HomeMy WebLinkAbout022-1077-20-200
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Parcel 022-1077-20-200 05/07/2007 01:34
PAGE 1 OF 1
F 1
Alt. Parcel 27.28.18.430A-20 022 - 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
O - KREAR, L&B-TRUST %SUSAN SWENSON
L&B-TRUST %SUSAN SWENSON KREAR
N8302 770TH ST
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description ` CTY RD
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 6.950 Plat: 2981-CSM 11/2981
SEC 27 T28N R18W PT NW SE BEING LOT 2 Block/Condo Bldg: LOT 2
CSM 11/2981 EXC AS DESC 1717/580
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
27-28N-18W NW SE
Notes: Parcel History:
Date Doc # Vol/Page Type
09/12/2001 656431 1717/580 TD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 6.950 90,000 116,500 206,500 NO
Totals for 2007:
General Property 6.950 90,000 116,500 206,500
Woodland 0.000 0 0
Totals for 2006:
General Property 6.950 90,000 116,500 206,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 216
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I
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REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM
Santitany Petm~_
Sate. Sep L e-d2 __4t
NAME _-Town.6hip * St. CAVtix County
Lac tivnSec~~onc;~7Lot ~ SSEPTIC TANK
Size- ~~~c_~ gaUo nts Numb etc. o4 eo mpaAZmentts
Di/stance AAom: WeU Butieding 1.2 0 5 dope
HighwateA
PUMPING CHAMBER
i'
Size jgatq~s Pump ManuAaetutc.et Mode NumbeA
HOLDING TANK v
Size gaff-ins Number oA CompaAtment
PumpeA A.Eahm System
Dl.stan ee AAom: We 2Building 126 5~ope j
Highwatvt
ABSORPTION SITE
Bed - TAeneh
s II
Di,stanee AAom: Wetf Building j 12% s fope
HighwateA
ABSORPTION SITE DIMENSIONS
Width o4 ttcench At RequtiAed atcea `r At
~f
Length v { each tine At Depth. o4 Ao ck b e.Eow tite i n
Numb etc o o U-ne/s Depth o6 Aock o vet tite n
To,tak Qength o6 tines At Depth o6 tite b eZow gtade_ in
Distance. be.tween tine's C.i At Stope_ oA tlLeneh gin. ,,.p~a~ 00 At
Tota.- ablsoAption area C. At Type oA Cove-A: apeA o f~,tAaw
PIT DIMENSIONS
~5 yeb na
ound pi
Numb et vA pi.ts_ G1~t
Oustide. dtiamexeA A `D~etvw tintet At
Tvat abt~otpton aAea At
1
AAea AequiAed At
INSP€CTrD TITLE
APPROVED DATE 198°
REJECTED DATE 198
REASON FOR REJECTION
REPORT ON INSPECTION OF SANITARY PERMIT #
(1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection
Time of Inspection
ame, Aaa s, i ense No. o ns a ing Plumber
3 I TALLATION CONSISTS OF: ❑ Septic Tank) ❑ Seepage Trench ❑ Dosing Chamber
❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System
BEN ermanent re erence oin Describe:
Elevation of vertical reference point: Slope at site:
(5)MATERIAL AND DEPTH OF SEWER:
(6)SEPTIC TANK: Manufacturer: Liquid Capacity:
Tank Inlet Elevation: Tank Outlet Elev:
# ft to lot or property line: # ft to well:
M DOSING TANK: Manufacturer: # of gallons:
# of gallon pump set for a cycle gallons; total capactiy of distribution
lines gallon; size of pump head; gallon per minute ;
horsepower ; brand name of pump and model number
Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO
8 HOLDING TANK: Manufacturer o gallons
construction ; depth to the cover ft; If septic tank is
being used are baffles removed? ❑ YES ❑ NO; ft from residence;
ft from well; ft from property line. Type of warning device
Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ NO;
Locking device on cover? ❑ YES ❑ N0; Diameter of vent and material ;
Distance from building to vent
(9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth;
ft to residence; ft to well; ft to property line;
ft to ordinary high water mark of lake or stream; ft to edge of slopes
greater than seepage pit inlet pipe-elevation ft; bottom of
seepage pit elevation ft.
(10) SEEPAGE BED SIZE: ft width; ft length; tile depth;
lineal feet tile; ft to residence; ft to well; ft to lot or
property line; ft to ordinary high water mark of lake or stream; ft to edge
of slopes greater than 20% falling away toward lakes, water courses or drainage ditches
Elevation of tank discharge line entering bed ft.
11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft;
tile depth ft; ft to well; ft to ordinary high water mark of
lake or stream; ft to edge of slopes greater than 20% falling away toward lakes,
water courses or drainage ditches; elevation of tank discharge line entering seepage
trench ft.
