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Home My WebLink About002-940-23-5113-LUP-1990-046 � �pplication for Land Use Permit x • County of Sawyer y 0 S" The undersigned hereby makes application for a Land Use i'el:mit and agrees � tl�at all work shall k�e done in accordance with tlie requiremenL-s oL the Sawyer �, ,� County Zoning Ordinance and the laws and regulations of L-)�e State of Wisconsin. PRINT - U5E ONLY BLACK INK/PENCIL � Marilyn D. and � t Don J. Lundberg �F' r ENT�2t' (�1 StzS Tc3ct{PS l�, Fa55 � Owner Builder x' � 704 MacAlester Street (�i, ,� �o �' ,SO�� mailing address mailing address St. Paul Minnesota 55116 �P`twA2�p , W ti ,j�$� 3 city, state, zip city, state, zip Buildiiig Land Use 'Lone District �-2 ( ) New ( ) I'illing � o (�'Addition O Dredging Lot size 100� x 237' /212' rt � ( ) Alteration ( ) Grading N h ( ) Moving on ( ) Acres ,4$ � � � � Side r z New Construction Porch � p,�0 R�c�-� !�a�tTlQl� Deck Deck d � t� Size 10 fL- wide 4 ft wide 3 � � ,1�-�7 ft long 27 ft long 9 d 0 z �.7 0 � Floor area •--�-3$--, sq ft 1pg sq ft 27 u� Total hgt 15' to peak 15" to peak 15" x' Stories 1 1 1 _�C�1 t.i]��_�T c:)/�1�. No. of bedrooms -------- rear lot �-��e--or waterline Ip;� (year. round) or (seasonal.) � -------� i � Type of bldg or acldition ! + � � ( ) Dwelling � � � � � i ( ) Garage (1) (2) car i � �#, i cv �' i r• ( ) Storage building i i C rt ( ) Boathouse � � � ~ ; i m ( ) Livingroom � � i � o �, (J) Bedroom AvoiT'�cJ� i z7. - —,� i � ( ) Kitchen-dining � �� I 4 ��--_ _`� � ( �Porch - enclosed roofed � �,7�$ �'� �o '-� � I j ( �-)- Deck - open / ', +.�.,_— -�--I `� i� 33 t�� ;N � ' � �� *-- � ( ) , � s i'�1 � � � � � � 3 .__ , lo I -�•j ::��,: r— - - - j� � I r O A/I� �,li Ty e of construction - i 3° Si3' � N � (� Frame ( ) Block i ��O � i i ( ) Log ( ) Coiicrete i � r� � _ �� i � � O Pole O Steel i 4a� � S`; i �lt D+- ( ) Metal ( ) �- � ! � i �� , 37_�c � i �o,�. � � i �o Construction cost $ � �v0 U� ! L� ___ i ;, i �5' i i Vol 423 Pg 1 of deed � � i � I N I � W CSi,] v�l 9 �'y 261 i �' � �ro' � ,--'� i n � � --' i � Cer. Soil Test _�j—��j'�, � � i �o � --�*.-s� --C d ------------------- z � Sanitary Permit � - �r'j(� ! o 0 11(C` -`. � ,�_; �!.11��1�,,, � ' z �._=�--`�c..�; . c � `;.� 03 ��.�� I��-1C� " � Issued Denied � • � � **Variance 89-016 issued 27 Jul.y 198 `"' � ��/V-� �, � L ��,N 1�--^t� .-� �, Don J. Lundberg owner 7.oning l�dministrat r $ c'z �'z. N '� i/°G�! �i D c� s= S �F � t, G L-v G A T c o N T �A ( �-ti �'S iN S"iV' i..t�(�0 � v�-� �UC�VSi 1�08 �7' R°N SPR�CK.�i..s e,ott� ST12�,C�tteN � Neoletm'§Offi<e saWY��o,�n�Y }• 1�6 5 7 i: - a��,:��a i., ��oo�a u,a ,�g amr o! �l� n n is�3 a�a;�'�io� i ,,,i,��-��d.a;.,�oi �-- �,I on pa�� , 1�__. F_c`�_ ( �� R wstcr � � L_ tl� DS Kv. \ \ � � • NE COR.SEC.23 �� ) s S85oW 652.54 T40NR9W �� FOUND S8C ��v \ � i 4.�.i ��,� o oh�n��O N \ � �`fl g: w m ,y'�`�' '" o � \ �^ N 80°7�7'05��E a N � �o'o � \ so.59 LEGEND m� �'9 � • SET 3/4�X24�IP.WT. iz gj �� p�y�� 1.13 LBS/FT. a� Z � 1,.