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HomeMy WebLinkAbout032-1084-60-000 ST9 CROIX COUNTY PLANNING & ZONING March 31, 2009 Paul Borger 1902 37th Street Somerset, Wl 54025 Code Administrav.on 715-386-4680 RE: Remodeling deck on existing house, Town of Somerset Land Information Parcel # 032-1084-950-050 (29.31.19.411 C-20) d: Planning 715-386-4674 Dear Mr. Boerger: Real Property The Zoning Office has reviewed your proposed deck expansion project for 715-356-4677 compliance with St. Croix County zoning ordinances. Your property, which consists of Lot 5 on CSM 20/5080, is adjacent to the St. Croix River and is located Re`-f cling within the Shoreland overlay district. 715-386-4675 According to our discussion today, the project involves expanding an existing deck on the house. Shoreland zoning does not address the proximity of your house/deck to the bluffline, so there are no setback issues concerning the expansion. We reviewed the location of your building sewer and septic tank based on an as-built drawing so that your contractor can avoid damaging them when placing footings for the deck. This project will disturb less than 2,000 square feet (grading/filling) on slopes <12% and greater than 300' from the OHWM, so you will not be required to obtain a Land Use permit pursuant to Shoreland Zoning Chapter 17.29(2)(a). The original Private On-site Wastewater Treatment System (POWTS) was designed and installed based on design wastewater flow for four (4) bedrooms (600 gallons/day) with a maximum occupancy of eight (8) persons. The proposed plans do not include any additional bedrooms and occupancy remains unchanged, therefore the project will not affect the function of the POWTS. We also discussed the possibility of a future project to create a pathway for access to the river. I provided you copies of section 17.29 of the zoning ordinance that specify the amount of filling and grading that is allowed without obtaining a land r use permit. Please plan to review concept plans with our office prior to grading on steep slopes (20 - 24.9% angle) or within 300 feet of the Ordinary High Water Mark (OHWM) of the St. Croix River. The most recent survey map indicated the location of iron pipes that mark a meander line, which may/may not be equal to the OHWM. We can assist you in determining the 300' zone and whether your plans will require a land use permit. ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, W1 54016 71X3864686 FAx PZ9CO. SA1NT-CRO1X. W1. US W W W. CO. SAI NT-C R OIX. W I. U S The proposed dec expansion projec ' must comply -with all applicable building codes. Please contact the Building Inspector for the town of Somerset to obtain a building permit. Should you have any questions, please feel free to contact me again here at the office. Sing , Pamela Quinn° Zoning Specialist Cc: Brian Wert, Building Inspector WDIR - Water Regulations Sanitary permit file ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W1 54016 715-386-4686 FAX PZPCO. SAINT-CROIX. W1. US W W W . C O. SAI NT-C R OIX. W I. U S nv,O1~3-00 t7 ~ O y G d O fD ~dW 7 -D 7 3 C7 3 ft. d ro 3 ~ 3 FF x z N z O N W (n N O O O O y co p CO W `C • ' m CL c ro n p `o m 3 j N w n m CD c ~ cQ N C N V N O r < W 00 ~ W <D = ro N _ fD A O N N N N CL Cc A~ 0 0 0 0 7 ro D) O O O O O C O C CO O) A N 3 a O ro 7 N O = N (n N N O CC d (D Co N t'I? D N C. v O m «y a Er o ro cn w oo o o N N N 0 W 8~ O CD 8D `17 N Olt CD O (n CD CA co -4 a_ O O O co (a CA C) > m M o c Q d '6 ~ N - ~ tQ 3 3 o ° N A A p z co z O o o D roa = N N O N O O O O m CD CD O7 Cn = ' N ro ro c C N N r ~ a ro 3 5 CD <p -1 N I N C I Az n D.'' A z O ~ O (n N W T m co fD (D z CL g a ~ o y z m ro A A O D. G _ O c7 ~ G !i K Oz d co ro z N N O A' O Q° o N Ln yA N V n S w ti ~ N O GO O _ ro o O ° yb O C:) CL ro V Parcel 032-1084-955-0550 03/31/2008 