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HomeMy WebLinkAbout036-1039-70-000 0NO ~vn t7 o c o 'm 0. m T .D gt c C: m m io 3 O co cn (n z o m v o 00 0 -4 s j rn CD m -4 CD CD 0 1") c CO =3 _ w cD - '.I m w 0 n co a d c/i N \ 1 N ~ O V O cT 0 C CD :3 7 D o A~ O rn 3 ° (A G' o °o m 0 N) ° v cn < D - d a s N W ~ CD c 3 ~ C) z I lot _ - m (D cD 00 CD m m CD 00 00 = n o N U) 7 z O O O " I o CCD m U r-3 N y O N O CD N cD N N 3 a a N Z N z co z m. D c 0 a = N !r. o CD N CD O) N C CD N w m' a a 3 Z ? O A Z (D I O N n A Z O m a O a. ; I z j ~ d z 3 ;o O Z v N ~ ~ A O N a N O. C O - N C O a CD N I I y I ~ I I a fi I A Z I i ~ 'II N O O V A ~ W I O_ (D bq O b9 0 a O CD C b~7 C) CD O L y Parcel 036-1039-70-000 01/11/2007 03:26 PM PAGE 1 OF 1 Alt. Parcel 17.31.17.250A 036 - TOWN OF STANTON 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 - BOHL, E ERIC & KAREN E ERIC & KAREN BOHL 1513 220TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1513 220TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 25.940 Plat: N/A-NOT AVAILABLE SEC 17 T31N R1 7W 25.94A NW NW EXC W Block/Condo Bldg: 464.08' Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 751/552 07/23/1997 626/420 2006 SUMMARY Bill Fair Market Value: Assessed with: 166626 Use Value Assessment Valuations: Last Changed: 05/27/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.940 17,000 160,800 177,800 NO AGRICULTURAL G4 22.000 3,800 0 3,800 NO UNDEVELOPED G5 2.000 1,000 0 1,000 NO Totals for 2006: General Property 25.940 21,800 160,800 182,600 Woodland 0.000 0 0 Totals for 2005: General Property 25.940 21,800 160,800 182,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 rY o a ~ N C n O O i tl ti y I O Z :!t N H r N a to J V OW4 O V 4r 40. Q ~ I r ~ # Y cr O. • G~ C d t.~ E c t A t0 a ~ , AS BUILT SANITARY SYSTEM REPORT f , OWNER TOWNSHIP SEC. 77 ADDRESS= ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 THING WITHIN 100 FEET OF-SYSTEM _ - 41~3 _ .2 I - - - - - S C all - - ( i - d S I di a e 14, th Arrow SC L BENCHMARK: (Pernianent reference Point) Describe: f«N~?:-~~c'N FcsC Elevation of vertical reference point:~/C,,/,Slope at site: SEPTIC TANK: Manufacturer: ; ors r!~;,z1j~ fS Liquid Capacity: Number of rings on cover Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons iaum.ber of gal. pump set or a cycle _ gallons; total capacity distribution.lines gallon: size of pump head., gallon per minute_ horsepower ran name of p1m,j) 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 depth seepage pit in epipe-elevation _ bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines ._width ~L lerlgth~,~tile de,ptl- ?3, ~ SEEPAGE TRENCH: width length , PERCOLATION RATE REA REQUIRED I INSP DATED P BER ON JOB LICENSE NUMB E~~~~ Parcel 036-1039-70-000 11127/2006 09:28 AM PAGE 1 OF 1 Alt. Parcel 17.31.17.250A 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Tess: Owner(s): O = Current Owner, C = Current Co-Owner O - BOHL, E ERIC & KAREN ERIC & KAREN BOHL V 1513 220TH AVE 9 I NEW RICHMOND WI 54017 Di cts: = School SP =Special Property A s(es): Primary Type Dist # Description 1513 2201 ` SC 3962 NEW RICHMOND ell I SP 1700 WITC ()YVI Legal Description: Acres: 25.940 Pat: N/A-NOT AVAILABLE ~N SEC 17 T31 N R1 7W 25.94A NW NW EXC W Block/Condo Bldg: 464.08' Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 751/552 ~L l 07/23/1997 626/420 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: j - Last Changed: 05/27/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.940 17,000 160,800 177,800 NO AGRICULTURAL G4 22.000 3,800 0 3,800 NO UNDEVELOPED G5 2.000 1,000 0 1,000 NO Totals for 2006: General Property 25.940 21,800 160,800 182,600 Woodland 0.000 0 0 Totals for 2005: General Property 25.940 21,800 160,800 182,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n Cl) O K v 0 C7 r_ o y c m o m v1 2 CD v' # c CD m " O Cn 2 z coo to oft j H A Q Z Q CD N co ..a ".3 r5 r- CD 5 ~F m C IU (n C fn C-D W L - N n'! 111 O n 7 (D N O o O C tD CD O O 0 7 ' (7 O ^'~1 O lV U) CD (D (D (n Q S D W 0 rt A ON O j (D "r (n fn O C ( a 3 Z O O O a tr n l~/1 fin o D v v Q vov~ Q fn @ A A W OA O _ W z N ° zcc z o 0' Q D a 1 -b o m "WA~ D CD pro a ~ _ ~II p p Z CD m c N n _ ` A Z O W -0 m j N (D (D z 41 0 3 O r: Cl) 3 m CC) Z (D o m N C' T' 5 CL 0 j N m ~c m Z 3 0 7 0 N CD N CD iI X N N (CD O O CD \ a i' W J I d n O Q ~d o _ O N p i V I N 3 - O~ A O CD b v e» O Cb 0 C) a CD a- ti Parcel 036-1039-60-000 11/27/2006 09:28 AM PAGE 1 OF 1 Alt. Parcel 17.31.17.249B 036 - TOWN OF STANTON 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 - BOHL, E ERIC & KAREN E ERIC & KAREN BOHL 1513 220TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE SEC 17 T31N R1 7W 1.5A IN NE NW N 261' OF Block/Condo Bldg: E 250'OF NE NW ASS'D W/036-1039-50(249A) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 751/552 07/23/1997 626/420 07/23/1997 503/113 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 036-1039-50-000 Valuations: Last Changed: 07/26/1996 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 Parcel 036-1039-50-000 11/27/2006 09:28 AM PAGE 1 OF 1 Alt. Parcel 17.31.17.249A 036 - TOWN OF STANTON 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 - BOHL, E ERIC & KAREN E ERIC & KAREN BOHL 1513 220TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 38.500 Plat: N/A-NOT AVAILABLE SEC 17 T31N R1 7W 38.50A NE NW EXC N 261' Block/Condo Bldg: OF E 250' ASSM'T INC 036-1039-60(249B) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 751/552 07/23/1997 626/420 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/27/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.000 4,800 0 4,800 NO UNDEVELOPED G5 2.000 1,000 0 1,000 NO Totals for 2006: General Property 40.000 5,800 0 5,800 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 5,800 0 5,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitary Permit/ State Septic NAMI? -L'OWNSHIPi~'~~;~~---- St. Croix County SectionJiLot 4l Subdivision I.OCA'CION til?1111,10 TANK Size Q, SO gallons Number of compartments _,1_ 1) i stance from: We1.1 B u L I d I u ~r 12% slope-- ti F Highwater PUMPTNC CHAMBER Size gallons Pump Manufacturer Model Number IIOLD LNC 'L'ANK Size gallons Number of Pumper Alarm System _ I)istance from: Well Building _ 12% slope _ Highwater A1iS0101'I'1ON SITE Red Trench, I) i stance from: Well 17 Building 1.2% slope Highwater_ AIiSOI:PTJ,ON SITE. DIMENSIONS t Required areaJ~ Width of trench Z f Required area____ ---ft. Length of each line__ ft Depth of rock below tile- in. Number of lines Depth of 'rock over til.e-2- in. Total length of lines_ < ft Depth of tile below grade -'~(J__in. Distance between lines l - ft Slope of trench---in. per 100 ft. `T'otal absortption area ft Type of Cover: < 1' IT 1)1MENSIONS Number of pits Gravel around pits yes no outside diameter ft Depth below inlet ft 't'otal absorption ea_ ft Area required ft `V ` _ - - INSPECTED T I'1'L E - - AP VEDm6~ DATE 198 F 198 REJECTED DA'L'E REASON FOR REJECTION - "DEPARTA}iENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 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: Mail* g Address: rj 7 Property Location: City, illage or ownship: County: '/a '/4S ~T NCR fjE (or) W ' -r• Lot Number: Blk No.: Subdivision Name: Barest Road, Lake or Landmark: State Plan I.D. Number: (If assigned) ~ --P TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms 1 or 2 Family *State Approval Required. E i TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: r EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA f (Minutes per inch): PROPOSED (Square feet): ❑ New 9 Replacement ❑ Experimental JO Seepage Bed ❑ Seepage Pit ❑ Alternative (specify) ❑ Seepage Trench 7 Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): j g Private ❑ Joint ❑ Public II I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Sign rt~e,. MP/MPRSW No.: Phone Number: Plum Br's Address: f Nam of Designer: 7 COUNTY/ DEPARTMENT USE ONLY Signatu of Issuing Agent: - Fee: Date: APPROVED Sanitary Permit Number. M I ❑ DISAPPROVED e son 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 in- 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) -DEPAKTWENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRR'YY', DIVISION P.O. BOX 76 LAPOR AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: y /T N/R,-, E (or) IN COUNTY: O ER'S BUYER'S NAME: MAILING ADDRESS: } USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I PROF _ D R TONS: 1PERCOLATION TESTS: ❑Residence ❑New ®Replace - - l l / RATING: S= Site suitable for system U_= Site unsuitable for system CONVENTIONAL: MOUND: -GROUND-PRESSURE:SYSTEM-IN-FILLHOLDINGTANK: 13 ECOMM ENDED SYSTEM: (optional) Qs❑u ❑s❑uIN ❑s❑u ❑s❑u ❑s❑u If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL 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 DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- cY CSC ~ ~ --J _ ~B r. ~ 4 An' 13- B- /1 ©4/, ~ 90 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PERIOD 3 PER INCH I P- P j /141 AIL P - 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" 71, - I N - - _ 70 sz1<<f ~3✓ ~ s . - . , 1, 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. NAM (print): 1 TESTS WERE COMPLETED ON: J _ 'S 1 7- ADDREtSS: j CERTIFICATION NUMBER: PHON NUMBER optional): CST S1 JA RE: / 1 DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Ovvner, 4th page-Soil Tester. DILHR-SBD-R305IN 03/P,1) f ~/Uaa1r`,~ B~ ~c•/ a~a~~ -44 ~/oo 0 9I ~d ti • 1 X~