��,ii� ii��. i�i:G \ ,�h' N O FOUND 3/4��IP mu N'flo N 25��4�' N�o ��NNO IO $ N 78°00 2� E 103.52 ��, Q� 91 �' n ap �53. N Z u�$: 4$ O. N60°0p�20'�E �0 20,227SF. ��'o O �^ � s .asac.= 4 26,941 SF. 5.00� 6' �- �a��. .62 AC.! �' O ��; O 6' �j, 20,822 SF. �N 20�66SF, �^ 4 .48AC.! $� .46 AC.� 122.08� 154.08�� 2=g4� 102��sl S79°37'IS W S89S5010 W N83°13W S11o2455W 22�_� 10= 2d= GR I N D STONE 55� ze'= SCA LE i" = i0o' LAKE ---- i -r--� o' ioo' 2a SIIROE7[OR'S CERTIFICATE I, LYLE L. ELLIOTT, regietered land surveyor hereby certify that by the direction of ILIA ANDREI, I have surveyed and mapped the land parcel which is represented by this Certified Survey Map: That the exterior boundary of the land parcel eurveyed and mapped is described ae followe: A part of Government Lot 1,JSection 23, and part of the Southeast Quarter of the Southeaet Quarter of Section 1ly, Towr:ship l�0 North, Range 9 West, Town of Base Lake, County of Sawyer, State of Wisconsin, and more particul.arly describod as followa: Commencing at the Northeaet corner of Section 23, thence S 85° W 652•54 feet ; thence S 29° $9' 1�0" E 116.09 feet to an iron pipe being the point of Be�inning; thence N 80° 27' 0�" E j0.59 feet to an ironpipe; thence S 29° 59' 40" E 21'].l�3 feet to an iron on the ehore of Grindatone Lake; thence S 71� 24' S5" W on a meander line of said Lake 102.01 feet to an iron pipe thence-N 8j° 13' W on eaid meander line 124.81y feet to an iron pipe; thence S 89° 50' 10" W on said meander line 154.08 feet to an iron pipe; thence S �9° 37' 1y" W on eaid meander line 122.08 feet to an iron pipe; thence N 29° 59' l�0" W 220.00 feet to an iron pipe; thence N 33° 53' 30" B 111.36 feet to an iron pipe; thence S 29° 59' 40�� E 210.00 feet to an iron pipe; thence N 78° 00' 20�� E 257•43 feet to an iron pipe; thence N 42° 00' 20" E ']5.00 feet to the point of Beginning, said parcel containe 2.02 acres more or less, including all land from said meander line to the watera edge, and aubject to ax�y easement o£ record. That I have fully complied with the provieione of Qhapter 2j6.31y of the Wisconein revised Statutes and the aubdivieion ordinance of Saxyer County in surveying and mapping same. �,pn��nn�,�, , � ._ .L��i�i7 � �G �o�..l� ��a� , .�.->> ,;��`,��„ " " . _ i, � � -, .,. �<. , ��L�s-� l4-a�l5 �, Y% � ' ••. U'> � L. ELLI , land surveyor � I,YI.L: 1,.• ��= Wi conain R gistration 5-1300 - �` ELLIC�P1' = Date: April 2�, 19a3 _ SHo:,�;�r, L71 �/- .-�ti-�i'3 / •'' ' . �C-Cc�<c��D Cd[ilfl�d BiII1wy Ncy� S.�.1:3�)� o`° �ec�c�-� lo Z>� u�G ��''��„�„��,,,�. - -,._��'k'� � r/,I 1� O 0 L� C r o c � � � r c � � 0 o - D � � < � -� � L 0 • _ N O N � CJ1 • N O W � v CN - 0) Q' < < { N� NI� .. JV . �.1N w :. ` + W � .