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Home My WebLink About020-639-23-5503-LUP-1995-509 Application for Land Use Permit � �� County of Sawyer o The undersigned hereby makes application for a Land Use Permit and agrees that p � a11 work shall lie done in compliance with the requirements of the Sawyer County o Zoning Ordinance and the laws and regulations of the State of Wisconsin. H+ PRINT - USE BLACK INK OR PENCIL o � H � £ 9 Michael J. Hargas Owner Owner Bui er N6011 Dam Road Mai ing A ress Mai ing A ress Winter, WI 54896 City, State, Zip City, State, Zip r o Building Land Use Zone District ��I � � ( ) New ( ) Filling N h (� Addition ( ) Dredging` Lot size 243 x 312/374 ,� ( ) Alteration ( ) Grading � ( ) Moving On ( ) Acres 2.10 ( ) ( ) 9 � New Construction � Addition ''' Size 30 ft wide ' wide ' wide w m 24 ft long ' long ' long 4 Floor area 720 sq ft sq ft sq ft m r Total hgt 14 to peak ' hgt ' hgt x Stories 1 No. of Bedrooms — . C�FIPPEW� �IV[ c� r waterline o C (year round) or (scea�o�:a�) o "' " Type of Bldg, Addition, Use '� � a rt ( ) Dwelling � �P_ e ( ) Garage (1) (2) car y' �, ( ) Storage Building T� N Qe,.— 0(�m QC(a� o' ( ) Boathouse � ( ) Livingroom � (x� Bedroom '1� Z 1D...j I ( ) Kitchen-Dining ( ) Porch (enclosed) (roofed) (�7� � ( ) Deck - open � c�t' ( ) ,y, e; o,.�.k � c � . � R�i a�' , Type of Construction ' a� ('j) (x� Frame ( ) Block � � � � ,d� N N ( ) Log ( ) Concrete �' ( ) Pole ( ) Stee1 J L'� � ( ) ( ) Po1e/Metal L � I� � Ji co � ioJ' _ Q l) Construction Cost $25,000.00 � 1 og'/ ul N UK✓ w Vol 356 Pg 450 of Deed Zq.� H CS Vol 9 Pg 432 � (100.(c�' w Cer. Soil Test ��-2�5 " � � r Sanitary Permit 83-Z�5 --"""'---'- o � r � z '� t}Fi-a�Uh�VA� or x w in w 'b Issued 16 october 1995 Denied rn �� -�-� £ Owner Zoning A ministr tor 11Nos — --- _ _ — --- - _ _ - ------ DOCUMENT NUMBER AFL'IDAVIT � 50 `� �� 0 . EXISTING SliPTIC SYST�M ONE AND TWO P'AMILY � F?,r,GiSILr'; �.%�i��?�% 1 S,Y,,.r('( (.C�i)fljy � SS If the existing septic system does meet the minimum re- � tlar cf Rece�vc inr record this __. quirements for groundwater and be�rock depths and if it n ,o �{ �t ��`�� .:1r,�.k �_._ _.__...__ A , �LL--� �- is funetioning , an addition to or replacement of a hab- �?-1, ;s�r:� r�,:crd� �+ -+; voI �_'�'�.-- ,_.. ita.blE structure can be made in most instances without ��f �,... ,,i� � �,a;�<� ___y �_ � ( updating tlle existing system. If the existiny system ._ _�_- �7.t_<.�C��'-�-,;,.�+er is utilized for the addition , every attempt should be f.�„ist made to loc�te and reserve an area whi.ch is suitable {„�.,..,..r.�...��_._.. for a code complying replacement system for when the I:�eputy system fails . If tlie addition will substantially in- -____ __ ___ _--- ------ crease the w�i;;i=ewrztcr discharge , the existirig system [2L`1'U1:N 7'c� will be repl��cecl with a code complying private sewage Sawyei_ Count�� Zoning Adltin system. P . O . T3ox 66B Ha ard WI 54£343 —�--- ------ owner (s ) _ Michae 1 J . Har�as _ _ ___ Mailing address N6011 Dam Road Winter Wisconsin 54896 Property descrif�tion Lot 1 in Govt Lot 5 S 23 T 39N R 6W . Parcel : 5 . 3 . Vol 356 Records Pg 450 and CS Vol 9 Pg 432_._____ ___ Town of Ojibwa . 020 - 639 - 23 - 5503 . ______ _____ (z) (we ) Michael J . Hargas _____ ___ _ plar� to (�✓f� 11dd onto existing dwelling O Add onto existing mobile home ( ) Replace existing dwelling ( ) Replace existing mobile home The present private sewage system has been working satisfactorily a�, f<zr �is ciisposing of wastes . If tlie present private sewage system does fail , it will 1.>e rc��] r�ced w:ith one that is code complying . —��,�� ,� �b • 3—��`�--------- M chael J . Hargas date ------ �a t e Personally came before me this ��ttt�yKg 3rd C�dy O 1�� +`r, i 19 95_ O NN� �� .f-- • �. � , Robyn K . TM� � �ary l�ublic � � �+r � � Sawyer ��nt�t', Wisconsin �S'f �,,, i�`� e'� riy Commission i '��4 ril 1998 • Existing septic system - Sanitary PermiL 83 - 245 Date system in alled 14 November 1983 . ZA or AZA David Heath 02 October 1995 ; date � y+(� � � � 45 This instrument was drafted by V 1d�- � Michael J Hargas N � � O O" , 0 � 'o- _ � � 4t' O � � , � �. tn # W O (� � �,� . C> O � °� 0 � � � � '�,' -� cN � � o � - �, z - � / � � �` o. a„ o� O 0 � - w ti � V (1 � y � _ W .. O i( � . p O �� w 0 � O lN � —�—�, 6— .� __CHLP_PF_WA ; � � a: �'/ V� � �` R � � � � � 0 � N - .A � � • �'� � � • � , U P�91NK CAPITAL SURVEYING. INC. eo.M SURVEYING SERVICE•., 523 E. OGDEN ST. TELEPHONE 715-748-5597 sueoiwsio�s • • � MEDFORD, WIS.�5445I PROPERIT�Y9UHVEY$ � � TOPOGHAPHiC NGPPIN6 � STREETIYPFOVCNEXTS CEF.TIFIEP SUHVEY NAP N0. ROU7p�OTiTlAX4 N. LINE GOV'T LOT 3 N B9• 23_19_E 93830' -- S � N if9 COR, 7e1.9e' �Y:•o 23-39-6 W ��°s9. �`�� AREF E. OF ROAO . F � .46 ACRES / CURVE UATA FOR a OF CURVE / AREA OFROAD TANGENT BEARING RADIUS ARC IENGTM CHOR� LENGiH BEARING � ,]8 ACRES iti S 21^ 18� 2Y W AREA W. OFROAD � 5 7^ 36�1<' W 1078.63' 251.70 251.13 �Y �ti 5 I4°37� 20" W . y ye I.89 ACRES /ti � ANGLE y 13' 22�IY' '/� a �� i o�/� �� / � � W EST 52t�� QQQ�� - ��Cv _ 18 - ,9�0 374.38' � . ../ /35.43' 3S4Y 5232�y, 23'. 1 in" ;� / 6 6 6` � � 409.8( I / 4� � � N � / l� 'D I �Z � o� IV - � / 'a' � c W O z '° � � � u 1. A � I o ,� �,o � -� ,,, _ � � 118,887 SQ� F7 � . � ' � 2J3 ACF�2ES ', Iti �°= � � _I I u I m � � '�, o � o ,..� ' / n o. � 6 �6 � N�/ 6 I � 4� p 312.99' 33.42' 33.42' S4.10' I �� o . EAST 458�+ i„ry_.._I_a.Q-,c14i . I , Charles Offer:nan , Land Surveyor of the Ste.te of Wisconsin, do hereby certify that I have made ttie follo;aing survey of part of Go�rernment _ JLot 5, Section 23 , T. 39 N. , R.6 W. , Sawyer Count,y, :Jisconsin, mcre particularly described as follows: Commencing at the N4 corner of said. sect=on 2? , thence N �99°25 '19" E, al.on� the N. line of the seid Government Lot 5, 7�'1•9�' ; thence S L�1f 32 !1}0" E, alon� a randoM line , zna lOR.59 ' ; .thence S 2!}021 , �7" W, alo�ng�atra}henceiSouth�,•243.00 , th�hencet m« of real beginning: Thence 41est, L�. 9. 1 , �-+m 5asr. 4.SR � more or less to the shore of the Chippewa River; thPnce u�p Northerly akodg said shose , 250 ' more or less ; . thence West, 111 ' e�R more o: less to tge said point of real beginning. �^un Said parcel being, s�zbject to all exceptions , reservations , easem3nts , N� and restrictiens , either in use or of record . N,y n !� ` l, 1 � 93 , < ,��:aie''.ir{;i:'p: . i T Register s,0[[ice �. � Z!• .+ er..�: -?r-. mm V,,:_.'tr , .. a. o p SawYcr Counry J �'S� ' � -�- "�j�. m .,, ,��:,., , ...,, ` , s z n.° n:��,y; ,y�';� �'" . Received for record �kie �� aQY oI °L w ` m r— m� �2/ A D ]9 J'X at / o'clock . ` . C�J��i'� ��✓ ' m � �'' n� , �^�r„� � po [.tanurecordedlnvol.T�' _ . t�, (�'-'�_.'. ^� '�: ,y- c�.��7 � ' � q; . n'a o[ �y it �°D°�_�_ � - m �.�(�--�. �� ` � ,. � ��« � . � � � i�. g m p ��.�:COX7l✓ r'� � � . °� �� - ' �. ,_::' �-• scA�e �'� 100' LEOENO --�— IflON PIPE FOUND �— 1"X24��IRONVIPESET�MIN.WT I.1310/LIN.�T Tw�S iN$TRUMENTDRAFTEDBY DEVON VANDEN MEUVEL �/1 ��_� _o- 2°%30�IRON PIPESET,NIN.WT. 3.86�8��„�F7 �� —¢- OTOp[ �OMUNLM710UMD ' �— IRON7INSETINAIL�R.R.SVIKE�CTC.� � Y' DWMETER, CAFPED WLVANIZED PI7E F.I.P. 1 CHARLES OFFERMAN }AND SURVEYON OF THE gTGTE OF W�SCONSiN,DOHEflEBY CERTIFY TMA70N NOV• 2• �983 • �.,wVE�!G 7NE 080Vt JESCH�BEO �ROVERTY pTRUE ANO CO REC1 EPHESENTAT ON OF T E EXTERIOR BOUNOARIE900G pTE �aND gUNVEYEDi TNAT a�. ,SC�nSiN',Ttipi TME OCCONPANYINU MAP IS A P0.07EATY OWNERS FP�E� �pON !� �;,O��+GS PnS �NVRO�EMENi$ UE WNOLIY WITN�N TMC BWNOAFiY �iNE9� ANO T T N NCROACHMENTB BY ADJP //1 . .. �,,.RVf` iXCEPT �5 iNO�CATED. MINH IiAF6A4 � �/ /. o� _1A.6W � . i /1 /�/1 _ —"— e 1� -i wisconsin APPLICATION FOR SANfTARY PERMIT � D1L. HR SAWYER rOU TY � (PLB 67) ��v oeocx+rmenTOF UNIFORM SANITARY PERMI -.j`r � � IflDUSTRV,LRBOG�6HUTRfIRELRT101"15 CST 83 - 275 45498 � -Attach com�lete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than BYzx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS � �� r ROPERTY L CATIO CITY: L(�1/4 .fJ�'1/4, S �.3 , T,3 , N, R E (or) V�LLAGE: O �` � / � LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LA� OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED � 1 or 2 Family Number of Bedro�ms: � [� Public (Specify) : fHIS PERMIT IS FOR A: � New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy � Alternate System ❑ Reconnection ❑ Petition for Modification F THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. � Seepaye Bed ❑ Seepage Trench U Seepa�e Pit ❑ Holdiny Tank i � System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issuea ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic eptic Tank Capacity S-O ift Pump Tank/Siphon Chamber lolding Tank capacity lanufacturer. F THIS IS AN ALTERNATIVE SYSTEfJI C01lIPLETE THIS BLOCK: ❑ Mound [] In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed eptic Tank Capacity ift Pump/Siphon Chamber lanufacturer: I PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: � (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): �D � [� Private ❑ Joint ❑ Public the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. ame of Plumbe (Print): Signa re: MP/MPRSW No.: Phone Number: �v d S a v � �z64 �- �' ` umber's Address: Name of Designer: ' ` -P �" W � .5 � �rs,a-��-� COUNTY/DEPARTMENT USE ONLY g re of Issuing ent: Fee: Date: ❑ Disapproved � $ 7 � . 0 0 11 - 2 3- 8 3 � q � Owner Given Initial � pprove� Adverse Determination �ason for Dis rov : � ; Iternate coursels) of Action Availabie: '_HR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber 1� � � . ��,, .,� DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR saFErY& Bu`i��. LABOR & HUMAN RELRTIONS PRIVATE SEWAGE SYSTEMS �ivisi�, P.O. BOX 7969 BUREAU OF PLUMBINC MADISON,WI 53707 • �1CONVENTIONAL ❑ALTERNATIVE StalePlanl.D.Number: (II assigned) � ❑Holding Tank ❑ In-Ground Pressure ❑Mound NAME OF PERMIT HOLDER: ADDRESS OF PEflM1T HOLDER: � INSPECTION DATE: ' a � ,��1�r ,�s � 0� /�Q' 9�% �.Ur�� u��s c. /- i c./_ �3 3 BENCH MARK IPermanem reference pom DESCRIBE If DIFFERENT FROM PLAN�. REF,PT.ELEV.: CST REF.PT.ELEV.: Name ol Plumbec � MPlMPRSW No.: County: � . Samtary Permit Number. � � .V�,ti.�-/�/ �o,v �t� � �.�v � 3_ �— SEPTIC TANK/HOiDING TANK: MANUFACTUREF: UDUIDCAPACITV�. TANK INL£T ELEV.: TANK OUTLET ELEV.: WAFiNING lABEL � LOCKING�COVER -- / c D PROVIDED: PROVIDED: �' ¢G/ S D �` J /a' � �YES ❑NO ❑YES ❑NO � BED ING�. VENT OIA.�. VENT MATL.� � HIGH WATER � NUMBER OF �ROAO: PROPENTY WELL: BUIIDING: �VENT TO FRESH �� r A�A""': FEET FROM ��NE: �2 `..� �AIR INLET�. ❑YES ❑NO � C •-f— ❑YES ❑NO NEAREST � DOSING CHAMBER: MANUFACTURER BEDUING: LIOUID CAPACITV � PUMV MODEL PUMP/$IPHON MANUFACTURER. WARNING lABEL � LOCKING COVER PROVIDED: PROVIDED: �YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: runnrANUCONTIiULSUPf[HATIUNAL NUMBER OF ��'�'�� WFI.L BUILI�WG V NTTOFHESH (DIFFERENCE BETWEEN FEET FROM ��"E niR�"�ET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE �ENcr�+ oinnnerEa nnnTeHiA�arvo nn,oaKirvc or excavation. (lf soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONALSYSTEM: BED/TRENCH �NIDTH LENGTH NO.OP DISTR PIPE SPACING COVER INSIUE DIA zpITS LI�UID THENCHES� h�'4T �A�� PIT�� DIMENSIONS �s—� s—G� ` / ��p� DEPTH: GRAVEL DEPTH � FILL DEPTH� UiSTH.PiPF� DISTR.PIPE^_DISTR.PIPE MATERIAL: NO.D�STR. �NUMBER OF � PROPERTY WELL � BUiLDING: VENT TO FRESH BELOW VIPES� ABOVE COV�ER ELEV.iNLF.T ELEV.END�. ^ PIPES LINE: AIR INLET: Z � � O�o� �� CJ 9J /`' vC� j�L1� FEET FROM � tP � 3 NEAREST—► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSESIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES oNo SOIL COVER TEXTURE PEHMANENTMARKERS�. O[35EHVATION WELLS. ❑YES ❑NO ❑YES ❑NO � DEPTHOVEHTRENCN!tlED I)LPil�t)VIIi1HLNC11/UEU ULPTHOFTOPSOIL SODU[U SEEDEU MULCHED � CENTEH EDGES ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH wior�r i.i rvar�� NO.OF �nret�n�s�ncwc cFrnv��ueNni uE�owv�re Fi��ot��r��n�nve covei�, TRENCHES: DI.MENSIONS - � , �� MANIFOLD PUMV MANIFOLD DISTR.PIPE MAMFOLD MATEfiIAL. NO.DISTH. DISTR.PIPE DISTHIdUTION PIPE MATERIAL&MARKING�. �" ELEV.�. ELEV.�. � DIA.. ELEV.� � PIPES�. � DIA.: ELEVATION AND i DISTRIBUTION � INFORMATION "o�e s�zE HOLE SPACING DRILLED CORRECTLY COVEF MATERIAL VERTICAL UPT CORRESPONDS TO APPROVED � . ..• '.' ; ... . PLANS: � � OYES ❑NO ❑YES ❑NO COMMENTS: �PERMANENT MARKERS: OBSERVATION WEL�S: NUMBER OF � PROPERTY WE�L: BUILDING: FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE� TITLE: � n I I H R S R fl fi 710 (R_M/n�� -(��e�=�C/ �r.r_�.,..-�. G�-�� . � C � c• � n� F y r � � d r j �" —___—_'_ � � � = e � � .� - z i � I� �- v, � � � , �-. . � , ti. -o� ! a' � �l r_ <: � � ; '�• � c h s L !� 1 �^_�, \ , \ :� . �� ` `�� \ \ Di�m /� .