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8. With the conditions listed inj I iidil ie_#_7_ above, this request will not violate the spirit or intent of the St.
Croix County Zoning Ordinance and will meet all applicable requirements in Sections 17.70(7)(a) and
17.70(b) of the Ordinance,
9. '1 lie prollo-ed ckvcilirl� w ill be loctltcd o\ cl 90 1 , cc', 1 I t I I C 0I I\V 1 a ,h: It i. M icll I M e r
the reotiirc(i 7�40ol ,ethacl
Item #2 (Variance) t]
r(
The Board makes the following Findings of Fact and Conclusions of Law pertinent to the applicant's variance
request for filling and grading on slopes exceeding 25 percent in the Shoreland District (Item #2): F
10. The applicants filed an application with the Board of Adjustment for a variance for land disturbance
affecting slopes of 25 percent or greater in the Shoreland District of two ponds pursuant to Section
17.29(2)(e) of the St. Croix County Zoning Ordinance. it ia I 4,�)(,;O i'Ct iliM, tlic
E
j
nceu to he ( i I S t I I r 11 e d to I I I S u t I I t he C i r I \ Iv ") 1 - 0 l o ) I C C I I I � I I I I C 0 1111 ,, t,: t I o j I to tile systc I
P
S
11. The primary public purposes of the slope restrictions in the Shoreland District are to further the V
maintenance of safe and healthful conditions through limiting development to those areas where soil tj
conditions and geologic conditions will provide a safe foundation and to prevent and control water E
pollution. The applicants have submitted storm water management and erosion control plans designed to P
protect the steep slopes and minimize erosion and sedimentation. a
U
P
cd the c
ti-IC Cild Old I'Lll-&-�IdC 101 feet ol I rollt�i I lk-flilimicr Vr�il 1. I'llerc 1 it nd�_�c hisectin�_ the C
d
lot \,llcic ;lops o1re ratigirig frow 25 percent to Yo -celit, alld there is 110 vm to �Iccess' the
-4)Cl P
I)tC 'A1010LIt CYOSSiM- them. arc pli\slcal cliatactcrlstics Iiiat "ere not self - created V
by am actions ol'tlic property omiicrs. Dem,'Hig tlll,�, \MAMICC would dC]_)r1Vc tlicz_L_M)li_car)(S' use oftlicir ti
t]
C
13. The applicants are requesting minimal relief from the standards in the Ordinance. e\v ay ill he n
S
L11': 1111llollc Cpl tllc lot '111d 11�1 � hc( (Ics lc2l,t �1;1)Mllll noss'blc
--- I - _ - __ _ - __ - I __ _ 1 1, -N
illic ,Ill: pr) Idirl'- Stl , C �Icccs', to the lot [poll, the I t]
14. Substantial justice would be done by allowing the applicant to use the property for a single-family U
d
dwelling, which is a permitted use in the Shoreland District. C F
DECISION
On the basis of the above Findings of Fact, Conclusions of Law, and the record herein, the Board approved both E
requests, with the following conditions: a
S
":_XCU11oh, 1)(21 �111d 4 M 111()N\ ',, the to dlstud an jrcLi not too c\ceed 43,090
d
� MM-milL I I I ICI') tll�111 mi th L)i"Incl ()fall
F
UhL )k lid M coll-'Inict &\Cllm�� ,till! to HI't,111 �1 alld ,ill [�11 S\Se
\ , tril 11)
------- — - ---- __ __ __ — I - ___ - E
ccolciallLl itli the sLlhilliltcd. '111d �t plo\ I(IC(I Ill ,Ile coliditik)[I, "Deloo\ . \01)1 �11 ! this Special a
�_ ori permit (ioc. not include and �1(1(111h)11,11 trld I"' 1111U� tFCe i �11, '4111CIUCS, uses. or d
other dc\ clopiiicnt actik I*tl'c,,- S.
E
2
35• " v -I
MNPL^QTTLD LANDS
EAST –WEST 1/4 LINE N89 °46'56 "E 1311.17' – N89'46'58 "E 5238.36'- -
WEST 1/4
CORNER \ OHWM i I 3927.45' EAST 1/4
SECTION 35 0. SHED \Q63.0 +/– H° CORNER
SEPTIC
AREA
GUEST –4':k SECTION 35
HOUSE
D WEt1
z
ELEVATI DRIVEWAY
M SEPTEMBE PREPARED FOR:
0 2004 LACASSE DEVELOPMENT, INC.
n 847.5 RICHARD LACASSE
m HOUSE +/ 573 CTY. ROAD "A"
HUDSON, WI 54016
(n DRIVEWAY
+
OWNERS.
MIKE KOHLER
718 CTY RD E
g HUDSON, WI 54016
C AND
z p
0 / WATER ELEVATION
o GREG HELLAND
M ARCH 2007 3637 RIDGEWOOD DRIVE
EAGAN, MN 55123
O
N m LOCATED IN PART OF THE
a A i NW1 /4 OF THE SW1 /4 AND
00 0o IN PART OF THE SW1 /4 OF
k co i THE SWt /4 OF SECTION 35,
�a? j JOSEPH, ST. , CROIX COUNTY,
WISCONSIN; INCLUDING LOT 2
OHWM BY 6 . i C OF CSM VOL. 11, PG. 3194
j" D.N.R. 1998 – H ( 9
856.3 +/– CURVE TABLE
N I�
i y C I :1 Number C1
W 4, Radius Length 1167.00'
f Atj j Central Angle 10'35'58"
cp
FORGER'S POND; ■ Chord Bearing S021 7'30"E
1 TELE T m I ® Chord Length 215.59'
AREA PED I Arc Length 215.89'
I Tangent In S03'00 29 W
63.49 ACRES
� Tangent Out S07'35'29 "E
LEGEND
6 __ ---- - - - - -1 FOUND 1" STEEL
:0 LOT 4 / c SURVEY MARK NAIL
P 0 m FOUND ALUMINUM
m 0 COUNTY SECTION
CORNER MONUMENT
FOUND 11" OUTSIDE
–�
------ 4 N89o53'4WW �� \ DIAMETER IRON PIPE
- - - -- "1 238.96' Z FOUND 1 -1/4"
I `\ Q OUTSIDE DIAMETER
I IRON PIPE
t O I W `�
# `�\ —X— FENCE
1 0
MI
J • LOT _2 C.S.M. IN 1%
---- - - - -_� VOL. 11 PG_ 31 1
ay
ACCESS I I a
j EASEMENT IN I I I j n
1 VOL. 1212 II
PG. 626
Z N89 0 34'05 "W 519.86'
166
m 1 \ � \1�
D 1 W n LOT 3 0.s.m. Im
M m I \q \sue 0: 1 VOL. I9 pa 31w I O 0 p m o
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7
:� u D ia j i .
