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HomeMy WebLinkAbout276-1043-35-138 re ca p K-00 C7 L1 0 m 1 2. '0 9 CD \ 1 0 ~s Cl) y -I = N w rn ~ ~ 9) ~ `C • j n d 3 d o rn m ro a c p y co co a w o ►~h rll (D c co = rn T] m O Q d N d N i W < W "pti \ 1 m r,) C.0 O 0 7 (D (D N cn R O O C CD CCD c7 j -n m 3 (A co go 7 co W N co W O d C D a co m =3 (h W a m c n. I o o 3 O °rn Q p CD (D m Q n " v z O O O• o ~ -D ~ ~ ~ ~ 3 aQ S 3.. N (n I o• V vv U) I (D D g Z) m ID 3 0 d N 0 p C N El ? N CL W N Cl) z N o y N o_ m O ~p o' (n • N ~ N G CD W n z D Q ' ` m I O_ = A z o n A o. M N rn m00 CD CD C z o Q * Z M 3 3 CD A N p~ 5 -n oon N.~ D 3 O W ] Q O Cl (D cn 57 (D 3 n 0 p@ o n ~-p Nd"~ N C d (CD n n - 7 CD 9 I ~ cD (p X y O _ ° x N N tl = N N ~ n ~ f0 ~ a. _ Ln o D °o (A 0 p' B 0 CF) CD d CL m ID z In (D c~ v CD N _ N N "p p O O n O a CD 7 7 A CL a (D ti • CD DQ CD w [n O o CD s v Parcel 276-1043-35-138 09/12/2006 11:18 AM PAGE 1 OF 2 Alt. Parcel 36.28.19.322G-38 276 - CITY OF RIVER FALLS 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 - NOVAK, ANTHONY ANTHONY NOVAK 183 E POMEROY ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 183 & 187 E POMEREY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.585 Plat: N/A-NOT AVAILABLE SEC 36 T28N R1 9W PT SE NE FROM SE COR GO Block/Condo Bldg: W 608.5' TO E R/W HWY 35, TH N 541', TH E 235' TO POB, TH E 170' TH N 150', TH W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 170', TH S 150' TO POB FORMERLY 36-28N-19W SE NE 040-1140-50 (563S) Notes: Parcel History: Date Doc # Vol/Page Type 04/13/2006 822729 WD 04/13/2006 822728 QC 03/20/1998 575454 1307/391 WD 02/05/1998 572446 1293/540 QC mor 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/15/2005 Description Class Acres Land Improve Total State Reason MANUFACTURING G3 0.585 0 0 0 YES Totals for 2006: General Property 0.585 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.585 46,700 114,400 161,100 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 276-1043-35-138 09/12/2006 11:18 AM PAGE 2OF2 Parcel History: cont. 07/23/1997 526829 846/468 AX 07/23/1997 1111/166 WD 07/23/1997 900/544 07/23/1997 893/375 04/27/1995 528271 1119/303 WD EAST PART ROY T ,s cuyne SEE PAGE 27 28 N.-R. 19 W l~cT Ncs En/oE J~ rd ae ~ ~ John F ~ h Mommy W os~~ %9.6 SMAt-L 97 one W o Wl"" 41 f ed S. x ~O8 n v C\H eo . fJE.PInc.:TRacrs. z°4 B7 /5'x.77 C F h ,Pou.S W d- ~ /l/s. n % W/mec~ G ~i • h ~n~ y Ne/e~~ ~o ~v~ 'l n Hand/os y~ De/ °es Har Q 6,7 a4 ✓ .3 C De/6 ecY; Gem. '0 V , U dog o o of ooh/ r . 6Bs, '5'--5p e f7 111e a n ~ . ~ ~0 4p q F ~~JO ff Q ~ ~ ~ /03 f0 ~2 70 / s9 l\ z~0 R.ch a,-d Q T ieba/d cX J c5'o/6e 9 4. j -0~7 ~ ¢o Leana~d J C y /'lE ~~-/-.~-Q La FF Bo -~~ru.-tee.-s o Jess s'o • e%x /6a f • zycy f. zoo r C~ n ~ Leo sew//¢~j \ doh 9 cS~'af a, 9/70,rj9 /3S OE 90 C ~ ~Al P ~ Troy 9Sh. / 30/ s9 /'e ,Qo~ O 1 < /d S g° df C° /~/9o b U /9ac~fict •,Pafi/ FJ~f Feyec_ -36.BS - _ eiseo L.y/e £ 95 f N/acioq /zo ' o© <,i /~szz Tve. w ~6g ~1J¢/e• Maccc//a 0 z ahox ° deb andf Po6a / aoe° i i7o L~ 4 ~ a S/Bd< • ' 0 3741-s ~s ~Pa6o~ f T 793 O/re~sy f/aco/ Ltla/fcc ~ ~ .nfh ~✓o sLEC~i ch JU //era . do E _ yo Ti:»~P, O as , i¢6 1'- Ey efa/ sia ~.5//o ide, low s. HuPPr.