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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