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HomeMy WebLinkAbout030-2083-30-000 1 n N Q O " m-0 n d _ 1 c O ~ rp 3 (n 2 2 w z < cn w o . O N N 0 O O W (D 0) w `C W CD d d (D N V N D O O N 0 O N C w O (D ~ 00 7 W W O D) N N N (D ICI 'O W NO -:3 m Io W On I CD rn m m m n v o (M o A+ 3 ° o N o O v o m w U) D m o CD Cn CD a ~ N W a c o 3 n o O ~0- m a m 7« co o m co (o - (n co 0 2 h o c Q v v M Z O o 0- n W C/) S = can vii ai Cn 7 v 3 a v v o C ~ CD m y (CD N < 3 O Z N z co z O CL l m O D O O !~1 • O N CD N N N & C O C CD CCDD W ~ a d 3 ~ z (D (fl --I N O _ O p z (n c i .a n A 0 z Q O Z (n ~ w W M M WO rn CL z C 3 A " c 0 ~ o Z CD a w D CL 0- ' - 0 m c z CL (D m fi A y A 3 O- O N O O ON A O b 0p O O 09 0 W O (D a O C. Parcel 030-2083-30-000 12/05/2006 11:47 AM PAGE 1 OF 1 Alt. Parcel 36.30.20.706 030 - 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 - CURRAN, ROBERT S & CHARISSA M ROBERT S & CHARISSA M CURRAN 237 RED PINE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 237 RED PINE TR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.270 Plat: 2323-PINE TREE MEADOWS SEC 36 T30N R20W PINE TREE MEADOWS LOT 3 Block/Condo Bldg: LOT 3 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 737/01 2006 SUMMARY Bill Fair Market Value: Assessed with: 170180 230,600 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.270 66,600 133,500 200,100 NO Totals for 2006: General Property 2.270 66,600 133,500 200,100 Woodland 0.000 0 0 Totals for 2005: General Property 2.270 66,600 133,500 200,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 124 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT ►`r'ER , TOWNSHIP, SEC. T N, R W .0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. T_ 3DIVISION_ LOT_,~) LOT SIZE PLAN VIEW -Distances S dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100; FEET OF SYSTEM F -1 I 4 's t 1 I I if s I I ( j t j ! ~ Indicate North;Arrow i F7 SCALE: tPTIC TANK(S) MFGR. CONCRETE STEEL NO. of rings on cover Depth DRY WELL )LXCHES NO. of width length area i no. Of lines width length area ' depth to top of pipe AGREGATE ?.U RATE AREA REQUIRED AREA AS BUILT ►►Sclaimer: The inspection of this system by St. Croix County does not imply complete ,o;pliance 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 Stem operation. However, if failure is noted the County will make every effort to ;itermine cause of failure. ,,EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `INSPECTOR DATED , PLU,fBER ON JOB LICENSE NUMBER x REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM S anitatc. y P enmit O 7 J State Septic_-1- 5_a, NAME V, V ~P~ h~.Q Ci Township 6f. Mkse,~ _St. Cn.a-i.x Coinl tai vC Lo cationISE A/44)-% Section3 (6 Lot # 3 Subdivtision~~e-_~/'C~ JppcOlc~ SEPTIC TANK r. Size ~ ~,%"~•~,t gattanb Numb ex o6 campahtment6 Distance 6nom: Wett Building 12% s ope Highwaten PUMPING CHAMBER Size gatton.&_- _~ump Manu,j e unen Modet Numben_ HOLDING TANK ~ Size gat ones /Numbe "o6 Campa)ttments Pumper - Atat 'System Di.6tance 6AOm: Wett Building 12% b~or~e Highwaten ABSORPTION SITE Bed A., x ( Tteeneh Distance ~&om: Wett 7jBu-i tding 12% S Pape Highwatens ABSORPTION SITE DIMENSIONS Width o6 tneneh 6t Req ui. led area Length o6 each tine Depth o6 noeFz below tifie. <v~ L-~ Number a6 U-ne.5 ? Depth o6 tock oven tite ~,Tatat .length o5 Zinu 6t Depth o4 tite below gnade_ _ (H ~f 4/,'Ltance between tines (2 6t Stope a6 trench in. pe.n 100 Vi-,At ab~sonption area ~ bt Type aj