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HomeMy WebLinkAbout032-2143-70-000 Parcel #: 032 - 2143 -70 -000 01/27/2005 11:51 AM PAGE 1 OF 1 Alt. Parcel M 12.30.19.1253 032 - TOWN OF SOMERSET Current 1 1 X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * P C COLLOVA BUILDERS INC P C COLLOVA BUILDERS INC PO BOX 489 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1676 87TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.001 Plat: 0113 -BLUE STEM PRAIRIE 01 SEC 12 T30N R19W NW NE LOT 7 BLUE STEM Block/Condo Bldg: LOT 7 PRAIRIE Tract(s): (Sec- Twn -Rng 401/4 1601/4) 12- 30N -19W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 10/17/2001 659301 1740/01 LC 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 11646 60,100 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 51,000 0 51,000 NO Totals for 2004: General Property 3.000 51,000 0 51,000 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 51,000 0 51,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division � � INSPECTION REPORT Sanitary Permit No: 430296 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: P.C. Coliova Builders, Inc. I Somerset Township 032- 2143 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / o•Bei /ba,e_Aa0 T_N-s -t Sou. {. s S�zn� V-'/" j>coP 12.30.19.1253 TANK INFORMATION tit ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ��F C Benchmark 4 0 v Dosing s � Alt. BM 5L - r C at,, i ty 9- 8,7 9 Aeration Bldg. Sewer Holding St/Ht Inlet Vet' /y d 83 • Q TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic r � (uv� ` N Dt Bottom 15 13 1 79 7 9. z Dosing Header /Man. �� q •Q Aeration Dist. Pipe !9 W 7 S Holding Bot. System S N Final Grade PUMP/SIPHONMO ORMATION Manufacturer Demandb/Z St Cover G GPM G e L��✓ 0 7- I Model Number _ N E 9-7 6 7.40 DH Lift Friction Loss System Head TDH Ft i© /O.O "1 q � /6. 4 Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth : DIMENSIONS 3 t .J �,8.7s Z_ SETBACK SYSTEM TO P/L LDG IWELL LAKE /STREAM EACHING Manuf . cturer: r. INFORMATION HAMBE o i rS-P �' Type Of System: N IT Model Numb�� _ z r DISTRIBUTION SYSTEM �/ 2w H eader / Manifold ( n — Distribution Hol Si x Hole Spacing Vent to Air Inta ,j V Pipe(s) 1 Lengtf , 4 Dia Length Dia Spac '> SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of ] 7S _ eeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil fa CST a I +ctf I -Z Yes No Yes No Lea 4 ,'e.'1/ Gam — COMMENTS: (Include code discrepencies, persons pre etc.) G Inspection #1: 9 / / 8 / 0 3 Inspection #2: Location: 1676 87th Street Somerset, WI 54025 (NW 1/4 NE 1/4 12 T30N R19W) Blue Stem Prairie Lo 7 Parcel No: 12.30.19.1253 1.) Alt BM Description 2.) Bldg sewer length = [lam 3[Q y �� y6, �� / - amount of cover = 7 v" w l/ Plan revision Re uired? r Use other side for additional In Yes No �3 T q 2 formation. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. - Satety and buildings ijtvtslon t-uullL f 201 W. Washington Ave., P.O. Box 7162 T 1 *isconsin < t Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 - 3151 ? State Plan I.D. Number Sanitary Permit Application in accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Information Property Owner's Na me n // Parcel # Lot # Block # (, _o 1C17Jw Property Owner's M ailing Address Property Location Al, t 1. 