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` r l Col'P1merce.WI.90V Safety and Buildings Division County Q �, 201 W. Washington Ave., P.O. Box 7162T sco n i Madison, WI 53707 -7162 Sanita rmit Number (to be illed in by Co.) t riepartment of Commerce Sanitary Permit Application State Transacion o ber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project A if different an mailing ddress) 6 submitted to the Department of Commerce. Personal information you provide may be used for secondary L ,^ !� � N �0 V it ur ses in accordance with the Privacy Law, s. 15.04 1 m , Slats. f (f 1 v I. A lication Information - Please Print All Information � B Propert Owner's Name Parcel # Property Owner's Mailing`A'ddress Property Location e 309 1 z N E T Govt. Lot ( -5/5) City tate Zip Code Phone Number 3 /4J /e, Section Z etrcle one T GO N, R 2- E or� II. T pe of Building (c eck all that apply) Lot # III , 1 or 2 Family Dwelling - Number of Bedrooms l6 Subdivision Name �/ Block # s C.�d / 5� ice/ 11 Public /Commercial - Describe Use s ❑ City of ❑ State Owned- Describe Use CSM Number []Village of L� Town of III. Type of Permit: (Check o one box on line A. Complete line B if applicable) A. ❑ New System IVReplacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit mber and Date Issued Before Expiration Owner �tik�vW IV. a of POWTS S stem /Com onenl/Device: Check all that a 1 Non- Pressurized In- Ground ❑Pressurized [n- Ground ❑ At -Grade ❑Mound > 24 i of suitab a soil ❑ ound < 24 in. of suitable soil ❑ Holding Tank ❑Other Dispersal Component (explain) ��FI� 9�/�tTJ �/�] � �reaT�ien ev e ( plain) V. Dis ersal/I'reatmentArxc Information• — X ,`_ 6 �. Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (st) System Elevati 0 L 5 t) i. VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units v o New Tanks Existing Tanks r 2 n, U o rn cn w C7 r% Septic or Holding Tank Dosing Chamber /lG VII. Responsibility Statement- t, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. 8 ber's Name (Pr P Signature MP/.?4f'RS - NTrmber Business Phone Number u� CJ S lh�v Z3 y� 7 /! - Plumber's Address (Street, City, State, Zip Code) , 0 yJO- /' ST lL1l)fY VIII. ount /De artment Use Onl oe LoK pproved ❑ Disapproved Permit Fee fn t Date Issued Issuing Agent Signal C/o El Owner Given Reason for Denial $� ° ✓ �J �� v`� IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all bc; sgt viced /maintained /�jr�) as per management plan provided by plumber. Z • se ae reqult�et�ttsxlt�m a d sub i to [he C ty o on paper not less than 8 1/2 x 11 inches in size as per applicable codeiorainances. SBD -6398 (R. 01/07) Valid thru 01/09 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Builuing Division INSPECTION REPORT Sanitary Permit No: 514856 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: Seltzer, Ethan P. & Matthew et al Troy, Town of 040- 1152 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: eA \ 6 5 - V 23.28.20.594 595 TANK INFORMATION 697.3 ( ELEVATION DATA TYPE MANUFACTURER `A01 CAPACITY STATION BS HI FS ELEV. Septic 2- Benchmark / 6 - 1 707 `b 4 7 . 3 �IWGSGO Alt. BM 70 ( .11 Aeration Bldg. Sewer A 16 7 z�3_�F Holding St/Ht Inlet 5• TANK SETBACK INFORMATION St/Ht outlet 5 3Z 7dZ. (o� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ` \ i Septic l , / / Dt Bottom 7 \ \ Dosing Header /Man. 7b Aeration Dist. Pipe Y Z 7b't , $II Holding Bot. System b e PUMP /SIPHON INFORMATION Final Grade I 1 ( 701.31 Manufacturer Demand St Cover 1 - 7 76 (0 a♦ Model mber (, J TDH LI Friction Loss System Head TDH Ft m. ��- i `� •� 058.1 Forcemain Length r a. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width j Length ev No. Of Trenches IT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 20 46 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: / off INFORMATION CHAMBER OR Type Of System: f� .7/66 L� UNIT Model Number�+ r DISTRIBUTION SYSTEM I rmck /� }d Z ) Header /Manifold ry Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) \ Lengt Dia Length Dia Spacing � ` 7 ` SOIL COVER x Pressure Systems Only xx M ound Or At - Grade Systems Only 5 0- Depth Over / Depth Over jxx Depth f xx Seeded /Sodded xx Mulched Bed/Trench Center —7. Bed/Trench Edges **-N Topsoil Yes ❑ No Yes 7C]N. �� COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: off Cove Ct. (Catfish Bar) Hudson, WI 54016 (NE 1/4 NE 1/4 23 T28N OW) St. Croix Beach Lot 9& 0 Parcel No: 23.28.20.594 595 1.) Alt BM Description = �' t "� `� "� Q 1 s`�`�"G h^ c.�Day. �Or�� Q S Ga'ce– 2.) Bldg sewer length = 20 , f T •�• �,. ��� SGte� dt w „-` — Cr.�c,�j�2,�_ - amount of cover Plan revision Re wired? Use other side for additional information. No 13 - _ ,SBD -6710 (R.3/97) Date Insepctoe Signatur Cert. No. f County Sanitary Permit Application ST. CROIX COUNTY WISCONSIN In accord with 15.04 St. Croix County Sanitary Ordinance ZONING OFFICE Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER o � •„� [Privacy Law. S. 15 . 04 ( 1 Xm)) 1101 Carmichael Road �' Hudson, WI 54016 -7710 (715)386 -4680 Fax (715)3864686 Attach complete plans for the system on paper not les - 11 inches in size. Coun Sanitary Permit # rY ❑ Check H revise 'ous application L Appllcatlon information - Please Print all Information Location: Owner Name 1/4 1/4, Sec A 3 T A g ' R s.?w E-* 10 Property Owner's Mailing Address Lot Number Block Number 80 ' T A N m� �- D ✓• ST. CROIX COUNTY 9 City, tate - / ty. Zip Code Subdivision Name or CSM Number ' PWItind 012 g zz R st If T pe of Building: (check one) amity ❑ Village own of 1 or 2 Family Dwelling - No. of Bedrooms: ❑ Public/Commercial (describe use): 1�b ❑ State -owned Nearest Road If. Type of Permit: (Check only one box on line A. Check box on line B if applicable) Parcel Tax Number(s) 1.❑ Repair 2. ❑ Reconnection 3. ❑Non - plumbing ❑ Rejuvenation 3 Sanitation Permit Number B) Date Issued ❑ State Sanitary Permit was previously issued N. Type of POWT System: (Check all that apply) ), Non- pressurized In -ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other . Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed (Gals. /day /sq.ft.) (Minfinch) Elevation 3 00 5 .00 . Ce Tank Information Capaicty in Gallons Total #7f Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks !"c 1006 ,� /D I Ale, ewcg cn ❑ ❑ ❑ ❑ I. Responsibility Statement 1, the undersigned, assume responsibility for repair/ reconnenction /rejuvenationfinstallation of non - plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the installation of non - plumbing sanitation system. Plu s Name (print) • Plu Si na r ( mps): MPAAPftS'No. Business Phone Number iatti, nev a a sp X71$ q Z s- s� Plu is Address (Street, City State, p V e ga '� id F'a s u,z If. County Use Only Disapproved Sanitary Permit Fee Date Issued Issuing Agent Signature (No stamps) ❑ Approved Owner Given Initial Adverse Determination IX. Conditions of Approval /Reasons for Disapproval: I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity /&)b ga l ❑ NA Permit # y Septic Tank Manufacturer l ❑ NA cc� DESIGN PARAMETERS Effluent Filter Manufacturer � R ❑ NA Number of Bedrooms .2— ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units ANA Pump Tank Capacity ga l A Estimated flow (average) gal /day Pump Tank Manufacturer 6-NA Design flow (peak), (Estimated x 1.5) 00 gal /day Pump Manufacturer ANA Soil Application Rate • : �p gal/day/ft' Pump Model / - ANA 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 Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L 9�ln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA ❑ At - Grade ❑ Mound Fecal Conform (geometric mean) 510` fu /100m1 ❑ Drip -Line ❑Other: 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: 1 ❑ month(s) (Maximum 3 years) ❑ NA ,Wyear(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: ❑ month(s) (Maximum 3 years) ❑ NA Jai year(s) Clean effluent filter F - �( At least once every: � month(s) ❑ NA ❑ month(s)NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) , Flush laterals and pressure test At least once every: ❑ month(s) A NA ❑ year(s) Other: At least once every: ❑ month(s) X NA ❑ year(s) Other. ANA 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 Z of 7 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. w • • Y." •c -' r 1 1, -F _A � .: t i •. .. . 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 replace ent system: t:-P, i a ?"P Il p suitable replacem t ar ea 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. • The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 .�i�fr' !Vt Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name -2N e V 0 unit Name Phone , q; I ' / ;Z �' I Phone This document was d fled in compliance wit chapter Comm 83.22(2)(b)0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Apr 22 08 10:53a SUSP 5037258770 p.1 715 425 8818 To: 5037258770 N'c APP_22_ROOB 09:10 From:STEINER PLUMB ST. CRO.IX COUNTY SEPTIC TANK M,A1W..r' NANC1- AGI�!✓rMENT AND OWNERSI' -f ? CFF'RTt.1= .ICA"r)0N .FORM Owncr /9uyer Mailing Address 1!' " `nr Prioperty Address (Verifictrti+m required from Plnnatng Department bar new coocrrctcuOn•) ao City /Smtc, N irce Identification Number i p'r ; DR SCRIPTION 3 ,.�K R .1 W, Town of `y /• Sec. T �. • . Property Locutio 13�'I , 'Lot # $ubtJivisian � Volume , Page u Cerflfled Surve lip # � ,� `� , Volume I'ttgt ►� Wt►�if�yetd Spoc house . I yes l.ot lines identiftubl yc ; no SyS •�' — our se tic system could result m +tx pren +:rnrre faihue to hsnille wastes,. Proper Improper use anti maintenance of your m3inianpncc consists r e fr mpiri ou the el>< i m a tteuh nen xtuga wad a dispi an�sytitanl9ed pwi►per, What you put row the gysiom run nit'cer h and C OLInty Z oning ,rileproperry owner ogr n eu tiTb1rcatnet - p eene+:tlDpttmper ve►i(ging ►I tat (1) c on•e to wa Will stewa►cr by n master plumber. journcym.l P crlan bet o r a the se uc tank is than 1/3 11111 of sygtetn is in proper uperatmg condition nnNor (2) rifler inspection slid pumping (if nececsury), P shidde. I /wc. Ilia urtticrnignetl It ve tl a t nbttontr°qu+ommerce and bha I�epn 1' NOR11ul Reso►rcas, Sntte W 1s na "tlte :irils sot' h, eln, ac ter y t Cerlific;N.i ti mt ► a ►us an muintnined m►wr be completed rind returned to the St Croix County Zoning Ytcmd Dcpnrlr. soft a .t e: ' Ilion (late. DA 17 . 1 CANT OWNER CER U'I:CATION 1! ae 'y the m o us nn rite rrw: ID the bell of ntyhtur knowledge. 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Page of _ ' Division of Safety and Buildings ''^►r.,,, in accordance with Comm 85, Wis. Adm. Code �1 County tr Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. � percent slope, scale or dimensions, north arrow, and location and distance to neare tyy401- -- I `�i3 �" o �; (a -- � `i�� Please print all informat► �E(;E�VE� Revie d by Date Personal information you provide may be used for secondary pure ses (Privacy Law, s. 15.04 (1) (m)). 9 6 d Property Owner AUG P3 cation /� ZJ Govt. Lot 114 1 /4 r?t 3 T sac N R Property Owner's Mailing Address S7 C aft I ck # Subd. Name or CSM# ZW� 2 - R . f� 6 + Be- lQ 1 City State Zip Code Phone Numbe ❑ City ❑ Village J Town Nearest Road ?'c Y + _ 1 a ldi O 7 (� o ), I T� - t ic: l c VC I l i New Construction Use: Residential /Number of bedrooms _ Code derived design flow rate _ GPD A lReplacement ❑ Public or commercial - Describe: I Parent material Flood Plain elevation if applicable ft. General comments and recommendations: �� ~end 1al"Gttr ro<a5 t�B°15€` f lnJ L ave oyll '' 7-(, Boring I Boring # ,r� � ® Pit Ground surface elevi 0i _ e�' ft. Depth to limiting factor B �?in. -'- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure [Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 tOYip3 Z t�0YW_1 14S.6K 1 r v� ew r C MR to i t K G c• c Boring # Boring ,,,6t_ ❑ � .w Pit Ground surface elev- 45 ft. Depth to limiting factor ` in. Soil —Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 (P" vow ' 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) Signatyl CST Numb _ Address , r L luation Conducted Telephone Number /7 142 S -s6 Property Owner ___________ Parcel ID # Page - - -- of _ �`' Boring Boring # f .�"1 ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff - - in. - Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 56K nlvfy 01 LO jo I, c) _ ic) love 1 ti 9 0 awl lAud Z;--4 ❑ Boring F pit Ground surface elev. Boring # ^iHno factor in. ❑ ft. .. _, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring a Boring # Ground surface elev. ______ ft. Depth to limiting factor in. 11 pit Soil Application Rate Horizon ' Depth ; Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *EPf#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of C e ,nerce is an cyua I t;ppurtunity service provider and employer. If you need assistance to access services or need material in all alternate fonnat, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. 560 -3330 (RX100) r PL A l.,/ Nor A CIA ri s � � � '�� ryry (t { �v. Ci J I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page __l_ of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code �t County � _ l.. �' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner 1 Property Location �^f 6 l.. ZC Y Govt. Lot 1/4 1/4 S T N R 0 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# zoS R e S D'- 0. ,. + to I Bed lob, 9"` I Q) city State Zip Code Phone Number ❑ City ❑ Village JgTown Nearest Road kiv ❑ New Construction Use: ❑ Residential / Number of bedrooms _ Code derived design flow rate r - -_ - -- GPD Replacement ❑ Public or commercial - Describe: Parent material _ Flood Plain elevation if applicable ft. General comments (Y t Vay Gt eve COC4 W rl l rl sita l h l7 and recommendations: J Boring # Boring ,/� ® Pit Ground surface elev1_4!i_ . '_ft. Depth to limiting factor s✓ in. - -- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Q uu( ( . Sz. Cont. Color Gr. Sz. (� Sh. r +� *Ef *Eff# �/ "D SO rn r In 3 rcl , '1 Boring # Boring +✓' ❑ pit Ground surface eleJL% 5 ft. Depth to limiting factor O in. - -- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 v * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L ej Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST Name (Please Print) Signatu -- CST Numb Address 4 Evaluation Conducted Telephone Number Property Owner _________ Parcel ID # ____ __ Page __ of _ Boring ` �` Boring - � - - - - -_ '37 w'' (�y• ❑ Pit Ground surface elev. _ �_ =__ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure I Consistence Boundary I Roots GPD /ff -- - -- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sl `Eff#1 'Eff#2 1 M YOYR viz ()n6 6A 91H 156K Mvlfr i, -t© k' '0,9 1 - 4 .'its m F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ! : -i+ina factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fig in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 - Eff#2 ❑ Boring F Boring # Ground surface elev. ______ ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department ot ^ is ar! equal cppvrtunity service provider and employer. If you need assistance to access services or need materia' in ail alternate format, please contact the department at 608 -266 -3151 or TTY 608 - 264 -8777. SBO- 8330(R.07/00) ' I F 4 a k t i i 3 t `t 3 i r f a j,dr ' s 3 OtD „r i kj ST CROIX CO UNTY PLANNING & ZONING January 7, 2008 Fite Ref: SE0153 Ethan P. Seltzer, Et Al 3082 Regents Drive NE Portland, OR 97212 Re: St. Croix County Special Exception and Variance Requests y Q Parcel #: 23.28.20.594 -595, To wn of Troy �" or, t.. H. Dear Mr. Seltzer: Code Administratr':' 715 -3864680 The St. Croix County Board of Adjustment (Board) has reviewed your requests for the following items: Land Information Pla Item #1: Special exception permit for filling and grading within 40 feet of a slope preservation 715- 386- 4674'` zone in the Lower St. Croix Riverway District pursuant to Section 17.36 F.3.a.5) and subject to the perfonnance standards in Section 17.36 H.5 of the St. Croix County Zoning Ordinance. Real P cty 715 -4677 Item #2: Variance for filling and grading in the slope preservation zone in the Lower St. Croix Riverway District pursuant to Section 17.36 H.3.c of the St_ Croix County Zoning R cling Ordinance. - 386 - 4675 After the hearing on January 3, 2008, the Board approved both requests with conditions. The enclosed document is the formal decision regarding your application. You must obtain any other required local, state, and federal permits and approvals. Should you have any questions or concerns, please contact me at 715- 386 -4680. <A Sincerely, nnifer Shillcox Land Use Specialist/ Zoning Administrator Enclosure: Formal Decision ., cc: Cleric Town of Troy Paul Steiner, Steiner Plumbing and Electric, Inc., a�cnt ,, Pam Quinn, St. Croix County Planning and Zoning Department f Steve Olson, Land and Water Conservation Department � lt A,. Dan Baumann, Wisconsin Department of Natural Resources ST. CRO /X COUNTY Go vERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W/ 54016 715386 - 4686 FAX PZC�CO.SA/NT- CROIX. W. US YWWV. C O.SAI NT -C RO IX. Wt. US FINDINGS, CONCLUSIONS, AND DECISION OF THE ZONING BOARD OF ADJUSTMENT ST. CROIX COUNTY, WISCONSIN File Number: SE0153 Applicants: Ethan Seltzer, Et Al Parcel Number: 23.28.20.594 -595 Complete Application Received: November 5, 2007 Hearing Notice Publication: December 17 and 24, 2007 Hearing Date: January 3, 2008 FINDINGS OF FACT AND CONCLUSIONS OF LAW Having heard all the testimony and considered the entire record herein, the Board finds the following facts: General Findings and Conclusions: The Board makes the following general findings of fact and conclusions of law pertinent to both requested items: 1. The applicants are Ethan Seltzer, Et Al, property owners, with Paul Steiner, Steiner Plumbing and Electric, Inc., acting as their agent. 2. The site comprises Lots 9 and 10 as in 2844, Page 331 in Section 23, T28N, R20W, Town of Troy, St. Croix County, WI. 3. County staff from the Planning and Zoning Department and the Land and Water Conservation Department conducted a joint site visit with a representative from the Town of Troy Planning Commission and staff from the Wisconsin Department of Natural Resources on December 6, 2007. 4. The Town of Troy is in the process of reviewing these requests under its Riverway Ordinance. "I he Town Board has not submitted a recommendation for the Board's consideration. 5. The St. Croix County Planning and Zoning Department POWTS Zoning Specialist has reviewed the plans and finds that the proposed replacement POWTS meets or exceeds all applicable state standards in COMM 83, and that the replacement system would allow abandonment of the existing system, which would eliminate potential groundwater or river contamination due to failure of an aging system. According to the specialist, the site limitations - including lot size, excessive slopes, and soil /bedrock conditions - preclude use of other portions of the parcel for POWTS installation, and the proposed system would require minimal damage by equipment for excavation. Holding tanks are not an option on this site due to the availability of on -site wastewater treatment per Section 12.1 FA.b. of the St. Croix County Sanitary Ordinance and the subsequent need for frequent pumping, which would be difficult on this site. 6. The St. Croix County Land and Water Conservation Department has reviewed the plans and finds the erosion control plan for the proposed grading activities to be adequate, and recommends that all disturbed areas and removed vegetation be replaced with native vegetation and that erosion control measures be maintained until self- sustaining native vegetation is established. 7. The Wisconsin Department of Natural Resources has reviewed the plans and recommends that if the current system in place is a failing holding tank, then a holding tank should replace it. The Department states that by not having a drainfield, the potential for erosion is considerably decreased, any peripheral damage to existing tree roots is abated, and nutrient rich (phosphorous) wastewater is not entering the Lower St_ Croix River through groundwater flow. The State of Wisconsin, in partnership with the State ol Minnesota_ ill currentiv proposing to list the er St. Croix River with the EPA as being impaired due to phosphorous loading. The Department states thalT a holding tank is not the current method of wastewater treatment, and the site actually has a septic tan with a drainfield a read ten the ro ec as proposed could meet =the re in the County Ordinance and NR 118. -tdrnTi 8. On January 3, 2008, the applicants' agent testified that the existing system is a septic tank and drywell installed in the 1940s or 50s. He has been unable to verify this since it would require extensive excavation on the site, but all signs indicate that is what exists. He also testified that he saw no evidence that the existing system was failing. Item #1 (Special Exception Permit) Findings and Conclusions: The Board makes the following findings of fact and conclusions of law pertinent to Item #1: 9. The applicants filed with the Board of Adjustment an application for a special exception permit for filling and grading within 40 feet of a slope preservation zone in the Lower St. Croix Riverway District in order to install a replacement POWTS for an existing legal, nonconforming seasonal residence pursuant to Section 17.36 F.3.a.5) and subject to the performance standards in Section 17.36 H.5 of the St. Croix County Zoning Ordinance. The applicants propose to disturb an area of approximately 500 square feet within 40 feet of a slope preservation zone to dig three, three -foot trenches for the replacement drainfield. 10. According to the applicants' agent, no trees over four inches DBH would be removed to install the replacement drainfield. The project would not entail the disturbance of any wetlands, nor would it add impervious coverage or change the drainage of the site. With conditions for protecting existing trees, replacing any vegetation that is removed or that dies as a result of the replacement system with native vegetation, and properly implementing the erosion and sediment control plan, this request would meet the standards in Section 17.36 H.5 of the St. Croix County Zoning Ordinance. 11. This request would not violate the spirit and intent of the Lower St. Croix Riverway District. Replacing an aging POWTS would reduce the risk of soil pollution and contamination of surface water and groundwater from system failure. The proposed replacement system has been designed to minimize the need for heavy excavating equipment and to reduce environmental impacts to the site. No trees over four inches DBH would be removed as part of the project and the amount of disturbance to the site would be minimal. With the conditions listed in Finding #10 above, this request would not contribute to soil erosion and would not negatively impact the exceptional scenic, cultural and natural characteristics of the Lower St. Croix River. 12. Since there is no road access to the site, all equipment and materials would be brought in on a barge and unloaded on a sandbar approximately 750 feet west of the applicants' site, and then brought across five adjacent, privately owned parcels to reach the applicant's site. The applicants' agent informed staff that before any plans were submitted, he measured all of the equipment to be used and planned a route around existing vegetation and structures to ensure that the project could be done and that none of the property involved would be damaged. He also obtained verbal permission from all property owners. All work would be done in spring when the neighboring property owners are generally not using their property. For these reasons and the reasons stated in Finding #11 above, and with a condition ensuring prior consent from all affected property owners before equipment is brought across their property, this request would not be contrary to the public health, safety, or general welfare or be substantially adverse to property values in the neighborhood, nor would it constitute a nuisance by reason of noise, dust, smol<e, odor, or other similar factors. Item #2 (Variance) Findings and Conclusions: The Board makes the following findings of fact and conclusions of law pertinent to Item #2: 13. The applicants filed an application with the Board of Adjustment for a variance for filling and grading in the slope preservation zone in the Lower St. Croix Riverway District to install a replacement POWTS for an existing legal, nonconforming seasonal residence pursuant to Section 17.36 H.3.c of the St. Croix County Zoning Ordinance. The applicants propose to disturb an area of approximately 750 square feet within a slope preservation zone to install a portion of the drainfield, the septic tank, and piping to the drainfield. 14. This request would not be contrary to the public interest, which is to protect slope preservation zones in the Lower St. Croix Riverway District to prevent soil erosion, maintain property values, and preserve and maintain the exceptional scenic, cultural, and natural characteristics of the water and related land of the Lower St. Croix Riverway. Replacing an aging POWTS would help to prevent soil and water contamination h system failure and help to maintain the property value of an already developed parcel. As part of the project, erosion and sediment control measures would be employed, and efforts would be made to protect all trees of four inches DBH and over. With the conditions listed in Finding #10 above, the exceptional scenic, cultural, and natural characteristics of the Riverway would be preserved and maintained. 15. Literal enforcement of the provisions of the Ordinance would create an unnecessary hardship due to the unique physical characteristics of the property. The parcel size is small, consisting of two contiguous substandard lots totaling a quarter of an acre. The majority of the parcel slopes steeply toward the St. Croix River with slopes ranging from 12 percent to over 25 percent, except for a small 900 - square foot plateau area. These site characteristics were not self - created by any actions of the property owners. The replacement system would occupy all of the suitable and available area within the existing plateau area, but a small area of' approximately 750 square feet would need to be disturbed within the slope preservation zone in order for the replacement system to meet applicable state and county setbacks. 16. According to the applicants' agent and the County POWTS Zoning Specialist, the proposed replacement POWTS is the only legal type of system that would work well with the unique limitations of the site. A common system would require more space than is available in the development and more extensive excavation in and within 40 feet of the slope preservation zone. A holding tank would not be allowed on this site per Section 12.1 F.4.b. of the St. Croix County Sanitary Ordinance. 17. The applicants are requesting minimal relief from the standards in the Ordinance. The amount of disturbance within the slope preservation zone would not exceed 750 square feet and is the minimum necessary to install a portion of the drainfield, the septic tank, and piping to the drainfield in compliance with other applicable state and county standards. 18. Substantial justice would be done by allowing the applicants to continue using the existing legal, nonconforming seasonal residence on the property - which is a permitted use in the Lower St. Croix Riverway District - while reducing threats to soil and water resources. Denying this variance would require the continued use of an aging POWTS that could fail and contaminate the soil, groundwater, and surface water. The replacement POWTS is designed to minimize tree removal soil disturbance erosion and any other negative environmental impacts. DECISION On the basis of the above Findings of Fact, Conclusions of Law, and the record herein, the Board has approved both items (Items #1- #2), with the following conditions: 1. This special exception and variance approval allows the applicants to excavate three, three -foot wide trenches to install a portion of the septic drainfield for a replacement POWTS within 40 feet of the slope preservation zone and to install the remainder of the drainfield, the septic tank, and piping to the drainfield within the slope preservation zone as indicated in the plans submitted, and as provided in the conditions below. The total disturbed area for the project shall not exceed 1,250 square feet. Approval of these amendments does not include any additional structures, vegetation removal, filling and grading, or other activities. 2. Prior to commencing any excavation activities, the applicants shall be responsible for obtaining prior approval from the owners of all affected parcels to bring equipment for the project across their property. 3. Prior to commencing any excavation activities, the applicant shall submit to and have approved b) the Zoning Administrator a maintenance plan for servicing the septic tank, including the logistics of getting pumping equipment to the site. 4. Prior to commencing any excavation activities, the applicants shall be responsible for obtaining all other required local, state, and federal permits and approvals. 5. The Town of Troy and any other interested party or agency may request a reconsideration of this decision not later than 15 days prior to the regularly scheduled February 2008 Board of Adjustment meeting in accordance with the St. Croix County Board of Adjustment Rules and By -Laws. ! 6. Prior to commending any excavation activities, the approved erosion control measures shall be installed and shall be maintained in place until the entire site has been stabilized with permanent native vegetation consistent with the vegetation management plan (see Condition #7 below). During construction, the smallest amount of bare ground shall be exposed for as short a time as possible. Temporary ground cover such as mulch shall be used until permanent native groundcover is established. 7. Prior to commencing any excavation activities, the applicants shall submit to and have approved by the Zoning Administrator a vegetation management plan for the project. The plan shall include: • A description of the measures to be taken for protecting all existing trees of four inches DBH or greater. • A site plan showing all existing vegetation to be removed and all proposed replacement vegetation to be planted. The site plan shall indicate the location, species and size of trees. • A list of replacement trees, shrubs forbs, and grasses native to the area and suitable for stabilizing steep slopes, preventing erosion, and providing wildlife habitat. Replacement trees shall be planted in accordance with the replacement schedule in Section 17.36 H.81 of the St. Croix County Zoning Ordinance. All replacement trees shall be at least two inches DBH (except on slopes exceeding 25 percent, where one inch DBH may be substituted to minimize disturbance) and planted no more than 12 feet apart and parallel to the river. 8. Prior to commencing an excavation activities, the applicants shall submit to the Zoning Administrator a Compliance Deposit equal to $1,275 to be held by the Zoning Administrator until all conditions of this approval have been met, at which time the deposit will be refunded in full along with a Certificate of Compliance. 9. Prior to commencing any excavation activities, the applicants shall submit to the Zoning Administrator a construction timeline and contact information for all of the excavators, landscapers, plumbers, and other contractors working on the site. The applicant shall schedule an on -site pre - construction meeting with the Zoning Administrator to: • ensure that all pre - construction conditions have been met; • ensure that all contractors involved are aware of the conditions of the approval; and • ensure that the applicant is aware of his roles and responsibilities as the property owner. 10. Within 30 days of completing the project, the applicants shall submit to the Zoning Administrator record drawings of the site prepared by a registered surveyor and photographs of the property as viewed from the St. Croix River. The applicants shall be responsible for replacing any trees that eventually die as a result oi' the replacement system, and planting additional native trees, shrubs, and groundcover as determined necessary by the Zoning Administrator to meet the Lower St. Croix Riverway District vegetation standards in the St. Croix County Zoning Ordinance. 11. Within 30 days of completing the project, the applicants must record an affidavit against the property describing the approved maintenance plan for servicing the septic tank, the vegetation management plan, and the maintenance and monitoring agreement for the vegetation with the County Register of Deeds. The intent is to make future owners aware of the responsibilities incurred in maintaining the septic tank and vegetation. The applicants must submit a copy of the recorded affidavit to the Zoning Administrator at this time. 12. Any minor change or addition to the project, including but not limited to design of the project, shall require review and approval by the Zoning Administrator prior to making the change or addition. Any major change or addition to the originally approved plan will have to go through the variance approval process. 13. The applicants shall have one (1) year fi the issuance of these approvals to commence installation of the replacement POWTS and two (2) years to complete it. Failure to do so may result in expiration or revocation of this decision, after which time the applicants will be required to secure a new variance before starting or completing the project. 14. These conditions may be amended or additional conditions may be added if unanticipated circumstances arise that would affect the health and /or safety of citizens or degrade the natural resources of St. Croix County. Conditions will not be amended or added without proper notice to the applicants and an opportunity for a hearing. 15. Accepting this decision means that the applicants and all property owners have read, understand, and agree to all conditions of this decision. The following vote was taken to approve: Chairperson Malick, yes; Luckey, yes; McAllister, yes; Struemke, no. Nelson was not present. Motion carried. APPEAL RIGHTS Any person aggrieved by this decision may file an appeal in St. Croix County circuit court within 30 days after the filing date shown below, pursuant to Sec. 54.694(10), Wisconsin Statutes. St. Croix County assumes no responsibility for action taken in reliance on this decision prior to the expiration of the appeal period. St. Croix County does not certify that the identity of all persons legally entitled to notice of the Board of Adjustment proceedings, which resulted in this decision, was provided to the County. If an appeal is taken of this decision, it is the responsibility of the appellant to submit at his/her expense a transcript of the Board of Adjustment proceedings to the circuit court. The Planning and Zoning Department can be contacted for information on how to obtain a transcript. It is the responsibility of the Board of Adjustment to submit its record (file) of this matter to the circuit court. ZONING BOAR:MK4a1Z_1cJ( OF ADJUSTMENT Signed: Date Filed: 01/07/08 Clarence W. Chairpe i j I Parcel #: 040 - 1152 -80 -000 01/08/2008 03:03 PM P 1 O F 1 Alt. Parcel #: 212820.594 -595 040 - TOWN OF TROY 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 O - SELTZER, ETHAN P & MATTHEW B ETHAN P & MATTHEW B SELTZER C - REED, CATHERINE E CATHERINE E REED 3082 REGENTS DR NE PORTLAND OR 97212 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.262 Plat: N/A -NOT AVAILABLE SEC 23 T28N R20W PLAT ST. CROIX BEACH Block/Condo Bldg: LOTS 9 & 10 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 23- 28N -20W Notes: Parcel History: Date Doc # Vol /Page Type 12/20/2007 865958 QC 07/18/2005 800485 2844/331 TI 07/18/2005 800484 2844/330 QC 08/13/2003 735436 2362/420 DEED more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 209470 290,200 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.262 172,500 86,300 258,800 NO Totals for 2007: General Property 0.262 172,500 86,300 258,800 Woodland 0.000 0 0 Totals for 2006: General Property 0.262 172,500 86,300 258,800 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 WD� Cou NO ft _ffia j SPECIAL EXCEPTION 0"We Us* O nly n ANNM & OONNG APPLICATIONp _ Rwtsod !?.15 -06 Property Owner: Ethan P. Et Al Seltzer Contractor /Agent: Steiner Plumbing & Electric, Inc. Mailing Address: 3082 Regents Dr. N.E. ss: N8230 945th Street Portland, OR 97212 V Q 2007 River Falls Wisconsin 54022 Daytime Phone: ( 612) 335-7116 IIDltti��t��: 7 S 425 -5544 Cell: t cell: is 760- 0821 E -mail: matthew.seltzerGcomaast.net E -mail: paul.cteiner @steinerinc.not Site Address: Lots 9 and 10 St. Croix Beach Gone ent I,o 1 i Property Locatio » :�, 114, Sec, Z3 , T 28 N., R. 20 W., Town of Troy Computer t#: 040 1152 60 - 000 Parcel #: 23 28 20 594 -595 l' Zoning District (Ch one): () AG. () A6.11 ()4 AG. RES. () RESIDENTIAL (} COMMERCIAL () INDUSTRIAL � Overla y District: (Check all that apply): (} SHORELAND (4 RIVERWAY O Fi.00DALAIN O ADULT ENTERTAINMEN T , State the nature of your request Replacement of aQptic system, fillinsz and grading Within 40' of slope preservation zone i Zoning Ordinance Reference 17.36F.3.a.5) 99 More than one request with this application? (See the supplemental fee amount below and attach the appropriate addendums.) II li ' I Application Fee: Supplemental Pees: $175 x 1 (# of additional requests) S 175 Total Fees: S 1, 2 7 5 I attest that the information contained in (ki,s application is true and correct to the best of my knowledge. Property Owner Signature: / i` � Date Contractor /Agent Signature: �l (C IVI ��_, �. �iL�.f, cQ/1 - G Incip a1 1 Date Pre- application Meeting: ` I,I� With: Complete Application Accepted; 1 I_ By: Fee Received: T 1 1_, $ Receipt #: Scheduled Hearing Date: �I 1 7t�386�r680 St Croix County Government Center T1 M -4686 (Faux) PZQ$CaSAlNr N4 (f$ 1101 Carmlchaet Road, HUd"O M 54076 r'_",w� O. T• • �'F i� a �t.a��C r , e a "a Viz �� `q�R x4z axe "t�"�`'"- �„ 2 `_: �s �r "`'�? r°' � „, „�r�`� a:` ate' �, Y . � sp ' t �r Pursuant to the St. Croix County Zoning Ordinance Section 17.70(7), please answer the following questions to justify the approval of your request (attach additional paper if necessary): 1) Describe the details of your request. Special Exception Permit for replacement of a septic system within 40' of a slope preservation zone and an additional variance request to perform filling and grading in the slope preservating zone. ro 2) Describe the impact of your request on the enjoyment and value of surrounding p If there is no impact, p , explain why. There will be a positive impact on the enjoyment and value of surrounding propertys due to the updated septic system which will be more environmentally sound than the existing system. 3) Describe the compatibility of your request with the uses and character of the surrounding area. The proposed request is compatible with the uses and character because the same systems already exist on the surrounding area and on the subject property. 4) Describe how your request is consistent with the spirit and intent of the zoning district in which your property is located. (Please refer to the purpose statement for your zoning district in the St. Croix County Zoning Ordinance.) The request is consistant with subchapter III,V.i- Section 17.36, Lower St. Croix River Overlay District because it promotes public health (17.36B.1.a) :and maintains property values (17.36B.1.a5)). Page 2 of 4, Rev. December, 2006 5) Describe how your request will impact public health, safety, and general welfare. What measures will you take to minimize any negative impacts? Public health will be improved due to the updated septic system. Safety and general welfare will not be impacted. The potential negative impact of erosion will 'be controlled with the erosion control devices as 5huwn on the plan. 6) How will you ensure that your request will not constitute a nuisance by reason of dust, smoke, odor, or other similar factor? What measures will you take to prevent a nuisance? The potential nuisance of construction noise will be minimized by performing the septic replacement between 8 a.m. and 5 p.m.; the adjoining propertys are seasonal, not permanent residents and it is likely that the neighboring cabins will be vacant I during construction. I 7) Additional comments: I i THE FOLLOWING USES t REQUIRE A SUPPLEMENTAL 1NFORMATlON S;HEET.; ( ) Major Home Occupation () Contractor Storage Yard ( ) Airstrip ( } %1 Animal Unit/Acre O Filling & Grading ( ) Wireless Communication Tower O Nonmetallic Mining O Adult Entertainment ( ) Commercial /Industrial District Use (y) Lower St. Croix Riverway O Shoreland ( ) Floodplain ( ) Junk/Salvage Yard, Kennel, Slaughterhouse, or Limited Commercial Recreational Use Page 3 of 4, Rev. December, 2006 APPLICATION: The deadline for application submittals is the first Monday of the month before the regularly scheduled St. Croix County Board of Adjustment meeting. The Board of Adjustment generally meets on the 4"' Thursday of the month. Applications will not be accepted until the applicant has: • met with the Zoning Administrator to review the application; • submitted the on inalplus 12 copies of the completed application to the Zoning Administrator; • resolved any land use violations and paid any outstanding fees owed to the Planning and Zoning Department; • signed the application form (the signatures of the property owners and agents acting on their behalf are required); and • submitted the appropriate application fee (nonrefundable) payable to the St. Croix County Planning and Zoning Department. REVIEW: The Zoning Administrator will review the application for completeness and assign a file number to the application. The Zoning Administrator may require additional information and will notify the applicant of this within 10 days. Upon receiving a complete application and supporting documents, the Zoning Administrator will: • schedule a public hearing with the St. Croix County Board of Adjustment and notify the applicant by mail of the date and time of the public hearing; • notify adjoining property owners of the applicant's request; • publish a public hearing notice in the local paper; • send copies of the applications to the appropriate town and reviewing agencies for comment. Applicants are encouraged to contact their town and attend their town meeting to discuss their application; • schedule a site visit to the applicant's property, at which time the applicant shall flag all applicable property/project corners and label the flags accordingly; and • prepare a staff report on the application. The staff report will be mailed to the applicant and will be available for public review during the week prior to the public hearing. ACTION: Special exception use permits are granted at the discretion of the St. Croix County Board of Adjustment. They are made available to validate uses that, while not approved within the zoning district in question, are deemed to be compatible with approved uses and/or not found to be hazardous, harmful, offensive or otherwise adverse to other uses. Special exceptions are subject to conditions, compatibility with surrounding land uses, and compliance with the St. Croix Zoning Ordinance. At the public hearing, the applicant may appear in person or through an agent or an attorney of his /her choice. The applicant/agent/attorney may present testimony, evidence and arguments in support of his/her application. The fact that an application for a permit has been filed does not automatically mean that a permit is granted. Upon the Board making a decision on the application, the Zoning Administrator shall notify the applicant of the decision in writing. All site plans, pictures, etc. become the property of the Zoning Department and will remain in the file. :'ri4 i u ,�. ��*,�§ i'� r �"� i ;`.�- c? �f�- �'�"""L..a ,`"°' S"" "� �'�'-• '"£`'t" b `�`.�k` �h� rt. c*r '9 +.� y ^i i :�+?,s`34�Y'�'y ��`t .+'- '' "r,� � �' S ❑ Completed and signed application form with fee. ❑ Addendum for additional requests and/or supplemental information sheet (f required). ❑ Recorded Warranty Deed (may be obtained at the Register of Deed's office). ❑ A complete site plan prepared by a registered surveyor showing: • project location in the town; • lot/parcel dimensions with property lines and all applicable setbacks; • minimum of 10 -foot contours as determined appropriate by the Zoning Administrator; • location of all existing and proposed structures and their square footage and distance from setbacks; • location of existing and proposed POWTS, wells, driveways, parking areas, access, signs, and other features; and • location of navigable waterways with accurate OHWM, delineated wetlands, floodplains, bluff lines, slopes in excess of 12 %, wooded areas, and any other unique limiting conditions of the property. ❑ Other information: NOTE: All maps, plans, and engineering data shall be no larger than 11 x 17". No covers � p ,p � 9 9 9 binders, or envelopes. Staple or paperclip your application in the upper left -hand corner. Page 4 of 4, Rev. December, 2006 G ROV COON � tiyJ File ST,, e p Office Use Only ADDENDUM FOR Dannhg ®r�6r�� ADDITIONAL VARIANCE Revised 12- ,27 -06 Property Owner: Ethan P. Et Al Seltzer Contractor /Agent: Steiner Plumbing & Electric. In Government Lot 1 Property Location: 1/4, 1/4, Sec. 23 , T. 28 N., R. 20 W., Town of Troy Computer #: 040 _ 1152 _ 80 _ 000 Parcel #: 23 28 20 594 -595 State the nature of your request: Variance request for f illing and grading in the sloe preservation zone that directly faces the Zoning Ordinance Reference 17.36H. 3. c Please answer the following questions and provide any additional information, plans, or other materials that you feel addresses these criteria in support of your request (use backside of this sheet or attach additional paper as necessary): 1) How does this request relate to the request on your original permit application? The subject property contains a very small area of slopes less than 12 %; this area was utilized to, the maximum extent practical. The remainder of the drainfield, proposed septic tank and removal of the existing septic tank require that slopes greater than 12% be disturbed. 2) Explain how literal enforcement of the Ordinance would unreasonably prevent you from using your property for a permitted use and why the standards in the Ordinance should not apply to your property. There is not suff ,cient-area.of slopes.,less than 12% on the subject property for installation of the septic system. Literal enforcement of the ordinance would - limit the current permitted use and eventually prevent the permitted residential use if the septic system could not be updated. The standards in the ordinance should not apply because the lots were created and built on prior to adoption of the ordinance. (Over) 3 i Describe the unique characieristics of your pi operuy with respect to lot site, sh2pe, iopography, and other p ?iysical hirutations that make literal criforceulent of the 0rdirlanC >e tmnraCtical. Were any of these linutations created by Will nr by bast property ow iers? Thp e.xisting imigiu- --3j,yr ind topography of the+ lotu snake literal enforcement of the ordinance impossible. These limitativum are natural and were not created by present or past property owners. 4) What Other options have you considered and why were they not Chosen? The option of continued use of the out —dated septic: system was considered but not chosen because of the possible environmental damage and decreased property value. 5) Explain how gi tinting this vanarice is consistent with protecting the pilhlic interest; in particular, exf)lain hw% it v% ill impact scnsitivec huhllc rc: iourcts and:'ar ad proricnieN This request will help protect Luke St. Croix and wil.1 have a po5-(t'lve impact on adjacent property, because it is improving an ext5tiny septic system. 6) How is granting this variance consistent with the spirit and intent of the Ordinance: in particular, how will it meet the purpose of the zoning ciistrict(s) in which your properry is locate]'. The request is coiisistant with Subchapter ITT.V., Section 17.36, Lower St. Croix River. Overlay District because it promotes public health (17.36B.I.a.) and maintains property value.:; (17.36B.1..a5)), i i 1 attest that the itrfornrration contailled ire thin adds ndurn is trlre arrd correct to tfre best (it my itirioii fe il, r. Property Owner Sianature: I)ate C'ontractorl.4nent Sion.itttrc Date . ;re. 2 of 2, Re) DeC eIrnber 2 2006 Supplemental Information per 17.36J.2.b., for Lower St. Croix Riverway Overlay District Seltzer Special Exception and Variance Request for Replacement Septic System. 1)a). Contact information: Properly Owner — Ethan P. Seftze Agent — Paul Steiner, Steiner Plumbing & Electrical Land Surveyor — Ogden Engineering Company, Inc. b): Legal description: Lots 9 and 10, St. Croix Beach, located in Government Lot 1, Section 23, T28N, R20W, Town of Troy, St. Croix County, Wisconsin. c). The private sewage system is proposed to be replaced. 2)a). The scenic and recreational qualities will not be impacted, no trees over 4" in diameter are being removed. Additional existing trees and brush provide a buffer from the river. b). Safe and healthful standards will be improved by the replaced septic system. c). The potential of water pollution will be decreased by the replacement septic system: storm water runoff will not be increased because no impervious surfaces are proposed; sedimentation will be minimized by the use of erosion control devices. d). See the attached Site Plan. e). The erosion potential of the site is low based on the small amount of disturbance, the proposed erosion control, the absence of concentrated flow and the gentle 10 % -15% slopes on the site. f). Potential impact on terrestrial habitat is very low due to the small area of disturbance. aquatic habitat will not be impacted by this project. g). The site has no access from existing or future roads. See attached Site Plan. h). The proposed waste water treatment system will be in accordance with State requirements. i). The proposed use is compatible with uses on adjacent land because the same use exists on adjacent land. j). Not applicable. 3). The variance request for this project will not be contrary to the public interest, it will be beneficial to the public interest by lessening potential future environmental impacts from the existing septic system. Literal enforcement would eventually result in an unnecessary hardship; the subject property could no longer be used as the current conforming residential use. ai; Va aVV 1 +'.V V• JJ a•r..a faJ .rlV �'vu. Vi •.�sn \.y ♦..+v' • ... .+y ry• Z84 P 3 .9i' Z844P 33;@ XAI'} LED H. WALSH REGI STER OF IeF"sD5 ST. MIX M., VI 'RECEIVED FOR RS ORD VJJ /2W ea MAN 3Y hrFn ,. Alt, 5, QU IT CLAIM Ddb UNt f w REC Fit:: 1 COPYFEE: CC FIM: PAGES: I l Q UI T CLAIM DEED 7MS DEED, made between Geoffrey U. Seltzer and Catherine 8. Reed, husband used wife, Gmantor, and Geoffrey O. Sell= and Catherine E. Deed, husband and wife, as joint tenants with right of survivorship, t'irarstee, Wifnesseeth, that the said Cxwtor, for a valuable consideration, conveys and quit claims to Granite, as joint Waaents with right of survivorship, all of Grantor's interest in the following described real estate in St. Croix County, Wisconsin: Lots Nine (9) and Ten (10), St. Croix Beach, Tawas of Troy, aocordiq to the plat of record in the Office of the Register of Deeds in and for St. Croix County. Tagetlter with all and singular the herediuments and appurtenances thereunto belonging. This is not homestead property. Dated this CI\6 day DcctmJw, 2004. I I Geoff er �. Catherine E. Read STATE 0 F NEW YORK T CoUNT"Y OF oron{ a4 _ The foregoing instrument was acknowledged before :ne this q day of D ember, 2004, by Geof my O. Seltzer and Catherine E. Reed, husband and wife. 0 GLORIA R. FOX ea _ # �q, j h W Pudic in Th State 0 4 N OW Yeti; L4! 1� t Qualified in tlnnrda�� Co. P�f0.013d8E9 69 _ My Commi &Sion Expired osi Ri,� rq� ttliC ��- r - � T isfifst' =.- was dratted by: ' 13. Seltzer 31 . " tington Avenue South St. ins Park, MN 55416 11!V1! '1nV Pr �2 F'MA 11^,,. .200 'rc91 Sob 1 - •nV4.1 1 -V nt v Vr ""p y•�v! -� all B' 9 4 R 3 TERMINATiON OF DECEDENT'S RATPLCEN N. WALSN PROPERTY INTEREST REGISTER € r DEEDS ST. CR7IX CO., MI RECEIVED FOR RECORD aECtt s k�c s A 0ooff'rey 0. !Seltzer January is, xvoa _ A7!!flf20d1S 06 lq 'Kr( ADDRESS or DICaONN AT art 't ar trEavr� cos y'"" s: i ti PERK tat~ DMEtI>rtt'T PRA 200 09MICKLtfYDRIVE SYRbCYeE NY 73210 MWT # PEC F t 25.00 PRESENTATION OF OEATH CERTIFICATE G RAND - I certify that t hove viewed a certified copy of the decedent's death � ' Cate, � � -.^- -- J � PAe£5: 2 K" p W'6 0 D SrGNA R Qaro Recording area )ntsrsat la property )► terminste! ender (stases chsok apprsprists ait.tvis): N and retum addresar 0 a, 667,041+ which pertains to ProPeKy In which the dscept:nt vrec s joint tenant, sit ow 8, 644tor had a vQnrtor's or mort gap 4s's Internal, or find a fife e state. (You must proYtde 383"! Huntington Avenue South a copy of trio document establishing joint tenancy or life estate.) 31. Louis Park, MN 53416 [3 a, 667.046 svhlch pertains to (i) property of a decedent specified in a marital ro ert re S 40teht, +Intl also to (2)surOvoiship marital proFsrl , (You must 040 - 11162 - - 000 provid s copy of the document establishing survivorship marital property.) .... --•-- —� — -- F'araist l9pttditt7i6on Nurnber 0 s, 705.20 Nonprobsts Transfers on Death. A provision for a noaploosts trtanster on death in a HNSI. conveyance deed of girl or marital property agr&ementrYov must provide s copy of the document estebilshing transfer at death.) Prs&enfatlon of reoofded document establishing Joint tenancy, life &&tote, survivorship marital property, vendor Internet. Or mortgages Interest in real estate. 000UMMT N yvi"MUML PAGRA A W R1500RDS11)Et'.DS 800484 2844 330 RECORDS Description of the feat agitate. o Ia ice vendor or rtrasta&29g�„yjJereslZIn, /surd pt1Yte f1me oaf lha d6cfjrj 90-M I° (t)e extent' of lurid l tr•exeCtly the Some *t the dbctrnlent, 8 Copy o that d o cument ra b attached fir dssCrfbe the rear estate. Atteah teir bill(#) for yeah fmrnedlats)y preceding Death, it epplicable. (See dfrpt stuffs.} The ibgaf dsacript /arr of the property end the persons receiving the property are ar tollowar: (if Snore space is needed, aft!ech eases.) � Sae Attached oosoription of poison{ prop" (N any) being tranef*Ted. you may Ilan asvings secouarle, chocking accounts end securities on slteched page7, tndicefs person($) rs0eivinp property. VECLARATIONt f(WO) declare that this document I to the best of my(pur) knowlsdge end belief, true, correct and eompieta and is in conformity with the previsions and limitations of the Wisconsin statutes. (if more apsce is needed, attach Nerre ii6d Address a Relationship to 514naturfrNotarixed) Date Poreon s Reesirtn Pro art =6d3nt Clittlerltte E. Re.d surviving 201 lhsrttatey Drive Spouse syractlSe, NY 132f 1s docvn+ent was ore led STATE OF NEW YORK Cowtyof Qnq(rdags by.(pr)nt or typo neo+e below) Matthew a. &sifter Subscribed end sworn to before me on: 3631 Huntington Avenue 50Wh FT ' tit. Louis Park, MN 55416 by the sbeve named parson(a); • �tf � �� NOTES e6a0teat:Troos. gi neCfire Of Notary or other s$+reenfke aeeteter o f Dust% g y person AssodsUes r -s10 authorised to odministor on oath (as per Webeno Version 04I6200$ a 705.06, 70647) print of type name; :i Title, Date commission F fir fk ty %kTir in the (lua linso 1n 6h►' cgs t:o Ot 8s9 8 MY 31, n nJT