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006-440-17-5801-LUP-1991-336
i •:!' . Application fc�x tiand iJse Per.mit County of Sawyer � 'The undersigned hereby `makes application fo� a Land Use Par.mit and agrees o that a1.1 work sha11 be done in accordance with tYie requiz-emc.iits of the Sawyer �' Cc�unty Zoaing Ordinance and the laws and regulations of the State of Wisconsin. ' � � PRINT - USE $LACK II3K OR PF.NCIL ,m� r�n . (�� n�, �- � ��L��_�.Z f��.�Lrr�`s ,���s:��� ljS� � ���=s�� ��_��.�L_ ,��_ � Owner Builde-� �� ���.3,s' . �� _c�c�T/� �.c,�TI�,6:.— -�_�=<__��<�_�. �- 2 5 � mailing address mailin� address ��I� /��.s�,,�_i L. /c �ti��__�_ �r�IT�,�T 1��1_ �-����—_ Building Land US` 7.one Dis4�ricr_ /�/`� - � �) New ( ) Filling O Addition O Dredging L,ot size rt � { ) Alteration ( ) Grading � � ( ) Moving On ( ) Acres �� � � { ) ( ) J New Gonstruction ` � � . �1 Size __�2�_T f t wide � ft wide 1 • � � ��l , ft lon� � ft long Floor area �'� "�f� sq f t �� sq f t i � � Tatal hgt __1�__ to peak to peak �' � � Stflrie� / �Z- l ;�o. of bedrooms � rear water.li.ne - ---- �' — (�casonal) i - i T}>pe of 't:lclg �r ad�itior� i "" i �, � {�) Dwe?ling � `� C ) t.arage (1) (') car � � a r-� �• o ( ) S torage bua 11 ing + ��` _, i �.. , i � � { ) 8oathou:ae i � �'�-'��"\: , i o t ( ) Liv:ingroor� L i , -'�-� � � ���� � � � { } Bed r�c.,m + ,� �'• � i `� �' �' i ( ) �itcl��n-d�n.ing t , � � � � ( ) Porch - eaclosed/roc�fed � � � � k /7�' � { ) i)eck - open � �`' ��� � i ( ? __�__��. i �. � ` i ( ) --------- _��_ ' �' i � q - -------- ___— , ! vt r\ TypE: c�f construction i `-:f_� •�c:t� �S � � (�) I'rame ( ) Itlock i i'�'��° rt� - �i in ( ) L�� ( ) Concrete � - ,, � i � �'� rn � ) Pole ( ) SCee1 � z , ` � � r� I � ) Ntetal ( ) _-- ------ ! `�-�ac.r to �nwJ � ' � ;r e � � � r� ' t � � L:onstruction cost $ ,� ,= ��o.oe i � .___y-__-� i H � Vol_ 3 3 �� 3�� �t �����._. ; �-� ; �. � ______ ____.. , �,:\ � � ��� � ro � � � �, , � ,� GSVo.�_ ___.------__.______.._ '��._...__.._--_----- � i �, H ,'� � �] In� i . � n ^ '� 6� t;e r. �o z.3_ `Te s�. � -1� �rr i___._...___-_--------�-�'--- ___.__ � � � I r ______��-^----___-- � � (� -1 --------� �-oad �C'�3�L�.f��__`-�-r�_ I 'C � Sanit�ry Per�iit__ -1 �_'� !�_._ 0 1� � � ____.�__ _ y J ! A __._. _._____ ._�_____�_�_____----._.._.__ �_._.______.__ -- --- ---- ------- . � ,�y �- �_s:����<t 23__December 19�1-----.__-___._,_ »��lf'd _ � v � . , __—_ _____-- -- -----_�_------ _______ ____ , , ___ _._ _____. .,.. _._--�---._._ --._. .__._ --- __ -- - - � � � ___ --- .�__.�----�-- _ _ .— ; / - i " � -������ � � L.t.w ` _ �.�.. _ _ __.. ; .v.. �-' �� . ... . _. ____. _.. , r. � . ,, � �_____w,. _-,.�_.— __.-�. � ���rnwx Lrr_a �,i.:, � ��.�n_t,. . Tr�� �x.' �'�l.�L e� �'�"�,; ' ___� } r� I L.- I �� � ' _, ;�.; u��-:- � � � ,� . /� ; _ - �'ti � - ,,: ,�:��;��� .,_,. a. ���F,b��- •.._:�;:�:�:;�; �.. ry t �,,..,} ��+ t".''"� '�,�`"Ll Fa�4Cf;�:�c�d. . �VV� y.u.� - �` i /' � 'Ft�.'��J. �` r--� �� J I �. `1 �'' '', � \,' � •--I-�J . ., _--_ _ _ - �_�------ ^ ��- � /,� �./' � I . � ._ __-__� � � i i I � � I � , =��0 j � 40. �- ` I �`�U. i �j �•, � � �� � � Q 0 ` -- � � i � t� � I � '" I � �-2� � ,,� � , �I. I \i� ! ' � � � �� ' � � � � �1 . ; �, � � _� J � I � � �� �' � �. -( _ � _ , i / ---- � , - __ ' , --- � — � � _--- , -- _ _ , , � — �n ' I � � � � � � � j I ,._ � � i ; �� � � � 40. � �j�, ; ����a �, ,� iti- � � 40� � '�� � . .� � � �� ���� '`\. ��i ' `\t�-' � �2;. _ :�I' ' ' I _ , ��, � � � , � � � . � � � I I ' i-/ ,� �_.__��__ _�� � � �'' � � --\;:\ �v, i %i� _� � �\_�'� ' � �' ��\\ i�' ��� \\ \\ � / I �r� `-_`--� _ � / I i;1 1�j; �',( . __ — �� '_— � / l� � � / � . • . � %, -�0 r� L_,�!�G �'_�_ . �. � � ;, ��� :,:�, ,- ,,;i� ; � ,� ,/ r- :,�� � ='�I \l._-. i'! � `- l I , I '� _ r _--- - � _ _--_ -- J / ----_ , / _ ___._ - -- /„ �' � r -- //' I -: , �---- ._ .__�_- _._:� I ;�r r--------- i � ; ��� � I �,,, ��� � � .,,, �� ; i , � �� � .�; ��� � _ , � _ _ . _ .. ._._ __..... . . . _._.. .__.._. . :/ _—.__. — . .. . . __ . . ____'_� — ._� ,i. ._... ._— � SANIT�R� PERMIT APPLICATION _ ` fl DILHR In a cor with ILHR 83.05,Wis.Adm. Code f couNn � — � Saw er � ���rX�.i'X CST 86-190AA �STATESANITARYPERMIT}� —Attach complete plans(to the county copy onl r the system, on paper not less than i i 51113 8'f�x 11 inches in size. Check if rzvision to previous applica[ion —SB@ I@V2fSB SI(J0 fOf If1SSfUCiIOfIS 10�COfT1P12SIf191hIS 2PPIIC8ilOf1. STATE PLAN I.D.NUMBER . I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. PROPERTYOWNER PFOPERTYLOCATION � ,'// ` `e ,/e —,/d S �,y T �'U� N, H S��E (or PROPERTYO NER'SMAILINGADDRESS LOT# BLOCK# � S , Yo cz�.�� CITY,S1TATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ( � S� II. TYPE OF BUILDING (Check one) ��TY � NEAFEST ROHD ❑ State Owned ❑ VILLAGE � r -0 � /� Oi`S c%_���./ Ci� !C. ❑ Public �1 or 2 Fam. Dwelling—#of bedrooms � anace�rnxNunnsea� � � �� �, ��_ ``� �- III. BUiLDINGUSE: (Ifbuildingtypeispublic,checkallthatapply) 006-440-17-53r,1 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 U Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Oftice/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. ❑ Reconnectior,pf 5.L_1 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 Privv 13 ❑ Seepage Pit Pressure d3 LJ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: � 1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM tL.c\/ 7. FRdAL GRADE RE�UIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION �i/�7 �D � `/c�D �/•3�' oi / l�/ r�ai Feet VII. TANK CAPACITY I Site � in allons Total #of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel 91ass P�astic APP Tanks Tanks �tructed Se ticTank or Holdin Tank � ��U / c LiftPum Tank/Si honChamber A_„� VIII. RESPONSIBILlTV STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the zttached plans. Plumber's Name(Print): Plumb 's SignaWre:(No S[am j MP/MPRSW No.: Bcsiness Phone Number: � � �i � 1�.cJ l� � i m �� -�-- ) Plumber's Ad ress( treet,Ciry, tate,Zip Code): � Z � � .�� �� _ I . COUNTY/DEPARTMENT USE ONLY � Disapproved Sani[aryPermitFee (�ncivaesGroundwater ale ssue Issuing.4g�ntSignature(No tamps) Surcharge Fea) 1 �Approved ❑ Owner Given Initial $11 r) . 0 0 6-13-91 , l� Adverse Determination f �`^'� �"` ' � X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 Qormerly Plb-67)(R.it/88) DISTRIBUTION: Original to Counry,One Copy To:Sefery&Buildings Drvision;Owner,Plumber . . � • • v ' _ '..._t_'..� . =PARTMENT OF REPORT ON � SOIL ��Rli��� �. � ' � � SAFETY u SUILDINGS ,DUSTRY, .. DIVISION � �BOR AND PERCOL.�►TION ��'� 1 J `�d.J� MADISOW WI 5370J. JMAN RELATIO S " � IILHR 83.0911) & i. a5) ', OCATI : ION: TOWNSHIP/M � LOT NO.:BLK. NO.: SUBDIVISION iVAMr� ���� ��� i �TynN/R E � ► �e �a P� ; )UNTY: ONIHE�R'S BUYER'S NAME: , MA LIN ADDRESS: + � �" � �w t 2 �C .S ,L� S I �r�l�v.,� ST, D�s.� .�Aw� ��� ;E DA S OBSERVATIONS MA E � ��,5� t� NO. BEDRMS. : COMMER IAL D :: RIPTION: � PR I E RIPTIONS: ER�OLA I^W TESTS. � j�Residence � M � Yl New �JP,eptace � G / _ C � \ !V r�� � � �0 0 �— ATING: a= Site suitable for system U= Site unsuitable for systam �)� V NTI�:VAL: M U D: IN-G�iOU�iD�PR IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:lopnonal) �s d� s ❑U :�s ❑U � o�i-�u .�. .a S �U _.,�� —1 —------- DE:;IGN RATE: y portion of the tested area is in the � ��:rcolation Tests are NOl r::ai,ucd r�♦ Iif an -�- -. ii NR R3 09l51(b); indi::ar�: �y � I Floodplain, indicate Floodplain elevation: �f/� _.. .'.'.. _'_ _ _ _' _J ___. .__. :- .. .__' _'____L..__`. l . _ _ `+------ � - -PROffLE DtSCN!P71UN�_ _ RIfJG,' TO'fAL �J � �IE� fHTGGHOUNUUVATER•INGHES C:i:aFi:>CTEk UF �UiL v•.''�'iiti iHiC,i�N=3S, CC�C�� T�;:T;,�PE n�n;n�,coi �i- ;,��„gcR �p7}{ �N, ELEVATIiJN OBSERVED �'� . I F , TO fsEDROCK IF OE3SERVEO (SEE ABBRV. ON [3ACKJ ' -�--• — . _.�— �,. �-iT-l���f�-3-,�' _ ;�o .c� .s,L� ._� �'"� '' / 7� �i , " � '- >- y z�_ -`_.— s�`� 1 �c- �� •= n� t� S _,_ �. . � ,, „ c� �.. �„ :�� s.� r� � �_ ir " �•v s ,L. 3- �?_ y`,_ .�� .�yt _ _� ,� � y „ �r 9,.- � � .�E-,�> � t . Q �i Q - .6 /' v,c /9/s/ �S.L T-S 6 '= 3 '�- " ��a/,$ .L ,;_ � gj� `' � O �o� �-1' G .. _�_.� ' = � lv " ,C � !3 •�/ _ n� � d S .�- I �% � J g � �j /i 'CJ' � 6� �� D.e' � .v .s L 1�� (o �� �� a " /j .✓ S v ---�:_--� ' _ _ .�� ___. � v ,� Y�„ ,� r 8,.� n,� �. d _S -��`"" . . ., O- ,i '' !�,�� � •� s� 7;' .i 7 � /� " �•� .s'�- �_i- � (� � � �� � �- �n�_�-,.. :_��� __ _ / Sr "-- S'r �l " .0 Z L��./ M Y d,��`- `' i- — ;j- --- --------�___ .__ _----.- - ._ __ � PERCOLATIv•� TESTS TESf DEPTH WATER IN HOI.F TES�t TIM� DR ?P IN W�Tc�i LEVEL-IM1.�.HES RATE MINUTES ;�J�LIBER INCHES P.f'TER SWELLi!•JG INT[FsVAL-MIN. ��RIO t -� ;�' PFRIOD 2 P Rt D 3 PER INCH -- —:-�r �-- — ''?.� � T— �._—_ -- - - - -�--- ---z-- .. �._,_�__^ _�1_.�._ , �� Q - --,;- -- --- ------ ,-- ,— / �� - ----�k�.et2— _ 3_�ti�.__ ,1.�_.. —_��� ��._'�— � -- . . ,.,- --- —�-----. .- ---- —� - -- . - -- ----�-- , � :�� �� �... r-. � � ..,,, , �� - --- --�- �,— Fr-'/� — p �//.� �--� � .-_= -=..�.-- �_. ..... _----r-�� =�---L---`__-�-__�.---.� f .__�. _ . .______--� 07 PLAN: Show locations of percolation tests, soil borings and the dimensiuns of suitable �oil areas. Indicate scala or dis[ances. Descri�e what are th�� hr.: � ntal and vertical elevation � I ' n n the Int �;an. Show the surface elevation at all borings a�cl the direction and percen� land slope, r� C) IL r' ,_. �__ . �L- -- — - ,YSTEM EL�VATION • _ �' >� ' � . �� Dirl . w A P�w� , ; � ; I � , , „ ��-n � ' S C R r +�' �,� ' w ' " � ` ; . � Yu-.-z ( , 1 nl - �- - ��r�j � � _ � ; Y - __ . J � i µin��r.�� � � F " . � � . ' � _... . . . S r � / 3 , 04 � � ' ' ' : 131�� . — � ! , _ ; � ,C,� �I -- . R _ _ ,�.o . ,__ , � , , - � � � ,� 1�; _ � , U � l� R �' ; � , _ ; � � , .. , __ , � � � , ; : : _ __ � . � ; �r-_ �. , , � w � � � P� � � _. �. _ _ _ _ - - _ — � �� • ; � o e'`�1.�_ : _ .�. _ , p �-�--- `3 7° '� ; ,, , ; , , P� 3 L ' p � � � � T . � . : , ; � -;_- - - a � P;.._ , N . S. � � -- (j , L p z g � � .s;-p . __ , . _ _ , . �� �"'"' � '• ; � , , f�. ; �a ;� _ ` � ^ � �a, .,�1 ;r^ ., '1'_'� . ., � , :--4..,......��.�.. � , `s,, � ,� �` _ " ,. ` �,_,_^ c� ' __ . --- _ - -- �..�:,,,,_ . _.._._.. --- __..__ _._._.___.__ _-._.__ � i , � ,�,�. .�. _.__ o ' ; S � T�- ' � � � O ,Q r �I J� �°--� ' ' �o , ': � � � � ; j , ,_. , , ,-; � � , �'vTv t2 ,� �, , ' �g , ; S��''�,� _ . ,�. � � �� _ _�.._. .._ _� - ;�,---- - ---- . _--- I�e �ndersig ed, here.by eitify that �'rr_✓�'ias:s r r �acir�;�}�L. � • �vith t a � l����eh�snecifn�d-+ �sconsn� ~ ' - i+�.fnistrative Code, and that the data recorde�l an:- I�t�e location of �e ar�r�lr�t �t�th�.br t o my knowle ge a��li � � /'� �'-- ,�vlE 1printl: ` -- ---- --•�' ---- ----- TE 1'S WERE COMPI_E1'ED ON: -- � I S �O �C � M' f ; ---��.-----r- --��� � -��- ' ._.— ---------- _ - -- ---- -- --- - �i ;tESS: � w CEFi'flFl� I�(bIV N�BEH: P�E NUi�1E3ERiuptwn,� _� ( 9 l+ �0 1� la' i �x/��--�� s `� s�._5 �_- �i.�'^ — � 6 --�- 4�G' -- — - GS1 SIG. ' Tl� ���I '� �lL--_ �� `)V�U_iy��.�l an� onr cop, c� Lu�al ,`,uthor�ty, Property Owner and Suil Tester. "�, 'fi. 10/83) - OV[Fl -� "