HomeMy WebLinkAbout004-1068-40-000
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Parcel 004-1068-40-000 01/11/2007 11:44 AM
PAGE 1 OF 1
Alt. Parcel 29.28.15.451 B 004 - TOWN OF CADY
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 - HOWE, TIMOTHY K & AMY J
TIMOTHY K & AMY J HOWE
2875 20TH AVE
SPRING VALLEY WI 54767
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 2875 20TH AVE
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 20.100 Plat: N/A-NOT AVAILABLE
SEC 29 T28N R15W NW NE N 1/2 NW NE INC Block/Condo Bldg:
004-1068-50 451 C
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-28N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/12/1999 601115 1418/117 WD
12/22/1997 570256 1284/223 WD
11/12/1997 568397 1276/326 SD
07/23/1997 1119/232
more...
2006 SUMMARY Bill M Fair Market Value: Assessed with:
164862 Use Value Assessment
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 29,900 186,100 216,000 NO
AGRICULTURAL G4 15.100 700 0 700 NO
Totals for 2006:
General Property 20.100 30,600 186,100 216,700
Woodland 0.000 0 0
Totals for 2005:
General Property 20.100 30,600 186,100 216,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/1712001 Batch 511
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT/`- 1
-R i511
OWNER &Cje~k TOWNSHIP SSE
ADDRESS COUNTY SCONSIN'A'
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H63
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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I di a ,e o-`th Arrow
SCAL
BENCHMARK: (Permanent reference Point) Describe: 7a,o o'~ T-d
Elevation of vertical reference point: JC)O,C~ Slope at site:_S/-71
SEPTIC TANK: Manufacturer: t Liquid Capacity: Z000 (4L
Number of rings on cover : (7~_ Tank manhole cover elevation : yam' 9_
Tank Inlet Elevation: Tank Outlet Elevation: 5!? 3
i
PUMP CHAMBER
Manufacturer: Number of gallons
Number of gal. pump set or a cycle gallons; tota capacity o
distribution lines gallon: size o pump head;
gallon per minute horsepower ran name of pump
and mode' number ;
Type of warning device
HOLDING TANK: Manufacturer Number of gallons
Elevation of manhole cover
Type of warning device
SEEPAGE PIT SIZE: um er o pits eet iameter
feet liquid dept seepage pit inlet pipe-elevation
bottom of seepage pit e evation feet.
SEEPAGE BED SIZE: number of lines wi th length tile depth
SEEPAGE TRENCH: width length
PERCOLATION RATE_ AREA REQUIRED~sC v REA AS BUILT_
DATED Jf~~ PLUMBER ON JOB
7~/ S-
LICENSE NUMBER
I'[- ( Of 11Uiv - INDIVIDUAL SIWA GL SVSTLM
Sari tat((/ I'e>(rni l
S i cr t. e S e pt i-'p ,07
^11 fowneG(4 - -St. Ch.o-i x County
<f rVI ~4 /fi► j------
/i
S'. t U n Lot t U b C ~ V' 6 ( 0 VI
r I'I IC TANK
g(iffonb N(Am1)eA o f curnpantmen.th
1 tanor ~it om: We,?..P. 8 nc / 12so ~4 o.pe
Hi.gh.waten.
'UMPINC CIIAMBER
( ze gae1on,5 ,Pump Marm6a'(_,.tun-en Modet Number
I1)1NG LANK `
c g a -P. P o n,5 Numb e-,,c. (I C u m p a, -trio yr th
AQatm Sy,6 tem
W e Z BuiZd.i.ng 12o 5fope------
Highwate n.
i'I'I ION SIT1=
I„,1 Th_ench
~,(n((Ahom: Wett B(i fdi ng t! - 12 of, .s ilope -
Highwaten
I,';r,4Tf ION SITE DIMENSIONS
IUD dtl( o6 trench _At Req.ui.~(e.d area J~ I
j ! vniItGi oA each. tine.- '41 S_ At Depth o6 n-och be4'ow ti..Pv in
Number o(~ ki.ne~ Dep-t1( o6 noek oven. ttiPe %Z+ in
4~ J I(,taP Q,ength ah 2ine.e x,,23 ~t Depth o6 ti4'e be4'aw grade _-t n
lance between tinee
2 At , .P. o p e o6 -t n. e- n e h vt . ~ 1 0 0 ~ t
i,raP of A011_ption. area- _.*7 ~ ~x Type aA Cove.n: Pape,e o1i 6 tA((w
I O I MI Wti IONS
Nnmh(-( oA p,i.t~- - 0nave4' around pit!, yea ,
I' (IV di-ametell At De.ptIt bePow in vt At
i r((P abAoit ption ldnea ~t
A'lC(( I(ry((inWd- {fit
111,111 C I I D L-;V ~ i+ 11 T L r `C~J
I
r I( DATE r 9 K
1`,~N I M,' I:I JIX FION
State and County State Permit #
PL8 67 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:
i 1, 0 H U
B. LOCATION:
V '/4 '/4, Section -2 T N. R /S- F furl W I ot# -City
- - -
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY IL%C1D Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete ✓ Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DI POSAL SYSTEM: Percolation Rate Total Absorb Area 7C-4~ sq. ft.
New Replacey ent Alternate (Specify)
Seepage Trench: No. of Lineal Ft. 1-5 Width Depth-BL-Tile depth (top) No. of Trenches
Seepage Bed: Length Width Depth Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- Distance from critical slope
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
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 Certified Soil Tester
NAME rThu rev- C.S.T. # IS-26 and other information
obtained from (owner/bu4de- 1.
Plumber's Signature MP/MPRSW# '-!S~ S~ Phone # ~'f
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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT U ONLY
Date of Application 5--,-;2Z J1 Fees Paid: State C unt A Da
Permit Issued/R jected (date) Issuing Agent Name
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
EH 115 Rev.9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ,i
P.O. BOX 309, MADISON, WISCONSIN 53701
\to
9.~
LOCATION: N!"'/4,J '/4, Section ,TZaN,R_= &4ofl W, Township o AAt +ei}9aFrty
Lot No. ,Block No. County
Subdivision Name
Owntrrs/Buyers Name:
Mailing Address: v\ZA Aj UA L L E-;- !it i 67 _
TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW _ REPLACEMENT ALTERNATE SYSTEM OTHER
L~I,Z~? /o/y/7~ iol x!710
DATES OBSERVATIONS MADE: SOIL BORINGS _~4, r. s/~s✓a, PERCOLATION TESTS
SOIL MAP SHEET NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL
MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- 1 SI TS 1 lS ~`9 ZS ~0 3o Z~3//~ Z~3~/o z/3~/6 II
P- z 3s -7 n L 7-9 Z fvu 3 O 1 7MI.
P- 3 3~ 1 , IS 1 Z 5 No 3~ 3/`' //y 3//y 9
P-
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P- 1Jo TAT 't,t ct_ T~e.,r R.:.~ 3 E~ vv
P_
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- t~l~1J~ % z Si -1,S,--) • S~l^,IS' ~h S
B- Z Z d pan 7 7 Z L Z3 G4 Z h 1 S
B- 3 ~Z '7 7 Z lU ' s wrrrl R Few Pig of Lltyt-IZ0< S~
B- -7Z 1-~0YVI= 7 -7Z 1)>zi~ih s l % S'2 n s'' B 3h )S 18' wIVQS 17'3 CS ~i
B- S ~O }~kl►VE ? c~J c°~' 1~ 3), J'S'
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 ~So t" -Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. 6v ~ ~ ~ sT 3 T O.>Cp~~s NCH So LOAj'_~
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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.
-1` Tz L . L S7 G~`1~~1Z Certification No.
Nfime (print) S~
,=address SZOV~~ 2 ~LusS o `Rf • SVaI) -
i'-0me of installer if known. S~~t~>=s~, iZvcvcJvC C. V
CSTSignat
Copy A -Local Authority ure
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