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Home My WebLink About036-1018-70-000 o cn O 3 v o r o w i m ° (D A ~ A7 H Z v c ^ m # D \ 1 O w = N z cD ~ p cn C O 0 A~ ~ Ei•3o~ co 03 m s W 0- A z a y N ? O ~y (D O v O N ° n v D o O C: CD CD :3 :E rn o m o °o N p y O 0) m v> D n (D 0 U) 07 G _o C: (D 3 a = p j N w CD a -ti ~ W C CD N CJD CD (D 0 r C/) m N M -0 -0 z O O O ryc~~~+1 w w w N v Q to v v v ~ N eQ 90 N _ pNj O ID ID < .r N C N) =3 a Z N N 03 ZD W Oz p O_ 7 N N -1; W a n 3 _ Z (D 1 vi I ° 7 o a? n n a A Z O N 0. cn ~ O W m CL z 3 °;o O Z M N (AD A W N N Q 7 n N C CD z a •a O CD ° A °O ca I N p O 7 1 N N x N cn o I ? ~ a Q A N CL O ti N N by N EA * „ v 00 0 O Parcel 036-1018-70-000 11/22/2006 12:08 PM PAGE 1 OF 1 Alt. Parcel M 9.31.17.120A 036 - TOWN OF STANTON 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 - DUBOIS, DONALD F LE DONALD F LE DUBOIS C - DUBOIS, DONVIE A DONVIE A DUBOIS,ET AL C - SALSTROM, DENA A 520 PAPERJACK DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2268 170TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 15.000 Plat: N/A-NOT AVAILABLE SEC 9 T31N R1 7W SE NE EXC THE W1/2 SE NE Block/Condo Bldg: & THE S1/4 E1/2 SE NE Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/18/2005 800498 2844/401 EZ-U 04/29/2005 793506 2792/424 QC 07/23/1997 1134/97 WD 07/23/1997 848/612 more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/26/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 13.000 6,500 0 6,500 NO OTHER G7 2.000 15,000 91,700 106,700 NO Totals for 2006: General Property 15.000 21,500 91,700 113,200 Woodland 0.000 0 0 Totals for 2005: General Property 15.000 21,500 91,700 113,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 a ~ • AS BUILT SANITARY SYSTEM REPORT _R T0;INSHIP j SEC. Ty N, R l~ W j, ADD ESS , ST. CROIX COUNTY, WISCON IN. :DIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHI"; 100 FEET OF SYSTPi 1 , I ( I i I I I I I I ~ i I i I 1+ f i i I I I I I I //i7~I i I 1 ;'TIC TANK(S) MFGR. Indicate Nottth .A t aw 'J>r ~ s~ F ~ irb~;i ✓t CONCRETE STEEL. S c a Z e f ~`s NO. or .rings on cover / Depth DRY WELL NCHES NO. of - width length areav no. of lines` width` length area ,i . depth to top of pipe ° SUCATE - - 3~~ - RATE AREA REQUIRED ►1 AREA AS BUILT ;claimer: The inspection of this system by St. Croix County does not imply complete _rDliance 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 -.-em 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. '-INSPEC DATED PL ON JOB L-rCENSE NUMBER yam/ Z Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itaAy PeAm.it t.~ State Septic-_-, NAME (own.ship P S~. CAoix County E Location Section f SEPTIC TANK Size ! `V-' __gattons. Number o6 CompvLtment6 j Diz tanee FAom: W ett_ l; ~i 12% on gAea eA s2apeT~i ~f 4 Building 6.t. Wet.Land/s Highwatet DISPOSAL SVSTEM D.idtanee FAar?: Wei C) _i 12% an grcea eA 5 fop Bu.iZding ~•t. Wettand/s Ft. f N.d.gh~t1atie• c/ S. FIELD DIMENSIONS: Width ai .ttceneh Z 6t. Depth o6 Aock below tiZe__,--'2_in. Length o5 each tine it. Depth og Aock oven tite .in. Numb eA o6 .ii n ens Depth o j ,t.i.ie b e.2ow p ade-) - n. Totat tength o6 Zine.~Z'~7 6 It. S2ape o onench in per 100 it. Des lance between i.ine5_ At. Depth to bedrock "o,t:aL' ablsonbtion a,-Lea / t2 Depth ,t L g,`caundwatet LPap RegUi L ed area it2 Tape o~ Cove, ( It ~~A StAaw PIT DIMENSIONS: ~ Numbers o' pits G) avek' a)r.cund pits _yes no Outside dtiamet Depth: be-?,3uv intet ~.t. 2 To.taZ ab.5a.7b c cr, ajcea A > AAea Aeoui~L C' c1~-_^ ~t~ rn 1 NS P E C APPROVED DATE_'_ _ REJECTED DATE 197- 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: i l .Y., Section _I T N,R! E (or) jownship or Municipality County Lot No. , Block No. Subdivision Name Owner's/Buyers Name: R eu 1 nL` Mailing Address: TYPE OF OCCUPANCY: Residence No. of B e d r o ms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT. ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS _2L j_- PERCOLATION TESTS 2-2 L 2-C/ SOIL MAP SHEET NAME OF SOIL MAP UNIT '1711 cC • t.. c 1 / PERCOLATION TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL RATE BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- 7 t S f L' P- Z G. r0 f L' Z_ r P_ c. c, t ! - ~~c 3~ ~l 3 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- - C L ^ o 5,4- C~ sc 13- ? B- '3 B- 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. v ~ J J ~ L E e , 1 2~ } , , P g A. E . , 3 x e j e I [ € I i € j ¢ 1 I 5 I ( P { I- a 3 { f , a . 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) Certification No. 3 253 1 Address # c l S Name of installer if known G` Copy A -Local Authority, CST Signature C State and County State Permit # 7 P L B`6 7 Permit Application County Peynyt # for Private Domestic Sewage Systems County -~,,q. *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: V3 B. LOCATION: £ 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 * ther (specify) *Variance Single family- Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher)< YES NO Food Waste Grinder YES,~-,_NO # of Bathrooms-t- Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY J_ O C) 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) =FFL NT DISPOSAL SYSTEM: Percolation Rate 1) 73 C1, 2) / S 3) `Total Absorb Area / / 2 57_-sq. ft New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet idth Depth Tile Depth No. of Trenches eepage Bed: Length y ,Width 2 Depth 6 "Tile Depth No. of Lines - Seepage Pit: Inside diameter Liquid Depth Tile Size 1-7 Percent slope of land 7 L 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 T er, _ NAME C t+ L. k I i C.S.T. # S 5 S j/ and other information obtained from owner/builder). r 'Plumber's Signatures i MP PRSW l Phone # "LyL ~'j 4 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). .14 - ~ I i b . ~ r1 . d I Do Not Write in Spac .Below FOR DEPARTMENT USE ONLY a7~ 6~ Fees aid: State ` , n o y rr_ Da ' Date of Application Permit IssuedA'ectesF (date) -Issuing Agent Nam -2.- - Inspection YesNo Valid# Date Recd 1. county (whi e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canar» ronw