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ON c v CCU v N (D O N O W N N n c O (D CD p O N N X N) O (n x CD v F O (D v (n ti 7 ~<n'X"O 7 ^ O O O O 3 o O O 3 p O O 1 S CD S O Q b CD CD ffl EA O 09 cn p [V w( C:) CD CD o O t o O s ~ O O CD Co O(D ? O O O- N v a ST. CROIX COUNTY WISCONSIN ZONING OFFICE q ST. CROIX COUNTY CO 1111, 1 1101 CarmicV- 'Road T11 w Hudson, V! 401fr`~ 715/386= 80 EXISTING SEPTIC SYSTEM AFFIDAVIT rf)kl The existing septic system which serves the dwelling being to must be inspected by a licensed soil tester for complianc high ground water and/or bedrock seperation requirements as set forth in s. ILHR Chapter 83.10(2) WI. ADM. CODE. The results of that inspection must be made available to this office. If the existing septic system meets these minimum requirements, and is properly functioning, an addition may be added to the dwelling without updating that system. This addition must not, however, encroach upon the required septic system setbacks as setforth in s. ILHR Chapter 83.10(1). Property Owner (s) d32 Olt- /6-000 Property Mailing Address: Property Legal Description: Loth CSM/Subdivision 6 , Tn. of ~1/4~_l/4, Sec. 7_, T._ j / N. , R. w I, as the owner of the above described property, hereby affirm that the septic system serving this dwelling meets the above referenced state private sewage system codes. I realize that this addition may cause the existing septic system to become undersized for a dwelling of the resulting size, and I will make this information available to any future parties interested in purchasing this property. Notary Public Subscribed and sworn to before me on this date: Signed~< r, Date: :X/1C_'_ My commission expires: County Approval: 3 ac> C o Date: r ^ ,AN M CCV!!! :k,l :'J7.4R? r1i8 It r".!N;@F~ ';a ,•";11AY (r."11h, ,"MISSION k19it~S 1 SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) 4 917 a~ wr 11 ' ~fkts'iZ ~ S3 06' i ~X s l D~ "41V Z/ ~ _ --I _ ; _ ~ - - - ~ - -j- R 2 ~ 199 Parcel 032-1018-10-000 02/22/2005 08:34 AM PAGE 1 OF 1 Alt. Parcel 7.31.19.88 032 - 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): * = Current Owner * DELAITTRE, BARBARA M BARBARA M DELAITTRE 2303 TIMBER RD SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2303 TIMBER RD SC 4165 SCH D OF OSCEOLA SP 1700 WITC 5~2.~ vk- z DiJ ~ , - Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 7 T31 N R19 OA NE NE f Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 841/75 07/23/1997 805/584 2004 SUMMARY Bill Fair Market Value: Assessed with: 9801 489,000 Valuations: Last Changed: 07/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 218,600 266,600 NO PRODUCTIVE FORST LANC G6 37.000 148,000 0 148,000 NO Totals for 2004: General Property 40.000 196,000 218,600 414,600 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 196,000 218,600 414,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 311 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 -t AS. BUILT SANITARY,SYSTEM REPORT OWNER ~'~~H"rl 4 ye- I , TOWNSHIP : j ` SEC. T _N, RW ADDRESS i b l. LL o , ST. CROIX COUNTY WISCONSIN . SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r R J - i I di ate ozthl Arrota SCALt SEPTIC TANK(S) ( MFGR./ CONCRETE STEEL G N0, oT rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of wilt length area BED NO. of lines width length area ' depth to top o pipe NUMBER OF SEEPAGE PITS outside iameter total pit area AGGREGATE ; i,' - - PERK RATE y AREA REQUIRED AREA AS BUILT /C Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. Howevex, if failure is noted the County will make every effort to determine causelof failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS YTEM. INSPECTOR DATED PLUMBER ON JOBS- LICENSE NUMBER 7,_~~ z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.i.tany Permit ` State Sep.tic: NAME eQ irk rown6hip l S C,%oix County Laca iog Section 7- SEPTIC TANK Size-E2-,1 gatton6 . Number o6 Compan.tmen•t6 f D.c•a •tance Fnom: W ett_ 12% on gnea-ten 6.e.ope 6.t Bu.i.Ld.ing ` _a.t. we.ttand6 a ~.t. DISPOSAL SYSTEM Nighwa.ten D.i6.tance Fhom: Wet ( C S.t. 12% of gaeaten 6tope 6t. Bu.itd.ing ) _6.t. wet.Eand6 Ft. N.ighwaaten 6 t. FIELD DIMENSIONS: Width o6' .then ch 6.t. Depth o6 na ck b etow. •tite~~ n . Length o6 each tine ~f 6.t. Depth o6 %ock oven .tile n. Numbers, ob tin e6 Depth o6 -t.ite be.Eow grade, `J -.in: To.ta.L teng-th a6 tines 6.t. Stope o6 .trench in pen 100 6.t. D.i.6.tance between Zines 6t. Depth .to' bedrock 6.t. To.tat ab6 onb.tion area ,j 6.t2 Depth to gnoundwa.tea X 1 6.t. Requited area s,t Type o4 Coven Papers qn S.tnaw PIT DIMENSIONS: 1 • Numbers o6 p.i.t6 Ghavet around pi-t6 ye6 no Ou.t.6ide d4'-ten 6.t. Depth below inZe-t 6-t. To.tat ab6o4b.t.ion area 6t2, z ArZa,,% equ.i n.ed 6.t2 m INSPECTED B > + TITLE APPROVED. ,DATE h. 19'l'' , REJECTED ,DATE -197-. r p' State and County State Permit 75~J ■ LB67 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 Mailing Ad~Iressss: 2 Z 70 LCD. B. LOCATION: _'/4, Section _7, TN, RJI (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township,50 (ri ,wS G-~ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ~aDuplex No. of Bedrooms e No. of Persons 40 D. TYPE OF APPLIANCES/: Dishwasher YES NO Food Waste Grinder-YES NO # of Bathrooms -Z- Automatic Washer L, YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation i-----rAddition Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) _X_Total Absorb Area sq. ft. New /Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length` Width Z J Depth q7,• Tile Depth 33n No. of Lines it Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 01 Z Distance from critical slope 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 Tester, NAME 6 Vv A~rvA_ a!, ( yp' C.S.T. # and other information obtained from ti " v } (owner 'Ides Plumber's Signature MP/MPRSW# Phone ~J Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Ir r; a 0 gay f Do Not Write in Space B ow FOR DEPARTMENT USE ONLY Date of Application S' / ~L) Fees 'Paid: State County Date l Permit Issued/Reject ( ate) ` -Issuing Agent Name Inspection Yes No 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 6/1 /76 EH 1slJ5 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: /''/t% Section 7, T3/N, Rq 9 (or) W, Township or Municipality -5e Lot No. , Block No. County S d f,~ ubdivi io Name Owner's Name: Mailing Address: 4~-~~~ TYPE OF OCCUPANCY: Residence No.. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS S - _S'e PERCOLATION TESTS 5 ^ O n SOIL MAP SHEET / SOIL TYPE f~h1 A - r PERCOLATION TESTS TEST DEPTH I CHARACTER OF SOIL HOURS WATER IN TESTTIME 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 P-1 :3 L ~3 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- _5 B- _ - vas -s ity s PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and squar feet of~siitab r as. ndigate number of tar feet of absorp a needed for building type and occupancy. u e.1- C icate sca or distances. Give horizontal and vertical reference points. Indicate slope. E i i t fir I { I _C5~ tN l t I I I i I l 1 11 f C { i I` 114 II 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) j' e Certification No. Address Name of installer if known CST Signature 4_e COPY A -LOCAL AUTHORITY