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HomeMy WebLinkAbout032-2040-90-000 ~C o 3 °o o O fink d 0 o CO c rn o o N O N> r N 1, N V' ~ O C1 C ~ i cz (D E z d'9 U O N ~ O N N O (y m Z m c N C !L c ,3 O c aa (0 a6 3 QQ= M I Z O> Z = o Z V m H a z 0 c O v o z c w 0 N ~ r c N E N M N Co ~ N c c Y U O Z I~ w Z N _ 2 co - N Lo 0 N H E ` CN CL A d N N CO O CL ~ 7 C N bip z c) 5 a U) ~ R z° no N a~ O O O •N a. IL IL o a co U) o U) _I U (D 0) 0) Z O a 7 r M Q O r -O E 00 ~I o o O a o 0 m C d b 'O N O T N ti d a Q Z cn 0 « O f~ H Y! C) 0 0 o Q 3 C y c m:3 o co rn M H n o O 0) ' O c a N N` O °v o N t o c 2-t ao O r c 0 U 7 r r N (D M N Opp 2 U c c L n O r r FP N M O N • M r E O :3 7 , O c o U O O r fn Q N O z z r2 (n EL -W E t c c m c _1 A c0 ~ a 2 1 O fU) V Parcel 032-2040-90-000 01/28/2005 11:49 AM PAGE 1 OF 1 Alt. Parcel 11.30.19.635A 032 - TOWN OF SOMERSET ST. CROIX COUNTY, WISCONSIN Current X, Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * AUSTRENG, MARTIN C & SUSAN J MARTIN C & SUSAN J AUSTRENG 717 170TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 717 170TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 5.135 Plat: N/A-NOT AVAILABLE SEC 11 T30N R19W PT NW NW BEING LOT 3 OF Block/Condo Bldg: CSM 10/2858 5.135 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1171/606 07/23/1997 1125/219 WD 07/23/1997 1094/147 WD 07/23/1997 1011/193 WD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 10924 238,000 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.135 58,600 143,200 201,800 NO Totals for 2004: General Property 5.135 58,600 143,200 201,800 Woodland 0.000 0 0 Totals for 2003: General Property 5.135 58,600 143,200 201,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 l AsconsisACepartmentofIndustry, PRIVATE SEWAGE SYSTEM County: 'Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268629 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: AUSTRENG, MARTIN C SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600352 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Loss Head Forcemain Length Dia. f Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET.11.30.19W, NW, NW, 170TH AVE Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: wo Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County O than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 1.1 06 4ta? The information you provide may be used by other government agency programs ❑ Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)l. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location . B~ 114 1/4, T,?,-) , N, R l E (or Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BUILDING: (check one) ❑ State Owned E] it~ Nearest Road q VII age ❑ Public 1 or 2 Family Dwelling - No. of bedrooms_ Town of GN 74 ' III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo C3 3 . y 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 Q 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. ❑ Replacement 3_ ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an System System Tank OnlyExisting 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 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev_ 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation s' ? . S d ; ,tea 117, r Feet d l - 0 Feet VII. TANK Capacity site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper INFORMATION Gallons Tanks Concrete glass App. New Existin strutted Tanks Tanks Septic Tank or Holding Tank N s G 9T - ❑ ❑ ❑ E] 11 Lift Pump Tank /Siphon Chamber L110 ft O. VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) P PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. OUNTY / DEPARTMENT USE ONLY Disapproved Sa tary Permit fee (Includes Groundwater ate Issue Issuing Age Signa re o St ps) Surcharge fee) ^ j4proved F] Owner Given Initial / Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHE)-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: 5, fety & Buildings Divr ion, Owner, Plumber { INSTRUCTIONS k R. 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 licerxed 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, 608-266-3815- To be complete and accurate this sanitary permit application must include: - 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, 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. DG- `v SL a~ L r I o K ~ rB~ PAGt CF PUMP CHAMBER CROSS SEC IOIJ AND SPECIFICATIOKJS VEKJT CAP 'i"C.Z. VENT PIPE WEATHERPROOF APPROVED LOCKII\IG MAMHOLE COVER IN 25' FROM DOOR, JUNCTION BOX WWDOW OR FRESH IZ"MIU. AIR INTAKE I GRADE I 4" MIIJ. I I B" m1 N. COWDUIT 18"MIN. \ 11~ IAILET PROVIDE I AIRTIGHT SEAL I / * A I I~~ I I I I ( ALARM II 15 I O *APPROVED I ON JOINTS WITH ELEV. FT. APPROVED PIPE I 3' ONTO PUMP OFF TD SOLID SOIL CONCRETE BLOCK RISER EXIT PERMITTED OI.1Ly IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE TANKS MANUFACTURER: !f) ,`c>!Gc ~~T~y~ IJUMBER OF DOSES: 3 PER DAy TAMK SIZE: , I -L b+ GALLOUS DOSE VOLUME ALARM MANUFACTURER: A ~ J P_1 gtr'.r/I INCLUDING BACKFLOW: f~~ y GALLONS MODEL NUMBER: CAPACITIES: A=__ZZ_'_l_NMCHE5 OR 212-4 GALLONS SWITCH TyP[: r c-,- coINCHES OR GALLONS PUMP MANUFACTURER: C = 9' INCHES OR GALLONS MODEL NUMBER: 9b' D-INCHES OR GALLONS SWITCH TYPE: /JJ CyG MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. _L- FEET + MIUIMUM NETWORK SUPPLY PRESSURE . , , , , , , ~ FLET + FEET OF FORCE MAIN X -~F/ooFZFRICTION FACTOR.. FEET TOTAL 09 JAMIC HEAD = Ql 1 FEET IAMTERIJAL DIMEWSIOUS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH 5 1GUED LICEMSE HUMBER: QG- DATE: HEAD CAPACITY CURVE 3 7/e 6 1/4 MODEL "913" 4 5/6 0 I e 2 e 4111111. 1 3 5/6 6 a ♦ 32 1 O 4 3/16 4 a ~ 10 1 112-11 1/2 NPT 2- 5 0 U.S. GALLONS 10 2 30 40 50 60 70 eo LITERS I 160 240 0 FLOW PER MINUTE l.~ T r- rEAWLOW PEA MMUTE &RUENT AM O MrATEM0 CAPACITY 12 HEAD UNIruMtN FEET METERS O7 S LTAS S 1.52 2 72 273 273 10 3.05 61 231 15 4.57 45 170 3 5/16 20 6.10 25 95 Lack Val" 23' I CONSULT FACTORY FOR SPECIAL APPLICATIONS e Electrical alternators, for duplex systems, are available and a Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. a Mechanical alternators, for duplex systems, are available with • Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls. SELECTION GUIDE Standard all models - Weight 3911bs. - V2 H.P. 1- Integral float operated 2 pole mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable as Seri" Control 8deefion level, float Modal Volb-bh Mode Ampis Simplex Duplex switch. Refer to FM0477. M96 115 1 Auto 9.4 1 or 1 6 7 - 3. Mechanical alternator 10-0072 or 10-0075. NN 115 1 Non 9.4 2 or 2 & 6 3 or 4 65 4. See FM0712, for correct model of Electrical Alternator,'E-Pak'. D96 230 1 Auto 4.7 1 or 1 &7 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. E96 230 1 Non 4.7 2 or 2 & 6 3 or 4 a 5 6. Four (4) hole 'J-Pak', junction box, for watertight connection or wired-in simplex or duplex operation, 10-0002. 7. Two (2) hole 'J-Pak'. for watertight connection or splice. Faye a, CAUTION adit* W Zo llarprodUcts Icier to catalog on Combmd,.n Starter, FM0514; All installation of controls, protection devices and wiring should be done by a qualified Piggyback VaAable t." 9wdtchee, FAA04 r7; Electrical Altemsto(, FMOt86; Mechanical Aaemstor. licensed eleetricien. All electrical and setety codes stw.dd ba IoaevwdMduditgttr most FMOM Alan PackagA FM0513; Sump/Sewaga 6asina, FM0487; and simplex Control box, FM0732- recent National Electric Code INEC) and the Occupations! Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AWL TO. P.O. BOX 16347 Loukto a. KY40256-0347 Manufacturers of . SJI/P T0: 3280 01b M lane Louisville, 2f6 (502) 778-7791 • 1(800) 428-PUMP .9ACLc FAX (507) 774-3674 1 LaiiH a Industry, SOIL AND SITE EVALUATION REPORT Page/of Labor and Human Relations Division of Safety & Buildings in accord with I LH R 83.05, Wis. Adm. Code COUNTY .,Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 03 7- _ p y - p APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT W 1/4 4/4,S q T &0 N,R /17 E (or)o _PROPERTY OW R':S MAI NG D gift LOT # BLOCK # SUBD. NAME OR CSM # CI V, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD x 7 (71r)2y7-gVjy° -So 1 / 70 dCI-4, j(] New Construction Use [ ] Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate . 7 bed, gpd/0--t-_trench, gpd/ft2 Absorption area required rvy3 bed, ft2,S-(.3 trench, ft2 Maximum design loading rate , 7 bed, gpd/ft2_,L_trench, gpd/ft2 Recommended infiltration surface elevation(s) r ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ®S ❑ U gJ S ❑ U 49S ❑ U El S EAU ❑ S Q1J ❑ S E flu SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoLndary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench :;:.r... 1 7 s SL U S~ aw /I/ , y. -/0 syi~ 3! Se L >f-"S,B~ ~r GS "3 Ground elev. Depth to limiting factort Remarks: Boring # / Q.~ S kZ.r $L IGFS$,(~' F a'G(/ ~dF i t s z SYR 31'' SQL Fs&C x0he Ground::::: 7.~W34 7 , 0 elev. 10 /0'~S'r ft. Depth to limiting ~.Y factor „ S. Remarks: T CST Name:-P s rint Phone: ZONING y D4-4 n i's s ,268'- L Address: ~ 7L lilp 1c ST A .Pr Signature: D-aftow; 7 -/0-9(0 t CST Number. PROPERTY OWNER Mdl" SOIL DESCRIPTION REPORT Page pf, PARCEL I.D. # r Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft , in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends -Z0 AW4 Ground 3 0./ 7 ~3/.3 S 0- /hL elev. /O~• Oft. Depth to limiting factor Remarks: Boring # her Qs -Ground::; elev. p. /0 ft. Depth to limiting factor y 77/as Remarks: Boring # St Qw 1,3 Ground -g 7. rYP.W 3 lev. 0 ft. Depth to , limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) I ; I I I I ~ i I i ~ ' I ~ ' I i i it I ! or d, 40 ~ i ' J I I I I I I I i ~ I ' I i ~ I I I ! j ~ ( f I j ~ f ! ~ -I I ; I ~ I I I ~ ~ I I I I I I I { I i I , I I I I { ! ~ f - i ~ -r I i { 1 I - I I I f : r -I I ~ , I I I I I! I I ~ I, j I ~ I I : I I I , I I I I i I I I I I I I _ I I -I ~ I I j j I ~ I I I I y~ I I v 1, I I I ~ I I I i -I I t ~ I_ I i I r I i I ~ I I i I I I j I _ i I 1 I , I ! I I i I j I 1 I I I I I 1 I I I I ~ ~ a I. ~ I ~ ' ~ I I- Y A I I ~ I I i I ; ' ; , ~ f - - - - - - - - - - I , I .1(Viscimsin'Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 falll~ and t~;man Relations DVP gf Aafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but oix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCE r dimensioned, north arrow, and location and distance to nearest road. 0 040-~'~CEIVFD J APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVI P BY MAR ~ 4 1996 PROPERTY OWNER: PROPERTY LOCATION ry ST (,-ROix Jim Dahlb GOVT. LOT NW 1/4 NW 1/4,S 3 C 19 90 PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK# SUBD. NAME OR 399 Brookwood Dr. 3 na csm v01.10 0 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [3(OWN JN Hudson, WI. 54016 915)386-0244 Somerset 170th. Ave. [ New Construction Use [x ] Residential / Number of bedrooms 3 [ ] Addition to existing building J Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 103.00 ft .(as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of El. 102.00' Parent material pitted alacial drift 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 fors stem ❑ S ®U ® S ❑ U ❑ S I2 U El S f] U :1 S CCU ❑ S E SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench l1 0-7 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 t 2 7-31 10yr4/4 none sl 2mgr mvfr gw if .5 .6 Ground 3 31-5 10yr4/4 c2p 7.5yr5/8 scl lcsbk mfr na na .2 .3 elev. 105.00ft. Depth to limiting factor 31" Remarks: Boring # 1 10-9 10yr3/3 none 1 2msbk mfr 9W if .5 .6 .pvin 2 2 9-27 10yr4/4 none sl 2mgr mvfr gw if .5 .6 3 27-4 10yr4/4 none sl 2msbk mvfr gw na .5 .6 Ground elev. 4 47-60 10yr4/4 none wet sl lcsbk mfr gw na .4 .5 104.75. Depth to limiting factor 47" Remarks: CST Name: Please Print Gary L. Steel Phone: 715-246-6200 1554 200 Ave., New Ri ond, WI. 54017 Signature: Date: CST Number: 3-11-96 cstm 02298 PROPERTY OWNER Jim Dahlby SOIL DESCRIPTION REPORT Page _2_ of 4-7: PARCEL I.D. # 032-2040-90 4 0. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell ()u. Sz. Cont. Color Gr. Sz. Sh. Bed Trench { k 1 0-6 10yr3/3 none 1 2msbk mfr ciw 2f .5 .6 ..3...> ::2 6-22 10yr4/4 none sl 2msbk mfr gw if .5 .6 Ground 3 22-4 10yr4/4 none is Osg mvfr gw na .7 .8 elev. 4 43-6 10yr4/4 none wet of s M na na na .4 .5 99.&. Depth to limiting factor 43" Remarks: Boring # 1 0-10 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 2 10-21 10yr4/4 none sl 2msbk mfr gw if .5 .6 3 21-4 10yr4/6 none sl 2mgr mvfr gw na .5 .6 Ground elev. 4 40-60 7.5yr4/6 none wet of s M na na na .4 .5 105. 00t. Depth to limiting factor 40" Remarks: Boring # M. Ground elev. n. Depth to limiting factor Remarks: Boring # . Ground elev. ft. Depth to limiting factor Remarks: S13D-8330(R.06/92) STEEL'S SOIL SERVICE Gary L. Steel Jim Dahlby 1554 200th Ave. CSTM2298 WIWI S11-T30N-x19w New Richmond, WI 54017 MPRSW 3254 town of Somerest (715) 246-6200 lot #3- csm vol 10-pg. 2858 I N 1"=40' BM.= top of NE lot stake 19 el. 100' 9- 00. G~ A44 v ~ p~ o o 60 G~~ko ~p~i Cl~ S/a te r~ ",d- -/Cl i ~ In 49 17 GAry L. Steel 3-11-96 IS O,14SIN,REAL.ESTATE TRANSFER RETURN - CONFIDENTIAL submit all P~ to Register of Deeds with document(s) to be recorded. i-. MR: ' V. PHYSICAL DESCRIPTION AND PRIMARY USE 1. Name XAI~ IaAffi$Y 15. Kind of property 1~. Primary,use .2. Address New address.ifpcoperly.transferred was primary'resldence ® Land only a.n Residential ',SL'OQ~CiMDOd ~L'iYf' ❑ Land and buildings ® Single family/condominium Ot"C `1 W16 ❑ ` Other (explain) - ❑;,Multi-family units 17-Estimated land area and"rype ❑ Timeshare unit 3. Gratltt!F i,~pdhW at<y P,attnarshlp Corporation ❑ Other a. Lot size x b.❑ Commercial NOW" use b T07ALACRES II. GRANTEE T. x ❑ Manufacturing - bu~neat'uee . 4. Name 1igrtin ffi1d $41 AUB~>t!faT3K c. WILY FC1 WTL acres - dT ]Agricultural 5. Address ' " d. Ft. of water frontage Adjoining land within 3 miles? ❑ Yes ❑ No 9.[:] Other (explain) 104 lend VI. TRANSFER Nex RU 5$01x . a{ } ~ :t r,;,".~e -18.7vp transfer: .Sala Q• ❑.Exghange ❑-:Qfher(explain), 4. 214 6.-Grantor/grantee related None ~Gorp/ShareholderSubsfdlaar Partnership ferred: { Full . ❑3Partial (explain) y 19.Owaership Interest-trans; Financial ❑ Family or other explain F-] 20.-Does the grantor retain any of the following rights?[] Life estate ❑ Easement 7. Send tax bill to: Name and address 21: ED Deed in satisfaction of original land contract? Dated? 