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Parcel 030-1027-30-000 09/25/2006 04:55 PM
PAGE 1 OF 1
Alt. Parcel 06.29.19.106D2 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 - MORRELL, DEAN G & VIRGINIA L
DEAN G & VIRGINIA L MORRELL
1121 37TH ST
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1121 37TH ST
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.300 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R19W SE SE LOT 2 CSM 4/911 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 720/48
07/23/1997 607/610 /
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.300 77,800 159,800 237,600 NO
Totals for 2006:
General Property 2.300 77,800 159,800 237,600
Woodland 0.000 0 0
Totals for 2005:
General Property 2.300 77,800 159,800 237,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 311
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 030-1027-20-000 09/25/2006 04:55 PM
PAGE 1 OF 1
Alt. Parcel 06.29.19.106D1 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 - MORRELL, DEAN G & VIRGINIA L
DEAN G & VIRGINIA L MORRELL
1121 37TH ST
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 1121 37TH ST
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 3.800 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R19W SE SE LOT 1 OF CSM 4/911 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 720/48
07/23/1997 611/322
2006 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.800 59,000 3,100 62,100 NO
Totals for 2006:
General Property 3.800 59,000 3,100 62,100
Woodland 0.000 0 0
Totals for 2005:
General Property 3.800 59,000 3,100 62,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M 208
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
ff• AS BUILT SANITARY SYSTEM REPORT
°R TOT7NSHIP>;SEC.T°2`1 N, RW
j. • ADDRESS 4'L~- , ST. CROIX COJ:~TY, WISCONSIN.
DIVISION LOT LOT SIZE .
PLAN VIEW
Distances b dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
I T I ?
-
-I # i\~ I I I_ I 1
-I ~ i ~ I i _ I- I I
j
/ ~ ' ? 1 1 I -IIT
tj e, -15 P
T 7711-
','TIC TANK(S) e/ ~CONCRETES STEEL Indicate NoAth Annow
SCa2-e
NO. f rings on cover_/ Depth DRY WELL
;-NCHES NO. of - width length area
no. of lines - , width Z ' length r~ area ~j.depth to top of pipe;
3..EGATElj
RATE AREA REQUIRED ' a~>O AREA AS BUILT
;claimer: The inspection of this system by St. Croix County does not imply complete
:ioliance with State Administrative Codes. There are other areas that it is not possible
inspect at this point of construction. St. Croix County assumes no liability for
stun operation. However, if failure is noted the County will make every effort to
-'•-rmine cause of failure.
.ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
''INSPECTOR
DATED PLL';tBER ON JOB - Irv
LICENSE NUriBER a h i?J ~ ~ G 3
♦r
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTE,41
San.i-tany Pe tm i-t _
S.ta.te Sep.t.ic
NAMES Township ST. C&oix County
Location Section
SEPTIC TANK
Size gattons. Numbers o6 Compantmen-tz i
Diztance Fnom: Wett 12% on greaten ztope _ it
Bu.itd.ing it. We.ttand.a
Highwa~en - it.
DISPOSAL SYSTEM
D.ietanee Fnom: Wett it. 12% on greaten 6tope Sz.
Bu.itd.ing 6t. We.ttands Ft-
• H.ighwate, 6t.
FIELD DIMENSIONS:
Width oS• theneh it. Depth of rock below t.ite i _ in.
Length o6 each tine rs. it. Depth o6 rock oven -tile - .in.
Number, o6 tines > Depth o4 t.ite below grade .in.
Tota.C teng.th of Zinez it. Stope o6 tneneh in pen 100 it.
Distance between .tines t. Depth to bednoek
Totat abz onbt.ion area f1_ / jt2 Depth to gn oundwaten
. Requ.ined area it2 Type of Coven: Paper on Straw
PIT DIMENSIONS:
Numb en o~ pits %gvet around p.itzs ye.s no
Outside d.iameten it. P'e:#th below .inZet S .
2
Totat abaonbz.ion area it
A
Axea nequined ~t2
INSPECTED BY, / TITLE
APPROVED 197
DATE
_
REJECTED , DATE 197
d 11,91.
t y~
LA
EH 115 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
- P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATIONS '/a;S~ Section `F ,T N,R~9' (or~(IV~ Township or Municipality I ZI
Lot No. , Block No. County
nr// ~~C Q S Cbdivion Name
Owner's/Buyers Name: lei Si,~`,
Mailing Address: y~ ~S- /y• L-,
TYPE OF OCCUPANCY: Residence X No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW -REPLACEMENT ALTERNATE SYSTEM -OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS 7 /
SOIL MAP SHEET_® ! NAME OF SOIL MAP UNIT
PERCOLATION TESTS
TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM- DEPTH CHARACTER OF SOIL SINCE HOLE HOLE AFTE INTERVAL RATE i'i
MIN/IN!
