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Home My WebLink About032-1047-30-000 / o 7 . Q 0 2 § @ 2 0 � w � � } � � t � � $ � � § 0 § 2 � ) Z k 2 7 § 3 \ J o » C ; / j E y § z / � 2 _ § q a ■ § § z 2 \ • � 2 5 / k k 7 C / 2 7 e @ Cl) � (D -� § $ } q Q } caz f � .. } � ° § \ ƒ g CL ) co • 0 § § a a = ( # k CN $ k k k ) ) / 4-;' 0 0 0 k -� $ ; a a a CL ee ) g B U) � u . A $ $ 2 § § co \ _ ° E ' � o / § ' c 2 J \ ¥ k 16 § CP / < k 0 0 E _ § \ \ § § k \ \ CD § c k k CO ■ _ . E _ . z z g , - & \ E , m a k E E i ± g e $ ; ] 0 2 / 12 6 ■ / s � 9 $ " t 7 22t ) I — � _ L a te CL , . : B & k CL ) 0 k k � , - $0NIMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 . 962 - 3121 800 - 962 - 5227 f ST. CROIX ZONING REPORT NON 09323/01. PAGE 1 ST. CROIX CUJNTY REPORT DATE: 8/15/91 COURTHOUSE DATE RECEIVED*+ 8/13/91 H1.1DSol, WI 54016 ATTN*+ THOMAS C. NELSON OWNER*+ Joseph 6 Sylvia Baumann �, 31 , LOCATION*+ 486-210 Ave., Somerset COLLECTOR*+ M. Jenkins SOURCE OF SAMPLE*+ Outside faucet COLIFORM*+ 0 /100 mt INTERPRETATION*+ Bacteriologically SAFE NITRATE-N2 4 ppm I Above 10 ppm exceeds the recommended Public Drinking Water Standard. CoLiform Bacteria/100 ml Nitrate-Nitrogen, mg/L I I' LAB TECHNICIAN; Pam Gane WI Approved Lab Flo. 19 i �.1NDEOEN�eNr i t Means "LESS THAN" Detectable Level Approved by! �'m ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 i STS CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning the Realty Firmsapand and water inspections to g Institutions private individuals. be n...■.,1 et i nn of this f, es �. vide the following information, enclose appropriate Please pro and mail, fee made payable to St. Croix County Zoniinngioffice, be done as along with form to the above address. soon as possible after fee and form are received. WATER TESTING--------"----- ---------FEE: $ 25.00 (For nitrates and coliform bacteria)FEE: $175.00 WATER TESTING (For VOC'S) --FEE: $25.00 ggpTlC SYSTEM INS em if system is properly functioning at t me of inspection) SS�A� Sy�v,c� a uhn�NrJ Property owner's name �7 WT:,WT:,�� o�►— �y� S � w Property owner's address 4 o Section _ 1(11 T�N-R Legal Description 75� 1/4 of the 5 1/ Town of Lot Number Subdivision Name Color of house Realty sign by house?N_If so, list firm: PLEASE OC�TIONBgHOWN,Ip'AT ALL A COPY POSSIBLE, THE LISTZNG, F PLAT BOOK WITH SHEET. , Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: lln �4�i off'► ��h � Telephone Number o ui 5 ' REPORT TO BE SENT TO: closing date Signature NORTH SOMERSET PARS T. 31 N:- R.I 9 W. p 51 • ` ✓ue/Wf V PoLA ZC90/X POLK COUNTY I RD IL 8. i i v W17B Ma/r/e . ow 7-1 �i//arn e H6Knk�e.= "arl, t .re POneer y "� ® F OS• 76 rKf CW .c-r F ' uv < ... z �' Fi�,r+.r��v� a5rusf �• Sch eft/bein, /4o.s5 ro� �s- >ao tl Yal�� Inc o m /GO• /ene eta/ -y Edward s �>dred Ill"1 `�:.' �: . .... y r`•A2fi •�/y/wq /bo JF � N� /6579 ® Q ED' .D:_.r Sits/ow r l!! ef•T. 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Fou h t' tl 4re O ,� M neapoGs /emas ch¢chtner P/ou�de Q/,oh � 73.se 4 Denise X J U� M+C�Y:: Fred I,7 f CY tl 2/O ur/duu C. vUJO TR!�TS w • W/Yma 151.2 /h/dir aCy i i Sch¢chlge/' h'o6 on W �� q M 6.NN AY /eo U.S A. /o ,0 3 4 cTahn E. .c ordi u/e •.Pon a 04 v1 .y fVa 77 /3mi//er •Do/xr2 r. p rToh.� s o O(V 3/4 ........'� !N edeirn a.� .� h'aoin�n �Oa.:ie C� N ery IA w Tow E f W I"Ax Las V 7 ae/` AORTH1fX Sommer`'ekit /2o r �Slofti ®� _ U 0 I. • Schachh onrta 5 eo 0 .. t/I yj6 Nn'tsM. � A- O A/4¢lfOy CSteveJl{•Y 60 j�{j .ygW W• Qctinsen, v^qj Donn¢$ W 1 •79 H¢/7Sefl rah .0 0 v $v • /u.�' V h N MKh¢e/ M /I 2 �St en 1 I Y +i'•v F�$ G A si Y a/r @� 3 Q•V 3 V\Y° Ca7r9 d f et¢/®' nfy�$��° 6d o e �O 4o D 0 o."