HomeMy WebLinkAbout038-1048-30-000 (2)
n N O r. V 0
0 Di O
0 y h`
'fl fD d # m /1
cn ==N Z w
n Sy D) W N o co OD O E w x
: o o m m N c° c w 0D 0.0
v a n Q y 3 @
w W 00 v 03 Cc
v v m N
a
C) ~n cr a- 2D
O
O C SD (D n 'O
O
0 y N tV
C a O
C D
CD a
m o
T CD y W N
3 a
(D O W (NO N
O O CCD 0 r- (n
y coZ N O~ O
_
co O CD ty
z T T T iJ j fl: •
Z O O O ~
o
* 3 N N N m
_ v _v a N
O N A y < Q°
n
ZT
fl d O
N Ci7
N 7 N j d
CL
C m V' y N
z
zCD z O
D (D 0
O
v
o' (D
(D y
cc W
;
c (D N
CD
W (D O" i
n 3 g
~p -I N
Z CD
:3 1 O O ? ? n
A Z O
v CL O 3
0
W
(D (D
O. Z
N c
(D
'v
w v
CD
D 3
(D o_ CD
a
1 0 -
~ T
~ N C
co
z d
0
n ~
s N
((D
y o
0
m
S
p.
4
N
V
~ N
I O
O
a
A
O
~
A ~
m 6C
e» O . O
o (D
O s- s
Parcel 038-1048-30-000 11/22/2006 04:50
PAGE 1 OF 1
F 1
Alt. Parcel 11.31.18.204 038 - TOWN OF STAR PRAIRIE
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 - SLOCUM, WARREN W
WARREN W SLOCUM
2220 122ND ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 2220 122ND ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 11 T31 N R1 8W SW SW LYG WLY OF Block/Condo Bldg:
EXISTING RD LESS 5 1/2 A TO NSP CO. & PT
TO TN OF STAR PRAIRIE ALSO PT LYG ELY OF Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
TN RD 11-31N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1147/624 QC
07/23/1997 720/599
07/23/1997 615/317
07/23/1997 414/589
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.000 10,000 53,000 63,000 NO
UNDEVELOPED G5 15.000 21,000 0 21,000 NO
PRODUCTIVE FORST LANDS G6 22.000 93,500 0 93,500 NO
OTHER X4 2.000 0 0 0 NO
Totals for 2006:
General Property 38.000 124,500 53,000 177,500
Woodland 0.000 0 0
Totals for 2005:
General Property 38.000 124,500 53,000 177,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 207
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
I .
M AS, BUILT SANITARY SYSTEM REPORT
. ' A p
_R TOSTNSdIP-SEC. R
A DRESS 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
f
- - - _ i i i _
f ~ I li
I
! { I I I E fi
1-7
i '
j
f
I
- - r z ( - 1 - 4
T k--
IndicaCe North' Arrot-,7
_ - - I
I I r- - SCALE:
--tea.---
TIC TAb'K(S) MFGR. ys - 1y.< ,%;CONCRETE ~STEEL
NO. of rings on cover__j Depth - DRY WELL
NCHES N0. of _ width length area
no. of lines__width length, area ~ .177
depth to top or pipe
- ,r.EGATE ' z,.
ROTE AREA REQUIRED AREA AS BUILT
'claimer: The inspection of this system by St. Croix County does not imply complete
?-,)liance with State Administrative Codes. There are other areas that it is not possible
.inspect at this point of construction. St. Croix County assures no liability for
=eon operation. However, if failure is noted the County will make every effort to
-mane cause of failure.
_,ASES AND OILS SHOULD 140T BE DISPOSED THROUGH THIS SYS al.
'-INS ECTO
PATER PL1,3,1BER ON JOB f'.• 1~.ca~l<"_ -~X
LICENSE NUPIBER
4 -
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitasty Permit,-='
State Septic
NAME Township St. Cttoix County
Location % o{~ - Section' T N,R ~W
SEPTIC TANK
Size/&&0 gattonss. Number o6 Compatttments
Di.6tance Fttom: W e Z 120 ott greaten Zt.ope 6t
Building 6t. Wettands b .
Highwaten 6t.
DISPOSAL SYSTEM
Durance Fttom: Wett 6V bt. 12% ott gtteatest /stope fit.
Buitding_3 6t. wettandIs Ft.
Highwatett 6t.
FIELD DIMENSIONS:
Width of trench aZ 6t. Depth of ttock below tite-Z _2~n.
Length o6 each tine 6t. Depth o6 ttock overt tite Z- in.
Numbest o6 tinens pZ Depth o6 tite below gttade~in.
Totat .Length o4 tines /ao {t. Stope o6 tttench in pest 100 6t.
Distance between Unes~t. Depth to b edtto ch 6t.
Totat absottbtion area ,6t2 Depth to gnoundwatett__'A!~~jt.
