HomeMy WebLinkAbout032-2099-50-000
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Parcel 032-2099-50-000 06/03/2005 03:53 PM
PAGE IOF1
Alt. Parcel M 26.31.19.950 032 - TOWN OF SOMERSET
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
* ROETTGER, BRADLEY A & DAWN M
BRADLEY A & DAWN M ROETTGER
1970 62ND ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1970 62ND ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: 2311-PINE CLIFF
SEC 26 T31N RI 9W SW NW LOT 5 PINE CLIFF Block/Condo Bldg: LOT 05
3 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
26-31N-19W SW NW
Notes: Parcel History:
Date Doc # Vol/Page Type
12/15/2004 782560 2715/283 WD
05/28/2002 680150 1899/139 WD
03/10/1999 599192 1409/586 WD
08/01/1997 1255/156 WD
2005 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 57,000 238,200 295,200 NO
Totals for 2005:
General Property 3.000 57,000 238,200 295,200
Woodland 0.000 0 0
Totals for 2004:
General Property 3.000 57,000 238,200 295,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 515
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
IN lip N o n a a a~■~6 ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
z (715) 386-4680
July 15, 1997
Hartman Homes, Inc.
Attn: Becky
P.O. Box 326
Somerset, WI 54025
RE: SEPTIC INSPECTION FOR MIKE HARTMAN/PINECLIFF PARTNERSHIP
LOCATED AT 1970 62ND STREET, TOWN OF SOMERSET, ST. CROIX
COUNTY, WISCONSIN
Dear Becky:
An inspection of the septic system for the above referenced address
was conducted on August 23, 1996. This property is located in the
SW 1/4 of the NW 1/4 of Section 26, T3T-R19W, Lot 5 of
Town of Somerset, St. Croix County, Wisconson. At the time of the
inspection, this septic system was found to be code compliant for
a four (4) bedroom home.
If you have any questions or concerns regarding this, please call
our office at (715) 386-4680.
inc ely,
'70 s
J es K. Thompson
ssistant Zoning Administrator
sm
9 10°
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
0 ` ~rr
~t
~~11NG GFFICE
ADDRESS- jy,
032- Zo~~- 5'6=00
SUBDIVISION / CSM~ ' LOT
SECTION_
=~T__N_R W, Town of ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FE T OF SYSTEM
- L/musti
~t'jti
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tan}- monholn tern,"r-
• f
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer:
Liquid Capacity:
Setback from: Well c` House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
-;SOIL ABSORPTION SYSTEM
Width:
Length_ y Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: - / House _3', Other
ELEVATIONS
Building Sewer l ST Inlet: / ST outlet
~y
PC inlet PC bottom Pump Off
Header/Manifold el Bottom of system Cx~fs~
Existing Grader/.2_ Final grade
DATE OF INSTALLATION* PLUMBER ON JOB: Z~2~~,~zk.P
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 268568
Permit Holder's Name: City ❑ Village Town o : State Plan ID No.:
HARTMAN, MIKE/PINECLIFF PARTNE -*OMERSET
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
-5 Ai
TANK INFORMATION ELEVATION DATA A9600277 8/23/96
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Benchmark ~7 Gt'J f
' Septic
Dosing
Aeration Bldg. Sewer 3. (nY Gam, U(o
Hol,di-ng' St/,0( Inlets /GD,Qd~
TANK SETBACK INFORMATION StIX Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header / Man. f, 73 r / v , Q
A Dist. Pipe
Aerati
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand n _ SS 1~c7
Model Number M
TDH Lift F ' tion System T _._EL_
oss Fmggd
ength Dia. Dist. :)Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length 0 No. Of Trenches PIT PIE No. Of Pits I ia. Liqui -Depth
DIMENSIONS Manu acturer.
