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Parcel 032-2024-40-000
Alt. Parcel 6.30.19.565C 01/09/2007 10:54 AM
Current X PAGE 1 OF 1
Creation Date Historical Date 032 - TOWN OF SOMERSET
Map # Sales Area Application ST. CROIX COUNTY, WISCONSIN
Tax Address: 00 0 # Permit # Permit Type
HENRY A Owner(s): O = Current Owner, C =
& JULIE LEUCKEN O - LEUCKEN, HENRY A & JULIE Current Co-Owner
389 172ND AVE
SOMERSET WI 54025
Districts: SC = School SP = Special
Type Dist # Description Pecial Property Address(es):
SC 5432 Prima
SOMERSET ` 389 172ND AVE Primary
SP 1700 WITC
Legal Description:
SEC 6 T30N R19W IN SE SE COM SE CAcres:
OR SEC 17.690 Plat: N/A-NOT AVAILABLE
6 TH W ALG S LN 1097.38' TO POB; TH W Block/Condo Bldg:
256.38' TO SW COR SE SE, N 1210 FT TH E
1043.88' S 342.61' TO HWY SWLY TO POB Tracts : 9
EXC PT TO HWY PROJ 1498/116 - (Sec-Twn-Rn 40 1/4 160 1/4)
06-30NN-19W SE
Notes:
Parcel History:
Date Doc # Vol/Page
10/13/2004 776930 2675/159 Type
E
03/27/2000 620184 1498/116 WD
WD
2006 SUMMARY Bill
Fair Market Value:
146037 Use Value Assessment Assessed with:
Valuations:
Description Class Last Changed: 08/09/2005
RESIDENTIAL Acres
AGRICULTURAL G1 Land Improve 3.000 Total State
G4 48,000 151,500 Reason
UNDEVELOPED G5 12.690 1,600 0 199,500 NO
2.000 200 1,600 NO
0 200 NO
Totals for 2006:
General Property 17.690
Woodland 0.000 49,800 151,500 201,300
0
Totals for 2005: 0
General Property 17.690
Woodland 0.000 49'800 151,500 201,300
0
0
Lottery Credit:
Claim Count: 1
Certification Date:
Specials: Batch 134
User Special Code
Category Amount
Total Special Assessments
0.00 Special Charges Delinquent Charges
0.00 0.00
Parcel 032-2024-40-050 10/15/2009 04:21 PM
PAGE 1 OF 1
Alt. Parcel 0"-30.1 9.565C-05 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
10/27/2008 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - LEUCKEN, HENRY A & JULIE
HENRY A & JULIE LEUCKEN t
389 172ND AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description " 389 172ND AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 6 T30N R19W IN SE SE; COM SE COR SEC Block/Condo Bldg:
6 TH W ALG S LN 1097.38' TO POB; TH W
256.38' TO SW COR SE SE, N 1210FT TH E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
1043.88' S 342.61 FT; TO HWY SWLY TO POB 06-30N-19W SE SE
EXC PT TO HWY PROJ 1498/116; INC PT ROAD
VACATION ADDED TO 032-2024-40 (565C-05)
Notes: Parcel History:
Date Doc # Vol/Page Type
12/18/2008 885592 ROAD
10/27/2008 883366 QC
10/13/2004 776930 2675/159 EZ-U
03/27/2000 620184 1498/116 WD
2009 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 04/02/2009
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 48,000 151,500 199,500 NO 05
AGRICULTURAL G4 12.690 1,600 0 1,600 NO 05
UNDEVELOPED G5 4.340 400 0 400 NO 05
Totals for 2009:
General Property 20.030 50,000 151,500 201,500
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
10-15-09
Outlot discussion with Kevin Grabau, Dave Fodroczi and Alex
Blackburn.
Using a CSM to create and record an outlot is permitted. Our
ordinance does not prohibit the creation of a stand alone outlot.
Renee Powers from plat review was contacted and there is no
problem with doing this and being compliant with Chapter 236.
