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Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix 3uilding Division INSPECTION REPORT Sanitary Permit No: 488168 0 vENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal infon ration 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: Baillar eon, James I Somerset, Town of 032 - 2177 -13 -000 CST BM Elev: v Insp. BM Elev: BM Descri on: L / Section/Town /Range /Map No: 03 - - 11.31.19.1517 TANK INFORMATION V ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 2 b Benchmark Dosing Alt. BM _;6� O� /D/ 4 • I Aeration /?� Bldg. ewer Hot Ing � t n et >/ � 2 w TANKSETBACK INFORMATION 7t O 2 IANK 10 P/L WELL %� en ae n � I os ea er an. -2 S D• 7S ` J 5� �' l a ion is . ipe /p 7 YL - 3 o Ing ° • ys e m g C/ 4� a PUMP /SIPHON INFORMATION Ina lid _ S to �9• S M anufacturer ueman r GPM S m odel um er Y3 nc wn Y oss C/ ys ema �`� ^/ `nom orcepal n i /_ L� lU (vo ''l or_u -IN%n "IrIm— [111YU1 Ul I lulluliub I & JIMENSIONS 10. 01 PIL5 111blut: Uld. 111140lu DepIll DIMENSIONS 3 / ? INFORMATION t...MB:E JV AD � ��D' > aou ► > ` IvIudO 110111130. it: SIM e yh ength� Dia LDia Spacing X Pressure Systems Only xx Mound Or At -Grade Systems Only rte — I Depth OV.1 0, Depth Of Bed/Trench Cent r Bed/Trench Edges Topsoil Yes No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: 1 U / // � Inspection #2: Location: 646 222nd Ave Somerset, WI 54025 (NE 1/4 SW 1/4 11 T31N R19W) Hidden Hills Lot 13 Parcel No: 11.31.19.1517 1.) Alt BM Description Gc. �Yh � f4/ 6 2.) Bldg sewer length / in.�/S(%yt - amount of cover= Plan revision Requiredti Yes No / T i Use other side for additional information. " l� , �K D to l � nsepctorsSi lure Cert. o SBD -6710 (R.3/97) Safety and Building /r County ` am . asngton �cons�n Madison, WI • Pe it Number ( to be filled in by Co.) Department of Commerce (608)26 1 y U$ / Sanitary Permit Application Plan 1.. Num V Iv In accord with Comm 83.2 1, Wis. Adm. Code, personal information you pr vide may be used for secondary purposes Privacy Law, s15.04(lxm) 3 ($fOWAddr (if different than mailing address) I. Application Information - Please Print All Information Property wner's Name / -- Parce # Lo / Block # 03Z 2/77— - 000 Property Owner's Mailing Address Property Location City, State Zip Code Phone Number �> Y'• Section �l (circle 15 II. Type of Building (check all that apply) 0 T -3 / N; RZZ:E I or 2 Family Dwelling - Number of Bedrooms Subdivi 'on Name CSM Number b vw� El Public/Commercial - Describe Use �o G ✓ �' 5 ❑ State Owned- Descnbe Use Z L 2h +- 2_t5 c Q r-5 ❑Cit) ❑V11agepTownship of III. Type of Permit: (Check only one box on line A. Complete line - B if applicable) A. New System _ El Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System 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 System: Check all that appl Non -Pressurized i ss razed In- Ground El Mound > 24 in _ . of suitable soil El 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 Filter Leaching Chamber np ine G ve a Pipe ❑ Other (explain) V. Dis ersaVrreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpd uired <a (sf) Dispersal Area Proposed {sf) System Elevation � ✓ r VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Ddsting r Tanks Tanks W Id 5 5 t 1 �� Septic or Holding Tank /S X Aerobic Treatment Unit Dosing Chamber .� ✓ VII. Respo sibility Statement- I, the undersigned, ass a responsibility for installation of the POWTS shown on the attached plans. Plumb ame Print) t Plumber' Si MP/MPRS Number Business Phone Number Plumber's ddres Street CZip Cod 3 410 J VIII. Coun /De artment Use Onl A Approved ❑ Sanitary Permit Fee (includes Groundwater Date Issued lssui Agent Si o S s Surcharge Fee) 1 ❑ e rven for Denial // D(p IX. Conditions of Approval/Reasons for Disapproval - SYSTEM OWNER: 1. Sepk tank, emlent filter and dispersal cell must all be servlt:es / rrisirdained as per management plan provided by phmiber. 2. AN setback requirements must be maintairwd � � � J as per appi c" Code / 009111M. a11Cea. d G 1 DG Attach complete plans (to the County only),for the system on paper not less than 81/2 x 1 /0 1 im hes in sin SBD -6398 (R. 01/03) \ o� � wIZ jai o > 7 ao a c y r � �n � 1 U 0 i TI, �` 0�1 �A tIA d g g � Wscorran Department ofCommerce SOIL EVALUATION REPORT Page /of Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County ' Attach complete site plan on paper not teas than 81/2 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 Reviewed by Date Personal W"Itlon you provide may be used for somWary purpwes (Privacy Law, s. 18,04 (1) (m)). Property ner Property Locati n Govt. Lot 1/4 1/4 S ZI N R ld(o& Propirfy 04er's Maill, Addre T Lot # BI GPM or GS City Zip Phone N um r ❑ City ❑ Village ® Town Nearest Road Q� New Construction.. Use:JM Residential / Number of bedrooms = Code derived design Flow rate GPD ❑ Replacement Public or commercial - Describe: _ Parent material _ Flood Plain elevation if tpIicatRE tt, General comments and recommendations: sys � �� S ; �o 2 \1 APR 16 2004 _ b CR01XC0UNTr" F Boring # ❑ Boring pit Ground surface elev. ,Q .� ft. Depth to limiting factor 9.5' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/fF In. Munss# Qu. Sz. ront. Color Gr. Sz. Sh. •Eff#1 'Eff #2 4 4 9 Ong # ❑ Boring fo pit Ground surface elev. 52 - .7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munseu Qu. Sz Cont Color Gr. Sz. Sh. •Eff#1 •E ff##2 q a �! 9 R Effluent #1 = 8013 > 30 220 mot and TSS >30 < 150 mgA. ' Etfl t r = BOD < 30 mg& and TSS < 30 mg/L CST Name (PI n 1'� CST Number Conducted Telephone Number �b _ Property Owner Parcel ID # Page –z:2— of . 12 Bog # f ❑ppII Boring lo+ Pit Ground surface elev. ft. Depth to limiting factor ,f 1Y5 in. Soil li bon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz, Qont. Color Gr. $z. Sh. 'Etf#1 'Eff#2 - 6 7 Q 4 S � v F Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil App lication 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 F # ❑ Boring Pit Ground surface elev, ft. Depth to WnbV factor In. Soil Application Rate Hod= Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 6 BOD, > 30 < 220 mg/L and TSS >30 1 150 mglL ' Effluent #2 = BOD, 530 mglL and TSS ^ 30 mglL 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. i SM4330 OL6W) Property Owner 2f e z ux22 Parcel ID # Page Lz:;??— of _ a Boring # ❑ Boring 13 Pit Ground surface elev. �— ft. Depth to limiting factor J— in. Solt 6m li cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Qont. Color Gr, z, Sh. •Eff #1 •Eff #2 3 <, 6 7 J' b Q � s cfi v F # C] Bo ring ❑ Pit Ground surface elev. ft. Depth to limiting factor h 6W Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 1 0#2 F-1 # ❑ BodN ❑Pit Ground surface elev. ft. Depth to limiting factor kt. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texture Struoure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •EM2 k Effluent #1 = SOD, > 30 < 220 mglL and TSS >30 1150 mglL • Effluent #2 a BOD _< 30 tng& and TSS 130 mglL 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. seo4330 tR. M) i I � \ IN5 mo o' fi M � � 1 to i - 10 +� l I I Q o 0 i East —West 114 line L 26.9 X X x S88'33'59 "E 250.94 297 957.3 47a`- 933.4 X LOTS 940.7 x 944.6 168,575 sq. ft. 939.0 x 3 87 ac 939.3 N. B. A.: x LCD �IlI2, 791 s N 260, 44R q. ft. N � 2 36 Ocres 941.6 N J 98 LOT 11 x N i 154 991 s ft. 955.9 114 40. ' 51 x , 770 sq. ft. 3.56 acres _ _ 93 2.63 1.19 acres N. B. A. "�. C. z 151, 933 sq. ft.j - 78, 44, 3.49 acres i 1.80 C. B.A.: 151, 933 sq. ft. 3 49 'acres -- 930.6 9 £' ry x `� �o� ,� ^� . ,145, 051 s N 934.63 33 acres x o O v N.B.A.: (NA VIGABLE) • X -'� 76,130 sq. ft. - 923. 159 1.75 acres 7 66- CB. z�. 63, 545 sq. ft. _ 9 X acres x ec � ° G4 x /x oye� _ c . 933.4 " -, - • �' 927.5 Lkk x k 953.4 �S, • : �, 5.9� EXISTING ENDS".. \Q�t�o HERE. BEGIN NEW ROAD. - , CONSTRUCTION . _ 944?9 x �i0 958 \ X % 6' �+ 3.23. 