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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 487960 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Russel, James I Somerset, Town of 03R — 06 ^ `(D CST SM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: I;Yl 13.30.20. _M X TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER P, CAPACITY STATION BS HI FS ELEV. S I z•5 11 2. 5 AND Septic =., Y'S ! 650 Benchmark 7- 1-1 te,�_5 "1 Dosing f Z. s $. AI . ftat Bldg. Sewer J /6. S7 /b /. 9s' F 6 Z.alcaQ.� I�— U Holding St/Ht Inlet i3 A Z. �$ 4g TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet J�•a5 9S ; �5 Septic 7 C06 7 G6 Dt Bottom 1 7.53 Dosing Header /Man. /D. SJ Aeration Dist. Pipe /8 • / bZ Holding Bot. System //' , /� /• 3 Final Grade PUMP /SIPHON INFORMATION �' $� �Z• 77 Manufacturer f Demand St Cover S '7 D3 Zo C� GPM j-J�I �'� $ • .13 Model Number 39. / : � J r .166 -7 b� 1 " 6 ' k TDH Lift Friction Loss System ead TDH / , et 7&Z- /. -%I .z5 Z.D Forcemain Lengt / Dia. Z t/ Dist. to Well SOIL ABSORPTION SYSTEM 7• Z r" T7 7. o S 7 BED /TRENCH Width Length No. Of Trenc s PIT DIMENSIONS No. Of Pits Inside Dia. Liqui Depth DIMENSIONS (a e, SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Qf System: laL / UNIT Model Number: AA - 0 %) r— CL DISTRIBUTION SYSTEM Header /Manifold 1 D ►/ I/ I x Hole Size / x Hole Spacing Ve o Air Intake f // i a. Length Dia Length 7,3 Dia Z Spacing 3 /f0 3b SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over , Depth Over xx Depth of xx Seeded /SOdde xx Mulched Bed /Trench Center J , "� Bed/Trench Edges ` Topsoil 1 Yes [] No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: $ / / Oto 0 In spection #2: Location: 275 Old Anderson Sc ut Cam Road Houl!to ( 54082 NW 1/4 NE 1/4 13 T30N R20W NA Lot 5 Parcel No: 13.30.20. 1.) Alt BM Description = ` l � 2.) Bldg sewer length - amount of cover = IOV 7 _ Plan revision Required? ] Yes Ix_ No Use other side for additional information. i Date Insepctor's Si ature Cent. No. SBD -6710 (R.3/97) Safety and Buildings Division County �7 201 W. Washington Ave., P.O. Box 7162 *isconsi Madison, Wl 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266 -3151 7 _! / 0 Department of Commerce Sanitary Permit Application State Plan I.D. Number �.�C� sz In accord with Comm 83.2 1. Wis. Adm. Code, personal information you provide r may be used for secondary purposes Privacy Law, s15.04(I ^����r% ,._. roject Address (if different an mailing address) I. Application Information —Please Print All Information Property Owner's Name ` Parcel # Lot # Block #-�. - -� �0 Property wner's Mailing Address Zt 1Ml�1ra (`� anon — YC /r��1 7 &W '/4, AC& 'h, Section 1,3 City, State / / Zip Code Phone Number (circle o T R AC_ Eo II. ype of Building (check all that apply) a Q /� Subdivision Name CSM Number � 1 or 2 Family Dw ^fling — Number of Bedrooms � V ❑ Public/Commercial — Describe Use ❑ State Owned — Describe Use ❑City ❑Village Township of 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ Re y ❑ Treatment/Holding New System placement System g Tank Replacement Only 13 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 a I ❑ Non — Pressurized In- Ground ® Mound ? 2 4 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Grave ess Pipe Other V. Dis ersaVrreatment Area Information: Design Flow (gpd) Design Soil Application te(gpds Dispersal Area Req fired (so Dispersal Area Pro sed (sf) System Elevation s�-1a /. y� 5 y t71 IP 101, VI. Tank Info Capacity in Total Number Manufacturer refab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Q _ Aerobic Treatment Unit Dosing Chamber S VII. Responsibility Statement- 1, the undersigned, assume responsibility for installati n of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP P umber Business Phone Number 7 z lumber's Address (Street, City, State, Zip ode) .6 is C ) - ..3 - �fo25"� VII Count /De artment Use Onl Approved 11 Disapproved Sanitary Permit Fee (includes Groundwater Date Issue 1 a Si t N Stamps) Surcharge Fee) $ y �-- 0D [7 /3 ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: / 1 tank, elffGent filter and Q�t�t. lrA GG�cI `�G��� ��.22 dispersal cell must all be serviced / maintained as per mans eg ment la�_n_ pm Vid �! 