HomeMy WebLinkAbout010-841-25-5317-LUP-1991-053/`
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11pp1ic�L-ion for Land Use Fermit ._
County of Sawyer y �
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7'1►e undersigiied hereby makes �pplication for a Land Use Permit aucl ayrees ,
tliat all work shall be done in accordance with the requirements of lhe Sawyer °
County zoning Ordinance and the laws and regulations of tlie Sl-ate of Wisc�nsin.
PRIN�r - usL ONLY 13L11CK 1NK/!'L•'tJCIL �-
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Su.sr�n� K �
1�v,',n1c���� �'r� C s � G i h �G���S �1"��G 1 � cr�� �
, Owner Builder �
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��O �'-v�r (cc�K ,U�'. � l S 13c� S �� � ~
• mailing address mailing address
i3100mi�c� Ivi�d �� �v. 5 5 y3 � {-�ac,1 �L�G✓'cJ VV � 5 �( O �3
city, state zip city, state, zip
Duilding Land Use Zone District (.���
(X) New ( ) Filling � � Sq
( ) 1lddition ( ) Dredging Lot size l�� �( �Z(� rr �
( ) 111teration ( ) Grading � �i
( ) Moving on ( ) I�cres , �8 v�
( I � ) �
New Construction ' `I �j
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Size v2�/ fL wide _ ft wide �
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/ �
j�� ft long �� ft long d
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Floor area 7�Z(� sq f t _�_ sq f t
7'otal hgt (�, to peak � to peak �j�
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Stories f �� ��� . �
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No. of bedrooms �i rear lot line or waterli��e
E�ea-�--�avnd) o r ��) l�c�u n c� L�:�t'
Xj j - --- _ .____ /U U' ----a�i�'
'I'ype of bldy or addiL-ion � �'7 r _�,l '� �
OC
( ) Dwe 1].ing , ___ _ rt
I - i � O�,C�< I � G
(x) Garage (1) (2) car j '�� y Y � 0 i c� �'
( ) Storage building �__ _ y� �� i�,5}�^ys� � � �, rr
O Doatl�ouse � j� Ho`� ��� i m
( ) Livingroom � 'y w�i i � �.�,
i
( ) [3edroom � �y i �
� ) Kitclien-dinin9 i TG�ny ;,�W�t=�y-�o `ZN �� 17� �
O Forch enclosed/roofed i i J--
( ) Deck - open � iF 2 3�`D;i �` ; i �{' �
i �� �
( ) --- �y i i�
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7'yPe of construction � �� , �x,s��yy Zy -- y r -___ .__ _ia �
(x) Frame ( ) f3lock �— +�� ,"— Gc�u y C ( �
( ) I.og ( ) Concrete � , � i
( ) Pole ( ) Steel � y5 I � �+-
( ) Metal / + � �
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; I -• �=�N/e 13 ,p � i cn
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Construction cost $ S,����� � � - /� i �
i 5�'� �
Vol � pg � Lpa of deed i . 3,� / i
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csrt vol �_ �9 ,2�/3 -�`/ `/ i�5 �y Uu`G�e ! i cbu
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Cer. Soil 'Pest �3 �ag( � - � � �
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Sani tary Permit � -o4'a - ' /{ �� \.
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Issued Q� 1(�(��� `��� Denied
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�����Pr' '-�^�_� 7oni.ng ndministr tor
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R oUNO LAKE
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SCACE /" = 6o FEET�pEscR. ,5, 73•o�'W. a3soe� 1�go P.o.B /
O IRoN P/PE /N PLACE p
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� IRoN P/PE PLAGED
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� ROBERT R =
S Y} SYVMiSON {�:
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THIS SURVEY SUPERSEDES THE �� 3 '?'.lq �tp`��`
SURVEY RECORDED THE 30th DAY � ���.,d Sut`�g�`"�
OF SEPT. A. D. 974 AT 9 : 45 r��� �f 2 • n , .� ''I�����N�",,,
O' CLOCK A.M. AND P?�P� y /� �Q �,cva,�.¢e�..
VOL. 3 CERT. SURVEYS OF RECORDS � SE�' � . /o- SL7
E- z S .. �
ON PAGE 236-37 as CERT. SURVEY S �• 36 _ S`�-8 5` coR 7_ 7¢ �C
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319 :� SCALE: I INCH=q.00 FEET FOR ASSESSMENT USE ONLY N(
DRAWN BY :RVH DATE :7-20-87 INTENDED TO SH01ti CONCLUSI�
COLON (:) INDICATES GOVT. LOT EVIDENCE OF OWNERSHIP 03t
BOUNDARY LOCATIONS �
__ `,
I , 3ohrrt !?. :'r.^�;Fon, P�isconcin He�iFtered Land �urv�yor,
do her�hy c�rti.f;� �: � �k i_n full comnli��nce e,i+.h '%hapter 236.3�t of
t}lc' t�iFC7»cjP •"�t.Afl.lt"^ ^1'.t� 1t71(lE?I' t)1P �ilI'PCtlOII Or �:IAt� �. .ttC]
Richard 1'1. And�.r�or�, o��nn .•s �f Rnid l��d_, I have �iirv^y�d � divided ,
�nd mzno�c3 t!��� 1.��+P h�rrin �iescribed ^nd t!�at said 1�n�1 liPF in
both �bv't Lot 2 -��r3 "nv't T,�t j� Secti.on 25, 'lbn� ehip �1 iiorth,
RanRP ,4 I''ert, '! ��•r� �f 11^yv;�rd , SaM•yFr C:o�tnt�, l',Ysconsin dercribed
ac foll.nvr�s:
Co^imenr,; nc- ^t th� :-�nth # eo^ner of fiection 25-41-8: thenee
north 5°1 '7' ��rrt i�','t ,�n f�Ft to an iron uipe vrliich is t}ie -�oint-
of-be�ir.ninF,.
