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HomeMy WebLinkAbout032-1044-40-000 . Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538850 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: 032-1044-40-000 -7 Carufel, Lawrence Somerset, Town of CST BM Elev: Insp. BM Elev: BM Description:n Section/Town/Range/Map No: f0 its 1 ("5T 15.31.19.223 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 3.3 septic l,Jec--b "L''^ i Benchmark ia3 3 Ilk Dosing i 3 AItBM~ /O r 1 G 01 ,7. 15 Bldg. Sewer cI G .dJ q1r. 3 6 /C. Holding St/Ht Inlet D / 5. 3 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom Septic 7 Ally / ,7 40 7-3 ~ Dosing Header/Man. 1 67 cc,~ 7~j , (p3 Aeration Dist. Pipe Holding'- 3 ~O j/ Bot. System AQ, 6 c3Z 61` Final Grade PUMP/SIPHON INFORMATION Manufacturer DeP Aand St Cover u ~5 Cr ! S Model Nu ber r TDH Li Friction Loss Syste TDH Ft Forcemain Leng Dial. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width 1 Length No. Of Trenches ' A PIT DIMENSIONS No. Of Pits Inside Dia. _ Liquid Depth DIMENSIONS Z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer/` 1 + INFORMATION CHAMBER OR tt T7 Type Of System: 35 '6 . I UNIT Model Number: ~ L~ GZDno Z > c7 ,v A- Y- DISTRIBUTION SYSTEM 1to'h(` x Hole Size x Hole Spacing Vent to Air Intake Header/Manifold Distribution ~~~II C^ Pipe(s) ~ ~ 't'K., G Length Dia Length_~ Dia Spacing 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 W No Bed/Trench Center X/' BedlTrench Edges Topsoil Yes Yes H No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 2112 60th Street Somerset, WI 54025 (SE 1/4 SE 1/4 15 T31N R1 9W) 40 acres Lot Parcel No: 15.3 19.223 1.) Alt BM Description - 2.) Bldg sewer length = = S L / - amount of cover Plan revision Required? Yes X"No .7 Z~ 3 Use other side for additional information. ! Insep rs Si ure Cert. No. SBD-6710 (R.3/97) Date Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 538850 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)]. Parcel Tax No: Permit Holder's Name: City Village X Township 032-1044-40-000 Carufel, Lawrence Somerset, Town of Section/Town/Range/Map No: CST BM Elev: Insp. BM Elev: EBMscription: 15.31.19.223 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. hmark Septic FM Dosing Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TFriction Loss System Head TDH Ft Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth BED/TRENCH Width Length No. Of Trenches DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: CHAMBER OR INFORMATION Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM x Hole s acin vent to Air Intake Header/Manifold ]Db ution x Hole S ize P 9 ) Length Dia h Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Syste d s~Only xx Mulched Depth Over Depth Over xx Depth of F571 Yes 0 No Yes No Bed/Trench Center Bed/Trench Edges Topsoil Fs COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / / Parcel No: 15.31.19.223 Location: 2112 60th Street Somerset, WI 54025 (SE 1/4 SE 1/4 15 T31N R1 9W) 40 acres Lot 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? 0 Yes W No Use other side for additional information. Date Insepctors Signature Cert. No. SBO-6710 (R.3/97) RECEIVED SEP 21 2011 CRUIJ IMF r Safety and BuiftW, County 71T2`~~ Soy n t4ox C/e, Scm OING OFFCE 201 W. Washington Ave-. 47 Madison, WI 53707-716 Sanitary Permit Number (to be tilled in by Co.) U O Department of Commerce 53 Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2)- Wis. Adm. Code. submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) w / I submitted to the Department of Commerce. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law. s. 15.04 1 (m)- Stats. p~`J o J 1. Application Information - Please Print All Informati Propem Owner's Name ` Parcel # L-Gt~r G you e/ ~a~;oQ _F( L 032 - /0VY -yo -000 Property Owyner(s~M ing Address / j U Property Location 2 CJ l U V Govt. Lot f Z City. State l p Zip Code Phone Numbers/ (J S~ y, SG Y., 'Section/ r~"~s"~i✓ w~ YO ZS_ 715- Z 7 7/Z 1 T-N: R/ circlEoonL J H. Type of Building (check all that apply) Lot # Subdivision Name ❑ 1 or 2 Family Dwelling - Number of Bedroom Block S # ~U ❑ Public/Commercial -Describe Use I Q ❑ City of CSM Number ❑ Village of ❑ State Owned - Describe