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Home My WebLink About032-1066-80-000 0 N O ~ v c1 CJ r_ O ~+1 c(DD o• m y n c T (D d (D 3 U - a N o z (0 rn o D o A o C D m m ro z o O j N O h 1 r O W (OD cD rn N Q 7 O N O Ca CO CD a a (D CD O CD M 7 O O (n 3 m 0 O O S1 _ D a Cn m o a O N W CD CD 3 Q 'C-. CD CD Cl) - - o "Wft ~ CO -4 3 ~ CD (D 4 CD (D CD N n 0 0 C (n (D (D (~~l z O O O Ln 0 o D N 3 N N N cn m CD 3 v CD v v v CD Q. CD W M CD 0 - N o < O :3 :3 N a 3 n z a ° z 03 z O CL tr nOi O D 0 N N (D N C (D N CD (J N n n 3 z CD CD -1 N O D A Z CD Cn i CY 0 3 A z O n 9~ C) 0 I ~ a (D CCDD CL z 0 N (b M N z CD ? Cl) m D Cl n n a CD v ° -n (u c 0 0 0 C, CD m N (D 3 O_ A O O O C I a N i N O i p a A o b CD DAV ~ lv 69 O yV ti O i i Parcel 032-1066-80-000 11/20/2006 03:46 PM PAGE 1 OF 1 Alt. Parcel 24.31.19.329E 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 RUSSELL L HULTMAN O - HULTMAN, RUSSELL L 2005 HWY 35 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.500 Plat: N/A-NOT AVAILABLE SEC 24 T31 N R1 9W PRT SW SW.50A COM Block/Condo Bldg: 264'N OF SW COR, TH N 66'E 20 RIDS, S 66', W 20 RDS TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 24-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/12/2003 739863 2408/372 WD 06/26/2003 727561 2290/454 TI 06/26/2003 727560 2290/452 QC 06/24/1996 545853 1186/223 TI 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 0.500 8,000 0 8,000 NO Totals for 2006: General Property 0.500 8,000 0 8,000 Woodland 0.000 0 0 Totals for 2005: General Property 0.500 8,000 0 8,000 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 032-1066-70-000 11/20/2006 03:46 PM PAGE 1 OF 1 Alt. Parcel M 24.31.19.329D 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 - HULTMAN, RUSSELL L RUSSELL L HULTMAN 2005 HWY 35 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2005 HWY 35 SC 5432 SOMERSET SP 1700 WITC i Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 24 T31 N R1 9W 2A S 16 RIDS OF W 20 RIDS Block/Condo Bldg: IN SW SW Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/12/2003 739863 2408/372 WD 06/26/2003 727561 2290/454 TI 06/26/2003 727560 2290/452 QC 06/24/1996 545853 1186/223 TI 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/05/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 32,000 187,600 219,600 NO Totals for 2006: General Property 2.000 32,000 187,600 219,600 Woodland 0.000 0 0 Totals for 2005: General Property 2.000 32,000 180,500 212,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/07/2005 Batch 05-7 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT -ER TOTTNSHIP SEC. ; T3/ N, R - / _Lw j, ADDRESS !'F. ST. CROIX COUNTY, WISCONSIN. ;DIVISION LOT LOT SIZE . PLAN VIEW Distances b dimensions to meet requirements of h62.20 SHOW E%TERYTHING WITEIN 100 FEET OF SYSTEM I w s ~ 1 ! ~ I I I 1 - -ter- ---i--- ~ ~ ~ ! I i I ~ ( I ~ I I ! F i i I I i ,TIC TANK(S)_~_ MFGR. r ryy hr r_ CON=: TE STEEL Indicate anth. Al now' NO. of rings on cover Depth DRY WILL Scate - ~I *tGHES N0. of width length area no, of lines •,ridth_ length 57 area -7 T 77 ,depth to top of pipe 31ECATE 1 RATE ?AREA REQUIRED j~ AREA AS BUILT ~ EJl~ -claimer: The inspection of this-system by St. Croix County does not.inply complete .:oliance 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 ,teen operation. However, if failure is noted the County will make every effort to crrine cause of failure. - - SASE S AND OILS SHOULD N0. BE DISPOSED THROUGH THIS SYSTL1.,% '-INSPECTOR" DATED PLU110ER ON JOB LICENSE NUMBER / - Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM y San.i.tany PeAm.it State Septic--,..,-.'