9
COMIOERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 cig:
r,
ST. CROIX ZONING REPORT NO.t 18079/01 PAGE 1
ST. CROIX COUNTY REPORT DATE* 2/13/92
COURTHOUSE DATE RECEIVEDt 2/12/92
HUDSON, WI 54016
ATTNt THOMAS C. NELSON
OWNLk, geTtrv ct Jsu ~ <e Leucken
LOCATIONt 384 Nary 35-64, Somerset V f <<Gl ~a (
COLLECTOR: Jim Thompson
DATE COLLECTEDt 2-11-92
TIME COLLECTED* 11t15am
SOURCE OF SAMPLE# Kitchen faucet
DATE ANALYZEDt2-12-92
TIME ANALYZEDt2t00pm
COLIFORMt 0 /100 ml
I
INTERPRETATIONt Bacteriologically SAFE
NITRATE-N** 4 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Cotiform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
9 ~0
co 2OC
~c
O~ <<%LAB TECHNICIANt Pam Gane
F.WDEDENpi,
WI Approved Lab No. 19 f ~f
O P
u s
t Means "LESS THAN" Detectable Level Approved by'*
d~~s ~ SA
PROFESSIONAL LABORATORY SERVICES SINCE 1952
1
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
I r' 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 xxx
(For nitrates and coliform bacteria)
WATER TESTING FEE: $127.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 xxx
(Determines if system is properly functioning at time of
inspection)
Property owner ' s name Henry A. Leucken and Julie A. Leucken
Property owner's address - 384 Highway 35-64, Somerset, WI 54025
Legal Description SE 1/4 of the SE 1/4 of Section 6 , T 30 N-R 19
Town of Lot Number Subdivision Name
FIRE NUMBER 384 LOCK BOX NUMBER
Color of house Realty sign by house? If so, list firm:
_PLEASE CALL HENRY FOR AN APPOINTMENT AT WORK - TELEPHONE # (612) 439-4123
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: Bank of Somerset
Telephone Number (715) 247-3348
REPORT TO BE SENT TO: Bank of Somerset, ATTN: Kristen Dixon, P.O. Box 220, Somerset, WI
_ 54025
Closing date ASAP
Signature
~1
I
w ST. CROIX COUNTY
WISCONSIN
1l Y
f r~ ZONING OFFICE
F3~W x,. ST. CROIX COUNTY COURTHOUSE
L = )rj 911 FOURTH STREET • HUDSON, WI 54016
W (715) 386-4680
Feb. 11, 1992
Kristen Dixon
Bank of Somerset
P.O. Box 220
Somerset, WI 54025
Dear Ms. Dixon:
An inspection of the septic system on the property of Henry L
Julie Leucken, located at 384 Hwy. 35/64, Somerset, WI was
conducted on Feb. 11, 1992. At the same time a water sample was
obtained for testing. The results of that test will be sent to
you as soon as we receive them from 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.
,Iin,erely,
.
, t~' .a"T je~'r ~ y ~j~y'~~" '~~'m'-a*wsa~o
James K. Thompson
Assistant Zoning Administrator
cj
AS BUILT SANITARY SYSTEM REPORT
c ` TOWNSHIP,__)x.21 e S t SEC. T--) CN-R.24
OWNER e o X_ 2
ADDRESS ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
EVERYTHING WITHIN 100 FI.ET OF SYSTEM
t
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- - _ - - - _.a t1 e Mort A row
SCAI
BENCHMARK: (Permanent reference Point) Describe:
i
Elevation of vertical reference point: Slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity: l
Number of rings on cover Tank manhole cover elevation:
Tank Inlet Elevation: ~tJ Tank'Outlet Elevation: >r 7-
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons; tota capacity o
distribution lines gallon: size of pump head;
gallon per minute horsepower brand name of pump
and model number ;
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device
SEEPAGE PIT SIZE: um er o pits eF_ iameter
feet liquid depth seepage pit inlet pipe-elevation
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines wi th_lefigthItile depth y-
SEEPAGE TRENCH: width len th
PERCOLATION RATE AREA REQUIRED AREA AS BUILT
_ INSPECTOR
DATED / PLUMBER ON JOB 1
LICENSE NUMBER _/_1g_c'-~_
•DEPAR-f7\AENT OF INDUSTRY, INSPECTION REPORT FOR '--4- SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI-53707
fICONVENTIONAL ❑ALTERNATIVE State Plan I D. Number
❑ Holding Tank 1:1 In-Ground Pressure 1:1 Mound III assigned)
NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER. INSPECTION DATE.
BENCH MARK i e ma nent reference pomtl/DESCRIBE IF DIFFERENT FROM PLAN. - - REF. PT. ELEV.: CST REF. PT. ELEV.
Nn of Plurnber. IVP,'MPRSW No.. i Cou ntY Sanitary Permit Numher.
SEPTIC TANK/HOLDING TANK: _
MANUFACTURER LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV.. WARNINGD. LABEL LOCKING COVER
d - PROVIDE jPR.VIDED-
'~1, r t 'L`.( `t [:]YES
LINO ❑YES LINO
BEDDING. VENT DtA VENT MATL HIGH WATT IN UMBER OF ROAD. PROPERTY WELL BUILDING VENT TO FRESH
/ ALARM / EX~~ C_ / IAIR l T
FEET FROM C
Cr ,
YES LINO ❑YES LINO _ NEAREST--_--)iwj
7! 7
OSING CHAMBER:
MANUF ACT UR EH JBE DOING L ID APA( I iv rdepth JPUMPSIPHON MANUFACTIIH ER WAR NING LABEL LOCKNG COVER
PROVIDEDPROVDEDYES LINO ❑YES LINO ❑YES LINO
GALLONS PER CYCLE: PU PERATIONAL NUMBER OF I'I+I)PEHTY [ELL BUILDING VENTTO FRESH
(DIFFERENCE BETWEEN FEET FROM INAIR INLET
PUMP ON AND OFF) NO NEAREST1•
SOIL ABSORPTION SYSTEM. Ch th oil moisture owing nr.,E rE H Mar[ RIAL AND MARKIN',
or excavation. (If soil can be rol ed into a wire, const uction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
[IDTH LENGTH NQ. OF DISTH PIPE SPA( N( C1)VEH INSIDE DIA - LIQUID
BED/TRENCH RINCHFS MgrP IAI PIT DEPT
II
DIMENSIONS 1y. 7 Zen
.I F 1 II I DEPTH DISTIH L PIPE DISTR PIPE DISTR. PIPE MATERIAL. NO 1' H NUMBER OF PH OPER TY WELL BUILDING VENT TO FRESH
l+l 1hO ECO F E NLfT ELE D PIP !PLINE RO AIR INLET
FEET FROM
C! ``tr35 /7 ~2 NEAREST s ' ZO~ 1, tom- S
3-
MOUND SYSTEM: `i.
