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030-1093-10-300
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 563834 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Schueller, Shawn & Danielle St. Joseph, Town of 030-1093-10-300 CST BM Elev: Insp. BM Elev: BM Description: SectioNTown/Range/Map No: /OC> tv-L 1 GS 32.30.19.340620 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. Septic 5 I 1 7,5 ~ Benchmark ~ Z I&F lab d QCS~ ' ;61 V.~ 3.7 /1S S - 5 Aeration Bldg. Sewer I - 4 Holding St/Ht Inlet ITI /r1d ~ 3 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent Air intake ROAD Dt Inlet Septic 7 ~f- 1 5a/ A* zo 6 Le., ' Dt Bottom ~ Dosing Header/Man. /l~. Cp 1 g • ~ Aeration Dist. Pipe /0- 9$. 2• W.. ? Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Z 161 Manufacturer Demand St Co,ve~ GPM E; 1 3 745 1.6 S- Model Nu TDH L Friction Loss System Head TDH Ft Forcemain LDist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of P is Inside Dia. Liquid Depth DIMENSIONS 3 p C?y Cy r!7 SETBACK SYSTEM TO P/L JBLDG WELLLL -'J LAKE/STREAM LEACHING Manufacturer: n, Tv~ INFORMATION Type Of System: CHAMBER OR UNIT Model Nu ber: DISTRIBUTION SYSTEM o (4-,- ZZ4- Z Z„ v S Header/Manifold/ DistributiQn x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length $ Dia Length Dia Spacing p 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 No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 471 Perch Lake Rd. H dson, WI 54016 (SE 1/4 NE 1/4 32 T30N R19 ) NA Lot 2 Parcel No: 32.30.19.340820 4 1.) Alt BM Description = ' - &,w C,_ 2.) Bldg sewer length = ZZ -amount of cover = ♦1 L e Plan revision Required? ❑ Yes No q ~7 r i / Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor Signatur Cert. No. A~' a a~ y T7 r k `fit ~ ~ t~ ~ C1► G © yP ~I. ~o C:D t © ~ ~ 1 0 O a - .o v - a OP' TVA a Safety and Buildings Division county < p 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) ' p g t Madison, WI 53707-7162 P~ State Transa tion Number KWis. Permit Ap plicatio~`~~aV~+ In accordance with SPS 3 . 1( . Code, submission of this form to the appropriate govei5rn4al unit is required prior to obtaining a sanitary permit. Note: Application forms for state-~}} P WTS are submitted to Project Ad ess (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provid'r n 4 _3Elltfgr secondary A purposes in accordance with the Privacy Law, s. 15.04(1) m), Stats. _00~r secondary 1. Application Information - Please Print All Information C Property Owner's Name ` OUN Parcel # l ,5-A0, w >J f,- Property Owner's Mailing Address / Property Location /'s Q Z2 5 3 5G C I "t. N , Govt. Lot c fJ City, State Zip Code Phone Number 5C y, tiL '/4, Section ~f ,(circle one ! 4,4_ CJ Sd N, I S ! Le T-30 N; R ~ 7 E o II. Type of Building (check all that apply) Lot # Z Subdivision Name Al or 2 Family Dwellinger of edrooms n 5.~, /1 Block# 1, d" ~ i ❑ Public/Commercial - Describe Use 1 ❑ City of El Number ❑ Village of ❑ State Owned - Describe Use &Town of S~ DcSF ~1 V) L t ~ 11 III. Type of Permit: (Check only one box on line A. Complete line B if applic ble) A. NO~Xew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. El Permit Renewal ❑ Permit Revision El Change of Plumber El Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Information: c?-G Cl S 3 X T a Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed f) System Elevation 97. ~ 9 5 8 (1206 . -7 65-7 88 o f- /0. 2 V-r VI. Tank Info Capacity m Total # of Manufac re o Gallons Gallons Units n U p W C N V y p c3 cC New Tanks Existing Tanks a. U ~ E f Al Septic r Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. u ber's Name (Print Plumber's Signature M PR umber Business Phone Number GtC u£ , ZZZ~- ?rS-yQl-588 P mber s Address (Street, City, State, Zip Code) VIIL, ount /Department Use Only [L/ Approved Fee Date Issue Iss ng Agent ignatur~ uyapproved El Disapproved Given Reason for Denial Uy, W,4#1ApsSRd for Disapproval (iln {rte i a -t~ l 3d dispersal cell must be serviced./maintained as per management plan provided by plumber. LIiJQ- 2. All setback requirements must be maintained p , a e cbe Code%rdieqnces. - 60 0(.,q l _ i ~N'o 1 0 1 ~ ..