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Home My WebLink About032-1072-30-000 p ° m N o I ° w 0 N Z ° c 0 a x V I V) 0 a L d a I Z aNi z 0 0ra) c Z 7 (0 lL CO ~ C O a €y Cl) W- z " rn z C Z ~ d d ~I' am N ~ Z o o z a m D 1' o a~i Z (A F- v ! ~ aCi ~ I _0 m m N O co N Oak) N O O Z o~ Z w z N - O N O m E C a+ > y m > N U) LO d N C6 ►i a ° U C U - N d 47 t~ O a CL 'r- CO q. ►i E 0 0 0 a s Z • 0 a a CL a 3 p U) > N N co J U pCl) 2 CO Z °O M N tt= N N O Q E Lo O O 7 N O a O m N C O 'O d7 Q Cn N O N V1 ~ O U! C GC O Q C) U y ~ CO C -4 H - N C r~ lL p O O -0 N ) O C m N C O m p N O c') r N N ~ Z O ~ E 3 3 o c w rn O N U) Z N Z N= H °2 CO v v~ d 76 E a a ` a • c~ a m .2 d d = `1v y E° c c 0 rw 0 0 r A U a l o co u 7A- vo ~ _i w ~ cr r s' 3 Parcel 032-1072-30-000 01/09/2007 11:52 AM PAGE 1 OF 1 Alt. Parcel M 26.31.19.352A 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 - NEWMAN, ROGER A ROGER A NEWMAN 657 200TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 657 200TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 26 T31N R19W 10A W1/4 NW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1180/288 QC 07/23/1997 779/635 07/23/1997 531/166 2006 SUMMARY Bill M Fair Market Value: Assessed with: 145585 289,700 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 83,000 136,700 219,700 NO Totals for 2006: General Property 10.000 83,000 136,700 219,700 Woodland 0.000 0 0 Totals for 2005: General Property 10.000 83,000 136,700 219,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 109 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-1072-80-000 01/09/2007 12:00 PM PAGE 1 OF 1 Alt. Parcel M 26.31.19.355A 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 ROGER A NEWMAN O - NEWMAN, ROGER A 657 200TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC j Legal Description: Acres: 19.000 Plat: N/A-NOT AVAILABLE SEC 26 T31 N R1 9W 19A NE NW EXC THE WEST Block/Condo Bldg: 20 ACRES THERE- OF Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1180/288 QC 07/23/1997 779/635 2006 SUMMARY Bill Fair Market Value: Assessed with: 145591 68,600 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 12.000 24,000 0 24,000 NO PRODUCTIVE FORST LANDS G6 7.000 28,000 0 28,000 NO Totals for 2006: General Property 19.000 52,000 0 52,000 Woodland 0.000 0 0 Totals for 2005: General Property 19.000 52,000 0 52,000 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 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC.,-~ ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW 1liscances and dimensions to meet requirements of 1-163 1DW_ LVLRYTHING WITHIN 100 Fl,'E' OF SYSTI-14 I /10, 1 _ i- _ _ f f I d i I a r North A r o j _--SCALE.: BENCHMARK: (Permanent reference Point) Describe: P's lel, I/ Elevation of vertical reference point: fps Slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: dnk manhole cover ele atio Number of rings on cover Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons _ Number of gal. pump set or a cycle - gallons; total capacity-of distribution lines gallon: size of pump head; gallon per minute horsepower bran name of pump and model number ; Type of warning device HOLDING TANK: 'Manufacturer Number of gallons Elevation of manhole cover Ty e of warning device _ S1:EPAt PIT SIZE:_ -Num er o pits feet~c an►eter_ feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines _ width lerrgtlv_-tile dept[124f,_ SEEPAGE TRENCH: •h _ -lengtl3 PERCOLATION RATE REA REQUIREAREA AS BUILT_ INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER E DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. FOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 14CONVENTIONAL ❑ALTERNATIVE State Plan ID Number El Holding Tank 1:1 In-Ground Pressure ❑ Mound (lf assigned) NAME OF PERMIT HOLDER . ADDRESS OF PERMIT HO LDER. INSPECTION DATE. rnR iI BENCH MARK (Pe,,-P-1 reference pmnt) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: CST REF. PT. ELEV 73 n- R lit l,~m~~Se Na- ,f PIU,nber MP/MPRSW No.. County Sanod,y Pe-I Number: a .i I IS (3 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL IL &N P OV EDP YES ENO O BEDDING: VENT DIA.. VENT MATL HIGH WATF UMBER OF ROAD. JPROPER VV IKY BUfLDING. VENT TO FRESH / / AFEET FROM LINE AIR INLET XYES ENO l S NO NEAREST-- - DOSING CHAMBER: MANUFACTURER