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010-941-33-1207-LUP-2022-526
SUBMIT COMiLETED ADPIlCATION AND �Ero: APPLICATION FOR LAND USE PERMIT SavryerCounty SAWYERCOUNTY,WISCONSIN � �� ��� .�� Zoning&Canservsrtton Oepart. "�+ �'•.�r-; rZ•., '.. ��''--;� �_'�_• ` � ��i r'`d.�-t,1.ao�e1�1 � �. . �,. . 10630 Main St Suite 49 �. �"7 , � Hayward,WI54d43 � ►' ' _._.. Chk# 3.�3� � 3��SS . �ns►eaa-szsa , !�,�;i - _ ' ' �'' rt-� Rcpt# 'v�)orld�`-� 3�� �' � permits wiM be issued u�l sH fees are psW.�� "-i �`�� � � ���� �v� . �f� � �j �a � i INSTRU^IqNS:No : Checics art mede psyabk tn:Sawyer[ounty 2o�+ing Department. . ...... � „ \ __._.._ _�—.__. , UO NO'START CONS?pJCTIqH UN71i Alt PERM�TS NAVE�EEN ISSUED TOA4P�lCANT .�� �li.�NJ�{�lCdNOn MUST�12 SUbmitt0L1 F�u our iN iNK (NO PENGL) � i�bn!tYzi�'thiz aophcat�:on or.cceipt rf fees d e no!cnnst tute Dermit 5f ancs. � . .',,i,I -�'. �, . � ��wne/(s)Name: I Conaactoqs)Name !!� �y,(��---� � / V i Ex f/�e.•,.e (,l h i ,n•; � ��!� G'�it v�i � � n�tailingaedress: �-- � , rotaiRngnddresz �- `��/� j.��va� ��)" /4v�.� ).d�.MN_��( _ i � P�: S.u? f 3�- 7 oc 7 � onone: ; �; ^ � I `''�[ �) � '�.� EmaiL____`�/�� (y[ /l� wG � . �..�' Email: � ' ' e y i ti �f� � ' �� l o- j U �� �, s+ee sdarcss: � i � �----__.; o.nate a�d fa.: 1 � L!�_MN��� D l � !�� / K V' �._'; Town of: ���W EF✓`� -; iPormit denvery Method � ;�11 Owne� �Mail Owner c UII Contractor �Mail Contractor ! L__._".""________..__—.�_1_. v ..____—_._ _ I ��' � roperty/Wnd wkhin 300 feet of River,Stream�x�d. � pKtanc¢Structure 1s from Shoreline: ts your vrcpe+iy ' � N�trrr�mene} ��� I Are Wetlands i feet in Floodplain � � Geek or Landward side of Floodplain? !E yes-�-cont�nue r �__ � ZcneT � oresent? , � ` horeland c ves � � is Property/Wnd witfiin 1000 fect of Wke,Pond or Fbwage : DisUnce Strutiure is fiom� �e- ! �� , � �f Y`F�---�onsinuo �( feet � Na � % i � �.-_"`���� �_`---"- . ___� . J _� �' Value at Time of �tt�� p� Total lt ot Project rype Foundation { What Type&Capacity is the Completion Number bedrooms •�r�r,c;;te rrn.,.zt.c (House,garage,shed,deck, ��o�� ! (Basement, � pa;t Sewe►/Sanitary System(s) `,.,y..4,r:,..-.,,::; Addition,etc...) ! Crawlspace, Ustsepa►etely Sldb) � eonsiructi�n S���-7ul ��GI J'� � S I�� � �V� /�D i/1,,� � � oweiu�e 5 Accassay ald� $ Mdkbn/Ahen[ion Height: Total Square Lowest Foota6e � Gradeto Proposed Use � I Proposed Structure ( Dimensions (multiply per � Highest � E story� Veak i Residence �t�� �r� t X ' ���a� Ft. ��� with 2^"story or loft � X � Ft. ( with Basement ( x ' Ft. Attached Garage + X � Residential Use FL• Aaessory Strudure(e,�pia�ni � X � � Ag�ieuftu►ai te�t.dKa e.�+s«,��e:,nw�no�,.e..t�� Ft. Use ( x � Temporery Guest Quarters or Bunkhouse(urcie cype) Ft. = Commercial/ Detk Porch Patio ( �� X �� , �� FL �I� Industrial Use � a X � � (2"�j Deck di atio � � b Ft. � Municipal Use ( X � OthEr�exp�a�n) Ft. � Other ( X ) Pf(�GIP31 StN[LU�!