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Parcel #: 032-1003-30-300 05/11/2006 03:50 PM
PAGE 1 OF 1
Alt. Parcel#: 2.31.19.18D 032-TOWN OF SOMERSET
Current .XJ ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
BERNARD S&LOUISE A ROTHMEIER O- ROTHMEIER, BERNARD S&LOUISE A
2377 65TH ST
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description 2377 65TH ST
SC 4165 SCH D OF OSCEOLA
SP 1700 WITC
Legal Description: Acres: 3.060 Plat: N/A-NOT AVAILABLE
SEC 2 T31 N R1 9W NW NE 3.06AC LOT 3 CSM Block/Condo Bldg:
7/1853(EZ-U-1141/481)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
02-31N-19W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 1042/270 WD
07/23/1997 924/628
07/23/1997 813/79
07/23/1997 787/131
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.060 48,300 160,000 208,300 NO
Totals for 2006:
General Property 3.060 48,300 160,000 208,300
Woodland 0.000 0 0
Totals for 2005:
General Property 3.060 48,300 160,000 208,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
l �
ST. CR IX COUNTY
1 WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON,WI 54016
(715) 386-4680
SEPTIC INSPECTION / WATER TEST REQUEST FORM
Specify desired test(s) & remit appropriate fee with application.
Outside water lines are often turned off during winter months,
making access to the home necessary. Please make arzangements with
this office to insure a time when entry can be �gaaiin�ed.
❑ Wester (VOC's) $185. 00 tl'Septic $25.00
ater (Nitrate & Bacteria) $35. 00 (Visual inspection)
Owner:_.l. 64- �"44 LUM,� Requested by- (} F/11,Erc
Address:n 510 � Address: 6P-ckp
City & State: I WICAMOND , W City & St. 1AUC&IJ ,
Zip Code: oil Zip Code: C5,401
Telephone N4: ( % ) 'Zqq-2,131 Telephone N4: (aLO - ? _
Property address (Fire N2 & Street) : � �� 1,;Rlcomqa
.
Locatioi r h; ME ;, Sec. �, , T 51 N, R W, Town of mr-2sEr
St. Croix Co. , WI. Tax ID NQ ' arcel ID N4 032-iM3- _
House color: UE Realty firm: CZj- f;Zf-_m,E(L &&Aock Box Combo: RCP1
Water sample tap location:
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM*
Is the dwelling currently occupied? Yes ❑ No
If vacant, date last occupied:
Septic system installed by: _ Year•
Septic tank last serviced by: 0j-e h 5 Date: 6 _ 1 t Z..
Previous Owner's Name(s) : C
Have any of the following been observed? 11
❑Y Slow drainage from house. A-
❑Y Sewage Back-up into dwelling. RIEIA�
❑Y1 Sewage discharge to ground surfac
road ditch or body of water. S EP � 7 AS9 w
❑Y ESN Slow drainage from the dwelling.
❑Y %N Foul odors. 4P ST C+ ;
NOOFr .
Other comments relative to system operation:
,o� `O o�e r S 1 t.%.5� =
I certify that the above information is com lete and true to the
best of my knowledge. q
OWNERS SIGNATURE:
DATE:
4/93
OWNERS DRAWING OF ROUSE & SEPTIC SYSTEM LOCATION
t
N a� `a
a
v
N a
r
v
O
r
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? ❑Yes ONo
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: 2: ow grd ❑At-Grd OMound
Approx. size ' XS` � r vity ODose OPressurized
Ft.Z CPed ❑Trench ODry Well
❑Holding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES ❑Other OUnknown
Septic tank
Setbacks: ❑House ❑Well 51-4e ❑Prop. tin ❑Other
Dose tank
Setba se OWell ❑Prop. line
cking COVer am OPump/Floats
Alarm ❑Elec. wiring
Soil Absorption System
Setbacks: OHouse Well OProp. line OOther
❑Ponding: ❑Discharge:
General comments: LZ, 3 ,
INSPECTORS SKETCH OF SYSTEM LOCATION
N e
Inspector
Title
ST. CRCEX COUNTY
WISCONS[N
PLANNING & DEVELOPMENT
PLANNING SOLID WASTE REAL PROPERTY ZONING
715-386-4674 715-386-4623 715-386-4677 715-386-4680
September 22, 1993
Sharon Kortas
Century 21 Premier
706 19th Street
Hudson, WI 54016
An inspection of the septic system on the property of Dan and Kathy
Anderson, located at 2377 65th Street, New Richmond, was conducted
on September 22, 1993. At the same time a water sample was
obtained for testing. The results of that testing will be sent to
you as soon as we receive them back from the laboratory.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and did
not involve any excavating or chemical analysis. Accordingly,
there is the possibility of hidden defects in the system not
discoverable by this inspection. This does not in any way warrant
or guarantee the continued proper functioning or operation of this
system. It is recommended that the system should be pumped once
every three years. Therefore, the prolonged life of this system
may be dependent upon proper maintenance of the system.
