HomeMy WebLinkAbout022-1077-60-000
Q e 3 0
ti? ti p v~
d
cw o
e
h
o •-NC-O
co (D
N (j)S]
N O c cM0 cr- Q O L X
O V N r
'O N
N a 0-0C
. C C0
.0y
N
4l N .U N OO
O N >
N a CD '
9 O O d QI
Z N O
C - - O
LL U)
7 C O- -
O ~
3 Ncu°)E
C
Q O O
N
o = O
Z N m °0~ m
am
r- CN N H Z
C 0
O Z d
V o N
N Z ~ 'I c
0 N
N cn
~j N N
N ICI
N ~
N (D
•
U) t
a ~ o
z° co z
'7V E
W
C) N
v 0 0 a a D>
Z > Lr) H H o
►i 00 O
•►v N a a a
a
a g LL ° 00 N
o cn
to J U j 0) ~ (D
f~ M
m I- O Y- O a C) C)
~i N
a - O C) 0
N O
ED v c o rn
w N N 21 2
U Q (n co
O ° m
c
~j O o 3 N c
~l °o o Fes (1) - ~ o (.0 _ o c_o
O C) -.4- ~j O (D 4) cf,
C V 0- O O O
C Z' ao O_ co c co N = a) r- cal m
o rn
r/ 4. o _2 v Z m 75
C 06 .U U) N N
• o N Y Y r Z N 2 FO- cn
[ l ee `
a
ac )
• eC O 7aj U L: CL
d 0 c
r A u(L Oinci
A S B U I L T S A N I T A R Y R / E P O R T
OWNER: Township I a ►r i C , Sec.)%._ 0 N. RWW.
P.O. ADDRESS: County, Wisconsin
Subdivision Lot , Lot size
PLAN =I
Distances & dimensions to meet requirements of Sec. N62.20
A
i ,
i
~kfl
0
Septic tank(s)~lfgr.AJo ringsDept to cover__1
ate Covered with
Type of An
~gre g
Dry well size
Depth of seepage system G~ Vent caps in place ` number used /
DISCI.AI.E.R: The inspection of this system by Pierce County does not imply complete
co,x)liance rrith State Administrative Codes. There are other areas that it is impossible
to inspect a-;; this point of construction. Pierce County assumes no liability for system
operation.
PLUMBER ON JOB :
DATED : a' LICFZVSE TIMER:
r
r REPORT OF ITTSPECTIO t--I 1DIJIllUAL SET]AC,E llISP ~
OPAL SY.~ _TF,Ii
r Sailitary Permit
y State Septic
".A: IE~?
T&MISHIP
t. Croi;z County
Si.PTIC TA'?T:
Size gallons.
'umber of Compartments
Distance Frori: *.7ell
ft. 12% or greater slope ft.
Building ft.
Wetlands f:
I'Lighwater ---.____.ft.
' DISPOSAL SYSTE:1 _Tile Field or
Seepatrge Pit(s)
Distance From: hell ft.
12%.or greater slope ft
Building -_______`ft. Wetlands
~ f:.
FIP,Ln Highwater ft ,
Total length of lines
ft. Humber of. lines Length of
each line ---Ft. Distance between lines ft. Width of the
trench `ft. Total absorption area
sq. ft. Depth
of rock below the in. Dp-pth of rock over file
in. Cover
raver .rock,, Depth of file below grade
in. Slope of
trench in per 100 ft. Depth t,o Bedrock
. ft. Depth to
..'round water ft.
PITS '
Number of pits Outside diameter
ft. Depth below inlet
ft. Gravel around pit: ___yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
wquare feet of seepage nit area required
Inspected by: Title':.
Approved
Date 197 .
Rejected Date ~
197 .
