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HomeMy WebLinkAbout030-1072-95-000 0 ~ -0 0 ° 0 y = m 0 co~ "0 3 m 0 a) A ~Cf) Z= Z CO N N m OW • n 0 n O m o' CD o 0 0 3 wo ° r. , O OD Q n N A (D N 0 .7 N N c O O J C CF) A _ CD O -O (P (T N (P CD O N_ N = O 07 fD W l~~ii w D CD Q W N 1 a D c O 0 CO I~ CD W A CD o co m n r- N m v N o = cr °i v v ~ - m tr. z o O O 00 ~r o D 3. v v v o O CD f/1 A W~1 O Cp lD N CD w UNi Cl- z ' 0 z co z O C D o O CD 0 c CD CD !r • N t~vr ~ N N ~ C c CD N (D Z N (6 N O c p A Z CD U) A Z O m O O 3 a W W W 0 o o. z 00 3 r°r 0 m N z CD N D Z "a) O O ~ O !1 Q=. CD Cpl 4 C o to + (O O C- N CD _ 70 O C C) zi. co O a 0 m X Z d (D ~ 3:E,<'~CD O m n o 1, O 3 y m o = rr "I D CD CD X r v O o 0 c N O N N O Cn CD A O (D a O _ 3 N (D O CD (a CD n O S CL O (D O N Cn N = (D Co 0 3 0 Er A C2 o N D a o Qz e A o ~ v ` Parcel 030-1072-95-000 04/01/2005 11:50 AM PAGE 1OF 1 Alt. Parcel 26.30.19.255C 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 " LEFEBER, MARK B MARK B LEFEBER HIGGINS SUSAN HIGGINS SUSAN 1338 AWATUKEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1338 AWATUKEE TRL SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE SEC 26 T30N R1 9W PT GLS 6&7 BEING LOT 1 Block/Condo Bldg: OF CSM 8/2325 EXC PT TO AWATUKEE TR Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 05/21/2002 679536 1894/449 WD 07/23/1997 ---147$i18Q RD 07/23/1997 756/90 2004 SUMMARY Bill Fair Market Value: Assessed with: 5344 205,600 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 88,200 114,100 202,300 NO Totals for 2004: General Property 4.000 88,200 114,100 202,300 Woodland 0.000 0 0 Totals for 2003: General Property 4.000 54,000 99,400 153,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • AS BUILT SANITARY SYSTEM REPORT Z TOWNSHIP SEC. T N, R W 0, A XESS i~ ST. CROIX COUNTY, WISCONSIN. _•BDIVISION , *„IOTJ LOT SIZE PLAN VIEW -Distances dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i 14- t e 9 ~ f V VA ~ a Air I ~ i 1 7 I t I I Iridicate North, Arrow j } ISCALE : tPTIC TA.NK(S) /F'i', MFGR. l =L CONCRETE STEEL i NO. of rings on cover i , Depth DRY WELL A:NCHES NO. of width length area no. of lines width length area depth to top of pipe j AGREGATE R1C RATE AREA REQUIRED AREA AS BUILT l,Sclaimer: The inspection of this system by St. Croix County does not imply complete .o:?liance 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 Stem operation. However, if failure is noted the County will make every effort to ;jtermine cause of failure. {EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. `INSPECTOR DATED / L' -,C b ` _ j fJ PLU;MER ON JOB LICENSE NUMBER Parcel 030-1072-95-000 02/10/2005 11:54 AM PAGE 1 OF 1 Alt. Parcel 26.30.19.255C 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 MARK B LEFEBER - LEFEBER, MARK B HIGGINS SUSAN HIGGINS SUSAN 1338 AWATUKEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Prirry~ry Type Dist # Description 1338 AWATUKEE TRL SC 5432 SCH D OF SOMERSET i ` SP 1700 WITC Lega iption: Acres - 4.000 Plat: N/A-NOT AVAILABLE !26T3NR19W 0PT GLS 6&7 BEING LOT Block/Condo Bldg: SM 8/2325 EXC PT TO AWATUKEE TR /r Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 05/21/2002 679536 1894/449 WD 07/23/1997 1078/180 RD 07/23/1997 756/90 2004 SUMMARY Bill Fair Market Value: Assessed with: 5344 205,600 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 88,200 114,100 202,300 NO Totals for 2004: General Property 4.000 88,200 114,100 202,300 Woodland 0.000 0 0 Totals for 2003: General Property 4.000 54,000 99,400 153,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 205 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 O O O O C O r` C O' - - - - - - 150th Ave. 1495 ~ ~ c a 1492 1495 - • n 196 1489 490 484 co • • • • 1483 1478 b • 1477 474 • I tan I I 1473 1 72 ~ I • 470 \ 00 •N ..4%• 1A` 1488 • i I qj l ^ I O`` n 1 2 • 23 1458 , 2 , 24 I +4 West Sho' e, ;'~e:• i • r r C i ffi ~ ~ S ~ BASS 1 >~a 1429 I r 143rd Ave ' 1416 • f(D~ ~../C~ I 14 •141 • v, r+ / 1414 MM fO 14 1 l a i 32 ~ 4 112• 407 Terri r ~N • ti co 4 0th I I 7 c • n ~ ~ I s~ I M ~ 1~~ 3 O 1375 v) r Lake 1 e3 Jy 1365 1363 • • • 14 ►-~s • 1371 1357 1372 I J1 1378 1362 * • 1351 • 9 26 1377 • 1338 • • - 1~1 9 • Tr. .0 ' 25 I O 1 1 . • 1 MCY 1 , 337 1 33@ OB 9^ IW I Z] 9 • •1 19 c 133rd Ave. i 32nd 13 AV . • 26 132r 1 z • ~ to iZ 304 1312 • 1304 I • 1307 1310 `l.+ 7~ • ,303 in 1293 , 3011 299 1294 • 273 ~0 a 2 1 LZ, Mar '288 1285 ~ 1281 1286 • 128 1280• I 1261 1270 1275 Y cu J 35 11, 1 36 A I 1250 . 'I 1249 O 1225 Fu r 1 co k N N I ' 1 m 1224 • I I 9 • • er - 1216 • • ^ • • m 1215 U) co m y 1207 E i I 1190 ~ ~ ~ ~ I River I Z Rw i I `A j Lake I ,'p 7 y. ' REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM Sanitary PeAmit, 'r, t State Septic__,_,_ z 71 NAME i ownsh%p S CAOix County i Location Section T~ a SEPTIC TANK 6 Size gattonz. Numbers o6 CompaAtmentz Diztance FAom: Wett 12% oA greateA 6tope it P t Building 6t. WetZand~5 6t. DISPOSAL SYSTEM HighwazeA Di.6tance FAom: WeU S 120 on grea.teA zZope it. Buitding 6t. Wettands Ft. Highwate,tit. FIELD DIMENSIONS: Width o6 ttcench it. Depth o6 tc.ock below tite in. Length o4 each tine it. Depth of Rock ovetc tiZe in. Numbetc ob ti..ne/s Depth o6 tite betow gAade in. Totat Zeng,th o6 2.inezs bx. Stope o6 ttcench in pets 100 it. Di.s lance between Zine~s it. Depth to bedrock it. l Total abts orbtion aAea jt2 Depth to gAoundwateA it. RequiAed area it 2 Type oi CoveA: Papeti m Sttcaw - PIT DIMENSIONS: NumbeA o4 pits GAavet around pitz yes no Out,side diameteA it. Depth betow in.Let ~ . 2 Totat abzoAbtion area it A 2 ~ Area Aeq uiAed INSPECTED BY TITLE \ APPROVED ,DATE 197. REJECTED DATE 197_ a 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 ~~7g f' MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS Vila_ 14 LOCATION: Section, 6 , T-N, R/Y IV(or V „To/wnship or Municipality _ Lot No. Block No. ~~fE=• ~'S ~~7~C~M of SJz't~ f '`7'~~. County sy, SP®~ Subdivision Name ` Owner's Name: t le Pg e~- Mailing Address: 13 1 S-01?~-- i TYPE OF OCCUPANCY: Residence No. of Bedrooms -3 Other EFFLUENT DISPOSAL SYSTEM: NEW K ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS X-10 - 7L/~ PERCOLATION TESTS d-11_27 / SOIL MAP SHEET t _7_ SOIL TYPE ~ ~rz T~ 1), Me S` ~7L X/o'lA'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 MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 ~ ~ rr ' P - S2 SOIL BORING TESTS j TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B- ?6 40.11 B- a- -(~i ~7 sc tC) fr s~ 11 Lb r / kW_ ,7 [~E~ , / ITS 2 " 5'1-" s-, r, /;C// .LS e- parr 0AI? ` / ulc/1.l C_ -:7 g6 b r Gt s. s t S S~ ~t ~C s 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. 2,$Z0 `41 ~u '71'f ~o /A 'A'A 6firIndif-ate scale or distances. Give horizontal and vertical reference points. Indicate slope. ~Y S '+rlC~~//'~'^'L'~'~• /0 A - K~l f r i fll X t v E 0~ /'l l / I j _ N ! I- z-A ~ I L 4:: 1 E 1 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) r o,-.S Certification No. •r- 1 Address I Name of installer if known _ CST Signature`s COPY A -LOCAL AUTHORITY State Pe-mil LB, -6 7 State and County t Permit Application County Per # ~ ~ U, 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: ),4 t - J ST B. LOCATION:'/` '/a, Section ' T N, R E (or) ©Lot#y Subdivision Name, nearest road, lake or landmark Blk# Villa e CJ" Y~ V2, ownship Z22 ,7 C. TYPE OF OCCUPANCY: *Commercial *Industrial *Othe specify) *Variance Single family _ Duplex No. of Bedrooms 2 -19o. of Persons D. SEPTIC TANK CAPACITY 1Q00 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 K Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLU~E~NT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area T-esq. ft. New L Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: )4._Length 53-Width a Depth YS Tile depth (top)7&_No. of Lines -3~ Seepage Pit: Inside~ad,,iameter Liquid Depth No. of Seepage Pits Percent slope of land .p7 /c3 Distance from critical slope WATER SUPPLY: Private ~W 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 QEti CyA~.fTCSl~ EDJ~ii~ C.S.T. # 40--Z, ~~and other information obtained from er ui er . Plumber's Signature MP/MPRSW# 32674'~ Phone 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. i . i E a m ~ ro ~ w e It, _ r /7 X 5,9 a E 3 . E Y Do Not Write in S#e Below FOR COUNTY AND STATE DEPARTMENT USE ONLY Date of A lication pp Fees Paid: State > ("County Date ~T- Permit Issued/Rejec"d (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 ~ r