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Parcel #: 030 - 2019 -30 -110 09/25/2009 07:47 AM
PAGE 1 OF 1
Alt. Parcel #: 01.29.20.425A -10 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - CARI, SAM J & SHIRLEY M
SAM J & SHIRLEY M CARI
237 RIVERCREST DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.020 Plat: N/A -NOT AVAILABLE
SEC 1 T29N R20W PT G L 1 LOT 6 CSM Block/Condo Bldg:
8/2202 1 /6TH INT IN ROAD
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
01- 29N -20W
Notes: Parcel History:
Date Doc # Vol /Page Type
12/29/2006 841525 TOD
07/23/1997 870/594
05/31/1995 529532 1124/028 QC
2009 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.020 133,300 231,900 365,200 NO
Totals for 2009:
General Property 3.020 133,300 231,900 365,200
Woodland 0.000 0 0
Totals for 2008:
General Property 3.020 133,300 231,900 365,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 030 - 2019 -75 -000 09/25/2009 07:47 AM
PAGE 1 OF 1
Alt. Parcel #: 01.29.20.425F 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - CARI, SAMUEL R & TERESA M
SAMUEL R & TERESA M CARI
235 RIVER CREST DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description " 235 RIVER CREST DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.030 Plat: N/A -NOT AVAILABLE
SEC 1 T29N R20W NW NW 3.030 ACRES PART Block /Condo Bldg:
OF G.L.1 LOT 5 CSM 7/1949 & EASEMENTS &
1/6 INTEREST IN ROAD Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
01- 29N -20W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/23/1997 1124/028 QC
07/23/1997 807/148
2009 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/01/2009
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.030 151,800 270,700 422,500 NO
Totals for 2009:
General Property 3.030 151,800 270,700 422,500
Woodland 0.000 0 0
Totals for 2008:
General Property 3.030 151,800 256,900 408,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin DPgartment of Commerce PRIVATE SEWAGE SYSTEM - y St. Croix
Safety and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar o.:
Personal information you provice may be used for secondary purposes [Privacy Law, X15.04 (1)(m)].
FC it -SWMs Name: ❑ City ❑ vftejasaph oTownsh ip State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel
TANK INFORMATION ELEVATION DATA UI z9. t Yes
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �. � CP-�- I Z� Benchmark
A RAA
Dos, (
Aeration Bldg. Sewer _90
Holdin St/ Ht Inlet S.p ' 9�',0 '
TANK SETBACK INFORMATION St/ Ht Outlet S -2-ct •�/ r
TANK TO P / L WELL BLDG. AirI to ntake ROAD Dt Inlet
irl
Septic > S-0' -V tl NA Dt Bottom
Dosing A Header /Man. .85 7-7,
, /S'
E lding n A Dist. Pipe Bot. System
PUMP/ SIPHON INFORMATION 4o c -
Ma ufacturer d
Model ber GPM
TDH Lift '- _ 1 17sidion System TDH Ft
H ead
Forcemain ength D
SOIL PTION SYSTEM
<fm TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMEN Z -S 3 DIMENSION
SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Man "
rer:
SETBACK CHAMBER gel = �^
INFORMATION TypeO ^ SO 1 Z / �—�- OR UNIT M Number: 0 a ) System: �y�
DISTRIBUTION SYSTEM
Header! Man k Distribution Pipe(s) x H Size x Hole Spacing Vent To Air Intake
Length ia. Dia. Spacing ~' 2_?
f
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of I xx Seeded/ Sodded xx Mulched
Bed/ Trench Center Bed /Trench Edges Topsoil Ins ectio # yes/ /No In esg ion #21 No /
Lc? MMfNTS: I Jude code d' cre an ie , pers p e n e �4 ` a � _. �� Z O,
oCation: 3Ivercrest koa� uf son ?4(�1 (NW 1/4 NW 1/41 T29N R20W) - 012920425A10 -Lot
g Cam) _ AA ce"sk ;:V ;�►spe ,, dts` _
1.) Alt BM Description = .? 0 � - a"
2.) Bldg sewer length = 71.v u o
-amo nt of cover= 18 f sod•
�m,.�
Plan revision required? ❑ Yes KNo �� �/
Use other side for additional information. LT, ?.oa I S4 /� C
SBD -6710 (R.3/97) vDBv�a Q �-� S �� ' KCt. - 1 No
1
-1 7-
Sanitary Permit Application Safety & Buildings Division
In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave.
