HomeMy WebLinkAbout030-1069-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
479338 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)).
Permit Holder's Name: City Village X Township Parcel Tax No:
Bell, Gretchen I St. Joseph, Town of 030- 1069 -90 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
C15 ( 26.30.19.252H
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
3
Septic Benchmark
p R „� s 16W n 3. a1
't d JZ.� AIt�BM ii �? 3 ,%3 95 .2 7
Aeration Bldg. ewer �Gc�i
1 6,0 c of
Holding SVHt Inlet (o,9 9�p
TANK SETBACK INFORMATION St/Ht Outlet
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic � / ' � o Dt Bottom
Dosing ICJ Header /Man. 9 y , G �
Aeration Dist. Pipe Z4 9,y` 8(p
Holding Bot. System 135 < 7-3 . 1 7 5
q
PUMP /SIPHON INFORMATION Final Grade �5 .5 7
Manufacturer Demand St Cover 7 ,
GPM
Model Nu r
TDH I ift Friction Loss System TDH Ft
Forcemain Dist. to Well
SOIL ABSORPTION SYSTEM
BEDITRENCH Width ' Length N . Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS V �� z --
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer
INFORMATION (� � , J . � ^ _
CHAMBER OR ln� /'O�..V �
Type Of _
�S tO 7 � 1
� � � > � / ,,' � �l UNIT Model Number. �
G
DISTRIBUTION SYSTEM IZ-440 -_ 4
Header /Manifold Distribution x Hole Size x Hole Spacing Vent Int�kQ
i
It Pipe(s) \ e
L Length Dia \ Spacing ` e ✓��
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over / Depth Over xx Depth of xx Seeded /S ded xx Mul
Bed/Trench Center ' Bed/Trench Edges \ Topsoil Yes !,,;'. No Yes i
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 786 Aushegon Trail 10 a Hud on, v 54016 (S 9,/4 NE 1/4 26 T30N R19W) NA Lot Gov't Lot 3 Parcel No: 26.30.19.252H
1.) Alt BM Description = P
f
2.) Bldg sewer length =
3
- amount of cover = fl
Zla Ru r I i
-- -z� r , r'so ia� w c dJ ,, Y
Plan revision Required? i � Yes No TOGj �� i Use other side for additional information. J ___ _ _ _ SBD - 6710 (R.3/97) Date Insgnet Cert. No.
i
County
Safety and Buildings Division
Nv Washington Ave., P.O. Box 7162
s - mit Number(to be filled in by Co.)
s �an � �n on, I Por
(608 2b6- !�a'
__ Dt: vrtm of Co �= qT9' 339'
Sanita Permit Appl ' on J 1 s e Plan 1,13. Number
In accord with Comm 83.21, Wis. Adm. Code, personal inform 'ion you provide
maybe used for secondary purposes Privacy Law, s15. (I Pr 'ect Address (if different than mailing address)
1. Application Information - please print All Information
Z
Property�wner's Name Parcel # Lot # Block
Property Owner's Mailing A dress Property Location
City, S to Zip Code - Phone Number
{ T %, Section
42 Z�� 60 T,Q N; R�E or�
. Type of Building (check all that apply)
�1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number
❑ Public /Commercial - Describe Use +- L
Q State Owned - Describe Use _ []City llap Township of
Ill. Type of Permit; (Check only one b on line A Comple liuc R if applicable)
A ('J New System Replacement System Treatmcnui toldmg "funk Replacement O Other Modification to Existing System
B• mm Q Permit Renewal Permit Revision ❑ Change of Q Permit Transter to New Ltst Previous Permit Number and Date Issued
Before Expiration i i Plumber Owner
IV. 'Type of POWTS System (Check all that apply) _
f
Non - Pressurized In- Ground Q Mound 2:24 in. of suitable soil ❑ Mound < 24 m. of suitable soil ❑ At - Grade ❑ Single Pass Sand Filter ❑ I
Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank Q Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter YL eaching Cham ❑ p Line ❑ avel -less Pie ❑ Other (explain)
V. Dispersal /1'rea Area Information: _ Z
Design Flow (gpd) Design Soil Application Rate(gpds i persal Area Required (s1) Dispersal Area Proposed (sf) System Elevation
7
VI. 'rank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic
Gallons Gallons oft i w ���� A- 1 0 0 Concrete Constructed Glass
Npw Ex sting i
Tanks Tanks ' '
�7zlll � Holding 1 ank
rlurob uaau, mitt -,ni "_ _ "" _.�""."'. .'[- •-- ^—•-7
cos I,umLwr - -'�—__ `
III Iccsp islbilit Statemc 1, the undersigned, ss a reslaonsibihty for ias tallatio n of the POWTS shown on the attached plans.
