HomeMy WebLinkAbout036-1043-20-100
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Parcel 036-1043-20-100 01/08/2007 04:48 PM
PAGE 1 OF 1
Alt. Parcel 18.31.17.271A-10 036 - 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 - KLOPP, ERIC W
ERIC W KLOPP
1418 210TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1418 210TH AVE
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 2.630 Plat: 3812-CSM 14/3812
SEC 18 T31N R1 7W PT SW SW BEING CSM Block/Condo Bldg: LOT 1
14/3812 LOT 1 2.630AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
18-31N-17W SE SW
Notes: Parcel History:
Date Doc # Vol/Page Type
10/23/2006 837192 WD
2006 SUMMARY Bill Fair Market Value: Assessed with:
166656 181,100
Valuations: Last Changed: 05/05/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.630 20,000 132,400 152,400 NO
Totals for 2006:
General Property 2.630 20,000 132,400 152,400
Woodland 0.000 0 0
Totals for 2005:
General Property 2.630 20,000 132,400 152,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 133
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 , TOWNSHIP SEC. T N, R_/ °W
ADDRESS ST. CROIX COUNTY WISCONSIN.
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances
dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN-100-FEET OF SYSTEM
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lpp .
3 R
I di, ate o~thjArrow
SCAL ( i
SEPTIC TANK(S) MFGR. CONCRETE ,-STEEL
NO of rings on cover DePth
PUMPING CHAMBER SIZE PUMP MFGR. - M(557L NO.
GALLONS Per Cycle _
TRENCHES NO. of _ --width length area
BED NO. of lines width {t length area 4 Z~,
deep tF to top of pipe
NUMBER OF SEEPAGE PITS Outsi e lameter total pit area
AGGREGATE
PERIL RATE z' AREA REQUIRED i " AREA AS BUILT
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 THIS SYTEM. F!
INSPECTOR
DATED PLUMBER ON JOB, `
LICENSE NUMBER
• AS BUILT SANITARY SYSTEM REPORT
10'IER TOWNSHIP SEC. T _N, R W
0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
-3DIVISION LOT LOT SIZE
PLAN VIEW
Distances &-dimensions to meet requirements of H62.20
1
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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Indicate North, Arrow j
SCALE : 1 tPTIC TANK(S) MFGR. y
CONCRETE STEEL
N0: " of "rings on cover Depth DRY WELL
;ttNCHES NO -of width length area
j no. of lines width length' azea ' x.: - _
depth to top of pipe
aG?ZEGATE _
~"RtC RATE AREA REQUIRED AREA AS BUILT
IISCIaimer: The inspection of this.-,system by St. Croix County does not imply complete
.0pliance with State Administrative Codes. There are other area's that'it is not possible
,p inspect at this point of construction. St. Croix County assumes no, liability for
,Stem operation. However, if failure is noted` the--County will ma ke'every'effort to
,jterm_ine cause of failure.
,fBASES AND OILS SHOULD NOT BE DISPOSED THROUGH THTSTMSYSTEM.
-INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUTffiER
Z
•REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitary Penm.it
State. Septic_
NAME - Fown6h.ip, St. Croix County
Locatiox Section
SEPTIC TANK
Size/;,)(,; gatton6. Numbers 96 Compaxtment6 II
D.iAtanee F)Lom: W e t t ,ja ~t• 12% on greaten scope it
Su.itd.ing Wettand6 ~~t.
H.ighwaten - it.
DISPOSAL SVSTEbt
Di6tanee Fnom: Wett s`Olk it. 12$ on gxeaten scope
$u itding 3 it. W ettand6 Ft.
-Ughwatex fit. _
FIELD DIMENSIONS:
Width o6* then ch it. Depth o no,ck b etow tit e Z in.
Length o6 each tine it. -Depth o6 rock oven t.ite Z-- in.
Number o6 tine6 Depth o6 t.ite below grade -3t in.
V. Totat Length o6 tines Z 6t. Stope o6 txeneh - in pen 100 it.
D"tance betcueen ~ rie6 t. Depth to. beds-oclz__
,Totat ab6onbtion anew .Depth to. g,,Loun.dwate'x
Requited area it Type 04 Coven: Papers on Straw
PIT DIMENSIONS:
ben o6 pits--- ..Gxavet around p.it6 ye6 _no
Num
Out6.ide d.iamite:n S't. Depth -below .i:ntet it.
Ta~tat ab6oxbt. o~ a.nea 6t A
2 3Z
Axea nequ.ined ~t "m
,r
INSPECTED Br. TITL r,~►~ _
APPROVED ' . 'DATE 197
.REJECTED . ,DATE 197.
01
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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:* Section J i N, R- E (orM Township or Municipality 1
Lot No. , Block No.
County
Subdivision Name
Owner's/Buyers Name: L q ! 7
Mailing Address:
7
TYPE OF OCCUPANCY: Residence No. of Bedrooms > COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS - 1 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
~f L C.~ C !
P-
-2 '0
P- ch / y
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
r-.
B - x(, 75
B- c
C Li V
- / C~ 6T> / c^ ( tB- N - - `r S
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 ✓ e.-Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope.
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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.
Address - ' , ~
Name of installer if known
Copy A -Local Authority CST
r
p 67 State and County State Permit #
■ LB. a w Permit Application County Permit #
~
^w 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:
B. LOCATION: Section, T / N, R E (or) C Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ` T N rJl - r ,
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _ Duplex No. of Bedrooms No. of Persons 5
D. SEPTIC TANK CAPACITY / C C C 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 ~e Total Absorb Area -sq. ft.
New- Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed:_Length - L Width l l Depth c(S Tile depth (top) > Z No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private kl 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 Ce tified Soil Testet,>
NAME C.S.T. # and other information
obtained from, (owner/builder).
Plumber's Signature. MP/MPRSW# Phone #
Plumber's Address
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.
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Do Not Write in Space? Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application :7' f Fees Paid: State / SAC C ounty Date -
Permit Issued/Refee+e& (date) C; C_% Issuing Agent Name X sl
t eJ
Inspection Yes 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)
l Revised Date 7/1/78