(Agricultural,Commttcial,MUNripai,Etc.l F� i X ) Addition/AlteraUon f«v�i�l Ft. Total habitable square feet: / r� /1 Total Non-habita6le square feet: � G �v�/ (decks,patios,garages,sbeds,storege area&other structures) C}rigiat�!Apgsi°sc��inn Pht1S'�"hn s�tarrtitt�d ; nttach 3 „x�°9 or 5r tz�s y�ur Property or,S.S"x 13"or 8.5"x 14"paper.•Must'teciude location and setback of proposed and ezisting slructures,roads, � ( ; driversay,sanitary compa�ees�,avell,lake,dver,meam,and wetlands. i�:..�:��__,__.._.._ �_�,.._._w.._�____.____._____.___�__._�_..__.� ' � _. �_�._ — ---,—��------------- _..._�, _____. �_..._. .,_ _____ �_ _ _.__,.�,� __.._ � DeuHqNon i Setback � . Desofption � Setbac& 1 i Measwements � , lNeas+uemanis i ._.�.. � � —. . _ ._...,..i.-,.._.� E Setback from tbe Centerline of Platted Road and/or �Peet I J Setback from the Lake(ord:�ary h;g6-water mark) � � Feet ' �_..� �Set6ack from the Established Rtght of-Way 4 �� _Feet���Setback from the Rrver Stream,Creek ���Fe¢t ! j � � i � ; SeYback from the Bluff�taPFs;czb�e Peet � __.. ___.__ --} --__ _..___. __v__.._�� ' Setback from the North�ot Line � ��� Feet ��{ I � ���_��� �:�tback from the South Lot line v j S Feet Setbaek from Weiland ��vJ��—�t � Feei�± r_________.�_.-- -�-� .�{..._..w�__ � � s Setback from the West Lot Line � ,�^f�� Feet � ; Slop�e �wrthln area o(construction/disturbance �� {�� %Stope� � Setback from the East Lot Line A� r �Q Feet��Elevation of Floodpiai� ` � � feet� �Setback to Septic Taok or Holding Tank � � �Peet i� Set6ack to Well � ��- � '� Peet� P Setback to Orain FieW ieet I ��� � �Setback to Pnvy(Portable Compostingj Feet� � � F .� ..:. 1,r t 4Y Z ��- '.. � •,,: <.�t Yi C'.. \ ._, � . .. t�_� n.,......i ..s .e ._,. . .x... � i -• nl �„�y, r e � �t .,.,.f f,:: , ,,u.,_,r_� c �:, < - ., ,,.; .e _ .p� ., � : .-r . ; . . ..: y �-e�Qn �cvr,tt ..� ,,;a��: . , r���•r� .t.�.�?na t *ra G.tt.c,_ �,i.sen t .rh i,.�rr� f i .;: � _..cck i�,� � � -�i ,n;- .._ .,�_� e�• �..c:. .�. ..;_ o,_,.t ,r ., ,�, -, r`c ;^ .. . ... . . ,.... . _ _.� r _., , na:5t• � , ., . . _ _. , , _ __ � � ,�.:' . , ..... ., , .... .,, .�, . . :,:.. .. ' • a .�a ..._.u....,...� E . . . .. . . . . . . . . . . . � L._ ___.....,..._.___�__._ �-._ ._.�-__.. _._..__..,,_...__�,_._.. ... _----._ ._._._._..__.___.r.�. ; Caiculate Impervious wrfates.(Roofed,concrete,paved,and otl+er wrfaces that water caonot penetrate.The Ioniag Office can help you determiee if a i wrface is considered impervious� ' i I - takulate lat area: � i Indicate lot size from CSM or NOVUS�circfe one):�___,__�' �_Acres;MuiSply by 43,560=Lot area: � Square Footage � i CaiwVaie impervious wrfaee area: � ; A , ' Determine the total size,in square feet,of your projects listed above(include eavesj:_���V sq ft. i �Determine the toYal size,in square teet,of ail existing roofed strudures(indude eaves�:�_�� sq k. � Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: �� _sq ft. j j 6 Add these measurements to determine total impervious surfaces:T`��`�_sa ft. � ; � Caiculate impervious tot percerKage i j ` Tota!impervious surface:�_�Lot area:�'�_Sq ft.X 100=impervious surface y•VJ % j � �M�t�gatwn ic required if mtal er.ceeds 159y � "`Notice a separaYe grading permit needs to be obiasned if disturbed area is within khe Shoreland district as indicated an psevious page and meets criteria befow*" ; i � � +� Gradin�on a slope Qreater than 20% � �u � W_ �Grading of more than 1,000 S�Ft.on 12%-20%slopesm � � � j Gradmg of more than 2,000 Sq.ft.on Sbpes iess than 12%��_^•�Graoin�is in excess ot 10,OGO Sq.Ft. ; ; ._.�._��_.�. ; � w� �.� � 1(we)detiarc that thit applicat'wn(indudmg aoy accempanymg in.'ormation)has been exam ned by me(us)znd to the best of my{our)knowledge and belief it is troe,mrrect and � mmplete.�{we)ackrrowiedge that 7(we)am(are)*esponsible for the deta+I and atcuracy of ail information i 1�+'ey am(arei P�oviding and that it wRlt be relied upon by Sawyer � Courrcy ia determEning whether to issue a permit.i(we)further accept lia6ility which may be a resuit et Savryer tounry relying on this information i{we�am(are)D�aviding in or t with tbis epplication,I(wey consent to county o�cials charged with adminutering coun[y ordinances to have access to the above described property at any reaso�abie time for the ? Rur se of ins ection.AtSditioaalt,the undersi ned erspn s hereb +ve ermission for access to the r e for onsite ins eRion b Munici al Otficiais. � Pa P V B P () Y H P F QP rtY P Y P i 1 ! j Owner e� Ov�mer / /�../// � �� � Signature _..f���Y� Vrinted name ���S /-'�►r/�''/C�[� Dake v � _i_ .�. ., .i�t i� ., .. . _. �,� � , . ., r . . ,.. ...., _r ,...�v.. , __. � .•..l '.4'�f �7 i N. 1 ),��" 1,_?. � fl uo'1 a�' C,i ai � Yov are reSpOnsihte for complying with the requirements of the Savryer Counting Zoning Ordinances and law artd regulations of the Sute of Wiscon:fa You are also respansible fw f mmplying wi.h State and Federa!laws co�cerning mnstructioa near or on wetlands,Iakes,end s[reams.Pailure ro comply may resuh in removai or mod�!iwfron ot construction Sthat violates the law or other penalties or costs.For more ioformation,visit the department of�satural resources weilands identification web page or contact a department of ; + natural resources serv+ce center(608)2673125 � ;�._ ______�___.�.._.._.w_..�..�.....,_...—;�niiary Number: ( #of bedrooms: ; issnance lnfarmatian(County Use On{y) a�-��� � �� ( L_._____._.____...___,�......____._._..______^._.. _ . —.--.---.-----•, j Permit Denied{p�e�c � Reawa for Denial: � { � � ___-r--j !Permit�: ��� _ �._..i Issuingageni.�T..� .v�m���.—�_�_J.. � � Date: � � �� �- 5 �� �� �a c. a s i ^�N�s Parcel a Sub-Standard Lot � Yes toeea of aemrai v'�� r— �' -``+ —~`� - i ! Mitigation Reqwred .�:Yes '�No ; Is Parcel in Common Ownersh�p i"�YM (Fused/Contiguo❑s�.otisll '-NO ` Mitigation Attacheo :��Ves �fo � �s Struaure Non-Conforming ! "Yes �10 ; , ( . _._. ._c.___ _ ,....__.___,._.. ' i GranteC by Variance(B.O.A.� �`m Graated by Conditbnal Use i ,..Ves._._�-__�.._.� Wse 1t: i '�:Yes fi�:o Case#: � ��.�__.__ ___._ �.�.._..._.�_._._L ____�_�__.�__�.___.___ '�" __�_____.