Plumb a t (Y nth - Plum s Sr e MI'/MPKS Number Business Phone Number
Plumber's Address (Street, City, S ata, Zip ode)
VIII. County e >artment Usi; Onl
^ 1 q:ulitary Permit Fee ((includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
I Approved ❑ Disappiuveu Surcharge Fee) ❑ Owner iven Reason for enial I � z
IX. Conditions
SYSTEM OWNER;
i
1 Septic tank, effluent filter and
dispersal ell must al b
c s I e sety'
I
� p cad /maintained
as per management plan provided by p lumber.
I
2. All setback requirements must be maintained
as per applicable code /ordinances.
Attach complete plans (to the County only � r i },e uvstem oa paper ant teas than 814 is 11 Iocba In size
SBL) -6398 (X.01/03)
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Wisconsin Department of Commerce L OIL EVALUATION REPORT Page Of 0
Division of Safety and Buildings ` F!)
Comm 85, Wis. Adm. Code
County
Attach complete site plan on paper not �t`size. Plash must
include, but no t limited to: vertical and h directign and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location an rs n nearest road.
Please print all information Re by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ZS S
Property Owner Property Location
> / Govt. Lot �� 114 ' 1/4 T N R Ior)t
Property Owner's Mailing Address Lot # Blodc Subd. Name or CSM#
City Sta Zip Code Phone Number El city El Village Town Nearest Road
- /
❑ New Construction User Residential / Number of bedrooms —�� - Code derived design flow rate GPD
CZ Replacement ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable e d ft.
General comments
and recommendations: Sir 93, y
Boring # ❑ Boring
III /// III Pit Ground surface elev. W,S ft. Depth to limiting factor �Z/ /S in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. r Color Gr. Sz. Sh. *Eff#1 *011#2
i
-3 9 Q
d eT a 4
� q3•
n Boring # Boring
J ICJ pit Ground surface elev. 2L2 ft. Depth to limiting factor 5 / /S� in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - Eff#2
e g
q 9
s — —
S qo
* Effl nt #1 = BOD > 30 220 mgA. and TSS >30 < 150 mg/L E uent #2 = < mg/L and TSS < 30 mg/L
CST Name P ') Signature CST Number
/ v
Address Date valuation Co ucted Telephone Number
Property Owner J'J� Parcel ID ('��//} /cg f) -/)f Pageof
❑ Boring # ❑ Boring
3 Pit Ground surface elev. U-�2 ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
S
93.ro
� o
a Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2
F-1 Boring # ❑ Boring
El Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 J *Efr#2
* Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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.
3BD -8330 (R.07 /00) _
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN,,, page. of�
FiLE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity al 0 NI�1
permit � 3 5 b Septic Tank Manufacturer ,v. ❑ N"
DESIGN PARAMETERS
Effluent Filter Manufacturer ❑ NF
i
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units O NA Pump Tank Capacity gal -12f NA
Estimated flow (average) al /da Pump Tank Manufacturer
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA
Soil Application Rate al /da /W Pump Model 2f-NA
I
Standard Influent /Effluent Quality Monthly average* . Pretreatment Unit`
Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration O Wetiand
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA 1'
Biochemical Oxygen Demand (BOD 530 mg /L D-In Ground (gravity) C3 In- Ground (pressurized)
530 m /L NA CI At-Grade C3 Mound
Total Sus ended Solids TSS) g �
To p
Fecal Coliform (geometric mean) 00 Cfu /1001111 D Drip -Lino 0 Other;
~ Maximum Effluent Particle Size Y in dia, ❑ NA Other: 0 Ni
Other: ❑ NA Other: 13 NA I
I
*Values typical for domestic wastewater and septic tank effluent. Other: ❑ NF; i
MAINTENANCE SCHEDULE `
i
Service Event Service Frequency
❑ month(S) (M aximum 3 y ears) CJ NA
�
P
ins ect condition of tank(s) At least once every: �'� ear(s) .
Pump out contents of tank(s) When combined sludge and scum equals one -third (Ys) of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: 13 months) (Maximum 3 years) ❑ NA
P J21 i
❑ month(s) C3 Nt,
Clean effluent filter At least once every: year(s) _+
❑ month(s)
Inspect pump, pump controls & alarm At least once every: ❑ year($)
❑ month(s)
Flush laterals and pressure test At least once every: 13 year(s)
O month(s) Other. At least once every: Q NA
earls►
�
Other: & NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any pondinv
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entiro
er
contents of the tank shall be removed by a Septage Servicing operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code. #
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of S12 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within. 10 days of completion of any service event.
GMW (a iu 1
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tankis) for the presence of painting products or other chemicals
that may impede the treatment process and /or damage the dispersal cattle). If high concentrations are detected have the contents
of the tank(s) removed by a Septage servicing operator prior to use. . . '
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal - high water levels. When power is restored the excess wastewater will be
discharged to the dispersal celils) In one large dose, overloading the cell(#) and may result in backup or surfwo discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator priot:to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump' controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at -grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers, disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides ;;meat -- scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ASANDONMENT�
When the POW S fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code;
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings Sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material,
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a .code compliant
replacement system: „ ..,,,,y " ,
A suitable replacement area has been evaluated and may be utilized for the location of areplacement soil absorption
system. The replacement area should be protected from disturbance and compaction and Should not be Infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS
technology a holding tank may be, installed as a last resort to replace the failed POWTS.- ...... ~ ° }
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site
evaluation.must be performed to locate a suitable replacement area. If no replacement area is available a holding tank
may be installed as a last resort to replace the failed POWTS.
Q Mound and at - grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< < WARNING > >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT
ENTER A, SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES.' DEATH MAY RESULT, RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL. COMMENTS
- :: .,,. : , a.n, } �4> 91`7 t'1ty)„.� ': °'�.!'tr1T te, "• .':'.: , " ":.
POWTS INSTALLEFY POWTS MAINTAINER
Name Name
i
Phone Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name r r
Phone Phone
i,hie document was drafted In compliance with chapter Comm 83,22(2)(b)(1)(d) &(f) and 83.5401, (2) & (3), Wisconsin Administrative Code,
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer GI' At4,1 _61 e
Mailing Addres �' T= /I �) �� B oa 5401
Property Address 7 , �✓4,iJ 5
(Verification required from Planning Department for new construction)_
City/State bu-7 Parcel Identification Number co - 3 () -1 �t 5O�
LF. DESCRIPTION �Q.Q,Q. ���.�,.,.
630 — /04? — 90 — M
Property Location %4, %4, Sec. A '& , T 3 O N -R_L_�_W, Town of f>lr fd5t° `j
Subdivision P-0 / Lot #
Certified Survey Map # , Volume i I M yz , Page # _ J t =7W _.
T Warra Deed # 419 7716 7 , Volume 0 , Page # /
Spec house 0 yes Ono Lot lines identifiable O yes � no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three ears or sooner, if needed b a licensed pu W
Y rn er. hat you p ut into the syste
Y P F Y P Y m
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
master plumber, journeyman plumber, 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.
