The URL can be used to link to this page

Home My WebLink About032-2165-03-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: f St. Croix Safety and Building Division • 10 INSPECTION REPORT sanitary Permit No: 429934 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 Par el Tax No: Martell, John Somerset Township 3 a'' �/U�_ - 0 3 WV CST BM Elev: Insp. SM Elev: BM Description: Section/Town/Range/Map No: 03.31.19. TANK INFORMATION ELEV ION 6ATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark Dosing (, Alt. BM Aeration Bldg. Sewer 97. (e y Holding SUHt Inlet 23 SUHt Outlet TANK SETBACK INFORMATION J D;L R`I. g Ll TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /4- 7 > D � Dt Bottom Dosing 1 ` Header /Man. Lo• 2'S a3�(oJ Aeration Dist. Pipe �.ZS Vi i" ( -I Holding t% Bot. System v/- - 2 . �►,�.rs/ Final Grade PUMP /SIPHON INFORMATION Manufacturer y Demand St Cover Model Number --• 132 — ' 06 q7.F(, - t R? k) TDH Lift Friction Loss System Head DH Ft U '[ ,OU (OZ • c b 3 -1 50 Forcemain t_h _. _ — _ ist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 � SETBACK SYSTEM TO P/L JBLDG IWELL LAKE/STREAM LEACHING Manufa INFORMATION urea T e Of System: CHAMBER OR �t7� �' )o� / r // UNIT Mo Number: CC DISTRIBUTION SYSTEM Header/Manifold , ,� Distribution / x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) �� 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 Yes No [J Yes ,J No COMMENTS: (Include code discrepenci& persons present, etc.) 1 Inspection #1: / IL /3— Inspection #2: Location: 2362 County Road I Somerset, WI 54Q25 (SE 1/4 NE 114 3 T31N R19M Unknowns Lot 3 Parcel No: 03.31.19. 1.) Alt BM Description o e✓- �L�� p 6 _�;'� '� p ' r 6i� ' ` Ike t" ? •) (1� luruS, 2.) Bldg sewer length = 3 O 0 w`C /l/�Gt 1 �L' "" ✓ � � [ I GL amount of 3 FtC�� cove - � to C j.,'r �QG N�f t un `wS G(�'14r c- �"'Q� w'0 L. Plan revision Required? Yes No T ` Use other side for additional information SBD -6710 (R.3/97) Date Insep or's Signature ert. No. 4 m N � O X a Safety and Buildings Division County _ = 201 W. Washington Ave., P.O. Box 7082 • yscons�n , Madison, WI 53707 - 7082 Site Address Department of Commerce 1 Z�• Sanitary Permit Applicati sanitary �` xu>Ytbe In accord with Comm 83.21, Wis. Adm. Code, personal inforniR MEWED '12 9 93 may be used for secondary Privacy , s15.04(1)(m) _Check if Revision I. Application Information - Please Print All Information State Plan LD. Number APR 2 1 2003 Property Owner's Name Parcel Num C'�OLX COUNTY' �-ri► F)CE. Prope wner's Mailing Address rty Location / 12 . 2 o -A; S,3 T3/ N,R/ / /q E City, State Zip Code Phone Number Lot Nuo r 3 Block Number Qp S aision N CSM Number ar W syd flblgc4ew II. Type of Building (Check all that apply.) V Oft' ❑ City ❑ 1 or 2 Family Dwelling - Number of Bedrooms I ❑ Village • Public /Commercial - Describe Use XTownshi .W • State Owned "L (yt) Nearest Road s 3' 9y 9- r 3- ?l Al S III. Type of Permit: (Check only one box on 'ne A. Numbering is for internal use.) (Complete line B, if applicable.) A. New 3 ❑Replacement of 6 ❑Addition to System 2 ❑ Replacement System Tank Only Existing System For County use B ' ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of POWT System: (Check all that apply. Numbering is for internal use.) 44ANon - Pressurized In- Ground 21 ❑ Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ r V. Dispersal/Treatment Area Information: ✓ U" Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.)/ (Min. /Inch) 1�3 Elevation Z 4/yo o 901.9 . �- — 9 2 ,�/' ✓ �$. C� VI. Tank Info Capacity in Total Number r n Q M ufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks .G�" `�'� /00 r-) Concrete Constructed Glass New I Existing Tanks Tanks ptic r Holding Tank 7 1 660 1 /Oo 0 Dosing Chamber I fl V II. Responsibility S tatement- I, the undersigned, assume responsibility for installat' n of the POWTS shown on the attached plans. tuber's Name (Print) P Si re M MPRS umber Business Phone Number Z En i s >'� /2 Y� ,/, Z Z ll/ � 1 20:1704063 _l Plumber's Address (Street, City, State, Zip Code) 37 Z /yo'� S - w S"vc�d VIII. County /De artment Use Onl Disapproved S Fee (in(ude Date Issued mg ent si tw o Stamps) Approved C Owner Given Initial Adverse Surcharge Fee) � Groundwater G� j36/O 3 G Determination �(i G� �A . Conditions of Approval/Reasons for Disapproval f?r ?QaW73 /r( (l(JRist. ar> Attach complet plans (to the County o for the system on paper n less than 8112 x 11 inches in size s< eP n by Csr- 33 � �, . �c� o� P/L, 2sa' 64y,�.�. <(3 SBD -6398 (R. 05101) I � I I i - - s�3_ — ra c9i - I � a L I - - J - I ; I i I f I I f I I I I , ; I I I Vi ; I ' , '7j � 6/ ' o S` I 2. G�7�w�XX Z, � I e S 3 T 31 N l Ic i s / % y ; ;4 1 C �i c'3 i 14� IMP JL i j C. 8r— � �1 y3�O• aS I r I _ i I ( I I , i , f i i i I I I I ; I I II 'I I i I i I I I I I I } I I I I i I I I L i OEM- 71E Sec 3 , , - r3 ! to 1 w (Z. a c r L d 4te, _ �o I (J _ 40 n in , p� f �V 2 V OL 0-rec. t COPY t d� t QI 9$, 90 , .o s I .Wisconsin - Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. A unty Z� Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan rond include, but not limited to: vertical and horizontal reference point (BM), direction percent slope, scale or dimen sions, north arrow, and location and distance to n Please print all information. ev, Date X OF Personal information you provide may be used for secondary purposes (Privacy Law, s. 1 Property Owner {{ Prope a ion Govt. Lot S 1/4 VF 1/4 63 T N R '� E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# �_' f t.'s .,,r C City y State Zip Code Phone Number ❑ city Village � Town Nearest Road y ( )-? L 17 1;) y f 5i New Construction User] Residential / Number of bedrooms Code derived design flow rate z 75 0 GPD `❑] Replacement ❑ Public or commercial - Describe: Parent material C +A �? ` 4^ Flood Plain elevation if applicable ft. 0 S` v\ 4 ' General comments and recommendation • S S�SSc! S + L — � 3 �Z$ TIC g Gins S ' n F; 1 4 44 off' S> Fo Boring # ❑ Boring o M c,1, Pit Ground surface elev. 9 8,9r� ft. Depth to limiting factor 1 1 D in. / 0- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 l7-aq `1. Y1.4 �._. �.. Ls �, a� 1•_ cw I MF . - 7 , a qj. -7.5 �'� ql -- s v- s ►mo t-- l v " , - 7 1 , a Boring # ❑ Boring / 0 Pit Ground surface elev. I ft. Depth to limiting factor I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2 0 lu ie 3 1a F✓ nS a F .-5 Y `f1L1 +�eav� a� sbk ,►� F r c w F 17 -31 7,5 Ye �) , b k, * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signature CST Number a - 7 y Address Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) I . r Property Owner To-6 h) M eLo-4 E 1 I Parcel ID # N y,, C - Irk Page of 3 Boring # ❑ Boring Pit Ground surface elev. 95.Yl ft. Depth to limiting factor ! b� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 b- 11D s/ �_.� ---- -- 5L FGA F qS 'r f S —I 75 t( y/ _ ° °`°` S L F ,b k net Le C s, I ' f 3t7 7,�'1` y/ S -�, 'V i L G J � v¢� /,a 04 go t o 4 ,y- II a Boring # ❑ Boring [2 pit Ground surface elev. . o� ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2 A C7 � �93io S'14.4 •V F-1 Boring # ❑ El 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 I * 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. SBD -8330 (R.07 /00) 3o hn YYl etr .l ! P&I�. 5 % y � N iE K , scc , 3, Y 31 N, R 9 w s a� +�- �o n n w- T SCa Ie . I /o Vs lb4 ` 3s. �� 3` � O PM cJg x _ In 11 1� x r�56 9 p� a a s 0 O O g� TO V Va r� + d Qrn 100. ou C r c Fe re- Y% C. BI 9S ,90 IS3 S y2� 1"s 1V certified Survey Ma�D No Ph S e- 4 �y Volume , Page BEING A PART OF THE SOUTHEAST 114 OF THE NORTHEAST 114 OF SECTION 3, TOWNSHIP 31 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN Northeast corner Section 3, T31N, R19W PREPARED FOR Found Aluminum Monument SCALE: 1 " =300' Leo S. Crotty & Darlene M. Crotty 2370 Cty. Rd. "I" e3 0 300' 600' Somerset WI 54025 d �!o C , I I i I � Note: All lots satisfy the C.B.A. (98 -4) I I "� &3 ordinance defined in section III, I I „ t j Town of Somerset. j c w z Exclusive to setbacks. �m� I N d K. w i npL t Lands I I c I North line of the of SE 114 of the NE 114 ! c 589'50'15 "E • _ S89'50 5 "E 361.7 ' �= E.ISlinp F,nc. I-, in O ' - 3z8,, Exitsing drive �• 3 �_ M in i� Q, 33,00 .. ^ � • Lot i CSM X4068 c� too' I I w M - - - -- V OW / OJ / Z M 32��00(0 0.04 / SEP6C ME I j (n R ;�%i o S89'S '15 "E d I • �l t P ° o ,ri WEAL I Exitsing drive I S89'50'1 5 "E z!!! m I 452.90' I / "' VW I SHE HOUSE .71 0 \� UI� P, (7) Ia3 v 4 o . W LOT 2 N_ =1 I C N SWP�E ., I ( 1 "D in 30.12 ACRES RPtNPGE/ / roI 2 «� I c %v r 1,312,061 SQ. FT, Z Includi R-IVir` — -J I i. Z 1 I 29.47 ACRES S89'15'45 "E ,`;� 01 0 I 1,283,880 SQ. FT. 436.05 33 � I :'� U l 0 Excluding R/W Proposed driv� 3I N q 3 LOT 3 I 5,00 ACRES nI L 217,639 50. FT. I I +� jn in C : Including R/W o' NI ui '-� (0 4.64 ACRES I 4I P. N 202,330 SQ. FT. _ _ _ — _ — _ — _ B I I y _ Lin Excluding R, W 1 100' _ u il di n LSet _ _ _ _ _ _ _ _ _ South line of the of SE 114 of the NE 114 33.00 Zo t 436.05' I 6 6.00 _ X1 89'15'47 "W 1321.24'= S89'15'45 "E 469.05: ®� 428.38 — _ EXIST.. 66 EASEMENT _ 859_86' — — — I / i I 4 33 East 114 corner b ,�� / Lot 3 I �;� I Section 3, T31N, R19W I — — — N m ` N I I Found Aluminum Monument R CSM #4126 ,. .' 22ng field d� 1v 10. LEGEND 0........ Government Corner (as noted) �0 *.........Set 314" x 24" rebar weighting 1.502 lbs. /lineal ft. PP i E-n J, * ......... Found I" ir on pipe unless noted'��' ��` POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of FILE INFORMATION 4 9 SYSTEM SPECIFICATIONS Owner Septic Tank Capacity 16 0 6 a l ❑ NA Permit # 7i Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A b o ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity g al A NA Estimated flow (average) 30o al /day Pump Tank Manufacturer ).NA Design flow (peak), (Estimated x 1.5) r� g al/day Pump Manufacturer ❑ NA Soil Application Rate al /day /ft2 Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 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 