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HomeMy WebLinkAbout002-940-14-4201-LUP-1991-277 `� 1lpplication for Land Use Permit County of Sawyer ,a � 0 1'lie undersiyned hereby makes application for a I,and Use PermiL- ancl ��qrees � that all work shall be done in accordance with tt�e requirements of the Sawyer � � County Zoning Ordinance and the laws and regulations of the State of Wisc�nsin. PRIN'f - U5E ONLY 13L71CK 1NK/['litJCIL v � c-.�-t�. k , a-r.�� �o�n_Y.i���t �''S7P r Sl1Na(.Q � ! aN� fptvS7l()C�� �N 5 Owner Builder Q _ � �+-a �oX a Y3o,� �� � �_ mailing address maili.ng address �ta)"`�(JUr� w-L' �y�y`� �v y,.�/a�� l.�- ��/,��� city, state, zip city, state, zip f3uilding Land Use Zone District �,�,- � ( ) New ( ) I'illing S sq f�.) 1lddition O Dredg3.ng Lot si.ze �+ � ( ) 111teration ( ) Grading m n ( ) Moviny on ( ) ncres /(� �. 58 ( ) l ) New Conslruction ' L Size p?� fL- wide ft wide �(p f t long ' f t long . + Floor area ��� sq ft sq ft v� •' � Total iigt �Y J to peak to peak x �^ Stories � ) ,, � �� t--g�t� �--�\'� No. oE bedrooms rear lol- line or waL-erline � (year round) ur (seasonal} i_ � '1'ype of bldy or addil-ion i ���� '�-r�'' �-�N�� i �o�, ( ) [�well.iny � I i � � ( ) Garage (1) (2) car � , � �'' i i N• � ( ) Storage buildinq � ' � � � � ; > � � ( ) Bvatliouse i � � � � N• ( ) Livingroom i � � � � [leciroom � I � i � � ( ) Kitchen-dinin9 i / ' �u � '7 �i � ( ) Porch - enclosed/rooted j -- f�� <�- ---�� a`�`� , �— J � ( ) Deck - open i —�"�r � � � 1�i I , � ( ) i ° � � � � ( ) i i O � 'Pype of construction i � i ( �lp'n• py ['rame ( ) I31ock " ( ) I,og ( ) Concrete � � ' i � Im ( ) Pole ( ) Steel � � °'" ( ) t•tetal ( ) � i N i ' i � � nc Construction cost $ iU. i � � � � I Vol �-52 Fg z� I of deed � � ,� i i i i i i Csrt vol _�_ F'9 � (o s i i a �"�" i i n s� Cer. Soil `1'est � - �(.vs 1� x-Y1V�� j � � � ----------CL road ------------ o -P ------- z �> Sanitary Permit g I -I4 7 F�C.C�55 oF� W►LL.I�Y'�5 ��-`�izT , z P.��D �� Issued •2,2 �p�(�I1if�'(�J� I l I I Denied ' � /A.L�C�iC�y�C'.� __ �. owner. Zoning 1ldministrator DOCUMENT �NUMBER AFFIDP.VIT � 2 � � � 2 � EXISTING SEP^1IC SYSTE�:', - ONE AND TWO FAMILY na�Bae.r�e OtNce 1 r . $av,va: �ounty 1 If the existinR se y °"� '��� r�� �b� , ptic s stem noes meet th� minimum re- A D 19�� et '�iq� quirements for qroundwater and bedrock deptns and if it — is functionir,� , an addition to or replacement of a hab- —� *1 °1� ""O'�"j1° vd. ��,6 d :�-o:c; on F�9e _�7U itable structur� can be made in most instances without ��b �� D updating the e:xi.st:.ng system. If the existing system R�� is utilized for the addition , every attempt should be made to locate and reserve an area which is suitable �� for a code complyin� replacement system for when the system fails . If ttie addition will substantially in- crease the wastewater discharge , the existing system RETORN 'PO will be replaced with a code compl,�ing private sewage Sawyer County Zoning Admin system. P.O. Box 668 Hayward WI 54843 owner (s) Vickie K. and Donald H . Pfister i�tailing address Route 2 Box 2430A Hayward Wisconsin 54843 Pronerty 3escription Lot 3 bein� a part of NW� of the SE4 S 14 , T 40N , v R 9W. P�rcel . 