~2s~ Z ti~7 L ttach to complete plans for the system and submit o the, J,.4t County my on paper not less than $ 1/2 x lII incW,iip4 / J ll nn I,~ q•i-- ~j ~y~ ,{t~ /~/~'t1'7%r Vw G'U/~V7~ V' nL n,~ `..i L I A t1 d !mod Y ~Yn ~~et ~l• /k,914~_1/ SBD-6398 (R. I I/ 11) t I'I'I I ' ~ Ii I 'I i 8167893 Document Number Document Title Tx:4137988 981990 St. Croix County BETH PABST REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI RECEIVED FOR RECORD ~~t xf 1 ~ 07/10/2013 12:51 PM Name - (Owner) Typed or printed EXEMPT being duly sworn , states, under oath, that: REC FEE: 30.00 He/she is the owner/part owner of the following parcel of land located in St. PAGES: 1 Croix County, Wisco sin, reco ded in Volume Page Document Number St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the f_ of the E-11. of Section _L, T30 N Name and Return Address - R A W, Town oflfr'~rPJW St. Croix County, Wisconsin, being duly ~~1 ScrIUa described as follows (include lot no. and subdivision/CSM or detailed legal 22 3 3 SA/-C_ LA-Are description): Described in Document #910642 as Part of the Northeast (/oS0 VV-'r S~ f 01 & Quarter of the Northeast Quarter (NE'/. of NEand part of the Southeast 3 p _ v93 -10 _ 30o Quarter of the Northeast Quarter (SE % of NE of Section Thirty-two (32), parcel Identification Number (PIN) Township Thirty (30) North, Range Nineteen (19) West, St. Joseph Township, St. Croix County, Wisconsin, further described as follows: Lot 2 Certified Survey Map recorded in Volume 15 of Certified Survey Maps on Page 4111, as Document No. 648881. As owner of the above described property, I acknowledge that the private onsite wastewater treatment system (POWTS) serving this residence is sized for a J_ bedroom home or a design flow of h~agpd. The design flow is calculated by assuming 160 gpd for 2 individuals per bedroom. There are currently _occupants living in this residence; a maximum of Toccupants are permitted based on the design wastewater flow. Therefore the POWTS serving this residence is code compliant at this time. However, I understand that if there are intentions to exceed the number of permitted occupants, the POWTS may be subject to premature failure and/or will need to be modified to accommodate the increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this ~Q day of C31~ 't 1 T P it AUTHENTICATION `0,11 ACKNOWLEDGMENT Signature(s) .A. HA A. /i' STATE OF WISCONSIN ) St. Croix County. ) f~ ! authenticated this day Z Personally came before me this -day of D l3 the above named _5AaU) 1 StALt e lle_, Gj Z TITLE: MEMBER STATE BAR OF WISCO to me known to be the person(s) who executed the foregoing instrumen d acknowledge the sa (If not, / / 111111 authorized by § 706.06, Wis. Stats.) THI STRUMEN WAS DRAFTED BY: la ua ~ n Notary Publi , State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not my Commissi is permanent. If not, state expiration date: necessary) Date: D/- I This information must be completed by submitter: ddocumeni tille, name & return address, and PIN (if required). Other information such as the granting €1.~+uses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note: Use of this 1 O cdver page adds one page to your document and $2 00 to the recording fee. Wisconsin Statutes, 59.43. CONVENTIONAL. COMPONENT DESIGN Residential Application INDEX AND'TITLE PAGE f Project Name: c A U, Owners Name: ~rJ wi✓ y c ~1 L4 e Owners Address: Z Z 3 3 C.cc ham" . u rl~TON' ~ cS~y/L ' Legal Description: J~r_N £ 3 z Township: County. S t~/Z x Subdivision Name: Lot Number. Z. Parcel ID Number. 0 3 0 0 9 /0 -J0 0 Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Gross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer/Plumber. License Number. Z Z- Z 87z Date: Phone Number 21,11'" ~9! ' `f 388 Signature Designed pursuan to a In-Ground Soil Absorption Component Manual for POWTS Version 20 SBD-10705-P (N.01/01). Page 1 • I z x r ~ n r -O a IN cw C A ~ •Z, O "h 0 5,, o 0 o o X CO .0 C) 7 d' .o v . ~ o a Soil Absorption System Cross Section j0,0, 6 ft Final Grade 4" Schedule 40 gG 8 PVC Vent Pipe 9& With Vent Cap ♦ ft Leaching 9ss' Chamber 97 ,l ft System Elevation 3 ft ft Soil Absorption System Plan View 66 / ft 3 ft S ft Leaching Trench 1 Vent Or Observation Pipe Chambers 4" Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model QL ; C EISA Rating LD. o sq ft per chamber Soil Application Rate gpd/sq ft o D gpd Design Flow _ • 7 Soil Application Rate _ LD • y EISA Chambers 2 rows of aR chambers each. Page of s■ m M M w N I s - = C!] n n n co n 21 I I ~ ' 2 CA I Z~ n O 3 c u. Q d n ~ ~ n I G I ay - = o r:. o -w N 3 y I = ° ro ~o r~ 'n r: I C 3 n n O~~ p± ~ m ^ c~ ~ N r1 o I n N ~ 7 ~ n o I v I c " ai = Fir . 3 = ~ F~ o•° o n C G m° a n m 3 r~ o u, I fD C n C..~ O C F O W-mm w 2 C C 1 rD 0~, O C p p O - tD ' O ➢ gxo~s ~ ~ H u 3 c n ~ ~ r` H. 7i~ ~R y IDs-' O B n H uCi O C O -7 ^ ID (D ° o O t7 O _ O I"1, , m Q L7 ~ fJ ~ O O 7 Cd V1 tC n-y- CD _ = a n p p ~ -3~Dm- - r- J N =-,:I fA n ' - ^ j C<~ 3 N O O7''4 O N n a G C n vOi n 3 i. n Y v m •L,, 3 C Fes'' r: ry m = 3n~c' F'd 3 n• n tC -n• O ~f C 2 n o n p e c 1~~ Gl A A LM J 3 -4 . x e a Fp O v n v 6J I•~" L7 r9 n p C 9 7 n C i~ a ff lC O< O r ~ :J m 27 S' 2 ton s fi'3 T F-I r V r 61 t y POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa~ of FILE INFORMATION SYSTEM SPECIFICATIONS Owner 5/•lawN e~ EI lct, Septic Tank Capacity Z S"0 gal ❑ NA Permit # v~ Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS O Effluent Filter