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014-942-34-1303-PVY-2022-005
' �� SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION � ]0610 Main Street,Suite 49 --� Hayward,Wisconsin 54843-0676 (715)634-8288 yJ 7��ww.sawvercountVgov ore i� NON-PLUMBING SANITARY PERMIT APPLICATION � In accordance with Chepter DSPS 391,Wis.Adm.Code and'� � Sawyer County Private Sewage System Ordinance � APPL►CATIONTNFORMATION—TYPEORPRINT PAGE:lof3 � erly0wnerName Pmpctlyls IDescriplion � G L %. � /,, S ' S ,T�N,R�W Pr pcn 0 mcr's Moiling Addr Loi Numbcr Blak Numbn Ci Stote Zip Calc Ph c umbcr 5ubdiv'ion Nnmc or CSM Number � ,�d5-7d� � TYPE OF BJJILDINC:(Check one) State Owned Ciry NwRs Ron ❑Public �,�or2 Family Dwelling—Na.of bedrooms ❑��Iloee > c�i,y — �Townof ��rJp�'G`"d( . FircNumbcr#f� -� '�� PUBLIC BUILDINC/LAND USE:[sxpia��mo��puma�c rorm�s Pareel Tax Number:(12 di it legacy nurpber) permi6(i.c.,cwnp�ound,kstivel,rcaeetioNenicrtoinmen�eveK etc.)� � ..-✓�' ���-� �-3.�-.l�.Q�. ,� T PE OF PERMIT: TY E OF NON-PLUMBfNG DEVICE/SYSTEM/1'OILET/UNIT: � ivy-Pit Tailet(CSTN,�� � Non-Plumbing(Privy,Toilet,Restroom,Etc.) �"'rivy-Vault Tailet(200 gal, min,capacity required) S (VauIZ size;_gallons or cubic yazds � ❑Other. Vault Privy Type:OConcrete Q Steel OPolyethylene 0 Other ❑Composting Toilet System ❑Incinerating Toilet Device ❑Partnble Restroom Unit ❑Other o � E RESPONSIBILiTY STATEMENT: I,the undersigred,assumc rcsponsibiliry for thc installetion ohhe non-plumbing sanitary sys�em Por which ihis pertni�is issued. ]further egm thet any dwelling in conjunclion wilh Ihis permit will no�be pnvided with indoor plumbing anNor water hookup. 1 will use Ihe non-plumbing system "�b indicmed ns u means of wos�c disposal,ond I wlll carty wu�er in nnd ftom the sirucmro.I understand Ihet beforc indoor plumbing end wWer hook ups � are installcd,thc proper S�ale und County herml�s�vill be applicd for. 1 futlhcr undcrstund thot ony deviotions Crom ihe ubove will constitutc a j violotion of Smrycr County Ordinonces and wouid subjeci me W thn penelties of tlie Ordinanecs. 13y signing ihis applicntion,l am¢Isu gmnting � permission to Ihc zoning dcperimenl persannel to enter my property at any rcasanoble lime for thc purpose of inspectian to sssurc complinnec wilh �p thc zoning and seni�ation laws relative to thc issuence of Uos pertnit, y r's Nnmc:(Prin Y ,E' OFF(CE USE ONLY: Disapproved Pcrmil Fec: CST No. Deic Issued Issuin6Agen1 SiEnuiurc �A p v d ❑OonrrGivcnlnitiel $�50.00 �� py � AdvcrseDctermination � / �I3I�Zc�- � ,�„ett�-c.�AM J— CO MEN S: *Expires 2 years from dale af issuc *NO REFUNDS AFTER ISSUE OF PERMIT SHORELINE PROPERTY:�YES❑NO If"Yes;'Name of the body of water: CONDITIONS OF APPROVAWREASONS FOR DISAPPROVAL: I ��GIn��;���� J 111�,.�' � �{ ��� �� i Rev.04/29/l6 ��1� JUN 0 2 ?022 � � O Y r I�I��` NO REFUNDS AFTER ------_.____ ISSUE OF PERMI7 g�;�^:v.-�, ZO�I\G��: �..._ ._.. M,� �t I,�'(p 0��7 / v NON-PLUMBII�IG SANITARY PERMIT APPLICATYON PAGE:2 of 3 Privy Plot Plaa � G�-� � c�" � Please include the following informatioa with distances on the above plot plan: ❑ North Arrow ❑ Nearest Road ❑ Site Address ❑ Structures ❑ Well ❑ Property Lines ❑ Lake, River and/or Stream o Wetlands Minimum Setback Reyuirements: • 10' from any slab constructed accessory building • 25' from any habitable building • 45' from any property line • 50' from any water supply well • 75' frorn the ordinary high water mark of navigable waters • 130' from the centerline of state highways or 66' from right-of-way line, whichever is greater Rev, 04/24/16 t . . ... ,, �;�~�.µ �: ���� « � NON-PLUMBING SA1vITARY PERMIT APPLICATION ` I'AGE:� of�, General Requirements, Recommendatians and Standards: 1) The privy structure should be insect and vermin proof. 2) �All windows, ventilators and other openings should be screened with#16 mesh to prevent entrance of insects. 3) The privy structure should be provided with cross ventilation of 2 square feet of screened opening for each seat. 4) Privy doors should swing and be self-closing. 5) Privy seats shou(d be provided�Nith hinged covers. 6) The entire installation should b�kept clean and sanitary. 7) Freshly staked lime or other equally effective disinfectants should be used at frequent intervals for odor control. 8} Floors, walls, seats and urinals should be scrubbed as often as possible. 9) The outer base of the privy should be banked with earth. � 10)Concrete, cement block or meta] flashing should extend 6"above the sround and 12" below the ground to prevent entrance by ir_sects and vermin, i 1)The footprint of any privy structure shall not exceed 40 square feet and not be used for storage. 12)Maximum height of any privy struciure is limited to 10', 13)Privies for public buildings shall comply with SPS 353.63 14)For open pit privies the bottom of the pit shall be a minimum of 36"above any restrictive factor {ground water, saturated soils, bedrock, etc.). 15)A certified soil test is required far open pit privies and must be filed in the zaning office before permits will be issued. 16)A certified soil test is not required for a sealed vault�rivy. 17)Sealed vault privies shall have a water ti�ht vault made of materials approved by the Department of Safety and Professional Services (DSPS). 18)Sealed vault privies should be ventilated with a pipe of at least 3"in diameter which terminates at least 1' above the roof of the privy and in accordance with s. SPS 382.31 (16)(a)to (�. 19)The sealed vault privy should be pumped out when nearly full by a licensed septic hauler/pumper in accordance with ch.NR 113. 20)According to DSPS 391.12, the storage chamber of a sealed vault privy shall have a minimum stora�e capacity of 200 gaiions or one cubic yard. 21)The stora�e chamber of a seaIed vault privy shall conform with the requirements of DSPS 384.25 relating to holdin�tanks. Rev.04/29!16 .�,. �� �,.�'r ,„ .� `I+'�f �.'� �'!' .r� �'i'y, �'. {� .�� r _ ' �� ..�'�/,f�!If�F' .�i� �i r��v. �:c t \ .:'7 {� ;'� C> ,��r� �, �,�Q`� `~�� -1��N,� a, �•v .J,% 1�1� ��'��R.� 4�{�`- �.�q{�c� � t,��_'t�,�����'t;)k :9y ; '' v 4 a �„�i�, ;c : �' �./� ��+� ' I� '�`a ,,��+.lR;�, ,AFS „±�i�,�r l ����7 . t '�a� '` •� �#,Jl j1 t�'�.. ��t .2. .�5 �����y .�' �+4 *�.Ari 4� :' � ��it� . "n� ��y � ��.. ✓d �?':i f 4 t s �y� Y"FSy,��y sF.. .N."a'��'.f` '��Y., � I Y ti y r er i�tr .• S . `,_- ',-'"`.' r,s 1 � 1� ,!':.�+! � � ��t��' � � ���p4 f �'�k.. 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It"['��,�i,;,. -•��, �. �11�c�1 �R�"�, t - .:4 4 l:. r,r�''A �� ' '� , �.i j�� :�'�.. ilw {���. 6/2/22, 11:07 AM Novus-Wisconsin Access rev. 13.1108 Real Estate Sawyer County Property Listing PropertyStatus:Current Today's Date:6/2/2022 Created On: 2/6/2007 7:55:31 AM � �Description Updated:4/16/2021 � Ownership Updated:9/22/2021 _ . _ Tax ID: 18607 DEAN J&LISA M PASKEY PORTAGE WI PIN: 57-014-2-42-09-34-1 03-000-000030 Legacy PIN: 014942341303 Billing Address: Mailing Address: Map ID: 3.3 DEAN]&LISA M PASKEY DEAN]&LISA M PASKEY Municipality: (014)TOWN OF LENROOT W6775 STATE RD 33 W6775 STATE RD 33 STR: 534 T42N R09W PORTAGE WI 53901 PORTAGE WI 53901 Description: PRT SWNE LOT 1&OUTLOT 1 CSM 22/64#6135 � Site Address *indicates Private Road Recorded Acres: 2.250 N/A Lottery Claims: 0 First Dollar: No Waterbody: Nelson Lake � Property Assessment Updated:2/6/2007 Zoning: (RRl)Residential/Recreational One 2022 Assessment Detail ESN: 400 Code Acres Land Imp. G1-RESIDENTIAL 2.250 168,000 0 7 Tax Districts Updated: 2/6/2007 ---- 2-Year Comparison 2021 2022 Change 1 State of Wisconsin Land: 168,000 168,000 0.0% 57 Sawyer County Improved: 0 0 0.0% 014 Town of Lenroot Total: 168,000 168,000 0.0% 572478 Hayward Community School District 001700 Technical College .� Rewrded Documents Updated: 2/23/2012 �L�.'�f Property History � WARRANTY DEED N�A Date Recorded:9/21/2021 434837 O QUIT CLAIM DEED Date Recorded: ii/9/2000 287638 721/238 � CERTIFIED SURVEY MAP Date Recorded:8/1/2000 Z85546 https:/Itas.sawyercountygov.org//Access/master.asp ��� : i. �:rt.j� . . �F 'C" � 3t�1 e- � '�i t FY'� �� x a�. �l � � � ' t'�r'It y \ .. i,. 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