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HomeMy WebLinkAbout024-1018-30-000 0~o' r. -0 n O y C O 7 ~ 7 O C1 ~ r+ K 'U 7! C M (D r' A'+ n d p fID OZ W v N A Cn 0" (D 3 ccn z ° 00 to V o) o O ^ 0 co o n 7 m m - CD CD 0 c~ a m co o A7 --1 90 00 r. 3 a 3 N O 0 d m ° O m cn z D A ° CD (Q o cn a 7 W C C 3 0- _ Q O CD r. ~ W Cpl 15 p C N co OD ;u Cl) O O E Q Z r 'V _ w Al • z O O O m E 3 O E 3 fn N N 0 cy m v v v a < (D y CD fD (D d N C1 A i7 z _z N zz c D D o v O c 0 CL CD N CD O c 3 W N O a 3 m Z CD Cn -i N O c p Z CD m n g I A Z O m (D 0 U) 0. W (D < O a 3 W s z ~ ~ A Z1 o = z 3 m rn CD A '0 W n ~ CD oo~ma 3 O Q CD a °v~ 3 cm w n o' CL -oa v_ c I ° ° Z G N Cp' In O N (D CD ID N 7 CD 7 O CD C4 W .O-. J y - -4 0 W O cn 3 b O O N °O 0 t c 3 rr o 70 o ti m °o 3 n cr A CD O O b ° A O d0 W CO O cfl O O ~ a cD (D CD a r Parcel 024-1018-30-000 12/19/2005 10:46 AM PAGE 1 OF 1 Alt. Parcel 16.28.17.98B 024 - TOWN OF PLEASANT VALLEY 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 DOROTHY A HALE O - RAGE, DOROTHY A ~ 1753 CTY RD N HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1753 CTY RD N SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 16 T28N R17W W1/2 NW NE TOWNSHIP Block/Condo Bldg: PLEASANT VALLEY. Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 02/03/2005 786644 2743/127 TI 08/07/1979 358837 598/500 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 87523 Use Value Assessment Valuations: Last Changed: 06/03/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 21,000 100,000 121,000 NO AGRICULTURAL G4 17.750 2,100 0 2,100 NO UNDEVELOPED G5 0.250 100 0 100 NO Totals for 2005: General Property 20.000 23,200 100,000 123,200 Woodland 0.000 0 0 Totals for 2004: General Property 20.000 23,300 100,000 123,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 120 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i Z KEPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sanitany Fi,~nm,it State S Q ptic , NAME, rownbhip St. Croix County Location Section SEPTIC: TANK Size 10640 gat onb. Numbers o6 Compaktmentz Diztanee Ftom: Wett it. 12% on greaten ztope --6.t Bu.itd.ing o it. Wettand.6 ~ . Highwaten - L DISPOSAL SYSTEM D.iatanee Fnom: WeQ.Q~oOf~ 12% on greaten scope 5t. Bu.itd.ing it. wettand.6 Ft. 01 J.. H ighwatet FIELD DIMENSIONS: Width o6 ttench it. Depth o6 tock below t.ite .in. Length o6 each tine it. Depth o6 ,tock oven t.ite in. Numbers o6 Zines Depth o j tite below grade .in. :Total length o6 .i.ine~s it. Stope of tteneh in pen 100 it. Di4tanee between Lines fit. Depth to bedtock Tota.t absonbtion anea t2 Depth to g.toundwatet ~t. Requited anea it2 Type o6 Coven: Papers on St-taw PIT DIMENSIONS: Numbers o6 pits GnaveZ around pits _yes no Outd.ide d.iameten it. Depth below .in.iet St. To.tat absotbtton anea it2, z Area %equiAed it2 m INSPECTED BY TITLE APPROVED DATE 197 REJECTED DATE 191 0 #j pis P4- CIL'rl 0 Wl ff . F Y' Plb.•t-A WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES Division of Health Section of Plumbing & Fire Protection Systems ON-SITE WASTE DISPOSAL INSPECTION REPORT Name of Premises Street City County Master Plumber Address Owner Address ❑ County Permits ❑ Appropriate State Permits I Type of Building: ❑ Public ❑ Single Family or Duplex CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM ❑ Building Sewer ❑ Conventional Soil Absorption System ❑ Septic Tank ❑ Conventional System-in-fill ❑ Holding Tank ❑ Alternate Mound System ❑ Seepage Bed ❑ Holding Tank ❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH: f ~ I e { 3 e 71-17- 1, t f u e qq : F . .n ' p i . , i_ r-.