HomeMy WebLinkAbout032-1049-80-000
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Parcel 032-1049-80-000 03/23/2007 12:28
PAGE 10F 1
Alt. Parcel 17.31.19.249A 032 - TOWN OF SOMERSET
ST. CROIX COUNTY, WISCONSIN
Current X
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 - MURRAY, ALBA M
ALBA M MURRAY
2130 40TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description 2130 40TH ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 34.000 Plat: N/A-NOT AVAILABLE
SEC 17 T31 N R1 9W NE SE EXC P249B AS DESC Block/Condo Bldg:
825/262 & EXC PT TO CSM 8/2107
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
17-31 N-1 9W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/31/2001 652586 1691/25 Ti
07/23/1997 612/336
435266 805/219
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 60,000 133,700 193,700 NO
AGRICULTURAL G4 11.500 400 0 400 NO
UNDEVELOPED G5 1.000 100 0 100 NO
AGRICULTURAL FOREST G5M 18.500 37,000 0 37,000 NO
Totals for 2007:
General Property 34.000 97,500 133,700 231,200
Woodland 0.000 0 0
Totals for 2006:
General Property 34.000 97,500 133,700 231,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 120
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
y
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP SEC. Tj_N-R./9w
ADDRESS 'r'~~~s ~C ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
y,LFVEI_THING WITHIN 100 FEET OF SYSTEM
ItIM,
I
I di a e oath Arrow I I
SC LE:
BENCHMARK: (Permanent reference Point) Describe: PO F4,:4' 4/'! z~ %Ga 000
Elevation of vertical reference point: o-'On Slope at site: (Cj
SEPTIC TANK: Manufacturer: ell . iquid Capacity: "
Number of rings on cover a nK manhole cover elevation'
Tank Inlet Elevation: Tank Outlet Elevation:
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons; total capacity o
distribution lines gallon: size o pump head;
gallon per minute horsepower bran name of pump
and model number r
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device
SEEPAGE PIT SIZE: um er o pits eet iameter
feet liquid dept seepage pit inlet pipe-elevation
bottom of seepage pit elevation feet.
SEEPAGE BED SIZE: number of lines ~i th > lerggth' the dept
SEEPAGE TRENCH: width lengtl
PERCOLATION RATE f - A REQUIRED REA UILT
INSPECTOR K.
DATED1 PLUMBER N JOB
LICENSE NUMBER 1""3
r
I ~
• REPORT OF INSPECTION - INDIVIDUAL SLWAGL SVSItM
Sanktahy Pehm.i..t- 7
State Septtie.
A M E Tow n.6 h.ip tf~l~Di St. CnoiX County
ocat.ion Secl -onaLo.t k Subdi v4-'e4' on -
IPTIC TANK
Size gattond Numbers o6 eompaatmenta
(,s tance Anam: WetY BuiLd~ng 1 12% 6tope _
Highwaten
LIMPING CHAMBER
Size ptton4 _ ,Pump" Man actunen Mudet Numbers
OLDING-TANK ,
Size. gattona. Numbek o6- g.om•pa4tment.6Pum e n
p - ~ xa/t m Syc tem
ietanee 64om: Wett Bu.itding 12$ aYape___
H.ighwatea
IiSORPTI'ON SITE
/ Bed Tnh
i
(.stance 64om: Wett ' Building r2% exope
H-ighwaten
IiSORPT1ON SITE DIMENSIONS
Width o6 tneneh 6t Req u,(ned area l t 6t
% Length oA each tine----`-`, At Depth o6 hack below t-:xe_ <(Y_... n
Numbers 06 t ine,6 Depth o A hack oven t, to
Total f ength u6 tinee At Depth o6 .tiTe be tow ynade
D.ieLance between ti.nee j At Stope u6 thench~ -_cn. pen 100 At a
1 u, u aLa o&1r CA.uYL a2eu At Type 06 Coven Pape. 0n e t a`w I '
It D I MCNS l ONS
Numbers u6 PA, t,6 Gnavel an.ound p4'te yee___ Ylu
Out,64 d~ diame,te4 it Depth b etow 4.ntet At
Total abeonpt.ion area it
Anea nequi led At
NSPECTE _~?t
TITLE
I'PROVED~ DATE Z _
/ 1981
I JLCTEU DATE 1911
IASON FOR REJECTION
State and County State Permit #
PL867 Permit Application County Permt,#T
County
for Private Domestic Sewage Systems
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
Mailing Address:
A. OWNER OF PROPERTY
S-1 - /LJ 7
B. LOCATION: - / ./4, Section L Z, T_ N, R'W 5., or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# r Village
Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _X Duplex No. of Bedrooms 3 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)
i -
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area--C- sq. ft.
New. Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (t'op) No. of Trenches
Seepage Bed: -X_ Length ~_Width a d, 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 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 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 CerUfi d Soils /ester,
NAME ~.1 C.S.T. # and other information
obtained from 0"'ADZ (owner/builder).
Plumber's Signature MP MPRSW# Phone
Plumber's Address, JL'T /
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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY _
Date of Application / " %-,k Fees Paid: State /4/,d2) County pZ) Date
Permit Issued/R,je ed (date) Issuing Agent Names ~it~!4CiF/ i,I~.J
Inspection Yes No State Valid# Date Recd
1. county (whhiitt~eTc_opy) 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
115 Rev. 9/78
REPORT 07 =0- N to" .,S AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION:I~~'/4, ` Section i ` T~N,R_ _Lk (orl~~ Townships r-Mur►iripatity
Lot No.`--- , Block No. County
ubdivision Name
Owner's/Buyers Name:_-t AA c~Yr Q r r o_\
Mailing Address:
TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET c~ NAME OF SOIL MAP UNIT 14 Y 0-3
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER OF SOIL RATE
SINCE HOLE HOLE AFTER INTERVAL
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- I' 10, 5 3% 3 YL/
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- =r I, 13/~3 5 44 y
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a, au)
3- '7 1.3 /01 3 1
PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the locationjand square feet of suitable areas.
