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Parcel 032-2027-95-070 08/01/2006 10:31 AM
PAGE 1 OF 1
Alt. Parcel 7.30.19.570C-30 032 - 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
NATHANIEL P & JUDITH I LANGFORD O - LANGFORD, NATHANIEL P & JUDITH 1
330 165TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 330 165TH AVE
SC 5432 SOMERSET
SP 1700 WITC /
-7 -7
z ~1 cos
Legal Description: Acres: 0 000 Plat: 4529-CSM 17-4529 032-03
SEC 7 T30N R19W PT SE NW CSM 17-4529 LOT Block/Condo Bldg: LOT 02
2 10.621AC) ALSO COM W 1/4 COR SEC 7;
H S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
862.31'; TH N 09 DEG E 360.97' TO POB; 07-30N-19W SE NW
TH N 09 DEG E 33.04'; TH N 26 DEG W
103.35'; TH N 03 DEG E 74.47';TH N 86
more...
Notes: ~Z C( Parcel History:
V, r/"[ tov Date Doc # Vol/Page Type
d 05/29/2003 723554 17/4529 CSM
03/27/2003 714679 2184/66 QC
QG 1) (b 7 6, - 9S 08/18/2000 628426 1535/402 MIS
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 48,000 119,000 167,000 NO
PRODUCTIVE FORST LANDS G6 10.320 41,300 0 41,300 NO
Totals for 2006:
General Property 13.320 89,300 119,000 208,300
Woodland 0.000 0 0
Totals for 2005:
General Property 13.320 89,300 119,000 208,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M 136
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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Wisconsin Dep rtmant of Health juid Social Sorvices
Plb.,,, J,'67 3 70 Division of Health
SEPTIC TANK PERMIT APPLICATI014
TYPE ON USE Bt r ii ZNi b ! 1(l ~~Id 1 l/Z T
A. CW14ER OF PROPMc"Lff n^^
Name vv' l r~ Address (5,troet, City, Zip C0,13)
B. LOCATION OF PRO?ERTY W,-,:RE' SYSM WILL BE CONSTRUCTEDA ALTERED OR EXTENDED COU717Y
Check One;
CITY VILLAGE LEGAL DESCRIPTION
TO'rdIISHIP
C. IS LOCAL PERMIT REQUIRED FOR THIS WORK? YES NO PERMIT NUMBER
D. SEPTIC TANK CAPACITY 'ry, Gallons NEW INSTALLATION REPLAC-~'-h"f ADDITION'
t
MAITRIALS: Prefab Concrete X Poured in Place Steel Other
NUMBER OF TA?.`KS TO BE INSTALLED:
E. TYPE OF OCCUPANCY
Check One; One or Two Family Residence Commercial Industrial other
Specify)
Number of Persons to be Accommodated 3 Number of Bedrooms S
F. APPL10::ES, ETC: Food Waste Grinder YES NO Automatic Clot.,es Washer ~X YES NO
Dishwasher YES NO Automatio Potato Peeler YES~r NO
Other (Specify)
G. MASTER PI;jk1BER MAKING NSTALLATION
I
Name, Addressi License Number:
r
Signature of Applicant:• ~ ~2~ MP RSW ] ~Address:
J
be Com feted by Issuing Agent)
Date of Application ~i' Fee Paid
i
Permit Issued (date) Permit Number
Agent (Name) For:
Town, Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above ei;estiors are answered and the
fee paid. Agents wil' forward application, the fee of $1.00 'or each septic tanx 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
1. DATE RECEIVED ACCEPTED BY RETURNED
(Initials) (Date) See C rres.)
FEE RECEIVED VALID. No. PERt1IT N0.
REVIEWED BY APPROVED DATE
(Initials) Yes or No
COMPLETE OTTER SIDE
* . SEPTIC TANK PERMIT NO. /
R E P O R T O N S O I L P Y R C 0 L A T I 0 N T E S T
A N D S 0 I L B O R I N G S
TO
DIYISIC d OF 11KALTH - PLU-IBING SNCTI6H
P.O.BoA :$09, I!a4iaon, kris. 53701
Purcuant to It 62„20, Wis. Administrativo Code
P B R C O L A T I O N T E S T
Test Depth C4~ raptor of Soil Hours Water Teat Timo Drop in k,atcr Levek Irn! mutes
Number Inohas Thioaioss in Inohos Since Hole in Holo Interval Second to Next to Last To Fall
1st Wotted_ Overnight, in Minutes Last Period hns_'PPeriod Period One Inch
Example
P - 0 36" To Soil 10" Cla 26" 25 Yes or No 30 1 2 1/2 1 2 60
RECORD DATA FRO:I MINIMUM OF 3 TEST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code.
S O I L B O R I N G S- Minim m 36" Bel" Pro.osed Absorption S t€:s
Boring Total Depth Depth to Ground Water D-opth to Bedrock
N=ber Inches C3served Istir3tad Obse:vcd Esti_nated Character or Soil with Thiolness in Inches
Exa ple
B - 0 72" 72" Back Top Soii 125; Clay 18": Sand 18"• Gravel 2411
RECORD DATA FROM MINDIUM OF 3 BORE HOL
TYPE OF OCCUPANCY:
RESID-"CEs Number of Bedroo+ss _ OTHER: (Speoify) Number of Persons
FOOD WASTE GP.LYDERs Yes No Dishnashevt Yes No ~ Automatic Clothes Washer: Yes X No
EFFLUENT DISPOSAL SYSTEM: NEW EXTENSION ADDITION REPLACEMENT
Tilo Size No.Lin.F^et C)D Trench Width Depth s Number of Lines
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pit: Inside Diameter Liquid Depth
1, the undersig,:ed, hereby certify that the percolation tests reported on this fora were made by me or under my super-
vision in accord with the proced•res and method speoified in Chapter H F2.20 (13), Wisoonsin Administrative Co-':, and
that the data recorded and location of test holes are correct to the best of any knowledge and belief.
NAME i11 , r a TITLE ! 1 ~J ;✓i t/ )-v
Type or Print
REGISTRATION NO. or MASTER PLUMBER LICENSE NO.
ADDRESS
DATE % 1 SIGNATURE: