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Home My WebLink About030-2051-60-000 0(n 0 g T 0 v ~1 o o m v m o CD v i 3 m A fD 3 = ~ ` 1 3 O v m n lhnp o ~ p< C v C • y Q a In C4 N J N O W 10 (L] =3 (D O O O ^ C) 0 ° Lr_ W N ~ ° O m 1> CD (D a 0 m a O QJ 3 ~1 Jo o o "404 (D co co 0 N .°r. T z 0 0 0 cn cn c/) C) 3. o O O N (D O O ~ (D y' O O Gl 'C ~ O O d N N ~ d O O 2 N zco z ° O ° ~ v o D ° 0 FD "ad CD Co ~ N (D w C O N (D (D W d fl ~ 7 z (n O ? Z M D C s _ m A Z O Q 0 O o co w m o CL Z A .Z7 O Z N D (D A W N O (D co D 3 N j N Cl j S _ J' a O N 0 T 7 CO C O "O Z C C) -0 O (D E O O N (O D N n (D I O p ~ y 7C ~l < (D W S 7 (D O O O (n 7 N d N rz D 0-0 a aa= 0o vOi ~ N X Q oc N CY) C r a a Q Z N 0 5j a o O jA O ~ O a V Parcel 030-2051-60-000 05/02/2005 05:12 PM PAGE 1 OF 1 Alt. Parcel 27.30.20.519 030 - 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): * = Current Owner * KAMPMEYER, JULIE M JULIE M KAMPMEYER WELCHLIN GREG C WELCHLIN GREG C 30 RAINBOW ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 30 RAINBOW ST SC 2611 SCH D OF HUDSON' SP 1700 WITC Legal Descr' on: Acresr 0.410 Plat: 2111-HOULTON SEC 27 T30 W LOT 4 BLK 1 SST'' Block/Condo Bldg: 1 LOT 4 LOT 5 VIL HOULTO Tract(s): (Sec-Twn-Rng 40 1 /4 1§0 1/4). 27-30N-20W- Notes: Parcel History: Date Doc # Vol/Page Type 10/03/2003 742469 2427/642 WD 05/14/2003 721382 2240/547 WD 10/29/1999 612920 1466/614 WD 03/02/1998 574161 1301/485 LC more... 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6148 132,100 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.410 50,000 80,000 130,000 NO Totals for 2004: General Property 0.410 50,000 80,000 130,000 Woodland 0.000 0 0 Totals for 2003: General Property 0.410 23,000 69,900 92,900 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 Parcel 030-2051-60-000 02/28/2005 12:02 PM PAGE 1 OF 1 Alt. Parcel M 27.30.20.519 030 - 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): = Current Owner " KAMPMEYER, JULIE M JULIE M KAMPMEYER WELCHLIN GREG C WELCHLIN GREG C 30 RAINBOW ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 30 RAINBOW ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.410 Plat: 2111-HOULTON SEC 27 T30N R20W LOT 4 BLK 1 & E 8 FT Block/Condo Bldg: 1 LOT 4 LOT 5 VIL HOULTON Tract(s): (Sec-Twn-Rng 401/4 1601/4) 27-30N-20W Notes: Parcel History: (7 T J -7 Date Doc # Vol/Page Type 10/03/2003 742469 2427/642 WD 05/14/2003 721382 2240/547 WD 10/29/1999 612920 1466/614 WD 03/02/1998 574161 1301/485 LC more... 2004 SUMMARY Bill Fair Market Value: Assessed with: 6148 132,100 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.410 50,000 80,000 130,000 NO Totals for 2004: General Property 0.410 50,000 80,000 130,000 Woodland 0.000 0 0 Totals for 2003: General Property 0.410 23,000 69,900 92,900 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 6 58 0 2 LOT co 579,E ,,,M 3 Q o D 45h _ C. _ S. 8/ 2 3 53 4 5 78 (a~A 5 a 3 1.a~\0 57 7 c i 51O F -10 51 OF ~~7 6 2 BP 5 76 I 1 330 H/LLTOP -5I0 E LA - M 57~11i M i" 274.30 25510 V , - \ LOT 2 LOT 3 y 51O R 5'74 /8 -r i + to 510S M O - VERNMENT ' ! 573 X66 \ I wo 2` ~L QP~ LOT 2 r 57 . 1 12 11 570B LOT 4 oQ• / i~yti 510C \ Q co Lo 570A 510 T oQ d 510 A (D L 1 ~ v 1 u~ U-) 510 B 569 - / iso^ 9a' 'I!~ya\o 510 D . gF;g 4s' ss~ 66 '7- 7 5 e 3 2 I Q ~a r 6~ !n B O GK cD t V► W O - 4 N ~ ► K? N 'n Lol ,n `n / 5 93 'B LO,, a ~ i 523A 3R D32gt41 i RA/NBOW ST. - Z 531 ~2 \ wn 2~3C t 592 / W _J-Y E 1 530 77 raw Y 524 TRUNK 127.47 co 5 4GS M~ 545 B BLOCK 2 591, f' 549 3/850 U7"y 1529C a~ 1 _ 545A 5 .590 BLO8 7 , ' 297 t 6 3 2 N 525 551 550 547 546 - ~n N B u~ wo 6 1 a, 9/2549 I 32. n 4 ALLEY - a _CHURCH _ ST. 1232 / 348 346 8 544 B ; 597 ~ 59, ^5 L . 1 :538 53;7{3 53 544 A ,accFr miAe A ' U 553 2 543 559 ~w g t ~3v j' 59 ZAP M \,I- rckl AS BUILT SANITARY SYSTEM REPORT i y OWNER _ G yLTOWNSHIP SEC. T N, R W ADDRESS ST. CROIX COUNTY WISCONSIN. << SUBDIVISION LOT LOT SIZE PLAN VIEW Distnnces & dimensions to meet requirements of H62,20 SNOW EVERYTHING WITHIN 100 FEET OF SYSTEM r. r - y T r ~ = ~ ti/ /1 S n s .P ~L I d-i~,-ale oath Arrow + I ' SCALE : C1' I J i i I BENCHMARK: (Permanent reference Point) Describe: L•> Elevation of vertical reference point: ioo Slope at site: 5 SEPTIC TANK: Manufacturer: 'Z° a7 Liquid Capacity: Number of rings on cover Tank manhole cover elevation:_LC~,L_ _ Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set or a cycle gallon total capacity of distribution lines gallon: size of pump head; gallon per minute horsepower and name of pump and model number Type of warning device r eti HOLDING TANK: Manufacturer tuber of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number o pits feet diameter ` feet liquid dept seepage pit in eetpipe-elevation 1 l bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines width 1'26 lefigtht e/ tile depth-y-IZ! SEEPAGE TRENCH: width length PERCOLATION RATE) AREA REQUIRED~~ AREA AS BUILT il°i ':`L INSPECTOR DATED4.~ l I PLUMBER ON JOB LICENSE NUMBER k 1 y REPORT OF INSPECTION - INDIVI"DUAL SLWAGL SYSTEM Sav(I(:-talcif Pe~mi t S t a t Sep ti/ - oe3 .1 NAME Town 6 htip_-S,tCna.f,x Couaty Location Sec, sn- _Lot # Subdk,_vi_~ c-an SEPTIC TANK r Size ga lfIon6 Nu-mberc oo compalttmen,tA - Dti6tance- ()tcom: Wee 13uti~d,(_a-g 120 ~~-ape Higha) aten PUMPING CHAMBER Size. -gat Eovtb _ Pump Maviu(I ae.tun.eh Mode- Numbe li HOLDING TANK Size.- ga~eons NumboL of Campan finea ~ Pumped AZa,,cm Sybfiem Dl.btaace ()ham: W(? - Bui dda.g_ - - 12' ~.Qape H~.ghwate-h ABSORPTION SITE i lied Ttcene6L DtiAtanee 0110"1: Wcfe 12o Htighwa-te.h ABSORPTION SITE DIMENSIONS Width of .the.neh. / S_ - t Requ4"~i d ah-(?.a --~I. Le-agth o f each t.tiae _ t Depth oo Hock beeow ;tike. Numbers oo ~Evr-eb 3 Depth a() naeFz avers- tile-Zvi "jo tai length o o fl(ae_a ~t Depth. o o tif.e" betow gn.ade ~ - i vy ot -Ti/stance be-tweea- e.,cvtv6 ~t S,Cope o(j ;theach-_ Z7- tia-. peh 100 ~t 1 °fia a~ ab5ohpttion area ~t Type o6 Cove.h: Papers u A tli.aw PIT DIMENSIONS Number o(j pit,5 Gn"aver around pith yeb_- au Ou-tbtide d~amet_e.A- fi=t Depth beP_aw Tota,e ab6ohption area {t ~ Ahea !requ.~ - -6 t ~ INSPECTED 6V TITLE APPiZOVED 476 1,7 DATE 19 8 REJECTED DATE 19 n REASON FOR REJECTION State and County State Permit # 1613 PLB 67 Permit Application County Permi # - for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: 1 ZLE 1~141fii L/AIZ B. LOCATION: S4-: A1412%, Section .42, T_ZCN, R-2&$ E (or) (0 Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township S„%i6 e?rr C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY /Ow Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Xi Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement X Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate&,,~ WEjLIE5otal Absorb Area 5 sq. ft 1 New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed:__ ~ Length Width IV Depth Tile depth (top) No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land- Distance from critical slope WATER SUPPLY: Private X 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 5 EffC.S.T. # ~Sf~rfand other information obtained from Ar 1 (owner/builder). _ Plumber's Signature - MP SW# Phone #713 - SAS 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. t , F E F I f k . Q, . . ..,,a e e . . . , .ate a ,.q. . s m - e n ...P a -,.e, , . ..e. _ y E F i , ..ee _ a... e...... .a, . e A } « .A.. j r Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of Application Fees Paid: State Couate - ~ Permit Issued/RrjecTM (date) J`~C Of Issuing Agent Name Inspection Ye,_,~ No State Valid# Date Rec'd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 Eli- 115'Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES r . P.O. BOX 309, MADISON, WISCONSIN 53701 n l / LOCATION/ '/4,~~/4, Sectior>??, LP_N,I"b2__2_8 (or(i;~Township or Municipality ' << Lot No. , Block No. County J7/1 I St division Name e A41 it- Owner's/Buyers Name: / Mailing Address: TYPE OF OCCUPANCY: Residence No. of Bedrooms COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW REPPLACEMENTXALTERNATE SYSTEM pO.THER DATES OBSERVATIONS MADE: SOIL BORINGS to _~3 -P PERCOLATION TESTS CLZ'~~`O ` SOIL MAP SHEET 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 MIN/i` BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- Are- a-- .Z ` Sew f Z A10- S O P- y SV # See Age / 02 o 30 /X( 3 02 30 Z 4.1y, A10 P_ 31 e- 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- A4xv e- 7 7 •r~ JIV tr s 249 4 t-6,.- .H ICJ B_ Z 1761, St 1( S-+- 6,- y- 4o 10460 ;7 .21Y St 6,- 4- B- B- B- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Clr L~ Indicate number of square feet of absorption area needed for building type and occupancy 7 Indicate scale or distances. Give horizontal and vertica` reference points. Indicate slope. > •~.`I!'J /9~`~`A /tom SC /cam - ►~f Gr! S~ ts~i /4 s .~'w i ~jore~ D 3 l3~- t i~• o o C ce.-4c4d sad St A e u, X fN arAlm Fie l1 F~ l`•~,S ~ ~Ac eH, ~.v /fi eA rs_ a_ tj ell s ~ LED ~ a S~~ ~ ~ C ~Y r~ ~ X6 y X 77/ hAj Ml grzt f cos ,~r N / /,O r D~ fir. M f ~ "z i`.IM;u ~A•U A/9 I, the undersigend, hereby certify t at 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. Sys - Z& 14 Address Name of installer if known Copy A - Local Authority CS' 5ionatL r a Y v C16"6 r' I I I SJ loo L~~ L C~C/tC L ~Yr~/~✓ 'j-)es rely Ado PC3N --5X-1t1i 17- SiiLv