HomeMy WebLinkAbout040-1075-50-000 .qw
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St. Croix
EARL E TRUST ANDERSON Municipality: TOWN OF TROY
338 6TH ST N Permit Number: 1062
HUDSON
WI 54016 Parcel Number: 040107550000
Alt Parcel Number: 18.28.19.285E
Site Address: 363 E COVE RD
Components
Component Manufacturer Description Last Next Status Schedule
Service Service
Septic Tank Septic Tank 05/24/2016 05/24/2019 Current 36
Conventional Bed- Seepage Bed - Seepage 05/24/2016 05/24/2019 Current 36
Drainfield
Maintenance History
Service Date Maintenance Name Gallons Pumped
10/30/2006 Not Available 0
11/14/2011 Not Available 0
10/25/2013 Not Available 0
11/13/2014 Not Available 0
05/24/2016 Darrell's Septic Service 0
Notes
Date Text
7/4/1776 12:00:00 AM ADDITIONAL NOTES: 18' x 46' bed, 1200 gal. septic tank
MIGRATED ON: 09/04/2015
'No data found for Notices, Violations
1
Parcel 040-1075-50-000 12/18/2006 05:21 PM
PAGE 1 OF 1
Alt. Parcel M 18.28.19.285E 040 - TOWN OF TROY
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 - ANDERSON, EARL E TRUST
EARL E TRUST ANDERSON C - %KAREN OLSON
%KAREN OLSON
338 6TH ST N
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description ' 363 E COVE RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 4.800 Plat: 0787-CSM 03/0787
SEC 18 T28N R19W PT NW SE BEING LOT 4 Block/Condo Bldg: LOT 04
CSM 3/787 4.8AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
18-28N-19W NW SE
Notes: Parcel History:
Date Doc # Vol/Page Type
05/16/2002 679230 1892/373 QC
05/16/2002 679229 1892/372 QC
2006 SUMMARY Bill M Fair Market Value: Assessed with:
158312 234,200
Valuations: Last Changed: 07/20/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 4.800 65,000 148,600 213,600 NO
Totals for 2006:
General Property 4.800 65,000 148,600 213,600
Woodland 0.000 0 0
Totals for 2005:
General Property 4.800 65,000 148,600 213,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 125
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• ,S IiUZLT SANITARY SYSTEM REPORT
° • 1 , TO1.71,SHIP ILL l..e• SEC. T. ~t, R~W
,ADDRESS ST. CROIX CCU:
WISCONSIN. .
~UiVISION LOT~LOT SIZE
PLAN VI EW
Distances b dimensions to meet requirements of 1162.20
SHOW EVERYTHING WITHIN 100 FEET SYSTEM
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Indicate Nor A
y,
I I I _ I ow
SCALE:
'TIC TANKS r
•r _
iFvR.
CONCRETE ~STEEL
NO. of rings on cover DeFth DRY WELL ~s1116=
'KITES NO. of -r
width length area '
no. of lines width~ lcngthwV area
depth to top of pipe
),..EGATE
RATE i I&I AREA REQUIRED AREA AS BUILT N~
'claimer: The inspection of this system by St. Croix County does not complete
:)fiance with State Administrative Codes. There are ocher art2as that it is not possible
inspect at this point of constriction. St. Croix County assumes no liability for
,tem operation. However, if failure is noted the County will nmike every effort to
.,2rzdne cause of failure.
:"USES AND OILS SHOLZD NOT BE DISPOSED TIiROUGit THIS SYSTEM.
4
`'INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
i
• AS BUILT SANITARY SYSTEM REPORT
TOWNSHIP SEC.
. a. ' AIIDRESS ~ ~ T~N, R--W .
ST. CROIX C0 , WISCONSIN.
•
BDkVISION lam' LOT LOT SIZE
~c
PLAN VIEW
-Distances b dimensions to meet requirements of H62.20
SFIOW EVERYTHING WITHIN 100 FEET OF SYSTEM
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"Oil
n to 5
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P
_PTIC TANK(S) YIFtiR. CONCRETE i, DTEEL
NO. of rings on cover Depth DRY WELL
_ENCHES NQ of width length area
_D no. of lines, width'len th ` ' area
G depth to top, of gip
RAT AREA REQUIREDAREA AS BUILT
:claimer: The inspection of this system by St. Croix County does not imply complete
mpl.iance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
:tem operation. However, if failure is noted the County will make every effort to
:termine cause of failure.
`.BASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
r
_-INSPECTOR
DATED?'"
PLUMBER ON JO
• LICENSE NUMBER ,..mss-/ r
4:
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REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itaty Petm.it
State Septic
NAME i own.bh.ip St. CAoix County
location Section '
SEPTIC TANK
Size gatZon6. Numbet o5 Compantment~s
Di-stance FAOm: Wet 12% on gteatet 4tope 6t
Bu.itd.ing 6t. Wettands 6t.
H.ighwateA - St.
DISPOSAL SYSTEM
D.i.atanee Ftom: Wett 12% of gteatet 6tope 6t.
Bu.itd.ing 6t. wettands Ft.
H.ighwatet 5t.
FIELD DIMENSIONS:
Width of ttench 6t. Depth o6 tock below tite / in.
Length o6 each tine 6t. Depth o6 tcock oveA t.ite in.
Numbet o6 Zine/s Depth o~ tite below grade .in.
Totat .length of tinu 6t. Stope oy tteneh in pet 100 ft.
Distance between Zine~s 6t. Depth to b edt.x ck At.
Totat ab,s otbt,ion area 6t2 Depth to gtoundwatet_ 6t.
Requited area ~t2 Type o4 Cove?.: Papei `oA Straw
PIT DIMENSIONS:
Numbet ob pits GAavet around pits ye/s_ no
Outz.ide d.iametet 6tDepth below inlet
2
Totat ab6oAbtion atea 6t z
` A
Atea tequ.ited- St rn
INSPECTED BY TITLE
APPROVED ,DATE 197.
19
REJECTED DATE 7.
EH_ 115
• WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: '/4, '/4, Section Q:__ TA._N, R L1 E (or)(Township or Municipality L+`
' r)
Lot No. , Block No. , r fV : ..r 3 14\' , County
Subdivision Name
Owner's Name: Ih' L (fr• &j Fl•' ` rr
Mailing Address: 4715r ky c 1 - [tit t (i ~ It D 9
TYPE OF OCCUPANCY: Residence No. of Bedrooms -a Other
EFFLUENT DISPOSAL SYSTEM: NEW DDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS /Cre PERCOLATION TESTS f 4~r l t~ .i f ;ir
SOI L MAP SHEET
PERCOLATION TESTS
TEST T[E~HT CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
, r~~ - 11~), " ~ Z??
P3 H
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)
r r
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. t
Indicate scale'
or distances. Give horizontal and vertical reference points. Indicate slope.
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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.
Name (print) _Certifigation No. z 1 t`om' 1.
Address r 6✓/~'1 ti 1~,)~ 1 ?I~ 11(7-f/~ r' F i y IV )~>Name of installer if known T i-
CST Signature -
State and County State Permit #
PLB
6 7. *
Permit Application County Permit # -
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 T;' , N, R E / (or
)
(W,/ Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township f
C TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms - No. of Persons_ L
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder AYES NO # of Bathrooms-
_4-Automatic Washer i)4.YES NO Other (specify)
E SEPTIC TANK CAPACITY Total gallons No. of tanks
'Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement Prefab Concrete
*Poured in Place Steel Other (specify)
EFFLU l' DISPOSAL SYSTEM: Percolation Rate 1) %'2) i,!/~~3) 717otal Absorb Area _ q.
`Jew Addition Replacement *Fill System
Seepage rench: No. Lin . Feet Width Depth Tile Depth No. of Trenc,-es
Seepage Bed: Length Width Deptljj(jj~"Tile Depth,&,No. of Lines
Seepage Pit: Inside diametef Liquid Depth Tile Size `
Percent slope of land Distance from critical slope i
the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
`!,Jisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certified Soil Tester,,,
_
NAME .e jam' 1 C.S.T. # and other information
obtained from 05wnerYbuilder).
f
P'lumber's Signatur «!/MPRSW# _sLPhone #-7/
Plumber's Address
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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Do Not Write in Space Below - FOR DEPARTMENT USE ONLY
Date of Application Fees P Paid: State C . ' Count { 0
Date _
Permit Issued/Rejected (date)d ( f / Issuing Agent Name L VL
Inspection Yes No Valid# Date Recd _
1. county (whit-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