HomeMy WebLinkAbout040-1151-40-000 S'I'. CROIX COUNTY ZONING I)EI'AR'I'MENT'
AS BUILT SANIT RE PORT �-
Owner
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Address � 7 LU nil r iw I t � AJr
City /State
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Legal Description:
Lot —" Block -- Subdivision/CSM it /
Sec. 2j _, T N - R,2-DW, Town of rl"o y PIN # l9y0 - /I J4, -,V0 SEPTIC TANK � 1VfF�EYt _ H D'3. a-.• a"°.S 3A
I�INFORMATION:
Tank manufacturer -W'*' tK Size ST&e / Setback from: House #2 L � Well 7 0 ' P/L a f
Model
(HOLDING T M,
Met ovation y)
Setbacks: ri road Vent to fresh air intake
Water Line
arm location
SOIL ABSORPTION SYSTEM:
G o
Type of system: Width Len 3 )�
Setback from: House �0 Well �'+�+ p/L l� Number of Trenches 2
--— Vent to fresh air intake ) 00'
ELEVATIONS: /11G
Description of benchmark 4 0
Description of alternate benchmark T o a Elevation 0�
��'` � � Elevation /D /,
Building Sewer LO-01 72 , ST/HT Inlet o 1 -Z ST Outlet- F91 41 PC Inlet
PC Bottom Header/Manifold Top of ST/PC Manhole Cover D
1
Distribution Lines
Bottom of System ( ) - 1 7 3,o-7 ( ) ( )
Final Grade ( ) 1 7, q ( ) ( )
Date of installation � 1/ Permit number •—
rZ 1 State plan number
Plumber's signature License number .� '�` �► Date 9 Rx 197
Inspector
Cornpklc plot plan
gIIIIIIIIIIw
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, if applicable.
3 4 ecolvtok, 1
PLAN VIEW S c k 1 `- 7u
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INDICATE NORTH ARRO
Wisco Department of Commerce PRIVATE SEWAGE SYSTEM County:
Safety and Buildings Division INSPECTION REPORT ST . CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) SanitarysyMv
Personal information you provice may be used for secondary purposes [Privacy L T , s.15.04 (1)(m)].
Permit Holder's Name: I E � village Town of: State Plan ID No.:
BECKER, BRENDA ` 6
CST BM Elev.: Insp. BM Elev.: 7BM De scription: Parcel T6c_1151 -40 -000
TANK INFORMATION ELEVATION DATA A9800407
E MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic VJ l e s e l 0 0 0 Bench
g b 3.70 /off 3
Dosi ng
Aeration Bldg. Sewer? 5g, 1
Holding t/ Inlet
4z� p o.. z S�
TANK SETBACK INFO TION i S *#t Outlet 4( 2o
TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet
eptic dJ 0
2-4' NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe %• 8y �.b' S/y�9yG-
Holding Bot. System Ii.zl I
PUMP/ SIPHON INFORMATION Final Grade 6 .q 77
Manufacturer D mand S1 Z•iro /d
Model Number GPM l
TD H Lift L � em TDH Ft
Forcemain Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/ ENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIME q3.7 2-- DIMENSION
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHIN Ma
SETBACK CHAMB
INFORMATION Type �� / ;,�� r Model Number:
SystC"0xjictnd!d4 1 12. �� OR UNIT
DISTRIBUTION SYSTEM
Header/ nif9Id , „ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length i J Dia. (1 Length 9 3.7 3 Spacing �rCM6 '
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.) �(,. 30M 4 ISe ww
LOCATION: TROY 23.28.20.583A,GL3 150 GLENMONT ROAD Zb 1
1' I 4e �¢ 'o yv► ar 4' ltt -� h ea elet'-
��
Plan revision required? ❑ Yes � l it Use other side for additional information. a
SBD -6710 (R.3/97) Date Insp ctor's Signature Cert o.
