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HomeMy WebLinkAbout012-740-02-1112-SAN-2023-222 � � Z SAWYER COUNTY 7.ONING& CONSERVATION ADMINISTRATION W 10610 Main Street, Suite 49 � Hayward,Wisconsin 54843 � (715) 634-8288 � sanitar•iannsawVercountvEov.orE � COUNTY SANITARY PERMIT APPLICATION In accord with Chapter DSPS 383,Wis. Adm.Code and Sawyer County Private Sewage System Ordinance APPLICATION INFORMATION—TYPE OR PRINT Property Owner's Name Property Legal Description d ;`� '' 45 ��� f� F y� �UF'/4, Sec. � ,Twp. �� N,Range � W Property Owner's Mailin�Address ` Lot Number Block Number ��� 4=�—i � � � ti City,State Zip Codc Phone Number Subdivision Namc or CSM Number 1.t.9; � �� �705> �'a� .3��,�' ._. TYPE OF BUILDING:(Check one) ❑ State Owned ❑city Nearesc aoad ❑Public � 1 or 2 Family Dwelling—No.of bedrooms �T��of ���c� F;r�Numb�r j c_ PUBLIC BUILDING/LAND USE: [Explain the use/purpose for this Parcel Tax Number: (12 digit legacy number) permit,(i.e.,campground,festival,recreation/cntertainment event ctc.)] d 1�-��o_- b�_ 1 i i 3 TYPE OF PERMIT: Additional Information: �POWTS Reconnection(SAN#� -�)���r��� ]POWTS Connection (SAN#_-_) *Attach a Plot Plan with all required information per SPS 383.21 ❑POWTS Revision(SAN#_-� ❑POWTS Repair(SAN#_- ) *Soil Test Information(CST#�- 1�) ❑ Other: *Gallons per day S[�'�jes � Q �'j RESPONSIBILITY STATEMENT: I,the undersigned,assume responsibility for the installation of the POWTS activity for which this permit is issued. Plu ber's Namc:(Print) Plumber' � J/9 � PRSW No: Business Phone Numbcr: � F..2� �� ���- �� �a�'�''��` ���� T� 9�/� �� �� ��S ���'- ���� �.,.� ) Plumbcr's Address(Street,City State,Zip Code): � \`'�S\5.,� S�o� �.�.�� �7? �'.�.-._ ...��� �� ��-l�,"1 OFFICE USE ONLY: ❑Disapproved Revicw Date: Pcrmit Fee: Date Issued: Issuing Agcnt Signature �Ap roved ❑Owner Given Rcason for �p � �� ��.3 � n n j L_, • Denial 9 7 �3 ��� Gcxt,J(JC-t�Lvt/cco_ COMMENTS: � **Expires 2 years from date of issue** Expiration date: � �F �-0,�S CONDITI0�1S OF APPROVAL/REASONS FOR DISAPPROVAL: � _1 II � . �GI ��� �- � . � � �';�'""- �.. . � � � a3����1 .....,.w._n.,_ D �����r� . �i �� � 2 31 Rev.04/21 i 15 � �__----------� � � ��(� NO R�FtJNDcuAFTER ��,�,^,iYER CC�'L�s�1�Y 15S�JE OF'F°���/�j i Z�ivtt.iG ADivtlNlSTt�HTiON � D 1 L H R APPUCATION FOR SANITARY PERMIT ; °D SAWYER . „ouNri• " ., (PLB 67) UNIFOiiM SANITARY PERMIT�J CST 83-155 39382 —Attach complete planz in accord with s.H 63.05,Wis.Adm.Code for the system,on paper not less than Shx 11 inches in size. —See reversa�side for instructions for completing this application. PLEASE PRINT D/Z— � 02— PROiERTV OWNER MAILING ADDRESS FFAYw �o S�t 8 Y 3 PR EoR�TY L C�1 N �C}Yt7 �1/4T�1/4pS `�, T N,R �(or)W To�wn�i o: �U,NT�2. l0T NUMBER BLOCK NUMBER SUBDIVIS ON NAME NEAHEST ROAD,LAKE OR LANDMAFK STATE PLAN I.D.NUMBER CTl� �C3" 8' 0460 TVPE OF BUILDING OR USE SERVED AJo qA� YL53 � 1 or 2 Family Number of Bedrooms: 1�Q,Public 1Specify): M- - o rsGas THIS PERMIT IS FOR A: �NewSYstem ❑Tank Replacement ❑ Repair �Replacement Soil Absorption System ❑ Revision ❑Privy �Alternate Syttem � Reconnection ❑Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. �Seepaye Bed �Seepage Trench U Seepa�a Pit Q Holdiny Tank J System•In-Fill �ImGround Pressure ❑Vault Privy ❑Pit Privy ❑Existing,For Which A Previous Permit Is On File,Permit# issued ❑An Existing System That Hes Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prelab. Site Steel Fi6ergtass Plestic Gallons Tanks Concrete Consvuaed Sep�it Tonk Cavecity Lift Pump TenklSiphon Chember � Holding Tank capacity Menufecturar: � IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound � In-Ground Pressure Total #of Prelah. Site Steel Fibe�8lass Plastic Gallons Tenks Concrete Consiructed SepUe Tank CeOaciry � Liit PumpJSiphon Chamber {U�nutecturer: �$ PERCOLATION FiATE ABSORPTION AREA ABSORPTION AREA yyqTER SUPPLY: iMinutes par Incb1: RE�UIRED ISquare Featl: PROPOSED ISquare Feeq: 7 a r �. �Private ❑Joint ❑Public 1,the undersigned,hereby assume responsibility for installation of the priv e sewage system shown on the attached plans. e of Plumber IPrint). r� MPIMPR3M1�IJo.: phone Numher: e , A�nn2Q 0.. �15�63�- Plumber,',�AdAress: Name of Designer: � �` W '_ ��1-8�3 COUNTY/DEPARTMENT USE ONLY Signe re of Issuing Agent: Fee: Date: ❑Disepprowd $125.00 8-11-83 �nvo�o•.a �o`me`°i�°°i°i"ai Adverse Determinetion Ree�on lor D�sa ova. 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O-- \` � � Q�----�.�-, o r9 �i �` � ; � . \ � � i � b �__..._._. _ � `�� 1 T.._ �. � � _ �, . - � .� �.. - , . ; i � 9/7/23, 11:08 AM Novus-Wisconsin Access rev. 13.1108 Real Estate Sawyer County Property Listing Property Status:Current Today's Date:9/7/2023 Created On:2/2/2015 1:16:05 PM �Description Updated: 10/12/2022 ^� Ownership Updated: 2/2/2015 ___ Tax ID: 41999 TREELAND COTTAGES INC HAYWARD WI PIN: 57-012-2-40-07-02-1 01-000-000120 Legacy PIN: 012740021112 Billing Address: Mailing Address: Map ID: TREELAND COTTAGES INC TREELAND C07TAGE5 INC Municipality: (012)TOWN OF HUNTER 9630N TREELAND RD 9630N TREELAND RD STR: 502 T40N R07W HAYWARD WI 54843 HAYWARD WI 54843 Description: PRT FRAC E1/2 NE Recorded Acres: 9.800 � Site Address *indicates Private Road Lottery Claims: 0 _ _ _ _—__ First Dollar: Yes Waterbody: Chippewa Flowage Zoning: (G1)Commercial One � Property Assessment Updated:7/29/2022 __ __ . ESN: 2023 Assessment Detail Code Acres Land Imp. � Tax Districts Updated:2/2/2015 G2-COMMERCIAL 9.800 120,500 383,800 __ __ ___ _ _. ___ _ 1 State of Wisconsin 2_Year Comparison 2022 2023 Change 57 Sawyer County Land: 120,500 120,500 0.0% 012 Town of Hunter Improved: 383,800 383,800 0.0% 572478 Hayward Community School District Total: 504,300 504,300 0.0% 001700 Technical College .� Recorded Documents Updated:2/2/2015 �property History � WARRANTY DEED Parent Properties Tax ID Date Recorded: 2/15/1991 222261 57-012-2-40-07-02-1 01-000-000070 41994 0 SHORELAND RESTORATION/PRESERVATION AGREEMENT Date Recorded: l0/12/2022 441796 0 CERTIFIED SURVEY MAP Date Recorded: 10/14/2014 392736 � ASSIGNMENT OF LAND CONTRACT Date Recorded: 11/7/2006 342800 HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels O Tax ID: 14738 Pin:57-012-2-40-07-02-1 01-000-000060 Leg.Pin:012740021106 Map ID:.1.6 0 Tax ID: 14736 Pin:57-012-2-40-07-02-1 01-000-000040 Leg.Pin:012740021104 Map ID:.1.4 O Tax ID: 14734 Pin:57-012-2-40-07-02-1 01-000-000020 Leg.Pin:012740021102 Map ID:.1.2 O Tax ID: 14733 Pin:57-012-2-40-07-02-1 01-000-000010 Leg.Pin:012740021101 Map ID:.1.1 p Tax ID:41994 Pin:57-012-2-40-07-02-1 01-000-000070 Leg.Pin:012740021107 41999 This Parcel Parents Children https://tas.sawyercou ntygov.org//Access/master.asp ���