HomeMy WebLinkAbout032-2069-40-000 (2)
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' Parcel 032-2069-40-000 11/16/2006 12:34 PM
PAGE 1 OF 1
Alt. Parcel 12.30.20.768D 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
BRYAN L & MARY B RIVARD O - RIVARD, BRYAN L & MARY B
546 ROUND LAKE LA
OSCEOLA WI 54020
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description
`
SC 5432 SOMERSET V IL
SP 1700 WITC V
Legal Description: Acres: 2.830 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W 2.83A IN SE SE LOT 1 Block/Condo Bldg:
CSM VOL 3/719
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-30N-20W
Notes: Parcel History:
- l
Date Doc# Vol/Page,-. Type
02/04/2002 670194 1829/336 \ EZ
07/23/1997 1153/273 WD
2006 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.830 45,300 128,300 173,600 NO
Totals for 2006:
General Property 2.830 45,300 128,300 173,600
Woodland 0.000 0 0
Totals for 2005:
General Property 2.830 45,300 128,300 173,600
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
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Parcel 032-2069-50-000 11/16/2006 12:26 PM
PAGE 1 OF 1
Alt. Parcel 12.30.20.768E 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
LOWELL & VIRGINIA RIVARD O - RIVARD, LOWELL & VIRGINIA
314 HWY 35/64
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.820 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W 2.82A IN SE SE LOT 2 Block/Condo Bldg:
CSM VOL 3/719
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 2.820 300 0 300 NO
Totals for 2006:
General Property 2.820 300 0 300
Woodland 0.000 0 0
Totals for 2005:
General Property 2.820 300 0 300
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 032-2069-60-000 11116/2006 12:27
PAGE 10F 1
Alt. Parcel 12.30.20.768F 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 - RIVARD, LOWELL & VIRGINIA
LOWELL & VIRGINIA RIVARD
314 HWY 35/64
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.800 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W 2.8A IN SE SE LOT 3 CSM Block/Condo Bldg:
VOL 3/719
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 2.800 300 0 300 NO
Totals for 2006:
General Property 2.800 300 0 300
Woodland 0.000 0 0
Totals for 2005:
General Property 2.800 300 0 300
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 032-2069-10-000 11/16/2006 12:27 PM
PAGE 1 OF 1
Alt. Parcel 12.30.20.768A 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 - RIVARD, LOWELL & VIRGINIA
LOWELL & VIRGINIA RIVARD
314 HWY 35/64
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SOMERSET
SP 1700 WITC
Legal Description: Acres: 25.850 Plat: N/A-NOT AVAILABLE
SEC 12 T30N R20W SE SE EXC P768B & C & Block/Condo Bldg:
EXC CSM VOL 3/ 719
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 08/09/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 24.850 3,000 0 3,000 NO
UNDEVELOPED G5 1.000 100 0 100 NO
Totals for 2006:
General Property 25.850 3,100 0 3,100
Woodland 0.000 0 0
Totals for 2005:
General Property 25.850 3,100 0 3,100
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
' AS BUILT SANITARY SYSTEM REPORT
"IER ctiN TOWNSHIP • r,ti , SEC. T Z N, R f5 W
0. ADDRESS ST. CROIX COUNTY, WISCONSIN. 3DIVISION LOT LOT SIZE ,~77 A" C
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Y70
#2'
i
'TIC TANK(S)-MFGR.---~. C CONCRETE TE
NO. of rings on cover Depth DR`I WELL
?NCHES NO. of width length area
no. of lines width Z length ,r'Z; area
~ .
5e 4
depth to top of pipe ,Jc-j
JREGATE
;K RATE AREA REQUIRED / Z_5 4T' AREA AS BUILT
-ciaimer.: 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
-item 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 ,
ZfZ PLUMBER ON JOB
r LICENSE NUMBER
I
SEWAGE RFPOP,T Or. ITISPrCTIO'_1--I:D;~IVIlliJAL llIS POS ~~L SYSTEM
Sanitary Permit
• r.. State Septic
"A: IE T61•7I1S H I P
• t. Croix County
S;.°TIC TA771:
Size % gallons.Dumber of Compartments
Distance From: Well
eft. 12% or greater slope
r Building` ft. Wetlands f
tUg1iwater ft.
DISPOSAL SYST2:1 Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope-:~it
Building ft. Wetlands ~ a f:.
FIELD Highwater ~ ft.
Total length of lines ft. Number of lines - Length of
each line eft. Distance between lines ft. Width of the
trench eft. Total absorption area sq, ft. Depth
of rock below the in. Dp-pth of rock over tile in. Cover
over.rock,, Depth of tile below grade - i in. Slope of .
trench in per 100 f t. Depth to Bedrock ft. Depth to
ground water ft.
PITS '
Number of pits Out.914 diame er ft. Depth below inlet
ft. Gravel around t: ~ye~s no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
Square feet of seepage nit area required
Inspected by:. Title:
An roved
a P 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
~/f/ REPORT ON SOIL BORINGS AND PERCOLATION TESTS y-
LOCATION: =5 '/4, 1/4, Section 1,2~, T_3&, RN_ E (or) W, Township or Municipality a e;,P7
Lot No. , Block No. County L >i~ i X
Subdivision Name
Owner's Name: /Z_
Mailing Address: 41Z, e_
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW G~ ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS r" - 21 PERCOLATION TESTS f
SOIL MAP SHEET SOIL TYPE
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P- > . j(- S e- , 6, /
P-2 3 = e 3 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)
1 ~ JLi r 1 r> , rJ' L
ho 7 S; Y7;' -54-
3 7 42- 1> _Iz~ - T
B
1- J ' Z ,7' 3, _ L
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas I irate nu er of square feet of bsor}3tion area
needed for building type and occupancy. _ i a ¢caIe
or distances. Give horizontal and vertical reference poAlk. Indicate slope.
I I { I i
,
I ,
I I
I I i
' I
_ I ;
i { 1 III
t I # I f f I i {
70
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. 11/_
Name (print) f e, - !5t,-t-j 2 Certification No. Z Z
Address- Ile, a t ~r 5
Name of installer if known /f
CST Signature
COPY A - LOCAL AUTHOM
State and County State Permit #
PtB67 County P i#-
Permit Application Y
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:
t
B. LOCATION: Section, T~0N, R~ E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township S B P./" 5e-f'
C. TYPE OF OCCUPANCY: 'Commercial *Industrial 'Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher Ii-YES NO Food Waste Grinder YES e-148 # of Bathrooms--
Automatic Washer 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
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) _-Total Absorb Area sq. ft.
New i Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width , Depth Tile Depth No. of Lines -
-2-Seepage Pit: Inside diameter Liquid Depth Tile Size y
Percent slope of land d - C- 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 Certif" d Soil Tester,
NAME IC,1 g7,-,j 1 010 h I M f> C.S.T. # and other information
obtained from (owner/builder).
Phone
Plumber's Signature MP/MPRSW# 10
5,717
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
~ ~aL
G<
Do Not Write in Space Below FO DEPARTMENT USE ONLY j
G' County -.7 D e
Date of Application - ees Paid: State
Permit Issued/Ra}aeted (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