�M 0 `` � O N tv - - -A N U1 W N `* N N N N � � w OD - N N N � o � 1 • 1 �1 N N N CO - = O W N _ � SANITARY PERMIT APPLICATION COUNTY . � 91LHR In accord with ILHR 83.05, Wis. Adm. Code SAWYER `� '�""'""'�"""^'�'"'�� STATE SANITARY PERMIT # � CST 88 - 154 114422 � —Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER � 8'/z x 11 inches in size. —See reverse side for instructions for completing this application. PETiTioN i. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. 0 Gd I/�_ �.0�}- I FOR VARIANCE ❑ YES ❑ rvo � PROPERTY OWNER PROPERTY LOCATION � L�/ �— v i � Y�'1 , l) Y� s � '/a�� '/a, S/ ' T �(, N, R C—{er) W ' PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME I � /� e �-ev� 5�,�-- ' C TY, ST TE j ^� Ar ZIP CODE PHONE NUMBER CITY : NEAREST ROAD, L AU( / � \ /�" � � ❑ VILLAGE : �, j � I `(�yNS I I1. TYPE OF BUILDING OR USE SERVED: ' Number of Bedrooms if 1 or 2 Family .� OR ❑ Public (Specify): � III. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2, 3 or 4, if applicable) � � 1 . a. ❑ New b.� Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an iSystem System Septic Tank Only an Existing System Existing System � 2. ❑ A Sanitary Permit was previously issued. Permit ## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. I i IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) � 1 . a'�Conventional b. ❑ Alternative c. ❑ Experimental I � 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP ' In-Fill Tank I V. ABSORPTION SYSTEM INFORMATION: (Check one) i 1 . a. ' See a e Bed b. ❑ See a e Trench c. ❑ See a e Pit ' 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (S uare Feet): L,,j � � �?V O '� Feet �rivate �..loint ❑ Public CAPACITY VI. TANK � Site in alions Total of Prefab. Fiber- E:<per. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel 91ass Plastic �`PP Tanks Tanks structed Se tic Tank or Holdin Tank � �0 ��00 ❑ ❑ ❑ ❑ � �ift Pum Tank/Si hon Chamber ❑ ❑ ❑ ❑ � VII. RESPONSIBILITY STATEMENT ' I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plu er's Signature: (No Stamps) /MPRSW No.: Business Phone Number: '��' -�' v, c [ S , �� 6�3 �-��SI �Plumber's Address (Street, City, State, Zip Code): Name of Designer: `�,� Q 'Z l -- �� . � 3 �cc m V II. SOIL TEST INFORMATION y�rtified Soil Tester (CST) Name CST # � � � �� - CST's ADDRESS (S reet, City, tate, Zip Code) Phone Number: Cl /n'2 {X. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Iss i gent Signature (No Stamps) � Approved ❑ Owner Given Initial Surcharge Fee AdverseDetermination S95 . � � $25 . 0 � $ -24 —$$ X. COMMENTS/REASONS FOR DISAPPROVAL: �BD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber I � . . ' _ I �I� - a�(,-ob7(, -wo,k ' 643 -��o - h�M� ' ' �'� �� .�� ; f ) l � '` �?.)N G-� �,r ��Yl�i cg �1 q 1/� � / 7�'vr '-�- L.V�'► d O`�Y� 1/�U�- � � �/Q �V� L.p � � S�c.i� �- ��c /l{/ 'j L�v Nj ��I' (�.� � i 1 �� C�M�o-�ti�', �0 Yt c�p Y`cC�.��S � ��'_�O �I✓ / p� r c'��S �'Q�'h �( rd i � 11 '� �� r ' i 3� \ ; h� _ ; i i �� ,� `�� o � � G � C� Q �, � , � (i � � �'— � ! �. � ' .