HomeMy WebLinkAbout004-1086-70-000
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Parcel 004-1086-70-000 02/16/2006 03:20
PAGE 1 OF 1
F 1
Alt. Parcel 35.28.15.556B 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 - KADO, DUANE L & BRENDA
DUANE L & BRENDA KADO
3097 PIERCE ST CROIX
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: 4.933 Plat: N/A-NOT AVAILABLE
SEC 35 T28N R15W 4.933A LOT 1 CSM VOL Block/Condo Bldg:
3/701 BEING IN SW SW OF SEC 35 & SE SE
SEC 34 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
35-28N-15W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill M Fair Market Value: Assessed with:
106997 182,300
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.933 29,900 162,400 192,300 NO
Totals for 2005:
General Property 4.933 29,900 162,400 192,300
Woodland 0.000 0 0
Totals for 2004:
General Property 4.933 12,900 91,200 104,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04117/2001 Batch 511
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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Lk)
F
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lorJU~' CCI~y
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P`PSPOI;T Or IIISP CTIO'_I--I,1DrVIDIJAL SEIJAGE DISI?Osj~l, SySIU-1
Sciiiitary Permit
_ State Septic '
IE-'41 '1 ti
s ' TOWNSHIP -
t. roix County
SEPTIC TA'II; W ~Sw
SS_ze r gallons, `lumber of Compartments
Dis-tance 'From: We 11
'
ft. 12% or greater slope
Building ft. Wetlands f+
ILighwater ft.
DISPOSAL SYSTT.:1 Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope ft
Building -ft. ft. Wetlands pf:
FIELD i,ighwater ft.
Total length of lines ft. Number of lines Length of
each line ._ft. Distance between lines ft. Width of the
trench _ft. Total absorption area sq. ft. Dept.:
of rock below tile in. Dp-pth of rock over the in. Cover
over.,rock Depth of tile below grade Slope of
trench in ner. 100 ft. Depth to Bedrock ft. Depth to
L-round water ft.
PITS
Number of pits Outside diameter ft. Depth below inlet ~J
ft. Gravel around pit: `yes no. .Total absorption area.
sq. ft.
Square feet of seepage trench bottom area required
%square feet of seepage nit area required
Inspected by: Title:
Approved VD ate 197
Rejected Date 197.
e
•
State and County State Permit #
PLB67 `
~ J Permit Application County Permit #
for Private Domestic Sewage Systems County A 4-
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY .
' T , -
C Mailing Address:
k),J ) -
Ile
B. LOCATION: '/d , 'q, Section "~oC' T ` N, R - Rte"' E (or) Lot# City
Subdivision Name, nearest road, lake or landmark Blk# _ - Village
Township
- - -
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwas YES O Food Waste Grinder YES O # of Bathrooms--/-
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY % 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)e 2) 3) 3I(7Total Absorb Area ~sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth ~j !1 No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size f1
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 'fied Soil Tester,
-
NAME t I( 0e{7P,f - C.S.T. # `r") and other information
obtained fr m ` (owner/builder).
Plumber's Signature ;
MP/MPRSW# :~Se' 2 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).
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Do Not Write in Space Below FOR DEPARTMENT SE ONLY _
Date of Application Fees Paid: State. County. F Date
Permit Issued/Rejected (date) fl' / J Issuing Agent Name
Inspection Yes No !ice 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
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 SOIL BORINGS AND PERCOLATION TESTS
LOCATION: r_ '/4,r Section T N, R) W, Township or-~tmicipahity CA I Z( _
Lot No. , Block No.
Subdivisio ame County
,
Owner's Name: J s lc'-~1
Mailing Address:
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS ~~ZJ7 1F, PERCOLATION TESTS
SOIL MAP SHEET SOI L TYPE
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHEST 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-r L-f,, 2Z.
P- _Z V
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- _3 2 _Z
7 7 7 Z In
E- Z
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. t a ` Z~~ < t~ y /t7 Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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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) 1~`~1 12 L~C'~C_~~ Certification No.
Address }1 V6111
Name of installer if known
CST Signature` 1. Zs..'
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