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Parcel 032-2020-20-000 09/12/2005 04:30 PM
PAGE 1 OF 1
Alt. Parcel 5.30.19.542D 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
SEAN M & RACHEL J MCGURRAN O - MCGURRAN, SEAN M & RACHEL J
441 HWY 35/64
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 441 HWY 35/64
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 5 T30N R19W 10A IN NE SW LOT 1 CSM Block/Condo Bldg:
VOL 3/688
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
05-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/16/1997 565402 1264/149 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/23/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.000 83,000 101,300 184,300 NO
Totals for 2005:
General Property 10.000 83,000 101,300 184,300
Woodland 0.000 0 0
Totals for 2004:
General Property 10.000 83,000 101,300 184,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 138
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 032-2020-20-000 11/17/2006 10:24 AM
PAGE 1 OF 1
Alt. Parcel 5.30.19.542D 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
SEAN M & RACHEL J MCGURRAN O - MCGURRAN, SEAN M & RACHEL J
441 CTYRD VV
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 441 CTY RD V V
SC 5432 SOMERSET
SP 1700 WITC
r
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 5 T30N R1 9W 10A IN NE SW LOT 1 CSM Block/Condo Bldg:
VOL 3/688
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
05-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/16/1997 565402 1264/149 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/23/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.000 83,000 101,300 184,300 NO
Totals for 2006:
General Property 10.000 83,000 101,300 184,300
Woodland 0.000 0 0
Totals for 2005:
General Property 10.000 83,000 101,300 184,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 138
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
''NER r; r ~ 1, r L l-` TOWNSHIP ..►r`~~ ~-SEC. T N, R W
.0. ADDLESS ST. CROIX COUNTY, WISCONSIN.
:BDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
.I I
A
i ~
' I
...TIC TANK(S)_ MFGR. CONCRETE A STEEL
NO. of rings on cover Depth DRY WELL
'.ENCHES NO. of width length area
:,D no. of lines - width length j-,:,' area t
depth to top of pipe '-ri4
GREGATE
:RK RATE AREA REQUIRED AREA AS BUILT
_sciaimer: The inspection of this system by St. Croix County does not imply complete
mpliance 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
stem operation. However, if failure is noted the County will make every effort to
ermine cause of failure.
EASES AND OILS SHOULD NOT BE DISPOSED TEROUGH THIS SYSTEM.
"INSPECTOR
DATED PLUMBER ON JOB
/r J C
LICENSE NUMBER r1 /
-
. i
rEl
Sanitary Permit
rate Sept.
IE TO~TNS~~IP 17 e
t. Croi;.
SEPTIC TA'?T~ S (
~~ize gallons. `:umber of Compartments
?)s.^ I-.ance From: We 11 f.~. 12% or great:._ t
Building eft.
ILighwater ft.
DISPOSAL SYSTM4 --Tile Fiele.
~ ,rom: taell 12% or greater slope a~
Building r; ft. Wetlands
raiFhwater ft.
length of lines - ft. Number of lines Length of
ne ft. Distance between lines ft. Width of the
9 6~`+
'trench ft. Total absorption area sq. ft. Depth
below rile in. Depth of rock over tile in. Cover
UVC ; ` C>ck, 4LDepth of tile below grade in. Slope of
trench in ner 100 f t. Dent_h to Be rocl Ft „ Depth to
I~..-.mber of nits
c;
. Out rf@ ,L x, ~~L ~1 i b ie'.:
eiow Sri
ft'. Gravel around-itz' eyes no. Total absorption area
f
;,quare feet
square feet of se,epa e nits" area required
.
D
pected by Title
°Oproved ~ . Date 197
Rejected Date 197
fy! + c ; .
(40
r
r`
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 TEES--TS
LOCATION: ~'/4, /4, Section T3~N, R /9)(or)aownship or Municipality
Lot No. Block No. /7~t 7+ I County Subdivision Name
Owner's Name: ' +
Mailing Address: jo,x
TYPE OF OCCUPANCY: Residence x No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLLATION TESTS 57-17-2-P
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL
NUM- INCHES THICKNESS IN INCHES MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- / A10
70
P- i7- y Ado& E3 C')
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)
L y iC~i KLaC. P. l~ " (C it 'S ssZ " S 3 - E~ r ~c t✓
5,4 11
B_ 3 30-
36' 6
B- ) L J~~y~ 5 ( I~/~ aq l " ~C'~- (rY l lei{ y~~
' /~~a.t~ ~Z~~ aJr~~~~~ 7G~~ ~~1~~~ CCU
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 numb r of square feet absorption area
needed for building type and occupancy. _Qq~ OyAi.,f l" ~A►-_ ~ -_Indicate scale
or distances. Give horizontal and vertical reference ints. dic a slope.
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4, t
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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 belie .
Name (print) Certification No. 1
Address ~t+^G / t, f`
Name of installer if known
CST Signature y f
COPY A -LOCAL AUTHORITY
State and County State Permit # °
p L ES& 6 7 Permit Application County Per # •
for Private Domestic Sewage Systems County --..it '
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
~ /~C. err ~ ~ 7`C%~ Z~t' ~r ~c•~-.-s .=!1'~~ L~ ~ S, ~S-5~r.•Z 5
B. LOCATION: [ '/4 S Lt.- Section T40 N, R/ db (or) Cj~,Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
r
i ~ Township
C. TYPE-0 F O Ct PANCY: Commercial 'Industrial 'Other (specify) 'Variance
Single famil Duplex No. of Bedrooms No. of Persons sw
D. TYPE OF APPLIANCES: Dishwasher ;X YES NO Food Waste Grinder YES NO # of Bathroomss,Z-
Automatic Washer K YES NO Other (specify)
E. SEPTIC TANK CAPACITY C+C Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks _
New Installation Addition Replacement Prefab Concrete
'Poured in Place Steel Other (specify)
EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2),-2- am/ 3) C, Total Absorb Area sq. ft. /
`dew Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width _ Depth Tile Depth No. of Trenches
Seepage Bed: Length_SAWidth e-)?y• Depth Tile Depth -36 No. of Lines
I 'Of
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 2- ,K x~ S e/-e- -<W. ,4-4 Distance from critical slope -30 -
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 C ified Soi T r, _
and other information
NAME C.S.T. # -eI
obtained from u~ eofooo- owner
Plumber's Signature MP/MPRSW# 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).
~rr/o_pvseJ Well
I
jC ,~}c~-~ ~Hi-r+c l Il I A) et
:31S`'
fuS
ke-
F
~lo-%x"7.:9 Win.`/ice
neA SAT
1)e re 6,,,f-:6 Fes4, 9/4-y""f /IG Sc1' 7',3 11;64 t
/n .t r-4, Al
L) b- ,-4gtCej i¢-rC4, I'~r ~y 6v/ to i ~v wnA,
Do Not Write in Spaife Below - OR DEPARTMENT USE ONLY 0 ~
Date of Application Fees Paid: State County Date
7 q
Permit Issued (date)^7_Issuing Agent Name z-~-_
Inspection YeXt,-Co No Valid# Date Recd
1. county (vv, p y) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MA-6ISON, WI 53701
2. state (pink copy) 4. plumber (canary copy) Revised Date 3/1 176