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Parcel 032-1070-95-000 03/23/2007 03:32 PM
PAGE 1 OF 1
Alt. Parcel 25.31.19.3461 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 - WILLIAMS, WILLIAM M
WILLIAM M WILLIAMS
748 190TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 748 190TH AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 7.430 Plat: N/A-NOT AVAILABLE
SEC 25 T31 N R1 9W 7.43A SE SW LOT 1 CSM Block/Condo Bldg:
VOL 3/810
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-31N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 720/402
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 7.430 70,100 135,500 205,600 NO
Totals for 2007:
General Property 7.430 70,100 135,500 205,600
Woodland 0.000 0 0
Totals for 2006:
General Property 7.430 70,100 135,500 205,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 304
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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4PPROVED C E RT I FIE[ SURVEY
AY 17 9?9 P1*912 T OF 7--HE S. rZ a r/ S* 501 %v DF,
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APPROVAL OF THIS MINOR SUBDIVISION 'x•04 s o•r 191
DOES NOT d+ 84 C'0411 rr
MEAN APPROVAL FOR °
~Go/t ~
3UILDING SITE OR SEPTIC SYSTEM, DESCRIPTION
REFER TO H62.20.
Part-of the Sj,of the SWJ, Section 25, Township 31 North, rt
Range 19 west, Town of Somerset, St. Croix County Wisconsin
described as follows:
Commencing gat the Southwest corner of said Section 25;
Thence S 890 30' E 2081.80 feet to a point; Thence N 00 30'E
33.00 feet to a point and this being the point of beginning
of this survey; Thence continuing N Oo 30' E 593.10 feet
to a point Thence S 87° 40' E 546.05 feet to a point
Thence S 0 30' W 593.10 feet to a point; Thence N 87L 401W
546.05 feet to the point of beginning. This parcel of land
contains 7.4348 acres more or less excluding land released
for highway right-of-way-purposes.
SURgYOR'S CERTIFICATE,
Is Richard D. Booth, being a duly
hereby certify that by order of anduunder ethe direction oof
L.W. Brown,, I have surveyed and mapped the property described.
The plat shown on the-sheet is a 'rue and correct representation
of the exterior boundaries of the land surveyed and-that I
have complied with the provisions of Chapter.,,236.34 of the
Wisconsin Statutes to the best of my knowledge and belief.
ON gs
RICHARD D. chard Booth
BOOTH Registered Land Surveyor
CLEAR LAKE,WIS.fi Clear Lake, Wisconsin
April 20, 1979
64.0 0
I w o~~ Volume 3 Page 810
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OWNER I7, f r.~CC TOWNSHIP SEC. T N-R W
ADDRESS S'C,, fR=~. QJ~' ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION %'du rvi jCL1 , LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
EO--W-EvVERYTHING WITHIN 100 FEET OF SYSTEM
1
L L i
I di a e No thI Arrow
SC L - _
BENCHMARK: (Permanent reference Point) Describe: /d~D UT ~jq~e , `rf- lt,
Elevation of vertical reference point: 1,0e )l Slope at site:
SEPTIC TANK: Manufacturer : Ems- a Liquid Capacity: 1?-60
Number of rings on cover t-~ Tank manhole cover elevation:
Tank Inlet Elevation: 96 r Tank Outlet Elevation:
PUMP CHAMBER
Manufacturer:' Number of gallons
Number of gal. pump set or a cycle gallons; total capacity o
distribution lines gallon: size o pump head;
gallon per minute horsepower ran name of pump
and model number ;
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning de-V4 ce
SEEPAGE PIT SIZE: Number o pits feet diameter
feet liquid dept seepage pit in et pipe-elevation
bottom of seepage pit e evation feet.