7'h���cP r��;th ��°06' r�eet 2x9.00 feet to an iron pipe,
`Phsnce n�rth 1 'J°15' c:e�t ��01 .6� feet to an iron ct-�!ce l.ying
on the ��ir��=�irlrr 1i �,^ of ;'ound Lrlce and 25' from the water'� edp.,e.
Thenrc eorth '�j°32' aast a1onP the meander liiie of Nound
1,akF 335,5� f�nt tn �n iron stake ].ocated ?_1 ' from the r+ater's
edc-e .
'I'heiice sout.h 1 J°08.5' east 39R,90 feet to .n iron aipe
l;�inc� on tl�e ��o.^th edt';F of the 7'otrn Road.
'l'hence �nuth 73°�6' �veet l+5.00 feet to the iron pipe which
ic the I',(1.B,
Said n�rrels �rn to include the l�nr9 betxeen the ?oe�nder
li.ne �nd tne erctFr'� edr� betneen the nareel linea extended,
caid pc:rc�l� -�C� :UbjP.CL to and toqeth�r n�ith the joint
ure of th� roa�ts as �hon�n on the �nap,
S�id p �rcelF r�rc =1co Fub�ect to easementa and re�ervationa
of record .
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Page 2 I a � ��
Deputy
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w�==���_�^ qpsLICATIO�d FOR SAPyEi'ARY PERMIT �
� � ' � � � �. �. A
����'r�. C:UNTY i
(PLB 67) �
oeaar+*men.oF UMFORMSANITARYPERMIT�� .p
'"�"�'p"'1RBpR6"""'p"pE`Q"�"� CST 83- 281 52283 �'
—Attach complete plans in accord wich s. H 63.05, Wis. Adm. Codc for the sysiem, on paper not less than 8%x 11 inches in size.
—See reverse side for instructions for completing this zpplication. PLEASE PRINT
PROPERTVOWNER MAILINGADDRESS ,;Z,JP.''. C��r��i.GitK (J�':
�.�c� ,�[.n arr;'ra f3i��.., 1 —� v n�r; 4-s`��
PROPERTV LQ��10� �'r'
���, „" G � VJLLA�:
1�4 1/4, S ..Z� , Ty/, N, R 8 fYCor�W- TowN oF: i>�'Gc�il.riJ
I_OT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ftOAD, LAKE OR LAfvDMARK Sl"ATE PLAN I.D. NUMBER
I LJ/' �`C ,.
TVPE OF BUILDING OR USE SERVED �
��"1 or 2 Family Number of Bedrooms: � LJ Public (Specifiy):
THIS PERMIT IS FOR A:
�."�w SVstem ❑ Tani< Replacemen: r� Repair
❑ Replacemeni Soll Absorptton System � Revision �� Privy
i� Alternate System G� Reconnectlon C Potition for Modlfication
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
�'�Seepaye Bed C Seepage Trench �_� Scepage Pit � Holdiny Tank
`] System-ImFill L'� In-Ground Pressure '�..� Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit �s On File, Permit m issueci _
❑ An Existin9 System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total �'",-of Prefab. Slte Steel Fiberglass Pla;tic
Gallons Tanks Concrete Consttucted
Septic Tank Capacity �.n -
Litt Pump Tank/Siphon Chamber � �:.�
Holding Tank capacity
Manufacturer: ' u —G
IF THIS IS AN ALTERNATIV6 SYSTEf�7 COMPLETE THIS BLOCK: i-i Mound ❑ In-Ground Pressure
Total -"rof Pre`ab. Slte
Gallons Tanks Concrete Constructed Steel Flberglass Plastic
Septic Tank Capecity
Lift Pump/Siphon Chamber
Manufacturec �
P6RCOLATION RATE ABSORPTION AREA ABSORPTION ARE4 WATER SUPPLY: �
(Minuies per inch): REQUIRED (Square Feetl: PROPOSED (Square Fcet�:
i J
�>/5 (�'.T �� �'Private � Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Signature: MP/MPRSW No.: Phone Number:
, 'J 7 '
LCc:.`L '�. ',' � Fn ' �.�� ��,� � -ut� �c,G�/ `+.Y75/e
Plumber's Address: � Name of Designec
r'i. .z ,lHctt_ � �a.�< u.',�s. ,7� Cc�.c. ,1 c ;
COUNTY/DEPARTMENT USE ONLY
$igna �r f Issuing qgen � Fee: Date'. ' Disapproved
�� � �0 . �� 5- 24- 84 =� OwnerGivenlnitial
'� APPYOOe� Adverse Determination
Re�son for Disappr al�
Altemate course(s)of Action Available:
olu1R-SBD-6398 �R. 5B2) DISTRIQUTION: Orlginal m Counry, One Copy To; 4ureau of Plumbing, Owner, Plumber
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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY& BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 BUREAU OF PLUfVIBING
MADISON,WI 53707
�CONVENTIONAL ❑ALTERNATIVE S�atePlanl.D.Number:�
Uf assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑Mound
NAME OF PERMIT HOLDER�. , ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
�c'�h a1 d �'i� C'r 1�. a Oz� C���.r�cr�i� �1R_. l oo � �N - I 'g
DENCH MARK(Permanent reference point)D[SCRIBE IF DIFFERENT FROM PLAN- fiEF.PT.ELEV.: CST REF.PT.ELEV.
