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Home My WebLink About010-941-26-3103-LUP-2004-511 - Application for Land Use Permit(*Shoreland*) o 0 County of Sawyer � � PO Box 676 -Hayward WI 54843 715/634-8288 *Property that is located within 300'of a creek,river or stream or within 1000'of a flowage,lake or pond or has any of the above waterbodies located within � � the property's boundaries. CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. � PRINT—USE BLACK INK OR PENCIL ,�,�,vEL��o ec�zr.�-��i�,c-�so� " �-�f�l,h'1� � � � Owner Buiider ' a ;s�3;z w e�;��=W� r,e. N� ,.,,, o� Mailing Address Mailing Address a O _ _�-�.9- Gi�/�'/2/�� I �SyB�/3 � City,State,Zip City,State,Zip �7js�- a -��22 y Daytime Phone � Daytime Phone r F Additional Information: ` Zone District: �: �( c4,` ��' S p�<<,G.-�� Lot Dimensions: r Date lot was created: Acres: G •a 5 0� Is there wetland near the proposed structure?If yes,how faz o � Building Land Use Floodplain:O Yes O No � �New O Filling Chippewa Flowage:O Yes (� No rn O Addition O Dredging Driveway access off of a(Check one): � ( )Alteration ( )Grading ( )Private Rd �Town Rd. � ( )Moving On ( ) ( )County Hwy ( )State Hwy °Q � ) � ) � o a N � � r" Primary Structure Accessory Building Addition o 0 ( )Dwelling (ki Garage-attached/detached ( )Deck � O Year round O#of caz stalls O Porch v, ( )Seasonal ( )Storage Building ( )Enclosed = Fj(,�Frame built on site O Screenhouse O Living room �, � �1 Modulaz/manufaetured ( )Greenhouse ( )Kitchen � � ( )Mobile/manufactured ( )Other ( )Bedroom � ( )Other primary structure ( ) ( )Relocate/enlarge � � ( � ( )#of new � tn �D � AdditionalInformation: "< < � � � � Type of Construction: ,r W �1 (�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete � 0 I� ( )Other � �" Construction Cost:Primazy Structure$ ,..� � Accessory Building:$ �Dvl�.`�'� Addition:$ � ..� � Deed:Vol Z 88 Pg 8 J? Certified Soil Test# � z ci�a � CSM:Vol Pg Lot# Sanitary Permit# �1L -Ff3(o � Plat Envelope Or: � -� Condo Vol Pg Yeaz Installed: N � � "Loads and Flows": Vol Pg Owner When Installed: � �� Previous office approvals/actions: ��w Variance:# O -��P LUP:# �J(o- �1,�i9 SP:# CUP:# � a1131`y Inspection Report:#� Change of Zone District: � I a 8 3"� . ` `� Describe the construction using these columns. List the dimensions of each structure in a separatt \ column. List each story, each addition, each alteration in a separate column. #1. ��,�._�e-- #2. #3. #4. Size /� ��ft. wide ft. wide ft. wide ft. wide :G�/ ft. long ft. long ft. long 8. long Floor area �� sq. fr. sq. ft. sq. fr. sq. ft. Hgt from grade to peak fr. hgt. fr. hgt. ft. hgt. Stories stories stories stories # of bedrooms Lake/Pond/Flowa e/River/Stream ame � I t x �w 1 l � � � �� i � , �6 � y �^� i � � `� j � , �� .� �� , �� , � , � � , ' , '< 2 �; � � �� ;'� �'� Fire Number and Name of Road � 5.3�� - �-�n,�.1PU(.�.'`�- T72 " 1. Enter lot dimensions and indicate north by arrow. S' aturea ��wn� "e�r-or�!t�nzed Agent: 2. Indicate the location and size of the requested construction LcvsuY��c}�'�c-Sf6`r�v1.l°�-`-- Sign re activities. Print Name.