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Home My WebLink About026-939-11-5312-LUP-1994-022 : � �. � Application for Land Use Permit �a y County of Sawyer �� 0 The u d rsigned hereby makes application [or a Land Use Permit and a�rees that �- all w ` + shall be done in compliance wi_th the requirements of. the Sawyer County o Zoning Ordinance and the laws and regulations of the State of Wisconsin. � PRINT - USE BLACK INK OR PENCIL n , �U��=,��:�-�,��.�- f� 1_ . ��.�_I� ;�. �� .�v ��;h ►�; s , Owner �:� Bu�der �. E�� ; � �,- ' �� ? . , �; ,-fi; �- ld t-�v�. 3� d Tv��>�,�-, I�� r, v��U_ Mai ing Address Mailing Address � ` �=c�i.,' � �c7�'v��c'_ 11�r� 'J�'� lC>l L�3U �-id�r�� , ��ft �'�7G �. City, State , Zi City, State , Zip Building Land Use Zone District F�'Z..r � � rt ( ) New ( ) Filling -�e-�,��,�- ii; ` � � d,� �p�� ' �, � (� Addition ( ) Dredging Lot size ��k _ y�, • " ( ) Alteration ( ) Grading .� ( ) Moving On ( ) Acres �- /L� �� ( ) ( ) -_ �� f� New Construction p�}� ;' Size �� ft wide !� ' wide ' wide `' �_ ft long ��- ' long ' long r Floor area ((� L� sq ft �l�..0 sq ft sq ft � ,-�-� � � Total hgt � (� � to peak ' hgt ' hgt x' '? Stories � � . No . of Bedrooms ' ` - � L� �"R� b�`�u"�'S c� � waterline o (year round) or (seasonal) �=-�- — tt � " G rt Type of Bldg , Addition, Use I a o ( ) Dwe 11 in g N .�h' tiU. �• `� ( ) Garage (1 ) (2) car �T �-'• - ( ) Storage Building � ' Y ' `� �� ,; , �• .T ( ) Boathouse ° °E`'k •,� �� o ( ) Livingroom t�;--, ' \ � , -i,z � �" ( ) Bedroom ' ,:; , - �� ( j Kitchen-Dining ; 2 • �► � (?�1 Porch (encl_osed) �d) ,D m �� Deck - open - � _ � ( ) � �r' � ,� ,� , ( ) . i �,' Type of Construction � �� C� Frame ( ) Block d- -- ( ) Log ( ) Concrete � F�~ ( ) Pole ( ) Steel ( ) ( ) Pole/Metal � � � ,�p3 � Construction Cost $�(7pp. L;�� i Vol �_ Pg ��0 of Deed CS Vo1 (�� Pg ;�� -�7� b '� w � n Cer . Soil Test �� - �G�`�'_ � t1q �'v `_ � ', t--� � Sanitary Permit �3 � �2/.✓i __________ �L road ----=--------- z - 0 . � q-1ll�l�i E��P '�; 7d Issued 15 March 1994 � �� -�- `��'' � � —�' , , � � , - ,; �' � � '<��/�_4� �.�,.� �-`�� -��r� � Owner Zoning Adminis ra r �� --�-�=%�'S'°�1,;, . i� ��t1 ,-y i��:, � �- • ��€T' �1�'�• _ :_-�i � `�;�-.��-�`4�1�-� � �c� 1--��(.✓' ��l�I L� � Y�'� V�/ a—�� 1 C..�/ J �� /'i�h'^ � ,� �'�,{.��'yL, � ,�j`�;�� L�%%�1�,,�z�C'. C_ ��;��-�% '��--��.L� .�v� � ,_`.%7� ,; ,, � �'" � -�n � �/ CJ.�� i: � . /�� f'�- (�G'L��' �?� L�J ��'�� r,�cG� �"�'�" '' < �>�� _ - <z�/ � � ' % / " ' � �` ��tt� ► 7 �j('��4{�-�y-i' �� l..n..�� .�. � , � ��.%" -k..,, _ . t! i I t . 'I,I:' �� . .. . __...,. I 1 ��i; MAR � � f .:�� r •�� 994 �, �_.�:.V�_.-- _ _ __._..___ _.. SA1�'Y"tR Cv+;'�i Y .Inc�.:(K Z�NING ADMIiV1STRRTt��! � '� �� z y �� : .. i I � `� ,� ' „•,t O�F: . i S� � ��_ L A K E _. - _ _. , . . � . ..4 � � =C ;� �_ t-- TV�/P 39N. R . 9 W � � f-- - -�-- � � ; : - 2 COURT OREIL� ES � A �'�E :1.4 � \ :2.