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HomeMy WebLinkAbout032-540-31-5211-SAN-2022-085 � !- ���'�`�''-"��- Industry Services Division Co�tY �/' ,= •�, _ 4822 Madison Yards Way Sa, '► �� D i�; :,_ a P = Madison,WI 53705 Sanitary Pecmit Number to be fillod in by Co.; � ' �, f ;_ P.O.Box 7162 .� ,:;.;:.`,,";�:" Madison,WI53707-7162 �`���li �'S �, Sanitary Permit Application State Transactiott Number � In accordance with SPS 383.21(Z),Wis.Adm.Code,submission of t6is fom�to the appropriate govemmental�mit O is required prior to obtaining a sanitary permit Note:Application fom�s for smte-owned POWTS are submitted to Project Addriess(if different than mailin�addn � the Dcparnnent of Safety and Pmfessional Services.Personal infoanation you pmvide may be used for sccondary pucposes in accoidance with the Privacy Law,s.15.04(lxm),Stats. C p 1 � I.Application Information-Please Print All Information �p � ldJ J(Y1�"{-` I�-L� Praperty Owner's Name Parcel# �eo,�� , ���or�,no�- A�1TN E^TAn`� �(eckner �3� s�b 3� S�l� Property Owner's �ling Address Pmperty Location � L�-7 �-�h �� Go�.�� a City,5tate Zip Code Phone Number �roc�K l n � l 1 a I S _ ,.. ,., s��� � � E W II.Type of Buildin (check all that apply) � Lot# T � N R �i or 2 Family Dweiling-Number ofBadrooms Subdivision Name Block# �ublic/Commencial-Describe Use ❑City of State Owned-Describe Use CSM Number i Ilage of �To�,of (.�� �n�-e,r III.Type of POR'TS Permit:(Check either"New"or KReplacement"and other applicable on line A. Check one bo=on line B.Complete line C' a licable. A' ❑IVew System �eplacement System Modification to Existing System(explain) �Additional Pre2reatment Unit(explain) m�e � Ce�� p� N� �l�s �I B' ❑FIolding 1'ank �In-Ground �AAt-Grade �Mound Individual Site Design Other Type(exglain) (convmtionai) C. Renewal Before �Revision ge of Ph�mber �transfer to New Owner ist Previons Peimit Number and Date Issued Expiration Q O -��LI Ll`f I _(�� IV.DispersallTreahnent Area and Tank Information: Design Flow(gpd) Design Soil Application Rate(gpd/s� Dispecsal Area Required(s� Dispersal Area Proposed(s� System Elevation 3 , co 5 u� St,c� �i 3.�t o Capaciry in Total #of Manufacturer Tank Infocmation Gallons Gallons Units � � � '$ � New 1'nnks Existing Tanks � o �; � V ,a � � a U m w �n i,. C7 a Septic or Holding Tank / �(,(� � S�4k/ j�f t' ��=C 7� Dosing Chambcr � V.ReSponsibilIty Statement-I,the undersigned,assume responsibility for in�taDaBon of t6e POWTS shown on the sttached pians. Plum�'�Name(Print Plum Signa , MP/MPRS Number Business Phone Number �i���° �� san ��� 5-rt �do�lo ���a�6-a�sya Plumber's ss(Street,Ciry,State,Zip Code) �o�`(' N �t�m .s1� ic1-�,er, (,c��- S g`1� VI.Co n /Departmeat Use Only / Permit Fee Date Issuod Issuing Agent Signature 1�Ap ve 0 Disapproved a (� i �f.��,,,�_� ��/ ❑Owner Given Reason for Deoial l��� � 1 ' (�'�'' ��-�-�� �"'"-� Conditions of ApprovaUReasons for Disapproval � C S`�- oa _ 6 0� > � �I INQ �;=�',� �,,c�,� �1 �j.�.�, Attach w compleh plaos for the system aod submit to the Connry oely on paper not leas thae 8 lR x 11 i�le6ef --------.—._!_.._._-���j i i ' , ` �l � _,t �;, � SBD-6398(R.03/21) KO REFUNDS AFTE� �r, MA� � � 2�J�2 �--"� _�� ISSUE OF PERMIT SAWI�ER �;�:'.;:�;;7�•,� Z�NlNr annein��c�-�.�-,,.,., PAGE 10F 4 � In-Ground Gravity Pian Index � Cover Sheet Compor�nt M�nusl Desigr►Refe�nce� Version 2.0�SBD-10705-P(N.01�1.R.10/12). ,. Pg 1 of 4 Index 8� Covet Sheet Pg 2 of 4 Pic�t Rlan � . Pg 3 of 4 Dispersa!Araa Cross-Section � Plan V'�w� P9 4 af 4 Management Plan AitachmeMs: : POWTS lic�tior�for Revigw C� � _ o� ( Soit Evafua�n R � Site M ��, S� �-s,t r�ec���' Pra�ect Name 1 Descrip�ion ow�r N�ne(s): ��'e��=� � ��n�R U�' phone• _ owner Addr�s• �1 S7 �S�"` 5�- (�r��.�K��n N`I .z�p• 1 I al S Project Addr+ess: �� D- 1.� �rn� � (30vt. Lo�t: � 1/4 of 114.Section 31 .T 4Q N-R�_E o� W Township: �il�i�l��- Co�nty: �2����- P�r� iu� �3� ��la 31 S�ll Desigr�r 1tYforma�ion ����- ���; Tti� ��� �:�a� _ a��a D�igner addr�s' so�`1' C`� �S�n � 1.�i�� Zip: ��l�S� C� E�': f,��nfh.�ps�, It c�� !i y�:C�7� 1 ili5?^Elti�.�.,�P'-Y4�ilS'?,s}liti�..�:?TA�'. I.icense Nutnber: �� ��1�� Remarks: /nOVe- ,� G�11 y'�kt ►5 '�n H���1�b�;r� �T��e��/ a^�X i�5-tn 1f �e�-b -�o C�c1( �d�� ���c-�h R si�rt�tur+e: Date: �'��� 0?�2 � �� ��� a+e�caax�s�ia�eg o�r�cewus�wa�as� [j S01L EVALUATI�1 s�eix�-=�a � S1�STEM PA(�2 OF SITE MAP o � �o ao an f PLOT P1.AN PRo.�c'r lVAN� � no - ,�, �p�w: �L� c,�o � ��f1�(C� Af�afi dalprt Aow�br aanmaiciel pl�ns. �ar,+oo� '1 _�� Srn; ►1 N �+rp.�la►s�m.�a.dtr,d..ae�.auaaae+�� eM�aeoc� eMe�mc __J��._Fr �•ss..� GI" � vG er,oa�e� 1'` +�raP��rv, ��� � .. ��` � a�te�ed��__L ��t�'�`� 0 m��� Sdoir�dds�llon�mii�isats�leidswle� �^ i� ��/� �—�. ��t--� h�.� . � � � � r5 � ���' 7/ G�';����� � �v � �� � � � �\,� ° � ��;�" �' v� y � 'v�4� o a� �� �' � V I .� - � � . � � � d � 5�►� � �o�o-� Srr��-�t1 t IN-GROVND GRAVITY DISPERSAL la►REA �T�cs� . . . � ��i�cc41_ P��, ���� Urnform Elevat�an Trenches w�th EZ1203HP Bundles � 3-ft Trench (down-sizing credit) � �T�`s'���sx ....�._�� _.___.� .�� _---._� '/�J�� ��/ E'Mluant I�INar#Aarx�lurer. • ��/.�ii�,���1 1 � I � I �^�W ' �/ {J�WOIN��R. �1���- `/� 1 V...x I��� �.