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a 0 ui 0 61) 0 o 0 > N 4 O O F or � m N N U w�N� m o C� .5 I i E E 0 (D N N O a C Cc X C N { M O O U aU O N N o m O o ' C O v7 r N C O u) 3 N N @ CMS Z N x 7 *-' O D Z m10 (D O > O C 3 (o C• V O0 00 7 N 1. LL o f c m@ LL o co M * (n C E t "O a co (o O Y= U Q Q m rn3 Q 3.y Z E Z S :: g p Z a m a m N F- u) O O Z U O U) F .= o m m co y Z C E c ca E C_1 co N 0 7 c 7 7 a O 7 2 N • N N O O C O a m c Z m Z Z c w Z M d d N � N N �i L" U) ' .. �� d NO O. co .. N C. '(0 .. C ( n O N d L N C N N L N C Q O C _ Q a Y c c a O N "+lJ Z m 0 3: 0 H H 7 0 H H FN- _' U v o . N 0 0 0 n a� O O O n 0 Z° •ry m aaa n o E 7 O y U N N O O O N h fA J U z m m Z 0 0 } O C A� in O O Q O O O 7 0 y N m O D 'O dl Q Z co '6 W Q A O D N 7 w O h N (A w Iq 1� N m co \ L o M N Co E orn m E c rc�s 2 co O E2 U) ` m v N C N C 7 N co O N O w U O N M E U co c o m 00 � c r Co a l • 7a O N co M Cl) Z N m Z (n M O y Z -O j (f) v) d da ma #t a L a w ` a rrte�• CL m d u c d y t o o �1 A L)) a 2 `, O m o O m o f Plb #67 7/71 Wisconsin Department of Health and Social Servioss Division of Health SEPTIC TANK PERMIT APPLICATION TYPE OR USE BLACK INK - PLEASE PRINT A. OWNER OF PROPERTY Name Address (Street, City, Zip Code) l��► �iut' b Le 7. t R S E'T B. LOCATION OF PROPERTY WHERE SYST WILL BE C ONSTRUCTED ALTERED O R EXTENDED COUNTY Check Ones CITY VILLAGE LEGAL DESCRIPTION j TOWNSHIP_ 5 6 #7ePS (Block, Lot, See.) ! • sr'� •• C. ' LOCAL PERMIT REQUIRED FOR THIS WORK? —Z—YES No h") 22—PERMIT NUMBER D. SEPTIC TANK CAPACITY �GALLONS NEW INSTALLATION_ REPLACEMENT ADDITION MATERIALSY PREFAB CONCRETE POU4j�D IN PLACE_ STEEL OTHER NUMBER OF TANKS TO BE INSTALLED: pC E. TYPE OF OCCUPANCY Ap y kn nev - r — Check Ones One or Two Family Residence Commercial Industrial Other (Speoify) Number of persons to be Accommodated /0 Number of Bedroom APPLICANCES, ETC= Food Waste Grinder YES NO Automatic Clother Washer YES NO Dishwasher YES NO Automatic Potato Peeler YES NO OTHER (specify) YES NO G MASTER PLUMBER MAKING INSTALLATION Names RI� w 4#?6 • Z/yja /-<—/ A S Addresss f• f f� SIGNATURE OF APPLICANTi/'`�'C -� - � T 0 �61 License Numbers MP ADDRESS /`' �'/ MP RSW H. (TO BE COMPLETED BY ISSUING AGENT) kl/ Date of Application Fes Paid Permit Issued (date — Permit Number Agent (name) -� -2� - Fors town, village, oit count to. specify) NOTES The Application cannot be considered for filing until all of the above questions are answered and the fee paid. Agents will forward application, the fee of $1.00 for each septic tank and the third copy of the permit (canary) to the Division of Health, Checks and money orders should be Made payable to the Division of Health. COMPLETE OTHER SIDE NAM S 3 V, ,J cotn�rrY: /. 7 SEPTIC TANK PERMIT NUMBERt • f / $ REPORT ON SOIL PERCOLATION TEST AND SOIL BORINGS TO DIVISION OF HEALTH - PLUMBING SECTION i P,O.BOX 309, Madison, Wis. 53701 Pursuant to H 62.20, Wis. Administravive Code -'BING skc' - P E R C O L A T I O N T E S T TEST DEPTH CHAR TER OF SOIL HOURS WATER TEST ?IS DROP IN WAT.R LEVE IN CHES MINUTES NUMBER INCHES THICKNESS IN INCHES SINCE HOLE IN HOLE INTERVAL SECOND TO 4EXT TO ILAST TO FALL 1st WETTED OVERNIGHT IN MINUTES LAST PERIOD LAST PERIOD PERIOD ONE INCH EXAMPLE P — 0 36" TOP SOIL 10" CLAY 26 25 YES OR NO 30 60 1 14 " 6. � 29544 ' Al D /o J '/ J 2 3 (0 X10 119 -r - Z4 RECORD DATA FROM MINIMUM OF 3 TEST HOLES COMPUTE SIZE OF ABSORPTION AREA IN ACCORD WITH H 62.20 WIS., ADMINISTRATION CODE. S O I L B 0 R I N G S- MINIMUM 36" BELOW PROPOSED ABSORPTION SYSTEM BORING TOTAL DEPTH DEPTH TO GROUND WATER DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED OBSERVED ESTIMATED CHARACTER OF SOIL WITH THICKNESS IN INCHES EXAMPLE B-0 72 72 BLACK TOE SOIL n C 111 n GRAVEL 24 2 " 02 O RECORD $ 4/ I A TYPE OF OCCUPANCY: + RESIDENCE: NUMBER OF BEDROOMS OTHER (SPECIFY) QiQ 1fj `&= NUMBER OF PERSONS FOOD WASTE GRINDER: YES NO DISHWASHERS YES NO AUTOMATIC CLOTHES WASHER: YES4 NO EFFLUENT DISPOSAL SYSTEMS NEW EXTENSION ADDITION REPLACEMENT TILE SIZE NO. LIN. FEET , TRENCH WIDTH DEPTH NUMBER OF LINES SEEPAGE BED: LENGTH 7'O WIDTH /fT DEPTH %f " TILE SIZE / NO. LINES SEEPAGE PITS INSIDE DIAMETER LIQUID DEPTH I, the undersigned, hereby certify that the percolation tests reported on this form were made by me or under my super — vision in accord with the procedures and method specified in Chapter H 62.20 (3 ), Wisconsin Administrative Code, and that the data recorded and location o test holes are correct to the best of my luiowledge and belief. NAME W / TITLE S TYPE or PRINT) REGISTRATION NO. OR MASTER PLUMBER LICENSE NO. I ADDRESS I d AW Al •�!' � DATE .� � 7A SIGNATURE DO NOT WRITE IN SPACE BELOW - FOR DEPARTMENT USE ONLY DATE RECEIVED ACCEPTED BY RETURNED FEE RECEIVED VALID N0, PrMQ N0, REVWED BY APPROVED DATE INITIALS Yl'S OR NO L Plb #67 7/71 Wisconsin Department of Health and Social Servioes Division of Health SEPTIC TANK PERMIT APPLICATION TYPE OR USE BLACK INK - PLEASE PRINT A. OWNER OF PROPERTY Name Address (Street, City, tip Code) r B. LOCATION OF PROPERTY WHERE SYS7124 WILL BE CONSTRUCTED ALTERED OR EXTENDED COUNTY Check Ones CITY VILLAGE LEGAL DESCRIPTION TOWNSHIP (Block, Lot, Sao.) C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? YES No PERMIT N(rIBER D. SEPTIC TANK CAPACITY " GALLONS NEW INSTALLATION REPLACEMENT ADDITION MATERIALSs PREFAB CONCRETE POURED IN PLACE STEEL OTHER NLMBER OF TANKS TO BE INSTALLEDs E. TYPE OF OCCUPANCY Check Ones One or Two Family Residence Commeroial a Industrial Other (Specify) Number of persons to be Accommodated Number of Bedrooms F. APPLICANCES, ETC& Food Waste Grinder YES NO Automatic Clother Washer .- YES NO Dishwasher YES NO Automatic Potato Peeler YES NO OTHER (specify) YES NO G. MASTER PLUMBER MAKING INSTALLATION Names ' r Addresss SIGNATURE OF APPLICANTS License Numbers MP i ADDRESSi MP RSW — H. (TO BE COMPLETED BY ISSUING AGENT) Data of Application ` Fes Paid o+� Permit Issued (date) / ' / Permit Number Agent (name) _ =��5.J G�� Fors tam, village, oity, ous&ty, etc. (specify) NOTES The Application cannot be considered for filing until all of the above questions are answered and the fee paid. Agents will forward application, the fee of $1.00 for each septic tank and the third copy of the permit (canary) to the Division of Health. Checks and money orders should be made payable to the Division of Health. COMPLETE OTHER SIDE II NAME � , / / ��_ SEPTIC TANK PERMIT NUMBE �� `_�`/ �� REPORT ON SOIL PERCOLATION TEST AND SOIL BORINGS TO 3 DIVISION OF HEALTH — PLUMBING SECTION j P.O.BOX 309, Madison, Wis. 53701 Pursuant to H 62.20, Wis. Administravive Code PLUS 'ABINIG SECTS �: _' P E R C O L A T I O N T E S T TEST DEPTH CHARACTER OF SOIL HOURS WATER TEST 72M DROP IN WAT R LEVEL INCHES MTNtfTES NUMBER INCHES THICKNESS IN INCHES SINCE HOLE IN HOLE INTERVAL SECOND TO EXT TO LAST TO FALL 1st WETTED OVERNIGHT IN MINUTES LAST PERIOD LAST PERIOD PERIOD ONE INCH EXAMPLE P — 0 36" TOP SOIL 10" CLAY 26 25 YES OR NO 30 60 3 / r .i ✓ t„ RECORD DATA FROM MINIMI OF 3 TEST HOLES COMPUTE SIZE OF ABSORPTION AREA IN ACCORD WITH H 62.20 WIS., ADMINISTRATION CODE. S O I L B O R I N G S- MINIMUM 36 BELOW PROPOSED ABSORPTION SYSTEM BORING TOTAL DEPTH DEPTH TO GROUND WATER DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED OBSERVED ESTIMATED CHARACTER OF SOIL WITH THICKNESS IN INCHES EXAMPLE B 72# 72 BLACg TOE SOIL n C kA Y u. SAND IS" GRAVEL 24t' 1 � 2`' ' t r RECORDD RATA FROM M?Nn tin OF 3 j� R Hn TYPE OF OCCUPANCY-. RESIDENCE: NUMBER OF BEDROOMS OTHCR (SPECIFY) NUMBER OF PERSONS FOOD WASTE GRINDER-. YES . NO DISIWASHERs YES NO AUTOMATIC CLOTHES WASHERS YES NO EFFLUENT DISPOSAL SYSTEMS NEW :' EXTENSION ADDITION REPLACEMENT TILE SIZE N0. LIN. FEET , TRENCH WIDTH DEPTH NUMBER OF LINES SEEPAGE BED: LENGTH "`� WIDTH DEPTH ' TILE SIZ NO. LINES SEEPAGE PIT* INSIDE DIAMETER LIQUID DEPTH I, the undersigned, hereby certify that the percolation tests reported on this form were made by me or under my super — vision in a000rd with the procedures and method specified in Chapter H 62.20 (3 ), Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. NAME ,. /:, t TITLE 5. TYPE or PRINT REGISTRATION NO. OR MASTER PLUMBER LICENSE NO. ADDRES ' DATE SIGNATURE DO NOT WRITE SPACE BELOW FOR DEPARTMENT USE ONLY DATE 'RECEIVED ACCEPTED BY RETURNED FEE RECEIVED VALID N0, PERMIT NO. MIEWED BY APPROVED DATI INITIALS YES OR NO l 4 - le i \J- zr—_ o rri LV QN css r � _ �. ; -� � a 4�1 C-D a :E a rn rn r m 11 r _ v.- y p r. I Z - - - r ,j vo qty 23 i i � ^ Plb. -# 6o � | ' �/7U PROJECT DETAIL DATA SHEET , NAM[ OF BUSINESS LOCATION street or highway city or township' county LEGAL DESCRIPTION OWNER Ma/ling address - `/"/� 7 ������� / ��p^/ .~~°-� ARCHITECT OR ENGINEER Address -'' - � PLUMBER Address Z,r`/ 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed: _ .. � Existing building New building Addition � If addition to existing building attach detailed memo for each. � ( \ Drive in restaurant ......... Car spaces � Restaurant .......,.......... Seating capacity (10 sq. ft./person) � ) Dining hall ................. Per meal served Toilet waste Yes No � \ Motel ( � Hotel � \ Cottages Number of u -----' ----' ` ~ ^ , ,. "/�*' 2 persons/unit 4 persons/unit TOTAL NUMBER OF UNITS � Churches ,......,.