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Parcel 032-2077-10-000 09/22/2006 09:55 AM
PAGE 1 OF 1
Alt. Parcel 14.30.20.793C 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 - PETERSON, TIMOTHY J,& DEBORAH SORG
TIMOTHY J,& DEBORAH SORG PETERSON
1538 MAPLE HILL RD
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1538 MAPLE HILL RD
SC 5432 SOMERSET
SP 1700 WITC
i
Legal Description: Acres: 5.990 Plat: N/A-NOT AVAILABLE
SEC 14 T30N R20W 5.99A IN NW SE COM S1/4 Block/Condo Bldg:
COR; TH N 2411.1 FT E 261.7' TO POB; E
405.74 FT S 16 DEG E 419.95'S 2DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
131.11' SLY 8.47'W 521.29 FT N 541.71 14-30N-20W
FT TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
10/26/2004 778051 2682/571 EZ-U
07/23/1997 870/45
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.990 62,900 119,100 182,000 NO
Totals for 2006:
General Property 5.990 62,900 119,100 182,000
Woodland 0.000 0 0
Totals for 2005:
General Property 5.990 62,900 119,100 182,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 132
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
':yER jF ; y , TOTeTNSHIP,,,J SEC. T N, R% W
0. ADDRESS ST. CROIX COUNTY, WISCONSIN.
'3DIVISION LOT LOT SIZE
PLAN VIEW
-Distances 6 dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~ 3 Z - z~ ~ ~ _ ~ e• 4`~ J ~ 15~ `tea.. e
4),
'TIC TANK(S)MFGR.r. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
'NCHES NO. of width length area
no. of lines_ _ width-_ length T area
depth to top of pipe, t '
RELATE ) , <
'a RATE : ~ ~
I 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,,,,/
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.
`'INSPECTO
DATED PLUMBER 'ON OB
LICENSE MIBER
L -s
COMMERCIAL TESTING LABORATORY, INC.
51A Mai-Pi Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227 C2::
CROIX COUN Ct #;h POkl ry S t 1 4,11.1
'.OURTHOUSE PA T r_ r yCr 7VED.
IGM WI
-
2q7 -
c/. 3o 2 0. 7~3C
:;i uraig Gayle Magnus:.sr
f
'URGE OF SAMPLE: KiILPt'
j~IF0RM2 0 /100
€'ERPRETATIONa Pacte
'RATE-Nt 1~
OF.%NDEFENOfH
I
O 9P
V D
O
PROFESSIONAL LABORATORY SERVICES SINCE 1952
a
ST. CROIX COUNTY ZONING OFFICE
-Hammer WI 5401e
Telephone - (715)796-2239 or (715)425-8363
The St. Croix County Zoning Office offers the bervice of septic and water inspec-
tions to Lending Institutions, Realty Firms, and private individuals.
Completion of this form is essential so that the property can be located.
Please provide the following in formation, enclose appropriate fee made payable to
St. Croix County Zoning, and mail, along with form to the above address.
Testing will be done as soon as possible after fee and form are received.
WATER TESTING . . . . . . . . FEE: $25.00
(For nitrates and coliform bacteria)
SEPTIC SYSTEM INSPECTION. . . . FEE: $25.00
(Determines if system is properly functioning at time of inspection)
~r
Property owner's name '/t r" li,•',`_'`
Legal Description of the 3t of Section T - N-R W
Town of Lot Number Subdivision Name
FIRE NUMBER LOCK BOX NUMBER
Color of house Realty sign by house? If so, list firm:
4
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e, COPY OF PLAT BOOK, WITH LOCATION SHOWN,
AND A COPY OF THE LISTING SHEET.
Testing of residential water requires a sample that is fresh. If the home is vacant,
and has been so for some time, the water line must be purged by running the water
for several hours before the test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off,
making access to the home necessary. If this is the case, please make proper arrange-
ments with this office to ensure time when•ontry may be gained.
e
Firm or individual requesting services: Phone No.
REPORT TO BE SENT TO: Y t 1 1~ ! ! ` j r l' '
E ! ' 1 i'
ST. CROIX COUNTY
r WISCONSIN
wy''~`a ZONING OFFICE
a Fr rt ° ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
- 715 386-4680
April 11, 1990
Jim Lagoon
Merrill Lynch Realty
2020 Washington Ave.
Stillwater, MN 55402
Dear Mr. Lagoon:
An inspection of the septic system of Craig & Gayle Magnuson,
located at 1538 Maple Hill Road, Somerset, WI was conducted on
April 10, 1990. At the same time I also obtained a water sample
and submitted it to the laboratory for testing. The results of
that testing will be sent to you as soon as we receive them back
from the laboratory.
At the time of the inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This does not in any
way warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system is totally dependent upon proper
maintenance of the system.
Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
Marx J. Jenkins
Assistant Zoning Administrator
cj
REPORT OF IPTSP_.C1'IO?I--I:IDIVIlli1AL •)AGE llI,~P0.,i1L 1F11
T' ST: S S T
Sanitary Permit
I r State Septic
'.'.A:IE T&RISHIP
t. Crolx County
S?PTIC TA'?K /(J_ C/ L Z Cam' I C
Size = "CIT gallons. ',umber f Comoartments
Distance From: '-deli 12% or greater slope ft.
Building' ft. Wetlands f:
Highwater - £t.
DISPOSAL SYST;1 Tile Field or Seepage Pit(s)
Distance From: i1ell ft. 12% or greater slope - ft
Building _ft. Wetlands f:.
FIELD i,ighwater ft.
f
Total length of lines
ft. Number of lines 2-- Length of
each line ft. Distance between lines ft. Width of the
trench _~ft. Total, absorption area 2 sq. ft. Depth
of rock below the .2--in. Depth of rock over tile z in. Cover
nver.rock,,_ Depth of tile below grade '2 in. Slope of
trench - in per 100 ft. Depth to Bedrock ft. Depth to
ground water £t.
PITS
Number of pits 0 s' 'e iarleter ft. Depth below inlet
ft. Gravel aroun t es no.,.. absorption area
sq. ft.
Square feet of seepage trench bottom area required
Uquars feet of see ale nit ea required .
Inspected by: w Xz/' Title:, .
Approved Date t 197.
Rejected Date 197.
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VFWAUCFAW
. MAIL, `1111104 N 5370a
r► "COL r suers
RrAF*RT 014 =L BORIN" A10
!i`, Section TIN, R Sk fpor) W, T of Munieipslity
• .
51 '
.y County
wt NC . 8404 t1110• 1 ~ A
tester's Name:
I taflttlg Address:
Other
r .vpp Of OCCUPANCY: Residence No. of Bedroorre
>.e.IE IT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
SOSSERVATIONS MADE: SOIL BORINGS .t _ L PERCOLATION TESTS
is MAP SHEET 2 1901LTYPE
PEROOLATIIDIM T90%
HOURS WATfcR IN TEfffr TIME IN WATER LEVEL, INCHE RATE
T.L5,Wr v" CHARACTER OF SOIL SINCE HOLE L.E A INTERVAL MENIm
° INCHES THICKNESS IN INCHES IST WI SMLLING IN MINUTES PERIOD I PERI00 Z PERIOD ~ ;
JKR
~,,•.4.r~. 0-I Q
vg,
J -
O11. 00ft#M4 T
' $t< TOTAL DEPTH t*PTH TO r3ROUNDIMA'#S INCHe*. t~`FIAFIACTBR (904L WITH THICKNESS. INCHES
(DEPTH Tt} jplDRiOiCK IF OBSERVED)
NUMBER INGFM O"ERVED ESTIMATED HIGHEST
i ~
juite*
PLAN VIEW (LOmt+ peraplatio111NResoit ~boN►i~O a soil ereeA)
Ill~icete on the plan the location and squace feat of SW a ere". IPA idte number of square feet of atsea pt ion scale
roeded for buildup type and occuPencY $r 11 =n digato
or di31Oq( Give horizontal and vertical reteee++ce Indicate slake. `li~l~✓
64111-L I
,A ir. Nam I mma ;=a =v-*
,
°e undersigned, hereby certify that t e soil tests reported on this form were made by me in accord with the procedures
[
^~e+hods specified in the Wisconsin ministrative Code, and that the data recorded and location of test holes are correct -
I, nowledge and belief.
- r_5 Certification No. S j-/
.:idress
ie installer if known
;T Signature
. --`-=-.,ter. ,
r ,
RIB67 State and County State Permit #
Permit Application County Per
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PRR(O~PERTY Mailing Address:
T -7 5,
1
B. LOCATI . Q 04 Section elY, T-36 N, P--2 ' IV (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township fl;-•
C TYPE OF OCCUPANCY: Commercial ~y *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES O # of Bathrooms-!!?-
Automatic Washer _4YES NO Other (specify)
E. SEPTIC TANK CAPACITY IA-f-T.? 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) a 2) -5 3) Total Absorb Area a sq. ft.
NewA Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width _ Depth Tile Depth No. of Trenches _
Seepage Bed: Length Width 1 _ Depth J~k Tile Depth No. of Lines -
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land L*ti 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 sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester NAME (1/~ Fi ~~J-e V C.S.T. # and other information
obtained from (owner/builder). J
Plumber's Signature MP/MPRSW# / Phone #4V -
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
300
C+ n
Do Not Write in Space Below FOR DEPARTMENT ONLY
Date of Application Fees Paid: State ` 'o Cpunt Date
Permit Issued/ date Issuing Agent Name
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
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