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HomeMy WebLinkAbout030-1031-80-000 o (D Q) 03 O 69 kll~ d 0 4 a ~ Cam, ~ O ~ I N ~ C Q N a) w 0) "y E I I Ol N C a I m E (D a CL N I N • O n O a Z c a z_ c c M E m r LL_ o LL o 3 ~ ~cs t9 ~ a aai "0 co -0 - d a d Cl) 3 Cl) a) Q W III; Z y z y ° Z = O O OL Z > L a L a w (D a m IL co N 00 f- Z c O •p C a co O z d C O U) P Q) z c E 72 a ~ M a ~ N = N N 7 ~ N CL N Q QN C N •'V d fn L CL L C 'a L) 0 Z co z Z co z 0 N z _ C N N m C (O Vl (D Ul > !V a a« r U C M U v o O G 0. a N ~ C a` ` d~ o j N N rn 3 m (1) us j o Z >I' CLI IL °n O O O a s z N 0 3: 3~ 3: 1 •rv is a a a . m a a a 0 0 S: a I a , (mil p y III N d' y m N a) 0 0) 0 CO -J L) C~ z M\V I. ~ N N ~ O N ~ O\ C O O E ,n 11 O O 0. p O CD CD y y N N O N y n Z z O_ d} m z o d a O p C V y c N C +r ° 3 ° c E (n n r` l y o c aai CD m c N W. d M o rn 0 v°, v o m m O) aNi o to v m c E O N O N N O r O N Z C N ' 0 3 F' a II It 0 LO z in o E o '6 w E o co z . A m o C7 0 z y, o o A o Z -H 1 U) ~0 ~ T! Y E £ ~ I V = ` v~ (D III Ea ICL a a a r IV CL (D c a`) L.~ E i c c r O c c ~f 7 3 t6 O ' 1 A U d o N U 0 fn C) INDU Rl1lI'ENTOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS NDUSTRY, DIVISION LABOR AN HUMAN RELATIONS PERCOLATION TESTS (115) P.O. BOX 7969 MADISON, WI 53707 (H63.09(1) & Chapter 145.045) ( S LOCATION: SECTION: TOWNSH I PN0tRNjUeX0[ffY: 117 OT NO.: BLK. NO.: SUBDIVISION NAME: W 114f, t/4 8 /T29 N/RL9xE (or) W St. Joseph n/a Schettle COUNTY: OWNER'S BMCEK7SMAME: MAILING ADDRESS: St. Croix Orville B. Schettle R.,R.#I, Box 32, St. Joseph, Wi. 54082 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DESCRIPTIONS: PERCOLATION TESTS: Residence 3 n/atlew ❑Replace I 5-28-92 5-28-92 RATING: S= Site suitable for system U= Site unsuitable for system 03 o 1 0 3 Z CONNVVEcNTfONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) [as ❑U ®S ❑U CAS ❑U ❑ S ®U ❑ S HU conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS a e 50 DYB BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) -14, 7.5yr3/2, s.l.; 14-28, 10yr3/4, s.l.; 28- 6-1 84 97.16 none >84 6, 10yr4/6, l.s.; 36-84,10yr4/4, co. S. 13_2 84 97.15 none >84 -12, 7.5yr3/2, s.l.,; 12-28, 10yr3/4, s.l.; 28-3 - 4 6 l.s.• 34-84 1 4 4 Co. S. 96.35 0-12, 10yr3/3, s.l.; 12-22, 10yr3/4, s.l.; 22-29 B-3 84 none >84 4/6 l.s.• 29-84 1 4/4, Co. S. _4 84 95.85 none >84 -20, 10yr3/3, s.l.; 20-32, 10yr3/4, s.l.; 32-38- g6-5 80 95.35 none 0-13, 10yr3/3, s.l.; 13-23, 10yr3/4, s.l.; 23-35 B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER Wqjt*S AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER PER INCH P_ 1 4.00 none 3 6 6 6 <3 P- 2 •99 none 3 6 6 6 <3 P- 3.19 none 3 6 6 6 <3 P-_ 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 elevatyoon.`q all borings and the direction and percent of land slope.' SYSTEM ELEVATION 93.14 i v ~j ~ E 3 - - - Y , E I, the undersigned, hereby cer t $ s ~e ted on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and t recorded an a tion of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gar L. Steel 5-30-92 ADDRESS: X CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. AV 0. S ' WE 1 71 -246-6200 N CST SIGN *T VR E: t DISTRIBUTION: Original and one td al ority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must inClude: 1. Complete legal C!scription; 2. The u. , clearly indicate whether this is a residence or commercial project; 3. M= -X number of bedro , or commercial use planned; 4, ? or replacement < 5. Cc; the suitability i_Jr.,, . A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL. OT['7' YSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PL the abbreviations shown here for writing profile descriptions and coral, -i the plot plan; 7. MAk ? LEGIBLE diagram -ately locati=ig your test locations. Drawing to .!e is preferred. A y be use,. 8, ar benchmark _ I ~flevation _ d are permanent; 9_ appropriate box r?-3tes, names, a' i ` -a, ':olation -,est exemp- iate; 10. If r (such as tlop,-' levation) does r, N ,A, in rx; 1 1 . S=i ,I : ~IOCe. your cur Aress and your r ica an ; „war; 12, Ma s and disc, required. ALL L TE-c' MUST BE TH THE LOCAL .~.')RITYVVITHIN: )AYS OF COMPILE. " % ABBREVIATIONS FOR CERTIFIED SOIL_ TESTERS p; id Textures Other Symbols 10"j BR Bedrock cola 10") SS - Sandstone gr - C (under 3") LS - Limestor. HC `J High :rater P, - P a Rate s - Than L( si - Y i c - r;c pt rT) rn p #-I tad L - , r BM VRP C OWNER: j is ~ay request private order to :nit 1 I't ( n. f a 'FORM NO. 985•A + M.C;WIin Cdnyry~ Stock No. 26273 3CERTIFIED SURVEY MAP LOCATED IN THE NW1 /4 OF THE NE1 /4 AND THE NE1 /4 OF THE NE1 /4, SECTION 8, T29N, R19W N Z ra m zn O n TRUE BEARING co ;0 z0 ° ;0 Ln co UNPLATTED Q1 m m ~ 0 LANDS ti I '1~,~ UN p~q T ~ T p E N p o alNELSON A FgRM L S ~ N5°3l'50,--R AD_ _ E obi 66' 246.20' 'EAST RIGH LINE T-OF-WAl r i m w c m ix. u, w r I r ~ O Z I N 0~ Ln O~ O N Z I O I~ N D N O C I Iz 0 -n l z ;0 G m In f+ o -I fZ I~ 3 --I I+ IT Im 4r 1- Ir I;u FILED 0 o 1 is MAR 311983 0. -ri I -i I --I JAll1E3 Of CO w I m NNILL I - - - = NO°22'10"W u, m lm .v 10041ar af wadi ` 54 Gout em l C x 245' m I I D / wimmrr h. I Z C7 v I T. I = o w Ln I 6 n l r o L; c`nn 00 I r O Z i -n co D c(~m - l z z - O I D Ln 'CO °o -I cn I M = - ..I I -I y w w Y Ln w I O W o Z - I m ~1' 10 - . U*) Cn 4= r) V 1 C^ o n ;0 ;0 m O z 10 m Ti+ 15 Z 0 1+ m n m co "A •`O O ID a Ls OL M O z Iz rn C --q N002211 011W zz -C Iul - °c 245' M m I C) n C) Z I;0 cn c w 1- w 10 NJCDO D w O - - - IO Nnul C u' alT 1+ m0 ~ m n- z a Z mo z z I+ Z -a " M M ND n 0 ~r O O c_ 245' APPRQV' ~ so°22',0"E 66' ° ~IC ~w Z~nO m cnrn ~z~ SEP 2 41982 - N ST. CROiX CCU!' i I ZI m C.0MP;!1HfHSIVE PARKS PU I, MD ZOIJING COMMITTEE ~I Volume 5 Page 1266 AS BUILT SANITARY SYSTEM REPORT OWNER m r1\ a1d ~rla _ TOWNSHIP ELI o5-!!-2p SECTION O T-0 ;'N-R-Z2--W ADDRESS 7 ST. CROIX COUNTY, WISCONSIN YSUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM SfF I 40 1 01 VI SL~~ INDICATE NORTH ARROWh BENCHMARK:Elevation and description: r' -e r Alternate benchmark S o~av~ SEPTIC TANK: Manufacturer: Tc~rrs ~,c Liquid Cap. Czsv Rings used:i_Manhole cover elev: 913 7 Final grade elev: Tank inlet elev.: Tank outlet elev.: Side , Rear Ft. _ No. of feet from nearest road:Front- 41 From nearest,prop. line:Front , Side, Rear Ft. No. of feet from: Well ?D Building: ajr-~. (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE i 1 PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front-, Side, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length Number of Lines: Q? Area Built Exist. Grade Elev. 95.E 5 Proposed Final Grade Elev. 4 5 ~6 Fill depth to top of pipe: -YO No. feet from nearest prop. line:Front,X-, Side , Rear Ft.-.," No. feet from well: /&V"' No. feet from building (2c" HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well building , nearest road Alarm Manufacturer: INSPECTOR: DATE.: PLUMBER ON JOB: LICENSE NUMBER:- /S 6 6/90:cj I I LOCATION: ST. JOSEPH 8.29.19.111H N IV E SYNELSON STEM FARM RD~Count Wisconsin Department of Industry, Y: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 175649 Permit Holder's Name: ❑ City ❑ Village (XTown of: State Plan ID No.: GOLDBERG, MARK S & SANDRA L ST. JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: I ~~~~CZ 3~ - ~r 030-1031-80-000 /n) co TANK INFORMATION ELEVATION DATA A9200307 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. , Benchmark 2_49 Septic G 141 Dosi 3 Aeration Bldg. Sewer Holding St/ Inlet 6'3 TANK SETBACK INFORMATION St IX Outlet 92 2/ TANKTO P/L WELL BLDG. Ventto ROAD DI Inlet Airlntake Septic NA _Dt--80#QM- o Dosing - NA Headers a?•/S 9, F7 ,05 $ Aeration NA Dist. Pipe v Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade J, 9 9SL~ Manufac rer Demand 1~1 e Cain Model Number GPM TDH Lift Friction Svitem TDH Ft oss H Force main Length Dia. Dist. To e SOIL ABSORPTION SYSTEM BED/TRENCH Width /o i Lengthyg No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DI I N LEACHIN Manufacturer. SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION TypeO CHAMBER Model Nu System: Co>7~ 44 OR UNIT DISTRIBUTION SYSTEM Header H1Aaai#eld- Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length YS Dia. Spacing ~o SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over f ro xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center ilo 3~0 Bed /Trench Edges ' 3b Topsoil ❑ Yes C] No ❑ Yes E] No COMMENTS: (Include c de discrepancies, persons present, etc.) 02 P yvl~ 02' 64A 0' ,n~ Gt_,c,,2G Plan revision required? ❑ Yes Q'IVo ' Use other side for additional information. aft ~02 SBD-6710(R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH , SANITARY PERMIT NUMBER: ' r ~'ILHR SANITARY PERMIT APPLICATION couN - In accord with ILHR 83.05, Wis. Adm. Code K STATE SANI RMIT IL_ -Attach complete plans (to the county copy only) for the system, on paper not less than / 7 8% x 11 inches in size. ❑ Ch. if revision to~ v us 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 m ..1G o\a b Q '/a '/4, S g- T , N, R J&r) W PROPERTY OW S MAILINr, ADD LOT # BLOCK # a .7 sg AWL I CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER -M CITY II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE : NEAREST ROAD f~' gf 1771 f J tTtS ln.~ rg,r n► ❑ Public LLN or 2 Fam. Dwelling-# of bedrooms - PARCEL AX , u ill. BUILDING USE: (If building type is public, check all that 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. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] Repair of an System System Tank Only Existing System Existing System B) A Sanitary Permit was previously issued. Permit 1"2y 50 2 Date Issued .03 V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11, P4 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ 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) 5 ELEVATION O tJ ~r ~S /DSO /D S /p C la s s,7 / '-z_ Feet 'rFeet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Se tic Tank or Holdin Tank tNC Lift Pump Tank/Siphon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signa No Stamps) Ca 1 ut n ~Gt.fc MPRSWNo.: Business Phone Number: 1.5 43 IMF, 7/S m?YG ~s/.3S Plumber's Address (Street, City, State, Zip Code): /q& r 2.,j w-S ya/ IX. COUNTY/DEPARTMENT ME ONLY ❑ Disapproved itary Permit Fee (Includes Groundwater Date Issued Issuing Age ' at S ps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination l~ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS } 1.\ A sanitary permit is valid for two (2) years. 2. You'r 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 (SBD 6399) to be suf eo.to the cou`^7prior to installatio9. j 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be dumped by a licensed pumper whenever necessary, usuallyve~y 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator& the State of Wisconsin, Safety & Buildings Division, 608-266-3815: , i To be complete ano accurate thij,sar aary-~permit application must include: y 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of t 4here the system is to hvjnstalled. 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. Tank 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 elcper6m@na( product approval from DILHR':~ 4, VIII. Responsibilitistatement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, 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, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performam;e cktrve; pump model and pump, manufacturer; D) cross section of the soil absorption systerrtw,.,, ~ . required by the county; PsdH'test data on a4:M form; and F~AIH'sizlhg informat#49.- = ' GR001146 ift13U1#CHAR6E ` 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The ,qr ies collected through the,%e s-uircharges are used for monitoring, grouindwater, ground ; water contamination investigations and establishment of standards. i ~ SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT S T C - 100 r This application form is to be completed Ln 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"), then 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 MARX, 69 ®U6 eoc - Location of Property f s~ ILE 'i., Section T N - R /9 W Township 5 14 -7 'tr7 Mauling Address y Z 17~4 D-W $4 ~~~-SC~~ ~uvl Subdivision Name Lot Number CS M S//,? 66 Previous Owner of Property ©r/'1LLG Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? X__ _ Yes No Is this property being developed for resale (spec house) ? Yes X No Volume 67 2 (p and Page Number 5<3 6 as recorded with the Register of Deeds LUDE WITH THIS APPLICATION ONE. OF THE FOLLOWING: Warranty Dee 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the revLewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) ce)r_ti.()y that aff s,ta.teme.ntt,5 oh...thiA 4onm ale tAue..to .the begst o4 my (ota) hnowtcdge; that I (we.) am (Cfte) the, own.eh (b) o(l the, pq.open ty de s en i.bed in .th iA inAonmation 4o)rm, by vixtue oA a waAAanty deed Ae.cohded in the 064iee oA the County Regi-Afeh oK Vgerdh as Dor.rimen.t No, _ 7 6 -$3 S and that I (we.) ph.m en fl y own .the- phopoAed A t:e. {on, th.e. 5 ewage. .c.6 poAa 5 ys,te.m (on I (we) have obtai,ne.d an e.aAe.me.nt, to hun with the above deACAibe.d pnopeAty, Aok the conAtq.uet ion o6 said h ya te.m, and the same haA_ been. of y )r.e.eo,,qded in the 0 4().ice oA .the. ounty Re.g"ten oA De.e6, as Document No. (o R3S ) . adA~~__ 15~_ c1411 SIGNATURE OF :R SIGNATURE OF CO-OWNER (IF APPLICABLE) DA'Z'E SIGNED DATE. SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED / 47GS35 Vo'_ 926PAGE 506 E REGISTER'S OFFICE This Deed, made between _ Orville B. Schettle__and ST. CROIX CO., WI _ _ Mary A, Schettle, husband._and__wife_.and__each______ Reed for Record in their own separate.-right DE CI 6 1991 - Grantor, at 10:10 A.. M and-- l~taxk S • G_o1_db~_rg..aud---Sandra-1,._..QoJ dberg,---husband-------- ---and-.wife-.a s..survivorship__maritaI--property-----------------•----------- 0 - Register of Deeds Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... conveys to Grantee the following described real estate in Bt_._.CrDix_______________ RETURN TO County, State of Wisconsin: I Part of North One-Half of Northeast Quarter of Section Tax Parcel No_ 8, Township 29 North, Range 19 West described as follows: Lot 17 of Certified Survey Map filed March 31, 1983 in Vol. "5", Page 1266. 'TWT This is..not........ homestead property. (0) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; Ancl.......... grantors._Qrville..B...Schettle_-and.-Mary--A.--Schettle warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except any easements, covenants and restrictions of record and will warrant and defend the same. Dated this ------•-------------------w . day of Novembex............................................. 19.9.1.... --••--•-------•-•-••---------••--•----------•-------•----------------(SEAL)<t'' (SEAL) Orville B. Sc ettle (SEAL) ~Ot (SEAL) 1Kary Sdhdttl d--------- AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. • St-Croix____________________County. authenticated this -------.day of 19 Personally came before me this -------t-L--Zday of ND_vembES......... 19-91--- the above named Qrville.-B-..Schettle..and-.Mary-. 1>~bet t le v, rr . TITLE: MEMBER STATE BAR OF WISCONSIN . ---------------------------------------------------'t=V ; . . fs (If not, r ` authorized by § 706.06, Wis. Stats.) : , . 7` to me known to be the person S..._._:..._ ~vvh0 `~I : foregoing instrument wledge".t)]eycaA- ~ r ' e THIS INSTRUMENT WAS DRAFTED BY J HEYWOOD & CARI ---=---=--------Q by Samuel R------- Cori . P-:O-:--Box--229-;--Hudson-;--WI------- 540-16---------------- Notary Pu 'c .-S t...Croix............ County; Wis. (Signatures may be authenticated or acknowledged. Both My Commiss ' permanent. (if not, state expiration are not necessary.) date: 19......... ) *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. 1 - 1982 Milwaukee._Wis. SEPTIC "~~^IK MALVTi-MMICS ACRZEMENT 5r.. Croix Cuuncy OWNER/ BUYER ROUTE/BOv NUMBER/ Z• Fire Number CITY/STATE kluaSO", W._L_ ZIP 57 TO/ P70PERTY LOCATION: NW z, /QC `t. Section ~ T 1°1' ;4, R W, Town of 30S'-Vy St. Croix County, Subdivision erZ-SON Lot number Improper use Xnd maintenance of your septic system could result in its premature failure co handle wasces. Proper maintenance con- siscs of pumping out the septic tank every three years or sooner, if needed, by a licensed seocic tank pumper. What you put into the system can atfec: the Euncciun of the septic tank as a creac- ment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in ooeraci.on prior co July 1, 1978. St. Croix County accepted this program in August of 1980, with the requireme•ne chat owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to Sc. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying chat (1) the on-site wastewater disposal system is_in proper operating condition and (2) af'-er inspection and pumping (if nec- essary), the septic tank is Less than 1/3 full of sludge and scum. Certification form will be sent aporoximacely 30 days prior co three year expiration. I/WE, the undersigned, have read the above requirements and agree co maintain the private sewage disposal system in accordance with the standards set forth; herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned co the St. Croix County Zoning Office within 30 days of the three year expiration dace. SICNED DATE Sc. Croix County Zoninti Office P.U. Sox 2'_7 Hammond, 'JL 54015 7L5-1/95-1229 S i.•zn . lar- rind rterlirn 'c~ :thuvr address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, - ~ DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIPiXDERXffY: OT NO.: BLK. NO.: SUBDIVISION NAME: PIN IvE 1/4 8 /T29 N/RL9xE (or) W St. Joseph [17 n/a Schettle COUNTY: OWNER'S BLAME: MAILING ADDRESS: St. Croix Orville B. Schettle IR.,R.#l, Box 32, St. Joseph, Ili. 54082 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: C PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: Residence 3 n/a xlew ❑ Replace I 5-28-92 5-28-92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) 1~iS ❑U ®S ❑U EiS ❑U ❑ S FA ❑ S oU conventional If Percolation Tests are NOT required DESIGN RATE: r 7; If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS a e 50 DK.B BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHE T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 84 97.16 none X84 -14, 7.5yr3/2, s.l.; 14-28, 10yr3/4, s.l.; 28- 6, 10yr4/6, l.s.; 36-84,10yr4/4, co. S. B-2 84 97.15 none >84 -12, 7.5yr3/2, s.l.,; 12-2 10yr3/4, s.l.; 28-3 - 0 r4 6 l.s.• 34-84 10 r4 4 Co. S. 96.35 0-12, 10yr3/3, s.l.; 12-22, 10yr3/4, s.l.; 22-29 B-3 84 none >84 0 r4/6 l.s.• 29-84 1 r4/4, Co. S. B_4 84 95.85 none >84 -20, 10yr3/3, s.l.; 20-32, 10yr3/4, s.l.; 32-38- 5 80 95.35 none N415 0-13, 10yr3/3, s.l.; 13-23, 10yr3/4, s.l.; 23-35- B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER tP2kkkS AFTERSWELLING INTERVAL-MIN. P R D PER INCH PERIOD t P RI D2 P- 1 4.00 none 3 6 6 6 <3 P- 2 none 3 6 6 6 <3 P- 3.19 none 3 6 6 6 <3 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 locatio on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. G SYSTEM ELEVATION 93.14 / 0-4 r { t { d l I - 1v. t~ll? j. i t } I ~ ~ r { ~ 14, 0 i IN !M 9 r; 9 I ~ I 8 f n PI, Qa' fir : t ` D WJ 1, 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: Gar L. Steel 5-30-92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, di. 54017 2298 A 715-246-6200 CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. nit, l-IR-SBD-6.1q5 (R. 02182) OVFI1 , I , I I I I _ _ t j- r i 1 I i I _ ~ I f I 1 I , i 1 i 40 N;g w t ~ r1 ~ 1 I r- 1- r f i t I I I ~ I i t I I~ I I j ~ T I I I i I I ~ I I i i I ~ ) I I I I - - - f i t t I I ; f } I I I i ly-I ; OGi ~j+~► _ e-~^~~i- j i - { - I I - I f_i --I l- 41- I r r ~ 1 ( ~ ~ 1 I I r 1 I _ ~ I I i , t4 . ei i I I ~ I I I ' f I f I i ~ i I I I I I I I t ' I I I , i I i I I I I ~ i I I t I i t 1 f I t ~ ~ I i 11 I~ ~ 1 I I I 11 ~ - j I t 1 --r ~ ~ 1 I I I i I I say . I I I! I I I ~ I! I I i i I , , i t I I I 1 t i i i I I I 7 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 1 ~ I I I ~ I i ~ ~ : ' I I I I I I I I ~ I I I I I ~ I I I - ; 1 t I I I r I• I - T E j- + -t. 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 i I i I I : I , I I - - I I ~ I I j I I I 1 -4 i II I I I I I I ~ I ~ I , I i t ~ I 1 I I I I I I I i I i , ` : j I I ~ I ~ r- - - -r I I ~ t I I : I I I I , I I I r I ~ i 1 - ~ I fi I I I I I i I I I I I CroSS IL)I•) o~ 0 1 /W C, Frith kit Inlr1, And ~~1,fY01~0❑ Pip, I.. Appr c.rJ rrnl Cup fl~•ol f.r.d. 20. 12• Atop Plpp i Curl Iron To float Or, a, Vrni Plpr uurn Hof Or Stnln.lk C-,Il y - 'Wln 2• AyQr,Qal, 0..r Plp f)Irlr ltvllon 1 rlp, v 0 0~ - r„ L•AQ r „11i Pip ------111 0 Prl for elra Pip, it rlor Orn, _ 0 C0,01AI T•rmin,llnQ At 00110. Of Sl,l,m r~ SOIL FILL '0I5TRI[SUT101.1 PIPE,- 1;r TIC COv 0 V AGGTICGATL ELEV. oF~ ."1~FE> Y °Le. 3/ ~ r DIS•1"nlfjUTIOU PIPE TO INC AT LCAST IIJCHCS OCLO\-/ ORIG11JAL AsJU AT LCAST LO 11JCIICL BUT 1.10 MORC .tHAIJ -12 11.ICI{CS OCLOW FWAL c. i / rWipiuM DAP f H OF rXotl OjZIbVN/\>_ 6 I1~ WILL BE nNinuM pc(, ni of cxcavATlmrJ r-jZo1^, o~ IGI}i~~ CRAPE wlLk- be SIGIJCO: - LICLUSC LIUMBCIi: /5(p3 DATE'. ' JQi'si3iBa'rteWtofliduusfrEyPH s. 29.1;ftA ~"FtZ'sfl' LOT 17 County: Labof and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary §0 Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Plal'?P U 2 X esLriptionST. JOSEPH r rcel Tax No.: CSTGbE _ERG I M.41% S j~fm TANK INFORMATION ELEVATION DATA 030-1031-80-000 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding 010 ~ Bo System PUMP/ SIPHON INFORMATION Fin Grade Manufacturer TD mand Model Number M TDH Lift Lriction S tem TD Ft Forcemain Length Dist. Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length o. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS LEACHING Manu acturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type Of CHAMBER Model Numer: System: 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: (Include code discrepancies, persons present, etc.) Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i SANITARY PERMIT APPLICATION DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY - .e .......v,...,..,, S ATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ J G2lq;, 8%x 11 inches in size. Ch k r visiont 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 LO & 441114 E'/4,S ~ Taq,N,R Iq Y(or) W PROPERTY ONjfJER'S MAILING ADDRESS LOT # BLOCK # -3 /,2 7 _31-/ / 7eir c5m s11-2j A11117 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ~✓I f~ 4FI-e,04 II. TYPE OF BUILDING: (Check one) ITM NEAREST ROAD 1 ❑ State Owned ❑ V CITY Sr irPy 7 t~ T ❑ Public 0 1 or 2 Fam. Dwelling of bedrooms 3 PARCEL TAX NUMB R( ) III. BUILDING USE: (If building type is public, check all that apply) 020- /03/ - FO /11// 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: ales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile a Park 12 ❑ Service station/Car Wash 50 Hotel/Motel 9 ❑ Offic actory 13 ❑ Other: Specify le) IV. TYPE OF PERMIT: (Check only one in line A. Check line B ppltc . ❑ Reconnection of 5. ❑ Repair of an A) 1. LJ New 2. ❑ Replacement 3. Replaceme f 4 System System nk Only Existing System Existing System B) ❑ A Sanitary Permit was pr ious ued. Perms - Date Issued V. TYPE OF SYSTEM: (Check only ne) Non-Pressurized Di ibution Pressurized istribution Experimental Other 11 Seepage Bed ❑ M nd 30 ❑ Specify Type 41 ❑ Holding Tank 12 M Seepage Trench 22 n-Ground 42 ❑ Pit Privy 13 Seepa it Pressure 43 ❑ Vault Privy 14 ❑ System-ln- VI. ABSORPTION SYSTE N ION: 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE 1. GALLONS PER DAY 2 4,/ So REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 9'7-_ /i ELEVATION 7070 '7 a O e 3 Feet fo Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank ~Q60 o we Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Pri • Plumber's Sig re: (No Stamps) MP/MPRSW No.: Business Phone Number: OctI UI N dc~ t72' S7e~ 7/C' a4A 'S/~S- Plumb~'s Address (street, City, Sate, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved nitary Permit Fee (Includes Groundwater ate Issued issuing; A nt Sign re (No St ps Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-87) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 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 (SBD 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 8 Buildings Division, 608-266-3815. 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 8 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. Tank 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. MP, 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'/s x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; close volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) Ilk- i •1 I I I. I I I I+~ I i j ►Q 7_ I I- I Llr~ lit EI 9tiff ~Q1~1 o5e , sdn-I i I + I I I~ ! ! I I I I i I _ 1 ~ ~ i I ! ~ I , , r I r I ~ I + I I I I Q _ I - - i --~-Q r - + v$ to 11 I + I I I i ~ ~ , I ~ 1 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 F -I ! i ' I I I ~ i I ; I l~ l l l l i I~ I~ r I ~ i ! 1 ! I I I i _ I I i 1 \ t r 1- r~ ! I + CIO I I 1 I - - - - - - - - ~ , ! ~ i ' I I , Sty 1 -7 j - - 1 I ' ' I i i I ' I_ _ I I E I i i F- 1 i. ; I ! I ' I { I I I I ~ I t i I I ~ I ~ I ~ I I I ~ I ! I I r I ~I I ! ~ I ! I I I i ~ I I ! i i -1 t I I II I I I I f I I I a ' I L 1 _ ~ E r ' I ~ ' I I i i I I ' r I f' I - I I I I ~ I ~ I r j - I II I _ i I I I I II - - I I I ~ I I I . ' I I I I I I 1 1 f , L I I , I I I ~ , I i L- I I i I ~ I ' I ~ 1 I , I ~ L I i I I I I I - _ I a I I ~ i T ~ 1 II r - I ~ I i-- 1 1 - I I I- i i I ~ ~ I I I , i - I I I I I L I ' ~ { t I 4, -4 I I~~ I i I ~ ~ I i I i I j 1 I I I II I I ' 41 1' I C 1 i I I I~ I . ! I I I I I I I t I I , I i I I , _ I I I t ;I a- - 4 'I ' I I I ~ ~ ' I I i ~ I I ~ I I J- _4 ' i t 1 1 ~ I I CroSS S~c~lon o~ 1~r17 SysJel-- . • •/~~Rx C~ v~. o ~~v '3 a sf ~a': uOri Fr44n Air Inlala And Observation flips ( App,or:d Vent Cap • Allnlmum 12' Aoar4 f1n41 G14da 20- 42' Aoora Pipp 4' Cool Iron 70 final 014118 Vonl PIp$ u4r1n Hop 01 Spn1M11C Coralny "m 2' A99r49als Over Plpe ' 011111Eullon PIPa o 0 0 - Tao + V AOYi4pa14 BonoUtl Pipe P6rI01U4d Pipe bola. o 1-1-CoOlrq To/minUlnp Al Balloon 01 3I614m 1 11 ~rW j i SOIL FILL 'OISTRIBUTiom PIPE / APPROVED $y),ITNCTIC COVCR "MATER14 OR 9`017 5Ta^4! x -3166 2" of AGGREGATE OR MARSU HAy t aP. tlw /ice r Y .'N 0 P~2-21/L A G G R CGAT E. ELEV. of `1.3,11FEET 3 DIS-171115UTION PIPE To BC AT LEAS-T INCHES BELOW ORIGIIJAL GRADE AQU AT LEAST LO IIJCHCS BUT 1,10 MORC THA)J 42 IWCHES (5ELOW FIIJAL GRADE 1'11MMUM DEQrVi OF EXCAVATIOP FKOM OKIbWA1. 60\08 WILL BE INCHES INKIMUM CKPrti OF EACAVATImN N• OM 0,11~161tIAL C.)RAPF- WILL BC 3JI _L INCHC 5 SIGUED: LICCUSC DUMBER: 1563 DATE. (P-9- la Ila REPT131 ST. JOSEPH ST. CROIX COUNTY ZONING PAGE 1 08/21/92 14:00 REQUESTS FOR INSPECTION WORK SHEETS FOR: 8/24/92 AREA: JT ~ Activity: A9200307 8/24/92 Type: CONVSEPT Status: PENDING Constr: Address: ST. JOSEPH 8.29.19.111H,NW,NE, NELSON FARM RD. Parcel: 030-1031-80-000 Occ: Use: Description: 175649 Applicant: GOLDBERG, MARK S & SANDRA L Phone: Owner: GOLDBERG, MARK S & SANDRA L Phone: Contractor: POWERS, CALVIN Phone: Inspection Request Information..... Requestor: POWERS, CAL Phone: Req Time: 13:08 Comments: Items requested to be Inspected... Action Comments Time 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION