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O • CO N 7 N O M O, N co N 3 3 ac.m y_�d on 3 3 nam ai �° pd CD tU 7 �. f�� 7 -{C NL1pDl CD 7 �C NOON Z 01 2 S 3 CD 0 7 0 O 01 3• S 3 O n O CD y 0 am m w d �°-' m ma m' m m a�i m coo V N""� a0 O iTN 7 O.O `.�O A O O O Cl) A 'a O N S n O O N A 'D N O C CDD S ', n CD O CD S OD CD CD O O 2 O CD S OO O O (D O .T NcCL s m 3 CAcaCs in cc 3 ,.. O < d N -O CD O = 7 O 12 . < N N -O O N N S 0 N 0 C � D . n S N• N SAO N 6 a n O 7 3 CD N= j CD 7 3 0 CD N 7 7 CD A CD X CD F n. (D (D O O O O O ~ Cn O O a- O O C- N 1 I x S n r � N � vy a - P � wool j' isb6S6bSSiLi - gall '4 U4 dBO =b0 SO 06 -JeW I Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division df Safety and Buildings Page / of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Cod Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. PlanRivste'" County include, but not limited to: vertical and horizontal reference point @1W0 ;direction ff p =p- ( percent slope, scale or dimensions, north arrow, and location and distAnce to nearest road':"" Parcel I.D. # y APPLICANT INFORMATION - Please print all infokth n. Rev b Personal information you provide may be used for secondary purposes (Pnva'py -Lary s 1rQ )` Property Owner _ ,' Property Locoibn'� r� 1 f /IIA.A plot T 3,0 ,N,R i9 Mwev _ S l Property Owners Mailing Aadress ock# Subd. Name or CSM# City State Zip Code Phone Number Nearest Road e T �l `e`y ( ?/S r E City ❑ Village S l � Town gr New Construction Use: RfResidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow _ VO gpd Recommended design loading rate S bed, gpd /ft ! trench, gpd /ft Absorption area required A bed, ft �� ZS ' 2� trench, ft /4,MaximurEgse ign loading rate bed, gpd /ft W trench, gpd /ft Recommended infiltration surface elevation(s) /7'' I^ -e, /eb D � 9'8•a61 r It t (as referred to site plan benchmark) Additional design /site considerations ^ / Parent material D�(LJ eA s `i Flood plain elevation, if applicable / y W ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system WS ❑ U ®S ❑ U Nr S ❑ U I ®S ❑ U ❑ S ER U ❑ S 1R'U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench / -8 4- S4k 62-P . s .4 Ground v;' 7 S je 0/6 elev. Depth to limiting ; actor Remarks: Boring # _ `r/ r /e y / .�� �?s•+ S �,C ICJ /� �' s S� • IG s wim Ground el mss= `' Depth to limiting 1 1 37. X3. � fa for in. Remarks: CST Name (Please Print) Signature Telephone No. Address ' / Date CST Number S �� ��. l�r e�J l � .So ►ti. a .2 Gam.,?; ®d �� SOIL DESCRIPTION REPORT PROPERTY OWNER � Page 0? of PARCEL I.D.# OCR 'off'p i�t� ��GS Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots � in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground i ! � Depth to limiting 36 Z factor Remark f� 1 *�?C- /a'aS_ bow -.c�s_ ifT rte, ct.' — /y/i2��f� � P'tr Boring # 1 �y Ag a Ground Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # G �`y `_— �i ,�►.► /r iwt �r- d,J a �' .�` b e Ground le Aft. Depth to - limiting faa�ct �^ Remarks: r s t.L ,S 4 J /Ql�rnn. AA Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) I I I i Da 1 A ; I - I I 1,- 6 l33 _ g ! .. -�.�. ado •. - -- - -1— -- t - � I I ' l I i .�.�y r�r' . •�� S'c.L� o ���- f c?ti.� � k ,d t/!' /'✓l off- c�-s �� I him iS�)5� e5701 ``,.. :Sri ► I eo , �I i, _ _ _ �- ,.. �_ I - - __ _. I i � � I i i i I I __ � � � , i _ _ �� ;- _ i I i r• i -- � � _ ;_ _ '; � i i i _._ ,. __ _ _ _ , � I I 'I P � � � I I i- ��. - �- - � ��� � � � � �._ � _ �.- I _.. +_ �� - + - L - � __.. - -.. I I I L � � i i i � � i i � _�__._ F � __ ; _ _ _ _. �__. j � � r ' �, 1 i ' 1 '' i i i ;. I I i I ; I �� �. ,1. 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A p� CD 3 . c a m < N N m m n 3 c 3 m N N <D m c CD m m 3 m �� m =r m o' m m m m ov sf,m' o : CL D< = m m f N s f n �� y c a N f m m 00o v r.CD Q) m w 0 a) m N y n SCD Q N z m Spy o CD v N z a CD m N fn Q S S, x N (D �N•I fO Q S O x ' D1 CD 3N(�Dm Nm °� v, 3 NNm 0 ) M' z W a N N N �• j 3 'N a N < y 3 3 O 'O O F .y..O N O I A =O n m y j d o n n 7 Q m y j U � O. C.