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Home My WebLink About022-1005-90-000 n fn O 3 v n d _1 3 > > 3 C CD C 'v 3 m m z N) 3 o N 0 o w(D CD 0 ;r, Ow ON 3 C W O N 7 N N CD CD 00 O Q m Z a: N CL ~O h 7 o~tl :3 CD CD o°o O 3 = O p 7 N :E p N C A =O `j a CD CO a a Co D :3 m W o o n 3 8 C O C O (D Z ~r L CD co co m rT cr vvv~' °1 h. z O O O o cn a o l o m rr3: CD a FA, CD I N ~ y z ZO~Z c O D a CD 0 0 o "NA. N !1 (D N N !~V C (D C. W d d 3 7 Z m -j N O ~ ~ A ? n C _ N a A 0 (n --I ca W -0 m N p , ' Z 0 A 3 _ Z 3 co (D ca v n (D ao a 3 Z3 o fl C CD ~ G p Eut (D N O= T d N ~ C I z a 0 n o fi (a N y C) O N ~ Q I O O O a I O w (D Oro qt, w O ti p Sc NN Oo L y I I Parcel 022-1005-90-000 10/03/2006 01:19 PM PAGE 1 OF 1 Alt. Parcel 3.28.18.40 022 - TOWN OF KINNICKINNIC 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 - DELANDER, MARK J & LAURIE L MARK J & LAURIE L DELANDER 1248 CTY RD N ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1248 CTY RD N SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 3 T28N R18W SE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1056/553 WD 07/23/1997 672/570 2006 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.000 4,300 0 4,300 NO UNDEVELOPED G5 3.000 1,500 0 1,500 NO OTHER G7 3.000 24,000 151,000 175,000 NO Totals for 2006: General Property 40.000 29,800 151,000 180,800 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 29,800 151,000 180,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 302 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 KI e NNICKINNIC T. 28 - fi d SEE. 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Advertising -Office Supplies CLOTHING -FOOTWEAR - FURNITURE PHONE: 425-2484 North Main Street WHOLESALE AND RETAIL River Falls, Wisconsin RIVER FALLS MOBILE HOMES 54022 ALLS "The Panel People" RADIO SHACK WISCONSIN F 425-2563 PHONE: 235-0466 - MENOMONIE, WISCONSIN 9x 71 v_r 7rI t _I j Y'P ~u- / aao a/1. t €as a REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM w San.c.tary Perrn.i.t 3 State. Se-p-t,i,c Q - 1 i1 F. Townehip~ St. CAo~x County a 4 o n, Section 3 Lot H S u b di v i,5 i o n PTIC IANK >.c z v Grt~ atto n6 Number o co m paA,tments (titance 6.kom: wetz Buitding _Z., Q 120 scope Highwa.teA 11MPING CHAMBER Size. 750 ga.E.Eons Pump Manu6ac-tuke.A ~ pp~c Numbers 5/?0 iDLDING TANK Size gaUonrs Numbe.A o6 CohpaA,tment Puolpe r.- Atan-m (,tea -tem ib tance 6A.0m: W/ Xt^ Bu,('fding__ 1210 stop H.i.ghwater. k;SORPTION SITE Bed-~ TAeneh s Lance. 6nom: We.U ! Bu~ kd-i.ng-- f206 5tupe _ H-c ghwa,ten - i.,' iuK'l I I('N SITE DIMENSIONS w(dth oj tnene.h _-6,t Re-qu.4A.e.d aAea Lvnglh u6 each lIine ~-t Depth oA Aock bel'.ow tiee Numb(-( Depth uA .oek Oven .ti.kv ~_v? fo"t' ~Vckl ,th o 0ne,5 -t Depth o t4t.e below trade Z (.n D"i s Lance be twe- en f i,nea (it S.Yone (j6 ,tAench ~.n. pen 100 6,t ~ (u aLs ,n,1~, E.t:un aAea _ t t Type u6 Cove.A: /'Paper 'ur s tAaw ~'l"T DIMENSIONS Number o (j p.i..t,5.