� �/fi� SO1�'� TYPICAL TRENCH ,,,r,,'i►«�a, , . CROSS SECTION VIEW ta�n �- — �"��:� �� (No Scab) . • �"� �' 083ERVATION PIPE DETAIL � �i, � : 0'b eaM.) syatem devaticn e�3�l?� �, . �;a i.,' �'►�'� • .t �,.a uAa. "'�' ' ' Provide minMtum 3 ft (�.,�wa�.�.r.a� t�YP�) e8paratlon between trenches. ��Pvc Pp. ,, �.�i r�� ra►aab�ro�.rnrn.�e = .. �.i. .{�±�q._ _ . NwabovaN�h�Y� �' ,��� TYPICAL TRENCH (snow�a�io��q�oo�aion on p�,�v,►.� ��+o�� ; ► � �.r PLAN VIEW • � "�"°�o."i°' M", .;, a'�'"�'�, (No 8cele) Perbrated t.aterai '`��"°"�°"'"� � � (�1 ��'° Iha� —sos �aaaQae a —•••_••�G••••,••_—•.•—_•_•ao aa� oae�s= �s===s- a r A 3.0 ft � ___.,,�________ c'�'�•�� m 8" �.. � -------� W . (qrp� ' IN3TALL PER TRENCH: ������ Q � �a��aies��o re Eis�a�■ SD � c��r f��,�.� .p + ��,,,,,� 6-R bu�dle8�261�EISAhINt e�„�,� Instal(pursuent b�N�uoqone� � =Proposed EI8A par trerbh�..�,.� R° Requlred IMllt�atbn Area■ ���ft' DiBb�tion Nl�ihod: x ?; trenches � Proposed To�d EISA= ��ft' _, �f y.�`.���`� _ ,..� __r' n.4r3�$� PAGE 4 OF 4 !n-ground Gravity Management Plan n�aTarrr: The owner of tt�s in-ground gravily system�il be r�pons�le far its perpewal o�on and mai�e�oe pursuant� requiremenis oF SPS 382-384.Wisc.A�t�n.Coda Pursuant ia SPS 383.52(2j,WL9c.A�n.Code,tt�s bystem st�i be considered a hurnam healtl�haz�rd'd nat mamt�ined'et accardertoe with it�ls�nrer�sme�Plan- FurtP►e►more,aR inapecdori snd�ea��be p�orn�ed by a�+egis�ered P�l1M1'S 11aM�iner� atxorclence w�h SPS 38352(3),Wi�c.Admin.Gode. Ms�ti�l11a11 D�1 Area�er�tg I.�rtit8• Desi�t F'bN►� 3 vfl �d; BODa 5 Y�0 mgt:�; TS�i S 150 mgt:�; FOGf S�0 mgL'' iNSPECT EVERY 3 YEARS o iype af use o a�afi syste.m o nuisance f�s(i�oct�,u�'aompi�r�s,etaj o m�cal mslfuno�on(��,p�xr,ps.vaives.swibd�s.flo��ts,efc) o m�,eriai iatigue(i.e�,�eeKs.breaks,comnsion.et+�) . o solids vd�ns in aneerobtc b�ment�Nc(s}and any�appurba��arwe(sj(i.e.,d�tr�u�on�droP baoces) o negle�t or kr►proper use(�a,��s de�gn�.�i�ed�ea.et�) o ext�nt af pon�ng in�c�prror to dosing o do�r�irtggu�-if aPPlicabfe�l�,Purt�re�y�.fl�switch ae�ings,e�) o eled�l oanpone�s-if e�ppllc,abls(i�,wir�g,oonn�.�,�nh'as.�n�s,a�ms,�) o distribution taberei or leberai or�ce pit�ing (meas�u+s lst�nal�pr�eure—compare tio��) o surf�ce dis�ter�ga af e�or�be�dt-t�into atn�ue served 1AAINTAIN EVERY S YEARS(or when r�yj 0 3ad1[c and dose terddal sfiat�be pu�ed by a c�rtifteti�e servicit�g ope�ator lic�nsed under s.281.48 Wis. StsCa.whut�volume of so6ds in tha tank{s)e�axeds onerthird(i/3)the i&�d vownte u�ihe tank{s)ot ss�equ(red Dy tocei or�aanoe. D�I af r�ont+ert�s s�l be pur�nt to NR i 13,1MsG.Ac�Mn.Code. a ENlnoet iil�ee+fsl shaii be inspecbed s�re�y 3 yoa�rs and sd�alt be deaned Mrffa�net�/�o rernave any accumt�ted so�ds��ng to manuf�+er's�or� A seivvidng period wiil�ways be greaber than 12 moirths. Sys�m�oe tsports shai[ba sul�nnil�ed to tl�e F�roper��ut�t in a000rdencs�ritlt SPS 388.65 Wisc.A�n.t�de�. Report anY wmponent�or�to: � (���1�,- .