HomeMy WebLinkAbout032-2033-50-000
0 ti 0 3 m 0
. O O d
v 3 m ^
fD 3
33
o
o v v o o L0 o c°D °w •
? 3 O C C°O s 3 wO N
CD - CD CD ~p N
C` C1 ~ Z C1 y N A N O
C CD co :3 CD CO W O <
0 C= O N N (D Cr W
O -0 i7 7 (D Q W- p o
O C CD CD O (D 0 Aj
3 0 ~ F m °o
O ~1
Q N W CI1 O ° !V
N
sli cn < D a
CD C N W fl VO
s
CD C:
o c°n < m 1
0 V
c <
CD ° C l~
0z 0 C/)
co (D 0 0
-4 -4 3 CD N ^ -
N
c
_ Z
o 0 0 0 •
cn rc3::: A CD
N
O SN
Q (D (D Q
j D) U) O
N C CD d d
N N
Z
z W z o
O D CD CD 0
o !V .
(D N
N
CCD O IYA
(f] (J. V
C (D CD
w m a
a 3 s
z CD i cn
O p Z (D
N a ; n
n A Z O
v a 0
m °
s o
W w
CL N z
c z
O m
3 fO
z
CD
w ~
i
N = D
O p ~ Q C
N - G
7 O O'
(D W T
N C
(D~tz z a
5
~ • m ° o CD
S 'O O N
N"O (O y
p; CD N .l
(D w
N (D "O A
70 N O
iU C 7 C
O
O O j O
Q N C t
QD n p
CD
X Q ti
CA < O
A ~p
a
A
N
< DO w
Efl 0 ti N
OO (D
ti
parcel 032-2033-50-000 11/20/2006 02:58 PM
PAGE 1 OF 1
Alt. Parcel 9.30.19.598E 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 - DEWALL, ROBERT A & NANCY D
ROBERT A & NANCY D DEWALL
575 170TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 575 170TH AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 27.405 Plat: N/A-NOT AVAILABLE
SEC 9 T30N R19W PT E1/2 NE 1/4 COM NE Block/Condo Bldg:
COR; S 1 DEG E 2586.8'; S 89 DEG W
655.75' TO POB; S 89 DEG W 254.48'; N 15 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG W 1342.62'; S89DEG W 75'N ODEG W 09-30N-19W
780.14'E 624.73'S 11 DEG E605.4' S 23
DEG E 200.91'S 5DEG W 1302.15' POB
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 597/496
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/23/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.425 55,500 209,000 264,500 NO
ENTERED BEFORE'05 CLOSE W8 22.980 91,900 0 91,900 NO
Totals for 2006:
General Property 4.425 55,500 209,000 264,500
Woodland 22.980 91,900 91,900
Totals for 2005:
General Property 4.425 55,500 209,000 264,500
Woodland 22.980 91,900 91,900
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
• AS BUILT SANITARY SYSTEM REPORT
DER T04,7NSHIP SEC. T N, P. ~T
0.•ADDR SS , ST. CROIX COUNTY, WISCON IN.
r'` '
BDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
a
f l k 8
71 6 I ! l
`41 T'
`f
s „
i ,.-r I ! I I- i
{Y
ti I! f , I Indicate North Arrow
E - -a -
S CALF
yPTIC TANK (S) MFGR. _ CONCRETE t, STEEL
NO. of rings on cover Depth DRY WELL
tt""'ICHES NO. of width length area
no. of lines width _ length area
.
depth to top of pipe
))GATE
fW RTE AREA REQUIRED AREA AS BUILT A
zer,iainier: The inspection of this system by St. Croix County does not imply complete
o vliance 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
e eriine cause of failure.
BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLUMBER ON JOB_ l ~
LICENSE NUMBER
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itatcy Petcm.it _
P State Septic_
~
---iawnbhtip St. CA.oix County
NAME _
Location Section
SEPTIC TANK
Si ze gatton4. NumbvL o4 Compatctment6 j
Datance Ftom: wett 4t. 12% on gtceatets .6tope it
Bu.itd.ing it. Wettands ~ •
H.ighwaten it.
DISPOSAL SYSTEM
D.iztance Ftsom: Wett 12% atc gtceatetc stope it.
Bu.itd.ing it. Wettands Ft.
H.ighwatetc
FIELD DIMENSIONS:
Width o6 ttcench it. Depth o6 no ck b etow tit e in.
Length o6 each tine it. Depth o6 nock ovets t.ite .in.
Numb etc o6 tines Depth o6 t.ite. b etow gteade in.
Totat .length of tines Aj it. Stope of ttseneh in pets 100 it.
Distance between tines ~ it. Depth to bedtcoch it.
TataL absatebttion anea_ ? 6t2 Depth to gtcoundwatetc it.
2
Re u.itsed area it Type ai Covets: Papetc ots Sttcaw
PIT DIMENSIONS:
Numbetc o6 pigs Gteavet atcound pitz yet6 no
Outside d.iametets it. Depth betow inlet it.
2
Totat ab6otsbt.ion atcea it A
Anea %equiked it2 r"
INSPECTED $Y _►w'' M-.. TITLE
i
T`.
APPROVED , DATE - 197
REJECTED , DATE 197.
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
N REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: ,~~_5 A41-01/4, Section 4-, T-CN, R 4 E (or) W, Township eF Mbwisei~
Lot No../3Block No.' , County ~-7i
Subdivision Name
Owner's Name: i D 0--- i-
Mailing Address: f ' 7 ea• ct-a/✓ Ave & /A/~v' Z--
TYPE OF OCCUPANCY: Residence OK No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS-_,!aT1 PERCOLATION TESTS V1_1b9
SOIL MAP SHEET ZL11 SOIL TYPE A1~L=Y
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
.y Z
P-3 103 z- 4- 3 7
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
B- ¢ We I'I `7 Z~6v 5 icr L44" I I;rV; L•+-5.tY c cia,"PA.44-ar.) s 1 r- r L•3.4 rv/ jjL
4_C4►fM 441 LuC L-.L "J qtr Lc.~vY► 5
B 3 !-C
4- At
B- .5 g k Noa;~ `794- 51,L.:r I_O^ t:iP9I`
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. 11Z-:~_ SC P7r' ~'~=Gk+y%9-w-i, Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. r
♦ 13! f s$!
? I I i i
40 1
i
1 1 i l
i♦ I i I V
3 1 _ I
i + i ; ~ + l i i I i
m 4 F i l i E
L I 3 Z ;
• 111
.y...~~- l I l I
{
i r a l I : ~4 t ~ ~~~i+~
17
}ts~' °q m >Vo~
t-
Cj i5
If ;L7 156
l
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in 6cI it?ic'theprocedures
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) J24AAe!> e. Sc tf Certification No.
Address 5 i2i Qa-70- F41,!= S 5
Name of installer if known
n
V
CST Signature
ICOFY A, 0 P_ 17,Y
r
67 State and County State Permit #
PLB
u Permit Application County Permit #
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
Jai), LL_
BB L CATION: S&- '/4 YV4L '/4, Section , T _'L21\1, R_Z!~ E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _X Duplex No. of Bedrooms No. of Persons g
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete X_ Poured-in-Place Steel Fiberglass Other (specify)
New Installation X Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate ` „ - 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: -x Length !Zf Width V Depth ' -Tile depth (top) No. of Lines y
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land --/6~>cl Distance from critical slope
WATER SUPPLY: Private X 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 ~ crrrT L ~ i ~t C.S.T. # 7.7 Ak and other information
obtained from Auiri,47 - (own er/d011ift).
Plumber's Signature MP/M RSW# Phone #
Plumber's Address 2
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.
,
49
,
00,
,
~C f5
3
E
E ~ E
,
m
,
All-
Imo
,
E
5117PI
, f
9
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY _ >
Date of Application i f - f' Fees? Paid. ate r Name County % Date
Permit Issued/Rejected (date) Issuing Agent
Inspection YesNo 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
J