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Home My WebLink About036-1027-70-000 n y 0 ic v n d O N O H. 7 A (D -v CD lu m 1 # V CD 3 3 ~ • n 0 M tU N O Cn A W N OW S- m c CT a) m = w rn M,y CD 3 O a O CD D (0 V Q d Y) o o M c W W s -4 N) N Q 0 = N SU N ] J 1 O V r CD CD CD n 0 GOJ 7 co O O N CO p CD O ~1 Cn N l\I d CD Np CD Cn 9 rn W ° D `C c a o 5D m CD " CD CD CD (0 0 (D CD r! a' z 0 0 0 U !till o o o <,z o f c N.. ° D cr ~ a 0 O Z5, in CD m Cl) n m n ~y < W V N = 3 co CL Z N Z Z O a 0 Co O D p • o' CD CD rn -1 (n CD CD CD w C1 a 3 Z CD o Z c O = A _ 0 2 O R ° I A O F! 0 co -0 m N C " , z $ 3 ~ X 3 (D m V z CD A ~ I N C.n a C III C) G CD O N 7 T O C z a 0 O CD N N N CD n A 7 ~ I O ~ C N X p Z ' O N c vv CD N I O i O a O O DAQ W O ffl 0 b (D O L ti Parcel 036-1027-70-000 11/22/2006 01:27 PM PAGE 1 OF 1 Alt. Parcel 12.31.17.176B 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 THOMAS L & CHRISTINE KOBS O - KOBS, THOMAS L & CHRISTINE 1938 220TH AVE DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 1938 220TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 6.500 Plat: N/A-NOT AVAILABLE SEC 12 T31 N R1 7W 6.5A IN SE SW LOT 1 CSM Block/Condo Bldg: VOL 3/794 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1013/426 WD 07/23/1997 941/167 07/23/1997 788/06 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/05/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.500 25,000 179,500 204,500 NO AGRICULTURAL G4 4.000 500 0 500 NO Totals for 2006: General Property 6.500 25,500 179,500 205,000 Woodland 0.000 0 0 Totals for 2005: General Property 6.500 25,500 179,500 205,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 309 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 0.00 Total 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT R__"_~,- TOvINSHIP SEC. j_ TN, R~+W - ADDRESS ST. CROIX COUNTY, WISCONSIN. DIVISION ~ c;_: .~1'<'>r-.~-:•~r ~ ' LOT LOT SIZE . PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTVM I Hii Irk : Indicate Nonth At. Loa, "TIC TANK(S) ?irGR _CO:;CiLETE \ STEL Scat'e7-~ N or .rings on cover. Depth DRY WELL ITCHES N0. of width length area no. of lines =~ridth_ length area depth to top of pipe J r 3 .ECATE RA'iE AREA P.E(ZJIF:ED AREA AS BUILT3 ;claimer: The inspection of this system by St. Croix County does not imply complete _:Dliance with State Adm4nistrat:ive Codes. '.here are other areas that it is not possible inspect at this point of construction. St. Croix County assures no liability for Stem operation. However, if failure is noted the County will make every effort to .,:!rmine cause of failure. .::'ASES A1ti'D OILS SHonD NOT BE DISPOSED THROUGH THIS SY~TEM. r - i -'INSPECTOR ~kj aA4u/ DATED L 43F ER ON JOB LICENSE NT.QT3r R 5 ~ S r= z REPORT- C>"' INSPECTION_INDIJIDUAL SEWAGE SYSTEM SanitaAy Pv mit State Sep.t,i.: E NAME i -t fownbhip S . Ctco ix County Location,'-Q 4 section 's SEPTIC TANK Size/ _gatZon.s. Numbers o6 Compatctment.5 D-i.etanee Ftcom: WeZZ /00 it. 120 otc greaten zZope 7j--6t Buitdina '52,o it. We.ttands ~ • Highwater DISPOSAL SYSTEM D.iztanee Fnom: WeZZ__j G 126 on greater ~sZope~ - it. Bu.i..d.ingJ,5-_it. WetZands Ft. H.ighwaiet it. FIELD DIMENSIONS: Width o6 tneneh it. Depth o6 kock beZow t,ite Length o6 each .i,ine_ ZO /it. Depth o4 rock oven tite Z.in. Numb etc o6 Unes Depth o4 t.i.~e below grade ~Oin. rj y, Tota.- length o5 Zines IV() it. Stope of trench- z- in pets 100 it. Distance bet,,veen Zinez 61 . Depth to bed,Locfz____=~~ 10 1/ Tout absorLbti.io z ane.a ~L6t2 Depth to gnoundwa.tetc 2 Requited area C ~t Type of Coven: apeA c Sttcaw PIT DIMENSIONS: Numbers o6 pits__- GtcaveZ around pits _yes no Out,s.ide d-iametetc ~ Depth be.to!,J ,in.iet it. Tota.i absonbticyn `ivter ~ A Area/,,te_q u.ined i t2 rn INSPECTED 8 TITLE y APPROVED f , DATE____ 197 E-~ REJECTED DATE 197 f 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: 114,5 Section -?pT*-N, R ZZca(or) W, Township or Municipality 7 ? -N.- Lot No. , Block No. b ~,as County Subdivision Name Owner's Name: Mailing Address: T TYPE OF OCCUPANCY: Residence No. of Bedrooms Other - EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS _F' PERCOLATION TESTS - SOIL MAP SHEET a SOIL TYPE - PERCOLATION TESTS TEST DEPTH OF SOIL HOURS WATER IN^ TEST TIME DROP IN WATER LEVEL, !NCHES RATE CHARACTER 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-2 ~v 2j f'Z tv 0 l s S r p C/ R- - F, ri />`led V014TO~' ~p L A ING TE S TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) > `/4-, o .-/O sL USC 311 - B- O o y~ S rG B_ S .t o -mac -l d S (v 9b - v TSrs4:> o 10 Z 5. Co B- Ei 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. 61( A9Z<_1 Indicate scale or distances. Give horizontal and vertical reference points. Ind ate slope. U O i _ - Tr { N 10/ S { T ~ol i - € r go JA I z- - X_ I A itLk+j,A 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pr cedures 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 ief. _LCertification No. S S j~ 00 y_5 Name (print) Address Al R s_ Name of installer if known. 11~ CST Signature - COPY A - LOC^L ~,IJTi iY 7 -7'~ PLB67 State and County State Permit fat Permit Application County Per 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: AT / V B. LOCATION: Y4 t,,P '/4, Section a, Tom, N, R_/i7 E (or) W Lot# City Subdivision me, ~/I 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. TYPE OF APPLIANCES: Dishwasher __X YES NO Food Waste GrinderYES_.X NO # of Bathrooms-1-0 Automatic Washer RYES NO Other (specify) E. SEPTIC TANK CAPACITY` -Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation k' Addition- Replacement- Prefab Concrete *Poured in Place Steel Other (specify) _ F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ,__L 2) 3) „~_Total Absorb Area~sq. ft. New X Addition Replacement *Fill System Seepage Trench: No.in., . Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: LengthWidth Depth i'/ Tile Depth-,rt~ 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 T ter, + NAME „ .,J C.S.T. # and other information obtained from (owner/builder). 01 If jw)\~ Plumber's Signature MP/MPRSW# PhoneJ I L~ Plumber's Address j : J i' PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 1101, E E s i i-_ - 4-- - . i ~ t Do Not Write in Spac Belo FOR DEPARTMENT USE ONLY Date of Application - - t Fees Paid: State/C%, ~i << Cut 1Datg Permit Issued/ (date) - - `-Issuing Agent Name « t/ ' Inspection Y 7N Valid# Date Recd 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 6/1 /76