��C N NOON a �C NOON Z 7 f ( Q a ° 7 O N 3 f 3 CCD, ° 7 O a; N 9t m N y N N �: (D N N d N A O y O 3 O= N O N ' 3 CO O 0S t/1 .L K QA 9 OO�tn Nr. `< QAO S y C m S °' m �� C m ? — m _ _� 0 A m 5 to -0o �' m �.� �+ v m m n 7 n m m m 0 CD 0 7 0. co m m 0 0 x ya ��m 3 (O O � v N N D =r c m m N D °-' ? c Cn CD Sn mm m ° pad mm �m� N ° n o m Si N ~' v N m m N H fD n 0 57 O O o0 Z5 A O m (D to 69 0 fA 69 0 ! ti ti O O CD O O CD O a O O C- O O L N Parcel #: 030 - 1048 -70 -100 03/24/2005 05:07 PM PA 1 OF 1 Alt. Parcel #: 22.30.19.184B 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * THOMAS M SCHOTTLER SCHOTTLER, THOMAS M 611 148TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 611 148TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 13.881 Plat: N/A -NOT AVAILABLE SEC 22 T30N R19W PT NW NW BEING LOT 1 OF Block/Condo Bldg: CSM 10/2864 13.881 ACRES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 22- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 09/12/1997 1263/625 QC 07/23/1997 1108/552 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 5124 Use Value Assessment Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 9.880 1,300 0 1,300 NO UNDEVELOPED G5 1.000 300 0 300 NO OTHER G7 3.000 26,200 95,100 121,300 NO Totals for 2004: General Property 13.880 27,800 95,100 122,900 Woodland 0.000 0 0 Totals for 2003: General Property 13.880 16,700 86,300 103,000 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 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner ' 1A M G !/o r TL- LZE f1 Property Address j; & 1!V8 ,A U 6' City /State ^ D Ma;R S',ogT Gy / .T`�02 S ► Legal Description: Lot „YA Block &A Subdivision/CSM # V4 �W 1 /4, Sec. ,U, T, QN -Rj �W, Town of S�, .faQ11 PIN # Djn --/OVA -7D -� SEPTIC TANK — DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer )A(= �/L Size ST/PC X/ Setback from: House &L Well PAL, Pump manufacturer ;t/A Model X Alarm location kA (HOLDING TANKS ONLY) Setbacks: Service road Vent to le �ttake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: ��G 1-1 Width �_ Length ,�,�_ Number of Trenches Setback from: House .,6'0 Well /DD'' PAL 1 , 0ot Vent to fresh air intake 46 ' ELEVATIONS O. Description of benchmark l Elevation d Description of alternate benchmark Era a � oe r A ), 49:A S /�� o � Elevation /d4, E1/ 0g1R y IyA,eN �n I Building Sewer 7, o ST/HT Inlet 7 ST Outlet PC Inlet PC Bottom &A — Header/Manifold Top of ST/PC Manhole Cover 9 . Distribution Lines (1) f {', 7 .S )S ( ) Bottom of System 9? (2) V 7 ( ) Final Grade Date of installation / Permit number 338 State plan number '" Plumber's signature icense number 2 1 �/1 Date 41111 Inspector Complete plot plan Or NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. rI • Show alternate benchmark, if applicable. PLAN VIEW 9M EC. loo,o '60 C,44A 6.E /S*1 0 Z 14 ) 0 ? 5"vcr s 1NF1 c T/1/+ yo,4 S. I f/orr� �p00 rrL• S e i , QA /R y cr /f/7- .�cqc 13AQnr 13/Y. 1 707P& Y 5101,~4. INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No IX Personal information you provice maybe used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 338889 Per ����laplt , THOMAS ❑ City Villay T n of: State Plan ID No.: VM CST BIVI Ellev.:- Lr;l{ Insp. BM Elev.: BM Description: T JJ Parcel Tax No.: 030- 1048 -70 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION B5 HI I FS ELEV. Septic /75 • ' t y Dosi ng Aeration Bldg. Sewer G Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet ,��/� Ct 7/ TANK TO P / L WELL BLDG. A ir ir I ntake ROAD Dt Inlet Septic > o ���' , >� 5" NA Dt Bottom Dosing NA Header / Man. �� o Aeration NA Dist. Pipe O ,.a ' 9s Holding Bot. System /o.�? �o• .7F' 9w.g7 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand �' , Model Number GPM ° 91 91°1 qS 1 7 TDH I Lift Frict' System TDH Ft Forcemain gth Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No- Of Tren hes c PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '5 1 � DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of Model Number: System: ) r/ DU $U p ` /(J OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center t Bed /Trench Edges itl Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH 22.30.19.184B,NW,NW 611 148TH AVENUE Plan revision required? ❑ Yes ❑ No Use other side for additional information. 