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HomeMy WebLinkAbout012-1064-50-000 n co O 3-u n d _1 o d f c o (D F CCD_ H v II, d A O Cl) ~ 2 N Z o G) r m o° 4 n y o m cn o• 00 CD ? 3 O Cr 3 j W N 1•~I Z fl. N N CD N d O O A 1 CD -0 0 CD O 7 W O o 3 • o tr 7 N j O U) U) D1 A C C a s CD N d 9 D CD cfl' o w D CD U' m s Z 3 0 co °o (D Q ~ I C) N) CD CD a O QO CD I (CD d N N co ca f o r cn rt n N co w N r " C7 S O 0 r! z ~i 41 00 C v a ~ o Wr ~~a a O' cn a to C") w Q N d H N p 0 v Ffi, A n (D H O O Cf -0 O N !V Can C=- C - (D J N H ,X1`41 (D r d z r o d v 1 0 D n= 0 00 Cf) 00 CD W CD S m m -P ~ H ' W m a c~ O W k j- r-h O (3D cn `~C 1 Z ~9 0 CL z F)* c~ o a rt ~J ca "a w C) F- H- ro n a 3 A z 'n P'' W Ul p^ O r; Cz " (D 0 o C~ f7 \ y (D ? < (D f f44~ A "O ? W O O CD c: N) w a 3 CD -Pt =o' ~x n v o T co CC) 3.~ L Z Ul Q f (D O CD m co 7 @ 07 N tai a 0 t U * A (D N A 3 CD A (D O O fi i v a N' 3 A a CD N S O 2 N can r CD o 33~N o CD 3 (D A b (D d0 ON O O A O a c) CD Parcel 012-1064-50-000 01/11/2007 04:58 PM PAGE 1 OF 1 Alt. Parcel 30.30.17.453 012 - 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 = Current Owner, C = Current Co-Owner O - SCHOTTLER FAMILY LTD PARTNERSHIP SCHOTTLER FAMILY LTD PARTNERSHIP 1374 CTY RD I SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es):\ * = Primary Type Dist # Description * 1359 160TH ST 6S f-' SC 3962 NEW RICHMOND ` SP 1700 / WITC (S l ~ `t~ ~~y'~/L,aQ- CM- SG"12~ S / a{-~-1 ~ ~ l ~ ~ y CjT `7 f ~ ~ ~✓~'~p~ o Legal Description: A s: 35.000 Plat: WA-IUQT_AVAILABLE U SEC 30 T30N R17W 35 AC NW NW FRL~ Block/Condo Bldg: -76 & ja,S crc Tract(s): (Sec-Twn Rng 40 1/4 160 1/4) 30-30N-17W _),U" Parcel History: Notes: Stc~°d e~° L I( C r Date Doc # Vol/Page Type 01/24/2006 817042 QC 04/21/1998 577684 1317/018 07/23/1997 959/60, 07/23/1997 850/489 2006 SUMMARY Bill Fair Market Value: Assessed with: 156193 Use Value Assessment Valuations: Last Changed: 06/15/2006 Description Class Acres Land % Improve \ i Total State Reason RESIDENTIAL G1 5.000 53,000 134,200 187,200 NO AGRICULTURAL G4 29.000 3,500 0 3,500 NO Ge UNDEVELOPED G5 1.000 100 100 NO 3Lf-~ Totals for 2006: General Property 35.000 56,600 134,200 190,800 Woodland 0.000 0 0 -~DC Totals for 2005: ~ lih~c-P~o/K General Property 35.000 56,500 134,200 190,700 Woodland 0.000 0 0 cs-, ~zz 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 I it Parcel 012-1062-90-000 01/11/2007 05:04 PM PAGE 1 OF 1 Alt. Parcel 29.30.17.438 012 - 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 = Current Owner, C = Current Co-Owner O - SCHOTTLER FAMILY LTD PARTNERSHIP SCHOTTLER FAMILY LTD PARTNERSHIP 1374 CTY RD I SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1361 160TH ST SC 3962 NEW RICHMOND SP 1700 WITC ~)359 Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 29 T30N R1 7W 40 AC SW NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 29-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 01/24/2006 817042 QC 04/21/1998 577683 1317/017 WD 04/21/1998 577682 1317/016 WD 04/21/1998 577679 1317/011 TI more... 2006 SUMMARY Bill M Fair Market Value: Assessed with: 156177 Use Value Assessment Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 29.000 5,700 0 5,700 NO 05 UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 10.000 58,000 56,900 514,900 NO Totals for 2006: General Property 40.000 63,800 456,900 520,700 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 63,600 456,900 520,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Char es Delinquent Charges Total 0.00 00 00 AS BULL'T SANITARY SYSTEM REPORT OWNER _ "OWNSHIP SEC ~T -R121J ADDRESS CROIX COUNTY, WISCONSIN. -7 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM FT- Ii di at N r h rrc w BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point:_ 49 Slope at site: At- SEPTIC TANK: Manufacturer:- adr~I_~r! Liquid Capacity: Y,2 0 C7 Number of rings on cover 0 Tank manhole cover elevation:1 ----'l'ank Inlet Elevation Tank Outlet Elevation. PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set for a cycle gallons; Total capacity of distribution lines _`--gallon: `size of pump _ head; gallon per minute-- ; horsepower ;brand name of pump and model number _ _ ; Type of warning device HOLDING TANK: Manufacturer----- Number of gallons Elevation of manhole cover- Type of warning device_ SEEPAGE PIT SIZE;- Number of pits feet diameter feet liquid depth _ seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BE SIZE: number of lines width- length Stile depth SEEPAGE TRENCH: width length PERCOLATION RATE AREA REQUIRED G UILT INSPL'C '0 i~ - DATED~ _ PLUMBe N J"OB j"Qf7 LI SE NUMBER DEPAHTMENT'OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS BOX & HUMAN RELATIONS P.O. PRIVATE SEWAGE SYSTEMS DIVISION BO MP,DISON, WI 53707 BUREAU OF PLUMBING ®CONVENTIONAL ❑ALTERNATIVE sate Plan l.D Number: ) E Holding Tank ❑ In-Ground Pressure ❑ Mound ('f assign ed NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE. Anson, Dennis RR, New Richmond, WI 8/" O 4) BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.. CST REF. PT. ELEV.. NW-1, NW4, Section 30, T30N-R17W, Town of Erin Prairie Name of Plumber. MP/MPRSW No. County. Sanitary Permit Number: Byron Bird 1309 St. Croix 38522 SEPTIC TANK/HOLDING TANK: MANUFACTURER. l LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCK' CO EER 4 1 / P OV ED-. 11011V ED: ~~t' l YES ❑ NO S O BEDDING: NT DI ` VENT ATL. HIGH WATE - ROA PR OP ERT WELL. KING: jVENT_rOF SIT L ( ALARM NUMBER OF L r FEET FROM ~Y~ ~ ~ LI" ^I AIR f E DYES V NO EY O NEAREST L' DOSING C AMBER: MANUFACTURER BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTU H W ING LABEL LOCKING COVER P IDED: PROVIDED. DYES ONO YES ONO DYES ONO PROP RTV W LL BUILDING I VENT TO FRESH GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. FEAR BFT (DIFFERENCE BETWEEN T LI bit AIR INLET PUMP ON AND OFF) DYES NO SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LEN Gr AMETE MATERIAL AND MAHKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH NO OF DISTR. PIPE SPACING COVE SIDDIA nPITS JLIQUID BED/TRENCH Traer+ES MATERAL lEr DEPTH DIMENSIONS ~f GRAVEL DEPTH FILL DEPT DISTR. PIPE DISTR. PIPE DISTR. PIPF. MATE I, NO. DISTR NUMBER OF PROPERTY WELL. IBUILDING. VENT TO FRESH BFLOW PIPES ABOVE COVER ELEV. INLET ELEV. E D<• PIPE LI E. y~ AI INLET FEET FR 24. 7C~ J 7 2 NEARESTO--► C`' (1 , MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for P OVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound system make certain that it N REVERSE SIDE. SHOW ELEVA- meets the cri is f medium sand. TIONS MEASURED. DYES NO f .40 SOIL COVER TEXTURE 1PIRMANENT MAR E S JOBSERVATION WELLS ❑Y DNO DYES ONO DEPTH OVER THENCH'BED DEPTH OVER TRENCH BED DEPTH OFT- SOIL. SODDED SEEDED JMULCHED CENTER EDGES OYES /N/ YES ONO EYES ONO PRESSURIZED DISTRIBUTION SYSTEM: o. OF LATERAL SPAC1 GRAVEL 7DEell'Nj FILL DEPTH ABOVE COVER. WIDTH. LENGTH. JTRENC.EF./ BED/TRENCH DIMENSIONS MANIFOLD PUMP MANIFO/D DISTR. PIPE M . NO. ISTR. JD:STRPIPE DISTRIBUTION PIPE MATEHIAL & MARKING ELEVELEVDIAELEV. PIPE DA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING' DRI,L LED CORRECTLY COVER MATER( L VERTICAL LIFT CORRESPONDS TO APPROVED PLANS NO EYES ONO DYES I COMMENTS: IPERMANENT RKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE YES ONO OYES 1:1 NO NEAREST Sketch System on county file for audit. Reverse Side. RE TITLE: DILHR SBD 6710 (R. 01/82) L DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: Property Location: City, Village or ownship: County: Iri/'/a'/aS.