HomeMy WebLinkAbout038-1158-10-000
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Parcel 038-1158-10-000 02/10/2006 11:06 AM
PAGE 1 OF 1
Alt. Parcel 22.31.18.741 038 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
O - HANESTAD, REID J & HONEY L
REID J & HONEY L HANESTAD
1147 CTY RD C
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1147 CTY RD C
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 0.000 Plat: 2230-NORTHWOOD
SEC 22 T31 N R1 8W PLAT OF NORTHWOOD LOT Block/Condo Bldg: LOT 21
21
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
22-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
11/18/1999 614077 1472/56 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
119990 139,000
Valuations: Last Changed: 10/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.370 27,600 109,000 136,600 NO
Totals for 2005:
General Property 1.370 27,600 109,000 136,600
Woodland 0.000 0 0
Totals for 2004:
General Property 1.370 27,600 109,000 136,6000
Woodland 0.000 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 307
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
FER ` TOWNSHI 1 - SECS T N, R S,1
0. ADDRES ST. CROIX COUNTY, WISCON Its. '
"3DZVISION LOTILLOT SIZE
PLAN VIEW
-Distances ndimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN X00 FEET OF SYSTEM
I I i I '
i 1 f
i
I
~y ! i i I
I i i I o
i
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r I ; i
i I IrxdiCate North, Arrow
:SCALE' . _i ,7 77/1L i_
LQTIC TANK(S)MFGR. /•s„~~ ~1,~,,„~ CONCRETE STEEL
NO. of rings on cover Depth - DRY WELL
ttiCHES NO. of width length area
no. of lines. .2 width length~_ area
/depth to top of pipe
aGREGATE
?.W, RATE a AREA REQUIRED L, j,S AREA AS BUILT
i,Sciaimer: The inspection of this system by St. Croix County does not imply complete
'00liance 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
,Stem operation. However, if failure is noted the County will make every effort to
j~ermine cause of failure.
EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
-'INSPECTOR
DATED PLUMBER ON JOB ' - '
LICENSE
NUHEER l S ly ,
_ r,
VP'
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.i.tan y Penm.i-t
` State SPp-t.icL~~
NAME
Townbhip, Cnaix County
LocatioK ~,~iSection -
SEPTIC TANK
Size ga.ttonz. Numbers o6 Compattmen.t.s j
ViA tanee Fnom: Wett gt. 12% on greaten Atope 6t
Buitd.ing it. We.ttands 6#.
Highwaten it.
DISPOSAL SYSTEM
-
D.ibxanee Fnom: Wett it. 12% on greaten stope it.
Bu.itd.ing it. Wet.Lands Ft.
H.ighwaten it.
FIELD DIMENSIONS:
Width o6' trench it. Depth of hock below t.ite .in.
Length o5 each tine it. Depth o6 rock oven .t,i.Le .in.
Numbers o6 tine.5 Depth of tite below grade .in.
Totat .Length o6 Q.inez it. Sto pe o6 tneneh in pen 100 it.
ViAtanee between Zine4~___Jt. Depth to bedrock it.
Tota.L abb onbt.ion area 6t2 Depth to gnoundwaten it.
Requ.ined area 6,t2 Type o6 Coven: Pape& on Straw
PIT DIMENSIONS:
i
Number o6 p.i.ts_i Gnave.L around pits ye.s no
Outz ide d,iame.ten it. Depth b etow .inte.t it.
2
Totat abeonbt.ion anew it z
Area %equited it2 rn
INSPECTED BY TITLE
APPROVED DATE 197
REJECTED DATE 197
N
01
~r
d
' N
15
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: )j '/4, i--)-J/4, Section ~ , TILN, RIS- E (orrr Township or Municipality ST04 r/~7- I t Q_
Lot No. 1 L_, Block No. C-6 le-!z m County S _7-.
C~
ubdlvlsion Dame
Owner's Name: - c C
Mailing Address:
TYPE OF OCCUPANCY: Residence _ No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 1I22/ Z PERCOLATION TESTS
SOIL MAP SHEET SOILTYPE.03
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WA II ER IN TEST TIME 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-) k
P-
L-t c) YZ_ r? V/- 9
P3
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
t -s Ci 5
3 r. r
5l6 c^ - 1 SC_
7 I C' - 3 c, S C- 3 c: >G 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. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
,r o-"~-C•~
15>0 2
40
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I, the undersigned, 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 (prim L- Certification No. 1 5-Z
Address
Name of installer if known 'q;~
x -
COPY A - LOCAL AUTHORITY CST Signature
_ 3PW
PLB 6 7 State and County State Permit #
Permit Application County Per i # o
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. LOCATIO : M., Section :1_1, T31 N, R_ /ly ► (or) , Lot#-city
Subdivision Name, nearest road, lake or landmark Blk# Village
TotivnsWp x
0-4 7 Y,/ , "W7_441CZ1.;
C. TYPE OF OCCUPANCY. *Commercial *Industnal *Other (specify) *Variance
Single family ---x- Duplex No. of Bedrooms No. of Persons IV
D. SEPTIC TANK CAPACITY C2r'.j Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete A 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 27 Total Absorb Area-~- sq. ft.
New _X Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length -51~ Width--12_Depth :0 " Tile depth (top) No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land- -C)l Distance from critical slope
WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑
Owners name as listed on EH 115 if other than present owner:
1, 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 Certif d Soil Test r,
NAME h„
C.S.T. # SS S~~ and other information
obtained from (owner/builder).
Plumber's Signature A4P/MPRSW# fS Phone #,>-y6
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 ~j Fees Paid: State .5.i~0 County. < ate
Permit Issued/ (date)
Issuing Agent Nam
0 Ala,
Inspection Yes No State Valid# Date Rec'
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
I 2. state (pink copy) 4. Plumber (canary copy)
Revised Date 7/1/78