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032-1039-95-000
ti o N O w C O N ~ I. N C w � I 3 N O a z C LL C O a I Cl) 3 z y rn3: I' Z $ z w a m I' c O c C7 o z -a io d' c U o «� - m z d c o CD Z E v M CL) N � _ I N N N O *i O m O o o ¢ w Z CO Z Q LO z N (D CO O O G a tv� z j E P *i m ° 0 0 0 d z co co 0 •rte � �'' > aaa � I N J U N Z 4 N N O W O C O Q co a 'O . y '. W � d ¢ } �� co C O N N N O C Q N C 0 ca O LO F- O O C C UCL °p Q1 O M Oi N ! C N N G N 0 � ° � � ' Z Z O � N H N M E @ O w C E E O cn O r � � d ✓� �, m a ak a L a w CL y .� m rw +� E c c m `�� A U a O in V Parcel #: 032-1039-95-000 02/21/2007 12:24 PM PAGE 1 OF 1 Alt. Parcel#: 14.31.19.199A 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-WEINZIERL, STEVEN J &KELLY J NERBY STEVEN J &KELLY J NERBY WEINZIERL 641 215TH AVE SOMERSET WI 54025 Districts: SC= School SP=Special Property Address(es): *=Primary Type Dist# Description *641 215TH AVE SC 5432 SOMERSET SP 1700 WITC I Legal Description: Acres: 5.020 Plat: N/A-NOT AVAILABLE SEC 14 T31 R1 9W 5.02A IN SE NW LOT 16 Block/Condo Bldg: CSM VOL 1/114 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-31 N-1 9W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 974/36 07/23/1997 969/249 07/23/1997 794/415 07/23/1997 790/27 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 5.020 58,100 101,600 159,700 NO Totals for 2007: General Property 5.020 58,100 101,600 159,700 Woodland 0.000 0 0 Totals for 2006: General Property 5.020 58,100 101,600 159,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 209 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 . COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 - 962 - 5227 ST, CROIX ZONING REPORT NO.: 27942/01 PAGE 1 ST CROIX COUNTY REPORT MATE; 8/24/92 C"THOUSE DATE RECEIVED: 8/20/92 HUDSON, WI 54016 ATTN: THOMAS C. NELSON k �S l f LX,NdER: Dave 6 Julie Fbsen LOCATION: 641-215th St., Somerset v COLLECTO : hi. Jenkins DATE COLLECTED: 8-19-92 TIME COLLECTED: 3:00pm SOLIRCE OF SAMPLE: Outside faucet I DATE ANALYZED:8-20--92 TIME ANALYZED:2:00ps COLIFORMi: 0 /100 ml INTERPRETATION!: Bacteriologically SAFE NITRATE-N: 2 ppm Above 10 ppm exceeds the recommended Public Drinking (dater Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L 8 8 o ozz An LC) n 7 Q Q7 M a ti LAB TECHNICIAN! Pam Gane Z yOF.\NDEPE'va., �A WI Approved Lab No. 19 u s A C Means "LESS THAN" Detectable Level Approved by: o PROFESSIONAL LABORATORY SERVICES SINCE 1952 IL ST. CROIX COUNTY ZONING OFFICE St . Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - ( 715 ) 386-4680 The St . Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals . Completion of this form is essential so that the property can be located . Please provide the following information, enclose appropriate fee made payable to St . Croix County Zoning Office, and mail, along with form to the above address . Testing will be done as soon as possible after fee and form are received . \/ WATER TESTING----------------------------FEE: $ 25. 00 1� (For nitrates and coliform bacteria ) WATER TESTING FEE: $127 . 00 (For VOC' S ) SEPTIC SYSTEM INSPECTION-----------------FEE: $25. 00 (Determines if system is properly functioning at time of inspection) Property owner 's name 3f"jC- :j, -.3,(1 i C C13S.rw Property owner 's address Legal Description 1/4 of the -MLk—' 1/4 of Section )q , T31 N- Town of So,°rlt�Sf= 7r Lot Number i(v Subdivis/)ion Name02,jb-,u rnE�+ Lc ,,,s FIRE NUMBER �/� LOCK BOX NUMBER JUU�J L y 3Z_/b 3�� 1 l p/A Color of house Realty sign by house?