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HomeMy WebLinkAbout030-2071-95-000 i n (o O g-0 0 d o d f c c c " (D n1. (D (D a >v Cf) chi ~ o v w o_ oCO0 C- w o ~ k• :7 3 CD o CL Z \ CCD CL N N ~ O O C 1 T- 03 S N D7 "t N ~p fll cn N O- O 7 Q o o (77 O 000 W O !~D n N O W O k O 0) 00 O Q O Hr. N C !r o .7 N O = Gt CO U) CD F- - ~ (D (n a CD N W m N C Q CD O n n x d O C:) CD O W G O ° i n p, b cn co ID n r N U) CD co co cn c w CD (D b O ~T- H N co 2 o Z c M U) U) rt Z . 0 0 0 H. t~ o N vo_ Z 0 H d t~q (~q f~/1 D 9 h W 0 v CD 00 Iv v cp rn fu (P y 3 (D tQ CD 9 d CL t- N 0 w o z co z n D a :3 tr d N In o. ~ (D CD - • 0 m N ON rt w rt ~ m N ~ v I c CD FT ON Oo - a I W Q 3 00 O y cn (D 'I W U) W :5~ z O p A Z n (D O o c j 'b !2_1 c CL A M p F-3 N = cn b1 O O w rn W CD O a 3 z C S C~ O N N . A N N t7 ON '0 C4 'b m rt ri m vcn Dom D 3 o N =1 n CD N ~ g7 7 0 N N. N - cn C, c 2 N D° O O CL v -00 c Z a 0 N ID 7C w N 6 7 aD ~ DJ V1 W ~ 01 ~ O S X CD d lWJ~'0 o (D a 7 Q L D CD :1 N CD p w Y 7 N N Q CD c C A 0) Q Q 3 c p~j W X O CL O C W On _ CD 7 C (O O O O CD - O O ° A d O O b pc N CD A W t» O O ((D o CL ti Parcel 030-2071-95-000 01/13/2006 08:18 AM PAGE 1 OF 1 Alt. Parcel 36.30.20.620B 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 O - DOPKINS, DONALD & CHRISTINE DONALD & CHRISTINE DOPKINS 219 RIVER CREST DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 219 RIVER CREST DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 36 T30N R20W SW SW COM 370 FT N OF Block/Condo Bldg: SW COR, TH N 240 FT E 545.7 FT, S 240 FT, W 545.7 FT TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 36-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 440/84 2005 SUMMARY Bill Fair Market Value: Assessed with: 84714 320,200 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 143,200 148,000 291,200 NO Totals for 2005: General Property 3.000 143,200 148,000 291,200 Woodland 0.000 0 Totals for 2004: General Property 3.000 143,200 148,000 291,200 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 114 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 030-2071-95-000 03123/2006 05:06 PM PAGE 1 OF 1 Alt. Parcel 36.30.20.620B 030 - TOWN OF SAINT JOSEPH ST. CROIX COUNTY, WISCONSIN Current X 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 - DOPKINS, DONALD & CHRISTINE DONALD & CHRISTINE DOPKINS 219 RIVER CREST DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 219 RIVER CREST DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 36 T30N R20W SW SW COM 370 FT N OF Block/Condo Bldg: SW COR, TH N 240 FT E 545.7 FT, S 240 FT, W 545.7 FT TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 36-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 440/84 2005 SUMMARY Bill Fair Market Value: Assessed with: 84714 320,200 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 143,200 148,000 291,200 NO Totals for 2005: General Property 3.000 143,200 148,000 291,2000 Woodland 0.000 0 Totals for 2004: General Property 3.000 143,200 148,000 291,2000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 114 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 0.00 0.00 0.00 Total AS BUILT SANITARY SYSTEM REPORT OWNER a, TOWNSHIP J7_ lf~ SEC.(~7 jG;N-K_:Z(LW ADDRESS,K~), ST. CROIX COUNTY, WISCONSIN. SUBDIVISIONLOT L 0 T SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM L 1 iS ' xis ' it c q G~ _ 44 1111' hIi d~~ a N r h rrc w BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: 7,- K)Liquid Capacity: iv Number of rings on cover L/ Tan manhole cover el vation Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons_ Number of gal. pump set for a cycle gallons; Total capacity of distribution lines gallon: size of pump' head; gallon per minute horsepower -;brand name of pump and model number Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE; Number of pits feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet SEEPAGE