Manufacturer 13 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model /Q ❑ NA Number of Public Facility Units L~-KA Pump Tank Capacity gal -EMA Estimated flow (average) IoOa gal/day Pump Tank Manufacturer Design flow (peak), (Estimated x 1.5) 90b gal/day Pump Manufacturer @-f4A Soil Application Rate gal/day/ft2 Pump Model LLNA Standard Influent/Effluent Quality Monthly average*' Pretreatment Unit B-NA Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODE) <_220 mg/L ILIA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <_150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average pDiispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD5) <_30 mg/L W-In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L LYNA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 510° cfu/100ml ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size Y. in dia. zwA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: J ❑ month(s) (Maximum 3 years) ❑ NA 4aTear(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA B-year(s) Clean effluent filter At least once every: l 46'month(s) ❑ NA cq ❑ year(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) 0'NA ❑ year(s) Flush laterals and ressure test At least once every ❑ month(s) ZPNA P ❑ year(s) Other: At least once every: ❑ month(s) p,pA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name w n 5 7"; C Name Phone l 1,'i- y 7 - Cl ' 5388 Phone 7 1,5-- Y g l - S3 8 o'-'> SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name K Name . ~ti-o X Zd N N Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 55fj wN s, J-CA u" £ 1z- 'e-Mailing Address Z -Z 5ccC., j~j_ /l-,ti/ ~~d,v (,t✓; c7y y 1(0 Property Address g /t t 1~~ (Verification required from Planning & Zoning Department for new construction.)- City/State t cc,<c~d VV-T'- Parcel Identification Number 6 30 09-3- /0 - 361 -3ya 6 LEGAL DESCRIPTION Property Location5E '/4 , '/4 , Sec. 3 Z , T 30 N R /y' W, Town of `5' oaf Subdivision Plat: , Lot # Certified Survey Map # 1p u , Volume 1 S , Page # Warranty Deed # (before 2007)Volume , Page # Spec house f-1 yes Wo Lot lines identifiableyes 1- no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 frill of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 7/0/13 v )L k Y 111 13 S GNATURE P A T ) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. ` Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 111111 VIII VIII VIII VIII VIII IIII 111111 IIII IIII State Bar of Wisconsin Form 6-2003 * 9 1 0 6 4 2 1 SPECIAL WARRANTY DEED 910642 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between State Bank Financial, a Wisconsin banking 01/21/2010 02:30PM corporation SPECIAL WARRANTY DEED E%ENPT N REC FEE: 11.00 ("Grantor," whether one or more), and Shawn S. Schueller and Danielle M. TRANS FEE: 174.00 Schueller, husband and wife PAGES : 1 ("Grantee," whether one or more). Grantor for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Recording Area St. Croix County, State of Wisconsin ("Property") (if more space is Name and Ram Address needed, please attach addendum): s Ti4, Part of the Northeast Quarter of the Northeast Quarter (NE of NE and s (x S ~F~l,6 part of the Southeast Quarter of the Northeast Quarter (SE % of NE r/,), of Section Thirty-two (32), Township Thirty (30) North, Range Nineteen (19) West, St. Joseph Township, St. Croix County, Wisconsin, further described as follows: Lot 2, Certified Survey Map recorded in Volume 15 of Certified Survey Maps on 030-1093-10-300 Page 4111, as Document No. 648881. Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible, in fee simple and free and clear of encumbrances arising by, through, or under Grantor, except: any easements, conditions, covenants, restrictions and reservations of record, and any municipal or zoning ordinances and real estate taxes for 2009. Dated f p U w► ke r a 3 -9 °Q 9 STA FINANC (SEAL) a (SEAL) * Kevin R. Ex ti a Vice President (SEAL) (SEAL) * • Chad Hill, Vice esident AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. authenticated on ST. CROIX COUNTY) Personally came before me on , `ja~o ci # the above-named Kevin R. Leslie and Chad Hill TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the persons}- rlalxee 4ly,~oregoing authorized by Wis. Stat. § 706.06) instry en( and aclmowled eA d ~'s~ %s THIS INSTRUMENT DRAFTED BY: s Stewart L. Etten, Ruder Ware, L.L.S.C. Notary Public, State of WISCO P.O. Box 8050, Wausau, WI 54402-8050 My commission (is permanent) (ezt (Sigoatares may be authenticated or acknowledged. Botb are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDEN~ XF IND. SPECIAL WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 6-2003 *Type name below 9ignarums. WFO-PRO" Lspei Forme • (800)655 20211 • k*Vuforms com 1 of 1 'h ~ G48881 FILED ~ s juN 2 0 2401 V' 3 ~,K~ar<sn 4 SLcF*c0j" CERTIFIEn