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HomeMy WebLinkAbout042-1084-70-100 3 C) 7 ~D A t9 9 A7 • m n - v' st » 3 e* Q W o pa ~C • U) 3 o n=i N p w ?c m 3 o rn v r~ W CD M (D (D C)- z a p ►y N C 3 a co W00 O Q y 0) y A J,j O 'D n 3 Q' N N * G1 O Q C) e m a 3 co a - o 3 7 N co v I ' o I -w p O cn 00 U, co o w `Chb C-- CD CD cn z D fD a CD (a c~ - p N (D CD (D V 3 a se p* V N. 3 r F V H 0. O A a z (D to 0 v o H. V ~ I o O o c P Z rt d O -0 M "D O O ~r• w to m z Z ON In ri G7 z D < Z ry,~ 9 s~ NCA NN o D `•~1 ~o C < CD G N o (D (D CD CO CD fu 3 3 C) a 3 co z n ° z co D O Q O a H H v o N CrJ CD N N• N CD C ~f V C N N O ~7 a w m a s -1 co (D O 7 p A Z n v a A z O ri v a 3 f C (D w N. :n O U) W I- W m o m co z 0 3 A Ct) O M 3 I j H z CD w ~ I N U) N d a C X - G N. = W - S Q? :3 T1 OS O Q. N C N N a Z d CD Co 4 v (D 0 CL N , ~ X CD yr U) a o fi mcND~ W N A A CO _0 0) en A D A N Q n ~ 0 Oo 'a k-4 N O cn V A O A (D by 69 0 ti C) C b o: Parcel 042-1084-70-100 01/17/2007 08:48 AM PAGE 1 OF 1 Alt. Parcel 30.29.18.475B 042 - TOWN OF WARREN 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 OLIVIA A BATHEN O - BATHEN, OLIVIA A 978 70TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 978 70TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.300 Plat: N/A-NOT AVAILABLE SEC 30 T29N R18W PT SE SE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2698 2.30 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 11/20/2002 699211 2054/152 QC 11/12/2001 661877 1760/628 W D 07/23/1997 695/284 2006 SUMMARY Bill Fair Market Value: Assessed with: 149754 195,900 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.300 39,000 103,900 142,900 NO Totals for 2006: General Property 2.300 39,000 103,900 142,900 Woodland 0.000 0 0 Totals for 2005: General Property 2.300 39,000 103,900 142,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 301 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 ST. CROIX COUNTY WISCONSIN 4 1 t~ , k 4 ZONING OFFICE 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) a HAMMOND, WI 54015 w January 13, 1986 Henry Nechville R. R. 1, Box 299 Roberts, WI 54023 Dear Henry: We have been holding the Sanitary Inspection Sheet for the following system (s) (R ichard G B Town of Warren Reuben Fritsche - Town of Kinnickinnic Kenneth Schoettle - Town of Troy Please turn the As-Built into this office as soon as possible, so that we may complete our file. Until such time as all As-Builts are received by the Zoning Office, no further permits will be issued, or inspections made. If you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Assistant Zoning Administrator mj:1/86 S'Al 1 i ©~-Pow kncu 01 • 4 NE: v a O k r A l1 'U U) A Lft b • i -41 4 ~Y b o ° p 41 4-\j 0 tt 0 zs L) _N_ .r ~ o~ ~ ti t~ ~ ~ 1 r hi Tw _ - rq fn 01 z v DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & B LABOR & HUMAN RELATIONS P.O. *OX 7969 PRIVATE SEWAGE SYSTEMS DI BUREAU OF PLUti MADISON, WI 53707 C CONVENTIONAL ❑ALTERNATIVE State Plan ID Number (If assign eA) Holding Tank ❑ In-Ground Pressure 1:1 Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATE. Richard G. Buck 2054 Stillwater Ave,St.Paul, MN BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.. CST REF. PT. ELEV. SE SE, Section 30, T29N-R18W, Town of Warren Name of Plumber: MP/MPRSW No. Co-my. Sanitary Permit Number: Henry Nechville 3258 St. Croix 43677 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL IL OCKING COVER Lj PROVIDED. PROVIDED: ~4 ❑YES ❑NO ❑YES ❑NO BEDDING. VENT DIA.. VENT AT HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING: JVENTTO FRESH C ALARM FEET FROM LINE I AIR INLET ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: t MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MA CTURER WA NING LABEL LOCKING COVER `r PR VIDED: PROVIDED. ❑YES ❑NO YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NU "BER OF HOPERTY WELL BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FE T FROM Y LINE I AIR INLET' PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LE 'rH JDIAMETER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire, construction shall cease until Fthe soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGT IFJ NO OF DISTR PIPE SPACING C R INSIDE IA -PITS LIQUID TRENCHES ERIAL' PIT DEPTH. DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR PIPE DISTR. PIPE DISTR. PIPE M TERIAL. NO. TR NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH BELOW PIPES ABOVE COVER ELEV. INLET ELEV. END AIR INLET. eJ - PIP-E-~ FEET FROM LINE C G- G-- NEAREST-i. MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES NO meets the criteria for medium sand. TIONS MEASURED. ❑ SOIL COVER TEXTURE PERMANENT MARKERS. OBSERVATION WELLS _ ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH, RED DEPTH OVER THENCHiBED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. 1 ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO, OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR JD~STRPIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.ELEVDIAELEVPIPESDA.. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE ❑ YES ❑ NO ❑ YES ❑ NO NEAREST s Sketch System on Retain in county file for audit. Reverse Side. TITLEDILHR SBD 6710 (R. 01/82) [NATURE S I DEPARTMENT OF APPLICATION SAFETY & BUIL INDUSTRY, FOR SANITARY DIVIS 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: 3 ~<z__"tg fJCcc'i4, ~7, Property Location: City, Village br_Township_:' County: '/41r '/4S .3c^ iT NiR ~S E (or4-W. - ;.x Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I. D. Number: 11 ~ (If assigned) { It A TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* - Bedrooms: © 1 or 2 Family *State Approval Required. _i TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY l/ i r HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: hJ EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA / (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental P Seepage Bed ❑ Seepage Pit ip. r" ❑ Alternative (specify) El Seepage Trench ~ S ~y i"~ Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): ~ Private ❑ Joint ❑ Public is 1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of lumber: Signature: MP PRSW No.: Phone Number: Plumber's Addr s: Name of Designer: k COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: pate: a APPROVED Sanitary Permit Number: ✓ El DISAPPROVED uj~il 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) lures - 5 C C IOU ti Uwner of Property Yt ~j +~t C r•' Location Ut Pruperty_5k~__14SL~Sectioil 0 >T.,N N ItW U W It a It i I)_ L_.Ck _k` 1-- to v~ _ { Ma111nb Addreaa~L'J ) 1 w Subdivlaiun Naula Lot N u w b e r 1 -----c-1---- - Previous Uwuer of Property ,t✓ of-3 ~'-~~_~j~~t~ cJ f~ti-,"~ i ~l 5 I Total Size of Parcel tf-0 r g65 Date Parcel W46 Created f Are all corners ideutiflable? Yea No 1rrCiude with tlila dpjJ1lCaCi0t1 uric of -Chu-_Yulluw_iu~: .Certified Survey Map .Deed ontract Utl►er legal DocuwerrC w111Ch desCridua the pruljurCy PHOPERTY OWNER CERTIFICATION (We) comity that till Statements On this tUMI are true to the bast of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information furm, by virtue of a warranty deA r%ordad in the Office of the County Hegister of Deeds as Document No.:::)-#315_)S~ ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an pasumant, 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 Register of Deeds, as Document No. 6~- GNATURE OF OWNER SIGNATUR O )jWNER (IF APPuICAat_k( DATE SIGNED OH7E SIGNED '`'l ~y iL IY c~ isUlC ~ IrJ~9C)USTHY, r(ICif~ ~U+IwI jai. 'a r►1 AL' r)~~, LJIVI..IUN U NI.A 'SE PERCOLATION TESTS P.O.1WI ' I909 - IVI~i~;~LA~IONS (11-3) MADISON, 4V .,3707 (H63.09(1) & Chapter 145.045) OCATION: SFCTION I OWN',HIP/MUNICIPAL ITY LOT NO lBLK NO. :•UBDIVISfON NAME: 1/4 ) v /Tz y N/Rid' E I.r _ OUN 7y: ~ OWNLFt'S/Htl'S NAME: ~ `MAILING ADDRESS E DATES OBSERVATIONS MADE NO. HHAWIS. COMMERCIAL. L)ESCRIPFION PHOFILE DESCf~IPTIONS. PEA 0LATI0N TESTS: Fiesldence 3 I New _ I Replace l ING S= Site suitable for system U- Site unsuitable for system S~ f (&j7 - - JVIFNTIOnNiA'I M(UUIN(f') ( l IN GH(7lJNl}F(fil' a;IJRF S(Y TlC(~M IFIII L 11(Ot IDIN(,O)A11N,K nFcOMMC NDED SYSIEM lope, Hill /S~ f~ Fr . 11 L J J U ~~pU fl t tI % /cIJh L /~%'rj i t1 F/G L .4> 1 a) LJ 47 ly ) J t J L i l ) J X7 _U L_~ Ptic:uatunl leSl,,,II NUf latuuetl DESIGN RAIL I If any poi lion of the tasted arc I Is in the du S HLi3.UJ16)Ib), inchcdt~ Flo. fplain, indicate FloodPlaul clcvat,on PROFILE DESCRIPTIONS - ,HIN TOTAL D F iH TO C IZOIJNUWA FL R IN CHARAC FF H OF SOIL WITH TFIICKNESS, COLOR, TL.X I-URE, AND DFPTH nti1h~li UEPFIi J=,' F I L VA I JON - UHSEFiVEI) LST 111C,1IE ~T TO FiEDROI K IF OL,E_HVL D ISLE AB[3HV. ON HACK 1 } - - 6 /3.U -Tcy _L, iS-f,' 13,E ~ t s ~T L _ 3 /3,Or ~'~•7~~ - >/J,O •y~'fr~u-~y.L, i3~'/-~u.L, i33"13~ - - ~,r v [rEWy Of L/ ) • 13 4), Z- . F3 L 9a ~N.~;~e ~ ; ~ ' r,~N vet s . >9. v y/ ' 13.E-6y ~y2' aN L, . p3',s~. sue, G.3' PERCOLATION TESTS T FiEP I I I bJA FEIZ IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAI F MINUTES L I ai IN F I I_ t SWELLIfJG INTERVAL -MIN. --PERIOD f PERIOD 2 f Efil(SD 3 PER INCH - ~1- - - - - - - - - - - 10-1 ,i ,it PLAN: Shove locations of percolation tests, soil borings and the dimensioris of suitable soil areas. Indicate scale or distances. Describe what are the hori- i:il and vertical elevation reference points and show their location on the plot plan. Show the surface elevation,at all borings and the direction and percent and slope. j3o77 vM or /3fv EXC4 (/~9Tiav mil' ~x/gc~Ly VSTEM ELEVATION 3 3 /40, ID T- S t-,67- ~LQ r ~U Gf}~1 S~/a~~~tT~ ~ f3 TT~9 c ~ y 7 , T TN i I I I I ' ~ ~ ; i, , t 1 n idetslgned, herahy certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin anistrative Code, and that 0 ;p&6r,,Vj tpjej)!rtion of the tests are correct to the best of my knowledge and belief. TESTS WERE COMPLETED ON: r i_`iS: li I tl It 4JIV NUMBED: PNONIHEFII ,ononall SIGNAL UR f TFfIBUTION: Original „nd (j:ia copy to Local Authority. Proper ty Owner Intl Soil Tester. N-H1.)-ct1~, wy J REPORT ON SOIL CoRoNC~S PERCOLATION TESTS 11~ PLo T PLAN PR()J'Ec i I`. D. rowA~ r,0 ' L . S ,4/fz/~y pPtT E- 9-10-,?-3, sE/y sZ~ ~d 7- HOMESITE TESTING CO. ta. 3, O'HEIL ROAD BOB ULL'1'1(.., . rWUSON, WIS..._ 54016 C57- S~ - o2- ye2 PROPOSED HNSE MUST LIE 2~ Fr o,t MORE PRopoSED wfu MVST LIE So FT o,+P ~'fD~i'F F,Qp,.l ALG TEST • = ©Ar.~yoE Oils ~ = ta'iST/.~1 G- wFLL X s pEPG /0eg1-14wf Rage eo 54,vvE[. l3grEs r ` fi~v,Qi Z . B m P/o.ur VC e r1 c,#L ~P£FE,pt~tlc6 Poi O l- ~ , Sit E~ /~/~c 5~ T zo ou Ed-Se ~ P.9vEV /C',r~. w!. G~~ss 4/~0E- sT4,oeTS ~o r. /~v~ro v LE 6EN D OA yfer. ~PEF. Pl," /o o . o ~T 5 P,' i /s Rtv Doi, f~ v~eS-r~oT 'o `A /v~ 3 y As 60 r y y P ZX o y PROMO " sirs A 3 60, ' B 3 T 2 C v` ' I ~ c Boa fr t° Qa. rr'rruEI) L 5 o) DR Qa~ nor O Tkla APO o-F