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HomeMy WebLinkAbout030-737-14-3301-LUP-1994-137 Application for Land Use Permit County of Sawyer -.;ti,,.,�� � F The undersi�ned hereby rnakes application Eor a Land Use Permit and agrees tha ;� all work shall be done in compliance with the r.equirements of the Sawyer County �� � Zoning Ordinance and the laws and regulations of the State of Wisconsin. �fi PRINT - USE BI.ACK INK OR PENCIL `` � m r• __--, '� n Daniel L. Meyers �' 7"]()V(j�Y - � Owner Builder Q � � �ZV�J J- ��Cti,�(�� �/1C- � Route 1 L.��� �� �d �� �� � � Mailing Address Mailing Address -rJ�.�`(ZGj Exeland WI 54835 � � City, State , Zip City, State , Zip r o Building Land Use Zone District A-1-'� ° � ( ) New ( ) Filling � � ( ) Addition ( ) Dredging Lot size 1287 ' x 1287 ' �' � .. ( ) Alteration ( ) Grading ( ) Moving On ( ) Acres 39 . 55 � (X) Replace ex mob(il.�e home fD with new dwelling � � New Construction � Size �_ ft wide ' wide ' wide d w � �_ ft long ' long ' long �� � Floor area sq ft sq ft sq ft t-� m � Total hgt to peak ' hgt ' hgt � x' Stories � �' No . of Bedrooms �_ i ;rear lot line �.-.�rat�,1„il� o ; (year ro��nd) or (seasonal) ' l -=_,`-` � � cn rt ' G Type of Bldg , Addition, Use w ``�°'� � r OO Dwelling � a o ( ) Garage ( 1 ) (2) car � r• � ( ) Storage Building �- �,, ; ( ) Boathouse /� � ' ( ) Livingroom - ( ) Bedroom ( j Kitchen-Dining o ( ) Porcfl (enclosed) (roofed) o � ( ) Deck - open � ( ) � W ��r ( ) �1 � �;. r--� �n Type of Construction � � � Frame ( ) Block � ( ) Log ( ) Concrete �__ 1��i� ---�. _�..�_.._._ _ F� ( ) Po.le� 1 ( ) Steel } � � ~ (�c) �e �i tt ( ) P o 1 e/Me t a 1 `�� h��-�- N v� ���!�iLE.. ,� � yp� �o � � � Construction Cost $ �(p�0�1p. .�.-__--. ' � ' Vol 332 Pg 61 of Deed (ul� � ---- ' L__,.- CS Vol -------�g-- � � y ' � � Cer . Soil Test ----- `��{ � � � � w Sanitary Permit 71-26101� CL road -------------- ~ V - ------- z ^Engaged in agricultural activities on premises o z �_ _ _ ' � Issued 17 June 1994 Denied �-' � `'�_�'F V(�� Jr32-, � �1�7 � � � -��C.[ �i !����i — d� � Daniel L. Meyers Owner Zoning Administr tor V :� -� -- -- -- �! U, - -- .�...Y. o __.__ _ .__ ______ � ____ --- , ��. 1 � �� � ��— `�,,,, •. ,r -- � .„� �, „� � �0 1=� m � �' _J �- �1 G' T� ` , `• i '�: �4 � � v i �i -�,' �T; �' �I � '� L� � � � _v ' �14w 14 � � � �� � v . r � � �� �-5- Z � � � y ; � � ��. � .V �, � � r i ' �l r`��4:� �;i��w i� �" L. -- �.' - � � � 0 N '� ------- ----- - _ ---------- ----_. - ---- ------- � I � � D � . m •• ' :ia` �... \ � ,�I •t» q I � ,�! 2 _� �w � �f� iu \ V� � L� , � Z � �.�� �� ' ,,.. �.. �;:f �j �,,, �. , / O � ✓`��� / � , a ��� � � , ,< , ,� :a �,�" r � — — — ---— � �`,— _ — -- ---- � � _. — --------- - --- ____------- - ._� r y ' ' • l� � ; . � �: ; ,� �1 ,,� ,,. t �,,� L. r `I� i ' 1 J d r' (4 �, tl �•.14 �14� '� .v, � ��� _`� '��� � '� ��� ,� �> �� /':/: �� �� :�Ct\I ,��� ���� — `� ,�' f � � j,. T�~�� � � �' . ___�� � _ ,-. DOCUMENT NUMBER AFIIDAVI`i' � �� 1 � `J � EXISTING SLY`1�I� .