HomeMy WebLinkAbout022-1095-30-000
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RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 67 EMERSON VALLEY D_R__'~v
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 3.542 Plat: 4043-CSM 15/4043
SEC 33&34 T28 R1 8W PT W1/2 NW1/4 SEC 34 Block/Condo Bldg: LOT 09
& PT E1/2 NE1/4 KA LOT 2 CSM
Q/_ 63 FKA LOT 3 OF CSM 9/26 KA LOT 9 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
CS 33-28N-18W
"i,,&
Notes: Parcel History:
Date Doc # Vol/Page, Type
07/23/1997 1111/556 QC
07/23/1997 956/95
2005 SUMMARY Bill Fair Market Value: Assessed with:
88854 297,700
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.542 60,000 241,000 301,000 NO
Totals for 2005:
General Property 3.542 60,000 241,000 301,000
Woodland 0.000 0 0
Totals for 2004:
General Property 3.542 30,000 181,000 211,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 557
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 022-1095-80-122 12/13/2005 04:14 PM
• PAGE 1 OF 1
Alt. Parcel 33.28.18.516A-22 022 - 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 - EMERSON, MARIELL A REV TR ET AL
MARIELL A REV TR ET AL EMERSON
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Parcel 022-1095-30-000 02/09/2006 08:02 AM
PAGE 1 OF 1
Alt. Parcel 33.28.18.513C 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 - FRANKLIN, TERRANCE L & DIANNE M
TERRANCE L & DIANNE M FRANKLIN
71 EMERSON VALLEY DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.920 Plat: N/A-NOT AVAILABLE
SEC 33 T28N R18W 2.92A IN NE NE LOT 1 OF Block/Condo Bldg:
CSM V 4/1021 665/519 ASSM-T INC (518D)
022-1095-40-000 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 751/524
2005 SUMMARY Bill Fair Market Value: Assessed with:
143990 225,600
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.920 60,000 168,100 228,100 NO
Totals for 2005:
General Property 2.920 60,000 168,100 228,100
Woodland 0.000 0 0
Totals for 2004:
General Property 2.920 25,000 127,200 152,200
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
AS BUILT SANITARY SYSTEM REPORT
, TOWNSHIP' SEC. 33 T R I V W
ADDRESSr: $ T. CROI 'COUNTY, WISCONSIN.
]DIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
_ SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r
1
iF
TIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover / Depth DRY WELL'
'.NCHES NO. of width length area
no. of lines f/ width length,-, area
dept to top of pipe '
~2EGATE RATE AREA REQUIRED AREA AS BUILT
~Ciaimer: The inspection of this system by St. Croix County does not imply complete j
aliance 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 will make every effort to
ermine cause of failure.
,`USES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
"INSPECTOR
A L?_
DATED PLUMBER ON JOB
LICENSE NUMBER
Z
REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM ~
Sanitatcu PeAm.it
Sae S41
te t __w---
NAME_ township St. Ctcoix County
Location / Sectioyi
SEPTIC TANK
Size gatton6. Numbed o6 Compaktmen.t~s
D,vstanee F%com: Wett 6t. 120 on gteeatetL 6 tope,,_' it
Bu.itd.ing_ 6.t. W ettandls 6 t.
N.ighwate~L 6t.
DISPOSAL SYSTEM
Distance Ream: WeZf_ 6 12% otc gAeate_tL 6tope. 6.t.
Bu.itd-i.ng 6 W ettands Ft.
N.ighwatetL 6 t.
FIELD DIMENSIONS:
Wid°th o6 ttLeneh 6t. Depth o6 tock betow tike in.
Length o6 each Z-ine. 6.t. Depth o6 tcoch ovetL tite in.
NumbetL o6 k.in.es Depth o6 t,-Ue below gtcade ,in.
To tat 2eng th o6 ine.s- 6t. SZope o l ttLench_ _ in pet '100 6t.
D.ustance between Zikle/s 6t. Depth to bedAock - 6ti,
Total ab-s o&bti.io~L aAea^ _6t2 Depth to g Lou;Ldwa,'c e•'L __0 t.
Requited area 6t2 Type o6 Covet: PapetL otl S
PIT DIMENSIONS:
NumbetL o6 p•it,.s Gtavet around pA'.tA yes no
Outside diameter 6t--i/ Depth below .intef 3
2
Totat ab s o Ab,tion area 6 t z
A
Atea tequited 62 M
INSPECTED By TITLE
APPROVED ,DATE 197
REJECTED DATE 197.