I /we, 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 trust be completed and returned to the St. Croix County Zoning Office within 30
;A[GN the three year expiration dale.
TURE OF APPLICANT ""� 0
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 owner(s) of
the pr erty described above, b vi ® rtue�oIF a warranty deed recorded in Register of Deeds Office.
Si NATURE 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
3 copy of the certified survey map if reference is made in the warranty deed
St. Croix County Property Report Page 1 of 1
Wy, Wisconsin
• f
PO rt
Print Report
LISTING UPDATED ON: 7/25/2005 4:21:00 AM
Location Information Tax & Assessment 2005 2004
Information
PIN: 030- 1069-90 -000 Status:
Mapping Number: 26.30.19.252H Assessed Acreage: 0 310
Municipality: TOWN OF SAINT JOSEPH Total Land Value: 11$0.00 11$0.00
Site Address: Total Improved Value: 11 $68,800.00 11$68,800.00
Section: 1126 Total Value: $68,800.00 11 $68,800.00
Township: 130 Fair Market Val 1$0.00 J1 $69,900.00
Range: 19 1 Fair Market Ratio: 0 0.9838
Quarter - Section: Original / Net 1$0.00 $949.35
Quarter-Quarte I Special Assessmen 1$0.00 11$338.61
Plat Block: Special Charge 1$0.00 $0.00
Lot Number: Delinquent Utilities: $0.00 $0.00
School: 3962 -NEW RICHMOND Woodland Tax: $0.00 11$0.00
rManaged Forest: 1 $0.00 11$0.00
Private Forest: 11$0.00 $0.00
Total Amount Due: 11$0.00 $1,287.96
Ownership Information Total Lottery Credit: $0.00 11$0.00
Primary Owner Name: GRETCHEN S BELL Fist Installment: $0.00 $813.29
Due: Due: 1/31/2005
Secondary Owner Name: 2nd Installment: 1 50.00 $474.67
Due: Due: 7/31/2005
Billing Address: 1208 4TH ST
_._. --- _ ---- ...__- -- _.. --
Total Amount Paid: 11$0.00 $1,287.96
NEW RICHMOND WI 54017 11 Balance Due: 1$0.00 $0.00
Document Number: Interest: 11$0.00 11$0.00
Volume: 11784 Penalty: $0.00 11$0.00
Page: 175 Total Due: 11$0.00 j $0.00
If you are paying taxes based on this report, please print & attach with your payment.
Legal Description
SEC 26 T30N R19W PRT OF GL 3
http: //72.21. 230. 178 /website /pasystem /pro /final_report.asp ?IDValue = 030 - 1069 -90 -000 7/25/2005
r -
t R OF WISCONSIN FORM 1-� 190 , "'a w� mm"sD nm er, oeo�Me DATA
STATE BA
oocumffmT NO. � APRAM DEED
_ 784 REGISTERS OFFICE
R Deed , made » MAUD .. ti . ` ... STOUT, . .......... .... ET, t:R4IX CO., WIS. 4 I _ _ » e ..... _... . » ...... ... » .............................
Rata. for Retard 0* 2nd
-••._ » _ .... ... »...... . .....
»... ».. ». » .... .......... i do Z f
;1 _ .'� ..»• ..................................... ., Grantor, 11:35 A
f . and ... » �R>•^�rcT g • - BELLc _._.» -------- _ ......... .. . » ..................... ._.......: I e
....».. - _ _.. . .. ...... .. ...._ _-- - . -- - - - -- - - -, Grantee, t
WitneSsetll. That the saw Grantor, for a valuable consideration_...__
F _ Crai -�_ -- - - - - --
( aaruww To
conveys to Grantee the following described real estate in ... Stn.
