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HomeMy WebLinkAbout010-840-36-5413-LUP-2000-626 Application for Land Use Permit r�y . County�f Sawyer � � � PO Box 668 '-Haywazd V✓I 54843 � 715/634-8288 Ie ,� The undersigned hereby makes application for a Land "Jse rermit and agrees that all work w shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance n a and the laws and regulations of the State of Wisconsin. � PRINT-USE BLACK INK OR PENCIL .���h a v�<- � Jim Evensted Custom Building Specialties ^ 6 � Owner Builder �`'� 174 Juniper Street 13141 W. Old HWY 00 � Q Mailing Address Mailing Address � Mahtomedi, MN 55115 Hayward, WI 54843 4 City,State,7_ip Ci?v,Sta+.e.Zin � (651) 232-1860 (715) 634-3300 � Daytime Phone Daytime Phone � m Building Land Use � (�New ( )Filling Zone District RR-1 0, ( )Addition ( )Dredging O Alteration O Grading Lot Size 100'x278' ( )Moving On ( ) � ( ) ( ) Acres f 7 S � � Primary Structure Accessory Building Addition � (�Dwelling ( )Gazage-attached/detached { )Deck � O Yeaz round O#of caz stalls O Porch o (x)Seasonal ( )Storage Building ( )Enclosed (X)Frame built on site ( )Screenhouse ( )Living room � ( )Modulaz/manufactured ( )Greenhouse ( )Kitchen ( )Mobile/manufactured ( )Other ( )Bedroom I ( )Other primary structure ( ) ( )Relocate/enlazge � ) ( ) ( )#of new � Type of Construction I ��Frame ( )Log ( )Pole/metal ( )Block ( )Concrete : ( )Other � '° u, Construction Cost$ 150,000.00 � �' u -� Vo1610 Pg 254 ofDeed CertifiedSoilTest# 221334 79 eos � � 0 CSM Vol 4 pg 2 36 d 7 y� Sanitary Permit# �1 GSD � o Plat Envelope gr OK w//4�. o � Condo Vol Pg Yeaz Installed 19 S 1 rn �' i I Aff of ex septic V�P� Owner When Instafled: � � � w � '�I`��I IOa 13 N n • � � � 'a , � i_ . r � o � � � Application for Land Use Permit—Page 2 ,�, f � � �' s : � � � i� r" N M r' Describe Construction:List dimensions of each strvcture,story,addition,or alteration. #1. �-10�5�= #2. OFc�� #3. 7�e,�� #4."�,;K.�zo e��,,:�1 Size�_ft.wide �o� ft.wide Cd' P..�.vide 2a' ft.wide So ft.long So' ft.long 72 fr.long 3z' ft.long Floor azea �22�� sq.ft. 5�,� sq.ft. �3Z sq.ft. ���s� sq.ft. Hgt&om gade �i to peak `��-o" ft.hgt. �`-o' ft.hgt. i 1 ft.hgt. Stories I stories stories t stories #of bedrooms 3 �— ��a' reaz lot line or waterline of C -�= ake/'ver In the box sketch in: Lecation and size of all � existing and proposed structures. I `r 5' Location of septic system. Indicate distance to: �2 ����I Waterline _ Road �o' \ ���t?z \ Lot lines _ 3Z, �' _ �-- �g Septic system 7�o,�y`� Distance between structures. z�, ,\o��_ �� E�.s�.U� Indicate North. �, ��o� �������� _ ZS �_ .o Fire Number: �S S�' --� r � 7376N �� � $�rul�t.� 7r,vK � � U I N E..�.`=`o � , ` vJ — ;� ? N �,7' � u � �� �� �� '�,. r I—Zq —� �X.�. �"�--- 10�00 � ��F�'� I Signature of� 3 �� �c, �_ '��, ' � � � -,_. -------centerlme of �������,. , �,�,.