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Parcel 030-1078-80-115 05/22/2007 04:40 PM
PAGE 1 OF 1
Alt. Parcel 28.30.19.280D-10 030 - TOWN OF SAINT JOSEPH
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 - JOHNSON, DONALD C
DONALD C JOHNSON C - BROWN SUSAN E
BROWN SUSAN E
545 HOMESTEAD
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 545 HOMESTEAD TR
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 8.000 Plat: N/A-NOT AVAILABLE
SEC 28 T30N R1 9W A PARCEL OF PROPERTY Block/Condo Bldg:
LOCATED IN PART OF THE NW 1/4 OF SEC 28
DESC AS LOT 1 CSM 6/1603 ALSO COM N1/4 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
COR SEC 28;TH N 88 DEG W 1155.18'POB;TH 28-30N-19W
S 00 DEG W 633.09';TH S 87 DEG W 16';TH
N 02 DEG E 934.17' POB
Notes: Parcel History:
Date Doc # Vol/Page Type
10/24/2000 632355 1553/273 W D
09/08/2000 629593 1541/345 AFF
07/23/1997 790/145
07/23/1997 725/510
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/08/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 8.000 119,100 157,600 276,700 NO
Totals for 2007:
General Property 8.000 119,100 157,600 276,700
Woodland 0.000 0 0
Totals for 2006:
General Property 8.000 119,100 157,600 276,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 134
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisconsin Department of Healt .sal Services
Plt,, #67 3/70 Division of Health
SEPTIC TANK PERMIT APPLICATION
TYPE or USE BL.~CK INK
A. CWNER OF PROPERTY
Name Address (Street, City, Zip Coda)) ,
f'
B. LGCATION OF PRO?ERTY W.-:!M SYSTEM WILL BE CONSTRUCTED, ALTERS: OR EXTENDED COUN?1'
Check One:
ITY VILLAGE LEGAL DESCRIPTICN
TO'+dNSHIP ~f' V O S f'p 1 ~ c/C-'c: r ~ J IY~ E - N, YU, //~L
r
C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? YES NO PERMIT NTZBER
D. SEPTIC TANK CAPACITY e9 O Gallons NEW INSTALLATION V REPLACFNIEh'T ADDITION
MATERIALS: Prefab Concrete Poured in Place Steel Other
NUV5FR OF TANKS TO BE INSTALLED:
E. TYPE OF OCCUPANCY
Cheek One: One or Two Family Residence V Commercial Industrial Other
(Specify)
Number of Persons to be Accommodated ? Number of Bedrooms
F. APPLIANLI.S, ETC: Food Waste Grinder YES 1' ~No Automatic Clothes Washer ✓ YES NO
Dis! rasher YES NO Automatic Potato Peeler YES ;/NO
Other (Specify) G. Nu1STER PLlii-1ER kUCKING INSTALLA
Name: C'l~ftiiT T Address= ~cf Ceti w' L G L/~ S Lioense Numbers
Signature of Applicant: 7~' r°< c= °r r~__; MP RStd
Address: C::~ ~-C" r% C7, ,5 e- - S
H. (To be Completed by Issuing Agent)
Date of Application - - / Fee Paid
Permit Issued (date):j/ Permit Number
Agent (Name) Fors
Town., Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above questions are answered and the
fee paid. Agents will forward application, the fee of $l.OU for each septic tanK and the third copy
of the permit (canary) to the Division of Health. Checks and money orders should be made payable to
the Division of Health.
Do not write in space below - FOR DEPARTMENT USE ONLY
I. DATE RECEIVED f A - ' -70 ACCEPTED BY < 1/1
RETURNED _
(Initials) (Date) See Corres.)
FEE RECEIVED VALID. No. -7 -7 c PERMIT NO. .4-571 .1 ql
es or Nor-
REVIEWED BY APPROVED DAT$
(Initials) Yes or No
COMPLETE OTHER SIDE
SEPTIC TANK PERMIT NO.
