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HomeMy WebLinkAbout192-1055-00-000 o v, o n v n d o c m o m ID ID v i~ Cn +y 2 v Z a o < `C • su co a- Z a y 3 CD j o c m m co W o rn R O CT CD N = W a O1 O T C O CD 0 ~ l1 N O O 'O A'+ O O) O 'N O O 3 a O 7 O C !r a C O CD a) CD M (n G D m ° C Q C 0 0 (D CD O w O CD OD OD (n (n O C U7 O O C III .r Q n T N' T T T• O O O -q ID a' cn to tog m 0 CD O ID .Oi N O. Qo O (D Dl '6 o Z < CD CD edi N C d :3 CD U) a A z O O Z M O OND D a :3 v o CD m ~r :3 CD Cn ~ N !►1 O c C CD N CL W (D 7 _ Z O `p Z I O N C ~ ~ n a p Z O W L7 Z n> W 03 CL -Oi Z 3 C . Z rn 3 m (D A N W O CD ° n c, n m cD r CD a a a o O -a) 7 0 T < CO c W C 0 W O Q 0 G C a S q 3 5,b cum ~ N O cn n w O W (D ~ S O I CD (A 7 b (D (D n < N N CD N C ~o CD Z W C) j 0 3 co c v° m oD o 0 0 O. ° o a o b ° C> 0 ~I e e b °o a. Parcel 192-1055-00-000 12/11/2006 03:57 PAGE 1 OF 1 F 1 Alt. Parcel 2.28.16.540 192 - VILLAGE OF WOODVILLE 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 - MATHISON, DENNIS & DEBORAH DENNIS & DEBORAH MATHISON 431 250TH WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 306 SPRUCE DR SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.250 Plat: N/A-NOT AVAILABLE SEC 2 T28N R16W.25A IN NE NW COM 216.5' Block/Condo Bldg: S OF NE COR TH S 93'W 92'N 92'E 92' TO POB ANNEXED 09/23/02 #691366 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 02-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/20/2005 800902 2847/268 WD 07/20/2005 800901 2847/267 QC 09/23/2002 691366 1986/90 AX 02/07/2000 618024 1488/579 TI 2006 SUMMARY Bill Fair Market Value: Assessed with: 167564 77,500 Valuations: Last Changed: 10/01/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.250 15,000 55,100 70,100 NO Totals for 2006: General Property 0.250 15,000 55,100 70,100 Woodland 0.000 0 0 Totals for 2005: General Property 0.250 15,000 55,100 70,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT ":ER rA g a?".. L P ar ` TOWNSHIPC f a ADDRESS ' SEC. T- N, R / c.' W ST. CROIX COUNTY, WISCONSIN. Ile LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM --'TIC TANK(S)I000 MFGR. CONCRETE r- STEEL NO. of rings on cover Depth DRY WELL ''NCHES NO. of width length area no. of lines width ' length _ area-A,,50 . depth to top of pipe ~ f, 38EGATE _`K RATE - yo AREA REQUIRED I T G' AREA AS BUILT ...claimer: The inspection of this system by St. Croix County does not imply complete Dliance 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. -;ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. '-INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER I Z t REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM • San.itah y Penm.it State Sept.ic~ ~f. NAME Township Cno.ix County Locat.iorc Section _ SEPTIC TANK gattona. Number o6 Compantmentz / j Size b: Diztance Fnom: Wett '1 12% on greaten scope it Bu.itd.ing it. Wettandb 6t. DISPOSAL SYSTEM Highwaten it. - 0 Distance Fnom: Wets c 6t. 12% on greaten ztope 6t. Su.itd.ing St. Wettandd - Ft. • H.ighwaten it. FIELD DIMENSIONS: Width o n. it. Depth of rock below tite .trench Length of each tine it. Depth o5 rock oven t.ite .in. Numbers of tines Depth of t.ite below grade ' ` in. Totat Length ob tines it. Stope of trench - in pen 100 it. Distance between tines it. Depth to bedtocFz St. Totat abd onbt.ion area ~t2 Depth to groundwater ..Requited area it2 Type o6 Coven: Papers on Straw PIT DIMENSIONS: Numbers o6 pits Gnavet around p.itzs yea no Outside d.iametet Depth below .inte.t 6t. Totat abdonbtic4t 'aAea it2. A Area %equined 6t2 r+ INSPECTED By - ` - - - i 7ITL~ APPROVED , DATE REJECTED DATE 197. u `r ,ate / PLB_ 7 State and County State Permit # / 6 - G Permrt Appl CountY Permit Application 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: Lawarace & Sig Solum Rtt 1 Woodville$ Wis B. LOCATION: NW /a '/a, Section T 2 N, R_ 16 E (or) (W) Lot# City Subdivision Name, nearest road, lake or landmark Blk# VillageWoodyille Township &u Galle C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family x Duplex No. of Bedrooms Xj No. of Persons D. SEPTIC TANK CAPACITY 1000 Total gallons No. of tanks 1 HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete X Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement X Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-PlaceOther (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 0 Total Absorb Area 100-- sq. ft. New Replacement X Alternate (Specify) Seepage Trench: X No. of Lineal Ft. 160 Width -60 it Depth 'J r1 Tile depth (top) 21 No. of Trenches 2 Seepage Bed: Length Width Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits t Percent slope of land ~6 Distance from critical slope- 40 WATER SUPPLY: Private X❑ 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 Stephen L. Aaby C.S.T. # 1406 and other information obtained from Owner (owner/builder). Plumber's Signature- _ MP/MPRSW# 5184 Phone # 698 2407 Plumber's Address oo vi e, 1 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. e- r e • e t X vu s ate.., w._ rN a.~ 4 e e sm j rte) i r o A" F., E I 1 4-T Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE-ONLY Date of Application ` L Fees Paid: State A County-, Date Permit Issued/ d (date)L3 - Ct © Issuing Agent Name Inspection Yes N0 State 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 7/1 /78 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: NrV /4, 9; Section 2 T 26 N,R 16E (orKW)Township or Municipality Eau Galle Lot No. , Block No. County St. Croix Subdivision Name Owner's/Buyers Name: Lawrence & Sig Solum Mailing Address: RRl Woodville, Wisconsin TYPE OF OCCUPANCY: Residence X No. of Bedrooms j COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT x ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS July 11, 1979 PERCOLATION TESTS July 12, 1979 SOIL MAP SHEET --NAME OF SOIL MAP UNIT JSA Jewett _ PERCOLATION TESTS TEST DEPTH i CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE BOLE AFTER INTERVAL RATE INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN BER 1STWETTED SWELLING INMINUTES P-1 36 6"T.S. 12" Loam18" Sandy Loam 24 None 30 1" 1" 1" 30 P-2 36 64T.zi. 12" Loam 1d" Sandy Loam 24 None 30 1" 1" 1" 30 P-3 36 60T.S. 12" Loam 18" Sandy Loam 24 None 30 1" 1" 1" 3p 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- 1 d0" None None 6" T.S. 12" Sander 62" Sandy Loam B- 2 60" None None 6" T.S. 12" Sand 62" Sandy Loam B- 3 60" None None 6" T.S. 12" Sandy 62" Sandy Loam 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 900 sq. ft. Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. . ~ i v t; Pr-, ~~yT n f I A rz. Lr=vra/IQ:• i '00 'A i 'mil goo E r s I f E i , 9 x e e g ~ 1 1-340 1, 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) Stephen L. Aaby Certitication No. 1406 Address Woodville. Wis .Name of installer if known Aaby Plumbing, Heating & Elect. Inc. Copy A -Local Authority CST Signature~lC¢