HomeMy WebLinkAbout042-1069-95-200
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Parcel 042-1069-95-200 01/02/2007 11:04 AM
PAGE 1 OF 1
Alt. Parcel 25.29.18.3938-20 042 - 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 - DELANDER, LINDA K
LINDA K DELANDER
721 140TH ST
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 721 140TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 5.310 Plat: 4504-CSM 17-4504 042/03
SEC 25 T29N R18W PT SW SW BEING CSM Block/Condo Bldg: LOT 02
17-4504 LOT 2 (5.310AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-29N-18W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
04/24/2003 718732 17/4504 CSM
2006 SUMMARY Bill Fair Market Value: Assessed with:
149582 228,500
Valuations: Last Changed: 07/20/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.310 51,500 115,200 166,700 NO
Totals for 2006:
General Property 5.310 51,500 115,200 166,700
Woodland 0.000 0 0
Totals for 2005:
General Property 5.310 51,500 115,200 166,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 10/14/2005 Batch 05-33
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
r,l.T r S•S
REPOP~T OF ITISI'I;CTIO'.I--I:~DxJIllIJr1L .,,,ll'~GE llISP0r ~1~L ~~,~'IEii
Sanitary Permit:
r State Septic
IE t T&WNSHIP
• t. Croix County
MEPTIC T~V!T: Sw sw
Size gallons . 'Lumber of, Como artments
Distance From: Well
f 12% or greater slope --f-t
.
Building ft. Wetlands _ ft
liighwater ft.
DISPOSAL SYSTL:i Tile Field or Seepage Pit(s)
Distance From: Well ft, 12° or greater slope ft
Building Oft.
Wetlands f
FIELD `rUghwater ft.
Total length of lines,
Ocft, Number, oof lines 1 ~ Length of
each line ft. Distance between lines ft. Width of the
trench
r;:L_ft. Total absorption area sq. ft. Depth
of rock below -ile Z
~in. Depth of rock over the ,~.in. Cover
nver.xock" Depth of tile below grade in. Slope of
trendmin per 1,00 ft. Depth to Bedrock ft. Depth to
Fround water £t.
PITS /
(lumber of pits Ou si.de ameter ft. Depth below inlet
ft. Gravel r u p'it: Lyes no. Total absorption area
sq. ft.
Square feet of seepage, nch bottom area required
Oquare feet of see f>.e o'C_a e/ required -
Inspected Iiy : Title - .
Approved L Date 197.
Rejected Date 197.
r~
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309 9 lj
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS 9 1 ,4
LOCATION '/4, Section2'- , T_- N, R ~r E-(eH W, Township BF WR.- ff-y
Lot No. , Block No. County ' C 09
Subdivision Name fG r
Owner's Name:
Mailing Address: ~~'J ►
TYPE OF OCCUPANCY: Residence _x No. of Bedrooms Z Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS ih/ f PERCOLATION TESTS ._1VA& F1 )1 ;1`6
SOIL MAP SHEET I" - 1 3 r~ SOIL TYPE LT-1-0Z
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME 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- i3h G>`-;Z;-e, -Z :_3 Ivy 1 ) 1/y 1 icy I
P_ T
_Z *3 1A6
~y
P- .3 LTS, h c I , y W3 ti 10
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES . CHARACTER 'OF S(916 WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BIEDROCK IF OBSERVED)
_2Z .7-r
Z 75 4° tan L ~g n 1 S '3n C 4S
3 1LT' ) '_1_.w13%+ ► I C3;1 S 1, 4 k V
C ~5/'l3n
B_ S LT 8, L.101'-vin
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitalle areas. Indicate number of square feet of absorption area
needed for building type and occupancy. -ic GN P `z Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
lz _
- - 1 ! , tai i lOb~
I
1
M4A
I I t
4i ~ y N -4 y~ ( t
11 Y"___._ I f
~LN~.rc 1 " = 4a'
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% 1Z L ' w C~g7t cm Certification No.
Address es► 2 h, 0 1171-110 1,01, Sill I I -
Name of installer if known
CST Signature Ai ` Z
Y A-LOCCAL AUTHORITY
State and County State Permit #
PLB67 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:
_ yl %a iT It B. LOCATION: s j-, 1/4, Section 5 T 1V N, R /-S' E (or) W Lot# --City _
Subdivision Name, nearest road, lake or landmark Blk# Village
Township v1.:a/tR~i✓
C. TYPE OF OCCUPANCY: *Commercial *Industrial Other (specify) *Variance
Single family ) _ Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES ENO Food Waste Grinder YES x NO # of
Bathrooms!-
Automatic Washer _X_YES NO Other (specify)
SFPTIC TANK CAPACITY /e%,-C. Total gallons No. of tanks
"Bolding tank capacity Total gallons No. of tanks
ew Installation Addition Replacement Prefab Concrete IN
Poured in Place Steel Other (specify)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) C% 3) Total Absorb Area ~T'c p sq.
n:ew X Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet 17,r Width Depth -?j( Tile Depth 27 No. of Trenches
seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Z '2G Distance from critical slope
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
':%isconsin Administrative Code, and that I have sized the effluent disposal system from the EH 115 prepared
1:)y the Certified Soil Tester,
SAME ^'ZT H.. A W. w C- E rs E 4 C.S.T. # S- and other information
obtained from /try rr A. A'.9 (owner/builder).
"!umber's Signature' 'Z , MP/MPRSW# A Yi 1 y Phone # 5- ~r
Plumber's Address d/itin ~,s -yct
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
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y IFS
/V
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rw
f
Do Not Write in Space Below F R DEPARTMENT USE ONLY1
Date of Application Fees Paid: State(. COMA Date
Permit Issued/Re' cted (date) -Issuing Agent Na ~ 7 _
Inspection Yes No Valid# Date Recd r
1. county (wh to 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