Should you have any questions, please contact this office.
Sincerely,
James Thompson
Assistant Zoning Administrator
mij
ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD • HUDSON, WI 54016
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715 - 962 - 3121
` 800 - 962 - 5227
FAX - 715 - 962 - 4030
ST. CROIX COUNTY GOVERNMENT REPORT NO.: 49560/01 PAGE 1
CENTER REPORT DATE: 9/27/93
1101 CARMICHAEL ROAD DATE RECEIVED: 9/23/93
HUDSON, WI 54016
ATTN: THOMAS C. NELSON
OWNER: Dan & Kathy Andersor
LOCATION: 2377 65th St., New Richmond
COLLECTOR: Jim Thompson
` DATE COLLECTED; 9-22-93
I TIME COLLECTED: 1:00pm
SOURCE OF SAMPLE: Kitchen faucet
DATE ANALYZE11:9-23-93
TIME ANALYZED:2:00pm
COLIFORM,MFCC: 0 /100 mt
INTERPRETATION: Bacteriologically SAFE
NITRATE-N: 6 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Caliform Bacteria/100 ml
Nitrate-Nitrogen, mg/L °
A-
k�1
C` G�(>,,*
G \G'
LAB TECHNICIAN: Pam Gane g 1
OF.\NDEVENOieHJ
sm WI Approved Lab No. 19
A
z : Means "LESS THAN" Detectable level Approved by:
0
PROFESSIONAL LABORATORY SERVICES SINCE 1952
i�
Form - STC - 104
,- AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP C,- -,r,y, s SEC. �_ T N-R _tW
ADDRESS ST. CROIX COUNTY, WISCONSIN
M,-ft ta-S C-4 odd ;
SUBDIVISION LOT ' LOT SIZE Jt9�
PLAN VIEW
Distances and dimensions to meet requirements of ILHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
v,S �
y r
�r
gob
INDICATE NORTH ARROW
E 1
BENCHMARK: Describe the vertical reference point used T ( III
Elevation of vertical reference P oint: P P Proposed slope at site: a
SEPTIC TANK: Manufacturer: L fo E Liquid Capacity: J,-3 el 0 csaq,
T
Number of rings used: O Tank manhole cover elevation: 7`9
Tank Inlet Elevation: (3-� Tank Outlet Elevation:
Number of feet from nearest Road: Front, Side o Rear, O o,Tp..s- feet
From nearest property line Front,O Side Rear,O �� ° feet
Number of feet from: well , building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
i
* -
4
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Si nu acturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pum/Number ion: Gallons per cycle:
Ala Alarm Switch Type:
Numarest property line: Front, O Side, O Rear, Ft.
r of feet from well:
f feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: L," Length: Number of Lines: Z Area Built:54*9'4
Fill depth to top of pipe: Z J
Number of feet from nearest property line: Front, O Side, Rear,0 Vt . c�`
Number of feet from well: '
Number of feet from building: 3
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Botto of seepage pit elevation:
Area Built:
Has either a drop b O or distribution box O been used on any of the above soil
absorbtion sytem . (Check one).
