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Home My WebLink About004-838-10-1405-SAN-2022-124 � Department of Safety c:°"°`y � � & Professional Services, 5��'`� � � $ Sanitary Pcrmit Numbcr�to bc tilled in by Co. Pg industry Services Division � (Q ��'1 � �-`� �j Statc Transaction Vumber � Sanitary Permit Application � In accord�nce with SPS 3S?.�1(2),V4"is. ndm.Code,,uhmi"ion��t�ihi,fonn�u the appropriate govemmental unit � is rcquired prior tu obtaining a sanitary prrmiL Note: Appliration li,rms li�r state-ow�ned VOWTS are submittrd to Project Ad�ress(if diffcrent than mailing adc' � thc Department u�Sa(cty and Profr„ional Sen�ices.Pcnonal inti�nnatiun you procide may be used for secondary �OS �• l.�a�� 1�� purpu,es in accurdancr�vith the Privacy Law,s. Iti.0�3111(ml.Stxi.. I.Application Information-Please Print All Information Cv U l�iG�a 1 W� S 8Z � Property Owner's Name Parcel# L c-� c, I�,ob�� 3uk��,� �QI; �I o,� - Lac� e� od y- g 3 8-1 D- ��0 5 Property Owner's Mailing Address Property Loc tion S 12 y l 6 1�1/ 14� e� s; � C.� ��,-�--- Ciry.Sta�c Zip('odc Phonc Numbcr T� � � 1 V� U ��'��"��5 �C '/. N� ',. Sectiun -�� Cou�e�a , (�._ Ii.Type of Building(check all that apply) — L�t 4 � T 3 g N R g f'or�'�' ❑ I or? Pamily Dwelling-NumbcrofRcdrooms � Subdivision Namc F31o�k# �� u PubliG�ommercial-uescribe Use � "'-' ❑Cityof ❑State Owned-Describe Use CSM Number ❑Village of _ 3��33 ��a3 o,�<�w�,�,��_ Cdu�� IiI.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C if a licable.) `�� New S stem y� ❑ Rcplacement SYstem � O'�hcr�1��diticauon to I{�i,lme Sy,tem�explainl ❑ :ldditional Pretreatmcnt Unit(explain) B. Holdit�g Tank ❑ In-Ground � Ai-Grade ❑ Mound ❑ Indi��idual Site Design ❑ Other Typc(explain) fconventional) C � � �.�, n List Preciou,Permit Number and Date Issued ❑ Rcnewal Bcibre � Change uf Plumber ❑ Transicr to New Owner 1:spiratian IV.Dispersal/Treatment Area and Tank information: Design Plo�ti�(gpdJ Design Suil Application Rate�gpd,sl�l I)ispersal Area Required(st) Dispersal Area Propo,ed Isf) Systcm Elecation d O -�_ ��. Capaciry in Tot.il �of Manufacturer 'J lanklnfonnatioi� Gallons Galluns Units � � ^ � � New"ianks Existine Tanks � J v � � � = rj _ :.i �:%� r. :%� _ ...� G. Septico Huldine'I�ank �Q� �Q�d � Dosine ChainLier V.Res�nnsi!►ili!n�SratQme►�t- 1,the undersigned.assume rrsponsibility for installation of the POwTS shown on the attached plans. - ---------------- ----- -- - ------ ---- Phimber',Aame(Print) Plumber�� icnatnre MP/^v�'siVumber � Bu;me;;Pi�onc Numbcr�� -rY �< cc�=Y /�� 5-"�-2 �3�°-357� Plumber',Address(Street,City,State,Zip Code) 1d5�:s�c/ 12�,vC kf ��dto G�(rdf-i,� .v—� ��1��3 Vi.County/Department Use Only �. �e ❑ f)isappru��ed Pcrmii Pec Dt�ic Is,ucd I,suine Agcnt Sigi�aturc ti ,y1 � � � ❑Owner Given Rea,on for Dcnial �� `r �t�Y��L�-��V� Conditions of Appr�/Rcasons for Disa�procal �� , � �o � �� A D � �I �� -� � � � � I � t_� 2 2�22 � N2 �'! JU SAWYER COUNTY � ING ADMINISTRATION :V[ach tu complete plans fur ihe s��stem and submit to the Cnunl�-onh�on paper nut Iess lhan R I2 x 11 inches in size ss�-639s�R.o3�zz� NtJ REFUNDS AFTER ISSUE OF PEAMIT Sawyer County Zoning & Conservation Administration �� 10610 Main Street,Suitc 49 1� Hayward,Wisconsin 54843 �� is��a H�xB � ��' �� FAx��is�63s3z�� / � -L ;..