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032-2128-80-000
Parcel #: 032 - 2128 -80 -200 12/07/2007 02:16 PM PAGE 1 OF 1 Alt. Parcel #: 9.30.19.11506 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): O = Current Owner, C = Current Co -Owner O - DREHER, GLENN J & GWEN E GLENN J & GWEN E DREHER 507 164TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 507 164TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.020 Plat: 08- 006 - WAGNER ESTATES 2000 SEC 9 T30N R19W NW SW LOT 22 WAGNER Block/Condo Bldg: LOT 22 ESTATES ALSO PT OF LOT 21 COM NW COR LOT 21;TH S 00 DEG W 371.33' POB;TH S 15 DEG Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) E 214.96';TH N 89 DEG W 60.70';;TH N 00 09- 30N -19W NW SW DEG E 206.21'POB(.144A) EXC AS DESC 1653/97 Notes: Parcel History: Date Doc # Vol /Page Type 05/17/2004 762860 2573/622 WD 12/30/2002 704034 2095/045 WD 01/23/2002 669118 1821/181 WD 06/05/2001 647363 1653/97 QC more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 196647 444,300 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.020 51,100 282,200 333,300 NO Totals for 2007: General Property 3.020 51,100 282,200 333,300 Woodland 0.000 0 0 Totals for 2006: General Property 3.020 51,100 282,200 333,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 553 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 - peouawwoo sey uolloe luawaojo;ue uaulim pue polelilul ueaq sey uollona;suoo jaue paulwgns suoileoildde jol palgnop aq IIIM soad - elgepun;aj -uou aie saa; Iltf oql' 4 :Pmalaa 054 :P8491 aa 990' 4 :Pa4ala0 044 :Pa0a1� OZ6:pa4alaa �L 6 44 - 4$ 000' sajoe < as $ 4 5 Pal 1 $ 0 069:Pagalaa - - - - -- - - - -- -- �80 l$ X94$ 5Z6$ 05 04 5Z< '646$ X44$ 008$ 5Z 04 54< o94 :maiaa o9:pagalap COL$ -.. - 04$ 009$ 54 ocz:paaalaa '6Lb$ - '6L$ 004$ 04 0l5< oe :malaa OM 01 4 00j I "OJL eej a ;el$ 99 f4uno3 sejob pewlelosjun eat saa uol;eweloatl lenuuV 000'Z$ sajoe 05< 009' 4$ sajoe 05 01 SZ< aulyq ;o azlg posodwd 05Z' 4 $ sajoe 5Z of 4 guuvaH jggnd n sapnpul aa� ;luuad 6ululW 3 111e30wuoN i JNINIW 3I11VIM ------ - - - - -- - - - - -- DNNOZ 1 9 DNH VIM cooz :pagolaa - - `i faenuep anyaa33� HrinaaMs HHA H3NVuiaxo asn (IuVrl Aiunoa xioxa *is kmcT - � )ao is Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division , INSPECTION REPORT Sanitary Permit No: 399649 0 GENERAL IWORMATION (ATTACH TO PERMIT) 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: Ciry Village X Township Parcel Tax No: Nottingham Develop ment Somerset Township 032 - 2128 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: !VU' 1 166 t ( 141 . Y TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,� Benchmark &G , Dosing V Alt. BM l V Da. 9 3 Aeration V Bldg. Sewer _es �, - Holding St1Ht Inlet ! U TANK SETBACK INFORMATION St/Ht Outlet q7. (v TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / , � � I � � � Dt Bottom f Dosing Heider /Man. J�J � q s. S Aeration Dist. Pipe yl 2 y• 09 S' S i Holding Bot. System PUMP /SIPHON INFORMATION Final Grade S� Manufacturer Demand cn Model N ber TDH Lift oss ISystem Head TDH Ft Forcema' ength Dia. Dist. to Well SOIL ABSORPTION BEDITRENCH Width � j, Length No. Of Trenches PIT DIMENSIONS No� Inside D Liquid Dept= DIMENSIONS gy I f SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM EACHING Man y�tu rer: I INFORMATION Type System: CHAM UNIT O Model Number. I/ �S > lob DISTRIBUTION SYSTEM of a y;l P-/f lit 1 Header /Manifold Distribution x Hole Size x Hole Spacing Vent it Intake 1-ength Dia Length 0 1 ' Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only y o>� a e.