5 2003 City, State Zip ode Phone Number t/ ,A /a , Section S1 C '.t C Jh circl one ��SYI A r� T � ; E r W II. a of Building (check all that apply) S t ¢" or 2 Family Dwelling - Number of Bedrooms Subdivision Name i SM Number Public/ Commerciat - Describe Use J State Owned - Describe Use 2 X t Pcity nVillago6ownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 03 - 2.1'f3 - 10 _ , 12$ A. - w System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal 11 Permit Revision ❑Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) r on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter i j ❑ Constructed Weiland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter eaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal /Treatment Area Info oration: Des' Flow (gpd) Design Soil Application Rate(gpdsf) I Dispersal Area Required (sf) Dispersal r Pro osed (sf) System Elevatio i . Tank :nfo Capaciry in Total Number Manufacturer Prefab Site teel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tazil s Tanks Sepuc or Holding Tank i Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I , the undersigned, a responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's S' re �fP /MPRS Number Business Phone Num Plumber's Addre ss (Street, City, State, Zip e) � If,,� �� o VIII. County /Department Use Only Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued su" Agent Signature o Stamps) Surcharge Fee) I El Owner Given Reason for Denial 2-M .oZ � IX. Conditions of Approval /Reasons for Disapproval I I SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained e e plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) PL PLAN PROJECT P.C. Collova Bldrs. A DRESS P O. Box 489 Somerset Wi 54025 NW 1/4 NE 1/4S 12 /T 30 / W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 8 BEDROOM 3 CONVENTIONAL IN -GROU RESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of Steel Fence Post n ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 91.0/89.2 3.5' below grade Alt. BM Top of Survey Iron @ 95.8' 75' B. M. 495' Pro e Lin UL I 4Q B -3 5 B.M. Vents 50' Vents — ITF Combo Tank 12 0% 55' 1011B-2 Slope �- 10' Pro 3 Bedroom House Vent ALong Standard Biodiffuser �i Leaching Chamber with 31.1 ft2 of Area Plans Designed Using Conventional wts P o 1 " Manual Versi on 2.0 49t jo Grade at System Elevation PPLAN PROJECT P.C. Collova Bldrs. DRESS P O. Box 489 Somerset Wi 54025 NW 1/4 NE 1/4S 12 /T ;30 ;P . e W TOW N Somerset COUNTY ST. CROIX 8/12/03 3 MPRS Shaun Bird 2 BEDROOM d 2 6900 DATE CONVENTIONAL IN -GROU RESSURE CONVENTIONAL LIFT )40( HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of Steel Fence Post = ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 91.0/89.2 3.5' below grade Alt. BM Top of Survey Iron @ 95.8' 75' B. M. 495' Property Lin AIL I 4a B -3 5 B.M. Vents 50' Vents 15'1 Combo Tank OE 0% 55' 0 B -2 Slope _-- 10' Pro 3 Bedroom House I Vent >6" Standard Biodiffuser Leaching Chamber CIO of Cover with 3 1. 1 ft2 of Area Plans Designed Using Conventional Powts cc 6' Long 11 " Manual Version 2.0 34 19 Grade at System Elevation Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County c_577, ra ; X 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. a - ewe by Date Personal information you provide may be used for se�ndeey�ucposAwS,(Qrivacx Law, s. 15.04 (1) (m)). Z�0 Property Owner a , o m V Prop" Location / r Govt.jLot W 1/ 1/4 S / T �� N E�W Props Owner's Mailing Addre ' ; ' ` Lot #I Block # Subd. Name or CSM# City State p Code Phonfilurilber „ ❑ El Village Town Nearest Ro d Construction Use: esidential / Number of bedrooms _ Code derived design flow rate �� GPD ❑ Replacement //❑ ,Pu-biiq or commercial - Describe: __— Parent material ®��/ `� -�+�`� Flood Plain elevation if applicable /�� , ft. General comments and recommendations: ��� ��$1JC� ✓Cf ` 2, Boring F_/1 # Boring pit Ground surface ele . ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 4-.3 7 Z r� 2 ® Boring # ❑ Boring Pit Ground surface ele>.&�Z ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O - /L "3 17L ---- . J 3 W/W 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 Nanv (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 715 - 246 -4516 Property Owner _ Parcel ID # Page of 1- Boring [] Boring S pit Ground surface elev. v ` ft. Depth to limiting factor in. &RoGP Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary DIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2 -z 3,z r. o F-1 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 GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 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. SBD -8330 (8.6/00) L i Soil Test Plot Plan Project Name P.C.Collova Bldrs. Inc. Sha Address P.O. Box 489 .r Somerset Wi 54025 TM #226900 Lot 7 Subdivision Blue Stem Date 8/12/03 NW 1/4 NE 1/4S 12 T 30 N /1319 W Township Somerset Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. 8/12/03 System Elevation 91.0/89.2 *HRPSame as Benchmark Alt. BM Top of Survey Iron @ 95.8' 75' B.M. 495' Property Line B -3 5' 95' M. Scale is 1" = 40' 15' unless otherwise 93' 0 %5 o noted W=i B-1 Slope B�� 00 I SEPTIC TALK PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS WEATHERPROOF 4" Cl VENT PIPE 12" MIN. ABOVE GRADE F- - PR BOX APPROVED 2:25' £ROM DOOR, WINDOW OR J UNCT I ON W£ArHE R WITH CONDUIT MANHOLE COYER FRESH AIR INTAKE W1 PADLOCK 6 �WARNING LABEL FINISHED GRADE Tp eok. ... .,,�.. MIN. Zy 38" IN • tl� '- t8 MAN• t INLET t GAS WATER TIGHT SEALS TIGHT * . 1PPRO1IED �1LTEfL ...... NNW A SEAL } JOINTS WITH ALM APPROVED PIPE APPi00YED e ' ON 3' ONTO PIPE 3' C t Strip SOIL WTO SOLID A FT. __ __ OFF SOIL PUMP OFF ELEV . I /�'' D 3 APPROVED BEDDING UNDER TALK C R TE PAD SPECIFICATIONS =/J SEPTI C f DOSE NUMBER DOSES PER DAY: TANK MANUFACTURER: GAL. DOSE VOLUME INCLUDING r S� GAL • / TANK SIZES: SEPTIC GAL. FLowBACK: DOSE 4 INCHES G TUU AL. A CAPACITIES: r �� ALARM KANUFACRER: B = 2 INCHES GAL. MODEL NUMBER: SWITCH TYPE: C _ ,- INCHES =� GAL. pUMP MANUFACTURER: D = INCHES GAL MODEL NUMBER : _rr� r— SWITCH TYPE: GPM PUlSF & ALARM WIRING AS PER ILHR 16.23 WAC REQUIRED DISCHARGE RATE ,,LION PIP . D FEET gTyJEEi+i PUMP OFF AND DIgTRIBU FEET VERTICAL DIFFERENCE B . . . • . • FEET + Mitlimum NETWORK SUPPLY PRESSU FTJ1Q0 FT• FRICTION FACTOR . •FEET + F££T FORCEMA.IN X � ZTOTAL DYNAMIC HEAD ��; DT14 — DIAMETER LENGTH INTERNAL DIMENSIONS pUirUP TANK= LIQUID fr DATE LICENSE NUMB SIGNED 3 /BB HEADICAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 185141 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE W SERIE 42 44 51-31 11 137-139 14014140 1 SIM I i I 1614163 16341113 1 1851411S 1 13&4186 161/111 11111119 111 Lfrc Gal. Urs. Gal. Las. Gal. �L" p Gal; 10� Gal. ilnS.: Gal. Lh%�:, Gj1.:1Vv Gal. Lh, Gal. FT. GOL Ltr Gal. �11r Gal. Lh Gal. Gal. K N 13547 106 46 IS$ lv 45 : 17v IST 26 Aw�: 41 '163 72 13 �*11 61 i� 231 61 51 : 220 : :: iss 140---- 1144 131 rz:� 43 ;..1 6 1 10 13.2 23 34 121. 61 411 71 10 :441:: 100: 378: 6 42 17 42 145 $111' is X* 37, 1.9 : : : 341. is i:� i�� I 1 12 45 1710 14 60 2�7� so ��illf ::4 140 X� jj;: 69 ::221. 136 2I7 to 2211 411 of 3 '�l 20 L$ JS , : * 4 73 ilk� 82 310 Sl TO . ----- 777777 � : .44 133 $U: 43 2 5 SS $11 : i : 63 : 1*� 74 280 ST 40 54 121 127 4S 130— ISO $3 Ss 270. : , 45 : .317r 114 jj 1,12r::j is 75 IS 2n JOS 44 9 219: s6 1201; Io Sa 41 ITO 2 14: 33 : 1IS 51 38 —125— w, 71 g S 36 .0 43 ::�' 43 0 112f: 120— TO :*21.74 30 2 " a$ a& ...... .. toe $4 AS jJfO to 36 191 14 28 32 f0 .:2tf7 37 1: 1 4 5 115-- 21 JOG nk. 77 no ...2300 . :+:+:: �r� �: S �' 30 34 _iZO T, ------ �77777 20 105 110 32 -- L vat": 21.4 21' illiF 23• 2• jr TT 114 e1 ttr 1 7r 100 30 95-- 28-- 90— 186 26 — 418 165. 24--10-- -4165 75— 0 22-- 70— ---- 20- 65 60— 1 4163 189, _j 4189 ; 55 0 16-- 50— 1 4 1 2- 40 140, 188, N 35-- 4140 , 14 4188 10__ 3o— is 8 -�5 137, 4 185 6 41* 15— 4-- 2-- 5— 8 5 95 161, 43 4 ,59 4161 1 U.S. GALLONS 1 20 30 401 50 601 7o 8Lk2g�O 100 1 110 120 0 140 150 160 T1 so 160 240 320 400 460 560 640 0 FLOW PER MINUTE 009922 Not e: For Head Capacity on Model 112, industrial column-explosion pr000f pump, see FMO219. maintenance and Contingency Plan for a Septic System Maintenance Plan once ever 3 years. 1. Septic Tank is to be pumped Y 2. Effluent filter is to b e cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter'ia the inspections pipes at the ends of 3. Once every 3 years, cells are to be inspected v the cells. agrees to limit greases, garbage, and water conditioner discharge into the system. 4. Owne r g 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan fails, determine cause of failure, use alternate a rea and i nst al l new system or 1 I f s y stem �Aw YSU�nnr ) i nstall system at a lower elevation �x� zv eded. 2. Replace any other failing components as ne Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715- 386 -4680 Pumper Tom Mondor 715 -246 - Shaun Bird #226900 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P. C. Collova Builders, Inc. Mailing Address P O Box 489 Somerset, W154025 Property Address nfi ation requi d from Planning Department for new construction) City/Stat L Parcel Identification Number LEGAL DESCRIPTION Property Location N � %,, L& %4, Sec. . T Z N -R W. Town of " Subdivision U� '(� Lot Certified Survey Map # . Volume , Page # Warranty Deed # Volume ! Page # Spec house yes ❑ no Lot lines identifiable I yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its prematurafailure 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the ownerr and by a masterplumber, joumeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal 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. 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 Zoning Office within 30 of the three year expiration date. ( ��� GNATLTJ XPPLICANT 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 tiATU perty describ a e, virtue of a warranty deed recorded in Register of Deeds Office. OF PLICANT DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed [ � � � Ik2 2 §a 2�■ kk� =772k e $k /J2�/ Zak /J & Rc -C-ua o a m E�■ e2k2 z W �222k$ §S & !Q S \kk$� &72 ® kt ƒ�m X50 � aCD3 �- EEecc \$ \ CD �$ COD &]_$§ G§§�a � - -n $EkE 5�E CD S. 'Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings r Page of BvSaU of Ti' Services in accordance with Comm 8.3.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in site; Plan must County include, but not limited to: vertical and horizontal reference point (B �'� - direction ar�d C A , percent slope, scale or dimensions, north arrow, and location and d' nce to neatest ro8d : ? x Parcel I. D. # APPLICANT INFORMATION - Please print all inform a tion." Reviewed by Date Personal information ou p rovide may be used for seconds p urposes (Privacy Law, s. 15.04 m Y P Y N P rP � Y Property Owner Propalty Wf4ion Govt. Lot V4N F"1 /4,S Z T �d ,N,R I E (or)(D Property Owner's Mailing Address Lot # I Block #. Subd. Name or CSM# 1 5 3 Aw r) e — T�Z e-y\ City State Zip Code Phone Number ❑ City ❑ Village (0 Town