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HomeMy WebLinkAbout276-1042-90-000 0. 0 C) 3 O co N C! I N 0. C 'ti I O O O N a I N 'wc"i I I I i h Y I' m I C N N ~ C) U z _ c m 0 - m ~ w d 3 co v ! ) oo W E L; 0 ,It '9 O Z I ~ 00 1 M N a m c c Z o v c m Z v o fn H m N z c E a O M N (D ~ N a ~ N Q) O N I N c L_ a o I c o O m 0 O z I Z m z I N Z N N N E N I O d ` E LO L") CL ~2 0 o a ~ z > U) co ~ F a L`Ma.M z a > N 3 o U) co fn -1 a' r W `l U o '~i C oo M Z ~ 3 0 - O E ~ -o o _ m N C Q i N C < } ~ II O .7 w D O O U) N N N O m -0 N C O O W LL I: W O 'p E O I L O N C O N> 2 N c`o c = d l=y~j' 4r 0 c-00 E - C C co N_ c C) C.0 - o c o ~l N U) O O M (1) ~2 CD ,O N M U I: M O N S Z vi z V = E f E a .^+r 7~ Q i I d ee n m .u l w a ~/1 y E c c - 1 A 0 a O in L) Parcel 276-1042-90-000 03/29/2006 11:42 AM Alt. Parcel 31.28.18.321E PAGE 1 OF 1 Current X 276 -CITY OF RIVER FALLS Creation Date Historical Date Map # ST. CROIX COUNTY, WISCONSIN p Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner RICHARD A & DIANE JENSEN O -JENSEN, RICHARD A & DIANE 802 YELLOWSTONE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' =Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS 802 YELOWSTONE DR SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.92Lk/n 9-CSM 15/4249 276/02 SEC 31 T28N R18W PT SE SE BEING CSM 15/4249 LOT 1 1.926AC o Bldg: LOT 01 (Sec-Twn-Rng 401/4 1601/4) SE SE Notes: : Doc # Vol/Page Type 670926 15/4249 CSM 2005 SUMMARY Bill Fair Market Value: Ass essed with: 133097 364,500 Valuations: Last Changed: 06/02/2003 Description Class RESIDENTIAL Acres Land Improve Total State Reason G1 1.926 71,200 218,100 289,300 NO Totals for 2005: General Property 1.926 71,200 Woodland 0.000 218,100 289,300 0 0 Totals for 2004: General Property 1.926 71,200 Woodland 0.000 218,100 289,300 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/16/2005 Batch 05-15 Specials: User Special Code Category Amount Special Assessments Total 0.00 Special Charges Delinquent Charges 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT DER CGb' ADDRESS , TOWNSHIP IVY. L t rC, T N R ST. CROI COUNTY, WISCONSZN. W ?DIVISION LOT LOT SIZE Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN I00 FEET OF SYSTEM ~V'~ • - ~o, T TIC TANK (S) =i C MFGR. Z C., NO. of rings on cover CONCRET ti STEEL FICHES NO. of width le-" Depth DRY WEL _,'~,~no. of lines width ~ length-V--/7-1- ength area g areas ftP top of pipe -=REGATE L .'t C/ ' '.K RATE AREA REQUIRED AREA AS BUILT claimer: The inspection of this system by St. Croix liance with State Administrative Codes. There areother tareas sthnot at itpis notplossi inspect at this point of construction. St. / tem operation. However if f Croix County assumes no liability for ble j allure is noted the County will make every effort to mine cause failure. aSES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. ° °INSPECTOR DATED 3---/L--LICENSE ^ • PLUMBERON JOB ~4Z t. NUMBER REPORT OF IJISPI;CTIO'I--I7IDIVIDIJAL SEr'JAGE DISPOSAT, SYSTEM Sanit-ary'Permit Sta e Septic 1E T01•JIvSHIP l 0 KIM • t. Croix County SP,PTIC TA7?1: rile gallons. `lumber of Compartments Distance From: Well ft. 12% or greater slope fi. Building ` ft. Wetlands f Highwater ft. DISPOSAL SYSTL,:1 Tile Field or Seepage Pit(s) Distance From: hell ft. 12% or greater slope ft Building; ft. Wetlands ~ f:. FIELD Highwater ft. Total length of lines ft, dumber 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 tile in. DP-pth of rock over the in. Cover ,over 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 pits Outside diameter ft. Depth below inlet ft. Gravel around pit: __yes no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required Squars feet of seepage pit area required . Inspected by: Title:. . Approved Date 197 Rejected Date 197. EH 115 'WISC NSIN DEPARTMENT O HILALTH AND SOCIAL SERVICES t . ~J DIVI 1V PF IjE rW,.O.