r`
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
~j~ REPORT ON SO L BORINGS AND PERCOLATION TESTS
LOCATION: O~~/4, d ' '/4, Section TC~; R (or)e1, Township or Municipality o<~hlli c f'kk i,
County
s't J X
Lot No. , Block No. Subdivision Name
Owner's Name: F_ 4( f eo e
Mailing Address: ( tj e-
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PE R COLA TESTS
SOIL MAP SHEET SOIL TYPE
G~%~l/yt Gar cyQ/
PERCOLATION G
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHE3S RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOP-1 7U ~S"~ e bo a le
P Cj ~kn
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)
B- 1 e. b
/09 00 C _S-
. c 1 is 4 s c_/
s
B- Of
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitgllle areas. Indicate numbo, of qu re feet of absorption area
needed for building type and occupancy. t1 tn[~ ~LA e'~ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
p~ 3 i . t i ~ ~ I $ I a 7 ~
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A 46,01
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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. JJ
Name (print) ~4 e j( je l S 0 b Certification No. ~
Address
Name of installer if known K4 is tA) A
SPY A -LOCAL AUTHORITY CST Signature
State and County State Permit #
RLB 67
Permit Application County Permit. ~ ~ .
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: '/4 '/4, Section T_ N, R_ E (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
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 Total gallons No. of tanks
Prefab concrete 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 ❑ 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 Certified Soil Tester,
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# Phone #
Plumber's Address
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.
7 OZ,
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Do Not Write in Space, Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application ri7 Fees Paid: State i - Count {Date
Permit Issued/-mod (date) Issuing Agent Name ll` e A L c't
Inspection Yes_No State Valid# Date Reed7'r
1. county (vfhite 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
L
Parcel 022-1095-30-000 02/08/2006 05:05 PM
PAGE 1OF 1
Alt. Parcel 33.28.18.513C 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 - FRANKLIN, TERRANCE L & DIANNE M
TERRANCE L & DIANNE M FRANKLIN
71 EMERSON VALLEY DR
RIVER FALLS WI 54022
B+stxicts;_- - = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.920 Plat: N/A-NOT AVAILABLE
SEC 33 T28N R18W 2.92A IN NE NE LOT 1 OF Block/Condo Bldg:
CSM V 4/1021 665/519 ASSM-T INC (518D)
022-1095-40-000 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 rr 751/524
2005 SUMMARY Bill Fair Market Value: Assessed with:
143990 225,600
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.920 60,000 168,100 228,100 NO
Totals for 2005:
General Property 2.920 60,000 168,100 228,100
Woodland 0.000 0 0
Totals for 2004:
General Property 2.920 25,000 127,200 152,200
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
Parcel 022-1095-40-000 02/09/2006 08:03 AM
PAGE 1 OF 1
Alt. Parcel 33.28.18.513D 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 - FRANKLIN, TERRANCE L & DIANNE M
TERRANCE L & DIANNE M FRANKLIN
71 EMERSON VALLEY DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE
SEC 33 T28N R18W 1.20A NE NE LOT 1 OF Block/Condo Bldg:
CSM 5/1276 665/525 ASS'D W/022-1095-30
(513C) Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-28N-18W NE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 751/524
07/23/1997 680/385
07/23/1997 665/525
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed:
Description Class Acres Land Improve Total State Reason
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 0 0 0
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 022-1095-40-001 02/09/2006 08:07 AM
PAGE 1 OF 1
Alt. Parcel 33.28.18.513E 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 - SCHREIBER, THOMAS & COLLEEN
THOMAS & COLLEEN SCHREIBER
75 EMERSON VALLEY DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 3.860 Plat: N/A-NOT AVAILABLE
SEC 33 T28N R18W 3.63 A NE NE LOT 1 CSM Block/Condo Bldg:
5/1387 ASSM'T INC 022-1099-20 001 P534-D
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 689/277
2005 SUMMARY Bill M Fair Market Value: Assessed with:
143991 314,600
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.860 65,000 253,100 318,100 NO
Totals for 2005:
General Property 3.860 65,000 253,100 318,100
Woodland 0.000 0 0
Totals for 2004:
General Property 3.860 32,000 197,500 229,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 216
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 022-1095-20-000 02/09/2006 08:02 AM
PAGE 1 OF 1
Alt. Parcel 33.28.18.513B 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
BRUCE L & LORETTA PETERSON O - PETERSON, BRUCE L & LORETTA
87 EMERSON VALLEY DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.060 Plat: N/A-NOT AVAILABLE
SEC 33 T28N R18W 1.77A IN NE NE LOT 1 Block/Condo Bldg:
CSM VOL 3/834 595/560 ALSO COM SE COR
LOT 1 CSM 5/1485 N 29 DEG E 92.30'N 22 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
DEG E 44'S 87 DEG W 139.39'S 113.85'S 33-28N-18W
88 DEG E 73.29'-POB
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 826/38
2005 SUMMARY Bill Fair Market Value: Assessed with:
143989 347,100
Valuations: Last Changed: 08/11/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.060 50,000 301,000 351,000 NO
Totals for 2005:
General Property 2.060 50,000 301,000 351,000
Woodland 0.000 0 0
Totals for 2004:
General Property 2.060 20,000 230,600 250,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 311
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00