Nearest Road [� New Construction Use: (Residential /Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: yy Code derived daily flow _Qo gpd Recommended design loading rate i bed, gpd /ft r O trench, gpd/ft Absorption area required %_ bed, ft � 7,5_e trench, ft Maximum design loading rate 7bed, gpd/ft gpd/ft Recommended infiltration surface elevation(s) t C) - a Y ft (as referred to site plan benchmark) Additional design /site considerations 0 L - T 4 �t Parent material l9 r )4 U—ja5 Flood plain elevation, if applicable � e.1 G4 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S Si U 5� S❑ U ❑ S P U I EIS IOU I ❑ S PU ❑ S W U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots a in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ls V^Fcz, C5 Ground - 3 _36 f cul ✓ &L_ 5 Sr elev. Depth to limiting factor m in. Remarks: Boring # ' all' I - Z R - 25 10 Nit ` I AA _ t 3 7.5 3 ( kA Ground elev. 0 !!. - s br ft. Depth to limiting factor 7-5 in. Remarks: CST NAme (Please Print) ignature Telephone No. �vl J LTA s Address Date CST Number ZA l �8f0 ""­ -mac Zs 3.3 0 PROPERTY SOIL DESCRIPTION REPORT OWNER Page of y PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench o - H 10 /3 LS � 4� F vt C f ' OEM Z - 3/6 MC, kA F I' Ground _ to - 7 A 2 3A w•5 v✓`l_ �S elev. l�srSrft. Depth to limiting factor 10 in. Remarks: Boring # i Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ' n � Ground elev. ft. ' Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) R PAGE OF- NAME .S ��s'� LOT# '? LEGAL DESCRIPTIONHw '/o t FV / <,S /Z T30,N,R 1`ZE (or) SCALE: 1 BM 1 ELEVATION /00 ' { BM 1 DESCRIPTION G.,, slw• c�} du d L Iw +h K ! BM 2 ELEVATION 9 G t• g 0 d BM 2 DESCRIPTION ,.a y_--� a.0h SYSTEM ELEVATION ____ t(3 2. 5 ALTERNATE ELEVATION CONTOUR ELEVATION / e i • t I �a � 1 SIGNATURE DATE 1U/25, THU u1:54 F. 715 3516 Mitts! n ltt�wSrEA OF DEEDS _� 002 y , nl 1 �74Qfict 01 .; SkA STATE BAR OF W13CONS +M PORM 11 -1962 6$'3�ttt' 1 LAND CONTRACT KATHLEtrl H. QALSH iMtridual&WCtuporato REGISTER OF DEEDS iTO kil USED FOR ALL 7RAT(6ACT WHEIRovat ST. ORDI K M, W i Cxutacnf S:S,000iJr1NANACTTRANb CTION41 N KCEI110 FOR RE U ?lumber 10 - 17 - Ml Ee30 AM CONTRACT, by and batwocn Richard Q Stou and Jan et P. StOUt, LAG COIiTRf�T husba and wife, -_ - E)IVTT �ppp4 Car mil FT1 FEE: l Vendor ", tvhethor oec or morn and P_ C. CoUOVrt_�n +teas a TR FEET 1359.00 - - lac. _ PA0E8 S FSEt 13,00 ( ,Whether one or more), Vendor sails and agrees (o ceavey to Rcasr1111 Area PurChaSwr, upon the prompt Cad full performance of this contras by Purchaser, Namc Gad Return Aerdreu the fWIDWln8 property, t0&tK'hcrwith the rants, profits, fixtures and other Dick Stout apfrxteennt tatcrests (All called the "Property „ ), it St Croix 1353 Aw&tukee Tr, Counry,5isteofwiscoasi. Hudson, W1 54016 + 432 _2044 -2 -300 p� IAmai1 IEe,s r."oo Nub.,) 1, 1, 3, 4, 5, /, 7,� and 4, P1u of Blue Stem Prairie, Town of Somerset. St. Croix Courrty, Wisacnsin, Thin is not hornmrtsad . P r Y l 1'ureh2aer a t to purchase site Property and to pay to Vendor &levee Veadordlrseia the st m of s 450411116.90 in the foilvwiaE manner: (nl gSLUI to” At she 9X0CULt6dU utis ontracf7a - ,7 the batanca of S 370A0040 loEethar wiui interest from date- he.rat can the balance cwts+aadln>: font time to errne as the r ua or- 6,g ' - - ' 95 iixr oat per annum i va[it paid in fu14 u failows There shalt be no Interest charged Da the pZ441 lislaaee for eR ruentllr fellowiar, the rlceudoa or tats eoetmat, Sfmpta intseurt saeq bards to aeerec to raid principal balance on April a, 1002, Late shall