�.......... Number of persons ----- Kitchen Yes No ----- � Bar or cocktail lounge ..,,.. Seating capacity (TO-sq. ft./person) � 1 Nursing or.rest.hwme ........ Number of 6mdm � \ Mobile hon�'7p��k Number of units dependent (camper trailer) ' r ^^�^^`^^. ° ^ � - "=p= .��' , - nondependent (mobile home) Retail storm .,....,......... Number of employees � Number of customers 10 sq. ft./person) � / ) Service station ...,.,..,.... Number of cars served (daily) ----- � � \ School .,,.,..,..,.,.,,.,,.., Number of classrooms Meals served Yes m� � Showers provided Yes No ( Factory or office building ,. Number of persons (total all shiftsl Apartments ,........,..,,..,. Number of bedrooms '/7� ------ [ ) Other ..,...,................ Specify _ Z. Indicate whether or not the following facilities are connected: - J� Food waste grinder Yes No Dishwasher Yas No Automatic clothes washer Automaty� ------ p� as Other . . . (Specify) ----- ------ No 3. Fill in the appropriate information for the following as indicated: Septic tank capacity plannmd��r'� Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET ---------------------- �N COMPLETE OTHER SIDE ' Seepage trench bottom area planned width Pned feet depth Alit Seepage bed area p1a width L____ linear feet �) depth ca Seepage pit planned outside diameter depth below inlet depth 4. See approved plan for specifications and details. Signature of person completing form: STATE DIVISION OF HEALTH, PLUMBING SECTION P. 0. Box 309, Madison, Wisconsin 53701 � r Approved: Address: Date: ' 6 97 Z I P'5 y/ THIS APPROVAL IS BASED ON STATE PLUMBING CODE REQUIREMENTS AND DOES NOT EXEMPT THE Date: INSTALLATION FROM CITY, VILLAGE, TOWNSHIP - ' — � 1 OR COUNTY REGULATIONS OR PERMIT REQUIRE - MENTS AND SHALL BE VOID IF REVISED WITHOUT THE WRITTEN APPROVAL OF THE DIVISION OF HEALTH. THIS APPROVAL SHALL BE VOID IF DEPARTMENTAL USE ONLY NOT INSTALLED WITHIN TWO YEARS FROM THE DATE OF APPROVAL Iona k /9 zrJ s r4) �} ��� �e�y �� ��/ 9��f•�� D EC 3 p 1991► ° JAMES O'CONNELL 477292 CERTIFIED SURVEY MAP LOCATED IN THE SW 1/4 OF SW 1/4 OF SECTION 25,T31N, RI9W,TOWN OF SOMERSET, ST, CROIX COUNTY , WISCONSIN, OWNER LEGEND LINDA EHLERS (715) 386 -5674 f9 FOUND ALUMINUM MONUMENT. 22313TH 1. ■ FOUND 3/4 REBAR HUDSON, Wi, 54016 0 SET I" X 24 IRON PIPE WEIGHING 1.68 LBS• /LINEAR FOOT. SW CORNER U LAN w I/4 CORNER SECTION 25 _ _ _ t WEST LINE OF THE SW 1/4 - - _ _ SECTION 25 T31N,R19W r o� 526,55 150,00 _ 1963,82�� ' — z o S. T. H. co CENTERLINE �+ _° �_— -- _ cD OF HIGHWAY V, s3�, P, 470 U; — N - 0 7 2 3 2 '�E 7 —� 1 W 150,00 v, I NOTE: Existing. UNPLATTED o - buildings• unsui�t I -. -- o axle for hebit.,, LANDS 0 D �' j 1 _ em �, v 'I °"Ition to b e- , � SMED, VOL. 637 , P G. 4 7 ° o . _ _ _ " Wou • o I removed In N 0 E BUILDING...; '� -- g0' o I 1 180.05, SETBACK -. Access to this lot will be -- N - z provided via an easement I I � �; � over the proposed road a ong1 (BEARINGS ARE REFERENCED TO = the north lot line. ITHE WEST LINE OF THE SW 1/4 V = i �C ASSUMED TO BEAR N0 "E, z. z m qq m 00 J SCHLE 1 = 100 IN o' con LO � _� A v a I v, w 154,575 SQ, FT.) INCLUDING HWY R/W (- 0 50 100 200 _ 3,549 ACRES ) z : 145,564 SQ. FT.) 0 ' 3,342 ACRES ) EXCLUDING HWY SURVEYED BY: 0. R/W �- RON JOHNSON LAND SURVEYING r ' ro �/�` P.O. BOX 194 -4 to v �� AMERY, WI, 54001 00 � /// . �� Z TEL. (715) 268- 2601 ... o NAL.0 F. o JGHtl'�� =�N S 0 °40 07 W s 200,00 WEST LINE OF C. S. M. V. 7 , P. 1938 C.S.M. V 7, P 19.38 APPROVED LOT 2 Iy SI, Cir�..JI I "'111 THIS INSTRUMENT WAS DRAFTED BY D.J.Z. I TIFf VOLUME 9 PACE 21136 SY�Z O Z, lD Zd Id -YG too D 517968 �' �j CERTIFIED SURVEY MAP Located in part of the South Half of the Southwest Quarter of .Z Section 25, Township 31 North, Range 19 West Town of Somerset, 9 St. Croix County, Wisconsin. Bearings are referenced Prepared for and at the request of: to the west line of the Lindale Development Corporation SW,'- assumed to bear 964 192nd Avenue N00 °40'07 "E. New Richmond, WI 54017 - - N00 "E 2640,37' - R/W N00 23' 24 "E 66.00'— - ,=66.00- - WE9T LINE OF THE SW 1/4 C7 - - - (F7-6--.-5 5T S. T. H. - " 35 - - 1897.82' - - - —y(—� r- wiz ` c w o a EaA ' V 9 �' x ` 9 9 9 % ?�0 g 33, F E Z N O • 0 W � 0 �Ob qty _ ` /(0 �(Jf s� r� �i�`Sa o�6 400' 11 11 X �> r �s O 0 0 ; 0 • �oi� W //V /(/j v MOW ° s. w O /CAJ /� ti � O �> 9 " '• I <In 1 zN. °�� m pp -4 / (D o f m , O -1 I� 1 -4 I� �y� p j• 100•• i m _ v cn 0) 6y = loo o I� o 0 10 — O C N -`do-` � $ 16• • /• O O i1 • Qi m ' m 0 I� 1 < In y c� Z c ,fir ww ' 0 (� rt 0 0 01 0 O N W D 07 r W N 'n io) IF Kn Nm w m _o d �= t N ti m �_ a Q H. - I CJ7 m ? 