n m I ACCESS 1 o
Z EASEMENT IN 100 W 0-
g r� m 1 N VOL. 956, 1 N I a P
p A j 1 6\ PG. 266 I N W
z Pz' 0
' SOUTHWEST SOUTH LINE OF ____� ° I °- 'p SOUTH 1/4 –3
> Pn N I CORNER THE SW1 /4 '' i % l i Qf CORNER
° jSECTION 35 �– 80.19' 174.14' SECTION 35
2
O o ______ - - - - -- 599_85--- - - - - -- -511 • • 465.16 g 131 9.34
w `ro N8 0 4 1 39"fN —
i m Ln '15
-- N89 "W 2638.68'- -
SCALE IN FEET
200 0 200
PROECT: MM .n r�ac minim
LACASSE DEVELOPMENT, LLC� ., Im
SW1 /4, SECTION 35 K "n p „`z m' °"'° 07A4 A7
F. ne -"► "r¢ m nwm-"s ^� 0001_16
TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN
BOUNDARY SURVEY Auth Consultulg/assodates SH Lend Snrve * ". wjmm IM-16 am" olsc ■r0,e DA
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and.Building Division
INSPECTION REPORT Sanitary Permit No: 487975 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:
Kohler, Michael I St. Joseph, Town of 030- 2012 -10 -100
CST BM Elev: / Insp. BM Elev: BM Description: _ Section/Town /Range/Map No:
, I I W . O , 54k 5; 'C ST Bm I 35.30.19.397
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTUR CAPACITY STATION BS HI FS ELEV.
Septic U Benchmark '
I f�SF� 0 3
Dosing Alt. M
Aeration Bldg. Sewer Z
gb•6o
Holding SUHt Inlet /
TANK SETBACK INFORMATION St/Ht Outlet D
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic t'to r f > � Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe /
�s 30
Holding Bot. System (oD 7f .7-5-1
�
PUMP /SIPHON INFORMATION Final Grade 6 •B� , oS
Manufactu er Demand St Cove
GPM L�o<. 5,�� . CD
Model Number ��
TDH Lift Fri Loss System Head T Ft�
Forcemain L gth Dia. e
SOIL AB PTION SYSTEM Z2
3111 q/TRENCH � Width , Length No. 9f Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMPNSIGW 3
SETBACK SYSTEM TO P/L L G WELL LAKE /STREAM LEACHING Manufadur. (,
INFORMATION CHAMBER OR
Type Of Stem: y l �� Z t r .5- r ' ( UNIT Model N ber. r ,
DISTRIBUTION §YSTEM
Header /Manifold v� u Distribution x Hole Size x Hole Spacing Vent to Air Intake
vw \ Pipe(s)
Length W Dia Length Dia Spacing ,
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil I ME Yes 5] No Fel Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:-916VM I1) F / 2 AV S --- Inspection # 2------ 4-- I
Location: 718 Cty. Rd. E Hudson, WI 54016 (NW 1/4 SW 1/4 35 T30N R19W) >35 acres Lot Parcel No: 35.30.19.397
1.) Alt BM Description
2.) Bldg sewer length = � /��j'Y'1 �� � g ���;c2�;�,�Ge � /������ '"` P L•
- amount of cover
Plan revision Required? Yes I] No
Use other side for additional information.
SBD -6710 (R.3/97) Date sepctor's ignature Cert. No.
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RECEIVED
NOV 0 2 7.005
ST. CROIX COUNTY
ZONING OFFICE
Safery and Buildings Division County ST /
` a , 201 W. Washington Ave., P.O. Box 7082 tJ/ I (_/1,� -_.
iseonsin Madison, - 7082 Sanitary Permit N ber (to be�il- ino.)
De artment of Commerce (608) ) 261 6 7 ((�
Sanitary Permit Application State Plan I.D. Number
In accord with Comm 8311, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s 15.(34(1 xm) Project Address (if different than mailing address)
I. Application Information - Please Print All Information
Property Owner's Name 1� Parcel 8 Lot K Block M
I� l 030- b642 -x
Property Owner's Mailing Address Property Location
7/ S Section 3S
City, Sta Zip Code Phone Number
trcieo
IL Type of Building (check aU that apply) N; R - E Q
,KJ or 2 Family Dwelling -Number of Bedrooms - `^� Qr "' " "- / ✓• Subdivision Name CSM Number
❑ PubliclCommertial - Descrbe Use S�(V ja' -
❑ State Owned - Describe Use U s ❑City_❑Village)5,Townsbip of
S
ILL Type of Permlt: (Check only one box on lin t e)
A ' f.New System ys y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only C1 Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date issued
Before Expiation Plumber Owner /V / U ?' ?"f �p�� /C� /
IV. Type of POVY'i'S System: Check ail that a 1 / J.
IkNon - Pressurized In -Ground ❑ Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Rzcircu"og S thetic Media Filter Z Leaching Ch Dr' Dr' p Line ❑ Gravel s Pipe O (explain)
V. Dispersal/Treatment Area Information: Al
Design Flow (gpd) Design Soil Application Rate(gpdsl) Dispersal Area Required so Dispersal Area Propo ed (s System Elevat n
o� a 8 7-0-7 '/SZ- 9 yso'
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
Nc Existing
Tanks TanJu
` Septic or holding Tank �. J U 7
A.aobic TmaLucat Unit
iAJ
Doan` Cbarnbcr
VII. Responsibility Statement I , the undersigned, assume responsibility for Installation of the POWTS shown on the attached plans.
