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032-1025-70-000
o N o 3 -0 0 C7 _1 o c m o j "0 7 3 " .41 c v it (D 0 3 _ i 3 O to Z 2 u, z N) m 0 o m o m 3 N m o w o w W C1 a d~ N CD ~ j o ~ 1 C 3 CD W 7 77 CCD p cn _ V r.t N (D fU CA O CD CCDD CD CD O p p O A7 ro 2 0 ur 0, =1 6 C O CL CA v U> Z D CD Cq O N C W ACV E 3 O N N D 4 N U) 0 O co O y 0 C \ (D .r !r 0 0 0 M• o o I C V Z N N N ' D ~ 3N C, 9 0 0 0 0 y 9 CFIJ n N CD - 1 Cp N CD A d „ lil CD i] 7 N 0- z~Z o 0 D m ~ m O n =D o CD ? y ~y~~ CD CD C v~ -a N c co d w m E- 3 m CN Z D `1 O O A 0. p 3 oII N j o W (D CL z 3 °o cn 3 mC° z CD w No° ? n o~cn n m CL m c S 3 C X O Z G N (D N Cn N CD CL (n cr s3. CD O N 7 ~ CD A N CD N 3' Cn N A .R 3 N S 3 . o m o a CD 0 m c cz~ j N CD o e • :3 Z, 4~11 CD 014 v rfl O +i O CD Parcel 032-1025-70-000 01/08/2007 09:38 AM PAGE 1 OF 1 Alt. Parcel 9.31.19.126H 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 - PETERECK, GORDON L & LORIE GORDON L & LORIE PETERECK 466 222ND AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 466 222ND AVE SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 5.020 Plat: N/A-NOT AVAILABLE SEC 9 T31N R1 9W 5.02A IN SW SE LOT 7 CSM Block/Condo Bldg: VOL 1/119 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 145137 256,300 Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.020 58,100 136,300 194,400 NO Totals for 2006: General Property 5.020 58,100 136,300 194,400 Woodland 0.000 0 0 Totals for 2005: General Property 5.020 58,100 136,300 194,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f$ 7' JJ ~r! 9 S K. CROIX COUNTY SI'Y VE, OR'S RECORD j~ ' r 269°0528 N 89°59'OO'E 912.03 278°09'34" 300,00 612.03 NORTH LINE w OF S 1/2 OF SE 1/4 ~ "rn o M 6 7 8 N p 00 n - - TRUE BEARING rr) z 5.01 ACRES Qo 5.02 ACRES 0 co SCALE N INT OF BEGINNING, T("9 ( Mo ' SW - SE Cn 200 0 100 200 N -o R2~~~'°3~~0 S8605001"W 20 3 34 13 30 0) o - 5- 0.09 , 4/ 0 I g0° WEST LINE OF SS THE SE 1/4 2e9 I ~r . 0a 240°18 54.5 9 S 1/4 CORNER, R=80' =S 57°08`55.5"W SECTION 9, T 31 N, R 19 W p~ 79.24 A = 59°22~ 11" LEGEND L = 82.90' TANGENT BEARING = S 27 ° 2750"W SECTION CORNER MONUMENT O 1" X 24" IRON PIPE WEIGHING 1.68#/LINEAL FOOT. SURVEYED FOR: EDWARD GERMAIN, Box 66A, Somerset, Wi. 54025 DESCRIPTION: A parcel of land located in the SW1/4 of the SE1/4 of Section 9, T31N, R19W, Town of Somerset, St. Croix County, Wisconsin, described as follows: Commencing at the S1/4 corner of said Section 9; thence NO°53'32"E (true bearing) 1025.90' along the West line of said SE1/4 to the point of beginning; thence NO°53'32"E 302.12' along said West line; thence N89°59'E 912.03' along the North line of the SI/2 of the SE1/4; thence S8°08'34"W S86.86'; thence S86°50'01"W 134.30'; thence Southwesterly 82.90' along an 80' radius curve concave Southeasterly whose chord bears S57°08'SS.S"W 79.241; thence N62°32'10"W 713.34' to the point of beginning. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34 of the Wisconsin Statutes. DATE: April 3, 1975 FRANCIS H. OGDEN S-82 Map No. 74-422 a,~~de ~ a~ aap~i~i FRANCIS H. • OGDEN S 882 RIVER FALLS, WIS. t S 19Q (b 19 r~ w V RVolume 1 Page 119 s 1,9 4.+ p REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM S an.i. tan y P e n m State Septic. SAME Tuwnahi St. C& 0'i X County cat.iun W SCE Sec-tion4-Lo-t Subdivi.6ion IPTIC TANK Size ga.Etona Numbers o6 eompan.tment6 ,ALance 640m:. Wett Buy eding 12% axope Highwaten IIMPING CHAMBER SiZe gatton4 _ .Pump Manu,6aetu4e4, Mudek Number - OLDING TANK S.i ze gax.Eon4. Numbers o6 Com,pa4tment,6 Pumpers Akahm Syatem <etance 64om: Wext Bu.i.xding 12$ axupe _ _ Highwa.te4 hSORPTION SITE Bed Theneh ~ 6tanee 6nom: Wett Building t2% mope fl ghwa.ten HSORPTION SITE DIMENSIONS Width o6 .trench At Required an.ea (,t Length o6 each .E-i.ne ~.t Depth o6 to eh be.kow tcxe ~-n Numbers o6 eine.6 Depth o6 noch oven t<xe <.n Tutak feng-th u6 .E.inea -6t Depth 06 ti e betow gnude - -_-i.n D"iatance between tinea At Sxope o6 trench tin. pen 100 At z 104(Ai ab6olLptiun area At Type o6 Coven: Papers un a"thaw It DIMENSIONS Nurribeh o6 pits Gravet around p~ta _ yea___ ___nu Out-6-('de d.i.ame-ten At Depth below 4-ntet_ At Total abaorp.tion area At .Area Lequi4ed At NSPECTED. BV TITLE 1'PR0VED DATE 198 t IL CTED DATE 19 8 IASON FOR REJECTION I State and County State Permit # 5?9 y PLB 67 j 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 Address: J B. LOCATION: '/4, Section T-U N, R 1~a E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ~3^ s) C. TYPE OF OCCUPANCY: *Qbmmercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms Z. 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 Areasq. ft. New Replace ~ent 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 Tester, NAME ~'c+ I R_ _C1 .C C C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# f 1) `i Phone # ! -Q1.3 Plumber's Address c t^ c ` ` c1 / `l 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. , , t ~ , r m w , E , E Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application 42 -~i Fees Paid: State County C-V Date Permit Issued/Reiee+ed (date) Issuing Agent Name Inspection Yes _No State Valid# Date Ree'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 7/1 /78 Eli i 115 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'`.%I* Section L ,T,_j N,R ! ` E (or)L~Township or Municipality y,cY i1~/.J ~ Lot No.Block No. S ~ / County E' ivi on Owner's/Buyers Name: ..f Ap Mailing Address: s J c 1 5 TYPE OF OCCUPANCY: Residence No. of Bedrooms L COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 42 O PERCOLATION TESTS 1113 _96 SOIL MAP SHEET SA NAME OF SOIL MAP UNIT 1 1 r 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 Q -3 3 P-3 3 J 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 ESTIMATED HIGHEST IF OBSERVED IN INCHES B- ~~E 7 17" KC4 - Si p ~r B_ a, i° of ti v B- 3 r 8 B_ ~_1_5 B_ 1 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 C~ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I~b rr) '.~x►,a-' Ltd t .l,N4 vy F 14el ()J k-~n, j©o: -'Vv~ o ~ VIVA 3 b d 3 . F . ~ ECG q q a s ~ t s . 3 s 1 i _ . ,m w 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. r Name (print) i(- CA Certification No. Address Name of insta"er if known { ' Copy A -Local Authority CST Signature 2Z`4ZM4n~7 REPORT ON INSPECTION OF SANITARY PERMIT # 51~' (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Time of Inspection aress, License NO. Of s a ing Plumber 3 INSTA TI CONSIST • ❑ Sep c Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: M DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TREN H: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: f ff, f jAi 1 t,,