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HomeMy WebLinkAbout032-1030-90-000 I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ',Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515238 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: Langer, Melvin & Marvin P. LE I Somerset, Town of 032 - 1030 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: C,.5T 11.31.19.148B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ; CAPACITY STATION BS HI FS ELEV. Septic Benchmark AprAtin [Holding St/Ht Inlet Ht TANK SETBACK INFORMATION Qao O u tlet -_) Z l TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet S e,h0~, Septic �� 5Q Dt Bottom 6xi 7 E rt e644 -7 5 4 �• �' Z6 7 !� 7 3� Z , / �y Header /Man. 9 Z3 9 q Aeration Dist. Pipe 3 / 4 Z J '7 Holding Bot. System ! /6.) -7 PUMP /SIPHON INF=ORMATION Final Grade 4-7 3 Manufacturer Demand St Cover GPM 2u I ,1 Z. 91 Model Number TDH Lift Friction Loss System Head 1 r Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Tre P,.� PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( Z , --- SETBACK SYSTEM TO 0 I 1 P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Typ f System: CHAMBER OR N �� �� 7a Sy AJ� UNIT Model Number I �•� (4,;- DISTRIBUTION SYSTEM I •/ W l ( Header /Manifold Distribution x Hole Size x FFoTe Spacing Vent to Air Intake t1 Pipe(s) Length Dia 7 Length L Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Z ` a.�► 2« Al Depth Over Depth Over xx Depth of xx Seeded/Sodded xx M ched �+ Bed/Trench Center Bed/Trench Edges Topsoil �� �. �� Yes M No Yes Ej N COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 637 230th Ave. SOMERSET, WI 54025 (NNE 1/4 NW 1/4 11 T31 R1 9W) metes & bounds Lot l Parcel No: 11.31.19.1488 1.) Alt BM Description = �"� ° ' ' t Go�,c.�. D ' '•^ 2.) Bldg Bldg sewer length = G - amount of cover Plan revision Required? EE Yes No J Z Use other side for additional informati n. 1 Date Insepctor' ignatu Cert. No. SBD -6710 (R.3/97) r o� Ca � NO 'Ilk 6� T Safety and Buildings Division County N V ISConsin 201 W. Washington Ave., P.O. Box 7162 j, e eo t )c Madison, WI 53707 I Sanitary Permit Number (to be filled in by Co.) De partment of Commerce (608)266 5/ J 2 3$ • . .. _ _ _ ` State Plan Sanitary Permit Application LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal infonvation o + t may be used for secondary purposes Privacy Law, s 1 M� ject Address (if different than mailing address) I. Application Information - Please Print All Information 7 in � `tJ Property Owner's Name ] el # Lot # Block # q i�V Iv �,UO ) IVG NMG8,ZO 32 - 1030` go " - Opt' Property Owner's Mailing Address Property Location 2 ,Z © A ✓F City, State Zip Code Phone Number '�"' -- '�� Section I a" I _ 7 1 S 1/0 Z , (circle IL Type of Building (check all that apply) T N; RE of 1 or 2 Family Dwelling - Number of Bedrooms � � r.�P _�"--- _ Subdivision Name CSM Number ❑ Public /Commercial - Describe Use ❑ State Owned - Describe Use ` (,� �'l S ❑City _❑ Village ®Township of Sp rY, G /25 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System 3 Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System i B. ❑ Permit Renewal ❑ Permit Revision ❑Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner�� IV. Type of POWTS stem: Check all that appl 5 .Non - Pressu rized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filer ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. DispersaVrrestment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed System Elevation 5 ✓ ooh 6q SZ ✓ 9/.