2. setback requirements must be maintained as per applicable code /ordinances. pm Attach complete plans (to the County only) forlthesystenvon paps of less than 31/2 x 11 ir#es in size SBD -6398 (R. 01/03) i 1 1 �I��!.I�S dlt3 i - S�O Il -�`T /" �� -7Q�4e � �'•� + 1 I 1 ! ! � i � I 1 ! i i I I 111 i , , 1 1 ,� 1 1 I - - -- -- f , i 6 fora k � M � 7_ 11 i i� r vs �I 9 �L . L. — - I i iFiO i �f U; - Jq OSED I. i I va: �kV' 1 ♦ �m fe! i 0 Ro os �? , i — p R �, B' m� > Off $7 110 It, I k, ( I I No 5 e- ►v:! JO .T P Po �— J— — 1 than l 1 Safety and Buildings 4003 N KINNEY COULEE RD Commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i www.w w ww.coe.wi.gov/s sin.go J iscosin.gov t epartment of Commerce Jim Doyle, Governor Mary P. Burke, Secretary October 13, 2005 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/13/2007 Identification Numbers Transaction ID No. 1203050 SITE: Site ID No. 705976 Jim Russel Please refer to both identification numbers, 267 Anderson Scout Camp Trail L above, in all correspondence with the agency, Town of Somerset, St Croix County NWIA, NEI /4, S13, T30N, R20W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1044940 Maintenance required; 600 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual -Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, C.'o"c :10 stats. �; t 'I« The following conditions shall be met during construction or installation and prior to occupancy or use: EP RTMEN r nc i Reminders -� • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRLSPI "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 101). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • of 50 feet from the absorption The well must be a minimum of 25 feet from an POWTS tank, and a minimum rp tion Y area. chs. NR 811 & 812c i • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat JOHN F SCHMITT Page 2 10/13/2005 • Comm 83 22(, A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWT9 shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that.is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 ,Z 4— Balance Due $ 0.00 �- Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I 1 � SCHMITT & SONS FXCA VA TING S86 Valley New Trail Somerset, WI 54025 715 -549 -6651 MOUND SYSTEM For: Jim Russel A 267 Anderson Scout Camp Tr. Houlton WI 54082 Legal: NW4 NE4 S13 T30 N R 20 W Township Somerset County: St. Croix Contents RECEIVED Page I Plot Plan OCT 0 7 2005 ,page 2 System Cross Section SAFETY & BUILDINGS Page 3 Pipe Lateral Layout Page 4 Dosing Chamber Page c Pump Curve Page 6 Management Plan Attachment 1 Soil Evaluation Report Attachment 2 Map Mound Component Manual (Version 2.0) SBD -10 691 -P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD- 10706-P(AT 1/01 $ r By. Gs DENC MPRSW 223760 Date: 10/5/2005 f P 1 -- i— l ( I d F i i _ &I a I - I I k j I I IVtWA�s' �. t E L , E' , E — — �. - -- - ' z — Ro cis a I I, - � p q L!T, a, m e t > p�f • ?7 eI NQ 1 1 f i _ 0 .718 � 1 + �7 ate — c� C ,�� l e. _} (o /�� �SIO' — o 1 System Cross Section Page 2 Of 6 Synthetic Covering ASTMC33 Distribution Pipe Medium Sand Topsoil F .SYS ELEV. 101 . 28 ' 3 E D V % Slope l z -2 Force Main Plowed 499re gaffe Layer. D 0.50 Ft.� Cross Section Of A Mound System E 1.52 Ft. F 0.79 Ft. G 0.50 Ft. ' / A 6.0 Ft. H 1.00 Ft. S i gned : , y _ . B 75.0 . Ft. License Humber: 223760 K 8.41 Ft. Date.: 10 %5/2005 L 91 .82 Ft. J 3.55 Ft. Alternate Position of I 17.21 Ft. Force Main W 26.76 Ft. L Observation Pipe K � -_ - - -- ----- - - - - -- -- a I►-- � -------- - - - - -- Force Main :. Distribution 2 2 . Pipe Aggregate Observation Pipe Permanent Markers Pton View Of Mound. l Page 3 of 6 f , f Turn-up � tfi Cleanout AzOess Bc� Plug or Ben Valve — ♦► V'S PVC Force Main Distribution Lateral f PVC Manifold P t x x x X!2 Distrlbutlon Lateral Layout P 36.25 S 3.0 Ft. X 30 Inchp% t Hole Diameter 3 Inch Signed: Lateral " 1� Inchtes License ?be : 223760 Manifold i� .Inches Date: 10/5/2005 Force Main 2_ Inches # of holes /pipe 15 Invert Elevation of Laterals, 101. 