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
LOCATION: NW'/,, t: Section ~ , T?cN, RH?-7 E- ;94W, Township OP Mt11!i1ipdIiLr/ ~I►.iNiL. L_ liiti ~L _
Lot No. , Block No. QCIQk County -f~ Ik+
Owner's Name: 1-• A Al u 1 Subdivision Name ~ ~ ~
Mailing Address: lfC 4 ?"1r Z lU~?~ i5 / i Sc~~,> LZ
TYPE OF OCCUPANCY: Residence )r- No. of Bedrooms Z Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS- PERCOLATION TESTS
SOI L MAP SHEET SOIL TYPE "`Ei<r.4 iw~~ Ssat~ t~Y (~vl~vl.1
_ PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL RATE
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
.~t: 0 L ly--~~ . ID 4 Tt!T -0 L i k; 0 c, 'rtz-0. 4e, ~
0 Pe ~ a
4- Nnl (m ~ t'+ 1 #Il) 1.112
t~ So ?c(2cOLA-fI d ?_A-L C 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)
B_ 1 '7Z" NC NV `7 ' Z" 7,S. LN I L- sw` 1 f s I i.~`' t wl%.dt sA jL-
Z / Z a NL' A L '7 Z
B- '31 •7-7:' NO+Jc 7-~ . .T S. i Z"L
z~.
B_ 5 ea PC 60 C, 7 -7v" s (0"
`7 L o~
" Jti .rte ~7i. S. •45, 47" CS )e°'
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet,of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. I~ a~ 'r- rv 3cr 5Q , F; Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. `pt ~ z Z 4~ 5 ` "r
k - ~ a I
i II ~ ~ ~V I ~ I ~ I
_ i
i~~ tt yy!
I
J )
d-
I
# -'A
f f I 1 { I f I~ ~ ; t i j f ~ I I i I € f ~ ~ f
,a ~ I I f l4 e,, rt .
i
5 i
I f i 3 I
I i C=
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 location of test holes are correct
to the best of my knowledge and belief.
Name (print) AN''1'M L • u P-P.4; Certification No.__ 55 -52-1
Address 1 003 . IAA--LaL_ . 12lVEl~ IC -S, S 540 LIL
Name of installer if known
'Ngax~v
els l%, 1 4, 7 FTLI- N CST Signature
PLB67 State and County State Permit #
Permit Application County Permit
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. LOCATION: may, '/4 Section / Tom'. N, R E- W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
-f Township:
TYPE OF OCCUPANCY: 'Commercial 'Industrial 'Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES I- ENO Food Waste Grinder YES NO # of Bathrooms_
Automatic Washer r- YES NO Other (specify)
E. SEPTIC TANK CAPACITY 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)M 4 2)' 3) ? Total Absorb Area s q. New Addition Replacement- q'
'Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length ? Width Z Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size i~
Percent slope of land 5 " s
w. 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 $oil Tester,
NAME C.S.T. # and other information
obtained from (ownerfbcrier).
Plumber's Signature - = ,
MP/j fffsw# Phone # X.' /
Plumber's Address r
PLAN VIEW: Provide sketch below of system (include direction of slope an all distances in accord with
H62.20, including well).
3
,
e_
r II ~ ~
Icon
1
,
1
t~
vill
'S F/
~
Do Not Write in Space Below - ' FpR DEPARTMENT USE ONLY
Date of Application .1 5/ Fees Paid: State %O, 00 Count
Y Date
Permit Issued/Rejected (date)/ Issuing Agent Name
Inspection Yes_,X 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. plumber (canary copy)
Revised Date 6/1 /76
Parcel 022-1077-60-000 02/08/2006 08:36 AM
PAGE 1 OF 1
Alt. Parcel 27.28.18.P430E 022 - TOWN OF KINNICKINNIC
Current X 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
FRANK C & MEGAN M LINN O - LINN, FRANK C & MEGAN M
150 CTY RD JJ
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 150 CTY RD JJ
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 3.110 Plat: N/A-NOT AVAILABLE
SEC 27 T28N R18W 3.11 AC IN N 1/2 SE 1/4 Block/Condo Bldg:
LOT 1 OF CSM 4/ 961 ALSO BEG. SE COR LOT
1 CSM 4/961 TH S88DEG E442.29' TH N5DEG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
E 208.70' TH N88DEG W 443.29' TO NE COR 27-28N-18W
LOT 1 TH S5DEG W 208.70'663/167
Notes: Parcel History:
N n
Date Doc # Vol/Page t ~o Type
vl
'IT 10/18/2005 809612 2910/391 1~► Q WD 0023/1997 998/556 QC
07/23/1997 918/107
07/23/1997 917/363
more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
143808 225,600 JJ
Valuations: Last Chan ed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.110 50,000 178,100 228,100 NO
Totals for 2005:
General Property 3.110 50,000 178,100 228,100
Woodland 0.000 0 0
Totals for 2004:
General Property 3.110 25,000 138,700 163,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 218
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00