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032-2019-50-025
f STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS Sa ~ ~ $ SUBDIVISION / CSM# U lY LOT SECTION. S T N-R~W , Town of S'~ 1vi e YS ST_ CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM v 41 r1 > 71 xz. Sc~ 'y"(~ I ws G- DICATE NORTH ARROW 3 -yL ode setback; and elevation information on reverse of this form. cover_ dimi~n 01to center- o! ~_;eptic tangy; na;:hole BENCHMARK: sic m e as ~ j ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: j,. ~~eS7 Liquid capacity: Setback from: Well House Other Pump: Manufacturer /e Modell Size Float seperation /Gt Gallons/.cycle: Alarm Location /ass e SOIL ABSORPTION SYSTEM -Width: 5- Length_ Z-5- Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House f ~/Or Other ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: Z~ /02 PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsirf.DepartmentofIndustry, PRIVATE SEWAGE SYSTEM County: Labor and-4-IumanRelations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary PermitNo.: GENERAL INFORMATION Permit Hol er's Namg • ❑ City ❑ Village R Town of: State Plan o.: STEL ER, JEFF/LYNN a CST BM Elev. Ins7BM le v:: , BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA /Z TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Cc5 Benchmark i Dosing Aeratiefc- Bldg. Sewer 0 9 , St/ Inlet 191 7 Holding TANK SETBACK INFORMATION St/ F/ Outlet TANK TO P/L WELL BLDG. Ventto ROAD Dt Inlet /d,(a,3r Airlntake Septic NA Dt Bottom LZ<Z NA Header/A Dosing NA D. / •i i Aeration r°3.98 d3 Holding Bot. System~w I dS PUMP / left .JNFORMATION Fina rade 7a~~ s T Manufacturer Demand 41)Model Number GPM 027 Friction Syestem DH 1 -1 TDH Lift i~~ oss Forcemain Length //0' Dia. Hot Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth D I M E N 1 N $ 73 vZ DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM CHAMBER Model Number: INFORMATION Type O r' - _ 7~' r > 3 OR UNIT 14 System:,-, t,4:r~. ' c r DISTRIBUTION SYSTEM Header tf.4enrfel~ Distribution Pipe(s) „ x Hole Size x Hole Spacing Vent To Air Intake Length A; Dia. Length 76 Dia. ~ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade S Orly ver 3 Depth Over ? xx DeoJ xx Seeded/ Sodded xx Mulched Depth 0 B,,HTrench Center - ~j Bed /Trench Edges C1 - Topsoil ❑ Yes No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) xxc%.~ LOCATION: Somerest.5.30.19W, SE, NW, Lot 2, STtom` 35 ~ 0/ 7 V, Plan revision required? es o No q Use other side for additional information. v~ SBD-6710 (R 05191) Date Inspector's Signatur Cert. No r •:y 's'K r .a ' Im, r `°t 1 ra, .f - - tit ~ , } , - e, LG „Fk • . f y~_ r " it r t , r 14 SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than I o~ / M/ 8% x 11 inches in size. Z Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ,Tc FF '/4 S S T,3 N, R / E (or) (J PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ,S" 1 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER mo > ,G 1111. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned ❑ VILLAGE : rM TOWN OF: s ❑ Public k1 1 or 2 Fam. Dwelling-# of bedrooms -3 PARCEL TAX NUMBER(b) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo l 2 ❑ Assembly Hall' 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System ' System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 300 Specify Type 41 ❑ Holding Tank 12 ® Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 140 System-in-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSQRP. 