10:43 AM PAGE 1 OF 1 Alt. Parcel 29.31.19.411C-20 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/30/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BOERGER, PAUL H & CAROL A PAUL H & CAROL A BOERGER 1902 37TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1902 37TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 14.240 Plat: 5080-CSM 20-5080 032-05 SEC 29 T31 N R1 9W PT SE SE & PT GOV LOT 1 Block/Condo Bldg: LOT 05 FKA PT OF CSM 9/2469 & PT OF CSM 9-2552 BEING CSM 20-5080 LOT 5 (14.24 AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 29-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/30/2005 808109 2900/126 QC 09/30/2005 808108 20/5080 CSM 07/23/1997 1073/517 WD 07/23/1997 947/527 more... 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/05/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 82,900 295,400 378,300 NO UNDEVELOPED G5 4.240 8,600 0 8,600 NO Totals for 2008: General Property 14.240 91,500 295,400 386,900 Woodland 0.000 0 0 Totals for 2007: General Property 14.240 91,500 295,400 386,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 3 800Z46 . 401 4E3 VOLL 5080 ATHLE301 V.GE LSH . . . RES'ISM OF DEEDS . ST. CROIX RECEIVED FOR kECORD CERTIFIED SURVEY MAP 09/30/2005 ®1:30PM LOCATED IN THE SE 1/4 OF THE SE 1/4 AND GOVT LOT ONE OF CERTIFIED 13RVE MAP REt PY FEE: SEC. 29. AND THE SW 1 /4 OF THE SW 1 /4 OF SEC. 28. ALL IN CO TWP. 31 N.. RGE. 19 W.. TOWN OF SOMERSET. ST. CROIX CO.. W. PAGES: 2 CA ;7, -0 gg~ ST.--CROIX_ RIVER_ ct "o r ` ca m m r*1- 01 a~ GOVT LOT 1 SEC. 29 FF j m in c-i Cn C~p At A [JV VU~ N ~ I I r m ( -0 I Z m s, W 44 99 "1 ~a i3 O M 4- cpj c= m IA SS 8 IC r i ° v~ ~.o IV fT1 v Chi is m ITI y cr, ' - cw0 rn Z r~ YSSY~SB io `A Ki SO owo'° u' 1 r lq Nn H IG'> N cn -D 1{' o# t ~ ~~Ir ( IN v 8 ca 1D r ~Z SIT T co iq w o Ii N ! r 11 SE 114 OP SE 114 SAW 29 ~ N 1 O --t Z WHOM 1 ccn l z ~ ~ ^f m L0 1 m m ~ ~S is. Z4 31. 1 I Zy,Lp~' r1 zQ46 U Cg ~a , 4g_. $L ° 1d `emu\11UH1111i!!!y ~ _ ~ _ _ _ N ~ ^x{' _ O~ ~~tt► i~ y w 1~ 1LA 1 C7 I 9cp z r 1 AZ 4~ Cpy ®Mlo IC~)•.~ N jD Z fV G'~ _ 1 1- IT1 b~ 1T1 1 Icn 00 L G~ is; ~INi - i° Grn~il~n~ri~z z R t (A .NO iN.14 LJ N I 1 N (n N Z EA Ln (A Q ~ ; to O 1 CA t~0 CD co OOZ pj iD \ LQT 2 /L_ UId ONODNN>`. t7 :9 2 0 ? :z p$ G _ 2667.52' ' torn f t Si~~ T KA cc NOO'20'02"E 1 c' S' _ c> n 40 UNPLATTED LANDS _ S1 n$ p it 00 ° SW 114 OF Sl1 114 SEC. 28 rn ,4 ago 8 CT, O a S 1/4 COR. Nrn V °oSi►om f ¢ V 28-31-19 JOHNSON & SCOFIELD INC. LAND SURVEYORS 1203 MAIN ST. RED WANG MN 55066 651--388-1558 PAGE 1 OF 2PAGES Vol 20 Page 5080 SURVEYOR'S CERTIFICATE 1, Brandon W. King, Wisconsin Registered Land Surveyor, hereby certify: That I have surveyed, divided and mapped a parcel of land located in the Southeast Quarter of the Southeast Quarter and Government Lot 1 of Section 29 and the Southwest Quarter of the Southwest Quarter of Section 28, all in Township 31 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin, described as follows: Lot 1 and Lot 3, Volume 9 of Certified Survey Maps, Page 2552. Lot 1, Volume 9 of Certified Survey Maps, Page 2469. Subject to all easements and restrictions of record. That I have made such survey, land division and map by the direction of Bernard Martell and Paul Boerger, owners of said land. That such map is a correct representation of the exterior boundaries of the land surveyed and the map made thereof. That I have fully complied with the St. Croix County Subdivision Ordinance and the Town of Somerset Subdivision Ordinance and the provisions of Chapter 236 of the Wisconsin Statutes in surveying, dividing and mapping the same. Brandon W. King S-2632 WI Registered Land Surveyor 25 August 2005 Revised 21 September 2005 Property Owner acquired the original property with document # 5t5 33 and is adding adjoining property from document # (O (09 (0fo . This map shows the exchange of land between adjoining parcels and has been completed with document #,Y125!Ze2,t? _(QCD). No new lots are created by this instrument. All conditions, restrictions, notes, etc. listed on the previous certified survey map or plat are applicable unless otherwise indicated. This map shows, an exchange of land between adjoining owners. No new lots are created by this instrument. Approved on l ( 6s by_.. Zoning Department Approved on by Its Approved on Z2!6! - .TbY Its w mss? 1G PAGE 2 OF 2 PAGES i BRANDON W. KING S-2632 RED WING Q` su rrnnnuuttt~at~ Vol 20 Page 5080 s s~ ` STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNERf ~l ADDRESS 10 NTY r: KING OFFICE N' r ~SUBDIVISION / CSM# 1 LOZ" 1 m'_. SECTIONT_N-R_L2 W, Town of ST. CROIX COUNTY, WISCONSIN. PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 7/ G 4?' Sy 9=y0 Sc*~ m~sc INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. s BENCHMARK: 4 4 ALTERNATE BM: iI SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: (U eZ4 ' Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: ,4 1 Length _ Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House--,:~ Other ELEVATIONS Building Sewer 97,_f 2 ST Inlet: 9~~7 ST outlet: PC inlet PC bottom Pump Off Header/Manifold ,/Z Bottom of system Existing Grade 9X, 7_? Final grade 9 DATE OF INSTALLATION: - n P PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt rWisconsin Ddpartment of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) SanitarXPermitNo.: Personal information you provice may be used for secondary purposes [Privacy , s.15.04 (i)(m)]. L 8 9 4 7 7 $ d&r's PP"L 9Lit EWOVe Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: 1 Parcel Tax No.: 032-1084-60-000 TANK INFORMATION ELEVATION DATA A9700293 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ptic 12-00 Bench 14 q,32, /04'3,z- /00 Dosing 4# i6s'l e38. L'1 Aeration .w Bldg. Sewer U® a7, 32- 1 17 Holding _GjPkInlet 7 q q0? 7 TANK SETBACK INFORMATION 5 Outlet S~ TANK TO P/ L WELL LD Air lrnttake ROAD Dt Inlet ptic 4100 4-10 11 20 NA Dt Bottom LIZ Dosing NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System ID.12 G~t~ / Qq~z PUMP/ SIPHON INFORMATION Final Grade 5 40 7 2 Manufacturer De and t~ f G LZ $ Model Numb 6PM TDH Li Friction S s TDH Ft Force main -L Dia. Dist. To wen SOIL ABSORPTION SYSTEM BED / RENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth I N -73 DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK s INFORMATION Type O' a t Moe , ~'5. r 1661 System ~,r~'= € DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) v x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length y Dia. Spacing A 57W -7,11 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.) LOCATION: SOMERSET 29.31.19.410B,SE,SE 1904 37TH ST LOT 1 f. (1°; to~ f~jVa'lCt.*` d1}? ~`3£t le~c~'~"'~GtW~ 'fi'^.t; ti Plan revision required? ❑ Yes U~No Use other side for additional information. SBD-6710 (R.3197) Date Inspector's Signature Cert. o. ADDITIONAL COMMENTS AND SKETCH „ YT SANITARY PERMIT NUMBER: . r I< lip 1Zoo ~1•~- _ v! " Safety g l SANITARY PERMIT APPLICATION Bureau o of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sa~nitaarry PPer~mitt Number The information you provide may be used by other government agency programs ❑ Check it revision 4o prev(aus application (Privacy Law, s. 15.04 (1) (m)]. / 9V A 7 (S f State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Pro y Owner me Property Location ~~99,, 1 /4~Z 1/4, S TS1 , N, R E (or)ppv PropertOwner "s Mailing Ares Lot Number Block Number City ate Zip Code Phone Number Subdivision Name o .CSM Ilumber ( ) Il. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit~ Nearest Road 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 7 " ~1 .4//Oe 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. I< 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 JA Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 410 Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 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.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min. nth) Elevation - Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex per INFORMATION New Existin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App strutted Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i tallation f the onsite sewage system shown on the attached plans- Plumb is N m elP, riPlum is n e::-( S mps) MP/MPRSW No.: Business Phone Number: Plumber's Address Stree City, State, p Code): 1 IX., COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issue Issuing Agent Signature (No Stam~ [Approved E] Owner Given Initial e Surcharge Fee) Adverse Determination `j X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHD-6398 (R. 015/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings oivi ion, Owner, Plumber 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 systern, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. 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 on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement- Installing plumber 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. /006887 /t',;'oi,iS,/~/~ti°' X97 1'„ GA F 27 1 Q)71 s _ a 'ex 1 I j Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and A .'K percent slope, scale or dimensions, north arrow, and location and~distance to nearest road. Parcel I.D. # 1 ,9 APPLICANT INFORMATION - Please pr' ~l orma Reviewed by Date Personal information you provide may be used for seco ses (PAY , s. 1 (m)). Prope Location ,4,27 'C G YL- of - 1/4s 1/4,S CI T& N,R X(ol Property Owners iling Address L Block Subd. Name or CSM# S / ST CR{317f G~ 1A) State Zip Code 1,14 a City El Village) Town Near6t Road New Construction Use: Residential /Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow ZadZ gpd Recommended design loading rate _,_~_bed, gpd1f? ,_trench, gpd/ft2 Absorption area required -bed, ft2 .7~o trench, ft2 Maximum design loading rate _,_~'_bed, gpd/*2 trench, gpd* Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design/site considerations Parent material De eyyd?~'~ Flood plain elevation, if applicable 114- S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U= Unsuitable for system ® S ❑ u 10 S❑ U ElS ❑ u ® S ❑ U ❑ S Jzf U ❑ S O u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/1`12 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench J 13 0 7& Z2 _5r/ Ground Depth to limiting factor Remarks: Boring # Wj -12 4Z-& 1 J A" Z Ground elev. ft. Depth to limiting factor ?.L6~_in. Remarks: CST Name (Please PH Q Signature Telephone No. Address t Date `CST Number C _ /4 ~ SOIL DESCRIPTION REPORT + PROPERTY OWNER ~ Page,-pf PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure GepM2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots ° ° Bed Trench ke- J Ground elev. Depth to limiting factor >X J, n. Remarks: Boring # z C-Z Ground elev. ,Lft. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. C t. Color Gr. Sz. Sh. Bed , Trench Boring # / y 3 / J y 1 Ground lev. ft. Depth to limiting factor , ~in. Remarks: Boring # LM Ground elev. I Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) : _w sr~ . 5 } 38~ - 4 F.