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HomeMy WebLinkAbout018-1048-80-100 o y c o 3 e*► m ~ m -0 s% • Z v c o 3 c-~ 3. K U -i 2 T. 2 N o er = 3 N N 'o 0 Q, ° 3 N t~ a z c- - co - N 3 W m CD W ° O a ~o W '0 ~ 00 CS 6 O (D -I cD O ~ a) c o ~ O m - !r o F C) Fu N 7 O rn m ° v ,S o e m w > (D 00 CD W cn m 20 c 0 (D 0~ co (D !y U -0 'O 3 7 !ry • 0 0 0 3 v ° m o < z n 3 v v v o !!r o m m < d C CT, m "r{ (D m CD d U C) y 1 l ~ m z ° z m z y: D a o r O ~m iv Imo. (T ~ • ° N rt cp w ~ (_lly~lf (D N O W ([7 7 _ CD -4 cp O O A _Z cD U r ; M `p Z O Cl O v ~ ~ N co -0 M N N ID O G z 3 A - Q z ° m z CD A N ~ O ~ O { C O r+ C O N 0 -1 N C z p_ [p (D U N 7 ~I O Z N O ~ X W W Q Z C Vi b O 1 A ~ C O 7, C~ {A O O O C O Cl Parcel 018-1048-80-100 03/15/2007 01:01 PM PAGE 1 OF 1 Alt. Parcel 22.29.17.339E 018 - TOWN OF HAMMOND 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 - KOOIMAN, ELLA LE ELLA LE KOOIMAN C - KOOIMAN ROGER G & LORI M KOOIMAN ROGER G & LORI M 852 190TH ST HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 856 190TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.533 Plat: N/A-NOT AVAILABLE SEC 22 T29N R1 7W SE NE LOT 1 OF C.S.M. Block/Condo Bldg: 6/1504 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 06/13/2006 827340 TI 04/17/2002 676518 1874/56 QC 07/23/1997 710/633 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/30/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.533 24,400 143,000 167,400 NO Totals for 2007: General Property 1.533 24,400 143,000 167,400 Woodland 0.000 0 0 Totals for 2006: General Property 1.533 24,400 143,000 167,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 201 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 TOWNS HIP SEC. T ~,ei N, R47 W ADDRESS~,,~~ i~, s s-yE i S ST. CROIX COUNTY WISCONSIN. dfimt- ell' SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM c A 3 r t r1 r2 -,H ~ ,G~ ~r i R • 0 /ca ' J? S ,I • y ;6 n :x S _ r 1r( il ate o~thj Arrow ' SCALE ~L SEPTIC TANK(S) I MFGR. CONCRETE A STEEL N0: of rings on cover C Depth PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines 3 width 20 length ~46~ area 71c s~ dept to top o pipe NUMBER OF SEEPAGE PITS outside diameter total pit area _ AGGREGATE c~ n5r~~ p. R r PERK RATE AREA REQUIRED_ 6~S AREA AS BUILT 9a~ _ 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- SYTE INSPECTOR DATED .3 /y5~-- PLUMBER ON JOB7~, '"~T • LICENSE NUMBER ,.Ip as- 9 ;L aof NO 2i3omllcd Q3y~Q uoloaasm, RMISIS SIHZ Honoulu aasoaSIa H ZOK C11MOHS SIM GN ' S3S 1' •ajnTTe3 go asnea auT=a a' oz 210jja 2Ciana axem TTTM Ajunoo agj PaIou ST alnTTPJ IT 'zanaM.oH •uoT3uaado majSb a03 KITTTquTT ou saumnsse 4jur•o0 XTOID 'IS •uoT3onaisuoo 3o juTod sTg1 3s jaadsut c~ aTgTssod iou sT It jugj seaie aaggo aju aaagy •sapo0 anT3ezaszuTm ale aZaTdcuoa AV 3ou sao PH ~S u1?M aausiTd•o• P 0o '1S Xq maza q11u uat~aadsuT aqZ :.1amTaT'3S1j Z Il1 Sv v32iv ` Td aire 3Z~2i M 5 % 3Zd932i~J~, adid go dot of gjdap sale g3VuaT gjPTM sauTT Io •oa r' seas q:i2uaT tPPTM 3o 'OH SUOh:J+; 1.I'I3M b`dQ gidaa aaaoo uo s2uTa 10 •OK 'I33ZS 3Z of 0 *UDJN (S)?I. V1 3I1J) a'IHo S mo-Tay upzok a ~ p I i 4 ~ i i i- i i ~I3ZS,S 30 ZHS3 001 HIHI,IM DNIIUXUaAa MOHS - - 0Z'Z9H 3o sluamaaTnbai aaam oa suoTsuamTp 9 sa3uE3sTa- M3IA NvIld • 3zIS loll -1,01i NOISIAI(12-' ' -!NISHOOSIM 4XINn00 XIoua 'Zs ` M .x Z 103s dIHSNMOZ ` SS32ia °0 • 2i3~.iM moasx Naisas avims laing Sd • REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.i•tany Pehm.it, !Q 1 14 NAME P / ~ /')')G n State Septic, , r0wn4hip110d*yY Q4d S.. C40ix County L o ca.t.io n F. NjE Section ;P2. SEPTIC TANK Size gatton4. Number o6 Compan.tmen.ta_ DiA Lance Fnom: Wett it. 121 o4 gnea•ten 4.Eape~6•t U it.d.ing T it. We•ttand4 6 t. DISPOSAL SYSTEM D.ia.tance Fnoms Wet~.,~ 12$ a'% gnea.ten oeape 6.t. Huitd.ing it. Wet.Eand4 - Ft. H~•~hwa.ten 6•t. FIELD DIMENSIONS: (W4d.th o6" •tnen ch C- it. Depth o6 4o ck. b etow, •t•it.e,L-iA . Length o6 each 4ine 3 it. Depth o6 rock oven .t.i4e ~ in. Numb en o 6 tin e4 - Depth o6 •t•it.e b etow gnade,L_•in. To tat berg th o6 t i.ne6 t. St.o pe o6 .trench •in pen 100 it. D.i4tance between 6•t. Depth to "bedrock 6.t. To.tat ab4 p4b.t•ion a4ea ~6.t2 Depth to g4oundwa•ten 6•t., , r Requited area ~,.