HomeMy WebLinkAbout006-339-14-5301-LUP-2022-197 SUBMIT COMPLEfED 11PiuCATION AND �f )
F�ro: APPIICATION FOR LAN MfT r
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Sawyer County �
Zoning&Conservatbn DepaR �. „;j•. ��'� ' �
10610 Main St Sulte 49 � C 1�`�'-r_-:=;D.K xamA��ecti�sal_.
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HaYWad,WI54843 �``. � —=---'_ ._.-. ' .
(715J634-8288 , ' —'
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ChaksaremadeWYabkto SarryerCounty2oMnCDeWrtme^tC, n !�-f. �;_r... � w�
notio s.aaTL�ns��N�- nn�Nri.>i�o6kh�nr+n�Eaetvj��My�ff7��; Ave f t �QlYnonMU57besubmit!eA FILLOUTININN (NOVENCIL�
Subm'fial�f th�is pPl��ra.onor rrce.'DI ot�e doea nGt cor S�}�(jt'plit`V�t�l�`� .
owneHs�Name: Cantnaor�s)Name
(, �2v�1�n� �L�n � I�.ia�� ��A-�.��2�� Co�st2�rr��
MailingAdd;ess: ��)�l��/ �l.a..�IVV { MN/vl re V• 4��C�-1f�.1(�IZIV� - �/�! �n\�-JYl ��Y`�1 ����
�,���v'� v��
i Phone: ��_(�������� Vhone:
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�� EmaiL L,`� �C�►l��-�r` �Y W'1r�I����"l Email: I
Slt!addre�s: W v IV � ��p w Date a br: �'7 l� vv"'�-► �
i letacyflNR � ����I���'T� ��,/L� � I Townof: �i �— I
�Vermk deNvery Method � '�Owner q(Ylail OwMr ::GII Contractor -i Mail Contractor i
!\
��j'� Is Property/Land wkhin 300 feet of River,Sheam pna. j � \
�-___-__�'^-� ' i�e.Mrtm��l --►; Dista�rucju�e I�omShoreli� �:ro.��r�rop�•.,�� ���(/(��
✓ . % feet 1n�ialAV�,a��� ���'Wetkanci; _
`�Shorela� � [reek or Wndward side of Floodpiain? �t ye�.-.contuwe � (/ ,'�nr.? vresent� .;'��;�vl +��w�
� ' � � Yes � .. �(f!—
� � Is Property/W nd within 1000 fcet of Lake,Pond or Flowage � Distance StruRurc is from Shorelirw: , � ; � (7�'
r����; -ccnt�����.,:�. �'� feet � ��o ',. ��,., �.
i �.,,,�a Ci N 5� c�'t�
Desaibe Project � ` � �✓
Value at nme of total N of
Project type Poundatbn What 7ype&Capacity is the
CompleUon Number bedrooms
.,._;;�...�,,,..,,i._,4, (House,garage,shed,deck, �5�� (Basernent, Sewer/Sanitary5ystem�s)
3'ost
nddkion,etc...) Crawlspace,
bnui x.rc�L�!�+' Consln.rh�erl
Ust separately Slab)
S i��c�wij ; / � 'Z-L'�1 Z �1z�� �r� Sn't.�(Czi.,P�
Dwell g
5 L�r.�.,\
f
��K�ry�
s �UD G�?�v
������
HeigM:
TotalSquare Lowest
Proposed Use � Proposed Structure Dimensions FO°t�e Grede to
(multiply per Highest
story► Peak
ResMence , �1� x J� ' )�i(�J FL ! ( - .
with 2ntl story or loft + x �
Ft.
✓ With ent �.+� � ( x ' �I.✓ � I�.
ft. ` �
Attached Garage ( x �
Residentfal Use Ft
Aaessory Structure lexe�em� ( X )
❑/�fiCUltUf01 (ee�uheapnees.aneds,ewsnous.s,.ic) Ft.
Use � x �
Temporery Guest Quarten or eunkhouse(ctrdecype{ Ft. I
C X �l.i
=' Commercial/ Detk/Porch/Patb ( 7 1�- , Ft. W
Industrial Use
(2n°f Deck/Porch/Patio ' X ' )
_ � Ft.
C Municipal Use � X �
Other�e,pia��� f�
0 Other ( x �
Pf111L1p81 SLNCtUfE(Agticukural,Commercial,Municipal,Etc.) F�
Addition/Alteratian�ezaain� ( x �
Ft.
� � p�y� Total Non-habitable square feet: y'�.�if'i
Total habitable square feet: `��7�� (decks,patios,garages,sheds,storage area&other structures) � �/
Originai Ap�fication MUST be submitYed
Attach a�i��or i�etr r�your vroperty on 8.5"x 11"or 8.5"x l4'paper:•Mu�At'ipclude bcatio�and selbaek ot propoced and existl�st►uctures.roads.
� driveway.sanitary components,well,lake,river,stream,and wetlands. 1� �
Desvi �� �Pt� ��� �����
� eewrem MeawnmeMa �.1 V''\-�,/�._,/,�
0`l �{(/L-...
Setback from the CenteAine of Platted Road and/or ,!V `—_ Pee Setback from the Lake(ordinary hlg�-water mark) Feet i r ��,,,_ a �
Setback from the Established Right-of-Way Feet Setback from the Rtver,Stream,Creek Feet �1•i (�(Jj�
Setbatk from the Bluff a,00r�otie Feet �� �� �
Setback from the North Lot line . Feet
Setback from the South Lot Line n. Feet Setback from Wetland Feet
Setback from the West Lot Line � Feet Slope whhin area of construction/dhturbance %SI ,c !n ^
Setback from the East Lot Line .1 Feet Elevation of Floodplain Feet V ��lJ V 1� .
Setback to Septic Tank or HoWing Tank Feet Setback to Well Feet
Setback to Droin FieW Feet
Setback to Privy(Portable,Composting) feet
.. . ._. .. .,;... _� �..... �,..,.:._. ��ctt^-�b.., ..:��v �,4i-r .�<. .. , � .. ,, , �._m�srhe�s:6lefr�r�•�re
�..�_ . . . . . . . .. . . . .
.. _ . ,� .. . . . - � . - . .-r i^, � �,.... .,t�_r.�� .,xo•..�-.
I
Calculate Impervious wrfsces.(Roohd,conuete,paved,and other wrfaces that water ca�not penetrate.The 2oning Offlce nn help you detertnMe N a
wnc�e fs con �Iered imparvio�utA��p�
,� 53��V�`�f' c�� F��!�I/�v ��, (((���
, Calculate lot rea: �"1 ,'7 �'n,1
I Indicate lot size from CSM or NOVUS(circle one): ���� Acres;MuRiply by 43,560=Lot area: V� �� Spuare Footage
� Glculate impervious wrface area:
1/ �")/f��
� Determine the total size,In square feet,of your projects listed above pnclude eaves): � v `V sq ft.
iDetermine the total size,in square feet,of all existing roofed strudures(include eaves): �v sq ft.
i �j�
� Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: ,� 7 V sq ft. i
� Add these measurements to determine total impervious surfaces:�v sq ft. �
! Calculate impervlous lot percentage !,�'I I
� Total impervious surface:� 1 v) +Lot area: t V `���Sq ft.x 100=impervious wrface �^* I % I
(Mitigation Is requircd rf tobl ezceeds 15%� �
"'Notice a separate grading permit needs to be obtained if disturbed area is withio the Sboreland district as indicated oo previous page and meets crieena bebw"•
Gradin on a s�e greater tban 20% Gradmg of more than 1,000 .Ft.on 12%-20%sb s
Groding of more than 2,000 Sq.Ft.on Slopes less than 12Y Grading is in excess of 10,000 Sq.Ft. �
I(we�declare that this applicatbn(fnduding any atcomparrying�information)has been e:amined by me(usj and to the best of�my(our)knowledge and beBef�rt is true,correct and
. complete.I(we�ac wledge tbat I(we)am(are�responsible for the detail and accuracy of all information I(we)am(are�providing and that tt wiil be reiied upon by Saxryer
CourHy in determi � hether t a permlt.I(we)further accept Iiability which may be a resuk of Sawyer CouMy relying on this information I(we�am(are)Oroviding in or �
��� with this applica" n. we)co nt t munty officiah cbarged wRb administering wunty ordinances to have access to the above de:cribed property at any reasonable time for the �
p - spe n.A itbnaily,t ndersigned person�s)hereby give permission for access to the property fm onsite inSpeRion by Municipa Offici@Is. �
. j
� Owner Owner 1 r ry� I
� Signatu Printed name `� � Date �� (C ��L�
� / _- � �.. ..r','�ame=nqU:rr"�.
