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Parcel 032-1012-30-000 09/13/2005 07:49 AM
PAGE 1 OF 2
Alt. Parcel 5.31.19.71 E 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
RICKY A & BRENDA L CRAWFORD O - CRAWFORD, RICKY A & BRENDA L
2362 DELONG RD
OSCEOLA WI 54020-7300
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4165 SCH D OF OSCEOLA
SP 1700 WITC
Legal Description: Acres: 5.450 Plat: N/A-NOT AVAILABLE
SEC 5 T31 N R1 9W 5.45A SW NW PARCEL Block/Condo Bldg:
DESCRIBED IN-VG
L4 PAGE 513 & REFERRED
TO AS #22 ON SURVEY r Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
31N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
08/19/1998 585338 1349/495 QC
07/23/1997 994/578 QC
07/23/1997 916/135
07/23/1997 775/424
more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2003
Description Class Acres Land / Improve Total State Reason
RESIDENTIAL G1 5.450 60,200 1 140,100 200,300 NO
II Totals for 2005:
General Property 5.450 60,200 140,100 200,300
Woodland 0.000 0 0
Totals for 2004:
General Property 5.450 60,200 140,100 200,300
Woodland 0.000 0 0
I
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 032-1012-30-000 ? 09/13/2005
PAGE 07:49 AM
2 OF 2
II__ SCE ,
Farcell-History - --cont . ~ J
07/23/1997 761/283
- - -
i
Parcel 032-1012-20-000 09/12/2005 05:16 PM
PAGE 1 OF 2
Alt.-Parcel 5.31.19.71 D 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 - CRAWFORD, RICKY A
RICKY A CRAWFORD
2362 DELONG RD
OSCEOLA WI 54020-7300
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4165 SCH D OF OSCEOLA
SP 1700 WITC
Legal Description: Acres: 2.650 Plat: N/A-NOT AVAILABLE
SEC 5 T31N R1 9W 2.65A IN S 1/2 NW COM, Block/Condo Bldg:
NW COR SEC 5, S ON SEC LN 1165.52' TO
POB; N 88 DEG E 134.35'S 80 DEG E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
157.73', S 72 DEG E & 5.36'S 60 DEG E 05-31N-19W
74.45', S 25 DEG E 50.77'S 32 DEG E
30.64'S 70.3'S 14 DEG W 112'S 3 DEG W
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 916/135
07/23/1997 775/424
07/23/1997 761/283
2005 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.650 42,400 0 42,400 NO
Totals for 2005:
General Property 2.650 42,400 0 42,400
Woodland 0.000 0 0
Totals for 2004:
General Property 2.650 42,400 0 42,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
0.00 0.00
Total 0.00
l II
Parcel 032-1012-20-000 09/12/2005 05:16 PM
PAGE 2OF2
Legal Description: cont.
59.9', 0 88 DEG W 524.51' N 5 DEG E 461' TO POB
• y •
':.BPI .14:1,.; TOWNSHIP=,z',1; ter..: < TSEC. 's" T _?I N, R_/ W
3. ADDRESS/; ST. CROIX COUNTY, WISCONSI:1.
•5- y C,_J
'3DIVISION LOT 2_,4;:~^LOT SIZE
PLAN VIEW Z
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r e, 6 _
P 14CV5
7e r
i
_TIC TANK(S)/, 1,1) n I
C>ti MFGR. , CONCRETE A STEEL
NO. of rings on cover Depth DRY WELL
''_N'CHES NO. of width length area
no. of lines __y width _L _ lengthy area
depth to tip c'17 pipe 3
:LEGATE _ '
-a RA TE ` ~ AREA REQUIRED 7 / S"- `1 ` AREA AS BUILT
,claimer: The inspection of this system by St. Croix County does not imply complete
pliance 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
-ermine cause of failure.
ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
DATED PLUMBER ON
LICENSE NUMBER ~ x - ~ ~
t P L B 6 State and County State Permit #
Permit Application County Per/ryit #
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 L Mailing Address:
lJutin Sc/►c~Lrb s c~ a~f v o4, +4. Cis cc0c.L~, S Yc 1 v
B. LOCATION: S, Lv. /4 ~1~ 4t, Y4, Section T 3~_ N, R /CC_ F (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# _ Village
Township f r S' t,
C-. TYPE OF OCCUPANCY: *Commercial *Industrial _*Other (specify) Variance
Single family Duplex No. of Bedrooms 3 No. of Persons <o
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES_),~_NO # of Bathrooms_
Automatic Washer -X__YES NO Other (specify)
SEPTIC TANK CAPACITY-//t O0 U Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks _
New Installation K Addition Replacement Prefab Concrete X,-__
'Poured in Place Steel Other (specify) -
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _g 2) 3)___Total Absorb Area !r sq
^9ew < Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length 3S~ Width / E'' Depth Tile Depth 30~~ No. of Lines
Seepage Pit: Inside diamete n Liquid Depth _ Tile Size
Percent slope of land Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
5;",Jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,
NAME je, /Pm +e- f~Pncl C SCE//H C.S.T. # and other information
obtained from .tan lit u b SCry Lc.~yr (owner/13, er). _3
Plumber's Signature~.L~., ~ C~~-►1v.~'~ Mp/IVt€''FiM# Phone
Plumber's Address Q• X: 3 7 0S c p e Z- , y e a o
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
Plop 0j (-,I ir We T- el 1j, 5 -76 t-
t4 OU S e
c 3
C
o
35~
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Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application - ` Fees Paid: State 0 % O County Dates ~D
Permit Issued/Rejee g ( ate) Issuing Agent Name
Inspection Yes~No o 09 Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
t
Z.
REPORT'OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itaty Penm~ --a
State Septic/,, NAME Township St. Ctcoix County
Location ob/ Section J~ T51N,R,// W
SEPTIC TANK
Size gattonz. Numbers o6 Compatctmentb
Distance Ftcom: Wett it. 12% on gtceatetc. ZZope 6t
Buitd,i..ng it. Wettands it.
H.ighwatetc it.
DISPOSAL SYSTEM
D.i6tance F&om: Wett it. 12% m gneatetc. 6tope it.
Building it. Wettand.6 Ft.
H.ighwatetc it.
FIELD DIMENSIONS:
Width o6 ttcench it. Depth o4 tock below tite .in.
Length ob each fine it. Depth o4 &ock oven t.ite in.
Numbers o6 tine/s Depth of t.ite below grade in.
i
(I Totat .Length ob Zine~s it. Stope o6 tnench in pen 100 it.
I Distance between tines it. Depth to bedtcock it.
i _
Totat absmbt,ion aAea bt2 Depth to gtoundwate& it.
a RequiAed atcea it2
PIT DIMENSIONS:
Numb etc. o6 pitz Gtcave.2 atcound pity yez no
Outside d.iametetc it. Depth below .inlet it.
2
Totat ab~sotc.btion atcea it
z
A
AAea Aequi&ed {t2 m
INSPECTED BY TITLE
APPROVED , DATE 197.
;L
REJECTED DATE 197
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BUREAU far g; NtodFaUlSIMLNTAL HEALTH
P-0 BOX
"SON. WISCONSIN 63701:
Y
-'v ;__L Bf?st!NOS AND PERCOLATION -TESTS
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_ SOIL. TYPE 1.
f'drff€GE3#.ATdC9'1l TESTS t
t?F°x''it•t
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CNORACTER OF s4gltr~. WATEf3 !n°:» TEST TIME
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W ~.Locatr; p...rc^olationcst>,rpil bore noies and au:tab{~: sai' areas.)
"rl ~'c a r the r{an the dacatian BSld i~rre fe€~t
of su t~ele "z~s k ig -Andicate•numb r of square feat of absorption area
F~F.f4ieCy.t )t d~$6i?CFto.f3 9CCUp3°) tJr
type a "Id ii, 4°
of distances, Cilve °a
- - Indicate
hc~rivantal end vertia,ad reference ,.tIr " ! ~ µV-- scale
P rcate slope.
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ifrt*s;gned, hereby certify that the soil tests reported on this formwere made by mein accord with the procedures
+ t'nr~ r! ic±d in the Wisconsin Adiministrativ4 Code, and that the data recorded and location of test holt,
Ix.+rnowiedge and belief.
.f «x Cettificar~on No µ
z a,tr"+'Ir~r If known
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