1 �j W (d SBD -6710 (R.3/97) Date In a is Signature Cert. No. I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _ .... . .._ E . _. s e , 4 t t.. r i Y E ..,...... ....... ...,... ,.. «..°+. ..3.... ..,, .w @ems .�,.<.._. ...........: .. .. m. .,� ...... g ; e 3 .... ., w f s � g � , , a � f i { . 1 a c ....w . �..... ..vq.. 3 ...,...,.,.. ...... ...I ,n»,.° .�..,. ..,�, .... _ ,n ....m. ».... R ....e,.._..... . _....�.�.,. c .. ....... .... .... ........ ... ... ,,.. f gy S 1 fl s y 3 E e e ° r € ; 4 s n ° ...,....a� �.� ..,.,.. ..> . ,,,.mom -e. ..._._a i ....,� .. �, m -. ----- ».. .. .,. a ....... ........ 5. m q . ,........« 3 ° � m _..�,_ --- _ --- ,�._ f i 3 a d @ e ,..». ,m a � a , e � a a Safety and Buildings Division �� ■�r■r■ SANITARY PERMIT APPLICATION Bureau of Buildin water s 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. ' �O 1 • See reverse side for instructions for completing this application State Sanitary Permit Number 335 k8 The information you provide may be used by other government agency programs E] Check it revision to previous a0plication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION PropeFrt Owner Name Property Location i4 . 2 2 T ,3d ,N,R / Property Owner's Mailing Address Lot Number Block Number T/j C ,State Zip Code Phone Number Subdivision Na a or SM N er - et ( '7161 - ?sue b aq II. TYPE OF BUILDING: (check one) ❑ State Owned ❑cit Nearest R ad ❑ Village Tjlj! C] Public 1 or 2 Famil Dwellin - No. of bedrooms Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) �2 w ��. 19 . 1 1? 4-( 1 ❑ Apartment/ Condo 0 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/Motel - 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2 Ur 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System System Tank Only______________ Existing System - --------- Existing System B) ❑ A Sanitary Permit was previously issued. Permit 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 t( Seepage Trench 22 ❑ In- Ground Pressure i 42 ❑ Pit Privy 13 ❑ Seepage Pit p� 1 S 43 ❑ Vault Privy 14 ❑ System -In -Fill r VI. ABSORPTION SYSTE FORMATION: 1. Gallons Per Day 2. Absorp. Area 3, Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation o , s Feet 9A, '� Feet VII TANK Capacity altos g Total # of Prefab. Site Fiber Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete con steel glass Plastic App New Existing strutted Tanks Tanks eptic Tank o 0 ❑ 1 ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ I ❑ ❑ I ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage s stem shown on the attached plans. Plumber's Name: (Print) Plu a 's Signature: (No St a M PRSW NQ.: Business Phone Number: P umber's Address (Street, City, State, Zip Code): _ IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing A nt Signature (No Stamps) Approved ❑ Surcharge Fee) Owner Given Initial ^� d� Adverse Determination ®�� ! n I� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Ruildings Division, Owner, Plumber INSTRUCTIONS 1 . A s a nitary 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 a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. 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 8 1/2 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 oints• C complete specifications for pumps and controls; v p ) p p p o s, dose volume; p , elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Jo A ve Key S af�le� ® = door =wall J4 d� = stairs Office Kitchen and dirdng :., Bedroom - 1 T Barr; Soy z Bedroom Bedroom Bedroom 3 2 :.. _ 4-7 4 4 W�� z - ..._. _ I I 1 HWAY SETSACh 3 "' ► w 604,G47 Sq. Pt 13.001 acres TO L . ie 541,018 Sq. Ft.) == Cxc :udiny :12.420 Acres ) a7�e'� ✓.6� -- O a`of'/Vhwra LOW,. R 01 PA w w 10 4 - _ `J o I SIL6 7 xc r .S: TA,TE': b jib/* of 1V corn x . Ell A 1 , L v I l a O� I -- ,58 6 0 47'57 _.