HomeMy WebLinkAbout038-1091-80-000
n cn O K v 0 C7 r~
to 0
CD a c
CD v m
CD
1
it O
O O CU rn O C ll
0 m
z3
N 0- ro z d N A - O
E-- CD
' W w 1
o c CD M D CO o Q
v (D
J €3 c_n D C
C (D N
Q j N
N
O N
O O C_7
_ (0 co a CD CO Cb a p N
N N N C lV
z rT
111
Z O O O
o o <~z aQ
✓ N to y s ° D
-i- v CD 3
0
o v o 0
CO :3 cn
W OC N ~ ~ D1 'O O_ ~ ~y
CD C (mil
< 0 N <
N 7 ~ ~ (11 (P
~ A CO
~ Q 7
N
- z o
ZWZ
wan D m o
C r ~ C) o
t1 N
CD co
D N
C (D (D
-I Cn
z
a A Z
G7
O
Z j N
co
CCD
t" 0. z
C: 0 3 a ~
O ' Z CO
3
N _
CD zt
A N i
O
_ O I
7 N X O, Q CD
0
. 7
C) (D
w Cll O -a O
S Cb 7 R lll C
A
v ~ o ~ z a
~3~~Qa
m a~010 N
v o
cSm o
v fi
ID v OL
Q N N. N A
O 0 O OD
O ;TJ : O M
:E 0 _ 0 0 O
v n - t
Q E-, A
W N N
N O E~ = 0 O
O CD Q b
0 zr ? N
O N O
C I O
N a
N ~
0 CN
O
(D bd `O
A
EA o ~v N
O
CD CD
O CL
Parcel 038-1091-80-000 02/09/2006 03:34 PM
PAGE 1 OF 1
Alt. Parcel 22.31.18.378A 038 - TOWN OF STAR PRAIRIE
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 - STOLP, RICHARD M & CYNTHIA L
RICHARD M & CYNTHIA L STOLP
1122 CTY RD C
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1122 CTY RD C
SC 3962 NEW RICHMOND _
SP 1700 WITC l l
Legal Description: Acres: 17.020 Plat: N/A-NOT AVAILABLE
SEC 22 T31N R1 8W NW NW LOT 1 OF CSM Block/Condo Bldg: t,
5/1459 EXC PT TO HWY DESC 993/453,454
Tract(s): (Sec-Twn-Rng 401/4 16 1/4)
22-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/12/1999 606685 1441/283 WD
07/23/1997 993/45- WD
07/23/1997 993/451 QC
07/23/1997 700/273
2005 SUMMARY Bill Fair Market Value: Assessed with:
119401 159,100
Valuations: Last Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 17.020 91,400 65,000 156,400 NO
I
Totals for 2005:
General Property 17.020 91,400 65,000 156,400
Woodland 0.000 0 0
Totals for 2004:
General Property 17.020 91,400 65,000 156,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 130
Specials:
User Special Code Category Amount
I
i
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
~ i
4, blJil-t' LAIVI'1AltY ~Y .11::1,1 IcI.I'UKT
UWNI.tt- 1 UWN III l' yf 1,f k.- W
Al,UhLSS ~'1' . clku1A cuUN7,Y , W 1~cU1V` UV
SuUll1VY51UN LU'l' LOT S 1L1
PLAN V1LW
~I
UldLUUCdb 4r1d 4iUW11d1011w LO U14,=.:L L*LCjulrc:ll,cllL~, ul 111,-J
` 1;;iLk;11YTH1NG W1'1'111N 100 FLEA, U1'
f
4
I
II Ali 'tide t Lh Ar Uw
I
ULNULMA"; (YaruwnanL ratroruClLC PO IL►L) licuui 1 b v.
