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Form - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER W yj pie-i°( TOWNSHIP SG9~Y~ri125F SEC. T3/ N-R L W
ADDRESS BgS ST. CROIX COUNTY, WISCONSIN
C9'n`ti tiy' S ~ i ~ ~
SUBDIVISION JA LOT '01'a LOT SIZE / ~7 +~1iF S
PLAN VIEW
Distances and dimensions to meet requirements of IIHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
S 260` y4)
sp.
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INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used l!' /f/',~148f 60,
40
Elevation of vertical reference point: Proposed slope at site: 3 °'1J
SEPTIC TANK: Manufacturer: W ~ y s e . P , Liquid Capacity: ) 2!()Q
~ qr
Number of rings used: Tank manhole cover elevation: l
Tank Inlet Elevation: Tank Outlet Elevation: ~7
Number of feet from nearest Road: Front ,®Side,O Rear, O o260' feet
From nearest property line ' Front,(DSide,ORear,0 feet
Number of feet from: well building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
PUMP CHAMBER '
Manufacturer: Liquid Capacity:
i
Pump Model: Pump/S on Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elev ion: Gallons per cycle:
Alarm Manufact er: Alarm Switch Type:
Number o feet from nearest property line: Front, O Side, O Rear, Q Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM /
Bed: Trench:
Width: .S'" Lengkh: 24~0 Number of Lines: Z Area Built:/C-.00
Fill depth to top of pipe: 2 3 "G
Number of feet from nearest property line: Front, .O Side, O Rear,® Pt.`
Number of feet from well: / pr)' ,
Number of feet from building: ~fa_
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a dro box O or distribution box O been used on any of the above soil
absorbtion s ems? (Check one).
HO ANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet f om nearest property line: Front, O Side, O Rear, Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector'
Dated: Q Plumber on job :
License Number : Qb!Ls Z $'C~
3/84:mj
DEPARWtNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LABOR & HUMAN RELATIONS DIVISION
P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
MADISON WI 53707
Number:
NE 4, ICE 4 i Sec . 26 , T31-R19 (It assigned)
Town of Somerset ❑ CONVENTIONAL ❑ ALTERATIVE
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAM OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
35, Somerset. WI 1.4106 llJ~ca
'Robert Minnick ~
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM LAN: REF. PT. ELEV.: CST REF. PT. E
2 r
CL. Cel^/12,~" f F&
Name of Plumber: MP/MPRSW No.: Co Sanitary Permit Number:
Gary Steel ~i 2 St. Croi 128867
SEPTIC TANK/ ~cr=IUD,Or C~
MANUFACTURER: LIQUID CAPACITY TANK INL LE r TANK OU T ELEV . WARNING LABEL LOCKING COVE,R~
PROVIDED: PROVIDED: ~6
Z, .01 ; k% 97•Ct7 ...3'r / ES NO ❑YES NO
BEDDING: VE10T DIA.: V&AF MATL.: HIGH WATE UMBER OF ROAD: PROPERTY WEL . / BUILDING: VENT RESH
C. J• / / e • U, ALARM: FEET FROM LINE: } AIR I
❑ YES NO ❑ YES NO NEAREST
B
MANUFACTURER: BODING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPE NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN ROM LINE: AIR INLET:
PUMP ON AND OFF ❑ YES ❑ NO NEARES
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMET ND 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• c,3' e(RIJ. .109,
BED/TRENCH WIDTH: L NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID
1 TRENCHES: r MATERIAL: DEPTH:
DIMENSIONS 6-/ a
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: 0. TR. NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV. IN 3: ELEV. END: i PIPES: LINE. AIR INLET: 6,
FEET FROM
ee5LItc DIIX~_ a NEARESTT~ Gv, /G1~ f JV ~3j
MOUND SYSTEM:
Mound site plowed perpe dlcu ar 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 [__1 NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSO SODDED: SEEDED: MULCHED:
CENTER: EDGES:
YES E] NO ❑YES ❑ NO ❑YES E:1 NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH W PIPE: FILL DEPTH ABOVE COVER:
TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. D PI STRIBUTION PIPE MATERIAL & MARKING:
ELEVATION AND ELEV.: ELEV.DIA.: ELEV.: PIPES: DA.:
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: R MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION APPROVED PLANS
❑ YES ❑ NO COVE ❑ YES ❑ NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
COMMENTS: FEET FROM LINE:
❑ YES ❑ NO ❑ YES ❑ NO NEAREST
Sketch System on n in county file for audit.