__ 5 8 6 4 7 57_ w DOE r 61 l 14g-(� say.���`� 1� S4o2� L4 , � F I , � I : { , I "y.A;A S T_ _S1AE : 1 {_ - - - -- -- -- - ---- - - - - -- r B 3 � : ; , ; j T i I � , - - - -- WO ��" - - C OO i r f : I , r I I !.1 - I i I �7'/ E ___ ,. __ _. f t r { r -, ,_ � } ` __ - � _ 1 _ _i_ ._ _ _ _ _.: _ � i f � _- _ -s_ . -... y _ i.. � � .. - - -t- -- e �_. _ _ -- ._ ; ^ _ i _ ( _ �. _ _ _ � — � i _ -_ - __ •__. -- ._ _.. _. _ _.. _. .__ 1 1 1 � , _. .. � s. y. .. j... �... ____t i -__ . - . r _ ,. 1 � � i _ _� �- i � !- _ I -_. � _ ,.. � � fi t � � _ ; _ __. _ - - -� - -- — __ _ _ _� _ - -.. . _ _ _ _ _ _ 1 . _ �— �_ — — — — � , w_ _ - -- � � - -- — -- — - - - -- — — -— — — Y •— r ` .__ _._ 3_. ; -- f— ? .; a . { _ _ __ - _ ..- t. - I _ �.. � � � � t- i � _.._ __. _. _ ... __ _ � -- t -- - � -- - - - -�_ - - - - - — -- - -- ;. - -- _ ___ __ _ - � � _ _ r �.. _ - � � _ ± - - -- -- - - - - - - � - - -- -- - ! '_ I � � r � — - - -- . _ ... _._ t �_ __.._ -- — _ -_ t a � }. i _ � i 4 � + p � � � �. f i � � � { � i s � �.. _� _. I • i s i � z � - -- - _ __ — i � � i • I � t � � � iii f _ ' _ _ -- _ - -- �_ r i ! � ! j ._- ._._. _ _ -- - � — s -. i e t t - _. i T � p _ ;- �- - - -. {_ _ - -- i . � 1 _ _. —, . � __ —— i � � t T t— I �� � � fi . � - - __�— � � r - - —�— _. _ —} _. - -- - — �— _ _ _ � o — , _ - - -- - — z -- � t - -t— �— �_ _ rt — — — — _ -- s t i i } i �_ _ - - -- _ _.._ _._. � -- -- —i- -� - - -- -- � - - -- - � -- -- - r - — - - ,_ !_ - - _. . ,. _ t ! _..� y r� i ��� � i � � __+_ ..�__ ._ __ _ ___ _ _.. f - _- _..._ _ +_ _ � � �.__ � � � _ __ _. _. _ __ - -- 1 I -_ _ _ __ —r t __1.. � . ._,. ,. , _f_ _ _ � - - -- - -- - -- — — - - - ! I I f i r --- r— �— _ _ - � _�__l___ ___ ___. .____ _ }_._ ____ _ _ ' — _. __ I t -- ; — -- r— t— +- --,- -- � fi -- f— —� �. -- ---r i R � '; � � � i '• � - � — f ?__ --�" __ -- -1 --- -- — -- — -- - __ .. _ e � _. � i I ; i � t � �� � i _ — - - - -- __ _ 1 ; r� — - -- _.— - -- ! ._ .. __— .__ _ _ __ __ _ - -�__ _ _4 _ ____ _ _ � �C__ _ _ -- r _ .._._ .._ _ _ _ ._�.- - - - -� � � f � � .� ._� ____ ... _ + R �_ i b � � � i R ._..�_ _._.�.._. .___ __.. .__... t � .. � `-- _ __ _ _. _.._ � _.. __....... i - - -- _..._� __ . --- __ __ � i tt _ _ i , _ -. _ ._ _ ____. _ t i �_ �� _ I � 1 � � �__ � 1 r Wisco Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page I of ° Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and 7 C r X percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # �20 — Q© APPLICANT INFORMATION - Please print all information. Re wed by ate Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location '/ el Govt. Lot #A 1/4 #4/1/4,S _U T20 ,N,R �9 4M W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# Ile Np /v,4 N� Cl' State Zip Code Phone Number g ®' Town Nearest ❑ City ❑ village Road � On/e e, 1-1-7 �cb2s' (715" ) ,2 y7 3s10 P ❑ New Construction Use: Residential / Number of bedrooms 7 Addition to existing building C, Replacement ❑ Public or commercial - Describe: Code derived daily flow ® gpd Recommended design loading rate a 2 bed, gpd /fF trench, gpd /ft Absorption area required bed, ft2 y . trench, ft Maximum design loading rate _ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) / _ 1 411, area 5Q.-ne ft (as referred to site plan benchmark) Additional design%site considerations Are4_ CU - f Ari o, �o SC I '6S Parent material 45 7 Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system N S ❑ U IRS El U NS ❑ U 9s ❑ U ® S ❑ U ❑ S W U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench iz o2 y - r A q r L S All � C �/U • � Ground 3 // I Depth to limiting fa in. Remarks: Boring # ? / /1 ANN= rn Ground • el v Depth to limiting factor 4YZO in. Remarks: CST Name (Please Print) C �T[ Signature , ` Telephone No. MQ a JG Mr l� ' 7lJ `bl/J / Add g ss Date CST Number SlJd G� /l rt.�.J �rx�`� c urs S V e? ;;, W hi�ma5 -SOIL DESCRIPTION REPORT PROPERTY OWNER Page of 3 , PARCEL I.D.