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HomeMy WebLinkAbout024-1016-95-000 • ocno mvn d c F c 0 co~ c > > n 3 m CD o A) Iz T 0 3c c ~ 1 Ct fD TT^^ 1 V/ l 1\ 3 ° ~ m `C • 0 o v N o o CD to N cn C N N F~ 'C 7 O CD S (D N pp a1 d. ~ Z a ` N Oo ~ N N) 3 W v rn O a GI N p~ N CD < CO r.~ N) 0 -D p 7 CD fj I d Ul O O CD CD O) to 41 O cn D a _nr CD In 9 W a c ~ rn N I' 3 Z CL W N 3 C CO m 3 n O c 'i (n OD -Ij 0 a z m v * ET N• Z O w_ Z , ~ j 0 -3T n Ca Co 0 D c U) 1 (D :-7 CD 0 Q. N A N Z ° z OW O O 0 v D a lV • o m m CD (D N C N CD w (D a C z CD Z O (n i ;a a p a A 7 p' U) ~ CD W ~ 00 CL Z 3 °O^. u) 3 m O A W p~ n (D S (D a) (D D 3 n m n T D] > N C O 7c 7 N z Q O CD 7 0 N SS S ~C K N CD a Q. 0- 4 O CD d N A t 7 O CD W N O O O ~ I V A O q CD b O ~ N En O o b ~o CD C> CL Parcel 024-1016-95-000 01/03/2007 04:40 PM PAGE 1 OF 1 Alt. Parcel 9.28.17.95 024 - TOWN OF PLEASANT VALLEY 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 - FAIRMONT FARMS INC FAIRMONT FARMS INC 1764 CTY RD N f HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1764 CTY RD N SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 9 T28N R17W SW SE TOWN- SHIP Block/Condo Bldg: PLEASANT VALLEY. Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 785/49 07/23/1997 531/632 2006 SUMMARY Bill M Fair Market Value: Assessed with: 156510 Use Value Assessment Valuations: Last Changed: 04/20/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 33.320 4,000 0 4,000 NO UNDEVELOPED G5 0.680 100 0 100 NO OTHER G7 6.000 21,000 177,2GO 198,200 NO Totals for 2006: General Property 40.000 25,100 177,200 202,300 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 25,300 177,200 202,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 207 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 024-1019-60-000 01/03/2007 04:39 PM PAGE 1 OF 1 Alt. Parcel 16.28.17.109A 024 - TOWN OF PLEASANT VALLEY 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 - FAIRMONT FARMS INC FAIRMONT FARMS INC 1764 CTY RD N HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1764 CTY RD N SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 35.000 Plat: N/A-NOT AVAILABLE SEC 16 T28N R17W NE SE EXC CSM 12/3455 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 2006 SUMMARY Bill Fair Market Value: Assessed with: 156530 Use Value Assessment Valuations: Last Changed: 04/20/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.300 3,900 0 3,900 NO UNDEVELOPED G5 0.700 100 0 100 NO Totals for 2006: General Property 35.000 4,000 0 4,000 Woodland 0.000 0 0 Totals for 2005: General Property 35.000 4,200 0 4,200 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 024-1019-60-100 01/03/2007 04:39 PM PAGE 1 OF 1 Alt. Parcel 16.28.17.109B 024 - TOWN OF PLEASANT VALLEY 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 - WALEN, JAMES A JAMES A WALEN 342 CTY RD T BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1764 CTY RD N SC 2422 ST CROIX CENTRAL SP 1700 WITC / Legal Description: cres: 5.000 Plat: 3455-CSM 12/3455 SEC 16 T28N R17W NE SE BEING JT 1 CSM , ; / Block/Condo Bldg: LOT 1 12/3455 j Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/06/1998 582354 1337/418 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 156531 163,100 Valuations: Last Changed: 06/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 42,600 70,000 112,600 NO Totals for 2006: General Property 5.000 42,600 70,000 112,600 Woodland 0.000 0 0 Totals for 2005: General Property 5.000 42,600 70,000 112,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 315 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP/ t SEC „T,~28N, R_~_7W ADDRESS ST. CROIX COUNTY WISCONSIN SUBDIVISION LOT U ~OT SIZE PLAN VIEW 411~/~~'~ Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 3 o .cult .t . i`.h r 7 ~y i I di, ate ozthj Arrow SCAL8 : SEPTIC TANK(S) / MFGR, CONCRETE STEEL N 6f rings on cover T" Depth PUMPING CHAMBER SIZE PUMP MFGR. iV✓`} MODEL NO. GALLONS Per Cycle TRENCHES NO. of /'y/ wi t length area BED NO. of lines width length area dept to top o pipe , -,NUMBER OF SEEPAGE PITS Outside diameter total pit area AGGREGATE PERK RATE AREA REQUIRED AREA AS BUILT_ 1Z 2: Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THI-S-SYTEM. INSPE-CTOR DATED a Uf ! PLUMBER ON JOB r/ LICENSE NUMBER ?iaEi~(1N dSNaoIZ ROf. NO U21TI ll'Id Qas~a HoloadSNI.,, 1,MISIS SIHT I10flOUlU G:lSOdSIQ ag TON GUGHS S'IIO CNV SFS`r' la.znTts3 3o asneo aupu.a~,- 02 IIOJja XaaAO axum TTTM XiunoO aqa pa:iou si aanTYET 3T `aaA@m.oH •uoT:jsaado uiat. Jo3TTTguTT ou samnssu 4-junoo xToaO -IS •uoTjonajsuoo 3o juTod sTgl au IaadsuT ulgtssod lou ST IT augl suaas a01110 aau aaaUT •sapo0 aATjuajsTuTmpV 9JUIS gjTM aouETIC-- alaTdmoo ATdmT aou swop Aluno0 xioaO -IS fq uials4s sTgq 3o uoTjoadsuT aqj :aatnluT, Z'Ilflg SV My 4IaxInbax Va2IV r 7N a ,o.• d o da p uaiu q~ ~PIM'~ sauTT Jo •ou aaae . q:413uaT q2pTri Io *ON S3H0N-: Z'IaM I~?iQ q~daQ .aaNoa uo s2uTa To ON zasis aTaaoNoo 'xoAN (S)Y-,gv : Ol i,- TIVIDS! P).0-1-Tv 111:1.10M a3v TPUI - - ~ i -T-t r=: f , KRIS.kS do Z2iS3 001 NIHZIM DNiiuAdaAa moll OZ-Z9H JO sjuamaaTnbaa'Iaam 0:1 suotsif=To- saouu:jsT(jMIA NVZd aZIS 10'I 'LOl NOISIAIQ- NISNOOSIM `AINf).OO XIOUD ..IS SSd2lQaV M ' `N I, ' oas ansa mOT SQOdTd RaISAS aUVTINVS TZIflg SV - k r- REPORT-OF INSPECTI~iJ INDIVIDUAL SEWAGE SYSTEM Sani.tany Penm.i-t f State Septic NAME ~ r rownbhip St. CAoix County Locat.iou Section ' SEPTIC TANK Size gattona. Numbers o6 Compate.tmentz Di6 tanee Ftcom: Wet 121 on gneazen ztope j•t Bu•itd.ing r'c it. Wettand.6 - H•ighwazeA a it. DISPOSAL SYSTEM D.iazanee Fteom: Wett ~ C? 12% on gneaten ztope it. 8u.itd.ing J/ ? it. W ettand.a Ft. • H.ighwaten it. FIELD DIMENSIONS: W.id~h o6 ven ch c~ it. Depth a5 no ck b etow .tite in. Length o6 each tine it. Depth o6 nock oven .tile ~ in. r - Numbers, of tines Depth of .t.ite below gtcade `/cn. c~ Totat teng.th o6 Q.ine.a Z it. Stope of tneneh cn pen 100 it. D.ia tanee between .roes - Depth to b edno ck it. Totat abzotebt.ion an.ea j.t2 Depth to gnoundwatetc ~ . Requ.ihed axea it2 Type of Coven: Papers o Sthaw PIT DIMENSIONS: Numbete oS p.i.tA et around pits yee no Outa•ide d.iame.ten 5 Depth below intet it. Tota.b abso,tcbzion area 6t2. A } 2 'L Atcea &equ.ined it R, A / 1 INSPECTED TITL APPROVED DATE 19 xc C) REJECTED DATE 197_. 01 vI I I _ EH -115 Rev. 9/76 REPORT ON SOIL BORINGS AND PERCOLATION TESTS t WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 f LOCATION: Section ' ,T~ N,R /I E (or) W, Township or Municipality f'rZ'~' Lot No. , Block No. 13'x' `l-i elv 7RI r7- Count Sf L•t'O/ X y Owner's/Buyers Name: TVC7E MI-1 LEA/ ub ivision ame u / r Mailing Address: Pr / y.4 MMCiV© `W 5 . QJ 7 TYPE OF OCCUPANCY: Residence X No. of Bedrooms .3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT 11k ALTERNATE SYSTEM -OTHER DATES OBSERVATIONS MADE.,-SOIL BORINGS OCT. 3 d Z I PERCOLATION TESTS QCT' Z.Z I/ 7,? SOIL MAP SHEET (77) NAME OF SOIL MAP UNIT 1j_ekE ,0V J~Z 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- P-,7 E:uTitA/ a So'' y ~vovF 3 d t~/~ Zo (0 1DE.JV7T(AC -/o 9Yo 36 wave 3o 240 P- /O 1DEW° t Al 0 7`v 1 .lave 3o /S YQ IdrAJ4,61 A ff. V& 30 _46 P- P- fLelFh£A By 4,v-,f174CovNry SOIL BORING TESTS X,4TEST 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- / OZ 40/VE /0 Z F'A0-6X Si/ j."/_tiv- S// S-1 7 'A Or 7W_rP, SA.vD B- t4_1 10;tf, B- ,P-R,v ,s Sc- S Ajv . . /o1F -4A/,p B- 3 l~ 1VW. 3 ~H -6 Si 1, /2 "QN 5► / /2'' 0,/- B- -19,N 51T " fi.vE S wig. b. A/pts eo, .tw 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 7V6` rOR QED Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. PIANs Nor To ScA/E. DisrANccs Ae'E 4ccvewz °i Slope . = ,S46&,gOE BOAC RiT f3z ~ ~ o = ,~~f.~r/vE ElE v Pr, P rJ,~4 V ~ L 41 .g . _ w . so - ~ - T. - ) 1 . P21 ~ E ' or L3M lE yR~`ra.NS T-ro> h? I- r f Po% a oQ EN'S /319l?1v 77 J.__ t3 e p New i 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. Name (print) ~ kohe-ler C Certification No. Address / 17%11- 'a/y Allf 5-yw tc Name of installer if known NKC~y/11-6- Z_XCAV47-11V /ICU&XT-' 4k11-5" Copy A -Local Authority EH -115 Rev. 9/78 A~ • REPORT ON SOIL BORINGS AND PERCOLATION TESTS - WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: + ` "%4, '/4, Section I T N,R-1.E (or) W, Township or Municipality PA 7" Ole .k A. County Lot No. ,Block No. ubdivisin Name Owner's/Buyers Name: PET Mailing Address:_ ~f r7A-l~~f/if,;°t1 GCS/ 5' TYPE OF OCCUPANCY: Residence K No. of Bedrooms -3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT X ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SQJL BORINGS Q1f/ 3 /'V7 / PERCOLATION TESTS SOIL MAP SHEET 7: 1 NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE BOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 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- NVNC >,go / -6 - SiL • lf" WV 4-S/ /e-&V S/ B- eOV'f S' EIS a f1AP_- -IPWJ> Al7C GW B- fAiNt- Mcfs B- B- 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 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. t t E t E E i_11- _j r - ¢ , q s ? t i i ~~Y f i . i E 4- I t I F J E s [ r e z 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. ✓ Name (print)-P'6cP7- r Certification No. Address - RT' 3 ypSe%) W t!5, .Name of installer if knownA&~,- h L & /rF z XCAf/.4T'~.vy - ~nrj'E~PTS lc!/ s' 41 CSTSi3nature Copy A -Local Authority - - State and County State Permit # 7 PLB 6 7 IL # ,r Permit Application County Permit for Private Domestic Sewage Systems County C, *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY ~~YI~GVYYlZ4~~G~~~1GMailiny Address: B. LOCATION: iV '/4_'/4, Section T_ N, R~ E (or) W Lot# City -5 jL-7 Subdivision Name, nearest road, lake or landmark Blk# Village Township C`,4,5WN tj ~dk C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms S No. of Persons D. SEPTIC TANK CAPACITY .4000 Total gallons No. of tanks 4- HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete k"' Poured-in-Place Ste I Fiberglass Other (specify) New Installation Replacement . T1_ Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E, EFFLUENT DISPOSAL SYSTEM: Pe colation Rate ,20 -m Total Absorb Area sq. ft. New Repl~?Sement-Alterna (Specify) Seepage Trench Yt No. of Lineal Ft. Width Depth ile depth (top) No. of Trenches_4~- Seepage Bed:._.£ Length_ yd Width 1"' Depth J(12 " Tile depth (top)_,r__"_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. # s$ G1y~S'.=and other information obtained from T (ow' ner/builder). , Plumber's Signature ;,Z--; i MP/MPRSW# 't-mss Phone Plumber's Address 4 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. t. E C E" c7 y! e ; ~ P L` / E LL.) 141 t / $ C t • AL < /1/lNCp~,nct . _ "ITS;, 6 f Ct7wv. ' . 41 A-A i_ C i 1 , V C~~ ✓l1t Do Not Write in Space Belpw FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State_ N County Date Permit Issued/Rejected (date) z z % ` Issuing Agent Name Inspection Yes No State Valid# l tf Date Rec'd a 1. county (white 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