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HomeMy WebLinkAbout032-2074-90-000 \ k § § 0 _ & c f 2 0 ts 7 k )E % g/ E $ IM§ E CD \? , m—s \ / fcN # § $\ \ 0 OD § ) °C) _ 2© � o of ■ k2J$ � Vmc � . � k \ \ . § /C z / \ 2 — ' R \ a m o e o > ] \ (\ � em Qk ° -\) $ 7 / Ek\k & e �A2 a \ ) J EmD C ƒ 2\ § q ] 3 /E$ § ¥ o < < ; LO 2 z co t m 0 £ 6 F— % 2 - f IL = m ) \ ) p w 3 3 CL c § CL 0 0 0 •� 4i « B 0 - � o 0) » ) m u \ { f w i § / / a = F o E a e e \ \D a° 2 \ to § ) m 2 -q LO 4 » m a � ©§ o / k to o§ U £ }2 § \ / \k ) § a § co 0 2 \ ) / o % § 7 $ /_ / % \ @ q 2 § / f 7 / ® S § , & @ E ! § $ a � . G 3 A ' a q o z $ i § / � 2 Li � k o J a 2 .; 0 $ Q Parcel #: 032-2074-90-000 03/31/2014 E 1 AM PAGE 1 OF 1 Alt. Parcel#: 14.30.20.786D 032-TOWN OF SOMERSET Current OX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-OLSEN, MURIEL A MURIEL A OLSEN 1546 ANDERSEN SCOUT CAMP TRL HOULTON WI 54082 Property Address(es): '=Primary *1546 ANDERSEN SCOUT CAMP TRL Districts: SC=School SP=Special Type Dist# Description SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Notes: Legal Description: Acres: 3.000 SEC 14 T30N R20W PT GL 3 FORMERLY LOT 1 CSM 2/399 NOW BEING LOT 2 OF CSM 9/2628 Parcel History: 3 ACRES Date Doc# Vol/Page Type 10/14/2013 987477 TOD 07/23/1997 1087/111 QC 07/23/1997 778/59 07/23/1997 746/140 more Plat: *=Primary Tract: (S-T-R 40%1601/.) Block/Condo Bldg: *2628-CSM 09-2628 032-93 14-30N-20W LOT 02 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 50,000 128,100 178,100 NO Totals for 2014: General Property 3.000 50,000 128,100 178,100 Woodland 0.000 0 0 Totals for 2013: General Property 3.000 50,000 128,100 178,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 216 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 BENCHMARK: ALTERNATE BM: EP IC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:_ LG/! S Liquid Capacity: 47-0 frx� Setback from: Well 00 W/House Other Pump: Manufacturer � -.7ne Model# _ Size Float seperation $ Gallons/cycle: o Alarm Location CA SOIL ABSORPTION SYSTEM Width: 7 Length Number of trenches Z Distance & Direction to nearest prop. line: A, r Setback from: well: ouse _ Other / ELEVATIONS Building Sewer A/14 ST Inlet . O, ST outlet •6 PC inlet PC bottom ld Pump Off Header/Manifold Bottom of system O` Existing Grade _167o.,gOV Final grade_��3-�C,� DATE OF INSTALLATION: F. PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93 : jt • STC' - 104 ' AS BUILT SANITARY SYSTEM REPORT OWNERG ADDRESS Lr>f'±2 SUBDIVISION / CSM# LOT # SECTION_,TT 799 N-R4/ 1, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM to r r i e5a d I 1 �1 ` I INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e i i P,br ons-nvepartmentofIndustry, PRIVATE SEWAGE SYSTEM County: - Human Relations INSPECTION REPORT ST. CROIX 3�lBuildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village a Town of: State Plan o.: ( -0 - �/u OLSEN, MURIEL X _ _ _ `S CST BM Elev.: Insp.BM Elev.: BM Description: Parcel Tax o. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 1<0�a 0 Dosing Aerati _ Bldg.Sewer Holding St/},fit Inlet yC�ZI j TANK SETBACK INFORMATION St Outlet TANK TO P/L WELL BLDG. Ae Intake ROAD Dt Inlet 6116 161, 71 Septic NA Dt Bottom 0, 3" Dosing CD q1 ' tisd NA Header/ Aeration Dist. Pipe ob 0 y Holding _ �`�` Bot.System PUMP/ NFORMATION Final Grade Manufacturer 2o�UL� Demand Model Number �j3 GPM Friction S ste TDH Lift�3- L !,� ma `TDH6��j Ft Forcemain Length 00 Dia. 'L Dist.To we SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length /i No.Of Trenches PIT No.Of Pits +Insd i Liquid Depth DIMEN 1 N �P�` IMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC G anufacturer: SETBACK CH BER INFORMATION Type Of , Model Number: System: /ZUSI to ld 00 O UNIT DISTRIBUTION SYSTEM - Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length 3d Dia. I I/q Spacing Ol ND w�0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over u Depth Over 4,/?U xx Depth Of " xx Seeded/�Md xx Mulched Bed/Trench Center ( Bed/Trench Edges �V Topsoil i [ Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies,persons present,etc.) LOCATION: SOMERSET 14.30 20.786D,GOV,/T LOT 3 LOT 2,ANDERSON SCOUT CAMP'-.,.,; I a3.x C) 33 4ttision r%q uired? Yes [ No Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signature Cert.No 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: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete#of bedrooms if 1 or 2 Family Dwelling. 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. I SBD-6398(R.11/88) s - - SANITARY PERMIT APPLICATION COUNTY In„ In accord with ILHR 83.05,Wis.Adm.Code i-O STATE SANITARY ZRMEA, -Attach complete plans(to the county copy only)for the system,on paper not less than a a Ac K7 8'/*11 inches ir)size. y r ❑ 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.66V �. PROPERTY OWNER �rl PROPERTY LOCATION ri 4e / d� %,S T qN, R (o PROPERTY OWNER' AILING ADDRESS LOT# BLOCK# CITY,tTkTE ZIP COD PHONEUMBER � SUBDIVISIO NA7z?M BER ���f vi'J 5�4'�ez c/-' II. TYPE OF BUILDING: Check one CITY EAREST ROAD ( ) ❑State Owned VILLAGE 5en El Public �1 or 2 Fam. Dwelling#of bedrooms ARCELTAX NUMBER(S) III. BUILDING USE: (If building type is public,check all that apply) °'` 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) ?5 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 19Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 EL'EV. 7. FINAL GRADE REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION � P3 d o2 O /E �'- ,,Z - Feet Feet CAPACITY VII. TANK Site in a alions Total ##of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holdina Tank Lift Pump Tank/Siphon Chamber !:� 26e� j 1'1e-e-A(,� E] F-1 I R I LI 1 1-1 L1 VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumbe ' Name(Print): Plumbe ' Signature:(No Stamps) MP/MPRSW yo.: Business Phone Number: u er's Address(Street,City,State,Zip Code. ��X IX. COIBIN TY/DEPARTMENT USE ONLY ❑ Disapproved Sani ry Permit Fee(Includes Groundwater ate ssue Issuing A nt S ture(N am ) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber SAFETY&BUILDINGS DIVISION State of Wisconsin Department of Industry,Labor and Human Relations August 11, 1994 1053A East Green Bay Street Shawano WI 54166 SBIRD, BiYRON JR B,9-6 AVE AMERY WI 54001 RE: PLAN S94-30774 FEE RECEIVED: 180.00 OLSON rn"-f�Ct NE,SW,14,30,20W TOWN OF SOMERSET COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Keith Wilkinson Plan Reviewer Section of Private Sewage (715) 524-3627 SRD-6423(R.0 U91) PLOT PLAN PROJECT MWrel Olson ADDRESS 1550 Twin Sprinqs Rd. Houlton Wi 54082 NE 1/4 SW 1/4S 14 /T 30 N/R 20 W T/OWW,N,. S. Somerset COUNTY ST.CROIX MFRS BYRON BIRD 7R.3318 �.'<—L �� ' �!:�i DATE 8/3/94 BEDROOM 2 � �` ; CONVENTIONAL IN-GROU D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND )0000( SEPTIC TANK SIZE 800 Gallons LIFT TANK SIZE DOSE TANK SIZE 800 Gallon HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 250 t �SIZE 4'X 62.5' IL BENCHMARK V.R.P. Post Base with Orange Ribbon ASSUME ELEVATION 100' ❑ BOREHOLE (DWELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 102.2 Scale=l /flinch=l Ofeet All distances to fi;An MCILVA J scale unless _ otherwise stated 580' Property Line Basal Area=1062ft^2 Note:go&al Area to 306' be left undisturbed Property Line 0 3 6% Slope B.M B O 2 B�1 NS1TE SEWAGE SYS 1 LiVI p S 198 Pro 2 ` i� Bedroom Property � �° '��.��/ 4 �� �_ Line "" � ,� ,. !��3 RELATIONS use 225 DEPARTNIEUf Cj b;t�t, ri _ �GiL C�Y �y�r'i) ��l'�t7�J GtiDENGE Anderson Scout Camp Rd. r�vv Page Of Cross Section Of A Mound Using A Trench For The Absorption Area Rs 33 _ H L i1 Gl' O F 6" Topsoil E D Trench Of 'i" - 21-2" Aggregate, Plowed Layer 6" Below Pipe. Covered With D Ft. Straw, Marsh Hay Or Synthetic Fabric O�ISITE SEWAGE SYSl���vl E Ft.-7 7 r, Ft. l' RELATIONS DEPARTNlEN F. : ,S AFEIY i 114 Dd��DiNU Plan 1ie1Qf d Trench For The Absorption Area %.1, , �.SPONDENCE i 1D Force Main 7,Z.n ' d Distribution Pipe , O Permanent Markers �cay0bservation Pipe �.so I W B K \Trench Of - 2 Z" Aggregate I i L i 2-- A -t. I Ft. K Ft. W Ft. B J-Ft, J Ft. L Ft. S9 3y Signed: / ; Via,.- License Number: 3 3 1 Y Date: Page Of Distribution Pipe Detail For Two Lateral Network Holes Located On Bottom Are Equally Spaced PVC Force Main End Cap H. X X PYC Distribution Pipe P p " X * Last Hole Should Be Next To End Cap P Ft. Hole Diameter r`� Inch X Inches Lateral Diameter Inches) Y Inches Force Main Diameter Inches # Of Holes/Pipe _ Invert Elevation Of Laterals Ft. Signed: S iE. S License NumbeS`T,5s Date: d DEPARVIE I' ,+ �w�scA1 r F �t �`f SALE AO t��f9LO��uG 94 . 3 #, • PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.L. VENT PIPE WEATHER PROOF APPROVED LOCKING j JUNCTIOLI BOX MAIJHOLE COVER �!i > FROM DOOR, 64 .jINDOW OR FRESH 12 MIIJ. I AIR INTAKE I _ GRADE I y"mIIJ 18"MIN. CONDUIT -- . 19"MIN. ---------- ON---SITE ��,I,I PROVIDE E I IN L_ T � �RTIGHT SEAL APPROVED JOINT A ; �� �q wi I III APPROVED JOINTS I W C.I. PIPE + t {U:IVr:'v4Uj` +L rL ii i7iirfi � I L'j I9� NS w/c.i. PIPE I I I ETEWOING 3+ aIiMn1 E�TIO ALARM CXTCNDIN6 ONTO SOLID i0 1L oiylJ O►JTa 60L.10 SOIL IE h V AND " I I ON LLCV. FT. PUMP OFF D CONCRETE BLOCK 3"APPROVED RISER EXIT PERMITTED OWLtJ IF TAIJKr�MANUFACTURER HAS SUCH APPROVAL gED01NG s r-A Tf f4-fl;1+2 v e. Eir /r.,n SPEC,IFICATIOPJS S ,J —_4s MANUFACTURI4R: 1/J .� •`� ,Y� NUMBER OF DOSES: PER DAU TANK SIZC: dSdn GALLONS DOSE VOLUME76 ALARM MANUFACTURER: PL41- INCLUDING OACKFLOW: l.L 6ALLDNS MODCL HUMBER: CAPACITIES: A= Q4� INCAE5OR �.� GALLONS �� 1-K'-,�,r = INCHES OR _ILL—G LLOAIS swITCH Tyvc: B t` PUMP MANUFACTURER: �� P I�r',J` C a�INLHES OR _:(ZSL_GALLOIJS MODEL NUMBER: D- INCHES OR GALLONS SWITCH TYPE: r�}� nnr,,� MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCKARGEjRATE��� �� GPM INSTALLED ON SEPARATE CIRCUIT$ VERTICAL DIFFERENCE OETWEEN PUMP OFF AAID,DISTRIBUTION PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET + — FEET OF FORCE MAIN X /-5 >j/oo fy.FRICTION FACTOR.. FEET 94 *t TOTAL Dy1JAMIC. HEAD = FEET INTERNAL DIME IONe OF TANK: LEIJCaTH ;WIDTH ;LIQUID DEPTH 3 SIGNED' LICEIJSE NUMBER: I � DATE: -*z=� j 1uAPAC r'Sr- CURVE cn ac u3 F- W 30 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING SERIES 53 55.57-59 97 /J7-139 163 165 28 S LTRS LTRS LTRS LTRS 1.52 163 248 391 231 231 EFFLUENT AND DEWATERING 3.05 129 216 300 231 231 4.57 72 163 242 227 227 26 5 ♦ SEWAGE AND DEWATERING 6.10 104 136 223 227 \ 7.62 30 216 223 �O 9.14 206 220 24 \\ 12.19 172 206 \ 15.24 125 191 \ 18.29 57 161 22 � 21$4 114 \ 24.38 53 MODEL\\ MODEL Lock Valve: t 9' 24.5' 28' 66' B7' 20 163 \ 165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE \ \ SEWAGE AND DEWATERING \ SERIES 267 261 282 284 290 18 \ \ M LTRS LTRS LTRS LTRS LTRS 1.52 408 386 492 681 3.05 227 273 360 598 4.57 76 163 238 511 0 \ 6.10 30 125 401 \ , 7.62 288 14 \ 9.U 163 292 \ 10.67 227 \ 1 12.19 -- _ 174 13.72 106 12 Q 15.24 00 WE] \\ MODEL Lock Valve I IS- 21' 26' 35' 53' 10 5 i 293 DELS 8 25; 137 139 MODEL ` 5 ` 284 4 DEL. MODEL 282 2 M10 ! ♦ 1\ . Y 53, 5, MODEL- 2MODEL 0 57, 9 97 267 U S AILS i0 0 . 30. `40 50x 60 70 80 >$90 1do 10120'3 30•�,1�4r0�15Q '.16011170 180 LITERS 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 94 - 3 3280 Old Millers Lane Manufacturers Of. . . Box 1 Louisville, Kentucky 40216 n (502) 778-2731 QL/,a[/TY Pu+sns �NCL ,9,1,9 8 PROPERTY OWNER &I SOIL DESCRIPTION REPORT Page of PARCEL I.D.# Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring# Horizon in. Munsell Ou.Sz.Cont.Color Gr. Sz. Sh. Bed Twd D Ground elev. /W.Oft. Q- C -,w- e Depth to limiting fact? %O Remarks: Boring# Ground elev. ft. Depth to limiting factor T-T Remarks: Boring# Ground elev. ft. Depth to limiting factor Remarks: Boring# Ground elev. ft. Depth to limiting T——1 factor Remarks: S13D-8330(R.05/92) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Of L_-bor and-Human Relations g _ Division of Safety rt<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 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. Q 