Loading...
HomeMy WebLinkAbout032-2044-60-050 0 3 0 �°n ~ O m o o c 00 N C c N N N V N io N m y N ts y c N II � cv`OmoCpp Z`t M i oo m� N rnC�C L � 5•c m m�- 0ocCL mow•@ :1 rn 0 ?r d v N Z o — y � c — aaE 3 O 75 Ep 0 LL c0 N 2 r N U—U) N— `'+ CO E E E CO o 8 M V a3i z H z o v o m W a N Z c I p co O Z v c _ 0 N H O N Z c E -o m •C ld N •�V a L L p O .Y 6 U N O Z H D O O N Z V H E N y cc J O •. N v � N CI O lA G Ma c CL - m Z v m U d p c 0 0 0 Z •ti 0aaa OD CD O N rn rn Z \l o 'O co N co n W C d O O L 4f } U) f0 , O C� O QO p y CD p �; O m 0 \ f�0• O c O N N v G N 0p CO p z C = 00 Z L" N O N o F- N Z .0. "p CO N O w C N o O N U FBI M — (O L •O O r !n m 0 Z c F- (n � #6 _a � a cl a m � • d � y c t� t A QIL2 j0U) 0 . I f Parcel #: 032-2044-60-050 01/27/2005 11:25 AM PAGE 1 OF 1 Alt. Parcel#: 12.30.19.650A-10 032-TOWN OF SOMERSET Current k ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): "=Current Owner "BELL, DOUGLAS J&KAREN A D785TH REN A B 1NWI 54017 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Descri 'on: Acres: 28.000 Plat: N/A-NOT AVAILABLE SEC 12 T N R19 NE NW EXC PT N OF RR& Block/Condo Bldg: EXC CS 17-4515 �Ok oU Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-30N-19W NE NW Notes: Parcel History: Date Doc# Vol/Page Type 05/19/1997 1239/522 WD I 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 10957 266,000 Valuations: Last Changed: 07/14/2004 Description Class Acres Land mprove Total State Reason RESIDENTIAL G1 3.000 48,000 121,500 169,500 NO UNDEVELOPED G5 22.000 44,000 0 44,000 NO PRODUCTIVE FORST LANC G6 3.000 12,000 0 12,000 NO Totals for 2004: General Property 28.000 104,000 121,500 225,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: 202 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 F a Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNERQ�$j jqS F (,� TOWNSHIP SEC. Z T &9 N-R 2 W ADDRESS c�c5� ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT ai LOT SIZE a8 'f"ta&tJc6S PLAN VIEW i Distances and dimensions to meet requirementsjof I•1HP- 83 i SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 6 1Z 1 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used IF —� Elevation bf vertical reference point: ZeIJ-)_— Proposed slope at site: 7 1d SEPTIC TANK: Manufacturer: Liquid Capacity: 10'6Fe g- , Number of rings used: p Tank manhole cover elevation: ? Tank Inlet Elevation: J 9 Tank Outlet Elevation: Number of feet from nearest Road: Front,Side,O Rear, O � s feet From nearest property line Front,0 Side,O Rear,(0) feet Number of feet from: well /1 �4 , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE i PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: P p/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch a evation: Gallons per cycle: Alarm Manufa urer: Alarm Switch Type: Number o feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM / Bed: Trench: y Width: ,5 Length: Number of Lines: Z Area Built: o-o Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear, Pt/t96 Number of feet from well: S-0 �- Number of feet from building: 6 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distributign-box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer- Capacity: Number rings used: Elevation of bottom of tank: E1 ation of inlet: Number /ufacturer: rest property line: Front, O Side, O Rear, O Ft. of feet from well: feet from building: from nearest road: Alarm M Inspector: Dated: ll.� ��-' Plumber on ,job: License Number: 3Z5 7 3/84:mj 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. NE!4,NW-4jS12,T30N—R19W 29CONVENTIONAL El ALTERNATIVE State Plan 1.D.Number: Town of Somerset 11f asignedl ❑Holding Tank ❑ In-Ground Pressure ❑Mound 85th Avenue NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DA E Douglas Bell Box 351, Somerset, WI 54025 ,sv Ile BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.. CST REF.PT.ELEV.. Name of Plumber: IMP/MPRSW No JEounty. Sanitary Permit Number: Gary L. Steel 3254 St. Croix 106076 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. OYES ONO DYES ONO BEDDING: VENT DIA.: I VENT MATT HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. VENT TO FRESH ALARM LINE AIR INLET FEET FROM OYES ONO ❑YES 1:1 NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP:SIPHON MANIJAC7UREH WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ONO ❑YES ONO GALLONS PER CYCLE: 7ND CONTROLS OPERATIONAL NUMBER OF PH OPEHTV WELL BUILDING VENT TO E FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ONO NEAREST' O SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing t f N(,TH JIDIAMI TIE 111ATI HIAL AND MARKING; or excavation. (If soil can be rolled into a wire,construction shall cease until FOR& 4� the soil is dry enough to continue.) MAIN t`' CONVENTIONAL SYSTEM: WIDTH ILENGTH NO.QF 1111TH PIPE SP CINCH COVER :=OL DIA SPITS LIQUID BED/TRENCH TRENCHES MATERIAL DEPTH DIMENSIONS AVELD PTH FILL DEPTH DIST H.PIP' DISTH PIPE DISTR PIPE MAT RIAL NO DISTH NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRSH E BELOW PIPES ABOVE COVER EI EV.INLET ELEV.END —� PIPES FEET FROM LINE AIR INLET. NEAREST---�---► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PEHNIANI NT MAI+K'HS OHSEHVATION WELLS OYES ONO ❑YES ONO DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED ID1PTH OF TOPSf1II SOO)FD SEEUFO MULCHED CENTER EDGES ❑YES. ONO ❑YES 0 N I1:1 YES NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OOCHES LATE HAL SPACING IGRAVEL DEPTH HE LOW PIP' FILL DEPTH ABOVE COVER DIMENSIONS____;, MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL INO UISTH DISTR PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.'. ELEV. DIA. ELEV. PIPE ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED COHRECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS E1 ❑NO OYES ❑NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS 1 NUMBER QF I PROPERTY WELL BUILDING: a` FEET FROM uNE OYES I]NO ❑YE ❑NO NEAREST . 1�0 Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. ITITLI Zoning Administrator DI LHR SBD 6710(R.01/82) (-� - SANITARY PERMIT APPLICATION COUNTY ( ] .DILHR In accord with ILHR 83.05,Wis.Adm.Code St. Croix STATE SANITARY PERMIT# /d —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 NO PROPERTY OWNER PROPERTY LOCATION Douglas Bell NE 1/4 NW %,, S 12 T30 , N, R 19 xfx(or)W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME Box 351 n/a n/a n/a CITY,STATE ZIP CODE PHONE NUMBER 7 CITY NEAREST ROAD,LAKE OR LANDMARK ❑ VILLAGE: Somerset 85th.Ave. II. TYPE OF BUILDING OR USE SERVED: ` Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. x❑ New 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. 0 Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed b. 0 seepage Trench c. ❑See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 108.71 upper 495 500 106.21 lojrg& 0 Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION Concrete lass App. New xisting Gallons Tanks strutted g Tanks I Tanks Septic Tank or Holding Tank X Weeks Comrrptp ❑ Lift Pump Tank/Siphon Chamber —° VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for install tion of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber'Ai nature:(N tamp WA /MPRSW No.: Business Phone Number: C.nry T_ Steel 3254 715 246-6200 Plumbers Address(Street,City,State,Zip C e): Name of Designer: 4017 VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Gary L. Steel 2298 CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 988 N. Shore Dr. , New Richmond, Wi. 54017 715- 246-6200 IX. COUNTY/DEPARTMENT USE ONLY �jj ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) l.a Approved ❑ Owner Given Initial I �-1 J rcharge Fee Adverse Determination w X. COMMENTS/REASONS FOR DISAPPROVAL: 2 KtiI'`S Ckpp h SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber 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; III. 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, lift/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'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; 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 ate included the creation of surcharges (fees) for a number of regulated practices which WISCO ir 'S e can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried TSUr6 is used in your building is returned to the groundwater through your soil absorption 0 system or the disposal site used by your holding tank pumper. a 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) L� 4 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 u,C_ s �S . FULL Location of Property _ N W , Section �?, T "'70 N-R I � W Township �_,bMf 5 5_2:_ Mailing Address RD -k-,;? OX 54 0 2 C7 ' Address of Site �- 1�,�v� k C+k wA o u ! 4 O 1-1 Subdivision Name _ Lot Humber Previous Amer of Property Total Size of Parcel (Oct AGr S Date Parcel was Created Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) T Yes No Volume �q 3 and Page Number �1 O- 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 POO CV_A i6y that att e.tatementA on .this bohm ah.e .thug to the but 06 my (oun) hncwtedge; that i (we) am (ahel .tile cwnen(e1 06 the phopehty d"cAi.bed in .thiA .inAolmati.on 6o4m, by viAtue o6 a waAAanty deed necohded in the 066-ice o6 the CerI t RegiAten o6 Veedsah Voeument No. 431 AS ; and that i (we) pneeen ty avn t o pnoposed Bete bon the eewage di6poe bye em (on I (we) have obtained an eeAement, to nun with .the above de6cA.Zbed pnopeAty, bon the eon tAuction o6 chid sya.tem, and the sane ha.a been duty necohded .tn the 066.tce o6 the County Reg.c.a.teh. o6 fltt , ab VOCLuneltt No. 11:k221 CAS 1 . 3 1GNA Oh R SIGNATURE OF CO-OWNER (IF APPLICABLE) 'c}-Q) - Sb rb . DATE SIGNED DATE SIGNED i: �'0 uOCUMENT NO. S1'A�E�AR OeooK 793 t�i 5F WISCONSIN FORM 11-1982 TNIS SPACE RESERVED FOR RECORDING DATA Amen e _ LAND CONTRACT Individual and Corporate 43:1095 (TO BE USED FOR ALL TRANSACTIONS WHERE OVER $20,000 IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) REGISTERS OffICE Contract, by and between ...Thomas_ R. Breault and ST. CROIX CO., W/I& - - - - -------------- ___ Phyllis__J:__Breault_t-----------------------------------Husbnad wffet as joint________________ Reed. for Record 8>tis 14th---tenants------------------------------------------------------------------------------ ("Vendor", Oct. 87 whether one or more) and...Douglas J: Be111 a sinKle person?_____ day 11� 00' A.D. 19— in common ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- "low � formance of this contract by Purchaser, the following property, together with the rents,profits,fixtures and other appurtenant interests (all called the"Property"), St-...-Croix Croix County, State of Wisconsin: FDA TO Joseph P. Guidote, J , DRILL & SKOW, S.0 Box 69 New c mon , Tax Parcel No- ---------------------------•------ Si of Si of SWi of Section 1 Except Railroad Right-of-Way and Except N of Railroad Right-of-Way; N} of NWj of Section 12 Except Railroad Right-of-Way and Except part N of Railroad Right-of-Way. All in 30-19. This contract is executed and recorded to correct the property description contained in a land contract executed by the above named parties on April 8, 1987, recorded on April 21, 1987, at 9:00 a.m. in Volume 775, Page 543, Document No. 424740. This is not homestead property. -- ------ (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at _New Richmondr Wisconsin__- -� the sum of $---40650.00------------------------------------ in the following manner: (a) $-__3,000.00 at the execution of this Contract; and (b) the balance of $_._37,650.00 together with interest from date hereof on the balance outstanding from time to time at the rate of....eight___(8)__- __ ___ per cent per annum until paid in full, as follows: Purchaser shall pay the sum of $300.00 each month. Said pay- ments shall be made directly to the Vendors and shall be applied to interest and principal. Purchasers shall also make an additional contribution of $3,000.00 per year for the years 1987-1992. Said payments shall be made directly to the First National Bank of New Richmond and shall be applied on the principal. Provided, however, thereafter th the Purchaser shall contribute at least $3,000.00 per year but in no event shall such annual payments exceed $6,000.00 per year until the entir contract balnce is paid in full. Thes�y �adyt$e>hlts shall bf, made tc�. the FirsthRtion�� iai>!zk of Nw Richmond, as wel�a of r 1 e , owever, t e en ire ou stan ing alance s a e pal In u on or be ore t e........7.t4............ y April__________________________ 19__9 ._ ( the maturity date). Following any default in payment, interest shall accrue at the rate of...8......% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due.To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. -Any t4iere-mttr4m no -prop ri�v+v-vim rii i td-wro eiii r issi -crf-`Teneii,;' In the event of filly prepayment, thin contract Bhall not bo treAed 139 in default with rospect to Payment Be long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated a3 unpaid principal) is less than the amount that said indebtedness would linve been bad the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: NONE Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on.....April 8____________________________________v 19..87... •Cross Out One. LAND CONTRACT—Individual and STATE. BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. Corporate FORM No. 11-1982 Milwaukee, Wis. >sgtn;eu8le iletp emolaq pa%ujad zo padta aq pinogs 41aedeo hue u, ittzls suoued jo eatustli y` •-- I -. -----•--------- .Slap .2 219\ u atiO , �( 6 �,'� (•Bass9aaau 4b a a � r\ uoL4satdxa a4gls 'IOU ;I)•luaulnuaad st uotsstuzuto0 AN g;og •pa2palmou3las a4 ;sa13uagjnv`aq Beut panivu2tg) •�� •stm '.�;unop-------- atlgt►d has;oH ----•................................................................•-•-••-- 69 XOg 'O'ti • -------------------------------- --•---•---•-•--•------------•----•---------------••••-...•---•••••-••----...... -af `agoPTn9 'd gd9sof #, AS a31dVMa SVM LN3Wnd.LSNI SIHI � •autlss Dill 92palmoMIO113 pus luautnaJsttt 2111020,101 aql paln0axa oqm --- uosaad Sill aq of umou3I Out o; a st Sq pagaotlins ..................................-••• --•----•• ou ................... --------------------------------•---------------- - -- - - riISIQO0SI6d 30 2IvS dsdSS 2idg11idlAi :d'IZIJ, -------------------------------------- ....................a--gi(asor -- ---•--•----•-----------•--------------•-------.....-••---..........--•._..... paumu anogs 9114 --------61 '•••-----------•------------------•-------- �" . ..__;o Bgp;o Asp................ 91114 Dui aao;aq aue0 Bllguosaad C , 61 91114 PaJ130Rua114ne •B uno ----------------------------- 4 ----------------------------------------------•--------...•-----•-••----•...---- •as NISNOOSIM dO HMS .•; '"' ;-----jj- ,---� (9)aanllsu2tS CJ i . INat w eaariA&o x x 0 v AIOIZv0IILNffHSIId n2Tvaag f STTTxud pz8gaiiET$ :y -... E ._ ---------- _... -•...... ..........•••••......--•-••• ........•. ---------•• Tri azg s8inogy TTag f sET noa ------- L8---6T •----•------------------•-•-----------------•---- _;<y °� i ;o Asp ------------------r-�--------------------_------• still Polls(I ;oaae11 luautllgln; ut apsut eq of PaeP Dill ;o uognaaxa aq4 ut utof o4 saaa2s pus B4aadoad laafgns eq4 ut slg8u pue4sautog asualaa o4 utaaaq sutof uoF4saaptsuoa alqunllsA s-1o;aopuaA;o asnods eql Blaadoad aq4;o aaumo us Wit ;I) uasgg0and pus aopuaA ;0 suzIsss pug 9-1099900119 'sent4sluesaadaa Is2al 's-1teq aql ;o s4gauaq aq4 04 ainut pus uodn 2utputq aq llugs 4asa4uop still ;o stu-1al lid' •aassgaand ;o llns;ap aotad ao luanbasgns aag4o Aug 2utnlsm 4not;4lm llns;ap Aug antam Beut aopuaA -40sa4uo0 still uo aputu sluatuAud pataptsuoa aq llags aassgaand Bq apstu os s;uatttded Ili pus os op 04 SIM aopuaA ;t aa2b24aOICOg4 04 B14aaatp quatu fled gans Aug a3lsut Bout aasetlaand •Jasalu oO still aapun anp uagJ 94unoutg aql;0 4uatuAnd 6latug saNeut -1asegaand paptnoid 'Bgaaagl pa-1naas alou Aug -1apun to (aase40-1nd Bq pa4uga2 a2924aotu Aug ao;4daaxa) 10ea4uop stq; ;o 94up aql uo BJ-1adoad aq4 lsuts2l 21ttpus4slno a2e2laout sus aapun anp uagm s4uautBid llg a3letu llsgs aopuaA -amlou ;nogltm uo14do s,aopuaA 4e 'lln; ut alggBgd pug anp dlaJstpatutut autoaaq llugs 4asa4uoO still aapun elgeBsd eausleq 2utpue4s;no aatlua aq4'4uasuoa ualltaem s,aopuaA 4nogltm anus BDnu0a so alas 'aa;suea4 clans Aug ;o Juana ate uI •iasstlaand ;o ssaupalgaput us ao; B41anoas se dlalos lasaluop stg4 aapun 4saaaqut 9,-1asegaand;0 4uatuu2tsss ao a2pald s st padanuoo 4saaalut aql -10 lln; ut plud 4s-1t; st 4asa4uoO stg4 -1apun olglsded nulsleq 2utpue4s4no aql aaglta ssalun aopuaA ;0 4uasuoo uaJJtam aotad Dill 4no114tm (Bgnt Dag;o Aug ut -10 asgal tuaa4-2uol 'uo14do Bq ao 4asaluoD still aapun 9J112ta s,aasagaand ;o Aug ;o 4uautu2tssg Bq) d4aadoad aq4 ut lsaaalut algv4inba ao lg2al Aug Banuoo to Ilas 'aa;susa4 4ou lligs aassgaand •laaatp Ils11s 4anoo aq4 se patldds pus plaq aq llsgs papalloo os uagm 94goad pug 'sansst 'sjuaa gang pus 'uopos gans ;o Bauapuad aq4 Sutanp 4aadoad eql ;o slgoad pus `sansst 'sluaa aql Jaalloo 04'4saaalut psalsautoq 2utpnlaut 'Blaadoad aql ;o aameaaa s ;o luaUqutoddu eql 04 94uasuoa aasegoand '4asaluop still;0 aansoloaao;;o uo140s Bus ;o Bauapuad Dill Sutanp ao luatuaauauttuoa Dill uodn 4uaui2pnf Aug ut papnlaut aq llsgs pus 'paaana -ut ss 'aasggaand Bq pted pug lsdtautad of pappe aq llsgs aouaptna alltl ;o sasuadxa pug mel Bq paJtgtgoad ;ou 4ua4xa aq4 04 (IOU ao palgge iag4aga) aapunaaaq Bpamaa Bue:aoao;ua of paaanaut aopuaA ;o saa; sdauao4419 algsuosgaa Sutpnlaut easuadxa pus s4soa Jig pus uotJs214I1 ut pansand uagnn pus ;t aopuaA uodn 2utputq aq Bluo llsgs satpatuai 2uto2aao; aqJ ;o Aug ;o u0143ala us 'aopuaA ;o suolpv ao s4uatualg4s ual41am tp ao is-10 Aug Bug 2uslsgltm4OX•anogs (At) ao Q!) (I) aapun uoi.1 Du Aug ;o Bauapuad aql Butanp 91goad so sansst 194uaa Aug 4aalloo of pa4utoddu aantaaaa g On134 pug B4aadoad aql ;o uotssassod utoa; paJaafa aassgaand ansg Bitu aopuaA (n) pug :lus3t;tu2tsut st zassgoan j ;o Jsaaa4ut alquimbe aq4 ;i uo143s allll-jamb s ut 91ltl uo pnolassilaealuoo still anotuaa pus pua us 4s 4asa4uoO still aaslaap Bgtu aopv3A (AI) ao :;oaa9g4 uo14aod Aug ao Satad assgaand ptgdun am lua aql io; mil 4g ans Bgut aopuaA (tit) ao :Bauatot;ap Aug ao; alqull aq Ilggs aasggaand pus ales letatpnf 413 patiotlane aq Ilsgs Blaadoad aq4 4uana gatgm ut 'aapunaaaq anp s4unouus aag4o pus llns;ap ;o a4ip Dill uo WHO ut aiga aql 4ls uoaaag4 4saaa4ut gltm 'aousliq 2utpus4s4no aatlua aq4 3o luatuBsd lln;pug 04stpaututt ladtuoa of lasaluoO still ;o aausutao;Dad ogloads ao; ans Aim aopuaA (tt.) to :('tuaapaa of slta; aassgoand ;t B4aadoad aq4 ao; la4uaa se pus 4oga4uoO still llt3ln3 04 eanite; ao; sa2stusp pa4eptnbtl ss pa41a;aao; aq llugs aasegoand Bq ptsd Blsnotnaad s4 unotus Ili 4uana gatgm ut)aapunaaaq anp s4unouts aag4o pus alip Bons uo laa;;a ut a4sa aql 413 ling;ap ;o alep aq4 tuoa;uoaaagl lsaaalut gltm 'aougllsq 2utpuslslno aatlua agl ;o luatuAud lln; s,aaseulaand uodn pauotltpuoa aq of uotlduuapaa ;o Bllnba Aug gltm aansolaaao; 4otals g2noag4 31osq Blaadoad aql IDAO3aJ pug B4aadoad aqJ ut lsaaalut pug a1414 's4g2ta s,aasig3-1nd pus lasaluoO still a4euttuaaJ `uotldofslq Js 'Haut aopuaA (t) :BJtnba u1 ao mst Bq paptnoad asogJ of uo.41Ppg ut (mill Bq paptnoad suotl13Jtuttl Aug of Jaafgns),satpatuaa pug s4g2ta 2utmollo; aql ansq oslu llggs aopuaA pug '(santsm Bgaaaq aasegoand gotgm) aatlou 4nogltm pusiuotjdo s,aopuaA 413 'lln; u1 algsBed pus anp AMutpatutut atuooaq Ieegs JOealuoa still aapun aouilgq 2utpus4s4no aigua ail uagl'(lteut pat;tlaaa Bq papimi ao Blleuosaad paaantlap) aopu9A Bq;oaaagl aallou ua4ltam 2utmo110; sBsp •-09----;o potaad's ao; sanupuoa gatgm aasstlaind ;o not 821 o as o Aug o 9auutuao aed ut llne;ap s ;o Juana aq4 ut (q) ao alsp anp pat;taads atll Sut m0llo; sBsp... ;o potaad ls to; sanu14uoa g0i11m 4saaa4ut l Iq ill 3 ao lgdtoutad Aug ;o luautBlsd aql ui Jlne;ap g ;0 Juana aql ut (u) pug aouassa aq4 ;o st auutl ;sql saaa2u aasegaand ................•-----------------.....--------•--.....-•-------....-----•----•--.......------•-----.....-----------------•----•----------..--.._..--••..........---•---- --------------•••---------------------------•------------ ------------------•-------- • •-••-----•-••---•--•--••--•--•-•-•--....--•--••..._..-•---•-°._..•••-•----•••-••--•---•--•--•-----•------••••••-•••-•-••-••----•-•--••------•....................••--. .....•--....---•-•........ ....... .RNON- :ldaaxe pus 'aasstlaand ;o llne;ap ao jag aql Bq pa4saa0 sa0usagtunaue ao suetl Aug lda0xa 'saousagtunaue pug suatt 1113 ;0 agal0 pug aaa; 'Blaadoad all ;o 'aldtuts ae; ut 'paaQ SlusaaeM a 'aaeutlaind aql of aantlap pus alnaaxa 'pugutap uO IIIm aopuaA 'pagtaads anogs aauusm aql ut pus satutl aql is paum Dad Slln; aq llsgs suot41Puoo Ilg pus ptsd BIIn;aq Ilsgs sBauoui aaglo pug 499aa4ut g4tm a0tad antlaind aql assn ut lsgl saaa2e a0puaA •Blaadoad aql 2utloals suotlsln2aa pus saousutpao 'smsl Ili gltm Bldtuoa of pug `psalitoO still ;o uatl aql 04 aotaadns suatl utoa; aaa; B4aadoad atll•dawl 04 'atedaa pug uotltpuoo algs4usual pool ut B4aadoad aq; daa3l 04 'BJ-1adoad a4l uo paJlltuuroa aq 01 Olssea molls Sou 94ssm Jtuituoa of IOU 61111M9n03 aasstlaind -�af4feeel�{feettueaeoe bq-o�3tade-1-tea�et;e:o;9e�'e�l;•s+seep'+t�►ne1Y'at�'�►ePrneed-`Pe$ttteBP�e�oag'-eul;'-;e--1egderao-eet�*seissre#'paei+itIe's9 ttg+k�$@mod-aDttssnsut-=.9uta+�.tts aa�-xsYSacl4a lopcta�{atsv-sa9uuf +d- Wf?-jP+taAe-P -setutad�teea-seueea�tsut -9sc+t- e-aot�eur ant$-:4lye�t�te,z�{legs-iesetpaad-ite eif�Entft-� �P•a4'fite •B d- -&uaaaaa.11010110d fla-3a �vul&�w agf-`3�tyuart-saa.�tta9taaat{iQ rolaw�kssaWm=?ug- ul-sr �t�-aaE3 rt(e�aetat fod-erl-y-�tP-+�e+i�e�-su�t+�taad-aaua,�trs�•aulq-�t��l�t�a•.taae�la�t�-'leet�uoJ-•eta"ae?ttn'�ams•eateelee�r+�q;-rtesl7 �antu�unaLus.liH � SuR-tuDB �.aan addx.ajatasul.iiBnauTl u> �o-c e{•�wue3a t tctu;- 3oa�-at{ga�o s tae�ua Ott ate � S-" iteEl a ti----- -xe-jet�-,tom tom+ Soo-aS�twp luautBed Bons Sutmogs sldta3ea puetuap u0 a0puaA 04 aanitap 04 pus 41 ut 4saaalut s,-1opuaA uodn ao eKlaado i l aq; uo patnal s4uatussass18 pug saxe4 Ills anp uages Bed o4 sastutoad aassg0and TI �''"V �'�L log H � L EA H 9 ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d 9 OWNER/BUYER �L 'j VICq I.AS liV H ROUTE/BOX NUMBER RQ bo5C J�71 Fire Number CITY/STATE �%&AS lL�ic,�'�- , ��/ ZIP dkf�ZS PROPERTY LOCATION : J $.lW!4, Section �Z T 30 N , R tg W, Town of �OMc'�VL-JE 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 licensed septic tank pumper . What you put into If 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 . H 0 E I/WE, the undersigned , have read the above requirements