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HomeMy WebLinkAbout032-1073-60-100 ti y c ~ 3 O I c M A. 0 ° I o I 0 Kc I I I i ~ I I ~ I ti I c ~ O I 'a Z co I c I LL o ca Q °c I co Z rn w o Ff v L za 0 C4 i o o z g ! c d z g o 0 N O Q 0) 7 ~ N I N `O C •N o 01 N O O N Q w Z co z N Z o ~ ~ I C C N 40 E N ~ M ~ y - d c CL a wi b o c cD cD co y d ` O T O O O O O O 4. dl M N N 0 U) U) U) Z 7 I-- H O F N N O O O O d m Z O O • m LO a a a a N O O 0) CD rn O V) U m _ Z O M M ..O O co 0 co co E d N o v, N co w o d d Q} a~ Q I O N C ° Q 3 rn O c c E O O d N N 6a p p cli to (0 a cc E E cOn~ c o° o w 0) i _ O LO N O _ L c') E O N U) 2 O Z y M G (n O R I ~ I va' Q ~a • 7-- (L 21 I a w ~ a m c E 3 L r A vat 0U)0 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER__ TOWNSHIP SECTION62ALLT,j/ N-Rj ADDRESS W, -?,;7- y' 2~Scf ST. CROIX COUNTY, WISCONSIN ° a SUBDIVISION LOT - LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM We l/ 4 3 r A0 5 1 cc~~ J0 INDICATE ORT ARROW BENCHMARK: Elevation and description: S~ Alternate benchmark fl`o ~t SEPTIC TANK:Manufacturer: r,,) 4e. /*f S Liquid Cap. Rings used:/OaM na hole cover elev:'jq-tFinal grade elev: Tank inlet elev.: `J >Tank outlet elev.: 9Y ' No. of feet from nearest road:Front Side , Rear Ft.vO From nearest prop. line:FrontSide , Rear Ft. No. of feet from: Well f , Building: 'g'/ (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front-, Side_, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: / Length - _Number of Lines Area Built Exist. Grade Elev. y Proposed Final Grade Elev. y y,3 Fill depth to top of pipe: '~F~ No. feet from nearest prop. line:Front-,Y, Side Rear Ft.,;FQ No. feet from well: No. feet from building 33 HOLDING TANK °25 Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: DATE: PLUMBER ON JOB: LICENSE NUMBER: 6/90:cj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION M JSON WI 537Y State Plan I.D. Number: S044, Y4, Sec. 6, T31N-R19G1 (Ifassigned) Town o4 Someue ®CONVENTIONAL ❑ ALTERATIVE 60th Street ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound )O NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: LaAA Hecht Box 325, Someu et W1 54025 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV ✓,q 40. Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: B non Bi&d Jn. 13318 St. Cn 128759 SEPTIC TANK/ MANUFACTURER: LIQUID CAPACITY: TANK INLET TANK OUTL : WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: (t(pafp Lde- 9,9 3 5K, (619 ES ❑ NO ❑ YES NO BEDDING: [WnDIA.- VrW MAI HIGH WATE NUMBER OF ROAD: PROPERTY WELL- BUILDING: VENT T RESH ,2 ~ j ALARM: FEET FROM LINE: r 11 AIR I ET: ❑ YES NO ❑ YES NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: r UMP AND CONTROL NAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN EET FROM LINE: AIR INLET: PUMP ON AND OFF YES ❑ NO SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: IAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: r MATERIAL: DEPTH:4 DIMENSIONS -5-t" ~ / I GRAVEL DEPTH IFILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. IPE MATE I L: NO. STR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: & IPES: FEET FROM LINE: AIR INLET: -24 -X S NEAREST--- SYSTEM: MOUND Mound site plowed perpen Icular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: 1 ❑ YES ❑ NO ❑ YES El NO NEAREST f b~j -e~'c ✓~3 C-(1, e L.L,f. c ; rr Q cr: a 'f , o-' Cti ` c r IX Xe ,~'7''~' , P Sketch System on ain in county file for audit. Reverse Side. SIGNATU TITLE: _ Administ aton Zoning (R. 06/88) SANITARY PERMIT APPLICATION 7D LHR' In accord with ILHR 83.05, Wis. Adm. Code COUNTY . C r NEWS STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ -1 a a_ 8'r~ x 11 inches in size. ec if revision pr f.us 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 ~e c rI f 5GJ'/a &w Y., S ?d, T N, R E( W PROPERTY OWNER'S MAILINr3 ADDRESS LOT # BLOCK # Ai!g b CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Ory+ tr S~ O ~ II. TYPE OF BUILDING: (Check one) ❑ State Owned 0 VILLLLAGE /Z NEAREST ROAD 7'.t ❑ Public 'V7S 1 or 2 Fam. Dwelling-# of bedrooms A EL AX NUM _ `~-M Q III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 utdoor 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. ❑ 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 0 Seepage Bed 21 ❑ Mound 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 ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION CJ pZ •W/Feet Feet VII. TANK CAPACITY Site in aRaisnt:T ns Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New Gallons T anks oncret structed glass App. Se tic Tank or Holdin Tank Tanks /azz) -G~ Lift Pump Tank/Siphon Chamber F1 I F] R F] F] Vill. 