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Home My WebLink About012-2005-10-000 St. Croix WILLIAM C & SHARON HOLLAND Municipality: TOWN OF ERIN PRAIRIE 1770 CTY RD T Permit Number: 1356 NEW RICHMOND WI 54017 Parcel Number: 012200510000 Alt Parcel Number: 04.30.17.5846 Site Address: 1770 CTY RD T Components Component Manufacturer Description Last Next Status Schedule Service Service Septic Tank Septic Tank 03/01/2015 03/01/2018 Current 36 Conventional Bed - Seepage Bed- Seepage 03/01/2015 03/01/2018 Current 36 Drainfield Maintenance History Service Date Maintenance Name Gallons Pumped 10/11/2006 Not Available 0 10/24/2008 Not Available 0 10/20/2010 Not Available 0 11/16/2012 Not Available 0 03/01/2015 Not Available 0 Notes Date Text 7/4/1776 12:00:00 AM ADDITIONAL NOTES: north of the railroad, property adjacent to Jewett Mills MIGRATED ON: 09/04/2015 'No data found for Notices, Violations ~`7 C (^o J~ 14C.2. Ct~~ -7 -0 C) d~ 3 0 fn O to 0 M c tl e I 0 3 i N N Y C -0 U O O T O I y d Y h O a) N O 4 ° z C r 7 O jLL O O Q C 3 cn ~ o I Z y r W 0 O rv Z +-P LL L z :~t ' d m m ° w (L c 0 o z e~f 0 aoi Z v 2 o cn F- r O z c E (D N 0) co a) O y N y (D c d ~ N L ' Q O O O Q Z m z p N z O N y y O d d (o c a Y L 3 m o ❑ a ~ ~ cn cn cn E 3 EL IL ►i c CL CL M y FL f: z tv ~i ' o N 3 0 o y cn J L) Z co rn ti ~ o o ~ o co y C Q w I r V1 V1 0 C ~ o o ~ o E O O W~ -a c u d p p o c co Q) c 42 O a C y 1-o z a0+ 'O N O C co CD • r]^~]l N 7 O O N c0 O R3 U O O W 2 Z m F- cn ~ i (IJ y a ~t a a `iv y a •c rw U aO C r A 0 a 2 0 cnn 00 Parcel 012-2005-10-000 09/14/2006 03:27 PM PAGE 1 OF 1 Alt. Parcel 04.30.17.584B 012 - TOWN OF ERIN PRAIRIE 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 - HOLLAND, WILLIAM C & SHARON WILLIAM C & SHARON HOLLAND 1770 CTY RD T NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1770 CTY RD T SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.550 Plat: N/A-NOT AVAILABLE SEC 04 T30N R17W LOT 2 EXC E 4' THEREOF; Block/Condo Bldg: AND ALL OF LOTS 3,4,5,6,7,8,9,10 11, 12,13,14,15,16,17 & 24 BLOCK 91 VIL Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) OF JEWETT MILLS 04-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 964/254 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.550 23,300 161,500 184,800 NO Totals for 2006: General Property 1.550 23,300 161,500 184,800 Woodland 0.000 0 0 Totals for 2005: General Property 1.550 23,300 161,500 184,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 217 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT ADDRESS TOWNS H T P SEC. _ ?f N , R! W ST. CROIX C LINTY WISCONSIN . SUBDIVIS LOT LOT SIZE Distances & dimensions to meet requirementsWof H62.20 SHOW EVERYTHING WITH1100 FEET OF SYSTEM - _ i r` f l` I i t i ~ f I Tda FeNT-ofthl Arrow SEPTIC TANK(S) f MFGR. .:At ~ , : • CONCRETE STEEL N0 oT rings on cover f Depth ` PUMPING CHAMBER SIZE PUMP MFGR. L NO. GALLONS Per Cycle TRENCHES NO. of width - length area BED NO. of lines ° width L-_ IenEth area .:2,_ depth to top o pipe NUMBER OF SEEPAGE_PITS outside is-meter total pit area AGGREGATE ' PERK RATE RE REQUIRED AREA AS BUILT Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas tha, it is not pos:,ible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYTEM. INSPECTOR f r; LUt'tb3(;R ON JOB LICENSE NUMBER rr c / 1 G REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM Sanitatcy PeAmit State NAME Township St. Ctc01i.x Cuun~'l, Locations Z NF_ Section ~ Lot # Subd.iv.i/sion SEPTIC TANK Size gattonb Numbers o6 eompatctment6 Di,6tanee 6ttom: W e Z t Bu.itding „20 1,2% t~ 2ape. H.ighwaten PUMPING CHAMBER Size gatton4/ ~-Manu,6actute& Modek Nu.mbc ~ HOLDING TANK Size gattons Numb h >j Compatctments Pumpete a m yes tem Diazanee 6tcom: Wet. Building 12° n2.ap H.ighwaten ABSORPTION SITE Bed Ttteneh _ S Di/stance >Lom: Wets 1 1 ~ Buif-ding 1 2 o Highwatet s ABSORPTION SITE DIMENSIONS Width o6 ttceneh -6t Requited atea Length o6 each tine -6t Depth o took below ,tite N u mb e to o6 ti-n e s 2 Depth o6 tc o c k o v e tc .tit. e. Z Totat .length 04 Zineh 2 bt Depth o6 -tile below gteade 2 Diztance between tines G 6t S.Lope o6 ttcench in. p~.tc 10 Tatat ab~soteption aAea 6t Type o6 Cove • Papetc o h.tA,au PIT DIMENSIONS Numb eh o6 pits tcavet atcound p ids yen - - Outb.ide diametetc epth betow inte r; t 4Z t To