Loading...
HomeMy WebLinkAbout012-740-36-2203-LUP-2022-146 SUBMIT COMPLETED AVPIICATION ANU V ) FEE TO: A TIOM FBR I:KP1Q HSE-PERrytI'�'�< r Sawyer Counry ��WYFR�P�1NTY,WIS�O�151N � Zoning&Conservatbn DePart. �` . _.� � -' -. �_, '�� �f 10630Main5tSuite49 C ;��. "�������� R � . � 1 ,� Hayward,WI54843 � j�l` �, � � ,��5�6�8�� �' ���� 1 3 202 s. � m5?kU[nPryS�rya permih will be Issued until�I�hes are paid. F U � Checks are made payabk to:Sawyer CourHy Zonf�Departme t. -��n��A� A ��1�1���CT(��T}�}� uo ao�srnN?c�i ..�crwh•�r�ni.a��.�EPr�i*s i+avg ar y,s_suFu-o a9NAU,Wl�G 6Y�R�b1N�flttatibll`f�Tl.hT6�suhmitted FlLL OU71N INK (NQ PENCIU Se,1 '1 �ofthti no�-cat,�,�a .ceiptoitee not�.-o t t_.t..�,� �..a�,c_ (Owner(s�Name: CorrtractoNs)Name � �' �C�1�'� rl C 1�� 1 rA�'e r I s"f'f �O NS fi^N C.+'i.7 N : I � �ON SYNrLi_.[__—. _--------- I MailingAddress: Ll� MailingAddress: '; /0208 W '!3%q M�cs�y �?'�� S�fS�+F3_1P,o. 6aX l3�( B��c�woo&� WT� S<f817 i �I. Phone: /DS � �1.,�� Phone: , V T 816o i ° '7IS_ z94 — /�S i .._Email: /'3OrK-/I����i �. C-��'LI �__ � Emaii: �'�'�1R� • 'pH /OC-4M'Itt�• � �' Site aiddress: I�02 v0 tY ��'M k�/�'� /�'�'• 1 Or Date applied}or. j ; � �-1 f----r— r L_egxyplNO � '� Townof: � Na�t�r _j{ ; Permit dNivery Method �GII Owner xMail O�mer c.fall Contractor n Mail Contnctor ` ( � Is Properry/Land within 300 feet of River,Stream p�d. � � ^[e.mi11e^ '�� DisWnceStructureisfrom5horeline: � �ev voDert.� �,; arr ovati n; i � `/ � Creek or Landward side of Floodplain? ti yeo�ccnG�uP � f�� � �����'� � �er t. �. ' XShoreland ��-- - ' U ,Ifs Pro ��.S i Y �1 perty/Land within 1000 teet of Lake,Pand or Flowage � Distance StruMure is from Shoretine: � �� ivye,--���,��..� 1� �DO.S feet � � a �:J , I '.�Non-St�oreland E Desttibe PrOject Va1ue at Time ot Total p of Project type Foundation What Type&Capacity is the Completbn Number bedroOms , � Y (House,garage,shed,deck, of Stories (Basement, Sewer/Sanitary System�s) r Addition.etc._) Crawlspace, ��,,,,� LFSt sepatately Slabj cor c-,�rt•r:�, S c�- �o V� Hau�s��:.l,+.. 2. $aStw��alr" S Co�vcx�:e+..l�►� FtclaQ �,�� far S f3t�reew�s A�.h►GG�dL sa^.q � s/�6 w $ ;�;�H r � s. ^ Sc7 a�o ���,� �, s nddiNonJNrentbn Height: Total Square Lowest P�oposed Use �/ Droposed SYrudure Dimensions Footage Grede to (multipiy per Highest story) Peak i P.��.�},� l J •�� � ,� c�� ��E- X`f � 1;;� ' a"� Residence ��y,�., � ���� � � 2� � Ft. with Z""story or lo(t � •' -�- ( x ) ' Ft. Z d � with Basement � x � Ft. '�"Residential Use Attached Garege Z a x �7 � X , �3�4 Ft. �` Accessory Structure�e.Pia��� ( X ) ❑ Agrieufturel te�,.�nee,aae«,:�e:,eo„no�.a...«� ft. V� Temporary Guest Quarters or Bunkhouse(co-de rype� ( X ) Ft. � �_� Commercial/ Deck/vorch/vatio ��/�Z� � �� X a� � ZEO Ft g.� f0.�I��^Q Industrial Use � (2ne)Deck/Porctf/Patio ( X � G Municipal Use Ft. OthE�(explam) ( X � J Other FL' Prtneipal Strueture�a&ricun�rai,comme�c�ai,roru�i<ipai,ee<.� ( x '� Ft. Addition/Alteration�expia��1 ��a� � �,� `\6 X 3�3- ' \`��`4 Ft.