� � �� ;2 4 :2.b :2$ �2.9 :Z.12 :3.16 :3.12 :322 ;3.Zo � �. :2 ? � _ _, '3Jt � .,ey i 7 yb� i ft i�� '2.13 �2. .�.z3 . � . _ � :3.19 �- � _ _ - � ,� :3.14 :321 , ` / � � `� � :2.10 , .N � t � I � r. .3.i3 � � 3 f 0 � 2 '?.2 ;2.5 � � �3.Z �3.$ :3.9 � I I :3.18 I � :3.is :3.ir � ' :z.�� r�� .3.�0 'I.3 . :3.� :3.7 :1.2 I •3.� '3•S / '2.1 ;3¢ / O i :a.3 :3.2 / � � :4.4 � , :5.I :4.I O :4.2 ;6.2 :5.2 ` :4.3 ..�� 'l - ._-r-r-. H,•pi^i,•r s O(ficr 1 � � � 1 � 0 � �,. �-� :;��v:;. t c:,��:Iy , , kc,�_i:�.1 I;.r ;�_ccr! th�, � day o[ \ ` �'s'=,1 �. �.�L� t�� A U 19 7 et � o'clock ��\ _� �' un�i rccc,�ded in vcl � ofl._1:1�__�cc_LL�on pa�•: �t_y__�,� I'- � r�_C.'Lct �,_�Fl.-4'L 17___— � � RCCJISIC[ ------ --- _ ------ - ----D�pury- O�E\��5 C�V �� E � LAG � N � ,�� v ^---�� N N,��49~ 33 �6 5g y� . -N y�S5,oo�� 6\.6�.0�h` � 6�i �\9.2�:� �16.�i0� ti � o � 5 �� b ti � 1- �" _/'�� J,'l� o p m � 6� � o nl w � y9 �(fl` ' \ � p .T '�n � �,� � � � � ' `" U U � � ``'`' \ .. Y ^o�0 5.8o•pZ,�2„� � ,wj� I . � �h� ti h Roqp E,qSEMEtO�-O 104° 39� �15�� c�1 � � �- F- � � (, �tiq N � p 0 �� a�i� � N � "`= �! #� 1 v �K 2 L �3 f' 1- -.�r, s�' j j � � l� C� 3�v 3 � ' � = M��3 - I - � . � � � � e �- s • I : � ° am 0 ; a,� �'� ,y ,30 :`� o�o� Z ,� . 85` i6' 3j�. �� 160.�O °�� 269.5-I . i�1.89` 58 30" W. 5��.5� Oo,B. + 2�6.SL4 O O r, C.T. H. ,.E.. � — 6� � O � � • � O 0 � z �� f y CORNER N. 39- ,,��,�.�.. SCAL� : 1�� _ \00 FEET .� � � C'j�,' ., `,.� ti.. Sf�,., � IF�OtV P\PE IN PLACE ' ASSUMED � 5 ,� `�- •S�AN ON " I a x 3 0" E�E6Ac� P LACEQ = `� s-iaaa �= x:�r�;�. - z �- � . :�,`�� qo,,,��. . '�•,Q' Sury e,.�` ��N��ti��,� � �� Pa�e 1 of 2 pages 8'�¢��d X�.��/, �' I �-1- ��,��-� Certill�d Survep N / '? `z`-�� - . �t►�tt GA�-• . • � .�.-� •!!.�! f�.� G ` � � U r ; , I , Robert F,. . Swanson� b�Jisconsin Registered I,and Surveyor, do hereby certify under the provisions of Chapter 236. 34 of the Wisconsin Statutes, and under the direction of Myrtle and Clarence Metcal�, owners of said land, I have surveyed� divided, and mapped the land herein described and that said land lies in Gov't Lot ,/three (3) , Section eleven (11 ) , Township thirty nine (39) North, Range nine (9) , West, Town of Sand Lake , Sawyer County, Wisconsin described as follows: Commencin� at the 4 corner betwe:�n Sections 11 and 12-39-9= thence North 3 09' West along the east line of the Section 292.70 feet to a point on the north R.O.UJ. line of C.T.H. "E" s Thence North 89°58. 5' laest along the north R.O .W. line of C. T.H. "E" 216.54 feet to the iron pipe which is the point-of-beginning. Thence North 89°58. 5' vaest along the north R.O .L�J . line of C.T.�I. "E" 519• 57 feet to an iron pipe Thence North 0°18 � 11" b9est 399• 93 feet to a rebar located on the meander line of Lake Court Oreilles - said rebar lies 20. 64 feet from the water' s edge � Thence I�iorth 84°�5'00" East along the meander line of Lake Court Oreilles 161 . 