BED SIZE: number of lines width_lengththe depth SEEPAGE TRENCH: width length PERCOLATION RATE_ AREA REQUIRED AREA AS BUILTJe,,,,;r? INSPECTOR DATED PLUMBER ON JOB T LICENSE NUMBER (j~` SAFETY & BUILDINGS DEPAHTM, ENT OF INDUSTRY, INSPECTION REPORT FOR DIVISION LABOF & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING ii BOX 7969 MADISON, W] 53707 State Plan I.D. Number CICONVENTIONAL DALTERNATIVE (if assigned) O Holding Tank ❑ In-Ground Pressure D Mound INSPECTION DATE: NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: Donald Dopkins RR#2, Hwy 35, Hudson, WI 3 REF. PT. ELEV. JCST REE PT ELEV BENCH MARK (Permanent reference pomt) DESCRIBE IF DIFFERENT FROM PLAN. SW SW, Sec. 36, T30N-R20W, St. Joseph Township Nam, f Sanitary Permit Numbar: o Plumber . IMPIMPHSW No County 3 4 8 2 5 Anthony Zappa 1614 St. Croix SEPTIC TANK/HOLDING TANK: PROVIDED MANUFACTURER LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING DLABEL LOCKING COVER OYES ONO OYES ONO BEDDING NMBER OF ROAD PROPERTY WELL: BUILDING JVENTTOFRESH VENT DIA.: VENT MATL. HIGH WATER LINE: AIR INLET . ALARM. FEET FROM DYES ONO ❑YES° ❑ .d NEAREST DOSING CHAMBER: " PUM /SIPHON MANUFACTURER, WARNING LABEL _ LOCK! COVER MANUFACTURER =INGS LIOl1 1CAPACITY P9MLPROVIDEDPRO D/ Es ONO YS ONO NO PU P AND CONTROLS OPERATION L. NUMBER OF.' PHCLEF Y WELL' B LDING. JVER ANLOE FRESH GALLONS PER CYCLE: _ L'N (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) OYES ONO NEAREST LENGrH iAMErER ~ MATERIAL AND AHKwa SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE or excavation. (If soil can be rolled into a wire, construction shall cease until M- the soil is dry enough to continue.) CONVENTIONAL SYSTEM: INSIDE CIA ~sPlTS L W I LENGTH NO.OF DISTR. PIPE SPACING COVER EPTH.: BED/TRENCH TRENCHES np4ffEf IAC PIT DIMENSIONS PROPERTY WELL BUILDING VENTTOFRESH GRAVEL DEPTH FILL DEPTH DISTH. PIPE DISTR. PIPE DISTR. PIPE MATERIAL. POEDISI NUMBER OF I LINE., AIR /NLET- BFLOwPIPE/ ABOVE COVER ELEV INLET ELEV END FEET FROM J / NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ONO p ERMANENT MARKERS OBSERVATION WELLS SOIL COVER rexTURE DYES ONO OYES ONO SEEDED MULCHED. ' DEPTH OVER TRENCH BED DEPTH OVER TRENCH;BED DEPTH OF TOPSOIL SODDED CENTER EDGES O Y ES O OYES ONO OYES ONO NO PRESSURIZED DISTRIBUTION SYSTEM: FILL DEPTH ABOVE COVER WIDTH. LENGTH NO. OF LATERAL SPACING. GRAVEL DEPT BE LOW PIPE BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MA RIAL. NO DISTR. DDIATR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV. DIA.: ELEV.' PIPES. ELEV.. ELEVATION AND DISTRIBUTION COVER MATERIAL. VERTICAL LIFT L'ORRESPON DS TO APPROVED HOLE SIZE HOLE SPACING DRILLED CORRECTLY PLANS. INFORMATION DYES ONO OYES ON BSEOR TION WELLS NUMBER OF PROPERTY WELL: BUILDING: PERMAN COMMENTS: ENT MARKERS: O: LINE. FEET FROM D YES ❑ NO DYES ❑ NO NEAREST Retal'n in county file for audit. Sketch System on Reverse Side. TITLE. SIGNATURE- DILHR SBD 6710 (R. 01/82) -0EPAR7fMENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PL13 67) W MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: 14Q - ,W5' Da Q DO p kf A~~ R T z Y w ' 3 Property Location: City, Village or Township: County: 50J %5~ %S 6 iT 30 N,R'O E (or W Tos:S71' aoll'( Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: N"~_ A4_ (If assigned) TYPE OF BUILDING TI ~J 4i / Number of ❑ Public* ❑ Variance* ❑ Other (specify)* OW - Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATI N MENT (Specify) SEPTIC TANK CAPACITY CTVV ~-Y/5T HOLDING TANK CAPACITY IVA LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: &jE EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Ix Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit / E] Alternative (specify) El Seepage Trench .l ~ X Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): N Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signa re: MP/MPRSW No.: Phone Number: .7"411w (~~~)3~G-Zags Plumber's Address: Name of Designer: 727 2 57' 60Z COUNTY/ DEPARTMENT USE ONLY Signatu a of Issuing Agenj~ Date: 7Sanjt Ner jEp t DISAPPROVE(J "4 Reason for Disapproval: Alternate course(s) of Action Available: i I Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to i stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) 5LAW71 G I14- 7~ ELL af` /,v /yF/. 