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HomeMy WebLinkAbout032-2055-50-075 c,v,o Iwo d o y `G 'a 1 # C 3 d 3 'n z 'In OW 41 (n 0 m c w r- - o o cv ~ ~ 3 d3 CL a N Cn a N ° NO h CO :3 03 03 cn D °o~ m m Cr sI W o 0 rn o l J N N M O a C) 0 C) y CD m (n D F. (D N C d (j N W C~1 n L b 3 0 o w S O W O Cr1 ~ p N) o D C (D z 8 8 ~ lri co rd ~ , cn 0 00 co w w 3 N r N N p m rt ~l rt 5 F H. ~l -0 OU a < z H N~ 3 . v~ cn o D W x(- o G7 - w v ° w co su L v cn 9 Z Z CD cn t. m r m a r Ln t=y _ (3p z N d ~ z Z c ZW O o D a W p O (ODD (lo !1 • N 00 CD I c oo .0 (0 C (D CD V O W Cl] w m r-h p n 3 7 Z' Z CD (O ' = c A C/1 C17 O N c :3 ? Z n O r' v m a L7 N ~ ~ o rt oo v m o rn (D (D m a z rr 3 z U) 0 c7l rt ti N m (D z CD a ~ w j n m O- s o. 0 m c w o Z a O cr CD m CD m ~ (D (D ° o O 4 N C) 4 s n A II ~ N (n N CD O O (7 V A O N CD dA O N O 69 0 ti a O bb C) CD O y ti Parcel 032-2055-50-075 01/08/2007 12:01 PM PAGE 1 OF 1 Alt. Parcel 16.30.19.711 B-10 Current X 032 -TOWN OF SOMERSET ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/21/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner ROBERT J & WENDY M HUERTA O - HUERTA, ROBERT J & WENDY M 600 155TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 600 155TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 4.350 Plat: 4948-CSM 19-4948 032-05 SEC 16 T30N R19W PT SE NE & PT NE SE FKA Block/Condo Bldg: LOT 01 CSM 17-4581 LOT 1 (3.3 AC) BEING CSM 19-4948 LOT 1 (4.35 AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 16-30N-19W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 03/21/2005 789963 2767/396 QC 03/21/2005 789963 19/4948 CSM 08/22/2003 736935 2385/21 WD 08/06/2003 734168 17/4581 CSM more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 146315 262,300 Valuations: Last Changed: 07/05/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.350 54,700 144,200 198,900 NO Totals for 2006: General Property 4.350 54,700 144,200 198,900 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 Total 0.00 0.00 0.00 A:: 11U1L'1' :~nNl'lAltY :~Y:~IL-I► tcl.l'ulcl UW141_tl Iffi7~ ~ Sn-f~~- TUWN,Aill' AUUILiS~ L, 12, c il`7 S P .~'1' CRU 1X CUUNTY, W 1 ~L:UW'fN SUU1JIV IS1UN LUT LOT "I 1'LL: PL1UV V1LW U1ULUt1Ctt11 Ynd 4iUWjllilund Lu u1c.:L L'uLJU.L ull,,.;0L:, ul IIL) i 1L1;~1iY1Ll1NL WL'1'i11N lUU L1:.LA' OF ~Y,';'1'LM - - - - 1I d11 Lk u ul'LIt Arcuw~ I 11LNl:tiMA11K: (Yfarll I[1011L rnt,mrur►L'; YuL1IL) Uo.:uL , i1,~ 4+lct Ll ►7 1,- 14 M►~r l4 fir /nf t:luveLlun ut varCiLrlj,_riturul►Lie V0111L /Do ' :;Lv1,C At JILL Si_'N'1'LC: 'IANYL. MAllUt1/LLUrdr: ~-j S ►.i,►u►~I (-,.11,j L lLy 1600 Wumbur ut rlrljiu on cover _ TuLik 111,41i1,,)1, L,,vI.Y c1,'V JL i„1j/pZ 10 Turk lulu[ L Lavulluu: f° - lun. Uul lit O0 1::14VA L lug, P UKI, C l uAm li Ut Mullutt►LLUrer.- NLumbur U dY1 NLUIIlj pldL l~UY U Y 1L t u 1 tul, Lul .11 PI l l y „C diva ,r ULLUt► 111►uw bu11t l 111 pLAIli, Lr,u un Nar IulnuLU_ huruc:l~uwci I,> 1►,J uau,u ul t,u►uy~ 1►d Ul da 1 nLoin,dr Typo of W4rnir►g duvi~ iUJLU1NG TANV MunuLuLLurcl Nu,„1,.:, u1 8,lllul,, LICvat:1011 ut lifillula Luvdt Cy ,r ut Wur-lipid dUv1LU IaLLYALL PIT SM _ NwuhL:i ul I► l:, I cL.( JLui„ 1 j , v(;L 1lyuld d6pLll - ucct,uf,L t,11 llilul L1CvuL1,,,, but-~"ur ddapa4c 1,~L 41avul lull i.._I E Ul U SLL nuntllul: ul l t„cu W1,11 li 1 „1.i 1. L I I i, l 'I'ItLNCH WLdLil I'L LILULA'1'lUly W1'1~ - kU"A REQUIli1 U AttLn A:; Ilu t 1.'1' mad 1 N: 1'I.,: l lJit Ulti'L11 / F - I'I.UfIUI.k ()N Kilt f t r~ ~ ~ ~ vb I~ ri J~_ DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BCX 7969 ' BUREAU OF PLUMBING MADISON, WI 53707 ®CONVENTIONAL ❑ALTERNATIVE State Plan l.D. Number: n ) ❑ Holding Tank El In-Ground Pressure ❑ Mound (If assiged NAME OF PERMIT HOLDER . JADDRESS OF PERMIT HOLDER: INSPECTION DATE: Arthur E. Peterson Somerset, WI 3 ;30 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. SE NE, Sec. 16, T30N-R19W, Town of Somerset Name oI Plumber. MP/MPF?7 ,o, County. Sanitary Permit Number: Gary Steel 3254 St. Croix 38475 SEPTIC TANK/HOLDING TANK: , 7 MANUFACTURER. LIQUID CAPACITY. ]TANK IN ET Et'EV.. JTELE WARNING LABEL LOCKING COVER / ~7 PROVIDED: PROVIDED tL bC~ C).~l/ < EYES ENO EYES ENO BEDDING: VENT DIA.: VENT MAT L. HIGH WATER 13 FEETFRO ROAD: P OPERTV WELL BUIL ING. IVENT FRES ALARM. IN U ~ I M P AI EYES ENO EYES ENO NEAREST ~0~ Ile DOSING CHAMBER: MANUFACTURER. BEDDING: 11-111U IDCAPACITY ODEL PUMP' ON MA NU FACTURER. WARNING LABEL LOCKING COVER PROVIDED PROVIDED. EYES ENO EYES ENO EYES ENO GALLONS PER CYCLE: P P NI IC TROLS OP ATIONAL - NUMBER OF PROPERTY WELL BUIL ING I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) YE ENO NEAREST SOIL ABSORPTION SYSTEM. Check the so oisture at e d in of plowing ENt;TH - DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into ire, constru ion shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. ILENGTH TN DISTRPIPE SPACING CO~{£fl" INSIUE DIAzPITS LIQUID BED/TRENCH CHES MAT IAfPIT DEPTH DIMENSIONS L GRAVEL DEPTH FILL DEP H OIST i PIPE DISTR. PIPE DISTR. PIPE MATERI NNUMBER OF PROPERTY WELLBUILDINGVENT TO FRESH BF LOW PIPES ABO E OVER El EVINLIi ELEVENDLINE • / gl~"LF7_ - 92 a X10 FEET FROM NUM E 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 ENO SOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS EYE O EYES NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED DEPTH OF TOPSOIL SODDS MULCHED. CENTER EDGES ES ZLIO YES ENO EYES ENO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO. OF ATERAL S ACING. GRAVE DEP H BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOL DIST PIPE MANIF LMATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV.'. ELEV.. CIA E V.'. PIPES DIA.. DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRIL ZOESECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑ EYES ENO COMMENTS: PERMANENT MA E OBSERVATION WELLS NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE' ❑Y S ENO EYES ENO NEAREST Z ~y C19,V1.6 Sketch System on 5.4V n county file for audit. Reverse Side. SIGNATURE. TITLE. DILHR SBD 6710 (R. 01/82) i _ i APPLICATION SAFETY & BUILDINGS DEPARTMENT OF INDUS--3Y, FOR SANITARY DIVISION ,LABOItND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 81/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: r+ r N. 12, 12 , o s - Gf~i • O zS Property Location: City, Village or ownship County: SE %/0C%S Al, iT-3pN/R (or)W jorn s -1 i7C Lot Number: Blk No:: Subdivision Name: Neare t Road, Lake or Landmark: State Plan I.D. Number: r (If assigned) TYPE OF BUILDING /(1 Number of ❑ Public* ❑ Variance* ❑ Other (specify)* _ _13- Bedrooms: LAO 1 or 2 Family *State Approval Required. 13 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY BOp ✓ HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: E 1 5 @ & EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ® New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit 5_0❑ Alternative (specify) Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): . 1,4 Private ❑ Joint ❑ Public 1 -1 I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature: n MP/MPRSW No.: Phone Number: Plumber's A ress: Name of Designer: 5/ COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agen Fee: Date: ~J APPROVED Sanitary Permit Number: /jJ a ❑ DISAPPROVED ~ c.