HomeMy WebLinkAbout012-1025-50-000
n u, O 9 v 0 d r~
O f c m O `off
m ' ' 0
CD -0
< ( a x~
v 1 m co A\
CCD 3 I., # ` 1
_ I T 0
Al O N C O W U1 ~ W N ICI
CO d Z D. N W O O
Q ~ p cf) O r (D' "S 13 co -
o :3 CD < v o O
V C !D (D n ro O~ W O
N O
7 fA W ~ p
N C 00
d
(n D (D
cc, ro cn a
:D cn
Cl W o 0 0
0 (D rn
'COD N
d ~ W
cfl cc n r cn
m cV o w o c
'o
v v o r cr.
z O O O 0
0
n' Q c tin N Vii z
v u vvvv,
m m m N
23 < v o
7 7
z
N
z w z
D ro O
v O =i
o m coo m.
N
-0 N ~y
m ~ V
m
w a
Z ro N
I a ~ A z m
I ~ ~ A Z O
m fl- O ~
Z ~ CD
W m w
0
Z
0 3
O o cn
m -4
y z
m
Cl)
I
D
a
a. ~
o -
O T
OJ c I
z Q
o
cn
i
A
zt
a
t
A
N
N
i O
, O
a
A
0 N
O
~ bQ OA
cfl O v
O ~
I O L
O sl
Parcel 012-1025-50-000 02/24/2006 02:20 PM
PAGE 1 OF 1
Alt. Parcel 09.30.17.137B 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
LYLE J NIPPOLDT O - NIPPOLDT, LYLE J
1644 CTY RD T
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 1648 CTY RD T
SC 3962 NEW RICHMOND
SP 8020 UPPER WILLOW REHAB DIST
SP 1700 WITC
Legal Description: Acres: 1.500 Plat: N/A-NOT AVAILABLE
SEC 09 T30N R17W 1.5 AC NE SE COM E1/4 Block/Condo Bldg:
COR SEC 9, THE S 208.71 FT, TH W 313.1
FT, TH N 208.71 FT TO 1/4 SEC LN, TH E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
313.1 FT TO POB 09-30N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
04/27/2005 793305 2791/236 WD
03/06/2003 712271 2163/400 WD
958/359
951/342
more...
2005 SUMMARY Bill Fair Market Value: Assessed with:
104729 131,300
Valuations: Last Changed: 11/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.500 22,500 113,200 135,700 NO
Totals for 2005:
General Property 1.500 22,500 113,200 135,700
Woodland 0.000 0 0
Totals for 2004:
General Property 1.500 7,500 83,300 90,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch 137
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
i
AS BUILT,SANTTARY SYSTEM REPORT
OWNER 4! e' L- Y TOWNSHIP SEC. 7 730N, R / 7 W
P. 0. ADDRE S M1 /V a i SCI, ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100FEET OF SYSTEM
' k4v C
0.
r u
16
91
SEPTIC- TANK (S) C Cf MFGR. CONCRETE STEEL
N0. o rings on cover_ c-f fv c9 Depth j DRY WELL lyc`'~)
TRENCHES No. of ;t width 31i" length ' area
BED no. oT lines width length area
it dept to top 9f pipe -?o "
AGGREGATE R c= K
PERK RATE i AREA REQUIRED` AREi 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
DATEDJ - '7 - 7 PLUMBER ON JOB
LICENSE -
t ,
RFPOr,T OF IJ1SI'LCTIO.l--I:1DIJIlltJAL ~L~~1AGE UIS PO.,i'1'F,ii
S 'T T,
Sanitary Permit
State Septic
T&INSHIP
t_
t, roix County
SEPTIC TA 7111'
Size gallons. `umber of Compartments
Distance From: Well
~ ft,
12% or greater slope ft.
Building ft. Wetlands f:
IT,ater
ighw, ft.
DISPOSAL SYSTL:I Tile Field or Seepage Pit(s)
Distance From: dell ft. 12% or greater slope ft
Building. ft. Wetlands f.,
FIELD 'Hig1-lwater ft,
Total length of lines ft. Number of lines Length of
each line eft. Distance between lines ft. Width of the
bench -ft. Total absorption area sq, ft, Depth
.of rock below the in. Depth of rock over tile in. Cover
nver.rock,, Depth of tile below grade in. Slope of
trench in ner 100 ft, Depth to Bedrock ft, Depth to
ground water ft.
PITS
Number of nits Outside diameter ft. Depth below inlet
ft. Gravel around pit: dyes no. Total absorption area
sq. ft.
.Square feet of seepage trench bottom area required
:square feet of seepage nit area required
Inspected by: Title':
Approved Date 197 ,
Rejected Date 197
s
d
q .
1 ,
F
• 1
115
WISCONSIN DEPARTMEMT 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 fs~7FA I
P
/ iR_ I
LOCATION: Section g , T R LP (or) W, Township or IhA•are+sipality
Lot No. , Block No. County Sf C0-6 / X
L n _ S ivision Name
Owner's Name: /
Mailing Address: / r e-w 1 'C'µ rn o reed' Li" I S
TYPE OF OCCUPANCY: Residence X No. of Bedrooms 7714e Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS X ^.--C L -7 PERCOLATION TESTS ~a - _X
SOIL MAP SHEET - ~ SOIL TYPE ~i9/✓ 7-/'4' -S., 4 orb
t
PERCOLATION TESTS
N DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
TEST
SINCE HOLE HOLE AFTER INTERVAL
UM- INCHES THIC KNESS IN INCHES
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN -A I V \
"a /0
P-3 j If
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)
sU r~ rl ss
7_j 7 ft l 1 I I
It t~lf r(3
3- r~ 7 s' y 11
rr r
7
0-
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of ~iSaple ar,as. Indic to number of square feet of absorption area
needed for building type and occupancy. ~~UU--~~-- Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
}
3
I _
4,4
-
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.
s S' S~
Name (print) ~ ~ :L C$ Z_ C4 + Certification No.
Address L
Name of installer if known
CST Signature
COPY A
State and County State Permit #
Permit Application County Permit # -
PLB67
for Private Domestic Sewage Systems County 0 /Z, ' x
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: - /n /4, Section T R a~ (or) W Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# _ Village
Township
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons 4d u Q
D. TYPE OF APPLIANCES: Dishwasher YES X NO Food Waste Grinder YES x NO # of Bathrooms%Z-
Automatic Washer _ YES NO Other (specify)
E SEPTIC TANK CAPACITY /00 D Total gallons No. of tanks N(f--
*Holding tank capacity Total gallons No. of tanks
New Installation X Addition- Replacement- Prefab Concrete- _20~t_-
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 1A 2) 3) Total Absorb Area '471 74+- sq. ft.
New Addition Replacement *Fill System
Tile Depth No. of Trenches
Seepage Trench: No. Lin. Feet ~Width Depth T u
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter 7.4'Liquid Depth_~Tile Size T
Percent slope of land Distance from critical slope
1, the undersigned, do hereby certify that the information 1 have reported is in accord with Section H62.20,
~Ajisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-1 15 prepared
by the Certified Soil Tester,
NAME ✓e- ~.WIL C.S.T. # and other information
obtained from GO A,' t (owner/builder). o
Plumber's Signature MP/MPRSW# --L-4 ~ - Phone # 3 -3 7O
t
Plumber's Address C4 1 r%
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
i H62.20, including well).
` `v
~o J50'
a
Qa t,7)
a
e
bi ~l 50' j"rarn Seplic, 7-0124-
LO/o/ - ~D ' /-rrc~ m ,r1 ~ \ Imo.`
Z11
. Q
Do Not Write in Spac elow FOR DEPARTMENT USE ONLY O L7
Date of Application Fees Paid: State 457 Cqun ,-7? Date
Permit IssuedfRejeeted (date) -Issuing Agent Name
Inspection Yes_,kNo 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 n~; n her (inn:- ;