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HomeMy WebLinkAbout004-1079-10-000 n N O -0 n O C 4f C "0 3 (D A Cn ~ m v z q o~ W n A7 C _U w C) N O O -4 :1 m 0 9 G h d n7 A i.y Z Q CD y t O 3 co L-, 0 r`S l^\ O C W =5 O 0 J C < fll rn v w O co Q :3 ° , 2 O 0 Z) (D P, 0 o D L E3 m cNO o° O En (A o d CD C a o m C( D o 3 CC ° N a 7) cn W ° D CD O CD ° U) o ~ -a CD cD co (0 n r N N co00<' No c I v ~ 'Y cr m o E ~yh~ • ° m * * ~ z v ~ 3 N ti N p D D v o o m CD - e~ d w y N N 3 A z . . O o Z z O D O 00 _O ° o ::r ~ h ° m m m ° M C OT N (D W N ~ n 3 7 _ ° l0 A Z m U) C A n A Z O v ~ ~ O Z C 0o v m CD CD a o o Z~ a m ~ J W pj ° (D a m o - ° -n ~ c o a m N i A i o- A v ti a N O O a A O b W I @ I ~ dQ Q O 0 O O O O CL ti Parcel 004-1079-10-000 02/16/2006 02:26 PM PAGE 1 OF 1 Alt. Parcel 33.28.15.514A 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 - BRAHMER, HOWARD H & JANET L HOWARD H & JANET L BRAHMER 2997 10TH AVE SPRING VALLEY WI 54767 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 43.510 Plat: N/A-NOT AVAILABLE SEC 33 T28N R1 5W PT NE NE & SE NE LYING Block/Condo Bldg: NLY HWY 29 & INC 004-1079-50-100 (5178) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-28N-15W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 05/31/2000 623923 1514/612 WD 05/31/2000 623922 1514/611 WD 07/23/1997 771/333 07/23/1997 543/340 2005 SUMMARY Bill Fair Market Value: Assessed with: 106935 Use Value Assessment Valuations: Last Changed: 09/07/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.510 5,600 0 5,600 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 24,000 109,000 133,000 NO Totals for 2005: General Property 43.510 29,700 109,000 138,700 Woodland 0.000 0 0 Totals for 2004: General Property 43.510 9,500 58,800 68,300 Woodland 0.000 0 0 I I Lottery Credit: Claim Count: 1 Certification Date: Batch 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 V Vt/ALl tl d]1.A 1/1d\1 ✓duld+id AW+MiIL ',YER_ , TOWNSHIP SEC. T N, R W 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. 3DIVISION r, LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM _ i .-TIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover _y Depth DRY WELL INCHES NO. of width length area no. of lines _ width length area depth to top of pipe ELATE u{ RtiTE AREA REQUIRED AREA AS BUILT .claimer: The inspection of this system by St. Croix County does not imply complete .pliance with State Administrative Codes. There are other areas that it is not possible j inspect at this point of construction. St. Croix County assumes no liability for A em operation. However, if failure is noted the County will make every effort to .ermine cause of failure. :ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER RRPOP,T OF ITISPECTION--INDIVIDUAL SET,4AGE DISPOSAL SYSTE Sanitary Permit % r State Septic 4 T&WNSHIP t. 61,, County S) EP, TA'II- .~~ze gallons. `lumber of Compartments Distance From: WeII _ft. 12% or greater slope ------~L___ Building ` ft. Wetlands f. I~igic.T~~ter ft. DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s) Distance From: 11ell 4 ! ft. 12% or greater slope ft Building ft. Wetlands f; FIELD Flighwater .ft Total length of lines a',5) ft. Number of lines Length of each line S-' - 4it. Distance between lines ft. Width of the trench _f t. Total absorption area sq, ft, Dept:: of rock below rile T min, Depth of rock over file in. Cover nver.rock,, Depth of tile below grade / Z in.. S10PO of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS 'umber of pits .;f ut i diameter ft. Depth below inlet ft. Gravel aran i `yes no, Total absorption area a --sq. ft. .Square feet of seepafe- f"r6hch bottom area required vquars feet of se~6pag.e %are required Inspected h""'C Title': " approved Date l' /,''/U I97 r , Rejected Date .197-. 00 EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOI L BORINGS AND PERCOLATION TESTS LOCATION: '/,,k~k~y,,Section I N, R i_'E-(erg W, Township of Munizipatitr Lot No. , Block No. County SIT, C.il X Owner's Name: L 1 L_ k.`-( ~i'Z A fill M R ision Name Mailing Address: S t~ 1Z.,1 IU Cl UA LL fa7 5(00 TYPE OF OCCUPANCY: Residence X No. of Bedrooms _-S Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS- PERCOLATION TESTS 'Z it SOIL MAP SHEET SOI L TYPE C~~i TER, I I PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER ii, r.v{c unUp, iw WAILt LEVEL, ii\JCHEJj 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 S f> P- Z 2y 1 S , 1 j ~3 n s i 1 P- 3 7Z IF /6 1 1 _~_Ld 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 yC` ti l `7 l7 IS 47 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. kJ f,~ I a(~J~€;{Y] 11 t NI ~__fc I I i 'I tN 3 i { € I i ~I f { i € € € i ~ i i 1 Pp{ f \ l! i i I 1~ 4 ~ _F r _ € I w - I i z } 1 RE i Imp ©c / i ..5 /1 { N~+ ZONIN(/ OFICE f i € { f SUE 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 cor ect to the best of my knowledge and belief. C Name (print) 1-Zv jZ_Tm ~1Z L • l/J C-_ ='`TZ t`)? Certification No. Address Z ~ L_ US kJ C, F-;' 7)4 Name of installer if known y b ~F Ate, CST Signature State and County State Permit # PL867 Permit Application County P . # er 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: A1.5 Wlev 144 Y ~RP149,11 -<~O, - , ~~k - B. LOCATION: 41 A Y4 ~(1/Y4, Section T_Ia , R E (or) Lot# _ City 1 as i Subdivision Name, nearest road, lake or landmark Blk#_~I__ Village Township C TYPE OF OCCUPANCY: -Commercial -Industrial *Other (specify) *Variance Single family ii Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCESDishwasher YES ✓NO Food Waste Grinder YES O # of Bathrooms Automatic Washer ✓YES NO Other (specify) E. SEPTIC TANK CAPACITY /4PfZ^, Total gallons No. of tanks / *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete L~ *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ( 2) 3) v(VTotal Absorb Area 90344 ? sq. ft. New Addition Replacement 0!!-' -Fill System -T Seepage Trench: No. Lin. Feet 0C)- Width Depth 2! Tile 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 / ;7_ Distance from critical slope 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 Certified- Soi}} Tester, J NAME C.S.T. # _ and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone #O;r - Plumber's Address y=Z21f&A1-F-C-ZA L1 123 - Z_ 3 PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). E Tin 9/ 74 4sr1>41 - l - - -4 Ile I 1 4r ~ , Jt V Do Not Write in Space Below - FOR DEPARTMENT USE ONLY p Date of Application - ~ - 2 Fees Paid: State Cpunt ate Permit Issued/Reed (date) - Z id C~ _Issuing Agent Name`' ~i i Inspection Yes No Valid# Date Recd 1. county (whit 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