Indicate number of square feet of absorption area needed for building type and occupancy ' Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
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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.
Name (print) A ~ Aj v Certitication No.
Address t-7 0 c;4 ('f o f<j C~ ~o a~ o f S y cs l
Name of installer if known
CST' Signature ~~~='~,j•-
Copy A -Local Authority
SGl3116CES
rts" ip'gr r" unrc3 ti
_OCAT4OP1 _-.Lr (or) ViVt Tovi
a, . _ 6 d r$
Lot E! -Ck O.
a,uclav{s.o~r~e
TYPE Or- OCCUPANCY: Of ec-Iro» m,_.~~-_ ,
E E.9
q~nTs-Y ~°57 Er.~.~ - OT 1-1 -
Er{= ~.~:"cy~' ®~SP~s~: 5~~~~-~{.~r:~, ~a EI^J ~rc~1~.c ~rp~E w - ~ -_~r-~~aya_T ~f~r R , »n c~.~~T
DATES :EC~3/l~ m 10,71S MADE: ML
N1AMlE0 7-SOILrJAPU 6'9rir
PEMMIL-ATMN TESTS
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C i 1ArlAc, En c.= °c?%! t°11T i 1 t Fac' , 3 c,OLI,
TEST AL E EPnilUCP'6H 6®CariflS9N~7VJAVCftPR1cfi ~S n
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N IV, c R 1 .1123 cE: .11111:0 ~ES a mIATED I Hr-HES IF 001SIZ .n M
pg _
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PLtlir' V12',J (L ecalc test,, s911 r_cre hones and s{1{t :k,Ae sots area") Indic-Ite on The pinn the fens of
Cr}r : a a ,,.a „k cr G+ ®'~ryuara G' a" ~G; ta'iio a area m cdcd for hquiHing 1:vp a and occurp3ncv
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t:,n b•v;!cf! ,3
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P,^.ar:3 LJ 7tiilcatic
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N,anno of inst^_99c7 if l':nocjn.- - - ~ -
CST Signatira _ " - - - -r
- .4 t Y Ix~ y i J
Ray. 9178
REPORT ON SOIL BORINGS AND PERCOLATION TESTS R'
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ;
a.'# P.O. BOX 309, MADISON, WISCONSIN 53701
U_J~,-ATIO4:Aa% ` s' Section __~=,T LN,R 1i (or) W)'Township br-Murridr1'aU3y`___e
' •1_t~t 1110, --.Block No: r ; 3 V
County
u ivision ame
Otas:t.r's/Buyers Name:
a ` y
ze ' i d u- t 4 e
It;xiling , address: 4,
TYPE OF OCCUPANCY:: Residence No. of Bedrooms..
E EFPLOENT.,DISPOSAL SYSTEM: NEW , f REPLACEMENT ALTERNATE SYSTEM.._. , _.~OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS
-T PERCOLATION TESTS
`
SOIL MAP SHEET
NAME OF SOIL MAP UNIT
PERCOLATION,TESTS
TEST HOURS WATER IN TEST TIME
DROP iN v1A7ER LEVEL, INCI{c
NUiU!- ~ ' ~ 'CHARACTER OF SOIL T~ `
14L'S THICKNESS IN INCHES SINCE HOLjf" HOLE AV-Tffl 4 IrRVA`L '
1~lifN/Ir.
~ BEE INC IST WETTED SWELLING iN MINUI ES PFRIOD I PERIOD 2 PERIOD 3
r - J p f
e
-
! \ SOIL BORING TEST'S
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH 'r4iCKNl SS, (rLOR,
k NUMBER RUCHES TEXTURE, Nio- TLi]NG AND UJEP'rH TO BEDROCK
1 • OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
Ali- I
~MU P 4 I ~f.n t..~'Y.~4 ~ d y ~ 1
B t C y : k.
$ i - - A .r._..~..~.
'PLAN VIEW %,gcate percolation tests, soil bore holes and suitable soil areas.) indicate on the plan the locatior anti square feetzsE suitable r~aa"~
!ndicate number of square feet of absorption area needed for building type and occupancy:. Indicate scale of cl:.Aances.`
Give horizontal and vertical reference points. Indicate slope.
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` r 1, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and rtetthoCs
specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my
71
knowledge and belief.
1
1 Name (print)
Address Corti ficatioxs 1q ;
G ~ f t i y•r.i •g,.• ~ ~ r), ; ~ .r*~.~..4 .t,,.1 f e x ..•-•--w'
Name of installer if known
CST Signature L;"
Copy C PIr:?pcvty Owner u
REPORT ON INSPECTION OF SANITARY PERMIT
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
L Time of
. O Inspection
,-Name, ress, icense oo instal ng-plumber.
3 INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
(4)BENCHMARK: (Permanent reference Point) escri e:
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 TRENCH: 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? ❑YE5jNO
(13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO
DILHR-SBD-6095 N.05/80
Signature of Inspector:
1`3/ A/, )Pl YA/
Sr . l~~r~c 6"5-10 7 Na~Crf1 Parr Son ~ ~ s ~T
.G1cuf f ~ i~/E ~d
~ Q
~~aJ.,.X TO ~4
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