be relwawl from this Land Contract upon paymmat of SSOAW -90 (which amouet &ball be applied to the principal balance) together with interest accrued on the outstanding principal hatince. As so esseeple, the feat lot re m" than rogairod the fallowing to be Ford by Purchase to Vendor (oatumin�� rolaase date of 12''Vol)t S50,d0o.CO (base reisase aacuntb piss $5,859.19 (9tfercatat 11.5% on 5370,000,00 for 68 days i OJOWO Ji3t01), :er a sobs of S5S,1�.ilL la addition, en October 8,1003, there shall be an tatrest only payment due Vendor by 1'urrhaber On the -then oaf rlAoding priscepal balasea- (N Continued btlow) II Provided, however, the. elfin outstanding Waiter: shall he paid in luil on or before tha - - J L day of October 2003 (Ent maturity date). cotlawing tiny default in payment Intereat shn starve at tht rate of &5 % per annual nn the enclr amoun+ in default (whirh shall include, wrthqut iltnitation, delin4uent interest and, upun aeeolwatior, or maturity, rho emir.- principal balance). Fur :haser, unica excited by Vendor, aprcas to Fay nlaothly te7 Vender lueountr fliffLCitnt to rmy reataltabi urtici- patad annual tastes, tpucial ns'aosaments, tiro and require p ramiWas when due. To the extent received by Vendor, vendor a &rocs to apply paymbnty to tnaut oblI46 ions when due. Such amounts received by the Vendor for payment of taxes, assesarnanta and arisLuanuc will he dopesautd into on escrow !Lund or trustee rLwnunt, but shall not henr interest unlesso[hetwise required by law. Payments shall be applied first to interest on the unpaid belatraa at the rate speellled mid then to principal, Any mnt aou n,ay ha prepaid without premium or fee upon principal it any time after day of elo eia la the everle o "any prepaymoat this contract :half trot be tremcd me in default with [repent to payinet; so IOM as the unpaid balance of principal, and (ata;edt ('and in sari oasc accrulnP, fitttest from month to smooth shall be treated as unrumd. principal) id loss than the arnutr that amid indeburdnass would stave boon had tho mvnthl7 pnymen[s baste made As shalt apaeirlad above, prvvide d (hot monthly payments shall be ernfinued in the event orcrcdat of any prucwda of lnsurance or Condemnation, the condemned petmtaaa being thereafter ceccludcd herefrom. Purchaser stales 'hat pvnehasee i5 iattalted with the ultlu at ahow;t by the tltic arl{1encic SUbmlrted to Purchaser for eaaminatlon except: imilMdual moetF,tla, on individual Wa Firs[ Federal Savineti 4aCrano- Moduan, ** At dosing, Vendor thadl pmt ids Ptrthader with a Watt'aaty Dead rbr I,pt B of Blue Stem Prairie in Partial futnumcs a tf th b Lana Contract. Yurcheser arrears to pay the cant of ftlts.:re V ter Cvidrnce. If title ovidanoa is in the form of',an abstrntt, it she'- he retained by Vendor until the foil purchase price is psid. Purchaser shat) be entitled to take possession of the Property on day orclotlaR. Cresi Oct ant. LAND CONTRACT , ledlr+e on' Gad 1Kate Bar at tvteomin Corporate Farm Ism It • little tae,- r.,-► erarsma .ascs,,,r.".,r.,r..t.w.vn eaoacams, I 1 IL y ¢ iV C T Q It�Zo00S osz W uj co w �f: :'•: ':: :G��:t11;:;:::. N ��o a Lu o z X I@ .:..: �Qo �I� n. 0- o w Q 1pi � ~�z � -o o o :, � (1) 61 ry ZZ w ... + I UJ w a o u � � � $ 80.98' 260.33 i Noo°24'38"W 341.31' o 41.23' _ �w - I - ig /��- -- ROAD — — , zs; �° iv / so0°24 38 E 341.27' �yV� 0 265.00' N _ Ln v ' • � m T LLJ O� .0 / � � 11 : r w • Z � DO cc :ALL S1 W / r 3f d N EM io o 0 OC) co O M I w / I'` Q �' �~ :Q ::. N I T J OQ I • 00 I 5 � � M I V - V I of I � � I @3 LO 1 I � I al I � U c t I