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HomeMy WebLinkAbout022-1016-20-000 n 0 3 v n d r- o c m o CD 0 CD v v' gc c+ v m ^ o o O vi A O 7. W N • O CD CD PO L fD N CD N K i ~'h C Ca N 0) O au O ^ N C1 = (D p C) Z) 8 m ~ 7 ~ O m 55, o 00 f/I VI N 7 lr F O V O v (n Z D F a. (D (D O W CL C m c 3 a0 zt rn ° 0 C5 0 a w -4 Z O 4-4 O;u CD O c 00 00 U M -0 M • O p < Z n o j to -c hl -;l D N v o a N O m fD -y W N O' (D CCD o o N N 3 W N ~ Q Z N 0 D W o O a ° o m m m • v m a 11 ° m m w m n 3 ~ _ Z = c° A Z N D C O N ~ O s ~ C'1 CL A C) O. z F5* Z -1 w 0o v m N (D A Go o, , 1 ::t 1 Z , 3 03 cl) m ~<< N Z < (D A W ~ U) 0 O N a m m a 0 - oaN'm c ca O_ o d 0000 Q v, 'o o m 00 ~ N ° n Q 0 c~ v O N O p ~ O H A o :3 o aro a 0 b 0 i o Parcel 022-1006-20-000 12/07/2005 01:27 PM PAGE 1 OF 1 Alt. Parcel 3.28.18.41C 022 - TOWN OF KINNICKINNIC 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 - KINKAID, BRADLEY D, & D K BOCKUS BRADLEY D, & D K BOCKUS KINKAID 1237 CTY RD N ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1237 CTY RD N SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.300 Plat: N/A-NOT AVAILABLE SEC 3 T28N R18W 1.3A IN NE SW LOT 1 OF Block/Condo Bldg: CSM VOL 2/583 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 798/561 2005 SUMMARY Bill M Fair Market Value: ( Assessed with: 87852 198,800 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.300 20,000 181,000 201,000 NO I Totals for 2005: General Property 1.300 20,000 181,000 201,000 Woodland 0.000 0 0 Totals for 2004: General Property 1.300 10,000 130,500 140,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Sanitary Permit ~ r State Septic % ~...r T&WNSHIP St. Croix. County SEPTIC TA77K Size gallons. 'umber of Compartments Distance From: 'dell ft. 12% or greater slope it. r Building' ft. Wetlands ft Highwater ft. DISPOSAL SYSTF.:1 Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building; ft. Wetlands f:. FIELD 111 iphwater ft. Total length of lines ft. Number 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 the in. Dp-pth of rock over tile in. Cover ..over.rock, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Y .x of pits Outside diameter ft. Depth below inlet £t. Gravel around, pit: _`yes no. Total absorption area ft. Tquare feet of seepage trench bottom area required -.quays feet of seepage nit area required _ nected by : Title': proved Date 197`. Rejected Date . EIS 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: /4, Section 3 TaM R araM W, Township or Municipality '~-/~'~%r✓~~~ Lot No. , Block No. County ;T CAPf X S l4 v1 -on Name Owner's Name: ~l /Vnli L?C~ &C Mailing Address: A- zcar =5 TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ✓ ADDITION REPLACEMENT - DATES OBSERVATIONS MADE: SOIL BORINGS S*,&_~- 7 PERCOLATION TESTS SOIL MAP SHEET ___t" SOIL TYPE A9 1 - - - PERCOLATION TESTS _ TEST DEPTH OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE CHARACTER NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 r~ 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) / 91,, .17 Q B- ~j c /v le :5 1- 00- 9/1 B " s~ 1 rr ~ . s ~ B- It $ 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 nurrlber of square feet of absorption area needed for building type and occupancy. //_-7 'S t1 " VCCee b /9l`.S►iL~l~3.~~' Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. I~ I 7_7 , jj f [ - t-- t I L__d~ L 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 , - C ~ Certification No. :5,:5 G(J Name (print) Address Name of installer if known & L, - ~ Y 'a CST Signature PLB67- - State and County State Permit # Permit Application County Per # for Private Domestic Sewage Systems County- *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER -9F PROPERTY Mailing ddress: X?t" 2~ Yvc~> A-1- Vim- B. LOCATION: IYAF I i'C: Sec on TZ_, N, R W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village eA-S Tor (e~$ Township t - - C~ TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family k"" Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher r✓ YES NO Food Waste Grinder YESO # of Bathrooms_Z Automatic Washer AYES NO Other (specify) E. SEPTIC TANK CAPACITY td;,;C, 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) 2t 2)J/p 3) L_T,,Sfiotal Absorb Area j~Z-t~- sq. ft. New" Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width _~fDepth Tile Dep;h No. of Trenches Seepage Bed: Length G,-i Vllidth Depths - Tile Depth %t -2- No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land '8 L~Jr 6 .6'Y'e Distance from critical slope / &7t s 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 1 . XT ~ "~►V,~ C.S.T. # ~ tact ,j//and other information obtained from (.owner/4o4der). _ '1>C Plumber's Signature 12 / , r y+ MP # = 7 Phone #1/Z,:5- ti -4L, 4 Plumber's Address /6'J- C PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 1 _ 1 E t~ . 3 4S • E Do Not Write in Space /Below FOR DEPARTMENT USE ONLY Date of Application / Fees P d: State &,00 Count > Date Z Permit Issued/Rejected (date) „ Issuing Agent ~ Name 1 :1 ~ t. - Inspection Yes No 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. plumber (canary copy) Revised Date 6/1/76