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Home My WebLink About032-1098-70-000 n N O II 3 m n d ~1 c O ° c C (D 3 3 - o W O CD O N 0 O N co C') L O V7 N • m 3 o m ro eo rti l O a z a y O Q CD j M O 3 CD W = N O O C 1 C Q1 y Sl) y 10. . C) 0 a -4 'D n O C07 N O~ CD Lrj O O o O C O D O N (n > 00 ir. A 0) O ~ lV I v (n ~ D a O y C G ~ y C W a a CD CL rn ( 00 ~ ° n O c (n 00 co N (DD Q z O O O ~i 0 0 0 .31 I T ~ j D `may O~ N m O G Drpn y c I G y I 3 m N Z 0 D v O D a J > C 0 o Ch N y CD N C CD (D W (D a a 3 5 _ CD (6 cn O O p 2 m y c 0 =3 p Z O CL O cn -A U) ou 'U (D (D CL , - z 0 3 0 IC y z < O A W Z) CO CD {Dy O. > > T N a C N C I co X CL Q OZ d (D O _a CD 0- C: (D O -p R CL - 0 CL 00 D7 W 7 O ~ S C CD O ~ O O OWO Z O O N CA to N CD r- "O (D O CL a O 7 A O (D DO O A O O v e O C O COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 C Aw 715-962-3121 800 - 962 - 5227 CkOIX COUNTY REPORT DATE: 9/20/91 .Ol1^R,T'HO'U/SE DATE RECETVED: 9/18/91. J~SCF N} WT 54111 f., v 14 )CATION: 568 Hay 35/64, Somerset 3LLECTORS M. Jenkins OURCE OF SAMPLES Outs i dE JLIFORMS 0 /100 NTERPRETATION: Bactei 1 PE, Above 1{ iEEi;~I• :Etv: [am Gar,E `~C) o` G C', cry ✓~QSte. V OF,\F1DEPFA/DF't'l O` ~P V D PROFESSIONAL LABORATORY SERVICES SINCE 1952 I Parcel 032-1098-70-000 12/08/2009 09:24 AM PAGE 1 OF 1 Alt. Parcel 35.31.19.459D 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - KERN, DONALD E DONALD E KERN 568 CTY RD V V SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ` 568 CTY RD V V SC 5432 SOMERSET SP 1700 WITC i i Legal Description: Acres: 3.410 Plat: N/A-NOT AVAILABLE SEC 35 T31N R1 9W PT SW SW DESC AS LOT 1 Block/Condo Bldg: CSM VOL 4/ 1110 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-31 N-19W Notes: Parcel History: Date Doc # Vol/Page Type 10/31/2000 632754 1555/156 WD 2009 SUMMARY Bill Fair Market Value: Assessed with: 930 239,600 Valuations: Last Changed: 11/03/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.410 50.000 151.100 201,100 NO Totals for 2009: General Property 3.410 50,000 151,100 201,100 Woodland 0.000 0 0 Totals for 2008: General Property 3.410 50,000 151,100 201,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 q ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 A~ 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 xxxx (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 xxxxx (Determines if system is properly functioning at time of inspection) Property owner's name Mark & Cynthia Jackson .p Property owner's address 568 Highway 35/64, Somerset, WI 54025 Legal Description SW 1/4 of the sw 1/4 of Section 35 , T--U-N-R 19 Town of Lot Number Subdivision Name cs/;? V / l FIRE NUMBER 568 LOCK BOX NUMBER Color of house BURGUNDY Realty sign by house? If so, list firm: 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 Wichelman P.O. Box 220, Somers t, WI 54025 Closing date Se tember 17 1241 Signature ~l Pil ST. CROIX COUNTY ' WISCONSIN mkl ° ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 19 19-Iff 19T 911 FOURTH STREET • HUDSON, WI 54016 ` - (715) 386-4680 Sept. 17, 1991 Kristen Wichelman Bank of Somerset P.O. Box 220 Somerset, WI 54025 Dear Ms. Wichelman: An inspection of the septic system on the property of Mark & Cynthia Jackson located at 568 Hwy. 35/64, Somerset, WI was conducted on Sept. 17, 1991. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back 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. 'n erely, Mar Jenkins Assistant Zoning Administrator cj Parcel 032-1098-70-000 11/22/2006 04:02 PM PAGE 1 OF 1 Alt. Parcel 35.31.19.459D 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 DONALD E KERN O - KERN, DONALD E 568 CTY RD V V SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 568 CTY RD V V SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.410 Plat: N/A-NOT AVAILABLE SEC 35 T31 N R1 9W PT SW SW DESC AS LOT 1 Block/Condo Bldg: CSM VOL 4/ 1110 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-31N-19W Notes: Parcel History: Date Doc# Vol/Page Type 10/31/2000 63275 1555/156 WD 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 3.410 50,000 151,100 201,100 NO Totals for 2006: General Property 3.410 50,000 151,100 201,100 Woodland 0.000 0 0 Totals for 2005: General Property 3.410 50,000 151,100 201,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-1098-60-000 11/22/2006 04:01 PM PAGE 1 OF 1 Alt. Parcel 35.31.19.459C 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 IDA H (LE) & DORENE L ZIEMER O - ZIEMER, IDA H (LE) & DORENE L 564CTYRDVV SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 564 CTY RD V V SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 35 T31N R19W 2A IN SW SW COM ON E LN Block/Condo Bldg: SW SW 1074.3'S OF NE COR TH WLY 544', SLY ALG FENCE 121.7' TO N LN RR R/W SELY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) ALG R/W TO HWY ELY ALG HWY TO E LN N TO 35-31N-19W POB Notes: Parcel History: Date Doc # Vol/Page Type 08/29/2001 655133 1708/621 QC 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 2.000 32,000 62,500 94,500 NO Totals for 2006: General Property 2.000 