©() - p Z. VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units f' Concrete Constructed Glass New F-usting Tanks Tanks W / D O jok g �� 5 Septic or Holding Tank DD 0 1 Z �O' 2 LIN l v t, K luo t C t S IX Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement - 1, the wadersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl S' MP/MPRS Number Business Phone Number J o ,� Sc ,htrl7' �� �,(, f ZZ ; 66 ?/s- 760 -DYf 6 Plumber's Address C' State Zi (Street, rtY. P ) r ' x5 X V � s 116 CiS f-"% � —5 VIII. Coln /De ent Use O nly 17 Approved Sanitary Permit Fee (includes Groundwater Date Issued !Zit Si o S nial ) (J:� Surcharge Fee) q .7 5 v c y 1 /b �(Gfiveneason UL Conditions of ApprovaMeasons for Disapproval SY$TEM OWNER: t. Septic tank, effluent filter and dispersal cell must all be services I maintained as per management plan provided by plumber. 3. RU setback requirements must be maintained as Par applicable coda I . Attach complete plow (to the County only) for the system on paper Dot less than 81/2 :11 inches in ske Page 2 of 9 PLOT PLAN (Langer Property) ♦ BM Elevation = 100.00" Bottom of siding on SE house comer 0 Alt BM Elevation = 94.83' Top of 11/2 PVC pipe. ■ Backhoe pits Slope= 6% ElevationTrench #1 = 92.00' Elevation Trench #2 = 91.00' 2 — 3'x 64' INFILTRATOR Quik 4 Trenches N Scale: V= 40' (Z /vd 23 vr-, 152 vJ k LL 3 BEp2onm !.4 oU 5 $M M !,u S 14 5.7 - — 0 01 GsIC >. i w/P � i � G XiS�riNt� G � flQr��N�i�tD eL 67 LOPE TREOJc« z ^� ALT B © 0 r — 00©000000 04 °00® ©p N Z 0 Vcr RETAWIM6 W A L L 92 (;0�� Page 1 of 9 CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Langer Conventional Gravity Septic System Owners Name: Marvin and Melvin Langer Owners Address: 637 23e Ave. Somerset, Wl 54025 Legal Description: NEIK, NW /4, S11, T31N, R19W Township: Somerset Subdivision Name: 4.55 Acre Parcel Lot Number: NA Parcel ID Number: 032 - 1030 -90 -000 Page 1 Index and Title Page 2 Plot Plan Page 3 System Cross Section and Sizing Page 4 Filter Specifications Page 5$6 Maintenance & Management Plan Page 7 Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Attachment: Soil Evaluation Report Designer /Plumber: John Schmitt License Number: 223760 Date: April 9, 2010 Phone Number. 715 - 760 -0486 Signature Designed pursuant to the In- Ground Soil Absorption component Manual for POWTS Version 2.0 SBD- 110705 -P (N.01 /01). Page 2 of 9 PLOT PLAN (Langer Property) ♦ BM Elevation = 100.00" Bottom of siding on SE house comer 0 Alt BM Elevation = 94.83' Top of 11/2 PVC pipe. ■ Backhoe pits Slope= 6% ElevationTrench #1 = 92.00' Elevation Trench #2 = 91.00' 2 — 3'x 64' INFILTRATOR Ouik 4 Trenches N Scale: V= 4d' R1vJ 230TH A vrz, i 152 vJELL MN 3 gEp�o�►� 1� oU5+= �r- K 1 DE+o &Al . s. i Slft a z (o, &AL—a G XisT/A)L G 6 ° S LO PE ® t6 TRt V(- F4 TRE�cH L ALT 6 tV - -- 0 00000000 ©00 oQ ®ov ® ©p N G Vo CK E'f AIN►Nb \ r� WAtL � 92 Page 3 of 9 . Solt Absorption System Cross Section 96.00 ft 4'Schsdub 40 Final Grade PVC Vat Pipe Mh Va 93.00 ft al Cap 92.00 ft. Trench Elevabon —� r Trench Elevation 3 f > 3 ft Solt Absorption fivstem Plan 1(I 64 ft 3 g 3 ' tt 7V-8wnt serva tion Ptpe l:harr Trench 1 4' Dia. Trench 2 Header Leaching Chamber Soecificatigns Manufactuer And Model I INFILTRATOR Quik 4 ESIA Rating 20 sq. ft per chamber ESIA Rating 5.8 sq. ft per 2 endcaps DWF 4 - 01 gpd Soil Aplication Rate 0.7 gpd/sq. ft 450 gpd DWF + 0.7 Soil Aplication Rate + 20 ESIA- 32 Chambers 2 rows of 16 chambers each. S Filters Page 4 of 9 PL-525 EFFLUENT FILTER (COMMERCIAL) Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters. The PL-525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility - (— ..�,.� Accepts PVC the largest commercial filters in its extension handle class. It has 525 linear feet of 1116° filtration slots. Like the Polylok PL -122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1116' removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off —� 10 ,000 GPD the system so the effluent won't leave the tank. No other filter on the market can make that claim! Accepts 4' & 6" SCHD. 40 Pipe PL -525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years under normal conditions before x , requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas defector done by a certified septic tank _ Automatic shut -off pumper or installer. ball when filter is removed 1. Locate the outlet of the U.S. Patent No# 6, septic tank. 5,871,640 2. Remove tank cover and um P p tank if necessary PL -525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL -525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4N or 6n outlet pipe. If the back into septic tank, filter is not centered under the access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 0--1 -- + ;^ + -.,6 �.r— 5. ReDlace the septic tank cover. r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa 5 of 9 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Tank Manufacturer ❑ NA Marvin & Melvin Langer Unknown Permit # It Septic ❑Dose ❑Holding vol. 1000 gal DESIGN PARAMETERS Tank Manufacturer Week's C. P. ❑ NA Number of Bedrooms 3 ❑ NA N Septic ❑ Dose ❑ Holding Vol. 261 gal Number of Public Facility Units ID NA Effluent Filter Manufacturer P o 1 y 1 o k ❑ NA Estimated (average) flow 300 gal/day Effluent Filter Model 525 Design (peak) flow = (Estimated x 1.5) 450 gal/day Pump Manufacturer N NA In Situ Soil Application Rate 0.7 aVda /ftz Pump Model Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Manufacturer Biochemical Oxygen Demand (BOD5) <_30 mg/L Dispersal Cell(s) ❑ NA Total Suspended Solids (TSS) :530 mg/L ® NA ® In- Ground (gravity) ❑ In- Ground (pressurized) Fecal Coliform (geometric mean) 1510 cfu/100m1 ❑ At -Grade ❑ Mound Maximum Effluent Particle Size in dia. ❑ NA ❑ Drip -Line ❑ Other: Other: Other: 11 NA [I 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: 3 ® e ear [I s (Maximum 3 years) ❑ NA ear ( Pump out contents of tank(s) ! When combined sludge and scum equals one -third ('%) of tank volume p NA ❑ When the high water alarm is activated Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 3 ® year(s) Clean effluent filter At least once every: 1 month ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ month(s) In NA ❑ years Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other. At least once every: ❑ month(s) ❑ NA ❑ 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 (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify arry cracks or leaks, measure the volume of combined sludge and scum and a 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 treatment tank equals one -third ('%) 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. SIMW 119/091 Page __L-_ of 9 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals that may impede the treatment process ardor damage the soil 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 extended 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 and may overload them resulting 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) discharge; 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 cue compliant replacement system: 0 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. Q 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 John Schmitt Name John Schmitt Phone ( 715)-760-0486 Phone ( 715)-760-0486 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Owners choice Name St. Croix Count Zonin Phone Phone ( 715)-386-4680 Thic einnnmont wac rlraftad by tho efaffc of tho (goon 1 ako Marnnotto anei Waiichnra r.niinty 7nninn anri Ranifntinn anonnioc in nmmnlianrs+ with nhanfar ST. CROIX COUNTY Page 7 of 9 SEPTIC TANK MAINTENANCE AGREEMENT AND M OWNERSHIP CERTIFICATION FORM Owner/Buyer I � 1 A R VJ tJ AN 13 M E1_ yi A) L A1V6 c','e Mailing Address 63 7 z 34 i N A v.E W i s ye Z,S Property Address 5,4 o l c (Verification required from Planning & Zoning Department for new construction.) City /State WT Parcel Identification Number 03 Z - / 0 3 D - pD ` 000 LEGAL DESCRIPTION Property Location L t /a , A/ VJ t /a , Sec. , T = ?J—N R l W, Town of Sa i y 1.E72S& Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes Lot lines identifiable (19) 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 full of sludge. Uwe, 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. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe 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 1 SIGNATURE OF APP CA T(S) 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) ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK (S This is to cert ify that I have inspected the existing septic and /or dose tank presently serving the following residence: (Street address) 637 Z307 - 1-i Ave located at: 10 E 1 /4, N (,U 1 /4, Section 11 , Town 31 N, Range / 1 7 W, Town of �j p ,vn E es e T , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service / D /S Z O 09 Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: / 000 4 , 4 Construction: Prefab Concrete Steel Other Manufacturer (if known): Age of Tank (if known): Permit number (if known) (::Z� ©H w 5c ijtW T (L' nsed Plumber Signature) (Print Name) y�l l�►�5 Z Z3 74 D (Title) (License Number) MP /MPRS y- - Zof (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 635239 �1 STATE BAR OF WISCONSIN FORM 3 - 1999 KATHLEEN H. WALSH Document Number QUIT CLAIM DEED ST. CROIXOCO., WI RECEIVED FOR RECORD This Deed, made between Melvin C. Langer and Marvin P. Langer, as joint tenants, 09/25/2006 10:30AM QUIT CLAIM DEED EXEMPT # Grantor, and Steven F. Langer and Sandra F. Langer, husband and REC FEE: 11.00 wife as survivorship marital property, TRANS FEE: 542.10 COPY FEE: CC FEE: PAGES: AGES: 1 Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Beginning at a point 375 feet East of the Northwest corner of the Northeast Quarter Recording Area of the Northwest Quarter (NE 114 of N W I/4) of Section Eleven (11), Township Name and Return Address Thirty -one (31) North, Range Nineteen (19) West; thence South 360 feet; thence East 550 feet; thence North 360 feet; thence West 550 feet to the place of beginning. Judith A. Remington Reserving and excepting, however, to Grantors the full, use, control, income, benefits REMINGTON LAW OFFICES, LLC and possession of the described property for and during Grantors' natural lives and P.O. Box 177 during the natural life of the survivor of them. New Richmond, WI 54017 By accepting this quit claim deed, the Grantees agree to reroof the shed located on the property within one year from the date of this deed. 032 - 1030 - 90-000 Parcel Identification Number (PIN) This is homestead property. (is) %X01) Together with all appurtenant rights, title and interests. Dated this 20th day of September 2006 i ti1 Z r� Avv " C + & * MELVIN C. LANGER rku /7Lc 4--C� j_4.,, * �' �' •�' E * MARVIN P. LANGER AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. - -- — - -- -- - -- - -- .— - - - -- — ST. CROIX County ) authenticated this day of i Personally came before me this 20th day of September , 2006 the abov.e,pamed * Melvin C. Langer and Marvin P. Langer, as joint tetla¢ieti••,ti TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who exec fed =he reioi authorized b 706.06, Wis. Stats. — instrument and acknowled ed the same. :' C ��f. Y§ ) THIS INSTRUMENT WAS DRAFTED BY * dith A. Remington Judith A. Re mington, Remington Law Offices, LLC Notary Public, State of Wisconsin •••" P.O. Box 17 New Rich WI 54017 (715) 246 -3411 My Commission is permanent. not, state expiration ate ,• (Signatures may be authenticated or acknowledged Both are not necessary) * Names of persons signing in any capacity must be typed or printed below their signature. information Prof essionals company, Fond du Lac, WI STATE BAR OF WISCONSIN 800655 -2021 QUIT CLAIM DEED FORM No. 3 - 1999 1 of1 Page 9 of 9 09p, LO co i t ) s •, O U 00 N N �k � CL ,,, U U C @ � L @ � C C0 09 ° m u @ N _ � C 0 U C N C Q d @ V @ E N �( N Cl O U N C O E CO U N 6 U N *Isconsin #1623 SOIL EVALUATION REPORT page 1 of 4 Depar6ttettt of t,ommeroe in accordance with Comm 85, Wis. Adm. Code mitt Soil Testing, Inc. Division of Safety and Buildings County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must St. Croix 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. 032- 1030 - 90-000 please prim all inibrmation. Reviewed By Date Personal inromration YW provide May be used for secondary VwpoM (PrfvacY Law, s. 15.04 (1) (m)). Property Location Property Owner NE1 /4, NW1 /4, S11, T31N, R19W Langer, Marvin & Melvin Govt. Lot Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 637 230th Ave. NA 4.55 Acre Parcel State Zip Code Phone Number �_, City [] Village Town Nearest Road City Somerset Wt 54016 Somerset 230Th Ave. ❑ New Construction Use: L>�/j Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement ❑ Public or cornmercm I _Describe: Flood plain elevation, if applicable NA ft. Parent material Outwash Sand (Onamia General comments r s rate. Possible system and recommendations: Replacement area is suitable for a conventional system with a 0.7 gpd/ qft elevation is 92.9 (Trench #1) 91.0" (Trench #2). Slope of area is 6% Boring # ❑ Boring [K] p Ground surface elev. 96.23 ft. Depth to limiting factor 106+ in. Soil Application Rate Structure Consisten Boundary Roots GPDlft' Horizon p� Dominant Color Redox Description Texture •E{(#1 •Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. 1 0-6 10yr4 /6 none sl fill as 2m,2f --- 2 6-18 10yr3 /3 none sl 2fsbk mfr CS 2m,11' .6 1.0 3 18-26 10yr4 /6 none SI 2msbk mfr gw jIf .6 1.0 4 26-38 10yr4/6 none grs O59 ml Cs .7 1.6 5 8-69 10yr6 /4 none s Osg ml Cs .7 1.6 6 69 -106 10yr6 /4 none Cos Osg ml _, .7 1.6 a Boring # ❑ Boring pit Ground surface elev. 96.23 ft. Depth to limiting factor 105+ in. Soil Application Rate Dominant Color Redox Description Texture Structure Consists Boundary Roots GPD Horizon Depth 'EM FM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-15 10yr3 /4 none St 2msbk mfr gw 2m,2f .6 1.0 2 15-25 10yr4/4 none grsl 2msbk mfr gw 2m,2f .6 1.0 3 25 -34 10yr4/6 none grs Osg ml Cs 1m,1f .7 1.6 4 34-51 10yr6/4 none grs 0s9 ml GS .7 1.6 5 51 -105 10yr6 /4 none s Osg ml ---- 7 1.6 " Effluent #1 = SOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD <_30 mg/L and CSST T N umber mg/L Signature: CST Name (Please Print) ..