�.o�'t c � �o b e;�T'a 7� Mt�•� 3. Also, indicate the location and distance to the well, The above certifes thal ihe listed infortnation and intentions are We and corred.,thal all work shall be peRortned in compliance Sept1C tank and d7ainfleld, wetland azeas, lot Ilnes, wim the requirements ot the Sawyer Counry Zoning orclinance and the laws and regulations of ihe Shate of Wiswnsiq and if centerline of the road and waterbodies. acen9 as ow�er�5�a9ent nas cne��5s�on or me ow�e��s�to peAorm ihe work requested on Ihis application. The above personsls hereby give permission for access to the property(or onsite inspedion. . �� Permit fee: $ � % • Total Ianu area:-T.th:n 300' of:he�vatPrhody� (A) \0�� Total impervious surface azea [including this project] (B) \� �' 15(ob (B) / (A) x 100 =%Used �� `�'�S�iall not exceed 15%[or 25% with a conditional use permit].) Shoreline Vegetation Protection Area: Mitigation Required? ((�C Yes O No �QgtpmhPr 1 5 r �(1(14 � Issue Date Signature of Iss ng gent September 15, 2005 50% Rule: Average Road Setback: Expiration Date Office Comments: � ��q p� �r vYte. �rN4� � Sawyer County Zoning Administration �-. �� Inspection Report � � ., Owner(s) Lionel and Roberta Johnson 934-2122 � x Address 15312 W Chiopewa Trail Havward WI 54843 czi� O AgenUPurchaser Z r Address � o' � � Bldr/Plber/CST � „ � Address °' �y 0 � Inspection � Private ❑ Public Violation ❑ Zoning ❑ Sanitation � � ❑ Dwelling ❑ Mobile Home ❑ Commercial � Garage ❑ Addition � � Setbaek-Lake � Setback-Road � Setback-Lot Line ❑ Soils Verification � ❑ °' C� ,� O QCD Vo1288 pg 83 R-1 Acres:0.250 � � �o�: v,4:R�A� ��--�cc� 4�ac�<'�c Tr�,c��c s k. M Dw�2� t,cwt lt '�c 0.��iat` �i2 V�i�s ��Vc� x (,va�'"'�t �ca %��/¢2T,knP�T—O,� �3v�M�Kc�, ,�, � ' �/�1�� H�Y LJ 'p ---�—� �_ ,` � � � 0 � a r �O. � � � . ,� � � q� � ` o 0 � A � � � N � � b'ktsti nc� -ro�4 � `� l�c.c�Eu.i�tL ►�i� �p,oposa.� � � io5a (�p,p,146C I � � w, � y�e 4�'-m� � � � � �'` � To�� , � � � � .� Q-p' `i b � (ob• � z � CEu��.u�— c�t,oPrav�t -��L. W � �� Discussed with Mr.and Mrs.Johnson � �� Date&Time June 25,2 04 9:00 .M. Signature ofInspector 1 `" 1 � ' • ' �----_ ; 1�--�� , . , l� " ; ---� . � ; .� ; � . � � -- �, � - , � , ,_� , l,%� �, .�.. �-- I � :_, 7 _ � , � -- '� �� (� )Sf?'��'� � `,t., -. / `. / /�/ �--�._ �- � � '� /�� .T-' �� ;� f?/(1�^ (��-°� � - / + � t �� °�f,i` 1 / \�,� 1� r` � - � `�..�'' ,. � � i G- _ �- � _ � � , >�, �'_� . , _ _z. -. , � - � -� � . �� 1 , , �, _ _ , . J .. � +��„�� _.� •�'��'.'1�� ._. )1 / 1�. � �. I ' . .. . . . : i�-. i�. .,��i`' .. . �. �� "- .�- ..., - ', �� i--� „ � , . ,L.�L-= �--�� .,te:, - �. ` . . � , , . �__ ! � . . _ �__ ___- -_ ___ . ---- ----____�___ -I , :,, .,' - . . . _._ ' _. . ( `; � I _ _ .. � � ' \ ,_ � ;� � �, i -�._._---- __ _ - - � I (�- � 2 `Se-7�f3,9�-�� f� ` I � �� /� - ._ __ — � _-- _„ ��__�- � , � . Z � �� , -` .' -. ,; . - � � �- -� ' 1 / � x � � ,! ', _,�-- � r � �� I ; '�;� � � � ��,, �. � ; � , _��,, h ; �:� ; -_ , � . ____ ._---j�-� -�----_._ ___ _ _-_ � ��- ;. ��F� _ � �� `� � � ; ;;� _ :--- 9 _ ' � � �! -�. � �- ,_ .z __ ,L._�_ , � � � _- _ �� r ' � Z .. . _ � _ . � `� � � , , __ __ � . �� ,� �._ .=. ,� C��7 �� i / ' ; � �. r, -� .L*-�-. `J f� ��-�� J -� __ _ _-_-� �t _ _��_ � ��7 � /� V� �� - � i � � �; ' �,'� � Safety and Buildings commerce.Wl. OV 10541N RANCH ROAD � , g HAYWARD WI 54843 ; � TDD #: (608) 264-8777 . isco n s i n �,.