0 2 4* O '�• 3 ��Zp m I I m as tin O �' c N ••�•� �^ A k a - LT y, I Iw .A N U m N N N M m Or - n ° I Z .O 0 Ly > A - AST LINE OF SWI /4 - SW V4 1 �� O Z (D 0 n A w — �� �o N• N -4 H V O O _ - Co x n W ro M 0 n H, 0 o F - M O 0 Iz r c b (D -c 2 z �n M A z I (D t1 A ca O - , rn I r• N ro N) m 0\ H W SOO 23' 24" W 429.83' js O ID N• I w IU) (' -+ " 1 ro m N cn O I w y : -c (D 11 +� -' M m E G m- Icn D _, . N to N 0 - -_.._ ... K.. W N I r 14 CL CD A m jr ICD 10 j IZ E . m AP PR `►{� t jsj ,jam) j NI I V (� N ('� !'l! / II ' 9pEy ID 10 W y m O i a7 0 ' (!7 . N % ° 56'19 "E 639,51' N N v >N 1941 290-69, REC. AS NO 30'E 626. to y v N • 30' s3. to' rt o 591.76' 'n r ' S01 ° 02' 19" W 641.01 1 5T. C;GI COUNTY r�l m ..� s m Z m ol P o, 0 0 ::rr;prchens a plaw4 I< N o c Zonin and 1LA IG� 1 O Icy m " -° n P4rks Co nrnitteo A I A Io Ir IV) A :0 n m n f l; not r orded within day's of N N j N approv I date Fs►L�D F• approval haft be \ r _ _ - _ 8 2 8`6 ' - nod s. v U N 17 19940- A ^ ? a o S01 25 � 44" W 702.14' JAMES d'CONNELL A ZX EAST LINE OF THE SE 1/4 OF THE SW 114 Reglste(Oi0©od5 O 2 E N A Z SL Cf01X Co., J J DRAFTED BY DJZ VOLUME 10 PAGE 2775 ` N ; l FORM N0. 985 =A 0 , 7 2 -107p l 7 Il4Mi1". Conprry® ' % �� S W 3, 3. Stock No. 7 o , sr M �9 .3f 4344t5 6 CERTIFIED SURVEY MAP NO. 1938 . VOL UME , PAGE 1938 LOCATED IN THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SEC77ON 25, TOWNSHIP 31 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. 1p II I W 1/4 CORNER b SE 25 -J1 -19 00 N I FD. ALUM. MONUMENT W � I • MAf� � .� � N� o � 2 I BEARINGS ARE REFERENCED TO THEM,:::'''' S 2 SOUTH LINE OF THE SOUTHWEST. I QUARTER OF SECTION 25, T31N, ""�; 1 v, I xx R19W. (RECORDED AS N I I I I UNPLATT L A N a <,, 1 I � r - + by S ✓ P . �^. `. QG � � � a LL ' SET 114 - , Rr - f OD FOUND ANGLE IRON CN UNPLATTED LANDS 1 15 60' o c 60' 50' S 8 '19'53" 598.69' 3 a I I =HOUSE N � I yo'� 6 6b .. _ 3 c I I wELC ''£PT( -- - 209, 89Q SO• . FT..* ` LOT 4.62 ACRES W 162, 680 SO. FT.* Y 190,190 SO. FT.t ^ 3.73 ACRES ti 4.37 ACRES o 154,260 SO. FT - I J W/DUT ROAD R/W $ 3.54 ACRES $ W /OUT ROAD R/W SEPTIC ' }` z y S 114 CORNER I VENT r r ,» , : SEC. 25-J1 -19 j H 00' 8.03' FD. 314" RE -ROD l N 8 8 36 W_ J3.00' _ _ 33.00' i 5 97.05' ?55.35' AD Y AN _N .88 3 6 '1 4 " W 852 40' _ m� _ _ 70' I 65' I - - =N 8836'14" W 2636.40' - -- — — — — — SW CORNER SEG 25 -31 -19 FD. ALUM. MONUMENT SOUTH LINE OF THE SW 714 OF SEC. 25 -J1 -19 4 W LEGEND O SET 314" x 24" RE -ROD SCALE: 1" = 200' WEIGHING 1.502 LBS./L.F. • • FOUND I" IRON PIPE 100 zoo 400 SECTION CORNER (AS NOTED) R.A. RECORDED AS M.A. MEASURED AS PREPARED FOR: SOMERSET TELEPHONE CO. A ~ 'Y CD SOMERSET: W1 54025 • ••, MAIIK T. � LEONARD & FRONA BROWN. OWNERS Q + ROUTE 1 + SOMERSET, W/ 54025 couNry a $�1 • MENOMONIE Aa�PtrYNrvlrvG% :• W13. Q" Vol 7 Page 1938 CEDAR CORPORATION 604 WILSON AVENUE MENO w/547 (715) 235 -908 -908 1 (SEE REVERSE FOR CERTIFICATION) PAGE! O F?. I Z d0 Z 3DVd I I .'pg �dnS O �'.j•••.....�•Q�b 8£61 ORBd L *TOA • •sl •. 31NOV4 vt t NrZ1Y�1 � �••....•.'� aoRananS puei paaa Gab ' upz luN •1 .aeW � ;f y 7 j ��A, / ' L86T 30 AVG awr SIH1 031110 •paooaa 10 s4uawaspa pine sppoa 6u[4sLx9 oq 4oafgns s� Ran,ans ppe$ -awps a44 bu�ddpw pine 6u�p�n�p '6u�Ranans u� 94unoo x�oa0 'qS 3.o suO�IvLn6 as uo�sLnLpgns a44 pup '9po3 an�4ea4S�ULWpy u�su03SiM a44 Jo 9 3 -V as ;dp43 'sa4n4p4S uLsuoosLM a44 1 b£'9£Z aa4dp43 jo SUOLSLnoad a4l 44�M pa<<dwoo RLLn4 ane4 14e41 •apew 10aaa44 UOLS�Aipgns a44 pup paRan,ans pup L a4; ;o sa �appunoq ao Laa4xa L Lp jo uo t ;p4uasaadaa ;oaa,aoo e si dpw 4ons ;eyl •pueL Pees 40 saauMO 'umws puoa3 pup p,apuoal J04 `5ZOVS uLsuo3sLM 1 49saawoS 'Ruedwo3 auogdalal 4asaawoS a44 jo UOL43aaLp a44 4e dew pup UOLSLA�p puPL 'Ranans 4ons apew ane4 1 4 •saaop 59.8 ao 'ssat ao aaow 1 4aal aapnbs OLS`ZLE su�v4uoo 1aoapd p�PS •6u�uuL6aq 10 4ucod a44 off. 4aal Ob'Z58 `M .,VT.9Eo88 N 8oua4l :4aaj MM `M 119SISS000 S aoua4l :4aa4 18'89Z `3 ,VT,9£o88 S a0ua4l 4aal 66' `3 iiLO,OboOO N aoua4l :4aal 69'869 `3 ,CS,6To68 S aoua4l :RPM - 10 -446La SLJa4spa pips 6uOLP 4a9l WKE `3 . ,tZ.CZ000 N aoua4l `5£ RPM46LH ale4S jo ReM -JO -446La RLaalspa a44 pup aue 3 Rpe4S 10 RPM - 40 -446 La RL.aa44aou a 44 04 4 aal 00'£E `3 .tZ,£Z000 N aoua4l !6ULUUL6aq Jo 4ULod 944 off. 4a9l TO'£9 '3 ,tFT,9£o88 S aOua41 :5Z uOL43aS pies jo .aauaoo 4saM4gnos a4; 4p 6u�ouawwo3 • :sMOLLo3. sp paq�aosap RLapLn3;apd aaow 'uLsuoos�M 'R4uno3 xio.