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HomeMy WebLinkAbout010-941-33-4301-SAN-2022-048 ' Industry Services Division Counry , 4822 Madison Yards Way Sawyer - , �� Madison,WI 53705 Sanitary Permit Number(to be filled in by Co.) '/(� = P.O.Box 7302 �U'� _ Madison,WI 53707 �3G�D5� � Sanitary Permit Application State Trnnsaction Nwnber In accordancc with SPS 383.21(2),Wis.Adm.Codc,submission of this form to thc appropriatc govcmmcntal unit � is required prior to obtaining a sanitary permit.Note:Application forms for s[ate-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Services.Personal information you provide may be used for secondary gg04N Fairwa Dr � purposes in accordance with the Privacy Law,s.15.04(I)(m),Stats. y I.Application Information-Please Print All Information Property Owner's Name Parcel# � Arlyn Martin 010941334301 � Property Owner's Mailing Address Property Location M 15950W Savitski Rd �o,._� '"`" City,Statc 7_ip Code Phone Number �� S 33 Hayward WI 54843 � '%, S��t�on II.Type of Building(check all that apply) C.oc# T41 N R 9 0 �I or 2 Family Dwelling-Number of Bedrooms 2 � Subdivision Name Block# �ublic/Commercial-Describe Use a- ❑City of �State Owned-Describe Use CSM Number illagc of 16/89 #4048 oTO"'"°f Hayward 111.Type of POWTS Permih(Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if a licable.) `�' ✓ ew S stem �-7,�e lacement S stem ther ivlodification to Existin S stem ex lain Additional Pretreahnent Unit ex lau�) � Y- I IK P Y S Y� ( P ) ❑ ( p LJ B' �Holding Tank In-Ground ❑At-Grade �Mound Individual Site Design Other Type(explain) �(conventional) C• ❑Renewal Before �Revision 'hange of Plumber ❑Transfer to New Owner List Previous Permit Number and Date Issued Expiration �6-Q� � � � � Q` IV.DispersaUTreatment Area and Tank Information: Dcsign Flow�(gpd) Design Soil Application Rate(gpd/s� Dispersal Area Required(s� Dispersal Area Proposed(sf� System Elevation � 300 .7 429 452 . �3,?S Capacity in fotal #of Manufacturer 0 Gallons Gallons Units � o � � Tank Infortnation .o U ;; New Tanks Existing Tanks � o y 2 � L ro � a. U in � rn i�. C7 Ci. Scptic or Holding Tank 750 7�'j0 1 Wieser Dosing Chamber � � V.RespOnsibility StBtement- I,the undersigned,assume r onsi lity for installation of the POWTS shown on the attached plans. Plutnber's Namc(Print) Pluinber's S atur� MP�'MPRS Number Business Phone Number Dan Burch 253808 715.416.1642 Plumber's Address(Street,City,State,Zip Code) N5921 County Hwy K Spooner WI 54801 VI.C u ty/Department Use Only �A �c ❑Disapproved Pemiit Fee Date Issued Issuing Agent Signature ❑Owner Given Reason for Denial � l U�'� �_ ��- p�- `/2��Q� Conditions of Approval%Reasons for Disapproval ,� /-'���� y•' t � �r3,.> �:S`'�J� � .. � ��.��.=-��� \:._ A D � N�'[ � �� �� " �� PR 0 8 2022 �� � I A � r�� �:�IT\f ��L1il���::F� t=•.i„i s � : �"C'TI1N�i�;� Attach to complete plans for the s�stem and submit tn the Counh'only on paper not less thsn R Ii2 x 11 inches n size SBD-6398(R.02/22) NO REFUNDS AFTER �SSUE OF PERMIT PAGE 1 OF 4 In-Ground Gravity Plan � Index & Cover Sheet Component Manual Design Refe�nces: Version 2.0, SBD-10705-P (N.01/01, R. 10/12) , , � Pg 1 of 4 Index & Cover Shee# Pg 2 of 4 Plot Plan Pg 3 of 4 Dispersal Area Cross-Section & Plan View Pg 4 of 4 Management Pfan Attachments: Enclosures: POWTS Ap lication for Review Soil Evaluation Report & Site Map Project Name / Description Owner Name(s): ��Y� /�' f/�2r�^� Phone: - - Owner Address: � 5`�s �`^� �v � v i �S i� ( �.� Zip: S`1 u`�� Project Address: � � J�^� ��r w�� V� Govt. Lot: 1/4 of 1/4, Section 3� , T `� � N-R � E Q or W Q Township: (� �l �v�}�ZD County: ��`'^���� Project Parcel ID#: � i fl`i `-I I 3� `'� 3 '� � Designer Information Designer Name: Dan Burch Phone: 715 _416 _1642 Designer Address: N5921 Cty Hwy K Spooner WI Z�p; 54801 E-mait: Burchplumbinginc@gmail.COlYI This space resen�ed for appr�val stamp. License Number: 253808 Remarks: !D � �jv���� D � APR 0 8 2022 SAWYER GOUNTY ZONING ADiVl�NISTRATIG?!d Signature: Date: � �� � � Original signature required on each submitted copy. ' . . 3z� .Co�' �.Z. 6� � �� ��� � � .�, �_ � �, . ,�, � � "o ��.- �r �` v,�; '� � Y- '� �` �S`. � � � _ w �J � ` \\ �� � � �. g � � s � � � \� .��.. � � � � �. � r� � � �c � � �, , � � � -� ►� � � � o � � � , N Yy � � ----� � � z � � Septic Tank(s)Manufacturer: IN-GROUND GRAVITY DISPERSAL AREA wieser Uniform Elevation Trenches with Quick4 Standard-W Chambers SepticTank(s)Volume(s): 3-ft Trench (down-sizing credit) 75o gal gal gal gal Effluent Filter Manufacturer: Polvlok � � Effluent Filter Model#: 525 min.12" SOIL COVER «p���� t2" min.trench depth c�vp��n ��� � � TYPICAL TRENCH --- •-- �� � � �'�:a��<. CROSS SECTION VIEW �'- 34�� ��� , �: �� � � � (No Scale I�YPical) ;', ,. • �2�[' l � e . e.' • � � 7 ) Provide minimum 3 ft System Elevation -�`* ft separation between trenches. (typical) Quick4 Standard-W w/End Cap ObservationPipe TYPICAL TRENCH (typical) (Show location of inlet/outlet pipe connection on plan view.) (typ���) Install per manufacturer's PLAN VIEW instructions. �NO SCa�e� �__, .- - _—.�- - - - - - - �� - - - - - - - �� - - - -,—.—_- -..— . - -� � � ,, ,,� , ,' r,r �� ��� �A= 3.Oft �-- - - - - - - - - - - - ��- - - - - - - - �� - - - - — � — — J (h'pica�) � � �- B = 44 ft —I m (rypical) Quick4 Standard-W Chamber w INSTALL PER TRENCH: �tYp��l� � (mfd by Infiltrator Systems,Inc.) � Install pursuant to manufacturers instructions. � 11 Quick4 Std-W @ 20 f� EISA/chamber= 220 ftZ + � Pairs of end caps @ 6 ftz EISAlpair= 6 ftZ = Proposed EISA per trench= 226 ftZ Required Infiltration Area= 429 ftZ Distribution Method: x 2 trenches = Proposed Total EISA = 452 �2 branched manifold � PAGE40F4 In-ground Gravity Management Plan IMPORTANT: The owner of this in-ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382-384,Wisc.Admin. Code. Pursuant to SPS 383.52 (2), Wisc. Admin. Code, this system shall be considered a human health hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registered POWTS Maintainer in accordance with SPS 383.52 (3), Wisc.Admin. Code. Maximum Dispersal Area Operatinq Limits: Design Flow= 3 �� gpd; BODS<_ 220 mgL"'; TSS <_ 150 mgL�'; FOG <_30 mgL"' Inspection Checklist INSPECT EVERY 3 YEARS o type of use o age of system o nuisance factors(i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches,floats, etc.) o material fatigue (i.e., leaks, breaks, corrosion, efc.) o solids volume in anaerobic treatment tank(s)and any distribution appurtenance(s) (i.e., distribution/drop boxes) o neglect or improper use (i.e., exceeding design capacities, prohibited activities, etc.) o extent of ponding in distribution cell prior to dosing o dosing irregularities- if applicable(i.e., pump re-cycling, float switch settings, etc.) o electrical components- if applicable (i.e.,wiring, connections, switches, controls, timers, alarms, etc.) o distribution lateral or lateral orifice plugging (measure lateral distal pressure—compare to design specification) o surface discharge of effluent or sewage back-up into structure served Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary) o Septic and dose tank(s)shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis. Stats.when the volume of solids in the tank(s)exceeds one-third (1/3) the liquid volume of the tank(s) or as required by local ordinance. Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code. o Effluent filter(s)shall be inspected every 3 years and shall be cleaned when necessary to remove any accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12 months. System maintenance reports shall be submitted to the proper local government unit in accordance with SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to: Name of individual or company: D8C1 BUC'CIl Phone: 715.416.1642 Local government unit: SaWyel" COUnty ZOClltlg Phone: 715.634.8288 Local government unit address: 1061 O Maltl St. #49 ZiP: 54843 Any defective part of this system shall be repaired, replaced, or removed pursuant to SPS 383.51 (1),Wisc.Admin. Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc.Admin. Code. No product for chemical or physical restoration of the POWTS may be used unless approved by the department in accordance with SPS 384,Wisc. Admin. Code. Continqencv Plan In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to a plan submitted to the appropriate agency for review and approval. A failed in-ground dispersal component may be abandoned and replaced by a code-complying dispersal component in a pre-determined area of suitable soils. Svstem Abandonment If use of this POWTS is discontinued, it shall be abandoned in accordance with SPS 383.33,Wisc. Admin. Code. ,..�� , ^ . . � GG��(cF(�D hu�V�V MAP �a� o� ��t�t�S`.��-5�'�� ��t� �tr�a�!!�c l��1'�-4�4' e� ���k�o�t ?�.��I�� (���nl ��v�� ��� �I9��fra a�s��r �..1;�. •_�13artf;ei vl - 1 ?tt te' "�__._ ..___2!!�h'Ir'_�y_ ,r5.'?a_� __.___._ �_w��-r :�.__ br�r�'-!�•ti�( i�i�,�r __. tt._.�� �--:... } _..._ _. � �ilum��iun� �i7ut�ev 6• mMUmen�'p� � � „ 2It�.c.itax(iPt f F��: (��Lo+Mcr �;y c,��zr ef!«. s> �'y � �t€u�'rl�?�t�tst `1�`��`9 ti� hw'. r.• s f q «�. r�'. l` w" ( � t �08�.�. ,- ��°1�L5=YI�E^36Zod _ �A ��, � f� i , .., N �.P�� 0 0� (.rl AG.t � " 4q..;9 4q.it- q .» m �.._ tltri°u:t�• _���.00 —� .�-� , � c � � �o�,.� � a D.�� Ac.r� 1 i 3. qs.svz sq (f. o ,� / � `,_ - h?A'24�ifE-3;S.LL _ �� S:;pL6 1 IC� � . or.� � .. - ,......_ .....-�. � � �U-f 2 �—�����,� ";' v,e� po.r • ;. 2 •= sa.��a �tt " c �� � �' rw ., ..,..__ .,,... ._,,. _. _,. -�,.._..._��.p . a � ° � , �taYtNPS VG�cr�,�cc� i'o�1{�t t�6�kl� f��t� o� IF1� �� - t�6it'z5'zt"@- Z31.U4� -� � d 1 - - , �,,� ����•4�'(�, ��an�i,d 1'e be�r �i�'2ti t�'1�( � �ti _ _. . �._.__ . � �_��. .� ..�r �. � ��,-.. .. . .�.w�.� ,... �,�...�.,�.�..,..�.,�. i _...kg.T�.!_ __� . c.s� AG r �','� ��'it����,..„_ �a:�,ac��t� n ■ �trtok'a� �tv�unic�t� ��oo�b �ti t�okca €: • �1EaoFc� 3i4°�3�'i�o�+ 6ar �c� �w�.�t.tip !�./�k) o. e �,�� ,_ , _=—� � ���/�. R�dw �N�iro�iemr�p 1 V�UI� �. �IG�tY� � '+ ```�`y�,ONs��,,,' �G�iS�tYt� (,Av1� �u�V61�o�` ; i ,., n�vio F. �. `=, Wiatow�m �e�. h�t��1 ( `\ j' RIEDEN « ? ,{ � :*i S��737 � = ZD ,lU�� ��1�1� � - �y aiFiCFiwnnn i I • •, 4y� Q . �'_ �(, --y� �.�� � � � �J,��I� A�^'M.w�+' �'� \� `/� � . �, 1Fry�qq�NUUp��``'` ��t,:j�<. �� !`�tc1C:clf.� . t`�;*�i�w�:��;�'�� ��ccl t GF 2 ��g� I �(. �� X�/ � Wisconsi�Departr»sntottndusvy, $OIL AND SITE EVAl.UATtQN RE:PORT Page ! of�� L�bot arx:rluman Reladans f}ivision af Safety&$uitc5ngs in�CCOt'd with 1l.HR 83A5,Wis. Adm. Cnde GOU►v"tY Attach compi�te sits plan on paper nai less than 8 1J2 x 11 inches in size.Plan must inctude,bui ��� �r not limited to vertical and horizanta�reference poirzt(BM),direction and°lo of slope,scale,or �ARCtI.I.D.q dimensionsd,north arrt�w,and location and distance ta nearest roacf. ��, ,�C'���-�' f APPLICANT INFQRMATI4N-PLEAgE PRIN7 ALL lNFQRMATIf3N AEW�D HY �i � pATE PR(7PERTY N� (� R�10P�R iY LOCA�TION P�t���_�'. , .'�� 'Q. �_.....,._... f'T� I\.t,�. � t t vt _5'�,. GOVT.E.OT S'+�„' tf4 5�` 1t4S 3 3 T '�/� ,N R E a _.__ , p { �} PROPERTY OWNER':S MAIUNG AQDRES.S �' � � � LOT�� BLOC!�'�� SUBD�tVh��M�E 0 CSM# c �-- �'' ✓r� �" ��_1.�.._.. ��l?� r(� �4-�r c ���'�(i� CISY,STATE � Z1P CQJE PNONE NUMBER QCiTY QVIli1�.GE �jfbWN �AREST R�AD �����~ t� W.�' S �7I�1 -�� 3 s — � :� ,�� t�'d' . New Conshuct+on Use� Residential t Number ot bedroams�__�_�� q ( J ddititm to exisGng building j J Replacemenl ( J Pub�ic or commeraat desaibe.��____�, � ��` Code derived daily How:��Q gp� � Recammended design loading rate rt%_�bed,gpd�t2�_trench,`gpdtftz_.��.� Absarption area required (�,�{s bed,(t2 ��?Erer�ch,ft� Maximur�design loading rate._._`��bed,gPdm�,_;�,��ench,gRdm� Heoammended infilUation surface�ievation(s} �J�. tt (as r�ferrf�d to s�te pian benchmark) Addiponal design i�ite considerations �c�, _,rr�,,.. ,-ay.( ��� f�(�3[� Parent material� ,.��' d,�-c�� 1/ rFtoud piain e#€watian,ii�ppfir.�ble _ �/�4 ft S=Sui�able tor system � ��yF��`'•� MQIiND �N-GROUND PRESSUAE AT G�iAO€ SYSTEM IN Fitl HOLOIhG TANK U=Unsuitable for s st S C]U � S ❑U Cz�S ❑U �S O U ❑S j�U p S �U � - _-.�_ .- SOIL. DESCRIPT(ON REPORT Boring# Norizon Depth Dominant Color Mc�les �exture � ��EUcfure ������� �,�'pa�� GPD1ft in. Munsett Qu.5z.Cont.Co1or Gr. Sz. Sh. eed �Traxt► � � 't�`2Y�,�.,. � � ,�a. ._ a_....... � n - �...._ .. . ..,. ..._.. . � ,r, � y �. 3t,� !I�r�C .S �-'. �- ,. r �,r,r f r= +�' �C,. , � ' .�. Ground � -Z - �'f/-' 'T�,� J'I G f►� /"1`I� (��, r� i C�+: ' %1 ' � � lev. _ _.. ,��. ._..._.�..�. _ _. _-_ �ft, 3 ��- ] S t�� `1%� ,r1 c.�� C' � Z��, /+� Cc�: 1� � �`� ; � �' Depth ta � �'�-}�" 7 S S"� `ljl.3 �'� �'�^-r lyt 7 . � j ..._. ._- :r . �� limiqng - _ .___._. �� -����. rz. _, tact , >�C{ �temarks: � � - � Boring# , _.._. _._. _.._.___.�..___ ._ _ . ,��� , � �_� %' S '1�'.3IZ �0,�c, �?�L r_Y_ t�fi� G ..?G 'S� : G ,;:: ::<. ,� �.�� �s ;r �fl� rt���{_� rn� Os ,�� �� � '`� :� � Grou�d _ __ . .._ s elev. 3 C �� 7 � "� `�� /l e r'�{ C' S }5 !j't/ t'�,`'' j✓#- �� ? �.t� �,�t. � �,a—? � �t'� Y13 ��.. rrt s ?� rYt1 —. -- -?a �� Depth tn ._...__.._..._ _ limiting I f�t � ?� � Remarks: CST Name.=Please Pti�t j 1 / Rhone: �j�� -, 7 � �� �l N�s.. ______ �/f. �.� /_`-� __ ress: � �p �� C'� � tr��s.� �..� j��t`��"f`�3 Sig�at�re: ' ' Dat��_�� � CS7 lYumb�r: z� ��__ ,;��� . . _ %'` G�I'����`� v�, . �_ '�. -r� �IS -- �pR�Ep�rypWNEp 1� K��ks �.4 301L DESCFtIPTION REPORT P�•.?-�� Pa�cai.o.: NQ . w Depth Dominant Color Motl� T���B Structure �� �� RQo� GPD/ft Bo�ing# Horizon in. Munsell Qu.Sz.Cont C� Gr.Sz.Sh. Bed � 3 D— �S R 3/2 n rt r� a Gt+„! Z� � S �6 Growtd Z �.30 7'SYR 16 /?e►� �'►s M I Of CW f ''� • S ��. 3 3�-6 � s /� � �ta�+^�c �a r�( s c+,,� -- . 7 { �� o�a,� Z_ -S���3 n�'''� I'++ 5 n+� ps -- -- �7 :.8 �� � ; Remarks: � 8oring# E / — .$ 3 2 S ��- r 711 V'�- ��''� 2 �--2 �5�. l6 rte� � �5 w � ' 7 = ' � G� 3 26-� •S ,c � nrkc � D �'t l �� �f ' ? 4 �'� �. . � o�n c� Sc- 7 St� / n�� /�S �/ ----- -- �? �� amltlng = -I`�-�'� Remerks: Boring# f S' R 3l� d2 r v� is'=: '� GrouRd 2' .38 �f S ,R y�b a'�.t /�t S S rN� C w! '7 =:r B � � a 0- ? S R �// n ax� � Os � 1 S v� � ~8 . �. ��,�, �'�- ? s r� Y 3 ,�t er-� r h s s �( -- —' � 7 j� Y VB�nn� I rumnsyl �I : i Remarks: � Boring# � � a�,�a �w. ' � oe�u�ro a�� � Remarks: seo-e�ocaosre� ! � SOIL TEST PLOT PLAN page 3 of 3 �oper�y C?�mer �� �g Soi�Teater � .�'� �' � ls.l I rdl� r � �►� Z �1s�.� Sflc�' I=1 Bore Hole f1��� Ronald L. Vaughn �l 5,�5� � Benchmark --- Rt. 6 Box 6779C /no�� � ot to Scale Hayward, WI 54843 Meets all minimum DILHR Elevat�ons /�I (715�34-671 S requiremenis for lot size/setbacks BM= /O�.O' /�a"-!�S/7' v CST'M€�2045 Csol� C'�x.-- B1- 9�•S; � (/ I.ot# / B2= g?•a , I�°'� sw%( s� '�� S 3a 7'S/��R�c.� S3� 9` �`� ► Ba= qs•0 , �.� l � - Bs= gs.v L e.� �,-,�. �----_ �3�, , 1 � oto , , 5�e� � 1 ' �� --� 'l� • �0 ''� � s�w�.�- . .� �7 �' �• �i'r � �j ' 3��� a 8; (Tcr�..� �►�' �,..'�ds,h '?�: . 3S ` � �' •��o � ( ,r 'f,� • � S`�,,' f � . � � --� � � �r 1�61�.-/�v�,.� . � � `. ,� �.- �, ^ R i I r� a ro s r � � �3 �,.�,.� �-.- � � �� � ��� ����, � � --.� �Q l � �Ut+�r s-� �-c�i � G,.�.,�'.. � � L 6 -�' r , ,�`' I � 1 ' o� . � � � j-3-�� � t f � � � 3��� as`�1 . P �� • �G� � Soil �Profile Sheet � . . . . � csT Owner. �� � . Soil Tester: �v� �/��5`�� �� `�6gJ � � � r System Flcvation: q�•�S Load Rate: O � System Range:q�,33tro 4`�. � , - � 3 � L/. ��d ...... ...... ....._ ...... ...... ...... . � .... .... .... _ _... .... .... �q . ...... ...... ...... ...... ...... ...... f ..._ ....� .... .... .... ... .. .. .. .. .. ... Rg ...... ...... ...._. ..---. ...... ...... . Q�, .... ...: _R7 � ' .... .... .... .... :::: :::: �— ---- . .- — -�c�.Y ' -::: :::: . ...... ...... � ...._. _._... ...... ...._. . 4� �� .... .... .... .... �— .... .... i ..:: :.:: -� :::. :::. ::-� -�-- i �t� � ``�� ° ...... ....-� ----._ ...... ...... ...--- � , .... .... ..._ :... .� .... ... — 9Y , � .....---.... ....:_ ...... ...._. ...... ...... ..._.. -�3 . �� �— ...... ...... . a3� .... .... N ;�, .... .... :..: :::: � .... .... � ._._ .... , - .... .... ...... ._.. ._.. ...... .. .. ...... ...... � . ...... ...... k3' ..._.. ...... a a. a 3 ...... ...... R� - N ,� . . .... .... .... .... .... .... 1 V , .... .... � .... .... .... .... -�►. 33 . R� � �. :::: :::: ``lo. 67 � :::: :::: �"3 � :::: ..:. � �fl .... .._. . ._.. .... � . .... .... �31 .... .... ---- .... , .... .... �`t, .... .... .... .... _z3�.23 .... .... - .... .... .... .... .... .... , , :::: :::: � :::: ::_: :::: :::: -�g..3 3 B� - - � �---.. ...... ...... ...... ...... ...... ...... ....-- -....- ...--. . _.... ...... . ...... ...... ...... ...... _..... _..... � I -..... .....: ...... ...... ..... ...... �� . Reai �state Sawyer County Property Property Status: Current Listing . Today's Date: 4/8/2022 Created On: 2/6/2007 7:55:23 AM Description Updated: 8/9/2021 Ownership Updated: 8/9/2021 _ _ __. ____.._. .__ _ . _ _..�__._. . _._--_.________ Tax ID: 13308 ARLYN G MARTIN HAYWARD WI P�N: 57-010-2-41-09-33-4 03- 000-000010 Billing Address: Mailing Address: Legacy PtN: 010941334301 ARLYN G MARTIN ARLYN G MARTIN Map ID: .15.1 15950W SAVITSKI 15950W SAVITSKI Municipality: (O10) TOWN OF HAYWARD RD RD STR: S33 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843 Description: PRT SWSE & PRT NWSE LOT 1 CSM 16/89 #4048 Site Address * indicates Private Road _ �_ .__ � . __.__ _._ .____. ___.__ .___..__ Recorded 9804N FAIRWAY DR HAYWARD 54843 Acres: 0.890 Lottery � Property Updated: ll/9/2015 Claims: Assessment _. _____ __ _____ _ _. ___ . ___..___.------_______... First Dollar: No 2022 Assessment Detail Zoning: (R-1) Residential One Code Acres Land Imp. ESN: 444 G1- RESIDENTIAL 0.890 18,500 0 Tax Districts Updated: 2/6/2007 __ -- �--- ___.__.�____ ..__�__�_ ___--_ _.____._ ___.____ 1 State of Wisconsin 2-Year Z021 2022 Change 57 Sawyer County Comparison O10 Town of Hayward Land: 18,500 18,500 0.0% Hayward Community �mproved: 0 0 0.0% 572478 School District Total: 18,500 18,500 0.0% 001700 Technical College Recorded Property History _ _ ____ _ _.___.._ ._T._-------_..____---___ ___ Documents Updated: l0/16/2019 N/A --__--__�__. __.__ �_._._- _.._ ___�. _.____.. ___.-�--- _ �_. _____._ _ WARRANTY DEED Date 433811 Recorded: 8/6/2021 CONVEYANCE RECORDED NOT USED Date 436300 Recorded: 12/3/2021 TRANSFER BY AFFIDAVIT Date 420523 Recorded: 10/15/2019 WARRANTY DEED Date 306981 Recorded: 1/6/2003 CERTIFIED SURVEY MAP Date r � i. • _ %.E'.'� f� Cs 1 y � t ..�� �A . �, A . . `'��.r- �.. � _ �.�j�S- i> ��..� �����r� `�i�fi,�' �''�� R� _�: µ.. , ��..i�..�a�}�� ~ * � �r"" �tl,{,f4. wi. � _���. �;: y.V' �. } t,� ,�'S� 6- ,. - ,,,. i. - - -�r� ,�-. �� . i. �z' �'�.. - a... . ._n* .;. �. `,� L j., ' . , �� �` �� �'s" � �; ,t� .�, ' .�f+;'` `�-� # ^�, . . , .��� �. 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'.-:y ��-' � �� �'�, r 4 ��7f'�: 3 ���_ . , _ .�.,.. . - �� _ .��' ` �. - Office of � � Sawyer County Zoning and � D Conservation Administration �� q 10610 Main Street, Suite 49 Q� � ��1-3 Hayward, WI 54843 p,N � -�t Te�:��>>�63a-g2ss � � GOv�p,'���N F�:(715)638-3277 �������N\S� URL:http:�'sa����rcount��<�ov.or� ��6 Email:zonin�*.seri�sa�����ercounn��ov.or� ��� Toll Free:Courthouse/General Information i-877-699-4110 Sawyer County Zo�ing and Sanitation "As - Built" Form Properiy Owner's Name �2 L;�/ f' I�a Tii✓ Fire Number and Road Name ��' �����/ ��►��✓�`( �!/�Z Ptumber's Name `J�{tiJ l�v :�-�E-� Date of Installation �� � � '� "� County Sanitary Permit Number �_a � ��� � 12 Digit Parcel Number 0' ``�� �I i 3 3 `� 3 �� + Description and Elevation of Benchmark Nsz.� ,�t, );J`( �i .�, ��c C— Tank Manufacturer and Capacity W 1 '� �-C �� � S `� Setback-Tank to Nearest Lot Line � c� k Setback-Tank to Nearest Well � �� Setback-Tank to Building � � , Cell Width � Cell Length � � Number of Cells � Setback-Cell to Nearest Lot Line i �/ � � t Setback-Cell to Nearest Well Setback-Cell to Building ' S� � Setback-Cell to Navigable Water Make and Model of Dispersal Unit �,V�� ITf< ��'/ Q��L� L� Make and Model of Filter �J��� �D � �� � ����-- Make and Model of Pump , - Please complete other side- � � "As-Built Plot Plan" Elevation Data Benchmark �'� Please include the followin�: Building Sewer y . � Tank In d , � � Location of observation and vent pipes Tank Out �� � Feet of risers used on tank(s) Dose Tank In � � Location of benchmark and North arrow � Dose Tank Bottom � Location of all components Header or Manifold � Length of pipe between components Distribution Pipe 7 � • Number of chamber units in each cell System Elevation � � Location of well,lot lines and road �f�!�� , r��� `v � ���� ...,,��? �023 �51 ��� ER G��RP��N �����o���a�s .�p}�11t,G CHECK BOX AS APPUCPHLE CHECK 80X AS APPLICABtE. �✓ SOIL EVALUATION o S`a1e��30 30 as so �SYSTEM PAGE 2 OF SI�fE M,"�P PLOT PLAN PROJECT NAME: oesicN F�ow�, 300 GPD 7.5' Arlyn Martin Attach design flow calculations for wmmercial plans. 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