Plumber's Name Print) Plum Sig tore P PRS Number Business Phone Number
�3 aao357
Plumber's Address (Street, City State, Zi Cod )
/ A) i�� zl� _Z� j
VIII ounty epart ment Ust Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater / Data Issued suing Agent gna a ps)
Surcharge Fee) _? �b / /A '
❑Owner Given Reason for Denial
IX Conditions of Approval/Reasons for Dlsapproval�
SYSTEM OWNER:
Septic tank, effluent filter and
dispersal cell must all be serviced / maintained t
as per management plan provided by plumber. 7
2. A ��
as per applicable code /ordinances. �%
a -1 Y
30 .7 = Ia� r l i c
3 z- 1
^ �� e
3x/1,1 =139.
75 0 5 T,
f
loo ! S y
4n—
s-IX
� p R
. _ ��- �T
y y
as
300
a3 x iv.! = y39 3 76
c� t Boa
a -IX ts�
P
a
Sy �yso'
s
p AJLD FRT EIVED
L 2 2005
sconsh Department of Commerce SOIL EVALUATION REP Pa Wi � o f 7
Divisio n of Silly and Buildings COUNTY
in scmdance with Comm 85, Ms. Adm. Code
Aaach oomplete site plan on paper not less than 8112 x 11 inches In size. Plan must l
include, but not limited to: vertical and hwtzontal reference pant (BM), direction and w• Par I.D. Q Q
percent slope, scale dimensions, north arrow, and location and distance to nearest road.
Pf"" print all inf(ormadon. Reviewed by Date
Personal N+formaoon you provide may W used for secondary purpoaea (Privacy Law. a. 15.04 (1 (m)).
Property Location 2r
Govt. Lot 1 S- T Q N R E W
PropeAyOwnses Mailing Address Stock Subd. Name ooWL
C9Y Stabl *� _, ❑ Q T it 411, Rood
a New Ca W"Zon Use: Residentlel / Nunber of bedrooms 3 - � Cade derived design flow rate `f SZ %'Zo G C) GPD
❑ Replacement ❑ Public or commercial • Describe:
Parent nuts" __ OL'4 Z e I Flood K* elevation if pl ppl �(J / g,
GWOW =11111M
and resonarlendatlo 16: S7 -e /", & (-e v 41 56 � D� -C.C> '- 7
S
C) Boriro
R Pit h suriac a slev. W, (fr v (t. Depth to limiting factor _// In. Sol Application Horizon Depth Dominant Color Rate
Deecriptlon Texture St'u(4ure Consistence Boundary Roots GPDff
in. Munson Qu. Si. Co Color Gr. SL Sh. •E1pB1 I 'E1
G
�* ❑ Owing
R Pit Ground surface alev. L -7 - 1 AG ft. Depth to smiting factor //( _ in.
Solt Applicallion Rata
Horizon Depth DomWdrA Color Redox Description Texture Shft" Consistence Boundary Roots GPDM
In. Mansell Qu. S2-1 Cont Cola tar. Sz. Sh. •001 1 'EfW2
i
0 -1 5C_ U /
°
• EAMtent it1 = Btm > 30, 2Z0 rnplL and TSS >30 < 150 ' E8lusnt #2 &AA 130 wq& and TSS S 30 n9t
CST Name (Please Print)
�it�� /% S``/Ci
Py ty owner _ Parcel ID # /Ik — L Page Z — of
D O ng � r ` ` O tt . Depth to Will" factor N1.
® Pit G ro u nd surface alov. Sop Rate
Horizon Depth Don*wnt Colo• Redox Description Texture Struck" Consistence Boundary Root GPDIff°
In. Munsell CO. Sz. Cont. Color Gr. Sz. Sh. •Efpi1 •Eff82
C-5 l I
a 8orkq A ❑ one
❑ pd Ground strfaae elev. fl. Depth to lartitinq factor In. Sop A PI A00 0i Rate
Horizon Depth Dpi Color p;� Description Texture Structure Consistence Boundary Roola GPDMf
In. MLT" Qu. Sz. Corti. Color Gr. Sz Sh. •Efiti1 'E1f82
F-1 Cl
8 ❑ Pit Grourd SWUM eMv. f t. Depth to limiting tailor _ M hate
Hoftion NO Dominant Color Redox Description. TO&" St CU" Corafstenw Bourxiery Roots
in. Muraw Qu. Sz. Cont. Color Gr. Sz. Sh. 'E01 'E1102
• EftMt $1= 9W > 30 <_ 220 mpll af>d TSS 40 1150 OV& ' Effluent 02 a BOD, 130 ffq& and TSS 1 30 myl
The Department of Cofttmerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, pkw contact the department at 608- 266 -3131 or TTY 608. 2648777.
se "JO at."
PAGE O F 15
NAME LOT# LEGAL DESCRIPTION 1 /4 1 /4,S T , N,R E(OR)W
SCALE: I"
BM I ELEVATION
) . C , N
13M I DESCRIPTION
BM 2 ELEVATION
BM 2 DESCRIPTION
SYSTEM ELEVATION
SYSTEM TYPE
L l
V I P t&l L^-
----------- <
c l
SIGNATURE f DATE ) - 23
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NIS iy
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81111111 ; =
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP Ci2,RTIFICATION F
s /2 Owner/Buyer
Mailing Address _ 7t Co , G -5
Property Address
(Verification required from Planning Department for new construction)
City/State Parcel Identification Number D 3
-D
LEGAL DESCRIPTION
Property Location` 4 / .5 t9 %. Sec. T 30 N -R W To 57
� � Town of � -
Subdivision Lot #
Certified Survey Map # Volume , Page #
Q " & k4 eed # 6 l' S7 7 Volume Jjl� , Page #
Spec house 0 yes Lot lines identifiable" yes 0 no
� 1 1 0
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 years or sooner, if needed by a licensed pumper. What you put into the system
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, journeymanplumber, restrictedplumber or a hcensedpumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (Z) after inspection and pumping (if necessary), the septic tank is less than 113 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 must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
SIGNATURE OF APPLICANT DATE
OWNER CEATIFICATION
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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
V J 211 , o
SIGNATURE 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
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity 7 al ❑ CIA
Permit # Q 1
O Septic .Tank Manufacturer O NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model — �j as ❑ NA
Number of Public Facility Units — ❑ NA Pump Tank Capacity g al ❑ NA
Estimated flow (average) 00 g al/day Pump Tank Manufacturer ❑ NA
Design flow (peak), (Estimated x 1.5) 3 g at/day Pump Manufacturer ❑ NA
Soil Application Rate r 7 gal/day/ft 2 Pump Model ❑ NA
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA
Fats, Oil & Grease (FOG) S30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD.) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD 530 mg /L AIn- Ground (gravity) ❑ In- Ground (pressurized)
Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound
Fecal Coliform (geometric mean) 510` cfu /100m1 ❑ Drip -Line ❑ Othe
Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: month(s) (Maximum 3 years) ❑ NA
OR ear(s)
Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA
Inspect dispersal call(s) At least once every: ❑ month(s) ear(s) mum y
(Maxi 3 ears) ❑ NA
Clean effluent filter At least once every: ❑ month(s) ❑ NA
AF ear($)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA
O year(s)
Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA
❑ year(s)
other:
At least once every: ❑ month(s) 13 ❑ NA
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 poriding 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 ponding
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 %) or more of the tank volume, the entire
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 512 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.