Disper Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L �NA ❑ At -Grade O Mound Fecal Coliform (geometric mean) 510° cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in ia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Ins Inspect condition of tank(s) At least once eve ❑ month(s) (Maximum 3 years) ❑ NA P every: IT ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ 'Yea ls�(s) (Maximum 3 years) 13 NA Clean effluent filter At least once every: L1 month(s) ❑ NA 3 Iff years) Inspect um um controls & alarm At least once eve ❑ month(s) ye ar(s) ❑ NA Ins P pump, pump every: 13 yearfsl Flush laterals and pressure test At least once every: ❑ y ear(s) month [3 NA ❑ month(s) Other: At least once every: ❑ year(s) ❑ 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 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 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 (Y 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. GMW (4/01) Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) 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 dispersal 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 replacement system: A 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. ❑ suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS echnol y holding tank ma stalled as a last resort rep the failed POWTS. he to has of been aluated to i ntify a suit a replacement failure of the WTS a soil and site v ation must rformed to locate uit replacement area. If no replacement area is av ' ble a holding tank y be installed as a last resort to replace the failed POWTS. ❑ 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 I I POWTS INSTALLER POWTS MAINTAINER Name Name Phone Phone SEPTAGE SERVICING OPER (PU MPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone 1S - 3�( Q This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.5411►, (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ast� (�h�- . Mailing Address Z 2 4 a o // du-[ 7� 44,, t Property Address (Verification required from Planning arlment for new construction) City /State �� Parcel Identification Number LEGAL DESCRIPTION Property Location Y., N E Y., Sec. _, T L / N -R L 9 W, Town of N Sow.• Subdivision L I t "C, e-&S . Lot # 3 Certified Survey Map # I�- �� Volume ' - - age # Warranty Deed # �l c l 3 Q� , Volume 2,2 3 . Page # 3 Spec house ❑ yes no Lot lines identifiable EQ ❑ no OMT_EM 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 mastorplumber, journeymanplumber, restrictedplumber or a licensedpumper 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 must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. - (24 fl�g I / .-//I / -0 3 SI ATURE OF APPLICANT DATE OWNER CERTIFICATION 1(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. (2 1 iG' I l S19RATURE 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 v I =N N A N a 3 O O; cg , C v N B �_ C 2 o ° v ° N x c I m o '� o ° n 3 ° c H a to z ° ° Unplatted lands N . A North is +R/nY+tced to th* ewt _ n Zoned A . — R H+►. of m" North t1I. which - -�' �� 9 eS is ossunud to bear Sot•.13 " ' o ].Z�)oU,00 — — — NO2'0122 E J I — f jw �. \\ f 00 o0 I r - Gi _ 166' I �� J .:. 00 /...._.. - ------ �_ �_�- , —� (R; N 01 'S 9' 3 „ 00 I ti n w OLY J z I f �� W C > a A- I co r ifm N rr►- / �v 00 5 N0' 3 5 6a ...._. r — _ L x rQ 0 "' 'y f �__ a °(�R SO cn too' I a w E rn �` s� -- N 1 . U :3 L4g 0 6 , co cn t _ � \� w w c r- / A s� r i S Cn ct _� to \ \...__ .:�� 00 �\ 6 / S 3'57 W 131 �� ` 4+ 7 _ 88.7 , k *= I- _/ 13 8. iR I cp S01'3357 249118 ` I I� ! 0 . LEost in t o I COUNTY HIGHWAY I e Icn I A Unplatted lands e Co s Zoned Ag. Res. S I No 59'04�'E1�.ao N01'33 E 66.04 I i 0 ?\ O I d A .tee, m �` c m o a < it 1 27 A. b �ly rp \yJJ 4' v r�,i N �i` L, O $ • — ! ?� J• r: J 2223 P 316 719312 STATE BAR OF WISCONSIN FORM 3 - 1999 KATHLEEN H. YALSH QUIT CLAIM DEED REGISTER OF DEEDS Document Number Q ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Leo S. Crotty and Darlene M. Crotty, husband and wife, 04/30/2003 08:30AN QUIT CLAIM DEED EXEMPT # 8 Grantor, and John P. Martell and Julie A. Martell, husband and wife as REG FEE: 11.00 survivorship marital property, TRANS FEE: COPY FEE: 2.00 CC FEE: PAGES: 1 Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot Yof the Plat of L & D Acres located in the Southeast Quarter of the Northeast Recording Area r — Q u -- ater (SE 1/4 of NE 1/4) of Section Three (3), Township Thirty -one (3 1) North, Name and Return Address Range Nineteen (19) West. Judith A. Remington REMINGTON LAW OFFICES P.O. Box 177 New Richmond, WI 54017 32- 1006 -40 -100 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Dated this , 1A day of April 2003 * * LEO S. CROTTY * * DARLENE M. CROTTY AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. ST. CROIX County ) authenticated thi day of ' Personally came before me this a 9 0 ' day, of April , 2003 the abov,�'' Leo S. Crotty and Darlene M. Crotty, husband andlivlfll�•�.;:� TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the persons) who e e �regoing; (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) f THIS INSTRUMENT WAS DRAFTED BY * J66ith A. Remington Judith A. Remington, Remington Law Offices, Notary Public, State of Wisconsin P.O. Box 177, New Richmond, WI 54017 My Commission is permanent. not, state expiration ate: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. lnrormsuon Professionals company, Fond du Loc. W1 STATE BAR OF WISCONSIN 800-MS -2021 QUIT CLAIM DEED FORM No. 3 -1999 I I L & D ACRES BMINC A PART OP MC SOUTH UST 114 OP THE NORTl WT 1/4 OF SMCTlox s, rOxwsXrp JT NORM RAxON to BBsr. Tor Of RrPliEan soR SOMMRSMt ST. CROM COUNTY, MCONSIN P L" a � Mn IOCATiDN Sam Cg tti ft & Dorton M, a** A ST. CROB COUNTY PLAT I Ou m . �+w 'w w "M4 Ir dwwwsi V 64sss Is wr 1 PREPARED BY, DWSK—W Are Naooaoar, W le7sl I �� V IA. V ss I/O of w MR 114 t Sw Vl I ad ve 0 0.orownt No— ra eN0d1 •— d►w r tw, s w solve nomad �I y 0-- pwwd VV law way I I �- — 41110— — -� !1 Mea: LaeA pv.N «. tW0 ewpr — Mr soadbw . ob aka weal I I } - I fa +vNaN a dfaa, t11w1d .r 2larnoAY tits e,us g0Wrw0 (tw it LOT 2 #il dl Sol= I N ' P. i��s n. j I I ens "wO room swna�A 50.60 dJJla i oar {9A /� wt6ariM{ Ne ewer or rr or do r stole, wow Mores lo { Ways .0 M. ud % union prom w 4. *ft play T►r , b* aw low or i I I I { LOT 3 I r as I.r+w ww .WaD, W , , " ..sb.7A I I ararsw9 .v pad - a�M,t4 qr oo -ood sr rt. I ahh.n ..hr —..