HomeMy WebLinkAbout032-1030-95-000
0 c. 0 3 v 0 d
c CD (D
o- (D
of
(D m cD
3
- r.
n m m vN O cn v W O `C•
(D f- „ 3 N
CD I
j a. O a n 00 m N 1, 0
•y
3 O
c - co co o m - w
a
NO Q o- m O
CD m
can o CD
3 CD :3 D oo
° rS
v r- NJ
p - (D
N m (D F'
M co a
a CD W
3 w. CD o
` o z al
co co °
CD !V
(n °°o eoo 3 'Or' r
m ~
000
z
w m I '9 o ° o
C) ' R
fD - (D
D
< N
IV 7 ~ ~ O)
C 7
z N
zWz O
D N o
o
o CD
cn
CD N
C (D (D
w m a
Z N (a _a Z c
O = A
m C: n_.
0 Z O_
O_ A
O
Z -1 w
W -
m 3 z
0 A Z7
0 . Z cfl
N z
CD
C,) a
a
o -
E, T
w c
z n
O
(D
N
A
a
I ~
N
O
O
a
Q
0 W
O_
Oq N
O
69 O q
(D CD
o CL
ti
Parcel 032-1030-95-000 08/11/2006 03:49 PM
PAGE 1 OF 1
Alt. Parcel 11.31.19.149A1 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 - BAILLARGEON, LEE P & DEBORAH A
LEE P & DEBORAH A BAILLARGEON
2291 CTY RD I
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 2291 CTY RD I
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE
SEC 11 T31N R19W 3A IN NW NW LOT 1 CSM Block/Condo Bldg:
VOL 3/761
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-31 N-1 9W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/23/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 48,000 143,700 191,700 NO
Totals for 2006:
General Property 3.000 48,000 143,700 191,700
Woodland 0.000 0 0
Totals for 2005:
General Property 3.000 48,000 143,700 191,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 125
Specials:
User Special Code Category Amount
I
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 032-1031-20-000 08/11/2006 03:38 PM
PAGE 1 OF 1
Alt. Parcel M 11.31.19.149A3 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 - BAILLARGEON, LEE P & DEBORAH A
LEE P & DEBORAH A BAILLARGEON
2291 I
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.950 Plat: N/A-NOT AVAILABLE
SEC 11 T31N R19W 3.95A IN NW NW LOT 3 Block/Condo Bldg:
CSM VOL 3/761
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-31 N-1 9W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 3.950 500 0 500 NO
Totals for 2006:
General Property 3.950 500 0 500
Woodland 0.000 0 0
Totals for 2005:
General Property 3.950 500 0 500
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
10t.-ER , TOWNSHIP _ SEC. 1L T--N, R / W
.0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
:3DIVISION LOT LOT SIZE '
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r
E
1
Indicate North; Arrow
SCALE . LIZ, :11L,_
TIC TANK(S)_j MFGR.);,. l 'ri+irr3}If' D:r-~1 CONCRETE STEEL
NO. of rings on cover-_,2_ Depth j DRY WELL
.tENCHES NO. of width length area
no. of lines. width_LL length_ area
i~ depth to top of pipe
~GREGATE
SAE: RATE L: AREA REQUIRED AREA AS BUILT
lisclaimer: The inspection of this system by St. Croix County does not imply complete
.o,pliance 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
43tem 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 SYS .
'-INSPECTOR
DATED - %e- - ( PLUMBER ON JOB
LICENSE NUMBER_
'L
z v
REPORT OF INSPECTION -INDIVIDUAL SEWAGE SYSTEM
San.i.taAy Pe.tm.i-t
Sate Septic
NAME Township S.~. Cto ix County
L o c a.t.i o x Section
SEPTIC TANK
Size gattonz. Numben o6 Compattmen.tz
D.catanee Ftom: We.E.E j- 12% on gneatet atope -®---4t
~ .
Bu.itd.ing~it. Wet.Eand.6
H.ighwatet ._.r--- it.
DISPOSAL SYSTEM
D.ia#anee Ftom: Wett 12% on gteatet ztope it.
Bu.itd.ing ~ t. W ettandz Ft.
• H.ighwaxet it.
FIELD DIMENSIONS:
Width oS stench it. Depth oS nacfz 6eCowiCe in.
Length o6 each tine it. Depth o6 Aock oven Cite ~ .in.
Numben, o f tines Depth of -t.ite below gnade 30 in.
Totat. .Eeng.th ob tines it. Stope o6 tneneh Z' in pen 100 it.
Distance between tinez-~Z-it! Depth to bednock G~ it.
Totat abz otbtion aAea- jt2 Depth to gnoundwate k it.
c..
Requited anea gt2 Type o6 Coven: Papers n Stna.w
PIT DIMENSIONS:
i
NuAet o6 pits Gtavet anound pits yez no
Outside d.iame•teA it. Depth below .in.Eet it.
I 2
Totat abaonbtion anea it
Ate AequiAed ~t2 r"
INSPECTED /7 A `TITLE
APPROVED DATE 19~.
REJECTED DATE 197
3
ivy' !
EH 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: LW'/4,_0_0/4, Section 111,TJLL N,R-1.E(or) (or)&;Township or Municipality-'.
Lot No. , Block No. 's Cr~ciix
County
Subdivision Name
Owner's/Buyers Name: r reC=' 3 c?~ c- -F Z,:,
Mailing Address: ~C'~ ✓ `:`-r i 1 (..i
TYPE OF OCCUPANCY: Residence.,,-No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEWXREPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS _ 1-2 r
SOIL MAP SHEET NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
RATE
NUM- SINCE HOLE HOLE AFTER INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- r 1 'J ~.J ~LaC76~ . rf: C~ P
P- 2
( I a ~a Z ~Z
P-
P-
P-
SOIL BORING TESTS
TEST 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- r 176 ;7--,> r-a 0-ST5 9 s
B_ c- e, g mac..
B- Z C5 LI1. - _ 6
-1 C', C7
B-~ ~''-~''~5 -YJ~~ `y• 65
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 12-5 R ~~.indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
` i 1 b
v
+111 ~ ~ _ -
E
.
14 ~1~
E
3
O e
9. ri
Z
;If
3
-y ,
4-
41
f I #
3 >
4 i
a f
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.
'S S~?
Name (n-int) _ ~ V1 •s~ %er' f' Certification No.
r ►c1
Address 61 ~
Name of installer if known
Copy A - Local Authority CST Signature r
State Permit # 5
PLB State and County v~ Permit Application County Perm
for Private Domestic Sewage Systems County
- a
"DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: /4 Y7 /a, Section J, T- / N, RL_~_ E (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Townshi
C. TYPE OF OCCUPANCY: "Commercial "Industrial "Other (specify) "Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY 0 Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete X 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 ~j sq. ft.
New. X Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length lr Width 1 L t Depth Tile depth (top) -7 L r No. of Lines 3-
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- 2c Distance from critical slope
WATER SUPPLY: Private M 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 Tesyer~ _
NAME C t- v'r n F1C~ :'~4 C.S.T. # 3 ( and other information
obtained from u r owt~bui lder).
Plumber's Signature M Phone
Plumber's Address 12- 3 17 )IIU11,,11, c- ` '
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. -2 i
-row f~, is tl/
r ism
ut
n 4
p^~
All
R ~
t
116
s
Do Not Write in Sp ce BeloW FOR COUNTY AND STATE DEPARTMENT USE NLY
Date of Application o ( Fees Paid: State Co y (Y) Da e
Permit Issued/R® (date) Issuing Agent Name 2~ 'Zo 2~ e
Inspection Yes No State Valid# Date Recd
1. county , h to 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