-- . . m , 1 L ..n r _ 3 ~ I 3 € { F ~ 3 ~ _ E F 3 3 E € E 3 E 3 ~ e = F t a _ v : : _ m A as ~ _ _.....~...~.,...j.-..® i e ® g ._R .m E. m _ _ , y E ~ t E 6 I m ®T [ 3 ❑ SEE ATTACHED DISCUSSED WITH PLUMBER ( ) Yes ( ) No SIGNATURE (Voluntary) DATE OF INSPECTION Signature of Inspector kite - Inspector Yellow - Local Inspector Pink - Plumber or Responsible Party PPP" ~'!:CEIVED REPORT ON SOIL BORINGS AND PERCOLATION TESTS PPPP_ WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES FEB 2 2 1980 c P.O. BOX 309, MADISON, WISCONSIN 53701, 0~0'"Oc2fikvj 4g /4,/y 64, Section~,T~N,RL E (or) W, Township or Municipality C_~A^jr Loi Block No. County °S~' ~~'orX . ubdivision Name Owner _ buyers Name: cl Mailing Address: AM An 0 /V C1 CA )I TYPE OF OCCUPANCY: Residence X No. of Bedrooms J COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT-ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 7-17-7-3 PERCOLATION TESTS 7- - /,-7 - 77 SOIL MAP SHEET RS NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE INTERVAL BER 1 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P- 4 l 1 Sor L " SiL'+' ~--m 12-" o p 11-7- `62 r ; P- / t ( LP It l l 2. D f AL_ ?r /Vo P- 4 / t1 a,4 No o 9 P_ 5 1, ~I Ott ALI o / t t u It ~i a 4 0 o P- 6 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, MOTTLING AND DEPTH TO BEDROCK NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- j rf , S_yi,01 5,/_m, /6" aj-a.J J i' /vc7', fl4- B- p it 1, if (l 2.~! !r r. w B_ a 4 ar h 6 d f Zr` li oL0 B- 15e B- 1 1' r a „ l PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. G~ / / r r oc ! 4C,ee_S q ~o~er /~oICS ~ \ C, 0 PceRIK c , r _ I \ \ 61 s. i qo' pea o 10,6 I - . r o 3 I, 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. ✓E=i2 ~ ~ 74" ,4 Name (print) f' Certitication No. Address cv i S ;name of installer if known pl Copy A -Local Authority CST Signatur PLB ti F State and County State Permit # Permit Application County Permit ° for Private Domestic Sewage Systems County d2t *DENOTES STATE APPROVAL REQUIRED % c y) Date Approval Received from State if Required - State Plan I.D. # Z~ A. OWNER OF PROPERTY Mailing Address: Aid B. LOCATION: 1140% Section T N, R E (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family _K Duplex No. of Bedrooms -3 No. of Persons D. SEPTIC TANK CAPACITY /'0000 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 _y Total gallons Prefab conWrePo ured i n Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement_-KAlternate (Specify) Seepage Trench: No. of Lineal Ft.Width~Depth Tile depth (top) No. of Trenches Seepage Bed: Length Width Depth Tile depth (top) No. of Lines v Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private 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 C ied Soil ester J NAME ° C.S.T. # J 5_Vyand other information obtained from (owner/builder). Plumber's Signature MP/MPRSW#'7` / Phone #~,~-✓~9z✓. Plumber's Address I tl~J 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. L.,m ! l ~ w IYl , I _..m. .w . _w e .s ~..,T.. _ a k i e l E l t t - E k 3 E e e e s ~ Do Not Write in Spacg Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Q Date of Application ~ - 0 Fees Paid: State~Q County Date Permit IssuedF (date) - Issuing Agent Name Inspection YesNo State Valid# Date Recd 1. county (w 4th' e copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 