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HomeMy WebLinkAbout004-1039-90-000 0, ,0 ic -0 c, 0 d m v m m m o N w °a `C • rn m o_ o_ co " CS m rl N n n a y N s o :3 CO CO o cn w O ^ N Q N N ? N CO 1 0 c 0 N N n d O O (.n 6 O - S1 3 N N 0 e~ :3 U) C m C1 F ~ y v U> Z D O fo a a N i CD W w C: CL C D 3 O N N n v K ~~I y -4 -4 y O U) CO CD Z z O O O o~ z n ~ r lA fA ~ ~ CD v c„ O L M y O N (OD i N 3 CL - N z 0 D D o O o ~ m CD ~ j c ca ~p a 3 O O p Z CCD Z N i ~ 0 A z 7 Q. 7 _ W Ill co V fD ~ Z p 3 P ~ a w v CD CD r- 0) n 3 3 0o 2- co co m - O o z Q n O a 3 m N ~p (n CD A O ~ a 00 00 N 3 N p C p CL l ~ N OD N ° I ° a • 0 p ONo O A EA O p O (D O i C) I ti Parcel 004-1039-90-000 09/22/2006 10:24 AM PAGE 1 OF 1 Alt. Parcel 17.28.15.267 004 - 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 - ANDERSON, CARL D & JOAN M CARL D & JOAN M ANDERSON 2839 CTY RD N WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2839 CTY RD N SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 17 T28N R1 5W 40A NE SW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/17/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 26.000 3,000 0 3,000 NO UNDEVELOPED G5 12.000 6,600 0 6,600 NO OTHER G7 2.000 24,000 134,500 158,500 NO Totals for 2006: General Property 40.000 33,600 134,500 168,100 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 33,400 134,500 167,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 004-1040-50-000 09/22/2006 10:25 AM PAGE 1 OF 1 Alt. Parcel 17.28.15.271A 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 - ANDERSON, CARL D & JOAN M CARL D & JOAN M ANDERSON 2839 CTY RD N WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 17 T28N R1 5W 20A N 1/2 NE SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 757/337 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/17/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 19.000 1,300 0 1,300 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 20.000 1,400 0 1,400 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 1,300 0 1,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/1712001 Batch PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 HOLDING TANK PUMPING :DEPORT '7 8 F Name of residence 9~ Address Telephone Legal. )4 of 4 of erection) -7 r -"fJN-;i Z:v Township ;Nate Pumped Amount Pum ed Location Spread Remarks Pumper's nature t I i a _ Zoning office Use; Date Inspected Conditions Found St. Croix County Zoning Office Post Office Box 227 Hammond, `P,Iisconsin 54015 V HOLDING TANK PUMPING REPORT rl ~ 9, to Name o6 Reei.dence - jS J ~£CEI AEU A d d r ee e~ 14 in ZONING 1983 ~ Telephone , -e OffICE ' Legal: ~06 o6 Section al-R r tiTown4 hip Date Pumped Amount Pumped Location Spread Remarks Pum e1'& S natu 1 Zoning 0664'ee Dee: Date In4pected Conditions Found 'he above ingo,Rmation shaet be sent to the St. C4oix County Zoning 066ice, 'o4.t 066ice Sox 221, Hammond, Wl 54015 monthty by the Pumpers. The ndotwation wilt at that time be reviewed by the Zoning 066i,ee and ptciced ~x a permanent bite. tandom inspections Witt atso be made by the St. C4oix County Zoning 066iee _o inApect the sueczss o6 the system tit the above toeatcon. L r • HOLDING TANK PUMPING REPORT Name o6 Residence ? ~?~~<,ryy 1992 Addn ea a ZDNINb ' Telephone Legal: S 14- o6 ICIL % o6 Section ~T--N-R W /I, fownehip - Date Pumped Amount Pum ed Location Spread Remarks Pum e2 a,. S. na.tune .m r 1 Zoning 066ice ua e: Date Inspected Conditiona Found the above i.n6o4ma.tion shaf-t be cent to the St. Caa-ix County Zoning 066ice, 'oe.t 066iee Box 221, Hammond, WI 54015 monthly by the Pumper. The n6'axmation wit. at that time be nevi.e_wed by the Zoning 066i.ce and ptaced :K a pe4manent 6i.te. random inspections wilt aL.eo be made by the St. Cno.ix County Zoning 0664'.ee 'o inepect the aucceas o6 the ayatem at the above Location. w ty2s §r ~af~rrrc ~ a2 "to aFFrC~ s. LZ 3 r « e z REPORT OF INSPECTION INDIVIDUAL SELVAGE SYSTEM ' San.i.taAy Penm.i-t State S e p-tic NAME.. Eownsh.ip S$. Cko ix County LocatioK Section SEPTIC TANK I Size ga.L.Lond. Numbers oS Compattmen-t.6 Diztanee FAOm: Wet.L > 6t. 12% on gneateA ztope 6-t Bu.itd.ing 6t. Wettanda 6.t. H.ighwateA 6t. DISPOSAL SYSTEM .,D.ia.tanee FAom: Wett 6Z. '12% on gAeateA ztope 6t. Bu.itding 6t.,__ Wettands Ft. • H.ighwaten 6. FIELD DIMENSIONS: Width of ttench 6t. Depth oS uck be.2ow Cite .in. Length of each tine 6t. Depth o6 Aock oven -t.ite .in. Numb et o6 Z in e3 Depth o6 t.i.Ee b et ow gAade in. Totat .teng.th o6 tine.3 6.t. Stope o6 tteneh in peA 100 6t. D.i4tance between .i.ines 6t. Depth to bednoch it. Tota.t abdonbt.ion aAea ~t2 Depth to gncundwateA Requited aAea it2 Type of Covet: Papers oA StAaw PIT DIMENSIONS: NumbeA o6 pits GAave.t around p.itn yeas no Out.6 ide d.iameteA 6t. Depth below .inlet 6t. 2 Totat abzonbt.ion area St z A AAea Aeq uiAed 6t rn INSPECTED BY TITLE ;j APPROVED DATE 197. REJECTED DATE 197 i f PLB ~ ~ State and County State Permit # Permit Application County Pe~mjt for Private Domestic Sewage Systems County, t..a *DENOTES STATE APPROVAL REQUIRED 7 > Date Approval Received from State if Required State Plan I.D. # l C ~~CJ A. OWNER OF PROPERTY Mailing Address: 1' ~t) 1 Ale /AJ B. LOCATION: Section , T• ' N, RPS Ee-{er) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township Z- C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY `lic' C Total gallons No. of tanks / Prefab concrete X 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 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. 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 IX 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 Certifi d Soil Tester, u . NAME - \ - _ J C.S.T. # and other information obtained from (owner/builder). VV 0 -y Phone Plumber's Signature MP FJF/,-AL1 AV Zs Plumber's Address i 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 X T~ 013 t oj e- -1 f IV, i .i/ t # g f i i , ~lani ~IIb ri~ . m e, 3 k! K E , i , ..ate . _ ..m e " ...e,~ _m w _ _ . , t11'_~~ _ J_ J Do Not Write in Space Below F R COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State Cou t.Date _ C Permit Issued/ sd (date) Issuing Agent Name-, <J Inspection YesYNo State Valid# Date Recd J 1. county (whits 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 P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:'''/4,-~r '/4, Section F T N,RE (or) W, Township or Municipality Lot No. , Block No. 41Wd IeS_041 ~ County _Sr ub ivision Name Owner's/Buyers Name: C)~ Mailing Address: TYPE OF OCCUPANCY: Residence x No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT X ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MA : OIL BORINGS N-"' ~"Z' ZZ 72 PERCOLATION TESTS 410 SOIL MAP SHEET NAME OF SOIL MAP UNIT =12~,W2 - VZ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS FWATLLIERINNG TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM INCHES THICKNESS IN INCHES SINCE HOLE AFTE INTERVAL MIN/IN BER 1ST WETTED IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- E P- c~ L c .ra ~r Tin. o f v,Ps T - S .c.~ Ct ~f LCD P- / ~S ~C~ r4 S .43 45 P- J~~S P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 72- N11a'IE- 3-7 51'L y" 5 B- r4~4 W,W, ee,y/`ia it eny.. mac) is B- L Jr /l~N .~GT ~I +J Sd 1 ,6e,4-,y 12 1 C X fl B- 2-2 &Y-4) C//} 4 , O )f'Lw`1. loo p 0 ~©.MCis 7 S' .4T-?-7"- B- 2-9 IN T'Zs O L~. 1'0 s A r 2-p 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 AVT QL1,411'A_4--/s Indicate scale or distances. Give horizontal vertical reference points. Indicate slope. fi~`,,q Q'efl" fle4gp L"Pr o fr- j kF 1vF0 970 Ze r'p1NG OFFICE i J Rax. N _0 JIC - , 4 E g t _ E E e h E a 1, 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) h ~Or ZMVI E li- Certification No. Address Z. yzl,,y 6 yb/~ IF-Iso Name of installer if known Copy A -Local Authority CST Signatures t: F' tit-" F~ e\ i<...> r .'I '.,.~:►i ieatitty ICE 1 i~u vro~►.rway ` W1 4I~> 1 Pla,n IJcen ifi';azi,r- 79-OU Gera Iet'c- n Re: Holding tank - 2,600 gallons Skip Anderson - Residence 14L 1/4, SC 1/4, Section 17, T2614, R15W Town of Cady, Wisconsin St. Croix County Exaraination of plumbing plans and specifications for the above-mentioned project has been completed. In accord with Chapter 145, Wisconsin Statutes, and Chapter H 62, Wisconsin Administrative Code;, the plumbing plans and specifications are approved contingent upon compliance with the following stipulations. 1. our review of the holding tank plan has not been evaluated for structural stability, only for compliance to design requirements of Chapter H bZ of the Wisconsin Administrative Code. 2. The holding tank shall be maintained and the contents disposed of as required under Section H 62.20 (7), Wisconsin Administrative Code. 3. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of plans bearing the stamp of approval of the department. 4. In the event installation of the plumbing lmproveme-nts or system has not commenced within two years from this date, this approval shall become void and new application shall be made for approval of these plans before work way connence. Red Cedar Piumbiny S Heating Page 2 i., yrantiny this apvruval, the bivision of licaltti does riot hold itself iiable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on Chapter H o2, Wisconsin Administrative Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will automatically void this acceptance. Approved/issued by The Uepartment of Health and Social Services Division of 'Health Ly . Section of Plumbing and Fire Protection Systems L ncl6sure cc: . Dennis Sorenson, GWS - District j, La Crosse jr. Harold barber, St. Croix County Zoning AdrA nistrator I HOMESIT E TESTING CO. RT. 1, O'NEIL ROAD I-J"UDSON, MS. 54016 M/fp -yy Pi- 0 z Red, Cedar Plumbing Heating PLUMBERY® HOME CENTER 1120 N. Broadway MENOMONIE, WISCONSIN 54751 Phone: 715-235-7341 J09 NAME: - Location:-'4, 4, Section ,T-N, R ±'E (or) Vk Township or Municipality i i r,\\ i '~L r 9 0 to. r. obrAk -1 y~..•~, ~f4 Eu E ! VE D r J er`£,Oa!6On " DEC 11 PLUMBING 'S _sv? i:Iii Drawn by 10, Master Plu er No. 5658 RVIUMM= DRAWING 1I11mm Date ~Yi~~ r f r Ir, 6°,`-406, ed Cedar Pli;Lmbin Heating PLUMBERY® HOME CENTER 1120 N. Broadway MENOMONIE, WIS("ONSIN 54751 Phone: 715-2357341 s JOB NAME: r L o c a t ion:/(,rk 4, r;I/''T„ Section '7,Tr r N,R~E (or) W, Township or Municipality .1 i i L,o k i tJS (_ou Y" ukl.4 a4 i _ Cy,U - n Y} , -oc `e ,on r>+ kccs. Y;t 71A' % Ike` 'Vs- ply 7 r e ,ayi. 1 t 3r`' RECEWEU P?go -A: `~~a fie;~' 1 I~a ..,e~~~° LUMQING SLG?j0ijl E - Drawn by Master ~lufi r No. 5658 PLAN Date ~r 0 t~ ST. CROI X COUNTY W I SC O N S I N L 1.4 r v r ~~rr4r"' " i`;"Y ZONING OFFICE 79b-2239 iiti hl~ sit- if { Post OJ66ice Box 227 - " Hammond, WI 54015 O W N E R P U M P E R A G R E E M E N T PLEASE BE ADVISED, rha.t ~upntit you arse again noti6ied, 1 wilt contract with L° Sy~LL' e~ZC'~G of (0 ..e cond.in, (Pumpetc) , bon the putcpoa e o6 temov.ing att wabte 6nom the .6an.itatcy system to be toeated on the ptcopenty and 6utu)ee home site .located in St. Ctcoix County, Wisconsin, Township o6 ~,~.~1_L-% P 6e.ing in the % o j the ` 41 of Sec. T. W. (0)t motee Gutty duen.ibed as t(ottowA: ) Dated this day o6 e:c 19 . (OWNER) State o6 Wisconsin) 46 County o6 St. Ctco.ix ) r P et[b o n na.P,Lya _ ~e_ t1 ~ 9 ppeaned bane me this day vS , the above named , to me nown to be the. pex4on who exeeu e t e 6onegotng tndttcument and ack.nowtedged the same. o at y u .cc, t. noix County, W My Comm. (,ins pe,%mant) (Exp.ivr d) e-fc~ z~ I , h.e,%e.inbe6one ne6enned to as Pumpe, jo n in the a ove , %eement to the extent that I have a conttcaet with Owners as above stated. a (PUMPER) -fl