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Parcel #: 032 - 2023 -90 -100 06/30/2006 04:55 PM
PAGE 1 OF 1
Alt. Parcel #: 6.30.19.563A -10 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
CRP 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
MILES &AUDREY WITTIG O - WITTIG, MILES & AUDREY
1722 38TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1722 38TH ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 39.830 Plat: N/A -NOT AVAILABLE
SEC 6 T30N R19W NW SE EXC AS DESC Block/Condo Bldg:
1832/236 (ROAD) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
06- 30N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
02/07/2002 670549 1832/236 WD
2006 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 48,000 167,900 215,900 NO
AGRICULTURAL G4 20.000 2,400 0 2,400 NO
UNDEVELOPED G5 0.830 100 0 100 NO
ENTERED BEFORE'05 CLOSE W8 16.000 32,000 0 32,000 NO
Totals for 2006:
General Property 23.830 50,500 167,900 218,400
Woodland 16.000 32,000 32,000
Totals for 2005:
General Property 23.830 50,500 167,900 218,400
Woodland 16.000 32,000 32,000
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 129
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
ST. CROIX COUNTY ZONING DEPAI ,
AS BUILT SANITARY REPORT{1
Owner
Address Z 2 -37 Ah s�
City /State -er5 y �✓ Sin � 5
Legal Description: ,'tPaac FFS�,I
Lot Block Subdivision/CSM # �4 Ides
'/a 6L '/a SC • Sec. -,/,, TIN -R W, Town of sow• I`t1 #' '! z - Z e 3 2 - v
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer &J..ta-44 Size ST1PC 10a4 Setback from: House -Z 7' Well �T/L 1
Pump manufacturer Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: ,41 Width 3 — Length 11V Number of Trenches Z
Setback from: House 7( Well /ZG' P/L oo'< Vent to fresh air intake Acrp'f
ELEVATIONS
Description of benchmark 20 1km c f ;; c4.c dawn Elevation le--
Description of alternate benchmark Elevation T5, 2.S
Building Sewer ST/HT Inlet 3, yG ST Outlet �3 , �� PC Inlet
PC Bottom Header/Manifold Top of ST/PC Manhole Cover 9S. 7S
Tap o-' CA&,.kv
Distribution Lines ( ) 03. ,� () ( )
Bottom of System ( ) 99, zA ( ) ( )
Final Grade () q! o , / -? ( ) ( )
Date of installation /o / 6 / If Permit number �3 361?3/ State plan number
Plumber's signature License number Date 2 17o /a>
r
Inspector ,1�K
Complete plot plan Or
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
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Safety and Buildings Division
Vi scons i n SANITARY PERMIT APPLICATION 2 01 W. Washington Avenue
P o Box 7302
Department of Commerce In accord with ILHR 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 8 112 x 11 inches in size. Ct'bi
• See reverse side for instructions for completing this application State sanitary Permit Number
33ef3C�'
Personal information you provide may be used for secondary purposes WCheck it revision to previous application
(Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owner Name , Property Location
/li'.t U //></ Nkf 1/4 Sj;' 1/4, S ( T 3v r Nr R l4? $(or)�D
Property Owner's Mailing Add ess Lot Number Block Number
1 - 7 Z1 "2h Sf
City, State Zip Code Phone Number Subdivision Name or CSM Number
6 5 Z :5 1 (7/5 ) o? o Over -�* s4C ,-,e,5
II. TYPE OF BUILDING: (check one) ❑ State Owned o It Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms _� a row of 3g l'+' 5-1
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 3 Z , Zo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Ct}ec�C bo� line B, if applicable)
New Re lace not * � P �e�� Reconnection of Repair of an
A) 1. 2. p 3.❑ P 4.❑ 5.❑ p
______System ____ ___ System _____________ Tank Only______________ Existing System ________ Existing System
B) A Sanitary Permit was previously issued. Permit Number 33j,3jr Date Issued 'ya
V. TYPE OF SYSTEM: (Check only one)
Non Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
122�'Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill 3 , CLt6c >k,�2er$ 3f. F3
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 (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) p Elevation
4 0 /12 // Ny, p �. 3 Feet Capacit Feet
,
VII TANK in g allons Total # of Prefab. Site Fiber- Exper_
INFORMATION g Gallons Tanks Manufacturer r s Name Concrete Con- Steel glass Plastic App
New Existin structed
Tanks Tanks
Septic Tank or Holding Tank 1 ,060 d / rip p ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ I ❑ I ❑ I ❑ ❑ I ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber' Signature: (No S mps) MP / MPRSW No.: rB;sin;e Phone Number:
z - - 7 77- 3 u0
Plumber's ddress (Street, City, State, Zip Code):
1 Z
IX. COUNTY/ DEPARTMENT USE ON
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate I ssued Issu gent Signature (No Stamps)
Approved []Owner Given Initial Surcharge fee)
Adverse Determination 6 Z 2- d
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: ll
1- rtcrlew 446e� -� lK.�' ^o& a rW GtD�c,Sr Gvec S
L cc;1 4 7X. ow" AouSc &Am S Uer�'j��� Owe c 6<o., fv Awc "5 - 7A e
Se
copy T
SBD- 6398 (R.11/97) t^^ C DtSTRIBUTION: Original o County, One o: Siffety & 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 licensed pumper whenever
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 Buildings Division, 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 installed.