�3 •4S 1 4asiawoS Jo uMol �.•" - ;�saM 6T. a6ue 1 `44uON TE d �gsuMol 'SZ uo �4oaS jo ,aa4.apnb 4saM44noS a44 jo ,a�aeno 4saM44noS a44 jo 4apd a paddew pup pap�nip 'paRanans anp4 1,.-I 4L 91. 4.aao Rga.aa4 ',aoRananS pupa paJ94SL6ab 'uezp)l •1 N.apw I r x 31VOI3I1b30 Sab0A3AdAS q&tnsin Department of Commerce Count PRIVATE SEWAGE SYS Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. 363823 _ Permit Holder's Name: ❑ City ❑ Village ❑ Rown of: State Plan ID NO- Swanberg Gary Somerset Township CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: (oD I l4d D w 032- 1070 -40 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. a0. Septic 5 v Benchmark d i n Alt. BM J D Aeration Bldg. Sewer fd, 5/L �4 . Zp Holdifig I�/ Ht Inlet TANK SETBACK INFORMATION J/ Ht Outlet 3� 9 TANKTO P/L WELL nt to ROA D r Intake Septic 7 0 / > �� �P`, NA osing NA Header / Man. �� 9 Aerati Dist. Pipe `T "� //• GS o ZI 2 [ Holding Bot. System (�) T I PUMP/ SIPHON INFORMATION Final Grade cturer nd St cover 7 9 a - 99 Model Number GPM �, S, 9S, 2 -1 TDH Lift Friction ea m TDH Ft' Force i n Length Dia. Dist. To SOIL ABSORPTION SYSTEM BED/TRENCH Width Length _ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Z DIMENSION M SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING ''` a facturer: � r INFORMATION Type Of AM R Mo Number: System: t( Z 3 >6 c� DISTRIBUTION SYSTEM Header /Manifold rr Distribution Pipe(s) r x Hole Size x Hole Spacing Vent To Air Intake Length — Dia. Length 5 -2 5 Dia. 4a Spacing _� 7�S / SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: 4' /Z.? Inspection #2: Location: 707 191st Avenue, Somerset, WI 54025 (SW 1/4 W 1/4 25 T31N R19W) - 25.31.19.346C10 -Lot 3 1.) Alt BM Description =S"/ '�`' ar, e,�a� :o� o E s s{ 1. ,1 2.) Bldg sewer length = 2- i / S. b � Po -(: o cfoov / / / �icfwces— IOSr�r`g s 1 1 �, - amount of cover = /J ,� P/Wmgtr 3 �syS / �tw� e4e �t s 1 l f Mc7 f 07 41 Or.9 <10,1 &rjh,'S Plan revision required? ❑ Yes No Use other side for additional inform ti on. SBD -6710 (R.3/97) Date Inspector' gnature Cert. No. ADDITIONAL COMMENTS AND SKETCH t SANITARY PERMIT NUMBER: . .. i a ( i , a, z a E , t i 7 4 d i d 6 , 7 a } y e i t r ^T _ - .,... m �,. w ff�� a X i = a s , a s -- i t _ t r i t 4 a F _ ..„. m x ' s et � a t e x , r ., ., ,. ...� tom• m a.. _.. «., 2 , ....5 t i 'i '- l ee e a � w sa eA t a � � s E c' r t x t e .. _.� Wv ......... _ .......� _ ....., a.. .... e...� ..... .,.. -.... ,.. .. .., ..ate j wa a a 5 Safety and Buildings Division Vi sconsin SANITARY PERMIT APPLICATION 201 Bo Washington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Perm, Number 30 392 3 Personal information you provide may be used for secondary purposes ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION ProperM Owner Name Property Location 1/4 1/4, S T , N, R (or� Property er's Mailing Addres Lot Number Block Number City, St to Zip Co a Phone Number Subdivision Name of ber ( ) 11. TYPE OF BUILDING: (check one) ❑ State Owned o C it N eI rrest Road Public 1 or 2 Family Dwelling - No. of bedrooms D row 0 s� 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ;�S. 3 1 ` (� . 2 ;. '-t1Q GPI o 1 ❑ Apartment/ Condo — 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box online B, if applicable) A) 1. 0 New 2 _ ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5, ❑ Repair of an _____Syrs em System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Rf Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed( q ft.) (Gals/day /sq. ft.) (Min A 2 ch) Elevation S Feet Feet capacity VI {. TANK in ga Total # of r Prefab. Site Fiber- Exper. INFORMATION Manufacturer Name Con- steel Plastic New Existin Gallons Tanks concrete strutted glass App. Tan Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamberl 1 ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inst , Ailation of the onsite sewage system shown on the attached plans. Plumber' ame: � rin' Plumb e s Si atur o St ) MP /MPRSW No.: Business Phone Number: r r Plumber's AddressTStr t, City State, Z, Code): e_�Cxelz 1A IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater te ,sue Issuing Agent Sign ure (No Stamps) %Approved ❑ Owner Given Initial Surcharge fee) Adverse Determination Z,Z 11'D [ � Z 5_ ` X*jn,_ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: F kp,.4,%► _ &we-C— SBD -6398 (R. 4/99) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ` 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable_ 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained: The