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HomeMy WebLinkAbout032-2022-80-200 Q o 0 ° ao . p 6 N � c ti 0 I o � N I ti N ' tl LZ i ('. � I o 0 c z LL a LL 0 O 'O Q M 3 ' � I a� Z H a m M O G p O 2 d J O Z d O O p `p� Z O c E 'p M N O N N N d N N N N 0 • N O I N 0 O U O N Q L- O Z m Z o .. Z N 04 I' r N w I � d) (D = m c I d — C w .. 0 c > U) N N �` O tit O - 11 m _ o o a Z > y H H H ::3 U X33 n 00 z 0 O O O IL IL IL IL tai L M CO I•� M O N O O O O C) C) E tN co Cr0 O O .= T.7 3 m LL W O U) (D n Ci W O O -O C N C O co r N Y C U O O O m N t0 N N �- V 0 N 6 N C c G N O In M N N E2 — N N c� N O N E O w Z 9k h a0 O 4b C N • ?' M O N Cn III � O O (n Z rn 0 Z 16 w O— H :E E .. C ! a O � . C ' � � • 0 4) a `N E o "c c R Cj � o cc 3 0 L) CL it Parcel #: 032-2022-80-200 02/21/2007 11:19 AM PAGE 1 OF 1 Alt. Parcel#: 6.30.19.557C 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-NEWMAN, RICHARD E JR RICHARD E JR NEWMAN 1760 38TH ST SOMERSET WI 54025 Districts: SC =School SP=Special Property Address(es): '=Primary Type Dist# Description " 1760 38TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 6 T30N R1 9W SE NW 10AC LOT 1 CSM Block/Condo Bldg: 7/1862 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 06-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1185/158 QC 2007 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 83,000 140,400 223,400 NO Totals for 2007: General Property 10.000 83,000 140,400 223,400 Woodland 0.000 0 0 Totals for 2006: General Property 10.000 83,000 140,400 223,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 201 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1 ,12 1 FILED AUGJO 1w t0 AAAft 00 CoHNaL QVIX QYA wboodeb QtA CERTIFIED SURVEY MAP LOCATED IN THE SE 1 /4 OF THE NW 1/4 OF SECTION 6 , T3ON , R19W, TOWN OF SOMERSET , ST. CROIX COUNTY , WISCONSIN . w SI°24'03"W 2964. 61 ' S1 36'23 2630.26 ' �— .......... .......... — .......... EAST LINE OF THE O z -- — 2 S °36'36"W TPgr-T ^ O Z M . . 1'�C�G'T ^ l0 M 66.06' M. v W Z. Z} Z OM I l in y y~ � O2f cm w '�I Ip N M: LL U> > a)N M M: 002 w0 Z O I g O U O y u 0 U. 0 I U m 66'WIDE DRIVEWAY jr•-'Z u_"� O m 3; -� EASEMENT. Z y O y w a_'I-- I UJ �3 3 b o it o Ch z Z�W O O w-0} o W UzUJ I NI IN az >z D - oa I I� \00:, 000 6 O zIM-n �� h -Moo W M O 0 ro ro y• WH y U. yI-y yl I2 Z: SI°58' 46" W 655. 79 157. 60' 6 .0 205.56 226.58 ' w n / p ? �. O w _J f '^ . 2 2 Z' M i' ` approximate bluffllne _ ° O W O V' i J set•back(subject O O WQ �p �" to field verification). M Z• V U. w m bluff line �p J ' N tD 11 Ix w W _ q z °. y Q w W LOT 1 3 ° ' o co w • ? ° w ~. 10.00 AC. M z 1--. • N (t 3 m �. N (435,638 SO. FT.) 00 J I• tu w a' o 'It z Q , w O W N w f I'- a _ a. ~O O y Z• Z y z V) 2 1- M� O W F- A Q N1058' 46"E 655. 79' ° TwES"T"­LINE OF THE SEI 14 OF THE NWI 14 I- NOTE: THIS MAP IS FOR MORT- y GAGE PURPOSES ONLY. ANY SALE w OF THIS PARCEL OR REMAINING LANDS MUST COMPLY WITH Sr. CROIX COUNTY SUBDIVISION F ORDINANCES. y UNPLATTED LANDS W NAPPROXIMATE SHORELINE $i ST. CROIX RIVER rSPRING� VALLEYJAMES M, O e SET I"x 24" IRON PIPE WEIGHING 1.1 3 L B S. PER LINEAL F 0 0 T. ' OWNED BY: Si1Roa z. RICK NE WMAN RT. 2 BOX 369 JAMES M. WEBER S-1804 y{�1y�(�f'' J[ WEGERER, WEBER AND ASSOC. SOMERSET, WI 54025 i'`�'! - I DATED •^fists 2.�, �l6't Re.�•aED W.�t., �e�1 g8'I.. SHEET I OF 2. 87- 216 CUM.P,;i THIS INSTRUMENT DRAFTED BY �* °iy VOLUME PAGE 1862 � o :oo 1 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan) . SOIL ABSORPTION SYSTEM Bed: x Trench: Width: /,2 J Length: Number of Lines: Area Built:. Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, n Rear,O Ft .�O Number of feet from well: Number of feet from building: % f (Include distances on plot plan) . Ne4cler� A ell l/✓�//�r� ° �`v��I SEEPAGE PIT /Ol, U l O C' Size: Number of pits: Diameter: ' WWI Liquid depth: Bottom of seepage pit elevation: If If 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: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Number: 1, 3/84:mj r Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER R cl,,`VX Q(,rJfytd, TOWNSHIP S fil/fteY- -c7 SEC. _ T�� ADDRESS X jf2o>'; 26 z ST. CROIX COUNTY, WISCONSIN r� e7 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i, !3 3 iv1 ' X Y1 1 INDICATE NORTH ARROW �M BENCHMARK: Describe the vertical reference point used .�� r Elevation of vertical reference point: ��,� ' Proposed slope at site: SEPTIC TANK: Manufacturer: f�J�,e�$ .`� Liquid Capacity: Number of rings used: Tank manhole cover elevation: L V 3 .. � Tank Inlet Elevation: - Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side,0 Rear, © / ,��-z� feet From nearest property line : Front,0 Side,©Rear,O f � feet J Number of feet from: well /� building: (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE 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 ti�1 G SE'y Z ,FA6,T30N—R19W YMCONVENTIONAL 1:1 ALTERNATIVE State Plan I.D.Number. (lf assigned) Tow;>. .of'SSo merset El Holding Tank El In-Ground Pressure ❑Mound 138'i-h Street NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Richard E. Newman Jr. Route 2, Box 369, Somerset, WI 54025 9. _ g 7 �� BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. Name of Plumber: MP/MPRSW No County: Sanitary Permit Number: Byron Bird Jr. 3318 St. Croix 95979 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER �^��r�� /� PROVIDED: PROVIDED: VU 0.1D t �5 0\�pr YES ❑NO DYES O BEDDING: VENT DIA.: I VENT MATLL HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH �t /� _ ALARM �y FEE7<•FRO LINE AIR INLET. DYES 9NO I C, �-- ❑YES 50NO INEARE$Tt__� e[FJC o ' \`" I as DOSING CHAMBER: MANUFACTURER. BEDDING JILIQUID CAPACITY. JPUMP MODEL. JPUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO OYES ❑NO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUM1,0ER OF PROPERTY WELL. BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑YES ❑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: T@ - •WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING. COVER INSIDE DIA.. #PITS. LIQUID TRENCHES. MATERIAL: PIT DEPTH. GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO, R NUMBER OF !PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES. ABOVE COVER: ELEV.INLET.ELEV.END. PIPES FEET FROM LINE: AIR INLET: lot' '� 9-4,2,1 94.'1 1 a 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- meets the criteria for medium sand. TIONS MEASURED. DYES NO SOIL COVER TEXTURE JPERMANENT MARKERS JOBSERVATION WELLS ❑YES ❑NO DYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BFD DEPTH OF TOPSOIL. SODDED SEEDED. MULCHED: CENTER. EDGES: DYES -]NO YES NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: .WIDTH. LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER: TRENCHES: .a1G1� O15 r MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO DISTR. DI TT PIPE DISTRIBUTION PIPE MATERIAL&MARKING: "ELEV.: ELEV.: DIA.. ELEV.: PIPES-. DIA.: HOLE SIZE HOLE SPACING DRILLED CORRECTLY. COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED A LANS 7 777 DYES El NO ❑YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: jrViUL1 R _ LINE ERTY WELL: BUILDING: ❑YES ONO [-]YES ❑ O N Ni$ART Sketch System on Retain in county file for audit. Reverse Side. TURE: TITLE. DI LHR SBD 6710(R.01/82) Zoning Admi 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. i Complete plans and specifications not smaller than 8'/z 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 .Ater included the creation of surcharges (fees) for a number of regulated practices which Wisco in's can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reas{irBl is used in your building as returned to'the groundwater through your soil absorption- u system or the disposal site used by your holding tank pumper. 