HomeMy WebLinkAbout012-1049-10-000
n cn O 9 v 0 d 1
W o
(DD v y
lD
1 m
= N J N m N O •
o m o _ $(v~~l
W o
m 3 (D (D
co a m z o O
h
CD -;l
~ CD o
~ (n
0- CD w
C: CD 01
O
3 N 00
N C O ,OJ•
fl1 CD
(D Cn
( D
N
3 C. m
3 0 ~ rn
O Z
m
(D 0 N) {
(D cVO 7" cn O G
cn !'t
a
o
M a h•
z O O O
o * * * * z
0 0 w D
v - Q v p O C)
N D
r 3 ~
N (D
a
z W z o
(D O
0' p D d :3
!r •
:3 m m CD
(D N
N
(O N'
v N V~
C (D CD
~ W CD ~
z (D 1 ~ N
O O A Z CD
n A z O
v n O
z w N
W 'o m o
C
(D CD - Z
0 3 a m
o z
0 m ~C
N z <
(D p
W
D
CL
o -
S C
z 'o.
O
(D
N
I
I ~
I a
ti
o
a
b
O
A A
O dQ
Efl 0 ti ~
O
O
a
00 Q
'+l
Parcel 012-1049-10-000 02/27/2006 09:30 AM
PAGE 1 OF 1
Alt. Parcel 22.30.17.333 012 - 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): 0 = Current Owner, C = Current Co-Owner
0 - TER-RAE FARMS INC
TER-RAE FARMS INC
1490 190TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1490 190TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 22 T30N R1 7W 40 AC NE NE Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-30N-17W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
10,4977 Use Value Assessment
Valuations: Last Changed: 11/07/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 15,000 198,000 213,000 NO
AGRICULTURAL G4 7.000 1,300 0 1,300 NO
UNDEVELOPED G5 5.000 1,700 0 1,700 NO
ENTERED BEFORE 2005 OPE W7 27.000 43,200 0 43,200 NO
Totals for 2005:
General Property 13.000 18,000 198,000 216,000
Woodland 27.000 43,200 43,200
Totals for 2004:
General Property 13.000 8,200 142,800 151,000
Woodland 27.000 29,700 29,700
Lottery Credit: Claim Count: 1 Certification Date: Batch 139
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
k4k7' ~
, T0WNSHIP~_r-;vij'j, r SEC.--?,---- T.' N R/_/7 W
. ADDRES,, /
ST. CROIX COUNTY, WISCONSIN.
'dDIVISION LOT LOT SIZE
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
l X
S 35
lh l
-TIC TANK(S) MFGR. , CONCRETE `'STEEL
NO. of rings on cover Depth ! DRY WELL
'NCHES NO. of width length area
no. of lines Z width /7~_. length area -may'
depth to-top of pipe
MI GATE i..a RATE / - AREA REQUIRED ~•5 "~J AREA AS BUILT
: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 j
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.
'INSPECTOR
DATED7,, PLUMBER' ON JOB_ . ~ - -
I 1
r r
LICENSE M1BE R
Sys .
REPORT OF IJ1SPECTIO.1--IidDIJIDUAL SL64AGE DISPOSAL SYSTEM
Sanitary Permit
r State Septic
1E c L -c t t 1~ TOWNSHIP
• ~J~ St. Croix County
SPIPTIC TA711" .~~ze p;allons. `umber of Compartments
Distance From: hell ~
ft. 12% or greater slope A.i.
Building ` ft. Wetlands ft
11ighwater ft.
DISPOSAL SYSTL.:-1 Tile Field or Seepage Pit(s)
Distance From: L1ell ft. 12% or greater slope . ft
Building ft. Wetlands f:.
FIELD 1:11ighwater i a ft. -
Total length of lines Lft. Number of lines
Length of
each line ft• Distance between lines ft. Width of the
trench -ft. Total absorption area sq, ft. Dept::
.of rock below the in. Depth of rock over tile in. Cover
,over . rock,
. Depth of tile below grade in. Sloe of
trench in per 100 ft. Depth to Bedrock ft. Depth to
Rround water ft.
PITS
?dumber of nits Outside diame er t. Depth below inlet
ft. Gravel around pit: s -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.
• .i , ~ 1. •
Ill
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: '/4, '/4, Section, T_2~_N, R L~E (or) W, Township or Municipality i_Z 11 4
Lot No. , Block No. County
Subdivision Name
Owner's Name: T,:nZ E /y/
Mailing Address: J I{'~e L' 1f i ~f Z1L C,
TYPE OF OCCUPANCY: Residence _ No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW L_ ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: A S IL RINGS ERCOLATION TESTS e 3
SOIL MAP SHEET SOIL 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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- l / Z2 1
P-
! c
P-1
3y ~ ~ ' ` ~1l ~ 33 3 a
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)
7 ,L l
B
13
B-
B
h I•
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suits a arpasa Ind" to number of s are eet of absorptio ' are
needed for building type and occupancy. < r f/ ~lr~cf caca
or distances. Give horizontal and vertical reference intl. Indicate slope.
~ I
I
~ ~~I I I i i I
,
- t I
l'.7
4- 4-_
N
I- I 13
In I
I
k
s ,
_ l _
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.' f t
Name (print) c Y Ile' f~/1 1h Certification No.
Address t G -
Name of installer if known
COPY A -LOCAL AUTHORITY CST Signature
State and County State Permit #
PLB67 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 Adcr9s:
- - ~ C ~ f, / ~ / ~'C~~yz,c.G~.`•-tie C[.~ ~J
B. LOCATION:'/4 '/4, Sections T 3c~N, R~E (or) W Lot# - City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ! rr
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons _2_
D. TYPE OF APPLIANCES Dishwasher C ES NO Food Waste Grinder YES__L___NO # of Bathrooms J
Automatic Washer I/ YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
t~? -
'Holding tank capacity- Total gallons No. of tanks
^.lew Installation --Addition Replacement Prefab Concrete
`Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _J__ 2)__1 3) _-L_Total Absorb Area -_sq. ft.
iJew (/Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length _Ac Width r Depth '3 4 'Tile Depth y No. of Lines -2-
Seepage Pit: Inside diameter Liquid Depth Tile Size t/ t
Percent slope of land Distance from critical slope _
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 Soil Tester,
NAME /C- er p J C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature i zc.. `rah 3`- ~P/MPRSW# Phone
Plumber's Address
74 ZC -1
r c - a -t T
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
/ ce C,-L'A-2
n
- 71
Do Not Write in Spa Below E R DEPARTMENT USE ONLY
Date of Application Fees Pai State Cou t Date
Permit Issued/$ (date) Issuing Agent Nam T1
Inspection Yes No Valid# Date Recd
1. county ( ite 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 6/1i