HOLDING TAN - -"
I
facturer: apacity:
Number of rings used: Elevation of bottom of tank:
i
Elevation of inlet:
Number of feet f m nearest property line: Front, O Side, O Rear, OFt.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Ala* Manufacturer:
Inspector: 1`SC1
Dated: Plumber on job: /
License Number: ,
3/84:mj
J
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
,LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969'
BUREAU OF PLUMBING
MADISON,WI 53707 p�-p
NE%,NA4,S2,T31N-R19w KXCONVENTIONAL ❑ALTERNATIVE (oft ,lanl.D.Number
Ilf asstBnedl
Town o6 SomeAzex ❑Holding Tank ❑In-Ground Pressure ❑Mound
State Highway 35
NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE:
La Ay Cottova Route 2 New Richmond W1 54017
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELEV..
Name of Plumber: MPlMPRSW No.: County: Sanitary Permit Number:
lGattir L. Steen 3254 St. Croix
SEPTIC TANK/HOLDING TANK:
MANUFACTURER 11_111; ID CAPACITY. TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED
XXES ONO ❑YES NO
BEDDING. VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD PROPERTY WELL. BUILDING. VENT TO FRESH
r r ALARM. FEET FROM r..ry (AIR INLET
.YES ONO C �- ❑YES ❑NO NEAREST d� av
DOSING CHAMBER:
MANUFACTURER BEDDING'. LIQUID CAPACITY JPUMI MODEL. PUMP/SIPHON MANUFACTURER WME LOCKING COVER
PROVIDED.
❑YES ❑NO NO OYES ONO
GALLONS PER CYCLE: PUMP ANDCONTROLS OPERATIONAL. NUMBER OF BUILDING VENT TO FRESH
AIR INLET
(DIFFERENCE BETWEEN FEET FROM
PUMP ON AND OFF) ❑YES ❑NO NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH ARKwG
or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH LENGTH NO OF DISTR.PIPE SPACING COVER IN SIDE DIA =PITS LIQUID
BED/TRENCH TRENCHES I MATERIAL: PIT DEPTH
DIMENSIONS ��c �`+
GRAVEL DEPTH FILL DEPTH jDISTR,1IPEFT DISTR PIPE DISTR.PIPE MATERIAL. O DI T NUMBER OF PROPERTY WELL BUILDING V NI LE FRESH
BELOW PIPES ABOVE COVER ELEV NL ELEV.END'. ^ PIPS FEET FROM LIN AIR INLET
I!__j_ �O c� Ja
T - f NEAREST=
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
OYES 0 N
SOIL COVER ITEXTURE PZEIYEs RMANENT MARKE7—:1 OBSERVATION WE LLS
DYES NO DYES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SEEDED MULCHED
CENTER EDGES
ONO OYES ONO OYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH. LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL N DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING
ELEV.' ELEV.. DIA. ELEV. PIPES DIA:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLAN SCAL LIFT CORRESPONDS TO APPROVED
OYES NO m ❑YES NO
COMMENTS: PERMANENT MARKERS: 1013SERVAlFION WELLS: NUMBER OF LRNE ERTV WELL: BUILDING.
FE T FROM
❑YES ONO ❑YES NO AR EST
° D
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNATURE TITLE
Zoning Adm-i..niz;t�.aton �
DILHR SBD 6710 IR.01/82)
SANITARY PERMIT APPLICATION COUNTY
TDILIAM In accord with ILHR 83.05,Wis.Adm.Code St. Croix
STATE SANITARY PERMIT#
—Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER
8%x 11 inches in size.
—See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES t-NO
PROPERTY OWNER PROPERTY LOCATION
Tqrry Col I ova NE '/4 '/4,Sq. T 31 N, R (or)W
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK
❑ VILLAGE : Somerset St.Hy #25
II. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify):
Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable)
1. a. [. INew b. ❑ Replacement . c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an
System System Septic Tank Only an Existing System Existing System
2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2)
1. a.3H Conventional b. ❑Alternative c. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d.❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tan k
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. ❑ Seepage Bed b. seepage Trench c. ❑ See a e Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 15.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):
class 1 495 500 92.91 Feet 20 Private ❑Joint ❑ Public
VI. TANK CAPACITY Site
in aal lons Total #of Prefab. Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank X 10W 1 Weeks C.P.
Lift Pump Tank/Siphon Chamber --- — ❑ I ❑ ❑
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installat' n of the private sewage system shown on the attached plans.
Plumber's Name(Print): Plumber' nature:( to s) MPRSW No.: Business Phone Number:
Gary L. Steel 3254 715 246-6200
Plumber's Address(Street,City,State,Zip C Name of Designer:
988 N. Shore
VIR SOIL TEST INFORMATION
Certified Soil Tester(CST)Name CST#
Gary L. Steel
CST's A DRESS(Street,City,State,Zip Code) Phone Number:
988 N. shore Dr. . New Richmond. Wi. 54017
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps)
Approved ❑ Owner Given Initial S rcharge Fee '
Adverse Determination� r,
X. C MENTS/REASONS FOR DISAPPROVAL:
SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
r
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION
TO THE APPLICANT:
1. This 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. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 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 where the system is to be
installed;
II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
111. Purpose of application: Check only one in #1. Complete#2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in #1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, Iift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from DILHR;
VII. 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. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
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; dosing or pumping chambers; 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.
GROUNDWATER SURCHARGE
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the
result of over 2 years of steady negotiation and public debate. The groundwater bill Ground .4M
included the creation of surcharges (fees) for a number of regulated practices which Wisco ih'S
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried r+easure a
is used in your building is returned to the groundwater through your soil absorption u
system or the disposal site used by your holding tank pumper.
G
The monies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground- t
water, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398(R.03/86)
APPLICATION FOR SANITARY PERMIT
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"), 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 4A�, 4�/ �Location of of Property 41(r k .if)tj h;, Section Z , T L/ N-R W
Township o;0w1 p
Mailing Address Z
Address of Site }f t f�
a�Ty,
Subdivision Base
. Lot Number 3
Previous Amer of Property a �(�-�^46-,n
Total Size of Parcel 3•a ,42:d-�"ea
Date Parcel was Created 15 L /� Z
Are all corners and lot lines identifiable? Yea No
Is this property being developed for resale (spec house) ? Yes �No
Volume end Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Register of Deeds. In addition, a certified survey, if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
i Iwo) Cvtti6y that aft s.tatemenU on .t1ta 01(m aAe tAue to the but o6 my (ouA)
hncwtedge; that 1 (we) am (aAe) tale owne k) o6 the phopenty deacAibed in .this
.in4olma .ion 6o4m, by viAtue o6 a waAAant deed hecoAded in the 06 -ice o the
coli 6 6
myy Reg.us.ten o6 Deeds " Document No. 4 ; and that i (we) pneeen.Lty
c.un t1,e p4opo6ed �s.c to bon the �Sewage diAyV0 b yes em (on I (we) have obtained an
fdAc +ent, to nun with the above deschi.bed pnopehty, bon .the constAuc.ti.on 06 eatd
eye.temp and the name ha.e been duty Aecohded .in the 066.iee o6 the County Re .ie.te
fl 9
«de, ae floe�cnntn.t No. ) � _�
SIGNATURE Of OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED
• RATE SI(;NFO
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA
WARRANTY DEED
4331.07 '000K 7 REGISTER'S OFFICE
ST. CROIX CO., WI
Donald J . Norton and Florence M. Norton , Recd for Record
husband and wife , as joint tenants
JUN 0 1988
conveys and warrants to Lawrence J . Collova and of 1 :15 PM
Sue R . Collova , husband and wife . as marital
property �iofDeeds
RETURN TO L. C011ova
Rt 2 Box 150E
New Richmond, WI 54017
the following described real estate In St. Croix _-County,
State of Wisconsin:
Tax Parcel No:
Part of Northwest Quarter of the Northeast Quarter (NWi NE}) ,
Section 2 , Township 31 North; , Range 19 West , described as
follows : Lots 2 and 3 of Certified Survey Map , filed July 14 ,
1987 , in Volume 7 , page 1853 .
This warranty deed given in satisfaction of Land Contract dated
July 27 , 1987 , recorded in Vol . 787 , page 131 , as Document
No. 428724 , August 3 , 1987 in the office of Register of Deeds,
St . Croix County , Wisconsin .
EXEMPT
0
00
c�
This i-s n n t homestead property.
(is) (is not)
Exception to Warranties: Easements of record .
Dated this 10th day of May ,1 x 8—8 .
�'(�
(SEAL) (SEAL)
• Donald J . Norton
f �
(SEAL) '�/ /�i.r3.L'(1—.� (SEAL)
• Florence M. Norton
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
SS.
St . Croix County.
authenticated this day of ,19 Personally came before me this 10th day of
May ,19 88 the above named
Donald J. Norton and
Florence M . Norton
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to 'go me know to 6 the S °"`• 'r�who executed the
authorized by§706.06,Wis.Stats.) f e in I et�nd ackYiovi►tlgd�@. same.
THIS INSTRUMENT WAS DRAFTED BY
Donald J. Norton
10510 60th St . N Dennis Fleischauer
Stillwater , MN 55082 Notary Public St . Croix County,Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration
are not necessary.) date: September 30 ,1990 )
'Names of persons signing in any capacity should be typed or printed below their signatures. NTF 2280
WARRANTY DEED STATE BAR OF WISCONSIN Nelco Forms,P.O.Box 1075,Green Bay,WI 54305-1075
Form No.2—1982
Number 19
MINOR SUBDIVISION APPLICATION
SURVEYOR: Pteaae complete the upper portion ob tht.a apptieation. Submit the
o,%ig.inat 4unvey map and $50 . 00 See with each appticat.ion. We w.it
then Sonwand a copy os the map and apptieation to the Townahtp to
obtain them appnovat . Aster the Townah.ip action .ia aeeeived, the
Compnehena.ive Panning , Zoning and Parka Committee wilt act. UNLES.
we are not.i6ied di66e.4entty, the ontiginat w.itt be aetutned to the
aunveyon and a copy maitg.d to the' owners with a atamp o6 appnovat.
Fors the aunvey to become .Legal, it then muat be recorded.
NAME ,D.0,U qZD A1,0Aer01i TOWNSHIP ,-S0A1£125C7_ _.
ADDRESS 10S 10 C40 ST_ A�, SURVEYOR NET6�L4
S"TiLCH/AT�i2 ,-[ rN/✓ Sso8z
ST. GiPo/I� FstcGS, I(S.
LOCATION: A/44/3-4 OF NE %,, SECTION Z , T 31 N, R 19 W.
TOTAL SIZE I? /Z Vc- , NUMBER OF LOTS 3 , SIZE OF ORIGINAL PARCEL
Show how the nec, Lo ` ; , ) S.it "'-i±!: '�"' ^niginat pancet . (Make a hough aketch
the box to the night) .
X32 0
Page Number as St. Cnot.x o3Lf N
County Sot..!' Survey. �I
PAL L
So.i.t Typea 4, ? \�� ,!
Nat
_
Lf/ /
a1
Lim.i�at.iorna _ a 3
s�
Doea the new tot (6 ) have any exi,6t.ing bu.ixdinga au.itabte Son habitation ?
YES NO X._
- --- - - -- -- - - -- -- - - --- - -- -- - -- - -- - - - - -
ZONING OFFICE
a. Review See os $50 . 00 paid on _da '
Make check payabte to St. Croix County Zoning OJJice.
b . Eaehow See nequ.ined yea no . Amount paid ($ 100/ (";
16 eacn iow See a nequ red, rna e check payable to St. Cnot x County
Tneaauner.
C. Pubtic Hea'Xing See ( $ 100 ) requited yea no . Paid on
• Make check payab.ee to St. Croix County Zonting 066ice.
TOWN BOARD Petioo os nev.iew - 30 daya )
SIGNATURES OF THE BOARD DATE
Rejeet4
Cond.itlonatty appnoveb __...
-----------'i - - - -------- ---------.----------------------- --------------- -- - -
COMPREHENSIVF PLANNING, ZONING AND PARKS COMMITTEE - Meeting on
Appnove�
i
Rejeeta !
Condt.tit)natey appnovea
Signature o6 C at.n.man
Cond.it.iona of App&ovat on Reaaona Son Rejection :
FORM NO.905-A
t. NCu ..c....�� `V
Stock No. 26273 FILED
` ,-
JUL 161951
rr��
CIS O'CON!!!�L
-42 813® ,� .pYMr o* Dffd,
",ST CRO/X CO. CERTIFIED SURVEY MAP NO.
OF PART OF THE N W 114 - NE 114, SEC. 2, T31 N, R 19 W,
TOWN OF SOMERSET, ST CRO/X CO., W1.
UNPLA TTED LANDS NE CORNER
V 114 CORNER s£cr1oN LINE SEC. 2, T3/N, R 19W.
