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HomeMy WebLinkAbout026-938-06-5802-SAN-2024-112 . � SAWYER COUNTY ZONING & CONSERVATION ADMiNISTRATION � Z 10610 Main Street, Suite 49 � Hayward, Wisconsin 54843 _s (715) 634-8288 _ sanitarian(2sawyercountVgov.or� � � �_r COUNTY SANITARY PERMIT APPLICATION Tn accord with Chapter DSPS 383,Wis. Adm. Code and Sawyer County Private Sewage System Ordinance APPLiCATiON INFORMATION-Tl'PE OR PRiNT Pro ny Owmer's Na �rc�erty Legal Description / p � �K E,�q,� GL�_'�Q{, Sec. t� ,Twp. �O N, Range �W Propeny Ow�ner's Mailing.Address Lot Number Block Number N � 0 � a�r� �r L �✓ � City,State Zip Code Phone Number Subdi�•i'ion Name or CSM Number ������ � �lz .�y� �� � � � �3� ���� TYPE OF BUILDI1vG: (Check one) ❑ State Owned � ❑C�ry rvearesc Ro�d ��53� �� M� ❑ Public 1 or 2 Family Dwelling-No. of bedrooms� � ❑Village _�.__� • � �Towm of SaT/� �A� �� Fire NumberiL� / ,*-C!/ � �j,�i�f► tt'/ C�J PUBLIC BUiLDIIVG/LA1�1D USE: [Explain thc use/purpose for this Pareel Tax Number: (12 digit legacy number) perniit,(i.e.,campground,festival,recrealion/entertainment event ete.)] .— � � �-�3 �_� G _ S ��� TYPE OF PERMiT: Additional Information: �POWTS Reconnection(SAN#�� - a7�) ���'� POWTS Connection (SAN#Q( - � O-�S� *Attach a Plot Plan with all required information per SPS 383.21 ❑ POWTS Rcvision (SAN# - ) ❑ POWTS Repair(SAN#_- ) *Soil Test Information(CST#�� - �5 ❑ Other: A Y��� ` - �l '��. ��� �� * Gallons er da we , RESPONSIBILITY STATEMENT: T,the undersigned, assume responsibility for the inst lation of th POWTS activiry for which this permit is issued. Plumber's Nam � Print) Plumber's gna[ur P/ PRSW No: Business Phone Number: �! �c�c.�-� � z3� � O� s) �lyd - i�yd Plumber's Address(Street,Ciry State,Zip Co e : � �� 1 CT- ��„- � � � �. � � 2 �L ��1 �3 v � OFFICE US ONLY: ❑Disappro��ed Re�•iew Date: Permit Fee: Date Issued: lssuing Agent Si�nature �Appro�ed ❑Ow�ierGi�en Reason for �� ` `-�/ (�•`t� 5I�'� 1y ��/{rl-r��uX�- f�,� Denial � d ( ' I' �' ,""`�`A'�- COMMENTS: **Expires 2 years from date of issue** Expiration date: SI 1 �� y'U-=� � �Gd vw�e�� � ��� s� hna�...�.� Sy.S�I�^'� . CONDiTiONS OF APPROVAL/REASONS FOR DiSAPPRO AL: s�„��, � ( �?;;'' ; ' E ��� !� �I ' I �7 �`�25 �.�'� 'i ,�. S '�I�-�-+ `J ��GI���.� � . ___ � ��5 ��z� } � � �'hk# i t�.�D - _�._--�- 4�^.,+u � 5S � sAw�r�a cou�vTr :.a.=..tn�_.�_._._____...�__...�_ ��IdNV��DMINISTRATI N Rev. 04/21/15 NO REFUNDB AFTER �'•• r� �'� ISSUE OF PERMIT <2"1 C�(�� �. ---_ _. � , �`' S9 Y - 20 � 5 2 RON SPRECKELS CCJNSTRUCTf�N C�. ROUTE 2 BOX 2006•A HAYWARD, WISCONSIN 54 3 (715) 634•8250 �0 u v� 1 f}Y t c>. A�, :a 'j'qh�e,.S � �Z.. (JT �L pt 1� r� R 1� �' ..So' � •ra�,, We�i / ...r.�.+.....,,..,.,...�.... .«.....�,........,�.�.�...«.�.,...........,,........w...-�.....,�..,.�-�.......-._...........,..-�...�..._�._ ..... ..... ... ...._.... ,_._........,_...._�!�S �. Q _:�a+�`�_.....���.....,r.Y.....................�.._....._...._.,..._. .�._ .. .,�. . .. . ,..f.. : _ ..� .� .._. ..�.,r _.�.�._ 9 C' _��---------� -----�—�� (r D� �_— __ _J!, '___.�___.... . C1 i��v-G- L.. J�1 C ,. 1�( f�� � 'Z L �� i C�. E.1 P. �C> 1� 'T h t� � �i. 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' � '. � 'r r 6 c. �,�� , r s�ti. ��{,�_____ _�-_� � : ���fJA,`�G�`J� jt�rN� �� � a � � � 1 �1&' E � `�' � � - . ... _ _ __ . _ _ _ . , . ______ _ i _ .. _ .. _ _ .... _ . ,.F-... a�j 3 ��� �,,; �� �t �-`� . ' . Y ' r }�. �" � • �'� l� -f'� < . . � '\ , t �_ ��,;�y � ,� �.__,,, t, , ��.� . . . ��� ��.. , ' . 1 /. ' � � CST 91-258 , i _i ._.__ �Cafesy an�i Bwi�in�s Div�s�on � G��unty -.--_�.___.,� __. �..._�..� „ ( 2Q1 1L', Washin�ic�n A:�c.. P.C3. f3nx 71bZ �Qt�1 tt,�('" yk lS,\rr��s,� ; :+tadisc�n. �1 S37b7 - 715? � Siie�E;d;css �- ____._ , � Oe�artmer�t of C�mm�rce I �_� j 1G51�'�4l Sitsc��a�A,�na �.Fr� .i ---,-..-_._.._.,._..�__.___..�..._ 5anitary Pernlit Application 1 Sa""'n ��n"``y"`:��' '� IG<f�.3L �i , ln actord with Co:rtn:i3.21. Wis. :�dm. C�w+t, perscnat infarsr.a:ior.yeu psev�de � ?'�,yeck sf Rev,S;on h`'� + mav!,e uscQ f�c uconclary�r�rses Pr�vacV L.�w. siS.Q41 ii+.'m) ; n � t. apptication Infarmation- Please f'nnt A!1 Information ( Sw�c Pixn 3.D �tumbcs —'�"`— ; � S4/ -2t,/y7 ! ? Preper:�O�r,er's�;rrr� j Parcei tiumbcr ,�:s� St,'3, d,•'f 9 i �1i�A+t.1 �Ce� � � Hubert L. Fz Mary McNamara °0��-�3St-aG-�a�., sgo3 • St�y � iPrr,pem�O•x�er's!�taeftr.g A�:dr:ss ! P.GOVt�I.t�� ! (oG�y- Ti � t_a�► ' � mber � � ; . ,. � ct�,s:�« ; �_ ..�s G r 3 S�____�. �9__��,: � Zip Co�:e ; ?ho;sc�c.^:t�e: , Loc�.;mhc� Hio,.k`�,:;��c: � ' ' �7i�� � 1 � 2 � � � Subc#r:is;en\xme CS�t tiu�r;�er � �. C.�a.�r� ' ' , tv � ' S`�{�'d J ; g32- 8�3(. � CSM Voi 1 Pg 136 � i t1. TFpe of Buiiding(chcrk all that apply�i ; �C�ri, � 3 i G ',.�1 �t� �amtl� Gwef:itry-tiur;iFcr�t f3ccitcac,ris�� ' , , .-. ; �-��iil3�e, , __.__�.�.w____.��...,,___-�--�-- �4't.�blie:Cor:uaer.iat - �rsc+�he L.'se '��'Q.nf� �-a�CB { _._._.__ 'Z�Tn•.vnship 4 � ; �rarest Read � ..,:St,ts*Qwr.ed ` � S�ss�knn�a.� 2d µ ; III. Type af Permit: (�heck only one l�ax f�n tirte:1 (numbering scheme for internat use). Camplete line B iF applie�ble} �q -tcrwfec..� ; For County use �� �, i 1 ..: tiew � � Rt�lacrment System � '� `.�1 Re�lacemrnt af � & '`�t�+t�^.n;,> � �� ' C Svstcn� � ._._ _ � Tank l,}niv �4l,r,rc SJ;_s;er�i I i , �Chnck if 5ani�ar��Pe:mi�Pre<<iously lssucd ' ����'�'��m'�cr "'- ' B. � - - � D�tc Issued � I 1 � �lt- �3D � //-5-9/ } IV•T}'pe r�f E'ertttit: (Check a!1 that 7pply)(numb�rin�schcnte is for intern�l use} � � �" ; ' � � �' ��1-Pressunaed in•Groutat �i-?'��tounri »'LJ Sar,d Filier SO� Consrrvc,ed�'�'ccland ; { '_'t.; P:essur,iee(n•�;c�i.n.i at � fle�tdthg T3'2�( s3:`v Singls Pass 51 '�: Dn�Lme 9 ! s5;...'' .ac-t;:;��;e :h:_Acrr,hi:Trcaunent L;nit 4u�.�Rccirc;stann� ?(i!.;L7�he: i V. DispersaUTreattncnt .area InFormation: �"�""""""'�" i Dcs;�;::':ow �:};pcf� -' Dis�:.tia; ;rc� D�spers�i.�:ea I� Soti 3,�;�i;.attc.n Pe- �anc�F�te i fivst:m w':tti•ation ! rir_�!Grad: R;qui:cC Prt�rt�se�S 1 R9,�{Csaic. Da•.t:S:;.Ft, � �\lt� In.:hi t w:e�•�ns�ts � � � JfiQ � ' i ' 1 � ii,.� ��3 r ; � 3 , ° � � � �'I. T�nk Inft� Ca�a�.�r-:tt ; Tc�wt � tium2�er j tiq� �,;farn::c: � Prc xh � 5itt i Str.i ! :'+.r � P�'titiC ; '- Gaii,�r.s i Calions � ot T�niu ` Can�.�.: � ��,�utra4ted ( i �rass ; ��'�' i cx sc.^¢ ; ' � ' i � � 'r37�.lCS i�+1Af ± i 1, ; 7 f 5C�?tt[�� : � t � � . . . . � � ���. '�."""': i �) 3 00� � 3 �u{�s.u, ` }� ! � f Das,rg cs3r.tz: � � ' : t '• ,� ' fi � � fl�roe Jlra o t � � � ; I �'It. Respansihilih•Statemcnt- i,thr undcrsignc+l, �csume res�a�sibitit+•!or iasc�t7atioa ot the }'��t`tS shawn on fhc attachcd plans. Ptumber's`am�iP ..,, �Phamncr s 5i�ra �rc �1P `+tf'RS �umbcr 3uz�ncss Phur,c\utn�tt i ! i ' �}-�a.tn►u�sQ.✓� + 5ar�s j Z'�!?3 ( ��S-75�F�3�SS' � ?lum�r's,qdctresc iStre:t,Ciry.5cafe, 7«C<<� � .._._...... ! � ��c L�G C,'.o-b I�e. c.�z sk$2..t ; VTIL Countvinepartment[;se nntv � � '�:�p}�ravcJ i ! SStUt�fV F�CCTSlI� f'CC�ineiudcs Grc,u�d«��ier ! • � � 'J Dizappr�rve�1 Date issce�i Issusn� A nt Si�t iV �ta ,ps) Surch�rgr Facy 5170 .00 i 9/12/O1 '� � � � � Ownec Givc�inuial AJvaru i i � � j , Deter,ntrueien � t (" � ; , ; /�� ' ; � IY. �onditions ot':lppro��atlRcasnns Cor Dis;ap�roval ' - � IMP�RTANT N(3TICE: Wisconsin State Statute, Chapter G5 .245 ` � � (3} , states you are required to have your septic ta k pumped/inspec edf , ar least once every 3 years, � i .lttach compte�r pianf itn Ittt CounFt��nlv�Cor ehe s�trrm r�n paper�rot Ir_cs than Nl;:c 31 iaches in c�ir ssn_h��� ,n �;,�„� . . . f . .t . . . .. . .. � � .J ' .. . � . t �. i � � . �.... m a- : . ..... � . .. . ._.. . r �� 1 . . , . ��. -. ,. ,� t _ ��, e. ! . .. j �} {f�, (� t/ jf _ /� 1 /j y/��� ' t �L4+o��ir� C \Ri* i� � ���� . i _ . . 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" ��1- 2..C1"'j � ;' ,.. ; � �n w__. _ _ __, _ .. - ,_, ....._,.. , � f . _.. ..._ 7 . � � � i � � �� � i..'�J�Y+*.l.��M M�Li� � i � � �J � . .. .... .. .:_. . -.. t . .. �t . .� . . s . - . ,.. .___ ..... .. . . . . ... . . ._.. ...._...�._.-..-...-_.—�,�,.�«__ � .. .. . . . .. _ . ( ._..... . .. s�." ��,.. . . . .. . - � � ... ,.� . .. � C.MtI��^`TC� �... � r , . . . . r ' � :.�J^ . "` �i " ,�..'� � . . ' Msu�.� � � + � ",r�*�-✓1 t . _ _ .,,__.. _...�_. ..__-1____.,. ,.„ __ _ _ : _ . � , ; • fii. � _ _ _ . . ._ � , . . � ;.'"� �� w.�.J^ '"�' ;�i ti : µ�,�„p .� . . . -.. � � , . . .� {' r� � . .� . .. ._ . . .. . __. _.. _ .. .,.. <->. � Y! 4� t�`... . . .. � _.. .. , ... . �.. ,. . . _� � � F 4t .�w. �. ' . : e . � _ e , 1 aaa P��r. .. .�---.����:c:,T�c� jx: � r._ _ . : ..� f } � c�;'- '� a7'r�C =+t��rCu!*' , � !oOtT ..'�"� - 't 4 �...--�.� . SeF'� ___ . . .. ..: . . , _ , . �. .. . ,., . . � � ` � _ ` ��_� , � ,_. ; �fx��.3,nr.', , � ; -y� f-4 , ,_ � .....E ., F� .,.. s. .a.