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Parcel 181-1024-70-000 04/25/2006 02:48 PM
PAGE 1 OF 1
Alt. Parcel 3.30.19.90F 181 - VILLAGE 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
STEVEN C REICH O - REICH, STEVEN C
BARBARA A LOGELIN-REICH C - LOGELIN-REICH, BARBARA A
420 FORREST DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 420 FORREST DR
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.010 Plat: N/A-NOT AVAILABLE
SEC 3 T30N R1 9W 2.01A IN OLS 90& 91 LOT Block/Condo Bldg:
1 CSM VOL 2/474 VIL SOMERSET
EZ-U-1427/405 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
10/27/2005 810454 2916/374 QC
07/23/1997 1195/414 WD
07/23/1997 1079/493 QC
07/23/1997 814/89
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/01/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.010 30,000 118,000 148,000 NO
Totals for 2006:
General Property 2.010 30,000 118,000 148,000
Woodland 0.000 0 0
Totals for 2005:
General Property 2.010 30,000 118,000 148,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 123
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I
COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 C U
J! 9 .t
iOURTHOUSE r~r . Fc.:+:s 3/91
"JIDSONt GPI
I Y r
Lde Lse3 St!®t v: i)}°i'liiL t'i / V~ / ^ 71D
u k ::;Oil! y.r5;. 03,
~V • l (1
r
SAi4FLEi p1i iCi~4'Tt
Q /100
,TERPRETATIONt Bader i ;.l
1 p,
Above 1"
O4,,to EPENDE'Y
J` Ym
O P
D
Z
PROFESSIONAL LABORATORY SERVICES SINCE 1952
1
Nat,
ST. CROIX COUNTY ZONING OFFICE
St. Croix County Courthouse
.
911 9th Street
Hudson, WI 54016
Telephone - (715)386-4680
he St. Croix County Zoning Office offers the service of septic
tnd water inspections to Lending Institutions, Realty Firms, and
>rivate individuals.
'ompletion of this form is essential so that the property can be
ocated.
lease provide the following information, enclose appropriate
ee made payable to St. Croix County Zoning Office, and mail,
t1ong with form to the above address. Testing will be done as
oon as possible after fee and form are received.
LATER TESTING------------------------------FEE: $ 25.00 XXX
(For nitrates and coliform bacteria)
LATER TESTING FEE: $127.00
(For VOC'S)
;EPTIC SYSTEM INSPECTION-----------------FEE: $25.00 XXX
(Determines if system is properly functioning at time of
inspection)
'roperty owner's name Daniel and Christine Moore
roperty owner's address 420 Sunrise Drive, Somerset, WI 54025
,egal Description SE 1/4 of the NW 1/4 of Section 3 , T30 N-R 19
'.'own of Somerset Lot Number 1 Subdivision Name Certified Survey
Map No. ~ 474
'IRE NUMBER LOCK BOX NUMBER V,)I. 2--
,'olor of house Realty sign by house? If so, list firm:
'LEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK,
1ITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
'esting of residential water requires a sample that is fresh. If
he home is vacant, and has been so for some time, the water line
Lust be purged by running the water for several hours before the
est can be conducted.
INTER TESTING: Many times water lines are turned off, or sill
ocks are turned off, making access to the home necessary. If
his is the case, please make proper arrangements with this
ffice to ensure time when entry may be gained.
irm or individual requesting services: Bank of Somerset
'elephone Number (715) 247-3348
DEPORT TO BE SENT TO: Bank of Somerset ATTN• Arlene P. Reardon
110 Spring Street, P.O. Box 220. Somerset. WI 54025
'losing date Apgi-I 26,.,;1991
Signature
ual~
ST. CROIX COUNTY
r(yy nr .
WISCONSIN
fir, y <~a
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
F_ 911 FOURTH STREET • HUDSON, WI 54016
,
(715) 386-4680
April 22, 1991
Arlene Reardon
Bank of Somerset
110 Spring St., P.O. Box 220
Somerset, WI 54025
Dear Ms. Reardon:
An inspection of the septic system on the property
of Daniel & Christine Moore, located at 420 Sunrise Dr.,
Somerset, WI was conducted on April 22, 1991. At the same time a
water sample was obtained for testing. The results of that
testing will be sent to you as soon as we receive them back from
the laboratory.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This does not in
any way warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system may be dependent upon proper
maintenance of the system.
Si ;erely,
P
Ma J enk ns
Assistant Zoning Administrator
cj
Parcel 181-1024-70-000 11/13/2009 04A5 PM
PAGE 1 OF 1
Alt. Parcel 03.30.19.90F 181 - VILLAGE OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - LOGELIN-REICH, BARBARA A
BARBARA A LOGELIN-REICH
420 FOREST DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 420 FOREST DR
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.010 Plat: 0474-CSM 02-0474 181-77
SEC 3 T30N R1 9W 2.01A IN OLS 90& 91 LOT Block/Condo Bldg: LOT 01
1 CSM VOL 2/474 VIL SOMERSET
EZ-U-1427/405 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
03/20/2009 891365 T!
10/27/2005 810454 2916/374 CC
08/16/1996 548292 1195/414 WD
05/25/1994 517032 1079/493 CC
more...
