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HomeMy WebLinkAbout032-2098-20-000 0 r p 6°a ~ ao a~ M L6 0 0 o c r Cl) o xx v o N U _ O L N E ~ m C' .r O O r c m m 5 I, N U m I ~ m p z N 3 C _ N N 7 m LL O O) OA o N v m > z N rn U) = c a E Z m N a c O c O -o ~ o z d c w 0)) z p c z° a) _0 m _ N O. 5) N N U) N 6) C s o • N 0 d O m o d w O Z F- Z p N z ►r~~ 3 m a N E ~i m ` c6 _0 N LO m p d wa ` co C Cl) ,It ID 0 2 .6 .2 0 `O C D a .0 U N WSJ O r J N 0 0 0= z o m CL m cr. o o 0 o (D N to U omi rn } cl) > M O N N N d o E _ = 3 ~ N ~ N ~ ~ O a CO (D y R a O O c N C O 1 O c E N co O O R O, 30 c iJl O N O O O m o N y CL c o o m o N -s y N N N L m 7 N E C 00 U) U w m m U7 In 0 -a) O r O N " N M E r6 v ct o E m v co U') 0 CO LW 0 C,4 U) U, O ~ r fc~ *k w ICI E L m IL L: d CL 7@ .0 w CO E a 0 W Co _1 A 0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER S G ADDRESS 7/s J q/:9 14Ll S &w bu4Af U-6r. SYO ;L,'5- SUBDIVISION / CSM# A~`^ f LOT # SECTION J6' T 31 N-R- W, Town of 5 ST. CROIX COUNTY, WISCONSIN PLAN /VIEW / o SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM tie { 7 J 71 CIO l j t tt INDICATE NORTH ARROW S` • Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK I-NFORMATION Manufacturer: Liquid Capacity: Qd Setback from: Well House Q Other Pump: Manufacturer Model# Size Float seperation t Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: 3Q • Setback from: well: House Q Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet ',,PC bottom Pump Off Header/Manifold Bottdm of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: 1~ .00 LICENSE NUMBER: / ° INSPECTOR: • 3/93:jt ri Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Hur4n Relations INSPECTION REPORT ST. CROIX SaF?tyand %uildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284175 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: CLARKE, SUE SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /ba 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ' Septic } Benchmark X% 106 r~ Dosing Aeration Bldg. Sewer Holding St/Ht Inlet /,pa 5,9gl TANK SETBACK INFORMATION St/ Ht Outlet I.y,. 1 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic - NA Dt Bottom l4~,Co' S.3lo' ' Dosing NA Header / Man. , S 31. Aeration NA Dist. Pipe 1AY' , 77' Holding Bot. System js~ q ~ Y' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss Head h-Z Dia. Dist. To Well Forcemain I I Lengt SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits inside Dia. Liquid Depth DIMENSIONS DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION TypeO CHAMBER Mode Number: System: a2 ,4 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.25.31.19W, SW, SW, HIGHWAY 35 j ~ a f 1~ 6,111~ I Plan revision required? ❑ Yes 0 No Use other side for additional information. SBD-6710 (R 05/91) Date I sp cior's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems V fL1r~R 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 Countyr than 8 112 x 11 inches in size. State Sanitary Permit Number • See reverse side for instructions for completing this application 8,507J 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)). State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Pperty Owner Nam Property Location .2W1 4.SW 1/4, S T N, R ~ E (or Property Owner's Mailing Address Lot Number Block Number City, ZPhone Number Subdivision Name or SM Number t~S II. TYPE OF BUILDING: (check one) E] State Owned ❑ City TNearest Road 2 Village n1ofyv ~ ❑Public 04 1 or 2 Famil Dwellin - No. of bedrooms Town of `.~J J111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) a3a - 00 96 -aO 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 E] Outdoor Recreational Facility 3 ❑ Campground- 7 ❑ Merchandise: Sales/ Repairs 11 El Restaurant/Bar/Dining 4 E] Church /School 8 ❑ Mobile Home Park 12 E] 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) New 2. Replacement 3, E] Replacement of 4, E] Reconnection of 5. E] Exi stin o5 stem 1 E] Tank Onl Existing System y System System --------------------Y------------------- -y------------------g- 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 5xqo 22 In-Ground Pressure 42 ❑ Pit Privy 12 Seepage Trenchoj" F1 43 E] Vault Privy 13 Seepage Pit 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Ab p. Area 3. Absorp. Area Al. Loading Rate 5. Perc. Rate 6. System,Dev. E. i Final Grade 4 Regr(sq. ft.) Proposed sq. ft.) (Gals/clay/sq. ft.)n./inch)Feet lJO Feet VII. TANK Capacity Site Fiber- Exper - ingallons Total # of Manufacturer's Name CoPrefab ncrete Con- Steel glass Plastic App INFORMATION New Existing Gallons Tanks strutted Tanks Tanks ~ ❑ ❑ ❑ ❑ F1 Septic Tank or Holding Tank f~o 000 W ❑ ❑ El F1 ❑ ❑ Lift Pump Tank /Siphon Chamber VIII. RESPONSIBILITY STATEMENT ,QVL I, the undersigned, assume responsibility for installation oft onsite s age system shown on the attached plans. Plu is Si ) Business Phone Number: Plumber's Name: (Pant) n t re: o m P/ PRSW No.: 9 C3rao 0_r umber's Address (streetCity ` State, Zip Code): Prot Q)0 X 1 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sani ry Permit Fee (Includes Groundwater Date Issue Issuing Ag t Signat re oliurcha rge tee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SRO-6398 (R. 05814) DISTRIBUTION: original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a 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, 608-266-3815- 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- 11. 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 8 112 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. - 'S ~o 0 fi- ii' +11 L 011V - f r I I { i I I ♦ m TA ~ I I m 2 po • IV f b q O- f o toy, /1 L U D, 'la n 3: Ri r u O i :cc • vln / \ \ o C Z 3. R z. z fq 1- 3 m (n +ai v n 3 m ^t D zz i I i l \ po / I \ \ Ip 1_ 4; 1.1 I r d` Flo n 1 ~ o IF k,l I I I ~ f / I I I / \ I / I 'o l< h r I \ N 021743' E 274.99' I A Ilk ct CD -;0 U) So 100. O Oo 1 m m @11 (b a 0 5. :3 c ' sFle\ ~e oo f C qc K m mO~lmn j K O ~ p of r) o SAS >E p pmA 4 M 7 mx I f 4..y r m off.. i agO a 0~ ? ~ r G a R ~ N d' M I O ,~v $ 1G o c O W i a o -1 < 3 1~ 1 N n ~O ~ ~ S m c ItT 1 tT A p 11 i r ~ ~ O ~ - ~U In ~ ~ 1 ~ ~ N I 1 MIS ~ ~ .N-. ° Z i G to Im ~ V) QV jN N ~ ^ c w A ~ L; 1 i.t ~O p 0 p I u xo I ~ ao,~ i m x • E I ~ d m ego "offo 152.22' 429.63' 107 Uti' N n 17 = U 1 ` - N 00'2324 E 68Q91'------ ,pp _ m O I ~ Ca OOD V. Ln r ~ to I~ Z I N I; 1 I \ m Ir I 1 1 ~ ~ 1< _ - - - - - LO - - - - - I \ I r I , t ~ r In 1 ~ t2 1 4 \ N Ib ~ \ 1~ 1 O A u I \\1 f I I u! 0 COUNTY t Attach'complete site plan on paper not less than 8 1/2 x 11 inches in si ® must include buY not fmitedto vertical and horizontal reference Point (t3M); direction a slope, afe or PARCEL di.cfiertsion,s north"a o-W _and location and distance tp.nearest-road :q~ A t { _ ~4., DBY APPLICANT INFORMATION-PLEASE PRINT AtL INFORM N W,h PROP RTY OWNER: P OPE[iTY LTATION GOVT. Ltd 4J4,' 1/4, h f NG~ PROPE RTY OWNER':S MAILING DRESS T tK a St~BJ NAME OR CSM i 917, CITY STATE ' ZIP CODE PHONE NUMBER I p I OWN NEAR =ICAO ~ New Construction Use y(j Residential / Number of bedrooms Addition to existin j j Replacement [ ] Public or commercial describe Code derived daily flow 5"' S gpd Recommended design loading rate_ 9P~2 trench, 2 ~ 9 9PdrftAbsorption area required /(mss bed, ft? ,9,o,~; trench, tt2 MaximM,- bading rate bed, gpd/ft2trench, gpd/ 2 ft Recommended infiltration surface elevations} 7 It (as refeaed to site plan bendhl arl ) Additional design / site considerations Parent material - 44_4r_, /R A,.,/' Rood plain elevation, if applicable 4CL If S = Suitable for system CONv'EKWNAL MOUND IN-GROUND PRESSURE 11 AT-GRADE SYSTEM IN ALL LHOLDING TANK U = Unsuitable fors stem FI S ❑ U PS ❑ U (OS ❑ U MS ❑ U ❑ S ® U ❑ S Glu SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BOxrUy Roots GPD/fF in. Munsell Qu. Sz. nt Color Gr. Sz. Sh. Bed ITren 5d- 2-Z2 r Ground V < elev. 