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Home My WebLink About032-2153-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SY STEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: � a 408200 0 GENERA"N�ORMATION (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: Grand Properties L.P. I So merset Township 032 - 2153 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: l CD .�� tom. if , C�Bv►ti TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI j FS ELEV. Septic w Benchmark � d 0 v 2 IGo-D Dosing lt. BM g Z•3� 3•T3 Aeration Bldg. Sewer I t e q HOldin St/Ht Inlet / "On .•r°`0I TANK SETBACK INFORMATION St/Ht Outlet l�o TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > }s i Dt Bottom Dosing Header /Man. - W I o 8 . z3 Aeration Dist. Pipe •bo .v3 .w Holding Bot. System S 1 7 t 09 S Final Grade PUMP /SIPHON INFORMATION ManufactureC Demand St Cover GPM Model Numbe TDH Lift "ction Loss System Head DH Ft ForC7111 Length I D ia, e I IL ABSORPTION SYSTEM it y �,,� �� ,L S•»�+� '�,•�� M9 Width t Length { No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 g, — (2-) SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Mapyf�pture� . INFORMATION CHAMBER OR t Type Of System: m: C r� �- UNIT Model Number: DISTRIBUTION SYSTEM 7 Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Iw Dia „n y Pipe(s) . �O Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mou Or A t - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes �N No #1 Yes No C 7 OL N Include o di repencies, persons present, etc.) Inspection # �lYM— �� { 3 Inspection #2: 217th 590 Ave Somerset, WI 54025 (SE 1 NE /4;51 T3 N Wl Shadow Pines Lot 29 Parcel No: 15.31.19.1327 1.) Alt BM Description = 41 ? J 2.) Bldg sewer length = r - amount of cover = t �t �.- v .-�� 23 'Z+ra Plan revision Required? P` Yes ' No t Use other side for additional information. ` SBD -6710 (R.3/97) Insepctor's Si Cert. No. Safety and Buildings Division County N V isconsin 201 W. Washington Ave., P.O. Br1_ ?162 MadisOQ. W 1 Site Address y Department of Commerce vim- RECE'VED 5" 0 1 AG— Sanitary Permi Appli ULIU �'�y Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal ' ormad 011*200Z ❑ Check if Revision may be used for secondary ses Pr ivac L.aw s15. 1 m I. Application Information - Please Print All Information ST. CROIX (COUNTY State Plan I.D. Number EC�P 1Pdt� Gti F10E Property Owner's Name ST. CROIXZ6ff#" Parcel N»mbe� a —7 S j - '1 0 -0 61 C) ES ng mittee Property Owner's Matting Address JUN 1 9 2002 Property Location &V A M S /'. 15 ii E 'A; S S T 31 N, R/ City, State Zip Code I Phor- Number Lot Number Block Number Subdivision Name CSM Number 0n/ a�T (�1� -5 Od SM- JA( II. Type of Budding (check all that apply) RECE ❑city 3 ' ® 1 or 2 Family Dwelling - Number of Bedrooms ❑village ❑ Public/Commercial - Describe Use JUN (a`I'owmhip E S &,F ❑ State Owned Nearest Road ST. CROIX COUNTY T ' y III. Type of Permit: (Check only one box on line A (numb plete line B if applicable) A. 101 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem I I Tank Only Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 Non - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland( 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. tment Area Information: Design Flow WM Dispersal Area Dispersal Area Soil Application Percolation Rate System Ele n Final Grade Required Proposed Rate(Gals./Days/Sq.FL) (Min./Inch) Elevation i x/50 6 13 G s3J 1 , 7 /Y� 97 7 f oa. o' VI, Tank Info Capacity in Total Number Manufacturer Prefab Si Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Exisft Tanks Tanks Septic or Holding Tank Dosing Chamber VII. Responsibility Statement - L, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) is Signature h nwiber Business Phone Number Plumber's Address (Street, City, State, Zip Code) U LL - V GU VIII. Conn /De artment Use Onl Approved ❑ Disapproved SaWtary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) t�? ❑ Owner Given Initial Adverse �� Determination IR. Conditions of Approval/Reasons for Disapproval AL- �, x- soy` sus c�'Tt en.J�l�rj �mP� 11 tnehd hl dxe SBD-6 -6398 (R. 05101) _ _ r ' /NspECR I/ PAS UE� - e ;a - - p; 3 ' —— /7 /N. 3' �. SysTel7 EL. =_977 f r RED �S "o-o ol, 1 IL 6,a 3 M Tap vim_ J,, STEEL s7,fir 1,040' F9 0 1 Alf Bon J!F Ao, Es _ sys�crr SffApo of 0 ,217 rhr A v E' DRAcvIKw 1xr 0 GkA lyo PI? 0 1 0 ,dF R iES (tY.�� G��rr s:,r o►� e p� J cJolvc - el Lf -- soerc -wseT ali`, -Sf ° off 5 y''PPCI .5 ySitrr c�c _ = 97 7 ` Ak -- I i �o Ff s - ' f - 3 � R AC !f Eo P -W ��5 �r, Hoare f roe 0 / "r te - 51- OP 4e fr °! : Gl�Riv/> PAo/� � a , - /ES _ CiYi�� .ti,�r �o►� a-� p� - - -<57 U ,46c- >l I/tE'CU %/t __ _ __ - ___ _ __ _ -- _ __ __ __ _ __ _ __ __. __ _. __ __ _ _ _ _ __ - _ _ _ __ __ __ __ - - - __ _ _ _ - __ _ ___ __ __ - __ __ __ 1109 Wisconsin Department of Commerce SOIL EVALUATION REPORT P age 1 of 3 Division of Safety and Buildings in accordance with Comm 5, Wi . Tom Schmitt Attach complete site plan on paper not less than 8%: x 11 inches in size. Pla must unty St. Croix include, but not limited to: vertical and horizontal reference pant W), di and percent slope, scale or dime rnsions, north arrow, and location and distance t nearest ,t 9 �l rcel 1. ' 032 - 1042 -10- 30-40- 50-000 Please print all information. Rev' By Date Personal information you provide maybe used for secondary RuR� (Privacy Law, ,15.04 f f l u I X � _T .� W w�7 Property Owner Pro perty Grand Properties, LP Govt. Lot na SE 1/4 NE 1/4 S 15 T 31 N R 19 W Property Owners Mailing Address Lot # Block # I Subd. Name or CSM# 712 Rivard Streeet, Suite 300 29 na Shadow Pines City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset W! 1 54025 1 715 247 - 5900 Somerset I 217Th Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation for Area I is 97.7'. Slope is 4 %. Boring # Boring ✓ Pit Ground Surface elev. 100.20 ft. Depth to limiting factor >100" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Str Consistence Boundary Roots GPD/it= in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *E 1 0-9 1Oyr3/3 none sl 2mgr mvfr cw 2m, 2f .5 .9 2 9 -26 1Oyr3/4 none sl 2msbk mvfr gw 2m, 2f .5 .9 3 26-44 10yr5/4 none ms Osg ml gw if .7 1.2 4 44 -100 1Oyr5/6 none ms Osg ml - - -- - - - -- .7 12 ❑ Boring # Boring ✓ Pit Ground Surface elev. 100.20 ft. Depth to limiting factor >96 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Efl* - Eff#2 1 0-9 1 Oyr3/2 none Is 1 mgr mvfr cs 2m, 2f .7 1.2 2 9 -26 10yr3/4 none Is 1 csbk mvfr gw 2m, 2f .7 1.2 3 29- 1Oyr5 /4 none ms Osg ml gw 1f .7 1.2 4 43-96 1Oyr5/6 none ms Ogg ml --- ---- .7 1.2 * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD 130 mg/L and TSS S30 mg/L CST Name (Please Print) Signature: r CST Number Thomas J. Schmitt`" °° r . 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, W154025 6/5/02 715 549 - 6651 Property Owner Grand Properties, LP Parcel ID # 032 - 1042 -10 -30 -40-50 -000 Page 2 of 3 F31 Boring # Boring ✓ Pit Ground Surface elev. >101 ft. Depth to limiting factor >101 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Rood GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sl 2mgr mvfr Cs 2m, 2f .5 .9 2 8 -28 1 Oyr4 /4 none Is 1 msbk mvfr gw 2f .7 1.2 3 28 -33 7.5yr5/4 none ms Osg ml gw ---- -- .7 1.2 4 33 -101 10yr5/6 none ms Osg ml .7 1.2 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 Rood GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#1 *Eff#2 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 GPD in. Munsell Qu. Sz. Card. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = SOD 5 > 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 .—A AnIZ -144 -1 1 41 —'1" r'V <nQ- ')AA_Q777 NF 1�. Al a 'o !/c / �� • 99.0..E ` i 9� _ yo 16b 1 Id i' o' r - a a 1J rur...► ,..: Pa �, .. e/ Prc� �.- Aw X' rcw� ih y d y Page lof MANAGEMENT PLAN This Private Onsite Wastewater Treatment System (POWTS) has been designed and is to be installed and maintained in according to Comm 83, Wis. Admin. Code, the in- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems (SBD- 10567 -P; June 11, 1999), 1. This POWTS has been designed to accommodate a maximum daily flow of 4sy gallons of domestic wastewater -per day. The quality of influent discharged into the POWTS treatment or disposal component shall be equal to or less than all of the following: a monthly average of 30 mg/L fats, oil and grease a monthly average of 220 mg/L BOD 5 a monthly average of 159 mg/L TSS. Wastewater shall not be discharged to the POWTS in quantities or qualities that exceed these limits or that result in exceeding the enforcement standards and preventative action limits specified in ch. NR 140 Tables 1 & 2 at a point of standards application, except as provided in Comm 83.03 (4)m Wis. Admin. Code. 2. The owner of this POWTS is responsible for system operation and maintenance. The following maintenance shall occur within three (3) years of the date of installation and at least once every three years thereafter: 1. The septic tank shall be pumped be a certified septage servicing operator, licensed under s2.81.48, Wis. Stats, unless inspection by a licensed master plumber or other person authorized to make such inspection, finds less than (1/3) of the tank volume occupied be sludge and scum. More frequent pumping may be necessary to prevent solids from exceeding one -third (1/3) if the volume of the tank.. Wastes shall be disposed of by the pumper in accordance with ch. NR 113 Wis. Admin. Code. At each pumping the pumper must visually inspect the condition of the tank, baffles, rizers, and manhole cover and verify that any required locks are present. 2. The soil absorption component(s) shall be visually inspected by a licensed master plumber, certified septage servicing operator or POWTS inspector. Inspection shall check for evidence of discharge of sewage to the ground surface and for ponding of effluent in the distribution cell. 3. The tank filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. The filter cartridge shall not be removed unless provisions are made to retain solids in the tank. Cleaning of the filter at more frequent intervals may be necessary. 