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) MP/MPRSW No.: Business Phone Number: 3 lS' 7~s' g'~ A~,, I Plum r ddress (Stre t, ity, at , Zip Cod - 99, 0101, u- lit, 0 0 IX. OUNTY DEPAR MENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issui Agent Signature (No Stamps) Approved ❑ owner Given Initial N5 surcharge Fee) Adverse D rmin ti n X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-87) (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 (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: L 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 that 8'h 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) . APPLICATION FOR SANITARY PERMIT 8TC-100 This application form is to be c:ompletad in full and signed by the ovnet(s) of the property being developed. Any inadequacies will only result in delays of the petmIt issuance. Should this development be intended tot tesale by sold second should thls office retained with the completed ttwhen t~the property # Is then appropriate deed recording. - Own•t of property f !-~ca w c' n,~P -Pr,lr Location of ptopetty_~_1/4 1/4, Section g&CT 3/>,•aZ..7.V Township Mailing address C' Zs 'S s'y S . afi L / V [ Address of site 69 UJ~ lubdlvlsion name Lot number . Previous owner of property e4 5 uiz c Total size of parcel < r,.~4 ~7Gri~~ . r.-y~ Ta.'Iy# Ji Date parcel was created 74 Ate all cornets and lot lines Identifiable? as __JI0 Is this property being developed tot resale ('spec housel?as e PO Volume -and Page Number as tecotded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWINCt A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUMR AND PAGE NUMIER, and the BEAL OF THE REOIBTER OF DEEDS. In addition, a certified survey, It avallable, would be helpful so as to avoid delays of the reviewing process. It the deed descrlptlon references to a Cestlfled Survey Nap, 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 (out) knowledge; that t (we) am (are) the owner(s) of the property described In this Information totm, by virtue of a warranty deed rotor ed In the Office of the County Register of Deeds as Document No. f and that I (We) Presently own the proposed alto Lot the sewage d sposa sy tem (or I (we) have obtained an easement, to run with the above described property, tot the construction of sald system, and the some has been duly t o d d in the office of th County Register of Deeds, as Document No. 1. g atute of Owner Signature of co-owner III Applicable) f,--_~ d - .Lo Data of llgnatute Date of Signature L ♦ DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1952 THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED AGE- Suzanne Frazier, Gerald Hecht' Robert Hecht and Constance ST. CROIX. CO., W) D. Hecht, formerly Connstance Carufel, each having- an--_ R@C"d for Record und' ided 1/7 int----- ~ I - t ----------------------------1 ,•t Lawrence P. Hecht ,at :OU A. quitclaims to nn - Deeds Register of Deeds the following described real estate in St. Croix i_ x County, State of Wisconsin: RETURN TO Part of the Southwest Quarter of Southwest Quarter (SW'-4 of SW14) of Section 26, Township 31 North, Range 19 West, described as follows: Tax Parcel No_ Lot 1 of Certified Survey Map filed July 16, 1990 in Volume "8", Page 2240 as Document No. 460499. VIM This is not homestead property. :(rte) (is not) Dated this day of - •August------•-•-•-------------••----- 19. 90 , ----------------------(SEAL) It CT~?^! .•-rn-:.. lSi r Gerald Hecht (SEAL) Suza a Frazier m i~~k ---------.(SEAL) = (SEAL) Robert Hecht Constance D. Hecht, formerly * onstance-.Carufel_ AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. St. Croix ` - - ----------------------------------County. authenticated this day of___________________________ 19______ Personally came before me this L day of ---------------------August---------, 1990---- the above named -Ge-r-al-d'--He-eht-y--R-ober-t--Hecht Suzanne--Frasier TITLE: MEMBER STATE BAR OF WISCONSIN and Constance D. Hecht-- , formerly Cons--tance (If not, ~!`~C4~1-~,4 '~'~y, Carufel Ca authorized by § 706.06, Wis. Stay • eee.••"'~ 00,00, * to me known to be the person swho executed the e• foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTEdz o ---------------G------- c l~ C~y~.z.~ HEYWQQD and--CARI s ,Ir` • cot t bSamuel R. Cari 0 % 4 vLNH rn f----- i w'~ .Ir Notary Public Count Wis. P~O~ --Bax--229~ --Hudsan~- Wl- . St.---Cr-oix ----------------County, (Signatures may be authenticated or a6F+owle I5t~►,~ My Commission is permanent. (If not, state expiration are not necessary.) ~~$1488814161% date: C.I_C~CC5-~-------- 19_ 3 ) QUIT CLAIM DEED STATE.. BAR OF WISCONSIN Wisconsin L.jzal Blank Co. Inc. FORM No. :1 - 1982 Milwaukee, Wis. ' N SEPTIC TANK MAINTENANCE AGREEIIENT St. Croix County a n OWNER/BUYER - ROUTE/BOX NUMBER Fire. Number d CITY/STATE STATE < ZIP L c)r; rt G•~ Sections-• T,.N. RW • PROPERTY LOCATION:'.' Town of ~~nn fC -2_1___.