The URL can be used to link to this page

Home My WebLink About032-1021-95-000 0Cn0 Svc) r~ v C d `i1 o y ~ i c C lD o N vN o w o co w ~C . 3 E; Q. W Z a. N ? N _a O M (D Co d U) v N C) 0 C, (D C: (D 3 3 D ° 3 N j = O O flf O A !r (D m (n (D (n c tb (D O N C C C-1 C O O (n 3 co c~ (D O t) ~ C ~1 L ~ N m-4 3 N o' c c co eo (D z Q O 0 v CD 3 v v v o j C n (D < N C 3 CD N O Q a N Z 'Y Z co z Q D (D o ' (D 7 -b Z o' h • :3 CD @ N N 70 -1 Z (D Co (D N' N O O N a 3 (D 1 (n Z = O A Z n N w a a co v m m ~ , z o 3 X O r: (n 3 M Z _ (D A 'n O n N A O O O O Q fll _Q N O O n n m (n0 ' (D - n m 7, -o m c CD 0 ~3=- a m (D S 3 (D o N N (n (D d (n N y j S N O c) C y O 3 ~ (D U) a ~ cn (C s~cnS 3 (D m~ m g mSU a N N (n N m CL m N Z Q °o (SD ? ON O N A O N 4.1 D0 00 (D fA O O ° ro C) 0- Parcel 032-1021-95-000 11/20/2006 02:33 PM PAGE 1 OF 1 Alt. Parcel 8.31.19.111A 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 DEAN M & DEBRA J BELISLE O - BELISLE, DEAN M & DEBRA J 2214 40TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2214 40TH ST SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 8 T31N R19W 16A N1/2 SE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 4/ 1q i "I L~7= 07/23/1997 696/394 07/23/1997 620/324 07/23/1997 /520 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 3.000 48,000 117,600 165,600 NO PRODUCTIVE FORST LANDS G6 17.000 68,000 0 68,000 NO Totals for 2006: General Property 20.000 116,000 117,600 233,600 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 116,000 117,600 233,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 308 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-1021-60-000 11/20/2006 02:15 PM PAGE 1 OF 1 Alt. Parcel 8.31.19.1088 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 LYNN COOK O - COOK, LYNN 2210 40TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 8 T31 N R19W 20A S1/2 NE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-19W Notes: Parcel History: Date Doc # Vol/Page Type ~r ` ~IGVw, ~rn~~~ 12/05/1997 569595 12811-388 WD 617/467 QC e5r 4-tflk-so 0 4-L, 617/466 WD S 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: j Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.000 700 0 700 NO Totals for 2006: General Property 20.000 700 0 700 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 700 0 700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-1021-50-000 11/20/2006 02:07 PM PAGE 1 OF 1 Alt. Parcel 8.31.19.108A 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 DARLENE E MARTIN O - MARTIN, DARLENE E 389 RICE LAKE RD SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 389 RICE LAKE RD SC 4165 OSCEOLA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 8 T31N R19W 20A N1/2 NE SE Block/Condo Bldg: I~ a-ract(s): (Sec-Twn-Rng 401/4 1601/4) 08-31N-19W Notes: t ,rte i ' .X.4' . Parcel History: Date Doc # Vol/Page Type 02/21/2006 818880 l / TI ( 543/297 i i1 l ( fz: i k' G- 2006 SUMMARY Bill Fair Market Value: Assessed with: J , `F Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 73,800 121,800 NO UNDEVELOPED G5 17.000 34,000 0 34,000 NO Totals for 2006: General Property 20.000 82,000 73,800 155,800 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 82,000 73,800 155,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 211 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT ;ER=' TOWNSHIP SEC. TN R W - 'IF _D61 SS , ST. CROIX COU:;TY, WISCONSIN. "DIVA. LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 Cni_ 4~ V~ b~~O SHOW EVERYTHING WITHIN 100 FEET OF SYS'I'f _ I i _ I I ~ i j I I ' j i j --i--- j- I r I i `+u~=j i I I I j -FT T 7 T i i I I _ T~ Indicate Nmth. AAtc aw TIC TANK(S) MFGR. r-1 ,t_ ~ONCRETE STEEL Scale NO. cf rings on cover ~ Depth DRY WELL, NCHES NO. of width length area no. of lines width- lengthy area depth to top of pipe -y " ;:.EGATE RATE AREA REQUIRrvD AREA AS BUILT ;claimer: The inspection of this system by St. Croix County does not imply complete K)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 -rein operation. However, if failure is noted the County will make every effort to - ermine cause of failure. :~~1SES AND OILS SHonD NOT BE DISPOSED THROUGH THIS SYST-EM. '-INSPECTOR DATED 7, PLU; iBER ON JOB LICENSE NUMBER ~ ~-t. s + i C ^1 C CAIS S, • _ RFPQP,T OF ITTSPI;CTTO?l--INDIVIDUAL ~L;•IAGE