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 Sod :55" (30 r _457-5- 2 / Feet 03 lt?I Feet VII. TANK CAPACITY in allons Total # of Prefab. Ste Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete C - Steel glass Plastic App Tanks Tanks struc d Septic Tank or Holding Tank ~dG r b}t Lift Pump Tank/Si hon Chamber 7 ` r+ I VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P PRSW No.: Business Phone Number: k) ' Plumber's Address (Street, City, State, Zip Cod - IX. COUNTY/DEPARTME USE ONLY ❑ Disapprov d Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature ( Stamps) Surcharge Fee) ❑ Approved ❑ Owner Giv n Initial Adverse Det ination X. CONDITIONS OF APPROVAL SONS FOR DISAPPROVAL:-~ SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber SA# Y-Vif LICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ly f 8t% z x 11 inches in size. Check if revision to previous application -See reverse side for instructions for completing this application. sTATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER STS ~Y PROPERTY LOCATION TC FIC '/4 S S Tad N, R/? E (or) 4 c PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 61W, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: Check one CITY ' NEAREST ROAD ( ) ❑ State Owned ❑ VILLAGE : @Sr! 3 12 ~QWN OF: ❑ Public Dd 1 or 2 Fam. Dwelling-## of bedrooms 3 PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) er-3 ~6! •-~"d 1 ❑ Apt/Condo l 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home, 100 Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # bate Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 300 Specify Type 41 ❑ Holding Tank 12 23 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy t 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 140 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 L~S~ v o`~ S O 3C~ r S 1_2 41 feet l~3 l Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holdin Tank 4 5 E] 1:1 F1 I F1 M Lift Pump Tank/Si hon Chamber 7 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P MPRSW No.: Business Phone Number: Plumber's Address Street, City, State Zip od IX. COUNTYIDEPARTMEN USE ONLY I,II ❑ Disapprove Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No S mps) ❑ Approved ❑ Owner Give initial Surcharge Fee) ) Adverse Deter • ation X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber t f. . . t . i . r r . t . r f r . ♦ . . r .'i ;l.'.. ; ! t 1't F~_4e4 l+4~i'F 4 4'f+F~4'i'4tiVt t fµ:'3,3st.t:Y a kµs.; * 4 • s . . t. . 4 . 4 3 i 8 4g S! 4 4'% V5 5 4 14iV4 # S I §1s1%1t s A :t t t'trkr t c. 64 # 4 4 } 4": INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FRCM DOOR JUNCTION BOX MANHOLE COVER , WINDOW OR FRESH AIR INTAKE GRADE I 4° MIN. IB"MIM. CONDUIT - _ 18"MIN. \ PROVIDE I AIRTIGHT SEAL I I _T II v APPROVED JOINT A I III APPROVED JOINTS W/C.I. PIPE. I III W/C.I. PIPE EXTENDING 3' I II ALARM EXTENDING 3' ONTO $OLID SCI:. B I I ONTO SOLID SOIL I I i I oN C I I PUMP--- I ~ OFF D CONCRETE BLOCK RISER EXIT PERMITTED UNLy IF TANK MAIJUFAC7UR6R HAS SUCH APPROVAL SPECIFICATIOUS SEPTIC AND u DOSE TANKS MAUUFACTURER: o~u~eS'TP!/~t/ NUMBER OF DOSES: / -PER ,DAy TANK : IZE : 2-"SlJ GALLONS DOSE VOLUME ~j ALARM MANUFACTURER: -eUe4 INCLUDING BACKF//LOW: [ GALLONS MODEL NUMBER: L4& CAPACITIES: A= L _ L IKIC14ES OR S4011 GALLONS SWITCH TYPE: /01'e k' . B = INCHES OR 3~7 GA'_LOUS PUMP MANUFACTURER: Zd le/'c 1MCHES OR GALLONS MODEL NUMBER: D = IS, INCHES OR Qg9Z ~ GALLONS SWITCH TAPE: , ~J, NOTE: PUMP AND ALARM ARE TO BE PUMP DISCHARVE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKENC[ B 1~JEEU PUMP OFF AND DfSTRIBUTIOM PIPE.. FEET + M~IIIUIMUM NETWORK SUPPLY PRESSURE . . . . . . . . 