22. Points (prepaid interest) paid by-seller $ ,23. Value of•personal property transferred but excluded from (25) $ III, FNERQY >8.51s this•prTertysubject.t tie Rental Weatherization, Standards, 4LPM7? " 24. Value-of property exemptfromlocal property tax included on (25) $ Yes ` o . Excluslon code/' ` _If W11, explain VII.,COMPUTATION OF FEE OR STATEMENT OF EXEMPTION IV. PROPERTY TRANSFERRED 1 t~ 9. F71 City F71 Village ❑ ?ownIr' - 25 Total %Falne of REAL ESTATE transferred $ / County; St. .~Crou 26. Transfer we due (line 25 times-.003) $ EN 57 x 27. TRANSFER EXEMPTION NUMBER, sec. 77.25 10. Street address. 11. Tax parcel number 032 2040 90 12, Lot no.(s) Bilk. no.(s) 28: Grantee's financing obtained from a. ❑ Seller Plat name ttbox a or b Is checked, b. El Assumed existing financing P„ VIII . - complete 13 Section C. Flnancial institution /Other 3rd party 13 Township 30H Range.- 19 W FMancMg `feRns d. ❑ -No financing involved -14.-Legal Description metes and bounds: (attach 4 copies ff necessary) Pat of N It; of I of S 11, T30N, Rl9`+q, described as follows : - Lot 3 of CSK filed December 22, 1994 in Vol. 10, pane 2858 Doc no 524542. f VIIL-FINANCING TERMS4FOR-SELLER/ASSUMED FINANCED:TRANSACTIONS ONLY) 29. Total down payment, $ . ,(Line 29 a, Une 25 minus Lines 30a, b and c excluding payments for personal property) 30. Amount of mortgage/land 31. Interest 32. Principal and interest 33. Frequency 34. Length of 35. Date of any lump sum 36. Amount of lump contract at purchase rate (stated) 'paid per payment of pymts . contract (balloon) payments -sum a $ % $ - - $ b. $ % $ - $ 77 37. If the dollar amount paid per payment (32) Is scheduled to change`(not as a resuit of a change in the interest rate), fill in the line letter from above Enter the date'of change and thES amount it will change to $ _ 1Xt,CERTJEICA#QN ~d(goclarg;ynderpenaltyzrflaw,;hatthl;frgip~r,as)@etle>faminedbyusand:tothe, best afourknowledgeandbeliefltls:true•GUrraplattdomplete, Gfalty ot or spent t Date Grantor's tetepho`f R or I i SIGN r:. HERE Grantee or jagent// Date Grantee's telephone number Agent's to ephone num er 'Print name a ddress of ti ntod 'agent Document.number Vol./Jac, .:PageAm. Date recorded:.:. Date.andJiind.of:conveyance Conv.code 1 2 3 4 FOR Parcel nurllber As~ L yep ig ❑ Field' ` ' Sales rjumber ASSESSOR``-S i A-, L . , r 77,57 k' County USE Parcel classification I Tax dist ❑ use ONLY - RES COM MFG AGR.S/W.-FOR 1 2 3 4 5 6 T Assmt. dist. ❑ Reject Wisconsin Department of Revenue ?~-SdP(l~ 2;g4P.',',',`,',','.', PRPpERTV.pWNt'S.GO•PV . . . 1 r STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERIBUYER MA-F-T /A/ ~4-~I ' ~T .lr►~I~ MAMI NG ADDRESS -717 i_~ vy PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE (,u~lsC-C)Afsi PROPERTY LOCATION MA/ 114, IVW 1/4, Section _ T,3R__LQ~W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NU1vIBER CERTIFIED SURVEY MAP VOLUME PACEa6L9, LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system- St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum- 1/%Ve, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR- Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration da SIGNED: - DATE: St Crow County Zoning Office Government Center 1101 Carmichael (load I iudson- %VI 54016 1 1/9 8 T C - loo This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property /,,4r_.r Location of property !V 1/4 1/4, Section TJ~Q N-R t,9 W Township Mailing address Address of site 7~ _V`cn)t Imc,~ (,~,1( 717 Subdivision name Lot no. _ Other homes on property? -Yes No Previous owner of property -_14,A "DA L'R`j Total size of property 5• 13,~` Ae• ;a&L,~„y, _e Total size of parcel ,J Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume L► ir_ and Page Dumber (11 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded n the ffice of the County Register of Deeds as Document No.and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the county Register of Deeds as Document No. 4,Snature of Appl cant Co-Appli nt /c~j4 IC1 Q-7 ~ O s FILED DEC 2 2 1994o- JAMES O'CONNELL Register of Deeds 524542 2 SL Croix Ca, Wf I w N C ER T 1 F .I ED S UR V E Y M/q Located in the Northwest quarter of the Northwest quarter of Section 11, Township 30 North, Range 19 West, Town of Somerset, St.Croix County, Wisconsin. S 87 015 ' 31"j - - - - 170 TH _ S 87' 15' - - 725.05' 209. 17 31 202 "E 97 585.63' 173.49-'- s 87" 15' 31"E NW COR. _ SEC. I1 'o•. 209.15' © 0 2020 173.45' 1310.68 ' T30N, R19W m 585 52 0 C ro + S870151 31 11E M o NI/4 COR. rq 12 SEC. I I NO TH LINE OF THE N 1/4 HOUSE O 03 3 '0 a ate ' 3 ~ ~ SHED m z t:71. t7, a o Cr a 10ro H•^ - D o z'o 0 C Q) z a5 z z W M W U U U U = W s~ a: c C; o ~ a_ ro rC 0 W N o o W W z N ir d O 0 Y Z d F 0 W t0 iT tz U? H Ci! tY z W W (j) W - W M M r o CU L0 - - o v 0 ~ a ~oz W In LL d N r: 0-% s t N ID U U d z z- d z cr z in O co m FC < W o v W o- m O 3 O Q W F- N 0 U W z W c1 In : N C M (p J U X z Lr z I- n J ® ^ O L ti 6ti tc W - W 00 U 4- 4J C'U m m r'~ 4- 4-! (r) 3 co r- O- J W Z U. N o O Cr o N cr) ® b 17 n" qT 3 • o w0 Z o Uj v; ; co Ln L`( (n er r a•' a-' m O z (Y) tr a En (P U O N r • W N cN iV rl) N . d: G C~ F= cr 11C O U. J ci O M r, U) 0 N N 3 W z z t W -in = W t i O 0 NN t z Q \ OD NOTE URVE MFORMATI ON z w REWERSE SIDE. J I=- ~rRgC ' Q 0 0- \ n w I IIWw 2005-Warranty Deed. Individual to Joint Tenants. Form No. S. Minnaaota Uniform Conveyancing •iank. (1931). i 314902 Tbi! nbe UHe .11r de thix.._:....98th February 73. hehceen ....Geor~e. oleom~ and Glad~rs E. Holcomb, husband and wife of the County of St . . Croix .......................................and Statenj. Wisconsin., lxo l..ies, . of the first part, and........, A.r1tlUr..1. G1 1.1 ~.0 x... rxd..14xen...F.....0ji111tzer......husband...and...lai£e.. .....St..............C.roix of the Cnote/// of Wisconsin rrtrd State of............. , I,(ortir•s of the xftu,trl Itrrtl, thtglittb. ?'lets( the sat part'..ies ..n the first I,ar•t, in r•nnxilleowtion of the xuot (of One o liar and other a .got nd valuable considerations - - - - - - - //I/~ l,. //1.~, to.......theY.....-in hand paid bJ the said parties of the second port. the rcr•eipl n•let•reof" is hereby ar•lvtun•l- 1 ed j'ed, do ..................hei-eby (,rant, llar.airt, Sell, and Cunrey tinto the .soft! partlr.r of the second part trx joint tenants area not ris tenants in conlnton, their assigns, the xu,viror• of snid partirx, and the ltrir•.s and ax- signs of the sa,•r•irvn•, Forcrer, all the tra,et.s..... or parvel.s.....of lane/ lyin( and being in the Coonty of $t._...+....t'O.X ......and State of X6DL167 jA3L dexeribed ax ful/uyus, to-uit: ' Wisconsin, I Parcel 13 - A parce: c: land 1.L-rated in i,iie i4o" of sue rwz of Sect ion 1 1 , T30N, Rl~, 4j Town of Somerset, St. .Croix County, nisconsin, described as follows: COMM.encing at the NW corner of snid Suction 11; thence N8')034'E (true bearing) 727.63' along the North line of said Section 11 to the point of beginning; thence N890341E 210.001; thence S00011E 1128.1' more or less to the North line of the Soo Railroad right-of-way; thence Northwesterly along jj said Northerly right-of-way line 233.1' more or less to a point TF AN SOo01'E 1025.31 more or less from the point of beginning; thence 4- NOo01' W 10'15.3' more or less to the point of hel;innin~;; except $ the North 33' for town road easement. 