1
START UP AND OPERATION Fage Z of ?/
For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals
that may impede the treatment process and /or damage the dispersal cell(s). 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 highwater levels. When power is restored the excess wastewater will be
discharged to the cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior 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.
ABANDONMENT
When the POWTS 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
repla;7 en system:
suitable replacement area has been evaluated and may be utilized for the location of a replacement 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.
T
b e ai a ?fZ01 TI'S n� A/>✓1✓ CONS'7R( C tank
❑ 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
POWTS INSTALLER POWTS MAINTAINER
Name Name
Phone _ a v &c Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name 15 t. 20A1/
Phone Phone — 7 /s 3gCp- (O (�
This document was drafted in compliance with chapter -Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
J 5315
STATE BAR OF W15CON5lN FORM 3 — 19+,_
QUIT CLAIM DEED
DOCUMENT NO. vQL 121.2 PACE P 7
' ST. CRC:{ `r0.. wl
Gregory W. Helland and Nicole L. Helland, ' FWdttx806WO
husband and wife, ',
£
DEG 0 19
} a quit claims to ` 1Iic ' ,ael J. Kohler and Sandra J. Kohl er, dt 2.30 P.hq
husband and wife,
, Register u10uuC♦
)k " St. Croix
1 i i the following described real estate in County,
k State of Wisconsin:
THI SPACE RESERV FOR RECORDING DATA
- NAME AND RETURN ADDFi
Michael J. S Sandra J. Kohler
jj 713 County Road E
Hudson WI 54016
It PARCEL IDENTIFICATION NUMBER I
•
The W' /2 of the SW' /, of Section 35 , Township 30 North, Range 19 W, Town
P g
of St. Joseph, St. Croix County, Wisconsin EXCEPT for Lot 1 of_ the
—
Certified Survev Ma in Volume 9 page 2495 and Lot 2 of the Certified
urvey ap in Volume 11 , page 3194
NaL
'► The parcel described in this document is being added to the balance of the WI/
1 #' of the SW' /. of Section 35,Township 30 North, Range 19 W, Town of St.
Lw 1111L. j Joseph, St. Croix County, Wisconsin EXCEPT for Lot I of the Certified Survey
Map in Volume 9, page 2495 and Lots 2 and 3 of the Certified Survey Map in
Volume 11 , page 3194
tt
This ° homestead property.
(is) (is not) SyI
�• Dated this _ lv day of
ij
(
(SEAL)
(SEAL)
i'
Gregor W. Helland
I'
(SEAL) /►v (SEAL)
Nicole L. Helland
�. I f AUTHENTICATION AC KNOWL ED GMENT
State of Wisconsin,
.I Signatures) ss
x _ Coun
f
�i authenticated this day of _ 19_ rs pally carne before me this _ day of
�S 'ZA 19 , the above named
4
1PPV`�G r ory W. Helland Znd
�i tP +�� ' ol cole :. Helland
TITLE: MEMBER STATE BAR OF WISCONSIN i1 ,S Ij
• ��
(1f not, ,...
authorized by §706.06, Wis. Stars.) .' to me known to be the person s_ — who executed the foregoing
l
instrument and ac wledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Robert F. Wall l
Hudson W1 54016
`� 6ount
Notary Publ(c,
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date.
necessary.) 1 - 3/ - Zoo , 19 J
s • Names of persons signing in any capacity should by typed or printed below their signatures.
t STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., I=
( QUIT CLAIM DEED Form No. 3 -1982 Milwaukee. Wes.
Parcel #: 030 - 2012 -10 -000 11/04/2005 08:28 AM
PAGE 1 OF 1
Alt. Parcel #: 35.30.19.397 030 - TOWN OF SAINT JOSEPH
Current X',, ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
MICHAEL J & SANDRA J KOHLER O - KOHLER, MICHAEL J & SANDRA J
718 CTY RD E
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): ` = Primary
Type Dist # Description " 718 CTY RD E
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 54.100 Plat: N/A -NOT AVAILABLE
SEC 35 T30N R19W NW SW &SWSW EXC PT TO Block/Condo Bldg:
PARCELS DESC IN 956/265 -267 ALSO INC
PARCEL DESC 1068/201 ASM'T INC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
030 - 2012 -20 & 030 - 2012 -10 -100 35- 30N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/2
/23/1997 956/267
07/23/1997 927/04A
07/23/1997 827/237
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 96,000 366,100 462,100 NO
UNDEVELOPED G5 16.000 13,000 0 13,000 NO
PRODUCTIVE FORST LANDS G6 36.100 239,600 0 239,600 NO
Totals for 2005:
General Property 54.100 348,600 366,100 714,700
Woodland 0.000 0 0
Totals for 2004:
General Property 54.100 348,600 366,100 714,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 122
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 030- 2012 -20 -200 11/04/2 08:22 AM 1 OF 1
Alt. Parcel #: 35.30.19.398B 030 - TOWN OF SAINT JOSEPH
Current LX!, ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
GREGORY W & NICOLE L HELLAND O - HELLAND, GREGORY W & NICOLE L
3637 RIDGEWOOD DR
EAGAN MN 55123
Districts: SC = School SP = Special operty r es): � - Primary
�'
Type Dist # Description ' 718 CTY RD E / Y/Y.�ll
SC 2611 SCH D OF HUDSON 1 Q4 w4
SP 1700 WITC
kwt_ji y
LegaV13 cription: Acres: 9.920 Plat: N/A -NOT AVAILABLE
SEC 30N R1 9W PT SW SW BEING LOT 2 Block/Condo Bldg:
CSM 94 9.92 AC
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
35- 30N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/23/1997 1212/626 QC
07/23/1997 1068/201 WD
07/23/1997 956/266
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
PRODUCTIVE FORST LANDS G6 9.929 125,100 0 125,100 NO
Totals for 2005:
General Property 9.929 125,100 0 125,100
Woodland 0.000 0 0
Totals for 2004:
General Property 9.929 125,100 0 125,100
Woodland 0.000 0 0
Lottery Credit Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
_ N
Now
F s
6 � � 1996
�TMp 3 JAN 2 3 1997
$
CID f 0"
`'� ST. CROIX COUNTY
553152
ti SURVEYOR'S RECORD
CERTIFIED SURVEY MAP
Located in part of the SWj of the SWj of Section 35, T30N, R19W, Town
of St. Joseph, St.. Croix Coitnty,'Wisconsin.
` LEGEND
Aluminum County Section. Corner
w A COR. SEC. 35 � &� ,� Monument Found
' 1" Iron Pipe Found
�
°_° - Q 1 " X 24" I ron Pi pe Set, wei ghi ng
0 ,t * 1.13 1 bs. per linear foot
N89 ° 31' 11 "W'�� Y. - 100' Roadway Setback Line
238.96'
iC)m
n e
Well
I� (A ° v+
rw� Waters Edge
9
Z 00 o WATER EL ' BM .1
1 � J ° o � o I�•� � >> ELEV `102.73" _ _ _Established Meander Line
1 " as of 10/02/96 •9�, N
�(rl %D — -- — 75' Waterway Set Back '
S89 ° 31'11 "E
1� 238.96' N \ ti+ W r11
OWNER r c . . - A fP D IV. w N � Mike Kohler Ct -1 �
�� v; ^% / S., 718 C.T.H. "En 0 =5 r
In F �o' < Hudson, WI 54016 °• t O Z
I E ° ✓ ✓i I w -t f
Ind j oE ar
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I� m C� BM,j2 "' (t =
I�� o ELEV 106.95' A0ZESS EASEMENT m a
o m
a� '✓OL . �2� 2 (It o
1+
o PC. E; 6
LOT 2 w
u a 9.92 Ac. Inc. Esmt. I N89 0 11 1 36 "W 519.85'
s, 432,254 sq. ft. t
9.57 Ac. Exc. Esmt. i
416,726 sq. ft. IC
�o
m r I
\/OL 9 7-495 ® LOT 3 m
- - - 0) � 0 � 6.50 Ac. Inc. R/W BARN _ 'p
283,248 Sq. Ft. N If
''; ' \� . "ate ° • v`- "= - W.,.
6.00 Ac. Exc. R/W
1,537 Sq. Ft.
CA
��"„ ICS
IN
w �
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u ' ® S8 "E
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to � �.. ��'.. 1. �..J.. �
ME' 93G 'PC .268-
_ S89 ° 11'3 6 " I E 6 EASNIEN • 6 465.10' o E
SOUTti. L S89 ° 11'33 'fz 719.42' o
B �'
Cornprehensive Plannir ° C.T:H. "E" S89 °11'36"
Zoning and - �- - - - ' - 719.42' in
sK
Parks Committee
o '
A
UNF'�ATTr G LAND`
of not recorded L rn
m
within 30 days of
approval date
Ln
approval shall be Q
,��q R vni�rl
_
SCALE IN FEET 1 " - 200 / �
SHEEi1 `1 'of 2 SHEETS
>, 400 �
INSTRUMENT DRAFTED BY Steven S. Kubera. Job No. 96 -54 0 50 100 ` 00 600
VOL. 11 PAGE 3194
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Wisconsin Department of Industry, Count :�
.LlrbofaddHurrianRelations PRIVATE SEWAGE SYSTEM St. Croix
Safety and Buildings Division
IN
REPORT :f
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATIONNw4 , Sw4 , Sec. 35, T30 -R1 9, Co. Rd. E 149218
Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.:
Mike Kohler I St. Joseph
CST BM Elev.: Insp- BM Elev.: BM Description: Parcel Tax No.: 3 97 & 398
030 - 2012 -10
TANK INFORMATION ELEVATION DATA 3 12-20
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark ,? 6010' i
Dos' n
Aeration Bldg. Sewer 101,30
Holding I St />K Inlet 1 W
TANK SETBACK INFORMATION St/ IXOutlet
TANKTO P/L WELL BLDG. Air to
I ntake ROAD Dt Inlet
ir
Septic >_-Zf " NA Dt Bottom
NA Header fir" 9(0•�0�'
Aeration NA I Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand s'r' Alk-_ �- ,$
Model Number GPM
TDH I Lift Friction System TDH Ft
Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trenches PIT f Pits +I ide Dia- Liquid Depth
DIMENSIONS D N I N
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHINnufact urer:
SETBACK CHAMBER
INFORMATION Type Of Ccn �t Mo Num er:
System: Ere- 7 (DU — `> /G8� '� OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Y es E] No E] Yes E] Q o ,
C,Q
ENT $: (i nclude code discrepancies, persons present, etc.) 2 G��Z �j /��
rk
r
Plan revision required? ❑ Yes �lo
Use other side for additional information.
SBD -6710 (R 05/91) Date Inspector's Signa ure Cert. No-
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
y
s'
a
a
fi i
��LHR SANITARY PERMIT APPLICATION
• o ,,.,,,,_ j In accord with ILHR 83.05, Wis. Adm. Code COUNTY
STATE SANIT RY ERMIT
–Attac mplete plans (to the county copy only) for the system, on paper not less than `�o?
8 /z x 11 inches in size. 11 Check if revision to previous application
—See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
I. APPLICANT INFORMATION – PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
),() '/4 - to ' /a, S _35' T 3Q N, R J W
PROPERTY OWNER'S MAILING ADDRESS LOT # �_ BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
M fZ
II. PE OF BUILDING: (Check one) ❑ State Owned NEAREST ROAD
TnwN op:
St J 6SP
❑ Public ®1 or 2 Fam. Dwelling –# of bedrooms 3 PAR
III. BUILDING USE: (If building type is public, check all that apply) 12 -11;11
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining
4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash
5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit ## — Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In- Ground 42 El Pit Privy
13 Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) #1 ELEVATION
D 170 .79 e � ' Feet Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concret Con- Steel glace Plastic App
Tanks Tanks structed
Septic Tank o
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumbe ' nature:( o Stamps) MP /MPReUFNe� Business Phone Number:
C i
lumber's Address (Street, City, State, Zip Code):
IX. COUNTY /DEPARTMENT OSE ONLY
❑ Disapproved Sani Permit Fee (Includes Groundwater Date Issued Issuing A nt Signatur (No Stam
ur rge Fee)
Approved El Owner Given Initial
Adverse De terminat ion U 1
X. C NDITIONS OF APPROX4kL1REASONS FOR ISAPPROVAL; e4�
10A� Js.
da
SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS ,
1: A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the-
State of Wisconsin, Safety & Buildings Division, 608 -266 -3815.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax numbers) of
where the system is to be installed:
IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
Ill. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in #1 -7.
VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD4M (R.11/88)
•" APPLICATION FOR SANITARY PERMIT
8TC -100
This application form Is to be completed In full and signed by the ownet(s) of
the property being developed. Any Inadequacies will only result In delays of
the petmlt Issuance. -Should this development be intended got tessle by
owner /conttactot,(spec house), then a second form should be retained and
completed when the property is sold and submitted to this 9181ce with the
appropriate deed recording. .
----------------------------- - -r --------------- W- ------ r --- ------ -- -.�..-�.•�.•
c
Ownst property }
Location of property IV.'✓ i /4 ,SQ ./ /l, Section r 3�_ T om. M •R � V
Township -
Mallinq address
Address of alts
•vbdlvision name
Lot number
previous owner of property
Total slsa of parcel
Date p9rcal was created
Are all Cotner$ and lot lines identifiable? /_ „Yex
Is this property being developed for resale Opee house)?
Yoidme �� - and Page Number __ as recorded with the Register of Deeds,
r-rr-----rr-- rrrr--- r-- r-- r---- r- r-- r- r- rrr----- -•- --r-r-rr-r------ ----- - - - - - --
INCLUDE WITH THIS APPLICATION 7119 FOLLOWINCI
A VARRANTY DYID which Includes a DOCUM =NT NUMBER, VOLVHR AND PAOt NUMSiR, and
the SIAL OF THE RIOISTIR OF DIIDS. In addition, a cettifled survey, if
available, would be helpful so as to avoid delays of the reviewing process. if
the deed description tolerances to a Csitlfled survey Map, the ramified server
Map Shall also be required.
------------------------------------------------------- •------- •----- .•. - -.
PROPERTY OWNER CERTIFICATION
I(Ve1 cattily that all statements on this form are true to the best of my (out)
knowledge; that I (we) am (ste) the ownet(s) of the ptopettr described In
this Infotmation form, by virtue of a warranty deed recorded In the Office of
the county Register of Deeds as Document No. a j and that i (Ve)
ptesently own the proposed alto for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described ptopettr, got the
construction of Said system, and the same has been duly recorded in the office
of the Cou ty R 9 to Deeds, as Document No ),
51 1 1roltuto of Ownakv signature of Co• it )(if Appllcabie)
•
1 - a 0 9 _50_
D .t • of • ynature I I Date o! S ignature
'i WALKER ROOFING CO. 6127296649 P.02
." DOC•UMFNT No, l il STATE BAS, OF WISCONSIN Pt7PM 1.1 -1982 '„ls ar ccz kc �Cr+vGO�~UR R6C�tROlt1 (t i�p�d.
LAND CONTRACT
'i ir.dWdlt +l and C*rPoratt,
UM) fOrt ALL 'mAN:SAC:TIONS 'tVHF.Rr ryVEW
•i *Y:'S,putl :$ Fiir'ANcrm Ar4p IN Cli'HFX NUN WNSUMrjt
ACT TRA MACTION
i James Z. Durning, Ann . ,....�
Con aC2t by and between ------- ---- .. . .. ------------- . I'
5. Mvnr�,_and ,Elizabeth Reid _ 1
ffy i
............... . . . . .. - -- - . - - - - - -- ( "Vendor"
I
!; whether one or more) and- .-- MiCI } dE: 1. J. Ko hler and Sandra i?
ts i
l
........... ............ ........ .................. .. (" Purchaser", whether one or more).
Vendor jells and agrees to convey to Purchaser, upon the prompt and full per-
forman" of thin Contract by Purchaser, the following property, together with the
rents, profits, Utures and other 4ppurtenant interests (all called the "Property "),
in ...............• 01X.....,.•..... .....•...._ County, State of 'W::4consin: nr_ruliw ra Gwin & Gwln
P.O. Box 106
' Hudson, WI 54015
030 - 2012 -10
Tax Parcel No. .,Q 2012 -20
West one -half of.the Southwest quarter (W 1/2, SW 1/4) of
Section 35, ToWnshin ION, Range 19W.
i
This iS n0t
(�s) (is not) homestead property.
.._
Purchaser agrees to purchase the Property and to pay to Vendor at ..w ilex-eV. 1 C...tAlle,u ..C��S � g>7,
the sum of ....................... in the followin • manner: ' a
at the execution of this Contract; and (b) the balance of $.,.- �_O,r?, . , t with interest from date f
O..1J_QS?_ _QQ 00
hercof on the balance outstanding from time to time at the rate of .... JaIAE;..... .... per cent per annum
until paid in full as follows: Principcl and interest of $15,000-00 per year ;
beginning on November 15, • 1909 and each year thereafter unt1.1 P aid }
in .full.
�
Provided, however, the entire outstanding balance shall be paid in. full on or before the..,,.,.,�•$�}X_,,. -_ - day of
. .....Noviam$er .......... 19- .95.. ( the maturity date)
Fullowing any default ib peymcltit, Interest shall accrue at the rat(! of ---- 9..,.. % per annum on the entire amount I
in default (which shall inelu(lc, witbout linlitation, delinquent inteiv,.4 und, upon► uCv0erut,iori or maturity, the entire
principal balance).
Purchaser, Zmleee- exeuged- se�dex� agrees to pay raetzsl�ly- ko-- ltax.,�t etafeic,iv.{g aw�eor+ai�ly.a:i#iai-
p" annual saxes, special assessments, fire and required insurance pz•cmiums when due. fro- tie -ext�r�t+
�ertdor- agrees- le�l�y� .•3gty'ya sci.. titer - aiaaig;�tioxt�. srrlwn -.d�+a - �w:b.. ru�,cwrstsi .xeceiueai Jai: �,lax,Vindtw , €ore- g:►ysu€
tsizt�; assesslrretxt� instrra' nre - miii - 'lnzl�sosiceci'•irr��en etrtcxe• r rrnTt oar l ;�a�ee��eeeu�se;drnro- �ell -�,e� -bear i�at•,erest
trttl��r •etkzc�wi«-- rt:.itrirt±d d+�- tae�+•.
Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any
rtnzvufit nlary br preKmld without preliduzn or fee upon principal at ;)tt ;.unto after ....... gj�Q; - .i.ng ......
the r� �xras'-ire �*ro - preperyrreer�o£^�►rirtei p� �t,#re�r� - per+sa wry- s#'- Vt*a�.
In the event of any prepayment, this contract shall not be treated as in default with respect to payment eo long
R5 the unrruid bnl:lncy of principal, and interest (and in such case accruiY19 intcrest from month to month shall be treated
as unpaid principal) is les than the amount that said Indebtedness would have been had the monthly payments been
- mtxde ps ftL,§„t ;pitpified sthove; r,ro"vWoDd that monthly payments shall N! eonti.tucd in the event of credit of airy - proceeds
of insurance or condurnnation, the condemned premises being thereafter excluded b.erefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except:
I
i
Purchaser ag- eea to pat the cost o.f future title evidence. If title evidence is in the forzta of an abstract, it shall
be retained by '':ender until the full Trice is paid.
Purchaser shall - lie entitled to tnke po&iession of the Property on ......... IoS] Ilcj ...... -}
'Crete Out Ore. ti ,
WALKER ROOF I HG CO. 6127296649 P.03
Purchaser promises to pay when due all taxes acrd assessalerrta levied on the Property or upon Vendor's interest
In It and to deliver to Vendor on deinarid receipts showing auah payment.
1'urclukser shall, keep the intl,rovements on the Property insured icguinst loss or damage occasioned by fire, ex
tended coverage perils and such other hazards as Vend without co- insurance, through insurers approved
1, Vendor, in the sum of ;. fu11_ insurablln,,,_ .--- , - hut Vendor shall not require coverage in an am ount afore
titan the balance owed under this Contract. Purchaser shall pay the insurance prerruuius when due. The policies shall
contain the standard .clause in favor of the Veudor'a interest und, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vundor. Purchaser shall promptly give notice of lose to
insurance companies and Vendor. Unless Purebauer and Vendor otherwise agree in wr iti ng, insurance proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
c40nonricslly feasible.
Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances and regulations affecting thu Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the putnner above specified, Vendor will on demand, execute and deliver to.
the Purchaser, a Warranty Deed, in Sae simple, of the Property, free and clear of all liens and encumbranem, except
any liens or encumbrances created by the act or default of Purchaser, alMMUM M .. ...................... .......•------•----•----
.
........................................... I ... ,- ..--- .... ............................ ..,,. ................... . A ............. ,... ,..., -,.- ..............................
............................................ .... ................................... _...... .-.....,-...., .................... ,..................... ........................
Purchaser agrees that time is of the essence avid (a) in the event of a default in the payment of any principal or
interest which continues for a period of flQ., days following tire: specifier) due date or (b) in the event of a default in
performance of any other obligation of Purchaser which continu for a period of _10 - -. days following written notice
thereof by Vendor (daliverud personally or mailed by certified [nails, green tile entire outstanding balance un der this contract
shall become immediately due and payable In full, at Veudui':, option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser'&
rights, title and Interest in the Property and recover tho Property back through strict .foreclosure with any equity of
redemption to be conditioned upon .Purchaser's Pull paylneut of the entire: outstanding balance, with Interest thereon fron►
the date of default at the rate in effect on such duteandotlieran,,, uuts due hereunder (in which event all amounts previously
p aid by Purchaser shall be forefeited as liquiduted damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeein) ; or (ii) Vendor may sue for specific performance of this Contract to compel
ininiediate and full payment of the entire outstanding balance, with interest thereon tit the rate in effect on the date of
default and other amounts due hereunder, in which event the Property ,hall he auctioned at judicial onto and Purchaser
t<hall be liable for any deficiency; or (lit) Vtgidor may sue at. luiv for the entire unpaid purchase price or any portion
thereof; or (iv) Vendor may declare; this Contract at an tad and remove this Contractasacloud on title in a quiet -title
actinic if the equitahlc, interest of 1 is insignirJeant; kind (•,,) Vendor Wray have Purchaser ejected from possession
of the Projivrty and ' have a receiver appointed to collect, uny runts, issues ur profits dkiri►tgg• the pendency of any action
under (i), 00 or (iv) above.Notwithr,tanding any ural or written statements or actions of Vendor, an election of any
of the foregoing; remedies shall only be binding upon Vendor if cud whelk pursued in litigation and all costs and expenses
including reasonable attorneys fees of Vendor incurred to enforcc:nny rentcdy hereunder (whether abated or not) to the
ext not prohibit by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in.
curred, and shall he included in any judgment.
Upon the commencement or during the pendency of any action of ;foreclosure of this Contract Purchaser consents
to the appointment of a receiver of the Property includingr, homestead interest, to collect the rents, Issues, and profits of
the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be hold and
applied a s the court shall direct.
Purchaser shall not transfer, sell or convey any legal or t: citable interest in the Property (by assignment of any
of Purchaser's rights under this Contract or by option, lone; -term lease or in any other way) without the pelOr written
consent of Vendor unless either the ouXiatanrling balance payable under this Contract is first paid in full or the interest
conveyed is a pledge or assignment of- Purchaser's interest under this Contract solely us security for an indebtedness of
Purchaser. In the event of any such transfer, sale or convey ance without Vuttdor's written consent, the Entire outstanding
balance payable under this Contract shall become immediately due und payable in full, at Vendor's option without notice.
Vendor shall masse all payments wbe,n due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser cony make any such payients directly to
the Mortitairee if Vendor fails to do so and all payments so made by Purchaser shall be considered payment made on
thls Contract. I
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.
All terms of this Contract shall be binding; upon and inure to the benefits of the heirs, legal representatives,
successors and assi of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights to the subject Property and agrees to join in the execution of the
deed to be made in fulAllment hereof.)
Dated this ./0 .......... ................ day f .... November 18.88...
y ....................
�. ........._. .............. ................ (SEAL)
a es...J_....
Elizabeth Reid Duffy,
......(SEA.L) .......trustee. U/D1T .... .........................(SEAL)
Ann S. Moore
AUTIIItNTICATION ACKNOWLEDGMENT
James J. Durnin � STATE OF outarolina
......... ............................... .................
AA.
.................... .......... ...... Chz- letSLOn
--. ----- -- -------- -- - - -- County
.l. ..da of..,
authentic d th' .....,.. 14 P ersona ll y came before ins this 8 $ ereona y ._.____day of
November ......, 18 -.� g.. the above named 6 i , ...._..., .....--- ...... ... A nn. s _;, Moore - --
-----------•------------ •-- ................... METATE BAIL OF WISCONSIN ... ............................
(It not,.................... .................... .................... ... ,.....................................
authorized by 4 706.06, Win. State.) to me known to be the person ............ who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WA$ DRAFTED BY
h sty -, F- ..- -G-W -i s.... wIn-- A..Owlin..
�, s .Hi. dwn.e. KT..:5�9.16 Notary Publia ,.. C iarl'e,'ston .County, ] . SC.
.. ........,
„., _.
WALKER ROOFING CO. 612729c 649 F.04
ACKNOWLEDGMENT
STAT9 OF'ZALIFORNIA
ss.
Monterey County,
Personally came before me this day of
November, 1988 the above named ET zabeth
Reid Duffy, trustee U /D /T
to me known to be theaperson who executed
the foregoing instrument and acknowledge
t same. u
Notary public Monterey County, California.
Nay Commission is permanent. (If not, state
expiration date: f 19 )
4FFIGIAL SEAL
MARILYN Ft. PETERSON
Notary Pkibile- Cetifomia
MON I EHEY COUNTY
My Comm. Exp. Sep. IS, 1981
(SEAL)
Michael J. Ko er
(SEAL)
Sandra
ACKNOWLEDGMENT
STATE PV
County,
Personally came before me this /D d day of
November, 1988 the above named Michael J.
Kohler and Sandra J. Kohler to me known to
be the r on who executed the foregoing
instr en a knowledge the same.
R
�+roi�c Wis Co nsiv%
ary Public, �ll0v County, illr t�.
Commission is permanent. _,
WALKER ROOFING CO. 612,'296649 P. 02
c -a� C,Z izlj
hA." & a /1)
Rol Y-
'7c,
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9
ST C- 105 r
9
y
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County z
d
9
OWNER /BUYER H
r�
ROUTE /BOX NUMBER Fire Number I
CITY /STAT `LIP
PROPERTY LOCATION: 4/6 1 4, SC✓ 14, Section ,3S T 36 N, Rj_�t _W,
T o w n o f S - C - Ve , S t .. C r o i x C o u nt y,
Subdivision Lot number
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con- I
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed septic tank pumper What you put into `
the system can affect the function of the septic tank as a treat -
ment stage in the waste disposal system.
St. Croix.County residents may be eligible to receive a grant for
a maximum of 60% of the cost of replacement of a failing system,
which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that
owners of all ne systems agree to keep tnei.r systems properly
maintained.
I
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on -site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic 'tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. H
0
E
I /WE, the undersigned, have read the above requirements and agree Cn
to maintain the private sewage disposal system in accordance with x
H
the standards set forth, herein, as set by the Wisconsin Depart- b
ment of Natural Resources. Certification form must be completed
Fnd retvrne�l to the St. Croix County 'Zoning Office within 30 days
of the three year expiration date.
S I G N E D
DATE
St. Croix County Zoning Office
P.O. Box 96
Hammond, WI 54015
715- 796 -2239 or 715- 425 -8363
Sign, date and return to above address.
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Owner.' s name San. Permit No.
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H63.05 PLOT PLAN
Show:
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� �!f Location of building served � Dosing c hamber
Septic tank EA Vertical/horizontal reference point
E2 Building sewer System. elevation is sE PL-"y
✓� Effluent system Q Well C see "Ten .
Replacement system area Property lines w /in 50' of system
Q Distribution boxes F71 Scale = �= 30 , or dimensioned
N.q Pump and, controls:
Mfr. & Model No. Vertical Lift Size Force Main
Friction Loss T. D. H. Vol. Dist. Pipe Gal..per Min. Gal, per Cycle
Place check mark in appropriate box, indicating item is shown on plot plan
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By the granting or approving of the abovd plan, or upon the event of a subsequent
permit being issued,St.CroixCotutty and thegt.Cr olx„ount y Zoni
9 Administrator dries
not assume or hold itself liable for any defects in plans or specifications, plan
omission, examination oversight, construction, or any damage that may result in or
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P um r s signature License NO. a e
i
Page 1 of 1
Rod Eslinger
From: Rod Eslinger
Sent: Thursday, May 02, 2002 9:58 AM
To: Eunice Post (E- mail);
Subject: Mike Kohler (OHWM)
Good morning,
Have either of you established an OHWM on Mike Kohler's property (He referred to the pond
as "Fergus Pond ") in SW 1 /4 of section 35, T30N -R19W in the Town of St. Joseph? His address
is 718 County Road E, Hudson, WI 54016. He owns 55 acres. He thought that someone either
from the county or DNR was out to his property and established it. I can't find any
documentation in our files of this OHWM. He also said his builder was Charles Cudd and
the prior property owner was During, if that helps. Supposedly, Mike's house was
constructed in 91' or 92, this would have been the same time that someone would have
establish the OHWM.
Mike mentioned that a developer has approach him about creating a subdivision at this site.
If either of you have a record of this property please fax it to me. Our fax number is listed
below.
Thanks
Rod
Rod Eslinger
Zoning Specialist
Zoning Department
1101 Carmichael Road
Hudson, WT 54016
Phone: (715) 386 -4680
Fax: (715) 386 -4686
mai lto :ro @c - croix.wi.us
5/2/2002
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