78' I s � I PAc r 4 Or 6 PUMP CH'KmbCR CROSS SECT!0IJ AMC) SFCCIF1CAr1Q;,'9 ' VEUT GAt• -7f 4%.1. VENT F Pt IU'PROVEO LOCKt116 WCATIIEK f1Rp0► � t M 1111 4Iloil111. - Au&JCTIOkj -Box 7 MANHOLC C OVC R auduuw uK /lc�S11 � 1�`H1 ►1• I AIR INTAKE i GRADE I f y' MtAJ. coUCwr JJULCT PROVIDE ! AIRTic:MT $CAL APPAOVED J018JI f A t ! I I API LO �III1i w /C,t. PIPE I I I w /c� D � r t o j CKTCN 04LJCP a' ! ! 1 W /C. . ip 3' 014TO 60610 %OIL ALjkKA 21.16 Gal./Inch � {) ONTO iGUO W4 ou 91 LLC .7 8 I V -f T. � 1 PUMP J p ,.. Off COAJCRET[ OLDGK ! RtS CK EXIT PERMITTED CQLti IF TAWK fAAAJUFACTURCK HAS SUGN ArPaovAti. 3 "AAPtA� �8E001� fStPrit f 5 PEGIFICATlt7 g DO$& TAIJf "• AAIJUFkCT'URCR: 'Week' $ C. P. Ww^br..A OF Doseb: +o r - 5 T AJJK Ltzc. ; 800 - PER D" &ALLOWS DOSE VOLUME AL.�.A5 MAIuuFArruPgu. Sej2tronics Tankmate ►NCw01ut• 6AGK,'6O 87.04 aA��oNt A%OML IJUMOCR: TM -1 CAPACITIES: A. 19 413.'44 �_IAICHC� OR Wa.LONO SWITCH tyre:._ Mercury 6 a 2 WtfiE� Oft 43 2 P UMP M MUFACTURSIt: ` Zoeller i C •. AwacL fJ UMt►cR: 2 ►IJCHCS OR 87. O GAL600i � D• --- 12 -- .IA3CNI:S OR .- 261.12 GALLOUC 6WtTC11 TYPO; _ Mechanical u�_ PUMP AND ALARM wRt: To &L mil OISCf�A�RGE RATG 39.6 GSM IQ5rALLEO ON SEPARATE CIRCUITfi yERTtCAt OIFFEREMCII DETMKW PUMP OFF AIJD.DJ5TR1bUTI01J P►PC., FECY + Mt+�iMUK �lJETWOKK 'SUPPI. PKEESUR[ . . . .. . . . 3 25 FCET + --1�0 re CT of >FoRCC ruIM x 3-2. ,%,, 3. '24 • IuOtLFRtCY {01 iACTOR ____rte FE1:1' 70r4L DVkJAMJr HLAD 16':49 FC.Er AJ R U ! TC AL. i OtMG ti W iV Q ..� Of T K: LENCi7H iWipTH •LI 1 QUID - OJ`PTM �tG1Jt:0{ LICCUSt: u Urteetts y 2 23760,` DAY Et TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 UJ w MODEL 152 153 50 -- Feet Meters GCI. Liters Gol. Liters i 153 ! S 1.5 69 261 77 291 t — -- -- 12 40- 152 10 3.1 61 231 70 X 265 j a 15 4.6 53 j 201 61 231 30 20 6.1 4. 167 52 197 z 8 25 7.6 34 729 42 159 0 30 9.1 23 87 33 125 20 35 10.7 -- -- 22 85 j 40 12.2 -- -- 11 42 4 10 1 Lock V 13 2.0 Ft. (11.6m) 44.0 Ft. (13.4m)i 014508 0 20 40 60 80 100 GALLONS LITERS I I _ 6 1/4 0 80 160 240 320 � I` 3 27/324 5/8 FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS e • Timed dosing panels available. I e 4 Electrical alternators, for duplex systems, are available and supplied with 3 27/32 an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. — • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 1521153 Series 12 1/8 1521153 MODELS Control Selection i Model Volts-Ph Mode Am s Simple Du lex N152 115 1 Non 8.5 1 2or3 5 1/8 BN152 115 `t Auto ' 8.5 Included '.2or3 E152 230 1 Non -4.3 1 2or3 SK2064 BE152 230 1 Auto 4.3 a Included 2or3 N153 115 1 Non 10.5 1 1 2 or 3 8NI53 115 1 Auto to.5 ,. Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3' 1 2or3 BE153 230 1 Auto 5.3 1 ncluded 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. Ail installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control Switch 10 0225 used as a control activator, specify duplex (3) licensed electrician.' All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve Safety factor is engineered into the design of every Zoeller pump. M 0.' P,0 BOX 16347 Z ® 1 (O2 ip Louisville, KY 40258-0347 Manufacturers SH T0: 3649 Cane Run Road ® Louisville, KY 40211.1961 5778 - 2731.1(800) 928 -PUMP Pu�a http://www.zoellei.com FAX (502) 719 3624 © Copyright 2001 Zoeller Co. All rights reserved. A , 1 1 kk EL • ' ®�miAmI ®�m�m�mFimr�'4"�k amp ®t'IIi ®s^i®Z�fiw ■ ■ ■� a wu Yt� uu2 m`L.` ��'1 ®��Y.L.Jfi� ®. ®�' ®U'.u' ■,■ 4 afi g i i� y � t ®� ®h"ft...Jm.. ®t.i_i �ii.1GrY__�_ -.v _ K.- LN71 ;N- ® ®�lm . ®1.7 ■■tom = == = == == ,m■m■■■■■■■ ■■■ ■■ ■■ O■■R■■■■■■■■■■■■■ ..■N■V■■■■■■■■■■ ■■■ - r�`,11■■■■■■■■■■■■ : . ►��e� ��■■■■■■■■■■■ ■ \��1 \► ■■■■■■■■■■■ ��► X11 \1 ►� \ ■ ■ ■ ■ ■ ■ ■■ �►�� 1■ I ■\ \ ■ ■ ■ ■ ■■ �� \OI ®I ■ ■\ ►� ■ ■ ■ ■ ■■■ ■ 1,419a110600 ■■■■■■ ■■■.IRO !ERNE■N ■■■■■ SON Im mollu kammosammsm ► ® ■ \I1■ I REWINM■■■►I■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ . . . ... ... .:..... . . ... ... POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Jim Russel Septic Tank Capacity 1000 al ❑ NA" .