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HomeMy WebLinkAbout022-1045-70-000 (2) -0 C) Q o 3 0 0 ^v1 b ~4 0 a O G m C') r m 0 o x 0 0 Fr) N a O m ~ O N N O U v 0 C N Q O 0 N m' O .G 'X ~ f9 0 `p N C 0 N 7 w O O O N 0 C 01 y N O O O 0 C Z 200 N 3 LL 0-0 O c O U) U U V LO N p O. O N Q ~ ~ t/1 C 0 U co v a ~ N z _ 0 d p Z - y y OD CL co 04 0 z v' ° c d' N H e- m 0 c m 0 io 0) a) m L _ N Q O y Cf) N O O •AJ a ~ r m o c O o © O 0 Q O Z H Z Z C) N 00N N C O _ O a •m p O D a E ' N H H H d U) LL O O O a. CL IL n p N O N N N ter. (n ~ cn J U 0 0) 0) N p O 11~~ O CO (D ~ N O O O 7 m n O 'O 0 (D g a d Q~ 0 ~ O 3 M N V) U) C O O Lo W ~ o m H~ o C N X 0 J N C O N L N 'E Z 0 Y 'J LO 6 C O O _ Y ` O O CO 06 C T N "00 O N c0 C N~ ti O c9 U y o Y ~ o Z~ C~ V ~ ~N d m a EL a w • ca a C E c 410 `~1 A 0 a 0 m 00 AS BUILT SANITARY SYSTEM REPORT OWNER NE V&R S TOWNSHIP jCMe)V/C &_1&W c SECTION~T-ZEN-R /8 W ADDRESS _,7,J6 / 7QAr 1?,E t!'T 1?Q, ST. CROIX COUNTY, WISCONSIN 1c rdeR 1--A /,ZS W." - yoz2 SUBDIVISION IVA LOTAA LOT SIZE_&A PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM No, i- , Ir R1. /00,0 0 !8O C ,ZOS 0 X60' ~ asp 57 7 0002 INDICATE NORTH ARROW /~DUSF BENCHMARK:Elevation and description:./ it STgL f Alternate benchmark SEPTIC TANK:Manufacturer: Liquid Cap. /000 Rings used:-2-.manhole cover elev: 99,C7Final grade elev: w o Tank inlet elev.: 9(1017A Tank outlet elev.: AOO 9601 No. of feet from nearest road:Front , Side, Rear Ft. ISO,'- From nearest prop. line:Front , Side., Rear Ft. No. of feet from: Well 1.6_01t- , Building:__ _S7` (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE , PUMP CHAMBER Manufacturer: UJELZ7"C 'S Liquid Capacity: /OQ6 Pump Model: N98 Pump/Siphon Manuf act 24 [c &/l Pump S i z e,y"V9. Elevation of inlet: l` oCild' Bottom of tank elevation Fb 3A Pump on elev.: Pump off elev.: 93,12Gallons/cycle: 125' Alarm: Man.:LE&,YL At,4R1,7 Switch Type: Location Distance from nearest prop. line: Front-, Side, Rear_Ft. /bb, Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width:Length 83 Number of Lines: _Area Built 936 Exist. Grade Elev. 101Y5, Proposed Final Grade Elev. 160-S'O Fill depth to top of pipe: q AID No. feet from nearest prop. line:Front , Side , Rear X ]Ft.,Z¢' No. feet from well: DD~-No. feet from building ~Z~CS HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom to Elevation of inlet: No. feet from nearest p. line:Front Side Rear Ft. No. feet Well , building , nearest road arm Manufacturer: INSPECTOR: DATE : PLUMBER ON JOB : LICENSE NUMBER: 3! 71 05~ 6/90:cj t~ICbATI~I~: K~TJI~KiNNIC 16.28.18. 243 O RD. isc nsm artmen o ustry, PRIVAE SEA~~ County: L310or and Human Relations Safety and INSPECTION REPORT Buildings Division Sanitary Permit No.: GENERAL INFORMATION (ATTACH TO PERMIT) 171460 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: MEYERS N LARRY & LYNDA L KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9200225 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark /43,9x- /00. Dosing S U Aeration Bldg. Sewer Holding St/Ht Inlet 91, -y TANK SETBACK INFORMATION St/ Ht Outlet -7, 7 /3 Vento iir Intake ROAD Dt Inlet 9 G, TANK TO P/ L WELL BLDG. g Septic /SU S7 / NA Dt Bottom 9 /-3t Dosing /j >/06 >90 NA Header / Man. 9 X Q -7, D Aeration NA Dist. Pipe 713 9 7 9 Holding Bot. System 3- qS 0 PUMP/ SIPHON INFORMATION Final Grade 3,ya f o o . S Manufacturer .J Demand Model Number wn GPM Toss Friction System TDH Ft TDH Lift Forcemain Length Dia. H Dist. To Well 71 F SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengtly 3 No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~~ff v DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Model Number: System: ,,r{ o~-O I a 6-0' 30 U OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Inch code discrepancies, persons present, etc.) Plan revision required? ❑ Yes ❑ No Use other side for additional information. 1-4 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ICATION =11Lt SANITARY PERMIT APPL In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANIT PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 1 `Z / ~g 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION W '/a 45 S T tO , N, R /8 E (or PROPERTY OWN R'S MAILIN ADDRESS LOT # BLOCK # ONV,/ 'E/V'T A2 D. NA I /VA CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER yOz 11. TYPE OF BUILDING: (Check one) CITY : AA NEAREST ROAD ❑ State Owned O VILLAGE : D ❑ Public ;K 1 or 2 Fam. Dwelling-# of bedrooms -3 A EL AX NU B ) III. BUILDING USE: (If building type is public, check all that apply) _ /0 Y-67 _ 70 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.E1 New 2. VN Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 N Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) Min./inch) ELEVATION SD S 3Q 4/SS FA Feet Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New lExistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank Jew Ee LiftPum Tank/Si hon Chamber SOO a VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsits sewage system shown o ttached plans. Plumber's Name (Print): Plu is Signature: (No Stamps MP PRSW No ) Business Phone Number: c ,6 , ! 66s Plumbers Address (Street, City, State, Zip Code): d ERS IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ' Agent Signat o Stamps) Surcharge Feel Approved ❑ Owner Given Initial a -1 All -vok 0 00" d"IC Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety S Buildings Division, Owner, Plumber INSTRUCTIONS 7 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SED 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 6D8-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system- is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Yank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. PIP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawl to scale or with complete dimensions, ocation of holding tank(s), septic tank(s) or other treatment tanks; bui;d,';nq sewers, wells; water makisiwater service; steams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; repla:;emert system areas; and the location of the building served; B) horizontal and vertical elevation reference points C) complete specifications for purr,hs and controls; dose volume; elevation differences; frict:i.-)n loss; pump performance curve; pump model and pump manufacturer; D) cross sect! ,n of the soil absorption system if required by the county;:€) soil test data on a 115,form; and F) all sizing information. _ - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983'flisconsin Act 410 included the creation of surcharges (fees) for a num?1,, r c{ regulated practices which can effect groundwater. The nion'srs co0ii ctecl through these surcharges ;arc used for rnonitoring grouridweiter, ground-water contamination investigations and establishment of standards. SBD-6398 (R 11/88) APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), the a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Location of property ms(,) 1/4 N 1/9, Section T,7-Rf_W Township Z64 A it k-1A a r Mailing address Km K. ✓4K i*wlr GJ Z <y+ W - Address of site 4 Subdivision name Lot number Previous owner of property /G A-ff Total size of parcel Date parcel was created Zip- if- Are all corners and lot lines identifiable? es No Is this property being developed for resale (spec house)? Yes No Volume /043 --and Page Number -*5?2- as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 3f S-/ Sa ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. G- Signature of Owne S gnat a of Co-Owner (If Applicable) 912-2-1?( Date of Sign tune Date of Signature DOCUMENT NO. ST: 1 BAR OF WISCONSIN FORM 1-198$ If SPACE RESERVED FOR RECORDING DATA WARRANTY DEED VOL ~tJ< rr 395150 Thi ]Dee , made etwe n ...Harry A Hass and R6 IST~ OFFICE ______Eva--~o--e__Hass,-- ~iusiand and-:wif-e-,-----•••------.• ST. CROIX CO., WIS. Redd. for Record this 27th ' d • , Grantor, da Of JulyA.D. 1 9_ and........ N._ Larry___Meye rs__•and- Lyna L. Meyers, Y 84 , --_husband_•and_ wife., _as_ joint tenants z at_ 1:10 P y Grantee RfoWa of Dffd~ Witnesseth, That the said Grantor, for a valuable consideration...... conveys to Grantee the following described real estate in t . Croix RETURN TO County, State of Wisconsin: ' Commencing at the center of the inter- Tax Parcel No: section of the two town roads which meet at the base of the South 90 acres of the NEk of Section 16-28-18 and the East 71 acres of the NWk of, Section 16-28-18, thence West 20 rods, thence North 26 rods,' thence East 20 rod'T to the center of the North-South town road';. thence South along the center line of the North-South town road 26 rods to the place of beginning. Also commencing at the center of said road intersection, thence North 20 rods, thence East 11.5 rods, thence South 20 rods, thence West along the centerline-.,of the East-West road to place of beginning. T ► l I1Nc-) .2-f. 00 This lS___________________ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Har - - A. Hass an-----d •--•Ev-• Cole Hs-s r -x--- --a - -•-------------a------• warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except a easements and rights of way of record and will warrant and defend the same. - I 9; T. Dated this 'D 3 day of ``r - 19__84__. •---••---•--•-•=-•-----------•-•--------•--•---••••••-•-••--•-_-_--__(SEAL) ~-~l^• ..:......