# Boren # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench .37-I 7 5�A/ L S 6 .. 7 Groundd �St. Depth to limiting f ctor 400--in. Remarks: Boring # y 9 Il rAl Ground el v. Depth to limiting f actor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # 0- 160 L r Ground �elev. 7 i•�� Depth to limiting factor f / in Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) t I i i C 13 - - - eve rly. 6 id vo 1s�,S' Cjr GJal�! Syr s 7e_G�>- g ?/- Pv t o- ;,Yr)is 4 Sap I - -- s I I 7 e I i I i � I - �'�-i : o� S l �7 its.- - /a .u, y? - , a ds l '.� -- • .�► %.? L _ . ol ✓�i''�'� tie i ! : a ' i I I I I, : I I : ; , a I I t 4 i i i I I I , i ' r I I I ' , Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labe -and Human Relations DIVision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix 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 ction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dist ad. APPLICANT INFORMATION — PLEAS l ION REVIEWED BY DATE PROPERTY OWNER: * r PROPERTY LOCATION Tom Schottler GOVT. LOT NW 1/4 NW 1/4,S22 T30 N,R 19 for) W PROPERTY OWNER':S MAII.ING ADDRE " LOT # BLOCK # SUBO. NAME OR CSM # 611 148th. Ave. t na na csm CS m STATE WI . 54025 ZIP P� NUMB [:]CITY (]VILLAGE GOWN NEAREST ROAD ( 247 -55 St. Joseph I 148th. Ave. New Construction Use [x* Residenti (,,Number of,be � [ J Addition to existing building j� Replacement [ ] Public or commrcW e Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpdm •8 trench, gpolft Absorption area required 643 bed, ft2 563 trench, ft Maximum design loading rate • _ bed, gpolft2 - 8 trench, gpolft Recommended infiltration surface elevation(s) 92.55 t (as referred io site Nidli i,Cii%iuTiSrn) Additional design/ site considerations site to be cut to el. 96.05 Parent material pitted glacial drift _ Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE I AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ® S C3 U O S ®U ®S cl U EIS ❑ U O S ® U ❑ S Q U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botndsry Roots GPD /ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trerdl Z .::.: 4 1 0 - 130 7.5yr4/6 none is Osg mvfr na na .7 1.8 Ground elev. 98 ft. Depth to limiting factor +130" I Remarks: Boring # 1 0 - 7.5ry4/6 none is Osg mvfr na na .7 .8 2 Ground j 96. ft, f Depth to limiting factor +84" Remarks: CST Name: — Please Print Phone: Gary L. Steel 715 - 246 -6200 Add ress: 1554 200t Ave., New Richmotlltd WI. 54017 Signature: Date: CST Number: = Lze�' 12 -1 -94 cst PROPERTY OWNER Tom Schoettl-er SOIL DESCRIPTION REPORT Page2' of 7 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouncl3y Roots GPD/ft2 in. Munsell Qu.Sz. Cont. Color Gr. Sz. Sh. Bed 1Tmnch 3 1 0 - 84 7.5yr4/6 none 1S 0SCI mvf r na na .7 .8 : MMM Ground elev. 96.73 ft. Depth to limiting factor +84 Remarks: Boring # I 1 0-130 7.5yr4/6 none 1s Osg mvfr na na 1.7 8 4 Ground elev. 97. 59t. Depth to limiting factor +130 Remarks: Boring # 1 0-100 7.5 r4/6 none S Os g M1 na na .7 �.8 XX 5 Ground elev. ft. Dep!h !o limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05192) i STEEL'S SOIL SERVICE Gary L. Steel Tom Schottler 1554 200th Ave. CSTM2298 NW4NW4 S22- T30N -R19w New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 N 1" =40' BM.= top of shed cement footing at el. 100' lot 14 acres e 2e l �� f '61A 1D 1 .3 jy � 11 Gary L. Steel 12 -1 -94 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT roil 11TILI ZA'1'1(1N OF AN RXI STIN(7 MU'TIC TANK This is to certify that I have inspected the septic tank presently serving the Cif"/ : �f /�S Gf�L7/ j E,� r e sidence located at. 1/4 Sec. ,2 T20 N, R W, Town of CT sue® ft Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. g . P p Y Last time serviced Did flow back occur from absorption system? Yes No (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete // Steel Other Manufacurer ( if known) : W14F5C1Z ' 2 000 GL. S.%. Age of Tank ( if known) : �},/�/'/�pX �/y�5 (Signature) (Name) Please Print (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR - 83, Wis. Adm. Code (except for inspection opening over outlet baffle) Name /Ai CtlJ'I /T% Signature P /MFRS 5/88 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Bu er T&1 �S �C'f�D 7 &, Y MalllioB Ail�ltunn ._.. _. // ..._._. .. �7 O ✓7t1,6F Property Address �� �%� T /f //� 'S0 /"I cr 12z�T Ll i s `1yZ s (Verification required from Planning Department for new construction) City/State SOIVI -2 S T ZVI' ' Parcel Identification Number LEGAL DESCRIPTION Property Location &-W r /4, � Y4, Sec: T -R_ W, Town of S% X 70 9 *_ • Subdivision YA , Lot # Certified Survey Map # e!2 , Volume , Page # Warranty Deed # 3 , Volume /X 6 3 , Page # Spec house ❑ yes 0 no Lot lines identifiable ® yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber,, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. %eq- SIGNATURE OF APPLICANT DATE • OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. °: -m S � � ' �� Y /'/ 9 L SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed -�i yp� ��jj��pp�� �����jj �] A �6r� 565333 STA A WiSC17tJ5 l FDRM 3 - 1982 QUIT CLAIM DEED DOCUMENT No. REGISTER'S OFFICE Amy H Scho ler J ` ^ ,) ST, CROIX CO., WI RKi d W Iheer'd SEp 12 1997 quit- claims to Tho A M• Schottler 1:15 P M Register of 00- the following described real estate in St. Croix County, State of Wisconsin: THIS SPACE RESET I FOR RECORDING DATA NAME AND RETURN ADDRESS Oltman b Nebster, Ltd. P.O. Box 490 Ellsworth, WI 54011 030- 1048 -70 -100 PARCEL IDENTIFICATION NUMBER Lot One (1) of Certified Survey Map in Volume Ten (10) of Certified Survey Maps, page 2864, as Document Number 524789, filed in St. Croix County Register of Deeds Office on January 4, 1995, being located in part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Twenty Two (22), Township Thirty (30) North, Range Nineteen (19) West, Town of St. Joseph, St. Croix County, Wisconsin. FEE O EXEM r This i s not homestead property. %( is Dated this of � • 19 97 41 � "71 I Xo (SEAL) (SEAL) (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures) v v 'r+ V _ State of Wisconsin, St. Croix Coul -ty. S j jhht - ated this 31r d day of � vk"bfr 19 Personally came `xiore me this day of 19 97 the :hove tamed Amy H Sohn } - 1P1^ TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by ?x706.06, Wis. Stats) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY _ _j,,_ WEBSTER _ Notary Public, County, Wis. (Signatures ma; be authenticated or acknowledged. Both are not My commission is permanent (If not, state r <ptration date: necessary.) — • Namcs of persons s!gmng in any apaoq- shou:d by typed or printed below thav signatures. 5T1TF BAR OF WISCONSIN w�scons++L -31W* C4 • Inc_ 4Utl CLA04 DEEn Form No. 11- 1962 f 524'789 CERTIFIED SURVEY MAP Located in part of the Northwest Quarter of the Northwest Quarter of Section 22, Town- ship 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin. Prepared for and at the request of: LEGEND Tom Schottler 611 148th Ave. County Section Corner Monument Somerset, WI 54025 • Found 1 Iron Pipe in concrete Owners: John & Georgine Schottler O Set 1" x 24" Iron Pipe weighing 1.68 pounds per linear foot. NW Corner N',- Corner Section 22 Section 22 T30N, R19W — — — EAST 2623.98' — _- NO RTH LINE OF THE NW 1/ T30N, R19W 153 EAST 559.00 EAST 1911.60' / '– – �-- — — w EAST 559.73' o w SCALE I" = 200'. 0 150 TH _AVE. ''' 200 100 O 200 WA i •� HIGHY SETBACK LOT 1 Bearings are referenced to 604,647 Sq. Ft.) U) the north line of the NW' -, -, Total Area 0 z I 13.881 acres assumed to bear EAST. ) o 100 a� Ir 541,018 Sq. Ft.) ID m z , Excluding R/W -4 I� o Z :12.420 Acres ) 1-1 0 Z i 0 -I m IM or {� M0) m Iv m w w IO iy o V I 0 l0 IZ -4 Iv 1= I(n X -4 V � Xr� SILO -4 N f :Z c i : 1 j i� I NORTH A .4 / > Drafted by: D.J.Z. a � ) z Z m ° WELL° 66.76' -_ a o 90.75W'-,- - - I � s66 .47' 57 61 _ _ - - - - ^ S70 58' 21" W O— 157. 51 — S 86 47 57 W 562. A ' 148 T H . AVE- ( See Note regarding regarding road) S � S 1,t/•js -- UNPLATTED LANDS �e� C4U, (! �__ (t �, CURVE DATA L Centerline Right -of -way �6w I Radius Length = 150.00' 117.00' "- Central Angle = 91. 