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Parcel 030-1048-60-000 03/30/2005 11:13 AM
PAGE 1 OF 1
Alt. Parcel 22.30.19.1838 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
YATES, GEORGE H & KATHLEEN
GEORGE H & KATHLEEN YATES
625 150TH AVE
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 625 150TH AVE
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.200 Plat: N/A-NOT AVAILABLE
SEC 22 T30N R19W W 256 FT OF N 544 FT OF Block/Condo Bldg:
NE NW
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
22-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2004 SUMMARY Bill Fair Market Value: Assessed with:
5122 158,500
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.200 62,100 93,800 155,900 NO
Totals for 2004:
General Property 3.200 62,100 93,800 155,900
Woodland 0.000 0 0
Totals for 2003:
General Property 3.200 36,400 74,700 111,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 119
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
~R TOTdNSHIP , - , SEC. R / W -
ADDRESS` ST. CROIX CGu.;`L , WISCONSIN.
?JZVISI0c lxE LOT LOT SIZE
PL_4rI VIEW
Distances & dimensions to meet requirements of H62.20 ~J
__SHOW EVERYTHING WITHIN IOO FEET OF SYSTEM
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Indicate N ON
;'TIC TANK(S) MFGR. t CO.3CRETE
STEEL S cat e
NO. of rings on cover -1 Depth R 1,1ELL wi; -1CHES NO. of width length area
J no. of lines .~idth 1ength area
eptti to top of pipe
S i_EGATE
RATE_ Cr, AREA REQUIRED AREA AS BUILT
-glaimer: The inspection of this system by St. Croix County does not imply complete
_,Dlia- 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
stem operation. However, if failure is noted the County will matte every effort to
-rm_ine cause of failure.
:.ASES AND OILS SHOt'LD NOT BE DISPOSED THROUGH THIS SYSTEM.
'-INSPECTOR
DATED f - ^Y PLL'; EWER ON JOBS'
dt< l' rli~
LICENSE N`J1, J,:~l
• REPORT OF 111SPECTIO'_1--17MVIDUAL SLt,]AGE DISPOSiV. SYSTEII
ary Permit
r State Septic
T&JIMUP LL
• t. Croix County
r
S1.PTIC TA' 71
Size gallons. `.umber of Compartments
Distance From: Well
_ ft. 12% or greater slope
Building ` ft. Wetlands
f
Highwater ft.
DISPOSAL SYSTMKI Nile Field or Seepage Pit(s)
Distance From: well ft. 12% or greater slope.-` ft
Building; ft. Wetlands ~ f
FIELD I.ighwater ft.
Total length of lines ft, Number of lines Length of
each line ft. Distance between lines ft. Width of the
trench - 'Lft. Total absorption area sq• ft. Dept::
of rock below file in. Dp-pth of rock over tile in. Cover
Over . rock,,Depth of tile below grade in. ;lope of
trench in' per 100 ft. Depth to Bedrock ft. Depth to
ground water ft.
PITS
Number of pits i. Outside diameter ft, Depth below inlet
e .
ft. Gravel mound *)it:--__.yes no. Total absorption area
sq. ft.
.Square feet of seepage trench bottom area required
`oquare feet of seepage nit area required
Inspected by:__ Title': {
• Approved , Date. 197
,
Rejected Date 197 -
1
State and County State Permit #
LB
67
.f Permit Application County Per t #
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:
G for Yq f e- -S F\ So Yne- Y--,r 1 S
B. LOCATION: /N '/a AJIUJ Section , T_30N, R jjV (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
( T Township L
Y A, 44
C. TYPE OF OCCUPANCY: * mm rcial *Industrial *Other (specify) *Variance
Single family Dupl x No. of Bedrooms No. of Persons_~~
D. SEPTIC TANK CAPACITY 160'6 Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete _,X 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 Total Absorb Area sq. ft-
New- Repla ent Alternate (Specify)
Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length -51 Width 12 Depth ? (z , Tile depth (top) -20 No. of Lines Seepage Pit: Inside diameter Liquid Depth No. of Seepage
Pits
Percent slope of land Distance from critical slope
WATER SUPPLY: Private 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 C tified Soil Tester,
NAME ,L -4.. e- C.S.T. # S.1 -06 5 ~6 and other information
obtained from GrGvr~e~ (owner/builder).
Plumber's Signature MP/MPRSW# 15(-2 Phone #Q y4L - J
Plumber's Address !
RK -11 11112, L42C-
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.