'ass" FEET + FEET OF FORCE MAIN Y, (,FRICTION FACTOR.. FEET TOTAL DYNAMIC HEAD =FEET INTERNAL DIMEIJSIONS OF TANK: LENGTH ;WIDTH~LIQUID DEPTH SIGNED: LICEMSE NUMBER:, DATE: g?IZ -117- 7 7 cc lu HEADI 115 CAPACITY 34 110 - 32 - CURVIEW V 30 100 95 28 I 90 26 85 EFFLUENT 24 - MODEL I and Q 75 MODEL 189 DEWATERING = 22 70 165 - ` U 20 ~ 65 = - Q Z 18 60 - - r 55 J 18 Fa- 50 MODEL O 163 MODEL 1- 14 IS 188 12 /0. 35 10 MODEL 30 137.139 - MODEL 9 SEWAGE and - '65 2s DEWATERING 6 20 - MODEL 15 MODEL _ 161 4 97 10-- W MODEL ►W 2 5 53, 55, W ~ 5-1.59 0 80 GALLONS 10 20 30 40 SO 60 70 60 90 100 110 21 76 LITERS 0 80 160 240 320 100 22 FLOW PER MINUTE 70 20 66 18 so- i ODEL W 55 295 Z 18 U 50 Q 14 l5 MODEL I ' Z 294 --tl yy 12..40-- _j ' - 1 MODEL 35 - t 1a 10 293 -1 - - - - - - - O I MODEL - ; 30 281 - - i ° 25 - - - - { MODEL 6 20-- 282 15 I _ 10 MODEL - - - OfL1fiQ' O. 2 5 267, 268 0 3280 Old Millen Lane GALLONS 10 20 30 10 so 60 70 80 90 loo 110 120 '130 140 i50 160 00 110 1oO P.O. Box 16317 f Louisville, Kentucky 40216 1 LITERS 0 80 160 240 320 400 180 560 640 720 (502) 778-2731 FLOW PER MINUTE SANITARY PERMIT APPLICATION . 713ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY \ STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than a / 81791 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION , N, R E (Or ,Tie A~ Al- -i --,e % 4,S PROPERTY OWNER'S WAILING ADD ESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSSM NUMBER : NEAREST ROAD II. TYPE OF BUILDING: (Check one) El State Owned CITY QO~..,0VW ~S7~ 7 ❑ Public rn Rf ] 1 or 2 Fam. Dwelling-# of bedrooms AR EL TAX NUMBER( S) III. BUILDING USE: (If building type is public, check all that apply) Q 3 2_ 61191 - ~Q 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 300 Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 430 Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE K.SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ~°s-v ir~ Fee ~Q3Feet VII. TANK CAPACITY Sit in allons Total of Prefab. er- Exper. -ft glass Plastic App INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P% PRSW No.: Business Phone Number: 7 -t? Plumber's Address (Street, City, State, Zip Code): G74 r ~U IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sa tary Permitj!VFee (Includes Groundwater a DTte ssue issuing Agent sign re (No pta mps) Approved El Owner Given initial /Z Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) 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 the 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 (Sl3D 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 & 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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% 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 marls/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, ground- water contamination investigations and establishment of standards: SBD-6398 (R.11/88) e 7"P~,~2lr' ~ G~ ,sec ~D~~'~G✓ ~~1~~ oar 6 sa c 'v v 4~ « ' rP' 1 c s, r G ~ k, 57 e r0IF 1 2905' 1 4 w.~+ CERTIFIED SURVEY MAP Located in part of the SEQ of the NW4 and part of the NE4 of the SWa all in Section 5, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin. LEGEND O 2" x 3011 iron pipe weighing 3.65 Lbs. per linear foot, set ° 1" x 2411 iron pipe weighing 1.68 Lbs. per linear foot, set N W co • 111 iron pipe found a County Section Monument Found 1" iron pipe n lies S1503110511W, JC. Marsh Area Unplatted lands owned by others 0.84' of set pipe. ~ Found rebar lies North line of the SEJ of the NWj of Section 5 z CD N0402114011E, 2.04' S8801510411 W 880.01' 00 M of set pipe. 390 I 490.01' a _ rt / m - O N rt rt S z O to W O 0 co ~ W O fD cy, J. 