°/d e lIkz/frr f .7 !P • V 0 • Debra W U 6 L � a 8 Win' W N r ua �u �zzi Ge/ma/n N fc•.�✓isa.Dc. R o 1 1 1 `- OttYo b J 4 arte// en?r/s a L 75 C a Ua°+ �U u 1 � a qp /54-47 /so 1 n Gm Cua rr ¢u/t lh u Ca/een 203 • Neumar/n • 0 �� .Qivard rm 410.62 - ,B ENul�ene roh 70 b \ 4 QS__ • V 5 29G4,7 P SM T • h v //7•G/ •si vs - E .. c oa r/ o Nary- . e K c s onna f'pes.u9 Z—a— •TURD T fo �a n .V Z 4s 3J25 ,.,t,°fon 0 s/O Xi h @ 5 t inpoa ai/a4.` r tl oo• v L t1 A Nman c 'F^y; c JD=n G 79 F �S, Newmann �.. to Leonard 6o Q"J ap 90 :i i i s ::s ® „eh;r y F Ti//re '0 C iv �eo�ye T ✓`Sv,� Ear/L.f Uabnkc tad Prr.�ock y �v$°y • Eh3Lwmonn.. O f Sager ea u` 'o Linda ��a e O�` - O Cy,C� rs9 Y °tlV R Aye Lan d M `9 674 230 a 39 e5 U ,Z F_.s alas ' ?^i fYourr� q�.y °!Y L¢ndr ox /42.97 • 40 g cSa�oa:r- kDarrmt% Zwic_J /S S N N roi l AVE. !iC.f .N L. I/-'qq M. /O S BO R E/arnB Vb Qyy_ T46 •LindO_'e FranC�u.D 1 L✓alrhdo T°Wur 67 ¢ v 4o n aK DorXdd Eh/e s�. s f yce 4s o s%rnt Mnrte//Pl¢l • S Mondoi- e ✓btor•. 'n Hfi//ac emieF '^ P 6/ uese B -rw�e .. BO 0 /e! " I CBAO f¢/ T nn/d AVE Ol Fa• M� � � coo /09 ¢ ,�r. .'�so.�,� u .Dye ne /9 ifar/e// SD>�ei 6p :lk� /even ti tiiti Caro/ / Zi R..z N tl etm Lemre y v k99� .8 s 5 Be/isk 35 Names,J� l 6 /�f is .s .rem 0" oc/o oJF tl is r,Q\ V y 0 fwc.TS: Foss Sanerset,yp: A /.t5 q L 7V S 449a CEN TR � cT •' �W� � s6 ..,T .. q� a L 0 /99/ Qockfo/dMOyoPaO/s,Inc. 64 61 • 00 300 400 500 SEE "a 5�600 co Goun !✓.s. 700 8OO BANK OF SOMERSET LONDRY Save With Us — �. •�N7sC ,1��N�1 Help Build Your Community MEMBER FDIC Black Dirt - Crushed Gravel SOMERSET, WISCONSIN Driveways - Landscaping Phone: 247-3348 Phone: 247-3480 SOMERSET ST. CROIX COUNTY f WISCONSIN ZONING OFFICE ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 - _ (715)386-4680 Aug. 13 , 1991 Jim Lagoon Burnet Realty 2020 Washington Ave. Stillwater, MN 55082 Dear Mr. Lagoon: An inspection of the septic system on the property of Joseph & Sylvia Baumann located at 426 210th Ave. Somerset, WI was conducted on Aug. 12, 1991. 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 u0oa proper maintenance of the system. cerely, f' Mary J. ` Jenkins Assistant Zoning Administrator cj J Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT � l L OWNER TOWNSHIP .��„�xzu " SEC. T Z.N-R L W ADDRESS ST. CROIX COUNTY, WISCONSIN f SUBDIVISION y" LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 - SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM V0� � /J !r r J �u,sz _i -ter 40K 7* INDICATE NORTH ARROW BENCHMAtK: Describe the vertical reference point used /�f� �c12ftgegq�/6,/�. .. Elevatiop of vertical reference point: -Zx- — Proposed slope at site: R SEPTIC TANK: M-�nufacturerc Liquid Capacity: Number of r .ngs used: Tank manhole cover elevation: Z&, � Tank': Inlet llevation: Z4 Tank Outlet Elevation: �127i5� Number of ft.:et from neerest Road: Front e ,O Sid ,ffl Rear, O f feet From -tearest property li Front,O Side,O Rear,n (J feet Numb('r of fret from: well building: ! (Include this information of t e above plot plan)( 2 reference dimensions to septic tank) ' SEE REVERSE SIDE J I Y� R PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, Ft. _ Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORBTION SYSTEM Bed: Trench: Width: Length: Number of Lines: Area Built: Fill depth to top of pipe: c-,?9 Number of feet from nearest property line: Front, O Side, Rear,O Ft . Number of feet from well: Number of feet from building: (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 distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK . Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: i Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: _ Plumber on job: a4lZ1w License Number: 3/84:mj r , DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&tIUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 CONVENTIONAL ❑ALTERNATIVE State Planl.D.Numbel: SF4-,SEA,S 16,T31,R 19W ❑Holding Tank ❑In-Ground Pressure ❑Mound of assigned) Town of Some m et-' 210th Avenue NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATE: Jae Baumann Route 1, SomeAzet, W1 54025 (o—gg �. BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber: IMPIMPRSW No.: County: Sanitary Permit Number: Catvin Poweu Jn. 1563 St. ctoix 112680 SEPTIC TANK/HOLDING TANK: MANUFACTURER. /1 LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV_ WARNING LAB L LOCKING COVER 1 67 ` 2� )07, TIDED PROVIDED: JL✓G�tO �/ / � YES ONO DYES NO BEDDING. VENT DIA.. VENT MATL. HIGH WATER INFUMBER OF ROAD: 1P R OP ERTV WELL. BUILDING IVINTT.F FEIH ��// ALARM / LINE/ 7 AIR INLET DYES KNO l ❑YES L.20N0 NEARESTOM / DOSING CHAMBER: MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: DYES ONO OYES ❑NO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING 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 JN.'OF DISTR.PIPE SPACING COVER JINSIDI DIA -PITS LIQUID BED/TRENCH TRNCHSES tN. PIT DEPT( DIMENSIONS 4� _59 6. GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL. �NEAREST-------ip- MOUND UMBER OF PROPERTY WELL BUILDING V NT TO FRESH BELO/W�PIPES ABOVE COVER ELEV.INLET ELEVEND. LIN /6/ AIRNL ET core /�1�.22 / S. og 27 2 O (v1P 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- ❑YES meets the criteria for medium sand. TIONS MEASURED. ❑NO SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS E]YES 1:1 N 0 ❑YES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED 17.11.11- SODDED SEEDED MULCHED CENTER EDGES DYES 1:1 NO 1:1 YES ❑NO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER 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 INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES El NO El YES El NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: 1BUILDING. FEET FROM LINE DYES 1:1 NO DYES El NO NEAREST \D r 2 o �1 Sketch System on I(� . In ty file for audit. Reverse Side. DILHRSBD6710(R.01/82) I - Zov►fng Admivi-i�5fi�caan -�- SANITARY PERMIT APPLICATION COUNTY ` ('D'LHR In accord with ILHR 83.05,Wis.Adm. Code �'° '"^ °•�^^�°- STAT/�E SANITARY PERM T -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 PROPERT OWNER PROPERTY LOCATION '/4_5 %, S T N, R E (or PRO ERTY OWNER'S MAILING ADDRESS LOT N ER BLOC UMBER 4NEAR9ST SUBDIVIS N NAME CITY,STATE ZIP CODE PHONE NUMBER ITY :16"evy ROAD LAKE OR LANDMARK VILLAGE : At r J 1 II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family -� OR ❑ Public(Specify): A4 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. 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. [Z Seepage Bed b. ❑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( yyare Feet): PROPOSED Ssuare Feet): �( Feet lolPrivate El Joint ❑ Public VI. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Exper. INFORMATION Manufacturer's Name Con- Steel Plastic New xisting Gallons Tanks Concrete strutted glass App. Septic Tank or Holding Tanks Tanks Tank Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑ I LJ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation o e private sewage system shown on the attached plans. Plumber' Name(Pr' t): PI er's Signa re:(No St s) MP/MPRSW No.: Business Phone Number: /" Plumb 's Address( reet,City taate,Zip Code): Name of Designer: wov / -- VI I. SOIL TEST INFORMATION Certif d S it Tester( )Name CST## C A DRESS( tr et,City,S te,Zip Code) Phone Number: 3 t� - �3,� IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S tary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved F-1 Owner Given Initial S r harrgee+Fee �(Q Adverse Determination E0 29��1� h X. COMMENTS/REASONS FOR DISAPPROVAL: 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% 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 included the creation of surcharges (fees) for a number of regulated practices which Wisco iCftS a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reastre 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. a i 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 Ifhis application form r• pp f is to be completed In full and signed by the owner(s) of the property being developed. Any inadequacies will only .ro0b t in delays of the permit ssuance. Should this development be intended for resale by owner/contractor, ("spec cuee'). then a second form should be retained and completed when the property is old and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - er of Property " cation of Property S� k 5.� k, Section , T=f,/ N-R L9 W Township Nailing Address Address of Site Subdivision Name Lot Number Previous Amer of Property Total Size of Parcel ( (10 Date Parcel vas Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes / No Volume -�--- and Page Number -�C�S.. 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 OMER CERTIFICATION I Iwo_) co�.AO that dU s to temen h on this 6onm aAe, true to Vie best o 6 my (ouA) hncwtedge; that I (we) am (ahe) the owneh.(e 1 06 the pnopekty d"cAi.bed in th," .in604matUon 604m, by viAtue 06 a waAAan.ty dee ne onded in the 066.ice o6 the Cefintyy Reg * eA o6 Veede ah Document No. and that I (We) pheaentty run t/�e pRopoded Cite 6ok the sewage poe dye em (oh I (we) have obtained an eahemen.t, to hun with the above deg cAibed phopehty, 6o& the conetnuction o6 eatd eyat", and the eame ha.e been duty necohded .in the 066tce o6 the County Reg•,6teA o6 Vttde, ae Vocument No. ) . S�JATVRW Olt OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) r DATE SIGNED DATE SIGNED f III No.S-2. Warranty Deed—Common Form (STATE OF WISCONSIN) Published by Eau Clair#Book 8 Statloaory Co, —By Corporation. (Sec.236.16,Wis.Statutes2 Form No.2 _ sou 4?9 Fa„E 72 (W4i� ,{�it�iPri�lYrp, Made this 1$ day of November ,A.D.,19 66 , between Rural Family Enterprises Inc. a Corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, located at Somerset '-; Wisconsin,party of the first part, and Joseph W. Baumann and Sylvia Baumann, husband and wife as joint tenants, with rights of survivorship, part i es of the second part. Mitneooetb: That the said party of the first part, for and in consideration of the sum of •--Five Thousand Two Hundred ($5, 200.00) Dollars--------------------- to it paid by the said part es of the second part,the receipt whereof is hereby confessed and acknowl- edged, has given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents does give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said part i e s of the second part, their heirs and assigns forever, the following described real estate, situated in the County of St. Croix and State of Wisconsin, to-wit: The Southeast Quarter of the Southeast Quarter (SE4 of SE4) of Section Sixteen (16) , Township Thirty-one (31) North, of Range Nineteen (19) West . pi Yy c .0 1644 Val: 1`YVNti V 'Y`11: I II'IVY iI V: Y SI _ tZOQetM with all and singular the hereditaments and appurtenances thereunto belonging or in anywise appertaining; and all the estate, right, title, interest,claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. ZD babe lttb tO !