Loading...
HomeMy WebLinkAbout038-1044-30-000 0 cn O 3 v n d ? 0 3 r~ A (D d (D II (D 3 I ~ ~ ~ ` 1\ A7 O CO -i 2 z O) v CO ccn O $~V/ • 0 3 0 d w o co O) O W ~C C 1 S 3 C V d co 1..1 v d fD z Q N N Q O M rn C: CD W N d. m A O C-D d d fA d N > ~ 'S ` 1 CD 0 7 (D W m WO 0 CD a 0 o O e _ W o .Ni C N O d CD (0 - 03 u> < D a ° cD cf~ d N G C7 N W 3 a 4 -4 O cn N 000 o00 °i I'I N Or. C O 3 Q ~ 0 0 0 z O O O ° p cn `ice ai ai can W m CD m vwoo, 2O tQ ' C7 t9 iD m (D O ' d N = lV d d N N I N 7. 3 d CD a N z co z D CD O O Cl j o" CD N CD d N (D C C D (D ~D O_ d 3 7 z (D N O 7 O 1 'p z m c v CL p (zj 0 'I Z -1 W m ~2 1 CL z I c o z 3 m CO N A W D CL T N C z a 0 m N I 4 l b I ~ Q' it tv a I ~ I h O A 7 ~Q V O H to O v C) CD O CD y v Parcel 038-1044-30-000 12/01/2006 04:54 PM PAGE 1 OF 1 Alt. Parcel 11.31.18.194B 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 - DAVIS, RONALD L RONALD L DAVIS 1290 CTY RD H STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1290 CTY RD H SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 11 T31N R18W PT NE NE COM NW COR LOT Block/Condo Bldg: 5 BLK H VIL OF HUNTINGDON E 190 FT, N TO RIVER, NWLY TO PT N OF POB, S TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 11-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 03/08/2000 619349 1494/384 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 34,100 139,300 173,400 NO Totals for 2006: General Property 0.000 34,100 139,300 173,400 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 34,100 139,300 173,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 547 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1049-95-000 12/01/2006 04:53 PM PAGE 1 OF 1 Alt. Parcel 11.31.18.214A 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 RONALD L DAVIS O - DAVIS, RONALD L 1290 CTY RD H STAR PRAIRIE WI 54026 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 11 T31 N R18W LOTS 4 THRU 9, BLK H Block/Condo Bldg: VIL HUNTINGDON Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-31 N-18W Notes: Parcel History: Date Doc # Vol/Page Type 03/08/2000 619349 1494/384 WD 07/23/1997 1121/346 PR 07/23/1997 825/623 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 14,300 0 14,300 NO Totals for 2006: General Property 0.000 14,300 0 14,300 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 14,300 0 14,300 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 • AS BUILT SANITARY SYSTEM REPORT E R TOWNSHIP SEC. T . ;i` N, R ' W ADDRESS r ST. CROIX COUNTY, WISCONSIN. 3DIVISION LOTS LOT SIZE PLAN VIEW l y ~j~C}r /c -Distances & dimensions to meet requirements of H62.20 h (i SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM fff . t ` "TIC TANK(S) MFGR. --r-CONCRETE STEEL NO. of rings on cover Depth DRY WELL _7NCHES NO. of width length area no. of lines width length area depth to top of pipe REGATE .'a RATE 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 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 t LICENSE: NUMBER RRPOP,T,OF I11SPrCTIO'.l--Iib1')IJIDUAL SETIJAGE DISPOSAL SYSTEM Sanitary Perm, it [p State septic Lea F/ TOWNSHIP St. Croix County . S%°TIC TA' K1 r~ .,.~ze gallons. `lumber of Compartments Distance From: Y-bell f> ft. 12% or greater slope mot. Building - ft. Wetlands ft Ibighwater ft. DISPOSAL•SYSTL1-1 - ! Tile Field or Seepage Pit(s) Distance From: Well ft. 12% or greater slope ft Building; ft Wetlands f: r FIELD K ip,hwater ft Total lentli 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 b>elot,= the in. Dr-pth of rock over tile in. Cover aver. xock , Depth of tile below grade in. Slope of trench in ner 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS 'Dumber of pits Outside diameter ft. Depth below inlet ft. Gravel around pit: es no. Total absorption area sq. ft. Square feet of seepage trench bottom area required %,quare feet of seepage pit ayea required Inspected by: Title: Approved / Date 197 Rejected Date 197 EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOI L BORINGS AND PERCOLATION TESTS LOCATION: ~)£'/4 2L'/4, Section l , T-/-N, R1eE (or( 1, T)wnship or Municipality g ~ yjL Lot No. , Block No. ~ County Subdivision Name Owner's Name:}® Mailing Address: f✓~/5~ 1 ~1 P -C ' TYPE OF OCCUPANCY: Residence No. of Bedrooms f Other EFFLUENT DISPOSAL SYSTEM: NEW \x1- ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS - -I--/ _-72 7 PERCOLATION TESTS Ll SOIL MAP SHEET - SOIL TYPE 5 7_ ~-"r Ley L~-_ 1 PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/INI BER r _ 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) 7-5 7-5 L T l S S ` ! g U r-~ L/ r75 V.5 it 7-5 PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.) Indicate on the plan the locationand square fe t of suitable are s. Indicate number of square feet of absorption area r eeded for building type and occupa Indicate scale of distances. Give horizontal and vert' al reference points. Indicate slope. 0 _ f v0 /J ~ 1' 3 l I ! ~h ~o - _ ..~~__.._.....w~...._- - - } i ~ I € F I t 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) L_ ) Y7 toe) 'jQ S Certification No. ~~S^ 5 Address Ova [S Name of installer if known CST Signature ► "COPY A -LOCAL AUTHORITY PLB67 State and County State Permit Permit Application County Per 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: a3© rr )e/ kk ~2 5~ 19 B. LOCATION: 0 C % 12 f' Section T .3/ N, R~ E (or) 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 _,X YES NO Food Waste GrinderYESA-_NO # of Bathrooms Automatic Washer YES NO Other (specify) E. SEPTIC TANK CAPACITY ZOO 6 Total gallons No. of tanks / 'Holding tank capacity Total gallons No. of tanks New Installation x Addition- Replacement- Prefab Concrete 'Poured in Place Steel Other (specify) F. EFFLUT DISPOSAL SYSTEM: Percolation Rate 1) 2)_~7 3) __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 5'2,/ Width Z~ Depth Tile Depth 3 Z i~ No. of Lines '2_- y' Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land 6 ~0 5 1- Distance from critical slope 1, 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 CAL U j)~ O 2NS C.S.T. # ' S- 5`3/ and other information obtained from _ w nb uilder. Plumber's Signature MP PRSW /<-2~~7,_Phone # Z`Y6- 5 / j S-" Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ~'~Iov' 1 ell dc• it y I I Do Not Write in Space Below R DEPARTMENT USE ONLY / l/ Date of Application Fees Pai : State i . % ou ! i Date 1" Permit Issued/ /(date) -Issuing Agent Name Inspection Yes No Valid# Date Recd 1. county (whi 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