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HomeMy WebLinkAbout036-1091-90-000 0 cn o K v 0 O C O 3 y e1 v m m m m 3 - ~ n Wco o (n 0 2 0 O m n cn o w 0') c Q0 o c_ m a m N c O C d _ O , O C N C k~ (rD J O L W C CJt 0 C, 0, C2 ~ ~ O T N (D (D A O O O 7 N O ^ d m z m O cr. Q Q ~i ~ rl) N Z m @ z m O O C Z N r o (D c o m •D ~ ~ d O A{ e z 000 rye, 0 o y fA LT, (D ° ~*r m = •oovo N ~ O CD 6 C O G1 C ` O CD- CD Z co Z Q D CD o v ~1 s O N (D O cn l+~ply N D O O N C (D CD W I([i O. O Z Z ,p Z (D U Z O Z M . Z a Z7 O ' C/) M N ~ O A a O p O (D co C N co r 3 G (D N CD (ID :n Op~j a) G C,- to (D O a N cn ° D xt a v W n O O C _ 7 I I 7 F N N ~ N OT O C L D_ _ O X W W ti (D v O_ w O A C C A @ T is fa O O 8 O v Pib. 1143, SF.PTiC TANK PF:R'ST N0,~_ _ SF. POUT ON S OI LF. FiC OI,AT T ON TEST A N D S O I L B O R I N G S DE(. I- 19 9 TO 0v""' . ~'u _ "-~``7 DIVISION OF FZALTH - PIJJI i;INS, SECTION P.O.Box 309, il-dison, Wis. 53701 Pursuant to H 62.20, Wis. Adminictrative Code NAP1-~ PROPERi tJDFSS S ~ J LOCATION (Chock Ono) City .ill'-se Tosco \I 1, County r " City or To?,-nship WATER SUP?LY FROMt Public Ut:iity Coopers-tive Private Well 01 S";.4AG£ DISPOSAL INSTALLY-D BY: ddress Date SEPTIC TAuIK SIZr. M%terial Peroolation Soil Borin_-s Test Dato EFFLMU DISP.: Tile Size No. Lin. Ft, Trench Width Depth of Tile Seepage Bed: Length Z,:~_.11Width Depth of Tile Seepage Pit: Outside Diameter Liquid Depth . TYPE OF 0X UPANCY: RESIDFa+CE: Nuc:ser of Bedrocris OTH ,R: (speoify) Number of Persons FOOD WASTE GRI,'DF.R: Yes _ No x Distu:asher: Yes No Autoaatie Clothes Washer: Yes N0 _ P E R C O L A T I O N T E S T Test Depth Character of Soil Hours Water Test Tinto Drop in Water Level Inches ranotez Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overnight in Minutes Last_ Period L_sst Period Period One Inch Example P- 0 36" Top Soil. 1011, Clay 26.1 _25 --yes or no 30 lL2 1 2y I Z2 60 V~ is, f RECORD ATA FROM MINIr2JM OF 3 TEST HOLz:S ^ Compute size of absorption area in acoord with H 62.20 Wis. Administrative Code. S_0 I L B 0 R I N G S- Mini,.-um 351" Below Proposed Absorption System Test Total Depth D_e~rth to :round Water Number Inches Observed Est L^.ated Cry ractsr of Soil with Thickness in Inches Example a_ 0 72" 7211 Black_Top_Soil 12". Clay 18:1. and 18 Gravel 2411 FirCGJ DATA FRGi". PIIC+It M OF 3 TEST HOD'S I, the undersigned, hereby certify that the percolation tests reported on this forte Kere mado by me or under my super- vision in accord with the proced.