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Home My WebLink About032-1013-40-000 o CA 0 3 a) o 0, 3 CD ID 3 m •O • m ^ D • 3 ju, O 1,7 z • In O co O O U 3 ° N ~r rrC 111 I :T C) N (O Z s N- cn O 1 j ~U p W .Z N Iti N A~ N O n o 7 N n? fD N U7 Y' fD fl• W (D N o CD IiV CD N @ _ O a 'G N (O 0 ~O N N (a Ic- m -4 m d n 0 c N OO CO d 3 C' O O O O CD l y' (A ! U A G7 I~ fn cn cn : v =or m I CD i7 O = A NO < !41 N O ~r < 3 .n I7 7 3 z z co z Q ~a~ w o , m (ANDS ° cn Ci N (D CL 'W III: _ n -1 N Z 0 O p Z (D v, c ;o 'A z O y a O i ci . . Z j (n W CL z cf) m z C A W O 1 t> OIL ~ O < IN C < Z d CD o CD v o ~ ~ A X 4 W a m Q r C CD- (D o~ Ac f ~ A 69 r Oo p ° G O ' Parcel 032-1013-40-000 08/19/2005 08:42 AM PAGE 1 OF 1 Alt. Parcel 5.31.19.74G 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 JOHN F & DIANE L MOSER O - MOSER, JOHN F & DIANE L 2349 DELONG RD 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: 6.260 Plat: N/A-NOT AVAILABLE T31~Pd-R49u1(5,4A IN NW SW PARCEL _ Block/Condo Bldg: DESCRI B A IN #4 ON UNRECORDED SURVEY DE ~'5~J748J--' bou Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 05-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type I 07/23/1997 1228/319 CC 07/23/1997 559/489 2004 SUMMARY Bill Fair Market Value: Assessed with: 9766 229,000 Valuations: Last Changed: 07/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.260 64,300 129,900 194,200 NO Totals for 2004: General Property 6.260 64,300 129,900 194,200 Woodland 0.000 0 0 Totals for 2003: General Property 6.260 64,300 129,900 194,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 126 Specials: User Special Code Category Amount it Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT M "'DER 17,4C/._ l)a;~/1 , TOWNSHIP SEC._ T N, R W 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. S ~s 4 //4, 3DIVISION _C-1 i/f . - L)&v LOT__~4_LOT SIZE PLAN VIEW .Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~i - I - /VAT J~'4LLl 'TIC TANK(S) /g~ MFGR.L /t -CONCRETE X_ STEEL NO. of rings on cover Depth DRY WELL 7_NCHES NO. of width length area D no. of lines 3 widths lengthy area (o Sly depth to top of pipe, ' JREGATE -:K RATE AREA REQUIRED AREA AS BUILT _~y _ :'claimer: 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 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. EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. --INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER 31/ z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sanitatcy Petm.it-,> -0/ State Septic/ o NAME ~C 1~c~1E~J~J~ Townbhip St. Croix County Locat.ion5~d% oV Sec-tionC T 3/N,~~w SEPTIC TANK Size gatton6. Numbers o6 Compatctment6 D.i6Lance Ftcom: Wett it. 120 on gteaten 6tope it Bu.itd.ing it. We-ttands it. H.ighwaten it. DISPOSAL SYSTEM D.i.6tance Ftcom: Wetz 120 otc gtceatetc 6tope it. Bu.itding it. wetZand,6 Ft. H.ighwatetc it. FIELD DIMENSIONS: Width o6 ttcench it. Depth oU Aock below t.ite .in. Length o6 each tine it. Depth of tcock overt tite in. Numb etc o6 tines Depth o i tite b etow gtcade in. Totat .length o6 Zinn it. Sto pe o j trench in pen 100 it. Distance between tines it. Depth to bednock it. Totat absotcbtion atcea 6t2 Depth to gtc.oundwatetc . 2 Requited atea it PIT DIMENSIONS: Numbetc o6 pitA Gtcavet atcound pith yes no Outside diametetc it. Depth below .inZet it. 2 Totat ab.6onbt.ion atcea it A Atcea tcequitced it2 INSPECTED BY TITLE APPROVED , DATE 197. REJECTED DATE 197. i State Permit # - PLB67 State and County ~ Permit Application County Permit for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required - State Plan I.J. # A. OW R OF PROPERTY Mailing Address: _ s --fir' B. L ATION: S(,_) 1/14 L- '/4, Sect- T a/ R (or) W Lot# City S`division Name,( VJ// K) st road, lake or landmark Blk# Village f [ Township" 4- C. TYPE OF OCCUPANC/Y- *Commercial *Industrial *Other (specify) Variance Single family Yv Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher NO Food Waste Grinder YES '-'IqO- # of Bathrooms~_ Automatic Washer 4-----Y-ES NO Other (specify) E SEPTIC TANK CAPACITY/ d-n--2,rl Total gallons No. of tanks Holding tank capacity Total gallons No. of tanks '?ew Installation Addition Replacement Prefab Concrete 1 - "Poured in Place Steel Other (specify) t FLUENT DISPOSAL SYSTEM: Percolation Rate 1) & ~ 2) z 3) , S Total Absorb Area sq. ft. i• ewe/addition Replacement _ *Fill System "seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _ S=eepage Bed: Length Width Depth s Tile Depth :;7-4A 'z No. of Lines 7 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land J/~L Distance from critical slope _2!_S 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-fi d Soil Tester, NAME C.S.T. # _ and other information obtained from ,e f avvrrer/ uilde y~ _ v Plumber's Sign re MP/MPRSW#~(1 7 1--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). -74v --f -'A; 1 f,ILI C\ l 1 T i~ Do Not Write in Space Below O R DEPARTMENT USE ONLY C d Date of Application - Fees Paid: State /0,00 Count Date "M xk.4 Permit Issued/lIsjoc cl (date) - Issuing Agent Name = Inspection Yes_No Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink (;opy) 4 nh mhnr r-"_ 1 ~,Jv I ` State and County State Permit # PLB67 Permit Application County Permit # j' " for Private Domestic Sewage Systems County ti - 'DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LO ATION:'/o Section, T F N, R E (or) W Lot# -Z city Subdivision Name, nearest road, lake or landmark Blk# Village Township C TYPE OF OCCUPANCY Commercial 'Industrial 'Other (specify) *Variance_ Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher :-YES NO Food Waste Grinder YES ;eiN-O # of Bathrooms- Automatic Washer ,---;'ES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks _ New Installation Addition Replacement Prefab Concrete Z~ 'Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) p 3) Total Absorb Area ~f/%' sq. ft. New '--Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width ' Depth Tile Depth .:Z No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land.' Distance from critical slope 4 z 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 C.S.T. # _'Z and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW#~ Phone #,7,-1r--_-:,"-`,1- Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 44 h i I iy Do Not Write in ace Bel FO P ENT AJSE. ONLY Date of Applicatioeel JPaSfa~ County • Date Permit Issued/Rejec d (date) - -Issuing Agent Name Inspection Yes No Valid# Date Recd 1. county (white 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 6/1 /76 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 LOCATION41J Section Cp_, T-95~_/N, R N-Elor) W, Township or qty -S~ Lot No. - -Block No. Subdivision isiosion Name -County _ Subdivision Own -J7 Name: Mailing Address: s F (e) , a2, "c TYPE OF OCCUPANCY: Residence No. of Bedrooms 7- Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT ~j y DATES OBSERVATIONS MADE: SOIL BORINGS ~ j~-! ?ERCOLATION TESTS ~ . SOIL MAP SHEET 7 SOI L TYPE 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 AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P_ 4 l~ c r 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) R- 72 7, ZZ -7 7,7- " 7 Z_ " S _ - - z j • _S_ 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 number of square feet of absorption area needed for building type and occupancy. /E3 rCe fd 11L' . 411Yt Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. s , _ l ( 4() t _ 3 ~ f I I , i I i tr I ~ I I I ~ ~ a N - ( r~ Q e..16 f , y_._.._. ~ .,t..^ ......_iw. i i I 4 I ~ I t I ` I , ~ E 1 , ~ I I I ~ t I , } i ~1 1{ 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 correct to the best of my knowledge and belief. Name (print) ' A r - Certificatiio j 4(t' Address , Name of installer if known CST Signature COPY A -LOCAL AUTHOR[ x"°~'