4. Any pump, alarm or related electrical connections shall be visually checked for defects and tested to confirm that they are operating properly. 5. Reports for all system maintenance shall be submitted to St. Croix County Zoning in accordance with Comm 83.55, Wis. Admin. Code. 3. Defects or malfunctions identified during maintenance described in item #2 above shall be repaired in conformance with Couun 83, Wis. Admin. Code. 4. Anytime a failure or malfunction occurs, it shall be reported to the owner of this POWTS. Repair or connection of such failure or malfunction shall comply with Comm 83, Wis. Admin. Code. 5. No one should enter a septic or other treatment tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within these tanks may contain lethal gases and rescue of a person from the interior of the tank may be difficult or impossible. 6. No product for chemical or physical restoration or chemical or physical procedures for POWTS may be used unless approved by the Department of Commerce in accordance with Comm 84, Wis. Admin, Code. 7. In the event that this POWTS or a component of this POWTS fails and cannot be repaired, the following contingency plan is proposed: T_1 faili tl�ul t��trt11�1�11Llz�reR This may require a new soil evaluation to determine where a new soil absorption c component can IV. 8. If this POw'is is replaced, or its use is discontinued, it shall lx abandoned in accordance with Comm 83.13, Wis. Admin.. Codc. 9. Name and number of local health agencyL--S Cro Co ttlll y Zon itlb —Z15- ►• 10. Name of service contractor in case of failure or malfi►nct ion Sr-llulitt_&—Son. -,- �yating ST CROIX COUNTY SI.1 TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM- Owner/Buyer T � o t t e s � ( , <P �v Mailing Address a RI 1 Q' S-sR.C- <. i t 11 0 r� Property Address 5 `-1 Q � � � l CU , / (Verification required from Planning Department for new construction) City /State Parccl Identification Number 63Z LE GAL DESCRIPTION Property Location S i 14, 1 4, Sec. �, T 31 N -R W, Town of e_'&J�A.4 <,-e) !fT C Subc iviSion S �)s�D @c.. t�_�S —�_ A�D�T uv__.__ -_. _._._.____ LO - L.c..l_____— Certified Survey Map # Volume , Page # Warranty Deed # Volume ,Page II % 4/- - Spec house K yes ❑ no Lot lines identifiable J& ❑ no SYSTEM MAINTENANCE 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 syster can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber; restricted plumber or a licensed pumper verifying that (1) the on =site 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. 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 Zorei.trg Office within 30 days of the hree year a tration date. 4 IL St NATURE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this foram are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of the property escribed a ve, by virtue of a warranty deed recorded in Register of Deeds Office. SI NATURE OF APPLICANT DATE * * * * ** Any information that is mis- represen(ed 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 Wscohsiri Qepartment of Commerce SOIL AND SITE EVALUATION 1 3 Dive!on r Safety and Buildings Page of Bureau Ategrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code I Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz,,e P.Jan'must . County include, but not limited to: vertical and horizontal reference oint B �1i�tonearAtroad. and P (M); St. Croix percent slope, scale or dimensions, north arrow, and location and ti�n.o reel I.D. # APPLICANT INFORMATION - Please print all inh$rmation. 