^e3 and method specified in Ch.pter H 6".20 (13), Wisconsin Administrative Cod, and that the data recorded and location of test holes are correct to the best of my kno,rlede7e and belief. NA; ~r AKO TITLE(TyPrint) n n PF(:ISTRS.T iO?, N'O. or M.iS?ER PL.''°3ER LICENSE NO. P, ADDRESS DATE' '_)17j- L2 SIGNATU i Wisconsin Department of Health s.nd Sooial Services Plb, ~6' 10/69 Division of Health t PERMIT APPLICATION : for PRIVATE DU'IESTIC SEWAGE SYSTEMS 19 i J A. OWNER OF PROPEFCPY TYPE OR USE BLACK INK Name Address (Street, City, Zip Code) Stanton Star County B. LOCATION OF PROPERTY WY.~.F : SYSTFF WILL BE CONSTRUCTED,_AI,TERED- EXTENDED Check One: C ITY _ VI LLAC LEGAL DESC RIFT ION s TOWNSHIPS 7 •z~~ 1 CLi %u tr/~/ . : / T C. IS LOCAL PEFVIIT FEQUIRED FOR THIS WORK? i~ YES NO PERMIT NUMBER D. SEPTIC TANK CAPACITY Gallons NEW INSTALLATIO14 'r REPLACE1ENT y ADDITION MATERIALS: Prefab Concrete Y Poured in Place Steel Other NW3ER OF TANKS TO BE INSTALLED: -7C+~ A"P E. TYPE OF OCCUPANCY Check One: One or Two Family Residence Commeroial Industrial Other Cl. Specify Number of Persons to be Accommodated Z ` Number of Bedrooms F. APi'LIANCES, ETC: Food Waste Grinder YES X~ NO Automatic Clothes Washer ~ YES NO Dishwasher YES r NO Automatic Potato Peeler YES Y NO Other (Specify] G. EFFLUENT DISPOSAL SYSTEM NEW EXTENSION ADDITION REPLACEt's.NT Tile Size No.Lin.Feet Trench Width - Depth Number of Lines 0 / Seepage Bed= Length/411 Width Depth f~ Tile Size if No. Lines Seepage Pitt Inside dia*ieter Liquid Depth P E R C O L A T I O N T E S T Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches Minutes Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overnight in Mirates Last Period Last Perio Period One Inoh P- 0 3611 To Soil 1011, IM 2611 25 es or no 30 1/2 1 2 1/2 60 RECORD DATA FROM !Nl',a NZ OF 3 TEST HOLES Compute aize of absorption area in acoord with H 62.20 Wis. Ad.-ILZistrat've Code. S O I L B O R I N G S- Minim=i 36" Below Procosad Absorption System P oring Total Depth Depth to Ground Water Deoth to Bedrock umber Inches Cbserved Esti'Tated Observed Estimated Character of Soil with Thickness in Inches xample - 0 72" 72" Black To Soil 12"• Cla 18"• Sand lE"• Gravel 2411 72- -7 . „ , 7 z Z- „ RECORD DATA FROM MINIMUM OF 3 BORE "r.OLFS. COMPLETE OTHER SIDE I. the•uridersilned, hereby certify that the percolation tests reported on this form were made by me or under by supervision in aocord with the procedures and method speoified in Chapter H 62.20 (3), Wisconsin Administrative Code, and that thc: data recorded and location of test holes are correct to i the best of my knowledge and belief. NAME TITLE l (Type or Print) REGISTRATION NO. or MASTER PLUhidER LICENSE No. ADDRESS DATE SIGNATU~L / MASTER PIZI~D::R MAKING APPLICATION ` MP Signatures License Number: MP RSW L? (To be Completed by Issuing Agent) Date of Application Fee Poi $ Permit Issued (date) .