K
~ v
t1CVULron Or VerC1GYl,,rCtarlLllLC I,u1L1L ~L_( f ~j luljc ul 11Lu
x1.1''1` 1C TANK : ManutrL turar : yt~" ys ~ i11L~ La t< i 1.1 11 u 1 d 1 ,Aj1"u 1 l Y ? `
blu"ar of rinjia u[i cuvur unk 1u.l,t,u 1. ,vur ~:1. /U 1. I.,►e '
Tusk L11at ElavuLluu: 'r lu„lk (Jul I l::l uyuL 1u11
PUMP IL ItAMbL:t1
Mllllutt►CLurCr _ Nuull,.,l 1 L;,.1 lulls
Nuabur of A a 1 vuu111 aaC-l Ur u YC' L .1I lul L1 11.) Lly l,F
dtULrlbuLiurl 11naa -bul lull t, L L~ U1 l,uull, I,c,lj ,
ISuLIU11 11ar lUtflULa 1lurut:l~uwcl L1,A11d IIJI1Ic ul 1,utu1J
urlll 11wdu l nulubror
Typo of wornilnij davlca
tUJLU1NG 'L'ANK: MuoutuL.Lurct Nulklbc, 01 L,A11u11_,
L• ICV4llun tit «1Nt►llulc cuvdL
'Cy ,C ut WnrnLl►d davlL~
SL:L:YA ,E L'I'T SIZE NL11ul,ul .,1 I,i l Ct-:. l ki►.,u,. l CI
tnCL 11yUId dLpLh- uccijAAec I,ll ltllct III
l,i~ c1~VuL1u►,
IIULLULL O aaapak4c L CY*~vul lull I.. 1
X1_1 1'Al:l itl U 51L4, mallbl r U1 l llluu w I d I It 1. ll,I Ik4L l 1. .1. 1,1 tr
:;1;►:l'AI:L 'J'ItL:ttiiLli wldcJl ~ 1~l,~ll,,
i'LkLUL.ATILJO bl TAItLA kLQU1111-U AREA A,'-j' 11U I LT
lN.krl l lul< ~
UATIA) _ t' I .Ulllll It t 1N 1l l li
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. ROX 7969
BUREAU OF PLUMBING
MADISON, WI 53707
~ICONVENTIONAL OALTERNATIVE StatteMaanID.Number:
L~~l 17~` ❑ Holding Tank O In-Ground Pressure O Mound asiognedi
NAME OF PERMIT HOLD ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
k n C) ink
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.
LC 0 U-) 276,
Name of Plumber; MP/MPRSW No. County: nilwy Parma Number:
LA.. I~
SEPTIC TANK/HOLDING TANK:
MANUFACTUREfE;,,,LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV. WARNING LA LOCKING COVER
PROVIDED: PROVIDED:
OYES ONO DYES ONO
BEDDING: VENT DIA.: VENT MATL.: NIGH WA IN UMBER OF ROAD: ROPERTY WELL: BUILDING: VENT TO FRESH
ALARM FEET FROM - LINE j AIR INLET
DYES 13 NO DYES' ONO NEAREST
DOSING CHAMBER:
MANUFACTURER: BEDDING: LIOUIDCAPACITY MO~ELPPUMPISIPHONMANUIACTUREIR WARNING LABEL LOCKING COVER
PROVIDEDPROVIDEDOYES ONO 1/) '111 I PUMP DYES ONO DYES ONO
GALLONS PER CYCLE: ERATIONAL NUMBER OF PROPERTY WELL BUILDING IV NT TO FRE N
(DIFFERENCE BETWEEN s' FEET FROM LINE AIR INLET
PUMP ON AND OFF) OYES ONO NEAREST
SOIL ABSORPTION SYSTEM. V ck soil moist a at the depth of IOWIn LENGTH DIAME TER MATERIAL AND MARKING
,PA g
or excavation. (If soil can be rolled in lo a wire, co struction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH. LENGTH NO.OF DISTR. PIPE SPACING COVER INSIDE DIA *PITS LIQUID
BED/TRENCH TRENCHES MATEHIAL: PIT DEPTH
DIMENSIONS
GRAVEL DEPTH FILL DEPTH UISTH PI E DISTR. PIPE 1ST . PIP MATERIAL . NO. DIS R. NUMBER OF PROP Y WELL BUILDING: V NT TO FRESH
BELOW /PIPES. ABOVE COVER. ELE INLET ELE 4AEND PtPE9-!.. FEET FROM LINE. .A, AIR INLET.
4P 3 it NEAREST
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 system to make certain that it ON REVERSE SIDE. SHOW ELEVA-
OYES NO meets the crit is for medium sand. TIONS MEASURED.
O
OIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS
O
DEPTH OVER TRENCH/BED YES O NO O YES O NO
DEPTH OVE •ENC DE TH O TOPSOIL SOOOED. SEEDED MULCHED
CENTER: EDGES of
t " OYES ONO OYES ONO OYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH NO.OF LATERAL SPA N16 t'HAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
.
BED/TRENCH TRENCHES
DIMENSIONS 4
MANIFOLD PUM MANIFOL DIS PI IF'OLD MA ERIAL JNO,S DISTH DISTR1 DIST/TIBUI ION PIPE MATERIAL & MARKING
ELEVELEV.DIA E V. PIPDIA
ELEVATION AND
s / 'IV
DISTRIBUTION
INFORMATION HOLE SILF HOLE SPACING DHI EU H CII MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
+ /ONO [OVER OYES ONO
COMMENTS: PERMAN N KER OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING.
FEET FROM LINE
OYES I - I NO O YES D NO _ NEAREST
Sketch System on Retain in county file for audit. •
Reverse Side.
SIGNATUNF..._"..]IIILt 10,7
DILHR SBD 6710 (R. 01/82) ` = " + r`a
DEPARTI E~ NT OF APPLICATION
SAF
INDUSTRY, FOR SANITARY SAFETY & BUILDINGS
ON
LABOR AND PERMIT P.O. BOX 7969
HUMAN RELATIONS (PL13 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. The owners copy or a legible reproduction of the soil test report must be
included.
Property Owner: ; Mailing Address:
Property Location: 64L, ~ Township: County:,
r..
R (o r) W
Lot Number: Blk N Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number:
(If assigned)
TYPE OF BUILDING
Number of
❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms'
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) J'
SEPTIC TANK CAPACITY 4L;4 ILL
HOLDING TANK CAPACITY
LIFT PUMP TANK/SIPHON CHAMBER
MANUFACTURER: 7
EFFLUENT DISPOSAL SYSTEM
PERCOLATION RATE ABSORPTION AREA
(Minutes per inch): PROPOSED (Square feet): ❑ New L] Replacement ❑ Experimental ® Seepage Bed ❑ Seepage Pit
❑ Alternative (specify) ❑ Seepage Trench
Water Supply: Owner's N e as Listed on Soil Test Report (If other than present owner):
Q Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of ivate sewage system shown on the attached plans.
Na of Plumber: 1 Signa MP/MPRSW No.: Phone Number: '
Cm is Addres .
Nam"f Designer: ~
COUNTY/DEPARTMENT USE ONLY
Si n ture of Is uing Agent: Fee: <7J Date: APPROVED Sanitary Permit N7tuber: I
1, C '~1~ ri f ❑ DISAPPROVED f
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 ir;-
stallation. Failure to comply will void the sanitary permit.
DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber
DILHR-SBD-6398 (N.03/81)
idIl Akl~ siLl
f
r
t
IL
I it
lJ ~
e
u
IOUS
DEPAR N OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
iNf3USTRY, 9 C DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969
HUMAN RELATIONS
LOCATION: SECTION: TOWNSHIP/MQTTrCtP7ttYFY: LOT NO.:BLK. O.: SUBDIVI ION NAME:
1/a N/R 11 (or) W 1
COUNTY: OWNER'S /BUYER'S NAME: MAI I ADDRESS:
USE DATES OBSERVATIONS MADE
NO. 177 MMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS:
®Residence ❑New Replacev k
1~- -
RATING: S= Site suitable for system U= Site unsuitable for system h
~ Y'
CONVENTIONAL: MOUND: IN-GGROUND-PRESSURE: SYSTEM-IN- ILLH DI G TANK: RECOMMENDED SYSTEM:(o~ptional)
1" s ❑u Esau [MS ❑u o s LO U DS NU
If Percolation Tests are NOT required DTEST GNiRATE: S Y S T EE L V. If any portion of the lot is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL ELEVATION D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEP:
NUMBER DEPTH IN, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-~
B ~yrv C-' ti
J / i-
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PE RIO 1 PERIOD 2 PERIODS PER INCH I
P-
3 2 J"
y ~f P
P-
T \
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 perce :t
of land slop.
SYSTEM ELEVATION
y
f
v ;
s .5
1-514
J-
4
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures met,iods speci:ed in the Wisccn,i
Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME 1 cjnt): 1 TESTS WERE COMPLETED ON:
ADDRE CERTIFICATION NUMBER: PHONE NUMBER optional):
41
CST GNATU E:y
DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester.
DILHR-SBD-6395 (N. 03 /8"