SURVEY MA ~r LOCATED IN PART OF THE NE7 /4 OF THE NE7 /4 AND PART OF THE SE7 OF THE NE1 /4 OF SECTION 32, T30N, RI 9W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. OWNER: CURVE DATA TABLE (ALL LENGTHS ARE IN FEED Curve Radius Central Chord Chord Arc Tangent Beall JENNIFER HALLET Number Length Angle Bearing Length Length Tangent In Tannt out PREPARED FOR: C1 5789.58 00°10'01" N75°23'07.5"W 16.87 16.87 S75°1 8'07'E S75°28'08"E JIM JUNKER C2 202.50 58°47'37" N34°21'48.5"E 198.80 207.79 N04°58'00"E N63°45'37"E 1416-3 1/2 STREET C3 5639.58 00°16'26" N76°17'29'W 26.96 26.96 N76°25'42"W N78°09'1 6"W TURTLE LAKE, WI 54889 C4 169.50 85°47'44" N47°51'52"E 230.75 253.81 N04°58'00"E S89°141 6"E C5 396.00 30°49'38" N75'20'55"E 210.50 213.06 S89'14'16"E N59°5606"E SCALE IN FEET 1' = 200' 200 0 200 0111 HIED 13V 19)`4GJCp9 N114 COR. -2662.52'- NORTH LINE OF THE NE1 /4 w z SEC. 32~A 89°57'36'E 89°3T360E 769.36' IY~ 1893. 18 - NE COR. 271.18'- _ -338.13 C~ 160.07' . EC. 32 N o LL N01 °09'36. 06"9E. j-Se as "E~ 12 s1i' / ° Z . . . ¢W~ w w co J / .64 ACRES .49 ACRES ` r y ! O.H.W.M. 818.4 18'± Q O w in POND zjM) tg N LOT LydT4 3 - ~ 7rF390 ACRES F Q 0 (321, 5 SQ. FT.) INC. R11/V u ~t ~I i N 4.681•eCRES 7.063 ACRES M'6 997 Qi' 09 t ifl t F R (203,942 SQ. FT.)_INC. R/W Qi1 N ~•f2CS7,646 SQ. FT.) EXC. RM/ E o a i f~L' 0I j LjO (1 : 73, 3848 SQ. . FT.) ACR2EXC. xv... I, rt - i r ~ 33.04': 442.70' W ° o pl©' cv ' Auj N87°47'48"YV 475.74' % O t ~}t ~ w o f v t LOT 2~~pp t O T~ S t o ! t :j"' c0 ~4 CL g 1 I 1 4.133 ACRES BENCH MARK: TOP OF N t tQ IRON PIPE, ELEVATION i N (180,041 SO. FT.) INC. RAN Q t t N 3.815 ACRES 831.4 JVp w r O t I (166.201 SO. FT.) EXC. RM/ oa ~i j r'O'I a t = 6 1 OO '5192 ~N tv 66' JOINT $ 69 01'0$ NOTE: I EWAY EASEMENT~.1-I 0 LOTS MAY HE SUBJECT 50 20 328.35' of3j C9 S' ' TO FUTURE SPECIAL .89° 52"W 378.55' H ASSESSMENTS FOR ANY ) Q' UPGRADES AND r ROAD IMPROVEMENTS TO THE LOT i ~v (o N at \ I ~cl' 11.452 ACRES ca CC? (498,840 SO. FT.) INC. RAN n Z Z 9.879 ACRES w ~~J 2 (430.320 SQ. FT.) EXC. R/W 11 w SOUTH LINE OF THI'=- Az- ' • . , Z )9 OLD ~a~a*!•_-~_ _ O- _ _ N 6°2 2"W~ ~~'s 34 u~ - - - - 28.0g' B~s~ - - - - - - LEDEND N89°51'1 O"W 642.6V 4?Mw 14'± FOUND ALUMINUM COUNTY SECTION CORNER MONUMENT 1~ I FOUND 1 IRON PIPE O SET 1" X 24" IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT • ' ' ' ' ' ROADWAY SETBACK LINE (100' FROM RIGHT-OF-WAY) 75' SETBACK FROM THE ORDINARY HIGH WATER MARK (O.H.W.M.) PROPOSED DRIVEWAY o EXISTING FENCE co N C 2 THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6006-01 DATE: 05/17/2001 ~ SEC. 30 OR. 32 VOL. 15 PAGE 4111 L Wis. Dept. of Safety and Professional Services SOIL EVALUATION REPORT '5' ` Page f 3 o Division of Safety and Buildings s in accordance with Comm 85, Wis. Adm. ~~ll ~C`► County S1` - C.✓La jc Attach complete site plan on p less than 81/2 x 11 inches in size. Plan must ft include, but not limited i a rizontal reference point (BM), directiol pq&. percent slope, scale i , north arrow, and location and distance to n reo7ad. 630 -103-16 300 P/ print all information. S`T / r vie Date Personal informal oyou provide may be used for secondary purposes (Privacy Law, s. 15.01 l L?12,0i-3 Property Owner Property Loca I £ - Nf oowN 14 £1) !!,G Govt. Lot 5 114/t/E 1/4 S N R 19 E(or)(0 Property Owner's Mailing Address Lot # Block # Su . Name o 22-33 Z- tj( City State Zip Code Phone Number ❑ City Village W own Nearest Road ~u d~r,v lam; 3 ~o t rQ ( ) 5-~- o~E ,c c,A 6~ ct New Construction Use: Residential / Number of bedrooms _ Code derived design flow rate Loo O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments c 3- - f t f~ :0 97. r.~d, and recommendations: S Mom f Boring # Boring pit Ground surface elev. ~d~• ft. Depth to limiting factor in. 90 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 a ' -3,3 0,5 ~ 1 3 3 :33(Q7 I ~Yr~E .S O j C w 7 A~L z- FZ1 Boring # F1 Boring 2 Q ® Pit Ground surface elev. ~~I• ✓ ft. Depth to limiting factory ` z - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 0-13 )o h A317- v acs a~b C aJ l74" -2- 3L - ' I Ob.Gy1~/ - S ~ Gw iv~' - 7 1. Z, * Effluent #1 = BOD > 30:< 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Na (P ase Print) Signature CST Number w ~J~ l~ S ZZZ 1-- Address Date Evaluation Conducted Telephone Number Ze~g rso'',3f ~u~~ LTyF,53 y-z -13 5"9l-53$8 SBD-8330 (RI 1/11) Property Owner Parcel ID # Page of 3 ❑ ® Boring # Boring l a 0. O > Pit Ground surface elev. ft. Depth to limiting factor m.. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 102 ° ld goy/3 - % a3 ,w, 4Y •-7 a ~6z8 oy,~ - 3 3 L8=71 /074Y/ Y O So- Cw L t/~ -7 A A-- 0 CT ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 ❑ Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD e < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330 (RI 1/11) Property Owner Parcel ID # Page of of 3- ® Boring # ❑ Boring d d . O >9V 54 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 3 Z 871 '0 7.4Y/Y ~ D ~ C w E v`~ ~ -7 TL- -Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 ff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330 (R1 1/11) 'i72~ ill -7 P7 R J S of- kk 41- 71 a u a r q o ~ ~o ~ o 0 ~o, z a r " a3 C-f N O-N Q~l f ~r p o- c~ c z Jm a G N CA • fi t,4 vl ~ a V r s ~ 7° a ~ o Q o n 41- r ~ IND. O % At i Z Q ~ a CIO, o to a f~ Z Q r, r, N a M d A ~o ~ Q At< --P ;t 7 3 37 cc.~sin depart, mfr !t of commerce SOIL EVALUATION REP T Page 1 of 3 isio nf Safety and Buildings z~ / • in accordance with Comm 85, Wis. Adm. Code [~'c- County S -i-• C Attach complete site plan ~n 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 Parcel I.D - - ~U percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Gl~ ~e QS Property Owner 2o` d- / Property Location J , 3~o g2~ FORA N 1/4 tiE 1/4 S- Z- T 30 N R 1~ E (or W Property Owner's Mailing Address of # Block # Subd. Name or CSM# 1LI 16 3 ],(Z S-TT~--7 2 tz-D C-SN City State Zip Code Phone Number ity ❑ Village ® Town Nearest Road TQNzTLt Lfr w I IS) 3S7-6So3 sT_ s L PETLCH U~kz ac) New Construction Use: Residential / Number of bedrooms -7 Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Pckq- l PH- OUTI-i fR-s 44 Flood Plain elevation if applicable Ill ICS ft General comments and recommendations: M'D HI G I+ C P-)--)n L' CrY abEI JZK1s~-' J fl~,B Z o1' z m CSC= aeZ.. -D l ~ --I( D' `M $ C) 0 F I Boring # ❑ Boring ® pit Ground surface elev. Q . S ft. Depth to limiting factor ? 1 i 8 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1. o-q L649-3) z - si 1 Z~sb~ m ~Ft~ ~S t~` . s • 8 Z- -3 3 `Z 8.313 s i I Zvvl. Sbk m C~~ - • S • ~ 3 33 ~ l0`~2.31b - sil LcSbl~c m-~y- CS - • Z -3 Li LR-u? -).s Li231 - S O s m l z k tll-nn U Boring # ❑ Boring SCY0\o pit Ground surface elev. 10 Z- S ft Depth to limiting factor Soi Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bo a ots , PDIW in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Eff#1 'Eff#2 0 -9 1w-lt 3 ! - s j 1 2`Fsb VZ_ AS 1`~ . S < 8 Z -4p 1oK2 313 - Si 1 Z►- 36k kf.- 3 y~ S3 ~0`~ R 316 ~ S1') leSbk rn`F- eS - . z • 3 tf 3 --)Cs svmaLl 1S ft Q- O S3 m eS - -Z Aq (0 Effluent #1 = BODs > 30 < 220 mg/L and TSS >30. < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) - re CST Number. Arthur L.- Wegerer Signa 01-$S 2- 220254 Address We g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. ;[-fain St. River Falls, WI 54022 y-19-01 715-425-0165 W1 Property Owner --S Ki ~-L,!`~Z Parcel ID # Q 1 h1 G Page Z of 3 Boring # ❑ Boring ® Pit Ground surface elev. ~D . 5 ft. Depth to limiting factor l in. Soil Application Rale Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= In. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Eff#1 Eff#2 o-LO lD`1fZ3LZ si y Z b m`fh C S .5 .8 1,n CL-j LD-b3 l `1 3A s) 1 tc.Sbk »~`H- L°S - Z -3 3 ~O `d 2 3 L3 ~o. t1q SLIP- 31y S ~s~ w11 ~ ~.Z '04 1 F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to Iir", g factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft: In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD6 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD6 < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-31 S 1 or TTY 608-264-8777. SBD-3330 (R.6100) Property Owner ~~1'y 1~ t~1Z Parcel ID # Q ~l W G F~] Boring Page of 3 Boring # ® Pit Ground surface elev. M 3.5 ft. Depth to limiting factor 1 l In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= In. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 a-L o L oKrZ3L Z - si 1 Z`F b m`Fh C S l .5 Z 10-~-1.~ tu~~~13 ~ si 1 Zinsbk r~`Fl- ~u _ .S ~8 3 70 `d2 3L3 - IS a S M CS` ,.7 1• Z -X . u g S Y2 315/ yr, ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiti g factor in. Soil Application Rate Horizon Depth =m1nant Color R edox Description Texture Structure Consistence Boundary Roots GPD/ft2 n. l Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ' Effluent #1 = BOD6 > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or. need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SB"330 (R.6/00) PLOT PLAN Page 3 of -3 Scale 1' = 4a ' LeT 3 s~l q"'►~Z fit. LOS.SON T2rM*4 - EL,100.0 8`'4-!611 s ti~ D~r~ 1~~1 ~lP~ DI14 PVCPtPEsw/t_q~,J LoT- Z 00 ~rjy _ goo' ►oy LO ~ 10 ~ 1.00 ' S,1 >.ject lC t'rv t~~ I" t11 F1- L- L~ l& t1_19_o1 715-425-0165 220254 01-95-? CST Signature Date Telephone No. CST No.. Job NO. 'P'arcel 030-1093-10-300 09/29/2011 10:17 AM PAGE 1 OF 1 Alt. Parcel 32.30.19.340B-20 030 - TOWN OF SAINT JOSEPH 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 O - SCHUELLER, SHAWN S & DANIELLE M SHAWN S & DANIELLE M SCHUELLER i 2233 SACIA LN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 471 PERCH LAKE RD SC 2611 SCH DIST OF HUDSON SP 1700 WITC Legal Description: Acres: 4.133 Plat: 4111-CSM 15-4111 030-2001 SEC 32 T30N R19W NE NE SE NE BEING LOT 2 Block/Condo Bldg: LOT 2 CSM 15/4111 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-30N-19W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 01/21/2010 910642 WD 07/02/2009 899278 SD 02/08/2007 844148 WD 06/15/2001 648350 1660/341 QC more... 2011 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/12/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.130 54,200 0 54,200 NO Totals for 2011: General Property 4.130 54,200 0 54,200 Woodland 0.000 0 0 Totals for 2010: General Property 4.130 77,400 0 77,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Pam Quinn From: Pam Quinn Sent: Monday, June 17, 2013 4:49 PM To: Shawn Schueller (ssfinehomebuilder@yahoo.com) Cc: Todd Dolan (tdolan@allcroix.com) Subject: Shawn Schueller sanitary & land use permit applications Hi Shawn, I am at the 30-day mark for either approving or denying the sanitary permit application for lot 2, CSM 15/4111 in Sec. 32 of St. Joseph. Your plumber, Jacque Hawkins, needs to revise the site plan to accurately show the house, the driveway, and POWTS -175' to the pond's OHWM and either increase the size of the system to 5 BR to match house plans or submit an occupancy affidavit for recording on the deed that discloses a 4 BR system/8 person maximum. I called to remind Jacque that I do not have the correct information to approve the sanitary application. In addition, no building permit can be issued until a land use permit for Shoreland filling and grading has been issued and I need the items listed in my May 6th e-mail to you for that application. Please let me know which of the options you've selected for the size of the POWTS or I must deny the sanitary permit application. Please respond ASAP. Pam Quinn, Land Use Specialist (P0-N'S) St. Croix County Community Development Dept. not CarmichaeCRoad Hudson, 1N1 54o16 715-386-468o pam. quinn(acr~co. saint-Croix. wi. us 1 Pam Quinn From: Pam Quinn Sent: Monday, May 06, 2013 8:05 AM To: 'Shawn Schueller' Subject: RE: Schueller house Hi Shawn, If you would like to leave your house plan drawings as is, without deleting m" and bathroom shown on the lower level, and do not want Jacque to enlarge the septic system to a-51313 sizing, en recording the affidavit will be necessary to disclose the actual capacity of the septic system to any fu rty owners. We've found this to be extremely important both to sellers and buyers. Since you will need to record another affidavit for your stormwater management plan (to go with the land use permit) and both documents must be si ry, let me <no when you can come into the office and I'll help you get the paperwork organized. We do need a check for $350 land use permit application fee (prices haven't changed since you talked with Kevin Grabau back in e checklist, on the back of the form, guides you on the other items needed for that permit. As I said previously, a revised site plan that is scaled accurately to show lot lines, house, driveway, and septic system must be submitted for both permits. The stormwater plan is required in the shoreland ordinance so that the first 1.5 inches of rain runoff from impervious surfaces (roof, paved driveways, etc.) get directed into infiltration structures such as rain gardens. You calculate the cubic feet volume of the structure by multiplying the square footage of impervious surfaces by 1.5 inches (0.125 ft.) Please let me know when you can stop in to the office, we're open 8 - 5 Mon. - Fri. but I do have septic inspections, etc. and need to block off time to help you with this. Pam Quinn, Cand Use SpeciaCist (1101N2"S) St. Croix County Community Development Dept.. iloi Carmichaefltoad H- dson, `1NT 54o16 775-386-4680 pam. quinnna,co. saint-croix. wi. us From: Shawn Schueller jmailto:ssfinehomebuilderOyahoo.com] Sent: Friday, May 03, 2013 7:54 PM To: Pam Quinn Subject: RE: Schueller house Pam, We have no plans to finish the lower level at this time. With this being known, will we still have to record the affidavit? Thank You, Shawn On Fri, 5/3/13, Pam Quinn <Pam.Quinn(i~co.saint-cro&wi.us> wrote: 1 From: Pam Quinn <Pam. Quinnkco. saint-croix.wi.us> Subject: RE: Schueller house To: "'Shawn Schueller"' <ssfinehomebuildergyahoo.com> Cc: "Todd Dolan (tdolan@allcroix.com)" <tdolan@allcroix.com> Date: Friday, May 3, 2013, 8:25 AM I reviewed all the pages of your house plan - you have 5 bedrooms shown and the sanitary permit is for 4 bedrooms. Either increase the size of the septic system or you can record an occupancy affidavit that discloses to all future parties that the septic system is undersized for the number of bedrooms in the house. Pam Quinn, Land Use Specialist (POWTS) St. Croix County Community Development Dept. 1101 Carmichael Road Hudson, WI 54016 715-386-4680 pam. quinn@co. saint-croix. wi. us From: Shawn Schueller jmailto:ssfinehomebuildernyahoo.com] Sent: Friday, May 03, 2013 8:10 AM To: Pam Quinn Subject: Schueller house Pam, Steve Dalton contacted me and said that you needed the home plans for the sanitary permit approval. Please find them attached. Call with any questions, 608-220-7703. Please reply to confirm receipt. Thank You, Shawn Schueller 2 ST. CROIXm, C NT Y Land Use Planning & Land Information Lf~~f?