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Parcel 032-2026-80-000 04/30/2007 12:04 PM
PAGE 1 OF 1
Alt. Parcel 7.30.19.568E 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 - MOORE, GREGORY V & NANCY L TRST
GREGORY V & NANCY L TRST MOORE
1668 38TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ` 1668 38TH ST
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE
SEC 7 T30N R1 9W PT W1/2 NE 1/4 COM NE Block/Condo Bldg:
COR SEC 7, TH WILY ALG N LN 1028' TO INT
CL HWY 35 & 64, SWLY ALG CL S33 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
550' TO INT E LN W1/2 NE1/4 S 850.64' 07-30N-19W
POB S 461'W 439'W 430' TH N 33DEG E=CL
HWY S 513.96' TH E 159.08' TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
08/31/2000 629070 1538/566 QC
07/23/1997 461/522
2007 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 48,000 147,100 195,100 NO
Totals for 2007:
General Property 3.000 48,000 147,100 195,100
Woodland 0.000 0 0
Totals for 2006:
General Property 3.000 48,000 147,100 195,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 104
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
D . Lrtmertt of Ee«lt!, ,..d Se i _°cr ise
Division o." Health
a
i
PE~VIIT APPLICATION /
for
a PRIVATE DCi"sSTIC SEWAGE SYSTE!,'w v
032-Zo2-& 0lib ;6, 16 (1 I 3F s
A 114r:dER 0' P,? Y TYPE OR US- BLACK I2:
Address (Street/ City, Zip Codo) fd
County
B. LCI~y ON OF PYCPER, r Wl RE SYSTEM ',,ILL B% C5N3P ?UCT.:D, AL-IIERFD On ELTFUO_.D
ChLok
CIif VIL?.AGF LEGAL DESCRIP;IO;r:
TOw?iS j '
C. IS LOCAL-PER-11T RZQUIP D FOR TEIS ~YES J NO P, Ril. II, N1j.-
D. SEPTIC TAN{ CAPACI`'t ---Gallons NEW INSTALLATION REPLACEN '`rT ADDITION
MATERIALS: Prefab Concrete Poured in Place Steel - Other
{ .d[,i s R OF TA*KS TO BE L'i5'i'ALLI'D:
E. TYPE OF OCCUPANCY
Che c~-. One: One or Two Family Reddarce Corona*•cial Industrial rJthar
(Saeoify)
Nurr)er of Persons to be Accomjnodi.ted Number of Bedrooms _
F. AP.'LIANCES, ETC: Food Waste Gr•inder~ Y.S 1 Yl NO s^ Automatic Clothes Masher YES + T NO .I
Dishriashsr YFS NO Autornatic Potato Peeler _ YES NO
Other (Specify)
G. EFFLUENT DISPOSAL SYSTF."i Nirl EXTENSION ADDITION _ RF.PUIC y,'.`r^1
Tile Size - NO.Lin.Feet - Trench Width Depth w ~Number of Lines _
Seepage Bed: Length Width _ Depth Tile Size No. Lines
__Seepage Pit: Inside diameter r" Liquid Death _
P E R C O L A T I O N T E S T
Test Depth J Character of Soil ours Water Test Time Dro~o in Water Level Inc%ies i:inutas
Number !riches Thickness in Inches Since hole in Hole inte.val Second to j Next to Izst To Fall
lit 'Wetted i Ovarrri,,ht in Minutes Last Period Ll.st, ?erio~Periol 1ne Inch
R- 0 36" Topsail 10", Clay 26'r 25 as or no 30 1/2 I 112 1 2T~ 60
111
a
R:COW DATA Fkall OF 3 TEST H(,ia
~upute Giza of absorption area in accord with H 62.20 Wis. Arninistrati, Coda.
_ S 0 I L B 0 R I_N G S - Minima 36" Baler ?r ocosed Absorption Sys te_m _
oring Total De,,th Deon to Ground Water Death to BAdroctC
rber Lzches Cbser-ved Estix.ted 00 erved Es.~,atad Character of Soil with Thickness in Iro!:~s
xsrnple e
- 0 72" 72" Blank TooSoil 12"; Clay 1311; Sand ld"; GrPvel 24"
i
Z I ! 4
RECORD DATA FROM hiI`rI? !M: ~F 3 BORE "01-IFS
COMPLETE O'FHEIt SIDE
P
I, the undersigned, hereby re tify that tiie oe oolation tests reported on this form were made by me
# or under by supervision in accord with 'wile procadure> urrd method 3(J63ified in Ciu%pter H 62.20 (3),
( Wisconsin Ad:ninistra.tive Coda, and that the data recorded and location of test }pules are correct to
the best of my 'knoaledaa and belief.
WE- /~l _ ) TITLE
-
1
REGISI'RAI10111 NO, or MASTER Pi,~J;~HER LICENSE No.
i
ADD3ESS
UATF
MASTER PLJEZ M,A ING A_'
Signature; PP
(To e Co'. lei-ad by Issuing Agent)
J
Data of Appl.icnt3on Fee Paid
i-
Permit Issued (date) _ Permit Nwaber
Agent (na.me) For,
Torn, Village, City,'County, etc.
(Specify)
Note; The application cannot ba considered for filing until all of the a^ove questions are snowered
and the fee paid. Agents will for-Kard application, the fee of .10.00 and Copy (b) of the
Permit (yellow copy) to the Division of Health. Checks and money orders should 'oe rude
payable to the Division of Health.
Do not write in space below ^ r'OR DEPAf 1ENT USE ONLY `
DATE RF,CEIaD ACCEPTED RETUR'JE"D
/ _ (Initials) (Date) (See Corres.)
FEE R CEIVED v VALID. NO. PEM-11T NO.
(Yes or No) ~VIE;r'L 3Y APk'ROVEU DATE - I
(Initials) (Yes or No)
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CMi TENTS:
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