Name ol Flumbrr�. /MPRSW No. Cn��n!y Sanna.y Permn Numben
C�.c� l b 306 S�w e r S a a�33 �;�. --o �..
S E P T I C TA N K/klLLLD1AlG--T-�tf�tif--
MANUFACTUFlEfi�. �IOUID CAPACITV. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
Q � {� ♦ PFOVI�EO�. PROVIDED�
CUS"'�nrn Pf'�C4S� �CCOO � C> �°V �YES ❑NO ❑YES ❑NO
BEDDING�. VEN7 DIA. vENT MATL. HIGH WATER NUMBER OF ROAD: PROPERT� WFLL 9UILDING: VENT TO FRESIi
�� A�ARM. FEET FROM � LINE� , � IAIR INLET�.
❑YES ❑NO � �•� • ❑YES ❑NO NEAREST � �� �� ��Q, S �
DOSING CHAMBER:
M1taNUFACTURER 6EDDING�. LI(1UID CAPACITY PUMP MODEL PUA1P;SIF'NpN MANUFACTUHEF WARNING LABEL LOCKING COVER
PROVIDED�. PROVIDED:
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMvallocorvrRo�soPeRanoNn� NUMBER OF °HOPERTV WELL BUILDING IVENT70FRESH
(DIFFERENCE BETVI'EEN FEET FROM ��"E aiR iN�ET.
PUMP ON AND OFF) ❑YES ❑NO NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing �_F NcrH oinnnErEr� MnreHir��aruo MnaKirvc
or excavation. (lf soii can be roiled into a wire,construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CQNVENTIONAL SYSTEM:
BED/fR�EPJ(,'f+ �VIDTH LENGTH NO.OF DISTR PIPE SPACING C()VEH INSII�E DIA #PITS LI�UID
/ ! TRENCHES � M1IATERIA�' P'T DEPTH:
DIMENSIJNS �a �'�, ;� -t�Q�1l�
GRAVEL DEVTH FILL DEPTH UISTH.PIVP OISTR PIPE DISTR.PIPE MATEHIAL. NO uisTa. NUMBER OF PROPERTY WELL�. BUILDING: VENT TO FRESH
dELOW PIPES ABOVE COVER ELEV INQLE i EIEV.ENDp� P!Pf5 ��INE � � AIR INLET�.
,l SI� �eV' I O1• 1 �VC FEET FROM ��SO c�SO
� NEAREST-►
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fiil 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 TE%TURE PERMANENT MARKERS OBSEHVATION WELLS
❑YES ❑NO ❑YES ❑NO
IJEPiH C7VEH THENCt�:BED DEPT11()Vkf7 THENCN;eEU f)EPTH pF TOPSC]IL ti�1DIJF,U SEEfJFD MULCHED�.
CEN�Ef� EDGES
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH NO.OF LATERAL SPACWG GHAVf_L DEVTH BELOW PIPF FILL DEPTH ABOVE COVEH�.
BED/TRENCH TRENCHES:
OIMENSIONS
�dAMFOLD PUMP MANIFOLD DISTF.P17E MAMFOLD MATERIAI� NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATEHIAL&MAFKING
ELEV. ELEV DIA. ELEV. PIPES�. DIA.:
E�EVATION AND
DISTRIBUTION
WFORMATION NOLE SIZE NOLE SPACING DRILLED CORRECT�Y COVER MATERIAL pLANSCAL LIFT CORRESPON�S TO APPROVED
❑YES ❑NO ❑YES ❑NO
COMMENTS: PERMANENT MARKEFS: OBSERVATION WELLS: NUMBER OF PROPERTV WELI: BUILDING:
FEET FROM ��"E
❑YES ❑NO ❑YES ❑NO NEAREST
Sketch System on Retain in county file for audit.
Reverse Side. -
SIGNAT TITLE.
ti�,�
DILHR SBD 6710 (R.01/82) ,��`�'�' - �55�"- , \�m�'� � �n��ar10.'(}