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HomeMy WebLinkAbout018-1063-60-200 ST. CROIX COUNTY ZONING DEPARTI�1 AS BUILT SANITARY REPORT Owner .bLtREA ? A X` H R W Property Address 753 % 7� S a ^ c^ City /State 14A SAM o h3 L y' l 5q( -Y Legal Description:' Lot _� Block Subdivision/CSM # SW t/4 1W Sec. 2$, T?±N -R_W, Town of fk"P CJ PIN SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: VIk S Size ST/PC /b �CY Setback from: House 2 Well k P/L Tank manufacturer Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM 06to �'�� rljC CAo 5i& &Y+1vA €� /Ni= 1lT�Z�T�i Type of system: O-Dlvaf Width Length 90 Number of Trenches Z .. Setback from: House 6 Well A— P/L LI Vent to fresh air intake ELEVATIONS '0 Description of benchmark N AIL t T (UC- Elevation /,64, ? 6 Description of alternate benchmark nn a1 ,, K # Con) f busE Elevation/M Building Sewer / 3.5 ST/HT Inlet /%7h ST Outlet 1001 PC Inlet PC Bottom .. Header/Manifold /OQ, jq Top of ST/PC Manhole Cover 102,c Distribution Lines () () ( ) Bottom of System Final Grade ( ) O ( ) Date of installation /1 / /0 /8 Permit number 21 State plan number Plumber's si g natur License number �� Zy Z- Date Inspector �f a/V Complete plot plan Or r • NOTICE Please : rovide he following: P � g • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchruark, if applicable. PLAN VIEW s► UA,QAGE t&<C IS IitIF EAU1 ® A t-r 9, m. Z / �fl21al�E nF gkcK tlbclS� INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safett and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 ( 344658 Permit Holder's Name: ❑ City ❑ Village W Town of: State Plan ID No.: Town of Hammond C BM E ev.; Insp. BM Elev.: BM Description: Parce ax No.: d C0.461 lArwym 4L AItmim* 01 g-1063-6*200 TANK INFORMATION ELEVATION TYPE MANUFACTURER CAPACITY STATIO HI FS ELEV. Septic Benchmark p ( 2 tQQ . Dosing Alt. BM Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St! Ht Outlet 0. TANKTO P/L WELL BLDG. Air to i ntake ROAD ir Septic NA Dosing NA Header / Man. Aeration Dist. Pipe N Holding Bot. System $•G 9 ,902 PUMP/ SIPHON INFORMATION Final Grade Ma facturer emand St cover vz`a8 Model Num GPM TDH Lift Fric ' System Ft e Forcema ength Dia. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width f Le No f riches PIT No. Of Pits Inside Dia. Liquid Depth DIM en 1 1 DIM SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING f ty� SETBACK CHAMBER INFORMATION Type O G b / 1 OR UNIT o e NumAer. System: 19 DISTRIBUTION SYSTEM b• Header J anifold Distribution Pipe(s) x Hole Size x Hole Spacing vent To Air Intake Leng Dia Lengt Spacing I 7 Soy 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 j ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: 1 / Inspection P p ocatiion: 753 170th Street, Hammond, WI (SW1 /4, NW1 /4, Section 28 T29N -R17W) - 28.29.17.42to �r J N ,,�,✓- Plan revision required? ❑ Yes No r S 2 Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert No. � k ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: .a ..v ........ k t 4 } I } _ � S } I i w^ � k f F { S § = t a { ti ^ �� v im^ ora �.n f k y i F i 3 k j s i t x 3 t i 3 n s 1 F i �._ t } } t c s t a a � � s z = v s t _ f t E � a 4 t a a k k s S g 5 d s i v k 4 } t i e a } � s 3 i a � pM s e ...`�— �.a...e«E � x a ..a.,..e.... � 6 SANITARY PERMIT APPLICATION S afety and Buildings Division O sconsin 201 W. Washin ton Avenue P O Box 7302 Department of Commerce In accord with ILHR x3.05, Wis. Ad 1 11 9 r j( Madison, Wt 53707 - 7302 • Attach complete plans (to the county copy only) for the system, gaper not less than 8 112 x 11 inches in size. 1` �. t • See reverse side for instructions for completing this applicati m /Is i l tate _ SgLnitary Permit Number Personal information you provide may be used for secondary purposes - ; ST �' p Ch ievision to previous application I [Privacy Law, s. 15.04 (1) (m)]. tat `Phtri I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL IN Property Owner Name open tion ` �, T Z? r N, R J ?E (or Property Owner's Mailing Ad ress Lot a Block Number 56 i t A wt S C)t , State d Phone Number Subdivi on Name or CSM Number r 2 Iriatl5 22. (' ) l .3 11. BUILDING: (check one) ❑ State Owned 0 it Iy �/ earest Road Public 1 or 2 Family Dwelling - No. of bedrooms 0 Io w a n OF I'rlgmbN Tr 111 BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 618 - /0 -Zo o ,Ag. 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash S ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. NY New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an - -- ---S ystem - - System - -- Tank Only -------- - - - - -- Existing System_ - - - - -- Ex)stin� System - - - - -- ---- - - - - -- B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12;XSeepage Trench 22 ❑ In- Ground Pressure r , , 42 ❑ Pit Privy 13 []Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. A S YSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System ;eet v. 7. Final Grade �/ Required sq. ft.) ropo ed (sq. ft.) aIs/day /s . ft.) Min./inch) Elevation 5 � (� d , s t0 9 /0 Feet Capacit VII TANK in allons Total # Of Prefab. Site Fiber- Exper. INFORMATION g Manufacturers Name con- Steel Plastic New Existing Gallons Tanks concrete structed glass App. Tanks Tanks tic Tan - Ta k ❑ ❑ ❑ ❑ ❑ L r ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) I Plumber' gnature: (UO Sta s) MP /MPRSW No.: Business Phone Number: �Ff x J/- ZZ3 2 Y '7/5 - zvi/- 3iGj Plu ber's Address (Street, City, State ip Code): BO X Z96 -ikR I/f S#W 7 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination � Z Z.S U Q J ✓. X. CONDITIONS OF APPROVAL / REASONS FORg - 0-fg id a tj -j SBD- 6398 (R.11197 DISTRIBUTION: Original to County, One copy To: Safety S Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority_ 4_ Changes in ownership or plumber requires a5ariitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper wherieve'r necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material_ Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc,), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F)' all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. U J oe�� w i M 1A o vi a t4 �T a Q � J b r_ r z Wisconsin Department ofCommeroe SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code _ Environmental By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County •— include, but not limited to: vertical and horizontal reference point (BM), direction and St. C roix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Pa LD.# APPLICANT INFORMATION - Please print all information. 0 8 � ! Personal inforrnatio i you provide may be used for secondary (Privacy Law, s. 15.04 (1) (m)). V1.'7 1 X1 Property Owner Property Location Schra* BARBARA Govt. Lot SW 1/4 NW 1/4 S 28 T 29 N,R 17 W Property Owner's Mailing Address ,1 Lot # Block # Subd. Name or CSM# 504 River Hills Dr 1 l � ni City State Zip Code PhoneNumber City Village ®Town Nedriadt Road River Falls WI 54022 Hammond CTH TT New Construction Use: Residential / Number of bedrooms 3 DAddition to existing building Replacement Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd/(F 5 trench, gpdAF Absorption area required 1125 bed, fF 900 trench, ftz Maximum design loading rate .4 bed, gpolfF .5 tr ench, gpdAF Recommended infiltration surface elevations) 98.90 ft (as referred to site plan benchmar Additional design / site consideration Parent material loess over glacial all Flood plain elevation, if applicable NA ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ®s ❑ U E ❑ u NS ❑ u ® S U ❑ S ®u ❑ S H U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fF n9# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -12 10yr3/3 - sl 2msbk mvfr cw 2f .5 .6 ` -- -- 2 12 -32 7.5yr4/4 - sil 2msbk mfr cw if .5 .6 Gr 3 32-44 7.5yr4/4 c2d7.5yr5/6 sit lmsbk mvfi - - 5 ''� .6 100.16 ft Depth to limiting factor 32 Remarks: Z 1 0 -10 10yr3/3 - sl 2msbk mvfr cw 2f .5 .6 2 10 -25 10yr4 /4 - sl 2msbk mvfr cw if .5 i .6 Ground 3 25 -74 7.5yr4/4 - sl 2msbk mvfr - .6 elev 101.91 ft qL Depth to R tt 711rn r YA limiting factor >74 Remarks: CST Name (Please Print) Skynature: T h q7 Thomas C. Nelson 715-24- Address Environmental By Design Date CST Number Ref# 1432 120th Street, New Richmond, Wl 54017 11110/98 2605 168 f PROPERTY OWNER: Schrank, BARBARA SOIL DESCRIPTION REPORT ,sa Page 2 of 3 PARCEL LD.