septic tank(s) must be pumped by a iicensed wihenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin Safety�and BuilclingsDivision 608-266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be ins36lIed' II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County / Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, to scale W with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; "E) soil test data on a 115 form; and F) , all sizing information. I ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE - 1983 Wisconsin Act 410 included the creation'of surcharges (fees) fora number of regulated practiceswhich can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , a� m walk 3 6 a 3 Wisconsip Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page -/— of Mureau of Integrated Services in accordance with S. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 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. # APPLICANT INFORMATION - Please print all information. Re ewes by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). t f _ZS 2d0D Propert wner Property Location Govt. Lot 1/4 1 /4,S T N,R J V (or) W Property Ow is Mailing Address Lot # Block# Subd. Name or QMU City 8t at Zip Code Phone Number Nearest Road ❑ City ❑Village � Town I New Construction Use: 19 Residential / Number of bedrooms 5 ' Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 9pd Recommended design loading rate bed, 9pd /fi trench, 9pd /ft Absorption area required bed, ft 5` trench, ft Maximum design loading rate , bed. 9pd /ft trench, 9pd /ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material ,o ti> Flood plain elevation, if applicable ft S = Suitable for system Conventional r M�ound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U S❑ U } S ❑ U 0 S❑ U ❑ S A U ❑ S o U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground _ elev. A��ft. _ Depth to limiting factor Remarks: Boring # .Z/ Ground - elev. 06.08 Depth to limiting factor > / —M in. Remarks: CST Name (Ple a Prin4 Signature Telephone No. Address Date CST Number SOIL DESCRIPTION REPORT ' PROPERTY OWNER Z"" 24AJITA5a Page - � of PARCEL I.D.# Borin # Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench -S 1 Ground elev. �s eft. Depth to limiting �$�p factor j in. Remarks: Boring # 7 s- sc Ground 1 _ elev. h 9�ft. Depth to limiting fact r � J�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 # s Al y Ground elev. a ft. Depth to , limiting factor 5,4e! Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 4 S'8 3 t 70 ' I ST CROIX COUNTY EPTI ' T N S C A K MAINTENANCE AGR EEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ��Q`+' I�m oRL4 ��A.%jQcQe, Mailing Address f-,R Z, -."<K Ave LvT % - �,�cls,�� Ash Property Address, (Verification required from Planning Department for new construction) City /State Parcel Identification Number LF GAI, DESCRIPTION Property Location 75t,L '/4, ,f6)_ '/4, Sec., -�,5 , TAN -R 9 W, Town of Subdivision , Lot # .� Certified Survey Map 4 9� , Volume 19 , Page # Warranty Deed # S Volume 1 _ , Page # Spec house O yes 2 no Lot lines identifiable 0 yes M no SYSTF,M MAINTF,NANCF 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. The property owner agrees to submit to St, Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition ancl.%or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. Is I GKATPE OF APPL DATE OWNER CERTIFICATION 1 (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of 4properiy described above virtue of a warranty deed recorded in Register of Deeds Office. I Q3 /OS/ by RE OF APPLIC T DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. «, « «'• ** Include with this application: a stamped warranty deed from the Register of Deeds office a cope of the certified survey map if reference is made in the warranty deed ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �- ��tR`,' F m. op ~-Q S�„ A ^j aco e, �'t In L Mailing Address 'G�3 Z.�.coeK A v Lo-'(" _.. er�E�s!�— Property Address 7-1f 2 (Verification required from Planning Department for new construction)_ City /State ��r�ty� �,� s Parcel Identification Number 1-?-? i;70-;�Zl' -.fin LF GAL DESCRIPTION Property Location 4L '/4, ,f,6)_ '/4, Sec., -.