'L 9 - Depth to limiting factor y y/ Remarks: Boring # R ' - - > > < rs Ground elev. Ca S~ ft. Depth to limiting , factor Remarks: CST Name:-Please Print j~ Phone: 7i'; Address: 2, / Signat:re: Date: CST Number 71 _-N EL I.D. ~DePth Dominant Color Boring # Horizon Mottles fiexture Structure D/ft<: P n: Man§elf Qu Ud -y Roots Color Gr. Sz, Sh. Bed Trer Ground 7 elev. ' C'-~Z L ft. Depth to limiting factor Remarks: Boring # Ground ` - _ elev. Ca'(a ft Depth to limiting factor Remarks: Boring # 42 -:2 Ground elev. fx~ Depth to limiting factor Remarks: Boring # Ground elev. ft. j Depth to limiting I factor I I Remarks: cnn n~en,n 414i J~C Ox A /o-;p"- CAST/mo~ o x I i.yo . i I 3 Ala ~ ~ a Ole- k SOIL AND SITE EVALUATION REPORT Page jof -3 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 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. JD APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION / REVIEWED BY DATE PROP RTY OWNER: PROP LOCATION GOVT. LOT 1/4 1/4, T ,N,R (or) PROPERTY OWNER':S MAILING DRESS LOT # BLO~K # SUBD. NAME OR CSM # ,vD CITY ST TE J ZIP CODE PHONE NUMBER ❑CITY VILLAGE OWN NEARE ROAD t2a [Ja New Construction Use Residential / Number of bedrooms [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 5 gpd Recommended design loading rate gy bed, gpd/ft2,, I- trench, gpd/11:2 Absorption area required /L;?s bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 , S trench, gpd/ft2 Recommended infiltration surface elevation(s), 7 ft (as referred to site plan benchmark) Additional design / site considerations Parent material;, fR 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 WS ❑U CAS ❑U ®S ❑U 12S ❑U ❑S ®U ❑S f["U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. nt Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Ground elev. /r~LZ ft. 9 - • J Depth to limiting factor y y/ Remarks: Boring # 19 Y Ground } elev. /M'L ft. Depth to limiting factor 9"- Remarks: CST Name:-Please Print / Phone: Address: Z ZL 4- , r 2-/-0Signature: Date: CST Number: J- c PROPERTY OWNER SOIL DESCRIPTION REPORT PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. nt Color Gr. Sz. Sh. Bed Trench Ground elev. ft. Depth to limiting facto/ 7 Remarks: Boring # 117- Ground elev. ft. Depth to limiting factor > 9C Remarks: Boring # Ground q " elev. _ Q ft. Depth to limiting factor > 96 Remarks: Boring # ryti< 4v.p Li }}.:v Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ^06 / & ®f 71 ~ ate A; /80 6 y~ Labor and Human Relations on ion of Safetff & $uildings 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 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCELED: dimensioned, north arrow, and location and distance to nearest road." . APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVI DBY ,"N. N PROP RTY OWNER: PROPERTY LOCATION E ;367 GOVT. LOT PROPERTY OWNER':S MAILING ~ DRESS LOT If BLO~K # SUBD. NAME OR CSM # CITY STATE ZIP CODE PHONE NUMBER ❑CITY VILLAGE OWN NIxAR ApAD, 'y~ j 2E 10 New Construction Use Residential / Number of bedrooms 5' [ J Addition to exisbrix4 ui [ J Replacement Public or commercial describe Code derived daily flow 5 gpd Recommended design loading rate-,bed, gpdtft2,,.r trench, gpd/ft2 Absorption area required 1/T bed, ft2 trench, 112 Maximum design loading rate ~_bed, gpd/ft2~-_Vench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as re`eued to site plan bend-iinark) Additional desian / site considerations Parent mP:erial ~T- - a~ - Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem Q S ❑ U R S ❑ U 10 S ❑ U 12S ❑ U ❑ S ®U ❑ S [9IJ SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD/ft- Boring # Horizon in. Munsell Clu. Sz. nt. Color Gr. Sz. Sh. Bed Tren > _ c ' - .:4:::> Ground - L elev. it G.~) Depth to limiting factor T Remarks: - - Boring # - - I , Ground elev. ft. Depth to f limiting factor Remarks: - CST Name:-Please Print % Phone: Address: Oate: CST Number: Signature: ,EL I.D. !1 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft, in. Munsell Qu. Sz. 22nt Color Gr. Sz. Sh. Bed Trer Ground 7- - elev. 9177, ` Depth to limiting factor ~c Remarks: Boring # A6 /71C tea/;::: .:7UZ- 7- -311W Ground - - 1, - elev. ft. - Depth to limiting factor Remarks: Boring # - Ground elev. Depth to limning factor Remarks: Boring # Ground elev. ft. Depth to limiting factor I F-I i Remarks: SBD-8330(R.05/92) F~~ ~,c ~arr~~ iu. S~,,q/7 ✓sav..c,t's~T y~ d- t t t~ I \ \ 542 98 CERTIFIED SURVEY MAP Z APR2`~ 1996 i(ATi'LEEN N• WALSH Located in Part of the Southwest Quarter of the Southwest Quarter and art of the Rcyis;etolDe2ds Southeast Quarter of the Southwest Quarter all in Section 25, Township 31 North, SLCto~xCo..Wi Range 19 West, Town of Somerset, St. Croix County, Wisconsin. Being Lot 7 of Certified Survey Map recorded in Volume 10 Page 2775 WEST LINE OF THE SW 1/4 WEST 1/4 CORNER SEC. 25 N 00.40'07" E 2640.37'--- ,W..~ - S.?sH.T. 35 1 I Ir- Prepared for and at the request of 1 i QF ~°~S 1< I 10 Lindale Development Corporation I * A- CO I I 1. i0 In 1~ 964 192nd Avenue I 4~ Q ^ I IF IN I P New Richmond, WI 54017 DOUGLAS J. (P Irv _ ' co 7_AHLER A Io Drafted by. James M. Brault m 5-2145 * \ ~q 10-, pti HUDSO (n <0 Wis. 71 ty~ ;0 m -n to o 0 10100 ~O © R c c~ 3 0 m I 1(/) lr ° v O r Z I• I• Ip O a s INI-.I~1-I 100' 0 w p'3 0`~ v I~ 1< I I IJ 10 I~ 0 a\ a 0 C x ° fn Z I~ j0 1~ IQ iUl +3 N o Ir I~ I~ » w / O z y 7 0 OD N *17' 00 -oi i~ j~l I~ Ilv NI16'S~ZgS'- 0 0274.993.E ' o v 0 3 o l i s I~ i 2 Dm CEO I r I m w-U C 3 M I00 I ' i< ~o i~ a~ oo. oo O I 'n CO) 1 1O N 00 I D 00 -1 , c, l icn I v i' °'o~" = i rn 3 3 I -I I I I N CA -1 V M I M 7 0 I M -A .pv COIN 0. OD ;D -'Aj (n 0o 11 I~I~ NN' / a N Ir ' ~ 101• Ir M < ID \ I V1 on o i 0 P0 i z P I c0 * IN 1--, 1 0 I0 - - - - - - - I IJ IV/ 1 1 > 'n ; ;~j ' = z 0 1(10 I m ;U ~O w 429.63' M \ I < I~ N 00'23'24" E _ F, I 0 a 0 I r 0 GRAPHIC SCALE z N W 0 50 150 300 450 600 ! IN rn OD 12 tJ 00 - - I- - - W 10 W I 1-0 Ut I 1~ ~ : V 10 rn (IN FEET ) o Ir I M Ui Ir 1 inch = 300 ft. o ID Q I I P s I U1 10 w W vjz 1 IPO O I(.D 1~ A fn co Im I 1 00 01) t` 1- I v 'p' I m I ! N 4 R=N 00'30'E 626.10' lfv ° APPROVED 6 g m II N 00'56'19" E ro # Z z r/ 639.5l'-- / R aA 0 j r p~ ,n I cn p cvit /I - --590.69'-- APR 2 7 76, D -1 y --591.76'-- C m m --641.01'--I O 0 rn~ lu S 01'0219 W I i m m p II R=N 00'30'E 593.10' 1 z aT i~~{X C~(i1J v z 'T1 I ;0 N I• z co c.:orrprettensive i~tara o w Ir i < ~ totting and co c" 0 0 cn l0 I C; 4 Parks Comoillft D o 0 14 Z cn I ~ I ~o (n0 1 I-' 1 CA if aot recor&-d Z = o CURVE RADIUS LENGTH CHORD BEARING DELTA TANGENT BEARINGS A-B 80.00 77.70 74.68 N 45'1515' E 55'38 52 N 73-04'41- E N 17'25 49' E 1 11 i . 