67 feet to a rebar located 26 feet from the water' s edge. Thence North 78°49��33�� East along the meander line of Lake Court Orilles 182• 39 feet to an iron pipe located 22 feet from the water' s edge. Thence South 4°35 ' 09" East 153• 92 feet to an iron pipe Thence South 80°02 ' 12" East 149.�0 feet to an iron pipe Thence South 4°41 � 57'� East 271. 5� feet to the iron pipe which is the P.O.B. Said land is to include all the land lying between the meander line and the water' s edge between the parcel lines extended. Said parcel is subject to the joint use of the 30 foot drive- way extending north from C .T.H. "E" and is also subject to the joint use of the 50 foot driveway on the north edge of the Channel. Said parcel is subject to easements and reservations of record . ,��,,��,��,,,, ``,,,.��5C OIVS f��, . � . ROBER'I' R " �� e�N �= _ x�►y��n - z wrs. r '�� : 0 tiw�'',,� Surveq``.�• Page 2 ^��Er�►,�� r+�«.c.•ti �-/9�-7rl � � !� wisconsin � APPLICATION FOR SANITARY PERMIT . � W � DILHR SAWYER C-�UNTY� N (PLB 67) o �� oewaa�rnenrov UNIFORM SANITARY PERMI-i# �-' O If10115TRV,LRBOR 6 NUTlifl RELRTIOf15 C S T 8 3- 16 9 4 5 4 5 4 ' - —Attach complete plans in accord with s. H 63.05, Wis. Adm. Code f.or the system, on paper not less than 8Yzx 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS � �� C'Cr�'r��r c��. �`7al PRO ER Y LOCATION Cffi1': .oF��.I.o'r3�4. S 1� . T , N, R �(or) W To�w oF �W�.1D LwK�._. LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAi� I.D. NUMBER �• � � 4D£2 A � W " �.� TYPE OF BUILDING OR USE SERVED � 1 or 2 Family Number of Bedro�ms: �, i� Public (Specify): THIS PERMIT IS FOR A: � New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. � Seepaye Bed ❑ Seepage Trench U Seepa�e Pit ❑ Holdiny Tank ❑ 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 Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity 7 I x Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: �, IF T�IIS IS AN ALTERNATIVE SYSTEfJI COMPLETE THIS BLOCK: ❑ Mound [� In-Ground Pressure Total =of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �/ATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ��t 2, � Private ❑ Joint ❑ Public 1,the undersigned, hereby assume responsibii' ' stallation of the private sewage system shown on the attached plans. � Name of Plumber (Pr nt): Si ,� MP/MTPR3tlo`No.: Phone Number: � ; �t�. �� C`� . �.. , �74- �7>5 ��;F-�d7� Plumber's Address: f De�ner: t-'� � �� 1� '�' �� . COUNTY/DEPARTMENT USE ONLY Sign e of Issuing Agent: Fee: Date: ❑ Disapproved �7� . Q� 10- 6-8 3 '� Approve� � Owner Given Initial Adverse Determination Reason for Dis oval: Alternate coursels)of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing,Owner, Plumber DEP4RTMENT OF INDUSTRY, INSPECTION REPORT F _ s,aFETv& sui�oirv�s LABOR& Hl1MAN RELATIONS pRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,�JI 53707 ❑CONVENTIONAL ❑ALTERNATIVE StatePlanl.�.Number: (11 assigned) ❑Holding Tank ❑ In-Ground Pressure ❑Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER�. . INSPECTION DA7E�. I�(1 Q,Ye� �-.. D �e,c� 3JY �',c�.