and agree z„ to maintain the private sewage disposal system in accordance with x H the standards set forth , herein, as set by the Wisconsin Depart- 10 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 T5 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 . D T OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INUS TR Y Y,, INDUS G DIVISION LABOR HUMAN NDATIONS PERCOLATION TESTS (115) MADISON WBOX I 3707 (H63.090) &Chapter 145.045) LOCATION: T N: TOWNSHIP/ti� LITY: LOT NO.:BLK.NO.7/a DIVISION NAME: �/ 1/4 12 /T30 N/RI (ar)W Somerset n a n a NE COUNTY: OWNER'S NAME: MAILING ADDRESS: St. Croix Douglas Bell IBQX 351 Somerset, Wi. 54025 USE DATES OBSERVATIONS MADE Residence INYEDRMS.:1COMMERCIALDES R O New R PROFI D I IONS A ION TEST n/a 3-31-87 3-31-87 N I RATING:S=Site suitable for system U=Site unsuitable for system CONVENTI NAL: MOUND: IN-GROUNaPRESSURE: S STEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) L]S [:]U IDSEU x❑S ❑U I ❑S ©U I [IS ©U conventional trench 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 a e27 Ond2 BORING TOTAL. ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH; OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 7.08 112.26 none >7.08 .75bl.1. .83bn.sil. 5.50 bn.c.s. B. 2 7.50 112.21 none >7.50 .83bl.1. 1.50bn.sil. .50bn.s.1. 4.67bn.c.s. B_ 3 6.92 109.71 none >6.92 .83b1.1. 1.92bn.sil. .67bn.s.1. 3.50bn.c.s. B_ 4 7.09 106.59 none >7.09 .92bl.1. .67bn.sil. .58bn.s.1. 4.92bn.c.s. B- 5 6.74 106.90 none >6.74 .83bl.1. 1.08bn.sil. .58bn.s:1: 4.25bn.c.s. B- decimal' PERCOLATION TESTS TEST DEPTH. WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RIOD 2 PERIOD PER INCH P_ 3.65 none 3 6 6 6 <3 P- 2 3.50 none 3 6 6 -6 <3 P- 3 3.50 none 3 6 6 6 <3 P- P- 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• upper trench=108.71 SYSTEM ELEVATION lower trench=106.21 tN i 1 i I 133 s y ; ; I, _ 1 �y E, 13 - I � , ! i !_...�____L I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print : TESTS WERE COMPLETED ON: Gary L. Steel 3-31-87 ADDRESS: CERTIFICAT1 NUMBER: PHONE NUMBER(optional): 8 Shore iI CST SIGNAT E• t. DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBO.6395(R.02(82) - OVER - Douglas Bell NE4NW4 S12-T30N-R19W ` Somerset,township 5j.1s In 6e, �s 3 3 a5 2 6Z•r o 3 0 ern= ��"S�a�i6k P, �Imi9v,K 30 AA /ODD I 10 006-A 67 V SE694 �e /l OS- " Ali. —�—�� de-low: / ab o+t lae-'zl el ,2v c Gary L. Steel 988 N. Shore Dr. New Richmond, Wi. 54017 MPRSW 3254 DILHR Leroy Jansky.P.S.C. Wisconsth Department of industry, INSPECTION 13 E. Spruce Street 10 ; Hlfman�fiefations p SafeMt'lluildingsDivision REPORT Chippewa Fall's, W1 54729 Bureau of Plumbing (715) 723-8786 Inspection Date jUN>_ 14, Wt'3 Name of Premises *ddree&w Legal Description Aity/Township County �_ V:> Master Plumber Name and Address _ Master Plumber Firm Name and Address Plan I.D..No. Sanitary Permit No. Journeyman Plumber/Soil Tester Licensed Person's Name(s)and License Number(s) Owner's Name and Addrep E LL. XA 7 S fi.. . { 5 n U Page of Signature of Respobsible Licen Person 1pnI s rte needed) It Signature of Plumbing 90 It rivate�Sewage Consultant Original: Copiesto: Xtha applyl -it, sso-6192(R.wsm District 0 DILHR Plumber 0 Owh )�unty/Local Viip. 0.01her J