__ ~ St. Croix County. Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a l~ic~ens'ed' 's'ept'ic tank pumper. What you put into the system can al ect t e unct on of zae septic.tank as a treat- ment-stage in the waste disposal system. • St. Croix County residents-MAX 'be eligible to recieve a grant for a maximum of 60% of the cost-of replacement of a failing system, wh c 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 'sys'ms agree to keep their system properly maintained. The property owner agrees to. submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2)-after inspection and pumping (if nec- essary), the septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year'expiration. y 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 Depart- x w ment of Natural Resources. Certification form must be completed b and returned to the St. Croix County Zoning Office within 30 days of the three year expiration-date. SIGNED DATE - Cj 9 6 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. SAFETY&BUILDIN DEPAtRTKENTOF REPORT ON SOIL BORINGS AND DIVISION N ~INDUStRY, LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: p TOWNSHIPt~TY: LOT NO.: BLK. NO.: SUBDIVISION NAME: SW ~~W~/4 26 /T31 N/kgxk(or)W Somerset n/a n/a n/a COUNTY: OWNER'S AME: A V ADDRESS: St. Croix Larry Hecht Box 325 Somerset, Wi. 54025 247-3222 USE DATES OBSERVATIONS MADE TESTS: NO. BEDR COMM R A D SCRIPTIO R F ONS: PERCOLATION ~Residence 3 n/a ~NBW Replace I 4-13-90 4-13-90 RATING: S- Site suitable for system U- Site unsuitable for system r ONV_NTI N : MOUND: IN-GROUi3D~R.SSU SYSTEM-1 N-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ES 0 S ou Cis ❑u ❑ S ®U I ❑ S ®uconventional 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 18 SHC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHKK, ELEVATION OBSERVED EST. IGHE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B-1 7.17 99.48 none >7.17 .83bl.1. .92bn.sil. .67bn.s.1. 4.75bn.c.s.&gr. B-2 7.33 99.70 none >7.33 .75bl.1. 1.00bn.sil. 1.08bn.s.1. 4.50bn.c.s.&gr. B-3 7.17 99.65 none >7.17 .75bl.1. 1.50bn.sil. 1.00bn.s.1. 3.92bn.c.s.&gr. B 4 7.33 99.75 none >7.33 1.00bl.1. 1.58bn.sil. 1.25bn.s.l. 4.00bn.c.s.&gr. B-5 7.59 99.71 none >7.59 .67bl.1. 1.75bn.sil. 1.25bn.s.1. 3.75bn.c.s.&gr. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER MMMIM AFTERSWELLING INTERVAL-MIN. PERIOD 1 P R D - PER INCH P. 4.00 no 3 4 ,1,2 P. 2 4.06 no z P. 3 .00 no 3 4 'z P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what arc the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 95.65 I _ I I ' 4 a 4 11 I 2Co f ' { J _._i131. I, tt, 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 4-13-90 ADDRESS: CERTIFICATION NUMBER: PHONE NU B Rlo tionall: 988 N. Shore Dr./, New Richmond, Wi. 54017 2298 71 -2420 CST SIGN E DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 01LHR-SBD•6395 (R. 02/82) - OVER - 1 ° PLOT PLAN PROJECT /Y/ al""f ADDRESS o~ o?SJIO/he^5'~ Gc>i`-~~oas- 1/4/$A~/T3 / N/R W TOWN COUNTY Grai h PRS Byron Bird Jr. 3318 DATE r- d O BEDROOM CLASS PERCCONVENTIONALX(N-GRO D PRESSURE CONVENTIONAL LIFT MOUND_ HOLING TANK SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA PERC RATE / BED SIZE tea? X ,~"d' k Benchmark V.R.P. Assume Elevation 100' Location of Benchmark ,Zoe --4;- *'H.R.P. ~fZ Cor/~ cr o ~o~ CI Borehole Q Well Scale Feet 0 Perc Hole System Elevation Uent 12" Grndp TYPAR COVERING 2" t p 12" 3' O' 6' O 3' 1 Sewer 12* Rock f P'' >y A . ,~^s , 36y - - . ~a ~ 10 ~ fsK SA i~ ~I y N1I rl IeY 7 y/ l n' w 100 r 02/13/2007 03:46 PM Parcel 032-1073-60-100 PAGE 1 OF 1 Alt. Parcel 26.31.19.361A 032 - TOWN OF SOMERSET ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HECHT, LAWRENCE P LAWRENCE P HECHT 1915 60TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1915 60TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 7.480 Plat: N/A-NOT AVAILABLE SEC 26 T31N R1 9W PT SW1A SW1A LOT 1 Block/Condo Bldg: CSM 8/2240 7.48A (EASEMENT FOR INGRESS AND EGRESS 888/383) EXC AS DESC 1153/217 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 26-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1153/217 WD 07/23/1997 880/19 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.480 87,900 191,100 279,000 NO Totals for 2007: General Property 7.480 87,900 191,100 279,0000 Woodland 0.000 0 Totals for 2006: General Property 7.480 87,900 191,100 279,0000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 127 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00