Use ❑ Town of Sb m P/rte 111. Type of Permit: (Check only a box on line A. Complete line B if applicable) ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only 101 Other Modification to Existing System (explain) List Previous Perm er Perm Permit Number and Date Issued ❑ ❑ ❑ ❑ it Transfer to New B. PermitRenewal Permit Revision Change of Plumb Before Expiration Owner !5Z ~7 IV-' v a of POWTS S -stem/Com onent/Device: Check all that a Iv ~I _ f Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil GLt4 Holding Tank Other Dispersal Component (explain) ❑ Pretreatment Device (explain) Dis ersal/Treatment Area Information: Design Flow (gpd) esign Soil Application Ratefa pdsf) Disper Area Required (st) Disper aI A r~ oposed System Elevation 0. 2.7 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 7_~2 New Tanks xi sting Tanks C. U ,A Septic or Holding Tank Dosing Chamber _ V IL Responsibility Statement- 1, the undersigned, assume responsibility for installation of t POWTS own on the attached plans. \-,77c t Pr intt Plumber's Signature MP/MPRS Number Business Phone Number f CA,, ~'~/.,1 I ,s~z 3 I3 7 7is -z Y7-,?203 r Street. Cih, State. Zip Code) ili -nunty De artment L sc Only Permit Fee Date ssued Issuine t Signature vcn Reason t Denial IN. Cnnditeacons for Disapproval 1 'Septic tank, effluent filter and JJ CY I O .dispersal cell must all be services I malnta~r~g~ hot _ L, as er management plan provided by plumber. ll~~ Z A# pICk teq*'ements must be maintained - ^le-z plan; for the s, stem and submit the C ^unhl only nn paper not less than 8 112 s 1 I inches in size Page 3 of 3 Name E~rY Brian Parnell Address .2 01/0 ~ 6oYK 1'e CST 231314 M~j wy Date - Benchmark 1 A Benchmark 2 S',,'/-- Soil S ❑ Boring Suitable Area 1" = 40' Scale - i~ + i~• I 7- / t ~ ~6 ~ I I I I 4 i I , ~ i. ~ G rr~~ I i i i I I i t I I f i t AN- t ~ 1 01 S-c L 1 (e of rn ~ . .2 r { Oc i i i CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: L G ne y C c,~ L Owner's Address: 2 d y® lrj in '"x a, Legal Description: G ~y -S-11F ~7' SC C /T_ A? 4`_ Township: SsJ~'? >°~~e i County: f C 0, Subdivision Name: Lot Number: I Parcel ID Number: Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing Page 4 System Cross-Section Page 5 Filter Specs Page 6 Maintenance & Management Plan Page 7 Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat Designer/Plumber: ~ r ?a,°^ C ~ License Number: 213« Date: Phone Number -7 Z . t?Z 03 Signature Designed pursuant to the In-Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 I Page 3 of 3 Name_°f~ ° 1~'`~e Brian Parnell Address !?5~0 60'``~ ~Ne CST 231314 So~~-~ G"'s Date A Benchmark 1 o- S y S A Benchmark 2 ~flc~, Sr' ~e CL ❑ Soil Boring i- -1 _ Suitable Area 1" = 40' Scale - G r ~ i I I I p I' G• r' f - n = C 1 -17 31 I ' r 0 s` ~C 17 C ra-i Fe of m 2 r 7 ET C. y 1-0 (It qw. z 9~-o //III, tT7,,1.5- 74 /Y Y e QCs 2r-.5-o('l 1&~e s 117 i e5 Lot, 3 Z I Soil Absorption System Cross Section 'Us ft Final Grade 4" Schedule 40 PVC Vent Pipe 7 11Wth Vent cap J Leaching q2• Ift Chamber System Elevation ft q ft Soil Absorption System Plan View ft ft ft Leaching Trench 1 Vent Or Observation Pipe Chambers Dia. Trench 2 Header Leaching Chamber SgMifications Manufacturer And Model el c/ T EISA Rating .20 sq ft per chamber Soil Application Rate 7gpd/s.4 ft 7 SU gpd Design Flow + 7 Soil Application Rate E{SA = 3~ Chambers 2 rows of chambers each. i Page of PA 2tiq INSTALLATION INSTRUCTIONS kWVAOM 1D l°d PL-525/PL-625 FILTER INSTALLATION INSTRUCTIONS Center filter with opening 2 r~ W~' TA IKE - - 6 e~`Y® Addd~ Step 1: Step 2: Step 3: (A) Locate the outlet of the septic tank. (A) Before installation, place the (A) Glue the filter housing on the (B) Remove tank cover and pump tank filter housing on to the outlet pipe. outlet pipe. if necessary. (B) Make sure that the housing (B) Insert the filter cartridge in the is positioned so the filter can be housing, making sure the filter removed from the tank for cartridge is properly aligned and maintenance and service. completely inserted in the housing. MAINTENANCE INSTRUCTIONS 1 Step 1: Step 2: Step 3: Locate the outlet of the septic tank. (A) Remove tank cover and pump (A) Insert the filter cartridge back If necessary. into the the housing making sure DO NOT USE PLUMBING (B) Pull the filter out of the housing. the filter is properly alighed I L WHEN FILTER IS REMOVED I (C) Hose off the fitter over the,septic tank. and completely inserted. B USE RUBBER GLOVES Make sure all solids fall back into the O Replace septic tank cover Y11tiEld CEEANIIVG FILTER septic tank. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page . of FILE INFORMAT70N SYSTEM'SPECIFiCATIONS Owner tx C F2 Septic Tank Capacity gal 0 NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer PO l L 0 NA Number of Bedrooms 3 0 NA Effluent Fitter Model 0 NA Number of Public Facility Units D NA Pump Tank Capacity al ❑ NA Estimated flow (average)3()o ci/d Pump Tank Manufacturer 13 NA Design flow {peak), (Estimated x 1.5) S al/d Pump Manufacturer 0 NA Soil Application Rate O e .7 al/d a Pump Model 0 NA Standard Influent/Effluent Quality Monthly average` Probeatri>~►t Unit .0 NA Fats, Oil & Grease (FOG) 530 mg/L 13 Sand/Gravel Filter 0 Peat Fn(t Biochemical Oxygen Demand (BODG) 5220 mg/L 07 NA 0 Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L: 0 Disinfection 0 Other. Pretreated Effluent Quality Monthly average . Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODe) . 530 mg/L 0 "round (gravity) 0 in-Ground {pressurized) Total Suspended Solids (TSS). 530 mg/L D NA 0 At-Grade 0 Mound Fecal Cordorm (geometric mean) 510' cfu/100m1 ❑ Drip-Line D Other: MWdMum Effluent Particle Size Y. in dia. O NA Other: D NA Omer. D NA Omer. DNA 'Values typical for domestic wastewater and septic tank effluent. Other. D NA MAINTENANCE SCHEDULE Service Fricy Servtde Etinernt inspect condition. of tank(s) At least once every: ❑ inonthis) (MWdMurn 3 years) 0 NA J s) Pump out contents of tank(s) When combined sluige.and scum equals one-third of tank volume O NA Inspect dispersal cell(s) At least once every: 3 months} H yeare) p NA (a sor(s} Clean-effluent filter At least once every: D month(s) DNA yeals) _ 'aspect pump, pump controls & alarm At least once every: D month(s) DNA 0 year(s) ='ue 'eterals and pressure test At least once.every: D month(s) DNA year(s) 0 month(s) 0 NA At least once every: D yeads) cther. D NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber Master Plumber Restricted Sewer POWTS inspector, POWTS Maintainer: Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or pondlig of effluent on the ground surface. The dispersal cell(s) shalt be visually erected to check the effluent levels in the observation pipes and to rick for any paxiing of effluent on the ground surface. The ponding of .effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one ibird Ws) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator 'and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Ali other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretrestrment units, and any servicing at intervals of 512 months, shag be performed by a certified POWTS Maintainer: A service report shag be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the.POWTS check treatment tank(s) for the presence of Painting products or.othar chemicals that may impede the treatment process and/or damage the dispersal cell(s). if high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at.the infiltrative surfaces. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess. wastewater wiff be discharged to the dispersal cell(s) in one large dose, overloading the.ceU(s) and may result in the backup or surface discharge of- effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Mai tamer to assist in manually operating the pump Controls to restore-nomral levels within the pump tank. Do not drive or park vehicles over tanks and dispersal -cells. Do not ;drive or' park over, or otherwise- disturb or compact the area within 15 feet down slope of any mound or at-grade. soil absorption area.. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the rife of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers: dental foss; diapers; disinfectaM .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 faits and/or is permanently taken out of service the following steps shalt be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin: Administrative Code: a All piping to. tanks :and pits shall be disconnected and the abandoned Pipe oP8iings sealed.. The contents of an tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. 