HomeMy WebLinkAbout032-1008-95-025
0 Cl) O 3 v 0 d
O N f = W, O ^D
c
(D D
(D c
a d ^
o=i N Nn O 4 O O A OW
0 o m m CD
a a_ m O O
co co :D C
N N N n 00
■s
m m (D o D C' ~01
O N N (D N p O O O
C ~I
D) N W
> co
O (D (n
a
(D C',
N W A
Q
O O S
Oo O)
ONO N ~ "*ad
CD
~ co (o CD r to
n
m 0 too c
N C. w Co 0
CD p
'ovvv
O O O
r-3
N v v 4- o
i Dl N ~l
CD Ln (m
(D N
N
z co z o
o D Q '
p
~y
N N
N N
CD a a) S~
I
O N
C (D (D
m n
N (p N
O p Z n
(n C:
n
A O
I
Z w a
W CD CL Z
I -P~ .Z7
0 -1
3 Z
N Z
w
D
CL
CL
o -
m c
o
m
a
a
I ~
I b
I m
C3.
i
I ~
I ~
N
O
O
a
O
O R7
D0 O
N
Efl 0 H
O N
O s• iv
Parcel 032-1008-95-050 12/06/2006 10:29 AM
i PAGE 1 OF 1
Alt. Parcel 4.31.19.54A-20 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
11/23/2005 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - MORTEN, CLARENCE W
CLARENCE W MORTEN C - O'PHELAN, PATRICK & WEIJIE LI
PATRICK & WEIJIE LI O'PHELAN
431 COUNTY LINE RD
OSCEOLA WI 54020
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 2388 45TH ST
SC 4165 OSCEOLA
SP 1700 WITC
Legal Description: Acres: 10.010 Plat: 5112-CSM 20-5112 032-05
SEC 4 T31 N R1 9W PT NW NW & PT NE NW CSM Block/Condo Bldg: LOT 02
20-5112 LOT 2 (10.01 AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
04-31N-19W
Notes: Parcel History:
APPEARS WRONG CSM VOLUME & PAGE WAS USED Date Doc # Vol/Page Type
ON DEED. NOTIFIED OGLAND'S OFFICE 03/08/2006 820224 WD
5-25-06. WILL LEAVE BOTH NAMES ON UNTIL 03/08/2006 820223 QC
CORRECT LEGAL. SEE NOTES ON DEED C 11/23/2005 812900 20(,5112 CSM
07/23/1997 502/582
2006 SUMMARY Bill Fair Market Value: Asses with:
144989 109,400
Valuations: Last Changed: 07/05/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.010 83,000 0 83,000 NO
Totals for 2006:
General Property 10.010 83,000 0 83,000
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
• AS BUILT SANITARY SYSTEM REPORT
P)QER _ , TOZTNSHIP,
SEC. TTN, RW
O.,ADDRESS lit T , ST. CROIX COUNTY, WISCON IN.
.-BDIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
f
t
_i
r
9V
t
V
3
f ~
f
I '
f f i i ~ I ! 1
Indicate No'th Arroi7
i ( ( SCALE: IPTIC TANK(S) MFCR.
Tilt- lB -
i _ L,,, CONCRETE JC STEEL
NO. of rings on cover Depth_ _ DRY WELL
ANCHES NO. of width length area
j no. of lines- width length area
depth~t estop of pipe
GUI LATE ~--~c wr.- y L h 1
Rt1TEF'/AR.EA REQUIRED ~ AREA AS BUILT ~
t,sciaimer: The inspection of this system by St. Croix County does not imply complete
,o;?liance with State Administrative Codes, There are other areas that it is not possible
,o inspect at this point of construction. St. Croix County assumes no liability for
4Stem operation. However, if failure is noted the County will make every effort to
,jtermine cause of failure.
,,EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYST
'INSPECTOR
DATED PLUMBER ON JOB
?~Uo/v'"
LICENSE NUMBER `
z -
REPORT OF INSPECTIJN INDIVIDUAL SEWAGE SVSTEM
San.i•tany Penm.i-t 6S7
` Sate Septic.l
NAME Q°h CiC°/fjHDlj rownahip Sp/I?~15e~ S ClLoix County
LOca.t•i0x . /V ljjYilAl Sec•tion _
SEPTIC TANK
Size Z( ( ' gattona. Numbers o6 Compa,%tmen.tb-_
D•.a.tance Fnom: Wett 6.t. 12% on gnea.ten e.bope - 6#
Bu•i.Ld.ing _St. We.ttanda - 6.t.
DISPOSAL SVSTEM Highwazen 6.t.
.
D.iatance Fnom: Wets. /C; 6t. .12% on gnea-ten 4tope 6.t.
Bu.itd.ing 6.t. Wet ando Ft.
H.ighwaten 6.t.
FIELD DIMENSIONS:
Width o6' trench 6.t. Depth o6 nock be.Cow. •t.ite in.
Length o6 each tine 6.t. Depth o6 nock oven .t.i.be -'7- in.
- Numbe4.06 tinea Depth o6 -t.ite betow g4ade,-4.n:
r, I
To.tat teng.th o6 tinea : 6.t. Stope o6 .trench i ~ n pen 100 6.t.
Di4tance between Zinea St. Depth to'bednock
To.tat ab4 onbtion area, 6.t2 Depth to g,%oundwateAA'111it.
Requ.i)ted area 6,t Type o6 Coven: Papers: on S•tnaw
PIT DIMENSIONS:
fi
Numbe4 o6 pi Gnavet around p.i.t.e yea no
Ou" ide dx.am e'dc _6t. Pep.th be.bow .intet 6.t.
To.tat ab.aonb.tion area 6.t2• z
Area equi,%ed 6,t2 ran
INSPECTED TITLE
APPROVED DATE 19
REJECTED , DATE 197
(~1
• S
O
d
EH 115.Rev..9/~8
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION: W-1/4'/4, Section _~_,TILN, °E (or ownshi or-i +ei~dfiity A M'62 S OF-
Lot No. , Block No. County C P-o J4 'Vr
CL -AR EWC ubdivision ame
Owner's/Buyers Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence X~No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEWREPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS S- 2..2` R?
SOIL MAP SHEET J FF L 7 NAME OF SOIL MAP UNIT 941Z f /-4s
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- g --S" ,v-fs s-- /11 19 2216 jl%'2,4 .4s 30 q / 3 4, " 1(e
P- Q-7l~.rr 7_' CS1 L .1'0 -2 r f/ ' -3 c9
13 1
P-
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
gq~~ ESTIMATED HIGHEST IF OBSERVED IN INCHES
B / V~d i y S" , .L SL~
B- 94/ U/lf 'S• L BLS y
B- PJ t-:- A?A to !7 . z s S
i
s- ! S-
B- E~ y _AAJ
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the Ian the Inca ion an square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy S Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
%
L /Ov
~IG~ a 1~EF ~
Q,\
%
I6'S
`N
OX
V, \V
III
I
4
I
i ~ ~ ~ Is I
E
~E2~ E ~ ~ ~ _ _ ~ ~'S~w 3rd
X
[j 012
d_
t
C
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.
10,
Sd Certification No. Z-
Name (pri t)
Address r r
.Name of installer if known
Copy A - Local Authority CST Signature
State and County State Permit #
PLB 67 County Permit #
+ U Permit Application r
for Private Domestic Sewage Systems County r"o k
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
l` 1 L r l 2 r~ 3c~T ! Lr~+S}, 1 f ~~C f s+-~.ci~.-yl Yl.. ~S /
B. LOCATION: Section , T N, R
(or) W Lot# City
a 4P
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 5;"_r0L rZ~;;Lf
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family- Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY L!.''Z Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete 1_ 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 .4 :2 ii S' sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft._7Width Depth Tile depth (top) No. of Trenches-
Seepage Bed: Length's u Y Width -':I-- Depth -2"? Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land 3 J~ 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 Certifi Soil Tester, 1
NAME 4~.J A).,- V E w Se C.S.T. # s S nd other information
obtained from (owner/builder).
Plumber's Signature z NIP/MPRSW# Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (in de 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. I J i~
~ r
a
ww „s M .
Ay
~ A.
as m e resin, e e.. . ~wrw ~ q ~ ro x.m~ mw.r
}
f
,
€ F
o._ a ed
E
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application Fees Paid: State fl- County y 61,
Permit Issued/Rejected (date) Issuing Agent Namel^
/"7 La
Inspection Ye, )&_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