71.11.1 C-D 80.00 93.64 88.38 N 54'10 25 W 67'03 44 N 20'38 33 W N 87'42 17 W D-E 80.00 58.94' 57.62 S 7111'21.5 W 4212'43- N 87'4217 W S 50'05 00 W E-F 80.00 54.5.5- 53.48' S 69-36'41" W 39'03 22 S 50'05'00- W S 89'08 22 W F-G 233.00 126.84 125.28 S /-J"'-32'41" W 31'11'22- S 89-08-22- W S 57'57 00 W C-E 80.00 152.58' 130.48 N 75'16'46.5 W 109'16'27" N 20'38 33 W S 50'05'00 W SURVEYOR'S CERTIFICATE Doug/as J. Zah/er, Registered Wisconsin Land Surveyor, hereby certify that l have surveyed, divided and mapped a part of the Southwest Quarter of the Southwest Quarter and part of the Southeast Quarter of the Southwest Quarter, all in Section 25, Township 31 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin, being Lot 7 of Certified Survey Map Volume 10, Page 2775; described as follows: Commencing at the South Quarter Corner of said Section 25; thence, on an assumed bearing along the south line of the Southwest Quarter, North 88 degrees 36 minutes 14 seconds West a distance of 544.51 feet to the point of beginning,- thence, along lost said south line, North 88 degrees 36 minutes 14 seconds West a distance of 66.00 feet, thence, along the east line of Lot 2 of Certified Survey Map recorded in Volume 2, Page 591 in said Register of Deeds, North 00 degrees 56 minutes 19 seconds East a d/stonce of 639.51 feet; thence, along the north line of lost said said Certified Survey Map and the north line of Certified Survey Map Volume 3, Page 654 as recorded in said Register of Deeds, North 88 degrees 55 minutes 59 seconds West a distance of 1110.03 feet; thence, along the east line of Lot 5 of said Certified Survey Map Volume 10 Page 2775 as recorded in said Register of Deeds, North 16 degrees 55 minutes 19 seconds West a distance of 272.65 feet to the northeast corner of said Lot 5; thence along the right-of- way of a Town Road being the arc of a curve, concave to the northwest a distance of 77.70 . feet, said curve has a central angle of 55 degrees 38 minutes 52 seconds and a chord that bears North 45 degrees 15 minutes 15 seconds East for a distance of 74.68 feet to the southwest corner of Lot 6 of said Certified Survey Map Volume 10 Page 2775; thence, along the south line of last sold Lot 6, South 72 degrees 34 minutes 11 seconds East a distance of 570.29 feet to the southeast corner of last said Lot 6,• thence, along the east line of last said Lot 6, North 00 degrees 23 minutes 24 seconds East a distance of 429.63 feet to the northeast corner of last said Lot 6, thence, along the north line of last said Lot 6, South 69 degrees 21 minutes 27 seconds West a distance of 586.12 feet to the northwest corner of last said Lot 6, thence, along the right-of-way of a Town Road being the arc of a curve concave to the south a distance of 152.58 feet, said curve has a central angle of 109 degrees 16 minutes 27 seconds and a chord that bears North 75 degrees 16 minutes 46.5 seconds East for a distance of 130.48 feet; thence along said Right-of-way being the arc of a curve concave to the northwest a distance of 54.53 feet, said curve has a central angle of 39 degrees 03 minutes 22 seconds and a chord that bears South 69 degrees 36 minutes 41 seconds West for a distance of 5348 feet; thence, along said right-of-way being the arc of a curve concave to the southeast a distance of 126.84 feet, said curve has a central angle of 31 degrees 11 minutes 22 seconds and a chord that bears South 73 degrees 32 minutes 41 seconds West for a distance of 125.28 feet, thence South 57 degrees 57 minutes 00 seconds West a distance of 45.56 feet to the southeast corner of Lot 4 of Certified Survey Map Volume 10 Page 2776 as recorded in said Register of Deeds; thence, along the easterly line of last said Lot 4, North 32 degree 03 minutes 00 seconds West a distance of 451.21 feet to the northeast corner of last said Lot 4,• thence, along the north line of the South Half of the Southwest Quarter of said Section 25, South 88 degrees 47 minutes 47 seconds East a distance of 2345.66 feet to the East line of the Southeast Quarter of the Southwest Quarter of said Section 25, thence, along last said east line, South Ol degrees 25 minutes 44 seconds West a distance of 702.14 feet to the north line of Lot 1 of Certified Survey Map Volume 3 Page 810 as recorded in said Register of Deeds; thence, along last said north line, North 87 degrees 07 minutes 41 seconds West a distance of 549.05 feet to the northwest corner of last said Lot 1, thence, along the west line of last said Lot 1, South 01 degrees 02 minutes 19 seconds West a distance of 641.01 feet to the point of beginning. Containing 1,281,767 square feet (29.43 acres). Subject to right of way of Shady Lane and subject to all other easements, restrictions and covenants of record. l also certify that this Certified Survey Map is a correct representation OF WAS, to scale of the exterior boundaries surveyed and described,- that / have o complied with the provisions of Chapter 236.34 of the Wisconsin Statutes DOUGLAS J. ~ and the Subdivision Ordinance of the County of St. Croix and the Town of AHLAS P Somerset in surve nnJg and mapping some. i~~} / S-2145 7 1 `/-1(n HUDSON, STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER CJCLV MAILING ADDRESS J03 :mil r 00-Z CU',-, ~Z 54-/0 PROPERTY ADDRESS 7/5L/~~~ - (location of septic system) Please obtain from the Planning Dept. CITY/STATE6 C),_z PROPERTY LOCATION Z) U3 1/4, Suj 1/4, Section a TN-R (q W TOWN OF Q }z,~~ , ST. CROIX COUNTY, WI SUBDIVISION( rta_p IJ QU L 4 "ffUj 1t , LOT NUMBER l CERTIFIED SURVEY MAP 9 VOLUME , PAGE , 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. I/We, 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 date. SIGNED: yj~cylayu_) DATE: C St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 b T C - 101 -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 Location of property SC.yl/4~ 1/4, Section N-R__Iq_W Township Mailing address 303 3u_r r (w_ Cuh 50025 Address of site -71-5- subdivision name an(4 Q Q, ~M~1 f Lot no. 10 Other homes on property? Yes X No Previous owner of property Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? ~cYes No Is this property being developed for (spec house) ? Yes No Volume and Page Number 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 in the office 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. Signature of Applicant Co-Applicant g rIlC Date of Signature Date of Signature • - VOL 1194 PACEN SW?94 7 WARRANTY DEED i Document Number ii"tMOFFICE 8t CAM CO., wl AUG 8 1996 Return Address 3: PWI KRIST:':A UGLAND 00 Zilz, Estreen & Ogland p mt P.O. Box 359 Hudson, W1 54016 Parcel I.D. Number: Lindale Development Corporation conveys and warrants to Susan M. Clarke, a single person, the following described real estate in St. Croix County, State of Wisconsin: Lot 10, Lindale Meadows in the Town of Somerset, St. Croix County, Wisconsin. This is not homestead property. Exception to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this (o day of August, 1996. _OER : W§F Lindale Development Corporation R. (SEAL) - (SEAL) Linda R. Ehlers AUTHENTICATION Signature(s) Lindale Development Corporation by Linda R. Ehlers authenticated this 44- day of August, 1996. Kristina *Ogglan TITLE: MEMBER STATE LIAR OF WISCONSIN THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 WARRANTY DEED Document Number Return Address Parcel I.D.- Number: Lindale Development Corporation. conveys and warrants to Susan M. Clarke, a single person, the following described real estate in St. Croix County, State of Wisconsin:. Lot 10, Lindale Meadows in the Town of Somerset, St. Croix County, Wisconsin. This is not homestead property. Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this (o day of August, 1996. Linddaal?e Development Corporation _C7~F _ R• t2.t , (SEAL) _ (SEAL) _ Linda` R. Ehlers AUTHENTICATION Signature(s) Lindale Development Corporation by Linda R. Ehlers authenticated this day of August, 1996. Kristina OglanTITLE: MEMBER STATE BAR OF WISCONSIN THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 C w J 4or 17 7 C-t /0