�� Total habitabie square feet: 3(P�8 Total Non-habitable square feet: �,5 q[p (decks,patbs,garages,sbeds,storage area&other structures) Original Appiication MU_S?:be subrniited i Attach a i'San or Sketch your Property on 8.5"x il"or 8.5"z 14"paper.'Must'Include location and setback of proposed and existi�structures,roads, ': driveway,sanitary components,well,Wke,river,stream,and wetlands. — � --��a� -`-- -- Sethack --- Seiback Deuri — —��Mu ' _��Pt�°^ i—_�eawrements , St� etback from the Centedine of Platted Road and/or , �O Feet�S tbatk from fhe Uke(ore��,�Y n��en•wa�e�mart) � � Feet ; j Setback from the EstaAlished Right-of-Way ! _� Peet� Setback from the River,Stream,Creek Feet % � � T _ Setback from the Bluff��r aPoi���b��e � — feet ( j Setback from the North Lot Une � /L�,Z Feet � �; �Setback from the South Lot Line ' ��9 Peet Setback from Wettand �-- — Feet� i S b from the West Lot line i 1 ,� Feet SIoPe within area of construction/disturbance � %� Setback from the East Lot Line � Feet Elevation of Floodplafn feet �. I I Setback to Septit 7ank or Hoiding Tank � Feet � Setback to Well 3 Q ,s' Feet ! , Setback to Drain Field Feet —� I Setback to Privy(Portable,CompoSting) Feet �� . ,:,�. .::. .. .........�;.> ,..��::!r �.� �'�.- . ...., .�_..:...t ��_4.r.v,hcu.., �.�r.qe. ..,.,.:v ., .r�...., � ,.., ,.:nv.,tUeasl:.rt,..,.icr , . . .�,.�. , , - . . , . , ._ :� . ,..�_ . . _� . . . . . . . -. .� . �.��.�:,� . , ., ..,;-,.. :,.-.,. I . . ._.-� ..�,.,,., „ ., . . .. . .. ', ' ' .- - ,. . � .. _, .. - �:.,- , - __ I � _�-� . . -_ . �_� ...'� � _.A.., ..�.� i _ :.;.. ,1.,:. .... � ,..,. ' . � .�. . . .. . .. , ��" . . . � I i ' . . -- ,,. _ . ' _, � .. . � � � _, . .. , .. � ;�Wte impervious wrfaces.(Roofed,concrete,paved,and other suAaces that water caneot penetrate.The Zoning Office wn hetp you determine if a � ; wrface is considered impervious) j � I Calculate lot area: � � iindiCate lot size fro CSM NOVUS�circle one)�.,i._ A,:ies;Multiply by 43,560=Lot area:�� �_,�__ �0 _Square Pootage � ICalculate impervious wrface area: I ; Determine the total size,in square feet,of your pwjects listed above{indude eaves): J ( �/ _sq ft. Q �� -1 �{9 j j3 ✓ �� Determine the total size,in square feet,of all existing roofed structures(include eavesj: sq k. �.� _ �l� �-�X.� i oetermine the total size,in square feet,of all existing paved/bricked/6bcked surfaces: zY►0 __sq ft. � �(„r�,.3 O Add these measurements to determine total impervious surfaces: ���_sq ft. G 3 2 x�z- '�� Calculate impervious lot perceMage � /�-1'�1D I Total impervious surface:_ ��/ =Lot area: Z�I�OO Sq h.X 300=impervious surface �T•� % � (Mitiga[ion i�required i(ro[al exceeds IS%� ( I "•`Notice a separate grading permie needs to be obtained if distur6ed area is within the Shoreland district as mdicated on previous page and meets criteria below•" i Gradin on a slope greater than 20% Gradin of more than 1,000 Sq.Ft.on 12%-20%slopes � Grading of more than 2,000 Sq.ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft. I(we)dedare that this application(indud�ng any accompanying information)has been e�amined by me(us�and to the bese of my(our)knowledge and belief it is t�ue,rorrett and � complete.I(weI acknowledge that I(we)am(are)resporuible for the detail and acwracy of all informanon I(we)am�are)providing and[hat K will be relied upon by Sawyer I � County in determining whether to issue a permlt.I�wej further accept lia6ildy which may be a resuR of Sawyer Coumy relying on this�.nformat�on I(we)am�ar>)providing in or ' with this applicat�on.I(we)consent m rounty offlcials charged with administering county ordinantes to have access to the above described property at any reasonable:��me for ihe �I ipurpose of inspeccion.Additionally,the ondersignec person(s)heieby give permission for access to the property for onsite inspection by Munidpal Officlals. t � �'� Ow.�er Owner �' ! Agnature Pnnted name ��/7 ���/'�� Date S /Z 22 � I _____�..i�� .� . - . . � - � � � � . . � � . � . .. . .. .. . � . . . .. . .. . . � , _. . � . . . . .... . ... � � . .. , ., _ .. . , .. _ , .. ,. You are respons�ble for compiy�ng with the requirements of the Sawye�Coun[ing ioning Ordinances and law and�regu�ations o!the State of Wisconsin.You are also responsible for � complying wlth State and Pedefal laws conceming construRion near or on wetlands,lakes,and streams.Failure to comply may result in remo�ai or modiflcation ot construaion ' that vlolaces the law or other penalties or costs.for more information,visi[the department of natural resources wedands identificatic�n web page or contact a department of I . natural resourres service center(608)267-3125 i I irssuance information(County Use Only) Sanitary Number: �of bedrooms: i �, Permit Denied(Date�: i Reason for Denial: i � I ' Permit p: - Issuing agent Date: V �a - i �� � - S � i is Parcei a Sub-Standard Lot '�:Yes (Deed of Record� � No i �^ � ; Is Parcel in Commo�Ownership � �.Yes (Fused/Contiguous LotlsU �, ryo ' Mitigation REqui�2d ' Yes ��No � ' Is Strvcture Non-Conforming I '.'�Ves ; Na i Mi[igatioo Attathed � �'Yes ��.:No i � �Granted byVariance(BA-R.) i Granted byConditional Use ���Ves "�No Case N: � ��.Yes ''No Case�: was Parcel Legalty Geated i Yes No Were Property Lines Represented by Owner � �.Yes " No �! Was ProDosed Building SRe Delineated � Yes Nc � Was Property Surveyed � Yes f�No �O Comments: - S�� �••�c�t� c� ��`"��,��,_,�� ��`, : 2one Distric[: � Fee: ' " �'3�8 �=,y ��ti/a� ,a..k��oc.�.:� i'�'1�_ � ! $�C� � ,—_-_ _� , ; � , �1 � H�d For Samtary�, � � P�oii F�r?p4- _ __.__ � "�.,.. -.. � _- .'� !iuin:�,..F^cc�. � \� , oTanzozo i ;Y�_��'r'. � .o. . , . ., .... . ._. . . ._ ..... . .,, ,_ 1 �m� o ;'' � v,SD 0°'3 �`°m f/1�9 .i d N�� `�1 �N� .R. N (� ' cy 3 m D �— I�UI�I � . N�=y � . ��� O D�C A - .§' . :-�� . . `� jg _ � . ��� - ,.�� �^�w t �� ., �m�� . . .4 � yl��.��� ��� -. :.� � . � � � � . m a� o F'�� F�+.;� � �d �,l a�� � � ��w i � .. �:`o �...,�� ,� '� �u x ` . ��* . ;L �- a : ,. . . � �. � � . /�+....� ��...,� •'€�; ��' '�fi���� � �� �.�„�`"'�` oa,9�' ,� ,�#,y� �. _ ` "` �. r` �^,r��' _ i�1. ��t�^ : � ,_.� ��, ; c �/ � , ��h: - ,�e . � � s � �_n.. 'y 4�� - # ` _ ' - ' � ��,v��ii , '�� '`'' ��> .7, . x • � . �y X I sT � ��`'�'�a '�,''�.� � ,� � � � � .��1�` � � � �..�.�.�� �` � # ;y��a' f�� �� �.' , . ' fF� :'�"�`,�/' _ � a`�.:� �`/�S""� � '�jL�, , - � ...s��a y i �y � a� �1 l r 1'�'11'�1 . �� e �,: � :f�"'.,�, ' . r .�� .. �-. �F Y��' � ',� -� - - . •�. 's• _.