HomeMy WebLinkAbout032-1066-30-000
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Parcel 032-1066-30-000 11/20/2006 03:48 PM
PAGE 1 OF 1
Alt. Parcel 24.31.19.328C 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 - DABROWSKI, BART A & DEBORAH A
BART A & DEBORAH A DABROWSKI
715 205TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 715 205TH AVE
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.340 Plat: N/A-NOT AVAILABLE
SEC 24 T31 N R1 9W 3.34A NW SW LT 2 CSM Block/Condo Bldg:
VOL 3/797
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-31 N-1 9W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 917/48
07/23/1997 735/451
07/23/1997 721/386
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 3.340 49,700 83,200 132,900 NO
Totals for 2006:
General Property 3.340 49,700 83,200 132,900
Woodland 0.000 0 0
Totals for 2005:
General Property 3.340 49,700 83,200 132,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 203
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 TOWNSHIP SEC._ W T W ADDRESS ~~~R ,;r 2: T ST. CROIX COUNTY, WISCONSIN.
DIVISION, , LOT LOT SIZE '
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITF,IN 100 FEET OF SYSTEM
- I till -1 i
-4 - ! i i- I i ! I i I I i
i ,
i i I I i
I ~ i i I , I f i ~ i I i ~ i ~ i i •i w-f
w+-`
;'TIC TAIv:(S) MFGR. 7ndtica e Nan h Atc.nUw
1L CONCRETE STEEL Seate
N0. or rings on cover Depth DRY WELL
"_'tCHES NO. of width length area
J ,no. of lines width f~P lengtharea
depth to top of pipe
3_.EGATE )
RATE. AREA REQUIRED ~si5 r AREA AS BUILT
'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
item operation. however, if failure is noted the County will make every effort to
ermi^.e cause of failure.
: rAISHS A'TD OILS SHOt'LD NOT BE DISPOSED THROUGH ::HIS SYSTM
`'INSPECTOR.
DATED 5J ,2jr'~ 7l . PLU; fdER ON JOB 1; y/J
LICENSE N'L..T2iBER
F
REPORT OF IJ1SPECTIO'_1--I-JDIV1DUAL SEIJAGE DISPOSAI, SYSTE11
Sanitary Permit ~L
r St. e Septic
IE T01TIJSIiIP
t
. C%r01~; COUIlt j~
' 411,
S PTIC TA
. I
j
.Pize gallons. 'umber of Compartment
Distance From: Tlell :60 ft, 12% or greater slope ft.
Building` ft. Wetlands ft
I1ighwater ft.
DISPOSAL SYST-,.1 ,Tile Field or Seepage Pit(s)
Distance From: i1ell ~ ft. 12% or greater slope - ft
Building
Wetlands ft,
FIELD lliphwater ft.
Total length of lines t, ft, Number of lines Length of
each line ~t Ft. Distance between lines ft. Width of the
trench ~ft. Total absorption area
sq. ft. Dept.:
of rock below file in• DP_pth of rock over the in. Cover
over.xock,:,LkC - r Depth of tile below grade in. Slope of
trench injl)er 100 ft, Depth to Bedrock
- /____-__J` /ft. Depth to
Pround water Ffft.
PITS '
?lumber of pits Outside diameter ft. Depth below inlet
ft. Gravel around pit: __yes no, Total absorption area
sq.
.Square feet of seepage trench bottom area required
wquars feet of seepage nit'area required
Inspected by • i C Title'
t~
Approved Date I970
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
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
r`LOCATION: '/4, '/4, Section , T °'JN, R r(or) W, Township or Municipality
-
Lot No. , Block No."~ T~ County /:::Z
Subdiv sion Name
Owner's Name:t e' Y~ c,1 t ti.,•,..~._ Y~
Mailing Address: f % = c'
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW 1 ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 1 ! PERCOLATION TESTS'
SOIL MAP SHEET I SOIL TYPE
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
C
~ 1.
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- J S11y v - 9~, v S 5; k ;l6 -6~ c, sit- 6 -
A 66 60
-
PLAN VIEW (Locate percolationtests,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. / `-5 Indicate scale
or distances. Give horizontal and vertical reference points. '106i cate slope. V C)
0 9
I
. 4 _ 1..._..~~.
i
-
I
I
E ..I -
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in ac oi-d 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
i _
CST Signature
COPY A -LOCAL AUTHORITY
i State and County State Permit #
LB 67
f• Permit Application County PernVt/#
for Private Domestic Sewage Systems County Z L
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
t '
)A -e ii- c rs CT 5, C-
B. LOCATION: All Section 4~, T _N N, R i (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
j Township n
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY 60 % Total gallons No. of tanks /
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete A_ 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 s , sq. ft.
New k -Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width~~--Depth Tile depth (top) No. of Trenches
Seepage Bed: Lengthy Width , Deptl~~ Tile depth (top) 24 No. of Lines
Seepage Pit: Inside g~ameter 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 Cer led Soil T st r,
NAME tC.S.T. # 5~ and other information
obtained from r- (owner/builder).
Plumber's Signature Phone #
MP/MPRSW#
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 Spac Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State / County" xr'i G Date
Permit Issued/RejerTL~'d (date) -+Issuing Agent Name
Inspection Yes " No State Valid# Date Recd
1. county (while 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