�Y:;�1�LM ONE AND TWO FAMILY . �'�F�.�,C?I'd�w: � If the existing septic system does meet thc miriimum re- S`'"'�- - '��'r^' y F���:,;..._,_ ;:� , ..Y�. 1; d�i b7 quirements for groundwater and bedrock depths and if it ��'�'- is functioning, an addition to or replacement of a hab- -��`-i - '`' �y Ut �Q�� itable structure can be made in most instances without "/- ��� " ' " ' "''`=''�'t•-`-S�=�- updating the existing system. If the existing system ~�f ��� ��'; ' " ?-�?-_ is utilized for the addition, every attempt should be "`"z' "' `�-�'�'-�--A`�-��I:�=�� made to locate and reserve an area which is suitable ��, �:.,,r,._._.._<_.,.-,_..� _ for a code complying replacement system for when the system fails. If the addition will substantially in- crease the wastewater discharge, the existing system I2ETURN TO will be replaced with a code complying private sewage Sawyer County Zoning Admin system. P.O. Box 668 Ha ard WI 54843 owner(s) Daniel L. Meyers Mailing address Route 1 Exeland Wisconsin 54835 Property description SW4 of the SW4 S 14 , T 37N, R 7W. Parcel . 11 . 1 _ QCD Vol 332 Records Pg 61 . 39 . 55 acres . Town of Weirgor . _ 030-737-14-3301 (I) (�) Daniel L. Meyers plan to ( ) Add onto existing dwelling ( ) Add onto existing mobile home ( ) Replace existing dwelling (� Replace existing mobile home with dwelling The present private sewage system has been working satisfactorily as far as disposing of wastes. If the present private sewage sy��L-em does fai7., it will bc replaced with one that is cod� complying. .�yC.c' � / , ' :�� � 1�=�,�_ Daniel L. Meyers date date Personally came before me this � {C �__��-, �, .��•.`•�'-L / _ day of 'ii C�C�� , 19 � =; ��C.;• � ` �_ '� ��-t � �� ����1� i - � � � � �� � ��iC. ' �" uJ� O I �'; " Notary Public � �'•. _ J ✓._ i� � � ��CC� ��� County, Wisconsin �.t My Commission is expires ��" , ! �' Existing septic system - Sanitary Permit 71-26101 Date system installed 02 Sep temb er 1971 �l�,r,�;(,•�� {r� ZA or AZA �� - ��� �� ' date This instrument was drafted by � �� Daniel L. Mevers � �p � � � � , APPLICATION FOR SAtaYER COUNTY - f� y � : Sl�NIY�A.RY PFRI�'IT - AppZication # °� ;� � Dute ' � �� �` 7� - � Fee o f $Zoo 0o reeezved ` , � j ..�f,` � �,� O ' Date Courty CZerk � � � AppZicatian is herebr� made for a Sar�yer County Sanitary N Permit for worh to be done on the premis�s d�seribed herein. . � �R N �rl�y�� , � 1�� �" � � Ou�n Efd ress TeZephone � The �� o f the i� Sec� �____ Tran. %�'J ` R. /"�'/.., o r �T ���' Lot BZock ,Sub--division < <'1 �'�� 6U�1���(� - J/ -- �: G. ��LGZ ws�i ��= �. /� �` � , yJ rk e tem�i ,¢��e ^ o , performed by Number o f Bedrooms "��' Number o f Bathrooms �,� Dish�asher .,�� �� Garbage Grinder �� . � Automatic Washer -� �� �� SoiZ �escription ���,_ ����� ,� �.;- �—=. . Septic T�nk Size qaZ. See�;uge Pit HeiSht L�iameter _ See.page 1 renen _�_ Length �_ t�idth .; a Depth fr,-: '� . � .. T Septic 'lank Perm.it # � �� f;� � << 1 Perco2ation Test Form P�B 43 aztached � Ye� r10 �� ' Contemp�ated completion date. _ ' �,- ?