3 pQ- 2 07Y y�� APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION ©/e GOVT.LOT 1/4 5w1/4,Sl T p N,R Q E(90V PROPERTY OWNER':S MAILING ADDRESS LOT# CK#�SUBD. AME 09 CS # ` r • �tPdEJ CIV.611T TE ZIP COIJE PHONE NUMBER MCITY ❑VILLAGE OWN N ARE AD ..A New Construction Used], Residential/Number of bedrooms e2. ( ] Addition to existing building L ] Replacement ,-1 [ ] Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate /. o bed,gpd/ft2 trench,gpd/ft2 Absorption area required Q bed,ft2 a5ptrench,ft2 Maximum design loading rate hCbed,gpd/ft2--L2trench,gpd/ft2 Recommended infiltration surface elevation(s) i0j2. oZ ft (as referred to site plan benchmark) Additional design/site considerations 6�/9i'�it sl Parent material 'R ,-e_d rp C"4,- Flood plain elevation,if applicable fit/ ft S=Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable for system ❑S U P]S ❑U ❑S [&U ❑S I$1 U ❑S (2 ❑S U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed ITilench �^ O S 07 -112 7/5- J) GAS 3 Ground - y- elev. I Oft. , �, -• Depth to limiting f ct� Remarks: c� / • o-, �z e a Boring# ® I t)Ll a Ground 3. elev. /O�t. zo ' Depth to limiting fact_ or, Remarks: CST Name-.—Please Print ` /J )� Phone:, Address: r Signature: Date: CST Number: s Soil Test Plot Plan Project Name Muirel Olson Byron Bird Jr. f Address 1550 Twin Springs Rd ` Houlton Wi 54082 C 3479 Lot 2 Subdivision Date 8/3/94 NE 1 /4 SW 1/4S1 4 T 30 N/R20 W Township S. Somerset Boring () Well PL Property Line County ST. CROIX lk BM or VRP Assume Elevation 100 ft.Post Base with Orange Ribbon System Elevation 102.2 *H R P Same as Benchmark Scale=1 /4inch=1 Ofeet All distances to scale unless otherwise stated 580' Property Line 306' Property B-3 Line ❑ 6% Slope B.M B-2 B- 1 0 2 Bedroom 198' House Area 225' Property Line iL- Anderson Scout Camp Rd. f a CURVE DATA No. Cent. Angle Radius Arc Chord Ch.Brng. 1-2 17003'00" 300.24' 89.34' 89.01 ' N77057'30"W 3-4 47017'00" 104. 12' 85.92' 83.51 ' N45047'30"W 5-6 20051 '00" 250.59 91 . 19' 90.69' N32034'30"W TANGENT BEARINGS: At 1= N86029'00"W At 2= N69026'00"W At 3= N69026'00"W At 4= N22009' 00"W At 5= N22009'00"W At 6= N43000'00"W DESCRIPTION Lot 1 of the Certified Survey Map recorded in Volume 2 of Certified Survey Maps, Page 399 described as follows: A parcel of land located in Government Lot 3, Section 14, T30N, R20W, Township of Somerset, ST.Croix County, Wisconsin, more fully described as follows: Commencing at the Center of Section 14: Thence 587006' 18"W along the North line of said Government Lot 3 a distance of 24.75' to the point of beginning: Thence S3017' 30"E along the West line of Anderson Scout Camp Road a distance of 808.55' ( recorded as 808.52' ) ; Thence N86029'00"W 288. 15' ; Thence northwesterly 89.34' along the arc of a 300.24' radius curve which is concave northeasterly and whose long chord bears N77057'30"W 89.01 ' ; Thence N69026'00"W 101 .20' ; Thence northwesterly 85.9T' along the arc of a 104. 