� 227429 Thomas J. Schmitt P � Date Evaluation Conducted Telephone Number Address Schmitt Soil Testing, Inc. 11/30/2009 715 - 247 - 2941 1595 72nd Street New Richmond, WI 54017 SE43- 5330OL07/00) ply owner Langer. Marvin & Melvin Parcel ID # _ goring # ❑ Boring pd Ground surface elev. 95.43 ft. Depth to limiting factor 100+ in. Sop Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF In. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. •6t�t FM 1 0 10yr3 /2 none SO fill as 2m,2f ---- 2 10-26 10yr5 /6 none grs fill as if --- 3 26-36 10yr3/3 none sl 2msbk mfr gw .6 1.0 4 36 10yr4/6 none Is icsbk mvfr cs .7 1.6 5 47 -72 10yr5 /6 none S Osg ml a .7 1.6 6 72 -100 10yr6 /4 none Cos OSg mi -- .7 1.6 F-1 Boring # 0 Bo ring ft. Depth to pmbV factor In. Rate Ground surface elev. n Horimn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF in. Munsell Qu. Sz- Cont. Color Gr. Sz. Sh. •EW •Ef= F-1 Boring # 0 ring ft Depth to limiting factor in. Ground surface elev. App Rate Horimn Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - EM" •Ef #2 • . < Effluent #1 = gOD 30 <_ 220 ntglL and TSS >30 <150 mg1L E- ffkrerrt #Z a GOD _ 30 mglL and TSS --W mg/l. The Department of Commarx is an equal opportrmity service provlda and employs: If you need assrstartoe to acoew savices or need material in an altanatc format, please contact the depamnent at 608-266-3151 or TTY 608- 2644rM. Sdwit Sal TOOV, Inc, I Conducted by: Conducted r or: _ Schmitt Soil Testing Inc. Name: Marvin & Melvin Langer Thomas J. Schmitt, CST 227429 Address: 637 230th Ave. 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WI. 54017 P. - -r- I) , 4— G--U - 1 0 - 00 _ cYO Phone: 715 -247 -2941 Subd.Name: NA sue. Lot No.: NA Legal Description: NE1 /4 NW1/4 S11 T31N R19W ■ Backhoe ph Township, County: Somerset, St. Croix County 0 Bench Mark EL 100.00' Bottom of siding on house at SE corner D Alternate Bench Mark EL 94.83' top of 1.5" PVC pipe S10 6% _ Scale 1 " — 40' rV b�• -as ' g4- P r LJA� 7 7 -1 Shop ExrS�h '�p�pe 'NOTE' The system elevation of the lowest trench, the trench next tot- theptaining wall, wili-be./,.2 "below ttw horse of the retainina wall. �7/Lc�c tea) i n MAP Gr o L � � C. � � � t t �a c i aY•e v • • �a N II Y a � -�IL EVALUATION REPORT #162 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 4 Division of Safety and Buildings Schmitt Soil Testing, Inc. 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 3 j 030- 90-000 Please print all informatio Rey* wed B Date Personal information you provide may be used sewn (1) (m)). ��� f J � U .n Property Owner �� y Location Langer, Marvin & Melvin ot NE1 /4, NW1 /4, S11, T31N, R19W Property Owner's Mailing Address Block # Subd. Name or CSM# 637 230th Ave. 4.55 Acre Parcel City State Zip C dp ANfMN City ❑ Village ❑ Town Nearest Road Somerset WI 54016 1 Somerset I 230Th Ave. Use: 3 de ow 4 El New Construction R esidential /Number of bedrooms Code de ved design fl rate 50 GPD ❑ Replacement ❑ Public or commercial - Describe j "k' ❑' 6�" /Cj C ktc N73 G n Parent material Outwash Sand (Onamia Flood plain elevation, if applicable NA ft. General comments C��VUn .? h _f �c_'yZu 6�^�ti 2�L?� `� �j ' and recommendations: Replacement area is suitable for a conventional system with a 0.7 gpd /sgft rate. Possible ystem elevation is 92.0' (Trench #1) 91.0" (Trench #2). Slope of area is 6 %. orin ❑ Boring # Boring ❑Pit Ground surface elev. 96.23 ft. Depth to limiting factor 106+ 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 0 -6 10yr4 /6 none sl fill --- - - - - -- as 2m,2f - - - -- - - - - - -- 2 6-18 10yr3/3 none sl 2fsbk mfr Cs 2m,if .6 1.0 3 18 -26 10yr4 /6 none sl 2msbk mfr gw if .6 1.0 4 26 -38 10yr4/6 none grs Osg ml Cs - - - - -- .7 1.6 38 -69 ' 10yr6/4 none s Osg ml Cs - - - - -- .7 1.6 6 69 -106 