'V S Y - O O W O "2 7 rt T O APPROt3 J LOT 2 M LOT 3 W I rt r F O N I y Z rt rlU'U~~ 10 ~~.Aii IV e s 0 fD O , Z tJ ~(p S S mfr W d O yC sr psi N f rt ST. CROIX C'-)UtiT`f s z w I CD COMPREHENSIVE PAR;CS PLAHNJr#Q ~~SO O O ~ N ~ N o ~ n AND ZONING CON,.mIT Ei C/) w ° v' C" I d Li 374 0 - 41 1 5 °W i E 1 4. 4 C/) 80. 001~I N " i N 869 W 0 opB ©~o II 316.p2 o i.~ d 1 8 96 81.52 N rt C7 N LOT 1__.... ----=-9~,._E.... 2 - CD sx~~ 6oo•a 009'28 W Lo C) 4- CD ALtEi9 C:.y`'s; CID j w NYHI u£ ' N 0 LOT "Co Found 111 iron 4 o 'ZI K~nN Pipe lies N0400610011W, Wis. 0 . 9 9 ' of s e t \k° ~d NQ Su~JCr~~: EXISTING SHEDO i Q Z~ 1 i ~tiQ e pipe. 1 b (See Detail on /I 66' Found 111 iron pipe lies- ~IQ Av 11 ~Q0 °e a O N430331 1811W, 8.19' of the back of®¢~~~53 a°e~ ~L Qa~ a c° lo°~ - set pipe.- .v- sheet 2) / d ~Le ~5 ~h1~ aeeae a oyo~ec 1818.46' 81.81 EXISTING HOUSE 'C` -)8)7.361 ! 394.49' N880 9 pN88°36'51"E Center Section of W4 Corner of N88 36I51IIE o . p qJ~ J~~ I9 ,LP`L' '43 Section 5 Section 5 South line of the NW of 111 f, y rL v~~5 ~ Iron Pipe Found County Monument Section 5, N88°36151"E 2698.461. ~F Small Tracts OWNER Thomas E. Lovick SCALE IN FEET Box 240C 0 1UU 2 0 400 Somerset, WI 54025 VOLUME 7 PAGE 1868 This instrument was drafted by Fran Bleskacek Job No. 86-47 SHEET 1 OF 2 SHEETS DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 P.O. BOX 76 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: 7Somerset OWNSHIP LITY: OT NO.:BLK. NO.: SUBDIVISION NAME: SE 1 W1/ 5 /T30 N/Rt9 6c(or) ri n/a Lovick COUNTY: OWNER'S B AME: MAILING ADDRESS: St. Croix Thomas E. Lovick Box 240C Somerset Wi. 54025 USE DATES OBSERVATIONS MADE NO. BEDRMS,: COMMERCIAL DESCRIPTION: © PROFILE DESCRIPTIONS: PERCOLATION TESTS: ®Residence 3 n/a New ❑Replace 5-21-87 5-22-87 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MF N-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) 0 S ❑U . E is ❑U ❑ s ®U ❑ S 0U conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 26 AID2 BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHxQ~ OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 .50 103.31 none >7.50 .75bl.1. 2.17bn.s.l. 3.33bn.l.s. 1.25bn.s.1 B_2 .08 102.51 none >6.08 .75bl.1. 1.08bn.sil. 1.67bn.c.s.&gr. 2.58bn.s.1. B-3 7.17 103.27 none >7.17 .75bl.1. 2.50bn.sil. 3.92bn.s.1. B-4 .48 101.81 none >6.48 .83bl.1. .83bn.sil. 4.82bn.s.14 ` L 6t IV B-5 .59 101.82 none >6.59 1.00bl.l. .92bn.sil. 4.67 bn. s.1. j r,[ ZONING B- 0AFIrr PERCOLATION TESTS decimal r% TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES S NUMBER MM= AFTERSWELLING INTERVAL-MIN. PERIODI PERIOD2 P R 1 U,17,5 ` P H P_ none 30 2% 2 2 15 P- 2 3.00 none 30 13/4 15/8 1 5/8 18 P- 3 3.76 none 30 1;!,- 1~ 2 4 P-_ P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas icate scale o distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the face elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 99.51 IF— T, I VYA E ' t 1}F -boil" -i " 3 and kg a w.J~bt~ Y1__~ u _ . r f t t + 3.. SA- " E € Tai I ( € i l I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7-29-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 988 N. Shore Dr., New Richmond, Wi. 54017 229$ 715-;46-62W CST SIGNA E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 1 DILHR-SBD-6395 (R. 02/82) - OVER - l INSTRUCTIONS FOR COMPLETING FOR 115 - SBD - 6395 To be a cc fete and accurate soil test, your report must include: 1. Compl scription; 2 The use sec- ;n must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5_ Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred, A separate sheet may be used if desired; 8, Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A, in the appropriate box; 11. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - High Groundwater cs - Coarse Sand Pere - Percolation Rate med s - Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loarny Sand > - Greater Than *sl - Sandy Loam < - Less Than *1 - Loam Bn - Brown *sil - Silt Loam BI Black si - Silt Gy - Gray *cl - Clay Loam Y Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc Sandy Clay w/ - with ` i sic - Silty Clay fff - few, fine, faint r c Clay cc - common, coarse of -i Peat mm - Many, medium rii Muck d - distinct • p - prominent f~ HWL - High water evel, Six general sod textures surface wafer for liquid waste djsposa I BM - Bench Mark - VRP - Vertical Reference Point a. TO THE OWNER; t fi A in securing a ni` - pee "i- ;arty or the D^p-rtm- may request >t4ri f)rior tc> nplete set e the private m~. tt a , are loco" - in order to rr i t° Id posted pri r 0 the st: ;ion. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ZIWJW it-UN Z ADDRESS__54J/_/ ~~~JN~,pJ F s%' FIRE NUMBE CITY/STATE © ZIP E' PROPERTY LOCATION: i/4,-&W-1/4, SECTIO." , T-L-H RZ-1W TOWN OF 3041 SET' , St. Croix County, SUBDIVISION' , LOT NUMBER_l_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 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 prgperty 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 septic completed and returned to then St Croix Co b Zoning Of icerfiwithin 30 days of the three year expiration date. SIGNED: DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 STC-100 .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), thenia 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 T' ~G kwzm/ T~ 76 . Location of,prroperty ;~1/4 Al 1/4, Section !!r, T..~N-R-d_W Township J~Y'l C~►~ Mailing address "Z/ 117AI Address of site Subdivision name e_,5, l L" :'2 Em6¢ Lot no.,=2 do~ • ~o'~ r Other homes on property? yes- L4= No Previous owner of property l om Zj d14 Total size of parcel Date parcel -was created `f9-7 I Are all corners and lot lines identifiable? yes No - Is this property being developed for (spec house)? Yes A _L_No Volume and Page Number S S 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 & 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 off i co of the Count-:y 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` County Register of deeds as Document No. Signa r, icint. Co-applicant Date of Signa u e Date of Signature II I~ yt DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA it ESTATE BAR OF WISCONSIN FORM 2-1882 . 'i; 515689 0VOL 50 . - 11 ST. CR,D(COM 1M Tom E. Lovick, !/k Thomas E. Lovick,~ a { S~xnerset - Supply. - ti APR 21 1994 I 11:30 conveys and warrants to ..Jeffrey E....Stelzer..and..Lynn..M.t------ v S.telzear., . husband _ al3 d . ie fe ; 0~0" . i p RETURN TO ( the following described real: estate in ............$t. -CroiX County, - State of Wisconsin: H Tax Parcel No: e (See Attached Exhibit "A") e 4 This -_U-1101------------- homestead property. i (is not) Exception to warranties: Easements, restrictions and rights-of-way of ! record, if any. I VA t Dated this . day of .•----i' 19 . 94 II - - - ......(SEAL) (SEAL) Tom E. Lovick, a/k/a Thomas E. Lovick, d/b/a Somerset Supply Co - (SEAL) (SEAL) • AUTHENTICATION ACKNOWLEDGMENT Tom E. Lovick a/k/a Signature(s) _________________..____t...