(12) Has system been installed in area indicated on EH 115? ❑YES ❑ NO
(13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO
DILHR-SBD-6095 N.05/80
Signature of Inspector:
E 1 iw 115 Rev. 9178
REPORT ON SOIL BORINGS ANQ,PEA---' Cg TESTS
SOMA ERVICES
WISCONSIN DEPARTMENT OF HE,4?NAND \
P.O. BOX 309, MADISQ6, (ISCON~* 537C4.,
LOCATION:^~J'~'4/4v~ Y4, Section~,T4D~N,R~!E (or W Tbinrnsh" y
Lot No. , Block No.u
Subdivision Mme. ~ti
Owner's/Buyers Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence ✓ No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS - C7 PERCOLATION TESTS - /6, - e 0
SOIL MAP SHEET c' NAME OF SOIL MAP UNITS -r Gv.~~,•
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 BOLE AFTER INTERVAL MIS./IN
'
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
AW:
P-
P- 2r-
P-
p_
P- ~r
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK
OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B
B- ZZ C-)
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 neeided for building type and occupancy Indicate scale or distances.
Give horizontal and vertical reference points. Indicate s'tope.~
a.~... _ -'/1 f~.t/r..~~ . _ ~a/~~~J .0 .c[ f:.r'G7~". /cam/ % .
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I, the undersigend, 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) y Certification No.
Address / 2/ f:./ / r
Name of installer if known ~~/~~G'✓C1~~~~ f~
Copy A -Local Authority CS7gnature
'EH_ .115 Rev. 9178
_ REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION✓~ 1/4, '/4, Section- % ,TIEL~N,R L-E (or W ownship r Municipality
Lot No. , Block No. County
Subdivision Name
Owner's/Buyers Name:
-~~d
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW L~ REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS - ~n
SOIL MAP SHEET NAME OF SOIL MAP UNIT-
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER iN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- SINCE HOLE BOLE AFTE INTERVAL RATE
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
P-
P-
P-
P-
P-
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B-
B-
B-
B-
B-
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 _ .Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
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E, the undersigend, 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) -_-~k ' Certification No.~
Address KD x' ~ Z /v G-" 2 c'r G -C ~ j.
Name of installer if known
Copy A -Local Authority C \nature
State and County State Permit #
PLB'67 County Permit #
y.. Permit Application
~
Count
' Y
for Private Domestic Sewage Systems
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
A A ~.E1C 1 ; of 56 S11e,2 3
B. LOCATION: 1/4Z~e 1/4, Section o22Z, TZ.~ N, R_ZZ E (or) M Lot# City
Subdivision Name, nearest road, lake or landmark Blk#_ Village
Township &~di~j~
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _k-"" Duplex No. of Bedrooms 3 No. of Persons
D. SEPTIC TANK CAPACITY ~,OZ>o Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation ✓ Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate _Z1 Total Absorb Area 6/67 sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Len ith Width Depth Tile depth (top) No. of Lines
Seepage Pit: InsiclMam~te- rT- Liquid Dep h No. of Seepage Pits
Percent slope of land i Distance from critical slope
WATER SUPPLY: Private le-Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 , 17-7C.S.T. # ~S- Z51id3 and other information
obtained from ne uilder).
Plumber's Signature PfdF~ # Phone # Zti 91ZZ
Plumber's Address /
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors
property. If well has not been drilled please indicate.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application jl' Fees Paid: State.;'. `=a County Date,
Permit Issued/Rejected (date) - /`ts6 Issuing Agent Name ef C t-
Inspection Yes ,~Y_No State 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 7/1/78
Plb.,t-A' WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES
Division of Health
Section of Plumbing & Fire Protection Systems
ON-SITE WASTE DISPOSAL INSPECTION REPORT
Name of Premises
Street City County
Master Plumber Address
Owner Address
❑ County Permits ❑ Appropriate State Permits
Type of Building: ❑ Public ❑ Single Family or Duplex
CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM
❑ Building Sewer ❑ Conventional Soil Absorption System
❑ Septic Tank ❑ Conventional System-in-fill
❑ Holding Tank ❑ Alternate Mound System
❑ Seepage Bed ❑ Holding Tank
❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System
BRIEF, FACTUAL COMMENTS AND SKETCH:
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❑SEE ATTACHED
DISCUSSED WITH PLUMBER ( ) Yes ( ► No SIGNATURE (Voluntary)
DATE OF INSPECTION
Signature of Inspector
White - Inspector Yellow - Local Inspector Pink - Plumber or Responsible Party
Parcel 022-1077-60-000 04/19/2007 04:46 PM
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
O - LINN, FRANK C & MEGAN M
FRANK C & MEGAN M LINN
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 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:
Date Doc # Vol/Page Type
10/18/2005 809612 2910/391 WD
07/23/1997 998/556 QC
07/23/1997 918/107
07/23/1997 917/363 Jr 3 ' 6,3 more...
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.110 50,000 178,100 228,100 NO
Totals for 2007:
General Property 3.110 50,000 178,100 228,100
Woodland 0.000 0 0
Totals for 2006:
General Property 3.110 50,000 178,100 228,100
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