9 ^' \ X All 92 0 S( Af h�tS f}l � G,�OhI ,LL at z. - J oI9Ea ✓7:l� Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -0 Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented LForcemain Alternate outlet location _ diameter Manufacturer 2 in. Capacityl 800.00 Gallons T Volume 21.76 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A '� C B S; SZ;2 _ Pump off e levation (ft) D 3 Total 97 D Dose! tank elevation (ft) 3 Alarm Manuafacturer r� y -,y !e Alarm Model Number 7T/y/ / Pump Manufacturer Pump Model Number 4] Zl� 3// Pump Must Deliver .�F 9pm at s ft TDH HGOULDS PUMPS Submersible Ai - Effluent Pump .. WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously stainless steel. Threaded • Capacitor start motors for without damage when fully Specifically designed for the design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with ■ Bearings: Upper and • • Homes damage on accidental reverse automatic reset. lower heavy duty ball bearing rotation. • S1TOW or STOW severe duty construction. • Trailer courts oil and water resistant power • Motels ■Fasteners: 300 series p ■ Power Cable: Severe duty stainless steel. cords. • Schools ' '/3 and rated, oil and water resistant. t NEMA threee e prong • Hospitals ■ Capable of running dry models have Epoxy seal on motor end • Industry without damage to grounding plugs. provides secondary moisture • Effluent systems components. • % HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIFICATIONS operation when fully wicking. Standard cord is 20'. Three phase (60 Hz): Optional lengths are available. p 9 Pump ss overload protection p submerged. •Cl 10 lad ■ 0 -ring: Assures positive • •Solids handling capabilities: MOTORS must be provided in 9 P maximum. separately ordered starter sealing against contaminants •Discharge size: 2" NPT. ■ Fully submerged in high- unit. and oil leakage. • Capacities: up to 140 GPM. grade turbine oil for lubrication • STOW power cords all have AGENCY LISTINGS • Total heads: u to 128 feet and efficient heat transfer. bare lead cord ends. p Tested to UL 778 and TDH. ■ Class B insulation on ■ Designed for Continuous ® CSA 22.2 108 standards •Temperature: '/3 - 1 ' /2 HP models. Operation: Pump ratings are By Canadian Standards 104 °F (40 °C) continuous ■ Class F insulation on 2 HP within the motor manufacturer's C M us �e# R3a549 140 °F (60 °C) intermittent. models. recommended working limits Goulds Pumps is ISO 9001 Registered. • See order numbers on reverse side for specific HP METERS FEET voltage, phase and RPM'S 40 130 ._ �, SERIES: WE i�w_..a SIZE: 3/4" SOLIDS available. I �� - - t - H__ ,__ 1750 PM 35 35 1 10 WE2 -r -°-�- FEATURES 30 100 —► sGr�, ■ Impeller: Cast iron, semi- 90 ` y i - SFr open, non -clog with pump -out w 25 _ - _ vanes for mechanical seal 80 protection. Balanced for 2 20 70k FQ w _ smooth operation. Silicon Z 60 bronze impeller available as - -� - - - - 15 501 W €0 4 a an option. ° 40 i - ■ Casing: Cast iron volute type 10 - ---- t� for maximum efficiency. 30 - 1 -- - 1 2" NPT discharge. 5 20 tWW -— — - - ■ Mechanical Seal: SILICON 10) - ;- CARBIDE VS. SILICON o o' • 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. .1 1 Stainless steel metal parts, 0 5 10 15 20 25 30 35 m /hr BUNA -N elastomers. CAPACITY Gou lds P © 2003 Goulds Pumps ITT Industries Effective July, 2003 www.goulds.com B3885 <& GOULDS PUMPS Submersible COMPONENTS -- Effluent Pump 7 • Item No. Description 1 Impeller 2 Casing 3 Mechanical Seal S 6 WE Series 4 Motor Shaft 5 Motor 4 6 Ball Beari 8 3 7 Power er Ca Cable 8 Casing 0 -Ring 1 2 _ MODELS PERFORMANCE RATINGS (gallons per minute) Order No. HP Volts Phase Max. Amp. RPM Solids Wt. (lbs.) Order WE0311L 115 10.7 NO. WE03L WE03M WEOSH WE07H WE10H WE15H WEOSHH WE15HH WE20H WE0318L 208 6.8 HP ' / 3 '/3 1 12 3 /4 1 1 ' /2 1 1 /2 2 WE0312L 230 4.9 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 