�� � S�5 ' nt�at��or oompeny: � or�P� � p�e: �I s-a 6�--�tS`�a t.00al ganrerrrr�nt� a�,� Pr C_, ..�n-� ���� phone: � 1 S �03�t'�S��SzS l�i 9w�nent untt acidr�s: �U�/� �Il a`n St� �.�;�e Ll`7 5/w�a��l �IP: S�1`d�l 3 —r-- Any defecti�r�p�t of this sys�sm shalt t�tepanred,r�ep{aced,or rerrwved pursuar��SPS 383.51 (1),VIR�.A�. Code.Repair or r��mer�of failed or maltuncti�oning am�nenl�shaq oomply vritl�SPS 383,Wisc.A�.Code. No produd for d�emtt�i or phystcal r�e�ratla�af the POWTS may be�ed ur�ss appnc�red by the departrne�nt in a�ordanCe with SPS�4�,UVISC.Admin.Code. Ca�tirwaes.w PJg� � �n the svent thst erry faAed�rea�meM c�nent of this POWTS�be repa�ed,it�aii be�pursuant to a plan subMtted�the s�pproprfabe agency for review and appro�rai. A fafled in-grourM�pe�sal+�mPoneM may be abandoned and repf�Ced bY a oo�e-von�hR�9 dl�rsal ca��pOnent irt a pre�determined area af suitable soits. If use ot this POWTS�s�o�r�wed.�shaN be�Sndor�d in aoo�oe wd1►S'PS 389�3,Wi�c.Ackr�in.Coda O ' Safety and Buildings DivistoM SANITARY PERMIT"APPLlCATION ��W��shtrgton Avenu� ������n P O Box�18?p. Department ot Commerce tu a�cord wah Co�mn�WIs-Adm.Cada Madison,VY153707-7t62 • Attach complete ptans(to the ccunty capy onTy�for�t►e sy�s�em,on paper not less councy - ' than 8�n x 11 inches in size. Sa er • See reverse side for instruttions for compieting this application State Sanitary Pe�mit Number ' - Personal informatton You Provide maY be wed for seaondary Purposes ❑c�eck a�b 3P►�ap�iuuon (P.��acy�aw.s. 15.04(1)(m)1- �ate Plan Revfew T� P NT LL PrOpeRy Owner NemB pphelia St PrOp2rty lOcitiOn va W �ia,S T yQ ,N,R�"�E(or)W P peRy O et's Mailing ress � Lot NF�umber Blotk Number � .?� �ity, t Zip Code Phone Number Subdivision Name wCSM Number ' L, � .� � Barlcer Lake Est. (unrecord d) . : (check one)� ❑ State Owned 0 !� • Nearest Roa Public 1 or 2 Fami) Dwellin -No.of bedrooms � �T�own OF � .,S' ` I II. BUILDING USE: (If building type is public,check all that apply) Parcel Tax Numbe�(s) � o3z-s�o-3i-s21r t ❑ Apartmerlt/Condo • 2 ❑ Assembly.Hall 6 ❑ Medical Fatility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ �ampground 7 ❑ Merchandise:Sales/Repain t t Q Restaurant!Bar/Dining 4 ❑ Church/Sthool 8 ❑ Mobile Home Park 12 ❑ Service.Station/Car Wash 5 ❑ Hotel/Mote{ 9 ❑ Office/Factory 13 ❑ Other: spec�ty IV. TYPE OF RERMIT: (Check onty one box on line A. Check