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