HomeMy WebLinkAbout030-1030-20-000
c y O 3~ n d
m c O
f tD ~1
2 0 m •
3 l ,
3
O N `C r;• ~o 04 Cc,
n 4=i N N O
Af Carl
D) CD O O (D O N (OD Co-
CD d. d d E N - 1 N L., O w'h A
N co
co N CD w
(D W
O
C) 0O.(D O o N 0111
° c CD
° o ~1
8 O O
7 N (D ° Mr.
° O
03 m A G) o O
C D C a°
5 N N N O. CD
=
CD co c C c
L • • W 00 N ~1
co w
CD -4 `4 0 r, cn
N co (D (CD U C C
= I ~ ~r
tr.
s:p * * *cnz aQ
E D
3 c,
CD CD
(D N l~~iil
0 ' R. (D O
lV
N < 3 00
D' (D
z I
N
O D a o 0
m ID m
i7 ADO vi !►1
m w ry
c m CD
w CL
O D O I' A Z ((DD
O A Z O
v a F!
a
Co-0
rL z
0 3 X
3 - o
z
m a
w ~
D
CL
I a ~
0
Z) T
W C
7
o a '
(N
m
0.
co~
b
I ~
Z
a
N
C',
N
O
O
a
A
O O
N O
C)
Parcel 030-1030-20-000 09/26/2006 09:54 AM
PAGE 1 OF 1
Alt. Parcel 07.29.19.109D 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 - ROYCE, TRUMAN CHARLES & CYNTHIA
TRUMAN CHARLES & CYNTHIA ROYCE
1099 GOLDEN OAKS DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1099 GOLDEN OAKS DR
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 5.050 Plat: N/A-NOT AVAILABLE
SEC 7 T29N R19W SE SW OF SEC 6 & NE NW Block/Condo Bldg:
OF SEC 7 LOT 25 OF CSM 1/87
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 745/372
07/23/1997 745/194
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 5.050 100,100 162,800 262,900 NO
Totals for 2006:
General Property 5.050 100,100 162,800 262,900
Woodland 0.000 0 0
Totals for 2005:
General Property 5.050 100,100 162,800 262,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 222
Specials:
User Special Code Category Amount
I
Special Assessments Special Charges Delinquent Charges
0.00 0.00
Total 0.00
• AS BUILT SANITARY SYSTEM REPORT
wER , TOWNSHIP SEC. T N, R W
.0. ADDRESS , ST. CROIX COUNTY, WISCONSIN.
_'3DIsISION
LOT LOT SIZE
PLAN VIEW
-Distances S dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~ I
i I
! f l~ I i j
r
j
Indicate North; Arrow
1 SCALE_:_
tPTIC TANK(S) MFGR. CONCRETE STEEL
NO. of rings on cover Depth DRY WELL
:r'.NCHES NO. of width length area
no. of lines width length area '
depth to top of pipe
aGREGATE
'VK RATE AREA REQUIRED AREA AS BUILT
i,Sciaimer: The inspection of this system by St. Croix County does not imply complete
,oipliance 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
43tem operation. However, if failure is noted the County will make every effort to
.jtermine cause of failure.
,TEASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLUMBER ON JOB
LICENSE NUMBER
Z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitahy Penm,i,t `
State Sep.tic~
NAME i ownship St. CAa
%x County
Location Section
SEPTIC TANK
Size ga.tton6. Number o6 CompaAtment6
Diztance FAom: WeU j it. 12% on gAeateA 4tope J It
Bu.itd:i.ng- f It. Wettand~5 It.
HighwateA fit.
DISPOSAL SYSTEM
D.i.stanee Pnom: Wett - It. 12% on gtea_teA 4tope It.
.47"/
Buitd.ing 0 It. Wettands Ft.
H.ighwateA It.
FIELD DIMENSIONS:
Width oI tn,ench 't. Depth of Aock below t,ite /,Z_in.
Length c6 each tine (J' It. Depth o6 Aoc.k oven tite -in.
NumbeA o6 2ivte~5 Depth o6 tite below grade in.
TotaZ Length o6 t.ine.s It. Stope o6 tAeneh in peA 100 6t.
D.iztance between tinez fit. Depth to bedAock - ~ .
Total ab~ oAbticn a,tea' / _G
`7` D ~ 2 Depth to gAc undwa,teA
Requited o_Aea - / ~t2 Type o6 Coven: ~apeA oA Sttcaw
PIT DIMENSIONS:
NumbeA o6 pit-6 GAavet around p.;-t5 ye.5 no
Outside d.i_ameteA 6t. Depth be.iow inlet It.
Total ab.scnb x'--i vc a,tea__ 2, z
AAea e q u d_r bt2 rn
INSPECTED B% C~ TLE - 4
APPROVED DATE
REJECTED DATE 197`
EH, 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
S• REPORT ON SOIL BORINGS AND PERCOLATION TESTS _
LOCATION:A~/~-_'/4,"/,, Section _77_, T'N, R 1 0 (or) W, Township or Municipality ST~ ~Jh
Lot No. , Block No. , - County r CL r C% Ix
C Subdivision Name
Owner's Name: 1 F~
~~IC~LZ
Mailing Address: C~ e,,, ) b c? Rioe-f fk%kks
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS W/• PERCOLATION TESTS e-/ ly '7 -7
SOIL MAP SHEET C_ /r _5F' - Sn I L TYPE A V1 S f•.'1 c_~
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
P- j
^n
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
VUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
+r 1 r
I Ll
i B_ 3
J
AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.
Jicate on the plan the location and square feet of suitable arias. Jadicj~t umber of square fees „ ;;uso,,h ior: a , a
needed for building type and occupancy. t[~ Z11,-) Indicate scale
Di" distances. Give horizontal and vertical reference points. Indicate slope.
t
r ~ I
Arc", Z4r
lei
' ril
~14
j I
C '
j 1
i
1
1
IT 1 t _+1-+ il
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.
V c+-`-, c41 Certification No.
Name (print) AIV
-
Address ~u C l a a /~i+J«~sc .7 t/lf,
Name of installer if known
CST Signature"
C'
67 - ! State and County State Permit #
PLB
Permit Application County Pe
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: - Section _2_, T,~U N, R1~i E (or) dJV Lot# ) ity
Subdivision Name, nearest road, lake or landmark Blk# Village
Township S j ai1~=
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family X- Duplex No. of Bedrooms _j No. of Persons IV
D. SEPTIC TANK CAPACITY ? ? Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete d Poured-in-Place Steel Fiberglass Other (specify)
New Installation A Replacement
Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify)
E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate J-- Total Absorb Area/=5 sq. ft.
New X_Replacement Alternate (Specify)
Seepage Trench: No. of Lineal Ft. ~ G Width Depth Tile depth (top) No. of Trenches
Seepage Bed: ~,--Length ~36 Width il - Depth- 16 Tile depth (top)__.9-No. of Lines 3
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private Q 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. #-5 Y and other information
obtained from i (owne uilde _
Plumber's Signature MP/MPRSW# 3lG`~ Phone #,21"j--
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. /
,
riv
ma.
a_
f I
t
.
. •
luelo
E ,
E
.
t
e E ,
.
Do Not Write in Sp a Below FOR COUNTY AND STATE DEPARTMENT U E O LY c
Date of Application - Fees Paid: State CSC u G~-e7 Date S
Permit IssuedT'o (date) l Issuing Agent Name
Inspection YeState Valid# Date Recd 1. county (wy) 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