11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
111. 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.
Vil..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, drawn to scale or 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.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
JOB Li" 7 l et
TIMM EXCAVATING SHEET NO. I OF
Route 1 Box 192 2-' 10 - 60
WILSON, WISCONSIN 54027 CALCULATED BY DATE
(715) 772-3214 (715) 386-5443 t
MPRS #3224 W1 MPCA #696 MN CHECKED BY DATE
SCALE
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PRODUCT 205-1 Inc., Won, Man. 01471. To Order PHONE TOLL FREE 1-800-225-6380
ST. CROIX COUNTY ZONING DEPAR' *T wt
AS BUILT SANITARY REPORT
Owner
Property Address Z- gis kti
City /State 1 ,ONMG C)� '
Legal Description:
Lot ZIL& Block V4 Subdivision/CSM #
ALJ %4 r V4, Sec. _4p , TAN -R i� W, Town of 'Sa m er5� PIN # 3 z .ZU 3 2 - o
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer ), k 5 C , P•Size �IPC �/ Setback from: House � Well >' P/L
Pump manufacturer IVA Model
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road _ II_ Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: 4 Width _ Length Number of Trenches Z
Setback from: House T Well J.7- to PAL /,V ¢ Vent to fresh air intake IAO
ELEVATIONS
Description of benchmark �'��> elm Elevation faa
Description of alternate benchmark Elevation
Building Sewer ST/HT Inlet ST Outle PC Inlet
PC Bottom Header/Manifold Top of ST/PC Manhole Cover 96
Distribution Lines () 6 6' / q () ( )
Bottom of System O 1 - Z O ( )
Final Grade () fo 1 - 7 () ( )
Date of installation Permit number 3 3 Vg 3 State plan number
Plumber's signature h License number 2-24 - 2 "/ Date A04 /
Inspector
Complete plot plan �
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
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INDICATE NORTH ARROW
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y
Safety and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: yj ltw ff TAX
Personal information ou rovice may be used for second
y p y ry purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: ❑ City ❑ Village In Town of: State Plan ID No.:
T. T T T IC 14 ES
CST BM Elev.:- Insp. BM Elev.: B "J� Description: Parcel Tax No.:
, v D lj� 9 9fl —flflfl
TANK INFORMATION 1 D- ! —jQ ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION B t 1 SH . 1
FS ELEV.
Septic ®� Benchmark d
Aeration Bldg. Sewer
Hol / Ht Inlet
TANK SETBACK INFORMATION / Ht Outlet (Z
TANK TO P/ L WELL BLDG. Ventto ROAD CC lrvc2
Air Intake
Septic > 7 d�/ 40 NA tom
Dosing Header/ Man.
/.
Aeration A Dist. Pipe 7-
2r POP 6
ing Bot. System
L Tt 13 . /'/ r L r
PUMP/ SIPHON INFORMATION Final Grade
L -/2 o.zs 96,
Maqyfacturer Demand
Model Num GP
TDH Lift L oss to System TDH t
Force n Length Dia.
SOIL ABS PTION SYSTEM
er l
BED / Length width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIME I a 2. DIMENSION
SETBACK SYSTEM TO P / L BLDG WELL LAKE/ mo
STREAM L Ma fa tur
INFORMATION Type O y / > HAMBE Model
System: L VDU r QU `
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length d � Dia. Length �LL Dia. Spacing - 7
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.)