} +a R ss Ru do x /6o 16o <~.c J e yj ,/izs S' .th 96e.-f ~s-6U 40 ~Q!o' Do~,¢/at s tQ y BO Bp e,laX ~ 'Te¢~~iefj° Lawrence h Pnaizsch:ns i ~ Jesse., Nup~e.-Y t B.irh en d ~e isy Bo • Bo ~Q fh. W C V~ ff~pcc7- l4! ,Bnov.~q ~ /6Bo/ ~1 \ ~ J -0 6o afxz/ C ~ z67 Joh~soi7 240 4o a ~ ~ nOi' • loo H R e Fails ` ai/eye Sfafe .t7a ,E so s/,;~j • asrc u- G.P~c l7avd~ /y~~ //6.2o E/Pi- ~c.5o~ ]s.4/ Pow ~c'4 ~ dC ev ,-~s~E~ ~ Oho/% v ar.e f. F 7Rsz ~eqe ~ ~°o~/son ,f ~ zom L.Sa~/cs F v"avecY 6. Oiladc~c <5'fo/a B6 C'a~is°n o~ yDw ne ~ Facets Inc. ~ //Pgcs ~ ~~E 65 /6o G'ac/~ //S z9oS ~hnso.~ o/~~ <L.CJ X9871 170 a /4J cnnefh 35 MM ` eo s~ • , mnec E¢c-/ ~ C _ • 9s7/ _ Cen.~o- o a o v ~ °z L ~ Ph./. ' J. 64 ~ f"I 9,9.6e Q- f7o~s ~5 ~b ~ yV ne Fe P ROAK': ~(IN d 0 41 `~.C ~ S~r7 • pGE 6 RM~ 9- //00 r BS ~6o Sh on - 4 ' 3 w 117 /30 0 pC v v W r ~7C _ Lck'y 27 , C //mss reacrs I~w . 7731 I e i6e ~ tl~ i ~ G 9e env ~i,~ ~V • e% Dun: a L¢s1~.-~ ce _ ii3 N~/so 69 Cerno us ` e,.-~oLo s "~L t~}' 0~97.z oe✓ °ca' c. RE, ~y7¢ PIERCE •COUNTY KINNIC RIVER FALLS IMPLEMENT COMPANY MEDICAL CLINIC, LTD. e. ALLIS-CHALMERS PHONE: 425-2711 PHONE: 425-5322 GENERAL CONTRACTOR River Falls, Wisconsin RIVER FALLS, 5402 WISCONSIN 54022 RIDER FALLS, WISCONSIN - 425-5956 AS BUILT SANITARY SYSTEM REPORT ux R ADDRESS - - , TOWNSHIP , SEC. i l Tom',) N, R W ST. CROIX CO' iiTY, WISCONSIN. .-BDIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I ~ I i - I I w Indicate North; Arrow i r- i i S CALF tPTIC TANK(S),°~, MFGR. _ t, CONCRETE . STEEL N0. of rings on cover Depth i DRY WELL t ANCHES NO. of width length. area no. of lines width length area i 7i. c'La depth to top of pipe • aGREGATE ► `/r ~nlf7`'17 c~~lr l`- t'~ s Pra );W, RATE c AREA REQUIRED AREA AS BUILT Tole 3 i►sciaimer: The inspection of this system by St. Croix County does not~imply icomplete .o;pliance with State Administrative Codes. There are other areas that it is not possible .o inspect at this point of construction. St. Croix County assumes no liability for 13tem operation. However, if failure is noted the County will make every effort to ;jtermine cause of failure. AEASES AND OILS SiiOL'LD NO BE DISPOSED THROUGH THIS SYSTEM. `INSPECTOR r DATED PLU', iBER ON JOB LICENSE NUMBER 1. 'I PORT 01 1NS1'( C ! ION INDIVIUUAI_ tiIWAGI SySTI M S r(vi t 1rt b y I' > rrr i 1 State ~cC St. ('ho(X ('oUVI 111 Sect<ov1,4l-ot N SubdiviA-ion [ I'I IC LANK zc yavrtA Nurnbe~t uh cornKm~rtrne.vttA - - - - lit ltrtvt~'c (prom: We ee k5 it 41dlvrq !2° beope F11i ghwct test I'IIMPI'NG CIIAMBF R St ze--- ------`Iae.eoY16 ")Lu'mp Manu4a.ctunerr Mo~I~k Numf~~,~~ 11O I V IN(; TANK l t t(kovA Number of Compa4trnentA I'rtml.,r'r Ae.a.rtm Si/6 tern fir: vi c i, ( n u m: GI c f - 8 u,i . di n g---- 12 o M o p e N.i.git wate n A li',OWVIION SITE (ic I TIt evteIt % 1oiwc iorn.: We P( ~ a 6 u4' f d~.na ~ 12 s A I,o r,c If i qIt wct te.ti ~t~',OI21'TION SITL DIMENSIONS W dtIt o{ tnench ~IV4 Reg1 -i_ned alteu IenIltit It each Une___~. It De. 66 'tocfz bekow 4,1C ivt Nttmbeh o6 0'-neA ' Depth u4 no ch uveit ti.Ye ~vt I , tue ('en9th 0A f ne. 6t D ptit o{ tife be flow q~t (x de I)r tonce between f.ineA 6t tupe othe.nelt vt. pv~ i 100 Al I~,tul' abAOnpt-ian a hem --fit Type oh Cove,c: Papers opt thaw j' l I P I M1 NS IONS Nn ut(,,- rt pt 2- to Grave f` anound pct A yeA ni, 0 t~ttii(1c dtarrnc"te~t / ~1 0 ptIt bekow .iV1eet I 1a I' abAO,,cpt.ion a~re_a- 6t h A'roa hctlu-i~ted - t N ill C T F "-V- -f / TITU - -l -L -.lt' - 0 A I I 19 't 11 C I 1 P OA-I 1 19 a 1;i'N 101\) Rt 11 CTION PL,B 67 State and County State Permit # 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: % s s /s' B. LOCATION: &0- y,, Section / T N, R Ir (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township 21,1 tf C. TYPE OF OCCUPANCY: *Commercial T_ "Industrial *Other (specify) *Variance Single family- Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY 66C> 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 X' Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area ~_sq. ft. New Replacement /~-Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. - Ti nch: Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit:-4Inside diameterLiquid Depth Ing No. of Seepage Pits Percent slope of land- Distance from critical slope WATER SUPPLY: Private Q 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 C rt fied Soi! T st~r5 a NAME /LJDfY14 S~ (~~t ~j' C.S.T. # and other information obtained from (owner/builder). Plumber's Signature L P/MPRSW# ~d3l Phone z ~ s- Ezg Plumber's Address ' A%go 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. E a a t . aW _ e F d _ m E ! i i n t E E J - _ ..m- a m.~„. j i m E r i 3 I 3 . 3 sj i I _ . F € E j i t 'I Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONNLLYY Date of Application 1cL! Fees Paid: State/'/", County Date Permit Issued/lRejeet (date) y - Issuing Agent Name Inspection Yes 'X_ No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 12. 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 P.O. BOX 309, MADISON WISCONSIN 53701 44)- 7,98 Z14 ION~NG 1 LOCATION: '/4,~O/a, Section .J b ,T~N,R-dE (or) Yownship or Municipality Lot No. , Block No. County S7. yers Name: v r DIP S Subdivision Name Owner's/Bu pp f Mailing Address: ~e Mx jr1 e iI' TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLAW44 ENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 16 PERCOLATION TESTS SOIL MAPS ET 91 NAM OF SOIL MAP UNIT 0a 6 A k ` lets it 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 AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- s be v F 'IS P-a 2 a A16 r o le, 5~ Ali- ~r P- 3 122 10 kNe .2o'' w 7ev P_ qL SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THIC NESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B_ !I B- B- B- 113- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan t cation yd square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Give horizontal and vertical reference points. Indicate slope. I 3 Y 1 g Fires e0- ID le e TN f resevit Sept id E ~ 1= rerle1) Hem 9h~ roU) 100- k's V4 4evel coirneI' A45c ale-~ cud ~1= 9~`9" gam 5 13" gay~~~3~, 'EIA Trees Isere boles fr 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)s Certification No._ Address 1 r Name of installer if known Copy A - Local Authority CST Signature 146 ,C~ P 'to,; ~tl Selct ~ ©tr tij E k !1 f i 53) 11 3 Y