HomeMy WebLinkAbout018-1067-00-100
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Parcel 018-1067-00-100 03/15/2007 01:49 PM
PAGE 1 OF 1
Alt. Parcel 30.29.17.457B 018 - TOWN OF HAMMOND
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 - SAUER, THOMAS & CHRISTINE COBB-
THOMAS & CHRISTINE COBB- SAUER
1515 CTY RD TT
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ` 1486 CTY RD TT
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.740 Plat: 3829-CSM 14/3829
SEC 30 T29N R17W PT NW NW FRL BEING CSM Block/Condo Bldg: LOT 1
14/3829 LOT 1 1.740AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
30-29N-17W NW NW
Notes: Parcel History:
Date Doc # Vol/Page Type
09/01/2000 629220 1539/446 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05/13/2002
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.740 20,800 88,800 109,600 NO
Totals for 2007:
General Property 1.740 20,800 88,800 109,600
Woodland 0.000 0 0
Totals for 2006:
General Property 1.740 20,800 88,800 109,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 09/26/2005 Batch 05-16
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
1
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP LM EC_ T. N R/ 7W
ADDRESS ST. CROIX COUNTY WISCONSIN.
SUBDIVISION , LOT LOT SIZE
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
A 0'
4
I' T- I 5
7~. •
1 ' o.A
di, at e ~ofthj-Ar-,roow
aS i
AL T =
SEPTIC TANK(S) f MFGR.~ Cam. P,,,,,,. CONCRETE STEEL
NO:o rings on cover f Depth
PUMPING CHAMBER SIZE PUMP MFGR. MODEL NO.
GALLONS Per Cycle
TRENCHES NO. of wi t length area
BED NO, of lines 3 width! length area 9.14-
dept two -top of pipe
NUMBER OF SEEPAYE PITS outside diameter total pit area
AGGREGATE
PERK RATE l ~)_S,AREA REQUIRED !2J AREA AS BUILT y 7
Disclaimer: The inspection of this system by St. 1Ctoix 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 T YTEN[
INSPECr -
DATED 7 'tl PLUMBER ON JOB
LICENSE NUMBER `
• AS BUILT SANITARY SYSTEM REPORT
WNER , TOWNSHIP SEC. T No -R , W
0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. T
'3DIVISION , LOT LOT SIZE '
•
PLAN VIEW
-Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
- j
i
4
I A
1
~i
i
i
I
Indicate Northi, Arrow
SCALE :
tPTIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
ANCHES NO. of width length area
no. of lines width length area
depth to top of pipe
aGREGATE
;W, RATE AREA REQUIRED AREA AS BUILT
lisclaimer: The inspection of this system by St. Croix County does not imply complete
.0pliance 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
j5tem operation. However, if failure is noted the County will make every effort to
,itermine cause of failure.
.LEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLUIMBER ON JOB
LICENSE NUMBER
4
RtPORT OF INSPECTIur! INDIVIDUAL SEWAGE SYSTEM
San.itarcy Petm,it
State
NAME i ownah.i.p ST. Cto.ix County
Location Section -
SEPTIC TANK
Size 'r gaEEonz. Numb en v6 Compattmentz i
D.vstanee FAOm: WeU bt. 120 oA gteatet stope it
Bu.itd,ing it. wettands _ ~t•
H.ighwatet it.
DISPOSAL SYSTEM .
Distance FAOm: WeU > it. 120 of gteatet 4tope it.
Bu.iZd-ing it. Wettands Ft.
• H.ighwatet it.
FIELD DIMENSIONS:
Width o6 ttench it. Depth v6 toek betow t,i.Ee .in.
Length o5 each tine it. Depth o6 rock over t.iZe ,in.
NumbeA o6 Zine.5 Depth of t.ite below gtade tin.
Tota.2 °ength o6 Zine/s it. Slope v6 tteneh in pet 100 it.
Distance between Zine.~s - it. Depth to bedrock
Tota.E ab,sotbt.ion atea jt2 Depth to gAOUndwatV, fit.,
2
Requited at e a j t Type vj Covet: Papet ot,Stta
PIT DIMENSIONS:
Numbet o6 ptt~s G .ave.- around pity yeas no
Outside d.iameteA it. -D-epth below .inlet
2
Total dab,6oAbtion area it nz
2
AAea tequkAed- 6t
INSPECTS-D BY TITL,.E
APPROVED DATE
.
REJECTED w,. DATE 197.
c, y
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
z P.O. BOX 309
MADISON, WISCONSIN 53701
~REPORT ON SOIL BORINGS AND PERCOLATION TES JS
LOCATION: ktol L yil-, Section3"0, T~ieN, R L1t(or)QTownship or Municipality *1 aM-
Lot No. , Block No. County X
ivision Name
~r
Owner's Name: 6111-e 606^y
Mailing Address: e Q f1 13
TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
SOIL BORINGS !?-x-"71 PERCOLATION TESTS
DATES OBSERVATIONS MADE:
SOIL MAP SHEET ~d SOILTYPE X CA 4MerY ~B*/-"L
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
r' e Pia re At& )12-- S_ 6/ l
- to
P 2 _ee re A /1v S 312- 3 3/
'90 r 4'4 /A 2,
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)
B- ".-le
t C~+?.CC EEC 8 ~C l -S/C 6S-r( _5
B Z lam- ? ~S"" S~ Y
B- _3 Akwe_ '7 t96 st 5-
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. 4?/ Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
6
~ I X36' I 1
i ~ I ~ m I ~ t
F-4--
j
I I I ~ I c
RS4 '7 t
7 f
_/,q _
I I I
) ~ ~ I
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) t J e' Certification No.
Address
Name of installer if known
CST Signature
COPY A -LOCAL AUTHORITY
PLB67 State and County State Permit # for Private
Permit Application County Per # Z'
Domestic Sewage Systems County's
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: bt! '/4 /lc.-_ Section c-; , T,2~ N, R/-7 C (or) (W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# _ Village
Township ' Awoc
C. TYPE-0 F OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X Duplex No. of Bedrooms -3 No. of Persons -3
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder- YES X NO # of Bathrooms
Automatic Washer _X YES NO Other (specify)
F. SEPTIC TANK CAPACITY ~~MCC, Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition Replacement- X Prefab Concrete X
'Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) -5- 2) / 3) .S'Total Absorb Area ! / -,2L sq. ft.
?Jew- Addition Replacement X_ *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width 1.P Depth Tile Depth 7C- No. of Lines -3
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land `?o s-=L,- )',i „ t, Distance from critical slope
V e "q 4,-e"9
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 T,ejster,
NAME C.S.T. `/SYl9-and other information
obtained from 6; r C, C`r`ll `S (owner Olelerl.
Plumber's Signature r~ MP/MPRSW# Phone
Plumber's Address
PLAN VIEW: Provid- sketch below of system (include direction of slope and all distances in accord with
H62.20, including well). 7 /
A/O ~G`,Q //,L~t` PS t f •a c C{c ei) 7/ e
/Y
f
,c/e J Em's G- Res. ne
p a l~ s~ ,e,
YI- I
L~isM~t F/.,
Do Not Write in Space Below FOR DEPARTMENT USE ONLY
Date of Application Fees Paid: State Count - --Date '
Permit Issued/Rojes#ad- (date')A -/l / _Issuing Agent Name l I
Inspection Yes__/~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) -