The URL can be used to link to this page

Home My WebLink About042-1049-20-000 i O y r O CC CC ~ O 0 0) 0) 0 3 3 O 9 O -4 O N - O N Q N N N 0 0° ~(D v * A-4 N) o r~ O C.n c ~D CD 3 = o N. 3 7 N ( O~ O to 7 N r C !V C7 ~y CI a N ' ` T (n z D ` O N a (D (a C Cil c Q _ 3 :1 :i T 'i `C W 0 V CD .A a D i ~z 5D • FE- CD CC) co 0 C/) 0 a (n rQ N) ;z !Y 7L ~ N Z V~ o a I-3 41 cr O D C) 0 vi- w CP -t- = O CD \ ' w v N ~ N 5 Z O -i ° Z co 0 A D 0- :3 (D N l~`ill P~ ~ m fD N N (D a i N c M co m°- i Z zc A z 3 N itJ - I C) CL 00 c a 3 Z o z M CCD a r I . r-- CD (n CD C: Cp CL ~.o C-0 N ~ c~ \ V 7 7 n d - p N 7 7 a 0 L r < 7 n S 0) Z d v o m m CD cr x cn m m ( s~~ 3.m N m cfl o n m ? 3 v O (MD m (D o o ~7 a ~O v 0 C) O A CON~ T. l7i O c~ 0 O N !i a 7 0 O N ? N r 7 C ti O M O O N ~ N CD 0 -p ~N'QN ~ N N N ~ O a X A V O Ol 0Q O 69 d ~ O * C a Parcel 042-1049-20-000 04/18/2006 08:55 AM PAGE 1 OF 1 Alt. Parcel 18.29.18.274D 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: Owners : O = Current Owner, C = Current Co-Owner O - WHITE, WILLIAM G JR & JEAN M WILLIAM G JR & JEAN M WHITE 952 100TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Prqpprty Address(es): Primary Type Dist # Description * 952 1100TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC i,ff 2 7 . Legal Description: Acres: 1.760 Plat: N/A-NOT AVAILABLE SEC 18 T29N R1 8W NW NE 1.Z6A THAT PART Block/Condo Bldg: OF NW NE INCLUDED I 1_OT 2 OF CSM 5/1225 ASSESSMENT INCLII > Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 18-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: - Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.760 34,600 170,000 204,600 NO Totals for 2006: General Property 1.760 34,600 170,000 204,600 Woodland 0.000 0 0 Totals for 2005: General Property 1.760 34,600 170,000 204,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 149 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 042-1019-10-110 04/18/2006 08:37 AM PAGE 1 OF 1 Alt. Parcel 07.29.18.111 Al0 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 - WHITE, WILLIAM G JR & JEAN M WILLIAM G JR & JEAN M WHITE 942 100TH AVE lG(Z_ { LL~~ ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: ( 6.167 PI t: N/A-NOT AVAILABLE SEC 7T29 R1 8W SW SE LOT 2 CSM 8/2150 \ ock/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1093/624 WD 07/23/1997 1093/623 WD 07/23/1997 550/262 LC 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.167 52,000 0 52,000 NO Totals for 2006: General Property 6.167 52,000 0 52,000 Woodland 0.000 0 0 Totals for 2005: General Property 6.167 52,000 0 52,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 042-1019-50-000 04/18/2006 08:52 AM PAGE 1 OF 1 Alt. Parcel 07.29.18.111 E 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 - WHITE, WILLIAM G JR & JEAN M WILLIAM G JR & JEAN M WHITE 952 100TH AVE ROBERTS WI 54023 II Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 0.500 Plat: N/A-NOT AVAILABLE SEC 7 T29N R18W SW SE, THAT PART OF SW Block/Condo Bldg: SE INCLUDED IN LOT 2 OF CSM 5/1225. ASSESSED WITH P274D Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 07-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMF,N'T OF INDUSTRY, INSPECTION REPORT FOR ~'~SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS GJJ DIVISION P.O. B(AX 7969 BUREAU OF PLUMBING MADISON, WI 53707 \ P CONVENTIONAL ❑ ALTERNATIVE \ State Plan I.D. Number: Ur assigned) 1:1 Holding Tank %n-Ground Pressure ED Mound DDRESS OF PERMIT HOLDER,- INSPECTION DATE: NAME OF PERMIT HOLDER: I I 71, L ~ BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: CST REF. PL ELEV i c. Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number. SEPTIC TANK/HOLDING TANK: MANUFA URER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNI G LA EL LVRD V PR V ED: PYES ❑NO NO ~r BEDDING: VENT DIA.- VENT MATL.: HIGH AT NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH f r( 01 R AL M: FEET FROM LINE: AIR INLET. ❑YES ❑NO LF E ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: 7YIN G LIQUID CAPACITY PUMP MODELPUMP/SIPHON MANUFACTURERWARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL. BUILDING. iv NT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NO. OF DISTR. PIPE SPACING OV JINSIDE DIA *PITS LIQUID BED/TRENCH fj TRENCHES / MA AL' DEPTH DIMENSIONS PIT GRAVEL DEPTH FILL DEPTH IDISTR PIPE DISTR PIPE 1ST PIP MA RIAL. NO ISTR. NUMBER OF PROPERTY WELL BUILDING. V NT TO FRESH BELOW 'P IIPE ABOVE COVER ELEV. INLE I ELEV END PIPES LINE: AIR INLET. NEARESTM MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES NO meets the criteria for medium sand. TIONS MEASURED. ❑ SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER: EDGES. ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO. DISTR DISTR. 1 DISTHIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV.. DIA. ELEV. PIPES DIA.: ' DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED COHRECI I Y COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YE ONO ❑YES ❑NO COMMENTS: PERMANENT MA KERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE ff DYES 1-]NO 0YES L~NO NEAREST Iv'I. 410 7.~, 1 7.3 j S a 7 3' C - ~ 3' / Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TI LE DILHR SBD 6710 (R. 01/82) F, Tr DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION 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: q Mailing Address: Y AJ 7- V 0 e ' Property Location: City, Village or ;E2MU2WjX County: A' ' t/a %S / /T.' ~ N/R (or) W WA e- Lo um er: Blk No.: Subdivi on Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: a~ (If assigned) TY BUILDING Number of Public* ❑ Variance* ❑ Other (specify)* Bedrooms: Q 1 or 2 Family *State Approval Required. 3 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY 6) L1 Cj / I HOLDING TANK CAPACITY j LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: C A S E:7:2 7 Cj ea, U EFFLUENT DISPOSAL S(YSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench f Water Supply: Owne 's Name as Listed on Soil Test Report (If other than present owner): ® Private ❑ Joint ❑ Public ! fe I i I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Si ure: MP MPRSW No.: Phone Number: Plumber's Addres : N e of Designer: , COUNTY/ DEPARTMENT USE ONLY Si n ture of Issuing Agenj Fee: Date: Sanitar Permit Number: j 0t ❑ APPROVED y ❑ DISAPPROVED Reason for Disapproval: Alternate course(s) of Action Available: J Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to =r:- 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) DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS NDUSTR Y, DIVISION ABOR - P.O. BOX 796 LIMAN RELATIONS PERCOLATION NESTS (115) MADISON, WI 53707 (H63.090) $ Chapter 145.045) OCATION: ACTION: TOWNSHIP/ NICIPALITY: OT NO.:BLK. NO.TSBDIVISION NAME: IN i Tz.9 a/Rie~ K' earl F( fEt> 5c)4?-V OUNTY: WN RTTAftAE: MAILING ADDRESS: E _ DATES OBSERVATIONS MADE NO. BEEkqM: coffin IRCI1CL-b€S? RAP-Tip" 'MM0N9--.TERCOLATION S. ~Resldance New ❑Replace M Z I I- '_A N 1 L. L-0 -r AI,rTXING S! Site suitable for system U- Site unsuitable lfor system Q O ~I OU T S. 0U~fN-GF S ❑U JCI S a l I OL~DING NK: iN OMME~NDacSYSTEM -(t f2 ak~S r.+ . = i Percolation ; Pxrs ero 'JOT a~tuir+_c; ~nFSIGfV RATE ^ ~I i' it .~t-" ,rrt;nn of the tested area is in the nder s.H6319I5] (b), mclicate: 4-0 _ I Floodplain, indicate Floodplain elevation: r ~l Me N S I o1~1 S 11.1 EC.f L PROFILE DESCRIPTIONS LKO RING TOTAL DEPTH TO~ROU_.N WATER INCHES C►1ARA,TER OF SOIL WITH THIC.KNFSS, COLOR, TEXTURE, AND DEPTH D LEVATION _Q~LSERVED EST. i TO BEDROCK IF OBSERVED (SEE ABBRV._ON BACK.) B1. ca Lt 0,75; gh S: L, 3,c'S~ v f -Y 5, O,5 - (S t3., St" .30I gpt4 C -7.7U' ' ~U 8 L P o k= t i31. S: L o, Igo; 5n 5• L, 4.4C 8., L. w/ M Pp P-,Y~ Z- 7'Sv °IZ, q~E S . Z S t, r 5~. led 8" SL w Z 031- O.F,o 12d 1R., S:L, 2,905 Pd Bn SL, 1,3c~i 3w S:L,o,9j B.t SL, /,70; V-d (3„ L~2 ; WS,O,a) gr, L,C.z UNC tcr.~p t7 i'~ .r 1L,O,SSyP.d1_e-r, StE~ /M1 po mor n,4. ~'t! F3,1 A ~0.* ~1~ -10.'-3 1 7,00 8L L, 1.0'; 1:3v, S. L, z,r-s G-( ✓f GO; g+, s: L.)P, F~%T PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIMF 101"' IN WATER LEVEL N CH'S RATE MINUTES ILIME3ER AFT ERSWFLLING INTERVAL-MIN. PSI t `__~p n-rQ PER INCH 3 - ~S1 t/a-- - 14 46) r_ OT PLAN: Show locations of percolation lasts, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- ttal and vartial ty"pn reference points and show their location on the plbt plan. Show the surface elevation at all borings and tha direction and percent land slope. STEM EVAT 3.10 too r I l l i I t ~ ~ i ..Wv- 367 B- I i o 1 i ~ i r_ 16 11,J ;ho undersigned, hereby certify that the soil tests reparted on this forrii were mad: by me in accord with the procedures and methc,ds specified in the. Wisconsin ministrativo Code, and that the data recorded and the location of tho tests are corr:r.t to the best of my knowledge and L,eliaf, _ _ TESTS WERE COMPLI- IED ONE- El - CERTIFICATION NUMBER: PHONE NLIMBER(ophonall 7" , t~~ +la f. Cry -j 3yC SF3/ (C`~ GNATf_1RE j c / J ,.nl`. in .v kith-., i,.. r•,~i",., clw"Pr V 0 ..yJ U% r i i 7 V ti kill TFS ~ - S w I I r- i I ~ 'x. n ;n r, i DEPART,M ,NT OF APPLICATION cS't'°'tt3 SAFETY & BUILDING l1`0, % FOR SANITARY DIVISIO LAt';'1 A?ID PERMIT P.O. BOX 79( HUMAN RELATIONS (PLB 67) MADISON, WI 537( 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. Horizon .Ind vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chaps, x•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 Mast "lumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must I included. Property Owner: rMailFng Address: Property Location: City, Village or oyypsttj County:r %S /T 2 = N/R / tB (or) W tv Lot Number: 81k No.: Subdivision Name: Nearest Road, Lake or Landmark: rState Plan I.D. Number t assigned) "YPE OF BUILDING ( Number of ® Public' ❑ Variance' ❑ Other (specify)' s: ❑ 1 or 2 Family 'State Approval Required. TOTAL NUMBER Pf1EFAH POURED-IN NEW REPLACE- OTHi--. GALLONS OF TANKS CONCRETE PLACE STEEL FIBERGLASS INSTALLATION MENT (Spec..1, SEPTIC TANK CAPACITY ; - l✓ HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: e < a j l °l . L 4 c. - FFLUENT DISPOSAL SYSTEM Is PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED IScluare f et t ❑ Experime tal Seepage Bed ❑ Seepage Pit Alternative s ecif (p y) ❑ Seepage Trench Water Supply: Owne`'s Name as listed on Soil Test Report (If other than present owner): (Private ❑ Joint ❑ Public / the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Vame of Plumber: Signat re: MPIMPRSW No.: Phone Number: Cr A f c' fit' / L 4 /M / / ~5 ► ' j ~ lam. 'lumber's Address: NamQ of Designer: U COUNTY/DEPARTMENT USE ONLY Titure of Issuing Agent• Fee* Date: Sanitary Permit Number: I APPROVED I'V i) ❑ DISAPPROVED laason for Disapproval: kiternate course(s) of Action Available: ange of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in Ilation. Failure to comply will void the sanitary permit. STRIBUTION. White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber .HR-SaD-8398 (N.03/81) ST. CROI X COUNTY WI SC O N S I N ZONING OFFICE 796-2239 -41' U 11 1 ` `I'1 I. HAMMOND, WI 54015 December 20, 1982 Bureau of Plumbing 201 East Washington Avenue P.O. Box 7969 Madison, WI 53707 ATTENTION: JIM SARGENT Dear Mr. Sargent: Enclosed please find the corrected copy of Mr. William White's PLB 67. Mr. Miland neglected to check the seepage bed box and now it has been corrected. If you have any questions on this matter, please feel free to contact this office. Yours truly, 4WXDJA~ C - gwjDw HAROLD C. BARBER Zoning Administrator wjo Enclosure: PLB 67 for William White f J- _ T C, -1 r' p I 00 ~ w c o 00 PAW o p I V7 rU l1 / -C~ C) N m 21 936.56 _ 837.92 u w O a° 4'72,76' - O ~ N D _ rn C / - - - - - - 452.74' oo W U .mac ~ 47 5.18 O P co N O O u _ O = a 84.6 aD :K\ 217.23 2 49Y0~ G ~ lc* m \wti s A 00 ~O C* 00 / •jJ 5 66 / 578,52' y~ / s 90 90 r0 o (Yi 90 170 N y o C7 .AG,, o 1213-71 661.94' 0 551.77 ` 1 ~e) lil W m • c, G _ AN