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HomeMy WebLinkAbout032-1046-50-050 -0 0 C c ~ o d O e~ 4 ~i wo 0 N ~ C t . O ~ N N ~ © O M O C y ~O N .0 V f. QO x C (n U iv y Cl) 0 co N U tl5 - V 0 Q C J N rn 3 n5 - LL 2 E 0) N O p Q co (i CO > Z N _m 0 V 0 Z d d a co 0 z c fA F- E c N 7 N m co Of % C ca N CD L. 0 O • ",a, a U) .C U N o Q) Z m z O N Z o ~ c M N U') E v a _ m Y Lo d d d NO O. w O D a 0 z > H FN- H U d O a a a .0 to 0 CO _m m 0 N C> } O CV N ~"V M O L.. CO LO = E N O 00 ~ N N N .6 d Q (6 N O O m w c a o c C) 41) N C co a) C rn 0 O O 0 co N I-- Q m (n c Y c !7 N O V O N C O C 0 N ~ O 'Fu ~E -5 n 'C co t!') d' C 0 ri N M O E N T y m Co CO (6 U O (n C~ O • h N G~ U)l d m a 3 a' i d A U a 2 0 N V y o i AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP _R,~1,t~se SECTION __T ,2/ N-R / C/` W ADDRESS 'f.7f ST. CROIX COUNTY, WISCONSIN 1 SUBDIVISION LOT LOT SIZE PLAN VIEW- SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i k7 r' r t i INDICATE NORTH ARROW BENCHMARK: Elevation and description: Alternate benchmark SEPTIC TANK:Manufacturer: Liquid Cap. AMC g,,-1 Rings.used:~Manhole cover elev:~~Final grade elev:-./©o(/~Tank inlet elev.: 6 3Z I/ Tank outlet elev.: fro i/ No. of feet from nearest road:Front , Side A_, Rear Ft.-~52K) From nearest prop. line:Front , Side, Rear Ft. ,9S No. of feet from: Well , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE r 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:_ t Length_ ,4- ' Number of Lines: ,Area Built_„~. Exist. Grade Elev. ,?.s R Proposed Final Grade Elev._ Fill depth to top of pipe: No. feet from nearest prop. line:Front-Z , Side, Rear Ft..2, No. feet from well: o. feet from building s 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 : S--_,~ PLUMBER ON JOB LICENSE NUMBER: 6/90:cj t LOCATION: SOMERSET 16.31.19.234,SW,SW,16,40TH ST. . Wisconsin DApartmentof Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 149286 Permit Holder's Name: ❑ City ❑ Village JJV Town of: State Plan ID No.: GERMAIN, BRENDAN LORAN SOMERSET CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ~ ~ ~ C57 h/ 032104650000 TANK INFORMATION T- 71 ELEVATION DATA A9200131 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark a a U b, 0 Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet 7 9 , TANK SETBACK INFORMATION St/ Ht Outlet ► ro TANK TO P/ L WELL BLDG. Airl to ntake ROAD Dt Inlet rl Septic S~ 30 >30, NA Dt Bottom Dosing NA Header/ Man. a 5 , S 3 Aeration NA Dist. Pipe $ C Holding Bot. System ~U 911, S / PUMP/ SIPHON INFORMATION Final Grade 3 o Manufacturer Demand 1s d , toy S Model Number GPM TDH Lift Friction System TDH Ft Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Leng~h No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / d g DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM INFORMATION Type O~ 9 CHAMBER Model Number: System: 19- "I!)q OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. 1 Length alO Dia. 411 Spacing 6 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 ~r Bed /Trench Center a~ Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) L,I a.bi i Plan revision require Yes ❑ No _ rr Use other side for additiYinal information. I hiZ_ G1/~ (D SBD-6710 (R 05/91) Date sector's Signature Cert. No. s ~ ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: w ' SANITARY PERMIT APPLICATION COUNTY. couNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than El 1q, 9 a 8% X 11 inches in size. chec if revision pr vious 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 /4S. 1/4, S T3/ , N, R V(or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 420 --2 " CITY TATE ZIP CODE PHONE NUMBER SUBDIVISIO NAME OR CSM NUMBER S 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State owned ❑ VILLAGE : L 114 1734 TOWN OF: PARCEL TAX NUMBER(S) 1 or 2 Fam. Dwelling-# of bedrooms 3 1:1 Public FRI III. BUILDING USE: (If building type is public, check all that apply) 302 D 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 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.[Z New 2. ❑ 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 120 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 12.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./' ch) ELEVATION 6 Feet Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic EAxppepr. INFORMATION New istin Gallons Tanks Concrete structed Tanks Tanks Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install tion of the onsite sewage System shown on the attached plans. Plumbe 's Name (Print): Plumb is igna re: S ps MP/MPRSW No.: Buss ness Phone Number: tvy lum er s Address (Street, City, te, Zi Cod IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued I uing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly P115-67) (R. 11188) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber y V INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. -Your sanitary perrnit may be renewer before the e~xpiratian date, and at the time of renews l ary new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions t ; this permit must be approved by the permit issuing authority. 4. Changes in cwr ership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBC' 6399) to be submitted to tine county prior to installation. 5. Onsite sewage systems must be properiy maintained. The septic tanks) r-;u ;t be pumped t y 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 admi,listrafor or the State of Wisconsin, Safety & 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. Il. 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 replacerent, 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 8h 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, to ation 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 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) S T C - 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), 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 Location of property. 1/4 1/4, Section T`_ N-RAW Township Mailing address Address of site Subdivision name Lot no. Other homes on property? yes No Previous owner of property Total size of parcel 4~ Date parcel was created ;2~-/_ ds, Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volumed and Page Numberas recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & 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. ; and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. . Signature of apple ant Co-applicant Date of Signature Date of Signature •..::000MENT NO. ATE BAR OF WISCONSIN FORS I- ~ I fH15 SPACE RGS[RVED FOR RECORDING DATA WARRANTY DEED it 43904 0 01, K 1J r-A ~ i REGISTER'S OFFICE - - - - - This Deed, made between . ji ST. CROIX CO., W1 T-homas__.W------ Ger_son--and_._DQro_t_Y~y--.R_ Gexr_sQn 1------------------ Recd for Record hus_band_-and __wife----------------- I'I antor 1l) 1988 and.-.___.B-r.en.dan--Loran.-_Ger_main,--a..-s-in.gle--- p-er.s_on_, I 11:00 A M - Grantee, I U C~ Register of Deeds - W1$I1eSSeth, That the said Grantor, for a valuable consideration. ------To j _.----Th.omas---and--D-or_cthy -Gerson-------- RE""", to Grantee the following described real estate in St----- Crod x--------- I, I County, State of Wisconsin: j I .I The I uthwet in iI Sectiontl6eSToQnshipr3lf Nothe rth,SoRanges19 West, comprising 40 No: acres, r to__--•---- more or less, according to the Government Survey they existing highways and easements. i 4Ftl L~ E ,i i, ___1s__nD_t-------- homestead property. j This I (is) (is not) I Together with all and singular the hereditaments and appurtenances thereunto belonging; I i And_--Thomas.--W-----hers-o-n-.-and__Dar.othy.-.R_ der.son warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except j easements restrictions and rights-of-way of record, ~i if any. and will warrant and defend the same. it it Dated this day of ---------Jun-e --------------------------------1 r - (SEAL) L --------(SEAL) hy, Gerson - -th- - - - Thomas W. Gerson Doro - it - (SEAL) - - - - - - ------(SEAL) fi i AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN !I ss. I' _ _ _ 'I ---'~-t-•--r1_QiX-'-- --------County. I So authenticated this of 19.' Personally came before me this ________________day of il, 19 the above nam - ed _Jun - _ ~r zc. Thoma_s._ti1. Gers9- Dorothy R I' TITLE: MEMBER STATE BAR OF WISCONSIN Qe-x Sa - ' - - (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person S---------- who executed the ( foregoing instrument and acknowledge the same. it THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland Lundeen I, Attorney at Law II - - Notary Public rQJX_ - -County, Wis ii My Commission is permanent. (If not, state expiration j (Signatures may be authenticated or acknowledged. Both date: - 19___-- - are not necessary.) 5- Coy i - j 'Names of persons signing in any capacity should be typed or printed below their signatures. STATE. It A.: OF 4 ~ I . O 6~ ~ W d 1 ~ \ ~ { 6 ~ ~ ~ 0 ~ I _ J SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER &;'4Vz)'b1 2,~-=z ADDRESS: l~ FIRE NO: LOCATION: _ 1/4, _ShJ 1/4, SEC. TN-R_L9_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. Propdr 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 to help with the cost of the 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 system properly maintained. The property owner agrees to submit to the 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 from 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 DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: I. DATE : St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 "DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (1151 P.O. BOX 7969 HUMAN RELATIONS \ / MADISON, WI 53707 (H63.09(1) & Chapter 145.045) t.+'• LOCATION: SECTION: TOWNSHIP/ ITY: rOT-Nd BLK..NO.: SUBDIVISION NAME: SW '/W 1/4 16 /T31 NIR9XE tort W ` Somerset n/a n/a COUNTY: 0 S U R'S NAME: LING ADD , Croix Bren Germain 1503 Pinewood Lane Apt. .#1 , Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE INO.BEDRMS.:ICOMMERCIALDESCRIPTION: I aidence , 3 n/a [ON.. ❑Replace I( 5I-13-88 STS: 7 n a RATING: S= Site suitable for system U= Site unsuitable for system CONVENTI NAL: MOUND: IN-GROUND RESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ® S ❑ U . CAS ❑ U Fal S ❑ U ❑ S xE U 0S ®U conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s,H63.09(5)(b), indicate: class 2 Floodplain, indicate Floodplain elevation; n/a ueci_ntitl' PPCr-:LEDESc^:PTiOi`:S-. age y PMC BORING TOTAL DEPTH TO GROUNDWATER INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHtiM, ELEVATION OBSERVED -EST T~ G E TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7.16 100.97 none >7.16 .83b1.s.1.'3.50bn.1.s. 2.83bn.m.s. 13-2 7.08 100.81 none >7.08 1.33bl.s.1. 3.00bn.l.s. 2.75bn.m.s. B-3 16.67 100.21 none >6.67 1.17bl.s.1..2.50bn.l.s. 3.00bn.m.s. 13- 4 17.08 98.26 none " >7.08 1.33bl.s.l.'''2.42 bn.l.s. 3.33bn.m.s. B.5 6.50 98.10 none >6.50 1.17bl.s.l. 1.83bn.l.s. 3.50bn.m.s. 13- PERCOLATION TESTS TEST DEPTH , WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PER INCH P- P_ see design 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 97.21 br 1\ Bf S, . h. y ,3 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 5-13-88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIG RE: A DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - 51Y~ SrJ~ s'E~ 7.~/i✓/9 ~v //uos~ GJz' SE~c T~Jir• l~~~ %DOO_y,g~ ~ ~ti~ ~ ~ :U.a,~~~ ~ a ^ "Woo z. \ 1'~iP~s o f/pus.~ 9S 1e~ 4179 ` y~ ' PArt or _ C r V S S S 1C C 1 t) 1, Q! l c 17 'J • S i L n-, i ft1i11 All IM611 And O0t1T1otlon PIP1 :i (~~AiVlovi• Yea/ CoP 'Y4J04rrw 12•AOOVo 110401 Goode ' I it f 30. 42• Above Poo' 4- C401 Isom TO fln.l 014do Veal Ploo 1MrU11141 Of 5 jn1d•1k Co.v11n1 • - YM 3• A91r41414 i 0..1 "too i 0161116,011e4 SIP• e ~ Too t A1114Io1• 9•04601h Ptgo o 1`611619146 Pipe Y•lo. o - Chp11n1 T6•n104911041 A6 8011661 08 i/916w 1 ProposrD fin6-I Crack i SOIL FILL DISTKIBUTIOM PIPE - APPRO'•/EO S'INTIIETIC COVE ~''-/'1ATEitI^I STitA~. 2"0FJ%GGRC6ATE OR 9" OF OR MARsi. NAy ELEY, OF; EE AGGRC6ATE 7 I ~ ell, DISTRIp1UT1OM PIPC To INC AT LEAST IMCHES BELOW ORiGIWA1» •;,1;AOE ARIL) AT LCASTLO IUCHEL BUT LIO MORC THAW 012 IMCHES aELOW FINAL. 11r~AOC M1UcUtuM WN.OF EXCAVATIOP FKoM oKIGIMAL' 6RPDR WILL BE 1mr-HES rJN1MVM CIEFT}N OF EXCAVATION r-AOM 0 I140JAL GRAPE WILL BC -,GSS_ INCHES j i LIGCAISC IJUMBCIi: DATE: _ . . T T o _ REM31, SOMERSET ST. 4 COUNTY MKING PAGE 1 05/12/92 12:56 REQUESTS FOR IOA fiORK SHEETS MR: 5/12/92 AREA: NJ Activity: A9200131 5/12/92 Type: CONVSEPT States: PENDING Constr: Address: SOMET 16,31.19.234,SW,SW,16,40TH ST. Parcel: 032-1046-50.000 Occ: Use: Description: 149266 Applicant: 010, MUZAN LORAN Phone: Omer: GOO, BRENDAN LORAM Phone: Contractor: O'CONBELt,, KIN A. Phone: Inspection Request Infornation..... Regeestor: RIM O'CONN$LL Phone: Reg Tine: 13:05 Conents: J.l5_ f • A%L Itess requested to be Inspected.,. Action Coments Tine Exp 00012 FINAL INSPECTION Inspection History..... Iten: 00012 FINAL INSPBCTION RFM131 SOME V ST. CROIX COUNTY $ONING PAGE 1 05/12/92 12:56 REQUESTS FOR INSPECTION WORK SNEETS FOR: 5/12/92 ARE?,: MJ t t t t INSPECTION REQUEST StNII ARY t t t t Address Tine Activity Type . SMET 16.31.19.234,SA,SN,16,40TN ST. 13:05 A9200131 COWSEPT Item 00012 FINAL INSPECTION