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HomeMy WebLinkAbout25-0212�C nI I I I BAYFIELD COUNTY n E C II U zoning District —2 l/ V SANITARY PERMIT APPLIC/IJIV7iJIONPR 282025 jJ/kes Class I. APPLICATION INFORMATION Soil Test County (Please Print All Information) No: Bavi , 02 Permit No: L Property Owner's Name: County: Bayfield McKinney Revocable Trust Address of Property: Property Location: 45975 S. Lake Owen Drive NE ' NE '/+. S 04 T 43 N, R 07 E (or) W Property Owner's Mailing Address: Township: Gov. Lot #: PO Box 358 Cable City, State I Zip Code Phone Number Lot# I Block #: I CSM #: I CSM Doc# I Subdivision Name Cable, WI 54821 715-798-3645 11, TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose 8360 ® 1 or 2 Family Dwelling - No. of Bedrooms 2 Ill. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) ❑ New ❑ Replacement ❑ County Private Interceptor ® Reconnection ❑ Repair ❑ Revision k ❑ Transfer of Owner (List Previous Owner below) B) ❑X A Sanitary Permit was previously issued. Previous Permit Number _ ______ Dat Issued: 1998 IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) * Replacements need previous permit number and date filled out above C) ❑ Pit Privy ❑ Vault Privy (Vault size: gallons or _cubic yards) ❑ Portable Privy ❑ Camping Transfer Unit Container ❑ Composting Toilets ❑ Incinerating Toilet V. ABSORPTION SYSTEM INFORMATION: 1. Gallons I 2. Absorp. Area I 3. Absorp. Area I 4. Loading Rate I 5. Perc. Rate I 6. System I 7. Final Grade Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) I (Gals. / Day / Sq.Ft.) I (Min. Inch) I Elev.(Feet) Elev. (Feet) 450 864 83.46 VI. TANK Capacity Fiber INFORMATION: In Gallons Total Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel - glass Plastic Exper. App. New Existing Tanks Tanks Septic Tank or Holding Tank 1000 1000 Rasmussen X Lift Pump Tank / Siphon Chamber VII. RESPONSIBILITY -STATEMENT: I the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Owner's Name(s): (Print) if applying for SectionCabove Owner's Signature(s): (No Stamps) Plumber's Name: (Print) If applying for Section A or B) above I P)4 S' not No Stamps) MP/MPRSW No: Doug Manthey MP 230722 Plumber's Address: (Street, City State, Zip Code) I Home Phone: Business Phone: PO Box 196 Drummond, WI 54832 I 715-739-686.8 VIII. COUNTY! DEPARTMENT USE ONLY ❑ Disapproved I Sanitary Permit/Transfer Fee: I Date Issued: Iss ing Agent's ignatur / Date:/� Approved ❑ Owner Given Initial 6f ���� 1% Adverse Determination IX. CONDITIONS OF APPROVAL I REASONS FOR DISAPPROVAL: Plot Plan on reverse side Lot Line Imo( IS C E [ V E APR 2 8 ?&n f ayfield Co. Zonin Dept. IA ra �S I Name of Frontage Road ( J. i.Af Ke Ot,ie. Ut:Qc 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N) 2. Show the approximate location and size of the building. IMPORTANT DETAILED PLOT PLAN 3. Show the location of the well, septic tank and drain field. IS NECESSARY, FOLLOW STEPS 1-7 (a -o) COMPLETELY 4. Show the location of any lake, river, stream or pond if applicable. 5. Show the approximate location of other existing structures. 6. Show the approximate location of any wetlands or slopes over 20 percent. 7. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b Building to centerline of road j. Privy to lake, river, stream or pond c. Building to lake, river, stream or pond k. Drain field to closest lot line d. Septic / holding tank to closest lot line I. Drain field to building e. Septic/holding tank to building m. Drain field to well f. Septic / holding tank to well n. Drain field to lake, river, stream or pond g. Septic / holding tank to lake, river, stream or pond o. Well to building h. Privy to closest lot line Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 u/formslsanitarylbayfieldcountysanitaryapplication Revise: June 2018 Proofed by: — Tracy Pooler From: Tracy Pooler Sent: Tuesday, April 29, 2025 11:12 AM To: Douglas Manthey (norpines@cheqnet.net) Subject: McKinney - 45975 Lake Owen Drive Doug, I do not see the $50 septic reconnect fee associated with this permit request. Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tracy. op oler@ba ieldcoun .wi.gov ]3 YFIELD Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-4010 Property Owner: Submission Number: CS -00112 Transaction Number: CS -00112-29E51 Description Amount Private Sewage System Reconnection $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 5246 Paid by: A -Z ENTERPRISES, INC., DBA NOR -PINES PLUMBING, PO BOX 196, DRUMMOND, WI 54832 Payment Type: Check Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required LAND USE - SANITARY - Reconnect [298268] SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0212 Tax ID# 8360 Issued To: MCKINNEY REVOCABLE TRUST Location: NE '/4 of NE'/4 Section 4 Township 43 N. Range 7 W. Town of Cable in Doc # 2021 R-589267 Residential Structure in an R-2 Zoning District For: Sanitary Reconnect to 1 1000 gallon Rasmussen Tank (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): To meet all setbacks. To be constructed per plan. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the department of natural resources wetlands identification web page or contact a department of natural resources service center (715) 685-2900. NOTE: This permit expires two years from date of issuance if the authorized construction work or land use has not begun. Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Tracy Pooler, AZA Authorized Issuing Official Date