SEEPAGE BED SIZE: number of lines wi th length(61/'tile depth
SEEPAGE TRENCH: width length
PERCOLATION RATE REA REQUIRED 1: d~2ffL REA AS BUILT
INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBERZ_ Z
3,0 0 3-1
KIPOU 01 INS11ICTION - INDIVIDUAL SIWAGL SYS IIM
S a vI i t a ~I I/ I' r~I in
< t -
Stat Sept
~6D
4/Z C~Iu i x Cuun llj
1 ~rl t t nvr S~c t,i r,n0y~Lu t Subdc~ viA i on
I P1 I(' TANK
q(Iefonb Nurrnbe~I ah compait trnentA
1 f(kicc A torn: We fe 7 d o
If t gPI wa to ~I
a
I'IIMPING CHAMIiI R
r c yaeilovI6 I'Iirn1_ 'ManuA-v.to it l"I Mo(h,4' Nilmb 'i
Ill IN(; 1 ANK
afe Y16 Number oA Cofn t:>cchtrnenlA
r
I',Impe~I A.e.anm Sgst n
fiance Anum Ulekh Buie.d~ n 120 /sfope
Hi it waton
11ITION SITE
l,rl TIt enc~It
(VePk
burn: Ru4' 4'il-i.vty yIo 6YupP
H4' gh.wa to n
ION SITE DIML NS IONS
w~ 41 t' it uA thnncit
v1 ~jt Rv quc nv d an.ea
I cii,Illl I, each tine <l~ ht Depth ono cft bePow t~.l'e In
Nurri1)c o Y4"ueA
DEpth a~ hoch uveIt tlYe (n
to la k Y -evngth o ~ ~~.vleA c ~j,t Depth o~ tl.Qe bekow q~cade
04 A tavrcc be two en ki neA {fit -~kope a theneit tvi . poll 100 Al
l utal' ab6oAp-t4-on area ~ f t" Type uh Cove-n ~pay,c>>r~ ~r A trr(A w
I 1 1) 1 M( NS I ONE
Numhe"I o() p.it,5 GhaveP around yeA nu
0u to I.1e dh( arne_ten _ A
~ t tJ ep . t h b ek ow i VI e o t I~
I u tae abAo~Ip-ti,on a 1Iea -
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Al'1'ROVI D 19
DA EL
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I'I AS(1N 1 Old--i~N
Ul,
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 SOI L BORINGS AND PERCOLATION TESTS
LOCATION: Sect T41\1, R If (or) W, Township or Municipality_ t .,-X&Zc fir
Lot No. , Block No. , CAtil`~ Count & r- o
> Subdivision Name y
Owner's Name:r~._.
Mailing Address: ~4~
TYPE OF OCCUPANCY: Residence - 141- No. of Bedrooms j Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS- PERCOLATION TESTS
SOI L MAP SHEET
45, SO I L TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM-INCHES THICKNESS SINCE HOLE HOLE AFTER INTERVAL RATr
BER IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
MIN/IN
~P-
Z e_
IP_ Y
30
P
7
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)
i_
2 76, f
96 --C4
c n G
-AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
oicate on the plan the location and square feet f suitable areas. Indicate number of square feet of absorption area
eded for building type and occupancy. ~40.-V Indicate scale
- or distances. Give horizontal and vertical reference' points. In Icate slope.
I
6
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 location of test holes are correct
to the best of my knowledge and a f.
Name (print) ) ~ j C_ V' ~ I- _ S_
Certification No.
Address G V, C S C
Name of installer if known
CST Signature
PLB,67 ty State and County State Permit #
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:
4CC I'
B. LOCATION: 67- % _'&LJ % Section ZZ, Tts_"/ N, R (or) W Lot# City
Subdivision Name, <~'~G~~=►~ 4eu nearest road, lake or landmark Blk# Village
S ` ~1 LL~yc'_.r ~zC`f caw 25 Township Z&Lu e rSZ_
C. TYPE OF OCCUP/ANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons_
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete- i Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber "L Total gallons Prefab concrete Poured-in-Place - O her (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate ~~~y~ Total Absorb Area sq. ft.
New ✓ Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:_LLength S` -Width 1 Depth sz Tile depth (top)es of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
e7 /
Percent slope of land /0 Z n Distance from critical slope 7' 20
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 T ter,
NAME /~3rt,. u) H rte C.S.T. # -5 3/ and other information
obtained from , lr= -L.0 builder).
Plumber's Signature -"MPRSW# s 2 Phone # 7t5 --56-S Plumber's Address e,,/ 24 Rf n c~ yµ gjZ4 -22-4
PLAN VIEW: 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 Count , 0-0 Da
Permit Issued/Qefesud (date) ,6 Issuing Agent Nam
Inspection Yes4_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
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