See reverse side for instructions for completing this application PO Box 7302
ma
14scons Personal information y p y ou rovide be used for second u oses
Madison, WI 53707 -7302
Department of Commerce p (Submit completed form to county if not
(Privacy Law, s. 15.04(1)(m)] state owned.)
Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x I 1 inches in size.
County 7' State Sanitary Per i Number ❑ Check if revision to previous application State Plan I. D. Number
I. Application Information - Please Print all Information Location:
Property Owner Name Pr perry o_cj�tion
S / c � ev � S TQ�� > N, R(,or
Property Owner's Mailing Address Lot Number Block Number
o
City, State Zip Code Phone Number Subdivision Name or CSM Number
616 c 7i5� ) a �G s7o� c 5 v s 93 '�o - aao a
II. Type of Building: (check one) ❑ City
1 or 2 Family Dwelling - No. of Bedrooms :� S /dPv P�x ❑ Village
❑ ,� To
Public /Commercial (describe use):_ wn of -7-�
❑ State - Owned S / � `J
Near t Road
•- �C?C`j Z �j --�-� Pael Num
III. Type o ermi . y one 55 A. Check box on line B if applicable)
A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to
System System Tank Only Existing System
� B) Permit Number Date Issued
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply)
)KNon- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ erobic Treatment Unit ❑ Recirculating ❑ Other:
l0 5.
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber - Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete structed
Tanks Tanks
❑ ❑ T-Li- ❑
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS sho the attached plans.
Plumber's Name (print) Plumber's ' nature (no MP PRS No. Business Phone Number
,�Y U G C 7 7rs acv- ors
P lumber's Address (Street, City, State, Zip CC ddb
IX. County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps)
ffApproved ❑ Owner Given Initial Adverse Surcharge Fee)
Determination
SZ2SOU S�zs�ol
X. Conditions of Approval /Reasons for Disapproval:
s e / u-//#tksr f 6c k. ¢;nf.h�a�jd� ✓ / 1//e / �%/ o �' /�
� Y /J`�r k�li S � 6� �n S�t��srr�iCP� « lvca�llc yc.G�`icro�f ✓'�LowtNt o�a.�ibn S,
/7,
SBD -6398 (R. 07/00)
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! REPOR
1
E VALUATION REPO Pa of 3
r • is �epartme Corn \ e SOIL EVALUA g
f . " ai dingo.... _
1 •4 ` in accordance with Comm 85, Wis. Adm. Code
u Attaa��om�l�ts+ �Ci ; r not less than 8 1/2 x 11 inches in size. Plan must County St • Cro
incline, but o: v and horizontal reference point (BM), direction and Parcel I.D.
c :p rcent slope, or di 'sTpns, north arrow, and location and distance to nearest road. 030- 2019 -30 -110
ase print all information. Rev' we y Date
oAall�nfOr�iafio y j rovide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7 Z
Property Owner Property Location
Sam & Shirley Cari Govt. Lot 1 1/4 1/4 S 1 T 29 N R 20 X (or) W�
Property Owner's Mailing Address Lot It Block It Subd. Name or CSM#
10248 Trumbull Ave. 6 1 na csm
City State Zip Code Phone Number ❑ City ❑ Village [awn Nearest Road
Evergreen P k I 1. 6080ft 651)787 -0214 St. Joseiph
Q New Construction Use: CO Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
i r m
E3 Replacement El Public o commercial - Describe: m
Parent material r-�ma tQrr-ar•e Flood Plain elevation if applicable ft•
General comments
and recommendations:
trenches @ el. 95.70'
F—i Boring # ® Boring
❑ pit Ground surface elev. 100.10 ft. Depth to limiting factor +120 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I `Eff#2
d
1 0 -12 10 3/3 none sl cs 2c .5 ✓ .9
t 2 12 -20- 10yr4/4 none sil 2msbk mfr 2m 5 ✓ 8
'
–36- 7.5yr4/4 none sl 2msbk mfr
4 36-87- 7.5yr4/4 none cos 0
5 87 -12 •7.5yr4/ none ms - 2s g ml na na 7
Z
rtz,�
Boring # ® Boring 99.90 +120 y
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ffz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
1 0 -15 10yr3/3 none L 2msbk mfr •
2 15 -36 • 7.5 4/4 none sicl '/
3 36 -12 •7.5yr4/6 none cos Osq ml
s0, y
• Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg /L uent #2 = BOD 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signature ST Number
Gary L. Steel 02298
Address Date Ev uation Con cted elephone Number
1554 200th. Ave., New Richmond, WI. 54017 4 -25 -01 715 - 246 -6200
I
x
Property owner Sam CAri Parcel ID # 030- 2019 -30 -110 Page 2 of 3
F Boring # ® Boring 99.
3 ❑ Pit Ground surface elev. ft. Depth to limiting factor +120 in
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ' `Eff#1 `Eff#2
1 0 -21 . 1Oyr2/2 none L 2c .5 .8
2 21 -43 1Oyr4/4 none sicl 2msbk mfr
3 43 -12 •7.5yr4/ none ( ms osg ml na f -✓
tUP
F4] Boring # Boring
❑ pit Ground surface elev. 99.90 ft. Depth to limiting factor +120 'In.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff #2
1 0 -12 - 1Oyr2/2 none L 2msbk mfr gw 2c .5
2 12 -29- 1Oyr4/4 none sicl 2msbk mfr C1W IM 4
3 29 -12 7.5yr4/41 none os ms
IIG. y"
❑ Boring
F] pit Boring # Ground surface elev. ft. Depth to limiting factor in.
❑ Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = B013 :5 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777.
SBD -8330 (R.6/00)
STEEL'S SOIL SERVICE
Gary L. Steel Sam & Shirley Cari 1554 200th Ave.
CSTM2298 gov. lot #1- s.1- T29N -R20W New Richmond, WI 54017
MPRSW -3254 town of St. Joseph (715) 246 -6200
lot #6 -csm
N
1 " =40'
BM.= top of 1" pvc pipe @ el. 100.00'
Alt. BM.= top of 1" pvc pipe @ el. 99.85'
-PI Z) R -
noc'e zoo.
o .
Gary L. Steel
4 -25 -2001
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number
Number of Bedrooms
Design Flow - Peak (gpd) p
Estimated Flow - Average (gpd) �, U
Septic Tank Capacity (gal) o?
Soil Absorption Component Size (ft
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd)
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep - rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
A
N�
� 67 1 5)
�-7 3
3
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
,�,� 'y (2
Owner/Buyer er
5A- �-
Y
Mailing Address 10 24 W T2" Y W3 V - L c C
d3 � �D Property Address y 04 C- -! S i
(Verification required from Planning Department for new construction) �2aP
City/State d4A 6 S d ti ty l Parcel Identification Number 0 3 0 D O 1 9 - 3 — 1 16
LEGAL DESCRIPTION
Property Location 1 /4, '/4, Sec. T , N -R Z4 W, Town of
Subdivision Lot #
Certified Survey Map # L 2 9 9 3 , Volume --J age # 722- 0 2-
Warranty Deed # "-/ - 6 �� , Volume 7 U . Page #
Spec house ❑ yes (-no Lot lines identifiable 0 yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance
r sooner, if needed b
'c tank eve three ears o Y a licensed pumper. What you put into the system
consists of pumping out the septic every y
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
masterplumber, joumeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three y expiration date.
