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HomeMy WebLinkAbout002-940-35-1209-LUP-1989-119 � • • Application for Land Use Permit Cowity of 5awyer H O . The undersigned hereby makes application for a Land Use Per►nil- and ayrees � that all work shall be done in accordance witti the requiremenL-s of the Sawyer � r+, 1 County Zoning Ordinance and the laws and regulations of the State of Wisconsin. � � PRINT - USE ONLY BLACK INK/PENCIL '; 1 ��Pd/,.fL . ��, ��;�/�-��' (-�`F"°'�> ,�"��'�'y��_. ANN�cI �� �.Pc.t ��r� /i�G���C-' ��Y i� �O/(�.S riE?G ^. '�� tJ sv � Owner Builder _3 �a� ��;,�� ,�t� sf mailing address mailing address i �/ � , �/-�c�� {� � l�� i i ��I ��7�� �l '�i✓� S.���, �U,� J�T d � 7 city, state, zip city, state, zip Building Land Ose Zone District (Z.� - 2 � (� � � ( ) New ( ) P'illing ' � Addition ( ) Dredging Lot size ��d� X Z�v�L KZ3� � � ( ) Alteration ( ) Grading �, � ( ) Moving on ( ) Acres a ,,SQ2,,,,-,. ( ) ( ) S fof��!Je�mcn.� - �v�A�� � New Construction �j�D,P��.�, r Size ft wide /� ft wide r __ ft long �� ft long Floor area sq ft �(p� sq ft �� � Total hgt to peak �_ to peak � x Stories �_ 1 No. of bedrooms r.e�-�r lot line or waterlitie (year round) or (seasonal) � � i � i� .,.,r � c� Type of bldg or addition ; � i o ( ) Dwelling i l � U' � ( ) Garage (1) (2) car � i � � O Storage building i � � � j i C rt ( ) Boathouse � � ' � �� � i � O Livingroom � � � i o (>q Bedroom - -�=ni`r��';rr 1 .:; . _; ,�x:, t ij, I �V i � ( ) Kitchen-dining i � ( ) Porch - enclosed/roofed � � i ` ( ) Deck - open r � /�' i ( ) � �- '` �� f �, � i —� ��---_ L �i s �f i � O z � i `r' i ��`� � � � Type of construction �'` � PW� � i � � Frame O Block � i j� i 9 � ( ) Log ( ) Concrete � i ~ � � ( ) Pole ( ) steel i ' �- i N � ( ) Metal ( ) i ; i a � i � � // i Construction cost $ �`j��� , � � _,� � i � � � i i i Vol c� -= � Pg �; �- �� of deed � i � i � ��' i CSM VOl �, Pg �� � , ��� �'"'` j a � � I �S Cer. Soil Test i �gs� -� � � � ----------C road ------------------- z Sanitary Permit 7�j - I�� L o � . z Issued 1�_J v(��, �q�q Denied N � � � � � � j�` �, . l E .rr°I:wGG�t 4 c. J I��N IL - - r owtier Zoning 1ldminist ator � -� � M {� �" � --1 ' ` !� PRESENT Ro.�OBEO �N � owN RoAO �� ti N-S % L/NE N 5, o•//,s'E. s"77.az' �o � WOoDED y ��� 0 0 � n . 0•//.S' W. 26¢.48' � y o A � �o � 0 6 � � o_ � I � A I I �? I �q � ' I oa I 30' � I � I � I � � � � D = u � � /� � c� 3 / ?.�. � Z � � 2,.�. , � y � / ,,���,,.,.����.,, �C 4 / ,� I � .�I � � `�yG``�,,,.....,,,��.(�% � N � / q 0 ?Q �. �O '. t: w 'e n_ � � y � ° � � ,� o � � �� I�� =O_ o I a ^ 4 � � '• � ��'����, � / �� � "'j'o�, ... �,' W ^ I � A � � ,,,,,•���a�u��i�����,,,,, 1 � a � � I / \��� / / w I / ��"',� / � y / / I � y � ti / I � rti � a i o �^ � � � � °►_ 1"\` N � � �- \ \ k � m f� � � p � � � \ ? � : : � n � � N �I � ll �P � o \ o � VI � � I � tn_ � Z O � � � � )0 ^�i ��+ I =� � o y � w � • ��'� � o� � �/ ' �`y ,'. \ � ^ .o'�\ � � '� 4 � \ ' y� -� : ,;£.CI�S \ \ � �� � ` � �3 \ 2 ^ � Y N0. .