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HomeMy WebLinkAbout038-1054-70-300 n N O K -0 0 d c c C*n c E3 A~ ice' m m (D Z -u n c 'U # m 3 _ # 3 - o v w o rn CD a) 6 w °w C • a~ v cD 3 0 m w w CL z W Q N N W N O N !~y n O CC) O (D N w 0 R O o c ro m ro O m W 3 H H N j CD O 0) (n C D 2 CD (f] ro N O. n ro 3 N ~ X O w A ""OVA C Co Co z n r C/) 00 CO o CD Cn o c m o 3 t a v v 0 =r 9. N. z 0 0 0 3 o °-Q co o Vii l~n N° o w D v 3 'U v o O m N fD N A O G C1 'O CJ7 !r (D i OA ~ y N m V co A Cl. z N zco z 0 CD 0 Co O D n ' 70 m ~r CD N y c (DD ( CD w m a a 3 z ro -j fn O A Z CD N C .n. Q 'I A O S z j w z ca m p 0 ZI 3 rT z z ro g w I D CD- CL o 7 T C11 C z C. O m I A b I ~ I I ~ I N i O i O ~ I a i A ti O :3 t-j ro D0 V cA O CD (D O L Parcel 038-1054-70-300 12/05/2006 10:22 AM PAGE 1 OF 1 Alt. Parcel 13.31.18.233E 038 - TOWN OF STAR PRAIRIE 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 SUSAN K WELLS O - WELLS, SUSAN K 2189 CTY RD C NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 2189 CTY RD C SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.040 Plat: 3884-CSM 14/3884 SEC 13 T31N R1 8W NW NW LOT 3 CSM 14/3884 Block/Condo Bldg: LOT 3 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-31N-18W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 08/01/2005 801967 2855/05 QC 06/29/2005 798948 2832/606 QC 05/09/2003 720780 2236/282 WD 02/14/2002 671160 1836/493 WD more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 175027 198,900 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.040 32,200 143,600 175,800 NO Totals for 2006: General Property 2.040 32,200 143,600 175,800 Woodland 0.000 0 0 Totals for 2005: General Property 2.040 32,200 143,600 175,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 140 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING FEE:$ 25.00 V (For nitrates and coliform bacteria) WATER TESTING FEE:$175.00 (CS) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAME: y ✓ S c i~ PROPERTY OWNERS ADDRESS: ~t~ TIJ R CITY: Legal Description 1/4, .1/4, Sec. T 1 N-R I, W, Town of S~~ v R ri- ,Lot: No. Subdivision FaIRE 40. l Cv 11 C_ LOCK BOX NO. ~i f`~ Jam(*- ' . Color of house ~v Realty sign? u-% Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: 5je_1/tf. ~~w? 5 -C~ Telephone No. REPORT TO( "BE SENT 1O: S W `l c u C CLOSING DATE LL/ l- Signature: L to " • . COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 C -AGE 1 LNOI;; ICUL tt Pc kEPUk i JL ATi E: 2/,Ls/92 ;;OLRTHOUSE DATE NECEIVEDS 2/11/92 .!DSON. WI 54016 rLEFt: Char I 4~ o?~ 8~ CO RD Nclv R OAM o N 0 :TE ANALYZED*# 2-11-92 1E ANAt.YZED22.00pm -IFORM## 0 /100 mt ',xva 1{, p"pa, exceeus trle iecummeiwera h'+1Uti!_ Drinking Water Standard. i ~O N N CO C> J ri 12 G r J T ` OF"tADEOENpp~ W1 Approved Lab No. 19 o~ tp ~ j \ L Means "LESS THAN" Detectable Level Approved by: o PROFESSIONAL LABORATORY SERVICES SINCE 1952 34- qz . ST. CROIX COUNTY WISCONSIN ZONING OFFICE ~z ? ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, W154016 (715) 386-4680 Feb. 14, 1992 Steve Lewis 2189 Co. Rd. C New Richmond, WI 54017 Dear Mr. Lewis: An inspection of the septic system on the property of Charlas Zahnow, located at 2189 Co. Rd. C, New Richmond, WI was conduct3d on Feb. 10, 1992. At the same time a water sample was obtain 3d for testing. The results of that testing will be sent to you is soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to :)e functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, aid did not involve any excavating or chemical analysi3. Accordingly, there is the possibility of hidden defects in tie system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning 3r operation of this system. It is recommended that the system should be pumped once every three years. Therefore, tie prolonged life of this system may be dependent upon proper maintenance of the system. n rely, James K. Thompson Assistant Zoning Administrator cj AS BUILT SANITARY SYSTEM REPORT OWNER L~crane !t~'f ,J' TOWNSHIP, SEC. l T N RW ADDRESS__/_•°, ST. CROIX CWISCONSIN. ~u SUBDIVISION LOT LOT SIZE !'r r S° PLAN VIEW 73~ Distances & dimensions to meet requirements of H62.20 SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~F 7t 5rley 76, 3 0 Hd ,.,w..... 5 J 1 3 I I_ di a e oath Arrow R SCAL Liz, SEPTIC TANK (S) MFGR.;/°•. CONCRETE' STEEL NO. of rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. ~L NO. GALLONS Per Cycle TRENCHES NO. of width length area RED NO. of lines „ width r~ length r~ area / - depth to top of pipe z z NUMBER OF SEEPAGE PITS utsi e i.ameter total pit area AGGREGATE PERK RATE ARE REQUIRED 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 thn 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. ~i INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER /►')ra A2 - -7 k 3:36 REPORT OF INSPECTION - INDIVIDUAL SLWAGE SVSTLM Savn.•i.-tahy Penrn.i..t State sep-t.ic. LAME Township fl-..4,&Ad4A..--St- C" 'k Cuun-ty uca.t.ion~/~,~,/ S'ec•.tion_Lj Lot a Subdivision 1PTIC. TANK Stine ga.Ekon.e Numbers o6 eompaA.tmen-ta ,ia-tanee 640m: Wett Bui ding 12% stope H.ighwa•ten LIMPING CHAMBER Size. Saito-n4-..Pump Manu 6ae.tunen Mu dek Numb eA OLDING TANK , Size gattonb Numbers o6 Com•pa,%tmenu Pumpers Atanm System (stance 640m: Wett Buitd.ing 12% a.Eope_ H.ighwate)L 8SORPTION SITE Bed TAe.neh ,stance. 6AOm: Wett Buitd.ing M a Eape H.ighwa,teA KSORPTION SITE DIMENSIONS Width o6 tn.eneh At Requ,i4ed aAea_ __6x Length u6 each tine it Depth o6 Aoch befuw tine i.n Numbeh a6 Une4 Depth u6 mock oven .tike 4.n Totax tength 06 tines it Depth u6 t.ite behow gnade_-- i.n D.iatanee between tines it Stope u6 tAench„ (tin. pet 100 6t ~ I 04,A aGo U&P tiun anew it Type o6 CoveA: PapeA on etna, IT DIMENSIONS- Numb o,4 o6 pits GAavex abound p4' t.6 ye16 _h0 Ou-tb4'de d.i.ame-ten it Depth betow .inxet 6x TotaE abeoap.t.ion area it AAea Aequ.i)Led 6 . NSPECTED. By - TITLE - - ,11PROVED DATE 19 8" JECTED DATE 1916 ,IASON FOR REJECTION PLB 6 7 State and County State Permit # o A Permit Application County Permit # r' for Private Domestic Sewage Systems County t_- I *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER ~ OF PROPERTY Mailing Address: / Q f D0LJ Ay1Ve ~ A R-e- JR. /Y~.c,J ll ic• (-1,°ha,v (,J. B. LOCATION: '/4 Section IS, T N, R D (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township ~ ,qg RAI C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY ZQ©O Total gallons No. of tanks 0/161- 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 v Total Absorb Area S sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: X_Length 5 z Width Depth Tile depth (top) No. of Lines TAO Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- no Distance from critical slope- gs i 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, NAME ,7- 04 T C.S.T. # and other information obtained from 4e eZ_ (owner/builder). p Plumber's Signatur MP/MPRSW# Mio 4 d 9 Phone # 7/~ ~av~l-,997? 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. el c E E E 3 3 r Do Not Write in Space Bel w FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application f) Fees Paid: State /y. CO County , c;;:7/, c~ Date Permit Issued/Rtijectetl (date) z D Issuing Agent Name ,,u"-esiW, 1 Inspection Yes _A_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 E H 115 Rev. 9178 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES 9 P.O. BOX 309, MADISON, WISCONSIN 53701 REC ® LOCATION:#'/41a%, Section jl_,T~ LN,RtM (or) W, Township or`Munit'Ipd1i y I Lot No. , Block No. County p_ 0I ~ ubdiwsion Name Owner's uyers Name: - offiff Mailing Address: -iz 1 I ~ TYPE OF OCCUPANCY Residence No. of Bedrooms - COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS Z 7 `96 SOIL MAP SHEET / 7- NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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- " 'tom .e P_Z_ .1411`0 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 S' / 5 //-00 ~ r 7 B- C,- ry "/52 11; B- 72-1 7 Z_ " / 3" .5 .S: yp . , wJ.S` B- 4f 7Z_'1 yr"',S,4-G, 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 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. T x P 3 ~1 i / k I F j # i i E F E 17 N 171?a 13- '~'E'~►~ r 3 e ex, W is r ~ I 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) Certification No. Address Name of installer if known 44 Copy A -Local Authority CST Signatur 0 0 ai U MY, Q~Q a / -/Os Ilk ,00.~ 74 3 t z rq a ~r o/ Y REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/ Persons at Site (2 )Date of Inspection Z, Time of Inspection ame, ress, License NO. OT installing Plumber (3 )INSTALLATION CONSISTS F: ❑ 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 an model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons 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 N0; Wired? ❑ YES ❑ NO; 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 o 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; li.neal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water ark 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 gr ater 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: