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HomeMy WebLinkAbout036-2003-70-000 n to O g-0 0 d G f O A 'D CCD o A v A+ H' m c ^ 1 3 3 0 CD 2 2 n z w oo c Cn w oW `c rl • c, y m w c O co co cn j rn N 9. 9- N N O .CN-. p N I CL CD d d _ -a O 3 CO W:3 7 V O O N = N M N CD I ? m a io 00 (D m m o I co o 3 w vi m ° c M CO m I CD III ~i { D G N m o a (n W O v CD c C. CD ~ O 0D o N -4 --4 o N r ti Q 00 -,j v 'D M 'V z CD t O O O o 3 s F `K r; T o o 3 N m t o 0 CD y^ a a co ~ i m CD m = < 1 :5. m 3 N \ ~V N " V d 3 A (D C i z U) O D a l v Q O C~ v O N V (~D N N MA O C CD W CL I d ~ 7 O = o A Z (D =._J v n a w a. Cn j M (D CL Z 3 ^ Cn M N F\ CD W CL m Cl o - o ~ -n c m c a z ~ a 0 CD CD (D fn Q v CL < m CD 27 o I o i N _0 e m N 3 ° 0 a I • o 0 o 0 C> m CD a- r Parcel 036-2003-70-000 07/19/2006 04:56 PM PAGE 1 OF 1 Alt. Parcel 31.31.17.636 036 - 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 JAMES A & CAROL A DEYOUNG O - DEYOUNG, JAMES A & CAROL A 1822 OAK RIDGE DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1822 OAK RIDGE DR SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.280 Plat: 2238-OAK RIDGE ESTATES LOT 16 OAK RIDGE ESTATES Block/Condo Bldg: LOT 16 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 710/175 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/27/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.280 20,000 169,100 189,100 NO Totals for 2006: General Property 0.280 20,000 169,100 189,100 Woodland 0.000 0 0 Totals for 2005: General Property 0.280 20,000 169,100 189,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 115 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f t 4 e 7 2 - f 4, 7 ~ J,Ir V~ e ~ r 1 5-4 2 a 4,y r ° kh - i 3 31 5 1 'CIO p AS BUILT SANITARY SYSTEM REPORT OWNER l 1~4 TOWNSHIP.STSu~ SEC._, 'f T-ILN, R / l W P.O. ARESS ; ` , , ST. CROIX COUNTY, WISCONSIN. A SUBDIVISION LOT LOT SIZE h a PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM R 4 I i - i ' 4 I t SEPTIC TANK(S) MFGR. CONCRETE. STEEL NO. of rings on cover Depth DRY WELL TRENCHES NO. of width length area BED no. of lines width „ length area depth to top of pipe 3 AGGREGATE/ PERK RATE AREA REQUIRED . AREA AS BUILT 'J Disciaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. INSPECTOR F DATED PLUMBER ON JOB LICENSE NUMBER, • I • i REPORT OF INSPECTION--INDIVIDUAL SEWAGE DISPOSAL, SYSTEM Sanitary Pernit3`S_`P State Septic 6 /G f "A: E T&WNSHIP t, Croix County SEPTIC TA'?1: Size gallons. `umber of Compartments , Distance From: Well ft. 12% or greater slope ft. Building ft. Wetlands f Highwater ft. DISPOSAL SYST%:2 Tile Field or Seepage Pit(s) Distance From: Tlell ft. 12% or greater slope fi. B u i 1 ink ft. Wetlands f FIELD iliphwater 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 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 i round water ft. PITS Number of pits Outside diameter ft. Depth below inlet ft. Gravel around nit: _yes 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 1 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; Section JUL, TAN, R L7 E (or)(9, Township or Municipality Lot No. , Block No. ( / ~0 _--County S division Name Owner's Name: l J . 1-1- . j"? Mailing Address: - .~Z"'etni TYPE OF OCCUPANCY: Residence No. of Bedrooms Other - EFFLUENT DISPOSAL SYSTEM: NEW ` ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS~~-_ -PERCOLATION TESTS 11-1-29 SOIL MAP SHEET SOIL TYPE SAO PERCOLATION TESTS HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES ?EST DEPTH RATE CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL 'UM- INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN SER +P_ a S P- "VO ip- L_ 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) i / fi ~ ry 4 y / .r r S rr PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) idicate on the plan the location and square feet of suP le areas. Indicate number of square feet of absorFr: t.:;eded for building type and occupancy. 4,"~ Indicate e or distances. Give horizontal and vertical reference points. Indicate slope. .i I ~ E E k 717 , I s 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 Wisconsi dmmistrative Code, and that the data recorded and location of test holes are correct to the best of my k owledge and bel' f. ~ i - d l L i 17 ~f L4) t1►_ y Certification No. J 5 j Name (print) Address Name of installer if known CST Signature PLB67 State and County State Permit # Permit Application County Permit for Private Domestic Sewage Systems County *DENOTES STATE APPRClVAL REQUIRED Date Approval Receiued from State if Required State Plan I.D. _ 42 ~ GI A. OWNER OF PROPERTY Mailing Address: r O P *O tk- e. LOCATION: -S7) '/4 S,= '/4, Section , Tn N, RW E (or) Lot# City Subdivision Name, nearest road, lake or landmark E31k# Village Township Sr-Aodra-,) C TYPE OF OCCUPANCY: *Commercial `Industrial *Other (specify) *Variance Single family _ y Duplex No. of Bedrooms No. of Persons 4~/ D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES-X-NO # of Bathrooms Automatic Washer YES NO Other (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) _63) _?-Total Absorb Area sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length y.Z Width /a, Depth ` Tile Depth No. of Lines r 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 C wj-iified Soil 19er, NAME C.S.T. # do- J~3-S~ hand other information obtained from (owner/builder). Plumber's Signature NIP/MPRSW# / S~~-Phone *2& - Plumber's Address n PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). t' s ~ air- -S, ash / U0 hSE 4 ar s j,4c Do Not Write in Space Below FOR DEPARTMENT USE ONLY / Date of Application Fees Paid: State, © Count 4Z Q 0 Date Permit Issued/ReL to -Issuing Agent Name Inspection Yes No Valid# Date Recd 1. county (w it 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