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Home My WebLink About032-2057-30-050 n Cl) p -V n d O -1 m 3 CD I o (D ~ - 74, O ►s 0 O Co (n O W (D O OW CCDD = 3 o m m ° o D 3 o N is Z E N CD (D cn CD - CD L O N N O ~ J r) U) N C -CD CD O~ N O O OO CCDD 0 C 3 O S * m 7 N cn 0 0 C M N c0 O Q d tD u- cD D C a Cn CD (p (n N d cll = N m c s 'TVI O ° o D CD m m p ° CL cn O CD -4 -4 3 o r- cn co 00 O O O O < rr • s Cl) fin N o D 3 a- v v v rr) O CD !D N L" OD O CD !V N < ~ ~ v (D N z 0 d D ° a ZW° Cl) h N CD N N (O N. C CD N W d i d 3 = z CD s ~ to O p A Z CD N c v a A C a. o rn W -0 a z 3 o U) 3 m N CD CD A 1 CT Q D CD a n. Q = - T-~ Ln o a O CC CD 9 N S CD N CD 'O p O. I T N _ C- ~ S O Nm x O co O O ON 0 ti 73 kj CD d0 A o O cv Si a 6 CD O Parcel 032-2057-20-000 11/16/2006 01:20 PM PAGE 1 OF 1 Alt. Parcel 16.30.19.722A 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/09/2004 00 4 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GELLE, RETIRED RETIRED GELLE Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 16 T30N R19W E 1/2 SW SE ALSO THE Block/Condo Bldg: N1/2 OF SE1/4 OF SE 1/4 (CSM 18-4713 WAS CREATED & LAND FROM ADJOINING LAND Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) OWNER) 16-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 01/26/1999 596519 1398/604 WD 07/23/1997 911/347 07/23/1997 815/44 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/20/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 032-2057-30-050 11/1612006 01:18 PM PAGE 1 OF 1 Alt. Parcel 16.30.19.7226-20 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/24/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GELLE, SCOTT C & KIM M SCOTT C & KIM M GELLE 559 155TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 559 155TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 15.000 Plat: 4713-CSM 18-4713 032-04 SEC 16 T30N R19W PT SW SE & PT SE SW CSM Block/Condo Bldg: LOT 01 18-4713 LOT 1 (15 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-30N-19W SW SE 16-30N-19W SE SW Notes: Parcel History: Date Doc # Vol/Page Type 02/27/2006 819304 EZ-U 12/27/2004 783494 2721/523 WD 03/09/2004 756217 18/4713 CSM 02/24/2004 755009 2515/43 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 216,800 264,800 NO PRODUCTIVE FORST LANDS G6 12.000 48,000 0 48,000 NO Totals for 2006: General Property 15.000 96,000 216,800 312,800 Woodland 0.000 0 0 Totals for 2005: General Property 15.000 96,000 216,800 312,800 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 I AS BUILT SANITARY SYSTEM REPORT ' .,ER , TOWNSHIP SEC. T N, R_ W 0. ADDRES SL - , ST. CROIX COUNTY, WISCONSIN. _3DIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM • I ~rI v c • " AIL s ~F cy J f/ it s ?TIC TANK(S)MFGR. r CONCRETE , STEEL NO. of rings on cover Depth DRY WELL '_]NCHES NO. of width length area J no. of lines width length area.' depth to top of pipe . JREGATE _ __J: 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 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 ? PLUMBER ON JOB LICENSE NUMBER '14';' REPORT OF IT1SI ECTIO.T--INDIVIDUAL SL,-,,IA(-,E DISPOSAL SYSTEii Sanitary Permit j( Stage Septic I.,711IE (T T. f T&WNSHIP • Croix County SEPTIC TA'?l: Sizes {T gallons. `umber of Compartments Distance From: WeIl ,~rr ft. 12% or greater slope Building* ft. Wetlands - f. Itighwater - ft. DISPOSAL SYSTL.11 Tile Field or Seepage Pit(s) Distance From: Dell '4-' ft, 12% or greater slope ft Building ft. Wetlands f:. FIELD Highwater ft. Total length o lines.. ft. Number of lines Length of each line ft. Distance between lines ft. Width of the trench ft. Total absorption area sq. ft. Dept:: of rock below the in. Dp-pth of rock over tile in. Cover over.rock,, Depth of tile below grade in. Slope of trench in per 1,10 ft. Depth to Bedrock ft. Depth to ,round water ft. PITS Humber of pits Outside dia ter ft. Depth below inlet ft. Gravel around pit -/_,_y s no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required Square feet of seepage pit area required - Inspected l;y. ~ tY Title Approved Date 1 f~ Rejected Date 197. State and County State Permit # s PL867 Permit Application County P~ t# to 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: X-1CQlu .s: if IPln fi""e p- Fi ~S ((.15, ,rYU L B. LOCATION: Section, T~~N, R f~ (or) 4a2Lot# 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 No. of Persons .S~ D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES X NO # of Bath rooms-Z-/-Z- Automatic Washer __X-YES NO Other (specify) SEPTIC TANK CAPACITY f7-6--0 Total gallons No. of tanks ~ `Holding tank capacity Total gallons No. of tanks - ew Installation A -Addition Replacement Prefab Concrete X _ `Poured in Place Steel Other (specify) _ FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) W0 2) ev 3) _J~eTotal Absorb Area Z/60 sq. ft. New X Addition Replacement *Fill System ('ZU7s I-T) Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length C,) Width Z y' Depth 54a r Tile Depth 36t' No. of Lines _ Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 7 °Ze Zvi ~-f. /.cl es Distance from critical sloped 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 Cer •fied Soil ster„/ / NAME L~ ~Ce=-i .i C.S.T. # and other information obtained from S l~rl• Plumber's Signatur _ MP/MPRSW# Phone #7/~ Plumber's Address PLAN VIEW: Provid== sketch below of system (include direction of slope and all distances in accord with H6".20, including well). ~ ~ ~ sra f, ~ ~ /v t CNc^f•`to~ Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State 16,`• 0I Count Date Cq Permit Issued/Rejected (date) /I/ - o~ 1 -Issuing Agent Name Inspection Yes_A-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 cnpy) Revised Date 6/1/76 9H4.44,15 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 TEES-TS LOCATION: -14,=59'/4, Section T_VON, R&R1(or)6?Eownship or Municipality ,')A le0-.S -j Lot No. , Block No. County Ex' 0 / ubdiy~sipn Name Owner's Name: lr'L~ t"' • r"~ iC I ilp- C7C XY02 L Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION --REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS A6_ 2Ir PERCOLATION TESTS 9-1 SOIL MAP SHEET A f SOIL TYPE 2 S-C - Z cyy~4 0//,4 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 74 616 3 yJe Xv P_ .2-, Ale 3 cl . YY ..S r P- -1 ;K' 3 WL 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) L ..r; J is S ti ~ ► B_ dem Z_ S4, A (3 B- CCV PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suit le areas. Indicate p; ~mq/~e,r of square fee of absorption area needed for building type and occupancy. x~r ~Tlib14 z Indicate sole or distances. Give horizontal and vertical reference poi s. I `cat lope. SS. ~...-~A~y~+~~.►a.,r~• 6 `lu ~eI I I I_ i ~i t IN - I 10 a i ; /C 6q. X~q ~~itB ~ I ~ 1 I i s I I E 3 I i 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 nowledge an elief. -<-s Ir tZ r ~1~ Certification No. y Name (print) ` Address I// . Name of installer if known CST Signature COPY A LOCAL AU FIOPz,.