/ AppZication Approved Permit # � (oll� ` �� � ~1 : � �,�i c �} sanitarian �;�-�;*-�.�:�, 1<, `a� `x.'"�`;'T'-� `. � ' �`�. ! t O�ner Agent ilot2 fzea Date-T— Remarks ' i _ Final Inspection ' � Sanitarian �-�'- �/ � �� . <<�-,� O��aer/Agent i�loti,fied (Date) � Remarks �`�3' p��-�✓ '�� � ��-�� � � ,' **�' Ser�d orig�naZ� anc� t"hree copies �i�h . � *� -� ' . fee o f $ZD. 00 to Countz� CZerk � wisoonain D�p�rt4eat of Health and Sooial S�rvioes �Alb. �67 3�70 Division of Health ~ ' � SEPTIC TANK PERMIT APPLICATION ?YPr or U5S BWCK INK �. E�itiiER OF PROPTRTY Nem� Addreas (Str�et, City, Zip Code) � /� � � l.L.,�! �'�. :�.I - ;�<%� . �-'!' , �'J•+G� -M'� ('���. (� �ii. B. LOCATIOlt OF PAOPERTY i1f�RE SYS7'Q'I WILL HE CONSTRUCTSD ALTERED OR EXTENDED COUNTY Cheok Ones ITY VILWGE LEGAL DESCRIPTIO� / ,.�- /�j TO�NSHIP ����� �� ..�<��Y'� ` lC� `� „I�; ,�./ W 4 � � � �,� , C. IS LOCAL PERI�IIT REGUTAED FOR 2HIS WORK? �` YES NO '.) PERNiIT NUMB�R r D. SEPTIC TANK CAPACITY ����� Callons NEW INSTALLATION HTPWCIIgNT ADDITION MATaRIAISs Prefab Conarete Poure�.�� Place Steel / "� Other HU►�EEi OF TANKS ?0 BE INSTALI�:D s � E. 'fYPE OF OCCUPANCY �heak Qne: One or Two Family Residerice __� Coamercial Industrial Othar � Speaify Number oP Peraona to bs Aoco�odated -� N�ber of Bedrooms �' � F. APPLIANIIES, ETCs Food We.sts Grinder YES �f\NO AutomQtic Clothes Weaher ���YES HO DishKasher YSS —�;NO Automatia Potsto PQelsr YES�,,N� Other (Speoify) � G. MA51TR PLUI�IDF,�MAK G INSTALLATIO@j.. "� � /!�- l'+S �' �, y-> n � �:��: Names ���/�•'�f ,{�� � ��+;:l�'�,!'�'""�'==1� Addresss � Lioenss Numbert , , � �f'�.�`' ,., 4. , Signatur• of Applioant: �..:%��-• -��.��,`;'_�.�`-.='•�a�`• � � MP RSK a ' � r Addre a a: �'..i'�� ��'� '�'✓�-f r , � H. (To be Completed by Inauing Agent) � Date of Applieation �`:' � ( �-' ` � Fee Paid = ��,'�^'' Permit Iseued (date) ��, ` j �{ ' y Permit Number �`. �( �;_ ( ,, , ' ` , � ��� �'�- `':,`,. `_�-� �� � 7, � Fort �. ��� Agent (Name) ',y ^-'�R ..� ' --r--==t-�'C� � �_ '�. . 'c.-+ "� � Toxn, Yil age, Cit County, etc. ��T,1�1 '�* �t.•l�i-�,/'f' �.��t"L.n,��tC. t.L,r�l,.��% (Speai Note: The appliastion oannot be considerad Por filing until all of the above questions are ansr+ered and the fe• paid. Agents will foresard appiioation, the fee of S1.OG for aach asptia tanx and the tnird oopy of th� permit (oanary) to th� Division of Health, Cheaks and money orders should bs made payebl� to ths Division of Neatth. , ' Do not xrit• in space betorr - FOR DEPUtTl3ENT USS ONLY I. DATE RSCEIVID ...._.:.:TED BY RETURNCD ! (Initisls) (Date) See Corres.) FEE RECEIVED YALID. No. PERMIT N0. es or No REYITfdED BY APPROVED DA?8 (Initiais) Yes or No COMP�"'"R; OTHER . , � . �� SBP1'IC ?/►HIC PtRMI? M0. ' ~ . � � - RSPOR ? ON S OIL PtRC OL � TIOtI ? tST � N D S 0 I L B 0 A I N G S TO DIYISIUli OF HEAL?H � PLLTfHZNO 3�7Ft�i P.O.Box :i09, Ma,diaon, liis. 53701 Pursuariti Lo S 6?.20, 1iis. ��ainistrativ� Code p S x C 0 L A T I U H 4 r S 'f Teat Dapth Ck�araot�r oP Soil •Hours Mater Teat Tire� Dtw in itater Level Inohes utas Nt�Dar Inohas 'lhiolono�s in Inohas Sinc• Hole in Hol• Inta3�va1 Second to Next to Last o Fall lst Katted Ovel�sti in Hinutes Iast P�riod I�st Period Perlod On« Inah Exnmpla P - 0 36+� To Soil lON Cla 26H 25 Yae or No 30 1 2 1 2 1 2 60 �j ., � !, , �v � .a (G �� =�``�.�:�..� `_ �1 �l-f� .� ,— /�" � �= - .,�� ,'� ,,,.� /�� � �_ .�- ..f � � r�- < <�y .�,�.p lr •�- �-. r �r �'��ff� � � � RECORD DATA FKOli PSINIMUH OF 3 7'YST HOLES Computs siz• of absorption ar�a in aocord xith H 62.20 itis. �deinistrative Code. S 0 I L B 0 R I N G S - tiinimum 36�• Below Pro oaed Abeo tion 5 stw Boring Total Depth De th to Ground Hatsr De th to Bedrook Number Inoh�s Observ�d �stimated Obaerved Estimated Charaatar of Soil with Thiolmeas in Inohea �aple B - 0 72!� 72'� Hlaak To Soll 12" C 18" Sand 18"• Gravel 24�� / �F /, ��f� Y V°s �%f: / /,�: � � '.� ^' f�..4.%�' � ,<�� � i� i r � �, �/' � i � ' �~ i:� / f� �(� ` � i�i� ~ � . „� ��l ., �7�, e� �1' r � , , � f . f . '� RECORD DA?� FROM KI.'IIMUM OF 3 BORE HaL£S YPE OF OCCUPANCYt � �.r.-- RESIDSNCEi Nunber oP Bedroans u OTHER: (Speoify) Number of P�rsons D WASTS GRI.*JDER� Yes No ,� D1�tnrashart Yes No /�! Automatia �lothe� itasher: Yes �� No �� FFLUENT DISPOSAL SYSTEM: NEFJ '� EXTENSION ADDITION REPLO�IT v / � ,, T31e Sizs � No.Lin.Feet !��� Trenah Width � Depth �d Numbsr of Lines � Seepags Beds Length Width Depth Tile Size No. Lines Sespa.gs Piit Inaid� Diaaeter Liquid D�pth I� the undersi�ed, hersby oertiry that the peraolatlon tests r�ported on Lhis foro► *ers made by se or under u�y auper- vision in acoord xith the procedures and method speaified in Chapter H 62.20 (13)� wisoonsin AdulnUtrativ Cods� and that th� data r�oorded and location of tesL holes ars oorreet to the best of knoxledge and belief. � N�� ����1��.� 1T�� �,�.a����-j�%--�� r�T� %'-�'-�� Type or Print REGISTRA?lOK-�AW. or MASTER PLUt�ER LICENSY N0, l j ,� =' ADDRESS `:�'�`�e;'� 4s°.'"7 % DATE �� l r �� S IGNATURE L_._�� P �4� ��':.,�':j�. �� (� . ° � �� � �r � � � '� r,� r� � � �, ,�.� .��; C 4� •��� �, '6►. � _ � ^tr1 z .� i:�rA'� K�.: ! ��: '4 �wi:�` t 't'' ,_� _._ � ` , � , u � r r '+w'��. n� ,�;�"x � , s �, � ". 1 /�.�>,C,��S' ,��� -j� � .�` �{'�, ��l�� . . } � , �.:, �, � ��r y r�g� . , . �t...'b J V \.•- �Y, �j �� ) 5� 1 ✓ (N � r � r' ' � I .� � S,F_C, /�'-,�7.� . �.� . z � 3 ,�- ,��G z,�G�'�l�' � �L�M�� s_ �" . = �:� r: ���; ,� ,, ��� � � � r, S' S� � �� t': : � . _ . . i � . . . . . . � ..:µ . , . . � . . t � y�-. �. . 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