-✓ Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center ,Y Bed french Edges Topsoil ❑ Yes ❑ No Yes ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 507 164th Ave Somerset, WI 54025 (NW 114 SW 114 9 T30N R1 9W) Wagner Estates Lot 22 Parcel No: 06.30.19.1150 2 uyt urr3� ( v 4y 1 Alt BM Description = � • �iU�� SyS�'�- " ��� ° r /� ��� 2.) Bldg sewer length = 191 UUU - amount of cover =� Plan revision Required? j Yes No I Use other side for additional information. —.� �.I _- -- -- G� ✓l/h Date Insepctor's Signat re Cart. No. SBD -6710 (R.3/97) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division • INSPECTION REPORT sanitary Permit No: 399649 0 GENERAL INFORMATION (ATTACH TO PERMIT) 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: Nottingham Development I Somerset Township 032- 2128 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. 7 uid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION Type Of System: CHAMBER O Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing 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 j Inj No ]Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 507 164th Ave Somerset, WI 54025 (NW 1/4 SW 1/4 9 T30N 11119W) Wagner Estates Lot 22 Parcel No: 09.30.19.1150 1.) Alt BM Description = 2.) Bldg sewer length = amount of cover = Plan Yes Iii No revision Required? � I Use other side for additional information. - Date Insepctor's Signature Cert. No. SBD -6710 (R.3/97) I — ■ 5011 Ob�' P,f VIC / A El eda ./ • /o ca�ccl�/'vP. Sca 0 AI Cc le 22 p /ate of c�z�nar oaz - .2 128 -4v - ono a Propose t - r 0 C Assuoud 0 q P PCs 1,2a)O -P. 0 5�p &ic. ta, .) /�:6c1 A- i G8 x kf occt/cE• 7 B� Wp b 3 ■ (3) �rc A cot at 3 X z Pao - D - /caa c�oti,drrs. i�.Q. Todofiats Ce. lev: = ?9. /9 " Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ac, See reverse side for instructions for completing this application PO Box 7302 N* isconsln Personal information you provide may be used for secondary purposes Madison, WI 53707-7302 Department of Commerce (Submit completed fonn to county if nct iI'�ivacy Law, s. 15 04(I)(m)] � jZ S (; state owned ) Attach complete inns to the coun co onl for the stem, on a er not less than 8 -1/2 x l 1 inches in size. State S Permit umber Check if revision to previous application Stale Plan 1.V. Number I. A lication Information - Please Print all Information ocation: _ Pro rty Owner Namc roperty Location _ f.O I71e/1� (ole - �I�J�11 1 /4�l /4,S T'�,N,RA )�J_� t Number Block umb r Pro Owne s iling Address 5 - er l vn/. - NTY 12- Ciry, State Zip Code Pho NumbeQONING OFFICE bdivision Name or CSt I Number t44/ w a -�' M . 5508z 6s y39 -2�1 (,c� �Gr rs II. "Type of Building: (check one) ❑ City ❑ Village I or 2 Family Dwelling - No. of Bedrooms lawn of ❑ Pu'oliciCotnrr.crcial (describe use):_ O State -Owned Nearest Road 5,o? Parcel Tax Numbers) IIL Tv e of Permit: Check only one box on line A. Check box on line B if applicable) — A) 1. ew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. ti. ❑Addition to System System Tank Only Existing S stem Pemtit Number B) 7 / `i / Date I5; / d P<`Sanitary Permit was reviously issued 3 t J ZJ 1`'. Type of POWT System: (Clieck all that apply) A- fcO iel pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland (I Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line C At - Qmde ❑ Aerobic Treatment Unit ❑ RecirS ❑ Other: 3 V. Dis ersalri'reatment Area Inform atio .2 3 e G� 7!'Df lcSc/le C AoA _ 3 - trcnt.�.t5 a�3' 'Tri ee S/ S us. Q ti A i . i:'c;ign Flow (gpd) 2. Dispersal Area 3. rsal Area 4. Soil Application 5. Per tion Rate . Syste Elevation 7. Final Grade Required Proposed Rate (GalsJday /sq. ft.) (MinJinch) Elevatiun (� /�c� .f . / 2 /z. o f• 0.6 AQ 9r�sa' 9 . O Vff. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic j Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted i Tanks Tanks ❑ ❑ ❑ El .5�Gn .250 .25� / (�!]i C SGr Curt e-• ---, i `'IIL Responsibility Statement _ L tl.e u1c c iF,:e sssuc�c res:r ;uibili:y for installation of the POWTS shown on the attached plans . Business -- n:xrs Name (print) Plufnkra Si nature (n . ' ps): MPNTRS No. P S.rce tit state Zip cede ( Y / w/J �P ' us�Sor/ c� /• S 0 /� - --- Q70 A g I'�,. County /Department Use Only El Disapproved Disapproved Sanitary Permit Fee (Includes Groundwater Dale issued Is uing gent Si; ( `C Stamps) )(Approved O Owner Given Initial Adverse Surcha e Fee) Determination ?;. Conditions of Approval /Reasons for Disapproval: Par `ca�2 tsoQlb � ae,Ot,�. c>� ozdU�i.4tile�S , • lcca.I- edarcP. e o Itl 22� 0 /ate Of "Yner / oo c— o3z- .2 r.2B - 4o - 000 �.fr PP W °stf -e 75,� o s'''1P laic ' � ssu nvcd Ofi� 0 4 / r tS,',A¢nc A- i [) Pff l u e o t C,.t6e a16 O t t/G6 _1 $� 3 ■ - n'r«(3) - „ s ot3x #�Pie4 4c, z Pao - D,FCw5e - kaa t . Q. - Fop o f lot i(O -kc. E lev = 99 o " 1534 Wisconsin Dep artment of Commerce SOIL EVALUATION REPORT P I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and R E percent slope, scale or dimemsions, north arrow, and location and distance to nearest ad. 0 2 -2128- 80-000 Please print all information, {� Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) )). J U N N v g 2 � Property Owner Pr Loc 4"V-R'0 CO N Y Nottingham Devleopment / Greg Johnson Govt. L ZOivI~ W 1/4 S 9 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # u SM# 6750 Stillwater Bbd. 22 Wagner Estates City State Zip Code Phone Number City �j Village or Town Nearest Road Stillwater MN 1 55082 1 6561 - 439 - 2414 Somerset I 164Th Ave. New Construction Use: Residential / Number of bedrooms _ 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Glacial Till _ _ Flood plain elevation, if applicable na General comments and recommendations: Recommend installing 3 trenches at 3'x 81.25' using 39 high capacity infiltrator chambers. Recommended system elev. = 94.50'. F Boring #! Boring 01 Pit Ground Surface elev. 97.73 ft. Depth to limiting factor X90" in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD 1ft *Eff#1 * ff#2 1 0 -16 1Oyr3/2 non sil 2fsbk mvfr gs 2f,1m 0.5 0.8 2 16 -22 1 Oyr4 /4 none sil 2fsbk mvfr gw 2f,1m 0.5 0.8 3 22 -28 7.5yr4/6 none scl 2msbk mfr gw if 0.4 0.6 4 28 -39 7.5yr4/4 none sl 2msbk mfr cw 1vf,f 0.5 0.9 5 39-49 7.5yr4/6 none Is Osg ml di 0.7 1.2 6 49 -90 1Oyr5/4 non s, Osg ml - - 0.5 0.9 Horizon #6 consists of an unsorted mbdure of 10yr614 Osg s, 10yr5/4 Osg Is & irregular discontinuous bands of lcsbk 7.5yr4/4 light sl. Loading rate reduced to reflect reduced permiability of horizon due to textural changes. F2 ] B or i ng # Boring 0�j Pit Ground Surface elev. 99.13 ft. Depth to limiting factor >98" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft *Eff#1 *Eff#2 1 0 -10 1Oyr3/2 none sl 2fsbk mvfr cs 2f,1m 0.5 0.8 2 10 -16 1Oyr4/4 none sl 2fsbk mvfr cw 1f 0.5 0.9 3 16 -32 7.5yr4/6 none sl 2msbk mfr gw 1vf,f 0.5 0.9 4 3?-.00 7.5yr4/6 none Is 1msbk mvfr cw 1vf 0.7 1.2 5 60 -80 7.5yr4/4 none_ sl 2msbk mfr di - 0.5 0.9 (((( 6 80 -98 1Oyr5/6 none s Osg ml - - 0.7 1.2 Horizon #6 consists of an unsorted mixture of 1 g s, 191r&4 Osg Is & irregular discontinuous bands of 1 csbk 7.5yr4/4 light sl. Loading rate reduced toWlect reduced Wmiability of horizon due to textural changes. * Effluent #1 = BOD s? 30 < 220 mg/L and TSS 430 < 50 mg/L = BOD < mg/L and TSS <,30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Difte Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 4/23/02 t 715- 248 -7767 property owner Nottingham Devleopment / Greg Parcel ID # 03 - 2128 -80 -000 Page 2 of 3 3 ] F Boring Boring # Pit Ground Surface elev. 99.39 ft. Depth to limiting factor >97" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -119 1Oyr3/2 none sil 2fsbk mvfr gs 2f,1m 0.5 0.8 2 19 -28 1Oyr3/3 none sil 2fsbk mvfr gw 1f 0.5 0.8 6 b 40 3 28 -56 1Oyr4/4 none sil 2msbk mfr gw 1 V 0.5 0.8 4 56-63 1Oyr5/4 none sil 2msbk mfr cw 1vf,f 0.5 0.8 5 63 -82 7.5yr4/4 none sl 2cs mfi cw 1vf 0.5 0.9 6 82 -97 1Oyr5 /4 none s,ls,sl Osg ml - - 0.5 0.9 Horizon #6 consists of an unsorted mixture of 10yr614 Osg s, 10yr5/4 Osg Is & irregular discontinuous bands of 1csbk 7.5yr4/4 light sl. Loading rate reduced to reflect reduced permiability of horizon due to textural changes. 4] Boring # Boring Pit Ground Surface elev. 98.16 ft. Depth to limiting factor 32" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -12 1Oyr3 /2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 12 -19 1Oyr4/4 none sil 2fsbk mvfr CIS 2f,1m 0.5 0.8 3 19 -25 7.5yr4/6 none sl 2msbk mfr gw 1f 0.5 0.9 4 25 -32 7.5yr4/4 none sl 2msbk mfi cw 1vf,f 0.5 0.9 5 32-60 7.5yr4/4 f2f 7.5yr4 /6 sl 1 csbk m cw - 0.4 0.6 6 60 -85 1 Oyr5 /4 f2f 7.5yr5/8 sl,ls,s Om ml - - 0.3 0.5 Horizon #6 consists of Om 7.5yr4/4 heavy sl with irregular pockets of 1 Oyr614 Osg s & 1 Oyr514 Osg Is. Loading rate reflects most restrictive permiability found within horizon. Boring # � Boring - j Pit Ground Surface elev. ft. Depth to limiting factor _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BOD ? 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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. ■ t)o; I Obw va'6cn A6 A El eda t�i'on • l ■ \ :5 ca /Q / = s/O Ct /o f 22� p /ate of "Prer �0 cC. o3,Z - ize - 000 a V9 ti V; � h 0 00�5,'llplcc. � r4ssurxcd elegy =�c�` 0 N 6edr'oo n reS.cdanc q i 8� 3 ■ ���imari 5 f �ni ✓4� D� z of l ot 5.6r Ke. E l ei , - = 99, /9 ` 5`b 6 � ve Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code° Y 201 W. Washington Ave. PO Box 7302 1\4iSConsl See reverse side for instructions for completing this application " ro FZ / Madison, WI 53707 -7302 Personal information you provide may be used for secondary purposes Submit completed f not Department of Commerce Per (Privacy Law, s. 15.04(1)(m)] ( p leted form to county state owned. Attach complete plans to the county copy only) for thes. stem, on paper not less than 8 -1/2 x 1 I inches in size. co � , ro' S� Sani Permit Number ❑ Check if revision to previous application State Plan 1. D. Number I. Application Information - Please Print all Information Location: Property Owner Name -,, 2�1S�Yl Property Location � �p /4 /4, S 9 T,3 W Property Owner ailing Address Lot Number Block Number OFD Z2 �— City, State Zip Code Phon r Subdivision Name or CSM Number / S n , SS�gZ 7 S =� _ -, o Cit II. Type of Building: (check one) ` �� ^ ❑ Village 181 or 2 Family Dwelling -No. of Bedrooms: �' `� n �.. / awn of ❑ Public/Commercial (describe use):_ k ,y u "*Z. 4 ❑ State -Owned r Nearest Road & q 51� P l ax N 0 2_121f —! III. T e of Permit: Check only one box on line A. Check box if Ti cable 30 . A) 1. ew 2. ❑ Replacement 3. ❑ Replacement of 4. J 5. 6. ❑ Addition to System System Tank Onl Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) ❑ Sand Filter ❑ Constructed Wetland li�Ion- pressurized In- ground ❑ Mound ❑ Single Pass ❑ Drip Line ❑ Pressurized In- ground ❑ Holding Tank g ❑ At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 3tlr¢ s L0 ? h; ci Sep 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Pe olation Rate 6. System Elevation 7. Final Grade Elevation Required Proposed C Rate (Galsjgz /, (, . (Minlinch) G� ' t3�7.i�' 9 ©z.�o o Y ©.� rt�4 93,so' 97. 5 0 " ✓ VII. Tank Capacity in Total 4 of Manufacturer Prefab Site Steel Fi ber- ass Plastic Information Gallons Gallons Tanks Con- Con- g New I Existing crete structed Tanks Tanks wieser &,7c VIII. Responsibility Statement I, the undersigned, assume res risibility for installation of the POWTS shown on the attached plans. Business P :�r.e t:umb r _7 Plumber s Name (print) P! bers Signature slam ) MP/Kff S No. Zz SD 3 (W 3M -POP2- Plumber's Address (Street, City, State, Zi Code) IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) (� Approved ❑ Owner Given Initial Adverse Surcharge F / v Determination z ZS, 0 Z 2 X. Conditions of Approval /Reasons for Disapproval: 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. Any filling or grading that will affect the capacity of the HWL retention area is prohibited. s I 1 Lot �.Z J��a'� o{ (,ca��cr ES�a.�s ■ �o; / Obser�;a. ' �� !?' 6 Tn. aF'Sornersc E 5�-. Cre i X fe y cJ /. I t �F 34,-e n�•esc� 3 `X / aG, zs" w/ ios/ "r� ve. l7 Ur � a.r • a ant 5�( `� ■ 7 c /o,a 63 Propose -j (.),c (t O /os. S/o , � I i S�f�89 aarc%aL 1 1 PropoScd S7�s� 4 6e.drevrn �es�dc.�ee P. d. C. • Pro `45rm e " -,L—an 603yP. ✓.C• eLCluc.'� �rl /cc( oaf /�• �aA Al e - zS"D34 ,4ssu„7ec( e. leu' = /oo.c®. ,2,25, n r ��`� Y �a� o{ G�ct��c� ES�a� S ■ �o� / O65er'i,a- ' �� i`�' 6 T. oFSomerseE - 55E. Crc) Co' ♦ EledaEor, I � ooAF 3 ridc.S`wt 3 o a i lve. l 7 k cc,P 0.C., b 6 0 - Di ; ■ o Q a e4 1 ant 5`i `��" rea ■ D3 �° 2 S I o 1 i SBf� aaraO�e Pro(005e-d L4 b e-d rcbm re5ide P, • Pro Oc s e d /, ico 5aj Setoire y �eWIcccrt�- Fil ouf146• 7a A 4wt�r zD34; $enc l"rvtarrC 7P of /o�s -fie. A 94, ,Z2-s f�e 1.2 y/ BioDif fuser S DD DO OD OO OD OO OD OO OD o0 00 00 00 00 00 00 00 00 OO OO OO 00 Ol OO Q OD OO Chamber 00 DO �� OO OD OO OD oo OO Heigh !' — 7777771 F oo 00 0� oo oo 00 00 Y 4 � c r 1� i n III Chamber C, a Height M ,o for (, a t End View CI ' J de�stgr��: p`ti $ , 34" A 111n11If1i t U r rewired for 4' Knockout I Universal End Cap Available Sizes µLength,'." �,� ; 76 " p�.r•,, Width 34' r << 4 r 3� 3 4 i .- 4$.'.�� ' - s�x�...dn..� yr � .v 'HeigI 16" ;.i vert:.y 65x 11.3 Page 1 of 3 :vaiisin Department ofCommerce SOIL AND SITE EVALUATION Division of Safety and Buildings' in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8%z x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print ifl " q Lion. 032- 2035 -10 ID#9.30.19.607 Personal information you provide may be used for secondary purposes (Privacy s. 15.04 (1) (m)). Revi ed y Date L L Property Owner roperty Location Gaylen Schilling Buyer: Greg Johnson G' . Lot NW 1/4 SW 1/4 S 9 T 30 N,R 19 W Property Owner's Mailing Address Lot Block # Subd. Name or CSM# 498 150th Avenue � �l; , ,:22 ._ Plat Of Wagner Estates City State Op Code PhoneNurnl gr,. L pity Village ZTown Nearest Road Somerset WI J_Q15 7154 49,44 73 Somerset 50Th Street Z New Construction Use: Z R n 'al.l Number of b4vb \ 4 ❑Addition to existing building ❑ Replacement El Publl �4►ln �gia�' ° Code Derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft Absorption area required 1500 bed, ft 1200 trench, ft Maximum design loading rate .4 bed, gpd/ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) 93.0' ft (as referred to site plan benchmark) Additional design / site considerations Install trenches using high capacity infiltrators. Parent material Glacial tilt Flood plai n elevation, if applicable NA ft S- for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ® S❑ U ® S U ❑ S❑ U E ❑ u EIS M U ❑ S® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Structure GPD 1ft tit in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench LOa� t 1 0 -25 1Oyr3/2 None sl 2msbk mvfr cw 2f 0.5 0.6 S 2 25 -39 10yr3 /4 None sl 2msbk mfr cw if 0.5 0.6 Ground 3 - 39 -47 7.5yr3/4 None sl 2 msbk mfr gw if 0.5 0.6 eiev 96.94' ft 4 47 -60 5yr3/4 None sl 2fsbk mvfi cw - 0.5 0.6 . S� Depth to 5 60 - 91 7.5yr4/6 None 1s Osg ml - - 0.7 0.8 limiting factor >91" Remarks: 2 1 • 0 - 10yr3 /2 None A 2msbk mvfr cw 2f 0.5 0.6 2 •22 -34 10yr3 /4 None sl 2msbk mfr cw if 0.5 0.6 Ground 3 •34 -44 10yr3/4 None sl 2msbk mfr gw if 0.5 0.6 eiev 97.76' ft 4 44 -55 5yr3/4 None sl 2fsbk mvfi cw - 0.5 0.6 Depth to 5 55 - 94 7.5yr4/6 None is Osg ml - - 0.7 0.8 limiting factor a} >94" Remarks: CST Name (Please Print) Signature. Telephone No. James K. Thompson o 715 -248 -7767 Address AC.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Os 1a, WI 54020 5/8/00 3602 1241 PROPEkrYOWNER: Gaylen Schilling, Buyer: Greg Johnso SOIL DESCRIPTION REPORT tzar Page 2 of 3 ,PARCEL LD1 032 - 2035 -10 ID#9.30.19:607 A.C.E. Soil & Site Evaluations De pth Dominant Color Mottles Structure GPD1 tz Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. nsistence Boundary Roots h6u' Bed Trench 3 1 0 -11 1 / None SI 2msbk mvfr cw 2f 0.5 0.6 S 2 11 -22 10yr3 /4 None Sl 2msbk mfr cw if 0.5 0.6 Ground elev 3 ' 22 -34 7.5y4/6 None Sl 2msbk mfr gw if 0.5 0.6 97.11' ft 4 34 -43 7.5y4/4 None sl 2msbk mfi cw - 0.5 0.6 S Depth to limiting 5 43 -89 5yr4/4 None sl lcsbk mvfi - - 0.4 0.5 factor >89 Remarks: 4 1 0 -11 10yr3 /3 None Sl 2msbk mvfr cw 2f 0.5 0.6 2 11 -21 10yr3 /4 None Sl 2msbk mfr cw 1f 0.5 0.6 , Ground elev 3 21 -29 7.5y4/6 None Sl 2msbk mfr gw if 0.5 0.6 96.33' ft 4 29 -48 7.5y4/4 None Sl 2msbk mfi cw - 0.5 0.6 Depth to 5 48 -84 5yr4/4 None S1 lmsbk mfi - - 0.4 0.5 limiting factor >84" Remarks: 5 1 0 -21 10yr3 /3 None Sl 2msbk mvfr cw 2f 0.5 0.6 S� 2 21 -30 10yr4/4 None Sl 2msbk mfr cw if 0.5 0.6 Ground elev 3 30 -61 5yr4/4 None s1 2msbk mfr 9w - 0.5 j 0.6 , 5� 97.25'ft 4 61 -86 5yr4/4 None Sl lmsbk mfi - - 0.4 0.5 Depth to limiting factor >86" Remarks: Ground elev Depth to limiting factor Remarks: • Lod / o c� .,cr s ■ So;l Ob5vr 0 'w, P,•6 T . oF'So r, E fit. Crv; X Co LIN. ElQda -bo,� N 3z ■ y ��Ae ' rep k, Q,nt S�l �'"" ■ 7 o S /o� � p3 d� A, SOS. (10' y � S l oP e s�s�89' 577ss' '455a."ec(t1e& = /oo.c0. Elte - /,Oz,� k9w 1 1,2 y� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 110 ��iit9Jlo+r� Mailing Address SO ;:�a4zne - Property Address 0 7 E `f S4 tJ (Verification required from Planning Department for new construction) City /State Parcel Identification Number D32- - Z.✓L,r 80-� LEGAL DESCRIPTION Property Location 6tJ V., , a4! ' /a, Sec. �, T .30 N -R /F W. Town of Somer'SQ -6 Subdivision 6j g n el S , Lot # ,Z,2 Certified Survey Map # , Volume Page # Warranty Deed # Co ZSZd Z , Volume �s . Page # Spec house 2 ❑ no Lot lines identifiable Oyes ❑ no SYSTEM MAINTENANCE r use and maintenance of your tics premature failure to handle wastes. Proper maintenance stem could result in its ro e �P P Y septic Y p 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. The property owner agrees to submit to St. Croix 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 full of sludge. Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fo rth, here' b the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification m, as set Y ep stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office 3 days of the three dear expiration date. W/ o SIGNATME OF APPLICANT ` DATE OWNER CERTIFICATION 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 dek�ribed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF P 4ICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** d d from the Register of Deeds office Include with this application: a stamped warranty deed g a copy of the certified survey map if reference is made in the warranty deed 40 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) Coo 0 Estimated Flow - Average (gpd) o c^' Septic Tank Capacity (gal) z S� z Soil Absorption Component Size (ft) z $ PT r Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 5 07) 1/8 � Maximum BOD m /L 5( ( m g /L) 220 /L Maximum TSS m ( 9 ) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se and outlet filter shall be assessed at least once every 3 years by inspection. T e outlet filte shall be cleaned a__ s nec u nsure " proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. An opening deemed unsound, defective, or subject to failure must P Y P g be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge sites, areas of erosion should be identified and from the component. On steeply sloping s , P PY P 9 reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly 9 cover over the component may Burin winter months. The compaction or removal of snow p Y lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In gene soil compaction over,this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. T i 5 -Ec, /'cc ✓�'V f �Dtl -S c- . 7 ti a_ / -a ��� f�� l f 'if a�� Q LV 6 e � S� e, -5- o'v`^ Jas - 3 Yom g X01 Z Ze 11, 3 l - 070.g! �,�' 000 A /o VOL 1.521 Mt 12 625202 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Gaylen D. Schilling and Cheryl T. RECEIVED FOR RECORD Schilling, husband and wife, 06 -22 -2000 9:30 AM WARRANTY DEED Grantor, and Nottingham Development, L by Greg CERT FEE: Johnson, its sole member, COPY FEE: l( 0 8 c{ S a u a v TRANSFER FEE: 960.00 (l wa E MIL S o i� Z RECORDING FEE: 10.00 e 1e. PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area N1 /2 SWI /4, Sec. 9 - T3ON -R19W, St. Croix County, Wisconsin. Name and Return Address DAVID J. ESTREEN 304 LOCUST ST- HUDSON, WI 54016 032 - 2034 -95 & 032 - 2035 -10 Parcel Identification Number (PIN) This is not homestead property. %) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of June 2000 t * 'ayl D. Schillin w * • Cheryl . Schilling AUTHENTICATION ACKNOWLEDGMENT Signature(s) Gaylen D. Schilling and Cheryl T. Schilling, STATE OF WISCONSIN ) husband and wife, ) ss. County ) authenticated this d yy of June 2000 Personally came before me this day of —� �_� the above named • Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, W is. Stats.) THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) I ) + Names of persons signing in any capacity must be typed or printed below their signature. information Professionals company. Fond L W WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -1999 c N, OBI i oQ e :. ........:......:. .. 1 0 :::. i d :: H.W.L. 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