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HomeMy WebLinkAbout004-1034-95-000 n cn O g v n d 0 d f c d 0 n c 3 CD (D -0 i~ v m - m o * c v f9 (ID 3 r ~ m v m 0 CD --4 • w 0 I v cn °O co C) 00 C) co - O R CD 0 n 3 r+ W co _ W C n N fl- a a) a) 7 N A W OO-j7 0 CD CD CD c O C !D Cl CD CD cr, (D 0 W O 3 O - 0 W C, ti 7 N 0 O VI o ~ m 3 ~ v w z D a(D m n D CD Z) 0 ~ c O co IWO m ° ° cil _ I a m (o = n r cn (cn co J to o c co co N D co 1: =;4 CD ~ r G G G 10 z _ 1 cn cn (n D FD' O O m d p~ N A O v :3 d CD z N z z ~ z Q O D 5 :p o ~ s ~ h• I D m Z7 0 N CD C: -0 M C .T N (D W 0- 7 3 z (D 0 p Z ' n ~ ~ p Z O 0 D co cn co v a r z 0 r: z U N z (D I ~ A W D n a 0 - T N C ' z p o (D S ti I A a i N i O O it I a A ' Q N ~ CD 1 27 e r~ O ti O O V z O O (D 0 i i Parcel 004-1034-95-000 02/15/2006 02:35 PM PAGE 1 OF 1 Alt. Parcel 15.28.15.233B 004 - TOWN OF CADY 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 - WHEELER, BETTY J BETTY J WHEELER 355 HWY 128 WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 355 HWY 128 SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 19.310 Plat: N/A-NOT AVAILABLE SEC 15 T28N R1 5W 19.31A S 1/2 SW NW EXC Block/Condo Bldg: PART TO STATE .29A) AS IN VOL 633/215 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1233/414 TI 07/23/1997 880/602 07/23/1997 818/70 07/23/1997 633/215 2005 SUMMARY Bill Fair Market Value: Assessed with: 106576 Use Value Assessment Valuations: Last Changed: 09/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 28,000 165,100 193,100 NO AGRICULTURAL G4 14.310 1,600 0 1,600 NO UNDEVELOPED G5 3.000 1,900 0 1,900 NO Totals for 2005: General Property 19.310 31,500 165,100 196,600 Woodland 0.000 0 0 Totals for 2004: General Property 19.310 14,000 93,400 107,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 F"z 4 REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM SanitvLy PeAm.it- k State Septic NAME TownA ip St. Ctoix County Location % ob Section ! T_N,R W SEPTIC TANK Size 5-C1 gattons. Numbers o6 CompvLtment~5 Distance FAOm: We.L.L 6t. 120 on gneateA stope 6t Bu.itd-ing 4t. wettand/s 6t. Highwatetc 6t. DISPOSAL SYSTEM Distance Fh.om: WeU ~ 12% m gAeateA ztope ~ . Bu.itding 6t. WetZand/s Ft. H.ighwateA FIELD DIMENSIONS: w.iRh ob tteneh 6t. Depth o6 Hock below tite ~ n. Length ob each Zine_Z,\) bt. Depth of Aock oven tite in. NumbeA o6 tines Depth o4 tite betow gAade , /in. J TotaZ Length o6 Zinez 16 Z% 6t. Shope o{ tAeneh in pen 100 bt. Di, stance between .tines / 6t. Depth to b edto ck ~ t. Totat ab~soAbti_on atcea ,j ~t2 Depth to gtc.oundwaten 6t. RequiAed aAea %7 5 7~ 6t2 PIT DIMENSIONS: Numbers of pits GAavet at ound pith yeas no Outside d-iame eA 6`~ Depth below intet fit. 2 r Totat abz oAbt~ o /atcek 6t Az AAea Ag uiAed g2 rn INSPECTED BY _ C r '%-TITLE i APPROVED SATE 19 7. REJECTED , DATE -197-. I i EM 115 ' WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES C' r DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: %,t_ ^/4, Section N1', T;~eR E-+e 4 W, Township or A4 +etpafity i _ 1Zs i X Lot No. Block No. County Subdivision Name Owner's Name: A--), c-, Mailing Address: 1ZCCa -v=,, L- 'K k4o ~►~-Sc%I~i, k)1, `f® L1 TYPE OF OCCUPANCY: Residence n No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW >C ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS` 8 PERCOLATION TESTS 3t-' IF 3,l f SO I L MAP SH E ET / i- SO I L TYPE \ 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 AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P-1 