40 If f2_ (3r-1 T3 u~Vt ,tlT- - Norm - S T C 100 owner of Property ICA-,icw C% K/~ _ Location of Property 4 ~~+J ~J -1-4i Section 1' N R W - 31 2 Township ;SO S r f~ - - Mailing; Act dress~~ U z n Lof/ i S mac? Subdivision Name slo NAME Lot Number AIfl-k1C, Previous Owner of Property 0 1) JG\ V -16~ 't'otal Size of Parcel_ Date Parcel Was Created Are all corners identifiable? x Yes No Include with this application one of the fol]owin: .Certified Survey Map .Deed .Land Contract, or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 3-° ( S 3 ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. SIGNATURE OF OWNER SIGNATURE OF co-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED .DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS MADISON, WI 53707 60A--_~ (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOTNO.:BLK.NO.:SUBDIVISION NAME: _Q41 t0 '/a '/a 36 JT3v N/RZaE (or J c~ 3c~a,y- QW 14- COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: _.Dow J~OPK R . 2- (4 e?s 171 U'AF Aj 60/1, USE .S' . DATES OBSERVATIONS MADE jl~i',, BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATI N TESTS: Residence ❑ New Replace r~ 2 RATING: S= Site suitable for system U= Site unsuitable for system V w ~J 50133 XAj4,5~ rCONVENTIONAL: MOUND: IN-GROUrnlu URE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) 5 / - ❑U C~C7 S ❑U ❑ S kjU ❑ SU ©,vv~Or,~>,~>41 /194 S- If Percolation Tests are NOT required DESIGN RATE: ao, 54'. Fr- LF'loodplain, any portion of the tested area is in the under s,H63.09(5)(b), indicate: indicate Floodplain elevation: PROFILE DESCRIPTIONS J . BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-tt46-HES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH tAl OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODI PERIOD2 PERIOD3 PER INCH g~_ 171 P- ; P- 4 U L S 1 h P_ TY'-t o'6 /i'~'/ C' 1 P_ PLOT PLAN: 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 slope. SYSTEM ELEVATION 9"4/ -3 0 Rrie,4L. Af"_'NCE I 3 I i r_ w 3 a .~..ee_ ~ .mot ~~~c.,,~. ..~'~-e•e.~~' . , . I . 7 t 1 I ) ' ) ! 3 1 , 1 1, 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. n NAME (print): TESTS WERE COMPLETED ON APP! NOMESITE ADDRESS: s , CERTIFICATION NUMBER: PHONE NUMBER (optional): L _ 3S, J" HUDSON" Wis., 54016 CS TSIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-5395 (R. 02/82) - OVI I+ e I N11 Fr .ate e Y s .3 i U.n I w, x- i tx., r_ Y z j 'S I i . REPORT ON SOIL QORIN&S ; PERCOLATION TEST. 11.5 PLO'r HOMlESITE TESTING C®. R s , 3, O'NEIL ROAD BOB Ul,1 h'?c~, PROPOSED HOUSE M057- LIE FT o~► MORE FiPOM ALc T~'ST ~~P~'AS, PRo Po5E 0 WELL M V5r LIE go ¢r d:~ MOiPE" FiPorl ,g<< T£ST i4•p~~S, ~E.PG /OC~'~OR/f y "/ANd~ ~~~EQED o p S~®~J~L Bcvr5 (l£,Q1r% c~ L F~/2r ~tJf Pdi,v T r, M,9~~` C f% /al✓~J 'T^ - C'c. 'C r ~z SL GLEGEND ~/EV~riov o~ yr ~Ef Pr ~o o r T 0~ W~ \ 1 I -T A, tr~f 7~ i /Z t1l Z. s r Z h 72 ~ J 2 to i 13 r ! ~y' / v a ~<.v9 hcclt ~ ; j aN sU-~{,, L T Z- 7 r }I - - All (o7 iFV,= loo, o' PLOT and CR055 S TIOH FIANS a a. J 9~ 50 f L 0 r L/ ti Pia 156 T Pj , . _~7 f+1 'SCE C1Jls . S ("GN,D L < Fresh Air Inlets And Observation Pipe SOIL TESTO-15 Qy MOMESI1> E TES T.NG Co. RT.3, O'uEa Rco,, Approved Vent Cap HUDSON, WIS. ~Y4 016 Minimum 12" Above Final Grade 4" Cast Iron L-1'22 " Above Pipe Vent Pipe 7o Final Grade Marsh Hay Or Synthetic Covering min. 2" Aggregate Over Pipe Distribution Tee Pipe 0 0 0 0 0 i3~TTOM 4 Aggregate 0 Perforated Pipe Below F Beneath Pipe _ ~E q5, D ft 0 Coupling Terminating At Bottom Of System