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Home My WebLink About006-1009-70-000 0 In 0 1 m v n d 0 "1 O cn _=N z q noo w m v w O o cn Q C ~J]y~l N O O N O~~ a a a' N co 0 o h (n j 0 co B- v I o ~ ° o CD (D = m _ 3 D o b y m ° rn ti C, 0 c - w c d a w Cn D CD m ~ N o = 'C (D ro CD 0 r- cn (n U) 0 W 00 S Z ...0 0 0 C~C r W r cn N N 4 D w O O C) ° W m m CD N = o CD a tr CD (D 3 y N CD ° rY C o Z ~ Z O F D m o o s s !r 70 ° n, o T. N C I C.J ~ Q Z Q N q p Z fD n A Z O v CL 0 ~ ° r Z cn W c\< a Z a ` 0 ^ Z m N z ? ~y I a n r o' - m c z fl o F CD cn A t A C ti V N O O a A ~ b b 411 7 0A D 0 0 ti a a i Parcel 006-1009-70-000 02/17/2006 08:26 AM PAGE 1 OF 1 Alt. Parcel 5.31.16.70A 006 - TOWN OF CYLON 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 - PIETSCH, THOMAS A THOMAS A PIETSCH 2397 HWY 46 DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 2397 HWY 46 SC 0119 AMERY SP 1700 WITC Legal Description: Acres: 31.100 Plat: N/A-NOT AVAILABLE SEC 5 T31 N R1 6W 47A NW NW FRL EXC PT TO Block/Condo Bldg: CSM 11/2978 & EXC PART TO 1373/121 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-31N-16W Notes: Parcel History: Date Doc # Vol/Page Type 08/22/2002 687887 1955/618 TI 11/03/1998 590673 1373/121 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 98 Use Value Assessment Valuations: Last Changed: 09/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 15,000 141,000 156,000 NO AGRICULTURAL G4 28.100 5,800 0 5,800 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2005: General Property 31.100 20,900 141,000 161,900 Woodland 0.000 0 0 Totals for 2004: General Property 31.100 20,900 141,000 161,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT S.NITARY SYSTEM REPORT e s-. OWNER TOWNSHIP SEC. 1 TAN, R_/ . W P.O. AD RESS , ST. CROIX COUNTY, WISCONSIN SUBDIVISION , LOT LOT SIZE PLAN VIEW Distanees & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Ll SEPTIC TANK(S) ; L' MFGR.;'i •CONCRETE ~t STEEL NO, of rings on cover ~ j, Depth` DRY WELL TRENCHES NO. of width length area BED no. of lines j,, widths length area y r depCh to top of pij e r? AGGREGATE PERK RATE AREA REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSPECTOR DATED, PLUMBER ON JOB/' - LICENSE NUMBER t. REPORT OF ITISPrCTI01.1--I,1DIJIDIJAL SE'JACE DISPOSAL SYSTEM Sanitary Permit j r State Septic t. Croix county MR."PTIC TA71 _Z66 r :Ix2e gallons. 'lumber of Compartments Distance From: Well ft. 12% or greater slope -fi. g ft. - Buildin Wetlands f: Iiighwater ft. DISPOSAL SYSTE:1 Tile Field or Seepage Pit(s) Distance From: Well ~Cr ~ft. 12% or greater slope ft Building;! ft. Wetlands " f:. FIELD i;ig hwat er ft. Total length of lines ( ft. !lumber of lines Length of 3 each line ✓_vi' ft. Distance between lines ft. Width of the 'trench ft. Total absorrti_on area sq. ft. Dept:: f rock below rile -i in. Dp-pth of rock over tile r in. Cover 70 aver roclc, r Depth of the below grade in. Siope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water r ft. PITS ' Dumber of pits fttside diameter ft. Depth below inlet ft. Gravel around pit: yes no. .Total absorption area sq. ft. Square feet of seepage trench bottom area required gD Square feet of ~;eepag.e nit area required . Inspected hy.~=~u ? r Title Approved Date 2 ! r _197: Rejected Date 197 EFL. 1 f5 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 1 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: Section , TAN, RA~_- A(or) W, Township or-1444isinality J Lot No. ,Block No. Y -.y - Subdivision Name County 0 Name: Mailing Address: KZ. r TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT ~ - DATES OBSERVATIONS MADE: SOI L BORINGS PERCOLATION TESTS, SOIL MAP SHEET _ SOI L TYPE - { V - - PERCOLATION TESTS _ TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES RATE 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- P_ ~ le- 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- -~-g ell B- PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square ~ee; f•suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. ' Indicate scale or distances. Give hdTTF d ver ical reference of s. Indicate slope. 55 T - - - - I I I ~ t I I I ~ 7 i ; ! i c'• i I t N t t i i I ~ IQ 1 iy t ~ ~ i lY i I ~ I I I i i 1 t ty I I i i 1 I 1 i i fE y ~ I I i ( ~ t i v^ ~1~ ~ i i I i f t 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 k ledge and belief. Name (print) C Z = Certification No. Address f~X Name of installer if known CST Signature '_'WY A LOCAL AUTHOW Cy State and County State Permit # PLIB67 Permit Application County Permit # _ 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: c Sr- Syc B. LOCATION: Section T N, R E (or) W Lot# City f* Subdivision Name, nearest road, lake or landmark Blk# _ Village Township C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance_ Single family-,k' Duplex No. of Bedrooms No. of Persons _ 7 D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms - Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITYTotal gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement zfx~ Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft. New Addition Replacement A' *Fill System t _ Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width - Depth - Tile Depth ~--ZL No. of Lines _ 7 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope ?t 2 Arr 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 Certifi d oil T r, )11 NAME C.S.T. # and other information obtained from - (owner/builder. Plumber's Signature MP/MPRSW# Phone # C` Plumber's Address - PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). C l~ r n~o i Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application / Fees Paid: State County Date Permit Issued/Rejected (date) -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