Mound site plowed perpendicular to sloe C h xture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: o systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
❑ ee the criteria for medium sand. TIONS MEASURED.
YES LINO
SOIL COVER TEYIUHE PERMANENTMARKFRS 11111SIRVATION11111-1-S
I
❑YES LINO ❑YES LINO
ULPTH OVFH THEN(,H BED DEPTH OV.FH 1 ENCH HED D PTH OF TOPSOIL SODDED SFFCD MULCHED
Cf NTFH EOGES ]
❑YES LINO ❑YES LINO ❑YES LINO
PRESSURIZED DISTRIBUTION SYSTEM:
`,JDTH LE NGIH NO. O' LATERAL SP CIN(; AVEL EPTH BELOW n FILL DEPTH ABOVE COVEH
BED/TRENCH THE CHF
DIMENSIONS
'v1ANIFOLU PUMP ANII OLD D R PIP~~`` [;70 MATERIAL NO DISTR DISTR PIPE DISTRIBUTION PIPE MATEfIAL FL M1"AHKIN(;
FI EV. ELEV IA LE V. / PIPES DIA.-
ELEVATION AND f/
DISTRIBUTION
INFORMATION LOLL SIZE HOLE SPAC G DF ILLLD )HHECTI V COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
i PLANS
❑YES NO _ ❑YES LINO
COMMENTS: fl PER ANENT MARKERS. OBSERVATION WELLS: tN UM BER OF 'PROPERTUILDINEET FROM LINE
❑YES LINO DYNO EAREST-
/
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1) I 7 ,
Sketch System on ee 6-0 my file for audit.
Reverse Side.
S~A'R1HE ~ TITLE
DILHR SBD 6710 (R. 01/82) c
a= 2 Lj d
67 State and County State Permit #
PLB
w Permit Application County Permit
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:
e rr L~ 'e G~ G 2 Av;?. -1.;2 .1( 4"
B. LOCATION: Section G T. 2,,,) N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark BI1<4213 3 S- Village
Township SD /fir iea0' 5
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family L--- Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY 4`0 Total gallons No. of tanks
HOLDING TANK,CAPACCI Y Total gallons No. of tanks
Prefab concrete Z/ Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement L
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate _TS Total Absorb Area /---JL la sq. ft.
New Replacement C Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width pepth Tile depth ()op) No. of Trenches
Seepage Bed: ~P Length Width _Depth _ile depth (top)e. No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
1, 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 Certifi Soil Tester,
NAME -6' ,'c C.S.T. # / and other information
obtained from (owner/builder).
Plumber's Signature ) MP/MPRSW# ~ Phone #a
Plumber's Address
PLAN V I EW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State County Date I t_~J c c
Permit Issued/-
Rejected (date) Issuing Agent Name
Inspection Yes _2`No State 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 7/1 /78
DEPARTMENT OF ;z `j REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, y C DIVISION
L,4BOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969
HUMAN RELATIONS
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
1/4 4 M3 N/R/ cor)W e,
CCOU TY~:OWN R'S BUYER'S NAME:: MAILINU ADDRESS: /
USE DATES OBSERVATIONS MADE
NO. BTJMS.: COMMERCIAL DESCRIPTION: PROFILE D R TONS: ER DILATION TESTS:
Residence L/ ❑ New X~I Replace
RATING: S= Site suitable for system U= Site unsuitable for system
C NVENTIONAL: OUND: IN-GROUND-PRES''SIIURE:SYSTEM-IN-FILL HOLDING TA K:RECOMMENDEDSYSTEM: (optional)
S ~U 6S S ~Y ❑S rVU
ES
If YSTEM EL V.
Percolation Tests are NOT required DESIGN RATE: S
j t / If any portion of the lot is in the
under s.1163.09(5)(b), indicate: (ty -1 j Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES T
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERT D 3 PER INCH
P-
P-
-2-
/ J
P-
P-
LP_
_
PLAN VIEW: 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 slop. -f 5
SYSTEM ELEVATION
722
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1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures rra:ahocls sp cified in tine `dViscor,m
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAM print):/ TESTS WERE COMPLETED ON:
16,1 C',
A D SS: CERTIFICATION NUMBER: PHONE NUMBER optional):
CST NATURE:
u'll
DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plurnbing, 3rd page-Property Owner, 4th page-Soil Tester.
n!I wP-SP1-6395 (N. 03/81)
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