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HomeMy WebLinkAbout26-0470BAYFIELD COUNTY SANITARY PERMIT APPLICATION Zoning District Lakes Class I. APPLICATION INFORMATION Soil Test I County (Please Print All Information) No: Permit No: -b _ d i 1 Property Owner's Name: et County: Bayfield FNTERED Address Pr_perty _ PropertyLocation: 3 C/ C✓O "�eAove bV Ya %,S T N,R E (or)W Property Owner's Mailing Address: - To ship: I Gov. Lot #: 3 1OO E IfcekL $ ✓ttcM(r Cittyy, State Lt 6 v v4 L Jj Zip Code ( Phone Number 7(5-ac,2-37 Lot # Block #: CSM #: CSM Doc # Subdivision Name Was gk I Wif P. 11. TYPE OF BUILDING: (Check One) ❑ State Owned Tax ID#: ❑ Public (Explain the use/purpose ) Off —002—a-4'S—oct O7-3 05-003-$0000 ❑ 1 or 2 Family Dwelling - No. of Bedrooms _ 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 " ❑ Transfer of Owner (List Previous Owner below) B) N A Sanitary Permit was previously issued. Previous Permit Number. 677t5' Date Issued: 1 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. Pero. Rate I 6. System 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 Gallons # of Tanks Manufacturer's Name Prefab. Concrete Site Constructed Steel - glass Plastic Exper. APp' New Existing Tanks Tanks Septic Tank or 9`L �,�t X Holding Tank Q Lift Pump Tank / Siphon Chamber VII. RESPONSIBILITY STATEMENT: I the undersigned, assume responsibility for installation of the onsite sewa ystem shown on the attached plans. Owner's Name(): (Print) If applying for SectionCabove O n s S' na e( ( o a ps vc v Plumber'; Name: (Print) ying/roSection A or B) above Plu er'S St to No Sta s) / o. /,'s / 37 Plumber's Address' (Street, City State, Zip Code) oP�c� Home Phone: Business Phone: 7(S a37& oP - -a7 7 VIII. COUNTY! DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit/Transfer Fee: Date Issued: Issuing A nts Signature / : pproved K ❑ Owner Given Initial q 1a1�a� Adverse Determination IX. CONDITIONS OF APPROVAL / REASONS FOR,DISAPPROVAL: -: Garage AQLTo 6C cn,v t / To' s4 Id1c- R�;EIVEO Fla°//6�' o f yar4JL 41001i f5`� 1 � ���� <n.t��E,,t ir5 o w el r .1 Vat,ijcUG 13 2026 Mt be / / Plot Plan Yjf reverse side Bayfield Co. Planning an, Zoning Agency Lot Line 4.... 0' 30' ,Q t�kiv`f'� 5ca I c JvtA Pvo P,+f lIA€ _____ f ___ jE'c4 ' VU" ov) D Q QkLi v - Vl 5 ©v h pvo tiy Ve Name of Frontage Road ( . cot* 54CVe dvi ✓f ) 0 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 RECEIVED Submit To: Bayfield County Zoning Department, PO Box 58, Washburn, WI 54891 AUG 13 2026 u/forms/sanitary/bayfieldcou ntysanitaryappl icatio n Revise: June 2018 Bayfield Co. planning and Zoning Age;proofed by: LAND USE - INFORMATION NEEDED TO: RUTH DE FRANKI DATE CONTACTED: D NED ❑ IN -PERSON SPOKE WITH: OWNER ❑ AGENT CONTRACTOR ❑ O - NEED: 0 AFFIDAVIT ❑ BLUEPRINTS ❑ CONDITION(S) ❑ DEED (Type) _ ❑ FEE DATE: I,_ �G 2 MCKENZIE 0 ANSWERING MACHINE 0 MAIL 0 0 INSPECJOR NOTES/SIGNATURE 0 PLOT PLAN `� jAND USE APP /❑ LEGAL DESCRIPTION ❑ LETTER ❑ LETTER ❑ FLOOR PLAN 0 MITIGATION ❑ IMPERVIOUS SURFACE SHEET 0 PARCEL ID# ❑ SAN ❑ SOIL TEST 0 SQ. FOOTAGE ❑ STORM WATEI ❑ TAX S EMEI ❑TA 0 ZONING DISTRICT ❑ OTHER Ks Ii ❑ NON -CONFORMING STRUCTURE: (4/_C-' FOOTPRINT OF EXISTING BLDG DWELG SPACE of EXISTING 8L¢6 OVER HANG OF EXISTING BLDG FOOTPRINT ALLOWED DWELLING SPACE ALLOWED OVER HANG ALLOWED FOOTPRINT PREVIOUSLY DWELLING SPACE PREVIOUSLY OVER HANG PREVIOUSLY FOOTPRINT REQUESTED DWELLING SPACE REQUESTED OVER HANG REQUESTED FOOTPRINT REMAINING DWELLING SPACE REMAINING OVER HANG REMAINING COMMENTS: Town, City, Village, State or Federal Permits May Also Be Required LAND USE - X SANITARY - 69845 SIGN - SPECIAL - NA CONDITIONAL - BOA - -- oSS I No: 02172301-2023 Tax ID: 37 Location: LOT 1 OF CSM IN V.4 P.88 Section 07 BEING PAR IN GOVT LOT 3 DOC 2020R-584103 SUBJ TO E V.714 P.211 23AA Govt Lot 0 Lot For. Residential / Residence / 65L x 35W x 18H Block BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Issued To: BRAD J DRYER Township 48 N. Range 04 W. BARKSDALE Subdivision: CSM# Condition(s): To meet all setbacks including eaves and overhangs. To be constructed per plan. Obtain UDC permit. Town/State/DNR permit may be required. For a 40.5 x 65' residence. NOTE: This permit expires one year from date of issuance if the authorized Mckenzie Slack construction 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. This permit may be void or revoked if any performance conditions are not completed or if any conditions are violated. Mon Jul 10 2023 Date Town, City, Village, State or Federal Permits May Also Be Required SHORELAND LAND USE - X SANITARY - SIGN - SPECIAL - CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTUCTION No. 23-0179 Tax ID: 37 Issued To: Brad Dryer Location: /4 of e/, Section 7 Township 48 N. Range 4 W. Town of Barksdale Gov't Lot Lot I Block Subdivision CSM# V.8 P.88 Being par in Govt Lot 3 Doc 2020R-584103 SUBJ to E V.714 P.211 Residential Structure in R-1 zoning district For: Accessory: [2 -Story]; Garage on a Slab (30' x 36'); Attached Deck (8' x 16') = 2288 sq. ft. ] Height of 24'10" (Disclaimer): Any future expansions or development would require additional permitting. You are responsible for complying with state and federal laws concerning construction near or an wetlands, lakes, and streams. Wetlands that are not associated with open water an be difficult to identify. Failure to comply may result in removal or modification of construction that vitiates the law or other penalties or costs. For more information, visit the department of natural resoulces wetlands Identification web page or contact a department of natural resources service center (715) 685-2900. Condition(s): Personal Storage Only. Must meet and maintain setbacks including eaves and overhangs. Not for Human Habitation or Sleeping Purposes. If Pressurized water enters the structure a sanitary permit is required prior. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency may be required. Town/State/DNR permits may be required. You are responsible for complying with state and federal laws concerning construction near or an 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 orcosts. For more information, visit the department of natural resources wetlands identification web page orcontact the department of natural resources service center (715) 6858988. 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. Mckenzie Slack, AZA Authorized Issuing Official July 9, 2023 Date R 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: Description Private Sewage System Reconnection Submission Number: CS -00181 Transaction Number. CS-00181-4C0A4 Amount $50.00 Total: $50.00 Payment Amount: $50.00 Reference: 006819 Paid by: Cady Plumbing & HVAC LLC 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 - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0470 Tax ID: 37 Issued To: DRYER, BRAD J Location: S07 - T48N - R04W Town of BARKSDALE Legal Description: LOT 1 OF CSM IN V.4 P.88 BEING PAR IN GOVT LOT 3 DOC 2020R-584103 SUBJ TO E V.714 P.211 23AA Residential Structure in R-1 Zoning District For: Sanitation Permit — Reconnection [Previous Permit # 69845 (09/25/1985)] (I )it.cl;.dnlcr): Any iniule nxllilnsions of dovf lolmielli tamuld roquile additional tlellniiting. Condition(s): Garage not to be connected to septic system without floor plan of garage & documentation of code compliance & insulation of owner installed pipe. A land use permit & variance may be 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) 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 September 2, 2026 Date