box on line B,if applicable) � q� �, � New y, �Replacement 3, � Replacement of 4, � Reconnection of S, � Repair of an ______S�rstem _____^__SYstem_____________TankOnly _____________ ExiStin�SZrstem _ Existin�S�lstem B) ❑ A Sanitary Permit was previously issued. Permit Numbe� Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurised Disiribution Pressurized Distribution Experimental Other 11 Q Seepage Bed 21 �Mound 30�Specify Type 41 Q Holding Tank 12�Seepage Trenth 22 Q In-Ground Pressure 42 p Pit Privy 13 0 Seepage Pit 43 Q Vault Privy 14 Q System-ln-Fill VI. ABSORPTION SYSTEM lNFORMATION: 1.Gallons Per Day 2. Abs�rp.A�ea 3. Absorp.Area 4. Loading Rate S.Perc.Rate 6. System Elev. 7. Final Grade � 3 D Requi�ed(sq.ft.) Proposed(sq.ft.) (Galslday/sq.R) (Min.rnch) Elevation , � Feet Feet �/��. TANK ��9a�o� TOtel �Of Prelab. Site 91�r- plastic App�. \ INFORMATION New Exist� Gallons Tanks Manufacturer's Name conaete st��°� �steei Se tic Tank or Holdin Tank $ � ❑ ❑ ❑ ❑ ❑ lift Pum Tank/Si hon Chamber ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBIUTY STATEMENT I,the undersigned,aswme responsibility for instatlation of the unsite sewage system shown on the attached plans. Plumber's Mame:(P�Intj Plumber'sSignature:(Mo S mps� MP/MPRSW No.: Business Phone Number � � l lum r's Address(St�aet, State.2ip Code): i �� � � � � IX. CO NTY/DEPAR MENT USE ONLY � ❑Disdpproved SaNtaryPermitPee pidi�"yfO°ndi"mK a e ssu tsw�ng tstg u (N > �Approved QOwnerGivenlnitial $170.00 w"�"�`"' 4/11/00 Adve�Det �min tion X. CONDITlONS OF APPROVAL�/REASONS fOR DtSAPPROVAL: . IMPORTANT NOTICE: Wisconsin State Statute, Chapter 145.245 (3) , states you are required to have your septic tank pumped/inspected at least once every 3 yesrs. SBD�6388(R1?199) �s�unw►:Or��eo G�mr.a�.�re:saati a e�w�y.a�+o�,o�e..nw.e« � ' ADDITIONAL COMAAENTS AND SKETCH j _ ' SANITARY PERMIT NUMBER: OO - �6� � - - ---•----- -----. - - --_ ._.. ' �� --,- f --�---;--r--�. ! �— f _ r —;__ �..__� � � � I ► I i ! � - - �- I � i -- . i �! '...__.l.___� � -� � ! I-..--- �•- � _1..,�_I�-e - - �- -� ,------ � - -{- � � � -.�_ _-� _�__ � I ; �fi __�_-_-_ _- ___i___��_.__� ._ ___ _ _____� � ' i __ � ► � � ��: ; .�-__;}. � , _ _�__ _._ __j: _ - - .! � ► __ _ _ __ __ _ _ _ � - � __ _ ._ ._ _ � � _ .__ __. .. _. .. __ _____ _ , ; � ___�_ __ __ ____ ___ _ ___ _ ,_ __ _________ _ _ _ ___ ___ ___.__ _ __ ___ ___ ___ . .+.. . _- ------ -� --�--- --- - - --� ------ - -- - --�- � � , — - -� � � - , ! ___�__ � � -- ---- __. . ._.. _._. ._ � _ . -- -- -- - - -- C ; I �-- ------+ • � - � � � _..� _ I i I I ! --1---�---- - , ._ — , -- - -� i i �v I , i � ---.t_--` --- - -'—�. i ' : — - — , � — -- -�-- �y� a c t � I _�_ _i i � _ � � , � { � i i � _ __J - ---- � .. - - _ ___ --'-�- - -- � o __ _ ___._ . ._ _. ----- -- -- ---- . f___ y ---�--- .- �_� ; � i � : ; - I-- ----�.__.-i.-... ___ ___ _ r„ -T -- - --- -- --- -- - _.._ - �I.. ...+...,._...i----�—_. __-- - -•. ._ ... ._— -- -- ------�—— 4— — � � _ � . - 1 � �► oo -- ; --_- _ _ _r___ _.� . � - - , �__ ___`_ _ ___ ; ____ __ ___� _ _� _ __#�_ _ _ _ . � _ .._ _._. __. _ __ � _._._ ____ - ___ , _ _ � , � , , - _ ---- � --- --�--- � ` ; � � i I ; � ,� � , i ! i - - - --- - � ---i - -- --�— - —'-- --- I ! , � . 1 . _ •'- - - . ' - ;— �-i l ; ^i i � ,..__._-•-- — - -_ , . � ; � 1 "`t , • � � - --- -- --- -. .--� - ------- - ----_._ --- ---- -_ --- - -- -- - ---�-- -- - . �-. - - �-- � � �{ � � - - --;--- � � � - - � i � � ; � - ___,_ - - --- - -- - —- — ---- ---- -- . � - -- _ _� - �------ --- --- --,� {___ _ ._�--------- .__�__ ___ __ _ __.._ .__. i � � � � n � _ _.__ _.,.._ __, � _ -- � '---l---;— � � ; � , � __ � � ! - - -�--_. __� � � --�---�--�5�►�.Rd � . , --- � - . _ � , --,--. : - . , . � ' r� � i { � i : � � , i , � � 1 i . . �� , -: — �----�— --{------- —- -- ---- -- -- --- -�-- --- - -- --- � To �- �--I E �-- f--- ` i - .� _ i. . Co 8" . 4 ` + - 1 ---�--� - - ---E--- --�---�- i }----- --- - - - -�-i _. ; i ' , , � � , ` _l ... . .__ , , . ; . ; - ' -�—_�_._1 �--- _ i . - = - -'— ' - — -- Wisconsfn Deparlment of Cortwnerce pRIVATE SEWAGE SYSTEM • ounty: saretyandeu�dln�soiws�on INSPECTIONREPORT �,,,�, e� GENERAL {NFORMATION (ATTACH TO PERMIT} SanitaryPer icruo.: ' � Personel iniom�atlon yau provice may be used lor sec�ndery purposes[Privacy Law.s.15.d4{t)(m)1• 3� 33�o O —�� Permit Ho er s Name: Crty ❑V� age Town o : tate Plan 10 No.: - C��oc e. O' C c+1 et- �;K-�-�r ' ' T M E ev.; I�sp.BM E ev.: BM Dcunpt�on: Parce Tax No.: ►od To !" P � E�.s 3z _ o -3r- sz r 1 ' TANK iNFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic c� 0.�y $ Benchma�k �,BS roz.g5 (00 Dosing Ae�ation Bldg.Sewer ;.3 9 9 S$� Holding StlHt Inlet y.iS 9@,, TANK SETBACK INFORMATtON St/Ht Out�et 4,4� qg.4 TANKTO P/L WELL BLDG. vencto ROA� Dt Inlet Aa I�take Septit +�!O +cl� ♦ZZ„ }Z,z. NA �t Bottom Dosing NA Header/Man. Aeration NA Dist.Pipe Holding Bot.System �9s' 9 3•°I PUMP!SIPHON INFORMATION Final Grade #.�100� Manufacturer Demand Model Number GPM TDH Lift Frict+on 5 stem TDH Ft Forcemain Length Dia. ��sc.rowen SOILABSORPTION SYSTEM �b 5�1ew��..de�rs x 31.�ti -. Sog,� BED/TRENCH width 3 Lengths,O No.O_fLTrenches pIT No.Ot Pits mside Dia. �iqu+d Depth SYSTEM TO P!L BLDG WELL LAKE/STREAM ��►CHING Manu aaurer: SETBACK CHAMBER �o e um r: INFORMATION YPe T�f +S� ,1-ZS {,� -4- 1b0� ORUNIT S stem: DISTRIBUTION SYSTEM Hea er/Mani o Oistn ut�on Pipe s x Ho e Size x Hole Spacing Yent To A�r Intake Length Dia. Length Dia. Spauog SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Oepth Over xx Depth Of x�Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsod ❑ Yes ❑No Q Yes p No COMMENTS: (�nclude code discrepancies,persons present,etc.) z2`t 9 D l Plan revizion required? ❑ Yes �No �� �� � Use other side for additional inform tion. a 3 Z`�Q � F'� SBD-6710(fl.3d97� Oate Inspector's S�gnatu�e Cen No f • .,y.. �• i ,aa, -F' .+�l 'l� �;4 A�, � .. �-ti�.�•�' ",4� 4 i�� Y +•�, �..;. �,:.��a'6F�* �e K � +�""'�r y.�q� t��'+i.,'^r.. S .: ",�d Y�, .,�'+, ky.��� k ,. ,�t��,(r rr�. ��r�� �:�•� .,�� 4�, �r $�,•.�.` �.,.'��, �� t ��`. a y,� � '�.:� 'T f ¢ "�4 �.,`� �' � i . ti *+.,r � . � e. �!',.. ��� ii f � __ } � . , ..0 S.. ,t �*, '.. t, _�� � y3^.��r� �� +G� �, f ', � a h_. �' � `T�i',� F z ',r� c ,,�^-. �tp ��,. r� ��k .+ t ��� x n�,s;; °`' 1* ��-G�'�"�=� �' � 4`: �t..'t�"a� �4 �'��'�'r .� T� ��� �'. 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R �.'t z�- R, } ..�' _ :��', �'�'�-1 '� r � � e.}�� � j �� _ ��w Real Estate Sawyer County Property Listing Property Status: co��t Today's Date: 5/3/2022 Created On: 2/6/2007 7:56:00 AM �Description Updated: 8/9/2021 � Ownership Updated: 7/16/2021 Tax ID: 36394 GEORGE A&OPHELIA O'CONNOR BROOKLYN NY PIN: 57-032-2-40-05-31-5 05-002-000110 Legacy PIN: 032540315211 Biliing Address: M iling Address: Map ID: :2.11 GEORGE A&OPHE�IA GEORGE A�OPHELIA Municipality: (032)TOWN OF WINTER O'CONNOR O'CONNOR STR: S31 T40N R05W ATTN:TANIA KLECKNER ATTN:TANIA KLECKNER Description: PRT GOVT LOT 2 457 8TH ST 457 8TH ST Recorded Acres: 1.600 BROOKLYN NY 11215 BROOKLYN NY 11215 Lottery Claims: 0 First Dollar: Yes � Site Address * indicates Private Road Waterbody: Barker Lake 7080W SMITH RD WINTER 54896 Zoning: (R-1)Residential One ESN: 421 ...� properly Assessment Updated: 10/10/2016 2022 Assessment Detail � Tax Districts Updated: 2/6/2007 Code Acres Land Imp. 1 State of Wisconsin Gi-RESIDENTIAL 1.600 64,500 60,000 57 Sawyer County 032 Town of Winter 2-Year Comparison 2021 2022 Change 576615 Winter School District Land: 64,500 64,500 0.0% 001700 Technical College Improved: 60,000 60,000 0.0°/o Total: 124,500 124,500 0.0% � Recorded Documents Updated: 8/9/2021 � QUIT CLAIM DEED � Date Recorded:9/1/1993 23734i L"!J'Properly History O QUIT CLAIM DEED N/A Date Recorded: 10/25/1983 _,35 O WARRANTY DEED Date Recorded: 6/16/1955 0989^'_ 0 WARRANTY DEED Date Recorded: 6/16/1955 096yv� 0 WARRANTY DEED Date Recorded: 6/16/1955 _ O UNRECORDED SUBD Date Recorded: ��� � -� ���s sa��� �o�� c����ct`j� i 1`(e� s�,.;-�w� 1'�:��;-� = �l�s � s t�Z �l�w ��t5 �5�� � `�,`� = �,,�5 U a � ��� rsc�.� �'so. `� a��-C. �i (�Ge( 1L �CC$�� muc,�', n� �O �� 7S1� �aS,� l.u I��K (o�`K �(c6� �x-fr� rn�,-{.er�w� 1�J� EZ �[��� `�� � t,,� ��c-� �SU � ��� `37S" a;S o�i-t el� 5�5-Ec�'l F�►��, �``�� �n���.�e ���c e = �S(�.� �-- � � �� I� a, � a %��,-�' f� ; PRIVATE ONSITE WASTE TREATMENT County �� � ��`�� SYSTEMS �'�(��SPs' ( POWTS) Sawyer ):J \'%���—c4a� �L'�'—°v"-'� INSPECTION REPORT Sanitary Permit No: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION �2 —O� Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(I)(m)J Permit Holder's Name: ❑City ❑ Village Town of: State Plan Transaction ID#: Ge e.o'C on�or— wti.�-�r �- Insp BM Elev: BM Description: Parcel Tax No: lao.o � � ,� � �� a3�_ S'Yo- 31�-S,LI � TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic s � Benchmark loD.p � Dosing Aeration Bidg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St I Ht Outlet TANK TO P/L WELL BLDG vENrTo ROAD Dt Inlet AIR INTAKE Septic NA Dt Bottom Dosing NA Installation Contour Aeration NA Header l Man. q�.�' Holding Dist. Pipe PUMP 1 SIPHON INFORMATION Infiltrative � surface g3�Y Manufacturer Demand Final Grade Model Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W � L ' #of Cells 1 Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav � Conv o Aggregate INFORMATION P I L Bldg Well Waters � �GP ❑ Chamber Model Number; ❑ AG � EZFIow CELL TO � '}-�.� .��}j � ❑ Mound ❑ Other— DISTRIBUTION SYSTEM X Pressure Systems Only Header I Manifold— Distribution Pipe(s) — X Hole Size —_ X Hole Observation Pipes� Length Dia _�ength Dia Spac Spacing ❑Yes ❑ No SOIL COVER _ — — _. -- Depth Over Depth Over Depth of Seeded/Sodded Mulched Cell Center Ceil Edges Topsoil __ � ❑Yes ❑ No O Yes ❑ Na� COMMENTS: (Include code discrepancies, persons present,etc.) ��,.s�j(� ��!����� � G�q�,��.., O� c�� �-�.r �.�e�r ��1.er tiS�a1� ��. Plan revision required?� Yes�No oz a� �3 �--� � �����C � Use other side for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�OITI�NAL COMMENTS ANO SKET� SANITAAY PEAMIT NUMBER: �-�.-Og �- 8��1�.,. �gl� �- � : ,_; . � __. � __ _._�. _� .......4._._. .._ _. . . . . ._..._ .� __._-.... ..__._._ .....� : _ : �,��� ' �_ .__ _ � .__ _� ._ . __ : . ._ ___ a� . - . _ __ . ._ . , _ _ . _ _ __ . _ , . � \ . � . . __ . _, ��T . , '\ � �w��� ��AY�ti D��t�1 , �\� � �^� ���\�� � 3' / / \ � ! ,.,X � � i I . n 1 � � +�(L `�I NQ� � ��� � 0 0 � � � c''�-'S�"� � � � � � �� �,�� � ��� ��� �o �� ��--