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Home My WebLink About032-2013-90-050 f • o cn o! 3 v 0 r~ m o d v1 g "0 ID (D -0 xt 3 D7 (n ~ o - CD n 0) O w w z O A o N li O ? W cC • S 3 !b v W N F„~ 3 C CL O N U N CD (D O N ~.7 \ CD d y O NJ c CD CD d fl1 y W y W n"S 0 ZD ID (31 O:3 (D _0 O N O o p j D o 0) r- CD o cn y c o Lnn m CD D a In 'I' m s5 (1) W (D M 3 n o o O_ m L V j CD cn m m cn O Z (D CO -4 Z U -0 M N• z OOO ~r o r3- n z N N N < D CD o o :D. m m am b co y co " N 7 Ox co O Z • N z M z o 0 O D a 5 3 • o, CD "WA CD y !mil y (n c C CD CD d O z m Cp r1i t --j fA O p Z CD o M 1i O o. Z -i 41 00 M M W CD CD O , zt z 0 3 a z O N Z CD A 0C) O 0- y CD -n y N C Z a ci. 1 p y g N CD y y 3 0 0 o a N ~ O x CD 00 3 p O v CD C1 CD Q., N ~ N _ O O N O p O to a N A O CD A 6R O Efl O q O CD ti Parcel 032-2013-90-050 11/17/2006 02:47 PM PAGE 1 OF 1 Alt. Parcel 4.30.19.522A1-05 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/15/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - FOSTER, STEVEN D STEVEN D FOSTER C - FOSTER, MITCHELL D MITCHELL D FOSTER 527 CTY RD V V SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 537 CTY RD V V SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 5.470 Plat: 4881-CSM 19-4881 032-04 SEC 4 T30N R19W PT NE NW CSM 19-4881 LOT Block/Condo Bldg: LOT 06 6 (5.47 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-30N-19W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 12/06/2004 781662 2708/506 AFF 12/06/2004 781661 2708/505 QC 11/15/2004 779937 19/4881 CSM 07/23/1997 851/613 TI 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 5.470 72,300 41,100 113,400 NO Totals for 2006: General Property 5.470 72,300 41,100 113,400 Woodland 0.000 0 0 Totals for 2005: General Property 5.470 72,300 41,100 113,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-2013-90-025 11/17/2006 02:46 PM PAGE 1 OF 1 Alt. Parcel M 4.30.19.522A1-03 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/15/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MARTELL, LILLY A LILLY A MARTELL 533 CTY RD V V SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 533 CTY RD V V SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 7.860 Plat: 4881-CSM 19-4881 032-04 SEC 4 T30N R19W PT NE NW CSM 19-4881 LOT Block/Condo Bldg: LOT 05 5 (7.86 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-30N-19W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 11/15/2004 779937 19/4881 CSM 07/23/1997 851/613 TI 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.860 72,300 101,100 173,400 NO Totals for 2006: General Property 7.860 72,300 101,100 173,400 Woodland 0.000 0 0 Totals for 2005: General Property 7.860 72,300 101,100 173,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • S r AS BUILT SANITARY SYSTEM REPORT i~R T0;•TNSHIP SEC. T_N, R W - S - ADDRES ST. CROIX COUNTY, WISCONSIN. 3DIVISION , LOT LOT SIZE PL.AlJ VIEW Distances S dimensions to meet requirements of H62.20 _ SHOW EVERYTHING WITHIN 100 FEET OF SYS'IPi I I I I- I ! I . I I~ - I ! I ~ 1;- I tj ! I I 1 __7 I j ' I I I i I - - - - 1 I I ~ I i I i ~ I I ( i t ! i 'TZC TANK(S) Indicate NolLth AAA.owl _ MFGR CONCRETE STEEL S cate ,I'yam ' rings on cover Depth DRY WELL :`;CHES NO. of width length area no. Of lines width r length-11,1 area Z l a depth to top of pipe J;.EGATE AREA REQUIRED AREA AS BUILT 2/ ;claimer: The inspection of this system by St. Croix County does not imply complete .:-)fiance 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 --em operation. However, if failure is noted the County will make every effort to ~rcine cause of failure. .LASES AND OILS SHOt'LD NOT BE DISPOSED THROUGH THIS SYSTEM. '-INSPECTOR DATED ' PLU;iBER ON JOB_ / c w 4 LICENSE NUMBER - Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sanitary Pvunitl~iLJ State Septic NAME iowns hip Cnai x County i Location Section SEPTIC: TANK Size ?hffU _gatton6. Numbers as Compattment,5 _ i Distance Ftom: Glen St. 120 of gteatet ztope® 6t ~ . Bu.itd.ing ~Z 6t. Glettand.6 H ighwa,tet St. DISPOSAL. SYSTEM Distance Ftom: Wett__,fC)_f_6t. 120 of gteatet zZope 6t. Bu.itd.ing-t. wettands Ft. H ighwatet s . FIELD DIMENSIONS: Width o6 ttench~ 6t. Depth o6 to ch. b etow ,tite 12, .in. Length o/s each tine bt. Depth o' Lock ovct kite 2- in. Numbe!", o6 t.ineh Z. Depth o4 tite betow glade tin. Total Length o6 tines/ 4t. Stope o6 trench in pen 100 't. Distance between Zine6-LOL-6-t. Depth to b edto c Tout ab~sotbian ate~6t2 Depth to gtoundwat ;5. 2 ~e a : Pape roor S.ttaw - Requited area bt Type 4 Covet p PIT DIMENSIONS: Numbet os ptit's Gtavet around pits yeas _no Outside diamet Depth betow d.ntet -6x. 2 Tout abz orb o ea 6t A Area tequitedy. `5 2 INSPECTED TITLE 1979. APPRO V17` ,DATE 27 REJECTED ,DATE 197___ .40 D . g ~ ~D EH • 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:A6,,~_'/4,AL_'/4, Section ,T N,R1L (or) W, Township or Municipality r Lot No. , Block No. County ~ C ' L414 m &^~M iV -rZ I I C, 1 bdiv ion Name Owner's/Buyers Name: r` 1l\ Mailing Address: TYPE OF OCCUPANCY: Residence _No. of Bedrooms COMMERCIAL d e EFFLUENT DISPOSAL SYSTEM: NEW C RE/PPLACEMENT -ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 7- ?X PERCOLATION TESTS :1-1-145) SOIL MAP SHEET NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH F CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- 91% 3 y1f1 7C.,' 44361/: 212 1 P- 31ls r r r " q 3 3 3 P- ' .3( t, , 3 3 0 P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- > ,f B- 7 - 7 Le 49 -:g .2 -.2 - 76 B- c C^ 911 Z 0, B- B- B- c - ,ption and square feet of suitable areas. PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the I'~c Indicate number of square feet of absorption area needed for building type and occupancy .Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 40 f < ,y1 1 A j3 vv s ~ 7.. _ E v a,~ ~ ~N a f 0000 • • I, the undersigend, hereby certify L/thhe 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) `'J ,614;A) nc, ',Pc Certification No. S S - 513 1 Address ' Name of installer if known Copy A - Local Authority CST Signatur Plb. # b0 ' • X70 PROJECT DETAIL DATA SHEET NAME OF BUSINESS LOCATION s reet or highway city or township c I LEGAL DESCRIPTION i : '(c~~✓~: 1~ OWNER Mailing address 2 Z I P ARCHITECT OR ENGINEER Address ZIP PLUMBER r Address c - 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed: Existing building New building Addition If addition to existing building attach detailed memo for each. ( ) Drive in restaurant Car spaces ( ) Restaurant Seating capacity (10 sq. ft./person) ( ) Dining hall Per meal served Toilet waste Yes No ( ) Motel ( ) Hotel ( ) Cottages Number of units: 2 persons/unit 4 persons/unit TOTAL NUMBER OF UNITS ( ) Churches Number of persons _ Kitchen Yes No ( ) Bar or cocktail lounge Seating capacity (10 sq. ft./person) ( ) Nursing or rest home Number of beds ( ) Mobile home park Number of units - dependent (camper trailer) _ - nondependent (mobile home) ( ) Retail store Number of employees Number of customers T10 s_q. ft./person) ( ) Service station Number of