(SEAL) Harry Hass --•----•----•--------------------(SEAL) ----Lr?1:--•----i-••-•---••---,•-•--•---_•--------•-'•----•-•--(SEAL) Eva Cole Hass AUTHENTICATIOIti ACBNOWLEDGMPNT Signature(s) STATE OF WISCONSIN as. St. Croix • County. authenticated this day of 19______ Personally came before me this ..23.rd...... day of July 19...j&4 the above named Hari. A-•--Hass._aud___Eua__jCo1.e----••-- y Hass - TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) to me known to be thq, peraolt S.......... who executed the fore oing instrument?ndAckpowledge the same. THIS INSTRUMENT WAS DRAFTED BY 5~~ 11 1 S. ? a-- :i4- ~,-Zr L= ; NJ.4 w t -~+'•-~t Notary bhb Wis. River Fall................................................ I 5402 A rItL fa: t, iii $t'',".County, te exl~ja,t* (Signatures may be authenticated or acknowledged. Both My Comi ssoR' ig n are not necessary.) date: *Names of persons signing in any capacity should be typed or printed below their signatures , •lt ; v STATE BAR OF WISCONSIN H.C-MillorCompwv M FORM No. 1 - 1982 Stock NO. 1300I Mnw.u.re, W~ac.n.ln STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER .C ROUTE/BOX NUMBER 3•S N?~iytc~.K_ 2~ FIRE NO. CITY/STATE Je,i dz'r- 47*e4 GJZ ZIP s-w Zz PROPERTY LOCATION: $G/ 1/4 -1/4, Section T 28 N, R_I&_W, Town of St. Croix County, Subdivision , Lot No. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED L- ,6.IiY- DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return 0ON / _ 5-86 U~}LLG--`~ view r R, DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, 1 DIVISION P.O. BOX 7969 'HUMAN PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP TY: LOT NO.: BLK. NO.: SUBDIVISION NAME: SW 1/4NE 14 16 /T 28 H/R18)c(or)w Kinnickinnic n/a n/a n/a COUNTY: OWNER'S ME: MAILING ADDRESS: St. Croix Larry Meyers 356 Monument Rd., River Falls, Wi. 54022 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: [7-R-O O AT O TESTS: Residence 3 n/a ❑New Ql eplace -23-91 I7n/a RATING: S= Site suitable for system U= Site unsuitable for system [CONVENTIONAL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ~S ❑U ®S ❑U ❑ S CCU ❑ S ®U two 5'x 85' trenches If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: class 2 Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 83 PIA BORING TOTAL DEPT H TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER D=16 ELEVATION OBSERVED ES IGHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 9.33 100.45 none ->9.33 2.17bl.1. 1.83bn.sil. 1.67bn.s.1. 3.66bn. strati 'ed l.s.&s.l w/d.isinte ratin ls. particles 2 7.92 100.10 none >7,92 1.67bl.1. .92bn.scl. 1.83bn.s.l. 3.50bn. stratifi d B- l.s.&s.l. w/disintegrating ls. particles 3 8.67 100.45 none >8.67 1.67bl.1. .75bn.scl. 1.42bn.s.1. 4.83bn.stratifie B- l.s.&s.l. w disinte ratin Is. articles B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD P PER INCH P- P- P- P_ s e eS gn rate P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 94.95 i i - -I _ - ► " f inishd --grade - 3.5~ f o su f ice er Pi due to bandinte n~pr6filet rench "s -e recommend ed nc~ ease dl sof m g~ p I 4 i 4_ t ~r• ~ ~rl ` 0 l~' ,r,, t _ 101 to A n r-, 8" 11 i t ! ; i I I I ~ v F i i t qq i i QP ~ i ~ ~ h'1 _J I il~ 45 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 the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 9-23-91 ONE NUMBER(optional): A SS CERTIFICATION NUMBER PH 200th. aVe., P,ew Richmond, wi. 54017 CST S RE: ~n5-246-6200 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. iDILHR-SBD-6395 (R. 10/83) - OVER - 1 00 - - n H y rA N- - .2-13-x -3-- mac- - 10 I G p ~ E f/ us Q-1A Az f3 I aQ , _ < / G o a - p, .ac s _ 1 r - c10 S I 3 0 i i I I I ~ j I , I I ~ I I i I I Ii I ~ I I i I I I -1 i II I ~ ~ I I I I i I I -r- ' ! I I ~ l i ~ I ~ I I I i I I ~ I I i I I I I I ~i i ~ I i I I I i I i ~ ' I I I i 4-4 1 I ~ I I ~ i I - - I I I I ~ I ~ I I i I~ ~ I I 1 I I I I ~ I --1_. i i ' I I I I ~ I i I I i I I REPT131 KINNICKINNIC ST. CROIX COUNTY ZONING PAGE 2 06/29/9, 12:49 REQUESTS FOR INSPECTION WORK SHEETS FOR: 6/30/92 AREA: MJ Activity: A9200225 6/30/92 Type: CONVSEPT Status: PENDING Constr: Address: KINNICKINNIC 16.28.18.P243B, MONUMENT RD. Parcel: 022-1045-70-000 Occ: Use: Description: 171460 Applicant: MEYERS, N LARRY & LYNDA L Phone: Owner: MEYERS, N LARRY & LYNDA L Phone: Contractor: SCHMITT, DONIVAN Phone: 568-4948 Inspection Request Information..... Requestor: DON SCHMITT Phone: Req Time: 15:06 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION