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Home My WebLink About032-1092-95-000 0cn0 iKm0 d `+1 3 (D 0 3 CD -0 3 3 # Cl) w o ~l w y z 2 N z w 0 o m 0 o cn v:5 o w w `C • S o~ 9 0) O 3~ N r-+ A a O faD O N (O a (D O' N) c: to ~n 2~ CD a) CD CO N) N) CL 0 0 CD CD c o m a W cn C) D ro O CL 0 N_ 0 CO y (D CO CD A a C W a ~ y a _r O (7D 7 W 3 O ~ ~ m (D N N l\~ 2~ ` 00 Z o n r cn o ~ 00 0 CD ° c v v v o li Z O O O cn j ~ D N N N I ' Z ' n fr3::: O m v v o~ I O (n A A N Ln 0) V C) ((D ID < e~P N I' to 7 ~1 z N Z Z z o v O D o CL o' m h cn ~r ((D v (n c CD CD w a a 3 5 z CD -a fn O p z m Z CL A 'I O 0 D C,) W CL m .2 , Z 0 A T7 m w Z W f N O CL N N ~ T O CN C 3 o z a n ~ o ((D (n N 0,0 ;r (D -0 N Z A, o v CD 0 fi 3 A (n m 3 a_ o°o O ° O (D N A 0 b 0O CD w CD ~ Parcel 032-1092-95-000 01/08/2007 01:01 PM PAGE 1 OF 1 Alt. Parcel 33.31.19.437E 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 - SWORD, ROBERT F & PAMELA ROBERT F & PAMELA SWORD 1828 47TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1828 47TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE 11C 33 T31N R1 9W PARCEL IN #11 ON SURVEY Block/Condo Bldg: & IN 503/227 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 503/227 2006 SUMMARY Bill M Fair Market Value: Assessed with: 145756 273,900 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 58,000 149,700 207,700 NO Totals for 2006: General Property 5.000 58,000 149,700 207,700 Woodland 0.000 0 0 Totals for 2005: General Property 5.000 58,000 149,700 207,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 211 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Z -REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itany Penm.it_ . State Septic-Z-1--5-612-1 1 S Cnoix Count NAME ( l"awnd hip r. y f~ Q Locatiox, Sec .ion y - - 2~ SEPTIC TANK Size gattonz. Number o6 Compaatmentz 5 M Viztance Fnom: WeZZ it. 12% on greaten stope jt Bu.itd.ing 6t. Wettanda H.ighwateA - it. DISPOSAL SYSTEM Distance Fnom: Wett 12% on greaten Atope it. Bu.i.td.ing St. Wettanda Ft. • H.ighwaten it. FIELD DIMENSIONS: Width o6 trench At. Depth o j no ck b etow t.ite .in Length of each tine it. Depth o6 Aock oven tiZe in. Numbers of tined Depth ob tite below grade in. Tota.t .length of tines it. Stope o6 trench in pen 100 it. Distance between ti.neb_____Jt. Depth to bedrock it. Totat abb onbt.ion anew jt2 Depth to gnoundwaten it. Requited area it2 Type of Coven: Papers on Straw PIT DIMENSIONS: Numbers o6 p.itz GnaveZ around pith ye.a no Outside d.iameten it. Depth Wow inlet it. 2 Totat, abzoAbt.ion area it A 2 Area %equited it m INSPECTED BY TITLE APPROVED , DATE 197. REJECTED DATE 197. t 01 EH, 115Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: -'1/4,-1/4, Section ,T_ N,R_ E (or) W, Township or Municipality Lot No. , Block No. Cunt dub ivisor~ ame Owner's/Buyers Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms ,y COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW_REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT /%.-L. PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- P- / 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- f (1 > I/ ~ - I f - B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan th~e}ocation and 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. ~U r /5~4 LrrG~ - ~L Cc' tar/ ~Ai~l 4- ~ - - . - ~ I ~ 4 . _ _ ICS 4- -T _r 76 , its H~ {r % ~ ~ ~ I ~ ~ ~ , e * I E ®e . _.e_ 9 . 91 1, 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) f i. ~ Certification No. Address Name of installer if known Copy A - Local Authority CST Signature 1 _ 7 State and County State Permit # PLB 6 W .,f,. Permit Application County Permi y 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: B. LOCATION: Section) T_~/_N, R_L~ (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Qlfl~ Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family_ Duplex No. of Bedrooms j No. of Persons D. SEPTIC TANK CAPACITY ff f Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete 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 sq. ft. New-Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed:_ _Length Width I Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land_ ~x 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 Cert fled Soil Tester NAME C.S.T. # ' .j and other information obtained from ~._t.~. (owner/builder). Plumber's Signature MP/MPRSW# l i+ Phone Plumber's Address - 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. lee- - . E , U gym..., M, . ~ _ v . a ~a ~e CIO E m. 3 . Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE NLY Date of Application - L`O Fees Paid: State {1 C c CcIu t ' C Date - r C Permit Issued/R (date)-~ cC` Issuing Agent Name Inspection Yes No State Valid# Date Recd 1. county (whi 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