HomeMy WebLinkAbout032-1016-60-000 (2)
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Parcel 032-1016-60-000 11/20/2006 01:56 PM
PAGE 1 OF 1
Alt. Parcel 6.31.19.85F 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
KIRK W & JANET LAWLER O - LAWLER, KIRK W & JANET
2375 DELONG RD
OSCEOLA WI 54020
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4165 OSCEOLA
SP 1700 WITC
Legal Description: Acres: 3.090 Plat: N/A-NOT AVAILABLE
SEC 6 T31R19W 3.30A IN SE NE COM NE COR Block/Condo Bldg:
SEC 6, S ON E LN 1165.52' TO POB;S
275';W 525.24';TH N 280.63';E 523.1 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TO POB EXC.21A FOR HWY 1238/480 06-31 N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/13/1997 1238/480 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.090 48,000 130,500 178,500 NO
Totals for 2006:
General Property 3.090 48,000 130,500 178,500
Woodland 0.000 0 0
Totals for 2005:
General Property 3.090 48,000 130,500 178,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 113
Specials:
User Special Code Category Amount
003-STREET SPECIAL ASSESSMENT 627.00
Special Assessments Special Charges Delinquent Charges
Total 627.00 0.00 0.00
r
• AS BUILT SANITARY SYSTEM REPORT
ur'ER '1^~ , TOWNSHIP SEC. T N, R W
p; DRESS ST. CROIX COUNTY WISCONSIN.
'BDIVISION , LOT LOT SIZE ,
PLAN VIEW
Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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Iridiicate North. Arrow
I I I i 1 'SCALE : , i--rt---
tPTIC TANK(S) MFGR. CONCRETE STEEL .
NO. of rings on cover f Depth f Z „ DRY WELL
ANCHES NO. of width length area
j no. of lines a width ja, length ,L . area
Depth to top of
?t RATE AREA REQUIRED AREA AS BUILT x7'
i,sciaimer: The inspection of this system by St. Croix County does not imply complete
.o;?liance with State Administrative Codes. There are other areas that it is not possible
to inspect at this point of construction. St. Croix County assumes no liability for
ystem operation. However, if failure is noted the County will make every effort to
,j~ermine cause of failure.
.BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
''INSPECTOR
DATED PLU:1B ER 0 N JOB ~LICENSE NUMBER r'Z5
z i
REPORT Of INSPECTION INDIVIDUAL SEWAGE SYSTEM
SanitaAy Penm.i,t
State Sept-ic~.~.
y f
NAME awnah~p ~St. CAOix Count
11_... .
Location Section
SEPTIC TANK
a
Size/06 gaZZon6. NumbeA o6 CompaAtments~
i
~
Distance Fnom: WeZZ_J" At. 120 oa gneateA AZope it
Buitd.ing at. Wettand!s ~ .
H.ighwateA it.
DISPOSAL SYSTEM
D.iatance From: WeU ~b it. 12% oA greaten ~stopc
v
Buitd.ing9_Jt. WetZands Ft.
H.ighwater it.
FIELD DIMENSIONS: / i
width o6 trench it. Depth o6 Aock betow tiZe ,/Z'in.
Length ej each Zine~it. Depth o6 Aock oven t.i.Le -7- .in.
Number o6 .roes Depth o6 tite below 9rade_2__~~-in.
Total .length o i tine6 it. SZo pe o ii trench Z-- in pen 10 0 fit.
D.i,stance between .i.inez 't. Depth to bednoek.` ~ .
Totat ab,s onbt.ion anea4a~/_pt2 Depth to gnoundwaten
Pap~n n S:tnaw
Re utitced area Type o$ Covet:,"
t,
PIT DIMENSIONS:
Numbe.n o4 pits GAavet around p.itA yes _no
Outz.ide diameter it. Depth below tnfat it.
f 2
Totat ab,~o,Acb-tion a,7.ea _ t A
AAea Ae.q uired 6t2 rn
_
INSPECTED T I T L
APPROVED DATE REJECTED ,DATE
f
EH' 115
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//s~~ %A/k_'/4, Section _T~~N, R 11 E (or) W, Township or Mu"ttpai~ty~~ m "Ste`'
Lot No. Block No. , -~3 r Ar 4a A County
Subdivisions Narfle
Owner's Name:
Mailing Address: -73 i 060/1.) .575//
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 91 7q PERCO__L..,,AT~~IONN/ TESTS 4 79
SOIL MAP SHEET SOIL TYPE eO ~2 Z9
PERCOLATION TESTS
TEST DEPTH HOURS WATE-RI N TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
16
2- /Vo P-j Iv,
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
71 Ito /0 C- 7 7Z d,,A4,5.
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. _ e"/.h A'' r1 boo 4r ,q A'/pbl . ) Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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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.
q Z Z 9~
Name (print) (~,A-V, Certification No.
Address of L29 i
Name of installer if known
CST
State and County State Permit #
PLB 6-7 f, Permit Application County Permit #
for Private Domestic Sewage Systems County ° `X
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
A Z q /,C- , A &Z L) A) ht,~~ . i" ,
B. LOCATION: S coon, T~ N, RL~;' (or) W Lot# City 45 W Subdivision Name, / nearest road, lake or landmark Blk# Village
(2 h I4'r;& 10 &fi~p M"4 Township S q-,-"
C. TYPE OF OCCUPANCY: `Commercial *Industrial `Other (specify) *Variance
Single family _ Duplex No. of Bedrooms 3 No. of Persons 3
D. SEPTIC TANK CAPACITY / S-V-V Total gallons No. of tanks _
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel L.---- Fiberglass Other (specify)
New Installation ✓ Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate S Total Absorb Area - -sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length -T' Z ' Width Z Z . Depth a 6, Tile depth (top) Z '/"No. of Lines z-
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land 6 " -Z- ®J Distance from critical slope ae) '
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 Certified Soil Tester,
NAME 2,6, . s-5-Arng C.S.T. # Z 0 S & and other information
obtained from vvne builder).
Plumber's Signature MP/MPRSW# X14 Phone #sZY - w' ~i
Plumber's Address
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 S ce Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application? Fees Paid: State Coun)Y 'L Dated L/
. iv i.
Permit Issued/Re ~ (date) Issuing Agent Name
Inspection Yes 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