�� �£� � 04 ,� . ,* . s � N R � , O P � . a ? i;, u � � 0 ; N m � O - __{ . m 0 N � N -0 � 1 — wo 0 ;�; � ' v ' ` ` �. t � � � U' � � / ` � N � O N �rJ � ( , � O W � � � W � ' N J � l ` O � W � � � � � � � N � �, o D 0 � , � z � � . � � � � i � N N � �./���� N N . N . w � r _ � ~ N D � � w � N CO � i�t � N .� 0 � � � 0 � n � � o � y3 � c :+ �� ° _ w � `^, �_ N - 'A. � w —� � �. \ r ? N V � y . � ��'� T , Robert R. Swanson, V�i:consin Fegistered T,and Surveyor, hereby certiYy that in full comnliance with the provisions of Chapter 236.34 of the B'isconsin :tatutes ar.d under the direction of Vihite Sands r:states lnc. whose ov,ners are: Tom Austin, '1'om Duffy, Robert F'airfield and Harry �'oeller 1 have surv< yed, divided and mapped the land herein descri.hed and that such map correctly represents the exterior boundaries and division of the land surveyed and that this l.and is located in the north- west t of the northeast � of Section 35, '1'ownship 40 Ilorth, Range 9 P;est more particularly descri.bed as follows: Commencing at the northv;est corner of the northuest # of the northeast �- of Section 35-40-9: thence south 0°11 .5� east along the west line qf the forty 5�7,32 feet to an iron rod: Thence north R8°48,5 east 25.00 feet to an iron rod lying on the east R,O,W, line of the Town Road which is the point-of- be gi nni ng: Thence north 8R°�+8.5� east 97,60 feet to an iron rod in the middle of the access road. Thence eouth 63°46.5� east along the middle of the access road 231 .67 feet to an iron rod , Thence north 62°06.5� east along the middle of the acess road 170,6'7 feet to an iron rod. Thence south 17�3t}� east 230.66 feet to an iron pi�e. Thence south 83°36� v�est 150,�6 feet to an iron rod. Thence south 8u.°48,5� west 374.�3 feet to an iron pipe lying on the east R.O,Yl, line of the '1'own Road.. Thence north 0�11 .5� west 264.48 feet along the east R.O.W. line of the 9'own Road 264.4� feet to the iron rod which ie the P.O.B. Subfect to and together with the joint use of the 3 rod road on the north houndary of the parcel as shown on the map and also sub�ect to and together with the jo.i.nt use of the 30 foot easement on the south side of the parcel as shov:n on the map - this 30 foot easement is limited to use Hith other back lot owners in said forty. Also subject to easements and reservations of record, Said parcel "R" contains 2.50 acres more-or-less. February 22� 1972 Thia instrument drafted by Robert R. Swanson Wisconsin Registered Land Surveyor �1�jC'�/nSf� /Ce�/s.r-0 � �,�a..�-sr.v . . .�` �. '.� Robert 12. Swanson f'xoesx�r ' j 3 (13 �5�, SINANSON {�_ � � � ',,����•�S ,` �y �' .� , � tr .. _ 5 • ' ,�7 ���'� � �-2 9' y` � ". � a Sl1T'�6 .�`� -� /'. . !. >2 � ,,����4uuou�n�• , . . . . . . . � ._ __ NH- 'fs �4s-t�__ C. `7ri`o3���-^' � � �;�,�.,.� �1 �� , .. . . . > ,. .. � . . . . � ; � e� ��� � \ i State of Wisconsin and County Uniform Permit Application ` for Private Domestic Sewage Systems State Permit � County Permit Number � � �� _ Number � � � �S A. LOCATION OF PREMISE WHERE SYSTEM WILL BE CONSTRUCTED, ALTERED OR EXTENDED LEGAL DESCRIPTION: Name One: (Sec., Lot, Block) CITY _ VILLAGE tiW ^ tv� �S — 40 — 4 l—OT � '�A�—l_(�k.�.—TOWNSHIP B. OWNER OF PROPERTY MAILING ADDRESS Name (Street, City, Zip Code) NARou� �rR��������2. EAv C�R.� v.� 1 S 4��1 C. SEPTIC TANK CAPACITY ��� Gallons NEW INSTALLATION �_ REPLACEMENT ADDITION MATERIALS: Prefab Concrete Poured in Place __ Steel ✓ Other ; No. of Tanks --� D. TYPE OF OCCUPANCY One or Two Family Residence _—�N_�--_--____ No, of Bedrooms _ Tw�_____ --- -- Commercial — Industrial Other _—_ — No. of Persons to be Accommodated (specify) E. APPLIANCES, ETC.: Food Waste Grinder _ YES ✓_NO Automatic Clothes Washer YES �� NO Dishwasher YES —�NO Other (Specify) F. EFFLUENT DISPOSAL SYSTEM NEW ✓ EXTENSION __ ADDITION REPLACEMENT Seepage Trenches: No. Lin. Feet Trench Width Depth _ Number of Lines � a Seepage Bed: Length a� Width �.•�— Depth -- Tile Size .4' � — No. Lines Seepage Pit: Inside diameter __ _ Liquid Depth __ G. Percent of slope of land —��� % __ _�S�S,2� — direction H. Indicate Slope of Land & direction of slope on sketch I. Tile Depth _�_��_ PERCOLATION TEST Indicate Soil map number _—_-- And Soil Type _ _ ____ __ — __ Hours Water Test Time Drop in Water Level Inches Minutes Test Depth Character of Soil Since Hole in Hole Interval Second to Next to Last To Fall Number Inches Thickness in Inches 1st Wetted Overnight in Minutes Last Period Last Period Period One Inch — T�P cS4\L ' 38 Nn �� � n�o _ ► o __-�� _ a � � ., 1 — Top ��L 9-" „ a l- �� a�� � 3 4 � _ „ rvo --L�_ —�-- Z'o r' So1 L 4 y „ � r� aS° �� � a K , RECORD DATA FROM MINIMUM OF 3 TEST HOLES IN THE AREA IN WHICH THE SYSTEM IS TO BE INSTALLED S 0 1 L B O R I N G S - Minimum 36" Below Proposed Absorption System Boring Total Depth Depth to Ground Water Depth to Bedrock Number Inches Observed Estimated Observed Estimated Character of Soil with Thickness in Inches f o " � � � 4 " 6Ar��p �(� �� n � i < <i 61 „ ^ � 7Qr �' ( � � RECORD DATA FROM MINIMUM OF 3 BORE HOLES IN THE AREA IN WHICH THE SYSTEM IS TO BE INSTALLED (COMPLETE OTHER SIDE) , , .. � .� ,,, � _ ,.,a,.�� b�._ -•�— -_ _ _ ---- __ ,..,. . �..,�,.w�.�x«>..�y �n;:. �-'-' . - I - Name of Owner �{���t-b ���-L��v� County c�'f�1����., Permit No.�"`��'��-' PERCOLATION TESTS I, the undersigned, hereby certify that the Percolation Tests reported on this form were made by me or under my supervision in accord with the procedures and method specified in Section H 62.20 (3►, Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief, NAME �V�n t.-• c�UJHN�S�1�1 TITLE �L�m'�� (Type or Print) REGISTRATION NO. _ or MASTER PLUMBER LICENSE No. �`��a ADDRESS �T—�����f�(�'!�lv�' �E?��.�tJ VJ\ DATE OF TE9T A�V�ST 4' • �Q�3 SIGNATURE ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- MASTER PLUMBER MAKING APPLICATION MP __.�1_9a Signature: License Number: MP RSW For: L 1 IJ k7 ST�QT- cS W�►JSOu p Li3 � }���r�i�l�Csketch below of system (employer) (Include direction and percent of slope and all applicable distances► , � , , , ; r , � � ! i ; s � i i �� , { � _ 20� Ca �. PLAN VI�W (I�ocate Qeraolation Test& Soit Bore Hplesa ,' , ! ! � � , , . �5� � '4�, � �»—�--- a4 � � ; �T ��n� ,�o'; m�l,xN�w� �RL� ��p_ , , ; � I � � • , � t i i � � �a� � _ j � � ! " � r; _ �- _ .� _�_ _ ; j_ � � � � ; � �-__ � ' '1 , , ; , : � � � � � ���•r � � � , � ; ; , � , . i , , : 5� ! � � � �a� � '� �oRRw`�e�� o � � ; j _ . � � _ _ ; o � � I i , i ' � � � j ; I ; � O �? ! � i , ( � � ' ' _ i ! ..1�� L �_ - - ;— . sT , i , , , , � �'� sIS��'�'�- ' ' � � ! ! � ' i � , ; . � � � � �� I i ; � ; i � � 8��� _ � � � I � i i � , � � , I i i I � ' ` � � � , , . � � G ! ; , , . i � -�- i i � � i i i ' ; � ; � �' ! I 1 ; ' r � I i� ; � � �__ 1.4�k C. ; '. � ! I 1 ! l , _ 15� � ' � � . i I I � ' I { . I _ � � � � i � �.�p'�X � � i , � , 2Q _ _. , . _t. f + t , � . , , � � ` ; i i I I � � _ � � , � , 1 2�� ! , _ � ' 1 � ' i 1 1 � � ' ` 1 ' � ' f � � uJ � _ � . , { i I � � � � � , � � � - � � , _� � , � ; , � ! , � I I ' ( � �-�, ; ' . L �-..�.q . ,�.w� ,,..a_._ �. �...�,.�....._ �.m��.�._...�e �..A.� ..�.��.. I (_ � ' � PROF ' � � ; . ; . I LE (Indicate Groundwater or'bedrock where,applicable)� ' � _ � � � � �; � i , � - � , �� !_ ; ; ; 3 � ; , . ; ' � ; ,_ , . � � q : i .A� 1. .. „�: . � . . . ��___ �,. � t .3� �. . � ( � � � � ��J�lR��..w`1��.,� � .. . � i `�� � � � � i � I ' � I i i 4' ; � , i � i j i � j_ , : , � i , ; � 5` ' ` ' � . , � ' � ` ; �i � , _ . � � , ,��1��' , ' , � , , 1 � � � , ; �� � � � 1 � { , � � � , , , , i { � � , , ' 6, � � j ! { ; I I ; � ' ; ' I � � 1 ! I 1_ - ,. f _ , i � ; � � #__ ; ; _ ._ ._ . . � � � � � ; � � �: � , � � � _ . ; __ � . � � � � , � _ � _ 9 _ ._ � ' _._) < _ � _ ' I I � � ' ' � . � _ _ � � � , , � � , _ ._ , , . �a � ___ __� _ � _.� . � � _ � _}._. � � _ � . � _ �_ _ _ _ _ 11 � . � Note_ The application cannot be considered for filing until all of the above questions are answered and the fee paid. - - ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Do not write in space below— FOR DEPARTMENT USE ONLY Date of Application �� � k -[ 1� ��� Fees Paid State G County ��•� Permit Issued/Rejected (date) 11s�`vl�T �l\ ��3 Inspection Y�� No � 73 Issuing Agent Name ��___��R��__ — Valid No. Date Rec'd DIVISION OF HEALTH,P.O.BOX 3Q. ^'SON,WI.53701 —Revised 4-1-73 i� . , ____.y.___�... 1 �-ej�� ;; ;y : ,� . i � � -- - ---�______ � � ! . � ''� L i � � � . _ _ - � �- i k� � ��° I 'i;n1� � �l;� '��� � �-- -,. � ; 1y , � ZT i i '_._ Il ; 1