1R6+ wed by Date Personal information you provide maybe used for secondary purposes (Privacy Law, W ` .64 tl) (fn)). i Property Owner t ovation y% 1/4 S T N,R E (or) Richard Stout �� ;>. � �'�� 4 NE � 15 31 19 � Property Owner's Mailing Address Lot # Block #. ''Subd. Name or CSM# 1353 Awatukee Trail Zq.. S hado w Pines, City State Zip Code Phone Number ❑ City ❑ Village ❑ Town Nearest Road Hudson Wi 54016 1 (715)549-67311 Somerset 69th Street [� New Construction Use: [2 Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 600 gpd Recommended design loading rate • 7 bed, gpd /ft 8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate - 7 bed, gpd /ft • 8 trench, gpd/ft Recommended infiltration surface elevation(s) See plot plan ft (as referred to site plan benchmark) Additional design /site considerations Parent material G Flood plain elevation, if applicable ft S = Suitable for system Conventional I Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable f or system [ s ❑ U I [is ❑ U C S ❑ U ® S ❑ u Cis ®u ❑ S R1 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench La 1 0-12 10 r2 1 -- is 1 mAAD mfr Cs 1 f 2 12- 0 10 r4 6 -- ms oscr ml Cs .7,. Ground elev. 9 7 - 3-OLft. I ' Depth to limiting factor 8 0 in. Remarks: Boring # 1 0-14 1 0 r2/1 -- is 1 yyiA -R mfr Cs 1 f 2 2 - 10 r2 1 -- sil 2 mAL�K mfr C -- 3 36- 0 10yr4/6 -- ms Osg ml Cs -- .7 '.8 Ground elev. 9 4 e ft. Depth to limiting factor —8-0— Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number PROPERTY OWNER Richard Stout _ SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 3 0 -9 10 r2 1 -- Yhq 2 9-2C 10yr3/6 -- sil 2m mfr Ground 3 20-79 10yr4/6 IRS 0scr ml elev. 95 30 ft. Depth to limiting factor Z9 in. Remarks: Boring # 1 -7 10 r2 -- _ 4 2 -30 10yr3/6 -- it 2MW mfr cs -- 3 30-81 10yr4/6 Ins os Ground elev. 9 7 Depth to limiting factor 8 in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # 1 -18 10 r2 1 -- 5 2 18-48. 10 r3 sil mfr r __ 3 8- 91 10yr4/6 -- s 0s -- Ground elev. 9 4 . 6-0— ft. Depth to limiting factor 91 in. Remarks: Boring # i3 Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) PROPERTY OWNER Richard Stout SOIL LIESGHIPTION REPORT — Page 2 of 3= PARCEL I.D.# � v Boring # Horizon Depth Dominant Color Mottles Structure Texture Consistence Boundary Roots GeDift in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Tren 3 1 0 -9 10 r2 1 -- rhp . 2 9-2C 10 r3/6 -- sil 2 mAbL mf r cs _ Ground 3 20-79 10yr4 /6 IIIS OSq ml CS elev. -- 95 ..30 ft. Depth to limiting factor 7 9 in. Remarks: Boring # x >: - 4 f r- 2 -30 10yr3/6 2>n4 mfr cs -- w ..., .. 3 3 0-8 . 1 10yr4/6 Ms os Ground elev. 9 7. Depth to limiting factor 8 in. Remarks: Horizon Depth Dominant Color Mottles Structure tructure Consistence Boundary Roots GPDlft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Tre Boring # 1 -18 10 r2 1 M 2 8 -4 10 r3 6 -- i mf 3 8 -9 10 r4/6 IIS o Ground elev. 9 4. — ft. Depth to limiting factor 91 in. Remarks: Boring # :f :..: Ground elev. Depth to limiting factor ` Remarks: SBD -8330 (R. 07/96) I III -c e 4,' 2Y /Pi brio..✓ �/�� l� 7 yQ� i i r : i 40 v Ba G� �o � WISANSI AM 2 - 1998 STATE BA2 0 6 78993 W�l WARRANTY DEED KATHLEEN H. VALSH REGISTER OF DBSDS ST. CROIX CO., V1 Ducwwt Number RECEIVED FOR RECORD This Deed, made between _ — 05 - 14 - 2082 3t25 PH RTrHARD .Q..-- .STACLT_ and- JAIaT. n 1 U" r , - WMWP DEED _ husband a ndl rri f EM-F# Grantor, and T -- REC FEE: 11.M TRANS FEEL 220.50 — -- COPY PER; 2.06 CERT COPY FEE: _�.. Grantee. PAGES: 1 Grantor, for a valuable consideration, com eys and warrants to Grantee the following described real estate in qf- _ Croix- County. State of Wisconsin: Recording Area t 29 Plat of Shadow Pines First Addition, Namaar+dR urn �ess of Somerset, Zr� 53s�"County, Wisconsin. 032 -1042- 10/30/40/50 -0 Parcei idontif"ion Number (PiN? r Thts _;>�, homestead property. (is) (is not) I i s !1 �f Exceptions to warranties: easements, restrict ions, rights -of -way and covenants of record. 950 6 • .. LkGj 2823 , k E- 130,941 PQ. "4 9490 ir x 954.2 9549 949.6;' J r ° 4 56 SS A/, j i II El 96�o Vv 131,119 S4'FT. r. I ACIP r' y/ �� / / / ♦,, c . r /ice% �,� ' • ., '. / / �� •�'��' /iii ,�� I' ... i o Y � ' • • • ff 1`�♦ 1r • - • /I r Y/ jt OR AW !!IF—A E w •a a a s 1 y r 938.8 3.�WACRES AgIES TOTAL AREA:- 32.334 TO 3,0� ACRgS 950.8 36 cl 9339 x 936. �< r,, 9459W '3 0T AC�GITION w OW CFM COUNTY PL 1 tr j` ? "Q 47EAS ` O°p ,�, -» SHADOW PINES I rxuao ulrw�lx j arAr�r.ra7TA,�v� p j M2rgt 44L W j 'R'' , 70P AWL oa LOT 1 IFIED SUR 521879 AP j ^` w � R 11 FlE 0 R M£ 10 PAGE 2823 y} 1 * c NO 521879 ; ED RLCEI t iiifff 3 5 - !� VOLUME 10 PAGE 2823 I i v u u6+a Aa 4'S K�< � ! � tt; � h! € ' r ••�! -.'�� 3uZ7 r77Y � r RaN SB'STE ; ; 1 ST CROIX .;..� ---'-'- `--- -- --' ! ¢ SLW 747fW Zfl.w ssa aer I a -' . COUNTY psr rampao so�sr JIM, u y jf IGOFF'10E aaOO>ti f "r arnAa I I L --f r3 r.tra sD t7. Al ! j / 34 $ i $_ sm AarES S y n f � � �' ' � W rW -! tsvxrsrt so>'a' J•r 1 �c►�� ,Rx 5 MITI ft rt 3.01 AQW2 �"; �r IM m i a !►�,a►, 90.E ! Mir i fflern'3s'w 4m alr 2 . S MrA oaaiwac water: ,,,,,, MW ft Fr. are ACAM VOLUME 807 PAGE 620 snvrA a er AL t TOTAL AWA, S rseaovc Q�C NO 436226 $ i i �j c r/ < : me w r/< 3.10 ACRES OW 571 NJ\ AUM L Or aE sE nE ar AE r < 4OW } 13`41' sxrs mAw.aE ' I SM3'21 - E A } 4W EP tax - .� r N2.37 i GfIk100E7 E ! Y ' n7f } AREA O sm EASOerrras sa rr 3 ! I 29 3 0 E ARIA MCCLUD a g0FA:1YAY = AM 00MUDM OMNS MY AFEA EXMLOW OWAVAY TOTAL AREA AMC S0. F7. EASF7IOR: ; ; EASOlxe EASEMY.. U4 rraer 13r SO. n i 13r Sp FT. x71.320 70. FT. SOt ACRES 7.01 Ag1E3 UK ACRES r /10D - � 1 TOTAL AREA! 1 TOM MWA 3%M S WL A54 !� . '�S 770.220 SO. FT. `{ AtlE7S 3A6 ACRES ; i17 tares { , ea7rstr i f mrr f i ,user— LOT 2 C.S.M. -- '°`"E= H - - E N u"°a � —W - - - -- ��- -- — - -- — - -- — - j OL 8 PAGE 2364 AV _____ _____ _ ___ __ __ ____ _ _ ____ ___ ___ __ ______ T______________________________ i 4 Ewsr :�< «vMae 4 A D} O W P S N E' S } r i ! I i Wisconsin Department of Commerce SOIL AND SITE EVALUATION ,^ Division of Safety and Buildings t o � Z°( Page 1 of 3 Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. 