HomeMy WebLinkAbout032-539-34-4307-LUP-1994-287 � Applicati_on for I,and Use Permit (� r�
CounCy of Sawyer �\� j
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7'he unclerGi�,ned hereby makes appli.caCion tor a Land Use Permit and agrees C.haC � � � �
ail work shall be done in compli.ance w1Ch Che requi_rements of the Sawyer CounCy �.
Zoning Ordinance and the laws and regul.ations of the State of Wisconsin. �"�
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' PRINT - USE ISLACK INK OR PTNCIL �,
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City, Stat`e, Z�.p y, F
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Building Land Use 7.one District �°�-/ ° $j
(�New ( ) Fillin� � � N nS
( Addition O Dredging Lot size ��S X �a g�]
( ) Alteration ( ) Grading
( ) Movin� On ( ) Acres �� gg _ ro
( ) ( ) �
New Construction r�
Size _1�_ ft wide ' wide ' wide
�� ft long ' long ' long
Floor area ;� y� sq ft- sq ft sq ft -
07
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Total hgt to peak __ ' hgt ' hgt x'
Stor.ies � _ �
No. of Bedrooms ��(,� ca
�eur ].ot lir.e�a�ar,+�e u
(year r.ound) or (seasonal) � _ � �
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Type of Bldg, Addition, Use �, o
( ) Dwelling r�• �'
( ) Garage (1) (2) car r�• I �
( ) Storage Building �'. �
( ) Boathouse ° �
( Li.vingr.00m � 7
(� Bedroom lz�� �'���
( ) Kitche�l-Dining n
( ) Porch (enclosed) (roofed) `
� ) `�.
Deck - open
( ) L� 5 w
� � a
Type of Construction t„,S `q� ��� � ,O„
( ) Fratne ( ) Block . E�'�5����^� � � :V
(✓� i.og ( ) Coi�crete ��� ^jr � 9��� � ��� 1
( ) Pole ( ) Steel <— �
( ) ( ) Pole/Metal _ `�� m (�
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�o[istructiar. Cost $ ��. � I �
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Vol �_�� Pg 1 b3 of Deed I � f�0�
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Cer. Soil Test �_��_ � �
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�fl-F�,DA�I�T .oF- �x L. P_�i�62 F'h �Cd ' 7'
Issued 24 August 1994 Denied �
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Owner 'Loning Administr Lor (� £�
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DOCUMENT NUMBER AFFIDAVIT —i
2 `� � � 2 � EXISTING SEPTIC SYST�M
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ONE AND TWO FAMILY
n.rx-�� -. '��t' <.�, � � -�
If the existing septic system does meet the mini_mum re- �� , ., ` //^�)
j� . .,, ; ,. x . : ° 1.�. _ �.�f�;� 1�
quirements for groundwater and bedrock depths and if it ; .fjY � ,� , ,���
is functioning , an addition to or replacement of a hab- _ _ ' � , , : .. , , ��"�j�,
itable structure can be made in most instances without os �� ,. r:, , � b, . , . � �
�
updating the existing system . If the existing system � ��� _�.� . � �
is utilized for the addition , every attempt should be �� _.:. ��r
made to locate and reserve an area which is suitable �• A. -_.__-..._... .. , . .._ _ , .. , r_. ,�,.,.�
for a code complying replacement system for when the rY�""'"�
system fails . If the addition will substantially in-
crease the wastewater discharge , the existing system RETURN TO
will be replaced with a code complying private sewage Sawyer County Zoning Admin
system . P . O . Box 668
Hayward u1I 54843
�:-•l�r { s ) Victoria and Mark Ter..FJ�C�r
Mailing address N4952 Lake Winter Road
Winter WI 54896
Property description SW 4 of the SE 4 S 34 , T 39N , R 5W . Parcel . 15 . 7 .
V 360 Records Pg 163 . 4 . 88 acres . Town of Winter
� (we ) Victoria and Mark TenE�ck plan to
(��Add onto existing dwelling
( ) Add onto existing mobile home
( ) Replace existing dwelling
( ) Replace existing mobile home
The present private sewage system has been working satisfactorily as far as disposing
of wastes . IL tlie present privai:e scwage system docs fail , it wi :l I 1>�.� rel>> r.icec� with
one that is code complying .
i l' - � �; /_ -
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Vic oria TenEyck � date
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, �� -� � ���
- / aate
Mark Ten Eyck
Personally came before me this
� � day of �' � , 19 c'� ' �
v��J
Notary Public
County , Wisconsin
My Commission is expires '`'� �✓ , r�✓ �
•:: . ..
Existing septic sys tem - Sanitary Pernlit g 5 - 0 0 8
Date sys installed 6 - 12 - 85
�
� %" � �� �. � ZA or AZA
� - � ' � y
date
This instrument was drafted by �,,
, . . :� ,� � � �' � �
� "` x .,... .
Mark TenEvck
,
��`"'�`�"_'" qppLICATION FOR SANffARY PERMIT -' �
� D�L H R SAWY�R � Iu-
(PLB 67) OUNTV�
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UNIFORM SANITARV PERMIT.#-o
v �Q CST 84-199 57497 °o
—Attach complete plans in accord with s.H 63.05,Wis.Adm.Code for the system,on paper not less than 8'/=x 11 inches in size.
—See reverse side for instructions for completiny this application. PLEASE�PRINT
PROPERTV/(OWN�, � MAI��,J,NC�A�ESS ` / �
i� /y�L r .
PROPERTY LO ATION CITY�
VILLAGE:
�iJ1/4j,r1/4,S ,N,R ,S E (or W wry oF -P{�
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD,LAKE OR LANDMARK STATE PLAN I.D.NUMBER
84-06982
TYPE OF BUILDING OR USE SERVED � �
yY,] 1 or 2 Family Number of Bedrooms: � [� Public(Specify): .
THIS PERMIT IS FOR A:
�� New Sys<.em �`; Tank Replacement �' Repair
'`: Replacement Soil Absorptlon SYstem - Revision C� Privy
`i Altemate System _ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepaye Bed ❑ Seepage Trench LI Seepa�e Pit �i Holdiny Tank
J System-IrnFili ❑ In-Ground Pressure ❑ Vault Privy .�J Pit Privy
❑ Existing,For Which A Previous Permit Is On File,Permit 9`- issuea _
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total Y'Cof Prefab- Sice S[eel Fiberglass Plnst�ic
Gallons Tanks Concrete Constructed
Sept�ic Tank Capac ty
Lift Pump Tank;S�ahon Chamber
Holding Tank cap�c�iry
Manufacturer: "J
IF THIS IS AN ALTERNATIVE SYSTEfVI COMPLETE THIS BLOCK: U Mound L.� In-Ground Pressure
Total ,"-of Prefal�. Site Steel F�iberglass Plastic
Gallons Tanks Concre�e Consvucted
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer'
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA �l�IATER SUPPLY: �
(Minutes per inch�: REQUIRED(Square Feet�: PROPOSED(Square Feet):
❑ Private �`�: Joint ❑ Public
I,the undersigned,hereby assume responsibillty for installation of Zhe private sewage system shown on the attached plans.
Name of Plumber iPrin � Signature� MP,�MPRSW f�Q.�. Phone Number_
5 J i �-�il� �� rl � �;.�` 1 (�G, ,� �}"'�:L
umber's Address: Name ot Des�igner�.
� � J OT / J � L/'� L'"I,� < <'�<—
COUNTY/DEPARTMENT USE ONLY
5'ignat of Issu:r,y q9¢nt: Fee: Datc: __�'�Diupproved
$9 S.00 4-9-85 �q �-�Owner Given��itia�
pprove� q�verse Derermination
Reason for Dlsappr �al:
Alternate coursels)of Action Available�.
oi�Ha-Seo�63981a.5/82) DISTRIBUTION: Original to Co�nty, One Copy To; Bureau of Plumb'ing,Owner,Plumber
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