�f�e,�� -�U �A ��Qirz � � / () - / U - ��3 BENCH MAR Permanent relerence Domil DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT..ELEV.�. Nameof Plumber. MP/MPRSW No.�. Couniv Sannary Permi�Numben R�b�� . �0..�C�.r � �7 �� S Ct��,� �,r $ 3 — oZ0 � SEPTIC TANK/HOLDIMG TANK: MANUFACTUREF: LIOUID CAPACITY�. TANK WI.ET ELEV.. TANK OU7LET ELEV.. WARNING LABEL LOCKING COVER /� p� / �ROVIDED�. PFOVIDED-. ��(' 1 � �L-� � � O �p • � 7d ' f� YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.� VFNT MATL.. HIGH WATER NUMBER OF ROAD: PROPERTV WELL�. BUILDING�. �VENT TO FFESH ALARM FEET FROM LINE. AIR INLET� ❑YES ❑NO t` ❑YES ❑NO NEAREST 7 �'S DOSING CHAMBER: IMANUFACTURER: BEDDING. U�UIDCAPAGTv PUMPMODEL PUMP/SIPHONMANUiACTUREH WARNINGLABEL LOCKINGCOVER PFOVIOED�. PROVIDE�D� ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO �ALLONS PER CYCLE: aunnP nNo corvrao�s oPeRnrioNA� NUMBER OF PHnPENTV WE�L BUILDING I VENT TO FRESN �DIFFERENCE BETWEEN FEET FROM ��"E AiR iN�ET PUMP ON AND OFF) ❑YES L�NO NEAREST—� SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing �t Ncni uinnne,E�+ h�nrEHini nNo nnaNKirvc or excavation. (1f soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH lEN(CTH NO.OF pISTR PIPE SPl�CIN(; COVEH �NSIUE f)Il� �1PITS LI�UID BED/TRENCH � TRENCHE$ Ml]Ia N�n� P�T DEPTH DIMENSIJNS � !f �- � � � j7"d'c,l_,� GRAVEI DEPTH FILL DEPTH UISTH PIPF DISTR.PIPE DISTR.P�PE MATERIAL�. NO DISTR NUMBER OF PROPERTV WELL BUILDING�. VENT TO FRESH BELOW PIPES� ABOVE COVER ELEV.INLET ELEV.END. PIPE LINE�. AIR INLET�. FEET FROM �� g`� ,3 , Z � O �4 NEAREST—� �`S—O MOUND SYSTEM: Mo�nd 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 REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER TEICTURE PEHMANENT MA4iKEP5. OE3SEHVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TFENCNlBED DEPTH OVEHIRENCH;BED UEPTH OFTOPSOIL SUUUtU SEEDFD MULCMED CENTEF EDGES ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH ""orH LENGTH TRENCHES LATERAL SPACING GHAVEL UEPTH HELOW PIPF FILL DEPTH ABOVE COVER DIMENSIONS � MANIFOLD PUMP MANIFOLD DISTR.PIPE MAMFOLD MATEHIAL NO DISTH. DISTR.PIPE OISTF?IBUTION PIPE MATERIAL&MARXING � � - ELEV.. �ELEV.. DIA. ELEV.� PIPES DIA.: ELEVATION AND DISTRIBU710N INFORMATION "o�e size IiOLE SPACING �RILLED CORfiECTLY COVEH MATENIAL VEATICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PENMANENT MARKERS: OBStHVATIC)N WELLti � NUMBER OF PROPEHTY WELL: BUILDING: FEET FROM ��NE ❑YES ❑NO ❑YES ❑NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE� TITLE DILHR SBD 6710 (R ^' '�2) �_�;(�C�c-CY ��'� ` Q.o'Lt._ 4 • \. ��G �c:ut2�'`c' C�IZ�i iJl.c_`_� � . 115� �7' ' - � �`�ra rzc�iz�.-�- I�� tJ r�c_h�.2 �o' i��K J� L�1 W m � $ U � � 24' I�o' �--"15o G�az. 5'T I,✓v�,C. �J O� � !D�.ad•G �-�U � i _ �_ _' nJ � I � � � � I � � � �{- � N I � I ID i I ��i 4`�� W y � l—' `�O-C�C> � e.z �� . ..� .,