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Home My WebLink About032-2005-10-000 o cn o g-v o r o * C v o m `+1 c 3 n 3 CD o xt CD m m 3 ~ p Cf) l , 0 M O 0 O z U) V v (CD O 0 0 ~ (D w M m 3 (I ~ j CD C) No M o-t o c m o r m CO o O 1 (D m :3 P CD CO (D v" :1 l o- o p c o OD c CD m n n W 3 CL ' o (n N C) O _ =r O y rn o v cn D a m co (n a ~ co ° 3 _ N co ~ ° W,~ p C/) o r- cn N o 00 co 0 Z 0 3 a cr . U Z 0 v v ~E 0 > g 3 cn cn cn _ . N vvoCD 0 o m N N) W v _ CP (A N pt co O_ Z o c co Z CD O v O ~ ° o' ° T N (D c C N W (D ~ Q. 3 z CD 1 cn O l0 p Z CD N C 3 ~ ~ d CL ? G 7 O Z co v m 0 C m Z 3 A 0 N z (D A W Z ET 2 D (D v m a 0 n W S CD m - 3 c o (ni 3 (D ° O CD N C) O Np `l (D CD O N O d a D1 0 (n C (n O N - 5 (D 7 3 a v -o ~ v s c 0 3 fl, a '0 L n. a w m (D O N :3 cz N CCDD 41 Q A 0 d • (D b o ~O ~ CD C GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032 - 2005-10-000 Parcel Number 1.30.19.481C Claimed 1 Date Re-certified / / Relate Number: OWNER NAME: First SCOTT C & KIM M Last GELLE CO-OWNER Mailing Address 1746 85TH ST City NEW RICHMOND State WI Zip 54017 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY WD 1015/ 357 07/23/1997 864/ 585 07/23/1997 PROPERTY ADDRESS: Hse # 1/2 PD --Street Name- Type SD Apartment Post Office 1746 85TH ST School District: 5432 - SCH D OF SOMERSET Special District: (1) 1700 - (2) - (3) - W ITC Plat Code: Last Changed on: 04/22/1994 Book Number: 1 SECTION 1 TOWN 30N RANGE 19W '/4160 1/440 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers : F4-Prev, F5-Next, F6-Legal, F7-Value, F8-History, F10-Exit, F12-More LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032-2005-10-000 Parcel Number 1.30.19.481C OWNER NAME: First SCOTT C & KIM M Last GELLE PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1746 85TH ST SECTION 1 TOWN 30N RANGE 19W 1/4160 1/440 Line Description Line Description TOTAL ACREAGE 5.000 PLAT LOT BILK 01 SEC 1 T30N R19W 5A IN NE SW 15 02 LOT 1 CSM VOL 3/844 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, 178-History, F10-Exit AS BUILT SANITARY SYSTEM REPORT OWNER_4~~ - ADDRESS TOWN SHI.PSEC. ~TWN, R _ - ; ST. CROIX COUNTY UTSCONSIN. sUBnlvrs LOT__i LOT SIZE Distances dimensions to meet requirementswof_ H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM s, 1 , I di a e o~`t Arrow SCAL SEPTIC TANK(S) / MFG-R. /,/x-Cr,,?LcCONCRETE STEEL N0. o . rings on cover z Depth PUMPING CHAMBER SIZE PUMP MFGR. DEL NO. GALLONS Per Cycle _ TRENCHES NO. of wi tc~h length area , BED NO. of lines J widthlength_ - area _ depot to top of pipe NUMBER OF SE PAGE ITS 0ut_si e iameter total pit area AGGREGATE 3 PERK RATE RE REQUIRED-- AREA AS BUILT Jlj/`l Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas thn it is not possible to inspect at this point of construction. St,. Croix County assumes no liability for system operation. However, if failure is noted the county will make every effort to determine cause of failure. CREASES AND OILS SHOULD NOT BE DISPOSED THROUGH PHIS S,YTEM. a 3 INSPECTOR PLUMBER ON JOB 2e- DATED LICENSE NUMBER ,440" m r I .lf, 8 a f I Z - REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM y San.i.taxy Pexln.i.t State Septic- NAME rowneh.ip St. Cxo.ix County L o c at.i o w Section SEPTIC TANK , Size gattonz. Numbet o6 Compax.tments I Viztanee Fnom: Wett it. 12$ on gxeatex 4tope it Bu.itd.ing it. We.ttandd ~ . Highwatex ~z. DISPOSAL SYSTEM D.iz.tanee Fnom: Wett 5#. 12% ot gxea.tex b.Eope _ S . Bu.itd.ing r' it. Wettands Ft. • Highwatex it. FIELD DIMENSIONS: Width o6 .txench ? it. Depth ob xock below t.ite .in. Length of each tine t it. Depth o6 xock oven .t.i.Ee .in. Numb ex o6 tineA Depth o6 t.ite below gxade in. Totat. .length o6 tines ~ it. S.Eope o6 ,txeneh in pen 100 it. D.i.atanee between tines it. Depth to bedxock r i ; `~Tota.E abzoxbt.ion axea _jt2 Depth to gxoundwater~ 2 Requited axea it Type o6 Covett Papex ox Stxaw PIT DIMENSIONS: Numbex o6 pits Gxavet axound p.itb ye.a no Out6.ide d.iametex it. Depth below .intet it. 2 Totat abzoxbt.ion axea it A 2 BZ Axea'xequ.ixed it n, INSPECTED BYI TITLE, APPROVED DATE 79b. REJECTED DATE 197_ I State and County State Permit # 5 17 o Permit Application County Permit# PLB 67 - 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: t B. LOCATION: '/4 Section TN, R/'I 1l (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- Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY ,jCZ,Z Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concreted 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. EFFLUEJVT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area E2- Y -sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: / - iZ Length Width f 3- Depths -Tile depth (top)-L~L_No. of Lines 71 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 ave 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 -ti' C.S.T. # and other information obtained from y fi7 s~„t (owner/builder). Plumber's Signature MP/MPRSW# E Phone # Plumber's Address y 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. L E m. ~m e . m ell 1 x M.m ~W ..off a 4~ \F E C E • r e ' E e \f e Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application W5 - t L7 Fees Paid: State rJ eco C nt ~ ~i C Date . 31- ~ 0 Permit Issued/Fib- (date) __5 C-, Issuing Agent Name ' Lam( tJ T ~ Inspection Yes No State Valid# Date Rec'd ^ounty (wh'e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 igink copy) 4. plumber (canary copy) Revised Date 7/1/78 EH 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES f P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:'/4, Section i T~e' N,R1X11 (or) W, Townshil~oc Municipality Lot No. , Block No. County-'`G'~~~ vision Name Owner's/Buyers Name: Mailing Address: ~ r, A ) ' TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS t,?` - a% PERCOLATION TESTS SOIL MAP SHEET i NAME OF SOIL MAP UNIT - PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE 1 NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL MIN/I BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 -7- P- L( 3L Sri P- I l)>> D i P- P - P - SOIL BORING TESTS rTEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- J -w r J S ; - z B- _PC 0 515i PLA VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicat on the pla e location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy f~` th Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. j~°:~I-~ I =161 t _ I 40 4 v ~N a - I 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. / IVanie (print).. y~ Certification No. Address Name of installer if known i Copy A - Local Authority CST Signature L11M