HomeMy WebLinkAbout030-2037-70-000
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R&MERCIAL TESTING LABORATORY, INC. 1
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730
715-962-3121
800 - 962 - 5227
ST. CROIX ZONING REPORT NO.: 45182/01 PAGE 1
5T. CROIX COUNTY REPORT DATE: 5/16/91
COURTHOUSE DATE RECEIVED* 5/15/91
HULA, WI 54016
ATTNS THOMAS C. NELSON
036 ,,26 3 7z~-60-6
a . 26 - L~
OWNER: (:::James 6 6 Diane Elias 6- 3v ZY -7
LOCATION* , oulton
COLLECTOR. M. Jenkins
SOURCE OF SAMPLE! Outside faucet
COLIFORMI 0 /104 ml
INTERPRETATIONS Bacteriologically SAFE
NITRATE-N2 3 ppm
Above 10 ppm exceeds the recommended Public
Drinking Water Standard.
Coliform Bacteria/100 ml
Nitrate-Nitrogen, mg/L
LAB TECHNICIANS Pam Gane
WI Approved Lab No. 19
OF,NOEPEN E,y
D
o < Means "LESS THAN" Detectable Level Approved by:
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PROFESSIONAL LABORATORY SERVICES SINCE 1952
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ST. CROIX COUNTY ZONING OFFICE
911 4th Street
Hudson, WI 54016
V
Telephone - (715)386-4680
The St. Croix Co. Zoning Office offers the service of septic and
water inspection to Lending Institution, Realty Firms, and
private individuals.
COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE
LOCATED.
Please provide the following information, enclose appropriate fee
made payable to ST. CROIX CO. ZONING, and mail, along with form
to the above address. Testing will be done as soon as possible
after fee and form are received.
WATER TESTING FEE:$ 25.00 XX
(For nitrates and coliform bacteria)
WATER TESTING FEE:$175.00
(VOC'S)
SEPTIC SYSTEM INSPECTION FEE:$ 25.00 XX
PROPERTY OWNERS NAME: James G. & Diane C. Elias
PROPERTY OWNERS ADDRESS:1389 25th St. CITY: Houlton
Legal Description NW 1/4, NE 1/4, Sec. 25 , T 30 N-R20 W,
Town of Houlton , Lot No. 2 , Subdivision Cert. Map No. 329930
FIRE NO. 1389 LOCK BOX NO.
Color of house see attachedtealty sign? Firm:
picture
PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT
BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET.
Testing of residential water requires a sample that is fresh. If
the home is vacant, and has been so for some time, the water line
must be purged by running the water for several hours before the
test can be conducted.
WINTER TESTING: Many times water lines are turned off, or sill
cocks are turned off, making access to the home necessary. If
this is the case, please make proper arrangements with this
office to ensure time when entry may be gained.
Firm or individual requesting services: MidAmerica Bank Hudson
Telephone No. 396-9366
REPORT TO BE SENT TO: MidAmerica Bank Hudson,1600 Second St Hudson. WI 54016
Atten-ion: ,dv Keiser
CLOSING DATE:-May 22,{ 1991 PLEASE RUSH:: THANK YOU
Signature:
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~ S ~ ' tr. `fkr` ~ i " - ~sT - "ems - • ~ sedgy 4~ ~y'
APPRAISAL OF REAL PROPERTY
LOCATED AT:
1389-25th St
Lot 2 CSM 1/187, in NW/NE Section 25-30-20
Houlton
FOR:
MidAmerica Bank
Hudson Wiscosnin
AS OF:
4-11-91
BY:
Jim Hendrickson, IFA,FHA 2255
Hendrickson Real Estate Service
"TOTAL" appraisal software by a la mode. inc. 1 (8M) 3254=5
• S N LAND SURVEYING •
HUDSON , WISCONSIN 54016
(715) 386-2007
NAME MidAmerica Bank of Hudson
ADDRESS 600 Second st.
Hudson, Wi. 54016
DESCRIPTION Part of the NW 1/4 of the NE 1/4 of Section 25, T30N, R20W,
St. Croix County, Wi, described as Lot 2 of C.S.M. Vol. 1,
Page 187.
F91-949
Elias
N PLAT DRAWING
This is not a complete Land Survey
N88 -59'-30"E 350.00
h
s
N O
N
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C N
0
O 0/
i0 -
w .a House deck
L 3
N ~ / ~A♦
0 N
1
z v garage
3 1 c O
O $ 00 ti~♦ '
o, 161 N
ov 12' shed
c
S88 -591-30"W 350.0'
The location of improvements on this drawing are approximate and are based on a visual
inspection of the premises. The lot dimensions are taken from recorded plats and deeds
of county records. This drawing is for informational purposes only and should NOT be
used as a complete Land Survey. 0,00i ~
014
i111 dAmer i ca Bank of Hudson
as aid waive the minimum standards of AE-7.
w ALLEPIN C. W~ .
MAP NO. 91-01-100 a R'sY6 AGEN
DRAWN BY A.N. HUDSG~.1DSO, DATE 4/23/91
SCALE 1 "=601 VillW. l
W, <
f i
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, W154016
(715) 386-4680
May 14, 1991
Judy Keiser
MidAmerica Bank Hudson
600 2nd St.
Hudson, WI 54016
Dear Ms. Keiser:
An inspection of the septic system on the property
of James & Diane Elias, located at 1389 25th St., Houlton, WI was
conducted on May 14, 1991. At the same time a water sample was
obtained for testing. The results of that testing will be sent
to you as soon as we receive them back from the laboratory.
At the time of inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based upon a surface inspection of said system, and
did not involve any excavating or chemical analysis.
Accordingly, there is the possibility of hidden defects in the
system not discoverable by this inspection. This does not in
any way warrant or guarantee the continued proper functioning or
operation of this system. It is recommended that the system
should be pumped once every three years. Therefore, the
prolonged life of this system may be dependent upon proper
maintenance of the system.
Si erel)in Ma J As
sistant Zoning Administrator
cj
Form -STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER N/~S 741 TOWNSHIP SEC. T N-R W
ADDRESS 7 ST. CROIX COUNTY, WISCONSIN
Sri ~ ~s~~l
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Al or
/F)( 53 5,6;zEpA6E i9,90
\401
y3.y~
s ysre 'E"
401
L-'lS f/iv G s y'j
wew
E ~
j-jduS c, t'P~O, v
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point usedp
Elevation of vertical reference point: /'lr31/?'__ _ Proposed slope at site:
SEPTIC TANK: Manufacturer: -J Liquid Capacity:
Num rings used: Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet E on:
Number of feet from nea oad: Side 0 Rear, O feet
m nearest property line Front,0 Side, Rea feet
Number of feet from: well "uilding:
(Include this information of the above t plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDR
M
CHAMBER
M facturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank,64 vation:
Pump off switch elevation: Ions per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from neares property line: nt, O Side, O Rear, Ft.
N er of feet from well:
Number of feet from building:
nclude distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench: 6
Width: Length: `j Number of Lines: Area Built:-
iQ 41,
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, Rear,0 Vt.
Number of feet from well: y
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
ize: Number of pits: Diameter:
Liqu depth: Bottom of seepage pit elevation:
Area Buil
Has either a drop bo or distribution box O been used on ny of the above soil
absorbtion sytems? (Check e).
HOLDING TANK
Manufacturer: pacity:
Number of rings used: E ati of bottom of tank:
Elevation of inlet:
Number of feet from n rest property line: Front, Side, O Rear, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
~ J
Inspector:
Dated: --d (v CJ (o Plumber on job: ~A7an r~~~C
License Number : 22 IJ~S ,
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR
jt-ABOR & HUMAN RELATIONS SAFETY & BUILDINGS
P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION
MADISON, WI 53707 BUREAU OF PLUMBING
RRCONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number:
❑ Holding Tank El In-Ground Pressure ❑ Mound (If assigned
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER:
INSPECTION DATE:
James Elias Rt. 1, St. Joseph, WI 54082
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN:
REF. PT. ELEV.: CST RE F. PT. ELEV.
NW NE, Section 25, T30N-R20W, Town of St. Joseph
Name of Plumber. MP/MPRSW No.. Cnumy.
Sanitary Permit Number.
Donavin Schmitt 3205 St. Croix 79198
SEPTIC TANK/HOLDING TANK:
MANUF UR ER: LIQUID C PACITV: q LTANK OUTLET ELEVWARNING LABEL
LOCKING COVER
7) PROVIDED PROVIDED.
`jjj~ ~r OYES ONO OYES ONO
BEDDING: VENT DIA.. VENT MATT HIGH WA ER NUMBER OF ROAD. PROPERTY WELL. BUILDING: VENT TO FRESH
ALARM FEET FROM LINE IAIR INLET.
EYES ONO OYES ONO NEAREST
DOSING CHAMBER:
MANUFACTURER. BEDDING'. LIQUID CAPACITY PUMP MODEL PUMP; SIPHON MANLJf ACTIIH EH
WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED.