BE DDtNG. I. IOy If) I TY PUMP MODEL PUMPS IPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. EYES/ O EYES ENO EYES ENO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHoPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEE FEET FROM AIR INLET PUMP ON AND OFF) EYES ENO -NEAREST-_0 - SOIL ABSORPTION SY EM.ChEckth soil stureatthedepth ofplowing .,ruH MArERIALAND~wAHKIN(, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH. WIDTH I FNGTH NO OF DISTR PIPE PA?111 Cr)L'1 L, t_ vLIOL DIA =PITS JLIQUID TRENCHES 1A 1 PIT DEPTH DIMENSIONS Cam' r I1 . f ;rF i. r If I DEPTH I)ISTH PIPE DISTR PIPE DISTR_ PIPE MATERIAL NO. DI' R NUMBER OF PROPE111 V WELL BUILDING VENT TO FRESH rlI r nlSUVE covER 1 rV IN[ I E~ LE V. Ell PIPES FEET FROM LINE. L AIR wLEr. NEE;AREST CJI MOUND SYSTEM: Mound site plowed rpendi to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thro pslo mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑ meets the criteria for medium sand. TIONS MEASURED. . N SOIL COVER Tf T Hf - PEHMANENTMARKERS oesERVATON WELLS _ _ _ EYES ENO E YES ENO )EPTHCHOVFH THE CH BED DEPT 1 OVER THE%('" fit I) OE PTH OF TOPSOIL S(IUDED SEEDED MULCHED C; FNT FD(~ES EYES ENO EYES NO DYES NO PRESSURIZED DISTRIBUTIO SYSTEM: ','.IF)TH L FNUTH N OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE L DEP ABOVE COVEH BED/TRENCH FINCHES DIMENSIONS MAN O PU P ANIFOLD DISTR_ PIPE MANIFOLD MATERIAL NO DIST 11NUUMBER 0N MATE HIAR ".1AHKINFVDIA ELEVELEVATION AND DISTRIBUTION INFORMATION SIZE LED CORRECT LV COVER MATERI L HTICAI LIFT CONRESPON US TO APPROVED LANIS OYES ENO YES NO COMMENTS: PEHMANE TMARKERSJOBSERVATION WELLSF PROPERTY : BUILDING. IFEET FROM LINE - ___FELL ❑ YES L:1 NO ❑ YES ❑ NO 1(INEAREST- Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE DILHR SBD 6710 (R. 01/82) DEPARTMENT OF APPLICATION £ SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/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. Proper Owner: Maili dress: Pro erty oc tion: Cie or Township: y _ County: t/4 '/4S iT Ni RIf 7- (or) W Lot Number: Blk o.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) i TYPE OF BUILDIN' Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): 1~ New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit ' _ ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Oted on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam/ f Plumber: Signature MP/MPRSW No.: Phone Number: Zi~ Plumb's Address: Name Designer: L 4,11; COUNTY/DEPARTMENT USE ONLY Signa 14 : ture of Issuing Agent: Fee 04 Date: ~j ❑ APPROVED JSanitary Permit Number: MVIM, C., ❑ DISAPPROVED Reason for Disapproval: Alternate course(s) of Action Available: I 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) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, y DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W1 3707 P.O. BOX 76 HUMAN RELATIONS LOCATION: SECTION: rTO W NSHIlpITY: LOT NO.:BLK. NO.: SUBDIVI ION NAME: 1/ NCR (or) W COUNTY- UW 91'S BU ER'S NA E: M LING ADDRESS: USE DATES OBSE VATIONS MADE [_V NO. BEDRMS.: COMMERCIAL DESCRIPTION: R D R esidence R TONS: 1PERCOLATION TESTS: New ❑ Replace] 71 RATING: S= Site suitable for system U= Site unsuitable for system IN-GROUND-PRESSURE: SYSTEM-] ILLHAF_] IQNG(T~ANK: RECOM ENDED YSTEM/lo Tonal) IMOCIOE[] W Z U 50S EA DcJ x~i~ J ICJ ~ J ICJ I f Percolation Tests are NOT required DESIGN RATE: SYSTE EL V. If any portion of the lot is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: " t PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, ANG GEF NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 13- /i t ° J Yr t _2 /14Z Z' Z 5 B- ~ ~ r 10 c l B r. I t k 7 p:. < < 13 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD/1 PERT 2 PERIOD-3 PER INCH p_ re - h 1 , i P- i 3 H P= P- } P- I 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. SYSTEM ELEVATION u Jar / ~..~X`•%.c,~GS .t3/xf 3 10 e. 3 . 87 C / l I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures mcchous sp c;ziau in the Viiscc:;;:i, Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME intl: TESTS WERE COMPLETED ON: ' ILI- ADD /J I CERTIFICATION NUMBER: PHONE NUMBER optional): C S NATURE ~ I DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03%8?- n / ~Jl✓/~,-~~ , ,x_31 ;1) U F>7 ~ ,EY' f 70~ ~?fip 96 r ~ i i