Cove)t: Popen n ~st"caw M PTt 17TMENSIONS C 6 p pits yes A Number o tits GrcaveZ arcaund Outside diameter 6t Depth below inlet Totat absanption area 6t (6 Area tequ~ree bt INSPECTED' BY TITLE fj C_> 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 3 , r Time of Inspection ame, ress, License o,. o ns a Ong Plumber (3 )INSTALLATION CONSISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System (4)BENCHMARK: (Permanent reference Point) 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: 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: E1 1 Rev. 9/78 ' REPORT ON SOIL BORINGS AND PERCOLATION TESTS ~ WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES % C,ITIVF(~ P.O. BOX 309, MADISON, WISCONSIN 53701 I~NNG ES~,tt LOCATION.-If_%,S& Section 36 ,T3_0 N,R~0 (or) p( -Township or Municipality ~ ~AnCi Lot No. Block No. , ,Y'L.~te wee 4'i-d-2; County Subdivision ame Owner's/Buyers Name: e C_ 6 / __16 P 09 A01 12; e,.- Mailing Address: UV c`~•.~ d( .914 & 17- ` .S IS TYPE OF OCCUPANCY: Residence No. of Bedrooms -3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW^ X REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS ~d' gn PERCOLATION TESTS -~0' Oct) NAME OF SOIL MAP UNIT ~7 G~~ SOIL MAP SHEET All PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTE INTERVAL RATE MIN/IN BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- 8" Sec re AIZA O 6 . Jr P- .Z I/T Sec yr o►/o -3 6 ,S P-3 Y'" See- re j o -3 6 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- M 7-5, .2 V SAC . B- e- o' ab" o" S B- If de 46 0 FA6 7 ~s it S „ S _3 59 B- - itLvaG „7`S S 6 "S B- is B- •c3Al~ 7 S ,S 7 2 !S 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 00 D' Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. 4r rA ks1,44le es let 11-1 / \ \ i 41K_ P,4.Pe (orqu4e 51*-ke I \ F-4.-loo, yy /~l OO / ~dd iKt i b 0 ,SYSieN ArefS rc S C&r4 . o,x Ya \ prt -k 0 ti 13 \ ^b Q Z'3 N Sp t 00113 ~tl, 0 0 p * Re.5, e-J s C \ l o~~- J re s t ; e,4 c cs v reAA C 42 1( -'Al e- jro Co/-InC_ 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. / Name (print) •s @ '.SC ~ Certitication No. W1 7- Address 1,4" ' a v 3 Name of installer if known Copy A -Local Authority CST Signature ` State and County State Permit # J PLB 67 v Permit Application County Permit # for Private Domestic Sewage Systems County 1t ~~t c sL- *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER ~O/F PROPERTY Mailing Address: B. LOCATION: :4 '/4 Section T =,_ay N, R%z E (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 Duplex No. of Bedrooms 17 No. of Persons .L:-7 D. SEPTIC TANK CAPACITY jTotal gallons No. of tanks / HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation X, Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area f r"y sq. ft. New X Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length 11 Width /N' Depth a'- Tile depth (top) No. of Lines T Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- i7 z Distance from critical slope WATER SUPPLY: Private N 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 Certified Soil Tester, NAME,., r , C.S.T. # and other information obtained from Plumber's Signature K - MP/MPRSW# Phone # < Plumber's Address - 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. K_ - r7 leG'c', Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State - County Date Permit Issued/Retee+eel(date) 7- -rf C Issuing Agent Name <z_L-~ i~ him; r, t 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