SANITARY PERMIT APPLICATION S afety
01 E. Washington Ave'sion
Visconsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707 -7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 12 x 11 inches in size. ST
• See reverse side for instructions for completing this application State Sanitary Permit Number
2 (� The information you provide may be used by other government agency programs E] Check it revision to previous ap
(Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N
Property Owner Name Pro ert Location
�eGKCA- Zia, S 3 T a$ , N, R aQ E (or�
Propert Owner's Mailing Address Lot Number Block Number
'e Dr ` ) --- ---
Citwtate , tip Code Phone Number Subdivision Name or CSM Number
a I y ( >
II. TYPE 0 F B ILDING: (check one) ❑ State Owned Ne rgst Road A n
0 Public 1 or 2 Family Dwelling - No_ of bedrooms Town of / %tCY
III. BUILDING USE (If building type is public, check all that apply) Parcel Tax / � �//1
1 E] Apartment/ Condo O - T o " j ! / / 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 online B, if applicable)
A) 1. ❑ New 2 )<L Replacement 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 EffSeep6ge Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit f /rd tar Sie�eWlK 43 ❑ Vault Privy
14 ❑ System -In -Fill — t XCt 25 .-7 I S w•b�r ,�,r
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
�j Re fired (sq. ft.) Proposed (s q. ft. (Gals/day /sq. ft_) (Min. /inch) Elevation
f 15(2) Qa 9 13. Q Feet 9 , .Z Feet
Capacit
VII. TANK in gallo s Total # Of Prefab. Site Fiber- Plastic Exper.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App.
New Existin strutted
Tanks Tanks
S pt Ta olding Tank Woo j &_,, eI S k ® ❑ ❑ ❑ ❑ ❑
❑ ❑ 1 111 ❑ 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) PIu is Signa ur : ( o Stamps) Business Phone Number:
I
e�3. e:�ne� a , t C x-.5 S 1 1 Plumber's Address Address (Street, City, State, Zip Code):
8 30 `� tver = 6 L40Z_ Z_
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate I ssued Issu� gent Signature (No Stamps)
O Approved ❑ Owner Given Initial � ('' 00 Surcharge Fee) q 8
Adverse Determination V 00 :�W_4
X CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: _
4 G�aM4 1Q 145OV M "J5
SBD -6398 (R.11/96) DISTRIBUTION: Original to county, One copy To: Safety & Buildings Division, Owner, Plumber
Plat Pia
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION R Page of 3
Labor and Human Relations _.
Division of safety & Buildngs _ in accord with ILHR 83.05, Wis Adm. Code
COUNTY
• Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
PARCEL I.D. #
dimensioned, north arrow, and location and distagce -ro nearest road.
APPLICANT INFORMATION- PLEASE,PRINT ALL INFORMATWN E Y 7 [7 c
PROPERTY OWNER: / PROPERTY LOCATION
'Z 2 EQt b R $ ^�1 :GOVT. LOT 3 1/4 — 1/4,S 22% T Z$ ,N,R ZO E (or
PROPERTY OWNER':S MAILING ADDRESS p T # BLOCK # SUBD. NAME OR CSM #
Sal �'7 Woo�e�2, '� - �1Z • R , —
CITY, ST TE ZIP CODE QHODE,F. R " CITY ❑VILLAGE ®TOWN NEAREST ROAD
1►.► � � Y-'1 N 5 S � Z,�l • (i: . �''�.2 - 7 6�' - - TIZO G wlOn/�"
[ ew Construction Use [DC) Residentisfl`Nt rrgber ofbedra�' ` " -A [ J Addition to existing building
Replacement [) Public or comm�re7
Code derived dairy flow gpd Recommended design loading rate — bed, gpd /ft �•
4 8 trench, gpd/ft
Absorption area required `\_LS bed, ft OLD() trench, ft Maximum design loading rate s) -4 bed, gpd/ft 0.5 trench, gpd/ft
Recommended infiltration surface elevation(s) 9 Z. O ' ft (as referred to site plan benchmark)
Additional design / site considerations SkFEF �JOT"E� - p3 VvjTf�ukrt cnri \ C' e 3 •
Parent material St UV4 sftl w;t -_ F oym Smw4 lood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN RLL HOLDING TANK
U = Unsuitable fors stem a s ❑ U ®S ❑ U O S ❑ U Er S ❑ U ❑ S ®'U ❑ S 911
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Bandaly Roots
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
o _q �u`-t 2 3 l� — si \ Zrn Sbk w�v `�. e S — • 5 •�
w.... <: Z zz 1kY_ftz Y/Y w, v�Fr cl�, — • S •`
Ground 3 zz _yb �.s`i1Z 31Y — Grs) le sbk C te*>�D S — 1•�P NP
elev.