__ - _ GAavek aAound pi* to yee nu O u,t,5ti d e di a m e te A t Depth b e f ow k n te t 6t To.tat ab.6o tp,tion aAea bit Ar.e_a AequiAed. j _6t NSPECTED BY^ TITLE f Z";x/ \PPROVED .C- DATE d 198 't JECTED DATE 198 yEASON FOR REJECTION i ;ate Q State and County State Permit # PLB 67 9 Permit Application County Permit _3 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: ~L B. LOCATION: J Section 7 T%~l~N,/R . E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family ~s Duplex No. of Bedrooms 13 No. of Persons, D. SEPTIC TANK CAPACITY X Z' Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation 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 Replacement 4 Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length y WidthZ_Depth Tile depth (top) w 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, C.S.T. # and other information NAME obtained from (owner/builder). Plumber's Signature 01/ AAPWPRSW# Phone #_Z , 2 2 Plumber's Address ~ 10 1/ V1 '17Z A~ ~ 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 E r 1 E ~m- t i , m } I , , , e (1 Do Not Write in Space Be ow FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application o Fees Paid: State f 4/, t'>[) County 7?/, G-C+ Date . G' AEC--) Permit Issued/Rejected (date) ! Issuing Agent Name Inspection Yes Y No 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 %15Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ' P.O. BOX 309, MADISON, WISCONSIN 53701 ,C 71. LOCATION:%tLW_ Section ,T N,R ftE4&4W, Township(" MuairipaLiV, Lot No. , Block No. County Subdivision Name (F Owner's/Boyers•Name: 'Z yf Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS ' /'r-~/eG PERCOLATION TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT 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 AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 1 2 2 _1 c. 1 G 7/b •-7/*S P- 2 3/ y 3/si 3/y / P- P- 1 LL t_ . u of P-I T771 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- t 13~ ~c s~Z ins i 5 1, 4 -73i V ~asJ J18 j7Si ~ B- an "S 'S~ Z. B- Z S 1.5GA. s i= _7 1Z,S tb'Yti~n% ICS ` -09n -S S ►~~s' I S' ~b S 13 B- 13In 7-3 ' "R r% m &I S 3 B- \-LG ).~c~►U~ ? L'Z.C 'LIZ )ail S I 1 '~,t' ~n ' SS ' t Hd,S S-7 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 9 4S; s~ i V3t!-7z) Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 5 b t w qTF, FIIJ i S N t ors T- 8 m 1 ob ° BoTToNt 6-MA b t -M 'bE 8114 11) Air,. hk)~Y~Imum OF (4 . z sI ~ B~ s arge~~, 'ra4 o>r ►tiN. 6°!0 8Z 9b o t1\STIZ-\~UlZtk.~IP4. o R3 9s Oct. la I p I 9b v_ SWPE SutLP'hLE ~N r'z 83 ~Z 9 5 s ~F B 1~ Suv`1W SrrP till, ~'Tc1~,1rc. ~ _ ~CL.~VE')VT (~t7lUD1~uG N ~Z So o 1.o c~`C~ 15o N, ~So W .Orr S~ Cpe, 0i= ise) /V - J/Y z r 9etc• '3-703 -1't • f I s i E 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) IP-N 1Z-m V R L= Certification No. E-D 6 Address (%`1Z Z LEI--~wGiZ7Tl, Giro 5~rc'// Name of installer if known Copy A - Local Authority CST Signature _L k ~ .7-r te ~icleU,ct,l/C J/ s g 90 REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Time of Inspection me, ress, License o. o ns a ing Plumber (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: M DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑YES ❑ NO 8 HOLDING TANK: Manufacturer o ga ons ; construction ; depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ N0; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES ❑ N0; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH-- Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO , DILHR-SBD-6095(N.05/80 Signature of Inspector: