HomeMy WebLinkAbout024-741-33-5310-LUP-1994-483 Application for Land Use Permit �
County of Sawyer � '
0g
The undersigned hereby makes application Lor a Land Use Permit and agrees thal ;3
all work shall Ue done in comptiance wilh the requirements of the Sawyer CounCy o
Zoning Ordinance and the laws and regul.ations of the State of Wisconsin. 11
PRINT - USE BLACK INK OR PENCIL /
�j
�
�
r
�J �
/ ` 0
� �z��r� � � �_� ,�' l� rv� d�_
Owner Builder
_c�-� �� � �SC� �-_ .�_� �-
Mai i� Address Mailing Address �
���vu�:i�_�� �� S��� �� �
City", State , Zip City, State , Zip
o �
Building Land Use Zone District �� - � �t
(� New ( ) Filling .-. �o
( ) Addition ( ) Dredging Lot size � '�
( ) Alteration ( ) Grading
( ) Moving On ( ) llcres � , 7 � �
( ) �?� ( ) ( ��
r r-
;: 4::� i.X- �-
New Construction �����! !'� �
S_�`,���' � � �•,� C� r�
c �
Size �_ ft wide � �� _'�' wide ' wide �J
(�� f t long � � , � ' lon ' lon � �
-� `7 g g r^
Floor area ��> ' sq ft���� � � sq ft sq ft �
�
Total hgt � to peak _� ' hgt ' hgt � x'
Stories � _�
No . of Bedrooms �--, waterline o
(year round) or (seasonal) �-���a��c.t- Lf�-� �„ ��-"r
C`7�u L s�K� ) �' c
Type of Bldg , Addition, Use a o
( ) Dwellin � " f' rt
�( Garage;- 1 ) , 2 ' car / �•
�( Stora e '��n ��� � m
` > g g �1 ; �, o• !�
( `) Boathouse - �y j � �� � �
( ) Livingroom ' �
( ) Bedroom � � 21 ���'
( ) Kitcheti-Dining Sf,' ��e _�,
( ) Porch (enclosed) (roofed) ` — �
( ) Deck - open y
� � �� � �' � � 1 r�,�
� ) - -- � D� i �a
� � �
Type of Construction , , ��o�t
(� Frame ( ) F31ock � �� � I
( ) Log ( ) Concrete 3p� , � r���
( ) Pole ( ) Steel_ � ?O �'`'
( ) ( ) Pole/Meta1 � �
���_ P'2av�� --R� w �
Construction Cost $L� Gr �[� - c�r�2 � _ 1 �..�,�' _ �.
4,coo. sZ' 6�c \ , ' ; ��
Vol �(,�1, Pg z� `! � of Deed `� `ot ioS „
��
CS Vol � l� Pg j ) ' ��
-� /� , ro �
<,-�,` 'i� p�
rt
Cer . Soil Test � � - I�-i , ���o �
�
Sanitary Permit ��j - �-�`-' �L road -------------- z
0
���� S� �� F 0� � �-l�f?-NO��.� S i��rZ� `� �'C ��j�� ' �
SN°�D; �3�U�U 9N���- • . �,
Issued 27 October 1994 Denied v
� � J
.� � r�/� � -� � �
, Owner Zoning Administra or
J .
�
6
CALLAHAN LAKE :3.3
9
tS i.4o
6 l o :3.6
�.�.q :3.8 :3� 7 .71
:�.lo ���4 =3.2
.69 ,fv�� � � �3.5
'3.( . 88
1.21 , .
8 �.�� r� .
O �4.7
1 � ��
� � � � � � �
_
� � � � � � . �.5� CALL
,,.-n L
I 2 3 4 5 27 ,.s'
:4.s
i.00 2 8 2 9 �
1.87 I.72 I.6 9 I.63 I. `� —• •�. �l
. es V :4.Io I 3
1.54
I 4 I.`
� ' :4 � :9�
25 24 26 O 2.13 2.�7 �
�4 4 � 30 :Q.2
� I
4.9 I 2.78
23 22 2 I 20
�4 6 :4.3
4.91 5.05 2.71 2. 16 1 .85 1.91
S. I/4
��� � � � i "_ � nn '
SAWYER COUNTY CERTIr=ICD SURVEY h1F�F-� rJUMBER
F'�rt c�f G��VE'Y'Y�filf'Yit L�_�t�.> ,; �; 4, Sect i�_�r� ��, 1��wr,st-i i p 4 1 N�=�r t t�,
\ Rar�ge 7 West , Sawyer, C�=��r�t y, W i sc��r�s i r,.
r�\ �c q,yQ �j��
�� ��� � // \� LEGEND
�
��9 2 _� � �j � 1 " r. ��1i�� i r.,=,�� P i p e
\\ �, \\ �_// I � / � s�t , r�iin. wt .
// / 1 . b� i b�. /ft _
\ /p / O' l 1��F" i r,�_�r� p i p e
i /
s°�s 3' °'_ / � / o f�_��_i r�d
°°F� � �/ Bo�_indary �_�f parcel
�����__� s�_�r�veyed = ��
s
�z4, �
�
� -
ioo.00� Ir�_ie bear�lnrlss referer�c_�d
-r-�—
N N82°38 �� E t,_, tr,�-� �:�,:,�_�i:h i � ,.�� ,_� r t ,�:.�
U
^' ::�W 1 /4 �f Scct i�_�r� ?,;',,
�
� N wr,i�-r, �F_�<_�.r,�: r� ��°�`� �e�� w
�
p N
cD w -I-his in�tr�_�rnE:nt drarted
o �
D o o ��y n�,�-��; F. l-1 �_��ty.
� �
J �
� �
c� cn D
Z � �
'� tn � G
o R; o � 56.85� � � � <
N s�� � 95.0 O g?� o ITI
n �
� p� \ 100.02� — N O �
a_� o PR V��oos o W —_ c
q E ��„� w m v, z =
� o �' �
� � g � �°' � �S_�31291'W - {
� - � � D. 8� AQ�p—�1Q ui N (� pN
61 23 �� . IN �'_ Z (�
W � _� � Z \
r` Q��� � 8�.>� \/ t00A2� N G� �
��� o G.L.3 1/ � � D
---- -- GL. 4 -- Z — -- N li p
3 0
� N Z �' Z �
� __ p Cn
-� O
p N A T
� �; O
� �
ooD � �� D w �WD 4 �-� -o a
� o� �o � �, - v Z
o � o �1 W �
O N O � U' w cJ,N
�Nr�n `� �� � N ooc� � oo � � � �
�Q N�' rn m R�
� p -� � o r NN o �,� m o ,
�mrrD �, w �� �. r�o r po �— ,
N pf�mOm'{ N +t � �1-{ N TT �
* �� T'T1
o $ x � ,. W -�-{ -P
M M
n, ?' _ M „� � x
m�niv � .r .
� �OopD _
m�NN � �_ � (D
�tl A n _�
w�m0 � �, � ,.�
W �.� � l
= _ _ - m _ _ '�., - \ "�- � ' .C!
�D � � � ti�� � V �
: _ =goD£ � - ��
_ g� � .a
� Z
m
100.00�
G� n
p f7
POA�3 O ��
SCALE ^S�go o iac,.00' S 82038�����W 400.00,
l"=100� �
w
o� mmn —�
�,��N� � � T07AL AREA �
'Yi o 0 or D z ti� TOTAL AREA EXCLUDING �-�- � ' /�� ��
NNUp� o o ROAD AREA � �_r����---- �
------ ------- --•-
, wQ;wr UN I�.���ici E. l�lu�ty /"
m�4Ea g.-0 f:�•i; i st E:,red L�ir�d SuT��'e}��,�. .
Sw' �ORNER `�' ' - - '
i i GOV T. LOT 4 w`t� ���•� �-';;�_I.
FOUND R.R. SPIKE
�;.�.
N B9°22�D0"W 1333.31' •� • - .
�•
--- r.� (�'�1;� , • '
., c ;t ,
:. ��.� j
SouTN OUaRTER CORNER � � '' '
SECTION 33,T.41 N.. R.7W. � 1 �< �'� � � '•
FOUND BRA99 CAPPED MONUMENT � • -
�� �+ / •�.`Cj' l',i:�. • .
Cc�`i�:;o� .�LL'TtTP' �'� � , PAGE I OF 2 ;`� ' _ �.,.
--+w.1..r.�. �, �l . �,, i " --� . L
, ;l ',., , ' . .
y
I, Dav i d E. T 1 ust y, Reg i st ered Land Surveyor-, d�� her�eby
certify that, under the directian of S. J. Boder�schat� and
Chester A. Rancler�, Sr. , owners, I have made the foi lowing sur�vey
of part of Gc�ver,nment Lots 3 & 4; Sect ion 33, Townsh i p 41 N��r�th,
Range 7 West, Sawyer Count y, W i scor�s i n, mor,e par�t i cu 1 ar 1 y
descr�i bed as fo 1 1 aws :
C��mmenc i r�g at t h e Sout h Q�aart er Corr�er of sa i d Sect i or� 33,
thence N 89 �2' S8" W, along the S�,uth 1 ine of Gover�nmer�t Lot 4,
1..SJJ. 31 ' ; thence N 7 �1 ' S�" W, alang the West 1 ine of G�verr�ment
Lc�ts 3 & 4, 1�15. �0' to the poir�t af real beginnirrg ; then�e
car�t i n�_�i ng N 7 �1 ' S�" W, 8�6. 9�' t o a n�eander corner, wh i ch i s 41 '
mor,e c�r- 1 ess f r��m t he ��r,d i r�ar,y h i gh wat er mark ��f Ca 1 I ahan Lake;
ther�ce S 64 �1 ' S0" E, along a mear�der 1 ir�e of Cal lahan Lake,
357. 71 ' ; thence N 8�: 36' 1�" E, c��r�t ir�uing along said r��eander,
line, 1��. �c��' to a meander c��rner at the end c�f said meander line
wh i ch' i s 1�0' m_�re or 1 ess frnrn t he ard i nary h i gh wat er rnar�k of
Cal lahar� Lake; ther�ce S 7 �1' S0" E, 6,.:,c. @8� ; thence S 8� �8' 10"
W, 4��. ��.'�' to the p_�ir�t c�f T,eaT begir�r�ing, ir,cl�_idir�g all lar,d
lyir�g betweer� the described mear�der lir�e ar�d the ordir�ary high
water rnark of Cal lahan Lake, betweeri the par�cel 1 ir�es extended.
Sa i d par-ce 1 be i r�g s�_ib�ect t o except i or�s, reser,vat i��r�s,
. easemer�t s ar�d r,est r�i ct i��r�s, i f ar�y, i n �_�se or af rec�=�r�d.
I f�_trther, cer,tify that I have s�_�rveyed the abc�ve descr�ibed
par�cel �cc��rdir�g t�� c�fficial r,ec��rds and Chapter, �.:,6. �4 c�f the
r�evised stat�_�tes c�f the State uf Wiscrr�sir�; that the acc��mpar,ying
map is a tr,�_ie ar�d c��rrect repr,eser�tat i��r� af the exterior
bni_tridat,ies af the p�r�cel s�_�r,veyed ; that n�� er�craachmer�ts by
ad�acer�t pr-oper,ty nWr�er,s appear frc�r�i said s�_irvey, ar�d that this
s�_tr�vey is c��r,rect ta the best of my kr�awiedge ar�d bel ief.
, � �
Jan�_iar,y �, 19L�:��-C-���� � /�C
, ------------------------ --
David E. T1�_�sty
Reg i st ered Lar�d S�_�rve �r,
N1757 R��bir� R��ad
� Medf��rd, WI 54451
. 4`_•�;;:.�:',;s.���s.