�ommercestate.wi.us/sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor • Cory L. Nettles, Secretary July 12, 2004 - CUST ID No.968328 ATTN.• POWTS Inspector ZONING ADMII�IISTRATION LIONEL G JOHNSON SAWYER COUNTY SPIA 15312N CHIPPEWA TRAIL PO BOX 668 HAYWARD WI 54843 HAYWARD WI 54843-0668 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: Identificarion Ntunbers Transaction ID No. 1017494 SITE: Site ID No. 686088 Lionel Johnson ' Please refer to both ident�cation numbers, 15312N Chippewa Trail above,`in all correspondence with the agency, Town of Hayward, 54843 Sawyer County NE1/4, SWl/4, S26, T41N, R9W FOR: PETITION FOR VARIANCE TO COMM 83.43(8)(i) Your Petition for Variance of the code section(s) noted above has been reviewed. Departmental Acrion: CONDITIONAL APPROVAL The code section peritioned requires POWTS treatment, holding and dispersal components shall be located as to provide the minimum horizontal setback distances as outlined in Table 83.43-1 as safety factors for public health, waters of the state and structures in the event of component failure. Table 83.43-1 requires an exterior subsurface treahnent tank or holding tank to be a minimum of 5' from any building. The variance requested is to allow the construction of detached garage that will have a 2' setback from the existing holding tank. The intent of the code section petitioned is to protect the structure in the event of component failure. The petitioner submitted a notarized SB-9890 application form including additional page(s) of supporting documents and/or plans. Reviewer's Comments: • In reviewing the perition, it was noted that the request is similar to other petitions accepted by this department. • Based on the precedent established by the previous petitions, this petition for variance is being processed as pernutted by Wisconsin Statute s. 101.02(6)(g), and Comm 3. • This approval does not cover approval for the holding tank.. All of the petitioner's statements included on the variance application form, any other documents submitted to the Deparhnent, and all conditions of approval, if any, listed below shall be carried out. This variance is specific to the subject petition and cannot be used for any additional modifications. LIONEL G JOHNSON Page 2 7/12/04 Conditions of ApprovaL• � • Care must be taken not to disturb the holding tank during construction. The tank shall be marked with some sort of barrier to prevent traffic damage. • The slab shall be made waterproof and shall be of steel reinforced construcrion to prevent cracking in the event the holding tank would collapse and cause the soils shift. A copy of the approved plans,specifications and this letter shall be on-site during construcrion and open to inspection by authorized representatives of the Department,which may include local inspectors.If plan index sheets were submitted in lieu of additional full plan sets,a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department.All pernuts required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety&Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries conce ing this cofrespondence may be made to me at the telephone number listed below,or at the address