� � �� y ' t i t �.i 7 � � "'�T� i F inail �ui: i � � a ii� ��s� I � ` � � Toll Free Courthouse/General Informahon 1 877-699-4110 I � ".- I,��\�� Holding Tank Approval Checklist I. Sanitary Cover Sheet Date Stamp ��° / �2 / �-� Parcel 1D# c� 4 Y- 8 3 � - / o _ � y b� II. Plot Plan �Property Lines �Benchinark BM ♦ �Site Address� North Arrow �Structure � Scale 7 �Well <25' to Service Road �Legal Description �Nearest Road Intersection �Setbacks to: Property Line, Well, Structure, Water bodies, Roads III. Required Plans �Index Page with Original Si�nature � Management Plan/Contingency Plan � Servicing Contract �j Holding Tank Agreement form IV. Holding Tank Specifications �J Cross-section—Manufacture, Gallons: w��"�� 3i�� Tank Anchor Calculations [SPS 383.43 8) g)] Locking device, chains/locks �j Alarm and Electrical per NEC 300, SPS 316 & 383.43 (9) (e) and State Statutes 101.862(2)and 101.862(3) X 3" Bedding Material < 1/2 " V. Holding Tank Plans per Component POWTS Manual �Version�SBD-10855-P (R.3/07)„, 2.\ Owner: ��ef—��tn�{j^— Plumber: �� \e Application Review Date: 66�2.3/�� POWTS Reviewer: ��,;,, � , �� rr��„� �,°t �l� �;��s�� Revised 4/11/2013 PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet Compo ent Manual Design References: Version�,SBD-10855-P(N.03/07;R 01/12),, . Pg 1 of 4 ��` Index&Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report 8 Site Map(if applicable) Holdin Tank Pum in Contract if a licable) Holdin Tank A reement if a licable Project Name/Description Owner Name(s):`.(�/L,�3t�IC� ��Ji?Lz -�i`tti'�C-f( Phone:71j -�,5/ - Z��v� Owner Address: I Zy7(r W f}�.,�r<;iu��rz cT C�4�r�2r9ti�Zip: ��f�Z� Project Address: �S4S (c' CH/+�'� �p�p Gevt�ot:.-.�ar�5 E 1/4 of��1/4,Section (o ,T 38 N-R og E Q or W� Township: CaUP��4� County: �c�/1�,t Project Parcel ID#: - �33� � �� l�fV� 4sw�3> a33 do3 (,b�� Designer Information Designer Name: �/��' �/tZ�7' Phone:�/S -�3�- �S�l DesignerAddress: /dS�i(.� �tl�{n� lE/9r�V�hty Zip: 5��f� E-fl181�: ,.... ,r a;e t._...��ed for;i�+�;rav�f.,i a�r,p. License Number: ��' /!�12 Z Remarks: 3ignature: �f� �� Date:� �z Z —�inal signa e required on eadi submitted copy, I � � � c� � � � � � � �� ; � � � � � � � � � � �' d \ � , � r- ,� N �1 � � �. � � � �� Q � � � � � \ � � � � o � � `'� � � � � j � � � � �' � � � �, � :. � `� � o � � °� � i � � �' � W w � � �, �` Z w , � � � W �`� � � ��. � � �- I � � � � � � � � �� a � o � � -+ �� -�-> ► o �. � S � � � 'o �1' `zi 9- ' �� O ''N � � d J � - --�' i �� / �/\�. I 7, �o� � � �r� +� � J � � � � �� . ��h I � �� Q� Q �� X '� I � �5 O ` ��c.. ) C�!� (�j� 7�C-�/��fi-rV�� PAGE 3 OF 4 HOLDING TANK SPECIFICATIONS (No Scale) Weatherproo! 12"Min.w 2.0 ft above Junctbn and qPp�� EatabGshad Flood Elevatlon Alarm Box Vent Cap (�� ElecMcel must comply with 1 Approved Locking Menhde SPS 318 and NEC 300 4"0 Van[Plpe 1 wlth Waming Label Atterhed Condult >70 tt from (typ��) 4"Mln.ar 2.0 ft above Building � Established Flood ElevaBon (rya��ap � �NNghtSeal Finished Grade 18'Min. (�YPicalJ a ti. ' IMet Inletlnveq APPmvad Jainb wBh � WaP'9ght Approved Plpe 3 ft onro � Maz.72°or 90°h of[otal wlume Solid Gmund � ff��n ona tank a Alertn-0n HOLDING TAN VOLUME_ �U�� gal a 3'Approved Bedtling Meterial Beneeth 7ank SJ. �l_L-z7z2� /U� -"f I.Y711� ,�C.r��'�l TANK MANUFACTURER:_�,()/�C�— Anchor tank as necessary pursuant to SPS 383.43(8)(g) Ballast Weight=[(cu:ft.tank.vol x 62.4 Ibs/cu.ft)-Ibs.�nk.wt)x 1.5 Ballast Weight=[( cu.ft.x 62.4 Ibs/cu.ft)- Ibsj x 1.5= Ibs C�� C � � �`�� C� ��'G�=� PAGE 4 OF 4 Hoiding Tank Management Plan IMPORTANT: The owner of this holding tank(s)shall be responsible for its perpetual operation and maintenance pursuant to requirements of SPS 382384,Wisc.Admin. Code. Pursuant to SPS 383.SF(2),�lJisa Admin. Code, this Molding Eank(s)' shall be considered a human heatth hazard if not maintained in accordance with this approved management plan. Furthermore, all inspection and maintenance activities shall be performed by a registersd POVYfS Maintainer in accordance with SPS 383.52(3),Wisc. Admin. Code. Estimated Daily Wastewater Fiow= •�C� gpd Inseection Checklist INSPECT EVERY 3 YEARS o type Qf use o age of system o nuisance fac[ors(i.e. odors, user complaints, etc.) o mechanical malfunction (i.e., pumps, valves, switches,floats, etc.) o material fatigue (i.e., leaks, breaks, cortosion, etc.) o neglect or improper use(i.e.,exceeding design capacities, prohibited activities, etc.) o electrical components(i.e.,wiring, connecGons, switches, controls, timers, alarms, etc.) o surtace discharge of effluent or sewage back-up into structure served SERVICING FREQUENCY o The tank(s) shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wisc. Stats. when the wastewater in the tank(s) reaches a level ot one foot below the inlet invert of the tank(s). Disposal of contents shall be pursuant to NR 113,Wisc. Admin. Code. Tank pumping reports shall be submitted to the proper Ioca1 government unit in accordance wkh SPS 383.55 Wis. Admin. Code. Report any component failure or malfuncGon to: Name of(ndividual or company:]�,�C��f�GSJ SfJ i"l7�'t`� Phone: 7(� L�� Z �`-1�{ Local government unit S��-r�6y� (:" ��,c,,k. Phone:_7� � -�j�f' �z�'�' _ Local government unit address ✓��/Irn, S�Ic'L�`% ��y'(,��lr Z�j �i ��— ZIP: _`��!�-F� 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 physicaf restoration of the POWTS may be used unless approved by the department in accordance with SPS 384,Wisc.Admin. Code. Continaencv Plan In the event that any failed component of this holding tank(s)ca�not be repaired, it shall be replaced pursuant to a plan submiKad to the eppropriate agecy for review and epproval. Svstem Abandonment If use of this tank(s) is discontinued, it shall be abandoned in accordance with SPS 383.33,Wisc. Admin. Code. HOLDING TANK SERVICING CONTRACT Contract Date: 1 / � / 2Z This contract is madc bcrivicen thc Holding Tank Owncr and thc Pumper. f lolding Tank Owner's Name: Pumper's Name: CC ;� ��k� NorthwestSanitary, Inc. PO BOX 155 Radisson, WI 54867 Parcel ldentification Number: (12 Digit Legacy ID) 6 O � - � 3 � - � � - f � � � 1 . The owner agrces to file a copy of this contract with tl�e governmental unit, Sawyer County, which has acccpted and recorded with the Office of thc Re�;istcr of I)eeds, the Maintenancc Agreemcnt ior a Holdirlg Tank required �jnder t;7e Sawyer County Prvate Se�vage System Ordinancc for the issuancc of a Sanitary Pcrmit for the installation of a holding tank(s). 2. The owncr agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the puinper to have access and to enter upon the property for the purposc of servicing the holding tank(s). The owner �grees to maintain the all-wcathcr access road or drive so that the pumper can servicc the holding tanl<(s) with the pumping equipment. The owner further agrees to pay tl�e p�unper for a chargcs i►lcurred in servicing the holding tank(s) as mutually agrccd upon by thc owner and pumper. 3. The pumper agrees to submit to tl�e Governmental Unit, Sawyer County, a report for the scrvicing of thc holding tank(s) as requircd under SPS 383.55, Wisconsin Administrative Code and the Sawyer Coui�ty Private Sewage System Ordinance. The pumper fw�ther agrees to include the followin� in the report: a. The name and address of thc person responsiblc for servicing the holding tank; b. The name of the owner of the holding tank; c. The site address of the holding tank; d. Thc date the l�olding tank was serviced; e. Thc voluincs in gallons of thc contents pumpcd frorn thc holding tank for each scrvicing; £ The disposal sites to which the contents from tl�e holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In t' ' h' ,- r c+ �. n�,r �c. -. F:1„ � rn..�r f '.1 .1 ci tn �c `L11C P.V:,'it Oi a l;}iuilb2 lli ti�1S C'�3::t.3Ct, .}]�, O.✓ .., 3�if.' .> �l, i:.�, �. .,�.},y C. c.!1) C�1c7I?�E'S t . service contract or a copy of a new service contract witi� Sawycr Coui�ty within ten ( 10) business days from the datc of change to this scrvicc contract. �wT1CC'S Na C: (PI'lnt� �wI1C1''S SibnahlCC: (Oniv one o�vner signature required) � C � C �1��.� L�l<�-2��I �� _ Pumper's Name: (Print) Pu pci�'s Signature: Ronald L Vieceli, owner Northwest Sanitary,inc �'- C• Pumper's Registration Number: #2389 Rev. 03/26/I 3 SAWYER COUNTY CEftTIFIED SURVEY MAP IACATED IN PART OF THE SOUTHBASf QUART6R OF THE NORTHEAST QUARTER, OF SBC7'ION 30, TONN9HIP 38 NORTN, RANGE B WESf, IN THS TOWN OF COUDERAY, SAWYSR COUNTY, W!$CONSIN. � � NORTNBAST CORNBR �' S6Cf0-38-8 �;R fOVND 9.ZS' ALUX. MON. � �ma I �� D66D � � LOC. !l_.2Sf640 � ��!� t�918'53'E 450.28' I � �� I � ' � I t I � n !AT ! N � � 8 ^ 148,479 SQ Ff. " I '^ ��a M 3.98 ACRfiS 'm ° i� � �Q DBSD �m n �� DOG Na fB8770 I � , DdSD � � � � DDC. NaI92682 � SB9K8'02'W 45022' 6e,oY � p in N o� L o � � i a in LOT 2 m`._ a a 1 � � 87,533 SQ. FT, o �a° � � � �i 7� 1.65 ACRES m _i� I I c � 589'28'02�1! 450.22' I y �� h �` � ��qsr , � „ Lor s � i 0 82.391 SQ. Ff, o ^i 6 � I in 1.89 ACRES u� n � --- 589'28'02'N 450.[2--- • � �-- I sses•ze'oz'w a � G _s�aza'o� _� � 3�^28'021Y 450.Y1 �nµnm w�a� s3o.st• /'" � 4320.52 � -----'-_ � � - —"--'-- -589'26'02'W 5201.15'- -� FSST )/� CORN6R !0.S R CHAFBR ROAD aAST f/4 CORNdR ss��o-se-e ---------- sa�.