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Parcel 181-1025-50-000 11/20/2006 11:07 AM
PAGE 1 OF 1
Alt. Parcel M 3.30.19.91 F 181 - VILLAGE 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 - KOHLER, RICHARD D & DEBRA
RICHARD D & DEBRA KOHLER
470 FOREST DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 470 FOREST DR
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 3 T30N R1 9W 2A IN OL 91 LOT 1 CSM Block/Condo Bldg:
VOL 3/676 VIL SOMERSET
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-30N-19W
Notes: Parcel History:
Date Doc 0 Val/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 42,000 148,600 190,600 NO 05
Totals for 2006:
General Property 0.000 42,000 148,600 190,600
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 42,000 106,800 148,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 201
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
R SEC. T ; N R
ADDRESS TOS•iN$HIP -
~~~+d'1 ST. CROIn COUNTY, WISCONSIN.
is IVISION
LOT LOT SIZE • V l ~t~Uvi~~'~11
PLA11 VIEW r Yu
Distances & dimensions to meet requirements of H62.20 Tj' , )z- Div
SHOW EVERYTHING WITHIN 100 FEET OF SYSTE?f
1 - f- : 1- - - - -
T_ 4-
l
i
i
TIC TATiK(S) _ MFGR Indicate Fdan,U] AAA M
STEEL
CONCRETE S ca ~e
NO. of rings on cover Depth DRY WELL
INCHES NO. of width - length .area
no. Of lines width ~-I ' length - area
a~ ~y
depth to top of pipe
P ATE _ AREA REQUIRE D j AREA AS BUILT
;ciaimer: The inspection of this system by St. Croix County does not imply complete
.I:)Iiance with State Administrative Codes. There are other areas that it is not possible
inFpeet at this point of construction. St. Croix County assumes no liability for
.stem operation. However, if failure is noted the County will make every effort tv
~rr,.ine cause of failure.
'LASES AND OILS SHO'JLD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTO'R--`----..._
DATED ' P11 MER ON
JOB,
LICENSE NU2L3ER A-Z
-COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 CM w
CROIX COUNTY REPORT DATE! 2/28
3URTHOUSE
M~~aN= WZ gar
J
;~aTIONt , 5,- Vill
470 Sum
iLLECTORi M. Jenkii,
E COLLECTED1 2-25-'
JE COLLECTED: 2.30pm
:RCE OF SAMPLE+ Kitchen faucet
CE ANALYZED42-26-92
iE ANALYZED 4
.!FORM*. 0 /100 ml
IERPRETATIONS Bacteriologically
1 ppm
10 ppm exceeds the recommended Public
nking Water Standard.
12
/ 5 GOON F~~,E A.
Cp
=ti.iitlTl:r~~tt am
.OF,~NDECEAI te f 9
WI 4pproved Lab No. 19
o
v >
Z O
6 SA Means "LESS THAN" .IE
o PROFESSIONAL LABORATORY SERVICES SINCE 1952
d -1d _q O'~ 37
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
ry Telephone - (715)386-4680
I"~e St. Croix County Zoning office offers the service of septic
L) Viand water inspections to Lending Institutions, Realty Firms, and
I private individuals.
Completion of this form is essential so that the property can be
located.
1 .
U Nv~ Please provide the following information enclose a
fee made Payable t appropriate
to St. Croix 10unty Zoning Office, and mail,
along with form to the above address. Testing will be done as
w
soon as possible after fee and form are received.
WATER TESTING-------------------- --FEE: $ 25.00 xxx
(For nitrates and coliform bacteria)
WATER TESTING FEE: $127.00
(For VOC'S)
SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 xxx
(Determines if system is properly functioning at time of
inspection) _
tft
Property owner's name Richard D and De r S. Kohler 2417-)
Property owner's address 4 `Sunr 7f)ive, Somerset, WI 54025
Legal Description SE 1/4 of the Nw 1/4 of Section 3 T 3o N-R 19
Town of Lot Number Subdivision Name
FIRE NUMBER 407 LOCK BOX NUMBER f~/ _ /G 4~?,S ~ U l"~~
Color of house Realty sign by house? If so, list fir :
_ PLEASE CONTACT DEBRA AT WORK FOR APPOINTMENT - WORK TELEPHONE NUMBER (612) 439-5775
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 Dixon, P.O. Box 220, Somerset,
_ WI 54025
Closing date ASAP
Signature
Parcel 181-1025-10-000 10/15/2009 03:54 PM
PAGE 1 OF 1
Alt. Parcel 03.30.19.91 C1 181 - VILLAGE 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 - DEMULLING, LORI A
LORI A DEMULLING C - ANEZ LORI
ANEZ LORI
407 SUNRISE DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 407 SUNRISE DR
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 0321-CSM 02-0321
SEC 3 T30N R19W PT OL 91 LOT 3 OF CSM Block/Condo Bldg:
VOL 2/321 VIL SOMERSET
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-30N-19W
Notes: Parcel History:
KEPT LORI ANEZ ON AS CO-OWNER AS THERE Date Doc # Vol/Page Type
IS NO DEED CHANGING NAMES 01/04/08 SMC 12/27/2007 866248 QC
LORI CAME IN TODAY 5/19/08 AND IS OK 03/04/1999 598787 1408/109 WD
WITH BOTH NAMES ON UNTIL SHE WANTS TO
CHANGE OR SELL
2009 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 34,500 121,700 156,200 NO
Totals for 2009:
General Property 0.000 34,500 121,700 156,200
Woodland 0.000 0 0
Totals for 2008:
General Property 0.000 34,500 121,700 156,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 526
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
10-15-09
Outlot discussion with Kevin Grabau, Dave Fodroczi and Alex
Blackburn.
Using a CSM to create and record an outlot is permitted. Our
ordinance does not prohibit the creation of a stand alone outlot.
Renee Powers from plat review was contacted and there is no
problem with doing this and being compliant with Chapter 236.
r,.
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
L ' 'y 911 FOURTH STREET • HUDSON, WI 54016
IM`
- (715) 386-4680 i
Feb. 26, 1992
Kristen Dixon
Bank of Somerset
P.O. Box 220
Somerset, WI 54025
Dear Ms. Dixon:
An inspection of the septic system on the property of Richard &
Debra Kohler, located at 470 Sunrise Dr., Somerset, WI was
conducted on Feb. 25, 1992. 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.
Si cerely,
14
l,mr-,- J
1XI en ' ns
Assistant Zoning Administrator
cj
z `
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
S a r2.i.t a,,Ly P e tc m.i"t
State Septic-
NAME X6~~~ owndhi p -St. Croix County {
Location16elSec"tion
SEPTIC TANK
I
size gattons. Number o6 Compatttments i
D.ustance FtLom: WeZZ 120 otc gtceaten zZope St
Bu.iXd"ing 6t. Wettands ~ .
H.ighwa.tett 6x.
DISPOSAL SYSTEM
D.i.btance Faom: WeU S 12% o& gtteaten zZope 4t.
Buti2d,ing 6t. W et.Landts Ft.
HighwatvL 6t.
FIELD DIMENSIONS:
W id h aS thench 6Z. Depth o6 hock below tite in.
Length a4 each tine '7 6t. Depth o6 hock avert ti.Le .in.
Numbest of tines Depth o6 tiZe below gtLade_ .in.
Totat .length o6 Z ine.5 6t. S.Lo pe o6 tttench in pen 100 6t.
Distance between Una Sx. Depth to b edno ck
" _ 6t2 Depth to gt,aundwatenl
Total abzonbtx.on aAea
2 - ~
Requ.itted atLea 6t Type o~ Covert: PapvL o.t~ Stttaw
PIT DIMENSIONS:
Numbett o6 pit-6 Gttavet astound pit.6 yes no
r
Outside d.iametett Depth below inlet It.
2
Tota.E abzottbti n aXea St A
Attea ttequiAed 6 m
INSPECTED BY TITLE
APPROVED DATE 197
REJECTED DATE 197.
t
1 r ~
EH 11 5 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
6V
LOCATION: '/4, Section . T_2 N,R 0
3
.~q (or) W, Township or Municipality
Lot No. , Block No. County - r
ub ivision ame
Owner's/Buyers Name: :f /x',15 4 Al
RT~ IX
•
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW_REP CEMENT ALTERNATE SYSTEM -OTHER
OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS - PERCOLATION TESTS :2/_ -2 ,S
SOIL MAP SHEETNAME OF SOIL MAP UNIT CAerF }g22, } l> ;,1JQ11
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
F _2 JS
~P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B
B- -6 2 4,51 6-6
?
B- 4~6 r) 7-S L
J / 7
B- `fir S~ - /S
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the I.graation and square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy 14Z •c .Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
SC,14
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I, the undersigend, 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 belief.
Name (print) 4~14 A. 1,
Certification No. -
Address
Name of installer if known
Copy A - Local Authority CST Signature
v
3
✓61. /~-7 6
2 2, 2,F1
State Permit #
PLB, 6 7 State and County
.a Permit Application County Per ft
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. PNER OF PROPERTY Mailing Address:
B. LOCATION: T_'/i n (A,1%, Section , TIDN, R / E (or) W Lot City
Subdivision Name, nearest road, lake or landmark Blk# Villagl9..f-,-.Spit
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 7 No. of Persons
D. SEPTIC TANK CAPACITY XQ00 Total gallons No. of tanks
HOLDING TANK C PACITY_ Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLU NT DISPOSAL SYSTEM: Percolation Rated Total Absorb Area ~ sq. ft.
Nev Replacement Alternate (Specify)
Seepage Trench No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length Width 122 Depth _Tile depth (top) -No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Privat 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 rtifi Soil Tes r,
NAME Cr L//~i//~, p C.S.T. #and other information
obtained from (owner/ der).
XPlumber's Signature M MPRSW# r Phone #2`/6-57-/jS-
Plumber's Address iE3 K7,p L,_ K, lc..,
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 Spa Below FOR COUNTY AND STATE DEPARTMENT USE ONLY C17 L
Date of Application 6 Fees Paid: State Q Co t y D to
Permit Issued/ ( ate) - Issuing Agent Na
Inspection Yes No State Valid# Date Recd
1. county (whi 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
Parcel 181-1024-95-000 11/17/2006 02:44 PM
PAGE 1 OF 1
Alt. Parcel 3.30.19.91 B 181 - VILLAGE 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 - BURSCH, BRUCE G
BRUCE G BURSCH
440 SUNRISE DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 440 SUNRISE DR
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 0.842 Plat: 1599-CSM 06/1599
SEC 3 T30N R19W PT OL 91 LOT 1 CSM Block/Condo Bldg:
6/1599
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-30N-19W
I
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1223/157 QC
07/23/1997 834/229
07/23/1997 725/101
07/23/1997 725/100
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.842 39,000 129,400 168,400 NO 05
Totals for 2006:
General Property 0.842 39,000 129,400 168,400
Woodland 0.000 0 0
Totals for 2005:
General Property 0.842 39,000 89,900 128,900
Woodland 0.000 0 0
Lottery Credit: ry Claim Count: 1 Certification Date: Batch 130
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00