on this letterhea ` Sin y, Fee Required$ 225.00 f,-'` Fee Received$ 225.00 `, ,�f Balance Due $ 0.00 � ------ ' Patricia L Shandorf POWTS Plan Reviewe'r,_Iute ated Services WiSMART code 7_633 (715)634-7810, Fax: (715)634-5150,M-f 7:45 am-4:30 pm z k � � J pshandorf@commerce.state.wi.us cc: Carl J Lippert,Wastewater Specialist,(715)634-3484 SHORELAND PRESERVATION AGREEMENT (Non-Intact Shoreline Ve�etation Protection Area) ' Land Use Permit No. _ ��/—J/� (To be entered by the Zoning Office) Index No. �-`� WHEREAS, (list all owners) �- �/DivE.L� �f��uS'p ��. and Roberta Johnson � �S-' owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WHEREAS, in order to secure a Land Use Permit. � NOW, THEREFORE, the owner(s) hereby certifies that, as a condition of issue of said Land Use Permit, that Zl the SHORELINE VEGETATION PROTECTION AREA on said real estate shall be restored in accordance � with the Mitigation Plan and Implementation Schedule approved by the Sawyer County Zoning Department. � � The owner s hereb a rees that at a11 times in the future the real estate sub ect to this A eement shall com 1 O � ) Y g , .1 �' PY � with a11 shoreland vegetative buffer requirements of the Sawyer County Zoning Ordinance in effect on the da.te that the Land Use Permit is issued by the Zoning Office. The owner(s) further agrees to allow authorized C representatives of the Govemmental Unit to enter onto the owner's property at the following description to � u�spect the structure(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE � VEGETATION PROTECTION AREA exists and that it is being preserved. Violation of this Agreement will authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, V, injunctive relief, restoration of said real estate, the revocation of said Land Use Permit and the removal of all � � structures approved by the issue of said Land Use Pernut and the revocation of any other uses approved by the issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County � Zoning Office. � r D -1 Legal Description of Property:y �� `� �� 6 /� `�f 3 J O _ _part of the NE SW and NW SW Town of Hayward, Sawyer County , WI Dated ' / da.y f , � � � �Z (Owner) � (Owner) (Owner) (Owner) (Owner) This instrument was drafted by: -- - - --— Sawyer County Zoning Office \ ��• �` �--_ ��\ � . . � 0-941 � �� _ -�% . . -26 1204 . �\ 50�;: � :�u .tOAC. � ' 29AC. . .. . . �.��.�.::.y:.:a:m...::..w-,'.,w.._.e ...�ww:... .. . ...,. . ..:�r.w. r.:.y,;:., . :....., ..>. ...,. ... . ,:�Uiu-'�i-t -: r `\ `010-941 7 88�C. � 2 t l l 4 010-941-26 1213 �\ t-26 2114 010-941 � r.�7�C.QC ` J3AC. � .07AC. ' 1.44AC -2(�j Z��4 OIO-941 �_ . 010-947 U -26 2118 010-941-26 1214� -26 2106' 4 .OtAC. `�:1._ - 7S 2 /� .. ) .78AC- I . � � .'p�._'� � H REi. 2.97�C O��_941,26 Z'o3 010-941��t�C -26 210 . � � � i.aiuc. - 070-941_ � oto-9�t .�.rn � i,o7�a ZB 2109� 28�to+ 010-941-26 1205 Q .MC. � �� a o 1.05/�C. 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NO�THER➢EEDS G[vFH AODITIONAL RESEARCM AND/OR 1 � I SURVEY YORK MAY BE REIX1[RE0. 2.)9AC. 0 � Z, 070-941-26 3�02 0 n + �.i1 i�.ouc. 410-94I-26 4310 H p�p-g 26 43 B.tIAC. � Q I -----_._____--- SE—�JW a SW—SW 010-941-26 3403 010- N r'1 2&�2AC. � N I 01 p �1( 0 2fi CITY OF HAYWARD ,.a•��.