0 After pumping: all tanks and pits shall. be excavated and removed or their corers removed and- the void space- titled 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 rode 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 .line and wells. Failixo to protect the replacement area will result in, the need for. a new soil and site evaluation to establisr a mitable -replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable. replacement area is not available due to setback animir soil. limitations.. Barring advances in. POWT$ technology a. holding tank may be installed as a last resort to-replace the failed POWTS. ❑ The site has not been evaluated to. identify a suitable replacement area.. Upon failure of the POW'TS a soil and site _ evaluation must be performed to. locate -a suitable replacement area. If no replacement area is available a, Bolding tank_ may be installed as a last resort to replace the far7ed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal -of the biarnat 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 INSUFFICIE T1 OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY N3E DIFFICULT-OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAMMAINIM Name Name Phone Z Y Z 0 3 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name -Name 57~. (/Ofil e C/~ 2 i ter, Phone Phone JJ'b. This document was draftsz' -7- •comrflance with chapter Comm 83.22(2)(b)(1)(d)MO and 83.54(1). (2) & (3), Wisconsin Admi atim Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OV NERLSHIP CERTIFICATION FORM Owner/Buyer L 61-Je / C ! IA- ~e Mailing Address Property Address (Verification required from Planning & Zoning Department for new construction.) City/State - Parcel Identification Number 3 2'' ~y'~ moo LEGAL DESCRIPTION Property Location T IN R~W, Town of S6/l"I Pal {f Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house yes no Lot lines identifiable 'j no SYSTEM PENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix county sanitary ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Pimmin & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe amlare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 3 91~l ,1/J4,4.4 I A F APPLICANT(S) DATE /ORE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. L.-lude with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if -.'Terence is made in the warranty deed. iREV. O&T-9 Wisconsin De artment o ~rrc011 SOIL EVAL ~J E PO RT Page of Division of Sa ty and ing~--C I C K~~ O~ON ance with Comm 85, Wis. Ad . Co Attach wmple sk ess than 81/2 x 11 inches in size. Plan must include, but no 1M cal and horizontal reference point (BM), direction and Parcel I.D. percent slope; s e or dimensions, north arrow, and location and distance to nearest road. 032- Q / ' f~Q-G0 0 Please print all information. Re d by Datee 7 / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). i / Property Owner Property Location / G-Or/ CCcIL.~G I Govt. Lot 5,~ 1/4 ~1/4 ~ST I N R / Dora Piro r rty Owner's ailing Ad ress Lot # Block # Subd. Name CSM# City State Zip Code Phone Number ❑ City ❑ Village [STown Nearest Road SOS trse f- l- r-7 SSeo z.s( /y7 2 y-7- 5 /1 V So ".17 e,-se 6th St ❑ New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe. Pare nt material I'/ t dl 0 cc fiG~ ~~a 1 s Flood Plain elevation if applicable ft General comments and recommendations: Boring # Boring l~ 6 P-1 ft. Depth to limiting factor in. Soil Application Rate ® pit Ground surface elev. / Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 "Eff#2 -0l 7 1 0-M /oy Z SZ- ms6` OZ- ctS ' ` Z /~)~~r s os P/- d , 7 .6 s os Pz- - 40,7 1.6 3 ~,K-12IJ~X P,4 ® Boring # E] Boring ® pit Ground surface elev. ,o ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 "EfF#2 I 0-ls /20#-%Z SZ- IMS~. Pl- yes O.y 0.7 2 1. 5--26 s~ 51- m'•t 0,0 0,2 3 26-1/0 S-Y ~ Ms os 0.7 Y y6 v ~/A J?