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Parcel 24.31.19.328A-10 032 - 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 - NEUMANN, DENNIS M & DAWN J DENNIS M & DAWN J NEUMANN 2039 HWY 35 N SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2039 HWY 35 N SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 28.350 Plat: N/A-NOT AVAILABLE SEC 24 T31N R1 9W 30.65A NW SW EXC P32813, Block/Condo Bldg: P328C, P328D & P328E EXC PT TO CSM 15/4218 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 05/19/2003 721981 2245/516 EZ-U 11/01/2001 660747 1751/393 EZ 733/601 727/77 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 145526 Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 24.350 3,000 0 3,000 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 3.000 45,000 117,900 162,900 NO Totals for 2006: General Property 28.350 48,100 117,900 166,000 Woodland 0.000 0 0 Totals for 2005: General Property 28.350 48,100 117,900 166,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 153 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT b OWNER - , ADDRESS , TOWNSHIP< S _r SEC. .1 'LIZ, _N, R/q_W ST. CROIXX COUNTY WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 F SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 7 A f f r 1 , di ate o r hj Arrow PSCALt: -TEE,:: - ' i SEPTIC TANK(S) MFGR, CONCRETE STEEL NO. o rings on cover ____Z _Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines width ),2' length 1f area depth to top o pipe NUMBER OF SE PAGE ITS Outsi e diameter total pit area AGGREGATE azt) G.v S PERK RATE AREA REQUIRED J/ AREA AS BUILT 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. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS' SYThM- - ~ INSPFCTo DATED - a ' - C 3 PLUMBER ON JOB~a,~(;~~~; , `mac LICENSE NUMBER ~~`1;~ REPORT Of INSPECTION - INDIVIDUAL SELVAGE SYSTEM S an..i..tan-y P e.n.mi d State S e p ~t~. c--~a-.~~6Zc- S,&Wj NAME Tawn-6hip_ St. Choy county Location N4~~k 51ryiSection ~Lot # Sub'divizion SEPTIC TANK S.i.ze gaelonb Numbec o6 eompantmen s t2% .6tope D-i6 tanee bum: WeU Ze G' 1 Building Z HighwatvL PUMPING CHAMBER O Stize_ gatta.n mp Manu jactuAerr Mode. Numbeh. HOLDING TANK Size gatk.ons u ea o6 Campanmenb _pb Pumper //Ata&rri Syexem_ Di.6 tanee (nom: Wett Bui ding 12% 6tope- Highwa.;ten. ABSORPTION SITE Be.d Trench D A ante {teum: week.- Building ~ T2o zZope High.wa:teh ABSORPTION SITE DIMENSIONS Width o6 tiLeneh 6t Req uilced akea 6,t Length o6 each tine ~ 4t Depth o6 no ch, b e.2ow tit e in Numbeh o6 ki-ne.6 Depth o4 hock oven. Cite Z' in To,tat .length o6 tinea 6t Depth o4 tite below grade Z- 71 in Di6 tanee between. Zin.e6 v 6t Stope o6 tneneh in. pen 100 6t To.tat absonp:tion anea. 6t Type o6 Coven: F'apen n .6tAaw PIT DIMENSIONS Numbeh o6 pit,6 Tepth,betow eZ an.ound p~.~ yed no Ou.t,side diame~ten 6 intet 6t Totat ab6okption anea V-6t Acea kequilLed 6-t r~ . INSPECTED BY TITLE % I~ ! APPROVED DATE 19 80) REJECTED DATE 198 REASON FOR REJECTION REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of inspection 4)P 'S Time ( of Inspection ,,"Name, Address, License NO. o ns a ing Plumber Z T3 )INSTALLATION CONSISTS OF: Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit eepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent re ere ce oin escri e: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: ;mot, Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle allons; total capactiy of distribution lines gallon; siz o pgafp head; gallon per minute horsepower br` d n of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction ; depthf,to the cover ft; If septic tank is being used are baffles removed? ❑'~ES / 0,;,_ ft from residence; ft from well; ft fro rop rty 1- ne. Type of warning device Is the warning device installed? ~YE 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 pi / ft diameter; ft liquid depth; ft to residence; ft to ells' ft to property line; ft to ordinary high water ma of/l.i or stream; ft to edge of slopes greater than seepage/pi -inret pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: i % ft width; ft length;C tile depth; 1 Z l i.neal feet ti l e; -~L_ ft to res i dence; / t 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 seepag_ltrench ft; width ft; tile depth ft; ft to wel ; i r -to ordinary high water mark of a er than 20% falling away toward lakes, lake or stream; ft to edge of e e on of ank discharge line entering seepage water courses or drainage ditches; e; At trench ft. (12) Has system been installed in area indicated on EH 115? 0 YES ❑ NO (13) Has system been installed in floodway? ❑ YES NO Floodplain? ' ❑ YES nX0 DILHR-SBD-6095 N.05/80 Signature o Inspecto - 5 Rev. 91/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS FV- WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:Section N,R-a' 0 (or) Jp(, Township or Municipality f~`~•~~' Lot No. , Block No. County Subdivision Name Owner's/Buyers Name: ►(q/~ Mailing Address: K4U..~:r.5CE 1' ' TYPE OF OCCUPANCY: Residence- No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT -ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 7 1- AC-' PERCOLATION TESTS ~4i';zal2%,~.y SOIL MAP SHEET_ ' i NAME OF SOIL MAP UNIT 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 W 7 I P- Ir / AIA I I 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- 7 / B- ? 5' Z2 - IWX A/ "7 B- B- T #4-4 -5 V J B- B- T Q.Al PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the localion and Puare feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy JNWT /~;~`A .Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. v©«, d.Jes ~ I 7- . X - A)114Pl 115 lve I.4-s '1~ 41 ~ 4AX 3 ; r'~ Y r _ Y N 4.4,.y 1,44r M _,Sc 14-61(SAF- T . m = ~m . I E a c e f j` f S x E 7u'rz,~ ~,~~rc HEX 33_ - 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. Name (print). x" Certification No. SS - c~ Address Name of installer if known Copy A - Local Authority LB State and County State Permit # 13P. 67 w Permit Application County Permit # J for Pri r.~d /vate Domestic Sewage Systems County X *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: l~ B. LOCATION: (gam '/a s W '/4, Section --rj N, R J V (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township e~r„a'iPs1r C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ---e Duplex No. of Bedrooms No. of Persons 1-3 D. SEPTIC TANK CAPACITY 1424~c) 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 otal Absorb Area /4Z sq. ft. Newer Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: -❑~-Length 9J~'WidthZ~2 Depth )'f Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land_ - V,~ I Distance from critical slope WATER SUPPLY: Private 9 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 T ster, NAME~~s J C.S.T. # and other information obtained from (owner/builder). _ Plumber's Signature MP/MPRSW# G 3 Phone Plumber's Address " A)P 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. 9 DeAJA~ 444 t f c ~ i a w r 3 , . z , I Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application .7 Id Fees Paid: State. , County Date Permit Issued/Rejected (date) -/J? - fC Issuing Agent Name' Inspection YesZNo 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 Plb. 1-A WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES - Division of Health Section of Plumbing & Fire Protection Systems ON-SITE WASTE DISPOSAL INSPECTION REPORT Name of Premises Street City County Master Plumber Address Owner Address ❑ County Permits ❑ Appropriate State Permits Type of Building: ❑ Public ❑ Single Family or Duplex CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM ❑ Building Sewer ❑ Conventional Soil Absorption System ❑ Septic Tank ❑ Conventional System-in-fill ❑ Holding Tank ❑ Alternate Mound System ❑ Seepage Bed ❑ Holding Tank ❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH- 3 j j 6 _ i 70__ r E I, E 3 3 n 3 E € I E ` # r € E f $ } -4 4_ I L c t _ s E s E € 1 € I i ~ E j j E 3 : j---- ....L........_., _ E E r 3 3 E _ f 9 E € f i 3 e E - - - - - - - - - - E E ~ E r 3 ~ i t 3 i 3 7 ` .A 4 - - - - - - - - - - - - - - d I s € - - - - - - - - - - - - - - - 3 ~ E 3 F c { 3 3 I n" E : _ E F ~ 3mm _ i ❑SEE ATTACHED DISCUSSED WITH PLUMBER ( ) Yes ( ) No SIGNATURE (Voluntary) DATE OF INSPECTION Signature of Inspector White - Inspector Yellow - Local Inspector Pink - Plumber or Responsible Party