9.�,'l[ .,.. .. � ... . .� .... '1 . . .. .� .
. ..� , .. i ..�. . . -.... , � . . -.ii.,,� .� .... ....._
You are responsible Tor complyinq with tbe requirements o(the Sawyer Counting Zoning Ordinances and law and regulations o(the State of Wisconsin.You are also responsible for
complying with State and Federal laws mncerning construction near or on wetlands,lakes,and streams.Failure to comply may result In removal or modifcation of construction
that violates the Iaw or other penahies or costs.For more informaHon,vlsit the departmeat of natural rewurces wetlands identification web page or contact a department of
� natural resourtes servrce centei(608)267-3175
� Issuance Information(County Use Only) Sanitary Number: #of bedrooms:
j Permit Denied�Oate): Reaso�for De�ial:
I
I
'� PermR N: Issuing agen� Date:
� �a- I�� � � 6 � a�- �
j Is Parcel a Sub-Standard LM ':�Yes (Deed of necord� 7 No ;
Is parcel in Common Ownership �c Yes (Fusetl/Comiguous lot(sp �,ryo Mklgation Required :Yes o
� Is StruRure Non-Conforming '•��Yes '�No Mitigatioe Attached ��Yet �.No �
Grented by Variance(B.O.A.) ^ 6ranted by Conditional Use
i � Yes Gse p: ��.Yes o Case N:
�` Was Parcel legally Created �Yes No Were Property Li�es Represented Dy Owne� �Yes .� No
Was Proposed BuiWing Ske De�ineated Yes No Was Property5urveyed Yp :No
I Offite CAmments: � Zone Dirt' fe¢:
; ���a ��-� ���s �
Mcitl iarSanRary: � Hoid ror i6A: Hold For Affioa•��!� Hold For F��rs-
OJan2020
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_ _ ` •, --;_,._ Dams
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Notes
�.� � 0.�6 �.� MI�QS DISCLAIMER�.The inforniauon sr,a � t�, ., ��.�,aps has Gee���e��a,naa��om;a��o�>
sources-and are oi varying age,reUaud�ry dntl resoW6on_Tne�e maps are riut in;ended tu be
�:,ed for navigation.nor are these maps an authoritative source of information about legal land
��.vnership or public access.No warranry.ezpressed or implied.is made regarding accuraty.
NAD_1983_HARN_WiSCOnsin_TM 1: 3 960 p.�l�cabiliry for a particular use.compl.teness.or legahry o!the information depic�ed oe this o
r�i„p For norc informotion nn�ihc��R Lf•yal Notice5 weh page ntlp�.udnr.wl.yov legaf�
_ _ i i i �iii i iii i�� iiii iii -
USE BLACK INK ONLY
8 �� 59650
POWTS MAINTENANCE AGREEMENT Tx:4u38��4
For Statement of POWTS Capabilities 439481 �
PAULA CHISSER
Owner's Name(s)as shown on deed: REGISTER OF DEEDS
�' sAWYER COUiYTY, WI
��' � '�i ��(�� L%�(i�� � Q6J03j20221(}:36AM
Parcel Ident'rfication Number: RECflRDING FE� 3�.D0
(12 Digit Legacy ID) �o�- 3 3 �-L�-�. 3 o L
�AGE�: �
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 AdministraUon
10610 Maln St.Suite 49,Hayward,WI 54843
I (we) understa d the POWT serving the structure n the above parcel located at: (fire number and
road name) �0���� d� v'� F�S was designed for the following capabilities:
� �{S�Z
Treatment Tank(s) Approx. ��� GPD, Soil Absorption Cell(s) Peak �� � GPD
Permit Number SAN 1� - ��SYear installed ����
The POWTS serving this structure is presently sized to accommodate a total of �^o� ( `fi )
people, in a dwelling containing �W� (�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 co��lcompliant POWTS with the installation completed as
ordered. �,ti�3"�� c�'��+��
,e�.-,:�.
