HomeMy WebLinkAbout030-2060-80-000
°
o
_ ~ \ N U
7
a_ N
C E ~
• ~ U
ILc
o a
b ?tea
L
C x
o
Q C r
Q 0
C Y
O C
U CO
U CL)
7 Q C O N
U. c m_ U_
T - N L
C U
~ C - 3 a
U
U
Co N
Q
U
7 ~ N
O E
N `
N H Z
O Z c
c
: CC
u
2 o
d z ~ ~ -
cn F- r
c _
.3
a ZI
m z
Z co 5 v
O
N c ~ -
v o co
1° E
N m
Wft _ m
O ? N CL M
6 _ d -
s ' O O d
c ~
0) U)
0ooo
•v = a a a
N a
MAN
N 3 o
cn J U = m a }
V r
M OD
O O L
N C Q ` 7 `
~ c 0°3 r H
► e
u,
c
LO H U u y °
O I C U O
C? Loo -.i a C~ c c b
p ON N
C° o c rni a Z y
co 0) '7~
It_
v E
,;n m~.a ya
LCL
Q y V y y c
0 7 ; U d o iN
n U O
j
Itll l l.'I' .`.'~fJ l l'ANY ::Y:,''I';I°1
. I ~ 1'vJ I : ~ I I I I ~-~-Cx-c.c~C •a-c
()WNI.H
WI!;':O11:~111
nl)I~RKas per' s -
a,
v S1I ICI) I V I `.1 ON
I'I."~.rd 11,4J~ L z86~ ZONMR
I t s OFFI(I •'t I)I ;I.~iIt't',i dull ,IIIIIe.IIS11~i~ to nii•.•1 I r,lllr I Ir,~ il! AI.
h ~
'r. __T_,STTOw t`:VERYTH1.Nr: WITHIN I' I t.l,'r c►1 T- i I i ~r ! l
.Yj A -
I dihaRe Ith Arrow I -
f I{~~ _ 1 . Lr-+~ Alf 74
I'.I:iV(;l{MAKK: (Permanent reference Point) Describe
h,Jevnt ion of vertical reference point - -
:;vI''I't(: 'I'A"(K: Mtt<nul`ac rurer: :.`r1t Liquid (:apai~it_y `e' - -Gt/ Tank -Manhole ether 1 evat 1(111 Nlunl/er- 11,11 rings on cover
Trrnk [uleC_ Eleval-ion: Tank Uut_Tf•t h:levat.ic,n
I'I IMI' r:IlA~11iK:R _ Number of ga 11 ons
M;tnII I rte r Ltrer : rte...,
Ilumhc.r of gal . Jptrrnli set for a c•yC hal IotI -i t of a ca1mc• i t y of he<ttl ;
1 t s I r i httl. 1 ()it 1 1 Ilea 1,d 1 1 un . 5 i Zt-, 01 1)IUtup Itclr-sclower Tiran(j- name of I)nmI)
1.~,iI I I nn per nIi nut_r 1 -
,IIiIi rni►11e1 nt.unber I yl,r• c,f warning; ~1ev~ce r--
Number of- gallon-,-4 H0)1,11)IN(. 'T'ANK: Manufacturer _
VJvvarion o f manhoT.e cover
T'y )e of warning device Ct~cifTi~~mc~~er - { NiiinT e r c) I) T c S
SK: K:i'A~:I•: f'['1' 5LLh:
t Seepage 111i e tnTe-t pipe-0. levatit~ti _ t-c-t I iquld tiept~i----- 3- e t evation ie;,tl ti le (itpt.h
but toot of seepage p ~ wj c~rli g ';K'F VA(.K: W-.D SIZE.: number of lines ,
TRENCH wi d(.I, len};t_11 -
I1K:kCO1.1 TI ON RAT< t1'fT r'
INSPECTOR 1 _7_
to C~: J Cjjst - 1'LUMBE':K ON
DA'I'1:1) LICENSE llMltKa - Ftrr
rl
....,,,r_~._,---._. _ . _ _ _ _ _ _ _ _ _
KLPOKI OF INSPECTION - INDIVIDUAL SHWAGE SYSTEM ~ 44r~A J
Sanitary Pe it it~3Q
State Sept i •
- '10WNS1411) OAU-n, St. Croix ui-tnt y NAME' 94~
.OCATION- fe~~lLv__ --Sectio~ Lot 4i - Cubdivision
LPTIC TANK
Size i gallons Number of compartments
Ii,-,t, 1tct' frOPI: Well 1 Kit ilding 12% slope-v
Highwater
!'UMPINC CIEAMBEk
Size_ gallons Pump 14nufac firer Model Number
11OLD1-NC TANK
Size -Y-`-gallons Nulnber'of Comprtm -nts_ - r ~
Pumper Alarm Sy- em
Distance front: Well BuiIdit IZi sLupo
Highwater
ABSORPTION SITE
Bed 'T'rench
)istance from: Well Building f 1?"/, slope---- - -
Highwater
ABSOkPT]ON SITE DIMENSIONS
Width of trench it Required area - J 1t.
4. it.
Length of each line It Depth of rock below tile- 3a
Number of lines Depth of ruck over the in
total length of lutes ft Depth of tile below grade in.
Distance between lineti - f.t Slopu of trench In. per 100 1t
f[ Type of Cover: 'T'otal absortption area
i'I' D IMENS I ONS
Nttnthct of uiLS Cravel around pits Ver; no
01t~idc dtarteter ft Depth below !itIk-•t It
Total absorption!"'i rea ft
Area required - tt
INSPECfE[) BY TITLE: -
APPROVED 1)AT E I ,Ity
ItKJECTED 1) 111. lt)8
RL'ASO`. FOk i~F. I ECT tON
i
. j
State and County State Pcr it # PLB 67
Count rmit # Permit Application Y ca to, Private Domestic Sewage Systems County
'DE.%OTES STATE APPROVAL REQUIRED
Date Approval Received from State it Required State Plan I.D. #
A. OWNER OF PROPERTY Ma ling Address:
R LOCATION Section T,'L- N, 'R` E (ori W Lot# _City
S_bd vis on N3,n, , rEea'est cad, bike c)lanrimark Rlk4: Village
~Lyr ~
C. TYPE OF OCCUPA%CY 'Cori rrlerLlal 'Indu -nal her (specify} •Vari nee
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY f' Total gallons No of tanks
HOLDING TANK CACITY Total gallons No. of tanks
Prefab concrete ~AP/ Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons P efab concrete -Poured - in -Place
E. EFFLUENT DISPOSAL SYSTEM: Pelation RateTotal Absorb Area sq. ft.
New Replacement Alternate (Specify)
Seepage Trench: No. of Lin``d''Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: ~Length Jr, Width 1~ , Depth ~Tile depth (top) No. of Lines
Seepage Pit: Inside c;iiLmeter Liquid Depth No. of Seepage Pits
Percent slope of land ,z l Distance from critical slope
'dATER SUPPLY: Private Joint ❑ Community ❑ Municipal F7
Owners name as listed on EH 115 if other than present owner: J
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 oil Test r, /
NAME C.S.T. # 21/1 and other information
obtained from (owneribuilder). G-y/. -~1 -1 -
Plumber's Signatur '>biQ!MPRSW# P one # ~X chi Plumber's Address
442 ZZ
PLAN VIEW. Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca-
tion shall be included on the sketch. Indicate or dimension location of all wells on the property or naighhors
property. If well has not been drilled please indicate.
. . _ - - t--r--r --t-- t
i l r- E }
Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY
Date of Application le) Fees Paid: Statefy~ Coup Ay Date
Permit Issued/ Rejected (date) ZO' J-4/ Issuing Agent Name
I
Ins CIaIVII ,cz~ivu oldie vdiiu» vdU: nec u
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copyl 4. plumher (canary copy) Revised
Date 711178
DEPCrR- 1ENT OF SAFETY & BUILDINGS,
JNDUSTRY, REPORT ON SOIL BORINGS AND DIVISION
LABOWAN P.O. BOX 76
HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 3707
L ATION: SECTION TIDMUNICIPALITY: LK, NO.: SUBDIVISION NAME:
4kT /T3n N/R~~, W ter,
COUN"f Y: OWNER'S/BUYER'S NAME: 1 LING AUDR F55:
Si .CpolX .,__ACE+E ~Ie_z tJ1.~1 7~ti,T~ k ~k C~Z STjLLJ-0AT_E Z, F-&3. SSoe Z
USE DATES OBSERVATIONS MADE NO.BEDRrAR - [oIN0MF_H(_,1AL DESCRIPTION _FR_ZF!ILE : 6ESCl 1`I_074S]FERCOLATION TESTS:
151pesidence, ` ❑New Replace
RATING: S= Site suitable for system U= Site unsuitable for system
[UNVENHON AL MOUN D: IN-GROUND-PRESSURE SYSTEM-IN-FILL HOLDING TANMMENDED SYSTEM: (optional)
®s❑u Esau ❑s❑u Esau as❑Sk35-~~ If Percolation Tests are NOT requitacE SIGN RATE: S STEM_9LEV. If any portion of the lot is in the
under s.H63.09(5) (b), indicate: ulvz ] "l 9L, S l ( Floodplain, indicate Floodplain elevation:
,f PROFILE DESCRIPTIONS
HURING TOTAL DEPTH TO GROUNDWA I ER INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NLAIRER DERIH IN. ELEVATION OBSERVED E HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 1 loo )1 Doa - -7 roo F3 s i) T`S lZ n S bx GI~ 8
13- z 2 lOS X00 - > IuS /3 ' 9
i
B- 31 1~3 1~1 Z > X03 1~ . c,
B_
PERCOLATION TESTS A
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES UTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD -1 PERIOD 2 I +P INCH
P-
P- P-
P-
P-
P-
PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slop. '73. Z, I soI1L ' ~`~Q1CHg1~T 5 1
SYSTEM ELEVATION 9~ 4`LI? VOF `+Z"Cep nve1Z Pf1Z~L-7AJG,
/ Brn - VC)Q - eti
1 _ %S't RT CUR, o F 410u si~
1 ~I I I
- 3 . I i sv i~ f1~t
Soy I w) ~ ~ g 1•'1tP1~ I \°lo t7i SHE
LoT 31 Sao - ~T
M ~ >s I
vj - . I I c~~~'ttr.twel La s►~cN
a7w C_
~e► _ t
8F'1
SCf'~ l,~ +tt 3d' sic, z~ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods
specified in the Wiscor'.,
Admimistrative 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:
ADDRESS: CERTIFICATION NUMBER: PHOcNE NUM13E-1,op io
CA -7/ CST SIGNA-TURE:
n
DISTRIBUTION: Original-Local Autho'i'y, 2nd page Bu a a .If PlurtC1ing, ri pagn-Prn; e ty (~:•;n. i, 4th Rage-Snu I c::ci.
DI L H R-S B D-6395 IN. 01,81)
, ^ nroA rI`t--' f I~~~'~I.i~ r~l-'i,y.~~~,,.~.A...T~~1..`i'^".J ~,'~h;Arl.°Y"'Z'"r :,.~/T
~s
17
k -
f 75
ST CROIX COUNTY
PLANNING ~ ZONING
FAx MEMO
D /
ATE.
To: Ilr\
Co inislralion FAX NUMBER:
715-386-4680
Land Infonnalion
Planning FROM: .Q 6C.jj--)
71,55-386-4674 FAx NUMBER: 715-386-4686
Real Properly PHONE NUMBER: J15 j 7~ Z_
715-386-4677
Recycling
715-386-4675 NUMBER OF PAGES, INCLUDING COVER SHEET:
RE: AA
y~
ST..CFcWCOU`ITr!;O VEF-.'IV.'.ic%T '-'L-,,V TER
i i 0! CaRe-fiC. rgEL keOAD. HUD~5Or; W 540 6 7!5.386-4686FAx
PPZaW.-.~AINI_-CRUIX.VJLIIS WWW.CU.SAINT-cRUIX W'I US
Parcel 030-2060-80-000 04;0&,2005 02:41 PM
PAGE 1 OF 1
Alt, Parcel 27.30.20.585 030 - 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): Current Owner
' LEE. CHARLES V
CHARLES V LEE
1399 MAIN ST
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1399 MAIN ST
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 0.600 Plat: 2111-HOULTON
SEC 27 T30N R20W LOT 31 BLK 7 VIL Block/Condo Bldg: 7 LOT 31
HOULTON
Tract(s): (Sec-Twn-Rng 401;4 1601,4)
27-30N-20W
Notes: Parcel History:
Date Doc # Vol/Page Type
07;23;1997 975!461 TI
07!23)'1997 697/350
2004 SUMMARY Bill Fair Market Value: Assessed with:
6215 17,400
Valuations: Last Changed: 07109;2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.600 50,000 65,500 115,500 NO
Totals for 2004:
General Property 0.600 50,000 65,500 115,500
Woodland 0.000 0 0
Totals for 2003:
General Property 0.600 24.300 54,200 78,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 211
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00