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HomeMy WebLinkAbout032-2121-50-000 ST. CROIX COUNTY ZONING DEPARTMEN , AS BUILT SANITARY REPORT A Owner " Property Address r� `+ City /State s Legal Description: st ticOF Lot Block Subdivision/CSM # c� 1 /4 / t/4, Sec. ,2, TAN -R,/2W, Town of P k - SEPTIC TANK -- DOSE CHAMBER -- HOLDING 'WANK INFORMATION: Tank manufacturer h Size ST/PC/ Setback from: House ,_ye Well -' P/L -� 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 Type of system: Width, Number of Trenches Setback from: House z4 /D Well y� P/L 5 Vent to fresh air intake ELEVATIONS Description of benchmark - - Elevation Description of alternate benchmark Elevation Building Sewer , /e9,, 7 ,� -- ST/HT Inlet �leg, :3,-P ST Outlet 9 PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cove Distribution Lines O _L, . 1, O ( ) Bottom of System( ) �� o&. 7-? () ( ) Final Grade ( ,/,.) Date of installation / / 1`7einit number State plan number Plumber's signature License number Date Inspector Complete plot plan � w 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. • Show alternate benchmark, i applicable. PL VIEW G INDICATE NORTH ARROW �9 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y 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 (1)(m)]. 344694 Permit Holder's Name: ❑ City ❑ Village ❑ x Town of: State Plan ID No.: Ka zle Sean I Town of S omerset CST BM Elev.. Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELWATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic G(Jb Benchmark Dosi Alt. BM Z •(, �� Aeration Bldg. Sewer Ho ng St / Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet -ff TANK TO P/ L WELL BLDG. Airnt oke ROAD Septic 7(OUr v I NA o D Header /Man. �, U lQ y - 4 Aeration NA Dist. Pipe d Holdin Bot. System PUMP/ SIPHON INFORMATION Final Grade nufacturer emand St cover Model Nu a GP TDH n Syestem TDH Ft Loss rcemain Length Dia. Fii Dist. To well S L ABSORPTION SYSTEM B / TRENCH Width Len 99 t th � h No. Of Tre ches PIT No. Of Pits Inside Dia. Depth DIMENSIONS S✓� Z DIM SYSTEM TO P/ L BLDG WELL LAKE / STREAM G Manufacturer: SETBACK INFORMATION Type Of � HAMB el Num er: System: (p� 7 00 ) to() OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. / Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1:!/ //( / f (Inspection #2: Location: 1672 85t Street, Somerset, WI (SE1 /4, NW1 /4, Section 12 T30N -R19W) - 12.30.19.1097 7y 1' Of z, Alt B*f dam- v 4 ii'Ws - I t a't 3 kW &"'- it A" Plan revision required? ❑ ❑ No Use other side for additional information. SBD -6710 (8.3/97) Data Inspector's S62ature Cert No. l ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _. F t E } a t 6 m5m.ve 4 3 8 . 3 F , I — , t a _ s t - 3 p t z , ® �me a _. _. i t e u F t i , e F f, .. F F � � y � I E .,,.,, ,..,. . .... ..:�___ ._.:' _ � i.•-_ .. � ,..,,.. _ ,.... .. ,. .._ gam... ,._;.. _. ....... F ..,,...�._, �... g t 3 a n ®ems .,,....»,.. , .....ma . .. �L ,.,m t ! e P Safety and Buildings Division . - SANITARY PER� N 201 W. Washington Avenue Vi scons►n In r wi h I . A "y P O Box 7302 acco d t R W,ls d Cod' WI 53707 -7302 Department of Commerce ,' �� d • Attach complete plans (to the county copy only) for yst,� paper„ot IJ County than 8 tie x 11 inches in size. • See reverse side for instructions for completing this �lica+ , 'R 1 State Sanitary Permit Num er u .3 t q p Personal information you provide may be used for secondarryy p�urpose _� � F� ❑ Check if revisio�oprevious application [Privacy Law, s. 15.04 (1) (m)]. Qy^�"� -r'�, `(p 4-2 ��`"' ;`,[ ", �. U � State Plan LD Number I. APPLICATION INFORMATION- PLEASE PRINT A A. 1 Propert Owner Nam P y Location –1 /a 1 /4, S T_32 , N, R 19 E (or) W Property Owners Mailing Addres Lot Number Block Number Cit to Zip Code Phone Number S divis n N or CSM Number ( > s II. TYPE C 6 ILDING: (check one) ❑ State Owned ❑ C it y Nearest Road ❑ Village Public j3d 1 or 2 Family Dwelling - No. of bedrooms Town OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 3a �� sd — 0 d 1 ❑ Apartment/ Condo a. 3 0 •1 `1. 04'7 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. ❑ Replacement 3, ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System ------ - ----- - - - - -- - Y Y 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 � ❑ ❑ P Y YP ❑ 9 Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 E] System-In-Fill I z , x 6L r z p z_ VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Mm i ch) Elevation Feet Feet Cap acit y VII. TANK in Ca allo g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App New Existin strutted Tanks Tank Septic Tank or Holding Tank — s ❑ ❑ 1 ❑ 1 ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ 1 ❑ 1 ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inst Ilation of the onsite sewage system shown on the attached plans. Plumber's ame• (Pri Plumb rs S a r o s) MP /MPRSW No.: Business Phone Number: Plumber's ddress treet, City, State, Zip de): a IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) � %Approved [:]Owner Given Initial Adverse Determination -�. Surcharge Fee) X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber .4 . INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit maybe 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 -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. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one online 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 isto 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 points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. .SC' /T7T K>Li�G� i %�?�fh ' tON BJ' s.4 q�.�r r i/k ,�1� /QI.>J✓" .�.4 ��.Ca� � >,^ �� / vr =+�ti yTousz J7'/�jf9cJ ��J2�6 °i s 9,� - i ' n Q a 0 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor a-A Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ` f COUNTY Attach complete . Croix lete site Ian on p aper not less than 8 1/2 x 11 inches in size. Plan must include, but p p p p not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I dimensioned, north arrow, and location and distance to nearest road. 032- 2 .O. # 045 -20 -200 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION VIE . BY DATE �.� PROPERTY OWNER: PROPERTY LOCATION Gerald Smith GOVT. LOT SE 1/4 NW 1/4,S12 T 30 N,R 19 for) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 11160 190th. Ave.NW 7 na N. Bass Lake Estates First Ad CITY, STATE ZIP CODE PHONE NUMBER ❑CI []VILLAGE ©TOWN NEAREST ROAD Elk River, NIN. 55330 (612)441 -8888 Somerset 85th. St. [ 1: New Construction Use [ x] Residential/ Number of bedrooms 4 [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 103.8 alt . area= 102.8 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash 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 fors stem Pt S ❑ U 18 S ❑ U C2 S ❑ U KI S El CA ❑ U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends ................. .................. ................. .................. 1 0 -8 10yr3 /3 none scil 2msbk mfr gw if .4 .5 1 ................. 2 8 -14 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 14 -84 7.5yr4/6 none co s Osg ml na na .7 .8 elev. 10 7-B- ft. Depth to limiting factor +84" 8 8� Remarks: Boring # 1 -14 10yr3 /3 none slttrl 2msbk mfr gw if .4 .5 2 2 14 -29 10yr4 /4 none sicl 2msbk mfr gw 1f .4 .5 3 9 -84 7.5yr4/4 none co s Osg ml na na .7 .8 elev.nd 77 10 ft. Depth to limiting �'- factor +8 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 t Address: 1554 200th. Ave RicWoiA WI 54017 Signature: Date: 12— — CST Number: m02298 PROPERTY OWNER Gerald Smith SOIL DESCRIPTION REPORT Page . ,of _ PARCEL I.D. # 032- 2045 -20 -200 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bowdary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -8 10ur3 /3 none sici 2msbk mfr gw if .4 .5 '< 3 2 8 -16 10yr4 /4 none sici 2msbk mfr gw if .4 .5 Ground 3 16 -84 7./5yr4/4 none co s Osg ml na na .7 .8 elev. 10 ft. Depth to limiting factor +84 u Remarks: Boring # 1 0 -10 10yr3 /3 none sici 2msbk mfr gw if .4 .5 4s 2 10 -22 10yr4 /4 none sici 2msbk mfr gw if .4 .5 3 22 -84 7.5yr4/4 none co s Osg ml na na .7 .8 Ground elev. 105.6ft. — Depth to limiting factor +84 Remarks: Boring # 1 0 -11 10yr3 /3 none sici 2msbk mfr gw if .4 .5 5 2 11 -28 10yr4 /4 none sici 2msbk mfr gw if .4 .5 ................. 3 28 -84 7.5yr4/4 none co s Osg mi na na .7 .8 Ground elev. 105.. -8 ft. Depth to limiting factor +84 Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) v STEEL'S SOIL SERVICE Gary L. Steel Gerald Smith 1554 200th Ave. CSTM2298 SEgNW4 S12- T30N - R 19w New Richmond, WI 54017 MPRSW -3254 town of Somerset (715) 246 -6200 4 lot #7 -N. Bass Lake Estates First Addn. N 1 =40' BM.= top of S9 lot pin C el. 100' Alt. BM.= top of SE lot pin C el. 103.65' drive turn point 0 0 1. N w �� l00F fit( �r 9 e� 33t 15( 2 3 Gary L. Steel 12 -1 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer J E- Ar-J K 2L� Mailing Address a3 `7 S 6 y51-{ Ay k— �9_ /hAPL c Lt a p re&j Ss) I _Property Address Lo (Verification required from Planning Department for new construction) City /State �c ��s /Z � /, t/ Parcel Identification Number 032.2121 - OCM LE GAL DESCRIPTION Property Location „ _ r /4, _4Z r /4, Sec. , T __Eo_ N -R19W, Town of Subdivision ,�s j S �, o � , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # _ (0 (OT (o Volume d �S 3 Page # Spec house ❑ yes Gino Lot lirieS identifiable [eves ❑ 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. l07/ 9Q SIGNATURE OF A9 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 owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. q 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 D J' � � N N � 1 © 1 Iz 1 14 53FAGE 569 609674& KATHLEEN H. WALSH REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 - 1"ll ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD This Deed, made between Forest Oaks Condos. Inc.. a Minnesota 09 -01 -1999 2:20 PM tLQMjLratIon. WARRANTY DEED EXEMPT M CERT COPY FEE: Grantor, conveys and warrants to COPY FEE: Sean Kaz a TRANSFER FEE: 119.70 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin Records Area (The "Property "): Name "U MME, ME . SUITE 200 1900 SILVER LAKE ROAD NEW BRIGHTON, MN 55112 638 -1900 YS / FAX 638 -1994 A 032.2043- 20-200 Parcel Identiticadon Number (PIN) Thb Is not homestead property. Lot 28, North Bass Lake Estates First Addition in the Town of Somerset, St. Croix County, Wisconsin. Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any Dated this 31 s t day of August, 1999. Forest Oaks Condos, Inc. B * ald 1 , P Ident • AUTHENTICATION Signature(s) ACKNOWLEDGMENT authenticated this _ day of Au Q u s t STATE OF MINNESOTA ) Ramse as. Y County ) * Personally came before the this 31 St day TITLE: MEMBER STATE 'BAR OF WISCONSIN of August, 1999, the above named F Osks Condos. (If not, Inc.. by herald J. Smith, Preaident 1Ylt nna�rrba Co ray - authorized by 1 706.06, Wis. Slats.) to me known to be the person(s) who executed the foregoing instrument and acknowledge same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not Notary Public, State of Wisconsin pessary.) My Commission is permanent. (If not, state expiration date: vv� n T I E?J TCl'•S c:,larC { IVII, he r�r r�ua ,c r.IN;, -::'ova � i!"esJan, 31. 2000 v.'VV ✓VV VYvvN. ^fJ'v.. i $Names of persons slatting In any capacity should be typed or printed below their signatures W ARRAM 1 1 tlaart STAIR BAR OF WISCONSIN FORM Ne. 2 - tfla INFORMATION PROFeaaIONMA COWANw FOND DU LAC. WI a0W65 -2021 J HP Form No 115- t\1— Inaivldunt Minnesnla Uniform Conveyancing thanks (1978) Miller -Davis Co.. St. Patel, MN STATE OF MINNESOTA ('O11N'I'Y OI' 1tANISl1' Affidavit Rcgarding Purchascr(s) Sean P. Kazle being first duly sworn, on oath says) that: 1. (They are) (he / she is) (he / she / they know(s)) life person(s) nanfed as Grantee in the document dated August 31, 1 999 and filed for record , as Document No. eve "' nl the Office of the (Count (or in Rook of Page ) � Y Recorder) of St. Croix County, Wisconsin 2. Said persons) (is) (are) of legal age and under no legal disability with place of business(es) (respectively at) WE/A T ll (,(Z- A00 and for the last ten years (have) (has) resided at'. i3cJ �� Av �AP c,t= wpr9tJ MN // 11 1 1-7 Df-a(L J , �� � � M AP e- Vv 0 2 � � Mme/ �`> � 0 � 3. There are no: a. Bankruptcy, divorce or dissolution proceedings involving said pel'Soll(S) (IUI'rng the tulle perio(I in which said person(s) have had any interest in the premises described in the above document ( 'Prelmsi: b. Unsatisfied judgments of record against said person(s) nor, to your Affiant(s) knowledge, any actions pending in any courts which affect the Premises; c. Tax liens filed against said person(s); except as herein stated: 4. Ally bankruptcy. divorce or dissolution proceedings of record against parties with the smile or similar names, during the time period in which the above nailed persons) (has) (have) had ally interest in the Premises, arc IIOI against the above named person(s). 5. Any judgments or tax liens of record against parties with the same or similar names are not against the above named person(s), F. Said person(s) (has) (have) not ordered or arranged for any labor or materials to be furnished to the Premises for which payment has not been made. 7. There are no persons in possession of any portion of the Premises of which Affiant(s) (has) (have) knowledge, other than pursuant to a recorded document, except as stated herein: '['flat Affiant(s) know(s) the matters herein stated are true and make(s) this Affidavit for the purpose of inducing the acceptance of title to'the Premises, Sean I . L Ku], T Subscribed and sworn to before me t his 31 st day of August , 1999 1 M INSI RUNIEN'I WAS DRAFTED RN'(NA NIE , \NI)ADDRESS): O _e- band 111IC, Inc. ,1'(c (;NATURE ��W NOTARY PURL.I(' (�• nlllt'.It 01 FI 'Inl. 1900 Silver Lake Road NoIARIALSIANlrelR RF,AL(ORI)MER III IT OR RANK); suite 200 1•�,. �.,.,,v., New Brighton, MN 55112 IC I , Z5",g -5 L 19 A' I 7 IV - TOP IRAN PAP[ - ' - -- NORTH iIN( Of /Hf SC 114 Of 7H[ NW %/4' _.+ .. FIEV -92371 N89'51'46 "E 1158.59- -------- - - - - -- - - ----------- 112559 - - - ---- --- _ - 488.55' 637.0.' -- - - - -- -- n ti O a �. 29 o• 133,930 S0. ft. 2 0 3.07 ACRES 256,560 SO. FT. / 5.89 ACRES S89'51' 'w 327 52' $ i ^ pa t 4 i 16 /10 1 1 j z i U ; v 8 s! s 30 ;. 141,437 So. F7 3.25 ACRES Z 4 vi V N - �� h z n Z n E0SEM�NTOR4uIA�E 589'39'19'W 81 06_ S89'39'19 "w 372 37' _ SBS' ; JOINT ORIVEA'AY a O n a 5 0'59 "E_ - ry - 3300' y } C .,.1 N _ 2?3 4. _ ry h S89'39 -3300) 1 9'w 459 42' v95'S0'S9'd 243 41- Ju o -33 (X1' a ' EASCUt v l7 00. 33 G 4 89'39'9" N W ` 43 4.) 9 9 - s ^ 58'3 i'w 58939'19 380 c'_� v N 1 h 27 3 g. 11243' G N h M 257,522 S0. FT. �R 1 `3 5.91 ACRES m ;� -- -- -- 589'39'19 - w 77931'..____....__ ---- -_ 259 46' 259 46' 260.59' i i i 10r 2 N r. h 2(f 25 24 0 `✓CL!WE iT PArE ?I 132,793 SO, FT. 132,639 S0, FT. 133.216 So. FT, DOC. r10. 55 • {8 69 3.05 ACRES r ' 3,04 ACRES N 3 06 ACRES 3t n O h N vi c! N OJ 0 ry 77 m 1 r r 8 ' 1 NcR'. -r R. Y V 0 .Y x C G' '65 "r+ A O N Or R H5 Ri A R.0 rY 13= ..'/ :.., y. "., -.Vf.ti - y ,. 71 \ _ ^ 260 06' _ _ .. J — 259 48' E :60.59' , 3 0 - ti 58'3'39'19 - W 780.11' •-- ------ - -- -`' - 165TH AVENUE iA ronli W-I!a ) 'I 1 . -� ,4 TOWN OF SOMERSET SOMERSET, WISCONSIN 54025 13 1_�__i September 14, 1999 fVEfl .` ST CFOIX C NTY COUNTY St. Croix Co. Zoning Office ZONING Kevin Gr am (or Rod Eslinger) 1101 Carmichael Road Hudson, WI 54016 Re: Sean Kazle Sanitary & Building Permit %Erosion Control Plan Lot 928 Attached is a copy of a letter from me dated July 8th, 1999, and a copy of the building permit application submitted by Sean Kazle. As you can see, Sean Kazle indicated Lot #27 on the application. After speaking to his mother, Geri Hackl today, she indicated his property was Lot #28. The number was changed when the Final Plat for N. Bass Lake Estates was approved. The lot he purchased is the same, with the same number of acres, however, the lot number has been changed from #27 to #28. Mr. Kazle thought he was buying 927 but when the plat was finalized, he actually purchased the same lot but it was #28. This letter is to verify that the Town Board of Somerset has approved Sean Kazle's erosion control plan and building permit application for a house, pending receipt of his sanitary permit. If you have any questions, please call me at 247 -3519. Sincerely, '4 Jeri Koester, Clerk Enclosures cc: Sean Kazle TOWN OF SOMERSET SOMERSET, WISCONSIN 54025 July 8, 1999 St. Croix Co. Zoning Office Mr. Rod Eslinger 1101 Carmichael Rd. Hudson, WI 54017 Re: Erosion Control Plan for Lot #27 N. Bass Lake Estates -Sean Kazle The Somerset Town Board has approved the Erosion Control Plan for Sean Kazle, Lot #27, N. Bass Lake Estates. The Board has also approved the building permit for a house for Sean Kazle, pending receipt of a Sanitary Permit from your office. If you have any questions, please contact me at 247 -3519. Sincerely, Jeri Koester, Clerk Enclosures: Erosion Control Plan-Sean Kazle cc: Sean Kazle, 2375 Bush Ave. E., Maplewood, MN 55119 State of Wisconsin WISCONSIN ADMINISTRATIVE BUILDING S and Buildings Division e mit to non - enforcing PERMIT APPLICATIO nicipalities for new 1- (Wis. Stats. 101.63 (7) & 101.65 (3)) ] 2- family dwellings SEE INSTRUCTIONS ON BACK OF YELLOW COPY. ide may be used for secondary purposes. [Privacy Law 15.04(l)(in)] Personal information you p rov 9 — 00 SRI I'M , Middle Initial . �. First Name p ast Name ,treet Address t � A _ 1 0- 7 State Zip Code - Telephone No. (inciude area code) M 56, $03 3q ✓ity I •� // Block # Building Address I-�' No�Tff bass parcel No. Legal Description T 3 O N R I f_ E° W k �� 1/4, fJ Vl . 1/4, Section ��� CQUIPM v. . ❑ Heat Pump [ I Radiant Baseboard or Pane ❑ Other: Furnace ❑ Central AC Family orced Air Solar ❑ Boiler Elect. Solid ❑ 2 Family P Oil 13 Nat. Gas L / ❑ ❑ 1 E - Space He ❑ ❑ O ' Water Heating:... - �. 5 EpUNDATION Mas onry reate d Wood 4 COI UCTxG,s ❑ Concrete ❑ 7 717 rte Constructed ❑ Other (specify) fy )___ ' I ❑ Manufactured BU LDING -° ESTIMATE 6 `AREA Q O o - Square Feet $ 90 ,000 Living area - � u p ermi t is for administrative p only. Dwelling Code, e that the by the municipality, but that the Uniform Dw g I vouch that all the above information is corr will not be p understan that the issuance ° t must be complied with. I understand that the lies to all new 1 -and 2- family dwellings and I understand that onsite construction inspections Chapters Comm/ILHR 20-25, still app li I- a 2- other ap plicable codes and ordinances. issuance of this permit does not relieve me of comp Date Signed Applicant's Signa re PLY TO THE STATE DIVISION OF SAFETY AND BUILDINGS THE MUNICIPALi E3 BEFO 0 V ill ge ❑ City ❑ County of: MUST BE COMPLETED BY 'ISSUING MtISDIC3'IO�� ICIPALI'T`Y TE of Dwelling Location f�A : ISSUED PERMIT ISSUED BY: — 1 "W awl wwr-u 6 3 R O O C3' Ca' in m I I O � 133?J15 H159 Sb'Wg osr M •Ot .6L.00 5 .r16 m g �O ff � W Q' it O N 1 4 F-� � � n CN .si ss 1 Zel bod W O uw n' O !` 5 c '- y' a Q - ry .Lrr j .LIS i 3 'CC .rE.00 N Em � �z to Vogl TOWN OF SOMERSET SOMERSET, WISCONSIN 54025 July 8, 1999 St. Croix Co. Zoning Office Mr. Rod Eslinger 1101 Carmichael Rd. Hudson, WI 54017 Re: Erosion Control Plan for Lot #27 N. Bass Lake Estates -Sean Kazle The Somerset Town Board has approved the Erosion Control Plan for Sean Kazle, Lot #27, N. Bass Lake Estates. The Board has also approved the building permit for a house for Sean Kazle, pending receipt of a Sanitary Permit from your office. If you have any questions, please contact me at 247 -3519. Sincerely, r Jeri Koester, Clerk , Enclosures: Erosion Control Plan-Sean Kazle � Z cc: Sean Kazle, 2375 Bush Ave. E., Maplewood, MN 55119 • r • July 7 1999 Attn: Rod Eslinger St Croix County Zoning Office 1101 Carmichael Rd Hudson, WI 54016 Enclosed is the Erosion Control plan for a new home I plan to build on North Bass Lake Estates, in Somerset, WI, (on SE 1 /4, NW ' / a, Section 12, township 30 N.,Range 19 W, Lot 27). If you have any questions please call. Sean Kazle 2375 Bush Ave E Maplewood MN55109 612 - 803 -3924 (daytime) Po 9 ' .. .+� �� + y. - .:.� .t• „^ �.'. �+ ,;;;�tit�•tjtT.i�[.•:�lijr•�•"+. _ t:ri•. }• '•3- � .�. �: �',�,,. ••. �'• '�s. <.; .•.+ �_� +1•''?f , � r � t .S�. - .i'oi .i:'cr�ca �:;i- �`.. :?i ` �i�'� :l�l".?���);�'%; .. .. , i:�i �'• Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sites Accodtn to Cho ­ 1114A '20 20 & of the o Wisconsin Uniform Dwellmg Code,`a soil erosion contrl plan needs to.be submitted rid.apprpyed. prior to the issuance of building permits for 1 f & 2 family dwelluig units m «''thos:e jirisdctioriswhere.ihe soil erosion control' provistons of the Uniform Dwelling Code are enforced Tbu 3 .Standard Erosion Control Plan is provided co asset in meeting this requirement 'i > < >: :Building Jnspectots have authority to request eroston control measures not speufically required by Code when ;;'such measures are deemed necessary to meet tha Code's overall performance standaid'of Steeping soil on site > <> > tiuctiort ro ects that disturb more than S acres, or are art s�f a develo went that d Cons isturbs more than S > P ! P r P >, , acres, are also regwred .to' obtain a consttucuon site storm water discharge permit from the Wuconstn Department of Nataral Resources t <, Applicant: S A KA-Lu 61 Z do3 34 a14 Name Daytime telephone number a3� S (5t6N AUK Street address, city, zip code S EA le, A Z —C 17 X6 Name Day.Lrne telephone number Street address, city, zip code Location of the building site (complete as appropriate): quarter of Section 2— , Town 0 N., Range 9 I t Lot , Block aASS LAe—E. S — r Pk T�s Street address Instructions: 1. Complete this plan by, filling in requested information, marking (./) appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Cade, the DNR Wisconsin Construction Site Best Management Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the ff1sconsin Construction Site Best Managenent Handbook are available through State of Wisconsin Document Sales, 6081266 -3358. Erosion Control for Home Builders (GWO001) can be ordered through Cooperative Extension Publications, 6081262 -3346. 4. Submit this plan at the time of building permit application. c -mss.. ... ..'1 �!'_ a L ,1r� � Ic.i�.- ''.yr .. • - - Ste ndard�Erosion'Control for 1 & 2 Family Dwelling Construction Sites - According to Chapters ILHR 20& 21 of the Wisconsin Uniform Dwelling Code, soil erosion control informa- tion needs to be included on the plot plan which is submitted and approved prior to the issuance of building permits for 1 & 2 family dwelling units in those jurisdictions where the soil erosion control provisions of the Uniform Dwelling Code are enforced. This Standard Erosion Control Plan is provided to assist in meeting this requirement. nstructlons: Complete this plan by filling in requested information, completing the site diagram and marking (./) appropriate boxes on the inside of this form. ?. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. !. Submit this plan at the time of building permit application. Site Diagram Scale: 1 inch = feet EROSION CONTROL PLAN LEGEND PROPERTY LINE EXISTING DRAINAGE TD TEI.1POnARY DIVERSION ' —�— — FINISHED — — — — — —� I � "—' DRAINAGE —� -1 -- LIMITS OF GRADING SILT FENCE — -- — r I STRAW BALES +.`. GRAVEL O VEGETATION SPECIFICATION ® TREE PRESERVATION STOCKPILED SOIL — = Please indicate north by completing the ' -- — °— -- — — — — — — — — -- — — — — — arrow below. ' I 'ROJECT LOCATION /J P-7 N BA55 LASE ES"rAT�S WILDER _ Z.. B G. OWNER Sao rL A ORKSHEET COMPLETED BY SCAN k'AZL� DATE inoA wM mnawan ( f }m 9M117fGIW � � f [ �IY7✓ lid O O o Z LL z m L 1��211 H1 _ �' SWL09 M .OZ ,62.00 5 O£L ZI£ 4 m - fi W 0 7 ,££ .££ Co 1 J ✓1 r $ 4 r LLL LIS 3 .ZL •Z£.00 N �m �o r Check (.t) appropriate bozos below, and complete di a g r am w ith ti otmaaon:� p the site gram wt cocssaiy inf � a CP 5 °- Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. • O 6' Location of eadsting drainageways, streams, rivers, lakes, wetlands or wells. ❑ a Location of storm sewer inlets. Eq The gradient and direction of slopes before grading operations. Q The gradient and direction of slopes after final grading operations. Location of e.dsting and proposed buildings and paved areas. O 1l Overland runoff (sheet flow) coming onto the site from adjacent areas. / Erosion Control Practices ❑ M/ Location of temporary soil storage piles. Note: Although not specifically required by Code, it is recommended that soil storage piles be placed behind a sediment fence or ncore than 25 feet from any downslope road or drainageway. ❑ Location of gravel access drive(s). Note: 'Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway 50 feet or to the house foundation (which / ever is less). UX 0 Location of sediment fences (filter fabric fence, straw bale fence ) or vegetative strips that will prevent eroded g P P soil from leaving the site. ❑ @Location of sediment barriers around on -site storm sewer inlets. ❑ 1 Location of diversions. Note: Although not specifically required by Code, it is recommended that concentrated flow (drainagetvays� be diverted (re- directed) around disturbed areas. Overland runoff'' (sheet flow) from adjacent areas greater than 10,000 sq. ft, should also be diverted around disturbed areas. Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. QI/ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should beproteeted front erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre 6f paved area. In- channel practices should not be / irtstalled in perennial streants. U Location of other planned practices not already noted.