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HomeMy WebLinkAbout030-2041-20-100 0 N 0 y O c d f o m ( CD K v n m 3 m f 3 n 1 O N N Co C n OW 'i "Ift • 1~,7 O c N co Q L W O (v~ C) iCo 3. Z O O O N O O O N N Q - ON A O 7 O 63 O Ci N O O h N O ro (D M O 7 O N CD d CCD ° D o a (Iv (D W Q O O C7 Q lot N co co 2 n r N c N o c 'fir Q a_ lrra n 00 N z O O O cn N N N N o o 3 3 D o 0 '0 o T m m rn ps o w (D 7 a W IO O fD O N W N a Z W z O - D CD O n m O Q o T ~ tl+l co p H e -o N c c O N CD N CJ Q Z _ O O -i N ui O 'G' Z c ~ .Z7 pnj Q A Z O (O. W - m o cN a j z °o r' Cn PQ N m Cp Z7 ~D A W N n CD ~o o D p a CD c - rn m . = 0 (D CC) N O Q C O N X. Z W ~ N O d N j CG O U CO N X CD Cl) rn n t. a N CD 7 Q 7~ CD O M. Q FD. Q n N O ~ O O CD w 69 O O O C W C) (D 0 : } Parcel 030-2041-20-100 02/09/2007 04:30 PM PAGE 1 OF 1 Alt. Parcel 25.30.20.492D-10 030 - 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 - MILLER, SAMUEL L SAMUEL L MILLER C - SCHMINKY MIGNON M SCHMINKY MIGNON M 1314CTYRDV HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description 1314 CTY RD V SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 4.060 Plat: 4223-CSM 15/4223 SEC 25 T30N R20W SE SE FORMERLY LOT 1, 2 Block/Condo Bldg: LOT 5 & 4 CSM 6/1705 NKA LOT 5 CSM 15/4223 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 25-30N-20W SE SE Notes: Parcel History: Date Doc # Vol/Page Type 05/07/2002 678246 1885/444 WD 07/23/1997 797/619 07/23/1997 656/84 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.060 111,600 134,300 245,900 NO Totals for 2007: General Property 4.060 111,600 134,300 245,900 Woodland 0.000 0 0 Totals for 2006: General Property 4.060 111,600 134,300 245,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 215 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 C0114MERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 Cj:: w 16io@ r,UL 4>T. CROIX COUNTY RFPORT DATE: 2/24/92 COURTHOUSE DATE RECEIVERS 2/20/'r,! 1UP,SCN WT 54016 ...OCATIONS 1314 Cty Rd. V, Hudson COLLECTOR. M. Jenkins DATE COLLECTED! 2-16-92 TIi£ COLLECTED: 3:00pm I 1j, ATI ANALYZLD22200pm :-;i-IFORM: 0 /100 ml INTERPRETATIONS BacterioLogicaiLy SAFE 9 iNITRATE--NS i pp-"n Above 1i ppm exceeds the roc ftmended Pubiic L?r i rrL; i ng later Standard. 1 CoLiform Bacteria/100 ml 1 Nitrate-Nitrogen, mg/L t 9 ~o tin N 3 Cr O N LAB TECHNICIANS Pam Gane ~'.OF.NDEOFNpFH C7 o? ~p 'wI Approved Lab No. 19 Zia 5~ Me.3ns "LESS THAN" Detectable Level, Approved t • . I o PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIIL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING FEE:$ 25.00 y (For nitrates and coliform bacteria) WATER TESTING FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAME: ~G_ PROPERTY OWNERS ADDRESS: / 12 V CITY: Legal Description 1/4, .1/4, Sec. T-~L_N-R c- W, Town of Lot: No. 5 ,Subdivision f r S `7G' FIRE NO.~, LOCK BOX Color of houser Realty sign? Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. q ~ Firm or individual requesting services: Telephone No. REPORT TO BE SENT TO:, - - f 21 i~ y - CLOSING DATE:,.,/ Signature:_ j . e AS BUILT SANITARY SYSTEM REPORT ~OtItV E R ' ADDRESS 4 ~,1 0 r TOWNSHIP - SEC. T N, R W ST. CROIXX C- Ty WISCONSIN. SUBDIVISION LOT LOT SIZE _ PLAN VIEW r ✓kl , ~ 6 Distances & dimensions to meet requirements of H62~6~~~'~ SNOW EVERYTHING WITHIN 100 FEET OF SY„STO 1 ~ s ey is 1 r ~L 77= 7= 4 I di~ae v th Arrow SEPTIC TANK(S) MFGR. CONCRETE STEEL N0. o_ rings on cover Depth PUMPING CHAMBER SIZE PUMP MF(;R. `-MODFL NO. GALLONS Per Cycle TRENCHES NO. Of width length area BED NO. of lines width f , length area dep-tai -to toP o pipe ; ; - NUMBER OF SEEPAGE PITS Outside iameter total pit area AGGREGATE PERK RATE RE REQUIRED AREA AS BUILT '-,f Disclaimer: The inspection of this system by St. Ctoix County does not imply complete compliance with State Administrative Codes. There are other areas thi 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 SSYTEM. INSPECTOR DATED~~;r r _1z" PLUMBER ON JOBS-,~ LICENSE NUMBER 7 ;j~ A( 6 REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM /O- 24- ' Sanitary Permit State Septic NAME TOWNSHIP w.~ ~„~dS~1!7~L. Croix County LOCATION S _%54f Sectionp7j0, Lot # Subdivision SEPTIC TANK / f Size gallons Number f co rtments Distance from: Well ilding 12% slope - Highwa ems` PUMPING CHAMBER Size__- gallons Pum 7MaAufac/tu er Model Number HOLDING TANK Size gallons N ber ofI / Compartments Pumper Alarm System Distance from: Well Building 1.2% slope Highwater ABSORPTION SIT/I Bed Trench Distance from: Well / 'n Building - 127, slope Highwater ABSORP`t'LON SITE DIMENSIONS Width of trench ft Required area ft, Length of each line ft Depth of rock below tile Number of lines Depth of rock over the in. Total length of lines ft Depth of tile below grade `a-in Distance between lines ft Slope of trench in. 1)er 100 ft Total absort p tton area - ft Type of Cover: i-) IT DIMENSIONS Number of pits_ - Cravel aro" iid pits yes no - Outside diameter ft D th he ow inlet ft Total absorption area 13"t Area required ft INSPECTED BY T IT 1, E APPROVED DATE-- - - -.19 REJECTED" DATF. 198 REASON FOR REJECTION State Permit # State and County w Permit Application County Permit # FLB 67 1 County for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: r )9,40/,0 L %/df~-Sl ~vi'7 ~ E (or) 6 Lot# City B. LOCATION: -5-4' '/4 , 4G 1/4, Section , T„ t! N, R,&V Subdivision Name, nearest road, lake or landmark Blk# Village Cii~ •~~~t:is% Township Other (specify) .Variance C. TYPE OF OCCUPANCY: .Commercial .Industrial Single family- Duplex No. of BedroomsNo. of Persons G D. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Poured-in-Place Steel Fiberglass Other (specify) Prefab concrete New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) EFFLUENT DISPOSAL SYSTEM: Percolation Rate a Total Absorb Area sq. ft. E. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches- Seepage Bed: -Length _~Width~_Depth 4~ 4f Tile depth (top)~- Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private I)d Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: 1, 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, I5 YS NAME n2/IlN/S'jfZ/S%C?Pif- Sel iv' _C.S.T. # and other information obtained from -//v,OST/?G'~''% - ( ner uilder). r Plumber's Signature A~[i~ :Y~~MP/MPRSW# L Phone # 2/-t,-- - 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. i j . t r i aN .P . m • _ Do Not Write in Space Below / FOR COUNTY AND STATE DEPARTMENT USE eONLY Date of Application LG 46 's/ Fees Paid: State Co nt Da Permit Issued/Rejeeted (date) Z-102' E 4V Issuing Agent Name State Valid# Date Recd Inspection Yes_~____No 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 EH ! "1 1 5 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICE • ' P.O. BOX 309, MADISON, WISCONSIN 53701 1_/ ~i~ Co LOCATION-t-5%-5 %-54 Section' T QQ N,R 4j (or~l Township or Municipality C, ico; Lot No. ,Block No. County /"d, / ,Subdivision Name 0 Owner's/Buyers Name: tv l•~v "-I Mailing Address: S_VOljl~ TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS - PERCOLATIO TESTS SOIL MAP SHEET NAME OF SOIL MAP UNIT2q 13 ~`e~d~ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TESTTIME DROP IN WATER LEVEL, INCHES NUM- SINCE HOLE HOLE AFTE INTERVAL RATE BER INCHES THICKNESS IN INCHES 1STWETTED SWELLING INMINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN,"IN P I ~S e 9 0,r F P-a sew are ~ ~ 10 P- P- P- L k-' SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK j OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- 16•' SAC B- ~L~QS+( y~ © + fr l~ !f 7 B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the lan_lhe loca on and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy Sac elp. a i ,Jndic to scale or distances. Give horizontal and vertical reference points. Indicate slope. ~Su,-/;ss/,~ ~L~/'1 ._m A 64 --160 rap 0,'C r5l. 1(r 50 4VIK ow doe /_-off e 3 r 3f~ - Fr - 1, 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 aryls belief. Name (print, t rlzo-,i S16 Cert ification No. Address L> .r 1'oti . ~f .Name of ~nstaller if known Copy A - Local Authority CST Signature r t !t e 'vt s j } . 10 r- f" 1 ~ a 0 r J ~ J Parcel 030-2040-90-000 02/09/2007 11:12 AM • PAGE 1 OF 1 Alt. Parcel 25.30.20.492A 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 - LINDSTROM, RANDY J RANDY J LINDSTROM 292 130TH AVE 2 , HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary / 16/ 1/1 / K Type Dist # Description * 292 130TH AVE SC 2611 HUDSON y~ T SP 1700 WITC / fy I. - J _ r Legal Description: Acres: 5.000 :Plat: N/A-NOT AVAILABLE SEC 25 T30N R20W E 1/2 S 1/2 OF S 1/2 OF Block/Condo Bldg: SE 1/4 SE 1/4 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 25-30N-20W 1 Notes: , Parcel History: Date Doc # Vol/Page Type 1 01/03/2002 667123 68, QC 07/23/1997 732/ 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 129,600 212,900 342,500 NO Totals for 2007: General Property 5.000 129,600 212,900 342,500 Woodland 0.000 0 0 Totals for 2006: General Property 5.000 129,600 212,900 342,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 204 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00