HomeMy WebLinkAbout020-1017-10-000 (2)
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Parcel 020-1017-10-000 03/14/2006 10:26 AM
PAGE 1 OF 1
Alt. Parcel 13.29.19.77B 020 - TOWN OF HUDSON
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 - GIRL SCOUTS INC, ST CROIX VALLEY
ST CROIX VALLEY GIRL SCOUTS INC
400 S ROBERT ST
ST PAUL MN 55107
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 13 T29N R19W SW NE NW CAMP & Block/Condo Bldg:
BUILDINGS
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/23/1995
Description Class Acres Land Improve Total State Reason
OTHER X4 10.000 0 0 0 NO
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP & - SEC. NR j( j` W
P.O. ADDRESS ST. CROI COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100FEET OF SYSTEM
~y a 6
i / Ctti
r
• i
r
-
P
• r 't ~
i
I
i
i
j SEPTIC-TANK(S) ?TGR. CONCRETE STEEL
NO. Zings on cover Depth DRY WELL
TRENCHES No. of width length area _
BED no. of lines width ' length area-
dept to Xop of pipe
AGGREGATE
PERK RATE f REAtREQUIRED Y 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
that it is not possible 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 SYSTEM.
INSPECTOR
DATED PLUMBER ON JOB.-_ .
f`
LICENSE 7r `l r' e
T' S ;r
RF r r SYSTEM
POP,T OF INSPECTIO!1--I:4DIVIDIML ~LOJAGE DISPOSiV, Sanitary Permit:
• • r.. State Septic
.31 T&TINSHIP
L__, 6, _/_1
• t. Croix; ounty
S,.°TIC TA'?1;
gallons . '-umber of Compartments ,
Distance From: Well 4-
ft, 12% or greater slope --ft
Building' ft. Wetlands
f-
Highwater - ft.
DISPOSAL SYST2:1 ! Tile Field or Seepage Pit (s)
Distance From: Well ft. 12%.or greater slope ft
Building ~.i ft, Wetlands f:
r
FIELD Nighwater ft.
Total length of lines C` 1 ft, dumber of lines ~ Length of
-each line -ft. Distance between lines ft. Width of the
Tench f t. Total absor tion area
P sq. ft. Dept.
of rock below file / Z_ in, np-pth of rock over the Z in. Cover
Depth of file below grade in. Slope of
4 l trench in er 100 ft. Depth to Bedrock - ft. Depth to
Pround water - - -ft.
PITS
Number of pits I - ,buto Ce diameter ft. Depth below inlet
ft. Gravel1,atund.it: yes no. Total absorption area
sq. ft.
.Square feet of see, age trench bottom area required
Cquare feet of seepage oil--a1-e4,/ required
Inspected by Title': Approved Date
19 7,'
Rejected Date 197 ,
1
.J
EH 1 1 .5,
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 TES S
LOCATION: SAction 3, Tc.),-~N, R Iq E (or) W, Township or Municipality ~ y J
Lot No. , Block No. County
Subdivision Name
Owner's Name:i~'G
Mailing Address:
C" a76ff,
TYPE OF OCCUPANCY: Residence - No. of Bedrooms 13 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS
SOI L MAP SHEET . SOI L TYPE/
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 AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
1~6,Q4816, S 4641~~ 46 UIP, 6: <
P-
& 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)
~ L
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable ar s. I irate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference p4 ndicate slope.
1 t
- 3
1-4
i LTi 17
L5 (l1f
,_3 I ' ► {
le I
jig
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) Certification No. L
1 L d S, A` f,' 0-
Address
Name of installer if known_
CST Signature
COPY A - LOCAL AUTHORiTY
r
867 State and County State Permit #
PL Permit Application County Permit # _
for Private Domestic Sewage Systems County
*DENOTES STATE APP610VAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
,,4 _~7 Alf
B. LOCATION: / _6- % /4, Section / -)C 49 &
, T N, R /,9E (or) W Lot# -City_
Su ivision Namre,, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family A---- Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms--
Automatic Washer -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)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin . Feet Width "Depth Tile Depth No. of Trenches % Seepage Bed: Length "Width Depth Tile Dept _r _`j No. of LinesC
15P A, 4
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land le-- e Distance from critical slope
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 it T e 7
NAME C.S.T. # and other information
obtained from ` (owner/builder).
Plumber 's Signature P/MPRSW# Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
1
r'
r _
Do Not Write in Space elow FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State 'County Date 7
Permit Issued/Rejected (date Issuing Agent Name
Inspection Yes_4_No 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 6/1 /76