HomeMy WebLinkAbout012-1042-60-000
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ERIN PRAIRIE T 30 N:-R. 17 W
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II HARRY'S NEW RICHMOND
HONEY HOUSE PHONE: 246-4238
We Have Honey Available
p J The Year Round • RIVER FALLS
- FOR PHONE: 425-7671
Harry & Lois Wolf
GOOD MOVIES Phone: 684-2895 LAKELAND PLANT
IN R. I - Box 120 PHONE: 436-8886 or 386-3922
GLENWOOD Baldwin, Wisconsin
11/2 Miles South of Baldwin SAND GRAVEL READY MIX CONCRETE
CITY on Highway 63
Parcel 012-1042-60-000 09/06/2006 05:21 PM
PAGE 1 OF 1
Alt. Parcel 18.30.17.278A 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
BARBARA J DONAHUE PETERSON O -PETERSON, BARBARA J DONAHUE
1539 150TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): VP imary
Type Dist # Description ' 1539 150TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
L V ' -\\J
Legal Description: Acres: 22.000 Plat: N/A-NOT AVAILABLE
SEC 18 T30N R1 7W PT NW SW N 810 FT OF NW Block/Condo Bldg:
SW EXC COM SE COR OF SD 810 FT; TH W
600' TO POB; TH N 273 FT;W 243 FT TH S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
273 FT; TH E 243' POB 18-30N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 704/161
07/23/1997 587/370
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 05/31/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 53,000 274,700 327,700 NO 02
AGRICULTURAL G4 17.000 2,000 0 2,000 NO
Totals for 2006:
General Property 22.000 55,000 274,700 329,700
Woodland 0.000 0 0
Totals for 2005:
General Property 22.000 55,000 246,300 301,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I
• AS BUILT SANITARY SYSTEM REPORT
TOWPZSHIP Cj SEC. T N R W
ol. ADDRESS ST. CRO X COU:ZTY, WISCONSIN.
3DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62,20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~rl~'i~✓ hlG.:.
• ~~L _ i
I
' 'Y ,
4GL 'u4~ j
-'TIC TANK (S) ~ MFGR• CONCRETE STEEL
NO.*of rings on cover ; Depth / DRY WELL
INCHES NO. of width length area
J no. of lines width length area
depth to top of pipe
.;REGATE
X RATE AREA REQUIRED AREA AS BUILT
,claimer: The inspection of this system by St. Croix County does not imply complete
.with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
Item operation. However, if failure is noted the County will make every effort to
ermine cause of failure.
'ASES AND OILS SHO'U'LD NOT BE DISPOSED THROUGH THIS SYSTEN.
-INSPECTOR
DATED PLU11BER ON JOB {
{ LICENSE NUMBER
I
1 SYSTEM
RF.PG'P.'~ OF :ilSP_r,CTIO.i--I:IDIVIlltJAL .,L•IAGE llIr .~PO.,i'1I, Sanitary Permit
r State Septic
"A: IE TOWNSHIP
t.' Croix County
SEPTIC TA'11~
.size gallons. `umber of Compartment ,
Distance From: Well J.
ft. 12% or greater slope J.i.
Building ft. Wetlands ft
I11gtiwater ft.
DISPOSAL SYSTL:Q Tile Field or Seepage Pit(s)
Distance From: Well
ft. l2° or greater slope _ ft
Building ft. Wetlands f
FIELD '11ighwater ft.
Total length of lines ft. Number of lines Length of
each line _ _ft. Distance between lines ft. Width of the
trench `ft. ~",Total`absorption area sq. ft-. Depth
of rock below t- if in. Dp-pth of rock over the in. Cover
Over .rock" D pth of tile below grade in. "lope of
trenct-i in per 100 ft. Depth to Bedrock ft. Depth to
,round water ft.
PITS
Number of pits Outside diameter ft. Depth below inlet
ft. Gravel around pit: __yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
:square feet of seepap.e nit area required .
Inspected by: Title':
Approved i Date 197
Rejected Date 197.
PLB67 State and County State Permit #
Permit Application County Permit #
V , ' r, 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:
B. LOCATION: t--; 5~ - Ya, Section T 3 N, R
(or) W Lot' City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township L. t / n / p f
C. TYPE OF OCCUPANCY: *commercial *Industrial *Other (specify) *Variance
Single family A Duplex No. of Bedrooms _j No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES-t'LNO # of Bathrooms-
L--Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY 10;'7.
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) 90 2) 3) Total Absorb Area `,sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth _ No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 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-1115 prepared
by the Ce ifjed Soil Tester;
NAME l~ C.S.T. # _ and other information
obtained from (owner/builder).
#c C---'
Plumber's SignaturA it MP/MPRSW Phone #-2,f' Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
t_
i
411 CA I t
i
J
t
i
i
t
[ j
r f
I
t Write in Space B low - FOR DEPARTMENT USE ONLY
F Application - / f Fees Paid: State /C, C' C' County ~`--J Date
Issued/W (date) -Issuing Agent Name e :y
T
r Yes /No Valid# Date Recd
(whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
)ink copy) 4. plumber (canary copy)
Revised Date 6/1 /76
.DER Lan1 , TOWNSHIP a SEC. TAD N, R ~
~_W
-1. ADDRESS %
ST. CROIX COUNTY, WISCONSIN.
:DIVISION LOT LOT SIZE .
PLAN VIEW y
-Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
-TIC TANK(S) MFGR.~: ~"S . CONCRETE STEEL
N0. of rings on cover c) Depth DRY WELL
N-CHES NO. of width length area
no. of lines 'Z_ width) L/ length , area z~-iY '
d~p to top of pipe 4 '
EGATEt- Z
.a RATE AREA REQUIRED AREA AS BUILT
..claimer: The inspection of this system by St. Croix County does not imply complete
pliarce with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
tem operation. However, if failure is noted the County wili make every effort to
.ermine cause of failure.
_'ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
INSPECTOR
DATED, PLUKBER'ON JOB~7
LICENSE NRMBER ,S _
Y
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitatcy PvLmit-
State Septic
i
NAME Town1sh.ip Ctcoix County
Location -XI o Sects o►~~ T,2, R~ % CU
SEPTIC TANK
Size c' gattonts. Number o6 Compatctment.6
YD.i,stance Ftcom: wett 12% m gtceatetc 4tope it
Bu.itd.ing it. Wettand/s ~ .
H-ighwatetc it.
DISPOSAL SYSTEM
D.i.stance F&om: Wet 12% otL gtceatetc 4tope ~ .
Buitding J W ettandts Ft.
Highwatetc ~ .
FIELD DIMENSIONS:
k Width o6 trcench
it. Depth o{ tcock below tide / t - .in.
Length o6 each tine - it. Depth o6 tcock oven t.ite in.
Numbett o4 tine/s Depth o6 tit.e below grade in.
Totat .length o4 tine/s- it. Sto pe o6 ttcench in pets 100 it.
r
Di,5 Lance between f-ine/s it. Depth to b edtco ck it.
Total absotcbtion area F. it2 Depth to gtcoundwatetc it.
Requited atcea it2
I PIT DIMENSIONS:
i
I Numb etc o4 p.itz GAav et around pit4 yets no
Outside diameters Depth below .inlet it.
2
Total ab~sotc.btion area it z
Akea tcequitced it2 rn
I
INSPECTED BY TITLE
j APPROVED , DATE 19 7 ~ .
t
REJECTED DATE 197
I
I
E ,
f
I
i
m
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:~%,-'S~'/4, Section 1<5~, TS1N, R L' -(or) W, Township or - J r ha j r~ r
County
Lot No. , Block No.
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence a~ No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS~« . /5773 PERCOLA~ON TESTS
7, ~4 SOIL MAP SHEET . `Y SOIL TYPE"{-`
PERCOLATION TESTjS`
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
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ It
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)
72 X, Y,
PLAN VIEW (Locate percolation tests,soi I 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./6 Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
t I
1 a A I t((( 3
r r
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I ! i I N
{ I ~ ~ I ~t I ~i ~ t
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7-1
I I i 1 IN ~ { ~y t 4 I i I f I i
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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) l tIfipation No.
Address
Name of installer if known
g ! ~f yTn r v s v ~f CST SignaturFt.
State and County State Permit PLB67. 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:
B. LOCATION: ' '/445 Section s T-30 N, RZZ :R (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township61//V
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons Z-
D. TYPE OF APPLIANCES: Dishwasher AYES NO Food Waste Grinder YES 4- N-0 # of Bathrooms)
Automatic WasherL----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) i 2) 3) ? Total Absorb Area sq. ft.
New✓ Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Cli Width ~l Depth , iI Tile Depth54 41 No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 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 K ._5 s= / C.S.T. # and other information
obtained from i Q /Z keel: (owner/bti-H-der). phone
Plumber's Signature MP/MPRSW#
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
~Ic _
~b 17!
5 r
Do Not Write in space Below FOR DEPARTMENT USE ONLY GHQ (j
Date of Application - - Fees P id: State G~~ Cou ty Date J
Permit Issued/c1 (date) ' Issuing Agent Name
Inspection Yes No Valid# Date Recd
1. county ( i e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MA ON, WI 53701
2. state (pink copy) 4. Plumber (can>
Parcel 012-1042-60-000 02/27/2006 08:30 AM
PAGE 1 OF 1
Alt. Parcel 18.30.17.278A 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 - PETERSON, BARBARA J DONAHUE
BARBARA J DONAHUE PETERSON
1539 150TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1539 150TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 22.000 Plat: N/A-NOT AVAILABLE
SEC 18 T30N R1 7W PT NW SW N 810 FT OF NW Block/Condo Bldg:
SW EXC COM SE COR OF SD 810 FT; TH W
600' TO POB; TH N 273 FT;W 243 FT TH S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
273 FT; TH E 243' POB 18-30N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 704/161
07/23/1997 587/370
2005 SUMMARY Bill Fair Market Value: Assessed with:
104908 Use Value Assessment
Valuations: Last Changed: 11/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 53,000 246,300 299,300 NO
AGRICULTURAL G4 17.000 2,000 0 2,000 NO
Totals for 2005:
General Property 22.000 55,000 246,300 301,300
Woodland 0.000 0 0
Totals for 2004:
General Property 22.000 12,800 140,800 153,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 126
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 012-1042-60-001 09/06/2006 05:20 PM
PAGE 1 OF 1
Alt. Parcel 18.30.17.2786 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 - CASEY FAMILY LLC
CASEY FAMILY LLC
606 JEWELL ST
STAR PRAIRIE WI 54026
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1539 150TH ST
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 18 T30N R17W NW SW FRL EXC BEG W 1/4 Block/Condo Bldg:
COR; TH E TO NE COR NW SW; TH S 810 FT;
W 600 FT; N 273 FT TH W 243 FT; S 273 FT Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TH W TO PT 810 FT S OF POB; TH N 810 FT 18-30N-17W
TO POB
Notes: Parcel History:
Date Doc # Vol/Page Type
02/06/2004 753605 2505/038 QC
04/20/1999 601582 1420/108 WD
07/23/1997 839/544
2006 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 11/07/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 9.000 1,100 0 1,100 NO
OTHER G7 1.000 3,000 2,000 5,000 NO
Totals for 2006:
General Property 10.000 4,100 2,000 6,100
Woodland 0.000 0 0
Totals for 2005:
General Property 10.000 4,100 2,000 6,100
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