J 0 Requited attea (y /,5 6~ 2
6~
PIT DIMENSIONS:
Numbest o4 pit/s Gttavet attound pits ye/s no
Outside diameters t. Depth below inter 6t.
2
Taal b~sottbian attea z
A
Attea equi ted ~t2 rn
i
INSPECTED BY Ut4 TLE '
APPROVED ,DATE cS~~ 197Y.
REJECTED DATE 197
I
I .
i
i ,
I
I
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: z; /4, 5k Section Jj-, TjN, R A &(or) I Township or Municipality
Lot No. , Block No. County
~ ? Subdivision Name
Owner's Name: "A -4n07)
j r
Mailing Address:
TYPE OF OCCUPANCY: Residence K No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOIL MAP SHEET ' SOIL TYPE 041 ti -1e LI> '
PERCOLATION Tl S
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-1
y I -
P-2
11 l' l l -
P l lr ~r ~ 'I 7
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)
%5 All
7 ~-2 .5 -
G>' G 17
(C rl -_7
T-
-4 ~Zz
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of~suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Z//~~ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope. ` o, '
C"Ll
f I 1
i C' i a { 1
f ,
I I
w ( i 1 i ~ I ~ i i yr I
I _
' I - _
- - - - *-f -j 1_ i
I I ' ; _ ' ~ ( j ~I I I
i I I I i !
f
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedu es I
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) Certification No. _
Address !ice a F-G
Name of installer if known
s'
COPY A - LOCAL AUTHORITY CST Signature _
State and County State Permit #
PLB67 Permit Application County Permit'
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:
r,,L ~S/'/'C'ep i ~ I 'i " x~ •r!/i iC:e.'I`l LL B. LOCATION: <k) % S l1 '/4, Section _LL, T, 5i N, R E (or) (Qb Lot# -City_
Subdivision Name, nearest road, lake or landmark Blk# Village
Township 27,
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family _ X Duplex No. of Bedrooms- No. of Persons
D. TYPE OF APPLIANCES: Dishwasher__/ YES NO Food Waste Grinder YESPO # 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 1L2_ 2) 3) Total Absorb Areal sq. ft.
New Addition Replacement- k -Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length !3ZA Width Depth Tile Depth No. of Lines
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 Certified Soil Tester,
NAME 7 - ^y C.S.T. # Sr and other information
obtained from ~~L (owner/builder).
Plumber's Signature % > Phone
MP/MPRSW# ,
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
E
E
f ~ ~r
i t
L
e
i - a _ _
/ V
E
J
n ~
f° r
E
c
E
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application I -p~ 9 - 7 Un Fees Paid: State /Q C O Cunt c,~ Date 2 -
Permit Issued/Rajeeted (date) i -Issuing Agent Name ' a./
Inspection Yes No Valid# Date Recd
1. county (whit
7~ e 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
a ~
n(n O g m n -
fD m CAD .a zL ; `t
a c
m ;
Q
W C/) cn CD
N co rn N (.0 CO
C) 0 N j r-n r 1
O O N C C, (D
Cl Q d 3 p
!
W - W W O
N
QO N N N fV ~ "S
O (D N p W Q
O (D (D C1
O C O (O p
ra y UI N 7 O C
E N O~
M - D p
M ID
e (D D o Q
N CS, N
O N N Cn l1,y
CL W O =z
(D
co (D (D (y r
(.0 OD
O O O F),
N
0 V
3 O O fl" ti
N -1 O y C Qo
n cD !2 CD
N
to d m y Ui 0 O
7 Q
fD J N
7 W
z CO z Q
_ D (D o
Q 7
° O
Cl)
OL) O
-0 -0 0 ~ N
CD w
C7 In F
C') O D N
O - (D
m Q-
3 -
om 0
41 z
w a ~U) ° A
o i. z o
CD n O
(D In
3 c
Q C
il) D CO v
J CD fl 7-
0-
0
O N 3 Cl)
OD
A N C
0 0
co (D A
W ~
0
O
D 3
m o- (D
5 T
0
7 -n
J N ~
m z C
O
S i0
(D
N
(D ?
V
.^7
1
n
Q
IV
O
A_
7 JI
:t
O JC
c~ O
O D ~1
O O
10
Parcel 038-1057-90-000 06/30/2008 05:03 PM
PAGE 1 OF 1
Alt. Parcel 1431.18.24813 038 - TOWN OF STAR PRAIRIE
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 - SLOCUM, WARREN W
WARREN W SLOCUM
2220 122ND ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 7.860 Plat: N/A-NOT AVAILABLE
SEC 14 T31N R1 8W NW CORNER NE NW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
14-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1147/624 QC
07/23/1997 720/599
2008 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
UNDEVELOPED G5 2.000 5,000 0 5,000 NO
PRODUCTIVE FORST LANDS G6 5.860 29,300 0 29,300 NO
Totals for 2008:
General Property 7.860 34,300 0 34,300
Woodland 0.000 0 0
Totals for 2007:
General Property 7.860 34,300 0 34,300
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