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Parcel 030-1027-95-000 09/25/2006 10:06 AM
PAGE 1 OF 1
Alt. Parcel 06.29.19.106K 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
JON E LAPP O - LAPP, JON E
396 TROUT BROOK TR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description 396 TROUT BROOK TR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 4.400 Plat: N/A-NOT AVAILABLE
SEC 6 T29N R1 9W SE SE LOT 3 CSM 1/249 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
06-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
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 4.400 114,200 55,300 169,500 NO
Totals for 2006:
General Property 4.400 114,200 55,300 169,500
Woodland 0.000 0 0
Totals for 2005:
General Property 4.400 114,200 55,300 169,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 213
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT Sl'NITARY SYSTEM REPORT
%MR TOWNSHIP SEC. T~ N, R W
0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
- BDIVISION , LOT LOT SIZE"
PLAN VIEW
Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
I
71
f Indicate North Arrow
SCALt:
,tPTIC TANK(S) MFGR. i CONCRETE~_ STEEL
NO. of rings on cover ' Depth DRY WELL
RANCHES NO. of width length area
no. of lines width length area
depth to top of pipe
RGREGATE r
Pf~r RATE AREA REQUIRED AREA AS BUILT
Js,Ciaimer: 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
~o inspect at this point of construction. St. Croix County assumes no liability for
IStem operation. However, if failure is noted the County will make every effort to
1~~ermine cause of failure.
,(EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
-'INSPECTOR
DATED
~ - PLU:ffiER ON JOB
LICENSE NUMBER
z{
P, PORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM
1
Sanitary Penm-i.-t 1~-24~'
State S P p c , ~-'s
NAME fown.bhip St. Croix County
Location Section
l_V
SEPTIC TANK -
G
Size a" gattonz. Numb e& o Compantmentz J r
Dczanee Ftcam: wet2 fit. 120 on gneaten z2ape
Bu.itd,ing~it. Wettands_ ~ .
- Highwa.ten ~ it.
DISPOSAL SYSTEM '
D.i.btance. Fhom: WeZt SA- 12% an gneatet Zope it.
Bu.i.Ld.ing 34, it. wetZands Ft.
Nxghwaten it.
FIELD DIMENSIONS:
Width o6 trench /v it. Depth o6 rock below tite .in.
`i
170 Length o6 each Zine 4c Z/ it. Depth o4 rock oven Cite Z .in.
D
Number o6 tine.6 3 Depth of t.ite beZow grade 3 L .in.
TotaZ .length o6 t ine~sl y 2. it. Scope of .tneneh .in pen 100 it.
Distance between tinez it. Depth to bedrock it.
Tota.- abs or-Lbt,ion aAea ~Jbt2 Depth to gnaundwateA it.
2 -
Requined area ~t Type of Cove&: Paper on StrLaw
PIT DIMENSIONS:
Numbers o6 pits Gnavet around pitz yes no
Outside d.Lameten /b Depth b eZow intet it.
2
TotaZ abz anbtibn a&ea it
Area nequined it2 n'
r
l ,
INSPECTED BYE-- TITLE
~ of
APPRO V E~% DATES ' 1974,
DATE 1R7 -
REJECTED
I
i
F
EH 1-1 5
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: -SC Y4, 75~ /4, Section ~K Te 1N, R ~ b (or~Township or Municipality
Lot No. Block No. 'c .2!t 3.33/fS- ycl ,2 tip d t County elc,,`x
O Subdivision Name
Owner's Name: Z 4 t~ovP / J
Mailing Address: y,p C [✓~4r / ye, 4, 7?/ #~EL~ IiYC+O art /c v /t'la'.u.u S `~~?C~
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS-~-7? PERCOLATION TESTS -
SOIL MAP SHEET SOIL TYPE
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 MIN/IN
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- it
I
3E Se A-" 4 1-4 -,2 / o .3 C) / 3 7
P-_3 3~ Se U %E'r P A /vo 3 / / 3 G
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST { [y(DEPTH TO BEDROCK IF OBSERVED)
B- ~&N
/Vcw
Z, 2,2
B- ..3 ! /LdC~l L 7 ' ~ "7`~ ,~C`[ /,lvY ~ ~c y" Ste: L` ca+t~Ae- S,4
1q, L
B- 7
c~ islc~,cZ 7 .2c [~yL C'c S4
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 nu r of square feet of absorption area
needed for building type and occupancy. 4 ?yc S - ALe_ 19 dicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
6
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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) Certification No.
Address
Name of installer if known
CST Sign atur x_..41
16
State Permit # 5~43
PLB 6 7 State and County
Permit Application County Per t # . L
- 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:
B. LOCATION: [F '/a 5 Section T,.gyN, R1~ E (or) & Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township j `.,TyL-=
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. SEPTIC TANK CAPACITY Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete Poured-in-Place Steel Fiberglass Other (specify)
New Installation Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate.4i~ ' Y '34Cs Total Absorb Area l-~ y~ sq. ft.
New X, Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: -k Length X' idth-4r~ Depth 3t,` Tile depth (top) 1 ~ No. of Lines
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Jig 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 C.S.T. # 7 5 -/Y9 f and other information
obtained from L ( ne builder). .4 go Plumber's Signature MP/MPRSW# -3-ZC"; Phone #.2z5
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
A property. If well has not been drilled please indicate.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE NLY
Date of Application Fees Paid: Statef 0,0() County
~Z Dal
Permit Issued/RMUCTLrd (date) Issuing Agent Name
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