HomeMy WebLinkAbout042-1067-30-000
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Parcel 042-1067-30-000 01/02/2007 11:36 AM
PAGE 1 OF 1
Alt. Parcel 24.29.18.3766 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 - BRUESEWITZ, MYRON C & KATHRYN
MYRON C & KATHRYN BRUESEWITZ
839 140TH ST
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 839 140TH ST
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.970 Plat: N/A-NOT AVAILABLE
SEC 24 T29N R18W 1.97A IN NW SW LOT 1 Block/Condo Bldg:
CSM VOL 3/687 ORD
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 582/422
2006 SUMMARY Bill Fair Market Value: Assessed with:
149550 328,400
Valuations: Last Changed: 11/20/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.970 37,100 202,500 239,600 NO
Totals for 2006:
General Property 1.970 37,100 202,500 239,600
Woodland 0.000 0 0
Totals for 2005:
General Property 1.970 37,100 202,500 239,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 130
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
AS BUILT SANTTARV CVQ-rrM ovvno•r
, TOWNSHIP SEC.
T N~ R W
ADD~1_.>_ ST. CROIX COUNTY, WISCONS N.
l`
'"VISION LOT LOT SIZE
PLAN VIEW S 3 ~jSf °'~l 2 ( Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
ej
lit
4.4
Ile
d ~
d
C TANK d , °F'GR. s"`~ • CONCRETE STEEL x
N0 rings on cover De th DRY WELL,'
:S3F,S NO, of r~ widths length ' . area ~.o. of lines width length L area _
depth to top of pipe -GATE
RATE AREA REQUIRED AREA AS BUILT
aimer: The inspection of this system by St. Croix County does not imply complete /
Lance 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
Ana cause of failure.
ES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEK.
'INSPECTOR " '
DATER, _ PLUMBER ON JOBS
LICENSE NUMBER
f
RFPOI;T OF IIISPECTION--IidDIJIDUAL S):MGE DISPOSAI, SYSTEM
Sanitary Permit
r State Septic
1.W1 1E
TOIINSHIP
• t. Croix County
SE ?'TIC TA7111
Size gallons, 'lumber of Compartments
Distance From: Well
ft, 12% or greater slope ft.
Building' ft. Wetlands f
gliwater ft.
DISPOSAL SYST2,i1 Tile Field or Seepage Pit(s)
Distance From: Well ft. 12% or greater slope ft
Building; ft. Wetlands f;.
FIELD rllighwater ft.
Total length of lines ft. Number of lines Length of
each line eft. 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 tile in. Cover
...aver. rock,, . Depth of tile below grade in. Slopo of
trench in ner 100 ft. Depth to Bedrock ft. Depth to
Bround water ft,
PITS '
Number of pits Outside diameter ft. Depth below inlet
ft. Gravel around pit: `yes no. Total absorption area
sq. ft.
Square feet of seepage trench bottom area required
%Jquare feet of seepap.e nit area required
Inspected by: Title:
Approved Date 197.
Rejected Date 197
tH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
y P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section may, TAN, R/eZ(or) 4aownship or Municipality &UA-
Lot No. , Block No. County
~--C ~eVdivision Name
Owner's Name: /`4 e
Mailing Address: /Q /'i ®f~~Y 1 C""' .3
TYPE OF OCCUPANCY: Residence No. of Bedrooms -3 Other
EFFLUENT DISPOSAL SYSTEM: NEW A ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS S__ PERCOLATION TESTS
SOIL MAP SHEET h- C
_ SOIL TYPE 7// t.-le GT
PERCOLATION TESTS
r TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
CHARACTER OF SOIL RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P_ X2-
3 j/ /
P
P!_3 y: S yr ~ -IL X2, p S 3 .L 3~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)
c, C's.`
.00, 4
B _ ~il ~e S
1.4 36- _32 " 4-14'k
PLAN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate nuf,bfj of square feet of absorption area
needed for building type and occupancy. ~-02, sk•~/hi/f' ► Indicate scale
or distances. Give horizontal and vertical V Oren p its. Indicate slope. S~rfA"
I v ` I
i s
{L t I
,
I f
77
E~ r I n) 1 QI
os 4eSra N
's (JV~~• I~ 13 ~j~ ~ ~ ~ 3 I~ I ~ I , ~
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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.
Certification No. S Ll~
Name (print) Z" e C- 'e
Address -46C¢r f c' s
Name of installer if known
COPY A -LOCAL AUTHORITY CST Signature
PLB67 State and County State Permit
Permit Application County Permi #
" 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:
B. LOCATION: Section 4y, T,2~N, R/ j (or) (~F2Lot# -_-City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township (,ClwPrew
C. TYPE OF OCCUPANCY: 'Commercial 'Industrial 'Other (specify) 'Variance
Single family Duplex _No. of Bedrooms 3 No. of Persons
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES }ENO # of Bathrooms---
Automatic Washer X YES NO Other (specify)
SEPTIC TANK CAPACITY V C-l 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)
FFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) _2_ 3) 2- Total Absorb Area _5e;?2 sq. ft. /
Pdew ~ Addition _ Replacement .Fill System _ q'~(riwxwii i.,~.~
Seepage Trench: No. Lin. Feet _ Width Depth Tile Depth No. of Trenches
seepage Bed: Length Width Depth Tile Depth 3' No. of Lines
Seepage Pit: Inside diameter Liquid Depth _ Tile Size"
Percent slope of land 0 ± Se"7.4 tj-'s 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 L E j 4 a C.S.T. # and other information
obtained from (owner/builder)Plumber's Signature . MP/MPRSW# Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
V'/1`-k0 ,J
LL
3~''v p'~ 14Y/u
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application 7 l Fees Pafid State Cn C~ County L`~ Date
Permit Issued/RA d- (date) S 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