&,, z If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i .e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING 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 : ✓. Ir�1�9 7-�,gn� /r , C1-�� Telephone Number 71S aq7--_`;g6fo REPORT TO BE SENT TO: bfiL,E 1qe-117 /�l �r)2f41� T�ai�yl rZet GG``l Closing datF - Signatur ,TART"� AML- SET T31 N7R.1V 51 _ II POLK-STCRO/X POLKI COUNTY a I • RD.�L O //,mn•4Xnth Sri t fFlor. t 9/tee Poneei' N P¢f M w a.� Mnl/e Af �o.p u Peferso/1 o do �°�e Ricker- ,� 6r, D2iy a Nc s / „s/ ,is r° .JZ .ss 9.l W Far- FERR " K i7t U s 8 Gyy./ o 76 rFJS s44 C 0 C the LAW t' ,� Mr/ct >ust �'hiefe/bein /4o.g5 rot/ltt Edwrr✓'ds 1� �.:"• J :Za • F4 G•J�py /ro• /ene eta/ qp °9� .' 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J W` ¢ m v^qj y �^�.' - n 7 79 Hansen Zrl°r� V g v y�® : /nOm Y • �h. eo -V - N /Lob" by �� N Da✓id "�` 774.9 il�+ "ell IJ Ggm V 40 � •v h et°'! • n t (r Bl a o0 p a D N V LM laondd E LL42//r�J J 6 Rye Deb/zc 1i 9 romances W N tu Carufe/ Germai W C Z N V iMre/ 14175 cSia ° Otto W 1kn0/S b /•✓is - i' '9 • /55,97 /bo so f.Dawn �. o,p a Cd/eeri /h¢ >a qy, P. Ne--m 717 v N L� 'Pi`ttni tl'K ro STN • ] • S n Euyene Jahn 70 S, w b V • 6ta.TR4. N•N�snn R» C Hnge% N b tl 4 0 e96,1.7 4o r Bora#o Zwick ^y 117&1 •sevs ri ::: A i x.32 Wi//is �`0 p o v e eDOnn¢ HIN-Q •.t�6.Slod g �s/e o f#rv_ C � K Pea s9 Lod a�n� 1QT SRC U 45 .342s °F 4o C h 5 t mpec .rrie�.` *.a. /°t s` L g T T d • 00•T V. ,r T- V,-T� -is ro/ .9 c.cl U Roger o N e /i9 L T Now S. ann l�0 ,. ��b 46.79 V E Lconard ,90 mb �vb (jeor e T ✓`4 3'n.> Ear/L.f . t° f Ti/be 9 o E/.abefh Ann LTahnke Qjd Pe�roc.F `yboS�'4 jhpwman ° T L � /59 u o r 24 ,Pewit Land¢ L,f�Uame 5 v Pao 'a 39.es John N. Lan dr M. 674 F rea'a 9 E_.sTa/es e;:y FYoar� 40 .y !Y qa cSam/oa.r- .;.k ve MinnM Zwnc. / V z /42.97 N v. ✓c.s b L ✓rq.v /o s Linda. Fi¢ec.o.a rs. s .N • FJ¢ine�V a'fN- 74d Eh/ens 40. s f yce • .. cr art- w Son io.� DLVxt/d 3 . ... Mond -A -1 t�Wlrh n 67 nsor� .40 .nr Mwie!/,eJa/ T Bo O eo w ✓ese 4 p ✓cf Hh//ac emieJ .Pobqf °Y9'JNO f q6 / Ay a9so1;` o� y a/ Lemi i ;.Y /eJ ti�tia� �aro/ Zf d KJt r R U RNe a :� 5 e 9e%s/e v v t r5 y cT¢�nes, d f o cro ^� .... :: ... 11 I 1V 3 4f CEN Ta TO ,asp p =b 35 O �� 61 300 IS-91 G / .QocK�2vd a/o Pub/s,In�\ —\ SEE P E 5.3 61 fiC oin u Wis 500 800 700 800 BANK OF SOMERSET LFNDRY Save With Us — LONDSCHPING Help Build Your Community MEMBER FDIC Black Dirt - Crushed Gravel SOMERSET, WISCONSIN Driveways - Landscaping P Phone: 247-3348 hone: 247-3480 SOMERSET tJ r t ST. CROIX COUNTY WISCONSIN 0,4-'4 ZONING OFFICE ST. CROIX COUNTY COURTHOUSE u _ I 911 FOURTH STREET • HUDSON,WI 54016 , { _ (715) 386-4680 Aug. 20, 1992 Dave Bracht Re/Max Team 1 Realty Box 68 Somerset, WI 54025 Dear Mr. Bracht: An inspection of the septic system on the property of Dave & Julie Ebsen located at 641 - 215th St. , Somerset, WI was conducted on Aug. 19, 1992 . 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 the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Si cerely, d C Mary J. Jenkins Assistant Zoning Administrator cj i f PUMP CHAFER LL ` ,r•r . Manufacturer: Zc) 7(s Liquid Capacity: ZO o Pump Model: 7 Pump/Siphon Manufacturer: 2,0 c ��- Pump Size , Elevation of inlet: yGf. a Bottom of tank elevation: Pump off switch elevation: �� / Gallons per cycle: 3iaj' Alarm Manufacturer: 1 Alarm Switch Type: Number of feet from nearest property line: Front, O Side, Rear,© Ft.Z Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: / Len$th: G � . Number of Lines: Area Built:' Fill depth to top of pipe: 07 3 0 Number of feet from nearest property line: Front, O Side, 0 Rear,0 Ft . ® Number of feet from well: o Z'-)e/ Number of feet from building: 302 l / (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, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: --Lo— a22— 7f,;2 