-25 TAN -R 9 _W, Town of Subdivision , Lot # Certified Survey Map # - -^L , Volume 19 , Page # c-2, Warranty Deed # — �'"�/��( , Volume Page # Spec house O yes 0 no Lot lines identifiable 0 yes O 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 system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St, Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition an( or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 0{/05/ 00 SIG OF APPL DATE OWNER CERTIFICATION I (we) certify that all statements on this form are tntc to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above virtue of a warranty deed recorded in Register of Deeds Office. C�`f /o5/ do SIG A RE OF APPLIC T DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * « «••« «* Include with this application: a stamped warranty deed from the Register of Deeds office a cope of the certified survey map if reference is made in the warranty deed ra VOL 1��I PACf 178 Aa - 57GS86 WARRANTY DEED w T Document Number REGISTER'S'OFFICt ST. �C R 6�I X � C () W I Return Address �'. 13 APR 13 1998, 8:00 A u k 0 ev i st .� [✓slay - r Ra irtvr of DosAa Parcel I.D. Nun.ber: 032 -1070- 40-100 I� �. r Lindale Development Corporation conveys and warrants to Garr D. ` Sw anberg. a singl_ person, g the following described real estate in St. Croix County, State of Wisconsin: Part of the SW1 /4 of SW1 /4 of Section 25, Township 31 North, R:,nge 19 West, St. Croix County, Wisconsin, as follows: Lot 3 of Certified Survey Map filed December 30, 1991, in Vol. "9 ", Page 2436, Doc. f' l No. 477292. t ., This is not homestead proper. - Exception to warranties: Easements, restrictions and rights -of -way of record, if any. .., Dated this /(> day of April, 1998. Lindale Develor €vent Corporation: TRA NS _(SEAL) /F0 M AUTHENTICATION a Sign ture(s) Lin Devel wen Co on by aulhenticated r '4 Y April, this da of 199i?. �- L- C .Sc.J Kristina Oglan TITLE: MEtNIBER STATE BAR OF WISCONSIN THIS INSTRUMENT WAS DRAFT ED BY: s Attorney Kristina Ogland Hudson, NN "I 54016 � F DEC 3 0 1991 O , CO pNELL ,►/►M� of DOW 4 4 7729Z CERTIFIED CERTIFIED SURVEY MAP s LOCATED IN THE SW 1/4 OF SW 1/4 OF SECTION 25,T31N, R19W,TOWN OF SOMERSET, ST. CROIX COUNTY , WISCONSIN. OWNER LEGEND LINDA EHLERS (715) 386 -5674 19 FOUND ALUMINUM MONUMENT. 223 13TH ST. ■ FOUND 3/4" REBAR HUDSON, W1. 54016 O SET I" X 24" IRON PIPE WEIGHING 1.68 LBS. /LINEAR FOOT. SW CORNER U LAN W 1/4 CORNER SECTION 25 _ _ _ _WEST LINE OF THE SW I/4 - - - - _ SECTION 25 T31N,R19W _ -- - 1 o N 0 "E 2F40.37' T31N,R19W 526.55 - 150.00 1963.82 _ Z m I S, T.H. "35 CENTERLINE 0 — — — - — OF HIGH WAY —1- NO° 23 244E V. 637 R 470 150.00 M � NOTE: Existing 1 = _ ° UNPLA_T_T N - _ED o— w buildings unsuit- I' - o W. �r^ o � able for habit - LANDS °D � -0 0 1 ation to be 0) SHED 0) (A i I - — . WELL cD removed. VOL.637, PG.470 0 _— -_' OUSE..r o 1 Ifs I N 0°4007 "E 0 BUILDING „ -, 1`'--50, v I I 180.05 SETBACK Access to this lot will be —N �< CI) "Z provided via an easement o' 0 over the proposed road along` BEARINGS ARE REFERENCED TO c ' �� �' = the north lot line. THE WEST LINE OF THE SW 1/4 ASSUMED TO BEAR N0 "E. z; Z m / M. 1N OD o co � SCALE 1" =100' I- �: LOT 3 w 7 � 10 m: 0 , �(D o, rs 154,575 SQ.FTJ INCLUDING HWY R/W W /'./ 0 50 100 200 W ' 3.549 ACRES ) Im . < 145,564 SQ. FT.) <' HWY 3.342 ACRES ) EXCLUDING - SURVEYED BY o. R/W r*►� RON JOHNSON LAND SURVEYING P.O. BOX 194 y v /� AMERY, WI. 54001 W /� TEL. (715) 268 - 2601 � p 0) /0 ��.,i +cs9eir g ru co % F W e� 41 X "X %�j.f+r f✓ "�,/ arri P.ON�;I.D F. �} �w J(_tih1:10N wr Ic �C41 r ' ' �_ Np SU'R\j - _ S 0 0 40 07 W 77.99 � as 200.00 WEST ' LINE OF C. S. M. V. 7 , P. 1938 C.S.M. v 7, P 1938 LOT 2 0C P`��/:?i"df:!i'rt•�siV_: f'.�J; THIS INSTRUMENT INSTRUMENT WAS DRAFTED BY D.J.Z. �iCl)Zt'IyITd"'('Jt "Z "'r VOLUME 9 PAGE 2436 1D7d �lD A'i f GN ,e /�7 zj ors s zt) o r-IL SID 3 01991► CONNELL JAM i p1 Dead$ 4 77 292 < rGv SL Ctoo� Co.� WI CERTIFIED SURVEY M s LOCATED IN THE SW 1/4 OF SW 1/4 OF SECTION 25,T31N, R19W,TOWN OF SOMERSET, ST. CROIX COUNTY , WISCONSIN, OWNER LEGEND LINDA EHLERS (715) 386 -5674 FOUND ALUMINUM MONUMENT, 22313TH 1. ■ FOUND 3/4" REBAR HUDSON, WI. 54016 0 SET I" X 24" IRON PIPE WEIGHING 1,68 LBS• /LINEAR FOOT. SW CORNER U LAN W 1/4 CORNER SECTION 25 _ t _ _ WEST LINE OF THE SW I/4 - - - - _ _ SECTION 25 T31N,R19W . - N 0 2g40 ,37' ' ` T31N,R19W 526.55' 150,00 — 1963.82'` ao o i�:, i i cn o (n S.T.H, 35 CENTERLINE t l_� 0 .4 — (D •OF HIGHWAY V. 637 P, 47 0 NO° 23 4 E ccp — r (A 150.00 a I NOTE: Existing UNPLATTED : N o w buildings unsuit- o W •m, , I able for habit - _LANDS .57 C ro n rn -� c 'I ation to be SHED W ELL 0 0 t 180.05 w o I removed. VOL, 637 yS'°;' , PG. .