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Parcel 032-1031-10-000 os;la~zaas 12:12 PM
PAGE 1 OF 1
Alt. Parcel 11.31.19.149A2 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 = Cl rrent Owner, C = Current Co-owner
0 - DULON, DANESE E
DANESE E DULON
609 230TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): - Primary
Type Dist # Description ' 609 230TH AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: N!A-NOT AVAILABLE
SEC 11 T31 N R19W 3A NW NW LOT 2 CSM Block/Condo Bldg:
31761 Tract(s): (Sec-Twn-Rng 401!4 1601A)
11-31 N-1 9W
11
Notes: u; Parcel History:
Date Doc # Vol/Page Type
OL/
1204!1999 615502 1478/150 0C
(4 12 C. f Q Z 11i25!1998 592439 1380497 WD
07i23!1997 719!314
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07;2312003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 48,000 94,500 142,500 NO
Totals for 2006:
General Property 3.000 48,000 94,500 142,500
Woodland 0.000 0 0
Totals for 2005:
General Property 3.000 48,000 94,500 142,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 306
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT Seu;ITARY SYSTEM REPORT
-:ER L?~11l TOSTNSHIP - , SEC._ T-ZLN, R /i1 W
ADDRESS - ,S~ „_:,s, r L1 t ST. CROIX CGUNTY, WISCONSIN.
:;DIVISION LOT LOT SIZE .
Cre~
PLAN CZ E47
Distances b dimensions to meet requirements of H62.20
tars w ~~C
SHOD' EVERYTHING WITHIN 100 FEET Or SYSTEM _
LL
i . Indicate Nor 'h' A r
SCALE:
'
!C TANS (S) 3iFCR. ; , a t / CONCRETE STEEL
N0. of rings on cover _ Depth DRY WELL
of width length area
no. of lines width length -7j~ area-'
"
1 dept- h to top of pipe
;:.EGATE'~;J
RATE j. JJ ~~k.EA RF QTjI:.ED , c s AREA AS BUILT
• 7'!jifir1
;claimer: The inspection of this system by St. Croix County does not imply complete
ornliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
tem operation. However, if failure is noted the County will make every effort to
•..orr.,ine cause of failure.
BASES A.ND OILS siionD EOT BE DISPOSED THROUGH THIS SYSTEM.
-'INSP OR
DATED PLU. ER Oil JOB_
LICENSE N1111BER
z j
REPORT OF INSPECT7'OW INDIVIDUAL SEWAGE SVSI"EM
• 1\ San.itany Pcnmit~
State Sep.t.ic
NAME _ Cownah.ip _St. CAo~ x County
L o c a.t.i o n a~~ Section
SEPTIC TANK
Size ga.E'lonA. Number, o6 Compan,tmeizt.3
i Distance Fnom: WeZ..X- 12% on gneaten 4tope 6x
Bu.it.d.ing We.ttand:s----- 6.t.
H.ighwa.tn
DISPOSAL SVSTEAA .
D.i.6tanee Fnom: We.bt ftmo-- 6.t. 1206 on g-,Lea+e.,L sZope ~6t.
Bu.itd.ino_ We.tZands Fti.
• Higlcwatie•t \
FIELD DIMENSIONS: _
W.id,th o6 tinench~Z •t. Depth o6 tock below tite-in.
Length o6 each Zinc a-t. Depth o6 ,Lock oven .t.if2e ~ -i.n.
NumbeA 06 .EineA Z- Depth o6 ti.ie below glade-A-u-in.
Totat Zenc,th o6 Eines~6.t. Slope o' tneneh .in pen 100 't.
Distance bet;we.en tines 6t. Depth to bed-loch - 6t.
To.tat absonbtion ane.a 6-12 Depth to g,toundwa.ten ~ 6t.
Requited area t2 Type o6 Cove,•t: D on St-taw
PIT DIMENSIONS:
Numbe,t o6 p4.-t-5 Ghavet rere end pits _yes no
,f'A Outside di to 6.t. Depth betio-j ,i_ntat 6-t. 2
To.taf abso b o a a 6Z . Z
r
f L, AA.ea Aequ ' d t2 rn
INSPECTED B TITLE
G
APPROVE DATE L 197.
REJEC ED DATE 197
gtyt`4► ~po~t+•~ l ~1Sk~~► ~o n ~rescnT
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EH.115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
• P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section T7I N, R '~.~F W4 (or) W, Township or Municipality _
Lut No. Block No. 4 u r I [ i6sCounty
Subdivision N r Owner's Name: 40aL
iMailing Address: - c e~ -
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other Y
LF FLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEM T.-
DATES OBSERVATIONS MADE: SOIL BORINGS -ls -_-7 PERCOLATION TESTS
SO L P 1 ^%F SH F FT 501'_. TYPE ff~-rp,n <,Jr
PERCOLATION TESTS
EST DENIM CHAKAU I -H UF- SUI L HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
rJUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL PER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MINIIN
AhU;lf AD
AIA
-3 34
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
VUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
- 3.1 dl 96
rs PLAN VIEW (Locate peroolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet o suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. i~ i
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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 location of test holes are correct
to the best of my knowledge and belief.
Name (print) Certification No. T"
Address La)%
N~monf inet2llcr if Irnnwn l'~trJ-,J 1`0-1, r5 _It,
CST Signature
COPY A -LOCAL AUTHORITY
PLB.67 State and County State Permit I Permit Application County Per
for Private Domestic Sewage Systems County
'DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
O ) a B. LOCATION: A/j Y. N jij Section T_34N, R $ (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk#_ Village
Township Sna zest r I
C. TYPE OF OCCUPANCY: "Commercial `Industrial 'Other (specify) 'Variance
Single family Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder _ YES-/- NO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY f(~Q1J Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition _ Replacement _ Prefab Concrete
"Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 21,_-) 3L,2.,,2_Tota1 Absorb Area la/;- sq. ft.
New X Addition Replacement- `Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length,,V-, Width _ Depth Tile Depth 2,q No. of Lines- /
Seepage Pit: Inside diameter Liquid Depth Tile Size `f Percent slope of land :e Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Te ter,
NAME ~A.1~C~ s~S C.S.T. and other information
obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone
Plumber's Address '
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including welll. SG~L1~ ~ =/oa
rz a-11"
r
1
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of A licati n~ - Fees Pa' : State/C), ' PA ckC Cou Da!
Permit Issued/BAjeetpd (date) --Issuing Agent Nam
Inspection Yes Jl No Valid* Date Recd
1. county (whi copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
Revised Date 6/1 /76