�� � s: � _�� `� - . "'�. . •�'':''a,• �. �,r�.,,` �. ��^�„''�r �"� { �`� ��R'.�'�''� � ,y �$'� ��r� `~S� �� .. a� �..w , � O �«k H°a�A �� "'�� � '�,-� � �� .;; � � ,� �lec�. �4 - , , • � f ,. _,,,� � • - . .f„�„I�-- t �'�t7rn►� - �� , � v ; ��us� r ," '�' ,�,.. � .r��` :, � , ..,� . . . - _ _ .._ � � � - �� r : - � �� - - - � �'�,�, ,�. `' �� C'X�>t . , �' • ,�� sfj;� � W tLC_ ►�t ow �' _ - � . ,�,,, ;� 6�d�. > �,�� � «-� 8' '` j � � � � •,� 1 �, � � r '�� :a ' ' . ; /+�.�' � +i,"S �,:�:. �,,,w+�.. :'�-�� �7 +j - 1 j +y �'� `�.��.s-' 't. - $ , � ' -- "���� ; ��_ _ �+ � � .� ..'� � .. . . �' - i r�� '�" �� �'�-Y � ' � I' - � � . .�p � '� ..r� I ,��,. � st ������ '�� �� d a � a,.�-: d,��� �� .�r ) ?C"'' i if . , �. ,� l': ;�. � ' I t �tr:.���'�� � t l � I� r � �. /D-/�� � �' _._:,:,.+..�;;..0�` , F� �f'a� I: �� . , � ' � 7�I �/` �._�. �� �.�, ., � �� �� � ��� �� � �i. c, + ,: , � .�+!!� ,� � �`����c: `����,�t�r�#" �/ , � � ,.a« � �+a 'a " s�F�;s�r,� Y � � i4 �"! "- �k� �� �� F�� � , '`� . a . ' . � . , r: f ��� �'' A#. �a�r. � �g..�� 4 ? y� , S � ..,,; � �y.�,: '� i. i'���� • .T� �ti�,�. �_ y��r� ,SK.'!7r i � �r'., . ._.�� � _��� �� � � `� • • �:"} e � .. � �:. .. . � ' ' � -� l9 �-�'-�- `�r o-,�,-- P�c, `�' ��v { 12e��.;r�? �� r i r� c,�^ �° � ��,_ ,1Z„ � �Z� L�t�sNr��� ��t►� t ����� �aXfi! f` � �z� �.�� sT�Nc, 1� — � �� � „ Z!o f�,'sf,h � �- D �-/-o v 4� --�— �uV� ;�.. - 3�— �/�" �p2�g y,/ j3;9 M usl� R� , CorM crs � 3.oµl I.7 �y w�dl � l,,)L S�85�-3 �_ /��p"_�„ 3,v'�(l0 7 _ k' � (M�A.s�«�l ZL� �a'-S„ sf-�ous� i�--, /o;$,� �io.a`�67� i AAo�T,o� ` X= i,2µ�$�' „ - - - - - - - -4-- ►�_'-9 --� l�.'�y'c� /,z�1�6' �L� �ca►cula+ca) � = 12.7Sz��f T (►z�-9�') dJ S�_o' �,�'�-(z�-�� og� �„ ��Pr''�� P��e �,g�k� �1JD�;r�N �o� `�s 3,n���7 x �,�„ �°�� 2 L�, = 5 g, � k = !o.'�gSZ L /5F�o�(-) h.7BSz��-r�� = 1/. Z►�7�� �l�`- �.s") �r%�� L,�,e Z�b % � �� .�._--li-Z s (C'�►Iculatt� � /�N ��C �n� nor�L� s��C �II ��I ��z � (►"�e0.S�lr td� of �Caf G yC. -�r►Me�-F s�-��acic, /, � ��. � SAWYER COUNTY CERTIFIED SURVEY A9AP NO. Part of the Southwest Ouarter of the Southwest Ouarter of Section 25; par; of Government Lot 1, Section 2b; part of Government lot 1, Section 35, and pari o� the Horthwest Quarter of the Northwest Ouarter of Section 36, all in Township 40 N.rrth, Range 7 Nest. Saayer County, Wisconsin, and being also a part of Parcel I of Ccrtified Survey Nap 02461 as recorded in Yolume 11 of Lertified Sue�veys on pages 301 anr.� 308. I � �� 292* ---_�_ i z �: N 69�31' 4"W 254.BB' o ' � r-` r N NQ?7H OUAR7ER CQj�1yER �i�' �uY o c,7 SECTFON 36.T4QM.R7W / /� � jn� o�; �--''-�--- I � o ��PARCEL l2 am N 89�3P24� N B9'3Y24,�`"•wr S 89'M2�'E LSS.lT �1 65.�4� 2422.B9` _� � ��+3 . ------- - � -- - � ' ' Id 14C34TNWEST CORNER � � r � 7p•.� �p ` CTION 36. p� � �. �_ �r '� ..y. __ �40AL:R7W 0. r � ; \� ,�� ►�� 1 � q j S�6�4b Eas'es' . �� ��PO ./ .s�nc << 1 � � �- � �� ,� r '. _ � ;� PARCEL !3 : ._y� ry��;�� / ,�, � 32100!50.FT. ' /p' � J� � ��'• `A i � � /� fIr �t -- I CA9M` /L�CaEH;D � � � S>$S�3 2 .7 . ��.---' ` O 1" x 30" iran piPe seL, mi:.. �� 0 1'O z�E -- � .Wt. 1.68 lbs/ft � � � ,� �NPARCEL l4LL � n� O 1" iron uipe found 1�Rj I � P7.600+50.F� � P�� ---. .—section iines c,� I ��,_ � � � o,�- N 0 Aluminura county Corner �o.ux�ent D � _ � p� � r ��n coo m � oo True bearin9s referenced to ser.tion , �. � ;�.�8. ��.�- ; N 5 8p 2�'O6� - 49 � � +ir.e 3hown. „ ` - —- 285'.. _�-�8.?q.�B z ' o � " 77he 1•pcation oi septic systFr��• IG 1 BOqr�q��ROqp '`J� �s' � ��� , shorrn is apProximate. The cabi��, � � � on Parrcel 13 currently utilize ;eptic CURVE DA7A TABLE systemis on Parcels 12 8 14. CURVE CEt17RAL CtiORD CHORD ARC RAOIUS State law requires that the Cocnty At7GlE BEAR[NG LEt�GTH LEr�GTH A-D 58°08'27" N 33°13'15" E 270.44' 282.41' 278.2a' Surveyor be nutified iF the location. A-B 4°11'25" t1 06°14'45" E 20.35' 20.35' �� of a gection corner monument i; in ' 8-C 23�03'20" i� 19°52'07" E 111.23' 111.99' � dangerr of being destroyed, remu�ed G-D 30°53'42" N 46°50'38" E 14B_25' 15�.01' � ar co•vered. 2�"r 6"�"r This "anstruraent dr'�by Da�i�i E. ilusty. '-3iat�e �e� ' ,�;4s,f •�,j'j�f�l, Sawy�Coua�{ �y / � / �� ' /�' �'�'-'�~��� �y�, (L' i3ay o[ `i�v�'�` j �` 8eoeived for rewrd the DIItHD f. � •� //"�2L�_A D 10 d at '�oeku-]: ���_ " � Y(�(�Yy �!:un�ttcorde3 1n vd� �i i�I3,90 � � of`C.��-.�c,..t �n pa9e ��'79 �'"� �Q� �r. _E''�z:c� :• -,y-a--�� `G �S r. `�+f� � '� �•�j :-��stsr `--- Y�"y+."+�,. .•-"r ` ( sl:., �,,_� _ : �i�`��$�. • ' ��� �'}&�LaS,:-� , ' ` .- --_.,-� ''. �, n' . - ,�-�� ' %L' • S�6 . ' S ` G,a[V_ �,: :�" - ' � - <���.����y , ,—J '' . • , . , h' in -n V ` /� .���� '/' 1 �Rai3i�.s:t,-vs,f�'� �/�� ?0 Real Estate Sawyer County Property Listing PropertyStatus: Current Today's Date: 5/13/2022 Created On: 2/6/2007 7:55:27 AM �Description Updated: 10/6/2015 '� Ownership Updated: 10/6/2015 � _ . ___. _ __ _ _ _ _ _ ___ , __ ___ Tax ID: 15869 JOHN H&HEIDI A TRAXLER BARABOO WI PIN: 57-012-2-40-07-36-2 OZ-000-000030 Legacy PIN: 012740362203 Billing Address: Mailing Address: Map ID: .6.3 JOHN H&HEIDI A TRAXLER ]OHN H&HEIDI A TRAXLER Municipality: (012)TOWN OF HUNTER 1177 COLLEGE AVE 1177 COLLEGE AVE STR: 536 T40N R07W BARABOO WI 53913 BARAB00 WI 53913 Description: PRT GOVT LOT 1 SEC 35 PRT NWNW SEC 36 LOT 14 CSM 13/78 #3132 � Site Address * indicates Private Road Recorded Acres: 0.630 10208W BIG MUSKY RD HAYWARD 54843 Calculated Acres: 0.645 Lottery Claims: 0 � Property Assessment Updated: 9/26/2016 First Dollar: Yes Waterbody: Chippewa Flowage 2022 Assessment Detail Zoning: (RRl)Residential/Recreational One Code Acres Land Imp. ESN: 452 G1-RESIDENTIAL 0.630 202,700 116,600 2-Year Comparison 2021 2022 Change � Tax Districts Updated: 2/6/2007 Land: 202,700 202,700 0.0% --- _ 1 State of Wisconsin Improved: 116,600 116,600 0.0% 57 Sawyer County Total: 319,300 319,300 0.0% 012 Town of Hunter 572478 Hayward Community School District 001700 Technical College Property History _ __ N/A .� Recorded Documents Updated: 10/6/2015 _ __ _ . __ _ WARRANTY DEED Date Recorded: 8/14/2015 397182 QUIT CLAIM DEED Date Recorded: 324369 WD662/232 QCD#324369 State of Wisconsin DEPARTMENT OF NATURAL RESOURCES Tony Evers,Governor 101 S.Webster Street Preston D.Cole,Secretary Box 7921 Telephone 608-266-2621 Madison WI 53707-7921 WISCONSIN Toll Free 1-888-y36-7463 TTY Access via relay-711 DEPL OF NATURAL HESOURCES May 20,2022 Pat Brown Assistant Zoning and Conservation Administrator 10610 Main Street, Suite 49 Hayward WI 54843 Dear Pat: I have reviewed the building pennit application subinitted by John and Heidi Traxler to construct a house addition and attached garage addition at 10208W Big Musky Road in the Town of Hunter, Sawyer County,Wisconsin. The property is further identified as having Sawyer County Tax ID# 15869. This property is encumbered by covenants that have been recorded in the Sawyer County Register of Deeds office in Volume 4l 9 Deeds, Page 380-384 and is subject to the restrictions therein. As such,these covenants provide that there is no filling,gading, or placement of structures allowed within a 100-foot horizontal distance landward from the shoreline above elevation 1,313 MSL. It appears from the application materials that the proposed structure will be placed beyond 100' from the shoreline. The applicant will be allowed to continue with the specified building project so long as construction, inchrding any,flling anc�gracling,does not occur within 100'. Additional restrictions extend 1,000 feet landward from the 1,313' contour line requiring that the exterior color of the building be natural wood and earth tone color, and less than 35 feet in height. All other county and state codes and pennits apply to the subject property and must be applied for and adhered to. Please contact ine if you have any questions. Sincerely, �%���,�� Roy Kenast Chippewa Flowage Property Manager 715-634-7433 dnr.wi.gov PR,N�o wisconsin.gov Naturally WISCONSIN ��°NRE°YC10 ' ➢APEA - USE BLACK INK ONLY- POWTS MAINTENANCE AGREEMENT For Statement of POWTS Capabilities Owner's Name(s)as shown on deed: � \�, \ '�� `, �— t'��r� � �1 L•C• ��c_7� ,G„� Parcel Identification Number: (12 Digit Legacy ID) ���'��Q -� b -a d Q� Legal Description of Property: -SEE ATTACHED SHEET- We acknowledge that application is being made for the installation of a holding tank(s)on the property described on the attached sheet. Return To:Sawyer County Zoning and Conservation Administration 10610 Main St.Suite 49,Hayward,WI 54843 I (we) understand the POWTS servinc�the structure on the above parcel located at: (fire number and road name)�.��� �- �'��•Z� �'��� was designed for the following capabilities: Treatment Tank(s) Approx. 6�� GPD, Soil Absorption Cell(s) Peak ��D GPD Permit Number SAN q� - D�Year installed Iq`�� The POWTS serving this structure is presently sized to accommodate a total of ��9h� ( � ) people, in a dwelling containing �-•r- (�) bedrooms. With the addition of bedroom(s), the estimated daily wastewater flow of the structure will be based upon per capita occupancy rather than the total number of bedrooms. (75 GPD per Person) WI Dept. of SPS 383.54 outlines the management requirements for these POWTS and I agree to comply with those maintenance provisions as they apply to this system. Should the use of the structure described above increase flows above the capacity of the POWTS, I agree to upgrade my system to meet the standards required in WI Dept. of SPS 383. Should my POWTS fail, as defined in Section 145.01 (16) Wisconsin Statutes, I will obtain the required permit for the installation of a code-compliant POWTS with the installation completed as ordered. -Onl one owner si nature re uired- ACKNOWLEDGMENT Own�' Signature� � State of: w �S�!"r�•�S •'� County of: S�•��� � � O r' Name (Print): Subscribed and sworn to before me on this oln.n �-� r 1 i�t�� 2 l' a �a day of 1���� , 20 ��- Date: By(Owner's Name): .S'v h n.�k j' s z��z Z Notary Public Signature: �_� Drafted by: � *� Notary Public Name (Print)� _in �,�zl�w���� �G—� ������ My commission expires on: � „������, { �;-(o .=°�`-���1L0 ,S,��'•..," ,, Personal information you provide may be used for secondary purposes[Privacy Law,§15.04(I)(m)] ;�1�:'� ��AR}� �'.Rev�3/26/13 .�A , �.�G ...?� s '' � ' ��� ,,,���''TqrF OF V`��'G°��,• ''��,.,���►������a�. i __ _:� `_ i� � ' � � � - - ��I � I ;;�, - - ��-''_�'� ��I � I „ 1 � 11 " ' ''' I11 � ; ', It � I ; ; ' � I � � � � � !' 0 ���r`��t '�, '�,� � �f�l���l ; ', ���I���I = b ',H�- - ���3���f d � � ��I � � � ���y����i i i I � � H _ _ '� ii � �, � �}��i� A � � � � � � " � �yf b " ���� � � d � � y �;I� � I� y � � � � � � � ��� �� { ', ', � b � � � � � � ' O " ; � � � z ,� I , ��� 'I 'I %,; , � A O ��(I��1 H ��/ ' � I^� � ���{�I II I // I � 1 �o y��;��'�f,, � - - -- _,,� ; rn ' ' � , I ' �0 �t�������t - - - �� �����{}#} , I � '� �� �`�� � f r I I ! � � �\ { , , � '�^'� � b II1I ;; ,� � - � f Ifl � � 0 � �� � Z IIII � � \ ��� �� � � �, , � ����� rr � � � � ❑ � �������� ��� E � �, �� � ���� I I+I I7 � m � � N � � ', � 1 � 1 � � � y y ^ � � li � � i � l r � �� � '���� �, � � � � y�y�y�y+ " ���� �� ����f m � � ❑ I � � � ��1�7��f � ; �,� � f�� m �, �, ' � � �f�l���l � '� I� ',�, f�lirl � � 11 � 1 � � �,- - ���� - 1 i � 0 H , � I � I ,i l,, l I � 1 � � �I � � ���� '�'+��'� Z � ,� ;�� �,,, ��'�'�'r � � � � � � , � �� � � � � 1 _ � � � � '��� '���� ��=� � � � , � � , - � � � � �',���� rlf4 � � = I � I { III1 „ — 1111 � I���� It�I�I�I � �,_ i, _� ' �I�I�Ii� � '� r I I I � ':�I� ���� - - __ � � � � � � ,�� �tr� _ �� �_�� z�s `�F ja n PRCPoseo ReNovancn=eR iy_(WI �o°�nr A.� �,' JOB NUMBER: � m st6 g'� : ° ; JOI—IN � NEIDI U �F r`�-A._� .��������� �; � o- m rs � �R'v� r, mx . ` ;� d � 'a' � ° °° � 5b,se'Rh, � :F,;�.,.�t;�,� TRAxLER �a ��� � � 20-01 � "F�Gu; E 1. �yyy�:9sR''.;,�I��;'; �1": °'' 7'�;���� f���`����ttY HGYW4RD.WI5C0�161N " s�'� � m -- _ _ � � - � � ����y�y� � � � � y����t�� ' y��y{y� � III � � � � � �4� ' � � � I ' - � � y� �4�4� _ ' � � I � II ,. „ _ 1�����1{ ' � � � � �������� � � i � ��`���y� „ ; ' ��yf��y� ; o❑ �y�fyIy�I � ��If i�l� - , ,,; � >:,. ..,; � � . ._ ,a. � � , - �r`�lr�r �, ; _ , � , �r�r�r�r � � : � �}������ b � , _- __- _ . r - _ -- -- _ : Z d - ° � � � ffll z � � � � � � _ � � i i r — — � m ��`����� m � � � � ��`���i� � � D " � � � � � y y y Z � � I�I�I��� p � � z ua , �f�l���l , ,� , � �7����� � , � � ���I�� I � � , , ���t7��� , �, � � �I I�r�l � ; ', , , � �� �I I�f il � � � , � � �f�I���I � � , � �� � � �I�I��il � � � �- — — ' �;������ � �� H I��{I�If '� '�' ' l I I I �,I �,I, I ���+���f I���I�I� 1 � 1I ' '��— � itl ' � �1 1 - � � � ".� : -� ; f,� ` PROPOSED RENOVGTION FOR�. • � "�'��� L �' � ,JOB NUMBER: N � P ° �s' �; ; ,. €s pp ;,�e Aa't�, U �t�B3�i����`iP , " �` �� Y a> JONN $ I—IEIDI �� k c �� c �P'A,� � �, m' v".�. � aA Ptt G v: y"` Y, g R " �. � � ° n �� ��"E� A � � � 7RAXLER P � �� " �`g �" ° 20-01 T � � �- F's � "�:r '.`� ���i:''�,R,�'f ,a�''. HGYW4RD.WIbCON61N CL �g � .<.:a .�_.,= �---- ------------ -- -� � _—_ I , � � ^a sa�a� � y ^ i , �� . 3 � �>;i 6 I aP,�'e ti � '`.6 i � i ' I� i � � �RE�.m i , _..�.��.._._.."_�_____.�.._. d _.._._. �i jQ + 3 y ,��j ° a (�l � m � I = N � I 6 ' I � 6 A ¢ D ��'' ry 8 � � W � h W ^ ^ A . }� O � - W _'_____ O .. __- o � . . N cr � a � A�a^D °a � ` Pr'm K �� � � ry h r O O Xl � ��k� z A`.= h't ��� z ;;; � �F �� ♦ � ° j X .' n ^ D : < I' D . � 8 - - � f �^T � P '-� PRCPOSED RENOVGTIC^FpF( ��, � �' 1' p' m � ��° �° �, JOB NUI"IBER: W � � fi �� � sy� �: p � JONN � NEIDI W �G ��;A = L`�'�431U11��@�JLm�I U .d: ��� �� t �, .q -, n � '' .Y a o P � R• s ,.nu;�� kn. ��a�gs;s�R�,�� ,.a,s tRAXLER , .m� � �`� � 2�—�� a' kA�� '^�f " `;z� ^�'�o ^ HAYUARD,WISGONSIN �.� � E� .� — - , -- - F I b iC \1 � h, � z ��9 p c � n h � m �fl I n �� � 6 � I I� D ,4„r ,� .,.� � -- � _..;..._ -�' � �, -� � � __ , , . I ` O � � _.._.__.: � < -�..: _ � 3 � 7C �, ' � ■■ o� i �� ��� � � � � � i I t �..: � i r � '__'.................... � i �, '_______ __ i _.e nn �, ? � ------- .. . _._-�-----__--- a . � ID �' U m ,� � D �� �, M1 y _, � _ � � ,S ^ � � A 3 ' _., .� O - � �. � D g � ea � o „ Z o � � �, > O D \/ � � 6 � n = /\ O Y 8 ^ ti � " n-�m � N A � r z -- : s ' � 6 A 7." h G., A5 � + �R � P {� I� .......................' r • - - b �, � � _._ ....... � � t _... , a m e 6 - 6, e n � �----------------------- t i - ------------------._. a � _ °_ e o . ti § °. Rq�C� �}a;. M '� ',x � ; pROPObED RENOVGTION FOR: > � ��'��r A^�'m � , €; W W � �B Nl1MBER: �l( � N `r �> "�`� � > JONN e NEIDI �� _��:_ �f�i�3�i1D��i�P � �� � ��`� !ll1 � � ��rl. k1 � *.� grsyRt� ��" � ''� . Ye o g �,�: � '°� " .F x;; � ,,: TRAXLER ��k �� a �`� � " 20-01 � � � ,. a � � d,r�° � � ?,^g*(��F�1 �f'�^' 44YWARD,WISCONSIN ��' 7'�' � �€. Nisr+o�sim'aavmwvn y 4r i �ar��� � na��r ,^ V �y ii 1 (Q��z a R R��Q p Q� A � O��X Y �l t .; a ? ey �9�� R o � 4- o , �� g ' �� "`;�V9�9is;s m :O1 �� ���������� � �7 ��. � iai�H � NHor � , , a a ,� 'z139Wf1N fl0f' ��v �ei i m aoy tioi_vnoNaa a3sodo>_� � 9' a a�:r� ' ' o ��.s,,, t• Q .'s�,�, a a. ' 4 I z � � s' o o , , ' (L � z , " � � YF'� �a�. � ?� �� � z v � rR1 `X, x� .._.. . z � ((� U r;!'n �Sr (� / � � Q s '3, y� �� 4 m � m ' .� ' (X ( � 4 ' 111 � � lCl � J o �� o � � : � A N � O 9 / � O LL � a i • ........... . ? J , ......... V ;;, y;,;;y ;��'�s:i `;' i=;g;; z � ' �/ ' �13:3:. � i;,;�' iv ,� .�. o. n,' � . �I � �.}� V r {F i�i Q�}� 9 V '. _ __ _____ . I'.'_ . k �� z .� a o P . � � , �' ,. , � u � � ; � �n � a � LL � } 9 �''= � R I �y � '° .�'� �I��I� \ I 4 V 4L d I �. v � J � ^y d�� � ,, V � z �p d 4 iI "q. k� a �� �4 � .�i � , � ,9 ¢ � - 9 9`,V y g Y I J Q _ � 6 : _ _ 4� �;. ¢ d /` i t o - F , .x - �'�� V ' i A - k j � - - - d i . i , , _ s Q- i , i ` � a_,: � c '�p --- � - � i _ �i ,i ; � -: Q � x P� �: - , 9 u� g ( - a; 4� 6 :4 I • r � ; � � � - - . ., � � �