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HomeMy WebLinkAbout26-0144BAYFIELD COUNTY Zoning District L� 00 I SANITARY PERMIT APPLICATION Lakes Class I. APPLICATION INFORMATION Soil Test County -' �,, o l N y_ - (Please Print All Information) No: 79 -o Permit No: Property Owner's Name: Lance & Lisa Alm County: Bayfleld Address of Property: Property Location: 32810 Whiting Rd SE Y. SE ¼,S 32 T 50 N,R 4 E (or) W Property Owner's Mailing Address: Township: I Gov. Lot #: SAME Bayview City, State I Zip Code hone Number Lot # I Block #: CSM #: CSM Doc # Subdivision Name Bayfield, Wl 54814 7 %' d y/ 2020R-58350 H. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) 6681 MAY 01 2026 1 or 2 Family Dwelling - No. of Bedrooms 3 III. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) sdyrleki Cu. A) ❑ New ❑ Replacement ❑ County Private Interceptor Planning and Zoning Agency ❑x Reconnection ❑ Repair ❑ Revision « ❑ Transfer of Owner (List Previous Owner below) B) 0 A Sanitary Permit was previously issued. Previous Permit Number. 4 a'S j 9 S Date Issued: (/ a'/ `hr IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) t 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.) (Gals. / Day/ Sq.Ft.) (Min. Inch) Elev.(Feet) Elev. (Feet) VI. TANK Capacity Fiber INFORMATION: In Gallons Total # of Manufacturer's Prefab. Site Exper. New Existing Gallons Tanks Name Concrete Constructed Steel - Plastic App. Tanks I Tanks glass Septic Tank or Holding Tank )OOo I L-�+o$<-C 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) !fapply/ngforSectionCabove Owner's Signature(s): (No Stamps) Plumber's Name: (Print) if applying for Section n or el above I Plumbers Signat re: No Stamps) MP/MPRSW No: Edward B. Redinger 221939 Plumber's Address: (Street, City State, Zip Code) I Home Phone: Business Phone: 1015 11th Ave. E. Ashland, WI 54806 415-413-0122 715-292-6670 Vlll. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit/Transfer Fee: Date Issued: Issuing ge�nly'St�S�ignatu / Date: Approved ❑ Owner Given InitialI ' /S� l .b ,(�r.J{ ' • "� %un I VI Adverse Determination O' �, -4j- ST I /to%'i?) ix. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 'kus Uuj4 l[Vl tI.V1 JbCll 5 Its fefr'rcd. Plot Plan on reverse side Lot Line N 1 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/fonns/sanitary/bayfieldcountysaniteryapplication Revise: June 2018 Proofed by: Conventional System Joe Johanik #32810 Whiting Road Bayfield, WI 54814 715-779-3483 r�E:�s�iy�6 Legal Description: NE114, SE114, 532 T50 N R4, W Town of Bayview MAY 012026 N Bayfield County Bayrleld Co. Planning and Zoning Agency Map Scale 1" = 40' only in BM, 81, 82, 83 area BM = Bottom of basement window 1" above ground surface = 100' ELEVATONS: 8197.1& B2 = 98.09' 83 = 9§.53' Existing Home = 99.90' System Elevation: Primary - 95.5 acement - 4.53' CALCULATIONS: 450gpd divided by .7 = 643 sq. ft. required. 643 divided by 19 = 34 quick 4 chambers. 646 sq. ft. roposed = 136ft of trench. 3 trenches, 2- 44' and 1- 49' Lot y ? 41 -SI 3meo� oot Whiting Road U /600 Existing I0 BM Home 1000a1 Wieser B2 v - 1%Slo e Lot Line Tank 13AYFIELD 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: Description Private Sewage System Reconnection Submission Number: CS -00156 Transaction Number: CS -00156-45182 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 10727 Paid by: Superior Plumbing & Mech Inc 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 - Reconnection SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0144 Tax ID: 6681 Issued To: ALM, LANCE K & LISA J Location: S32 - T50N - R04W Town of BAYVIEW Legal Description: PAR IN NE SE IN DOC 2020R-583500 390B Residential Structure in F-1 Zoning District For: Sanitation Permit — Reconnection [Previous Permit # 425195 (6/2/2004)] (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Must meet & maintain setbacks. Insulate as required. 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) 6852900. NOTE: This permit expires two years from date of issuance if the authorized construction Emily Macgillivray, AZA work or land use has not begun. Authorized Issuing Official 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. May 5, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.