WE0311M /3 115 10.7 1750 56 5 86 1 - - - - - - - - WE0318M 208 1 6.8 10 70 63 78 - - - 58 - - WE0312M 230 4.9 15 52 50 70 90 - - 53 - - WE0511H 115 14.5 20 27 35 60 83 98 123 49 90 136 WE0518H 208 8.1 25 - - 48 76 94 117 45 87 133 WE0512H 230 7.3 30 - - 35 67 88 110 40 83 130 WE0538H 200 4.9 35 - - 20 57 82 103 35 80 126 WE0532H 230 3.3 ° 40 - - - 45 74 95 30 77 121 WE0534H 460 3 1.7 45 - - - 35 64 86 25 74 116 WE0537H 575 1.4 v 50 - - - 25 53 77 - 70 110 WE0511 HH /2 115 14.5 60 = 55 - - - - 40 67 - 66 103 WE0518HH 208 1 8.1 60 - - - - 30 56 - 63 96 WE0512HH 230 7.3 F 65 - - - - - 45 - 58 8 35 - 55 8 70 - 1 • WE0538HH 200 4.9 - - - - 1 WE0532HH 230 3 3.6 75 - - - - - 25 - 51 74 WE0534HH 460 1.8 80 - - - - - - - 47 66 WE0537HH 575 1.5 90 - - - - - - - 37 49 WE0718H 208 1 11.0 100 - - - - - - - 28 30 WE0712H 230 10.0 WE0738H 200 6.2 DIMENSIONS WE0732H /4 230 3 5.4 WE0734H 460 2.7 /4" (All dimensions are in inches. Do not use for construction purposes.) WE0737H 575 2.2 70 WE1018H 208 1 14.0 WE1012H 230 12.5 3500 WE1038H 1 200 8.1 4 11'/2" WE1032H 230 7.0 WE1034H 460 3 3.5 RO ATION WE1037H 575 2.8 WE1518H 208 17.5 16° WE1512H 230 1 15.7 2" NPT WE1538H 200 10.6 8'/2 WE1532H 230 9.2 3 / / a' WE1534H 460 4.6 WE1537H 575 3.7 KICK -BACK WE1518HH 1 , /2 208 17.5 80 /a WE1512HH 230 1 15.7 WE1538HH 200 10.6 WE1532HH 230 9.2 WE1534HH 460 3 4.6 WE1537HH 575 3.7 WE2012H 230 1 18.0 WE203 200 12. • WE2032H 2H 2 230 11.6 83 WE2034H 460 3 5.8 WE2037H 575 4.7 Goulds Pumps and the ITT Engineered Blocks Symbol are Goulds Pumps registered trademarks and tradenames of ITT Industries. PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. & ITT Industries POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _ of FILE INFORMATION SYSTEM SPECIFICATIONS LFerMit wner Septic Tank Capacity ga l ❑ NA # Septic Tank Manufacturer �/ ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units P Pump Tank Capacity gal ❑ NA Estimated flow (average) G5� gal /day Pump Tank Manufacturer a ❑ NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer s ❑ NA Soil Application Rate gal /day /ft2 Pump Model l ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit Fats, Oil & Grease (FOG) <30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ) /In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :530 mg /L Qd NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: j 0 Y year m (s) s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA y 2'year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA 0 year(s) Inspect pump, pump controls &alarm At least once every: ❑ month(s) Oyear(s) ❑ NA Flush laterals and pressure test At least once every: ❑ ye ar(s) ❑ m ) NA ye ar(s) Other: At least once every: ❑ month(s) E(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. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined .accumulation of sludge and scum in any tank equals one -third (Y 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. I START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected havp the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 1 POWTS INSTALLER,/ POWTS MA INTAINER Name Name Phone — - 2 5 - — Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name Phone _ �— Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name Phone Phone l This document was drafted in compliance with chapter Comm 83.22(2 )(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. U ' 793588 9 3 P 2 9 7 K ATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., NI - -- — -- ' - - -_- - - — RECEIVED FOR RECORD Document Number Document Name 05/02/2005 09:20AH WARRANTY DEED EXEWT .ii THIS DEED, made between Richard L. Plourde, REC FEE: 11.00 ( "Grantor, " whether one or more), TRANS FEE: 165.00 COPY FEE: and James W. Baillargeon II, CC FEE: PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address � . interests, in St. Croix County, State of Wisconsin (Property) (if