�q y Y6 Z•S - �s ow,
Depth to
limiting
factor
- 7 lU8"
Remarks:
Boring #
_10
X 1 o
1
CLv • s 6
3 ZS -s I ZS`12 3! — G� s 1 CSbk cS NP NP
Ground
elev. 4 S1 -Ito -S'1 fZ 3/ y — S U sg - • 8
aft.
Depth to
limiting
fact <<
Remarks:
CST Name: — Please Print Arthur L. We e r e r Phone. 715
Address: Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022
Signature: $_ Date: `� CST Number M0057
PROPERTY OWNER SOIL DESCRIPTION REPORT Page''—of
PARCELI.D. \' S\-- '!�
Boring# Horizon Depth Dominant Color Mottles Structure GPD/ft2
in. Munsell Qu.Sz.Cont.Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed Trends
3; o-to Si \ Zm s1.tir .S .(„
,........!: Z )0, o tz y/y -- S ►it s 1A( Ch) — - -L
Ground 3 z(,_y$ •S`1 R 3/y — G� s I \ S'61-E car., ,�, '-
elev, g
0 .1 ft. y u$_)o7 -).S Yfi 3/y S U So5 Nen — --? -
Depth to
limiting
factor
7 l u1
Remarks:
Boring#
it \:
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring#
•
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring#
s
14
Oki».....v...
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
i
SBD-8330(R.05/92)
PLOT P LAN , Pa of 3
SCALE 1"= '
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�h [ ( 715 1 425 -0165 M 00576
CST Signature ., Date Signed Telephone No. CST #
Vfwonsin Department of Industry
Labor and Human Relations SOIL L AND SITE EVALUATION R PORT Page 1 of 3
Division of safety,a.Buildngs ir1,1CCO with ILHR 83 05; W 5 ad m: code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but STI GV_41
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 01.40- 1 \ S 1 - Lt cj
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION I BY D TE
r - 7 1 b
PROPERTY OWNER: PROPERTY LOCATION
} $R , 'EQ'ib A . 1'*"� GOVT. LOT 3 1/4 — 1/4,S Z3 T Z$ ,N,R 2.0 E (org
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
Sal
_Y7 Wobpin_zje�sT 1J1� • - — _
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD
E1UwlR Y SSgZv (6R) 1 t z'�- - Ao8 G f�NT
pCoodeclerivedclaily ew Construction Use [M Residential / Number of bedrooms 3 [ ] AddltiQ,n to existing building
eplacement (] Public or commercial describe
Bow u SD gpd Recommended design loading rate - bed, gpd/ft �, 4 8 trench, gpolft
Absorption area required \ \ Z S bed, ft2 (:�L D D trench, ft Maximum design loading rate 0.4 bed, gpd/ft 0.5 trench, gpd/ft
Recommended infiltration surface elevation(s) °! 3.O ' It (as referred to site plan benchmark)
Additional design/ site considerations SkFE "ovl� - T3 Vv5Z`ty� csti \art C>g 3 .
Parent material S1 u- 4 0\)M SY��t O\J'TL ti S H Rood plain elevation, if applicable ti A ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem as [I U ®S ❑ U ®S ❑ U Ir S ❑ U ❑ S ®U ❑ S ZU
SOIL DESCRJPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclaly Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Prench
0 -9 ��`,t2 313 - Si \ ZrnSbh K e S - • 5 `�
v�, : • ; Z 9 -WZ Ik Y-f rL 5/! -- s ► I 2 m S y/, v k, - • S ` L
Ground 3 zz_t1 3.S�1Z 31y — GrS) �esbk clo �S
elev.
q . 5
Depth to
limiting
factor
7 lU8"
Remarks:
Boring #
Z Z 10 S 10`t2 V/ — s i 1 Zv►� S' 1�
3 2S - - I S`1R 3< - 6H S � � CSbk cS N�� ti►p
Ground
elev. 4 SI - 1t0 `t -S K fZ 3l y — S U sg Yn - , - � ' . 8
Depth to
limiting
facto <<
Remarks:
CST Name .-- Please Print Arthur L. We e r e r Phone. 715-425-0165
egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022
Signature: L � $_L„ Date: - ) ) � CST Numb 5 76
� q_do �i2 .
PROPERTY OWNER Q -' -C 1Z SOIL DESCRIPTION REPORT Page—of '3
PARCEL I.D.# ley.0-\,\_S1-'-
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2
g Texture Consistence R'i r ry Roots k: ..�y..v in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh.
,.�;<,;...< Bed Trends
M -3 R} ) 0-1 0 1-0`-I fL .3/3 - S i I Z rn S M-r m y
`Fb- �S •S •L
.m Z )trz 6 1.o ‘-iv?._._ y/ --
Y s I J 7---vvt silt `in\r6 c.i\, -S .b
Ground 3 2(,-yg -1•SYR 3/y - GY- Si V Q-Sb12 �y,,� ,� 'r`+\? 1.0P
elev. g
(18. ft. 11 u$-10'1 TS YR 3/Y S U S,) Y✓► - --) -$
Depth to .
limiting
factor
tug��
Remarks:
Boring # ,.
naiiln
Lbiza
Ground
elev.
ft.
-Depth to
limiting
factor
Remarks:
Boring#
t
{• z:w
Rama
Ground
elev.
ft. •
Depth to -
•
.limiting
factor
Remarks:
Boring#
tki
Iatta
Ground
• elev.
•
• ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
.
PLOT PLAN Page of _3
SCALE 1 "= yp '
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33 � -�► 3 � � 1 ..
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715 ) 42.5 -0165 _ M 00576
CST Signature ., Date Signed Telephone No. CST #
r
S 'I' C - 105
SI I'l It 1'ANV n1AINII;NANC1? ACII,L:INE.1`4
S1, ( "loix C0411111y
t ►�1'Nh.ltiltlll'fai �� „�._
Mnrl,IN(; nl►I)Ir;rsti
rlt ()PL, O V ADDRESS � �D �2�- �UC- �
(Ic +t a►imn of septic system) Please obtain from 11 I'laullinl;
CITYIS l ATE,
PROVEM I Y LO A HON 1 _ _ 1/4 Section _ , T
fON1'N OF 1 -f""D. ._._- ST. CROIX COUN'IY, WI
F111{I/1�'Itil(IN — LO I NllMill-Al _
CI•:It' {11'II.hRtI1tV1:YMA1' ,VULIJntf? _�,l'ACL;___,I.t)I NI1n1111:1t
Imli mpet use and maioh•nanee of your septic system could result in its prentahrre failure to handle
wa ar-s. limper maintenance coivzkis of pumping out the septic lank every three )•cars or sooner, if needed
toy lici,wrd Swptic (ank pumper. What you pul Into the system can a fT ecl the film Lion of the septic tank
a' n ttcalmcnl stage in the w'Istc disposal sysacm.
SI ('tt,ix Comity tesidenlS mny be eligible to receive a gran( for a maximom of 60% of the cost
of replaccmcnt of a failinp, system, which was ill opetalion priot to July I, 1918. St Croix County
ncccplcd this program in Aul;uc( mf 1980, with the tequitcmenl that owners of all new systems agree to
keep tlucir system properly maininined.
'I lw ploperty owner ngivcS to submit to St Croix Zoning n cenilicatiun lutot, signed by the owner
mid by n mater plumber, joilmeynlan plumber, restricted plumber or a licensed pumper verifying 11131 (1)
the on sitar wastewnler digl1l"M syslcnt is in ptoper operaling tondilion and Ul after inspection and
pimtttittt-, (if item5ary), the septic tank is less Ihan 111 full of sludge and scum
I /Wt., the undcrsil;ned lun't. lead the above requirements avid agree to mamlmu the private sewage
tlisptr:nl ryslenl in accordim -e with the standards set (ottrt, herci(t, as Scl by tilt. Wisctlnsin DNR
(:cttilicmion slatilig that your s„ ptic has beco mainlaincd must be completed ,uld wlttrttcd to the Sl Croix
(;minty ' /mninl; (.)incv, within 10 (inys of till, Ihrce year expiration dale
SKIN I
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`a I'tmlx ('minty 7.uning OIlia c
( kivi Ccillet
11111 ('aunn•luld 161311
Ilutlymn, \1'I '0016 ll/gl
.,, ir
£0 "d LgZS SZv STL "3X3 "N3A31S Wd vi :60 86- 90 —inr
5 - 7 WoAc wt N-
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0 TC- loo
This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/ contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
------------- - - - - -- -- ------ --------------------------------- - - - - --
owner of property 7 8 N".a -
Location of property 1/4 1/4, Section 3 ,T , A V N -R oZd W
Township Mailing address v.
—. _
Address of site -Sonab+aft- JSM CaAzA w �� (,Yh� Em& F 2— 2—
subdivision name Lot no.
Other homes on property? Yes _ N
Previous owner of property 1Z�JLl���e
Total size of property 17 ( f4
Total size of parcel ( 7•
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes No
Volume and Page Number as recorded with the Register
of Deeds.
---------------------------------------------------- --------- - - - - --
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the county Register of Deeds as Document No.
Signature of Applicant
Co- Applican
Date of Signature Dat of signature
Z0 "d Loz8 SZb 912 - ox3 "N3A31S Wd £1:60 86- 90 -inr
_... _ _. - r x Co r a .tea "A +
? yS. ' $�°� °if 3 , 1 - ^,
i- t
£+
tam f D]o�in� d cs�'.Fsxt ref. amtsta in ....... St CzQ'�.X .......... County.
St bs of W is"Deln :
S -e Attach 'd De'A Y'LP0011 Tax Pnrce' No: -.....
z
[ E
Arm
MPT
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4!
4 This homest?ad Property
(is) (is not) 13 � 1s89
Dated this
13 *_h day of. November
'
(SEAL) G• ti
• AR'THTI R F. PA?TRI1DC,;:
SF
aSF;AI.)
AUTHAINTICATION ACKNOWLEDGMf.NT
Signature - STATE OF WISCONS1%
SiyraU�
s,.
t . LY C�l'X- t v.
_. 19 -- -- Fer,ur.+Ily came Lc;+;;c n.. thi. .. 1th d of
aur}enticateA thin _ ...day of me a
,.mid e
N.OVei >er 19 fi4 t(�
.. ...................... . Ar th r F •_ �?�'t i c�,v1.:'. f' :,
TITLE: iii xSEft ST TE BAR OF
lS ;CONSI'� •, ,,,
(if not, the
authorized by ; 90fi.08, Skis. Stats.) to m 4 > w n b t' },
fo ntry -� i rr° V ,j l r `s(c t}
T—S INSTR'Uti•ENT WAS DRa'TED ?Y {Jp /ra
C."
C j V
A N A N
17i 1 423-7-."41
Client: Art`tur F.
1775 DplawacK Avcfiii. 2 �
St. Pdul,
De-cription of Laria to b-�� by Brencla 13. Burt
The S-E:I/4 of the SE1/4 of section 23, T28N, R20w, Town of Troy, St.
CrojX County, WiSe CI.i7dtdins 40.42 acres, more or less,
Also, Lot 5 of St. Croly, Cr Certified Survey V01 6, P
1574, Docu-6ant #404955 lot7alt" in Goveo Lot 3, Section 23, T28N,
R20W, Town of Troy, St. Croix County, Wisconsin. Contains 2.7 acres,
more or less.
Also, part of Gcjvera,w nt 1,ots 2 an(' 3 Section - 23, T28N, R2(YI, Tcwn
of Troy, St. Croix CoUnt-Y, WiscOnsln a-, follows: CoiwTieac Lncj
at the E1/4 corner of s.,-i.d Section 23; thence N89*57'03"W (true bt-aring)
1,320.00 along the rot:th lire of the NEI/4 of the Se-1/4 of said Section
23; then--e SI*3528"E 509-25' along the East line of said Goverlune.nt
Lot 2 to the point of thence N39c58'13"w 522.02 ; thence
N1'58' 26 "W 255.00'; theac--a- F59 @58' 13 "W 240.77' to a point which is 80',
more or less, from the water's edge of Lake St. Croix; thence along
a meander line along the lake S22 275.37' to a point 45', more
or less, from the water's ell of said Lake St. Croix; thenc =e S89'58'13"E
204.00' along the North line of Lot 4 of Certified Survt�y Maps, Volume
3, Page 610, Document 1, thence S1 °35' "28 "E 390- alo(ij the East
line of said Lot 4 of Certified Survey Maps; the. S13'38*50"e, 418.06'
alo:iq the East line of Lot 'is' of Certified Survey Maps, Volume 2, Page
335, Docuinent #337037; thi-zice S20'20" 02"E 329.44' along the Fast 'erly
line of Lot "A" of Certified Survey Maps, Volume 2, Page 335, Decurzient
. thence 489*58'13"ig 575.00' along the South line of said
Certified Survey Map to a p oint which is 38', more or 1( from the
water's edge of Lake Sl- Crc thence along a meander line along the
lake S16*4432"E 290.51' to a point 132', more or less, from the water's
edge of said Lake St. Croix; thence S89 352.39' along the North
line of Lot 5 of Certified Survey Maps, Volume 6, Page 1174, Document
I thence S11 445-17 (previously record d as 444.23') along
the Easterly line of said Certified Siirvf- "y Map being the Westerly line
of Glenmont Road and the Igo- therly extension thereof; thence N89'57'50"W
5.00' along the South line of said Certified Survey Ma,r); the ilce
S11 318.63 (previously recorded as S11 318.5') along said
Westerly line of Glenatont. Rc;ad-; thence S89"59'24"F. 484.90' along the
South line of said Govorr.snt-n-t Lot. 3; thenco� N1*3528"W 2160.06' along
the East line of said Goverz=ient Lots 2 and 3 to thr� point of beginning.
Contains 34.4 acres, more or less. All J)(_,Arinqs are referenced to the
East line of the SEI/4 of said Section 23 which bears N1*35'28"W.
Subj-ct to an undelineate-1 electrical easenient granted to
Court Electric Cooperativt: reccrdti!d jr Volumt 2(3, Pa(jo 419,
numbec 206493.
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-° f i- {: .. S�?:.� s b.� «".P � A£:_ -� S ls '.,a•! §. 1, �di•
the fray �,; > -r ie.y :�rsP:a F Xfi 4's
1. All of G1� L*e, .�
C�++ yy,, � t{,�?ti YCJ S'i +.a� l ip•`, =?e ..a Ott 4a C?�f. f<� �= .f:�a� i�dw
3 , y w7esLs tXcsn 23, �3f4, 8204,-
2 s All Of the 6r l wile Ro = ( Ea_i 4 ` ..r°.a a sho 4 on S Croix 'Lrii NSF
Certified Sary -uy Map, Volweie 2, 335, #33703'71
3. Along the existi farm road 10ca,tet; iA G -ova rx D ent Lot 3 a;=d
the S£1 /4 of the Sl*i /4 of Section 23, T"28N, R20W, in a
Fortheasterly direction 1250', more or leiGis, from the North
end of G3.eni;,kont Read to a point on the North lane of sa d
SS1 /4 of the SFI /4 which is 510 more or le: =s, Bast of the
NW corner of said 561/4 of the SE1 14 f-r acce6% to t he WZI /4
of the SKI/4 of said Section 23;
4• Aloing this three cxisting trails lout d i= C- overnzent Lot 2,
Section 23, T2 8N, .R2OW, fro;), Ute North "end of said Private
Easeatent to points on thv�� comra on lot line Letween Arthur F.
and Nancy Partridge and Brenda B. Burr which are N3 °38 "E
255.35', N19 °41'48 "E: 270.63', and S£9 °58'13 "E 165.00' from
the Northeas, co-, - r; , er of Lot 4 of CertifieA Survey Maps, Volume
3, Page 610, Document #349303, the bearings teing refe:renccd
to said Certified Survey Map.
I cortify that the above description and acco.-ipanying map are correct
to :.lie Lest of r,:1 knowledye and h.- lief.
Date: August 19, 19138
Francis H.. Ogden S -88 Jon No. 88 - 1752
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Parcel #: 040 - 1151 -50 -000 07/28/2009 04:14 PM
PAGE 1 OF 1
Alt. Parcel #: 23.28.20.583B 040 - TOWN OF TROY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
0 - SAVELA, GARY J & KATHLEEN M
GARY J & KATHLEEN M SAVELA
147 GLENMONT RD
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description " 147 GLENMONT RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.530 Plat: N/A -NOT AVAILABLE
SEC 23 T28N R20W PT SW SE LOT 5 CSM Block/Condo Bldg:
6/1574
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
23- 28N -20W
Notes: Parcel History:
Date Doc # Vol /Page Type
06/29/1998 581949 1335/454 WD
2009 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.530 392,000 464,700 856,700 NO
Totals for 2009:
General Property 2.530 392,000 464,700 856,700
Woodland 0.000 0 0
Totals for 2008:
General Property 2.530 392,000 464,700 856,700
Woodland 0A00 0 0
Lottery Credit: Claim Count: 0 Certification Date: 04125/2006 Batch #: 06 -01
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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FILED �
SEP 5 1985 '
AAAW 0, CONNat
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3� C�o4t Cainty, 1
CERTIFIED SURVEY MAP
Located in Government Lot 3 of Section 23, T28N, R20W , Town of Troy
for: A.F. Partridge Unplatt lands ' V
17.75 Delaware Ave. —
111 `\ ! \ St Paul, Mn . SCALE IN FEET /
0 i00 200
l u =100') / C
/ c
/ q m
S 89 °58' 13 E 352.39 m + t 14 0' m
POINT OF BEGINNING `' , / �, z �/ Q 1441 T
$ c�
0 . i
0049, �...�.,, _ h 4✓ � L
O O' 6 0
^,G�n to
O 9
-W` `O � N ` �O Ou `O
�0 2.53 acres to m 9 ;p
\_ .
meander 1 i ne
Cc
0 h= LOT 5 \ of z
\ o30,Og m� SE CORNER
}- 155' \58 2.7 acres , mor rI, * ° SECTION 23
cn �+ Y a� T28N, R 20
\ Z or less to water's - --
LE GEND - --
Is1 mo, i° C? SECTION �• �. SECTION CORNER, SERNi;r.N
\
� � CAP FOUND
�° N 89 ° "W 307.76' 1 • 1 IRON PIPE FOUND
�30' , p� — + 4 EXISTING FENCE
SHORE LINE
\ � (WEST 330') r (000) PREVIOUSLY RECORDED DATA
CENTERLINE , OF THE T RECORDED o , Z p SEPTIC SYSTEM VENT
3/4" STEEL BAR \ EASEMEN5 _ TOP OF 12% SLOPE
SOUTH OF LINE. IN VOL.480, P145 � TOP OF 17% SLOPE
0 3/4" X 24" STEEL REINF. BAR
WEIGHING 1.502 LOS /FT. SET.
DESCRIPTION 4
\ 'A NET PROJECT AREA AT <12%
A parcel' of land located in r V ' T LOT N ;;, 1� 44,822 s,. F-; i":� +O 'I
Government Lot 3 of Section 23, P p_ `' \ Is 3,100 SQ. FT. -TOTAL N.RA.
I G) IS 47,922 SO. FT.
T28N, R20W, Town. of Troy, St.
Croix County, Wisconsin, described
as follows: Commencing at the SE ',0 Unplatted lands
corner of said Section 23; thence j h eo o , I.Z — — T -- —
N69 "W (true bearing) 2094.27' to `\ ° .104.75'`sJ °' �-A
an existing 1" iron pipe and the point of N 9 °5750 f".'17n
beginning; thence S11 444.23
thence N89 "W 104.75'; thence
N11 "W 214.98 thence N89058'09 "W z Proj. 480 -235
307.76' to an existing iron pipe and a point 1 O
on the meander line of Lake St . Croix and 30' o
more or less, from the waters edge; thence A
N10 "W 80.24' along said line; thence �
N 10 148. 11 along said line to a point , Ik
140', more or less, from the water's edge and the ` �S
end of said meander line; thence S89 13 "E 352. 39
to the point of beginning, including all land lying betwee \� r
said meander line and said water's edge, containing
2.53 acres ( 110051 sq. ft.) to the meander line. \_ 110'_
Also an access easement across said Government Lot 3, being 25 i
width across said parcel recorded in Volume 480, page 145, and shown
on the attached map; subject to an undelineated easement, 25' in width, and running
from the point of termination of the above easement along the toe of the bank and
ST. CROI X COUNTY
W I S C O N S I N
ZONING OFFICE
796 -2239 (HAMMOND)
425 -8363 (RIVER FALLS)
HAMMOND, WI 54015
June 8, 1983
Mr. A. F. Partridge
Partridge -Bell Properties
1775 Delaware Avenue
St. Paul, MN 55118
Dear Mr. Partridge:
In regard to your letter dated May 2, 1983, that portion
of the ordinance which prohibits the change on a noncon-
forming use (a cabin within 40 feet of the bluffline) to
a more nonconforming use (permanent residence) by the in-
stallation of water and sanitary facilities are as follows:
1.) 3.12 D 7a(2) Permitted uses in the Riverway District
allow a single family residence to be no closer than
100 feet to the bluffline.
2.) 3.12 D 7b(2) Single family residences,when proposed
to pe located closer than 100 feet from tale bluffline,
cannot be closer than 40 feet from the bluffline.
3.) 3.12 E Defines the bluff as being lands having a slope
in any direction of 12 percent or greater and visible
from the river and lands within the,diatrict. 'Phis
includes multiple bluffs, notched bluffs, coves, and
other unusual land forms.
4.) 9.4 A Describes nonconforming uses and whaL can or
cannot be done with them.
As originally discussed wilt► you, the cabin on Lhe property
is currently sitting so that it is within the 40 Pout set-
back line, Uur ordinance duds not permit the change of a
noncunfurming use to a more noconforming use. In addition,
the ordinance does not allow a nonconforming use to be ex-
panded, enlarged or altered in any way which increases its
nonconformity.
The original recuuuueudaLiuu was LhaL you Shuuld appiy fur
a variance to LI►e setback uf: lUU feet (ruin the bluff lire
and 133 feet from the tuwu read. By moviuh tike structure
to this to Catioll Lhat is greater Lhz►il 4U iueL by the variance
procedure, the SLructurus SLatuS could be changed to that
of it peru►anent residence. AL this time a well and septic
system could be lugiiily installed.
Shuuld you have luny additional eluesLiuus, pluusc du ouL
hesiLaLe to contact we.
Sincerely,
Thowas C. Nelson
Assistant Zoning Administrator
TCN:mj
Owner's name San. Permit No.
H63.05 PLOT PLAN
Show: �
!� Location of building served Q Dosing chamber
Ea Septic tank Vertical reference point
Building sewer Horizontal reference point
Ea Effluent system Well
Replacement system area Property lines w /in 50' of system
Distribution boxes Et Scale = l = 40 , or dimensioned
Pump and controls:
Mfr. & Model No. Vertical Lift Size Force Main
Friction Loss T. D. H. Vol. Dist. Pipe Gal. per Min. Gal. per Cycle
Place check mark in appropriate box, indicating item is shown on plot plan below:
�u�sT r'iT L ST So' "ta-i H
�mlN of - IQsRAINFictD
BLZI�CM 1
Totem of EU -c-C- I CI
Nun., wl �S� toW GR I-
}?�INT
ZA
r 1
III
I III
I I
I y o
�II
Tot VEk>r
hip. ISl
By the granting or approving of the above plan, or u n the event of a subsequent
permit being issued,ST.:*Roiy County and the 37 c,00c County Zoning Administrator, does
not assume or hold itself liable for any defects in plans or specifications, plan
remission, examination oversight, construction, or any dama e that may result in or
after installation.
Plumber's sign a ure
1