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HomeMy WebLinkAbout042-1015-90-000 n t_n O g v n r~ C m 3 d r1 M 3 \ 1 O o v w o a o rn °.1, °C • (D 3 O O X d N N (D -4 CL z d N CT m CD 0 w= m W O ao O ^ fl. d N N fA \ 1 = O_ 0- a ° UOl CD O N 7 D O 3 = N C) U) cn C O , r M (n D CD a CD CD U) CL U~ C CD N W CD 3 3 0-C.0 (0 f \ O 00 OD n r N N =or cnCQ l R N N i!f 1 0 'U -10 -p a. OOO 3 a4 \ o cn cn cn C-„ m e v Q 'D v v A v1 1 y o c = Q r CD nJ O 7 G d \~l ZWz o ' ~ l ~ ~ 11+1 • (D (A (D v s CD CD \ r a 3 7 3 n CD -1 cn r\ p O p Z N CL A T 00 M N (P C~ (D co M (D m r' rL ~ z o o 3 m ~Z A C.J O a 5- Q N = _ 4 -n N C O C 0- CD O O CD O 7 I (n ~ CD A (D ~ C) CD O O O ft O w N O CT O C ~ A 0 w O CD D0 A Efl 0 ti w O * Fyn C) (D Parcel 042-1015-90-000 10/13/2006 03:40 PM PAGE 1 OF 1 Alt. Parcel 06.29.18.96A 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 - LEBER, WILLIAM S JR& SERE BAUER WILLIAM S JR& SERE BAUER LEBER 1122 100TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1122 100TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 6 T29N R1 8W E 1/2 SE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1080/189 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/19/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 20.000 93,500 201,200 294,700 NO Totals for 2006: General Property 20.000 93,500 201,200 294,700 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 93,500 201,200 294,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 J G~c1 l ST. CROIX COUNTY r ti WISCONSIN - - ZONING OFFICE I p x r u - ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road I-- Hudson, WI 540 1 6-771 0 (715) 386-4680 May 19, 1994 G~ '22 ~b S Mr. Kernon Bast F76r)( -7 Edina Realty 700 Second Street Hudson, Wisconsin 54016 RE: Water Inspection for Earl Fox Address: 1122 100th Street, New Richmond, Wisconsin Dear Mr. Bast: Enclosed is the original test results from Commercial Testing Laboratory, Inc. for a water inspection of the above property. If you have any questions with regard to said report, please let me know. S* cer~ly, SID ,Tdmes K. Thompson Assistant Zoning Administrator mz Enclosure ~ l COMMERCIAL TESTING LABORATORY, INC. j 514 Main Street, P.O. Box 526 Colfax, 0.1isconsin 54730 4:1::Aw .4. 715-962-3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 I ST. CROIX COUNTY ZONING OFFICE REPORT NO.I 62196/01 PAGE 1 I ST.CROIX CTY GOV.CTR REPORT DATE' 5/17/94 1101 CARMICHAEL ROAD DATE RECEIVEDI 5/12/94 HUDSON, WI 54016 ATTNI THOMAS C. NELSON I j OWNERI Earl Fox LOCATION** 1122 100th St.s New Richm iu COLLECTORS Sim Thompson DATE COLLECTED' 5--11-94 TIME COLLECTED' 11I15aa, t~ SOURCE OF SAMPLE 4* Fa i 6 r e wn i' a l-tc f ~ ~Lt 4 E <17 r~A DATE ANALYZED' .5-12-94 TINE ANALYZED I21OOrtn INTERPRETATION' Barteriotogicati-.~ SAFE: NITRATE-N' 10 ppm Above 10 ppm exceeds the recommended Public i Drinking Water Standard. CoLiform Bacteria/100 ml Nitrate-Nitrogen, mg/L f I I r~;~ aunt: OF.\NOE7E/ypEHr Approved Lab No. 19 O ; V . n t~.. JTj' A0 ?1 nfo ~•NA..'i 3h L;avf-P hS't PROFESSIONAL LABORATORY SERVICES SINCE 1952 a~ ST. CROIX COUNTY WISCONSIN - ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road - - Hudson, WI 54016-7710 - (715) 386-4680 May 11, 1994 Mr. Kernon Bast Edina Realty 700 Second Street Hudson, Wisconsin 54016 RE: Septic Inspection for Residence located at 1122 100th Street, New Richmond, Wisconsin Dear Mr. Bast: An inspection of the septic system of the Earl Fox property located at 1122 100th Street, New Richmond, Wisconsin, was conducted on today, May 11, 1994. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Also, water samples were taken. Once we receive the results, we will forward the same on to you. Should you have any questions, please do not hesitate in contacting this office. /Sincerely, James K. Thompson Assistant Zoning Administrator mz ~N►.. ST. CROIX COUNTY WISCONSIN _ ZONING OFFICE r r r r r a ■ ■ ■ .p„~ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road' r Hudson, WI 54016-7710 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM ~ FAY. r Please specify desired test(s) & remit apprapr to h application. Outside water lines are often turned 'o£ In g winter months, making access to the home necessary. ;p1a' 'make arrangements with this office to insure that entry can be gained. ❑ Water (VOC's) 185.00 X Septic $50.00 ❑ Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria retest $15.00 Owner: Requested_ y: _ Address: Address: ~CAw-o ZIP ODI ZIP Telephone N°: (-)y(v L~y~e- D- Telephone N4: Property address (Fire N2 & Street) : l/aa Gvl S, - Location:;, S6 Sec. , T.,;2q N, R . W, Town of Realty firm: A~ Lock Box Combo: Closing Date: TO BE COMPLETED BY PROPERTY OWNER PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORY,* Water sample tap location: 'fA'P Is the dwelling currently occupied? A Yes ❑ No If vacant, date last occupied: /)/,4 Age of septic system: _ Septic tank last pumped by: WL-,( Date: Previous Owner's Name(s): MA _ Have any o the following been observed? ❑Y Slow drainage from house. ❑Y l Sewage Back-up into dwelling. ❑Y Off Sewage discharge to ground surface or road ditch. ❑Y Y Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE* DATE: q~ 1/94 it OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION (9 CJ ~ TO BE COMPLETED BY INSPECTION ENCY System design &/or permit on file? []Yes o Soil series per SCS So 4d Survey: sheet # Type of soil absorption system: []Below grd ❑At-Grd []Mound Approx. size lz-'X_,W C []Gravity []Dose []Pressurized Ft.150 []Bed []Trench []Dry Well []Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES []Other []Unknown Septic tank Setbacks: ❑HousefK[)Well []Prop. linee/ []Other 4 Dose tank A~S.etbacks: []House []Well []Prop. line []Other cking cover []Warning label []Pump/Floats []Alarm []Elec. wiring Soil Absorption System Setbacks: []House Well []Prop. line []Other ❑Ponding: []Discharge: General comments: lax INSPECTORS OF SYSTEM LOCATION ~,T vat rd Inspector Title cl- AS BU I KT SANITARY SYSTEM REPORT OWNED `I'OWNS11PW_ Sl?:C 6 I2yN-Rj'7W nl>I)I~I~::;`; 3 /,0C v ST. CROI.X COUNTY, WISCONSIN. Hcr-ou l_Wc 5 _5yo f jl~ KI I Itll I V I S ION L,O7' MT S I LI': MAN VIEW IliNittnces and dimensions to mew reyuirelneftt:, of H63 _ I:iUW EVERYTHING WITHIN 100 FRET OF SYSTRII J _ w I a ` t ' _ 4 - - - _ - P~~L 14 I I IIclikis at MA K Arrn } itl':Idt'IiMAhh (I'el- nlatlell l re tere.nc•e I i n r) I)e~:(• r i Ilc~ : f,lr v,f irrl, .)t Val I iCd1 1al er'rn(-t' poi III Slope at sil_e: MaIII)t it urc-•r. t✓.~ .t' ~ liquid Capac i t y (.ln ('t)VVel Tank ntanllole rover elevaLlon' 1"M Ilrlel h:Leval i.on: 'i'Hnk Out let I?Levati.on I' I f t°11 ' t: l I f'11'~ I l~ Manui act rte-er: Ntuuber of. ).~,a I lrrn;s 411wher of girl. pump :,E_t }for a c vr- 1r~ gallons; (_ur rid ~~~tl~tlr~i_Cy of di s l r- i tlut_ i on i_ i_nes ga L I on : or pump head; nNI Ion per minute Ilor8epower brand hike of pump .ln(i M"di' l numher Tvpa "f warning 1lrfl.IflNt; 'TANK: Manutiar_•lurer Nunlller (l gallons K i V,t 1 ion "k manhole covir vpe of warning device PIT Nltrrll)t_ r ( l f p i I s rat MnleLer. _ Ira! liquid di"th :seepage pit KIE't- pipe-c leval ion !rail tnlil r,(i :et_pa}_,e pl C E'TE'Vilt 7r-rn feel ItI:U nunllrer oi- liner; with 1) I c~,,~~ t h r, ~36 tllt' Clept:llgOrs57 I PI%NCH wl (1f 11 1 e u)"1 h 111-:1-f;0I.A'1'ION RATI~: AREA RVQ"TR_ED APEA AS BUTIT I NS 1) 1-, CT() I?, 11ATI':1) Pi.11MBIh:k ON JOP, I, I CI~;N`~h: NIIMI',l~;K `-DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR~& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 CONVENTIONAL ❑ ALTERNATIVE IS,,,, Plan I ,D Number (if assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER INSPECTION DATE. r.~~s© -Z 3 4 e) &Z 1~zl_ -Sr BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN'. REF. PT. ELEV.: JCST REF. PT. ELEV SC u sec 6 a rre r► Name of Plumber IMP/MPRSIN No_ JCounty Sanitary Permit Number'. ~ /W/// Sf. Cara; SEPTIC TANK/HOLDING TANK: _ C3 b MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV. WAR ING LABEL LOCK[ G / R DED PROV D3 i 1 :J f L,Z c ` C%-C" fi P~IYES ❑ NO S NO BEDDING. VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD' PROPERTY WELL. IBUILDING. I AVIER N ITTO FRESH LNLET. ALARM ❑YES ❑NO FEET FROM y G . C ❑ YES ❑ NO NEAREST___ DOSING CHAMBER: MANUFACTURER BE 7YES JLIOUID CAP ACITV PUMP MODELPUMP/SIPHON MANUF ACTIIRE RWARNING LABEL LOCKING COVER JPROVIDEDPROVIDED❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM NE aIR"LET PUMP ON AND OFF) ❑YES ❑NO _INEAREST _-3 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I I. I,1,".1FTER MATERIAL AND MARKING or excavation. (if soil can be rolled into a vvire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH NO. OF IDISTIR. PIPE SPACING COVER INSIDE DIA. SPITS LIQUID BED/TRENCH TRENCHES M RIAI PIT- DEPTH DIMENSIONS G r f~ 1 - ENT TO FRESH RA [ F, Ti F ILL DEPTH UISTH PPE DISTR PIPE DISTR. PIPE MATERIAL. O D NU BER OF FHOPERTY WELL. BUILDING V BFI c vv PI F ABOVE covER ELEV IN[ Er. ELE/ END s1 PIPES FE M ET FROM ~u _ AV INLET -2 NEAREST--a► 1l f MOUND SYSTEM: 4 Mound site plowed perpendicular to slope Check the texture of'the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound' systems tg make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteri 'for medium sand. TIONS MEASURED. ❑YES ❑NO l~ SOIL COVER TEXTURE PERMANENT MARKERS OESERVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVER THENCH;BED DEPTH OF TOP' IL'. SO DDED SEEDED MULCHED CENTER EDGES ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: Jj IPJI I-i FH LENGTH NO. OF LATERAL SPACING. JGRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD JISTR PIPE MANIFOLD MA TERIALNO DSTRDSTRPIPE DISTRIBUTION PIPE MATERIAL & MARKINGEtEVELEVCIALEV. PIPES DIA.-. ELEVATION AND DISTRIBUTION HDLL SIZE HOLE SPACING DRILLED CORRECT LY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS _ ❑YES ❑NO ❑YES ❑NO F'. PROPERTY WELL'. BUILDING: COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: ]NEAREST U~FR E❑ YES ❑ NO ❑YES ❑ NO - I Sketch System on Retain in county file for audit. Reverse Side. - SIGNATURE. TITLE. DILHR SBD6710 (R. 01/82) 1 PLB 67 State and County State Permit # w Permit Application County Permit # 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. LOCATION: 5C '/45c Section T2~ N, R f~ IW Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village d 7 ~f Township LU/}/P~G`iV C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms -3 No. of Persons D. SEPTIC TANK CAPACITY /tom) Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete 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) ---1~-~!~ice E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate to - 5 ~TT al Absorb Ar p sq. ft. New n Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width ~h ,Depth Tile depth (top) No. of Trenches Seepage Bed: X Length_ J5 Width~Depth~Tile depth (top) ~Z A No. of Lines .3 Seepage Pit: Inside diameter. Liquid Depth No. of Seepage Pits _ Percent slope of land 7 57y Distance from critical slope ZS 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, _ L NAME A'906 " r &1bele-,1 i C.S.T. # .55 -QL ! Z and other information obtained from (owner/builder). j Plumber's Signature MP/MPRSW# / Phone # 7/~ Plumber's Address S G .(QA-) W/s 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. APPe°~E t~E'' 7 ~d S~o~cj C-j POW) Gr~PA _ - _ - -40 d~ GV o~E~ 5~0 y p b W M IRI p tJ v U e~ 1, j C, Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State e0,0' 0 4?yCQW"-- Date Permit Issued/ Bcsed (date) Issuing Agent Name Inspection Yes No State 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 7/1 /78 EH 115 Rev. 9/78 oicL PKZ, _ REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: '/a, Section T L N,R ~00 E (or) W, Township or Municipality Lot No. , Block No. --1,4f T 0E ✓4 .-y A - P14R"'110- County Subdivision ame Owner's/Buyers Name: Mailing Address: LeCUS ~~Sn,~.j _512, 3 TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM~/~ OTHER DATES OBSERVATIONS MAD • SOIL BORINGS &/Z ? df/ PERCOLATION TESTS AV61 SOIL MAP SHEETS , NAME OF SOIL MAP UNIT e r/C' ~'q ' , PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RAT! BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1PERIOD 2 PERIOD 3 MIN;!^;' P- P-2= le4l'44 ' A-1 130A 2- Yt' P- 1ae-eP J ts7.1t~. 'n P- -3 I3(_-)ak 70 P- 3C1'~ " /EEL SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- It 611 /V 4 cry IL"DtAV ~L ~6,-AV SL, S? 449 3 C'5 B- Z/ 72- ld~ B- 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 number of square feet of absorption area needed for building type and occupancy 616- sa Ax Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. ~i~•9/~/C/t'LU & /U `6k' 3 8%0R'`l ~ v 7' E5 ix 24 P= 3i , p v: 2.1 l U S;Tt EX~i~N _ c.- bt IJN 116 5-1 V ee - - - ~ EX,'S„may 'es a 7b' ` _N w A _7_ , Q° d~ e~l PO,V1y I, the undersigend, 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) 464 7- j Certification No. ~•j 02 Address ~f 5 ,'Ve/L_ ~ . J7 .Name of installer if known ha A ? S' Copy A -Local Authority CST Signature~~ i • 1 ~ v ,NJ~ k ~Q ew 3 O~ ~D A S Ov~pA r 3 3 f.f. s a1 I , ~ - i i n 1 1311 fo 0 v yo% 5/6~ES 21,'119 f/o v O~ CO 7-11 /VE TP.