�asa-a PoUND 3.Eb" AWX. MON. FWNO SURVEY IfARK6R � WN8 TABLE NAIL N/TH A 1" TOP. L7= N00'S9'26"E 33.01' l2= S00'S9'26"W 33.01' JOB � 03921 Prepared by. ' LEGEND Jesse 3uzan Land 3urveying LI.0 0 P LS.S. Comer Monument Phone No. (715) 634-0774 0' 125' 250' of Recwd 09 noted. 13731W SJostrom Circb � Set 75" x 18� Iron Rod Hoyrrord, N1 54843 wt. 1.50 Iba. per foot. Sheet 7 of 2 Sheets SCALE IN FEEf 1' = 125' O Calculated Position .....v„ - USE BLACK INK ONLY - II IIIII�II, IIIIII II) II I III 8 0 6 0 3 4 5 POWTS MAINTENANCE AGREEMENT Tx :4038879 For Holding Tanks 439830 Qyaner's Name(s) as shown on deed: I PAULA CHISSER t C�L �db�� i�,L�'�e�/ � `` �Qy�e Lan`�� REGISTER OF DEEDS SAWYER C011NTY, WI 06/23/2022 0$:44 AM Parcel Identification Number: I RECORDING FEE 30.00 (12 Digit Legacy ID) � �� - � � � - ( O - � 'l � � PAGES: 2 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 As an inducement to the County of Sawyer to issue a sanitary permit for a holding tank on the above-described property, the owner is responsible for the operation and maintenance of the holding tank, locking device, alarm and access, and agrees to conform to all applicable requirements of SPS 383, Wis. Adm. Code relating to holding tank management, including the following: 1 . The owner agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, except as provided by Section 281 .48 (3) (d), Stats., to have the holding tank properly serviced and to file a copy of the service contract with the governmental unit. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract. 2. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit pumping reports to the governmental unit in accordance with SPS 383.55, Wis. Adm. Code, for the servicing of the holding tank. In the case of exemption under Section 281 .48 (3) (d), Stats., the owner shall submit the report to the governmental unit. The governmental unit may enter upon the property to investigate the condition of the holding tank when pumping reports may indicate the holding tank is not being properly maintained. 3. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit to prevent or abate a human health hazard as described in Section. 254.59, Stats., the governmental unit may enter upon the property and service, or cause the tank to be serviced. Pursuant to Section 145.20(4) Wis. Stats., a governmental unit may assess the owner of a private sewage system for costs related to the pumping of a septic or holding tank. The charges will be assessed as prescribed by Section 66.0703, stats. The owner agrees to pay all charges and cost incurred by the governmental unit for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. 4. This agreement will remain in effect only until the governmental unit responsible for the regulation of private sewage systems certifies that either a soil absorption system that complies with SPS 383, Wis. Adm. Code, or a municipal sewer serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 5. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit the agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which will permit the existence of the agreement to be determined by reference to the property where the holding tank is installed. - Only one owner signature required - ACKNOWLEDGMENT Owner's Signature: .-• _� _ State of: `.�.) �t � o n s; rl �.-�2-�- � ..�._. - --- — ---County of: SG i..� u �P r' Owner's Name (Print): � --� �� " ' � � ;,f Subscr�ed and swom to before me on this � `� . �,T � ; ,_ t ,r b _ dayof "Su ►ne , 20 e��- Date: � � _ By (Owner's Name): rr'rf� Qw � r 2 Notary Public Signature: �� Drafted by: \ Public Notary Name (Print): {,�sk /�Cr}�n ED �Q.c'�, �(�,�, ,��— �r� � ✓_' �r My commission expires on: �- 6 d a � r iVotarial Officer by Wis. Stats. , , .,; '� ' 140.10 (1) (f) and (2) County Clerk Personal information you provide may be used for secondary purposes [Privacy Law, § 15.04 (I) (m)] Rev. 03/26/13 Lot Two (2) of Certified Survey Map No. 8603 as recorded in Volume 37 of Certified Survey Map, page 233 as Doc. No. 436293 located in part of the Southeast Quarter of the Northeast Quarter (SE'/4NE'/4) of Section Ten (90), Township Thirty-eight (38) North, Range Eight (8) West, in the Town of Couderay, Sawyer County, Wisconsin. � Y �' ..f�s hb 3..6ii £ _.:Y w�C* 4 7. Ps i'x�i"f}xY ,.n.i.�fjy� '.r y , �. �,�... .'., �� t a d 'H A� F r i"' � + x�i � � �4 . M � m �*�. �` ,` a f LL , � . �,� , � �b z ,� J"t ! � � „�'' , � � ''�� 4r+ k..k r . � y,�ir'� i �:r°�� + ' , „+ ;S A CA^ a, �t,' � ."tatz �'�' - �,r C:�� ° l�,�.3�1. " �� ry,:, ^ ")'3 �� t W � r +l TL{�5�� i" �y �Zd'�' £ � `. }f � �i� � � � ��,'� t� 3 *� �'� k� s� � � Yf."'S t � � �.', �`' :'. Y i � ✓ � � . ..E'htl .� �'6a,.,.,�{ ��i +�- � T31R��t� ♦ .�.,. 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'' r�✓� : ,�& k� . �i� � t,rl # ��n��67f. o t �� : . r f �- � ��C"�}y�"t '� ��{i: t �i ^"� � �:� �`��r" �' '"� f h'�=t ,+w,�} � �.-i r��' � k. .a� � ie . � . l�-� > { �N�:''� �' �Y� + ' � > . j '�s' '�- :�•.� is-� �, `Y.r.. ; �'#t:�l'tj'..,'C � � .: y . st 9 �: t ,. _ � 4 � r ', } '.. qy,r� �y� .. ♦ 1!- .i� � � hJ ,,,�J e ,.�.�. :3•� : � 'ss: .a .1 ! 3�"r Y F` b`}� h - Y � _ . v 4 d '�� ti � . .�! 3� ffi. y } IA.�E ,, ' � � � Y=�a �`:: 6123/22,820 AM Real Property Listing Page Real Estate Sawyer County Property Listing PropertyStatus: Current Today's Date: 6/23/2022 Created On: 1/10/2022 3:27:39 PM �Description Updated: 1/10/2022 � Ownership Updated: 3/25/2022 Tax ID: 44349 ERIC R BUTLER SUPERIOR WI PIN: 57-004-2-38-OB-10-1 04-000-000050 KALI P LANGER SUPERIOR WI Legacy PIN: 004838101405 Map ID: Billing Address: Mailing Address: Municipality: (004)TOWN OF COUDERAY ERIC R BUTLER ERIC R BUTLER STR: S10 T36N ROSW 418 FISHER AVE 418 FISHER AVE Destriptian: PRT SENE LOT 2 CSM 37/233 #8603 SUPERIOR WI 54680 SUPERIOR WI 54880 Recorded Acres: 1.550 m Calculated Acres: 0.000 r Site Address * indicates Private Road Lottery Claims: 0 N/A First Dollar: No Zoning: (RR2) Residential/Recreational Two CJ property Assessment Updated: 4/8/2022 ESN: 454 2022 Assessment Detail Code Acres Land Imp. � Tax Districts Updated: 1/10/2022 Gl-RESIDENTIAL 1.550 6,900 0 1 � � State of Wisconsin 57 Sawyer County 2-Year Comparison 2021 2022 Change 004 Town of Couderay Land: 0 6,400 100.0% 576615 Winter School District Improved: 0 0 0.0°/a 001700 Technical College Total: 0 6,400 100.0% .� Recorded Documents Updated: 3/25/2022 QUIT CLAIM DEED �Property History Date Recorded: 3/22/2022 438243 Parent Properties Tax ID CERTIFIED SURVEY MAP 57-004-2-38-08-10-1 04-000-000030 4668 Date Recorded: 12/3/2021 436293 COVENANTS Date Recorded: 11/19/2019 421181 EASEMENTAGREEMENT Date Recorded: 3/26/2011 371917 MEMORANDUM OFAGREEMENT Date Recorded: 2/22/2010 365320 DECLARATION OFEASEMENT Date Recorded: 5/28/2009 360578 WARRANTY DEED Date Remrded: 8/13/1985 196770 MAP OF SURVEY Date Recorded: 10368-3 HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels �Tax ID: 4668 Pin: 57-004-2-38-08-10-1 04-000-000030 Leg.Pin: 004838101403 Map ID: .43 44349 This Parcel Parents Children h[Ips:Utassawyercountygov.orglsystem/irames.asp?uname=Eric+W ellauer �� '��' '`� PRIVATE ONSITE WASTE TREATMENT �ounty o$ ��'�� SYSTEMS �J�� P��1 ( POWTS) Sawyer '�''�s"'=`=' INSPECTION REPORT sanitary Permit rvo: Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION a-� ^ (�c.( Personal infonnation you provide may be used for secondary purposes[Privacy Law,s. 15.04(1)(m)] Permit Holder's Name: ❑City ❑ Viilage (�Town of: State Plan Transaction ID#: Ecic. Ko�1- D�.��' LW�i 'Pw �H Co�,�`�"� ^ Insp BM Elev: B Description: Parcel Tax No: (,°�•o � '� �`� ��-'" �`� �`f- �g—��^I�fOS TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV Septic Benchmark �pp.o' Dosing Aeration Bldg.Sewer 97�-� Holding �n,,�e.S+2r' �ppp L� St/Ht Inlet �(�,$�` TANK SETBACK INFORMATION St I Ht Outlet Q6.83� TANK TO PIL WELL BLDG vENr ro ROAD Dt Inlet AIR INTAKE Septic NA Dt Bottom Dosing NA Installation Contour Aeration NA Header!Man. Holding 3,�5� tiJ �- �� +�.�� ZS Dist. Pipe PUMP/SIPHON INFORMATION Infiltrative Su rface Manufacturer Demand Final Grade Motlei Number GPM TDH Lift Friction Loss Sys Head TDH Ft Forcemain L Dia Dist.To Well DISPERSAL CELL INFORMATION DIMENSIONS W L #of Cells Type of System Distribution Media Manufacturer: SETBACK OHWM of Nav ° Conv ❑ Aggregate INFORMATION P�L Bldg Well Waters °� GP o Chamber Model Number: ❑ EZFIow CELL TO ❑ Mound o Other - - _ _ - - - ----- DISTRIBUTION SYSTEM X Pressure Systems Only Header I Manifold Distribution Pipe(s) X Hole Size X Hole Observation Pipes Length _ Dia Length Dia Spac _�_ Spacing ❑Yes ❑ No � SOIL COVER -- - -- Depth Over l Depth Over Depth of -_-� Seeded/Sodded Mulched � Cell Center � Cell Edges Topsoil ❑Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code tliscrepancies, persons present,etc.) ��,5�1(� ��I aS�a.2 � �;s Plan revision required?�Yes ❑ No ��a �$ �� / � 6��(� � �� I w Use other sitle for additional information Date POWTS Inspector's Signature Certification Number SBD-6710(R.3/01) A�OITI�NAL COMMENTS ANO SKETCH SANITAAY PEAMIT NUMBEA; �-2--ia Y � ; � _ __ _, .._ _�- •- +-- --�- _._ - __ -- - _.. _.. _ __ -;.. __ .,_--- - --�-- t _ . : _. ;_ .. � � _� _.� , -- -_ ., ._, ; . : � . ; : , , � � o�� , , ' : ._ � _. __: .. _: _ ; , � .. . ; . ,._-- + -.__ +.. � ! - --i -- -_- ,, � ' , � . , � � ' t _ i . . _...._ __. � . . _r..._ , .__,. . __ � -- . ' 3' 3 ��, �8' $"'' . . . �i .--� �' ��' ��1 . : : � / po�� ;� , .��5� �(L w �oc� L� � D�� r � ��,��P7 �� q�� lPd---