more space is needed, please attach addendum): Lot 13, Plat of Hidden Hills in the Town of Somerset, St. Croix County, Wisconsin. Part of 032 -1032- 30-000 and 032 - 1031 -95-025 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated (SEAL) (SEAL) * *Richard L. Plourde (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF ) ss CO ) r n — (I TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on (If not, the above -named Richard L. Re authorized by Wis, Stat. § 706.06) to he known to be the person(s) who executed the foregoing THIS INSTRUMENT DRAFTED BY: in t and o d s Attorney Kristina Oland Hudson, WI 54016 Notary Public, Stat f My Commission (is permanent) (expires: (Signatures may be authenticated or acknowledged Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 • Type name below signatures. INFO -PROTM Legal Forms 804855 -2021 www.inioPWwns.com ST. CROIX COUNTY .SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address Property Address , (ri��a Z/V _ __.__._._ ew) l�fi'1 (�'rriJ:icatiori r&quirrd from 1'1,uuiine, S Zoning Department for new constructcon.) Parcel Identification Number City /State LEGAL DESCRIPTION 032 - 7- 117 - Property Location `/� , ' a , Sec• L'N R W, Town of So,y��n'�SCT .��Z - -- Lot #_. Subdivision Certified Survey Map # , Volume , Page # _ p Volume —3 ' l'at'e # � 5 _ Warrality Dee # ' 3 {3 - - - - -' Spec house yes ri Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION linproper 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 tlu&e 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. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the threc year expiration date. l /we certify that all st<ucments oil this Iuru� arc u r u to the best of my /our knowledge. 1 /we a►li/are the owners) o1' property described above, by virtue of a warranty deed recurd&d iii Register of Deeds Ofl.icc, Number f bedrooms SIGNATUR OF .APPLICANT(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) i h 1*1 IQ � 1 \ ak ei Parcel #: 032- 2177 -13 -000 05/09/2006 10:21 AM PAGE 1 OF 1 Alt. Parcel M 11.31.19.1517 032 - TOWN OF SOMERSET Current fXJ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/01/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BAILLARGEON, JAMES W II JAMES W II BAILLARGEON 706 RAYMOND ST SOMERSET WI 54025 Districts: SC = School SP = Special Proper Address es): " = Primary P Y ( Type Dist # Description ' 646 222ND AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.330 Plat: 10/13- HIDDEN HILLS 032/04 4/15 SEC 11 T31N R19W PT NE SW HIDDEN HILLS Block/Condo Bldg: LOT 13 04 LOT 13 (3.33AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 11- 31N -19W NE SW Notes: Parcel History: Date Doc # Vol /Page Type 11/28/2005 812962 2934/397 EZ -U 05/02/2005 793588 2793/297 WD 07/01/2004 767565 10/13 PLAT 12/31/2003 750406 2483/200 EZ -U more... 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.330 55,600 0 55,600 NO Totals for 2006: General Property 3.330 55,600 0 55,600 Woodland 0.000 0 0 Totals for 2005: General Property 3.330 55,600 0 55,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 HIDDEN HILL (A COUNTY PLAT) Located in part of the Northwest Quarter of Southwest Ouarter, port o: the Southwest Quarter, and port of the Southwest Quarter of the South 11, Township 31 North, Range 19 West, Town of Somerset, St CYc i I NGrth 1�4 Corner - Sectfon 11 -J7 -19 -- 58633'592 5I Itre V OL. 538, PACE 531 (found Ouminum 319.79 ' -- f Easf-ftst 114 1 -- , - - -- - -- - County monument) N a i -- - r — 568'33'59 "E 1256.94' $ N I 296.55' 474.74' �- --"ter. 1 939.56 951.50 495.65' 921.65 i I 1 LOTm 0 N TOTAL AREA: r sae u�at ' M LOT n 1 IOT 12 ;' ps . ft. 260, 442 sq. ft 154,991 s 4 �' a 147,622 sq. ft. 5.98 acres .3:56 acres `•A, CA 3.39 acres u? L80 = 904.5' .. • • ' - '; LBO = 937,5' 0 LBO = 919.8' O �j r ! roe zs� M \ ° DIW a s, I NI OI�I N ZOSA7N ,Ct -: r w ; ' OI ? R Orarhoge ;.