*BOX OF ENVIRONMENTAL HEALTH { Gf r," J 1 309 J ^ ' IDIADISON, WISCONSIN 53701 J~l~✓ ! REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: NE 1/.,SE Y 1/,, Section 31 , T28 N, R 18 E (or) W, Township or Municipality -River Fails _ St. Croix Lot No. , Block No. - County Subdivision Name Owner's Name: Richard Jensen Mailing Address: R24 Orange, Rive Fal 1 WI 54022 TYPE OF OCCUPANCY: Residence No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS June-j9-,,- 1978 PERCOLATION TESTS June 20, 1978 SO! L MAP SH E ET St . Croix County SOI L TYPE Port Byron sandy__loam Interim Report PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN } TEST TIME DROP IN WATER LEVEL, INCHES RATF NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN I ' 1P- 1 46 40" bk Ts sl, 6" bn sil, 18 no 30 7/8~ 3/4 3/4 40 P 2 40 40" bk Ts sl 18 no 30 1 7/8 1 1/2 1 1/2 20 ~ 3 46 36" bk Ts sl, 10" bn sil 18 no 30 1 1/8 7/8 3/4 40 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES f NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) - 1 82 none 82 40" bk Ts sl 20" bn sil 22" white sand I-5 2 76 none 76 40" bk Ts sl, 18" bn sil, 18" white sand 3 82 none 82 36" bk Ts sl 24" bn sil 22" white sand 4 82 none 82 34" bk Ts sl, 22" bn sil, 26" white sand 5 76 none 76 32" bk Ts sl, 20" bn sil,-24" white sand j 6 82 none 82 34" bk Ts sl, 22" bn sil, 26" white sand ":.AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) ;~f_+icate on the plan the locationand square feet of suitable areas. Indicate number o; sriiap° feet of absorption area needed for building type and occupancy. 900 sq ft trench, 1,125 sq ft bed indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. lit o e ~ { I FF^Y i CE -A~ Itc- ~ I - Own eri a. a 46 a Ides. Prop se~ M r .po ed N 3 edtoom i f } i ~j Zjiyatio- 10211 o I to a f I..j.._.- or zonta~ .+1E*va b...~, do Rlefe enFe ~urwey rs .5 1 mi e o 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) Roger A. Swanson Certification No. 55606 Address BE 5, Box 19LL Rivey, Palls WT 54099 Name of installer if known Calvin Wang CST Signature C tH 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: _NF'/4, Section _91_, T2$V, R 1R E (or) W, Township or Municipality River Falls Lot No. , Block No. _ County Subdivision Name Owner's Name: Richard Jensen Mailing Address: 824 Orange Street, River Falls, WI 54022 TYPE OF OCCUPANCY: Residence X No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS Sept. 25, 1978 PERCOLATION TESTS SOIL MAP SHEET _ St. Croix County SOI L TYPE Port Byron sandy 1 team Interim Report PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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- P- P- 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- 7 80 none 80 34" bk Ts sil, 29" bn subsoil sil, 17" white s B 8 74 none 74 24" bk Ts sil, 24" bn subsoil sil, 26" bn s B 9 72 none 72 20" bk Ts sil, 28" bn subsoil sil, 24" bn s 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 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. f ~rcterts ~_P~opose.d bore ;ho _ lie tes-s 77 _ _ i 3edoo elevrf points hausei i I S alb 1'~ - '40'i ( + I 0 nerFlh s i.4 ac es ( I I t N I I - ! ! ElE~vati 102'l~ drive ; W, hy i 9%; slope ( ! ! j - - - _ - t ;AlHo~iZont4,1 Eind El~eva t o - Ap rod 5 mild Referencb Surv6yoxs stalk orth of, Co. Hw I ~ 1-00 i l'etratlo N 1 Y z 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) Roger A. Swanson Certification No. 55-606 Address RR 5, Box 124, River Falls, Wisconsin 54022 Name of installer if known Calvin Wang CST Signature State Permit # PLB67 State and County Permit Application County Pery #k f~ • 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 Address: B. LOCATION: '/4, Section ~T;2-f No R/T E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village TownshipAt~....