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HomeMy WebLinkAbout181-1032-90-000 n cn 0 K-0 n d ~ 1 O C N O 3 O ~s o v o o w a o can Eo C • Z d N (D j O .~S lA o CD l p co y C .may 1 a U) C,) CO 7 N (D Q O W O `'3 O n l i O O N N i~. ~l d (CD N. (V U) D (D a 0 N N G Cf) Q W o o O m o0 \ j O CD (O (o CD n r fn N 4 -4 O N O .r O O Q U) ~B O O O W v a ~ o v 0 m p~ d - N ~ vi 7 r a o Z Z = c D D o 0 O q 5 cn Cil ~ • (D ~f C F CD fn ~ A ? ? z 7 (n ~ W W m j cn (D (D ' Z 3 0 a cn O O 3 I m ~ N Z N O 3 cc =r C M O d N d d C n. (O. O. G d "0O N D) C (A =3 D) N N OZ a JO (CD (A SU F (D ~ 7 Z d m d g,z U) CD c D s < o < Q m (D O ti m C N I ~ ~I a O A O O va O O :E a 0 (D Parcel 181-1032-90-000 09/22/2006 08:47 AM PAGE 1 OF 1 Alt. Parcel 35.31.19.133 181 - VILLAGE 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 - ERICKSON'S BARRON CO ERICKSON'S BARRON CO BOX 1224 MINNEAPOLIS MN 55440 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: 01/69-HARRIMANS ADD HARRIMANS ADD LOT 1 BLK E VILLAGE Block/Condo Bldg: E LOT 01 SOMERSET Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-31 N-1 9W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 756/104 07/23/1997 750/225 07/23/1997 585/563 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/27/2001 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.000 39,600 301,600 341,200 NO Totals for 2006: General Property 0.000 39,600 301,600 341,200 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 39,600 301,600 341,200 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 181-1032-95-000 09/22/2006 08:48 AM PAGE 1 OF 1 Alt. Parcel 35.31.19.134 181 - VILLAGE 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 - ERICKSON'S BARRON CO ERICKSON'S BARRON CO BOX 1224 MINNEAPOLIS MN 55440 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: 01/69-HARRIMANS ADD HARRIMANS ADD LOT 2 BLK E VIL SOMERSET Block/Condo Bldg: E LOT 02 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 756/104 07/23/1997 750/225 07/23/1997 585/563 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/27/2001 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 0.000 39,600 0 39,600 NO Totals for 2006: General Property 0.000 39,600 0 39,600 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 39,600 0 39,600 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 m APPiE RIVE ~ • ~ a~ (O Sr v ~ > o w 5 y ~ °~c ® r1L „ ® 4 U ® CJ,,, o` ® to a Q °5,4 ® JJ D ° m g ~ l d m - - - - - _ - - - - - o ~ ° O 28a.p' 148.5 ~ W 0 6 a0 ~ k y , ~qa ~2 ( o"6c ° ~pO9 ®ST ~fi ~ O ~ O $ 'od I I E O m O m 6e°N®® O O N m 1320 1,6.5 • I u •LS ~ ~ m i ° ~ NI n I ~4 0 o s~ Im o ~ N y ss)a 1xi5J 1320 76 IoB.J 90.O7 6 0 B9J.0 CHURCH HILL ROAD _ - - _ - - -7.y~5- - - - - - - - m.eJ no.o 66.0 9x86 saes so. eo.o +5s-. .o e.o 1sa.a 1 J.a )J.0 JJ.9 710 _ _ Sq a 150.00 2aB.B9 9J., -d o o 02 o m _ I o:,;. om O o 0 e On CAMPEAU ST. I °80.0 161151.5 u 85.90 9S0> B5. ~ 60.006~.0c~., e 500 5B0 a20.]e A O O 2ti of ~ 1.0 ° ~mO D 0,:;;, cyst R O O h ~ ® C] N 258.,5 ~ N 1st 2 250.00 2 as O J u oOO w U O a REED ST. ~.a a L o 0 Sao 3,5 Y= O ® - O O 339 3,6 ^ e O v 2]9.( n ~ R $ N £ I at25 Ja. ° 11mm ~ }6 Igo N D Z J~~ JD~ ~ v N Y& c o O 320.35 A ~ O = A - R )8 n 3P O rr $ J06.0 A { 6 UI O u O 'm° 37 5 p ~ g O 8 23! a)x I O <s I h t3).a 3>0 3 I ~ 3e9 ~ o~ I u 239 366 36 626.52 J6) ]66 ~ a00.C0 O o 6.2 o w r9, 1 8 ~ ° M o ~u O °o r 9 i a. 2]1.0 'S 100. I SMC DRIVE 529.0 J10.OB 501.71 ,cam v~J m 0 ° v d ~n ~ ~ a ~ u o _ N g m jn rO ° r N m O .i O 01 ~ y Q u ~ u m 50293 a~ 525.0 310.09 x88.18 131 J.00 3 9 LA GRANDEUR ROAD I I • AS BUILT SANITARY SYSTEM REPORT 3S7 0 -ER ]ram„ PHlJrr1,6 , T0.INSHIP SEG. ADDRESS- r T_N, RW ST. CROIX COUNTY, WISCON IN. /~f~. -DIVISION LOT LOT SIZE PLAN VIEW S _ 3 Distances & dimensions to meet requirements of H62.20 V'/ SHOT' EVERYTHING WITHIN 100 FEET OF SYSTEIM ~I l ! . j i - - - i J ~ I I ~Ji j I i I I ' j i ( l i j ! I i T _ TIC TANK (S) MFGR, ~r c r,,e CONCRETE STEEL Indicate ccQ e NO. e N~ahn_ ,,,A-~~nnaw ----L 'f of :rings on coverDepth '-DRY [TELL ":GHES NO. of width length area no. of lines width length area depth to top of pipe 3:',ELATE RATE AREA REQUIFED AREA AS BUILT ;-'7dt&- max S f-400 b) ~woZ IT/ ;ciaimer: The inspection of this system by St. Croix County does not imply complete .loliance 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 ';tem operation. However, if failure is noted the County will may r-j,,,effort to --orrice cause of failure. ,".LASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYS '-INSPE OR DATED - //7 PLIR,M ON LICEP7SE NU211BER Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itany Pehm.i-t _ State Septic-; NAME owndh.ip St. Croix County Location Section i SEPTIC TANK Size - off'() gatton6. Number o6 Compartment's f~-- j Distance Fnom: Wett 6t. 12% on gneateA 6tope 6t s Bu-itd,ing 6t. wettands ~t• ~ DISPOSAL SYSTEM Htighwaten 6t. ~ I Distance Fnom: Wett 6t. 12% on greaten 6tope Bu-itding it. Wetlands Ft. Highwaten 6t. FIELD DIMENSIONS: Width o6 trench bt. Depth o6 rock betow t,ite .in. Length o6 each tine ()t. Depth o6 ~--,ock oven t,ite .in. Numberz o6 t.ine.6 Depth o6 tite below grade in. Totat tength o6 Zines fit. Stope o6 trench in pen 100 6t. Distance between Una fit. Depth to bed,%ock St. Tout absolr t.ion. atLea jt2 Depth to grLoundwaten 6t. RequirLed akea 6t2 Type o~ Coven.: Papet on SttLaw I PIT DIMENSIONS: Number o6 pigs Gkavet around pits yeas no Outzide d.i..ameten 6t. Depth b etow intet ~t. 2 Totat abso~.btion area 6t A Area teq u-ine 6t2 rn INSPECTED BY TITLE APPROVED ,DATE /97 9_ REJECTED , DATE 197. EH 11 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: %.44 '/4, Section ,T--ALN,R,af (or) W, Township or Municipality County Lot No. , Block No. Subdivision Name Owner's/Buyers Name: iQ69 Ts44,? Mailing Address: ~is.~r1CL, T-~ ~1 TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL F StG1 EFFLUENT DISPOSAL SYSTEM: NEW X ~ REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS _S / 2 `PERCOLATION TESTS SOIL MAP SHEET^ 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 HOLE AFTER INTERVAL RATE MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- P- t Y E 5 ~~L-~v' i G C %I . ©k` 0 P- P- SOIL BORING TESTS TEST 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- B- B- B- B- B- 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 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. i a s - I i P s ~ i F ~ 4 1 ` ~ 3 F r ~ t ~ ( 4 ~ fi E E ] j 7 3 3 i. t 1 ~ 1 1 ~ F 7 - P-- 9 s j 3 j I ~ ~ ~ ~ I E I . i { T i i e s 3 ~ 1, 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. C L°'r ~'1 / L ~f Name (print) Certification No. Address .Name of installer if known Copy A -Local Authority CST Signature State and County State Permit #"I "i PLB-67 vC Permit Application ~~jj' for Private Domestic Sewage Systems County _ -!z` *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. QWNER OF PROPERTY f iling Address: B. LOCATION: /G'G Y4, Se'ion TN, RE (or) W Lot# City Subdivision Name, nearest road, la e or landmark Blk# Village Township -r~~- C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons 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 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: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope 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 TesDr, j NAME, z:r-----~ C.S.T. # > and other information obtained from _ (owner/builder). Plumber's Signature MP/MPRSW# Phone Plumber's Address F 4.~! { L: L~-y 1.. - 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 E ~ w.. ek", i i E -3 - a . . : « e e. e.-. m mod:...„,... i ~ t E e r-.w . m, . as eA ....,.d p m f Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY i~ Date of Application Fees Paid: State County Date -Z/ Permit Issued/Rejected (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 State and County State Permit # PLB67 b 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 MaiU,ng Address: B. LOCATION: Sect on T _.L N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township,,,Ld- C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex Nro. of Bedrooms No. of Persons 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 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: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal,Q Owners name as listed on EH 115 if other than present owner: 1, 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 Certif' d Soil Tester, ) NAME C.S.T. # and other information obtained from )Z.-"Towner/builder). Plumber's Signature Phone # 1 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 1 . r i 1 y" Do Not Write in Space Below FOR COUNTY AND QT~EPARTMENT USE ONLY Date of Application I Fees Paid: StatCount' C r ! Date ' - Permit Issued/R- (date) Issuing Agent Name Inspection Yes _f _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 AGi~EEP%/ r- a 'I his agreement made and entered on this 1 day of 19 by and between thet~P~Wof Pddress EEREF S: I. n application has been made for a. sanitation system on the following described property: l EE 2 S: Septic tank drainage does not meet the minimum standards of the ordinance of St. :roix County and state codes. `.r,LLEES S: The owner agrees to install a. holding tank for septic tank purposes purposes. N,G TEEREF ORE: For and in consideration of the issuance by the T - c~t4rf . ,hip of , L- L. -C t- of a. permit for the above premises, the parties do hereby agree and bind themselves as follows: 1. Owner agrees that they will conform to all the rules and regulations pertaining to a holding tank system. They agree that anytirne said township deems it necessary to pump out said tank, the owners shall have same pumped out in 24 hours, or township will have said work doneand charged to owners and place same on their tax bill as a special charge. 2. The Township reserves the right to assess a bond if they desire to cover any possible pumping charge in the sum of $ IT IS UND.~:~~STGOD that this agreement shall be binding on the owners, their heirs and assigns. IN V ITNESS WEERE OF, the parties have hereunto set their hands and seals the day and year first above written. T~nship of L by Developer or owner STATE OF V.,INCONSIN) SS: COUNTY CF ST. CRS) Subscribed and sworn to before me this 11th day of July 19 79 Notary Fubli , St. Croix County Shirl.e-r Jornson My commission ex?oires 1-17-82 PIb. # 60 3170 PROJECT DETAIL DATA SHEET NAMi= &F BUSINESS LOCATION _ street or highway- city ~or township county L: AL DESCRIPTION C414ER ; M ailing address IL-i' V1 n' zip 5 ARCHITECT OR ENGINEER Address _ Z I P PLUMBER Address _ ZIP f 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed: Existing building New building° Addition If addition to existing building attach detailed memo for each. ( ) Drive in restaurant Car spaces ( ) Restaurant Seating capacity (10 sq. ft./person) ( ) Dining hall Per meal served Toilet waste Yes No ( ) Motel ( ) Hotel ( ) Cottages Number of units: 2 persons/unit 4 persons/unit TOTAL NUMBER OF UNITS _ ( ) Churches Number of persons i Kitchen Yes No ( ) Bar or cocktail lounge Seating capacity (10 sq. ft./person) _ ( ) Nursing or, rest home Number of beds ( ) Mobile home park Number of units - dependent (camper trailer) _ - nondependent (mobile home) Retail store Number of employees - Number of customers 10 sq. ft./person) ( Service station Number of cars served (daily) ( ) School Number of classrooms Meals served Yes No Showers provided Yes No _ ( ) Factory or office building Number of persons (total all shifts ( ) Apartments Number of bedrooms ( ) Other Specify 2. Indicate whether or not the following facilities are connected: Food waste grinder Yes No X _ Dishwasher Yes _ No I Automatic clothes washer Yes No Automatic potato peeler Yes Other . . . (Specify) No 3. Fill in the appropriate information for the following as indicated: Sept+c- tank capacity planned Percolation test results - ATTACH PERCOLATION TEST AND-SOIL-BORINGS REPORT SHEET COMPLETE OTHER SIDE a,11 19~~ Seepage trench bottom area planned _ width linear feet depth Seepage bed area planned width linear feet depth Seepage pit planned outside diameter depth below inlet depth _ 4. See approved plan for specifications and details. Signature of person completing form: STATE DIVISION OF HEALTH, PLUMBING SECTION P. 0. Box 309, Madison, Wisconsin 53701 Approved: Address: Date: _ ZIP 5 yo( 7 THIS APPROVAL IS BASED ON STATE PLUMBING ~j CODE REQUIREMENTS AND DOES NOT EXEMPT THE Date: ?7 INSTALLATION FROM CITY, VILLAGE, TOWNSHIP OR COUNTY PERMIT REQUIREMENTS AND SHALL BE VOID IF REVISED WITHOUT THE WRITTEN APPROVAL OF THE DIVISION OF HEALTH. 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