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- f water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) 4 �ILHR SANITARY PERMIT APPLICATION COUNTY ` In accord with ILHR 83.05,Wis.Adm. Code ��---�- STATE SANITARY PERMIT## ly Attaeftomplete 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 Y NO PROPERTY WNE PROPERTY LO`A,rT�ION Z_� S T O, N, E (O PROPEF3TY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME ITY,STATE i �COD E PHONE NUMBER 0 VILLAGE:�� AKE OR LANDMARK D jJ?t CUTTOWN II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a.daJ 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. aAConventional 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. Xseepage 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(Sere Feet): PROPOSED(Square Feet): C� Private El El Feet VI. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank X < < Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: Plu er's Addres�(Street,City,State,Zip Code): Name 9j Designer: .� VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST## CS DRESS(Street,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) TKM LJN Approved ❑ Owner Given Initial rc�harge Fee Adverse Determination �1L0. &) as.X.AZOMMENTSIBEASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber 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 /C � � �. / � `✓j S t c) N 1E Location of Property S /Il/D 1%, Section 6 301 2 , T_/3 N-R 9 W Township �BJ�°ciY�cti Mailing Address /F� � Address of Site Subdivision Name . Lot Number Previous Omer of Property x rle Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume 77 and Page Number 3 7 / 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 (We) eeAti6y that at.Q 6tatement6 on this 60tm ate tAue to the best o6 my (out) knowledge; that 1 (we) am (cute) the owner(.a) o6 the pnopent y dens cAi bed in thi,6 .in6onmation 6oAm, by v.intue o6 a waAAanty deed teeotded in the 066.ice o6 the County Regi,6tet o6 Deeds ass Document No. Y,Z( o S5 ; and that I (We) pneeewtey own the ptopoeed site bon the aewage dizpod a yz em (ot I (we) have obtained an easement, to nun with the above de6cA bed ptopehty, bon the eonatnucti.on o6 chid .system, and the tame has been duty necohded in the 066.ice o6 the County Reg.iatet o6 Ueedd, ab Doeument No. SIGNATURE OIL R SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED 4266055 779PM 3 79 REGISTERS OFFICE ST. CROIX CO., WIS. Recd. for Reacrd this 26th dOY Of_1a _a D. 1987 DEED BY A PERSONAL REPRESENTATIVE 9:50 A. V1"h1w of DoWe BY THIS DEED, Lawrence R. Parnell , of Golden Valley , Minnesota , the duly appointed , qualified and acting Personal Representative of the Estate of Albert A. Parnell , deceased , grantor , hereby does grant and convey to Richard E. Newman, Jr . , grantee , all of the right , title and interest of the decedent at the time of his death , and all of the right , title and interest that the estate may have subsequently acquired by operation of law, or otherwise , in and to the property situated in the St . Croix County , Wisconsin, described as follows : Part of SE4 of NWJ and SWI of NEI of Section 6- 30`-19 described as follows : Commencing at the Ei corner of said Section 6 , T30N, R19W: thence N87 048138 11W along the East-West Quarter Section line of said Section 6 a distance of 1330 . 88 feet to the SE corner of the SW4 of the NEI , said point also being the point of beginning : .7 RANS thence continuing N87 048138 11W along said line a �� d distance of 2659 . 09 feet to the SW corner of the SE4 of the NW4 of said Section 6 ; thence N1 058146 11E along the West line of said SE4 of the NW4 a distance of 655 . 79 feet ; thence S87 048138 11E parallel with the East-West Quarter Section line a distance of 2654. 