�..._... � s .,. .... � a.._. _.r. .. ... rRi�i/�. . . . _ . . ... .. . . . . , . � � i__ -- ` _ _._ � � �r•� � � � - _ . , ._ . , . -_ , ._: . .. ,. _ . . . •� 4: _ _ � � "��_ � � _.,. _, . :. . . .... . , . _ . ,_ _ ,_ . . , _ � : . { . � ". ,: : . . : � t . l�i. .. �,' : (�,�.i�����:4' . .. , . ,_ .� . t .: _ .. . . ,.:�. ... .:. __. . . � , . ` . � . . .. . . . . , , �. . t; . ) . . ' ' . . . - . t '. . � � , . , ,. . . . -.� . . � , . ... . . .._ . . . . . � .. . . . ' . . _ . s , . �...��...� . �..—..�. . . . � . � � � � � � . . � � � . �. �.� �. . , ....,: : . .... ... ... .. . ...... . ... , . . . . . .... .... . . , .. . . � . . ... . . . . .. , _ , .. . . . � , . . � . �. . � { : .... . . . . . , '�: � R ��,�\�(��`'� .�.'+.1•i�.�..t�l..�:4.�..t....�,,..�r . ..; . . . . .:. .. . � .� . ..:. :� . . . ...,.. .- ... . . . . : ,.. .� . . : .. . . � , . . . . ._ . ... . . , . . .- ., ... . . . � .. . . , ,._.. ,-., ... .. . . ... � �f�.�`�' �;���t--a y� � � � � �� � , _ , � - M � . : . . . . , ���'t� � ! . . �. . � . , : t , . _ _ . . ; . _ r :_ . : � , � . . . . , . • _....^,�.,��• � � _ �'L `� ."t �::1,...}'":�c. � SEPTIC SYSTEM MAINTENANCE AGREEMENT _ [At�grade,Imground(grav(ty and preasure dlsfrlbudon)and Mound Syatemal , , Property Owner. �'V i i C h �.e � 1�• K¢ �� LegalDescripUon: Parcel iD#: �� Type ot Privata ��Q (A)In-ground gaviry❑ (8)]n-ground pressuro distributian Sewage Syatem: � (G7 Mound ❑ (D)At-grade In!he event the minimum standarda contained in the appiieable Wlseansin Administrative Code can be mel and a Sanitary Permit is issued for the installaUon of a private sewage system uUlizing a sepUc tank,pump ehamber,pump and etiluent filter at the above loeatlon,the owner of the property hereby understands ad agrees to maintafn the system tn ihe manaer prescribed by the Savryer CouMy Private Sewaga System Code and Comm 83,Wis.Admin.Code. (1) Se tic tan (System types A•D):The septic tenk ahall be pumped by a eertiAed septage servicfng operator wilhin three(3) years oi the dete o(installaUon and at bast once every three(3)years thereafter untess,upon inspeclion by a Iicensed master plumber or other peBon authorized to make sueh Inspeetion,the Wnk is tound to have less than one-lhird(113)of ' the volume oaupied by sludge and scum. (2) �umo chamber(Svatem tvoes B.C and Df: The pump cham6er shall elso be rinsed and pumped out when the septic tank ts servieed as provided above. The switehes and pump controls shall also be inspeeted and maintai�ed to ensure operability of said eomponents. (3) SeuUc tank effluent tiltar(Syatem typas A•D):The septic tenk eflluent filter ahall be inspeded and maintained as necessary and In axordanee wilh menufacturera speGftcalions. Filter maintenance reports shall be submitted to the eounty as repuired by Comm 83,Wis.Admin.Code. (4) Pr(vata sawaae evstem disoersal ceil(Syatem typas A-D): The prtvate sawage system distribution cell shall 6e visually Inspected by a ceNfled septaga servlcing operator,POWTS Inspector or licensed master plumber within lhree(3)years of the date ot Inatallatlon and et least once every three(3)yee�s