lllSi'O.,, ,~YTEii Sanitary Permit State optic TOWNSHIP t. Croix County .717 S1:DTIC TA'. Size gallons. ",umber of Compartments Distance From: T-lell ft. 12% or greater slope fi. Building' ft. Wetlands f: I'Lighwater ft. DISPOSAL•SYST%:4 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building; ft. Wetlands f:. FIELD Hip'hwater f t. Total length of lines ft. Number of lines Length of each line eft. Distance between lines ft. Width of the trench ft. Total absorption area sq. ft. Depth of rock below file in. T)P-pth of rock over the in. Cover over.rock, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS "lumber of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: ___yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Iquare feet of seepage nit area required Inspected by: Title': Approved Date 197 Rejected Date 197`. Elf 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: it '/4, .5 L114, Section , T-LN, RL4 E (or) (7)Township or Municipality Lot No. , Block No. County r subdivision Name ~J ,07 i Owner's Name: 5 Mailing Address: fSC_ TYPE OF OCCUPANCYr'- Residence ' No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ~x ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET SOIL TYPE ~S P 1 p ^ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE 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 J~ `Syr S P-3 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) b -1 54, 5 ' `i Q - Z -r o _SL S' Z 71 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square f et o sui able areas. Indicate number of square feet of absorption area needed for building type and occupancy. el Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. C ;i r 1 f f j F f I ` tttttt i I I S j i ~ f ~ i f { ~ v I I i tN f ' ' , I I v 41 oe _ 1_1 AST_ ! 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. GGuCertification No. S. Name (print) Address o0r-,3 Z~f W-ta C G'~ Lit Name of installer if known CST Signature / ' ~al~ss d COPY A -LOCAL AUTHORITY PLB67 State and County State Permit # Permit Application County Permi ~S 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: B. LOCATION:'/4 S _ Y4, Section T N, R E (or) y)Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township_ c~~ 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 YE~NO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY /6156 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) ' F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 1 _ 2) Q 3) Total Absorb Area ! sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 113'L/ Width 2' Depth O Tile Depth No. of Lines - -I-Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 3 -.147 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 G t!F L u / n C.S.T. # 5'S76 J/ and other information obtained from builder. Plumber's Signature M RS Phone y~G- 5'130 Plumber's Address a Is PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ~ ! r V C J Do Not Write in Space elow /OR DEPARTMENT USE ONLY Date of Application Fees Paid: State n Co ty, A Date . Permit Issued/F3P.(,eoted (date) Z Issuing Agent Na e r- 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 copy) Revised Date 6/1 /76 s PI b. 1-A WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES Division of Health Section of Plumbing & Fire Protection Systems ON-SITE WASTE DISPOSAL INSPECTION REPORT Name of Premises Street City County Master Plumber Address Owner Address ❑ County Permits ❑ Appropriate State Permits Type of Building: ❑ Public ❑ Single Family or Duplex CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM ❑ Building Sewer ❑ Conventional Soil Absorption System ❑ Septic Tank ❑ Conventional System-in-fill ❑ Holding Tank ❑ Alternate Mound System ❑ Seepage Bed ❑ Holding Tank ❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH: F ~ 3 € s e 3 * v € ~ a i e- r E f 1 r~»r r r S i F ? i i 3` e S 3 j F t r. 3 a 3 t 3 j E ~ , a ° i i E 3 - ( 3 € a I ~ a e ~ i ~ i e € 3 r a 3 g...," a.pd. f a - _ . - . - a e 3 , 3 3 s E r , E a a F i - _ E 3 f ' ' } 3 a a E i f E a ~ ~ 3 E r a ~ E .a E s 9 E 7 f 3 7 S - ~ d ( ) a ~ ` t 3 E a 3 E ~ E f 7 ~ ❑SEE ATTACHED DISCUSSED WITH PLUMBER ( ) Yes ( ) No SIGNATURE (Voluntary) DATE OF INSPECTION Signature of Inspector White - Inspector Yellow - Local Inspector Pink - Plumber or Responsible Party