10yr6/4 none Cos Osg ml - - -- - - - - -- .7 1.6 �i , Boring # lu F ❑ Boring 50' ❑ Pit Ground surface elev. 96.23 ft. Depth to limiting factor 105+ 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 0 -15 10yr3/4 none sl 2msbk mfr gw 2m,2f .6 1.0 2 15-25 10yr4 /4 none grsl 2msbk mfr gw 2m,2f .6 1.0 3 25 -34 �, 10yr4 /6 none grs Osg ml Cs 1m,1f .7 1.6 34 -51 10yr6/4 none grs Osg ml Cs - - - - -- .7 1.6 5 -105 10yr6 /4 none s Osg ml - - -- - - - -- .7 1.6 2 b " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD s30 mg /L and TSS S mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �° r "� 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 11/30/2009 715 - 247 -2941 SBD -8330 (R.07 /00) i s Property Owner Langer, Marvin & Melvin Parcel ID # 032 - 1030-90 -000 Page 2 of 4 F3 ]Boring # ❑ Boring Z Pit Ground surface elev. 95.43 ft. Depth to limiting factor 100+ 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. *Etf#1 *Eff#2 1 0 -10 10yr3/2 none sil fill --- - - - - -- as 2m,2f - - - -- - - - - - -- 2 10 -26 10yr5/6 none grs fill --- - - - - -- as if - - - -- - - - - - -- 3 26 -36 10yr3 /3 none sl 2msbk mfr gw - - - - -- .6 1.0 4 36-47 110yr4/6 none Is lcsbk mvfr Cs - - - -- . 7 1.6 5 47 -72 10yr5/6 none s Osg ml Cs - - - -- . 7 1.6 6 72 -100 10yr6 /4 none Cos Osg ml - - -- - - - - -- .7 1.6 F-1 Boring # Boring El 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 ❑ 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/ftz 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 (R.07 /00) Schmitt Soil Testing, Inc. Page 3 of 4 by. ducted Con Conducted For: . Schmitt Sail Testing Inc. Name: Marvin & Melvin Langer Thomas J. Schmitt, CST 227429 Address: 637 230th Ave. 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WT. 54017 �- : , N 4 cu - Phone: 715-247.2941 Subd.Name: NA si /�- a / w "` Lot No.: NA Date %� l �' / <' Z� Legal Description: NEIA NWIA S11 T31N R19W ■ Backhoe pit Township, County: Somerset, St. Croix County A Bench Mark El. 100.00' Bottom of siding on house at SE corner Q Alternate Bench Mark El. 94.83 top of 1.5" PVC pipe Slo = 6% Scale 1" - 40' t LI �i 7 �r *NOTE* The system elevation of the lowest trench, the trench next tot the r ning wall, wits be /.,? below the base of 4he retaining wall. I� p .3tO . MV 3 a �u f K " s k� Y� ,r yy .' h y ✓ .(�SS, Parcel #: 032 - 1030 -90 -000 12/31/2009 11:16 AM PAGE 1 OF 1 Alt. Parcel #: 0 .31.19.148B 032 - TOWN OF SOMERSET Current ST. CROIX COUNTY, WISCONSIN Creation Date istorical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LANGER, MELVIN C & MARVIN P LE MELVIN C & MARVIN P LE LANGER C - LANGER, STEVEN F & SANDRA F STEVEN F & SANDRA F LANGER 637 230TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description ' 637 230TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 4.550 Plat: N/A -NOT AVAILABLE SEC 11 T31 N R19W 4.55A IN NE NW COM 375' Block/Condo Bldg: E OF NW COR, TH S 360' TH E 550', N 360' TH W 550', TO POB Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 11-31N-19W Notes: Parcel History: Date Doc # Vol /Page Type 09/25/2006 835239 QC 01/25/2002 669313 1823/116 TI 01/25/2002 669312 1823/113 TI 293776 445/609 WD 2009 SUMMARY Bill M Fair Market Value: Assessed with: 311 173,300 Valuations: Last Changed: 11/03/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.500 55,700 89,700 145,400 NO Totals for 2009: General Property 4.500 55,700 89,700 145,400 Woodland 0.000 0 0 Totals for 2008: General Property 4.500 55,700 89,700 145,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 304 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00