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HomeMy WebLinkAbout012-740-10-3302-SAN-2020-067SAWYER COUNTY ZONING & CONSERVATION ADMINISTRATION10610 Main Street, Suite 49Hayward, Wisconsin 54843(715) 634-8288sanitarianfg)sawvcrcourHvgov.orgCOUNTY SANITARY PERMIT APPLICATIONIn accord with Chapter DSPS 383, Wis. Adm. Code andSawyer County Private Sewage System OrdinancePVlProperty Owner's NiinicTumceetj'Property Legal Dcscripiion^< i v'A. Sec. / 0 ,Two. ^0 N. Ranse 7Property Ovt-ner's Mailing Address Lot Number3ol /?N/TX x-Block NumberCily, Suite Zip Code07?cfc'c,4ivi| Cfi qfiio'-u^ ^ CS'WSTYPE OF BUILDING: (Check one) 1 1 State Ownedd Public 15^ 1 or 2 Family Dwelling - No. ofbed^[^3a CityNearestRoad^^FireNumbe^^^^;vjPUBLIC BUILDING/LAND USE: [^plain the usc^'urpose for thispennit, (i.e.. campgrouiul, Icslival, recrcation/enlertalnmcnl event etc,)]Parcel Tax Number: (12 digit legacy number)7 VJ)-J. 0.3. 3TYPE OF PERMIT:0 POWTS Reconnection (SAN # - )SPOWTS Connection (SAN# lb -□ POWTS Revision (SAN# - )□ POWTS Repair (SAN# - )r~l Other:Additional Information:•Attach a Plot Plan with aii required information per SPS 383.21•Soil Test Information (CST # //? - 223)• Gallons per dav ^5^aJRESPONSIBILITY STATEMENT:I, the undersigned, assume responsibility for the installation of the POWTS activity for which this permit is issued,Pliiiijljer's Name: (Prim)Plumber'sMP/MWWW No:Business Phone Number:-3S''?yPlumber's Address (Streci, City State. Zip Code): (/gctfp /fyfytJlfrtiJ , [j)X'OFFICE USE ONLY:Q DisapprovedQ Owner Given Reason forDenialReview Dale:si IPermii Fee:lCO.®°Date Issued:Issuing Agent SignatureCOMMENTS:••Expires 2 years from date of Issue**Expiration date: S-/'^CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:NO refunds AFTERISSUE OF PERMITHaliilalilfci Liviiiy aitfashall not be createdin accessory structuresZOZORev. 04/21/15SAWYER COUNTYZONING administration a j' /5 (<57 -+ ,^)b -ab •SbvvvA ,£t '^I'PS T ,5S-Ub'£' .b'Ib'Z ,9b-Lb *19S^-»0 tJ«^Tip£->^^g, ii-fjv ooivigV u\ S- -Ti^) ^ C>7V^M0 /m 000] uasrm^yiT^ ,S9/^ -Oo qL »' 11 ■Z_^n /OfZ. :rc HSO c^LO^ noh ^Qi s ns/ns. "^f-oz-ChL-z/o -iS hO£>. '•o;f'^hnnp^ 7j^ '"9/^^.'(^ :J^a\<cno rVGli^ ■:^ doyp p^»Vjs 3^ <^(75^ -zA75"b "VD 'wPS^^"*!C t^-y^ Jh^'ycj Safely and BuSdli^ OMsionGENERAL INFORMATIONPcnwaHafimmiioavoaPerniit Holdaf's Naffla:^InspBMElMBM DePRIVATE ONSITE WASTE TREATMENTSYSTEMS(POWTS)INSPECTION REPORT{ATTACH TO PERMIT)Vinege B Town of.sa^Bon: .FORMATIONANK INFORMATIONTYPEMANUFACTURERCAPACITYSettleLoooDosingAerationHoldingCountySawyer .SanllaiyPennltNo:state Plan Tmnsaceon IM"PafoaiTaKNo:OQ-7VOTAMK8ETEACK IhFORMATIONTANK TOP/LWELLBLD6VENTIDMRINrMEROADSeptic4*ji>HaIf3'NADoNngNAAerationNAHoldli^PUMP I SIPHON INFORMATIONManufutuierDemandGPMModdlfomberTDH LiftFricdoflLoss | S]mHemlTDH FtFoicemdnL 1 Die 1 OisLToWenSTATIONBSHiFSELEVBendunaiitleanIC04>*^.SewsrfO'9*St/Htintst/&.6r'St/HtOutiel(OFt 'DtlnietDtBotbHittnstallalionContourHemlm/Man.U,C 'OistPipeinffllrafiveSurfacel\n'Final GrmleDIMENStONSSETBACKINFORUATiONW 3P/LCELL TO 4.^DISTRIBUTION SYSfSlWMML#0fCell8OHWMdNavwatersTypeofSy^OMiSHjSonMerSaManufacturerfi. Convo IGP□ AG□ Moundo Araregate□ ChamtorEZFlow□ OtherModM Number.X Pfessuts SyatBire OnlyHeader/ManifoidDlatribudonPipe(8)XHoleSizeXHdeObseivaSonRpesDIaLwqlliDIaSpaeSpacing□ Yes GNoSOIL COVERD^Ova-Dsi^OverDqtlhofSeeded/SoddedMulchedCeliCmiterCsDEdossTODSOii□Yes GNo□ Yes GNoCOMMENTS: (include oodadiscrepanciM, persons presmL ota)oy/^s'lxiPlan revision lequIrsdTa Yes □ NoUse olh V ^ for eddlfional InformalionOX0*)\tDate6'»S2(fePOWTS Inspector's SignatuieCdtHication NumberSB04710(R.3mi) Real Estate sawyer County Property ListingToday's Date: 5/14/2020Property Status: CurrentCreated On: 2/6/2007 7:55:26 AM^ DescriptionUpdated: 10/19/2018Tax ID:15086PIN:57-012-2-40-07-10-3 03-000-000020Legacy PIN:012740103302Map ID:.11.2Municipalltv:(012) TOWN OF HUNTERSTR:S10T40N R07WDescription:PRT SWSW LOT 2 CSM 28/282 #7301Recorded Acres:2.900Calculated Acres:2.872Lottery Claims:0First Dollar:YesWaterbody:Glover LakeZoning:(RRl) Residential/Recreational OneESN:? Tax DistrictsUpdated: 2/6/20071State of Wisconsin57Sawyer County012Town of Hunter572478Hayward Community School District001700Technical CollegeOwnershipUpdated: 10/19/2016• Recorded DocumentsUpdated: 10/19/2018Q QUIT CLAIM DEEDDate Recorded: 10/19/2006342410□ DRIVEWAY AGREEMENTDate Recorded: S/3/2017406544□ NOTEDate Recorded:MICHAEL G & PAMELA K TURNGRENJACKSON CABiinna Address:MICHAEL G & PAMELA KTURNGREN308 SARAH CTJACKSON CA 95642MICHAEL G & PAMELA KTURNGREN308 SARAH CTJACKSON CA 95642su-e » Indicates Private Road8966N COUNTY HWY CCHAYWARD 54843@ Prnnertv AssessmentUpdated: 6/13/20182020 Assessment DetailCodeAcresLandImp.Gl-RESIDENTIAL2.90090,300175,5002-Year Comparison20192020ChangeLand:90,30090,3000.0%Improved:175,500175,5000.0%Total:265,800265,8000.0%Property HistoryN/A