✓GIl~r.:ti f . ~ 1 r : STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County W t ~7 OWNERBUYER Pj w ~',2 re ( 17 d (±A'Gj 4--r MAILING ADDRESS t b 6 ~ '7 V t t '5f k) 33 PROPERTY ADDRESS /ft L (location of septic system) Please obtain from the Planning Dept. CITY/STATE (4i_ C'- PROPERTY LOCATION S,6' 1/4, 1/4, Section T_,5~N-RW TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP ,~=g , VOLUME PAGF: O LOT NUMBER~- 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 licensed septic tank pumper. What you put into the system can .affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation-prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. - The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year ex on SIGNED: COQ ~ DATE: LLn '3© l St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 T C - 100 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 recprding. a*----------------------------------------- Owner of property it a~ raha e r ret- Locationofproperty,~~1/4 _1/4, Section,4,T.,-a5_N-R-IQ -W Township c► Mailing address ,Address of site -/9~ Subdivision name Lot no. 1 Other homes'on property? Yes No Previous owner of property Tim.Au akJ Loriievia S~G~r Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes v,-' No Volume 9 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. l ice- ~2~✓ Si natu geof App cant Co-Applicant 30 1q17 3), l9 q7 Date of gna ure Date of ignature v'. a =§`,iR•a. a • ate:-~F+ J,. ;'3'tF{. e?i$!;'c J+'a,tff.F THIS SPACE aeseaveD rat aECDaD1N0 DATA DOCUMENT NO. WARRAN" DEED STATE BAR OF WISCONSIN FORM S - IM ..~...a 51533 A REGISTE]OFFICE t- - - - M ^Q I~ f ST. CRQ{ Timothy K. Sa er and Loriena J. , ..9. . t - • Reed husband end wife,- A . - at 12:4 iconveys and warrants to P ..~4u _.l__..Hr. Boe - .....1=ge--_-r--~ ..Carol. A....Boergar...husband. and-wife,.--an-- . ......sun!lmrsth•3.R..noari.ia1_Fxc~rzY.---------- , - r aETUaN TD the following desmlmd real astate in St,...CMQiX CMUty, :i j State of Wiseonsin: Tax Pared No: Lot i of Certified Survey Map in Voluwe "9•, Page 2469, as Document Number 481168, being a part of the BE 1/4 of SE 1/4 and Government Lot 1 of Section 29, Township 31 North, Range 19 West, St. Croix County, Wisconsin and ~I is quit claiming all interest they way have in the SE 1/4 of SW 1/4 of SE 1/4 of Section 29, Township 31 North, Range ' 19 west. ~ S tlCl~vv i+i ~ zs3 y~ r !i A This ._is homestead property. (is) (is not) n Exception to warranties: { Subject to easements, reservations and restrictions of record. Dated this 11th................. day of -Aprll.. 19.-.94.. ----(SEAL) --..(SEAL) . TIllUTSY- K._- SAGER _ --------_(SSAL)fr- (SEAL) s _ • XDR ENA ,1.. ,j I AUTURNTICATION ACKNOWLEDGMENT Si~aatnre(s) - STATE OF WISCONSIN sa. _ - -_St. Croix - - County. authenticated this day of it Parsonaily was before me this -___llth.... day of 42K: l______._.._w 14.94_. the above named th IC= - ez std Loriena ]1. Sa er T ---.Y.--- `1 TITLE: MEI[BER STATE BAR OF WISCONSIN ~ i (If not,.°--- authorisedO 406.06. Wis. S % 11. NE{/M. known to be the pawn _ who executed the mti , arknowled the same. gy KIM DOCUMENT NO. WARRANTY DEED II THIS SPACE RESERVED FOR RECORDING DATA ! STATE BAR OF WISCONSIN FORM 2 -1982 II I Timothy K. Sager and Loriena J. Sager, husband and wife, conveys and warrants to aul- H..- Boerger_-and Carol-A....Boergex._..husband.-and-wife a s.urvivor_ship..marital.,Property,...................... II I • • II RETURN TO I II li the following described real estate in S.t..CSOIX .......................County, State of Wisconsin: I. Tax Parcel No: i Lot 1 of Certified Survey Map in Volume "9", Page 2469, as Document Number 481168, being a part of the SE 1/4 I of SE 1/4 and Government Lot 1 of Section 29, Township 31 North, Range 19 West, St. Croix County, Wisconsin and quit claiming all interest they may have in the SE 1/4 of SW 1/4 of SE 1/4 of Section 29, Township 31 North, Range 19 West. j' ~i This ._ls homestead property. li Ij ii (is) (is not) Ii Exception to warranties: Subject to easements, reservations and restrictions of record. II I Dated this day of ---April------------------------- 19--.9-4- (SEAL) ~ - (SEAL) t TIMOTHY K. SAGER jar-, -----------------------(SEAL) (SEAL) * _LORIENA_.J....SAGER.. AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. St. Croix County.