___.._---_----"--_---- STATE OF WISCONSIN liomas-_E_._Lovick-------------------------------- - dil ----County. authenticated thi -L- -day of_ ( ne; " erson ly came before me thi2 . _._.day of the above named - ' Kristina Ogland - ------>'-----x jj~_ . ff r TITLE: MEMBER STATE BAR OF WISCO4,§J l c;°• Y If not- r' 1 p --M s:..,. authorized b 9 it by § 70606, Wis. StatsJ I`* ~.0a own to be the person . _ who executed the for ng instrument and acknowledge the same. a THIS INSTRUMENT WAS DRAFTED BY f'7Sa-"'.::.~ -----------Kzxstina_ Ogland--------------- Attorney at Law ' Public (C FYI. CI Notary -County, Wis. (Signatures may be authenticated or acknowledged. Both My Commis on is permanent.(If not, state expiration are not necessary.) date: . - ? - 19..4'-7.) 'e f •Namea of persons signing in any caDarity should be typed or printed below their ug-[arcs. WARRA'•TY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co .Inc FORM No. 2- 17s2 Milwaukee. Wisconsin _ • DOCUMENT NO. , vil PAGE I THIS SPACE RESERVED FOR RECORDING DATA 11 STATE BAR, OF WISCONSIN FORM 11-1982 iI LAND CONTRACT Iadi-idual and Corporate ` (TO BE USED FOR ALL TRANSACTIONS WHERE OVER ~ ~~M- - I $25,000 IS FINANCED AND OTHER NON-CONSUMER I _ - , AQT_TRANS ACfi4i4S1 JI REGISTER'S OFFICE - _ -1 ST. CROIX Co.,A Contract by and between GHQ!`1AS._F,...LQYICK_-and it Recd for Recofd MARY E. LOVICk I at _ 14~99~ ---------:-._---------------------°_..("Vendor", II Citi whether one or more} and.... K31$XAKXH_. HOLDINGS L INC. 11.10 ("Purchaser", whether one o- more). Re9lftetoFONi Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the II rents, profits, fixtures and other appurtenant interests (all called the "Property") , hL .St___GxAZX.......... County, State of Wisconsin: ~I RETURN TO Part of the SEl/4 of the NWl/4 of Section 5, T3011, R19M, Town of Somerset, St. Croix Counti, Wisconsin; beiag part of Lots 1 and.4 of Certitisd Survey Map recorded in Val mm 7, Page 1940 at the St. Croix County Register of Deed's Office; further described as follows: Commencing at the 911/4 of said Section 5; thence N88036'51"E, along the south line of Tax Parcel No the NMI/4, 1818.46 feet ; thence N01^32'32"W, along the west line of said Lot 4, 358.40 feet; thence N72^09'28"E, along the north line of said Lot 4, 68.76 feet to the point of beginning; thence NO1-32'32"W, 108.09 feet; thence N84041'19"E, 478.16 feet to a point on a 233.00 toot radius curve concave northwesterly, whose central angle measures . 27.44'45", whose chord bears S16o40'55.5"W and measures 111.73 feet; thence southwesterly along the are of said curve and the westerly right-of-way of a 66.00 foot private road easement, 112.83 feet to the point of tangency; thence 530.33'18"W, along said right-of-way, 106.72 !set to the point of curvature of a 358.00 foot radius curve concave southeasterly, whose central angle measures 37023'48", whose chord bears 511051*24"W and measures 229.54 feet; thence southerly along the arc of said curve and said right-of-way, 233.67 feet to the point of tangency; thence 306-50'30"E, along said right-of-Way, 17.71 feet; thence N62-06'44"W, 383.40 feet; thence N01-32'32"W, 109.55 feet to the point of beginning of this description. The remainder of Lots 1 and 4 are to remain contiguous and considered as one parcel until further subdivided. This ...._i.s_. no.thomestead property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at Rt.2t Box 240Ct Somerset, WI 54025 the sum of 6S, 000, 00............. in the following manner: (a) $ 25 000 0............................. at the execution of this Contract; and (b) the balance of $.401000.00 together with interest from date hereof on the balance outstanding from time to time at the rate of------ per cent per annum until paid in full, as follows: The term of the