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HomeMy WebLinkAbout006-1026-70-000 o f c O f m ~ m -a • C: O N jv+ C cT Ut is Z a ? j 'O r NO IT O @ j W O N . O O"~ ,•t CL N N ,.n N N Q O O_ CO a D- ,ry N 7 ~ p ~ O W_ j0 N O O _ a N N O N N O ~ D it CL c\ j m v W O O 0 N (D O O O D mat U1 O c w+~id cn W co T c, H . 0 OO COC A ask CO < G p paw J A ti8 (n U) U) ° 4 v O CC) o~ m w v ~ ss+s ~ a co = ~ V i L ~ N ~ w CD Op c z -i z D O a ssy O k. ice' 3~ N O (cn ~ cD ~ • CD co CD O C a N O O O O CD - 1 a (n E3 Z m E3 i U. O A z O a G7 a C W _0 _m ' N a z A o - O m rn N CD A W N O CD o 3 "r (D D 8 O v. N O O L. 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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 - KUHN, DARREL D & YVONNE DARREL D & YVONNE KUHN 2220 HWY 63 DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2220 HWY 63 SC 1127 CLEAR LAKE SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 12 T31 N R1 6W 40A SE SE EXC HWY R/W Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-31 N-1 6W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 426/635 2005 SUMMARY Bill Fair Market Value: Assessed with: 244 Use Value Assessment Valuations: Last Changed: 07/26/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 31.000 4,900 0 4,900 NO UNDEVELOPED G5 1.000 100 0 100 NO AGRICULTURAL FOREST G51M 6.000 7,200 0 7,200 NO OTHER G7 2.000 10,000 170,200 180,200 NO Totals for 2005: General Property 40.000 22,200 170,200 192,400 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 29,400 170,200 199,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04117/2001 Batch 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT AT~IER J-)Z e/ TOWNSHIP Olt SEC. 1,2_ T_21 N, R ,0. 'DRESS s / ST. CROIX 910UNTY, WISCONSIN. .7BDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM C.. Cy .''TIC TANK(S)MFGR. C_ONCRET STEEL NO. of rings on cover Depth DRY WELL .j'NCHES NO. of width length area no. of lines width length ! area_~~' depth to top of pike ___.a "VGREGATE 37 1,0- I'K RATE j AREA REQUIRED ,may' A AS BUILT_ sclaimer: The inspection of thin system by St. Croix County does not imply complete mpliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for stem operation. However, if fail--ure is noted the County will make every effort to termine cause of failure. '.BASES AND OILS SHOULD NOT BE DIS~TOSED THROUGH THIS SYSTEM. "INSPECTOR 147 DATED ;-Lz,.44 C) / PLUMBER ON JOB LICENSE NUMBER` i REPOI;T OF I11SI'I;CTI0:1--I:1)IJID1JAL SE,1ACE DISPOSAL SYS'11111 79l Sanitary Perm it T&WNSHIP C2.101. County SEPTIC TA'?Z' On `,leze gallons. `yumbcr o. f- Compartm nts Distance From: Well ft. 12% or greater slope ft. Building` ft. Wetlands ft Highwater ft. DISPOSAL SYSTL.:1 Tile Field or Seepage Pit(s) Distance From: tell ft. 12% or greater slope ft Building; ft. Wetlands f FIELD phwater ft, r, l Total length of lines ft. !lumber of lines Length of each line ft. Distance between lines ft. Width of the trench -ft. Total absorption area sq. ft. Depth of rock below the in. Dp-pth of rock over tile in. Cover over.rock, Depth of tile below grade _ill. Slope of trench in ner 1-00 ft. Depth to Bedrock ft. Depth to ground rater ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around nit: `yes no. . Total absorption area sq. ft. Square feet of seepage trench bottom area required ''.quays feet of seepage nit area required Inspected by: Title: Approved Date 197 Rejected Date 197. WI S C 0 N S I ZONING OFFICE 38. _t n r:THO~lFF " ~•4, li _c1 ute 1 imeny, Wiscon~11-'n 54001 P, an Sit: The sanitary system bon the Datnet Kuhn pnopenty i,5 being conditionatty approved on the basis that there be an extra i2 inches of washed gnavet on the bottom of the system. 18 you have any questions on this matters, please contact thi'6 „6jice. Si-:~c .,ce(~'~!, HAKOLD C. bAk6ER Zoning Administnat-cn BV ell THOMAS NELSON Ass 't Zoning Ad minis tnaton TN:jh PLB67 State and County State Permit # Permit Application County Per for Private Domestic Sewage Systems County J' ~X *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing /A;-/,ss: Z /X V A-1 B. LOCATION: Section , T ?i N, R E (or) ')Lot# City Subdivision Name, nearest road, lake or landmark Blk# l Village Township C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No, of Bedrooms } No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste GrinderYESXNO # of Bathrooms Automatic Washer YES NO ther (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) 2)_ 3) Total Absorb Area sq. I New Addition Replacement _ *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length `jWidth Depth Tile Depth No. of Lines - ~ Ole, Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope AI ouc-- 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 Certified Soil Tester NAMEA4 d- 4 T ) ` C.S.T. # and other information obtained from (owner/builder). Z ho Phone Plumber's Signature MP/MPRSW# L , ---~7 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). r l 4 6 0 t 106 SN / L5~ Do Not Write in Space I w OR DEPARTMENT U ONLY ~C/ Date of Application Fe s Paid: State /t,)/L- C' County `Date ~f Permit Issued led ate Issuing Agent Name Inspection Yes yNo Valid# Date Recd 1. county (whi copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MA ISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1 /76 , EH 1.15 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 %,-5 Sectiono6~, T3 N, 13/4),(or) W, Township or- - 1 Lot No. , Block No. County 4~5 OK ,Subdivision Name Owner's Name: Mailing Address: Xaztl If 4 TYPE OF OCCUPANCY: Residence - XNo. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT X -7 DATES OBSERVATIONS MADE: SOIL BORINGS~S PERCOLATION/TESTS r/~ SOIL MAP SHEET SOIL TYPE PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME NUM- INCHES THICKNESS IN INCHES DROP IN WATER LEVEL, INCHES RATE CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL 8ER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN 2,7 Ald -3,0 P- - - 9~ '7 P-2 346 07~t, / col 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~ r ~~z •,rr . ~ ! ~ elf- , ~ .S~ ~ ~ 3 , l~ PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square feet of suitable area Indicate nu b pr of square feet of absorption area needed for building type and occupancy. Indicate scale or distances. Give horizontal and vertical reference points. Indicate slop ( i II I I I 1 p I , E ! i, i II _L t 1 I i f I 4.___ I 3. I I , I, the undersigned, hereby certify that the soil tests reported on this form were made by mein accord with the proce ures 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. ,e (print) 44Lz~z Certification No.y~ )staller if known CST Signature; < - LOCAL AUTHORITY