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Parcel 032-2006-50-000 04/04/2006 02:44 PM
PAGE 1 OF 1
Alt. Parcel 1.30.19.488 032 - 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
THOMAS L GERARD O - GERARD, THOMAS L
896 170TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 896 170TH AVE
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 35.000 Plat: N/A-NOT AVAILABLE
SEC 1 T30N R19W PT OF SE SE LYING S OF Block/Condo Bldg:
RR
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
01-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1218/422 QC
07/23/1997 562/222
2005 SUMMARY Bill Fair Market Value: Assessed with:
77505 Use Value Assessment
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 48,000 92,800 140,800 NO
AGRICULTURAL G4 16.000 1,500 0 1,500 NO
UNDEVELOPED G5 1.000 100 0 100 NO
AGRICULTURAL FOREST G5M 15.000 30,000 0 30,000 NO
I
Totals for 2005:
General Property 35.000 79,600 92,800 172,400
Woodland 0.000 0 0
Totals for 2004:
General Property 35.000 110,000 92,800 202,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 133
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
TOWNSHIPS Vne+. f SEC. / T ..3(--)N, R~W
O: ADDRESS c± , ST. CROIX COUNTY, WISCONSIN.
'LDIVISION LOT -LOT SIZEYt~,,M1Y'1Lk_(~.
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
. 0.
y
r~V C X
I
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. 1
_TIC TANK(S)--.,/ MFCR. . CONCRETE_ STEET.v
NO. of rings on cover x Depth DRY WELL
7NLICHES NO. of width length area
no. of lines_~` width f z lengths 4 I area
'
dgpth to top of pipe
REGATE
LK RATE '4 AREA REQUIRED AREA AS BUILT
:ciaimer: The inspection of this system by St. Croix County does not imply complete
.pliance with State Administrative Codes. There are other areas that it is not possible j
inspect at this point of construction. St. Croix County assumes no liability for
.tem operation. However, if failure is noted the County will make every effort to
-ermine cause of failure.
1'.ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
'INSPECTOR
DATED
/ ~7[ U PLUMBER' ON JOB
LICENSE IrUMBERF 2~/'i / ,y~~ y
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitaty Petcmit- - '
State Septic
NAME / Township St. Ctcoix County
Location % o~ Section T_N,R-;% W
SEPTIC TANK
Size _gatton6. Numbers o6 Compattmentl
Distance Ftcom: Wets 6t. 120 otc gtceatetz 6tope 6t
Buitding 6t. Wettand6
Highwatetc
DISPOSAL SYSTEM /
Distance Ftcom: Wett 4t. 12% on gtceatetc 6tope'2S7 it.
Buitding 6t. Wettand/s _ Ft.
Highwatetc 6t.
FIELD DIMENSIONS:
Width o6 tAench 6t. Depth o4 Aock below tite l in.
Length o6 each tine j~~t. Depth a{y tcock avert tite ~ in.
Numb en a .din e/s r
~ Depth a6 ti.~e betaw gtcade.~ in.
Totat .length o4 tines `r ` 6t. Sto pe o6 ttcench - in pets 100 bt.
Distance between tines ~~t. Depth to bedrock 6t.
Totat ab~s anbtion area jt2 Depth to gtoundwatetc 6t.
Requited atcea it2
PIT DIMENSIONS:
Numb etc o6 pits Gtcavet atcound pigs r -yeas no
Outside diametet<;' Depth betow inlet 6t.
f
4 2
c~rt t z
t ~cg~a r
Totat absotcb a
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Atcea uitced '
INSPECTED TITLE/
A DATE ` 197a-.
'yam
REJECTED DATE 197
.L
;y
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS _
LOCATION:,` '/42'/4, Section TAN, R f;*or) W, Township or #ity L
Lot No. Block No. County -
Subdivision ame
Owner's Name: 0
Mailing Address: < G /Zt) /661 _
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT >
DATES OBSERVATIONS MADE: SOIL BORINGS L~✓`~~. ~S PERCOLATION TEST,i t f
SOIL MAP SHEET _ Zc S01 L TYPE
PERCOLATION TESTS
I TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES ATE
CHARACTER OF SOIL NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
5(o SG-
13 vo(~ .3 6 15 i
P- 27 -36(1 11 JI
o ~
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
H i /
-77
-7 ~Q
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 nur;:ot i o Syi ; e feet o?
needed for building type and occupancy. 1 ?e 711ili/n'U I Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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i ! I ~ ' ~ ~ ~ I I I ~ I, the undersigned, 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 correc,•t
to the best of my knowledge and belief.
Name (print) ~ )Certification No. ~
Address `r ` c
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
i ~
State and County State Permit
PL1367 Permit Application County Permit #
j
for Private Domestic Sewage Systems County -L %
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
i
41 i~~
B. LOCATION: c-i Section / T,5 N, R 1~ (or) W Lot# ------City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township SL 17J~S~-
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family L./ Duplex No. of Bedrooms _ No. of Persons _
0 TYPE OF APPLIANCES: Dishwasher I- YES NO Food Waste Grinder YES --NO # of Bathrooms-/-
Automatic Washer 4i YES NO Other (specify)
SEPTIC TANK CAPACITY /0 0 Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks
'wIew Installation 4-- Addition Replacement Prefab Concrete
Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) , 2) 3) Total Absorb Area e!;~1 _ sq. ft.
.ew ---Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
`eepage Bed. Length Width Depth 6, Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size ~7~ _
Percent slope of land I a - Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
'sYisconsin Administrative Code, and that I have sized the effluent disposal system m t!,e `_l i'5 prepared
by the Certi 'ad Soil Tester,
i.+AME C.S.T. # _ 2- and other information
obtained from wner uilder).~y4_ 5 ~f
fliumber's Signature MP/MPRSW# _ _ Phone #
Plumber's Address
_ ~ GuM
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
1 ' Jl S-z ' L W
~a o-
' V2 Do Not Write in Space, Below FOR DEPARTMENT USE ONLY
Date of Application /';w ` Fees Paid: Stater County Date
Permit Issued/Red (date) - - Issuing Agent Name K), L.f
Inspection Yes_~__No Valid# Date Recd _
1. county (white copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
9 - state (oink cony! 1 nlumber (canary copy) Revised Date 6/1/76