SYSTEM TO P / L BLDG WELL LAKE / STREAM L
SETBACK CHAMBER Model Number:
INFORMATION Type 0 /
System: h_~:_-d 7v 4'-), 33 -12 P11/4- OR UNIT
DISTRIBUTION SYSTEM
Header i~ Distribution Pipe(s) Hole Size x pacing Vent To take
Length = Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound ;Or A rade Only
[Be pth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
d /Trench Center Bed /Trench Edges Topsoil E] Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) k1
LOCATION: SOMERSET.26.31.19W, SW, NW, 62ND STREET
Plan revision required? ❑ Yes B-lqlo--
Use other side for additional information. l-
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
' i
Safet and Buildings Division
SANITARY PERMIT APPLICATION Bureau of Building Water System!
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. „S
• See reverse side for instructions for completing this application State Sanitary Permit um er
9
The information you provide may be used by other government agency programs ❑ Check if revision to previous application
(Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORM TI N - PLEASE MINT ALL INFORMATION
Pro caner N e Property L cation
( 1/4 t/4, T , N, R (or
operty Owner's Mailing ddr s Lot Num er Block Numhht
Cit ate ZipC d FPhone Number Subdi . ion Name or CSM Number
)
II. TYPE F BUILDING: (check one) ❑ State Owned ❑ !ty Nearest Roal
❑ Village
Public 1 or 2 Family Dwelling - No. of bedrooms Town of
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax /ST
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Hom 10 ❑ O or Recreational Facility
3 E] Campground 7 E] Merchandise: Sales/ Repairs 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. E&New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank OnlyExisting 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 ❑ 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/da /sq. ft.) (Min./inch) Elevation
Feet Feet
VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
New Existing strutted
Tanks Tanks 11
Septic Tank or Holding Tank ' M ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ . ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for ins II tion of t on lte sewage system shown on the attached plans.
Plum r' Nam (P Plumbe s S atu . ( ps) MP/MPRSW No.: Business Phone Number:
P umber's)kdre s (Stre e City jt te, Zip C
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issue Issuing Agent Signat re o Stamps)
❑ Owner Given Initial Surcharge Fee
v _ C- ;C
Approved )
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One (opy To: Safety & Buildings Division, Owner, Plumber
i
INSTRUCTIONS
I
1 A sanitary permit is valid for two (2) years.
2. Your sanitary permit y bo renewed before `ire expiration date, and at a time of renewal ir. nev,, criteria in the
Wisconsin Administra=, ve --(,,,de will be applicable
1 All revisions to this permit must be approved by the permit issuing authority. •
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608-266-3815.
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.
li
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
Ill. 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.
i
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 is to 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.
i
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.
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wiscOnsin Department of Industry, SOIL AND SITE EVALUATION Page of
Labor and Human Relations
Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
County
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and F
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Par l I. # ror
r~I`tt LP
APPLICANT INFORMATION - Please print all information. R ad by ; , , (P ate
Personal information you provide maybe used for secondary purposes rivacy Law, s. 15.04 (t) (m)). rrt
Prope Z r Property Location ' V
7 Govt. Lot d 1/ 1/ F X(or~
Lot # Block Subd. a e CSM
Property Owner's ailing Addres _
P'
Cl J'e Zip Code Phone Number Nearest Road
[ Tpwn
( _ ❑ City Q Villa We
Ufl New Construction Use: Residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
-a-trench, gpd/ft2
Code derived daily flow gpd Recommended design loading rate __I-bed, gpd/fF
Absorption area required _bed, ft2~trench, ft2 Maximum design loading rate , 7 bed, vpd/f12_~2__trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design/site considerations
Parent material 0[ Y~ Flood plain elevation, if applicable ft
S = Suitable for system Conventional mound in-Ground Pressure AT-Grade System rin~Fill Holding Tank
U = Unsuitable for system O S ❑ U 0 S ❑ U to S❑ U ~ S ❑ U ❑ S 1151 U ❑ S IM U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
,
g_ ~ t in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground i d
elev. _
r ft' ! S S
W
Depth to
limiting 41Z 111,10
factor
Remarks:
Boring # ,
s
aS
_J'
Ground
elev.