V
SI A OF APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of
the p rty d n above, by virtue of a warranty deed recorded in Register of Deeds Office. `,5�—; ,
— =f --
IG A OF APPLICANT DATE
* * * * ** « « « « ««
Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
FROM :•HEYWOOD AND CARI' FAX NO. 715 386 5531 May. 17 2000 02:48PM P2
, 1. �� , •',
39�/
45'799 C ERTIFIED SURVEY MAP
LOCATED
IN GOVERNM
ENT LOT 1., SECTION 1, T29N, R20W, TOWN-OF
ST. JOSEPH, ST. CROI}C COUNTY , WI gCOSNZN � • 1 , • , •
FILED
S APR 2 719N
,S' / - .� 9 - a o G" �. ! Cl n► ..1.2U.Z < (o JAMES VCONNELI' '
• 'a R�Sro► o109edt
6L cf* Co„ WI
N 114 CORNEIt�F
PRIVATE ROAD SECTION 1
NW CORNER
�29�N, R20W
SECTION NORTH LINE OF SECTION 1
T29N, R20W 267 3.10 1 cnl
834.25'1 3 N AI
S89 "E b `^, UNPLATTED_' LANDS OWNED BY 'NSP�
I :.4 "1 POINT OF
BEGINNING S89 047'49 'E 478.18' o al
k In
6 NORTHERN STATES POWER CO. EASEMENT.
V. 406, PG. 505
i H - - - --� ' --'�.— - - - -- o E+
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Ln ~ 3.015 ACRES±'
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q c 2 131,325 S -F.± o ff •.
it+ H W
P4 w
a w N89 °47'49 "W 486.46'
W 0 LOT 5 CERTIFIE SU MAP
cn
VOL. 7, PG. 1949, DOC. #43570 �
w H WOK \ SCALE IN FEET
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\�� p \ tom p 100' 200
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APR 2 6 1990. .
gZpD(
OWNER & SUBDIVIDER pg = pLANiV1NG
JOAN R. & CA 0L J. LANDRY � COIVr�R
R.R.2, BOX 86A
HUDSON, WISCONSIN 54016
THIS INSTURMENT DRAFTED BY mICAAEL�'C-�' BURKf
«,
VOLUME 8 PAGE 2202
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' DOCUMENT NO, STATE BAR OF WISCONSIN FORS) 1 -19&4 THI• $FAC RcaiRVio Von R[coRp DATA
t ( WARRANTY DEED 1
� .
I
_45 _ -- - - -_ =- 'r- S REGISTER'S OFFICE
Lan dry and Carol J. ST. CROIX CO., WI
I . This Deed made between .. John R . Lan
.. -- .... -. ......
Rec for Record
Lanc:r ...... I MAY 1
_.. y .
. . ... .
_.... . _.... Gr ntor, A
at
A 16 y
and Sam J. Cari and Shirley M. Cari, husband and wi e as I n
8:30 _M
joint tenants V �a"^ti1..1'JC
Regww of IHeds i!
. ran tee,
... .'.. G ..
I Witnesseth That the said (' rancor, for a valuable consideration-
conce s to (rautee the following described real estate in
St. Croix RETURN TO
r County, State of Wisconsin:
Part of Government Lot 1, Section 1, Township 29 North, —T - -
Range 20 West, Toum of St. Joseph, St. Croix County, Tax Parcel No: ..........................
Wisconsin described as Lot 6 of a Certified Survey Map
on file in the office of the St. Croix County Register of
Deeds office in Vol. 8, Page 2202 as Document Number 457993.
Together with and srtbject to those easements, covenants and
restrictions setfo.tb in Declaration of Protective Covenants
dated October 31, 1983 and recorded November 1, 1983 in Vol. 676,
Pages 274 -280, Document Number 388929 and;
Together with private road easements as shown on said Certified FEE
Survey Map and easements as shown in Vol. 654, Page 55 and Vol. 655,
Page 62, Register of Deeds for St. Croix County, Wisconsin.
is not
This _.._..... -.. homestead property.
tmx(is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
A grantors John R. Landry and Carol J. Landry
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, covenants and restrictions of record,
and will warrant and defend the same.
Dated this 7th day of May 0
(SEAL) Y 9� ( ruC� (SEAL)
j - John R. Landry
_ (SEAL) Q ♦ � .(SEAL)
aroZ J. ,nd
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) - Sohn. R , .Landry..and Carol J, - STATE OF WISCONSIN 1
Landry r ss,
... ... ..... ...... ........ ..... . . .. . ... .. ......... ... ..... f
-- .... .........County.
authenticated this .. ..day of..- ..... ...... 1990.. Personally came before me this ...............day of
�� .. ........ 19......... the above named
........... �G G .............
_ ... .. ......................... ....... .....-------- .......- _.........
•.....Samuel. R. ..Cari . .................... .. - .... _.. -... ......... -. -...
TITLEr.NIEMBER STATE Bart OF WISCONSIN
......_ ............ ...............................
(If not, ...... ...
_. .. ._ ... ......... ..... .......
authorised by ; 701;.06, Wis. Stats.) to nie !; ,wn to he the person .......... . who executed the
foregoin:r instrument and acknowledge the name.
THIS .,TRU-. - EPir WAS 5Y
HEYWO011 and -.CARL . - ...... .
„by Samuel R. Cari
2.0 Box f
22�, Attdsgn WI 55016 ` .
ntI . Iblic County, Wis.
(Si arts may e a It (ntuci.ra 1. P„Jh Mv r rt. (If not. ?tats expiration
ire not no•cf —arv.l dat,,: 19 )
WARRANTY DEED aT %TE ItAR OF WIS Y0 1. a.\ 'A'. ir. L..•�I L'Inr.;: C... Inr,
FORM No. I — 041 „ �kne, W's.
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
f N N / M a ■ a ■ — r�.�r ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 FAX (715) 386 -4684
May 25, 2001
Sam Cari
10248 S. Trumbull
Evergreen Park, IL 60805
RE: Home approval
Site address: 237 Rivercrest Road
Dear Mr. and Mrs. Cari:
This letter confirms zoning approval according to the plan, you have submitted. You have indicated in
your application that you are constructing a house and garage at this location.
Staff finds that the proposal to construct the house and garage at this location meets the spirit and intent of the
St. Croix County Zoning Ordinance for the following reasons:
1. The proposed house and garage meets the Class E roadway setbacks (83 feet from the centerline or 50 feet
from the right -of- -way, which ever is greater) as shown on the map of survey. You s hould verify the town
setback requirements when applying for the building permit.
2. The proposed house and garage meets the side yard setback (25 -feet from the lot line) as shown on the map
of survey.
3. Single- family homes are a permitted use in the Lower St. Croix River Way District.
4. The resulting construction will not take place on slopes greater than 12 %.
5. The height of the structure will be 25 -feet as measured from the lowest exposed foundation to the peak.
6. The house exterior color will be tan per conversation with Mike Dockendorf of Cameron Homes, Inc.
7. You have filed an application for building permit review with the Zoning Office. By signing the
application, you are agreeing to complete the project as submitted.
A copy of your application will remain on file in the Zoning Office. THIS APPROVAL ONLY VERIFIES
THAT THE STRUCTURE COMPLIES WITH PROVISIONS OF THE LOWER ST. CROIX
RIVERWAY ORDINANCE. Please contact Dwight Fraham, St. Joseph Deputy Zoning
Administrator, to obtain a building permit for the proposed construction.
If you have any questions, please do not hesitate to call.
ere ,
Rod Eslinger
Zoning Specialist
Cc: file
Mike Dockendorf, Cameron Homes, Inc.
Dwight Farnham, Town of St. Joseph, Deputy Zoning Administrator
I
_ 1 l ST. CROIX COUNTY
WISCONSIN
S ZONING OFFICE
ST CROIX COUNTY GOVERNMENT CENTER
■� : `"*' 1101 Carmichael Road
Hudson, WI 54016 -7710
- (715) 386 -4680
APPLICATION FOR BUILDING PERMIT REVIEW
C (ST. CROIX RIVER VALLEY DISTRICT)
Property owner: Contractor /Agent (if not owner:) S—
Mailing address: / O a'u ? S:- T2 "YV\_43 L4, L(_ Mailing address: a l6 Y
G/�...('Z; Pn2k L (v0 COs L /'-J o t-44--
Daytime phone: (70 �) Z'`� u 9 �p Daytime phone: (�S�) 6 - �a gU 3 ' 0. e
Property location: 1/4, 1/4, Sec. T. Z 9 N., R. 2 D W., Town of S4 -To G- 9 14 .
Computer #: t'•<: - i'� - U'' - I Parcel #: �1: �� +- — Ja
Zoning District: Sf- SOS L�Q 1.1- _MzV v S w 1�0
Applicant is requesting to add on / uild remodel / expand / alter / replace:
Applications will not be accepted until the applicant has met with Department staff to review the app lication and
determine if all necessary information has been provided. To be considered complete, the application must include, at a
minimum, the items listed below per Article 17.36(7)(b)2 of the St. Croix County Zoning Ordinance. After a preliminary review
additional information may be needed.
A general written statement that specifically identifies what is being requested & / )
A statement indicating whether or not a private water or sewage system is to be installed. (NI-vi
❑ SITE DEVELOPMENT PLAN —
A complete site plan showing at a minimum the location of the following: /a
■ Identify all blufflines (any slopes 12% or greater) and show setbacks from blufflines, ( J
■ Dimensions and area of lot,
■ Location of any structures with distances measured from the lot lines and centerline of all abut;ri g streets or highways,
■ Location of any existing or proposed on -site septic system or private water supply systems, ✓✓
■ Location of the ordinary high water mark (OHWM) of any abutting navigable waterways and shoe setbacks from
the OHWM. /�
■ Location and landward limit of all wetlands, specifications and dimensions for areas of proposed wettlnd alteratio Ok
■ Existing and proposed topographic and drainage features and vegetative cover, V) 0 01'l Co 1. J
■ Location of floodplain and floodway limits on the property as determined from floodplain zoning maps used to 0
delineate floodplain areas, /
■ Location of existing or future access roads t/
■ And any Joer u ni ue limitin condition of the property ✓
Signature Dat
Once Zoning approval is obtained form the County; the applicant for the project within the St. Croix River Valley District
ma file with the local townshi to obtain a buildin ermit.
Application accepted and complete: �� LY / I By: ke6(
Certificate of Zoning Compliance: Non - Compliance:
The application materials will remain on file in the Zoning Department.
1
05/24/2001 18:41 6517870235 CAMERON HOMES INC PAGE 02
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ATTN: y"J TOT. # OF PAGES �
FROM: i
CAMERON HOMES, INC. (651) 787 -0235 (FAX)
P. O. BOX 164 OFFICE (651) 787 -0214
LINO LAKES, MN. 55014
LICENSE NU, WIN, 20047932 WL 16842
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OR oL L�,t�anY
R.A, #2. BOX 86A
HUDSON. WISCONSIN 54016
THIS INSTDVIJZ1'lT DUAFTED "Y MICRAEL�
VOLUME, 6 PAGE 2202
a
PROPERTY OWNER: SAM J. CARI
CONTRACTOR: CAMERON HOMES, INC.
CONTACT: MIKE DOCKENDORF
612. 803.7058
WE PROPOSE TO CONSTRUCT A SINGLE FAMILY DWELLING ON PROPERTY
ON RIVERCREST DR. WHICH IS IN THE ST. CROIX RIVER VALLEY DISTRICT.
THERE WILL BE A ON SITE WELL AND A COMFORMING SEPTIC SYSTEM.
BOTH OF THESE ARE NOTED ON PLAT SITE PLAN
THERE ARE NO BLUFF LINES ON THIS PROPERTY, IT SETS APPROXIMATELY
2000 TO 2500 FEET FROM THE BLUFF. THE ELEVATION VARIES ABOUT 3
FEET FROM FRONT TO BACK AND THERE IS NO WET LAND OR PONDS ON
PROPERTY
THE VEGETATION ON PROPERTY IS BRUSH AND PINE TREES.
THE ATTACHED PLAT INDICATES THE POSITION OF HOME AND LOCATION
ON LOT WITH DRIVEWAY.
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