0 16 1 37" 91 0 16 1 37" Chord Bearing = N44 0 21 1 41.5 "E N44 0 21 1 41.5 "E W' Corner \ Chord Length = 214.48' 167.30' Section 22 \ Arc Length = 238.96' 186.39' T30N, R19W Tangent Bearing = N01 0 16 1 37 "W N01 0 16 1 37 "W Tangent Bearing = EAST EAST County General Notice NOTE: The parcel shown on this map is subject to State, County and Township laws, 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. Note regarding road: County and Town records show 148th Ave. to be a rod wide road (49.5 Town records show the length as being approximately 0.2 mile (1056'). County records show 0.12 mile (633.6 which is closer to what exists. r _ lo Vol. 10 Page 2864 nl ��• St. C, Jx ��'s AST PART ST. JOSEPH T 29- 30N- -RA9W. P SEE PAGE 5 � '�'�✓ av e � n Rich ul! kf i f,�� /e.� s ' a. Hix//e .. e44/ tl .ia B i a CIl wia • Can BO t;k to ' 2v e// :i7 do §r Mdr1�r/ _ yPr 7 �cl. L /e .us t. U n.0 r �c�a2 �i2iF ess 40 1 io Erne �o./,ter- .... • , G ��� I � f/ .f� de //y a� �Tohn s zs ,\� �t •. . ie% Uoh/a / � a P Cjeo�yinc .S:i • `�� ��Ta %.g-i711 k tu V �/�� /zo • cSchotf/ei- • � hha '''. • q . \ l^L tl f l'U a •� � /i3 SYoeet AE r ` �� iY /bo t o s. • ' q rin 0 R /a2/ SttA.�L. L' -- 300,E tu 6zos 'P bha d bl� 1ron ..: TW^•Crs' 2 t 1 /J� j/ \ 2 �LSY i°aK2 / q AR T i y E MRrCG/ y H L. q5� Fk �YY m imon ' \ a zrz w Gcy9^ f / 1 • 3 PER N ARE D Nl40i i .gi O b f `ya • :!M r/ cXa.Y M.�e.L TRAM A Q B,sf!S'er- Ge d E To Ycs : j h6ay brow 7 tt �� T. QaK ' J0 m ' . vtw c . e . q � Bo sc 3 � 0 o Z`s � G N. Hai -aj n i9 thu!- .. on .Y r Nancy � y ::....:. •. • • Fc`ye�sGn A/owki�nson X 0, s ichard y ors om j !{S • artAi {/aerie E Ohnrst F . "�7 yY rPr>�C Th E�e e Lo�4nt.: /Ae� O R IVER WIL L O /se a 1 f/ur/fiis9 C/ub. 4 rTameis G STATE PARK /zs. Com n 4oz /a �o m uT URKH /zo y riCS a ,�e c. _ /iz. s Y e est�uaf im /6 0 �a A < ^F 40 =zs rid. 7z 0/982 Po r -- 7" SEE PAGE 27 d Ma Pcb /.sI c. Cr'o X G'oe.v7� P✓ie. WILLOW RIVER Friends of 4 -H 1 NN Burkhardt, Wisconsin l THE COUNTRY STORE V Mile Northeast of Emerald, Wisconsin 54012 State Park BONTE'S TRUCKING Old Time Dick Bonte & Sons Country Tavern )n Emerald, Emerald, Wisconsin On -Off Sale Liquo 200-East Chestnut Street • Stillwater, Minnesota 55082 • Ph. 439 -5454 With convenient offices located in the St. Croix Mall, 386 -2201 Lindstrom, and Pine City, Minnesota. s � ORDINANCE # WHEREAS, Wisconsin Statutes Section 60.74 et seq,. provides a procedure for a Town Board -to recommend that zoning districts be changed within its Township with the final approval being by the County Board of counties having a Zoning Ordinance, and WHEREAS, the Town Board of the Township of St. Joseph held various public meetings concerning a proposed change from agricultural- . residential zoning to agricultural zoning for the entire Township, with certain exceptions, and WHEREAS, the Town Board for the Township of St. Joseph met during December of 1982 and approved by a vote of to for, that the Township be rezoned from agricultural- residential to agricultural, with certain exceptions as are more particularly set forth on the official Township of St. Joseph Zoning Map, and WHEREAS, the St. Croix County Comprehensive Zoning, Parks and Planning Committee received an official letter from the Township of St. Joseph indicating such recommendation for rezoning, and met on December 27, 1982, and approved of such recommendation by a.3 too vote. NOW THEREFORE, BE IT ORDAINED by the St. Croix County Board of Supervisors, meeting in regular session, that the action taken by the Town Board of the Township of St. Joseph and the recommendation by the St. Croix County Comprehensive Zoning, Parks and Planning Committee are hereby approved as follows: 1) The Town of St. Joseph is hereby rezoned from agricultural - residential district to agricultural district as more particularly set forth in the St. Croix County Zoning Ordinance Section 2.4 EXCEPT those areas excluded from the agricultural district on the official Township of St. Joseph Zoning Map, which is incorporated by reference as more particularly set forth in said Zoning Map which is filed with the St. Croix County Zoning Administrator, with a copy being retained by the St. Croix County Clerk. 