� am # Septic Tank Manufacturer O NA r DESIGN PARAMETERS ; Effluent Filter Manufacturer Za O NA Number of Bedrooms ❑ NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Units 0 NA Pump Tank Capacity 800 g a l ❑ NA Estimated flow (average) 300 al /de, Pump Tank Manufacturer ❑ NA s Design flow (peak), (Estimated x 1.5) gal/d Pump Manufacturer Zoeller ❑ Soil Application Rate 0-6 al /de, /f t' Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment Unit ■ NA" Fats, Oil & Grease ;(FOG) S30 mg /L O Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA O Mechanical Aeration O Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection O Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (SOD.) 530 mg /L ❑ In- Ground (gravity) O In- Ground (pressurized) r Total Suspended Solids (TSS) 530 mg /L d NA ❑ At -Grade ■ Mound Fecal Coliform (geometric mean) 510` cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y In dia. < <❑ NA Other: O NA Other: ❑ NA Other: ❑ NA t *Values typical for domestic wastewater and septic tank of fluent. Other: ❑ NA r AMM AINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month (s) (Maximum 3 years) ❑ NAB 3 Q year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y,) of tank volume ❑ N& Inspect dispersal cell(s) At least once every: 3 m month(s) (Maximum 3 years) ❑ NA; ' ❑ month(s) ❑ NA Clean effluent filter At least once every: ® year(s) Inspect pump, pump controls & alarm At least once every: E ear(s(S) O NA . . Y Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA? m year(s) ❑ month(s) other: At least once every: ❑ year(s) [3 NAt Other. ❑ NA MAINTENANCE INSTRUCTIONS • r 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 The dispersal call(s) shall be visually Inspected to check the effluent levels in the observation pipes and to check for an pondir) of effluent on the ground surface. The a pon d Ing of effluent on the ground surface may indicate a failing condition and requirew. immedlate notification of the local regulatory authority. r a When the combine d accumulation of sludge, and scum in any tank equals one -third '(Y,) or more of the tank volume, -the entire contents of the tank sh eptage Servicing Operator and dispose o with chapter: NR t1�3, vim ,Code. U other services; including but not limited to the servicing of effluent filters, mechanical or pressurized components; pretteatmen d any sery I be performed by a certified POWTS Maintainer. -. r ti•• A service report ihaU be pro4ldad to the loco) regulatory authority within 10 days of completion o an y. Page ot START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(&) 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 u¢' 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 call(s) In one large dose, overloading the call(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 aM46ent 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 ol"anination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: anti6totic3; baby wipes; cigarette butts; condoms; ctton 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. W 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 ATANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS" ` POWTS INSTALLER .. POWTS MAINTAINER Name John SChAtt Name Owners' Choice Phone ' °� ' Phone 9 -6651 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name, w rs' choice Name` St .