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Parcel 032-1007-50-100 08/14/2006 11:12 AM
PAGE 1 OF 1
Alt. Parcel 3.31.19.45D 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 - ROETTGER, WILFRED A & SUZANNE M
WILFRED A & SUZANNE M ROETTGER
592 232ND AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 592 232ND AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 4.110 Plat: N/A-NOT AVAILABLE
SEC 3 T31 N R19W PT NE1/4 SE 1/4 LOT 1 Block/Condo Bldg:
CSM 6/1659 4.11 ACRES
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-31 N-1 9W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/08/2002 683615 1923/298 EZ
07/23/1997 746/455
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.110 53,500 94,400 147,900 NO
Totals for 2006:
General Property 4.110 53,500 94,400 147,900
Woodland 0.000 0 0
Totals for 2005:
General Property 4.110 53,500 94,400 147,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 125
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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662.511
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unplatted lands owned by others ('1
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bearings are referenced to the east line of the
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AS BUILT SANITARY SYSTEM !tEPORT
1. RADDRESS ~ ~ e L_ - y TOSINSHIP __SEC.__ 5 _ T L._td, R I
ST. CROIX COUNTY, WISCONSIN.
DDIVISION ~LOT yLOT SITE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
_ SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
7
1 ' 1
J-4
; Ir dicate North Arrow j
1 r I ALE . i
TIC TA2r'?;(S)_j- ?iFGR. nr', ,,ti CONCRETE STEEL
NO. of rings on cover_._~_._ Depth DRY WELL
wNCHES NO. of width _ length area
i no. of lines- > width- length- area,,
r-
depth to top of p ~ i e
G!~EGATE
W'
1TE..- AREA REQUIR?I?~~:LS AREA AS BUILT,I
17 ~UT
Sgiaimer: The inspection of this system by St. Croix County does not imply complete
=pliance with State Administrative Codes. There are other areas that it is not possible
inspect 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 to
'rmine cause of failure.
°ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
DATED
PLUMBER ON JOB 4
LICENSE NUM ER C ,51
z
. REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM
SantitatLy Penm.it
` State Septic
NAME township S'~'. Cko.ix County
• Location Section
SEPTIC TANK
Size gattonz. NumbeA OQo6 Compartments
Distance Etcom: WeZZ A)0 i.J, 6t. 12% on greaten zZope 6t
Buitding~-_6t. Wettands 6 .
H.ighwatetL 6.
DISPOSAL SYSTEM
Distance F= Lom: WeZ 6 12% on pLeatetL 6tope 6t.
Buitd.ing _6t. W ettandz Ft.
• Highwaten 6t.
FIELD DIMENSIONS:
Width o6 ,thench 6t. Depth o6 tLock betow tite-/ -'n.
Length a6 each tine 6t. Depth a6 tLock oven tite 2-- in.
NumbvL o6 Zinez Depth o6 tiZe be.iow gnade.S 2 .in.
Totat Zength o6 Zinez Cf Z 6t. S.Lo pe o4 trench in pen 100 6t.
Distance between tines 6t. Depth to b edtLo ch 6t.
Tota.L abs onbt.ion area 6t2 Depth to gtLoundwatetL 6t.
Requi&ed atLea 6 2 Type o6 Coven: ape& ok Stitaw
PIT DIMENSIONS:
NumbetL o6 pit - Gkave~' atcound pits yes no
Outside diam /t tL 6t, Depth betow .intet 6t.
2
TotaZ abZ ' bt n a 6t z
Atcea tLequDLedN 6t2 m
INSPECTED B TITLE
APV~OVED DATE 1977.
REJECTED DATE 197
EH .11.5
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: 5/_'/4,`%' C '/4, Section , T-741, R _61P(or) W, Township or Municipality
Lot No. , Block No. County '
Subdivision ame 1 s f
Owner's Name:
Mailing Address:
C-~n~
.l".
TYPE OF OCCUPANCY: Residence X No. of Bedrooms there'
EFFLUENT DISPOSAL SYSTEM: NEW k ADDITIOccy~N RREL]VftaNT
DATES OBSERVATIONS MADE: SOIL BORINGS 7 7 L PERC ATION Tl` `f -/P_
SOIL MAP SHEET - - SOILTYPE C' L',_ it'r--------.
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, fNCHES RAT
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN;'
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- 41g
P- /a
I P-
SOIL BORING TESTS
j TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
IB-
- .y .
B_ r c - 'L j 14
9c 117 .1 -31 3 Zy
R- 7
r
<
'?_AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
dicate on the plan the location and square feet of suitable a eas. Indicate number of square feet of absorption area
m?eded for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference point . Indicate slope.
F c
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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 belief
Name (print)s er/~ Certification No.
Address 6F r oPt 0 -1 6411 _C, c
Name of installer if known
CST Signature
C^FY A - L0C,".L AUTHORITY
r
PLJB67 State and County State Permit #
Permit Application County Per ' # f
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. ~O'7WNiER/O~F PROPERTY Mailing Address:
~'a A r > c C
B. LOCATION:'/, E '/4, Section, Tjj_ N, RV) (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
S /i Township C. v`V
C. TYP OF OCCUPANCY: 'Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms-~_>_
Automatic Washer~YES NO Other (specify)
E. SEPTIC TANK CAPACITY .,14= Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks
New Installation Addition_ Replacement_ Prefab Concrete
*Poured in Place Steel Other (specify) _
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) ~3) Total Absorb Area 61-5 sq. ft.
Newt Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length -9.1-Width 1 Z Depth Tile Depth 3 No. of Lines Z
Seepage Pit: Inside diameter Liquid Depth Tile Size y
Percent slope of land / L Distance from critical slope
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrativ ode, and that I have sized the effluent disposal system from the EH-115 prepared
by the C ified Soil Te er,
NAME C.S.T. # -and other information
obtained from 0?~1ZNa t . (owner/builder).
Plumber's Signature P/MPRSW# ~s Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (include diron of slope and all distances in accord with
H62.20, including well).
1
I C(
4
E
Do Not Write in Space Bel F R DEPARTMENT h~SE O LY
Date of Application Fees Pai Stat County_-'! Date
Permit Issued/Re' (date) - 7 _Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county (whit copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink opy) 4. plumber (canary copy)
Revised Date 6/1 /76