^ ..w wdr.a a.na. r loom awlrw I L — — — J I +w1Ye ~ i a. MM w.. v w d u r/i V AT v4 nwa d..ww �Oa# 7t6�6 S .. _ .. _.. _ .. _ .. • - romans._ B i ov a I W, I' Lot TOWN BOARD RESOLUM SIMMOM8 CdR1OMM PMdWW tW w plat ot L S D ACKS, M w Tew, ot Soe ~. L wr 1. Brfeatn, Re3rtrW WbcwN Land Sriayr. Wray trot!! Mat 1 have w "of. La S. w DSKrr KCrotty. #wave, r hwy opproad by tho T a2oro0. w awppN a prW N hotlaYy.lrf of ft fwNwat V4.1 Rn Nrlhast Va M 3 - � -0 3 Apnvoa, TOE !I NrM. tiMwf, Tom of Somm room, SL CM0 Cwwry, W/ce:wt, owl �O�yq CeWRti along Oq00,1V- � -03 � Bo TOM EPA~ of iW Soo "t V4 N fW corw of N�ipt Va 3 5M a M l N l3flia W thome NO2 SwlWat Wof fW SrlWaq VLNSutton 3 a bfowa IWre61 tOrMtlfWf fW froIl Matowwwtwga cy /Na raaa4itlnMONSOWw N 1315.12 fah Tho,no SSYSYIST owns Iha NrM lhw N tW Seultrat Va N fM Nwthaat Va 1 = 1 N Sew 4 . l N Section 3 o dMtaaa of 37" fat: Mwva SSt I3wv a rafam N 310.11 fah Mna he. ghh, S"'IS•E a 6afws of aSZ.l1 fay NO,K N1rM71 a drtwd N 12LS4 foot, thonto set. 12'E a &two of 129. N f-11 "W- IMI.3n7T a lhtmm N 2K.17 faF thooce SSYSI'6'E atw� tW Mario Sew of ft. SwlWaf V a N tW Northeast Va of saw. a drtanse N 36 fay Mrnce S/M33's? d.y h. [xf Wn N Me Nrwat va N =3 s 0oaaa N MIS Wet to 11r paM el WpMip. Sold dn~ PW d"Malna Wow* took wore rtao, r 35.12 wet,rrlrf to Sal' oa0awrto of rrors ST. a= COUNTY KAWWA ZONNS AND PARKS COMRTTEE RESO U M Ma d.d t t FIN N L S D ADM M ttw Tom N Soeoraot. too K That l how *ode such arvy, IOW Owsbk w wl N the drocMa N Lis troll p � w p, L'W"'W" wwl appro0ey 5.1.Cnl. wi! That h e m ra14acrtaclr= T totlrN Nov haledttW NiW :�vayas w fW wAdelala thraq aw10. ThN 1 haw IWy eOMpWd rNh tW yrwdaMa NCW►}r 235. N ft W wwlh Statutes, Chytr At T of tM WWtarh, AdriahalMa Cade, Vol the aeadrrMn A" coal regulations of N. C,* CauMt, M alrwyhy, Oft w wtppM/ f W Soma. y /o3 of St Mla D»NNr�+rtN..lw . w Msrd Pwrlrir� • OWWM CERTMKATE OF DEDICATION . A, aww'A W hOrY ve NN N �caotch/ that we cad tW It M0o'Md r iota to lo"'y CERTf[ATE OF COUNTY TREASURER drias, aMOa w dNNNM a fpwaeM-daft AN. Va at" crwy that this PW Y SM0 of Wk.M* I .plo y LIMA 2MN rtMR toot 09 h the fo6weg for approval or ry0ct4o CW"NSt.CreMl S Teo„ N SOer OS, af L OwIt S halo/ daly dectN. *WMW. w KW4 Ceury Tmw", a %K* A St. &do Cousy Mawlo4 2061 w M CwwMfw MMp MW M arueM,N NM w wall M p G Mr a ra.n3,NN/ fans r uNNd aadol anraMnh s N Ma!' N �gttadliMM1'.2MKo0 Wrra AWr aoalo aaY arnra lar.B.Lday N' kilo). ayot IW Mrhldadlo lns pW otLSOAQE5. G.._51t, Ca. ' -- �•• pea d 1s dl].., a. viAAaMaa� 1 l t. aoM raver La S crwy, c~ Darlwn K Croth.Ounsf7'� CERTFK:ATE OF TOWNPV TREASURER Who WMCUdM l tot -1 -5 1 Cory N St. Cfdk l 1 L a0hq duly 41r/0A wuM, w rflol Tow,ry Tro0w0r. N parovnN7 tawhofro a tNa�RLdy N 2M>. Nov lhova wad or W, Mat M arowdrMa vMA ova lo ry NMa, Nov ato a wow Irp La S. Crotty w Darer K C wr, to a ha0w to W Ma pawns ion aaadN the fra3alo3 r onpaM 0padal aasor0to a q Na dal ot 3M3, r ay MIrvaM w admwlaegN fns uwS ot th01an1 hWNa 1s IW plsl N L A O ACRES. cal. Si Ip caaaala0NO 0yhw 4 -15 -n3 wf, . 5 TTidl, rwwr T W M,Inwat ow drafted y hhr A Driver. =Moo, APR -08 -2003 08 17 TPI 6514266420 P.04 — --- v r " : Volume , Page BEINC A PART OF THE SOUTHEAST 114 OF THE NORTHEAST 114 OF SECTION 3, TOWNSHIP 3f NORTH, RANGE 19 WEST, TOWN OF SOMERSET. ST. CROIX COUNTY, WISCONSIN. Northeast corner PREPARED Section 3, T31 N, R 19W SCALE. f " = 300 0 FOR' Found A luininum Monumeni Leo S. Crotty & Darlene M. Crotty 2370 Cty. Rd "I" 0 300' 600' Somerset WI 54025 j w .9 bt j r� v \ w i Note: ,M lots s ,d sJyj the C.B-4. (98 -4) .