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HomeMy WebLinkAbout030-2057-60-000 ocno K T 0 O o c m o Lo~ M m v y cD ` 1 t7- cD k 3 Z Z i N Cl) Cn N) W !r . in o o g _ m m N O C o o N c n 0 K) O 777 O N p O n ' ul O O (D a _0 Ul C) J t~ ` K 3 F) O W O O N N CO y C O Cl) < D a 2 N CD c;~ (D G IUD 'CO (D c (D c ,N J u ~ o Z o J_> oco n p c tr o,o _ ~ ~ N o C: Z !mil O O O a c 0 ° vvv ? N co D D N G N v a 3 0 m z W r_ z w z 0 ~ !r. o m m CD D N (D v c CD C CD N W (D D_ CD (D(6 U) O p Z CD g O A Z ~ C Z N) < O v v W (D G , z 3 a O Z N m 0 3 ~ z CD ID N N =01- OZ C>l N O O N O O N N _a T (D "O p p_ f0'7 OO O O Z O. A 3~ N O O f ~ D o o I'D f a y CD N N ~ N CD O; 1O O _ N Ul O N A `O O' W d Q ry 7 c X 'p r~ C - 3 0 O -p` X O O O O CD N 0- QO S`2 O N d N O O A b O (D tij A '0 c to O 5 c CD 0 0!1 Parcel 030-2057-60-000 03/08/2005 09:19 AM PAGE 1 OF 1 Alt. Parcel 27.30.20.555 030 - 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 JONK, DAVID & JESSICA DAVID & JESSICA JONK PO BOX 553 BAYPORT MN 55003 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1398 HAGGERTY ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.600 Plat: 2111-HOULTON SEC 27 T30N R20W LOT 1 BILK 7 VIL HOULTON Block/Condo Bldg: 7 LOT 1 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 27-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 01/09/1998 571036 1287/219 WD 07/23/1997 1086/375 TI 2004 SUMMARY Bill Fair Market Value: Assessed with: 6188 170,400 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.600 50,000 117,600 167,600 NO Totals for 2004: General Property 0.600 50,000 117,600 167,600 Woodland 0.000 0 0 Totals for 2003: General Property 0.600 24,300 97,400 121,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ` Ir t© (nom I O i ~ O r=+ r $ ~ I p O In ~ I \ BL CK;= 2 o ' (n CTI \ m O p \ rs s, N i _ A 4 s \ TO,p \ i UI _ Q r 1 i ` - y EGAR - S7 c~ o'fl . ~Q O O 0) -4 CO n N.S (nl 0 (O 521/~9~n~ \ `3 2 wl D1w 1n~~ g 520 u1 \ ~ w Co m k~ p m _ u~,/519 10 N (n I (n (n ! /2s;2oN 1 518 APB w t~. Ut 9 ; OD rn (n' \ I O D Fi90% %v P ti U1\ (o ST. - \ 517 1\ N t 1T ~ 1~Cn o _ ~ 1-~vV 0 i W U1 i 11 a N lulv'v 11- 0 WO 516 B - I N 1~ " 1tr 1~(p C~ r rv~ \ o /laylvri 1~ - STATE a iu - i l~D ~ 1 9 - y t B g =cna~° D w 528A~I N e W 516 A y < ~ W 526 ~ \ o yV4 _ N ra nN ~(N(yy.~~ \ D E O _ h. W EJ1 D _ yF J STATE HWY. C'm Ul co w cnE vile w 567 B % u1 6-1 o" w x Q~Op G7r 0 N W W pL/y^// %9 a ly $ 566 ro s' 1a 6 N frs565 Or fin 'A I _ w - m 564 O V N 563 10 k \ I 417.50 ~ HAG ~ -r° rn E ' r o ~N ? .r. 1 Cn t A w 0 r C } OF ` c- ~ ~ a Cp. 1 0 d ~ O 1 N r N \ 417 50 417.6 1 t0 m fi~~ I AS BUILT SANITARY SYSTEM REPORT . rl k 5=t , SH ; 6 SEC. L 7 T--:)O N, R W ST. CROIX COJNTY, WISCONSIN. - - k ~ j` U~D o2,bs~(,n 3DIVISION LOT LOT SIZE Oba PLAN VIEW I T / S~ Distances & dimensions to meet requirements of H62.20 - - - SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM tt ( ! 1 ! I + I c~ ~ ~ ! I I ( i ~ f I ;I~ I i( I ( j I f I -tt 1 ~ Tel'--~ ! 1 i ~ 1 ( I ( I I i ~ I ( I + j Indicate NanthAk~Low 'TIC TANK(S) MFGR. au r~ecc: 7` t^ COI;CRETE , STEEL NO. of rings on cover ~ fr Seale ` 3 Depth G DRY WELL ~!a . NCHES NO. of L width length area pmt no. of lines width length area depth to top of pipe 31EGATE 7 _%,,j 3 .,.K RATE /p AREA REQUIRED C~66 AREA AS BUILT LZL~ :claimer: The inspection of this system by St. Croix County does not imply complete _~.Dliance 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 :tem operation. However, if failure is noted the County will make every effort to '_ermine cause of failure. .Z"LSES AND OILS SHOULD NOT BE DISPOSED THROUGH IIIS SYSTEM. `INSPECTOR DATED PLL; iBER ON TOBk LICEi SE Nla!BER ^S? i s P.P:POP,T OF IMSPECTI011--INDIVIDUAL SE?•IAGE DISPOSAL, SYSTEM Snnitary Permit • r State_ septic T&WNSHIP t. CZOl~ ' I ci S%PTIC TA'?K S i2e gallons. 'umber of Compartments Distance From: 'dell ft. 12% or greater slope ft. Building' ft. Wetlands f~ Hi.ghwater ft. DISPOSAL SYSTL:1 Tile Field or Seepage Pit(s) Distance From: i1ell ft. 12% or greater slope ft Building ft. Wetlands f:. FIELD l,ighwater ft. Total length of lines ft. Number of lines Length of each line ft. Distance between lines ft. Width of the trench .`ft. Total absorption area sq. ft. Dept:: of rock below the in. Dp-pth of rock over the in. Cover over .rock,, Depth of tile below grade in. Slope of trench in per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of nits Outside diameter ft. Depth below inlet __ft. Gravel around pit: ,_yes no. . Total absorption area --sq. ft. Square feet of seepage trench bottom area required Square feet of seepage nit area required Inspected by: Title: Approved Date \a . 197 . Rejected Date • 197 H 115 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: Section 7 , T-31N, V10 IF (or) IV~ownship r Municipa lit Lot No., Block No.-7-,---- County 4dZision Name Owner's Name: 5-60,, S Mailing Address: - 6_( $111-1 , 141.1,114--e, TYPE OF OCCUPANCY: Residence No. of Bedrooms / Other 'A" 1?A'x EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS nnPERCOLATION TESTS SOIL MAP SHEET _V SOIL TYPE Lev- Ln 7 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 MI P- i1j 74 4r P- , Lt JP 10211 Nb /0 ~1 1,41 P-70 LSeQ kl-e j&/ZA ✓ c~ / y /~z- /`v 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) 6 > & lo, 4 s 6, cu d B- S_ 61, eclb PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the locationand square et of suitable areas. Indicate n m ej of square feet of absorption area needed for building type and occupancy. 1X Al*4( A'16,.1 6 _DJ- Indicate scale or distances. Give horizontal and vertical reference ints~ In to slope. * z , , NNI s s - I 3 I I I f I I , I ? j i ~ j ; I I , , 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) 'u~~ laa 3 Certification No. ~z > -VS Address ~e1 reL fcv„ 4,L i5, ..S--,/L'/6 Name of installer if known CST Signature COPY A -LOCAL AUTHOISITY L PL B67State and County State Permit # Permit Application County Perm' # , for Private Domestic Sewage Systems County 61- *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: E/ Zr J zC 1 S/~ Jf'Fr' Al ',,tar, S B. LOCATION: A./ '/4 AL IF Section 22, T 3®r N, R 2 @ (or) Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village ~jc+~J~Ts~ r Township C TYPE OF OCCUPANCY: *Co ercial *Industrial *Other (specify) *Variance Single family Duplex _3_No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES NO # of Bathrooms Automatic Washer _)YES NO Other (specify) E. SEPTIC TANK CAPACITY-Z20 ) 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. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) -5- 3) _7 Total Absorb Area sq. ft / New < Addition Replacement *Fill System jlZv 1<'& 6-e Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length A' Width/,,?" Depth Tile Depth 3E No. of Lines -3 Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land'- ~ "7v We5,l lr 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 Ce ified Soil T ter , _ NAME C.S.T. # S3'/s9 and other information obtained from , - (owner/builder). Plumber's Signature MP/MPRSW# r/4! 7 .rp Phone # 11r-9-19& Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). /vo St ~~1 , 64' /A-`/, 0 AI / /0 u" Safi F 4 / / / / v (011 1Z 9,4 S fit= /u~3• Do Not Write in Space Below FO.R DEPARTMENT USE ONLY Date of Application Fx G ~ D Fees _Paid: State/ C)/ CC out .~f l Date Permit Issued/mod (date) - Issuing Agent Nam C~ (c F Inspection Yes . No Valid# Date Recd 1. county ( ite 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 TRANSFER FORM PLB- 67-T SANITARY PERMIT ` State Permit # ~G~'®sl Sanitary Permit # County Sanitary Permit Transfer Date Original Permit Issuance Date A. Property Location:F-~e'~'~~ -~SectionZ7Z TEi~ N, R 20 G4or~ W Lot #City Subdivision Name, Nearest Road, Lake or Landmark BLK # :Z_~Ila Township B. TYPE of Occupancy: Commercial Industrial Other (Specify) Single Family Duplex - t1_11' No. of Bedrooms- Variance C. SEPTIC TANK CAPACITY Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab Concrete v/ Poured-in-place : Steel Fiberglass Other(Specify) New Installation L/ Replacement - LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place Other(Specify) D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area ~c't.~ sq. ft. New v Replacement Alternate (Specify) Seepage Trench: No.Lineal Ft. - Width - Depth Tile Depth(top) - No. Trenches Seepage Bed: Length -Width Depth P, " -Tile Depth(top) No. of lines Seepage Pit: Inside diameter - Liquid Depth No. Seepage Pits Percent slope of land - 4C Distance from critical slope_ 2 `;6 E. WATER SUPPLY: Private ❑ Joint ❑ Community ❑ Municipal Present Sanitary Permit Holder Phone No. -SF°(: Sanitary Permit Transferred To: Phone No. Name- Name Address Address ` f4- Zip` C`/ - I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with section H 62.20., Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared by the Certified Soil Tester and/or any additional soil tests that may have been required. Plumber's Signature a _ -RAfx/MPRSW # I ~ - Phone #21f- t- Plumber's Address' Information obtained from (owner or agent) 1 PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh- bor's ropertm,. F, j we If well~has~ot bep-n. drilled pjeas jn ~Ggt l 3 F F s r 1-4 -f+ Signature of Issuing Agent 1. County (Yellow copy) 3. Owner (Pink copy) DIVISION OF HEALTH 2. State (White copy) 4. Plumber (Green copy) P.O. BOX 309, MADISON WI 53('