✓ Resource Management Community Development Department WWEEEWX~ July 17, 2013 File#: LU87948 Shawn & Danielle Schueller 2233 Sacia Lane Hudson, WI 54016 Re: Land Use Permit, Filling and Grading < 10,000 sq. ft. in the Shoreland District 471 Perch Lake Rd., Lot 2 CSM V. 15/P. 4111 Parcel #32.30.19.340B20, Town of St. Joseph Dear Mr. & Mrs. Schueller: This letter confirms zoning approval according to the plans you have submitted for filling and grading an area of approximately 4300 square feet within 300 feet of the Ordinary High Water Mark (OHWM) of an unnamed pond to construct a driveway, single-family dwelling, and private on-site wastewater treatment system (POWTS) on the property referenced above in the Town of St. Joseph. Staff finds that the proposed project meets the spirit and intent of the St. Croix County Zoning Ordinance and Shoreland Overlay District with the following findings: 1. Filling and grading less than 10,000 square feet in area less than 300 feet from the OHWM on slopes less than 25 percent is allowed with a land use permit in the Shoreland District pursuant to Section 17.29(2)(c) of the St. Croix County Zoning Ordinance; 2. The filling and grading required for excavating the foundation of a single-family dwelling, the driveway, and POWTS are located within 1000 feet of the OHWM and subject to Shoreland zoning requirements. The proposed driveway, single-family dwelling, and POWTS meet the 75' setback from OHWM and other required setbacks and dimensional standards contained in the St. Croix County Zoning Ordinance; 3. The applicant will develop an erosion control and storm water management plan featuring areas designated to infiltrate runoff from impervious surfaces such as the roof on the house, pavement, etc. With conditions to install appropriate erosion control and sediment control measures e.g. silt fence or sediment "logs" prior to beginning excavation, to maintain erosion control measures until self-sustaining permanent vegetation is established on all disturbed areas, to prohibit the use of phosphorous fertilizer to maintain a lawn, to implement the storm water management plan, and record a maintenance and monitoring agreement against the property for the infiltration devices, negative impacts to the water quality of the pond will be minimized; 4. The nearby pond is located on neighboring lot 3, which is owned by others who are required to maintain the native vegetative cover along the shoreline; 5. Approval of the land use permit will include a condition that an affidavit for the stormwater management plan be recorded against the property; and 6. The Wisconsin Department of Natural Resources has been sent a copy of the application. A DNR grading permit will not be required for land disturbance less than 10,000 sq. ft. and outside the 75' OHWM setback. Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, W154015 Fax 715.386.4686 www.sccwi. us/cdd www.facebook.com/--Stcroixcountywi cdd @co.saint-Croix. wi. us Community Development Department Page 2 Based on these findings, approval of the land use permit is subject to the following conditions: 1. The applicant shall submit a site plan that indicates location(s) for infiltration devices with a capacity of at least 540 cu. ft. for stormwater runoff and locations for erosion and sediment control measures for review and approval by the Zoning Administrator. 2. The applicant will be responsible for implementing the approved storm water management and erosion control plans and shall record an affidavit against the property with the Register of Deeds referencing the storm water management plan prior to commencing construction. 3. The applicant shall obtain all applicable permits and approvals required for construction of a house and POWTS. The county-approved erosion control plan may be submitted with your building permit application for compliance with Uniform Dwelling Code requirements. 4. The applicant shall implement the approved erosion control plan and install silt fencing, straw waddles, and/or sediment logs between areas of exposed soil on the construction site and the neighboring lot to the north to control contaminated runoff. 5. The sanitary permit issued for installation of the POWTS will require compliance with all conditions of the land use permit and contractors must be made aware of the conditions regarding erosion and sediment control. 