HomeMy WebLinkAbout276-1043-35-108
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Parcel 276-1043-35-108 o6io4i2oo7 01:51 PM
PAGE 1 OF 1
Alt. Parcel 36.28.19.322E-8 276 - CITY OF RIVER FALLS
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 - OLSON, MARK D & JEAN M
MARK D & JEAN M OLSON
1463 N QUARRY CT
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description " 1463 N QUARRY CT
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 1.480 Plat: N/A-NOT AVAILABLE
SEC 36 T28N R19W PT NE NE BEGIN 660'N Block/Condo Bldg:
OF SE COR NE NE TH N 50', TH W 120', TH
N 140' TO RIVER DOWNSTREAM TO PT W OF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
OIB, TH E 470' POB ALSO BEGIN 635'N OF 36-28N-19W NE NE
SE COR, TH N 25', TH W 387', TH S 25',
TH E 387' TO POB EXC PT TO STATE DESC
more...
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 906/268
07/23/1997 716/127
07/23/1997 698/219
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/19/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 73,900 174,600 248,500 NO
I
I
Totals for 2007:
General Property 0.000 73,900 174,600 248,500
Woodland 0.000 0 0
Totals for 2006:
General Property 0.000 73,900 174,600 248,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 141
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wiaoonsini Depm,rtmant of Health and Social S4;wioss
X67 3/70 Divi&144 of Health
SEPTIC TnLX PERMIT APPLICATION
TYPEE o.r USE BLACK INK 2 16 c/ 3-2
A. MIER OF PROPERTY. / I 1~ t c~
Name Address ("fast, City, Zip Code)
B. LOCATION OF PROPERTY WH-RE SYST-1,M WILL BE CONSTRUCTED ALTERED OR EXTENDED COUNTY
Check One.
CITY VIIIAGE LEGAL DESCRIPTION
TOWNSHIP 0-1
C. IS LOCAL PERuIIT REQUIRE.-, FOR THIS WORK? YES NO PERMIT NUMBER
ADDITION
D. SEPTIC TANK CAPACITY Gallons NEW INSTALLATION REPLACEMENT
I'IATERIALS: Prefab Concrete Poured in Place Steel Other
4UMBER OF TANKS TO BE IiIS'PALLED:
E. TYPE OF OCCUPANCY
Cheek One: One or Two Family Residence / Commercial Industrial Other
(specify)
Number of Persona to be Accommodated Number of Bedrooms
F. APPLIANCES, ETC: Food Wast9 Grinder YES NO Automatic Clothes Washer YES / NO
Lis :as'ror YES X NO Automatic Potato Peeler YES.-' NO
Other (Specify)
G. Nu1STIR PLUr3ER MAXING INST ILLATION
% License Nur.,.»
Name: Address: it--! • 1 / i'1 ` b
. s
!SP
Signature of Applicant: MP RSW !7
Address:
! ' L-' L L_ S
H. (To be Completed by Issuing Agent)
Cate of Applicatior. Fee Paid
Permit Issued (date) Permit Number
Agent (Name) For i~~~'
Torn Village, City, County, etc.
(Specify)
Note: The application cannot be considered for filing until all of the above yuestiors are answered and the
fee paid. Agents will forward application, the fee of $1.00 or each septic tanK and the third copy
of the permit (aanary) to the Division of Health. Checks and money orders should be made payable to
the Division of Health.
Do not write in space below - FOR DEPARTL1!ENT USE ONLY
I. DATE RECEIVES -70
ACCEPTED BY ~5\P RETURNED _
(Initials) _-r-, (Date) See Lorros.)
FEE RECEIVED VALID. No. PERMIT NO. ~n
es or No -
REVIEWED BY APPROVED DATY
(Initials) Yes or No
COMPLETE OTHER SID°
• =FTIC TANK PERMIT NO.
R E P 0 R? O N S O I L P I R C 0 L A? I 0 N ? L S T
A N D S O I L B O R I N G S
TO
DIVISION OF HEi:LTH - PLU'MM SECTId-4
P.O.Dox 309, 113.dison, }his. 53701
Pursuant to H 622.20, Wis. Administrative Code
P E R C O L A T I O N T E S T
Test Depth Character c: Soil Hours Water Test Time Drop in V"it Level Inches inutss
Number It.fjues Thioxness ±.r, li:ohss Sine6 Hole in Hole Interval Second to Next to Last To FaI L
1st Katted Overni in Minute° last pariori last Period Period~Cne Inch
Example
1/2 60 ..a
P - 0 3611 T~ Soil 10'~ Clr_- 261, 25 Yes or No 30 1/2 1/2
RECOP.D DATA FROM MINLN,UM OF 3 TEST HOLES
Compute size of absorption area in accord with H 62.20 Wis. Administrative Code-
S O I L B O R I N G S- Mini=Lm 36" Below Prooosed Abs2 Lion System
Boring Total Depth Depth to Ground Water Depth to Bedrock
Number Inches Observed i Satir,.a,ted Observed Esti=ataa Character of Soil with Thio'azess in Inches
Example - 721# 7211 Black Too Soil 12rgC1 18n. Sand 1811Gravol 24nj
- }6._. .
R CC;0 DATA FROM MI` D%UN 0? 3 BO? HOUSE
i
YPE OF OCCUPANCYs
RESIDENCEt Number of Bedrocras OTHER: (Specify) Number of Persons 7
POOD WASTE GRINDERt Yes No k Dishnashert Yes No Y AutosatiW Clothes Wash=r: Yes No
EFFLUENT DISPOSAL SYSTEM: NEW EXTENSION ADDITION REPL!-CEt--- T
Tile Size No.Lin.Feet Trench Width Depth Number of Lines
Seepage Bed: Length Width Depth Tile Size No. Lines
Seepage Pitt Inside Diameter T7~q Liquid Depth
I, the undersigned, hereby cert'.y that the percolation tests reported ,n this form were made by me or under r_! super-
vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Coda, and
that the data recorded and location of test holes are oorrect to the best of my knowle~;e and belief.
NAME 111i- ✓TITLE
Type or Print
REGISTRATION NO. or MASTER PLUMBER LICENSE NO.
ADDRESS L_ -
DATE SIGNATURE
r
-71 Z-7
61 q1