HomeMy WebLinkAbout022-1029-70-000
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Parcel 022-1029-70-000 03/27/2006 01:47 PM
PAGE 1 OF 1
Alt. Parcel 10.28.18.158B 022 - TOWN OF KINNICKINNIC
Current O 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
O - R&M PROPERTIES OF HUDSON
R&M PROPERTIES OF HUDSON C - LLC
LLC
1109 CRESTVIEW DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): = Primary
Type Dist # Description
SC 4893 SCH D OF RIVER FALLS o / I
SP 0100 CHIP VALLEY VOTECH '7 zz- abu,
V
Legal Description: Acres: 20.500 Plat: N/A-NOT AVAILABLE
SEC 10 T28N R1 8W 20.50A N 676.5' OF W Block/Condo Bldg:
1320' OF N1/2 SE1/4
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
10-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/16/2003 740194 2411/175 TD
02/02/1998 572170 1292/309 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
143264 Use Value Assessment
Valuations: Last Changed: 08/10/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 60,000 206,500 266,500 NO
AGRICULTURAL G4 2.000 300 0 300 NO
AGRICULTURAL FOREST G5M 15.500 38,700 0 38,700 NO
Totals for 2005:
General Property 20.500 99,000 206,500 305,500
Woodland 0.000 0 0
Totals for 2004:
General Property 20.500 69,000 150,400 219,400
Woodland 0.000 0 0
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
RE'ORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM ~3~(J
San-itatcy Penm z-
State Septic
NAME : J Township St. Cno.ix County
Locat.ionlll, 'A o4__>~%, Section G`T.;L'"N,RZ W
SEPTIC TANK
Size gattonz. Number o6 Compattmentz
D.ustance Ftcom: WeZZ 12% on gteaten stope it
Bu.itding it. wetZand, it.
~
DISPOSAL SYSTEM Highwaten- it.
Distance Ftcom: WeZZ 12% m greaten zZope 6t.
Building it. Wettands Ft.
H.ighwaten it.
FIELD DIMENSIONS:
Width o4 trench it. Depth o6 rock below t.ite .in.
Length o6 each tine it. Depth o6 Aock oven t.iZe in.
Numbers, ob Z-ines Depth o6 t.ite below grade .,in.
Totat .length o4 Z ine~s it. Stope o j ttcench in pen 100 it.
Distance between Zines jt. Depth to bedtc.ock it.
Totat abaotcbtion atcea 6t2 Depth to gtcoundwaten ~ .
Requited area it2
PIT DIMENSIONS:
Numbers o6 pitz GAaveZ around p,itz yes no
Outside diameters it. Depth be.Low .inZet_ it.
2
Total abzotcbtion area it z
A
Atcea &equ.itced it
INSPECTED BY TITLE
t~
APPROVED DATE 197.
DATE 197
Grp
State and County State Permit # J C
PLB67 Permit Application County Per
y.
for Private Domestic Sewage Systems Count
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. L CATION: AV) Section , TA N, R_/rE (or) ~V Lot# City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township f--& rte,',-~ 'air
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms J No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YESXNO # of Bathrooms 2
Automatic Washer {YES NO her (specify)
E. SEPTIC TANK CAPACITY 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) 3) -Total Absorb Areasq. ft.
New Addition Replacement *Fill System I~
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length ,Width 4F Depth Tile Depth_--2 No. of Lines -
Seepage Pit: Inside diameter Liquid Depth Tile Size 471 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 Certified Soil Tester, p
NAME C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# Y C Phone #~7? {
Plumber's Address - 1'- f"~ r' C-
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
/r x
s s~-
Do Not Write in Spac Below ~F~R DEPARTMENT U 5E ONLY
17 /L Fees Pai : State ( County ate
Date of Application
Permit Issued /R (date) Issuing Agent Name 7~-
Inspection Yes No Valid# Date Re
1. county (w t copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, 3701
2. state (pink copy) 4. plumber (canary copy)
Revised Date 6/1 /76
KH 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
LOCATIONy S~'/4, Section I , TffN, RZf E (or)(!Oownship or Municipality (r y'~ c't U,ri, c
Lot No. , Block No. County CYc~ l
dd 4--- Subdivision Name
Owner's Name:
Mailing Address: A~7,'
TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 47 ZZ Z 7 JPERCQLATION TESTS UU/7
SOIL MAP SHEET I ! f 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_ 3 57 16
cs Sn--.acv ~.O r.`L
P-3 3 G G ?ff~~ S o N C,
3 o rr L Q-r a ! ! 1 rv /
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-
PLAN VIEW (Locate percolation tests,soi I 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. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
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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.
Name (print) m Srh - bYLo_6( y Certification No. 5 S - S7d
Address A /r T'G L SW ri.i_ rGt
Name of installer if known'
CST Signature
`OPY A -LOCAL AUTHORITY