•,� b 94Z Sed747J•E • LBO = 919.8' '�•/ `/` �� Q z Easement 11 r .' lases _ r 1 f a cri I d H / N. Nxe 9.t.45 • 9 ; / S686 24'71 ° E 353 2B I U I ' • ry� m M ' i W U. a� pstt5 / LOT N 0i TOTAL AREA: y 6 : / w 145, 051 sq. ft. g ' xowpotf N 3.33 acres'. lbMOnA / e . N kS gT . ........... & �. �•k _ ti. / a/I .... WHMa ,- tv j ',� 1 A O Hg S� ^� LBO 919,8' 1 TS ��e 'r + $ wb A•• 1 ` /i �?5 Aver /! ,p 924, M L it mage� / \ C6_ \ LBO = 929.0'...1 LOT I � ,•r !,. TOTAL AREA : 'r . : y ry 267,1J2 sq. ft� v" 19 r 6.13 acres........ "[u l dwL. r2e o' d/(d•!LDN+.ry^� LBO Bb ' � 114•. / \ .,. v LEGEND •. F \ f - / j' � /' /// Section C s Comer Monument of Record ! Found ound 1" � l \ i : / +A'• Iron Pie C)^ .Tt o�, C' ./: •.; :..; is Set 1 x 18" Reber ` � ` � ff• � /! ,,,Q� -�= /� '• (weighing 4.303 lbs. per linear foot) y (9 v // gK 4K �{` � ! ,. `3 ` Building Setback Line \ • (100' from Right of Way, 75' from Navigable Waters) 9 Sys f ,J / i , i ; / /��.,: 1 " " " " " " " "" % \ --- Proposed Driveway Location J- \ Y" 12' Utility Easement Line rf; / \ — �+- -- Ordinary Nigh Water Mork of Navigable Waters .fr, , �j /,r• /. L.B.O. Minimum Lowest Building Opening ' j ,• ; " i. (2' above 25 -year High - Water - Level) H.W.L. 25 year Nigh Water Line Elevation Drainage Easement Aroos S88'24 'I ggg,gg Benchmark (Top of Iran Pipe) C7 - 1,371 ALL OTHER LOT CORNERS ARE MONUMENTED WITH !�_o 1" x 18" IRON PIPE (WEIGHING 1.13 LBS. PER + • m LINEAR FOOT) UNLESS OTHERWISE SHOWN. CB ' NBS - 11 "W A special exception use permit Is required for the disturbance of slopes 80' temporory� 72,77' 20% or greater not Identified on the approved plot or CSM. This permit cut-de —sac easment +au a +w Is applied for through the zoning =and is reviewed through a public (to 6e extmgurs/Hed upon b z hearin rocess b the St. Croix Count Board of Adjustment, eKtensfon of the rood) COAPHIC SCALE CURVE TABLE .r SCALE IN FEET: 1 Inch = Trio. feet South 1/4 Comsr g Prepared for and at CURVE RADIUS DELTA ARC CHORD CHORD BEARING TANGENT BEARINGS section 11 —J1 -19 z C_5 167.00 3723'S " 109.49' 107.54' N38'09' 6"E N 6 °5633 "E N19 °22'40 'E (Found Aluminum NOTES the request of: c6 233.00 107 °]1' 7" 435.89 3 ?5.05' N72 °58' 8 "E N 9°22'40 "E 53 °26'04 "E Monument) OWNER: LOT2 233.00 45°06'47" 183.46' 178.76 M41 56'03"E Rick Plourde LOT 11 233.00 39 °09'5 " 159.27' 156.19' N84 °04' 4 "E 624 - 220th Avenue LOI 12 233.00 16 °17'04" 66.22' 66.00' S68 ELEVATIONS ARE BASED ON AN USGS NA\ Somerset, WI 54025 LOT 13 233.00 6 fl!" 26.94' 2693' 556 044'49 "E CONTOURS ARE SHOWN AT 2 FOOT INTER\ 715 247 - 3162 C7 167.00 34 ° 58'07" 101.92' 100.35' 570 ° 55'07 "E 553 ° 26'04 "E 588 °24'11 "E BEARINGS ARE REFERENCED TO THE EAST SECTION 11, T31N, R19W, WHICH IS ASSUM ASEh 167.OD 11 °592 " 34.51' 34045' S59 °21'35 "E THE PARCELS SHOWN ON THIS MAP ARE .' JOB # WI057SD25 C8 233.00 34 0 58 1 07" 142.20' 140.01' N70 °55'07 "W )88°24'11 "W 536 N COUNTY AND TOWNSHIP LAWS, RULES AND Prepared by, C9 167.00 107°11' 6" 312.42' 268.81' S72 °58'18 "W N53 °26'04 "W 819°22'40 "W WETLANDS, MINIMUM LOT SIZE, ACCESS TO C10 233.00 37 °33'5 " 15276' 150.04' 538°09'36 "W S19 °22'40 "W 356 °56'33 "W PURCHASING OR DEVELOPING ANY PARCEL COr181�y/ COUNTY ZONING OFFICE AND THE APPRDPI Phone No. (715) 246 -4319 ADVICE' Fax No. (715) 246 -3830 A LEGAL TERMINUS FOR ALL LOTS, WITH NAVIGABLE WATER, HAS BEEN ESTABLISHED FOR THIS SUBDIVISION AND IS SHOWN NO OWNER OR RESIDENT SHALL DO ANYTF P.O. Box 325 CRAPFACALLY HEREON. IT 6 THE INTENT HEREON THAT SHOULD THE ORDINARY HIGH WATER MARK OF NAVIGABLE WATERS RECEDE INTERFERE WITH OR CHANGE THE OPERATI New Richmond, 0 54017 THAT THE LOT LINES WOULD EXTEND AS SHOWN. IF THE ORDINARY HIGH WATER MARK RISES THE LOT LINES WOULD ALSO HOLD AS COMPREHENSIVE WATER DRAINAGE AND SC THE LINES OF EACH LOT WI7H THE ORDINARY HIGH WATER MARK BEING THE TERMINUS OF USABLE LAND FOR THE LOT/LOTS IN THIS PLAT. THIS INCLUDES BUT IS NOT Llh QUESTION. THE STATE OF WISCONSIN HAS ALL RIGHTS TO THE NAVIGABLE WATER BELOW THE ORDINARY HIGH WATER MARK. ALL OBSTRUCTING, ALTERING FILLING, OR EXCA SHEET 2 OF 2 SHEETS LOTS IWTH NAVIGABLE WATER ARE SUBJECT 1O THE WISCONSIN TRUST DOCTRINE. ANY DRAINAGE EASEMENTS, WATER DRAIN) RUNWAYS, WATER CULVERTS, BERMS OR C v the Northeast Quarter of west Quarter, o// in Sect /on ix County, 149sconsin. _LOT 3 S RWYORS CERRFICATE > . - 1, Ty R. Dodge, a Registered Wisconsin Land Surveyor, hereby certlfr. that in full compliance with the provisions of Chapter 236 V G S M_ VOL .14 of the Wisconsin Statutes and the subdlvlslon regulations of St. Croix County and the Town of Somerset, and under the direction 2 Z - of Richard Plourde, owner of the land described on this plot, I have surveyed. divided and mapped P0. 4CJL4 pp HIDDEN HILLS; that such plat - - - - correctly represents the exterior boundaries and the subdivision of the land surveyed; and that this plat IF located In port of the Northwest Qaurter of the Southwest Quarter, part of the Northeast Quarter of the Southwest Quarter, and part of the n oo Southwest Quarter of the Southwest Quarter, all in Section 11, Township 31 North, Range 19 West, Town of Somerset, St. Croix County. Wisconsin, and described as follows: S8$;Y359'� 2655.29' Commencing at the West 1/4 Corner of said Section ii, being the point of beginning of the parcel to be described; thence, on East 1/4 Caner an assumed bearing along the east -west Quarter Line of the said Section 11, South 88 degrees 33 minutes 59 seconds East a �� If_Jf -19 distance of 1158.20 feet to the northwest Corner of Lot 2 of a Certified Survey Map recorded in Volume 17, Page 4608 at the St Croix County Register of Deeds Office; thence, along the west line of said Lot 4 South 00 degrees 24 minutes 45 seconds West a distance of 498.29 feet to the northeast comer of Lot 3 of said Certified Survey Map; thence, along the north line of said Lot 3, North 88 degrees 24 minutes 11 seconds West a distance of 260.70 feet to the northwest corner of said Lot 3; thence, along the west line of sold Lot 3, South 33 degrees 03 minutes 27 seconds East a distance of 580.75 feet to the most southerly comer of said Lot 3; thence, along the south line of said Lot 3, North 56 degrees 56 minutes 33 seconds East a distance of 85.23 feet thence, along the are of a curve concave to the northwest, a distance of 109.49 feet, said curve having a radius of 167.00 feet and a chord that bears North 38 degrees 09 minutes 36 seconds East a distance of 107.54 feet; thence North 19 degrees 22 minutes 40 seconds l=ast a distance of 172.03 feet; thence, along the arc of a curve concave to the southeast, a distance of 163.46 feet, sold curve having a radius of 233.00 fast and a chord that bears North 41 degrees 56 minutes 03 seconds East a distance of 178.76 feet to the southeast corner of said Lot 2; thence, along the east line of sold Lot 2, North 25 degrees 30 minutes 33 seconds West a distance of 234.45 feet; thence North DO degrees 24 minutes 45 seconds East a distance of 332.57 feet to sold east -west Quarter Line; thence, along sold east -west Quarter Line, South BB degrees 33 minutes 59 seconds East a distance of 1256.94 feet to the north -south Quarter Line of said Section 11; thence, along said north -south Duarter Line, South 00 degrees 23 minutes 10 seconds West a distance of 1159.34 feet; thence North B8 degrees 24 minutes 11 seconds West a distance of 72.77 feet; thence, Wong the are of a curve concave to the northeast, a distance of 142.20 feet, said Curve having a radius of 233.DO feet and a chord that bears North 70 degrees 55 minutes 07 seconds West a diotonce of 140.01 feet; thence North 53 degrees 26 minutes 04 Seconds West a distance of 927.66 feet; thence, along the are of a curve concave to the southeast, a distance of 312.42 feet, said curve having a radius of 16100 feet