contract shall equal 72 payments. The initial 71 payments shall equal $334:00 per payment. Said amount shall be applied to interest only. The 72nd payment shall equal $40,334.00. Said amount represents the last interest payment and the total amount of remaining principal due under the contract. Provided, however, the entire outstanding balance shall be paid in full on or before the-....110i day of October , 19._ 9~_ the maturity date). Following any default in payment, interest shall accrue at the rate of _--;.8.... % per annum on the entire amount in default (which shall include, without limitation, delingttent interest and, upon acceleration or maturity, the entire principal balance). i Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law, YIM$t~d MX XM i1lX.lF#FUA)VA )6~ RAtC ,,UUNA MXY4XXXXXXXXXXXXXXXXXAXXXXX(OR) there may be no prepayment of principal without permission of Vendor.' In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such ease accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said ineebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states chat Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Furchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on Oc.....t.....ob..e..r 1..1 19.._ 91 •Crou Out One LAND CONTRACT - Indtvtdual and STATT. BAR OF WIRI'ONSIN W;--:n I.-I Blank (n. Inc. Corn"rate FORM No. I' V. J von 1075ME 51 EXHIBIT "All' A parcel of land located in part of the SE1/4 of the NW1/4 of Section 5, T30N, R19W, Town of Somerset, St. Croix County, Wieconsin; being Lot 2 and part of Lot 1 of Certified Survey Map recorded and described in Volume 7, page 1868 at the St. Croix County Register of Deeds office; further described as follows:' Commencing at the W1/4 corner of said Section S, thence N88036151"E, along the south line of the NW1/4 of said Section, ` 1818.46 feet thence N01032132"W, along the west line of said Certified Survey Map, 481.44 feet to the point of beginning; thence continuing along said west line, N01032132"W, 166.95 feet,., thence N590541210E, along the north line of said Lot 1, 155.80 . feet; thence S830191070E, along the north line of said lot, 374.24 feet to the NE corner of said lot; thence S39035135"8, along the easterly line of said lot, 104.46 feet to the point of curvature of a•266.00 foot radius curve, concave westerly, whose.,; yr central angle measures 130001231, whose'chord bears S06021102`.5wg:- and measures 60.25 feet; thence southerly along the arc of said curve 60.38 feet; thence S72009128"W, along the southerly line-of.,.-.- said lot 1, 34.96 feet] thence 884041119"W, along the northerly line of parcel recorded and described in Volume 918, Page 525 at above said office, 544.30 feet to the Soint of beginning. : Lot 2 and part of Lot fare to be considered one parcel and not to be further subdivided. Parcel contains 2.44 Acres (10`6,269 square feet) and is subject to all easements of record. Together with and subject to 66 foot Private Road Easement as shown on said Certified Survey Map. i j d Y 02/27/96 10:12 FAX 2475086 ALICE*JOY*CONNOR fj03 Facsimile Cover Sheet \05"~ To: OF SOMERSET Company: Phone: Fax: 1-715-247-5086 From: Vivian Herzog Company: Norwes# Bank Phone: 612-830-8941 Fax: 612-830-8957 Date: 2-26-96 Pages including this 2 cover page: Commenft: ENCLOSED PLEASE FIND THE LEGAL DESCRIPTION FOR KURYAKYN HOLDING INC. YOU REQUESTED, IF I CAN BE OF FURTHER ASSISTANCE, PLEASE CALL ME AT 612-830-8841. SINCERLY. 