thereefter to determine whelher wastewater or eftluent from the system in ponding on the ground suAace. (5) Mounds At�arade and in-s�round oreasure avatem laterals(System types B,C and Di: The laterals shall be ftushed out and swabbed if needed when tha westewater dlslribuNon cell eomponent is Inspected es provided above. (6) The Owner a(sueh septic system shall[umish the Sawyer Counting Zoning DepaRment a capy of the inspec[ion report verifying the eondilion of the tanks,whether wastewater or effluenl is ponding on lhe ground surface and lhe date of pumping and otl�er servlee that was neeessary whene�+er this tnformaUon is required by the county. Reporls shall be signed by properly licensed indivldu0ls. (� When Mie qtle to lhe property ia kansferted,a copy of thfs agreement should be tumished to the new property owner(s). This agreeme sh�l be binding on all assignees and heirs .o �.1�,�. /.�f 9- 7� 0 / Signature of Property Owner Date �CT-08�2�01 I6�30 A. 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' 5�16124.1:48 PM Real Property Lisling Page R2dl EStdte Sawyer County Property Listing Property5tatus: Current Today's Date:5/16/2024 Created On:2/6/2007 7:55:46 AM �Description Updated:7/29/2020 �Ownership Updated:7/29/2020 Tax ID: 27668 MARY A MARKHAM APPLETON WI PIN: 57-026-2-38-09-06-5 OS-008-000020 CHARLES E MARKHAM APPLETON WI Legacy PIN: 026938065802 Map ID: :81 Billing Address: Mailing Address: Muni[ipality: (026)TOWN OF SAND LAKE MARY A MARKHAM MARY A MARKHAM STR: SD6 T36N R09W N210 IIBERTY LN N210 LIBERTY LN Description: PRT GOVT LOT 8 LOT 2 CSM 1/136#107 APPLETON WI 54915 APPLETON WI 54915 Recorded Acres: 1.660 Calculated Acres: 1.654 �Site Address *indicates Private Road Lottery Claims: 0 16591 W SISSABAGAMA RD STONE LAKE 54876 First Dollar. Yes Waterbody: Sissabagama Lake J property Assessment Updated:9/28/20ll Zoning: (P-1)Forestry One (RRlI Residential/Recreational One z024 Assessment Detail ESN: 423 Code Acres Land Imp. Gl-RESIDENTIAL 1.660 ll0,300 31,700 �Tax Districts Updated:2/6/2007 Z_year Comparison 2023 2024 Change 1 State of Wisconsin Land: ll0,300 170,300 0.0% 57 Sawyer Counry Improved: 31,700 31,700 0.0% 026 Town of Sand Lake Total: 202,000 202,000 0.0% 572478 Hayward Community School Distrid ODll00 Technical College ��Property History .�Recorded Documents Updated:7/29/2020 N�A WARRANTY DEED Date Recorded:6/19/2020 424521 WARRANTY DEED Date Recorded:9/14/1998 270746 367/309 WD646/71 WARRANTY DEED Date Retorded:l0/1/1984 193121 CERTIFIED SURVEY MAP Date Recorded:6/10/1966 000115 https:l/tas.sawyercounrygov.orglsystem/frames.asp?uname=Eric+Wellauer ��� �q'"��".""73� ` y''F'''Y+y2',+ R."' .:.. ' �„� � �, ` �a . .r,� �' — R . � �# �+''� � nddresses ■. °}�a1+.n is, r ��,J'• � �<r� .,. � �•,�[ry , � '� prn�r ' � q � �Y�, �T Y« ��.���T � � ' ,�BT�L�'�� �I {p j�� �� 4 iAy • � ��� L� 'A/�n �, ¢� �wr' ��l •a�`'��i �' �� Parcels tc ' �r [ti. G � .y� . . 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