` Croix ,'Ct :Zonin �, Phone Phone Sc This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d) &(q and ,83.54(1), (2) & (3I, "Wisconsin'Admi niatrotive Code ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM , Owner/Buyer V T hldift Addres 1�uG 041 Property Address (Verification required from Planning Department for new construction) City /State - Parcel Identification Number 0 3 - - LEGAL DESCRIPTION Property Location'�4, _ 1 /., Sec. 13 , T _j¢_ N -R Town of Subdivision . Lot # f. r Certified Survey Map # --B4O0 Volume _ " o , Page # 4 vim Warranty Deed # fr/ , Volume �fS �_, Page # 6 Spec house ❑ yes 11 no Lot lines identifiable 0 yes ❑ no SYSTEM MARUENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance t 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 and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da f the three year expiration date. $ Af A OF.APPLICANT. ews WNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SMN�A' JA8 QF APPLICANT A '> * * * * ** Any information that is mis- represented ma� 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 I RECEIVEI Wisconsin Department of Commerce OCT � LUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 8 m. ode County Attach complete site plan on paper of less es CR es i n must 1 v include, but not limited to: vertical nt BM directi 1111161 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearesl Please print all information. Revi d by 9 Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location V% M S e - )-L_ Govt. Lot kW 1/4Nf_1/4 S! T 30 N R ,;I& E (or Property Owner's Mailing 3ress f�; Lot # Block # Subd. Name or CSM# 1fv eq-Soa S�co "Cao S voI. ;to p . 56 ;it. Ci State Zip Code Phone Number ❑ City ❑ Village 5jTown Et >M t r 5 'a �ra A G New Construction Use: [$ Residential/ Number of bedrooms —':�L —_ Code derived design flow rate_ L150— J U 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ` D G 5 5 ,, V F V - —t—. 4 !> ( Flood Plain eleva if applicable 1 ft. General comments S + A� 1p 1 7 5 nn D V t 1 t 3 �(� ��,• o o . y and recommendations: F-11 Boring # Boring, 3 Pit Ground surface elev. Da. 9a ft. Depth to limiting factor So in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I •Eff #2 ?IA fr w a 3 1. ar6 bK Y"Pr- G w OF -10 I, o as s L iFs Y" Fill- C , `! - 1w 34-6 S L p ® Boring Boring # 98 b lL7 Pit Ground surface elev. V • l0 ft. Depth to limiting factor Ya in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 DIP - -1 5 .'L .;) FSbvc wi trr a a , �9 9 -1 - o - t R.s 5,' F S SZ "t'p ev I F , 10 ,9 3 17 -;v, , 7. s%f 5 d F SS 14 Cw 1UF r !o i,D �1e-33 7.S Yt x ..���.� -..-- N`� "-� a�g�� h/► r C w 11 D 33-12 S ` A °-.- 6L- 1 FS ake- ►fir G vs — " Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L T Name (Please Print�� Signature � CST _�N r „be q r j m�, , T h S Date Evaluation Conducted Telephone Number e Property Owner �. VY1 V 5S� ceet ID # Page �} of L ! 11� EA Boring # [:] Boring Pit Ground surface elev. ' ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/if in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - Eff#2 0-9 joa /a S -. L fsb� �r- 4v,7 a F , to , ? o `i 2 5'. L aFSbr J Fr- L w F ► to , $ 1 3- 1 7 - 5 -rye s/ s t... a FSb V / y F ► r p • ,ala 7. 5 y�Y - -- h+.�v r v1Sl� � .� � f u F ! , D SL a -rte M,Pr: Boring # E Boring 9 Pit Ground surface elev. f ft. Depth to limiting factor L i s. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - Eff#2 --1 b 10` M Fr 6 LUO -1 -fQ.�ly -- 5 .' FS 1C MF 1 , to q 19 - 31 -1I`f 6. c. L hit C VV-' -`LS 5 4 0`/) q 4 r�5y1G >M r evv - 7 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -6330 (R.07 /00) i,v u S $ L o ! \,,, pmt ( 7 toto ly, NE Vy, Sac. c 3, - r.3 Ito, P,,.t w po n 04 S s'.ek. 13,03 $ h't i ; �t t Pores t. 7R F -NE s,P� eA em v4 IS 7 5 4 1 � � t i 3 too j 4�QC,K y M ax � R��PoS � ip Pit VOL H. R XArgE J PAGE 5021 EGISTER OF DEF�_....� C_ERT1jmED SURVEY MAP RfiCEIVED FOR RECORD LOCATED IN PART OF THE NW +OP THE NEI OF SEC. !3, T3�3N R20W, CUTIFIED SURVEY HAP NBC FTEs 13.10 TOWN OF SOMERSET, ST. CItOIX COUNTY, WISCONSIl�?, AiJSt� EEL�tiCi COPY FEE s 3.00 PART OF LOT 2 CERTIFIED SURVEY N AP IN VOL, 4, PG. 1059. PAGES 2 PREPARED FOR: SURYEYOR: JAMES RUSSELL &TINADALE DOUGLAS ZAHLER 207 ANDERSON SCOUT CAMP RD S & N LAND SURVEYING, INC, HOULTON, WI, X082 2920 ENLOE STREET HUDSON, WI 54016 NORTH 114 RNER SEC. 13 -- - - - - TJ88'45'13" Ord 267.79° NORTH LINE OF THE N[ Ito . 