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Parcel 032-2075-20-100 04/19/2006 11:43 AM
PAGE 1 OF 1
Alt. Parcel 14.30.20.786H 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 - REED, BONNIE R
BONNIE R REED
1550 TWIN SPRINGS RD
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1550 TWIN SPRINGS RD
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE
SEC 14 T30N R20W PT GL 3 FORMERLY PT OF Block/Condo Bldg:
CSM 2/399 NOW BEING LOT 3 OF CSM 9/2628
4 ACRES Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
14-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1198/175 WD
07/23/1997 778/59
07/23/1997 746/140
07/23/1997 745/129
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 4.000 53,000 135,400 188,400 NO
Totals for 2006:
General Property 4.000 53,000 135,400 188,400
Woodland 0.000 0 0
Totals for 2005:
General Property 4.000 53,000 135,400 188,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 217
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 032-2075-20-100 04/30/2007 04:44 PM
PAGE 1 OF 1
Alt. Parcel 14.30.20.786H 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 - REED, BONNIE R
BONNIE R REED
1550 TWIN SPRINGS RD
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1550 TWIN SPRINGS RD
SC 5432 SOMERSET
SP 1700 WITC Z
li r ,1 I
J `
egal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE
!SEC 14 T30N R20W PT GL 3 FORMERLY PT OF Block/Condo Bldg:
CSM 2/39 NOW BEING LOT 3 OF CSM 9/2628
4 ACRES Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
%14-30N-20W
Notes: Parcel History:
Date Doc # Vol/Rage-7 Type
wbV~ 07/23/1997 ' q8LIZ5 WD
07/23/1997 -778/9q'
I 07/23/1997 746/140
07/23/1997 745/129
/ -7 3 74 3
Bill Fair Market Value: Asse d 'th:
2007 SUMMARY
0
Valuations: Last Changed: 07/24/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.000 53,000 135,400 188,400 NO
Totals for 2007:
General Property 4.000 53,000 135,400 188,400
Woodland 0.000 0 0
Totals for 2006:
General Property 4.000 53,000 135,400 188,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 217
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWttER TOWNSHIP;„ _ur SEC. 1 T f7 N, RAW
P.O. ADDRESS j) , ST. CROIX COUNTY, WISCONSIN.
SUBDIVISION , LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r
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L
-s
SEPTIC TANK(S)MFGR.ja~~~~>, ~y ~r,llCONCRETEAl STEEL
NO. of rings on cover Depth DRY WELL
TRENCHES NO. of width length area
BED no. of lines width length area
,,depth to top of pipe
AGGREGATE
:yi lfJ e~~k:~ i. fPERK RATES AREA REQUIRED Z/ S=am AREA AS BUILT `
Disciaimer: The inspection of this system by St. Croix County does not imply complete
compliance with State Administrative Codes. There are other areas that it is not possible
to inspect at this point of construction. St. Croix County assumes no liability for
system operation. However, if failure is noted the County will make every effort to
determine cause of failure.
GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPECTO
DATED PLUMBER ON JOB
LICENSE NUMBER
s
S
• RRPOP,'T O IT1SP_,CT10!1--I:IDIJII)IJAL SE,4AGE DISPOSAL SYSTE11
S.znitary Permit
State Septic 77
"A! 1E
TOt,INSHIP
• t. Croix Count;
S IE
Size LdA4 gallons. `umber of Compartments c
Distance From: 'dell ft. 12% or greater slope ft.
Building ft. Wetlands ft
High",ate ft.
DISPOSAL-SYSTE.4 Tile Field or Seepage Pit(s)
Distance From: Tlell ft, 12% or greater slope
# Al*
Building ~ft. Wetlands f
FIELD Hi ghwater ft.
s
Total length cbf line ft. Number of lines
Length of
each line ft. Distance between lines ft. Width of the
trench ft. Total absorption area sq, ft. Depth
of rock below tile in. Dp-pth of rock over the ~ in. Cover
aver.rock, A-A &A Depth of tile below grade in. Slope of
trench in 1)er 100 ft. Depth to Bedrock ~ft. Depth to
gro d water t.
S
'lumber of pits de diameter ft. Depth below inlet
ft. Grave r)/dr : ye s no. .Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
`'.quare feet of seepa ea equired .
Ins»ected b tle :
Approve Date 197
Rejected Date 197
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 TESTS
LOCATION: Section J , T,2~N, R F (or)WTownship or Municipality ' 0417E-r'S Q,-7-
Lot No. , Block No. me County % ci a 1 x
~ Sub ivision Na
Owner's Name:
Mailing Address: o`C'' Z•. 2" /,C1-3 ~~-tom`- ~~,I ~YLM .sue:: _5 7
TYPE OF OCCUPANCY: Residence No. of Bedrooms o Other -
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
,DATES OBSERVATIONS MADE: SOIL BORINGS PER LATION TESTS - -
SOIL MAP SHEET 2 J~fZ SOIL TYPE ( -2, 3
PERCOLATION TESTS _
TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
CHARACTER
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/!N
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-' 60 S /
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 0 6 P
IR- 0- e U / 4_ 5-c> G G.
L
S b-(dTS ' - qv 0 - -5
NO 26 5 Z,
PI..AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
cate 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. ( 2 5N /1 Indicate scale
or distances. Give horizontal and vertical reference points. Indic to slope.
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1%1 11 ~ ~ -I ( I ~ - r~
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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 k wledge and V"1111)
Name (print) i Certification No.
Address- .'ors'-_.~
Name of installer if known
CST Signature 4✓
COPY A - LOCAL AUTHORITY NEW
State and County State Permit # 171
~ Permit Application County Permit #
PLB67
' for Private Domestic Sewage Systems County =
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER PROPERTY ) Mailing Address:
B. LOCATION: ~W YQ c5Y4, Section 75- 4TN
j ,R20 E (or) Lot# City_
Subdivision Name, nearest road, lake or landmark Blk# Village
Township Sd/09e NS
C. - - - - - -
C. TYPE OF 5-CCU PANCY: "Commercial "Industrial "Other (specify) "Variance
Single family X Duplex No. of Bedrooms No. of Persons 5
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder ' YES-,!~5- NO # of Bathrooms-2-
Automatic Washer YES NO Other (specify) lk- E. SEPTIC TANK CAPACITY / oC~d 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 130 2) y0 3) 3C;e_Total Absorb Area) / Z sq. ft.
Newx Addition Replacement *Fill System _
Seepage Trench: No. Lin . iFeet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length ~Widthh Depth d Tile Depth' No. of Lines
.i
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 3 W 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 C L L) I k-7 C.S.T. # !5:s- 573, and other information
obtained from Oc.. (owner/builder).
Plumber's Signature MP/MPRSW# Phone #3-116 - X13-5
Plumber's Address yJJa~ 14
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H6220, including well).
I Ll
ls~
C? L~ n o vo
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application % Fees Paid: State ~7 1) County, Date
Permit Issued/R9}eetett- (date) 1 ~o Issuing Agent Name r_ C = Z
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 ~