Plumber on job: License Number: 3l 3/84:mj ' Form - STC - 104 ILT S ITARY SYSTEM REPORT OWNER J-G A e GC's �Sh TOWNSHIP �a h^ ar5{ SEC./ _ T ,�VN-R W ADDRESS ��)( ��3 ST. CROIX COUNTY, WISCONSIN SUBDIVISION �/T� ' LOT LOT SIZE lj PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 m � SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /ji I `S' I 0+ a r Y` o • v s 3 > INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used /J'vice eY Elevation of vertical reference point: Proposed slope at site: I/On G SEPTIC TANK: Manufacturer: ,J.e.cl't-$ Liquid Capacity: Number of rings used: �_ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side 0 Rear, 02.E feet From nearest property line ° Front,0 Side,Q Rear,0 feet Number of feet from: well D •W� , building: 75 (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 1MR'S-- S0N,riVI 53707 SEA, NW-4, S14,T31N-R19W State Plan I.D.Number:CONVENTIONAL ALTERNATIVE (If assigned) Town of Somerset ❑Holding Tank ❑ In-Ground Pressure ❑Mound Lot 16 Rolling MEadows NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPEC ON DATE: Julie Walsh Box 113, Somerset, WI 54025 >v-a 9-n 1/;L36 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. i3318 St. Croix 99101 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIOUID CAPACITY TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROOVIIDED: PROVIDED: , ( �a (JT> P [ � ES ❑NO ❑YES LJ NO BEDDING: VENT DIA.. VENT MA TL: HIGH WATER jNUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET I"ROMI LINE. AIR INLET. OYES ONO C IS NO NEAREST DOSING CHAMBER: MANUFACTURER JBEDDING: LIQUID CAPACITY. JPUMI MODEL. PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBE R'OF 'PROPERTY WELL. BUILDING: VVERN TO TRESH (DIFFERENCE BETWEEN FEET FROM LINE 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: WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING. COVER JINSIDE DIA.. "*PITS LIQUID E" tit E�/TRENCO TRENCHES. MATERIAL' PIT DEPTH: �IIAAEi�I.$IONS GRAVEL DEPTH FILL DEPTH IDISTR.PIPE DISTR.PIPE IDISTR,PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.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 OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. El YES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS El YES El O 1:1 YES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED. CENTER. EDGES. DYES El NO ❑YES ONO 1:1 YES 0 N PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER: /TREN,IE`H; TRENCHES: O�ME MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: N0.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEV.: ELEV.: DIA. ELEV: PIPES. DI A.: 11 �ATI71dc1 AN II I• HOLE SIZE HOLE SPACING DRILLED CORRECTLY. COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: ❑YES E NO ❑YES El NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER PROPERTY WELL: BUILDING: FEET FROM LINE: o ( ❑YES ❑NO ❑YES ❑NO NEAREST Ike Sys�em on ` � �- �4 Retain in county file for audit. verse Side. SIGNATURE: TITLE: Zoning Administ DILHR SBD 6710(R.01/82) b' 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; Ill. 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 afar included the creation of surcharges (fees) for a number of regulated practices which Wiscor WS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure'. is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. ° 0 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) — �� SANITARY PERMIT APPLICATION COUNTY (� DILHR In accord with ILHR 83.05,Wis.Adm.Code STAT SANITARYP RMIT# -. � q9/© / —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 i. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ❑ NO PROPERTY OWNER PROPERTY LOCATION �° J ^e i/A'/4 '/4, S / T , N, R E(or PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SU IVISIO�NAME '13 JoMlnti`v1 (p t l/r/L 2�c CIT STATE ZIP CODE PHONE NUMBER VILLAGE : T AKE OR LAND ARK , _ II. TYPE OF BUILDING OR USE SERVED: /e4ZE 10 7- ^°?d--�o'� 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) Iv`jj 1. a. LLN 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. See a e Bed b. ❑Seepage Trench c. ❑ see pa 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): Z_ P� �fJ �Q Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Prefab. Site Fiber- Exper. in allons Total #of Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New xistin Gallons Tanks structed Tanks Tanks Septic Tank or Holding Tank L U � ift Pump Tank/Siphon Chamber -A Tcad FED] El Li VII. RESPONSIBILITY STATEMENT I,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: � 1� �« o �/.�- Plum 's Address(Street,City,State,Zip Code): Name of Designer: / VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# CST's ADDRESS(Street,City,State,Zip Co ) / Phone Number: /, �i rya W. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) ,!f/1,� n Surcharge Fee Approved F-1 Owner Given Initial dv,aO ^� Cj 8 7 7J ` Adverse Determination d o� 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 H Z ' H 9 ST C - 105 r' 9 H SEPTIC TANK MAINTENANCE AGREEMENT Ho St . Croix County z d a H OWNER/BUYER Julie M. Walsh & David W. Ebsen rn not issued yet ROUTE/BOX NUMBER Box 113 Fire Number CITY/STATE Somerset , WI ZIP 54025 PROPERTY LOCATION : SE �41 NW k, Section 14 T_31N , R 19 W, Town of Somerset , St . Croix County , Minor CSM Vol. 1 Page 114 Subdivision Rolling Meadows Lot number 16 Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix . County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration . 0 0 E z 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- 'd 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 1a m • � 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 . APPLICATION FOR SANITARY PERMIT STC - 100 his application form is to be completed in full and signed by the owner(s) of the roperty 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 Julie M. Walsh & David W. Ebsen Location of Property SE k NW 1%, Section 14 , T 31 N-R 19 W Township Somerset Mailing Address Box 113 Somerset, WI 54025 Address of Site RR# 1 Somerset, WI 54025 Minor Subdivision Name Rolling Meadows Lot Number 16 Certified Survey Map Vol. 1 Page 11,4 Document # 326438 Previous Owner of Property Edward E. Germain and Ann Marie Germain Total Size of Parcel 5.02 Acres Date Parcel was Created April 18. 1975 Are all corners and lot lines identifiable? x Yes No Is this property being developed for resale (spec house) ? Yes x No Volume 79_x.... and Page Number 2_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 WI(OP-1) ce�t tU6y th a.fe at�P wt's on th,i�s for eAe tAue to .the best o6 my ouh) kndge; that I we am Qn�)the 0wneA(a the pnopehty deAc&ibed in .th,cA i"Aolmation 6oltm, by viAtue o6 a waAAanty deed neconded in the 06 06 the Cotvt,ty RegiAteh off( Deeds c We as Document No. 429772 ; and th I pheaentty cRun l e pnopoaed ai-te bon the selvage diSposat aya em (on i we have obtained an eaeememt, to nun with the above deze-tibed pnopeAty, bon the conatnucti.on o6 aaid ayatem, and the dame has be n duty neconded .tn the 066.tce 06 the County Reg•faten o6 Dttda, a& Docment No. ) . SIGNATURE 09 OWNER SIG TURE OF CO-OWNER (IF APPLICABLE) 9 /lam _ DATE SIGNED DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 TH1e SPACE RESERVED FOR RECORDING DATA �I LAND CONTRACT Individual and Corporate FOR ALL 429'T7 $2000 IS FIZIAN ED ANDR N OTHER NON-CONSUMER ON CONSUMER ACT ACTION JFFIC CO WIS! Contract, by and between Edward E. Germain and ------------- ---------------------------- 1st Ann Marie Germain, husband--and-'w'ife Roc'd. for +c—cord this - - - ---- ------------- ------------- ----- ------- ------------------------------------------------------------------------------------------------ ("Vendor", ay of Sept. A.D. 19,$1 whether one or more) and-----Julie M. Walsh and 10: 15 David W= Ebsen, as__ioint_ tenants __ ___________________ _________ _________ _____________ ("Purchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- 1•.41 DOW ' formance of this contract by Purchaser, the following property, together with the rents,profits,fixtures and other appurtenant interests (all called the"Property"), in_______________________-9 t__Qr_QiX----------------------------- County, State of Wisconsin: RETURN To Century 21 Box 416 Lot 16 of Certified Survey Maps recorded at Somerset, Wi St Croix County Register of Deeds office April I — ---_ p 18, 1975 in Volume 1, page 114 as Document 326438. Tax Parcel No, ---_----------_------_-- r I, This -----is-_i10t___________ homestead property. (is) (is not) their residence Purchaser agrees to purchase the Property and to pay to Vendor at _____________________________________________________________ the sum of $.__10,000.00 in the following manner: (a) $......none.................................. at the execution of this Contract; and (b) the balance of $__1Q,000.QQ------------------- together with interest from date hereof on the balance outstanding from time to time at the rate of.............teal_______________________ per cent per annum until paid in full, as follows: Principal payment of $500.00 due on Sept. 11, 1987 and $500.00 on Sept. 25, 1987. Monthly payments on principal and interest of $150.00 starting Oct. 15, 1987 and II due on the 15th day of each month thereafter until Oct 15, 1990 at which time the entire amount owing is due and payable. I Provi,£led, however, the entire outstanding balance shall be paid in full on or before the----------15th.-------- day of I ------------------ .--___-----------_, 19.90--- ( the maturity date). Following any default in payment, interest shall accrue at the rate of.___10___% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). jIPurchaser, 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 I' !I unless otherwise required by law, II� Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any mount may be prepaid without premium or fee upon principal at any time after___S_Pt�---1_------------- 19.q7...)( In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had 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.................Sept. 1 , 1987_.._. �I *Cross Out One. I� I LAND CONTRACT—Individual and STATE BAR OF WISCONSIN i Wisconsin Legal Blank Co. Inc. Corporate FO£s!II No. 11-1982 `; 'Milwaukee, Wis. `Purchaser promises to pay When due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $_-__-n one_______________________________ but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the tinges and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: none --------------------------------------------------------------- --------------------------------------------------------------------------------------- --------------------------------------------------------------------------------- ----------------- ------------------- ------- -------------- ------------------------------------------------------------------------------------------------- Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of __--3Q-.days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of.3.0----- days following written notice thereof by Vendor (delivered personally or mailed by certified mail),then the entire outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder(in which event all amoun is previously paid by Purchaser shall be forefeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above.N otwith stand i ng any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce.any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, Issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payruclits made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this -----------------------1St------------------- day of ----------- Se t 1987----- ICLCti'L � -02 !1---(SEAL) -------- (SEAL) JuM. Walsh -----------f-------------- A ---- - ----- - --- -------- ---- (SEL) ----------- ------------ _--- ------- (SEAL)4y, � /n -_ * Ann Marie Germain * David W. Ebsen ------------------------------------------------------------------ ------------------------------------------------------------------ AUTHENTICATION ACKNOWLEDGMENT Signature(s) ------------------------------------------------------------ STATE OF WISCONSIN ss. -------------------------------------------------------------------------------- St Croix --------------------------------------County. authenticated this --------day of--------------------------- 19...... Personally carne before me this ----___lst---day of ------Sept 19.87 .. the above named -------------------------------------------------------------------------------- Edward_E.__Germainr Ann_Marie_Germain,_. ` Julie_M. Walsh_and:_Ravjd_j ,__'Bbsen. TITLE: MEMBER STATE BAR OF WISCONSIN (If not- -------------- -------- ----------------------- ------------ -------------------------------------------------------------------------------- authorized by § 706.06, Wis. Stats.) to me known to be the persons----------- , 9,pxecu ed the foregoing stru ent and acknowle�g�` e s THIS INSTRUMENT WAS DRAFTED BY `�� �� John D. Walsh - ------ ------- ', = T * ,7ohn__ ------------------------------------------------------------------------------ Notary-Tublic ------------ ClyO.X" . , County= (Signatures maq be-authenticated or acknowledged. Both My Commission is permanent.(Ifi not, st to expirXii are not necessary) f�V 5 G49 date: --------Dee--1.-0..............= -- • �� J. *Names of persons signing in any capacity should be typed or printed below their signatures. LAND CONTRACT—Individual and Corporate—State Bar of Wisconsin. Form No.11—1982 D 326431S NTNR AO SCALE 100 0 50 1 EXISTING r TOWN M R=85' M Q 1 33.69' o -- GJGGNwi'yi X32 og q0 .0 S 87°3100'E o FRANCIS H. OGDEN X�F. N ° .4 _W Y ` RIVER FALLS. f jr LINE 4 8.5 4 o L= 49.22' ASSUMED A= 33°1040 BEARING NNSS� LEGEND SECTION CORNER M71RM.NT W 0 3 0 1" X 24" IRON PIPE -�, -0 WEIGHING 1.68#/LINEAL FOOT. CD co N h h 16 N N 17 = 5.02 ACRES N SE 1/4- NW 1/4 WEST 4.30 tION i T31N,R19W o • ' ,op SOUTH N 14 POINT INNING �� ZSECTION 0 CENTERLINE STATE 433.90 415. TRUNK HIGHWAY"3b"N 86°51'W 8 4 9. 10 SOUTH u NE OF THE NE , s 1 1 bTY DFOORR: Edward Germain, Box 66A, Somerset, Wisconsin 54025 IUM arcel of land located in the SE1/4 of the NW1/4 of Section 14, T311N, R19W, Town of Somerset, Croix County, Wisconsin described as follows: Commencing at the NE corner of said Section 14; •nce West 4.30' ; thence S1°281W (assumed bearing) 2645.88' along the centerline of present State ink Highway "35" and the Northerly extension thereof; thence N87°311W 2674.25' along the South e of the NE1/4 of said Section 14; thence N86°511W 415.20' along the South line of said NW1/4 the point of beginning; thence N86°511W 433.90' along said South line of the NW1/4; thence 008'20"E 580.82' ; thence Easterly 49.22' along the Southerly right-of-way line of an existing .n road on an 85.00' radius curve concave Northerly whose chord bears N88°331E 48.541 ; thence 132.9S' along said Southerly right-of-way line of an existing town road; thence °31'E 133.69' along said Southerly right-of-way line of an existing town road; thence S20291W 70' to the point of beginning. ertify that the above description and map are correct and that I have fully complied with provisions of Sec. 236.34 of the Wisconsin Statutes. F: April 3, 1975 !'L?is FRANCIS Ii. OGDEN -S-882 P No. 75-434 1: ASSt7lD BEARING REFERENCED TO CETNERLINE OF STATE TRUNK HIGHWAY "35" V0113 me 1 Page 114 INSTRUCTIONS FOR COMPLETING FORM 115 - SRIJ - 6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2, The use section roust 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; 6. 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 scale is preferred. A separate sheet may be used if desired; 8. Male sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete all appropriate boxes as to dates, names,addresses,flood plain data, percolation test exemp- tion, if appropriate; 103 If the information (such as flood plain, elevation)does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and your certification number; 12. Make 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 Sail Separates and Textures Other Symbols st — Stone (over 10") BR — Bedrock cola -.- Cobble (3- 10") SS — Sandstone gr — {gavel (under 3") LS — Limestone *s — Sand HGW — High Groundwater cs -- Coarse Sand Perc Percolation Rate reed s — Medium Sand W — Well fs — Fine Sand Bldg — Building Is — Loar-ny Send > -- Greater Than sl - Sandy Loam < — Less Than *1 — Loam Bn — Brawn *sil Silt Loam BI — Black si — Silt Gy — Cray *cl Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles se - Sandy Clay w/ — with sic — Silty Clay fff — few, fine,faint X Clay cc — common,coarse pt — Peat r-nm' — Many, medium m Muck d — distinct p prominent HWL — High water level, Six general soil textures surface water for liquid waste disposal BM — Bench Mark VRP - Vertical Deference Point TO THE OWNER, This coil test report is the first step in securing a sanitary permit, The county or the Department may request venlicatio'n Of this soil test in the field prior to permit issuance. A complete set: of plans for the private wage s'ystelll and a permit application roust be submitted to the appropriate local aurllority in order to, obtain tais`1 a pet"r`nit„ TI"re saniU.v ' permit mlio: be obtiaiiied and po) ted pi-ior to the start of any Construction, DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.09(1)&Chapter 145.045) LOCATION: SECTION: TOWNS HIP/MMBW08Q0MW- LOT NO.:BLK.NO.: SUBDIVISION NAME: SE 1/4 W1 14 /T 31 N/R9 f (or)W I Somerset I16 Rolling Meadow COUNTY: OWNER'S ME: MAILING ADDRESS: St. Croix Ed Germain R.R.#1, Somerset, Wi. 54025 Box 1205 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: I ROFILE DESCRIPTIONS:IFERCOLATION TESTS: ®Residence 3 n/a ®New El Replace 8-6-87 8-7-87 RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN_ -GROUN PRESSU E:SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) MS EI Es ❑U x❑S ❑U ❑S OU ❑S Ox U conventional 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 PROFILE DESCRIPTIONS page 10 AIC2 BORING TOT D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPT ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 6.83 105.15 none >6.83 .33bl.1. 6.50bn.s.l. B_ 2 6.83 103.83 none >6.83 .50bl.1. 6.33bn.s.1. B_ 3 7.17 104.70 none .50 less ,50b1.1. .75bn.mot. s.sil. 5.92bn.s.l. thqn 1 -00 B- 4 7.26 104.33 none >7.26 .50bl.1. 3.76 bn.l.s. 3.00bn.s.1. B- 5 6.67 103.99 none >6.67 .67bl.1. 6.00bn.s.1. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER XXNJES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER1003 PER INCH p- 1 3.59 none 30 4,1, 4 4 8 P- 2 3.25 none 30 1 7/8 7/8 34 P- 3 3.96 none 30 11- 24 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 101.08 ' 4 3 I _ �On*k 1 N t I + _ t 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 8-7-87 ADDRESS: CERTIFICATION UMBER: PHONE NUMBER(optional): 988 N. Shore Dr. , New Richmond, Wi. 54017 2298 715-2 -6200 CST SIG r DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — PLOT PLAN PROJECT ADDRESS 5- 1/4 /f 1/4/S/� /T 1 N/R9 W TOWN f� 1'"�«� �.c-�000NTY T G�Gi� Ga MPRS Byron Bird Jr. 3318 DATE 7 BEDROOM CLASS PERC CONVENTIONALZIN-GROLA6 PRESSURE CONVENTIONAL LIFT_MOUND—HOLDING TANK SEPTIC TANK SIZE _ -� LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA PERC RATE 3 BED SIZE /t� �3 Benchmark V.R.P. Assum Elevation 100' Location of Benchmark „A?"o G 1✓r� �f * n H.R.P. ,k� - -=:__7'''� --- 0 Borehole rG Well Scale = Feet UVA O Perc Hole a' �rw System Elevation TYPAR COVERING 2' 12" 3' 16* g' 3' 3' 0 3' 1 Sewer Rock 18, 12' n i I 1l llG ✓� pt l tit f � u � . I l� rr►vr. PUMP CHAMBER CROSS SECTION AMID SPECIFICATIONS DUI Zc.�S VENT CAP 4 W'C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR. 12"MIU. WINDOW OR FRESH I 1 AIR INTAKE :�—T i GRADE I y"MIN, COIJOUIT -- _______ _ — PROVIDE I - --- IAILET AIRTIGHT SEAL I \/ I I i APPROVED JOINTS APPROVED JOINT A ( I I W/C.I. PIPE W/C.I. PIPE I EXTEIJDIWG 3' EXTENDIIJG 3' i Ill ALARM ONTO SOLID SOIL. ONTO SOLID SOIL B I I I ON C ELEV. FT. PUMP --� • OFF D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MAMUFACTURER HAS SUCH APP VAL SEPTIC E SPECIFICATIONS POSE ��c_ /` S NUMBER OF DOSES: PE DAS TANKS , MANUFACTU0. R E : � TAWK SIZE: ` � GALLONS DOSE VOLUME p L INCLUDING BACKFLOW: - ALARM MA1,,►UFACTURER: MODEL WUMBER: ��^°`';Z�e CAPACITIES: A= 4�` INCHES OR BO GALLOWS 'SWITCH TYPE: � �'r� -� r t/ 8= INCHES OR o GALLOAIS J L /cam C=2IWCHES OR ea CALLOUS PUMP IJ �MP MAUFAGTURFR: �/y� MODEL NUMBER: lS -5 D= INCHES OR 1sZ.0 GALLOUS SWITCH TYPE' C MOTE: PUMP AND ALARM ARE TO DE —� INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE—GPM VERTICAL DIFFERENCE bETWEELI PUMP OFF AND DISTRIBUTION PIPE.. FEET + M11i11MUM NETWORK SUPPLY P/RE�SS�iURTE/. . . . . . . . . . . /2.5 FEET + FEET OF FORCE MAIN X Ll Zi:2F/oo�FRICTION FACTOR..LI-w FEET TOTAL DIJNAMIC. HEAD = -/yFE.ET INTERNAL DIMEIJSIONS OF TANK: LENGTH 7- ;WIDTH QUID DEPTH DAT E: LICENSE 'NUMBER: , 7 HEAD CAPACITY CURVE TDH ' W _'t Q W TOTAL DYNAMIC NEADOCAPAWY PEA 1 OWU W W W AM DE,AtAM MNG ?--. ♦ �'������ iERIEi WS7-59 91 137.139 in /is 26 7 EFFLUENT AND DEWATERING Fr. GAL ` GAL GAL GAL IS& ♦` s 43 95 104 Sl 91 ♦♦ SEWAGE AND DEWATERING i0 4 3` r 9, s, ♦ is 19 43 M 90 90 24 % 20 r 27 36 MI 90 2s „ • S7 MI ♦♦ I 30 22 40 a a 33 S1 ` so ) %` 90 is 43 20 163' ♦�. MODEL LockVdvr ,9' z.s 29 es 9r % 1 \ I TOTAL DYNAMIC NEADICAPACRY PER MINUTE SMAGE AND MINATERING sEMES X: s4 m .� _ ♦ I FT :1► GAL 6MGAL VMqGAL 000 GAL bBQGAL 16 ♦�. i S s..,' 109 102 130 49! 190 dH• to 90 !2'1' 72 9s pii: 167 ,S 20 :�: 43 s7 143 30 Go xF I 35 4.1 12 4 i 1 40 .... 1 MODEL .s ;13 �. zs .09 50 �As <. -- -- t j lock Valve t9' 2t' 26' 34S' 53 10 . levy III 1 1 . MODELS t 1 t. I it 25 t r t I r MODEL 1 I 6— MODEL 284 4-21 MODEL 10 MODES 11% I i 2 ._ I 5 57 M DE � MO I L ~ r 59 97 2 °us.GALS.�10' S2 30;...' - 50 x;80 ? ``g000 110:120 _ 30 ...,,L...,:r.�....ii.+bkcvonal.r�'•adsa�w,.-,.,ass. - caao..11a..a. - ++� _ LITERS 80 160 240 320 400 480 560 6 0 FLOW PER MINUTE 3280 Old Millers Lane Menufadurers of. .. ZA91LLfR fZ , P.O.Box 16347 Louisville, Kentucky 40276 v,�[iTr P4MOS ,jiNCF IAZZY (502) 778-2731 Q