12' radius curve which is concave northeasterly and whose long chord bears N45047' 30"W 83.51 ' ; Thence N22009'00'W 69.00' ; Thence northwesterly 91 . 19' along the arc of a 250.59' radius curve which is concave southwesterly and whose long -chord bears N32034'30"W 90.69' ; Thence N43000'00"W 202.48' to the southeasterly line of Twin Springs Addition; Thence N49049'00"E along said subdivision line 334.00' to the most easterly corner of Lot 81 of said Addition; Thence N43000'00"W 132. 10' ; Thence 586049'00"W 29.75' ; Thence N21008'00"W 52.55' ; Thence N87006' 18"E 580.06' (recorded as 580.08') to the point of beginning. Contains 10.01 acres subject to any and all easements, right-of-ways, conveyances and ordinances of record. SURVEYOR'S CERTIFICATE I , James M. Weber, registered land surveyor, hereby certify: That in full campliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Muriel Olsen, owner, I have surveyed and mapped the above described parcel of land and that such plat is a correct representation thereof. Dated this 1<r day of �.p�.� 1993. v� C tv �'� S i J i James M. Weber S-1804 b 1: JAMES M. WEBER LAND SURVEYING WEBER +� S' 1804 ii SPRING VALLEY Note: Parcel shown on this map is subject to State and County Laws, f• WIS. f Rules and Regulations (i.e. wetlands, minimum. lot size, access to r parcel , etc.). Before purchasing or developing any parcel contact (�`000 the St, Croik County Zoning Office for advice. ''mill y ''e•° suRv! •O' SHEET 2 OF 2 !�!!!!!!INN�� 93-29 This instrument.drafted by Jim Weber VOLUME 9 PAGE 2628 500040 CERTIFIED SURVEY MAP BEING LOT I OF THE CERTIFIED SURVEY MAP RECORDED IN VOLUME 2, PAGE 399, LOCATED IN GOVERNMENT LOT 3, SECTION 14, T 30 N, R 20 W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN, P.K. NAIL INI I 1 CI/4 COR. SEC.14 • STONE FOUND P. K. NAIL FOUND) UNPLATTED LANDS ► N 6 70 06' 18 E 580. 06 '(R=580.08') , 1 — N 2 10 08'00"W ' 52. 55 S86 0 49'00"W �3 29. 75 OD- -.- 100' ;, a LOT 2 O s O N,4�000'0 W 3.00 ACRES , N I CD 132. 3 130,728 SO.FT.I e ID N W 0 ss a' I ' t.�C,C l 3 C, _ a• � F I .`� 79 .DO cn \ 30IT 1 I p01 house L� S) • 2,p3 g 0CI \ pp0 `well S5 98,55 y�� I o ;2� y o z I W E 33 . o w i 1 m' o 2 LOT 3 0� 4.00 ACRES �; i o 0 • (174,266 SQ.FT,) /I ?� - ILA%00 C9 • �' N ( 2, I ��y O drive QI %\'y © 2 LOT 4 �vsN 3.01 ACRES ' i'. , septic (1 31,055 SO.FT.) �. ? N 1 O xl A N47053112"E r, I- 107.78 I ' Z I 00 116-6 ru m O OI N22 009'00"W m•Z. /p OI I 69,00 ® - o N ( to VI /� Io� --- -- LINE-- - - ' •yI o h -- - 24.75 X33' SI.ElD N69026'00 W M c ZI 3 101.20 �� �- _ N 86 29 00 W 288.15 O, ,1UN 141993► �_- ---- — ----_-- NI 0'CO NNELL 4 - I G JAMES �gsts(DfDseds APPROVED � b St~CroixCo.,w� s 't� JUN 1 4'931 PREPARED FOR: I MURIEL OLSEN I 57. CROIX COUNTY ;,.)m pvhensiv*Planning Zoning and NOTE: ►sAsCOMMMOv SI 14 CORNER SEC. BEARINGS ARE REFERENCED TO 14.(COUNTY MONUMENT THE N-S QUARTER LINEf RECORD FOUND). B EAR I N G). It not mordad within 30 dolls Of ,r�iNNtNte jl swovsl(data � G O (R c ) = RECORDED DIMENSION rum& VOId • �� O a SET 1•'X24" IRON PIPE WEIGHING 1.13 JaWlEI3ER LBS. PER LINEAR FOOT. ,� +� e 1 " IRON PIPE FOUND. S- 1804 SPRING VALLEY o` sm O = 2 " IRON PIPE FOUND. Wis. i 7 ! SCALE 1 " 150 UR� Oi3�t14s� - O' 75 150' 300 JAMES M.WEBER S-1804 SHEET 1 OF 2 DATED 93 - 29 THIS INSTRUMENT DRAFTED BY VOLUME 9 PAGE 262£3 r , STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Q/,5 f42 MAILING ADDRESS MS'S o ��ilr 5.��' i.r Tzz / ccllyo-7 41-15� PROPERTY ADDRESS /b G e=r ,G-41 0 lion of septic system)Please obtain from the Planning Dept. CITY/STATE Pr6•t�6'���� C�3 PROPERTY LOCATION 1/4, 1/4, Section IV T_�0 N-R�o W TOWN OF Jr- _ -e c� 5�� ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER oZ CERTIFIED SURVEY MAP ,VOLT 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: �^"^ c''`J`" DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, W1 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the 6wner(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 A appropriate deed recording. ------------------------------------------------------------------- Owner of propertyC �� ►� Location of roperty 1/4 1/4, Section ,T N-R W Township Mailing address /S 5�o�fw� �,.•, �, � ��� 22�C4 o d Address of site Subdivision name Lot no. - — Other homes on property? Yes No Previous owner of property "_��� Total size of property Total size of parcel ___ 3 c �-► S Date parcel was created Are all corners and lot lines identifiable? _'Yes No Is this property being developed for (spec house) ? Yes _ No Volume/-6L,?-;-z and Page Number 411 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. ✓ / �e — Signature of Applicant Co-Applicant g- ,;;L`{ -y� Date of Signature Date of Signature _ DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECORDING DATA QUITCLAIM DEED VOL 1087PArs,111 REG1,S4 Li, v ST. CROIX CO., WI ��, J Rec'd for Record b9 'JUL 1 5 1994 quit-claims to MZA t'It' L- 4 lj L 59.y 3.30 P. at M d• Register of Deeds the following described real estate in S CZ Y-© County, State of Wisconsin: RETURN TO Tax Parcel No: PP Y• This S � homestead property. (is) (is not) 11// Dated this f day of 1-,LL -AJ12 Sa.V (SEAL) (SEAL) � A (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. St Croix County. authenticated this day of 19 Personally came before me this 9th _day of July 19 94 the above named Larry D. Anderson TITLE: MEMBERSTATE BAR OF WISCONSIN (If not, to mkNknown to be the person who executed the authorized by§706.06,Wis. Stats.) fore o g instrument and a no' a id 10,e sa THIS INSTRUMENT WAS DRAFTED BY 'S James-+0!Coern lip Notary Public = 6412»(7ii X County„Wis. (Signatures may be authenticated or acknowledged. Both My Commission ts,perrnanetrrt. (IflTtot, state SW ration are not necessary.) date: Apii�I. % 'r�, Names of persons signing in any capacity should be typed or printed below their signatures. V SB3:NTF 0023 OUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No.3-1982 Nelco Tax Forms,P.O.Box 10208,Gre 0,Bay,WI 54307-0208