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HomeMy WebLinkAbout010-941-17-4201-LUP-1991-087 x npplication for Land Use Fermit County of Sawyer ,a �� d 7'he undersigned hereby makes applicatiou for a Land Use Pezmit and ayrees � � that all work shall be done in accozdance with tha requirementa of the Sawyer �° County Zoning Ordinance and the laws and regulations of the State of Wisconsin. � PRIN'1 - USE ONLY BL1�CK 1NK/Plit1CIL `� ��.mes y � hir�euA �nUl� lcZmeS Qoy ��_ � Owner 8uilder ���� � 8 �o x S3 '� ��N ��,- � R<>x �`�/a'� �' � mailing add�ess mailing address �c�i,U�.�/d.rr-� , l c,���. �5�`/ri h'.� N d �/1�'d r� �tJi• �7'�r�y.� city, state, zip '9' city, state, z p Building Land Use Zone District �.�.'-1 ( ) New ( ) Filling O nddition O Dredging Lot size s � .- m ( ) niteration ( ) Grading � �� �) Moving on ( ) _ Acres �n . �°� �� � ( ) ( ) _ '�O'-c-�� --�-eo�- � ew Construction _' � rr Si e fC wj�de � ft wide � � `t \ � ft��long � ft long j C � � Floor area� � ' sq ft �� sq ft - Total hgt , �� � to peak �� / to peak x� Stories / �� No. oE bedrooms � rear lot line or waterliue (Z (year round) or (seasonal) � � f �/`/O� i c� Type of bldg or addition � 1'15� � � ( l Dwelling �� � Ao�ws Hr Di � � `� ( ) Garage (1) (2) car i 5 � � � a�x�s�� i� � �S (� Storage building b ��. � `z. � i r � ( ) E3oatlwuse � � �' ( J Livingroom , ���� �, i yI O Bedroom i I A i ( ) Kitchen-dining j ._ � � � � p ' i �o.;�..¢ o � O ( ) Porch - enclosed/coofed � O DecY. - open ; � � i i I ( ) �i 300' '�' � �� ( ) ;�.i � i�5= i ;� 13Y'r � I � �+- 1 ? I£y�� � Type of construction �+� ...��, n� � ( ) Frame ( ) Block i ��-� z�+'� � �I� r` /) Log ( ) Concrete � '��a � i -0�•' (� Pole ( ) Steel - j � �`�O' � N"" �x� Metal ( ) i 2 5� � o i � Construction cost $ �S�Q, j , ��-- � � i a '�'�{ 2�9 � 3or.� I i vol a� / Fg 9/-9 y o£ deed i �� Lo � 2 � � , � ) _- i csr, vo� �._ �q o5 i �� '�� � i ry � �- � I H � 1 n Cer. Soil 1'est �,5- 13'� i 459� 3vt�' � 6G� � Y� ' ---`-----CL road ------------------- z \ Sanitacy Permit � - ��9 �j.4�j U D �0 1�1.� � � z Issued y=�� m� I�C� ' �enied � , I� ,J � ��/� f �} I - � y,�/-.�t_�': ,/._ .CLF--`�a_.i �N k- l V�-k.�-��{�JUTy . � owner �- Zoning Admini trato . ._.1-.-.._.'_.__._.; � ___ __. _._ _. ' 13�t11S �l3IV.1lM _ , -q- O'`�- O ro O � u� - � . _ O � O � n O '� O � � N N � � � � 0 0 O O i� � --- S89°38�46��W,955.78� --- C ti K 33 � 245.26 245.26' 245�26� 220.00� ` ee o �� r W 73 o�b � Q �9• 90 r � w� N i .. '� O O O � O O � O � O 0 O O O .-. M O Q O O . � ; � W � °� � ? w 3 °� 4 °� r -� (1.69 Ae1) -m ( I.BflAe = ) � � .11.89Ao _1 M (I.SIAc; l M NI � o O O � O O P p O O ' O O I � uf fA �. t/! Z c �1 � � . Z � � ' a9 0 V Q \65\ �J. Q' � 9p° �Y• J3�' 245.26� 245.26� 245.26� 220.00� I ,' �� N89°38�46��E,33.00 - -- - - N89°38�46��E , 955.78� ---- -- � � _ � ROAD EASEMENT � � , I� � , m , � , I r I� r cD • — SW Cor. NW I/4 S E I/4 — � FOUND MONUMENTS 3 � Set II(4"Dia. Iron PiOe • SET I-V4 ��X 30��IRON PIPE : I n 0 � � — — p Ih BEARINGS ARE BASED ON SOLAR OO � OBSERVATIONS .'