� __ . ICS 1 N 00400. O SUILDIN a I (q SETBACK ( " -5 0 �o I I� Access to this lot will be — N • z provided via an easement i 0 : , the north lot line. over the proposed road a ong1 �. BEAR{NGS ARE REFERENCED TO _ = ITHE WEST LINE OF THE SW 1/4 r- /C ASSUMED TO BEAR N0 ° E. I:o z: z m / z ,. �' °° --� y /?' SCALE �� = loo' IN LOT 3 v 0 CD m; cn ' 154 575 SO. FT Gv ~ o W 3 ' INCLUDING HWY R/W cv /�/ 0 50 100 200 3,549 ACRES ) Z • 145,564 SQ. FT.) N ` /� o; 3.342 ACRES )EXCLUDING R%W m; SURVEYED BY: r -, RON JOHNSON LAND SURVEYING P.O. BOX 194 A, 4 t0 V �.b AMERY, WI. 54001 W �Z TEL. (715) 268- 2601 IV / M I;�NI,t.D F. ^z M J0Ht O y t1Y, - - - S 0 °40 7 W 77.99 200.00 WEST LINE OF ` C. S. M. V. 7 1 P. 1938 C.S.M. V. 7, P 19.38 APPRO, VE LOT 2 r, f, )! AFC ;) 1179; �11iPRf`4i1 Y314+ i Pg4K.S Pt.ANNlN(% THIS INSTRUMENT WAS DRAFTED BY D.J.Z. 2C%NNIC.,CCXA1q'?'_F VOLUME 9 PAGE 21136 DEPARTMENT OF RE PORT ON SOIL BORINGS AN D S AFETY & BUILDINGS INDUSTRY, 1 1 C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1) &Chapter 145) LOCATION: SECTION: TOWNSHIPlIk f i&Y: OT N05 MBLK. O.: SUBDIVISION NAME: SW 1 /4 SW 1 4 25 /T31 N/R 19�r W Somerset 1 a n/a COUNTY: OWNER'S S NAME: MAILING ADDRESS: St. Croix Linda Ehlers 2.23 13th. St., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIF PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 9ew ❑Replace 11 -16 -91 11 -16 -91 310 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ®S ❑U � ❑U ❑ S DU ❑ S CCU conventional If Percolation Tests are NOT required DESIGN RATE: I If an y portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: n / Floodplain, indicate Floodplain elevation: n decimal' PROFILE DESCRIPTIONS page 18' ShC2 BORINGI TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER IDEPT LEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B -1 1 7.33 99.25 none >7.33 .58bn.1. 3.75bn.c.s. 3.00bn.m.s. B 2 1 7.00 99.65 none >7.00 .67bl.1. .83bn.l.s. 5.50bn.c.s. &gr. B 3 7.00 99.80 none >7.00 7.00bn.c.s. &gr. B 4 7.50 100.15 none >7.50 .50bn.1. 5.00bn.c.s. &gr. 2.00bn.m.s. B - 5 6.75 99.55 none >6.75 .75bn.1. 3.50bn.c.s. &gr. 2.50bn.m.s. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBEFCDCOM AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 PER PER INCH P- 3 P-2 3.65 none 3 6 6 6 <3 P-3 3 none 3 6 6 6 <3 P- P- P. PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 96.00 E I E 3 3 �. 3 t 1 t E E ,Sf 2 3 E E . , E 3 i I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 11 -16 -91 ADDRESS: CERTIFICATI NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, wi. 54017 2298 71V246-6200 CST SIGN E: , Z DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — I INSTRUCTIONS FOR COMPLETING FORM 115 SBD - 6396 To he a complete a ld accurate soil test, youi report must iiic;iude. 1. Complete legal descritation; 2: The use section ra2ust clearly indicate t ,vhether this is a resid =ence oY comrxaerr;ial project; 3, MAXIMUM nurnber of be.rlroorr3s or cornmercial planned; 4. Is this a new of replacensent syst:ena; 5. Qornplet:e the suitablll?y eating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL C)TFiER SY$TEN RULED OUT BASED ON SOIL. CONDITIONS; 6. �PLEASE use the -abbreviations shown here for writing profile descriptions r nd completing the plot plan; 7. MAKE A LEGIBLE diagram af°.cuYately locating your test locations. D; ,wing to scale is preferred. A separate sheet may be used if desired; 6, fake sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate box es as to dates, names, addresses, flood plain data, percolation test exernp- tion, if appropriate; 10. If the information (such as flood plain, elevation) goes riot app =y, place N.A. in the appropriate box; 11- Sign the 'form and place your curserrt address and your certification rwrnber; 13. Make legible copies and distribute as reguiied. ALL SOIL TESTS MUST RE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BIR _. Bedrock rib Cobble (3 10") SS Sandstone sir Caravel (under 3 ") LS -- Limestone; s -- &Ind IIGVV High GroE:r;dwatet cs Coarse Sand Perc; — Percoiatio.'. Rate rned s ___ Medium Sand W Well is — Fin, Sand Bldcl __. Budding r . j Is Loanay Sand j Great€ I f' #Tara sl — S«r rly Loam Less � iwirr . , ..._ Loam rc�vi,rt �sil —Silt Lcre�rn BI Black sr Gy Gray c l _._ Clay Loam Y — Yellay. sci -- Sandy Clay Lorarn R Rea sicl — Silty Clay Loam rnot — Mottles. sc — Sandy Day vV wi sic - Silty Clay fff —few, fine , faint C --- Glair L:C — common, £�£'7a Yye pt Peat In Many, rneciium rn _ muck d £1lstinc, p prorninew, HWL High vvatei level, Six gener oii zoxtr - w"s SE7rl "c1C'e .^ aC£ r" for 'ii3ulCl Lti <i5te tip(35cri 0 - B; =nch Mark VRP -- tferti£;al fps =ference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be. obtained and posted prior to the start of any construction.