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Home My WebLink About004-1071-40-100 t:j n CO) O 3 v o o - c m o 1 (9 ~ :T 7 (D 'o CD 1 ni O 3 Z 3 • 0 10,D) n 3 o v v o v m°° `C a CD (D 00 d p z CL y O) O w N N c: I- 7 (D W 7 O p 1 O O Q ni Cn N rn ,p C-D 0 0 0 CD p 7 CCDD C O co 41 O O O QD O O C) co CA w cn i S D O (r 3 fA , O l~i~i M N cyl r~ !V Dt 00 ID a Z cn a ID (a O N C ~i o o CD a V N N N 3 O N N O C) C) CD a O O CD Co j Q (1 O Cn w O CL CO l~ N t z Oo OD Z N O c N N 3^. CT I -o v J A D O O O O 3 A o o co (1) (1) not 0 CD CD rc3: ~ t~ , c°n con 0. n y ya CO (D -4 a l a 0 H Z ( Z ((D o ED ~ co hi . CD (n r CD v ~ CD T fr71 _ t_ c CD CL w m v f': ci 3 ~ p o Z W n O A Z O 00 _ 0 a G) N co '9 co A t z J, 0 3 z z 3 m CD a w v O CD N X•NCCDD a N ~.o< a n cn K L ° T ° o n c CD CD Z_ ° M Jon > CD N O En m a 0 CAD CD i o m a a v ~ 77 o a~ :E CD a N =4 m m m 3 CL j b N - N ~ 7 .e O CD 7 O (D V (1 O ~ ~ ti CD 4? O N Efl O O O :E p 6 L 'i ti Parcel 004-1071-40-100 01/19/2007 10:58 AM PAGE 1 OF 1 Alt. Parcel 30.28.15.469A 004 - TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 12/27/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HAMPTON, HUGH HUGH HAMPTON 158 CTY RD NN SPRING VALLEY WI 54767 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 30 T28N R15W PT SW NE & SE NE THE E Block/Condo Bldg: 1891 FT THEREOF Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-28N-15W SW NE 30-29N-15W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 12/27/2005 814956 2948/454 LC 257240 356/57 LC 2006 SUMMARY Bill Fair Market Value: Assessed with: 164888 Use Value Assessment Valuations: Last Changed: 04/19/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 56.210 8,500 0 8,500 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 24,000 125,600 149,600 NO Totals for 2006: General Property 59.210 32,600 125,600 158,200 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 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR &.HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS ~j 0 0 DIVISION P.O.wOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL ❑ALTERNATIVE State Plan L D. Number (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLD INSPECTION DATE'. BENCH MAR (Permanent f p-0 DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.'. CST REF. PT ELEV. Ni nI Plumber JMP/MPRSVI No Sanitary Permit Number. SEPTIC TANK/HOLDING TANK: MANUFACTUHEH. LIQUID CAPACITY TANK INLET ELEV.. TANK W OCKING WR OVIDE 2❑Y BEDDING. VENT DIA.. VENT MAIL nIGH TEH NUMBER OF ROAD. DING VENT TO FRESH ALAR FEET FROM fC. 1 C AIH INLET DYES E8/ NO NEAREST--~►S DOSING CHAMBER: MANUFACTURFR JBIDIIING. l 1111111 (:APACI (Y PUMP MODEL PUMP; SIPHON MANUFACTLIFt EFt WARNING LABEL LOCKING COVER PROVIDED'. PROVIDED'. DYES LINO EYES LINO DYES LINO GALLONS PER CYCLE: PUVIP AND CONTROLS OPERATIONAL NUMBER OF PwnPEHTY VJELL BUILDING V(DIFFERENCE BETWEEN FEET FROM LINI AIR INLFT O NEAREST_-~ PUMP ON AND OFF) DYES ❑NLFORCE SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing An+l I r H MATT HIAL AND MARKING or excavation. (if soil can be rolled into a wire, construction shall cease until the soil is dry enough to continue.) IN CONVENTIONAL SYSTEM: ' , I - 'DIH LENGTH NO. OF DISTR PIPE SPA(. 1'JC: (;OVER INSIDE DIA -PITS LIQUID BED/TRENCH TRENCHES MArERIAU PIT DEPTH. DIMENSIONS _ 111 DEPTH DISTR PIPE DISiH PIPE DISTR-PIPE MATERIAL. NO. DI Sty. NUMBER OF I'HOPERTV wELL BUILDING VENT TO FRESH I II G •aoVL COVER f IV 1N1 f f ELEV FND PIPES FEET FROM LINE AIR INLET. NEAREST---o- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES NO _ SOIL COVER TI Y,IUHE PEHMANENI MARKERS OBSERVATION WELLS _ DYES LINO DYES NO DEPTH OVEH TRENCH HED DEPTH OVER THFNC,II HEU DEPTH OF TOPSOIL SODDFD nj JMLILCHFD CEIVIFH EDGES DYES LINO Y ES ElNO DYES LINO PRESSURIZED DISTRIBUTION SYSTEM: `.'.IIJTH LENGTH NO LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS HIAL & MARKING ANIFOLD PUMP MANIF OL11 DISTR. PIPE MANIFOLD MATERIAL NO DISTR L'ISTR PIPE DISTRIBUTION PIPE MATE LFV ELEV DIA ELEV. PIPES DIA ELEVATION AND' DISTRIBUTION DRILL LD CORHFCI I Y COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED l) HOLE SPACING, INFORMATION i(LE SIZE I PLAYS EYES LINO DYES LINO COMMENTS: ERMANE NT MARKERS OBSERVATION WELLS 'NUMBER OF ~'LR OPERTV WELLBuILDINC,,,,;~ FEEINE DYES DNO DYES LINO NEAREST- -4/0 01 1,, -~s S z 5 Sketch System on Retain in county file for audit. Reverse Side. NATURE TITLE DILHR SBD 6710 IR. 01/82)----- .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'/2 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. Propert ner: Mailing dress: t-`-f Prop rty Location: City, Village o ownship: County: t/4 kiji r N4S /T, i N/R E (o Lot Number: Blk NO.: Subdivision Name: Neares Road, Lake or Landmark: State Plan I. D. Number: CL~1~J (If assigned) TYPE OF BUILDING N ❑ P Iic* El Variance* ❑ Other (specify)* umber of Bedro3 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT. (Specify) SEPTIC TANK CAPACITY s pi's 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 S pply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam of Plumber: nat r MP/MPRSW No.: Phone Number: Plumber's Addre Name of Designer: ~ ~ ft,/ 4th COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent:-. Fee: Date: APPROVED Sanitary Permit Number: ❑ ~ vL- I' Li s~~ ~i ❑ DISAPPROVED 'J^J 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) pppppp- Wisconsin Department of I!1aisl PLB-1 INSPECTION REPORT Labor & Human Rt Safety & Buildings 0 Bureau of Plumbin , Platting & Fire Prction Name o remises a e an No. Street City oun y Sanitary Permit r Master Plumber Firm Name dress Journeyman Plumber Address Owner Address - - Discussed with Signature ( )See Attached. DILHR-SBD-6192(N.09/80) Signature o is Plumbing up. On-Site Waste Specialist White-Inspector Yellow-Local Inspector Pink-Plumber or Responsible Party Green-Owner ~v IT E)l '7" i6- tJ T J, Jac' ~ LOVE fJwkEN 5~ Pl~~ ~aryY ~ IaPy,W~FIL- ~ ~y Z;J! i