�,_ road------ IssueDate October 26, 2000 ExpireDate October 26, 2001 � Office Comments: State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES ^� PO BOX 397 Tommy G. Thompson,Governor 1341 2ND AVE � _ �ti��� George E. Meyer, Secretary CUMBERLAND,Wisconsin 54829 WISCONSIN William H. Smith, Regional Director Telephone 715-8223590 DEPT.OF NATURAL RESOURCES FAX 715-822-3592 October 26, 2000 Debra Hammerel Sawyer County Zoning Administration P.O. Box 668 Hayward, WI 54843 Dear Ms Hammerel: I received your zoning application(James and Janet Evensted)for a new home around the Chippewa flowage. In this case the construction falls outside the 100-foot buffer covenant held by the Wisconsin Department of Natural Resources. As such, the request is allowed to proceed. All other applicable permits and approvals are necessary. Thank you for your time and consideration on this matter. Sincerely, (il1 f � John K. Wickland Land Agent CC: Ray Larson—Hayward Service Center Tim Miller— Supervisor—Ladysmith Service Center Town of Hunter— 9316 N, Co Rd. CC, Hayward WI 54843 Dan Schuller—Rhinelander Service Center � Quality Natural Resources Management ' �- P�,�� Through Excellent Customer Service �.��s�:�Ns�,�,,, RecycleA �'�H � CUSTOM BUILDING SPECIALTIES 13141 W. Old Hwy 00 Hayward, WI 54843 Office: 715-634-7091 • Fax: 715-634-5140 w�. (C-) Welcome Home. Sawyer County Zoning, Note: There is a existing "Geo-dome" structure that will be demolished upon receiving the Sawyer County Land Use Permit. There is also a existing 13'x26' shed that will be relocated next to the 24'x32' detached garage. Likewise, this will be done upon receiving Sawyer County Land Use Permit. Chad Frane CLb WISC�NSIN'S NORTHWEST DISYRICT _ ZONINr ADMINISTRATOR'S ASSOCIATION COl1NTIES OF: - ASHLAND DOl1GLAS PRICE TAYLOR BAYFIELD IRON Rl1SK WASHBl1RN Bl1RNETT LINCOLN SAWYER SEPTIC SYSTEM INSPECTION FORM Requested by: `5�,,.� �,��,,�Sr,4;1 Counry: �G_,.,��/,p�-- Address• � " /� �3��e ,� ,���c-�S�1 �/' / Tow Ciry, Village: �.,�_���� �r,�� _ . � T City, Scate, Zip: �,e,y�,,,,�,,2;� �� �y8�1�3 Phone: Cojl- 4Z(a - �,��8 Legal Description: '/a of '/, of section ��_ T � N, R W Owner/Occupant: j,,,,� �,;`�<�Z�' Sep�ic Address, #, Name: Address: �1�j S�� �sa�;2 ST Z�_i; Septic Serves: ('irv. C(�rpr Zin: \n,daZo���o.- � �.��i�\ �S�\5 �EY. � OFh�J!Tl�'S� 5?f[?� StF100�. C�I:�CE:� Ir'�C:SCry, �LC.� Tax Parcel # ,��� _�p -3(9 5q1� Date of conswction: !f constr�cted a;ter Jaruary• i, i 479 enter DILHR sanicary permit number _� Sr"�7 S (if available). SEPTIC TANK INFORMATION Information obcained from: owner pumper �'� other Tank Construction ILHR 83.15(1): concrete ;�' steel fiberglass other Approximace cank size (if known) �_� � u�S i�;c L'a�i� vE:i� NU�N2u Ci5 3 ic�Ltiai ucSIS 7fr c��n.ry ir�ainte��ance agreemen�? Yes� t�o Per owner Per pumper Pumper's name � - �,� �� Q�� � ��� Has [he cank been pumped prior to [he inspec[ion. Yes�/ No Per owner Per pumper � Was inspec[or on sice during cank pumping? Yes No� Was sludge/scum level grea[er [han 1/3 of[o[al volume prior to pumping? Yes No � Evaluate condition of baffles: General condition of septic tank: Inlet Outlet i.e.: cracks/holes in cover, sidewalls, botcom Good I/ !� explain: ��-p¢ y �p•�J�� �p *�PA� r!]Y�.�'.�om`nr .� / .��5 '���F--"-`-"'�.-C`�•� — i2✓�fC /.�,11r �/f�f7 i ---- Missing MANHOLES � Is service cover more than b" underground? Yes_� No___ Is service cover above grade? Yes_ No� Does cover have a warning label, . Yes No___� =--`----- -— Is service port in code compliance? Yes No Is there a manhole riser on cank? Yes No .� Is service cover riser properly sized and watertight? Yes� � Is there a 4" or larger inspec[ion opening ac bafFle opposite service cover? Yes �/ No Is inspeccion opening or pipe at least b" above grade? Yes � No SEPTIC SYSTEM Conventional '�sed Trench Pit (cirde one) In Ground Pressure Mound Ac Grade Privy Approxima[e Age: �la-5 O[her(explain) Towl Area: rp `�(D �� . �. Is septic[ank and dosing[ank in se[back compliance from: Diswnce in feec: building? Yes � No_ Unknown well? Yes� No_ Unknown_ � R �y high water mark? Yes� No Unknown� lot line? Yes�/ No_ Unknown� pool? Yes 1� No Unknown� other? Yes No Unknown Iz chere a dosing chamber? Yes__ No�/ 7�� Pump—floats—alarm siphon checked for proper operation? Yes�� is absorpcion field in setback compliance from: Distance in feec: lo�line? Yez �/ No Unknown_ o����o�i s� high wacer mark? Yes ✓ No Unknown pool? Yez ✓ No_ Unknown_ well?(except for schools) Yes � No Unknown /Irp� Sa� ocher? Yes No Unknown Is there an approved ven[present? Yes�C No Is[he ven[funccionai? Yes/ No__ Is chere wa�er presenc in[he venc? Yes No v N of inches_ P`T Was a zoil boring conducted 3'below exis[ing rystem? Yes No_�Unknown �°�Dep�h to groundwater? �(�_inches Depth to motded soil? /,��i1 inches Is there exining soil site evaluation available? Yes ✓No Was boring done by a CST(Cettified Soil Tes[er)? Yes ✓ No Unknown_ Is owner aware of any backups,surface seepage or discharge,odors,slow drainage,e[c.? Yes_ No J If yes explain I certify[ha[the above information is[rue and correct to the best of my knowledge as observed on ��� „� ,� Operacional aspeces and observa[ions reported are based on che conditions no[ed at the time of inspection. This inspection does no[in any way guarancee or warran[ee che continued operation oF[he sys[em described herein. �S �la�_ �%"�v� — — Insoeaor'c Sig J Gedencial Num er Date , 17�v� So h e s _ i}{�i r�.�c��2 ,/ 3 �( — 3 35 5 � ' Attachments required: ICI Approved plans �Soil cez[report ❑Copy of maintenance records(if available) .,,, � w:✓'� ..., ❑ 8"x10"plot plan of house,well,tank(s)and soil absorption system •"'�' "r Offcc ol Sawyer County Zoning Administration P.O.E3ox G68 Hayward,Wisconsin 54843 (715)634-8288 URL: www.sawyercounty og v.org E-mail: scezoneCrDwin.bri h2 t.net FAX:715-638-3277 October 18,2000 John Wickland DNR Box 397 Cumberland,WI 54829 Dear John: I have received another application for land use permit for property located on the Chippewa Flowage. The property owners are James and Janet Evensted. The legal description is Lot D of CSM Vol 4 Page 236 located in section 36,township 40 North, range 8 West,part of Govt lot 4. There are copies of maps pertaining to this property enclosed. I hope you find them helpful. It does not appear that this property is located within the 100 foot or 200 foot special buffer zone area. If you have any questions or need more information please do not hesitate to call me. Thank you, ,s-'�,►,y�"* 4�`�.�'';�� ��-. Debra Hammerel Permits Secretary Sawyer County Zoning Administration Encl. r.. . � v ,. . . _ ... . . � ,_ � GEMA LAKE 1 '2•� SHORE �2.2 �2.4 .5 .3 �3. T � •3. I - - �y T :3,3 3.a • 3.4 . � •3. �32 �3.9 . ; :3,5 N0o \N� G� �3.11 i .�. .3.(, ��`'t I 3.13 �-- , :a.ia ;s.i2 CwFf LAKE :3.15 �4.2 '4. �4.14 �4.12, �. � G j G �4.4 " � �4.1I .4 �4. 1 4.9 �46 �4.7 �4J3 � �4.10 , �4.8 � I INCH=400 FEET FOR ASSESSMENT USE ONLY ,NOT BY: DATE : INTENDED TO SH�W CONCLUSfiVE (�) INDIGATES GOVT. LOT EV(DENCE OF OWNERSHIP OR AOUNDARY I_OCATInNS � <' � -....•N. �..,��+.�.�x�mm���ew��i7111ui�rw+� �` � � x Z ` r 4 .y.�. II - \\`o Irl � II 11 11 �� II � II =��� ��. 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OREILLES INDI AN RE E ' :�. �H� F>:-:�:�:�i:i�t�:::�:�>:�:':•::• S R �t� C IE . ...LAK�E:�:>:�:•.•:•>:•::.�.�'.':'���•:... .� ' FL DI 00 N WIT G HIN R E .::..:............:.:,:;:.:::�•:::.:.•.,..;....•.•:.::•.•::.•::.•..::::.::•:::::::>:<:•::•::::::., .....::::...::::.••:.::::•: :�:;>ZONE X ;::;::��t-::�:����' SERVATION . ...... .. .......:•.•.•:::::.::•.•::::.•::.•::.•.. •:.•.::•.•:::::.:•:.•::.:•. ��� ': F R 0 INF R 0 MAT I � <•:::::t.i::i:::>:'`:':"'•':�:':';'::':i�:�:�.'•>:t�t'��:���i�:�:'i�:'>:':'%':�.'•:'�:�t•':�:�..:.:::. ONAL •:.•::::...::::....:.•:•:•:•:.•:• ��_ PURPOSE; •��>�:�1��:::�'':`<�''�.•:S:. � �'';.<;Z O N E A:.;_<::�:.'•:�::;`?:�:i:•`::�:.??:.??:`;.::`::::::;::. :> i :c�:�:��6:::::�>:�::`•:�:�:::•`:::::::"::;:::::>::?i:::>:<:�::�:2:�:::`•>:::;:::�:.. � . 5 ::::� Z � C N E �:�:::::;?::,��>.�.;:.:.;::..�::;�'.':::?:;:.•::;:.:,`:`::;:�:�`��::>:::::;::>:;���.,... � .. :�:> :;.. X . ... ZONI :...ROAD::}: �:-'�?: �`�. ��:::�>:::;: :;:;:� ::;;:. :..:`'�;;;:�':;:;.':;::':::>;.,.. �''��ZONE A �:. . ..... .::�.,o`.'.:::::::�::�:�� �:�?:::�:�:�:���:�:•��:''.�:.�:�:�::�:�:�::::;�::::�:�:�::�:�::���:�.':�: ""''^:�:�ZONE X . ......................... . ...�A.�::.�. ..`� i � ����� ����� SURVEYOR S CERT/F/CATE d'36 , SOUTH I/4 CORNER I LADD D.GOULD,REGISTERED LAND SURVEYOR,HERBY CERTIFY; , � �W SECTION 36 THAT I HAVE SURVEYED AND MAPPED A PARCEL OF LAND�OCATED IN GOV�T.�OT 4,SECTION 36,T.40N.,R.8 W. SAWYER COUNTY,WISCONSIN,MORE PARTICULARY DESCRIBED AS FOLLOWS; � - ^ " N tO COMMENCING ATAN IRON PIPE MARKING THE SOUThF�1/A CORNER OF SECTION 36,THENCE 589°39�21��E 88476 FT., �'r TO AN IRON PIPE,THENCE NO°49�30�E 61Q 12 FT.,TO AN IRON PIPE,THENCE S89°36�50�E 149.34 TOANIRON PIPE AND THE 1Mm POINT OF BEGINNING,THENCE NO°I5��34 E 230.78 FT.,THENCE N17°27�30��E 66.00FT.,THENCE S72°32'30��E 111.87 FT.� m°D THENCE NI°43�17��W 438.IIFT.,THENCE S89'31�37��E 66.04�FT.,THENCE SI°43�f7��E 100.07FT.,THENCE S89°31�37��E Im SOUTH LINE OF SECTION 36 � � 293.33�FT. THENCE S6°55�03'�W 100.63FT.,THENCE SI°22�08��E 100.04 FT.,THENCE S4°37�21��E49.SIFT., THENCE o j N 0 49�30��E / S 17°24�41��E 156.50FT.,THENCE N89°3fi SO��W 313.99FT.,THENCE SO°51�28"W 200.00FT.,THENCE N89°36�SO��W 'a 6i0.12� 200.89 FT.,TO THE POiNT OF BEGINNING. W Im Q THAT I HAVE MA�E SUCH SURVEY UNDER THE DIRECTION OF CORNELUIS WESTERHOFF OWNER OF SAID LAND AND o�v / O � THIS MAP ISA CORRECT REPRESENTATION OF THE LAND SURVEYED. - =� : NO°15�34��E s� THAT 1 HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 2360F THE WISCONSIN STATUTES ANDTHE rn sOp� � SUBDIVISION REGULATIONS OF THE TOWNSHIP OF HAYWARD,IN SURVEYING DIVIDING AND MAPPING THE SAME. 0 9 230.78 � THE ABOVE DESCRIPTION ALSO INCLUDES ALLTHE LAND LYING BETWEEN THE MEANOER LINE ANDTHE HIGH WATER Oo A ro O>, 0� 0 90� N1JO?�. MARK OF CH�EF IAKE BETWEEN THE PARCEL LINES EXTENDED. � �/� ,� / � N d6�, q°� -'q i. 3/ p 3p F dzt�G(��. �t-G(� . �6 ^'Ni m� "�� LADD D GOULD RLS NO S 1171 q ^<v � / �n m I DATED THIS 13TH DAY OF AUGUST 1976 ° � THIS CERTIFIED SURVEY MAP SUPERSEDES CERTIFIED m 0_88AC y � � pq0�3 w o — �0 y 10 N i°43�17��W , SURVEv MAP NO 792 VOLUME 4 PAGE 235 SAWYER COUNTY ; N / / 438.11� 8To4g'20�� M a REGISTER. SCALE � \0 O� 0?`� DEDICATED FOR ROAD �n � � 9Z����40� o� � 0 50 100 io 0,�,0 ���/ �`L g 1°4 3�1 7��E ro F E E T "� O N • IRON PIPE IN PLACE 0 9 127.53� P �72.47� 100.07� 100.07� °i � —R PRIVATE ROAD m �00.07� 9 z I� S O°5 1�2 8��W � � E A S E M E N T ? ���i� O I'�X30��IRON PIPE SET � 4 --•� �—�200.00�0�� rmr> 5 0°51�28��W '� � m � �°�' 149.36� 49150� °'� `� C D /o �' CURVE RADIUS CHORD BEARING CENTRAL ANGLE CHORD LENGTH m z 0.73AC 0.75AC ' m W - ------- � � A-B 176.27� N53°00�24��W 39°08�16�� 118.08� w . M g � Q 3 3 w a . ��, �� 3 0_9 6 A C -r„ o =r- M N M M o� v � � - 00 M NQ M u'� "' v°oi� ro � o m "' M� .Jlcr� n � G+'� ��SGOI�/S�� M � �9 QO N F- m N . OD N �� � N �I a O o � {�4. `o " O� N c�° z > Z \'h Z u� m `��° n � ✓ ;}°•� LADD.D. �,� �3 a �' ro F� � o�'o �'. ... v p ~ GOULD 9 �O i� O Z , c�� a \0'�i c�� '_ � Q o �"' ' S-1171 � oi � 6 u _ •� $I°22�08��E S6°55�0 ° � " �� HAYWARD r � \ �`� S4°37�21��E 3'�W W � .� � a �° °> e �y° � 49.51� 100.04� � 100.63r� ' � v ° {1 .,`3 W�S. , m��� o S��o24 5�/ RI v�il QI r�nl �= e� " � ��C`4��'`'.'.ox-rsts��0� --'`-� L o � , �\56� _ � — — — � _ y 3 � q.� �t �c Z� SUR�E o �t �`o� v �I � --- — - - - -- e" �°n a" In L/i3/7� { �Z�z-a � � � I ` CHIEF IAKE ����Q� � O o 0 0 � � 9 POLARIS �. v V Z .�u���.�, C'n 7-�-v-.