INCHES THICKNESS IN INCHES OD 1 PERIOD 2 PERIOD 3
BER 1ST WETTED SWELLING IN MINUTES PERI
S-
i
P- -3
IP-
P_
P-
SOIL L BORING TESTS
rTEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,
TEXTURE, MOTTLING AND DEPTH TO BEDROCK
NUMBER INCHES OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES
B " ICtuc- ~l~tJ •t Tic, ,~~G l t
B- C Q > IC i~I i.' ti " U.a..- C7 S,~ f n
PLA 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 pd occupancy ;Z:, , T ,Indicates le or distances.
Give horizontal and vertical reference points. Indicate slope. ~cc />2s-ff3 I t 1776-
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P, AIL- / Q7
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P, the undersigend, hereby certify that the soil tests reported on this fdrm 4ri made by me in accord w A t e roved res an 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.
xL) /
Name (,print) ! c' Certification No.
Address
Name of installer if known ~j-
Copy A - Local Authority CST Signatureu `'n'~ -
LB State and County State Permit #
P67- Permit Application County Per f, #
: for Private Domestic Sewage Systems County A
r*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
1. I De ~Gs e ~t e Q HLk-~56 1~is, 5 0(1,7
B. LOCATION: ,•5j! % S F• Section (p , T,21 N, R-[!V~ (or) & Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township Sf ,~C~6eJ~
C TYPE OF OCCUPANCY: *Commercial *Industrial / *Other (specify) *Variance
Single family C Duplex No. of Bedrooms ^7 No. of Persons a
D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES )j( NO # of Bathrooms
Automatic WasherC YES NO Other (specify)
E. SEPTIC TANK CAPACITY /aD(~ Total gallons No. of tanks /
*Holding tank capacity Total gallons No. of tanks
New Installation X, Addition _ Replacement _ Prefab Concrete X
*Poured in Place Steel Other (specify)
F. EFF&NT DISPOSAL SYSTEM: Percolation Rate 1). 2),-_3) _)VTotal Absorb Area ~4.sq. ft.
New Addition Replacement *Fill System /v~fOd 47't ejaj
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches ON Ar _
Seepage Bed: Length 'j.;L•Width / Dept Tile Depth /.-J-'' No. of Lines 3'
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land 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 Soil Tester,
NAME &,n Rt S C~~lr~S /lam h e✓~ew C.S.T. # v.5 S5% r! and other information
obtained from c 1,-., e,./S, (owner/buil
Plumber's Signature MP/MPRSW# "I P Phone #.j&- -J 7
Plumber's Address FC. 1-4 Me, ti i2f 14(:" )
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H6220, including well). 1
\
~ ~ rc un _Ctoi_e R_ , e Rd, y Male rU), 10- IR "
I
33
01
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316
Do Not Write in Space Below FO DEPARTMENT SE Y j
Fees Paid: State. - jJr!^ County, Date
Date of Application
Permit Issued/RdW-G-f~4 (date) -Issuing Agent Name
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)
Revised Date 6/1 /76
15 Rev. 9/78
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
P.O. BOX 309, MADISON, WISCONSIN 53701
LOCATION: I~ '/4, 4L Section -e ,T _C_ N,132_-7-6 - S~ S L N
(or-) W, Township op-AAow+ei~
Lot No. , Block No.
County ix
Subdivision Name
4Owmer4/Buyers Name: V91 L.. i.._ S
Mailing Address: _ 1%4 6 'S~a Lt_{-t. i)A_TE)Z, # /L.1 ti f
TYPE OF OCCUPANCY: Residence X No. of Bedrooms q COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS _21`1111 $ " L-)-2 PERCOLATION TESTS 11 8/:t"7.
SOIL MAP SHEET W NAME OF SOIL MAP UNIT- I C-91-r
PERCOLATION TESTS
TEST DEPTH CHARACTER HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES
NUM OF SOIL SINCE HOLE HOLE AFTE INTERVAL RATE
BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-i
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- 1 Sc< i i 6 'a'i- Nk L i5 b•_Nlld s' 14720; 'Z6ii dithl,,Y.5111 Z-2.
B- Z 6 t, e b lc'$• C ~ ~z • ~a ~ i iLK t,
B- A rv 2~1 7 6 R t~ i t , 1Z I( Lis
B- Z e- ' I. 5
B- S 43 > ~3 1 . a; NZ'tak Fa . t/ I 3y
IB- -7 9-
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 Indicate scale or distances.
Give horizontal and vertical reference points. Indicate slope. ti+C> i T --jhL_j;~' M i2 - M-)"j &r" Fri IA•
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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 and belief.
T 1. .5 7
'game (paint) 11~ 1?4~i~ I.:r Certification No.
Address 2 L=L1 S4.:0 i~'~71. Lr✓.`SLIOI!
Name of installer if known
CST
Copy A -Local Authority
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