# Environmental By Desi Horizon Depth Dominant Color Modes Texture Structure nsistence Boundary Roots GPDIfP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed :Trench 3 1 0 -9 10yr3/3 - sl 2msbk mvfr cw 2f .5 .6 2 9 -72 7.5yr4/4 - A 2msbk mvfr ew - .5 .6 Ground S elev 3 72 -80 7.5yr4/4 c2d7.5yr5/6 sl lmsbk mvfi 101.50 ft Depth to limiting factor 72 Remark 4 1 0 -10 10yr3 /2 - sl 2msbk mvfr cw 2f .5 .6 2 10 -34 7,Syr4/6 - sl 2msbk mvfr cw 1f .5 .6 Ground elev 3 34 -76 7.5yr4/6 - sl 1 msbk mfi - - 4 5 101.80 ft Depth to limiting factor >76 Remarks: 5 1 0 -7 10yr3/3 - sl 2msbk mvfr cw 2f .5 .6 2 7 -30 7.5yr4/6 - sl lmsbk mfi cw if .4 i .5 Ground elev 3 3045 7.5yr4/6 c2d7.5yr5/6 sl lmsbk mvfi - -S 99.91 ft Depth to limiting factor 30 Remarks: Ground elev Depth to limiting factor Remarks: E BY DE51GN 1432 120`h STREET, NEW RICHMOND, WISCONSIN 715- 246 -2454 BARBARA SCHRANK PAGE 3 SW % NW %, SECTION 28 T 29 N, R 17 W oix TOWNSHIP HAMMOND COUNTY St. Cr , Wisconsin cLf 5 = S �4 SCALE i" =40' TOM NELSON BM 1 NAIL IN TREE 100' 2605 BM 2. NAIL IN TREE ELEVATION 100.76 From R. J. TETZLAFF. &SODS. CONTPAC.TORS PHONE No. 651 433 2707 Aug. 27 1999 6:55AM P01 ; i. ; @$-'15? - 38 D3 � E�'! (:kU�:`._; C'. titlt�7 )' �� �. ij° 'T 1.1 29431 3E3 I{� t�t� j tt�� "f ;,� ltl ►t� I ; �, ST CROIX COUNTY + " 4 � � i s Sl?PT - ic 7 mAINA m,Ao " OWNERSHIP CERTIFICATION-Tow A. L1.1 � ess r �s+ Mailing Addr�'� t'�i - -� - - ` - k' Pro peTty (Veri('it.a+ ir,.cluired from PUnnWg Mpaitatent for new construction),_ CitytState �, -� FaIwl Identification N tuber , S 1 c A �{�GZ2�d �" f LEGAT, D SE C;1~ IP JN 1 J r . Prcipmly Lyezatiorr l � } �r1, .. i�' u �'l,, Sec. I' ...l 1 .. N-K...� W Town of r 1W I ; r. Certified Survey Mup Vaitune {ta } x Warrauty Deed #t Volume ___ —' Ps$ # tc© d$0no Spec house yes F�1. act Lot ule�tifiab r, X Iyi NA ' f il,t,rZtc, .Fi? izz>propct trsr asltl nia7rda >,. nr..r.nf trestrr saPAc sy5tf:171 catul� a tc�11 �� its Tar�Btyt[rx consists ofptrmFinl; pui the se1,t+:; tanl ec Tery three Y= , Or $Mnr.r, ftf>� by a:iicatnsrcf't • 'fit � P41 Galt bffcti tbc- fttr�etion Of the r sir tatty xs a trttttttxuttcla$ a in the wasto dCsjtcuat sym= wat: iP.,? S,Aj,Mit to St.�1X •,Z,pIItrlg`, De�ca S cerac8t*f0�. The propti 3 }` t E tit (j t6C,Qn¢ mast: 7: pltunitct ,joUttle,.�tt,t�l,lt rrst trdplcurx as 'tfret�edptAe�vcrstyid$ is i f; c:r,nditivt� - , �l k,r ( ?) eft>~r tnxpet'ti1� And I>tlm,�ittii {if sBIY)•xho �ap�� ��` 1 { n ptajscr Of)CSZYtiY1 + i !4 fife 4e www Cl BN�'C T�' 7'tf1tY1T�'6�bt1t5� ��+� Ilwc, dic and=ih of NaUa7aj �'S'CttC f ' Set forth, b~xetn. as bc-t by tb, q of r'.o» 1lndtht. I�Gpartmaut 0. stating that yatu septic system I}- < 1 >rer rnrr to mttxt bc,'mWletcdmd mwij od to Uw- [:rafx, t a+tutY flays of the thm ycaf explcahhr SfN ATURE OF APPLICAkI I wt' xm ( are) the I (we) certify that all matt- meat- un, this form arc trur. to p ,r txst o to)- f � c d Ufa fife itroot dcsal1 abvyc, J, v I,•irtue: of . A*rmnty deed rmordtd w lt�:$ts /t /�.. Y ij I}.t4.TF, --� -�- SIONATME OF AFFLIC:A rrawE+ Any infoctnatiaa that i. nr's- mpmsc_ otodTmyresult in the sat7ib")aGrmit befit revokcd6y tii>� ' ' daed dui five ltbgtstGi of llpads o�oo �« Intilu�l� With this sppticatlot :, stnTrt}+od waxraacy ttxo ..•A, =�{?tY �''''� a t u y of tht ct ltificd Survey 11)AP it lctccc&c+: > ^,x�}.: •,,. 08 -27 - 98 05:29 RECEIVED FROM:651 433 2707 P•01 STATE BAR OF WISCONSIN; FCRM I — 1962 WARRANTY DEED KATHLEEN H. WALSH VOl 1443 _ 2 REGISTER OF DEEDS DOCUMENT NO, ..� 5T. CROIX CO,, WI RECEIVED FOR RECORD This Peed, made bete_ -: r. — Annabelle D. Ha .�- _ - -- - 07 -19 -1944 1:45 PM Irrevocable F amily Trus da ted Septembe 2 0 . 1994-. VAMWY DEED __) Ev Hans Tn _ EXEMPT I Grantor. CERT COPI FEE: and Barbara S chrank t a side person — __ ____ - -_ CIPY FEE: TRANSFER FEE: 26.40 -- -- RECORDING FEE: 10.00 PAGES: 1 Witnesseth, 11 the said grantor, for a valuable consideration- Qne siollar_ and other g ood an valuable considg a ion __ _ 'kfj Srn 4'c SE9VED f:':R RECORCi^l1 DATA conveys to Grantee the follotttn3 described real estate in County, State of `k isconsin. NAME A+ - ADDRESS Edward F. V1ack Davison & Vlack PART OF LOT TWO (2) OF CERTIFIED SURVEY 200 East Elm Street T MAP RECORDED IN VOLUME 13 OF CERTIFIED River Falls, WI 54022 SURVEY MAPS, PAGE 3610, AS DOCUMENT 598319, ALSO BEING A PART OF THE SOUTHWEST QUARTER 018- 106 -70 -000 OF THE NORTHWEST QUARTER (SW 1/4 OF \''d 1/4), - - -- PAaCEL NUMBER SECTION 2.°, TOWN 29 NORTH, RANGE 17 ::EST, DESCRTBSD AS FOLLOWS: Commencing at the :-outbwest corner of said Certified Survey Map, thence North 0 West 290 feet, thence South 89 East 375 feet, thence South 0 East 290 feet, thence North 89 West 375 feet to the point of beginning, containing approximately 2.5 acres. l iris -� is n ot _ im-n.stead property. 5ek u r +o Together w,th all and sw..g,!Iar the eiccltarnents and appui en.a -__s ;here:;:i ,- belonging, .%nd _ - gra — _.-------_ — __. - -- warrants that the title is ga;d, .:de.,easibte in tee sin;ple and tree and _r of encurbrances except easements, restrictions, reservations, and covenants, if any, of record, and highway rights cf way and wi:; warr4ri;. and defend the - a•nr_ Datet: this _ ._ 14 t _ — day of —___ —_ J1 9 ?_V .1999_.. Evan Hanson, Trustee —_ -- (SEAL) (SEAL) AUTHENTICATION ACKNOAA t EDC,MENT Signature(c) — Evan Hanson State of NN uconsir., ss ------ P Coun(v authcnrcate this —___ -- day of _r 1�� _. 19 99 re-5, rally . before -.e this —_ - - -_14 t day of --- ___r —__ - -- July — 1999 the above named E dwar d F. V lz,t_• k Ev Hans T11 LE: MEhl3rR STATE BAR OF \ \'ISCON :N — (If not,_.- -- — - - -- — — - - - -- _.— —.� _ . — autht -ed by 4706 06, Vvis Stats_? .ne novvzi to be the persor. ee- d the for egohng and acknoui.Jge `�e ixl HIS INSTRUMf_NT vAS DRAF ?c0 BY ¢� Eduard Vlock Dav ;()n & Vlack s -- -- -- - Arlene E. Vadnail` � 20 0 Fast 71m St. , Ri+ L ill, WT -3402': -- _Pierce �_ -- __ -_- z _ /�ign,iure� may ,.r; :;..:�. L .�_Kn..,:.'ed�ed II�uh .tie nix ih .� _.ca. :,liar 'f riot Star exr.: ttisn date n tt 12/24/2000 —,* Xx" r 199 b 10 1� S Oco�tCA�W1 IN CERTIFIED SUR VEY MAP ANNABELLE D. HANSON TRUST Part of the Northwest 114 of the Northwest 114 and the Southwest 114 of the Northwest 114 of Section 28, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. -rlt N W COR. SE C. 28, T 29 N, R / 7 W, t BERNTSEN NAIL FOUNDI a This instrument drafted by Laurence W. UNPL A T TED LA Murphy Dated: Dec. 1, 1998 t this 11th day of 1 January, 1999." 623. /3 i r O 1 3 I i W 3 1 � o O Z x w 1 ►. x 1 L O T 2 1 20.001 ACRES I �N I B7l,2so SO. FT, Z /8.995 ACRES X. Q 3 ti Q I (O I E E C ROAD R.O.W. ►� Ji JI I q m w ( 827,442 SO. FT. CA R C p M a i e 41 2 tu IC I IN O 1 � � ZN • 1 b I � �" Q Q .J o `^ I Z �b o y LA ��� Q r mlo ' UR E`: m W M PHY ac IH �2 0 S 1713 �: •. R FALLS- �,� � i ` 1 a � �� F,Q RIV FA , wISC. J Q► .` a ti7 i 61� ��i 4�4 LAND S �••`� x �•� I 616./5 t Laurence W. Murphy I 1 Reg'stered Land Surveyor 33200` � 623. !3 - 1924.26' 2835.63' ,6,.w 52f6.F4 1w 114 LINE w 114 COR. SEC. 28, T 20N, R 17 W, E 114 co*. SEC. ZB, T29N, /COUNTY SURVEYOR'S MON.I NONUMENTED CENT. SEC. 20, T29N, R17W, /COUNTY UN A T T E D LA NDS R 17 W, ! / /i4 "IRON BAR FOUNDI SURVEYOR MON./ LEGEND: scALE ," =200' OIndicates 1" x 24" iron pipe weighing 0 so 100' 200' 300' 400' 500' 600' 1.13 lbs. /lin. ft. set. / Indicates fence. Owner's Address: SHEET 1 OF 2 Annabelle Hanson Trust P.O. Box 528 Hammond, WI 54015 VOL. 13 PAGE 3610 1 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road "' _ Hudson, WI 54016 -7710 (715) 386 -4680 Fax (715) 386 -4686 March 15, 2000 - St. Croix Title Services 109 North Main, PO Box 750 River Falls, WI 54022 RE: File No. 00 -0138, Barbara Schrank parcel Dear Sir or Madam: Please be advised that the parcel described on the Warranty Deed recorded with the Register of Deeds for St. Croix County in Volume 1443 Page 28, Document 607085 is a legal parcel as defined by the St. Croix County Land Use Ordinance. St. Croix County Land Use Ordinance, Section 18.05(3) allows for the exchange of parcels of land between owners of abutting property if additional lots are not created and the resulting parcels are not reduced below the minimum survey standards or minimum required lot' sizes. An affidavit must be recorded tying the added parcel to the original parcel. In the Hanson /Schrank situation, an illegal parcel was initially conveyed from Hanson to Schrank as the parcel was below 35 acres (2.5 acres recorded in Volume 1443 Page 28, Document 607085). When it was called to attention, they, through their attorney, chose to remedy the situation by combining the remainder of the Certified Survey Map (except the 2.5 acres conveyed to Schrank) with additional land owned by Hanson in the same 1 /4- '/< section, resulting in a parcel of over 35 acres, and the 2.5 acre parcel being the remainder. The Affidavit recorded in Volume 1494 Page 614; Document 619444 combines the existing parcels with part of Lot 2 of the Certified Survey Map. While this should have been done in the reverse order, the end result is the same and is allowed by ordinance. Should you have questions or concerns, please feel free to contact this office. Sincerely, Mary J. Jenkins Assistant Zoning Administrator C:: LAW OFFICES OF Davison & Vlack JOHN W. DAVISON 200 East Elm Street (1907 -1988) River Falls, Wisconsin 54022 EDWARD F. VLACK Phone (715) 425 - 1525 Attorney at Law Fax (715) 425 - 7659 email - vlacklaw @pressenter.com March 6, 2000 '1 _,. ti `, 1 Ms. Mary J. Jenkins, Zoning Office Assistant Zoning Administrator ( �` St. Croix County Government Center 1101 Carmichael Road Hudson, WI 54016 . y Re: Barbara Schrank / Annabelle D. Hanson Irrevoca rust Dear Mary: After I talked to you, I spoke with the surveyor, Larry Murphy, as well as my client, Barbara Schrank. When this originally came up last year, I had questioned if there was a new Certified Survey Map that would be necessary since less than a 20 acre parcel was being conveyed. Larry believed that it would not be necessary since there were other parcels still owned by Annabelle Hanson. I spoke to him now, and he confirmed that. However, he suggested that I prepare an Affidavit for Existing Parcel reflecting that, which I am enclosing for you. It is Larry's opinion that we would now comply with the St. Croix County Ordinance. I am sending the Affidavit on to the Register of Deeds for recording. If you disagree, would you please contact Larry Murphy and let him know why you disagree. Thank you. Very truly ours, DAMS N & VLACK Edward F. Vlack EFV:av Enc. cc: Mr. Larry Murphy Ms. Barbara Schrank Document Number Document Title 'b ; k� AFFIDAVIT FOR EXISTING PARCEL / *,V Recording Area Name and Return. Address Edward F. Vlack Davison & Vlack 200 E. Elm St. River Falls, WI 54022 STATE OF WISCONSIN ) ss. COUNTY OF PIERCE ) 018 - 1063 -70 -000 Parcel Identification Number (P" Evan E. Hanson, Trustee of the Annabelle D. Hanson Trust, being first duly sworn, on oath, state as follows: 1. The Annabelle D. Hanson Trust is the owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in the office of the St. Croix County Register of Deeds, described as: Part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of the NW 1/4) and the Southwest Quarter of the Northwest Quarter (SW 1/4 of the NW 1/4) of Section 28, Township 29 North, Range 17 West (Sec. 28, T29N, R17W), described as Lot 2, Certified Survey Map recorded in Volume 13, at page 3610, as Document 598319, EXCEPT, PART OF LOT TWO (2) OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 13 OF CERTIFIED SURVEY MAPS, PAGE 3610, AS DOCUMENT 598319, ALSO BEING A PART OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER (SW 1/4 OF NW 1/4), SECTION 28, TOWN 29 NORTH, RANGE 17 WEST, DESCRIBED AS FOLLOWS: Commencing at the Southwest corner of said Certified Survey Map, thence North 0 ° 646" West 290 feet, thence South 89 °12'56" East 375 feet, thence South 0 °6'46" East 29 fee t, thence North 89 ° West a2ificet to the point of beginning, containing approximately 2.5 acres "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" Page 1 of 2 This iaPormadoa mutt be eomp(ued by rubmitier: document title, name & return address and PIN ff required). 0dh1r information such as dhc granting clause,, 119-1 desesipaon, etc. assay be placed on this s documrnt. Nvu: Use of du 'r corer 1 1 page of du th um- or may be placed on addisional pages of the Page adds one page to your doew el,r and ,12.00 do the rccordinR fee. Nuconsits Staaacs, S9.SI7..• � :S9)ZD,i 2/y�:•, 2. The above - described arcel has d added to it the following described property: p a ha add g ALL OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER (SW 1/4 OF THE NW 1/4), SECTION 28 TOWNSHIP 29 NORTH, RANGE 17 WEST, EXCEPT LOT 2, CERTIFIED SURVEY MAPS, RECORDED IN VOLUME 13, PAGE 3610, DOCUMENT 598319. 3. The resulting parcel is described as: THE SOUTHWEST QUARTER OF THE NORTHWEST (SW 1/4 OF THE NW 1/4), Section 28, Town 29 North, Range 17 West, EXCEPT the following described parcel: PART OF LOT TWO (2) OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 13 OF CERTIFIED SURVEY MAPS, PAGE 3610, AS DOCUMENT 598319, ALSO BEING A PART OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER (SW 1/4 OF THE NORTHWEST QUARTER (SW 1/4 OF NW 1/4) SECTION 28, TOWN 29 NORTH, RANGE 17 WEST, DESCRIBED AS FOLLOWS: Commencing at the Southwest corner of said Certified Survey Map, thence North 0 °6'46" West 290 feet, thence South 89 °12'56" East 375 feet, thence South 0 °6'46" East 290 feet thence North 89 °12'56" West 375 feet to the point of , P beginning, containing approximately 2.5 acres. g pp Y 4. The addition is a transfer exempt from Chapter 18 of the St. Croix County Land use Regulations pursuant to Section 18.05(A)(3). 5. The purpose of this Affidavit is to notify the public of the addition and the resulting parcel. Evan E. Hanson, Trustee Subscribed and sworn to before me this 2 day March, 2000. This instrument drafted by: Ed and F. Vlack , Notary Public Edward F. Vlack Pierce County, State of Wisconsin Davison & Vlack My commission eq3bm is 200 East Elm Street WI State Bar: 01015961 River Falls, WI 54022 Page 2 of 2 r 2 ST. WISCONSIN NTY ZONING OFFICE ■ N ST. CROIX COUNTY GOVERNMENT CENTER now 1101 Carmichael Road "`• ' Hudson, WI 54016 -7710 s (715) 386 -4680 February 28, 2000 Ms. Barbara Schrank 504 River Hills Drive River Falls, WI 54022 Dear Ms. Schrank: Last week this office received a call from St. Croix Valley Title Services regarding a parcel of land that you purchased in July of 1999. The 2.5 acre parcel was conveyed from the Annabelle D. Hanson Irrevocable Family Trust to you by the Warranty Deed recorded in Volume 1443, Page 28 with the St. Croix County Register of Deeds Office. The deed listed the parcel as being part of Lot 2 of the Certified Survey Map recorded in Vol. 13, Page 3610 containing approximately 2.5 acres. St. Croix County Land Use Ordinance, Chapter 18, Subdivisions, provides that when a parcel or tract of land is divided and the division creates or results in one or more parcels of 35 acres or less in area, a certified survey map must be created and the lot(s) approved as a subdivision. The 2.5 acres should have been surveyed, placed on a certified survey map, and approved by both the township and the county. Unfortunately, this was not done, and the absence of the map and subsequent approval was not discovered until questions from the Title Company were received. To correct this error, a new certified survey map must be created and submitted to the Zoning Office. The 2.5 acres must be mapped as a separate lot, and receive approval from the Town of Hammond and the County Planning, Zoning & Parks Committee. When the new map has been recorded with the Register of Deeds, the lot will receive a new and separate identity. Until that time it is considered an illegal parcel by definition of the Subdivision Ordinance. The other possible solution is to obtain the remaining 17.5 acres of Lot 2, Vol. 13, Pg. 3610, and by affidavit, join the two parcels to again create one parcel. Should you wish to do so, please contact this office for the affidavit language. In talking with both the Title Company and M & I Bank, it is my understanding that until this lot receives a legal identity they may not be able to continue to process your request. Should you have questions or concerns, or if I can assist you in resolving this problem please feel free to contact me at the above number. Sincerely, Mary J. Jenkins Assistant Zoning Administrator C: Annabelle D. Hanson Irrevocable Family Trust, C/0 Evan Hanson St. Croix Valley Title Services M & I Bank Attorney Edward F. Vlack Clerk, Town of Hammond File V2 -7c i STATE BAR OF WISCONSIN FORM 1 — 1982 16,U7'O$`J WARRANTY DEED KATHLEEN H. WALSH YOL �443 PAGE 2 0 REGISTER OF DEEDS DOCUMENT NO. ST CROIX CO., WI RECEIVED FOR RECORD This Deed made between Annabelle D. Hanson 07-19 -1999 1:45 PM Irrevocable Family Trust dated September 20 199 WARRANTY DEED b Evan Hanson Trustee EXEMPT R I - n,�✓�tin dL _ Grantor, CERT COPY FEE: and Barbara Schr a sin le person COPY FEE: TRANSFER FEE: 26.40 RECORDING FEE: 1 .00 PAGES: Grantee, Wit n eth That the said Grantor, for a valuable considerati on _ of l ar and other - good and valuable-considerati THIS SPACE RESERVED FOR RECORDING DATA conveys to Grantee the following described real estate in St Croix p County State of Wis consin: NAME ND RETURN ADDR S !� war �Ik Davison st Elm Street PART OF LOT TWO (2) OF CERTIFIED SURVEY River a s, 22 MAP RECORDED IN VOLUME 13 OF CERTIFIED SURVEY MAPS, PAGE �6 DOCUMENT 598319, ALSO BEING A PART OF THE SOUTHWEST QUARTER 018 - 1063 -70 -000 OF THE NORTHWEST QUARTER (SW 1/4 OF NW 1/4) PARCEL IDENTIFICATION NUMBER SECTION 28, TOWN 29 NORTH, RANGE 17 WEST, -� DESCRIBTrAS FOLLOWS: Commencing at the Southwest corner of said Certified Survey Map, Map, thence North 0 "West 290 feet, thence South 89 12' Ea of 375 feet, thence South 0 East 290 feet, thence North 89 12'56 -p West 375 feet to the point of beginning, containing approximately ,\ 2.5 acres. This is riot homestead property. j& (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, reservations, and covenants, if any, of record, and highway rights of way and will warrant and defend the same. Dated this 14th day of Jul 11999 SEAL (SEAL) Evan Hanson, Trustee (SEAL) (SEAL) fi fi AUTHENTICATION ACKNOWLEDGMENT Signature(s) Evan Hanson State of Wisconsin, ss. Pierce County. authenticated this day of July 19 99 Personally came before me this 14th day of July 19 the above named Edward F. Vlack Evan Hanson TITLE: MEMBER STATE BAR OF WISCONSIN , (If not, authorized by 9706.06, Wis. Scats.) Lome known lobe the person whd-e est ted tl ejlliegoing j a instrument and acknowledg the same. THIS INSTRUMENT WAS DRAFTED BY 1 Edward F. Vlack, Davison & Vlack Arlene E. Vadnais 200 East Elm St., River Falls, WI 5402 Notary Public, Pierce Comity, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expirati XXX te' 12/24/2000 necessary.) ' Names of persons signing in any capacity should by typed or printed below their signatures. c r e r r. n e e or wl C r oN G I N Wisconsin Legal Blank Co., Inc. i xp°"? 3 l D �-- w — /D6 ,3 �- c D�� 70 /� � 9 1 w� K�� t ��otoee� 11 g�Gsa�CA ~ CER TIFIED SUR VEY MAP ANNABELLE D. HANSON TRUST Part of the Northwest 114 of the Northwest 114 and the Southwest 114 of the Northwest 114 of Section 28, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. �f N W CDR. SEC. 28, T 29 N, R 17W, 18ERNTSFN NAIL F0l/N01 a This instrument drafted by Laurence W. I r UNPL A T TED L A NDS Murphy M V Dated: Dec. 1, 1998 21� ;,,'•t:.rs 89' 12' 38 ## r 666. /s' "Revised this 11th day of 33.00' i 1 623.13 January, 1999." 33'33 � I � 1 o I O I � \ I 2 3 1 w. I d 1 O b \ I W O I x O tu i I 2 LOT 2 �, w i 20.001 ACRES O R 871,260 so-fr. 18.993 ACRES EXC. ROAD R. O, W. M ,J) ,� n W 1 827,442 SO. FT. ` . ly Q R q N 1 (, I to b` I to �.. I N O I i �" I Q ►• 0 V H I Q 4 ''r1 4 I % ,�1 d". (' :I . ���ut lW h I ' W G�• 6 .�' \ 500/VS f + ip 1 ' LAUR E'; m W M 1 PHY ? S 173 �. N RIV R FALLS ;:, w I� 10 e% Wisc. W I ti >>,u�s�•. QZ Laurence W. Murphy sss.ls' Registered Land Surveyor 1924.26' 2633.63' ir 33.00' _ f I` IN N 9.1 2' 5216.04 /W //4 LINE i N / W 114 COR. SEC. 28, T 29 N , R 17 W, F I14 COR. SEC. 2s, T29N, tCOUNTY SURVEYOR'S m0N.; NONUMENTED CENT. SEC.28, 729N, R17W, /COUNTY UN T LA NDS R/7 W, 111/4 "/RONBARFOUND; SURVEYOR'S NON.; — LEGEND: SCALE ! = 2 00 OIndicates l" x 24" iron pipe weighing o so' /00' 200' 300' 400' Soo' Soo, 1.13 lbs. /tin. ft. set. * --,4 Indicates fence. Owner's Address: SHEET 1 OF 2 Annabelle Hanson Trust P.O. Box 528 Hammond, WI 54015 /.3IJ6�� A Imot" "1r1 /r A a i CERTIFIED SUR VEY MAP ANNABELLE D. HANSON TRUST Part of the Northwest 114 of the Northwest 114 and the Southwest 114 of the Northwest 114 of Section 28, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northwest 114 of the Northwest 114 and the Southwest 114 of the Northwest 114 of Section 28, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows; Commencing at the West 114 corner of said Section 28, the POINT OF BEGINNING, of the parcel to be herein described; thence N 00 "W (assumed bearing on the West line of the Northwest 114 of said Section 28) a distance of 1328.00; thence S 89�12'56"E 656.15 thence S 00'0646 "E 1328.00'; thence N 8912'56 "W 656.15' on the East/West 114 line of said Section 28, to the POINT OF BEGINNING, containing 20.001 acres or 8 71, 260 square feet, being subject to easement over the Westerly 33.00' thereof for town road purposes and also being subject to easements of record. Note: Each parcel shown on this map is subject to State, County and Township rules and regulations (i. e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate town board for advice. This instrument drafted by Laurence W. Murphy Dated: December 1, 1998 "Revised this 11th day of January, 1999." State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Annabelle D. Hanson Trust, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statues and the Ordinances of St Croix County and that this map and description are a true and correct representation thereof. tt%%J1111181% C "0 pop, � • LAURE .•.. C m • W MU P Y zo S °C 13 i VE FALLS ,A • �� WISc. • • � #lfirii���� urence W. Murphy Regi eyed Land Surveyor SHEET 2 OF 2 VOL. 13 PAGE 3610 v ti O V E~ NW COR. SEC. 28 - 1328.38 COUNTY — 427B LOT 1 ti C.S .M . VOL. 7 PG. 1 827 Q� O NE I ti NW 1/4 -N W 114 W 427A 695/241 656.15 I 1 . tt l� LOT 2 a C� 429A 428A 920/19 C S. _ M._ �'_ 13/3610 428 B SW 4 -N W 1/4 N M I O O M M n l 656.15' W 1/4 COR. �� .,--- `� --- - -- . "" S +: � i � r �; , �. __ ,� r--__ � _v i