:EC. 2, rim, R 19W
N.B9°35 X57°E ,
, 324.00 FOLK - s TO/X RD.
n
0
290.99'
33'�
LOT I
66' I` LEGEND
v ti O - DENOTES 1,,x 24-IRON P/PE SET, WEIGHING
b M STEEL BLDG. /./3 LBS./LIN.FT.
a
r W f -DENOTES /"IRON PIPE FOUND IN PLACE.
v
132, M -DENOTES 4"D/A. ALUM. CAPPED Sr. CRO/X CO.
°
J.03 AC. COUNTY SURVEYOR NONU. FOUND IN PLACE.
109,120 SO.FT - EXG R/1•'
SCALE / = 150'
n
ti
° /SO' 75 O' 150'
p 290.99'
�n N.89°35 37"E. 324.00'
ti ,� 9 ftff ff fk1
� I d hl
Q) I a Ie o 2 2 �•* ;� CARL W. ti yk •�
w NETFELD B
b I W LOT 2 0 Ix o S 544
.ST. CROIX FAI 12
ti
/32,l90 SO. FT. � 3 d
a I o � � WIS. o : s�
01 J. AC. o i u W W G, 'Z'•.,,, .•••'
LV I //8,772 SO. FT. - EXC. R/W �d j W y ,,V O •......... A
SURD .
I I W W m
ZI ZI Q � z
JI
/40.14
' V W
zo �
IN.89°35 57 E. 324.00' J
W ? Ly
0-4NER
Donald Norton
In m 10510 60th St . N .
LOT 3 Stillwater, Blinn. 55032
o I^ /33,232 SO.FT. a
a ° a I hereby certify that this map
//9,73 0o.FAC fxc. R/W has been approved by the
to
54 Town Board .
33'I a Date
I
����sourii v;W CORNER . LINE NW-N£ C-4/` .
VW- NE C.S.M.
ASns, V rc
R ��O �/ .-..
V. 3, P. 721
JUN
S//4 COR
SEC. 2, T3/N, R 191Y T.
dOJaPrr�lc�lSi'r'ii F:4'.CS FLRPIi:.:.V SHEET / OF 2.
40 C X0Nlr4G ccM1.IITTES SJ G G
Vol 7 Page 185
i FORM NO.985•A
Stock No. 26273
T. CRO/X CO. CER T/F/ED SURVEY MAP NO. 1853
?F PART OF THE NW 114 - NE 114, SEC. 21 7_3 1N, R/9 W,
TOWN OF SOMERSET, ST. CROIX CO., W/.
SURVEYOR 'S CERTIFICATE
I, Carl W. Hetfeld, Registered Land Surveyor, hereby certify
THAT I have surveyed, divided, and mapped part of the JVe1; of the
NE;—of Section 2, Township 31 North, Range 19 .Jest in the Town of
Somerset, St . Croix County, Wisconsin, described as follows:
Beginning; a� the North One Quarter Corner of said Section 2;
thence N . 89 35 ' 57"E. , aloe; the north line of said Section 2,
324 .00 feet; thence S .01 14'07"W - , 1230 .92 fee to the
south line of said NW41 of the NE-41 ; thence N .89 15 ' 42"od. ,
along said south line , 323.88 fee to the Southwest Corner of
said N*441, of the NZ4 ; thence N .01 14' 07"E. , 1224.48 feet to
the point of beginning.
Subject to existing easements .
THAT I have made -this survey, plat and land division by the direction
of Donald Norton, owner of said land.
THAT said plat is a correct representation of the exterior boundaries
of the lands surveyed and the subdivision made thereof.
THAT I have fully complied with the provisions of Section 236. 34 of
the Wisconsin Statutes and Section 5 . 2 B of the St . Croix
County Zoning; Ordinance in surveying and mapping the same .
September 10 , 1984.
Carl W . Hetfeld, >gistered Land Surveyor No . 1544.
S4ENSON, HET11ELD & ASSOC .
")"T . CROIX FALLS WIS . �.. C N�' •.��
715 483-9484 -Y
,k r� CARL W. �r
r t HETFELD '
S-1544
ST. CROIX FALLS:
WIS.
ti A
Vol 7 Page 1853
J
-.40 c SHEET 2 OF 2
H
` H
ST C - 105 r
H
SEPTIC TANK MAINTENANCE AGREEMENT 0
0
St . Croix County z
d
9
0 W N E R R 0111 �� 1p
ROUTE/BOX NUMBER Fire Number
T _ n
CITY/STATE � �C�CI�w�-� C��� ZIP 0-017
PROPERTY LOCATION :, A)Q k, Section---)--- T IN , R 2_ 5> W,
Town of 507VIG' S J St . Croix County ,
Subdivision /9 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 licensed septic tank pumper . What you put into
the system can affect the function of the septic tank as a treat-
ment 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 systems properly
maintained .
The property owner agrees to submit to St . Croix County Zoning a
certification form, signed by the owner and by a master 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 . yo
E
I/WE, the undersigned , have read the above requirements and agree N
to maintain the private sewage disposal system in accordance with x
H
the standards set forth, herein, as set by the Wisconsin Depart- v
ment of Natural Resources . Certification form must be completed
and returned to the St . Croix County Zoning Office within 30 days
of the three year expiration date .
SIGNED
DATE
St . Croix County Zoning Office
P . O. Box 98-
Hammond , WI 54015
715-796-2239 or 715-425-8363
Sign , date and return to above address .
)EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
DIVISION
UDUSTRY,
P.O. BOX 7969
. -ABOR AND , PERCOLATION TESTS (115) MADISON,WI 53707
iUMAN RELATIONS (H63.090)&Chapter 145.045)
_OVA i N: ' T O TOWNSHIP/ OT N0.:BLK.NO.: SUBDIVISION NAME:
NE /ark/a 2 /T 31 N/R19)E (or)W rn/ nWa
- Somerset
COUNTY: 'S BUYER'S NAME: MAILING SS:
,1SE DATES OBSERVATIONS MADE
- NO.BEDR : COM R P 0 h��+
: .!Residence 3 n/a E.INew OR
apists ! ,n a
RATING:S-Site suitable for system U-Site unsuitable for system
CONVENTIONAL: MOUND: IN-GR - ILL OLDING TANK:RECOMMENDED SYSTEM:(optional)
O S ❑U [3S ❑� ®S ElU • 1 ❑S OU I ❑S-R]U I conventional
if Percolation Tests are NOT required DESIGN RATE: if any portion of the tested area is in the
under s.H63.09(5)(b),indicate: class 1 Floodplain,indicate Floodplain elevation: n/a
PROFILE DESCRIPTIONS a g 2 Ea ,
N0RING TOTAL DEPTH T R UNDWATER-IN S CHARACTER IT THICKNESS,CO LOKT.)EXTURE,AND DEPTH
UMBER DEPTH= ELEVATION ON BAOBSERVED
B- 1 6.83 95,12 none >6.83 1.08bl.1. .92 bl.s.sil. 4.83bn.c.s.
�B- 2 6.75 96.41 none >6.75 1.33bl.s.1. 5.42 bn.c.s.
B- 3 6.74 96.52 none >6.74 1.08bl.s.1. 1.83bn.s.sil. 3.83 bn.c.s.
, B- 4 7.42 96.77 none >7.42 1.33 bl.s.1. 1.42 bn.l.s. 4.67bn.c.s.
B- 5 6.42 95.39 none >6.42 1 2
1 B-
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME D A LEVEL-INCHES RAT MINUTES
iVUMBER INCHES AFTERSWELLIN INTERVAL-MIN. PER INCH
P
i P-
~P-
_P- see d sim s' rate
I 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•
ontal 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
A land slope.
SYSTEM ELEVATION 92.91
lu
r
_
S�
n I
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:
Ga L. Steel CERTIFICATION NUMBER: PHONE NUMBER optionep:
;ADDRESS
CST STM
n
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and So;I Tester.
DILHR-SBD-6395 (R.02/82) OVER-
Larry Collova
NFiNW4 S2T31NR19W
Somerset, Township
l
T ge, V)P,
a
a
op —
D 5�
SaIA-Vs f- 49-4 j - 4
4- 40 sC* b�
t d v• 5 7 9i
Gary L. Steel
988 N. Shore Dr_-.
New Richmond, Wi. 54017