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Parcel 032-2053-50-000 11/20/2006 03:17 PM
PAGE 1 OF 1
Alt. Parcel 15.30.19.699B2 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 - WYMER, ROBERT E & CATHERINE D
ROBERT E & CATHERINE D WYMER
1549 63RD ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1549 63RD ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 15 T30N R19W 10A IN SE N W & IN NE Block/Condo Bldg:
SW LOT 2 CSM VOL 3/778 ASSESS WITH P700D
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
15-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 799/179
07/23/1997 707/604
07/23/1997 705/444
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/23/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.000 83,000 83,400 166,400 NO
Totals for 2006:
General Property 10.000 83,000 83,400 166,400
Woodland 0.000 0 0
Totals for 2005:
General Property 10.000 83,000 83,400 166,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 108
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 032-2053-90-000 11/20/2006 03:17 PM
PAGE 1 OF 1
Alt. Parcel 15.30.19.700D 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 - WYMER, ROBERT E & CATHERINE D
ROBERT E & CATHERINE D WYMER
1549 63RD ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 7.500 Plat: N/A-NOT AVAILABLE
SEC 15 T30N R19W THAT PT OF NE SW LYING Block/Condo Bldg:
NLY OF A LN = TO AND 2549.85'N OF S LN
SW1/4 NOW KNOWN AS PART OF LOT 2 OF CSM Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
3/778 EXC THAT PART TO LOT 1 OF CSM 15-30N-19W
3/778 ASSESS WITH 6996-2
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 799/179
07/23/1997 707/604
2006 SUMMARY Bill Fair Market Value: Assessed with:
0 032-2053-50-000
Valuations: Last Changed: 01/22/1986
Description Class Acres Land Improve Total State Reason
Totals for 2006:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 032-2053-40-000 11/20/2006 03:25 PM
PAGE 1 OF 1
Alt. Parcel 15.30.19.699B1 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 - MILTON, PATRICK J & SUSAN M
PATRICK J & SUSAN M MILTON
1555 63RD ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1555 63RD ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 15 T30N R1 9W 10A IN SE NW & NE SW Block/Condo Bldg:
LOT 1 CSM 3/778
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
15-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 912/167
07/23/1997 750/350
07/23/1997 743/151
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 10.000 83,000 104,200 187,200 NO
Totals for 2006:
General Property 10.000 83,000 104,200 187,200
Woodland 0.000 0 0
Totals for 2005:
General Property 10.000 83,000 104,200 187,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
RIO
uxiER !G✓ix .L'~rr~' , TOVINSHIP T:', ' N, R L% W
.0. ADDRESS ST. CROIX COUNTY, WISCONSIN.
_-3DIVISION , 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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` I I Indicate North, Arrow ! i
S CALF .
tPTIC TANK(S) _ MFGR.1 CONCRETE STEEL
sus--s! NO. of rings on cover Depth IIP.Y WELL
rNCHES NO. of width length area
r no. of lines width / ' length 7 area '
depth to top of pipe
' tC RATE z ) AREA REQUIRED AREA AS BUILT
iisclaimer: The inspection of this system by St. Croix County does not imply complete
•*),pliance with State Administrative Codes. ;'here. are other areas that it is not possible
y ,o 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.
GASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
DATED ..M r /
PLU: iBER ON JOB
LICENSE NUMBER
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itaAy Petm.it
/ State Septic,
NAME i owns hip _St. Cto.ix County
L o catio n k~ a_ Section
SEPTIC TANK
S
Size gaZZenL. Numb en o6 Compar-,tment.~ - j
Distance EAom: WeZZ 6t. 120 on gAeatet 6tope lt
~ .
BuiZcling fit. WetZand.6
H.ighwaten
DISPOSAL SYSTEM
Di-stance Pnom: W ett, 120 or gteaten sZope
Bu,it-ding 3 ~ ~6t. W etZand-6_ Et.
H.ighwate.,._~ 6t.
FIELD DIMENSIONS:
Width c6 tnench 6t. Depth c% tack be.iow t,ite .in.
Length o6 each Tine ~ 6t. Depth o6 Aock oven Cite _ .in.
Numbers o~ .c..ines__ Depth o6 t.iZe. below grade .in.
Total length o6 tine' j, -3!t. Swope o4 tneneh in pen 100 it.
D,i:s Lance between rce'' {t. Depth to b edto ck St.
Total. ab.6otbt~ on ctne,a ~ 2 Depth to gtoundwateA 8t.
2 Type o6 Covet: Papen' of Straw
Reuu.~,ted area St ~i
1117" D1,MENSIONS:
NumbeA e~ p.i.t6___ PAavet anound pits yeas no
'I 4
Oc is e diameter Vepth below inlet ~t.
2
Total ab-3 e%cbtion area r' 6.t z
r
III
2
AAe.a Aequ.i.Aed Jt rn
INSPECTED BY TITLE
A P PPO VED -,DATE 197.
r~
REJECTED - DATE 197
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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:''/a,<:~k Section gT )4_,N,R q (or) W_, Township or Municipality
Lot No. , Block No. 57~ . e ~ C&_~L`~ County
Subdivision Name
Owner's/Buyers Name:
Mailing Address: Caw%. w-_ 0 V1_ Lit 4 C.
TYPE OF OCCUPANCY: Residence No. of Bedrooms - S' COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NfW~REPLACEMENT ALTERNATE SYSTEM l/ OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS y : - 2 PERCOLATION TESTS 7"'", Z- -2e
SOIL MAP SHEET__ 21 NAME OF SOIL MAP UNIT
_ PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER OF SOIL SINCE HOLE BOLE AFTER INTERVAL RATE
MIN/IN
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- '7
P- I C It f I ' J
P -
I
P-
P-
SOIL BORING TESTS
rTEST 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- C: c _ ?
B- C r
B- ~
B- r C c
B-
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the I cation and square feet of suitable areas.
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.
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544-114 i3er
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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) Certification No. 5 - .S .
Address - of)
Name of installer if known _
Copy A -Local Authority CST Signature
State and County State Permit # /
PLB 67 N 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:
C 1 3 /-7
B. LOCATION: 4L.E '/4, Section L:Zj, T? N, R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township,,5.kay,z ;
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family A- Duplex No. of Bedrooms No. of Persons S'
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 - 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.
~ AGT"
New. K\ Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: _e -Length ' ' Width ) , Depth 11.)' Tile depth (top), " No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- 3 ;X Distance from critical slope
WATER SUPPLY: Private 9 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 Cer ified Soil Tester,
NAME A i C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# K, 3 Phone
Plumber's Address 2(27 1-, V' %i
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 Space Below- FOR COUNTY AND STATE DEPARTMENT US ONLY _
Date of Application Fees Paid: State C% County, 1) C) C) Date -7
5 -
Permit Issued
(date) Issuing Agent Name
Inspection Yes No State Valid# Date Recd
1. county (wh e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
state (pink copy) 4, plumber (canary copy)
- Revised Date 7/1/78