HomeMy WebLinkAbout042-1043-30-000
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Parcel 042-1043-30-000 01/02/2007 09:06 AM
PAGE 1 OF 1
Alt. Parcel 16.29.18.246F 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
O - MUNKELWITZ, RALPH & KATHLEEN
RALPH & KATHLEEN MUNKELWITZ
1123 100TH AVE
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1123 100TH AVE
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.870 Plat: N/A-NOT AVAILABLE
SEC 16 T29N R18W 1.87 A IN NW NW LOT 3 Block/Condo Bldg:
CSM VOL 1/216 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
16-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
2006 SUMMARY Bill Fair Market Value: Assessed with:
149299 242,100
Valuations: Last Changed: 10/23/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.870 36,100 140,500 176,600 NO
Totals for 2006:
General Property 1.870 36,100 140,500 176,600
Woodland 0.000 0 0
Totals for 2005:
General Property 1.870 36,100 140,500 176,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 216
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
E'ER,-,Ttr' TOWNSHIP l1 ,rSEC. T N, R W
,O. ADDRESS ST. CROIX COUNTY, WISCONSIN. <
e
'3DZVZSION LOT LOT SIZE .
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
TIC TANK (S)_ MFGR. CONCRETE X STEEL
NO. of rings on cover Depth___,' DRY WELL
,NCHES NO. of width length area
no. of tires width ~I length
area
depth to top of pipe - `
2EGATE
.uK RATE AREA REQUIRED _ AREA AS BUILT
..claimer: The inspection of this system by St. Croix County does not imply complete ;
.pliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
.tem operation. However, if failure is noted the County will make every effort to
=ermine cause of failure.
:ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLUMBER' ON JOB
LICENSE NUMBER
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itany Permit
State Septic
NAME. f, Townbhip r a- St. Croix County
Location 14 a~,,'~ . Section' Tj-rN,R I-LW
SEPTIC TANK
Size/ gattonls. NumbeA o6 Compantmentz
Distance FtLom: Wett 1.2% an greaten ~sZope it
Bu itd,ing it. Wettands it.
H,ighwaten it.
DISPaSAL SYSTEM
D.iztance Fnom: Wett it. 120 on gneatet ~stope it.
Bu-itd,i.ng it. wettands Ft.
H.ighwateA it.
FIELD DIMENSIONS:
Width o6 trench it. Depth o' hock be.2ow tiZe in.
Length of each tine it. Depth o4 Aock oven tite in.
Number o6 tine/s Depth ov tiZe below grade in.
Totat .Length o6 Zine6 it. Sto pe o6 trench in pen 100 it.
Distance between Zines it. Depth to bedrock it.
Totat absonbtion area 6t2 Depth to gnoundwateA it.
Requined area it2
PIT DIMENSIONS:
NumbeA o6 pit/s Gtc.avet around pits ye/s no
Outside d.i.amete.A it. Depth below .inlet it.
2
Totat ablsonbtion area it z
Area nequ.ined it2 +
INSPECTED BY TITLE
APPROVED , DATE 197.
REJECTED DATE 197
:t
r0
PLB67 State and County State Permit #
Permit Application County Permit -_~f-~-
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:/.
B. LOCATI N: K t % t%: Section / p , T~ N, R (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 44A4rr4!!1
I C. TYPE OF OCCUPANCY: *Ccmm cial *Industrial *Other (specify) *Variance
Single family- Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder_ YES X NO # of Bathrooms a--
Automatic Washer C YES NO Other (specify)
E_. SEPTIC TANK CAPACITY /Cp cD Total gallons No. of tanks
Holding tank capacity Total gallons No. of tanks
`.lew Installation X Addition Replacement _ Prefab Concrete X_
'Poured in Place Steel Other (specify)
:_FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 1_3) __/-Total Absorb Area sq. ft.
New Addition _ Replacement *Fill System 6/3- A,* #%&",`Pel
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length -Width ~ Depth 11 Tile Depth No. of Lines_
Seepage Pit: Inside diameter Liquid xle-:~ 01 Tile Size zy~
Percent slope of land re- Ve- ( Y Distance from critical slope 3yl
a', k #r ed,4
I, 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 C tified Soil T ster
NAME r W ~prS C.S.T. and other information
obtained from E owner #~~~-3 3
Plumber's Signature MP/MPRSW# Phone
Plumber's Address 4Z~
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). j
/b SCo /e
AC oF: R4
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A
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~s~ur'~r~t~' - ~~~RbJ✓~ ~i(y~G+s/~i1XG'ei/d'
AG.,~~ ~.,c~s:~k•~t7 Fly"~~ cwt iy?s
Do Not Write in Sp a Below FOR DEPARTMENT USE ONLY
/C 7
Date of Application- i Fees Paid: State ~ounty Date
Ryed Issuing Agent Named
Permit Issued/ (date)'; /
Inspection YesX-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
EH 115
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: ,/x Section //6' F (or) wnshi or Municipality-
-
/
Lot No. Blo k No. A° County SJ'~,
SubAivisjop Name
Owner's Name:
Mailing Address: d J41, ,sZ sclu L~E~ S5~G3~b
TYPE OF OCCUPANCY: Residence _ X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION -REPLACEMENT ~J
DATES OBSERVATIONS MADE: SOIL BORINGS 7',Z PERCOLATION /TESTS
J
~~'ur'/I'Rl-
SOIL MAP SHEET SOIL TYPE
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN I SONCHILES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN Wit
//2 -3 ly, _ I
P-
D X2_ /
se e-
b Q
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- t6
B- ~3 96- I-ICA I e'_ 13"'1`55 9r•/.S
7 , F t a '
Ott
of 2C.,
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate nyr~ber of square feet f absorption area
needed for building type and occupancy. cA ~ Indicate scale
or distances. Give horizontal and vertical reference poi In~s~Jope.
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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 b,01 le.,,
Name (print) Certification No. ~~s'~~~✓
Address
Name of installer if known
COPY }q O Ty CST Signature r