86 feet to a point on the East line of the SWI of the NEI of said Section 6 ; thence S1 036136 11W along said line a distance of 655 . 82 feet to the point of beginning, This Deed is subject to easements , reservations , and restrictions of record. This is not homestead property . The undersigned , Lawrence R. Parnell , was appointed the Personal Representative of the Estate of Albert A. Parnell on April 19 , 1985 by virtue of Wisconsin Statute Section 865 . 08 and has full and complete power to execute this Deed under Wisconsin law. Executed at Somerset , Wisconsin , this 22nd day of May , 1987 . (2 fl��Vj - LAWRENCE R. PARNELL STATE OF WISCONSIN ) ) ss COUNTY OF ST. CROIX) Personally came before me this 22nd day of May , 1987 , the above named Lawrence R. Parnell to me known to be the Personal Representative of the Estate of Albert A. Parnell and the person who executed the foregoing instrument and acknow dged the same. L�r h rT:1SarAUrR ennis eischauer ublic St . Croix County , Wisconsin My commission expires 9-30-90 This instrument drafted by : Stephen J. Dunlap , Attorney Hudson , Wisconsin 54016 • 'L H 9 r ST C - 105 r H SEPTIC TANK MAINTENANCE AGREEMENT 0 0 St . Croix County z C) OWNER/BUYER ROUTE/BOX NUMBER Fire Number C ITY/STATE S��S e T "L I 5 y&'2Z5 PROPERTY LOCATION : S `L, N(,L)_`-4, S e c t i o n k 30% T12 N , R _W, Town of �yL2tC�/Se f St . Croix County , Subdivision Lot number • I 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 , I 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 . Ho E I/WE, the undersigned,, have read the above requirements and agree to maintain the private sewage disposal system in accordance with 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 ✓%( U 7 UA'T'E 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 . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILD INDUSTRY, _ MADISON,Wt 533707 707 DIVISION P.O. BOX LABOR AND PERCOLATION TESTS (115) HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: COUNTY: OWNER'S BUYE 'S NAME: MAILING ADDRESS: Crc d r DATES OBSERVATIONS MADE USE PROFILED IPT DNS: R LA I N TESTS: 10.BEDRMS.: COMM Ell: IAL DESCRIPTION: Residence xNew ❑Replace RATING:S=Site suitable for system U=Site unsuitable for system _71 ONVENTIONAL: MOUND: IN-GROUNDP IESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)ou [under ercolation Tests are NOT required D If any portion of the tested area is in the s. ILHR 83.0915)Ibl,indicate: Floodplain indicate Floodplain elevation: �� PROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER-INCH CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. I(JHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- ) r� �, �� ;>2a B- one � � / •• �� B- " arl _z '�V B- Ple PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 1400046& AFTERSWELLING INTERVAL-MIN. —PERIOD t PERIOD2 P PER INCH P_ G j G P. y �- 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 an the direction and percent of land slope. z X,/ d• S }.� L G(J` ��J?s SYSTEM ELEVATION �� r a r� _ pro; G►,(�Ye Aft I//�. S•�'c TN ya "O�C//- e 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: ADDR CERTIFICATION NUMBER: PHONE NUMBER(optional): . aX b 1 [�n c C 00 E6 7��" G G � CST SIGNAT RE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R. 10/'.3) —OVER — I r } � S �� �E ¢ E mow«` £ 'AS 'fir PLOT PLAN PROJECT C!u a ADDRESS X7' �fF`114 IYO, 1/4/S N/R ,' 'W TOWNJ-Sd;we�fCOUNTY MPRS Byron Bird Jr. 3318 DATE —1&4 — BEDROOM CLASS PERC_Z_i CONVENTIONALk IN-GROUND P SSURE CONVENTIONAL LIFT MOUND_HOLD NG TANK SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE _ ABSORPTION AREA PERC RATE _G BED SIZE / �S Benchmark V.R.P. Assume Elevation 100' Location of B q n gnchmark /,.-- ///, S1 <d ,;2.Z /,,.Z 0 Borehole Q Well Scale — = --- Feet O Perc Hole System Elevation , Z TYPAR COVERING 2" 4 4 12 3 © 6 © 3 3. I 6^ Sewer Rock i 12' ` Y Pra. G `° b O Ao Goo L j