02/27/96 10:12 FAX 2475086 ALICE*JOY*CONNOR 02 Z0' d 'Nd101 RMNS'I- A. VAN DYK er NE~3FfAM; S. C. wTTdMw, bj A-' LAW" ie. a #OdbV LMI w%OW-m NEW IRM:b I40taO. WI l5LOt7•5IQ7 L L PMMAWWML r^w Pur &de" . Rd t w VAM ~c ...mom CCt9ber 11; .1991 a•'~ie ^w r jq#ya);yn Holdir gs, Inc. c/o Century 21 5eaaaia~et, Wisoollsitl S+~d2~;•. - ; , : • Me., St. Croix CCMty -Abet Poi; 401 Gmtlement P+ursumt to yvrlr request, We hsVd, Abstr`et c•(+ NNo.. RAT 2345, emrrlhgAl* f1~ 1a prep y meted in . zcix County) -w Part of the 8ckrttie t i (WA -~i kkb of Section Five (3) , lbwr-A-ft s3 Aetoge l~~i 1 (19) West, 7bwn of SC t.St i~dhsiiw bbbV-Piir•t' of x I and of ii, NMA : !'7"',' lyeie~e r 1868 at the St. ceoiak; pdt i'; 't b= bf3"ir fin e t cleseribed an fblJm vs ,r' '.FASO) ~,df vd Section Five (5) f+'t,t *l447 31~1~~#21~;:SGM1lth -am of t3jl~ ~t..Qilil-rA~, ;14or'th' Die '32' 320 Wsssk, alwq,A$w-weMst:iZ 4. 3MIA0 -feet.: tbar a North 72". 6.9"...-29" `-fiorth- line , -0-f • 'said ;Lot 68.76 feat to the point f ri 1+?th .0° '32': 32" ' W"t. 108.09 #eet; • therz6e'~4G i A • "":141• 'A'-str: ~47$ilis• Not,t4' a point on a 233.00 tCbir, :tadiUjw. ife''~e': ly tr Central angle maaiaw 2711: 44' 45."•j,:Q%eir.c'L'ie~'~ ,bears $c~ith Us X104 55.5" West and " 111.73. #e L nce t? 'Scetlxly ack" 3 trie etc of said curve area tkre westear~iy; ri ILI ft'' of a 66:00 ;fcbt Private toad ease u&tt, 1111.83 • feft r- o'-t ii :port= of themoe South 30° 33' • 16" waSt,~ along s ,~r3r~{lit if-ivay. 106.•72 ftie't to the point of cLavat of a 358-00 foot raeitiet ttu've aoncsve ` soutl least oxly, whose cerstca . ar4le *okMi*es 37-D 23' 4 8" , '4ihaa chord bears •$ot:th 110 511,240 Wee :ar ' "asuxex 229.54 feett theca* Soot vrly along the are of Sa,i,d.cl<ttVe. aM sai,cl right-cf-way, 233.67 feet to, the point of farxjenc'y= :thebce. VMth 066 50' 30'! taiti alerg said right-of-way. 17.71 fart= thtzoe 34otth 6212 06' 44" West, 383,40 feet; thence North 010 32' 32" -Wiest. 109.55 feet t6 t1'k-- point of beginnfrv; of this doseription. The rem finder of Vats I and 4 are to remain contiguous aril cmside rA as atm parcel until,further subdivided. "'Cl LS68 am `i9 ~j 1S3*[~1 w 8S:8T --.^V ~dti 02/27/96 10:12 FAX 2475086 ALICEaJOYsCONNOR Q 01 Norwast Bank Minnesota N.A. 8 BAIJKS NO 1" ►02 February 20, 1996 Village of Somerset , Planning and Zoning Division //yy P. O. Box 356 Somerset, WI 54025 (JJ ATTENTION: Pam RE: Zoning Kuryakyn Holdings, Inc. 448B Highway 35/64 Somerset, WI 54025 Dear Pam: a zoning compliance letter for the above referenced properly. Norwest plans to close a loan on the property on February 27, 199 erefore, your immediate attention to this matter would be greatly appreciated. Please indicate if the property is located within the city corporate limits of the Village of Somerset and what utility services are available to the property, which would include water, drainage, storm and sanitary sewer, electric, gas, and telephone. Please indicate if the property complies with the zoning regulations. Please indicate if there are set back requirements. I would greatly appreciate it if you can FAX the zoning letter to me at 830-8957. If you have any 1 questions, please call me at 830-8442- Sincerely, Jre M. Nelson / Commercial Real Estate Officer l 1 TOM. 01 425 I 538 B 535 C t I M _ Of ~ N K I LOT ( v I 538 C .5' %p AA__ 300 ` N 7 % % /O ' 425' LOT 2 %w' 538 D y: NE 114 - W I N I 466.T .Sri d I II 538 A ca I i II ~ II 390 490.01 - ~7 .C-Q~t9 C etc , LOT 2 ' o LOT 3 i 1- k~P.~ ~ C~ir u 5M E 541 F 536 A sz- _ U IMP A U4 -NW //4 'alit- - /jyt~ ~g5 6 ~ 37q•24' \ Off. ~ 541 B I O LOT I 536 D 478.16 600 83 ~JQ / 918/525-6 , <NLOT M ~ 83 04 GN~,99 y0, 5 O 541 l 541 Q,~ 81.81' S~ 8736' 39A, 49' I i PIPE CENTS i• SEC. 5