Reverse Side. SIGNAT E: TITLE:
SBD-6710 (R. 06/88)
SANITARY PERMIT APPLICATION
D1LHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY
St. Croix
STATE SA IThIn ERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than
8% x 11 inches in size. ❑ Chec to preMious 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
Robert Minnick NE '/a NE S 26 T 31 , N, R 19 xff (or) W
PROPERTY OWNER'S MAILING ADDRESS LOT # /a BLOCK # n/a
1988 HY. 435 n
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION ME OR CSM NUMBER
Somerset, 14i. 54025 1(715 247-5143 /p/. 8 4 - 7, 2. Sb
II. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) State Owned 0 VILLAGE : Somerset Hy. #35
PARCEL TAX 1 =N W:
❑ Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms ~
NUMBER (S) 0121:1
111. BUILDING USE: (If building type is public, check all that apply)/ -~0
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. El New 2. 9 Replacement 3.E1 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 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
600 1000 1000 .60 class 2 96.06 Feet 99.76 Feet
CAPACITY
VII. TANK Site
in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION New istin Gallons Tanks Concrete structed glass App'
Tanks Tanks
Septic Tank or Holdin Tank 2L 1 1 Weeks C P.
Lift Pump Tank/Si hon Chamber - El El
Vlll. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installat' n of the onsite sew ge system shown on the attached plans.
Plumber's Name (Print): Plumber's ' ture: (No S s) /MPRSW No.: Business Phone Number:
Gary L. Steel
1 All 1A_ 3254 (715-246-6200
Plumber's Address (Street, City, State, Zip o
1554 200th. Ave. New Richmond, Wi. 54017
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued issuing A nt Signature No Sta
Approved ❑ Owner Given Initial -iff Surcharge Fee)
Adverse D t rmination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (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 (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:
t.,
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.
I
SBD-6398 (R.11/88)
w /
APPLICATION FOR SANITARY PERMIT
S T C - 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), then a second form should be retained and
completed when the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property Robert Minnick
Location of property _11 _1/4 NE 1/4, Section 26 , T 31 N-R 19 W
Township Somerset
Mailing address 1988 Hy. #25
Somerset, Wi. 54025
Address of site same
Subdivision name n/a
Lot number n/a
Previous owner of property Myron Prent
Total size of parcel _13, Z7 Atie65
Date parcel was created 7-27-90
Are all corners and lot lines identifiable? Yves No
Is this property being developed for resale (spec house)? Yes x No
Volume ' Ind Page Numbers 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.
---------------------------------------------------------7---------------------
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. 40@@3 j~ /C g; and that I (We)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an easement, to run with 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.
k- 4tu, t I (d L
Signature of Owner Signature of Co-Owner (If Applicable)
i(-'~v-10
Date of Signature Date of Signature
,
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Dor_uMUNT NO. WARRANTY DEED 11111; SPACE RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM 2-1982
I~
Myron Parent aka Myron B. Parent and Della
Parent aka.*Della R. Parent, husband and wife
conveys and warrants to .__...Robert- L._• Minnick-,_•-a,_Single_-_--
pers-on
RETURN TO
_
the following described real estate in ......St...................................... .~T'O
County,
State of Wisconsin:
A
Tax Parcel No:
i
A parcel of land located in part of the NEk of NEk of Section 26,
Township 31 North, Range 19 West, Town of Somerset, St. Croix County,
Wisconsin; being part of Lot 2 `of Certified Survey Map Vol. 11811, Page
2250 described as follows: Commencing at the NE corner of said
Section 26; thence S01'1811011W 645.04 feet along the East line of said i
NE14 of NE16 to the NE corner,of said Lot 2 and the point of beginning of j
this description; thence continuing S01'18110"W 675.29 feet; thence
N89'12111"W 564.39 feet along the South line of said NE's of NEB; thence
N00'4115011E 501.83 feet; thence N73*5412911E 596.97 feet along the North
line of said Lot 2 to the point of beginning. !
Also, that part of NE k of NE'k of Section 26, Township 31 North, Range 19 West,
St. Croix County, Wisconsin described as follows Lot 2 of Certified Survey Map
filed July 27, 1990 in Vol. 8, page 2250, Doc. No. 460843 except that portion describe
above.
This Deed is intended to convey all of Lot 2 of Certified Survey Map inVol. 8, page 22 0.
This s homestead property.
(is) (is not)
Exception to warranties: easements, restrictions„and rights-of-way
of record, if any.
Dated this / / r day of JuIy 19..9Q...
- -----(SEAL) /Q Y.c.t ........(SEAL)
Myr Parent aka Myron B. Parent * Della Parent aka Della R. Parent
(SEAL) ..................•-•......_....--•--.(SEAL)
*
1
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
St. Croix
......................County.
authenticated this ........day of 19 Personally came before me day of
July 19. . the above named
* --Syr-bn---P~:rent---ai~a--~ty~csn---g•,---parent-~
TITLE: MEMBER STATE BAR OF WISCONSIN Della "Pere~tl; a.ka•-Vellm...R":---Pcl ent-
(If not,
authorized by § 708.06, Wis. Stats.) to me known to be the. p CII~N61 ecuted the
fflWgoIng ipstru e t a a led Is
THIS INSTRUMENT WAS DRAFTED BY
Kristina Ogland Lundeen
-
Att orney at haw *_._A1ic_e.-_JDy--- r.s._LS!
Notary Public - ty, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permnneff~ expiration
Tire not necessary.) date: July 12 ~'rF 19...9.3.)
=
•Nnnutf of pemna signing in any capacity should be typed or printed helow their Rignnturen.
tt' :TE1MITT rr'lr:rt STATr. hlASt Or WISCON4114 R'ir:. Legal Ilir.n4 Ca. III,.-
N
SEPTIC TANK MAINTENANCE AGREEMENT ~
St. Croix County r
a
OWNER/B8 Robert 'Minnick
a
ROUTE/BOX NUMBER ' 1988 Hy.' #35 ~ Fire Number_ 0
V
CITY/STATE Somerset', Wi. ZIP 54025
PROPERTY LOCATION:'.' ' NE NE Section 26 T 31 N, R19 W,
Town of Somerset St. Croix County,
Subdivision n/a Lot number n/ .
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 licensed''s'ept'ic tank pumper. What you put into
the system can affect tt e- unct on or the-septic tank as a treat-
ment-stage in the waste disposal system.
St. Croix Countyy residents may be eligible to recieve 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 's'ys't'ems 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.
H
I/WE, the undersigned have read the above requirements and agree o
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, asset by the Wisconsin Depart- W
meet of Natural Resources, Certification form must be completed .d
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration.date.
SIGNED'
DATE )1-30-242
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
UHAAIMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
IND0S..1RY, - bIVI~iuA
LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969
HUMAN RELATIONS MADISON, WI 537U7
(ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/ & WTY: LOT NO.:BLK.NO.:SUBDIVISIONNAME:
NE 1/4 N_ E 1/4 26 /T31 N/R19)&(.,) W Somerset n/a n/a n/a
COUNTY: OWNERV NAME: MAILING ADDRESS:
St. Croix Robert Minnick 1988 Hy. #35, Somerset„Wi. 54025
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: 1COMMEPIMAL DESCRIPTION: PROFIL D S R P IONS: ER OLATION TESTS:
~esidence 3-4 n/a ❑New ~eplace I 11-26-90 n/a
RATING: S= Site suitable for system U= Site unsuitable for system
rgs[lu'][gs..Ilul ONVENTIOAMOUND: IN-GROUND-PRESBURE SYSTEMING TANK: RECOMMENDED SYSTEM:(optional)
CAS ❑U S ®U conventional
I
If PE rcolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09151(5), indicate: class 2 I Floodplain, indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS page 18 JsB
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHXI91; ELEVATION OBSERVED EST. HIGHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 1 7.33 99.74 none >7.33 1.17bl.1. 1.83bn.sil. 4.33bn.l.s.&gr.
B_ 2 7.17 99.76 none >7.17 1.00bl.l. 1.76bn.sil. .83bn.m.s. 3.67bn.c.s.&gr.
B_ 3 7.17 99.56 none >7.17 .75bl.1. 1.25bn.sil. .75bn.l.s. 2.00bn.c.s.&gr.
B-
B-
B- _
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIODZ P PER INCH
P-
P- $
P-
P- _
P
1- V
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are 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 96.06
lb#\
I t Lo 01 ►e r
• 3~ x.73 -
b~t et t N
AA'
8 3 \
z 5 , y
0,z
S.1-.l .
1, 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 11-26-90
ADDRESS: CERTIFICATION NUMBER PHONE NU B i ~iiunull:
1.554 200th. AVe., New Richmond, Wi. 54017 _ 2298 715-
CST SIGNA
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 10/83) - OVER -
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STEEL'S SOIL SERVICE
i > avv iii Ave.
Gary L. Steel
C.S.T. 2298 New Richmond, WI 54017
MPRSW-3254 Robert Minnick (715) 246-6200
NE14-NE4 S.26Y31NR19W
Somerset, twonship
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Parcel 032-1072-10-110 02/13/2007 03:48 PM
PAGE 1 OF 1
Alt. Parcel 26.31.19.351A-10 032 - 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 - MULLAN, THOMAS J
THOMAS J MULLAN
1988 HWY 35
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1988 HWY 35
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 8.000 Plat: N/A-NOT AVAILABLE
SEC 26 T31 N R19W PT NE NE BEING LOT 2 OF Block/Condo Bldg:
CSM 8/2250 EXC PT TO PARCEL DESC
1015/572 Tract(s)' (Sec-Twn-Rn9 40 1/4 160 1/4)
26-31N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1019/89 WD
07/23/1997 1018/424 QC
07/23/1997 1015/572 WD
07/23/1997 877/368
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 8.000 73,000 72,000 145,000 NO
Totals for 2007:
General Property 8.000 73,000 72,000 145,0000
Woodland 0.000 0
Totals for 2006:
General Property 8.000 73,000 72,000 145,0000
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 212
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00