ILLift-
Depth to ? /0
limiting
factr
'y _in. Remarks:
CST Name (Plea Print Signature Telephone No.
Date CST Number
Address
1C'~ -
PROPERTY OWNER SOIL DESCRIPTION REPORT
Page o~ --5, "
PARCEL LDI
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Gep/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench
Ground
elev. < 2
ySSf~~ ~
Depth to -
All
limiting
factor
in.
Remarks:
Boring # 4-g I A/11
s t.
42
7 9`
Ground /
elev.
~tt s - 8
_ 7 S
I "J" Al?
Depth t0
limiting - , -
factor
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 #
as-
' a
Ground s,
01
elev.
_
a / ft. 7 S Z/ 71
r
Depth to A (
limiting ;
factor
7,9 in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBDW-8330 (R. 08/95)
~/r(/7 /1:~~.✓- 7~o U J ~ /c572'~/~~12 • f~ ~-C/.~
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER Jnr~v ~ C L'i;:*1= J94 m7- v.:rtr",,, fo
MAILING ADDRESS D,~ /30 3 G, Svn,iz_resAF_ W_Z
PROPERTY ADDRESS
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION S 'K/ 1/4, IV V1/ 1/4, Section A b T i N-R 1 c1 W
TOWN OF Spm rZ,SI ST. CROIX COUNTY, WI
SUBDIVISION 17~ r~i_ G1 ~`/~F LOT NUMBER
CERTIFIEDSURVEY MAP , VOLUME , PAGE , 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 l,- 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 expiration date.
SIGNED: C=
DATE: - 3
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
S T C - 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 - P►,v t d r r ?}nTN,:rC sh i
Location of property SW 1/4 A) W 1/4, Section (o , T 31 N-R 19 W
Township % Mailing address
Address of site
Subdivision name ~t,v c L,l~l= Lot no. !5
Other homes on property? Yes No
Previous owner of property / 12trvniQC
Total size of property
Total size of parcel : O fCrr A5 S
Date parcel was created
Are all corners and lot lines identifiable? X Yes No
Is this property being developed for (spec house)? X Yes No
Volume lZ-21 _ 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. =Z , 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-Applicant
C-3-- "0"
Date of Signature Date of Signature
gyp jA. . ~'mE a. . i'... v . _
,r..l.~. 8~ l'- W~a 'f,. T a i.
State Bar of Wisconsin Form 2 - 19*22 1 G15 TB' r
WARRANTY DEED G15.B, S C; F C
ST CR
DOCUMENT NO. ROcd }ul F. i~
MAY 9 1995
George T. Pennock a George Pennock - 11:00 A.6l1
conveys and warrants to -n1f-~$Ile~l] g- I
- _ THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS
the following described real estate in St • Croix
County, State of Wisconsin:
3 (Parcel Identification Number)
W1/2 of NWi/4; SEl/4 cf NWl/4; NE1/4 of SW'114; all that part of NW1/4 of SW1/4
1 lying Ely of Apple River and that part of SE1/4 of SW1/4 lying Ely of Apple River;
all in Section 26- and all that part of NE1/4 of SE1/4 lying Ely of the Apple
River of Section X27; All in Township 31 North, Range 19 West, St. Croix County,
s Wisconsin.
r
Tai
This iS not homestead property.
)(is not)
i
a Exception to warranties: Easements, restrictions and rights-of-way of record,
if any. I x
d
my olf May .1995-
Dated this
(SEAL) (SEAL)
George Pennock, a/k/a Geme-Pennock
(SEAL) (SEAL) l
I
I
M
iI
AUTHENTICATION ACKNOWLEDGMENT
T. Pennock, a/k/a STATE OF WISCONSIN
ss
ti
3 T{)BQ6 County. \
~10 • O }Nis Of : day of May 19 9S Personally came before me this day of
19- the above named
t ` -
`land
I TI ,µ6168 R STATE BAR OF WISCONSIN i
(If no , who executed the
authorized by §706.06, Wis. Stats.) so me known to be the person
foregoing instrument and acknowledge the same.