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Home My WebLink About012-1020-00-000 n se O v n Cz O m f C w 0 cD m 3 ' 3 'r m , N lD 3 A7 n m v p -4 o (D M o o . S m o C 3 O p7 7 W N FBI m~ 0 (o A c Q fD Z d N N I,. (D J 3 O W N v o O Q D) N N N (D Qp O O N j (SD n O n P X 01 p 7 VI . 7 O o C !r W C O ~ D a m N m CD (YI S 0 0 V CD Fw~ O N CQ _ CL -4 ( co (D o r- N N -4 cn O c (o (o Z Q ~r CD z 0 0 0 tail • Z 0 0 0 t~l n °o N C-g N o o D v 3 o m 0 O n o I o m ~ ('D vi w N 0 m Z V - N ZWZ o O Q 7 D m o CD N 'O N O c .0 cc C (D N W (D d n 3 z CD (p -I cn O = p A ? n co c s X n `A Z O v a O R z W w -0 Oa , o z 0 3 a 3 r! z N z m zt N CD~(7~ Q -n (D - O ` OZ C N D X W N Ut W N ~ I R7 I O' Z a a CD a o: I QJ N D C Cr O_ + 0 I O n S ~n, O N 4t T- t-j CD O C) a O O A O A N 6p p A vv O oy0 °O L St. Crni~ Cmuity Pl..ning mid Zaning Parcel 012-1020-00-000 09/08/2006 04:24 PM PAGE 1 OF 1 Alt. Parcel 07.30.17.98C 012 - TOWN OF ERIN PRAIRIE 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 - BEAUVAIS, RONALD D & DIANE RONALD D & DIANE BEAUVAIS 1691 150TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1691 150TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 07 T30N R17W 3 AC IN NW NW LOT 1 OF Block/Condo Bldg: CS MAP IN VOL III P 769 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 07-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 11/30/2005 813243 2936/200 EZ-U 11/30/2005 813243 2936/200 EZ-U 11/30/2005 813242 2936/198 EZ-U 11/30/2005 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 45,000 186,400 231,400 NO Totals for 2006: General Property 3.000 45,000 186,400 231,400 Woodland 0.000 0 0 Totals for 2005: General Property 3.000 45,000 186,400 231,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 129 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 4f~ >.i, t ✓/i-S , TOWNSHIR , y SEC. T_ N, =t W ADDR:ES5 ST. CROIX COUNTY, WISCO]IN S"DIVISI-O,V LOT LOT SIZE ,v~a y~ i. PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 4 i i ='T%C TAN'IK(S) MFGR. CONCRETE (STEEL NO. of rings on cover / Depth DRY WELL ".tvCHES NO. of width length area no, of lines 2 widthZZ , length 5 area depth to top of pipe '3EGATE -K RATE AREA REQUIRED Zi i4' AREA AS BUILT claimer: The inspection of this system by St. Croix County does not imply complete % dliance with State Administrative Codes. There are other areas that it is not possible j / :Inspect at this point of construction. St. Croix County assumes no liability for tem operation. However, if failure is noted the County will make every effort to rr2tne cause of failure. :USES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM INSPECTOR 4 DATED PLUMBER ON JO$ LICENSE REPO-RT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Saytitany Pen.m,it State Sept.ic_ NAME i ownsh.ip St. Croix County Location Section SEPTIC TANK Size gattons. Number o6 Compartments Distance Prom: Wet 6t. 12% on greaten zZope 6t Buitd.ing 6t. Wettands ' 6t• H.ighwaten 6t. DISPOSAL SYSTEM Distance Fnom: Wetf- 6t. 12% on greaten ztope- 6t. Bu.itd.ing , 6t. Wettands Ft. H.ighwaten 6t. FIELD DIMENSIONS: Width o6 thench 6t. Depth o6 rock below Length o6 each tine 6t. Depth o6 rock oven t.ite .in. Numb en o6 Ines Depth o6 t.ite below grade .in. Totat Length o6 Zines r 6t. Stope o6 trench in pek 100 6t. Distance between tines--~-14t. Depth to be.dnock 6t. Totat ably onbt.ion area 6t2 Depth to gnoundwaten it. Requ 2 Type o6 Coven: Papen on Straw .ined ~r~ea 6t PIT DIMENSIONS: Number o6 pits Gnavet around pits yes no Outside d-i.ameten I 6 Depth b etow intet 6t. Totat absonbtion i at7c 6t A rn Area tequiked 6t2 INSPECTED BY TITLE APPRO'VED , DATE 197. REJECTED DATE 197-- EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: Section , Tj~N, RaF(or) W, Township or.14+4 {~ality A, I it Lot No. , Block No. County < x Subdivision Name Owner's Name: Mailing Address: ticy~~~` TYPE OF OCCUPANCY: Residence No. of Bedrooms 7 Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS 715''" 7S SOI L MAP SHEET SOI L TYPE 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 P7 - SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) 7 z c / 41 7Z 1 12 -_5i J_ 7z J~3 115 7 11 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. / Aac-c i" -1 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. - I I ) ~ ~f•~J~L Ott ` ~ s ~i I i I 4 I i 1Ci i-_ i { t N , F_ F L-L I, the undersigned, 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) W tiff ation No. 71 Address Name of installer if known CST Signature - L1 State and County State Permit # PLR67 Permit Application County Permit # for Private Domestic Sewage Systems County K- *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: 11~ LL '/4, Section °7 [ N, R-~~E (or) W Lot# City Subdivision Name nearest road, lake or landmark Blk# Village < 1i Town shipj: , C. TYPE F O UPANCY: *Commercial *Industrial *Other (specify) *Variance Single family,, i Duplex No. of Bedrooms :7- No. of Persons_ D. TYPE OF APPLIANCES: Dishwasher r----YES NO Food Waste Grinder YES "ITO # of Bathrooms-Z-- Automatic Washer -YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks--- New Installation Addition Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) , 2)_3) Total Absorb Areasq. ft. New ✓Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length- ;'z ' Width Depth Tile Depth No. of Lines -Z-- Seepage Pit: Inside diameter Liquid Depth Tile Size -7/ Percent slope of land 5 % Distance from critical slope - 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 C.S.T. # and other information obtained from own oe? Plumber's Signature i. ,0 -aLMP/MPRSW# -Phone #1VI` 6 y ,;Z Plumber's Address -tc, PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). I~7aI ~r z n ,.2 `Tc 4 c Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application > L' / Fees .Paid: State /LCD Coun Date Permit.: Issued/RWasted (date)-~_~~ ~ _issuing Agent Nam 4 Inspection Yes No Valid# Date Recd 1. county (w ite cdpy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) r! - !,--arV ~nr"A r• 1 41 •p~