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HomeMy WebLinkAbout038-1095-60-100 a o m oo ~ 00 ~ ~ I CIO ti cY o w ~ c I °o I N O y a I C 'cl i ~ I h w o c Z LL C O I Q I i M Z _oc) Y O 0 Z y i IL m N F- C4 f= O ~ C C7 co O Z 7 0 G) Z tt O C O fA P r Z C E -2 0 ch N Q) m C N N N N • (i = p o N Q 0 Z co z 'o N Z cMO aCi ~ N E C N m ` d > LO N d N O _ o o a z c) ~ o 3 3 IL z ° a a a a L U ~ E N oc) W 0 (n }y Cl) J U m Q) V Z ~ ~ ~ I I N N _ O E Q O O '0 m c d 1 t5 -6 b-4 0 _ Q > cn 6 N O N 7 r ~j O o 0 3 ~4 o~i c ►~l ° o o E r\ c°o c, E a) U n2. cu C) -0 42 Cn 2 .F 'mD Z d O CV FBI ob M a r 0oo 0) ~ *6 7 E C s R • O N CR• C/) r- N Z O S FO- CO O ~ r .r V ~ ~d 41 10 d L: 4) sr a a r • m a m .2 m `Iv W E c rw 0 '0 t A U a O N 0 St. Croix STEVEN P & STEPHANIE K LANGER Municipality: TOWN OF STAR PRAIRIE 1212 200TH AVE Permit Number: 7308 NEW RICHMOND WI 54017 Parcel Number: 038109560100 Alt Parcel Number: 23.31.18.399C-10 Site Address: 1212 200TH AVE Components Component Manufacturer Description Last Next Status Schedule Service Service Conventional Bed - Seepage Bed- Seepage 07/31/2014 07/31/2017 Current 36 Drainfield Septic Tank Septic Tank 07/31/2014 07/31/2017 Current 36 Maintenance History Service Date Maintenance Name Gallons Pum end 10/29/2007 Not Available 0 05/12/2011 Not Available 0 07/31/2014 Power's Liquid Waste Management 0 "No data found for Notices, Violations, Notes I Parcel 038-1095-60-100 11/30/2006 01:47 PM PAGE 1 OF 1 Alt. Parcel 23.31.18.399C-10 038 - TOWN OF STAR PRAIRIE Current XI 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 P & STEPHANIE K LANGER O - LANGER, STEVEN P & STEPHANIE K 1212 200TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1212 200TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.390 Plat: 4263-CSM 16/4263 SEC 23 T31N R1 8W SW SW FORMERLY LOT 2 Block/Condo Bldg: LOT 3 CSM 2/517 NKA LOT 3 CSM 16/4263 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 23-31N-18W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 12/01/2003 747912 2465/344 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.390 34,000 181,900 215,900 NO Totals for 2006: General Property 2.390 34,000 181,900 215,900 Woodland 0.000 0 0 Totals for 2005: General Property 2.390 34,000 181,900 215,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 'ER , - TOt~TNSHI~ - SECt? T~N~ R 1. ADBRES,S• ST. CROIX CO TY, WISCONSIN. 3DIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 'IC TANK(S) r MFGR. CONCRETE I STEEL NO. of rings on cover Depth DRY WELL ICHES NO. of width length area no. of lines D width_~ length area dept to top of pipe .EGATE ' - TE - c AREA REQUIRED-( / { AREA AS BUILT- laimer: The inspection of this system by St. Croix County does not imply complete / liance with State Administrative Codes. There are other areas that it is not possible nspect at this point of construction. St. Croix County assumes no liability for em operation. However, if failure is noted the County will make every effort to rmine cause of failure. SES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. , "INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER Sr <f , z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itatcy Penmit -",20 State Septic NAME t-~ Town.b hip &Z, ~e ~/St. CAoix County Location56)44 0 ~o0a4, SectionV3 T-31 N, R YAW SEPTIC TANK Size gattonz. Numbe& 96 Compatctmentz Diztanee Fnom: Wett it. 12% an greaten ztope it Bu.iZd,ing . j it. W ettandz it. Highwaten _ it. DISPOSAL SYSTEM D.iztanee Fn.om: Wett it. 12% on greaten ztope it. / Bu.iZd.ing `-Cf it. Wettands Ft. H ighwaten it. FIELD DIMENSIONS: Width aj neneh it. Depth of rock below tite Z in. Length of each tine it. Depth o6 rock oven t.ite 2 in. Number, of tines Depth o6 t.iZe below grade .in. Total Zength as tinez it. Stope of trench in peh 100 it. Di,s tance between tines it. Depth to b edna ck Totat absonbt,ion anea~6t2 Depth to gtoundwaten it. Requ.ined atcea it2 PIT DIMENSIONS: Number o6 p.itz Gnavet anaund p.it,6 ye.a no Outside d.iam en it. Depth below inlet it. Totat ab.s an t area st2 • z ~t2 Area &,e `%n`jed R, lllq,u INSPECTED BY TITLE APPROVED _T~` , DATE Z 197 REJECTED DATE 197 cry, Y ~ ~ EH-1 15 1e 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: Section2d, T-JN, R ~,'L E (or)~Township or Municipality `Q- Lot No. , Block No. County S 7-. Subdivision Name Owner's Name: Mailing Address: S TYPE, Of OCCUPANCY: Residence -Z~ N of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS S 7 PERCOLATION TESTS 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 MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P-1 I Z~ 6c) -A 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) 1 _ 2- C~ R- 1 9LI ~ S.' _ z c} S, c_ 2- 0 16 5 CZW/ ;2 e) See zo - 96 PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet o suitabl areas. Indicate number of square feet of absorption area needed for building type and occupancy. t / 5 Y! , Indicate scale 1 or distances. Give horizontal and vertical reference points. Indicate slope. c) 01 411 kill f t 1 t 1 i PLB67 State and County Sate Permit # ~C 4 Permit Application County Perm' =20 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: 1 B. LOCATION: 5 /4 i Section -Zd, T3_1_N, RJ E (or) Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: 'Commercial - *Industrial 'Other (specify) *Variance Single family- Duplex No. of Bedrooms -No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder- YE -NO # of Bathrooms Automatic Washer A- YES NO Other (specify) E. SEPTIC TANK CAPACITY ~CO-Total gallons No. of tanks,!!. *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement- Prefab Concrete- *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area l sq. ft. NewX Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width ' Depth Tile Depth No. of Trenches Seepage Bed: Length' Width I -L,_ Depth Tile Depth ' Z 11 No. of Lines 2- Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 5: `7[? -5 Distance from critical slope?-6 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 Testg~ NAME C 14L V in lljJJe CA- C.S.T. # < S' S'31 and other information obtained from own der). Plumber's Signature J. w PRSW l S~~ _3 Phone Plumber's Address PLAN VIEW: Provide sketch below f system (include direction of slope and all distances in accord with H62.20, including well). U I,J `//!v a I Plb 1 WISCONSIN DEPARTMENT OF HEALTH Sc SOCIAL SERVICES - Division of Health Section of Plumbing & Fire Protection Systems INSPECTION REPORT Name of Premises r 4 T3 tj R., Street City Cou t Master Plumber t, Address Op- w ~C ;c ~t myy, yc%{ S Journeyman Plumber Address Owner S a { ~ a r Address fOe W + c O. .LIST PARAGRAPH VIOLATED. CHECK BOX LOCATED IN FRONT OF W.A.C.' VIOLATED. )H62.01 ( )H62.09 ( )H62.17 )H62.02 ( )H62.10 ( )H62.18 INSPECTION CHECK APPROPRIATE BOX ( )H62.03 ( )H62.11 ( )H62.19 ( ) BUILDING SEWER ( ).WATER DISTRIBUTION (<SEWAGi DISPOSA , G )H62.04 ( )H62.12 (-)H62.20 ( ) WATER SERVICE ( ) DRAIN WASTE & VENT ( )H62.05 ( )H62.13.( )H62.21 ( ) BUILDING DRAIN ( ) FIXTURES, FINISH INSPECTION' ( )H62.06)H62.14 ( )H62.22 Approximate number of fixtures )H62.07 ( )H62.15 ( )H62.23 k?e,u1 ( )H62.08 ( )H62.16 ( )H62.24 TYPE OF BLDG. (PRIVATE O PUBLIC OCCUPANCY 3 ZR V+vrAt. BRIEF, FACTUAL COMMENTS: _➢✓N'+.A,/r^.~....~... ;x.Q,3._I.A.~--~..,._ JVp+ J'~.j L.,G.,.(fv~t,. w.R,~Qr t.. C..G"a"v'`~"-~c-.a.cx/'►~/"S%,.;t 11 -~x ( ) SZE ATTACHED DISCUSSED WITH PLUMBER ( Yes O No SIGNATURE (Voluntary) DATE OF INSPECTION SIGNATURE OF R