YES ONO EYES ONO DYES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERAT IONAL NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE IAIR INLET
PUMP ON AND OFF) OYES ONO NEAREST-~
SO I L ABSO R PT I ON SYSTEM. Check the so I I mo istu re at t h e dept h of pi owing H UTAMETEH MATE RIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
BED/TRENCH VVIDTH. LENGTH NO. of DISTH. PIPET SPACING COVER 'INSIDE [_)1A .PITS LIQUID
THENc
DIMENSIONS / "'A E'IA / PIT DEPTH
GRAVLLDEPIH FILL EPTH UISTH PIPE DISTH PIPE DISTR. PI . A ER IAL NO TR NUMBER OF - PROPERTY WELL BUILDING: VENT TO FRESH
BELOW Ple S AB COVER E V INLE I E V. EN
F~ PI s FEET FROM LINE AILr s
NEAREST
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
OYES ONO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE PFHMANE NI MAHKFf Obb ILHVATION WELLS
F-1 NO
DEPTH OVER TRENCH BED DEPTH OVER TRENCH HEU DEPTH OF TOPSOIL SO UOFI) ❑ YES SEEDED ❑ NO ❑ YES MULCHED
CENTER EDGES
OYES. ONO OYES DNO DYES DNO
PRESSURIZED DISTRIBUTION SYSTEM:
F_ WIDTH. LENGTH NO. OF LA TE HAL SPACING GHA VEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL PNIOPES UISTH U D II A
STR. PIPE UISTHIBUiION PIPE MATERIAL & MARKING
. LEV.
ELEVATION AND ELEV ELEV CIA E
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DHILLEDCOHRECTLY COVER MATERIAL
VERTICAL LIFT CORRESPONDS TO APPROVED
PLANTS
COMMENTS: PERMANENT MARKERS:O YES O NO DYES ONO
OBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING:
FEET FROM LINE
DYES ONO OYES ONO NEAREST-
Sketch System on
tain in county file for audit.
Reverse Side.
S T RE. T17L&.
DILHR SBD 6710 (R. 01/82)
wlsconsln APPLICATION FOR SANITARY PERMIT n~
D I L H R (pEB 67 OUNTY
- OEPRRTT71ErITOF ) UNIFORM S SANITARY PERMIT #
InOUSTRV, LRBOR S MUTRn RELRTIOnS !2 2Z
V -
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
_
PROPERTY LOCATION CITY:
AlUll /4Aiel/4, s S, T3QN, R E (or OWN OF.
OT NUMBER JBLOCK NUMBER SUBDIVISION NAME NE T ROAD, LAKE OR LA DMARK STATE PLAN I.D. NUMBER
1"y P>►
TYPE OF BUILDING OR USE SERVED _ AM. 030- b(06 7-
IX 1 or 2 Family Number of Bedrooms: Public (Specify):
THIS PERMIT IS FOR A:
❑ New System ❑ Tank Replacement ❑ Repair
X Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank
System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issued
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer:
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure
Total *of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet
®eS/ •L' v- ~ ~y ( Private El Joint El Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Signature _ M PRSW No j.
Phone Number:
Plumber's Address: Name of Designer:
~IXP Jf<< O
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date: ❑ Disapproved
06,44 d~ ❑ Owner Given Initial
!F 'r/ Approved Adverse Determination
Reason for Di ppr val:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.);
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRIN-r the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have 'a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
APPLICATION FOR SANITARY PERMIT
4
STC - 100
This application form is to be completed in full and signed by the owner(s) of the
property being developed. Any inadequacies will only result in delays of the permit
issuance. Should this development be intended for resale by owner/contractor,("spec
house"), then a second form should be retained and completed when the property is
sold and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Owner of Property _ jgw es
Location of Property A1.1t) k A/J._;4, Section &Z' , T -4U N - R W
Township . a- ose of /,"L5C.
Mailing Address . I 60X SS
Subdivision Name ~o~ ~s Doti ,
Lot Number
Previous Owner of Property
Total Size of Parcel 2 ~5 X Z~0
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume / and Page Number 1g17 as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
2. Land Contract
3.• Other recordings filed with the Register of Deeds Office
In addition, a certified survey, if available, would be helpful so as to avoid delays
of the reviewing process. If the deed description references to a Certified Survey
Map, the the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
I (We) eenti.6y that aU d.tatementa on .thiA 6onm ahe tAue to the best o6 my (oun)
knowP.edge; that I (we) am (ahe) the owneA W o6 the pnopen.ty du cA bed in .th i,a
in6oAmati.on 6onm, by vi tue o6 a waA.anty deed Aeeoaded in the 066ice o6 the
County Reg-i e,teh o6 Dee& as Document No. q g ; and that I (we) _qo pnedentty own the pnopoeed &ite bon the eewage pos 6yb-tem (oft I (we)
have
obtained an ea.eement, to hun with the above ducA bed pnopenty, bon the
eonet.ucti,on o6 eaid dyb.tem, and the came had been duty %ecoAded in the 066ice
o6 the County Regiz ten. o6 Deedb, a6 Document No.
o
SIGNATURE OF OWNER SIGN TURF F CO-OWNER (IF APPLICABLE)
, g
DATE SIGNED DATE SIGNED
H
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SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County z
d
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OWNER/BUYER ~1 Cewytr S _ ~,~,'a H
ROUTE/BOX NUMBER Fire Number /o 2g
.CITY/STATE s4-. Josct~/ ~iUre . ZIP 5~JL6A,'
PROPERTY LOCATION: &/t) Sections , TAN, RW,
Town of St. Croix County,
Subdivision ~~~,~s Lot number ~Z
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed septic tank pumper. What you put into
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix.County residents may be eligible to receive a grant for
a maximum of 60% of the cost of replacement of a failing system,
which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that
owners of all new systems agree to keep their systems properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic 'tank.is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. H
0
E
I/WE, the undersigned, have read the above requirements and agree W
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- b
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date. -
SIGNED
DATE
St. Croix County Zoning Office
P.O. Box 98=.
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
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DEPAJITMENT DUS RY, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, C DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76
H111VIAN RELATIONS
N WI 3707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: p ~j TOWNS HIP/10VMetPfrLrITY: LO O.:BLK. O,: SUBDIVISION NAME:
10.k), 1/4 94/ 5" T 3cA/R *or) W ;:5 • 00 s G /I
COU T WNER'S YER'S NAME: MAILIN ADDRESS:
I~ S ~S ~s h . def.
USE DATES OB NATIONS ADE
NO. BEDRW COMMERC DESCRIPTION: (PROFILE DESCRIPTIONS: PTESTS:
&esidence ❑New Replace RATING: S= Site suitable for system U= Site unsuitable for system CO~ENTIO❑NAL: MOU a~ IN-GR~ PR❑ESSURE: SYSTEM-IN-FILLHO~LDINyC1JY :RECOMMENDED
SYSTEIyl:lopti~l~
If Percolation Tests are NOT required DESIGN RATE: [Floodplain, any portion of the tested area is in the.I~
under s.H63.09(5)(b), indicate:S _ indicate Floodplain elevation:
6j, Inoj PROFILE DESCRIPTIONS On 0- Z
BORING DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER TOTAL ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
A)O A9 E_
IN - 3-lb-
9~ 31 g9 3 00Pl
B- AhO) 4 dA i D 8, AUJ / 9 b L°
B-
B-
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCH RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER INCH
P
P-
P_ r
P- 1
P
LP-
PLOT _ 1
PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indic r dista ribe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevati It r n the direction and percent
of land slope,
SYSTEM ELEVATION
t C_'
E_..
44 1,00
i
~E
4
•
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E
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0
041
i
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 the location of the tests are correct to the best of my knowledge and belief.
NAME (print): _ TESTS WERE COMPLETED ON:
ADD _ CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST SI RE:
L 10
AJ,
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
INSTRUCTIONS FOR COMPLETING FORM 115 - SB - 6396 a~
Tc r n ° rornplete nn,' Acourate soil test, your r-eWrt r,-oust include; `
. -c { :ndic<at a is a residence or carry
planned;
4,
r 0 A C NL°r IF ALL
6 plot plant
ed, A
7.
~rrnanent;
tion test exernp-
10 ;h )X;
11 ~n
'ITH THE
L ;y 3 -
- -FIE SOIL TESTERS
L
are
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TO THE. l
or the C may request
Er the private
.r in order to
are.
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Parcel 030-2037-70-000 02/06/2007 02:52 PM
PAGE 1 OF 1
Alt. Parcel M 25.30.20.478D 030 - TOWN OF SAINT JOSEPH
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
JAMES G & DIANE ELIAS O - ELIAS, JAMES G & DIANE
1389 25TH ST
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1389 25TH ST
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.130 Plat: N/A-NOT AVAILABLE
SEC 25 T30N R20W NW NE LOT 2 OF CSM Block/Condo Bldg:
1/187
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
2007 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 04/26/2006
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.130 74,500 137,500 212,000 NO
Totals for 2007:
General Property 2.130 74,500 137,500 212,000
Woodland 0.000 0 0
Totals for 2006:
General Property 2.130 74,500 137,500 212,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 110
Specials:
User Special Code Category Amount
Total Special Assessments Special Charges Delinquent Charges
0.00 0.00 0.00