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Do Not Write in Space Below - OR COUNTY AND STATE DEPARTMENT USE ONF, c)
Date of Application 5--- Fees Paid: State1r,~ h C u ty l.Qate
Permit Issued/R•reafied (date) 3 Issuing Agent Na CC
Inspection Yes No State Valid# Date Rec
1. county (wh ke copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON '
2. state (pink copy) 4. plumber (canary copy)
5
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
LOCATION:/y W '/4, Section L J- N,R Cy
-wor) W, Township or Municipality
Lot No. , Block No. County
4Ljr
ubdivlslon Name
Owner's/Buyers Name:
Mailing Address: 2.3
TYPE OF OCCUPANCY: Residence_ No. of Bedrooms COMMERCIAL
EFFLUENT DISPOSAL SYSTEM: NEW X REPLACEMENT ALTERNATE SYSTEM OTHER
DATES OBSERVATIONS MADE: SOIL BORINGS- Ma. - PERCOLATION TESTS - /12 e"
SO Ri.. iv AP SHEET.__A__. - NAME OF SOIL MAP UNIT I2.~,~J'.~.
PERCOLATION TESTS
_f ES HOURS WATER IN TEST TIME DROP IN WATER
NUM- DEPTH CHARACTER OF SOIL SINCE HOLE BOLE AFTER INTERVAL LEVEL, INCHES RATE
MIN/IN
I BER INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P- ~Q Sir f F 1-L / V S
O 3 s ~2,s
iP- I 4J 11
JV -5,
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- l✓ 0-9 s ~ ~3a ~ ~ ,3 a - S
B- z 9~ s s . -
B-
B-
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PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the loca i n 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.
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I, 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.
1 O C ~.1~
Name (print)w__._ Certitication No.
Address ie 12 1-) /?LL~t YIZ n t " G
Name of installer if known
Copy A -Local Authority CST Signature r
PLB Sta.and Colirity State Permit #
Permit Applibation County Permi 3
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:
Ro
h >
-411-1
B. LOCATIO : A.Irf /b Lk) Section T~70 N, R L'~_ 0 (or) W Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms 2 No. of Persons
D. SEPTIC TANK CAPACITY / QZr Total gallons No. of tanks
HOLDING TANK CAPACITY Total gallons No. of tanks
Prefab concrete n 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. EFFLUEN DISPOSAL SYSTEM: Percolation Rate+ 11, Total Absorb Area r sq. ft.
New Replacement Alternate (Specify)
Seepage Trench:_ X No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches
Seepage Bed: Length 5 Width I I Depth 1/0 Tile depth (top) No. of Lines 2
Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits
Percent slope of land -5 0% Distance from critical slope T
WATER SUPPLY: Private 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 Co e, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certi oiI Test r,
NAME C.S.T. # -5 3~ and other information
obtained from (owner/builder).
Plumber's Signature 1 .0 MP/MPRSW# 1S6 3 Phone # Z
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.
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Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE NLY
Date of Application - Fees Paid: State C' C o u n ' / r ~C ~Y - C rr r at Permit Issued/ (date) Issuing Agent Name
Inspection Yes _~_No State Valid# Date Rec'
1. county (whAe 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
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Z O N I N G O F F I C E 386-5581 Ex. 49 & 56
ilv-
COURT NOUSE IiUDSON 54016
Q''
'yet h&V
Febtuany 12, 1979
Mn. David W. Fnedvickon
Env,inonmentat Speciatist - Soi2 Scientist
Depantmen.t of Heatth and Sociat Senv,iees
Division of H eatth
P. 0. Box 309
Madison, Wisconsin 53701
Deal Sit:
Bnctosed you witt {rind two Reports of Soil Boeings and
Pencotation Tests done by RICHARD LEE of Boycevitt, Wisconsin,
Cetti4 ieat-ion Numbet 55-000526. It is Jett by St. Cno,ix County
that they do not meet the standards of H62.20. The 6oit
testen has been contacted by this office neganding the tests
lot Watten Duvat neCluesting additionat booing infolmation.
A6ten having teeeived the test data Got Geonge Yates and
finding unsatio 6actony -in4onmation, it was vest that this
matters should be tuunned oven to the State. We do not want
soit testens in the county that continue to work on a Uvet
that does not meet code.
Listed below aAe the Reports on Bontngs. and Pencotat.ion Tests
done by the above mentioned soft testers:
1. Watten IDuvat, K.
This nepont was 4inst seen in out o44ice 1 /31 /79 when the
sanitaty permit was to be obtained. You w.itt notice two mason
pnobtems.
a. Soil Boling, aad Pene Tests done 11113177. This in4onmatio
is to have been sent within 10 days of testing to youn depattment
but instead was neeieved almost 14 months .taten.
b. Three boning, lot a new system. We contacted hen. Lee
and to& him he should have 6 borings lot a new system. The
next a4tennoon we necieved additionat boning in6onmat(.on.
2. George Yates
This nepont was necieved 216179 loom the ptumben who was
tooking to obtain perm,its.
a. My ava.itabte copy of EH 115 is the soils testen copy.
b. No descn-iption to accunatety descnibe the Location ou
the pnope.nty.
C. No soft map sheet infonmation. St. Ctoix County Soit
Sunve.ys ane avaitabty at this office and SCS.
d. Again only 3 b onings {ion a new system.
e. It was beyond the ptumbm on anyone We to be Me to
toeate the pAopen anea lots the system with the ptan view
provided.
Page 2 Mo. Dawid 1 cdoichsop 1=ebnuany 12, 1979
Tt is thc, QeQng o6 this MUM that it soit tes.tens are
going to do soil testing o4 this catiben in this county, we
do not want them, period.
Tt is both unva-in to the pno6partive tandownen and to those
so-it testano who do 6oltow the soW testing pnocedune as
outtined in the code.
S,ineenety,. _
THOti4AS C. NELSON
Assistant Zoning Admin,i6tvaton -
St. Croix County
TCN:jh
cc: Mn. George Yates Mn. Dennis Sanen6on
Rowe 1 On-6 ite Waste SpeciaWt
Somemet, Wis. 54025 Roam 104
3550 Mormon Coulee Road
Mo. Riehand Lee La Cno6se, Wis. 54601
Rowe 2
Boycevitte, Wisconsin Mn. CaVin Powen6
New Richmond, BUT 54017
Encto6 unes :
1. George Was, EH 115 (pink copy)
2. Wa,Cten Mat, Jo. EH 775 (copy)
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P.U. Box
iSON, WISCC
:
BORINGS AM
1101V' Section (or' W. Township or Municip
c`
;ENT DISPOSAL SYSTEM: NF
i OBSERVATIONS MADE: SOIL BORINGS-
SO I L T)
PER(;v4_t, -ue:.
HOURS F SOIL
SINGE HALE: OLE AFTER INI'EFt"VAL
INCHES 95T WETTED SWELLING, IN MINUTES PERIOD
I
IL SING TESTS
HE_ C14ARACTER OF SOIL WITH THICKNESS
si^u ! OBSERVED ESTIMATED HIGH
,te on the plan the loc-.ation and
d for building type and occupar,
tarocm Give horizontal and vet;
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7
Pd and 10"itoti-i
'tiflC3tiOn Nt7. .
LoHegs6
EH.115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES N e aU
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P01-
e ~f ohs
' P.O. BOX 309
' MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: 1/4, ~ ~/4, Section'-~ T-%_- N, R19 E (o,&Township or Municipality
ra
Lot No. , Block No. County
f ubdivision Name
Owner's Name: - <
1 l ~G
M(II _g AddrTess: f _
TYPE OF OCCUPANCY: Residence V/ I No. of Bedrooms -1 Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDI7,7.y N REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS C PERCOLATION TESTS " G
~ a
SOIL MAP SHEET z SOI ~ YPE L- k• r✓
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WAI ER 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-
P- ~I
- ll
y
3-
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-41 I
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. 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.
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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) C 1 Certification No.
r
Address 71
Name of installer if known -
CST Signature '
CQ!PY A IDCAL AUTHORITI'
EH.1 15
NCB)pM~=
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH A c~ c~ ~^C~SS~ i
P.O. BOX 309 ~ I ~
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: Section a, T eN, R E (or)~N Township or Municipality
~L
Lot No. , Block~yNo. County
t~ Subdivision Name
Owner's Name: 4J
PrreSF1J.Q;t
Mailing Address:
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW I/- ADDIT ON REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS /yP~ERCOLATION TESTS
SOIL MAP SHEET SOIL TYPE ul~L~
PERCOLATION TESTS
TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE'
NUM- INCHES THICKNESS ICHARACTERN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
P-
P-
P-
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)
C, r
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.
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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) Ic ko_o Certification No. `-0
Address -fi~
Name of installer if known
COPY A -LOCAL AUTHORITY CST Signature