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Parcel 032-1091-20-000 04/25/2006 10:57 AM
PAGE 1 OF 1
Alt. Parcel 33.31.19.434C 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
STEVEN L & BARBARA A MEYER O - MEYER, STEVEN L & BARBARA A
414 41 ST ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 414 41 ST ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 5.000 Plat: N/A-NOT AVAIL-ABLE
SEC 33 T31 N R1 9W 5.OOA IN SW SW LOT 1 Block/Condo Bldg:
CSM VOL 1/129 EXC PT TO TN IN
616/174,651/260 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-31 N-1 9W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1048/535 WD
07/23/1997 925/19
07/23/1997 717/263
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 58,000 145,200 203,200 NO
Totals for 2006:
General Property 5.000 58,000 145,200 203,200
Woodland 0.000 0 0
Totals for 2005:
General Property 5.000 58,000 145,200 203,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 221
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM P:VO1R
`:11;hrn, A~ („22i, , TOT,dNSfiIP SF.U.T~N, R~W
0. ADDRESS~jt,,;~;~ G(i.I r, ST. CROIX COUNTY, WISC~NS1 .
'3DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
43 . 31
`TIC TANK(S)M"r'GR.~s CONCRETE STEE7,
NO. of rings on cover Depth/ - DRY WELI:
INCHES NO. of width length area
> no. of lines .-2 width length_LL area l .
depth to top of pipe
MGM
{ RATE AREA REQUIRED /.•5 ' AREA AS BUILT-
.claimer: The inspection of this sy>tem 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 D- PLUMBER 6N JOB c:t,;z ~Ci
LICENSE NiJMBER
z ,
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.,itah" y PeAm.it-
State Septic
NAME 1 Township St. Cko ix County
Location % o6__,14, Section T N,R W
SEPTIC TANK
Size /67gattons. Num eA a Cvmpantmen ~
Distance FA O m : Well rot
1.2% aA gtc.ea.teA ~s.lope it
Bu-i Zding r)_5 it. WetZand.5
DISPOSAL SYSTEM HighwateA
D.iztance FAam: Well-~(/~ (f✓L"~t. 12% an gnea;ten /sZope - it.
Bu,i"".lding it. Wettands Ft.
H.ighwate.t--- it.
FIELD DIMENSIONS:
Width o6 tAench~it. Depth v6 Aock below tite /2- .in.
Length o6 each .Line 572- it. Depth o4 Aock oven t.iZe Z in.
Number o6 .Lines 12- Depth o6 t.iZe below gAade in.
Totat .length o6 .l,inez 104(-6t. Sto pe o j trench in pen 100 it.
Distance between Zinezit. Depth to bedAOCkz
Total ab~sotcbtion area 6t2 Depth to gtoundwateA
Requi,%ed aAea it 2
PIT DIMENSIONS:
NumbeA o6 pits i GAavet vLound pits yeas no
Out, side d.iameteA it. Depth below inlet it.
2
Totat ab~smbti n an'ea it z
A
AAea Aequ,i/&ed it2 rn
INSPECTED By ,"_T ✓t,•~"" TITLE,
APPROVED DATE 19 7 c3. ~
REJECTED DATE 197 >
0
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: /G
Section T3/ N, R ~ *(or) W, Township or Municipality -*~y~- _
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS c] PERCOLATION TESTS k-
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_ I
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)
B- 9~ i~ cam- S sLa s z~, r6 S
Z T5
3 7A 1-5 -t-G
9L c -Y 4 L) 54
0 T. v St 4 51- 5'r-G
B- s 96 - ' 5-4
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. In irate number of square feet of absorption area
needed for building type and occupancy. - Indicate scale
or distances. Give horizontal and vertical reference points. In ' ate slope.
i
I EEE E \ f \ i E E t ~ E
- t N
I ! I ~ E i ~ 1
IE ~-L ~ I ~ I I
a ~ ( , , I I 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 and bel' f.
Name (print) Certification No. S 5 i _
Address
Name of installer if known
CST Si
CC?Y - LOCAL AUTt MIRIT`1 Signature
L'967 State and County State Permit # ~
Permit Application County Per yt # _
for Private Domestic Sewage Systems County f.
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION. ~ '/4 S '/4, Section T / N, R_ (orl W Lot# City
Subdivision Nape, nearest road, lake or landmark ~Blk# Village
->I Y1 ~"L Township
C. TYPE OF OCCUPAN~Y: "Commercial -Industrial -Other (specify) -Variance
Single family Duplex No. of Bedrooms _31 No. of Persons_Y
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYES~_NO #,f Bathrooms
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY /0-&ZP Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation X Addition - s
_ Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) , 2) .3 3) _3_Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length S Z Width Depth J' ' Tile Depth
" -2 No. of Lines
Seepage Pit: Inside diamete Liquid Depth Tile Size 51
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 Cert Poil Tester,
NAME - a t) /!I e w k C.S.T. # -5S- i'
and other information
obtained from (owner/builder). Al
Plumber's Signature MP/MPRSW# ZS In 3 Phone #~7l,-.
Qe,~ ~--C:
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
16.
Ilk
50
1 )b
~D
Do Not Write in Space Below FOR DEPARTMENT. USE ONLY
Date of Application Fees Paid: Statis'_~' County,~ Date
Permit Issued/R~j aeftd (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 cnr)v)
ised Date 6/1 /76