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HomeMy WebLinkAbout036-2004-90-000 m c (D m 0 ~ a CD c ~ m ~ ~ ~ 11 t O cn = N z w (n w o 0 y O w N o N p n N p~ N 7 O_ N CD W n O ."~j C 1 p7 W IV l^l O O Z CD Q7 ~ O 03:3 7 ~I W O N O' O O N T 0 A 0 0 :3 CD (D Ut o)o O C: CD 0 O 3 N O O N N W lr c W (n a D 0 !D G' m m a ~ N W 3 CL 0 ° CD W W W "%kid ° 00(0 co -n. 0 c m tnn o c ZI v m v v v f L m N. z 0 0 0 Y o p = N 0 ° fn f/1 fn 3 CO m - v v v C 77 ~ ro N a CL v (D = m m N) ~ m m o v CL f N Z ~ V ~ zco z p v 0 D ° CL O m m m N• N CD N N ( C CD C a CL 3 s z m -1 y O O A Z n A z O m a ~ O 0' U) -i w W ~ M (D CL z 0 0 o cn 3 m J N ~ < m A W - 41 n CD ' O N 0 d N c O O 3 d O 7p1 c~, C O SU CL T 7 N - = O C ° ~N z a CL v O O O. N m N O O_ F ~ I v n 7 (D O= 7 T O_ CD Q C CC A v O CD N Z CD `L O C N b CL X X O O cn O < N o, CD A O O Z I D 0 ,cn 0 a C> CL 'r ~l Parcel 036-2004-90-000 07/19/2006 04:57 PM PAGE 1 OF 1 Alt. Parcel 31.31.17.648 036 - TOWN OF STANTON 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 DAVID A SCHMELTER O - SCHMELTER, DAVID A 1835 OAK RIDGE DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1835 OAK RIDGE DR SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.630 Plat: 2238-OAK RIDGE ESTATES LOT 28 OAK RIDGE ESTATES Block/Condo Bldg: LOT 28 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 08/03/2004 770568 2630/1179 QC 07/23/1997 1175/428 W ID 07/23/1997 903/508 07/23/1997 737/228 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.630 20,000 142,600 162,600 NO I Totals for 2006: General Property 0.630 20,000 142,600 162,600 Woodland 0.000 0 0 Totals for 2005: General Property 0.630 20,000 142,600 162,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 146 Specials: User Special Code Category Amount II I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t E tr . F ~ 3 ^ r ~ _ k r s. " sr JDI .-r a a r ° ' ~ ' 4a ~ i e J r , w~ ^ Y r ,r~ y ^ t i 4 A-- l - y- I t# e e ram„ aC lam., ~ a «e..i ~ i r- , Toll" Tom//cam, 7`0 I TA l ~tCo So f ~l ; ~ r~~ z '7 3 2 2 q2T 12 ~-(Q~f~`r for - - - v. uaa au+a va.a ~ ':DER TQWNSHI . 0. ADDRESS ' v' ~ SEC. T N, R W ST. CROIX COUNTY, WISCONSIN. :',DIVISION LOT LOT SIZE PLAN VIEW -Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Z/ e - -TIC TANK(S) MF )Y~~ CONCRETE STEEL NO. of ri cover Depth DRY WELL INCHES NO. of width length area no. of lines Z_ width length area dh tooe ZEGATE RATE AREA REQUIRED AREA AS BUILT -;_7-, - ~ (: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/,,/ 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 DATED PLUMBER ON JOB LICENSE MP1, C_ RPOU OF I1ISPECTI0'.1--INDIVIDUAL SE M(37E DISPMV, SYSTE11 Sanitary Permit L LI,e Septic '.A! iE . T01 TIv SHI P i • t. CrolX. County S%?'TIC TA'IY soL, S) i ze gallons. `-umber of Compartments . Distance Front: 'dell ft. 12% or greater slope ft. Building" ft. Wetlands f~ Highwater ft. DISPOSAL SYSIE,1 Tile Field or Seepage Pit(s) Distance From: Deli ft. 12% or greater slope ft Building ft. Wetlands f„ FIELD Highwater ft. - Total length of lines -ft. Number of lines Length of each line eft, Distance between lines ft. Width of the trench -ft. Total absorption area sq. ft. Dept:: of rock below the in. Dp-pth of rock over tile in. Cover over. xoclc,, Depth of the below grade in. Slope of trench in per 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 -s q . 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 L C~¢.ei~ ~ b b ~ ~ nZZ VV pZ S~ Co PLB6.7. State and County State Permit # - Permit Application County Permit # for Private Domestic Sewage Systems County iy~d t X *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing ZAddre s: B. LOCATION: 1 v4, ,F Section Tom?/ N, R (or) W Lot#-~_q~-C y Subdivision Name, nearest road, lake or landmark Blk# G Vi age ownship~ , C TYPE OF OCCUPANCY: *Commercial *Industrial *Othe cify) *Variance Single family L---- Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES '-ITOO # of Bathrooms Automatic Washer DYES NO Other (specify) E. SEPTIC TANK CAPACITY ~-?I- ',7~ Total gallons No. of tanks - *Holding tank capacity otal . gall(Ias b tanks New Installation Additi ~ / ' RPrefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ,_!3- 2) 3) ! Total Absorb Area_ sq. ft. New Addition Replacement f~"fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length j 7z Width 12 1 Depth 7 Tile Depth 7 ~,La No. of Lines 7 Seepage Pit: Inside diameter Liquid Depth Tile Size 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 Certifi~d Soil Tester, NAME C` /1 C.S.T. # Z e J and other information obtained from a /1-? (owner/fir) . _ cam, Plumber's Signature MP/MPRSW# Z4~2 / Phone #~?7~6 5''i ij Plumber's Address oe 42 L) PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). \ , \ . r ~ Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application Fees Paid: State County' Date_ L% A- Permit Issued/Rejected (dat6) -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 state (pink copy) 4. plumber (canary copy) - Revised Date 6/1 /76 EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES M DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH ► P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS _ 7 LOCATION Section--'-, 9V-N, R/7-f_ (or) W, Township ori~apatity &Z> Lot No. , Block No. County Subdivision Name Owner's Name: Mailing Address: 6e3 TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT 24 DATES OBSERVATIONS MADE: SOIL BORINGSI4c(' 7~~J 7c~ PERCOLATION TESTS 6(20-11,' SOIL MAP SHEET SOI L 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 Z 1 4~7,v A~j 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 7 7 S. 7 7 ALI B- 7 7l le . C PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of sui_tayle 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. I ~ I 1 1 3I }}I wi l~ I f {it$ , f z_ t 1 4 t 1 i ~ I 3 ~ ~ I f s 1, 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) rtifiGation No. l! Address ~~,~~•r7 , ~Z/ / " Name of installer if known Signature COPY A -LOCAL AUTHORITY CST Sig <