�lCjCONsj O ' . co SEPTEMBERG, 1983 SCALE 1��- 100� \\� � � � _ � :tONALD L �C — ��/� � p � � PETERSON � z � �Gtq c[.[c7. � ���—,� ��' �� '� . . ' I _ .+ � �\ � � P .. ;' � SI/4Cor, Sec. 17,T41N,R9W ' ��.0 �.�Q � � Fd. 21/2��Brass Cap Iron Pipe SUR (County Cor Rest. Index N-71 � � A �-- � � .�, -t � I, Ronald L. Peterson, [di_sconsin Re�istered Land Surveyor, hereby state that in compliance with Chapter 236 .34 of the Wisconsin Statutes, and under the direction of Sames Boy1e, owner, I ha•�ie surveyed, divided and mapped the land herein described, that to the best o_` my kncwledge and ability, this map is a correct representation of the survey made, and that said land is located in . � the NW'�-SE`�, Section 17, T 41 N, R 9 W, described as follows : � Commencing at the Southwest corner of the NW�-SE�, Thence CI 0°38 '0�" W, along the West line of said N[d�-SE'�, 568.24 feet, Thence N 89°38 '46" E, 33.00 feet to the actual point of beginning, Thence continue N 89°38 '46" E, 955 . 75 feet, Thence N 0°38'OS" W, 300.00 feet, Thence S 89°38 '46" W, 955 . 73 feet, Thence S 0°38 'OS" E, 300.00 feet to the point of beginning. Subject to a11 existing easements and reservations . , `SCONS� , ; � � - I� �orr��.� �. � ���� PETERSON ! I saos � '�� ; HAYWAFiD / , This instrument drafted by \ f ` . W's / Q' Ronald L. Peterson \ 9 � _— / 0 �/O ^ vr�'� Sept. 6, 1983 �,\ J�JR �;�C� ��� Approved this � day of �ya7� , 1983, by �������r;� Sawyer County Zoning Admin. 1����� 188335 �� i sQ..Y�co�v j' R 'ved tcx rec�d tii9 Y� HQE� A D 19�c3 '�o'cla:k � �� � �, Page 2 of 2 pages . � � z °�.-,L�6 , Repl�l�c Depury -, n/ DEPARTMENT OF INDUSTRY, INSPECTION RE�ORT FOR SAFETY & EUIL DINGS LABOR & HUMAN RELATIONS pRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF f'LUMBING MADISON, WI 53707 �CONVENTIONAL ❑ ALTERNATIVE s�a�e �°�,,�, �.o. N�m�t�� ---� (iI dTSiQnYf�� ❑ Holding Tank ❑ In-Ground Pressure � Mound ___� NAME OF PEHMIT HOLDEH ADORESS OF VERMIT HOLD'eR�. INSPECiION DATE. �'c�m S T. �D 1e. 8r� a- �a �..uo:r io -(5-85 BENCH MARK IPermaneni reiere�ce Uo�ml DESCRIBE IF DIFFENENT FHOM PLAN REF. PL ELEV.: CST HEP. PL CLEV � SIc�1.t►1 � E • Corh�r Q.i'0. e. ( �O � - Name ol Plumher i:MPR$W Nu �ou��'.y Saniiary Permrt Numbu�. �-acurene. �m �e�r � b-� � c�w r 85 - ( I q 651Q SEPTIC TANK/HOLDING TANK: MANUFACTUREH. UOUID CAPACITY LANK INLEi EL[V. TANK OUTLET ELEV WFHNING �ABEL �OCKING CCVER IPROVID[D. PROVIDED�. l IOO� � . ��, ���ES iJNO 'YES ❑ NO BEDDING: VENTDIA.. VFN7 'Anll HIGHNJnTEti �UMBER�OF � � f3UA��� N��OPERTV NJcLL� 2UILDIN(;�. 1VEVTTOFRESH ALnHM � LItdE � � AIP INLET �� ('( � FEET FROM � as ' � � � � ;_iYES UNO � \ •� uYES �_iN0 NEAREST--� _ � I � � UOSING CiHAMBER: htANUF,�CiUf�ER BEDDING UQUIf1 CnPACi i v P�,^.9v M11f�l)f l �^,,^.YF SIV��f;rJ :^.nNU� nCIUHtit WAFNING LA6EL LOCKING COVER PROVIDE(� PROVIDED ❑YES ❑NO C_JYES L_)NO L� YES ❑NO GA�LONS PER CYCLE: P��^^P A��� c�vT"O�5 �'PEHnT���v�� NUMBER OF �'�'���'���r� wE�� aui�oin,�; � vevr ro FaesN (DIFFERENCE BETWEEN FEET FROM ��NF aiF iN�Er PUMP ON AND OFF) C_� YES �� NO NEAREST—� SOIL ABSORPTION SYSTEM. Check the soil moistureat the depth of plowing — � � �����r, innar rE�s �.+nrt r,in� nrvn ��+A�+KiN<; or excavation. (lf soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WID�H LENGTH � Ni� Of OIS`.;� �IV[ SPnCiN(1 C�jvFH U;51'�.Ji. iii%�. =PIi$ LIOUID BED/TRENCH I rr.Fr�cr+es � n�nriwi�.� � � p�T ' . [ePrH DIMENSIONS �, 3� ---� � � GHAVEL DEPTH �ILL Df.PTH UiSTH PIVf UIS1H PIP! DISTR. PIPF MATEHI4L NO I)li�i�1 . NUMBER OF NVapVEH1Y WELL BUILDING� VEtlTTO FRESH ee�nw aiPes i� nHovE cc v�H � i Ev iNi � � Ei_ry Evu P�vEs FEET FROM � urvE � 1 aiF iN�eT � 3 �. S ��•�� P�C ___�_a_� NEAREST--�► �SD � 3O � 30 MOUND SYSTEM: , Mound site plowed perpendicular to slope Check the texture of the fill 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 SOILCOVER rexnnvt � �uan�vrNrr.�,v:�t �+s �,��sei+��.>n��Nwe�i_s _ � C�YES ❑NO ❑ YES ❑NO DEP7�I fNER iHFNU� BED DEPiH t)Vt H TNE.NCH Hi U '.�! Pi�� Uf ftl✓ti�ilL tit�ilUf U JEEUFI) ,YIULCHED CENT[fi EDGES UYES ❑ NO ❑ YES �NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: wiorfa �eN�,rri No or inrEi+�i s��nc�Nc <tNnvr� ot��ir+ eE ��>wi�ii�; Fiu �earr+ a4ovEcovEH BED/TRENCH raervcNes DIMENSIONS MANIFGLD NUMP MANI�:)Li) UISTR VIP[ MANIFn�DMAiFHIl�L NO UiSTN UISTN PIPE UISTHIBUIIONPIPEMATEHIAL & MAHKWG ELEV. ELEV DIA ELEV PIPES DIA . ELEVATION AND DISTRIBUTION INFORMATION "o�esire rio�es�nciN�� rsi��t_ocnri��tci � v coveNnnnl�r+ia� veHricn� �iFrco�aesPONosronaaaoveo ��nr,is C� YES ❑NO ❑ YES ❑NO COMMENTS: PERMANENT MARKEFS OBSERVA710N wELLS NUMBER OF "� PROPERTV WELL� BVIIDING FEET FROM ��"E ❑YES uN0 ❑YES L� NO NEAREST , Sketch System on Retain in county file for audit. Reverse Side. si<;Nn iH 7i7�E . � DILHR SBD 6710 (R. 01/82) �p,f(�-S I Q0�'� , �v�c aLc a ia ' . 35, o �� ¢ k a o`y O. z ���� �oy �U � ��� �C.C�SS R_C� • ,� BM e�ev• lao . w'�°�^_�� APPL9CATION FOR SAMITARY PERRAITi � � DILHR SAu�ER � couvry � (PLB 67) �' oePran.menraF UfVIFORM SANITARV PERMIT �" F-' ���V�Tpv LReOR 6�u�'p�'RE`RT���� C S T S S- 13 3 6 519 6 � -Attach complete plans in accord with s. H 63.05, Wls. Adm. Code for the system, on paper not less than 8'hx 11 inches in size. . -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER ,1 MAIL�NG DGRCSS n ' i �C,�im-e5 � �� C,v � �c ,��c�— �!" �i�2 y, ��1� .--�(. Lvr . Sy ?Y� PROPERTV LOCATION -Ei-Wr � � � � � ` Y1LLqGE, ' � ti'Lf, 1/4S�'1/4, S / , T�'/, N, R " �E-for) W -rowry oF: /-�r�, wu..���- LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST HOA ,; LAKE OR LANDMliRK STATE PLAN I.D. NUMBER � /' i �� � c� � lf_i� l^U ��Ci�Q�- TYPE��OF BUILDING OR USE SERVED �S 1 or 2 Family Number of Bedrooms�. "7i ❑ Public (Specify�: THIS PERMI�T IS FOR A: <' ew System C� Tank Replacement ❑ Repair i� Replacement Soil Absorption System '�.i Revision ❑ Privy i-J Altemate Sysrem J Reconnsciion C� Petition for Modification IF TH� A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepaye Bed L�' Seepage Trench —� Seepage Pit ❑ Holdiny Tanl< ❑ System-In-Fill �J In-Ground Pressure ��i Vault Privy � Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit r issued �,J An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Pre(ab. Site Sreel Flberglass Pl�s[Ic Gallons Tanks Cnncrere Constructed SepticTankCapacity �-.a�., x Llft Pump Tank/Siphon Chamber Holding Tank capaclty Manufacwrer "��j/� IF THIS IS AN ALTERNATIVE SYSTEfJI C0�4PLETE THIS BLOCK: ❑ Mound :_i IrnGround Pressure Total �'o( Prefab. Slte Steel Fiberglass Plastic Gallons Tanks Concrete ConsVucted Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturec PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA VVATER SUPPLY: (Minutes per inch�: REQUIRED (Sryuare Feet): PFOPOSED (Sc�uare Feetl: ❑ Private '� Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the priv t�sewa9e rystem shown on the attached plans. Narlte of Plumber (Print): � wset� _�_��� 7�/MPRS�N_No.: Phone Number: / '_UcG�/-C'�s� c-C' ��-��i?r �"�ti'�'✓ ��/ce:2,-c,ce _ � �i�-Y���.�c�i� /� ,'� 17��)�5'4-Y�= Plum r's A dress: ' ° Nar�E,of Deslgnee � � � �, �/ �1 » � �� � A �_6 d 1 1_— cf� �.� �✓- ��� �� ��'L� -o�-� ,G � c. ��'� �I.�-----_ COUNTY/DEPARTMENT USE ONLY ISign e of Issuing Ag= t Fee'. Date: � � Disapproved L- Owner Given Initial $9 5 . 0 0 c�-�7- g S Xl qPP�a�ad q�verse Determinatior eason for Disa oval'. Altemate course�s)of Action Available: �ILHR-SBD-6398 (R. 6/82) DISTFIBUTION: Orlglnal to County, Ona CopY To; Bureau of Plumbing,Owner, Plumber \ �� �o,�.� � VJ a \ J��` �s I � �` � ; �� - ., � �J � `; N vl i � � � �� � � � t,-� y � �— I ` � " Z � � � � y� � � Cl ,5' � y, �1.. � � � -}, � � � � � � � ; � � I � ; <; � c I` � `" �; �.% � � y � ; ` �� i � �- ° � ' � � ' � � � �-, � �� �� � _ � � � � ; � u ' j� � � `� � � � � � � I r t; %r � '4� � � �1 �� `� � `~ � � c� \ , �IVr\ � \�_� � ^� � �� � '� A � � �� � G � J � J � —e `J� � � \ � r �, � �— � rl � � .��� � - � �� � ��� ` 1r. � � � 9' I °, � — a� � �� a � � 1 � c'� 1� � �, `7" �, 1!� �� � `v � � �� i1� � � �- �- �, i `� -_ � �? � �� � ti � �0 1! � `., � � ; r , U � � \ �� � � � �� � v �,�i i i � e1 `� `� � �- \�, `� \�r , � � � � u i � �� � v ;, .�. � � � �I � � _ �� � � � � � I % J��� �, i � ,-�, \�. , �� ��i � , l`l�1 '�. i I '�<, 1G �� �'i� , �� i �,. -�; a , � ��� , � _ , _`- . _� ' � � / �- --- /� , ,� �--� --- � � � �� i i � � / / / ,�n .._� � � � , �j� � h � .� �'� .�� . �� �;�- I � �i� �' ', �e ` � � VA �— -?- \ a\ �' � �' I � U 7� �^Y' � -Ji /t�2..S���. � � ���� 7`- r _ ,� � __ � _� � �I � v � , �- =� � _ _�j_ , v s -- ___ � �� =--� � --�__ � —�--- —