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Home My WebLink About022-1072-30-000 ar Q o m° O o o 0 0. ~ I 0 b O O N M N O O c z LL c - 0 Q M Z L4 W £ Z _ o E v Z CL m (D N N 1- V) O c z N O Z ~ C U U Z O N O co F- m N z c E -o ~ ~ M I N m N O O f6 N N O O C a ' C O O 0 w Z 00 z Z o Z N N CY) LO y L N CL Q f0 N N W d N C O 0 L Y co z FL 3 = o z IL IL 0- m - a L 7 O N 00 00 N Q) N J U rn rn ty W N Y 0 o _ o co c) d v p _ c v Q Z (q c6 O 0 7 'a r) c o°o o E w ° o (D cOi 0c) v 'c = v p n 00 c c m m c -t W O Y _0 'O ate.. 'p O a) 75 00 .V 'O p O` N lye, ~i ►rVi O N Y J r- Ln Z- 2 2 2 0 w c \ Cz G> w a L • a .2 m a ca c m _1 A U as o in V Parcel 022-1072-30-000 03/31/2006 09:52 AM PAGE 1 OF 1 Alt. Parcel 26.28.18.403A1 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): 0 = Current Owner, C = Current Co-Owner O - CERNOHOUS, DUANE F & SHARLENE DUANE F & SHARLENE CERNOHOUS 159 PONDEROSA RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 159 PONDEROSA RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 26 T28N R18W 2A IN SW NE LOT 1 CSM Block/Condo Bldg: VOL 2/532 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 03/24/2005 790345 2770/236 QC 02/08/2005 786997 2745/604 WD 07/23/1997 1024/270 QC 07/23/1997 821/01 2005 SUMMARY Bill Fair Market Value: Assessed with: 143741 187,700 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 50,000 139,800 189,800 NO Totals for 2005: General Property 2.000 50,000 139,800 189,800 Woodland 0.000 0 0 Totals for 2004: General Property 2.000 20,000 107,600 127,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 RRPOI'T Or IT1SPECTION--I4DIJIDUAL SEIJAGE DISPMV., SYSTEM • y ` Sanitary Permit • , State Septic o T01•111SHIP • t. Croix- County MEPTIC TA'! K, Size gallons. `umber of Compartments Distance Front: Tlell ` ~ ft. 12% or greater slope ii. • Building ` ;L17 ft. Wetlands ft Highwater ft. • DISPOSAL SYSTLL-I ___,~KTile Field or Seepao-e Pit(s) Distance From: T•Tell 142) t ft. 12% or greater slope ft Building -Y f t. Wetlands f FIELD i;ighwater ft. Total length of lines J;Z_ ft. Number of lines ~2Length of. each line ft. Distance between lines ft. Width of the trench ft. Total absorption area ` sq, ft. Depth of rock below the in. Dp-pth of rock over tile in. Cover over.rock,A eL-, Depth of tile below grade in. Slope of trench -1-in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS 'Dumber of nits Outside diameter ft. Depth below inlet ft. Gravel around pit: `yes no. Total absorption area sq. ft. Square feet of seepage trench bottom area required Iquare feet of s py1y", ~it are re /u Tired Inspected li Y /Title Approved L Date 197. Rejected Date 197. EH 115 (11-74) WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: __'/4, Ssction T_N, R E (or) W, Township or Municipality Lot No. Block No. County Subdivision Name Owner's Name: Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET SOIL TYPE 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 HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- B- B- PLAN VIEW (Locate percolationtests;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 reference point. Indicate slope. -tt ~N 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 location of test holes are correct to the best of my knowledge and belief. Name (print) Signature Certification No. Name of installer if known Copy C - Local Authority - . PLB67 State and County State Permit # O Permit Application County Per for Private Domestic Sewage Systems County *DENOTES STATE- APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: A , AT A, B. LOCATION: t /4 Y4, Section , TZg~ N, Rl E (or) \6' Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUr'ANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms -7 No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES -X NO Food Waste Grinder YES NO # of Bathrooms-- Automatic Washer AYES NO Other (specify) EPTIC TANK CAPACITY -Total gallons No. of tanks "folding tank capacity Total gallons No. of tanks ew Installation Addition _ Replacement _ Prefab Concrete Poured in Place Steel Other (specify) rFLUENT DISPOSAL SYSTEM: Percolation Rate 1)' ~2) 3Q„ Total Absorb Area 1s I,~7 sq. ft. ew _ Addition Replacement *Fill System seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches epage Bed: Length__Width_ Depth ~ Tile Depth -2 i! No. of Lines 3 eepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land - - Distance from critical slope 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 ~'►,~.~h` ..~ex e, C.S.T. # and other information obtained from (owner/builder). Plumber's Signature ' MP/MPRSW# 1/'T _ Phone # ,mss' 4' Plumber's Address %f-,T - r' - PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). I J r Do Not Write in Space Below F R DEPARTMENT U E ONLY Q U Date of Application ees Paid: State County /Date 79 Permit Issued/ (date) Issuing Agent 7 Inspection YesNo Valid* ~ ~ e Recd 1. county (whi a copy) 3, owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) l _ Revised Date 6/1 /76 State and County State Permit # PLB67 Permit Application County Permit # for Private Domestic Sewage Systems County *DENOTES STATE.A.PRR(7VAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mail in Address: , t,, 9 4js ej4, L) illc B. LOCATION: t2'/4 4, Section Q T 'S_ N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township eAJA.±eJ<1 A?V1(1, C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family L~ Duplex No. of Bedrooms 13 No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES 6'_ NO Food Waste Grinder YES CVO # of Bathroomsl- A.utomatic Washer AYES NO Other (specify) SEPTIC TANK CAPACITY %D B-0 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation L~ Addition Replacement Prefab Concrete _ 'Poured in Place Steel Other (specify) EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3)0aTotal Absorb Area (p /5 sq. ft. New L-`~Addition _ Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width JgL Depths Tile Depth No. of Lines _ Seepage Pit: Inside diameter Liquid Depth Tile Size "5k -10 Percent slope of land _Q=_?_.6 Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, '•';sconsin Administrative Code, and that I have sized the effluent disposal system from the EH 115 prepared V the Certified Soil Tester, li:AME M ,-,r 1( 6. L F}0- E f! C.S.T. # 6 5- 2060 and other information obtained from W (owner/builder). "umber's Signature MP/MPRSW#-~ Phone .S~Z 1 Plumber's Address * PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). (2 ° 5~~~-°~- A y ~ loco Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State oun y ate Permit Issued/Rejected (date) -Issuing Agent Name Inspection Yes No 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 6/1 /76