tat ab4 onp.t.Lon atcea Anea 4equirted_ _6-t INSPECTED TITLE APPROVED DATE REJECTED DATE REASON FOR REJECTION REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site 2 Date of Inspection "L e ame, Address, icense o. o installing plumber Time of Inspection I ~4c c z X' e 7 (3 )INSTALLATION CONSIS S OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN Permanent reference Point escri e: Elevation of y'-_-fe'Cn('e point Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: M DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ NO; Wired? ❑ YES • ❑ NO; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: REPORT ON INSPECTION OF SANITARY PERMIT # (1) Name and Address of Permit Holder Person/Persons at Site (2 )Date of Inspection Name, ress, License No. o ns a Ong Plumber Time of Inspection (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System BEN ermanent reference Po_ nt) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑YES ❑ NO ; 8 HOLDING TANK: Manufacturer o gallons construction ; depth to the cover ft; If septic tank is being used are baffles removed? ❑ YES ❑ N0; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? ❑ YES ❑ N0; Wired? ❑ YES ❑ N0; Locking device on cover? ❑ YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe-elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; lineal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE TRENCH: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has system been installed in area indicated on EH 115? ❑ YES ❑ NO (13) Has system been installed in floodway? ❑ YES ❑ NO Floodplain? ❑ YES ❑ NO DILHR-SBD-6095 N.05/80 Signature of Inspector: EH 115Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES • P.O. BOX 309, MADISON, WISCONSIN 53701 i LOCATION: _X, Section_ T j~N,RZZE (or) W, Township or Municipality Lot No. , Block No. County Subdivision Name Owner's/Buyers Name: ` . Mailing Address: TYPE OF OCCUPANCY: Residence _No . of Bedrooms - COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS ` _ SOIL MAP SHEET NAME OF SOIL MAP UNIT Z_ Z, ,X!M~, PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTER INTERVAL RATE BER U INCHES THICKNESS IN INCHES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN N 1ST WETTED SWELLING IN MINUTES P- I - , P- ( / r 1 c r' P- , P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- C B- 1 4 { - 7 B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the Ipcation and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy (,•i,S " Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. R I Jelk 3 i t S X 1LW6'_ F 3 r- e ~ t yA @ F ...~.._--i--- a I 3 i -41 - ) i I ~ m ~ I I F 3 I $ i 3, the undersigend, 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) Certification No Address A /Z. - .f .Name of installer if known Copy A-Local Authority CST Signature= State and County State Permit # .P 67 Permit Application County Perm # " R 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: S4 '/4 Section T~ N, R (or) W Lot# / City Subdivision Name, nearest road, lake or landmark Blk# Village Township. C. TYPE OF OCCUPANCY: *Commercial "Industrial *Other (specify) *Variance Single family _Z Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY-1Lt6 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate ~a%y~,~; Total Absorb Area 4' sq. ft. NewYReplacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width _ Depth Tile depth (top) No. of Trenches Seepage Bed: Length S-,) Width Depth = Tile depth (top)- _lNo. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land - Distance from critical slope WATER SUPPLY: Private lxl Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 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 Cer ified Soil Tester, NAME L U6 C.S.T. # - and other information obtained from (owner/builder). Plumber's Signature MP/MP SW# ~Sl Phone # Plumber's Address 1 r''. =r_ A~ , * ! l ` 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 neighbors property. If well has not been drilled please indicate. E E E , E s' 44 IC's,. a ` i i f ; o a i t r E ` ) f Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY y Date of Application 7 Cf -ke Fees Paid: Stater Count Date 7- / - Permit Issued/Rejeet,-d (date) '7 - ?4,) Issuing Agent Na Inspection Yes _~_No State 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 7/1/78