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Home My WebLink About010-1023-50-000 (2) ncnp •°0 C= r_ c 0" 3 ^ (ID I n y o v m o m 3° C 1~ 3 c cn 0 E: m p ~ o N SV p W c CD Z o- ` N p N p r, p W c ~ N G 1 CL W cn (n v 'D n 7 n 7 O p p R O co N) > 6 th o p C y c (mil iv cn" (D 0 a ~ '.C N W = c o c 8 n o o < 73 0 m ~r m p ~ p (D n r co m m co co I O C 0 0 0 !1• o O O O l~v ~ c ~ ~ ~ N N ~ D ~ rf E v v " O C CD .Oi N• (D y N N CD Z -I Z v O D m n ~ 0' 7 S h • o m o c m n 77 C FT 4;; (D W ~ d Z ((D 1 CA :3 p A Z M C ' r co n ~ A Z O v n ~ ~ O cn --j W CD WO p Q Z p A Z7 O - cA m I 3 ~ N A _ CD co v n m CL CD a 0 m c z Q 0 (N e~ I I ~ I a fi A N N O O a A 0 b CD d A W o O V C) m a n 0 Parcel 010-1023-50-000 02/22/2006 09:35 AM PAGE 1 OF 1 Alt. Parcel 10.30.16.146A 010 - TOWN OF EMERALD 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 - PESKAR, RANDY & JUDY RANDY & JUDY PESKAR 2414 160TH AVE EMERALD WI 54013 Districts: - - SC _ School SP _ Special Property Address(es): Primary Type Dist # Description ` 2414 160TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 37.750 Plat: N/A-NOT AVAILABLE SEC 10 T30N R1 6W 37.75A SW SW EXC W 25' Block/Condo Bldg: & EXC CSM VOL 2 PAGE 579 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-30N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 978/323 LC 07/23/1997 923/471 2005 SUMMARY Bill Fair Market Value: Assessed with: 80070 Use Value Assessment Valuations: Last Changed: 10/19/2004 Total State Reason Description Class Acres Land Improve AGRICULTURAL G4 35.750 4,900 0 4,900 NO OTHER G7 2.000 10,000 185,100 195,100 NO Totals for 2005: General Property 37.750 14,900 185,100 200,000 Woodland 0.000 0 0 Totals for 2004: General Property 37.750 14,900 185,100 200,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 115 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 30.00 Special Assessments Special Charges Delinquent Charges Total 30.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT ~41NER a7. N/ t#2 , TOWN SHIph'-Mrd,,+,/ rt SEC. l T_ZjELN, R /C W .0. ADDRESS AA , ST. CROIX COUNTY, WISCONSIN. ;BDIVISION , LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N #Ose • I I ~ i It,r re- ly r .IPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL -TENCHES NO. of width length L,' . area :.D no. of lines width__! length .,-t - area depth to top of pipe ) ~ • GREGATE _RK RATE 3r AREA REQUIRED , l AREA AS BUILT i, TT '.sclaimer: 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 stem operation. However, if failure is noted the County will make every effort to termine cause of failure. ,EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. i INSPECTOR • ~ i DATED - /'NL % PLUMBER ON JOB LICENSE NUMBER i . 1 i i REPORT OF ITISPECTION--1NDIJIDUAL SE JAGE DISPOSAT, SYSTEM Sanitary Permit r State Septic T&WNSHIP t. Crop: County S;..?'TIC TA'11~ dze gallons. 'umber of Compartments Distance From: 'dell - ft. 12% or greater slope ft. e Building ft. Wetlands ft 11ighwater ft. DISPOSAL SYSTE:1 Tile Field or Seepage Pit(s) Distance From: 11 o eZ 1 • ft. 12/, or seater slope ft Building ! ft. Wetlands f FIELD i,ighwater ft. Total length of lines ft. Humber 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 tile in. Dp-pth of rock over the in. Cover .over. rock,, Depth of tile below grade in. Slope of trench in *her 10~) ft. Depth to Bedrock ft. Depth to ground water ft. PITS 'umber of Dits Outside diameter ft. Depth below inlet ft. Gravel around pit: yes no. Total absorption area sq. ft. Square feet of seepap;e trench bottom area required Square feet of seepage nit area required Inspected by: Title': • Approved Date 197. Rejected Date 197 • l Pr' 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;5;6~'/4,, ~`/4, Section T N, R A6 111111W*~W, Township o~hlltlsl Lot No. , Block No. County Subdivision Name Owner's Name: -_1 -%-N Or- MX6 Mailing Address: kl' 9 & A A d 4' / TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW d ADDITION REPLACEMENT k DATES OBSERVATIONS MADE: SOfI BORINGS 2O PE COLAT19N TESTS SOIL MAP SHEET 2 - d/ SOI L TYPE 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 BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P i -3 6 No P_ 41 -M . 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 - ;717- /V rC A a, .ALA B - P > 2,2- / 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. _4_ Indicate scale or distances. Give horizontal and vertical reference points. n icate slope. I I f 111XilllXi y) r i fi 4 ~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. J /Certification No. Name (print) c~ Address ' Name of installer if known ~f CST Signature a IT °sO 6T`g° L-- PLB67 State and County State Permit # 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: 6~1 e,--ti e M AI? *,4d 4,,,' B. LOCATION: Lbr '/4,5k/ Section /0_, T_MN, R_/ A. K) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _ X _ Duplex No. of Bedrooms 3 No. of Persons D. TYPE OF APPLIANCES: Dishwasher- YES NO Food Waste Grinder YES NO # 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- Pre #abon4crel *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _~t 2) f3) Total Absorb Area -sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet ~p Width Depth j_ Tile Depth No. of Trenches .2- Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size y It Percent slope of land Distance from critical slope r2j" 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 Certifie So' Test r, NAME C.S.T. # and other information obtained from (owner/builder). Plumber's Signatur _ MP/MPRSW# ~ Phone #,.21 VE3 Plumber's Addres v PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). y.. N I I I f I ( I I ( Do Not Write in SpLc(~ Below OR DEPARTMENT USE ONLY n C C' Date of Application : State / Cou t x Date-j1 1-/ d Fees Paid Permit Issued/R (date)_ ' 5;7, Issuing Agent Name Inspection Yes N0 Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 II 2. state (pink copy) 4. plumber (canary ccr)y)