2009 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/13/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.010 30,000 155,700 185,700 NO
Totals for 2009:
General Property 2.010 30,000 155,700 185,700
Woodland 0.000 0 0
Totals for 2008:
General Property 2.010 30,000 155,700 185,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 123
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
c~tvC-%? AS ~BUILT SANITARY SYSTEM REPORT
R L' -P(/V EC. T N, R W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT -LOT SIZE v~
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM -
7P
Q
~j~~rsr
f~
SEPTIC TANK(S) ( MFGR. CONCRETE STEEL
NO. of rings on cover dCAI,~ Depth ( DRY WELL
TRENCHES NO. of width length- area
BED no. of lines-- width_ % Z. lengthy area
depth to top of pipe 5('"
AGGREGATE / %L•~ GC 'r 1 5~~~/_)
PERK RATE AREA REQUIRED 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 SYSTEM':
r
i
INSPECTOR~t~"~~' ^ G
DATED PLUMBER ON JOB ll L2:, w < Il fL . G~
LICENSE NUMBER 1}/
REPORT Or IIISPECTI0.1--I~dDIJIDMAL SL6,Il1GE DISPOSl1I, SYSTEM
Sanitary Permit
•r State septic
„U
T&WNSHIP
St. Croix County
SF.PTIC TA'?I:
•'i 2e gallons. `umber of Compartments
Distance From.. Well
1f0 ft, 12% or greater slope fi.
Building ft.
Wetlands f~
11ighwater ft.
DISPOSAL SYST2:1_Tile Field or Seepage Pit(s)
.Distance From: hell. ~ft. 12°l0 or greater slope. fi.
Building. `Z_r ft. Wetlands
f:.
FIELD riiFhwater ft.
Total length of lines C ft. Number of lines _ Length of
each line eft. Distance between lines
ft. Width of the
/trench 1i ft. Total absorption area !
- 1~ sq. ft. Der t::
of rock below the in. Dp-pth of rock over they in. Cover
nvex.rock
1 Depth of tile below grade in. Slope of
trench Z n per 100 ft. Depth to Bedrock -ft. Depth to
,round water _ £t.
PITS
Number of pits ( t diameter ft. Depth below inlet
ft. Gravel a-rouj'dii : ✓_yes no. Total absorption area
sq. ft.
.Square feet of seepage trench bottom area required /
`square feet of seopage nit ea required
Inspected by:C~~//r~ Title:
Approved ' 1 • •
Date 19 7K.
Rejected Date 197..._._..
H 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH /
P.O. BOX 309
MADIS9ktj WISCONSIN 53701 ~
~t/ ✓ ✓
e//~~~ EP T~ OI S IJ,,,``-~'',, INGS AND PERCOLATION TESTS _
LOCATION: ii"%, ~ection v W( E (or) W, or Municipality-
Lot No. , Block No. County / C o %
Subdivision Name
Owner's Name: h (7- r
Mailing Address: !r7 67- _15.z, f, e;;!j ~ s S x ~ S
TYPE OF OCCUPANCY: Residence No. of Bedrooms 7 Other
EFFLUENT DISPOSAL SYSTEM: NEW -_41!!~,_ ~ -ADDITION ,PERCOLAT ON TESTS REPLACEMENT
DATES OBSERVATIONS MAD E: SOIL BORINGS Ka
SOIL MAP SHEET SOIL TYPES
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 AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- 6
S e
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)
~ P
17-
4 C t Si~
ke-
r y i 7~z ,E r7 "Ir .
I
< ter" -s
02
PLAN VIEW (Locate percolationtests,soil bore holes and suitable soil areas.)
1:1dicate on the plan the location and square feet of suitable areas. In to number of .%gbare feet of absotption area
ded for building type and occupancy. - y i /Oft i e scale
or distances. Give horizontal and vertical reference points. n icate slope.
i
i I
t N
f
i t
I
I
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
)f my knowledge and belief.
11 6 Certification No.
_
if known
CST Signature
HORITY
X~ Z.
LB67 State and County State Permit # F Permit Application County Permit
r
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:
0 X
B. LOCATION: Section _ TyN, R(or) I>_ ot# city
Subdivision Name, nearest road, lake or landmark Blk# Village
Of X" p ~s Township
C. TYPE OF OCCUPANCY: *Commercial 'Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher __X YES NO Food Waste GrinderYES__KNO # of Bathrooms
Automatic Washer _,/,_-YES NO Other (specify) -
E. SEPTIC TANK CAPACITY /CSC h Total gallons No. of tanks
*Holding tank capacity__ Total gallons No. of tanks
New Installation ~ Addition- Replacement- Prefab Concrete X
'Poured in Place Steel Other (specify) -
I . EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~'2) . 3) "Total Absorb Area s sq. ft.
New Addition Replacement *Fill System i'~ryd.~r
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches-
Seepage Bed: Length ~j=_Width 1 Depth _ Tile Depth ~2No. of Lines
__L__
Seepage Pit: Inside diameter Liquid Dep hTile Size
Percent slope of land ` C, C' t 'sy" or/y Distance from critical slope
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 0( 1)
by the Certified Soi! Tester, 1. Iv ~Ob6,
NAME C.S.T. # _3/' 7 and other information r
obtained from r ( _ uild
-Te
Plumber's Signature a MP/MPRSW# 3 Phone #
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
J cam.-~..,-~ ~
P7f(jf
~yTr ) 1
tafl~4 r~? ' sT r y
A OF
i
Ilk-
Do Not Write in Space Below -FOR DEPARTMENT USE ONLY _
Date of Application r /T Fees Paid: State f~' . C C County Cd Date 1
Permit Issued/Rejleete (date) Issuing Agent Name Y « s-~{
Inspection Yes No 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 conv)