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Home My WebLink About042-1070-10-100 n co O g v 0 d r~ C c f r a) -0 n c N # D w z f ! N O n 0 O m vi o v N Cn A °C • 0) N N ~ CD 0) CD O C N Z Vi U7 :3 7 CL C q -4 W ` 1 CL A O N N W 11 W~ COD =3 CD 0 o~ D° O 3 p O 3 N O C Alr Q D) m co v U> < D m P' v e E' CD N En CL O `C W zr May 3 0 0 C:) A D V CD O N CD nr a 0 CD 00 00 (o a- CD n r N N O O N N M C .D cr. Z O O O I,I \r o = CO ~ N 0 Z 0 3 cn cn cnn , 4 D ~ ~ o v CD VI N N N <D A ~1 I Z Z W O O w O y a :3 m N• N til Cl) C !l~VV CD w N C N N I CD i W m a I n 3 ~ Z N -1 cn 2 O 0 III p v a A z O W M M N UT CD CL Z 3 A °o cn 3 z N p W ~ D a a ~ o - I ~ c z a 0 CD N yy~~ ~C S A H a O 4 ti C N I O O I V I a O O I :3 Op N 69 0 ti N V O S . ti y Parcel 042-1070-10-100 01/10/2007 02:57 PM PAGE 1 OF 1 Alt. Parcel 25.29.18.394A 042 - TOWN OF WARREN 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 - NELSON, DARRELL R DARRELL R NELSON 1448 70TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1448 70TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 25 T29N R18W PT SE SW BEING LOT 1 OF Block/Condo Bldg: CSM 10/2724 5 ACRES Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 25-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/11/2004 776691 2673/278 QC 07/23/1997 1134/51 1552 WD lzo~ LO O 2006 SUMMARY Bill Fair Market Value: Assessed with: 149584 284,500 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 48,500 159,100 207,600 NO Totals for 2006: General Property 5.000 48,500 159,100 207,600 Woodland 0.000 0 0 Totals for 2005: General Property 5.000 48,500 159,100 207,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 121 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT OWNERC~, e~ TOWNSHIPL~~QQ SEC.? T 2.9N, R i SW 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 C) d C) ,yy x x U y La 4_4 - 44 ' r 2 C ~ s 7 I di at ozthj Arrow i SC ALF SEPTIC TANK(S) MFGR. CONCRETE STEEL NO. oT rings on cover Depth C~j2 PUMPING CHAMBER SIZE - PUMP MFGR. - MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length+ area BED NO. of lines widths length -area C) depth to top o pipe NUMBER OF SEEPAGE PITS outside iameter total pit area AGGREGATE PERK RATE AREA 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 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. INSPECTOR DATED --e PLUMBER, ON JOB 0.,.m LICENSE NUMBER REPORT OF INSPECTIO)N INDIVIDUAL SEWAGE SYSTEM San.i.tax y Pexm.i-t State Svpx.ie'__- f-. NAMES Township _ S.. Cxo.ix County - ion loca ion Section SEPTIC: TANK ` Size c- gat.E'onz. Numbers of Compax.tmen.t.b~ j Distance Fxom: Wett /t'4' ZL":E( # l' 12% on gxeatex etope jt Bu.itd.i.ng 6x. Wettands ~ . H.ighwatex - 6t. DISPOSAL SYSTEM Distance Fxom: We.Et 12% ox gxeatex .6tope it. 8u.itd.ing /,2 it it. Wettandz Ft. • Highwatex FIELD DIMENSIONS: Width o6' zxench it. Depth o6 xock below t.ite z_ .in. Length o4 each tine it. Depth o6 xock oven t.ite .in. Numbex of tines ~ Depth o6 ,tile below gxade :Totat teng.th o ~ Q.ine.5/ it. S.Eope o6 .theneh in peA 100 it. t Distance between Zi.nez it. Depth to bedxock SZ. To.ta.e ab,s oxbt.ion axea St2 Depth to gxoundwatex Requited axea it2 Type of Coven: PapeA ox Stxaw PIT DIMENSIONS: Numbex o~ pi~t~ Gxavet axound pitz yeb no Outside dia et%- x Depth b etow .inZet 2 Tota,t' abz oxbt.ion axea it A _ 2 Axea .xeq-&: Aed / rn INS TD._B Y ` _ _ TITLE , APPROVED DATE 197 _ REJECTED , DATE 197 r r: i ~J 1 A F I H Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES r~ - y P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION:aE-- '/4,x'%, Section~,TZ~aN,R 1 E (or W, ownship r Municipality Lot No. , Block No. County ~ T C__ ub iwslon Name Owner's/Buyers Name: E L .4 Mailing Address: '-_E/E` i ~ , r ~,i / TYPE OF OCCUPANCY: Residence/ No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW ✓ REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS -~-2 - B 0 PERCOLATION TESTS , C9 O SOIL MAP SHEET` NAME OF SOIL MAP UNIT \,l!<-/~' 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 i P- cp P- P- 2 P-3 411 P_ SOIL BORING TESTS ,CTEl`~, 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- is 7 5.,7 j C B- r % r-p B- " B- s G~ ~l rl~j 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. F F -7. U.= c~ ~ / . t, ~ T-ice ► ~ _ '4 ~ ;7' A G~--t 7-0 i a " s.~c7~Cr //~/t / QC ?f%. r _ 1 N ,S'/ r-~ / o/► -may, E~157- E ZF 4- 0 A- r' ys'T c 2 t r - G.CJ _AO-t7 7. s 1 v T: -3 0o m 15 V!i .[tQL~ r^i T r, - ~3 !mot/ .I T .C7 /-f E B ~ 0~ s~ 8 ~I ~!~j,T 7- 0 C3-4 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 (P! i,,ti.4 Certification No. Address - -7 14 2 Name of installer if known CST ~nature Copy A - Local Authority ,aGn 115 Rev. 9178 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVIICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION: ~ 1/4,~~ /'/4, Sections S,T ~IV,R/$E (o<moiniEp or Municipality Lot No. , Block No. Subdivision Name County /X Owner's /Buyers Name: Mailing Address: TYPE OF OCCUPANCY: Residence ✓ No. of Bedrooms COMMERCIAL- EFFLUENT DISPOSAL SYSTEM: NEW ✓ REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS C 2 PERCOLATION TESTS lam-- - SOIL MAP SHEET G 43 NAME OF SOIL MAP UNIT/ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTE INTERVAL RATE MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD I PERIOD 2 PERIOD 3 P- P- P- P-~✓ Ti.cL S'. 7F CG.4.l~ Z SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- C~ B- B- 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. E a r F 4 , 7 r , F , T F i 3 N s E 't s i g. } s a _ _ , a r m, . ~ s . ~ F , e I j , . S r 5 _ L-- k 1, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods 7 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, {~-a~-inta..~, Certification No. Address Name of installer if known Copy A - Local Authority C -Signature ~d - State Permit # PLBIA-67 State and County Permit Application County Per i # for Private Domestic Sewage Systems Co u nt y - *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: B. LOCATION: '5 1K. '/4 S .3 '/4, Section , T N, R E (or) W Lot# ' City -La Subdivision Name, nearest road, lake or landmark Blk# Village r--;r- ..C 1 Q oo Q Township ~wf1G (Z g C. TYPE OF OCCU ANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. Of Persons D. SEPTIC TANK CAPACITY (~G Q 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-PlaceOther (Specify) E. EFFLUEf T DISPOSAL SYSTEM: Percolation Rate_Ir5 a ~s~-Total Absorb Area-L sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length -Width ' DepthS(b "_Tile depth (top) " No. of Lines Seepage Pit: Insid di eter Liquid Depth No. of Seepage Pits, Percent slope of land /e 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 frorn the EH-115 prepared by the Certified Soil Tester, ' A NAME wQ%ta ti \31Z. j'~ C.S.T. # 5$- ZA4b- and other information obtained from Q k3 (owner/builde0. _ Plumber's Signature ~a^•r~l MP/&4@d1"# 5c9 Z(0 -Phone #4z~- Plumber's Address K • W I N t o 4 ~ to W f ar 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. rz~ 3 n v SC„ 1 toooGq~. S~3hC TA 1 N 1 v 1 C 't %(b " s 1 l~, -r2o~ r 6, . i a e F E i ~ - t ~ r [Date Not Write in Spa a Below FOR COUNTY AND STATE DEPARTMENT USE NLY C~ of Application - j Fees aid: State C unty Date it Issued/R (date) Issuing Agent Name ction Yes No State Valid# Date Recd ounty (whi e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 tate (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 J