~T=r f,. ` ' ~`~-S Permit Number 7"J Agent (name)` 1 J'-' For: ail{~ Town, Village, City, County, etc. (Specify) Note: The application cannot be considered for filing until all of the above questions are answered and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the er- Permit (yellow copy) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY DATE RECEIVED ACCEPTED BY RETURNED (Initials) (Date) (See Corrres. FEE RECEIVED VALID. NO. PERMIT NO. (Yes or No) j REVIEWED BY APPROVED DATE ; (Initials) (Yes or No) COMMENTS: p T A N TON T 31 N:-R 7 W 5; 65 X /!/e~/f7u_s-cn O/e ,i/s c FOLK COUNTY • • • . . jh h v o .zg e 9osen / . , Y b x ~ - F ei-_ l QJ s / _ - ~ 7a /a¢~ ~ © o ti ~ • Nu s.ng N n~Q~~~J Aid r L,inr-~'r, c°i ~ ACC p • B ~l 36 v \ r ~ /60 ~ e ZJ0~.4~//ce - ~ ~~lJ 9 ~ n 0 D~ ~ ~ • '4~ net. ~3oche w ~ ~ t/c%n musk do ~ ~ f/o o/ k~u Q 40 /60 "h t;oh04Ma. _ _ _ C h C C' / y L vy9er ~ ^ ,C3o the ~ ~x 4o Ha.~fen y Bo {i/i0d~e~- ,C,cSa~d D 6 ~ / 0 ~ F7 Loa KP k ~ N htowarr/f •GSta n ~ X40 ~ 1 K~ /6o q3°~ /ti r/ay y e . c Leo - M f- `l •C-'a / H g° y B ~ f/Q.n.>~ e~ ~ a 0 ~/o~a~~/e T C 40 Johnso./ E/rn v Jiffma~ - CCZ•/ 7' C 4 S o ; i6a /6 Bo ~ o Q ~ ~ ©uis ~~0' 4 M¢vis C~ oe~ J'3 7~ v~ax~ do ~O OAKR~OG6 , L. /1' Meter;// ~Coo.~1~ /6o zqo ~Tacobso~, n, / 7r ~ ~ _ - ~eed ,13ros_ i 9 ~ Kue9 ar . ~ Zs4 ~ o ins dfi°me ~ i/a kci/enn FarT,, 1 c lei//ate " ` 76 > ~ V J ~ ~o /`/e/v,n tt Ca / /aver ~ C~ ~ W S ~ LJmscf/e Courzd~ yarnQ her C 0 /e 13eke r 1/ern .v c-7a / n r7ua.ne s 7acobso h /66 /yor.-i,s ~/60 60 ~ Con ~ c5'a6can Q o F'Q o _;r so iz° /7a~y.s La~csar7 640 cab /do h`la sor ~n°PP Ed a d /6 79, V K .rch.Fe /6o j • Ec~y ~~c~ Leah /60 4 /oo I lyi%6e./ J~VCio ~ u /'r n ~yQ rRW B° 'cfimid~ ~~B lV'C o NPk:rs ~y F~an,F/ice •f/am es ~reau/f H /60 0 R q V v & N J»es Ei6s isy /zo f~owa.-d ~/or. fePhens t6° Ba Jhi s/on „ do z6o ~ h Cha /es Li//an k-n3e Bo Bcffy Bo F_ o' o z Ee u . ~fanzs Cl N C 0 9e / 40 4o W tea/ E C ~ ~ /yes. E//eu A,~F ~Se{/e /s6 v Mr p C N iPa6erY ~T F Joan ~7c'ra/d Pau/ _ 77 G W ~J E3a~ a/f ~ C w U ~ ld/e~ma~ Ficz~~/c ,~osfers ~'CUe ~ /6a isc s e>`vr y v Q2 /Po/a.>cz/ ~O/and ~ ~ o /60 2 C ~ - /60 ~sd Fi- C . {/e%rid. Bcr d Q a Edwo,d s z ao 6° 'F Ewe s • Jo 'V p ll~+ ~7a~i /e e a// wsc Z rid4~ G¢ysK th ,~j Fa.~k !/vic.Ee~-.. - ~n -hret/ t/. ~7/easou 97 ~/e hens C fiauser F/o d / zoo Da/6e~YS E/mer` 7 da ! ,nph, _y~ 160 Leweie" 7d-8z `j 7A Lemcv~ Q Fida "F~ /zo d Z ~ckea 40 ' L4w~encc /7,FP f/a/c/i ~ 0 e wee; ~a~ Orvo/ U 9 F ° et / /6 0 ~ 65 a, y ' /zo % N / fie n. eA n 0\Q BO /y-`/Ucxir~ar 4 bale./Zo V~{ ~ v /6o Ch .'sfian ~ IlI ~ ~VQ' _ Aden5Pa1- `l 7 _ Loren f/ch Frehan d w di Iva t. s 6 ° C G( E. /~efh E e C c* 40 lea fric~ c ~ ~ ~'C ~ /~7 von ~ 0 p Eu e 'e 4a 1 Y, yy ~ic,E- c h ~ o ~ ire on a 0 .6ar6 C C` y. John .9.1.36 ~y ° f j o K7de son Errc~ oil ~ ~a ~ ~ v Wfi~fP .a7 t44o/r zoo ~~a£~ ~~~F ~ ~ Bo do ~ ~a Kumrr/ ~///is ~ ~ y ^ e°. "vE o Q9J i y/ 316.47 /sy /zo Meal cC rea • f3/ cc Joe Amos • 64 ' ,g 40 j F4ncors Pc'de 79s • 40 ¢ , / zo ~`'O'~ ~ We ~ e/ Bros. C'od T mar/ o izo vv y✓aync 5 .Ltanise `y f///an ~ Leo ~ ar~o'r,z NE RICH OND F°eS wet/s g~ e'.J ~3~o M k U'ernarrL /sg a ,q % ss /60 Or bensei7 '~o`SSeau ~R ® X40 3 ~ir;c% cBdy L~~L~ ,s/ 4s6 hbP C z¢o Fian c/s ` qs. . ~ su¢- "/a ve sE/open ~ O file rkv/ s ~¢L 4 fhy//s y C y P Y 7~arf ~ P i.~c s ~ R~D6 - C'firi Tian sor7 `C \ GOOSE / fa f~~ /7a.6a F}. T/eliseu ekr' tzo ern/. Bo POND Trailer Taiser 160 C/ore e Po/ us R• ,9 E izo 7~ , 7~ 11 p~IJ ©797z W/L ,P° o~dSMat,Pi`i~Gb/s4I c. SEE PAGE 4 S'/. Cro.¢ o..ny Wis. a POLE New Richmond US IMPLEMENT INC. CANNING Granite Works CORPORATION PHONE: 246-2011 PHONE: 246-6565 ~,;I - MAfIKERS - MONUMENTS NEW RICHMOND, WISCONSIN BRONZE TABLETS 54017 NEW RICHMOND, NEW RICHMOND, k' WISCONSIN 54017 WISCONSIN Parcel 036-1091-90-000 06/27/2007 04:21 PM PAGE 1 OF 1 Alt. Parcel 35.31.17.558D 036 - TOWN OF STANTON 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 - MANSKE, MARY F MARY F MANSKE 1107 CIRCLE PINE DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1847 CTY RD T SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.700 Plat: N/A-NOT AVAILABLE SEC 35 T31 N R1 7W 2.7A IN NW SE COM N 1/4 Block/Condo Bldg: COR SEC 35 S 2642.5' TO CENTER SEC 35, E 33' -POB, S 86 DEG E 334', S 352.4', N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 86 DEG W 334'N 352'-POB 35-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 03/27/2006 821480 QC 02/16/2006 818742 CERT 02/16/2006 818740 QC 06/10/2002 681350 1907/489 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/17/2007 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 2.700 38,000 135,200 173,200 NO Totals for 2007: General Property 2.700 38,000 135,200 173,200 Woodland 0.000 0 0 Totals for 2006: General Property 2.700 35,000 112,500 147,500 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