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HomeMy WebLinkAbout032-1031-70-000 o to p 3 d o Cz v y 3 it a~ I n 3 0 v a C > o Cn y -i 2 cn z > w ~C • ° fT N . O O y N / O = N :F 3 ° a m z a M co 1 W C CD l N O m CD CD 0w O 7 J 7 (J7 -0=3 CD ° ° o ~CD > 3 03 W o CD 0 d (D o cn a ° rn N D O N G Ln O N W O CD r- 3 O N O > N t \ m C CD O (p U) co J N N O G co N CD ! Q cOc CO 0 3 G < < N < z O ° wc~cn~ v ~/q ~3- O N ¢ O O 0 I v m CD ~ ' fn ~w7 < N O QD 3 cn v CL zco z Z ~ c CD 0 ~ O D (D V) CD fll N N C CD CD W (D z (D -1 En O O A CD_ N c s ;7 A z O v CL 3 a. 03 -0 m ; CD > z 1 ::t a 3 a z N z W CL iz I 0 N C z d O CD !!I O I ~ I 4 V O I N O I CT A 0 N A EA 0 r Oo p ((D a O i Parcel 032-1031-70-000 04/10/2006 11:25 AM PAGE 1 OF 1 Alt. Parcel M 11.31.19.151B 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 - BEAVER, DAVID H DAVID H BEAVER 650 LAKESIDE LA SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 650 LAKESIDE LA SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 5.500 Plat: N/A-NOT AVAILABLE SEC 11 T31 N R1 9W 5.50A SE NW LT 1 CSM Block/Condo Bldg: 3/827 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-31 N-1 9W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1221/01 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.500 60,500 101,100 161,600 NO Totals for 2006: General Property 5.500 60,500 101,100 161,600 Woodland 0.000 0 0 Totals for 2005: General Property 5.500 60,500 101,100 161,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 :iER1i TOWNSHIP r SEC. R W .0. ADDRESS ST. CROIX COUNTY, WISCONSIN. '3DTISlam , LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOT? EVERYTHING WITHIN 100 FEET OF SYSTEM ~M • - fry, a - ~ L ' • 4 i TIC TANK(S)^ MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL .NCHES NO. of width length area _ 1 no. of lines width length area r' depth to top of pipe ,ZEGATE L~~ f RATE / AREA REQUIRED AREA' AS BUILT -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 j 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. ' . . "INSPECTOR,. DATED PLU:TBER ON JOB~ /_11 LICENSE NU2•fBER REPORT 01' ITISPECTI0'.1--I'1DIVIDTJAL SE --AGE DISPOSAL SYSTE11 Sanitary Permit State Septic IE f TO1•INSHIP f Croix County MEPTI C TA'?#Z Size gallons. `lumber of Compartments Distance From: Well ft, 12% or greater slope ft. Building` ft. Wetlands f: Highwater ft. DISPOSAL SYST2'4:1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building ft. Wetlands FIP,Ln 1;ighwater ft, Total length of lines ft. Number of lines Length of each line ft. Distance bet-haeen lines ft. Width of the trench ft. Total absorption area sq. ft. Depth of rock below tile in. Dp-pth of rock over tile in. Cover ,over.roclc,, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to around water ft. PITS Number 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 Square feet of seepage nit area required - Inspected by: Title:. . Approved Date 197. Rejected Date 197. 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 LOCATION: fiction h-, Tj~N, R JJE (or U)!, Township or Municipality Lot No. , Block No. County c_✓L~ ~ , Subdivision Name Owner's Name: A7 OL) 12) L1Q- 43;-. LL 14 It 66-- e2 1-7 ,0167 -45, Mailing Address: ©m_ 9f TYPE OF OCCUPANCY: Residence 1~c- No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ~ ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 6'_ f!S~7_- - 7 PERCOLATION T~E~STS_ SOIL MAP SHEET --f a 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 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN BER P_ 3 _3x 10-2- Y7 s a 3 P_ I 0 a Lx_ 9 Pj 3 I SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES O E ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) t i o L b 2 0- ^2 L (2 ~o O 4_r 0 5 / b 04 i:5 29 5 I O / C> L S PLAN VIEW (Locate percolation tests,soi I 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. If ~ Indicate scale or distances. Give horizontal and vertical referen a points. Indicate slope. D 1~ - I - - i 17 1 ( I 1► I N I , { iI 111 v '~R. 1 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) e-'r Certification No.~~~ 3 ` Address f <.c/✓ C_ Name of installe if known CST Signature C P A ~„M:'AL AUTHORIT' i State and County State Permit # -i- L B 6 7 Permit Application County Permi 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: ~ 7 5 s 11l ~'z~if t 117.c1 S `i r_ 1~~~1 S~ l L B. LOCATION: '/4 Section , T_2L N, R ` @ (or) W Lot# 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 5 No. of Persons D. TYPE OF APPLIANCES: Dishwasher ~ YES NO Food Waste Grinder YES~NO # of Bathrooms Automatic Washer YES NO Other (specify) -XI - E. SEPTIC TANK CAPACITY -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) 2) 3) Total Absorb Area sq. ft. New_A- Addition Replacement *Fill Syst m Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Length`; : Width Depth O o' 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 u L, -:;6, C.S.T. # and other information obtained from (owner builder). Plumber's Signature MP/ SW# ~b 3 Phone # 7 ~ S 3 S~ Plumber's Address ~t 55 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ell - 715~ r oL - --E a dL wn fl~ e Do Not Write in Spa a elow OR DEPARTMENT USE ONLY Pr 'd. State C' ou 'r Date Date of Application Fee Permit Issued/$ulezed (date J Issuing Agent Name ~-J Inspection YesNo Valid# Date Recd 1. county (w to 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