� f� Was Parcei legally Created ��Yes. ..Na � Wete Property Lines ReD�esented by Owner � �res �_No � � Was Proposed Buitding Site Delineated i�Yts � Ma � Was Property Surveyed ;�/Yes i No � �_.__.w.e....._._._�......ti._......��.__._ ------ -- -" _.__.._ ..�.... ' Office Commentr Zone District: Fee: i !�-� € � 3�5 E �_ _ _ t -�-------------�— , � tio;fi rG Sa��Siary: ... f tiaid'-e,t`Gi+: .. hv3w=��r,fift�ays#: � .o a` ,C . .__.,:»»�.. { - i � � - � � �.,,�, ��.. __ BJna2020 j ' ��--�\J 1 � lJ �� � - ,` � ��,� �, S�a�e �� �� v�� �, ,-�%-� ,-�___ � `�� _ ( �� �� � I . �� , , �- � r � fZ°v S� Lr , � p -, �j �_v,.n� .— � .�--� i� , ���ti ����k / S��i��� I / I / . I �, k ��Fi ���9 . � � � ; ; � ; �Y,st�t 90.�'`S e � ` J �r� Ta..�.A�v. Y Sawyer Counry Appiication for G c�i �.�=rn� ,,; ��' ' � � 10610 Main St. Suite 49 } ' . � �----'.� _-: . .- ._: Hayward W I 54843 i '; � ' � � 715/634-8288 ��r� ��f � �1 ���Z �_._._ . ._ .__.__..____._____.--' � CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PF7 ,F�iA�T� HA1l,E;8,���,; ,�;� � ISSUED. SIGNATURE OF PROPERTY OWNER I$'FtEI'�U'��E'�D. -� � � 6' � Owner: f /� � Contractor. �� — . ` � Mailin Address:�2c`> �Z b �� �� J� Mailin Address: C ,/' � Ci , State, Zi : t�,r� �A-�+C� h'!� Ci , State, Zi : 2 Phone:� � � . 3g ' �c:, Phone: __ � � Email: /'� � '�i ��ji---ti • mail: `D d a�--: / / �^ � . 5ite address: �Is'��1 .t=-O/� ��'rC. � � � � � �� � -t Calculate grading area: (Totai area disturbed inciuding excavation, flll, grading, � landscaping, equipmerit nrtting, andlor other areas vegetation will be removed resulting l,v in exposed soil) u.� Determine width of disturbed site in feet: J �' ft. x depth of disturbed site in feet: �� ft. F., Total =� sq. ft. {this is the area calculation) C� Determine lope of disturbed area: Vertical height in feet�= Horizontal distance in � �,; feet = Slope X 100= � % Slope � (1V/1H= Slope X 100= Percent Slope) m � *For any filling or grading of any area which is within 300 feet landward of the ordinary � high water mark (OHWM) of navigable water and which has surtace drainage toward the water and on which there is either: (1) My filling or grading on slopes of mo�e than 20%. : (2) Filling or grading of more than I,000 sq. ft. on slopes of 12�0 20°/a. � (3) Filling or grading of more than 2,000 sq. ft. on slopes less than 12%. (4) A Grading Permit is required for any filling or grading in excess of 10,000 sq. ft y-; within 1,000' OHWM of navigable lakes, ponds, or flowages OR within 300' of OHWM of � navigable rivers or streams. - �� S Date activity wil e in if ermit is issued: �a v�� 2 2date to be - completed: fS � � Attach engineering design or complete the following using additional sheets: 1. Describe proposed erosion control installation, construction phases, and finished site grading. v, Include timeline, methods, and materials. (Silt Fence alone is not ample erosion control for c most sites) � � D �d � C L^J 4,�� /'L E> �'c���.c�" r. �' y1�J e�,,� � � �� �� ���^ /'o u�1' �� / �-e � v d �. m �i -�. 2. List temporary seed type and rate, permanent seed rype and rate, fertilizer type and application rate (if applied), and mulch rype and application rate. 3. Attach a plot plan of project area including location of any wetland(s) and/or waterway(s) (indicate area between grading project and water body to be left undisturbed), location of excavated material, location of all storm water and erosion control Best Management Practices (BMP's), property lines, existing drainage, post grading drainage pattem, and north arrow. (Silt Fence alone is not ample erosion control for most sites) �� SAMPIE Ef10410N '— GOM4i201.M1W CONTROL PUYN � � . IEGE� �CzR 7 4R� \ �� � `k:+�-+ry CIJV!:ll' � ,� � N _ __ �...� �',.7VJEE.I'N��.S I I I . rXr^..' � '. .-___�.._... -14�✓_ ^R4fiAG£ I � � � � _,__..,� �p TL.MOCF/H� ♦ d1rlRCICYI i V � _:✓.'v.,:'t_ 1w3�!^ .�t.. � � �'�V�:F o�iVw�.x I � � � :I :awr Ct �� � �'�`—'�� --y i I _ '_ ..Rbcw1 Q I � �.. � // � �I •._._' cx�.t � � i f _ a�ro ee rov.,ac�m. � �. � ... ..""_. .a. �I ......, .. �o �'�OE�1NY)M1AC'!U f c �1'aVlr{q AT�K � � !IRtx' I L'C�T.`i.£S10NUF � � � �:Rla2:. CL'P�FRS.C:fI.'Yfl ��p 1 fJ� ,- - .. i �. �. �D/G'!kX^Ol. � �E�,p_q`�4 � ENi4�N(:6EwT � � � e� � WE�ls��.,.�� Y� �TL�` i � a �1 . <Krr_._). __ �_ '_ _ TsJ _ _— �s.rw nnvi.w� -- � • -. r ' � SCALE t'. �o' =�ss�=-:a�:+�—._ ew�tu�cuwc �:.�a.��",�e•mrt. SC+Yi'IYSE .^uTYG✓�Y ..^iW�'T�YS.E '"'.�.`OfiI/T±EW :W.i�+f4 'v. .�ti... Cr' J«,?.. �. Stf'.FE:]T h'�'"� ., V v'Er 4. Attach a cross sectional view of project area including the ewsting and proposed slope of the bank, water level of any existing watennray, and horizontal and vertical scale. Initial below � All BMP's and erosion control devises will be inspected weekly and after rainfall of '/z' or greater within 24hr period. � In accordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On Adjacent Properties). I hereby declare that the construction and/or grading permitted under this permit will not affect or interfere with neighboring properties drainage pattems. My change in drainage pattems which are determined to be detrimental to neighboring properties will be corrected at the expense of the property owner referenced on this permit. The undersigned certifies that the listed information and intentions are true and correct, that all work shall be performed in compliance with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wisconsin. The undersigned person(s) hereby give permission for access to the property for onsite inspection. , ___ Original Signature f property owner (or agent with Power of Attorney). Permit Fee: � Rev-1/2020 Redl EStdte Sawyer County Property Listing PropertyStatus: Current 7oday's Date:10/14/2022 Created On:2/6/2007 7:55:23 AM �Description Updated:8/28/2007 '�Ownership Updated:8/19/2022 . . . . ...... . . .....__. Tax ID: 13170 E7(7REME UNLIMITED LLC FAIRBAULT MN PIN: 57-010-2-41-09-33-1 02-000-000070 Legacy PIN: 010941331207 Billing Address: Mailing Address: Map ID: .2.7 EXTREME UNLIMITED LLC EXTREME UNLIMITED LLC Municipality: (O10)TOWN OF HAYWARD 3202 8TH AVE NW 3202 BTH AVE NW STR: 533 T41N R09W FAIRBAULT MN 55021 FAIRBAULT MN 55021 Description: PRT NWNE LOT 1 CSM 19/283#5709 m Recorded Acres: 0.930 r Site Address *indicates Private Road Calcutated Acres: 0.932 � � �� � � Lottery Claims: 0 First Dollar. Yes l,�property Assessment Updated:11/9/2015 Wa[erbody: Namekagon River 2022 Assessment Detail Zoning: (R-1)Residential One Code Acres Land Imp. ESN: 444 G1-RESIDENTIAL 0.930 38,300 11,600 ���Tax Districtr Updated:2/6R007 Z-year Comparison 2021 2022 Change 1� � ������ State of Wisconsin Land: 38,300 38,300 0.0% 57 Sawyer County Improved: 11,600 11,600 0.0% O10 Town of Hayward 7otal: 49,900 49,900 0.0% 572476 Hayward Community School Distrid 001700 Technical College (� 16?Proper[y History �+ Recorded Documenks Updated:8/19/2022 N�p TRUSTEES DEED Date Recorded:8/15/2022 440795 QUIT CLAIM DEED Date Recorded:8/12/2016 402468 WARRANTY DEED Date Recorded:2/7/2001 289062 CERTIFIED SURVEY MAP Date Recorded:2/18/1998 265949 k.. .._. .. ._.... .. _... _ .. ._..___ _..... . . . . ..-....._... . .. ,48� .. .._. ._ ... .. _...__..._.. .......... . .�- --T-71 3/4".,_---� 4'-2 1/4"-�--- T-4 11l16._.__ ,,�,.�1'-11 5/i b• ___,,.>__ ---4-3 1/2"--_ _ .<"'—---t T-2 1 @. __----*7 ! 3'�i 3l4' _ i 1'-1 V8" � M 5'� I 7ll16" 3'-2 9/8°�_5,_ 3-0 1!8'I �"- < y�2_g•� -�-t ___- __ - � , � r � � r i , , � ; i � � � � ;{'�,-t _ -------___ .. 24 * __ . _, i. _... 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As discussed, confirmation from the National Park Service that we have no scenic easement or other management interest encumbering this property PID#57-010-2-41- 09-33-1 02-000-000070. Thank you for the opportunity to review the project. We appreciate the cooperative approach to management of properties along the Namekagon River. We welcome collaboration and shared river stewardship to ensure the long-term protection of this exceptional resource. Should you have questions or to engage further, please don't hesitate to contact me. Laura Laura Hojem Lands Program Manager St. Croix National Scenic RiverwaV 401 N. Hamilton Street St. Croix Falls, WI 54024 Office: 715-483-2261 Mobile: 715-501-8813 _ _ _-- __ _ . _. - - ---- --- - . From: Pat Brown<pat.brown@sawyercountygov.org> Sent: Monday, October 17, 2022 8:12 AM To: Hojem, Laura L. <Laura_Hojem@nps.gov> Subject: [EXTERNAL] FW: LUP approval needed by NPS This email has been received from outsidc of DOI - Use caution before clicking on links, opening attachments, or responding. Should have it correct now! Thanks �a� b'zocu� Assistant Zoning and Conservation Administrator AIS Coordinator Sawyer County Zoning 8s Conservation 10610 Main Street Suite 49 i �� � k ����� :1f. . � ���� ��, ; ����� �� .; � � � � °� , � ,�:�, ��' r:�; � ��e� . � � �:;; ��{���,� �, � `� �,�:. ��..:�����5"�;{.,. �;.;�:"���. �# � < Jd �3� +�r �� y �'+� .���t{ Y.� �����Y`1 .a��� :=z -� �4`�. `'��s� � � £�.�t ; �x. ,y',i. 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