-_, _ NAME - ownsh.ip St. CAo i x County Location Section ! SEPTIC TANK Size gaZtonz. NumbeA o6 CompaAtments____ _ Diztance FAom: WeU _it. 120 oA gAeatet sZope it i I Bu.itd.ing it. We.tZand~s ~ . i H.ighwateA it. DISPOSAL SYSTEM i D.i.6tance FAOm: WeU - it. 12% oA gneateA zZope ~ . Bu.itding it. wet.Lands Ft. H.ighwateA it. FIELD DIMENSIONS: W iRh o6 .tAench it. Depth of Rock below tiZe in. Length of each Zine 6t. Depth o6 Aock oveA t.iZe .in. NumbeA o6 Zines Depth o6 tiZe below gAade -`/in. Totak .Length oS Zines ; y 6Z. S2ope o6 ttench in peA 100 it. Distance between Zines L it. Depth to bedAock. Totat ab.6oAbt,ion vLea. it2 Depth to gAOUndwateA it. 2 Requ.iAed aAea it Type o4 Covenv' PapeA,~,t StAaw PIT DIMENSIONS: < NumbeA o6 pitz GAavef_ around p-i..tz ye,6 no Outside diame-teA~titl~' Depth below ,intet ~ . 2 Tota.L abzonbtion/an,ea it 2 Area Aequ.iAed it INSPECTED BY TITLE APPROVED DATE 19 7L. i REJECTED' , DATE 197. I Ll L H 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: Section , T_~LN, R,4'-" ~ (or) W, Township or Municipality Lot No. , Block No. County x Su i on Name C Owner's Name: A- Ji Mailing Address: fl 4- TYPE OF OCCUPANCY: Residence r No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS Y PERCOLATION TESTS ` Zf ~l 7 SOIL MAP SHEET SOIL TYPE 1 + ' mss' ' PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS ICHARACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL I gER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN ~P N / i yZ A J( P__ KZ P_ 3 -2 ~Z ~ SOIL BORING TESTS r TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 7 4i i L 4S, r c J f ` - J " AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) ldicate on the plan the location and square feet of s~Iltabl areas. Indicate number of square feet of absorption area needed for building type and occupancy. ~ Indicate scale or distances. Give horizontal and vertical reference point . Indicate slope. L _L] ' r A I I e I i ~ f I _ s ` I lob 13 L FT 4 v 3 T•cc ~ - ,,ti 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) Certification No. Address Name of installer if known JA' CST Signature COPY A - LOCAL AUTHORITY PLB State and County State Permit # Permit Application County Perm' # < 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: /.oxen 1~.h~r. bi7r Aj, ),&ey -gjU, c a r~ssr WIS B. LOCATION: S-W '/4 560 '/a, Section , T -k N, R/,?dr (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 / a Duplex No. of Bedrooms ..S' No. of Persons D. SEPTIC TANK CAPACITY &a"1,'i Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete- Poured-in-Place Steel 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 ; -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:-AMML_Length T-~' Width/ --"_Depth 'yY Tile depth (top) No. of Lines 'Z Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 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 Cert ed oil Test NAME -!2 tj V e, 4 V` 'N C.S.T. # $"s - :J 3,1 and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone #.224 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. ) E , t e I r 3 IM Do Not Write in Space Below FOR COUNTY ND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State County _ Date Permit Issued/Reed (date) t1 / / Issuing Agent Name LInspection Yes No State Valid# Date Rec'd 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 61 1