� cr_o�... . ❑ a a s � a a . J � , � Repieta'S OfflCa � Sa'rYer Cotmry }ss / � Hec v�rowra m�s_(L__,�ay et WARRANTY DEED �o�s,`�' ac cz�`��o'cwct � M and recorded as /s/D � �WAB ( �s�� � � Depury � Document No. "�6 2�S 1 Return to:�� THOMAS R.JICHA and LINDA D.JICHA,husband and wife, "GRANTOR", CONVEYS AND WARRANTS TO JAMES O.EVENSTAD and JANET M. EVENSTAD, husband and wife as joint tenants, not residents of the State of Wisconsin, "GRANTEE", the following described real estate in Sawyer County, State of Wisconsin: Tax Parcel No. 010-840-36 5413 'That part of Government Lot Four(4), Section Thirty-six(36), Township Forty(40) North, Range Eight(8)West, Sawyer County,Wisconsin more particularly described at Lot D on Volume Four(4)of Certi�ed Survey Maps,Page 236 as Survey number 793. This is not homestead property. Exception to warranties: Subject to easements,exceptions, restrictions, and reservations of record. Dated this 28�' d f , 1 T �seal> TRANSFER *1'H AS R.JICH $ 5 � ��� � � FEE ..� (seal) *LINDA D.JICHA STATE OF���T�vn{t.�1`n,) )ss. ���.c2 v�.l� COUNTY) Person�lly cam efore me this 2�c day of���, 1997 the above name orn.+s Q. -�•'C�a ,a—tiP �.'nd�_ O J.•��� to me known to be the person(s)who executed the foregoing instrument a owle e t e same. ��-�� (/ ��.�r,u,-�u- Notary Public, My commission: ����ROPUEIVSKE� � Y PUBUC MIP�IESOTA THIS INSCRUMENT WAS DRAFTED BY ����+ES OF3FOp� Michael A. Kelsey Attorney at Law State Bar No. 01013300 ( rieqiater'c ance � � Sa'e'Yer Counry }ss /, � Rec ved ta rocord Ct�hi�s�(.(� ay ef WARRANTY DEED ( �—A D 19,t1_a� , u��cwck M aM recorded az v � o,n p�pe � � ReyiSlu � oeu�n ( Document No. '-` `�s 2�s 1 Return to:�� , THOMAS R. JICHA and LINDA D. JICHA, husband and wife, "GRANTOR", CONVEYS AND WARRANTS TO JAMES O. EVENSTAD and JANET M. EVENSTAD, husband and wife as joint tenants, not residents of the State of Wisconsin. "GRANTEE", the following described real estate in Sawyer County, State of Wisconsin: Tax Parcel No. 010-840-36 5413 ' That part of Government Lot Four (4), Section Thirty-six (36), Township Forty (40) North, Range Eight (8) West, Sawyer County, Wisconsin more particularly described at Lot D on Volume Four (4) of Certifed Survey Maps, Page 236 as Survey number 793. This is not homestead property. Exception to warranties: Subject to easements, exceptions, restrictions, and reservations of record. Dated this 2$� d f , 1 , (sea�) �pNSFER * TH AS R. JICH $ 5 � ���� � /� � FEE �L�.�.-� (Seal) " LINDA D. JICHA STATE OF���?-f�v,�{�`n,) )ss. �5�� COUNTY ) Person�lly cam efore me this 25c day of , 1997 th,�e apbove name pIr,�v`ri //. .l••C�a /�"`�^ ��n[t��� � J.'G+k to me known to be the person(s) who executed the foregoing instrument ��aSd a�ki►oLwl.eSlg,e t e same. �K � �` NOtary PubliC, �q-�y-TKROPUENSKE My commission: �Y PUBUC � • MIP:�fFSOTA THLS INSCRUMENT WAS DRAFfED BY ����S OF3W0� Michael A. Kelsey Attorney at Law State Bar No. 01013300 VOL 610 PG 2 5 4 _ _. . nFe•�Dnv�T • 287166 BXISTING SEPTIC SYSTEM ONE AND TWO FAMILY Document Number Register ur„-- 'r ;c Sawyer County /� dy Of Feceived for record this oCf k IF THE EXISTINC SOIL A6SORPTION AREA DOGS MGE'I' THL QCT �+ D zCDo at MINIMUM REQUIREMENTS FOR CROUND WATER AND BEDROCK �Mancrecordedasvol. DEPTHS AND IF IT IS FUNCTIONING, AN ADDITION TO OR �cor =�npag:a ' REPLACEMENT OF A HABITABLE STRUCTURG CAN BE MADE IN �"1`l'--- , qegister MOST INSTANCES WITHOUT UPDATING THL SOIL ABSORPTfON AREA. IF THE EXISTING SOIL ABSORPTION AREA IS liT1LIZED FOR �e�"N THE ADDITION, EVERY ATTEMPT SHOULD BE MADE TO LOCATE �/�-� AND RESERVE AN AREA WHICH IS SUITABLE FOR A CODE COMPLYING REPLACEMENT AREA FOR WHEN THE Sl'STEM PAILS. IF THE ADDITION WILL SUBSTANTIALLY INCREASE TFIE WASTEWATER DISCHARGE, THE EXISTING SYSTEM WILL E3E REPLACED W1TH A CODE COMPLYING PRIVATE SEWAGE DISPOSAL �'`�n SYSTEM. KCiUitN TO: Srwycr County Zoning Administration 010-840-36 5413 P. O. Boz 668 Parcel Identification Number H�yward, WI 54843 _ Owncr(s): Jim Evenstad _ _ MailingAddress: 174 Juniper Street Mahtomedi , MN 55115 _ Properrydescrip�ion: Government Lot (4), Section ( 36) Towi�sfii�i (40�K'"`Rarige ( 8 )W_ Sawye� ,�ouaty�. ,-W#seons3a . ���_D.oA �Jala�e--�4)--of Certified urvey aps , age as urvey o. planto (�) (We) O Add bedrooms on to an ezisting dwclling; O Add bedrooms on to an ezisting mobile home (x) Replace an ezisting dwelling with a new dwelling/mobile home containing 3 bedrooms O Replace an existing mobile home with a new dwclling/mobile home containing bedrooms The present private sewage has been working satisCaclorily as far as disposing of wastes. If Ihe present private sewage systcm does fail, it will be replaced with one tha[ is code complying. /, z.-..�— �r 'tii�/I l �U 7 �� Dare r�.vuf�. /�'I_ � _ 5 /�� i`' -�.- �C� Daie 1 have inspccted �he cxisting privaic sewage system tank(s) and 1 havc delermined that it/thcy mect the requirements of 1LHR 83A55 (3) (g) "Determination on tanks" (i.e., Icakage, condition of baf(les, iank cover, and tank capacity). [ have also determined that the capacity o(tI+E exis�ing �ank(s) is �;-"; gallons and is/are sized for a � bedroom dwelling per current ILHR 83 requirements��,� , � : , ` �_ Master Plumber, M.ister Plumber Restricted Sewer, Septage Pumper , License Number Date Pcrsonally came before me this o��„M++4��q�� o>�'' p,. 8R,4p� '�., 7th �ay o� October , f� 2000 ,�° i,.,••+•'�,,�I'4L�� �, ' f�i�TARy'� : T . Brandt Notary Public -*� �' *= '•,PUS'��C o' ; Sawyer Counry , Wisconsin 'a <� •., ,,•tn ��` �� 'S/�r1 r�.� ..•" �j '`y< My Commission expires 2/24/02 'r,,�e�a�"�,�5i�'!•s� Existing septic system - Sanitary Permit a 1-050 Date system installed 11 May 1981 ZA or A'LA d,« v�L �� � J �►� � o � This instrument was drafted by: � ----�-- � � �R��e \1 'That part of Government Lot Four(4), Section Thirty-six(3�, Township Forty (40) North, Range Eight(8)West, Sawyer County, Wisconsin more particularly described at Lot D on Volume Four(4) of Certi�ed Survey Maps, Page 236 as Survey number 793. VOi. i' �. L) �� Y 0 