HomeMy WebLinkAbout032-1087-40-000
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Parcel 032-1087-40-000 04/26/2006 09:13 AM
PAGE 1 OF 1
Alt. Parcel 32.31.19.419G 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 - KOONCE, JOHN P & NANCY A
JOHN P & NANCY A KOONCE
1821 37TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1821 37TH ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE
SEC 32 T31 N R1 9W 5A IN SE SE LOT 8 CSM Block/Condo Bldg:
VOL 1/130 EXC TO TN IN 616/174
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-31N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 58,000 104,100 162,100 NO
Totals for 2006:
General Property 5.000 58,000 104,100 162,100
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 58,000 104,100 162,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 115
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
R rCy~r' l u -~ti ~ , TOWNSHIP SEC. T ~ N, R J~ - W C
,.7. Al?L'RESS< 7~1V L>h_\' !;',._e• , ST. CROIX COUNTY, WISCONSIN.
PC_ Z LOT LOT SIZE CS O r 11 3
PLAN VIEW
-Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
1
_5 . y6
_ r
^TIC TANK (S)_1_ rff GR. ~ CONCRETE ` STEEL
NO. of rings on cover Depth DRY WELL
INCHES NO. of width length area
no. of lines width length > area ,r
depth to top of pipe '
REGATE _ i
RATE AREA REQUIRED AREA AS BUILT ci
:claimer: The inspection of this -system by St. Croix County does not imply complete j
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.
DATED r PLUIfBER' ON JOB
LICENSE NU,fBER
4
i
z .
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
► San.itatcy Petcm,it-
State Septic
NAME Township St. Ctco.ix County
Location -41 o4 Section - T N,R W
SEPTIC TANK
Size gattons. Numb etc 4 Compatttmentts
~ F
Dots ance Ftcom: UleZZ it. 12% otc gtceatett 6tope --it
Buitd.ing it, Wettand~s
j
Highwatett it.
DISPOSAL SYSTEM
Distance Ftcom: WeZt 120 on gtteazetc zZope it.
Bu.itd.ing it. Wettands Ft.
H.ighwatetc
FIELD DIMENSIONS:
width o6 ttcench-/, it. Depth o6 ,cock b eZow tite / ` in.
Length o6 each tine it. Depth of tcock ovetc tite .in.
Numbetc: o6 tine/s Depth o4 tif.e betow gtcade in.
Toxat length o6 Z ine6s ` it. Sto pe o6 ttcench in pets 100 it.
'7
% D.is Lance between Z inez At. Depth to b edtto ck it.
~ Totat abs otcbtion attea -/i t 2 Depth to gtcou_ndwatcrc _6t.
Requined atcea it 2
PIT DIMENSIONS:
Numbetc of pitz Gtcavet astound pith yet6 no
Outts,ide diame et/ 11i Depth below -intet ~ .
T o t a.2 ab s o tcb t i,o ntt e a; it 2. z
2
Anea ttequitced it rn
INSPECTED BY TITLE ~i
APPROVED ~L} ,'SATEC, 197.
REJECTED DATE / 197
State Permit
PLB67 State and County
Permit Application County Permit #
for Private Domestic Sewage Systems County
s >
' r
*DENOTES STATE APRROVAI) REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER r6jF PROPERTY Mailing Address:
B. LOCATION: '/4, Section J, TN, RJ-9fO(or) W Lot# City _
Subdivision Nam( nearest road, lake or landmark Blk# Village
.,~r ` Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family -I-Ik- Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES NO # of Bathrooms--
Automatic Washer- A-YES NO Other (specify)
E. SEPTIC TANK CAPACITY /J71;, 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) 2) ~ 3) Total Absorb Area sq. ft.
New X Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Depth Tile Depth ~y No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land S - >t Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, a that I have sized the effluent disposal system from the EH-115 prepared
by the Certified/ foil • Tester,
NAME ` UC C.S.T. # and other information
obtained from (owner/builder).
~P/MPRSW# Phone
Plumber's Signature
Plumber's Address'
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
4f
I 1
~ i
1
I
Do No Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application S ~ i • ~Fees Paid: State ~ County, ~ Date;,
Permit Issued/Rejecwd (date) Issuing Agent Name ~i r c/
Inspection Yes No 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)
PLB6 State and County State Permit #
Permit Application County Permit # -
7
V 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:
B. LOCATION: '/4 '/4, Section T N, R_ E (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 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 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) 2) 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope
I, 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 Tester,
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# Phone #
s
Plumber's Address
PLAN VIEW: Provide . sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State County Date
Permit Issued/Rejected (date) -Issuing Agent Name
Inspection Yes No 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)
Revised Date 6/1 /76
t
. .
State and County State Permit #
Perm'
PLB67 Permit Application County l
for Private Domestic Sewage Systems County
t
*DENOTES STATE ,.PPI'OVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
~p5 5 2.-
B. LOCATION: °j_~'/. yt.~., Y4, Section N, R_L!l I (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family_ Duplex No. of Bedrooms _ No. of Persons
D. TYPE OF APPLIANCES: Dishwasher _ YES NO Food Waste Grinder YES_XNO # of Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY 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) -2►+ 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill Sy m
Seepage Trench: No. Lin. Feet Width A Depth Tile Depth No. of Trenches
Seepage Bed: Length. Width Depth ~C! r Tile Depth b
No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land. C~ Distance from critical slope
I, 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 TeI
NAME C.4L- v 1 C.S.T. # and other information
obtained from (ow wilder). _
Plumber's Signature: /M RS # S^~-Phone #
Plumber's Address &.,t r
PLAN VIEW: Provide sketch below of system Include direction of slope and all distances in accord with
H62.20, including well).
1
r ,
,y e
Pia t. lot)
t (
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I
,
t
f~4 103
I'J O _
Do Not Write in Spa e . Below FOR DEPARTMENT USE ONLY
Date of Application A - Fees Paid: State /0, e' Cou Date
Permit Issued/R jecte (dat) - Issuing Agent Name e
Inspection YeAite No Valid# Date Recd
1. county (w 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
II
I
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: 1/4, '/4, S?ctio"n TtN, R 11 (or) W, Township or Municipality
Lot No. Block No. Z 41 14 County "ST Ilea
Subdivision Name
Owner's Name: 6~~/ ; 4.2 /y Sig
Mailing Address:
No. of Bedrooms - ~ Other
TYPE OF OCCUPANCY: Residence
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS ~~ry PERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE_2/Y~'~~'
PERCOLATION TESTS
r TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN I SONCHILES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
7
I Ld-
P- .
C t S S-
<77
P 3 '
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
j
t 1
RKS
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. 6:1 Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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I, the undersigned, he by 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._ "
Address
Name of installer if known
CST Signature
COPY A LOO-P-1. AUTHORITY
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