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Home My WebLink About022-1084-30-000 n to O 1 3 v n r~ `+1 CD d xc (D n n O W 0 O N N C N O N• :7 =1 3 c: 7 N N CD CD (D a N co N 0 0 o ~00 o n N d = Cn CD j =3 O N CD (D C) O al --I 6 N N 10 F co O 0 CD D) 0 O !!fir tll (n < D c c • m cn CD N CL ~ N Q7 CD 3 O O O p Irv Fp a O M CJD CD CD 0 -4 CD N p C fU z O O 0- < I ~ n ~ vii tin tin cn ~ D ° Q O G o o O 'p CD N N N D C (D y N 1 Co "a)" N II CTl D] N z N z c o z CD o 0' CL z o m h• CD (n CD m ff] I C (D N Q n (J CD 3 7 _ Z O A CD O 7 N _ C ~ ~n ;1 n A Z O N C1 0 7 NN CD CD (D < CL Z A 3 z w CD 'O Ul CD ~o D 3 a ~o o (a v c CD a o a o ~m -oo3~ m o m m CL S ° o 7 O ~ i A ~c omo I O CD c O O N I'I p" 3 Qx t CD 03 ti 7 ~ m Q N CAD CD O n ~ ~ A N ti ~ N O_ CD dq O ~ 0 O L ti Parcel 022-1084-30-000 10/16/2006 12:42 PM PAGE 1 OF 1 Alt. Parcel 29.28.18.4546 022 - TOWN OF KINNICKINNIC 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 - CALIVA, DENNIS G & CATHERINE E DENNIS G & CATHERINE E CALIVA 989 QUARRY RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 989 QUARRY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 29 T28N R1 8W 5A IN NW NW LOT 1 CSM Block/Condo Bldg: VOL 2/558 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 787/284 07/23/1997 570/179 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 80,000 310,100 390,100 NO Totals for 2006: General Property 5.000 80,000 310,100 390,100 Woodland 0.000 0 0 Totals for 2005: General Property 5.000 80,000 310,100 390,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 221 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1054-70-100 10/16/2006 12:42 PM PAGE 1 OF 1 Alt. Parcel 19.28.18.301A 022 - TOWN OF KINNICKINNIC 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 DENNIS G & CATHERINE E CALIVA O - CALIVA, DENNIS G & CATHERINE E 989 QUARRY RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 11.030 Plat: N/A-NOT AVAILABLE SEC 19 T28N R18W PT NE SE BEING LOT 1 Block/Condo Bldg: CSM 9/2690 11.03 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1042/580 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 7.030 1,100 0 1,100 NO AGRICULTURAL FOREST G5M 4.000 12,000 0 12,000 NO Totals for 2006: General Property 11.030 13,100 0 13,100 Woodland 0.000 0 0 Totals for 2005: General Property 11.030 13,100 0 13,100 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 AS BUILT SANITARY SYSTEM REPORT 1 i. g 2-`; , TOWNSHIP I;r SEC. .Cr., J1ADRS , ST. CROIX COUNTY, WISCONSIN. ~SIVST.ON LOT LOT SIZE PLAN VIEW 0,10 +%%~Ces & dimensions to meet requirements of H62.20 SHOW VMRYTHING WITHIN 100 FEET OF SYSTEM 77 'f~ r7 4-v X 1" V µPTIC TAB S 4 'F'GR. l~~f t CONCRETE j-'` STEEL 1-6 N of t'n$a on cover Depth DRY WELL ;DN S NO. of width length area If of I#neq, ~vldth ~ length; area, apth to 'Op of pipe RRE !lRE.-'; AREA REA AS 'BUILT - "scl,Oimarr; Thy f.napection of this system by St. Croix County does not imply complete prince th tats Admtoistrative Erodes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for st+pat aperatios. However, if failure is noted the County will make every effort to tense cause of failure, DES ANA :AILS SHOULD NOT BE D $,POSED THROUGH THIS SYSTEM. k x Ci's2E'.1: "INSPECTOR . DATED PLUMBER ON JOB te( LICENSE NUMBER - 1z ; z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM SanitaAy Petc.m.i-t ` 4 State Septic NAME<, iownsh.ip ;St. CAOix County LocatioK Sec-t.ion,', SEPTIC TANK Y ~ Size gattons. Numbers o6 CompaAtments i Diztanee Ftcom: wett At. 120 o& gtceatete s.Eope 6.t Buitd.ing _ t. Wettands 6t• Highwatetc _6t. DISPOSAL SYSTEM Distance Fkom: WeU 6t. 12% on gtceatetc s.2ope b . Bu.itd.ing fit. Wettands Ft. H ighwateA -6/z. FIELD DIMENSIONS: Width o6 ttcench J t. Depth o6 tcock betow Cite in. Length o6 each fine _6t. Depth o6 Aock oven Cite .in. Number o6 Una _ Depth o6 tiZe betow grade in. TotaZ Zeng.th o j tines At. SZo pe o6 trench in pen 100 4t. Distance between tines it. Depth to bedAock 6,t• Tota.L absmbtion atcea Jt2 Depth to gAoundwatete 6t. Requited area 6t 2 Type o6 Coven: Papetc- ote Sttcaw - PIT DIMENSIONS: Numbers o6 p,itz Gtcavet atcound pits yes no Outside diametetc bt. Depth below .inlet 6t. 2 Total absotc.btion atcea_ 6t Dz 2 ~ Axea teequitced bt INSPECTED BY TITLE APPROVED , DATE 197. REJECTED DATE_ 197. i J. 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: 'r 7 '/4, '/4, Section ! T N,R-dE (or) W Township or Municipality 4,NAiXx11IX%C- Lot No. , Block No. County y2~ CPt)10, ub Iws~on Name Owner's/Buyers Name: FA?Zrtj'! lj(_K !44/4/4 Mailing Address: # _,~~}~2RY P, 0q-1) TIIi 2 f ~1 L 1,J, . TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENTXALTERNATE SYSTEM, / /OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS ZUQAJF /CL~C. 011EED SOIL MAP SHEET 0~ NAME OF SOIL MAP UNIT ICKIII" ~ k iz"l- )ZR~ 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_ ZZO P- P- P- P- 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- A B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the loc tion and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy 13 cQ ,Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. L TAO LC- 9 Co ~lcr I DkFLO' qj.(o ~N i I v a E 4- _41 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. e Name (pnni) _ e Er0, L) Certification No.6,/0 Address Z02 lip i °6ro Name of installer if known Copy A - Local Authority CST Signature State and County State Permit # PLB 67 i Permit Application County Per it # 11 J 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: '/4 '/4, Section 2, 6N, R E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township &AIMC:K LN`I„ i C. TYPE OF OCCUPANCY: *Commercial *Industrial Other (specify) qq *Variance Single family Duplex _<_No. of Bedrooms No. of Persons U D. SEPTIC TANK CAPACITY jM0 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_ 16k Total Absorb Area r ~ sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lin al Ft. -Width Width Depth Tile depth (top) No. of Trenches Seepage Bed: X_ Length- 54 ay Tile depth (top) AD", No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- i- VAEr Distance from critical slope WATER SUPPLY: Private 5Z] 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 s~ - by the Certified Soil Tester, NAME .3cfir (2ij1J (3 C.S.T. # - obtained from 0- owne builder). Plumber's Signature 17 p/MPRSW# Phone # 7/S Plumber's Address - g_t 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. c_v f} E a F C , LIU E ,~1 cab Do Not Write in Spa In 1171 ( ) ce elo FOR COUNTY AND STATE DEPARTME T USE ONLY Date of Application f Fees Paid: State / Co y r Date Permit Issued/ ( ate) / L Issuing Agent Nam Inspection Yes No State Valid# Date Recd 1. county (whi 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