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Home My WebLink About012-2001-90-001 f1 r 0 (1) O g -0 C 6c r ~ ~ d tC r V _ o o v v' '4 C) O N EL Q A r CO CO W V r,L fl1 G .t O V T' CD o 3 W G V V CA C) r 1 3 m to tn I,y at r co _ C A s~~ - n 1 a y Z'' - h O7 v N 3 O L W Z CD V n r rn On Cr 3 Ca W^* ft m T 01 • 0 0 0 0 "Ift 77 C `z ? .v ni - o ar = Vl N N A 5. No T 0 0 r I 3 m • • vi V v 'ter L 'N ° Z co Z C .~r %Vft R m L~ a Cf) c p Z CD - c: A 2 O G7 Z r• W v rr t9 _ z Z p 3 t' 77 o Z rr• V N Z 2 CD A O ~ T C7 co :3 ic- W z W ~ TI N oD Ica 0 3 is n cS m rn N `i 1 C 'D n n v a t~ C? O O Z `1 3 1 v7 'l'am O :J 7 ~ 'Parcel 012-2001-90-001 02 23+2"'6 09 51 AM PAGE 1 OF 1 Alt. Parcel 04.30.17.568A 012 -TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Cu-rent Owner, C = Current Co-Owner MICHAEL L STODDARD O - STODDARD, MICHAEL L 1784 1761 H ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1784 176TH ST SC 3962 NEW RICHMOND SP 8C20 UPPER WILLOI,ti' REHAB DIST SIP 1700 b`dl l C Legal Description: Acres: 1.290 Plat: NiA-NOT AVAILABLE SEC 4 T30N R1 7W LOT 23 EXC E 6 FT & LOT Block/Condo Bldg: 24 BLK 75 LOTS 1, 2, 3. 4, EXC E 6 FT OF EACH IN BLK 76 ALSO LOTS 35, 36. 37,& 38 Tract(s): (Sec-Twn-Rng 40 1/4 160 114) IN BLK 76 VIL JEWETT RAILLS (ADDITIONAL 04-3CN-17W HISTORY 724125) Notes: Parcel History: Date Doc # Vol/Page Type 07x24!2002 684930 1933153 WD 07123!1997 1189170 VVD 07123!1997 1010/590 WD 07x23,'1997 821!16 more. 2005 SUMMARY Bill Fair Market Value: Assessed with: 105273 173,000 Valuations: Last Changed: 11i0712005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G" 1.290 19,400 159,500 178.900 NO Totals for 2005: General Property 1.290 19,400 159,5C0 178,930 Woodland 0.000 0 0 Totals for 2004: General Property 1.290 15,300 122,300 137,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 145 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 &00 • AS BUILT SANITARY SYSTEM REPORT ";ER_ TOWNSHIP, , h SEC. T. N, R W .C. ADDRESS.' ST. CROIX COUNTY WISCONSIN. , 3DIVISION LOT LOT SIZE-,' PLAN VIEW Distances 5 dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 7Y •7 :'TIC TANK (S) / MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL :4CHES NO. of width length area no. of lines width length G area depth to top of pipe ~REGATE S RATE AREA P.EQUIRED E AREA AS BUILT 7,2 e ,ciaimer: The inspection of this system by St. Croix County does not imply complete .aliance 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 .tern 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 SYST 'INSPECTOR CL DATED PLU*iBER ON JOB LICENSE NUMBER i 1 RFPoP,T OF I11SPrCTIOSI:T)AGE 1)zSPO ;,~j, ;YST1,ii Sanitary Permit / r.. State Septic 'A! Ic TOWNSHIP • t. Groi;.: County S; ,DTT C TA'?K Size /fJ I gallons. umber or J. Compartment s , Distance From: T•Jell ft, 12% or greater slope ft. Building ft. Wetlands f± 111 191Iwater ft. DISPOSAL SYST7:11 Tile Field or Seepage Pit(s) Distance From: Uell ft, 12% or greater slope ft Duildi.np, ft, Wetlands f ; FIELD i.ighwate r _f t. Total length of lines ft. Number of lines Length of each line --.Ft. Distance between lines it. Width of the trench `ft, Total absorption area sq. ft. Dept", of rock beloi., rile in. Depth of rock over the in. Cover aver .xock , Depth of tile below Ura.de in, Slop,- of trench in ner 100 ft. Depth to Bedrock ft, Depth to Around water £t. PITS 'lumbe'r of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: ___yes no, Total absorption area sq. ft. Square feet of seepage trench botto..1 area required :square feet of seepap.e nit area required Inspected hy: f . Title ~ . • Approved Date 197 Rejected , Date 197`. State and County State Permit* PLB67 Permit Application County Per i 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: B. LOCATIO : A Y. Section -y , T-?,o N. R ZOE (or) (~D Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Town,sf i _ 'Li Y) `iZt,Z C- C. TYPE OF OCCUPANCY: "Commercial 'Industrial `Other (specify) C7}, e 'Variance Single family v Duplex No. of Bedrooms No. of Persons / D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder - YES_4-,NO # of Bathrooms_t~ Automatic Washer AYES NO Other (specify) E. SEPTIC TANK CAPACITY %UJ.:) -Total gallons No. of tanks / "Holding tank capacity Total gallons No. of tanks_ New Installation ,r Addition Replacement. Prefab Concrete tr "Poured in Place Steel _ Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) -2 3) --~?Total Absorb, Area v~SUG' sq. ft. New Addition Replacement "Fill System /S/Ly~~~ Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Length 31 " Width Depth " Tile Depth No. of Lines - --T - Seepage Pit: Inside diameter Liquid Depth _ Tile Size Percent slope of land L• c? / 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 Certified Soil Tester, NAME Gt" C.S.T. # S~ and other information obtained from ye7 z57 k (gw nerrbuilder). Plumber's Signature MP/{pSyy~# Phone $r Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 0 . 3 .r' 4~ - ` Olt, 't O b I m ~ G sys/~•n I~, T j tiI del u N Un y Al Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paiq: State County, Date ~l n / Permit Issued/Rejected (date) Issuing Agent Name rJG t C'~- L~~e 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. p!umher (canary copy) Revised Date 6/1/76 EH 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 LOCH-1 ION: kyd, section T3C-N, R 11 E (or)QTownship or MunicipalitZ)f.& mt 5 rt qt - Lot No.c4-i-, Block No. County ni Owner's Name: S bdivision Name Mailing Address: 1 0 1 IZC TYPE OF OCCUPANCY: ResidenceNo. of Bedrooms_ Other ^ EFFLUENT DISPOSAL SYSTEM: NEW --ADDITIONREPLACEMENT DATES OBSERVATIONS MADE: ~~yySOIL BORINGS l 1__ 1b PERCOLATION ESTS Q_~ SOIL MAP SHEET d SOIL TYPE l ~z*~~ _ +E- PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, !NC:HES ~IUM- FSINC INCHES THICKNESS IN INCHES ST WETTED SWELLING IN MINUTES E HOLE HOLE AFTER INTERVAL ~T` ~ PERIOD 1 PERIOD 2 PERIOD 3 MIN,'! ieNo E P~ _ 10 ~1. 3~X 3 ~p a rj it ~I t, It I, It ►t 11 II I r oC - - 113 Y 3_/r 3 3 `3 it It I, I It tl ll W II , - - 3,Is 3' 3 SOIL BORING TESTS TEST TOTA DEP H DEPTH TO GROUNDWATER, INCHES ! CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST IDEPTH TO BEDROCK IF OBSERVED) rt I , r, a I`o 7 "TCP 6- of I I I} 11 I I If Ir r_ a C~c>,.; L- I I , ~ f I 3,1 S~ u el I~ "!.AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) icate on the plan the location and square fe`gt5tuitahle areas. Indicate umber pf square fjeet f absorption area nf:eded for building type and occupancy. ( r, L ' - ( -Indicate scale or distances. Give horizontal and vertical reference points. Indicates pe. -t- - il~CAV if, - I _ _ Irl _ T - - a i }e 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 last holes an curre,Ut to the best of my knowledge and belief. Name (print) t4 y ' ( Certification No. Address tj C_ f " Name of installer if known AX' T A H G : C 1 t1C f CST Signature A LCCAL t.' ! . ' EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 /r REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION:4,4 'I., Section `L, TAN, R _11 E (or) ffl Township or Municipality Je-11 -T? /i> L-)41i: Lot No. Block No. ) County ST. C ^11 . yc cbdivision Name Owner's Name: "ILA. hAr Mailing Address: ~~~~lrfZSf r1 TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT` ~ DATES OBSERVATIONS MADE:: SOIL BORINGS-._L~-Q-_1 9 ~ P-ERICO/LATION TEST SOIL NIAP HFET - / 501LTYPE PERCOLATION TESTS TEST D)-PIH CHARACTER UF-SOIL HOURS WATER IN TESTTIME DROP IN WATER LE'JEL, INCHES SINCE HOLE HOLE AFTER INTERVAL i RATE rdu~,9- INCHES THICKNESS IN INCHES PER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MINdN IP P_ P C~ SOIL BORING TESTS T tSl TOTAL DEPT DE TH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) q (D_ -7C CR j rcj►_rc (r SG r, z_ 11 ►I .1 k I - - - - 7 TM 1 [1 a 3j S 1 r-r ik i eft J I ~C nu _AN VIEW (Locate percolationtests,soil bore holes and suitable soil areas.) ridicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption ir,eded for building type and occupancy. _ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I I ~ I _ j , f i 41 - -I I I J i i I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedu cs and methods specified in the Wisconsin Ar_irninistrauv° C nde, ~:nJ that th rlat~ ~~:~.~,decl a~d uc:?iu LEs` "(le.,; a1E- r;rrr;a to the best of my knowledge and belief. Name (print) X22% e' CeI tifiC<,t on No. Address /s oA c• v 4 f Name of installer if known _f • c,, CST Si9naturp CC U -