Loading...
HomeMy WebLinkAbout010-173-00-1500-LUP-2005-482o o crop CD u �••r '-+ ' r ram+ E o �. CD CD BCD (DCD o � CD II 0 CD 0 A. W cD [ tnt CD ° in a 0 a a a o O. CD OCD `D CDCD �s UQ CD � • Q, O CD 14 O °. En CD O CD n+ CD +. C CD •J � CD 0 o N CD CD 0 a CD 0 C CD CD G CD CD n 0 CD 0 cD 0 9x d Ic 0-0-0 n m —' �.a a,==a5Cm -u = cQ CD d N y 4 'COD 8 (p ry CD (CD y Q + CD CD '� � o CD ��ao�w CD _ EJNCD O c = a m v �-CD�; �o c rt cg m o vID JN CD y y � 0 m-,= �0= 0 D CD8 _" _ a (� -So CD a 3 o � CQ m m S a. y rr v � m m CD o a>>d CDo �; PDo D m .� r Z L • W? I %Nl � oti I I/ ..„I' g ATri L fizr SVVGW y � I I N N� AA J ((I SAWYER COUNTY ZONING ADMINISTRATION Statement of POWTS Capabilities (Private Onsite Waste Treatment System) I (we) John and Judith Gardner understand the POWTS serving the structure located at 11052 N Linden .]toad was designed for the following capabilities: Treatment Tank(s) Approx. 450 _ GPD Soil Absorption Cell(s) Peak 4 S n GPD XXX Average GPD 220 mg/L BOD 150 mg/L TSS 30 mg/L FOG Permit Number g) — 9 07 r Year installed 1987 The POWTS serving this structure is presently sized to accommodate a total of 6 people, in a dwelling containing 3 bedrooms. * Adding 4th Bdrm to 3 bdrm system Return To: Sawyer County Zoning PO Box 676 Hayward WI 54843 WI Dept. of Comm 83.54 outlines the management Tax Parcel Number: requirements for these POWTS and I agree to comply with those maintenance provisions as they apply to this system. 010-173-00-1500 Should my 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 Comm 83. 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. LEGAL SIGNATURES) *Type or print name here: John Gardner and/or Judith Gardner DATED THIS 7 " DAY OF iX4_Z4 4 Zo'-n-�_ , ACKNOWLEDGMENT STATE OF: OJlscon Sr K CO"", rr'�es�cuLt e V Subscribed and sworn to before me by thy.% wi ng -�, on this � day of .�[' �_ � , `(7 � , 20 © S NOTARY PUBLIC • *Type or print name here: 9,_4-k to e � *'�l�JJaJ� CPO •/j MY COMMISSION EXPIRES: • �� `' mL,•' *Names of persons signing in any capacity tIAAA f i gpi0- printed below their signature. THIS INSTRUMENT WAS DRAFTED BY: Sawyer County Zoning Office; PO Box 676, Hayward WI 54843, 7151634-8288 --0')" I ri OF SHFFTS-�'. DATE : E - REVISED: SCALE: DRAWN By: NELSON DESIGN 16015 NURSERY RD. HAYWARD, M. 54843 PHONE: (715) 634-4569 L A K E 038 r f { ,S t ,STrNG 1`oI. ti 4i t , T�1 l ✓ � v' e ,e iy... iv ' D AL Y /s Z:7 2 995, 701Y 5, F f f I i.; i Yi..J V.r--i �?�.. t.{,�r` ems,•.. j L.f % Ci -A : t ' �-. �. f"� ..•.'`";�...`� /ram '�'tiJt'-'4 �� " x i �r -- t . e� `„ ,}� 1'a tr.,.' ,�'� !+ �'�('�. ��?t `,p r 3 �fw Y';7 1 r+W. r,�' • .-'", - fr 1 �-. � t`� r" i ,0" 0 NCL90N LLFILR[ ! V= NOLm TM R16NT9 OP COPYRt6Fff IN AND TO ` le a 'rna MA ,,*s AND ,e. No R(PROC11 0fA COFYIN6, AL,SiAT 04 N'WfMCATKXL usAe4 MCORPORATWN wo onSt DOCU+�S OR A551& . OF TM SAJ- NAY O=R WTWC Tm PRIOR mTrm P� 'A5N, or f'�ON Ll*mR 4 D'C:516N NEL50N LUMBER d DE51GN : 1]� = NELSON PESIGH-I. 16015.NURSERY RD. HAYWARD, WI. - 54843 'PHONE. (715) 634-4569,