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Parcel 032-1008-70-000 04/10/2006 09:52 AM
PAGE 1 OF 1
Alt. Parcel 4.31.19.53A 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 - HUDALLA, GREG M & JANE
GREG M & JANE HUDALLA
2380 45TH ST
OSCEOLA WI 54020
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4165 SCH D OF OSCEOLA
SP 1700 WITC
Legal Description: Acres: 7.170 Plat: N/A-NOT AVAILABLE
SEC 4 T31 N R1 9W 7.17A IN NE NW LOT 1 CSM Block/Condo Bldg:
VOL 2/554
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
04-31N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.170 63,800 172,400 236,200 NO
COMMERCIAL G2 1.000 16,000 0 16,000 NO
Totals for 2006:
General Property 7.170 79,800 172,400 252,200
Woodland 0.000 0 0
Totals for 2005:
General Property 7.170 79,800 172,400 252,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 214
i
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
:TER , TOWNSHIP '1. SEC. 'r T N, R_ _W
J. ADDRESS , ST. CROIX COUNTY,, WISCONSIN.
3DIVISION , LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
-'TIC TANK(S) / MFGR. 'CONCRETE A/ STEEL
NO. of rings on cover Depth DRY WELL
'NCHES NO. of width length area
no. of lines width length area
depth to top of pipe
JREGATE _
IK RATE AREA REQUIRED AREA AS BUILT
-claimer: The inspection of this system by St. Croix County does not imply complete /
?liance with State Administrative Codes. There are other areas that it is not possible
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.
'ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTbR
DATED 1 PLUMBER ON JOB
LICENSE NUMBER y
t
PCEPORT OF 1SPECTION--Ii4DIVIDUAL SLT'JAGE DISPOSAL SYSTEii
,r` _
Sanitary Pernit
State Septic =7
TOWNSHIP
C. Croi~County
SF.DTIC T1.77 3;
daze d y gallons. `qumber of Compartments
Distance Front: tell ft, 12% or greater slope ---f1.
Building ~ft. Wetlands f:
Righwater ft.
DISPOSAL SYSTL.:4 Tile Field or eepage Pit(s)
Distance From: T7ell e
ft. 12/, or greater slope-_ __It
Building ''--~--ft. Wetlands f,
FIELD 'High water ft.
Total length of lines 1.840ft- !lumber of lines ~ Length of
each line _`7~t. Distance between lines ft. Width of the
trench -,ft. Total absorption area 2 sq, ft. Depth
of rock below tile in, Dp-pth of rock over the in. Cover
ever.rock, Depth of tile below grade n. Slope of
trench in per 101 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
P
?lumber of pits Outs' ei~ e er ft. Depth below inlet
ft. Gravel around p' no. .Total absorption area
sq. ft.
Square feet of seepage trench bottom area required.
- -
Wquare feet of see., are equi
Insnecte Title:
oved Date 197'.
Rejected Date _197-.
Y11
Eli -115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON~~ttSOIL BORINGS AND PERCOLATION TESTS
LOCATION:5~'/4,t~'/4, Section T3jN, R!1 E (or( Township or Municipality
<<
Lot No. , Block No. -County
Subdivision Name /
Owner's Name: W
Mailing Address:
TYPE OF OCCUPANCY: Residence ~,ze t No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS s---
SOILMAPSHEET~/mow SOILTYPE
PERCOLATION TESTS
F TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
I NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
3ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
30 -
SOIL BORING TESTS
E-S-1- ')TA DEPTH rjCP. i IC GPOUNDv'.'A i F_R, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
I NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
i~-2- 2. 60-9Z 5L
t _ C-6 5, 4 SL
-2-f 51 L 2 y -5f 6 Z
AN VIEW (Locate percoiationtests,soil bore holes and suitable soil areas.)
dicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
eded for building type and occupancy. 112670 /_W Indicate scale
r distances. Give horizontal and vertical reference po dicate slope. fYZ pad
N
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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 correct
to the best of my knowledge and belief.
Name (print) C""57/ Certification No.
Address
Nan,e o installer if known w--._--
a
CST Signature -
COW -Aw Al- AUTHO'I T Y
State and County State Permit #
PLB67 Permit Application County Per pV
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. # _
A. OWNER Or PROPERTY Mailing Address:
_CgE6 CIA./
B. LOCATION: _ _'/4 2C,J Y4, Section T N, R E (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
_ • ~~~-(,c>-VL/ Township
C. TYPE OF OCCUPANCY 'Commercial Industrial 'Other (specify) *Variance
Single family- _ Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher r NO Food Waste Grinder- YES~NO # of Bathrooms
Automatic Washer YES NO ~thYES
er (specify)
`EPTIC TANK CAPACITY /606 Total gallons No. of tanks
`Holding tank capacity Total gallons No. of tanks
.ew Installation Addition Replacement Prefab Concrete X
Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) . 2) 36 3) S Total Absorb Area 1/2 sq. ft.
New Addition Replacement 'Fill System
Seepage Trench: No. Lin . Feet _ Width Depth Tile Qepth No. of Trenches
Seepage Bed: Length 3 / Width ) L~ Depth Tile Depth _ No. of Lines -
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 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
by the Certified Soil Tester,
NAME ItZ//L U l p, rat fib' C.S.T. # S !5- and other information
obtained from ou-.y (owner/builder).
Plumber's Signature _ MP/MPRSW# S76 Phone #2,16
Plumber's Address 3 ~eLAC., ~.,i C c-
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
t
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9y~
")IT 3 12
G 2
0
Do Not Write in Space Below FO PARTMENT USE ONLY
Date of Application ees Paid: State 0 0 County ~ Q L Daft
/ rf= A
Permit Issued/ (date) / _ ~Issuing Agent Name
Inspection` Yes No Valid# Date Recd
,
y) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
1. county (vhXc,
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2. state J0M'k IcoPY) rs „ + r