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HomeMy WebLinkAbout182-1021-60-000 \ o. 7 E r� jk / E .2 \ U ® \ \ ! \ R % { � . m ] 2 % r ® � 0 0 ) {§ %§ � 2 /ƒ__ » ■ gat§ � J /b= � 7 � % � � z 6i § 2 . § k \ \ ! £ m = e z § z 2 2 , k k 7 j ( : y \ C / � � CD � � -� . ƒ o } k 04 " Cl) 4 k . CL 2 ■ ■ b k ;) a Q a . z - \ k - t § a m m j � § § S ƒ � �aa a _ © k ° j \ e / 2 ƒ 7 \ ! ■ c k \ (L ;) 2 £ I - 7 o R w 2 & k \ § \ 3 - w \ \ \ \ o d f ) J\ §C § ) k a i / J a 0 2 j ~ Parcel #: 182- 1021 -60 -000 04/25/2005 10:21 AM PAGE 1 OF 1 Alt. Parcel #: 311706- 21- 01 -00 -00 -000 182 - VILLAGE OF STAR PRAIRIE 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 * SCOTT J SCHERWINSKI SCHERWINSKI, SCOTT J 976 CTY LINE AVE STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 976 CTY LINE AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 5.000 Plat: 0608 -CSM 12/3379 SEC 6 T31 N R1 7W NE NW FRL BEING LOT 1 Block/Condo Bldg: LOT 1 CSM 12/3379 EZ -UT- 1411/408 FKA PARCEL 197 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 06 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 12/06/2002 701333 2072/222 QC 07/31/1998 584060 1344/465 WD 07/23/1997 1201/148 WD 07/23/1997 412/370 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 53866 176,000 Valuations: Last Changed: 09/08/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 30,000 134,000 164,000 NO Totals for 2004: General Property 5.000 30,000 134,000 164,000 Woodland 0.000 0 0 Totals for 2003: General Property 5.000 30,000 134,000 164,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 519 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 4 ST. CROIX COUNTY ZONING DEPARTMENT `AS BUILT SANITARY REPORT Owner SCO Address City /Stat S ,.��c r� Legal Description: Lot Block Subdivision/CSM # 1 33 - 79 '�� , Sec., TAI N -R/ of PIN # V, I l nsJ a Stu+- rv�. SEPTIC TANK —DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer Abitty 7T- Size ST/PC lam/ Setback from: House 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: 9-c- Width Length K' /I Number of Trenches Setback from: House -5p_ Well - - 'Z- ) P AL , -- ,3' Vent to fresh air intake 32 ELEVATIONS: Description of benchmark Elevation AtS Description of alternate benchmark Elevation Building Sewer 93- ' � ST/HT Inlet � 1,, ( ST Outlet 3, PC Inlet PC Bottom Header/Manifold a. Top of ST/PC Manhole Cover %. Distribution Lines ( ) 9,?, 6 S ( ) ( ) Bottom of System Final Grade ( ) 2 ( ) ( ) Date of installation S' 16 M Permit number - 3�� ° / 7 State plan number Plumber's signa re License number 'z 71y / DatO X /9 Inspector complctc plot plan f 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. PLAN VIEW -rot 41 aij . 1 47 INDICATE NORTH ARROW i fety a n Department Commerce S • Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count sion , 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)j. 315976 PPrmjY �1�4I N me: El City village f: State Plan ID No.: �` ttll !l SCOTT STAR PRAIRIE CST BM Elev.:- Insp. BM Elev.: B Description: Parcel Tax No.: I 6 - � 1 � {�v(i l ��M 182 1021 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ept , I ( e t2,06 Bench k 7 / too Dosing 40.6tA � - r� /OoZ -s Aeration Bldg. ewer g- /o.$ q3.R Holding St /Ht Inlet �I I ( �3 - TANK SETBACK INFORMATION St/ Ht Outlet 3 Q3 TANK TO P/ L WELL BLDG. Air ir I to ntake ROAD Dt Inlet A Septic /V &_ a7 NA Dt Bottom Dosing NA Header / Man. A ration NA Dist. Pipe !�Z, /2. H ldin Bot. System (Z 9S 1.7� PUMP/ SIPHON INFORMATION Final Grade q - 5 - �SZ Manufacturer Demand Model Numb TDH Lift Friction System T Ft Forcemain Le Dia. If Dist. To well SOIL ABSORPTION SYSTEM D RENCH width Length // No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS w {O DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Man INFORMATION Type - f CHAMBER Model Number cyst �l' �.J OR UNIT DISTRIBUTION SYSTEM Header/Manifold i I t Distribution Pipe(s) /r x H�Te - S-ize x Hole Spacing Vent To Air Intake Length l Dia- Length �Q Dia. � Spacing (D SOIL COVER x Pressure Systems Only xx Mound r 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.) L LOCATION: VILLAGE OF STAR PRAIRIE 6.31.17,NW,NW . Plan revision required? N Yes ❑ No Use other side for additional information. ( (3- p°J 7 7 SBD -6710 (R.3/97) Date Inspector' Signature Cert. No. mow' SANITARY PERMIT APPLICATION ' B ea of uflding Water 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 1/2 x 11 inches in size. 37. C, • See reverse side for instructions for completing this application State Sanitary Permit Number 3 IS I (to The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name )�, _ Propert Location �Co 6 S IP . q7 L,,,,iA ( 1/4, S T - 3 / , N, R /7 E (or)@ Property Owner's Mailinq Address Lot Number Block Number i/3 2 606 s (1-1 ot 7- .- City, Stat Zip Code Phone Number Subdivision Name or CSM Number SVOi7 (XS 17 #4' - 71'6 7- A'•S I2 -5 - 7 II. TYPE OF BUILDING: (check one) ❑ State Owned !t r I� Nearest Road Village S Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1❑ Apartment/ Condo 0 Z "" /d Z/ G O L ' 31 ' 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 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 25Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit �5 � 43 ❑ Vault Privy 14 ❑ 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. 7. Final Grade Required (sq. ft.) Pro osed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation �` 907 &W 700 ' c71 0 Feet 9XJ '_ Feet Ca aclt VII TANK in gallo Total # Of Prefab. Site Fiber- Exper. INFORMATION Manufacturers Name Con- Steel Plastic New Existing Gallons Tanks concrete glass App. strutted Tanks Tanks Septic Tank v ` @v' 7 E El El El El El Lift Pump Tank /Siphon Chamber t I ❑ 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 ber's Signature: Stamps) MP /MPRSW No.: Business Phone Number: ffie r Plumber's Address (Street, Cit , State, Zip Code): ? i Q Air, O IX. COUNTY / DEPARTM NT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issr Agen ignature (No Stamps) urcharge fee) gApproved ❑ Owner Given Initial �( 180 �/� to l ,fib Adverse Determination ((�� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: ( V MY �BD -6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber - I'I /y► IM 7 Z/ e /7f N(� ut✓ SST 3 ! Nt? / LOT z. /CJD ,4; To wC- f (1, E - 3 1 1� l � d � Wisconsin Department of Commerce SOIL AND SITE EVALUATION D'rbision of Safety and Buildings Page of -?-- Bureau of Integrated Services in accordance with s. IL / HR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inch i biz$ Ptarrirwst County �-- include, but not limited to: vertical and horizontal reference p f direction and 'S r, percent slope, scale or dimensions, north arrow, and locatio ista p t road. Par c . # APPLICANT INFORMATION - Please print a orrr i�an.F r � „ ` Rev ew y Dat Personal information you provide may be used for secondary purpo es rivacy Laws 1 .0` (k �rfi)). IZ Property Owner LOUtPidperty Location .� lee 7'r "vING `d &jt jot NfcJ 1/4 Nk/ 1 /4,S T N,R �� E (or Property Owner's Mailing Address L -caY# Btdck# TS ubd. Name or:CSM# d / ss A city State Zip [ Code Phone Numb e rr ❑City illa e T N R / oad P� cyr.r s - S % �. �)° �� 7�L 74= /A q7 IJK Grp -t New Construction Use: '® Residential / Number of bedroom Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: J , Code derived daily flow e � gpd Recommended design loading rate bed, gpd /ft � r trench, gpd/ft Absorption area required, / bed, ft .7S' ttrench, ft Maximum design loading rate bed, gpd /ft2 p _ trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations ,_ _. . , /1.1 ?S 4 Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S ❑ U 'l S ❑ U R�-S ❑ U ❑ S F�] U ❑ S a.0 ❑ S ® U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 a 2.YYe_ - sL iWA ��' r7v <4 c, 2 / ) s`yf �' s✓ _ s t s,� 1"11"r P a w Ground 3 S /f S` �l /Y�I� Q`✓ i 7 0 q, e j e�cr pc l �v 3 ft . �. syQ�s'd, C S /97L r 7 r 4 Depth to limiting factor 7Qin. Remarks: Boring # ON . 51YO a /f SY 111`0 4.4- mvF e?4• , s pZ y.)Y 1 23 - ye M/ SC C )C4,r A WW aS :..� Ground `% 7•S �'s!s ' S �^ /�L '� r 8 eI v. Depth to limiting factor �in. Remarks: CST Name II (Please Print) /f D Signature J 1 Te ?CJ �t_ 4 Address Date CST Number yo s a ice. s'4`vc P . 9 2 1 SOIL DESCRIPTION REPORT PROPERTY OWNER Page 2. of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed Trench .3 I 0.12- ,. Nife2 sYc , x' iliocie . Y , ) Ground elev. 9�!zft. Depth to limiting "fIr r in. Remarks: /) , 2 . . * cs1Jig -2/ .AeLif 4.)O •< . ike Boring # / C? /Z 2 Y y/f2S/f C58x' "fie 4/ Z I Z-4 '�S�' ''��4' ti /FA Crci Ground \,-14( ,a i4 13St r elegy Depth to limiting Sqr 7 in. 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 # ' 1, � / L 9 ),s ylQ� /', 5&,� ./yn/4 ctw f 6A/ , (/ ; ,) `)s1e ti/v �c l fir Adl AreCP ct-4- , 41 ,S' 3 21-3i' z stf,' - fru. Ground 41 3t'9c/ 7sJ,; .s/j elev ft. Depth to limiting Wc�Ncttor Remarks: c „ 7/ Fs -z-L, Boring # Ground elev. ft. • Depth to limiting factor in. Remarks: SBD-8330(R.07/96) n o 9 Nw N�es � T VJ2 u. ZO y Z i ©`!h - i } � l r - -- -- j � I ST Mom COUNTY Sk'PUC ';'ANK MAjNTFrNANCE AGREEME?NT AND OWr ERSHIP CERTIFICATION FORM owners /Buyer �LQZL—J— f�.it�3S Mailing Address �. Propetly Address _� o (Verifioation required frou i Planning Depar iOnt for new construction _ City /State a a t r . Parcel Identi£'ica6on Number _ _ L EG AL bESCRIPTIO / c Frap I Location _ z /�, kd %,, Sic. W Town of _ S, r lUtltt Subdivision _ �..�., ,.._.._._ - -- , Lot Certified Survey Map # S3 Volume �� page # Warranty Deed # `(� �! � • Volume T �� Page # Spec house 0 yes dad no Lot lines identifiable C yes ❑ no SYSTE.� MAIl�I'.CEl�lAL�I l nproper use and maintenanceof your sel pc system could result in its premature failure to handle wastes. Proper)=iuten= consists of pumping out the septic tank every thri a years or sooner, if tieeaod by a licensed plumper. What you put into the &ystem can affect the function of the septic tank as a trm �.nent stage in the waste disposal system The property owner agrees to submit to St, Croix Zoning Departsneut a cortifloatiun form, signed by tho owner and by a masterplumtl er, journeyman pli,imber, re strictedpl; tuber or a liaetuedpumper verifying that (1) the on -site westewaterdisposal system is in proper operating conditum and/or (2) after iv section t.*d pump. t g (if necessary) the sel3tie tatak is less than 113 fuu of aludge. Vwe, the uzadersigued have read the above requfrr, hants and agxec to maintain. the private sewage disposal systarn with the standards set forth herein, as set by the Departmetxt Of Com !"roe and the Department of Natural Reso%w6a, Stato of Wisoonsfa. Cent ;f,catien stating that your septic synteui has been =iatatnel j must be completed and returned to the St. Ctoix County Zoning Office within 30 days of the three year expiration date. U OF AkPI.iCAbI1' I7A1'E OW NER CERTIFT TA ION I (we) cextfy that all statements on this ; ►rm are true to the best of my (our) Imowledge. I (we) am (are) the owner(s) of ttte property described above, by virwe of a waml Ay deed recorded io Register of Deeds Office. G. t1TtJRE OF API'LICAi DATE Auy information that is mis- represented rr ay result in the sanitary permit being revoked by the Zoning Deportment. Include with this application: a stamped wan- my deed fron too Register of Deeds office a copy of the c, rtified survey snap if rcf6rence is made in the warranty deed VOL 1344PAu fiz) 584000 a STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT No. G I!M S .... ......... . . .............. g Eric L. Russell and Doreen E. Russell, Ka for R606rd husband and wife, JUL 31 1998 9-30 A.M conveys and warrants to Scott J. Scherwinski and illoto of Deeds Jeanette M. Sellung ILI, lo t I THIS SPACE RESERVED FOR RECORDING DATA ........ . .. !NAME AND RETURN ADDRESS the following described real estate in St. Croix County, BANK OF NEW RICHMOND State of Wisconsin: 355 South Knowles Avenue P.O. Box 128 Now 191011mond, WI 540 L Pt 182-1021-60 PARCEL IDENTIFICATION NUMBER Part of NE1/4 of NW1/4 of Section 6-31-17, Village of Star Prairie described as follows: Lot 1 of Certified Survey Map filed November 13, 1997, in Vol. " 12 " Page 3379, Doc No 568534. $ Jr TgANSFER do l �FE�� s not This i homestead property. )CXM (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. 7'1 Dated this day of July A.D., 19 98 jI (SEAL) 5 (SEAL) if Eric L. Russell Doreen E. Russell 4- (SEAL) SEAL) AUTHENTICATION ACKNOWLEDGMENT i I. Eric L. Russell, State of Wisconsin, Signature(s) ss. Doreen E. Russell County. '1';' - 2.10 ".1.... J111V IQ P—n—flir rnmp hPfnrP rnp thk day of • 1 568534 CERTIFIED SURVEY MAP The Fractional -Northr&&L Quarter of the Northwest Quarter of Section 6, Township 31 North, Range 17 West, Village of Star Prairie, St. C ix County, Wisconsin. Prepared for and at the. reques of: Gary Russell 703 Jewell Star Prairie, WI 54026 OWNER: UNPLATTED LANDS IF COUNTY LINE AW. Eric and Doreen Russell P_O_ L_K / 8_T, C R O I X ,ROAD NORTH 114 CORNER NORTH OF ME FRAC770NAL NE 1% OF 1NE NW 114 SEC. 6 -31 -17 -- -------- S89'33'27 "E 2780.52t -------- ---- (SURVEY NAIL) ,�' --- - - - - -S 89'33'27" E_ 1314.67'-- - - - - - -- - -- 673.69 -- - -- -�. R ti a oe . 301.35_ "+ 640.98.7, i .," 306.26 i — ti i — 303 � o i i � I v 589 27 "E ► I o 11 ao i ,M 11 m ,,i I i l l 11 O I M 1 1 1 1 1 0 �} RONALD F 1r7 l i I l l o to I I I I ,� JOHNSON � !� � � M ,. 8 -1185 ' 1 1 L.. O T 2 I >x AMERY. z, - ;LOT 1 0 1 0 1 wis.,�� Su O 1n N ( .-- .. Or 1 cQ N 3 ih `* ° 3 3 to r� r' LAJ pW I ni O� ON nLr) o: Z��Q N I I Z I I IWNW V1 W I I O O O W I I I I W I° N V 1/l `ood W o f I i I ° ��n ' o� � o C==3 I N N Q N �t1 I I N �A Q N v1 1 1 i O \ pl 11 1 1, j i 1 OLn I W ZI I to 'n li N 89'54'32" W %I �� N 89'54'32 W �\1 349.95 `t N o 2 °j 3 N 257.59' el W * o � 1, th R of i IoW ZI v In 1 WI I O W Z cal ° j N ;c G� ? ; 'I LOT 3, o 0 I ' I O 2 W I .. Z N GARAGE l WELL i c L) in r i 0 I I I W E to W. to ® a1 I I o 0-0 ° °° in HOUSE SEPTIC i �, pp I TOTAL AREA I I o 545,246 SO. FT. �p� �`� j ' v o ,tlWs� vj .3 I 12.52 ACRES, ���� i AREA EXCLUD. R.O.W. �J��� i i v N a z 543,065 SQ. FT. k.�i, pQ` cn ° x _c \ `� ; o 12.47 ACRES 5����P i 1 i e n