-s` ~T ^N/ R E (or ? Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) A v 14 VA it/ A TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. 4-11 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY `r ,~)e-I 4 HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): K Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signature: ` MP/MPRSW No.: Phone Number: At el f'u ber' Address: Name of Designer: ~I Y COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: DateAPPROVED Sanitary Permit Number: *2:- V~ ❑ DISAPPROVED Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) l~urw - 5 T C 100 Owner of Property Ed C. Lemke Location of Property NW NW4~ Section 30 ,130 N R 17 W Township Erin Prairie Mallitig Address 3177 Richmond, St. Paul, MN 55102 Subdivision Nawe Lot Nuwber Previous Owner of Property t/f~,aci✓ Total Size of Parcels 67 Date Parcel Was Created ~7.6,~,--- - Are all corners identifiable? Yes No luclude with this aIpplicatiOn one of tide Eul.luw_ liig: .Certified Survey Map . Deed .Laud Cuncract, or .Other Legal Docutuent which describes the property PHOPEHTY UWNEH CERTIFICATION (WO) certify that all statements on this torm are true to the best of rr►y (our) knowledge; that I (wu) am (a(e) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Hagistur of Deeds as Document No. -331989 ;and that I (we) presently own the proposed situ for the sewage disposal system (or I (we) have obtained an Basement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Rapistur of Duads, as Document No. _ t ~ - SIGNATURE OF WNER SIGNATURE OF CO-OWNER (IF APPLICABLE) r ` DATE SIQNE-, U UH7E SIGNED IN WS~CIIENTOF REPORT ON SOIL BORINGS AND & BUILDINGS NDUSTRY, F, DIVISION P.O. BOX 7969 LABOR ANQ PERCOLATION TESTS 11y 1 jay, 01, HUMAN RELATIONS 98~ M` SON, WI 53707 (H63.09(1) & Chapter 145.045) 44/1 LOCA ION: SECTION: r!N_SHIRIMUN19 PALITY: LOT NO.: O.: SUBDIVISIO ME: T,111111-7 E (A CO2UT / OW ER'S/BUYER'S NAME: MAILING ADDRESS: r i C "d 6 jc'1bt 9 t USE DATES ORS RVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE D SCRIPTIONS: PERCOL TION TESTS: Residence ~j/ A ❑ Neweplace 0 AN" &3 1 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RE OMMENDED SYSTEM:(optional) [.nrider Percolation Tests are NOT required DESIGN RAT ( If any portion of the tested area is in the s.H63.09(5)(b), indicate: ?W14 -1 Floodplain, indicate Floodplain elevation: AIA_ PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-ICES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- / 7,51 qll' -45' ~r .3° a Bay a` s-.© B- &T 1.3 L54 1,3 .1,7SA1,349 V._3 B- 7 T 97,/ 'e x4ws B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PERINCH P- 4112 C 3 P- m2 e a 6 3 P- P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scat or distances. Describe what are the hori- zontal and vertical elevation reference points ands ur ace a atio borings and the direction and percent of land slope. SYSTEM ELEVATION E E ~ - - - _ _ Pees d e ~ _ ~ ~ I A -4 'OT 'SC 4, € 00 4L _ ~tQP WbA 0 ~4r t I _P~ E , E ) fly, ~f A / ia.~ ~Ff y P I t t } m.--. . . _ .a I 7 E n F _ 3 .L _..._.k~_ 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 COMPL TED ON: Nl ' ( c ADDRESS: 1 CERTIFICATION NUM ER: PHONE NUMBER (optional): CST SI DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. - DILHR-SBD-6395 (R. 02/82) - OVER - To be a oompimp am! no U >T)I-;!e,i le goI d,~!sc ..a ;ca tI3E " i t; t ra i ~.a f ARE RULE D OUT SAW) ON 3 S€ Z=i WND'. 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