and a chord that bears South 72 degrees 58 minutes 18 second# West a distance of 268,81 feet; thehee South 19 degrees 22 minutes 40 seconds West a distance of 172.03 feet; thence, along the arc of a curve concave to the northwest, a distance of 152.76 feet, said curve having a radius of 233.00 feet and a chord that bears South 38 degrees 09 minutes 36 seconds West a distance of 150.04 feet; thence South 56 degrees 56 minutes 33 seconds West a distance of 776.32 feet no j thence, along the are of a Curve concave to the southeast, a distance of 93.96 feet, said curve having o radius of 167.00 feet va and a chord that bears South 40 degrees 49 minutes 27 seconds West o distance of 92.73 feet thence South 24 degrees 42 minutes 21 seconds West a distance of 276.65 feet; thence, along the ore of a curve concave to the northwest, a distance of - 272.02 feet, said curve having a radius of 233.00 feet and a chord that bears South 58 degrees D9 minutes 05 seconds West h �I a distance of 256.83 feet to the west line of the Southwest Quarter of sold Section 11; thence, along sold west line. North 00 �I degrees 24 minutes 45 second$ East a distance of 914.31 feet to the southwest corner of Lot 1 of a Certified Survey Mop, recorded in Volume 3, Page B47 at the St. Croix County Register of Deeds Office; thence, along the south line of said Lot 1, 3 J South 87 degrees 12 minutes 10 seconds East o distance of 660.57 feet to the southeast corner of said Lot 1; thence, along 'p p 01 the east line of said Lot f, North 00 degrees 24 minutes 45 seconds East a distance of 594.00 feet to the northeast comer of said Lot 1; thence, along the north line of said Lot 1, North 89 degrees 29 minutes 10 seconds West a distance of 660.00 N N �� i feet to said west line of the Southwest Quarter; thence, along sold west line, North OD degrees 24 minutes 46 seconds East a ,0 g QI distance of 405.74 feet to the point of beginning. Containing 2,494,090 square feet (57.28 acres). Subject to County Trunk in I JI Highway 'I" along the most westerly line of the above described property, also subject to ail easements, restrictions and I n covenants of record. �I Ty R. Dodge, Registered Wisconsin Land Surveyor Number 2464 Dated this day of 20D4. PLAttWIQ ZONIJ(i AND PARKS COMBTTTE RE90Lll110N Resolved, that the plat of HIDDEN HILLS in the Town of Somerset, Richard Plourde, $ owner, is hereby approved by the St. Croix County Planning, Zoning & Parks Committee. in I r Arthur 0. Jensen - Chairman Date I`� o Steve Fisher - Zoning Director Date TOWN BOARD REROLl1TION Resolved, that the plat of HIODEN HILLS in the Town of Somerset, Richard Plourde, owner, Is hereby approved by the Somerset Town Board. Edward Schachtner - Chairman Dote I hereby certify that the foregoing is a copy of a resolution adopted by the Somerset Town Board. Jeri Koester - Clerk/Treosurer Date 1 OWN113M C ERTFICATE OF DEMATKNJ As owner, we hereby certify that we caused the land described on this plat to be surveyed, divided, mapped and dedicated as represented on the plot. We also certify that this plat Is required by 9.236.10 or 9.236.12 to be submitted to the following for approval or objection: Town of Somerset St. Croix County Planning, Zoning & Parks Committee 1988 DATUM. In presence at ALS WEST QUARTER LINE OF D TO BEAR SBB'33'59'E. Richard Plourde J -- Deno Plourda EJECT TO STATE, R Owner EGULATIONS (i.e. Owner PARCEL. ETC.). BEFORE STATE OF WISCONSIN )$$ CONTACT THE ST. CROIX ST. CROIX COUNTY )) IATE TOWN BOARD FOR Personally come before me this day of 2004, , ,NO WHICH WOULD the above named Richard Plourde and Dena Plourde to me known to be the same persons who executed 1N OF THE APPROVED the foregoing Instrument and acknowledged the same. L EROSION PLAN FOR ' "ED 'VATI NC OR PLANTING IN �' TO BUILDING UPON, - (Notary Seal) Notary Public, Wisconsin yATI l. tASS SEEDGE DITCHES, WATER My commission expires 4INGS. i