 �z C�NAt�D DDN N A (i ,y�,�y�N �'� �l)NR�� ��t�\�� �trAN4a L�'���Tc-'Q � �T�x c,C-��v�� W ,�F `-T ` _c�u.� � �S1\���o�J � ��D�'(a � C� 51-1(�F�t�l iAr�t�'�`��� � f aL��_lZT �q��E� t�)f\l_�[l i�1- �o��Nry � (���NVI? �_.O�-� �ll \ ����C�It�ll- �-,Lf-INZ. - � 5< � ��� ,.r -- Lr_T '4_t Ckl� 'GLf1C-�11C�c. )t 1<c>������t�l . ���'_mVaNSU� k ..�_r�',<�F1LL � $lk ��D