32,000 62,500 94,500 Woodland 0.000 0 0 Totals for 2005: General Property 2.000 32,000 62,500 94,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 107 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U3z- 70 AS BUILT SANITARY S--'STEM REPORT' ' ys Gj h OWNER TOWN: I i I P SEC 351T,_3LN-Rffi ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION Z111b LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 RHOW-EVFJiYTHING WITHIN 100 FEET OF SYSTEM 1 17 I di a e oath Arrow SC 17 - ~ r / BENCHMARK: (Permanent reference Point) Describe: -Y~ ,%,~n He!Rat Elevation of vertical reference point:,L /n-,6)` Slope at site: SEPTIC TANK: Manufacturer: T Liquid Capacity: ~ Number of rings on cover Thank manhole cover elevatiot-- ' Tank Inlet Elevation: Tank Outlet Elevation: ~'y " 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 ran 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: Number o ;pits feet diameter feet liquid dept seepage pit inlet pipe-elevation bottom of seepage pit t, evation_ feet. SEEPAGE BED SIZE: number of lines , i,.th _lerlgth, the depth SEEPAGE TRENCH: width len t1 PERCOLATION RATE_ REA REQUIRED REA AS BUILT _ INSPECTOR DATEDPLUMBER ON JOB LICENSE NUMBER/,, / I REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Permit C_~Qf State Septic NAME? e~~v/_IIVPTOWNSHIP_ St . Croix County a 1,0CA'TI:ON~ U~' ~f Section,2 Lot Subdivision I;- EPTIC TANK +l 1 Size' G= gallons Number of compartments Distance from: Well ` Building- 12% slope--_ PUMPING' CHAMBER Size gallons Pump Manufacturer Model Number HOLDING 'T'ANK Size--gallons Number of Compartments _ _ Pumper Alarm System Distance from: Well Building 12% slope Highwater ABSORPTION SITE Bed Trench Distance from: Well Building 's 12% slope Highwater `Y a ~ ABSORPTION SITE DIMENSIONS Width of trench . ft Requea ft. `o rock below the in. Length of each line ft Depth Number of lines Depth of rock over tile in. i Total length of lines _ ft Depth of tile below grade Distance between lines" ft Slope of trench in. per 100 ft. Total absortption area / ft Type of Cover: -J . - - - - PIT DIMENSIONS I Number of pits Gravel around pits yes no Outside diameter ft Depth below inlet ft Total absorption area ft Area required ft INSPE BY TI'TLE APPROVED DATE 198 REJECI'Ell DATE 198--. REASON FOR REJECTION 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'/Y 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. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailing Address: amwk > o Property Location: City, Village or Township: County: .SLk-Al- Sw'/4S ,?5 iT 31 N/R /7 E (or)e o r e.i 137'. Cro i Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: If assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedroom 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 000 x ) HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: FJt.~C L T P-1 EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA I (Minutes per inch): PROPOSED (Square feet): IX New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit 1 O 0 ❑ Alternative (specify) ❑ Seepage Trench , 67 Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): X Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility fo o em shown on the attached plans. Name of Plumber: /J Si re: MP/MPRSW No.: Phone Number: ,I CO we (.ifs) ~:j`! P er's Address: luName of Designer: : C.vi. G COUNTY/ DEPARTMENT USE ONLY Sig t re of Issuing gent: Fee: Date: ~i APPROVED SanitaryrPermit gNumber: ❑ DISAPPROVED d / eason for Disapproval: ► Alternate course(s) of Action Available: fI `I I r Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to i;1 stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Piumber DILHR-SBD-6398 (N.03/81) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS, INDUSTRY, c- DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS LOCATION: SECTION: TTOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: (,T /AV COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: c~ . ~ C C A/ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I ROFILE TONS: PERCOLATION TESTS: QResidenee XNew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL LDING TANK: RECOMMEN-D D SYSTEM:(optional) QS ❑u as ❑u IS ❑u oS ❑u aS ❑u - If Percolation Tests are NOT required DESIGN RATE: SYSTEM ELEV. If any portion of the lot is in the under s.H63.09(5) (b), indicate: Floodplain, indicate Floodplain elevation: 't ~r 7 PROFILE DESCRIPTIONS r, BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, OLOR, T ANb D7H NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. 9V-RACK.) , B B- C,/ _7 7 t 1 B- 4c 72 /5 Z, 2 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER OD PER INCH P- 14 P_.1 5 P- . "VL Al P- P- P- 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 J r 5 N p . Ice o i, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative 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 SI ATURE: j DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DI LHR-SB D-6395 (N. 03/81) Swy orf, e r 5 4ET L-/S C• S e 3S T31 N,14) 9 1V lD1 ' 12f Ho Usc -I L. Lrc rr , -l i /~7~C ~3y c o/ ti F F ,