•.,.-1- t2 Type o6 Coven. Papers o St~caw PIT DIMENSIONS: Numb en a6 p•i•t4 "A 04 -e4 a4ound pit-6-ye-4 40 Ou.„4ide d`iameten 4.t, y: pep.th betQw inZet it. To.ta.4 abaanb tio nq~a AKea neq*sn.ed 1... rn T INSPE p-- -TITLE ,,jvvVv APPROVED DATE 197 ROfC' 'TED _ _ ...u 8,9 AT E 197- 4 i I k4 q,-fi~ ai9 7-40d i i ;22- i 7erT I 0o I~ f N TE TESTING C RT.3, O'NEI! ROAD HUDSON, Wes,„ Soft 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: fC %A6 '/4, Section `-y T Zy N,R/? E (or) W, Township or Municipality Lot No. , Block No. 114107 Of 1+ ya / WZ 104AZ County Sf Cif eel f Owner's/Buyers Name: j,~k' % ',CC10/1V4N Subdivision Name /l Mailing Address: n/9M®~~~ ~/S TYPE OF OCCUPANCY: Residence x No. of Bedrooms .Z COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE/ IL BORINGS !~~^`L' ~Z OP6) PERCOLATION TESTS !,Z /Wo T/,f'~ S//~ LD.s}til SOIL MAP SHEET SLS 4 NAME OF SOIL MAP UNIT--54 PERCOLATION TESTS S,¢.trDy SU/~S7<-P9r~i TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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- /DEWv1,G *L D / -0- yZ 6 P- W U 3f,". P-L 32 ' c L 160 AE 2 _619 - Z Z Z 2- P_ (e4160) " P- 4D ~ ,t 46.ee- 3 I -0- 2 Z Z L P- 61£ g GW " 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- / eo "vz- } eo ~o'av c 4,V S/ 4V s~ _2 N. cs B- L N0,0E d 0'' ,v 4 'AV - S14 5 ",Q✓. SL 4Z /9,~v. S V S, B- NOV > d 2 " Po/E-'aa B- m > B- iVD,V ? /F 11 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. v0 ~OS+ SCAN Cove pROA{~~jr Guifr fE,vc'E ~No,~~ J r off-- Lp f LiIV£/ . © o ~r ,fi or Y c'0 C"^ 6, E// _ v l o 0%, N E d w -Q ~ N . v O w N ~a .k~'~ _ - - 4J I 4~ tI yf r f 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. 4'4 I~ Mme (print)leoh" - ,01 CCertification No. Address +~'C 3 ~ /L ,e/P.~/-~IJf~SO4) LU/S • - Name of installer if known N V * AW14Z ~ L4 ! Copy A -Local Authority CST Sigr: ,tore-~~J _J r a~ G State and County State Permit # P LB 67 Permit Application County P i,t # for Private Domestic Sewage Systems County = Y , *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: -5,4 Y4 I ,r '/4, Section 2,'L, T;19 N, R,~ 7 E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village PAOLI- c A +0 Ae qk r&1QCWA, j`-rw, 5'Tn*,r"7- Township *It,-%C, C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family 4- Duplex No. of Bedrooms a2. No. of Persons D. SEPTIC TANK CAPACITY l~rc Total gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete x' Poured-in-Place Steel Fiberglass Other (specify) New Installation "X 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 A Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length 34' Width_Ae Depth t;? 46 Tile depth (top) xYNo. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land 'v PC Distance from critical slope WATER SUPPLY: Private A 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 AcG hra 4' A 6 A 1 C irr- C.S.T. # mss' ~-Y be-1- and other information obtained from (owner/builder). Plumber's Si natur ` ~ ' c' 2 ` Phone #1.4 Plumber's Address a A ~v ! ►ti 4, id 4's - ,-yr G :i.- 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. a wcfc~ I - Mt f► z P if AT, R 30 Ile 1 X` P n. t- S+t ~ G ' _ ~~P mom r y i I fi . t t i M F 7 ~.m d.. ) c~ doer a m. ~ i Do Not Write in Spac Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State /5 County Da - C Permit Issued/Raiested (date) Issuing Agent Named 1-7, Ily Inspection Yes_XNo 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 Il A