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HomeMy WebLinkAbout008-1083-20-000 o N 0 m o C7 d (D 1 r. ~ n y O N V~ O 1 N N cN0 O • 3 C rn 0 c N~o CD (D CL 8 (D v (n W ~ ~ (D (D O 1 Q A O cD -D n 6 (D N N Cl) O O] c fb O (n D A7 O (n N N O C VI c ? CD r) fD N o cz (n Q z W c CD O c 3 o i C ---4 -1 § n r - CD c c _ !mil CC) CO rT cr v v v "WA• z O O O cn l+l o W T * * * < z v' °-a N (c~ o tn cn D _ Q v v v O cQ O m CD y O < C1 6 !r n N 3 c co N D Cl) o o (D !rl fl N' 0 F S. (D W (D d n 3 Z (D O A Z_ O 0 Oc - X 0 n D A Z O v Q 3 O z N NO co v m a m z o - ° m rn cn z (D D Q O T G7 C z a 0 (D N A y A a t A N ti ~ N i O i O a A 0 A o b CD dA O ti w o (D b °o CL Parcel 008-1083-20-000 02/21/2006 04:04 PM PAGE 1 OF 1 Alt. Parcel 29.28.16.442A 008 - TOWN OF EAU GALLE 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 - OLSON, MELVIN J MELVIN J OLSON 124 222ND ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 124 222ND ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 28.200 Plat: N/A-NOT AVAILABLE SEC 29 T28N R16W PT W1/2 SW1/4 BEING LOT Block/Condo Bldg: 1 OF CSM 9/2598 28.2 ACRES Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 29-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 999/182 WD 07/23/1997 784/75 07/23/1997 582/612 2005 SUMMARY Bill Fair Market Value: Assessed with: 138894 357,000 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 27,000 219,900 246,900 NO PRODUCTIVE FORST LANDS G6 3.200 4,300 0 4,300 NO ENTERED BEFORE'05 CLOSE W8 23.000 30,600 0 30,600 NO Totals for 2005: General Property 5.200 31,300 219,900 251,200 Woodland 23.000 30,600 30,600 Totals for 2004: General Property 5.200 31,300 219,900 251,200 Woodland 23.000 30,600 30,600 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 513 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 138.00 Special Assessments Special Charges Delinquent Charges Total 138.00 0.00 0.00 ICI I 3 • AS BUILT SANITARY SYSTEM REPORT -NER SEC. ;?0 T2..'.; 'N, R/ W .0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. 3DIVISION LOT LOT SIZE .~'f . PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i ~ 1 f ~ J J Ili c. 1 VC ''TIC TANK MFGR. 1~- Al- CONCRETE STEEL NO. of rings on cover Depth l DRY WELL 'NCHES NO. of width _3' length 5,0' . area f jar, z► ;r. ,r 1 no. of lines- width length area depth to top of pipe JREGATE ::K RATE AREA REQUIRED ~ AREA AS BUILT S'"'. ;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 inspect at this point of construction. St. Croix County assumes no liability for item 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 PLU,1BER ON JOB •-C 2 c LICENSE NUMBER YA 7 c~ RFPOP,'r Or I?ISPECTION--I~dDIVIDUAL SL07AGE DISPOSAI, SYSTE1.1 Sanitary Pernit-~ 71-L r State Septic TOWNSHIP St. Croix county SEPTIC TA'?I; size gallons . umbe / of- Compartments - Distance From: We 11 12% or greater slope €t. Building ft. Wetlands ft 91iwater ft. DISPOSAL SYST?:1 Tile Field or Seepage Pit(s) Distance From: i1ell ft. 12% or greater slope ft Building ft. Wetlands °'--c- f FIELD i;ighwater f t. Total length of lines (3 f ft. Number of lines / Length of each line ft. Distance between lines ft. Width of the trench )•-ft. Total absorption area ~Ysq. ft. Depth of rock below tile , in. Depth of rock over the L in. Cover over . rocir, l z Depth of the below grade SZope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS 'Dumber of pits Outside diameter 7, ft. Depth below inlet ft. Gravel around pit: yes no. Total absorption area sq. ft. CjZ, .Square feet of seepage tr ch bottom area required :%quare feet of s page nit ea required . Inspected h .~-t= Title': . Approved Date 197 Rejected Date 197 Lam. . EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH II P.O. BOX 309 MADISON, WISCONSIN 53701 G REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: J✓66'/o,5j~'/4, Section, 1, R_(or) W, Township or Mura.i~y Lot No. , Block No. County C-W o /A f ubdivision Name Owner's Name: / U Mailing Address: L ~W J 6J tf, TYPE OF OCCUPANCY: Residence X No. of Bedrooms QA/ Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS 1.2 - 7 7 PERCOLATION TESTS SOIL MAP SHEET /`J/ SOIL TYPE Oqn~ f/g y 6_/Z_ °.4 m 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 MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P_ It 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) > Tod 57o / L- (.r /-,o r, 16 S g,v $a B ~ ~ ~ a n rF j,Y 3 If If Ir ~U fr If B Ir N r( r( ~j 6 e- If N if /r If JI-6 it N If Jf ° ri r( ljLb F PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) © Indicate on the plan the location and square feet of sui;,aple areas. Indicate number of square feet of absorption area needed for building type and occupancy. _7 S4 - Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. E S i \o tN _ , I i k7 ~ r I 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) Certification Nr,. _ Address A- ~ Name of installer if known CST Signature COPY A - LOCAL AUTHORITY State Permit # PLB67 State and County ~F Permit Application County Permit # - for Private Domestic Sewage Systems County Sf CaG i *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 4 o s ff~IAC- ke/L B. LOCATION: '/a, Section d T N, R ® (or) W Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township ~Au 6,,4//c C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms ® Ne- No. of Persons O.v e. D. TYPE OF APPLIANCES: Dishwasher YES 2S NO Food Waste Grinder YES-&NO # of Bathrooms -O-We- Automatic Washer YES X NO Other (specify) E SEPTIC TANK CAPACITY O*O Total gallons No. of tanks Oa1/(~, `Holding tank capacity Total gallons No. of tanks New Installation X( Addition Replacement _ Prefab Concrete x *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1)/ 2) 3) 4O Total Absorb Area j-5'0 sq. ft. New Addition Replace e Y *Fill System _ Seepage Trench: No. Lin. Feety~jZW Width gV - Depth Tile Depth No. of Trenches _9v~ Seepage Bed: Length -Width <2&( _ Depth Tile Depth No. of Lines m;jW eepage Pit: Inside diameter -Liquid Depth Tile Size S Percent slope of land Distance from critical slope T, E, 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, NAME ~~e- 4- d~ f _C.S.T. # r4 and other information obtained from [t1sV a fzo (owner/builder). Plumber's Signature MP/MPRSW# lb -Phone # b,?Y 9-37k- Plumber' s Address ;'1t~ S PLAN VIEW: Provide sketch below of system (inclu a direction of sloe and all distances in accord with H62.20, including well). ,k>ee-s o. \ o 1 IA-~ TAPI -P Ed /gam ~d Va , e ry) d 01 rd 3 ti ~t 11 1( X O C Do Not Write in Space Below _JFOR DEPARTMENT ONLY Date of Application - Fees Paid: State; ~b County = Date Permit Issued/Iejeet (dat suing Agent Name Inspection Yes No Valid# Date Rec'd 1. county (wh to copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (rink copy! 4. plumber (canary ccr,.,l Revised Date 6/1 i76 l