°... y 1 ir+ sects !U, . map 1F=1usfi$@ to setbacks. L1 N � 1/np latted Lands ! i 411 ° w North line of the of SE 114 of the NE 114 I tt S89'50'15 "E , , 589'5d'15'E 1 ^.. _375. \ ExiWng drive '` 1 ° Lo 1 C up6c +n 0.04 o f to ;3 a 589 15 "E . ® I pe •d ° 589 "E z N ML drive j 452.90' � .. 0 30.12 ACRES ncL sw�� ! 21 �$ 1 1.312.061 uR al I 1 1 �.// 2 z In -1 `f 66 J -29.47 ACRES -✓ S89'15'45 "E A&k � D1 0 5 1 /,rte 2 3 h l 1.283,880 S0. FT. 436.05 m Excluding R/W 33.00 L U to Proposed driv�k N 3" 5.00 A 1 ! 2 o zrrs3W�7 - Fr M 4 including R/W 4.64 ACRES 0 202,330 SO. FT. - - _ - _ _ _ _ eLda Setback Line Excluding R/W J 100' 1 South line of the of SE 114 of the NE 114 y _ 33.00' I a 1321.24'- - 436.05' 65 d g 589 45"E 469.05• 428 . 3 8'saHts es ttrEpr d� - - -__- 859.86' I y, ! - -------- - - - ---- Lot 3 East 1114 corner T+ R1.91!' 1 ` I csAf /4126 ,-f ° i ng field drrjv Found Aluminum Monument LEGEND ........ Government Corner (as nosed) 0 -------- Set 314" z 24" rebar weighing 1.502 lbs. /lineal ,ft. PETMEn J,. ,* e -------- Found I" iron tripe unless noted GAR'TRIANN TOTAL P.04 .r Subdivision/Mat Name: L & D Acres A.K.A. John Martell' Category: Major File# Add Print All Notes # of Lots: 1 2 Outlots: r-0 Total Acres: 35.12 Zoning: Unknown Date: 04/08/2003 �.. N Map recorded and copiec Township: Somerset Township Staff: Jane Hansen office. $150 'Location: SE 1!4 NE 1l4 Contact: Unknown Section/Town /Range: 3 t r 31 I f 19 FLP ?: Assn: Unknown Owner/Developer: Crotty, Leo and Darlene Date: 03/25/2003 P Previously mapped under ..:.8 for same owner. Denied Engineer: Unknown. Unknown Staff: Jane Hansen lots in 5 years, thus platte Erosion Control Unknown Contact: 1 Unknown Surveyor: P Assn: Unknown S artmann eter Y G i Received Approved Concept 12716/2002 Preliminary Plan 03/25/2003 LWCD Review: Highway Final Plat ' 02/25/2003 03/25/2003 Stamped /Signed: Project Status: Completed I I � M I I I to our r denied CSM based on 4 sd as a major. I I I I �--- MINOR SUBDIVISION APPLICATION SL CROIX COUNTY The submittal deadline for certified survey maps is the 4th Tuesday of the month two months prior to the month of p entation for approval G~� // by the Planning, Zoning & Parks Committee. /l 'roperty owner L�o D 4 el eA e C& l Agent (if not owner) ��- Railing address - / - 0 c� Mailing address L � , . )aytime phone_ Daytime phone 21 L ` )urveyor Address 'hone 25 l - 2 00 2 FAX - 7 15 - 23 1 2'1 'roperty location /4 1/4 Section 3 T �N - L 7 W, Town of �-, RECEIVED Jo, of lots 4l Total acreag f lots ?>>' Size of origi I parcel 2002 3 arcel Identification no(s). Zoning District of parcel GRQIX GOUNTY ING OFFICE MAKE A SKETCH IN THE B SHOWING HOW THE NEW LOTS IT WITHIN THE ORIGIN t- -- �U Lot 3 tj A � certify by my signature that all information presented herein is and correct to the best of my knowledge. I hereby request the St. Croix -ounty Zoning D nt to ess this application according hapter 18 of the St. Croix Zoning Ordinance. Signature Date Downer thorized Agent CIE �iE �iE jlE �lE CIE CIE �iE CIE �iE CIE �iE CIE �iE �iE �iE �iE CIE �iE �iE �lE �iE �iE 'AE CIE CIE CIE �iE CIE CIE �iE �iE CIE tiE CIE �iE CIE CIE CIE CIE tlE NOTE: QN6Y COMPLETE SUBMITTALS W L BE CEPTED. Submittal deadline Is the 4 Tuesday of the mon N4& SUBMITTALS S INC UDE HE F LL ' q One (1) copy of the preliminary certified su y map !� ® Applicable fees (noted below) C#' Township approval (a copy of the map s ned by the Town Chairman or a member the Town Board) A copy of the soil test for all proposed to not having a residence on the lot (soil test locat to be shown on Individual lots) Sir General Zoning Notice Statement (see shed for wording) ❑ DOT certification letter If the propose ot(s) abut(s) a state highway I VA O Road plans (if new roads are propos ) / iN Check list from County Surveyors ce q' Disturbance of slopes 20% or 'Ire r are to be avoided or at the very least minimized and mitig d. If 20% slopes or greater are present, the attached slope state ant must appear on the map. C3 If required, wetland delineation to be done by a professional and maps will be reviewed by St.Cro County staff. AA 1� Applicant shall flag all property roject comers and mark flags accordingly A final map, reflecting all reques d revisions, as well as town approval and soil test if required; must be sub tted 10 days prior to presentation to the Planning, oning & Parks Committee for approval. These deadlines are firm. COUNTY USE ONLY , *Application Fee $200 a" Road inspection fee - $250 * County Surveyor Revile Fee - $50 per lot or outlot 1 Erosion control inspection fee $100 *Escrow for parks - $2 per vacant buildable lot _ 0 � Re- submission fee - $200, • These fees are man tory at time of submittal _ Variance application fee $400 Subdivision re- Inspection fee $100 TOTAL FEES PAID � DATE PAID I L / 1 / &2, Application accept and complete: / / By Zoning Map number PLANNING, ZONING & PARKS PP COMMITTE � ACTION Approves Rejects b y Conditionally approves -)nditio Signature of Committee Chairman Date � 2 - oL Revised April, 2002 �� G I a' y � ` ` •`: ��n � y t N e�i L A LA w n y :q • It b b ' s• c I y U.y�taee.d rands I , u `2 _ .. _ .. Vest erne of the of SS t/s of the IVs t/s lw v A y let r4 r4 O —--- ---- ,__ - -tea I X Is m y� vi � u'1q O � Irk te•sosou^w eys I S Z to y g a 02 I Cl) N i p s I a -so,aw y ef N .K o � — $ ga.,os•_, � so,•sssrit �, s..s• >� $ s � y O % s0 2.o,.,e ea fin. a ae W 1/4 Z a +� • t I I S. COUNTY_HICHW "1' y: C I \\ .` e• ' \7 I �� Uap[otted Lands 31 p =b g t z O � g 3 o ! North is referenesd to the east o S R tine of the Nertheast 1 14, which is assumed to beer SoI• '67'r $ s�sg�G .^.S g t88 i� 8 a• V. co 1p I 11 w - s r . R s M +w AN r E w Sh3 0 i 7D P w°. �-r -� �N 4b 4A _ C7 . oa -� o +w w p .< tA o� ' °!� y� c+ 4 a'f w� r N . iNS' w N ��o NS I L�_ Z. rML 09 w ' !' S� PS l N ° Y N ^ N +r�S ��yrr� rr. �n a +� w www p ,+, �, n � � .. 0 4 am j CQ n +jam YL ° p S O Y - �O YI � + . n � °+ O O Oy •� r g I. §T � a ^W ,.. �w. N.., + r N Q. ' 3 + J S YZ' O W N Z, a N ° O M nN 'SS C WJg�C Aw r MR A QQ M A W N K 7 M y ° - 1 , � A q 6 N_n, $J 1 OM rO S �, g g °YY'A yy O a „ 9 , ¢°ea rm ! v o N 5' N r' N :_ S _: N r � O r � •wi• 0 1 • w S< 0 S M w A A J ww -.3 p $' ° d M ;� Z a' C ` 0. .. .. w p +N v �`' a ' g o w w ^ W O W .. f.. +,p a +w w�¢�3' N + N M A+ N 7 T P w I O 4 .9 w AV Q �1 w Ali ' 9 w �i `� A A %*— A a a A w w ' a ° A A CA 2L P4 9 000 � r CA, C, O r0; +�� A 7► pt rX C S r Y N • N Y w _ }A Sit y fw Y A r p w �Q/1 fi g r' ° N NY + x_ + w x w w '; Y CA ! 6 C �0 z_ � M L P s N A ' 4D ' LL W N� O O P a M V cr N w I O � O W L