LOCATION: SOMERSET 6.30.19 563AINW SE 1722 38TH ST
11 3. ►tie fGu S�e, -i4o S 0\0 /LCU1
n ri4-5 i- :S47ZeJ9_ft.
of 5 r•�cG Gcrc � dGy^o7/rq 6rGC �� 6r,c
Plan revision required? ❑ Yes PN o
Use other side for additional information.
�1 SBD -6710 (R.3/97) Date Inspector's Signature Cert No
l /
•
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 W. Washington Avenue
Visconsin I n accord with ILHR 83.05 Wis. Adm. Code P O Box 7302
Department of Commerce Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County C140 than 8 112 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary P AttN�r
Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION
Pro Owner Name Property Location
/ `/� 4 ,A /4�Z 1/4, S 4 T 30 , N, R /4 N(orq
Property Owner's Mailing Addr Lot Number Block Number
/ Z Z 3F�'` �� A/ R
City, State Zip Code Phone Number Subdivision N me or CSM Number
II. TYPE F BUILDING: (check one) ❑ State Owned 0 Cit Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms [3 village Sc3JyI,P 3b't-V S� St Town OF
Ill BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
032" 2023- 9' -®00
1 ❑ Apartment/ Condo to . •t • S (o3 iA
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 on line B, if applicable)
A) 1. ❑ New 2. R Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5_ ❑ Repair of an
------ System ________ System Tank Only 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,® Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit / —CIiC 43 ❑ Vault Privy
14 ❑ System -In -Fill 34 – W< lj e a
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 (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
� 4 / Z / / 5<5! , V � 3 Feet • 3 Feet
VII Capacit
TANK in g allo ns Total # of Prefab. Site Fiber- Exper-
INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete stun- Steel glass Plastic App
Tanks Tanks
Septic Tank or Holding Tank 14xz) — `lJaf9 e,_iz aS• C, 91 ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ ❑ ❑ 1 ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumbe 's Signature: (No amps) MP / MPRSW N o.: Business Phone Number:
Aw �.w �a 7i5-777-
Plu m berA Address (Street, City, State, Zip Code) 31 ao /h -, v c✓ 4;eO a
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved San' ary Permit Fee (Includes Groundwater ate ssue Issuing Ag ntSigna ur
Approved []Owner Given Initial urcharge Fee)
Adverse � -
Determination �Gej
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11/97) 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 ermit must be approved b the permit issuing authority.
P Y
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 licensed pumper whenever
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 Buildings Division, 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 installed.
Il. 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 81/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or 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.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
:
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TI M M EXCAVATING
SHEET NO.
Route 1 Box 192,.
WILSON, WISCONSIN 54027 CALCULATED BY l 6 t C P l ,, ^1 DATE
(715) 772.3214 (715) 386 -5443
MPRS #3224 WI MPCA #696 MN CHECKED BY DATE
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PRODUCT 205 -1 Qlnc.. Groton, Mass. 01471, To Order PHONE TOLL FREE 1 .M225-M
JOB
TIMM EXCAVATING SHEET NO. 2 OF Z
Route 1 Box 192 �.
WILSON, WISCONSIN 54027 CALCULATED BY DATE _
(715) 772 -3214 (715) 386 -5443
MPRS #3224 WI MPCA #696 MN CHECKED BV DATE
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i
Wisconsi'h Department of Commerce SOIL AND SITE EVALUATION Page - 1_ of __3 -
"Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
Certified Soil Testing
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimensions, north arrow and distance to nearest road. --
.,.� Parcell.D.# 32- 2039 -0
APPLICANT INFORMATION - P a all information. - - --
Personal information you provide may be us fQr 'ndary p, oses (Privacy Law, s. 15.04 (1) (m)). view By Date
Property Owner Property Location
Wittig, Miles & Audry Co Lot NW 1/4 SE 1/4 S 6 T 30 N R 19 W
Pro Owners Mailing Address -� tot # Block # Subd. Name or CSM#
1722 38th St.
City Sta Code @� City Village ®Town Nearest Road
Somerset WI 025c - T omerset 38Th S[.
❑ New Construction ® R sC do drooms 3 ❑Addition to existing building
Use:
Replacement ❑ Public or commercial describe —
Code Derived daily flow 450 gpd Recommeridad design loading rate .3 bed, gpd /ft' .4 trench, gpd /ft'
Absorption area required 1500 bed, ft 1125 trench, ft' Maximum design loading rate .3 bed, gpolft' - t rench, gpolft'
Recommended infiltration surface elevation(s) 87.3 ft (as referred to site plan benchmar
Additional design / site consideration i nstall 2 - 3' x 108' Sidewinder, Hi- capacity'turtle- shell" trenches
Parent material till Flood plain elevation, if applicable NA ft
S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank
U= Unsuitable for system ® 11 U X S❑ U X S❑ U X S❑ U ❑ S Z U !:: S ;2s U
Horizon p Consistencq Boundary Roots B Dlft'
Texture
Depth Dominant Color Mottles Structure P
Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Trench
1 0 -18 lOYR 3/2 - sUsil mixed fill NP NP
1 �
2 18 -28 l OYR 4/4 - sil 2 m sbk I mvfr cs 1f � � .5 6
Ground 3 28 -48 5YR 3/4 - sl 2 m sbk mfr cs 5 .6
elev — - --
_ 93.5 ft 4 48 -68 7.5YR 4/4 - s 0 sg ml cW - 7 8
Depth to 5 68 -78 IOYR 5/4 - cos 0 sg ml cs - .7 .8
factor 6 78 -86 5YR 3/4 - A 0 m mft - - 3 .4 4
- -- — — -
Remarks: irregular 7.5YR 4/4 sl bands 48 -68; irregular 5Y9 3/4 sl broken bands/incl 68 -78"
' 1 0 -5 10YR 3/3 - sl 2 m cr mvfr cs 2171m .5 .6
2 2 5 -17 10YR 3/3 - sl 1 m abk mvfr cs if
.4 .5
2
Ground 3 17 -36 7.5YR 4/4 - A I m sbk mfr gs 1 If .4 .5
elev -- - - -- -- - - - - -- — - - -- - . -- -- _ .__. - --
_ 90.4 ft 4 36 -82 5YR 4/4 - sl 0 m mfi - - .3 .4
Depth to
limiting --- - - -- ______
factor
—- - - - --
> 82,
Remarks: occasional gr & cob below 36"
CST Name (Please Print) Signature: Telephone No.
Henry F. Grote 715- 665 -2681
-
Ad dress Soil esitng Date CST Number Ref #
P.O. Box 57, Knapp, WI-54749 11/12/1998 222774 1094
PROPERTY OWNER: Wittig Miles & Audry SOIL DESCRIPTION REPORT F p age 2 _ df ' 3 . .
PARCEL I .D.# 32- 2039 -0 Certified Soil Testing -
Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPD11
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed FTrem
3 1 0 -7 10YR 3/3 - sl 2 in cr mvfr cs If/m _5 .6
2 7 -23 IOYR 3/3 - sl 1 m abk mvfr gs IM .4 5
Ground,
elev 0 3 23 -33 7.5YR 4/4 - sl I m sbk mfr gs 1 f 4 .5
90.3 ft 4 33 -80 5YR 4/4 - sl 1 m -c sbk mvfr cs - .4 .5
Depth to 5 80 -84 5YR 4/4 - sl 0 m mfi - - .3 .4
limiting -_ --
factor '
Remarks: occ asional gr Z co a ow
1 0 -5 IOYR 3/3 - sl 2 m cr mvfr cs 1f /m _5 .6
,4. -
2 5 -13 1 OYR3 /3 - sl Imabk mvfr cs if .4 .5
Gro Sa 3 13 -36 7.5YR4/4 - sl 1 m sbk mfr cs if .4 I .5
ele - -- -- - - -1 -- -
91.7 ft 4 36 -96 5YR 4/4 - sl 0 m mfi - 1 f .3 .4
Depth to
limiting
factor
96
Remarks: s tr ucture a ow 33 is occasiona m SOK mvrr anon gr & co
Ground-- - - - - - -- --- 7------ �--- - - - - -� - - - --
elev
Depth to
limiting - --
factor
--------------
Remarks:
i
Ground - 1
elev
Dept - -- - -- - -- } _ + - -- -Y -- _
mp n to
factor
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Remarks:
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer
�J is
Mailing Address .2_ 3
Property Address
(Verification required from Planning Department for new construction)
City/State Parcel Identification Number
LEGAL DESCRIPTION
Property Location '/4, '/4, Sec. T 30 N - �'� W, Town of
Subdivision �A Lot #.
Certified Survey Map # , Volume , Page #
Warranty Deed # a, 7 7 3 3 , Volume �� �' , Page # 38 0
Spec house ❑ yes 9 no Lot lines identifiable JR yes ❑ 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
masterplumber, journeyman plumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
SIGNATURE APPLIC DATE
OWNER 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.
k wfo4, li / � 3/ /S 99
SIGNA F APPLIC 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 copy of the certified survey map if reference is made in the warranty deed
VOL 406 PACE380
277336
ADmNls DEED
I, Kenneth F. Wittig, of the City of New itichmond, St. Croix
County, wismisin, the duly appointed a.nd qualified administrator
of the L'sta +e of Alm.i C. Witti(+, a/k/a Alma Wittig, deceased, was
aut'.(ori7ed an empowered by don. Thos. J. O'Brien, t},.(, Ju('( *e of County
Co(,rt for St. Croix County, Wisconsin, (,i( the 19 dad- of Au-nst, 1864
to execute and deliver :(,r, ;rdministrator's deed to the fol,l ow nfr des -
cribe(1 property: Me ,northeast quarter of Southwest quarter (NE; SW4 )
an(i iNorthwest, oua_rter of Soutl (tu<,rter (NW St;I) and Lot 3� all in
Section 6 Cownsl 30 (Can( -e 1 9 '(ve� {,, .�t. Croix County, wi"consin, to
satisfy t' � terms of a Lan(' Coo t,r;tc t where! Alm;) 4 i t,ti(_- on < 3,
lg56 sold tl above described )r•opvrt,v to ';i1es lritti(- and :ludre%'
'/VFi t t,i(r, husband ttn.: iPe as Joint t,ern:;.uts ar;l sai'! 1,:InId Contract, was
recorded in the C of Jt( - i.stcr of Dee(1s for' .,i. hroix County,
Wi.scorisin, on July lo, 1 ir:_ Vol. 34, of im - --s 1Gl ,('(' 102.
Y';, t,!-ai, I, t'Ic 1'en7le1,11 i'.
i
in m c;tpaci i,v of At T istr.i tr ,r, i v vi i•t((e o power ,,r."i =i L, on ty
voste;; in me .r, co;(� idern,ti_r;�� ut' t'�( �,ur( of $37 ''t -.Ut:
the l;ti.l: nce 'due on c?I1" contr;Ct tO 1'( ir( 1);m(I :v,,i l 1) t si'l't ^:ilex
Witt,it iu(!r y ' .Iittisr, husbr +n,l ,, j !'e as Joint tei(ants (fo hereby
"ran ;�(, yell. •�nr! c(��i�-ev unto ,�i l .. ";�1os Wi1,tir* :,r ' Audrey
rittip, hust,.,n;l rti�,(! wi t'e, as feint tona:(ts, t.l;eir heirs I (I assi_ - ns
1711_ of t' `'ollowin(` descrihe! r!';ll e! Li to -i;i t,t l.rcix Coul;ty, (f]�
to —wit.
I�(e r +. (IUart,ec oI ., illi, "'fit (;Uirrt,(I' (..., G` , >i,4) nl?d ti`e
Nort!1v %e"t num - tor Ui �Io!;t! fM1l tlrr('I' +yy ( t -) ) a! l,; 1.Jo1. 3 7 - I ,
tie C l nr 6 ColctiF , 30' 'ttt n(r(' 19 (r(st, �,I,. G i C( V, Y1 COns in
.
To hI,.vc and to Hold the } i tjvd r( ;t l es to t o to i. i
witt.i - ;(n Audrov (ii'ti husband and wife as j,oirt; tenants,
their heir-, assi -ins forever.
tl said Keiuletl( F. i4 i t:ti(r :i.s Administra-
tor aforesaid ba.ve hereunto set my hand an� send tills 22 (lay of
i
Aul-ust, 1064. v}
Si. e( +l e in i'resence of Y �i� �- SIEAL
k(lmi_nistra.tor of le of Alma
` C. Wittig, a/k/a Alma Wittig
Vim. W. and
i
Lorene J hnson
s
L 1 IS
22 d e I' o T - !�4 C' 1: 1, 1 1) pe a
a 11 s
Ad.-illiF tr I ol. of
e n T" f !,-:o te i
11"("(Ii ];J(� 1.
o
c w tj COVVVYrl IC U
r e e k i l l t c a r c! c
W�. I r o; I
j, rm. i 111
277336
REGISTERS OFFICE
ST CROIX CO., WIS-
Rec'(j for Record this--25tb-
day ot- _Augxjat___A.D.196b
at -------- 9_0!I__A, M.
_D avid _HPnq --------
Rpg1ster of ri�
A
406