' { �7 Y •'. � . `�,`-J�.J, .I.''�-'� ��_�
! v i��'^j�• �.:�5 �,
`' �.'✓. ' ��'"
•�� �L• p,:.'1'i) �. .
<w r .
Registei s Officc3 ;; 3 1!��' I
c � y _.
Sawyer County � :.i .a 5-��=- .
Rcrcivr.d for r��cord the �/ day oF ,: �i • r�:�yr: , . ,, '
A L 19�_� nl_2 o'r.lxk �y'� +�-,�' ' ^-'^
���,.� r�co�ded in vol._�o _ ���'�%=�, • .....
u[����on payc .�/lp -317 '' . � '�� �,:i 'i'`.,
. L=-�=� F���i:;I..r
Duyuty,
PAGE 2 OF 2
SANITARY PERMIT APPLICATION �� '�W
��ILHR couNn . � '
In accord with ILHR 83.05,Wis.Adm.Code N
_'e".,"""`"..�,._,..o' S aw e r ' ' °°
CST 93-129 STATESANITARYPERMIT# � • O
-Attach complete plans(to the county copy only)for the system,on paper not less than 19 0 3 3 4
8%x 11 inches in size. ❑ Check ff revision to prevlous application
-See reverse side for instructions for completing this application. srATE P�AN i.o.NUMSER
I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. ���j�
PROPE TY OWNER PROPERTY LOCATION ��c�
LT � � G-e %a '/a, S T , N, R E (o
PROPERTY OWNER'S MAILING ADDRESS LOT# � BLOCK#
CITY STATE Z�P CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER �
121I Gf/ �6� / � Z- �� -
(1. TYPE OF BUILDING: Check one ��N � NEAREST ROAD
� � State Owned ❑ VILLAGE�
❑ PUbll(: � or 2 Fam. Dwelling-#of bedrooms� A ELTAX NUMB R(
III. BUILDING USE: (If building rype is public,check all that apply) 0 2 4-7 41-3 3-5 310
1 ❑ ApUCondo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ RestauranUBar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. � New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit# — Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 � Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-fn-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1.GALLONS PEFi DAY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION
Feet Feet
CAPACITY
VII. TANK Site
in allons Total #of Manuiacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION New xistln Gallons Tanks Concrete glass App.
Tanks Tanks structed
Se tic Tank or Holdin Tank �al
Lift Pum Tank/Si hon Chamber
VIII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibiliry for installation of the onsite sewage system shown on the attached plans.
Plu ber's Name(Print): Plumb ' Signature:(No Stam MP/MPR9VM1Qa- Business Phone Number:
TL'L��v �- �j 7/O
lumber's Address(Str et,Ci ,State,Zip Code):
� �
IX. COUNTY/DEPAR M NT USE ONLY '
❑ Disapproved Sanitary Permit Fee(inciudes Groundwater a e gg�e Is ing Agent Signatur (No Stamps)
Surcharge Fee) �
�Approved ❑ Owner Given Initial •
Adverse Determination $15 0 . 0� 10-8-9 3
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(formerly PIb�7)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safery 8 Buildings Division,Owner,Plumber
-wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
�abor and Human Relations INSPECTION REPORT Saw �1r—
Safety and Buildings Division
GENERAL INFORMATION �ATTACH TO PERMIT) Sa��qDP33�f� � �3 - �-��
Permit Holder's Name: '1 ❑ City ❑ Village own o : State Plan ID No.: •
�.-�-L. �''`., U-e r J�K� .
CST BM Elev.: Insp.BM Elev.: BM Description: Parcel Tax No.:
t�� T� s .T _ ��� oz4 -��/-33 -$'3t�
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �-n,,1L _ s � [bo O Benchmark LOc�
Dosing
Aeration Bldg.Sewer
�
Holding St/Ht Inlet ci�,'jZ
TANK SETBACK INFORMATION St/Ht Outlet �6•SS
TANKTO P/L WELL BLDG. ventto ROAD Dt inlet
Air Intake
Septic .{.Z'S" .{-�.S l0 "2..� NA Dt Bottom
Dosing NA Header/Man. c� c.�, 1 �
Aeration NA Dist. Pipe - �(�/ . b0
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift �riction Syetem TDH Ft
h{
Forcemain Length DiB. Dist.To Well
� SOIL ABSORPTION SYSTEM
BED/TRENCH �Nidth � Length � No.Of Trenches PIT No.Of Pits I�side Dia. Liquid Depth
DIMEN I N �a �� � DIMEN I N '
SETBACK
SYSTEMTO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION Type O �, CHAMBER Model tvumber:
System: [�¢C� ^1�10 -}3S -�'SO b� ORUNIT
�ISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia Length Dia. Spaung
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present,etc.)
Plan revision required? ❑ Yes � No l �
Use other side for additional inforrrfation. �� Il �3 ��'`� '—l� $ Z 3 8
SBD-6710(R 05/91) Date Inspector's Signature Cert.No.
p
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: �3 - 2<d �
/
�y,���4��4
1"J� �4�
�4�
`e
� �� ��
/� �
� �
, ,� �
_ ,. _� _
;
; � .
;
____ � � �
_ ��_.:.�_..._.�___..�_� _ ; __ .,
. ,
p � 1 � , �
►s _._. _.�. __ _�..�
yo .��_ � l ' : ; I
_¢----� --�_ t ..._ ._: �
� � � :_ I. ; �
�-_._.--s----�.__._„__.. . _ : __...�
f i , f
�
� .
x � ,
� � � ; � - �� . .: . . . . ,
.,... --� i_.._. �__.
. , ' i
Iµ� ` � , �
�o o ' L �._.. _ ; � � �.
�--
�oo .� f � ; � �
S �'� ` '
� �.._ � _�._ � ....
_{ �
� .
� �� � z � 3 � , �. � j
� ;___ ► -;_____�-�;_..� ..�..!. _ __. __ ;. - � .
i � T----�. , �
5 3 ; � �
, � �� � ; . � , ` t
_ _
� �� � ,_ �.___:�___.��..._ � _ _ . � _ _�
, � , i �� � �
�,ao Z _._, .. __ _.�._ � ,_._. �
� e`+�' i ! i 6 � E
Q�oQ �� ,__.._�_..�._,.-;�..---.-�_.._,� .__..- . .. __ . _ , _ _ 3 :_.,_�
,� � , � ' '
, �
, , � , . . , z �
_�.��� _�i �. . : _ �
, ;
; I ; � i
�. � _.w_� � _ � � _ �_. _�I
, s ;
� �. � � ' (
� ,
�...__��_�� � , ,
. ,
� � ; �
,
i , ; � � � � �
�__ ---3----.� ,._ : _ : . _,.__ ;� _�
�
r_._,.__ ; ��� ;_ r � � ;
` � � t
,_ _i.___�____r _. ._. . .,__..�
_ __n..��.� _ ___�.� � ; , � � � �
.
�� �;.,.. .,�. �...� .. �: _._ ,. �... ..�". . '. ... _ _�,.C.—,._......� .. .. , . . .. .... _ i t
� ' � ; ; F � � . . �� �..� . � } . � (
�
� � --i___�.�. �.�.—....� _ _�.. .;
! € ;
� � � , � ; � ,
i.__.__i___._,..__._1r.�___ , .- � . . . . . . . �; e
, ,.. . ... ._ ._. ...t_.__!
� .. � i
1 t � j ;
_i --�--i-�_ �._-�-- �.._� __. �_�i
.
,
, ,
d ,' I i
__� .,�.�. _�_._._ _ _ _ _ _ __ —�
• : � `� '
° -- ,
� ' �
_.._...�_._. __..�-----i_.__ -- ---. . . _... '_.._,r,.._...� 't
1
= � I __S
���ss 2� 3✓�,� {� �Q `�� ! �
n�n,.-� r