HomeMy WebLinkAbout030-2078-50-000
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Parcel 030-2078-5'50-000 03/24/2005 10:49 AM
PAGE 1 OF 1
Alt. Parcel 33.30.19.662 030 - 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
TIMM, RANDY EUGENE
RANDY EUGENE TIMM
580 BURR OAK LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 580 BURR OAK LA
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.390 Plat: 2233-OAK KNOLL
SEC 33 T30N R19W OAK KNOLL ADD LOT 5 Block/Condo Bldg: LOT 5
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
33-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
2004 SUMMARY Bill Fair Market Value: Assessed with:
6372 237,000
Valuations: Last Changed: 07/09/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.390 57,400 175,800 233,200 NO
Totals for 2004:
General Property 1.390 57,400 175,800 233,200
Woodland 0.000 0 0
Totals for 2003:
General Property 1.390 33,500 146,900 180,400
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 106
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
• AS BUILT SANITARY SYSTEM REPORT
;ER TOI•INSHIP ~
_ ~SEC. 11 ; N, R W
ADDRESS r ST. CROIX COJ'tTY, WISCONSIN.
ra...; i~~....~~
DIVISION LOT LOT SIZE
PLAN VIEW
-Distances & dimensions to meet requirements of H62.20
SHOl,' EVERYTHING WTTHIN 100 FEET OF SYSTE'_ki
- - -
I
i
t
' Indicate Nonth
"TIC TANK(S)MFCR COi;CRETEL-Z STEEL Scage
NO. of rings on cover ~y Depth DRY WELL
:-''CHES NO. of width length area
no. of lines width~_ length area
depth to top of pipe
;?LATE
RATE - AREA REQUIRED 4 AREA AS BUILT
;claimer: The inspection of this system by St. Croix County does not imply complete
.,.oiiance 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 make every effort to
-rinire cause of failure.
♦ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
`INSPECTOR
DATED PLIRIL 3ER ON JOB
LICENSE NUMBER ~
• RFPOP,T OF ITISPECTIO?I--INDIVIDUAL SL6•TACE DISPOSiV, SYS TEii
Sanitary Permit
State Septic
,JU IE AL-) L L rn. ~
TOI.INS II I P
. C ix 91unty
SEPTIC TA'?1~
Size _
gallons. '.umbel rf Compartments ,
Distance From: Well f t, 12% or greater slope fi.
M
Building ft. Wetlands
f.
Iiighwater ft,
DISPOSAL SYSTL:i Tile Field or Seepage Pit(s)
Distance From: Well _ _ I U ft. 12% or greater slope" ft
Building r' ft. -
Wetlands f
FIELD i;ighwater ft.
Total length of lines/
Number of lanes Length of
each line 61, ft. Distance between lines= ft. Width of the
trench ft, Total absorption area sq, ft, Depth
of rock below tile min, Dp-pth of rock over the 2 in. Cover
aver . xock,,~. Depth of tile below ` grade
in. Slopo of
trench in ner 101 ft, Depth to Bedrock ft. Depth to
around water ft.
PITS
Number of pits Ou 've diameter ft. Depth below inlet
£t. Cravel around it: __yes no.
Total absorption area
sq. ft. ~ •
Square feet of seepage trench bottom area required
J
`l%quars feet of seepage nit area required
Inspected by: Title':
Approved Date 197
Rejected , Date 197. c,
J
y
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES 110
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
j,
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
' i ~~-E-4orj " < E I i~~~
LOCATION: /4, Section- TAN, R/ W, Township or Municipality
-
Lot No. Block No. O
- K m-+ t% J County
ubdivision Name ~X~---
Owner's Name: o-
Mailing Address:
ILI
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT f
DATES OBSERVATIONS MADE: SOIL BORINGS PERCOLATION TESTS 6~ l 5?
SOI L Vi AP SH E ET SO I L TYPE < ~+c~ t r~ V~cs f'
PERCOLATION TESTS
rTEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE j
CHARACTER OF SOIL
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/II
F BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P~ -77 14
P-Z
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
i
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
if
13-34
B- ~7.
AN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
dicate on the plan the locationand square feet of suitable areas. Indicate number of square feet of absorption area
=eded for building type and occupancy. C
f Indicate scale
:;r distances. Give horizontal and vertical reference points. Indicate slope.
.
t N
r~ I
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 (priul J,"4 Y Certification No.
Address 11 4:~ ";,;P, asp rz, ct l' • '~1~ 7 c''
Name of installer if known
CST Signature
FY LB67 State and County State Permit #
Permit Application County Per i~ #
/~12 _f~j(`f 6 i!: for Private Domestic Sewage Systems Count-y-
*DENOTES *DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PR.QBF,RTY Mailing Address:
rd hm m 9cX i.5.
B. LOCATI N:Y4 5-e'14, Section , T~4V, R E (or W Lot# -45 City
Subdivision Name, nearest road, lake or landmark Blk# Village
k~ Township )
C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance
Single family Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES O # of Bathrooms
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY L2JZ Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation Addition- Replacement- Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) $ 3)3~Total Absorb Area /S sq. ft.
New,X Addition Replacement *Fill System
Seep ge Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches _
Seepage Bed: Length,f2_Width ,L Depth J UL) Tile Depth _'2 No. of Lines -Z
it
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land _5~ 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 Certified `Soil Tester,
NAME Jo ^ )n~ x C.S.T. # other information
obtained from (owner/builder).
O!q
Plumber's Signature r, MP/MPRSW# 151-4-.? Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including we 11).
i ee I~~,.►1ed.r~
t
C>
, i
I
,
,
Do Not Write in Space Below FOR DEPARTMENT USE ONLY 00
Date of Application `2C Fees Paid: State C t Date - 7
Permit Issued/Ro}estaf (date) - -Issuing Agent Nary-%ztQ
Inspection Yes _X_ No Valid# Date Recd
1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 I
2. state (pink copy) 4, plumber (canary copy) Revised Date 6/1/76