76 A`rlach complete site plan on paper not less than tl I/2 x 1 1 it in size. Plan must County include, but not limited to: vertical and hori; oohl relewnco point (BM), direction and S L . Croix percent slope, scale or dimensions, north allow, runt kwciliun and dislanco to nearest road. I.D. - -- -- Parcel . II APPLICANT INFORMATION - Mvosc (print all intor,natiun. Ileviewod by Date Persona( information you provide tnay be used lot secondat y purposes (Privacy Law, s. 15.04 (1) (m)). - - -- -- — - - -� Properly Owner t ' Property Location Richar Stout Govt. Lot S M NE 1/4,S 15 T 31 N,R. 19 E (or) Property owner's Mailing Address oL -I L31ocklt Subd. Name or CSMII K 1 353 Awatuk T rail h Vo DW fine City S ate Zip Codo Phone Number ify ❑Village �wn Ne arest Road Hudson Wi 1 5401 ( /15)549 -6731 Somerset 60th Street ® New Construction Use: ® Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow (1 U U - 111)(I Recommended design loading rate _, -Z_ -- __bed, gpd /fi trench, gpd /ft Absorption area required __35 8_ bed, fl` .7 5 O. _ _trench, fl2 Maximum design loading rate 7 bed, gpd /tt 8 _trench, gpd /ft Recommended infiltration surface elevalion(s) _ See___)�_1,_Ot _j�latl - __ft (as referred to site plan benchmark) Additional design /site considerations Parent material -- _— �� oC2_._. -.._ . -._ _ _ Flood plain elevation, if applicable It S = Suitable for s Y tern Conventional hAound In- Ground Pressure AT -Grade System in Fill Holding - lank s' U = Unsuitable for system [ S [� U S ❑ U ®S ❑ U [. S El U ❑ S U F S ® U SOIL C' -SOMP T iON REFORT Boring ## Horizer� Def il: ' `.Joiinuiit Color Mottles Structure ,,o i�r e GPD /1l Texture ns �n e Boundary Roots in. M n 'll r r Trench u sr, Qr . Sz. Cont. Color' G . Sz. Sir. Bed , Trt,,.,,. 1 1 0 -8 1Oy.u2 /I -- is 1sabk mfr Cs if .7 .8 2 8 -8 10y1-4 G -- m Cs Ground �J 4 ..4 —.ft. Depth to — — - - - - -- _ - — -- limiting , factor - -- - -- — -- -- - -— - -- — 8 7 - - - in. - Remarks: Boring 11 - -- - ---- 1 0 -8 1 Oyr2/ 1 -- is 1 sable mfr Cs if . 7 '.. 8 2 ' 2 8 -4 1 Oyt- -)'/G -- is 1 sable nif Cs -- .7 • .8 3 45- O 1 Oyi-4 /6 -- ms o Ml cs -- .7 • ..8 Ground oluv. 9 1 . 1 tt. — - -- — - -- - - -— - Depth to — -- limiting factor .• .. , - _c O_in',' Remarks: CST'Narne (Please Print) Sigl�tule / Telephone No. t ' + q ress — Date CST Nurnber � /' .Y l i l PROPERTY OYHNER _ R i C1=CL_S_tC2ll x { RT Page 2 ot3 PARCLL'I.D.It - - -- - -- - -- - - Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 3 1 0 -6 1Oyr2/1 -- 1s 1 sabk mfr Cs if . 7 8 2 6-8c, 1Oyr4 /6 -- ms osg ml Cs -- .7 .8 Ground elev. - - - --- - - - T-- -- — 9 3 _1-0-ft- Depth to -- -- -- limiting factor -- 8 Remarks: Boring It 1 -1 2 1 0 r2/ 1 -- Ls 1 sabk inf r Cs 4 2 12-85 1 0yr4 /6 -- ns osg m1 Cs -- .7 .8 Ground elev. - - 5 . QILft. Depth to — limiting factor 8 in. Remarks: Horizon Depth Dominant Colot Mottles Structure GPD /ft2 Texture Consistence Boundary Roots in. Munsell Ou, Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring It 1 -6 1 0 r2 ' 1 -- Ls 1 sab i s 5 2 -50 1 0yr3 /6 -- — L 1 sabk mfr Cs -- .7 '.8 3 50-99 10yr4 /6 -- ,S osg ml CS -- .7 ;.8 Ground elev. 9 2 . A-0—ft. -- - - - - -- - - - -- — Depth to limiting factor g__in. Remarks: Boring It `----- -` °— Ground f t. 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