6. The applicant shall maintain all erosion and sediment control measures until permanent, self- sustaining vegetation is successfully established on all disturbed areas of the site. 7. No phosphorous fertilizers shall be used on the disturbed areas of the site, unless a soil test confirms that phosphorous is needed for establishing permanent vegetative cover. Within 30 days of completing the project, the applicant shall submit to the Zoning Administrator photos of the stormwater infiltration devices and disturbed areas for documentation of compliance with conditions. Photos may be sent electronically via e-mail attachment. This approval does not allow for any additional construction, structures or structural changes, grading, filling, or clearing of vegetation beyond the limits of this request. Your information will remain on file in the St. Croix County Community Development Department. It is your responsibility to ensure compliance with any other local, state, or federal rules or regulations, including obtaining a building permit from the Town of St. Joseph. Please feel free to contact me with any questions or concerns. S' , Pamela Quinn Zoning Specialist/Zoning Administrator Eric: Land Use Permit LU87948 Cc: Todd Dolan, Building Inspector for Town of St. Joseph Mike Wenholz, Wisconsin Department of Natural Resources Phone 715.386.4680 Government Center, 1101 Carmichael Road, Hudson, Wl 54016 Fax 715.386.4686 www.sccwi. us/cdd www.facebook.com/stcroixcountywi cdd@co.saint-croix. wi. us M1 4 7 t, ! C o C fit' 1®,~'' P-A o fi mac- low c 0 o f - X z Z~ 171 - a c .o a 0 0 0 Cl) * F-1- on C,\ 0 O rMIL p. n 0 Z o rN 00 C c' = p 0 - I o CL n (D 0, to y ~ ~ 2) roL MT Z :r -h rqL CD CD V ■ CD M CD Ci) ir p p 0 p/ X r9L -h - CD 03 ~ o rMIL to .4 -0 ' . ".4 x a ml a D 'p N ftft*= C = -ft%a 0 g -M Z m (Am 2 0 N (D p Q. rMIL Q. v ` M N ~ a - F rMIL cD CL rMIL o N V / 0 FILED 64$881 AUG 2 9 2001 6 JUN 2 0.2001 3 I.rlaIt+ dO SORVE' +.'(1RIS RE + CERTI vi ~v rz'cF•*u0vvEY MA LOCATED IN PART OF THE NE1/4 OF THE NE1/4 AND PART OF THE _E1/4 OF THE NE1 /4 OF SECTION 32, T30N, R1 9W, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN. CURVE DATA TABLE (ALL LENGTHS ARE IN FEET) OWNER: Curve Radius Central Chord Chord Arc Tangent Bearing JENNIFER HALLET Number Length Angle Bearing Length Length Tangent in Tangent out C1 5789.58 00°10'01" N75°23'07.5"W 16.87 16.87 S75°18'07"E S75°28'08"E PREPARED FOR: C2 202.50 58°47'37" N34°21'48.5"E 198.80 207.79 N04°58'00"E N63°45'37"E JUNKIER JIM 1416--3 3 1/2 /2 STREET C3 5639.58 00°16'26" N76°1 7'29"W 26.96 26.96 N76°25'42"W N76°09'1 6"W TURTLE LAKE, WI 54889 C4 169.50 85°47'44" N47°51'52"E 230.75 253.81 N04058'00"E S89014'1 6"E 05 396.00 30°49'38" N75°20'55"E 210.50 213.06 S89°1 4'16"E N59°56'06"E SCALE IN FEET I"= 200' UapdQV~F_ LSD RAaD% 200 0 200 O_ W_Gv_]l_~_D@_ _1yO_4_ _G1 IER@ N1/4 COR. -2662.521- LN; TH LINE OF THE NE-1/4 / SEC. 3 9°5 7'36"E 769.36' _ i w z N8 9°57'36"E NE COR. NO 1893.16' 271.16'- - - -338.13 160.07' EC. 32 O U e a S89°14116"E 14.61' ~C R cn NOi 0906E 186.70' 127.91, w LL r 36.491 / Ln ~T/~. WO¢ LL w M .64 ACRES .49 ACRES ` w O.H.W.M. 818.4 18± ¢ LL p c+i v, q:11 POND ~0~ N 1 J T 4 * Z I ~ 7. 90 ACRES Ln E0 H Q , 4 3 RE I (321,945 SQ. FT.) INC. RAN Lo cn I I i N Q (A % 7.063 ACRES u~ CC,,) @j °LS N (203,9 3.991 F~ I C. R/W .067,646 SQ. FT.) EXC. R/W *AC Q • (173,848 SQ. FT. EX M... o o d~l 91 Q 1 I 0 O 4~ it i i 33-041. 42.7 to H c o LQ i i rl w N 7°4 48"W 75.7 a tv III W o ~°IgI O o I no i A~ Z !V CRI 22 3 I II ;o BENCH MARK: TOP OF Q 4 I; I Ll. 0° I I v 00 4.1 RES ro I co - o cd IRON PIPE, ELEVATION I I [,51 c Z v I c (180,041 SQ. R/W ~i oA O Z N 3.815 ACRES J 831.4 rn (21 Oo Q ~I I M (166,201 SO. FT.) E> RAN U-' ON o 6 I I N85° 4p2' oo a III Oj W j = 17.00o200'VI/ ~ \ y~972 cC(0\1 [rL-~II i 0. ch ¢6' 66' JOINT ~p7 p6 I [[~~l N IVEWAY EASEMENTj7-1 68 56 v NOTE: 328.35' al LOTS MAY BE SUBJECT I c+0 9°53'52"W 378.55' y ~I ~I TO FUTURE SPECIAL c~l ASSESSMENTS FOR ANY I c ' o UPGRADES AND IMPROVEMENTS TO THE OI~ ~ LOT 1 ROAD. I o co cv ~IC\J 11.452 ACRES w o o (498,840 SQ. FT.) INC. RAN Z Z ; 9.879 ACRES w ~~y p J cS (430,320 SQ. FT.) EXC. RAN ~ry 2 LL Z SOUTH LINE OF Th t' ' p Q IE1 /4 OF THE NE- 1/4 CD nE o N7638' ~ OLp C.T.H _ ~ 4252 816 1,3, `N8`9°51'10'V 642.`60' 6°Zg•4?•. _ 14+ - LEGEND Z8~• • ` ` FOUND ALUMINUM COUNTY c_ it SECTION CORNER MONUMENT tit FOUND V IRON PIPE O SET 1" X 24' IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT ROADWAY SETBACK LINE (100 FROM RIGHT-OF-WAY) , - 75' SETBACK FROM THE ORDINARY HIGH WATER MARK (O.H.W.M.) vIb PROPOSED DRIVEWAY IN 8 EXISTING FENCE r 1 /4 COR. 'gob THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6006-01 DATE: 05/17/2001 SEC. 32 VOL. 15 PAGE 4111