~s Ds - - 4, 7 6 R i f~A -A ti " Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 g/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L Signa CST Name lease Print) ~ 3 'r'rPa., 6 /,7e tu 2CST Number l / Address Date Evaluation Conducted Telephone Number 3~~- /92 10/>1 e"1^StYA- 1"27 8-~0 ii Tis- 2 y7- 2 o,? Properly Owner C61 &A ' Pacel ID# 030-IO7 -440 a F Page ~ of > Boring # ❑ Boring / Pit Ground surface elev. q-'7 ft. Depth to limiting facto~ in. Soil Application Rate Horizon Depth Dominant-Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 j 0-13 1010%2 / .52- (ms~k G Les l 0, 6.7 13-2q 5-r 2 In s~)c 0.0 051 -V1 I ❑ 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 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limdjng factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODE > 30 < 220 mg1L and TSS >30 < 150 mgk * Effluent #2 = BOD5 < 30 mg/- and TSS E 30 mg1L 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. SBD4330 (807/00) OWNE Page 3 of 3 Name C G,"1r 610,1~~ l Brian Parnell Address ,.20 Yo-- 6 o -Vh 2 a' c CST 231314 S0 S-C-3e?' 4.37 Date -8-2© A Benchmark 1 QG f or, ~20 D 91-1a A Benchmark 2 SE'I~UrG~ 'DDOf f `/e I,-'--Z • ❑ Soil Boring Suitable Area 1" = 40' Scale I / e 1 I i S c/ 3l f ~4S i ~ N ~ i I 3 - i 2 ~ s e ~ lc M2 D AV, -7t ~ Dc7CiVMENT NO. STATE BAR OF WISCONSIN FORM 1- 1982 THIS SPACE RESERVED FOR REGOROSiV4 DATA =w.=rv n~rn 465902 ~tC! FAGEq[j Scott G. Sells and Sharon REG1STE WS OFFICE This Deed, made between A ~e J s,. " s_wife" ST. CROIX Co., Wt Reed for Record - Grantor, JAN 2 4 1991 :ind.. David A_ -C;arufe1..an-d .,C.Vjw.41- wife Q4 aAz M s..joint tenants, aF1..4ruu _v 1/2 lrtA_~ACt and-Lauren ce_ J. ( A'~3en Carufel, a-.single,man,. an undivi-dad .1/-2. aterest t > Grantee, 1?eglater of Deeds Z% itnesseth, That the said Grantor, for a valuable consideration. Pf- ene. dollar. and.. other good .and_-va l uabJ e..-con i.4ier.at luny _ convoys to Grantee the foil.,... a s?=--__ 3.1 real eattaLc in ----_~l_ •,_.~r~a X__. RETr1PN To C:.,_._.,Jry, Banff Of Somerset nn n..., won rv Wn vs o; t:I'-et Wi r.JYI~cJ Grantor's undivided 1/3rd interest in t-he following: The South One-half of Lhe Southeast Quarter Tax Parcel No : (SA of SE}) of Section 15, T31N, E19w; s . T, . •nea ----i~--`?-"-t---..... hon:=_est aad property- (is) (is not) Together with all and singular the hereditarnents and appurtenances thereunto belonging; And--------- -gxantor,.---.. warrants that the title is good, indefeasible i.. fee stmple and free and clear of encumbrances except easements and resl-rictions Gf re-cord and will warrant and defend. the sr.; e. Dated this 15th- day of January . 19.91.... _(SEAAL) (SEAL) _ Scott G. Sells ........(SEAL) _ n c.-.x3 0 ATJTTrENTICATIO] -Z ACKNOWLEDGMENT Signature(s) ,STATE. OF WISCONSIN ss. ST. CROIX - - authenticated this day of 19_ rarannally came before me this 15th.-.-.day of N~rsaAb•s _ - .•'•`~"(L'D()AI *`,t nla:Cyy.......... 29.91._. the above named G tt Sells__ and Sharon 4. SP. - - - v. t , CF7 ~ 7S Q~ - - TITLE: IIEbIBER STATE BAR r-,} A, (If not, .ICJ : z_ c authnrized by ^;o(,.)r,, Wt.. • ttt A(aelrnn n to-be h. cuted the .•t~ibi"c,eo,n Yis i,ru,.nr~ ..C' Cc:vl: •'-^c / ;X OXXX(XrXX XYX FOLK Parcel 032-1044-40-000 09/21/2011 03:09 PM PAGE 1 OF 1 Alt. Parcel 15.31.19.223 032 - TOWN OF SOMERSET Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner DAVID A-ET AL CARUFEL 0 - CARUFEL, DAVID A-ET AL 508 SPRING ST PO SOMERSET WI 54025 Districts: SC = School SP = Special Property ddress(es): * =Primary Type Dist # Description * 508 S ING ST SC 5432 SCH DIST OF SOMERSET SP 1700 WITC 2 Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 15 T31 N R1 9W 40A SE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 10/29/2007 863142 EZ-U 01/24/1991 465902 891/404 WD 10/18/1989 452631 854/222 WD 108/01/1985 403994 717/419 TI more... 2011 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/07/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 25,000 136,000 161,000 NO AGRICULTURAL G4 8.000 1,200 0 1,200 NO 10 UNDEVELOPED G5 17.000 30,200 0 30,200 NO AGRICULTURAL FOREST G5M 12.000 24,000 0 24,000 NO Totals for 2011: General Property 40.000 80,400 136,000 216,400 Woodland 0.000 0 0 Totals for 2010: General Property 40.000 80,500 136,000 216,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 145 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00