14 . 1 . Vol 452 Records PQ 249 and CS Vol 13 Pg 165 . Town of Bass Lake . 002-940- 14 -4201 (� (We) Vickie K. and Donald H . Pfister plan to (�cZ Add nnto existing dwelling ( ) Add ento existin5 mobile home ! ) Replace existing dwelling ( ) Replace existing mobile home The present private sewage system has been working satisfactorily as far as disposing of wastes . If the present private sewage system does fail , it will be replaced with one that is code complying. �-�.,-__> � � � - .S - %/ � onald H. Pfister date i --I��``-"`�' � • ��-t � A,. - 9 Vicki�Pfister �� e • es,� Personally came �efAY�� � ,;�6„�"R. � ,,, ,� e`f a,• •,o�.o. y�t, � i9 5 aaY �` _ t,t '�. , � � l� • � Fi � ' -�, � c �`� � "' ; ��`#�=a, � n S'; �^ � �'!^.'.c r,.� � O[�C'y Pll]JZ1C $�. � n�'.,cS°j��,S � �,n ���VJ�-(cG�. Pc;'�:i�"�o'TP�rv�Z'�i;.� ;� Wisconsin 'Y. eb �:;.�, �.}/ S'�Y.'�',`� hIy Commission is esoii'�3§�`� � �( � Existing septic system - 5anitary Permit $1 - 147 _ Date system ir_stalled 27 AuQust 1991 �w� �..\J . �aJLa�.. �%xoo7��&X Merton W. Maki , Assistant Sanitarian 06 June 1_gjl date This instrument k�as drafted by Donald H . Pfister ��FL � � � P� x � o C6K4�F1�0 hURV�Y MA� �aYk o� l{�� ����� o� {�,c hE94 0� htb�iout ��, �(owvt4kip �l0 �or�4t Q�vtqt, �i Wcs� �ow� o�asb l�ll� haw�c�' �o.Wis. � �� �l ES: �olh 1,1 t� �r� 4ubskt�+lard ��� no� for 30 {1UI��I�Ap. �Ok I 14 {�1C 47�tG P7YGc� 7S dt�- �� o tllo;u3•5�E f) ! 1' — a GY�bC� I�1 O(Cd 401.341 OM 1qL 331 . '". y?B1.q� �OB.io) ` � � . 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I�oYk�l 3'�'•24'•51" 1�G4� Ok 441d bGKk��'�ivl1� fo1.43 ���I' ko 2vl lVor1 P,'Qc Qeuna: �lGhcc lvoY�'�106°•22'•29' U1e�' oh hhia ��tikv,,li�o I0�i,4� �G� �0 4N 1YoN �DBV 4�; �4GNdG No��f1 S`�°•50'•�?" I�G4}' on h9�d E�utk6V���G lab.21 �Gf� {0 9�l I�an P�P� �eurla; }�tGu1GG Nerr� �°31�3�1"w(�,� on ti�ia t�n�cr��Kc 3�i.lq �'G� ko 9N iVeK PiPG �euN�; �iGNu ��uma� h91� b�akaV��NG No�k� 03'•24'•53° �5k �1.1� �a�k �o a� ��o� P�P� �eU�l� evl 4 rNG9ndGY I�vIL 0� '�4I2V� �9�,6�� fHinc� �ls�kh �m°�o�'7a' �sk an hs�a �nctinb6r li�� io�.ti5 �c� ko 9N iYoN piQa �oo�a � �,Hw 4euNn a�'Sq'���' �25� nr1 59�a YYlG4nbcV �tho Zq.q� ��ck Yo �►� ��o�t b�v h�k; t���ac �o�l� �o°��u�ti�" �sk ok h�i1 rxcaNdc� li�, �2�.�� ��c,f' �o a Poiwk o� I'4oqi�n�rly . tinaluainIq, �(l k�cnlanb �r�u�c�h }�� nt�nKba li� �KD kttc wakcrs cb�ct o� �Sl��a Inl�o bLtWtEN �!� �o� �tNU, I,XtGVIdG�. VoNk4l�lYlP� q.'�l �IGYc4, �uov� o� lass. 4obj�� ke 1U GKlS�"iq9 G3hG• N���,�, o�d t�,crVaki'ons. �U�V� 0�5 C�� t��CA�(� �,, ��uid �. F�z���', a Qc�itik���a ��nd hur��yo►� in kl�� h���� s� UJiScoKsiN , k�r�by ��rk��y {��k��niR w�aQ iti a eo��e� vc r«yc�k9 iov� �l( k�e eFkcr�o�, bou�Darics � ki�ta l�Ka huYucy�d 4wb k�c Diuision a k��k (�Na iN wwQl��nto u�itG h���on 23b,a� e� {�c �J�s�on3ih hkakukr� uua�r Nn� div�k�o� eE SH�nuion �ow�an�h. , u����� 4 ��ua.�..�. �u.�w ,.�r`c s�,y•,., �G 1 � 'L 8 2 ;+ •ti.�__.. �9ula F. � � � .�!.�•" '•• � i�d�� ; : DAVID F. p �e�� � � ' RIEDER �� s T���Qq1iYGYta L9Na �jOfVG 01� _s . _ *� S-1737 � W��yWdhlVl,( QGO�. �r�, h•11 � SawYerCountyi � p119C11YdOOD q JV�y �'1�� Re ived for cecord the �yH,aq d � � W� �� � A D 18 at�_•'J-e'alock s�i� �\� � ,(,� reco[ded W�ol. / ����`�"� d paQe�S� � Re 91e1 U �` De hl���k 10(ti P,1� ti.� t . . , Vr L7HJ..� I_Hf�L TWP 40 N. R . 9 W. ./ ADINA LAKE .� 2.� �.� MURRY LAKE 4.2 e.z 32 ILLIAMS ROAD ;� 4.3 �?. I s.i ISLAND LAKE ` v ry Y r 14. .14.I 1 r 14. 4,. ' � 14.3 .13.I ; .14.4 � 3 `3 � 14.6 '� .16. i � 16.2 .16.3 .16. 15.1 I`-' •-�}--� r P L B � 7 State and County State Permit # 189 75 ^ � � � Permit Application County Permit # g 1 - 14 7 � ' for Private Domestic Sewage Systems County S aWyE' r : ' DENOTES STATE APPROVAL REQUIRED CST 81 - 168 Date Approval Received from State if Required State Plan I .D. # A. OWNER OF PROPERTY Mailiny Address : � � � � � :� �,ces�-� LV l f �e�o �s � •. a - '�� `��� " 7 � � d+�3 B. LO ATION : ,j�Y4�Ya , Section ��! , Tl.�'ON , R ..�.�F) W ot # City Subdivision Name, nearest road, lake or landmark Bik # Viliage �S�Q�nd � a ��e , d ►1 W � � I � 4 /14 � ��PScsr"�" �C6 � Township �qSS � /�s� C. TYPE OF OCCUPANCY : ` Commercial " Industrial � Other (specify) ` Variance Single family � Duplex No. of Bedrooms Z— No. of Persons �• SEPTIC TANK CAPACITY � ��_Total gallons No. of tanks J� ' HOLDING TANK CAPACITY Total galtons No. of tanks Prefabconcrete Poured-in-Place Steel �_ Fiberglass Other (specify ) New Installation Replacement Lift Pump Tz.^.!< ui iphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUE T (.� ; SPOSAL SYSTEM : Percolation Rate '� Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench : No. of Lineal�t. Width Depth Tile depth (top) No. of Trenches Seepage Bed : �i.ength � � Width � Z- � Depth 7��Tile depth (top)�No. of Lines �— Seepage Pit: _..lnside diameter Liquid Depth No. of Seepage Pits Percent slope of land�-_�-6 � �� Distance from critical slope_ 1�A� WATER SUPPLY: Private �I Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I , the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I f�ave sized the effluent disposal system from the EH 115 prepared by the Cert� �ed Soil -I ester, ! NAME G.� -r C.S.T. # J`�s � �/6 /r and other information obtained from (owner/builder� . Plumber 's Signat MP�MPRSW# b 7 Phone # 7(S`- ,�.� y- �( 2-53 Plumber's Rddress — d� PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. ►f well has not been drilled please indicate. . �'�' �.. .,.__.t.._ .� . _�. .. .. . ..�...�_.. .�.., �._._ {.__._.�� _ _ '; ��� iN 1 � : � � � i � �y ' i � , __ . . �.._.. _ t ___-+-. �..�F,.�._ , __a.l._._ � � i f f � t , �— � ' �� � � � � � � : , �_�._.�_�. _.i__W,_ �� __� � _-�, _ _,.....�._ r� __�.�_____�.__..� .__ ; a � ' � � I r � � i ; � j i _ � � ? � � - -- __�._�_..�.__��. �_.�. _ _ � , .�_.. � ,__--., g � ,_._a__.�_ � ' �... _ � � ,�. �-----=�— , � .y/ ) ; i "J � F � � � � 1{ � � � / . t � � � � � .. .. � ...w�rv.�i. �. .{��va�-I ��.�..Y...��.(�....��.- . � ��.�,.a.u. .. .. .�..�� .. .� .. .. . � 4....�... _ . �..... 1 � � f i i � � � � �--- � � �L. _� _�� . , . : . � i , , , . � � i ' : f d , � � j __�.�,�n..tw,��..__..{.__ ' _.� j-- � � t ----3 ---{-----�-----�- _ . _._ M:�, m..._� � � ; �s P-�- ' � � _. � �. ` � .� h i 4 i Q � E � . � i ' � _ . .��: . .. ....�..._.. .... � ,,.,.. i» . � .e� . � � . ; � , . d...- �... . ,..,... .« . �,� / � ( � 1 -`� �� � �_� a_ � . ' , ��. s . ; �,,�Q� ._--�.___._ . }. , . } � � � � � , � � �_ , . �5 � , �_ ! � . _��._ � ��� � � � �,_. � . . : � ` _ .__T_�.____ _ ` �._ .._n_ ; � e��G ,`� ...._ � _ ..�... x�� v � � _ 3. d � � � � � � � _.__ . < ...._ _ ` . ___ , � � ' � � � ' z � � __. _� � � __ _ _. . : _ � __ �. ___ - � ' ` ' � ` I . , : � � � k ,-� ___ � ._.,. � _ �_._,_ , _�_ � _.� , � ; i ; � � � �" _ _T__ _ _ ,_ �ll { _ ��, __ ___ __ y _ _ _ _ .,_ � � � � � Do ot Write in Space Ftelow - FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 0 7 - 2 �! - $ 1 Fees Paid: State 14 . 00 County 36 . 0 0 Date 2 4 July 19 81 Permit Issued/F�p�t� d (date) 07 - 24 - 81 Issuing Agent Name (; avle Jorczak Inspection Yes�iVo State Valid# Date Rec'd 1 . county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 1 _«-..,. �.,i .,�, rnn�,1 r ..�. ...�... . r ...... .... . ...... . ,1 Department of Zoning and Sanitation S�.wyer County 0 Inspection Report � m H Owner Georgina Hopkins - *Richard D1agnuson (agent) -- � Addre::a Route 7 Hayward, lUI 54843 � x Name of b•��siness � � Builder -- c: � Address � �s a Plumber La�arence Lamphear ~' � w Address 12oute 8 Box 163 Ilayward, 1VI 54843 Irspection y (K� Private O Public Property Sanitary-instal o � �( Dwelling Setback - lake <+ � Violation Mobile HM Setback -•road o Garage Setback lot lin '"' ( � Sanitary ( ) Zoning Privy to w � � �� �:3c, p_N,. m r w %�/ � � I�t�aN� ���/ ' lR kE !) / � w � z m � / u�GL� N ' _l3rn�LV,loo 7,50 � 70('Lt Al�,,� TMC ��+ -�. � '. 7��.� / / ��iJ, i 1 �r —%�Frc, ~ A (/� �0 Adc IS'r;.�, . —r L��ev. �c:' �, m �/' 6 5 rl" m m � � � � � � � r a' VENT o' / C N• H � A F'• / O i � a y �`\,� � �, �,��/ A i � , Discussed ti,ith owner yes no �y Discussed witl� bui.lder yes no ➢iscusscd with plumber r� yes no Discussed witr yes no Date � �f f.���� �'� � . . S=�;natur.e of Officer ��'��r.,r� �A��