e
_ ._ Y,r.
e � nature ulred- ACKNOWLEDGMENT
Owner's Si at State of: '�-�� � S c o n S� n
County of: Sa w�Q r^
Owner's N ��);�`��� �, Subscribed and sworn to before me on this
��� �, . � .
'' ��� �` ' 3 day of S ti h C , 20 � �
Date: f� "��"'���
�e �Z BY(Owner's Name): '�o l G� r � ^�
Notary Public Signature: �,u� 'a
Drafted by: �� ��� Notary Public Name (Print): l.,sti /-1�- +�;, �v Q�,p�
e`�'� ,, ,f,. � (�) �I�r�nission expires on: �' 6 -a��-s
�iB�S •��M�q a���0�g�a�oN 6''i�:�rarlal Officer by Wis.Stats.
:4��.�� (1) (f) and (2)County Clerk
Personal i�formation you provide may be used for secondary purposes[Privacy Law,§15.04(I)(m)] Rev.03/26/13
Lot One (1) and Outlot One (1) of Certified Survey Map No. 3540 as recorded in Volume 14 of Surveys on_
Page 230, as Document No. 230029, located in and being part of Government Lots Three (3) and Four (4) of
Section Fourteeri (14), Township Thirty-nine (39) North, Range Three (3) West, Town of Draper, Sawyer
County, Wiscansin.
Documenb# 425139
Real Estate Sawyer County Property Listing Property5tatus: Current
7oday's Date: 6/22/2022 Created On: 2/6/2007 7:55:11 AM �
�'Description Updated: 3/27/2020 '� Ownership Updated: 8/12/Z020 �
Tax ID: 5919 ]ASON&NICOLE GERWING PARK FALLS WI
PIN: 57-006-2-39-03-14-5 OS-003-000010
Legacy PIN: 006339145301 Billing Address: Mailing Address:
Map ID: :3.1 JASON &NICOLE GERWING JASON &NICOLE GERWING
Municipality: (006)TOWN OF DRAPER 6120N OXBO DR 6120N OXBO DR
STR: 514 T39N R03W PARK FALLS WI 54552 PARK FALLS WI 54552
Destrip[ion: PRT GOVT�OTS 3 &9 LOT 1 &OUTLOT 1
CSM 14/230 #3540 w Site Address * indicates Private Road
Recorded Acres: 4.230 6210N OXBO DR PARK FALLS 54552
Calculated Acres: 3.588
Lottery Claims: 0 . L.� property Assessment Updated: 8/22/2016
First Dollar; Yes �
Waterbody: Flambeau River
2022 Assessment Detail
Zoning: (F-1) Forestry One Code Acres Land Imp.
(RR2) Residential/Recreational Two Gl-RESIDENTIAL 4.230 26,900 102,600
ESN: 429
2-Year Comparison 2021 2022 Change
�� Tax Districts Updated: 2/6/2007 Land: 26,900 26,900 0.0%
Improved: 102,600 102,600 0.0%
1 State of Wisconsin Total: 129,500 129,500 0.0%
57 SawyerCounry
006 Town of Draper
576615 Winter School District �
001700 Technical College �Property History
N/A
.� Recorded Documents Updated: 8/12/2020
WARRANTY DEED
Date Recorded: 7/20/2020 425139
WARRANTY DEED
Date Recorded: 1/12/2016 399454
DESIGNATION OF TOD BENEFICIARY
Date Recorded: 3/6/2014 389576
TERMINATION OFDECEDENTSINTEREST
Date Recorded: 2/6/2012 377023
CERTIFIED SURVEY MAP
Date Recorded: 7/21/1992 230029
WARRANTY DEED
Date Recorded: 5/25/1979 169727 306/536