HomeMy WebLinkAbout012-1008-70-000
~vn r~
00
O 1-0 0 d ~/1
c
~ m v A7 ice'
C 0 3t c
CD m co
CD
O
Cn -1 2 u Z N W m o o
N 3 G O co~ W N F1
O O B (O O
`O d fD Z c- N rZ1 ...a C) ^h
c, co 0 -,j C)
:z :3
m v v 0 FD' O chi ° Q (D O_ CO CD ! o
Oo C CD C) o O y
3 o m N oo p'
c 0
d
(n D m a o
(D
C6 (O N O. S
C Cl)
C fro1. C O r-
(.0 Z
O N
(D n m
car
--4 0 N N O ,
c
co co o
0
o O O O
D _ aQ
N N N D
E3
0 m O O o
0 ~ m CD ~
v 0 CD !V
m
< N
7
N) 3
a
N
zW -u o
D C
I ~ O Q N
m
o' (A S~ h •
O O N
N
d
~D co
C (D
w ~ ~ I
Q O
c
Z
~ a A Z
O m
z z O
I v O ~
I a.
(n N
m v ::E
o
CD z
00
3 g
N
Z
w ~ I
li
I n
Q
0 -
~ T
~ C
O d
I fD ~
a
I ~ I
I ' I
A I
4?
N
N
O
O
a
Q I
o 'b
(D 0 O
M
O ti a
0
O O
Parcel 012-1008-70-000 02/22/2006 04:06 PM
PAGE 1 OF 1
Alt. Parcel 02.30.17.23 012 - TOWN OF ERIN PRAIRIE
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 - BOE, J RONALD & MARY M TRUST
J RONALD & MARY M TRUST BOE
4500 SOUTHMORE DR
BLOOMINGTON MN 55437
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 02 T30N RI 7W SW NW EZ-U-1437/449 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
02-30N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/20/2001 643351 1622/431 QC
07/23/1997 424/293
Bill Fair Market Value: Assessed with:
2005 SUMMARY
104546 158,800
Valuations: Last Changed: 11/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 15,000 114,000 129,000 NO
PRODUCTIVE FORST LANDS G6 11.000 35,200 0 35,200 NO
ENTERED BEFORE'05 CLOSE W8 28.000 89,600 0 89,600 NO
Totals for 2005:
General Property 12.000 50,200 114,000 164,200
Woodland 28.000 89,600 89,600
Totals for 2004:
General Property 12.000 21,000 88,200 109,200
Woodland 28.000 28,000 28,000
Lottery Credit: ~ Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
"N-ER J1;2.~'ain (5,~; , T69NSHIP,[' ' ; SEC.i T_JL N, R~ W
7. ADDRESS4„rP 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
. Laf~~vU%y
• v tisz
° lJ - -
A4
-TIC TANK(S)__ MFGR. -CONCRETE STEEL
NO. of rings on cover _ Depth " DRY WELL
,NCHES NO. of width length area
no. of lines_ _ width i 2= length area
depth to top of pipe--
=GATE ' n-r vrtti v 4-
.:K RATE AREAEQUIRED /,/r5 r AREA AS BUILT
,claimer: The inspection of this system by St. Croix County does not imply complete
pli.ance 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
.tem 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.
X`
"INS11ECT&
DATED ~I(o PLUMBER 'ON JOB
'__~,u~ J'
LICENSE MfBER
Z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitaty Petm.it-
i State Septic /
NAME Township St. Croix County
Location-VL 4 oW4', Section. TjC'N,Rl,~GI
SEPTIC TANK
Size gatton6. Numbers o6 Compartments
Dti,stance From: Wett 6t. 120 of greaten 6tope 6t
Bu.iZding 6t. Wettand~s 6t.
DISPOSAL SYSTEM HighwateA fit.
Distance From: Wett 6t. 120 oA greater /scope bt.
Bu.itding 6t. wettand/s Ft.
H,ighwatet bt.
FIELD DIMENSIONS:
Width o6 trench 6t. Depth o4 Aock below tite in.
Length of each tine fit. Depth o6 rock aver Cite in.
Number o6 Una Depth of tite below grade in.
Totat .length o j tines 6t. Sto pe o4 trench in pet 100 6t.
Distance between Una 6t. Depth to bedrock St.
Totat ab~sotbt.ion area 6t2 Depth to groundwate,,L 6t.
Requited area 6t2
PIT DIMENSIONS:
Number o6 pit.5 Gtcavet around pits yep no
Outside diametet 6t. Depth below .inlet 6t.
2
Totat abz otbtion area 6t z
A
Atea tequited 6t2 rn
INSPECTED BY TITLE
APPROVED DATE 197
F
REJECTED DATE 197
i -
vr
v
s; 3
i
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: Section T3_0N, R E (o Township or Municipality rofl lk? 111"gZa j
Lot No. , Block No. _ County IA-1
ubdivision Name
Owner's Name:
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
3
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS G Zd - ?k PERCOLATION TESTS 6-7-"'
SOI L MAP SHEET SOIL TYPE C
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`~tio << rr y I~
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)
O -z i 2 ~t - aS -
-t R- 2 -
Q-rT~S :X Y- 5 6e
PLAN VIEW (Locate percolation tests,soiI bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of sui ble areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. dicate slop . Lot's'
}
i
N
~ I i~bl , ~i, I I
T\ 4N,
~ _ _ I I i ~ E I I
I ~ ~ I I 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 Wisconsi Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and be ief
Name (print) w`?_r C Y` ' Certification No.
Address
Name of installer if known Cr 64,
i
Signature _ - -
COPY A -LOCAL AUTHORITY CST Sign ,
a
PLB67 State and County State Permit #
Permit Application County Permi # - a
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER F PROPERTY Mailing Address:
4
B. LOCATI N: L-' % U,~ 1/4, Section T7,2ZN, R" E (or) Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township lCieft'z fhrireI
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family i Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YESA- NO # of Bathrooms
Automatic Washer.Ik- YES NO Other (specify)
E. SEPTIC TANK CAPACITY / 015() 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) 7-3) Total Absorb Area l - sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length ; Z,i Width -L' Depth Y Tile Depth "Z V No. of Lines `Z
Seepage Pit: Inside diamet Liquid Depth Tile Size Y
Percent slope of land 6 t-S - Distance from critical slope 40
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,
NAME C.S.T. # 6'3/" and other information
obtained from 41-owneUbuilder).
Plumber's Signature MP Phone #r-
Plumber's Address ~
~J Q /CPO
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
i
t
~ p
C,- 17" ;
Do Not Write in Space Below OR DEPARTMENT USE ONLY '
Date of Application Fees Paid: State Coun Date
Permit Issued74"a"e4 date) - Issuing Agent Name e~
Inspection Yes No V alid# Date Recd -X- -
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