2) Parcels may be rezoned from the Township of St. Joseph agricultural district to any of the other zoning districts as more particularly set forth in the St. Croix County Zoning Ordinance if T� 9 -30k i9 -ZaJ the parcels meet any aid all of the criteria set forth in Attachment A to this Ordinance, which is hereby incorporated by reference. This Ordinance shall take effect upon proper passage and publication according to Wisconsin law. Dated this 0 day of December, 1982 COMPREHENSIVE ZONING, PARKS AND PLANNING COMMITTEE Negative Affirmative / 1 V STANDARDS FOR REZONING FROM EXCLUSIVE AGRICULTURE TOWN OF ST JOSEPH A parcel may be rezoned from exclusive agriculture if it meets any one or all of the following criteria: 1. The parcel is'too small to be economically used for agri- cultural purposes or is inaccessible for farm machinery needed to produce and harvest agricultural products. 2. The parcel has not,had a history of economically viable farming activities. 3. Consideration has been given to the preservation of woodlands and wildlife areas. 4. The land has less productive soils than SCS classes I, II and III. 5. Roads and driveways shall be permitted to cress agricul- tural land to reach non -farm development only if a. Minimal amounts of land are removed from agricultural use. b. The road or driveway does not interfere with agricul- tural activities on adjacent land. c. The road or driveway is constructed under accepted erosion control measures, suitable for emergency vehicles travel and has safe access to existing roadways. 6. Any rezoning from exclusive agricultural shall require a recommendation for approval or disapproval from the Town of St Joseph Zoning and Planning Board and the St Joseph Town Board. adopted by St Joseph Zoning and Planning Board Town Board 12/16/82 r� '; t saw A we- �11 Pu w G L h� r i 1 _ _ _ .. k � ____ __. __ __ . i a 1 i �_ _ _. i w i i { i i i i u�► -may MINOR SUBDIVISION APPLICATION SURVEYOR:Please complete the upper portion of this' application. Submit the original survey map and $100.00 fee with each application. We will then forward a copy of the map and application to the Township to obtain their approval. After the Township action is received, the Comprehensive Zoning, Planning and Parks Committee will act. , ------------------------------------------------------ -- - - - - -- NAME � h �? l e r TOWNSHIP 5f• ADDRESS SURVEYOR LOCATION 1/4, NW 1 /4,SECTION G�� T N -R �y W., TOTAL SIZE _ I3, 8 8I f�c . , NO. OF LOTS, 1 SIZE OF ORIGINAL PARCEL PARCEL NO. Show how the new lot(s) fit within the original parcel. (Make a rough sketch in the box to the right).: Page no. of the St Croix county Soil Survey. Soil Types Limitations 0I !11 Does the new lot(s) have any existing buildings suitable for habitation? / YES NO V _.._ ..._ . �. -------------- r--------------------------------------------- .. ... ZONING OFFICE A.Review fee of $100.00 paid date. Make check payable to St. Croix Co. Zoning Office. B.Escrow fee require yes no. Amount ($100.00/lot) Make escrow check out'to St. Croix Co. Treasurer.' C.Public Hearing fee ($150.00) required yes no Paid on TOWN BOARD Period of review -30 days SIGNATURES P F , THE BOARD Lj1 E J Approves r, , Rejects 0F ::xX Condit. Approves Cwlmi". COMPREHENSIVE ZONING, PARKS AND PLANNING,.COMMITTEE Datdl - to craip Approves —7' ejects :,:A X vk) conditionh approves , signature of Chaiffman Conditions of approval or reasons for rejection: r n�� iii " P r .,'' L� o 99� — Ttl i • ^Q , M. /171[4 •7. c „ �0 Q2 M , P I vy S � ^ 0113.1' .. ...r —•. � N ,3.1;6'.1.:5 . t a .• � , 't l.. ' 1 � �' G1 Y i i kn4 n . • �. 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