L)z )S, Z Zo~~~~, P- Z~' E1~5p I s , t t3,,1 s Ca►~, 0, 1 b /iz 31/z 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) sa I& C-117 C A•i3 C hs: Gy c 2 -76 c ' Y Gy 6%S 18' Gtan crl ' Z bx-T Z6'- of S7S T-1 _ ~3 '7 Ca !J Gig J TS..sy_~a 111S r1 ~ l 7 BSA C6 Ce. ko 3e~`- •17" S C > n S Z~' b-7 S~/ l0 PLAN VIEW (Locate percolation tests,soi I 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. }`i ~Z 1~~~El r✓ Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. -L t 1 ► T' l A lZ `l~ t t * I .3:y yJ i if I t iiii. .~3bt N _I--_, _ t i I, ~ I I S s ' S° - - ya i I So^Lrz \%I % bU I 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 (print) Certification No. 6 Address T.ci f';t Z =lole`~l~i.k>1L`T ~ j . tS Vod Name of installer if known CST Signature L- COPY A -LOCAL AUTHORITY C, J= c_ E14,115 a WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES t4 DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION:t '/4, Section I S , T7?N, R S E (or) W, Township or +oi~ County Lot No. , Block No. Subdivision Name Owner's Name: fj'ru c 1rC _-!~e i 3 F-~1 C~~ 7 C7~ )AJ (a r Mailing Address: 7;~Z-~ ~L-Tj:' Ll TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS SOIL MAP SHEET SOI L TYPE PERCOLATION TESTS TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER 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- CSE L P- 'tf P- ) C) r= 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) 77- ? G - s 7 I3a s , 3 C, C- fS A, T 3i C, ~e Q.,; B A& `a -1 Z K-3 C) I-, _ 7 "Z c I.7 ' TZ, T3ii / J .17 .2 Z L4 -7 11 7j` T ` 7 7 T< t 3 ' 'S _ I g G/ 3y G C 2 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. 3 17- I - J E 4-T 2j I- - - E I ' E i i I I I I f t fi ' i i! 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 (print) ::,v Ls IZ L Certification No. Address L 1c; i-L- _ koc.)a 77}4 k2t S V W_/ - Name of installer if known / CST Signature ~ COPY A - LOCAL AUTHORITY ` :j l PLB'67 State and County State Permit # Permit Application County Per t # - 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: No U), l sue B. LOCATION: . L D ' '/4, Section TjP N, R -d~-E (or) W Lot# City r- Subdivision Name, nearest road, lake or landmark Blk# .5/ Village Township e7cad C. TYPE OF OCCUPANCY: *Commerciai _ "Industrial 'Other (specify) 'Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCE : Dishwasher YES NO Food Waste Grinder YES # of Bathrooms Automatic Washer RYES NO Other (specify) E. SEPTIC TANK CAPACITY f Total gallons No. of tanks Holding tank capacity Total gallons No. of tanks New Installation -Addition- Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~ 2) 3) Total Absorb Area f. sq. ft. Newer/ Addition Replacement 'Fill System Seepage Trench: No. Lin. Feet /1'0 Width Gfi~ Depth r Tile Depth 0No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines If Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land !y 0-~FFc Distance from critical slope 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 Certi ied Sit Tester, NAME ~ f ftI A ~ ~~t J sr~~ C.S.T. # ? and other information obtained from (owner/builder). _ Plumber's Signature MP/MPRSW#~ Phone # Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). I (3 ZOO[ R + . ~ AAj We-11 To 3F- ~ cx4rr-D UP 4i LL fOT I IAN,. A*RD " ' Rot ZVI 'T iAL Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: Stater', 00 CountN~A % Date Permit Issued/ (date y _ 7 -XT Issuing Agent Name Inspection Yes No 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 6/1/76