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WARRANTY DEED THIS SPACC aiaCR'JCD FOR RCCOROINO DATA STATE BAR OF WISCONSIN FORM 2 -198! i 452815 :. - S5I PAGE 55 REGISTER'S OFFICE ST. CROIx CO., W► ... John.Howard . . . Rogness and James.Leonard._Kuehn . ...... _ Reed for Record ..... ............... ............................... ....................... . .............. .................. .. OCT 2 31989 .. .................. ••• 2:00 P. M conveys and warrants to ..... James. ....................................... xx ...... ......................................... ......... ...................... ......................... �j1 ...........•. RiepMer of Deeds .. ........... ............................... .......... -..... .... -...... ............................ RtTURN TO ... ..... ....... . ..... ......................... ...... .... ............................... . .............................. I........................... ..... ........ .- . ....... . ............ ....... -. the following described real estate in St. Croix ............... County, State of Wisconsin: Tax Parcel No: .............................. Part of NW Sec. 13- T30N -R20W, Town of Somerset, described as follows: Lot 2 of Certified Survey Map filed May 20, 1981 in Vol. "4 ", page 1059. • This - _. -.is no_t .. homestead property. (nxk (is not) Exception to warranties: Existing highways, easements and rights of *ay of record. Dated this .. _ _- .20th _.. -... -. day of .. -.. October . .. - 19 89 • ....... (SEAL) T / L . `er . SEAI-I . ............... ... __ ... --- .......- - -•• -. • John Howard Rogness_ _.__(SEAL) .':u' (SEAL • ......... .......... .. . .. ........... .. ............ . ..... James. Leonard. Kuehn AUTHENTICATION ACKNOWLEDGMENT Signature(s) ............................. ............................... STATE OF WISCONSIN 9s. ---• .....................................•--..... .....•- ••- •••••- •••- ••- ........ ST CROIX -- -••- -- ---------------- •--•--------.County. authenticated this ........ day of .........................., 19...... Personally came before me this ... Nth--.day of October . ......... I9.S�.. the above named John Howard Rogness and James Leonar-I ... .. ................ --- ----- - °- - -_ -- - ..... --.......- _..---- •- -..... Kuehn C f TITLE: MEMBER STATE BAR OF WISCONSIN ��.• ✓, -- . -- - - - - - -. •--------- ------- - -- -y: . -- (If net .................... ........... ' 2:.- ��:.._.:..--� . authorized by § 706.06, Wis. Stata.) to me known to be the person S ...... who executed the foregoing instrument and acknowlgdge the sattt�� Z.. J: 7415 INSTRUMENT WAS DRAFTED BY Attorney David J. Estreen _ �_ t :•�ye ...... ......... -- • --- --- ._....--- ••- - - - - -- ^ . David J. Estreen r 621 Second St. Hudson WI 54016 ................ .. - •......r.._......... St. Croix Notary Public .. _ County, Wis. (Signatures may be suthel;ticated or acknowledged. Both My Commk Sion is permanent. (If not, state expiration are not necessary.) date: ..................... 19. Names of Detfona signing in any capacity %hould be typed or Print--d I)M !heir Signatures. y►UC R1�t STATFO RM No. W 1142 StN Stock No. 13002 DOCUMENT NO. WARRANTY DEED 1 , THIS SPACS RRS[RV[D FOR R[CORDINO DATA ' i 1 STATE BAR OF WISCONSIN FORM 2 —1982 i I! f' John Howard Rogness and James Leonard Kuehn (! .... .............••---- ............ ................. ......................... . I i ..................................................... ............................... . ..... .... .- - -• -• . i .................................................................................. ............................... I { conveys and warrants to __•__ ........................ ........... .............. ...... ................ ...... ............................... ...................... •... .......... . -------------- ............. ............ �j _ -.- ............ ........... •- .................. • ............................._...•..... .................._............ ............ ................... _.. ... (� RETURN TO ............................................._.................................... ............................... ................. ..........-- •- • .......................St. Croix •-- ............................. the following described real estate in ........................ ........................County, i. State of Wisconsin: j T ax Parcel No:........... I i j Part of NWINEt Sec. 13- T30N -R20W, Town of Somerset, described as follows: Lot 2 of Certified Survey Map filed May 20, 1981 in Vol. "4 ", page 1059. i! i I i s i t I . This ....... s ot- _.__..... homestead property. . i .... n . . . (ft)K (is not) Exception to warranties: Existing highways, easements and rights of way of record. j Dated this ............. ... day of ................ October........................ ..........., 19...$.. .......................... .... (SEAL) ... ......... ......... .. ............. (SEAL) I John .. Howrd ...R..o 8.. nee ....... _ s ....................................... .. ..............a....... ............... �..- .......... ...... ............................• -- ...................... (SEAL) i t • .,I arses.. I�eonaxd.. %usbn .......................:.. i AUTHENTICATION ACKNOWLEDGMENT Signature( s) ----------•-•---•---•--•----- ----- --------- --- --- ---- - - - - -- STATE OF WISCONSIN ss. ---..--•----------------------------------------------- ----- •-- .-- .- .---- •• - • - -- ST, CRQIX.----------- - - - - -- County. i authenticated this ........ day of ........................... 19...... Personally came before me this ... NO ..... day of October ... ........... ......... 19.89... the above named John Howard Ro ness and James Leonard .........................•....--•-----........... ........- •- .................... .._. ........_..._.._.5........... --- .................... .. . ............... ................... ........................... ....•.Kuehn...........-- _..... .... ........ TITLE: MEMBER STATE BAR OF WISCONSIN { (If not . ............................................................ to me known behe on $ -•.- - -•--- who executed the pors authorized by 4 706.06, Wis. State.) { oi•egoi g int ut and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY —� - . Attorney David J. Estreen .............. ........... /{ ............ ... ........................... .......... .. .............. ............ . David J. treen ! .. ... j 621 Second St t . Hudson_. WI 54016 .................... Notary Public St Croix County, Wis. - •- ................ y ............ ....---- ...... (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date ................. 19.........) ; •Name, of Berri signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN pORM No. 2 — 188E Stock No. 13002 �t7rR 8 VOL �PAGE 5021 x A? H, REGISTER OF DEEDS RECEI VED kECORD CERTIFIED SURVEY MAP 07/14 01:15P?l LOCATED IN PART OF THE NWi OF THE NE* OF SEC. 13, T30N, R20W, REC ERTIFIED FEfi. 13 0 MAP TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN, ALSO BEING COPY FEE: 3.00 PART OF LOT 2 CERTIFIED SURVEY MAP IN VOL. 4, PG. 1059. PAGES: 2 PREPARED FOR: SURVEYOR: JAMES RUSSELL & TINA DALE DOUGLAS ZAHLER 267 ANDERSON SCOUT CAMP RD S & N LAND SURVEYING, INC. HOULTON, WI. 54082 2920 ENLOE STREET HUDSON, WI 54016 NORTH 1/4 CORNER SEC. 13 N89 °45'1 3 "W 2637.79' NORTH LINE OF THE NE 1/4 NE CORNER 8. 6 5 93 ' — -- -- S89 0 45'13 "E 659.97' — _SEC. 13 8 —- —� i►IVDEIlSEN 3COiJY CAMPROJKff 1318: 50.2 — — 42.61' S88'48'31"W 143. 3' 138.30' S89'48'22W 451.33' Nag' 64.9 — /}• p Z I ........ ...............,.. ....... "ss ss 's "'s % "ss`s`s "ss= ............. O w F C7 3.56 RES w p"� (155.077 SQ. T.) EXC. R/W 3.87 ACRES p I O I (168,697 . FT.) INC. R/W $$�$$� 5 z `r zl b' 2.37 ACR S CONTIGUOUS !,!, !, �;(1gg,2g0 SQ. FT.) ACRES R/VJ z i' ` 2 a - BUIL ABLE AREA �;� 7.03 ACRES w rn (306,381 SO. FT.) INC. RAN ; V]i o 1.74 ACRES CONTIGUOUZ::;'::::. g BUILDABLE AREA % of v� _�__� :•�' 00 W U W G is t� ct�� u"7 w x X ice ..rrrr r r at r rrrr r W � _ rrrrrrrrrrrrrrrrrrrr ,,,rrrrrrrrrrrrrrrr,rrrrrrr LU rrrrr,rri rrrrrrrr,rrrr rrrrrrrrrrrrrrrrrr rrrrrrrr rrrrrrrr rr, rrrrrrrrrrrrrr ..rrrr .1•rrrrrrrrrrrrrrrrrrrrrrrrr rrrrrrrr' ,••� �.� m r H rAl N. q ell' o it r 152.92 % y:::;::::: ............... :::::�:::: O O ;ijT945R78'533T "E332.3T� MAN-MADEI 15'PROTECTIVE D iN •"", .11 PER -• - �I NR 151.12(5xd1)____• • y i i W r OI •� - • � ...rrrr.. ' j LOT' - '.,�p,i 3.08 ACRE (134,037 SQ. FT .rrrr.. .f . r...r. ... ................... O ..a 2.35 ACRES CONTIGUOUS BUILDABLE AREA . , , .,.!, +���� oil scs= N8702S'12 "W 02 — — 211.02' — — _c&_ — S02 °34'54 "W WIDTH 35.00 VARIES LEGEND A SCOUT CAMP ROAD ALUMINUM COUNTY SECTION CORNER MONUMENTFOUND CURVE DATA TABLE m 3/4" IRON REBAR FOUND Number C1 C2 C3 1" IRON PIPE FOUND Radius Length 1214.08 1214.08 1214.08 0 SET 1" OUTSIDE DIAMETER Central Angle 21 ° 29 1 59" 17'26'31" 04 ° 03'28" BY 18" LONG IRON PIPE, Chord Bearing S81 *49 N79'48'04 -5 "E S89 126156 "E WEIGHING 1.13 LBS. PER Chord Length 452.91 368.16 85,97 LINEAR FOOT Arc Length 455.57 369.59 85.98 100' ROADWAY SETBACK Tangent In N87'25'12"W S88'31'20"W N87'25'12"W LINE OR (AS SHOWN) Tangent Out S71 04 - 49 - W S71 04 - W S88'31'20"W -4 PROPOSED DRIVE SCALE: 1"— 150' i .. i i 20% SLOPE OR GREATER 0 150 300 SHEET 1 OF 2 SHEETS PROJECTT# 6493 - 01 DATE: 6/16/05 Vol 20 Page 5021 l_ CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW* OF THE NEi OF SEC. 13, T30N, R20W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN, ALSO BEING PART OF LOT 2 CERTIFIED SURVEY MAP IN VOL. 4, PG. 1059. PREPARED FOR: SURVEYOR: JAMES RUSSELL & TINA DALE DOUGLAS ZAHLER 267 ANDERSON SCOUT CAMP RD S & N LAND SURVEYING, INC. HOULTON, WI. 54082 2920 ENLOE STREET HUDSON, WI 54016 SURVEYOR'S CERTIFICATE 1, DOUGLAS J. ZAHLER, REGISTERED WISCONSIN LAND SURVEYOR, HEREBY CERTIFY THAT BY THE DIRECTION OF JAMES RUSSELL AND TINA DALE, 1 HAVE SURVEYED, DIVIDED AND MAPPED PART OF THE NW1 /4 OF THE NE1 /4 OF SECTION 13, T30N, R20W, TOWN OF SOMERSET, ST. 'CROIX COUNTY, WISCONSIN, ALSO BEING PART OF LOT 2 OF CERTIFIED SURVEY MAP IN VOLA. PG.1059 ; DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTH QUARTER CORNER OF SECTION 13; THENCE ALONG THE NORTH LINE OF THE NORTHEAST QUARTER OF SAID SECTION 13 S89'45'1 WE A DISTANCE OF 658.93 FEET TO THE POINT OF BEGINNING; THENCE CONTINUING ALONG SAID NORTH LINE 589'45'1 WE A DISTANCE OF 659.97 FEET TO THE EAST LINE OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 13; THENCE ALONG SAID EAST LINE 800'24'00"W A DISTANCE OF 893.63 FEET TO THE NORTH RIGHT -OF -WAY OF ANDERSEN SCOUT CAMP ROAD; THENCE ALONG SAID RIGHT -OF -WAY N87'25'12'W A DISTANCE OF 211.02 FEET; THENCE S02'34' 54"W A DISTANCE OF 35.00 FEET TO THE POINT OF CURVATURE OF A 1214.08 FOOT RADIUS CURVE, HAVING A CENTRAL ANGLE OF 21 °29'59 ", A CHORD THAT BEARS S81'49'48.5 "W AND MEASURES 452.91 FEET; THENCE SOUTHWESTERLY ALONG THE ARC OF SAID CURVE A DISTANCE OF 455.57 FEET; THENCE N00'24'1 WE A DISTANCE OF 986.30 FEET TO THE POINT OF BEGINNING. CONTAINING 13.98 ACRES. SUBJECT TO RIGHT -OF -WAY OF OLD ANDERSEN SCOUT CAMP ROAD AND SUBJECT TO ALL EASEMENTS, RESTRICTIONS AND COVENANTS OF RECORD. I ALSO CERTIFY THAT THIS CERTIFIED SURVEY MAP IS A CORRECT REPRESENTATION TO SCALE OF THE EXTERIOR BOUNDARY SURVEYED AND DESCRIBED; THAT 1 HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 236.34 OF THE WISCONSIN STATUTES AND THE LAND SUBDIVISION ORDINANCE OF ST. CROIX COUNTY AND THE TOWN OF SOMERSET IN SURVEYING AND MAPPING SAME. ��,r;�, OF W/S DOUGLAS J. LE S 2 5 DATE 0 DOUGLAS J. Z S & N LANDS RV G ZAHL.ER 2920 ENLOE ST. * S -2145 HUDSON, WI 54016 HUDSON, WIS. SLWN� EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOWNSHIP LAWS, RULES AND REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING OFFICE AND THE TOWN OF SOMERSET FOR ADVICE. A SPECIAL EXCEPTION USE PERMIT IS REQUIRED FOR THE DISTURBANCE OF SLOPES 20% OR GREATER NOT PROPOSED AT THIS TIME ON THE APPROVED PLAT OR CSM. THIS PERMIT IS APPLIED FOR THROUGH A PUBLIC HEARING PROCESS BY THE ST. CROIX COUNTY BOARD OF ADJUSTMENT. APPROVED Sr. Cft= OCKP rY pkwmkw A ZOF*m cortw"m J U L 1 4 2005 If riot racw0ou W.aar :iv ways 01 approval date approval shall be null and Vold DRAFTED BY: WES ANDERSON SHEET 2 OF 2 SHEETS PROJECT# 6493 - 01 DATE: 6/16/05 Vol 20 Page 5021