Loading...
HomeMy WebLinkAbout036-1056-20-000 o cn o II 3 v o C7 O tv 7 0 c CD o 'a 1 m A 3 3. F O cn :r 0 _ M m z N m- cf) - .NP ~C $r • CD C) CD CL 0 li N (D = v W N N O m O'S' Q N CD CD O ~ 3 3 to ° O 0 0) ID OD ED (n D W m (n N N C. 7 W 3 a I o o? O D 0 _ o o CO O c M "MIA z O O O 3 o 0 c ~ 0 ti N Cl) ° m v CD 3 cy- m00 N I ID N^ 1 d (n l " CD . Q a) CD CL y N z z o v D Cl) o o N N CD N. CD W d E- 3 7 z (D -1 cn O O A z C N c A _ o n z C A v n I.. O~ o' z j 00 CD m fD ~ z 0 3 A x o =r z y m I ~ I < (D ? W ~ n D 3 a N T m C z a O (D En 0 A v i A I II A I O ti I i O O V A (D bQ o m en w O tiy ° i ti Parcel 036-1056-20-000 01i08i2007 04:56 PAGE 1 OF 1 F 1 Alt. Parcel 24.31.17.357B 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 - STRUEMKE, ALLEN R & EILEEN C ALLEN R & EILEEN C STRUEMKE 1983 210TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1983 210TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.780 Plat: N/A-NOT AVAILABLE SEC 24 T31N R1 7W 2.78A IN NE NE COM NE Block/Condo Bldg: COR NE1/4, TH W 770.2' TO POB TH S 369', W 327.8', TH N 369', TH E 327.8' TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 24-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1108/345 PR 07/23/1997 443/397 2006 SUMMARY Bill Fair Market Value: Assessed with: 166781 183,900 Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.780 20,000 134,800 154,800 NO Totals for 2006: General Property 2.780 20,000 134,800 154,800 Woodland 0.000 0 0 Totals for 2005: General Property 2.780 20,000 134,800 154,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 126 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 i TOWNSHIP a. , SEC. T if N . R1 / W ADDRESS - - ST. CROIX COUNTY WISCONSIN. - - LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM nw i ._7: o - yrr i,,' I di a e 1401 Arrow - SCALE ; i lilt SEPTTC "TANK(S) I R, CONCRETE STEEL L! NO. of rings on cover Depth PUMPTNG CHAMBER SIZE PUMP MFGR. ~L NO. GALLONS Per Cycle TRENCHES NO. of width tlength area RED NO. of lines- width ; length area 1 dept to top o pipe„ NUMBER OF SEF AGF,.PITS Outside diameter total pit area AGGREGATE f.: y PERK RATE ~j AREA REQUIRED AREA AS BUILT Disclaimer- The inspection of this system b St. Croix C6unt does not imP1 y Y Y complete compliance with State Administrative Codes. There are other areas tha, 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. GPEASFS AND OILS SHOULD NOT BE DISPOSED THROUGH /THIS SYTEM. DATED f( PLUMBER ON JOB LICENSE NUMBER KI l'ORT Of 1NS1'LCVION - INDIVIDUAL SELVAGE SVSLEM S a vi t t ;t b y f~ ri rn.i o~~ O State, Scp .,-c.~ Q - iAMI 1-0wtthltip- ~---=_-st. CAo -i x Couvi ty ocaC.t_tin _Sec.ttionp;?~l_ot tl Sub d'vt6i-(n I /)TIC IANK S.t ze -yaee0k(6 Num0cA o corripantmevtt6 ti tuvl cc {~rurn: LVe -t.X 6 144.Xd4.ng- © 12`0 4kupe II<-g6iwa-tv (IMPING CIIAMM R ;i aKC ovt4 pump Matlu(yaotuAcA ModeY- Number U I N o i AN t\ 4 ze gaefovts Numbeh of Comp a. At me yi t6 I'u.rnpe it Akaizm S y3.te.m ti (arlcc {,IOol LVv(-t Butikdi,ny 120 ~to pe- H i-clhwate A W: 0 1: I' Z I O N I l t hod TItench - % ii rtvIcc (thorn: WC_kX 13(14" d -tvtt f2 to pv Iltghwaaen )I~ I' I ION S IIE DI MENS IONS W( Ml o f thettch (~t Requ~ lied aitea l~P1I~ it o~ each t YlC It Depth oA n.uck be6)w .t(.Xv to Nirrnlrr 11 o Pti'teza ~ Vv -pttl o 6 noCth oveh -t-( -ec 1,(rrl' pi q,01 oI!,i-vle.a 6t Dvpth o6 litc be-.fow (lnade it I~~nttvr1)utweevt e(kic AI SQope of 1'1vvlvit 2- (yl. pen 100 {~t to tr141.1oit p-tlon ait ea Type of Covet: f'apeh- a thaw If UIMI NtiIONS Nrrrn1)v I o ~ 1?i to Gh-ave ( ahoand pA'tls -Y /s _ do ~ Otttn i do diarne teit {-t De -ptit bet'ow 1,n-t-va ~t FotaP abtoApt'on (4, 1( fit Ahetr it cgttiit ed -t V VI CII U 6v TITI_t r._jj~A 1~ - - - - - - I'I'I,OVI D DATE 19t r I I C-1 1 D DATE 19 8 I A"() N 1 01\1 IZI JI C1 10N I State and County State Permit # PLB 67 w Permit Application County Per i# for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF f RTY Mailing Address: B. LOCATION: '/4 AIZ Section , T_~34 N, R J (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ,5T.4n/T/%i✓ C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family J_ Duplex No. of Bedrooms No. of Persons S~ D. SEPTIC TANK CAPACITY J&C)L-) 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 4 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 Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length Width_Depth ,i Tile depth (top)No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- Distance from critical slope 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 L C.S.T. # and other information obtained from * - (owner/builder). Plumber's Signature MP/MP SW# Phone #J4 ;SZ 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. E t Do Not Write in Space Below FOR COUNTY AND STATE,DEYARTMENT USE OILY Date of Application Fees Paid: State Count Date,~L Permit Issued/Rejected (date) Issuing Agent Name 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) Revised Date 7/1/78 E1 1 JA15 Rev.9/78w REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: b( 114ALY4, Section_-2_~_,TJJ_N,R.L,z4 (or) IE Township or Municipality Lot No. , Block No. ubdivision County , ame n/~~~ Owner's/Buyers Name: , h r~f'uF.~~r F Mailing Address: 441 -3 7f~c.~n~ ~r✓~ b~T-] A4'1'1 44 TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT-ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS_16-10-30 PERCOLATION TESTS ZD -/d - SO SOIL MAP SHEET /_S? ©/17/3 NAME OF SOIL MAP UNIT aA14i414 41,04A" 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_ l in P- 9 P- 1, A1,)A1j1r jo %e. 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- B- B- 7 - - B- 7 3 ,.L ?y - -s B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan he lo on 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. A t , e 745 _A A /,fiiC y~Ot~9 TtfaJ v ,$c ra _ _ a - 00 E , • uLSu rA1Ch__ q' 44 in N x a E q Yl e , E i r € s i r , x a I I I 4 ~ € m__. - t o , f 1, A 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.~S~~ .1 Address .Name of installer if known Copy A -Local Authority CST Signatur . ~ J ~ /QfJfPif J YI~6! t s11 7r-/71r/ 7- 4'P 1 ;r L w ALM • Ss/t'd s