~~ - C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES-41\10 # of Bathrooms-~L- Automatic Washer X~, YES NO Ot er (specify) - SEPTIC TANK CAPACITY t allons No. of tanks - 'Molding tank capacity Total gallons No. of tanks ew Installation ~h-Addition Replacement Prefab Concrete_____ Poured in Place Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~ 2),2_3) Total Absorb Area _rsg. ew Addition _ Replacement *Fill System Seepage "French: No. Lii~n.Feet th Depth 'L ©`Tile Depth :2 g'No. of4ze , enches -4145F - eBed: Length ~i!(LWidth' Depth Tile Depth No. of Lines Se epage Pit: Inside diameter Liquid Depth Tile S1+S/ Percent slope of land Distance from critical slope ` the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, 1'Jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, i\IAME C.S.T. # G ll: and other informati( obtained fro i (owner/builder). Plumber's Signature ~ MP/MPRSW# LZv Phone 7 Plumber's Address _ e-- PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). I I ~f a _ 44 Do Not Write in Space B low FOR DEPARTMENT USE ONLY C 6 Date of Application C Fees Paid: State Co my , Date Permit Issued/R - eted (date) -l~ Issuing Agent Name 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) - PLB67 State and County State Permit # Permit Application County Permit # Cl/ 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 Address: B. LOCATION: Section T ' N, R E (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 D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathroorns_-__ Automatic Washer YES NO Other (specify) SEPTIC TANK CAPACITY 442C7Z2 Total gallons No. of tanks f -Holding tank capacity Total gallons No. of tanks `Jew Installation Addition Replacement Prefab Concrete---- 'Poured in Place Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area !ew Addition Replacement *Fill System `seepage Trench: No. Lin , eet Width Depth Tile Depth No. of renc' ,eepage Bed: Length Width Depth Tile Depth 716, No. of Lines Seepage Pit: Inside diam ter Liquid Depth _ Tile Size _ Percent slope of land Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, 1,AJisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, ik>.AME C.S.T. # and other information obtained from (owner/builder). Plumber's Signature MP/MPRSW# Phone # Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Go rQ G Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State County Date Permit Issued/Rejected (date) -Issuing Agent Name 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 (i)ink copy? 4 olumher !canary copy) Revised Date 6/1 /76 RR 5, Box 124 River Falls, WI 54022 September 26, 1978 Zoning Administrator St. Croix County Courthouse Hudson, Wisconsin 54016 Dear Sirs: There has been question about the amount of suitable area indicated on the EH 115 for Richard Jensen. Based on the class 3 perc test 1,125 sq. feet would be needed for a 3 bedroom house. The area on the plant view is 1.6 by .9 inches and with a scale of 1" = 40' this would equal 64 by 36 feet or 2,304 sq. feet enough for both the ini- tial and an alternate system. However, because some changes in the sizing of the house, a slight relocation of the seepage bed is desirable. For this relocation and additional area indication, please find an amended EH 115 with the additional bore hole data. There is a large area of suitable soils on this lot and should be no reason for not issuing a permit. Sincerely, Roger A. Swanson Certified Soil Tester enclosure- RAS/b