~ O~ / itS_ Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) ' Form - S T C 100 Owner of Propertyvir/i C fG Z- , Location of Property Section j' ,T=;o N itl:? W Tuwnahlp_ ~-Nr er; y 74- Mailing Address x 'I'V Subdivlaion Name Lot Number 'a Previous Owner of Property C-j -7 Total Size of Parcel 1f4 Date Parcel Was Created -7 -1`179 Are all corners identifiable? Yes No Include with this application one of the following: .Certified Survey Map .Deed .Land Contract. or Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION e I (We) certify that all statements on this form-are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty dead recorded in the Office of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system (or 1 (we) have obtained an oasament, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) -jy 3 DATE SIGNED DATE SIGNED DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, c DIVISION LABOP D PERCOLATION TESTS (115) MADISP.O. BOX 7969 ON WI 3707 I-IUMA~NELAT10NS (H63.090) & Chapter 145.045) LOCATION: 6 SECTION: TOWNSHIP MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: C- 14 G1/ Tao N/R /(j(or)W U o VIS t- - I-OW COUNTY: OWNER'S UYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER OLATION TESTS: Residence 7 New ❑ Replace; c3 RATING: S= Site suitable for system U= Site unsuitable for system ENDED SYSTEM:(optional) CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: r7- C N ❑u ~ s ❑u ~s ❑u ❑ s ®u ❑ s ~u If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: w`) Floodplain, indicate Floodplain elevation: 0ESlPROFILE DESCRIPTIONS g, BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEI"fi 4f1t ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) i7 4z - ~ 7 ~ B- lo l ` A' o > r7 n . l„ . 6 ,corn L : 5 -3 luo Al 6r OR /Vo io 7 C9 19 Cc- B- f; 6 L) z -.6- 9J FB- 6 1& s l m g I PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER ti~tettes AFTERSWELLING INTERVAL-MIN. PER/IODI PERIOD2 PERIOD3 PERINCH P_ 1 -y No 3 W <3 P_ z. i ~ l ~a iOo /z_ P- 3 - 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 l8 F ; ~SCo , r , f wr ~ - _7 Q 8 I ~ t i Ile , j ' 3 * 3 , r 3 i a / 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: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): CST SIGNATURE toe DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. !AR-SBD-6395 (R. 02/82) - OVFR . e~ e ~a.,. a m .~~fra ra _bS f.„ .eaa~ m r ~I " 3121.(.,, iMI? ~NA , ;,Iur%lt„ E, F) ~a~_ ~ ~e z, ty _ rn a~Y '•u Y rF ~ r<<, .~~_5ia ..QCs. ~~i m F..~ L k r~~i~?~?~ i'(~, t' ;.@w- ?.4 1 ,c 'o<<4 f f3a? a~; .2"t „ 'E'€ ~t) c=61F, ,s ' I d,i ("2 e' ?i NSA ~)i(~?SU YI' ;;2 ~ ~ 1•..3.6 , ,E - P'l t E, _ g, DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISP.O. BOX ON WI 7969 HUMAN ALATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: _56 114'6 1/4 to T. Cl R/Rlq (or) W j?"" f . 50"n&'_5'f"+' COUNTY: WNER. /BUYER'S NAME: MAILING ADDRESS: r'74~L.L Y, USE DATES OB ERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PER OLATION TESTS: EAResidence > n/ 7 ®New ❑Replace Il / _3 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONALE]U : IMOUND: OU(IN-GROUND-PRIIIRE:SYSTE(~M-IN-FILLHOLDIIN~GTA N'IK: RECOMMEND ED SYSTEM: (optional) u~J 7 u ZS E Y J I U J ©Y l tnC: h If Percolation Tests are NOT re Quired DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: Vm.►/ , PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH-tN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- dfs'. ~3n, 5:1... / z34 .5 : & .G'._5: / ~7 Cc, , Z? S L 5~ y Z C59 C l NrD~, B B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD( PERIOD2 PERIOD3 PERINCH P- P- 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 7 t . E , ; w t 3 = 3 I _ a - N I _ a I € € ro € j ; 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: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): Z 9~ ~/s - Z.oa J_Nr c~2 CST SIGNATURE' DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. -)II_HR-SBD-6395 (R. 02/82) - OVER - Etc soil tf st, y,).., ei: Y,t. oc to b!€,c,: e 2° t "v A i iNf 11 1 h~~r of s' wm~ 10 used if fl~~ ~j'1 r.. Lr€ z € E E. nze; d v, d. E t ` r • ~~r) 7L~ u ~ C rS r~ X / v G f SCE ci ~ G l J ~1 \ ~ w ZJ r2n, (9 I ~ I ~ L3 - 2, oP' 2 d -s` -~~-541 /ai/r~s~t9o` J 1-3 J3 - 1~1 d -!5c 11 n-) ors e_ `}v va n:s h yn n~, ~o e s' 40 100' Scyo-}~c. ~ I / 81 >t I 6 7 ! D fi cN c~ at -a-, 13 1 ' rat ~ I ~ ~ ~ 5 ~ I I ~ E ~i2o c- i-<, I 7~ ~ ~ Q` ~ I j 135 ~F~7vnr~fe Q _3 a _