HomeMy WebLinkAbout004-1078-20-000
c f c ~ O rD
y
m J m 3
K v O - C
-0 at
(D W m
m 3 = c/
3
I 3
O
Cn -I 2 v z o r- n W o •
O (y O W (n O OJ N co N O ~C
3 C in O- N _ ICI
O CD O W O `G W
L, CD
N C O N W 7 p ~
CL CD
O -p n 7 (D (D 7 7 C) O O
Oo c CD (D n O O A o A7
o
7 UT E~
m o O
UI N N
W C co
(~J
U3 A m n rn ~"1.
<D CD Cn CL
`n W m
c a c o o
3
COD 0 rn Q Ncn
CD
0- C-n
{ co 8 o o r en
N cn o c
CO CO t+l
X. 3 :T U
,C7
CL
z o o o o
o m
_ z
c c cn cn cn ° A
W 3 v o v<
W
O D N O
l ~
m m
O. (D !V
co Ln
a
Z
o z z 4 O
_ A o
o >
O
S N
m m
0 Nip
O ( i
-0 0 C FJ T. N
D a
Cl)
z O fn
O 'p Z (D
W O _ A
n 3 A Z O
W O- ~ 7
i
W
00
CD z
O 3
3 c
N Z
III O A
W F
Q
~ C
O _
-n
W C
z a
a
CD
N
fi
t
A
I a
I Z
A
ti
a
N
O
O
C.,
A
O~ Z, N
D p
(D
< ft
O
0 e
p * b
C) C
C) CL
Parcel 004-1078-20-000 02/16/2006 01:21 PM
PAGE 1 OF 1
Alt. Parcel 32.28.15.508A 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 - PECHUMAN, KENNARD L & MYRTLE T
KENNARD L & MYRTLE T PECHUMAN
2876 PIERCE/ST CROIX RD
SPRING VALLEY WI 54767-9115
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 18.000 Plat: N/A-NOT AVAILABLE
SEC 32 T28N R1 5W 18A SW SW EXC PT TO USA Block/Condo Bldg:
EZ-U-1499/321
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-28N-15W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 905/234
07/23/1997 789/357
06/03/1996 1182/318 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
106929 Use Value Assessment
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.000 29,900 164,900 194,800 NO
AGRICULTURAL G4 13.000 600 0 600 NO
Totals for 2005:
General Property 18.000 30,500 164,900 195,400
Woodland 0.000 0 0
Totals for 2004:
General Property 18.000 21,500 90,900 112,400
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
AS BUILT SANITARY DEPORT
0'11E'ER: Township , Sec !'n. Id, R j.'.
P. 0. ADDHESS Pierce Cotuity, j^~isconsin
Subdivision Lot Lot size
PLAIT V I71
Distances & dimensions to meet requirements of Sec. Hh7.20
S+„Septic tank(s)_.j TIf,r. Yo rin-s~ Dept to cover _.Dnr well size ~f Type of A-,>regate f
_ ~ _ Covered with
Depth of seepage system'--,
DISCLAT" E;R: The inspection of this s-%rste m by Fier ce Co.,nty does not impl;.r co,. pl.;-te
compliance with State Administrative Codes. There are o}-,!Iur areas tl).t it is i._,nossible
to inspect at this point of construction. Pierce Co 'ty assumes no 1iabi13-4 for sirs.Cllr,
operation.
L SPrC: TOFF
PY.MBER. ON JOB:
_
DATED : `T r- •
V-
RRPOI;T OF IJISPrC1`IO'.I--I,4DIJII)UAL SI j,JAGE DISPOSAL SYSTE11
Sanitary Pei-nit
r State Septic TOWNSHIP
• t. C i- County
SEPTIC Tn'II:
Size l Gtr0 ~
gallons. 'lumber of Compartments .
Distance From: 11e11
40 ft. 12% or greater slope
g Building ` aft. Wetlands ft
Itighwater ft.
DISPOSAL SYSTF_:1 7 Tile Field or SeePatre Pit(s)
Distance From: Well ft. 12% or greater slope A115L£t
' 3 3 Building ft. Wetlands f
Y
lr F rLD Hip
hwaterft.
Total length of lines ft. Number of lines a Length of
each line ft. Distance between lines - ft. Width of the
trench ~ft. Total absorption area ~ y sq. ft. DePt::
of rock bclow tile /Z in. Dp-pth of rock over tile _Z in. Cover
raver.. rock , Depth of the below grade 2 t~ Slope of
trench in ner 100 ft. Depth to Bedrock ft.~ Depth to
ground water ft.
PITS
"lumber of pits 0 tn: de diameter ft. Depth below inlet
ft. Gravel a_ ___yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
`%quare feet of seepagq nit area required ,
Inspected .by .._._.6'f- Title
Approved Date 197.
Rejected , Date 197
EH 115 (11-74)
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: '/o, Section T_N, R E (or) W, Township or Municipality
Lot No. , Block No. County
Subdlvlsion Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOIL 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-
P-
P-
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)
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 reference point. Indicate slope.
tN
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)
Signature
Certification No.
Name of installer if known
Copy C - Local Authority
EH 116 (11-74)
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: 1/4, Section T_N, R _ E (or) W, Township or Municipality
Lot No. , Block No. County
Subdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET SOIL 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-
P-
P-
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)
B-
B-
B-
PLAN VIEW (Locate percolationtests;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 reference point. Indicate slope.
s
tN
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) _ Signature
Certification No.
Name of installer if known
Copy C - Local Authority
PLB67 State and County State Permit
Permit Application County Per i #
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:
tic,
B. LOCATION: G~ c_e! Section , T N, R{ E (or) W Lot# City_
Subdivision Name, nearest road, lake or landmark B I k # ~ Villa e
Township Cezctl
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons 3-
D. TYPE OF APPLIANCES- Dishwasher YES __L.,NO Food Waste Grinder YES O *of
Bathrooms-
Automatic Washer /YES NO Other (specify)
E. SEPTIC TANK CAPACITY ~?Z! Total gallons No. of tanks t/
*Holding tank capacity Total gallons No. of tanks /
New Installation Addition Replacement _ Prefab Concrete L./
*Poured in Place Steel Other (specify)
F. EFFLU NT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System 3r
Seepage Trench: No. Lin . Feet Depth i e Depth _ No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 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 Ce ified Soil Teste , U /
NAME C.S.T. # ~ 1- and other information
obtained from (owner/builder).
Plumber's Signature f= MP/MPRSW# 3J O 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). /
5/Q e
a
i r
7
vLL ~r A~,
y
H _
Pr Tr
l
Do Not Write in Space B low FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State County, / Date -
Permit Issued/R (d(ate) -issuing Agent Name ,
Inspection Yes No Valid# Date Recd
1. county (wh to 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