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Home My WebLink About042-1104-95-000 n N O 3 v n c w p M a 3 D y ~1. CD Q C° a gc 3 ~ o :7 3 Z3 c: a 0) 00 CD A CD y f (D \Al E - 00 O (D ` ~ O 1 N Q= O co N `O O ~ "S a 00 CD O 0 7 Q N O (P ~ o O C CD CD n ° > CA 3 O O A7 7 N O M a 00 C ° `S d (n < D a :I- ° ( CD CD W n m c 00 CTI ° O 3 O CD "**A -4 C CO r N 00 N fir. c o O O O N z 9 `L W QD rye a v v_ O < M CO 7 CD q Gt q N ~ t/I II. N n z • zco z o D a o c•+. o' CD N n (a C CD W CD n 3 ET z CD D ' Z O m N O s ;o .O. 0 n A z 7 O O Z N O 03 -0 A m m Z CL W c z A o m w N z < CD A W i D CL ' n o - T ~ C I z a O CD N fi A A I A ' A O N N O O ' V A 0 ~O C=D pAq a ft Efl 0 ti O (D ya ° CL ► • ' Parcel 042-1104-95-000 01/02/2007 10:32 AM PAGE 1 OF 1 Alt. Parcel 20.29.18.580 042 - TOWN OF WARREN 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 MARSHA G SHAFER O - SHAFER, MARSHA G 1071 89TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1071 89TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.840 Plat: 2334-PLEASANT ACRES SEC 20 T29N R18W 2.84 A PLAT OF PLEASANT Block/Condo Bldg: LOT 08 ACRES LOT 8 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 866/550 2006 SUMMARY Bill Fair Market Value: Assessed with: 149964 270,400 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.840 41,800 155,500 197,300 NO Totals for 2006: General Property 2.840 41,800 155,500 197,300 Woodland 0.000 0 0 Totals for 2005: General Property 2.840 41,800 155,500 197,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 125 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 Parcel 042-1104-95-000 09/30/2005 08:40 AM PAGE 1 OF 1 Alt. Parcel 20.29.18.580 042 - TOWN OF WARREN 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 - SHAFER, MARSHA G MARSHA G SHAFER 1071 89TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Prim Type Dist # Description " 1071 89TH AVE SC 2422 ST CROIX CENTRAL - u L1 SP 1700 WITC r Legal Description: Acres: 2.840 Plat: 2334-PLEASANT ACRES SEC 20 T29N R18W 2.84 A PLAT OF PLEASANT Block/Condo Bldg: LOT 08 ACRES LOT 8 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 866/550 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.840 41,800 155,500 197,300 NO Totals for 2005: General Property 2.840 41,800 155,500 197,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.840 41,800 155,500 197,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 125 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANTTAUV QVQTFM nro~n TOWNSHIP SEC. T N, R a1,URESS 07 , ST. CROIX COUNTY, WISCONSIN. LOT LOT SIZE ~a2 PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM lop" 1 r ;G _Xi12~ J 1;0 i . s Glen ~sr,~c C. Z(" / A W, 91.E C'~~/ "`~✓C(/ 4/. Al~ 1 I-C TANK(S) IFGR. . CONCRETE STEEL NO. of rings on cover Depth DRY WELL :HES NO. of width length . area io. of lines ~ widths length; area depth to top of pipe ~t X' :GATE RATE~•„~AREA REQUIRED ~ AREA-AS BUILT .aimer: The inspection of this system by St. Croix County does not imply complete iance with State Administrative Codes. There are other areas that it is not possible spect at this point of construction. St. Croix County assumes no liability for m operation. However, if failure is noted the County will make every effort to mine cause of failure. ES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. 'INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER J RFPOr,T Or ITISI'rCTIO'1--IidDIVIDUAL SE?•1AGE DISPOSAL, SYS TEI1 Sanitary Permit ry State Septic TOWNSHIP t. Croix County SEPTIC Tr'11~ S) i ze gallons. `lumber of Compartments Distance Front: 'fell ft. 12% or greater slope ft. Building ft. Wetlands f. I'lighwatr ft. DISPOSAL SYSTE:1Tile Field or - Seepage Pit(s) Distance From: i1ell f < 12/ or greater slope ft Building ~~ft. Wetlands f . FIELD i;ighwater 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 .u sq• ft. Dept:: of rock below tile in, Dp-pth of rock over the ~ in, Cover ,over.rock" , =f Depth of tile below grade '-=r-~--,/,in . Slope of trench in ner 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of nits Outside diameyer ft. Depth below inlet r ft. Gravel around pit`c _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. U' l ~I 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 SOIL BORINGS AND PERCOLATION TESTS LOCATION: *r_14, f_&%, Section R Vor► ownship or Municipality 1~,o~~`i E'er Lot No. Block No. /rf-ir~rs- 17Ci''e5 County / Subdivision Name Owner's Name: f LCD j.cQ Mailing Address: ✓x ✓a~,r ,L. n~ L~.d S YGi,~ TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW x ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS _C"-?S_ PERCOL/TION TESTS SOIL MAP SHEET SOI L TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHEST RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL N/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MI 7 it lye, I) 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 3 B- 7 CAC ' .V6 sit "t? V : / it . ! PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.) C Indicate on the plan the location and square feet of suitable areas. In sate number of square feet of absorption area needed for building type and occupancy. 6/r' 1 1 - Indicate sale or distances. Give horizontal and vertical referen po ,5. I icate slope. ~ro7r ava' " / ~'~•c.Al, i ! - y { ......-.~...._._--3._.._.-- _ S { 4 j , _._4 -___-4 E I E S rc I ~ ` i 3 "d EL i i I ~ t I Jyi 3&77 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) S d2 r Certification No. = OS Address , Name of installer if known CST Sig COPY A -LOCAL AUTHORITY t U~~ i~ PLB7 6 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: _ Q ct.C ~ ~~.K r 16 ' f v B. LOCATION: 1(,re_'/, y, Section 2-o, T" N, R & (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township L.C~Ri r~c6 TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) _*Variance _ Single family O Duplex No. of Bedrooms No. of Persons- D. TYPE OF APPLIANCES: Dishwasher - YES NO Food Waste Grinder YES ANO # of Bathroorri Automatic Washer _X_YES _NO Other (specify) SEPTIC TANK CAPACITY- c .7) Total gallons No. of tanks I Holding tank capacity Total gallons No. of tanks '`Jew Installation A Addition Replacement Prefah Concrete `Poured in Place Steel Other (specify) FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) e 2) _f- 3) __,,~Total Absorb Area jI r sq._ PJew_X Addition Replacement *Fill System a✓iV, Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _ ,eepage Bed: Length Width, Depth Tile Depth~36"No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land u 41u 10, ~ ~f Distance from critical slope the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20 L( °hsconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 p r; by the Cer ified Soil ster 1:3AME z yG:sf~j X532" C.S.T. # and other information obtained from o ir. G ' owne s'lumber's Signature MP/MPRSW#Phone Plumber's Address /cI PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with I H62.20, including well). I ESL Y Y ~ el Cpl-d~-- Sys Do Not Write in Space Below FOR DEPARTMENT USE ONLY G Date of Application Fees Paid:. State d County Date C d Permit Issued/Rejested (d te) sluing 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) Revised Date 6/1/76