�' �'- i � ' � � � � � � � � ' i � � � li ' ; �` � � � � � , . _ ' �, � � �' ; a v � p �s _� � � C�j p � -d�'� � p �� C o i �: � , � � :� "d �a I b 3 �l� h � d N� r �l C. . j L � . _ ; `V� � I � I i � �a� - — — ---_ ! ��") � c1 S"C`� '�'1 e __��K c � � I i I � J i � I 6S � -i —� � � � J T � J � � � S i � ",n '.f� L � �� O 0 5� � A ' � � � 1 o � T �� — � � t: J � r ° �� /� DEPAFTMENT GF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILOiNG L.4CiOR 8 HUMAN RELATIONS ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLDICATION P O. BOX 79G5 �v'iADISON. WI 53707 � State Plan I.D. Number: �CONVENTIONAL ❑ ALTERATIVE (Ilassigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERh11T HOLDER�. ADDRESS OF PERMIT HOLDER� INSPECTION DATE: i�l L-u �l p 6 ERCT 0 r S-� . �a I �1 N 8 - a- -�8 B Ch, 'r,:1AaK (Permanent relerence pomt) DESCRBE IF DIFFERENT FROM PLAN�. REF. PT. ELEV.� CST REF. PT. ELEV.�. Namc.�� Flumbec L� �.J i�4P9MPRSW No.: County' Sanitl ryOPermlit Number S e. E �35o Saw�r F� gg- I S�D i I � a SEPTIC TANK/HOLDING TANK: MANU�.4CTURER: LIOUID CAPACITY�. TANK WLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER t� ROVIDED� PFOVIDED� I d D O � 8. '�/ S� �V • 7 Z. YES ❑ NO ❑ YES ❑ NO BEDDING. VENT DIA.� VENT MATL.� HIGH WATER NUMBER OF ROAD: � PROPEFTY WELIL BUILDING: VENT TO FRESH � � ALARM�. FEETFROM LINE �L� N1AIh . � �/ AIR WLET: ❑ YES ❑ NO � C—�— ❑ YES ❑ NO NEAREST —► � �� '� we DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY� PUMP MODELL PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED� PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GAL.LONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM IINE: AIR WLET' PUMP ON AND OFF ❑ YES ❑ NO NEAREST —� SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH-. NO. OF DISTR. PIPE SPACING�. COVER INSIDE DIA.: � PITS: LIQUID I � TRENCHES: (— � M<ATERIALn: P�T DEPTH: D�MENSIONS �3 �CJ JT RUJ GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH � BELOW PIPES' ABOVE COVER EL Vp WLET: E�LEyVq. END'. PIPES� FEET FROM LIN`E � Ccmm, �'^ � AIR INLET: ( �� a �� p •O3 -! l ,y P � NEAREST—� / `�� .I T� � 7O MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKEFS: OBSERVATION WE�LS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCHBED DEPTH OVER TRENCHBED DEPTHS OF TOPSOIL�. SODDED: SEEDED�. MULCHED: CENTER� EDGES� ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH �ENGTH NO. OF LATERAL SPACING GRAVEL DEPTN BELOW PIPE: FILL DEPTH ABOVE COVER TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL 8 MARKWG: ELEV.� ELEV.: DIA.: ELEV.�. PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE� HOLE SPAGING� DRILLED CORRECTLY� COVER MATERIAL� VERTICAL LIFT COFRESPONDS TO INFORMATION APPFOVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSEFVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEETFROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST� � Sketch System on Retain in county file for audit. Reverse Side. si TURE: TITLE: � � SBD-6710 (R. 06/88) '