Loading...
HomeMy WebLinkAbout032-2004-20-050 t M 7! - c A:• A m # o 3 ~ l ] I ~ O (A 3 -I 2 v, Z o NOD o ° °w =r 3 c CD l o a z a i y w 1 0 -0 :3 (D CD CD CD -4 CD 0 t y ~0 0 c Y✓ a ~ co ° t~ 00 CD (n co y W a I Y CD C (A V } CD rn l~ r CD CD n r N !~i co co CD co OD J' Cc~ ACC CSC 3 fu !r. s v~ t~ to p D 3 v v L,, .1 ? CD ID N v' N ° a = CD 3 w J 3 N z 00 z O -h O D M CD -y r y+ u ~y n ) a C vo c m ~ I w ~ n Z CD c6 -1 to C'}~ W C z d A Q 7 p Z W W T m e_ o CD CL z 3 a z 3 < c~ z : A W On. a G O N C o a CD N I ~ I ~ A I ~ I o I ~ I oa to I ' ti I V N °O o~ I A o CD en O o WV 80:6 90OZ/91/TT T negejg ulna)l 1009 00 S 00 - 00 punj anlad ~lMeyy IN 8961 - 00 Z OTGS8b'8T'T£'6Z - - sa;oN OOZ-09-tiT T T-8£0 Is~lueyl •no% g4Inn 6ulaq aseald 'ap sly ul III}s 11w~ad (aulead aeTS) £bZ66b - uoTlnoW/xod , 00 auel ulewaag ££8 wd Z F '6T•6Z'ZZ (uospnH) SZZ66b '9 401 'sa4e4s3 sumuepaD ';snag uaappyg uiml`d /palg s I 00 FT ;aaAs P~£8 tiTJ- wv T66T'6T'0£'000-90 9LTZ-Z£0 (lasaawoS) TTZ66b '9 4ol 'sa4eTs3 aplsa~le~ 'uossnu6eW / Tyoljg00 0~ pueag--saa Inn/snnopulnn/lip s eye s, ueN saNeaq wy pueag - - ogpe a eaeg 008 - gouty joop 4uoa3 - - - - Tea /yea uol:padsuI Ilegsoo3Moej ;eog pedl5el We L pedISel AepXed cZ - - - - Parcel 032-2004-20-050 11/17/2006 08:42 AM PAGE 1 OF 1 Alt. Parcel M 1.30.19.477E-10 032 - TOWN OF SOMERSET 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 - MOYNAGH, DOUGLAS C DOUGLAS C MOYNAGH 1798 85TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1798 85TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 12.000 Plat: 3343-CSM 12/3343 SEC 1 T30N R19W PT NE NW BEING LOT 4 CSM Block/Condo Bldg: LOT 4 12/3343 EXC PT TO HWY PROJ 1496/49 & HWY PROJECT 1559-08-23 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 01-30N-19W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 01/16/2002 668445 1816/268 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/05/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.000 93,500 114,600 208,100 NO Totals for 2006: General Property 12.000 93,500 114,600 208,100 Woodland 0.000 0 0 Totals for 2005: General Property 12.000 93,500 105,600 199,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 115 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i . AS BUILT SANITARY SYSTEM REPORT OWNER C/ L /a f ~i `L ~ TOWNSHIP „wi,e _SEC . T3e7N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 1163 .4d_ EVERYTHING WITHIN 100 FEF'T OF SYSTEM X s 7~I di ate or, th~ A row sc~iJi BENCHMARK: (Permanent reference Point) Describe: t3~"l ~_3y yELi~ « >tg fao~ % Elevation of vertical reference point: -e- 0 Slope at site: SEPTIC TANK: Manufacturer: - Liquid Capacity: Number of rings on cover : Tank -manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cycle gallons; tots capacity o distribution lines gallon: size of pump head; gallon per minute horsepower bran name of pump and model number ; Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number o pits ---feet diameter feet liquid dept seepage pit in et pipe-elevation bottom of seepage pit elevation feet. j SEEPAGE BED SIZE: number of lines width _lerigth~tile depth /0._ SEEPAGE TRENCH: width length PERCOLATION RATE 3 ~ 3-- A REQUIRED /_5AREA AS BUILT 6'z y INSPECTOR DATED - n PLUMBER ON JOB G w:= 4 LICENSE NUMBER- °7ZC~ DEPARTmE(dT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LAg R & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.OsX 7969 s BUREAU OF PLUMBING MADISON, WI 53707 0"N 0 : QCONVENTIONAL ❑ALTERNATIVE ~ t State Plan l.D.Number ❑ Holding Tank ED In-Ground Pressure El Mound 10 N (It assigned) NA E OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 1 fha'G21L!J' BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. ^ REF. PT. ELEV.: CST REF. PT. ELEV.: IC ` C Name of Plumb- MP/MPRSW N... County Sanitary Permit Number: C t - r SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV.: WARNING LABEL LOCKING O P IDED: PRO I,2, 1 ©~3 FYES ❑NO Y'rb / f S ❑NO BEDDING: VENT DIA.. VENT MATL HIGH WA ER fV UM"E RM OF 'ROAD; PROPERTY ELL- BUILDING. TO FRESH ALA - - Lr~E IVENT AIR INLET: FEET FROM W~-1/8 ik~YES ❑NO S NO NEAREST j W /9/ - OSING CHAMBER: MANUFACTURER BEDDING: 'V ID CAP ,IT MP MODEL JPUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: DIME AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEARE_ST-0 SOIL ABSORPTION SYSTEM. Ch ck the soil moi ure at the depth of plowing FORCE METER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire, onstruction shall cease until the soil is dry enough to continue.) I MAIN 1 L~- CONVENTIONAL SYSTEM: -111 WIDTH LENGTH NO. OF DISTR PIPE SPACING. COV R NSLRI;. CIA LIQUID I.S BE D/TRENCH C TRENCHES M RIAL PIT DEPTH: DIMENSIONS FILL DEPTH UISTH. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. NO. DISTR. NUMBER OF PROPERTY WELL. ~ILDINI: VENT TO FRESH BELOW S~ ABOVE CO~R EIS INLE T E N PIPES LINE AIB~INLET„ FEET FR 'N_j 3 1 1 NEARES_TO- sI~G~l6 8 C/IIQT MOUND SYSTEM: Mound site plowed perpendicular to sl pe /Checthe tex f the fil l material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: s ms ma m that it ON REVERSE SIDE. SHOW ELEVA- riteri medium sand. TIONS MEASURED. ❑YES El SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER THENCH BED DEPTH V THEN B DE H OFTOPSO SODDED SEEDED MULCHED CENTER EDGE i ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: NIDTH LENGTH NO. OF L ERAL SPACING. GRAVEL DEPTH PIPF FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES. DIMENSIONS NIFOLD PUMP MANIFOLD DISTR. PIPE M IFO LD ATFRI DI H. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING Eb ELEV. CIA. ELEV.. PIPES DI A.: ELEVATION AN . D DISTRIBUTION INFORMATION THOLE SIZE HOLE SPACING; DRILLED CORRECTLY AVER MAT IAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES N ❑YES ❑NO COMMENTS: PERMANENT MARKERS: ERVAT144 WELL NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑YES ❑NO ❑ S ❑NO NEAREST Sketch System on Retai ounty file for audit. Reverse Side. TITLE. DILHR SBD 6710 (R. 01/82) y J ' State and County State Permit # - Permit Application County Permit for Private Domestic Sewage Systems County C4,C)" R *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: &12027- A/5' 00,eA CmciA7- sT &Z IW V_ 635ia49 B. LOCATION: Section _L_, T,70 N, R-19 E (or) (9 Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township r~M~iPT C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) Variance Single family X Duplex No. of Bedrooms 3 No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X_ Poured-in-Place Steel Fiberglass Other (specify) New Installation X Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate - Total Absorb Area sq. ft. New XReplacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top)No. of Trenches Seepage Bed: ,2_Length -6-A" -Width A2 ' Depth Vt Tile depth (top)-'' No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land -Z -/-5-.26 Distance from critical slope WATER SUPPLY: Private X Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 1, 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 # SS-JSSP,59 and other information obtained from - caner/buil e Plumber's Signature MP/MPRSW# 32D.~ Phone # ;71r` ,-5 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. v 3 z E Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State J Cou t ate "t -r _1 Permit Issued4Rajeefed (date) Issuing Agent Name i c i Inspection Yes No State Valid# Date Rec'd 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 7/1/78 ~ DEPARTMENT OF ETY & BUILDINGS REPORT ON SOIL BORING A1,02 DIVISION INDUSTRY, P.O. BOX 7969 LABOR HUMAN AND RELATIONS PERCOLATION TESTS ( )S~eto~~~'G ADISON WI 53707 HUMAN t9 LOCATION: SECTION: OWNS HIP LOT NO.: SUB N NAME: '//4 / /T o N/R,~j I~lo o , COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: JJ USE DATES OBSERVATION MADE EDRMS.: COMMERCIAL ~DWTION: ER Residence ,New ❑Replace PROFILE NS: LATION TESTS I 7- : RATING: S= Site suitable for system U= Site unsuitable for system #p~ Cf ~?s~¢ CONVENTIONAL: MOUND: IIV-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) 1 ,®S ❑ ❑ S $ ❑ ❑ S RU ❑ $ ®U cri~duc- " If Percolation Tests are NOT required DESIG RATE: SYSTEM If any portion of the lot is in the / under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: / PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBBRV. ON BACK.) B- V e. 7 Y' If "Jy Zk 6ti Goof mad s B- 2 Y" ib/' _ " ,C&ae- 7 Y " 8l IS B- 3 YIr IW'-Fj f f ~~ct ` N sr n B- y Y" = ,clog Y" /o r~ s /G r~ s H iss B- • PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PER oD 1 PERIOD2 PERI D PER INCH P- 8tf Q :L -----3 P_ oto 6 P_3 Y(I o P-. P_ PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal 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 of land slop. SYSTEM ELEVATION ~I:J = L " 17- _ _ viii S u.y'6~r /;~>/✓~r/) A o~os V l3 F go C'' !to A o a~ t F e't ;M ` _.s 74 /Cc~'~- Ilk Q 41' o o sy-P F E I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ,464640` ` c' l ft e.Ir '7-dl- jfo~_ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): 2 r R yo /4 S- 7! 3 fr C TUBE: n DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81) I __J .a s 4, a i • ~ i i ~ ~ is ' •4 ! i!1a K ;b ,moo qs .-.:yam - 1 t '~.q 1 ~ a:,.~ s ~ 'TS 'Yl,~° r s. fib r NNX t.'. ti i t ~ a • < 1 21- N t f Y ` ' _ a .4 4 1 tr . V TA7" ~1GU 6 x x- ac-- x X x x f3/'l 7 OP OF f" 407' PIPS - 00 ~Z S~Q _ fl Z v~~ u 5~ ©osEA' _ pRcuELC. Qvrro~/ - s~Ep~G~ R,6-n hhra~' "i 7 _ D O C 10~2~ ~~N r a s? /QA/ ' p o p C t> !D Cod Y Ca ® 6 0 6~3 O®0088®6D ~De ~~►6 J ®p0-to1RK Qa' p ~ Ga - - 0GD F'BD~~~6~ 49 6O roedb 9s C! Be J52a 2,2 A ~sy5~• S~Qe no ~Q DRAWINO- Dom ~'e~M/rT PORA ~'Ti~i4uG /'~X• ;emu /~6 ~SoME.es~7' Gam/` -10 3,~L i - • sir~r~ ~GU y E y K 410 00 Joe ~ ~ jpr ~,L ~oTro✓~I >C ~ p ~'cPns cA OUN lAge/V 3p*Rd Cv- ~e ~ ✓ ~ 'i~'~ ~ ~ Any 0 `~j NrtQOrr `l, j_ c~ ~j f ~ c~_~~ `,~-~t,~,~~O~U` c~,e. , 61, -71 PQC+ NO, SL'+4.&r r L . • a srA7'e #w B!'~" 7'oP o F plvC ~ ~ f~ PQox P~1 - ~.,e'-ice o~ Joe 'S►P~ NOW S~°Fs/D~4QE ;QA h 64444 LZPI:~ 1 E /o.tR~ vC~ -Ire ; f D ~1 m m co `t - ~.T oho 0 0 ~.1_, ep,.~ _ SAO ae o op 4V (0 a E 8 N ~R9 o 0o v o o ~5r ~ 40 1 4 49 i o O iuo x ly- -E S { i i 0RA4-&1WG BY .P Coc .tT /~T AMWPORA