t ' County, state of Wisconsin:
Ttle entirety of the dwelling owned in fee by party of
i the first pant, together with guest cottage, and the Tax Parcel No:.. » » ................... ». ». ».
u ndUvided cne -'smith ownership interest, as tenants
in c=am c'' party of the first part in the following
described land, including her undivided :Interest in the
calgnoanly owned boil bags and appurtenances thereon, to wit:
Government lot Three (3), in Section Twenty -six 126), Town ship Zhirty (30) North
o€ Range Nineteen (19) West, eft the East Ten t10) rods, and also the South
Four (4) rods of the East Ten (10) rods of. said GoverrailE? t Lot Three (3); the
South Four (4) rods of the Southwest Quarter of the Northwest Quarter (S6Ft of NFBt)
of Section Twenty-five (25), TwLship 'Urty (30) North of Range Nineteen (19) west:
the South Fifteen (15) nods of Goaerrm Mt Lot. Four (4) , in Section Twft'ty - Six (26) ,
Township L%irty (30 North of Range Nineteen (19) West, except the East Ten (10)
i rods thereof.
This Warranty Deed is given in satisfaction of an unrecorded Lard Contract
dated December 23, 1981.
{ A
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ki
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This _.1s___n0_t ........... homestead property.
¢ (is) (is not) x PEE
}
Together with alt and singular the hereditament& and appurtenances thereunto belonging:
t And__..Maud H. Stout
warrants that the e u good, indefeaubie is fee simple and tree and clear of encumbrances except
and will warrant and defend the same.
Dated Lhu 0�,�/ •.. day of ---------
• - - --- Apr i l----- --•---- - -•--• - - - -- ----------- 1987..
'h _.. _.- ._..._fn'4l ................. �..
1 _
i
} -- --.....(SEAL) (SEAL)
----° ------- » --------- ••--• -------
.__....._
-- = _...... ..
rlAtID. ti,_._ST4LtT.._..
•----»--- ---------- •- ••-- »------ » - - - -- •-- »---- - - - - -- " - _._...
I
°i
__ (SEAL) (SEA
• .--»--°------• ----- -- -------------- _ ».._ ----------- ---------- * --. ...-- --•-•-------- •-----------° - - - -
�t
AUTBBNTICATION ACHNOWLBDGMBNT
STATE OF MMISGUM
1 —- -- ». »___ unty. a.
Co
this »»_ ».day aS ._......»»_ »_, 19 »._. Personally came before me this _�2O__�- -day of
1987_ »_ the above named
} TITLE: MZ3 BZR STATE BAIL OF WISCONSIN
j j (If rot, ..__»_.__»....».._..._. __........ »..........- •-- --- - -- ------...---• ..........................».._.. ».._...._........._..._.. - - -._.
authorised by 1706.006 Wis. Stsxs.) to me known to be the person _._._........ who executed the
foregoing instrument and edge the same.
Ttiif tNSTIVYENT WAa DRAFTED BY ._.. _
ROAR _D & SKOW_ , S.C.
........ »� - - - - --
-103 NQrth�K awles A »- �u -.. ..__.. ». •.._... --- - -------------
NeS . 83 ChI1It tCis ..�... __ QJ.L........ » »_....» Natary blib.- . 5tu�z7 lCt_ i:4- _•-_-- .County, 38ts t
(Signaturm may be authenticated or acknowledged. Both My CoslmiSS ib;i as l�Az ' expiration
e not necessary.) date: < _.:. 711 . =Y c�u�tr
ar, 19 )
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ST. CROIX COUNTY
WISCONSIN
~ `N ZONING OFFICE
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ST. CROIX COUNTY GOVERNMENT CENTER
r-- — 1101 Carmichael Road
Hudson, WI 54016 -7710
` (715) 386 -4680 • Fax (715) 386 -4686
July 22, 2005 File LUOO 19
Gretchen Bell
1208 W 4 Street
New Richmond, WI 54017
Re: Gretchen Bell Land Use Permit, Parcel # 26.30.19.252H, Town of St. Joseph
Dear Ms. Bell:
This letter confirms zoning approval according to the plans you have submitted to reconstruct a cabin that burned
down in the Aushegan Development on Bass Lake in the Town of St. Joseph.
Staff finds that the proposed cabin meets the spirit and intent of the St. Croix County Zoning Ordinance and the
Shoreland Overlay District with the following findings and conclusions:
1. The proposed cabin will replace an old cabin that burned down this past winter located in Aushegan, a 1947
development that pre -dates the St. Croix County Zoning Ordinance;
2. The Aushegan development features seven cabins owned by six families on one 49 -acre parcel, making the
development a legal nonconforming use;
3. The proposed cabin will have the same approximate square footage (slightly less), height, footprint, and
location of the old cabin (moved slightly to accommodate a new sanitary treatment system), thus meeting the
requirements for the reconstruction of structures containing nonconforming uses pursuant to Section
17.70(4)(a) of the St. Croix County Zoning Ordinance;
4. The proposed cabin is replacing a preexisting cabin and will not increase or expand the nonconformity of the
Aushegan development;
5. The proposed home meets all required setbacks and will not detract from the natural beauty or ecological
quality of Bass Lake;
6. The Bass Lake Rehabilitation District has reviewed the plans and has no objections;
7. The Land and Water Conservation Department (LWCD) has reviewed the plans and supports approval with
the condition that the applicant must implement the 35 -foot shoreline buffer designed and approved by the
LWCD within one year of approval;
8. The Wisconsin Department of Natural Resources has reviewed the plans and has no objections; and
9. The approval of this project meets the intent and purpose of the Ordinance and will not affect the public
health, safety and welfare of County residents.
Approval of the land use permit is based on the plans received by St. Croix County on July 5, 2005 and July 15,
2005 and is subject to the following conditions:
1. The applicant must contact the Zoning Administrator prior to commencing site preparation and when
construction is completed.
2. Prior to commencing construction, the applicant shall install silt fence in accordance with the plans
submitted by Chad Maack at Hartman Homes, Inc. on July 15, 2005 and with the enclosed document,
Erosion Control for Homebuilders.
3. The applicant shall not remove any existing, healthy mature native trees and shrubs as part of the
construction of the cabin;
4. Within one year of approval of this permit, the applicant shall implement the 35 -foot shoreline buffer
designed by the LWCD. The LWCD office has the approved plan and cost -share agreement from 2002
and will honor the agreement if the plan is implemented as proposed.
5. Immediately upon completion of construction, the applicant shall re- establish native grasses and
groundcover over all disturbed areas in accordance with the enclosed document, How to Establish and
Maintain Native Grasses, Forbs and Legumes.
6. Upon completion of construction and the 35 -foot shoreline buffer, the applicant shall submit to the
Zoning Administrator photos of the completed projects.
7. Any minor change (or addition) in the project shall require. review and approval by the Zoning
Administrator. Any major change and/or addition to the originally approved plan will require a new land
use permit as stated in the Ordinance.
This approval does not allow for any construction, grading, filling, or vegetation removal beyond the limits
of this request. Your information will remain on file in the St. Croix County Planning and Zoning Department.
Please contact the Town of St. Joseph to obtain a building permit for the proposed cabin. It is your responsibility
to ensure compliance with any other local, State, or Federal rules or regulations.
If you have any questions, please do not hesitate to call.
Sincerely,
enny Shill ox
Zoning Specialist
Cc: Marie Schmidt, Town of St. Joseph
John Coughlin, Bass Lake Rehabilitation District
Eunice Post, Wisconsin Department of Natural Resources
Steve Olson, St. Croix County Land and Water Conservation Department
Tammy Wittmer, St. Croix County Land and Water Conservation Department
Jennifer Emmerich, St. Croix County Planning and Zoning Department
Bob Bezek, St. Croix County Planning and Zoning Department
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