'I FE Parcel #4 -'A parcel 'of'-land located, in the NWj of the NWj I) Of Section 11, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin, described as follows: Commencing at the NW corner of said.Section 11; thence N890341E (true bearing) 937.63' along the ll i North line of said Section 11 to the point or beginning; thence N890341E 200.001; thence SOo01'E 1211.8' more or less to the North i' line of the Soo-Railroad right-of-way; thence Northwesterly along said Northerly right-of-way line 216.3• more or less to a point SOo01'E 1128.1' more or less from the point of beginning; thence NOoOV W 1128.1' more or less to the point of beginning; except the North 33' for town road easement. go t}abt anb to *o1b tbt liamt, To4ethcr urith all Ntr hcrrdihtneents and appiertrnaorrx there- unto belonoin. or in (mytrise aplrertaining, to the said parties of the sr•rond print, their ox.,irdns, the xur- t•iror of ..vein parties, and the heirs and assigns of the xyrrrrr•or, Fo e'l-cr, the, snid parties of the .;er•und part lokin_t ns joint tenants and not as tenants in comnton. Ii Inf/ the said George...~.~...Holcomb...and....r .1 dy...... .....~i.P.hC.Sim ......hu.~.hand....and...itl.fe._.. I part..... e.$....of the first pru•t, for.._.....t eir........_.. ................heirs. nrervdor•x and udnrinixtrotor•x do.......... vorr•,nntt With the snid parties of the second port, their axxi£inx, the sur•rirnr• of xaid-panics, fund Ihr hr;rs i and nssevinx of the xurrnvir, that....... tho.V............ toell seized to fer of the bonds fntd premises o forrxaid rot(( have._...,oo d rilfht to sell and ron cell the xrrnte in manner and font ol'nt•exaid, and that the xanle are j free fmill nil inrombrances, i .Intl the rrl fwe har.doined anti granted lands and premixes, in thf• yrrir%!jnr(, l,eacroblr lxtx.sesxlpte of the said Itarlies of the second port, their assigns, the surt•iror•nj nail! Itartirtr. 4ind the hrit•x flood ftxxigna of the xurvirnr•, ao,'ainst all persons latrfully claiming or to claim the ml~olr'nt`tMHl~jRii+~ thereof, xnbjert to its- rnrnbrrnnvs, if any, hereinbefore nnentioned, the said loort....eS•_.....nf the first lint mill 11'arrant and llr- nEEU, I Nu , ~•,v. WARRANTY DEED 11115 SPACE nr.SEnvEO 1 1114 4' ,542120 STATE IIAli U ' W ONStN FORM 2-1982 : VOL ~ 1~~PA61606 F S s O11X James E. Dahlby, a single person F~;e,3fc, . ~ APR 12 1996 11:00 A.~f! ronveys and wnrrnnts to ...1Tin_.Cr...AuSI'et1g,•aT1d. Susc~11 J. Y y ........Austreng,..husband.and..wife..as..survivDrship..max~ta7... ~A ........propert.,y _ ncrunn ro $q00 1< o F o haf s ET Po 6oX -LL0 . the followin described real estate in u►'~+~~SET GJZ 5 °L State of Wisconsin: Tax Vnrcel No: .0.3.2.-.20.40.-.9.0... /of NWk Part of NA of Section 11, Township 30 North, Range 19 West, St. Croix County, Wisconsin described as follows: Lot 3 of Certified Survey Map filed December 22, 1994 in Vol. 111011, page 2858, Doc. No. 524542. ~ 3 N~ER This iS riot homestead property. (is) (is not) Exception to warranties: easements, restrictions and rights-of-way of record, if any. I)oted this day of Ap? 1........................................, fSl...~~.. • . ....................................................................(SEAL) (SEAL) • James E. Dahlby .....................................................................(SEAL) ......................:.............................................(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature (a) STATE OF WISCONSIN sa. 5 i.%...Q:t:.Q.1X........ . county. day of authenticated this .......dny.of 19...... Personally came before me this .........,~j2r 19.96... the above named ...................t............................................ ah1.hy................................. •