�01b the said premises as above described with the hereditaments and appurtenances, unto the said part i es of the second part, and to their heirs and assigns FOREVER. Anti the 4i§aib Rural Family Enterprises Inc . , party of the first part,for itself and its successors,does covenant, grant, bargain and agree to and with the said part ies of the second part, their heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described, as of a good, sure, perfect, i absolute and indefeasible estate of inheritance in the law,in fee simple, and that the same are free and clear from all incumbrances whatever, and that the above bargained premises in the quiet and peaceable possession of the said part i eS of-the T second part, their heirs and assigns, against all and ever y p erson or persons lawf ully claiming the whole or any part thereof, it will forever WARRANT and DEFEND. Iii MiMCOO Miberrof, the said Rural Family Enterprises Inc . party of the first part, has caused these presents to be signed by Lowell Rivard f�( its President, and countersigned by Earl Cloutier , its Secretary, at Somerset , Wisconsin, and its corporate seal to be hereunto affixed, this 1$ day of November ,A. D., 19 66 . RURAL FAMILY ENTERPRISES INC . /2 Signed and Sealed in Presence of ”""""""""�i/R� irate Name ...... .. .............."......... 'j" Dwelivard .-.....President....... Frances Van Nevel Coun rsigned: 4"_ "............................._ -Earl Cloutier Secretary R th A. Johnson (N.B.—Ch.69 Wis.State.provides that all instruments to be recorded shall have plainly printed or typewritten thereon the names of the grantors, grantees,witnesses and notary.) 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Croix County, Subdivision_ 1 Lot numberov Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- I sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pum er . 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 . 0 E I/WE, the undersigned , have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x r+ the standards set forth , herein , as set by the Wisconsin Depart- Iv 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 . SICNEU 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 . i OEPARTMENT,OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, . I c DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.0911)&Chapter 145.045) LOCATION/ SECTION: r TOWNSUIP/MUNICIPALITY: LOT O.:BLK. .: SUBDIV ION NAME: �/4 '�/ / N/R L (or 5y' -61 COUNTY: OWNE 'S BUYER'S NAME: MAI LING ADDRESS: USE DATES OBSERVATIONS MADE NO.BEDRMS : COMM ERC AL DESCRIPTION: �PROFI E ESCR PTIONS: R ATION TESTS: Residence ANew ❑Replace RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOnUNcD: IN-GROUND-PRESSURE:JSYSTEM-IN-Fl c (N LLHOLDIINNG TANK:RECOMMENDED SYSTEM:(optional) S E �4v �� ®S OU �S 1C U E]S ZU If Percolation Tests are NOT requir DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation:2 Ai PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF I IT HI K S, OL R,TEXTURE, D PTH NUMBER DEPTH Rd. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- q > - - - 7 -ZA9 ,s B- B- > B- - - B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 4P8e"t% AFTERSWELLING INTERVAL-MIN. PERIODA PER 10,C)2 PER PER INCH P- 3�t P- t P- 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. SYSTEM ELEVATION llJd j _ m i _ d -t- i t ' 1 �. —i-----i---- y ) _._ . �— f F : - jjj l } I I i q a _ _ ----- '_L_1J_____L______�� _ � 1.__? __ I,the undersigned, hereby certify that the soil tests reported on this form were made by me in aCcard 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 prin ): TESTS WERE COMPLETED ON: ADD SS: CERTIFICATION NUMBER: PHONE NUMBER(optional): CS UN TU DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER r INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must incirrde: 1. Complete legal description; 2. The use section Most clearly indicate whether this is a residence or commercial project; 3, MAXIMUM number of bedrooms or commercial use planned; 4, Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; & PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scaly: is preferred. A separate sheet May be used if desired; S. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete all appropriate boxes as to dotes, names,addresses, flood plain data, percolation test exernp- tion, if appropriate; 10; If the information (such as flood_plain, elevation)does riot apply, place N,A. it)the appropriate box; I I" Sign the form and place your current address and your certification number; 12, itllake legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols s Ston=; {rgti':-r 10") BR - Bedrock cob Cobble {, - 10" ) SS Sersr st_or e gr -- Gravel (under 3") LS - Lii-raestono s - Sand HGW - High Gtoundvvater cs Coarse Sand Perc - Pot ,Matron Rate riacll s - Modium Sam `4' - tt';l fs - Flw, Sand Bldg Building Is Loamy Sand Greater Than 'sl Sandy Loam -- Less Than Loam Bn -- Br o%,A m Silt Loarn BI Bl,rwk si Silt Gy - Cray ci Clay Loam Y Yells v' sc;l Sandy Clay Loarn R --- Red sici -- Silty Clay Loam mot - Mottles sc Sandy Clay sic - Silty Clay fff - few, fine,faint Clay cx, O!limtart, c.raafse tit Peat- min - Many, rrrediurn m - Muck d - distinct p - prominent HWL - High water level, Six general soil textures Surface vvfater for liquid waste disposal BM - Bench Mark VRP -- Vertical Reference Point; TO THE O WNER: This soil test report is the first step in securing a sanitary permit, The county or the Department may request verification of this soil test in the field prior to permit: issuance. A complete set of plans for the private se°u.-age systern and a permit application roust be submitted to the appropriate local authority ill order to obtain a permit. The sanitary permit must Eae obtained and posted prior to the start of any construction,. • r p )9,64 s�z,� /�X,�? 6iS� 46' s�� J44) ?f,Atod /0 Iex� a� PAGE OF CrUSS •JCC � 1Ut'1 d � � VC1� �� S �t'_r•+'} n Fresh Air Inlets And Observation Pipe Minimu ( Approved Vent Cap ✓QhI�QS�i� �� m 12"Above final Grade ' 20-42"Above Pipe _4"Cost Iron To Final Grade Vent Pipe hleteh Ilan Or Synthetic Coveting Min 2"Aggregate Over Pips DIel1lDvtlon —Too PIP.-an 0 0 0 0 0 Beneath Plpe ot@ Be neolh a Perforated Pipe Below 8e o —Coupling Terminating At Botlo,n Of System Pr.poe- D Pin.-I L i ft SOIL FILL DISTRIBUTIO!.1 PIPE �y1JTN APPP,OVEO ETIC COVER ° "—MATERIAt- OR 9" OF STRAW Zu OF Ir,6GR ELATE -�� r OR GARSW HAy fo OF 12 -21/Z AGGREGATE DIS'r'RIgtUTIOU PIPE TU BE AT LEAST CL _ IIJCHES BELOW ORIGIUAL GRADE AtJU AT LEASTLO IIJCHES BUT MO MORE THAIJ H2 WCNES BELOW FIAIAL GRADE MAXIMUM W'rvi OF EXCAVATIOP FROM dWIWAL 6KAo€ WILL BE IMC-HES PV141MIUM ®rPrh OF EXCAVATION FPO/'R 0�14IWgL GRAD€ WILL BE _ INCHES SIGUED: LICEMSE AJUMBER: ,G1 pJ DATE : )-21 - 0 (3 t Parcel #: 032-1047-30-000 11/15/2006 01:25 PM PAGE 1 OF 1 Alt. Parcel M 16.31.19.239A 032-TOWN OF SOMERSET Current X 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 O-RAUCH, LAWRENCE K&CHRISTINE M LAWRENCE K&CHRISTINE M RAUCH 486 210TH AVE SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description "486 210TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 19.283 Plat: N/A-NOT AVAILABLE SEC 16 T31 N R1 9W SE SE 19.283 AC LOT 2 Block/Condo Bldg: CSM 8 PAGE 2116 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-31 N-1 9W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 914/600 07/23/1997 429/72 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 147,500 195,500 NO PRODUCTIVE FORST LANDS G6 16.283 65,100 0 65,100 NO Totals for 2006: General Property 19.283 113,100 147,500 260,600 Woodland 0.000 0 0 Totals for 2005: General Property 19.283 113,100 147,500 260,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FIL ED NG N PARCEL_ VNILL 44-9104 67A SLCroIX Co.,W1 4 CERTIFIED SURVEY . MAP Located in the SE1/4 of the SEI/4 of Section 16 , T31N, R19W , Town of Somerset, St. Croix County, Wisconsin. EI/4 CORNER Surveyed for: Joseph Baurnann SECTION 16 NORTH LINE OF THE, SE 1/4 Somerset, Wi. 54025 OF THE SEI/4 UNPLATTED LANDS 330-00' 432.57' 0 . Lot 0 N 88'58'02#W 275382 square feet W. (6 . 32Z acres) WWW CU W 0 Cr S 90000'00"E 1 10 0 839947 square feet (19.283 acres) Including right-of-way 809509 square feet (18. 584 acres) M CID Excluding right-of-way W co 0 EXISTING W SI/4 CORNER 210 TH AVENUE 15t.61, SE CORNER SECTION 16 SECTION iG SOUTH LINE OF THE SEI/4 IonxLc 'w rcc ' Lsocwo o, uo, /ou' uoo' ^oo' aEcT|ow oonwER wowuMswT � | " /RON PIPE FOUND O 1 ^ X24 ^ |RON PI PE wE(G*ImG 1.68 LBS./ L|N. FT. SET. (monTn) PnsvmusLv gEcunDsD INFORMATION 489- |568 VoI.8 Page 2116 DRAFTED BY JVvG � AS a3ldV60 lN3iin8ISNl SIHL BZVI -88V 1 986T aged Z 'TOA O ti0tt�t to JIVIIOfu'1dsHat/d3/11$N3H3Zi#l61(' � •' > �► .�1 n1f10o XlCklo:tz g No QnH Ra Z4 669t-S NOSNHor q o �l3/1ayH HIM V/1 3S d0 3N1-1 H-Lnos M618 NI£1 91 N 0110 3 S 9 b O l 0 68 N '" -r—�n V w H 1 9 r-i�fl 110 3 S M 8 O I Z 3NMOO t,/IS a3Na00 3S � _ -� 00'0££_ - M„ 9b ,01 68N _, m I� ,6Z 'il6 c w a? 0 ,00'0££ m „9b 1 c 68 N 1N3wnNOW 63NNOO N01-103S 13S '13 'NI'1/'S8189'I JNI H 913M 3dld N08I „bZ X„I 0 rn GN�J�1 0 o Io c m ' z m z - M - 0 _ I N � W Q1 'T1 m w WP m ro m A Ic - Uf m I m w .c � w ,OOZ 1001 ,9L,OS ,BZ ,O I z (it Q m I w U ,001 =„I 1334 NI 3-IVOS - I D D .-I co I < m N rn >AVM-30 -1HOIN V N 10 nIOX3 I r - (S383v 1816 ) I rn m 0 � = 13 'OS 0686Zb — o AVM -30-1HSIa SN[anlON1 Z ( S383V ZI'01 ) rn coo Z m 'ld 'OS 08LObb I Oro ° rn m 1 10-1 Ia 0 o z m m -t: A v --- m ( 8 C 3S -3S d0 3N1'1 H180N 0 '�1,. 4 \ ,£0'0££ 3„ Z0 ,8So88S m `VA QJO Appou SONV-i 0311V'1dNn 113NNOOA S3WVI' Zi mar; Nnn r uLl , sZOfis `TM `;aSaOLUOS uu-eLun-eg Lldasor :aoj paf(ananS 'UTsuoasTM 'A uno:D xioao •;S lgasaaulos Jo unno Z ' M61 2i`NI£Z '91 uoT;aas jo {,/I as aq; 3o V/I as aLI; uT pa;-eoo-I ddW A3A8ns 031JI1833 1 a Parcel #: 032-1047-50-000 11/15/2006 01:21 PM PAGE 1 OF 1 Alt.Parcel M 16.31.19.239C 032-TOWN OF SOMERSET Current X 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 O-TRAUTMILLER, FREDERICK G&MARILYN M FREDERICK G&MARILYN M TRAUTMILLER 480 210TH AVE SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *480 210TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 10.120 Plat: N/A-NOT AVAILABLE SEC 16 T31 N R1 9W SE SE 10.12AC LOT 1 CSM Block/Condo Bldg: 7/1985 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-31 N-1 9W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 815/258 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.120 83,600 166,600 250,200 NO Totals for 2006: General Property 10.120 83,600 166,600 250,200 Woodland 0.000 0 0 Totals for 2005: General Property 10.120 83,600 166,600 250,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00