cars served (daily) ( ) School Number of classrooms Meals served Yes No Showers provided Yes No ( ) Factory or office building Number of persons (total all shifts ( ) Apartments Number of bedrooms Other Specify 2. Indicate whether or not the following facilities are connected: Food waste grinder Yes _ No_ Dishwasher Yes _ No _LL Automatic clothes washer Yes No Automatic potato peeler Yes Other . . . (Specify) No 3. Fill in the appropriate information for the followinq as indicated: Septic tank capacity planned Percolation test results - ATTACH PERCOLATION TEST AND SOIL BORINGS REPORT SHEET iN 04 1979 COMPLETE OTHER SIDE Seepage trench bottom area planned width linear feet depth Seepage bed area planned _ ,cam w i d th linear feet depth _U Seepage pit planned outside diameter depth below inlet depth 4. See approved plan for specifications and details. Signature of person completing form: STATE DIVISION OF HEALTH, PLUMBING SECTION P. 0. Box 309, Madison, Wisconsin 53701 Approved: Address: Date: THIS APPROVAL IS BASED ON STATE PLUMBING CODE REQUIREMENTS AND DOES NOT EXEMPT THE Date: INSTALLATION FROM CITY, VILLAGE, TOWNSHIP OR COUNTY PERMIT REQUIREMENTS AND SHALL BE VOID IF REVISED WITHOUT THE WRITTEN APPROVAL OF THE DIVISION OF HEALTH. DEPARTMENTAL USE ONLY Section of upon uy eau and repo dfiio~ SYs~t o sHealth. ' F 1 4 A TjQn ~r s> r:3 o <l~, t Acllfin/~~ f Services. =o ,ol t Ines ClnLA .d ` p hlei ction fire p rote olth/ DePt; of C'n ' Cti o t •Slon o{ / e eonditl 1 t0 ~pp17 014 ~ ~y the D~Y~'l.r:S/ "•S;lf• • . Wta C;00D - of aPprova . set {orfih in the jotter 4 Verif1cotion i VN: r r f ..Y ~r It i 5 '°a S 6 RECEt\IED SON 2 2197 PEUMBIMG 'SIECTlora State and County State Permit # PLB 67,E W Permit Application County Permit for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED -7,- Date Approval Received from State if Required State Plan I.D. # el C;Z/ A. OWNER OF PROPERTY Mailing Address: B. LOCATION: Y4 11 :7 1 JJd,1 Section T- /J N, R (or) _U Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village T o w n s h i p mar'✓,rii~F'~T C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation e Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate ~ otal Absorb Area 4L-1-301 sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: -X Length R~Width ' Depth~Tile depth (top) rz No. of Lines ~2 Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- Distance from critical slope WATER SUPPLY: Private 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 Ce~;ified Soil Tester, NAME C.S.T. # and other information obtained from r ' z (owner/builder). Plumber's Signature MP/MPRSW# f iZ Phone f Plumber's Address X 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. r/ . e3 4-; e- u ns 4__ . , , i ~ i , E s , Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE /ONLY Date of Application - ,2 Fees Paid: State Count G! Date Permit Issued/ / (date) Issuing Agent Name z Inspection Yes X _ No State Valid# Date Recd 1. county (white 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 P1~ r~~ Syo ~ N~! /I~ sic. t3oN- ytJ ~ Low ~ ~ ~ A~l1 ~ 7+w~s~~p o~ Son,, st C~irx Ccw 1 S~ /"=1~oJ ~ ~ ~ 4- 1 ` ~ / 1 ~ o~ ~ ~ ~ a ~ ~ ` a ~o ~ 1 ~ ~ ~ ~ C ~ (-/w V O } ~ a ~ y p 0.~ o ~ B a ~ ~ C n r a`~ a ~ p v ~ ocn~ V,~ L ~ ~ ~ ~ + r ~ / ~ c ~ ~ , i J ~ G f l Cy µQ I LJ 4 . ~ / rd , v~ ~ ,.:i L V .f; i. Q :f ~ ~ '0. d q ~ Pj ~ ~~+e 1 QG1p~`` ~ AEI ~ 9 ~r~ ~~~~~P II . -w~ V t4L 9 e o 0 C A ~ ~ 1. ~ ~I ~ ~ ~ ~ ~ ~ ~ C ~ t ~ C c ~ ~ ~ ~O /r p Goff 5~c~i°^ ~ l"~~ ~ ~ G J P~" _ ~ ,1_.,