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HomeMy WebLinkAbout010-941-33-4212-PVY-2022-015 1 SAWYER COUNTY ZONING&CONSERVATION ADMINISTRATION � 1 10610 Maia Street,Suite 49 � Hayward,Wisconsin 54843-0676 h (715)634-8288 �j www.sswvercountveov.ore y,� NON—PLUMBING SANITARY PERMIT APPLICATION � In accordance with Chap[er DSPS 391,W is.Adm.Code and 4 Sawyer County Private Sewage System Ordinance � � i APPLICATION INFORMATtON-TYPE OR PRINT PAGE:I of ` Pr.o�pert Owner Name 1 . Pcopcny I.cgal IXscripiion � � ,'�6 l�e.v��1 ►M. '���'�. s�_.T `►1 N.R a � w Propcny Ownci s Mailing Addms Lo�Numbcr Bloef:Number I�` •U. 'dox, 2a2.2 — Ci�,Smre Zip Codc Phonc Numbcr Subdivision Namc m CSM Nu ber }�a ward W� 5`l8`I3 c'+�s�Zos-zc3y ���-a. �� go �-\a � TYPE OF BUILDING:(Check one) State Owned Cicy Nee�Roaa �r�„�a, �.�y�. � ❑Public 8 1 or 2 Family Dwelling-No.of bedrooms� �'��0g` To.m of U� fd Firc Number# g 9 3 i PUBL[C BUILDINC/LAND USE:[Facp�ain�he usc�pu�sc�a�his Parcel Tax Number:(12 digit legacy number) [S pcmii�.(i.e.,ampground,fcs�ivel,reaea�ioNemmeinmem cvem e�cJl �+ 1 �1 c�-�`1 L-��'-'-��1 � TYPE OF PERMIT: TYPE OF NON-PLUMBING DEVICFJ SYSTEM/1'OILETNNIT: ❑Privy•Pit Toilet(CST# ) � �,Non•Plumbing(Privy,Toilet,Restroom,Etc.) �f Privy-Vault Toilet(200 gal, min.capaciry requ'ved) (Vault sizel.�ailons or 3���ubic yards ❑Other: Vault Privy Type:�Concrete❑Steel�Polyethylene�Other � ❑Composting Toilet System ❑Incinerating Toilet Device ` ❑Portable Restroom Unit ❑Other � RESPOIYSIBILITY STATEMENT: I,the undersigned.acsumc rcsponsibility(or the installation of�he non-plumbing sani�ary rys�em for which this pe�mit is issued. 1 further agr�that eny dwelling in conjunc�ion wilh Ihis pertnil will no�be provided with indoor plumbing and/or water hookup. I will use the non-plumbing ryslem � indicaled as u mcans uf�ws�c disposal,end I will carty watm to and from the strucmrc. 1 unders�and thet bcfore indoor plumbing and water hook ups ace installed,the proper S�ele w�d Coonty Permi4s will be applicd for. 1 fu�hcr understend thet any devinlions fwm lhu above will wnstiWte e 2 violntion of Suwyer Coun�y Ordinences and would subjec�mc�o the penelties of Ihe Ordinunas. lly signing lhis applice�ion,f nm also gfazrcing •�� permission lo�hc zoning dcparlment personnel lo rnter my property at eny reasonnbk time for thc purpose of inspeclion to essure compliana wilh �' thc zoning and sanilalion laws relative ro thc issuence of this permit. � Owner'sN c:lPrim)n / ONra'sSi�aure: �- . �l a ��j' �c�� /A J ��� \/ ILJcvY�// OFFICE USE ONLY: �/ Diwpproved Permit Fee: CST No. IM�c Iuued Issuing A�gen�t Sig�nN>u�rc_ � .EYApprovcd ❑OwnvGivcnlnitial �I50.00 l I�3 '�02 �,�c�^^���'. pdvcrse Dctumination COMMENTS: i � k `Expires 2 years from date of issue S I 3 �?._..�..___ . D �, I�9�-1 �� �' `NO REFUNDS AFTER ISSUE OF PERMIT �r�a��-J p S� ��� L� �.k�� �,.�� �( ,, ��� j�/ nQ'�.� SHORELINE PROPERTY:0 YES 0 NO If"Yes,"Name of the body of water: CONDITIONS OF APPROVAWREASONS FOR DISAPPROVAL: .',l, ��, � �rn ;�,�.�-�.I Plwfi��,� e� P���,�-� ��-- �,l�o� � �3�,� � Rev.04/29/16 . � ` NON-PLUMBING SANITARY PERMIT APPLICATION . E F PAGE:2 of 3 ti �+ Privy Plot Pian � � � � � � � � �� �;�'�-� % � � f R � � f Please include t6e following information with distances on t6e above plot plan: � ❑ North Arrow � ❑ Nearest Road � ❑ Site Address � ❑ Structures � o Well o Property Lines ❑ Lake, River and/or Stream A o Wetlands 7� iMinimum Setback Requirements: � � • 10' from any slab conswcted accessory building �� • 25' from any habitable building • 45' from any properry line • 50' from any water supply well /� • 75' from ihe ordinary high water mark of navigable waters T� • 130' from the centerline of state highways or 66' from right-of-way line,whichever is greater i �{�'. Rev.04l29/16 � h i� � NON-PLUMBING S.A1vITARY PERMIT APPLICATION � } A PAGE:� of� i' General Requireroents, Recommendations and Staudards: ► � 1) 7'he 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 should be pmvided with hinged covers. � 6) 'I'he entire installation should be kept clean and sanitary. �, 7) Freshly slaked 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. ]0)Concrete, cement block or metal flashing should extend 6"above the ground and 12" below the �r ground to prevent entrance by insects and vermin. � 1 I)The footprint of any priry structure shali not exceed 40 squaze feet and not be used for storage. � 12)Ma�cimum height of any privy structure 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, etcJ. 15)A certified soil test is required for open pit privies and must Ue filed in the zoning office before � permits will be issued. � 16)A certified soil test is not required for a sealed vault privy. � 17)Sealed vault privies shall have a water tight 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 (fl. A 19)The sealed vault privy should be pumped out when nearly fuil by a licensed septic hauledpumper in i� accordance with ch. NR 113. � 20)According to DSPS 391.12, the storage chamber of a sealed vault privy shall have a minimum � � storage capacity of 200 gallons or one cubic yazd. 1' 21)The storage chamber of a sealed vault privy shall conform with the requirements of DSPS 384.25 relating to holding tanks. � Rev.04/29!16 � � � � �� � � . _ ____ � _ __ ____ __. _ - _ _______. __ __ _ _. ; r _ __ ----- - ; - . _ __.__ __ __ ----- ___ - _ _ _---------- -- ______ ___ 3 . ..—_._—_.._.._.—_—_—___--. .__—""_. i �E . .__.._"""..__ ._._____.._._.___ "__"S_"_""_ . ._.._ ..._�_.._ ........... ..._..... . . . 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Is _• zt'� � :��r �a � 5 y� t� �+�t � �f� ��:re'T �. � e...h v , m ��'#, r +� , I 1 � '�I�: t4,`�� !�, °' .T � . j O 0 �. �,t Q . � , i `�„ 'J C� '�' O 1 C V� � .� �'� .i ' 1� � � �. 7 � g�•� �p � � ! � �y}1r. � � lr,:'�• . }�, '��+ „ -9§� ��. .�"� e y � Y m3 � , 4 1 � I ��a � I1 � f I . 4 - � � i �VI �h i 4 i. � t' � � '� � �'.. � � I . . � .. � . . � C ."� � � . . 1 4� �, '.V . . . • I"�{ �. _ !! �� � 1 ' � � . _ A�' , � � f d a � °-f�l "` /�a . , � y.�d,• r �.. i'' $� �♦ � 4� , 1 i�.r `��.�� � � `{ � •�5,�� �;e +�: � � ��;�; '. ��" f � �� . i "`..�'�r �=z� '��� � , 10/21/22,2:57 PM Novus-Wisconsin Access rev.13.1108 Real EState Sawyer County Property Listing Property Status:Current 7oday's Date:10/ZS/2022 Created On:2/6/2007 7:5523 AM �Description Updated:10/12/2016 �Ownerehip Upda[ed 2/26R021 Tax ID: 13Z96 TROY J BENHAM HAYWARD WI PIN: 57-010-2-41-09-33-4 02-000-000120 Legacy PIN: 010941334212 Billing Address: Mailing Address: Map ID: .14.12 TROY BENHAM TROY BENHAM Muni�ipality: (O10)TOWN OF HAYWARD PO BOx 2022 PO BOX 2022 STR: 533 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843 Description: PRT NWSE LOT 2 CSM 10/80#2124 Recorded Acres: 0.90 �Si[e Address *indicates Private Road Lottery Claims: 0 9893N FAIRWAY DR HAYWARD 54843 First Dollar. Yes Zoning: (R-i)Residential One ESN: 4qq J Property Assessment Updated:11/9/2015 2022 Assessment Detail Code Atres Land Imp. �� Tax Districfs Updated:2/6/2007 G1-RESIDENTIAL 0.570 14,800 12,800 1 State of Wisconsin 57 Sawyer County Z.year Camparison 2021 2022 Change O10 Town of Hayward Land: 14,800 14,800 0.0% 572478 Hayward Communiry School Dis[riR Improved: 12,600 12,800 0.0% 001700 TechnicalCollege TotaL• D,600 D,600 0.0% + Recorded Documentr Upda[ed:6/8/2011 �.i O WARRANTY DEED C�Property History Date Recorded:2/19/2021 430061 N/A �� O RELEASE Date Reco�ded:1/21R020 422169 O QUIT CLAIM DEED Date Remrded:5/17/2011 3R629 O QUIT CLAIM DEED Date Remrded:9/29/2008 356103 0 QUIT CLAIM DEED Date Recorded:9/26/2008 356067 O WARRANTY DEED Date Recorded:6/7/2006 355192 0 CERTIFIED SURVEY MAP Date Recorded:4/D/1984 191048 https://tassawyercountygov.org//Access/master.asp ��� '"Ya.,. .. . 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