Mate (pink copy) 4. plumber (canary copy) - Revised Date 7/1 /78 j i O , Vt. p' 3 a p s z-- * Z 70 3 ~ ~ ~ ~ N no, CD -a T ~ D b CA, t` r oz otVI Lj 4b %A 4861 z z 8~~ J W z o^ Q3~ lam„ Z. . N t p 4p * - 4 l~ ~ A a A LO% I i Z (el d 3 r b ~ 1 Ib q ~ s I r e 4 ~ y ~ r i 15- (A "n I 1 1 i L i~ r f 1 I ~ s w r.:;s. 1 V r! 1 s: 3 ~ 1 ~ ~ r 1 i r' ~ tT 2~ 1 ~ , 1 n Z A W Jrz H ~ _ o v1 ~ W 0 0 © p Q.o - 70 ZL6 Ir, C.I L, P `f` Q T + R F~ ~ I ~ ~ ~~J"• "~ayy icy CA ID 6'961 u a A i~ r r3 I ~o fi _ f d - t~ - - r £ ~ ~ I ~ ~ ~ el I ~ L CV z At c1 _ t` y 1 fJ D ~ D \ or"r 'f` ~ N /o lb a L + a IN i r ~ - z a r" . ;c 76, ` ~ ti L T ~ 1 ~ I tea' ~ p w •r~ PRof~ n+y ~.~^J N _ u, i ~ I Olt. z 0861 7t 70 s's` V• 0 Q . rA~~ .L ~4 16 ^ h ' 1• 1 , 1 ` mss ' o v CK~ srU ^ \ II I ~H ~n °a \ ~.r 0 •5 C\ v C O i' 3 Ole I I s i 10 a ~ lwv, t tI - 1 "Ad>:c~:1i r `T1 .\..J W r ` S Y \ a~ r z W 4 ~ o 0 o i ' 1 - April b, 1960 ~ Mr. Richard Hoge kT. 1 Kamrvnd, W1 5401 Plan Identification me. 80-1004$9 bear Mr. haves The bureau of Environmental health has reviewed plans, sits survey Information ao4 Installation details covering the conttructton of a roplaca4ent private ***ago disposal system an your property located 1/40 NE 1/40 Sec. 16 0 TZbk, it l 7E, Town of P i eenumt Valleys St. Croix Co>,unty, Wisconsin. The plans one! installation details were prepared by Mr. Everett A. Boldt, Matter Plumber, anal rocolv*4 for approval an April 4, 1%W. Time site evaluation was conducted by Hr. Thomas C. Nelson. Assistant Zoning Administrator, St. Croix County, Wisconsin. The soil Is frooon silt lonw. The soft percolation rate Is tag. The promisees its the soll,wW site regu t reuents specified for the use of Alternate System 1 which was developed by the University of Wisconsin Small Scale Ilaeste, Management project. The proposed system will servo a single family residence cAmWalog iadroota. The systems has been sized In accord with the requlreronts set forth In the alternate system design criteria. Wastes from the ham will discharge to a 11,000 gallon capacity septic tank %elch will discharge to a 750 gallon capacity pump chamber from which a pump having a capacity of !ib gallows per minute against a total dynamic head of 16.1 feet will discharge through Z Inch diameter pipe to the soil absorption system. Due to the existence of site soil limitations It is of utameest importance that the system be Installed In complete accord with the plans and installation details send the conditions of approval contained herein; that the appropriate county official conduct thorough Inspections at specified tlraos, reporting his findings to this Division and that than contractor not deviate from, this formal approval and follow directions or orders Issued by the appropriate local or stature authorities. s " S } y. I 4 k TWA ti _ h> '?~''s,"4ii'"~:•v£ `r5pn~. T'1'<'fT~..i.~9~4«~4i"`l`S~: p~4''& 's 9 n < r t 4 • ' ; s T? OVA yvAce S-10 uAwAvul 000 aim C * t.: a; :u . $ # ':Y;-:.$ ~ .P -',T' r y r. 'a .pM ` g t ? 4;`- A ,'t ✓ft.~ ~.w0.~, ,~ri k' ~c'~a~~iT":# ';,:,y3{'•j~ b._~~ f 2.3.0..'' f '~-y:~~.g ?fix ~ i'z~?'. - . W.1%04, -III 0171A WISOMM was ;w 11yoss, _-K..:a,fr on ' a{ - X~i'~«~x? ~?IE; g.'4,> . i.~.x" pr? d':;t~'t°~s ?»S :3 ~ `~„3. d :;S,i i~#yd; R~i:~SS''~ °:#~a f= .,d•'#';Y .1`e •3 ; «nr..••trT w ~ all slow, r?^a.'„ c g.r,.~~ ~x ~r 1 0 3:4w W, l.,:'.F ^§iia,. y 3 f`r a~'+•~r ~J g s??. . P w:. ;~~.L f;1~ ~w.S~r", i!','~ 'a~ '*q9 # s w=r 4'; ,a n`$2~: ;~.'i `4 'w,"''~ •t" ~;,2.:; 4',t.iy' . ~ ~t~'~t'' ;'d~'+a 3~'* :,i,."?4'k"t its n", a+ .uni .Y~tti 1 ~4.pr t~$~~~:'~~~t `a':.A? ,t= , ;w-1 ` i Ow law 101161111 Ova= uc x ..AkR3 O P f.3,`n'x , ,.a .t, ~Dd~d :vx3 ~•~4s' - # 3oda`~.'.:f, E ~4 # =+:L yY 1.qr_,. " n*17,10196 9w all 51 Oqh~, 1fyjr*"1, .4 R1 vy no; 0: . :'firf dot: 4~d°~ $ q •e }%++4~5 ~ #i ^'=~aF .~^?`~~Y 5.~:.#~ a=~~ :4a4 - i t t . ? r~, v l '"`.'e,%? ..~y is'L H asT 'yA' ~•1ry~tIEt, ti ~ Ze ~ ~+;'as ~ ~"a r',,x 1; CIA; 1jajqq" Ads tal `°''r{sW+ Wwl mill S. e .f.'e`.,..z all P011" I'l g~.J i"s♦€A y, 7 $ .n"'R 5 3 ~ R oe Ant, +~o 3 ~`M'•°3t'" l 4; ' ;:020Yrt,Jo .;R4r3 Y `kumr'' s .1- 13 in 440 t: i J "z. O'1gg4 40 t9'"' haunt, L ow"1d,+"~ta TOM • i r: ryt ^ } fir. Richard Hoge Kamnond, W1 Page 2 April S. 1960 in accordance with Chapter 145, Wisconsin Statutes, and Section H 62.24 Me Wisconsin Administrative Code, approval to construct the alternate design private sewage disposal system is granted subject to the following r-onciitions. 1. That appropriate local officials, employees of this Division and/or representatives of the University of Wisconsin Small Scale Waste hanagetient Project be per=Itted to have access to the premises at any reasonoblo time for the purpose of Inspecting and monitoring the system, including the conducting of any necessary bores holes or other physical examinations and the collection of swples of soil or liquids. 2. That in event the alternate design system, or any of its component parts malfunction so as to create a health hazard by discharge of partially treated or untreated liquid wastes onto the ground surface or into the waters of the state, the owner will repair, modify or replace at his expense (including the possibility of installation of a holding tank with proper disposal) the alternate design system with such action approved by the Division and the appropriate local official. 3. That any subse4uent buyer of the promises be given notices that are (alternate design system Is installed and a copy of this letter of approval be given such buyer. 4. That at least one observation pipe shall be placed In each trench or a mininwem of two In each bed. The 4-Inch diameter pipe shall extend from the bottom of the bed (flit-rock interface) to the finished grade and be provided with a watertight cap. The bottom 6 inches of the pipe shall be provided with at least 3 slots at least 1/4-Inch In width. 5. That a high water level alarm switch on a separate electrical circuit with an audible or visual alarm in the home be provided; and, the pump water level controls be set so as to prevent breaking suction and to insure they d i seharge of the daily sewage contribution with not more than two and preferably one pumping per day. f,. That the alternate design system installation be made In cmplete accord with the plans and Installation details; appropriate sections of Chapter h 62, Wisconsin Administrative Code, that are not varied from In tim alternate dews i qn; and the conditions of approval contained herein. f 't4' f't5 "`.i° # R as"= Ate p f „3 9t ~•1 ~s,t.St,: d k ~ t4A y 1:'.; s"*a.".' P,.:3 ? s~.~%'"s~ --°~~}t ~a~; •~~~x~•';s;, ,R. 1sd . , ry 47f~1. 3^~';H~ iy r4 i~rU ~tAf' s ' ° .ri ~ • . 3t..,z, 5 .9 ! r.#f .art's e'-'l X, #tri x4~r rYss 3,"3'•^~~ '73T}~.`Sy.~=~ s 4~.5'~:«~.. Ord:, . $ y¢ ¢id4~J '4l k.j `'"4S 1 i~ •4,'i'W:. d~`a. r . s n tvs;r ' , , , :sr! u::Qalt 3cj rB` ac i 43a'.9rs AA P A .i .,i•:.f