R Y P 0 R T O N S O I L P E R C O L A T I O N T E S T
A N D S O I L B O R I N G S
TO
DIVISION OF HEALTH - PLLMI.NG SKCTI(~I
P.O.Box 309, Madison, Wis. 5:5701
Pursu cat to H 62.20, Wis. Administrativo Code
P L R C 0 L A T I 0 N T E S T
Teat =ha haracter oP So11 Hours Water Test TirDro~in kater Level IneiNutsber iakne3s in Inches Since Hole in Hole Interval Second to Next
to Last To Fall
1st Watted Ovorni t in Minutes Last Period Last Period Period sae, Inch
Example
P - 0 361, Tom Soil 1011 Cla- 25 yes or No 30 1 2 1 2 1 2 b0
I ,2~1
t ° O c~ Z
Z/4 Ale,
;-j /L
RECORD DATA FROM MINIMUM OF 3 TEST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S 0 I L_ B O R I N G S- Minir--::s 361r Balm Pro osed Absorption Syst^,:r
Boring Total Depth Ruth to Ground S~3ter Depth to Bodroc'.•s
Number Ine:130 Co3erved Estir:ated Cbserved Esti-3ted Character of Soil with Thio!~aess in Inches
Example
B - 0 721t 7212 Black Too Soil (1~2'; Clay 18";6Sand 18". Gravel 2411,
REZOt`?D DATA FROM MINIM1,N- OF 3 ROTC, HOI.^~ V
YP€ OF OCCUPANCY:
Rr.SIDENC,: Number of Bedroaris ~ OTHER: (Specify) Number of Persons
FOOD WASTE GRIND: Yes No V Dislwashar: Yes No Automatic Clothes Washer: Yes ~No~ -
EFFLUENT DISPOSAL SYSTEM: NEW ~ EXTENSION ADDITION REPLAC&'V-ST
1,~ h ~r !
Tile Size ~.L...... No.Lin.Feet Trench Width_ Depth Number of Lines
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pit: Inside Diameter 'Liquid Depth
I, the undersigned, hereby aertify that the percolation tests reported on this fora were made by me or under my super-
vision in accord with the procedures and method specified in Chapter H '32.20 (13), Wisconsin Adiainistrative Coca, and
that the data recorded and locatio test holes are correct to the best of my knowledge and belief.
NAME l YG, ~E' T / e L Cf t TITLE
Type or Print
REGISTRATION NO. or MASTER PLUMBER LICENSE NO. 5T7
r✓ W S
ADDRESS p^ f~ L q( Li
DATE 7 C) S IGNA'fURS
03d- j07P-~-1/~
f"~
4z,
~2-qS
A VO.-~ ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
n n u r a "`"6 ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016-7710
(715) 386-4680
December 8, 1995
b'3b /OW-
Landmark Bank 7r- 3o /j, I -M , '0
P.O. BOX 808
Hudson, Wisconsin 54016
ATTN: Karen Ostby
RE: Water Results for Residence Located at
545 Homestead Trail, Somerset, Wisconsin
Dear Ms. Ostby:
Enclosed is the original test results from Commercial Testing
Laboratory, Inc. for water inspection of the above property. If
you have any questions regarding these results, please do not
hesitate in contacting our office.
Sincerely,
TlMary J. Jenkins
Assistant Zoning Administrator
mz
Enclosure
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730 C Aw ~4j
715-962-3121
800-962-5227
FAX - 715-962-4030
ttu X L z i Uv, l h hEPUk i jH' E; 12104,, 95
CARMICHAEL ROAD DATE RECEIVED: 11/30/95
!ION, OJT 54016
.E`ER: David Nestrud
:ATION: 545 Homestead Trail. 50mer~e4
LLECTOR: ?4. Jenkins
r: a O
iE COLLECTED: 11-29-45
t~
;-iE COLLECTED: 2:30pm
SCE OF SAWLE: Outside fauc2x
'E ANALYZED:11-30-95
ANALY'ZED' 2:OOpa, {
.IFORM,MFCC: 0 /100 M~
?N: P~acteriolu=~ <<ai.; ;~n~~:
4.0 ppe
10 ppm exceeds the
-.L' i n•~ tai?+.z; r+
PROFESSIONAL LABORATORY SERVICES SINCE 1952
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
nrxupuru■ -
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
- Hudson, WI 54016-7710
(715) 386-4680
November 30, 1995
Landmark Bank
P. O. Box 808
Hudson, WI 54016
Attn: Karen
Dear Karen:
On November 29, 1995 an inspection of the septic system on the
David Nestrud property, located at 545 Homestead Trail, was
conducted. A water sample was also collected, and forwarded to the
laboratory for testing. When the results are received, you will be
notified.
At the time of the inspection, the sanitary septic system appeared
to be functioning properly. The inspection of this sewage disposal
system was based on a surface inspection, 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 or this system may be
dependent upon proper maintenance of the system.
Should you have any questions, please contact this office.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
cc: File
~ROIX COUNTY
WISCONSIN
ZONING OFFICE
I N o n 11 Ina
ST. CROIX COUNTY GOV T ER
1101 Carm'
n ~z-- _ ' Hudson, 6-7 10
(715) -468
SEPTIC INSPECTION / WATER TEST REQUEST N
Please specify desired test(s) & remit appropri #s`' wit
application. Outside water lines are often turne /O'ff dUt'
winter months, making access to the home necessary. F.28$ecTl
arrangements with this office to insure that entry can be ga`
❑ Water (VOC's) $185.00 Septic 5"" $50.00
Water (Nitrate & Bacteria) ;(.~Cl 45.00 ❑ Nitrate & Bacteria
retest $15.00
Owner: ~ L~ ul c~ Requested by: IIXItic(;v,grk b(m_~ cZ n ir~~r.
Address: 5-q5 I Address: j). C), fits 2~o X
rvLer,-f t W', ZIP'WoI L Cll~m , k? I ZIP 1
Telephone N°: (CIS) L,,) _3c) Telephone N4: ( 3~~-
-trn
Property addre~s (Fire N4 & Street) : 59-T
Location: Sec. T 30 N, R (J W, Town of .
-14
71 ~ t I(cf13 oc~. -1166770
Realty ~ firm: v Lock Box Combo: Closin Date: a - N V ;721 99.5-._
NoU, .3c, l9 j ~ -
TO BE COMPLETED BY PROPERTY OWNER
*PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS
Water sample tap location:
Is the dwelling currently occupied? Yes ❑ No
If vacant, date last occupied:
Age of septic system: ~y '
Septic tank last pumped by:i Date:
Previous Owner's Name(s):
Have any of the following been observed?
❑Y RIN Slow drainage from house.
❑Y 314 Sewage Back-up into dwelling.
❑Y RN Sewage discharge to ground surface or road ditch.
❑Y PN Foul odors.
Other comments relative to system operation:
I certify that the above information is complete and true to the
best of my knowledge.
OWNERS SIGNATURE: DATE:
1/94
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
IN -
I
I
l
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? []Yes ❑No
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: []Below grd ❑At-Grd []Mound
Approx. size 'X []Gravity []Dose []Pressurized
Ft.' []Bed []Trench []Dry We--.
[]Holding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES []Other []Unknown
Septic tank
Setbacks: []House []Well []Prop. line []Other
Dose tank
Setbacks: []House []Well []Prop. line []Other
[]Locking cover []Warning label []Pump/Floats
[]Alarm []Elec. wiring
Soil Absorption System
Setbacks: []House []Well []Prop. line []Other
❑Ponding: []Discharge:
General comments:
INSPECTORS SKETCH OF SYSTEM LOCATION
N
Inspector
Title
' EAST ~
PART STS JOSEPH T 29 - 30N:-R. 19 W.
= SEE PAGE 5,9
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LINDQUIST MOTORS THE IVY SHOP
303 S. Main St. - River Falls, Wis. 122 S. Main - River Falls, Wis.
GERALD JENSEN - PUREBRED JERSEYS TOWNE SHOPPE
Rt. 2 - River Falls, Wis. 54022 126 S. rAain St. - River Falls, Wis.
THE BOOK SHOP VANDA'S JEWELRY
220 S. Main St. - River Falls, Wis. 115 S. Main St. - River Falls, Wis.