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HomeMy WebLinkAbout038-1056-30-400 Parcel #: 038 - 1056 - 30-400 04/19/2005 02:37 PM PAGE 1 OF 1 Alt. Parcel #: 13.31.18.243E 038 - TOWN OF STAR PRAIRIE Current LXI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * LARSON, JEFF A JEFF A LARSON BROTZLER JULIE A BROTZLER JULIE A 1376 210TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1376 210TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 5.080 Plat: 0667 -CSM 12/3442 SEC 13 T31 N R1 8W PART OF THE S 1/2 OF Block/Condo Bldg: LOT 3 THE SE 1/4 BEING LOT 3 CSM 12/3442 ALSO PT OF LOT Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 13;TH W 655.45';TH N 463.68' POB;TH W 13 -31 N -1 8W 500.31';TH N 236.32';TH E 500.31';TH S 236.32' POB Notes: Parcel History: Date Doc # Vol /Page Type 03/12/2001 640216 1599/470 WD 11/16/1998 591605 1377/126 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 29967 288,600 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.080 47,400 254,000 301,400 NO Totals for 2004: General Property 5.080 47,400 254,000 301,400 Woodland 0.000 0 0 Totals for 2003: General Property 5.080 25,200 170,500 195,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 502 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 2o 1&) Az' SEP031991 V� O 473122,�, xm-1) JAWIE 0'00111floNIELL -4y Rdgr of Do CERTIFIED SURVEY MAP PATRICK ANDIDEBBTE SEIDLING Part of the Southeast 114 of the Southeast 1/4 and the Southwest 114 of the Southeast 1/4 of Section 13, Township 31 North, Range IS West, Town o f st Prairie, St. Croix County, Wisconsin. U rrED LANDS N-90*00 1306.80- 560.05 ' � O O =lo LOT LO T2— z� O 9.000 ACRES a Q 12 - 000 A CR ES O 3-92, 03 5 so. rr. 522, 7 21 so, FT. Q 8 -521 ACRES EXC. ROAD R.O. W. k 890 ACRES EXC. ROAD R.O. W. 0 N 371,156 t 40 8, 127 a W to . a �-24' BARN �lo /00' ROADWAY a -j i • , IL N SET e �,v PFNCS' -4 WELL SEPTIC S DWELL/ 6 INED h � v � �.,.ee� .� � b X Z, 666. 00 •51 14 "W ISO$.*/. 130 8 746.76 DRIVEWAY Do 65.4.45' N 90 • 00 '00 A W 2828, 23' 66*. 21orH AVE. S LINE SE 114 7 SE COR. SEC. 13, T31 N, R18W, ,LS 1 P. K. N A I L FOUND) a UNPL A r rED Q it LANDS zoo Owner's Address: 1384 210TH AVE. Phone - 1-715-246-S256 SCALE I " - 200- New Richmond, WI 54017 Z Z 0 50 too 160 3001 400' Soo* 600 bi b- 0 Indicates It' x 24" iron pipe weighing 1.13 lbs./lin. ft. s tu ku cc CS ft This instrument drafted by AP zi W 0 ,% * . 4" a 1 0 , 0 � Laurence W. Murphy do ' -j W i ;ENQ 40 20 2 . 1 W hX100 am ST. CROIX COUNTY ZONING IMPARTMENT AS BUILT SANITARY RE PORT Owner Address 3 8' 2/ City /Stat Legal Description: d Lot 9 Block Subdivision/CSM # '/4 SC '/4 Sf , sec. 3 , T 3F N -RAW, Town of5%� rc PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer ,.�1 Size ST/PC /Zs� Sett ack from: House Well A �P /L ;> Pump manufacturer it 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 Length Number of Trenches Setback from: House 2 6 _ Well ��' P/L 7i5' Vent to free h air intake 7--;Z.s' ELEVATIONS Description of benchmark W sz' �7L T Elevation Description of alternate benchmArk r Elevation Building Sewer . /)� _ /HT Inlet S t. ST Outle PC Inlet PC Bottom Header/Manifold Top of S1 "PC Manhole Cover /Boy Distribution Lines O f 16 O ( ) Bottom of System ( ) 9` 3 1 () ) Final Grade ( ) ( ) ) Date of installation / / Permit number St; tte plan number Plumber's signature License number ZZ /Y7 % Date Inspector ` Complete plot plan R .i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings Division INSPECTION REPORT ST . CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarx1lb Ale: Personal information you provice may be used for secondary purposes [Privacy La" , s.15.04 1)(m)]. Permit Holder�Nap�,e;, & DEENA �� r�eIlp�TLwn of: State Plan ID No.: PEPER, AAvV1lUU CST BM Elev.: Insp. BM Elev.: BM Description: Parcel T@00j 1056-30 — TANK INFORMATION ELEVATION DATA A9800169 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a C'�'' Benchmark 5,9P �lj�G;J D Cs lug ✓�� ,7, 63,912 Aeratio Bldg. Sewer •3 H ing St /A Inlet e TANK SETBACK INFORMATION St/ IV Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dpsirrg NA Header-! 7 Aeration Dist. Pipe 7 e 2 Holding Bot. System 116 Y7.31 PL4P /SIPHON INFORMATION Final Grade T, Manufacturer Demand ° Model Number GPM TDH Lift A Lriction Syste H Ft Forcema Length Dia. H ' Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of renches PIT No. Of Pits Inside D Liquid Depth DIME N SIONS IONS DIM SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEAC Manufacturer: INFORMATION Type Of Tug-' C,,.,. CHAM R Model Number: System: be OR UMT 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 g p E] Yes ❑ No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRARIE 13.31.18.243B,SE 1376 210TH AVENUE Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert No. Safety and Buildings Division V isconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue I n accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 . Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 8 1/2 x 11 inches in size. "* • See reverse side for instructions for completing this application State sanitary Permit Number 30 PO Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1 APPLI ATI INFOR N -PLEASE PRINT ALL INF RMATI N Pr rty Owner Nam Property cation 1/4.g� 1/4, S 13 T 3o , N, R Ir E (or)o Propelffy Owner's Mailing Address Lot Number Block Number it , Stat Zi Code Phone Number Subdivision Name SM umber r %, :a �,) i I s D ( ) .-78106 n. TYPE OF B ILDI : (check one) ❑ State Owned ❑ it� Nearest Road ❑ vil age ,2�0 j S Public 1 or 2 Family Dwelling - No. of bedrooms Town OF T t III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment /Condo I 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 10 New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an - _____System System Tank Only stem ________ _____________ ______________ 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 MSeepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12. ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit «X y� 43 ❑ Vault Privy 1.4 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 1 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation cyd 6 , 7 77 y Feet /0 /. 0 Feet VII TANK Capacit In g allo ns T ota l # Of r Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks e t a n k Z B ❑ 1 ❑ ❑ 1 ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) ] PI er' Si na e• to s) MP /MPRSW No.: Business Phone Number: APIr zz� CSC' 7i�- ,x1��GG3> lumber's Address (Street, City, Stat Zip Code): 7 Vol xer S 7 3,!►1-e, P 1ts'1: Z ® / IX. COUNTY/ DEPARTMFNT41SE ONLY ❑ Disapproved Sa Permit Fee (Includes Groundwater ate ssue Iss g Ag t Signature (No Stamps) A roved hargefee) � pp ❑Owner Given Initial /�(O •Id < � Adverse Determination / v X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: - SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber MEN •��l��. � � . � 'jam., / /!l" � MENEM MEME M lom MEMMEM MEIN MEN M No MOL IN mom no NOMEM 0 IMENEW t Na MEMO I MEMO I ON � ' - tea :'aN 1 NONE IM so NONE M Effal MEN MEE NYSE a INS M SEEM on M MEN 0 N M I ME M oss M I 0 ME MEMO 11EM W MEN ME Wiscons�r :Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 LaLor and Human Relations Division or Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less th 11 inches in size. Plan must include, but and % of slope, scale or not limited to vertical and horizontal refe c V PARCEL I.D. # 4n (¢�{Ij';tfirgction dimensioned, north arrow, and locati ahce a n6aresrroad. 038- 1056 -30 -100 APPLICANT INFOR E 1110T L INFORMATION �IEWEP BY MATION- D ATE PROPERTY OWNER: PROPERTY LOCATION David Pe p I^' °' 1 1r?, GOVT. LOT SE 1i4 SE 1/4,S i3 T 34 N,R 18 k(or) W PROPERTY OWNERS MAILING A RES S CR&/ A 1' LOT # BLOCK # SUBD. NAME OR CSM # 1384 210th. Ave. ;;UNTO` 3 1 na I csm CITY, STATE IP COD EZONi0 Fi < ❑CITY ❑VILLAGE (AWN NEAREST ROAD New Richmond, WI. 5> (71� ? 5 4 l�/ 0 Star Prarie 210th. Ave. [ New Construction Use[ - Residen ai drooms 4 [ ] Addition to existing building j I Replacement [ ] Public or commercial describe Code derived daily flow 600 g pd 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 - 8 trench, gpd/ft Recommended infiltration surface elevation(s) 97.40 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 HtS ❑ U &1S ❑ U I ®cS ❑ U 'as ❑ U ® S ❑ U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxtdary Roots Bed Tench 1 0 - 10 10 r3/2 none 1 2 10 - 10yr4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 24 -84 7.5yr4/4 none co s Osg ml na na .7 .8 elev. 1 01.1 ft. Depth to limiting factor +84" R emarks: Boring # 1 0 -9 10yr3 /2 none 1 2msbk mfr gw l if 1 .5 .5 2 2 9 -25 10yr4 /4 none scl lesbk mfr gw if .2 .3 3 25 -84 7.5yr4/4 none co s 0SCA ml na na .7 .8 Ground elev. 10 1.05 ft. Depth to limiting factor +84" Remarks: CST Name:— Please Print Phone: Gary L. Steel 715 - 246 -0200 Address: 155 200th. Ave,., New Richmond, WI. 54017 Signature: Date: 4 -3 -98 CST Number: crost 02298 y "1 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 David Peper New Richmond, WI 54017 MPRSW -3254 SE4SE4 S13- T30N -R18W (715) 246 -6200 town of Star Prarie lot #3 -csm i N 1 " =40' BM.= top of NE lot stake C el. 100' Alt. BM.= top of SE lot stake @ el. 102.10 2�d 3� io n a• e a ( Gary L. Steel 4 -3 -98 Io�`t� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM C Owner/Buyer Mailing zz- Address �.� � 2 /'o Property Address 3 7 Z i p th . d Q / ((Verification required from Planning Department for new constructio n) City/State STa' / -ea , r.< wT Parcel Identification Numb 3 L IO -- - 30 LEGAL DESCRIPTION Property Location G" %., SE= %., Sec. l3 . T 3o _N- RZff Town of Err Aa.r -e Subdivision Lot # Certified Survey Map # Volume I Z. page # ��f Warranty Deed # 97 376 g Volume g /S . Page # 0 Spec house O yes ❑ no Lot lines identifiable ® -yes ❑. no SYSTEM rANCE consists QBVXGm me and main�nec of y'm �e system could r=k is its prematm a faffm to baadle wastes. PropermahAW2aoe P=PmB out the septic tank every du ee years or sooner; if needed by a licensed pumper, What yon pat into the system can affect the boa of the septic tamk - as. a teeatmeat stage m tie waste disposal_system. lie Pwperty owner agrees to submit to St: C mix Zoning Depammcnt a certification foam, signed by the owner and by a u P ]o ymanphrmbeS rastdctedplumbexor a licrosedpumpervaifying drat (I) die onaite wadewater&sposal systear P oP��g condition and(or (2) after inspection and Pam Ping (r{ ry ), the septic-tank less than 113 Tull of sludge. Ywc, tie =dersignod have read the above ropkemeats and agree to maintain the private sewage disposal system with dw standards set forth. herein. as set by die Department of Commerce and the Department of Natural Rescuers; State of Wisconsin.. Certifcxtioa sta ting that Your optic system has boem maintained mast be eorupleted and rcduned to the St. Croix County Zoning Office within 30 7o ve-J, L- 5 / // z three rF expiration date. SIGNATURE O DATE PLICANT ` /Sr OWNER. CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) Imowledge. I (we) am (are) the owners) of descn bone, by virtue of a warranty deed recorded in Register of Deeds Office. -Vd/L/::J ip- 49 SIGNATURE OF AP �ICANT ATE / S� DATE « « « « «« Any information that is mis- represented may result is the sanitary permit being revoked by the Zoning Dgmtment. « « « « «« «« 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 ii DOCUMc.VT NO WARRANTY DZEp I.$ srAc: asscsvm rOa IRCOWDINa DOT& STAT . BAR OF WISCONSIN FORM 2 --1U2 4'737f 9 915►UE _ _ _ . - RE GISMS OFFICE ST. CROW CO., Patrick J ., Seidlirg and - -- Deborah - Reed for Record Seidling., _,husband and wife. as - sur worship SEPZ 3 1991 ............................. at 8:30 A. conveys and warrants to ........ Of a& Peper-, husband. 2nd wife. as..mari-ta: - _--- _-- - - - - -- _.surv.ivnrship_ .property ... .... _ ... ....... ......... I—— ..... ........... ... ............. ....- - - -- ----- ... ................. - - -- .... ..... .. ................... .•__. _- _._...... _.. .................. ............... .... ',LTVPw TO ..... .... .. .. ................... .... ... ...- ..... -.. .... ..._.. ... .._ ..... -.. -. ... .._.. ............. ........... ..... -.. .... . the following described r • CT'OiX .._...County, State of W iscon ' Tax Parcel No: ............. ............... Lot 2 of Certified Survey Map recorded in Volume "8" of Certified Survey Maps on Page 2397 as Document Number 473122, being a part of the Southeast 1/4 of the Southeast 1/4 and part of the Southwest 1/4 of the Southeast 1/4, all in , ection 13, Township 31 North, Range 18 West. C Y, , This __.i.s._ .............. homestead property. (is) (is not) Exception to warranties-_ easements, restrictions and rights -of -way of record, if any. Dated this _..__!__. - _. -_ day of ... September. ._. _.. - - .19 91 -. (SEAL) � ..¢W:C _ (SEAL) Patrick J. Sei3_i:g Deborah L. Seidli (SEAL) _ _ _ .- (SEAL) AUTBENTICATIO f ACKNOWLEDGMENT Signature(s) ----- STATE OF WISCONSIN Deborah J. Seidling �ag --------•----------------- -........ -• -•- ---------- ------ - - - - -- ------ - - - -' suthenti i IP11. eotembe;� 9 ted this .:.___ -_day of______ :. ............... 19.....1 Person came before me this ---------- day of 19 the above named l .. t G . - - -'- .. Kristina Ogland Lundeen . ......_.. - -- - - - - -- TITLE: MEMBER STATE BAR OF WISCONSIN ..... ........ O � � p FI LED 5 7810(3 �-) 1998 >r KATHLFLN H. WALSH Regis,zr of Deeds St. Croix Co., WI CERTIFIED SURVEY MAP L Located in part of the Southwest Quarter of the Southeast Quarter and part of the Southeast Quarter oT tie - Southeast Quarter of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin, being Lot 2 of a Certified Survey Map recorded in Volume 8, page 2397, Document No. 473122 as recorded at the St. Croix County Register of Deeds Office. Prepared for and at the request of: Da id A. Peper I P L A T I O F P - - R A I R I E F L A� T S A D D I T 10 I N --- - - - -- - - -- -- ---- - - - - -- 1384 210th Avenue _ LOT 18 New Richmond, WI 54017 I LOT 19 I LOT 20 I NI WEST LINE OF ITHE SE LOT 19 I --_-- I EAST LINE OF THE SW— 114 OF THE SE 114 of 0 114 OF THE SE 114 I EAST 746.75' i 246.44' 500.31' / I LQ ' - - --� L OjT 3 F - L Z M LOT 5 o iM TOTAL AREA Z' 349,282 SO. FT. / 8.02 ACRES Q Qi M INI I AREA EXCLUD. R.O.W. o� t_LJ }i Ni - °0 332,365 SQ. FT. / 7.63 ACRES ,r b EAST 180.44' ;,, o Q I ^ U i / o^ �I 1) 1 1 0- 2:1 1 O� w 1 I OI I �I tYl I °� ujl Z! LOT 4 � BARN ° I < I E � � o: I � --� =o o- a1 - 0i Z i SILO = in u_ WI 0I 1 01 'q I � , = v 0 1 I Z 0 >l I I . ml ` M ` ° a Q I I �, M DR/VEWA Y ra Ln I o l HOUSE I 111 :o .Z SHED ............. J o f I \ =:a WELL m p SEPTIC ` O NTS - - - - - -- ----- N89'51'14 "W 746.75'-- - - - - -- 201 1 \ R. D.W. - -- 479.54_ — _ - -- / R.O.W. I _ -- - -- 1 - 66.00 201.21' L1 L2 479.54 �i ^� S5�_655.45' ENTFRDNE --- - - - - -- -WEST 746.75'---- - - - - -- - -- --- - - - - -- -WEST 2628.25'---- - - - - -- R.O.W. -- SOUTH 114 CORNER 210 T H _A - V_ EN U SOUTHEAST CORNER SEC. . CO. O SOUTH LINE OF THE SOUTHEAST 1/4 OF SECTION 13 SEC. . CO. 18 (ALUM. CO. MON.) (ALUM. CO. MON.) UNPLATTED_LANDS TOTAL AREA LOT 3; 103,096 SQ. FT. / 2.37 ACRES LINEI DIRECTION I DISTANCE AREA EXCLUD. R.O.W.: 100,688 SQ. FT. / 2.31 ACRES L1 S48'29'59 "E 27.73' TOTAL AREA LOT 4: 70,347 SO. FT. / 1.61 ACRES L2 SOUTH 35.89' AREA EXCLUD. R.O.W.: 63,074 SO. FT. / 1.45 ACRES NOTE: The parcel(s) shown on this map is /are subject to State, County and ` G�c Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasiri. or developing any parcel, contac.t..the St. Croix County Zoning Office and , the appropriate Town Board for advice. L'} RONAILD F. �� ,